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4040 Depew Street
A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: L- Job Address: a5iwo Permit Number: 9!_1 0 ❑ No one available for inspection: Time% z A.ad�P.UI Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http://www.ci.wheatridge.co.uslinspe tion Date: � � � � Insp cto . � —' i CITY OF WHEAT RIDGE - Building Inspection Division X303) 235-2855 Office a6 '--V , INSPECTION NOTICE L% Q 7- F i n m l Inspection Type: - f g ` ��r►a i � u � )� ernes Job Address: L1©LIO � �fae►i Permit Number: �-O 19 0 13 & S- (�Po Pl lidY1A r\/D0 CV ❑ No one available for inspection: Time �� _"i'M/ M Re -Inspection required: es No When corrections have been made, schedule for re -inspection online at: http://www.ci. wheatridge.co. uslinspection Dater ;/_f inspector: 71b DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: ���r `�� [IN Job Address: Permit Number: d! CW- ,CC) ❑ No one available for inspection: Time t AM/PM Re -Inspection required: Yes No *When corrections have been made, schedule for re -inspection online at: http.lAvww.ci.wheatridge.co.uslinspection Date: ;! c) ' 0 ! Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: y \ 7 vy-� �_ -T7,0 Job Address: LiC)y.Oy-)t j2Q-W Permit Number: ac �C" Q 1'114, S- I16/16 L/ -.J-_ C/� ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at; http✓/www.cL wheatridge.co, uslinspection Date: Cj IL. < C Inspector: of - DO NOT REMOVE THIS NOTICE 4' CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: . VIL mr DAVM _ e ? \ � M 16 Job Address: kl) Permit Number: j 4L LAC -e' C A- ry,- r\ t,,-. C I.J No one available for inspection: Time AM/PM _4 Re -Inspection required: N4 No When corrections have been made, schedule for re -inspection online at: http:IA,vww.cLwheatridge.co. uslinspection Date: Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 7 Job Address:, . Permit Number: ' _ 475-11 ❑ No one available for inspection: Time ( / Ie2 (AN&PM Re -Inspection required: Yes QNo When corrections have been made, t 11 for ree-' ctio" 303-234-5933 01 Date: G �"Insp DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: c Job Address: Permit Number: r LA No one available for inspection: Time AM/PM Re -inspection required: Y6s..� No I—` When corrections have been made, schedule for re -inspection online at: http://www.ci.wheatridge.co.usrinspection Date: Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax (C) gz� INSPECTION NOTICE Inspection Type: �!pa)L��ItQ Job Address: Permit Number:+ :! ❑ No one available for inspection: mg)M pM Re -Inspection required: Yes When corrections have been made, at 303-234-5933 CITY OF WHEAT RIDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: ,` Permit Number: r' ❑ No one available for inspection: Time AM/PM Re -Inspection required: --Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: � ► i Inspector: DO NOT REMOVE THIS NOTICE - City of W h6, at PN c COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: Bio qcC D-,wc J �} Permit #: j 69 General Contractor: Electrical Sub -Contractor Company Name: �, - G 1- -? I Phone #: -3- 3 -- 7-3 S- -1 1l l State License #: 0 Master #: (z) 00, to Wheat Ridge License #:_ )� j. �j (required field) S - �(o - Z lit Signature of Author' ed Agent Date Plumbing Sub -Contractor Company Name: Phone #: State License #: Master #: Wheat Ridge License #: (required field) Signature of Authorized Agent Date Company Name: Phone: Wheat Ridge License #: (required field) Signature of Authorized Agent Date rm!..4 �J COMPLETE ENGINEERING SERVICES, INC. Gino and Carmen Scarifiotti 4040 Depew St. Wheat Ridge, CO 80033 a011013� s PROJECT NO: 19-11058 August 9, 2019 SUBJECT: Structural Evaluation; Framing Modifications, Single Family Residence, 4040 Depew Street, Wheat Ridge, Colorado Mr. and Mrs. Scarifiotti: Proposed revisions to the framing modification details provided have been evaluated. Information presented herein is based on observation of exposed and accessible components of the structure, verbal information provided during our site visit, applicable codes and standards, and our experience with similar conditions. The new roof support beam is offset from the floor support beam. New trim studs for the roof beam will bear on floor joists approximately 8-1/2 inches west of the roof support beam. Plans provided specified a new reinforced concrete pad directly below the floor support beam. The pad shall be moved 8-1/2 inches west and centered beneath new trim studs. Solid blocking shall be installed between adjacent joists and shall bear on the new adjustable steel column. Refer to the attached figure for additional details. The concrete pad excavation and reinforced have been evaluated. Soil is suitable for supporting the applied loads and reinforce was properly placed. Please contact us if you have questions concerning this information. Comple Attac ering Services, Inc., 0f'iiaming Modification Detail 912 TWELFTH STREET, GOLDEN, CO 80401 303-279-6418 FAX: 303-279-9586 Ap 0c! 3 Z mD N n m� m C m N O y 0 co D D C Nrz o zm o Dawn By: DEW SCARAFIOTTI RESIDENCE 4040 DEPEW STREET SINGLE STORY Reisea: WHEAT RIDGE, CO 80212 RESIDENTIAL REMODEL Scale: 1/2" = 1'-O.. i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE— Inspection Type: Job Address:y'-( (D 0-P o -f U-) Permit Number: Q k c-\ ® \ -3 4 ' :�' t i t r ❑ No one available for inspection: Time ,- r�; ti AM/PM Re -Inspection required: es o L, When corrections have beend"' e, call for re -inspection at 303-234-5933 Date:_ 2' 7_ - \C Inspector: ' ' DO NOT REMOVE THIS NOTICE City of Wheat Ridge Homeowner Interior Remodel PERMIT - 201901365 '200!9r PERMIT NO: 201901365 ISSUED: 07/24/2019 JOB ADDRESS: 4040 Depew St EXPIRES: 07/23/2020 JOB DESCRIPTION: Remove wall between living room and kitchen; remove dining room wall and remodel kitchen, relocate stove; redo utility room and cabinets - 184 sq ft total *** CONTACTS *** FEES OWNER (303)455-4653 SCARAFIOTTI GINO Plan Review Fee SUB (303)288-0041 JOHN BRUG 018541 BRUG ELECTRIC SUB ** TOTAL ** Andreas Dickert 100247 A -Z Plumbing, Inc. SUB (303)423-1982 BERNIE ALGARD 017790 FOUR SEASONS HEATING, INC. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED FEES Total Valuation 0.00 Plan Review Fee 384.51 Use Tax 779.10 Permit Fee 591.55 ** TOTAL ** 1,755.16 *** COMMENTS *** PROJECT VALUATION: 37,100.00 *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. NOTE: Consultations and inspections will only be performed with the homeowner of record present. All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. PERMIT N0: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Homeowner Interior Remodel PERMIT - 201901365 201901365 ISSUED: 07/24/2019 4040 Depew St EXPIRES: 07/23/2020 Remove wall between living room and kitchen; remove dining room remodel kitchen, relocate stove; redo utility room and cabinets total wall and - 184 sq ft I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit furtr att hat I am legally authorized to include all entities named within this document as parties to the work to be performe a th lWbasethe J is disclosed in this document and/or its' accompanying approved plans and specifications. Signature OWNEOR (Circle one) Date 1. This permit was issued rmation provided in thepermitapplication and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing, and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permi shall not be construed to be a permit for, or an approval of, anviolation of any provision of any applicable code oy, My ordinance olrogulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat P, e COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 291" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permitsCa)-ci.wheatridge.co.us FOR OFFICE USE ONLY Plan/Permit #� Plan Review Fee: -13b)o Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Owner Property Owner Email: Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: V Phone: I'i.-2b),,�(U6 -(o33 �5 Architect/Engineer E-mail: Phone: 6_72 0�) 9-11 tb Contractor City of Wheat Ridge License #: Contractor E-mail Address: For Plan Review Questions & Comments (please print): Phone: CONTACT NAME (please print): Phone: CONTACT EMAIL(p/ease print): Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlightedfields, if applicable. [-]COMMERCIAL RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, 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. RemcTe, �tft[1eA. 12,E w -e WA�f Wvxty n A1'rt(r ' 4 kh(\Ojd - C.1m Sq. FULF 1 BTUs Gallons Amps Squares For Solar: KW # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ '�6 L OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record-, that all measurements shown and allegations made are accurate, that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application-, that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of anv entity included on this application to list that entity on this application. 1. the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNE (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): O i DATE: Printed Name: m'm ZONING COMMMENTS: Reviewer: BUILDING DEP ENT C MENTI Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: al�_ CONSTRUCTION TYPE: Building Division Valuation: City of Wheat Pjd COMMUNITY DEVELOPMENT ge Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s): Notarized AnatUlk of Applicant State of Colorado } County of 7SeSie's--r. } ss The foregoing instrument was acknowledged by me this A� day of-YY( 20ff by TAMARA D ODEAN NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20164015481 MY COMMISSION EXPIRES APRIL 22, 2020 My Commission Expires L//L2J2Q, Notary Public COMPLETE ENGINEERING SERVICES, INC. PROJECT NO: 19-11058 Gino and Carmen Scarafiotti May 4, 2019 4040 Depew St. Wheat Ridge, CO 80033 SUBJECT: Structural Evaluation; Foundation Modifications, Single Family Residence, 4040 Depew Street, Wheat Ridge, Colorado Mr. and Mrs. Scarafiotti: The single family residence at the subject location was observed on February 19, 2019, to evaluate proposed framing modifications. Information presented herein is based on observation of exposed and accessible components of the structure, verbal information provided during our site visit, applicable codes and standards, and our experience with similar conditions. The structure is a one-story single family residence over a standard - depth crawl space that faces west in a fully developed residential subdivision. A wood frame superstructure is supported by a poured concrete foundation. Floor and roof framing is supported by the east and west exterior foundation walls and a center bearing wall. Plans call for removing a 15 foot section of wall from between the living room and kitchen. The wall currently transfers roof framing loads to the foundation below. The new opening will include an existing passageway and will be 17.5 feet wide. Roof load can be supported using a dropped quadruple 11-7/8" LVL beam installed as follows: 1. Each beam lamination shall be fastened to the next using two rows of 16d nails at 12 inches on -center. 2. The beam shall be supported by a minimum four 2x4 trim studs at each end. 3. A continuous load path shall be provided to the foundation on the south end. 4 A new 24" x 24" x 12" thick concrete pad shall be install(Wheat ignyot the crawl space beneath the north end_ Ridge inq Divison 912 TWELFTH STREET, GOLDEN, CO 80401 303-279-6418 FAX: 303-279-9586 PROJECT NO. 19-11058 Mav 4, 2019 Page 2 of 2 5. Ceiling joists shall be attached to the beam with one Simpson H3 connector, or equivalent, at each rafter. Refer to Figure 1 of 1, Framing Modification Details, for additional information. Please contact us if you have questions concerning this information. Complet ing Services, Inc., Attachment: Framing Modifications Details city of Wheat Rir�ra DiVISp _I I 4— FRAMING MODIFICATION DETAILS 4040 DEPEW STREET WHEAT RIDGE, COLORADO EXSITNG PURLIN BRACES. FASTEN TO CEILING JOISTS ;IMPSON H3, iR EQUIV., EA .EILING JOIST EW (4) 11—%" VL'S �4) TRIM STUDS WITH " SPACERS BEAM TO ROOF CONNECTION F1 (4) TRIM STUDS WITH YZ" SPACERS SOLID BLOCKING BTWN SHEATHING AND BEAM FLOOR JOISTS EX WOOD BEAM 3"O ADJUSTABLE STEEL COLUMN 24"X24"X12" CONRETE PAD (3) #4 GRD 60 BARS EACH WAY i� I �!—��I=��� 111=III= 24' —� BEAM SUPPORT DETAIL em. -b PROJECT NO. 19-11058 APPLICABLE CODES AND STANDARDS: INTERNATIONAL BUILDING CODE, 2012 EDITION WHEAT RIDGE, COLORADO BUILDING CODE DESIGN CRITERIA: FLOOR LIVE LOAD: 30 PSF FLOOR DEAD LOAD: 10 PSF ROOF LIVE LOAD: 30 PSF ROOF SNOW LOAD: 30 PSF ROOF DEAD LOAD: 10 PSF SEISMIC: ZONE B WIND: 100 MPH, 3 SEC GUST, EXP. C MINIMUM NAILING OF ALL FRAMING MEMBERS AND JOINTS SHALL BE PER 2012 INTERNATIONAL RESIDENTIAL CODE TABLE R602.3(1) SAWN LUMBER TO BE HEM—FIR NO. 2 OR BETTER (Fb = 850, Fv = 150, Fc = 1300, E = 1,300,000) ALL ENGINEERED LUMBER AND FASTENERS SHALL BE INSTALLED IN CONFORMANCE WITH MANUFACTURER'S SPECIFICATIONS COMPLETE ENGINEERING SER VICES lk. Q- Ing FIGURE 1 OF 1 ENVIRONMENTAL CONSULTING V61 LIMITED ASBESTOS INSPECTION REPORT 4040 Depew St Wheat Ridge, CO 80212 4/15/2019 Prepared for: New Customer Carmen Scarafiotti 4040 Depew St Wheat Ridge, CO 80212 720-518-6338 carmenscarafiotti@gmail.com Prepared by: BuildSafe Environmental Ltd. CDPHE Registration No.: ACF - 19059 303 S Broadway Unit 200-239 Denver, CO 80209 Admin@BuildSafeEnviro.com (720)598-0600 303 S BROADWAY, 200-239, DENVER CO 80209 WWW. BUILD SAFEENVIRO.COM Table of Contents Section 1 Inspection Project Summary 1.1 Homogenous Areas in Work Scope - Table 1.2 Summary of Asbestos Samples Section 2 Results and Recommendations 2.1 Post -Renovation Asbestos Containing Materials Notice (if identified) 2.2 Photo Log of Asbestos Containing Materials (if identified) Section 3 Project Overview Section 4 Asbestos Inspection Procedure 4.1 Suspect Asbestos Containing Building Materials 4.2 Sampling and Laboratory Analysis Section 5 Conclusion 5.1 Limitations Appendix A - Laboratory Report and Chain of Custody Form Homogenous Material Types - Reference List Surfacing Material List of Acronyms TS Textured Surfacing ACM Asbestos Containing Materials PL Plaster ACBM Asbestos Containing Building CMS CMU Sealant Material SOF Spray -on Fire Proofing Thermal System Insulation G Good DT Duct Tape/Wrap D Damaged PI Pipe Insulation SD Significantly Damaged Miscellaneous BBA Baseboard Adhesive F Friable CA Carpet Adhesive NFI Non -Friable Category I CDW Composite Drywall NFII Non -Friable Category II CT Ceiling Tile DW Drywall NA Not Analyzed FTM Floor Tile Mastic ND None Detected MA Miscellaneous Adhesive MS Miscellaneous Sealant EA Each OT Other Material LF Linear Feet RSG Roof Shingle SF Square Feet RSH Roof Sheeting RSL Roofing Sealant I °� Trace <_1% by (Point Count/Composite) SVF Sheet Vinyl Flooring Wheat Ridge ACM ACM (>1% asbestos) WG Window Glazing Section 1 Inspection Project Summary Job ID: 190326-13 Inspector: Blake Weise Date: 03/26/19 State Cert #: 17817 Client: New Customer Customer: Carmen Scarafiotti Property Details: Site Address: 4040 Depew St Wheat Ridge, CO 80212 Property Type: SFRD Age of Construction: 1952 Renovation: N/A Inspection Details: Type of Inspection: Limited/ Renovation ACM AHERA/Reg 8 Reason of Inspection: Remodel Affected Area(s): Living room / kitchen / laundry room Scope of Inspection: Partial Renovation Potential Spill Identification?: No Work Scope Notes: Test walls between kitchen and living room and laundry room Sample Notes: Laboratory: Reservoirs NVLAP #: 101-896-0 Results Time: 5 Day # of Samples: 11 1.1 Homogenous Areas in Work Scope - Table ID* Material Type** # of Samples Material Description Functional Space Quantity in Scope 1 TS 3 Dark yellow sponge texture plaster Living room 125 SF 2 TS 3 Light yellow troweled texture plaster Kitchen 125 SF 3 TS 3 1 White orange peel texture plaster Kitchen / laundry 150 SF 4 SVF 2 Tan square pttn linoleum Laundry 200 SF 5 6 7 8 9 10 -IL) - Homogenous Materials lu in Homogenous Areas Table & Bulk Samples Table **See table of contents Reference List for how to classify homogenous materials type 1.2 Summary of Asbestos Samples Sample ID Homog. Mat'l ID Bulk Sample & Locations Table Sample Location ID* Material Condition Friability Category Analytical Results TS 1-1 1 Living room, E wall, 9'f S, 2' up G F ND TS 1-2 1 Living room, E wall, 12'f S, 5' up G F Point Count <0.25% TS 1-3 1 Living room, E wall, 3' f S, 4' up G F Point Count <0.25% TS 2-1 2 Kitchen, W wall, 3' f N, 3' up G F Point Count <0.25% TS 2-2 2 Kitchen, W wall, 6' f N, 6' up G F Point Count <0.25% TS 2-3 2 Kitchen, W wall, 2' f S, 4' up G F Point Count <0.25% TS 3-1 1 3 Kitchen, N wall, 6'f E, 5' up G F Point Count <0.25% TS 3-2 3 Laundry, S wall, V f E, 7' up G F Point Count <0.25% TS 3-3 3 Laundry, N wall, 6" f W, 4' up G F Point Count <0.25% SVF 1-1 4 Laundry, floor, 3' f N, V f W G F ND SVF 1-2 1 4 Laundry, floor, 3' f S, 1' f E G F ND C�Yof hear Ridge Section 2 Results and Recommendations Building materials with trace asbestos (:51%) have been identified within the affected area(s) of the Site Address. These include friable materials that have been confirmed by the point count method to contain <_ 1% asbestos and/or non -friable materials that have been estimated to contain <_ 1% asbestos. These building materials which contain :51% asbestos content are not subject to EPA and CDPHE regulatory requirements. It is recommended to have this work performed by a General Abatement Contractor in accordance with all State and Federal regulations. It is also recommended to have BuildSafe or another Colorado State -certified Air Monitoring Specialist perform an aggressive Final Air Clearance to clear the project. Any work performed on asbestos -containing building materials and/or trace asbestos -containing building materials is subject to OSHA regulations, including but not limited to: hazard communication, asbestos construction industry, general construction industry, and respiratory protection standards. Worker exposure assessments are part of the asbestos construction industry standard and include excursion limits and 8 -hour time -weighted permissible exposure limits which, if exceeded, may require additional engineering or administrative controls to properly protect workers engaged in activities that may damage or disturb materials which contain asbestos. �h�atR�O'9e Piz- 2.1 Post -Renovation Asbestos Containing Materials Notice Plans for renovation were not known at time of inspection. Please assume ACBM(s) identified in this report are accessible with the potential for disturbance and/or damage from material contact, vibration and/or air erosion. CDPHE requests that the Client notify the current property owner and all site contractors of the ACBM(s) present at the property. 2.2 Photo Log of Asbestos Containing Materials Trace amounts of asbestos were identified in the following sampled material(s): The dark yellow sponge texture plaster in the living room. :.:' j - The white orange peel texture plaster in the kitchen and the laundry room. The light yellow troweled texture plaster in the kitchen. C�t1 a. �Io�eet Ricy9e , , :.:' j - The white orange peel texture plaster in the kitchen and the laundry room. The light yellow troweled texture plaster in the kitchen. C�t1 a. �Io�eet Ricy9e Section 3 Project Overview BuildSafe Environmental, Ltd. (BuildSafe) was contracted by the client to perform a limited repair/renovation specific asbestos inspection (inspection) at the above referenced "Site Address". The inspection was conducted by an Environmental Protection Agency (EPA) accredited and Colorado Department of Public Health and Environment (CDPHE) certified Asbestos Building Inspector. The inspection was performed at the direction of the client and only includes those materials, locations, and quantities specified in the "Homogenous Areas in Work Scope Table". The client is planning repair/renovation activities that will disturb suspect Asbestos Containing Building Materials (ACBM) within the repair/renovation affected areas at the Site Address. CDPHE Air Quality Control Commission Regulation No. 8, Part B — Asbestos (Reg 8) requires that all suspect ACBMs be properly inspected and sampled by certified personnel prior to conducting any repair/renovation activities that will disturb the suspect ACBMs. All samples were analyzed by a laboratory accredited under the National Voluntary Laboratory Accreditation Program (NVLAP). The CDHPE has established the following trigger levels for different types of properties, which specify how suspect and confirmed ACBMs are inspected and subsequently abated: • With regard to single-family residential dwellings (SFRD), the trigger levels are 50 LF on pipes, 32 SF on other surfaces, or the volume equivalent of a 55 -gallon drum • With regard to all areas other than SFRDs, the trigger levels are 260 LF on pipes, 160 SF on other surfaces, or the volume equivalent of a 55 -gallon drum The purpose of the inspection was to identify, visually inspect, and sample all suspect ACBMs, at the direction of the client, which may be disturbed during the course the _,,y Of repair/renovation work. VVi3e at R;d9e Section 4 Asbestos Inspection Procedure The inspection procedure was conducted in accordance with EPA Asbestos Hazard and Emergency Response Act (AHERA), the EPA Pink Book, CDPHE Reg 8, and applicable Occupational Safety and Health Administration (OSHA) guidelines and regulations. These regulations specify requirements and protocols for conducting asbestos inspections, sample analysis, and asbestos abatement. 4.1 Suspect Asbestos Containing Building Materials Homogenous Material Types The inspection involved identification and sampling of suspect ACBMs in the areas established by the client that would be part of the scope of work. Suspect ACBMs were grouped into homogenous materials based on color, texture, and date of application. Homogenous materials were given distinct codes (CDW01, FTCO2, TS05, etc.) based on the type sequence of the homogenous material. Details about the size, color, condition, friability, quantity, location within each functional space and other important details for each homogenous material were reported as part of the inspection. Homogenous materials are grouped into one of three categories based on intended use: 1. Surfacing Material — material that is sprayed on, troweled on, or otherwise applied to surfaces, such as acoustical plaster on ceilings and fireproofing materials on structural members, or other materials on surfaces for acoustical, fireproofing, or other purposes. 2. Thermal System Insulation — material applied to pipes, fittings, boilers, breeching, tanks, ducts, or other interior structural components to prevent heat loss or gain, or water condensation, or for other purposes. 3. Miscellaneous Materials — interior building material on structural components, structural members or fixtures, such as floor and ceiling tiles, and does not include surfacing material or thermal system insulation. city o� b'Vheat Ridge Homogenous Material Friability Each homogenous material was given one of the three following friability categories defined by the EPA and CDPHE: 1. Friable Material — materials that can be crumbled or reduced to powder by hand pressure. 2. Category I Non -friable Material — materials that cannot be crumbled or reduced to powder by hand pressure including resilient floor coverings, gaskets, packing materials and asphalt impregnated roofing materials. 3. Category II Non -friable Materials — all other materials that cannot be crumbled or reduced to powder by hand pressure that do not include category I non -friable materials. Homogenous Material Condition Each homogenous material was given one of three condition categories based on visual observation defined by the EPA and CDPHE: 1. Good Condition — No visible signs of damage were observed during the inspection. 2. Damaged Condition — Visible signs of damage less than ten percent spread over the entire material or twenty five percent localized. 3. Significantly Damaged Condition — Severe damage greater than ten percent spread over the entire material or twenty five percent localized. 4.2 Sampling and Laboratory Analysis Sample Collection Bulk samples of each suspect homogenous material were collected randomly throughout the homogenous material area within the scope of work. Bulk samples were sampled all of the way through the material so that all associated layers within each homogenous material are represented. Bulk samples were placed in closeable sample bags and then labeled with a permanent marker with distinct sample identifiers (e.g., CDW1-1, FTC2-1, MISC2-3, etc.) for transport to the laboratory. Sample locations and photograph a of the�T Building Di,,,,,), homogenous materials were also collected at this time during the inspection. Sample quantities of each homogenous material were collected based on material type and quantity detailed in the following table as required by regulation: Homogenous Material Minimum Number of Quantity Type Samples 0 to <1,000 SF 3 Surfacing material 1,000 to 5,000 SF 5 >51000 SF 7 Each Material 3 Thermal System Insulation Patch < 6 LF, SF 1 Miscellaneous Material Each Material 2 Laboratory Sample Analysis Bulk samples were submitted to the laboratory along with a completed chain of custody form to the above listed NVLAP accredited laboratory for analysis by polarized light microscopy (PLM) techniques per EPA methodology (EPA -600/M4-82-020, Dec. 1982). Microscopic visual estimation was used in obtaining the percentage of asbestos within each layer of the bulk samples. Asbestos Containing Building Materials EPA and CDPHE both define an asbestos containing building material (ACBM) as a material which has an asbestos content of greater than one percent. In the event that a friable material is estimated to contain "trace" or between zero -to -one percent, that material must undergo a point -count analysis by the laboratory to confirm that the material is trace asbestos -containing. Further, if a point count analysis is performed on a bulk sample, the point count result takes precedence over the visual estimation result. See appendix A for laboratory report and chain of custody documents. city or—Its wheat Ridge Section 5 Conclusion BuildSafe has performed a limited repair/renovation specific asbestos inspection of the home/facility located at the Site Address. Through visual inspection and laboratory analysis of bulk samples collected at the Site Address, BuildSafe recommends hiring a certified general asbestos abatement contractor to remove any ACBMs that may have been identified within the scope of work. All inspection activities were conducted at the direction of the client and only include those materials, quantities and locations detailed in sections 1 and 2 of this report. See sections 1 and 2 of this report for information regarding inspection scope of work, suspect ACBMs, confirmed ACBMs, sample information and laboratory analysis results. 5.1 Limitations General Comments and Limitations Reasonable effort was made by BuildSafe to locate and sample accessible suspect ACBMs within the scope of work. However, for any structure, the existence of unique or concealed suspect ACBMs is a strong possibility. BuildSafe only inspected and collected suspect ACBM bulk samples in the repair/renovation areas at the direction of the client. This limited repair/renovation asbestos inspection report is not considered a comprehensive asbestos inspection report and is only valid for the materials and locations detailed in sections 1 and 2 of this report. Should further repair/renovation work expand outside of materials and locations listed in sections 1 and 2 of this report, those locations must be properly inspected and sampled by qualified personnel prior to disturbance of suspect ACBMs. Any subsequent abatement of ACBMs must be performed in accordance with all federal, state and local regulations pertaining to abatement, transport, and disposal of ACBMs. Cly Oj Wheat Ridge The asbestos inspection was conducted in a manner consistent with the level of care and skill exercised by professionals of the asbestos inspection profession. The results, findings, conclusions and recommendations expressed in this report are based on conditions observed during our limited inspection of the repair/renovation areas. The information contained in this report is relevant to the date on which this survey was performed, and should not be relied upon to represent conditions at a later date. This report has been prepared on behalf of and exclusively for use by the client for specific application to the project as discussed. Contractors or consultants reviewing this report must draw their own conclusions regarding further investigation or remediation deemed necessary. BuildSafe does not warrant the work of regulatory agencies, laboratories or other third -parties supplying information which may have been used in the preparation of this report. No warranty, express or implied is made. Sincerely, Blake Weise BuildSafe Environmental, LTD 303 S Broadway, Unit 200-239 Denver, CO 80209 970.389.5572 Blake@BuildSafeEnviro.com City Of hear Rig9e Appendix A Laboratory Report and Chain Of Custody Form cityor Wheat R'a'ge Reservoirs Environmental, Inc. Effective April 2, 2018 Reservoirs Environmental QA Manual Q:\QAQC\Lab\Reservoirs Environmental QA Manual.doc ATB Reservoirs Environmental, Inc. April 5, 2019 Blake Weise Build Safe Environmental 303 S. Broadway #200-239 Denver CO 80209 Dear Customer, Subcontract Number: Laboratory Report: Project # / P.O. # Project Description: NA RES 431292-2 190326-13 4040 Depew St Wheat Ridge, CO 80212 Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code 101896-0 for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the American Industrial Hygiene Association (AIHA), Lab ID 101533 - Accreditation Certificate #480 for Phase Contrast Microscopy (PCM) analysis. This laboratory is currently proficient in both Proficiency Testing and PAT programs respectively. Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request. The analysis has been completed in general accordance with the appropriate methodology as stated in the attached analysis table. The results have been submitted to your office. RES 431292-2 is the job number assigned to this study. This report is considered highly confidential and the sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with personnel other than those of the client. The results described in this report only apply to the samples analyzed. This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the U.S. Government. This report shall not be reproduced except in full, without written approval from Reservoirs Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested. If you have any questions about this report, please feel free to call 303-964-1986. Sincerely, Jeanne Spencer President P:303-964-1986 1303-477-4275 5801 Logan Street, Suite 100 Denver, CO 80216 Page 1 of 1 City of Wi;eat ,Ridge 1-866-RESI-ENV wvvw.reilab.com Reservoirs Environmental. Inc. Reservoirs Environmental OA Manual RESERVOIRS ENVIRONMENTAL INC. NVLAP Lab Code 101896-0 TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: RES 431292-2 Client: Build Safe Environmental Client Project Number / P.O.: 190326.13 Client Project Description: 4040 Depew St Wheat Ridge, CO 80212 Date Samples Received: March 26, 2019 Method: EPA 600/R-93/116 - Point Count, Bulk Turnaround: Standard Date Samples Analyzed: April 04, 2019 Effective April 2, 2018 O:\OAOC\LAB\Reservoirs Environmental OA Manual.doc Ntte Detected TR=Trace, el 1 Visual Estimate Trem/Act=Tre m o I ite/Acti no ite Client Sample Number L A Sub Y Physical Part E Description R (�) Asbestos Content Mineral Visual Estimate Non Asbestos Fibrous Components Non - Fibrous Components TS 1-1 A White plaster w/ tan/multi-colored paint 40 ND 0 100 B Pink/tan micaceous plaster 60 ND 0 100 TS 1-2 A White plaster w/ tan/multi-colored paint 50 ND 0 100 B Pink/tan micaceous plaster 50 Trem/Act TR 0 100 Point Count <0.25 TS 1-3 A White plaster w/ tan/multi-colored paint 50 ND 0 100 B Pink/tan micaceous plaster 50 Trem/Act TR 0 100 Point Count <0.25 TS 2-1 A White texture w/ yellow paint 15 ND 0 100 B White compound w/ white paint 15 ND 0 100 C Tan/white drywall 15 ND 45 55 D White plaster w/ white/multi-colored paint 20 ND 0 100 E Pink/tan micaceous plaster 35 Trem/Act TR 0 100 Point Count <0.25 TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1 %. P: 303-964-1986 5801 Logan Street, Suite 100, Denver, CO 80216 1-866-RESI-ENV F: 303-477-4275 Page 1 of 3-rellab.com City of Wheat Ridge Reservoirs Environmental, Inc. Reservoirs Environmental QA Manual RESERVOIRS ENVIRONMENTAL INC. NVLAP Lab Code 101896.0 TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: RES 431292-2 Client: Build Safe Environmental Client Project Number / P.O.: 190326-13 Client Project Description: 4040 Depew St Wheat Ridge, CO 80212 Date Samples Received: March 26, 2019 Method: EPA 600/R-93/116 - Point Count, Bulk Turnaround: Standard Date Samples Analyzed: April 04, 2019 Effective April 2, 2018 Q:\QAQC\LAB\Reservoirs Environmental QA Manual.doc —-- ND=None Detected TR=Trace, <1 % Visual Estimate Trem /Act=Tre m o I ite/Acti no I ite - Client Sample Number L A Sub Y Physical Part E Description R (%) Asbestos Content Mineral Visual Estimate Non Asbestos Fibrous Components Non - Fibrous Components TS 2-2 A White texture w/ yellow paint 15 ND 0 100 B White plaster w/ white/multi-colored paint 25 ND 0 100 C Pink/tan micaceous plaster 60 Trem/Act TR 0 100 Point Count <0.25 TS 2-3 A White texture w/ yellow paint 10 ND 0 100 B White wall covering w/ white paint 10 ND 70 30 C White plaster w/ pink paint 10 ND 0 100 D Tan/white drywall 10 ND 60 40 E Pink/tan micaceous plaster 60 Trem/Act TR 0 100 Point Count <0.25 TS 3-1 A White plaster w/ white/multi-colored paint 10 ND 0 100 B Pink/tan micaceous plaster 90 Trem/Act TR 0 100 11 Point Count <0.25 1 1 TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1 %- P: 303-964-1986 F: 303-4774275 5801 Logan Street, Suite 100, Denver, CO 80216 P-- 2 ct 3 1-866-RESI-ENV -reilab.com City of V11heat Ridge Reservoirs Environmental, Inc. Reservoirs Environmental QA Manual RESERVOIRS ENVIRONMENTAL INC. NVLAP Lab Code 101896-0 TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: RES 431292-2 Client: Build Safe Environmental Client Project Number / P.O.: 190326-13 Client Project Description: 4040 Depew St Wheat Ridge, CO 80212 Date Samples Received: March 26, 2019 Method: EPA 600/R-93/116 - Point Count, Bulk Turnaround: Standard Date Samples Analyzed: April 04, 2019 Effective Apnl 2.2018 Q:\QAQC\LAB\Reservoirs Environmental QA Manual.cloc W =None Detected �TR=Trace, <1 % Visual Estimate Trem /Act=Tre m of ite/Actinolite Client Sample Number L A Sub y Physical Part E Description R (%) Asbestos Content Mineral Visual Estimate Non Asbestos Fibrous Components Non - Fibrous Components TS 3-2 A White plaster w/ white/multi-colored paint 8 NO 0 100 B Pink/tan micaceous plaster 92 Trem/Act TR 0 100 Point Count <0.25 TS 3-3 A Tan paper 5 ND 90 10 B White plaster w/ white/multi-colored paint 13 NO 0 100 C Pink/tan micaceous plaster 82 Trem/Act TR 0 100 Point Count <0.25 SVF 1-1 A Tan sheet vinyl w/ gray fibrous backing material & tan 100 NO 15 85 mastic SVF 1-2 A Tan sheet vinyl w/ gray fibrous backing material & tan 100 NO 15 85 mastic TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%. 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E� Z :. w u:;eo-.-erso n c c m uG1F�y�UF�p - E m CJ C1 0 X of O C b+.S.O 11-:3 ri � O n O ch oSlaug.uoo J < cr, g y a '� " ° > zpo� zuleyq fi Wall v-, SWAN .P. �b IP:51 isno awra;oq e��weg - - - - - - v3H10 u:;eo-.-erso n c uG1F�y�UF�p CV CJ C1 0 r m o_ b+.S.O 11-:3 - W ui y ui 9 fi Wall v-, SWAN .P. �b IP:51 isno VHSC slor. 'V11-- - W9d - - - - - - N C51 II!^ ^': vld3HV - W31 --,4S � Wed X N J O E< J U Z (Y E c CV CJ C1 r m o_ - 4 y 9 fi a c N d E n d N• ^7 } � U Y � (V L O m rn 3 C d C H LO c' T m (J7 Ua '- 1 City of Wheat Ridge City of RECEIVED Wh6atidge�l97 COMMUNITY DEVELOPMENT Per___----- SUB-CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address:�tOk �a)ftq Permit #: General Contractor: Electrical Sub -Contractor Company Name: r � Phone #: State License #: Master #: Wheat Ridge License #: "` ' required field) J Signature of Au h ized Agent Date Plumbing Sub -Contractor Company Name: q Phone #: C % _G`2 State License #:i�(00 � `T Master Xo Ug_q:j�' Wheat Ridge License #: ( O% / Aquired field) 7 Signature o uthorized Agent Date Mechanical Contractor Company Name: Phone: �2, — - V_ Wheat Ridge License #: `� (required field) 1A Signature of thorized Agent Date[- INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection r Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT: : ADDRESS, �d :=, �` L. 'tr <;a;°i JOB CODE: i Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical/ Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential + 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan '-- SEE OVER FOR PERMIT. i�C;' I�?S ADDRESS: Y[/ �: JOB CODE: 99f PERM ITQ Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 40i Gasline 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof - ) 7 - g j410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. a/ i CITY OF WHEAT RIDGE _1�9rBuilding Inspection division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: `/ Job Address: o u e ► el m b/ S Permit Number: 'a 0 / t3 0,0 -7 S ❑ No one available for inspection: Time !? �_� AM/ M Re -Inspection required: Yes (9 When corrections have been made, call for re -inspection at 303-234-5933 Date: q -1r IJ /),g—lnspector-. Tb DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE ' _:�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 011 F > Ili Job Address: y L-1 0 1 Permit Number: c_DC-)/ <, U (37 -A ' U 5 r v> Ii -, r -)Q rA-- jr -1-LU-2 Yri u YJ all CA' *L) c3- 1 o J S 42� Q j\ LlNo one available for inspection: Time sZC,I /PM Re -Inspection required. Yds No When corrections have been made, call for re -inspection at 303-234-5933 Date: 4 I I �>) , y Inspector: ?D Z�_ DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building InspectiohrDivision (303) 234-5933 Inspection line (303) 235-2855 Office ® (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3 0 3 )3 0 4, S ),c 1,0,-i,, d Job Address: 00"I 0 Permit Number: 7 19 o a '7 8 ❑ No one available for inspection: Time 1 = 2 f AMeN Re-Inspection required: Yes Co When corrections have been made, call for re -inspection at 303-234-5933 Date: 3 0a / Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge f Residential Roofing PERMIT - 201800788 _��9r PERMIT NO: 201800788 ISSUED: 03/20/2018 JOB ADDRESS: 4040 Depew ST EXPIRES: 03/20/2019 JOB DESCRIPTION: Residential Reroofing Permit remove and install GAF HD Timberline Laminate Composition Asphalt Shingles with redecking 9 squares. Pitch=5/12. *** CONTACTS *** OWNER (303)455-4653 SCARAFIOTTI GINO SUB (303)471-4213 Tina Hubbell 090446 Creative Covers Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,855.23 FEES Total Valuation 0.00 Use Tax 143.96 Permit Fee 156.75 ** TOTAL ** 300.71 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201800788 201800788 4040 Depew Residential Composition ST ISSUED: EXPIRES: Reroofing Permit remove and install GAF Asphalt Shingles with redecking 9 square 03/20/2018 03/20/2019 HD Timberline s. Pitch=5/12. Laminate I, by 'n signature, do hereby at that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that l am the legal owner or have been authorized by the legal owner of the property and acn authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that al fork to be performed isdisclosed in this docum�et and/or its' accnanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying )Tans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or anyioidinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chi(�Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Lagenia Reimer ,117)V 1 'y_1 ( X ) I From: no-reply@ci.wheatridge.co.us Sent: Tuesday, March 20, 2018 11:56 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina Residential Roofing Permit Apphcation This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 4040 Depew St Property Owner Name Gino Scarafiotti Property Owner Phone 3034554653 Number (enter WITH dashes, eg 303-123-4567)) 1 X71 C Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Tina Hubbell Creative Cover 303-471-4213 Yes Attach Copy of Executed Gino contract.pdf Contract CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Creative Cover Inc 090446 720-352-7253 Contractor Address 10040 Des Moines St Parker CO 80134 (Primary address of your business) Contractor Email Address tinahubbell@creativecover.com Retype Contractor Email tinahubbell@creativecover.com , Address DESCRIPTION OF WORK TOTAL SQUARES of 9 the entire scope of work: Project Value (contract 6855.23 value or cost of ALL materials and labor) Are you re -decking theYes roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or 2 both? (check all that apply) What is the specific pitch 5:12 of the PITCHED roof? How many squares are part of the PITCHED roof'? Describe the roofing materials for the PITCHED roof: Type of material for the PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) GAF HD TIMBERLINE LAMINATE COMP Asphalt + RE -SHEATHING, RE -ROOF 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 this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. 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 been Yes authorized by the legal 3 owner of the property to submit this application and to perform the work described above. 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. Name of Applicant Tina Hubbell Email not displaying correctly? View it in your browser. C Access and Authorization This agreement is for FULL SCOPE OF INSURANCE PROCEEDS and does not obligate the Homeowners or Creative Cover unless the homeowner's insurance company approves repairs. By signing this agreement the homeowner authorizes Creative Cover to pursue all repairs at a price agreeable to the insurance company and Creative Cover at NO COST TO THE HOMEOWNER EXCEPT FOR THE INSURANCE DEDUCTIBLE. The final price agreed on between the insurance company and Creative Cover shall become the final price of the full scope of insurance proceeds. Creative Cover, -�� 10040 Des Moines St. Parker, CO 80134 SalesMan:� � n t�-f� Roofs n g Phone: Exterior improvements: Roofing - Siding - Gutters "INSURED" HomeownerL%�nd _!5Ciqe a -Ili' Date 3_/i/_ � Insurance Company l " Phone {) r Policy Number Claim Number SPECIFICATIONS Roof: �1 { ) 1. Remove?4Z layers of roofing down to the decking. Siding' ._ ( ) 2. Apply (y 15 Ib felt ( ) 30 lb felt S�o jj ( ) I. Remove existing siding down to the backer board ( } 3. To use galvanized nails ( ) 2. Install house wrap to all areas to be sided ( 4. Install new valleys ( ) 3. Replace Gable Vent (� 5. Re -flash all sidewall flashings ( ) 4. Remove & Reinstall existi utters Re -flash Chimney ( ) 5. Install new shutter _pairs ( )louvered ( )panel (6. 7. Ice and Water Shield ( ) 6. Caulk & Sea i trim with matching color 8. Ice and Water Shield around skylight. ( ) re -flash skylight ( ) 7. Clean aul away all debris 9. Protect lawn & shrubs. Gean site daily PROFE NAL INSTALL A PREMIUM VINYL SIDING: ( 10. Remove debris & haul away 1 Brand. Color: Style ( ) 11. Roll lawn & driveway with magnetic sweeper ( 12. Replace rotten deck areas at $f per 13. Replacefl plumbing pipe flashing. Gutter owns a Is: ( ) 14. Ventilation { y) Replace_ ,� 5° 2x3. ( ) 45.—.- Year workmanship warranty. ( ) Replace 6' 3x4' PROFESSIONALLY INSTALL A: (7�) Colore ( Y) Remove & Reinstall -2-V 3��. Paid Date:_/j_J CK# S Additional Work or comments: Paid Date-_J___/_J CK# $ Paid Date:_ J_J_JL ; sCrK# Total Sale Price of job: Deposit: � Due at Completion: y� � �-Ss: � We are not liable for HOA color choices. Itis the Homeowne Initials homeowners responsibility to get roof color approved Homeowner acknowledges any supplements and/or overhead & profit ap proved by the insurance company will he added to the price of this contract and paid upon completion to Creative Cover ' omeowners 1 itials This contract constitutes full accord and agreement of the parties and no other understanding, verbal or otherwise, shall be binding unless in writing. signed by both parties. This contract is subject to approval by an officer of the contractor and such approval must be made within 10 working days from the date of the contract. In witness whereof Purchaser(s) each acknowledge receipt of a completed copy of this contract, and all disclosures on the day and year first above written. Any holder of this consumer credit contract Is subject to any claims defenses and which the debtor could assert against the seller of goods or service obtained pursuant hereto or the proceeds hereof. Recovery hereunder by the debtor shall not exceed amounts paid by the debtor hereunder. APPROXIMATE STARTING DATE / AFFROMMATE COMP�LETiiOO"�7 i�� Company Repre ntati e ��m/"t^ +� •� S Authorized SignatureyoP" Homeowne Date Date Homeowner Date Date Access and Authorization This agreement is for FULL SCOPE OF INSURANCE PROCEEDS and does not obligate the Homeowners or Creative Cover unless the homeowner's insurance company approves repairs. By signing this agreement the homeowner authorizes Creative Cover to pursue all repairs at a price agreeable to the insurance company and Creative Cover at NO COST TO THE HOMEOWNER EXCEPT FOR THE INSURANCE DEDUCTIBLE. The final price agreed on between the insurance company and Creative Cover shall become the final price of the full scope of insurance proceeds. L %43 ,* 1 N 1 O ECOID INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79 AC4 sv C-,/ INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/T3Te Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Comments Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Electric PERMIT - 201702601 PERMIT NO: 201702601 ISSUED: 06/27/2017 JOB ADDRESS: 4040 Depew ST EXPIRES: 06/27/2018 JOB DESCRIPTION: Remove old Federal Pacific panel, install new electric panel; overhead service - 150 amp; Service line to garage pre-existing *** CONTACTS *** OWNER (720)518-6338 SCARAFIOTTI GINO SUB (303)928-0313 Bryan Peterson 170142 Energy By Design LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,000.00 FEES"1 D Total Valuation 0.00 Use Tax 63.00 _ Permit Fee 93.35 ** TOTAL ** 156.35 -- * * * CC,OM(MENTS * * * 2 z 4 3-7'6 *** CONDITIONS *** vl Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection. 11b my signature, do hereby attest that the work to be perfoi'ined shall comply with all accompanying approved plans and specifications: applicable building codes, and all applicable municipal codes, policies and procedures, and that I am tie legal owner or have been authorizcd by the legal owner of the pro erty and am authorized to obtain this permit and perform the work described and approved in conjunction with this et attes t I am legally authorized to include all entities named within this document as parties to the wor k to be pe ed and that 11 o to be performed is disclosed in this docum7n,,/a/,r its' accompanying approved plans and specifications. � �reChf—OWNER C�ONLTIMCTOR (Circle one / Dato 1. This permit was issue on the information provide 'n the permit application and accompanying plans and specifications and is subject to the compliance with t o applicable statutes, ordinances, regulations, policies and procedures. Z. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made -be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior andspecific approval. S. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable;65&5or any ordinan „or re�ulaf on of this jurisdiction. Approval of work is subject to field inspection. S ignature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. I inspection time requests will be accepted by email only. Please email requests to insptimerequestgei.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of Wheat Ridge Residential Electric PERMIT - 201702601 PERMIT NO: 201702601 ISSUED: 06/27/2017 JOB ADDRESS: 4040 Depew ST EXPIRES: 06/27/2018 JOB DESCRIPTION: Remove old Federal Pacific panel, install new electric panel; overhead service - 150 amp; Service line to garage pre-existing *** CONTACTS *** OWNER (720)518-6338 SCARAFIOTTI GINO SUB (303)928-0313 Bryan Peterson 170142 Energy By Design LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,000.00 FEES Total Valuation 0.00 Use Tax 63.00 Permit Fee 93.35 ** TOTAL ** 156.35 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applhc%1e building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with thispermrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that -all work to be performed is disclosed in this document and/or;tts' accompanying approved plans and specifications. r Siinatu p OWNER CONTRACTOR Circle one Date I . This permit was ba ed on t- information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This,pennit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new pen -nit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired pen -nits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change, of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code orany rdinance or re patio oft is jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE NADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of `JET heat Midge COMMUN rry DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(cDci.wheatridge.co.us FOR OFFICE USE ONLY I Date: Plan/Permit # Jo Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: S�. Property Owner (please print): Com.CAA r � J rc, �;O„ti,_ Phone: 7 5/e (o c6 Property Owner Email: Com,. Mailing Address: (if different than property address) Address City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor: C dl 0,1� GGin 1! Phone: u� v 1.3 Contractors City License #: � % Phone: Contractor E-mail Address:,. Sub Contractors: Electrical: W.R. City License # l Z Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, 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.) (� 4�, /S✓►1Dv� OV FeLfe. ( —PA c ;i 1 c 1 ASf d11�.i " Sq. Ft.ILF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTO or THORIZED RE ESENTATIVE) of (OWNER) (CONTRACTOR) � I Electronic Signature (first and last name): - DATE: JZ l ZONING COMMMENTS. Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer. DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: L Job Address: yz9 G P -y 5 Permit Number: 2017 0 ❑ No one available for inspection: Re -Inspection required: `DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _:�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: E )CI Job Address: &foyo brPE-: j S -1 - Permit Number: 7_01:) 00(0 f Re -Inspection required: When corrections have been made, call for re -inspection at 303 -234 - DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division t` (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: EF, I Job Address: LI0 H 0 1�)Fy0f W ST Permit Number: 2l_->( _? 0Z_ G10 I ft(vuo�2 . ❑ No one available for inspection: Time 0950 AMO Re -Inspection required: Yes,,T.'....-1 When corrections have been made, call for re -inspection at 303-234-5933 Date: 712 o//7 Inspector: GA 10 -- DO NOT REMOVE -THIS- NOTICE �.� i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: t-7- f �� Job Address: 4 U 4o De pee ST. Permit Number: 21702. ❑ No one available for inspection: Time q iT-0AM/PM r Re -Inspection required: (�es No When correct "'ns h ve been made, call for re-inspectio at 303-234-5933 Date: (` Inspector: DO NOT REMOVE THIS NOTICE INSPECTION 234-5933 .. " • •Flo TV • Wil Comments of Wheat Rid 0612 2015 12 'CHA Replace water heater CDA011522-AMOWT SP 4048 Depew ST 77.'131 PL PE ` NO: 2@1551@953 PAYMENT RECEIVED AHOLINT V / 4109 77.91 111 ODL: 813925 . TOTAL 77.91 Inspections-------------------------------------- �1MMI�i it :Fl1�M Initials Comments Final Electrical " w w MechanicalFinal � Landscaping Parking Planning D. ROW & Drainage / Public Works Dept, Protect This Card 06/24/2015 11:34 7202495121 JOSH -WARD PAGE 01 City of wl,h6at -0,04 DiWslon 7500 W. i AVe, Wheat Ridge, • # r' Inspecton+ 33 • r► Mallin Addre*.R*ress: * property w- * Contractor., 17t' 16 r , Contractor phone, ai Use * ♦ ,- t 8 * R *< R - ! R .: R R d. : Rt R. 'R '. S ".:: ,, R «.. R R bR R •: . ... R R - M r e. �. # R. R ♦ .. - .. „. RR.: ` a y kR' i� 4 .. • :tt... r! w fR. ` � t ,, R: # `r ❑ No one available for inspectpn: f7 ii required: Yep No When corrections have been ma 0;1111 Date: Inspector: DO NOT REMOVEJYJ City of Wheat Ridge r00 00r- Residential Plumbing PERMIT - 110487 PERMIT NO: 110487 ISSUED: 05/02/2011 JOB ADDRESS: 4040 DEPEW ST EXPIRES: 05/01/2012 DESCRIPTION: Install 2 way clean -out in front yard * ** CONTACTS * ** owner 720/352 -3752 Polola sub 303/426 -5145 Jackie Dunlap 11 -0102 O.D.C. (Dunlap Plumbing) ** PARCEL INFO ** - ZONE CODE: UA USE: UA SUBDIVISION: 0434 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 950.00 FEES Permit Fee 43.50 Same Day Inspection 60.00 - Total Valuation .00 Use Tax 17.10 �j��DD,�,d��' �( ** TOTAL ** 120.60 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and /or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the - standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision ,f any appli le code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field s on �.2�/� Signatu o ie£ Building Offical Date. INS P CTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE .FOLLOWING BUSINESS DAY. o w a cy T7 City of COMMUNITY DEVELOPMENT Date: Plan # Building & Inspection Services Division Permit # f ' I j cL _ 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 - 2855 " Fax: 303 - 237 -8929 Inspection Line: 303- 234 -5933 Building Permit Application Prop'erty,Addr_w ( lo q0 r �S Z Property Owner (please print): PG �p 6- Phone: 7 za 3 7S Z Mailing Address: (if different than property address) Address: Z ,/7f - City, State, Zip: C/Cx t;ontractor: �( >U �� IrJw� �i6�L Contractors City License #: Phone: 9AWAO tra_c'tor§ Electrical Plum ng: Mechanical: City License # City License # City License # j6s&ijitib63bfW,or k: aW� Ce�� ��� r� Cont Tc�V�lue: Review Fee (due at time of submittal): Squares BTU's Gallons Amps Sq Ft. $ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on - this application; that I am the legal owner or have been authorized bye the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) / PRINT NAME: GJG' (19� SIGNATURE: _ DATE: � / �✓ j �J� �v� � dirt � rG ���* � a���'� s�kL1 i� � Yr f i,u. � -; ✓ReV10W21` r �r ✓�r:. � � < rot � j. r'�h..f / f �a 'O��y v a �n� ��S7u '�''. �r,3lrK�a�'y rr %✓ 1 � e / ✓i mac.; ' lr� � /✓ f r ` ✓Y y�.f" � / rF� � r � � r , s ,. r � i '2 `Cr r".: -„ �' Y r ✓ Lwl:w ., r � ..,,. �, v /.....K O l l�' �. J JA n.'✓. 1r IV �. J/� �Y� FIRE DEPARTMEN? O�pproved�v /commen }s O dlsapp oved�p, �o reul���y�red`" Bldg Valuation $