HomeMy WebLinkAboutB14-0300LJ BlueDevil
PRODUCTS
STOP LEAKS PERMANENTLY. MAXIMIZE PERFORMANCE.
854 Lowcountry Blvd. I Suite 101
Mt. Pleasant, SC 29464
Toll Free: 1.888.863.0426
www.gobluedevil.com
CLAIM FORM: All returns must be made within 60 days of purchase; receipt required
Date of Claim:
1. Name F- I DrevX6
2. Telephone Number(s)
3. Email (if applicable)
4. Address' %.Z.' 6j.'K
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Awl d hC N4
ci 14
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5. Reason for product use c)I l c4 r('42 re- se .-A
6. Make / Model / Year / Mileage I S r. 'i ,A 2-/ 14 do 7
7. Check box for product used:
0 BlueDevil Head Gasket Sealer (32oz)
0 BlueDevil Head Gasket Sealer: Pour -N -Go (16oz)
0 BlueDevil Radiator & Block Sealer
0 BlueDevil Oil Stop Leak
® BlueDevil Rear Main Sealer
0 BlueDevil Transmission Sealer
0 BlueDevil Power Steering Stop Leak
0 BlueDevil Hydraulic Stop Leak
0 Red Angel A/C Stop Leak (2oz)
0 Red Angel A/C Stop Leak Aerosol
Please answer all questions completely before form submittal:
1. Who installed the product in your vehicle?
0 Personal Application
0 Certified Mechanic: (Name & Phone)
0 Other: (Name & Phone)
2. Based on the capacity table, which content amount was used in your installation?
0.5 Quart 01 Quart 01.5 Quarts 0 2 Quarts 0 2.5 Quarts
3. How many applications were used on the vehicle? 1
4. Was your vehicle able to maintain idle for 50 minutes? ®Yes 0 No
(Note: Before Filing a claim, remember that the exhaust system may produce smoke for several hours before it can clear itself out)
5. What mixing agent was used during the installation? Anti- Freeze 0 Water
6. Name, location and phone number of place of purchase:
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7. Additional Comments:
Once complete, please fax form with a copy of the receipt to
843 - 352 -2929 OR attach form and scan receipt in an email to: claims @gobluedevil.com
Expect to be contacted after 72 hours from receipt of faxed claim form.
Please retain your receipt and empty bottle for claim.
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Service is our best part.
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( :303 -J q -3 ---!; - - -19 9 8
5496 Federal Blvd
Denver CO 80221
3/10/2015 11:45:12 REG 04
Cashier: Pat,•-ic.t•s C.
ITEM OTY PRICE
FANTA ORANGE 20 CZ PANT 10010021
19162 1
REAR MAIN SEALER 1 E'A B 10148609
00234 1 $14.99
Sub Total.
TI Tax .'.q 4.0000%
T2 Tax 4 4.75001
Total
Transact ion 95891
TOTAL
$1.69
L-
$14.99
11 6.68
$0.07
$0.- 1
$17 46
CARD TYPE: Visa
ACCOJNT #:
RUTH CODE. 06264E, AMOUNT: $17.46
Cardhoider aclknokiliedges re(eipt of
goods and/or in the arrt,)wnt of
total shown rier----on :.nd agrees to pRr--
form the obli-)atioii-, sct Forth in the
cardholder's with the issuer
GET UP TO $20 OFF YOUR NEXT PURCHASE!
Retail -cor, S .-red Perks Rewa-ds
t,-)cja4. Spend SIN get $i'0
off y.)ur next
P.jrchase of $40 or wore. Spend $30 set $5
your sour ie.J 1-.wchase or $10 :)r mor-2.
Easy to Join. Text 'SPIEC to 782'-10 or, .4o
online lletoil., ai
Sran to RETURN itepis
Tr-a.isa---.1)or- 45891
Tha-fl< wij for- s'icv;1:ri9 at hdvanc,? 'hiin Paris
Ink, A11C., T1 Ark! P C-1-fli?F
06 -16 -2015 Inspection Request Reporting Page 10
4:00 pm Vim, CO - City 6F
Requested Inspect Date: Wednesday, June 17, 2015
Site Address: 4507 MEADOW DR VAIL
Sunwood A -3
A /P /D Information
Activity: B14 -0300 Type: COMBO Sub Type: AMF Status: ISSUEC
Const Type: Occupancy: Use: R -2 Insp Area:
Owner: ROBINSON, MARK NICHOLS & LISA ANNE
Contractor: LMS CONSTRUCTION Phone: 970 - 393 -2163
Description: Kitchen and bathroom work includes new can lights, new shower valves, new cabinets, new tile, reconfigure
kitchen. New wood floor.
Comment: paper submittal routed to laserfiche and D -2 - CGODFREY
Requested Inspection(s)
120 ELEC -Rough
10/20/14 Inspector:
Comment:
Item:
90 BLDG -Final
220 PLMB - Rough /D.W.V.
10/20/14 Inspector:
Comment:
Requestor:
LMS CONSTRUCTION
230 PLMB -Rough /Water
10/20/14 Inspector:
Comment:
Comments:
393 -2163
30 BLDG - Framing
10/20/14 Inspector:
Comment:
Assigned To:
JMONDRAGON
50 BLDG - Insulation
Action:
Comment:
no aIp 9s SS
Time Exp:
Item:
190 ELEC -Final
Comment:
Requestor:
LMS CONSTRUCTION
70 BLDG -Misc.
Comments:
393 -2163
190 ELEC -Final
Assigned To:
SGR ER
290 PLMB -Final
Action:
Item:
Time Exp:
Item:
290 PLMB -Final
06/10/15 Inspector:
Comment: no access
Requestor:
LMS CONSTRUCTION
Comments:
393 -2163
Assigned To:
SGREMNIER
Action:
))
Al
Time Exp:
Inspection Histo
Item:
120 ELEC -Rough
10/20/14 Inspector:
Comment:
" Approved "
sgremmer
Item:
220 PLMB - Rough /D.W.V.
10/20/14 Inspector:
Comment:
'* Approved "
sgremmer
Item:
230 PLMB -Rough /Water
10/20/14 Inspector:
Comment:
" Approved "
sgremmer
Item:
30 BLDG - Framing
10/20/14 Inspector:
Comment:
" Approved "
sgremmer
Item:
50 BLDG - Insulation
Approved "
p
10/28/14 Inspector:
JR
Comment:
Item:
70 BLDG -Misc.
Item:
190 ELEC -Final
Item:
290 PLMB -Final
Item:
90 BLDG -Final
06/10/15 Inspector:
Comment: no access
sgremmer
REPT131
Requested Time: 08:00 AM
Phone: 970 - 393 -2163
Entered By: JMONDRAGON K
Requested Time: 04:00 PM
Phone: 970 - 393 -2163
Entered By: JMONDRAGON K
Requested Time: 04:30 PM
Phone: 970 - 393 -2163
Entered By: JMONDRAGON K
Action:
AP APPROVED
Action:
AP APPROVED
Action:
AP APPROVED
Action:
AP APPROVED
Action:
AP APPROVED
Action: DN DENIED
Run Id: 14965
NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
MWW*V&*
Town of Vail, Community Development, 75 South Frontage Road, Vail, Colorado 81657
p. 970.479.2139, f. 970.479.2452, inpsections 970.479.2149
COMBINATION BLDG PERMIT Permit #: B14 -0300
Job Address: 4507 MEADOW DR VAIL
Location......: Sunwood A -3
Parcel No....: 210112425003
Project #: PRJ14 -0427
Applied.....: 08/19/2014
Issued...: 09/10/2014
OWNER ROBINSON, MARK NICHOLS & LIS 08/19/2014
14020 W 30TH LN
GOLDEN
CO 80401
CONTRACTOR LMS CONSTRUCTION 08/1912014 Phone: 970 - 393 -2163
PO BOX 3497
VAI L
CO 81658
License: C000003348
Description:
Kitchen and bathroom work includes new can lights, new
shower valves, new cabinets, new tile, reconfigure kitchen.
New wood floor.
Occupancy: R -2 Type Construction: VA
Valuation: $33,000.00
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FEE SUMMARY ""w» wwww»
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Building Permit - -- --- - ->
$472.05
Bldg Plan Check - - - ->
$306.83
Use Tax Fee -- - -
->
$460.00
Electrical Permit ---- ->
$115.00
Elec Plan Check - - - --
-> $74.75
Restuarant Plan Review ---
->
$0.00
Mechanical Permit - - ->
$0.00
Mach Plan Check - ----
-> $0.00
Additional Fees—
->
$0.00
Plumbing Permit - - - - - ->
$45.00
Plmb Plan Check -- ---- --
> $11.25
Recreation Fee -- ----- - ----
->
$0.00
Investigation- -------------- --
->
$0.00
Will Call--------
$15.00
TOTAL PERMIT FEES ---
->
$1,499.88
Payments ----- —
---- ->
$1,499.88
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BALANCE DUE -
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$0.00
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DECLARATIONS
I agree to comply with the information and plot plan, to comply with all Town ordinances and state laws, and to build this structure
according to the town's zoning and subdivision codes, design review approved, International Building and Residential Codes and
other ordinances of the Town applicable thereto.
REQUESTS FOR INSPECTION SHALL BE MADE TWENTY -FOUR HOURS IN ADVANCE BY TELEPHONE AT 970.479.2149
OR AT OUR OFFICE FROM 8:00 AM - 4:00 PM.
� combination permit 012811
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CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF
Permit #: B14 -0300 Address: 4507 MEADOW DR VAIL
Owner: ROBINSON, MARK NICHOLS & LISA ANNE Location: Sunwood A -3
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combination permit-012811
TOWN OF VAffj V
REQUIRED INSPECTIONS AND STATUSES
Permit* B14 -0300 Address: 4507 MEADOW DR VAIL
Owner: ROBINSON, MARK NICHOLS & LISA ANNE
Sunwood A -3
Location:
Item: 00120 ELEC -Rough
Item: 00220 PLMB- Rough /D.W.V.
Item: 00230 PLMB- Rough/Water
Item: 00030 BLDG- Framing
Item: 00050 BLDG - Insulation
Item: 00060 BLDG - Sheetrock Nail
Item: 00070 BLDG -Misc.
Item: 00190 ELEC -Final
Item: 00290 PLMB -Final
Item: 00090 BLDG -Final
combination permit-012811
0
TOWN OF VA
Project Street Address:
Department of Community Development
75 South Frontage Road
Vail, CO 81657
Tel: 970 - 479 -2128
www.vailgov.com
Development Review Coordinator
BUILDING PERMIT APPLICATION
(Separate applications are required for alarm & sprinkler)
D-p-o w I '
(Number) (Street) c (Suite #)
Building /Complex Name:
Contractor Information [� �`
Business Name: r ■ 1 7 con s wyc y'ilJ
Business Address: �� A, / 3L4q 7
City N-tot„ I SStatte:,(1U _ zip:
Contact Name: J �U �% icl
Contact Phone: q1Q —3g 3 -z,! 03
Contact E- Mail:('.,.1'1'1 5 C-0n51 fyLJ1'6rJ 3','-7i0 GthC (
I hereby acknowledge that I have read this application, filled out
in full the information required, completed an accurate plot plan,
and state that all the information as required is correct. I agree to
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according to
the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other
ordinanc s of the Town applicable thereto. /Q
X i /.P"
Owner /Owner's Representative Signature (Required)
Applicant Information
Applicant Name: ffl 4 c Ptoiol`n `alo
Applicant Phone: 9504 — 11 61 -- °[ 1 c
Applicant E -Mail:
Project Information
Owner Name: 101
Parcel #: 7_10I I q 7,5003
(For Parcel #, contact Eagle County Assessors Office at (970- 328 -8640 or visit
www.eaglecounty.us/patie)
For Office Use Only-
Fee
Fee Paid: �! (02
Received From:
Cash Check #
CC: Visa / MC Last 4 CC # exp date:
Auth #
Project #: :-!!)2T 1 4 `G t f a2
DRB #:
` 4 o� // 0 ���
Building Permit #: I
Lot #: Block # Subdivision: `7 v
LL
Work Class: New (0) Addition (0) Alteration (q
Type of Building:
Single - Family (0) Duplex (0 Multi - Family ( )
Commercial (O Other (0)
Work Type: Interior Exterior (O Both (O
tu^S
Valuation of
Work Included Plans Included + Work
Electrical (�es (ONo (OYes (ONo' (VS
Mechanical (OYes ONo ()Yes (ONo ,,ll
Plumbing (es ONo (OYes (ONo V
Building (OYes ONo (OYes ONo
J
Value of all work being performed: $ a )
(value based on IBC Section 109.3 & IRC Section 108.3)
Electrical Square Footage
Detailed Scope and Location of Work: RD n2o>e-
1 g 'ate N� Catt 11`� 4-S
.N�ex) S �Uw -vr Voylots , N.e.4,z
�i �'e���
sc t Ova
(use additional she
Date Received:
Fn AUG 1 9 2014
TOWN OF VAIL
SUN WOOD A 3
LOAD CALCULATION
GENERAL LIGHTING .............. 4,680 VA
SMALL APPLIANCE ............... 3,000 VA
LAUNDRY 1,500 VA
TOTAL 9,180 VA
3,000 @100% ................... 3,000 VA
6,180 @35% 2,163 VA
5,163 VA
RANGE ......................... 8,000 VA
DRYER......................... 5,500 VA
HEAT LOAD 8,000 VA
26,663 VA
26,663 240 = 111.10 AMPS
7.�, 4 - 0 300
7-31-14
AUG 19 2014
TOWN OF VAIL i