HomeMy WebLinkAbout3101 Depew StreetFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Farm is
Subject: Online Form Submittal: Residential Interior Remodel
Date: Friday, April 30, 2021 1:57:10 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 3101 Depew St
Property Owner Name cliff Preston
Property Owner Phone 720-398-7746
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email cliff.preston@gmail.com
Address
Attach City of Wheat BandB Electronic Payment Form.odf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
APPLICANT INFORMATION
Applicant Name Zeb Bukey
What is your role in the General contractor
project?
Wheat Ridge 100235
Contractor's License
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contact Phone Number 303-595-0901
(enter WITH dashes,
eg 303-123-4567)
Contact Email Address
for Plan Review
Comments
Retype Contractor
Email Address
DESCRIPTION OF WORK
Detailed Scope of
Work - In the space
below (not as an
attachment), Provide a
detailed description of
work including
mechanical, electrical,
plumbing work
occurring,
adding/removing walls,
etc
I, the applicant,
understand my
application will be
rejected if I do not
include a Detailed
Scope of Work.
zeb@basementsandbeyond.com
zeb@basementsandbeyond.com
Demo previous basement finishes and walls including plumbing
and electrical. Modify underground plumbing and add new 3/4
bath and laundry room. Add (2) bedrooms and replace staircase
to comply with that comply with egress requirements. All MEPs,
insulation and fire resistance to meet or exceed code. Basement
will be finished with drywall and new flooring with the exception
of the utility room
I have entered a detailed scope of work.
Location of Work Basement
Square Footage Area
of Work Being
Performed
Asbestos Report
Upload letter size
documents here
Construction Plans
scanned on 11'x17" or
larger
1052
3101 Deoew St Asbestos Reoort.odf
Field not completed.
Project Value (contract $61,500 P. .""" "
A
value or cost of ALL APPROVED AS
materials and labor) SUBMITTED SP
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 zeb Bukey
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.
of
Wh6at
COMMUNITY DEVELOPMENT
W13CONTRACTOR AUTHORIZATION FORU
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: 3 � � 3 D e p e u.� S�-
General Contractor: �G1.JCM@ri`7 o,rd be+./oM
FORM WILL NOT BE AC .EPTED WIT MI � N INFORMATION
Company Name:The �leckr+CComQary Contact Phone #:
Wheat Ridge Contractor License #: O 2'Z3Yp (required field)
State License #: 3 393
Master License #: &� 2 S S 11
-road 4}o ue
Printed Name of ATuthorized Agent
Signature of Authoriz d Agent 76ate
4'� City of
'� Wheatjdge
COMMUNITY DEVELOPMENT
SUBCONTRACTOR AUTHORIZATION FORM
Mechanical Subcontractor
This form must be completed & signed by the MECHANICAL SUBCONTRACTOR
performing mechanical work on site.
Subcontractor's insurance and license must be up to date prior to permit issuance.
Project Address: 3101 Depew Street Wheatridge, CO 80214
General Contractor: Basments & Beyond
Company Name: Blue Valley Energy Contact Phone#: 303-993-2645
Wheat Ridge Contractor License #: 120137 (required field)
Veronica Randall
Printed Name of Authorized Agent
'(/nJiG✓i�. 06/03/2021
Signature of Authorized Agent Date
-WTv City of
Wh6atP*j**dge
COMMUNITY 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: � 0J -per F'l-" acZT
General Contractor:FIE-2AO &5�
FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION
Company Name: C4 C Contact Phone #: &L -� . n&
Wheat Ridge Contractor License #: I I l� 2�Q �J (required field)
State License M. MDILp 0 2
Master License #: 2 -
Printed Name of Authorized Agent
Signature of Authorized Agent Date
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� ► � i City of Wheat Ridge
Residential Remodel PERMIT - 202100858
PERMIT NO: 202100858 ISSUED: 06/09/2021
JOB ADDRESS: 3101 Depew St EXPIRES: 06/09/2022
JOB DESCRIPTION: Remodel - Demo previous basement finishes and walls including plumbing and
electrical. Modify underground plumbing and add new 3/4 bath and laundry
room. Add (2) bedrooms and replace staircase to comply with that comply
with egress requirements. All MEPs, insulation and fire resistance to meet
or exceed code. Basement will be finished with drywall and new flooring
with the exception of the utility room
*** CONTACTS ***
GC (303)595-0901
WESLEY COOPER
100235 BASEMENTS & BEYOND
OWNER (720) 725-1068
COATES JENNIFER
A
SUB (303)549-3856
TODD HOGUE
022336 THE ELECTRIC COMPANY
SUB (303)647-3777
CHRIS ZEC
110263 C&C MECHANICAL LLC
SUB (303)993-2645
MONTE SCHMIDT
120137 BLUE VALLEY ENERGY
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2412 / LAKESIDE,
STEWART GARDENS,
OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 61,500.00
FEES
Total Valuation
0.00
Plan Review Fee
537.00
Use Tax
11291.50
Permit Fee
826.15
** TOTAL **
21654.65
*** 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.
A clean air report from a certified contractor must be presented to the inspector at the
first inspection.
City of Wheat Ridge
Residential Remodel PERMIT - 202100858
PERMIT NO: 202100858 ISSUED:
JOB ADDRESS: 3101 Depew St EXPIRES:
JOB DESCRIPTION: Remodel - Demo previous basement finishes and
electrical. Modify underground plumbing and ad
room. Add (2) bedrooms and replace staircase t
with egress requirements. All MEPs, insulation
or exceed code. Basement will be finished with
with the exception of the utility room
06/09/2021
06/09/2022
alls including plumbing and
new 3/4 bath and laundry
comply with that comply
and fire resistance to meet
drywall and new flooring
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
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
06/09/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
��
COLORADO ASBESTOS
INSPECTIONS I rcommerclial
Limited Asbestos Inspection Report
3101 Depew St
Wheat Ridge, CO 80214
Report Date: 4/8./21
Preparetl For:
Cliff Preston
3101 Depew S[
Wheat Ritlge, CO 80214
720-725-1068
cl'ff oreston@gma'I com
Preparetl by.
Coloratlo Asbestos Inspections
303 S Broatlway, Unit 200-209
Denver, CO 80209
info@coa sbestest. com
303-246-4587
Table of Contents
1.1 Project Summary
1.2 Homogenous Areas in Work Scope
1.3 Photo Log of ACM and/or Trace Materials (if identified)
1.4 Summary of Asbestos Samples
Section 2
Recommendations
Section 3
Project Overview
Section 4
4.1 Asbestos Containing Materials (ACM)
4.2 Suspect Asbestos Containing Materials
4.3 General Comments
Conclusion
Appendix
A: Drawing(s)
B: Certifications
C: Laboratory Report and Chain of Custody Form
Section 1
1.1 Project summary
Location/
Textured walls and ceilings, joint compound, and duct tape wrapping in the basement.
components
Group
inspected:
Material
Client:
Cliff Preston
Inspector:
James Durgee
Consulting Firm #
19102
Inspector Cert #
16040
Inspection Date:
4/7/21
Scope:
Partial renovation
Building
Single family residence
Description:
2
Date(s) of
1982
Laboratory:
Reservoirs Environmental
construction:
NVLAP # 101896-0
1.2 Homogenous Areas in Work Scope
Homogenous Areas in Work Scope
Class= Material Classification: S=Surfacing Material, M=Miscellaneous, T=TSI
"Quantities are estimates only and should not be used for bidding
Group
Class
Material
Location(s)
Quantity
Samples
1
S
Brown/white/blue knockdown texture,
Basement walls and ceilings (majority
2000
5
drywall
texture)
2
M
Composite drywall
Joint compound areas -basement
200
2
knockdown texture
3
S
White smooth texture, drywall
Basement SW storage room walls
200
3
4
M
Composite drywall
Joint compound areas -basement SW
20
2
storage room
5
T
Duct tape wrapping
On HVAC ducts in the basement
20
3
1.3 Photo Log of ACM and/or Trace Materials (if identified)
Duct tape wrapping -On HVAC ducts in the basement:
contains up to 70% chrysotile. The material should be
removed by a stated certified asbestos abatement
contractor if disturbing more than 32 square feet of the
material. For quantities less than 32 square feet, a state
certified asbestos abatement contractor may be
considered or necessary for OSHA compliance.
1.4 Summary of Asbestos Samples
Bulk Sample and Locations Table
Group Sample ID Sample Locations Condition Friable Result
1
SMW 1-1
Basement laundry room
E wall, N end
G
Yes
None detected
1
SMW 1-2
Basement bedroom
N wall, 8" E of door
G
Yes
None detected
1
SMW 1-3
Basement bedroom
S wall below SW window
G
Yes
None detected
1
SMW 1-4
Basement main room
E wall, middle
G
Yes
None detected
1
SMW 1-5
Basement main room
Middle of ceiling
G
Yes
None detected
2
CDW 1-1
Basement main room
NE corner
G
NF 1
None detected
2
CDW 1-2
Basement bedroom
SW corner
G
NF 1
None detected
3
SMW 2-1
Basement SW storage
N wall, W end
G
Yes
None detected
3
SMW 2-2
Basement SW storage
N wall, E end
G
Yes
None detected
3
SMW 2-3
Basement SW storage
E wall, S end
G
Yes
None detected
4
CDW 2-1
Basement SW storage
NW corner, bottom
G
NF 1
None detected
4
CDW 2-2
Basement SW storage
NW corner, top
G
NF 1
None detected
5
TSI 1-1
TSI 1-2
TSI 1-3
Basement main room
Basement furnace closet
On duct at E wall
G
Yes
65% Chrysotile
5
On duct at N ceiling cavity
G
Yes
70% Chrysotile
5
Basement bedroom
On duct, N end
G
Yes
65% Chrysotile
Condition: SD= Significantly Damaged, D= Damaged, G=Good
Friable: NF1= Category 1 Non -Friable, NF2= Category2 Non Friable
Section 2
2.1 Recommendations
The following materials contain asbestos:
Duct tape wrapping -On HVAC ducts in the basement
Duct tape wrapping -On HVAC ducts in the basement: contains up to 70% chrysotile. The material should be removed
by a stated certified asbestos abatement contractor if disturbing more than 32 square feet of the material. For
quantities less than 32 square feet, a state certified asbestos abatement contractor may be considered or necessary
for OSHA compliance. All work associated with these materials must be performed in accordance with all State and
Federal regulations.
As per AHERA, a material is to be considered as asbestos containing unless it is proven otherwise by appropriate
sampling. Please work safely and if you encounter any other suspect building materials not listed in this report, please
contact Colorado Asbestos Inspections for additional sampling.
Section 3
Project Overview
Colorado Asbestos Inspections was contracted by the client to perform a limited asbestos inspection at the previously
referenced address. This asbestos inspection was conducted by a Colorado State Certified Asbestos Building Inspector.
The client is planning remodeling activities of the inspected areas in the property at the above mentioned address. Colorado
Regulation #8 requires that all suspect Asbestos Containing Building Materials (ACBM) be properly sampled and analyzed prior
to conducting any repair or renovation activities over the established trigger levels (32 sq. feet or 50 linear feet or the equivalent
to a 55 gallon drum, for residential properties and 160 square ft, 260 linear feet for commercial properties). The purpose of this
inspection was to identify and sample all suspect ACBM that may be disturbed during the course of the repair/renovation work.
Section 4
Asbestos Inspection
This asbestos inspection was conducted according to the United States Environmental Protection Agency (EPA) procedures
published in 40 Code of Federal Regulations (CFR) Part 763, Subpart E - Asbestos -containing Materials in Schools and
Colorado Regulation 8. These inspection protocols specify requirements for the inspector (Section 763.85), laboratory (Section
763.87), and number of samples collected during an inspection (Section 763.86).
This inspection involved identification and sampling of suspect ACBM in the areas to be repaired or renovated. Suspect ACBM
includes nearly all building materials except glass, metal, wood and ceramic. Bulk samples of suspect ACBM were collected in
general conformance with AHERA protocols as outlined in Colorado Regulation 8. Random samples of suspect building
materials were collected throughout each homogeneous area (see appendix A). Samples were placed in sealable containers
and labeled with unique sample numbers using an indelible marker.
4.1 Asbestos Containing Materials
Asbestos Containing Materials (ACM) contain asbestos in concentrations greater than 1 percent, (> 1 % asbestos) as confirmed
by an accredited laboratory. ACM is categorized as Non -friable or Friable asbestos. Non -friable asbestos is any material that
cannot be crumbled, pulverized or reduced to a powder by hand pressure when dry. Friable asbestos can be crumbled,
pulverized, or reduced to a powder by hand pressure when dry.
Sample(s) were submitted under chain of custody procedures to an accredited laboratory for analysis by polarized light
microscopy with dispersion staining techniques per EPA methodology (40 CFR 763, Subpart F). Microscopic visual estimation
was used in obtaining the percentage of asbestos in bulk samples. The laboratory is accredited under the National Voluntary
Laboratory Accreditation Program NVLAP. See appendix A for sample and laboratory summary and appendix C for laboratory
report and chain of custody documents.
42 Suspect Asbestos Containing Materials
Suspect ACBM are building materials historically known to contain asbestos and therefore suspected to contain asbestos. The
EPA and the Occupational Safety and Health Administration (OSHA) maintain comprehensive lists of suspect ACBM frequently
encountered during inspections
4.3 General Comments
This asbestos inspection was conducted in a manner consistent with the level of care and skill ordinarily exercised by members
of the profession currently practicing under similar conditions in the same locale. The results, findings, conclusions and
recommendations expressed in this report are based on conditions observed during our limited inspection of the areas in
question. 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. Colorado Asbestos Inspections does not
warrant the work of regulatory agencies, laboratories or other third parties supplying information that may have been used in
the preparation of this report. No warranty, express or implied is made.
4.4 Conclusion
Colorado Asbestos Inspections has performed a limited asbestos inspection of the property previously referenced. Through
laboratory analysis of bulk samples, Colorado Asbestos Inspections recommends hiring a certified asbestos abatement
contractor only if asbestos containing materials were identified, as determined by laboratory testing and in Sections 1 & 2 of
this report.
Any work associated with any asbestos containing materials must be performed in accordance with all State and Federal
Regulations.
Reasonable effort was made by Colorado Asbestos Inspections to locate and sample accessible suspect building materials.
However, for any structure, the existence of unique or concealed asbestos containing materials is a strong possibility.
Colorado Asbestos Inspections only collected PLM bulk samples in the property's repair/renovation areas at the direction of
the client. This limited asbestos inspection report is not considered a comprehensive asbestos inspection report.
Respectfully Submitted,
James Durgee
Colorado State Certified Building Inspector: 16040
Consulting Firm: 19102
Colorado Asbestos Inspections, LLC.
303 S Broadway, Suite 200-209
Denver CO. 80209
Tel (303) 246 4587
i nfoacoasbestest. com
Appendix A: Drawing
6
m
Appendix B: Certifications
CERTIFICATE
OF COMPLETION
CIATIFIESTHAT
James Durgee
-1
VVVVYW9 t"r V V T -W -W V W 7 T I I V v V W-WVW fv.,F
Colorado Department
of Public Health
Environment
and
ASBESTOS
CERTIFICATION*
This certifies that
James D. Durgee
Certification No.: 16040
has met the requirements of 25.7-507, C.R.S. and Air Quality Control
Commission Regulation No. 8, Part B, and is hereby certified by the
state of Colorado in the following discipline:
Building Inspector*
Issued: N-mber 19, 2020
Expires: December 07, 2021
CERTIFICATE
OF COMPLETION
CIATIFIESTHAT
James Durgee
-1
Appendix C: Laboratory Report and Chain of Custody Form
Reservoirs Environmental, Inc Effective October 09, 2020
Reservoirs Environmental QA Manual Q:\QAQC\Lab\Reservoirs Environmental QA Manual.pdf
REI LAB Reservoirs Environmental, lnc_
April 08, 2021 Subcontractor Number:
Laboratory Report: RES 490462-1
Project #/P.O. #: 210407-2
Project Description: 3101 Depew St Wheat Ridge CO
Jim Durgee
Colorado Asbestos Inspections
303 S. Broadway Suite 200-209
Denver CO 80209
Dear Jim,
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 LAP, LLC), Lab ID 101533 for Phase Contrast Microscopy
(PCM) analysis. This laboratory is currently proficient in both Proficiency Testing and PAT programs respectively.
Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request.
The analysis has been completed in general accordance with the appropriate methodology as stated in the
attached analysis table. The results have been submitted to your office.
RES 490462-1 is the job number assigned to this study. This report is considered highly confidential and the
sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with
personnel other than those of the client. The results described in this report only apply to the samples analyzed,
as received by the customer. This report must not be used to claim endorsement of products or analytical
results by NVLAP or any agency of the U.S. Government. This report shall not be reproduced except in full,
without written approval from Reservoirs Environmental, Inc. Samples will be disposed of after sixty days unless
longer storage is requested. If you have any questions about this report, please feel free to call 303-964-1986.
Sincerely,
by Ryan Shilling
Jeanne Spencer
President
(303) 9641986 5801 Logan St, Suite 100, Denver, CO 80216 -.reilab.com
(866) RESI-ENV https://clients.reilab.com
Reservoirs Environmental, Inc.
Reservoirs Environmental GAManual
iso: N!ZAT161IZilanWI :IQ 011LVA ia0111Mai01Lei
NVLAP Lab Code 101896-0
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
RES Job Number:
Client:
Client Project Number/ P.O.:
Client Project Description:
Date Samples Received:
RES 490462-1
Colorado Asbestos Inspections
210407-2
3101 Depew St Wheat Ridge CO
April 07, 2021
Effective October9, 2020
Q AGAGCALabAReservoirs Environmental GA Manual.. eat
Method: EPA 6001R-931116 - Short Report, Bulk
ND=None Detected
Turnaround: Priority
TR=Trace, <1% Visual Estimate
Trem/Act=Tremolite/Actinolite
Date Samples Analyzed: April 07, 2021 -April 08, 2021
Client
L
Asbestos Conteril
Non
Non -
Sample
A Sub
Asbestos
Fibrous
Number
Y Physical Part
Mineral Visual
Fibrous
Components
E Description
Estimate
Components
R N
M
(%)
(%)
SMW 1-1
A White compound w/ beige paint 15
ND
0
100
B Off white/tan drywall 85
ND
45
55
SMW 1-2
A White compound w/ light blue paint 15
ND
0
100
B Off white/tan drywall 85
ND
40
60
SMW 1-3
A White compound w/ light blue paint 15
ND
0
100
B Off white/tan drywall 85
ND
40
60
SMW 1-4
A White compound w/ beige paint 12
ND
0
100
B Off white/tan drywall 88
ND
45
55
SMW 1-5
A White compound w/ white paint 10
ND
0
100
B White compound w/ white paint 12
ND
0
100
C Pink/tan drywall 78
ND
45
55
CDW 1-1
A White compound w/ beige paint 20
ND
0
100
B Off white/tan drywall 80
ND
40
60
TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%.
Only compound, tape and wallboard layers are used in the calculation of a composite result.
P'. 303-964-1986 5801 Logan Street, Suite 100, Denver, CO 80216 1-866-RESI{NV
F. 303-477-4275 wwwreilab. com
Page 1 of3
Reservoirs Environmental, Inc.
Reservoirs Environmental GAManual
iso: N!ZAT161IZilanWI :IQ 011LVA ia0111Mai01Lei
NVLAP Lab Code 101896-0
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
RES Job Number:
Client:
Client Project Number/ P.O.:
Client Project Description:
Date Samples Received:
RES 490462-1
Colorado Asbestos Inspections
210407-2
3101 Depew St Wheat Ridge CO
April 07, 2021
Effective October9, 2020
Q AGAGCALabAReservoirs Environmental GA Manual.. eat
Method: EPA 6001R-931116 - Short Report, Bulk
ND=None Detected
Turnaround: Priority
TR=Trace, <1% Visual Estimate
Trem/Act=Tremolite/Actinolite
Date Samples Analyzed: April 07, 2021 -April 08, 2021
Client
L
Asbestos Conteril
Non
Non -
Sample
A Sub
Asbestos
Fibrous
Number
Y Physical Part
Mineral Visual
Fibrous
Components
E Description
Estimate
Components
R N
M
(%)
(%)
CDW 1-2
A White compound w/ light blue paint 15
ND
0
100
B Off white/tan drywall 85
ND
45
55
SMW 2-1
A Light gray/tan drywall 100
ND
15
85
SMW 2-2
A Light gray/tan drywall w/ white paint 100
ND
15
85
SMW 2-3
A Light gray/tan drywall w/ white paint 100
ND
15
85
CDW 2-1
A Cream tape 3
ND
95
5
B Off white joint compound 3
ND
0
100
C Off white compound w/ white paint 5
ND
0
100
D Light gray/tan drywall 89
ND
15
85
CDW 2-2
A Cream tape 2
ND
95
5
B Off white joint compound 2
ND
0
100
C Off white compound w/ white paint 4
ND
0
100
D Light gray/tan drywall 92
ND
15
85
TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%.
Only compound, tape and wallboard layers are used in the calculation of a composite result.
P'. 303-964-1986 5801 Logan Street, Suite 100, Denver, CO 80216 1-866-RESI{NV
F. 303-477-4275 wwwreilab. com
Page 2 of
Reservoirs Environmental, Inc.
Reservoirs Environmental GAManual
iso: N!ZAT161IZilanWi :IQ 011LVA ia0111Mai01Lei
NVLAP Lab Code 101896-0
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
RES Job Number:
Client:
Client Project Number/ P.O.:
Client Project Description:
Date Samples Received:
RES 490462-1
Colorado Asbestos Inspections
210407-2
3101 Depew St Wheat Ridge CO
Anril 07. 2021
Effective October9, 2020
Q AGAGCALabAReservoirs Environmental GA Manual.. eat
Method: EPA 6001R-931116 - Short Report, Bulk
ND=None Detected
Turnaround: Priority
TR=Trace, <1% Visual Estimate
Trem/Act=Tremolite/Actinolite
Date Samples Analyzed: April 07, 2021 -April 08, 2021
Client
L
Asbestos Conteril
Non
Non -
Sample
A Sub
Asbestos
Fibrous
Number
Y Physical Part
Mineral Visual
Fibrous
Components
E Description
Estimate
Components
R (%)
M
(%)
(%)
TSI 1-1
A Light gray/multi-colored fibrous material w/ beige paint 100
Chrysotile 65
15
20
TSI 1-2
A Light gray/multi-colored fibrous material 100
Chrysotile 70
15
15
TSI 1-3
A Light gray/multi-colored fibrous material w/ white paint 100
1 Chrysotile 651
15
20
TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1 %.
Only compound, tape and wallboard layers are used in the calculation of a composite result.
Manan Banker
Analyst
Ryan Shilling
Analyst / Data QA
P'. 303-964-1986 5801 Logan Street, Suite 100, Denver, CO 80216 1-866-RESI{NV
F. 303-477-4275 wwwreilab. com
Page 3 of3
Reservoirs Environmental, Inc
Reservoirs Environmental QAManual
REI LAB Reservoirs En vironmen to/, /nc.
Effective October 09, 2020
Q:\QAQC\Lab\Reservoirs Environmental QA Manual.pdf
RES Job #: 490462
SUBMITTED BY
INVOICE TO CONTACT INFORMATION
SERIES
Company: Colorado Asbestos Inspections
..................................................................................................................................................................................................................................................
Company: Colorado Asbestos Inspections Contact: Jim Durgee
.........................................................................................................................
-1 PLM Priority
Address: 303 S. Broadway Suite 200-209
..................................................................................................................................................................................................................................................
Address: 303 S. Broadway Suite 200-209 Phone: (303) 246-4587
.........................................................................................................................
..................................................................................................................................................................................................................................................
Fax:
.........................................................................................................................
A
Denver, CO 80209
Denver, CO 80209 Cell:
Project Number and/or P.O. #: 210407-2 1 Final Data Deliverable Email Address:
....................................................................................................................................................................................................................................................
Project Description/Location: 3101 Depew St Wheat Ridge CO durgeejim@gmail.com
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ASBESTOS LABORATORY HOURS: Weekdays: 7am - 7pm & Sat. 8am - 5pm
REQUESTED ANALYSIS
VALID MATRIX CODES
LAB NOTES
PLM / PCM / TEM DTL RUSH 1PRIORITY STANDARD
Air =
A
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CHEMISTRY LABORATORY HOURS: Weekdays: 8am - 5pm
Dust RUSH PRIORITY STANDARD
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= T
Wipe =
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MICROBIOLOGY LABORATORY HOURS: Weekdays: 8am - 5pm
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ASBESTOS CHEMISTRY MICROBIOLOGY
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2 SMW 1-2
3 SMW 1-3
4 SMW 1-4
5 SMW 1-5
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REI will analyze incoming samples based on information received and will not be responsible for errors or omissions in calculations resulting from the inaccuracy of original data. By signing, client/company representative agrees that submission of the following samples for requested analysis as indicated on this Chain of Custody shall consitute
analytical services agreement with payment terms of NET 30 days. Failure to comply with payment terms may result in a 1.5% monthly interest surcharge.
relinquished By: Jim Durgee Date/Time: 04/07/2021 13:17:27 Sample Condition: Acceptable
received By: Sophia Ingram Date/Time: 04/07/2021 13:27:27 Carrier: Hand
(303) 964-1986 5801 Logan St, Suite 100, Denver, CO 80216 vwvw.reilab.com
(866) RESI-ENV Page 1 of 2 https:Hclients.reilab.com
Reservoirs Environmental, Inc
Reservoirs Environmental QA Manual
agaL
REI LAB Reservoirs Environmental, lnE.
Res Job#: 490462
Submitted By: Colorado Asbestos Inspections
Client Sample ID Number
14 TSI 1-2
15 TSI 1-3
(Sample ID's must be unique)
Effective October 09, 2020
Q:\QAQC\Lab\Reservoirs Environmental QA Manual.pdf
REQUESTED ANALYSIS
VALID MATRIX CODES
'
Air = A
Bulk= B
8.2
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................................................................................
Dust = D
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Food = F
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LAB NOTES
Laboratory Analysis
Instructions
(303) 964-1986 5801 Logan St, Suite 100, Denver, C080216 www.reilab.com
(866) RESI-ENV Page 2 of 2 https://clients.reilab.com
� ► � i City of Wheat Ridge
Residential Remodel PERMIT - 202100858
PERMIT NO: 202100858 ISSUED: 06/09/2021
JOB ADDRESS: 3101 Depew St EXPIRES: 06/09/2022
JOB DESCRIPTION: Remodel - Demo previous basement finishes and walls including plumbing and
electrical. Modify underground plumbing and add new 3/4 bath and laundry
room. Add (2) bedrooms and replace staircase to comply with that comply
with egress requirements. All MEPs, insulation and fire resistance to meet
or exceed code. Basement will be finished with drywall and new flooring
with the exception of the utility room
*** CONTACTS ***
GC (303)595-0901
WESLEY COOPER
100235 BASEMENTS & BEYOND
OWNER (720) 725-1068
COATES JENNIFER
A
SUB (303)549-3856
TODD HOGUE
022336 THE ELECTRIC COMPANY
SUB (303)647-3777
CHRIS ZEC
110263 C&C MECHANICAL LLC
SUB (303)993-2645
MONTE SCHMIDT
120137 BLUE VALLEY ENERGY
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2412 / LAKESIDE,
STEWART GARDENS,
OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 61,500.00
FEES
Total Valuation
0.00
Plan Review Fee
537.00
Use Tax
11291.50
Permit Fee
826.15
** TOTAL **
21654.65
*** 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.
A clean air report from a certified contractor must be presented to the inspector at the
first inspection.
City of Wheat Ridge
Residential Remodel PERMIT - 202100858
PERMIT NO: 202100858 ISSUED:
JOB ADDRESS: 3101 Depew St EXPIRES:
JOB DESCRIPTION: Remodel - Demo previous basement finishes and
electrical. Modify underground plumbing and ad
room. Add (2) bedrooms and replace staircase t
with egress requirements. All MEPs, insulation
or exceed code. Basement will be finished with
with the exception of the utility room
06/09/2021
06/09/2022
alls including plumbing and
new 3/4 bath and laundry
comply with that comply
and fire resistance to meet
drywall and new flooring
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
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
06/09/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
i CITY. O.F WHEAT'RIDGE
F - Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 'S> OIL I M ec
Job Address: -31 0 1 p e
Permit Number: 0ii /q 0 o F6
na� Ch A
i
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes �'No
Y /
When corrections have been made, call for re -inspection at 303-234-5933
Date: q Inspector: —F,6
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:)
Permit Number:.:.?(`2 I q C_)C`{
❑ No one available for inspection: Time O-:� AM/PM
Re -Inspection required: Yes No
*When corrections have been made, cpi1 or re -inspection L303-234-5933_
Date: Inspect,
r
DO NOT REM VE THIS NOTICE
I
❑ No one available for inspection: Time O-:� AM/PM
Re -Inspection required: Yes No
*When corrections have been made, cpi1 or re -inspection L303-234-5933_
Date: Inspect,
r
DO NOT REM VE THIS NOTICE
i CITY OF WHEAT RIDGE K) i
�i Building Inspection Division`
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTI
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When correc ions h ve been made, call for re -inspection at 303-234-5933
Date: i Inspector: s------
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: �/U?� g` �1
Job Address: f ) �,,` o "-,,-,
Permit Number: &V 1 (116
❑ No one available for inspection: Tim -�� M/PM
Re -Inspection required: Yes No
When corrections have been made,,paff-for re -inspection a Q3- 4-5933
Date: I ` Inspector:
DO NOT REM VE THIS NOTICE
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am t7ie 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 perit. 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
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing, and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalermit 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, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
h
4 4;4eW-1
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 Ridge
Residential Mechanic PERMIT -201900086
PERMIT NO:
201900086
ISSUED:
01/15/2019
JOB ADDRESS:
3101 Depew St
EXPIRES:
01/15/2020
JOB DESCRIPTION:
Install AC (2 ton, 13 SEER), new AC
circuit
*** CONTACTS ***
OWNER (720)725-1068
COATES JENNIFER A
SUB (303)975-8809 Gary & Kimberly Neal 070008 Elkhorn
Htg. & Air Conditionin
*** PARCEL INFO
***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#:
0 /
*** FEE SUMMARY
*** ESTIMATED PROJECT
VALUATION:
3,950.00
FEES
Total Valuation
0.00
Use Tax
82.95
Permit Fee
109.20
** TOTAL **
192.15
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am t7ie 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 perit. 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
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing, and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalermit 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, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
h
4 4;4eW-1
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City cif
�,,�/' W heat 1 idge
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 29' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(@ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: Ylgo
Plan/Permit#
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: 6 1 0 1
1)'0
Property Owner (please print): C
1 f 1-
�
r- e S 4-o r-, Phone: 74 `9L" - Ta
Property Owner Email:
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address: �-'a r1' e--
City, State, Zip:
Architect/Engineer:
Arch itect/Eng 1 neer E-mail:
Phone:
Contractor Name: (W -i LkOC(t T�4 tq '�V C_
Cityof Wheat Ridge License #:
Contractor E-mail Address:
Phone: S O 3 - C-1 �)g(
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): `� I� 0 -e�( Phone: cj
CONTACT EMAIL(p/ease print):
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: F1 k_ no pn E l e 4(-, c- Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
ico_3Io
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields.
❑COMMERCIAL 0 RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
T s4-� l( A L C)- 4-L:,-,
Sq. FULF
BTUs
Gallons
I' C- G -t d- C-'(-�
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
3 CJ S o
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) (CO RAC 6R) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): / 'E- " C DATE:
Printed Name: %
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
PERNWIT: 70170Z('1 V l ADDRESS: r
JOB CODE:
INSPECTION RECORD f
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business
Foundation Inspections Date Inspector
Initials Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections Date Inspector
Initials Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
DateI Inspector
Initials
SEE OVER FOR ADDITIONAL INSPECTIONS
Comments
o f---6)-7 6 S-
I
ough Inspection (continued)
16 Rough Mechanical Residential
17 Rough Mechanical Commercial
08 Boiler / Furnace
419 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning
412 Row/Drainage/Public Works
413 Flood plain Inspection
414 Fire Insp. / Fire Protection
415 Public Works Final
416 Storm Water Mgmt.
417 Zoning Final Inspection
418 Building Final Inspection
Date
Date
Inspector Comments
Initials
InspectorI Comments
Initials
Inspections from these entities shall be requested
one week in advance.
For landscaping and parking inspections please
call 303-235-2846
For ROW and drainage inspections please call
303-235-2861
For fire inspections please contact the Fire
Protection District for your project.
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 by the Fire District and
Electrical low voltage by the Building Division.
The City of Wheat Ridge
Third Party Form Check List
Property Address _
Permit Number
Permit Issued Date �Ur
Owner Information
Property Owner Information
Property Owner Address
Inspector Information
Inspection Company
Inspector Name
Inspector Contact info.
S
Inspector Statement and Acknowledgement
I hearby acknowledge the roof I am inspecting
fs
that are under 6/12 must be inspected by the City of/Wheat Ridg12 or over. e lBuidin
* I hearby acknowledge the roofing system for the referenced building has t
be ninspected
and found to be in compliance with the minimum requirements of the 2012 IRC and 2012
IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's 2012
recommendations ands cifications.
Inspector: o 4 ,;'
Date:
Property Owner Statement ofAcknowledha�,,o�+ ng referenced above
*1 hearby acknowledge that I am the owner of the buildi
my consent for the listed third-partive
y inspecti company to perform my roof inspecand I tion
in lieu of the City of Wheat Ri e
Propery Owner/Agent: vision inspection.
Date:
This original document and permit card, as well as the roofing check list, must be
the Chief Building Official within seven days of the final inspection. the tc
Drop off in person
Permit counter 2nd floor
7500 W. 29th Ave
Wheat Ridge CO 80033
Draft Date: 7/26/17
Please add note to reverse side
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
3 i o 1 iD, 5r -
Roof insoec#ion
❑ N/A ❑ Pass ❑ Fail
Q N/A ( Pass ❑ Fail Structural roof components
❑ N/A l -Pass Q Fail Verify that no more than 2 layers of shingles exist
❑ N/A O -Pass ❑ Fail Plashing for roof and walls
P ❑ Pass ❑ Fail If new sheathing is installed verify that it is listed
in the
Q NIA
permit description (Valuation must be adjusted) ass El Fail Verify sheathing nail pattern (Seo Policy & Procedures
❑ N/A Pass Q Fail Crickets and saddles where needed
❑ N/A Pass ❑ Fail Verify B vent must have boot same gauge as pie
❑ N/A -Pass EJ Fail Verify vent caps p
❑ N/A 10 Pass ❑ Fair Verify no flashings are damaged or rusted
❑ P flashing shall be min. of 4x4 piece per shingle
❑ Fail Verify scuppers allow for proper drainage
❑ N/A -Pass ❑ Fail Ice and water shield 2' in heated wall spaces
❑ N/A /2fvPass [] Fail Underlayments must follow 2012 IRC / 2012 IBC
❑ N/A ,Pass ❑ Fail Verify roof slope for proper drainage
❑ N/A f} --Pass ❑ Fail Dripedge shall have min of 2" overlap
❑ N/A E Pass ❑ Fail Dripedge should extend down min 2" past roof
❑ N/A 4 Pass ❑ Fail Dripedge shall be mechanicaly fastened 12" OCeck
/)V--N—'A ❑ Pass Q Fail 90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
1:12
N/A ❑ Pass Q Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 sloe
tv/a
El Pass Q Fail Above roof insulation R-25 p
N/A ❑ Pass Q Fail Below roof residential R-38
N/A ❑ Pass ❑ Fail Below roof commercial R-32
N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
Metal r2esof Sh>ia� Ees Re uirers�ent`.s
Nil ❑Pass E] Fail Metal roof shingles shall not be installed on slope le
3:12 P ss
N/A ❑ Pass Q Fail Metal valley flashing shall be the same material as roof
/A ❑ Pass ❑ Fail Metal valley fleshing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
Tile Roofs Re wirrementsn. of 4"
��/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min.
2-1/212
Slopes 4.12 and under require double uncleayment slope
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Notes
Company Nam:
Inspector signature:
Date of Inspection:
❑ N/A
❑ N/A
❑ N/A
❑ N/A
fig
P_ N/A
PNIA
Q N/A
Q N/A
❑ N/A
Q N/A
&N/A
Q N/A
❑ N/A
EI N/A
❑ N/A
❑ N/A
❑ N/A
N/A
N/A
N/A
NIA
N/A
N/A
N/A
Roof InsDecUon
Q Pass
Q Fail
Pass
Q Fail
P Pass
❑ Fail
Pass ❑ Fait
❑ Pass ❑ Fail
❑ Pass
❑ Pass
W - Pass
0 Pass
Pass
Pass
❑ Pass
Es -pass
M Pass
P -Pass
Pass
;`-Pass
❑ Pass
❑ Pass
❑ Pass
❑ Pass
❑ Pass
❑ Pass
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
Q Fail
❑ Fail
Q Fail
❑ Fail
Q Fail
Q Fail
❑ Fail
❑ Fail
❑ Fail
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Structural roof components
Verify that no more than 2 layers of shingles exist
Flashing for roof and walls
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
Verify sheathing nail pattern (Sao Policy & Proceduras)
Crickets and saddles where needed
Verify B vent must have boot same gauge as pipe
Verify vent caps
Verify no flashings are damaged or rusted
Step flashing shall be min. of 4x4 piece per shingle
Verify scuppers allow for proper drainage
Ice and water shield 2' in heated wall spaces
Underlayments must follow 2012 IRG / 2012 IBC
Verify roof slope for proper drainage
Dripedge shall have min of 2" overlap
Dripedge should extend down min 2" past roof deck
Dripedge shall be mechanicaly fastened 12" OC
SO LB roll roofing shall not be applied to roof slopes
less than 2:12 slope; Exception: detached garages,
patios, carports, open on three sides with min. slope of
1:12
❑ Fail Modified Bitumen, EPDM, TPO min slope 1f4:12 slope
❑ Fail Above roof insulation R-25
❑ Fail Below roof residential R-38
❑ Fall Below roof commercial R-32
❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturer's
specifications - Must have manufacturer's leiter of
warranty with the address on the letter for final inspection
Metal Roof Shinles Retalairervrenits
❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less
3:12
N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof
N/A Q Pass ❑ Fail Metal valley flashing shall extend a min of S" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
_Tile hoofs Requirements
N/A ❑ Pass ❑ Fail Clay and concrete the shall have a min. 2-1/2:12 slope
Slopes 4:12 and under require double underlayment
J
d
0
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Motes
Company Name: _ Lct -,
Inspector signature:
Date of Inspection;
' . City of Wheat Ridge
.. r
Residential Deck PERMIT - 201707645
PERMIT NO: 201707645 ISSUED: 10/06/2017
JOB ADDRESS: 3101 Depew ST EXPIRES: 10/06/2018
JOB DESCRIPTION: Residential replacement of prior deck/patio 9 ft x 15 ft = 183 sq ft
*** CONTACTS ***
OWNER (720)725-1068 CLIFFOR PRESTON
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,000.00
FEES
Total Valuation 0.00
Plan Review Fee 50.38
Use Tax 42.00
Permit Fee 77.50
** TOTAL ** 169.88
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
Owner/Contractor is responsible for locating property lines and constructing improvements
according to the approved plan and required development standards. The City is not
responsible for inaccurate information submitted within the plan set and any construction
errors resulting from inaccurate information.
City of Wheat Ridge
Residential Deck PERMIT - 201707645
PERMIT NO: 201707645 ISSUED:
JOB ADDRESS: 3101 Depew ST EXPIRES:
JOB DESCRIPTION: Residential replacement of prior deck/patio 9 ft x
10/06/2017
10/06/2018
15 ft = 183 sq ft
[, by my signature, do he attest that the work to be performed shall comply with all accompanying approved plans and specifications.
applica le 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 ermit. 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 p je performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of (jWNE or 'CONTRACTOR (Circle one) DatV
I , 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 originalpermit fee.
3. If this permit expires, a new permit may be retired 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 andspecific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date InTn
REQUESTS NUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPE&fT6N THE FOLLOWING BUSINESS DAY.
Al
City of
�c 01M Im u wNr r YhD E6v-E Lao tPm"'F. -N4-ogle—
Building & Inspection Services Division
7500 W. 29"" Ave-, Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
FOR OFFICE USE ONLY
Bate: /-7
PianlPerrnii #a117 6
Plan Review Fee
Email: 12ermits(a)ci.wheatridge.co.us
%, 3Q' -
Building Permit Application W4i4
Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. '
Property Address.• 310t D�N_' "I, Sf
T_
Proper
!y Owner (please print): Cjj'��Ojy� P I Phone: 720
Property Owner Email:
Mailing Address., (if different than property address)
Address:
City, State, Z2:
ArchitectJEngineer:
Architect/Engineer E-mail:
Contractor:
Contractors City License #:
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License 4
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
044
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL ❑ RESIDENTIAL
DeRgLj tion of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE
NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING
COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck,. etc,)
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
El OTHER (Describe)______
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed now condition, appliance size and efficiency, type and
amount of materia"s to be used, etc.)
r
Sq. FULF 1 x 15J P 5 v t Btu's
Amps
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the IngM project)
S---_�000' d0 — _ -- _ ..__.
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND A(;REE NIE N'f
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record:: that all measurements shown and allegations made are
accurate; that 1 have read and agree to abide by all conditions printed on this application and that I assume hill responsibility for compliance
with applicable City of Wheat Ridge codes and ordinance for vvork 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 perforin the described work and am also authorized by the legal owner of any
entity included on this ap kation to list that entity on this application.
CIRCLE ONE ill WNER) (CONTRACTOR) or (411THORIZED REPRF.vA'TATII'I} of irowvER) (CONTRACTOR)
DEPARTMENT USE ONLY
ZONING; CONMIAENTS Zi
:V,-
L , ;-
7 wt➢
Reviewer
to r2 t(I
BUILDING DEPA TM IN
ReviBu=er �'Z�lt�
PUBLIC, WORKS COMMENTS
Remewer
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
SaNtabon District ❑ Received ❑ Not Required
DATE:
OCCUPANCY CLASSIFICATION -93—
TYPE
_ —
TYPE OF CONSTRUCTION;
VS
SPRINKLERED IN
CCCUFANT LOAD
Building Division Valuation: 5JLZ�P 5
City of
Wheat id e
COMMUNITY DEVELOPMENT
Official Certification of Proaerty Owner Permit
THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently
reside at the project property, or intend to reside at the property for a period of one year after
completion of the project, and am personally performing all work, without the assistance of
hired or professional workers, or, if hiring sub -contractors, list them on the permit.
Consultations and inspections will only be performed with the homeowner of record present at
the project property.
Property Owner(s): C [JFr ()R _ R S t ON
Project Property: > 10 1 0 F T ED, St
Notariled signature of Applicant
State of Colorado
}
County of } ss
Thef r,�eof''}}g i strument was acknowledged by me this day of C�� 20 f by
�' Lt`�cx �1 re Stn--)
My Commission Expires W /A 120Q j
REGINA DIASPARRA
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20174008529
MY COMMISSION EXPIRES FEBRUARY 24, 2021
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III City i�of
�Wh6atf
MUNITY DEVELOPMENT
Rev. 9/1/10
PROJECT ADDRESS: 3101 L
How to Use this Guide
Provide three sets of plans and complete the following:
1. Complete this Building Guide by filling in all of the
blanks on page two and indicating which construction
details will be used.
2. Provide 3 Plot Plans showing dimensions of your deck
or porch and its relationship to existing buildings or
structures on the property. Show all easements and the
distance to existing property lines drawn to scale.
3. Fill out a Building Permit Application.
The majority of permit applications are processed with little
delay. The submitted documents will help determine if the
project is in compliance with building safety codes, zoning
ordinances and other applicable laws.
SPECIAL NOTES:
This handout is intended to accommodate projects constructed under the 2006
International Residential Code. It is not intended to cover all code requirements or
ci�Wrtstancheck with the City of Wheat Ridge Community Development
ditional requirements. http://www.ei.wheatridge.co.us
APPROVED
Subject to Field Inspections
VAW� 12'l�
Date
Signed: Plan checker
0l , SITE PLANTS
MUST BE ON SITE
FOR INSPETION
i BUILDING OFFMAL
W heat �idge
Wheat Ridge Building Department
Approved
BUILDING OFFICIAL DATE
Validity of pemth: The issuance of a permit or approval of plans, specifications
Ktg,computatuns shall not be a pemtit tor, or an approval of, any violalimt ro
On W the provisions of the building code or of any Chy ordinances,
Pemtits presuming to give authority to vulate or cancel the provisions of the
Building tales or other ordinances of the City shall not be valid.
PROJECT ADDRESS: 3(01 ge-ol 8,dg, �r3�rzJl-1
DIRECTIONS:
1. Fill in the blanks on this page with dimensions and materials which will be used to build the structure. Please print legibly.
2. Indicate in the check box in the center of the diagram which support detail from Page 3 is to be used.
Size and Amount of L{s
1, „
rob �j�tr k[�la C /g i
(exw#e: Tian 3+8'r 4112`kW Q 16`0. G)
Type of decking_ rix C
Existing bldg.
S-high d
be installed under decks and porches provided the
location of the deck allows the emergency escape
uilh bags
window to be fully opened and provides a path not
less than 36' it height to a yard or kart_ 68" required
so that anch
//Beamspwfices
for walk out basements or patios"
m
diameterphere
cannot
APProvedP�
through
flashingrequired
occur over
—
112" bearing
....
Attach decking with non corrosive bsteners i' B
i
[J Detail B
C7 Altemate Detail Bi
Detail A
Li Alternate Detail B2
(we Palle 3) ( l 3)
Conditions such as attachment to
cantilevers or veneers may require
Engineer's approval ++
C! --
Detail C
(seepage 3)
Finished
Mote: Emergency escape windows are allowed to
be installed under decks and porches provided the
location of the deck allows the emergency escape
window to be fully opened and provides a path not
less than 36' it height to a yard or kart_ 68" required
for walk out basements or patios"
m
1 x4 or 2x6 -TW
2x �6 joists
spaced 16 "apart
(ex&rVe. 2 x 10"spaced 24'aparo
C) R x 10 bealn
(exan4x(e: (2) 2 x 10- see detarT e)
2x-1110rin1 joist
(example• 2x 10- see Akerrmte 81 8 82)
q_x N posts
spaced ----T apart
(example" 4X 4 pasts spaced 8' apart)
Span %' 6
(exwrple: 13'- 4`)
Type of siding (existing)
Ste t,
APPROVED
Subject to Field Inspections
!-NbgaR s# l ail In epi
Gate'
Signed Flar: checker
Note f a plot plan (plan view) showing the dimensions of your project and its relationship to existing buildings or structures on the
p t be cluded. In addition to project dimensions, your plot plan must also show other details such as post locations and spacing, joist and
earl spari0and an they pertinent information not shown on drawings.
1 21
PROJECT ADDRESS: 30 j)jf Whe�--f- 11,
Existing building
/Approved ttashing required
J Attach to joists with non-cDrrosive fasteners
[veneers
Attach ledger to existing bldg.
wi h non -corrosive lag bollsspaced min 16"apart. Locate
bolts to penetrate rim joist or
�, ds.`- Non -corrosive metal joist hanger
nditions such as attachment tca cantileuers or
may require Engineer's approval
1 Secure balusters
j to beam
Beam splices to
occur over posts
with 1 112" bearing Non -corrosive metal
posMeam connector
'h" (min.) diameter anchor boat embedded
7' rain. into concrete pier or the equivalent
8" (min.) diameter pier --
9
Beam splices to
occur over posts
with 1 112' bearing
Neon -corrosive
metal joist
hanger
Secure balusters
to beam
Non -corrosive
metal postlbeam
connector
Full depth 2x solid
blocking —
Secure
balusters to
beam
24' max.
Beam splices to
occur over posts
with 1 112' bearingNon-corrosive
metal
pnstlbeam connector
Non -corrosive metal post anchor
8' min. If teas than 8", toast must be decay resistive
APPROVED
SLDecs If, V141 Impect ons
Crate
m
gne0 P1 7 CtrN-r
kj
PROJECT ADDRESS: 310 ( Sf WAW' + &!q�- ' 0 (L-{
New or existing �1 _—
light required
Guardrail
I
36" min_
height
Less than
Guardrail required if I V min. run
more than 34" from nosing
to nosing
Open guards on decks more than 30 inches above grade or a floor below shall
have members spared so that a 4 inch diameter sphere cannot pass through.
34-38" above
nosings
Handrail (see details below)
Openrisers-'- � Landing same
less than 4" LL�36` Min. width as stairs
7 314` max. rise - r Finished grade
Handrail Notes:
1. Handrails shall be continuous on at least one side of stairs with 4 or more risers -
2 Top of the handrails shall be placed not less than 34 inches nor more than 38 inches above stair nosings.
3. 'Etre handgrip portion of handrails shall be rot less than 1-114 indws nor mare than 2114 inches in crms setlion for non ciradar handrails.
4. Handrails shall be placed not fess than 1-112 inches from any wall or other surface.
5. Handrails to be returned to wall, post or safety terminal {per 311.5-52 IRC}
Type 11
Type I
----1 ';4" - 231a' max- 1 °h min_
131t 1 '14 - 2, Gripatle
Wall or other surkoe
m n
a
min -
CD
Stairway notes:
Openingsfor required
t- Stairways shall be not less than Win width.
2 Stairway rises shall be not greater than 7 3141.
guards the sides
of stair Creeds shall
3. Stairway treads shall have a minimum run of 10"-
not allow a 4 inch
4. The length of Faun and the height of Riser shall not
diameter sphere to
vary more than 318" in the entire run of the stair.
5. Stairs are required to be illuminated.
pass through.
6. open risers perrnifted if opening is less than 4".
7. A nosing not less than 314" but not more than 1 IIV
shall be provided on stairways with sold risers, and
less than 11".
8. Composite materials (example:Trex) may require 4
tti
stringers
34-38" above
nosings
Handrail (see details below)
Openrisers-'- � Landing same
less than 4" LL�36` Min. width as stairs
7 314` max. rise - r Finished grade
Handrail Notes:
1. Handrails shall be continuous on at least one side of stairs with 4 or more risers -
2 Top of the handrails shall be placed not less than 34 inches nor more than 38 inches above stair nosings.
3. 'Etre handgrip portion of handrails shall be rot less than 1-114 indws nor mare than 2114 inches in crms setlion for non ciradar handrails.
4. Handrails shall be placed not fess than 1-112 inches from any wall or other surface.
5. Handrails to be returned to wall, post or safety terminal {per 311.5-52 IRC}
Type 11
Type I
----1 ';4" - 231a' max- 1 °h min_
131t 1 '14 - 2, Gripatle
Wall or other surkoe
m n
a
min -
CD
► City of Wheat Ridge
Residential Roofing PERMIT - 201707659
PERMIT NO: 201707659 ISSUED: 09/25/2017
JOB ADDRESS: 3101 Depew ST EXPIRES: 09/25/2018
JOB DESCRIPTION: Residential Re -roof to install laminated asphalt shingles with ROOF DECKING
21 sq Pitch = 5/12
*** CONTACTS ***
OWNER (720)725-1068 CLIFFOR PRESTON
SUB Cole Schemer 170233 Superior Roofing & Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT*: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,000.00
FEES
Total Valuation 0.00
Use Tax 189.00
Permit Fee 188.45
** TOTAL ** 377.45
*** 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) 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.
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required, 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.
► A , City of Wheat Ridge
Residential Roofing PERMIT - 201707659
PERMIT NO: 201707659 ISSUED: 09/25/2017
JOB ADDRESS: 3101 Depew ST EXPIRES: 09/25/2018
JOB DESCRIPTION: Residential Re -roof to install laminated asphalt shingles with ROOF DECKING
- 21 sq Pitch = 5/12
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 app,' le municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal ownerf-tope am authorized to obtain this permit and perform the work described and approved in conjunction with
this perms I era tha legally authorized to include all entities named within this document as parties to the work to be
per n that I worerformed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po Flans
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 and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Off tial and is not guaranteed.
4, No work of anmanner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Buildi
REQUESTS MUST BE MADE
BUSINESS DAY Ft.0 INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett d� 707 6 ) q
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, September 20, 2017 7:37 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
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. 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 3101 Depew St Wheat Ridge, Co 80214
Property Owner Name Cliff Preston
Property Owner Phone 720-725-1068
Number (enter WITH
dashes, eg 303-123-4567)
133
t
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
coleschemer@yahoo.com
Yes
Preston Contract.pdf
CONTRACTOR INFORMATION
Contractor Business
Superior Roofing & Exteriors
Name
%L L
Contractor's License
170233
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 720-295-8588
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 1675 Tahlequah dr Colorado Springs, Co 80915
(Primary address of your
business)
Contractor Email Address Cole@cosuperiorroofing.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Cole@cosuperiorroofing.com
21
Project Value (contract '' 9000
value or cost of ALL
materials and labor)
Are you re -decking the Yes
roof?
Is the permit for a flat Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
134
both? (check all that
apply)
What is the specific pitch
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:
5/12
21
laminated comp shingle
Asphalt
Provide any additional house and garage
detail here on the
description of work. (Is
this for a house or
garage? Etc)
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
135
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.
Name of Applicant Cole Schemer
Email not displaying correctly? View it in your browser.
136
Superior Roofing and Exteriors, LLC
Email: cole(W-cosuperiorroofing.com
5925 Galley Rd., #73674
Colorado Springs, CO 80970
(720) 295-8588
AUTHORIZATION TO REPAIR
Homeowner (Insured (� k'4 ?moi
Address: , % e ' ,e t.^
City/State: Zip: Py
Email:
Job Site Address (if different from above):
Home Phone:
Work Phone:
Cell Phone:
SUPERIOR
ROOFING & EXTERIORS
SPECIFICATION
Shingle Year: 25 30 40 50 Life Hail Resistant Color: M��tr
Brand: ll��' —V ' S itch(s): /12 /12 /12
Story(s):'Layers: --3- Tear Off' es , No Ice &Water: Overhang Depth "
Fell:41/t.vents: C� D&R DripEdge- - (?a LF in Est. Color: t-14 ire
Decking: $70 / Sheet R&R if needed Furnish Permit: AO Skylight(s): t' Magnetic yard for nails: ,I,
Remove Trash from roof, gutters and yard: Protect landscaping where applicable: j --
GUTTERS SPECIFICATION
Gutters: Color: qtr Siz--"Z'"' 6" Downs(53?' 3"x4"
Replace All: e3� (No , LF in Est. ) Gutter screens: Yes No
DELIVERY INSTRUCTIONS & NOTES
Material delivery: Shingles rooftop( s3 (. ��bther items driveway placed: Middle on RT or LT side (Drive clear)
Approximate dates of service: Property owner preferred completion date: / / Driveway Damage: Yes �1Voo
By law, SRE shall hold, in trust, any payment from the insured until roofing materials have been delivered to the
property or until SRE has performed a majority of the roofing work on the property. (Senate Bill 12-038).
Total Insurance Claim
`TOTAL AMOUNT
PROCEEDS BREAKDOWN
`The total amount of the agreement can change with additional money from applicable overhead and profit, deductible, permits,
supplements, taxes, and upgrades. I/we understand that the compan is a general contractor and is entitled these payments from the
insurance company.
Customer Initials X 7
Please make checks payable to: Superior Roofing and Exteriors, LLC
Payment Schedule
1. First insurance draft or equal sum due upon signing as a deposit to start work.
2. Final balance due upon completion of work, to include applicable overhead and profit, deductible, permits, supplements, and upgrades.
PAYMENT DATE:
CHECK# :
AMOUNT:$
X ap Altz-4�79
G-(-1 7 X
Client Signatur Date Client Signature
Field Representative:
Date
'lIIl!fII~"~~~L.,"""",.""7"""'W"""~">,",..,./",,,._,,,,,,,,,,,.,,",,"'.,m'f" ,>",.",,..J",",,,,,,~JII'_.''''''l1',,,,.....q,...
~' ,-'. " ' " ' ,
t',). "
,~~.,)-n..e.;d; '~ddD .
~_~~,#"-'\jt.'_iU IR IU ;f!iJ~'
Res,~MiSCellaneous PERMIT- 080317
7/";
"'-;/>.'
....
oa-(l3 '1't: ' ~" .,.- --'' -
3" 10 r tlB'PEW. ST
Instl"all l!() 1000 btus furnace
"' - :1~;"~i;',, ~~:"-f;.,,,;',' ,'. ~ -0'
CONTACTS"'" '
~7{)/1l49-9844.
303/431':89.14.
3.03/420,1:51'6
ISSUED:
EXPIRES,
04/09/20:08
10l06/200~
PERMIT NO:
JOB ADDRESS,
DESCRIptION,
',' v ,'. -.~':- ,
, ~,-:"
owner
gc
SUB
Molly Waters
;1. Pal=rick Quinlan
Jay Patrick Quinlan
01-84.64
01-7875
B & F Heating & AIr:;
Coffman Ell!lctrie, Inq
. --,' ~ ' _:-
.. PARCl!:L INFO
ZONE CODE:
SUBDIVISION:
,~ -" .
-'if..-' .
UA
652.5
USE,
BOOCK/LO'l'#:
UA
01
.. FEE SuMMARY ..
",;,
ESTIMATED PROJECT VALUATION:
FEES
70.25
.00
25.38
95.63
- ~I..,i-\,:
1,410.00
Permit Fee
Total ValuatiGln.
Use Ta~
". TOTAL ..
~."
- - ,":':'
,- " --','.-
,- , .. -' '.
,,-,"
. ;', ( , . ~ " .
I herebY ee~tify tb&t-~_setb~k di$tan~es ~ropO~~d bY, this permit apPlication are accurate. and 'au ~ct ,v~o~aee,~licabld
ordinan9E!S'.. rules o~:'"rt!gul.tl0rie {Jt. the City of Wl18a~ Ridge-'or covenants, easements or restriction", of recQ:r(1,;, -th~t ,aU-' ,
measurementil -showrt;,,'__~ a:Uega,e.tons' made are a-ccuratej that I have read and agree to abide :py-a'll eOhditioos pti~1;:~ 6Jl,t:.his
app~iC~,ti-<:m and tltat. ~ '.~SUrne::'__,f\U1 ~~eibilitY, ~or;compli~c:e with the Wheat Ridge Building- Sode (LB.C) and all O-~r-
appi 'cabl" Whea~ ,Ridge: ordi~nceB, for work uilder this ~ermit. Plans subject to field inspection. - '
9.
o:ntrat:t#t~e~"-" _
1. This P_$'m~'t" wa~, t~S~_d': iii:',ii.c~ordanCe' with the proviSiOns set forth in your application and i"8 subject to the:"'l'a,i,U(-pt ~h~
Stat~ of co.1:oi:~' ~ to, .~ Zoning Aegulations anci B;uildlng Codes of Wheat Ridge, Colorado or any other: .ppUcabl,e
,0rd:1.rianc:e,~ ot,'~,,"~i~. ' _, _ ' ' , ' ,':" i','''
2. t1i:h p~n:'mlt' 8ha,n ~ire. ,U~: ,~Y. from the i$SUfl: ~te. Requests tor an extensiop must be' ~c-e.ived prior to ,~irati?J1
d.J1lte. 'AA ~l;ensio.n_iday,tle;~t-ed at t~e discretion.of the"Building_Offi-Cial. _ ' '-,', ' '
3. If this pe'rm1t_eXpiie~. 'a-,~w -pemit may be acquired for a fee of one-half the amount no~lly reciUired~. pi=PY_~~_4:,~'
change~ have ~en Q:r> >wi_U-,'~~;'~ ,in t~, ,.~,d:9:~~l ,fl~8, ~nd, specifications-, ~d any, fl:ul1lpenlion or: ~ -~. liioi
~ctteded ope (lJ,'y"'t'~, f~:,~1!t have' blfetl Q:t it- suspension or-abanCforUnent_8xceeM: one, (lJ_,y~r4 fu1'l,"teu,';s~l
be pa,l,d, ,tor -a, ~_,p__t .'_ _ , ", ' , _' _ .
4. No irork ot' any.tMnriei':.bill.--~ta: dOne that will' change ,the t1atural 'flow of, water causing a. dra;l.:nage problem.
5. COuttACt_or' s:t),al:+',:~,UY'i~,~",~~l.!1ip.e Insp:ec;~twe:p.ty-four (24) hours in ad,va~e ,for' all iI,ls~ct~ons ~,- s~ll z:'eceive'
wr~tten' appro'Val,~"j.JiSPK~i5[)11'card before proceeding with successive phases of the job. , ","
6. The,.i's~ce-of;c."p~rftti.t ~ :t;.he -awroval of drawings ,and ~pecifications shall not be con.trued tQ be _B. _~t ~,_ rio':t
_an',a~QValo ,Of/; . V.. '. J;qn,-of- ,elle p:r-oviaions of the building, codes or any other ordinance, law, rule -or r$lation.
An' plan ie"i' "tet :-t.,g. f1~ld inspections.
date
nrSli':lICrlOlt'~' L:tilB., ~303)234-5933 BUILDING. OFFICE: (303)235-2855
REQUESTS I\llJST &E lIlADE 8Y 3.PM ANY BUSINESS DAY FOR INSPECTION THE FOLOOWING BUSINESS :cAY.
"~'h'
(- ".
'!(.'
:,1'
"
J.
~
t,
'I,
'i.__
Apr 09 08 10:01a
Patt~ Schmidt
303-421-1298
p.2
Date:
City of Wheat Ridge Building Division
7500 W. 29th Ave., V\lheat Ridge, CO 80033
Office: 303-235-2855. Fax: 303-235-2857
Inspection Line: 303-234-5933
/t;/7/;/ H e '7~ Z 5
Building Permit Application
Property Address 3/ tJ / .te~ w S I-
Property Owner (please print): ~ 'I 1t/ttkr-s
Mailing Address: (if different than properly address)
Plan#:
Permit #:
Phone 9~t1 tf~ ~
Address:
City, state, Zip:
Contractor Kd- ~ Hell.+;n,j
Contractor license #: /91& iJ
(Tet..Y
Phone:
ID.# 0'1-110)
.'
303.- 13/- J<JIL/
Sub Contractors:
Electrical City License #: /1;;7.'
companYt'o!frna n Dec/r/{.
ExpDate 2/Z;>)20<.'9
Approval:
Plumbing City License #:
Company
Mechanical City License #:
Company:
Exp. Date:
Approval:
Exp. Date:
Approval:
Use of space (description): ConstrucUon Value: s /~/O ~
Description of work: { !"":: (11$ calculated pf'r the Building V.luatlon 0.,. $heett
::Z;rS-!zt11 9t}!! If ~ ~ /4l nttifL~ Plan Review (du../Om. ofsubmittaQ' S
~$/~drIc~.u IW'ntl.C~ 1JDO/dAp..J-.6-FQ:
Sq. FtfLFt added: Squares BTU's Gallons Amps
OWNERJCONTRACTOR StGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the utback distances proposed by this permit application are accurate" and do not violate applicabte ordinances.
rules or regulations 01 th~ City of Vv1\eat Ridge or covenants, easements or restrictions of record; that all measurements shown. and
alllitgations made arlit accurate: that I havlit read and agree to abide by all conditions prInted on this appUcation and Blal I assume full
responsibility for eompliance with the W1&at Ridge Building Code (LB.C) and all other applicable Wheat Ridgo Ordinances, 10r work
under this permit. Plans $ubjltet to fi9ld ins~tion.
CIRLCE ONE:: (OWNER) .~TR~ ~r PERSONAL REPRESEN.,.,.n~E of (OW~ER) (CONTRA TOR) J / t, /-.0
PRINT NAME, M 1r, c, C( J S<ilh'lcl1 SIGNATURE:~"-"<:<."-- ,.L,., ,dr D"e'~
DEPARTMENT USE ONLY
ZONING COMMENTS:
Zoning:
Reviewer:
PUBLIC WORKS COMMENTS'
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Review.r:
FIRE DEPARTMENT:: 0 approved wI comments 0 disapproved 0 no review required I Bldg Valuation: $
OCCUPANCY.