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4145 Gray Street
September 16, 2020 To: City of Wheat Ridge Building Department From: Tamara Miller and Fernando Diaz del Valle Re: Permit 201803065 Dear Sir/Madam, The scope of work on this project has changed. In the design there is a pergola noted in front of the house near the front door. We decided not to put this in as we had not money remaining to add the pergola. Thank you for your understanding, Tamara and Fernando ,! i N CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: S 1/ v� Job Address: 4 .✓ e -S Permit Number: 7e 7) Q /" / 9' ❑ No one available for inspection: Time . Z.3AM/ Re -Inspection required: Yes /N When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge.co. usrnspection Date: > -Inspector: DO NOT REMOVE THIS NOTICE ,! i N CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: S 1/ v� Job Address: 4 .✓ e -S Permit Number: 7e 7) Q /" / 9' ❑ No one available for inspection: Time . Z.3AM/ Re -Inspection required: Yes /N When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge.co. usrnspection Date: > -Inspector: DO NOT REMOVE THIS NOTICE e i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: _700144 f W (I Job Address: 10951 Gv-Y%1 `1 Permit Number: F-5 00 f Pr- tj-t f ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes' No When corrections have been made, schedule for re -inspection online at: http://Www.cLwheatridge.co.uslinspection Date: Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ?,,f 71)�� _17) 3 � ❑ No one available for inspection: Time Re -Inspection required: Yes+.' No When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. uslinspection Date:1 .i Inspector: _ _ _ _ DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type:�� Job Address:, Permit Number: ❑ No one available for inspection: Time M Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: httpYwww.ci.wheatridge.co.usrnspection� Date: I A = C41Y OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE I Z11, Inspection Type: Job Address:�� Permit Number: ❑ No one available for inspection: Ti ,<,55 -M,AM Re -Inspection required: Yes( iedul�efor When corrections have been made, sc re -inspection online at: http✓/www.ci. wheatridge.co. uslinspection Date: % ori` Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE InspectionType: r i - Job Address:4 Permit Number:/ e s ❑ No one available for inspection: Tim�(km Re -Inspection required: Yeo •No When corrections have been made, schedule for re -inspection online at: httpYAvww. ci. wheatridge. co. uslinspection Date: /:n / %n Inspector: i-__._ . DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: `� 4L ,moi 1<'lt j j Permit Number: ❑ No one available for i Re -Inspection required: When corrections have beer http✓/www. ci. wheatridge. co. uslinspection Date: 1 69 . /q1- /d Inspector: DO NOT REMOVE THIS NOTICE Stalheim Engineers, INC Attn: Todd Hulme Re. Framing Walk-thru Observation Vaulted ceiling Job #18-082A 4145 Gray Street Wheat Ridge, CO October 10, 2019 The observed as -guilt rafters and beans of the above -referenced vaulted ceiling generally comply with those contained on the plan for Job #18-082, dated 6%25,19. I 8422 East Oreaon Place. Denver, Colorado 8023? Ph. 303-217-6561. E-mail- stalheim@q com A Q �g 1 • 1 - �r kl°°eCQ>m¢ ------ -1----- OR _ --- 2 _ 3 Ru A ,tv , 5 q�■$ j 1 I I g• �I e�`4 I I s,A UM i.q We r sw n :490141 pie lip 4 art W2 I's x It �r5 ypYq12yy � 8 J - 1 1 1 8 a *1; F L e 8 r -G o• f� �C� :01. p��$€� $ �� � k� �tt� t to � {U)j • �k\\ 2: �},'. Y yyyg^ `� A � F 1 6 R► 4 R 6 6 F F B rn0 O � �' �€ •$� i irsiii.RRs"niFi- �!cXc',4 •d'Y i R R LR C ROOF fR.WPIG Pi.W War t a➢81 � wcw c..m.nawa WOIPOIIkFEMWEl M! �YJ1Fi W ���� YMEA> RlYL CblYUDp fUBR RF - FY2 Ct: BH \aV£ 4M i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type:��-' Job Address: Permit Number:�����r> lk VC.e/ ❑ No one available for inspection: Tim€-� 'APM ---_-. Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http://www. ci. wheatridge. co. usfinspection Date: k` A' , - ) 2? Inspector:. ` - DO NOT REMOVE THIS NOTICE 41 CITY OF WHT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 'u, ." M EE± --� Job Address: 1z. -4 Permit Number: Qf' )<.f -D30 ❑ No one available for inspectionne C M/ M Re -Inspection required: YesNo When corrections have been made, call for re -inspection at 303 -234 - Date: Inspector: --- DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: y ..�, Job Address: Permit Number: ❑ No one available for inspection: l��M Re -Inspection required: YesNo/ When corrections have been made, sc ule for re -inspection online at: hffp✓/www.ci. wheatridge.co.usfiInspect Date: Inspe ,tor i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:l'n-- Job Address: Permit Number:5— ❑ No one available for inspection: Time Re -Inspection required: Yes,��N;? When corrections have been made, call for re -inspection at 303-234-5933 Date: c/��- Z- t* Inspector: --- DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: .E:142 2J Job Address: 4 Permit Number: ❑ No one available for inspectloa:�i i Re -Inspection required: Ye No When corrections have been made, call for re -inspection at 303-234-5933 2 �;] �� Date: (, [ Inspector: DO NOT REMOVE THIS NOTICE - - CITY OF WHEAT RIDGE Buildirigspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: 1 Permit Number: L� ❑ No one available for in Re -Inspection required: Yes` -No When corrections have been made, call for re -inspection at 303-234-5933 Date: -:3 / I /1"bInspector: 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 301- J��v r i--- c� rr Inspection Type: t -f o9 - I sl o o-00 Job Address: LI i Z4 r -ea, . -f 3 Permit Number: _0 Q ! 9 6 -, 6 le, f) ❑ No one available for inspection: Time .=- c,M PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 fs Date: i s Pi Inspector: r DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:° Job Address: Permit Number: t ❑ No one available for inspection: Ti Re -Inspection required: Yes, No When corrections have been made, call 67t -inspection at 303-234-5933 Dater "114 Inspector. DO NOT REMOsTHIS 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: n, 7-71 Job Address: ❑ No one available for inspection: Time Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ;25`) 1 Mrzrw Job Address: Permit Number: / ❑ No one available for inspection: Time �/rte (�)/PM Re -Inspection required: Yes o When corrections have been made, call for re -inspection at 303-234-5933 Date: &5 --inspector:—/-)----,, DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: _ _ z oxw Job Address: Permit Number:/?�', ❑ No one available for inspection: Time C?57t/PM Re -Inspection required: Yes o When corrections have been made, call for re -inspection at 303-234-5933 Date: i757 'Inspector: /,)---T---, DO NOT REMOVE THIS NOTICE i CITY QF WJHEAT RIDGE Building In'soection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number::�- ❑ No one available for inspection: ime 2 AM&9� Re -Inspection required: Yes No *When corrections have been made, call for re -inspection at 303-234-5933 Date:—'-;, -; Inspector:',--. DO NOT REMOVE THIS NOTICE Dina Kemp From: Todd Hulme <toddhulme@gmail.com> Sent: Wednesday, May 1, 2019 9:23 AM To: CommDev Contractors Subject: 4 45 Gray Street Hello, Please changeour HVAC subcontractor to Plumbing Masters. Thank you c cl �C3 ol�s _J Scale:1" 20' Note: L Location of Fence Lines, if Shown, are Approximate, Fence Line Benchmark Information Assumed elevation of 100.00` at the first floor of V subject residence at the from door. All elevations shown hereon are relative thereto. oh Note: Portion of subject residence may extend _E into 5' Utihty Easement as shown. ' V 1 125.47! Elev. 98,7 S' Utility Easement (Per Pkq) W > O 1C DATE _La4LU2= FEE_JJZa_0_ Joe# 17-22 Elev. 9731 cue w MR_AKCELJTM=_ ReLPOM ADoitess 4iAs GRAY Snvwr LAND S U R V E Y I N G NAME_ __ __VERNA=Q_nTAZ f)Rl.VAT,T.'P. S460 WARD ROAD + 5U- rE 160 '! .4 ARVADA, COLORADO 80002 Found ('303) 420-4768 LEGAL DESCRIPTION IMPRM'EMENT LOCAT;o%, CERT3FICATE(PER CLIENT) [—LOT Now: 10, Certificate is Based on Contivil as Shown, HELEN SUBDIVISION, An hinproverneol Survey plal is Recommended COUNTY OF JEFFERSCM, For Precise I ocation of Improvements. STATE OF COLORADO Scale:1" 20' Note: L Location of Fence Lines, if Shown, are Approximate, Fence Line Benchmark Information Assumed elevation of 100.00` at the first floor of V subject residence at the from door. All elevations shown hereon are relative thereto. oh Note: Portion of subject residence may extend _E into 5' Utihty Easement as shown. ' V 1 125.47! Elev. 98,7 S' Utility Easement (Per Pkq) LOTH LOT 4 W > O 1C 33,V I Found Elev. 9731 �;;3 Rebar 4� 1 out '! .4 Found u #4 Rb,, LOT 10 Wi L(Yr 6 11 LOT 9 II II Shed (:MV4 sp= I 3' Iliility Easement (Per Plair) L` 111,47 Elev. 99.28' LOTH LOT 4 W > O 1C I Found Elev. 9731 �;;3 Rebar 4� 1 LOTS '! .4 Found Concrete Drive #4 Rb,, i L(Yr 6 11 LOT 9 II II Concrete W > O 1C UD > Elev. 9731 4� 1 '! .4 Concrete Drive i 11 Or. the basis of my knowledge, information and beiief. I hereby certify that this improvement location certificate was prepared for MM ARCHITECT , that it is not a Land Survey Plat or Improvement Survey Plat, and that it is not to be relied upon for the establishment of fence, building, or other future improvement lines, I further certify that the improvements on the above described parcel on thh%l date, except tit" connections, are entirely within the boundaries of 'the -parcel, except as shown, that there are no erpoach-ems upon the described premises by improvements on any adjoglinfing premises, except as indi�and and lliiferlsdio apparent evidence or &gn of any easement crossing or burdening any I except ", P&q of said parcel e, =p nlbd NOTICE 7 hD mpm,omm-, Nxawn colit"to J I � sov ;WVU�v of �� oy wrtni M"em 0' PM x Mft A a.m p=� M&�-z �4M'111vntsb tic WWX�WY lbvanwrpm�arrls�� slhxledww��wcio Ila C�Ct�b arc .'Vel A F. POW, & A$800 A, kS INC, of E 7011 W4'V be aloe w. aXn Cagmfzta. IN-, Orly M the W.,w vvv�w ic & ie�nTrss -d �*wn' A,�vtrc* &-44,4e Y th,4s cavtMe to, any 17 UCAP� .0 0dBazWf45 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: 37,tI` Ilr)fns� Job Address: I'f Ll 611 4 Permit Number: ' Alg 030 KT � Ism, lam' / Az 2,.-o ly Vol ❑ No one available for inspection Time 10 11 PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303 -234 - Date: 4 6.11 "1 inspector: cf� .. G"j f DO NOT REMOVE THIS NOTICE City Of Wh6atps e COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: Permit #:`� General Contractor: st C C Electrical Sub -Contractor Company Name: Phone #: State License #: Master #: Wheat Ridge License #: (required field) Signature of Authorized Agent Date Company Name: Phone #: State License #: Master #: Wheat Ridge License #: (required field) Signature of Authorized Agent Date Mechanical Contractor Company Name: l 'Vbone: z)''-� . `i SU) Wheat Ridge License L"."vuo (required field) Signat ik of Authq i *d Agent Date i CITY Ot WHEAT RIDGE _ Wilding Inspection Division r (303) 234-5933 Inspection line. �(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ?�� � % ,:� Job Address: �l�S. �grsL C - ", Permit Number: ❑ No one available for inspection:„Time JQPM r. [ Re -Inspection required: Yes ', No .' When corrections have been made; call for re -inspection at 303-234-5933 Date: 3-�T. rl Inspector: N, DO NOT REMOVE THIS NOTICE STALHEIM ENGINEERS ,30/CS03VL5 _ CERTIFICATION OF OBSERVATION Inspection No. 18-082 Property Address: 4145 Gray Street, Wheat Ridge, CO Legal Description: Lot , Block _, Rear Addition Footina Inspection I hereby certify that an inspection of the addition footing was made on 1/18/2019 under my direct supervision and that the footings were formed to the required dimensions and that the required reinforcement, if any, was placed in accordance with the requirements of the foundation design for the subject property Rear Addition Foundation Wall Steel I hereby certify that an inspection of the reinforcement in the foundation walls was made on 1/22/2019 under my direct supervision and that the placement and size of the reinforcement was in accordance with the requirements of the foundation design for the subject property. Front Entry Addition Footinq Inspection I hereby certify that an inspection of the addition footing was made 2/4/2019 under my direct supervision and that the footings were formed to the required dimensions and that the required reinforcement, if any, was placed in accordance with the requirements of the, c*_rki atigj lesign for the subject property 1. . 8422 East Oregon Place,Denver, Colorado 80231 Ph. 303-217-6561 E-mail: stalheim@q.com i Cli) OF WHE"AT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE 3c3 R5)Z� Inspection Type: /Z),3 Job Address: If 27 Z4 V Permit Number: V,UM,Wt4ST ❑ No one available for inspection: Time /0 = S? &PM Re -Inspection required: lies No When corrections have been made, call for re -inspection at 303-234-5933 Date: --3 / Inspector: � DO NOT REMOVE THIS NOTICE > City of Wheat Ridge - 20 Residential Addition PERMIT 1803065 ISSUED: 01/16/2019 PERMIT NO: 201803065 EXPIRES: 01/16/2020 JOB ADDRESS: 4145 Gray St JOB DESCRIPTION: 832 sq.ft. Addition in rear of existing house. Adding 2 bedrooms, 2 bathrooms, laundry room and a mechanical room. *** CONTACTS *** OWNER (303)514-7460 MILLER TAMARA K 180376 Hulme Construction Co Inc GC (303)359-9011 Todd Hulme 130050 JnB Electric Inc. SUB (303)378-9094 Tamara Jarvis 120074 Lone Wolf Heating & Air Cond S UB (303)562-8952 Lone Wolf Heating 180400 Plumbing Master Heating & Air SUB (303)956-8079 Filipp Pikalov *** PARCEL INFO *** USE: UA / Unassigned ZONE CODE: UA / Unassigned 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / SUBDIVISION CODE: ESTIMATED PROJECT VALUATION: 180,000.00 *** FEE SUMMARY *** FEES Total Valuation 0.00 Plan Review Fee 1,071.23 3,780.00 Use Tax 1,648.05 Permit Fee ** TOTAL ** 6,499.28 *** COMMENTS *** ** CONDITIONS *** All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. Owner/Contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. As part of the foundation inspection and PRIOR to the placement of concrete and before proceeding with any further construction, a completed, signed and sealed, Foundation Setback and Elevation Certification shall be submitted to the City for review. The certification form shall be fully completed by a Professional Land Surveyor licensed in the state of Colorado, stating that the foundation was constructed in compliance with all applicable minimum setback and elevation requirements of the City. Landscaping removed or damaged during construction must be replaced prior to final inspection. City of Wheat Ridge Residential Addition PERMIT - 201803065 PERMIT NO: 201803065 ISSUED: 01/16/2019 JOB ADDRESS: 4145 Gray St EXPIRES: 01/16/2020 JOB DESCRIPTION: 832 sq.ft. Addition in rear of existing house. Adding 2 bedrooms, bathrooms, laundry room and a mechanical room. 1, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable 'natured 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 erm�t. I further attest that I am legally authorid to include all entities named within this document as parties to the work to be per �Oi{rted and that all work to be performed is dis�Elosed in this document and/pr its' apcompanying approved plans and specifications. Signature of OWNER rr CONTRACTOR (qrcle one) Date ! I I. This permit was issue ed on the_rnat'on provided in the permit application and accompanying plans and specifications and is subject to the compliance wi 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 Oficial and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof 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.resuance or gr , in of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any ab code o ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. w w Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. v - City of W heat R' le COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 29th Ave., Wheat Ridge, CO 80033 ' Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(d_)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: 'J Plan/Permit # Plan Review Fee - Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: ` �-�,,w v Property Owner (please print): F�CY�C��'�C\p kJY�2 Phone: 30 00 AbY " Property Owner Email: - cA'NA%. , q�1`��• �YV1 Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: 5c� Citv. State (�1(6VVtCa-_':A_• W_ 603-(WDc bOr 11 Architect/Engineer E-mail: `� �i1� WW1 Q • CAV1r_Phone: 363 -alb (a6 � Contractor Name: ��\Wa_ Co tiSAQk (0V) CZ - \_C11 C - City of Wheat Ridge License #: �tw&kke, Phone: Contractor E-mail Address: For Plan Review Questions & Comments (please print): (�2' CONTACT NAME (please print): 1��C1� Goc" C Phone: Jol-C\a- ��- ( I CONTACT EMAIL(p/ease print): k' Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: City License # Other City Licensed Sub: City License # Complete all highlighted fields, if applicable. ❑COMMERCIAL "RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. `1 ► 1 %U3v\,C to 't c_.r,\ \ Zc rovv\, . Sq. FULF BTUs Gallons Amps Squares For Solar: Kw # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) o OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT hereby certify that the setback distances proposed b}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 entit} on this application. I. the applicant for this building permit application. warrant the truthfulness of the information pro�aoolication. CIRCLE ONE: (OWN. Signature (first and last name): Printed Name: M_ ZONING COMMMENTS: ( _ 2 Reviewer: (I / 1 V BUILDING DEPA,PRIYENTOMMENTS: Reviewer: (AUTHORIZED R PRESENTATIVE) of (OWNS) (CONTRACTOR) DATE: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION:i� -71 CONSTRUCTION TYPE: 83Z s X) 1 01.02 PUBLIC WORKS COMMENTS: p�� I��� j jr= ,�,��p c-lDi Tlf�% o� yr�iXCIIJ) J Reviewer. fl'-�4y— ,U�L Oak: ///&/ Building Division Valuation: RAJVW LAN D SURVEYING 5460 WARD ROAD + Su1TE 160 ARVADA, COLORADO 60002 (303) 4204788 IMPROVEMENT LOCATION CERTIFICATE Scale: 1"--W i E i 1 `'�`i9f� zo/8035 LEGAL DESCRIPTION (PER CLIENT) NOLO: LOT 10, Certificate is Based on Control as Shown, HELEN SDSDIVISION, An Improvement Survey Plat is Recommended COUNTY OF JEFFERSON, For Precise I.ocation of improvements. STATS OF COLORADO Note: L Location of Fence Lines, if Shown, are Approximate. Fence Line Benchmark Infolmadw Assumed elevation of 100.00' at the first flax of Subject residence, at the front door. All elevations Shown hereon are relative thereto. Note: Portion of subject residence may extend into 5' Utility Easement as shown. 125.47iElev. 98-71' 5' Utility Easement (Per Plan) 7 LOT I Fowd -- — ——-TRebar LOT I Fowd #I Rebar LOT 6 1 o LOT 9 I I, t �I I �I . 131 E 01 — — V1"• a Concrete • r C46 O Elev. 97.31' t— rilc7� 1411,'^moo Concrete Drive •, a 1 •I I � II I I) 1 I I I I I 19 1 I 33.4 p I LOT 10 a _ _ 24.4 ,— --.. CAM '°°°" 1cm • J • 5' Utrhty h4m mens (Per Pla) `• 125.47 I kv.99.28, l LOTH 7 LOT I Fowd -- — ——-TRebar LOT I Fowd #I Rebar LOT 6 1 o LOT 9 I I, t �I I �I . 131 E 01 — — V1"• a Concrete • r C46 O Elev. 97.31' t— rilc7� 1411,'^moo Concrete Drive •, a 1 •I I � II I I) 1 I I I I I 19 1 SSZLZ 'S'1 Zr aro.wewo aww s aww.o 60 so Cie..ov"Vw oemn %wwo a 43m" 3.a, uoepau R ` - An A4 w mxo uot�ao1 Ma p OW J004 sour oaaoy UDWO4 UWNS Aun ids QKMJ � w. kuo UKO nl M R •q loo W Hod 3 OM SUV OM 9 WWI U VOM — AM—u�� PLV st„ou,ewapduu tua,sdds o pue u+�a�s IN pyergie w ung iuw„ -dU4 ue cq p ua wy tapa<oq an siuQup�no,di, xu w c e �utx�ey, as oa,d aiou y sew d pts aeupoo VpIR {liilwd�l PRR M!I kq ow ;o asodsid OM m! D�0 a asr�,j►ao not U:ot Umw6�o,dtm SPS 33UON qw.SS ideaxe `{BCUBd pies j0 /�UE BUtuepJnq 10 BU. OJo woujosee Aue jo u6ts io aauapIna ivaiedde o je4j Pue ` rpu! se ideoxe `smweid Bu ,o(pe ,tus uo sjuawenoldw! dq sasiuiaud paquasap ayl uodn sluewya ou ass eueiA M44 'umoys se ideoxe '!eared . aip jo sauepunoq a4l u!4j!,w ,tail aye 'suo!laeuuoa All14n KWxa 'ajep x!43 uo IaOaBd peguasap enoge ayl uo sjuawanojdtu! 94l le4i �4!tP �ayjanj I 'sau!l juawanwdwt ajn4N jeW jo'6uj pnq 'eauaj to waw4%]gvlse ayi ro; uodn pai!ej aq of jou sr P je41 PUB 'leld AaAMS luou>$noidwl m ie>d ,(eunS pull s jou sd j+ je4j ' d,�3bIHJ�ot tK joi pajWeld mm aleaWPaO uo4voot juewenadwi si44 leyj Agliao Agalay I -jai,aq Rue uo+jeuaroiui '080eimouN Aw jo sispo am un ��J City of .SINGLE I'AM�IL -Y DIUpLE`I' -� V �/ h6 t e BUILDING e. r 11 u n t i c w o ]t r'PE IT APPLICA7TION_REVIEW Date: 1W Location: 6rg4r ATTENTION: BUDDING DIVISION I have reviewed the submitted application documents to construct a ,moi rev T•�d L located at the above referenced address. Please note the comments checked below. dm��/d,�l 1. Drainage: a. Drainage Letter & Plan required: Yes b. Site drainage/grading plan have been reviewed and are: ZOK 2. t/ Public Improvements required & to be completed with project: a. street paving/patching: Yes N b. curb & gutter: _— Yes N c. sidewalk: _ Yes `j No d. Other (specify): _ Yes _ No 3. — For items not constructed, the amount of funds taken in lieu of construction: No refer to stipulations. ° Completed ° Completed Completed Completed s-220 Does all existing roadway/alley R.O.W. meet the standards of the City: Yes If not, what is required? No If R.O.W. is required, has the deed been received: — Yes _ No (see Note below) NOTE: All deeds must be reviewed and approved prior to issuance of the Certificate of Occupancy. 4. APPROVED: The Public Works Department has reviewed the submitted material and hereby approves this Permit Application, subject to the stated requirements and/or attached stipulations. Signature Mark Van Nattan Date 5., NOT APPROVED: The Public Works Department has reviewed the submitted material and does not approve this Permit Application for the stated reason(s): Signature Mark Van Nattan Date 6. 44- Stipulations: Sr r 7. -2L A Grading Certification Letter from the Engineer -of -Record accompanied b Certificate (ILC) shall be required prior to the issuance of the Certiflcate ofOccupancy.Oan vewent Location 8. 1I NOTE: ANY DAMAGE TO EXISTING PUBLIC IMPROVEMENTS AS A RESULT OF PROJECT CONSTRUCTION SHALL BE REPAIRED PER ROW CONSTRUCTION PERMIT PRIOR TO THE ISSUANCE OF THE CERTIFICATE OF OCCUPANCY. Rev 04/2016 FEE CALCULATION WORKSHEET FRONTAGE LENGTH Gray Street 1 50.0 LF Cost of curb, gutter and sidewalk $ 2,206.58 Note: The frontage length is taken from the Site Plan by Rick Graeff Architecture dated 11/15/18. Fee Calculation 4145 Gray St - Del Valle Residence.xlsx De�lalle Residence Date: Address: 4145 Gray St. By: Item Description Quantity Unit Unit Cost Item Cost 1 Excavation & Embankment Earthwork — rough grade — 7.5' wide 0.67 SY $ 6.66 $ 4.44 Earthwork — fine grade — 7.5' wide 0.67 SY $ 4.33 $ 2.88 2 Reconditioning Reconditioning & proofrolling — 7.5' wide 0.67 SY $ 2.87 $ 1.91 3 Sidewalk Concrete sidewalk — 6" thick and 5' wide 0.67 SY $ 52.34 $ 34.89 Total cost per linear foot $ 44.13 FRONTAGE LENGTH Gray Street 1 50.0 LF Cost of curb, gutter and sidewalk $ 2,206.58 Note: The frontage length is taken from the Site Plan by Rick Graeff Architecture dated 11/15/18. Fee Calculation 4145 Gray St - Del Valle Residence.xlsx City of Wh6atRijge 1'UBE1C W0RK.5 City of Wheat Ridge Municipal Building 7500 W, 29'h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2861 F: 303.235.2857 PUBLIC WORKS D VELOPMENT REVIEW FEES Location of Construction: 4/45 re, Purpose of Construction: Aja AE LY Single Family Vf Commercial Multi -Family (Development Review Processing Pee: ................................................ $100.00 (Required of all projects for document processing) $ Single Family Residence/Dunlez Review Fee: ..................................... $50.00 Commercial/Multi-Family Review Fees: o Review of existing or minimal technical documents: ............... ........ $200.00 $ o Initial review' of technical civil engineering documents (Fee includes reviews of the 1 " and 2nd submittals): .......................... $600.00 $ ® Traffic Impact Study Review Fee: (Fee includes reviews of the I" and 2nd submittals): ........................... $500.00 $ © Trip Generation Study Review Fee: .................................................. $200.00 $--- ® O & M Manual Review & SMA Recording Fee ................................ $100.00 $ ' Each Application will be reviewed by staff once and returned for changes. If after review of the second submittal changes have not been made to the civil documents or the Traffic Study as requested by staff, further reviews of the Application will be subject to the following Resubmittal Fees: o Resubmittal Fees: 3`d submittal (%i initial review fee):. .................. ................................ $300.00 $ 4' submittal (full initial review fee): ................................................. $600.00 $ All subsequent submittals: ................................................................. $600.00 -- (Full initial review fee) $ TOTAL REVIEW FEES (due at time of Building Permit issuance): $LzLiLLI PLEASE NOTE THAT IN ADDITION TO THE ABOVE FEES, THERE WILL BE ADDITIONAL LICENSING AND PERMITTING FEES REQUIRED FOR CONSTRUCTION OF IMPROVEMENTS WITHIN PUBLIC RIGHT-OF-WAY. i%"" 0 w hCNfI idetl-f'a us Rev 12/12 t City of " W heat Ridge PUBLIC WORKS City of Wheat Ridge Municipal Building 7500 W. 29" Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2861 F: 303.235.2857 NOTIFICATION FOR PUBLIC IMPROVEMENTS RESTORATION DATED: I& 4A/ 2r/gADDRESS: 4%lids 612, 1Y Isr Dear Contractor: In conjunction with the approval of the building permit application for the above referenced address, this letter is to inform you that all existing public improvements located along the frontage of said address shall be restored, (if damaged from related construction) to an acceptable condition, as determined by City of Wheat Ridge Public Works Department, and prior to the issuance of a Certificate of Occupancy. Prior to any construction commencing, the City's representative will conduct an onsite inspection to determine the existing condition(s) of the public improvements at this address. If you have any questions, please contact me at 303.235.2864. Sincerely, David F. Brossman, P.L.S. Development Review Engineer CC: File www6wheatridge.co.us Rev 2/08 19 1* City of A W h6 at C COM ge OMMUNiTy DEVELOPMENT AUTHORIZATION is form must a sineci cacti su�i=contractor. This form vkill not be accepted with missing information. Subcontractor's City of Wheat Midge License number must be provided in the Applicable space. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: Permit #: / g 03z)4as— General Contractor: Electrical Sub -Contractor Company Name: State License #: NN heat Ridge License #: Signature of Authorized Agent Plumbing Sub -Contractor P(umbinla master Phone #: Master #: (required field) Date Company Name: Phone #:303-956-8079 HP-Af Ing An Ir _ State License #: 1N,laster #: Wheat Ridge License k _,_1_8_0,4 DD_(required field) rr `- 12/27/18 Signature of authorized Agent Date Mechanical Contractor Company Name: Phone: Wheal Midge License #: (required field) Signature of Authorized Agent Date Ci Ly 0i Whea cl�gc Y A NT ri-D r v 11 F SUB—CONTRACTOR AUTHORIZATION FORM —muster —sig—nedby each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must he provided in the applicable space. Subcontractor's insurance and" nd license must he up to date prior to permit issuance. Project Add res -s: g:!4 &ae/Perm it � 0 j C-) 4s - General Contractor: I Electrical Sub -Contractor I Company Name:,'1KS LLLCT�i L Phone#: 3(--,' 37S fit; State License 'S I q Master #: 7 3 3 -7 VVh eat Ridge License #: Z SignatdXof Authorized Agent Date I Plumbing Sub -Contractor I . Company Name: State License 4: Wheat Ridge License #: Signature of Authorized Agent Mechanical Contractor Company Name: Wheat Ridge License #: Signature of Authorized Agent Phone #: Master 4: Date Phone: Date City of Wh6at i e: co MUN iTy DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: /',- Permit #: General Contractor: CJ Electrical Sub -Contractor Company Name: State License #: Wheat Ridge License #: Signature of Authorized Agent Plumbing Sub -Contractor Company Name: State License #: Wheat Ridge License #: Signature of Authorized Agent Mechanical Contractor Phone #: Master #• (required field) Date Phone #• Master #• _(required field) Date Company Name:T!J/ Phone:& 7 �- Wheat Ridge License #: 7(required field) ignature of Authorized Agent Date City _�Orof W heat �ce n�mv's CITY OF WHEAT RIDGE BUILDING AND INSPECTION SERVICES DIVISION 7500 W 29th Ave Wheat Ridge. CO 80033-8001 p. 303.235.2855. f 303.237.89-'192011030W Proof of Submission for Permitting/Plan Review A copy of this form must be completed by each agency indicated on the Permit Submittal Checklist for the project type and be attached to the Building Permit Application at the time of submission. Applications presented for submission without a completed Proof of Submission form from a required agency will not be accepted or processed. Date: k k - 1" - 10 Project Address: Name of Firm/Indiv G a Project Type/Description: 0 Signature of Firm Representative or Individual: DO NOT WRITE BELOW THIS POINT - FOR AGENCY USE ONLY G I, { '`— v�%�=' ✓` am a duly authorized representative of the agency indicated below and c1b, by nX signature below, hereby acknowledge receipt of documents necessary for review and approval of the project Kndicated above. Agency represented: (Please check one) o West Metro Fire Protection o Arvada Fire Protection heat Ridge Water District o Consolidated Mutual Water District o Valley Water District o Denver Water Agency Notes: "/ Iii Signature: _<5 1*/ o Wheat Ridge Sanitation District o Clear Creek Sanitation District o Fruitdale Sanitation District o Westridge Sanitation District o Other �t w z';-1 7`l Lt172 2 444 1Z01 it 30(0S CI ty of wjZai rzidge CITY Or WHEAT RIDOE$UILDINO AND INSPECTION SERYICES DIVISION r 7500 W 29th Ave Wheat Ridge, CO 80033.8041 p, 303.235,2855,f 303.237.$92 Proof of Submission for Permitting/Plan Review A copy of this form must be completed by each agency indicated on the Permit Submittal Checklist for the project type and be attached to the Building Permit Application at the time of submission. Applications presented for submission without a completed Proof of Submission form from a required agency will not be accepted or processed. Date: 1�1 1-3d to Project Address: Name of Firm/individual submitting documents Project Type/Description: vA Signature of Firm Representative or Individual: DO NOT WRITE BELOW THIS POINT » FOR AGENCY USE ONLY I, '� ` LJ �� S am a duly authorized representative of the agency indicated below and do, by my signature below, hereby acknowledge receipt of documents necessary for review and approval of the project indicated above. Agency represented: (please check one) o West Metro Fire Protection o Arvada Fire Protection o Wheat Ridge Water District o Consolidated Mutual Water District o Valley Water District o Denver Water Agency Notes: -6-G J �¢ Wheat Ridge Sanitation District o Clear Creek Sanitation District o Fruitdale Sanitation District o Westridge Sanitation District o Other Signature: �2 Date: (Agency Representative) MARTIN/MARTIN CONSULTING ENGINEERS November 21, 2018 Todd Hulme Contractor Email: toddhulme@gmail.com Re: Wheat Ridge Sanitation District — 4145 Gray St — Plan Review Letter Martin/Martin, Inc Project No.: 17.0633 Dear Mr. Hulme, On behalf of the Wheat Ridge Sanitation District (WRSD), Martin/Martin Inc., acting as the District's Consulting Engineer, offers the following in response to the site plan received November 20, 2018, concerning a proposed addition at the above referenced address. The Wheat Ridge Sanitation District has no objections with the proposed development conditional on the items identified herein are fully addressed. The following are general requirements for sanitary sewer service. Rules, Regulations and Standards of the District must be complied with at all times. The subject lot is entirely within the service and boundary area of the Wheat Ridge Sanitation District. Treatment of sewage generated within the Wheat Ridge Sanitation District is provided by Metro Wastewater Reclamation District. Existing District Sanitary Sewer Mainline(s) Wheat Ridge Sanitation District has the following sanitary sewer mains in the vicinity of the proposed property: • 6 -inch mainline running south to north, east of the referenced property within Gray Street. It appears the property is serviced by this main. Proposed Addition If the proposed addition requires a water meter upsizing, the District will need to review and approve plans prior to construction. If a water meter size increase takes place, the District must be informed immediately, and appropriate sanitary tap fees must be paid prior to acceptance. In addition, the District will require review to determine if an additional service connection and associated tap fee is required. Please provide a letter from the water service provider with a determination of water meter size. Costs All costs involved are to be deposited in advance — construction, observation and inspections — are the responsibility of the Owner/Developer at the then current rate fee structure. Please be aware that proper development fees are required to be paid. A minimum 72 -hour notice prior to construction is required following District receipt of all fees. These fee amounts can be paid directly to the District Office prior to connection, payable to Wheat Ridge Sanitation District, which also collects Metro Wastewater's "connection fees'. Plan Acceptance The referenced plan set is approved by WRSD based on the understanding that the residence remains single family and the improvements will change size and location of dining room and office. It will also include removing existing kitchen and construction of new kitchen, master bedroom and bathroom, and living room... etc. All WRSD Rules, Regulations, and Standards are to be adhered to. Lastly, a pre -construction meeting must be held with WRSD representatives and the contractor completing construction. Any questions regarding this document, please contact us at (303) 431-6100. MARTIN/MARTIN, INC. 12499 WEST COLFAX AVENUE LAKEWOOD, COLORADO 80215 MAIN 303.431.6100 MARTINMARTIMCOM Wheat Ridge Sanitation District —4145 Gray St — Plan Review Letter November 21, 2018 Sincerely, Bill Willis, PE Cc: Mike Bakarich —Wheat Ridge Sanitation District Page 212 Zo(�D30bS CUSHMAN GEOSCIENCE LLC Geotechnical Investigation and Foundation Recommendations 4145 Gray Street_ Wheat Ridge, CO 80212 Project Number 18-143 October 16, 2018 Prepared For Hulme Construction city.r 6879 South Biloxi Court Aurora, CO 80016 wheatR'd9e Building Dl�ison Cushman Geoscience LLC 195 S Hoyt Street, Lakewood, Colorado 80226 303-475-7993 David@CushGeo.com CONTENTS Scopeof Work............................................................................................................................................... 1 Existing Construction and Site Conditions.................................................................................................... 1 ProposedConstruction................................................................................................................................. 1 SubsurfaceInvestigation............................................................................................................................... 2 SubsurfaceConditions.................................................................................................................................. 2 LaboratoryTest Results................................................................................................................................ 3 Discussion of Expansive Soils........................................................................................................................ 3 SitePreparation............................................................................................................................................ 4 SiteExcavation.............................................................................................................................................. 4 FoundationRecommendations..................................................................................................................... 5 FoundationWalls..........................................................................................................................................5 FloorSlabs..................................................................................................................................................... 6 Radon............................................................................................................................................................ 7 Mold.............................................................................................................................................................. 7 Crawlspace Recommendations..................................................................................................................... 7 SubsurfaceDrainage..................................................................................................................................... 8 SurfaceDrainage...........................................................................................................................................8 ExteriorFlatwork........................................................................................................................................... 8 Limitations and Exclusions............................................................................................................................ 8 References.................................................................................................................................................... 9 Tables Table 1: Subsurface Conditions Summary............................................................ Table 2: Groundwater Summary........................................................................... Table 3: Laboratory Test Results Summary.......................................................... Table 4: Summary of Risk Categories.................................................................... Attachments Figures Appendix A .................................... 2 .................................... 2 .................................... 3 .................................... 3 Cushman Geoscience LLC 195 South Hoyt Street, Lakewood, Colorado 80226 r City 01 ��eat Ridge �guildin9 D01150' Geotechnical Engineering Report Project No.: 18-143 10-16-18 Page 1 As requested, Cushman Geoscience LLC (CG) has prepared geotechnical engineering recommendations for the proposed structures planned for the subject site. Scope of Work The scope included drilling exploratory boring(s), obtaining soils and/or bedrock samples at intervals in the bore holes, and subjecting the samples to various laboratory tests as outlined herein and providing geotechnical recommendations. The recommendations presented herein are based on the subsurface conditions observed in the boring(s) and the laboratory testing results. Additional subsurface exploration and/or laboratory testing may result in recommendations that may differ to some degree than those presented herein. There is no guarantee or warranty as to the uniformity of subsurface materials and conditions at the subject site. An additional discussion of the limitations of geotechnical engineering is included in Appendix A. As noted in the appendix, this report should be considered valid for 3 years after issuance. Existing Construction and Site Conditions The site is currently occupied by a residential structure. At the time of the investigation the lot was vegetated with a good cover of irrigated grass, shrubs and trees. The ground surface slopes gently in the area. Surficial Geology on the site is mapped as Eolian Sand of Holocene and Pleistocene age according to "Geologic map of the Arvada quadrangle, Adams, Denver, and Jefferson Counties, Colorado" by R.M. Lindvall, U.S. Geological Survey, Geologic Quadrangle Map GQ -1453, 1979. A geologic map is shown in Figure 1.1 Proposed Construction The proposed construction includes a 1 -story lateral addition over a crawlspace. The structure(s) will have steel reinforced concrete foundations and will be built with wood and/or steel framing and possible veneer materials. Structural loading will be relatively light consistent with the proposed construction, on the order of 300 to 3,000 pounds per linear foot. Site grading will be minimal. A site plan is presented on Figure 1.0. If the proposed construction varies significantly from that described above or herein, CG should be notified to re-evaluate the recommendations provided in this report as necessary. City ()f Wheat Midge Cushman Geoscience LLC 195 South Hoyt Street, Lakewood, Colorado 80226 Geotechnical Engineering Report Project No.: 18-143 10-16-18 Page 2 Subsurface Investigation The subsurface investigation was performed by drilling one (1) test boring (13-1) on the lot at the approximate location(s) shown on Figure 1.0. The boring was drilled on August 28, 2018, using a 4" diameter, solid stem auger, powered by a CME -45 drill rig. As noted in the Boring Log, Figure 2.0, samples were obtained using a "modified California" sampler. The samples were obtained by driving the sampler into the subsurface materials at selected depths during drilling. The modified California sampler is a steel barrel sampler with a 2.5 -inch outside diameter and a 2 -inch inside diameter that is fitted with 4 -inch long brass liners during sampling to facilitate retrieval and transport of relatively undisturbed samples of the subsurface materials. The sampler was driven into the subsurface materials using a 140 -pound hammer falling through a height of 30 inches. The number of blows required to drive the sampler 12 inches is recorded and provides an indication of the relative density of granular materials and relative consistency of cohesive, fine grained soils. Subsurface Conditions Subsurface conditions encountered in the test boring B-1 are summarized in Table 1 (below). A log of the test boring is presented on Figure 2.0. Note: all measurements are approximate based on tools and methods used in the field. Table 1: Subsurface Conditions Summary Boring No. Depth (feet) Soil Description Caving/Mud Depth (feet) 0 — 4" Portland cement concrete 17.0 4" —13 Sandy, silty, slightly clayey at 4 feet, medium dense, moist, brown, gray -brown 13-18 Clay, silty, very stiff, moist, brown B-1 18-28.5 Sandstone bedrock, silty, medium hard, poorly cemented, moist, brown 28.5-30 Claystone bedrock, medium hard, moist, olive Groundwater encountered during drilling and measurements after drilling are summarized in Table 2 (below). Note: all measurements are approximate based on tools and methods used in the field. Table 2: Groundwater Summary Boring No. Time Relative to Drilling Groundwater Depth (feet) Caving/Mud Depth (feet) During drilling 17.0 - B-1 10 minutes after 15.2 open ' 3 days after 14.8 15.5 Cushman Geoscience LLC 195 South Hoyt Street, Lakewood, Colorado 80226 Geotechnical Engineering Report Project No.: 18-143 10-16-18 Page 3 Laboratory Test Results Samples obtained during the geotechnical exploration program were returned to our laboratory where the soil descriptions and boring logs were reviewed by a senior geotechnical engineer or senior engineering geologist. Selected samples were then tested in the laboratory for moisture content, dry density, percent passing the No. 200 seive, and swell -consolidation potential. Results of the laboratory tests are presented next to the boring log in Figure 2.0, in Table 3 (below) and in Figures 3.0 — 3.1. Table 3: Laboratory Test Results Summary Boring No. Depth (feet) Moisture Content (%) Dry Density (pcf) Amount of Material Passing No. 200 Sieve (%) Swell Potential (%) Swell Pressure (psf) Swell Risk B-1 4 7.9 108 26 - - - B-1 9 7.0 109 25 - - - B-1 14 21.8 106 - 0.1 1,200 low B-1 19 17.4 111 12 -0.2 N/A low Discussion of Expansive Soils The amount of volume change that results when a sample of soil or bedrock is inundated with water under a constant pressure is measured in the Denver swell -consolidation test as the swell/expansion or consolidation potential. The swell pressure is the amount of pressure that is then required to compress the sample back to the volume before inundation. The geotechnical engineering practice in the Colorado Front Range area uses a relative classification to evaluate the expansion potential of soil and bedrock. The expansion potential is categorized as low, moderate, high, or very high based on the swell potential. The following table presents the relative classifications. Additional information regarding risk is presented in Appendix A. Table 4: Summary of Risk Categories Slab Performance Risk Category Representative Percent Swell (500 psf Surcharge) Representative Percent Swell (1000 psf Surcharge) Low 0to<3 0to<2 Moderate 3 to < 5 2 to < 4 High 5 to < 8 4 to < 6 City Very High 8 or greater 6 or greater Source: Colorado Association of Geotechnical Engineers, 1996. Cushman Geoscience LLC 195 South Hoyt Street, Lakewood, Colorado 80226 Geotechnical Engineering Report Project No.: 18-143 10-16-18 Page 4 Note: The representative percent swell values presented are not necessarily measured values. Rather, they are a judgment of the swell of the soil and bedrock profile likely to influence slab performance. Site Preparation Prior to site grading, areas to be graded should be stripped of surface vegetation, topsoil, debris and other deleterious material. Stripped materials should be wasted off site in accordance with applicable regulations. However, non -hazardous stripped soil with vegetation can be used as shallow fill in non- structural, landscaped areas of the site. All manmade fill, or demolition debris should be removed from below the planned foundations and floor slabs, and replaced with properly compacted structural fill. Structural Fill Material: Imported structural fill material should be non -expansive at the recommended placement moisture content and density, classify as a coarse-grained material (sand or gravel) by the Unified Soil Classification System (USCS), and have a liquid limit less than 40 and a plasticity index less than 20. Frozen material, ice, snow, cobbles and boulders larger than 3 inches, debris and other deleterious material should be excluded from fill materials. CG should be contacted to test and evaluate whether proposed on-site or imported materials are suitable structural fill. Suitable imported structural materials would be: CDOT Class 5 or 6 road base, CDOT Class 1 Structure Backfill, or a manufactured 'crusher fines' material. Imported materials should be approved by the Geotechnical Engineer. Fill Placement: Structural fill should be placed in lifts 8 inches or less in loose thickness, moisture conditioned and compacted to 95 percent or more of the standard Proctor Maximum Dry Density (MDD). Fill which classifies as silt, sand or gravel by the USCS should be moisture conditioned to within 2 percentage points of Optimum Moisture Content (OMC), and fill which classifies as clay by the USCS should be moisture conditioned to within OMC to 4 percentage points above OMC. Fill in non-structural areas should be compacted to at least 90 percent of the MDD. Site Excavation The silty sand soils classify as Type B soils per the OSHA Excavation Guide. All excavation slopes are to be laid back per the OSHA Excavation Guide for Type B soils at a maximum 45 -degree angle (1:1 Horizontal to Vertical). The excavations should be performed under the supervision of the contractors 'Competent Person' per the OSHA Excavation Guide. The slopes may require to be further laid back if seepage or instability is observed in the foundation excavations. The contractor should manage construction traffic and the placement of excavation spoils to maintain excavation slope stability. If site constraints prevent appropriate excavation sloping, the foundation excavation can be shored using drilled concrete piers. Our office can prepare an excavation shoring design for this project if needed. WheJDivison Buildin Cushman Geoscience LLC 195 South Hoyt Street, Lakewood, Colorado 80226 Geotechnical Engineering Report Project No.: 18-143 10-16-18 Page 5 Foundation Recommendations A spread footing foundation supported on native soils or properly compacted structural fill is recommended to support the proposed structure(s). Given the date of original construction (1950 according to Jefferson County Property Records), we believe the existing residence has a shallow, spread footing foundation. Matching existing and new/addition foundation types is recommended. Therefore, the existing foundation type should be confirmed prior to construction. The new foundations should be designed based on a maximum allowable soil bearing pressure of: • 1750 psf at a typical garage/crawlspace elevation (about 3 to 4 feet below grade). Some areas of soft and/or loose soils may be encountered in the foundation excavations. Soft or disturbed soils observed in the foundation excavation should be compacted in place or removed and replaced with structural fill. Any fill placed below foundations should consist of granular, non -expansive soil compacted to at least 95% of the standard Proctor maximum dry density (ASTM D 698) near the optimum moisture content. Additional spread footing foundation design and construction considerations: 1. The total and differential settlements are estimated to be approximately 1 inch or less. 2. Spread footings should have a minimum width of 16 inches for continuous footings placed on material as described above, and 24 inches for isolated pads. 3. Footings, either isolated or continuous, should be backfilled or embedded into the grade a minimum of 1' on all sides. 4. Footings placed beneath unheated areas should have at least 36 inches of covering soils to protect from frost. This depth should be verified with the local building department. 5. Lateral resistance to the spread footings is based on both friction between the footing and its subsoil and passive earth pressures of the soils on the side of the footing. An ultimate coefficient of friction of 0.45, and a passive pressure based on an equivalent fluid weight of 280 pcf for the silty sand soils is recommended. 6. The foundation system should be reinforced to span an unsupported length of 10 feet. 7. A representative of the Engineer should observe the foundation excavation prior to foundation construction and/or fill placement. 8. The foundation excavation should be protected from runoff, and multiple wetting and drying cycles. Runoff into the foundation excavation should be avoided. Foundation Walls Foundation walls which are laterally supported and expected to undergo a minimal amount of movement should be designed with a lateral "at -rest" earth pressure of 45 pcf if the onsite silty sand UBuddinyDivison ild as backfill. Topsoil should not be used as backfill. Cushman Geoscience LLC 195 South Hoyt Street, Lakewood, Colorado 80226 Geotechnical Engineering Report Project No.: 18-143 10-16-18 Page 6 The earth pressure can be reduced to 35 pcf for "active" conditions where significant wall deflection can occur, such as at site retaining walls. A passive pressure based on an equivalent fluid weight of 280 pcf for silty sand is recommended. These pressures assume drained conditions behind the foundation walls. The buildup of water behind a foundation wall will increase the lateral pressures on the wall. All foundation walls should be designed for appropriate hydrostatic and surcharge pressures such as: adjacent buildings, traffic, construction materials and equipment. These pressures assume drained conditions behind the foundation walls. The buildup of water behind a foundation wall will increase the lateral pressures on the wall. Foundation Wall Backfill Placement: In landscape areas, foundation wall backfill should be compacted to at least 90% percent of the standard proctor maximum dry density (ASTM D 698) near the optimum moisture content (OMC). In areas of external and interior flatwork (i.e. sidewalks, driveways, garage slabs), foundation wall backfill should be compacted to at least 95% percent of the standard proctor maximum dry density (ASTM D 698) at or slightly above the optimum moisture content. Floor Slabs The onsite soils are suitable to support slab -on -ground construction, with a low risk of slab heave due to potentially expansive soils. Potential floor slab movement of less than 1 inch exists on the site near the ground surface assuming a depth of moisture variation ("depth of wetting") of about 20 feet. Structural floors over a crawlspace or minimum 12 -inch void space should be used if this potential movement is not acceptable to the owner or builder. Slab Design: To reduce the effects of differential movement, floor slabs should be separated from all bearing walls and columns with expansion joints that allow for unrestrained vertical movement. Partitions should not be designed or constructed to bear on slabs supported on grade. A 3 -inch void should be established below or above partitions during construction and monitored and maintained by the owner after construction. The void space can be covered with a molding strip that is not attached to the partition. Joint spacing should be determined on floor thickness, nominal aggregate size, slump, and be consistent with the recognized guidelines such as the Portland Cement Association and the American Concrete Institute. Cracks and movement of the slabs supported on grade can be transmitted through rigid floor coverings. Performance expectations should be taken into consideration in the selection of floor slab coverings. Past performance of existing slabs on grade should be considered when evaluating the risk of slab on grade performance for this site. Floor Slab Subgrade: Some areas of soft and/or loose soils may be encountered in the floor slab areas. Some subgrade improvement of these materials may be required at the time of excavation as directed by the engineer. Soft or disturbed soils observed in the excavation should be compacted on grade or removed and replaced with structural fill. Any fill placed below structural areas should consist of granular, non - I uv ea; r- iuge oiviso Cushman Geoscience LLC 19S South Hoyt Street, Lakewood, Colorado 80226 Geotechnical Engineering Report Project No.: 18-143 10-16-18 Page 7 expansive soil compacted to at least 95% of the standard Proctor maximum dry density (ASTM D 698) near the optimum moisture content. Plastic Moisture Barrier or Gravel Layer: Based on subsurface conditions observed in the test boring(s) and our understanding of the planned construction, a plastic moisture barrier and 4 -inch gravel layer to protect a slab at the garage level is optional for this site from a geotechnical standpoint. Applicable building codes may require these items. Interior Plumbing: All plumbing lines should be testing for leaks. Where plumbing lines enter through the slab, positive breaks should be provided. Connections to mechanical equipment should be flexible. Any new fill placed beneath floor slabs should be a non -expansive, granular material compacted to at least 95% of the standard Proctor maximum dry density near the optimum moisture content. Radon Radon may be a potential concern in Colorado. If a crawl space is constructed it should be well ventilated. If a gravel layer is placed beneath the floor slab it can be incorporated into a radon abatement system if this becomes necessary in the future. The local building department should be contacted for more information regarding radon issues in this area. Radon Prevention methods should conform to EPA Radon Mitigation Standards: EPA 402-R-93-078, October 1993 and revised April 1994. Radon levels in the existing structure should also be considered when evaluating the need for a radon mitigation system for the new structure. Mold Mold can develop in crawl spaces that become damp under certain conditions. If a crawlspace is constructed, it should be well ventilated. A vapor barrier should be placed on exposed soil to help control indoor moisture levels and should be sealed at the edges and seams. A professional hygienist should be contacted to address any potential mold concerns and mitigation methods. Refer to A Brief Guide to Mold, Moisture and Your Home for additional information: EPA 402-K-02-003, dated September 2010, for more information. Crawlspace Recommendations A health and safety professional with experience in the design of crawlspaces can be consulted to provide recommendations to reduce moisture infiltration into crawlspaces. Such recommendations may include lining the crawlspace with polyethylene plastic that is sealed and mechanically attached to the foundation. Plastic should not be attached to the foundation within 6 inches of untreated wood members of the framing or flooring. Also, plastic should not be attached to metal framing members such as column.,posts, but can be attached to concrete foundations supporting column posts. VVI -seat (rlye Building Divison Cushman Geoscience LLC 195 South Hoyt Street, Lakewood, Colorado 80226 Geotechnical Engineering Report Project No.: 18-143 10-16-18 Page 8 Subsurface Drainage It is recommended that below grade, finished or usable living space be protected from surface water infiltration with a perimeter drain system. Based on our understanding of the proposed construction, below grade finished space is not planned and thus a perimeter drain is optional from a geotechnical standpoint. Applicable building codes may require these items. Surface Drainage 1. The following drainage precautions should be observed and maintained at all times during and after construction: 2. Excessive wetting of the foundation excavation and sub -floor soils should be avoided. 3. Exterior backfill should be placed as recommended herein. 4. The ground should be sloped away from the building. A minimum slope 10% in the first 5 to 10 feet in landscaped areas and 3% in paved areas is recommended. 5. Roof down spouts should discharge well beyond foundation wall backfill zones. 6. Plastic membranes should not be placed adjacent to the foundation walls. A pervious textile should be used to control weed growth. 7. Any settling of foundation or foundation wall backfill should be re -graded to maintain the slopes noted above. Exterior Flatwork The subgrade soils should be scarified and compacted to at least 95% of the standard Proctor maximum dry density near the optimum moisture content in areas of driveway pavement or approach apron for a garage, if constructed. Proof -rolling of these areas is recommended. Soft and deflecting areas should be removed and replaced with properly compacted fill. Limitations and Exclusions This study has been conducted in accordance with generally accepted geotechnical engineering practices using the degree and care and skill ordinarily exercised by members of the same profession currently practicing under the same or similar circumstances, and for use by the client for design purposes at the named site. The conclusions and recommendations presented in this report are based on the data obtained from the exploratory boring(s) drilled at the approximate location presented on Figure 1, and the proposed Cushman Geoscience LLC 195 South Hoyt Street, Lakewood, Colorado 80226 Geotechnical Engineering Report Project No.: 18-143 10-16-18 Page 9 construction. An additional discussion of the limitations of geotechnical engineering practices is presented in Appendix A. An environmental assessment (ESA Phase I or II) of the site is outside our scope of work for this project. This report should also not be considered as an indication of the absence of or as an evaluation of any potential environmental, geologic or mining hazards for the subject site. If during construction, fill, soil or water conditions appear to be different than that presented in this report, CG should be contacted to reevaluate the recommendations presented herein as necessary. A representative of our office must observe foundation excavations, pier installation, backfill operations, and foundation bearing strata, as applicable, in order to confirm the recommendations of this report. If you have any questions regarding this report, please contact our office. Cushman Geoscience LLC Prepared by: David A. Cushman, P.G., CPG Engineering Geologist C .. I 1 )4 I&- ; ''- , Di sid id8•Wk" Barton DN: cntt D..Rart =Barton Consulti u, email=Scott@bartonconsulting.co, G bgtt carton, P.E. Date: 16 22:51:31 -0600' Attachments — Figures 1.0 through 3.1 Appendix A — Important Information about This Report Distribution: Digitally Stamped PDF via email to addressee, printed copies mailed upon request References Foundations and Earth Structures, Naval Facilities Engineering Command Design Manuals 7.01 and 7.02, 09-01-1986 Guideline for Slab Performance Risk Evaluation and Residential Basement Floor System Recommendations, Colorado Association of Geotechnical Engineers, 1996. Cushman Geoscience LLC 195 South Hoyt Street, Lakewood, Colorado 80226 NOTES: 1) Not to Scale 2) $ Indicates location of exploratory test boring. CUSHMANGEOSCIENCEI 4145 Gray St, Wheat Ridge, CO 1PROJECT NO. 18-143 SITE PLAN I FIGURE NO. 1.0 ,tlt�tr�fr� . _ - - �-SRM �1 �'-ill k...V �s -, i�. i-• clay Z TKde 22 send Wild tley i 14 gravel and clay 1 TKd3 71 ,�. , ar KEY: Qes EOLIAN SAND (HOLOCENE AND PLEISTOCENE)—Light- brown fine sand, sandy silt, and clay. In some localities may contain large amounts of clay and silty day. Crossbedded in some places, but generally structureless. Generally less than 10 feet (3 m) thick, but locally may be as much as 30 feet (9 m) thick nr ,. Q SITE LOCATION �s °7 SOURCE: Lindvall, R.M, 1979, Geologic map of the Arvada quadrangle, Adams, Denver, and Jefferson Counties, Colorado: U.S. Geological Survey, Geologic Quadrangle Map GQ -1453 4145 rav St Wheat Ride CO I PROJECT NO 18-143 ICUSHMAN 'EOSCIENCE L Geologic Map IFIGURE NO. 1.1 0 1-1 5 10/12 MC=7.9 DD=108 -200=26 10 21/12 PB MC=7.0 DD=109 -200=25 15 10 MIN 3 0.1 17/12 3 MC=21.8 0 MIN DD=106 20 -0.2 36/12 MC=17.4 DD=111 -200=12 25 —30 PZZ',aJ35/12 LEGEND: PORTLAND CEMENT CONCRETE (4" THICK) SAND, SILTY, SLIGHTLY CLAYEY AT 4 FEET, MEDIUM DENSE, MOIST, BROWN. GRAY -BROWN ® CLAY, SILTY, VERY STIFF, MOIST, BROWN SANDSTONE BEDROCK, MEDIUM HARD, POORLY CEMENTED, MOIST, BROWN ® CLAYSTONE BEDROCK, SILTY, MEDIUM HARD, MOIST, OLIVE INDICATES A "MODIFIED CALIFORNIA" SAMPLER WAS DRIVEN 10/12 INDICATES THAT 10 BLOWS WITH A 140 POUND HAMMER FALLING 30 INCHES WERE REQUIRED TO DRIVE A MODIFIED CALIFORNIA SAMPLER 12 INCHES INTO THE SUBSURFACE SOILS 0.1 INDICATES AMOUNT OF VOLUME CHANGE (%) AND DIRECTION OF SAMPLE MOVEMENT ON WETTING 3 INDICATES DEPTH TO GROUNDWATER AND NUMBER OF DAYS AFTER DRILLING WAS OBSERVED 3-4 INDICATES DEPTH AT WHICH BORING CAVED AND NUMBER OF DAYS AFTER DRILLING OBSERVED PB= INDICATES PACKED SAMPLER BARREL MC= INDICATES MOISTURE CONTENT (%) OF SAMPLE DD= INDICATES DRY DENSITY (pco OF SAMPLE -200= INDICATES AMOUNT OF MATERIAL PASSING NO. 200 SIEVE (%) NOTES: 1) THE BORING WAS DRILLED ON AUGUST 28, 2018 WITH 4 -INCH DIAMETER, SOLID -STEM AUGER POWERED BY A CME -45 DRILLING RIG. 2) THE LOCATION OF THE BORING WAS DETERMINED APPROXIMATELY IN THE FIELD BY TAPING OR PACING FROM FEATURES ON THE SITE PLAN AND SHOULD ONLY BE CONSIDERED ACCURATE TO THE DEGREE IMPLIED BY THE METHOD USED. 3) CHANGES BETWEEN MATERIAL TYPES ARE APPROXIMATE AND TRANSITIONS MAY BE GRADUAL. GROUNDWATER ELEVATIONS MAY VARY SEASONALLY AND FROM YEAR TO YEAR DEPENDING ON CLIMATE AND OTHER FACTORS. 0 5 10 15 20 25 30 4145 Gra St, Wheat Ridge, CO PROJECT NO. 18-143 CUSHMAN GEOSCIENCE BORING LOGS, LEGEND & NOTES IFIGURE NO. 2.0 11 6.0 5.0 4.0 3.0 2.0 1.0 0.0 E > -1.0 0 a� -2.0 E -3.0 ca Cn -4.0 -5.0 -6.0 r -7.0 -8.0 100 10000 Vertical Pressure (PSF) Sample Description: Clay, silty, sand fine Boring No. B-1 Moisture Content % 21.8 )1110 De th ft 14 Dr Densit c 106 Swell % 0.1 Swell Pressure (pso 1,200 CUSHMAN GEOSCIENCE 4145 Gray St, Wheat Ridge, CO Project No. 18-143 SWELL -CONSOLIDATION TEST lFiaure No. 3.0 6.0 5.0 4.0 3.0 2.0 1.0 0.0 E > -1.0 0 a� -2.0 Q E -3.0 ca -4.0 -5.0 -6.0 -7.0 -8A 100 10000 Vertical Pressure (PSF) Sample Description: Sand, clayey Boring No. B-1 Moisture Content % 17.4 Depth ft 19 Dry Density c 111 Swell % -0.2 Swell Pressure sf) N/A CUSHMAN GEOSCIENCE 4145 Gray St, Wheat Ridge, CO Project No. 18-143 SWELL -CONSOLIDATION TEST IFiciure No. 3.1 Appendix A Important Information about this Report The data collected by Cushman Geoscience LLC (CG) during this geotechnical exploration was used to provide geotechnical information and recommendations based on subsurface conditions for the site evaluated, the potential effects of those conditions on the proposed structure, and recommended foundation type for the proposed structure. The stratification lines shown on the boring log(s) are approximate and actual transitions between materials may be more gradual or more rapid than indicated on the boring log(s). Actual subsurface conditions encountered during construction may differ from the subsurface conditions presented herein. This uncertainty can not be eliminated due the variable nature of geologic conditions. Material characteristics and engineering properties of soil and bedrock may vary between samples and between borings. The actual material characteristics and engineering properties of the soil or bedrock may differ from interpretations based on sampled soil and bedrock. Quantitative conclusions prior to construction regarding the geotechnical performance of a structure are not possible due to the potential variability of subsurface conditions. Engineering judgment and experience are used to evaluate the most likely geotechnical performance of the structure and provide geotechnical recommendations for the structure. There are no guaranties or warranties implied or expressed. The owner and client must understand that uncertainties are associated with geotechnical engineering and must determine the level of risk they are willing to accept for the proposed construction. The level of risk can be reduced, but not eliminated by more extensive exploration and sampling of the site and additional laboratory testing, which would cost more money and take more time. To reduce the level of uncertainty, the report should only be used by the referenced client for the referenced project and the construction described in the report unless authorized in writing by CG. CG should be consulted to review changes to the proposed construction such as the nature, size, configuration, orientation, location or weight of proposed improvements. Additionally, the practice of geotechnical engineering is continually developing knowledge and experience, and it must be understood that recommendations are based on the state of the practice at the location and time the report was prepared. The report should not be used more than three years after issuance unless reviewed and revised if needed by CG. The geotechnical engineering practice in the Colorado Front Range area uses a relative classification to evaluate the expansive potential of soils and bedrock. The expansive potential is categorized as low, medium, high or very high based on the swell potential. The following table presents the relative classifications. Table No. 1 - Risk Categories Slab Performance Risk Category Representative Percent Swell (500 psf Surcharge) Representative Percent Swell (1000 psf Surcharge) Low 0 to< 3 0 to< 2 Moderate 3 to < 5 2 to < 4 High 5to<8 4to<6 Very High 8 or greater 6 or greater Source: Colorado Association of Geotechnical Engineers, "Guideline for Slab Performance Risk Evaluation and Residential Basement Floor System Recommendations (Denver Metropolitan Area), December 1996 -QJ U��i The slab performance generally associated with the slab performance risk categories are as fo ws: So,� Appendix A Important Information about this Report Page 2 Low slab cracking, differential movement and heave Moderate slab cracking, differential movement and heave, partial framing void and furnace plenum closure High to Very High large slab cracking, differential movement and heave, closed framing void and furnace plenum Note: More or less damage can occur in any risk category due to the variable nature of soil and bedrock. It is important to note that measured swell or expansion is not the only criteria used in developing foundation and floor recommendations. Other factors considered in the development of foundation and floor recommendations are: a. Soil and bedrock variability, b. Stratigraphy, c. Groundwater depth during field activities and potential groundwater depth after construction, d. Surface water features and site drainage, e. Post construction landscaping and irrigation conditions, f. Construction details and proposed use, and g. Local experience. Landscaping of the site following construction and owner maintenance will greatly affect the performance of structures on sites with expansive soil or bedrock. Typically, moisture contents of subsurface soils and bedrock increase after construction due to surface irrigation and the cut off of evaporation that occurs when a slab or building is constructed. Poor owner maintenance, such as ground surfaces sloping towards foundations or slabs and irrigated landscaping adjacent to buildings, will increase the potential for slab and foundation movement by increasing the potential for moisture content changes in the subsurface soils. The property owner or buyer, and anyone he or she plans to sell the house to, must understand the risks associated with construction in areas with expansive soils and must assume the responsibility for maintenance of the structure and the site. The owner and prospective purchasers should review "A Guide to Swelling Soils for Colorado Homebuyers and Homeowners," a special publication (SP43) of the Colorado Geological Survey, which helps homebuyers and homeowner understand and take measures to reduce the potential for damage due to expansive soils. x(70 PO3 qjlgy 1�7Z INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 0s�cupancy/Type i� WJ . __ — 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 Initials Comments Pier Sewer Service Concrete Encased Ground (CEG) Mid -Roof Plumbing Foundation / P.E. Letter Lath /Wall Tie Do Not Pour Concrete Prior To ADDroval Of The Above Inspections Underground/:flab Inspections Date Inspector Initials Comments Electrical Wall Sheathing Sewer Service Mid -Roof Plumbing 1Z nn Nnt rnvpr llndpraround or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof -Z 1Z Lath /Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits – Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather 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: Job Address: Permit Number: ❑ No one available for inspection: Time -"e APAP Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: Inspector: DO OT 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: A.61C Job Address: L/ l Z S_ ❑ No one available for inspection: Time/ AM/PM Re -Inspection required: (es) No When corrections have been made, call for re -inspection ai 303-234-5933 Date: - Inspector: 6L r.' DO NOT REMOVE THIS NOTICE r� 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: Job Address: L/�`�5 (nrcS4 Permit Number: (r) C) e-/ y ?s ❑ No one available for inspection: Time Re -Inspection required: Yes When correctio7fiave been made, call for re -inspection at 303 -234 - Date: Inspect/r- i` DO NOT REMOVE THIS NOTICE A City of Wheat Ridge Residential Roofing PERMIT - 201704203 PERMIT NO: 201704203 ISSUED: 07/17/2017 JOB ADDRESS: 4145 Gray ST EXPIRES: 07/17/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with 20 sq. *** CONTACTS *** OWNER (303)514-7460 MILLER TAMARA K SUB (720)628-6977 Jose Antonio Negrete 120124 Tony's 1 Construction LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,000.00 Total Valuation FEES 0.00 PAID Use Tax 231.00 Permit Fee 220.15 ** TOTAL ** 451.15 *** COMMENTS *** *** CONDITIONS *** 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) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. 41 City of Wheat Ridge Residential Roofing PERMIT - 201704203 PERMIT NO: 201704203 ISSUED: 07/17/2017 JOB ADDRESS: 4145 Gray ST EXPIRES: 07/17/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with 20 sq. 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 appli unici al codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property a autho ' to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that ally a orized to include all entities named within this document as parties to the work to be performed and that all work e orme isclosed in this document and/or its' accompanying approved plans and specifications. -7—zz5 ( 7 Signature of OVOW or CO)FfRACTOR (Circle one) Date I. 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 maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or rdditnaan`cee or regulation of th' jurisdiction. Approval of work is subject to field inspection. ice" 0 A Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. `�1764�)� E Dane Lovett e5;P U From: no-reply@ci.wheatridge.co.us Sent: Friday, July 7, 2017 4:18 PM lid To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Residential Roofing Permit Application N This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 4145 GRAY ST WHEAT RIDGE, CO 80212 Property Owner Name Tamara Miller Property Owner Phone 3035147460 Number Property Owner Email Field not completed. Address I qos—1 - I r Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Tonys 1 construction 120124 7206286977 Contractor Email Address Tonys1construction@gmail.com Retype Contractor Email Tonys1construction@gmail.com Address DESCRIPTION OF WORK Are you re -decking th Yes roof? Description of Roofing Owen's corning duration Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 18 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 20 V roofing material for this proj ect Provide additional detail 5/12 here on the description of z work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 11000 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 this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Antonio negrete Email not displaying correctly? View it in your browser. 3 We O' �.S ��oas C, ,n e� :_ _ � _ _CS '-Tf .:G;. �.. ._. �,..,...;:<-sea J Customer- Tamara K i / FerfmrAo Doz dei 1faHe Phone: 303-514-7469 & 303-9091-W57 x0/2017 Address: 4145 Gray St Wheat Ridge 80222 Co Claim #005005467-22 Project Job 4345 Gray St Wheat Ridge Co 80212-- -- _.- 5 Layers Shingles Roof Replace. Recover Roof With asphalt Shingles Owens Corning Dur-ation Cold (Manufacturer Warranty on Shingles 30 Years. (1 )Remove 3 ft 2 €t 3 £t 4 ft 5 Layews old Sys to Wood Deck, and threw array_ (2) Remove the meter systems and haul awash (3(fr if fS£ over _r _(Cl kistaU ice &�ei-gaaydatong ail eave fines, from the #=dam t ? as ( y's-1 r o 1jw to f- all Material and Labor. (6) Sired Roof Replace (7) Install 19€3ft of Lave.Lashing? ft I I feet Rakes Edging Size 2X4 drip - (8) Clean up and remove all trash and debris_ (9) Replace 2 plumbing .Jack 311 and Paint mach, to Rwf. 0) I Year Warrwity cn Labor. (11) Tony's f Construction kx Supply Camey Permit. (12) Total Squares is 20, ft 2 Sq on Shed. and 15% Waste of R� (1 11-P :6 TIxtVi �e e : c g air Vel- £4) i�tl a 5"seas�si ser syste€n (' 51 Cwnerzgrees that the equity in the property is security for this contract. This contract shalt become binding only uporr written acceptance hereof by the Contractor or by an authorized agent of the Contractor or upon commencement of the worts. This contract constitutes the entire understanding of the parties, and no other understandings, collateral or otherwise, shall be binding unless in writing and signed by both parties. bar warm dws act, cover dames to moos caused by Voteriing, i -,ail, wind (50mph{), hurricane, tomado, impact of foreign eb;ects, .or cog vk �te€r$ stv ror c asua{4j� Also Aunage to -roofs &L-- to --A t- rne nt, distortion, failure trr cracking of the roof deck, Ovalis or fo .da€ ans fs 1W cover€& Contractor shall revoke lalor warranty if contract is not paid in full- The labor warranty is not transferable. The materials warranty is non transferable unless otherwise stated by the manufacturer- All material is guaranteed to be as specified. ALL work is to be completed in a workmanlike manner according to standard prac`uces. Amy alteration or deviation from the above specifications involving extra cost will be execated only upon written orders and vAA beco an extra charge uver- and above the estimate- Labor and matenat warranty €mve€s roof only- The property owner is to carry fire, tornado and other necessary insurance. Tonys 1 Construction inc is not rets ble for mold or mildew. The warranty is limited to Roof leaks and replacement of €Hissing Asphalt Shingles mof, but does not inokidi repair or reimbursement for mer damage to the interior of the building. tony's 1 construction Inc is not responsible for any damages for concrete or driveways. also subject to additiorlat costs to comptete the: scope of work. These cos w:tt also -be -bitted USAA as a supplement charge. ***ANY AND ALL ITEMS WHAT ARE NOT ON TBE ADJUSTERS EST. BUT ARE RE ED Bit THE CITY OF VV -HEAT RIDGE WILL BE ADDED TO THIS CONTRACT PRICE AS A SUPPLEMENT. ALL SUPPLEMENTS WILL BE PAS BY USAA. ISM531-9722 3 This contract / proposal may be withdrawn by us. not � ih� 30rdwys- Project Sub_ Re -roof at 4147 Grav St -Wheat -Rid eri t, agreato pay cos snbstankW cauvh2fiw the sun of $ pk3s the permit fee andaM mpAwwnts. n;at0r—#:,� To 1£onstruction inc hate= � K. PAller & ;ernamha Diaz W VaRe � We dck all typesof shingles• i tile and all typescof flat rc3of. TD�VY�s r,AC(::)NasTRUCTit�►t 7-- .; .. w�nrw_t.or�v�7Ivo#Er��-cams ,; a T--.ZCb —69TT Tamara K. Miller & Fernando Diaz del Velle Phone: 303-5147460 & 303-908-9857 Claim #005005467-22 Contract Dated: June 20/2017 Project Job: 4145 Gray St Wheat Ridge Co 80212 Total cost of the supplements that were needed to be done to ►neer t le City of wheat Ridge co roofing codes are: 1) 2) 3) 4) 1000 sgft of Ice and Water guard x $1.66 = 1900 sqft of 7/16 OSB to create a solid surface x $1.71= 1000 Inft of 5" gutter system x $562.00 = 160 Inft of perimeter metal to meet code x $198.€4 $1,660.00 3,249.00 $800.0 5} econd Extra Layer old Shingles $20x31=$620 $620.00 6) hind Layer 20X31=$620 $620.00 7) IFourth Layer 20X31=$620 $620.00 8) IFifth Layer 20X31=$620 $620.00 9) 13 Top Old Shingles Off 20X49=$1,078 $1,078.00 sphalt 30 Years New Shingles install 22X209=$4,598.00 $4,598.00 ROOF SUPPLEMENT TOTAL = $14,121.00 ORIGINAL ROOF & GUTTER & INTERIOR CONTRACT = $14,121.00 TOTAL PROJECT COST = 14,121.00 . Upon substantial completion of the roof, final payment will be due. If not paid within 30 days a finance charge of 1.5% per month will be charged on account balances not paid in full. The Client agrees to pay all expenses of collection, including reasonable attorney fees, and $50 for each returned check 50% due upon the day IAE re start e_ 50° po ob completion_ Tony's 1 Construction Inc: ,rF` Date: , Tamara K, Miller &Fernando Diaz del Valle " � - `, i � � �' Date lIIYYY ~oF""E'rR City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 o Inspection Line: 303-234-5933 OGORP~ Building Permit Application Date: Q3 /16, Plan Cq Permit (19 OCR o Property Address' NI J~ ~r i Sf lJ~oaf v'rd o M `2 0, f Property Owner (please print)`.T yl a, K H1 1, 1(r Phone:303-5/q -7Y6O Mailing Address: (if different than property address) Address: State, Contractor: Contractor License Phone: Sub Contractors: Electrical City License Company: Exp. Date: Plumbing City License Company Exp. Date: Mechanical City License Company: Exp. Date: lfoc? Use of space (description): having o nihe 2'I~ Construction Value: $ Description of work: (as calculated per the Building Vatuati Plan Review (due at time of submittal): Sq. Ft./L.Ft added: Squares BTU's Gallons Amps OWNERICONTRACTOR 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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE- (OWNER) ONTJR~ACTOR~) or PERSONAL REPRESENTA~TTIV~Enof(OWNER) NTRATOR) PRINT NAME: ~Oa( A .rt ll(C!" SIGNATURE t j2iLLti. Date: -5& log Kr 41/6 G`raL, Sf W(~eaf ei4l co ~Z~Z q Ilq5 CO a)Z+2 COMMUNITY DEVELOPMENT DEPT. Inspection Services Division (303) 235-2855 Correction Notice Job Address: 4/17 &,4'y . )7R~ft""/ h/V4/ .E/~//'Z?/,/' L ~ :;'::Jin;;;:;; ~:;:~PA='~ /' When corrections have been made, call for 303-234-5933. DO NOT REMOVE THIS N Date: Building Permit CITY OF WHEAT RIDGE 7500 West 29TH Avenue Wheatridge, CO 80033 303-235-2855 Permit Number 19451 11/3/2005 Inspection Line 3D3-234-5933 Residential Electric PROPERTY 4145 Gray St Unit: (303) 514-7460 OWNER: Tamara Miller Description Service upgrade to 150 amp, and add 2 circuits in house. IFEES IFees iUse Tax IPermit Fee ITotal Fees 1 ICONTRACTORS IName IJMC Electric LLC 1 IDue 1$37.80 1$108.30 1$146.10 1 1 1 License # 122436 I I lIt:, I -' _5:.?,_') ---5/ I '; j/ Ij I 1 1 1 IPaid 1$37.80 1$108.30 1$146.10 1 1 IPhone 1720217-4093 Units: Occupancy: Walls: Roof: Stories: Sqi'eet: o posed by thispf;nnlt application are accurate, and do not violate applicable ordinances,rulcil or regulations ortbe City of trictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by nd that I assume full responsibility forcompliance with the Wheat Ridge Building {:ode (I..B.C.) llnd all other applicable j pumit. /1- ~ (IS- SIGNED DATE This pennit was issued in Il~ordani:e with the provisionssel forth in your application and is subject io the laws of the State of Colorado and to the ZoniIig Regulations aud BuildiIig Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2 Every pennll issued shall become invalid unless the work on the site authorized by such pennit is commenced within 180 days after its issuance, or if the work authorized on the site by such permit is suspended or ,abandoned far a period of180 days after the time of work iscommenced~ 3 If this pcnnitexplres, a new permit may be acquired for a fee of one-hair the amount nonnally required, provided no changes have, been orwin be made [n the origin"l plans and specifications and any suspension orabandonmenthas not exceeded one (1) year. If changes are made orifsuspensionor abandonment exceeds one (1) year, fuD fees shan be paid for a new permit. No work of any manner shall be done that wiD change the naturalllow of water causing a drainage problem. Contractor shaUnotlfy the Building Inspectortwenty-four (24) hours in advancefor all inspections and shall receive written approval on inspcetioncard before proceeding with successive phaseS of the job. The i.'lsuance of a penult or the approval of drawings and speclllcations shall not be construedto be a penilitJor, nor an approval of, any,vlolatlon ofthe P~~w._.'ng".ti.. Chi" 1 . .. Thursday, November 03, 200 .. .... ..... . 4 5 6 SIGNED DATE Page lofl .::~' WH'~r ~ - " u ~ 9OtORp.,ffi COMMUNITY DEVELOPMENT DePARTMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) APPLICATION Building Permit Number: Date: Property Owner: '"'focM(LV(\ ~ III e.v Property Address: 41'+ 5 6vt\.'f <".j- W"e<<-+vitlce Co BO;:'I 2- Contractor License No.: \g 2. \ 0 ) Company: JMC. 6\eLtviG LLC Phone: :So". SItj.-i'-lIoo Phone: T2.0. 2-17 -<+-0'13 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT BuildinQ DeDt. Valuation Figure: $ I hereby certify that the setback distances proposed by this permij 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 that I e full responsibility for compliance with the Wheat Ridge .. C al other _licabIe Wheat Ridge Ordinances, for work u to field inspection. DATEI/-1-oS DArJl->-cJS Value:$;2;/OO, ([0 Permit Fee:$ Plan Review Fee:$ Use Tax:$ Tota1:$ I'\?<i Use of Space (description): ttoWl(', I Description of work: ::RYV\'?J<. l{("roctf. (OWNER)(CONTRACTOR): SIGNED (OWNER)(CONTRACTOR):PRINTEO -J<, /94t>\f) q~~ "I'Jd I) c;'v-(l-\ <<5 ~ hCl49Z. Sq. Ft. added ZONING COMMENTS: Approval: Zoning: BUILDING DEPARTMENT USE ONLY SIC: Sq.FI.: BuiLDING COMMENTS: Approval: PuBLIC WORKS COMMENTS: Approval: IRE DEPARTMENT COMMENTS: Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No: Company: Plumbing License No: Company: Mechanical License No: Company: Expiration Date: Approval: Expiration Date: Approval: Expiration Date: Approval: (1) This permit was issued in accordance with the provisions set forth in your application and is sub;ect to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permi shal expire W (A) the wort< authorized is not commenced within sixty (90) days from issue date or (B) the building authorized is suspended or _ndoned for a period of 180 days. (3) If this permR expires, a .- permij may be acquired for a fee of one-haK the amount normally required. provided no changes have been or win be made in the original plans and specifICationS and any suspension or abandonment has not exceeded one (1) year. K changes have been or huspension or _ndonment exceeds one (1) year, full fees shall be paid for a new permij. (4) No work of any manner shall be done that will change the natural flow of water causing a <kainage problem. (5) Contractor shall notify the Building Inspector _nty-four (24) hours in advance for al ~ and shall receive _ approval on inspection can! before proceeding with successive phases of the job. (6) The issuance of a permi or the approval of drawings and specifications shall not be construed to be a permR for, nor an approval of, any violation of the provisions of \he building codes or any other ordinance. law. rule orregulalion. AI p1an_ is subject to field ins..-:. ~ NIS. COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE. (303.234.5933) CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033. (303.235-2855) Building Permit Number: 16357 Date: 10/17/2003 Property Owner: TAMARA MILLER Property Address: 4145 GRAY ST Contractor License No. : 20120 Company: American Exteriors Inc. Phone: 456-8166 Phone: 794-6369 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT (OWNER)(CONTRACTOR) SIGNED DATE Total: $7,200.00 $199.30 $0.00 $86.40 $285.70 Construction Value: Permit Fee: Plan Review Fee: Use Tax: 1 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 the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. Use: JPtJtZilJ Description: INSTALLATION OF VINYL REPLACEMENT WINDOWS BUILDING DEPARTMENT USE ONLY SIC: Sq, Ft.: OK. 10/17/03 Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: Expiration Date: Approval: Expiration Date: Approval: (4) (5) (6) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. This pennit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building 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 changes 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 made 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 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 approval on inspection card before proceediing with successive phases of the job. The i a ceWlf a it or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the io 0 g codes or any other ordinance, law, rule or regulation. , (1) (2) (3) spector Please sign Terms and Conditions on reverse side of page. Sep-22-98 10:18A DEVREVFAX DEPARTMENT OF PLANNING AND DEVELOPME H BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE. CO 80215 303 235 2857 BUilding Permit Number: P.03 Date: Jo/P1S Property Owner: Ta. YVLa."--R rY7 ill", r, I z.- PropertyAddress: <//'15 GrccySr {,J/13ff(l,'l.Q c:o ~2lphone Contractor License No. : :::;0 I;;z, (j -:5 ) Company: /I f11u/co.-rt- 1:.Yf<,~'5 Jt1L. OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREI MENT ;fo'3 -Y5h-8'/Gf, Phone: 30"] 79t/ 6YG 7 Construction Value: 'Tt ,?oo. 00 199,30 701. 0() Total: d7f51 ~ Permit Fee: I hereby certify that the setback distanc;es proposed by this permit ~pplication are lIe( Jrate. and do not violate applicable ordinilnces. rules or re;~tions of tne City of Wheat Ric II!! or covenants, usements or restrictions of recant that all measurements shown, and all ,gations made are accurate: that I have r.ad and agree to abide by aH conditions printed on th i applic:.ation, and tnall assume full responsibi&itv for comptiance wit" the Wheat Ridgf! luildln Code (U.B.C.) and all oUler applic:;a~e Wheat R' e ordinance r wolk under this tJ ,/mil. TE~ Description: Il1Sf~d-f/t <IF v/Myl,4I1f~ /)) J f/l)o..-W 5 Use Tax: (OWNER)(CONTRACTOR) SIGNE Use: BUILDING DEPARTMENT JSE ONLY ~llW:_~IUllUl1U SIC: Sq. Fl: Approval: Zoning: IDJlmln~omm.nts;l GJt.- ~ Jef/I 'JO;;? Approval: euma.wOtKsmomm"ntn Approval: Occupancy: Walls: " (/" . ~'. , .,. < if 16'6') Roof: f tories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: Expiration Date : Approval: Expiration Date: Approval: (') (S) (1) This j:lermlt was Issued In MlCIDtdanC:e wtII\ IN PfO'ItsiOns HI !c;wtI\ In yopuf appticMiotl ar l Is lubf<<! 10 !he Wws of... State 01 Colotado and lCIlN lotting Reglo1lat;onl and Bl.IiIding Code of'M\eat Ridge, Colorado Of' att'f CMtIet appliQbleonfinaJ ::es olIN City. (2) This pennilll'lil ... if li'o) IN work .utIortI~ is not commenc.ed wlthin siIlty (SO) CIa', from issue date Of (8) 1M buitdIng aulhoriZ.ed is suspended Of .bandonect rot. _petlOd 01120 cNp. . (3) If IllS pemwI \PPteS, . nftf pemliI mil, be QUired rOt a fee 01 0M-hI1f!he IfftDUnl norr a"V requin!d. pIO'Iided now., I\rIe been Ofd be rNde in !he origlNll p/an$ ancf ~tiOftt Mid.ny auspension Of abandontneflt has not e~ 'Mlt) year. II cNnoes lire made Ot if suspens;Qn Ot ~1'It enzedl one (t) year, full fees wi be peId for. new permJl No WOfIl or any fnlfIMI' IhaI be dOne NI will cNnQe lhe nallM'1l ftOW 01 waitt causing a 1raiNcJ. problem. COttIrackW ShaI nclily' the BuiJdtng IftN)IKIOt tllwentv-tour (2(J hours in Id\Ilnce fOf..1 in:ll rJClions and shall reaiYe wriften IPprov.l on Inspec:tion card before __..................o/...lal>. The issuanc. of . at.... ~ ol drawtnvs aI'Id Sj)edlt~Uo..a. shall not be COI'lS rved to be. pefmiI lOt, not In epprOVllI of, ."., oAolaUon of !he ptOVislonl of ltl. building any Inarnce. _, Me Of tt'Qwlion. {8! Chief BUilding Ins Fo, Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHI! F BUILDING INSPECTOR AND MAYOR CALL: 234.5933 24 HOURS PRIOF TO INSPECTION "Please complete both sides of appl cation form with submittal" ~ e:. U\lJ'l - <1\ :s. ~ 9:-.~ ~ ~ ~<4 ~~ "' A -- ~ } SA ~~ ~O\ ~><; ~?tt ~ '" "'\ "Tj:;> ....-;;- ',,- ,- -",;- ..... '? r, ----< ~~/ ......'" I' 0Cl, is >< ~ <:..,.s::-: 6" ~, ,,-'iJ ~ of' -, L r 'I -1 &:Jw " U) "'><: 7'w 'f--lJ ~ t 'if "'s- <;,. -- ~~ ~ \ ~' <-. '> ~ \ ~ b " \ GJ~ 01 "- ~'" '" ""'i'~ -'<: <n --t:. ::-: -.Q~ ~-., LA", r- o<l <b\.:,;: x t,::2, -~ ~ '" ""' wL>., r- - ~-,~ '7 -1- ~ 0\>< =-:-t.. ~...Q 1'>Q<t; -, "-16'. I 1'-"\J <-;l.it~ \J\ :::---~ ~ -=- 't: ~ 5ii ~ ~ S j:! ~\ P + .., ^::'U:>'i' - ..., ~ ~p "" oP "<. r" <.t\ ~ - ---t-'> "'\ (':::. o ~ <:> <."j (,J