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HomeMy WebLinkAbout2937 Depew StreetA i 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 AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http;//www. ci. wheatridge.co. us/inspection Date: Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _06� Building Inspection Division / (303) 235-2855 Office j -.> 1 11 ISE IN OTICE Inspection Type:"( Job Address:' Permit Number: { -, ❑ No one available for inspection Time AM/PM Re -Inspection required: Yes When corrections have been made, sbhe le fo s ection online at; http✓/www.ci.wheatridge.co.usVinspeltion r Date• aspector: i CITY OF WHEAT RIDGE... Vr Building Inspection Division (303) 235-2855 Office _:�9r INSPECTION NOTICE PEI 11 Inspection Type: q(42 EFA c_b; Job Address: Permit Number: 2C:12 R ❑ No one available for inspection: Time Nr,�I�Upm Re -Inspection required- .,,-Yej No �-_1_1� When corrections have been mae, sc dule for re -inspection online at: http://www.ci.wheatridge.co.usfin ectio'"--' , `� - 4 CITY OF WHEAT RIDGE % Building Inspection Division 1 (303) 235-2855 Office INSPECTION NOTICE Inspection Type: /0 r f 1k7 f- Job Address: 2- ':� -3 7 D P, ..5_ � Permit Number: 20 Z 4 O i G ❑ No one available for inspection: Time Z 1AM/ Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: httpY www.ci.wheatridge.co.us4nspection Date: Inspector:_ DO NOT REMOVE THIS NOTICE j. i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Ins'ection Type: Job Address: � w ,� Permit Number:' ❑ No one available for inspection: Re -Inspection require Yes No When corrections have been made, sced http✓/www.cLwheatridge.co.uslinspe t� ion( Time/SAM/PM for re -inspection online at: � ► � i City of Wheat Ridge Residential Remodel PERMIT - 202001686 PERMIT NO: 202001686 ISSUED: 09/24/2020 JOB ADDRESS: 2937 Depew St EXPIRES: 09/24/2021 JOB DESCRIPTION: Electricial-add can lighting, add outlets in kitchen and bedrooms Mechanical -Add new furnace, Plumbing- No additional plumbing will be taking place, Paint interior and exterior of house, sand hardwood floors and stain, the in bathroom and kitchen, new cabinets and counter tops. Install new windows. - 795 sq ft total **REVISION: New electrical service - 150 amps; Added valuation: $1,800.00 *** CONTACTS *** OWNER (303)422-3797 GIULLIAN FAMILY TRUST GC (970)342-6897 DUSTIN HARRIS 202160 MACLAND HOMES SUB (303)929-0246 TERRY KRATZER 202171 KRATZER ELECTRIC SUB (720)244-0493 SHANE/BRANDON MCNITT 160036 MCNITT BROTHERS HEATING & AIR SUB (720)431-2958 JASON MALDONADO 202204 BULLDOG PLUMBING *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 51,800.00 FEES Total Valuation 0.00 Plan Review Fee 474.21 Use Tax 11087.80 Permit Fee 745.65 ** TOTAL ** 21307.66 *** COMMENTS *** *** CONDITIONS *** All roughs to be done at Framing Inspection. A printed copy of the permit and city stamped on-site plans must be available on-site for the first inspection. Approved per plans and red -line notes on plans. Must comply with 2018 IRC, 2020 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. 1* ► � i City of Wheat Ridge '/� Residential Remodel PERMIT - 202001686 PERMIT NO: 202001686 ISSUED: 09/24/2020 JOB ADDRESS: 2937 Depew St EXPIRES: 09/24/2021 JOB DESCRIPTION: Electricial-add can lighting, add outlets in kitchen and bedrooms Mechanical -Add new furnace, Plumbing- No additional plumbing will be taking place, Paint interior and exterior of house, sand hardwood floors and stain, the in bathroom and kitchen, new cabinets and counter tops. Install new windows. - 795 sq ft total **REVISION: New electrical service - 150 amps; Added valuation: $1,800.00 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�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired 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, anviolation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: Dustin Harns To: Comi Permits Subject: Re: Online Fonn Submittal: Revision to Permit Application Date: Monday, October 26, 2020 7:16:14 AM Kim, It is 150 amps. Thanks! Sent from my Whone On Oct 26, 2020, at 6:23 AM, CommDev Permits <Permits@ci.wheatridge.co.us> wrote: # of amps? 1111101111511111 .. Permit Technician Office Phone: 303-235-2876 <jtnage001.Jpg> CONFIDENTIALITY NOTICE: This e-mail contains business -confidential information. It is intended onlyforthe use of the individual or entity named above. If you are not the intended recipient, you are notified that any disclosure, copying, distribution, electronic storage or use of this communication is prohibited. If you received this communication in error, please notify us immediately by e-mail, attaching the original message, and delete the original message from your computer, and any network to which your computer is connected. Thank you. From: no-reply@ci.wheatridge.co.us <no-reply@ci.wheatridge.co.us> Sent: Friday, October 23, 2020 4:02 PM To: CommDev Permits <Permits@ci.wheatridge.co.us> Subject: Online Form Submittal: Revision to Permit Application Revision to Permit Application Permit Number assigned 202001686 to project PROPERTY INFORMATION Permit Number 202001686 Property Address 2937 Depew Street Property Owner Name Dan Guillian Property Owner Phone 303-422-3797 Number (enter WITH dashes, eg303-123-4567) Property Owner Email Field not completed. Address CONTRACTOR INFORMATION Contact Name Dustin Harris Contact Phone Number 970-342-6897 (enter WITH dashes, eg 303-123-4567) Contact Email Address Retype Contact Email Address DESCRIPTION OF WORK maclandhomes()amail.com Detailed Revised Scope Please add on a new electrical service. of Work - Provide a detailed description of the change in scope of work including mechanical, electrical, plumbing work occurring, adding/removing walls, etc Engineer Letter (if Field not completed. applicable) Additional Documents on Field not completed. Letter Size Are plans or documents No plans needed locked for editing? Construction Plans Field not completed. scanned on 11"x17" or larger Additional Project 1800.00 Value Only add what the revised scope of work is valued at. Attach City of Wheat Ridge Electronic Payment Form - **DO NOT ATTACH A PICTURE OF A CREDIT CARD** SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have 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 Submitting Dustin Harris Revision Email not displaying correctly? View it in your browser. i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: _ /-I f • / /: / a r � Job Address: Z-937 Permit Number: Q rQ ❑ No one available for inspection: Re -Inspection required: (Yes No Time c ,1 AXMM When corrections have been made, schedule for re -inspection online at. http✓/www. ci. wheatridge. co. uslnspection Date: & -*23- 2t�- nspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Remodel PERMIT - 202001686 PERMIT NO: 202001686 ISSUED: 09/24/2020 JOB ADDRESS: 2937 Depew St EXPIRES: 09/24/2021 JOB DESCRIPTION: Electricial-add can lighting, add outlets in kitchen and bedrooms Mechanical -Add new furnace, Plumbing- No additional plumbing will be taking place, Paint interior and exterior of house, sand hardwood floors and stain, tile in bathroom and kitchen, new cabinets and counter tops. Install new windows. - 795 sq ft total *** CONTACTS *** OWNER (303)422-3797 GIULLIAN FAMILY TRUST GC (970)342-6897 DUSTIN HARRIS 202160 MACLAND HOMES SUB (303)929-0246 TERRY KRATZER 202171 KRATZER ELECTRIC SUB (720)244-0493 SHANE/BRANDON MCNITT 160036 MCNITT BROTHERS HEATING & AIR SUB (720)431-2958 JASON MALDONADO 202204 BULLDOG PLUMBING *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 50,000.00 FEES Total Valuation 0.00 Plan Review Fee 474.21 Use Tax 1,050.00 Permit Fee 729.55 ** TOTAL ** 2,253.76 *** COMMENTS *** *** CONDITIONS *** All roughs to be done at Framing Inspection. A printed copy of the permit and city stamped on-site plans must be available on-site for the first inspection. Approved per plans and red -line notes on plans. Must comply with 2018 IRC, 2020 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. ►� ., City of Wheat Ridge Residential Remodel PERMIT - 202001686 PERMIT NO: 202001686 ISSUED: 09/24/2020 JOB ADDRESS: 2937 Depew St EXPIRES: 09/24/2021 JOB DESCRIPTION: Electricial-add can lighting, add outlets in kitchen and bedrooms Mechanical -Add new furnace, Plumbing- No additional plumbing will be taking place, Paint interior and exterior of house, sand hardwood floors and stain, tile in bathroom and kitchen, new cabinets and counter tops. Install new windows. - 795 sq ft total I, by my signature, do hereby attest that the work 0b e 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 erre I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original_permit fee. 3. If this permit expires, a new permit may be required to be obtained. issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Off-ccial 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 t proceed or conceal work without written approval of such work from the Building and Inspection Services Divi 6. Th ss he or gran of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any ap le d or a or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. no change to valuation, has asbestos From: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Form Submittal: Residential Interior Remodel Date: Monday, August 17, 2020 7:49:32 PM Residential Interior Remodel This application is exclusively for Residential Interior Remodels and other scopes of work which do not have a specific form already available. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Property Address 2937 Depew Street Property Owner Name Dan Guillian Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" 303-422-3797 Field not completed. Wheat Ridae Voided Check.ioa APPLICANT INFORMATION Applicant Name Dustin Harris What is your role in the project? Wheat Ridge Contractor's License Number (This is a 5 or 6 digit number for the General Contractor 202160 City of Wheat Ridge) Contact Phone Number 970-342-6897 (enter WITH dashes, eg 303-123-4567) Contact Email Address maclandhomes@gmail.com for Plan Review Comments Retype Contractor maclandhomes@gmail.com Email Address DESCRIPTION OF WORK Detailed Scope of Electricial-add can lighting, add outlets in kitchen and bedrooms Work - Provide a Mechanical -Add new furnace, Plumbing- No additional plumbing detailed description of will be taking place, Paint interior and exterior of house, sand work Including hardwood floors and stain, tile in bathroom and kitchen, new mechanical, electrical, cabinets and countertops. Install new windows. plumbing work occurring, adding/removing walls, etc Location of Work Living room, Bathroom, Kitchen, and Bedrooms Square Footage Area 795 Square Feet of Work Being Performed Asbestos Report 2937 Deoew St Asbestos reoort.odf Upload letter size Fleld not completed. documents here Construction Plans 2937 Deoew Street ndf scanned on 11'x17" or larger Project Value (contract 50,000.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. Person Applying for Dustin Harris Permit I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Email not displaying correctly? View it in your browser. I 'W ON of ��" V�Theat dge COMMUN1Ty DEVELOPMENT SUBCONTRACTOR AUTHORIZATION FORM Plumbing Subcontractor This form must be completed & signed by the PLUMBING SUBCONTRACTOR performing plumbing work on site. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: .2g3Z ciPDP,tJ General Contractor: M0.C(GLrtp(, (-*o LL(L FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION Company Name: '✓ aCC �P hone #: 7�' `�3I—Z9SdJPhkntac Wheat Ridge Contractor License #:20 D 2 2 O i (required field) State License #: PC. 000?c7°( 7 MasterLiceuse#: W-004,00726 q"g{ Zoro Date LIMITED ASBESTOS INSPECTION REPORT DATA August 12, 2020 Prepared for. Dustin Harris Address: 2937 Depew St Denver, Co 8024 Phone: 970.342.6897 Email: maclandhomes@gmail.com Prepared by: BreakAway Consulting LLC. Jon R. Sorensen, Jr. MBA President CDPHE Certification No: 23393 CDPHE Registration No: ACF -23396 332 Cade St Brighton, CO 8060120 P: 720.202.6152 F: 303.459.7998 jon.sorensen@live.com Table of Contents Section 1 Inspection Proiect Summary 1.1 Photo Log of Asbestos Containing Materials (if identified) 1.2 Summary of Samples Section 2 Results and Recommendations Section 3 Proiect Overview Section 4Asbestos Inspection Procedure 4.1 Suspect Asbestos Containing Building Materials 4.2 Sampling and Laboratory Analysis Section 5 Conclusion 5.1 Limitations Appendix A - Laboratory Report B - Chain of Custody Form C - Major or Minor Spill Response List of Acronyms ACM - Asbestos Containing Materials CA - Carpet Adhesive CDW - Composite Drywall D - Damaged SD - Significantly Damaged DW - Drywall NFI - Non -Friable Category I NFII - Non -Friable Category II MS - Miscellaneous Sealant NA - Not Analyzed ND - None Detected EA - Each LF - Linear Feet SF - Square Feet SVF - Sheet Vinyl Flooring TS - Textured Surfacing Trace Q% by (Point Count/Composite) ACM >1% asbestos BBA - Baseboard Adhesive G - Good CMS - CMU Sealant CT - Ceiling Tile DT - Duct Tape/Wrap F - Friable FTM — Floor Tile Mastic MA - Miscellaneous Adhesive OT - Other Material PI - Pipe Insulation PL - Plaster RSG - Roof Shingle RSH - Roof Sheeting RSL - Roofing Sealant WG - Window Glazing L&P — Lath and Plaster Section 1 Inspection Project Summary Property Type: Single Family Reason for Sample: Remodel Inspector Notes: Damage noted in home Laboratory: Reservoirs Environmental NVLAP #: 17025:2005 Results time: Rush # of Samples: 9 Inspection Type: LTD Renovation ACM AHERA/Reg 8 1.1 Photo Log of Asbestos Containing Materials (if identified) a 1.2 Summary of Asbestos containing Samples Homogenous Areas in Work Scope Table HA# ID Samples Description 1 293701-05 5 White Smoot Texture, Walls Bathroom 2 293706-07 2 Pink/Blue Tile, Grout, Mastic Master Bath 3 293708-09 2 Tan Linoleum/Sheet Goods Bathroom Multi Layer 1.1 Photo Log of Asbestos Containing Materials (if identified) a 1.2 Summary of Asbestos containing Samples Bulk Sample and Location ID # Sample Location Cond Material Category Result 1 293701-05 White Smoot Texture, Walls Bathroom G TS 2% Chrysotile 2 293706-07 Pink/Blue Tile, Grout, Mastic Master Bath G TS 3% Chrysotile 3 293708-09 Tan Linoleum/Sheet Goods Bathroom Multi Layer G TS Non -Detect Section 2 Results and Recommendations Asbestos -containing building materials have been identified within the Sampled area(s) of the Site Address the remainder of the house contains suspect building materials must be tested prior to any repair, removal or other activities that will disturb additional suspect asbestos -containing by a certified and licensed asbestos abatement contractor in accordance with applicable federal, state, and local regulations. Any friable suspect asbestos -containing materials identified as having trace (<I%) asbestos through laboratory visual estimation must be considered an asbestos -containing building material. Further analysis may be performed on friable materials having a visual estimate of <1% by point counting, which is a more quantitative analysis of the material. Any work performed on asbestos -containing building materials and/or trace asbestos -containing building materials is subject to OSHA regulations, including but not limited to: hazard communication, asbestos construction industry, general construction industry, and respiratory protection standards. Worker exposure assessments are part of the asbestos construction industry standard and include excursion limits and 8 -hour time - weighted permissible exposure limits which, if exceeded, may require additional engineering or administrative controls to properly protect workers engaged in activities that may damage or disturb materials which contain asbestos. Section 3 Project Overview BreakAway Consulting LLC. was contracted by the client to perform a limited repair/renovation specific asbestos clearance test for a possible spill, 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: 0 Regarding single-family residential dwellings (SFRD), the trigger levels are LF on pipes, 32 SF on other surfaces, or the volume equivalent of a 55 -gallon drum o Regarding all areas other than SFRDs, the trigger levels are 260 LF on pipes, 160 SF on other surfaces, or the volume equivalent of a 55 -gallon drum The purpose of the inspection was to identify, visually inspect, and sample all suspect ACBMs, at the direction of the client, which may be disturbed during the course of the repair/renovation work. Section 4 Asbestos Inspection Procedure The inspection procedure was conducted in accordance with EPA Asbestos Hazard and Emergency Response Act (AHERA), CDPHE Reg 8, and applicable Occupational Safety and Health Administration (OSHA) guidelines and regulations. These regulations specify requirements and protocols for conducting asbestos inspections, sample analysis, and asbestos abatement. 4.1 Suspect Asbestos Containing Building Materials Homogenous Material Types The inspection involved identification and sampling of suspect ACBMs in the areas established by the client that would be part of the scope of work. Suspect ACBMs were grouped into homogenous materials based on color, texture, and date of application. Homogenous materials were given distinct codes (CDWO1, 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 was reported as part of the inspection. Homogenous materials are grouped into one of three categories based on intended use: 1. Surfacing Material — material that is sprayed on, troweled on, or otherwise applied to surfaces, such as acoustical plaster on ceilings and fireproofing materials on structural members, or other materials on surfaces for acoustical, fireproofing, or other purposes. 2. Thermal System Insulation — material applied to pipes, fittings, boilers, breeching, tanks, ducts, or other interior structural components to prevent heat loss or gain, or water condensation, or for other purposes. 3. Miscellaneous Materials — interior building material on structural components, structural members or fixtures, such as floor and ceiling tiles, and does not include surfacing material or thermal system insulation. Homogenous Material Friability Each homogenous material was given one of the three following friability categories defined by the EPA and CDPHE: 1. Friable Material —materials that can be crumbled or reduced to powder by hand pressure. 2. Category I Non -friable Material — materials that cannot be crumbled or reduced to powder by hand pressure including resilient floor coverings, gaskets, packing materials and asphalt impregnated roofing materials. 3. Category II Non -friable Materials — all other materials that cannot be crumbled or reduced to powder by hand pressure that do not include category I non -friable materials. Homogenous Material Condition Each homogenous material was given one of three condition categories based on visual observation defined by the EPA and CDPHE: 1. Good Condition — No visible signs of damage were observed during the inspection. 2. Damaged Condition — Visible signs of damage less than ten percent spread over the entire material or twenty five percent localized. 3. Significantly Damaged Condition — Severe damage greater than ten percent spread over the entire material or twenty five percent localized. 4.2 Sampling and Laboratory Analysis Sample Collection Bulk samples of each suspect homogenous material were collected randomly throughout the homogenous material area within the scope of work. Bulk samples were sampled all of the way through the material so that all associated layers within each homogenous material are represented. Bulk samples were placed in closeable sample bags and then labeled with a permanent marker with distinct sample identifiers (e.g., CDW1-1, FTC2-1, MISC2-3, etc.) for transport to the laboratory. Sample locations and photographs of the homogenous materials were also collected during the inspection. Sample quantities of each homogenous material were collected based on material type and quantity detailed in the following table as required by regulation: Homogenous Material Type Quantity Minimum # of Samples Surfacing Material / 0 to <1000 SF 5 Misc. Drywall. 1,000 to 5,000 SF 7 >5,000 SF 9 Thermal System Insulation Each Material 3 Patch < 6LF, SF 1 Miscellaneous Material Each Material 1 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. Section 5 Conclusion BreakAway Consulting LLC. 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, BreakAway Consulting LLC. recommends hiring a certified general asbestos abatement contractor to remove any ACBMs that may have been identified within the scope of work. All inspection activities were conducted at the direction of the client and only include those materials, quantities and locations detailed in sections 1 and 2 of this report. See sections 1 and 2 of this report for information regarding inspection scope of work, suspect ACBMs, confirmed ACBMs, sample information and laboratory analysis results. 5.1 Limitations General Comments and Limitations Reasonable effort was made by BreakAway Consulting LLC. to locate and sample accessible suspect ACBMs within the scope of work. However, for any structure, the existence of unique or concealed suspect ACBMs is a strong possibility. BreakAway Consulting LLC. only inspected and collected suspect ACBM bulk samples in the repair/renovation areas at the direction of the client. This limited repair/renovation asbestos inspection report is not considered a comprehensive asbestos inspection report and is only valid for the materials and locations detailed in sections 1 and 2 of this report. Should further repair/renovation work expand outside of materials and locations listed in sections 1 and 2 of this report, those locations must be properly inspected and sampled by qualified personnel prior to disturbance of suspect ACBMs. Any subsequent abatement of ACBMs must be performed in accordance with all federal, state and local regulations pertaining to abatement, transport, and disposal of ACBMs. 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. BreakAway Consulting LLC. does not warrant the work of regulatory agencies, laboratories or other third parties supplying information which may have been used in the preparation of this report. No warranty, express or implied is made. Sincerely, Jon R. Sorensen, JR. MBA President BreakAway Consulting LLC. ALL WORK SHALL COMPLY WITH 2018 IRC, 2018 IECC, 2020 NEC, COLORADO PLUMBING CODE ON SITE PLANS MUST BE ON SITE FOR INSPECTION n I smoke alarms shall comply with section 314 of 2018 IRC Smoke alarms shall be installed in the following locations: In each sleeping room. Outside each separate sleeping area in the immediate vicinity of the bedrooms. On each additional story of the dwelling, including basements and abitable attics and not including crawl spaces and uninhabitable ttics. In dwellings or dwelling units with split levels and without an itervening door between the adjacent levels, a smoke alarm istalled on the upper level shall suffice for the adjacent lower level rovided that the lower level is less than one full story below the pper level. Men more than one smoke alarm is required to be installed within provide clean air report to the inspector at first inspection prior to the inspection minimum 1/2 inch gypsum on the underside of floor framing members. n individual dwelling unit, the alarm devices shall be interconnected i such a manner that the actuation of one alarm will activate all of ie alarms in the individual unit. arbon monoxide alarms shall be installed within 15 feet of each leeping room E Wheat- of �W j[}�' MUNnY LAVVIL0 MEN7 _ APPROVED Reviewed for Code Compliance BRANDON F 8/25/2020 Plans Examiner Date Vatfake of ao mb: *he issortnn of o pWYWW oppmwt of peens spenfttatt" andcampwNt,om shoe not be a pemvirp,, Wan oppr w of any wa/abon m any of the pmeisbm aJ the bwidMq code a of ops My ad,—Y. permtla presotmng to gwe outhodty to srmaer a lanae' the FMSWM al fft oumm Coda orotha otcumnaeof the a ty shah rot be whd providew gas line isometric to the inspection prior to the gas line inspection for review. d City of Wheat Ridge Ming 6 ro © � b PCLAr z DLP f r 1 Li 7 7iD 77 A z © tv -V -4- b Z, IA City of Wheat Ridge Residential Asbestos Abatement PERMIT - 202001864 PERMIT NO: 202001864 JOB ADDRESS: 2937 Depew St JOB DESCRIPTION: Abatement of main floor bathroom. Sq ft: 400 *** CONTACTS *** OWNER (303)422-3797 GUILLAN DAN SUB (303)856-8548 VICTOR CORTEZ ISSUED: 09/18/2020 EXPIRES: 09/18/2021 202215 Al ABATEMENT *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,800.00 FEES Asbestos Abatement 50.00 Total Valuation 0.00 ** TOTAL ** 50.00 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section 134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of which require a building permit, occurs or where one or more rooms lawfully used for sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. 1, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications; applicable building codes, anall 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 ermit. I further attest that I am leggally authorized to include all entities named within this document as parties to the work to be performed and that all work to be pertbrmed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6, The issuance or grating 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 i ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Cit' of Wheat RidDe /VAO23J97 AMOUNT n|`SP ?937 Depew St 5O.00 �P�/PERMIT N0: 2O2OO1864 PAYNENT KECFIV[D AMOUNT R" / 8562 5O.00 iUTH CODE: D13832Y4 TO[AL 5O.0O ---------------------- Dina Kemp From: no-reply@ci.wheatridge.co.us Sent: Thursday, September 17, 2020 4:10 PM To: CommDev Permits Subject: Online Form Submittal: Asbestos Abatement Categories: Dina Asbestos Abatement This application is exclusively for RESIDENTIAL ASBESTOS ABATEMENT YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for residential asbestos abatement? Provide copy of CDPHE State Permit or Stamped Approved CDPHE State Permit Application Yes 16003805096663523807084996799837.ipa PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - **DO NOT ATTACH A PICTURE OF A CREDIT CARD** 2937 depew st Dan guillian 303- 422-3797 16003802635324676992954857849681.ipg I CONTRACTOR INFORMATION Contractor Business A1ABATEMENT Name Wheat Ridge Contractor's 202215 License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 3038568548 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address 111vwc@gmail.com Retype Contractor Email 111vwc@gmail.com Address DESCRIPTION OF WORK State Permit No. or 9-27-2020 J.W Application Approval Date with Initials of CDPHE Employee approving application. Location of Abatement Main floor bathroom Square Footage Area of 400 Abatement Has the abatement been No completed If abatement has been Field not completed. completed, upload the clearance report. Project Value (contract $4800 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 z under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Person Applying for Victor Cortez Permit I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Email not displaying correctly? View it in your browser. . # A5Wz Project Personnel .r 1116 n U Project I Co Pmjec Mg:. Name Start Data,_ ASBESTOS ABATEMENT NOTIFtCA-, ION and PERMIT APPLICATION FORM -2a Ce11 Phone # FEE MUST ACCOMPANY THIS FORM INCOMPLETE APPLICATIONS WILL BE RETURNED. StartTime7 e cow Single Fanu7y Residential Dwelling (SFRD) Public and Commercial Building, School, and Single -Family - 50 OF a 32 SF or a 55gal, drum, but 5 260 LF or 160 SF m a 55 -gallon drum Resident/81 OwofSrp: 260 LF or 160 SF ra a 569atlon drum aerrnk coorak,.ex Cd ea Dept ublk Hrakh o code 200 SO Caurtes Notice Non-Pubfir, Access Notice O Out code 100 $0 Courtas NaUca code 105 $BO Non-Publlc Access Nollce ,L APCO-tE-Bt • code 205 j $60 code 710 $80 Notice 43ao cherry Creek Drive South l + *~ ` code 210 $60 Nollce code 1301232 400 30.Do P8ClSFRD Permit 3-1 a phone: 'µ 1576 code 230 5180 30-0a Permit code 190292 $000 90 -Da P8C/SFRD Permit 3lla-09Y4310a Fax 9o3-7a2-d27a ---------- Colorado Department code 290 $300 90 -Da Permit $420 365 -Da Permit code 165267 51200 365 Da PdCISFRD Pennft ,ypeeloe @abate m e of Public Health code 265 (code 190280 [ $55 NoUca or Permit Transfer, [ code 177 j S80 Phase af Multiple Phase Permit# and Environment ' _ - Building Owner Abatement Site Abatement Contractor / ownerNamer., . # A5Wz Project Personnel Building U Project I Co Pmjec Mg:. Name Start Data,_ -2a Ce11 Phone # CO Project Designer# StartTime7 ) j � PM Check the day(s) of operatlo¢ S CO ?;vjec Designer Name Ce!I Pht.:e CO Project Designer # Imeergency7 TYM+ vO N� se Site street Addrreesss/ O Q� AM C 7 PM O 7 fQ T-,ae-,e iF 9a Clty all'" e"',1 Ing Burs, VAT, etc. CDPHE UJd Only I c s Form of Payment & Jtc# 4630/$60:01 PM req'd? � W AJA.S. Name rjn fJ �^_ [�. Permit Record it Date tissued: Ler, Pt,o-e # , - 7 t CO A.M.S. Cert Please desrn!> below the vrork practices and procedures to be a japboX.� rj conducting the abatement of asbestos. BE SPECIFIC. Indicate types) of ACBM�J10 ba bubated (e.g. VAT, ceiling Ufe, TSI, etc.) Use another page if necessary. ������ .� ���C�j/t y j' # gpt"out _._ __. ___ - •yr�C/�/ w,'ll �t H6� c if It�'aes � l7lG.•��a�.r'.� � , ,gi RM5 FD By Jeff Waffe at 1:39 pm. Aug 27. 2020 - IrAc �° '11 A�.�ell I'll �G /✓G�lv/tSt e�� �,/ a i'�G' /� �e t��o/� ��g .�'n�`r��t Dina Kemp From: Dustin Harris <maclandhomes@gmail.com> Sent: Thursday, September 3, 2020 1:27 PIA To: Dina Kemp Subject: Re: 2937 Depew Dina, Here is the Mechanical Sub contractor information and the electricians. I am still waiting for my number to give me his info. As soon as he does, I will send it to you. Thanks! Dustin (il}° of �,,' W heat. J is igc COMMUNI IY DIVI i.CIPMENJ SUBC'fl'ti'I'Fi+t('TOR WIAORILA'IION FORM Mechanical Subcontractor IF—rynunw%AtrvrzttpklcJ&NipredMthe IIECIIANI(Al_hlkl(()' I R V I(IR rvr(tit nintz rrwCtta czl %i i,ri,, en x110 Sulr.,nteae.,r. 011W.UAe Owl gkk- : -JO h u; 0 date J" It b t, Project Addr : �I�� brje�,w `>, Wlitor P166(... !if (.corral(ualructar. `�4♦(�Grti�'_ hv,tt(; L( C l , tiwa A—:—Q _1t ..1 !.loi'.1.If? (. otnpant \amc_&' _L'' a1 � ' , ( oahU Phone r: "Istat Ridge (oattae6or l_iceaar .,: /& oo t Printed 'lame of.Auih*rifed Aitrat Nlpslurt at.AWAorind :%Sent lregairrd fieldl - S, _)6 f , uatr 1 On Aug 27, 2020, at 7:37 AM, Dina Kemp <dkempL&ci.wheatrid eg co.us> wrote: Hello, Ok, thank you. Dina D. Kemp Permit Technician 7500 W. 29th Avenue Wheat Ridge, Colorado 80033 Office Phone: 303-235-2873 Fax: 303-237-8929 www.ci.wheatridge.co.us <image001.jpg> CONFIDENTIALITY NOTICE: This e-mail contains business -confidential information. It is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are notified that any disclosure, copying, distribution, electronic storage or use of this communication is prohibited. If you received this communication in error, please notify us immediately by e-mail, attaching the original message, and delete the original message from your computer, and any network to which your computer is connected. Thank you. From: Dustin Harris <maclandhomes@gmail.com> Sent: Thursday, August 27, 2020 7:32 AM To: Dina Kemp <dkemp@ci.wheatridge.co.us> Subject: Re: 2937 Depew Thanks Dina, I will have them to you by end of day. Dustin Sent from my iPhone On Aug 27, 2020, at 7:09 AM, Dina Kemp <dkemp@ci.wheatridge.co.us> wrote: Hello, We cannot charge without your authorization. I cannot run it until I get all of the sub- contractors added on. Thank you, Dina D. Kemp Permit Technician 7500 W. 29th Avenue Wheat Ridge, Colorado 80033 Office Phone: 303-235-2873 City of 40 Wh6a-tP,,1,j,,.C19C COMMUNITY DEVELOPMET SUBCONTRACTOR AUTHORIZATION FORM Electrical Subcontractor This form must be completed & signed by the ELECTRICAL SUBCONTRACTOR performing electrical work on site. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: 2937 Depew Street, Wheat Ridge, CO 80214 General Contractor: Macland Homes, LLC. FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION Company Name: Kratzer Electric, LLC. Wheat Ridge Contractor License #: 202171 State License #: 6382 Master License #: 28158 Terry Kratzer Printed Name of Authorized Agent Signa re of A&horized Agent Contact Phone #: 303-929-0246 (required field) 8/28/2020 Date ; City of Wheat Ridge Residential Sewer Repair PERMIT - 201801601 PERMIT NO: 201801601 ISSUED: 06/01/2018 JOB ADDRESS: 2937 Depew ST EXPIRES: 06/01/2019 JOB DESCRIPTION: 30 ft long spot repair on property; bypass old kitchen line grease trap *** CONTACTS *** OWNER (303)362-1057 NOCHEBUENA LYN SUB (303)215-1348 Brian Wilkie 060162 Apex Plumbing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,800.00 FEES Total Valuation 0.00 Use Tax 58.80 Permit Fee 93.35 ** TOTAL ** 152.15 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** �City of Wheat Ridge Residential Sewer Repair PERMIT - 201801601 PERMIT NO: 201801601 ISSUED: 06/01/2018 JOB ADDRESS: 2937 Depew ST EXPIRES: 06/01/2019 JOB DESCRIPTION: 30 ft long spot repair on property; bypass old kitchen line grease trap I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications; applicable building codes, and all applicable municipal codes, policies and procedures, and that I am tl�e legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this pernut. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying 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 Budding 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 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, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature ofg a Date REQUESTS MU TBE MAD BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City Of W heat jjdge COMMUNITY DEVELOI'MENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: Permits(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Property Owner (please print): L 11 h N OCK f bo cAe�L : Phone: �30� b 16 5 Property Owner Email: Tenant (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: ArchitectlEngineer E-mail: Phone: Contractor: * enc City of Wheat Ridge License #: Contractor E-mail Address: For Plan Review Questions & Comments (//please print): CONTACT NAME (please print): rnl�e 6L D1s' U 11,P _Phone: (31,3 CONTACT EMAIL(p/ease print): Sub Contractors (Must provide Wheat Ridge License No.): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. r�j6ir dog r�}y� I1`f �yf C'(- J Sq. Ft./LF Amps BTUs Squares Commercial Projects Only: Occupancy Type: Gallons Construction Type: Project Value: (Contract value or the cost of all materials and labor included in the entire project) ct b Q Pe: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR)r (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): V\,C ` \--� _ 'tYy J !!2� �"�` DATE: 6 It l I Printed Name: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: F .3 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 0 64 .6. Job G`Job Address: -� Permit Number: fd d4 Ai �f ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: C� ' /_/ ' )� Inspector: 11_ G1 / DO NOT REMOVE THIS NOTICE Zq3� be et,,,�fi 701/'?INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type k.: Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Insnections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To ADoroval Of The Above Insnectinnc Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof 'Q 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 s_ CITY OF WHEAT RIDGE �(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: flcF Job Address: 2 137 )-- Y � Permit Number: "7 L/ n 3/ 7( A/L) -4 GO - J/ _1/ /J I l V f cJ `1 C_/ � t i ❑ No one available for inspection: Time ` 4AIPM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: ` ( G � Inspector:_ DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201703176 PERMIT NO: 201703176 ISSUED: 07/03/2017 JOB ADDRESS: 2937 Depew ST EXPIRES: 07/03/2018 JOB DESCRIPTION: Residential Re -roof to install dimensional asphalt shingles - 20 sq. *** CONTACTS *** OWNER (303)422-3797 GIULLIAN FAMILY TRUST SUB (720)898-0272 Ernest Martinez 022046 REPAIRS UNLIMITED, INC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,686.00 FEES Total Valuation 0.00 Use Tax 161.41 Permit Fee 172.60 ** TOTAL ** 334.01 *** 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. City of Wheat Ridge Residential Roofing PERMIT - 201703176 PERMIT NO: 201703176 ISSUED: 07/03/2017 JOB ADDRESS: 2937 Depew ST EXPIRES: 07/03/2018 JOB DESCRIPTION: Residential Re—roof to install dimensional asphalt shingles — 20 sq. I, by m ignature, do hereby attest that the work to be performed shall comply with,all accompanying approved plans and specifications, applicablse 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 pen -nit. I further attest that I amBally authorized to include all entities named within this document as parties to the work to be perforyie41 and that all work �o be p�tormed is disclosed in this document and/or its' accompanying approved plans and specifications. Oct I I `—? Signature of OWNER or CONTRALTO (Circle one) Date I . This permit was issued based on t e m onnation provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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 c9de ny ordinance or regulation of this jurisdiction. Approval of work is subject to Held inspection. e Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Dan Schultz 701703176 From: no-reply@ci.wheatri dge.co.us Sent: Wednesday, June 21, 2017 2:57 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Dane 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. 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. Permits are currently being processed within 5 business days, subject to change based on volume. 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 Property Owner Name Property Owner Phone Number 2937 Depew St Dan Giullian 3034223797 V+ Property Owner Email Field not completed. Address 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 Repairs Unlimited, Inc Contractor's License 022046 Number (for the City of Wheat Ridge) Contractor Phone 7208980272 Number Contractor Email Address michelleh@repairs-unlimited.com Retype Contractor Email michelleh@repairs-unlimited.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing dimensional Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 20 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? z TOTAL SQUARES of all 20 roofing material for this proj ect Provide additional detail house and garage here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 7686 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 Michelle Hall Email not displaying correctly? View it in your browser. 3 WORK AUTHORIZATION' FOR REPAIRS AND DIRECTION OF PAYMENT DATE: 06/07/2017 cLAIm #: 05737J DATE OF LOSS: 05/08/2017 INSURED: DAN GILILLIAN ADDRESS: 2937 DEPEW ST, WHEAT RIDGE, CO 80241 Your Insurance Carrier HORAC E MANN submitted a request to CCA Global Partners, Inc. and its affiliate Lionsbridge Contracting Group to refer one of their vendors to provide the following services: QPerform the necessary services to mitigate further damages to the address listed above. ® Provide a reconstruction estimate. QPerform repairs as indicated on Your Insurance Carrier's estimate. This does not constitute a contract for reconstruction services. Authorize Your Insurance Carrier to issue payment, less any remaining deductible, for mitigation and reconstruction services to CCA Global Partners, Inc. on my behalf. I/We 9 Understand that Your Insurance Carrier will pay for repairs of damages covered by the policy. ® Understand that Your Insurance Carrier will provide me/us with a copy of the approved estimate. • Will sign a Certificate of Satisfaction once all services are completed so that payment may be made by CCA Global Partners, Inc. to their assigned vendor for services completed. • Understand that the deductible, and/or any non-recoverable depreciation, is my/our responsibility. O Understand that any materials upgrades that I/we request, additional work, and/or services that are not covered by Your Insurance Carrier, and are agreed to with a separate change order are my/our responsibility, and are not subject to the five year warranty that is backed by Lionsbridge. Insured/or Authorized Represe 00717 Date Date Da e To be completed by program contractor — coordinated repairs under this claim may include: Structural Repairs Mitigation Flooring Roofing Textiles/Clothing Other Repair State Date: l / Time: am pm Estimated Completion Date: / / Tne Chi cDnvaldes t, 10 N d_, R R 1 t) i s U Include CON I R A C T O It fixe rn,� i CITY OF WHEAT RIDGE F; .. V Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: /_11r f) Job Address: 3 7�nrW S f Permit Number: C7l r) ❑ No one available for inspection: Time -' '>' AM/45 Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-2341171 -5933 Date: Inspect or:---,. DO NOT REMOVE THIS NOTICE FOR OFFICE USE ONLY City o (' . h6a di CommuNiTy DEVELOPMENT Building & Inspection Services Division 7500 W. 20th Ave., Wheat Midge, CO 80033 Plan Review Office: 303-235-2355 * Fax: 303-237-8029 Inspection Line: 303-234-5033 Building Permit AppliCation Please complete all h1ohilahted areas on, both sides of this IoM Incomplete aWications may not be proceased. Property Andress: L7 . ge Property Omer (please print): Phon , aL- 719 Property Owner Emalk Mailing Address: (if di=fferent than properly address) Address. Ci!y,`'State, rch teetlEngin r E sml: Ph Contractor Contractors City License *. Phons:' L°h 157 Contractor E-mail Address: ss: Sub Contractors: Electrical, Plumbing: Mechanical: W.R. City License ## W.R. City License ## W.R. City License # Other City Licensed Sub. Other City Licensed Sub: City License # City License ## Complete all information on BOTH skies of this fur sr i amount materials yy*om s e used, etc,) _... ........ w dkce T6 To, i t t Sq. FULF Stu»a Gallons Amps Squares Other DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 95-1214 BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date :6/14/95 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: GIULLlAN DAN A Property Address: 2937 DEPEW ST Phone: 422-3797 Contractor License No.: 18023 Company: Schroeder Roofing Metro Phone: 444 3538 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: Permit Fee: Use Tax: $2,140.00 $54.00 $32.10 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 (U.B.C.) and all other applicable W at ~idge ordinances, for work under this permit. $86.10 Description: ~~ DATE6-(0 Total: (OWNER)(CONTRACTOR) SIGN RERO BUILDING DEPARTMENT USE ONLY Approval: Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expi ration Date : Approval: . Expiration Date: Approval: Expiration Date: Approval: . . (1) (2) (3) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Buildinli! Code of Wheat Rid~e, Colorado or any other applicable ordinances of the City. This permit 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 o~ 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 issua 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 of1he bu. ; g 1.-." or c:v::ce. law. rule or regulation. (4) (5) (6) Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION JUH-12-93 MOH 02:31 PM SCHROEDER '30'3..'34... 092;? P.0:i5 As 71 Prope"t Own.r; ~rJ (;,CJo. \II~ Property Addre.-: .2 &13 7 D.eptuJ ~ ConlrilCIor L.r.ense No.: ~ Company : ~ ".i'&J./PeJl- c? ~;.,. PhOne: 4 ~'Z - s:Jrl /"6 Phone: "Iqq- 1S:Y1 OWN"H/CON11v.c:'01l 810NATURE OF l,INOEf'l$lANOlNG AND AGREEMENT '......''''''111l1li..... MI1I.d1__~..,....pO'Mk~--- .... 40.... _010 ............ """"_....... 01 ~hO... '11....1:"., 01_ RIIIgo 11/1' ~,. c...."....;.t, 01 IUMdkMtl'" ...... ..... .. .....'u,.".nla I.hown .... .~,.... __lie ._,........., h...IOIOlIlld:= 10 _.... all __ prin~~ WI . """'".........,.h.".......,...._ ''l.I!l'' ....._....Wlletl ~ C6oIo CU O.C 1_ .. ...... IJlPIiC,IIIIIWhe_1CiJgo 01 n_.. f.r wqrk ......1IIiIi peIIIlIl, . 'LiAKCONTIUlCTORISK:NtiO DATf.ft;--f:;'fIj'. . IPIIOfl.:JJ:. II . n~ BUILDING DEPARTMENT use ON\. y Constnrc.llon v...: ~I Cf (;)..- ",--" F.. : ....,.... S- q . o-cJ UNT_: :s? ( ) ToIaI: Approval : Zoning . w Roof; SCGrieI : Rtslcllnllll unII : Plu~g LiCen.. No : Company; NechInlOII LIcIIlI8 No: ~y: ElrpirIlioIl DII8 : Approval : . allOn o.Ic aI lfJ.ns,f(equlril.d.... 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Ie........ ,..............04..M."OI.",.....i111'111rWM8 _ rWlfI."~...-' ' \':1", 'li"'hl,nl1ln'JlI'~-' -.-- FOfMayor 11115 I'lllMII VALID ONLY Will N SlnN11l BY THe CHtef BUILDING 'NSPf~TOR.uKlIlAYOR CA. L: ~3~.5n3 ~4 HOURS PRIOR TO INSPECTION ..._~._""___,,,,_-A__