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HomeMy WebLinkAbout4230 Brentwood Street► City of Wheat Ridge Residential Electric PERMIT - 202001310 PERMIT NO: 202001310 ISSUED: 07/14/2020 JOB ADDRESS: 4230 Brentwood St EXPIRES: 07/14/2021 JOB DESCRIPTION: Electric service upgrade - 150 amps; Add new 100 amp subpanel, refeed existing circuits, rewire washer and dryer to subpanel. I, by my signature, do herattest that the work to be performed shall comply with all accompanying approved plans and specifications, aZ cable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized be lal owner ofthe property and am authorized toobtainhithermit. Ier attestthatIamlegally authorizedtoincludealprr 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any app)ie*le code or agy1ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of C&f Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. **REVISION:Installing sump pump. *** CONTACTS *** OWNER (720)261-4581 DOWLING JOAN E SUB (303)422-6777 DANIEL MOUNTAIN 018359 MOUNTAIN BROTHERS ELECTRIC *** 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: 3,675.00 FEES Total Valuation 0.00 Use Tax 77.18 Permit Fee 109.20 ** TOTAL ** 186.38 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2017 NEC. Subject to field inspection. I, by my signature, do herattest that the work to be performed shall comply with all accompanying approved plans and specifications, aZ cable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized be lal owner ofthe property and am authorized toobtainhithermit. Ier attestthatIamlegally authorizedtoincludealprr 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any app)ie*le code or agy1ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of C&f Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Online Form Submittal: Revision to Permit Application https://wrmail.ci.wheatridge.co.us/owa/projection.aspx Reply all I Delete Junk Online Form Submittal: Revision to Permit Application • no-reply@ci.wheatridge.co.us Reply all 40 Wed 7/15,10:32 AM CommDev Permits 2018 Dina Revision to Permit Application Permit Number assigned to 201902531 project PROPERTY INFORMATION Permit Number 201902531 Property Address 4230 Brentwood St, Wheat Ridge, CO 80033 _-------------------------------------- ---- Property Owner Name Joan Dowling Property Owner Phone 720-261-4581 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Field not completed. Address CONTRACTOR INFORMATION Contact Name Kaelynn West Contact Phone Number 719-260-7070 (enter WITH dashes, eg 303-123-4567) Contact Email Address cx@peakstructural.com Retype Contact Email cx@peakstructural.com Address DESCRIPTION OF WORK 1 of 3 09/16/2020, 9:51 AM Online Form Submittal: Revision to Permit Application Reply all I Delete Junk description of work including mechanical, electrical, plumbing work occurring, adding/removing walls, etc Engineer Letter (if Field not completed. applicable) Additional Documents on Field not completed. Letter Size Are plans or documents No plans needed locked for editing? Construction Plans scanned Field not completed. on 11 "x1 T' or larger Additional Project Value 0 Only add what the revised scope of work is valued at. https://wnnail.ci.wheatridge.co.us/owa/projection.aspx SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work may not begin on this property until a permit has been issued and posted on the property. I certify that I have been authorized by the legal owner of the property to submit this application and to perform the work described above. Yes Yes Yes I attest that everything stated Yes in this application is true and correct and that falsifying information in this application is an act of fraud 2 of 3 09/16/2020,9:51 AM Online Form Submittal: Revision to Permit Application Reply all I Delete Junk Person Submitting Revision Kaelynn West https://wnnail.ci.wheatridge.co.us/owa/projection.aspx Email not displaying correctly? View it in your browser. of 3 09/16/2020,9:51 AM i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office (INSPECTION NOTIPE Inspection Type: 4d)S RXAXA )�TQ tcm_ Job Address: cla3m `�" Permit Number:?�l<T> ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes `'Noa- ''When corrections have been made, schedule for re -inspection online at: http✓/www.ci.wheatridge.co.usrnspection ` -'!1 SDectb - i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office (INSPECTION NOTIPE Inspection Type: 4d)S RXAXA )�TQ tcm_ Job Address: cla3m `�" Permit Number:?�l<T> ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes `'Noa- ''When corrections have been made, schedule for re -inspection online at: http✓/www.ci.wheatridge.co.usrnspection ` -'!1 SDectb - i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE e Inspection Type: ' Job Address: �� 4�� V 1-,Tt c: U c t Permit Number: , o I C1 O 3 4 3 OU 1 92r r riat,iera cP S1. n 1 - rig,,, rvC. ✓ {�.4� ( .> a'1 r, r C n r r. r f. J I ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes I -o) When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge.co. uslinspection Date: _� - �3. d (i)U Inspector: DO NOT REMOVE THIS NOTICE Paul R. Bryant, P.E. 2141 Troy Court Colorado Springs, CO 80918 Phone: 719.330.3885 E -Mail: paulrbryant.p.e(q!outlook.com Job # PRJ13668 12 March 2020 Peak Structural, Inc. 707 County Line Road Palmer Lake, CO 80133 Re: Project Completion Report, 4230 Brentwood Str., Wheat Ridge, CO The repairs recommended for this home in the project documents dated 25 November 2019, have been completed in substantial compliance with those recommendations. The work, consisting of the installation of (7) FSI SmartJack structural column systems and (1) FSI Model HP288 helical pier, was observed by me or by an authorized representative. Photographs of the work in progress, as well as the completed work are available upon request. This approval does not express or imply any warranty of the future performance of the structure or drainage condition. We are not responsible for conditions that were not within the scope of our services at the time of observation, and no other observations or services were provided or were implied to be provided. Sincere p0 REG/s �o�p �........ ��•• B9•'g9c� (29� = 29932 � • 12 -Mar -20; o'; t 9`x;.5/ONALENG��� Paul R. Bryant, P.E. i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: W0 c V Permit Number: 0 a a Lac 4- -10 Cc 3 1 r..r?A, i S,7tl (�nV))0oC� ❑ No one available for inspection: Time 'I Ot AM/PM Re -Inspection required: Y4 No When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. uslinspection Date:'., ),1 ►. v Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Foundation Repair PERMIT - 201902531 PERMIT NO: 201902531 ISSUED: 12/06/2019 JOB ADDRESS: 4230 Brentwood St EXPIRES: 12/05/2020 JOB DESCRIPTION: Install 5 jacks to be installed beneath main beam; 2 jacks beneath supplemental beam. **REVISION: Sump pump installation. Added valuation: $1555 *** CONTACTS *** OWNER (720)261-4581 DOWLING JOAN E SUB (303)260-7070 Paul Sutton 090170 Peak Structural Inc. *** 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: 15,249.00 FEES Total Valuation 0.00 Plan Review Fee 174.01 Use Tax 320.23 Permit Fee 299.40 Misc. Fee 25.00 ** TOTAL ** 818.64 *** COMMENTS *** *** CONDITIONS *** Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. City of Wheat Ridge ' Residential Foundation Repair PERMIT - 201902531 PERMIT NO: 201902531 ISSUED: 12/06/2019 JOB ADDRESS: 4230 Brentwood St EXPIRES: 12/05/2020 JOB DESCRIPTION: Install 5 jacks to be installed beneath main beam; 2 jacks beneath supplemental beam. **REVISION: Sump pump installation. Added valuation: $1555 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 perforin the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of ChiffMilding Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. OCb «f Wheat Rid�e CI °Zy 'nta|l 5 /acks to b BPSP 42J08rentwon� S+ AMOUNT APPUPERPIT No 01902531 64.36 r3 '~ ' 6261.) AMOUNT *»/NI C08E/ 7822�83O 64'36 TOTAL —_ Dina Kem From: no-reply@ci.wheatridge.co.us Sent: Wednesday, July 15, 2020 10:33 AM To: CommDev Permits Subject: Online Form Submittal: Revision to Permit Application Categories: Payment Issue, Dina Revision to Permit Application Permit Number assigned 201902531 to project PROPERTY INFORMATION Permit Number Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address 201902531 4230 Brentwood St, Wheat Ridge, CO 80033 Joan Dowling 720-261-4581 Field not completed. CONTRACTOR INFORMATION Contact Name Kaelynn West Contact Phone Number 719-260-7070 (enter WITH dashes, eg 303-123-4567) Contact Email Address cx@peakstructural.com Retype Contact Email cx@peakstructural.com Address DESCRIPTION OF WORK Detailed Revised Scope Sump pump installation of Work - Provide a detailed description of work including mechanical, electrical, 1 plumbing work occurring, adding/removing walls, etc Engineer Letter (if applicable) Additional Documents on Letter Size Are plans or documents locked for editing? Construction Plans scanned on I 1 "x 17" or larger Additional Project Value Only add what the revised scope of work is valued at. Field not completed. Field not completed. No plans needed Field not completed. N SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and z that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Submitting Kaelynn West Revision Email not displaying correctly? View it in your browser. s_ CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: %�, q Job Address: 412-3 Q '- 2 1.114c lood Permit Number: Z0/ 7 Q Z 5_3 J ❑ No one available for inspection: Time ` iPM Re -Inspection required: < (e)s No When corrections have been made, schedule for re -inspection online at; httpJ/www. ci. wheatridge. co. uslinspection Date:_S / 2�,?6 Inspector: SIO/Z ` e DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: � v - Job Address: Uk � d 1(-wr wo L L `, Permit Number: 40\c% 0 D ". ? 1 i L)No one available for inspection: Time d 4 � AM/PM Re -Inspection required: Yes, ` No When corrections have been made, call for re -inspection at 303 -234 - Date, 03-234- DateC , � - v Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 11J� ` Job Address: L) �� >� ice✓ �� EA, Permit Number: �' t ` `� J No one available for inspection: Time �AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http✓/www, ci, wheatridge, co. uslinspection Date: 4` `/ `' ��. Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: V t Job Address:. -- Permit Number: r'n O r� -irt l_i ❑ No one available for inspection: Time J ! y AM/PM Re -Inspection required: fes No When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. uslinspection Date: � , ) � "1, Inspector: 1-- � DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: 1 0 1 ri O one available for inspection: Time Q4 AM/PM t Re -Inspection required: Yes i No '.._� When corrections have been made, schedule for re -inspection online at: http://www. ci. wheatridge. co. uslinspection Date: � U - a c., ? , Inspector: 1 DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Foundation Repair PERMIT - 201902531 PERMIT NO: 201902531 ISSUED: 12/06/2019 JOB ADDRESS: 4230 Brentwood St EXPIRES: 12/05/2020 JOB DESCRIPTION: Install 5 jacks to be installed beneath main beam; 2 jacks beneath supplemental beam *** CONTACTS *** OWNER (720)261-4581 DOWLING JOAN E SUB (303)260-7070 Paul Sutton 090170 Peak Structural Inc. *** 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: 13,694.00 FEES Total Valuation 0.00 Plan Review Fee 174.01 Use Tax 287.57 Permit Fee 267.70 ** TOTAL ** 729.28 *** COMMENTS *** *** CONDITIONS *** Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this_permit. I further atte I am legally authorized to include all entities named within this document as parties to the work to be per orme) and that all t be p formed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of-O(cle one) Date' ° I . This permit was issue ed on theinf_ yina ion provided in the permit application and accompanying plans and specifications and is subject to the compliance with-those i -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 tee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall roceed or co c al work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or gra it construed to be a permit for, or an approval of, any violation of any provision of any applicable code or o this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of `1`! heat j�ige COMMUNITY t.)EVEL.011ML.Ni Building & Inspection Services 7500 W. 29"' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: Permits0)ci.wheatridqe.co.us FOR OFFICE USE ONLY Date: f` PlarWermit #X / I n I0 � J Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address:" Owner Property Owner Email:_ 1 -_)Ow((. Tenant Name (Commercial Projects OnW Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Phone: / v- G(o 1 - Architect/Engineer E-mail: Contractor Name:tryt City of Wheat Ridge License #: (:�Q I © Phone: -1 l PI -'(00 -_700 Contractor E-mail Address: C " lam' pe [R kSi V1 t [ X t (_ff _ For Plan Review Questions & Comments (please print): CONTACT NAME (please print): CONTACT EMAIL(please print): C !� one: %/ _-1 Zi ` b/1 0 C,ill� V`7L/1 Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: City License # Other City Licensed Sub: City License # Complete all highlighted fields. ❑COMMERCIAL RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. Sq. FULF 2 C'C ks b� � BTUs vlv-�A->n VV c 'tV1 b-e a rv1 13u pP C�-.VyVAJCJ kw 6�,wt Gallons Amps Squares For Solar: KW # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: _ Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the CIRCLE ONE: (OWNER) (CONTRACTOR) HORIZED REPRESENTATIVE)`--< (OWNER) (CONTRACTOR) Signature (first and l� t nam - T ATE: Printed Name: (1211 1 4 ZONING COMMMENTS: Reviewer. BUILDING DE=7� Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: a3 CONSTRUCTION TYPE: Ue I Building Division Valuation3 16q F-1 Paul R. Bryant, P.E. Job # PRJ13668 Peak Structural, Inc. 707 County Line Road Palmer Lake, CO 80133 Soil Evaluation and Structural Repair Plan for Joan Dowling 4230 Brentwood Street Wheat Ridge, CO 80033 2141 Troy Court Colorado Springs, CO 80918 Phone: 719.330.3885 E -Mail: prbryant23@outlook.com 25 November 2019 flolgoa531lai� 11 B. moo' •• L��� 1/25/2019 J' sS�ONA�Rc�G\� Paul R. Bryant, P . a4r• WhO t Ridge Introduction: This report describes the results of an investigation of the soil conditions at the above -listed address for the purpose of performing a foundation repair. It also presents a repair design for the house, as well as provides additional guidance and information relevant to the proposed project. Soil information was obtained from limited visual observations on site, and from the resources of the NRCS Web Soil Survey. The Web Soil Survey (WSS) provides soil data and information produced by the National Cooperative Soil Survey. It is operated by the USDA Natural Resources Conservation Service (NRCS) and provides access to the largest natural resource information system in the world. The site is updated and maintained online as the single authoritative source of soil survey information. It is considered accurate enough to predict with reasonable certainty the probable soil conditions that will likely be relevant for this particular project. Observation of Property: The foundation inspection was performed by a qualified foundation inspector, as authorized by this office. The home is listed in county records as having been built in about 1954; it consists of a one-story home over a crawlspace. The foundation appears to consist of cast -in-place concrete. For purposes of this report, the front of the house is assumed to face west. The damage to be mitigated by this limited repair project will be to address a condition of settlement and softness of the main floor framing system, which could exceed 2" in total. Cracking and distortion of drywall surfaces are present in the home. The foundation walls do not appear to be severely cracked, but some cracks and settlement of the perimeter foundation are evident. Work to mitigate them has been deferred for now to see if the current repair project provides sufficient relief. Cause of Damage: It is our opinion the damage has resulted from long-term settlement of the supporting soil. Possible causes of structural settlement usually arise from elevated soil moisture conditions, often from poor drainage, damaged downspouts or broken sprinkler lines; poor compaction, overly -dry soils or other adverse soil conditions can be major contributing factors as well. In this particular home, free water has been observed in the crawlspace; it's likely this water has affected the foundation's stability. Soil Profiles: The soil at this site consists of the Nunn -Urban land complex. This profile consists primarily of clays and clay loams, existing in alluvial fans, mesas and terraces, overlying clayey, calcareous alluvium parent material. It is a deep, well -drained soil, and is susceptible to settlement and exertion of high lateral pressures under saturated conditions. A shallow water table is not expected to be present, however, seasonally high or perched water may exist from time to time, especially if poor surface drainage exists at or near the structure. Depth to bedrock may exceed twenty feet. Project Scope: This limited repair plan will involve the use of (7) FSI SmartJack® support column systems, located according to the design accompanying this letter. It is not expected that full recovery of the house to as -built conditions or to a fully level, true and plumb state is achievable or even desirable, as such work would likely result in more damage than would be repaired. The underlying/surrounding soil is considered capable of providing long-term support for the selected systems. Adjustment of installed components may occasionally be required after installation and minor settlement or movement (less than 1 ") should not be considered a defect, as post -construction adjustments are considered common and typical. Construction and Materials Information: Seismic activity is not considered to be a significant factor with respect to this project. Frost depth is considered as 36" for this project; check with the Building Department if there is any question. All structural concrete shall be Type 2, Sulfate -Resistant, of a strength specified by the accompanying design, or if not stated, 3,500 psi compressive strength. Typically, slabs, such as basement floors and driveways, are not considered structural. Below -grade steel shall be galvanized or coated with a heavy tar layer to prevent excessive corrosion. Unforeseen site conditions occasionally arise, often when buried obstacles are encountered. Re -use of the existing footers, once the original concrete support posts are removed, is anticipated, providing the footers are sound. Subsurface Drainage: No new or additional subsurface drainage elements are required by this document. If an existing drain is encountered, care must be exercised in preventing its damage, and if damaged, it must be restored to an operational condition. Repairs to foundation drains typically require inspection and approval by the Building Department. Groundwater is not expected to be a significant consideration relative to this project; however, groundwater elevations usually fluctuate seasonally, and mitigation of high groundwater is not within the scope of this project. Surface Drainage: Poor drainage is associated with many foundation problems. Property owners and builders are cautioned that water accumulation around foundation elements is a primary cause of structural and floor slab distress within homes. Foundation and slab movement under virtually all conditions can be minimized by maintaining a stable moisture content within the soil under and around the foundation. Subsequent to, and not included within this project, the following guidelines are considered vital, as proper surface drainage is a crucial part of a home's moisture defense system: • The soil surface should be sloped away from the foundation at a minimum slope of one foot in ten, for a minimum of ten feet along all sides of the structure. Areas of ponding must be eliminated. • Roof gutters should be employed, and all downspouts must discharge well away from the foundation, either into a suitable drainage system or into a properly constructed drainage swale. • Landscaping requiring watering within five feet of the foundation should be eliminated, or watered sparingly with drip systems. • Use of plastic sheeting in landscaped areas near the foundation is regarded by most experts as detrimental to the overall, long-term performance of foundations. We discourage its use as well. Backfill: Backfill, if any occurs as part of this project shall be performed accordingly: Backfill against foundation walls should not contain heavy, expansive clays, large rocks, organic materials, mud, ice or snow. Density of backfilled soil against foundation components should be 85% Standard Proctor density (ASTM D698) and soil supporting concrete slabs or other structural elements should be 95% density, at a minimum, and must be performed by mechanical means. Water flooding is prohibited. Conclusion and Limitations: This report is valid only for the address and the project scope listed, by the client listed above. The observations described in this document are valid for the date of the observation and have been made under the conditions noted in the report. Use by any other entity or for any other purpose is prohibited, without the express, written consent of the undersigned engineer. This report is based on published and anecdotal information; variations from the anticipated the soil profiles may be encountered; contact the engineer immediately if they are discovered. This report does not cover geological hazards, such as slope stability or landslide. Such investigations require extensive investigative techniques and are well outside the scope of this report. Should such information be desired, contact the engineer for guidance. This report does not express or imply any warranty of the future performance of the structure or drainage condition. This report should not be considered a warranty of condition, and no warranty is implied. The opinions and recommendations presented in this report are based solely on visual observations available for viewing at the time of the site visit and information, if any, provided by the Client and/or their representative(s). We are not responsible for conditions that were not within the scope of our services at the time of inspection. We did not undertake or perform any destructive or invasive testing. No additional subsurface testing, material testing, calculations, nor monitoring over time of the conditions presented in this report are included in this project, but may be obtained, if desired, under separate agreement. Not included in this site visit was a review of the architectural, mechanical, electrical, plumbing, cosmetic, landscaping, drainage or structural conditions, other than those items specifically discussed, nor a comprehensive review of compliance with applicable building codes. The work covered by this project is not held out as being a complete repair for all known or suspected structural or foundational issues within the building; its scope has been limited to that work described within this report with the full knowledge, understanding and cooperation of the homeowner and/or their designated representative. Other work may be justified or needed, but, work not included within this report is outside the scope of this repair project. If additional work is required at a future date, it will be under a separate contract. C-7Ai?AE7E U5E EXI5TING FOOTINC75 IF P0551BLE OTHERWISE U5E, 24"x24"x24" EXCAVATION, FILLED Al COMPACTED 3/4" CRU5HED GRAVEL, TYP. ALL O O O EXISTING I. EXI5TIN6 I. EXI5TIN6 HOUSE PROVIDE SHORING PRIOR TO REMOVING EXI5TIN6 BEAM OR ANY 5TRUCTURAL COMPONENT EXISTING EXISTING EXISTING EXISTING EXI5TING EXI5TIN6 © O f=A I L AA* 5GALE: N.T.5 ALL CONSTRUCTION 15 TO BE IN AGGORDANGE WITH THE 2012 IRC AND 1W ANY LOCAL GODE5 THAT MAY APPLY OAG 3 ( City of W heat COMMUNITY DEVELOPMENt i APPROVED 1,2116 114 D to dity of uermN: The issuance of o penmrt or approvW of pions specifications campurahons shall not be a perm+t for, or an approval of, any vroiabon to of the provisions of the building code or of mW Cig Ord iwnces. Arrmlts um'rg to gW authority to violate or oencet the promA ms of the &Wd V is or other or0nonoes of the GN shah not be vWiaL ENGINEER'S STATEMENT THE REPAIR 15 INTENDED TO PROVIDE RELIEF OF MINOR 5TRE55 FRACTURES IN THE CONCRETE FOUNDATION WALL5, TRANSVERSE AND MIGRATORY REFLECTION CRACKS IN MASONRY VENEER SYSTEMS AND SLOPING FLOOR SYSTEMS, AND AS A PREVENTATIVE MEASURE TO ENSURE CRACKS AND OTHER DISTRESSES THAT ARE PRESENT DO NOT WORSEN. THI5 PIERINS AND/OR WALL BRACING PROJECT 15 NOT A GUARANTEE THAT FATHER SETTLEMENT OR WALL CRACKING WILL NOT OCCUR IN OTHER PARTS OF THE HOUSE NOT INCLUDED IN THIS PROJECT, OR THAT SETTLEMENT OR MOVEMENT OF UNREPAIRED PORTIONS WILL NOT RESULT IN ADDITIONAL CRACKIN6 IN THE REPAIRED SECTIONS. PROPER 6RADIN6 AND DRAINAGE WILL HELP PROTECT THE REPAIR WORK FROM 6ECOMIN6 A CONDUIT FOR MOISTURE INTRUSION TO THE DEEPER SOIL STRUCTURES REPAIRING A FOUNDATION SYSTEM IN A SUDDEN OR DRAMATIC FASHION U51N6 TECHNIQUE5 LIKE HELICAL PIERS, PUSH-PIER5, PRESSURE GROUTING, OR OTHER QUICK -ACTING LEVELING METHODOLOGIES CAN HAVE ADVERSE EFFECTS, SUCH AS EXTEI INTERIOR FINISH (DRYWALL) DAMA6E, CRACKS IN TILE FLOORS, BUCKLING OR SEPARATION OF WOOD FLOORS, STICKING OR NONFUNCTIONAL DOOR AND WINDOW JAI -W, OR PERHAPS STRUCTURAL DAMAGE TO FLOOR AND/OR ROOF BEAMS FROM SUDDEN RE-STRE551NG. PROJECT ]7ES 1 Girl n,4T,4 HELICAL PIER5: NONE PUSH PIERS: NONE WALL ANCHOR5: NONE WALL BRACES: NONE 5MARTJACKS: (1) 'PIER DEPTH WILL VARY. HELICAL PIERS SHALL BE INSTALLED TO 4,000 FOOT-POUND5 TORQUE, CONTACT ENGINEER IF TH15TOROUE CAN'T BE ACHIEVED. PUSH PIERS SHALL BE IN57ALLED TO REFUSAL. HELICAL PIERS MAY BE SU55TMUTED FOR PUSH PIERS WITHOUT CONSULTATION WITH THE ENGINEER, AT THE SAME SPACING. CHAN6IN6 FROM HELICAL TO PUSH PIERS REOUIRE5 CONSULTATION WITH THE ENGINEER. 2012 IRC/IBC 105 MPH, 3 -SEC GUST, EXP 'C' 30 P5F ROOF SNOW LOAD 30 P5F GROUND SNOW LOAD FR05T 36", SEISMIC B FLOOR t EXTERIOR DECK LOA25: DEAD: 10 PSF LIVE: 40 PSF THESE PLANS ARE COPYR16HTEE 2018 ALL RI6HTS RESERVED. ANY SALE, REPRODUCTION, CREATION OF DERIVATIVE WORKS BASED ON THESE PLANS OR USE OF THESE PLANS FOR ANY PURPOSE WITHOUT PROPER COMPENSATION TO AND THE EXPRESS WRITTEN CONSENT OF DESIGNER 15 5TRICTLY PROHIBITED. PAUL R. BRYANT, P.E. 2141 TROY COURT COLORADO SPRINGS, CO 80918 �p0 REQS gyp••••...p..••• . q • 29932"" s 24 NOV 20141 ••� : ONAL'�W E ET I OF 2 1z .m m O ,v � Q J W LL CL V— W QLLu zO O LL cl zLL �Z� w a LLI Qom° Qz�� U Q Q LU o R- r0 ILO � PAUL R. BRYANT, P.E. 2141 TROY COURT COLORADO SPRINGS, CO 80918 �p0 REQS gyp••••...p..••• . q • 29932"" s 24 NOV 20141 ••� : ONAL'�W E ET I OF 2 TOP PLATE (SJ288TP) - SEE SHEET 2 FOR VARIATI❑NS OF TOP CONNECTION --01.00 ALL -THREAD ROD (SJl00ATR) THREADED INSERT (SJ288TI) MAIN TUBE 02.875 x 0.165 WALL PART NO. LENGTH SJ288T36 36.00 SJ28ST60 60.0 SJ288T84 84.0 CAST ALUMINUM E3A5E (5JAFT6) OR BOTTOM PLATE (5-.12855p) }_ 1.38 o.25T I---�-41.50 x 0.25 WALL 5J288TP 0 4.0000 0 18.28 HEAVY HEX NUT -57 SPOT WELDED T❑ ROD 01.00 ALL -THREAD ROD WELL COMPACTED CRUSHED STONE, 2'-O" 50. x 2'-O" DEEP, IF REQUIRED BY DE516N ASSEMBLY DETAIL 5J I OOATR HSS 2.00 x 2.00 00,56 x 0.25 WALL 3.50 4) - 00.25 1o.zs 0.7s� II-� L o.so T- s0 03.00 01,00 - 8 UNC -2B THREAD TAP 02,45 SJ288TI 5J288BP L J 03.56 02.94 0.13 0.25 r0.1a J �o.as 0.33 1z.00 5JAFTG 00.50" GRADE 5 BOLTS WITH NUTS PowerBraceT"BUTT JOINT OR CONTINUOUS OVER SUPPORT PowerBraceTM BRACKET - TOP PLATE (SJTBTS4) PowerBraceT BRACKET - BOTTOM PLATE (SJ288TBBS4) VARIATION @ TOP CONNECTION SJTBT54 NOTES: Power Brace T" BEAM � (CONTINUOUS OVER PowerBrace TM TOP SUPPORT) PLATE (SJ288TPS4) VARIATION @ TOP CONNECTION 1- 4) - 00,56 _T 0.38 1.38 41.50 x 0.25 WALL I. MINIMUM MATERIAL REQUIREMENTS: MAIN TUBE - Fy = 50 ksi, Fu = 55 ksi OTHER PIPES - A5TM A55 PLATES - A5TM A56 ALL -THREAD ROD - Fu = 85 ksi THREADED INSERT - A57M A108 (5r. 1018 CAST ALUMINUM BASE - AISI/AA 556.0-T6 5J288TBB54 4) - 00.56 2. ALL WELDING TO BE IN ACCORDANCE WITH AW5 PH LATE57 ISSUE WITH E -70 -XX MIN ELECTRODE. 3.25 2.50 FLAT 1.20 1.38 01.50x0.25 VRLL 11 4r Av 11 11 N 11 310 5J288TP54 3. TUBE 5ECTION5 ARE TRIPLE COATED IN-LINE GALVANIZED. ALL OTHER STEEL COMPONENT5 ARE ZINGE PLATED PER A5TM 8655. 4. THI5 DOCUMENT 15 MEANT TO SERVE AS A GENERAL DESCRIPTION FOR THE PRODUGTS SHOWN FOR SUBMITTAL PURP05ES. MORE DETAILED MANUFACTURING DRAWINGS ARE AVAILABLE UPON REQUEST. S_J24545 5�-lAf;k7dAC< N.T.5. I::.��tl Wheat Ridge THESE PLANS ARE COPYRIGHTED 2018 ALL RIGHTS RESERVED. ANY SALE, REPRODUCTION, CREATION OF DERIVATIVE WORKS BASED ON THESE PLAN5, OR USE OF THESE PLANS FOR ANY PURPOSE AITHOUT PROPER COMPENSATION TO AND THE EXPRESS WRITTEN CONSENT OF DE516NER15 STRICTLY PROHIBITED. 7 W §0 .m m Z `� O O � LLl Q �LLI Q o uj Q RA m Lu(313 0 O O � � LL qy�Z z ® F_ z O p O O Q Q O -�OLu� PAUL R. BRYANT, P.E. 2141 TROY COURT COLORADO SPRIN65, CO 80918 /...29932 24 NOV 2019 ';pg��`c`s�"CONAL ENG�_0" SHEET 2 OF 2 City of Wheat Ridge r Residential Roofing PERMIT - 201704211 PERMIT NO: 201704211 ISSUED: 07/17/2017 JOB ADDRESS: 4230 Brentwood ST EXPIRES: 07/17/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 32 sq *** CONTACTS *** OWNER (303)371-7663 GARDNER DAVID C SUB (303)371-7663 Chris Garland 120228 Safe House Exteriors *** 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: 8,224.00 FEES Total Valuation 0.00 Use Tax 172.70 Permit Fee 188.45 ** TOTAL ** 361.15 *** 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. a F INSPECTION RECORD Occupancy/Type INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior 1"o-ftPr6V6I OfTKo7Abqre71n ction,§ Underground/Slab Inspections Date Inspector Initials Electrical Wall Sheathing Sewer Service Mid -Roof Plumbing Do Not Cover Underaround or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof r/ Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge ��- Residential Roofing PERMIT - 201704211 PERMIT NO: 201704211 ISSUED: 07/17/2017 JOB ADDRESS: 4230 Brentwood ST EXPIRES: 07/17/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 32 sq *** CONTACTS *** OWNER (303)371-7663 GARDNER DAVID C SUB (303)371-7663 Chris Garland 120228 Safe House Exteriors *** 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: 8,224.00 FEES Total Valuation 0.00 Use Tax 172.70 Permit Fee 188.45 ** TOTAL ** 361.15 *** 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. A i City of Wheat Ridge Residential Roofing PERMIT - 201704211 PERMIT NO: 201704211 ISSUED: 07/17/2017 JOB ADDRESS: 4230 Brentwood ST EXPIRES: 07/17/2018 JOB DESCRIPTION: Residential Re—roof to install Owens Corning asphalt shingles 32 sq VI, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, 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 property and am aut orized to obtain this permit and perform the work described and approved in conjunction with this permit. I fu est thatTbeorm'd Hii orized to include all entities named within this document as parties to the work to be performed a all work tois disclosed in this document and/or its' accompanying approved plans and specifications. r C Si ature of R CONTRACTOR (Circle one) Date This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies 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 fogeff—tm approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval ois subjectId ins ecti n. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett Zci702, From: no-reply@ci.wheatridge.co.us Sent: Friday, July 7, 2017 9:46 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Dane Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 4230 Brentwood St David & Mariann Gardner 3033717663 Field not completed. ILI C 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 Safe House Exteriors Contractor's License 120228 Number (for the City of Wheat Ridge) Contractor Phone 3033717663 Number Contractor Email Address jenny@safehouseexteriors.com Retype Contractor Email jenny@safehouseexteriors.com Address DESCRIPTION OF WORK Are you re-decking the No/ roof? Description of Roofing Owens Corning Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 32 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 32 roofing material for this project Provide additional detail Re roof 5/12 pitch here on the description of z work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract r8Q08.96-- 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 Chris Garland Email not displaying correctly? View it in your browser. �AFE HOUSE EXTERIORS ROOFING • SIDING • GUTTERS 7808 Cherry Creek S Dr. Suite 107 Denver CO, 80231 Phone: 303 -371 -ROOF INSURANCE INFORMATION Property Owner is is not intending to make payment from the proceeds of a property and casualty insurance policy. Project Manager: Address: � Insurance Company: Sc;h Policy Number: ZIP: Claim Number: Email: I 2— C Adjuster Name and Phone: Date and Time: www.SafeHouseExteriors.com Licensed & Insured INDEPENDENT CONTRACTOR AGREEMENT CUSTOMER INFORMATION nI Name(s): P111' G �� Phone: Address: � Alt Phone: City: State: ZIP: Birth Date Email: I 2— C 11 ZZS Y Compensation/Price: Independent Contractor estimates the cost of the Work to be $ (the "Price"). Upon approval from Customer's insurance company, the"Price Agreeable"with Independent Contractor and the insurance company shall become the Price of thisjgreement and shall replace the estimate of Price immediately above. Customer shall make a down -payment of $ Z�- 5 7'' upon Customer's insurance company approving this Agreement. Duties and Responsibilities of Independent Contractor: Independent Contractor shall Lf install a new roof on the Property repair the roof on the Property (checkne), (according to the specifications below. Manufacturer/Style of Shingle: "� Color of Shingle: —Valley: t/ Vents: Permit:Tear Off: �^ Layers://Replace All Boot Jacks: L----D—rip Edge Color: Special Instructions/Upgrades: ��elf' i r'nct of tloaradPs: S Deductible: $ _ Initials: Customer is responsible for payment of the cost of any and all upgrades regardless of whether or not Customer's insurance company is paying for such upgrade costs. Customer has read and agrees to be bound by1he Terms and Conditions set forth below. Independent Contractor shall hold in trust any payment received from Customer until Independent Contractor has delivered roofing materials at the site or has performed a majority of/the roofing Work on Customer's property. Independent Contractor estimates that this Work will commence on ( �`'"`' ` ("Substantial Commencement') and will last approximately 7 days ("Contract Term'). Customer hereby authorizes and instructs the insurance company and all lien holders to communicate with Independent Contractor and include the name Safe House Exteriors, LLC as a co -payee on all checks issued rel4ec;-to the loss. Any contact with the insurer or any scheduled inspections shall be made through Independent Contractor. (Customer Initials) Customer hereby authorizes and instructs any legal representative and/or agent of Independent Contractor to obtain any and all information necessary to negotiate the settlement of my (.5 rclaim as well as any information necessary to complete the €ur4nq,lprodess relative to the claim number listed above. � >>4 _cam' (Custo Initials) stomer / Date Safe House Exteriors, Date SAFE HOUSE EXTERIORS ROOFING SIDING GUTTERS Safe House Exteriors 7808 Cherry Creek S Dr Unit 107 Denver, CO 80231 (303) 371 -Roof To Whom it May Concern: I authorize Jaime Baca to pick up permits for my company, Safe House Exterirors. license #120228 Chris Garland Owner Safe House Exteriors 7/14/2017 CITY OF WHEAT RIDGE J Building Inspection Division (303) 234-5933 Inspection line � (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:o Job Address: E/ Permit Number: ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-2__ 3q_5g33 Date:—,- i - Inspector: e -I 1 a t' DO NOT REM VE THIS NOT/CE 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: S Permit Number: ❑ No one available for inspection jime % al M Re -Inspection required: Yes( No When corrections have been made, call for re -inspection at 303-234-5933 Date: Er • 07. % Inspector:_ )0&icXL�rf— DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE �(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: AA Job Address:'' Permit Number: ? ce 7C V T 91PM LlNo one available for inspection: Time ' ` Re -Inspection required: Yes Not, When corrections have been made, call for re -inspection at 303-234-5933 if Date: -�-7& Inspector: DO NOT REMOVE THIS NOTICE n oect'On T Aer b 4C/ yAe; cz mit 1V 4 b s. . on roc a�ai/ab/o for or ro9Uir�, hspootio, e - f ha`e beep a4'e /. fOr i3 4i/�'in F �h i3p3J �3s 83 S/�n3pectFo Q ♦ O ss�ff�e nsp c f lVisi�n NSp O�,J23, n ♦�h ("o �C''/°N 89�9Fa x FOR OFFICE USE ONLY Address: City, State; Zip: +chit ngil r E-mail: Phone: Contractors, Cdr License #. ( ) Phone. 2M - - E Contractor E-mail Address: Sub Contractors: Electrical: Plumbing: Mechanical: WR City License # 1 .lwt. City License # W. R, City License Other City Licensed Stab, Other City Licensed Sub: City License # City License # Complete all information on BOTH sides of this for S . FULF _ Btu's Gallons Amps Squares Other