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HomeMy WebLinkAbout3850 Harlan Streeti CITY OF WHEAT RIDGE 9�Bufilding Inspection'Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax L-11 ,�a- - 3 u I d ',) � ►l a i INSPECTION NOT�!� f0'7-�`lea1 L„i% Inspection Type: `-1oS` _ 1-1 n A Job Address: 31B S"0 Hot r, is n S4 Permit Number: 2 0 1 8 0 1 3 x 3 ❑ No one available for inspection: Time 10 _ ay &PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: 13 !q /IS Inspector: T'b DO NOT REMOVE THIS NOTICE -7 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: �J a 9 - = ►`» R Job Address: S Permit Number: '2 G 1 s V r ❑ No one available for inspection: Time 9 = 3-7 A PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: 9 /I Ll inspector: _7b 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: 73 treQ Job Address: _ � l6f k7tt 5L Permit Number: 27/90 13 ;�-3 ❑ No one available for inspection:Time 09 3 0 AM/PM Re -Inspection required: Yes N�/o When corrections have been made, call for re -inspection, at 303 -234 - Date: -9/////,4 03 -234 - Date: `//// /4 Inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • f303) 237-8929[ax 9ec�tanrt-a INSPECTI N NOTICE Inspection Type: 7)143 - Job /Q -Job Address: 3QS7o NrAv-1an 54 -- Permit Number: 'c d 1 19Z 0 13 -0 3 P ect4e v lr1 n rea ❑ No one available for inspection: Time °I = f -i /PM Re -Inspection required: ffe'� No When corrections have been made, call for re -inspection at 303-234-5933 Date: 9 110 / 1?Inspector: -'"-1- b DO NOT REMOVE THIS NOTICE q 1* � 4 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: c/0-7 Job Address: 319 5-o 14C Permit Number: �3 c J R o ? . 06L d a ❑ No one available for inspection: Time M M Re -Inspection required:Yes No When corrections have been made, call for re -inspection at 303-234- Date:- "I _7 /03 Inspector: --7—b DO NOT REMOVE THIS NOTICE �A 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: q o 9- F,',, a Job Address: '3 q 5-p F/.a , )c,,, S -/- Permit Number: '3 014 o ay )q nrz IPar-"�r10. r ❑ No one available for inspection: Time yg (913M Re -Inspection required:es No When corrections have been made, call for re -inspection at 303-234-5933 Date: R //,9 Inspector: —7_t�) DO NOT REMOVE THIS NOTICE IN i CITY OF WHEAT RIDGE Building Inspection -Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTI�����,i19 Inspection Type: 3 0 - M d- e c -P Job Address: 73`6 5-0 H a c- %g„ 7 - Permit Number:c' a o 4? © a a i L-{ ❑ No one available for inspection: Time/ 3 AMM Re -Inspection required: Yes to When corrections have been made, call for re -inspection at 303-234-5933 Date:Ble? ))q Ll Inspector: Tb 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 INSPEC ON O E 3a3- oo a41,t,9 Inspection Type: 3 0 b - In (of - V � Job Address: 3 S 5-0 ck r a n s Permit Number: '? o) so a a ) L1 1 E GZ O t -e ❑ No one available for inspection: Time a = 3SAMI Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: ` 2� �3 /19 Inspector: —77_� DO NOT REMOVE THIS NOTICE P/b I VA -57 City of Wheat Ridge Or Residential Roofing PERMIT - 201802214 PERMIT NO: 201802214 ISSUED: 08/09/2018 JOB ADDRESS: 3850 Harlan St EXPIRES: 08/09/2019 JOB DESCRIPTION: Reroof with IKO Cambridge asphalt shingles, 8/12 pitch, house and garage, 15 squares total *** CONTACTS *** OWNER (303)506-0822 WHATLEY SUSAN SUB (303)691-5035 Michael Dye 100355 APEX Roofing Consultants LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 140 / Converted Residences; 0 BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,125.00 FEES Total Valuation 0.00 Use Tax 86.63 Permit Fee 125.05 ** TOTAL ** 211.68 *** 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. City of Wheat Ridge Residential Roofing PERMIT - 201802214 PERMIT NO: 201802214 ISSUED: 08/09/2018 JOB ADDRESS: 3850 Harlan St EXPIRES: 08/09/2019 JOB DESCRIPTION: Reroof with IKO Cambridge asphalt shingles, 8/12 pitch, house and garage, 15 squares total 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 1 am the legal owner or have been authorlized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with thispermit. 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�ONTRACTOR`(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 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 pprinit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable c0 r any ordinar y or regulation of this jurisdiction. Approval of work is subject to f eld inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Kimberly Cook From: no-reply@ci.wheatridge.co.us Sent: Thursday, August 9, 2018 9:OS AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Kim Residential Roofing Permit Application 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. The Building Division permit counter is open from 7:30 am to 3:30 pm, 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 3850 Harlan St 1 Property Owner Name Susan Whatley Property Owner Phone 303-506-0822 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email susanwhatley21 @gmail.com Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Scan0367.pdf Contract CONTRACTOR INFORMATION Contractor Business Apex Roofing Consultants Name Contractor's License 100355 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-691-5035 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 7332 S Alton Way Ste 13-K Centennial CO 80112 (Primary address of your business) Contractor Email Address apexdenveroffice@gmail.com Retype Contractor Email apexdenveroffice@gmail.com Address DESCRIPTION OF WORK TOTAL SQUARES of 15 the entire scope of work: Project Value (contract 4125 value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or 2 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. Person Applying for Michael Dye Permit Email not displaying correctly? View it in your browser. 4 both? (check all that apply) What is the specific pitch 8/12 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) 15 IKO Cambridge shingles. Asphalt work to be completed on house and garage 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 1 have been Yes authorized by the legal 3 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE '3 ak/- J11 0 I s VC m �- Inspection Type: 3 a D - wa Job Address: 73,gS-c U A ,,, S�- Permit Number: , a o 1,:g-6 ) 3 a DQ Er -m "s ( or aC)c a CC PsS ❑ No one available for inspection: Time 0 = 0 AM PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: -7 d q 1 :F< Inspector: --T-D DO NOT REMOVE THIS NOTICE 1* � 4 i CITY OF WHEAT RIDGE ��P�Building Inspection Division (303) 234-5933 Inspection line '(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: __'S o q - O) ec Reg; Job Address: 3 43 S'0 a �� Permit Number: 2 0 1 4 O) 3 a 3V ! - 4&rave,/ 3oS - A Pf wabo .ii/61 - A Mt wta Ar ❑ No one available for inspection: Time 6I/PM Re -Inspection required: Yes 69 When corrections have been made, call for re -inspection at 303-234-5933 Date:_ 7/,,/2//3 Inspector:__�)Ch vs� 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: 3/3 A\ �A Job Address: 3 R,6-0 a Permit Number: ';�-O/Ro / 3a'-3 ❑ No one available for inspection Time Qa��AM/PM Re -Inspection required: Yes o When corrections have been made, call for re -inspection at 303-234-5933 Date: -711d! J Inspector: DO NOT REMOVE THIS NOTICE vo i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE . S V,31 Inspection Type: 6 R Job Address: -39,i0 Ya/"gid S Permit Number: 0 -W9013,? -3 ❑ 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: -7//J/ -/g Inspector: * 7-/� DO NOT REMOVE THIS NOTICE -)4 1,0 e g0,3Z 3 City of -d Wh6at1 COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. This form will not be accepted with missing information. Project Address: ('10 /1 S4 -Permit #: General Contractor: o�b` AS 6 46,, n S O,,(\ � Electrical Sub -Contractor I Company Name: Phone k State License #: Master #: Wheat Ridge License #: (required field) Signature of Authorized Agent Date Plumbing Sub -Contractor Company Name: Phone #: State License #: Master #: Wheat Ridge License #: (required field) Signature of Authorized Agent Date Mechanical Contractor I Company Name: (, \ka-( 1�1 �5 I� �i $hone: Wheat 'dgeLicense#: i -7-003(p (required field) Si re of Authorized Agent Date Wh6at City of �idge COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM *This application must be signed by each sub -contractor confirming the same. Project Address:o�LwLaY2 Permit #: 1lgd�Cql4 General Contractor: k'7V r - Electrical Contractor - Wheat Ridge License # Company Name: Phone #: State License #: Master #: Signature of Authorized Agent Date Company Name: Phone #: State License #: Master #: Signature of Authorized Agent Date Mechanical Contractor - Wheat Ridp-e License # Iiris' r Company Name: (.— 1' �_ t(A �\ Sig ature 'of Xuthor'i0 Agent Date *This application must be signed by each sub -contractor confirming the same. City of Wheat i e COMMUNITY DEVELOPMENT 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): 73y >Q Project Property: C\ C\ " ? 9-!5HA Notarized signature of Applicant State of Colorado County of } ss The foregoing instrument was acknow 'ToS-e L4,:S br�og CJ 20 6- by TAMARA D ODEAN NOTARY PUBLIC NATE OF COLORADO NOTARY ID 20164015481 MY COMMISSION EXPIRES APRIL 22, 2020 My Commission Expires 0 / A�/202p Notary Public Brian Tardif From: Brian Tardif Sent: Wednesday, March 28, 2018 2:10 PM To: ochoaluis750@gmail.com' Subject: Plan review for 4995 Harlan St Attachments: Plan review questions for 4995 Harlan Street.docx Hi Jose, Please see the attached questions for the plans review that you submitted. Thank you Brian Tardif Combination Inspector/ Plan Examiner 7500 W. 29th Avenue Wheat Ridge, Colorado 80033 Office Phone: 303-235-2850 Fax: 303-237-8929 www.ci.wheatridge.co.us c it1 011 W hcat I is gc CONFIDENTIALITY NOTICE: This e-mail contains business -confidential information. It is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are notified that any disclosure, copying, distribution, electronic storage or use of this communication is prohibited. If you received this communication in error, please notify us immediately by e-mail, attaching the original message, and delete the original message from your computer, and any network to which your computer is connected. Thank you. 1 Plan Review for 4995 Harlan Street Residential second floor addition Hi Jose, I am sending my first round of comments for your review. Please answer each question listed and when we receive your answers, we will continue with this review. Thank You Brian Tardif 9' On sheet, C-1 listed under Code Editions correct the code years that you have listed. The City of Wheat Ridge is currently under 2012 IRC, 2012 IECC, 2012 IFGC, 2014 IEC. Also, please remove from the plans sections omitting Chapter 11 of the IRC, Chapter 24 of the fuel gas code, chapter 34-43 of the IRC. All of these chapters are still in effect. Please show all braced and shear wall panels on the plans and identify them on the sheets. Please identify all egress windows and where they are located on the plans Please correct on sheet C-1 the listed U -factor from .35 to .32. The City of Wheat Ridge requires that all windows and doors are .32 or better. Please correct sheet C-1 listed under general notes line 7 to reflect the change of R38 to R49. Please also check truss clearance over exterior wall plates to allow for R49 in this area. You may be required to use an energy heal truss to accommodate this. Truss packet will be required to be on the job site at the time of the framing inspection. Please acknowledge. 7. MEPS sheets will be required to be submitted with the plans set to complete the plan review. Sheet page 4 section 4 over 4 shows the insulation to remain. This floor section will be exposed to install the 14 -inch TGI joist. This insulation will need to be increased to R-30 unless the garage is heated. 2012 IECC states that when insulation is exposed it must be brought up to current code requirements. 9. Sheet page 4: shows a 3 -foot cantilever set in 6 foot. Please provide engineer calculations for this cross section. Sheet page 7 shows the attic insulation all the way to end of the soffit. This area will be required for proper roof ventilation. Wplease n sheet page 7, please show how moisture control will be handled behind the stucco. show all deck attachment details, deck joist size, handrail detail, stair run and rise, solid landing for the stairs at grade. Thank you Kimberly Cook From: Kimberly Cook Sent: Monday, May 21, 2018 12:37 PM To: 'ochoaluis750@gmail.com' Cc: Dina Kemp; Lagenia Reimer Subject: 4995 Harlan Street Attachments: Sub contractor listing.pdf Importance: High Hi Jose, Plans have been approved for 4995 Harlan Street. The balance due is $4,931.90. In order to issue the permit, the General Contractor, Rob Shaw, needs to obtain his City of Wheat Ridge License. The subcontractors — K&L Mechanical and the electrician you choose, need to complete the attached subcontractor authorization form. Once we receive this information, we can take payment and issue the permit. Please let me know if you have any questions. Thanks! Kim Cook Permit Technician 7500 W. 29th Avenue Wheat Ridge, Colorado 80033 Office Phone: 303-235-2876 Fax: 303-237-8929 www.ci.wheatridge.co.us 1 i1v of W h6at [ j< 1hye CONFIDENTIALITY NOTICE: This e-mail contains business -confidential information. It is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are notified that any disclosure, copying, distribution, electronic storage or use of this communication is prohibited. If you received this communication in error, please notify us immediately by e-mail, attaching the original message, and delete the original message from your computer, and any network to which your computer is connected. Thank you. e City of Wheat Ridge Residential Remodel PERMIT - 201801323 PERMIT NO: 201801323 ISSUED: 05/25/2018 JOB ADDRESS: 3850 Harlan ST EXPIRES: 05/25/2019 JOB DESCRIPTION: Demo of interior including two non -load bearing walls; complete interior renovation; update existing bathroom with new fixtures and tile; move kitchen to new location with new cabinets and appliances; add bathroom to laundry room with new fixtures and tile; refinish hardwood floors; 1,200 sq ft total; panel upgrade from 100 to 150 amp; furnace 75K BTU; water heater 40 gallon; new 2 ton AC; repair existing siding and paint *** CONTACTS *** OWNER (303)506-0822 SUSAN WHATLEY GC (303)881-1169 Vern Robinson 021611 Robinson & Co. Inc. SUB (303)522-9597 Rob Fling 170036 Quality West Heating & Cooling SUB Will Bowen 018974 Will Bowen Inc. SUB (303)452-6742 Gordon Wise 080064 A Wise Choice Electrical Inc *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 140 / Converted Residences; 0 BLOCK/LOT#: 0 / *** FEE SUMMARY *** Total Valuation Plan Review Fee Use Tax Permit Fee ** TOTAL ** *** COMMENTS *** ESTIMATED PROJECT VALUATION: FEES 0.00 466.73 1,028.41 718.05 2,213.19 48,972.00 *** CONDITIONS *** All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. . �s City of Wheat Ridge Residential Remodel PERMIT - 201801323 PERMIT NO: 201801323 ISSUED: 05/25/2018 JOB ADDRESS: 3850 Harlan ST EXPIRES: 05/25/2019 JOB DESCRIPTION: Demo of interior including two non -load bearing walls; complete interior renovation; update existing bathroom with new fixtures and tile; move kitchen to new location with new cabinets and appliances; add bathroom to laundry room with new fixtures and tile; refinish hardwood floors; 1,200 sq ft total; panel upgrade from 100 to 150 amp; furnace 75K BTU; water heater 40 gallon; new 2 ton AC; repair existing siding and paint I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications= applicable building codes, and all applicable municipal codes, policies and procedures, and that I am t1�e 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 thispermit. 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 wqF to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. _1 A_S 1 Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanyingplans 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 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 n proceed or conceal work without written approval of such work from the Building and Inspection Services Div is 6. The ' s ce r granti f a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any app e c ran i ce or regulation 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 Wh6atpdgc COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. This form will not be accepted with missing information. Project Address: _:Sso \-:,4 \6t V, Permit #: �J j General Contractor: �Q (n �U�`1fiSG C�p`Q�V1!!)Gvl b-C� Electrical Sub -Contractor Company Name: Phone #: ev,�, 5 ,5 State License *,6 Master #: JJG Wheat Ridge License #: Signature of Authorized Agent Plumbing Sub -Contractor (required field) Date -2;>G Company Name: `'�j //��,�,-(z Phone #: (i %`1� State License #: -OUD Master #: �� 06 /78,5/y Wheat Ridge License #: 11 `CC 7q ignature of Authorized Agent Mechanical Contractor Company Name: Wheat Ridge License #: Signature of Authorized Agent (required field) Date Phone (required field) Date City of W heat �ge CoMMUNIlY DE•vu_oPMENT i I Building & Inspection Services Division 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(aki.wheatridae.co.us FOR OFFICE USE ONLY Date: � j Plan/Permit # ao O/M � Plan Review Fee: I� o 3 I Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. **" Property Address: -3 S 5 C) Owner 56L v. ��-p ' Phone: 3U 3 SO (n 01i�>-'..'I Property Owner Email: Mailing Address: (if different than property address) Address: ';L \ s L./ e UJwJ ( C) < Arch itect/Enaineer: V'(\0n, -e P - SAN -g e\ C av-\ , ? - F . Architect/Engineer E-mail:enkc `thec,3Gy­%D2.4i4C-.(0v% Phone: 3U _S%F �S I -(7d7 Contractors City License #:Qom_/�/ Phone: Yd.�; - e98/ //lv 9 Contractor E-mail Address: For Plan Review Questions & Comments (please print): CONTACT NAME (please CONTACT EMAIL(p/ease print): '�U Sub Contractors: i l Kcfi �o I . co v%-, Electrical:'NW 'tS.t Cin L C ��� �� ` Plumbing: W, k\ 9_XV-Jt%,-, I S'h� Mechanical:(,�L 44 V)Mi- Redilwy((VI; oG W.R. City License # �53%(0 W.R. City License #o j �q-1 4 W.R. City License # 1-700 3(o .J Other City Licensed Sub: City License # City License # Other City Licensed Sub: Complete all information on BOTH sides of this form ❑ COMMERCIAL Description of work: (Check all that apply) RESIDENTIAL ❑ NEW COMMERCIAL STRUCTURE `&LECTRICAL SERVICE UPGRADE Y\4 v-) �U hem ❑ NEW RESIDENTIAL STRUCTURE ❑u COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION -f 1 -WINDOW REPLACEMENT C k q ve w CSO ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT AJE V-' SS us nGC�- C'14 WaIIel PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT Na C� (x -o4' Co�+_U 4- CIA ELECTRICAL SYS M/APPLIANCE REPAIR or REPLAC MENT OTHER (Describe) he (2k ( <( reeaed av%C � +'lt (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.); nv p� ► n t-( ipC I 06u&i-%�j� UDCLdS, Co�Q��$'�- ► .nye < �oc tiovs�. c e �ovc� �; o� . �Q�.ak.�. �� v� '►�-; ...� bct�-h tcx�� A -e w U,,nd -1-A e , tc\o" Vh*0kc.\,.e r. -Iro h< L--? �ocw4 ►oY, .�'►�-�n �P v�-� 011,Ietc. add u ba-�hcoo� -fid �..� �aurcS,� reso� w',1-�-, re+,.� ���.k►.,t,�s 4, fie, 94�:.n's �- ps ;aj � n al \A6A3 �d P` m cit . Sq. Ft/LF i I >0J S i�e Btu's 7 (2->T U �, u ( 'n Q ( 'e' GallonsdV 1 Lo x+a Ll ecA-f Amus (5C) CA ^`+Q al Y)� Squares Other oc d y-,' `► Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ a9,c0fl 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (I CTO or (AUTHORIZED REPRESENTATIVE) Of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: J ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: 9JG�m e 'r 00,5 Building Division Valuation: $ 7 City of Wh6at�idge COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. This form will not be accepted with missing information. Project Address: -�%SCS \-" „ Permit #: General Contractor: V p .t� 1�0�'i� 5 ��„n t CCS . Electrical Sub -Contractor Company Name: Phone #:_0L Zyi State License #: Or5-3 X,� Master #: 1146 Wheat Ridge License #: (required field) Signature of Authorized Agent Date Plumbing Sub -Contractor Company Name: AZ111- ,'r -A, . XA,& Phone #: State License #:_•©bea � d Master 614 Wheat Ridge License #:4 FC, 7q (required field) 416ggnZsature of Authorized Agent Date Mechanical Contractor Company Name: Phone: Wheat Ridge License #: (required field) Signature of Authorized Agent Date 131 SAFETY HAZARD This report is the exclusive property of this inspection company and the client(s) listed in the report title. Use of this report by any unauthorized persons is prohibited. 1 - General INFORMATION Asbestos License Number 23352 Building Type Single Family Building Use Residential https://www.spectora.com/reports/5l40f04e-90fd-4407-be8d-230ce31dl01b 5/1/18, 10:41 AM Page 1 of 8 Area Being Renovated Entire Structure Field Procedures & Analysis: Field Procedures & Analysis - Guidelines used for the inspection were established by the Environmental Protection Agency (EPA) in order to comply with the Air Quality Control Commission Regulation No. 8, Part B Emission Standards for Asbestos. - Field Information was organized as per the AHERA (Asbestos Hazard Emergency Response Act) concept of Homogeneous Area. A Homogeneous Area is defined as a suspect material of similar age, appearance, function and texture. If damage is extensive enough that homogeneous areas cannot be defined, samples will be randomly obtained per functional space. Each material was grouped together as a specific Homogeneous Area or obtained from a specific functional space, sampled and then assessed for condition. - Bulk samples of suspect ACM (Asbestos Containing Material) were analyzed by Polarized Light Microscopy (PLM) with dispersion staining, as described in 40 CFR Part 763 and the National Emissions Standard for Hazardous Air Pollutants (NESHAP). EMSL was responsible for the analysis of all bulk samples. EMSL is an analytical laboratory accredited for the analysis of Industrial Hygiene and Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP). Inspection & sampling will generally begin from the top down of the demo area. Homogenous areas of building materials will require only one sampling procedure. Sampling is randomized based on the area of demolition using a simple grid. - All materials sampled have been slated for demolition. Consequently invasive techniques may have been utilized to obtain or clear areas of suspect ACM. - Material quantities are approximate as exact amount of demolition may vary depending on a number of factors i.e. success of dry -out, extent of smoke damage. Consequently, for these types of environments we recommend the contractor verify exact material amounts. All bulk samples will be marked for 1 day lab processing unless rush is requested. Any materials not tested but mentioned in this report are non -suspect materials (wood, metal, plastic, rubber or glass) - HERO Inspections adheres to the AHERA recommended guidelines for sampling frequency of homogeneous materials. However, we reserve the right to conduct additional sampling procedures after the initial bulk sampling lab results are received if warranted. - Please be advised neither the EPA or Colorado Dept. of Health and Environment have established specific regulations regarding inspections related to inspecting or sampling in a restoration environment. Consequently, HERO Inspections makes every effort to comply with the regulations associated with renovation type environments. Limiations: Limitations No survey can completely eliminate the uncertainty regarding the presence of asbestos containing materials, lead- based paint and other hazardous materials. The level of diligence and investigative procedures utilized are intended to reduce, but not eliminate potential uncertainty regarding the presence of these materials. The procedures used for this survey attempted to establish a balance between the competing goals of inspection cost, time and aesthetic damage. The determinations of this report should not be construed as a guarantee that all such materials present in the subject property have been identified in the report. The inspection was performed in a manner consistent with the level of care and expertise exercised by members of the asbestos inspection and assessment profession. Those entities and persons involved with the inspection and generation of this report do not imply or guarantee that all potential asbestos -containing materials on or in the structure have been identified or sampled. https://www.spectora.com/reports/5140f04e-90fd-4407-be8d-230ce31d101b 5/1/18, 10:41 AM Page 2 of 8 Historically, asbestos has been added as a component to over 3,000 materials and products produced in the United States. The inspection was intended to identify those accessible materials that were reasonably suspect and that were most likely to contain asbestos in quantities subject to regulation, based on existing industry and regulatory standards. Destructive investigation activities were conducted to identify materials in previously inaccessible areas (behind walls, above ceilings, etc), using limited demolition methods. These activities created small openings for investigation, but are limited in that full observation is not possible due to the presence of walls, flooring, ceilings, etc. Informational (hazard communication) training for demolition supervisory staff and workers, and additional inspection by an accredited asbestos inspector during demolition may assist in identifying any other hidden or concealed materials that may exist in the building. Drawings and diagrams contained in this report are for informational purposes only, and proportion and scales are approximate. Inspection Methodology: Inspection Methodology The sampling and destructive investigation process was conducted in accordance with AHERA under Title 40 of the Federal Register, CDPHE Regulation 8, and other applicable industry standards (including EPA, NESHAP, OSHA asbestos regulations, and asbestos regulations.) Asbestos inspection activities were conducted by AHERA and State of Colorado accredited personnel. The scope of the asbestos inspection was to identify ACBM and included the following steps: Visual inspection of all accessible areas of the structure to identify suspect materials. Visual inspection of all areas of suspect ACBM. Determination of friability by touching all suspect ACBM. Development of a sampling plan for each material based on the homogeneous type, friability, and accessibility and material locations. Samples were submitted for laboratory analysis by Polarized Light Microscopy (PLM). - Inspection in two phases: comprehensive non-destructive inspection for accessible areas, followed by destructive investigation (creating large openings in walls, ceilings, chases, etc) to identify ACBM in previously inaccessible areas. A homogeneous area (material) is defined as an area containing a material that appears similar throughout with regard to color, texture, and date of application. Individual systems that were inspected, but not suspected to contain asbestos, are not included in this report. Such systems include carpet, fiberglass, plastic, and wood products. Each type of suspect building material (homogeneous area) was assigned an alpha material code, followed by a number to identify the different varieties of that building material. For example, ceiling tiles are designated by the material code of CT. Each type of ceiling the was denoted by subsequent type number (CT -01, CT -02, etc). Material size, thickness, substrate, material friability, location, and quantity were recorded. Material information was recorded on a room -by -room (functional space) inventory form (and/or Walsh Asbestos Inspection Form). The homogeneous area was classified into one of three available types of homogeneous material descriptions. - Surfacing Material refers to a wide range of trowel or spray -applied materials typically used for acoustical or fireproofing purposes. Examples include spray -applied fireproofing and acoustical texture ceilings. - Thermal System Insulation (TSI) refers to insulation that is applied to heating or mechanical system components. Examples include pipe, tank and boiler insulation. - Miscellaneous Materials refers to all other materials that do not fall into one of the above categories. Examples include floor tile, adhesives, and ceiling tiles. Once the homogeneous area was determined it was then classified as friable or nonfriable. The EPA distinguishes between friable and nonfriable forms of ACBM. Friable materials can be crumbled or reduced to powder by hand pressure, whereas nonfriable materials cannot. Friable materials are more likely to be released into the air, especially during renovation and demolition of a structure. Therefore, the distinction between friable and nonfriable homogeneous material is important. The following Bulk Sampling protocol for friable and Category I and II nonfriable materials was used to determine the number of samples to be collected for friable materials and nonfriable materials deemed potential Regulated Asbestos -Containing Material (RACM, nonfriable materials with potential to be rendered friable during normal demolition). https://www.spectora.com/reports/5140f04e-90fd-4407-be8d-230ce3ldl01b 5/1/18, 10:41 AM Page 3 of 8 Bulk Sampling Strategy Homogeneous Area Min No. of Samples < 1000 ft2 3 Friable Surfacing 1000 - 5000 ft2 5 >5000 ft2 7 Nonfriable Surfacing 3 Friable & Nonfriable Thermal System Insulation 3* Friable & Nonfriable Miscellaneous Materials 3* * One sample was collected for limited quantity replacement or patch (salient) materials. 2 - Sample Results INFORMATION Sample 1-1 / 1-2 / 1-3: Location Out Building Sample 1-1 / 1-2 / 1-3: Type of Material Siding Sample 1-1 / 1-2 / 1-3: Description Pressed Wood Sample 1-1 / 1-2 / 1-3: Appearance Brown, Gray, Homogeneous, Fibrous Sample 1-1 / 1-2 / 1-3: Asbestos Type None Detected Sample 2 -1 / 2 - 2 / 2 - 3: Location Out Building https://www.spectora.com/reports/5l4OfO4e-90fd-4407-be8d-230ce31dl01b 5/1/18, 10:41 AM Page 4 of 8 Sample 2 -1 / 2 - 2 / 2 - 3: Type of Material D rywa I I/Ta pe Sample 2 -1 / 2 - 2 / 2 - 3: Description Drywall Sample 2 -1 / 2 - 2 / 2 - 3: Appearance Brown, White, Fibrous, Homogeneous Sample 2 -1 / 2 - 2 / 2 - 3: Asbestos Type None Detected Sample 3 -1 / 3 - 2 / 3- 3: Location Living Areas Sample 3 -1 / 3 - 2 / 3- 3: Type of Material Popcorn Ceiling Sample 3 -1 / 3 - 2 / 3- 3: Appearance White, Homogeneous, Non -Fibrous Sample 3 -1 / 3 - 2 / 3- 3: Asbestos Type None Detected Sample 4 -1 / 4 - 2 / 4 - 3: Location Living Areas Sample 4 -1 / 4 - 2 / 4 - 3: Type of Material Drywall/Tape Sample 4 -1 / 4 - 2 / 4 - 3: Description Drywall, Plaster, Wallpaper Sample 4 -1 / 4 - 2 / 4 - 3: Appearance White, Tan, Homogeneous, Non -Fibrous, Beige, Blue Sample 4 - 1 / 4 - 2 / 4 - 3: Asbestos Type https://www.spectora.com/reports/5l40fO4e-9Ofd-4407-be8d-230ce3ld101b 5/1/18, 10:41 AM Page 5 of 8 None Detected Sample 5 -1 / 5 - 2 / 5 - 3: Location Living Areas, Entryway INSPECTIONS &ENVIRONMENTAL 91 ® P Powered by SPECTORA Summary +A General Sample Results OTHER REPORTS Asbestos Report Results 3850 Basement ous on ,f Material ption rance :os Type on Sample 7 -1 / 7 - 2 / 7 - 3: Type of Material Furnace Duct Tape Sample 7-1 /7-2/7-3: Appearance Brown, Fibrous, Homogeneous, Non -Fibrous https://www.spectora.com/reports/5l4OfO4e-90fd-4407-be8d-230ce3ldl0lb 5/1/18, 10:41 AM Page 6 of 8 Sample 8-1 /8-2/8-3: Location Basement Sample 8 -1 / 8 - 2 / 8 - 3: Type of Material Furnace Duct Wrap Sample 8 - 1 / 8 - 2 / 8 - 3: Appearance White, Fibrous, Homogeneous ASBESTOS TYPE ASbestos Detected 25% Chrysotile Qualified Professional ASBESTOS TYPE ASbestos Detected 35% Chrysotile Qualified Professional https://www.spectora.com/reports/5l40f04e-90fd-4407-be8d-230ce31d101b 5/1/18, 10:41 AM Page 7 of 8 ASBESTOS TYPE Asbestos Detected 35% - 55% Chrysotile Qualified Professional https://www.spectora.ccm/reports/5140f04e-90fd-4407-be8d-230ce31dl01b 5/1/18, 10:41 AM Page 8 of 8 OrderID: 221801631 Asbestos Chain of Custody EM�SLL Order Numb2erf (Lan use Only): EMSL ANALYTICAL. INC. EMSL ANALYTICAL, INC. 1010 YUMA ST. DENVER, CO 80204 PHONE: (303)740-5700 FAX: (303)741-1400 Company: HERO Ins ectlons & Environmental EMSL-Bill to: ® Same ❑ Different If BIU to is Different note instructions in Comments" Third Party Billing requires written authorization from third party Street: 3580 Smuggler Circle City: Boulder State/Province: CO Zi /Postal Code: 80305 Country: US Report To (Name): HERO Fax M Telephone M 303-500-3378 Email Address: hero HEROins ect.com Project Name/Number. 3 si) a Please Provide Results: Fax ® Email I Purchase Order: U.S. State Samples Taken: CO Turnaround Time ATO tions" - Please Check ❑ 3 Hours ❑ 6 Hours ® 24 Hrs I ❑ 48 Hrs I ❑ 3 Das 10 4 Das 10 5 Das I ❑ 10 Days 'For TEM Air 3 hours/6 hours, please call ahead to schedule -There is a premium charge for 3 Hour TEM AHERA or EPA Level 11 TAT. You Ad/be asked to sign an authorization form for this service. Anal 's com leted in accordance with EMSL's Terms and Conditions located in the Analytical Price Guide. PCM - Air ❑ NIOSH 7400 ❑ w/ OSHA 8hr. TWA TEM -Air ❑ AHERA 40 CFR, Part 763 ❑ NIOSH 7402 ❑ EPA Level II ❑ ISO 10312 TEM- Dust ❑ Microvac - ASTM D 5755 ❑ Wipe - ASTM D6480 ❑ Carpet Sonication (EPA 6001J-93/167) PLM - Bulk [reporting limit) ® PLM EPA 600/R-93/116 (<1%) ❑ PLM EPA NOB (<I%) Point Count ❑ 400 (<0.26%) ❑ 1000 (<O.1%) Point Count w/Gravimetric ❑ 400 (<0.25%) ❑ 1000 (<O.1%) ❑ NYS 198.1 (friable in NY) -❑ NYS 198.6 NOB (non -friable -NY) ❑ NIOSH 9002 <1% Soil/Rock/Vermiculite ❑ PLM CARB 435 - A (0.25% sensitivity) ❑ PLM CARB 435 - B (0.1% sensitivity) ❑ TEM CARB 435- B (0.1% sensitivity) ❑ TEM CARB 435 - C (0.01% sensitivity) ❑ EPA Protocol (Semi -Quantitative) ❑ EPA Protocol (Quantitative) TEM - Bulk ❑ TEM EPA NOB ❑ NYS NOB 198.4 (non -friable -NY) ❑ Chatfield SOP ❑ TEM Mass Analysis -EPA 600 sec. 2.5 TEM -Water: EPA 100.2 Fibers >10pm ❑ Waste ❑ Drinking All Fiber Sizes ❑ Waste ❑ Drinking - Other: ❑- - — - _ ❑ Check For Positive Stop - Clearly Identify Homogenous p Samplers Name: Greg Fowler Samplers Signatu Sample # Sample Description Volumel ea ( H Date/Time Sampled i -1-1 I 1-2 1-3 2-1 &4 �C z -z 2-3 `1 0V 3-t Pleco Client Sample # (s): - Total # of Samples: f C Relinquished (Client): Greg Fowler Date: - / Time: Received (Lab): Date: Time: • B5 Comments/Special Instructions: cacao-CUMCM-AureosCOC -Rl-msermoa Page 1 of A.__ pages Paqe 1 Of 2 OrderID: 221801631 Asbestos Chain of Custody EMSL ANALYTICAL, INC: & r- I EMSL Order Number (tab use Only): 1010 YUMA ST DENVER, CO 80204 EMSL ANALYTICAL, INC_ ( PHONE: (303)740-5700 �«-•�•.,,o•, FAX: (303)741-1400 Additional Pages of the Chain of Custody are only necessary if needed for additional sample information Sample # Sample Description Volume/Area (Air) HA # Bulk Date/Time Sampled v S� o Gv /--- C( -,.,Ll k -11K l .' r �- -E,\+rv7VIA, — /0(� 17- (ireIC' 3f *Comm eras/Spe c is I Instructions: Cwdmhd Oomnent—Asbestos COC -111 — 31181 M Page -2— of –a– pages Parra 9 of EMSL Analytical, Inc. 1010 Yuma Street Denver, CO 80204 Tel/Fax: (303) 740-57001(303) 741-1400 http:/twww.EMSL.com / denverlab@emsl.com Attention: HERO Inspections & Engineering Services HERO Inspections & Engineering Services 3580 Smuggler Circle Boulder, CO 80305 Project: 3850 Harlem EMSL Order: 221801631 Customer ID: HIES42 Customer PO: Project ID: Phone: (303) 500-3378 Fax: Received Date: 03/15/2018 3:55 PM Analysis Date: 03/15/2018 - 03/16/2018 Collected Date: 03/15/2018 Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-931116 Method using Polarized Light Microscopy Initial report from: 03/16/2018 16:00:06 ASB_PLM_0008_0001- 1.7£; Printed: 3/16/2018 2:00 PM Page 1 of 3 Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non-Flbrous % Type 1-1 Out Building Siding Brown/Gray 98% Cellulose 2% Non-fibrous (Other) None Detected Fibrous 221801631-0001 Homogeneous 1-2 Out Building Siding Brown/Gray 98% Cellulose 2% Non-fibrous (Other) None Detected Fibrous 221801631-0002 Homogeneous 1-3 Out Building Siding Brown 85% Cellulose 15% Non-fibrous (Other) None Detected Fibrous 221601631-0003 Heterogeneous Inseparable paint/coating layerinduded in analysis 2-1 Out Building Drywall Brown/White 20% Cellulose 70% Gypsum None Detected Fibrous 10% Non-fibrous (Other) 221801631-0004 Homogeneous 2-2 Out Building Drywall Brown/White 20% Cellulose 70% Gypsum None Detected Fibrous 10% Non-fibrous (Other) 221801631-0005 Homogeneous 2-3 Out Building Drywall White 15% Cellulose 70% Gypsum None Detected Fibrous 15% Non-fibrous (Other) 221601631-0006 Homogeneous 3-1 House Popoom White 15% Ca Carbonate None Detected Ceiling Non -Fibrous 85% Non-fibrous (Other) 221601631-0007 Homogeneous Inseparable paint/coating layerinduded in analysis 3-2 House Popoom White 15°x6 Ca Carbonate None Detected Ceiling Non -Fibrous 85% Non-fibrous (Other) 221801631-0008 Homogeneous Inseparable paint/coating layerinduded in analysis 3-3 House Popoom White 10% Ca Carbonate None Detected Ceiling Non -Fibrous 90% Non-fibrous (Other) 221801631-0009 Heterogeneous Inseparable paint/ coating layer included in analysis 4 -1 -Wallpaper House Drywall White/Beige 30% Cellulose 70% Non-fibrous (Other) None Detected Fibrous 221801631-0010 Heterogeneous Inseparable paint/ coating layer included in anaWs 4 -1 -Texture House Drywall White/Beige 15% Ca Carbonate None Detected Non -Fibrous 85% Non-fibrous (Other) 221801631-OOIOA Heterogeneous Inseparable paint/coating layerinduded in analysis 4 -1 -Tape House Drywall Beige 98% Cellulose 2% Non-fibrous (Other) None Detected Fibrous 221801631-OOIOB Homogeneous 4 -1 -Skim Coat House Drywall White 5% Ca Carbonate None Detected Non -Fibrous 95% Non-fibrous (Other) 221801631-OOIDC Homogeneous 4 -1 -Plaster House Drywall Tan 15% Ca Carbonate None Detected Non -Fibrous 85% Non-fibrous (Other) 221601631-00100 Homogeneous Initial report from: 03/16/2018 16:00:06 ASB_PLM_0008_0001- 1.7£; Printed: 3/16/2018 2:00 PM Page 1 of 3 EMSL Analytical, Inc. EMSL Order: 221801631 Customer ID: HIES42 1010 Yuma Street Denver, CO 80204 Customer PO: Tel/Fax: (303) 740-5700 / (303) 741-1400 http://www.EMSL.com / denvedab@emsl.com Project ID: Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy 4 -3 -Drywall House Drywall White 15% Cellulose Non -Asbestos 221601631-0014 Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type 4 -2 -Texture House Drywall White/Blue 100% Non-fibrous (Other) None Detected 15% Ca Carbonate None Detected Non -Fibrous None Detected Non -Fibrous 85% Non-fibrous (Other) 221801631-0011 Entry Vinyl Flooring Heterogeneous 70% Non-fibrous (Other) 20% Chrysotile Inseparable paint/coating /ayerinduded in analysis Bathroom Wall 221801631-0013A 5% Non-fibrous (Other) Homogeneous 4 -2 -Tape House Drywall Beige 98% Cellulose 2% Non-fibrous (Other) None Detected Heterogeneous Fibrous Inseparable paint/coating layerinduded in analysis 221801631-0011A Homogeneous Bathroom Wall Tan/White 100% Non-fibrous (Other) 4 -2 -Joint Compound House Drywall White Non -Fibrous 15% Ca Carbonate None Detected 221801631-00164 Non -Fibrous 85% Non-fibrous (Other) Inseparable paint/ coating layerinciuded in analysis 221801631-00118 Homogeneous 6 -2 -Wall Covering Bathroom Wall Brown 98% Cellulose 4 -2 -Drywall House Drywall Brown/Gray 15% Cellulose 70% Gypsum None Detected 221801631-W17 Fibrous Homogeneous 15% Non-fibrous (Other) 221601631-0011c Bathroom Wall Homogeneous 100% Non-fibrous (Other) None Detected 4 -3 -Wallpaper House Drywall White/Beige 45% Cellulose 55% Non-fibrous (Other) None Detected Homogeneous Fibrous 221801631-0012 Homogeneous 4 -3 -Texture House Drywall White/Yellow 15% Ca Carbonate None Detected Non -Fibrous 85% Non-fibrous (Other) 221801631-0012A Heterogeneous Inseparable paint/coating layerinduded in analysis 4 -3 -Drywall House Drywall White 15% Cellulose 70% Gypsum None Detected 221601631-0014 Homogeneous Fibrous 15% Non-fibrous (Other) 221801631-00128 Fibrous Homogeneous Homogeneous 5 -1 -Top Mastic Entry Vinyl Flooring Brown 100% Non-fibrous (Other) None Detected Entry Vinyl Flooring Tan Non -Fibrous None Detected 221801631-0013 Homogeneous 5 -1 -Flooring Entry Vinyl Flooring Brown/Beige 10% Cellulose 70% Non-fibrous (Other) 20% Chrysotile Fibrous Bathroom Wall 221801631-0013A 5% Non-fibrous (Other) Homogeneous Result includes a small amount of inseparable attached bottom mastic Fibrous 5 -2 -Top Mastic Entry Vinyl Flooring Brown 100% Non-fibrous (Other) None Detected Brown/Gray 15% Cellulose Non -Fibrous 221601631-0014 Homogeneous 5 -2 -Flooring Entry Vinyl Flooring Brown/Beige 10% Cellulose 70% Non-fibrous (Other) 20% Chrysotile Fibrous 221801631-0014A Homogeneous Result includes a small amount of inseparable attached mastic 5 -3 -Flooring Entry Vinyl Flooring Brown/Gray 15% Cellulose 60% Non-fibrous (Other) 25% Chrysotile Fibrous 221801631-0015 Homogeneous 5 -3 -Mastic Entry Vinyl Flooring Tan 100% Non-fibrous (Other) None Detected Non -Fibrous 221801631-0015A Homogeneous 6 -1 -Wall Covering Bathroom Wall Brown[White 95% Cellulose 5% Non-fibrous (Other) None Detected CoveringlBoard Fibrous 221801631-0016 Heterogeneous Inseparable paint/coating layerinduded in analysis 6 -1 -Mastic Bathroom Wall Tan/White 100% Non-fibrous (Other) None Detected Covering/Board Non -Fibrous 221801631-00164 Heterogeneous Inseparable paint/ coating layerinciuded in analysis 6 -2 -Wall Covering Bathroom Wall Brown 98% Cellulose 2% Non-fibrous (Other) None Detected Covering/Board Fibrous 221801631-W17 Homogeneous 6 -2 -Mastic Bathroom Wall Tan 100% Non-fibrous (Other) None Detected Covering/Board Non -Fibrous 221801631-0017A Homogeneous Initial report from: 03/16/2018 16:00:06 ASB_PLM_0008.0001- 1.7 Printed: 3/16/2018 2:00 PM Page 2 of 3 EMSL Analytical, Inc. EMSL Order: 221801631 Customer ID: HIES42 1010 Yuma Street Denver, CO 80204 Customer PO: Tel/Fax: (303) 740-5700 / (303) 741-1400 http://wEMSL.com / denveriab@emsl.com Project ID: ww. Test Report: Asbestos Analysis of Bulk Materials via EPA 600IR-931116 Method using Polarized Light Microscopy Analyst(s) Gentry Catlett (27) Timothy K/eehammer (12) av�_��a Amanda Lang, Asbestos Laboratory Manager or Other Approved Signatory EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non -friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1% Samples analyzed by EMSL Analytical, Inc. Denver, CO NVLAP Lab Code 200828-0 Initial report from: 03/16/2018 16:00:06 ASS -PLM -0008-0001 - 1.78 Printed: 3/16/2018 2:00 PM Page 3 of 3 Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type 6 -3 -Wall Covering Bathroom Wall Brown 85% Cellulose 15% Non-fibrous (Other) None Detected Covering/Board Fibrous 221801631-0018 Homogeneous 6 -3 -Mastic Bathroom Wall Tan 100% Non-fibrous (Other) None Detected Covering/Board Non -Fibrous 221801631-0018A Homogeneous 7-1 Furnace Duct Tape White 60% Cellulose 5% Non-fibrous (Other) 35% Chrysotile Fibrous 221801631-0019 Homogeneous 7-2 Furnace Duct Tape White 60% Cellulose 5% Non-fibrous (Other) 35% Chrysotile Fibrous 221801631-0020 Homogeneous 7-3 Furnace Duct Tape White 55% Cellulose 20% Non-fibrous (Other) 25% Chrysotile Fibrous 221801631-0021 Homogeneous 8-1 Duct Wrap White 30% Cellulose 15% Non-fibrous (Other) 55% Chrysotile Fibrous 221801631-0022 Homogeneous 8-2 Dud Wrap White 30% Cellulose 15% Non-fibrous (Other) 55% Chrysotile Fibrous 221M1631-0023 Homogeneous 8-3 Duct Wrap White 25% Cellulose 20% Non-fibrous (Other) 55% Chrysotile Fibrous 221801631-0024 Homogeneous Analyst(s) Gentry Catlett (27) Timothy K/eehammer (12) av�_��a Amanda Lang, Asbestos Laboratory Manager or Other Approved Signatory EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non -friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1% Samples analyzed by EMSL Analytical, Inc. Denver, CO NVLAP Lab Code 200828-0 Initial report from: 03/16/2018 16:00:06 ASS -PLM -0008-0001 - 1.78 Printed: 3/16/2018 2:00 PM Page 3 of 3 City of Wheat Ridge Residential Demoliti PERMIT - 201801290 PERMIT NO: 201801290 ISSUED: 05/04/2018 JOB ADDRESS: 3850 Harlan ST EXPIRES: 05/04/2019 JOB DESCRIPTION: Removal of VAT vinyl floor tile, 60 square feet. State of Colorado CDPHE Asbestos Abatement Permit#18JE2272A *** CONTACTS *** OWNER (303)506-0822 SUSAN WHATLEY SUB (303)239-1457 Tim Graffam 180024 24/7 Flood Response *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 140 / Converted Residences; 0 BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,000.00 FEES Total Valuation 0.00 Demolition Fee 50.00 ** TOTAL ** 50.00 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. 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 furttre ttest-thattam legally authorized to include all entities named within this document as parties to the work to be pertormed and thgjAll w ork to berperformed is disclosed in this document and/or its accompanying approved plans and specifications. Signature o j Ems` or CONTRACTOR (Circle one) Date 1. This p&mrt-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 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 o�a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicabl�de or any ord trice or regulation 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 Or W ,Omm 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 OFFI E USE ONLY Date:5117111/1 y Plan/Permit # Plan Review Fee: �L , Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: ProDertv Owner Property Owner Email: Tenant (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: � 1.5� � Bc;l z ,.z� Zi Architect/Engineer E-mail: Phone: Contractor: -,2 41- 17 =l Phone: '3vl'3--nP-;Z2 City of Wheat Ridge License #: /91Pd2 Phone: 303 -?37 1 ` ,1l Contractor E-mail Address: Y -cry: +4- _,-;,, (c:, For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Phone:' l 1� CONTACT EMAIL (please print):___ Sub Contractors (Must provide Wheat Ridge License No.): 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 # ❑COMMERCIAL RESIDENTIAL 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. Commercial Projects Only: Occupancy Type: Sq. FULF CC- BTUs Amps Squares Construction Type: Gallons Project Value: (Contract value or the cost of all materials and labor included in the entire project) (/''rr? (" 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) L Signature (first and last nagne): Printed Name: I ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer REPRESENTATIVE) DEPARTMENT USE ONLY of (OWNER) (CONTRACTOR) DATE: 4z� OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: i -- _ •� :v N� ai >� m Q N a� n n 0 in 0 CL n N U O U n N y 0 T C ll � n 5 = n � U L_ to L 3 C O n � Q Lts > i1 N C 3 E S N C of O . w Lo co 1 � 7 > O 1 U U QI 1 m 1 w � i 3 N I (U N I T � cis L i SZ _0 C: a m I Eco m -0 rn L) U c � @ w T L N O) Q cCc C a m 0 E � Cc C ' T U C M E -0 U) C C O CN _- o> U O — E c U LL 9 ® W v EEE Li z o a1 L1 .a : Z EI 0 Z an D C] 0- U O -8 U ��ul O: W o a .0 < (n vC) fn � Qc° a z U �oaa W m a s c > o � Oi k ..BILo Z ZIOM m M d L _ o 0 0 o 10 O - M N O c- CO in m U) U >, < a o ^i J OIO O L U V{� W j4 o 0 0 70 a. 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E� (o 00 E o m z Cn (t3 c Ln z a o Q Y a N U< m N L^ M _ < O E O U U) U m in M y a° u°. a L � L CL L o O L c 'a N O ti L 3 p OCY) co Lid N E L NL»t(O Cn® - > o cLO < cp0) O^ d � ® a) m Ma) C a1 ® 0 U LO U C i (c o �®~>CLo Z j U))-'Ctf,7 i a W o W �® V F- <Q p 3 1 N1 1 0 _ (n ® a) C 3 d U V c a H ani> m�F- .Q N 3 m (o> � m nN C N _ � L cc °- 0 ° 7 ca L U < O z N (U ti _ C u) _ �mC m O CD > C13 �H n c @ z a W m 2 O 0 C NUC o 2""1a1 r. v c 8 < oP m E (1) L. LL F '� N T !f 21 O E N 47 m co u in v m w Ln aC) w � a 1 I a 0 a o� \ _ CL O 00 It ,i' 1 z d IV co O r (O .� N � a1 N U� m 0 ) c Q N rn rn N - -. f0 O r N U _ N O N O (� C w R N U U U u CO O N ,a p x0 MM O 0 �o C CO O CL "' L a < a U N o O N N V a c� C _o° LL 0 G p �� U E L m � U N O a m z �, m Z O � t a N to E Cn U o L m -0 CO aD C 2 �t D *k u. m it m v >, O C Q\ U C U N Q Cc: m < U 0 �U CLC) o a 0_ a o C) '� ° N Z. LJ) U? a E 0 a co a o mM ° O a1 O o �Q a�M a U in v r_ a U (.) _ O U U a O 2,IE Q N a� n n 0 in 0 CL n N U O U n N y 0 T C ll � n 5 = n � U L_ to L 3 C O n � Q Lts > i1 N C 3 E S N C of O . w Lo co 1 � 7 > O 1 U U QI 1 m 1 w � i 3 N I (U N I T � cis L i SZ _0 C: a m I Eco m -0 rn L) U c � @ w T L N O) Q cCc C a m 0 E � Cc C ' T U C M E -0 U) C C O CN _- o> U O — E c U LL EMSL Analytical, Inc. 1010 Yuma Street Denver, CO 80204 Tel/Fax: (303) 740-5700 / (303) 741-1400 - hftp://www.EMSL.com / denverlab@emsl.com Attention: HEKU Inspections & Engineering Services HERO Inspections & Engineering Services 3580 Smuggler Circle Boulder, CO 80305 Project: 3850 Harlem EMSL Order: 221801631 I Customer lD: HIES42 Customer PO: Project ID: Phone: (303) 500-3378 Fax: Received Date: 03/15/2018 3:55 PM Analysis Date: 03/15/2018 - 03116/2018 Collected Date: 03/15/2018 Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-931116 Method using Polars, m.:. Light Microscopy Sample Description Appearance Non -Asbestos % Fibrous % Non Asbestos 85% Non-fibrous (Other) 221801631-OOI OA Heterogeneous -Fibrous % Type 1-1 Out Building Siding Brown/Gray 98% Cellulose 2% Non-fibrous (Other) None Detected 2% Non-fibrous (Other) None Detected�Y Fibrous Fibrous 221801631-0001 Homogeneous Homogeneous 4 -1 -Skim Coat House Drywall White 1-2 Out Building Siding Brown/Gray 98% Cellulose 2% Non-fibrous (Other) None Detected 221801631-0010C Homogeneous Fibrous 4 -1 -Plaster House Drywall Tan 221601631-0002 None Detected Homogeneous Non -Fibrous Homogeneous 85°% Non-fibroa: (Other) 1-3 Out Building Siding Brown 85% Cellulose 15% Non-fibrous (Other) None Detected - - - - - Initial report from: 03/16/2018 16:00:06 Fibrous Printed: 3/16/2018 2:00 PM 221801631-0003 Heterogeneous Inseparable paint coating layer included in analysis 2-1 Out Building Drywall Brown/White 20°% Cellulose 70°% Gypsum None Detected Fibrous 10°% Non-fibrous (Other) 221801631-0004 Homogeneous 2-2 Out Building Drywall Brown/White 20% Cellulose 70% Gypsum None Detected w Fibrous 10% Non-fibrous (Other) 221801631-0005 Homogeneous 2-3 Out Building Drywall White 15% Cellulose 70°% Gypsum None Detected Fibrous 15°% Non-fibrous (Other) 221801631-0006 Homogeneous 3-1 House Popcorn White 15% Ca Carbonate None Detected Ceiling Non -Fibrous 85% Non-fibrous (Other) 221801 63 1-000 7 Homogeneous Inseparable paint / coating layer included in analysis 3-2 House Popcorn Ceiling 221801631-0008 Inseparable paint/coating layer included in analysis 3-3 House Popcorn Ceiling 221801631-0009 Inseparable paint /coating layer included in analysis White 15% Ca Car,?onate None Detected Non -Fibrous 85% Non-fibrous (Other) Homogeneous White 10% Ca Carbonate None Detected Non -Fibrous 90% Non-fibrous (Other) Heterogeneous 4- I -vvaupdper mouse urywall White/Beige 30% Cellulose 70% Non-fibrous (Other) None Detected Fibrous 221801631-0010 Heterogeneous Inseparable paint / coating layer included in analysis 4- 1- texture mouse Drywall White/Beige 15% Ca Carbonate None Detected W Non -Fibrous 85% Non-fibrous (Other) 221801631-OOI OA Heterogeneous Inseparable paint / coating layer included in analysis 4 -1 -Tape House Drywall Beige 98% Cellulose 2% Non-fibrous (Other) None Detected�Y Fibrous 221801631-00106 Homogeneous 4 -1 -Skim Coat House Drywall White 5% Ca Carbonate None Detected Non -Fibrous 95% Non-fibrous (Other) 221801631-0010C Homogeneous 4 -1 -Plaster House Drywall Tan 15% Ca Carnonate None Detected 221801631-0010D Non -Fibrous Homogeneous 85°% Non-fibroa: (Other) - - - - - Initial report from: 03/16/2018 16:00:06 Printed: 3/16/2018 2:00 PM EMSL Analytical, Inc. EMSL Order: 221801631 1010 Yuma Street Denver, CO 80204 Customer ID: HIES42 Tel/Fax: (303) 740-5700 / (303) 741-1400 Customer PO: http://www.EMSL.com/denverlab@emsi.com Project ID: Test Report: Asbestos Analysis of Bulk Materials via EPA 600IR-931116 Method using Polarized Light Microscopy Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type 4 -2 -Texture House Drywall White/Blue 15% Ca Carbonate None Detected T, Non -Fibrous 85% Non-fibrous Other 221801631-0011 Heterogeneous (Other) Inseparable paint coating layer included in analysis 4 -2 -Tape House Drywall Beige 98% Cellulose 2% Non-fibrous (Other) None Detect'' Fibrous 221801631-oo11A Homogeneous 4 -2 -Joint Compound House Drywall White 15% Ca Carbonate None Detected Non -Fibrous 85% Non-fibrous Other zzlso1s31-0one Homogeneous (other) 4-2-Drywall House Drywall Brown/Gray 15% Cellulose 70% Gypsum None Dete07 Fibrous 15% Non-fibrous Other z21ao1s31-oattc Homogeneous (Other) 4-3-Wallpaper House Drywall White/Beige 45% Cellulose 55% Non-fibrous (Other) None Cetected Fibrous 221801631-0012 Homogeneous 4 -3 -Texture House Drywall White/Yellow 15% Ca Carbonate None Detected Non -Fibrous 85% Non-fibrousOther 221801631-0012A Heterogeneous Non-fibrous( ) Inseparable paint/ coating layer included in analysis 4-J-Urywall House Drywall White 15% Cellulose 70% Gypsum None Detected z21ao1s31-colza Heterogeneous Fibrous Homogeneous Inseparable paint / coating layer included in analysis 15% Non-fibrous Other (Other) 5-1-Top Mastic Entry Vinyl Flooring Brown Covering/Board 100% Non-fibrous (Other) None Detected 221801631-0017 Homogeneous Non -Fibrous 6 -2 -Mastic Bathroom Wali Tan 100% Non-fibrous (Other) None Detect= 1W Y 221801631-0013 Non -Fibrous Homogeneous 221801631-0017A Homogeneous 5 -1 -Flooring Entry Vinyl Flooring Brown/Beige 10% Cellulose 70% Non-fibwus (hither) 20% Chrysotile Printed: 3/16/2018 2:00 Fibrous 221801631-0013A Homogeneous Result includes a small amount of inseparable attached bottom mastic 5 -2 -Top Mastic Entry Vinyl Flooring Brown 100% Non-fibrous (Other) None Detected Non -Fibrous 221801631-0014 Homogeneous 5 -2 -Flooring Entry Vinyl Flooring Brown/Beige 10% Cellulose 70% Non-fibrous (Other) 20% Chrysot ie Fibrous 221801631-0014A Homogeneous Result includes a small amount of inseparable attached mastic 5 -3 -Flooring Entry Vinyl Flooring Brown/Gray 15% Cellulose 60% Non-fibrous (Other) 25% Chrysotile _ _. _--.. Fibrous 221801631-0015 Homogeneous 5 -3 -Mastic Entry Vinyl Flooring Tan 100% Non-fibrous (Other) None Detected Non -Fibrous 221801631-0015A Homogeneous 6 -1 -Wall Covering Bathroom Wail Brown/White 95% Cellulose 5% Non-fibrous (Other) None Detected Covering/Board Fibrous 221801631-0016 Heterogeneous Inseparable paint/ coating layer included in analysis 6 -i -Mastic Bathroom Wall Tan/White 100% Non-fib-e.is (Other) None Detected Covering/Board Non -Fibrous 221801631-0016A Heterogeneous Inseparable paint / coating layer included in analysis 6 -2 -Wall Covering Bathroom Wali Brown 98% Cellulose 2% Non-fibrous (Other) tJvn Covering/Board Fibrous 221801631-0017 Homogeneous 6 -2 -Mastic Bathroom Wali Tan 100% Non-fibrous (Other) None Detect= 1W Y Covering/Board Non -Fibrous 221801631-0017A Homogeneous — -- -- -- Initial report from: 03/16/2018 16:00:06 Printed: 3/16/2018 2:00 PM Page 2 of 3 40- EMSL Analytical, Inc. EMSL Order: 221801631 1010 Yuma Street Denver, CO 80204 Customer ID: H I ES42 Tel/Fax: (303) 740-5700 / (303) 741-1400 Customer PO: hftp://www.EMSL.com / denverlab@emsl.mm Project ID: Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-931116 Method using Polarized Light Microscopy Sample Description Appearance Non -Asbestos % Fibrous % Non -Fibrous ArJAwOr, Type 6 -3 -Wall Covering Bathroom Wall Brown 85% Cellulose 15% Non-fibrous (Other) None Detected Covering/Board Fibrous 221801631-0018 Homogeneous 6 -3 -Mastic Bathroom Wall Tan Covering/Board Non -Fibrous 100% Non-fibrous (Other) None DetecteJ 221801631-0018A Homogeneous 7-1 Furnace Duct Tape White 60% Cellulose 5% Non-fibrous (Other) 35% c Jhrr Fibrous 221801631-0019 Homogeneous 7-2 Furnace Duct Tape White 60% Cellulose 5% Non-fibrous (Other) 35% Chrysotile Fibrous 221801631-0020 Homogeneous 7-3 Furnace Duct Tape White 55% Cellulose 20% Non-fibrous(Other) ( ) % 25 / Chrysotile Fibrous 221801631-0021 Homogeneous 8-1 Duct Wrap White 30% Cellulose 15% Non-fibrous (Other) 55% Chrysotile Fibrous 221801631-0022 Homogeneous 8-2 Duct Wrap White 30% Cellulose 15% Non-fibrous(Other) ) 55 / rhrysut 1 Fibrous. 221801631-0023 Homogeneous 8-3 Duct Wrap White-- 25% Cellulose 20% Non-fibrous (Other) _ 55'/' C,hr/s t Fibrous „ 221801631-0024 Homogeneous Analyst(s) Gentry Catlett (27) Timothy Kleehammer (12) 1 Amanda Lang, Asbestos Laboratory Manager or Other Approved Signatory EMSL maintains liability limited to cost of analysis _ This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. Non -friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless requested by the client, building materials manufactured with multiple layers (i e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1% Samples analyzed by EMSL Analytical, Inc. Denver, CO NVLAP Lab Code 200828-0 Initial report from: 03/16/2018 16:00:06 Printed: 3/16/2018 2:00 PM Page BUILDING INSPECTION CITY OF WHEATRl Date: 75 00 WEST 29TH A VENUE WHEAT R # 80 115 P r op erty Property Cont ractor w 4 �, *• r Pho ; ,5 o x Ph one , : ON .., Chl ef " B u ilding +- « —ma PE RMIT THIS e BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PR M INSPECTION