HomeMy WebLinkAbout202201608 - 6900 W 33rd Ave - Permit_Page_1From: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Foundabon Repair
Date: Friday, July 15, 2022 2:33:26 PM
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PERMIT APPLICATION Foundation Repair
This application is exclusively for FOUNDATION REPAIRS.
YOU MUST ATTACH A VALID ELECTRONIC PAYMENT ORM IN ORDER FOR
THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
Foundation Repair?
PROPERTY INFORMATION
Property Address 6900 W 33rd Ave. Wheat Ridge, CO 80033
Property Owner Name Katie Mccaslin
Property Owner Phone 970-402-9329
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email katie@milehighluxury.com
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business DBS Inc DBA COLORADO STRUCTURAL REPAIR
Name
Wheat Ridge 150018
Contractor's License
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone 720-441-3611
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email byron@coloradostructuralrepair.com
Address
Retype Contractor byron@coloradostructuralrepair.com
Email Address
DESCRIPTION OF WORK
Location of Work
Concrete room under carport slab.
How is repair being
15 Ln Ft Beam, 4 Ln Ft Steel Channel Angle
done? Piers, strips, etc.
# of Piers or Strips
0
Upload engineer letter
Foundation Repair Drawings 6900 W 33rd Ave Wheat Ridae
or pages on 8 1/2" x
(1).pdf
11" only
Repair Plan Set on
Field not completed.
11 "x17" only - if
applicable
Project Value (contract
6582
Valuation Okay
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
Person Applying for Nick Bennett
Pe rm it
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
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