HomeMy WebLinkAbout5804 W. 38th AvenueW+}CiQtyof
I:OMMIINITI' UkYflot ENT ��
Building B Inspection Services
7500 W. 29" Ave., Wrest Ri li e, CO 80033
Office : 303-235-2855' Fac 303.2374929
Inspection Line: 303-2345933
Email: ceimhsrdci.wheatridde-c us
FOR OFFICE USE ONLY
Pbnaeview Fw:
Building Permit Application
'•• Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ee•
Property Address:
Property Owner
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (Xo ferent then property address)
ArchltectlEngineer E+nNl:
Contractor Name' '. I, � L.{ aiwi kL
City of Wheat Ridge License S:
Contractor Eanall Address: it -&-k u—ic 2I a • NES
For Plan Review Questions a Comments
s1gide Yd
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CONTACT NAME(please print):l�Lr�le1.� 1/11+0 fK p8 �A-�0 ✓-0� �'
CONTACT EMAIL(plesse print): rI DPQC� 1TrL-i E>-15[��. 10 1 Ni
Sub Contractors (Must provide Wheat Rides Lleenss No & Signed Subcontractor Authorization fomrp
Electrical: Numtln9: Mechanical'
W.R. City Licence# W.R. City License If WR. Ory Licensee
Oscar City lxemed sub. O9ier City Licensee Sub.
City Licema 0 City License 9
Complete all highlighted fields.
ECCOMMERCIAL ❑RESIDENTIAL
orovlde description of work: For ALL projects, provide a detailed description of work to be
erfDlmed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
Sq. FtJLF BTW Sonoma
Ampg�00Squarn_ For Solan_rap pplPpnrY_Rpulia SlrutdN
For Commercial Projects Only: Occupancy Type: _ Construction Type: _
Occupancy Load; _ Square Footage: _
PmlrotVdRp:ICpneaUvekw were cwterIgLm romwe oral town included into snare pratepn
$1000
OWNERIGON'fRA R SIGNAWIM OF UNDERSTANDING AND AGRFEIKUfF
I herby moub Wn Ne whack dimnca pmpned by tmf Semon eppliueon ue eceweM and do aw violent opplKehk ardlnamera, Mrs or
monsoons oft scity of What Ridge or wsveum, eumnenls or reshklkns ofeword; the all meuuremenes slwwn end gJarmmr madam
eecurek;thdI have read ansageee to abide by all conditions pkbd on this annotation and that l usnmt fun re.Fowuery t ®plimme
uitin npecabk City of Wtrat Ridge were and ordinances for svork wars my pvmR issued board on this applicerion: dutl was the legal ower
or have barn auemebed by me legal oxvu of We pronsery to peRorm the described work and ran ala, wtlmrtno by the Lgal ox'cer of my
entry io haled on this epplkuka to lien eW ertiry an has application. 1, the arelimnt for this building soil application. wmmt has
wtlrfulnese of the hdormation yidrdenUNyglicatioo.
CfaCLEONE: (OWN (CONTRA r( IxIfORIZED RRPe Zh4fTATeem of(OWNUD 07ONIa�ACrol4
�lwoor Wleta�rk DATE; F//
FAewd
DEPARTMENT USE ONLY
Sw1WGGOMMMENTB'. OG%UpNILYG1ABYfIWiIOX:
OgBB@p rl pTYPE:_
Rev
eug.omo DEPMTMErtI cOkwENTS
Reveaer
FOBOC=Rn COMMENig'.
Re a er.
Building Oivblon Vtluetldn: