Loading...
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 _15 Awl d hC N4 ci 14 r 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: ,a<4"A';� p cs/fZ 5 `i�'z ��2 (�I v�R ��K ✓e cz 2Z.I 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. Jw A' Adom fllv'cl e WAI , Service is our best part. I- -t c), r- Er 4 06'7'84 ( :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 rrwrrxw« xxxwxwwwwxxwwwwwwxw» wxww» wwwwwwwxwwwxwwxwrww wwr »r »wwwwwww »wwwxwww »w FEE SUMMARY ""w» wwww» wwwwwwwwww» xrxw» wwwwwwwr»» wwx ►wxwwww »w »w »xrxxwwwrww »wrwxwx 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 wrwwxwxwxxxw» w» wxxxxw» wr» rw wwwrxwwwwwxwwwwwwrwwwxwxxw» rwrw» wwxxxwrwwwwwwwwwxwwwwrwwwwww» wxwwwwwwww» wwxw» xxww» BALANCE DUE - wxwww» www» wrwr» wrrr» »wx - -> »x »xxwwrwwwxwxwx $0.00 »wwwmwwww »►» 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 rrr» rrrwrrwr wwwwwwwwwwwxwwwwwwxw» wrrrrwrwrrrrrrrrrrwxxx» rrrwrwxwww» xwwwwwwwwwwwwwwwwwwwww »wwwwwxrrrr »rxrr »rrrr »rrxr »wwww »w »w »wwww» wwww »wrwwwrr »r »wwrw »rrrr »wrxr »rr 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 � erwrrwrrr» r: rr» rwwwwwwwwwwwwxxrrrr» r: rrrwr» xwwwwwwxww» wwwr» wxrw» rrrrwwrrrr» wwwwwwwwwww» wwwwrwr»» r, errrwwwwr» rwwww» w» wwwwrr» rrrw »rwww »»wwwwwwwww »www »» » » »ww »» 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