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HomeMy WebLinkAbout3351 Kipling Streeti i CITY OF WHEAT RIDGE \ Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: C. Job Address: 1 C c, Permit Number: Dc) ICS c) i�_\ 12 -) ❑ No one available for inspection: Time `- ' ' AM/PM Re -Inspection required: Yes I When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. uslinspection Date: I' I + ' �r� Inspector: DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address:. Permit Number: �COC\_ U No one available for inspection: Time AM/PM Re -inspection required: Yes When corrections have been made, schedule for re -inspection online at: hftpAvww. ci. wheatridge. co. uslinspection Date: 0Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Homeowner Interior Remodel PERMIT - 201901412 PERMIT NO: 201901412 ISSUED: 07/15/2019 JOB ADDRESS: 3351 Kipling St EXPIRES: 07/14/2020 JOB DESCRIPTION: SWO Remodel kitchen: replace cabinets, drywall, flooring, install bead board panels over popcorn ceiling; remodel bathroom: new drywall, flooring. **REVISION: Repair foundation wall. 126 square feet Added valuation: $6500 *** CONTACTS *** OWNER (303)434-4818 FRAYRE DANIEL *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 28,410.00 FEES Total Valuation 0.00 Plan Review Fee 317.23 Use Tax 596.61 Permit Fee 488.05 Investigative Fees 394.50 ** TOTAL ** 1,796.39 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, 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. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. NOTE: Consultations and inspections will only be performed with the homeowner of record present. All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. City of Wheat Ridge Homeowner Interior Remodel PERMIT - 201901412 PERMIT NO: 201901412 ISSUED: 07/15/2019 JOB ADDRESS: 3351 Kipling St EXPIRES: 07/14/2020 JOB DESCRIPTION: SWO Remodel kitchen: replace cabinets, drywall, flooring, install bead board panels over popcorn ceiling; remodel bathroom: new drywall, flooring. **REVISION: Repair foundation wall. 126 square feet Added valuation: $6500 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 le al owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this e . I further attest at I am legally authorized to include all entities named within this document as parties to the work to be perfp d and that all work be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signatur f 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 originalpermrt 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 6. a ua ce ojo ng of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any icabl codordinance or regulation of this jurisdiction. Approval of work is subject to Field inspection. 40 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat jAie COMMUNITY DEVELOPMENT 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: perm its(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: '51 9� r I/ Add to Permit # Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 35 Prooerty Owner (---,P[',V_ s , Property Owner Email:— CC 1-( ( (fO AA C Mailing Address: (if different than property address) Address: City, State, Zip: Submitting Company: Phone: 3 03 Q � q— Contact Person:`)ck(/� Phone: Contractor: Contractors City License #: Contractor E-mail Address: Phone: Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description off revised/amended work: F(ccov- l�U/v1 k -4 GAA `mak t Sq. Ftp LF Amps I a 1 Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) 6.5oa OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that 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. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: K} e \ � Ltii/Q SIGNATURE: DATE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: / eat4 1�1�004 lit PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received Water Distdct ❑ Received Sanitation District ❑ Received ❑ Not Required ❑ Not Required ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION:_ �Sw Building Division Valuation: $ REVISION OA4 INCE RINGAIT INSF-'IE CT ION PLAN OF REPAIR FOR Mr. Daniel Frayre 3351 Kipling St. Wheat Ridge, CO 80033 Reference #: 20190410 Job # 4119 .`a. City of Whcatp.,idg+e COMMUNITY [)t%1L0�PMENI April 10, 2019 APPROVED Reviewed for Code Compliance g2.RECEIVED n0 o�P....°° FAL Plar Examiner Date A. mokuy of WMN: the m w "of o P~ or owford of P'++ speclroota+r s G % ord cwrwtatwm shON not be o Pern►e , or on oppeord of, any Nof ow of ehe Prov'wom of the buYdlnq code or of oMr or aroma" 28253 ° WOVA iq b Ohre outhorlq to YWW aWFAW ON ProOW Of 00 MtMinO o •• cam or aMtrr o0rot o 1 al Mt t7ty droll not be retial '�O .r °•.• F`ss�ON... Scoff A. Zurn, PE X2019 a STRUCTURAL GENERAL CONDITIONS Contractor shall maintain comprehensive general liability, workman's compensation, automobile liability and/or other insurance as appropriate for the work performed which will provide protection form any and all construction or completed operations claims. Certificates of Insurance shall be provided to LEVEL ENGINEERING LLC and/or the Client upon request. The limits will not be less than the minimum mandatory amounts required by the State of Colorado. All construction shall be performed in accordance with all applicable codes and standards, and good construction practices. Contractor shall obtain and pay for any and all permit fees, taxes and licenses required by governing agencies to complete the work. Contractor shall be responsible for all labor, materials, equipment, tools, operations and any other item necessary for proper completion of the work. Contractor should visit site prior to bid submittal to fully understand the scope of the project and the conditions at the site. By submitting a bid for the work proposed in this PLAN of REPAIR, the contractor is implying that they have fully reviewed all associated documents and that they have full understanding of the work to be completed. The Contractor shall conduct a full review of this PLAN of REPAIR prior to beginning work. If during this review or at any time during the construction process the contractor notes any errors or omissions in the plan, work shall be stopped and LEVEL ENGINEERING LLC shall be contacted immediately. Recommendations and specifications contained herein are based on general assumptions of the conditions, some of which cannot be observed during typical nondestructive visual observations. If unexpected conditions are encountered during the course of work, the Contractor shall contact LEVEL ENGINEERING LLC prior to proceeding. The Client shall provide water and electric hook-ups for temporary use. (Contractor must pre -arrange with Owner.) All utility lines and easements shall be located, marked and protected from damage throughout the performance of the work. Contractor shall call for utility locations unless other arrangements are made. Any damage to utility lines caused by the Contractor shall be repaired at the Contractor's expense. Contractor shall field verify all dimensions and existing conditions prior to commencement of work. Contractor shall notify LEVEL ENGINEERING LLC upon determination of any significant variation of the information provided on the attached documentation for his/her interpretation and decision, and such decision shall be final. Information provided regarding the existing conditions are believed to be accurate, however, Contractor shall be responsible for, and shall only use, his/her own measurements to verify existin?;"'*% conditions. St WhW Ridge THE REPAIR DESIGN Prepared by LEVEL Engineering, LLC makes no provisions for construction conditions that may arise during the performance of the work. Contractor shall be responsible for maintaining the stability and integrity of existing structures (bracing, shoring, benching, etc.. Contractor shall be responsible for the acts or omissions of his/her agents and subcontractors in the performance of their work. The Contractor shall be responsible for the means, methods, techniques, and sequences of construction. Existing material or property outside the scope of work that is damaged during construction shall be repaired to match their pre -construction condition at Contractor's expense. Unless noted otherwise, no substitutions or deviations from the repair plan and specifications are permitted without the express approval of LEVEL ENGINEERING LLC. Unauthorized modifications to the repair plan and specifications may deem the work unacceptable. All unacceptable work shall be promptly correct at the Contractor's expense under the direction of the LEVEL ENGINEERING LLC. Contractor shall maintain safe jobsite. The Contractor is to stack all necessary equipment and materials in a low traffic rea or in an area that will insure the safety of all individuals potentially present at this site during construction. OSHA standards shall be used as a guideline. Contractor shall keep the jobsite thoroughly clean at the end of each day. All surplus materials shall be safely stacked in a low traffic area or hauled away from the site. Contractor agrees to perform the work in a diligent manner and in full conformance with the repair plan. If a condition arises during the repair process which requires a change in the scope of work, LEVEL ENGINEERING LLC may submit addendums or modifications to the design which may add, delete or modify the scope of repair. Performance of any extra work, or payment for same, shall only be considered upon prior written authorization from Client. This document is for bid purposes only, The Contractor shall be responsible for utilizing a qualified Colorado Licensed Professional Engineer to inspect the repair work and to verify that the repair specifications described within this document are in compliance with local building codes and applicable Manufacturer standards. The proposal shall include a description of the Contractor's Warranty Terms and Conditions was well as Warranty Limitations. The proposal shall also include a description of the system as applicable. CWY of Wheat Ridge All concrete shall conform to the most recent editions of the Building Code and ACI 318 adopted by the governing agencies in which the project is to be completed. All concrete shall have a 28 day compressive strength of 3000 psi, All concrete shall have a maximum aggregate size of 3/4" and no pea -gravel shall be used without written approval of this office. Minimum concrete coverage for steel reinforcement shall be as follows: Concrete cast against and permanently exposed to earth .......................... 3" Concrete cast in forms and exposed to earth or weather No. 6 bar and larger..................................................2" No. 5 bar and smaller ................................................ 1-1 /2„ Concrete not exposed to weather or in contact with ground .......................1-1 /2" Non -shrink grout shall conform to ASTM C-1 107 Care shall be taken to properly consolidate concrete thoroughly without causing segregation of the materials. STEEL REINFORCEMENT All reinforcement steel shall be deformed bars conforming to ASTM A-615, grade 60. Welding of steel reinforcement shall conform to AWS D-1.4. Provide chairs concrete blocks, spacer bars, ties, etc. As required to securely hold bars in place. When reinforcement must be spliced the bars should overlap at least 24', UNO. Overlapping bars shall be securely tied together with wire ties. Provide a minimum concrete cover of 3" where concrete is cast on the surface of the ground and 1-12" at all other locations, UNO. STRUCTURAL STEEL AND BOLTS All steel fabrication and installation shall conform to the latest addition of the RISC Manual of Steel Construction. All welding shall be completed by a certified welder using an AWS prequalifiedweld" method in accordance with the requirements specified by the AWS in the structura eldir% code. !i{, °f E70xx electrodes shall be used for welds. All structural steel shall conform to ASTM A-36, UNO. All wide flange beams shall conform to ASTM A-572, grade 50. All pipe columns shall conform to ASTMA-53, grade B or A-501 All tube steel shall conform to STM A-500, Grade B. Bolts and all -thread shall comply with ASTM A-325 Epoxy for epoxy bolts shall be Hilti Hit HY-150 or approved equal. Expansion bolts shall be Hilti Kwik Bolt III Expansion Anchors or approved equal. " 0 - .�; The work shall consist of the Contractor furnishing all labor, tools, equipment, materials and supervision to install new foundations according to the specifications contained herein and shown on the construction drawings. 3.1 CLEAN UP A. Within seven (7) days of completion of the work. The Helical Pile Contractor shall remove any and all material, equipment, tools, building materials, concrete forms, debris or other items belonging to the Contractor or used under the Contractor's direction. EN® OF SPECIFICATION LIMITATIONS This repair design does not represent a complete analysis of the entire structure; it addresses conditions covered under the structural warranty provided by the contractor. The interpretations of the distress to be repaired are based on the visual observations of the structure. No detailed study was made of the structural elements of any part of the building. Therefore, no opinion is presented or shall be implied concerning the structural integrity of those elements not subject to visual inspection. Investigation and analysis of other portions of the structure are beyond the scope of this design at this time. LEVEL Engineering, LLC will not be responsible for 1) knowledge of subsurface conditions away from the existing borings, if any, without extensive geotechnical information supplied by a competent geotechnical engineer, 2) knowledge of distresses, or differential displacements that have occurred in an area which had not been exposed for visual observation during our site visit and 3) any other elements such as joists or beams and other structural members that are not readily visible. LEVEL Engineering, LLC assumes that all information provided by the Client, Contractor, or other Consultants is correct, accurate, and may be acted upon accordingly, and shall have no liability for the validity of information provided. LEVEL Engineering, LLC shall have no liability for acts or omissions of the Contractor or any other agents performing the work on this project or for the failure of the Contractor to carry out the work in accordance with the plans and specifications if not inspect as intended. LEVEL Engineering, LLC shall not be responsible for the construction means, methods, techniques, sequence, procedures, or safety precautions related to this project and its execution that is under the control or direction of the Contractor. This PLAN of REPAIR is to be used with the accompanying drawings. Do not rely on one or the other, all materials contained in THE PLAN of REPAIR including but not limited to the cover letter, notes, plans, details, shall be used together to perform the proposed remedial construction. WORK DESCRIPTION For the purposes of this report, the front of the home is considered to face East. The structure of the single -story single-family home is a conventionally framed residence. The home has an attached garage at the south side of the home. The home has a finished full basement with a majority of the basement accessible through an interior stair. The full basement has a CMU and concrete foundation placed on spread footings. The foundation system consists of partially reinforced concrete masonry units with basement walls approximately 7 feet in height. The work areas are the southern full height foundation walls. The repairs shall consist of replacing 18 feet of existing CMU foundation with fully reinforced 8 -inch -thick concrete walls. All restoration of finishes exterior and interior flatwork shall be restored in kind and in accordance with the owner's approval. The contractor is responsible for coordinating these type of repair scopes with the contractor. The contractor is required to coordinate these expectations with the owner and include the necessary work items in their bid proposals. PROPOSED COMPLIANCE OBSERVATIONS All observations shall be conducted by a qualified Colorado Licensed Professional Engineer. More than one observation may be conducted during a site visit. The contractor is to determine the number of site visits required to do the observations and include this information in the bid documents. LEVEL Engineering, LLC is willing to complete the observation under contract. 1. Pre -Construction Meeting 2. Open hole inspection of soils and footing conformance with drawings. 3. Wall reinforcement prior to concrete pour 4. Final w Ridge m �G S m O dN -1 CD T i 00 � iS i I -- m o_ ° o0 0 o o o 6 Q -+ w CC �w oQ -o � In. CD o Q CD (700 o o �. 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Permit Number: 4 -L-- 1 ❑ No one available for inspection: Time ' AM/PM Re -Inspection required: Yes I,4g' When corrections have been made, call for re -inspection at 303-234-5933 Date: 1 ` ' 1`- Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235=2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: �- * ` �` ` Job Address: 0 Permit Number: l ( t C, U ❑ No one available for inspection: Time i'' ' AM/PM Re -Inspection required: Yes Ng When corrections have been made, call for re -inspection at 303-234-5933 Date:–'4 `inspector:—'n-. DO NOT REMOVE THIS NOTICE City of Wheat Ridge Homeowner Demolition PERMIT - 201901651 PERMIT NO: 201901651 ISSUED: 08/09/2019 JOB ADDRESS: 3351 Kipling St EXPIRES: 08/08/2020 JOB DESCRIPTION: Residential demo of garage, 720 square feet. State demo permit:19JE4584D *** CONTACTS *** OWNER (303)434-4818 FRAYRE DANIEL *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,100.00 FEES Total Valuation 0.00 Demolition Fee 50.00 ** TOTAL ** 50.00 *** 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 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 permit. 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 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 tee. 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 iss ce or grantin 1 4f a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applic 1 cod - or any finance or regulation of this jurisdiction. Approval of work is subject to field inspection. i 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 idge COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 291 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a)ci.wheatridoe.co.us FOR OFFICE USE ONLY Date: KCS1 i I Plan/Permit # Ac')/ )16-) 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: Property Owner (pleaseprint): �, in,l-C, �l� Phone X03 - Property Owner Email:R C[� l'__fl s,.Ca s I Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: V% 1 Architect/Engineer E-mail: P'1 Cc .c.0 M Ga r7' N I I Phone: 3 0 Contractor Name: �y ku irk City of Wheat Ridge License #: Phone: Contractor E-mail Address: (C Q G �J✓a,. Gl,� For Plan Review Questions & Comments (please print): CONTACT NAME (please print): oe i r, `� Phone: � 0 3 - q 3 i - Cl gf CONTACT EMAIL(please print): 'I irC q Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields, if applicable. ❑COMMERCIAL RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. GUI � -e— Sq. Ft F -7010 BTUs ''r Gallons Amps Squares For Solar: Kw # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ a,Ito. 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: (OWNE (CO TOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature first and last name): v� DATE: U 1 g c 1 r Printed Name: -b %vs\ L\ FV- kU V I° ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: _ City of Wheat z e COMMUNITY DEVELOPMENT Official Certification of Property 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): _i 0.V\A k 1 (` ` -'t w q v�?_ Project Property: �� 3 �< �� l �� ST Project Type: Ui Notarized signature of Applicant State of Col rado } County of } ss Th foregoing instrument was acknowledged by me this day of 20q by ., JODi L BAROS NOTARY PUBUC STATE OF COLORADO NOTARY ID 201440192 W COMMSSION EXPRES MAY 08, 2022 (::�04 My Commission Expires P91 �&120� Notary P is OF COLO 9d0 * DEMOLITION NOTIFICATION APPLICATION FORM * APPLICATION FEE MUST ACCOMPANY THIS FORM x1876 * INCOMPLETE APPLICATIONS WILL BE RETURNED Colorado Department (Notice will be mailed to the demolition contractor unless specified otherwise) of Public Health and Environment Fee: $50 + $5 per 1000 ft2 of area to be demolished = $ S J r O 0 (See instruction #1 on reverse side) Submit form to: Permit Coordinator Colorado Dept. of Public Health and Environment APCD-IE-B1 4300 Cherry Creek Drive South Denver, CO 80246-1530 Phone: 303-692-3100 Fax: 303-782-0278 Asbestos@state.co.us * Regulated asbestos -containing materials means (a) friable asbestos -containing material, (b) Gateacry I nontnabie AUM that has become rr:aD°e;-tc/ Category I nonfriable ACM that will be or has been subjected to sanding, grindino, cutting, or abrading or (d) Category it nonfriable ACM that has a high ��19 probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of �� 1 demolition or renovation operations regulated by this regulation. Note: Asbestos -containing sheet vinyl and linoleum must be properly ' /_ 1-} <� abated/removed prior to demolition. Form: DNA08 Rev. 01/30/08 Com y Name: Q ie� R Building Name: GAttA&f ONLT Street: ] �/ /164 ��4` Square footage of footprint of facility or portion of facility to be demolished vl- i 0 335 1 ^t City: n >'Ra7 ilhS� State: C� Zi Code: 0>-93 Street: 335 lyoi lit, ST v36' _: rn c Telephone # �/ 3 � - � sS/ fS Fax # City: w N f"t T (&DG6 County: Je 06 --AA Zip Code: *)033 _ = o 1P o�oiect Manager: 556hid Frc vt -�-- Cell Phone # �3 )q3y-9115 Proposed Start Date Proposed Completion Date �vl �1 s� +ath�r .)Cfef s E Method/Means of�Demolibon: 1 certify that the Certified Asbestos Building Inspector has informed me p about any remaining asbestos -containing materials in the facility to be d E demolished.t Wrecking E] Burning O Implosion [I Moving ❑Other, specify: Sionafure'4 w Paint Name: j rV b ./ %til d�lM LI IllZ Ff- W V f. i3'IQ t Burning requires additional authorization -Please call (303) 692-3100 and ask' Landfill Receiving Building Debris: _ n (Z r /:1q av to speak to the Open Burning Permit Coordinator General Abatement Contractor (GAC)I- m Owner's Nam L L09 M0 i 3 l Q 1�1 Y V CDPHE Asbestos Permit # Total Quantity of Asbestos Removed Street: 0 0 to E �'' CD Date Removal Completed Telephone # Ci �a State: e� Zip Code: Sc1o33 a�� cvea Type(s) of Asbestos -Containing Material Removed: Ctact's Name: i - Telephone # qq m a� iF t _ �3 With my signature below, I certify that I possess current AHERA accreditation and state of Colorado certification as `o an Asbestos Building Inspector. I also certify that I have thoroughly inspected the facility to be demolished, as listed in the Demolition Site block above, sampled all suspect materials, had all samples analyzed for the presence of asbestos by a NVLAP-accredited laboratory, and have determined that no Regulated ACM exists anywhere in the CL = facility.* I also certify that I have informed the owner/operator of the facility or the demolition contractor that any (P.2 asbestos -containing material allowed to stay in the facility must remain non -friable during demolition. Specify type(s) yM of ACM remaining, below: (check appropriate box(es)): Do ❑ Vinyl asbestos floor tile (VAT) ❑ VAT mastic ❑ Tar/asphalt impregnated roofing ❑ Asphaltic pipe coatings v ❑ Spray -applied tar coatings ❑ caulking ❑ Glazing ❑ Other, specify: tv tE Signature: ML.Blue Ink) Printed Name: 71" I f) Russ V Date o Final Inspectio 3 18 20l CO Cert # 2SiTD Expiration Dat +I I� loll Telephone # Cell Phone # I 2 2�$ I verify that all refrigerants from air conditioning/refrigeration appliances have been properly recovered in accordance.with AQCC Regulation No. 15 (for information on CFC requirements call 692-3100). 1 further verify that all luminous exit signs (containing radioactive material) have been p disposed of in accordance with 6 CCR 1007-1 subpart 3.6.4.3 (for information on luminous exit sign requirements call 303-692-3320). C iCHECK THE APPROPRIATE BOX: m � Building Owner Contractor 1:1 Contractor `1 q Date: � V Signatur . Print Name: THIS Box Is FOR CDPHE USE ONLY: Ostmark or Hand Delivery Date: Approved By: Code: initial -310 ❑ transfer -380 J Form of Payment &#: / F'Ie t # `-� - Relc d s� a , - ^. Date Issued: * Regulated asbestos -containing materials means (a) friable asbestos -containing material, (b) Gateacry I nontnabie AUM that has become rr:aD°e;-tc/ Category I nonfriable ACM that will be or has been subjected to sanding, grindino, cutting, or abrading or (d) Category it nonfriable ACM that has a high ��19 probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of �� 1 demolition or renovation operations regulated by this regulation. Note: Asbestos -containing sheet vinyl and linoleum must be properly ' /_ 1-} <� abated/removed prior to demolition. Form: DNA08 Rev. 01/30/08 Colorado Department of Public Health and Environment Air Pollution Control Division — Indoor Environment Program — Asbestos/IAQ Air Unit 4300 Cherry Creek Drive South, APCD-IE-B1 Denver, Colorado 80246-1530 Phone: 303-692-3100—Fax: 303-782-0278 E-mail: asbestos@state.co.us DEMOLITION APPROVAL NOTICE This approval notice is granted subject to Colorado Air Quality Control Commission Regulation No. 8, Part B, adopted December 21, 2007, and effective January 30, 2008 and the Colorado Air Pollution Prevention and Control Act C.R.S. (25-7-101 and 25-7-501 et seq). This notice signifies that the structure was inspected for asbestos, luminous exit signs (containing radioactive material), and Ozone -Depleting Refrigerants and the demolition contractor has properly notified the Colorado Department of Public Health and Environment pursuant to Regulation No. 8, Part B. As a contractor, you may be subject to other demolition licenses and permits, depending on the requirements of the county and municipality in which the work is being performed. The Colorado Department of Public Health and Environment, Air Pollution Control Division, strongly suggests that you check with county and municipal authorities in order to determine any other local building/permitting requirements that must be met. Please note that certain asbestos -containing materials (ACM) may remain in the structure during demolition. Therefore, any demolition debris left behind after the completion of post - demolition site cleanup may constitute a "reason to know of asbestos -contaminated soil" at the site, subject to the requirements of Section 5.5 of the Solid Waste Regulations (6 CCR 1007-2, Part 1). THE ORIGINAL APPROVAL NOTICE MUST BE POSTED ON SITE AT ALL TIMES. Immediately notify the Asbestos/IAQ Unit of project modifications byfax (number above) or e-mail (address above) and the appropriate county health department by fax. Project modifications include changes in the scope of work or the scheduled work dates, etc. This demolition approval notice is valid beginning 7/25/2019. The actual scheduled work dates are from 7/25/2019 through 9/30/2019. Approval issued on: 7/24/2019 Record number: 150870 Notice Number: 19JE4584D For the location specified below: Garage Only 3351 Kipling St Wheat Ridge Jefferson County This notice has been issued to: Daniel R Fravre 3351 Kipling St Wheat Ridge, CO 90033 Fee Paid: $55.00 Check number: 6120 Asbestos Building Inspector: Philip Ross Cerification No.: 25101 Inspection Date: 03/18/2019 Issued by: JW r I 0l� A 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: �' d Y� C- L! 1S"' � 4 �1 Job Address: c, S Permit Number: O \C 0 17l No one available for inspection: Time I r` AM/PM Re -Inspection required: CYes No When corrections have been made, call for re -inspection at 303-234-5933 Date: inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: V 1`" ?V�YAA_ J ` Job Address: --' > ` '` , t f� r c< Permit Number: 'Z 0 �e-\ (� ��A ❑ No one available for inspection: Time AM/PM Re -Inspection required: A-ss.f No When corrections have been made, call for re -inspection at 303-234-5933 Date: t ` t ' I c1 Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 736iR> R l - C Job Address: t -o Permit Number: ❑ No one available for inspection: e A /PM Re -Inspection required: Yes fNZ) When corrections have been mads cw or re- ion, ,303 5933 DatInspe to DO NOT RE E 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: � - -1 � �C, _ Job Address: S7 14 < Permit Number: r, . L) No one available for inspections PM Re -Inspection required:/`Yes,.-,No When corrections have been made, call f iYe-inspection at 303-234-5933 Da# Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE �(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: I -ii;; . Job Address: `lt54pu`- Permit Number: -, 9 CA U( LJ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call or re -ins ecS ton at 303-234-5933 Date Rnspecto 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 IN PECTION NOTICE Inspection Type:—�—-- Job Address: Permit Number: No one available for inspection: Tim _.�_ � /PM Re -Inspection required:` Yes., -'No When corrections have been made, r re -infection at 303-234-5933 Date:7- Inspec or. `"' a - DO NOT RE THIS NOTICE City of Wheat Ridge Homeowner Interior Remodel PERMIT - 201901412 PERMIT NO: 201901412 ISSUED: 07/15/2019 JOB ADDRESS: 3351 Kipling St EXPIRES: 07/14/2020 JOB DESCRIPTION: SWO Remodel kitchen: replace cabinets, drywall, flooring, install bead board panels over popcorn ceiling; remodel bathroom: new drywall, flooring *** CONTACTS *** OWNER (303)434-4818 FRAYRE DANIEL *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** Total Valuation Plan Review Fee Use Tax Permit Fee Investigative Fees ** TOTAL ** *** COMMENTS *** ESTIMATED PROJECT VALUATION FEES 0.00 256.43 460.11 394.50 394.50 1,505.54 21,910.00 *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, 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. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. NOTE: Consultations and inspections will only be performed with the homeowner of record present. All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. City of Wheat Ridge Homeowner Interior Remodel PERMIT - 201901412 PERMIT NO: 201901412 ISSUED: 07/15/2019 JOB ADDRESS: 3351 Kipling St EXPIRES: 07/14/2020 JOB DESCRIPTION: SWO Remodel kitchen: replace cabinets, drywall, flooring, install bead board panels over popcorn ceiling; remodel bathroom: new drywall, 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 Dermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be per a th tall work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. �pr Signathre 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 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 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 app_UcQ.ble code or a yerdmance or regulation of this jurisdiction. Approval of work is subject to field inspection. ?/) Signature of CRief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of' W heat l_, d COMMUNITY DLVH.01'MEN I Building & Inspection Services 7500 W. 29th Ave., Wheat Ridge, CO 80033 Sw O Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits .ci.wheatridge.co.us FOR OFFICE USE ONLY Date: 71101lq Plan/Permit# � fCq �l li l/ 0 11 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: 3351 Kipling Street, Wheat Ridge, CO 80033 Property Owner (please print): Daniel R. Frayre and Rosa I. Frayre Phone: 303-434-4818 Property Owner Email: drfcc4@comcast.net Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Arch itect/Eng !nee r E-mail: Phone: Contractor Name: Daniel R. Frayre (Home Owner) City of Wheat Ridge License M Phone: 303-434-1818 Contractor E-mail Address: drfcc4@comcast.net For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Daniel R. Frayre Phone: 303-434-4818 CONTACT EMAIL(p/ease print): drfcc4@comcast.net Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields, if applicable. ❑COMMERCIAL ❑x 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. - Remove old cabinets in kitchen - Remove 224 sq ft of damaged 1/2" drywall in kitchen - Remove 32 sq ft of damaged drywall in bathroom DEJV'a Ur,ACL. 4 113AT142©OM t 13AS� 6ri Coo -ry SOCIP6 ) 3TUs - Install new cabinets in kitchen where old cabinets existed - Install 224 sq ft new drywall in kitchen - Install 32 sq ft new drywall in bathroom - Install 50 sq ft of COREtec vinyl flooring in bathroom over existing floor. - Install 250 sq ft of COREtec vinyl flooring in kitchen over existing floor. - Install bead board panels over existing popcorn ceiling in kitchen. Gallons Amps Squares For Solar: KW # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 4,200.00 (retail) + $4,000.00 (labor) = Total $8,200.00 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 1 NTTRACCTO�or R) (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) ,� Signature (first and last name): )C C--- DATE: 07/10/19 Printed Name: Daniel R. Frayre DEPARTMENT USE ONLY ZONING COMMMENTS: Reviewer: BUILDING DEPA MENT CO MENTS: Reviewer: "1 b S1 Iq PUBLIC WORKS COMMENTS: Reviewer: OCCUPANCY CLASSIFICATION: 12 CONSTRUCTION TYPE: 1 0 Building Division Valuation: I t (! ` Randy Slusser Subject: Plan review for 3351 Kipling Street Good afternoon, I am reviewing you plans for this project and have a few comments. 1. Please clarify what work was done in the basement. If walls were removed or areas demolished, that will need to be documented. You can email me a simple floor plan showing what was done in the basement, or bring in a 11x17 drawing. 2. In the bathroom, will you be installing new fixtures? Please email me a floor plan of what the bathroom layout looks like or you can bring in a 11x17 drawing. Once I get the information requested above, I will be able to approve your plans. Contact me with any questions. Thank You, Randy Slusser, CBO Chief Building Official Building Division 7500 W. 29th Avenue Wheat Ridge, Colorado 80033 Office Phone: 303-235-2803 www.ci.wheatridge.co.us 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. City of W heat1 c.� COMMUNITY DEVELOPMENT Official Certification of Property 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): �Q(/1f J Project Property: ?_5 (1n Project Type: � 2 't J ' 1 Notarized signature of Applicant State of Col rado ) County of rn ) ss The,foregoing instrument was acknowledged by me this ioNay of �,( , 20 by JODI L BARDS NOTARY PUBUC STATE OF COLORADO NOTARY ID 20141016862 W CO MSSION EXPRES MAY Ok 2022 My Commission Expires/_&20 Notary Pub rl 147Ym All 1-44,14 1 Zk1 `I„ t : ` 1 ` I ` TRUSTED ENVIRONMENTAL SPECIALISTS 303-257-8994 (qo)q AE-C@SC0f EAEC,C0M .SCO EAECCOM 0// DEMOLITION ASBESTOS INSPECTION REPORT Project Details: Project Location: 3351 Kipling Street in AN'lieat Ridge, Colorado 80033 Performed B': Philip Ross Inspection Date: Alarch 18, 2019 Report Date: April 2, 2019 Presented To: 1)aniel Prayre Prepared By. Advanced Euvironmental Cornsulting, LIQ(' Colorado Consulting n5rm#: 20874 5800 Franklin St. Suite 101 llenver, CO 80216 city of Wheat Ridge ilding TABLE OF CONTENTS 1.0 INTRODtTCTION 2.0 EPA LEAD REGULATIONS 3.0 INSPE(ATION PROTOCOL 4.0 SAMPLING PROCEDURES 5.0 ASSESSMENT OF MATERIALS 6.0 SITE DESCRIPTION AND PRO.TP7(,T DETAILS 7.0 LABORATORY ANALYSIS AND RESITLTS 8.0 CONCLUSIONS 9.0 RECOMMENDATIONS 10.0 ASBESTOS SPILL RESPONSES 11.0 OSHA GUIDELINES 12.0 COLORADO DEMOLITION ACTIVITIES 13.0 LINHTATIONS List of Attachments Attachment A: Pictures Attachment B: Site Map Attachment C: Bulk Sample Log Attachment Er HA Location Log Attachment E: Laboratory Report, Attachment R Certifications ACRONYMS AsbestosContaining Materials: ................................................................................................................................................ ACM Asbestos Hazard Emergency- Response Act........................................................................................................................... ARRA BelowAnalvtical Sensitivitv.................................................................................................................................................... BAS BelowDetection Level: ............................................................................................................................................................... BDL Colorado Asbestos Building Inspector..................................................................................................................................... CABI Colorado Department of Public I Icalth and Environment............................................................................................... CDPHE 0ibieFeet...................................................................................................................................................................................... CF Environmental Protection Agency *........................................................................................................................................ EPA HighEfficiency Particulate Air:............................................................................................................................................. HEPA LinearFeet................................................................................................................................................................................... LF National Emissions Standard for Hazardous Air Pol Ilrtants.......................................................................................... NESHAP NoneDetected: ............................................................................................................................................................................... ND Oocupatioual Safety and Health Administration: ............................................................................................................... OSIIA Personal Protective Equipment:.............................................................................................................................................. PPE PolarizedLight Microscopy: ..................................................................................................................................................... PLM Renovation, Repair, and Painting:......................................................................................................................................... RRP SquareFeet: .................................................................................................................................................................................. SF DFFiNi'I IONS Colorado Regulation Number 8 "Trigger Levels": (l.) Resitlenfial - 32 SF., 50 LE, equivalent of a 55 -gallon drum (2) Cozamercial or Demolition - 160 square feet (160 SF), 260 linear feet (260 LF), or the equivalent of a 55 -gallon drum). Damaged Condition (DZ Materials are in damaged condition if they have a, surface which is crumbling, blistered, water - stained, gouged, marred, or otherwise abraded over less than one-tenth of the surface if the damage is evenly distributed or less than twenty five percent of the surface if the damage is localized. EPA Lead "Trigger Levels": An inspection must occur if more than 6 SF of interior surfaces; 20 SF of exterior surfaces will be disturbed; or ANY window is being replaced. Friable (jD: Friable materials are materials that can be crumbled, pulverized, or reduced to powder by hand pressure when dry. Good Condition (G): Materials are in good condition if they have a surface with no visible damage or deterioration; or showing only very limited damage or deterioration. Homogeneous Area (HA. Materials can be classified as the same HA if they exhibit similar physical characteristics; and the application of the sampled material can be correlated to the application of un -sampled materials. Miscellaneous Materials (,DM: These materials are other suspect materials, including flooring, ceiling tiles, insulation, and finishing materials. Each homogeneous area/different ALVI material requires a minimum of two (2) samples; or enough samples sufficient to determine the asbestos content, Non -Friable (M. Non -Friable materials are materials that cannot be crumbled, pulverized, or reduced to powder by hand pressure when dry. A NF material may become F if its condition had deteriorated or if it had been impacted by forces that have rendered it F. OSHA "Trigger Levels": 10 SF, 25 SF, or 35 CF; however, OSHA states "no amount of asbestos is safe". Significantly Damaged Condition (SD. Materials are in significantly damaged condition if they have a surface that is crumbling, blistered, water -stained, gouged, marred, or otherwise abraded over at least one-tenth of the surface if the damage is evenly- distributed or twenty five percent of the surface if the damage is localized; or a surface that is hanging from the end, deteriorated, or showing adhesive failure. Surfacing Materials (SIM: These materials are sprayed or troweled onto structural building member. Materials of up to 1,000 SF of material requires a minimum of three (3) samples; between 1,000 SF and 5,000 SF of material requires a, minimum of five (5) samples; over 5,000 SF of material requires a, minimum of seven (7) samples; at least one (1) sample of each patch. Thermal Systems Insulation (TSI. These materials are any type of pipe, boiler, tank, or duct insulation. Each homogeneous area/different TSI material requires a minimum of three (3) samples; at least one (1) sample must be collected from each patch; and collect enough samples sufficient to adequately- assess the material and determine the asbestos content for TSI fittings such as pipe elbows or T's. City of ' Wheat Ridge JEL /, LO INTRODUCTION Advanced Environmental Consulting, LLC (AEO was retained to collect samples of suspect asbestos -containing material(s) (ACM) that could be disturbed at, the above -referenced property- on the above referenced date(s); and provide an asbestos building inspection report including laboratory analysis. Colorado Regulation No. 8 - Part B Section III.A.l, PIIor to airy renovation or demolition which maY disturb greater than the trigger levels of material identified as a suspect ACM puisuant to the EPA, the faeilitJ- component,(s) to be affected br the renovation or demolition shall be inspected to determine if abatement, is required. " See below for further information on identifying trigger levels, sampling protocol, and materials classifications per the regulations. 2.0 EPA LEAD PMULMONS As of April 22, 2010, the EPA instituted guidelines and regulations for the renovation and/or remodel of homes built prior to 1978, the year that the manufacturing of lead-based paint was prohibited. If lead is present within paint on building components above the action level, any activity impacting these components must be conducted using "lead safe" work practices and RRP (Renovation, Repair, and Painting) Certified contractors. As of Alarch 26, 2014, the EPA has instituted new guidelines and regulations for the failure of firms to follow RRP engineering controls, or when remodeling projects are clone by individuals or firms that do not have proper RRP training and certification. When it is suspected that a. lead hazard has been created, EPA will require an inspection, including wipe samples. If the results of the inspection determine that a lead hazard has been created the follow steps will be conducted: ■ The site will be considered lead -contaminator and RRP standards and practices will no longer apply; ■ Both the EPA and the. CDPIIE Lewd iTnit have determined that clean-up is now defined as a lead abatement project; ■ Regulation 19 standards will be required to be followed in order to properly- clean -tip the lead hazards: A state certified abatement firm and individuals will be required to conduct the clean-up - The firm will need to apply for a permit and follow all requirements of Regulation No. 19, Part A, Section V, Abatement A state -certified firm and individual will be required to conduct project clearances, sampling and provide the CDPHE Lead Unit with copies of those reports. Colorado Air Quality Control (bmmission Regulation 19, Part A, states: ■ Lead-based paint hazard means any condition that causes exposure to lead from lead -contaminated dust, lead - contaminated soil, or lead-based paint. Lead-based paint hazard also means hazardous lead-based paint, dust4ead hazard or soil -lead hazard. IM 1 . ' / IM CO -N-1) The inspection and assessment were performed in acconlance with EPA/AIIERA procedures. These procedures call for the visual inspection of all areas of concern including collection and analysis of representative bulk samples of suspect material Random bulk samples, representative of the suspect asbestos -containing materials (ACM) of each homogeneous area (IIA), were collected according to the guidelines published as EPA Final Rule: Title II of the Toxic Substances Control Act (TSCA), 15 USC, Sections 2641 through 2654 and in compliance with 40 CTE, Part 763. Representative sampling is based on the following criteria: • The distribution of the suspect material throughout the HA, • The suspect material's physical characteristics and application, • Random sampling patterns determined for each HA. 40 SAMPLING PROCEDURES Suspect materials alike in aplxwrance and application were sampled as HAs. Those sampled suspect materials are then subcategorized into one of three classifications: SM, TSlor JAIL AEC collected surfacing materials by types of texture. Not every room with each texture may have been tested; however, it is assumed to be positive if it has the same texture as the above -referenced tapes. AEC uses drywaRschool.com4extures to determine the texture label comparisons. For TSI materials, AEC uses images through Google for comparison when naming material types. NINIs are named based on the material they are as seen by the accredited inspector during the on-site inspection. AEC collected at least the minimum member of samples from each HA necessary to meet all regulatory- requirements for the quantity of material to be disturbed. The quantities listed in this report are approximate and on-site verification of the exact quantity- of each material is required. 5.0 ASSESSMENT OF MATERTATS Condition assessments were performed by the accredited AEC inspector(s) at the time of inspection. Condition assessments include ratings of ,6 ", "D", or "SD" per each HA and are meant to indicate the overall condition of each material. Accumulation of powder, dust or debris similar in appearance to the suspect material on surfaces beneath the material can be used as confirmatory- evidence when determining the material condition assessments of G, Dor SD. All suspect materials were divided into For NFcategories at time of sampling as conducted by hand touch and feel when performed by the inspector(s) during the on-site inspection. After classifying each F ACNI(s), the AEC inspector(s) gives each 11A material a hazard rating (HR). There are seven (7) different 11Rs that each material is subcategorized into if the material is deemed F. The following seven (7) numbers are associated with each HR: 1.) "D" or "SD" thermal systems insulation ACNI 2.) "D' friable surfacing ACM 3.) "SD" friable surfacing ACM 4.) "D" or "SD" friable miscellaneous ACD1 5.) ACM with potential for "V 6.) ACNI with potential for SD" 7.) Any remaining friable ACNI or friable suspect ACNI The certified asbestos inspector(s) must provide a. written assessment of the condition of all known or assumed ACNL These assessments are to include specifying: the types of damage, the severity- of damage, the extent of the spread of the damage 'l over each material, the materials potential for disturbance, the known or suspected causes of the damage, any preventive measures that may eliminate the likelihood of the damaged material from becoming a significantly damaged material, and whether the material is accessible; all over the HA. If an ACM is SD and greater than Colorado Regulation No. 8 trigger levels, then the areas) are deemed a major spill. If the materials are less than the trigger levels but greater than 3 SF or 3 LF, then the areas) are deemed a, minor spill. See the spill response sections as outlined below (Section 10.0). 6.0 SITE DESCll IMON AND PPAMEGT DETAILS The above referenced property is a, single-family residential dwelling. AEC research indicates that the building was constructed in 1944. Destructive sampling was conducted on the materials planned to be disturbed at the above referenced property. The asbestos survey was conducted by the above referenced CDPHE and AHERA certified asbestos building inspector. Samples were submitted to Aerobiology & Associates laboratory for PL31 analysis to identify asbestos content, The samples were requested on a. standard turnaround time for results. 7.0 LABORATORY ANALYSIS AND RESUIRS Bulk samples collected were analyzed utilizing the EPA's Method for the Determination of Asbes - Buildin Materials (EPA 600/R/116, July, 1993) and the McCrone Research Institute's The Asbestos ParVele asNiethods references. Analysis of the bulli samples was performed on the date reported,' as listed in the bulli sample analysis port. Wieat Ridge Diviso Ololado Regulation ) 8 — TVH B Section HLA.Lc, Abatement Renovation and Demolition Plrjeets - of Cblolado Regulation 8 Irquilrs that, all samples of finable asbestos is esOlmated to be 1v asbestos or less, but greater than 0; br a method other than point counting the deteiminataon &UH be Irpeited aszng the point counting t Imique with PLU " CDPHE Compliance Bulletin Apin12007 Dryii dl and dl;y uall mud ma J' contain asbesto& ne percent of asbestos contained in the dri-wall and ib- associated materials, including mud and tape, ma)- be determined based on a Irpresentative composite sampling program. "If joint compound is v onfied to be applied onl v- over drr-mzU seams and or corners, it, mar be composi ted at a labola#oly. OSHA does not NalTant composite sawiple anal iwiv of jolll t con/pOulJd, and thelrfolr al! ►'nrateiial that, is abov e lV'AC171 m? r not be composited at the lahoia-tol j; per OSHA guidelines. AEC may be able to request that the laboratory point count trace material sample(s) and/or composite joint compound sample(s) for an additional fee. Please find attached the laboratory report of PLDs results. 8.0 OONCLUSIONS AEC observed seven (7) homogeneous areas that would be disturbed during the planned project as outlined above. The suspect asbestos containing building material(s) were sampled in seventeen (17) locations. Based on the site observations and, bulk sample PLDI laboratory- analysis results collected by AEC, two (2) suspect materials contained asbestos. The following sampled materials in red are ABOVE the Lqgulatory limit of 1%, and in bold are asbestos -containing: Maternal Tine Location Condition nubility HR Est Quantity Result, *(n SDI — Popcorn Texture Kitchen U F 7 180 SF 3% *(G) AM — Joint Compound with Popcorn Texture (1 F 7 N/A 30. * These materials are asbestos containing and will need to be removed by a GAC prior to demolition. (See Section 12.0 Demo) The following sampled materials and areas are NOT asbestos -containing: Alatelnal Tree Location Result (A) AIM — Roofing Material Exterior NID (B) IMI — Unsurfaced Drywall Garage ND (C) DIDI — Joint Compound with Unsurfaced Drywall ND (D) 5141— Stucco Exterior ND (E) SDI — Trowel Textured Plaster Basement Living Room ISTD TIhe CDPFIE requires permitting for any removal activities in a. commercial or residential building that contains greater than the trigger levels. Colorado Regulation No. 8 requires a project design in with the amount of ACDI to be abated exceeds 1,000 LF on pipes, or 3,000 SF on other surfaces and an asbestos project manager if the amount of F ACM to be abated exceeds 1,000 LF+' on pipes or 3,000 SF on other surfaces. AEC is able to develop a. project design and/or perform project manager services for this project for an additional fee. 9.0 RECOMMENDATIONS AEC recommends that when ACDI is removed/abated, that only a, licensed asbestos abatement contractor using personnel trained in the handling of ACDI be allowed to conduct such activities using appropriate methods (NEPA-filtered vacuuming, wet cleaning methods, respiratory protection, protective clothing, personnel decontamination, negative -air enclosures, air monitoring, etc.). For all spills, AEC recommends that all soft goods (carpet, pad, clothes, couches, etc.) and any ceiling and/or wall surfacing restoration activities be removed from the interior of the building as asbestos waste. AEC also advises that only hard surfaces (plastic, metal, wood, concrete, etc.) are allowed to be left in place before the final visual and final air clearancee tests are completed. AEC urges that electronics and appliances (refrigerators, air conditioners, DVD players, microwaves, toasters, etc.) are removed due to the mechanical openings and working parts that make it difficult to clean thoroughly. 10.0 ASBESTOS SPILL RESPONSES Major Spill Ifasponse Pmtoaols If ACM is significantly damaged and the total quantity exceeds the regulatory trigger levels, the area. is deemed a "Major Asbestos Spill." The area is consequently subject to the requirements in Reg. 8, Section HIT. 1. — Vajor Asbestos SpiHS as outlined below. Additional asbestos air or dust sampling should also be conducted within the remaining areas not directly impacted by the Major Asbestos Spill to determine if asbestos -containing dust/debris has spread to adjacent areas. If asbestos fibers are found within any other areas or on building contents, they should be included in the scope of professional abatement and decontamination. The following response actions must be followed per Colorado Reg. 8 when a Major Asbestos Spill occurs: ■ Restrict access to the area and post warning signs to prevent entry to the area by persons other than those necessary to respond to the incident. ■ Shut off or temporarily modify the air handling system to prevent the distribution of asbestos fibers to other areas. ■ Immediately contact the Division by telephone, submit a. notification in compliance with subsection M.E. (Notifications) and, if in an area of public access, apply for a permit in accordance with subsection M.G. (Permits). ■ Be exempted from the requirements to have a certified Supervisor on-site a,t all times, until such time as the immediate danger has passed. Any cleanup or asbestos abatement that must occur after the immediate danger has passed shall be supervised by a person certified by the Division. ■ Using certified Supervisors and certified Workers in accordance with section H. (Certification Requirements) of this Regulation, seal all openings between the contaminated and uncontaminated areas and establish none -detect air pressure within the contaminated area in accordance with paragraph IILJ (Air Cleaning and None -detect Pressure Requirements). This is to be accomplished using polyethylene sheeting to cover areas such as doorways, windows, elevator openings, corridor entrances, grills, drains, grates, diffusers and skylights. ■ HEPA vacuum or steam clean all carpets, drapes, upholstery, and other non -clothing fabrics in the contaminated area, or discard these materials. ■ Launder or discard contaminated clothing in accordance with subsection M.R. (Waste Handling). ■ HEPA vacuum or wet clean all surfaces in the contaminated area. ■ Discard all materials in accordance with subsection IILR. (Waste Handling). ■ Following completion of subparagraph IILT.La, through IILT.l.i. above, comply with air monitoring requirements as described in subsection M.P. (Clearing Abatement Projects); air samples shall be collected aggressively as described in 40 C.F.R. Part 763, Appendix A to Subpart E (EPA 1995), except that the air stream of the leaf blower shall not be directed at any friable ACM that remains in the area and ■ Comply with any other measures deemed necessary by the Division to protect public health. Minor Spill Rasponse Pmt000ls If ACM is significantly damaged and the total quantity is less than the regulatory trigger levels, however, more than three square feet (3 SF) or three linear feet (3 LF), the area is deemed a "Minor Asbestos Spill." The area is consequently subject to the requirements in Reg. 8, Section III.T.2. — ll inorAsbestos Spills, as outlined below. Additional asbestos air or dust sampling should also be conducted within the remaining areas not directly impacted by the Minor Asbestos Spill to determine if asbestos -containing dust/debris has spread to adjacent areas. If asbestos fibers are found within any other areas or on building contents, they should be included in the scope of professional abatement and decontamination. The following response actions must be followed per Colorado Reg. 8 when a, Minor Asbestos Spill occurs: ■ Restrict access to the area, and post warning signs to prevent entry to the area, by persons other th- thoa 9_ essa to respond to the incident, a ■ Shut off or temporarily modify the air handling system to prevent the distribution of asbestos fi eIVb1�R �RiW ■ using certified Supervisors and certified Workers in accordance with section IL (Certification equire�e- s) of this Regulation, seal all openings between the contaminated and uncontaminated areas and esta, llsbJbgetair p ressure within the contaminated area, in accordance with paragraph IH.J (Air Cleaning Noect Pressure Requirements). This is to be accomplished using polyethylene sheeting to cover areas such as doorways, windows, elevator openings, corridor entrances, grills, drains, grates, diffusers and skylights. ■ HEPA vacuum or steam clean all carpets, drapes, upholstery, and other non -clothing fabrics in the contaminated area, or discard these materials. ■ Launder or discard contaminated clothing in accordance with subsection IH.R. (Waste Handling). ■ HEPA vacuum or wet clean all surfaces in the contaminated area. ■ Discard all materials in accordance with subsection HLR. (Waste Handling). ■ Following completion of subparagraph IILT. La. through IH.T. M. above, comply with air monitoring requirements as described in subsection HLP. (Clearing Abatement Projects); air samples shall be collected aggressively as described in 40 C.F.R. Part 763, Appendix A to Subpart E (EPA 1995), except that the air stream of the leaf blower shall not be directed at any friable ACM that remains in the area and ■ Comply with any other measures deemed necessary by the Division to protect public health. Any samples containing trace amounts of asbestos require following these federal guidelines: federal worker protection regulations (29 CFR 1926.1101 and 40 CFR 763); the National Emissions Standards for Hazardous Air Pollutants (NESHAP, 40 CFR 61 Subpart Al); the IT.S. Environmental Protection Agency (EPA) Guidance for Controlling Asbestos - Containing Materials in Buildings ("Purple Book", EPA 560 / 5-85-04); and the Asbestos Hazard Emergency Response Act (AHERA, 40 CFR 763 Subpart, E). Clomplianee Sp a fics — OSHA Rggaladiona 29 CfB 19,x R01 Class I asbestos work — defined by OSHA as activities involving the removal of Asbestos Containing Materials which are TSI or surfacing material. Class H asbestos work — defined by (SHA as activities involving the removal of ACM which is not TSI or S1I. Class III asbestos work — defined by OSHA as repair and maintenance operations, where ACM TSI or STNl is likely to be disturbed. OSHA requires the following (at a minimum, the contractor should thoroughly review regulation): 1. Establishment of a regulated work area: minimizes access to unauthorized personnel, protects persons outside from airborne asbestos exposure and requires the use of respirators inside of the regulated area (essentially a HEPA filtered negative air pressure containment area). 2. Supervision of the removal work by a competent person: an EPA trained asbestos abatement supervisor. 3. Workershandling ACM shall be properly trained: training requirements as stipulated in OSHA regulations specify a minimum of eight hours (8 hr.) training of required topics. Material and hands-on training more closely fits the EPA Operations and Maintenance Worker sixteen -hour (16 hr.) class. 4. Exposure monitoring of personnel: both eight hour (8 hr.) TWA (time weighted average) and STEL (short term exposure limit). This monitoring will ensure that personnel are wearing adequate respiratory protection. 5. Proper use of engineering controls: namely, wet methods to control airborne asbestos filters, prompt clean up and disposal of debris in leak tight containers, removal of material in an intact state (prohibiter) use of high speed abrasive disc saws without NEPA filtered exhaust, prohibited use of compressed air on ACMs, prohibited by dry sweeping, shoveling or other dry clean-up methods). 6. Removal of ACM in an intact state to the extent feasible. 7. If using tatting machines, they shall be continuously misted: during use, unless a competent person determines that misting decreases worker safety. Dust generated by a, power cutter shall be collected by a NEPA vacuum. 8. Asbestos containing material from a roof must be either hand carried: or lowered to the ground by crane, hoist or in a. dust -tight chute. 9. All waste shall be either wrapped and/or placed into a closed receptacle: in such manner so as to preclude the dispersion of dust, 10. If working on a roof: roof level heating and ventilation air intake sources shall be isolated (sealed) or the ventilation system shut clown. Other Requirements ■ Other appropriate PPE as necessary ■ Implementantion of a Respiratory Protection Program (if necessary) ■ Respirator physical exam for personnel (if issuer) negative pressure respirator) AEC Recommends a final visual and final air clearance monitoring after the material has been removed. 4-r- 12.0 COLORADO DEMOLITION ACTIVITIES Section IH.A.3 — Any asbestos -containing material that is friable or will be made friable during demolition activities in any area, of public access or non-public access area must be removed prior to demolition. Removal, in accordance with Regulation No. 8, is required if the amount of asbestos -containing material that is friable or will become friable during demolition exceeds the trigger levels. Per CDPHE Demolition Permit Demolition of a, building that has non -friable asbestus -containing materials remaining must be completed without causing the asbestos -containing materials to become friable. Burning a building with any asbestos -containing materials is prohibited. Concrete floors covered with floor tile shall be removed in as large sections as possible. Operations such as crushing, pneumatic jacking, etc. of materials containing asbestos are not permitted. Recycling of materials, such as concrete or wood, that are bonded or contaminated with asbestos -containing materials such as floor tile or mastic, is not permitted. 13.0 1 IITATIONS This report describes the data collected and observations made by AEC during the visual inspection and bulk sampling in the above referenced building. AEC represents that its services were performed within the limits prescribed by applicable regulations, within scope of work as approved by the EPA and the State of Colorado and in a manner consistent with the level of care and skill ordinarily exercised by other professional consultants under similar circumstances. AEC accepts no responsibility for data collected, the recommendations made or expressed to the clients and/or other commitments made by persons or firms other than AEC. No other representation is made to the client, expressed or implied, and no warranty or guarantee is included or intended. Thank you for the opportunity to provide industrial hygiene services. If there are any questions on this limited scope asbestos building inspection, please contact AEC by phone or email. Respectfully- Submitted, ADYANM $NftONMMTAL 00IMUM NO Philip Ross CABI - 24101 � .1'1�� �. A ADVARCED ENVIRONMENTAL CONSULTING Project/Contact: T>Awsk Date: 21 1 4 Location: 3351 I Iwo -t4 . ....... -I-T-77 ofty of Wheat Rid, e AEC Client: JD- RNIE\ Location: 335-1 16ehpG �4. Date: 3')8 i'LOIq Project Contact: icianlnitials: BULK SAMPLING TABLE Key Terms HA: Homegenous Area Material Friability: F - FH.blc NF - Non Friable %taterial Classifications: SM - Surfacing Material TSI - Thermal System Inwlation Misc. Miscellaneous Material slaterial Conditions: G - Good D - Damaged SD - Significantly Damaged 100's - te Ceilings 200's -Walls 300'a -Flooring 400's - TSI 500's -Exterior 600's - Misc iamplinR Nos: < 1000 SgsTt. - 3 Samples 1000 - 5000 Sq./Ft. - 5 Samples > 5000 Sq./Ft. -) Samples Recommended - 9 Samples E�, :1 �1 I alum Iroullolum Do 1 t City of Wheat Ridge HOMOGENEOUS AREAS LOCATION LOG Room HA Garage B, C Exterior A, D Base Living Rm E Kitchen F, G City of Wheat Ridge : OIL 1 C 1 1 IC �c^ ^® Aerobiology Laboratory Associates,110 '�Il (L�VJrJyfl' �� AEROhIO�OCIy LAhORATORY 2228WNorthern Ave.,Suite B-llo ASSOCIATES, '� INCORPORATED Phoenix, AZ 85021 TESTING NVLAP LAB CODE 500097-0(602) 441-3700 Expertise Since 7997 www.aerobiology.net Client: Certificate of Analysis Date Collected: 03/18/19 Advanced Environmental Consulting Date Received: 03/19/19 5800 Franklin St. Ste 101 Project Name: Daniel 3351 Kipling St. Wheat Ridge Date Analyzed: 03/26/19 Denver, CO 80216 Proiect ID: 19010435 Date Reported: 03/26/19 303-242-6044 Job ID: Method: EPA -600/R-93/116: Method for the Determination of Asbestos in Bulk Building Materials Asbestos Non -Asbestos Sample Identification Physical Description of Sample/Layer Homo- geneous ry/N) Layer percentage Asbestos Detected Asbestos percentage Non -Asbestos Fiber Percentage Non -Fibrous Material Percentage Matrix Material Composition Client Lab Sample Number ASOI 19010435-001 Black/Gray Roofing Material N 100 ND 20 80 TB A502 19010435-002 Black/Gray Roofing Material W/Yellow Mastic N 100 ND 20 SO T,B 8201 19010435-003 White/Tan Drywall W/White Paint N 100 ND 15 85 G 8202 19010435-004 White/Tan Drywall W/White Paint N 100 ND 35 85 G 19010435-005-A White Joint Compound N 1 ND 100 G C601 19010435-005-B Cream Tape N 4 ND 98 2 B 19010435-005-C White Compound N 7 ND 100 G 19010435-005-D White/Tan Drywall N 88 ND 15 85 G Elvira Meister Analyst Page 1 of 6 Aaron Agajanian Asbestos Laboratory Supervisor A Amo fte AC ARlnolxe AN An[hophyllhe CHRY Chrysotile CR Croddolfte TR Tremolfte Trace Less man l% ND None Detected 2228 W Northern Ave., Suite B-110 Phoenix, AZ 85021 (602) 441-3700 Q Quartz CELL Cellulose C Carbonates MW Mineral Wool G Gypsum FBG Fiberglass M Mira SYN synthetic T Tar WO Wollastonxe p Perihe FT Fibrous Talc B Binder AH Animal Hal, D Diatoms NAC Non-Asbestgorm AC NTR Non-Mbestif—TR Rev. P00 Init. 11/8/13 City of Wheat Ridge Diviso :1 1 I: i 1 I: ►1 I Me r-\nW �� AERobiolow A LAboRATORy LNJ�—\ ASSOCILMES, '�A INCORPORATED TESTING NVLAP LAB CODE 500097-0 Expertise Since 1997 Aerobiology Laboratory Associates, Inc. 2228 W Northern Ave., Suite B-110 Phoenix, AZ 85021 (602)441-3700 www.aerobiology.net Client: Certificate of Analysis Date Collected: 03/18/19 Advanced Environmental Consulting Project Name: Daniel 3351 Kipling St. Wheat Ride Date Received: 03/19/19 5800 Franklin St. Ste 101 p g g Date Analyzed: 03/26/19 Denver, CO 80216 Proiect ID: 19010435 Date Reported: 03/26/19 303-242-6044 Job ID: Test requested: 3002 - Asbestos In Bulk samples Method: EPA -600/R-93/116: Method for the Determination of Asbestos in Bulk Building Materials Asbestos Non -Asbestos Sample Identification Physical Description of Sample/Layer Homo- geneous (Y/N) Layer Percentage Asbestos Detected Asbestos Percentage Non -Asbestos Fiber Percentage Non -Fibrous Material Percentage Matrix Material Composition Client Lab Sample Number 19010435-011-A Cream Texture W/White Paint N 1 CHRY Trace 100 G F101 19010435-011-B Light Cream Micaceous Texture W/Tan Paint N 5 NO 100 C,M 19010435-011-C White/Tan Drywall N 94 NO 15 85 G 19010435-012-A Cream Texture W/White Paint N 3 CHRY 3 97 G F102 19010435-012-B Light Cream Micaceous Texture W/Tan Paint N 6 NO 100 C,M 19010435-012-C White/Tan Drywall N 91 NO 20 80 G 19010435-013-A Cream Texture W/Multicolored Paint Layers N 2 CHRY Trace 100 G F103 19010435-013-B Light Cream Micaceous Texture W/Tan Paint N 6 ND 100 C,M 19010435-013-C White/Tan Drywall N 92 ND 20 80 G Elvira Meister Analyst Page 3 of 6 C—j G2 -7C -mac --� Aaron Agajanian Asbestos Laboratory Supervisor A A—fte AC Adinolne AN Anthophyllite CHRY Chrysotile CR Croddolae TR Tremolite Trace Less Than 1% ND None Detected 2228 W Northern Ave., Suite B-110 Phoenix, AZ 85021 (602) 441-3700 Q ouam C carbonates G Gypsum M Mica T Tar P PedRe B Binder D Diatoms CELL Cellulose MW Mineral Wool FBG Fiberglass SYN Synthetic Wo Wollastonne FT Fibrous Talc AH Animal Hair NAC Non-Minestgorm AC NTR Non-Mbenidormm Rev. P00 I nit. 11/8/13 001�City of Wheat Ridge .Building Divison/ [VQQF Nkt,_ AERObiologyA LABORATORY ASSOCIATES, �` INCORPORATED TESTING NVLAP LAB CODE 500097-0 Expertise Since 1997 Aerobiology Laboratory Associates, Inc. 2228 W Northern Ave., Suite B-110 Phoenix, AZ 85021 (602)441-3700 www.aerobiology.net Client: Certificate of Analysis Date Collected: 03/18/19 Advanced Environmental Consulting project Name: Daniel 3351 Kipling St. Wheat Ridge Date Received: 03/19/19 5800 Franklin St. Ste 101 Date Analyzed: 03/26/19 Denver, CO 80216 Proiect ID: 19010435 Date Reported: 03/26/19 303-242-6044 lob ID: 3002 - Asbestos In Bulk Samples Method: EPA -607/R-93/116: Method for the Determination of Asbestos in Bulk Building Materials Asbestos Non -Asbestos Sample Identification Physical Description of Sample/Layer Homo- gen-usLayef (Y/N) Percentage Asbestos Detected Asbestos Percentage Non -Asbestos Fiber Percentage Non -Fibrous Material Percentage Matrix Material Composition Client Lab Sample Number CR Croddolhe 19010435-006-A White Texture W/White Paint N 2 ND Trace Less Than 1% Analyst 100 G 19010435-006-B Cream Tape N 4 NO 98 2 B C602 19010435-006-C White Joint Compound N 6 NO 100 G 19010435-006-D White/Tan Drywall N 88 NO 15 85 G 19010435-007-A Yellow Mastic N 6 ND 100 B D501 19010435-007-B Gray Granular Plaster W/Tan Paint N 94 NO 100 Q D502 19010435-008 Gray Granular Plaster W/Tan and Gray Paint N 100 NO Trace 100 Q E201 19010435-009 Off White Texture W/Burnt Tan Paint N 100 ND Trace 100 G 19010435-030-A White Texture W/Tan Paint N 20 ND 100 G E202 19010435-010-B Gray Granular Plaster N 80 ND 100 Q Q Quarte CELL [NiW— A Amosxe MW Mineral Wool G Gypsum AC Artimlhe M Mica SYN synthetic AN Anthophyllne WO Wollastonne P PerlRe CHRY Chrysotile B Binder AH Animal Hair CR Croddolhe NAC Non-MInestiform AC TR Tremolae Elvira Meister Aaron Agajanian Trace Less Than 1% Analyst Asbestos Laboratory Supervisor ND None Datected Q Quarte CELL [NiW— C Carbonates MW Mineral Wool G Gypsum FBG Fiberglass M Mica SYN synthetic T Tar WO Wollastonne P PerlRe FT Fibrous Taic B Binder AH Animal Hair D Diatoms NAC Non-MInestiform AC NTR Non-Mbest1fi—TR Rev. P00 Page 2 of 6 2228 W Northern Ave., Suite B-110 Phoenix, AZ 85021 (602) 441-3700 Init. 11/8/13 LKJ aq TESTING NVLAP LAB CODE 500097-0 Nkt._`AERobiology —� ASSOCIATES, Expertise Since 1997 LAboRATORy INCORPORATED Aerobiology Laboratory Associates, Inc. 2228 W Northern Ave., Suite B-110 Phoenix, AZ 85021 (602)441-3700 www.aerobiology.net Client: Certificate of Analysis Date Collected: 03/18/19 Advanced Environmental Consulting Project Name: Daniel 3351 Kipling St. Wheat Ride Date Received: 03/19/19 5800 Franklin St. Ste 101 P g g Date Analyzed: 03/26/19 Denver, CO 80216 Proiect ID: 19010435 Date Reported: 03/26/19 303-242-6044 Job ID: Test requested: 3002 -Asbestos in Bulk Samples Method: EPA -600/R-93/116: Method for the Determination of Asbestos in Bulk Building Materials Asbestos Non -Asbestos Sample Identification Physical Description of Sample/Layer Homo- geneous (Y/N) layer Percentage Asbestos Detected Asbestos Percentage Non -Asbestos Fiber Percentage Non Fibrous Material Percentage Matrix Material Composition Client Lab Sample Number D Diatoms 19010435-016-A Cream Texture W/Gray and White Paint N 1 CHRY Trace 100 G G602 19010435-016-B Light Cream Micaceous Texture W/Tan Paint N 4 ND 100 C,M 19010435-016-C Brown Wood Grain N 5 ND 100 19010435-016-D White/Tan Drywall N 90 ND 15 85 G D503 19010435-017 Gray Granular Plaster W/Tan Paint N 100 ND 100 q Elvira Meister Analyst Page 5 of 6 Aaron Agaianian Asbestos Laboratory Supervisor A A—fte AC ARf-Ifte AN AMhophyllfte CHRY cnryzotile CR Croddolue TR Tremolhe Trace Less Than 1% ND None Detected 2228 W Northern Ave., Suite B-110 Phoenix, AZ 85021 (602) 441-3700 Q Quartz CELL Cellulose C Carbonates MW Mineral Wool G Gypsum FBG Fiberglass M Mica SYN Synthetic T Tar WO Wollm—fte P Perlke FT Fibrous Talc B Binder AN Animal Nair D Diatoms NAC Non-Asbestif—AC NTR Non -Aube M.-Tk Rev. P00 Init. 11/8/13 City of Waheat Ridge wilding [IQQ'V \� AERObiologyA LAbORATmy --�.� ASSOCIATES, �` INCORPORATED TESTING NVLAP LAB CODE 500097-0 Expertise Since 1997 Aerobiology Laboratory Associates, Inc. 2228 W Northern Ave., Suite B-110 Phoenix, AZ 85021 (602)441-3700 www.aerobiology.net Client: Certificate of Analysis Date Collected: 03/18/19 Advanced Environmental Consultingpr0'eCt Name: Daniel 3351 Kipling St. Wheat Ridge Date Received: 03/19/19 58DO Franklin St. Ste 101 p g B Date Analyzed: 03/26/19 Denver, CO 80216 Proiect ID: 19010435 Date Reported: 03/26/19 303-242-6044 Job ID: Test requested: 3002 - Asbestos In Bulk Samples Method: EPA -600/R-93/116: Method for the Determination of Asbestos in Bulk Building Materials Asbestos Non -Asbestos Sample Identification Physical Description of Sample/Layer Homo- geneous (Y/N Layer Percentage SYN Synthetic AsbestosDetected Asbestos Percentage Non -Asbestos Fiber Percentage Non -Fibrous Material Percentage Matrix Material Composition Client Lab Sample Number TR Tremolke 19010435-014-A White Texture W/Tan Paint N 5 ND ND None Deterred 100 G 19010435-014-B Cream Tape N 8 NO 98 2 B E203 19010435-014-C Off White Joint Compound N 12 NO 100 G 19010435-014-D Off White Compound W/White Paint N 20 NO 100 G 19010435-014-E Gray Granular Plaster N 55 ND Trace 100 Q 19010435-015-A Cream Joint Compound N 4 CHRY 3 97 G 19010435-015-8 Cream Texture W/White Paint N 6 CHRY 3 97 G G601 19010435-015-C Tan Tape/Canvas N 8 NO 96 4 B,CELL 19010435-015-D Light Cream Micaceous Texture W/White Paint N 10 NO 100 C,M 19010435-015-E White/Tan Drywall N 72 ND 25 75 G Q ouan. CELL cellulose A Amosxe MW Mineral Waol G Gypsum AC ARimlge M Mka SYN Synthetic AN Amhophyllxe WO Wollastonfte P PerlRe CHRY Ch n.Re CR cmadolee B Binder AH Animal Hair TR Tremolke Elvira Meister Aaron Agajanian Trace Les, Than 1% Analyst Asbestos Laboratory Supervisor ND None Deterred Q ouan. CELL cellulose C Carbonates MW Mineral Waol G Gypsum FBG Fiberglass M Mka SYN Synthetic T Tar WO Wollastonfte P PerlRe FT Fibrous Tak B Binder AH Animal Hair D Diatoms NAC Non-AsbesW—AC NTR Non-mbestxorm TR Rev. POO Page 4 of 6 2228 W Northern Ave., Suite B-110 Phoenix, AZ 85021 (602) 441-3700 Init. 11/8/13 a 1i 2( 2' z 2: 2d 2( 2+ 2% 2� 3( 3' 3' 3: 3� 3E 3( 31 3( 3S 4( Lab use 1 Page 2_ of 2 AERObtOtOC(y LAbORATORy — kt ASSOCl4iES, INCORPOR4iED 8 - 1laittt �tr(L"i• i� r�"•, Expertise Since 1997 1 ELITE NYjAA 1 _ Aerobiology Client C— AZ CA.. CO " - CA CO FL GA VA NJ AZ CA CO VA GA ru VA Field Contact ` ' Seh,�G-� Collected By/Date: Relinquished By/Date: Phone/Fax �3 —2y2— La0`-iy PO#/Job#: `�� Email �t-�{ZC.F�C.CArv, Project Name: .— �J � L4 G,. Sample No. Test Code Sample Location Total Volume/Area 7 0 Washington, D.C. Atlanta, GA Denver, CO Phoenix, AZ Cherry Hili, NJ Los Angeles, CA Ft. Lauderdale, FL (877) 648-9150 (770) 947-2828 (303) 232-3746 (602) 441-3700 (856) 486-1177 (714) 895-8401 (954) 451-3725 ao.n� iz I j � AERobiologyA LAboRAToRy �3° Use Page of 2- �� AS. INCORPORATED N V LAP Expertise Since 1997 (D AZ. CA, VA - 102977 AZ- 210229 AZ CA, CO, FL. CO VA CA•2/9951 CO.192993 K .712779 Aerobiology Client y, NEC— GA, IL, VA, NJ NJ•1027�7 GA -163063 Field Contac th SS � MP�t�1 con«xea syroa« "ft"N snw OILI P 0: 'LS m Qpo,1 R�nqusheA ByrDate: '' ay/Date AM Billi �.�r N �-� b Sampler Andersen_ •re otn� AddressLJC V,� 1W �vType o r t u ture Phone/F 3d3 2y 2 (pet-4�} PON/Job#: �PtNIE ePorU Project Name: bNApFmRil i-0 ScEc . (-0 f-- 3351 (C ltfv Sk. (A� f2d e2 ur Sa ay 4 r r Notes: SAMPLING LOCATION 7JP CODE CC Info: Sample No. Test Code ' / Sample Location Total Volume/Area 1 �Sb 4 ( N Mesal tXT�lfcioR `�'D lose A S;62 t �, 2-=- 3 U ted *bW t 220 5 tJ A Ceo2. BSc 1 �vcc�xktdrz 'm Sc- �b2 Cam i z UY-- l wF so F Z2 -S- t- 11 11 eF bl i� cwt►•) RE12 'F lag 11b3 13 1ASw�� 15 `-'1 �00 4 �pI ot.�rrcY W + tAiZN `"t F {-t 1054 1 Direct, Non-viable Spore Trap 1015 Culture - WATER Legonella 1 1051 IDirect, Qualitative- SwabrTape 1017 Culture - SWAB Legionella 1010 WATER - Potable - E. coli/total coliforms 1005 AIR Culture - Bacterial Count w/ ID's 1012 SWAB - E coli/total coliforms 1030 AIR Culture - Fungal Count w/ ID's 1028 SWAB - Sewage Screen E. ccli/Entero/fecai coliforms 1006 SWAB Culture - Bacterial Count w/ ID's 1031 SWAB Culture - Fungal Count wt ID's 3001 ASBESTOS - Pant count 1008 BULK Culture - Bacterial Count w/ID's 3002 ASBESTOS - PLM Analysis 1033 BULK Culture - Fungal Count w/ ID's 3003 ASBESTOS - Particle characterization 1 1007 1 TER Culture - Bac ' I Cmint w1lD's 30134 . ';RFSTnS - PCM Analysis Washington, D C - Atlanta, GA - Denver, CO - Phoenix, AZ - Cherry Hill, NJ - Los Angeles, CA - Ft Lauderdale, FL - Chicago, IL (877) 648-9150 - (770) 947-2828 - (303) 232-3746 - (602) 441-3700 (856) 486-1177 - (714) 895-8401 - (954) 451-3725 - (630) 403-6822 �{L PA, K 3.2(j i+9 q�5� a. 3�� r° APHIMIME cdditt�. 4SBF.STpS CONSULUNG FIRM r„tets, as -Unnoed Environmental Cbawltmg, LLC xgxhen>a.: Act' -one h. aw rutigimrrro rciekeeluts a:3 °SS' CXS..W Ne li pada) C -M Cmo.dmhdsio� trMa.N iask miralbMfrmrlaY e.1,. hn a, rtye:md ardor ptfaiaiiav Ve f. ILt e. a Mt Rue 4+eew�rs lc�i pavb:f �i ' tse:a aeon�n,vls 0— C,,IotD andFavironnuent ASBESTOS CERTIFICATION* This certifies that Philip Ross Certirmtioa No.: 25101 hes met the n iairements of 25-7-507, CICS, and Air Quality Control Commission ftulation No. 8, Pott B. and is hereby cerliLed by the state of Cnlomdo in the Poll—ing discipline: Building Inspector* ]Hoed: November 14, 2018 Expires: November 14, 2019 •�hm4lhwrh Maawy MlrNprw,(w (a uw.rwytatrclnarWl M,rermefivAw v ara,r;Marweya.N.a ZZ t ASBESTOS LABORATORY �t�aty Adnoecd lnvimnmealal Caosaltiug, Li.0 xqM .,—i.. W, 4.s as :M xEiNal"m t ymm,w. qf:r.:. W.I 5. W e3 A] tlurly -1 iimJepaxryNCo!lo.Lhta.N rSeW;aWaLW xprM¢imin:is�rt+. brae t,:n,r.<c n aewrcr h atµ::, r:,, s. nn a, ca ro: R.:Forc�.see Ew.aG Ustdav lR'pIl t)mIR acmS�IRt01f �yu..�'f�....u.-. i CHC Training CHr+ Nationwide Training& Certification Experts tea e a RAt NtNO raf.fnO6U PS1 dYY�Aw n a...�ismao:u eSiM.CfA1aY _ 4 dO.LNd9K31Fit CERTIFICATE OF ACHIEVEMENT This certificate is awarded to: PHILIP ROSS In recognition of satisfactory completion of the EPA -approved initial asbestos training course under section 206 of the Boric Substance Control Act )TSCA), Title 11 entitled: BUILDING INSPECTOR COt1RSE DATICC OOI OBER 22 - 24.2091 EXAhMAI ION DAIL-: OGMSER 27.21118 EXPIRATION DATE: OCTOBER 24, 2019 COORSE I IOURQ 2411 . rEaar :nsiarrirrnru+rn , I - oaeennal lJceluclD: i, ENC LTaimryt Cer18Reietb. { 0 - 12ataz79 `k 0 i ue>.�e-Alco .. vt.sy uta cntlmwl 4,. .atB a.e vwmlle i. City of vvi)eat Ridge Divisoti AERUbioto ly LAbORATORy ASSOCIATES, INCORPORATED TESTING NVLAP LAB CODE 500097-0 Expertise Since 1997 Aerobiology Laboratory Associates, Inc. 2228 W Northern Ave., Suite B-110 Phoenix , AZ 85021 (602)441-3700 www.aerobiology.net Client: Certificate of Analysis Date Collected: 03/18/19 Advanced Environmental Consulting Project Name: Daniel 3351 Kipling St. Wheat Ride Date Received: 03/19/19 5800 Franklin St. Ste 101 P g g Date Analyzed: 03/26/19 Denver, CO 80216 ProiectID: 19010435 Date Reported: 03/26/19 303-242-6044 lob ID: General Notes • ND indicates no asbestos was detected; the method detection limit is 1%. ' Trace or "<V indicates asbestos was identified in the sample, but the concentration is less than 1%. • All regulated asbestos minerals (i.e. chrysotile, amosite, crocidolite, anthophyllite, tremolite, and actinolite) were sought in every layer of each sample, but only those asbestos minerals detected are listed. Amosite is the common name for the asbestiform variety of the minerals cummingtonite and grunerite. Crocidolite is the common name used for the asbestiform variety of the mineral riebeckite. • Tile, vinyl, foam, plastic, and fine powder samples may contain asbestos fibers of such small diameter (<0.25 microns in diameter) that these fibers cannot be detected by PLM. For such samples, more sensitive analytical methods (e.g. TEM, SEM, and XRD) are recommended if greater certainty about asbestos content is required. Semi -quantitative bulk TEM floor tile analysis is accepted under NESHAP regulations. • These results are submitted pursuant to Aerobiology Laboratory Associates, Inc.'s current terms and conditions of sale, including the company's standard warranty and limitation of liability provisions. No responsibility or liability is assumed for the manner in which the results are used or interpreted. • Unless notified in writing to return the samples covered by this report, Aerobiology Laboratory Associates, Inc. will store the samples for a minimum period of thirty (30) days before discarding. A shipping and handling charge will be assessed for the return of any samples. • Aerobiology does not guarantee the results of tape lifts, microvacs, wipe, and/or debris samples. Accurate analysis cannot be performed due to particle size, media used, and/or amount of material given. Analysis of these materials should be performed by a TEM. A result of ND does not indicate that the sample area does not contain asbestos. It means the analyst could not identify asbestos in the specific sample for the reasons listed above. Notes Required by NVLAP " This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency ofthe Federal Government. • This test report relates only to the items tested or calibrated. • This report is not valid unless it bears the name of a NVLAP-approved signatory. • Any reproduction of this document must include the entire document in order for the report to be valid. Rev. P00 Page 6 of 6 2228 W Northern Ave., Suite B-110 Phoenix, AZ 85021 (602) 441-3700 Init. 11/8/13 9 C� City of Wheat ge tuwn DEVELOPMENT APPROVED A - Plan caminer Date yltNAtr d oeroiM: Abe �s�uana o/ o pwnYr or tita'� a1 ow+s �N�+y MW Qwq wow= ~ nor be o wfwIbb or an am ow woww to OW of the arowslom of the bu*** code or of ow Or ardmw h ftrMft /D b pre outhsritr to wowr a atanar qre pwuloM 4 tN NMh! ae� ar othe ort�Ynanah yf�tGty eholl not bo oopd 9 ,' Z ac- 90" '— 30' (D 0) M It - a w CL All dimensions _size designations given are subject to verification on job site and adjustment to fit job conditions. gr 1 Frayre This is an original design and must not be released or copied unless applicable fee has been paid or job r order placed. All Designed: 6/28/2019 Printed: 6/29/2019 Drawing #: 1 I No Scale. F t*n of Wheat Ridge Note: This drawing is an artistic interpretation of the general appearance of the design. It is not meant to be an exact rendition.21 20 Designed: 6/28/2019 Printed: 6/29/2019 Wheat Ridge grlFrayre I All Drawing #: 1 grlFrayre #: 1 CAyd �o Wheat Ridge on Bu%dbV Note: This drawing is an artistic Designed: 6/28/2019 interpretation of the general Printed: 6/29/2019 appearance of the design. It is not meant to be an exact rendition. grlFrayre #: 1 H Z LU LU Ln Q m CRY °A Wheat Ridge 0 > 0 CU f0 fB C CLO C O — V) on(� O > O C i-+ O L C L a cu ca C iJ E v N > O > Gn (� -0— E «) M -0 L a _v iZ 3 a > _ a M i — C O E 00 .c E o " E o H O a L = cB O C O O � — L � fC3 — C O = += V) m a—+ X O v i a C t m +� L a•m CU 0 tf- O -0 C 1 L O m a+ '� C Ln L _O UV) >• �' a -0 -le C �" O E O Ccu C a L O i m= C C o> fp s E �nC' _ n n a L 4- O t C 00 'Y a - a a � X 4- C V i V L C +.1 00 C O p 4� Q Q N 0- p O L L1 3 E N ai N L C m v O O � L cn CL � -a N +- C a O a a C:� v E C � m a � a - O C L a =3'}J 4. v D U a V) c 4; 0 `� -j tb- N O a a a 4- GA o L a 0 up a U_ E O v a .� —= V) ca n H Z LU LU Ln Q m CRY °A Wheat Ridge 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: C U �' f F. l Job Address: 2'3 <� 11 - Permit Number: c,10 I "-"1 i, l `6� f� / ( r �t ❑ No one available for inspection: Time �l!i` ` AM/PM Re -Inspection required: Yes ri-0) When corrections have been made, call for re -inspection at 303-234-5933 Date:---?* k U ' \ Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ` (- u_> Job Address: "a 5' 1 k- , �, s�_ Permit Number: ❑ No one available for inspection: Time `�� ` `J AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 t' Date:3 i '� I 1 Inspector: " DO NOT REMOVE THIS NOTICE 'i 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office * (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: YD Job Address: Permit Number: Ll No one available for inspection: Timq 9- AM/PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: _­1-�'I Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: r" (D CCjcS Job Address: '5- 1 Permit Number:;,G ❑ No one available for inspection: Time 3 Y'> AM/PM Re -Inspection required:; Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date:r� ' �' Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201900351 PERMIT NO: 201900351 ISSUED: 03/04/2019 JOB ADDRESS: 3351 Kipling St EXPIRES: 03/03/2020 JOB DESCRIPTION: Residential re -roof mod bit on flat portion, one square, and OC Duration asphalt shingles. Squares: 19; Pitch: 4/12 5/12 and 1/12. *** CONTACTS *** OWNER (303)434-4818 FRAYRG DANIEL SUB (303)346-8285 JAMES CAMERON 100103 JBC CONTRACTING, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,750.00 FEES Total Valuation 0.00 Use Tax 183.75 Permit Fee 188.45 ** TOTAL ** 372.20 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75% 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% of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201900351 PERMIT NO: 201900351 ISSUED: 03/04/2019 JOB ADDRESS: 3351 Kipling St EXPIRES: 03/03/2020 JOB DESCRIPTION: Residential re -roof mod bit on flat portion, one square, and OC Duration asphalt shingles. Squares: 19; Pitch: 4/12 5/12 and 1/12. t, 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 perforin the work described and approved in conjunction with this perm t 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 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 required inspections and shall n t proceed or conceal work without written approval of such work from the Building and Inspection Services Divis 6. The r granti of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any app le c e or a e 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. Dina Kern From: no-reply@ci.wheatridge.co.us Sent: Monday, March 4, 2019 12:57 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Dina Residential Roofing Permit Application This application is exclusively for new RESIDENTIAL roofing permits and for licensed contractors only. Permits are processed and issued in the order they are received. You will be notified if your contractor's license or insurance has expired. The license and insurance must be current before the permit will be processed. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. The Building Division permit counter is open from 7:30 am to 3:30 pm, Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a RESIDENTIAL reroof permit? How many dwelling units are on the property? Yes Single Family Home 'I,/ - PROPERTY INFORMATION Property Address 3351 Kipling St Property Owner Name Daniel Frayrg Property Owner Phone 303-434-4818 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email drfcc4@comcast.net Address Do you have a signed No contract to reroof this property? CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number Contractor Phone Number (enter WITH dashes, eg 303-123-4567) JBC Contracting LLC 100103 7202750077 Contractor Email Address jim.c@jbccontractingllc.com Retype Contractor Email jim.c@jbccontractingllc.com Address Credit Card Authorization Wheat Ridge CC Auth Form.pdf Form DESCRIPTION OF WORK TOTAL SQUARES of 18 the entire scope of work: Project Value (contract 8750.00 V1, value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or roof, pitched roof, or greater) both? (check all that apply) What is the pitch of the 1/121 FLAT roof? How many squares are .1 part of the FLAT roof? Describe the roofing Modified Bitumen Granulated Torch -down in 6ft dead valley material for the FLAT roof: z Type of material for the Rolled FLAT roof: What is the specific pitch 4/12 and 5/12 of the PITCHED roof? How many squares are 18 part of the PITCHED roof? Describe the roofing Owens Corning Duration Laminated Shingles materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional Installing cricket at chimney. I have an email from the owner detail here on the stating that he agrees to the terms of the contract I emailed to description of work. (Is him. That suffices for a sign contract (agreement) 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 3 owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for James M Cambron Permit Email not displaying correctly? View it in your browser. DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) 8689 3/29/99 Property Owner: Property Address: 3351 KIPLING ST Contractor License No. : Company: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Phone: 237-3784 Phone: 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 Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Description: Change shake shingle to asphault BUILDING DEPARTMENT USE ONLY Approval: Zoning: ........ Approval: I r!!!I!r:m Approval: Occupancy: Walls: Roof: Stories: Electrical License No : Company: Plumbing License No : Company: Expiration Date: Approval: Expiration Date: Approval: Construction Value: Permit Fee: Plan Review Fee: Use Tax: Total: $498.00 $23.50 $0.00 $12.45 $35.95 Use: SIC: Sq. Ft : Residential Units: Mechanical License No : Company: Expiration Date: Approval: (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) 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. (3) If this permit expires, a new permIt may be acquired for a fee of one-half the amount normally requjred, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or jf suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem, (5) 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. (6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions _ 77 ~des or any other ordinance, law, rule or regulation. 'f?/. / /I""'.... '" Chief Builaing Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEA.T RIDGE, CO 80215 Building Permit Number: Date: Property Owner: Property Address: Contractor License No. : Company: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT APPl\Cf\TID f'.-L GI f1RftDP;t7r2D_ :ED/ J.<;P4IVb '5/. Phone: 303- 7-37- 37f1t- Phone: Construction Value: Permit Fee: Use Tax: Lf1ff,60 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 rinted on this application, and that I assume full responsibility for complIance . h the e t Ridge Building Code (U.B.C.) and all other applicable W at Ridge ordinan for u er this permit. (OWNER)(CONTRACTOR) SIGNE L DATE ':J~;:J - rr 2:3. ....0 Total: Description: /.. e-.flfI/\/b L Use: ~JlI1Kf j; lAf1lul./ /~ 5(~ BUILDING DEPARTMENT USE ONLY SIC: Sq.H: ~!ii'!iii9l~9:rr.m'-lID~ Approval: Zoning: EmI.!!1J!lgl!.!.Q~n~~ Approval: ~"lre:lW~t~:.~ymroent8;) Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: Expiration Date : Approval: Expiration Date: Approval: (1) (2) (3) This permit was issued in accordance with the provisions set forth in yopur application and ;s subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of \^/heat Ridge, Colorado or any other applicable ordinances of the City. This permit shall expire If (A) the work authonzed is not commenced WIthin sixty (60) days from issue date or (8) the building authorized is suspended or abandoned for a period of 120 days. It this permit expires. a new perrl'llt may be acquired for a fee of one-half the amount normally required. provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. No worK of any manner shall be done that will change the natural now ot water causing a drainage problem. Contractor shall notif)t the Building Insfector twenty-four (24) hours in advance tor all inspections and shall receive written approval on inspection card before proceediing with successive phases 0 thei"Ob. " " The issuance of a permit or the approval 0 drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provIsIons ot~ building codes or any other ordinance, law, rule or regulation. ". (4) (5) (6) Chief Building Inspector