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PMT2014-04159 APPS (2) nly City of Boulder Planning and Development Services Office - O PIP,\ 1739 Broadway,3rd Floor Boulder,CO 80306 Date Received: Case No. Phone:303441-1880 Fax: 303-441-3241 Please Note:Permit applications must be logged in by 11 am and 4pm a f t Multi-Family and Non-Residential Building Permit Application .. Vill .. Name: G V 0 Address: e�T Z , �_ Address: Phone: Fax: . Fax: jaS z- o E-Mail: L . !� Name: Address: �z I C, i Address: t} (560 4 Phone: `Z Fax: Z s �5 � r��. Fax: 3 z—SJ E-Mail: CATEGORY OF USE [Commercial ❑Multi-Family ❑Mixed Use ❑Industrial ❑Other DE�MLED DESCRIPTION OF WORK For single use appliebtions please complete the Type of Work and Primary Use sections below and then continue to page 3. For mixed use applications please complete the Type of Work and Use sections on pages 1 and 2 for each separate use. Occupancy Classification Scope Specific Use Construction Type Automatic Fire Al F1 ❑ll ❑ R3 ❑New ❑Addition Finished Basement Extinguishing System ❑ ❑ ❑ i-A ❑ 111-A ❑A2 ❑F2 ❑12 ❑ R4 ❑Core&ShellMini-Warehousin Yes [�No ❑ 9 ElI-B ElIII-B ❑A3 ❑H1 ❑13 ❑ S1 ❑Tenant Finish ❑ Unfinished Basement ❑ II-A ❑ IV Automatic Fire ❑A4 ❑H2 ❑14 ❑ S2 /interior Sq.Ft � ❑ II- �❑ V-A Ala System E]A5 C]H3 C:1M ❑ U C3Remodel/Exterior Sq.Ft tXSp ❑ V B es []No ❑B ❑H4 ❑Rl ❑Repair Sq.Ft Tom $ Sprinkler System ❑E ❑H5 ❑R2 ®Tenant Remodel � Sq.Ftz.. I tion [INFPA 13 ❑13-R [:]13-D PRIMARY USE (For multiple uses complete ... ❑Amu sem enllRecreationa1 ❑MotetlHolel/BBB ❑Research&Dev. ❑ Carporl-Attached ❑ Shed ❑CommerciallRetail ❑Multi-Family Dwellings I]Restaurant ❑ Carport-Detached ❑ Shop ❑Financial Institution ❑Office-Administrative faSchoollEducational ❑ Deck ❑ Swimming Pool ❑Government Uses Cl Office-Professional ❑Service Industrial -Attached ❑ Garage 9 ❑ Telecommunications ❑Hospital/lnstitutional ❑Office-Technical ❑Service StationGara e-Detached ❑ g ❑ Other(Describe Below) ❑ManufacturedlMobile Home ❑Parking Garage ❑SF Attached Dwelling ❑ Patio Cover ❑Manufacturing ❑Personal Service ❑Warehousing ❑ Porch ❑Medical S Dental Clinics ❑Religious Assembly ❑Wholesale . ❑ Public WorksJUtiliUes DETAILED WRITTEN DESCRIPTIONOF • • possible) 306.pdf Revised Feb 2010 Y Please complete this page for a Mixed Use application only. TYPE OF WORK Occupanc - Occupancy Classification Scope Specific Use Construction Type Automatic Fire ❑A1 F1 11 ❑R3 ❑New [-]Addition ❑ Finished Basement ❑ I-A ❑ III-A Extinguishing System A2 F2 12 R4 acre&Shell ❑Mini-Warehousing ❑ 1-8 ❑ III-B ❑Yes ❑No A3 H1 13 S1 ❑Tenant Finish ©Unfinished Basement ❑ 11•A ❑ IV Automatic Fire A4 H2 14 S2 /Interior Sq.Ft 11-B ❑ V-A Alarm System A5 H3 M U ❑RemodeVExtedor. Sq.Ft Valuation ❑ V B [:]Yes ❑No L_jB H4 R1 ❑Repair Sq.Ft Valuation Sprinkler System E H5 R2 []Tenant Remodel Sq.Ft Valuation ❑NFPA 13 ❑13-R ❑13-D USE ❑Amusement/Recreational ❑Motel/HoteIBBB ❑Research&Dev. ❑Carport-Attached ❑Shed ❑Commercial1Retail [:1 Multi-Family Dwellings ❑Restaurant ❑Carport-Detached ❑Shop ❑Financial Institution ❑Office-Administrative ❑School/Educational ❑Deck . ❑Swimming PDDI ❑Govemment Uses []Office'-Professional [IS ervice Industrial ❑Garage-Attached �I Telecommunications ❑HospitaVirnstitutional ❑Office-Technical ElService Station ❑Garage-Detached ❑ManufacturedlMobile Home ❑Parking Garage ❑SF Attached Dwelling ❑Patio Cover ❑Manufacturing ❑Personal Service ❑Warehousing ❑Porch ❑Medical&Dental Clinics ❑Religious Assembly ❑Wholesale ❑Public Works/Utilities TYPE OF WORK Occupanc - Occupancy Classification Scope Specific Use Construction Type Automatic Fire ❑A1 ❑F1 11 ❑R3 ❑New E]Addition []Finished Basement ❑ I-A ❑ III-A Extinguishing System ore e [:]Yeso❑N A2 F2 12 R4 � a Shell ❑Mini-Warehousing ❑ I-B ❑III-B A3 H1 13 S1 ❑Tenant Finish ❑Unfinished Basement ❑11-A ❑ IV Automatic Fire A4 H2 14 S2 !Interior Sq.Ft II-B V A Alarm System ❑ A5 H3 U ❑RemodeVExtedor Sq_Ft Valuation ❑ V-B ❑Yes ONO B H4 R1 []Repair Sq.Ft Valuation Sprinkler System E H5 R2 l [-]Tenant Remodel Sq.Ft Valuation ❑NFPA 13 []13-R ❑13-D ❑Amusement/Recreational ❑MotellHoteVB&B ❑Research a Dev. ❑Carport-Attached ❑Shed ❑CommerciallRetail []Multi-Family Dwellings ❑Restaurant ❑Carport-Detached ❑Shop []Financial Institution []office-Administrative ❑SchoollEducauonal ❑Deck ❑Swimming Pool []Government Uses ❑office-Professional []Service Industrial ❑Garage-Attached ❑Telecommunications ❑Hospitalllnstitutional []Office-Technical ❑Service Station ❑Garage-Detached r ❑ManufacturedlMobile Home []Parking Garage ❑SF Attached Dwelling ❑Patio Cover []Manufacturing ❑Personal Service ❑Warehousing ❑Porch []Medical&Dental Clinics ❑Religious Assembly ❑Wholesale ❑Public WorkslUtilities 2 ELECTRICAL Residential Valuation$ Non-Residential Valuation$ 0Add 0 New 11 Replace Type of Service Check the Included Items Non-Residential❑Residential Residential Only New Wiring Sq.Ft. []Temporary Construction Power Mobile Home Size of Service [] ❑ Rewiring 5q:Ft. Other MECHANICAL Residential Valuation$ Non-Residential Valuation S New C1 Replace Indicate types of systems to be installed and their locations using locations listed below: Basement,Crawl Space,Garage, Kitchen,Rooftop, First Floor,Second Floor,Third Floor,Fourth Floor,Fifth Floor Water Heating System Building Heating System Gas System Hood Fir Low Pressure Boiler Duct Furnace nFireplace insert Type I.Vent and Fan Hood []water heater �lForced Air Furnace Gas Fireplace Location Location ElHeating and Cooling Unit ❑Gas Logs EJ Type ll.Vent and Fan Hood High Pressure Boiler []Gas Meter Move Location Cooling System E]Low Pressure Boiler E]Gas Piping Comfort Cooling Sealed Combustion Heater []Gas Piping and Fireplace Refrigeration E:lspace Heater Location ❑Ventilation Equipment FlUnit Heater Location Location Residential Valuation$ Non-Residential Valuation f Plumbing System Baths Backflow Preventors Fixture Relocate Only Fire Line Quantity Sewer #Set Irrigation Quantity interceptor #Roughed-in Cl Domestic Quantity ElWater Piping SITEWORk- Stormwater Management Residential Valuation$ Non-Residential Valuation Detention Pond 1 Stormwater Quality Facility Landscaping Screen Service Area Trash Enclosure Erosion Control/Stormwater Management Plan(SWMP)' Street Trees B Screened Rooftop Units Other Dates Erosion Control will be in place: Irrigation Systems ❑Grading Cu.Yards From: To: 'S4VMP is required for all projects disturbing 1 acre of land or greater PROJECT DATA Existinci Upon Completion Total Gross Floor Area of Buildings S .Ft. Sq.Ft. Number of Floors Above Existing Grade Plane Number of Residential Units Number of Accessible Fair Housing Act Units Building Coverage or Lot Coverage Zoning District: Floodplain[Y o N;If yes, Flood Permit Number Number of Affordable Units: Basement.Y r NJ Historic District YarE] Landmarked Bldg. ]or[ xistina Upon Comalletion Open Space(9-9-11(1)&9-9;11(c)) S .Ft. S .Ft. Number of Parking Spaces Provided Required(9-3.2 BRC) Number of Handicapped Spaces Provided _Required. Not Applicable Lot Area: Sq.Ft.(not acres) Height from Low Point: (The vertical distance from the lowest point within 25 feet of the tallest side of the structure to the uppermost point of the roof.) Has this property been part of an approved City of Boulder review(i.e.,Site Review. Use Review, PUD, PRD. PD,etc.)?Y or N If yes,please list the project name and case number(s): 3 FEES The fees were set by the Boulder City Council and are included in Title 4 Chapter 20 of the Boulder Revised Code. To calculate estimated fees,please reference the Schedule of Fees and Permit Fee Estimator Work Sheef_ A plan check fee is required at time of application. • Contractors and subcontractors are required to have an active license with the City of Boulder. This appticaUon expires after 180 days if the permit is not obtained. AFFORDABLE • REQUIREMENTS Inclusionary Housing requirements apply to all new dwelling units as enumerated in chapter 9-13 B.R.C,19B1. —SIGNATURE OF OWNER OR AUTHORIZED AGENT FOR OWNER I I agree to perform the work des bed herein,in accordance with the plans and/or specifications submitted and with all provisions of the Building C Zoning rdi anc , nd Health Regulations of the City of Boulder as enumerated in thl Boulder Revised Code, 1981. Signature: Date: 4 CITY OF BOULDER VVII „ Planning and Development Services 1739 Broadway, Third Floor P.O. Box 791, Boulder, CO� 80306-0791 phone 303-441-1880 • fax 303-441-4241 • web boulderplandevelop.net . INSPECTION RECORD CARD Automated Inspection Scheduling System: 303-441-3280 Fire Inspection Request Line: 303-441-3354 Job Site Address: 2130 ARAPAHOE AV I .Date: 9117/2014 Permit Number: PMT2014-04159(Use only the nine-digit numbers [Ex: 201404159 without PMT-]when the Automated Inspection Scheduling system asks for your permit number.) Project Description. , Naropa University, Wulsin Administration Building-Minor♦tenant remodel. Creating a new office at the basement level and level 2. Scope includes framing new walls, paint, carpet, base, and convience outlets. Mechanical and plumbing not in project scope. Primary Contact: CENTER MANAGEMENT GROUP, LLC Phone: 303-449-2214 Primary Phone 303-442-5885 Fax 303-981-2602 Cellular Phone 310-339-8707 Phone 1 michael@mjcente E-Mail Job Site Inspection Record -- Post On Job Site r�spett#�o �Code= Descrip#ion Date .e _, Inspect A royal Ins ector Cvmmeiittse -. Electrical i 1515 Rough Electric 1525 Final Electric Planning and Land Use 2570 Final Fire Inspection Structural 1230 Framing �-- 1255 Final Structure Z_-AL All rough inspections are required at the time of the Ceiling andlorWall Insulation-inspections.