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Home My WebLink About3880 Newland StreetProperty Information Steve Broom 3880 Newland St Wheat Ridge, CO 80033 Property Type Residential Date of Construction 1950 PH (303) 591-7430 Prepared By EnvioCore LLC Asbestos Consulting Firm No. 21660 1685 S. Colorado Blvd Denver, CO 80124 303-GoEnvio (463) 6846 www.aoEnvioCore.com info@aoenviocore.com Conducted By John Peralta Asbestos Building Inspector Cert. No. 24339 Inspection Information Inspection Date 03-05-2021 Arrival Time 12:00 PM Report Date 03-09-2021 Inspection # 0321-14 Broom, Steve Protocols Followed Asbestos AHERA Lab Information ATC Group Services LLC 8985 E Nichols Ave Suite 350, Centennial, CO 80112 303-799-6100 Asbestos NVLAP Cert # 102031 ok \N heat =.A, dim Limited ResidentiJ�y\� Asbestos Renovation Inspection Report 3880 Newland St env17 Core ENVIRONMENTAL INSPECTIONS envkCore PAGE 1 OF 18 ENviao Nrn ENrn� iNsaE Brio Ns Table of Contents o�\NhedtR. 0 �G/a/n9 D,J\y\c Definitions.................................................................................................................................................... 3 KeyTerms.................................................................................................................................................... 3 LimitedInspection Summary .....................................................................................................................4 General................................................................................................................................................................ 4 Asbestos............................................................................................................................................................... 4 Purpose and Scope of Inspection.............................................................................................................4 General................................................................................................................................................................ 4 Asbestos............................................................................................................................................................... 4 Background................................................................................................................................................5 Sampling.....................................................................................................................................................5 AsbestosResults Reporting........................................................................................................................6 Asbestos Inspection Conclusion...............................................................................................................6 Closing......................................................................................................................................................... 7 InspectionPhotos.......................................................................................................................................8 LabResults.................................................................................................................................................10 InspectionCertifications..........................................................................................................................17 envi ., Core PAGE 2 OF 18 ENVIRONMENTAL INSPECTIONS Ok \N heat D f' 'f' e ini ions 1. The term "Certified Inspector" shall mean individual who is identified on the first page of this Limited Inspection Report as conducting the Inspection. 2. The term "Client" shall mean the entity that has ordered the Limited Inspection on the Property on behalf of the Client. 3. The term "Limited Inspection Report" shall mean this report, which summarizes the Inspection, as applicable to the Property. 4. The term "Owner" shall mean the owner of the Property. 5. The term "Property" shall mean the building(s) or structure(s) at the address listed under Property Information on the first page of this Limited Inspection Report. 6. The terms "Work Activity" shall mean any construction, renovation, remediation, decontamination, cleanup, or other work. Key Terms Asbestos 1. Asbestos is a naturally occuring mineral. Asbestiform varieties include chrysotile, amosite, crocidolite, anthophyllite, tremolite and actinolite. 2. Asbestos abatement is the wrecking or removal of builiding materails that contain friable and non -friable asbestos fibers. 3. Asbestos abatement contractor is any person hired to conduct asbestos abatement. 4. Friable material can be crumbled, pulverized, or rendered to powder by hand pressure when dry. 5. A homogenous area is an area of surfacing material, thermal system insulation material, or miscellaneous material this is uniform in color, texture, construction, application date, and general appearance. 6. Miscellaneous material is interior building material on structural components, structural members, or fixtures, such as floor and ceiling tiles, and does not include surfacing material or thermal system insulation. 7. Non -friable material cannot be crumbled, pulverized, or reduced to powder by hand pressure when dry. 8. Point counting is a secondary analytical technique to verify the presences of asbestos in samples with 10% or lower asbestos. 9. Surfacing material is sprayed, troweled, or otherwise applied on surfaces, such as acoustical plaster on celilings and fireproofing materials on structural members, or other materials on surfaces for acoustical, fireproofing, or other purposes. 10. Thermal system insulation (TSI) is material tha tis applied to pipes, fittings, boilers, breeching, tanks, ducts, or other interior structural components to prevent heat loss, heat gain, or water condesation, or for other purposes. 11. The terms "Asbestos Containing Material' or "ACM" shall mean surfacing, thermal system insulation, or miscellaneous materials that contain I% or more of asbestos. 12. The terms "Asbestos Containing Building Material' or "ACBM" shall mean Asbestos Containnig Materials that has been used for construction or improvement of a building or other structure. envWCore PAGE 3 OF 18 ENVIRONMENTAL INSPEETIONs >>..` k\Nheat "' R� W 13. The term "Certified Asbestos Consulting Firm" shall mean any person licensed with the State of Colorado g e EPA, hired for a fee to conduct any of the folowing activities, as required by Regulation No. 8, Part B, ithe State OC of Colorado: asbetos builidng inspection and bulk sampling; development of asbestos management plEi giOo monitoring for asbestos fibers; development of asbestos project designs; and , project management, as — specified in Section II.J. 14. The term "Certified Asbestos Laboratory" shall mean a laboratory with accreditation from the National Voluntary Laboratory Accreditaion Program (NVLAP) to analyze bulk samples for asbestos using polarized light microscopy (PLM). 15. The terms "Damaged ACM" and "Significantly Damaged ACM" shall mean friable or non -friable ACM that has deteriorated or delaminated to the point that it has lost its bond to the substratre or has otherwise suffered crumbling, blistering, nonadhesiveness, gouging, water staining, or marring. The term "Damaged ACM" applies when 1 /10 of the entire surface has suffer damage (1 /4 if the damage is localized). The terms "Significantly Damaged ACM" shall apply when more than 1 /10 of the surface has suffered damage. 16. The term "Limited Asbestos Inspection" shall mean an abbreviated inspection by the Inspector of the components of the Property that may be subject to Work Activity. The Inspection shall investigate the presence of ACBM and shall comply with all state and federal laws, rules, and regulations. Limited Inspection Summary General The Client agrees to read the Limited Inspection Report upon receipt and promptly call the Inspector with questions or concerns. This Limited Inspection Report is not intended to be exhaustive in the manner of inspecting the Property and all of its building materials and components. The Inspector only inspected specific areas that may be subject to Work Activity and that are visually and physically accessible. The Limited Inspection was not a risk assessment or physical inspection of systems, structure, or components of the Property. The use of this Limited Report and its contents, in whole or in part by persons or entities other than the Client is not authorized without the written mutual consent of the Client and envioCore LLC. Asbestos The Limited Inspection Report documents the findings of a Limited Asbestos Inspection at the Property. The Limited Asbestos Inspection intended to locate ACBM in areas that might be the subject of Work Activity. The Certified Inspector performed the Limited Asbestos Inspection in accordance with the current state and federal laws at the time of inspection. Purpose and Scope of Inspection General The scope of this report included a visual inspection of all affected rooms and/or areas throughout the subject property for visible suspect ACBM and/or 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 Certified Inspector made every reasonable effort to access and identify all suspect ACM and/or Lead Based Paint. If the scope of work changes, the Client must inform the Certified Inspector to allow the Certified Inspector to supplement the Limited Inspection Report. This Limited Inspection Report is solely a record of activities, observations, analytical results, and recommendations performed to date. Asbestos Bulk asbestos samples were randomly collected from homogenous areas of suspect ACM by the Certified Inspector. If the color, texture, construction, application date, or general appearance differs between materials or if for any reason the Certified Inspector suspects that the materials might differ in any respect, the Certified Inspector will take separate samples from each homogenous area. The Certified Inspector took envkCore PAGE 4 OF 18 ENviao Nrn ENrn� iNsaE Brio Ns Ok \N heat „ representative bulk samples were 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 and6'�'� \oc distribution, and random sampling can miss ACM. EnvioCore used reasonable diligence and its prof e6kftwl!l judgment consistent with industry standards in order to identify all suspect ACBM. Bulk samples were analyzed by Certified Asbestos Laboratory. Background The inspector was called to the subject property by Steve Broom, Owner. Mr. Broom was concerned about asbestos containing building materials in the affected areas of the building. Per Mr. Broom, suspect asbestos containing building materials to be disturbed in the scope of work include: The affected materials sampled: - Plaster - Texture - Tile -Thin Set Mortar The affected areas include: - Kitchen - Plaster - Texture - Tile -Thin Set Mortar The Certified Inspector and the Client understand and agree that the Limited Asbestos Inspection shall include only the above -referenced potentially affected areas. If the Work Activity later includes other areas or materials that may contain ACBM, the Client understands that the Certified Inspector will only perform a Limited Asbestos Inspection of these areas upon a subsequent engagement. Sampling Using methods that are generally accepted in the industry, the Certified Inspector determined that it was necessary to collect 5 bulk samples from the various homogenous areas (see the Asbestos Sampling below for exact areas). All samples were submitted to Certified Asbestos Laboratory. The laboratory results are incorporated into this report. Neither envioCore, LLC nor the Certified Inspector warrants the accuracy of any laboratory results. The Client and any other parties hereby agree that envioCore, LLC and the Certified Inspector shall not be liable in any manner for erroneous laboratory results or other errors with the laboratory testing process. See Data Table (Table 1) Below for Tabulated Results along with Attached Photos (Figure 1, etc.) envkCore PAGE 5 OF 18 .N11..NrnsNrn� iNsaE Brio Ns Asbestos Results Reporting k \N heat eG��a/hn h1��y\OC Table 1: Table of asbestos samples taken during inspection with lab results. ND = Non Defected, (Asbestos Materials Could become Friable during Renovation / Demolition. If this occurs the friability can change from Non -Friable to Friable and all state and federal regulation shall be followed) Wall "A" in each room is the wall where the front entrance door opening is located (or aligned with the street). Going clockwise and facing wall "A" (the street), wall "B" will always be to your right, wall "C" directly to the rear and wall "D" to the left. Doors, windows and closets are designated as left, center or right depending on their location on the wall. Asbestos Inspection 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 according to Regulation 8 of CDPHE Regulation if any renovation or disturbing of the materials occur. Caution should still be taken and OSHA Regulation could still be in effect for the renovation or disturbing of the tested materials. Personal protective equipment and all state and federal regulations should be used during any removal of sampled building materials by all parties. envkCore PAGE 6 OF 18 srvviao NrnsNTn� iNsaE ETio Ns SC, Material, lor, Texture) 0 0 IQ I.D ACM 0 Lab Results by Layer Kitchen - 3880-SM1 -Ol SM -Plaster & Wall B, Good To Smooth ND N/A N/A Friable 200 Skim Coat Kitchen - Condition 3880-SM1-03 Texture Wall C 3880-SM1 -Ol Kitchen - SM -Plaster & Wall B, Good To Smooth ND N/A N/A Friable 200 Plaster Kitchen - Condition 3880-SM1-03 Texture Wall C 3880-FC1-01 Kitchen - Misc. - Tile & Non- Good To ND N/A N/A 300 Ceramic Floor Tile Floor Thin Set Mortar Friable Condition 3880-FC1-02 Non- Good ND N/A N/A 300 Mastic Friable Condition Non- Good ND N/A N/A Friable Condition 300 Thin Set Table 1: Table of asbestos samples taken during inspection with lab results. ND = Non Defected, (Asbestos Materials Could become Friable during Renovation / Demolition. If this occurs the friability can change from Non -Friable to Friable and all state and federal regulation shall be followed) Wall "A" in each room is the wall where the front entrance door opening is located (or aligned with the street). Going clockwise and facing wall "A" (the street), wall "B" will always be to your right, wall "C" directly to the rear and wall "D" to the left. Doors, windows and closets are designated as left, center or right depending on their location on the wall. Asbestos Inspection 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 according to Regulation 8 of CDPHE Regulation if any renovation or disturbing of the materials occur. Caution should still be taken and OSHA Regulation could still be in effect for the renovation or disturbing of the tested materials. Personal protective equipment and all state and federal regulations should be used during any removal of sampled building materials by all parties. envkCore PAGE 6 OF 18 srvviao NrnsNTn� iNsaE ETio Ns k \N heat CD C� os)ng e o� EnvioCore assumes no liability for any loss, injury, claim or damages arising directly or indirectly from any-vse or reliance on this report or the opinions expressed herein. EnvioCore 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 EnvioCore. 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 EnvioCore has with the client. That contractual relationship included an exchange of information about the subject property that was unique and between EnvioCore and its client and serves as the basis upon which this report was prepared. Because of the importance of the communication between EnvioCore 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 EnvioCore. No warranty is made. EnvioCore's liability and that of contractors and subcontractors arising from any service rendered here under shall not exceed the total fee paid by the client to EnvioCore. Thank you for the opportunity to work with you on this project. Please call at (303) GoEnvio (463) 6846 with any questions or concerns. Thank you. Sincerely, John Peralta Certified Inspector EnvioCore LLC, Environmental Consulting Asbestos Building Inspector Cert. No. 24339 envkCore PAGE 7 OF 18 .N11..NrnsNrn� iNsaE Brio Ns Inspection Photos Figure 1 - Overview of Address Ok \N heat Figure 2 -Overview of Kitchen Wall Figure 3 -Sample location #1 Figure 4 -Sample location #2 Figure 5 -Sample location #3 envkCore PAGE 8 OF 18 srvviao NrnsNrn� iNsaE Brio Ns Figure 6- Overview of Kitchen Floor ok W heat m Figure 7 -Sample location #1 env) Core PAGE 9 OF 18 Figure 8 -Sample location #2 Lab Results ;STC ANALYTICAL REPORT Prepared for: EnvioCore Environmental, LLC 1685 S. Colorado Blvd. Denver, CO 80222 Project: 0321-14 3880 Newland St. Order No.: 0032826 Report Date: 03/09/2021 ATC Group Services LLC 8985 E. Nichols Avenue, Suite 350, Centennial, CO 80112 Ph: 303-799-6100 env) Core PAGE 10 OF 18 o<W heat U J 0 e�TC These samples were analyzed by layer. Specific layer or componem asbestos content is indicated vhen relevant The EPA considers a material to be asbeetoe containing only ff it miners more Man ane percent asbestos by Calibrated Visual Area Estimation (CVAE4 EPA regulations also indicate Mat Regulated Asbestos Containing Materials (RACM) - materials Ankh are Mable or may became Mable— be fuller analyzed by point counfing when Me results indicate less Man ten percent asbestos by CVAE. Our laboratory utilizes CJAE on a routine basis and does not indude point cou mmg u r ess specifically re,uested. The reaps may not be reproduced except in full, and should not be used as a scope of wode for abatement without conaltlng with ATC. envi Core PAGE 11 OF 18 of W heat REPORT SUMMARY NVLAP Lab Code 102031 Customer: J John Peralta 8985 E. Nichols Avenue, Suite 350eG,/d/n9 Centennial, CO 80112 —' Phone .1 303 799 6100 Fax -1303 799 3441 yaaw.atcgroupsenices.cem These samples were analyzed by layer. Specific layer or componem asbestos content is indicated vhen relevant The EPA considers a material to be asbeetoe containing only ff it miners more Man ane percent asbestos by Calibrated Visual Area Estimation (CVAE4 EPA regulations also indicate Mat Regulated Asbestos Containing Materials (RACM) - materials Ankh are Mable or may became Mable— be fuller analyzed by point counfing when Me results indicate less Man ten percent asbestos by CVAE. Our laboratory utilizes CJAE on a routine basis and does not indude point cou mmg u r ess specifically re,uested. The reaps may not be reproduced except in full, and should not be used as a scope of wode for abatement without conaltlng with ATC. envi Core PAGE 11 OF 18 PLM REPORT SUMMARY NVLAP Lab Code 102031 Customer: AIHA Lab Code 1015W John Peralta ATC Job No.: 0321-14 EmneCore Environmental, LLC Batch No.: 0032826 1685 S. Colorado Blvd. Report Date: 03/09/2021 Denver CO 80222 Sample Date: 03/05/2021 Project: 0321-14 3880 NeMand St. Date Analyzed: 03/09/2021 Customer Project No.: Identification: N/A Test Method: 600/R-93/116, 40 CFR, Part 763, Appendix E to Subpart E Page 1 of 2 Client No. Lab No. Sample Description/ Location Asbestos Content 3880 -SMI -01 0032826-001 LAYER 1 None Detected Sldm Coat, White, 24oC Kitchen - Well B 3880-SM1-01 0032826-001 LAYER 2 None Detected Plaster, Beige Kitchen - Wall B 3880-SM1-02 0032826-002 LAYER 1 None Detected Skim Coat, VMite, 24 C Kitchen - Well B 3880-SM1-02 0032826-002 LAYER 2 None Detected Plaster, Beige Kitchen - Wall B 3880-SM1-03 0032826-003 LAYER 1 None Detected Sidon Coat, White, 24°C Kitchen - Wall C 3880 -SMI -03 0032826-003 LAYER 2 None Detected Plaster, Beige Kitchen - Wall C 3880-FCI-01 0032826-004 LAYER 1 None Detected Ceramic Flan Tie, Beige, 24-C Kitchen - Floor 3880-FC1-01 0032826-004 LAYER 2 None Detected Mastic, Cream Kitchen - Floor These samples were analyzed by layer. Specific layer or componem asbestos content is indicated vhen relevant The EPA considers a material to be asbeetoe containing only ff it miners more Man ane percent asbestos by Calibrated Visual Area Estimation (CVAE4 EPA regulations also indicate Mat Regulated Asbestos Containing Materials (RACM) - materials Ankh are Mable or may became Mable— be fuller analyzed by point counfing when Me results indicate less Man ten percent asbestos by CVAE. Our laboratory utilizes CJAE on a routine basis and does not indude point cou mmg u r ess specifically re,uested. The reaps may not be reproduced except in full, and should not be used as a scope of wode for abatement without conaltlng with ATC. envi Core PAGE 11 OF 18 e�TC These samples were analyzed by layer. Specific layer or componerrt asbestos content is indicated vhen relevant The EPA considers a material to be asbeetoe containing only ff it miners more Man ane percent asbestos by calibrated Visual Area Estimation (CVAE4 EPA regulations also indicate Mat Regulated Asbestos Containing Materials (RACM) - materials Anon are Mable or may became Mable- be fuller analyzed by point counfing when Me results indicate less Man ten percent asbestos by CVAE. Our laboratory utilizes (WAE on a routine basis and does not indude point cou mmg u r ess specifically re,uested. The reaps may not be reproduced except in full, and should not be used as a scope of wode for abatement without conaltlng with ATC. envi Core PAGE 12 OF 18 of W heat REPORT SUMMARY NVLAP Lab Code 102031 Customer: J John Peralta 8985 E. Nichols Avenue, Suite 350eG,/d/n9 Centennial, CO 80112 —' Phone .1 303 799 6100 Fax -1303 799 3441 yaaw.atcgroupsenices.cem These samples were analyzed by layer. Specific layer or componerrt asbestos content is indicated vhen relevant The EPA considers a material to be asbeetoe containing only ff it miners more Man ane percent asbestos by calibrated Visual Area Estimation (CVAE4 EPA regulations also indicate Mat Regulated Asbestos Containing Materials (RACM) - materials Anon are Mable or may became Mable- be fuller analyzed by point counfing when Me results indicate less Man ten percent asbestos by CVAE. Our laboratory utilizes (WAE on a routine basis and does not indude point cou mmg u r ess specifically re,uested. The reaps may not be reproduced except in full, and should not be used as a scope of wode for abatement without conaltlng with ATC. envi Core PAGE 12 OF 18 PLM REPORT SUMMARY NVLAP Lab Code 102031 Customer: AIHA Lab Code 101536 John Peralta ATC Job No.: 0321-14 EmneCore Environmental, LLC Batch No.: 0032826 1685 S. Colorado Blvd. Report Date: 03/09/2021 Denver CO 80222 Sample Date: 03/05/2021 Project: 0321-14 3880 NeMand St. Date Analyzed: 03/09/2021 Customer Project No.: Identification: N/A Test Method: 600/R-93/116, 40 CFR, Part 763, Appendix E to Subpart E Page 2 of 2 Client No. Lab No. Sample Description/ Location Asbestos Content 3880-FC1-01 0032826-004 LAYER 3 None Detected Thin Set, VI 10tchen -Floor 3880-FC1-02 0032826-005 LAYER 1 None Detected Ceramic Flan Tie, Beige, 24`C IOtchen -Floor 3880-FC1-02 0032826-005 LAYER 2 None Detecla ! Means, Cream IOtchen -Floor 3880-FC1-02 0032826-005 LAYER 3 None Detected Thin Set, Nhie Micron -Floor These samples were analyzed by layer. Specific layer or componerrt asbestos content is indicated vhen relevant The EPA considers a material to be asbeetoe containing only ff it miners more Man ane percent asbestos by calibrated Visual Area Estimation (CVAE4 EPA regulations also indicate Mat Regulated Asbestos Containing Materials (RACM) - materials Anon are Mable or may became Mable- be fuller analyzed by point counfing when Me results indicate less Man ten percent asbestos by CVAE. Our laboratory utilizes (WAE on a routine basis and does not indude point cou mmg u r ess specifically re,uested. The reaps may not be reproduced except in full, and should not be used as a scope of wode for abatement without conaltlng with ATC. envi Core PAGE 12 OF 18 e�TC Customer: John Peralta EnvoCore Environmental, LLC PLM REPORT SUMMARY 1685 S. Colorado Blvd. Denver CO 80222 Project: 0321-143880 Newland St. Customer Project No.: Identification: N/A ATC Job No.: 0321-14 Batch No.: 0032826 Report Date: 03/09/2021 Sample Date: 03/05/2021 Date Analyzed: 03/09/2021 Test Method: 600/R-93/116, 40 CFR, Part 763, Appendix E to Subpart E of W heat U J 8985 E. Nichols Avenue, Suite 350 eG,/afQ9 0��\OC Centennial, CO 80112 —' Phone +1 303 799 6100 Fax -1303 799 3441 www.atcgrmpsenices.co n NVLAP Lab Code 102031 AIHA Lab Code 101536 Page 1 of 1 PLM Analysis Methodology PLM samples were analyzed utilizing the Environmental Protection Agency's Test Method: Method for the Determination of Asbestos in Building Materials (EPA 600/R-93/116. July, 1993) 40 CFR, Part 763, Appendix E to Subpart E. Reporting Limit <1% Asbestos. Additional treatment and tests may be required to accurately define composition (i.e. ashing, extractions, acetone treatment, and TEM). Unused portions of samples are archived for one year unless client requests special handling. Samples not taken by laboratory personnel. Laboratory Equipment Laboratory analysis was accomplished utilizing an Olympus BH -2 polarized light microscope. The microscope is equipped with dispersion staining lenses. Quality Control ATC Group Services is accredited by NVLAP Bulk Asbestos Sample Quality Assurance Program (Lab Code 102031). ATC participates in the NVLAP Bulk Asbestos Sample Quality Assurance Program and maintains an in-house QC/QA program for bulk samples whereby 10% of all submitted samples are reanalyzed and documented in a Quality Control Manual. ATC also participates in a quarterly round robin QC/QA program for bulk samples with several accredited laboratories throughout the United States. Laboratory Personnel Samples were analyzed by Jeff Lomme, Laboratory Director. Mr. Lomme is a professional geologist who has successfully completed the McCrone Institutes's "Advanced Asbestos Identification" Course. Approved Signatory off Lomme NVLAP LAB CODE 102031-0 The non -detection of asbestos fibers in floor tile by PLM is of itself inconclusive. Confirmation by Transmission Electron Microscope (TEM) is recommended for negative floor tile samples. This report must not be used by the client to claim product endorsements by NVLAP or an agency of the U.S. government. This test reports only to the items stated. This report is confidential to customer. Results are not published on a public domain. enyi Core PAGE 13 OF 18 Ar ENVIRONMENTAL - GEOTECHNICAL BUT LOING SCIENCES - MATERIALS TESTING PROJECT INFORMATION gl6 0W heat 1,Q; J 0 �;�d�o9 O•�`��c 8985 East Nichols Avenue, Suite 350 Centennial, Colorado 80112 w .cardnoatc.com TEL: 303.799.6100 FAX 303.799.3441 envi Core PAGE 14 OF 18 CompanytCustomer: EnvioCore LLC Project Name: 0321-14 3880 Newland St Address: 1685 S. Colorado Blvd. Collection Date: 3/5/21 City, ST, Zip Denver CO, 80222 Customer NumberlP.O.: Phone/Fax: 303475-5646 Collection Address: 3880 Newland St Customer Contact: John Peralta John@guenviocom.com Relinquished By: DateMnne: Received By: Date: Time: John Peralta 3/5/21, 12:OOpm - Special 1 nstrucidons: Sample Type -TAT Sample Number Sample Material Sample Location 1 PLM -24 HR 3880-SM1-01 SM - Plaster & Smooth Texture Kitchen - Wall B 2 PLM -24 HR 2 Kitchen - Walla 3 PLM -24 HR 3 Kitchen -Wall C 4 PLM -24 HR 3880-FC1-01 Misa-Tile & Thin Set Mortar Kitchen - Floor 5 PLM -24 HR 2 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 envi Core PAGE 14 OF 18 John Peralta EnvioCore Environmental, LLC 1685 S. Colorado Blvd. Denver CO 80222 Collected: 03/052021 Collected By: John Peralta Collection Address: 3880 Newland St. Asbestos Non -Asbestos Lab ID Sample Location / Constituents Constituents Sample # Sample Description M M 0032826-001 Kitchen - Walla W heat o �Q; Cellulose Fber(Incon) <1% 3880-SM1-01 LAYER 1 Binder/Filler Aggregate 30% None Detected Cellulose Fber (Inc.) J Bader/Filler ]6"A LAYER 2 Aggregate D'r15�C, Cellulose Fber(Incon) 3% BATCH NO. 0032826 <1 NI Lab Code 162631 Aggregate AHA Lab Code 161538 Customer Project No.: Plaster, Beige Description: 0321-14 3880 Newland St. Dare Received: 03/08/2021 None Detected Date Analyzed: 03/09/2021 3880-SM1-02 Dare Reported: 03/09/2021 Aggregate Comments: Skier Coat, White, 24 C Asbestos Non -Asbestos Lab ID Sample Location / Constituents Constituents Sample # Sample Description M M 0032826-001 Kitchen - Walla None Detected Cellulose Fber(Incon) <1% 3880-SM1-01 LAYER 1 Binder/Filler Aggregate 30% None Detected Cellulose Fber (Inc.) Skier Coat, White, 24-C Bader/Filler ]6"A LAYER 2 Aggregate None Detected Cellulose Fber(Incon) 3% 38% Hai (Ma -ph) <1 LAYER 2 Aggregate 60% Plaster, Beige Binder/Filler 3]% 0032826-002 Kitchen - Walla None Detected Cellulose Fber(Incan) <1% 3880-SM1-02 LAYER 1 Aggregate 30% Skier Coat, White, 24 C Binder/Filler 70% None Detected Cellulose Fber(Incan) 2% New (Morph) <1 LAYER 2 Aggregate fill% Plaster, Beige Binder/Filler 38% 0032826-003 Kitchen - Wall C None Detected Cellulose Fber(Incan) <1% 38W-SM1-03 LAYER 1 Aggregate 30% SM. Coat, White, 24 C Binder/Filler ]6"A None Detected Cellulose Fber (Inc.) 2% Hair (Morph) <1 LAYER 2 Aggregate 60% Plaster, Beige Binder/Filler 38% Analyzed by: a - envi Core PAGE 15 OF 18 Reviewed by: 1< Page 1 of 2 John Peralta EnvioCore Environmental, LLC 1685 S. Colorado Blvd. Denver CO 80222 Collected: 03/052021 Collected By: John Peralta Collection Address: 3880 Newland St. Lab ID Sample # Sample Location / Sample Description W heat o Q; Non -Asbestos Constituents (%) 0032826-004 Kitchen - Floor None Detected 3880-FCt-01 J Aggregate 30°A Ceramic Floor Tile, Beige, 24-C D'r15�C, Non -Fibrous Malenal 70% BATCH NO. None Detected 0032826 <1% NI Lab Code 102031 Aggregate AHA Lab Code 101538 Customer Project No.: Mastic, Cream Description: 0321-14 3880 Newland St. Dare Received: 03/08/2021 Date Analyzed: 03/09/2021 Dare Reported: 03/09/2021 Cellulose Fiber(Incom) Comments: LAYER 3 Lab ID Sample # Sample Location / Sample Description Asbestos Constituents (%) Non -Asbestos Constituents (%) 0032826-004 Kitchen - Floor None Detected 3880-FCt-01 LAYER 1 Aggregate 30°A Ceramic Floor Tile, Beige, 24-C Non -Fibrous Malenal 70% None Detected Cellulose Fiber(Incom) <1% LAYER 2 Aggregate 15% Mastic, Cream Carbonates 25% Binder/Filler 60% None Detected Cellulose Fiber(Incom) <1% LAYER 3 Aggregate 45% Thin Set, WTKe Carbonates 30% Binder/Filler 25% 0032826-005 Kitchen - Floor None Detected 3880-FC1-02 LAYER 1 Aggregate 30% Ceramic Floor -rile, Beige, 2CC Non -Fibrous Material 70% None Detected CelulmeFiber(Incom) <1% LAYER Aggregate 15% Mastic, Cream Carbonates 25% Binder/Filler 60% None Detected Cellulose Fiber(Incom) <1% LAYER 3 Aggregate 45% Thin Set, Witte Carbonates 30% Binder/Filler 25% Analyzed by: /x— envi Core PAGE 16 OF 18 Reviewed by: I< Page 2 of 2 Inspection Certifications uv=r,9 Y 14�n Colorado Dcp3nmcnt of Public I Will and Fmv mnment ASBESTOS CONSULTING FIRM This certifies that EnvinCure, LLC Reghlralion No.: ACh • 11660 has mer the rcgistration r quirentcnts of 25-1.501, C.R.S. and the Air Quality Control Commission Regulation No. R. Pnn 11, and is hereby ma orired to perfomt asbestos consulting activities as required under l4gulation No K. Parr B. in the state of Colorado. Issued. February 14,:020 Expires: Fehmary 14, 2021 / _ _ .: . 9AI env) Core PAGE 17 OF 18 ok W heat U J �4��an9 Dvooc Property Information Steve Broom 3880 Newland St Wheat Ridge 80033 Property Type Residential Date of Construction 1950 PH (303) 591-7430 Prepared By EnvioCore LLC Asbestos Consulting Firm No. 21660 1685 S. Colorado Blvd Denver, CO 80124 303-GoEnvio (463) 6846 www.aoEnvioCore.com info@aoenviocore.com Conducted By Steve Broom Job # 0221-14 3880 Newland St Protocols Followed Asbestos AHERA Lab Information CEI Labs 730 SE Maynard Road Carly, NC 919-481-1413 Asbestos Cert# 107168-0 envkCore ENviao Nrn ENrn� iNsaE Brio Ns Non -Certified Residential Asbestos Renovation Screening Report 3880 Newland St envi.�Core ENVIRONMENTAL INSPECTIONS PAGE 1 OF 10 Table of Contents Background................................................................................................................................................3 Sampling.....................................................................................................................................................3 AsbestosResults Reporting........................................................................................................................3 Asbestos Inspection Conclusion.......................................................................................................................3 InspectionPhotos.......................................................................................................................................4 LabResults...................................................................................................................................................5 envkCore PAGE 2 OF 10 srvviao NrnsNrn� iNsaE Brio Ns Background Steve Broom took asbestos samples at the above list property for the purpose of asbestos screening and delivered them to EnvioCore LLC to have them analyzed by a third party laboratory. The screening and sampling was NOT performed by EnvioCore LLC or its employees. As such this screening report is being furnished to the above individual for personal use only. This report cannot be used as an official inspection document as outlined by Federal and State Regulations. EnvioCore LLC assumes no responsibility regarding the inspection, samples collected, inspection findings and/or asbestos conclusions. Sampling All samples were submitted to Certified Asbestos Laboratory. The laboratory results are incorporated into this report. Neither envioCore, LLC nor the Certified Inspector warrants the accuracy of any laboratory results. The Client and any other parties hereby agree that envioCore LLC shall not be liable in any manner for erroneous laboratory results or other errors with the laboratory testing process. See Data Table (Table 1) Below for Tabulated Results Asbestos Results Reporting ND = Non Detected [Not an Official Document, For Personal Use Only] Asbestos Inspection Conclusion Asbestos containing building materials WERE NOT found in the samples analyzed by the laboratory. This result is based solely on the samples that were delivered to EnvioCore LLC. No official conclusion has been made by EnvioCore LLC. Personal protective equipment and all state and federal regulations should be used during any removal of sampled building materials by all parties. envkCore PAGE 3 OF 10 .N11..NrnsNrn� iNsaE Brio Ns Inspection Photos KIN Figure 1 -Sample location #1 envkCore PAGE 4 OF 10 srvviao NrnsNrn� iNsaE Brio Ns Lab Results tiff eurofins February 12, 2021 EnvioCore 1685 S. Colorado Blvd. Ste. S151 Denver. CO 80222 CLIENT PROJECT: 0221-14 3880 Newland St CEI LAB CODE: B212395 Dear Customer: Enclosed are asbestos analysis results for PLM Bulk samples received at our laboratory on February 12, 2021. The samples were analyzed for asbestos using polarizing light microscopy (PLM) per the EPA 600 Method. Sample results containing >1% asbestos are considered asbestos -containing materials (ACMs) per EPA regulatory requirements. The detection limit for the EPA 600 Method is <1% asbestos by weight as determined by visual estimation. Thank you for your business and we look forward to continuing good relations. Kind Regards, Tianbao Bai, Ph.D., CIH Laboratory Director NVLAll TESTING N APLABCODE1017684 730 SE Maynard Road • Cary, NC 27511 • 919.481.1413 env) Core PAGE 5 OF 10 eurofins ASBESTOS ANALYTICAL REPORT By: Polarized Light Microscopy Prepared for ;=nvioCore CLIENT PROJECT: 0221-143880 Newland St LAB CODE: B212395 TEST METHOD: EPA 600 / R93 / 116 and EPA 600 / M4-82 / 020 REPORT DATE: 02/12/21 TOTAL SAMPLES ANALYZED: 1 # SAMPLES >1% ASBESTOS: env) Core PAGE 6 OF 10 0 eurofins CEI PROJECT: 0221-14 3880 Newland St Asbestos Report Summary By: POLARIZING LIGHT MICROSCOPY METHOD: EPA 600 / R93 / 116 and EPA 600 / M4-82 / 020 LAB CODE: B212395 ASBESTOS Client ID Layer Lab ID Color Sample Description k #1 Layer 1 833544 White Cementitious Material None Detected ----------------------------------- Layer2 633544 Gray Cennentitious Material None Detected Pagel of 1 env) Core PAGE 7 OF 10 tiff eurofins CEI Client: EnvioCore 1685 S. Colorado Blvd. Ste. S151 Denver, CO 80222 Project: 0221-14 3880 Newland St ASBESTOS BULK PLM, EPA 600 METHOD ASBESTOS BULK ANALYSIS By: POLARIZING LIGHT MICROSCOPY Lab Code: B212395 Date Received: 02-12-21 Date Analyzed: 02-12-21 Date Reported: 02-12-21 Client ID Lab ID Lab Description Lab Attributes NOWASBESTOS COMPONENTS Fibrous Non -Fibrous ASBESTOS % #1 Cemenbtiaus Material Heterogeneous 5% Paint None Detected Layer 1 White 95% Binder 833544 Nan -fibrous Bound ------------------------------------------------------------------ Layer 2 Cemenfitious Material Homogeneous 65% Silicates None Detected 833544 Gray 35% Binder Non-fibrous Bound Page 1 of 2 env) Core PAGE 8 OF 10 ti•~ eurofins CEI LEGEND: Non-Anth = Non-Asbestiform Anthophyllite Non-Trem = Non-Asbestiform Tremolite Calc Carb = Calcium Carbonate METHOD: EPA 600 / R93 / 116 and EPA 600 / M4-82 / 020 REPORTING LIMIT: <1% byvisual estimation REPORTING LIMIT FOR POINT COUNTS: 0.25% by 400 Points or 0.1% by 1,000 Points REGULATORY LIMIT: >1% by weight Due to the limitations of the EPA 600 method, nonfriable organically bound materials (NOBS) such as vinyl floor tiles can be difficult to analyze via polarized light microscopy (PLM). EPA recommends that all NOBs analyzed by PLM, and found not to contain asbestos, be further analyzed by Transmission Electron Microscopy (TEM). Please note that PLM analysis of dust and soil samples for asbestos is not covered under NVLAP accreditation. Estimated measurement of uncertainty is available on request. This report relates only to the samples tested or analyzed and may not be reproduced, except in full, without written approval by Eurofins CEI. Eurofins CEI makes no warranty representation regarding the accuracy of client submitted information in preparing and presenting analytical results. Interpretation of the analytical results is the sole responsibility of the client. Samples were received in acceptable condition unless otherwise noted. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U.S. Government. Information provided by customer includes customer sample ID and sample description. �� ANALYST:'- APPROVED BY: �'�i--- 'Jessica Frampton Tianbao Bai, Ph.D., CIH Laboratory Director NVLA�R TESTING INUP UB CODE 101]6&0 Page 2 of 2 enyi Core PAGE 9 OF 10 C E I'm Samples Chain Of Custody (COC) aaIa2)96- 033544 v l9s033544v Campany FsvmCnm LLC 0 Cel Labs Provide Remtba Via: T30 SE Maynard Road, Cary, NC 27511 City: D4.er Phone: %6481-1412 Fax: 919-4111-1442 Carrier Name: vnvv 0:.11 r„m Zip, 80222 Campany FsvmCnm LLC Project Nems Number- 0221-143860Newi.d S1 Street: 1635S.C.Imai[ abl Provide Remtba Via: Emvl City: D4.er shippinue Infonnatien State: CO Carrier Name: Fedex Lone Tree Zip, 80222 Physical Addieos: 93N w illvry Sl. Lea Tice. CO 801¢4 RepoRTo Chad lvinme Location Phone: 303-IEI A663 Telephone Y: 303401-8166 Shipping Priority:eaaa yrionryavanigla-1044 aM Email Address: cne,.e(a`,sawiomrc.com Shipping Confirmation N: Date/fime ETA: Datemme ore ,": Total 0 of Samples I Relinquished (Client), CTed Moore Relinquish Data/nine: Received II Received Dale/rime: I Z 'L Sample Number Sample Location/Desselpflon Sample Analysts Type -TAT- Volume/Area DateTme Of Sampla Taken a, NA Cenummus sheens! PLM -9 Mn TAT enyi Core PAGE 10 OF 10 �►A( City Of `7Vheatp iidg - COMMUNITY DEVELOPMENT � Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers or, if hiring sub -contractors list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Project Pi Notarized 4ibnature of Applicant State of Colorado } County of ZSnt� } ss � �p y The foregoing instrument was acknowledged by me this 4 day of t ` bPO by SSU e w iL�Laocm =i= - S_�'ef14Ni f. �6v-octyv-N kIibtary Public LISA BARNES NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20004003391 MY COMMISSION EXPIRES 0310312024 My Commission FxpireP3X20— zl_r n. m W heat ( icic ChMNuNIn p!\LLwfNlNl APPROVED R�MWai IN CEdi Clfnnl iMi t W heat Mike Theisen 03/13/2021 >° R,ry II�I�I 4 n 36"---r-36"---7r-33"� FSW N3336 S36 LL 00 BISHN 4 B9FH1 0 4B�18 g4DB18 CNT SBW z, 78"$78"36" 2 "--- 9"7 From: no-reolv(alci.wheatridae.m. us To: CommDev Farm is Subject: Online Form Submittal: Residential Interior Remodel Date: Friday, February 19, 20218:59:38 AM 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 3880 Newland Street Property Owner Name Steve and Stefanie Broom Property Owner Phone 720-937-2276 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email steve.broom@freemanco.com, stefbroom@gmail.com Address Attach City of Wheat Electron ic-Payment-Form.odf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" APPLICANT INFORMATION Applicant Name Steve Broom What is your role in the Property Owner project? Are you performing the Yes work yourself, live in the home and will be living in the home 1 year after completion? Attach Notarized Homeowner Authorization Form OFFICIAL CERTIFICATION OF PROPERTY OWNER PERMIT (NOTARIZED).odf Contact Phone Number 303-591-7430 (enter WITH dashes, eg 303-123-4567) Contact Email Address steve.broom@freemanco.com for Plan Review Comments Retype Contractor steve.broom@freemanco.com Email Address DESCRIPTION OF WORK Detailed Scope of Work - In the space below (not as an attachment), Provide a detailed description of work including mechanical, electrical, plumbing work occurring, adding/removing walls, etc I, the applicant, understand my application will be rejected if I do not include a Detailed Scope of Work. Kitchen remodel - will remove existing flooring and cabinets and replace with new flooring, cabinets and appliances. Licensed electrician and plumber will be hired to install updated electrical (do not believe new circuits will be needed) and run gas and water as needed for new appliances. I have entered a detailed scope of work. Location of Work kitchen Square Footage Area 200 of Work Being Performed Asbestos Report Environmental Reoort- Asbestos Renovation.odf Upload letter size Fleld not completed. documents here Construction Plans scanned on 11'x17" or larger Broom Floor Plan.jpg Project Value (contract 15000 value or cost of ALL materials and labor) Increase Valuation to $37,100 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 Steve Broom 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. Property Information Steve Broom 3880 Newland St Wheat Ridge, CO 80033 Property Type Residential Date of Construction 1950 PH (303) 591-7430 Prepared By EnvioCore LLC Asbestos Consulting Firm No. 21660 1685 S. Colorado Blvd Denver, CO 80124 303-GoEnvio (463) 6846 www.aoEnvioCore.com info@aoenviocore.com Conducted By John Peralta Asbestos Building Inspector Cert. No. 24339 Inspection Information Inspection Date 03-05-2021 Arrival Time 12:00 PM Report Date 03-09-2021 Inspection # 0321-14 Broom, Steve Protocols Followed Asbestos AHERA Lab Information ATC Group Services LLC 8985 E Nichols Ave Suite 350, Centennial, CO 80112 303-799-6100 Asbestos NVLAP Cert # 102031 ok \N heat =.A, dim Limited ResidentiJ�y\� Asbestos Renovation Inspection Report 3880 Newland St env17 Core ENVIRONMENTAL INSPECTIONS envkCore PAGE 1 OF 18 ENviao Nrn ENrn� iNsaE Brio Ns Table of Contents o�\NhedtR. 0 �G/a/n9 D,J\y\c Definitions.................................................................................................................................................... 3 KeyTerms.................................................................................................................................................... 3 LimitedInspection Summary .....................................................................................................................4 General................................................................................................................................................................ 4 Asbestos............................................................................................................................................................... 4 Purpose and Scope of Inspection.............................................................................................................4 General................................................................................................................................................................ 4 Asbestos............................................................................................................................................................... 4 Background................................................................................................................................................5 Sampling.....................................................................................................................................................5 AsbestosResults Reporting........................................................................................................................6 Asbestos Inspection Conclusion...............................................................................................................6 Closing......................................................................................................................................................... 7 InspectionPhotos.......................................................................................................................................8 LabResults.................................................................................................................................................10 InspectionCertifications..........................................................................................................................17 envi ., Core PAGE 2 OF 18 ENVIRONMENTAL INSPECTIONS Ok \N heat D f' 'f' e ini ions 1. The term "Certified Inspector" shall mean individual who is identified on the first page of this Limited Inspection Report as conducting the Inspection. 2. The term "Client" shall mean the entity that has ordered the Limited Inspection on the Property on behalf of the Client. 3. The term "Limited Inspection Report" shall mean this report, which summarizes the Inspection, as applicable to the Property. 4. The term "Owner" shall mean the owner of the Property. 5. The term "Property" shall mean the building(s) or structure(s) at the address listed under Property Information on the first page of this Limited Inspection Report. 6. The terms "Work Activity" shall mean any construction, renovation, remediation, decontamination, cleanup, or other work. Key Terms Asbestos 1. Asbestos is a naturally occuring mineral. Asbestiform varieties include chrysotile, amosite, crocidolite, anthophyllite, tremolite and actinolite. 2. Asbestos abatement is the wrecking or removal of builiding materails that contain friable and non -friable asbestos fibers. 3. Asbestos abatement contractor is any person hired to conduct asbestos abatement. 4. Friable material can be crumbled, pulverized, or rendered to powder by hand pressure when dry. 5. A homogenous area is an area of surfacing material, thermal system insulation material, or miscellaneous material this is uniform in color, texture, construction, application date, and general appearance. 6. Miscellaneous material is interior building material on structural components, structural members, or fixtures, such as floor and ceiling tiles, and does not include surfacing material or thermal system insulation. 7. Non -friable material cannot be crumbled, pulverized, or reduced to powder by hand pressure when dry. 8. Point counting is a secondary analytical technique to verify the presences of asbestos in samples with 10% or lower asbestos. 9. Surfacing material is sprayed, troweled, or otherwise applied on surfaces, such as acoustical plaster on celilings and fireproofing materials on structural members, or other materials on surfaces for acoustical, fireproofing, or other purposes. 10. Thermal system insulation (TSI) is material tha tis applied to pipes, fittings, boilers, breeching, tanks, ducts, or other interior structural components to prevent heat loss, heat gain, or water condesation, or for other purposes. 11. The terms "Asbestos Containing Material' or "ACM" shall mean surfacing, thermal system insulation, or miscellaneous materials that contain I% or more of asbestos. 12. The terms "Asbestos Containing Building Material' or "ACBM" shall mean Asbestos Containnig Materials that has been used for construction or improvement of a building or other structure. envWCore PAGE 3 OF 18 ENVIRONMENTAL INSPEETIONs >>..` k\Nheat "' R� W 13. The term "Certified Asbestos Consulting Firm" shall mean any person licensed with the State of Colorado g e EPA, hired for a fee to conduct any of the folowing activities, as required by Regulation No. 8, Part B, ithe State OC of Colorado: asbetos builidng inspection and bulk sampling; development of asbestos management plEi giOo monitoring for asbestos fibers; development of asbestos project designs; and , project management, as — specified in Section II.J. 14. The term "Certified Asbestos Laboratory" shall mean a laboratory with accreditation from the National Voluntary Laboratory Accreditaion Program (NVLAP) to analyze bulk samples for asbestos using polarized light microscopy (PLM). 15. The terms "Damaged ACM" and "Significantly Damaged ACM" shall mean friable or non -friable ACM that has deteriorated or delaminated to the point that it has lost its bond to the substratre or has otherwise suffered crumbling, blistering, nonadhesiveness, gouging, water staining, or marring. The term "Damaged ACM" applies when 1 /10 of the entire surface has suffer damage (1 /4 if the damage is localized). The terms "Significantly Damaged ACM" shall apply when more than 1 /10 of the surface has suffered damage. 16. The term "Limited Asbestos Inspection" shall mean an abbreviated inspection by the Inspector of the components of the Property that may be subject to Work Activity. The Inspection shall investigate the presence of ACBM and shall comply with all state and federal laws, rules, and regulations. Limited Inspection Summary General The Client agrees to read the Limited Inspection Report upon receipt and promptly call the Inspector with questions or concerns. This Limited Inspection Report is not intended to be exhaustive in the manner of inspecting the Property and all of its building materials and components. The Inspector only inspected specific areas that may be subject to Work Activity and that are visually and physically accessible. The Limited Inspection was not a risk assessment or physical inspection of systems, structure, or components of the Property. The use of this Limited Report and its contents, in whole or in part by persons or entities other than the Client is not authorized without the written mutual consent of the Client and envioCore LLC. Asbestos The Limited Inspection Report documents the findings of a Limited Asbestos Inspection at the Property. The Limited Asbestos Inspection intended to locate ACBM in areas that might be the subject of Work Activity. The Certified Inspector performed the Limited Asbestos Inspection in accordance with the current state and federal laws at the time of inspection. Purpose and Scope of Inspection General The scope of this report included a visual inspection of all affected rooms and/or areas throughout the subject property for visible suspect ACBM and/or 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 Certified Inspector made every reasonable effort to access and identify all suspect ACM and/or Lead Based Paint. If the scope of work changes, the Client must inform the Certified Inspector to allow the Certified Inspector to supplement the Limited Inspection Report. This Limited Inspection Report is solely a record of activities, observations, analytical results, and recommendations performed to date. Asbestos Bulk asbestos samples were randomly collected from homogenous areas of suspect ACM by the Certified Inspector. If the color, texture, construction, application date, or general appearance differs between materials or if for any reason the Certified Inspector suspects that the materials might differ in any respect, the Certified Inspector will take separate samples from each homogenous area. The Certified Inspector took envkCore PAGE 4 OF 18 ENviao Nrn ENrn� iNsaE Brio Ns Ok \N heat „ representative bulk samples were 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 and6'�'� \oc distribution, and random sampling can miss ACM. EnvioCore used reasonable diligence and its prof e6kftwl!l judgment consistent with industry standards in order to identify all suspect ACBM. Bulk samples were analyzed by Certified Asbestos Laboratory. Background The inspector was called to the subject property by Steve Broom, Owner. Mr. Broom was concerned about asbestos containing building materials in the affected areas of the building. Per Mr. Broom, suspect asbestos containing building materials to be disturbed in the scope of work include: The affected materials sampled: - Plaster - Texture - Tile -Thin Set Mortar The affected areas include: - Kitchen - Plaster - Texture - Tile -Thin Set Mortar The Certified Inspector and the Client understand and agree that the Limited Asbestos Inspection shall include only the above -referenced potentially affected areas. If the Work Activity later includes other areas or materials that may contain ACBM, the Client understands that the Certified Inspector will only perform a Limited Asbestos Inspection of these areas upon a subsequent engagement. Sampling Using methods that are generally accepted in the industry, the Certified Inspector determined that it was necessary to collect 5 bulk samples from the various homogenous areas (see the Asbestos Sampling below for exact areas). All samples were submitted to Certified Asbestos Laboratory. The laboratory results are incorporated into this report. Neither envioCore, LLC nor the Certified Inspector warrants the accuracy of any laboratory results. The Client and any other parties hereby agree that envioCore, LLC and the Certified Inspector shall not be liable in any manner for erroneous laboratory results or other errors with the laboratory testing process. See Data Table (Table 1) Below for Tabulated Results along with Attached Photos (Figure 1, etc.) envkCore PAGE 5 OF 18 .N11..NrnsNrn� iNsaE Brio Ns Asbestos Results Reporting k \N heat eG��a/hn h1��y\OC Table 1: Table of asbestos samples taken during inspection with lab results. ND = Non Defected, (Asbestos Materials Could become Friable during Renovation / Demolition. If this occurs the friability can change from Non -Friable to Friable and all state and federal regulation shall be followed) Wall "A" in each room is the wall where the front entrance door opening is located (or aligned with the street). Going clockwise and facing wall "A" (the street), wall "B" will always be to your right, wall "C" directly to the rear and wall "D" to the left. Doors, windows and closets are designated as left, center or right depending on their location on the wall. Asbestos Inspection 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 according to Regulation 8 of CDPHE Regulation if any renovation or disturbing of the materials occur. Caution should still be taken and OSHA Regulation could still be in effect for the renovation or disturbing of the tested materials. Personal protective equipment and all state and federal regulations should be used during any removal of sampled building materials by all parties. envkCore PAGE 6 OF 18 srvviao NrnsNTn� iNsaE ETio Ns SC, Material, lor, Texture) 0 0 IQ I.D ACM 0 Lab Results by Layer Kitchen - 3880-SM1 -Ol SM -Plaster & Wall B, Good To Smooth ND N/A N/A Friable 200 Skim Coat Kitchen - Condition 3880-SM1-03 Texture Wall C 3880-SM1 -Ol Kitchen - SM -Plaster & Wall B, Good To Smooth ND N/A N/A Friable 200 Plaster Kitchen - Condition 3880-SM1-03 Texture Wall C 3880-FC1-01 Kitchen - Misc. - Tile & Non- Good To ND N/A N/A 300 Ceramic Floor Tile Floor Thin Set Mortar Friable Condition 3880-FC1-02 Non- Good ND N/A N/A 300 Mastic Friable Condition Non- Good ND N/A N/A Friable Condition 300 Thin Set Table 1: Table of asbestos samples taken during inspection with lab results. ND = Non Defected, (Asbestos Materials Could become Friable during Renovation / Demolition. If this occurs the friability can change from Non -Friable to Friable and all state and federal regulation shall be followed) Wall "A" in each room is the wall where the front entrance door opening is located (or aligned with the street). Going clockwise and facing wall "A" (the street), wall "B" will always be to your right, wall "C" directly to the rear and wall "D" to the left. Doors, windows and closets are designated as left, center or right depending on their location on the wall. Asbestos Inspection 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 according to Regulation 8 of CDPHE Regulation if any renovation or disturbing of the materials occur. Caution should still be taken and OSHA Regulation could still be in effect for the renovation or disturbing of the tested materials. Personal protective equipment and all state and federal regulations should be used during any removal of sampled building materials by all parties. envkCore PAGE 6 OF 18 srvviao NrnsNTn� iNsaE ETio Ns k \N heat CD C� os)ng e o� EnvioCore assumes no liability for any loss, injury, claim or damages arising directly or indirectly from any-vse or reliance on this report or the opinions expressed herein. EnvioCore 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 EnvioCore. 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 EnvioCore has with the client. That contractual relationship included an exchange of information about the subject property that was unique and between EnvioCore and its client and serves as the basis upon which this report was prepared. Because of the importance of the communication between EnvioCore 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 EnvioCore. No warranty is made. EnvioCore's liability and that of contractors and subcontractors arising from any service rendered here under shall not exceed the total fee paid by the client to EnvioCore. Thank you for the opportunity to work with you on this project. Please call at (303) GoEnvio (463) 6846 with any questions or concerns. Thank you. Sincerely, John Peralta Certified Inspector EnvioCore LLC, Environmental Consulting Asbestos Building Inspector Cert. No. 24339 envkCore PAGE 7 OF 18 .N11..NrnsNrn� iNsaE Brio Ns Inspection Photos Figure 1 - Overview of Address Ok \N heat Figure 2 -Overview of Kitchen Wall Figure 3 -Sample location #1 Figure 4 -Sample location #2 Figure 5 -Sample location #3 envkCore PAGE 8 OF 18 srvviao NrnsNrn� iNsaE Brio Ns Figure 6- Overview of Kitchen Floor ok W heat m Figure 7 -Sample location #1 env) Core PAGE 9 OF 18 Figure 8 -Sample location #2 Lab Results ;STC ANALYTICAL REPORT Prepared for: EnvioCore Environmental, LLC 1685 S. Colorado Blvd. Denver, CO 80222 Project: 0321-14 3880 Newland St. Order No.: 0032826 Report Date: 03/09/2021 ATC Group Services LLC 8985 E. Nichols Avenue, Suite 350, Centennial, CO 80112 Ph: 303-799-6100 env) Core PAGE 10 OF 18 o<W heat U J 0 e�TC These samples were analyzed by layer. Specific layer or componem asbestos content is indicated vhen relevant The EPA considers a material to be asbeetoe containing only ff it miners more Man ane percent asbestos by Calibrated Visual Area Estimation (CVAE4 EPA regulations also indicate Mat Regulated Asbestos Containing Materials (RACM) - materials Ankh are Mable or may became Mable— be fuller analyzed by point counfing when Me results indicate less Man ten percent asbestos by CVAE. Our laboratory utilizes CJAE on a routine basis and does not indude point cou mmg u r ess specifically re,uested. The reaps may not be reproduced except in full, and should not be used as a scope of wode for abatement without conaltlng with ATC. envi Core PAGE 11 OF 18 of W heat REPORT SUMMARY NVLAP Lab Code 102031 Customer: J John Peralta 8985 E. Nichols Avenue, Suite 350eG,/d/n9 Centennial, CO 80112 —' Phone .1 303 799 6100 Fax -1303 799 3441 yaaw.atcgroupsenices.cem These samples were analyzed by layer. Specific layer or componem asbestos content is indicated vhen relevant The EPA considers a material to be asbeetoe containing only ff it miners more Man ane percent asbestos by Calibrated Visual Area Estimation (CVAE4 EPA regulations also indicate Mat Regulated Asbestos Containing Materials (RACM) - materials Ankh are Mable or may became Mable— be fuller analyzed by point counfing when Me results indicate less Man ten percent asbestos by CVAE. Our laboratory utilizes CJAE on a routine basis and does not indude point cou mmg u r ess specifically re,uested. The reaps may not be reproduced except in full, and should not be used as a scope of wode for abatement without conaltlng with ATC. envi Core PAGE 11 OF 18 PLM REPORT SUMMARY NVLAP Lab Code 102031 Customer: AIHA Lab Code 1015W John Peralta ATC Job No.: 0321-14 EmneCore Environmental, LLC Batch No.: 0032826 1685 S. Colorado Blvd. Report Date: 03/09/2021 Denver CO 80222 Sample Date: 03/05/2021 Project: 0321-14 3880 NeMand St. Date Analyzed: 03/09/2021 Customer Project No.: Identification: N/A Test Method: 600/R-93/116, 40 CFR, Part 763, Appendix E to Subpart E Page 1 of 2 Client No. Lab No. Sample Description/ Location Asbestos Content 3880 -SMI -01 0032826-001 LAYER 1 None Detected Sldm Coat, White, 24oC Kitchen - Well B 3880-SM1-01 0032826-001 LAYER 2 None Detected Plaster, Beige Kitchen - Wall B 3880-SM1-02 0032826-002 LAYER 1 None Detected Skim Coat, VMite, 24 C Kitchen - Well B 3880-SM1-02 0032826-002 LAYER 2 None Detected Plaster, Beige Kitchen - Wall B 3880-SM1-03 0032826-003 LAYER 1 None Detected Sidon Coat, White, 24°C Kitchen - Wall C 3880 -SMI -03 0032826-003 LAYER 2 None Detected Plaster, Beige Kitchen - Wall C 3880-FCI-01 0032826-004 LAYER 1 None Detected Ceramic Flan Tie, Beige, 24-C Kitchen - Floor 3880-FC1-01 0032826-004 LAYER 2 None Detected Mastic, Cream Kitchen - Floor These samples were analyzed by layer. Specific layer or componem asbestos content is indicated vhen relevant The EPA considers a material to be asbeetoe containing only ff it miners more Man ane percent asbestos by Calibrated Visual Area Estimation (CVAE4 EPA regulations also indicate Mat Regulated Asbestos Containing Materials (RACM) - materials Ankh are Mable or may became Mable— be fuller analyzed by point counfing when Me results indicate less Man ten percent asbestos by CVAE. Our laboratory utilizes CJAE on a routine basis and does not indude point cou mmg u r ess specifically re,uested. The reaps may not be reproduced except in full, and should not be used as a scope of wode for abatement without conaltlng with ATC. envi Core PAGE 11 OF 18 e�TC These samples were analyzed by layer. Specific layer or componerrt asbestos content is indicated vhen relevant The EPA considers a material to be asbeetoe containing only ff it miners more Man ane percent asbestos by calibrated Visual Area Estimation (CVAE4 EPA regulations also indicate Mat Regulated Asbestos Containing Materials (RACM) - materials Anon are Mable or may became Mable- be fuller analyzed by point counfing when Me results indicate less Man ten percent asbestos by CVAE. Our laboratory utilizes (WAE on a routine basis and does not indude point cou mmg u r ess specifically re,uested. The reaps may not be reproduced except in full, and should not be used as a scope of wode for abatement without conaltlng with ATC. envi Core PAGE 12 OF 18 of W heat REPORT SUMMARY NVLAP Lab Code 102031 Customer: J John Peralta 8985 E. Nichols Avenue, Suite 350eG,/d/n9 Centennial, CO 80112 —' Phone .1 303 799 6100 Fax -1303 799 3441 yaaw.atcgroupsenices.cem These samples were analyzed by layer. Specific layer or componerrt asbestos content is indicated vhen relevant The EPA considers a material to be asbeetoe containing only ff it miners more Man ane percent asbestos by calibrated Visual Area Estimation (CVAE4 EPA regulations also indicate Mat Regulated Asbestos Containing Materials (RACM) - materials Anon are Mable or may became Mable- be fuller analyzed by point counfing when Me results indicate less Man ten percent asbestos by CVAE. Our laboratory utilizes (WAE on a routine basis and does not indude point cou mmg u r ess specifically re,uested. The reaps may not be reproduced except in full, and should not be used as a scope of wode for abatement without conaltlng with ATC. envi Core PAGE 12 OF 18 PLM REPORT SUMMARY NVLAP Lab Code 102031 Customer: AIHA Lab Code 101536 John Peralta ATC Job No.: 0321-14 EmneCore Environmental, LLC Batch No.: 0032826 1685 S. Colorado Blvd. Report Date: 03/09/2021 Denver CO 80222 Sample Date: 03/05/2021 Project: 0321-14 3880 NeMand St. Date Analyzed: 03/09/2021 Customer Project No.: Identification: N/A Test Method: 600/R-93/116, 40 CFR, Part 763, Appendix E to Subpart E Page 2 of 2 Client No. Lab No. Sample Description/ Location Asbestos Content 3880-FC1-01 0032826-004 LAYER 3 None Detected Thin Set, VI 10tchen -Floor 3880-FC1-02 0032826-005 LAYER 1 None Detected Ceramic Flan Tie, Beige, 24`C IOtchen -Floor 3880-FC1-02 0032826-005 LAYER 2 None Detecla ! Means, Cream IOtchen -Floor 3880-FC1-02 0032826-005 LAYER 3 None Detected Thin Set, Nhie Micron -Floor These samples were analyzed by layer. Specific layer or componerrt asbestos content is indicated vhen relevant The EPA considers a material to be asbeetoe containing only ff it miners more Man ane percent asbestos by calibrated Visual Area Estimation (CVAE4 EPA regulations also indicate Mat Regulated Asbestos Containing Materials (RACM) - materials Anon are Mable or may became Mable- be fuller analyzed by point counfing when Me results indicate less Man ten percent asbestos by CVAE. Our laboratory utilizes (WAE on a routine basis and does not indude point cou mmg u r ess specifically re,uested. The reaps may not be reproduced except in full, and should not be used as a scope of wode for abatement without conaltlng with ATC. envi Core PAGE 12 OF 18 e�TC Customer: John Peralta EnvoCore Environmental, LLC PLM REPORT SUMMARY 1685 S. Colorado Blvd. Denver CO 80222 Project: 0321-143880 Newland St. Customer Project No.: Identification: N/A ATC Job No.: 0321-14 Batch No.: 0032826 Report Date: 03/09/2021 Sample Date: 03/05/2021 Date Analyzed: 03/09/2021 Test Method: 600/R-93/116, 40 CFR, Part 763, Appendix E to Subpart E of W heat U J 8985 E. Nichols Avenue, Suite 350 eG,/afQ9 0��\OC Centennial, CO 80112 —' Phone +1 303 799 6100 Fax -1303 799 3441 www.atcgrmpsenices.co n NVLAP Lab Code 102031 AIHA Lab Code 101536 Page 1 of 1 PLM Analysis Methodology PLM samples were analyzed utilizing the Environmental Protection Agency's Test Method: Method for the Determination of Asbestos in Building Materials (EPA 600/R-93/116. July, 1993) 40 CFR, Part 763, Appendix E to Subpart E. Reporting Limit <1% Asbestos. Additional treatment and tests may be required to accurately define composition (i.e. ashing, extractions, acetone treatment, and TEM). Unused portions of samples are archived for one year unless client requests special handling. Samples not taken by laboratory personnel. Laboratory Equipment Laboratory analysis was accomplished utilizing an Olympus BH -2 polarized light microscope. The microscope is equipped with dispersion staining lenses. Quality Control ATC Group Services is accredited by NVLAP Bulk Asbestos Sample Quality Assurance Program (Lab Code 102031). ATC participates in the NVLAP Bulk Asbestos Sample Quality Assurance Program and maintains an in-house QC/QA program for bulk samples whereby 10% of all submitted samples are reanalyzed and documented in a Quality Control Manual. ATC also participates in a quarterly round robin QC/QA program for bulk samples with several accredited laboratories throughout the United States. Laboratory Personnel Samples were analyzed by Jeff Lomme, Laboratory Director. Mr. Lomme is a professional geologist who has successfully completed the McCrone Institutes's "Advanced Asbestos Identification" Course. Approved Signatory off Lomme NVLAP LAB CODE 102031-0 The non -detection of asbestos fibers in floor tile by PLM is of itself inconclusive. Confirmation by Transmission Electron Microscope (TEM) is recommended for negative floor tile samples. This report must not be used by the client to claim product endorsements by NVLAP or an agency of the U.S. government. This test reports only to the items stated. This report is confidential to customer. Results are not published on a public domain. enyi Core PAGE 13 OF 18 Ar ENVIRONMENTAL - GEOTECHNICAL BUT LOING SCIENCES - MATERIALS TESTING PROJECT INFORMATION gl6 0W heat 1,Q; J 0 �;�d�o9 O•�`��c 8985 East Nichols Avenue, Suite 350 Centennial, Colorado 80112 w .cardnoatc.com TEL: 303.799.6100 FAX 303.799.3441 envi Core PAGE 14 OF 18 CompanytCustomer: EnvioCore LLC Project Name: 0321-14 3880 Newland St Address: 1685 S. Colorado Blvd. Collection Date: 3/5/21 City, ST, Zip Denver CO, 80222 Customer NumberlP.O.: Phone/Fax: 303475-5646 Collection Address: 3880 Newland St Customer Contact: John Peralta John@guenviocom.com Relinquished By: DateMnne: Received By: Date: Time: John Peralta 3/5/21, 12:OOpm - Special 1 nstrucidons: Sample Type -TAT Sample Number Sample Material Sample Location 1 PLM -24 HR 3880-SM1-01 SM - Plaster & Smooth Texture Kitchen - Wall B 2 PLM -24 HR 2 Kitchen - Walla 3 PLM -24 HR 3 Kitchen -Wall C 4 PLM -24 HR 3880-FC1-01 Misa-Tile & Thin Set Mortar Kitchen - Floor 5 PLM -24 HR 2 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 envi Core PAGE 14 OF 18 John Peralta EnvioCore Environmental, LLC 1685 S. Colorado Blvd. Denver CO 80222 Collected: 03/052021 Collected By: John Peralta Collection Address: 3880 Newland St. Asbestos Non -Asbestos Lab ID Sample Location / Constituents Constituents Sample # Sample Description M M 0032826-001 Kitchen - Walla W heat o �Q; Cellulose Fber(Incon) <1% 3880-SM1-01 LAYER 1 Binder/Filler Aggregate 30% None Detected Cellulose Fber (Inc.) J Bader/Filler ]6"A LAYER 2 Aggregate D'r15�C, Cellulose Fber(Incon) 3% BATCH NO. 0032826 <1 NI Lab Code 162631 Aggregate AHA Lab Code 161538 Customer Project No.: Plaster, Beige Description: 0321-14 3880 Newland St. Dare Received: 03/08/2021 None Detected Date Analyzed: 03/09/2021 3880-SM1-02 Dare Reported: 03/09/2021 Aggregate Comments: Skier Coat, White, 24 C Asbestos Non -Asbestos Lab ID Sample Location / Constituents Constituents Sample # Sample Description M M 0032826-001 Kitchen - Walla None Detected Cellulose Fber(Incon) <1% 3880-SM1-01 LAYER 1 Binder/Filler Aggregate 30% None Detected Cellulose Fber (Inc.) Skier Coat, White, 24-C Bader/Filler ]6"A LAYER 2 Aggregate None Detected Cellulose Fber(Incon) 3% 38% Hai (Ma -ph) <1 LAYER 2 Aggregate 60% Plaster, Beige Binder/Filler 3]% 0032826-002 Kitchen - Walla None Detected Cellulose Fber(Incan) <1% 3880-SM1-02 LAYER 1 Aggregate 30% Skier Coat, White, 24 C Binder/Filler 70% None Detected Cellulose Fber(Incan) 2% New (Morph) <1 LAYER 2 Aggregate fill% Plaster, Beige Binder/Filler 38% 0032826-003 Kitchen - Wall C None Detected Cellulose Fber(Incan) <1% 38W-SM1-03 LAYER 1 Aggregate 30% SM. Coat, White, 24 C Binder/Filler ]6"A None Detected Cellulose Fber (Inc.) 2% Hair (Morph) <1 LAYER 2 Aggregate 60% Plaster, Beige Binder/Filler 38% Analyzed by: a - envi Core PAGE 15 OF 18 Reviewed by: 1< Page 1 of 2 John Peralta EnvioCore Environmental, LLC 1685 S. Colorado Blvd. Denver CO 80222 Collected: 03/052021 Collected By: John Peralta Collection Address: 3880 Newland St. Lab ID Sample # Sample Location / Sample Description W heat o Q; Non -Asbestos Constituents (%) 0032826-004 Kitchen - Floor None Detected 3880-FCt-01 J Aggregate 30°A Ceramic Floor Tile, Beige, 24-C D'r15�C, Non -Fibrous Malenal 70% BATCH NO. None Detected 0032826 <1% NI Lab Code 102031 Aggregate AHA Lab Code 101538 Customer Project No.: Mastic, Cream Description: 0321-14 3880 Newland St. Dare Received: 03/08/2021 Date Analyzed: 03/09/2021 Dare Reported: 03/09/2021 Cellulose Fiber(Incom) Comments: LAYER 3 Lab ID Sample # Sample Location / Sample Description Asbestos Constituents (%) Non -Asbestos Constituents (%) 0032826-004 Kitchen - Floor None Detected 3880-FCt-01 LAYER 1 Aggregate 30°A Ceramic Floor Tile, Beige, 24-C Non -Fibrous Malenal 70% None Detected Cellulose Fiber(Incom) <1% LAYER 2 Aggregate 15% Mastic, Cream Carbonates 25% Binder/Filler 60% None Detected Cellulose Fiber(Incom) <1% LAYER 3 Aggregate 45% Thin Set, WTKe Carbonates 30% Binder/Filler 25% 0032826-005 Kitchen - Floor None Detected 3880-FC1-02 LAYER 1 Aggregate 30% Ceramic Floor -rile, Beige, 2CC Non -Fibrous Material 70% None Detected CelulmeFiber(Incom) <1% LAYER Aggregate 15% Mastic, Cream Carbonates 25% Binder/Filler 60% None Detected Cellulose Fiber(Incom) <1% LAYER 3 Aggregate 45% Thin Set, Witte Carbonates 30% Binder/Filler 25% Analyzed by: /x— envi Core PAGE 16 OF 18 Reviewed by: I< Page 2 of 2 Inspection Certifications uv=r,9 Y 14�n Colorado Dcp3nmcnt of Public I Will and Fmv mnment ASBESTOS CONSULTING FIRM This certifies that EnvinCure, LLC Reghlralion No.: ACh • 11660 has mer the rcgistration r quirentcnts of 25-1.501, C.R.S. and the Air Quality Control Commission Regulation No. R. Pnn 11, and is hereby ma orired to perfomt asbestos consulting activities as required under l4gulation No K. Parr B. in the state of Colorado. Issued. February 14,:020 Expires: Fehmary 14, 2021 / _ _ .: . 9AI env) Core PAGE 17 OF 18 ok W heat U J �4��an9 Dvooc � ► � i City of Wheat Ridge Homeowner Interior Remodel PERMIT - 202100321 PERMIT NO: 202100321 ISSUED: 04/01/2021 JOB ADDRESS: 3880 Newland St EXPIRES: 04/01/2022 JOB DESCRIPTION: Kitchen remodel - Replace flooring, cabinets and appliances; update electrical and plumbing, run new gas and water lines - 200 sq ft total (Licensed electrician and plumber will be hired) *** CONTACTS *** OWNER (720) 937-2276 BROOM STEVEN J & STEFANIE SUB (720)402-8784 TYLER COUPENS 180354 TYCO PLUMBING CORPORATION SUB (303)422-9219 J. DAVID DOHERTY 018046 PIPER ELECTRIC CO. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 37,100.00 FEES Total Valuation 0.00 Plan Review Fee 384.51 Use Tax 779.10 Permit Fee 591.55 ** TOTAL ** 11755.16 *** COMMENTS *** *** CONDITIONS *** A printed copy of the permit and city stamped on-site plans must be available on-site for the first inspection. I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. NOTE: Consultations and inspections will only be performed with the homeowner of record present. All roughs to be done at Framing Inspection. 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* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Homeowner Interior Remodel PERMIT - 202100321 202100321 ISSUED: 04/01/2021 3880 Newland St EXPIRES: 04/01/2022 Kitchen remodel - Replace flooring, cabinets and appliances; update electrical and plumbing, run new gas and water lines - 200 sq ft total (Licensed electrician and plumber will be hired) 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. 04/01/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax 11_/ / S -�k-�, P-7� !!INSPECTION NOTICE { o-) /-% J t -J 'I , Inspection Type: FIN T4 Job Address: .�!§'50 Permit Number: �Z-0) j C9 ❑ No one available for inspection: Time�-2� S% �/P r Re -Inspection required: Yes' No When corrections have been made, call for re -inspection at 303-234-5933 Date:%S' Inspector: 1�`"-------- 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: n Job Address: Permit Number: r22 Z) 6 V s t ❑ No one available for inspection: Ti�r4lpM Re -Inspection required: Ye No When corrections have been made, call for re -inspection at 303-234-5933 Dat:.` Inspect' t ` DO NOT REMOVE THIS NOTICE a� i CITY OF WHEAT RIDGE Buildinspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 32 1 j�- Job Address:] '�'"� ►. �� YTn.�� %r' r - Permit Number: ❑ No one available for inspection:.Time( '`� AM M Re -Inspection required: Yes 'INo When corrections have been made, call for re -inspection at 303 -234 - Date:— G :�-) , I -:iInspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building inspection.ivision (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:- Job Address:' Permit Number:;/} ❑ No one available for inspect' n:`Timd I I ' .AWPM Re -Inspection required: Ye No When corrections have been made, ca/1 re -inspection at 303-234-5933 Date: '- ^civ? • /Z Inspector: -- DO NOT REMOVE THIS NOTICE i CITY OF WHE4T RIDGE bthlding Inspecti Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: _P�<� Job Address: 4 Permit Number:?�7 ❑ No one available for inspection: Time>' AM M Re -Inspection required: Ye ;' N01 _17 When corrections have been made, call for re -inspection at 303-234-5933 Date: '< _R � - � Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line "_:�9r(303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE f> Inspection Type: _ fL I Job Address: ..0 Permit Number: ❑ No one available for inspection: Tim AW PQM Re -Inspection required: Yes ` Nc) When corrections have been made, en- %. ', 6 Date: j "' Inspecto i 'CITY OF WHE*r RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax IN PEI ON Iy,O�TIC,� Inspection Type:"-7'r1� Job Address: Permit Number: ❑ No one available for inspection: Time PS 35—AM/PM Re -Inspection required:` Ye No When corrections have been made, call for re -inspection at 303 -234 - Date: 19 Inspector: �---- ®O NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE. - Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Ti - AM/PM Re -Inspection required: Yes No When corrections have been made, F4w4Rr re -inspection at 303-234-5933 Dater Inspects. _ �... t 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 �INPEECON Iy,O�TIC`� Inspection Type:''��I'`�` Job Address: `� 2� -oq�� L-P-� Permit Number: m� ❑ No one available for inspection: Time PS 5-AM/PM Re -Inspection required:Ye No When corrections have been made, call for re -inspection at 303-234-5933 Date: ,'S. Inspector: - DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE, Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:" I Job Address: 7 k.S_ Permit Number: t LlNo one available for inspection: Tiroae-....D<=AM/PM Re -Inspection required: Yes No When corrections have been made, FGaWigr re -inspection at 303-234-5933 Date: Inspect DO NOT REMOY/E THIS NOTICE City of Wheat Ridge Residential Remodel PERMIT - 201900864 M PERMIT NO: 201900864 ISSUED: 05/14/2019 JOB ADDRESS: 3880 Newland St EXPIRES: 05/13/2020 JOB DESCRIPTION: Add bathroom to finished garage - 275 sq ft total *** CONTACTS **� OWNER (720)937-2276 BROOM STEVE & STEFANIE GC (303)917-5275 JESSE KOERNER 180216 303 CONTRACTING CORP. SUB (720)331-2852 ROBERT RAMIREZ 140252 RED FOX ELECTRIC INC. SUB (303)333-2633 MANDELL & JOHNNIE BALWIN 020816 BALDWIN HEATING & A/C, INC. SUB (646)915-4498 CHRIS DONALDSON 140174 FREE PLUMBING LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,000.00 FEES Total Valuation 0.00 Plan Review Fee 163.70 Use Tax 273.00 Permit Fee 251.85 ** TOTAL ** 688.55 *** COMMENTS *** *** CONDITIONS *** All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. �, ► A e City of Wheat Ridge Residential Remodel PERMIT - 201900864 PERMIT N0: 201900864 ISSUED: 05/14/2019 JOB ADDRESS: 3880 Newland St EXPIRES: 05/13/2020 JOB DESCRIPTION: Add bathroom to finished garage - 275 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 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 OWNEW;;;or (Circle one) Date 1. This permit was issued based on the information provided in thepermit application and accompanying Flans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. Z. 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 changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of �/ W heat idge Comma -ry Dr-VUL01 MEN -r 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: permits4ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit# "oJ D� 7 Plan Review Fee: 2• �l1 Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 3$$o t\'kw(u'J S4• Property Owner (please print): St��g�y g 7 Z Z 7d Property Owner Email: r o,,r Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: Citv. State. Zia: Architect/Engineer: Architect/Engineer E-mail: Contractor Name: 36 Phone: City of Wheat Ridge License #: I G o 2 i fo Phone:;�) _gt-7 .S -Z -� -3- Contractor E-mail Address: , cSse- • ko-1C1r1%.cr(977 gg1• �r�� For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Je-SSc Phone: 3d3 9r? Z �� CONTACT EMAIL(p/ease print): Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License 4 Residential Interior Remodel Permit Submittal Checklist Applications for Residential Interior Remodel projects such as interior remodeling of kitchens and baths, basement finishes, conversion of space to a different use and similar projects are reviewed by the Building and Inspection Services Division for compliance with applicable ordinances and design criteria and are required to be approved prior to issuance of a building permit. Conversion of existing space to a new use may require additional review and approval by the Planning Division. The following list of documents or information is required at the time of submission of application for permit: • Completed City of Wheat Ridge Permit Application form containing the following: o Property owner name, address and contact information o Contractor and subcontractor information (A contractor currently licensed with the City of Wheat Ridge, possessing a minimum Class 3 license, is required at the time of permit issuance unless all work is performed by the property owner and that owner resides at the property currently and for a minimum of year from the date of completion of the project) o Detailed description of work to be performed o Contract value of all work to be performed o Printed name and signature of individual submitting application • A copy of the PropertV Deed or other document(s) verifying residency/ownership may be required prior to acceptance of an application issuance of a permit • Two (2) sets of minimum 11" x 17" construction plans containing: o Completed applicable City of Wheat Ridge Building Guide and/or floor plans depicting existing conditions and proposed new conditions, including location of all walls, appliances, windows, fixtures and electrical outlets o Detailed drawings of existing and proposed systems and components (i.e. plumbing, electrical, etc.) as necessary to facilitate review o Engineer's Letter for structural modifications may be required. "APPLICATIONS THAT ARE INCOMPLETE OR LACKING SUBMITTAL DOCUMENTS WILL NOT BE ACCEPTED BY THE BUILDING DIVISION." 1 Complete all highlighted fields, if applicable. ❑COMMERCIAL ❑RC 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. ADO a� �roo/+ �in .-skc d 9 caw a (v/l C ��tr�<tL� I C (c —I +/ ib coJL -- as a Q�nS«t � �< S,�hr•�o,. ��x�-vim S - n tri Sq. FULF 27 S s _ BTUs 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) $ r3.000 — 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 assurne 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (2NTRACT or (AUTHORIZED REPRESENTATIVE) of (OW.YER) (CONTRACTOR) Signature (first and last name): Printed Name: ZONING COMMMENTS: Reviewer: BUILDING DEPA ENT OMME TS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY DATE: S OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Ve A -.11 &)) Building Division Valuation: Vw City of Wh6atP,, idge COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: 3!$ 5Cj 5 fi Permit #: General Contractor: 303 q, Electrical Sub -Contractor Company Name: Phone #: State License #: Master #: Wheat Ridge License #: (required field) Signature of Authorized Agent Date Company Name: Phone #: State License #: Master #: Wheat Ridge License #: (required field) Signature of Authorized Agent Date Company Name: Phone: Wheat Ridge License #: (required field) Signature of Authorized Agent Date City of Wh6atI�idge COMMUMTY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: 3880 Newland St General Contractor: 303 Contracting Corp Electrical Sub -Contractor Company Name: State License #: Permit #: Phone #: Master #: Wheat Ridge License #: (required field) Signature of Authorized Agent Plumbing Sub -Contractor Company Name: Free plumbing Ilc State License #: 0003160 Date Phone #• 720-722-2630 Master #: 00600094 Wheat Ridge License #: 140174 (required field) 6ra*-d� Fi+.wi't 5-5-19 Signature of Authorize en Date Mechanical Contractor Company Name: Phone: Wheat Ridge License #: Signature of Authorized Agent (required field) Date City of Wh6atpsj4d ¢e COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: 3880 Newland Street Permit #: General Contractor: 303 Contracting Corp Electrical Sub -Contractor Company Name: Phone #: State License #: Master #: Wheat Ridge License #: (required field) Signature of Authorized Agent Date Company Name: Phone #: State License #: Master #: Wheat Ridge License #: (required field) Signature of Authorized Agent Date Company Name: Baldwin Heating & A/C, Inc. Phone: 303-333-2633 Wheat Ridge License #: 020816 (required field) W&A7 M. 5/2/2019 Signat re of Authorized Agent Date City of Wh6atPsjdc COMMUNITY DEVELOPMENT g SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and license must be up to date prior to permit issuance. 3880 Newland St. Project Address: Wheat Ridce, CO 80033 Permit #: General Contractor: Electrical Sub -Contractor Company Name: Red Fox Electric Inc. Phone #: (303) 598-6462 State License #: EC.0100362 Master #: ME.0030017 Wheat Rid a icense #: 140252 (required field) 5/01/2019 Signature Authorized Agent Date Plumbing Sub -Contractor Company Name: Phone #: State License #: Master #: Wheat Ridge License #: (required field) Signature of Authorized Agent Date Company Name: Phone: Wheat Ridge License #: (required field) Signature of Authorized Agent Date ! � ._- 1--i! ___i_ ► i � s I ;� I' � I I I I ' . , i ! ff ' L14 I� i 1-j Adding i __( _ Finished Bathroom to Garage tractfn �!z�. I 1041" i i — I = „I I - - , I i - j - - - i 70'F, i iI } I 3° 3 Co ! I I{ i I Wheat Brfore BDIQew anUZ C ,dge CO 80 33 E c I i P j i I I i i I I I i I I 1 I I MUM I � i l l i I I --�__}__ � I � ► L I • tier _ t 1 _i _ _ __J_ - /m r APPR i I I i i I � I ,P Re iew f Plans E aminer Date (( cD ZAj 225' i 1� iI j ��l of gmo of pwmR opp of ns P I ( ( i I j P I 1 OnOeanpuronora >tlwN rat be a vamrt/br, on sqr of ttb proW�lom of the codM'—=moi O�OW al_7 ony lotion —_ 3 1— .i I L I _ --- 1 I �� _� _ J _ _ i --I— a- j _®, �_ ,— I I--- i �_J--..-._J_..._�L�L^.I.-_-_.�f._�. { ' i I i j � i� i I ! i ► I 'I ! i 1 I I � _'____ i j � _._ I — L___---`-- I i { Adding lBathroom Finished Garage_�____�—_ to 1 60,E 1 Lj -- — -- — I ` i 0 ;racting 83 Wheat �Id i 33 ISHO ., A EE. CT.EXQ` I_ 1 -I 5---- L_�i__ _t _ _k existing ceiling e fisting fI exteri8r finis I ----L I ed wall --1 j 1 I ,�1A j I !vani Frame floor off current Frame interior wall Run n w circuit for add lighting _.Bdn he.dronmu Run new plu,bing sho er toiletl__L— New xhaust fan New sla v' I athro' m or: — N I I I o --L { - eat -rein i�Coset (home gwner - nPsh) - i I { 1 { i I 4 1 d NJ !2" v lid I every24" i ! 2 I a 8 treated p yI- floor su joi oor is I ! Sout I j + j I ncreteSla Eo i i 2..,,, - ----- — --! i he tR ge _ + � UI DM on mm City of Wheat Ridge Residential Mechanic PERMIT - 201900617 PERMIT NO: 201900617 ISSUED: 04/04/2019 JOB ADDRESS: 3880 Newland St EXPIRES: 04/03/2020 JOB DESCRIPTION: Install new 3 ton, 13 SEER AC; ductwork existing *** CONTACTS *** OWNER (303)591-7430 BROOM STEVE SUB (303)333-2633 MANDELL & JOHNNIE BALWIN 020816 BALDWIN HEATING & A/C, INC. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,057.00 FEES Total Valuation 0.00 Use Tax 106.20 Permit Fee 140.90 ** TOTAL ** 247.10 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications= applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this�permrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be per and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signay�re of OWNER or CONTRACT (Circle one) m Date 1. I his permit was issued basc'rd-su.thednfb6nation 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 anv manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief BuildingDate REQUESTS MUST BE MADE BY 11:59P9 ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of CWheat e OMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a-)-ci.wheatridge.co.us FOR OFFICE USE ONLY Date: , J • ,'' Plan/Permit # , u � qb I 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:��(i' �,�[,✓ �lIC S/ . Property Owner (please print): ��R.ye prOD M Phone: 3a_ -Eq/--2?b Property Owner Email: Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address:,t�y? City, State, Zip: Architect/Engineer E-mail: Contractor Name: City of Wheat Ridge License #: Contractor E-mail Address: Phone: Phone: �C -L33 --�U .33 For Plan Review Questions & Comments (please print): CONTACT NAME (please print):�fi k rr 01 6 Gc�w.`h Phone: CONTACT EMAIL(p/ease print): Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields, if applicable. ❑COMMERCIAL ERESIDENTIAL 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. /4 r' ca - Sq. FULF BTUs 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 truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or AUTHORIZED REPRESENTAJVIVE) Signature (first and last name): Printed Name: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY of (OWNER) (CONTRACTOR) DATE: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax [NI P UJON NPTICE Inspection Type: Job Address: 1GLk'yI Permit Number:�� _t v f� 7&-L- 70 �Aw � ❑ No one available for inspection: Time 2•'w O_ Re -Inspection required: Yes51 When corrections have been made, call for re -inspection at 303 -234 - Date: 2Z, u f /e Inspector: A ll 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: Job Address: Permit Number: 71. Q 19 ❑ No one available for inspection: Tim AM/PM Re -Inspection require Yess'No When corrections have been m. Dat� — Ins call fd> re -inspection at 303 -234 - It, * �A i CITY OF WHEAT RIDGE . Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTI N OT�CE )l ?o/- �Ck e Con Nva f Inspection Type: 3/ V- m e 4-cr Re )elq 9-e Job Address: 3 S S O /V e w a„ S -7 - Permit Number: '3 o 18 0 1 c7 /� 0 ❑ No one available for inspection: Time AM/PM Re -Inspection required: es No When corrections have been made, call f re -inspection at 303-234-5933 Date: [ Inspect DO NOT REMOVE THIS NOTICE City of Wheat Ridge E -Res. Electrical Service Upgr PERMIT - 201801966 PERMIT NO: 201801966 ISSUED: 07/10/2018 JOB ADDRESS: 3880 Newland ST EXPIRES: 07/10/2019 JOB DESCRIPTION: Electrical service upgrade from 100 amps to 200 amps. Installation of a new panel and meter enclosure. Re -feed existing to remain 100 amp panel. Wiring in a new hot tub. *** CONTACTS *** CON (720)937-2276 Stefanie Broom Nostalgic Homes SUB (720)989-1106 Robert Tyler Grasmic 180148 Grasmick Electric Corp OWNER Wendell Lynch *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,000.00 FEES Total Valuation 0.00 Use Tax 63.00 Permit Fee 93.35 ** TOTAL ** 156.35 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. City of Wheat Ridge E -Res. Electrical Service Upgr PERMIT - 201801966 PERMIT NO: 201801966 ISSUED: 07/10/2018 JOB ADDRESS: 3880 Newland ST EXPIRES: 07/10/2019 JOB DESCRIPTION: Electrical service upgrade from 100 amps to 200 amps. Installation of a new panel and meter enclosure. Re -feed existing to remain 100 amp panel. wiring in a new hot tub. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applica le building codes, and all applicable municipal codes, policies and procedures, and that I an the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. 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 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 pf a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applica ode_or any oppance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City o1 W heat f COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(oki.wheatridge.co.us FOR OFFICE USE ONLY Date: / I / / I C' Plan/Permit # Plan Review Fee: J/ Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 3880 Newland St. Wheat Ridge, CO 80033 Property Owner (please print): Stefanie Broom Phone: 720-937-2276 Property Owner Email: stefanie(cDnostalgichomes.com Tenant (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Phone: Contractor: Grasmick Electric Corp. City of Wheat Ridge License #: _180148 Phone: 720-899-0947 Contractor E-mail Address: ty(a-)-gecelec.com For Plan Review Questions & Comments (please print): CONTACT NAME (please print): John Adams Phone: 719-252-9967 CONTACT EMAIL(please print): john gecelec.com Sub Contractors (Must provide Wheat Ridge License No.): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # ❑ COMMERCIAL ❑x RESIDENTIAL 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. Grasmick Electric is performing a service upgrade to the above address. We are upgrading from a 100 amp to a 200 amp service. We will install a new panel and meter enclosure and re -feed the existing to remain 100 amp panel. We will also be wiring in a new hot tub. I am re -submitting this form because the address was incorrect. The above is the correct address 3880 Newland St. Wheat Ridge, CO 80033 Commercial Projects Only: Occupancy Type: Construction Type: Sq. FULF BTUs Amps Squares Gallons Project Value: (Contract value or the cost of all materials and labor included in the entire project) s3000.00 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNE16L CONTRIACTO or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): �� J \ DATE: 7/1-0/18 Printed Name: Ty GraSM'Ck ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: i CITY OF WHEAT RIDGE �9Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes Co When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspecto �a t DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE �9Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes Co When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspecto �a t DO NOT REMOVE THIS NOTICE ® A City of Wheat Ridge Residential Roofing PERMIT - 201705100 PERMIT NO: 201705100 ISSUED: 07/31/2017 JOB ADDRESS: 3880 Newland ST EXPIRES: 07/31/2018 JOB DESCRIPTION: Residential Re -roof to install Atlas asphalt shingles - 18 sq *** CONTACTS *** OWNER (303)422-4193 LYNCH WENDELL G SUB (303)425-1083 Matthew Rock 017908 Rock's Roofing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,000.00 FEES Total Valuation 0.00 Use Tax 147.00 +� Permit Fee 156.75 - -- ** TOTAL ** 303.75 --- *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. 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. City of Wheat Ridge Residential Roofing PERMIT - 201705100 PERMIT NO: 201705100 ISSUED: 07/31/2017 JOB ADDRESS: 3880 Newland ST EXPIRES: 07/31/2018 JOB DESCRIPTION: Residential Re -roof to install Atlas asphalt shingles - 18 sq 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 I further tte at I am legally authorized to include all entities named within this document as parties to the work to be performed and �ork to be performed is disclosed in this document and/or its acf ompapying approved plans and specifications. gnature 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 and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner, shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz 70 �70) l 0 0 From: no-reply@ci.wheatridge.co.us Sent: Friday, July 21, 2017 2:11 PM To: CommDev Permits 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 3880 Newland St. Wheat Ridge, CO 80033 Property Owner Name Wendell & Mildred Lynch Property Owner Phone 3034224193 Number Property Owner Email Field not completed. Address DIL 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 Business Rock's Roofing Inc. Name Contractor's License 017908 I Number (for the City of l� Wheat Ridge) Contractor Phone 3034251083 Number Contractor Email Address rocksroofinginc@hotmail.com Retype Contractor Email rocksroofinginc@hotmail.com Address DESCRIPTION OF WORK % Are you re-decking the No / roof? Description of Roofing Atlas Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 18 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 18 (pitched + flat) of all roofing material for this project z Provide additional detail Remove existing layer. Base Felting, Install ice shield on eves here on the description of & valleys. Install Atlas Pinnacle Pristine roofing system. work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 7000 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 Rock Email not displaying correctly? View it in your browser. 3 ROCK'S ROOFING, INC. 3820 Quay Street Wheat Ridge, Colorado 80033 www.RocksRoofinginc.com ROOFING EXPERTS OF COMMERCIAL AND RESIDENTIAL SINCE 1968 MN Fax 303-940-9358 SUBMITTED TO aha~ �- PHONE DATE ✓� l �� - -- (a13 STREET NAME / EMAIL CITY, STATE AND ZIP CODE JOB LOCATION 1 y �4 r a3� 0l�t' Cicx New Shingle Color IS o, o cJ Cc-, t cg r Initials Tear Off at 11 Nx:Stt'! n Base Felting e-* i Install Ice Shield A 1 r,"syc, Ie /S Install Shingle Manufacturer -�_c.,s New Valleys Type C oSf�-ct Ridge Venting In0g lea Roof Height C) Paint Roof Stacks Oroury,Roof Slope? Ridging t Y7. t,.(L_�.Lech Metal Edging Lilt l—�ec� Replace Plumbing Jacks 1.5" 2" 2 3" t 4" 5"_ Counterflashing Y Stepflashing Warranty Replace gutters L.F.? Replace down spouts L.F.? Gutter Goiof? "?P isf AeJk'P C e '�' Protect all Landscaping Clean up and haul off trash Roll yard with magnetic roller Install six nails per shingle This estimate does not obligate the homeowner or Rock's Roofing Inc. in any way unless it is approved by the insurance company and accepted by Rock's Roofing Inc. By signing this agreement the homeowner authorizes Rock's Roofing Inc. to pursue the insurancecomm any at the homeowner's best interest for a roof replacemenMr repair at a price that is agreeable to the insurance company and to Rock's Roofing Inc. with no additional cost to the homeowner except for their deductible. When the insurance company and Rock's Roofing Inc. agree upon a price, that price will become the final contract price and Rock's Roofing Inc. will receive all insurance proceeds for the work completed by Rock's Roofing Inc. We propose to complete the work in accordance with the above specifications and subject to conditions found on this proposal. fr\, l LCL IV ACCEPTANCE OF PROPOSAL -This proposal becomes a legal and binding contract within 72 hours from date of acceptance. 1 1/2% per month interest will be added to all accounts 30 days past due. In addition, cost and reasonable attorneys fees for collections may be charged on any account past due over 30 days. Payment is to be made at time of completion. Failure to pay can constitute a mechanics lien filed against the property. All materials guaranteed to be as specified. All work to be completed in a work-manship manner to standard practices. All damages to buildings are excluded 30 days after completion date and the owner is notified that any damage to contents will be the responsibility of the owner and his insurance company. All damages to the building, which occurred while roofing was in progress, will be covered by the contractor. All agreements are contingent upon strikes, accidents, or delays beyond our control. Scheduling will be done based upon date signed but limited to availability for materials, crews, and weather conditions. This proposal expires thrity (30) days after the date stated above if not earlier accepted, revised, or withdrawn. m 4- p j�pr,tlSz U;.�iJe K 60Q Additional Work Performed 16 C1 c: K 'S �A a /C��(\S G j_NN -S C Inc 1 ja /f -1, p an d r_1. -At3iP 4-�s. isl_.o n_.. .i J�J"� 715 "� �V err 15�..�)oq_ 7 :2 WE HEREBY PROPOSE to furnish labor and materials in accordance with the above specifications for the sum of: E2 Payable Upon Completion of Work :-Visa & MasterCard Accepted. Financing Available. Ilars ($ CONTRACTOR SIGNATURE. 4 CUSTOMER SIGNATURE ,,A&2hr/99 Qe-4,1� INSURANCE COMPANY �� .-1 4p� DATE OF ACCEPTANCE CLAIM # ADJUSTER PHONE # 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: /U Permit Number:;�Ct ✓ G ` T /y0 ❑ No one available for inspection:Time %' `" j AM/ ti M j Re -Inspection required: Yes CN) When corrections have been made, call for re -inspection at 303-234-5933 Date: I f Inspector:'�> u DO NOT REMOVE THIS NOTICE INISP CTION RECORD Occuaancvfrvae �INSP�CTION ON (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. 1 Rkl Nl l l < , ri t' I , . C JLAO rLV VK DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN; RPlum bing fie ervice ctric mbing Gas PiDina I MI' Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROOPPniRr Insulation Drywall Screw FINALS Electrical Plumbing Mechanical ' o Roof Building Final Fire Department -, R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping SHOULD BE CALLED 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 f PROTECT THIS CARD FROM THE WEATHER INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof/ French Drain Sewer Service Lines Water Service Lines POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ♦ i CITY OF WHEAT RIDGE Building Inspection Division r (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NO /( TICE Inspection Type: Job Address: Permit Number: /oz c:;;o U ❑ No one available for inspection: Time AM /PM Re- Inspection required: YesNg � When corrections have been made, call for re- inspection at 303 - 2345933 i Date: Inspector. _L� DO NOT REMOVE THIS NOTICE f .. •- CITY OF WHEAT RIDGE 1 roO p t Building Inspection Division (303) 234 -5933 Inspection line t oo (303) 235 -2855 Office " (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type ^f � � '✓�� Job Address kwg Permit Number e'°r r 8 f 09 aA ,I ..5'�'f`U' 07F ogrVX �•" ' City of Wheat Ridge 1� Residential Mechanic PERMIT - 102607 PERMIT NO: 102607 ISSUED: 11/19/2010 JOB ADDRESS: 3880 NEWLAND ST EXPIRES: 11/19/2011 DESCRIPTION: Replace 95% AFUE furnace * ** CONTACTS * ** owner 303/422 -4193 Wendel Lynch sub 303/425 -4550 Louis White 01 -8932 Rocky Mountain Heat ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0403 USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** Permit Fee Total Valuation Use Tax ESTIMATED PROJECT VALUATION: 3,290.00 FEES 40.00 p_ 59.; ___... ** TOTAL ** 99.22 Conditions: Work shall comply with 2006 IRC & 2005 NEC. Per IRC Sec. R313, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. Carbon Monoxide detectors are required to be installed within fifteen(15) feet outside the entrance to each sleeping room. Subject to field inspections. I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat R�e Ordinances, ..or qrk under this permit. Plans subject to field inspection. Signa" bf contractor /owner ° date l 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 (1) year, full fees shall be paid for a new permit. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. G. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan revievh is subject to field inspections. date N REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. C'it of 7_ Y i t_6at ge Date: CO MMUNITY DEVELOPMENT Plan # Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Permit # ' h +, Office: 303- 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303- 234 -5933 J Building Permit Application Property Owner (please print) tA)r,1 e (;ua�6 Phone: . 2 - -y Mailing Address: (if different than property address) Address: City, State, zip: vin�� o� U C Contractors City License M Phone: Sub'Contractiis; Electrical: Plumbing: Mechanical: City License # City License # City License # tie3�r�pti�n:�f wor� / L' ror lS Contract Value: 4— e.��G ems{ �55' �f ✓E $ Review Fee (due at time of submittal): Squares BTU's Gallons Amps Sq Ft. $ 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 records 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 b legal o any entity included on this application to list that entity on this application. CIRCLE ONE' (O ER) CONTRACTOR). o (AOTHORIZED REPRES /EN'T�A /TIVE))oojf (OWNER).. (CONTRACTOR) PRINTNA E: /� S[GNATORE! 6a/�- 9.f DATE: ✓ ' � � U�P/�RTIgIE�� USE Olal � � ; '�� ' ' ' s�� '. ✓` TONIRO COMMEb1TS -' r J - . 7 ` rn �>x^ ✓1 ra 1��z � F�.� '��'s.d� � >��=r �� < � �t r �.>J�... .✓: r,-; �� >�r. J ✓°� J� 1'.^'"J�, ✓s JJ s n✓ / � a `�> '' n/ *'Ivi Yonlm ) i J¢ 4� t I ✓s.,.a x" j •� a , i r+n^"r.. r /��y ��Sw�st � �✓ � J y l v l c � �J „-. � z 4 /J � � � 'ir /'' ""'' � r ( < �> a , / rs G ✓i ,^,I Jr�� ? ,u� -.if c!r � .J'.r -u, �F`��'�'�33*j��.wY/� 1��'" Tti .>a�� „ BfiliD]NG7lEPAR'(fJIENTGOMMEN7S '✓�: � r ,� � ✓ F J �"-^ L - a ,c ✓ r ✓ -�' e j � �2eVJeWei� ✓ J � f ' � � }v ✓ � a � "✓ 5 J � � is � � � �,v >��`d 2� ecty ✓ �. t y ✓ J i r� i K J Ny' Y rr /r v> t r 'Yr' i✓ <, �; � 'r ,✓ '� i n✓ P v � ��71 ^jvf^� � �� F�" y� �r � r r� r� PUBLIC WORKS C J31 ENTS �' � J � � / ox � `' � ' ✓ r Q� " -r > I r h r r 3 � ✓lUL�CUE)AT�GYi RevJevyer'l > � . 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