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Home My WebLink About4720 Lamar Street® City of Wheat Ridge Residential Roofing PERMIT - 201802386 PERMIT NO: 201802386 ISSUED: 08/29/2018 JOB ADDRESS: 4720 Lamar St EXPIRES: 08/29/2019 JOB DESCRIPTION: Reroof remove and install TPO/EPDM (60 MIL) and Malarkey Vista Asphalt Shingles with a total 23 squares, 15 squares flat and 8 squares pitch. Pitch .5/12, 4/12. *Flat roofs are over the garage and living room of home. We will install a taper system to achieve drainage on the roof.** *** CONTACTS *** OWNER (303)949-8789 RETTLER ADAM NICHOLAS SUB (720)209-4635 Michael Lindberg 140280 Pioneer Home Solutions *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 81000.00 FEES Total Valuation 0.00 Use Tax 168.00 Permit Fee 172.60 ** TOTAL ** 340.60 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge `A Residential Roofing PERMIT - 201802386 PERMIT NO: 201802386 ISSUED: 08/29/2018 JOB ADDRESS: 4720 Lamar St EXPIRES: 08/29/2019 JOB DESCRIPTION: Reroof remove and install TPO/EPDM (60 MIL) and Malarkey Vista Asphalt Shingles with a total 23 squares, 15 squares flat and 8 squares pitch. Pitch .5/12, 4/12. *Flat roofs are over the garage and living room of home. We will install a taper system to achieve drainage on the roof.** I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this_�ppermit. urther attest that I am legally authorized to include all entities named within this document as parties to the work to be pertbrme an at a o to be ertormed is disclosed in this docum a /or Us' accompanying approved plans and specifications. Sign ture of OWNER or CONTRACTOR (Circle one) Date 1, his permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6, The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applica code or any o nance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief• uilding Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Lagenia ReimerZ From: no-reply@ci.wheatridge.co.us Sent: Tuesday, August 28, 2018 5:33 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. The Building Division permit counter is open from 7:30 am to 3:30 pm, Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units rr-- `jrb are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) 4720 Lamar St Adam Rettler 303-949-8789 drolll , f Property Owner Email aarettler@gmail.com Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Adam Rettler Contract (1) (1).pdf Contract CONTRACTOR INFORMATION Contractor Business Pioneer Home Solutions Name Contractor's License 140280 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-209-4635 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 700 N. colorado Blvd Unit 170 (Primary address of your business) Contractor Email Address mike@phsdenver.com Retype Contractor Email mike@phsdenver.com Address DESCRIPTION OF WORK TOTAL SQUARES of 23 SQ the entire scope of work: Project Value (contract 8000 value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or roof, pitched roof, or greater) 2 both? (check all that apply) What is the pitch of the FLAT roof? How many squares are part of the FLAT roof? Describe the roofing material for the FLAT roof: Flat. about 1/2" by 12 pitch. We will be installing a taper system TPO (60 Mil) Type of material fo e TPO/EPDM � FLAT roof. _P -- What is the specific pitc 4/12 of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: Type of material for the PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) �I Malarkey Vista V The flat roofs are over the garage and living room of home. We will install a taper system to achieve drainage on the roof SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will 3 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. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Mike Lindberg Permit Email not displaying correctly? View it in your browser. i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION OT)GE 1401- a N $ n� Inspection Type: 4.10 a - Cas M Job Address: L-! -7 a O a rrc r S+ Q Permit Number: 'D 0 16- 0 0-7 g s-- ❑ No one available for inspection: Time 11 = -,3L O /PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303 -234- Date: - 03 -234 -Date: S 3 1 6—Inspector: T.b 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: 4-/03t' r—t o, i 'r )ec Wes Job Address: Li 7 P o Let M A; S-)- i?, Permit Number: d 0 I S- D O `7 i S" ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes When corrections have been made, all for r in 03-234-5933 Inspecto DO NOT REM E THIS NOTICE o " 'n ek CITY OF WHEAT RIDGE , -Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax y r r r)a i Mecjj iQ,'s Inspection Type: INSPECTION NOTICO 1 ry, II Y07- t- anal b P S 44)13- r on I ►v r �� r Job Address: y 7 a o & a rba r S �- G3 Permit Number: a 0 l SO G -7,-6 .5- ' "na 15 ❑ No one available for inspection: Time 10 = Sa &PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: -7 10 L119 Inspector: __7--L> DO NOT REMOVE THIS NOTICE 4 4 City of Wheat Ridge Residential Remodel PERMIT - 201500785 PERMIT NO: 201500785 ISSUED: 06/04/2015 JOB ADDRESS: 4720 Lamar ST UNIT B EXPIRES: 08/16/2018 JOB DESCRIPTION: Interior remodel - electrical, plumbing and mechanical. *** CONTACTS *** OWNER (303)949-8789 .ADAM RETTLER SUB (720)971-2368 David Martinez 100374 EZ Electric SUB (303)758-8910 Christopher Meier 020586 Cady Plumbing Co. SUB (303)347-1958 Steele Bros Heating 080125 Steele Bros.Heating, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: / SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 37,983.52 FEES Total Valuation 0.00 Plan Review Fee 384.51 Use Tax 683.70 Permit Fee 591.55 Permit Fee 3 295.78 Permit fee additiona 295.78 ** TOTAL ** 2,251.32 *** COMMENTS *** *** CONDITIONS *** KC: Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. City of Wheat Ridge Residential Remodel PERMIT - 201500785 PERMIT NO: 201500785 ISSUED: 06/04/2015 JOB ADDRESS: 4720 Lamar ST UNIT B EXPIRES: 08/16/2018 JOB DESCRIPTION: Interior remodel - electrical, plumbing and mechanical. I, b� my signature, doriespropeny eby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building c and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner - and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I furtt� attthat I am legally authorized to include all entities named within this document as parties to the work to be performed and t ` t Y -work to be performed is disclosed in this document and/ori ' accompany° approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying Flans 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. 1 If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 51 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 IfiL permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applica de or any or ance or regulation of this jurisdiction. Approval of work is subject to field inspection. Awg* Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of �Wheat iJge CommuNiTy DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29`b Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Permit Extension Request Form Permits 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 may be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. Please complete this form in its entirety and submit to the Building Division at yen-nits@ci.wheatridge.co.us or fax to 303-237-8929. Party requesting permit extension: Permit # ZV =6t,78T_ I Property Address: TZ !�✓ �> Phone # 303-�;?/ 5?89 Email Address: � �'T�f2 @ 5"'''�` Reason for extension request:!�/, -S Number of days requested: 4�7 0 d 6�'S Printed Name: ��' Signature: Date: ��C/ ' 2CJ/2 For office use only p This request has been ppr ved Denied Extended until: O11 6f 13 Approved by: Date: �1i (0 www.chwheatridge.co.us 01W�6 00 -7 9-"f ff0ccuipancy/1yTe-- RD INSPECTION RECO INSPECTION REQUEST LINE: (303) 234-5933 Inspections will not be performedunless eceit sis cion�the following business day. Call the inspection request line befoon the project site. re 11:59 p.m to Inspector Must Sign ALL Spaces pertinent to this project Inspector Comments Foundation Inspections Date Initials Monolithic Slah Reinforcement Caissons Concrete Encased Ground (CEG) Footing/Stemwall P.E. Letter Do Not Pour Concrete To A r Inspector Underground/Slab Inspections I Date_ Initials I Of The Above Inspections Electrical (Underground) Sewe a (Underground) Water Service (Underground) Plumbing (Below/ In -slab) Heating (Below / In -slab) pu Not Cover Underground or Belowlln-Slab Work Prior To Inspector Gough Inspections Date Initials Wall Sheathing Roof Sheathing r -- L.1tt+ / Wail fie Rough Electric -- Rough Plumbing - Rough Mechanical -- — Gas Piping --- Do Not Proceed Without Approval Of Above Rough Framing Insulation - Drywall Screw / Nail _ I Inspector Final Inspections Date I Ini ' Is Final Electrical f Final Plumbing F'ir;4I Mechanical �1 Roof— Final Building / Frame Comments roval Of The Above Ins Comments Inspections Comments r,16 -A Landscaping & Parking / Planning Dept. Inspections from these entities should be requeste one week in advance. For landscaping and parking ROW &'D -,t age / Public Works Dept. inspections call 303-235-2846. For ROW and drainage _ inspections call 303-235-2861. For fire inspections Fire Inspection /Fire Protection Dist. contact the Fire Protection District for your project. "Note: All items must tie 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. Occupancy Is Not lPern-Atted 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: 3 -at) - EV I,- // Job Address: ''I7 a o LG mn r S 7L # Q Permit Number: 0 n i S- o o '7 g $— ❑ No one available for inspection: Time - 1 ASPM Re -Inspection required: YesNo When corrections have been made, call for re -inspection at 303 -234 - Date: ! aG l8 Inspector: —T --b 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: Job Address: �O Permit Number: 4w, ❑ No one available for inspection: Time M/PM Re -Inspection required: Yes f/No� When corrections have been made, call for re -inspection at 303-234-5933 Date: /. 2:;? 116' Inspector: Jwj DO NOT REMOVE THIS NOTICE fie& &X ?",9 A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax 141/WA Inspection Type: Job Address: Permit Number: INSPECTION NOTICE a - sz- am,f �,/®/_5 (-)07757 ❑ No one available for inspection: Time e-�4 ► 11 ' AWPMd' ' Re -Inspection required:' Yes .�lo p q j When corrections have been made, call for re -inspection at 303-234-5933 Date:Z'/G' IK Inspector: DO NOT NOT REMOVE THIS NOTICE City of WheatMidge COMMUN1Ty DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29`b Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Permit Extension Request Form Permits 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 may be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. Please complete this form in its entirety and submit to the Building Division at permitsgci.wheatrid eg_co us or fax to 303-237-8929. Party requesting permit extension: COWAj Com) Permit # !� t Property Address: q _7 2 0 (_AM -,L_- Phone # -zo3- Q— b78q Email Address: AA- T �L_ Reason for extension request: D��C�`% %�/ / ILS Number of days requested: S rr---- ' 20 Printed Name: /'fi�1 �`"�'" e 457M- %�-- Signature: Date: �'`�'4`� 20r8 For office use only This request has been: pproved Denied Extended until: Q 1 Approved by: &�n Date: www.d.wheatridge.co.us i CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Type: Inspection T e: �(S U � 69 l /®�tj (13- p Job Address:�� % 2� (�✓ ) L IjAI( 41,L.. Permit Number: -1 C)�C— ❑ No one available for inspection: TimV AM/PM Re -Inspection required: Yes No When corrections have been made, call for re-insp ci" " at 303-234- DateC2///-/') Inspector: i CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Type: Inspection T e: �(S U � 69 l /®�tj (13- p Job Address:�� % 2� (�✓ ) L IjAI( 41,L.. Permit Number: -1 C)�C— ❑ No one available for inspection: TimV AM/PM Re -Inspection required: Yes No When corrections have been made, call for re-insp ci" " at 303-234- DateC2///-/') Inspector: � 4 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: PF 2: IR F/ lb /7/ Job Address: H-720 L 4/VV112 SM Permit Number: Z01 S00__) q �J ❑ No one available for inspection: Time I AM/617 Re -Inspection required: Yes dV When corrections have been made, call for re-inspectionat303-234-5933 Date: 51Z,3117 Inspector: 44� �CC�-moi DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division 1 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: C Job Address: 20 LAMS Permit Number: Z0) S00% e I -r rch�6,47-IJ ❑ No one available for inspection: Time �AM/+ Re -Inspection required: Yes * When corrections have been made, call for re -inspection at 303-234-5933 Date: .51-11117_Inspector: DO NOT REMOVE THIS NOTICE City of 3 Wheat 4�lc MMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29`b Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Permit Extension Request Form Permits 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 may be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. Please complete this form in its entirety and submit to the Building Division at permitskci.wheatrid eg co.us or fax to 303-237-8929. Party requesting permit extension: Permit # C!S 007 ° Property Address: l Phone # 2,43. ?Y?, 8 26/ Email Address: 44 /Z Reason for extension request: %f m � � `"�N 7 Number of days requested: 90 Printed Name:(b,,, / �2�{W2 Signature: Date: Ai For office use only �` 1 C �� This request has been: proved Denied Extended until 0 Approved by: ��` / , 'L Date: www.ei.wheatridge.co, u s LC i CITY OF WHEAT RIDGE' Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Irispection Type: i / f fLi /M?,;/ P Job Address: q 7 �o �A r,�, �.t ('f Permit Number: 7.1 u / ;" G 0 '? KJL a /S 0 0 m 'p , N j e v c. I•. ❑ No one available for inspection: Time/P - Re -Inspection required: Yes No * When corrections have been made, call MA re -inspection at 303-234-5933 �I r Date: Inspector: DO NOT REMOVE THIS NOTICE 1 � � C TY OF -WHEAT FiJDO'E ... Building Inspection Division / (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION /NOTICE Inspection Type: Job Address: L47a0 I -Ar -A 69 .5T Permit Number: a 0 11 0 h--7 Ne -ca APP1?0vco -PIAtvs 6 rJ 5 +4 -� g ► a L� 'A g 1: jrl e r- U ❑ No one available for inspection: Time 9 S 0 AM/PM Re -Inspection required: Yes No * When corrections have been made,. call for re -inspection at 303-234-5933 Date: `i f ��/ Inspector ' DO NOT REMOVE THIS NOTICE 4 i r Ne -ca APP1?0vco -PIAtvs 6 rJ 5 +4 -� g ► a L� 'A g 1: jrl e r- U ❑ No one available for inspection: Time 9 S 0 AM/PM Re -Inspection required: Yes No * When corrections have been made,. call for re -inspection at 303-234-5933 Date: `i f ��/ Inspector ' DO NOT REMOVE THIS NOTICE City of COWheat�ilc MMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29`h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Permit Extension Request Form Permits 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 may be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. Please complete this form in its entirety and submit to the Building Division at permitsgci.wheatrid eg co.us or fax to 303-237-8929. Party requesting permit extension: Permit # 20 f S — 0-715`( Property Address: 1�7ZO ,4 G Phone #�3 '�`1 YF -970 Email Address: p��%'�— r'' CyY►-► Reason for extension request: we'd C— W . Number of days requested: GQ S Printed Name: p /(A-►-� ignature: Date: ln*- Zz j 20 17 For office use only This request has been: rove Denied Approved by: ��/ I r V G� Date www.ci.wheatridge-co.us Extended until: ' 3( �I11-7 City of -06rWheatR% , COMMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29th Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Permit Extension Request Form Permits 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 may be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. Please complete this form in its entirety and submit to the Building Division at pen~nits(&ci.wheatrid eg co.us or fax to 303-237-8929. Party requesting permit extension: 1/0 wt Permit # 20/5--007 81�_Property Address: q7�O _'P' 1 /(Y), Y Phone # 30_?' V ' 87NEmail Address: .4WgCra'CA- 0— e! -I Reason for extension request: Y ewj ul%of A aL myCe- l Iii- ylry Number of days requested: Printed Name: Signature: Date: ld — ZG For office use only This request has been: '*pproved ffenied Extenjded-�uJn/till Approved by: I(W L�.J Date: i O J � J I I r/ -,vww.ei.wheatridge.co.us 41 V City of `� Wheatlidge COMMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29`h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Permit Extension Request Form Permits 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 may be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. Please complete this form in its entirety and submit to the Building Division at permitsAci.wheatrid eg co.us or fax to 303-237-8929. Party requesting permit extension: Permit # 24lf_- 0078 y Property Address: Phone # - o3 —I -1 l —8>7 / Email Address: % ��r'%L�l�� G�''"y`�' Z • �°�"') Reason for extension request: C0N+Y`AC#aK_3 V MY 1e� hAV 41t-0 6, t 4D -iv 0 4&e r- ,ob r -luS Number of days requested: Printed Name: Signature: Date: For office use only This request has been:lpproved laenied Extended until: d `� Approved by: I Date: "T' T Nww.ci.wheatridge.co.us FOR OFFICE USE ONLY City of Date: COMMON r r DEvu Vii' ^lENT Pisn'Pe its Building & Inspection Services Division 7500 W. 2e ,Ave., Wheat Ridge, CO 80033 Plan Review ` Office: 3013.235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building Permit Application " * Please complete all highlighted areas on both sides of this form. Inoomplais applications may, not be processed. I. 0 I . Property Address-. Property Owner (please print). Mailing Address: (if different than property address) Address: City, State, Zip: AMWkMaginear:° i Architect/Engineer E-mail: 4JC%,/AaC14irC'_CrWC_ —phone.. ar— 912- 3 0 Contractor: 14", C "I/?- - PF,2 I , C 44-9 Contractors City 1. nae M phone.. Contractor E-mail Serb tractors: Electrical: e Plulsn pts' Mechanical: 1�j W.R. City License".... W.R. City License k, W.R. City License #t er pity Licensed Sub: Other City Licensed uta: City License # '' ' " City License # Complete all information on BOTH sides of this form � � Na �t • � � �t a • � s • amount of materials to be used, ate.} > t . 041 6(7io) Wig` C ,�— q.. l�f.Jt�fi3tu` Gallons Amps squares Other r t R ( treat v ltte ter t caf i mete els-end labor incited In the lafte proj lrs It *A&— 1,4W w,4 -r— , C? I E LtC;i)l C CtEt GI A CL3ft C} l ll G A AGR MENT I hereby certify that t setback distances proposed by this pennit application are accurate and do not violate applicable ordinances, rules or ` regulations of the City of Wheat lodge or covenants, easements or restrictions of record; haat all measurements shown and allegations made are accurate; Haat l have read and agree to abide by all conditions printed on thisapplication and Haat l assume full responsibility for compliance witty applicable City of Wheat Midge codes and ordinances for work under any permit issued based on this application; Haat I am the legal owner or have been authorized by the legal owner of the property to perfonn the described work and am also authorized by the legal owner of any entity included on this application to list Haat entity on this application. CIRCLE ONE (OWNER) (CONTRACTOR) gr (AVTH RIZED REP SRN 4T", ) of (OWNER) (CONT` CTOR) NAM A DA E. a�MUM, .�,. 5 Building Division Valuation* 52 City of •• # • ,� Building & Inspection Services Division 7500 W. 29�h Ave., Wheat Ridge, CO 80033 # ' ! rr _ Phan evie r... . `- Inspection Line: 303-234-5933 Building ar it Application �s 72 S'. . please print): 4- re (if different than property address) Address: Q!y, State,", i : ite3021(5 Zb LA 14 f + t T 67 14 ac 14 i T * cc ryl �+. _4 orsn t a' W.R. City License # W.R. City License W.R. City license# Other City Licensed Sub: Other City Licensed Sub: City License # City License Complete all information on BOTH sides of this form COMMERCIALNEW STRUCTURE ELECTRICAL UPGRADE NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING COMMERCIAL ADDITION RESIDENTIAL ROOFING RESDENTIAL ADDITION WINDOW REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) RESIDENTIAL ACCESSORY STRUCTURE MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT b... SquaresSq. FULF <3 Btu's 4 Gallons Amps Other or* ,zi Ow auiidina Division Valuation- I ` , ' C�(JRE c eck Software Version 4.5.0 C P% so ompiiancew C.1ertificate am Energy Code: 20091ECC Location: Wheat Ridge, Colorado Construction Type: Single-family Project Type: Alteration Climate Zone: 5 (6158 HOD) Permit Date: 15,0 Permit Number: 0.055 Construction Site: Owner/ gent: Designer/Contractor: ,omplianoe: Falls Maximum UA: 1015 Your Uk 1362 Envelope Assemblies Wall height: 7.01 Depth below grade: 6.0' Insulation depth: 7.0' Basement Wall 2. Wood Frame Wall height: 7.0' Depth below grade6.0' Insulation depth: 7.0' Basement Wall 3: Wood Frame Wall height: 7.0' Depth below grade. 6,0' Insulation depth: 7.0' Baood Frame Wall heigft 7.0' Depth below grade: 6.0' #.. depth� 7,0' Ceilino, 1 � Flat Ceilm , or Scissor Ceiling 2: Flat Ceiling or Scissor Tru SeiNnq ♦ Floor 1: Stab-On-Grade:Unheated 1 Insulation depth: 0.0' Floor 2., Slab-On-Grade:Unheated Insulation depth: 84 MO 0,0 0,055 5 77 15.0 0.0 0.055 4 157 15,0 0.0 0.055 9 465 39.0 0.0 0.030 14 260 38.0 0.0 OMO 8 379 12,0 0,0 0,076 29 548 0,6 1k42 571 450 Ok 1,042 469 200 MO 0,0 O,077 8 8 0300 2 8 0.300 2 Project Title: Report date: 05/22/15 Data filename: \\Cad-machine\my documents - g\2015-19 Lamar Street Duplex\Lamar Rescheck.rck Page 1 of 2 Window 3: Vinyl Frame:Double Pane 8 0,300 2 Door 1: Glass 70 0,250 18 West Wall L Wood Frame, 16" o.c. 208 15,0 0,0 0.077 13 Window 4: Vinyl Frame:Double Pane 24 0,300 7 Door 2: Solid 21 0.640 13 East Wall 1: Wood Frame, 16" o.c. 200 15,0 010 0,077 15 East Wall 2 4720B: Solid Concrete or Masonry:No Insulation 112 0.333 29 Window 5: Vinyl Frame:Double Pane 24 0,300 7 East Wall 3 4720: Wood Frame, 16" ox, 112 15.0 0,0 0.077 7 Window 6; Vinyl Frame:Double Pane 24 0,300 7 North Wall 4720: Wood Frame, 16" o.c. 248 MO 0.0 0,077 15 Window 7: Vinyl Frame:Double Pane 8 0.300 2 Window 8: Vinyl Frame:Double Pane 24 0,300 7 Window 9: Vinyl Frame:Double Pane 24 0.300 7 North Wall 4720B Insulated: Wood Frame, 16" o.c. 104 15.0 0.0 0,077 6 Window 10: Vinyl Frame:Double Pane 8 0,300 2 Window 11: Vinyl Frame:Double Pane 20 0.300 6 North Wall 4720B Un -Insulated: Solid Concrete or Masonry:No Insulation 132 0.333 29 Window 12: Vinyl Frame:Double Pane 24 0.300 7 Door 3: Solid 21 0,640 13 West Wall 2: Wood Frame, 16" ox. 120 15.0 0.0 0.077 7 Window 13: Vinyl Frame:Double Pane 24 0.300 7 South Wall 2: Wood Frame, 16" ox, 48 15.0 0.0 0.077 3 Window 14: Vinyl Frame:Double Pane 8 0.300 2 M . ...... ..... ------ Forced Hot Air Gas 96 AFUE Project Title: Report date: 05/22/15 Data filename: \\Cad-nnachine\my documents - 9\2015-19 Lamar Street Duplex\Lamar Rescheck.rck Page 2 of 2 Billy Major 17761 Akm-ALALzm,-WA2i.I Golden, CO 80401 303-908-6005 1; Year of PropertV: 1950s Screening Area-, Exterior only At the request of the Client, BuildSafe Environmental LTD. (BuildSafe) has conducted a lead-based paini (LBP) screening and visual inspection at the property address referenced above, The purpose of the screening was to sample suspect LBP on components that may contain LBP at the above mentioned property and that may be disturbed by planned renovation/repair activities. See Table 1 for information regarding suspect lead-based paint descriptions, conditions, colors, sample identifications, and sample locations, #JJ*er cf1dirl 41 QJI *101CITIM31LCILMI 1*1 dFIcIFT51b EXJALt_fJTJ1C A#5017PU01171 Speuroscopy VINS), Keservoirs an American Industrial Hygiene Association (AIHA), Laboratory ID: 101533, participating member accredited for analysis of Environmental Lead, I 303 S BROADWAY, 200-239, DENVER 00 60209 WWW.BUILDSAFEENVIRO.COM BRL - Below RePorting Limit EPA, Housing and Urban Development (HUD) and Colorado Department of Public Health and Environment (CDPHE) define lead-based paint as having a lead content greater than or equal to 0.5% by weight when analyzed by AAS or 1.0 milligrams/per square centimeter (mg/cm2) when analyzed by a x-ray fluoresces (XRF) device. The above listed components that have less than 1.0 mg/cm2 or 0.5% lead content are classed as lead - containing paint and are subject to Occupational Health and Safety Administration (OSHA) worker protection regulations. OSHA Construction Industry Standard for Lead Regulation 29 CFR 1926.62 requires the employer to address worker protection items including but not limited to: worker training, respiratory protection, medical surveillance, work practices, personal air monitoring and exposure assessments. OSHA maintains a personal exposure level of 50 micrograms per cubic meter (pg/M3) over a time weighted 8 hour period. Please also keep in mind that other OSHA regulations may apply to work that may disturb lead-based and lead-containi paint such as Hazard Communication and Respiratory Protection. I a 11 I - I I• - I I - 5-M-111 Z573771 -pe accessime 3037=6,t—W scope of work. However, for any structure, the existence of unique or concealed suspect LBP is a strong possibility. BuildSafe only inspected and collected suspect LBP chip samples in the repair/renovation areas at the direction of the client. This limited LBP screening report is not considered a comprehensive LBP inspection report and is only valid for the materials and locations detailed in the Lead -Based Paint Sample Results Table #1 of this report, If further repair/renovation work expand outside of materials and locations listed in Table 1 of this report, then those locations must be properly inspected and sampled by qualified personnel prior to disturbance of suspect lead-based paint. skill exercised by lead-based paint screening professionals. The results, findings, conclusions a recommendations expressed in this report are based on conditions observed during our limited inspection of the repair/renovation areas, The information contained in this report is relevant the date on which this survey was performed, and should ba relied upon to represent conditions at a later date. This report has been prepared on behalf of and exclusively for use by the client for specific application to the project as discussed. Contractors or consultants reviewing this report must draw their own conclusions regarding further investigation or remediation deemed necessary, BuildSafe does not warrant the work of regulatory agencies, laboratories or other third -parties supplying information which may have been used in the preparation of this report. No warranty, express or implied is made. Should you have any questions or require addonal information, please as free to contact the phone number provided below. AMOM =0 303 S Broadway, #200-239 Denver, CO 80209 303-522-4315 Reservoirs Envirornnerrue, Inc. Effective January 1, 2015 Reservoirs Environmental OA Manual TAQAQDLab\ReservrJrs Environnfental OA Manual,doc AdL A91 tAw nl�a�lm�mf &7V*WM"e"ta4 hvir� "Vppr- Laboratory Report: Project # / PO #: Project Description: Marty Libansky Build Safe Enviromental SA 30 . Bi, iM N�s RES NA RES 317000-1 150409-18 JJ20 Lmf" Reservoirs Environmental, Inc, is an analytical laboratory accredited for the analysis of Industrial Hygiene and Environmental matrices by the American Industrial Hygiene Association, Lab ID 101533 - Accreditation Certificate #480. The laboratory is currently proficient in both IHPAT & ELPAT programs respectively. Reservoirs has analyzed the following sample(s) using Atomic Absorption Spectroscopy (AAS) / Atomic Emission Spectroscopy - Inductively Coupled Plasma (AES -ICP) per your request. Reported sample results were not blank corrected. The analysis has been completed in general accordance with the appropriate methodology as stated in the analysis table. Results have been sent to your office. 211*1 MARRMWIM W& TME-Tarall. of after sixty days unless longer storage is requested. If you should have any questions about this report, please feet free to call me at 303-964-1986. Sincerely, /V Jeanne Spencer President 5801 Logan Street, Suite 100 Donver, CO 80216 Page 1 of 2 Reservoirs Environmental, Inc. Reservoirs Environmental QA Manuai Effective January 1, 2015 TAQAQC\Las\Reservoks Environmental OA Manuai.doc RESERVOIRS ENVIRONMENTAL, INC. 5801 Logan St., Suite 100 Denver CO 80216 TABLE ANALYSIS: RES Job Number: Client: Client Project Number / P,OC : Client Project Description: Date Samples Received: Analysis Type: Turnaround: Date Samples Analyzed: LEAD IN PAINT RES 317000-1 Build Safe Environmental 150409 -IB 4720 Lamar St, Wheatridge April 9, 2015 USFPA SW846 3050B / AA (7420) 6 Hour April 9, 2015 Client Lab Reporting LEAD ID Number ID Number Limit CONCENTRATION LBP 1-1 EM 1382829 0.0020 0,0080 * Unless otherwise noted all quality control samples performed within specifications established by the laboratory. BRL - Below Reporting Limit P:303-964-1986 F. 103-477-4275 Analyst/ Data QA: _'D.�11111M.11- 5801 Logan Street, Suite 100 Denver, LO 80216 X! # O 4M ti MF �,- 4 ; as 4 �i .. {' i 0 a. r� a R a �: * • +r+ i° r `. ,. a ,. . a �� + t s '-. ', s '� � +ti ♦ .x �� r � £ :., ,,, «, y, ,� :, � „ :.. • r $ � s a .. " r � ` k A .: �.�+M w 1C. � ... ..;� � ..' x .. �. �.•: r:.. { � % e n w a: ;: w ,x a ,... Y t r �'ir ` } * �, k y k �, � # .14 �," { t �" , '` E' .„ � '" a w \ f y * � aj * j x � � °. �� q / i � "� Y c �" a s w ` w a ilk.. ,M.. � M V o. .x r: Yk f „ • # a � � 6 ¢ �. � � at � + V: 4 � rF r � ♦... � � at M The Major Group Inc. Karen Rulon 4300 Kipling St, Ste E Wheat Ridge, CO 80033 303-835-9881 Job ID: _150508-1b *rroject Date: 5/8/2015 Project Site: 4720 Lamar St. Wheat Rid2e, CO L4 a n, FF. N Le 61M E J1 a &IL&--- SAFE M U U ENVIRONMr-NTAL OMNSULTING 40-400-01 Client: The M»Ior Groue Inc. CGAC: The M»or Group Inc. CGAC Supervisor: Steve / Eric Following the removal of ACM within the contained work area, BuildSafe's Air Monitoring Specialist (AMS) conducted a final visual inspection and performed FAC procedures according to CDPHE Reg. No. 8. Part B. If successful, these activities show that the air within the work area is below the Maximum Allowable Asbestos Level (MAAL) of 0.01 fibers/cc and acceptable for re -occupancy. Final clearance air sampling was performed and samples were analyzed by a successful AIHA participating member (see Air Sample Log). Five (5) air samples were collected using high volume pumps. Sample collection draws a calibrated amount of air through 25mm mixed cellulose ester membrane (Millipore 0.8 MCEF) filters, which a housed in three-piece cassettes, equipped with 50mm electrically -conductive extension cowls, Samples were collected with variable volume pumps. Flow rates were established and checked with calibrated flow meter. I Clearance samples were analyzed for airborne fibers by Phase Contrast Microscopy (PCM) per NIOSH Method 7400 using a positive phase -contrast microscope equipped with a Walton -Beckett graticule (Type G-22 forA counting rules). A quarter -wedge was cut from each sample filter and was examined at a magnification of 400x. Fiber's greater than 5 microns in length with a length -to -width (aspect) ratio equal to or greater than 3:1 were counted. Total fiber counts for each sample filter were divided by their respective sample volumes. The resulting concentrations were expressed in terms of total fibers per cubic centimeter of air (fibers/cc), 903 S BROADWAY, 200-239, DENVER CO B0209 WWW,BU1LD5AFEENViRO.QOM Phase Contrast Microscopy (PCM) is not asbestos -specific; rather, it counts Total Fibers, showi worst-case situation because all fibers are counted (carpet, cloth, hair, paper, asbestos, etc). I In order to pass PCM air sample analysis, microscopic analysis results from the area sampled during the FAC testing must have fiber counts at or below the MAAL, which is the limit the EPA and the CDPHE requires all samples to be equal to, or less than, prior to releasing an area to the public. Based on visual observations, documentation review and air sample results, it is the opinion of BuildSafe that the air quality within the work area was in compliance with regulatory and industry standards at the time of this sampling inspection. Work area photos and a copy of the Air Sample Log with analytical results are attached. Should you have any questions concerning this project, please do not hesitate to contact our office at (303) 522- 4315. M= Blake Weise Air Monitoring Specialist CO Cert #17817 BuildSafe Environmental, LTD 303 S Broadway #200-239 Denver, CO 80209 (9 70) 389-5572 Enloures. - Photo Log - PCM Air Sample Log & Analytical Results Descriptions Approximately 1150 SF of ACM drywall removed in the upstairs level of the home. Full containment, permit on site. Area free of visible dust and debris and dry at time of inspection, ,Air pumps and NAM inside of containment. Front of home. AIR SAMPLE LOG - BUILDSAFE ENVIRONMENTAL, LTV COPHE AsaESTDS CONSULTMa FiRm # ACF - 19059 Project Site: JZZQJaM-5L City/ST: Wheat Ridge, CO Project #: 150508-1b Client Name: The Major Group Inc. CGAC: The Major Group Inc. CGAC Supervisor: Steve / Eric BUILDSAF ' El. ENviska"mr.wrAL CnNmuLTirm 7 Sample Da An7alysisDa Report Da Air Resu -81anks not analyzed fcir,%nV*s Wow P& - Peraessibac Expmre Unit El - fttuNon Umir CLR - C rance CBR - Cannot Be Read BLK - Mank NA - Not anahized M - Seem Repoding Unnt NAM - NegatNe Air Machine AMS - Ambient 3073 S BROADWAY, 200-239, OcNvER, CO 80209 303-522-431 5 www,Butc.oSAFEEx vmo,com Section I Inspection Project Summary 1.1 Photo Log of Asbestos Containing Materials (if identified) 1.2 Summary of Asbestos Samples • ,71277717=1 . - , Section 4 Asbestos Inspection Procedure 41 Suspect Asbestos Containing Building Materials 4.2 Sampling and Laboratory Analysis Section 5 Conclusion 5.1 Limitations B - Major or Minor Spill Response Wit Qf Aamayms ACM Asbestos Containing Materials BBA Baseboard Adhesive CA Carpet Adhesive G Good COW Composite Drywall D Damaged CMS CMU Sealant SO Significantly Damaged CT Ceiling Tile DT Duct Tape/Wrap F Friable DW Drywall NFI Non -Friable Category I FTM Floor Tile Mastic NFII Non -Friable Category II MA Miscellaneous Adhesive MS Miscellaneous Sealant NA Not Analyzed OT Other Material ND None Detected PI Pipe Insulation PL, Plaster EA Each RSG Roof Shingle LF Linear Feet RSH Roof Sheeting SF Square Feet RSL Roofing Sealant SVF Sheet Vinyl Flooring % try 1y (Point Count/Composite) TS Textured Surfacing � (>l% asbestos) WG Window Glazing Section 3 Project Ovefview BuildSafe Environmental, Ltd. (BuildSafe) was contracted by the client to perform a limited repair/renovation specific asbestos inspection (inspection) at the above referenced "Site Address". The inspection was conducted by an Environmental Protection Agency (EPA) accredited and Colorado Department of Public Health and Environment (CDPHE) certified Asbestos Building Inspector. The inspection was performed at the direction of the client and only includes those materials, locations, and quantities specified in the "Homogenous Areas in Work Scope Table". The client is planning repair/renovation activities that will disturb suspect Asbestos Containing Building Materials (ACBM) within the repair/renovation affected areas at the Site Address. CDPHE Air Quality Control Commission Regulation No. 8, Part B — Asbestos (Reg 8) requires that all suspect ACBMs be properly inspected and sampled by certified personnel prior to conducting any repair/renovation activities that will disturb the suspect ACBMs. All samples were analyzed by a laboratory accredited under the National Voluntary Laboratory Accreditation Program (NVLAP), The CDHPE has established the following trigger levels for different types of properties, which specify how suspect and confirmed ACBMs are inspected and subsequently abated: 11 NEVER 11 TRIP, Iffiliffliffiligg 0 '1 50 LF on pipes, 32 SF on other surfaces, or the volume equivalent of a 55 -gallon drum Section 4 Asbestos Inspection Procedure The inspection procedure was conducted in accordance with EPA Asbestos Hazard and Emergency Response Act (AHERA), CDPH E Reg 8, and applicable Occupational Safety and Health Administration (OSHA) guidelines and regulations. These regulations specify requirements and protocols for conducting asbestos inspections, sample analysis, and asbestos abatement. Irill �M-ZOTKIIII11=11[ I Homogenous Material Types The inspection involved identification and sampling of suspect ACBMs in the areas established by the client that would be part of the scope of work. Suspect ACBMs were grouped into homogenous materials based on color, texture, and date of application. Homogenous materials were given distinct codes (CDW01, FTCO2, TS05, etc.) based on the type sequence of the homogenous material, Details about the size, color, condition, friability, quantity, location within each functional space and other important details for each homogenous material were reported as part of the inspection. Homogenous materials are grouped into one of three categories based on intended use: 1. Surfacing Material — material that is sprayed on, troweled on, or otherwise I 111 1 111 1 1 -Maw, SENM�i a 2. Thermal System Insulation — material applied to pipes, fittings, boilers, lilliIiiiill I I I MEE= Homogenous Material Friability Each homogenous material was given one of the three following friability categories defined by the EPA and CDPHE: 1. Friable Material —materials that can be crumbled or reduced to powder by hand pressure. I Category I Non -friable Material — materials that cannot be crumbled or reduced to powder by hand pressure including resilient floor coverings, gaskets, packing materials and asphalt impregnated roofing materials. I Category II Non -friable Materials — all other materials that cannot be crumbled or reduced to powder by hand pressure that do not include category I non -friable materials. Homogenous Material Condition Each homogenous material was given one of three condition categories based on visual observation defined by the EPA and CIDPH: 1. Good Condition — No visible signs of damage were observed during the inspection. 2. Damaged Condition — Visible signs of damage less than ten percent spread over the entire material or twenty five percent localized. I Significantly Damaged Condition — Severe damage greater than ten percent spread over the entire material or twenty five percent localized. Sample Collection Bulk samples of each suspect homogenous material were collected randomly throughout the homogenous material area within the scope of work. Bulk samples were sampled all of the way through the material so that all associated layers within each homogenous material are represented. Bulk samples were placed in closeable sample bags and then labeled with a permanent marker with distinct sample identifiers (eg., CDW1-1, FTC2-1, MISC2-3, etc.) for transport to the laboratory. Sample locations and photographs of the Laboratory Sample Analysis Bulk samples were submitted to the laboratory along with a completed chain of custody form to the above listed NVLAP accredited laboratory for analysis by polarized light microscopy (PLM) techniques per EPA methodology (EPA -600/M4-82-020, Dec. 1982). Microscopic visual estimation was used in obtaining the percentage of asbestos within each layer of the bulk samples. Asbestos Containing Building Materials EPA and CDPHE both define an asbestos containing building material (ACBM) as a material which has an asbestos content of greater than one percent. In the event that a friable material is estimated to contain "'trace" or between zero -to -one percent, that material must undergo a point -count analysis by the laboratory to confirm that the material is trace asbestos -containing. Further, if a point count analysis is performed on a bulk sample, the point count result takes precedence over the visual estimation result. See appendix A for laboratory report and chain of custody documents. BuildSafe has performed a limited repair/renovation specific asbestos inspection of the home/facility located at the Site Address, Through visual inspection and laboratory analysis of bulk samples collected at the Site Address, BuildSafe recommends hiring a certified general asbestos abatement contractor to remove any ACBMs that may have been identified within the scope of work. All inspection activities were conducted at the direction of the client and only include those materials, quantities and locations detailed in sections I and 2 of this report. See sections I and 2 of this report for information regarding inspection scope of work, suspect ACBMs, confirmed ACBMs, sample information and laboratory analysis results, General Comments and Limitations Rep within the scope of work. However, for any structure, the existence of unique or concealed suspect ACBMs is a strong possibility. BuildSafe only inspected and collected suspect ACBM bulk samples in the repair/renovation areas at the direction of the client. This limited repair/renovation asbestos inspection report is not considered a detailed in sections 1 and 2 of this report. Should further repair/renovation work expand outside of materials and locations listed in sections I and 2 of this report, those locations must be properly inspected and sampled by qualified personnel prior to disturbance of suspect ACBMs. Any subsequent abatement R f ACBMs must be performed in accordance with all federal, state and local regulations pertaining to abatement, transport, and disposal of ACBMs. The asbestos inspection was conducted in a manner consistent with the level of care and skill exercised by professionals of the asbestos inspection profession. The results, findings, conclusions and recommendations expressed in this report are based on conditions observed during our limited inspection of the repair/renovation areas. The information contained in this report is relevant to the date on which this survey was performed, and should not be relied upon to represent conditions at a later date. This report has been prepared on behalf of and exclusively for use by the client for specific application to the project as discussed. Contractors or consultants reviewing this report must draw their own conclusions regarding further investigation or remediation deemed necessary. BuildSafe does not warrant the work of regulatory agencies, laboratories or other third -parties supplying information which may have been used in the preparation of this report. No warranty, express or implied is made. N= Marty Libansky BuildSafe Environmental, LTD 303 S Broadway, Unit 200-239 Denver, CO 80209 7204699379 Marty@BuildSafeEnviro.com Appendix°' Laboratory Report NI Of ! • Reservoirs Environmental, inc. Reservoirs Environmental OA Manual Effective January 1, 2015 TAQA0QLad,Reservons Environmental OA Manual.doc Resemoirs Enviratunent,INP l, Inc, 11PPW"- Laboratory Report: Project # / P.O. # Project Description: Marty Libansky Build Safe Environmental 43 S. Broadw NA RES 316998-1 150409-1 4720 Lamar St., Wheatridge CO WrYTTIVITM7711 matrices T'i 1711M =1'TWU1"'T11afJ L", i0ralOrj AMU4,41atfurl r7ffram kTV'T-CX-r'), Lao Ucioe7f,17,515-71, for Transmission Electron Microscopy ITEM) and Polarized Light Microscopy (PLM) analysis and the Americ Industrial Hygiene Association a. A. Lab ID 101533 - Accreditation Certificate #480 for Phase Contra, Microscopy (PCM) analysis, This laboratory is currently proficient in both Proficiency Testing and PAT progra respectively. 11 Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request, The analysis has been completed in general accordance with the appropriate methodology as stated in the attached analysis table, The results have been submitted to your office, RES 316998-1 is the job number assigned to this study. This report is considered highly confidential and the sole property of the customer, Reservoirs Environmental, Inc. will not discuss any part of this study with personnel other than those of the client. The results described in this report only apply to the samples analyzed, U.S, Government. This report shall not be reproduced except in full, without written approval from Reservoirs Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested. If you have any questions about this report, please feel free to call 303-964-1986. Sincerely, e7Gina Vettraino for Jeanne Spencer President 5801 Logan Street, Suite 900 Denver. DO 80218 Roso'oim Rnc 1. n15 ftsowl%m E-imnmWai GA Mar, t Q 4QAQOLARRax mrs QA Ma✓vM Mo RESERVOIRS ENVIRONMENTAL INC. NVLAP Lab Code 1018%-0 TABLE. PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: RES 3161198-1 Client: Build Safe Environmental Client Project Number I RD,: 150405t-1 Client Project Descriptiom 4720 Lamar St., Wheartridge 00 Date Samples Rec&ed: April 09, 2015 'a Method: EPA 600/R-931116 - Short Report, Bulk r16--iro'n Turnaround: 2 Hour Tri -Trace, <1% Visual Estimate Date Samples Analyzed: April 09, 2015 - Tram-ActTremofite-Actinolite Client Lab L Non! Non - Sample ID Number A 1 Sub Asbestos; Fibrous Number y Physical Part Mineral Visual Fibrous ii Components; E Description Estimate (*/*) Componentsm R TS 1-1 EM 1382830 A Brown paper 15 ND 95 5 B White paint w/ white texture 25 NO 0 100 C Tan fibrous resinous material 25 Chrysolife 20 0 80 D White/multi-colored paint 35 NO 0 100 TS 1-2 EM 1382831 A Beige paint w/ white texture 50 NO 0 100 B Pinkibrown drywall 50 NO 50 50 TS 1-3 EM 1382832 A White paint w/ white texture 25 NO 0 100 B Pink1brown drywall 75 NO 50 so TS 2-1 EM 1382833 A White/multi-colored paint 10 NO it 100 B White granular resinous material 20 NO 0 100 C White paint wl white texture 70 NO 0 100 TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%. 41 Anus Cirithi Analyst / Data QA P 303,N',4-1Nf, 866-REVENV F, 30'3477.4275 paj)e �'A 3 pM1Y: 'eiiab om Resw,oim pw"rr M E—=o Ml QA MawW Fffw.. Ja—V 1, 2W 5 41A0A0C1LA&R8"1&M E--011WQAMA,,W= RESERVOIRS ENVIRONMENTAL INC. NVLAP Lab Code 10189" TABLE: PLM SULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: RES 316W8-1 Client: Build Safe Environmental Client Project Number / P.O,: 150409-1 Client Project Description: 4720 Lamar St., dridge CO Date Samples deceived: April 09, 2015 Method: EPA 600I8-931116 - Short Report, Bulk wArme beincto'd ...... .. ..... . Turnaround: 2 Hour TH=Traco, <1% Visual Estimate Date Sarnples Analyzed: April 09, 2015 Prem-Act-Treamfite-Actmofite —Client Lab L- N�onNan- on-Sample a ole ID Number A i q Sub Asbestosi Fibrous" Number y Physical Part Mineral Visual Fibrous,, Components; E Description Estimate (%) Components,, R TS 2.2 EM 1382834 A Qif whitelmulti•colored paint 20 ND 0 100 B White paint w/ white texture 80 NO 0 100 TS 2-3 EM 1382835 A Ott whitelmulti-colored paint 20 NO 0 100 B White paint w/ white texture so NO 0 100 OT 1-1 EM 1382836 A Black tar 100 NO 0 100 CMS 1-1 EM 1382837 A Gray paint wl white resinous material 15 NO 0 100 B Off white)multi-colored paint 15 NO 0 100 C Grayish resinous material 15 Chrysotile 3 0 97 D Pink piaster 20 NO 0 100 E Gray granular material 35 ND 0 100 TEM Analysis recommended for organically bound material (i.e. floor tile) If PILM results are <1%. 77 AMS Grin Analyst / Data OA 30347747,75 rap 2 of 3 10ab w,� R0401»tt M R., Rsso.'M Rlmmlmui 0A WmW E"ffwV44'y 1, 2015 QAQAGCXA0,R&$0,S 0A Ma"N$X RESERVOIRS ENVIRONMENTAL INC. NVLAP Lab Code 10109" TABLE. PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: RES 316"8-1 Client: Build Safe Environmental Client Project Number / P.0, 1504WI Client Project Description: 4720 Lamar St., Wheourldge CO Date Samples Received: April 09, 2015 Method: EPA 60018-931116 - Short Report, Bulk NC} .4None D_ e-io-ciad, Turnaround: 2 Hour TI Trace, <1 % Visual Estimate Date Samples Analyzed: April 09, 2015 Trem-Act-Tremofile-ActinoWe .. . . .. .. .. . .... Client Lab L Non� —Ro—n Sample ID Number A Sub Asbestos� Fibrous; Number y Physical Part Mineral Visual Fibrous Component& E Description Estimate (6/6) Components; CMS 1-2 EM 1382838 A Gray/muffi-colored paint 50 ND 0 100 8 Pink piaster so NO 0 100 CMS 1-3 EM 1382839 A Pink plaster 25 NO 0 100 B Gray cementitious material 25 NO 0 100 C Gray1mulfi-colored paint 50 NO 0 100 OT 2-1 EM 1382840 A Pink fibrous material 30 ND 95 5 B Brown paper w/ black tat 70 NO 60 40 OT 3-1 EM 1382841 A Gray fibrous material w/ black debris 15 Chrysotile 60 0 40 B Gray fibrous cementitiours material w/ green paint 85 Chrysotile 17 0 83 TEM Analysis recommended for organically bound material (i.e. floor tile) If PLM results are <1%. A�. tufala Analyst I Data QA R 303-964- 1 W 5801 LcVal. StleM, SO. 100, Dow, 00 SUM 1186811REV_ENV F 3W,477-4275 Pap 3 of lvlab W. 5 `'` �. *�� , f � V� r b� i'M x y{ � �MI� I�lri n u. M F r �k��,�a� ��u �4M Kt � W1uMi a � i I�i�Mi... ��,��. ili%I q \t� Y t�j %ii romt� a� L �' s� W µryf^, n` �'' .�'h+ �'di'� a RN tltr, wS.;Sn N �5 �. �,. �' �' �, r a x 1 Y , )tv i �2t \t� Y t�j %ii romt� a� L T} W µryf^, n` wwa5 .�'h+ �'di'� RN tltr, wS.;Sn N �5 �,. Reservore EnvironmarruV, Inc Reservoirs Environmental OA Manuat Effective January 1, 2015 T,-,,,QAQC\LablReservoirs Environmental OA Manual,doc lift 1011111111M RIM LAUReyApt rVf7ir n q E Awl Inc. MEMO= Laboratory Report: Project # / P.O. # Project Description: Marty Libansky Build Safe Environmental 303 S. roadw ►# 2 Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code 101896-0 for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the American Industrial Hygiene Association (AIHA), Lab ID 101533 - Accreditation Certificate #480 for Phase Contrast Microscopy (PCM) analysis, This laboratory is currently proficient in is Proficiency Testing and PAT programs respectively. Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request, The analysis has been completed in general accordance with the appropriate methodology as stated in the attached analysis table, The results have been submitted to your office. *,uestions about this report, please feel free to call 303-9�4-1486. Sincerely, U—"VL $801 Logan Street, Suite 100 Denver, GO 80216 2� ROUI�M E—mMML tom 1, 201$ Fwwr�Ors E—o-wMW QA Nu.W 0 XQAQC1.AR\Rft41V11S E—pcSMWW QA Ma�,id„ � RESERVOIRS ENVIRONMENTAL INC. NVLAP Lab Code 101896,0 TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number RES 317143-1 Client: Build Safe Environmental Client Project Number / P.0, 160409-48 Client Project Descriptiow None Given Date Samples received: April 10, 2016 Method: EPA 600/8-93/116 - Short Report, Bulk ND,,None Detected Turnaround: 2 Hour TR.Trace, .1% Visual Estimate Date Samples Analyzed: April 10, 2015 - Trem-ActTremofite-Actinofite Client fin t Lab L Non Non-" Sample 10 Number A 1 Sub Asbestos: Fibrous? Number y Physical Part Mineral Visual Fibrous; Components E Description Estimate (%) Cornponents�; 0/0" TS1 -4 EM 1383670 A Tan compound 2 Chrysotile 2 0 98 B Whitelmulti-colored paint 20 ND 0 100 C Brown & white drywall 20 ND 90 10 D White texture w/ white paint 58 ND 0 100 CMS1 -4 EM 1383671 A Tan block filler w/ gray/multi-colored paint 100 ND 0 100 TEM Analysis recommended for organically bound material (ie. floor tile) if PLM results are <116. Rabod R, Workman, k, Analyst /Data OA P, 301_9iW1W 5801 Shia 10*, 00re ,, CO $0116 Pago 1 0 1 Appendix 8 Major or Minor Spill Response In an event of an asbestos spill involving greater than the trigger levels, the buildiri owner or contractor shall: 1. Restrict access to the area, and post warning signs to prevent entry to the area by persons other than those necessary to respond to the incident. 2. Shut off or temporarily modify the air handling system to prevent the distribution of asbestos fibers to other areas (if applicable) 3. (Only if above establislyed td_q_qer levels) Immediately contact the CDPHE Air Quality Division by telephone, submit notification in compliance, and apply for a permit. 4, Be exempted from the requirements to have a certified Supervisor on site at all times, until such time as immediate danger has passed. Any clean up or asbestos abatement that must occur after the immediate danger has passed shall ®+ supervised by a person certified by the Division. 5Using certified Supervisors and certified Workers in accordance with regulation, seal all openings between the contaminated and uncontaminated areas and establish negative air pressure within the contaminated areas in accordance with regulation, This is to be accomplished using polyethylene sheeting to cover areas such as doorways, windows, elevator openings, cM rridor entrances, grills, drains, grates, diffusers, and skylights. 6. HEPA vacuum or steam clean all carpets, drapes, upholstery, and other non - clothing fabrics in the contaminated area, or discard these materials. OET111111121 F! liiiillf,�ii RIA11111111M mommm 10. Following the completion of the work air samples shall be collected aggressively as per regulation by an AHERA state -certified Air Monitoring Specialist (AMS), except that the air stream of the leaf blower shall not be directed at any friable ACM that remains in the area. E I. Comply with any other measures deemed necessary by the Division to protect human health. .►~i ~ CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line ~JJ (303) 235-2855 Office - (303) 235-2857 Fax INSPECTION NOTICE Inspection Type:, Job Address/Permit Number: fa;2o saw 2 sr. ~g~~~s 3 ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes 'I~o When corrections have been made, call for re-inspection at 303-2345933 Date: S/20~ Inspecto r DO NOT REMOVE THIS NOTICE ~~ A ~ ' Y/ City of Wheat Ridge Residential Plumbing PERMIT - 080983 PERMIT NO, JOB ADDRESS, DESCRIPTION, 080983 4720 LAMAR ST Emergency sewer line repair ISSUED, EXPIRES, 08/27/2008 02/23/2009 *** CONTACTS *** owner 303/884~2673 gc 303/696-9599 Penny Cordova Steve Wakeham 01~9921 Pipeline Industries, Inc. ** PARCEL INFO ZONE CODE, SUBDIVISION, ** UA 0367 USE, BLOCK/LOT#, UA 0/ Permit Fee Total Valuation Use Tax ** TOTAL ** ESTIMATED PROJECT VALUATION, FEES 126.50 l~d~ Il~~~ 3,500.00 ** FEE SUMMARY ** I hereby 2ertify 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 chis application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (1.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. Si9-tf{, '~Cr -e;/z:!:;[? 6. This permit was issued in accordance with the provisions set forth El your application and is subject 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. This permit shall expire 180 days from the issue date Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. If this permit expires, a new pe.rmit may be acquired for a fee of one-half the amOl;nt 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 have been or if suspension o~ 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 recelve written approval on inspection card before proceeding w'ith successive phases of the job. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation All plan review is sub' ct field inspections. date ,. 2. 3. 4. Signature of Chief INSPECTION RE REQUESTS MUST (303)234-5933 BUILDING OFFICE, (303)235-2855 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Inspection Line: 303-234-5933 Date: Plan#: Permit #: Q oIJ-1 ()~ Building Permit Application Property Address: q;Zo Lawzo. V ST. Property Owner (please print): P~I1V (.0 V-doVo. / Mailing Address: (if different than property address) Phone ~3-8~ -2t,78 Address: City, State, Zip: Contractor: -fil'llel (HI' II'! cJ ' Contractor Licen:e #: iQ \ - qq 1- \ Phone: 303-6> 1'-- '7s<?1 Sub Contractors: Electrical City License #: Company: Plumbing City License #: Company Mechanical City License #: Company: Exp. Date: Approval: Exp. Date: Approval: Exp. Date: Approval: Use o( space (description): Description of work: E/'f1~JfU1C)' ~Ir Sq. FULFt added: ~ Squares s.eww1/>1e Construction Value: $ ,'350000 (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): $ BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this pennit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PRINT NAME: II /tel:. 13'1f2otFf SIGNATURE: Date: 1F-Z7-os> DEPARTMENT USE ONLY ZONING COMMENTS: Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: BUilDING DEPARTMENT COMMENTS: Reviewer: FIRE DEPARTMENT:: 0 approved wI comments 0 disapproved 0 no review required r Bldg Valuation: $ OCCUPANCY, OF ,V HE4 r p' % City of Wheat Ridge °01ORa° Residential Fence PERMIT 080137 PERMIT NO: 080137 ISSUED: 02/14/2008 JOB ADDRESS: 4720 LAMAR ST EXPIRES: 08/12/2008 DESCRIPTION: 207 L.F. of 6' privacy fence - ***.CONTACTS owner 303/359-5654_ Lorenso Cordova * * PARCEL INFO * ZONE CODE: R-2 USE: r3 SUBDIVISION: -.0367 BLOCK/LOT#:. 0/ FEE SUMMARY ESTIMATED PRO, L:&T$L-O 2,484.00 FEES Permit Fee 108.30_. Plan Review Fee 82.23- Total Valuation .00 Use Tax 44.71 =M040-1 TOTAL 235.24 Conditions : - AT: R-2 2/19/08 Re-submittal approved Any fencing -less then 30 feet from the west... property line must be. reduced to 48 inces. Subject to field inspection 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 a ication and that Iassume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other a p icable Wheat Ri ge Ordinances, for work der this permit. Plans subject to field inspection. Signature of c ractor/owner date - 1.. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State o£. Colorado and to the Zoning Regulations and Building Codes. of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 3. 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 have been or if suspension or. abandonment exceeds one (1). year,. full. fees shall be paid for a new permit. 4. 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 proceeding with successive: phases of the job. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor. an approval of, any. violation of e isions of the building codes or any other ordinance, law,. rule or regulation. All plan review is subject to ctions Signature of Chief Building Off' 'al : date INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Fw"Eqr~ City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ' Fax: 303-235-2857 ~o oRAOO Inspection Line: 303-234-5933 Building Permit Application Property Address: ~112 --2 0 / c. Yn A r -3 T Property Owner (please print): f-r"If in S ri / Rar / r / /trlla Pt Mailing Address: (if different than property address) Address: C1 City, State, Zip: Contractor: Contractor License Sub Contractors Phone: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $ Description of work: L_ (as calculated per the Building Valuation Data sheet) C C 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) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: SIGNATURE: Date MfW~ DEPARTME T USE ONLY C ZONING COMMENTS: jA~441,,~d A less *k r\ SO"krot,\ / Zoning)) 7U 1 rtY igrpl. Reviewer: PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: OCCUPANCY: Reviewer: FIRE DEPARTMENT:: ❑ approved w/ comments ❑ disapproved ❑ no review required Bldg Valuation: Date: Plan ` Permit v e(Dl '9~7 fV pqt4* lfP