HomeMy WebLinkAbout3865 Allison Street1* � � i City of Wheat Ridge
�� Residential Solar PERMIT - 202101526
PERMIT NO: 202101526 ISSUED: 07/16/2021
JOB ADDRESS: 3865 Allison St EXPIRES: 07/16/2022
JOB DESCRIPTION: Re attaching 24 panels to the homeowners roof. 4.92 KW 24 Panels
*** CONTACTS ***
OWNER (3 0 3) 717-1218 R I GO SAMANTHA
SUB (303)954-0463 Nathan Billmaier 180308 CJR Partners
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 41700.00
FEES
Total Valuation 0.00
Residential Solar 500.00
** TOTAL ** 500.00
*** COMMENTS ***
*** CONDITIONS ***
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
Approved per plans and red -line notes on plans. Must comply with 2018 IRC, 2020 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
I, by my signature, do hereby attest that the work to, be performed shall comply with all accompanying approved plans and specifications,
applicae building codes, and all applicable municpal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this�permrt. I further attest that I am leg ally authorized to include alI entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
07/16/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
ELEMENT
J Building Sciences
ASBESTOS INSPECTION REPORT
Rodriguez Residence
3865 Allison St.
Wheat Ridge, CO 80033
Report Date: November 25, 2020
Inspection/Testing Date: November 25, 2020
EBS File: 20-11134
Prepared by:
Ryan Crump
Colorado Certified
Asbestos Building Inspector, 25005
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Limited Scope of Report
The asbestos inspection performed for client was designed to identify suspect asbestos containing building materials in
the affected areas of the above -referenced subject property as they existed at the time of the inspection. The inspection
was limited to those areas that were visually and physically accessible. The inspection was not a risk assessment,
physical inspection of systems, structure, or components of the subject property, as it relates to their serviceability.
The inspection was performed in accordance with the Standards of Practice of the Colorado Regulation 8 Part B in effect
at the time of this Inspection. This inspection is not intended to be technically exhaustive.
The Inspector has prepared this written asbestos Inspection Report for the sole use and benefit of the client. The
asbestos inspection report shall identify, report, and make recommendation for future evaluation. Client agrees to read
the entire asbestos inspection report when received and shall promptly call the inspector with questions or concerns
regarding the report. The use of this report and information contained herein by others, in whole or in part, is not
authorized without the written mutual consent of the client and Element Building Sciences (EBS).
Purpose and Scope
The purpose of this inspection was to conduct a visual asbestos inspection and to collect necessary samples to
determine the presence or absence of asbestos within the subject property in the affected areas only.
The scope of this report included a visual inspection of all affected rooms and/or areas throughout the subject property
for visible suspect ACM (asbestos containing materials). This does not include any materials that were covered or
hidden by walls, structures, carpeting, wood flooring, multiple layers, wallpaper, texturing, etc. However, the Inspector
made every reasonable effort to access and identify all suspect ACM. Bulk asbestos samples were randomly collected
from homogenous areas of suspect ACM by the above-named Inspector, an EPA/State of Colorado Certified Asbestos
Inspector.
Homogenous areas are defined as any area with the same material, texture, and color. If any of these variables differs
between materials or if for any reason the inspector feels the materials might be different in any respect (such as
materials being installed at different times even though they appear similar), separate sets of samples must be taken
from each homogenous area. Representative bulk samples were taken from similar materials, but this does not
guarantee that materials of similar appearance are of the same composition. Even similar materials are subject to
uneven mixing and distribution and random sampling can miss ACM. EBS used reasonable diligence and its professional
judgment consistent with industry standards to identify all suspect ACM.
Performance of this asbestos inspection is intended to reduce, but not eliminate, uncertainty regarding the presence of
ACM relating to the above referenced property. No guarantee: EBS cannot be held accountable for restrictions placed
on us by the client, conditions or information that remained unknown, or areas that were inaccessible at the time of the
inspection.
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Bulk Samples were analyzed by Polarized Light Microscopy (PLM) in general compliance with guidelines established by
the US EPA (40 CFR Part 763, Subpart F, Appendix A). Asbestos concentrations were visually estimated and/or point
counted by the laboratory and reported in percent for each layer of the sample.
The assessment was executed in accordance with the authorized scope of work. If the scope of work is changed, the
inspector must be informed, and an addendum made to this report. This report is solely a record of activities,
observations, analytical results, and recommendations performed to date.
Regulatory Review
EPA and the Colorado Department of Public Health and Environment (CDPHE) regulate all building materials that contain
greater than 1% asbestos as determined through PLM Analysis. OSHA regulates all building materials that contain
smaller amounts of asbestos (even trace concentration as determined by PLM analysis).
EPA and CDPHE Regulation No. 8, Part B, requires that suspect ACM in buildings built prior to 1988 be assumed to be
asbestos or an inspection be conducted prior to demolition or remodeling activities that could disturb ACM. However,
with the North American Free Trade Agreement in effect and trade with countries such as Canada, Mexico, and China, it
can never be determined that a material is not asbestos containing (even if it was produced after 1988) unless it is
tested by a state -certified inspector.
The EPA and CDPHE require all friable and non -friable ACMs in the affected area(s) be removed prior to renovation
activities that may disturb the ACM, and all friable ACM must be removed prior to demolition. Removal or management
of regulated ACM is only required if they may be damaged or disturbed during remodeling, demolition, or burning.
In some circumstances, "point count' analysis is required for bulk samples previously analyzed by PLM. Point counting is
a more detailed means of analysis than standard PLM. Federal and State agencies define ACM as materials containing
greater than 1% asbestos. The NESHAP regulation requires that if standard PLM analysis determines that a sample
contains less than 10% asbestos, the material must be considered asbestos containing or be point counted.
Even if the sample is less than 1% by standard PLM, the material either must be assumed to be ACM or point counted. If
the point counting analysis is different than the PLM analysis, the point counting results take precedence over the PLM.
If standard PLM analysis determines that a material has no asbestos or that the material contains greater than 10%
asbestos, point counting is not necessary.
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Background
The inspector was called to the subject property by Tomas Mejia from Puroclean after fire and smoke impacted the
garage, living room, dining room and kitchen. Mr. Mejia requested this asbestos inspection before allowing any work to
begin in the home.
• Plaster w/ Surfacing Material
• Blown in Insulation
• Fiberboard
Sampled Building Materials
Homogeneous Areas
(HA in RED is asbestos containing)
• Homogeneous Area 1: Plaster w/ Swirl Surfacing Material 319 sf
➢ Main Level, Living Room —Ceiling
➢ Main Level, Dining Room —Ceiling
• Homogeneous Area 2: Plaster w/ Stipple Surfacing Material 121 sf
➢ Main Level, Kitchen—Ceiling
• Homogeneous Area 3: Plaster w/ Brush Stomp Surfacing Material 154 sf
➢ Main Level, Garage— North Wall
• Homogeneous Area 4: Blown in Insulation N/A
➢ Main Level, Living Room —Ceiling
• Homogeneous Area 5: Fiberboard N/A
➢ Main Level, Garage—Walls
Sampling
The Inspector determined that it was necessary to collect 13 bulk samples from the various homogenous a
the Asbestos Sampling below for exact areas). All samples were submitted to an accredited third -party in a�••pb�� 9Ha4.a
laboratory. The laboratory results are attached to and incorporated into this report. CJ @w
CAA
In
Testing Locations
(Samples in RED are asbestos containing)
SM =
Surfacing Material
SD
Material
TSI =
Thermal Systems Insulation
D =
Damaged
MM
= Miscellaneous Material
Sample
Good
Material
HA
Sample
Category
Friable
Condition
Asbestos
Location
Description
ID
(TSI,SM,MM)
Content
1C
Main Level,
Living Room —
Plaster w/
1
2C
Ceiling
SM
Swirl
Yes
Damaged
ND
Texture
Main Level,
3C
Dining Room —
Ceiling
4C
Plaster w/
2
5C
Main Level,
SM
Stipple
Yes
Damaged
ND
Kitchen —Ceiling
Texture
6C
7W
Main Level,
Plaster w/
3
SW
Garage—
SM
Brush Stomp
Yes
Damaged
ND
North Wall
Texture
9W
101
Main Level,
4
Living Room —
MM
Blown in Insulation
Yes
Damaged
ND
Ceiling
111
12FB
Main Level,
5
Garage—
MM
Fiberboard
Yes
Damaged
ND
West Wall
13FB
SM =
Surfacing Material
SD
= Significantly Damaged ND = None Detected
TSI =
Thermal Systems Insulation
D =
Damaged
MM
= Miscellaneous Material
G =
Good
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Conclusion
Asbestos containing building materials WERE NOT found in the samples analyzed by the laboratory. The affected
building materials DO NOT need to be removed by a certified abatement company.
Overview of Main Level, Living Room
HA 1— Sample Site 1C
HA 1— Sample Site 2C
HA 4 —Sample Sites 101, 111
Overview of Main Level, Dining Room
Overview of Main Level, Kitchen
HA 2—Sample Site 4C
HA 2 —Sample Site 5C
HA 2 — Sample Site 6C
Overview of Main Level, Garage
HA 3 — Sample Site 7W
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CAA
HA 3 —Sample Site 8W
HA 3 — Sample Site 9W
HA 5 —Sample Site 12FB
HA 5 — Sample Site 13FB
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Ryan Gurp
Element ldng Sol
Word Ct
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Welorrini 80031
Dear Pym
Resao w, limmnmenR( Inc Is an amlyrlal laboratory accredited for the analyss of IntlusblaI Hygiene and
matrices by the Rachel bill E mamry Accreditation Pascal (Ni. Laid Com
1018964) for Transmission EIa4m Microscopy ITEM) and Pool G96t Alummq (PIMI numbers ad Me
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Robertson, Environmental, Inc Samples will be disposed chaffer sub doeslnless lomAaraSmge d rmuesi
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P�:nl Fort Rise 479286 1
Mad. # 20.11134impact doctrine, Rl...
Ryan Gurp
Element ldng Sol
Word Ct
sul1
Welorrini 80031
Dear Pym
Resao w, limmnmenR( Inc Is an amlyrlal laboratory accredited for the analyss of IntlusblaI Hygiene and
matrices by the Rachel bill E mamry Accreditation Pascal (Ni. Laid Com
1018964) for Transmission EIa4m Microscopy ITEM) and Pool G96t Alummq (PIMI numbers ad Me
Induratingsmall Hyyaoe AssoclNm (All Lab IS 101533 - collector Car mos ]CPo or Phase
pvamnControlvmpol(PCLA) anal This laboratory u tory currently mogul In hold Physical heshrg and PAT
m
mperrveN
aaeaenlrs EmimnmeritS Inc has amlyaed the nuorvmg sample for aaaazlm deal as per your mgcert
ny",has comptle m emerzelectrical pull val e appya le immobmom m N
as staled e
aNaAetl
began
TheresulshmebeensubmiMdtorecu ce
RES 47921854 as Inc ase numbe, assidnet to
s sorm The report a
highly
ode prompt et WChapter Receivers Envirental containing
Environmental. Inc will may tlt
se any can of lse try vAN
painful otherthan Lksse of Lhe Drop TM results recall In this occur ads apply to the samplesamlyi.
Ind, repel must not be mad to claim enrbsemenl of promote orampecal results by NVLAP or any mi nW of
the US nreproducedrepair e reproduced e,,hA in approval mont
Robertson, Environmental, Inc Samples will be disposed chaffer sub doeslnless lomAaraSmge d rmuesi
Ifyau have arrygmslionsaMN this report pleme Sel Ree to cal 33y9611986.
Sltcerely,
Jeer he Sperm
President
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Element Building Sciences (EBS) assumes no liability for any loss, injury, claim or damages arising directly or indirectly
from any use or reliance on this report or the opinions expressed herein. EBS makes no risk assessment, warranty,
guarantee or insurance policies of any kind, express or implied. This report is limited only to the samples taken and
locations sampled. There are no risk assessments, warranties, guarantees, or insurance available or provided by EBS.
Additional sampling may be needed to further identify other pollutants, or other mold/fungus affected areas inside the
subject property.
This report was prepared pursuant to the contract EBS has with the client. That contractual relationship included an
exchange of information about the subject property that was unique and between EBS and its client and serves as the
basis upon which this report was prepared. Because of the importance of the communication between EBS and its client,
reliance, or any use of this report by anyone other than the client, for whom it was prepared, is prohibited and therefore
not foreseeable to EBS. No warranty is made. EBS liability and that of contractors and subcontractors arising from any
service rendered hereunder shall not exceed the total fee paid by the client to EBS.
Thank you for the opportunity to work with you on this project. Please call at 720.537.0963 with any questions or
concerns. Thank you.
Sincerely,
Ryan Crump
Element Building Sciences
Colorado State Certified
Asbestos Inspector, 25005
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jELEMENT iling es
XRF Lead -Based Paint Inspection Report
Rodriguez Residence
3865 Allison St.
Wheat Ridge, CO 80033
Build Date: 1957
Report Date: November 25, 2020
Inspection/Testing Date: November 25, 2020
EBS File: 20-11134
Prepared by:
Ryan Crump
Colorado Certified
Asbestos Building Inspector, 25005
Lead Based Paint Inspector, 25175
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Limited Scope of Report
The LBP inspection and XRF Testing performed for client was designed to determine the presence of
lead-based paint in the affected areas of the above -referenced subject property as they existed at the
time of the inspection. The inspection was limited to those areas that were visually and physically
accessible. The inspection was not a risk assessment, physical inspection of systems, structure, or
components of the subject property, as it relates to their serviceability.
The Inspector has prepared this written Lead Based Paint Inspection Report for the sole use and benefit
of the client. The inspection report shall identify, report, and make recommendation for future
evaluation. Client agrees to read the entire inspection report when received and shall promptly call the
inspector with questions or concerns regarding the report. The use of this report and information
contained herein by others, in whole or in part, is not authorized without consent of the client and/or
Element Building Sciences (EBS).
Certification
Ryan Crump is a Colorado State Certified LBP Inspector having EPA Accreditation #25175
Purpose and Scope
The purpose of this limited LBP inspection and XRF testing was to determine the presence or absence of
lead-based paint within the subject property in the affected areas only. The term "lead-based paint"
means any paint or stain having concentrations of lead greater than 1.0 mg/cm2, which is also
Colorado's action level. Lead -Based paint can be found in any liquid mixture, usually of solid pigment,
used as a decorative or protective coating. This includes, but is not limited to, primer, lacquer,
polyurethane, wood stain, etc.
The scope of this report included a visual inspection of all affected rooms and/or areas throughout the
subject property for lead-based paint. This does not include any materials that were covered or hidden
by walls, structures, carpeting, wood flooring, multiple layers, wallpaper, texturing, etc. However, the
Inspector made every reasonable effort to access and identify all suspect lead based paint.
EBS used reasonable diligence and its professional judgment consistent with industry standards in -order
to identify all suspect lead based paint.
Performance of this lead-based paint inspection and XRF testing is intended to reduce, but not
eliminate, uncertainty regarding the presence of lead-based paint in -connection with the above
referenced property. The limited LBP inspection does not constitute a full -building lead-based paint
inspection or hazard assessment. No guarantee: EBS cannot be held accountable for restrictions placed
on us by the client, conditions or information that remained unknown, or areas that were inaccessible at
the time of the inspection.
a°
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Background
EBS was contacted by Tomas Mejia of Puroclean. Mr. Mejia requested a lead inspection prior to
removing material after fire and smoke impacted the kitchen, living room, dining room and garage.
Preface — Lead Testing
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) EBS 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 EBS 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.
Testing Protocol
(A) A residential dwelling, built in 1978 or prior, school and/or child -occupied facility, each
interior and/or exterior component with a distinct painting history, that is going to be disturbed
during renovation or remediation activities shall be tested for lead based paint, or has been
given documentation by a certified architect or Colorado State Lead Inspector, stating the
building materials do not contain lead-based paint.
(B) A multi -family dwelling, built in 1978 or prior, school and/or child -occupied facility, each
component with a distinct painting history that is going to be disturbed during renovation or
remediation activities in every common area, shall be tested for lead-based paint, or must be
been given documentation, by a certified architect or Colorado lead-based paint inspector
stating the building materials do not contain lead-based paint.
Sampling
LBP concentrations were obtained using a RMD Model LPA -1 X-ray Florescence (XRF) Lead Paint
Spectrum Analyzer, Serial #4152, 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. Thre
5 pbboIt gs,o
(3) calibration reading of each block were taken before the inspection began as well as after ,.� o�
inspection was completed. 11`a %
Lead Testing Results
(Samples in RED contain Lead Greater than the action level for the State of Colorado of 1.0 mg/cm2)
*Per the manufacturer, the existence of negative values should be expected and interpolated as zero lead content
due to statistical nature of XRF measurements.
Conclusion
Lead-based paint or lead containing building materials WERE NOT found in the affected
building materials. The affected paint DOES NOT require further "lead safe" practices or need
to be removed by a certified company.
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XRF Reading
Room
Component
Color
mg/cm2
(I
Main Level,
Ceiling
White
-0.1
Living Room
Main Level,
Ceiling
White
-0.2
Dining Room
Main Level,
Ceiling
White
-0.2
Kitchen
Main Level,
Wall
Gray
0.1
Garage
*Per the manufacturer, the existence of negative values should be expected and interpolated as zero lead content
due to statistical nature of XRF measurements.
Conclusion
Lead-based paint or lead containing building materials WERE NOT found in the affected
building materials. The affected paint DOES NOT require further "lead safe" practices or need
to be removed by a certified company.
/6 rbbotl qy9 4\
XRF Calibration
Overview of Main Level, Living Room
Main Level, Living Room Ceiling Sample
Overview of Main Level, Dining Room
Main Level, Dining Room Ceiling Sample
/6 pbbotlgg9 4\
U-0
Overview of Main Level, Kitchen
Main Level, Kitchen Ceiling Sample
Overview of Main Level, Garage
Main Level, Garage Wall Sample
/6 pbbotl qy9 4\
EBS assumes no liability for any loss, injury, claim or damages arising directly or indirectly from any use
or reliance on this report or the opinions expressed herein. EBS makes no risk assessment, warranty,
guarantee or insurance policies of any kind, express or implied. This report is limited only to the samples
taken and locations sampled. There are no risk assessments, warranties, guarantees, or insurance
available or provided by EBS. Additional sampling may be needed to further identify other pollutants, or
other mold/fungus affected areas inside the subject property.
This report was prepared pursuant to the contract EBS has with the client. That contractual relationship
included an exchange of information about the subject property that was unique and between EBS and
its client and serves as the basis upon which this report was prepared. Because of the importance of the
communication between EBS and its client, reliance or any use of this report by anyone other than the
client, for whom it was prepared, is prohibited and therefore not foreseeable to EBS. No warranty is
made. EBS liability and that of contractors and subcontractors arising from any service rendered
hereunder shall not exceed the total fee paid by the client to EBS.
Thank you for the opportunity to work with you on this project. Please call at (720)537-0963 with any
questions or concerns. Thank you.
Sincerely,
Element Building Sciences
Colorado State Certified
Asbestos Inspector, 25005
Lead Based Paint Inspector, 25175
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and Envimtuvmt
Lead Evaluation Firm Certificate
This sonifies Ilial
Element Building Sciences Co., LLC
LEF No.: 25164
has and the requirenena of 25-9-1104, C.R.S. and Au Quality
Control Commission Regulation No. 19. and is hereby certified by
the state of Colorado to perform lead-based paint evaluation activities
in the stem of .I,rado.
homed: Deeember It, 2019
Expires: December 11, 202D
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rtF aL JJJ
Cnlaaada DePaul
of Public Health
andfnvwnmmt
LEAD-BASED PAINT
CERTIFICATION*
This vcr ifes thio
Ryan Crump
Certification No.: 25175
hes mer the requirements of25-0-1104, Cli and Air Quality Control
Commission Regulation No. 19, and is hereby cei ified by the stem of
Colorado in the following discipline:
Inspector -
based: Jan.., SJ, 2019
Expires: January 23. 2022
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auto -Owners
INSURANCE
LIFE HOME • CAR • BUSINESS
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CAA
1119 Dy�o
Auto -Owners Insurance Company
Home -Owners Insurance Company
Owners Insurance Company
Property -Owners Insurance Company
Southern -Owners Insurance Company
Insured:
JAIME RODRIGUEZ
Home: (303) 717-1218
Property:
3865 ALLISON ST
WHEAT RIDGE, CO 80033-4529
Home:
3865 ALLISON ST
WHEAT RIDGE, CO 80033-4529
Claim Rep.:
Zach Rudd
Business: (303) 262-1015 x 55784
Position:
Field Claim Rep
E-mail: rudd.zach@aoins.com
Company:
Auto -Owners Insurance
Business:
PO Box 6490
Broomfield, CO 80021
Estimator:
Zach Rudd
Business: (303) 262-1015 x 55784
Position:
Field Claim Rep
E-mail: rudd.zach@aoins.com
Company:
Auto -Owners Insurance
Business:
PO Box 6490
Broomfield, CO 80021
Claim Number: 300-0451635-2020
Date Contacted: 11/23/2020 4:00 PM
Date of Loss: 11/17/2020
Date Inspected
Date Est. Completed
Price List
Estimate
11/24/2020 9:00 AM
3/1/20212:25 PM
Policy Number: 4973400004
CODE8X_FEB21
Restoration/Service/Remodel
JAIME_RODRIGUEZ 1
Type of Loss: Fire
Date Received: 11/18/2020
Date Entered: 11/24/2020 9:03 AM
NOTICE: This is a repair estimate only and not an offer of settlement. All estimate figures may be subject to additional
company review and approval. This is not an authorization to repair or guarantee of payment. Authorization to repair and/or
guarantee of payment must come from the owner of the property. The insurer assumes no responsibility for the quality nor any
deficiencies in repairs.
Please schedule a courtesy inspection with inspector and review project scope and additional requirements
due to the fire.
Scope of the work to be performed shall consist of the items detailed in the structural report and the items
address in this document.
All Electrical devices and NM wiring exposed to hose spray or water shall be replaced per article 110.11 of
the 2020 NEC.
Gas fuel piping system shall be placed under test if gas meter has been locked off.
Domestic water piping system and DWV that was exposed to fire or heat may need to be placed under test.
Smoke alarms shall be installed per code section R314.2.2 of the IRC
Carbon Monoxide alarms shall be installed per code section of R315.2.2
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auto -Owners ICLAAA Auto -Owners Insurance Company
INSURANCE c Home -Owners Insurance Company
Owners Insurance Company
LIFE HOME CAR BUSINESS 1n9 Dy�O Property -Owners Insurance Company
Southern -Owners Insurance Company
JAIME_RODRIGUEZI
General
DESCRIPTION QUANTITY UNIT PRICE TAX O&P RCV DEPREC. ACV
1. Taxes, insurance, permits & fees (Bid 1.00 EA
0.68
Removal of soke damaged areas prior to media blasting.
1,935.81
OPEN ITEM
Item)
8. Clean concrete the floor 402.99 SF
0.32
9. 2" x 4" x 10' #2 & better Fir / Larch 2.00 EA
9.60
***STORAGE***
NOTE: This is to replace the burnt section of the double top plate.
10. 2" x 4" x 8' 42 & better Fir / Larch 5.00 EA
2. Job -site cargo/storage container - 20' 2.00 MO 87.83 14.05
35.14
224.85
(0.00)
224.85
long - per month
71.19
JAIME_RODRIGUEZ 1
NOTE: Storage container needed to store the solar panels when removed from the roof.
3. Provide furniture heavyweight 48.00 EA 16.97 65.16
162.92
1,042.64
(0.00)
1,042.64
blanket/pad
NOTE: This is to use 2 blankets per solar panel to protect in storage.
4. Inventory, Packing, Boxing, and 28.00 HR 43.19 0.00
241.86
1,451.18
(0.00)
1,451.18
Moving charge - per hour
NOTE: This is for 2 guys @ 8 hrs each to wrap and store the solar panels once they are removed from the roof, with an additional
6 hours
each to
unwrap and remove from storage prior to install by others.
5. Final cleaning - construction - 1.00 SF 0.28 0.00
0.06
0.34
(0.00)
0.34
Residential
Totals: General
79.21 439.98 2,719.01 0.00 2,719.01
SKETCHI (RODRIQUEZ_FIRE)
Main Level
Garage Height: 8'4"
673.28 SF Walls 402.99 SF Ceiling
1076.26 SF Walls & Ceiling 402.99 SF Floor
44.78 SY Flooring 8 1. 10 LF Floor Perimeter
8 1. 10 LF Ceil. Perimeter
DESCRIPTION QUANTITY UNIT PRICE TAX O&P RCV DEPREC. ACV
6. Masonry acid wash 1,076.26 SF
0.68
Removal of soke damaged areas prior to media blasting.
1,935.81
7. Soda blasting 673.28 SF
2.35
8. Clean concrete the floor 402.99 SF
0.32
9. 2" x 4" x 10' #2 & better Fir / Larch 2.00 EA
9.60
(material only)
NOTE: This is to replace the burnt section of the double top plate.
10. 2" x 4" x 8' 42 & better Fir / Larch 5.00 EA
7.68
(material only)
NOTE: This is to replace the burnt studs on exterior wall.
11. Carpenter - General Framer - per hour 12.00 HR
71.19
JAIME_RODRIGUEZ 1
2.58
37.16
0.32
1.54
146.38
880.82
316.44
1,935.81
25.80
155.08
3.84
24.58
(0.00) 880.82
(0.00) 1,935.81
(0.00) 155.08
(1.15) 23.43
3.07 7.68 49.15 (2.29) 46.86
0.00 170.86 1,025.14 (0.00) 1,025.14
3/1/2021 Page:2
auto -Owners
INSURANCE
LIFE • HOME • CAR • BUSINESS
DESCRIPTION
/ `\eypbbottgs'r
CASAuto -Owners Insurance Company
Home -Owners Insurance Company
Owners Insurance Company
a�ng DM Property -Owners Insurance Company
Southern -Owners Insurance Company
CONTINUED - Garage
QUANTITY UNIT PRICE TAX O&P RCV DEPREC. ACV
NOTE: This is for the labor needed to remove and replace the burnt framing members on the exterior wall.
12. Mask and prep for paint - plastic,
81.10 LF
1.11
1.69
18.00
paper, tape (per LF)
(15.97)
390.89
122.18
(57.02)
13. Seal stud wall for odor control
673.28 SF
0.70
9.16
94.26
14. R&R 5/8" drywall - hung & fire taped
132.00 SF
2.53
6.12
66.78
only
(12.61)
186.22
420.31
(27.22)
NOTE: This is for the fire wall on the common wall between the home and garage.
584.84
15. Seal/prime then paint the surface area
132.00 SF
0.76
1.80
20.06
(2 coats)
(345.28)
173.96
2,182.10
(416.95)
NOTE: This is to paint the new fire wall.
101.59
(60.88)
40.71
72.21
16. R&R Cabinetry - upper (wall) units
19.80 LF
138.20
150.84
547.26
NOTE: This is for the upper cabinet boxes above the work bench and along the
common wall.
1,324.91
17. R&R Sheathing - plywood - 3/4" CDX
32.00 SF
3.36
4.43
21.50
NOTE: This is to replace the backer sheet just above the work
bench.
18. R&R Light fixture
1.00 EA
74.41
2.64
14.88
19. Light bulb - Incand. standard bulb -
1.00 EA
0.79
0.06
0.16
1000 hr - mat. only
20. R&R Fluorescent - two tube - 8'- strip
1.00 EA
155.75
5.92
31.16
light
21. R&R Fluorescent - two tube - 4'- strip
1.00 EA
98.91
3.20
19.78
light
22. Light bulb - Fluorescent tube - 8' cool
2.00 EA
9.88
1.58
3.96
white - mat. only
23. Light bulb - Fluorescent tube - 4' soft
2.00 EA
6.81
1.09
2.72
white - mat. only
24. R&R 110 volt copper wiring run and
3.00 EA
54.54
2.47
32.74
box - rough in only
25. R&R 110 volt copper wiring run, box
5.00 EA
69.23
4.92
69.24
and switch
26. R&R 110 volt copper wiring run, box
7.00 EA
68.83
6.67
96.36
and outlet
27. R&R Ground fault interrupter (GFI)
2.00 EA
33.75
2.45
13.50
outlet
28. R&R Overhead (garage) door opener
1.00 EA
419.47
15.87
83.90
29. R&R Overhead door & hardware - 16'
1.00 EA
1,728.97
107.33
345.80
x 7' - Premium grade
NOTE: Garage door is insulated.
30. R&R Overhead (garage) door opener -
1.00 EA
82.03
3.14
16.42
sensors only (per pair)
31. Paint door slab only - 2 coats (per side)
2.00 EA
29.62
1.13
11.84
32. Paint overhead door - 2 coats (per side)
1.00 EA
97.09
3.07
19.42
33. R&R Breaker panel - 200 amp
1.00 EA
1,371.17
30.64
274.24
34. Electrical panel cover
1.00 EA
48.50
2.26
9.70
JAIME_RODRIGUEZ I
109.71
(51.20)
58.51
574.72
(268.19)
306.53
406.86
(15.97)
390.89
122.18
(57.02)
65.16
3,434.46 (456.51) 2,977.95
133.45
(5.06)
128.39
91.93
(28.76)
63.17
1.01
(1.00)
0.01
192.83
(61.79)
131.04
121.89
(36.97)
84.92
25.30
(25.04)
0.26
17.43
(17.26)
0.17
198.83
(12.61)
186.22
420.31
(27.22)
393.09
584.84
(37.88)
546.96
83.45
(50.18)
33.27
519.24
(345.28)
173.96
2,182.10
(416.95)
1,765.15
101.59
(60.88)
40.71
72.21
(33.70)
38.51
119.58
(55.80)
63.78
1,676.05
(351.14)
1,324.91
60.46
(14.11)
46.35
3/1/2021
Page:3
auto -Owners
INSURANCE
LIFE • HOME • CAR • BUSINESS
DESCRIPTION
/ `\eypbbottgs'r
CASAuto -Owners Insurance Company
Home -Owners Insurance Company
Owners Insurance Company
a�ng DM Property -Owners Insurance Company
Southern -Owners Insurance Company
CONTINUED - Garage
QUANTITY UNIT PRICE TAX O&P RCV DEPREC. ACV
35. R&R Meter base - 200 amp
1.00 EA
370.75
11.36
74.16
456.27
(93.14)
363.13
36. Bonding/Grounding clamp
1.00 EA
4.09
0.24
0.82
5.15
(0.37)
4.78
37. R&R Grounding rod - copper clad with
1.00 EA
126.73
1.43
25.36
153.52
(8.71)
144.81
clamp, 8'
38. R&R Circuit breaker - main disconnect
1.00 EA
216.88
11.33
43.38
271.59
(60.49)
211.10
- 150 to 200 amp
39. R&R Meter mast for overhead power -
1.00 EA
1,001.88
46.49
200.36
1,248.73
(81.41)
1,167.32
3" conduit
40. R&R 44 gauge copper wire - stranded
20.00 LF
2.34
1.58
9.36
57.74
(2.34)
55.40
or solid
NOTE: This is to replace the wire from the meter to the panel in the garage.
41. Electrician -per hour
16.00 HR
95.12
0.00
304.38
1,826.30
(0.00)
1,826.30
NOTE: This is for the labor needed to disconnect the solar electrical converter
boxes on rear
elevation of garage to clean
brick and then reinstall.
42. Epoxy finish - two coats over concrete
402.99 SF
4.96
18.05
399.76
2,416.64
(1,879.61)
537.03
floor
Totals: Garage
' � �1s'-------- 4
2' 6" 1"-4-
�3' g„ r_
co _� set 178 T
Living Room
1-4'4"-1-4'74' 9"
�2' 4' 4' 2"-1 2'511[-9'3""j
Missing Wall - Goes to Floor
Missing Wall
Missing Wall
Missing Wall
503.63 3,542.26 21,756.95 4,560.03 17,196.92
Living Room Height: 7' 7"
429.96 SF Walls 248.04 SF Ceiling
677.99 SF Walls & Ceiling 248.04 SF Floor
27.56 SY Flooring 56.02 LF Floor Perimeter
60.60 LF Ceil. Perimeter
4'7"X6'8"
9' 3 3/16" X 7' 7 3/16"
Subroom: Stairs (1)
68.10 SF Walls
84.07 SF Walls & Ceiling
3.27 SY Flooring
7.50 LF Ceil. Perimeter
3'2" X 11'1 1/2"
2' 10" X 11' 1 1/2"
Opens into KITCHEN
Opens into ROOM2
Height: 11'1"
15.97 SF Ceiling
29.43 SF Floor
8.73 LF Floor Perimeter
Opens into ROOM3
Opens into ROOM3
JAIME_RODRIGUEZI 3/1/2021 Page:4
9' 3" Dining Room
i 208.07 SF Walls
1 Dimng Room 311.56 SF Walls & Ceiling
11.50 SY Flooring
1
2'8"-f-4 -�2' 8' 31.77 LF Ceil. Perimeter
12' 10"A
Missing Wall - Goes to Floor 5' X 6' 8"
Missing Wall 9' 3 3/16" X 7' 7 3/16"
DESCRIPTION QUANTITY UNIT PRICE TAX
Height: 7' 7"
103.49 SF Ceiling
103.49 SF Floor
26.77 LF Floor Perimeter
Opens into KITCHEN
Opens into ROOM3
O&P RCV DEPREC. ACV
50. Blown -in cellulose insulation - 14" 103.49 SF 1.27 7.45 26.28 165.16 (11.56) 153.60
depth - R50
51. Paint the ceiling -one coat 103.49 SF 0.53 0.91 10.98 66.74 (31.14) 35.60
52. Mask the floor per square foot - plastic 103.49 SF 0.20 0.41 4.14 25.25 (11.79) 13.46
and tape - 4 mil
Totals: Dining Room 8.77 41.40 257.15 54.49 202.66
JAIME_RODRIGUEZI 3/1/2021 Page:5
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auto -Owners
ICL�A
Auto
-Owners Insurance Company
INSURANCE
c ;
Home -Owners Insurance Company
y�o
a�ng
Owners Insurance Company
LIFE HOME CAR BUSINESS
DTO
Property -Owners Insurance Company
Southern -Owners Insurance Company
DESCRIPTION
QUANTITY
UNIT PRICE
TAX
O&P
RCV DEPREC. ACV
43. Blown -in cellulose insulation - 14"
264.01 SF
1.27
19.01
67.06
421.36 (29.50) 391.86
depth - R50
44. 5/8" drywall - hung, taped, floated,
4.00 SF
2.70
0.20
2.16
13.16 (0.61) 12.55
ready for paint
45. Tape joint for new to existing drywall -
16.00 LF
9.24
0.33
29.56
177.73 (8.30) 169.43
per LF
46. Texture drywall - heavy hand texture
32.00 SF
1.04
0.36
6.66
40.30 (1.89) 38.41
47. Mask per square foot for drywall work
277.47 SF
0.25
1.11
13.88
84.36 (3.93) 80.43
48. Seal/prime then paint the ceiling (2
264.01 SF
0.76
3.59
40.14
244.38 (114.06) 130.32
coats)
49. Mask the floor per square foot - plastic
277.47 SF
0.20
1.11
11.10
67.70 (31.60) 36.10
and tape - 4 mil
Totals: Living Room
25.71
170.56
1,048.99 189.89 859.10
9' 3" Dining Room
i 208.07 SF Walls
1 Dimng Room 311.56 SF Walls & Ceiling
11.50 SY Flooring
1
2'8"-f-4 -�2' 8' 31.77 LF Ceil. Perimeter
12' 10"A
Missing Wall - Goes to Floor 5' X 6' 8"
Missing Wall 9' 3 3/16" X 7' 7 3/16"
DESCRIPTION QUANTITY UNIT PRICE TAX
Height: 7' 7"
103.49 SF Ceiling
103.49 SF Floor
26.77 LF Floor Perimeter
Opens into KITCHEN
Opens into ROOM3
O&P RCV DEPREC. ACV
50. Blown -in cellulose insulation - 14" 103.49 SF 1.27 7.45 26.28 165.16 (11.56) 153.60
depth - R50
51. Paint the ceiling -one coat 103.49 SF 0.53 0.91 10.98 66.74 (31.14) 35.60
52. Mask the floor per square foot - plastic 103.49 SF 0.20 0.41 4.14 25.25 (11.79) 13.46
and tape - 4 mil
Totals: Dining Room 8.77 41.40 257.15 54.49 202.66
JAIME_RODRIGUEZI 3/1/2021 Page:5
Abbott gssoc'd
auto -Owners CAA Auto -Owners Insurance Company
INSURANCE Home -Owners Insurance Company
Owners Insurance Company
LIFE • HOME • CAR • BUSINESS
1n9 Dy�o Property -Owners Insurance Company
Southern -Owners Insurance Company
Missing Wall - Goes to Floor
Missing Wall - Goes to Floor
DESCRIPTION
Kitchen Height: 7' 7"
273.00 SF Walls 122.83 SF Ceiling
395.84 SF Walls & Ceiling 122.83 SF Floor
13.65 SY Flooring 34.75 LF Floor Perimeter
44.33 LF Ceil. Perimeter
5' X 6' 8" Opens into ROOM2
4' 7" X 6' 8" Opens into ROOM3
QUANTITY UNIT PRICE TAX O&P RCV DEPREC. ACV
* * *NO DAMAGE * * *
53. Blown -in cellulose insulation -
14" 122.83 SF 1.27 8.84
31.20
196.03 (13.72)
182.31
depth - R50
Totals: Kitchen
8.84
31.20
196.03 13.72
182.31
1-2'6"--i
Coat Closet
Height: 7' 7"
T
110.19 SF Walls
10.50 SF Ceiling
oat Clom
120.69 SF Walls & Ceiling
10.50 SF Floor
1.17 SY Flooring
14.50 LF Floor Perimeter
14.50 LF Ceil. Perimeter
DESCRIPTION
QUANTITY UNIT PRICE TAX
O&P
RCV DEPREC.
ACV
* * *NO DAMAGE
54. Blown -in cellulose insulation -
14" 10.50 SF 1.27 0.76
2.66
16.76 (1.16)
15.60
depth - R50
Totals: Coat Closet
0.76
2.66
16.76 1.16
15.60
LP 3°
Fireplace
Height: 8'4"
103.48 SF Walls
5.51 SF Ceiling
m ern
108.98 SF Walls & Ceiling
5.51 SF Floor
0.61 SY Flooring
12.46 LF Floor Perimeter
12.46 LF Ceil. Perimeter
r15 i
DESCRIPTION
QUANTITY UNIT PRICE TAX
O&P
RCV DEPREC.
ACV
JAIME_RODRIGUEZI
3/1/2021
Page:6
* * * GARAGE ROOF * * *
2.72
56. 2" x 10" x 16'42 & better Fir / Larch
1.00 EA
(material only)
41.44
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3.00 EA
(material only)
164.27
58. 2" x 10" x 12'42 & better Fir / Larch
1.00 EA
(material only)
2.06
59. 2" x 8" x 14' 42 & better Fir / Larch
auto -Owners
CAA
31.45
Auto -Owners Insurance Company
INSURANCE
(material only)
826.37
61. 2" x 8" x 10'42 & better Fir / Larch
Home -Owners Insurance Company
(material only)
23.93
62. 2" x 8" x 8' 42 & better Fir / Larch
23.00 EA
Owners Insurance Company
LIFE HOME • CAR BUSINESS
1n9 Dy�o
5.00 EA
(material only)
Property -Owners Insurance Company
64. 2" x 6" x 8' 42 & better Fir / Larch
4.00 EA
(material only)
28.12
Southern -Owners Insurance Company
1.00 EA
CONTINUED - Fireplace
428.85
66. Sheathing - additional cost for H -clips
700.00 SF
DESCRIPTION
QUANTITY UNIT PRICE
TAX
O&P
RCV DEPREC. ACV
* * *NO DAMAGE
(using rafter length)
58.16
69. R&R Rafters - hip - 10" - Labor only
131.16 LF
55. Blown -in cellulose insulation - 14"
5.51 SF 1.27
0.40
1.40
8.80 (0.62) 8.18
depth - R50
0.14
1.12
19.60
118.72
Totals: Fireplace
113.18
0.40
1.40
8.80 0.62 8.18
Total: Main Level
(191.07)
548.11
3,789.48
23,284.68 4,819.91 18,464.77
22.50
2nd Floor
(4.10)
130.92
25.66
2nd Floor
673.12
4,039.21
(178.43)
3,860.78
DESCRIPTION
QUANTITY UNIT PRICE
TAX
O&P
RCV DEPREC. ACV
* * * GARAGE ROOF * * *
2.72
56. 2" x 10" x 16'42 & better Fir / Larch
1.00 EA
(material only)
41.44
57. 2" x 10" x 20'42 & better Fir / Larch
3.00 EA
(material only)
164.27
58. 2" x 10" x 12'42 & better Fir / Larch
1.00 EA
(material only)
2.06
59. 2" x 8" x 14' 42 & better Fir / Larch
24.00 EA
(material only)
31.45
60. 2" x 8" x 12' 42 & better Fir / Larch
13.00 EA
(material only)
826.37
61. 2" x 8" x 10'42 & better Fir / Larch
11.00 EA
(material only)
23.93
62. 2" x 8" x 8' 42 & better Fir / Larch
23.00 EA
(material only)
365.00
63. 2" x 6" x 20' 42 & better Fir / Larch
5.00 EA
(material only)
268.93
64. 2" x 6" x 8' 42 & better Fir / Larch
4.00 EA
(material only)
28.12
65. 2" x 6" x 12' 42 & better Fir / Larch
1.00 EA
(material only)
428.85
66. Sheathing - additional cost for H -clips
700.00 SF
67. R&R Rafters - 2x8 - Labor only -
1,469.46 LF
(using rafter length)
187.62
68. R&R Rafters - 2x10 - Labor only -
28.54 LF
(using rafter length)
58.16
69. R&R Rafters - hip - 10" - Labor only
131.16 LF
(use hip length)
1.37
70. R&R Rafters - 2x6 - Labor only -
257.28 LF
(using rafter length)
20.88
JAIME_RODRIGUEZ 1
33.95
2.72
6.80
43.47
(2.03)
41.44
42.78
10.27
25.66
164.27
(7.67)
156.60
25.77
2.06
5.16
32.99
(1.54)
31.45
26.90
51.65
129.12
826.37
(38.56)
787.81
23.01
23.93
59.82
382.88
(17.88)
365.00
19.10
16.81
42.02
268.93
(12.54)
256.39
15.28
28.12
70.28
449.84
(20.99)
428.85
30.75
12.30
30.76
196.81
(9.19)
187.62
11.36
3.64
9.08
58.16
(2.71)
55.45
17.11
1.37
3.42
21.90
(1.02)
20.88
0.14
1.12
19.60
118.72
(5.54)
113.18
3.54
3.53
1,040.38
6,245.80
(191.07)
6,054.73
3.94
0.07
22.50
135.02
(4.10)
130.92
25.66
0.52
673.12
4,039.21
(178.43)
3,860.78
2.97
0.62
152.82
917.56
(27.98)
889.58
3/1/2021
Page:7
ey pbbott gssoc'a
V r
auto -Owners CAA Auto -Owners Insurance Company
INSURANCE Home -Owners Insurance Company
Owners Insurance Company
LIFE • HOME • CAR • BUSINESS
1119 Dy�o Property -Owners Insurance Company
Southern -Owners Insurance Company
CONTINUED - 2nd Floor
DESCRIPTION QUANTITY UNIT PRICE TAX O&P RCV DEPREC. ACV
71. R&R Sheathing - OSB - 1/2" 736.00 SF 2.62 73.60 385.66 2,387.58 (88.75) 2,298.83
Total: 2nd Floor 232.33 2,676.20 16,289.51 610.00 15,679.51
Roofl
734.81 Surface Area 7.35 Number of Squares
88.22 Total Perimeter Length 14.27 Total Ridge Length
50.88 Total Hip Length
DESCRIPTION QUANTITY UNIT PRICE TAX O&P RCV DEPREC. ACV
72. Remove Laminated - comp. shingle rfg.
4.00 SQ
58.13
0.00
46.50
279.02
(0.00)
279.02
- w/ felt
73. R&R Chimney flashing - large (32" x
1.00 EA
671.43
9.22
134.30
814.95
(157.13)
657.82
60")
74. R&R Drip edge/gutter apron
88.22 LF
3.27
6.07
57.70
352.25
(63.88)
288.37
75. Gutter / downspout - Detach & reset
88.22 LF
5.37
0.00
94.74
568.48
(0.00)
568.48
76. Ridge cap - composition shingles
14.27 LF
5.37
1.52
15.32
93.47
(26.19)
67.28
77. R&R Flashing - pipe jack - split boot
3.00 EA
93.59
9.38
56.16
346.31
(63.71)
282.60
78. R&R Sheathing - plywood - 1/2" CDX
176.44 SF
2.69
18.63
94.92
588.17
(22.01)
566.16
NOTE: This is for the soffits.
79 r__ o_ wafer btffrie
176.44 SF
}-8-7
5-.316
65.98
401.28
401.28
This item did not previously exist or expands
the scope of repairs,
but is required by current building codes. The code upgrade cost is payable
when
incurred, subject to limits.
80. Prime & paint exterior soffit - wood
176.44 SF
1.75
5.22
61.76
375.75
(175.35)
200.40
81. Prime & paint exterior fascia - wood,
88.22 LF
1.66
1.41
29.30
177.16
(82.68)
94.48
6"- 8" wide
82. Mask and prep for paint - plastic,
176.44 LF
1.11
3.67
39.18
238.70
(111.39)
127.31
paper, tape (per LF)
NOTE: This is to protect the brick and concrete
floors.
83. Solar electric panel - Detach & reset
10.00 EA
222.51
0.00
445.02
2,670.12
(0.00)
2,670.12
Totals: Roofl 55.12 1,074.90 6,504.38 702.34 5,802.04
JAIME_RODRIGUEZI 3/1/2021 Page:8
1-12' 6" 1 Rpdrnnm 1
t-5' 4"
4' 10"
�n Closet (1) m
1
DESCRIPTION
321.69 SF Walls
431.69 SF Walls & Ceiling
12.22 SY Flooring
42.33 LF Ceil. Perimeter
T Subroom: Closet (1)
Height: 7' 7"
110.00 SF Ceiling
110.00 SF Floor
42.33 LF Floor Perimeter
Height: 7' 7"
153.25 SF Walls 25.38 SF Ceiling
178.62 SF Walls & Ceiling 25.38 SF Floor
2.82 SY Flooring 20.17 LF Floor Perimeter
20.17 LF Ceil. Perimeter
QUANTITY UNIT PRICE TAX O&P RCV DEPREC. ACV
* * *NO DAMAGE * * *
85. Blown -in cellulose insulation - 14" 135.38 SF 1.27 9.75 34.38 216.06 (15.12) 200.94
depth - R50
Totals: Bedroom 1
9.75 34.38 216.06 15.12 200.94
JAIME_RODRIGUEZI 3/1/2021 Page:9
Abbott gssoc'd
auto -Owners
CAA
Auto -Owners Insurance Company
INSURANCE
Home -Owners Insurance Company
Owners Insurance Company
LIFE HOME CAR BUSINESS
1n9 Dy�o
Property -Owners Insurance Company
Southern -Owners Insurance Company
4' 10
Hallway
T
Height: 7' 7"
FT Jcl,
214.04 SF Walls
32.10 SF Ceiling
246.14 SF Walls & Ceiling
32.10 SF Floor
Ll
3.57 SY Flooring
28.17 LF Floor Perimeter
28.17 LF Ceil. Perimeter
1
3-11
DESCRIPTION QUANTITY UNIT PRICE TAX
O&P RCV DEPREC. ACV
* * *NO DAMAGE * * *
84. Blown -in cellulose insulation - 14"
32.10 SF 1.27 2.31
8.16 51.24 (3.59) 47.65
depth - R50
Totals: Hallway
2.31
8.16 51.24 3.59 47.65
1-12' 6" 1 Rpdrnnm 1
t-5' 4"
4' 10"
�n Closet (1) m
1
DESCRIPTION
321.69 SF Walls
431.69 SF Walls & Ceiling
12.22 SY Flooring
42.33 LF Ceil. Perimeter
T Subroom: Closet (1)
Height: 7' 7"
110.00 SF Ceiling
110.00 SF Floor
42.33 LF Floor Perimeter
Height: 7' 7"
153.25 SF Walls 25.38 SF Ceiling
178.62 SF Walls & Ceiling 25.38 SF Floor
2.82 SY Flooring 20.17 LF Floor Perimeter
20.17 LF Ceil. Perimeter
QUANTITY UNIT PRICE TAX O&P RCV DEPREC. ACV
* * *NO DAMAGE * * *
85. Blown -in cellulose insulation - 14" 135.38 SF 1.27 9.75 34.38 216.06 (15.12) 200.94
depth - R50
Totals: Bedroom 1
9.75 34.38 216.06 15.12 200.94
JAIME_RODRIGUEZI 3/1/2021 Page:9
Abbott gssoc'd
auto -Owners CAA Auto -Owners Insurance Company
INSURANCE Home -Owners Insurance Company
Owners Insurance Company
LIFE • HOME • CAR • BUSINESS
1n9 Dy�o Property -Owners Insurance Company
Southern -Owners Insurance Company
Bedroom 2
jallv
IM11 E
Bedroom 2 Height: 7' 7"
357.16 SF Walls 138.00 SF Ceiling
495.16 SF Walls & Ceiling 138.00 SF Floor
15.33 SY Flooring 47.00 LF Floor Perimeter
47.00 LF Ceil. Perimeter
Subroom: Closet (1) Height: 7' 7"
JAIME_RODRIGUEZI 3/1/2021 Page: 10
212.77 SF Walls
24.00 SF Ceiling
12'
236.77 SF Walls & Ceiling
24.00 SF Floor
Closet (1) lwa�
�La
2.67 SY Flooring
28.00 LF Floor Perimeter
28.00 LF Ceil. Perimeter
DESCRIPTION
QUANTITY UNIT PRICE TAX
O&P
RCV DEPREC.
ACV
* * *NO DAMAGE
86. Blown -in cellulose insulation -
14" 162.00 SF 1.27 11.66
41.14
258.54 (18.10)
240.44
depth - R50
Totals: Bedroom 2
11.66
41.14
258.54 18.10
240.44
2'101" r s"
Hall Bathroom
Height: 7' 7"
T 3'411' 1 "
197.58 SF Walls
39.47 SF Ceiling
Hall Baftoom =
237.05 SF Walls & Ceiling
39.47 SF Floor
4.39 SY Flooring
26.00 LF Floor Perimeter
26.00 LF Ceil. Perimeter
410„
DESCRIPTION
QUANTITY UNIT PRICE TAX
O&P
RCV DEPREC.
ACV
* * *NO DAMAGE
87. Blown -in cellulose insulation -
14" 39.47 SF 1.27 2.84
10.02
62.99 (4.41)
58.58
depth - R50
Totals: Hall Bathroom
2.84
10.02
62.99 4.41
58.58
JAIME_RODRIGUEZI 3/1/2021 Page: 10
Abbott gssoc'd
auto -Owners CAA Auto -Owners Insurance Company
INSURANCE Home -Owners Insurance Company
Owners Insurance Company
LIFE • HOME • CAR • BUSINESS
1n9 Dy�o Property -Owners Insurance Company
Southern -Owners Insurance Company
,TII �r
'I 1.8•
a
,i arr `
rr io°
DESCRIPTION
Laundry Room
117.20 SF Walls
127.13 SF Walls & Ceiling
1.10 SY Flooring
15.42 LF Ceil. Perimeter
Height: 7' 7"
9.93 SF Ceiling
9.93 SF Floor
15.42 LF Floor Perimeter
QUANTITY UNIT PRICE TAX O&P RCV DEPREC. ACV
* * *NO DAMAGE * * *
88. Blown -in cellulose insulation - 14" 9.93 SF 1.27 0.72 2.52 15.85 (1.11) 14.74
depth - R50
Totals: Laundry Room 0.72 2.52 15.85 1.11 14.74
Total: 2nd Floor 314.73 3,847.32 23,398.57 1,354.67 22,043.90
Roofl
2nd Floor Roof
609.85 Surface Area 6.10 Number of Squares
97.00 Total Perimeter Length 6.17 Total Ridge Length
61.51 Total Hip Length
DESCRIPTION QUANTITY UNIT PRICE TAX O&P RCV DEPREC. ACV
89. R&R Sheathing - plywood - 5/8" CDX
610.00 SF
3.97
75.64
484.34
2,981.68
(120.37)
2,861.31
NOTE: Ice and water membrane underlayment complying with
ASTM D1970
and extending a minimum of two (2) feet inside the exterior
wall line
is required at eaves of all conditioned (heated)
structures.
90. Ice & water barrier
194.00 SF
1.87
5.90
72.56
441.24
(102.97)
338.27
91. Remove Laminated - comp. shingle rfg.
6.10 SQ
58.13
0.00
70.92
425.51
(0.00)
425.51
- w/ felt
92. Laminated - comp. shingle rfg. - w/ felt
7.33 SQ
319.40
73.90
468.24
2,883.34
(672.78)
2,210.56
93. Ridge cap - composition shingles
6.17 LF
5.37
0.66
6.62
40.41
(11.32)
29.09
94. R&R Drip edge/gutter apron
97.00 LF
3.27
6.67
63.44
387.30
(70.23)
317.07
95. R&R Gutter / downspout - aluminum -
97.00 LF
8.00
22.58
155.20
953.78
(251.09)
702.69
up to 5"
96. R&R Flashing - pipe jack
1.00 EA
59.17
0.82
11.84
71.83
(12.72)
59.11
97. R&R Roof vent - turtle type - Metal
3.00 EA
80.47
3.73
48.30
293.44
(52.38)
241.06
98. Solar electric panel - Detach & reset
7.00 EA
222.51
0.00
311.52
1,869.09
(0.00)
1,869.09
Totals: Roofl 189.90 1,692.98 10,347.62 1,293.86 9,053.76
JAIME_RODRIGUEZI 3/1/2021 Page: II
auto -Owners
INSURANCE
LIFE • HOME • CAR • BUSINESS
Total: 2nd Floor Roof
Total: SKETCH1 (RODRIQUEZ_FIRE)
Door
Window
Window
DESCRIPTION
Living Room
/ `\eypbbottgs'r
CASAuto -Owners Insurance Company
Home -Owners Insurance Company
Owners Insurance Company
a�ng DM Property -Owners Insurance Company
Southern -Owners Insurance Company
189.90 1,692.98 10,347.62 1,293.86 9,053.76
1,052.74 9,329.78 57,030.87 7,468.44 49,562.43
JAIME_RODRIGUEZI
SKETCHI (JAIME_RODRIGUEZI)
Main Level
873.71 SF Walls
1305.61 SF Walls & Ceiling
46.99 SY Flooring
117.21 LF Ceil. Perimeter
2' 811 X 61 811
5'5"X4'
Y X 4'
QUANTITY UNIT PRICE TAX
Height: 8'
431.90 SF Ceiling
422.87 SF Floor
110.37 LF Floor Perimeter
Opens into Exterior
Opens into Exterior
Opens into Exterior
O&P RCV DEPREC. ACV
99. Contents - move out then reset - Extra
1.00 EA
176.73
0.00
35.34
212.07
(0.00)
212.07
large room
100. R&R 1/2" drywall - hung, taped,
431.90 SF
2.67
19.35
230.64
1,403.16
(55.57)
1,347.59
ready for texture
101. Seal/prime then paint the walls and
1,305.61 SF
0.76
17.76
198.46
1,208.48
(563.96)
644.52
ceiling (2 coats)
102. Floor protection - self-adhesive
422.87 SF
0.52
4.74
43.98
268.61
(125.35)
143.26
plastic film
103. Mask and prep for paint - plastic,
117.21 LF
1.11
2.44
26.02
158.56
(73.99)
84.57
paper, tape (per LF)
104. R&R Batt insulation - 4" - RI l -
431.90 SF
0.95
14.86
82.08
507.25
(17.86)
489.39
paper / foil faced
for replacement of ceiling.
105. Texture drywall - machine
1,305.61 SF
0.52
4.18
135.78
818.88
(38.22)
780.66
106. Clean chair
1.00 EA
88.89
0.23
17.78
106.90
(0.00)
106.90
107. Clean sofa
1.00 LF
39.95
0.10
8.00
48.05
(0.00)
48.05
108. Clean the walls and ceiling - Heavy
1,305.61 SF
0.48
1.04
125.34
753.07
(0.00)
753.07
109. Clean floor
422.87 SF
0.49
0.00
41.44
248.65
(0.00)
248.65
Totals: Living Room 64.70 944.86 5,733.68 874.95 4,858.73
JAIME_RODRIGUEZI 3/1/2021 Page: 12
auto -Owners
INSURANCE
LIFE • HOME • CAR • BUSINESS
Door
Door
DESCRIPTION
/ `\eypbbottgs'r
CASAuto -Owners Insurance Company
Home -Owners Insurance Company
Owners Insurance Company
a�ng DM Property -Owners Insurance Company
Southern -Owners Insurance Company
Garage Height: Peaked
555.38 SF Walls 369.86 SF Ceiling
925.23 SF Walls & Ceiling 347.27 SF Floor
38.59 SY Flooring 58.92 LF Floor Perimeter
77.00 LF Ceil. Perimeter
12' 10" X 7' Opens into Exterior
3' X 6' 8" Opens into Exterior
QUANTITY UNIT PRICE TAX O&P RCV DEPREC. ACV
110. Switch
1.00 EA
14.20
0.16
2.84
17.20
(4.82)
12.38
111. Outlet
1.00 EA
13.81
0.13
2.76
16.70
(4.69)
12.01
112. Contents Cleaning Technician - per
10.00 HR
47.89
0.00
95.78
574.68
(0.00)
574.68
hour
113. Content Manipulation charge - per
10.00 HR
43.19
0.00
86.38
518.28
(0.00)
518.28
hour
charge for two people , 5 hours each, to move contents
out and
back in.
114. Soda blasting
925.23 SF
2.35
51.07
434.86
2,660.22
(0.00)
2,660.22
115. General clean - up
2.00 HR
47.90
0.00
19.16
114.96
(0.00)
114.96
to clean up after soda blasting
116. Clean floor
347.27 SF
0.49
0.00
34.04
204.20
(0.00)
204.20
117. Paint overhead door - Large - 2 coats
1.00 EA
139.13
4.08
27.82
171.03
(79.81)
91.22
(per side)
to paint garage door damaged by smoke
118. Seal & paint single garage door
1.00 EA
78.28
0.62
15.66
94.56
(44.12)
50.44
opening & trim
119. R&R 1/2" drywall - hung, taped,
75.00 SF
3.00
3.42
45.02
273.44
(11.05)
262.39
floated, ready for paint
120. Paint the walls - one coat
555.38 SF
0.53
4.89
58.88
358.12
(167.12)
191.00
121. Mask and prep for paint - plastic,
77.00 LF
1.11
1.60
17.10
104.17
(48.62)
55.55
paper, tape (per LF)
122. Seal/prime then paint the surface area
100.00 SF
0.76
1.36
15.20
92.56
(43.20)
49.36
(2 coats)
to paint exterior where smoke damage occurred.
Totals: Garage
67.33 855.50 5,200.12 403.43 4,796.69
JAIME_RODRIGUEZI 3/1/2021 Page: 13
auto -Owners
INSURANCE
LIFE • HOME • CAR • BUSINESS
z0' 6^�
T Roof garage
aao T
Abbott gss00
CAS
�G�,ang D�`y`oc
381.76 Surface Area
78.24 Total Perimeter Length
Auto -Owners Insurance Company
Home -Owners Insurance Company
Owners Insurance Company
Property -Owners Insurance Company
Southern -Owners Insurance Company
3.82 Number of Squares
20.50 Total Ridge Length
DESCRIPTION QUANTITY UNIT PRICE TAX O&P RCV DEPREC. ACV
123. Tear off composition shingles (no
3.82 SQ
36.53
0.00
27.90
167.44
(0.00)
167.44
haul off)
1,315.28
11,948.44 73,004.97 9,320.11 63,684.86
Grand Total Areas:
124. 3 tab - 25 yr. - comp. shingle roofing -
4.33 SQ
266.72
38.36
230.98
1,424.24
(398.79)
1,025.45
w/out felt
0.00
SF Short Wall
653.56 LF Ceil. Perimeter
2,071.79 Floor Area
2,244.77
Total Area
5,016.96 Interior Wall Area
125. Roofing felt - 15 lb.
3.82 SQ
41.02
2.32
31.34
190.36
(66.64)
123.72
126. Drip edge
78.24 LF
2.84
4.63
44.44
271.27
(54.25)
217.02
127. Continuous ridge vent - shingle -over
20.50 LF
10.65
5.99
43.66
267.98
(53.61)
214.37
style
Totals: Roof garage 51.30 378.32 2,321.29 573.29 1,748.00
Total: Main Level 183.33 2,178.68 13,255.09 1,851.67 11,403.42
Total: SKETCH1 (JAIME_RODRIGUEZ1)
183.33
2,178.68 13,255.09 1,851.67 11,403.42
Total: JAIME RODRIGUEZ1
183.33
2,178.68 13,255.09 1,851.67 11,403.42
Line Item Totals: JAIME RODRIGUEZ1
1,315.28
11,948.44 73,004.97 9,320.11 63,684.86
Grand Total Areas:
4,868.85 SF Walls
2,089.95
SF Ceiling
6,958.80 SF Walls and Ceiling
2,071.79 SF Floor
230.20
SY Flooring
610.71 LF Floor Perimeter
0.00 SF Long Wall
0.00
SF Short Wall
653.56 LF Ceil. Perimeter
2,071.79 Floor Area
2,244.77
Total Area
5,016.96 Interior Wall Area
3,202.28 Exterior Wall Area
357.67
Exterior Perimeter of
Walls
2,315.44 Surface Area
23.15
Number of Squares
357.30 Total Perimeter Length
50.70 Total Ridge Length
137.40
Total Hip Length
JAIME_RODRIGUEZI 3/1/2021 Page: 14
Abbott Av.,O"d
auto -Owners CAA Auto -Owners Insurance Company
INSURANCE Home -Owners Insurance Company
Owners Insurance Company
LIFE • HOME • CAR • BUSINESS
1n9 Dy�o Property -Owners Insurance Company
Southern -Owners Insurance Company
Coverage Item Total % ACV Total %
Cov A: Dwelling (001: 3865 ALLISON ST)
Cov A: Dwelling (001: 3865 ALLISON ST)
- Ordinance Or Law
Total
73,004.97
100.00%
0.00
0.00%
73,004.97
100.00%
63,684.86 100.00%
0.00 0.00%
63,684.86 100.00%
JAIME_RODRIGUEZI 3/1/2021 Page: 15
auto -Owners
INSURANCE
LIFE • HOME • CAR • BUSINESS
Line Item Total
Overhead
Profit
Material Sales Tax
Storage Rental Tax
Replacement Cost Value
Less Depreciation
Actual Cash Value
Less Deductible
Net Claim
/ `\eypbbottgs,r
CASAuto -Owners Insurance Company
Home -Owners Insurance Company
Owners Insurance Company
a�ng DM Property -Owners Insurance Company
Southern -Owners Insurance Company
Summary for Cov A: Dwelling (001: 3865 ALLISON ST)
Total Recoverable Depreciation
Net Claim if Depreciation is Recovered
Zach Rudd
Field Claim Rep
59,741.25
5,974.22
5,974.22
1,301.23
14.05
S73,004.97
(9,320.11)
563,684.86
(1,000.00)
562,684.86
9,320.11
S72,004.97
JAIME_RODRIGUEZI 3/1/2021 Page: 16
auto -Owners
INSURANCE
LIFE • HOME • CAR • BUSINESS
ey pbbott gssoc'a
V r
CAA
1119 Dy�o
Auto -Owners Insurance Company
Home -Owners Insurance Company
Owners Insurance Company
Property -Owners Insurance Company
Southern -Owners Insurance Company
Summary for Cov A: Dwelling (001: 3865 ALLISON ST) - Ordinance Or Law
Line Item Total
0.00
Replacement Cost Value
$0.00
Net Claim
50.00
Cov A: Dwelling (001: 3865 ALLISON ST) - Ordinance Or Law Paid When Incurred
Line Item Total
329.94
Overhead
32.99
Profit
32.99
Material Sales Tax
5.36
Replacement Cost Value
$401.28
Total Paid When Incurred
$401.28
Net Claim
$0.00
Net Claim if Additional Amounts are Recovered
$401.28
Zach Rudd
Field Claim Rep
JAIME_RODRIGUEZI 3/1/2021 Page: 17
auto -Owners
INSURANCE
LIFE • HOME • CAR • BUSINESS
Abbott gss00
CAS
�G�,ang D�`y`oc
Auto -Owners Insurance Company
Home -Owners Insurance Company
Owners Insurance Company
Property -Owners Insurance Company
Southern -Owners Insurance Company
Recap of Taxes, Overhead and Profit
Overhead (10%) Profit (10%) Material Sales Tag Manuf. Home Tag Storage Rental Tag Local Food Tag
(8%) (8%) (80/0) (5.1%)
Line Items
5,974.22 5,974.22 1,301.23 0.00 14.05 0.00
Total
5,974.22 5,974.22 1,301.23 0.00 14.05 0.00
JAIME_RODRIGUEZI 3/1/2021 Page: 18
auto -Owners
INSURANCE
LIFE • HOME • CAR • BUSINESS
/ `\eypbbottgs,r
CASAuto -Owners Insurance Company
Home -Owners Insurance Company
Owners Insurance Company
a�ng DM Property -Owners Insurance Company
Southern -Owners Insurance Company
Recap by Room
Estimate: JAIME_RODRIGUEZI
17,711.06
General
100.00% =
Coverage: Cov A: Dwelling (001:
3865 ALLISON ST)
Area: SKETCH1 (RODRIQUEZ_FIRE)
852.72
Area: Main Level
100.00% =
Garage
Coverage: Cov A: Dwelling (001:
3865 ALLISON ST)
Living Room
100.00% =
Coverage: Cov A: Dwelling (001:
3865 ALLISON ST)
Dining Room
155.99
Coverage: Cov A: Dwelling (001:
3865 ALLISON ST)
Kitchen
Coverage: Cov A: Dwelling (001:
3865 ALLISON ST)
Coat Closet
100.00% =
Coverage: Cov A: Dwelling (001:
3865 ALLISON ST)
Fireplace
7.00
Coverage: Cov A: Dwelling (001:
3865 ALLISON ST)
Area Subtotal: Main Level
Coverage: Cov A: Dwelling (001:
3865 ALLISON ST)
Area: 2nd Floor
100.00% =
Coverage: Cov A: Dwelling (001:
3865 ALLISON ST)
Roofl
13,380.98
Coverage: Cov A: Dwelling (001:
3865 ALLISON ST)
Hallway
Coverage: Cov A: Dwelling (001:
3865 ALLISON ST)
Bedroom 1
100.00% =
Coverage: Cov A: Dwelling (001:
3865 ALLISON ST)
Bedroom 2
40.77
Coverage: Cov A: Dwelling (001:
3865 ALLISON ST)
Hall Bathroom
Coverage: Cov A: Dwelling (001:
3865 ALLISON ST)
Laundry Room
100.00% =
Coverage: Cov A: Dwelling (001:
3865 ALLISON ST)
Area Subtotal: 2nd Floor
205.74
Coverage: Cov A: Dwelling (001:
3865 ALLISON ST)
Area: 2nd Floor Roof
JAIME_RODRIGUEZ 1
50.13
2,199.82 3.68%
100.00% = 2,199.82
3/1/2021 Page: 19
17,711.06
29.65%
100.00% =
17,711.06
852.72
1.43%
100.00% =
852.72
206.98
0.35%
100.00% =
206.98
155.99
0.26%
100.00% =
155.99
13.34
0.02%
100.00% =
13.34
7.00
0.01%
100.00% =
7.00
18,947.09
31.72%
100.00% =
18,947.09
13,380.98
22.40%
100.00% =
13,380.98
5,374.36
9.00%
100.00% =
5,374.36
40.77
0.07%
100.00% =
40.77
171.93
0.29%
100.00% =
171.93
205.74
0.34%
100.00% =
205.74
50.13
0.08%
100.00% =
50.13
12.61
0.02%
100.00% =
12.61
19,236.52
32.20%
100.00% =
19,236.52
3/1/2021 Page: 19
Abbott Av.,O"d
auto- Owners CAS
INSURANCE
LIFE HOME CAR BUSINESS ,-
Roofl
Coverage: Cov A: Dwelling (001: 3865 ALLISON ST)
Area Subtotal: 2nd Floor Roof
Coverage: Cov A: Dwelling (001: 3865 ALLISON ST)
Area Subtotal: SKETCH1 (RODRIQUEZ_FIRE)
Coverage: Cov A: Dwelling (001: 3865 ALLISON ST)
Area: JAIME RODRIGUEZ1
Area: SKETCH1 (JAIME_RODRIGUEZ1)
Area: Main Level
Living Room
Coverage: Cov A: Dwelling (001: 3865 ALLISON ST)
Garage
Coverage: Cov A: Dwelling (001: 3865 ALLISON ST)
Roof garage
Coverage: Cov A: Dwelling (001: 3865 ALLISON ST)
Area Subtotal: Main Level
Coverage: Cov A: Dwelling (001: 3865 ALLISON ST)
Area Subtotal: SKETCH1 (JAIME_RODRIGUEZ1)
Coverage: Cov A: Dwelling (001: 3865 ALLISON ST)
Area Subtotal: JAIME RODRIGUEZ1
Coverage: Cov A: Dwelling (001: 3865 ALLISON ST)
Subtotal of Areas
Coverage: Cov A: Dwelling (001: 3865 ALLISON ST)
Total
100.00% =
100.00% =
100.00% =
Auto -Owners Insurance Company
Home -Owners Insurance Company
Owners Insurance Company
Property -Owners Insurance Company
Southern -Owners Insurance Company
8,464.74 14.17%
8,464.74
8,464.74 14.17%
8,464.74
46,648.35 78.08%
46,648.35
JAIME_RODRIGUEZI 3/1/2021 Page: 20
4,724.12
7.91%
100.00% =
4,724.12
4,277.29
7.16%
100.00% =
4,277.29
1,891.67
3.17%
100.00% =
1,891.67
10,893.08
18.23%
100.00% =
10,893.08
10,893.08
18.23%
100.00% =
10,893.08
10,893.08
18.23%
100.00% =
10,893.08
59,741.25
100.00%
100.00% =
59,741.25
59,741.25
100.00%
JAIME_RODRIGUEZI 3/1/2021 Page: 20
auto -Owners
INSURANCE
LIFE HOME CAR BUSINESS
ey pbbott gssoc'a
V r
ICLAAA
c
1n9 Dy�o
Auto -Owners Insurance Company
Home -Owners Insurance Company
Owners Insurance Company
Property -Owners Insurance Company
Southern -Owners Insurance Company
Recap by Category with Depreciation
O&P Items
RCV
Deprec. ACV
CABINETRY
2,591.62
362.83 2,228.79
Coverage: Cov A: Dwelling (001: 3865
@
100.00% =
2,591.62
ALLISON ST)
CONT: CLEAN - GENERAL ITEMS
478.90
478.90
Coverage: Cov A: Dwelling (001: 3865
@
100.00% =
478.90
ALLISON ST)
CLEANING
4,985.60
4,985.60
Coverage: Cov A: Dwelling (001: 3865
@
100.00% =
4,985.60
ALLISON ST)
CONCRETE & ASPHALT
1,998.83
1,554.65 444.18
Coverage: Cov A: Dwelling (001: 3865
@
100.00% =
1,998.83
ALLISON ST)
CONTENT MANIPULATION
784.29
784.29
Coverage: Cov A: Dwelling (001: 3865
@
100.00% =
784.29
ALLISON ST)
CONT: PACKING,HANDLNG,STORAGE
2,023.88
2,023.88
Coverage: Cov A: Dwelling (001: 3865
@
100.00% =
2,023.88
ALLISON ST)
CONT: CLEAN, UPHOLSTERY & SOFT
128.84
128.84
Coverage: Cov A: Dwelling (001: 3865
@
100.00% =
128.84
ALLISON ST)
GENERAL DEMOLITION
5,098.20
5,098.20
Coverage: Cov A: Dwelling (001: 3865
@
100.00% =
5,098.20
ALLISON ST)
DOORS
2,115.46
656.93 1,458.53
Coverage: Cov A: Dwelling (001: 3865
@
100.00% =
2,115.46
ALLISON ST)
DRYWALL
2,390.39
111.55 2,278.84
Coverage: Cov A: Dwelling (001: 3865
@
100.00% =
2,390.39
ALLISON ST)
ELECTRICAL
5,405.07
608.24 4,796.83
Coverage: Cov A: Dwelling (001: 3865
@
100.00% =
5,405.07
ALLISON ST)
ELECTRICAL - SPECIAL SYSTEMS
3,782.67
3,782.67
Coverage: Cov A: Dwelling (001: 3865
@
100.00% =
3,782.67
ALLISON ST)
FRAMING & ROUGH CARPENTRY
11,977.83
519.09 11,458.74
Coverage: Cov A: Dwelling (001: 3865
@
100.00% =
11,977.83
ALLISON ST)
INSULATION
1,430.88
93.00 1,337.88
Coverage: Cov A: Dwelling (001: 3865
@
100.00% =
1,430.88
ALLISON ST)
LIGHT FIXTURES
327.98
136.65 191.33
Coverage: Cov A: Dwelling (001: 3865
@
100.00% =
327.98
ALLISON ST)
JAIME_RODRIGUEZI
3/1/2021 Page: 21
auto -Owners
INSURANCE
LIFE • HOME • CAR • BUSINESS
ey pbbott gssoc'a
V r
CAA
1119 Dy�o
Auto -Owners Insurance Company
Home -Owners Insurance Company
Owners Insurance Company
Property -Owners Insurance Company
Southern -Owners Insurance Company
O&P Items
RCV
Deprec. ACV
MASONRY
731.86
731.86
Coverage: Cov A: Dwelling (001:
3865
@
100.00% =
731.86
ALLISON ST)
PAINTING
3,816.21
1,780.92 2,035.29
Coverage: Cov A: Dwelling (001:
3865
@
100.00% =
3,816.21
ALLISON ST)
ROOFING
8,470.53
1,574.01 6,896.52
Coverage: Cov A: Dwelling (001:
3865
@
100.00% =
8,470.53
ALLISON ST)
SOFFIT, FASCIA, & GUTTER
1,202.21
203.97 998.24
Coverage: Cov A: Dwelling (001:
3865
@
100.00% =
1,202.21
ALLISON ST)
O&P Items Subtotal
59,741.25
7,601.84 52,139.41
Overhead
5,974.22
760.26 5,213.96
Coverage: Cov A: Dwelling (001:
3865
@
100.00% =
5,974.22
ALLISON ST)
Profit
5,974.22
760.26 5,213.96
Coverage: Cov A: Dwelling (001:
3865
@
100.00% =
5,974.22
ALLISON ST)
Material Sales Tax
1,301.23
197.75 1,103.48
Coverage: Cov A: Dwelling (001:
3865
@
100.00% =
1,301.23
ALLISON ST)
Storage Rental Tax
14.05
14.05
Coverage: Cov A: Dwelling (001:
3865
@
100.00% =
14.05
ALLISON ST)
Total
73,004.97
9,320.11 63,684.86
NOTICE: This is an estimate for repairs and a copy of this document does not constitute settlement of your claim and is not a
confirmation of coverage. The above figures may be subject to additional company review and approval. Please review your
applicable policy for specific coverages, terms and conditions.
JAIME_RODRIGUEZI 3/1/2021 Page: 22
MiTek
MiTek USA, Inc.
MiTek USA, Inc.
400 Sunrise Avenue, Suite 270
Roseville, CA 95661
Telephone 916-755-3571
Re: 210176
3865 N Allison St
The truss drawing(s) referenced below have been prepared by MiTek USA, Inc. under my direct supervision
based on the parameters provided by Noble Truss -Colorado.
Pages or sheets covered by this seal: R65312323 thru R65312331
My license renewal date for the state of Colorado is October 31, 2021.
��� **** LIC�
�. ,G�L o k % .o
PE.0055362
February 5,2021
Dyer, Cecil
IMPORTANT NOTE: The seal on these truss component designs is a certification
that the engineer named is licensed in the jurisdiction(s) identified and that the
designs comply with ANSI/TPI 1. These designs are based upon parameters
shown (e.g., loads, supports, dimensions, shapes and design codes), which were
given to MiTek or TRENCO. Any project specific information included is for MiTek's or
TRENCO's customers file reference purpose only, and was not taken into account in the
preparation of these designs. MiTek or TRENCO has not independently verified the
applicability of the design parameters or the designs for any particular building. Before use,
the building designer should verify applicability of design parameters and properly
incorporate these designs into the overall building design per ANSI/TPI 1, Chapter 2.
Job
Truss
Truss Type
Qty
Ply
3865 N Allison St
16-4-10 20-3-0
6-0-0
3-11-12
R65312323
210176
A05
HIP GIRDER
1
2
LOADING (psf)
SPACING-
1 Job Reference (optional)
Noble I russ Colorado, Sedalia, Co - 80135,
0
01
-2-4-8
2-4-8
8.330 s Uct 12020 Mi I ek Industries, Inc. I hu Feb 4 16:43:01 2021 Nage 1
ID:xSiyQacEcwso13vyLoWnnFzpUGr-eur2MTcy8EZFZ7gBzFKI_mRruWOnPUQ4lmspN2zoSg8
6-0-0 9-11-12 13-11-8 16-4-10 20-3-0
6-0-0 3-11-12 3-11-12 2-5-2 3-10-6
4x6
3x8
4x6
Scale = 1:37.9
3x8 4x4 6x6 2x4 11 3x8 2x4 11 4X1 U
LUMBER -
TOP CHORD 2x4 SPF No.2
BOT CHORD 2x6 SPF 1650F 1.5E
WEBS 2x4 SPF No.2
BRACING -
TOP CHORD
BOT CHORD
REACTIONS. (size) 7=0-3-8, 2=0-3-8
Max Horz 2=92(LC 46)
Max Uplift 7=-680(LC 7), 2=-846(LC 6)
Max Grav 7=2549(LC 18), 2=2881 (LC 31)
FORCES. (lb) - Max. Comp./Max. Ten. - All forces 250 (lb) or less except when shown.
TOP CHORD 2-3=-7177/1835, 3-4=-6630/1747, 4-5=-6879/1864, 5-6=-7355/1966, 6-7=-7328/1956
BOT CHORD 2-12=-1702/6762, 10-12=-2141/8396, 9-10=-2141/8396, 8-9=-1804/6920, 7-8=-1804/6920
WEBS 3-12=-442/1882, 4-12=-2152/583, 4-10=-179/901, 4-9=-1870/490, 5-9=-460/1852,
6-9=-456/340
Structural wood sheathing directly applied or 4-0-10 oc purlins,
except
2-0-0 oc purlins (4-4-12 max.): 3-5.
Rigid ceiling directly applied or 10-0-0 oc bracing.
NOTES -
1) 2 -ply truss to be connected together with 10d (0.131 11x3") nails as follows:
Top chords connected as follows: 2x4 - 1 row at 0-7-0 oc.
Bottom chords connected as follows: 2x6 - 2 rows staggered at 0-9-0 oc.
Webs connected as follows: 2x4 - 1 row at 0-9-0 oc.
2) All loads are considered equally applied to all plies, except if noted as front (F) or back (B) face in the LOAD CASE(S) section. Ply to
ply connections have been provided to distribute only loads noted as (F) or (B), unless otherwise indicated.
3) Wind: ASCE 7-16; Vult=135mph (3 -second gust) Vasd=107mph; TCDL=6.Opsf; BCDL=6.Opsf; h=25ft; Cat. 11; Exp C; Enclosed;
MWFRS (envelope) gable end zone; cantilever left and right exposed ; end vertical left and right exposed; Lumber DOL=1.60 plate
grip DOL=1.60
4) TCLL: ASCE 7-16; Pf=30.0 psf (Lum DOL=1.15 Plate DOL=1.15); Is=1.0; Rough Cat C; Partially Exp.; Ce=1.0; Cs=1.00; Ct=1.10
5) Unbalanced snow loads have been considered for this design.
6) This truss has been designed for greater of min roof live load of 16.0 psf or 1.00 times flat roof load of 30.0 psf on overhangs
non -concurrent with other live loads.
7) Provide adequate drainage to prevent water ponding.
8) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads.
9) * This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide
will fit between the bottom chord and any other members.
10) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 100 Ib uplift at joint(s) except (jt=1b)
7=680,2=846.
11) This truss is designed in accordance with the 2018 International Residential Code sections R502.11.1 and R802.10.2 and
referenced standard ANSI/TPI 1.
12) Graphical purlin representation does not depict the size or the orientation of the purlin along the top and/or bottom chord.
Continued on page 2
A\ WARNING - Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE Mll-7473 rev. 5/19/2020 BEFORE USE.
Design valid for use only with MiTek® connectors. This design is based only upon parameters shown, and is for an individual building component, not
a truss system. Before use, the building designer must verify the applicability of design parameters and properly incorporate this design into the overall
building design. Bracing indicated is to prevent buckling of individual truss web and/or chord members only. Additional temporary and permanent bracing
is always required for stability and to prevent collapse with possible personal injury and property damage. For general guidance regarding the
fabrication, storage, delivery, erection and bracing of trusses and truss systems, see ANSI/TPl1 Quality Criteria, DSB-89 and BCSI Building Component
Safety Information available from Truss Plate Institute, 2670 Crain Highway, Suite 203 Waldorf, MD 20601
p,D 0 L/C n��
PE -0055362
i
0 0
.L
#%
DNA .-
February 5,2021
MiTek
MiTek USA, Inc.
400 Sunrise Avenue, Suite 270
Roseville, CA 95661
6-0-0
9-11-12
13-11-8
16-4-10 20-3-0
6-0-0
3-11-12
3-11-12
2-5-2 3-10-6
Plate Offsets (X,Y)-- [7:0-3-8, Edge]
LOADING (psf)
SPACING-
2-0-0
CSI.
DEFL.
in (loc)
I/defl
L/d
PLATES GRIP
TCLL 30.0
Plate Grip DOL
1.15
TC 0.65
Vert(LL)
-0.22 10
>999
240
MT20 197/144
(Roof Snow=30.0)
Lumber DOL
1.15
BC 0.60
Vert(CT)
-0.35 10
>699
180
TCDL 15.0
Rep Stress Incr
NO
WB 0.23
Horz(CT)
0.07 7
n/a
n/a
BCLL 0.0
Code IRC2018/TP12014
Matrix -MS
Weight: 161 Ib FT = 10%
BCDL 10.0
LUMBER -
TOP CHORD 2x4 SPF No.2
BOT CHORD 2x6 SPF 1650F 1.5E
WEBS 2x4 SPF No.2
BRACING -
TOP CHORD
BOT CHORD
REACTIONS. (size) 7=0-3-8, 2=0-3-8
Max Horz 2=92(LC 46)
Max Uplift 7=-680(LC 7), 2=-846(LC 6)
Max Grav 7=2549(LC 18), 2=2881 (LC 31)
FORCES. (lb) - Max. Comp./Max. Ten. - All forces 250 (lb) or less except when shown.
TOP CHORD 2-3=-7177/1835, 3-4=-6630/1747, 4-5=-6879/1864, 5-6=-7355/1966, 6-7=-7328/1956
BOT CHORD 2-12=-1702/6762, 10-12=-2141/8396, 9-10=-2141/8396, 8-9=-1804/6920, 7-8=-1804/6920
WEBS 3-12=-442/1882, 4-12=-2152/583, 4-10=-179/901, 4-9=-1870/490, 5-9=-460/1852,
6-9=-456/340
Structural wood sheathing directly applied or 4-0-10 oc purlins,
except
2-0-0 oc purlins (4-4-12 max.): 3-5.
Rigid ceiling directly applied or 10-0-0 oc bracing.
NOTES -
1) 2 -ply truss to be connected together with 10d (0.131 11x3") nails as follows:
Top chords connected as follows: 2x4 - 1 row at 0-7-0 oc.
Bottom chords connected as follows: 2x6 - 2 rows staggered at 0-9-0 oc.
Webs connected as follows: 2x4 - 1 row at 0-9-0 oc.
2) All loads are considered equally applied to all plies, except if noted as front (F) or back (B) face in the LOAD CASE(S) section. Ply to
ply connections have been provided to distribute only loads noted as (F) or (B), unless otherwise indicated.
3) Wind: ASCE 7-16; Vult=135mph (3 -second gust) Vasd=107mph; TCDL=6.Opsf; BCDL=6.Opsf; h=25ft; Cat. 11; Exp C; Enclosed;
MWFRS (envelope) gable end zone; cantilever left and right exposed ; end vertical left and right exposed; Lumber DOL=1.60 plate
grip DOL=1.60
4) TCLL: ASCE 7-16; Pf=30.0 psf (Lum DOL=1.15 Plate DOL=1.15); Is=1.0; Rough Cat C; Partially Exp.; Ce=1.0; Cs=1.00; Ct=1.10
5) Unbalanced snow loads have been considered for this design.
6) This truss has been designed for greater of min roof live load of 16.0 psf or 1.00 times flat roof load of 30.0 psf on overhangs
non -concurrent with other live loads.
7) Provide adequate drainage to prevent water ponding.
8) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads.
9) * This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide
will fit between the bottom chord and any other members.
10) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 100 Ib uplift at joint(s) except (jt=1b)
7=680,2=846.
11) This truss is designed in accordance with the 2018 International Residential Code sections R502.11.1 and R802.10.2 and
referenced standard ANSI/TPI 1.
12) Graphical purlin representation does not depict the size or the orientation of the purlin along the top and/or bottom chord.
Continued on page 2
A\ WARNING - Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE Mll-7473 rev. 5/19/2020 BEFORE USE.
Design valid for use only with MiTek® connectors. This design is based only upon parameters shown, and is for an individual building component, not
a truss system. Before use, the building designer must verify the applicability of design parameters and properly incorporate this design into the overall
building design. Bracing indicated is to prevent buckling of individual truss web and/or chord members only. Additional temporary and permanent bracing
is always required for stability and to prevent collapse with possible personal injury and property damage. For general guidance regarding the
fabrication, storage, delivery, erection and bracing of trusses and truss systems, see ANSI/TPl1 Quality Criteria, DSB-89 and BCSI Building Component
Safety Information available from Truss Plate Institute, 2670 Crain Highway, Suite 203 Waldorf, MD 20601
p,D 0 L/C n��
PE -0055362
i
0 0
.L
#%
DNA .-
February 5,2021
MiTek
MiTek USA, Inc.
400 Sunrise Avenue, Suite 270
Roseville, CA 95661
Job
Truss
Truss Type
Qty
Ply
3865 N Allison St
R65312323
210176
A05
HIP GIRDER
1
2
1 Job Reference (optional)
Noble Truss Colorado, Sedalia, Co - 80135,
8.330 s Oct 7 2020 MiTek Industries, Inc. Thu Feb 4 16:43:01 2021 Page 2
ID:x5iyQacEcwso13vyLoWnnFzpUGr-eur2MTcy8EZFZ7gBzFKI_mRruWOnPUQ4lmspN2zoSg8
NOTES -
13) Hanger(s) or other connection device(s) shall be provided sufficient to support concentrated load(s) 820 Ib down and 252 Ib up at 6-0-0, 354 Ib down and 105 Ib up at
8-0-12, 354 Ib down and 105 Ib up at 9-11-12, and 354 Ib down and 105 Ib up at 11-10-12, and 820 Ib down and 252 Ib up at 13-10-12 on bottom chord. The
design/selection of such connection device(s) is the responsibility of others.
LOAD CASE(S) Standard
1) Dead + Snow (balanced): Lumber Increase=1.15, Plate Increase=1.15
Uniform Loads (plf)
Vert: 1-3=-90, 3-5=-90, 5-7=-90, 7-15=-20
Concentrated Loads (lb)
Vert: 11=-354(8) 12=-820(B) 10=-354(8) 9=-820(B) 19=-354(8)
A\ WARNING - Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE Mll-7473 rev. 5/19/2020 BEFORE USE.
Design valid for use only with MiTek® connectors. This design is based only upon parameters shown, and is for an individual building component, not
a truss system. Before use, the building designer must verify the applicability of design parameters and properly incorporate this design into the overall
building design. Bracing indicated is to prevent buckling of individual truss web and/or chord members only. Additional temporary and permanent bracing
is always required for stability and to prevent collapse with possible personal injury and property damage. For general guidance regarding the
fabrication, storage, delivery, erection and bracing of trusses and truss systems, see ANSI/TPl1 Quality Criteria, DSB-89 and BCSI Building Component
Safety Information available from Truss Plate Institute, 2670 Crain Highway, Suite 203 Waldorf, MD 20601
/ Pbbott Asso
`ey
V �
CAA
g
MiTek
MiTek USA, Inc.
400 Sunrise Avenue, Suite 270
Roseville, CA 95661
Job
Truss
Truss Type
Qty
Ply
3865 N Allison St
I/defl
L/d
TCLL 30.0
Plate Grip DOL
1.15
R65312324
210176
A04
Hip
1
1
Lumber DOL
1.15
BC 0.95
Vert(CT)
-0.30 8-12
>798
Job Reference (optional)
Noble I russ Colorado, Sedalia, Co - 80135,
0
01
-2-4-8 4-3-14
2-4-8 4-3-14
8-0-0
3-8-2
4x6
8.330 s Uct 12020 Mi I ek Industries, Inc. I hu Feb 4 16:43:00 2021 Nage 1
ID:x5iyQacEcwso13vyLoWnnFzpUGr-9iHg87bJNwROyzG?QYpWRZuff7b5g1 Dw367FrbzoSg9
11-11-8 15-7-10 20-3-0
3-11-8 3-8-2 4-7-6
5x6
Scale = 1:38.1
:iX4
3x8 = 3x8 3x4 = 4x6
8-0-0
8-0-0
11-11-8
3-11-8
LOADING (psf)
SPACING-
2-0-0
CSI.
DEFL.
in (loc)
I/defl
L/d
TCLL 30.0
Plate Grip DOL
1.15
TC 0.74
Vert(LL)
-0.17 8-10
>999
240
(Roof Snow=30.0)
Lumber DOL
1.15
BC 0.95
Vert(CT)
-0.30 8-12
>798
180
TCDL 15.0
Rep Stress Incr
YES
WB 0.23
Horz(CT)
0.09 7
n/a
n/a
BCLL 0.0
Code IRC2018/TP12014
Matrix -MS
BCDL 10.0
LUMBER- BRACING -
TOP CHORD 2x4 SPF No.2 TOP CHORD
BOT CHORD 2x4 SPF No.2
WEBS 2x4 SPF No.2 BOT CHORD
REACTIONS. (size) 7=0-3-8, 2=0-3-8
Max Horz 2=104(LC 10)
Max Uplift 7=-288(LC 11), 2=-450(LC 10)
Max Grav 7=1346(LC 35), 2=1691(LC 35)
FORCES. (lb) - Max. Comp./Max. Ten. - All forces 250 (lb) or less except when shown.
TOP CHORD 2-3=-3004/997, 3-4=-2388/819, 4-5=-2183/822, 5-6=-2465/813, 6-7=-3224/990
BOT CHORD 2-10=-900/2769, 8-10=-648/2244, 7-8=-882/3025
WEBS 3-10=-608/247, 4-10=-15/343, 5-8=-55/439, 6-8=-812/311
20-3-0
8-3-8
PLATES GRIP
MT20 197/144
Weight: 70 Ib FT = 10%
7
Structural wood sheathing directly applied or 2-9-1 oc purlins, except
2-0-0 oc purlins (3-6-12 max.): 4-5.
Rigid ceiling directly applied or 2-2-0 oc bracing.
NOTES -
1) Wind: ASCE 7-16; Vult=135mph (3 -second gust) Vasd=107mph; TCDL=6.Opsf; BCDL=6.Opsf; h=25ft; Cat. 11; Exp C; Enclosed;
MWFRS (envelope) gable end zone and C -C Exterior(2E) -2-4-8 to 0-7-11, Interior(1) 0-7-11 to 8-0-0, Exterior(2E) 8-0-0 to 11-11-8,
Exterior(2R) 11-11-8 to 16-2-7, Interior(1) 16-2-7 to 20-1-4 zone; cantilever left and right exposed ; end vertical left and right
exposed;C-C for members and forces & MWFRS for reactions shown; Lumber DOL=1.60 plate grip DOL=1.60
2) TCLL: ASCE 7-16; Pf=30.0 psf (Lum DOL=1.15 Plate DOL=1.15); Is=1.0; Rough Cat C; Partially Exp.; Ce=1.0; Cs=1.00; Ct=1.10
3) Unbalanced snow loads have been considered for this design.
4) This truss has been designed for greater of min roof live load of 16.0 psf or 1.00 times flat roof load of 30.0 psf on overhangs
non -concurrent with other live loads.
5) Provide adequate drainage to prevent water ponding.
6) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads.
7) * This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide
will fit between the bottom chord and any other members.
8) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 100 Ib uplift at joint(s) except (jt=1b)
7=288,2=450.
9) This truss is designed in accordance with the 2018 International Residential Code sections R502.11.1 and R802.10.2 and
referenced standard ANSI/TPI 1.
10) Graphical purlin representation does not depict the size or the orientation of the purlin along the top and/or bottom chord.
A\ WARNING - Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE Mll-7473 rev. 5/19/2020 BEFORE USE.
Design valid for use only with MiTek® connectors. This design is based only upon parameters shown, and is for an individual building component, not
a truss system. Before use, the building designer must verify the applicability of design parameters and properly incorporate this design into the overall
building design. Bracing indicated is to prevent buckling of individual truss web and/or chord members only. Additional temporary and permanent bracing
is always required for stability and to prevent collapse with possible personal injury and property damage. For general guidance regarding the
fabrication, storage, delivery, erection and bracing of trusses and truss systems, see ANSI/TPl1 Quality Criteria, DSB-89 and BCSI Building Component
Safety Information available from Truss Plate Institute, 2670 Crain Highway, Suite 203 Waldorf, MD 20601
e5 Pbbott ASS oc"
Cr cos
CAA
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PE -0055362
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0i-ONAk...
February 5,2021
MiTek
MiTek USA, Inc.
400 Sunrise Avenue, Suite 270
Roseville, CA 95661
Job
Truss
Truss Type
Qty
Ply
3865 N Allison St
8-4-5
3-10-11
Plate Offsets (X,Y)-- [2:0-2-0.0-0-4]
R65312325
210176
CJ01
Diagonal Hip Girder
3
1
CSI.
DEFL.
in (loc)
I/defl
L/d
PLATES GRIP
Job Reference (optional)
Noble Truss Colorado Inc., Sedalia CO. 8.330 s Dec 1 2020 MiTek Industries, Inc. Fri Feb 5 10:18:38 2021 Page 1
ID:x5iyQacEcwso13vyLoWnnFzpUGr-AyMcVNM6aWv_GT69RUbbSbMC8QFCsAUVFQ6gc6zoBc?
-3-4-5 4-5-10 8-4-5
3-4-5 4-5-10 3-10-11
Scale = 1:21.3
1.5x4 11
LUMBER- BRACING -
TOP CHORD 2x4 SPF No.2 TOP CHORD
BOT CHORD 2x4 SPF No.2
WEBS 2x4 SPF No.2 BOT CHORD
OTHERS 2x4 SPF No.2
LBR SCAB 1-3 2x4 SPF No.2 both sides
REACTIONS. (size) 2=0-4-9, 6=Mechanical
Max Horz 2=139(LC 9)
Max Uplift 2=-395(LC 6), 6=-119(LC 10)
Max Grav 2=914(LC 17), 6=494(LC 17)
FORCES. (lb) - Max. Comp./Max. Ten. - All forces 250 (lb) or less except when shown.
TOP CHORD 2-4=-904/178
BOT CHORD 2-7=-193/824, 6-7=-193/824
WEBS 4-6=-862/221
Structural wood sheathing directly applied or 6-0-0 oc purlins, except
end verticals.
Rigid ceiling directly applied or 6-0-0 oc bracing.
NOTES -
1) Attached 6-6-0 scab 1 to 3, both face(s) 2x4 SPF No.2 with 1 row(s) of 10d (0.131 11x3") nails spaced 9" o.c..
2) Wind: ASCE 7-16; Vult=135mph (3 -second gust) Vasd=107mph; TCDL=6.Opsf; BCDL=6.Opsf; h=25ft; Cat. 11; Exp C; Enclosed;
MWFRS (envelope) gable end zone; cantilever left and right exposed ; end vertical left and right exposed; Lumber DOL=1.60 plate grip
DOL=1.60
3) TCLL: ASCE 7-16; Pf=30.0 psf (Lum DOL=1.15 Plate DOL=1.15); Is=1.0; Rough Cat C; Partially Exp.; Ce=1.0; Cs=1.00; Ct=1.10
4) Unbalanced snow loads have been considered for this design.
5) This truss has been designed for greater of min roof live load of 20.0 psf or 1.00 times flat roof load of 30.0 psf on overhangs
non -concurrent with other live loads.
6) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads.
7) * This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide will
fit between the bottom chord and any other members.
8) Refer to girder(s) for truss to truss connections.
9) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 395 Ib uplift at joint 2 and 119 Ib uplift at
joint 6.
10) This truss is designed in accordance with the 2018 International Residential Code sections R502.11.1 and R802.10.2 and referenced
standard ANSI/TPI 1.
11) Hanger(s) or other connection device(s) shall be provided sufficient to support concentrated load(s) 4 Ib down and 18 Ib up at 2-9-8,
4 Ib down and 18 Ib up at 2-9-8, and 90 Ib down and 68 Ib up at 5-7-7, and 90 Ib down and 68 Ib up at 5-7-7 on top chord, and 42 Ib
up at 2-9-8, 42 Ib up at 2-9-8, and 6 Ib down and 20 Ib up at 5-7-7, and 6 Ib down and 20 Ib up at 5-7-7 on bottom chord. The
design/selection of such connection device(s) is the responsibility of others.
12) In the LOAD CASE(S) section, loads applied to the face of the truss are noted as front (F) or back (B).
LOAD CASE(S) Standard
ontlnuea on page z
/?-,, WARNING - Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE Mll-7473 rev. 5/19/2020 BEFORE USE.
Design valid for use only with MiTek® connectors. This design is based only upon parameters shown, and is for an individual building component, not
a truss system. Before use, the building designer must verify the applicability of design parameters and properly incorporate this design into the overall
building design. Bracing indicated is to prevent buckling of individual truss web and/or chord members only. Additional temporary and permanent bracing
is always required for stability and to prevent collapse with possible personal injury and property damage. For general guidance regarding the
fabrication, storage, delivery, erection and bracing of trusses and truss systems, see ANSI/TPl1 Quality Criteria, DSB-89 and BCSI Building Component
Safety Information available from Truss Plate Institute, 2670 Crain Highway, Suite 203 Waldorf, MD 20601
5 c% Pc,.
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�0
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.ia ���
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PE -0055362
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NAI..
February 5,2021
MiTek
MiTek USA, Inc.
400 Sunrise Avenue, Suite 270
Roseville, CA 95661
4-5-10
4-5-10
8-4-5
3-10-11
Plate Offsets (X,Y)-- [2:0-2-0.0-0-4]
LOADING (psf)
SPACING-
2-0-0
CSI.
DEFL.
in (loc)
I/defl
L/d
PLATES GRIP
TCLL 30.0
Plate Grip DOL
1.15
TC 0.38
Vert(LL)
0.03 7-10
>999
240
MT20 197/144
(Roof Snow=30.0)
Lumber DOL
1.15
BC 0.34
Vert(CT)
-0.04 6-7
>999
180
TCDL 15.0
Rep Stress Incr
NO
WB 0.24
Horz(CT)
0.01 6
n/a
n/a
BCLL 0.0
Code IRC2018/TP12014
Matrix -MP
Weight: 45 Ib FT = 10%
BCDL 10.0
LUMBER- BRACING -
TOP CHORD 2x4 SPF No.2 TOP CHORD
BOT CHORD 2x4 SPF No.2
WEBS 2x4 SPF No.2 BOT CHORD
OTHERS 2x4 SPF No.2
LBR SCAB 1-3 2x4 SPF No.2 both sides
REACTIONS. (size) 2=0-4-9, 6=Mechanical
Max Horz 2=139(LC 9)
Max Uplift 2=-395(LC 6), 6=-119(LC 10)
Max Grav 2=914(LC 17), 6=494(LC 17)
FORCES. (lb) - Max. Comp./Max. Ten. - All forces 250 (lb) or less except when shown.
TOP CHORD 2-4=-904/178
BOT CHORD 2-7=-193/824, 6-7=-193/824
WEBS 4-6=-862/221
Structural wood sheathing directly applied or 6-0-0 oc purlins, except
end verticals.
Rigid ceiling directly applied or 6-0-0 oc bracing.
NOTES -
1) Attached 6-6-0 scab 1 to 3, both face(s) 2x4 SPF No.2 with 1 row(s) of 10d (0.131 11x3") nails spaced 9" o.c..
2) Wind: ASCE 7-16; Vult=135mph (3 -second gust) Vasd=107mph; TCDL=6.Opsf; BCDL=6.Opsf; h=25ft; Cat. 11; Exp C; Enclosed;
MWFRS (envelope) gable end zone; cantilever left and right exposed ; end vertical left and right exposed; Lumber DOL=1.60 plate grip
DOL=1.60
3) TCLL: ASCE 7-16; Pf=30.0 psf (Lum DOL=1.15 Plate DOL=1.15); Is=1.0; Rough Cat C; Partially Exp.; Ce=1.0; Cs=1.00; Ct=1.10
4) Unbalanced snow loads have been considered for this design.
5) This truss has been designed for greater of min roof live load of 20.0 psf or 1.00 times flat roof load of 30.0 psf on overhangs
non -concurrent with other live loads.
6) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads.
7) * This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide will
fit between the bottom chord and any other members.
8) Refer to girder(s) for truss to truss connections.
9) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 395 Ib uplift at joint 2 and 119 Ib uplift at
joint 6.
10) This truss is designed in accordance with the 2018 International Residential Code sections R502.11.1 and R802.10.2 and referenced
standard ANSI/TPI 1.
11) Hanger(s) or other connection device(s) shall be provided sufficient to support concentrated load(s) 4 Ib down and 18 Ib up at 2-9-8,
4 Ib down and 18 Ib up at 2-9-8, and 90 Ib down and 68 Ib up at 5-7-7, and 90 Ib down and 68 Ib up at 5-7-7 on top chord, and 42 Ib
up at 2-9-8, 42 Ib up at 2-9-8, and 6 Ib down and 20 Ib up at 5-7-7, and 6 Ib down and 20 Ib up at 5-7-7 on bottom chord. The
design/selection of such connection device(s) is the responsibility of others.
12) In the LOAD CASE(S) section, loads applied to the face of the truss are noted as front (F) or back (B).
LOAD CASE(S) Standard
ontlnuea on page z
/?-,, WARNING - Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE Mll-7473 rev. 5/19/2020 BEFORE USE.
Design valid for use only with MiTek® connectors. This design is based only upon parameters shown, and is for an individual building component, not
a truss system. Before use, the building designer must verify the applicability of design parameters and properly incorporate this design into the overall
building design. Bracing indicated is to prevent buckling of individual truss web and/or chord members only. Additional temporary and permanent bracing
is always required for stability and to prevent collapse with possible personal injury and property damage. For general guidance regarding the
fabrication, storage, delivery, erection and bracing of trusses and truss systems, see ANSI/TPl1 Quality Criteria, DSB-89 and BCSI Building Component
Safety Information available from Truss Plate Institute, 2670 Crain Highway, Suite 203 Waldorf, MD 20601
5 c% Pc,.
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V d,
�0
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.ia ���
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PE -0055362
i
'04, ,
NAI..
February 5,2021
MiTek
MiTek USA, Inc.
400 Sunrise Avenue, Suite 270
Roseville, CA 95661
Job
Truss
Truss Type
Qty
Ply
3865 N Allison St
R65312325
210176
CJ01
Diagonal Hip Girder
3
1
Job Reference (optional)
Noble Truss Colorado Inc., Sedalia CO.
LOAD CASE(S) Standard
1) Dead + Snow (balanced): Lumber Increase=1.15, Plate Increase=1.15
Uniform Loads (plf)
Vert: 1-5=-90, 6-8=-20
Concentrated Loads (lb)
Vert: 13=-62(F=-31, B=-31) 14=60(F=30, 13=30) 15=-5(F=-3, B=-3)
8.330 s Dec 1 2020 MiTek Industries, Inc. Fri Feb 5 10:18:38 2021 Page 2
ID:x5iyQacEcwso13vyLoWnnFzpUGr-AyMcVNM6aWv GT69RUbbSbMC8QFCsAUVFQ6gc6zoBc?
A\ WARNING - Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE Mll-7473 rev. 5/19/2020 BEFORE USE.
Design valid for use only with MiTek® connectors. This design is based only upon parameters shown, and is for an individual building component, not
a truss system. Before use, the building designer must verify the applicability of design parameters and properly incorporate this design into the overall
building design. Bracing indicated is to prevent buckling of individual truss web and/or chord members only. Additional temporary and permanent bracing
is always required for stability and to prevent collapse with possible personal injury and property damage. For general guidance regarding the
fabrication, storage, delivery, erection and bracing of trusses and truss systems, see ANSI/TPl1 Quality Criteria, DSB-89 and BCSI Building Component
Safety Information available from Truss Plate Institute, 2670 Crain Highway, Suite 203 Waldorf, MD 20601
/ Pbbott Asso
`ey
V �
CAA
g
MiTek
MiTek USA, Inc.
400 Sunrise Avenue, Suite 270
Roseville, CA 95661
Job
Truss
Truss Type
Qty
Ply
3865 N Allison St
LOADING (psf)
TCLL 30.0
SPACING- 2-0-0
CSI.
DEFL. in (loc) I/defl L/d
PLATES GRIP
R65312326
210176
J01
Jack -Closed
12
1
Lumber DOL 1.15
BC 0.41
Vert(CT) -0.14 4-7 >491 180
BCLL 0.0
Rep Stress Incr YES
Job Reference (optional)
Noble I russ Colorado, Sedalia, Co - 80135,
-2-4-8
2-4-8
8.330 s Uct 12020 Mi I ek Industries, Inc. I hu Feb 4 16:43:03 2021 Nage 1
ID:x5iyQacEcwso13vyLoWnnFzpUGr-aHzon9dCfrpzpR_Z5gMD3BWAvKkHtRWN14LwRwzoSg6
6-0-0
6-0-0
Scale = 1:16.8
1.5x4
3
6-0-0
6-0-0
Plate Offsets (X,Y)-- [2:0-0-14,Edge]
LOADING (psf)
TCLL 30.0
SPACING- 2-0-0
CSI.
DEFL. in (loc) I/defl L/d
PLATES GRIP
(Roof Snow=30.0)
Plate Grip DOL 1.15
TC 0.74
Vert(LL) 0.08 4-7 >857 240
MT20 197/144
TCDL 15.0
Lumber DOL 1.15
BC 0.41
Vert(CT) -0.14 4-7 >491 180
BCLL 0.0
Rep Stress Incr YES
WB 0.00
Horz(CT) 0.01 2 n/a n/a
BCDL 10.0
Code IRC2018/TP12014
Matrix -MP
Weight: 19 Ib FT = 10%
LUMBER- BRACING -
TOP CHORD 2x4 SPF No.2 TOP CHORD Structural wood sheathing directly applied or 6-0-0 oc purlins,
BOT CHORD 2x4 SPF No.2 except end verticals.
WEBS 2x4 SPF No.2 BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing.
REACTIONS. (size) 4=Mechanical, 2=0-3-8
Max Horz 2=147(LC 13)
Max Uplift 4=-85(LC 14), 2=-268(LC 10)
Pbbott �q,
Max Grav 4=374(LC 21), 2=740(LC 21)
�e o .
Zoe
FORCES. (lb) - Max. Comp./Max. Ten. - All forces 250 (lb) or less except when shown.
cap -
TOP CHORD 3-4=-290/267
CAA
NOTES -
1) Wind: ASCE 7-16; Vult=135mph (3 -second gust) Vasd=107mph; TCDL=6.Opsf; BCDL=6.Opsf; h=25ft; Cat. 11; Exp C; Enclosed;
MWFRS (envelope) gable end zone and C -C Exterior(2E) -2-4-8 to 0-7-11, Interior(1) 0-7-11 to 5-10-4 zone; cantilever left and right
�i.\C'�
exposed , end vertical left and right exposed;C-C for members and forces & MWFRS for reactions shown; Lumber DOL=1.60 plate
grip DOL=1.60
2) TCLL: ASCE 7-16; Pf=30.0 psf (Lum DOL=1.15 Plate DOL=1.15); Is=1.0; Rough Cat C; Partially Exp.; Ce=1.0; Cs=1.00; Ct=1.10
3) Unbalanced snow loads have been considered for this design.
4) This truss has been designed for greater of min roof live load of 16.0 psf or 1.00 times flat roof load of 30.0 psf on overhangs
non -concurrent with other live loads.
5) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads.
6) * This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide
will fit between the bottom chord and any other members.
7) Refer to girder(s) for truss to truss connections.
8) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 100 Ib uplift at joint(s) 4 except (jt=1b)
2=268.
9) This truss is designed in accordance with the 2018 International Residential Code sections R502.11.1 and R802.10.2 and
�� ;•..•*•.�•�
1) •
referenced standard ANSI/TPI 1.
yQ•#• ,1L *
PE -0055362 i
!DIVAN
February 5,2021
A\ WARNING - Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE Mll-7473 rev. 5/19/2020 BEFORE USE.
Design valid for use only with MiTek® connectors. This design is based only upon parameters shown, and is for an individual building component, not
a truss system. Before use, the building designer must verify the applicability of design parameters and properly incorporate this design into the overall MR
building design. Bracing indicated is to prevent buckling of individual truss web and/or chord members only. Additional temporary and permanent bracing M iTe k
is always required for stability and to prevent collapse with possible personal injury and property damage. For general guidance regarding the
fabrication, storage, delivery, erection and bracing of trusses and truss systems, see ANSI/TPl1 Quality Criteria, DSB-89 and BCSI Building Component MiTek USA, Inc.
Safety Information available from Truss Plate Institute, 2670 Crain Highway, Suite 203 Waldorf, MD 20601 400 Sunrise Avenue, Suite 270
Roseville, CA 95661
Job
Truss
Truss Type
Qty
Ply
3865 N Allison St
TCLL 30.0
Plate Grip DOL 1.15
TC 0.69
Vert(LL) 0.00 7 >999 240
MT20 197/144
R65312327
210176
J02
Jack -Open
6
1
Rep Stress Incr YES
WB 0.00
Horz(CT) -0.00 2 n/a n/a
BCLL 0.0
BCDL 10.0
Code IRC2018/TP12014
Job Reference (optional)
Noble Truss Colorado, Sedalia, Co - 80135, 8.330 s Oct 7 2020 MiTek Industries, Inc. Thu Feb 4 16:43:04 2021 Page 1
ID:x5iyQacEcwso13vyLoWnnFzpUGr-2TXB_VegQ9xpQbZmfOuScP2MTk8bcumW k5T_MzoSg5
-2-4-8 1-10-15
2-4-8 1-10-15
1-10-15
1-10-15
Scale = 1:9.0
Plate Offsets (X,Y)-- [2:0-0-6.0-0-7]
LOADING (psf)
SPACING- 2-0-0
CSI.
DEFL. in (loc) I/defl L/d
PLATES GRIP
TCLL 30.0
Plate Grip DOL 1.15
TC 0.69
Vert(LL) 0.00 7 >999 240
MT20 197/144
(Roof Snow=30.0)
Lumber DOL 1.15
BC 0.15
Vert(CT) 0.00 7 >999 180
TCDL 15.0
Rep Stress Incr YES
WB 0.00
Horz(CT) -0.00 2 n/a n/a
BCLL 0.0
BCDL 10.0
Code IRC2018/TP12014
Matrix -MP
Weight: 7 Ib FT = 10%
LUMBER -
TOP CHORD 2x4 SPF No.2
BOT CHORD 2x4 SPF No.2
REACTIONS. (size) 3=Mechanical, 2=0-3-8, 4=Mechanical
Max Horz 2=95(LC 10)
Max Uplift 3=-38(LC 20), 2=-276(LC 10), 4=-52(LC 21)
Max Grav 3=15(LC 10), 2=608(LC 21), 4=50(LC 10)
FORCES. (lb) - Max. Comp./Max. Ten. - All forces 250 (lb) or less except when shown.
BRACING -
TOP CHORD Structural wood sheathing directly applied or 1-10-15 oc purlins.
BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing.
NOTES -
1) Wind: ASCE 7-16; Vult=135mph (3 -second gust) Vasd=107mph; TCDL=6.Opsf; BCDL=6.Opsf; h=25ft; Cat. 11; Exp C; Enclosed;
MWFRS (envelope) gable end zone and C -C Exterior(2E) -2-4-8 to 0-7-11, Interior(1) 0-7-11 to 1-10-13 zone; cantilever left and right
exposed ; end vertical left and right exposed;C-C for members and forces & MWFRS for reactions shown; Lumber DOL=1.60 plate
grip DOL=1.60
2) TCLL: ASCE 7-16; Pf=30.0 psf (Lum DOL=1.15 Plate DOL=1.15); Is=1.0; Rough Cat C; Partially Exp.; Ce=1.0; Cs=1.00; Ct=1.10
3) Unbalanced snow loads have been considered for this design.
4) This truss has been designed for greater of min roof live load of 16.0 psf or 1.00 times flat roof load of 30.0 psf on overhangs
non -concurrent with other live loads.
5) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads.
6) * This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide
will fit between the bottom chord and any other members.
7) Refer to girder(s) for truss to truss connections.
8) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 100 Ib uplift at joint(s) 3, 4 except (jt=1b)
2=276.
9) This truss is designed in accordance with the 2018 International Residential Code sections R502.11.1 and R802.10.2 and
referenced standard ANSI/TPI 1.
A\ WARNING - Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE Mll-7473 rev. 5/19/2020 BEFORE USE.
Design valid for use only with MiTek® connectors. This design is based only upon parameters shown, and is for an individual building component, not
a truss system. Before use, the building designer must verify the applicability of design parameters and properly incorporate this design into the overall
building design. Bracing indicated is to prevent buckling of individual truss web and/or chord members only. Additional temporary and permanent bracing
is always required for stability and to prevent collapse with possible personal injury and property damage. For general guidance regarding the
fabrication, storage, delivery, erection and bracing of trusses and truss systems, see ANSI/TPl1 Quality Criteria, DSB-89 and BCSI Building Component
Safety Information available from Truss Plate Institute, 2670 Crain Highway, Suite 203 Waldorf, MD 20601
�Nes Pbbott ASso
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PE -0055362
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February 5,2021
MiTek
MiTek USA, Inc.
400 Sunrise Avenue, Suite 270
Roseville, CA 95661
Job
Truss
Truss Type
Qty
Ply
3865 N Allison St
LOADING (psf)
SPACING-
2-0-0
CSI.
R65312328
210176
J03
Jack -Open
6
1
Plate Grip DOL
1.15
TC 0.63
Vert(LL)
0.02 4-7
>999
Job Reference (optional)
Noble Truss Colorado, Sedalia, Co - 80135, 8.330 s Oct 7 2020 MiTek Industries, Inc. Thu Feb 4 16:43:04 2021 Page 1
ID:x5iyQacEcwso13vyLoWnnFzpUGr-2TXB_VegQ9xpQbZmfOuScP2NLk8kcumW k5T_MzoSg5
-2-4-8 3-10-15
2-4-8 3-10-15
3-10-15
3-10-15
Scale = 1:12.3
Plate Offsets (X,Y)-- [2:0-0-4.0-1-15]
LOADING (psf)
SPACING-
2-0-0
CSI.
DEFL.
in (loc)
I/defl
L/d
PLATES GRIP
TCLL 30.0
Plate Grip DOL
1.15
TC 0.63
Vert(LL)
0.02 4-7
>999
240
MT20 197/144
(Roof Snow=30.0)
Lumber DOL
1.15
BC 0.14
Vert(CT)
-0.02 4-7
>999
180
TCDL 15.0
Rep Stress Incr
YES
WB 0.00
Horz(CT)
0.00 3
n/a
n/a
BCLL 0.0
Code IRC2018/TP12014
Matrix -MP
Weight: 12 Ib FT = 10%
BCDL 10.0
LUMBER -
TOP CHORD 2x4 SPF No.2
BOT CHORD 2x4 SPF No.2
REACTIONS. (size) 3=Mechanical, 2=0-3-8, 4=Mechanical
Max Horz 2=131(LC 10)
Max Uplift 3=-61 (LC 14), 2=-249(LC 10)
Max Grav 3=158(LC 21), 2=667(LC 21), 4=63(LC 5)
FORCES. (lb) - Max. Comp./Max. Ten. - All forces 250 (lb) or less except when shown.
BRACING -
TOP CHORD Structural wood sheathing directly applied or 3-10-15 oc purlins.
BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing.
NOTES -
1) Wind: ASCE 7-16; Vult=135mph (3 -second gust) Vasd=107mph; TCDL=6.Opsf; BCDL=6.Opsf; h=25ft; Cat. 11; Exp C, Enclosed;
MWFRS (envelope) gable end zone and C -C Exterior(2E) -2-4-8 to 0-7-11, Interior(1) 0-7-11 to 3-10-3 zone; cantilever left and right
exposed ; end vertical left and right exposed;C-C for members and forces & MWFRS for reactions shown; Lumber DOL=1.60 plate
grip DOL=1.60
2) TCLL: ASCE 7-16; Pf=30.0 psf (Lum DOL=1.15 Plate DOL=1.15); Is=1.0; Rough Cat C; Partially Exp.; Ce=1.0; Cs=1.00; Ct=1.10
3) Unbalanced snow loads have been considered for this design.
4) This truss has been designed for greater of min roof live load of 16.0 psf or 1.00 times flat roof load of 30.0 psf on overhangs
non -concurrent with other live loads.
5) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads.
6) * This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide
will fit between the bottom chord and any other members.
7) Refer to girder(s) for truss to truss connections.
8) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 100 Ib uplift at joint(s) 3 except (jt=1b)
2=249.
9) This truss is designed in accordance with the 2018 International Residential Code sections R502.11.1 and R802.10.2 and
referenced standard ANSI/TPI 1.
A\ WARNING - Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE Mll-7473 rev. 5/19/2020 BEFORE USE.
Design valid for use only with MiTek® connectors. This design is based only upon parameters shown, and is for an individual building component, not
a truss system. Before use, the building designer must verify the applicability of design parameters and properly incorporate this design into the overall
building design. Bracing indicated is to prevent buckling of individual truss web and/or chord members only. Additional temporary and permanent bracing
is always required for stability and to prevent collapse with possible personal injury and property damage. For general guidance regarding the
fabrication, storage, delivery, erection and bracing of trusses and truss systems, see ANSI/TPl1 Quality Criteria, DSB-89 and BCSI Building Component
Safety Information available from Truss Plate Institute, 2670 Crain Highway, Suite 203 Waldorf, MD 20601
�es Pbbott Assn
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CAA
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PE -0055362
0 01 i
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February 5,2021
MiTek
MiTek USA, Inc.
400 Sunrise Avenue, Suite 270
Roseville, CA 95661
Job
Truss
Truss Type
Qty
Ply
3865 N Allison St
TCLL 30.0
Plate Grip DOL 1.15
TC 0.65
Vert(LL) -0.23 9-11 >999 240
MT20 197/144
R65312329
210176
A01
HALF HIP GIRDER
1
2
Rep Stress Incr NO
WB 0.72
Horz(CT) 0.07 7 n/a n/a
BCLL 0.0
Code IRC2018/TP12014
1 Job Reference (optional)
Noble I russ Colorado, Sedalia, Co - 80135,
0
01
-2-4-8
2-4-8
6-0-0
6-0-0
4x6
8.330 s Uct 12020 Mi I ek Industries, Inc. I hu Feb 4 16:42:57 2021 Nage 1
ID:x5iyQacEcwso13vyLoWnnFzpUGr-17bXW6YR4?2p5WXQkQGpgwG9nvd1 UYIUN8ubEGroSgC
10-7-4 15-4-4 20-3-0
4-7-4 4-9-0 4-10-12
3x8 =
3x8 =
Scale = 1:38.7
3x4
3x8 4x4 6x6 2x4 4x4 4x6
6-0-0
6-0-0
10-7-4
4-7-4
15-4-4
4-9-0
20-3-0
4-10-12
Plate Offsets (X,Y)-- [5:0-3-8,0-1-8]
LOADING (psf)
SPACING- 2-0-0
CSI.
DEFL. in (loc) I/defl L/d
PLATES GRIP
TCLL 30.0
Plate Grip DOL 1.15
TC 0.65
Vert(LL) -0.23 9-11 >999 240
MT20 197/144
(Roof Snow=30.0)
Lumber DOL 1.15
BC 0.65
Vert(CT) -0.35 9-11 >693 180
TCDL 15.0
Rep Stress Incr NO
WB 0.72
Horz(CT) 0.07 7 n/a n/a
BCLL 0.0
Code IRC2018/TP12014
Matrix -MS
Weight: 172 Ib FT = 10%
BCDL 10.0
LUMBER- BRACING -
TOP CHORD 2x4 SPF No.2 TOP CHORD
BOT CHORD 2x6 SPF 1650F 1.5E
WEBS 2x4 SPF No.2 BOT CHORD
REACTIONS. (size) 7=0-3-8, 2=0-3-8
Max Horz 2=138(LC 9)
Max Uplift 7=-763(LC 6), 2=-850(LC 6)
Max Grav 7=3068(LC 27), 2=2767(LC 28)
FORCES. (lb) - Max. Comp./Max. Ten. - All forces 250 (lb) or less except when shown.
TOP CHORD 2-3=-7146/1854, 3-4=-6635/1766, 4-5=-6362/1626, 6-7=-306/100
BOT CHORD 2-11=-1744/6771, 9-11=-2205/8699, 8-9=-2205/8699, 7-8=-1605/6362
WEBS 3-11=-408/1871, 4-11=-2225/529, 4-9=-199/1011, 4-8=-2514/662, 5-8=-397/1808,
5-7=-6632/1666
Structural wood sheathing directly applied or 4-2-15 oc purlins,
except end verticals, and 2-0-0 oc purlins (4-1-14 max.): 3-6.
Rigid ceiling directly applied or 10-0-0 oc bracing.
NOTES -
1) 2 -ply truss to be connected together with 10d (0.131 11x3") nails as follows:
Top chords connected as follows: 2x4 - 1 row at 0-7-0 oc.
Bottom chords connected as follows: 2x6 - 2 rows staggered at 0-9-0 oc.
Webs connected as follows: 2x4 - 1 row at 0-9-0 oc.
2) All loads are considered equally applied to all plies, except if noted as front (F) or back (B) face in the LOAD CASE(S) section. Ply to
ply connections have been provided to distribute only loads noted as (F) or (B), unless otherwise indicated.
3) Wind: ASCE 7-16; Vult=135mph (3 -second gust) Vasd=107mph; TCDL=6.Opsf; BCDL=6.Opsf; h=25ft; Cat. 11; Exp C; Enclosed;
MWFRS (envelope) gable end zone; cantilever left and right exposed ; end vertical left and right exposed; Lumber DOL=1.60 plate
grip DOL=1.60
4) TCLL: ASCE 7-16; Pf=30.0 psf (Lum DOL=1.15 Plate DOL=1.15); Is=1.0; Rough Cat C; Partially Exp.; Ce=1.0; Cs=1.00; Ct=1.10
5) Unbalanced snow loads have been considered for this design.
6) This truss has been designed for greater of min roof live load of 20.0 psf or 1.00 times flat roof load of 30.0 psf on overhangs
non -concurrent with other live loads.
7) Provide adequate drainage to prevent water ponding.
8) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads.
9) * This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide
will fit between the bottom chord and any other members.
10) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 100 Ib uplift at joint(s) except (jt=1b)
7=763,2=850.
11) This truss is designed in accordance with the 2018 International Residential Code sections R502.11.1 and R802.10.2 and
referenced standard ANSI/TPI 1.
12) Graphical purlin representation does not depict the size or the orientation of the purlin along the top and/or bottom chord.
Continued on page 2
A\ WARNING - Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE Mll-7473 rev. 5/19/2020 BEFORE USE.
Design valid for use only with MiTek® connectors. This design is based only upon parameters shown, and is for an individual building component, not
a truss system. Before use, the building designer must verify the applicability of design parameters and properly incorporate this design into the overall
building design. Bracing indicated is to prevent buckling of individual truss web and/or chord members only. Additional temporary and permanent bracing
is always required for stability and to prevent collapse with possible personal injury and property damage. For general guidance regarding the
fabrication, storage, delivery, erection and bracing of trusses and truss systems, see ANSI/TPl1 Quality Criteria, DSB-89 and BCSI Building Component
Safety Information available from Truss Plate Institute, 2670 Crain Highway, Suite 203 Waldorf, MD 20601
5 P,.bbott gsso
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PE -0055362
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`DIVAN
February 5,2021
MiTek
MiTek USA, Inc.
400 Sunrise Avenue, Suite 270
Roseville, CA 95661
Job
Truss
Truss Type
Qty
Ply
3865 N Allison St
R65312329
210176
A01
HALF HIP GIRDER
1
2
1 Job Reference (optional)
Noble Truss Colorado, Sedalia, Co - 80135,
8.330 s Oct 7 2020 MiTek Industries, Inc. Thu Feb 4 16:42:57 2021 Page 2
ID:x5iyQacEcwso13vyLoWnnFzpUGr-17bXW6YR4?2p5WXQkQGpgwG9nvd1 UYIUN8ubEGroSgC
NOTES -
13) Hanger(s) or other connection device(s) shall be provided sufficient to support concentrated load(s) 820 Ib down and 252 Ib up at 6-0-0, 354 Ib down and 105 Ib up at
8-0-12, 354 Ib down and 105 Ib up at 10-0-12, 354 Ib down and 105 Ib up at 12-0-12, 354 Ib down and 105 Ib up at 14-0-12, and 354 Ib down and 105 Ib up at 16-0-12,
and 354 Ib down and 105 Ib up at 18-0-12 on bottom chord. The design/selection of such connection device(s) is the responsibility of others.
LOAD CASE(S) Standard
1) Dead + Snow (balanced): Lumber Increase=1.15, Plate Increase=1.15
Uniform Loads (plf)
Vert: 1-3=-90, 3-6=-90, 7-12=-20
Concentrated Loads (lb)
Vert: 10=-354(F) 11=-820(F) 16=-354(F) 17=-354(F) 18=-354(F) 19=-354(F) 20=-354(F)
A\ WARNING - Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE Mll-7473 rev. 5/19/2020 BEFORE USE.
Design valid for use only with MiTek® connectors. This design is based only upon parameters shown, and is for an individual building component, not
a truss system. Before use, the building designer must verify the applicability of design parameters and properly incorporate this design into the overall
building design. Bracing indicated is to prevent buckling of individual truss web and/or chord members only. Additional temporary and permanent bracing
is always required for stability and to prevent collapse with possible personal injury and property damage. For general guidance regarding the
fabrication, storage, delivery, erection and bracing of trusses and truss systems, see ANSI/TPl1 Quality Criteria, DSB-89 and BCSI Building Component
Safety Information available from Truss Plate Institute, 2670 Crain Highway, Suite 203 Waldorf, MD 20601
/ Pbbott Asso
`ey
V �
CAA
g
MiTek
MiTek USA, Inc.
400 Sunrise Avenue, Suite 270
Roseville, CA 95661
Job
Truss
Truss Type
Qty
Ply
3865 N Allison St
BOT CHORD
20-3-0
8-0-0
2x4 SPF No.2
R65312330
210176
A02
Half Hip
1
1
Max Horz 2=182(LC 13)
Max Uplift 7=-319(LC 10), 2=-479(LC 10)
Job Reference (optional)
Noble I russ Colorado, Sedalia, Co - 80135, 8.330 s Uct 12020 Mi I ek Industries, Inc. I hu Feb 4 16:42:58 2021 Nage 1
ID:x5iyQacEcwso13vyLoWnnFzpUGr-DJ9vjSZ3rJAgig6cl7n2M8pFVJy1 C2Udcoe9mjzoSgB
-2-4-8 4-3-14 8-0-0 13-11-12 20-3-0
2-4-8 4-3-14 3-8-2 5-11-12 6-3-4
0
01
4x6
4x8
Scale = 1:38.6
3x4
3x8 3x6 1.5x4
3x6 ',4x6
LUMBER-
8-0-0
BRACING -
13-11-12
2x4 SPF No.2
TOP CHORD
BOT CHORD
20-3-0
8-0-0
2x4 SPF No.2
5-11-12
WEBS
6-3-4
Plate Offsets (X,Y)-- [2:0-1-9,0-1-8], [6: Edge, 0-1-8]
Max Horz 2=182(LC 13)
Max Uplift 7=-319(LC 10), 2=-479(LC 10)
LOADING (psf)
SPACING- 2-0-0
CSI.
DEFL. in
(loc)
I/defl
L/d
PLATES GRIP
TCLL 30.0
Plate Grip DOL 1.15
TC 0.98
Vert(LL) -0.14
8-10
>999
240
MT20 197/144
(Roof Snow=30.0)
Lumber DOL 1.15
BC 0.73
Vert(CT) -0.24
8-10
>999
180
TCDL 15.0
Rep Stress Incr YES
WB 0.56
Horz(CT) 0.07
7
n/a
n/a
BCLL 0.0
Code IRC2018/TP12014
Matrix -MS
Weight: 76 Ib FT = 10%
BCDL 10.0
LUMBER-
BRACING -
TOP CHORD
2x4 SPF No.2
TOP CHORD
BOT CHORD
2x4 SPF No.2
WEBS
2x4 SPF No.2
BOT CHORD
WEBS
REACTIONS.
(size) 7=0-3-8, 2=0-3-8
Max Horz 2=182(LC 13)
Max Uplift 7=-319(LC 10), 2=-479(LC 10)
Max Grav 7=1386(LC 31), 2=1553(LC 32)
FORCES. (lb)
- Max. Comp./Max. Ten. - All forces 250 (lb) or less except when shown.
TOP CHORD
2-3=-2602/837, 3-4=-2297/655, 4-5=-2172/662, 6-7=-349/134
BOT CHORD
2-10=-971/2389, 8-10=-652/2350, 7-8=-652/2350
WEBS
3-10=-625/257, 4-10=0/293, 5-10=-211/366, 5-7=-2468/648
Structural wood sheathing directly applied or 3-3-13 oc purlins,
except end verticals, and 2-0-0 oc purlins (2-2-0 max.): 4-6.
Rigid ceiling directly applied or 5-11-9 oc bracing.
1 Row at midpt 5-7
NOTES-
1) Wind: ASCE 7-16; Vult=135mph (3 -second gust) Vasd=107mph; TCDL=6.Opsf; BCDL=6.Opsf; h=25ft; Cat. 11; Exp C; Enclosed;
MWFRS (envelope) gable end zone and C -C Exterior(2E) -2-4-8 to 0-7-11, Interior(1) 0-7-11 to 8-0-0, Exterior(2R) 8-0-0 to 12-2-15,
Interior(1) 12-2-15 to 20-1-4 zone; cantilever left and right exposed ; end vertical left and right exposed;C-C for members and forces
& MWFRS for reactions shown; Lumber DOL=1.60 plate grip DOL=1.60
2) TCLL: ASCE 7-16; Pf=30.0 psf (Lum DOL=1.15 Plate DOL=1.15); Is=1.0; Rough Cat C; Partially Exp.; Ce=1.0; Cs=1.00; Ct=1.10
3) Unbalanced snow loads have been considered for this design.
4) This truss has been designed for greater of min roof live load of 20.0 psf or 1.00 times flat roof load of 30.0 psf on overhangs
non -concurrent with other live loads.
5) Provide adequate drainage to prevent water ponding.
6) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads.
7) * This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide
will fit between the bottom chord and any other members.
8) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 100 Ib uplift at joint(s) except (jt=1b)
7=319,2=479.
9) This truss is designed in accordance with the 2018 International Residential Code sections R502.11.1 and R802.10.2 and
referenced standard ANSI/TPI 1.
10) Graphical purlin representation does not depict the size or the orientation of the purlin along the top and/or bottom chord.
A\ WARNING - Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE Mll-7473 rev. 5/19/2020 BEFORE USE.
Design valid for use only with MiTek® connectors. This design is based only upon parameters shown, and is for an individual building component, not
a truss system. Before use, the building designer must verify the applicability of design parameters and properly incorporate this design into the overall
building design. Bracing indicated is to prevent buckling of individual truss web and/or chord members only. Additional temporary and permanent bracing
is always required for stability and to prevent collapse with possible personal injury and property damage. For general guidance regarding the
fabrication, storage, delivery, erection and bracing of trusses and truss systems, see ANSI/TPl1 Quality Criteria, DSB-89 and BCSI Building Component
Safety Information available from Truss Plate Institute, 2670 Crain Highway, Suite 203 Waldorf, MD 20601
Pbbott Ass
CAA
�o
g D\ JAS.
c
p,D 0 L/C n��6
cpelo
PE -0055362
0 01 i
•
•�'0.•
/ONAI.
February 5,2021
MiTek
MiTek USA, Inc.
400 Sunrise Avenue, Suite 270
Roseville, CA 95661
Job
Truss
Truss Type
Qty
Ply
3865 N Allison St
1.5x4
5
20
R65312331
210176
A03
Common
2
1
01
9 8
7
Job Reference (optional)
Noble I russ Colorado, Sedalia, Co - 80135,
-2-4-8
2-4-8
5-3-12
5-3-12
8.330 s Uct 12020 Mi I ek Industries, Inc. I hu Feb 4 16:42:58 2021 Nage 1
ID:x5iyQacEcwso13vyLoWnnFzpUGr-DJ9vjSZ3rJAgig6cl7n2M8pL3JwBC7gdcoe9mjzoSgB
9-11-12 14-7-12 20-3-0
4-8-0 4-8-0 5-7-4
4x6
4
Scale = 1:36.8
06
0 2
4.00 12
1.5x4
3
17
\\ 18
19
1.5x4
5
20
co
01
9 8
7
0
6
3x4 3x4
3x4
4x4
3x6
6-10-6
13-1-2
20-3-0
6-10-6
6-2-11
7-1-14
Plate Offsets (X,Y)-- [2:0-1-6, Edge]
LOADING (psf)
SPACING- 2-0-0
CSI.
DEFL.
in (loc)
I/defl
L/d
PLATES GRIP
TCLL 30.0
Plate Grip DOL 1.15
TC 0.62
Vert(LL)
-0.13 7-9
>999
240
MT20 197/144
(Roof Snow=30.0)
Lumber DOL 1.15
BC 0.85
Vert(CT)
-0.24 7-9
>999
180
TCDL 15.0
Rep Stress Incr YES
WB 0.22
Horz(CT)
0.07 6
n/a
n/a
BCLL 0.0
Code IRC2018/TP12014
Matrix -MS
Weight: 66 Ib FT = 10%
BCDL 10.0
LUMBER -
TOP CHORD 2x4 SPF No.2
BOT CHORD 2x4 SPF No.2
WEBS 2x4 SPF No.2
REACTIONS. (size) 6=0-3-8, 2=0-3-8
Max Horz 2=118(LC 18)
Max Uplift 6=-270(LC 11), 2=-432(LC 10)
Max Grav 6=1172(LC 22), 2=1401(LC 21)
FORCES. (lb) - Max. Comp./Max. Ten. - All forces 250 (lb) or less except when shown.
TOP CHORD 2-3=-2674/782, 3-4=-2261/697, 4-5=-2389/739, 5-6=-2818/826
BOT CHORD 2-9=-687/2470, 7-9=-428/1607, 6-7=-716/2636
WEBS 4-7=-188/904, 5-7=-694/279, 4-9=-140/767, 3-9=-623/252
BRACING -
TOP CHORD Structural wood sheathing directly applied or 3-0-0 oc purlins.
BOT CHORD Rigid ceiling directly applied or 6-10-11 oc bracing.
NOTES -
1) Wind: ASCE 7-16; Vult=135mph (3 -second gust) Vasd=107mph; TCDL=6.Opsf; BCDL=6.Opsf; h=25ft; Cat. 11; Exp C; Enclosed;
MWFRS (envelope) gable end zone and C -C Exterior(2E) -2-4-8 to 0-7-11, Interior(1) 0-7-11 to 9-11-12, Exterior(2R) 9-11-12 to
12-11-12, Interior(1) 12-11-12 to 20-1-4 zone; cantilever left and right exposed ; end vertical left and right exposed;C-C for members
and forces & MWFRS for reactions shown; Lumber DOL=1.60 plate grip DOL=1.60
2) TCLL: ASCE 7-16; Pf=30.0 psf (Lum DOL=1.15 Plate DOL=1.15); Is=1.0; Rough Cat C; Partially Exp.; Ce=1.0; Cs=1.00; Ct=1.10
3) Unbalanced snow loads have been considered for this design.
4) This truss has been designed for greater of min roof live load of 16.0 psf or 1.00 times flat roof load of 30.0 psf on overhangs
non -concurrent with other live loads.
5) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads.
6) * This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide
will fit between the bottom chord and any other members.
7) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 100 Ib uplift at joint(s) except (jt=1b)
6=270,2=432.
8) This truss is designed in accordance with the 2018 International Residential Code sections R502.11.1 and R802.10.2 and
referenced standard ANSI/TPI 1.
A\ WARNING - Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE Mll-7473 rev. 5/19/2020 BEFORE USE.
Design valid for use only with MiTek® connectors. This design is based only upon parameters shown, and is for an individual building component, not
a truss system. Before use, the building designer must verify the applicability of design parameters and properly incorporate this design into the overall
building design. Bracing indicated is to prevent buckling of individual truss web and/or chord members only. Additional temporary and permanent bracing
is always required for stability and to prevent collapse with possible personal injury and property damage. For general guidance regarding the
fabrication, storage, delivery, erection and bracing of trusses and truss systems, see ANSI/TPl1 Quality Criteria, DSB-89 and BCSI Building Component
Safety Information available from Truss Plate Institute, 2670 Crain Highway, Suite 203 Waldorf, MD 20601
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Prepared for:
Auto Owners Insurance
Claim Number:
300-0451635-2020
Property Address:
3865 Allison Street
Wheat Ridge, CO 80033
Date:
December 03, 2020
Investigation by:
Clinton Standish, P.E.
Digitally signed
by Clinton T.
Clinton T. Standish Standish
Date:
2020.12.03
16:48:40-07'00'
Page 1 of 7
pile CONSULTING & ENGINEERING
December 3, 2020
Mr. Zach Rudd
Auto Owners Insurance
269 E. Flatiron Crossing Drive
Broomfield, CO, 80021
Project Number:
CO220381.00 (220)
Insured:
Jaime Rodriguez
Claim Number:
300-0451635-2020
Date of Loss:
11/17/2020
Loss Location:
3865 Allison Street
Wheat Ridge, CO 80033
Dear Mr. Rudd:
6275 Joyce Dr., Ste. 200 1 Arvada, CO 80403
1-866-552-5246 1303-552-0177 1 v ww.pieglobal.com
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Pie was retained by Auto Owners Insurance to investigate the single-family home as it relates to
structural fire damage at the above address.
The building was a conventionally framed split-level single-family home. The roof was covered with
laminate asphalt composition shingles and the exterior was clad with brick veneer. For the purpose
of this report, the home faced east onto Allison Street. According to information provided on the
Jefferson County Assessor's webpage, the home was built in 1957.
The results of our investigation are presented herein.
Purpose and Scope
Pie's scope of work was to determine the extent of structural damage to the home and provide a
written report of findings with general recommendations for repair.
Documents Reviewed
• The 2018 International Building Code (IBC)
• The 2018 International Residential Code (IRC)
• The 2018 Jefferson County Building Code Supplement
• ASTM E620-18 Standard Practice for Reporting Opinions of Scientific or Technical Experts
• ASTM E678-07 Standard Practice for Evaluation of Scientific or Technical Data
Page 2 of 7 HQ: Denver I Minneapolis I Dallas I San Francisco
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• The Jefferson County Assessor: https://www.jeffco.us/Assessor v`
• A Loss Notice for the property dated November 18, 2020.
• A Photo Report of the property from Auto Owners dated November 24, 2020
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• An Auto Owners repair estimated dated November 24, 2020
Gathered Information
Pie conducted the site investigation on November 30, 2020. Mr. Jamie Rodriguez homeowner was
present during the site visit.
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During the onsite investigation, Mr. Rodriquez provided information related to the property. The
following is Pie's understanding of the information provided:
• The fire started around electrical wiring in the rear (west) wall of the garage.
• The fire extinguished itself prior to the arrival of the fire department. No water was sprayed
on the fire.
• The fire department punched two holes in the living room ceiling and removed a roof vent
in the attic space above the living room.
• A smokey odor was present within the lower attic space.
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FINISHED LIVING AREA
The living room and dining area were located at the southern end of the home, adjacent to the
garage. Two holes were present within the ceiling of the living room. The holes were covered with
plastic sheeting. An attic space was present over the living room, kitchen, and dining area. Light
soot deposits were present on the access door within the upstairs closet. A smoky odor was present
within the attic. No charred framing or roof decking was visible.
GARAGE
The floor of the garage consisted of a poured concrete slab. The south, east, and west walls were
unfinished, exposing the wall framing. The walls were conventionally framed wood stud walls, with
studs 16 -inches on center. The walls extended 8 -feet 4 -inches above the floor surface and were
sheathed with particleboard. Textured drywall that extended up to the roof decking was present
over the north wall of the garage. The roof framing consisted of wood board decking overlaid with
oriented strand board (OSB) supported by nominal 2x6 wood rafters spaced 2 -feet on center. The
hip beams consisted of nominal 2x8 wood members. At the peaks of the roof, the rafters converged
at nominal 1x8 wooden ridge boards. Nominal 4x6 rafter ties spanned north -south across the garage
WWW.PIEGLOBAL.COM CO220381.00 (220) Page 3 of 7
PIqe CONSULTING & ENGINEERING
spaced 4 -feet on center. Stored contents and shelves were present throughout the south and west
walls of the garage.
Six studs, top plate, and the overlying particleboard sheathing were charred over a 9 -foot 9 -inch
long section of the west wall. The damage extended from a point approximately 6 -feet 4 -inches
south of the north wall to 3 -feet 8 -inches north south of the south wall. Char of the framing was
concentrated on the upper half of the wall surface. Char was present on the roof framing, including
the rafters, hip beams, and wood board decking. The char was heaviest beneath the west roof slope
but affected all framing near the peak of the roof system. An overview of the garage and damaged
framing is shown in Figure 1. No spalling or pink or buff discoloration was observed on the floor
slab. Soot was present on the remaining wood framing along with the wall surfaces and stored
contents.
2'
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— — — — • 2x6 Rafter
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Charred 2x4 Stud Wall
Charred 2x8 Hip Beam
Charred 1x8 Ridge Board
Figure 1: Garage overview with damaged framing annotated
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CONSULTING & ENGINEERING
EXTERIOR
The exterior of the garage was clad with brick masonry veneer. A two -foot -wide soffit overhang was
present beneath the roof eaves. The soffit was clad with wood paneling. No vents were present in
the soffit. The electrical panel, meter and inverters for the roof -mounted solar array were attached
to the north end of the west exterior wall. The systems were not visibly damaged. Soot was present
throughout the tops of the walls and overhead garage door. No spalling or discoloration of the brick
was observed.
ROOF
The roof over the garage was covered with laminate asphalt shingles. Ten solar panels were
mounted to the roof surface over the garage, including five on the south slope and five on the west
slope. The panels were not visibly damaged, or soot covered. A static attic exhaust vent in the lower
attic space was dented.
Discussion and Analysis
Following a fire, wood framing exposed to high temperatures is often blackened due to charring and
soot deposits. Char occurs from the combustion of the wooden material, resulting in section loss (a
decrease in the cross-sectional area) of the member. This can range from surficial charring that
only affects the outer surfaces of the wood, to complete combustion of the wood to the point where
no material is left. Soot is generated as a byproduct of combustion and forms black deposits on the
surface of members adjacent to the fire as smoke fills the space. Soot can give off a strong odor
and may be corrosive to metal components. However, it can be cleaned off or coated to mitigate
odor and, unlike char, does not pose a concern to the structural integrity of wood framing. Often,
an area of charred framing transitions gradually to an area of soot -covered framing. Charred framing
is distinguished from heavily soot -covered framing by the presence of hairline cracks across the
grain on the surface of the charred member that are friable to a measurable depth when scraped.
Heavy timbers and thicker nominal wood framing (nominally 4 -inches wide or greater) may be able
to sustain a slight amount of section loss due to char and still maintain their serviceability due to
excess structural capacity. This can be determined by a detailed structural analysis of the members
in question. Damage to these types of members can be evaluated on an individual basis. However,
for thinner members such as nominal 2Xframing and sheathing, any amount of section loss typically
results in a significant reduction in strength and oftentimes the analysis of such members is cost
prohibitive when compared with replacement of the member. Thus, these members should be
removed and replaced.
Concrete is generally more resistant to damage from fire and exposure to high temperatures than
wood framing. However, when exposed to temperatures greater than 570 degrees Fahrenheit,
chemical and physical changes can occur within the concrete that reduces its structural capacity.
Indications that this has occurred include pink or buff discoloration on the surface of the concrete,
spall, and a dull resonance when struck with a hard object such as a hammer (in a process called
sounding). Fire -damaged concrete can also be friable and will crumble or fracture more readily
when stuck by hammer.
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PICONSULTING & ENGINEERING
The char on the nominal 2x wood framing throughout the roof structure and west exterior wall
framing of the garage necessitates its removal and replacement. The cementitious components of
the affected area, including the concrete floor slab and brick masonry veneer, were free of fire -
related damage.
Conclusions
It is Pie's determination that the following components of the building sustained structural damage
due to the recent fire:
1. Most of the roof framing system (hip beams, rafters, and decking) over the garage
(reference Figure 1).
2. Approximately 10 linear feet of the nominal 2x4 wood stud wall comprising the west
exterior wall of the garage.
Repair Recommendations
The repair recommendations included herein should be utilized for conceptual and estimating
purposes and not interpreted as a repair design for which Pie is the engineer -of- record. Any repairs
should be conducted by a licensed and qualified contractor in accordance with the requirements of
the Authority Having Jurisdiction.
The hip style construction of the roof Taming over the garage and the extent of damage to the hip
beams, renders individual replacement of charred framing members impractical. Therefore, Pie
recommends replacement of the entire roof system above the garage, extending from the southern
end of the home to the partition wall separating the garage from the lower attic space over the living
and dining room. Replacement of the framing can be performed using traditional stick -framing
(similar to what was originally employed) or pre-engineered wood trusses. Note that replacement
of the roof framing will require removal and re -installation of 10 solar panels that are mounted to
the south and west -facing roof slopes above the garage. The electrical staff (mounted to the roof
along the west eave) will also require removal and replacement.
The charred stud framing in the west wall of the garage (including the nominal 2x4 wood studs and
double 2x4 top plate) should be removed and replaced. New splices in the double top plate should
be offset a minimum of 16 -inches (one stud bay). Note that replacement of the stud framing will
necessitate removal and reinstallation of the overlying brick masonry veneer, as well as the
electrical panel, meter, and inverter for the solar array.
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PICONSULTING & ENGINEERING
The determinations and results described in this report are based on information available at the
time of the observation and preparation of this report. Should additional information or unknown
conditions be uncovered or made available, Pie Consulting & Engineering retains the right to revise
and supplement this report accordingly. In addition, this report is a general summary of writings,
recordings, photographs, and other information, which is available for review and placed within the
job file.
Sincerely,
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Pie Consulting & Engineering C?
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Observed and Prepared by:
Clinton Standish, P.E.
Project Manager
Reviewed by:
Corey Schrauben, P.E.
Director
CTS :CSS :sd
Attachments: Attachment A — Photographs
k:\2020_co\co22038100\phase_220-stru ctu ral\05_rpts_att_su bmtls\2020-12-03_rodri gu ez_@_3865_all ison_street_rpt. docx
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pizCONSULTING & ENGINEERING
Attachment A
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3865 Allison Street Photos
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Photo 3 — West exterior elevation overview.
Photo 4 — Living room overview, looking south.
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Photo 5 — Covered hole in the living room ceiling.
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Photo 6 — Overview of the access to the lower attic space. Note the light soot deposits on the
interior side of the access door.
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Photo 7 — Overview of the attic space above the living room, dining area and kitchen. No char
was observed on the wood framing.
Photo 8 — Garage overview, looking southwest.
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Photo 11 — Overview of shelving, stored contents, and a charred electrical outlet in the west
wall.
Photo 12 — Melted electrical wires in the west wall.
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Photo 13 — Charred stud in the west wall.
Photo 14 — Overview of charred west wall and roof framing.
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Photo 15 — Charred rafters, decking and wall framing beneath the west eave of the roof.
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Photo 16 — Overview of charred rafters and decking at the southern end of the west roof slope.
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Photo 17 — Overview of charred rafters and decking beneath the west roof slope.
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Photo 18 — Overview of charred and soot -covered framing at the southwest corner of the
garage.
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Photo 19 — The framing near the east eave was soot -covered.
Photo 20 - Overview of charred and soot -covered framing at the peak of the attic roof.
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Photo 21 — Overview of charred and soot -covered framing at the peak of the attic roof.
Photo 22 - Char on a hip beam near the peak of the roof.
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Photo 23 — Overview of the east elevation of the garage.
Photo 24 — Soot on the garage door.
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Photo 25 — Soot at the top of the south elevation of the garage.
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Photo 26 — Overview of the west elevation of the garage. Note the locations of the electrical
panel, meter, and solar inverters.
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Photo 27 — No visible damage was present on the solar inverters.
Photo 28 — Soot at the top of the west exterior wall of the garage.
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Photo 29 — Garage roof overview, looking south.
Photo 30 - Overview of solar panels over the west roof slope of the garage.
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From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Residential Interior Remodel
Date: Wednesday, March 3, 20214:09:02 PM
Residential Interior Remodel
This application is exclusively for Residential Interior Remodels and other scopes
of work which do not have a specific form already available.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Property Address 3865 Allison St
Property Owner Name Jaime Rodriguez
Property Owner Phone 303-717-1218
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
jrodri805@yahoo.com
Electronic-Payment-Form-Blda Wheat Ridae.odf
APPLICANT INFORMATION
Applicant Name
What is your role in the
project?
Wheat Ridge
Contractor's License
Number (This is a 5 or
6 digit number for the
John Schaefer
General Contractor
210054
City of Wheat Ridge)
Contact Phone Number 7208001214
(enter WITH dashes,
eg 303-123-4567)
Contact Email Address john@mtnvlygc.com
for Plan Review
Comments
Retype Contractor john@mtnvlygc.com
Email Address
01 :K161 CI 191 M 0 N] MMO(O] M :/
Detailed Scope of Repair fire/smoke damage to single family
Work - In the space
below (not as an
attachment), Provide a
detailed description of
work including
mechanical, electrical,
plumbing work
occurring,
adding/removing walls,
etc
I, the applicant,
understand my
application will be
rejected if I do not
include a Detailed
Scope of Work.
I have entered a detailed scope of work.
Location of Work
Garage, living room
Square Footage Area
673
of Work Being
Performed
Asbestos Report
Field not completed.
Upload letter size
Permit Engineering 210176 ndf
documents here
Construction Plans
Field not completed.
scanned on 11'x17" or
larger
Project Value (contract
73,004.97 Approved
value or cost of ALL
K. M.
materials and labor)
3/22/21
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work
Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have
Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
Person Applying for
John Schaefer
Permit
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Email not displaying correctly? View it in your browser.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Electrical Service Change/Upgrade/Electrical Work Permit Application
Date: Friday, April 23, 20213:38:27 PM
Electrical Service Change/Upgrade/Electrical Work Permit
Application
This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE
CHANGE OR UPGRADE (200 amps or less).
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
electrical service
change or upgrade -
200 amps or less?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 3865 Allison
Property Owner Name Jamie Rodriquez
Property Owner Phone 303-717-1218
Number (enter WITH
dashes, eg 303-123-
4567)
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business Mountain Tech Electric
Name
Contractor's License
021014
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
720-371-6823
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
fran khoelsken@outlook. corn
Address
Retype Contractor
fran khoelsken@outlook. corn
Email Address
DESCRIPTION OF WORK
Is this an electrical
Change
service upgrade or
change?
Number of Amps
200
Location of work
garage
(garage, house, etc)
Provide additional
n/a
details, if needed.
Project Value (contract
8000.00
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
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 Frank Hoelsken
Permit
Email not displaying correctly? View it in your browser.
� ► � i City of Wheat Ridge
Residential Remodel PERMIT - 202100421
PERMIT NO: 202100421 ISSUED: 04/30/2021
JOB ADDRESS: 3865 Allison St EXPIRES: 04/30/2022
JOB DESCRIPTION: Renovation due to house fire and smoke damage in garage and living room -
6 73 sq ft total
*** CONTACTS ***
OWNER (303)717-1218 RODRIGUEZ JAIME
GC (720)365-0212 JOHN SCHAEFER 210054 MOUNTAIN VALLEY RESTORATION
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 73,004.97
FEES
Total Valuation 0.00
Plan Review Fee 599.79
Use Tax 11533.10
Permit Fee 922.75
** TOTAL ** 31055.64
*** COMMENTS ***
*** CONDITIONS ***
All roughs to be done at Framing Inspection.
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
Approved per plans and red -line notes on plans. Must comply with 2018 IRC, 2020 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
1* � � i City of Wheat Ridge
�� Residential Remodel PERMIT - 202100421
PERMIT NO: 202100421 ISSUED: 04/30/2021
JOB ADDRESS: 3865 Allison St EXPIRES: 04/30/2022
JOB DESCRIPTION: Renovation due to house fire and smoke damage in garage and living room -
673 sq ft total
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
04/30/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
htt
p www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be
**Request an inspection before 11:59 performed unless this card is
P•m• (midnight) to receive an inspection thetoao�,n the project Site.
g business day.**
Inspector Must Sign qLL S
Foundation Inspections paces pertinent to this project
Pier Date Inspector
Initials Comments
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The
Underground/Slab Inspections DatInspector
Above Ins ections
Date Initials
Sewer Service Comments
Plumbing
Do Not Cover Underground or Below/In-Slab W
Rou h Inspections ork Pr
Date Inspector ior To Approval Of The Above Ins(
Sheathing Initials Comments p
Mid-Roof ? ei
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Date Inspector
Landscaping & Parking / Planning Dept. Initials Comments
Rota & Drainage / Public Works Dept. Inspections from these entities should b
Floodplain Inspection if a one week in advance. For landscaping ( PPlicable) a requested
inspections call 303-235-2846. For ROW and parking
Fire Inspection /Fire Protection Dist. inspections call 303-235-2861. For Final Electrical Wand drainage
contact the Fire Protection District foie inspections
Final Plumbing your project.
Final Mechanical
Roof
Final Window/Doors
Final Building
TB, Ah' iter ns must b eted
of Occupancy is issued. A and aPprQVed by P/annin_
'or I wo Volta a pprova/ of the Fina/ Eui/ding inspection croe%y works, Fire and Br.+i/din
9 permits —Please be sure that rough inspections are c mo p e1 ted from the Firg before a Certificate
the Building Division. not cO/"i�itu�. autf�ori,�at;�,,� c, faccs
Occupancy Is Not Permitted Until A Certificate e District and electrical low voltage
Protect This Card From The Weatther ancy Is Issued
tions
I* � I 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 r
Ilk, 7t -
Job Address: _)AOF 1 -
Permit Number: -7t-,/ r 3 Z ff (�
❑ No one available for inspection: Time l) " V A&PM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector: T�
DO NOT REMOVE THIS NOTICE
2 0
� � 4 i CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: / _� /I
Job Address:
Permit Number: <'cl "7r aZ 7X
❑ No one available for inspection: Time r UJ AM/6A;,
I-
Re -Inspection required: Yes I -o)
When corrections have been made, call for re -inspection at 303-234-5933
Date:-711(WT Inspector: 1� 4
DO NOT REMOVE THIS NOTICE
A � City of Wheat Ridge
`{'✓ Residential Roofing PERMIT - 201703286
PERMIT NO: 201703286 ISSUED: 07/05/2017
JOB ADDRESS: 3865 Allison ST EXPIRES: 07/05/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Weatherwood asphalt shingles with ROOF
DECKING - 24 sq.
*** CONTACTS ***
OWNER (303)995-8575 WALSH KENNETH CHRISTOPHER
SUB (720)583-1690 Matthew Dirr 130224 Cenco Building Svcs.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATICY: 8;,043x00
FEES
Total Valuation 0.00
Use Tax 168.90
Permit Fee 188.45
** TOTAL ** 357.35
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
I, bpm signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specificationst
applicable building codes, and all applicable municipal codes, policies and procedures, and that 1 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.
C
I ?
Signature of OWNCR or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying flans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official W Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of Wheat Ridge
Residential Roofing PERMIT -
201703286
PERMIT NO:
201703286
ISSUED:
07/05/2017
JOB ADDRESS:
3865 Allison ST
EXPIRES:
07/05/2018
JOB DESCRIPTION:
Residential Re—roof to install GAF
Weatherwood
asphalt shingles with ROOF
DECKING — 24 sq.
I, bpm signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specificationst
applicable building codes, and all applicable municipal codes, policies and procedures, and that 1 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.
C
I ?
Signature of OWNCR or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying flans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official W Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
sill
Genco
Building Services
Cenco Building Services, LLC
6825 E. Tennessee Ave., #300
Denver, CO 80224
720-583-1690
July 6, 2017
Wheat Ridge Building Division
To Whom It May Concern,
I, Matthew Dirr, authorize Wes Marshall to be listed as an authorize person to pick up permits on behalf of
Cenco Building Services.
Sincerely,
Matt Dirr
General Manager — Cenco Building Services, LLC
Kimberlv Cook v J,
From:
no-reply@ci.wheatridge.co.us
Sent:
Thursday, June 22, 2017 4:03 PM
To:
Permits CommDev
Subject:
Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT
IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME
WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your
contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit. Permits are currently being
processed within 5 business days, subject to change based on volume.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
3865 Allison Street
Chris Walsh
303-995-8575
Field not completed.
0
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Cenco Building Services
130224
720-583-1690
Contractor Email Address c.savage@cencobuildingservices.com
Retype Contractor Email c.savage@cencobuildingservices.com
Address
DESCRIPTION OF WORK
Are you re -decking the Yes
roof?
Description of Roofing GAF Weatherwood
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 24
material selected above?
Does any portion of the No ✓
property include a flat
roof?
If yes, how many squares Field not completed.
on the flat roof?
TOTAL SQUARES of all 24 ✓
roofing material for this
project
z
Provide additional detail House, 7/12 pitch
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract MD-
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Matthew Dirr
Email not displaying correctly? View it in your browser.
3
Residential &Commercial Building Services "II
Denv E Tennessee Ave 1426 CONTRACT
Denver 8031 O
Phone: 722 0 583 7690
Fax: 720 346 6313
www cencobuildingservices corn B u i l d i n g 5 e r v i c e s
Name
Ch/,'5 AA
Referred by
rsdnx 1 ��-;end
Dates of service
—
materials to the jobsite or has performed a majority of the
-/3-/�fa �-/
Street
3$(x.5" 411, for? Sf,
Home
Work
Cell
-99s-49s'4
City, State. Zip
(-Ji4F G 60 6403
Insurance company
�fe
Cenco representative
�d
-�Fa-s V7
a /r/,k-,c
Cenco submits specifications and costs as follows
SHINGLES IA, jj
Year Brand 1&K ( fyt0 C' ! G'tJt .3 3 -tab Dimensional --Impact resistant Tile
Color eA rtG1 Remove A I Layers P r) f -
Install decking r cLw*— .rellf SSGr vf�eplace rotten decking at _3 pc C, Ad Cha/cam per SF
Install 15# 30# _ ynthet'c base underlayment Other
stall drip edge at all rakes �fnstall gutter apron at all eaves Color _ W 4t (;LQ-
,- eplace plumbing pipe boots at all plumbing vents and vent jacks as needed Other
Closed valley system Color Ice &�water shield around chimney
fn
tall step flashing as needed ::Step flash chimney 0unter flash chimney eCode items ',ry
move debris and haul off --V- agnetically sweep property = Other
ventilation #Turtle vents—f e e- #Ft. ridge vent
SIDING
Brand�!r Style
Other
Size
GUTTERS & DOWNSPOUTS /�
Color k)�t ; ��'fA M/R* *At Other
PAINTING
Color
Additional terms and conditions on reverse are incorporated herein and are part of this agreement.
Cenco Building Services (Cenco) proposes to fumish all materials and labor as specified in the final insurance company scope of
repairs, for the sum paid by property owners insurance company, including "overhead" and "profit" paid by insurance company, plus any
supplements associated with the work performed by Genco. Property owners are responsible only for the deductible and any extras
requested by property owner that are not paid from insurance proceeds. Cenco cannot pay, waive or rebate the insurance
deductible in part or in whole. The representation and repair agreement enteredinto on ; b
c� 20 /etween these
parties is incorporated herein by reference. Other previsions A// we(& fa A -e
Total price of all work described above, excluding extras or supplements $
One third of payment due upon completion of each phase: (a) material drop, (b) completion of work, (c) release of final proceeds.
The contractor shall hold in trust any payment from the
Submitted by contractor:
property owner until the contractor has delivered rooflng
—
materials to the jobsite or has performed a majority of the
roofing work on the property.
Signature of property owner:
Acceptance of contract: The specifications conditions and costs
Signature of property owner:
contained herein are satisfactory and hereby accepted The
workmanship warranty begins upon completion and is void if
payment terms are not met
Date
Date
i'/
11/23/2009 MO.
7:53 FAX 303 237 8929 303 Best w 0002 /003
INSPECTION RECORD Occupancv/TVpe
'V'INSPECTION LINE: (303) 234 -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 JOB
f FOUNDATION INSPECTIONS DATE INSPECTOR COMMENTS:
INITIALS -
Stemwall / (CEG) Concrete
Encased Ground
Reinforci or Monolithic
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines
rVUR NO UONCRETE UNTIL ABOVE HAS SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
. 0 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
i
Sheathing
Lath / Wall tie
Mid -Roof
—
Electrical Service
Rough Electric
R ough Plumbing
-
Rough Mechanical
........ ........... __ ..- ...... ......._.. ___-
-
ABOVE INSPECTIONS TO BE SIGNED PRIOR 70
Framing
I
CITY GF OHEAT RIDGE
Insulation
11/23/09 - 3:29 PM cdb6
�,
D wall S crew
._._......_ "�iTlia ®P Hums - Like ..,...._ ... ............ ...:
FINALS
RECEIPT NO:CDD003428 ... AMOUNT
DP5P Replace 70,000 btu f 134.95
094225
.. Electrical
_
ee ........ ........ ...._ ......,
.Per`att Fee- 30.
Plumbing
...Use. Tax 04AII
— I04:40 _:-
Mechanical
-- - AMOUNT _.......`
/ w
Roof
VsYME55ARECEIVED
- Building Final.
-"
.....- ...032303 "..... .. ......... _. _..... `.
TOTAL 134.95
Fire Department
.
R.O:W & Drainage
... ..... - '-..- . ..................
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking & Landscaping
I 7 LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
** NOTE: ALL ITEMS MUST SE 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 AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCK
OCCUPANCY NOT
PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
♦ 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: /2�110,rell. 74�' K A_a,.P,el. y
Job Address:
Permit Number: o9il ?,2.5
No one available for inspection: Time _°: Z_5 AM PM
Re- Inspection required: (Y, e _No
' When corrections have been made, call for re- inspection at 303 -234 -5933 "
Date: z4Zf� y /i�z Inspector:
DO NOT REMOVE THIS NOTICE
♦ 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:
Job Address: 23 &5 {/r
Permit Number: 0 Q `J
i
❑ inspection: Time
p % No one available for ins AM PM
f Re- Inspection required: � No
When correction have been made, call for re- inspection at 303- 234 -5933
F
Date: /;/W/ Inspector:
1 �
DO NOT REMOVE THIS NOTICE
h~
~r
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
i
Inspection Type: I J: ~
Job Address: 9 i/{ 1 t
Permit Number:
e:
❑ No one available for inspection: Time Z a AM/PM
Re-Inspection required: Yes No
When corrections have been made, call for re-inspection at 303-234-5933
Date: /d! c
9116 Inspector: $ii>, 114Z
D(~NOT REMOVE THIS NOTICE
E
i
INSPECTION RECORD OccupancVrType
®'INSPECTION LINE: (303) 234-5933
E:: 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 JOB
FOUNDATION INSPECTIONS DATE INSPECTOR COMMENTS:
INITIALS
Footings/Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath / Wall tie
Mid-Roof
Electrical Service
Rough Electric _
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO
Framing CITY OF WHEAT RIDGE
Insulation 11/23/09 3:29 PH cdbb
Drywall Screw William P Buras Lake
RECEIPT NO:CDB003428 AMOUNT
FINALS BPSP Reepplace 70,000 btu f 134.95
05
Electrical Permit Fee 30.55
Plumbing Use Tax 104.40
Mechanical PAYMENT RECEIVED AMOUNT
VS 5589 134.95
Roof Auth Code:
Building Final 032303
TOTAL 134.95
Fite Department " -
OR PLANNING & ZONI
NG, FIRE AND PUBLICE WORKS
R.O,W & Drainage VUHSOLDBEAL
Parking a LandscapLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
`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 AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
2009-11-23 13:14 LAKESIDE HEATING 3034638837 3032352857 P 2/2
City of ,
! eat ge Date:
COMMUNITY DEVELOPMENT Permit.. :C~
Building.-Division
7500 W, 291h AVe., Wheat Ridge, CO 80033
Office. 303-235-2855 * Fax: 303-235-2857
Inspection Line: 303-234-5933
Building Permit Application
Prope.rtY,'Address:
Property Owner (please print): Jt~h rl, D U n ~t P r Phone-k3--3m syya
Mailing Address; (if different than property address)
Address:
City, State,
Contractor:
Contractor License 07~~ Phone• 3-5 '7 Z.
Use of s ace (description): feYJLYe f r ,n u 1 „ F~" r~~d ~a re~„r fi ~a r
p si rip.iani9o,,Worlc 70,coe e72r
.Yl2tLValug; s 'S'~Od, Ud
rcP/k c.e [da few oc: f-.e.- w• fp c u~ 5C ~R/~~y Plan Review (due at time of submittal): S
F_/rr-T-.~'°G'• tits ra ll ~i~[°/Pair.. (c. .
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps
FBER NER/CONTRACTOR SIGNATURE of UNDERSTANDING AND AGREEMENT
reby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
or regulations of the City of Wheat Ridge or covopants, easements or restrictions of record; that all measurements shown, and
ations made are accurate; that I have read and agree to abide by all conditions printed on this application and that i assume full
onsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
r this permit. Plans subject tofield Inspection.
CP ONE:: (OWNER) CONTRACTOR)Or PERSONAL REPRESENTATIVE of(OW R) (CONTRATOR)
M NAME: .L ` oa:A 1 '45- /-i 44 5 SIGNATURE: ~f-rwl E c:s.✓ Cate: W%23-69
Bldg Valuation:
Credit Card Payment: Use redit card listed on file.,~ q~afte':
Print name: ~~l ll /eg7vt i j KA Signature: ~ ~
a c?
City of Wheat Ridge
Community Development Department
Memorandum
TO: Accounting Department
FROM: Melissa Mackey, Building Division
SUBJECT: Refund for Permit
DATE: October 14th, 2008
Reason: Renewable energy refund for permit #080854 at 3865 Allison St.
(refund letters also attached if they could be sent with refund check).
Please refund: Contractors License$ (acct 01-510-00-513)
100% permit fee: $ (acct 01-510-00-516)
100% plan review $325.00 (acct 01-550-05-551)
100% use tax: $702.47 (acct 01-500-02-505)
Total: $1027.47
TO: Standard Renewable Energy
1401 McKinney St. Suite #900
Houston TX 77010
Thank You!
M Mme,
Permit Technician
"A.( City of
WheaTi' ¢gC
COMMUNITY DEVELOPMENT
City of Wheat Ridge Municipal Building 7500 W. 291n Ave.
Wheat Ridge, CO 80033-8001 P: 303.235.2846 F: 303.235.2857
October 14, 2008
Standard Renewable Energy
1401 McKinney Street, Suite 900
Houston, TX 77010
Dear Standard Renewable Energy,
As a result of policy changes enacted by the Building Division on October 2, 2008, to promote the installation of
renewable energy systems in the City of Wheat Ridge and uniform application of SB 08-117, aggregate fees for
residential solar installation permits in the City of Wheat Ridge have been capped at a maximum of $500.00,
including all use taxes and permit and plan review fees.
In response to this policy change, the Building Division has retroactively applied this policy to permit number
080854, purchased by your firm on 07/29/08, which has resulted in the enclosed refund check in the amount of
$1,027.47.
We trust that you will continue to promote renewable energy systems within the City of Wheat Ridge and look
forward to working with you again in the future.
Cordially,
Fax: 303-234-2857
www.ci.wheatridge.co.us
acher, Jr., C
BO
J eBin
ocial
7500 W. 29th Avenue
Wheat Ridge, Colorado 80033
Office Phone: 303-235-2853
.'r
City of
Wheatl~idge
COMMUNITY DEVELOPMENT
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.
www.ei.wheatridge.co.uS
CITY WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office (303) 235-2857 Fax
/O Z,
INSPECTION NOTICE
Inspection Type:et ~e,4~z.
Job Address/Permit Number:
41
❑ No one available for inspection: Time AM/PM
Re-Inspection required: "Yes //No)
When corrections have been ma( caal for re-inspection at 303-234-5933
Date: Inspector:
INSPECTION RECORD
OccupancVlTVpe
'O-INSPECTION LINE: (303) 234-5933
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. yn~g~7
01 i IA I I c-L L 0
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings/Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic.
Weatherproof F French Drain
Sewer Service Lines
Water Service Lines
PuuKNuCONCRETFuNTiL SO
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
ROUGHS
Sheathing
Lath /Wall tie
Mid-Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
BE SIGNED
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
R.O.W & Drainage START ALL ROUTING ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
**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 AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
. . - - . - ....n nI Icn
OCCUPANCY NOT PERMITTED UNTIL L;ERTIFIGAI t u►- UGGUFANI, i w r.»ULU
PROTECT THIS CARD FROM THE WEATHER
Sep:08 2008 1:29PM Sunflower Solar
303-440-7391
STANDARD
. Renewable Energy
IL
FACSIMILE TRANSMITTAL SHEET
TO. FROM:
Wheai'r~~~ ~,,,►~~r~ Deo~- ~T,~~D D,e~,.~►ble~.~~
GATE: IKAP.I - C U)Tfr
COMPANY:
p.1
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FAX NUMBER: TOTAL NO. OF PAGES INCLUDING COVER:
-~o ~ 23 S ZS 5-~ 2
PHONE NUMBER: SENDER'S REF51ENCE NUMBER.
zsss
RE: YOUR REFERENCE
❑ URGENT 179.FOR REVIEW ❑ PLEASE COMMENT ❑ PLEASE REPLY ❑ PLEASE RECYCLE
NOTES/COMMENTS: K FOR
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303-440-7391
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City of Wheat Ridge
Residential Electric PERMIT - 080854
PERMIT NO,
JOB ADDRESS,
DESCRIPTION,
080854
3865 ALLISON ST
Flush mounted solar
ISSUED,
EXPIRES,
photovoltaic system
07/29/2008
01/25/2009
4.92 kw
*** CONTACTS ***
owner 303/431-4695
John Younger
** PARCEL INFO
ZONE CODE,
SUBDIVISION,
**
UA
0339
USE,
BLOCK/LOT#,
UA
0/
Residential Solar
Res Soler Review
Total Valuation
Use Tax
** TOTAL **
ESTIMATED p€QJEC::r:.X.IlJ.;JJArJQN,
~~r~~-Ifi:~])
702.47 -::-"'1'\
1,527.47 (~t)6?~23
39,026.00
** FEE SUMMARY **
Conditions:
JS - Approved pending submission of engineering approval of additional roof
loads (weight). ject to field inspection.
the setback distances proposed by this permit application are accurate, and do not violate applicable
reg at ions of the City of Wheat Ridge or covenants, easements or restrictions of record; that all
nd llegations made are accurate; that I have read and agree to abide by all conditions printed on this
I ssume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
Ordinances, for work under this permit. Plans subject to field inspection.
Signature of contrac or/owner
date
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State 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 (I) 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 violati of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan review ct field inspections.
date
I
INSPECTION REQ EST LINE:
REQUESTS MUST BE MADE BY
(303) 234-5933 BUILDING OFFICE, (303) 235-2855
3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
Inspection Line: 303-234-5933
Date: ol.b/ D
Plan #: 03 -D;}.(l6
Permit #: 0:5 [)8ff-f
Building Permit Application
Property Address CR<'cf:> 4- [L'S:::vl S +
Property Owner (please prinl):~~ y ell ~e r
Mailing Address: (if different tha ropertyaddress)
Phone % . L(3/-L(&I(;
Address:
City, State, Zip:
Contractor:
Sub on r
Electrical City License #:
Company:
~~L(
Mechanical City License #:
Company:
umbing City License #:
mpany
~
Exp. Dale:
Approval:
xp. Date:
pproval:
Exp. Dale:
A
o space (description): Construe' n Value: $ .
Description of work: ~ (as calculat er the Sul/dm
~~~ ~L1S~i~z ti5nRsWvsattimeO~;~Mal):$
Sq. Ft./L.Ft added: Squares 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.G) and all other applicable Wheat Ridge Ordinances,. for work
under this permit: Plans subject to field inspection.
CIRLCE ONE:: (OWNER) (CONT~PERSONAL REPR
PRINT NAMEs+n OJ ~ 0~ SIGNATURE:
Date:
DEPARTMENT USE ONLY
ZONING COMMENTS:
Zoning:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
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-SVt5..J/~-:r/VfiQ 11 tf.f5Po .
ved >ATComments t:rdlsapproved "'-uno review required Bldg Valuation: $
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Sheellllfe: Wiring Diagram
4.92 kW grid tied system
24 Kyocera 205 modules
Project #;PRS091
3865 Allison St.
Wheat ridge, CO 80033
Revisions:
9JUNE2Q08 SRL FOR REVIEW ~"
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9JUNE2008 SRl FOR REVIEW tM,.,
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9JUNE2008 SRL FOR REVIEW ~Yi
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Revisions:
9JUNE2008 SRL FOR REVIEW L;
STANDARD
""""""">""""."',,,
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Revisions:
9JUNE2008 SRL FOR REVIEW
STANDARD
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Project #: PRS091
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Wheat ridge, CO 80033
Revisions:
9JUNE2008 SRl fOR REVIEW ~;;
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JV A, Incorporated
1319 Spruce Street
Boulder. CO 80302
Ph: 303.444.1951
Fax: 303.444.1957
July 9, 2008
Sam Ley
Standard Renewable Energy
5757 Arapahoe Avenue #C-2
Boulder, CO 80303
RE: Existing Roof Capacity Evaluation
Younger Residence, 3865 Allison St, Wheat Ridge, CO 80033
IV A Project No. 13247
Dear Sam:
At your request, we visited the residence referenced above to evaluate the capacity of the existing roof structure to
support an added roof mounted photovoltaic (PV) solar array. The proposed solar panels are to be flush mounted and
weigh no more than 3 pounds per square foot (pst). It is our understanding that the PV installer will be utilizing an
installation method prescribed by a proprietary racking system manufacturer as a means to attach the panels to the roof,
and that this iustallation method has been designed and sealed by a licensed engineer in the State of Colorado.
This roof structure is estimated to be over 50 years old. The addition of new equipment warrants checking the structure
for compliance with current building codes, particularly the roof connections. Many of the connections were not visible
at the time of the site visit. These connections should be verified and must meet minimum code requirements established
in the mc 2006, table 2304.9.1. Verify either 3-8d or 2-16d nails at rafter to plate connection and 3-lOd nails at tie to
rafter. Add nails to meet this standard if existing condition is deficient.
The 2006 Colorado Front Range Gust Map places this residence in a location that has a design wind speed of 130 mph,
three second gust. The surrounding features give this location an exposure B rating. Following the analytical design
procedures of ASCE 7-05 the maximum design wind uplift components and cladding pressure is 65 psf.
The PV panels are to attach to the existing roof with support rails and attachments. Rails shall be parallel to the existing
roof framing and spaced at a maximum of 4'-0" (every other rafter) with attachments spaced at a maximum of 3'-0"
along the rails.
Each attachment shall be connected to the roof framing with a 5/16" diameter by 4" long lag screw with a minimum of2
1/2" embedment in pre-drilled holes (3/16" diameter for the threaded portion of the screw and 5/16" diameter for the
unthreaded shank) into the existing roof rafters. The screws shall be located within the center one-third (1/2") of the
rafter width. Another option for the roof connection (if acceptable by the track and attachment manufacturer) is using
1/4" diameter by 6" long "Simpson" SDS screws 1/8" diameter pre-drilled holes
Based on these criteria it is our professional opinion that the added dead load of the proposed solar array does not
overstress the existing structure, provided there is only one layer of shingles on the roof. The flush mount system does
not add additional wind loading to the roof framing.
Please do not hesitate to contact us if you have any questions or concerns.
Reviewed by:
David M. Houdeshell, P.E.
Principal
Sincerely,
BOULDER
FORT COLLINS
WINTER PARK
I
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o Elec. 0 Plumb 0 Mech.
o 1st
o Structural
o 3rd
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Job Address:
/
oRe-inspection fee of $ must be paid prior to re-inspection.
o Blocked Access
o No one available for inspection: Time AM/PM
.When corrections have been made, call ~or re-inSPjtion at 303-234-5933
Date: /u /; 'fla -? Inspector: ,-J~)4~
I I
DO NOT REMOVE THIS NOTICE
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City of Wheat JUtIge
Resid~tial.oorQt*' Pll1RM1T - 071111
~ ' " \ - ' : I I
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07J.11J. ISSUED:
3865 ALLISON ST EXPIRES:
T/O AND RSPI.J.\.qE 25.4:4~U~~ C~l?,?SliTE SHINGLES
I'
10/11/2007
04/08/2008
I1ERl<<it !fa;
JOB S,'
DES~ .
:*-~'*
:_':"l:: .:'
,; ),;, :'1
cm.rtACTS h_
, $Oj/816-1888
~03/431-4695
Derek t.indsay
JOHN YOtlNGBR
02-2377 Infinity Restoration
GC
owNER,
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0339
USE: UA
BLOCK/LOT#: 0/
--
BS1IMATSP ~ROJECT VALUATXON,
, ,FBES
'199.30
,.00
13'0..51
329.. 81
7,250.4:0 '
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ALL,
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F~
,I'lUST BE 6 NAILED
SCTION REQUIRED
ION REQUIRED
. ' ." ", - , "
I hfi~~t i~~~ty"t;pa,t th~ setback distances pt'o~ed., by, this' ~errnit application are accurate, arid ,dO not 'violate aPpti~l'"
oro~na.~e~/_,~'~_s ~r regu:t,ations ot the Clty of,-Wheat Ri(ibe pi' coven~nts, easements or restdetions':of reeord~ that' pi~
me'BUte"~~~i'!8~. and allegation~ l\ade are accurate;. t~t :t :l:!.ave ;x:ead and agree to ab:tde...1iy all condiiions printed::'od_ elIte;
app'l~.c 'ti.~::~::,that:_ ~ assume full :r.sponej,pility for ,botnPli~nee :with the Wheat Ridge :a\lilding Code (I.B.C) and ~l~"b~~~ '
appUii: e'..t4jtIeei Ridge Ordinances, for work un~r this: p~irmi:t,. plans subject to field S:n~tion. ' .' " '
I
d!a-h
1. ~ht~ ::~~t/:~s i'ssued in accordance with tM>p:roVi'eiObs :set fortp in your application, and is subject to, the loinla-:titl" t~e
s~_~,~:bf-:~o~:rado and to the zoning ;Regul~i<ms and, Bui1lci.t.~g ~ocle~ of Wheat Ridge, Color_dO or any other appl4:c~:e,;~ ,
o~~ <it \:he City. ' .." , :
" '. ,1' ,<, ' " " " ' """.,'; .
2. ,Tt1;~~p~~,t.-, ~hall expire 180 da:(s, from the, i~~ue, d,&te,.: Rejq\;lest;.s :for an extension, must be received p~or to expira~.1~"
'~tllif',',:~i~~sion may be grantj.ed at the 41,foretiQin, o~ tfhtJ! Blfil.d;ing OfficiaL - , _ " ;,.' t
3,. 'n:,',_tb,~~,pe~:t-_e:xpires, a new permit: may ,11e ,~quired tbr ~a"fe~ of one-half the amount .normally required, providtld<nq'
c;~.:,~'vi!:'ibeen or will be made in the or.i.:ginal t'lanls and sl;lediticat1ons and any suspension or, abatidonme-nt-;ha,e,_not'
,ex_~~~';,pn~;" '1} year-. If chanlj-es have b,een_:or if 'sus~ens~on' or abandonment exceeds one (l) yea:r, f~ll fees s~l,)i" :'
~be:~.:~i#,,_~~r:,it-, new permit-. , , ' _ "I" ., , " i
4. "lfO' ~";f~',~t a(Q.y !fI4nner shall be done :that will ,change tbe 'natural :flow of water causing'a drainag~ probl~m.
$. co~t'-~c:t~ ~ll not.-Uy the'Building Ins~~r tweDtY~lfour, (24) hPurs in advance for ,all inspections ,and shall reee~ve
wii~te~" ~p;:oval on inspection ~a:rd be;fore~ ptoceedi.:ng r.viqh:: succeslJive phases of th4!i-:-jQb,.,' :,' _, :
6. . ~':',llli.~c:~,::of: a. permit or the llW'roval, of ~awings !ljnd ispectUcations shall not, be, construed "to be' ,a permit, for, I\Pt
;In.:, apgt~l' :()t", any violation of the, pro-vi ions of the bUilding Codes or any other Qrdinance, law, rule or regUlation,
,." ""', 1 ' ' :,." ,",', ' " ,
Al1:~j:~n:):ie'V;:lew is subject to, f~eld i pe ns. ' '
SigQa~; 9~,'~~ 'BUilding Official ! ~ate
: "_" :;,: ":,,,: ,-3, ,T, ' : : ~ i' ,; . '
I~ok _UBS'l'LINlh 301}234-5933 ! aUILD!NG OFFICE: (303)235-2855 .
RBQt1ESTSMusT BE !!lADE BY 3PM ANY BUSINESS :DAY FOR INSPECTION THl!: FOLLOWING BUSINESS DAY.
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City~fWheat Ridge
CommlJJ!'lity Oevelopment Department
COMMERCIAL & MU1.TI-FAMILY
JJUlLDlNGPERMlT APPLICATION
:r";,, ~ "0\ Ii< 'jQ. ,_
'2..?>I.,$', AlIi,." s...t
Building Permit Number:
Date:
Property Owner:
Property Address:
, Contractor License 1>10.:
)i'
Company:
Phone: "'01 't-; \ "K."S-
',':':;
Io-\:";h ~Or\~-
~~
Phone: )') 1\ \. \ 1 <g<l..
~ERJCONtRACTOR SIGNATURE QFUNDERSTANDING ",NO AGREEMENT BUlldlnaDept,Valulltlon F/gI,/I'i;J
; ,":,
'j;
lnereby ootlify lhillthe setback distances proposed by this perinlt appllcalion are
aCC4rate, andelo nolvlolate applic;lbIe~lnen~s, rules or '$gul.lions of the Gity of
'I'o(haal Rlelg.orcovenaht~, easemem. Q1' ",sldC\,ons of record: that all measurements
." '$h9wn.and allegations made are ac;cu~e; that I have ra~d ahdagree to abide by all
ll!melnlons.pdnteel on thi$applicallon anelthat I assume fuli..,esponslbllily for
~nanoo Wlll1the Wh.at Riel, eBuliclb1g Code (I.8.C) anc! ail 0 r applicable Wheal
. .~ldge O,ellnanoos, for work u. er this permit. Plans sUbJec fleld Inspection.
(<)WNERXCONTAACTOR): SI~NEO DATE \Q\iJ..~
Value:$ "'UO.~
Permit Fee:$
Plan Review'Fee:$
Use Iax:'$..
Total:$
(OWNeR)(CONTIlACTOR):P~IN'reO
DATE
'~$e of S~ce (d!lSC:riPtiOn):~ -tl '" \
Descrlp~on.of worll: .
9.~.L{lt S9
~q. Ft added
~'4. {/,,<I.~
--T / ()
1- f-Gfl~
"';
ONING COMMENTS:
Approval:
Zoning:
BUILDING DEPAXn:MENTUSE ONLY
SIC:'
Sq.Fl;
'I
~llOING COMMeNTS:
Approval:
UBlIC WORKS COMMENTS:
.. Approval:
IRE DePARTMENT COMMENTS:
Appnoval:
ccu pahcy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No:
Company:
Plumbing License No:
Company:
Mechanical.LicenS6. No:
Company: .
:Expiration Date: Expiration Date: Expiration Date:
A~proval: Approval: Approval:
(1) This permit was' issued in acCordance with theprovision:s set forth in your application ;and i,s subject to the taws oUh~state of
Colorado and 'to the Zonlrig-Resmati0F'ls-and 8uUding Codes of Wheal Ridge, Colorado Of any other ~ppUcable ordinances-of
the City. .. .
(2) Thts permit shall expire if (A) the workauthorized is not.commenced within sixly (60) dayS fnom Issue date or (6)lhl! puRdlng
authorized Is suspended Of abandoned for a period of 180 days. '
(3)lfthls permit expires, anew permit may be acquired for a fee of one-half the arnounlnormalfyrequired, provided no,dti1lng"s
have beenorwDl be madain:ttlet original plans and specmcations and any suspenslo"or abandonmeot has.not ~xceed~d one
'(1) year. If changes haveb,*,~ or It suspension or abandonment exceeds one (1) year,tull fees shall be paid tor a neYi:,pertnit.
(4) Nowork of any mannershaU~e done that will chan;ge the natural flow of water causing a drainage problem.._ '. .',
(5) eontractor shall notify the 8uII<ling inspector twenty-four (24) hours In advane<> for all inspactlons and shall rece"", Wdften
approval on if1spectioO.;Oatd,b~()fe proceeding with suc;cessivephases of the job. . . . . . ..'.. '
The issuance of a p~rrnit:or!he approval of drawings and sp!9ciflcations shaU,not be construed to'be a permit.J9f,mpl'an
approval of, any:violatl~n(jfth~provlsions oftha building cod~s or any other ordinance, law, rule or reguiation.AllpJai'l.re-vlew
Is subJ.Ct 10 fleld Inspoctlons..
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number: 13109
Date: 11/13/01
Property Owner: JOHN YOUNGER
Property Address: 3B65 ALLISON ST
Contractor License No.: 17529
Company: Alsco Cardinal Home Improvement
Phone: 431-4695
Phone: 777-3444
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
Total:
$1,300.00
$47.90
$0.00
$19.50
$67.40
(QWNER)(CONTRACTOR) SIGNED
DATE
Use:
Description:
4-VINYL REPLACEMENT WINDOWS
~~
BUILDING DEPARTMENT USE ONLY
---
Approval:
Zoning:
SIC:
Sq. Ft:
.......
Approval: BG
11/13/01
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:
(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 to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been 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
pro 9~ith su ssive phases of the job.
su n it or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the
'si so di other ordinance, law, rule or regulation.
,
(1)
(2)
(3)
Chief Building Inspector
IJE,- 'RT\1EN-i OF =LANNI~:; A~J DEVELOPMENT Building Permit Number:
BUILDING INSFSCTION :MS:ON - 235-2855
CITY OF WHE;. T RIDGE Date:
7500 WEST 29T:-: AVENUE
WriEAT RIDGE,:O 30215
cJOUA>JC-(<) ~n<0
330;6 AII/so'u Sf..
/7.5cJ q
CompalY: Y+lY' n r AQ'i),)u.l'Jl
OWNER/CONTRACTOR SIGNA:tJRE OF UN:Ei'iSTANDING AND AGREEMENT
F~perty Ow:-er :
Prcperty AddrESs:
Contra=r License ~o. :
Phone: l{ 3\-L(L99. 5
Use Tax:
Phone: Y.B'b-'1577
1.3co=
L{7_ ~O
!,\,S:>
Total: &7. "10$0.00
I hereby certify that the setbad< dista:ces pnJpOSed :., tIlIis ::ermlt Ippllcation are aCC<lrate
and do not violate appicable ordinal\C!S. IUIes or rev'- 01 thl City 01 Wheal Ridge or
covenants, easements or resmctions Jt reaxd: that aI measuremlnts shown. and allegations
made are aCC<lrate; that I have read;nd agree to abae:L:' conditions printed on this
apphcaDon, and that I assume tul res:onsibOily.lor ~, . _ with the Wheat Ridge Building
Code (U.B.C.) and all illher applicable 'M>eal Fudge ~s, lor Worn under this parmit.
(OWNER)(CONTRAC70R) SIGNE(jM-rv\ ~ tJJ. ,~ DATE 1115/0 i
Construction Value:
Permit Fee:
Use:
Description:
'-l- U 11} L Kep\Acem~ lJ'~
(W S\ vct0,4L ~S
T USE ONLY
em5:I~~~omlJJ~n~
Approval:
Occupancy: V,alls :
Root:
Stories:
,
<,-:~~}
/
Zo!llng~.mI11~ms~
Approval:
Zor.%1g:
BmRllnmCommelllS;!
Approval: 111t-3thl ;6. ~
Electrical License No :
Company:
P!.rOI"= LicUl1se No :
C:,",=~l:
Mechanical License No :
Company:
Expiration Date:
Approval:
E:::Ira:i:<1 Dah,:
A:::r:JV2:. :
Expiration Date:
Approval:
(4)
(5)
(6)
This pennEl: was ssued :1 ac:::or::arce wt.."'I ~e oro~ S!!: ~orth III yopur application and is subject to the laws ot the Slate ot Colorado and 10 the Zoning
R~ulabons an: 3uildlf'lg Cooe ':t .~eat ?~cge. ::::.:r..zac:::c ::r lny Ol!lQr applicable ordinances ot the City. , . ..
nus penTlIC shal !!Xtwe 1 (A) the vent aU':'oo::ea t:: ~ct =rmenCetl WIthin slX1y (60) days from issue date or (B) the bUilding authonzed IS suspended or
abandonee! for OJ ~ ct 120 ca.$..
It this permit eo.res. a r'II!!W pemu ~ be ac:::quiret: '::I""il ~ of ana. hair the amount normally required, provided no changes have been or will be made in the
original P'ans a:"d spect.'cabons or.c ~ s..:soensr~ :I"'-.ca"donmallt has not exceeded one (1) year. If changes are made 0( if suspenslOll or abandonment
exceeds one (1: ',ear. fuI fees sf"aIl be patj rIX a MOll ~L
No W()(1( ot any ":'".annef' snalbe ::cr1e Ohat Mil ctlar::~ ~ ....wral nllW of water causing a drainage problem., .
ContractOl' !.hat 1Oti:fy tl"Je BuUdm; .l"lS:leC::t :'Nenr---cur::" nours III advance for all inspections and shall receive wntten approval on Inspection card before
proceecliinq WIt': successrve p/"las!s ci ~ 00.
The issuan:e ct i penTIIt or ':he a:croval d ~r:~ :D"lG: s;eofi,ca1hms shall not be construed to be a permit for, nor an approval at, any violation of the proviSions
at the building es Q( any 0Zhe" :ror.ance, ~. ,:...l! -:r ~lallOI1
<')
(2)
(3)
Inspecto. For Mayor
THIS PERMIT VAlle ONLY WH?l SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL; 2:;'<-5333 24 HOURS PRIOR TO INSPECTION
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. . ,.: OF PWNING ANt> Jl)eVELOPMENT
, ". ",JNlPECTION D~IS.O~ . ~35-2855
:f., " ;1:' , CfI'V OF fJliEA T RIO~E i
1 >, : 7_ WEST 29TH AV~N1UEI '
. \:' ' I'C",1;:,:,~TRmGE,CO .O~15,
:,j\:':\\';:'I~:;"::);' ' 1 I
.: ;> '>i;;~:'"<~:1!~ Owrler : , I
,i .,,~:,~,:j;I~AddteS$: 3866ALLlSONST
i ;:'., ,,;;c~~~l:l=;~; ~:~:~atsys,t~L, s
" f~" . , I
,
,I
Building Permit Number: 4465
Date: , 1/16/97
.!
Phone: 232.2575
Phone: 431~
.~V~e~.
, Pem'lIf'PeliI:
pllin R~ Fee:
UHm~X:
, "".1
,.' ,,-'"
. . 1 .
1'oIlIll:: '.
$1,050.00
$115.60
, $0.00
$12.60
-',
$128.10
I
I 'j, "'.
BUILDING DE ARTMENT use ONLY'
SIC: SliI; f't:
Walls:
Rpof
Stories:
Residential Units :
Plumbing I:.lcen e No :
Company: !
,
M~icall..icanse Np: .'
Company :
,
Expiration Date:
Approval: i
,
.
Expiration Date :
Approvld :
.
Y THE CHIEF BUlLPlttGltWPECTQRMD MAYOR
URS PRIOR TO INSPecTION . .. ..
, DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215.
Property Owner:
Property Address:
Contractor License No. :
Company :/cd:.AL Hz::;tr ~ ~ICW\S
"3 g~ S' AUf<;;;O~
c;;,,-.
Phone:
;;;.. 3;):- :J515
Phone: z.j ~- Lf L{ 3 S-
=:,7B- 5CJ.O 3 fJA~Ce..
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that 1 have read and agree to abide by al1 conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this pennit.
Construction Value. . I, D5D' --
Permit Fee:
Plan Review Fee:
Use Tax:
DATE
Total:
(OWNER)(CONTRACTOR) SIGNED
Description: TUWIAC!..s frfc.plJ4LE>>1E..1l) r---
BUILDING DEPARTMENT USE ONLY
SIC:
Sq. Ft.:
Zlm1l1fRQJ!m!n'l!~
Approval:
Zon ing :
'1'!!IRll~Pl!lm:e:ID!ll
Approval:
~Dti1~..9ro!!'!!I!I~
Approval:
Occupancy: Walls:
Roof:
Stories:
Residential Units:
Plumbing License No :
Company:
Mechanical License No: ~,
Company:/ZtA L HE"I-T I$~j
Electrical License No :
Company:
.f: - -.,1 .f
Expiration Date:
Approval:
. agLI1mSIffQImI-
Expiration Date:
Approval:
Expiration Date:
Approval:
II
.
.r - -, I .., "
m
(6)
This permit was issued in accordance with the provisions set forth in yapur application and is subject to the laws of the Stale of Colorado and to the Zoning
Regulations and BUlldinQ Code of Wheat Rld~e. Colorado Of any other applicable ordinances of the City.
This permit shall expire If (A) the wor!< authonzed is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires. a new permit may be acquired for a fee of one-half the amount normally required. provided no changes have been 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/.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
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