The URL can be used to link to this page

Home My WebLink About44 Hillside Driveo Wheatgo REX e° ENVIRONMENTAL Limited Asbestos Inspecdon Report Inspection Date: 11/18/2021 Reason for inspection: Suspect Material REX Project# JI.7580 Prepared for: Jeff Kiyoi 44 N. Hillside Dr, Wheat Ridge, CO 80215 + .�: a J e e see, e v Prepared by Rex Environmental CDPHE Asbestos Inspector # 26723 CDPHE Firm #23959 Info(dRexEnvironmenlal.COm www.RexEnvironmcntal.com (303) 500-2986 'A BLEND OF DEDICAMN. EXPERIENCE, AND TRUST' E N V I R O N M E N T A L 'A BLEND OF OEOICAMN. EXPERIENCE, AND TRUST' Table of Contents o Wnaaigo 1. Introduction u` o. II. Homogeneous Area Table IIL Site Map a "-c- IV. Recommendations V. Asbestos Inspection VL Limitations VII. Appendix A Firm Certificate E N V I R O N M E N T A L 'A BLEND OF OEOICAMN. EXPERIENCE, AND TRUST' o Wheatq u` REX W ENVIRONMENTAL Valued Client, Rex Environmental was pleased to be contracted and authorized to perform a limited asbestos survey for this property. This limited asbestos survey was conducted for the purpose of identifying the presence of asbestos containing materials (ACM) in the areas of the building/home that was par[ of the scope of work communicated to Rex Environmental as required by state and/or federal agencies. The survey was performed by Colorado Department of Public Health and Environment (CDPHE) certified asbestos inspector and in compliance with applicable federal, state and local regulatory rules. Asbestos Products were NOT found in areas tested.- Ali ested: All samples collected at this property were negative for asbestos containing material. All samples were nom -detect. �l See the attached copy of lab analysis and limited asbeatos survey ieport for detailed orientation on the Survey performed. Rex Environmental greatly appreciates the opportunity to be your environmental consulting company. Please feel free to call with any questions, concerns, or additional assistance regarding this report. Sincerely, daz Tyson Ball Certified Inspector Rex Environmental Info@RexEnviroFlmenml.com (303) 500-2986 'A BLEND OF DEDICATION. EXPERIENCE, AND TRUST' II. Homogeneous Area Table HA —Homogeneous Area CHRY - Chrysotile SM - Surfacing Material ND —Non -detect BSMT-Basement MM - Miscellaneous Material TR — Trace F -Friable SL -Second Level swJhory ML -Main Level NF -Non -Friable 9 a Sample Location Material LMNG ROOM WALL SM LIVING ROOM WALL SM TEXTURED DRYWALL LIVING ROOM WALL SM JOINT COMPOUND LIVING ROOM WALL MM JOINT COMPOUND LIVING ROOM WALL MM TEXTURED PLASTER BEDROOM W SM TEXTURED PLASTER CLOSET W SM TEXTURED PLASTER CLOSET WAL ,, SM Materiao p' m + 90 Ovaria ....... .....'.......... F1. GOOD 200 GOOD 200 GOOD 200 FRIABLE Asbestos G.D. Y NON -DETECT Y NON -DETECT Y NON -DETECT GOOD 2M Y NON -DETECT GOOD 200 Y NON -DETECT GOOD 4W Y NON -DETECT GOOD 464) Y NON -DETECT GOOD 460 Y NON -DETECT QUANTITIES ARE APPROXIMATE AND SHOULD BE VERIFIED FOR ANY ESTIMATING, PERMITTING, AND REMOVAL PURPOSES E N V I R O N M E N T A L 'A BLEND OF DEDICATION. EXPERIENCE, AND TRUST' III. Site Map Livingroom DW02j C0 W jj 4.1 ft P07 o Closet o P08 h 5.9 ft Bedroom o C o Wneaigo a MEASUREMENTS ARE APPROXIMATE AND SHOULD BE VERIFIED FOR ANY ESTIMATING, PERMITTING, AND REMOVAL PURPOSES. 'A BLEND OF DEDICAMN. EXPERIENCE, AND TRUST' IV. Recommendations Asbestos was not identified within building materials throughout the property that were within the scope of the limited inspection and bulk -sampling performed, professional abatement activities are not required for this project to remove or disturb any of the areas tested for asbestos containing materials. All work associate) wtdhtq� these materials can be done by Contractor. Asbestos Products were NOT Pound in areas tested. Is o oeit • All samples collected at this propeny, were negative for asbestos containing matenal. All samples were non -detect See the attached copy of lah analysis and limited asbestos survey report for detailed information on the survey pelf ed. REX environmental made reasonable effort to locate and sample accessible suspect building materials based on scope of work from its client. For any structure, the presence of building materials hidden beyond access is a strong possibility. If any suspect or unknown material is discovered, all work should stop until material is analyzed to determine if its asbestos containing material. E N V I R O N M E N T A L 'A BLEND OF OEOICAIION. EXPERIENCE, AND TRUST' V. Asbestos Inspection This asbestos inspection was conducted in general accordance with the United States EPA procedures published in 40 Code of Federal Regulations (CFR) Pan 763, Subpart E Asbestosmonmining MUefials in Schools and Colorado Regulation 8. These inspection protocols specify requirements for the inspector (Section 76385), laboratory (Section 963.86). This asbestos inspection involved identification and sampling of specific homogenous areas of suspect ACM in the specific areas that could be impacted by omhoi rimovatiommanediation activities as requested by the client. Suspect ACM includes nearly all building materials except cooema glass, metal, wood, plastic, and ceramic A physical assessment of each homogeneous area of suspect ACM was conducted to !Of m the general condition of the materials ad determine the liability of the material. Under due Nation Emissions Standards forgfamuc us Air Pollutants (NESHAP), asbestos -containing building materials are classified as either friable, Category I nonfnable or Cat* non Unable ACM as described below: n Non -friable ACM when dry, cannot be crumbled, pulverized or reduced in powder by hand pressure. a Friable ACM when dry, em be emmbled, pulverized or reduced in powder by hand pressure. n Category I von-fiiable ACM includes packings, gaskets, resilient Floor covers, and asphalt roofing products containing more than I%asbestos. S- Category II man -friable ACM are materials excluding Category I von -triable ACM materials that contain am than 1%asbestos. Bulk samples of suspect ACM were collected on general accordance with the Asbestos Hazard Emergency Response Act (AIIERA) protocols as outlines in Colorado Reg. 8 Random samples of suspect building materials were collected for the specific areas and materials identified in this report. Surfacing materials sampled in this report include, but arc but limited to overspray, and droppings, which may be must Flooring materials, adjacent walls, strommom beams, and other concealed Burns. Colorado Department of Public Health and Environment ler Regulation k8 define ACM as material containing more than 1% asbestos. If sample analysis results in <I%then sample can be point counted. If sample is under 1% it becomes Non -Regulated Asbestos Containing Material. Recognition of Homogeneous Areae: Homogeneous material means an area of surfacing material, thermal system insulation material, or miscellaneous material that is uniform in color and texture (date of application of material loofa the same). It should be pointed out Nat appears to be homogeneous and adjacent to each other may in fact have diff nt contents in tells of asbestos, and only laboratory testing will decide exact concentration. Sampling was conducted per Colorado Regulation N8 guidelines. Min =s are • 3- Samples per area of surfacing materials less than 1,000 square font. • 5- Samples per area of surfaemg Filings between 1,000-5,001) square feet. • 7- Samples per area of sufficing materials greater Nan 5,000 square feet. • 2- Sample of miscellaneous materials Title 40 CFR Part 61 regulates asbestos fiber emissions and asbestas waste disposal practices, and also requires the identification and classification of existing building materials prior to demolition or renovation activity. E N V I R L 'A BLEND OF INDICATION. EXPERIENCE, AND TRUST' VI. Limitations Rex Environmental assumes no liability for any loss, injury, claim, or damages arising directly or indirectly from any use or reliance on this inspection report or the opinions expressed herein. Rex Environmental makes no risk assessment, warranty, guarantee or insurance policies of any kind, Tgmsfq or implied. This report is limited only to the areas) inspected. There are no risk assessments, vL*nauyes, $ guarantees, or insurance available or provided by Rex Environmental. Additional sampling may be needed to further identify other materials affected by air; so renovation/remediation in the future. This report was prepared pursuant to the contract Rex Environmental has with the client, including an exchange of information about the property that was unique and between Rex Environmental and its client. No guarantees are made arising from any service rendered and liabilities hereunder shall not exceed the total fee paid by the client and Rex Environmental. This report does not serve as a scope of work or bidding document. E N V I R O N M E N T A L 'A BLEND OF OEOICAMN. EXPERIENCE, AND TRUST' VII. Appendix A Firm Certificate wnea�q� MM n 4+ �yryjH I� � S.0 ISrgT^ � s 3 _ azo w sa 0 o r o� D �nC a 2 ny g e 8 o^,E7 F MM n 4+ �yryjH I� 'A BLEND OF OEOICAMN. EXPERIENCE, AND TRUST' � S.0 ISrgT^ 'A BLEND OF OEOICAMN. EXPERIENCE, AND TRUST' EIW�.Ct'W'09 MW REI ILABReservairH Environmental, Inc. Tyson Ball Rex Environmental PO Box 440594 Aurora CO 80044 Dear Tyson, 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 Cade 101896-0 for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the American Industrial Hygiene Association (AIHA LAP, LLC), Lab ID 101533 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 510864-1 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, as received by Me customer. 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, L,�%;ibleseny%' Jeanne Spencer President DATA OA haL, erwhearga 0 It_ November 18, 2021 boOa w Laboratory Report: RES 510864-1 y/J Project #/P.O.#: TO 7580 e ofera. Proled Description: 44 N Hillside or Tyson Ball Rex Environmental PO Box 440594 Aurora CO 80044 Dear Tyson, 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 Cade 101896-0 for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the American Industrial Hygiene Association (AIHA LAP, LLC), Lab ID 101533 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 510864-1 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, as received by Me customer. 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, L,�%;ibleseny%' Jeanne Spencer President DATA OA haL, RESERVOIRS ENVIRONMENTAL, INC NVLAP Leb Code 1018%0 AIHA LAP, LLC. LN310101533 TABLE:I ANALYSIS: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: RES 510864-1 Client: Rex Environmental Client Projec ..O.: TB 7580 Client Project Description: 44 N Hillside Dr Date Samples Received: November 18, 2021 Analysis Type: EPA 600IR-93/116-Short Repo", Bulk Turnaround: Rush Date Samples Analyzed. November 18, 2021 Ebwe�rll Mm o Whealge L A Sub IN Asbestos Content e WNA North Fibrous Y B Pa" =con Visual Fibrous TR E Laboratory Semple ID L A Sub IN Asbestos Content Now Asbestos North Fibrous Y Physical Pa" Mineral Visual Fibrous Components E Deacriptbn EsBmete Components Client Sample Number R (%) (%) M) (%) 510864- DW(1 A Tan/gray drywall wl gray/multi-colored paint 100 NO 65 35 510884- DW02 A Tan/gray drywall col grey/multi-colored paint 100 NO 60 40 510864- OW03 A Grey/multlrolored paint wl white compound 35 NO 0 100 B Tan/gray drywall 65 ND 65 35 510884- JC04 A White tape 10 NO 95 5 B White texture w/ gray paint 15 NO 0 100 C White joint compound 18 ND 0 100 D White compound w/ gray paint 22 NO 0 100 E Pinloan drywall 35 NO 20 80 510864- JC06 A White tape 6 ND 95 5 B White compound w/beige paint 8 NO 0 100 C White texture wl gray paint 8 NO 0 100 D White compound w/ gray pairs 11 ND 0 100 E White joint compound 12 NO 0 100 F Greymm drywall 55 NO 25 75 TEM Analysis Recommended for organically bound material (i.e. flour tile) if PLM results are <t%. vo,wnaam�m w�...,mmx�e RESERVOIRS ENVIRONMENTAL, INC WLAP Lab Code 1018%0 ARIA LAP, LLC. LN310101539 TABLE:I ANALYSIS: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: RES 510860-1 Client: Rex Environmental Client Project P.O.: TB 7580 Client Project Description: 44 N Hillside Dr Date Samples Received: November 18, 2021 Analysis Type: EPA 600IR-931116 - Short Repo", Bulk Turnaround: Rush Date Samples Analyzed. November 18, 2021 E��rll Mm o Whealge L A Bob Asbestos Content e WNA Nan Fibrous Y B Pa" =wn Visual Fibrous TR E Laboratory Sample ID L A Bob Asbestos Content Now Asbas[ro Nan Fibrous Y Physical Pa" Mineral Visual Fibrous Components E Description Estimate Components Client Sample Number R (%) (%) (%) (%) 510864- P06 A White compound w/ graylbeige paint 8 NO 0 100 B White plaster w/tan paint 15 NO 0 100 C Whitalan drywall 20 NO 30 70 D Pink granular perlibc plaster 57 NO TR 100 510884- PGT A White plasterw/graylmulti-colored paint 20 NO 0 100 B Whitelran drywall 25 NO 30 70 C Pink granular perll&plaster 55 NO TR 100 510884- POB A Tan/off "Re drywall 10 NO]5 25 B White plaster w/graylmulti-colored pairs 30 NO 0 100 C Pink granular perli&plaster 60 IN TR 100 TEM Analysis recommended for organically bound material Re flaw tile) If PLM results aro <1%. Analyst '+r,wnaam�m wi...,mmx�e 11/192021 CN M1Bd/qm v> U m section 3/6 #7580 Referral #7580 11/192021 CN M1Bd/qm v> U m section 4/6 #7580 Reformt #7580 11/192021 o WM1aa/qo v> iii w, #7W 11/192021 o M1Bd/qm v> U m Sm. aT 6. 6 #7580 Reformt o Wheat LIVING AREA 6135Q P "All work shall comply with the 2018 IRC, 2020 NEC and City of Wheat Ridge Municipal Codes'' 'Approved construction plans, and documents shall be on-site for all inspections. 'Work shall not be covered or concealed without inspection. interior partitions erected on concrete slab on grade must deal with deflection and slab movement. ,Enclosed accessible spaces under stairs shall comply with code section R302.7 •Fire Blocking and Draft Stopping shall be installed in concealed spaces per R302.11 & R302.12 at at Floor fire protection of floors shall comply with R302.13 ,Minimum Ceiling height shall be 7' or accordar with section R305.1 & R305.1.1 ,Emergency Escape shall comply with R310 Smoke Alarms shall comply with R314.2.2 Carbon Monoxide Alarms shall comply with R315.2.2 Combustion, ventilation, and dilution air per G2407 �kmHnwar REVIEVVED FOR CODE Mori fable now in find at this inn of Sari Rnii shot was assassin in cracking for od, of mr, Mal f Mi not be offal i e aaN to a`'oomcwni o,a of wasef Nan Rry ewer 1•-1112' I - NEW 05E1✓I & 6zx fil NEW BEDFcryOM — I a 1 � Frame in neo" Its he \ 3 a bedroom and do rveuframed LIVING rcbsedset 1e1.0' x 111 � LLO E-Fi New Floor plan 1 3-a• 21-2' n-= CRAWL 51al— ry 22.1X24'-0" upIn 1 BEDROOM 1 1 '£g 29.1 Miss 10411116. i T-11 11116" 4-915/16' LIVING AREA 329 50 FT Emergency Escape M1all comply with 8310 pWhe@q m nam From: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Form Submittal: Residential Interior Remodel Date: Monday, November 15, 20211:37:01 PM Residential Interior Remodel This application is exclusively for Residential Interior Remodels and other scopes of work which do not have a specific form already available. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Property Address 44 North Hillside Dr. Wheat Ridge, CO 80215 Property Owner Name Jeff Kiyoi Property Owner Phone 206-715-0278 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email jkiyoi@gmail.com Address Attach City of Wheat electronic funds info.odf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" APPLICANT INFORMATION Applicant Name Freedom Construction Corp What is your role in the General Contractor project? Wheat Ridge 210273 Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contact Phone Number 3039084697 (enter WITH dashes, eg 303-123-4567) Contact Email Address for Plan Review Comments info@freedomconstructioncorp.com Retype Contractor Email Address info@freedomconstructioncorp.com DESCRIPTION OF WORK Detailed Scope of Framing in a new bedroom in basement. Installing new drywall Work - In the space on bedroom and living room ceilings a installing new 6" LED below (not as an lighting in both bedrooms and living room. attachment), Provide a detailed description of work including mechanical, electrical, plumbing work occurring, adding/removing walls, etc I, the applicant, I have entered a detailed scope of work understand my application will be rejected if I do not include a Detailed Scope of Work. Location of Work Basement Square Footage Area Approx 620 Square Feet of Work Being Performed Asbestos Report Field not completed Upload letter size Field not completed documents here Construction Plans kiyoi basement New Layout ndf scanned on 11'x17" or larger Project Value (contract 25,000.00 value or cost of ALL materials and labor) 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 work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. Person Applying for Mike Aberle Permit 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. Email not displaying correctly? View it in your browser. Valuation Okay From: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Form Submittal: Residential Egress Window Pennit Application Date: Monday, November 8, 20214:31: 00 PM Residential Egress Window Permit Application This application is exclusively for RESIDENTIAL EGRESS WINDOWS ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORMAN D ENGINEER LETTER STAMPED DETAIL SHOWING THE U -VALUE OF THE WINDOWCUT IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes existing EGRESS window(s) needing vertical cuts only? PROPERTY INFORMATION Property Address 44 Hillside Drive Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address - Do not enter a contractor email address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" Jeff Kiyoi r`z8bz0:06xx31 jkiyoi@gmail.com 44 Hillside Drive - Payment Authorization. odf CONTRACTOR INFORMATION Contractor Business Colorado Egress Name applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. 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 Yes been authorized by the legal 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 Andrew Rogers Permit Email not displaying correctly? View it in your browser. Contractor's License 202001 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-266-9331 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email diggingcolorado@gmail.com Address Retype Contractor diggingcolorado@gmail.com Email Address 01:K161CiI91 ffl0N]avOLelN:/ Number of EGRESS 2 windows being replaced Location of EGRESS Basement north wall window(s) being replaced (for example, master bedroom, kitchen, bathroom, etc): What is the u -value of .28 the EGRESS window(s)? City of Wheat Ridge requires the u -value to be .30 or better on windows. Attach copy of 44 Hillside Dr - Fro neer no Ddf Engineer stamped letter showing vertical cuts detail and u -value Project Value (contract 6800 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with Ibig INSPECTION RECORD Occupancy/Type INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) 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 nn Nnt Pniir rnnr_rpfp Prinr Tn Annrnval 0t The Above Insnectlons Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing nn Nnf rnvpr I Inciprnrnund nr Belnw/ln-Slab Work Prior 1 o ADDroval UT 1 ne Anove 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 Z 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 — mease oe sure tnai rougn inspections are compiewu arum mu rue UlbLHUi driu URIL' ludi IUW VU1LC3YU by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather a CITY OF WHEAT RIDGE. Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Cy-- Job Address: I L, Permit Number: 220"7,1'�O �fi ❑ No one available for inspection: Time M/ M Re -Inspection required: Yes No When corrections have been made, call for re-in�il,ection at,303 34-5933 Date: /20-�- Inspector: 6�,k 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: M.3 --b Job Address: '/Si e bl^ Permit Number: `��76 oF7 ❑ No one available for inspection: Time 3 AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: ' 15' /7 Inspector: SOA]617JA—j— DO NOT REMOVE THIS NOTICE FOR OFFICE USE ONLY City of Dater Building & Inspection Services Division 75913 W. 2e Ave., Wheat Ridge, CO 80033 Plan Review Fee: Office: 393-235-2855 * Fax: 303-237-8929 Inspection Line: 303«234-5933 Building er it Application Please p este all highlighted areas, on both sides of this form. Incomplete plete ap t ties ms not be processed. Property Address: ar Property Owner Email: Mailing Address: 'i (if different than property address) Address.- City, ddress:Cit , Mete, : Architect/Engineer E-malP# Phone Contractor E*mall Address: Sub Contractors: Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.k City License Other City Licensed Scuta: Other City Licensed Sub. City License # City License Complete all information on BOTH sides of this form ROOFINGNEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE NEW RESIDENTIAL STRUCTURE COMMERCIAL RESIDENTIALCOMMERCIAL ADDITION RESIDENTIAL ROOFING RESDENTIAL ADDITION WINDOW REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ACCESSORY SYSTEM/APPLIANCEMECHANICAL �PLUMBWG SYSTEM/APPLIANCE REPAIR or REPLACMENT ELECTRICAL 1 i MIF} REPAIR M iAR REPLACEMENT Y! i # r •, 90* v- s 4 °6 Sq. FULF Stu's Gallons Amps Squares _ __Other Memorandum TO: City of Wheat Ridge A. •. SUBJECT: Refund for Permit DATE: June 2n4, 2015 Reason: The contractor has requested that the permit #201500529 issued for a boiler and evap. Cooler install at 44 Hillside Dr., be cancelled. Please refund: Contractors License$ (aect 0 1 -510-00-513) 80% permit fee: $64.00 (acct 0 1 -510-00-516) 0% plan review $ (acct 0 1 -550-05-55 1 ) 100 % use tax: $201.63 (acct 01 -500-02-505) Total: $265.63 Jun 01 15 12:35p Patty Schmidt 303-421-1298 PA COFFMAN & COMPANY B&F HEATMG 303-366-1112 Coffman & Company wwwmff—man Heating * Air Conditioning * Plumbing * Electrie Email: info@;,coffmanto.com F4wm# AN! Thank you for your prompt attention to this matter, If you have any questions, you may reach me at 303-421-1298 or pschmidt65@,comcast, net, Sincerely Patricia I Schmidt Permits/License 303-366-1112,o Fax 720-890-2711 Jun 01 15 12:35p Patty Schmidt 303-421-1298 p2 2.01500529 CDA011243 04/14/15 USE Use Tax TOTAL 201.63- 265.63- ► 4 City of Wheat Ridge Residential Plumbing PERMIT - 201500745 PERMIT NO: 201500745 ISSUED: 05/15/2015 JOB ADDRESS: 44 Hillside DR EXPIRES: 05/14/2016 JOB DESCRIPTION: Replace heating boiler with like size - 125,000 BTU. *** CONTACTS *** OWNER (303)815-8542 TAYLOR TONY PAUL SUB (303)761-7774 Bobby Hannaberg 021397 Classic Mechanical *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: / SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,200.00 FEES Total Valuation 0.00 6 6,11'. Use Tax 93.60 T Lsno Permit Fee 40.00 ** TOTAL ** 133.60 *** COMMENTS *** 7 *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R313, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. Per City of Wheat Ridge policy, carbon monoxide detectors are required to be installed in the same manner and locations as smoke alarms. Work is subject to field inspection. 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 [he legal owner or have been authorized by the legal owner of the property and am aut ized to obtain this permit and perform the work described and approved in conjunction with this ermit. I fu er attest that I am legally thou d to include all entitie name within this document as parties to the work to be performed ancj�t�at all wor 0 be perf0 d is disclosed in this document%ar►d/or s' accompanying approved plans and specifications. Signature OSIER orC TRACTOR (Circle one) Dated 1. This permit was issued bas d on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance Pith 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 f 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 an 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 p it shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinagqb or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature o ief uilding Office Date REQUESTS MUST B8 MADE BY 11: 9PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. I FOR OFFICE USE ONLY City of Date: W heat R c COMMUN11)'DEVELOPMENr Plan/Permit# Building & Inspection Services Division 7500 W. 29°i Ave., Wheat Ridge, CO 80033 Plan Review Fee: Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: _!�j � �5�! r�(P T.6 jt)]C (k) IV Property Owner (please print): T%tii ti Phone: 3 — f S_—k%j1�)_ Property Owner Email:o��Z Mailing Address: (if different than property address) Address: City, State. Zip: Arch itect/Engineer: Architect/Engineer E-mail: r Contractor: C' iV'NrsS l Phone: Contractors City License #: t�/o�� Phone: Contractor E-mail Address:'ZCK-C) ; ,Q6 Sub Contractors: Electrical: W.R. City License # 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 Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESIDENTIAL 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.) ke/V,�c e l�te�l�v 60 / (ems w 'I 1I � /�-e sl y Sq. Ft./LF Amps Btu's X2,5 � C;Co Gallons Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 57$ Z—(Cn� 001 OWNER/CONTRACTOR SIGNATURE OF l NDERSTANDING 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 1 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. CIRCLE ONE: (OWNER)ONTRACTOR n (AUTHORIZED RE PRINT NAME: y�/N��[—� SIGNATURE: DEPARTMENT ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer. PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required Affl,'E) of (Of4NER) (CONTRACTOR) ONLY DATE: 5115 hs I OCCUPANCY CLASSIFICATION: O Building Division Valuation: $ Inspection Line: 303-234-5933 Facsimile Property Address. Property Owner (plean f trs j gar EM - ess(if dhante pi address) EM 01.-'141 1fi'T 571-179'3� OWNEWCONTRACTOR SIGNATURE OF UNDERSTAUDING AND AGREEMENT I hereby car* that the setback dWances proposed by this ponift appboadon are accurate. and do W viobta appOcable ordinances, laws, or or restrictions of record; that all rreasuranxmts shown, and .p CIRMEONE.: (OWNER) 4PONI�%�C`P or PERSONAL REPRESP17VM of R) SIIGMNATTURE- EM NAME DEPARTMENT USE ONLY ZONING COMMERM. Zoning: Rovim"r. Pogue Weft" OmblEffra- Revievar SUFLOINS QWARMWT COMMEMM OCCUPANCY.- Rovkymr FM DWARMIRM: 13 approved V comments 0 disapproved 0 no nii: ii: A�� li: w qdIed Bldg Vatuaflow ment Use credh card fisledon fift. Credit Card '!M Signature. Printname- M M w Add City, Swe, Zip: "' II��al�ll '.'� :� i : # #. # ":« " f' ". # ! i.; `: :.� # in.# f.:•1.# F b� # #' Wit.. ' s` f. # Gf #. w : � , # f fM . # a.! .:.. M .: fi i:: +,*: �. « f . ..... : x # # '. ► . # # 8 ! 4# 6. # .: i # . # ! 4 9 w �# • i.Y.. ♦ : f ♦..: "! ,. f �. s �,.. .. Ff #:" t # #.: :o x.;:. i. ♦ #:� i •: , v.. `i ♦:. ^:.:# i. tj FYFM DEPARTNOM "0 approved id mnmerAs Zdisapptoved . 0 i10 revie Y r**rvd MaPTY Mq ViRtuaf: ,FORM (M) 414-02- AC ON TAKEN o NOSH TOFF La. APPlI NCE OFF O"-OTH PL & METER OFF o METE SHUT OFF - HAZARD . CONDmOH TO BE CORRECTED AS SIlOWN BELOW CREATES AN IMMEDIATE HAZARD.lHlS EQUIPMENT MUST NOT SERVICE UNTIL REPAIRS AND A THOROUGH INSPECTION HAVE BEEN MADE BY A GUAUAED CONTRACTOR. CONt BUILDING DEPAflTMENT FOR COO D PERMIT REQUIREMENTS PRIOR TO PERFORIING REPAIR WORK. ~'-'~;"""" '-,,- """~_"",";,~",,,,,,:~,<,,~,':"""'::""'l_.,'-.~I,_~:,, .~. ....> BUILDING DEPARTMENT (303) 235-2855 CITY OF WHEAT RIDGE * * Correction Notice Job Located at /1 .Ji cL rz. I have this day inspected this structure and these premise and have found the following violations of City and/or State law gov- erning same: ou, ok/,' OL-- --en s()~ e. +v (/ E - ) c:...;'I You are hereby notified to correct the foregoing viola ions. When corrections have been made, call for inspection. DO NOT REMOVE T IS TAG Dept. Date FORM WR6~22 DEPARTMENT OF PLANNING AND DEVELOPMENT Building Pe it Number: r. . ',," BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner: Property Address: 44 HillSIDE DR Contractor License No. : 20166 Company: Mr. Electric of Jefferson County OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Phone: 217-5136 Phone: 985-1391 I hereby certify that the setback distances proposed by this permn 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 a~reeto abide by all conditions printed on this application, and that I assume fuli responslbililv for compliance wnh the Wheat Ridge Building Code (U.B.C.) and ali other applicable Wheat Ridge ordinances, for work under this permn. Constru ion Value: rmit Fee: Plan R view Fee: Use Tax : Total: (OWNER)(CONTRACTOR) SIGNED DATE Description: 200 amp service upgrade (overhead) BUilDING DEPARTMENT USE ONLY Approval: Occupancy: Roof: Stories: Walls: Electrical License No : Company: Plumbing License No : Company: Expiration Date : Approval : Expiration Date: Approval : Use: SIC: Sq. Ft.: Res dential Units: Mecha ieal License No : Compa y : Expirat' n Date: Approv I: 10306 3/29/00 $2,350.00 $83.25 $0.00 $35.25 $118.50 This permit was Issued in accordance with the provisions set forth in yopur application and Is sublect to the laws of the tate of ColOflldo and to the Zoning Regulations and Building Code of Wheat Rid~e, Colorado or any other applicable ordinances of the City. This permit shall expire if (A) the work authonzed is not commenced within sixty (60) days from Issue date or (B) the bu Idlng authorized Is suspended or abandoned for a period of 120 days. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no ch nges have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are ade or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. No work of any manner shall be done that will change the natural now of water causing a drainage problem. Contractor shall notify the Building Inspector twenty.four (24) hours in advance for all inspections and shall receive . en approval on Inspection card before proceediing with successive phases of the job. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor a approval of, any violation of the provisions of the bull es or a other ordinance, law, rule or regulation. (1) (2) (3) (4l (5 (6) Chi DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Per it Number: Date: APPUC.f\TJD N Property Owner: Property Address: Contractor License No. : Company: ~.5eq/) tf()nfz.. ~ lIiJ/::5idt j}Yill-e..., t1/heql/;~ #1f~'i53 Ill/', E)ect/,t oj J;J.j.CO Phone: 7,ilLJ-d /7- 5/3~ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Phone3tJ3 -773-560 75 Constructi n Value: ;;).dsof!E- 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 aU 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 the Wheat Ridge Building Code (U.B.C.) and all other apPlicable;JfJ} ~e~)j'.~57~' for work under this pe:"it. (OWNER)(CONTRACTOR) SIGNED a'iJ-' /~ DATE~ OeYVi (.l dlJTltde (LJverheqc/) P rmit Fee: Use Tax: Total: Use: Description: c1tJtJ /l BUILDING DEPARTMENT USE ONLY ~q!~.!!!$t~~!p!l!.m(S:j Approval: Zoning: ~l!!!l!!lJ~~~lIlS;ij Approval: SIC: Sq. Ft.: ~~ Approval: Occupancy: Walls: Roof: Stories: Resid ntial Units: Electrical License No : Company: Plumbing License No : Company: Mechani I License No : Company: Expiration Date : Approval: Expiration Date: Approval: Expiration Date: Approval (1) (2) (3) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the taws of the Sta of Colorado and to the .:':oning Regulations and Buildin9 Code of V\lheat Rid~e, Colorado or any Otl'lerapplicable ordinances of the City. This permit shall expire if (A) the work authonzed is not commenced within sixty (60) days from issue date or (B) the buildi 9 authorized is suspended or abandoned for a penod of 120 days. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no chang s have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are ma or if suspenSIon or abandonment exceeds one (1) year. full fees shall be paid for a new permit No work of any manner shall be done that will cI'lange the natural flow of water causing a drainage problem. Contractor shall notify the Building Inspector twenty.four (24) hours in advance for all inspections and shall receive written pproval on inspection card befofe proeeediing with successive phases of the job. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an ap roval of. any violation of the provisions of tt1e building codes or any other Ordinance, law, rule or regulation. (4) (5) (6) Chief Building Inspector