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4030 Ames Street
� 0 ` d O �WTiakECTION RECORD ccupancy/Tyke INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials _ Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath /Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof 9.n? 17b Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Roofing PERMIT - 201706752 �.m PERMIT NO: 201706752 ISSUED: 08/30/2017 JOB ADDRESS: 4030 Ames ST EXPIRES: 08/30/2018 JOB DESCRIPTION: Residential Re -roof to install owens corning class 4asphalt shingles with 14sq house pitch6/12 *** CONTACTS *** OWNER (609)417-4998 ELDRIDGE IAN/REBECCA SUB (303)934-4508 Jason Lewis 090396 Lifetime Windows & Siding *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,082.00 FEES Total Valuation 0.00 Use Tax 169.72 Permit Fee 188.45 ** TOTAL ** 358.17 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. City of Wheat Ridge Residential Roofing PERMIT - 201706752 PERMIT NO: 201706752 ISSUED: 08/30/2017 JOB ADDRESS: 4030 Ames ST EXPIRES: 08/30/2018 JOB DESCRIPTION: Residential Re -roof to install owens corning class 4asphalt shingles with 14sq house pitch6/12 I, by my signature, do heattest 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 ermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. _�1-t Signature of OWNER orONTRACTOR (Circle one) Date 1. This permit was issued base on a in ormation provided in the permit application and accompanying Flans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official '"" Date —70 REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan SchultzC� From: no-reply@ci.wheatridge.co.us Sent: Monday, August 28, 2017 1:03 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 4030 Anes Street Property Owner Name Rebecca Eldridge Property Owner Phone 609-417-4998 Number (enter WITH dashes, eg 303-123-4567) _ 73 Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract becky.b.eldridge@gmail.com Yes R11969 Eldridge Roof.pdf CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) Lifetime Windows and Siding 090396 303-909-0166 2330 Broadway Unit110 Contractor Email Address murray@hailproofsiding.com Retype Contractor Email murray@hailproofsiding.com Address DESCRIPTION OF WORK ; TOTAL SQUARES of Ll4 / the entire scope of work: i Project Value (contract 8082 value or cost of ALL materials and labor) Are you re -decking the No roof? 74 Does the scope of the No project include a flat roof (less than 2:12 pitch)? Does the scope of the Yes project include a pitched roof (2:12 or greater pitch)? How many squares are 14 part of the pitched roof? Describe the roofing Owens Corning Class 4 materials for the pitched roof: Type of material for the Asphalt pitched roof: Provide any additional House 6:12 detail here on the description of work. (Is this for a house or garage? What is the roof pitch? 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. 75 I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Murray Fields Email not displaying correctly? View it in your browser. 76 N r�T' oN r �a 3 o @ � o a o c aQ) T m y-° Tc.QLm Em N m JC c m v o Nar° °ad- o dreoaNi ° `� C3lLL o v No Lc_�oyID pOmvEtvao adco ' y _ V V ammaa`°QOmaa- U a) y tENuouQ .a. ( N 1J c c�rno apm�o-p om yw m } 10 t e a N °,0).:E.amain. ° d�c E Q QOM ®1 a m -d - c L o m � N.� O TC._ Oa,-�OcaOcpE 3rnE m ar Uar °t% a C� m U a) c p'a c a)3nam mad c'v dv?o ani ° ,%o 0 N Q O m m N 0-2 c L 7= C _ a''', a=. a! y C Q ate. 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'ail; 'Jay;eem 'sada;s 'salsJanoJ;uo3 Jogel o; anp eouewJo;Jad;o aJnlle; ay; Jo; algeli aq IOU lleys AueduJoo ayl b 043;o A;plgea3Jo ua ue A ! ! en a 'Pa;oame aq;ou peys;uawaaJ6e sly; ;o suolslnad 6ululewaJ b p ; P I 4j'algeaoJo;uoun Jo p!lenul Sq o; play aq pinoys;uawaaJ6e sly; ;o suolslAOid Aue 41 £ 'A;l;ua Jo uosJad Jay;o Aue o; ;no apew si sloayo;l;oeJ;uo3 sly;;o luawAed Jo; 6ulpls pue smopu!M awl;a;l� o; algeH aq @;s plmJaumoauJoH •suol;da3xa 0u 'ONI4IS (INV SMOONIM 3W113311 o3 algeAed eq;snw;uawAed Jo; s4oayo py •Z •uol;daoxa;no4;!m';uawliedep;!paJo pue;uewa6euew s,Auedwo3 ay; ;o IenoJdde ay; o;;3afgns sl;3eJ;uoo s141 -I 38 1IIM („ 83WOisn:) 3Hl„) `(,,ANVdWOO 3Hi,,) ONIGIOS 4Md SMOONIM 3W1133I1 333MAS i3V81NOO SIH1 SNOUICINOJ CIN'd SW831 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 Og- f. C I Job Address: LIG 3 0 A .,, S'-� Permit Number: © 1-7 0 7 <Z-7) t`-- t ❑ No one available for inspection: Time - A PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: -q,/,? i'7 Inspector: `"T-71,) / / DO NOT REMOVE THIS NOTICE i CITg VUHEA�T RIDGE �(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: _ Job Address: L/ O 3-�- Permit Number: r1 o r -7O l0 7 Sa Mid- G?ool' f)Wmyed ❑ No one available for inspection: Time I -D: 0',-) AM/ Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: 9/, Inspector: T. N 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: � k.-", S Job Address: t-1 Permit Number: . b i 7 G (" / q -2, ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, cali for re -inspection -at 303-234-5933 Date: / Inspector: DO NOT REMOVE TH%S NOTICE I T_- :A CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: " f—l Job Address: L103y 4 -1 -as S7 - Permit TPermit Number: 2 0! 7 o oo y z- 1,/ 1Nf e '!0 'r -fir(t 4A#,%6_t_>bn La G C p G ❑ No one available for inspection: Time �A PM Re -Inspection required: �s No When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: ti..r DO NOT REMOVE THIS NOTICE I v Ij FOR OFFICE USE ONI,. 0— PlanlPennit # *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed.'*` Property Address: �- 0 Z C) � r - oerty Owner Property Owner Email: Eity, State, Zip: Architect/Engineer E-mail: Phone: Contractor. Ro Contractors City License #: (Z Q 12 Phone:3 Contractor E-mail Address: , Sub Contractors* I Y1 +f-, ) C-� I I—:` cto Electrical: C>i_rjS�bp W.R. City License #Curnj?4-o Ki � YM e, 000 -2,1 Cog' C, � Plumbing. - U1006212= mall - W IrAvow-gam- - Phone: Mechanical: WR City License # Complete al] information on BOTH sides of this form . V_76f Q COMMERCIAL ARESIDENTIAL De1Sd2 ion of work: (Check all that apply) ® NEW COMMERCIAL STRUCTURE Q ELECTRICAL SERVICE UPGRADE NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING COMMERCIAL ADDITION RESIDENTIAL ROOFING RESDENTIAL ADDITION WINDOW REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT OTHER (Describe) � C) (For ALL projects,, please provide a dftalled 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.)Y, n C,�� W� -:.q v�d 1 11 S i-' 0`-I I ► y1I V) -1 �1/' ► d ��� .CA -f- o sv v w�� (� b con►�� o -t-v p I L) wmb) V1, EleclY-�CoA ovr Vtk-- ► n� �C�1 ��ct vb�dvl c� �-o- S\,)Vvq !P0yV,+. a. FtJLF Btu's Gallons Amps squares other City of n Wheat �gd 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. l Property Owner(s): tZQ C CN, Project Property: tarized signature of Applicant State of Colorado County of aeTeros I ss E CO W1 The foregoing instrument was acknowledged by me this s} day of �e i,� , 20 17 by t�ecco, Icer e TAMARA D ODEAN NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20164015481 MY COMMISSION EXPIRES APRIL 22, 2020 ! My Commission Expiresz'f/ / zi /20 2e Notary Public f f Melissa Mackey�Vc From: Brian Tardif Sent: Tuesday, January 10, 2017 2:59 PM To: Michael Arellano; Melissa Mackey; William Myers; Kimberly Cook; Brad Umbarger Subject: Stop work order 4030 Ames Street Basement perimeter drain drywall and stud repair elec and sump pump pictures taken. Cyst said perimeter drain cost was 8k there were doing finish work Sent from my iPhone CONSULTING 4030 Ames St, Wheat Ridge, Colorado 80212 Presented To: Ms. Jordan Lopez Complete Basement Systems 3250 Quinton St., Suite 114 Aurora, CO 303-805-8751 jordan@COMDletebasementsystems.net Performed & Prepared By: Mr. Zack Westfall DS Environmental Consulting 12477 W Cedar Dr, Ste 101 Lakewood, CO 80228 (303) 304-1329 Project Details: Project Number: 15566 Conducted: December 19, 2016 Homeowners: Becky & Ian Eldridge PROJECT OVERVIEW 1.0 Introduction 2.0 Scope of Work 3.0 Site Description 4.0 Certifications S.0 Inspection, Sampling & Analytical Procedures S.1 Inspection Procedures S.2 Sampling Procedures S.3 Analytical Procedures 6.0 Homogeneous Areas 6.1 Material Friability 6.2 Material Classifications 6.3 Material Conditions 6.4 Sample Quantities 7.0 Overview of Findings 8.0 Conclusion & Recommendations 9.0 Asbestos Abatement & Demolition Requirements 10.0 Major & Minor Asbestos Spill Response Actions 11.0 Project Design & Project Manager Requirements 12.0 Disclaimer & Limitations 13.0 Copyright Notice APPENDIX A Inspector & Firm Asbestos Certificates APPENDIX B Analytical Data 2 Igas] 1I[wMIN N;WIX&TA 1.0 Introduction On December 19, 2016, Mr. Zack Westfall with DS Environmental Consulting (DS) conducted a limited asbestos inspection and collected asbestos bulk -samples of suspect asbestos -containing materials (ACM) within a portion of the single-family residence located at 4030 Ames St, Wheat Ridge, Colorado. The purpose of the limited inspection was to identify and sample potentially hazardous friable and non - friable ACM that may be impacted by renovation activities. The following are the suspect asbestos -containing materials that were collected and their respective asbestos content: Material Asbestos Content Orange -peel textured surfacing material, joint compound, and drywall None -Detected found on the exterior walls in the basement Wood patterned sheet vinyl found on the basement laundry room floor None -Detected 2.0 Scope of Work The scope of the limited inspection and bulk -sampling was limited to specific areas and materials of the residence defined by the restoration company as listed above. The remaining areas and materials within the residence, garage or any out -building on the property were not included in the scope of the inspection. The limited asbestos inspection did not constitute a full building inspection and does not fulfill the asbestos inspection requirements for structures that are to be demolished. 3.0 Site Description The residence is a single -level, single-family residence with a finished basement and a two -car attached garage built in 1951. 4.0 Certifications The limited asbestos inspection and bulk -sampling was conducted by Mr. Zack Westfall with DS. DS is a Colorado Department of Public Health and Environment (CDPHE) certified Asbestos Consulting Firm, Registration No. 14912. Mr. Westfall is a CDPHE certified Building Inspector; having certification number 22529 (see Appendix A for certificates). 5.0 Inspection, Sampling & Analytical Procedures 5.1 Inspection Procedures The limited asbestos inspection was conducted by an Environmental Protection Agency (EPA) and CDPHE certified Building Inspector. The inspection procedures included identifying and sampling suspect ACM within the pre -defined areas, submitting samples to an accredited laboratory for analysis, classifying the materials and assessing their condition, and compiling a final report detailing the inspection and the analytical results of the bulk -samples. 5.2 Sampling Procedures Statistically random bulk -samples representative of the suspect ACM of each homogeneous area 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 CFR, Part 763 and CDPHE Regulation Number 8, Part B - Asbestos (Reg. 8). DS has collected the appropriate number of bulk -samples to meet all regulatory requirements for the classification and quantity of each homogeneous area. Some minor destructive sampling was conducted; however, walls, columns and perimeter pipe chases were not broken into in order to locate and quantify suspect ACM. It should be noted that additional ACM might be located in these and other inaccessible areas. 5.3 Analytical Procedures All asbestos bulk -samples were analyzed by a National Voluntary Laboratory Accreditation Program (NVLAP) accredited laboratory via Polarized Light Microscopy (PLM) for asbestos content (see Appendix B for laboratory report). The percentage of asbestos within each individual bulk -sample can vary depending on sample location, homogeneity of the material, and the type of application. Any sample reporting a "TRACE" amount of asbestos must be considered positive for asbestos greater than 1% unless it is re -analyzed utilizing the point -count method and verified to be less than 1%. Materials containing less than 1% asbestos are not regulated by CDPHE Regulation 8, Part B - Asbestos. However, all demolition/abatement activities should be performed following the applicable Occupational Safety and Health Administration (OSHA) regulations. This would include, but not limited to, the appropriate asbestos training for the type of material being removed/disturbed as well as having a properly trained supervisor onsite, using wet removal methods, wearing adequate personal protective equipment (NEPA-filtered particulate respirators), medical surveillance of workers, personal -exposure air monitoring, area air monitoring in occupied buildings, etc. There may also be landfill disposal requirements for these materials, depending on the facility. DS recommends that all demolition/renovation areas involving any amount of asbestos be subjected to visual inspections and a final clearance air testing by a CDPHE-certified Air Monitoring Specialist (AMS) after the work has been completed, but before any containments are dismantled and the area is reoccupied. 6.0 Homogeneous Areas A Homogeneous Area (HA) includes materials that are uniform in appearance, color, texture and date of application. The asbestos content of the bulk -samples collected within a homogeneous area can be applied to the entire homogenous area if they conform to the above characteristics and the regulated minimum sample quantities of each type of material are collected and analyzed. 6.1 Material Friability A material can either be friable or non friable. A friable material is one that, when dry, can be pulverized, or reduced to powder by hand pressure, a non -friable material cannot. A non -friable material may become friable if its condition had deteriorated or has been impacted by forces that have rendered it friable. S 6.2 Material Classifications Sampled materials are divided into one of the following three categories: • Surfacing Material: sprayed or troweled onto structural building members • Thermal System Insulation (TSI): any type of pipe, boiler, tank, or duct insulation • Miscellaneous Material: all other materials not classified in the above two categories 6.3 Material Conditions Sampled materials are placed into one of the three following categories of conditions: Good: none to very little visible damage or deterioration Damaged: the surface 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 one-quarter if the damage is localized Significantly Damaged: the surface is crumbling, blistered, water -stained, gouged, marred or otherwise abraded over greater than one-tenth of the surface if the damage is evenly distributed, or one-quarter if the damage is localized 6.4 Sample Quantities DS collected at least the minimum number of samples from each homogeneous area 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. The following outlines the minimum sample quantities required per homogeneous area: • Surfacing Materials: up to 1,000 ft2 of material requires a minimum of three (3) samples; between 1,000 ft2 and 5,000 ft2 of material requires a minimum of five (5) samples; over 5,000 ft2 of material requires a minimum of seven (7) samples; one (1) sample of each patch • Thermal System Insulation (TSI): each homogeneous area 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. • Miscellaneous Materials: collect enough samples sufficient to determine the asbestos content 7.0 Overview of Findings DS collected a total of four (4) asbestos bulk -samples of two (2) homogeneous areas. The following are the suspect asbestos -containing materials that were collected and their respective asbestos content: Material Asbestos Content Orange -peel textured surfacing material, joint compound, and drywall None -Detected found on the exterior walls in the basement Wood patterned sheet vinyl found on the basement laundry room floor None -Detected Table 1 below describes the materials composing each homogeneous area as well as the locations of each bulk -sample collected. Also listed is the classification, condition, friability and estimated quantity of material to be removed and/or disturbed, as well as the asbestos content within each bulk -sample. Please see Appendix B: Analytical Data for the layer break -down of each bulk -sample. § 2 \ 222 V)2E- cu WISS, \ / ® � � / k � § .2 \ ƒ m 2 § d / / / \ � q % o \ � � k3 o U � 3 \ §k k / / \ & 2e $ x •- � � \ / �Qj ■ A c \ } \ \ 4.1 2 « g f � \ \ § § \ § \ § \ § a } CA � . /Z \ / 'A / ƒ �3\//\/\m \ & 4 Q 4 e \ \ \ \ § # e G 8.0 Conclusion & Recommendations Asbestos was not identified within the materials of the residence that were within the scope of the limited inspection and bulk -sampling performed on December 19, 2016; therefore, no professional abatement activities are required to remove or disturb the above -referenced sampled materials. 9.0 Asbestos Abatement & Demolition Requirements If ACM is to be removed or disturbed in a single-family residence, and the total quantity exceeds any of the regulatory trigger levels of 50 linear ft. on pipes, 32 ft2 on other surfaces, or the volume equivalent of a 55 -gallon drum, a CDPHE-certified General Abatement Contractor (GAC) is required to perform the work. The regulatory trigger levels within a commercial building are 260 linear ft. on pipes, 160 ftz on other surfaces, or the volume equivalent of a 55 -gallon drum. In addition, formal notification to CDPHE prior to the abatement of ACM as well as air monitoring, visual inspections, and final air clearances by a CDPHE-certified Asbestos AMS is required. DS can provide the client or building owner with a proposal for project design, abatement oversight and air monitoring upon request. CDPHE regulations allow for the demolition of a building that contains non -friable asbestos -containing materials, such as caulking, mastic or resilient floor tiles. However, demolition must be completed without causing the non -friable ACM to be rendered friable. Burning a building with any ACM is prohibited. Operations such as sanding, cutting, crushing, grinding, pneumatic jacking, etc. of ACM are not permitted. Recycling of building materials such as concrete, metal, or wood that are bonded or contaminated with ACM, e.g. glue, caulking, or mastic is also prohibited. If any of the non -friable asbestos containing materials are to be recycled and rendered friable after demolition (i.e. crushing mastic -coated concrete), these materials must be abated of all ACM prior to shipping offsite for recycling. OSHA regulations regarding occupational exposure during demolition activities is still mandatory. OSHA 29 CFR 1926.1101 requires that workers performing construction -related activities be protected from asbestos fibers in excess of the permissible exposure limit of 0.1 f/cc of air. Contractors are must comply with applicable provisions of OSHA 29 CFR 1926.1101 during demolition and renovation activities. These OSHA provisions include, but are not limited to, PPE and respirators, personnel training, personal - exposure air monitoring, employee medical surveillance, wet removal methods, signage for regulated areas, etc. 10.0 Major & Minor Asbestos Spill Response Actions 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 III.T.1. - Major Asbestos Spills, 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 III.E. (Notifications) and, if in an area of public access, apply for a permit in accordance with subsection III.G. (Permits). • Be exempted from the requirements to have a certified Supervisor on-site at 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 II. (Certification Requirements) of this Regulation, seal all openings between the contaminated and uncontaminated areas and establish none -detected air pressure within the contaminated area in accordance with paragraph III.J. (Air Cleaning and None -detected 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 III.R. (Waste Handling). • HEPA vacuum or wet clean all surfaces in the contaminated area. • Discard all materials in accordance with subsection III.R. (Waste Handling). • Following completion of subparagraph III.T.1.a. through III.T.1.i. above, comply with air monitoring requirements as described in subsection III.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. In the event of an asbestos spill involving less than or equal to the trigger levels, the building owner or contractor should take the following non -mandatory steps: • Restrict entry 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 fibers to other areas in the building. • Seal all openings between the contaminated and uncontaminated areas. This is to be accomplished by using polyethylene sheeting to cover all areas such as windows, doorways, elevator openings, corridor entrances, drains, grills, grates, diffusers and skylights. • HEPA vacuum or steam clean all carpets, draperies, upholstery and other non -clothing fabrics in the contaminated area, or discard all contaminated materials in accordance with subsection III.R. (Waste Handling). • Launder or discard contaminated clothing in accordance with subsection III.R. (Waste Handling). • HEPA vacuum or wet clean all non -fabric surfaces in the contaminated area. • Following completion of subparagraphs III.T.2.a. through III.T.21. of Regulation 8, conduct air monitoring as described in paragraph III.P.3 of Regulation 8. (Final Clearance Air Monitoring and Sample Analyses); 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 work area. 11.0 Project Design & Project Manager Requirements DS can provide an Asbestos Project Design as well as fulfill the Colorado Asbestos Project Manager requirements for any asbestos abatement project, as applicable below. Project Design An abatement Project Design is an accurate and detailed scope of work, which includes project specifications and procedures, containment design/equipment placement, and descriptions of engineering controls and work practices for an asbestos abatement project or response action that is required by CDPHE Regulation Number 8, Part B - Asbestos (Reg. 8) on large asbestos abatement projects. Prior to the start of any asbestos abatement project in a non -school building, where the amount of asbestos -containing material (ACM) to be removed or disturbed exceeds 1,000 linear feet on pipes, or 3,000 square feet on surfaces, or in a school building in which the amount of friable ACM to be abated exceeds 3 linear feet on pipes, or 3 square feet on surfaces, a written Project Design must be developed by a State of Colorado certified Project Designer in accordance with subsection IV.G.7 of Regulation 8. A signed copy shall be posted on-site prior to commencing any abatement activities, shall be available on- site at all times, and shall remain onsite until final air clearances have been completed by a State of Colorado -certified Air Monitoring Specialist (AMS). Project Manager A Project Manager shall be used on all asbestos abatement projects in which the amount of friable asbestos -containing material to be abated exceeds 1,000 linear feet on pipes, or 3,000 square feet on other surfaces per CDPHE Regulation Number 8, Part B - Section III.B.6. An asbestos Project Manager on an abatement project shall be responsible for assessing that the project is conducted in accordance with Regulation 8, assessing that the Project Design is followed, assessing that the abatement project is cleared in accordance with Regulation 8, assessing that the asbestos waste generated on the project is properly manifested and disposed of in accordance with Regulation 8, and communicating these assessments to the building owner or GAC. Project Managers must have proof of Colorado certification as an asbestos Project Designer and Air Monitoring Specialist in accordance with Section II of CDPHE Regulation 8 as well as a minimum of one (1) year of experience supervising, overseeing or monitoring asbestos abatement projects. A 4 -year college degree in industrial hygiene, a degree in environmental health with a major concentration in industrial hygiene, or the possession of a certified industrial hygienist (CIH) certificate given by the American Board of Industrial Hygiene (ABIH) may be substituted for the Colorado asbestos Air Monitoring Specialist course. The GAC shall notify the building owner during bid proposals as to whether or not a project manager is required. Project managers shall be independent of the asbestos abatement contractor and work strictly on behalf of the building owner to the extent feasible, unless the abatement is being performed in-house. Project managers must sign the original copy of the abatement permit for the permit to be valid. 12.0 Disclaimer & Limitations The activities outlined in this report were conducted in a manner consistent with a level of care and expertise exercised by members of the environmental consulting and industrial hygiene profession. All activities were performed in accordance with all applicable federal, state, and local regulations as well as generally accepted standards and professional practice. No warranty is either expressed or implied. DS assumes no responsibility or liability for error in public information utilized, statements from sources other than DS, or developments resulting from situations outside the scope of this project. I The details provided within this report outline the inspection activities on the date(s) indicated and should not be relied upon to represent conditions at a later date, the limited number of bulk -samples collected, and the laboratory results of those bulk -samples. The laboratory results contained in this report apply specifically to the materials in which bulk -samples were collected. The results do not include or apply to any other materials within the structure that were not sampled, but may contain asbestos; including materials that may be hidden or inaccessible. Additional inspection and bulk - sampling activities would be required to determine if any other materials contain asbestos. This report has been prepared on behalf of and exclusively for use by the Client, with specific application to their project as discussed in the scope of work. The results of any surfacing material indicated in this report also includes any associated overspray of that material, e.g., under carpet, above suspended ceilings, etc. The information contained in this report is intended as supplementary material for abatement design and is not to be used as the scope of work for abatement activities, bidding or billing purposes. Contractors or consultants reviewing this report must draw their own conclusions regarding further investigation or remediation deemed necessary. DS can provide a full scope of work for abatement upon request. DS does not warrant the work of regulatory agencies, laboratories or other third parties supplying information which may have been used in the preparation of this report. 13.0 Copyright Notice © DS Environmental Consulting 2016. All Rights Reserved. This document contains material protected under Federal Copyright Laws. No part of this document or any of its contents may be reproduced, copied, modified or adapted, without the prior written consent of the author and DS Environmental Consulting. 10 APPENDIX A INSPECTOR & FIRM ASBESTOS CERTIFICATES 11 R� ov co we r Colorado Deli fnent of Public Health and Environment ASBESTOS CERTIFICATION* This certifies that Zack Westfall Certification No.: 22529 has met the requirements of 25-7-507, C.R.S. and Air Quality Control Commission Regulation No. 8, Part 6, and is hereby certified by the state of Colorado in the following discipline: Building Inspector* Issued: November 02, 2016 Expires: November 04, 2017 Tuts r,Mi—eix fid—tv wuh the prasessina uf. near Ihruiauroppra:ed lmminA' course rerri/teunon iu the danpline dp—fled nbnva °, pythm2pd APCD 0.epresard&6ve SEAL ne ,. c CA .=do D ent 61 hWk rieatm and Environment ASBESTOS CONSULTING FIRM This certifies that DS Consulting, Inc. Registration No.: ACF -14912 has metthe registration requirements of 25-7-507, C.R.S, and the Air Quality Control Commission Regulation No. 8, Part B. and is hereby authorized to perform asbestos consulting activities as required under Regulation No 8, Part B, in the state of Colorado, Issued: November 30, 2016 Expires: January 30, 2018 `Au'JiatsM AKD RBpYMaan— 12 F.,yas iM0,14 :► 7 13 �a J L Q z Z U v U ¢ U _o O � O �y v ap o O cc G L U o� a a R G V U 0. O U Q 'D U J z z z z z z z z z z Q th v N v N n N n N v N n N N z O, C Z z z z z z z z z z a � � U F- d ._ r T a CD 4=. a N M U CIO V) LIM 4� N N Q OQQl� U v U Q U M F 0 0 a U w U P F � � O U o 0 v � G o� ca � w � o z G F U U G O v Q U U U U ^ ^ z z F C-0 L a U a U � T F � V] O U � N � � r 0 � � 3 ° Q U � T L G v z Cl L U F � 4, P A N N N N �5 a> y y y U cC iY , L AE, e FrIT9MI III-$ CONSULTING 4030 Ames St, Wheat Ridge, Colorado 80212 Presented To: Ms. Jordan Lopez Complete Basement Systems 3250 Quinton St., Suite 114 Aurora, CO 303-805-8751 jordan@completebasementsystems.net.net & Prepared By: Mr. Zack Westfall DS Environmental Consulting 12477 W Cedar Dr, Ste 101 Lakewood, CO 80228 (303) 304-1329 r�&VJA Project Details: Project Number: 15566 Conducted: December 19, 2016 Homeowners: Becky & Ian Eldridge PROJECT OVERVIEW 1.0 Introduction 2.0 Scope of Work 3.0 Site Description 4.0 Certifications 5.0 Equipment Information 6.0 Inspection & Testing Procedures 7.0 Overview of Findings 8.0 Conclusion & Recommendations 9.0 Disclaimer & Limitations 10.0 Copyright Notice APPENDIX A Inspector & Firm Lead Certificates 2 • logumbel:IalyjICww 1.0 Introduction On December 19, 2016, Mr. Zack Westfall with DS Environmental Consulting (DS) performed a limited lead-based paint (LBP) inspection and performed XRF testing to determine the presence of LBP on the painted walls, baseboards, doors, and door frames in the basement of the residence located at 4030 Ames St, Wheat Ridge, Colorado. The term "paint" means any liquid mixture, usually of solid pigment in a liquid vehicle, used as a decorative or protective coating. This includes, but is not limited to, primer, lacquer, polyurethane, wood stain, etc. The term "lead-based paint" means any paint having concentrations of lead greater than 1.0 Mg/CM2, which is also Colorado's action level. The painted walls, baseboards, doors, and door frames in the basement were tested for LBP. The tested paint was found to be negative for LBP. 2.0 Scope of Work The scope of the limited LBP inspection was limited to specific areas of the residence defined by the restoration company as listed above. The remaining areas within the residence, garage or any out- building on the property were not included in the scope of the inspection. The limited LBP inspection did not constitute a full building inspection or hazard assessment. 3.0 Site Description The residence is a single -level, single-family residence with a finished basement and a two -car attached garage built in 1951. 4.0 Certifications Mr. Westfall and is a Colorado State Certified LBP Inspector; having EPA Accreditation #22530. DS Environmental Consulting is a Colorado State Certified Lead Evaluation Firm, license #16918. Mr. Westfall is certified to operate the RMD LPA -1 XRF Lead Paint Spectrum Analyzer by the manufacturer (see Appendix A for certificates). S.0 Equipment Information LBP concentrations were obtained using a RMD Model LPA -1 X-ray Florescence (XRF) Lead Paint Spectrum Analyzer, Serial #3317, which is approved by the U.S. Environmental Protection Agency (EPA) and the U.S. Department of Housing and Urban Development (HUD) to determine the concentration of lead in paint. The RMD LPA -1 XRF Lead Paint Spectrum Analyzer was calibrated according to the manufacturer's Performance Characteristic Sheet (PCS). The XRF was calibrated using the calibration standard block of known 1.0 mg/cm2 lead content as well as a standard block of known 0.0 mg/cm2 lead content. Three (3) 3 calibration reading of each block were taken before the inspection began as well as after the inspection was completed. 6.0 Inspection & Testing Procedures The LBP inspection and XRF testing were conducted by a State of Colorado accredited LBP Inspector qualified by experience, education, and training in approved LBP testing techniques. These procedures call for the visual inspection of the areas of concern and the collection of XRF readings for lead concentrations. This inspection was performed in accordance with the U.S. Environmental Protection Agency (EPA) and the U.S. Department of Housing and Urban Development (HUD) guidelines for lead -hazard inspections, as well as the State of Colorado Air Quality Control Commission Regulation No. 19 for the Control of Lead Hazards. The EPA's 40 CFR Part 745 Final Rule (January 5, 2001) set standards for the identification of dangerous levels of lead. The standards identify when lead-based paint, lead -contaminated dust, and lead -contaminated soil are hazards. It also establishes residential dust clean-up levels (post -abatement clearance levels) and set dust and soil sampling requirements. The lead-based paint readings were collected by XRF analyzation for the purpose of determining lead concentrations as mg/cm2. When evaluating this report, it is assumed that according to Chapter 7 HUD guidelines that if one testing combination (i.e. window, door) is negative for lead in an interior or exterior room equivalent, that all other similar testing combinations in those areas are assumed to be negative. The same is true for positive readings. 7.0 Overview of Findings The painted walls, baseboards, doors, and door frames in the basement were tested for LBP. The tested paint was found to be negative for LBP. 8.0 Conclusion & Recommendations Since no LBP was found on the tested components, no further "lead safe" work practices are required when disturbing, removing or impacting the tested components. Additional testing is required if new materials are discovered or the scope of work changes. 9.0 Disclaimer & Limitations This limited inspection does not constitute a comprehensive lead-based paint inspection or full lead - hazard assessment of the building. Other areas not tested and conditions existing outside this scope of work may contain lead concentrations above the regulatory action levels. Consequently, in order to determine whether or not lead-based paint exists within other areas of the building, a full lead-based paint inspection must occur. 10.0 Copyright Notice © DS Environmental Consulting 2016. All Rights Reserved. This document contains material protected under Federal Copyright Laws. No part of this document or any of its contents may be reproduced, copied, modified or adapted, without the prior written consent of the author and DS Environmental Consulting .19 G}". ciDepartment to= ic Health and &rvinairunciat Lead Evaluation Firm Certificate nis certifies that DS Consulting, Inc. LEF No.: 16919 has Met the requirements of 25-7-1104, C.R.S. and Air Quality Control Contairssion Regulation No. 19, and is hereby certified by the state of Colorado to perform tead-based paint evaluation activities in the state of Colorado. Issued: November 10, 2016 Expires: December 02, 2017 SEAL Colorado= ofpub and Environment LEAD-BASED PAINT CERTIFICATION* I his certifies that Zachary Westfall Certification No.: 22530 has met the requirements of 25-7-1)014. CXS. and Air Quality Contrul Cvinnnis,ion Rcolwj.. N. 19, and i, li,oel,y co lified by Lh—cn, or Colorado in the iollo.ing discipline: Inspector* 1.U.d; Novinub-04, 200 Expires: Nct,einher04, 2017 I:epjte ll Dof Old9wt This is to certiN that Zachary Westfall DS Environmental Consulting nn the 26th F Cxicb 21115 succcsaf Op e-itil-cled Lix f.1— W—nig, f., Protec Instrument Corporation )CRF Lead Paint Inspection System 3s Eds. Ifill RM. Xk.Jih—. NIA 02431 SEAL JOB LOCATION: 4030 Ames St Wheat Ridge, CO 80212 21' Bed 1 11' Living 5' 28` rr„ Front/West Bath 17` Bed 2 Laundry ss Q 26' Garage 10` Concrete Removal (sidewalk) 21' 78° LABELS: SPECIFICATIONS: 1. SUPERSUMP - Install SuperSump pump system with cast iron pump, liner, airtight lid with airtight floor drain, CleanPump Stand, and WaterWatch alarm system. The SuperSump pump systems include the most reliable pump available. It is a reliable Zoeller M-53 a 1/3 hp pump that is an efficient and smooth running cast iron pump. In addition, the pump system comes with a WaterWatch alarm system, A CleanPump stand to help prevent dirt and sediment from clogging your pump, and the patented Superliner with an airtight lid. 2. ICE GUARD - Install IceGuard to prevent floods from frozen discharge line. The patented IceGuard System allows water to escape from the Sump Pump's discharge line even if the line freezes or becomes blocked for any reason. 3. WATERGAURD PORT - Install WaterGuard Port for access to WaterGaurd system as indicated in job drawing. A WaterGaurd Port has a removable cover and a knockout in the cover that works as a continuous dehumidifier drain outlet. 4. WATERGUARD - Install WaterGuard sub -floor drainage system as indicated in job drawing. WaterGuard is a patented interior drain system engineered specifically to solve basement water problems effectively without worry of clogging from soils under your basement floor. WaterGaurd has large holes in the back to accept water from around the footer of your basement walls. WaterGuard is a non -clogging alternative to other interior and exterior piping systems that sit in the soil and very often clog. ***LIFETIME TRANSFERABLE WARRANTY**** 5. TRENCH DRAIN - Install TrenchDrain as shown on drawing. The design of the TrenchDrain allows for water to drain into the grate, flow into the patented WaterGuard sub -floor drainage system, and be pumped out of the home as needed. TrenchDrain comes in several different styles: A large size used for traffic bearing and high flow conditions, and a smaller size used for interior foot traffic applications. Both TrenchDrain systems will prevent water damage to your basement environment, and keep your home safe and dry for the life of the structure. Sidewalk- pedetrian traffic only 6. Discharge Line 7. Remove concrete on sidewalk for TrenchDrain. 8. Cut and remove drywall and framing 24" high around the perimeter of the basement. 9. 10. Install two electrical outlets for TripleSafe Sump System. 11. Bury discharge line as shown. PAGE 2 OF 7 CONTRACTOR WILL: w47 �� ii i s ems Specifications Manufacturer Product Basement Systems Inc. 60 Silvermine Rd. WaterGuard XL Seymour, CT. 06483 Part # 01002 800-640-1500 Description WaterGuard XL is a sub floor perimeter drainage system for basements and other subterranean structures. WaterGuard XL is a custom designed PVC extrusion which is installed below the surface of the basement floor and on top of the footing. The WaterGuard XL then channels water seepage from foundation walls, the footin wall joint, and block wall cavities to the sump pump. Use WaterGuard XL can be used to control water in wet basement situations with less disruption and disturbance of the basement floor, footing and subsoil. Furthermore the conduit will not clog from infiltration of fines and silt from surrounding soils. WaterGuard XL Height: 4- 1/2" Waterguard XL overall Width: 4-3/8" Waterguard XL Thickness: .075" Waterguard XL Lengths: T-6" Physical WaterGuard XL Lengths Per Box: 8 (60 Linier Ft.) Properties WaterGuard XL Boxes per pallet: 16 Boxes (960 Linier Ft.) WaterGuard XL Shipping Weight Per Box: 45Lbs. WaterGuard XL Composition: Poly Vinyl Chloride WaterGuard XL Color: Grey Features Wholes every 3" allow free flow of water to enter the system while the built in wall drain on the back side allows water running down the wall to enter the system. Joints are butted together and taped to ensure no concrete is allowed into the system before it sets up. Pre -molded reversible inside and outside corners. A interlocking drain outlet with a 4" drain allows unrestricted waterflow to a sump pump. A custom fitted PVC Inspection port allows visual inspection, system testing or intake drain from a dehumidifier or condensate line. Installation Procedures Remove approximately 5 of floor from the perimeter wall area and a minimum depth of 4" from the floor surface. If the wall is block construction 5/8" weep holes should be drilled into each core of each block. Once the trench is cleaned of all debris WaterGuard is set into place on top of the foundation footing with joints taped, corners, inspection ports, and drain outlet installed. Backfill the front portion of the WaterGuard with clean washed stone to the top of the WaterGuard. Re -concrete the floor area flush with the existing floor. It is assumed the floor is level, if it is not, the sump or drain outlet shall be located in the low point of the floor. mylaz!,e m Specifications Manufacturer Product Basement Systems Inc. WaterGuard® 60 Silvermine Rd. U.S. Patent #5501044 Seymour, CT. 06483 Issued March 26, 1996 800-640-1500 Part # 01000 Description WaterGuard® is a sub floor perimeter drainage system for basements and other subterranean structures. WaterGuard® is a custom designed PVC extrusion which is installed below the surface of the basement floor and on top of the footing. The WaterGuard® then channels water seepage from the foundation walls, the footin wall join, and block wall cavities to the sump pump. Use WaterGuard® can be used to control water in wet basement situations with less disruption and disturbance of the basement floor, footing and subsoil. Furthermore the conduit will not clog from infiltration of fines and silt from surrounding soils. WaterGuard® Height: 4'/4" WaterGuard®overall Width: 3-1/8" WaterGuard® Thickness: .080" WaterGuard® Lengths: 7'-6" Physical WaterGuard® Lengths Per Box: 8 (60 Linier Ft.) Properties WaterGuard® Boxes per pallet: 25 Boxes (1500 Linier Ft.) WaterGuard® Shipping Weight Per Box: 39Lbs. WaterGuard® Composition: Poly Vinyl Chloride WaterGuard® Color: Grey Featu res %"holes every 3" allow free flow of water to enter the system. While the built in wall drain on the backside allows water running down the wall to enter the system. Joints are butted together and taped to ensure no concrete is allowed into the system before it sets up. A interlocking drain outlet with a 4" drain allows unrestricted waterflow to a sump pump. A custom fitted PVC inspection port allows visual inspection, system testing or intake drain from a dehumidifier or condensate line. Installation Procedures Remove approximately 5" of floor and a minimum depth of 4" from the floor surface. If the wall is block construction W, weep holes should be drilled into each core of each block Once the trench is cleaned of all debris WaterGuard® is set into place on top of the foundation footing. With joints taped, corners, inspection ports, and drain outlet installed. Backfill the front portion of the WaterGuard® with clean twice washed stone flush with the top of the WaterGuard®. Re -concrete the floor area flush with the existing floor. It is assumed the floor is level, if it is not, the sump or drain outlet shall be located in the low point of the floor. .Basement E,CEO Responsible Waterproofing' The award-winning WaterGuard° and TripleSafeTM products are industry-leading, state-of-the-art, drainage systems. rip I em felm SUMP PUMP SYSTEM F� ,. ,F, � r == iiu- pier t Special drain outlet takes all the water from the WaterGuard° system to a recommended TripleSafe'm, or other drain. Your local dealer is a member of the Basement Systems waterproofing contractor network. All Basement Systems dealers are trained basement specialists offering a wide variety of basement waterproofing methods. They have access to products designed and manufactured by Basement Systems which are used across the United States, Canada, the United Kingdom and Ireland. Basement Systems dealers offer waterproofing systems that make more sense than outdated methods, so they can serve you best! SupeF WaterGuard° (See the TripleSofeT and SuperSump' brochures for more information.) .3asermed Keep your basement clean and dry, warranted c�� with the non -clogging WaterGuard° System. Responsible Mn Wate (j Li WaterGuard° is a piping system engineered specifically to solve basement water problems effectively without worry of clogging from soils under the floor. It has large holes in the back to accept �1. n �A^„ erwater and a flange with special segments. ti* 4 the perfect solution td bur wet basernontl Th lid, hich'reduce noise,prevents objects from,fallin rf lc + +1 "" drbins water from'the Water gaido and ;in and, keeps rraisturei' insects'and odors from coming • • • " � from, below, thebasement flciar:, and discharges it out cwt of the sump. of the basement. ement. fncl ded with the, eSife- care ��x w�rc1l : vn� car act n ©ut how A crin Ire ur»>r C 0 © 2013 Basement Systems Inc. P/N 1 1400 See Inside op -lb -lis. d' Equipped with a <} Airtight lid 2nd AC backup keeps Pump and a 3rd ba �� out moisture, oors, dbugs, ttery- operated backup radon gas pump. r� and quiets the pump. r Y` WaterGu � Your local dealer is a member of the Basement Systems waterproofing contractor network. All Basement Systems dealers are trained basement specialists offering a wide variety of basement waterproofing methods. They have access to products designed and manufactured by Basement Systems which are used across the United States, Canada, the United Kingdom and Ireland. Basement Systems dealers offer waterproofing systems that make more sense than outdated methods, so they can serve you best! SupeF WaterGuard° (See the TripleSofeT and SuperSump' brochures for more information.) .3asermed Keep your basement clean and dry, warranted c�� with the non -clogging WaterGuard° System. Responsible Mn Wate (j Li WaterGuard° is a piping system engineered specifically to solve basement water problems effectively without worry of clogging from soils under the floor. It has large holes in the back to accept �1. n �A^„ erwater and a flange with special segments. ti* 4 the perfect solution td bur wet basernontl Th lid, hich'reduce noise,prevents objects from,fallin rf lc + +1 "" drbins water from'the Water gaido and ;in and, keeps rraisturei' insects'and odors from coming • • • " � from, below, thebasement flciar:, and discharges it out cwt of the sump. of the basement. ement. fncl ded with the, eSife- care ��x w�rc1l : vn� car act n ©ut how A crin Ire ur»>r C 0 © 2013 Basement Systems Inc. P/N 1 1400 See Inside op -lb -lis. xnd Reliable Way to Solve Wet Basement Problems � Permanently! Basements are imperfect concrete structures built in soils that vary. Water in the soils leaking into basements is a problem that has troubled homeowners for over 100 years. This water will enter the basement through the walls, floors and joints between them. Over the years, contractors and engineers have developed a wide variety of methods to keep basements dry. Some of these methods are more effective than others. Among the best of these methods is to install a sub -floor drainage system along the perimeter of the floor. There are a few challenges to this method, however. One is to keep the drain from being clogged by mud over the years. Many homeowners go years without a water problem and then develop one because of existing sub -floor and sub -surface drains clogging with mud. Another is to set up the system to accept water from the walls without leaving a large unsightly gap at the edge of the floor which can collect dirt and debris from the floor, also clogging the drain. The patented WaterGuard' system is designed to meet these challenges and keep your basement dry permanently. WaterGuard" installation shown with BrightWallO Paneling and vinyl replacement window. @ 2013 Basement Systems Inc. f' 0 #1 1 1 1111101101111661811911140111 F&M1101 ........................ --------------------- ------------------ 4 Winner of the COIA Innovation Prize! B11pIPIP, "See BOCA Evaluation 0 '_ 1! f .0091 Services, Inc. C - 0 A A009 * Research report No. 98,63. 1 1E h1 WaterGuar& has been fully evaluated by the Building Officials and Code Administrators Evaluation Services. WaterGuardO is being installed in New Homes throughout North America. See the book ..Dr. Basement Science for complete information on making your basement dry, usable space! 41 CITY OF WHEAT RIDGE 1 Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office * (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: t_ Job Address: S Permit Number: c� 41 .0C- ❑ No one available for inspection: Time AM Re-Inspection required: Yes When corrections have been made, call for re-inspection at 303-234-5933 Date: J Inspector A _ Ck DO NOT REMOVE THIS NOTICE Nw i i R A PERMIT NO: 201400704 JOB ADDRESS: 4030 Ames ST JOB DESCRIPTION: Install 1.5 ton A /C. ISSUED: 05/22/2014 EXPIRES: 05/22/2015 * * * CONTACTS * * * OWNER (856) 983 -6190 RICE BERMAN SUB (303)456 -7995 Paul Fortenberry 070062 American Heat Coo * ** PARCEL INFO? * ** ZONE CODE: UA / Unassigned USE: / SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT : 0 / * ** FEE SUMMARY * ** ESTIMATED PROJECT VALUATION: 2,870.00 FEES Total Valuation 0.00 ry Permit Fee 60.00 Use Tax 51.66 =Mf ** TOTAL ** 111.66 *** COMMENTS * ** I I City of Wh6at Ogle id ] �COMMMOUNITY DEVELOPNIE�NIT� M= plawftrmit-4 �/-o t I �ooqt 1! 1 In I I Property Address: Property Owner Emaill:-- 0# ! f I I ii I I I I III I I I I I , I I I I I I � !11 � I I ' I � I I I I !I I I I I IIIIIIIIIIIIIIII i I ; I I ii i Mm= Address: Ci!y, State,,Zip-, 9 Contractors City License #: Phone:-3a3—� Plumbing W, R. Qtv License Mechanical: WA. City License # IMIRIM111011", PR "I"IT, ii • #1 • s ri .:t♦ a 1 a s 1 • " a s •ti r a ws• � w ♦ _ + + III ��I lia �, • . :I � - . II w • air• _a ► . • . «. . R # - « 1. s -� Stu's S quares G lion$ CITY OF WHEAT RIDGE 11 FOR, O FFICE USE O o n applioations may notbo p • *. (p tl Addre (if different than property address) Address City, S tate, Zi p: O�A� q 5 cw��Jt' j �d � LLQ Complete all information on BOTH sides of this for Sq. FULF Stu's Gallons Amps Squares tither 1 VCTION RECORD "' °` OccuaancvlTvpe �'1NSP�CTION LI NE: (303) 2 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic fi' so Weatherproof / French Drain Sewer Service Lines Water Service Lines POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landsoaping Plumbing (Underground) "'"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZA TION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. Heating (Underground) FINALS Electrical Plumbing Mechanical R oo f fi' so Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landsoaping "'"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZA TION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER E, rt CITY OF WHEAT RIDGE 1 Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office ' (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type Ano,�` Job Address Y,03a , I w;F s7- Permit Number le5;.5<o y � A+ 1Jr AR 11'1111 t ♦ i CITY OF WHEAT RIDGE r Building Inspection Division f (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: D(J� Job Address: W?C) ewe Permit Number: (EJ ^ rf'A - C_o t, t /14 (. i ty 4o � 1`£S a/r fX 2.. 17 I P7 rn d I (, A NIP, iret u L t '9 it �d FO P r o Jfe 1A t ! No one available for inspection: Time f (? f 79 AM M Re- Inspection required: Yes No When corrections have been made, call for re inspection at 303 Date: 111 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: f `� Permit Number: f() v?S , r f _ z ❑ No one available for inspection: Time 4z pM/ M Re- Inspection required: , es No When corrections have been made, call for re pech n at 303 Date: /i ^, Inspector: DO NOT REMOVE THIS NOTICE " V, 41 City of Wheat Ridge ]�� Residential Roofing PERMIT - 102550 PERMIT NO: 102550 ISSUED: 11/10/2010 JOB ADDRESS: 4030 AMES ST EXPIRES: 11/10/2011 DESCRIPTION: Reroof 13 sqs with 25 yr Tamkoshingles * ** CONTACTS - * ** owner 303/325 -1192 Mary Stano sub 303/463 -5452 Shannon Seale 09 -0465 Master Built Construction ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 3,341.00 FEES Permit Fee 109.20 Total Valuation , pp Use Tax 60.14 ** TOTAL ** 169.34 Conditions: 6 nails per shingle is required. Ice dam membrane is required from eave edge to 2' inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee will be assessed. 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 applicatio d t t assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other i a s, for work under this perm. Plans subject to field inspection. appli.gee Wh�,� 4. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 3. If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. 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 proceeding 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 of the building codes or any other ordinance, law, rule or regulation. All plan review i subject to field inspections. Signature o uilding Official date i r; INSPECT N QUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUES MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. OF "�?T City of Wheat Ridge Building Division' m 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 *fax: 303- 235 -2857 c - o Inspection Line: 303- 234 -5933 Building Permit Application Property Address'. YDJV 444ee-5 Sf Property Owner (please print) S>/a c� Phone: 3Q3- //4 Mailing Address: (if different than property address) Address: City, Sta Zip: _ Contractor: 4n /r" /45le/ 8K,'4 0-oHSkru, 4io✓1 Contractor License #: O9l Q Z1 S Phone: 3 0 - 4 11; 3 - SySa Sub Contractors: - Electrical City License #: Plumbing City License #: Mechanical City License #: Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval Use of space (description): Construction Value: $ 3i 2SD. DO - DeSCrlptionOf Work; (as calculated per the Building Valuation Dafa sheet) R e u t of e mil ReP rgce S L r (Ls ' "/ Plan Review (due at time of submittaq: $ 23'y , j k r r Sq. Ft. /L.Ft added: - Squares /3 BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this .permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record;. that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I. assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESE If ( CONTRATOR) PRINT NAME gee SIGNATURE: Date: 1f I i0 PEP-AR~. ENTOFP~NNING AND DEVELOPM T BUDING.INSPECrrION DIVISION - 235-2855 . CITYOFIWHEAT RIDGE 1 7500 WE$T 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number: Date: 3197 6/3/96 f Property Owner : LUKAS A MAE rroperty Address: 4030 AMES ST contllctor License No. : 18896 Company: Franklin Electric, Inc. Phone: 424-ll631 Phone: 791 7727 OWNER/CO NT CTOR SIGNATURE OF UNDERSTANDING AND AGR EMENT I hereby certIfY J\~.eel\l8Ck clistanc!l$ proposed by this pennft application are a rale, and do notvlolale. Ie ordinan<:as.,rules or regulations of the City of Wheat ge or covenants. sa or restrl!:lion4 of 18COld; that all measurements shown, and llegations _ ate a . _, helI& _ and jIglea to abide by all condltlona printed on his application, and t_lIme flJ" ~ibilll' for COIl)pOance h tho Wheat Building Code (U.B.C.) a aII_ra old anoaa rwo u erthls nnft. (OWNERXCON OR DesCriPtiOn:: INSTALL NEW CIRCUIT AND CONNECT NEW i Total: $220.00 $25.00 $0.00 $2.64 $27.64 Construction Value: Permit Fee: Plan Review Fee: Use Tax : , ~ ning : BUILDING DEPARTMEN USE ONLY SIC: Sq. Ft.: APr-oval : Occupancy: Walls: Roof: Stories : Residential Units : Electrical Lice sa No : Company: i Plumbing License No : Company: . Mechanical License No : Company: i Expiration Dalj:! : Approval: I . l~ Expiration Date: Approval: . Expiration Date : Approval: . . (1) (2) (3) (0) i1ding Inspector ISjPERMIT VAUD ONLY WHEN SIGNED BY THE C EF BUILDING INSPECTOR AND MAYOR : CALL: 234-5933 24 HOURS PRI R TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 'BUilDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: 12e>~*- ),..u.~ '&);;l..1 ;h Property Address: WOO ~ .s+-. L0 k'-'~l dCf ev. Phone: tf-d-lf -()6 31 Contractor License No. . ,3@, I Ii" 7 / <3' fS 9 6 Company: f'{"cAY'\kliVl ~~\ -r-Y\L. Phone: 7<=J1-7?~? OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value. ;;;>.D . Permit Fee: Plan Review Fee: Use Tax: 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 ordin ces, f r work oder this perit. (OWNER)(CONTRA ) SIGN E f&. /.:.3 /9. Description: -::tnS~ ~ C~~e:\-I!#~ Total: ~ ~ BUILDING DEPARTMENT USE ONLY ~9~Lil!;l~~mrfl:~~] Approval: Zoning: l3.1ti1djng:f=omifiii!it!!:;l Approval: Pilblil:1WdtKSli~P!1fjfie\lts:] Approval: SIC: Sq. Ft.: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No : 39.so:.- Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: Jffl !::l"llillS1~eciIiJ~_ Expiration Date: Approval: Ill! ~PI;rns;~if(ilil~~_ Expiration Date: Approval: III !,e.lalfs;Ri\Cluif!ll1_ (4) (5) (6) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and 10 the Zoning Re.9ulatior:s and Building Code ofVVheat Rid~e, ~olorado or any other, aT?pli~ble 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. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required. provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or If suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. No work of any manner shall be done that will change the natural now of water causing a drainage problem. Contractor shall notify the Building Inspector twenty.four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of the job. The Issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. (1) (2) (3) Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION "!lj!'Ni'l.;~_'<<'IIf,"~,''''iI!!'~l~"','',' """'f,~,.,"",~I.~'M~,,,,,,,,,, "i"",.,~~IfI~,II."",,_,,~~.,_., i"_,..",,,,,,.,,,,_,..,.,JJlI:I!I."""'J~!!t .,...... ....... '..-,.- .... .,...... .'.. ..... . .'. "'.', ,- " .,' ',' .... .:.-. -,- ..... ,"- . QEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 3158 BUILDING INSPECTION DIVISION - 235-2855 CITY Of WHEAT RIDGE Date: 5/28/96 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Pl'Operty Owner: LUKAS A MAE Property Address: 4030 AMES ST Contractor License No.: 17724 Company: Alert Heating Service. Inc. Phone: 424-0631 Phone: 5711171 Construction Value : Permit Fee : Plan Review Fee: UseTax: OWNEiAJCONTRACTO~ SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby"certify thatlhe aetback d~tances proposed by this pennft application are accurate, and do no. t violate aPPllcab. Ie ordinanoaa, rules or regulallons of tile City of Wheat Ridge or covenallls. easemoi1ts or restrictions of 18COld; that all measurements shown, and allegations _.. ac:c:uraie;thatl hiMIreH and rea to abide by all condftions printed on this llJlPIicll!Ion. and that I _me full for compOanoa wfth the Wheat Ridge Building COlle (l.I.a.c.) and all other appl t idge 0 '~ r1< under ~f."~1'_ (OWNlill.)(CONTRACTOR) SIGNED C}I. A~ Total: $1.900.00 $43.00 $0.00 $22.80 $65.80 Description : REPLACE FURNACE BUILDING DEPARTMENT USE ONLY SIC: Sq. Ft. : Approval: ()(:cupancy : Walls: Roof: Stories : Residential Units : Electrical License No : Company: Plumbing License No : Company: MeChanical License No : Company: Expirliltion Date: Approval : . Expiration Date : Approval: . Expiration Date : Approval: . (1) 'Thlapormlt _.iIlI<l8d In _nos WIIh tho __Ions set fortllln yapur appIlcatIon and Is sublacl '" lI1e _ olll1e Sta'" ol Colorado and '" lI1e ZOnIng .ReguIaIlons and IIuIldinoI ~ 01 Wheat!lklll8, COOo<adO or any oII1er _iCabla ordInanoosol the CIty. (2) , ThIa parmIt 00/11II""",", a (AI the wOrk authorizad Is not commenced with). sJxty (00) days from issue dala or (8) tho building authorIzad is ~ or .al>IndOnad lor a pertod~oll20 . (3) ff IhIa pannIl explfea, a _ may be acquJnld for a fae ol ona-half tha amount nonnally raqulnld. provided no changes haW -. or wID be ,-In Iha odgInal plena ai'tct "" Mand any IUID8naion or ab81idonment has not exceeded one (1) year. If dumges8f8 made or If suspensIOn or abandonment _one (1)","" M1__ be paldl'ora __ (451 No_ol any _r _ be \lOllS IhalwlllChanllBlha n_ no. olwater causing a dralnaga problem. ( conltactor _ notIfY lI1e BuIIdIn; Ir= ~.four (l!41 hours In advance for all fnspectlons and shall _ wrtllan approval on Inspection canl befora (8) '"\':I::=r: ~~~ and specIIIcatlons shall not be constJUed '" be a pennil for, nor an approval ol. any violation olthe provlaIons . oranyon:t ,taw. rule or reguletlon. U ief Building Inspector THIS PEltMlT VAUD ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-6933 24 HOURS PRIOR TO INSPEcnON If::lJ DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: . BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: Property Address: Contractor License No. : Company: Ko QQ..v-f lu \<.05 ~06D ,P.xlUS W'lvo..-\....i c\3~' \ lId'-\- p-. \ -e d \<k Cl -\i '"'5 Q~ylY\p::"- \'^- \ Phone: .b.<\ -CJto :s I Phone: S'l \-\ \--\\ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: 1 ClOD"" Permit Fee: Plan Review Fee: Use Tax: 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 '?1?\at Ridge or in~~~or work under this permit. (OWNER)(CONT TOR) SIGNED ~u.A-L a . ~ l'\ DATE~ , Total: Description: \~ , \.A 'f VI Cl0-..- BUILDING DEPARTMENT USE ONLY ~bn,!!g~gl[riiJj'iei'i~ Approval: Zoning: B.!!i!!!i~~!!1lften~-;1 Approval: f'.Il.llli~Vl!9l:~Qomifj!jljts:J Approval: Occupancy: Walls: SIC: Sq. Ft.: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: 1:1 f;f'I!i'jj~J~!!1ifll~~ Expiration Date: Approval: 1lI1.~lal1-:~:J~~JiUI~J1._ Expiration Date: Approval: 1111 ~I!in!fij~lilf~_ (1) (2) (3) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and BuildinQ Code of Wheat Rid~e, 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 (6) the building authorized is suspended or abandoned for a period of 120 days. _ . If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required. provided no changes have been or will be made In the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and Shall receive written approval on inspection card before proceediing with successive phases of the job. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. (4) (5) (6) Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION