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4080 Fenton Court
h City of Wheat Ridge Residential Roofing PERMIT - 201703645 PERMIT NO: 201703645 ISSUED: 07/10/2017 JOB ADDRESS: 4080 Fenton CT EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -Roof to install Malarkey Vista asphalt shingle with 14 sq house and garage re -roof 5/12 pitch *** CONTACTS *** OWNER (303)898-4510 MARBACH REBECCA ANNE SUB (303)791-2223 Eileen R. Ponzio 018699 RTP Roofing Co. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,745.00 FEES Total Valuation 0.00 Use Tax 162.65 Permit Fee 172.60 ** TOTAL ** 335.25 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201703645 PERMIT NO: 201703645 ISSUED: 07/10/2017 JOB ADDRESS: 4080 Fenton CT EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -Roof to install Malarkey Vista asphalt shingle with 14 sq_ house and garage re -roof 5/12 pitch 1, 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 to 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 thisyermit. 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. a 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 and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applica ode 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. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Dane Lovett From: no-reply@ci.wheatridge.co.us Sent: Tuesday, June 27, 2017 9:35 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name 4080 Fenton Court Rebecca Marbach Property Owner Phone 303-898-4510 Number r ;J CX Property Owner Email barbara@rtproofingco.com Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number RTP Roofing Company 018699 303-791-2223 Contractor Email Address barbara@rtproofingco.com Retype Contractor Email Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material barbara@rtproofingco.com No Malarkey Vista Shingles Asphalt If" ther" is selected Field not completed. above, describe here: How many squares of the 04 material selected above? Does any portion of the No,/ property include a flat V roof? If yes, how many squares Field not completed. on the flat roof? z TOTAL SQUARES of all, 14 roofing material for this project Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) House and garage re -roof --5/12 pitch 7745.00 V 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 Barbara L Neil Email not displaying correctly? View it in your browser. 3 XrP ROOFING CO. ROOFING A\T) GLU717ER SPECIALIST Customer Info: Job #: 3534 Marbach, Rebecca 4080 Fenton Court, Wheat Ridge, CO, 80212 (303) 898 -4510 -mobile Re -Roofing- & Gutters...House RTP Roofing Co. 4011 S. Federal Blvd, Sheridan, Co. 80110 Phone: (303) 791-2223 Fax: (303) 791-3534 Company Representative: Scott Ponzio (303) 791-2223 ScOtt@rtproofingco.com Job Number: 3534 Permit Fee To Be Determined Upon Purchase. -- Wheat Ridge �Qt�antity Unit - I EA Remove Tear off - 1 layer, haul and dispose of shingles - Laminated or equivalent 9.71 SQ Remove Tear out, haul and dispose of modified bitumen roofing Replace Ice & Water Shield - Along Eaves » Tamko Moisture Guard ? 3.95 SQ Replace Roofing felt - 30 Ib. x� GAF » g SF _ _ ` � � 177 Shin le -Mate 30# (4SQ/RL) (' *Dote: 301b felt used during 2011 roof replacement 8 SQ R & R Drip edge / Gutter Apron -* 2"x2" 2 t --le- $175.50 $1.65 R & R Rake Edge » 1 "x2" » White59 2�2 .u�.�,� $33.39 LF & R 90# Rolled Roofing/Closed Valley $6 LF Z & R Flashing - pipe jack 53 LF Z & R Roof vent, Slant Back, Metal 3 EA t & R Kitchen Vent 4 EA & R Exhaust cap, through roof -Up To 4 �� 1 EA & R Furnace vent, rain cap and storm collar, 8" 4 EA & R Flashing, split boot 1 EA eplace Prime and Paint roof Penitrations 1 EA astal! Skylight & Flashing Kit _ _ . 14 EA _ _. _. <ylights Remove &Replace Broken skylights with Velux FCM Shingle- 2 #3046 Skylights EA place __ .. Laminated- Standard without felt 3-4/bids 2 EA 3place Ridge cap - dimensional shingles 11 S Q place Modified Bitumen - Self Adhered Fiat Roof System 58 LF Place Eiastameric roof coating -Flat Roof 4.33 SQ 3L R Remove & Replace- 5" Alum. seamless gutters with End itlets,downspouts and elbows 118 SF with material for handm! Mall Build and install Hand Miter/ Custom Corners corner LF A"`. chid Garage scription nove Tear off - 1 layer, haul and dispose of shI livalent rove Steep Roof Charge, 7/12 - 9/12 lace Roofing felt - 30 lb. R Drip edge / Gutter Apron . R Rake Edge n e;s-�L am or Price $0.00 $51.30 _Total $0.00 $498.12 $44.43 $175.50 $1.65 $292.05 $33.39 $267.12 $2.39 $141.01 $2.26 $194.36 $5.06 $268.18 $40.15 $120.45 $57.85 $231,40 $57.85 $57.85 $75.32 $301.28 $91.15 $91.15 $69.11 $69.11 $27.33 $382.62 $124.80 $249.60 $378.62 $757.24 $200.00 $2,200.00 $6.01 $348.58 $353.48 $1,530.57 $2.15 $849.25 $5.79 $683,22 - 1 EA $1500 $15.00 9 & Gutters --House total: $9,723.66 Quantity unit 4.12 SQ 4.12 SQ 4.33 SQ 50 LF 34 LF Price Total $51.30 $211.36 $11.94 $49.19 $33.39 $144.58 $2.39 $119.50 $2.26 $76.841 K R"`Roof, vent, Slant Back, Metal Replace Prime and Paint roof Penitrations - 2 EA Install Replace, Steep roof charge, 7/12 to 9/12 - 1 SQ Replace Shingle- Laminated- Standard without felt 3-4/blds .. place Ridge cap -dimensi4.67 SQ onal shingles 25 LF R & R Rem gve & Replace 5" Alum. seamless gutters, End Caps, Outlets, downspouts and Elbows 82 LF RTP ROOFING COMPANY WARRANTY: $57.85 $115.70 $27.33 $54.66 $37.54 $37.54 $200.00 $934.00 $6.01 $150.25 $5.79 $474.781 Detached Garage total: $2,368.40 Total for all sections: $12,092.06 Total:$12,092.06 FROM THE DATE OF COMPLETION, RTP ROOFING COMPANY HAS A TEN YEAR LABOR AND WORKMANSHIP WARRANTY ON THE WORK PERFORMED. COLORADO RIGHTS: 'ER COLORADO LAW (SB -38) YOU HAVE A 72 HOUR RIGHT OF RECISSION AFTER SIGNING A CONTRACT OR AFTER RECEIVING VOTICE IN WRITING THAT YOUR INSURANCE CLAIM HAS BEEN DENIED, YOUR ROOFING CONTRACTOR CANNOT PAY OR W (OUR INSURANCE DEDUCTIBLE. AIVE 3EE ADDITIONAL TERMS AND CONDITIONS - SEE ATTACHED FORM. ;TP ROOFING COMPANY'S INSURER IS PINNACOL ASSURANCE FOR ALL OUR EMPLOYEES. :ompanY Authorized Signature' Date Customer Signature Dat----._._... Customer Signature Date - -his estimate was last edited by Scott Ponzlo ((303) 791-2223, Scott @rtproofincgco.com) on June 05, 2017. The estimate nay be withdrawn if not accepted within _ 11da s, Y 7o1,701306- iyC}eC2 �C-6 INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Comments Pier Landscaping & Parking / Planning Dept. Concrete Encased Ground (CEG) Sewer Service Foundation / P.E. Letter ROW & Drainage / Public Works Dept. Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Landscaping & Parking / Planning Dept. Sewer Service Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Plumbing Floodplain Inspection (if applicable) Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Landscaping & Parking / Planning Dept. Mid -Roof Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Lath / Wall Tie Floodplain Inspection (if applicable) Rough Electric Fire Inspection / Fire Protection Dist. Rough Plumbing/Gas Line Final Electrical Rough Mechanical Rough Framing Rough Grading Final Mechanical Insulation Roof Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. 'For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather �^ City of Wheat Ridge Residential Roofing PERMIT - 201703645 PERMIT NO: 201703645 ISSUED: 07/10/2017 JOB ADDRESS: 4080 Fenton CT EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -Roof to install Malarkey Vista asphalt shingle with 14 sq house and garage re -roof 5/12 pitch *** CONTACTS *** OWNER (303)898-4510 MARBACH REBECCA ANNE SUB (303)791-2223 Eileen R. Ponzio 018699 RTP Roofing Co. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,745.00 FEES Total Valuation 0.00 Use Tax 162.65 Permit Fee 172.60 ** TOTAL ** 335.25 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. i 'CITY-OF'WHEAT RIDGE _:��Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE ❑ No one available for inspectioxa Time 11 '-�2 AM/PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: d'` v DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE ��9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: rl_,�, Job Address: Permit Number: J ❑ No one available for inspection: Time / I`'AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 V Date: v/-��� % 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 ❑ No one available for inspection: Time / "' '"AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: % Inspector: (� DO NOT REMOVE THIS NOTICE i *CITY 00"WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE ❑ No one available for inspectio .�Tii)me // AM/PM Re -Inspection required: Yes" N` �._ om When corrections have been made, call for re -inspection at`.303-234-5933 Date: '` Inspector: DO NOT REMOVE THIS NOTICE x1T--= Inspections will not be perfonned un1m this card is posted on the Projmt site. rCall the inspection request line before 11:59 p.m. to receive an inspeetion the following business da7 Inspector Must Sign ALL Spaces pertinent to this Protect InspectionsFoundation ONE Do Not Wall Sh t rX �oof Sh this ( t�ath I Watt Tie Electric Insulation DrYwall Screw / Nall Final Inspections d Ins r Initials Hm 19 ROW & Drainage I Public Woft Dept. , Fire In"etion / Fire Protection Dist. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather loll 111419. & 1111�11-1-1 I I It, , Add to PWM1t # Building Permit Revision/Amendment Application UO 6qka—se print)_ 11 Addonal valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the descdption of work and which were not included in the original permit valuation. it revisions or amenaments increase e onginai vaivation, a I lona MIPM approval. Depending on the scope of work, additional plan review fees may be due upon approve ($60.00 an hour — 2 hour minimum). l�I him QaO I�Ier�ricaJ <iD 2k:isi'�inq .J Sq. FMF Stull rxwl FOR OFFICE USE ONLY Date: City of S. Comm I� i � i+c�PlvtENT 'qglPlowpermito Building &Inspection Services Division 7500W. 29 Ave., Wheat Ridge, CO, 80033 Plea Review Office: 303-235-2865 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building er it Application yj ilk 1 12 ili Address: City, State, Zi Other City Licensed Sub: City LicenseCity License # Other City Licensed Sul e �' "" , � r ter- r • xr x : x r w ,� • r x. r. � . • c. m . -. Sq, FULF Btu's Gallons Amps Squares Other INSPECTION' RECORD Occnpancy /Type INSPECTION REQUEST LINE: (303) 234 -5933 Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 3:00 p.m. to receive an inspection the following business day. Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Monolithic Slab Reinforcement Caissons Concrete Encased Ground (CEG) Footing /Stemwall P.E. Letter Do Not Pour Concrete Prior To Annrnval of Thp Ahnva Inen=rfinns Underground /Slab Inspections Date Inspector Comments omments Electrical (Underground) Sewer Service (Underground) Water Service (Underground) Plumbing (Below/ In -slab) Heating (Below / In -slab) Do Not Cover Under round or Below /In -Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector omments Comments Wall Sheathing Roof Sheathing Lath /Wall Tie Rough Electric Rough Plumbing Rough Mechanical Gas Piping Do Not Proceed Without Approval Of Above Rough Inspections Rough Framing Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Final Electrical Final Plumbing, Final Mechanical Roof /> A. Final Building / Frame Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303 - 235 -2846. For ROW and drainage inspections call 303 - 235 -2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Fire Inspection / Fire Protection Dist. * *Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather ♦ • CITY OF WHEAT RIDGE �,,O Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office * (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type A 4-1- km.71" Job Address yfpg�-- Permit Number llo gy✓,2 " s City of Wheat Ridge / Residential Roofing PERMIT - 110942 PERMIT NO: 110942 ISSUED: 08/09/2011 JOB ADDRESS: 4080 FENTON CT EXPIRES: 08/08/2012 DESCRIPTION: Remove and replace 14.67 sqs of asphalt shingles * ** CONTACTS * ** go 303/791 -2223 owner 303/898 -4510 Eileen R. Ponzio Rebecca Marbach 01 -8699 R T P Roofing Co. ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0426 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 4,920.00 FEES Permit Fee 125.05 Total Valuation .00 Use Tax 88.56 ** TOTAL ** 213.61 Conditions: 6 nails per shingle is required. Ice dam membrane is required from eave edge to 2' inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee will be assessed. I, 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 conjunct' n w th this permit. I further attest that I am legally authorized to include all entities named 'thin this document as ie t the work to be performed and that all work to be performed is disclosed in this docume and /or ts' a pr ed'plans and specifications. Si ure o OWNER or CON CT R ( irc , e 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. S. 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 ode or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Buildi Of al Date INSPECTION REQUES LINE: .(303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge Building Division m 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 237 -8929 OO�ORA00 inspection Line: 303 - 234 -5933 Building Permit Date: Plan M >> Permit #: Property Address'. Property Owner (please print): ac-6 Phone: -20crs -- , )6 Mailing Address: (if different than e/ty address) Address: J � City, State, Zip: @, a� p n A t A 1, n ( e `- t`)/- Contractor: Contractor License #: Sub Contractors: Electrical City License #: Company: Phone: Plumbing City License #: Mechanical City License* Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: q pproval: Use of space (description): —eo Construction Value: $ o e, D Crlption of Work; �/ (as calculated per the Building Valuation Data sheet) O )Z- l tl J2 let— Plan Review (due at time of submittal): $ o ttei f es /' p Sq. Ft. /L.Ft added: Squares /�L BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to fi eldir•sp=or' on. CIRLCE ONE:: (OWNER) PRINT NAME: or :RSONAL REPRESEE�NTATI E of ( WN (CONTRATOR) SIGNATURE: /yA'm C?„- �.�i.� Date: Bldg Valuation: CERTIFICATE OF COMPLETION City of Wheat Ridge 7500 W 29th Ave Wheat Ridge CO 80033 Permit# 102687 Issued: 01/31/11 Stipulations: Repair Home to Pre -Fire Condition. This certificate verifies that the building constructed and/ or the use proposed of the building and /or premises, under the above permit number and on property described below, does comply with the Wheat Ridge Building Code and development standards of the zone district in which it is located and may be occupied. All other licensing requirements for the City must be met. Site Address 4080 FENTON CT Parcel Number: 39- 244 -16 -009 Owner: Rebecca Marback 4080 Fenton Ct Wheat Ridge CO 80033 Contractor: Larry D. Harger RESTORATION SERVICES, INC. 3865 Elm St. DENVER, CO 80207 For the Following Purpose: Residential Remodel Code Editions NO change shall be made in the USE of — 2A06 ICC /2008 NEC this building without prior notice a -"2006 ICC /2005 NEC and a new Certificate of Completion 2003 ICC /2005 NEC from the City of Wheat Ridge. Sprinkler System nspector Zoning Administrator CERTIFICATE MUST BE POSTED BY FRONT DOOR OF COMMERCIAL OCCUPANCIES 02/01/11 08:46:36 City of Wheat Ridge Page 1 bp701 -1s PERMIT INFORMATION - 102687 mmackey PERMIT INFORMATION: Permit #: 102687 Permit Type: Residential Remodel Permit Dt: 12/06/2010 Expires: 12/06/2011 Address: 4080 FENTON CT Parcel Cd: 39- 244 -16 -009 OWNER: Rebecca Marback Address: 4080 Fenton Ct City /St /Zip: Wheat Ridge CO 80033 LAND PARCEL INFORMATION: Zone Cd: Unassigned DU: 1 SetBacks- Front: 0.0 Funct Use: Unassigned Last Zone On: Left: 0.0 Subdivision: AUBREY Annex Dt: Right: 0.0 Coat Type: Miscellaneous Lot: Block No: 0 Back: 0.0 Legal: JOB DESCRIPTION: Fire repair, drywall, ceiling joist repair, insulation FEES QTY DUE PAID: Permit Fee 15,110.61 299.40 109.20 Plan Review Fee .00 39.33 39.33 Plan Review Addtiona .00 155.28 31.65 Total Valuation 3,509.91 .00 .00 Use Tax 15,110.61 271.99 63.18 ---- - - - - -- --- - - - - -- 766.00 243.36 CONTACTS: owner Rebecca Marback 4080 Fenton Ct Wheat Ridge CO 60033 3039805308 go CL1 RESTORATION SERVICES, INC. Larry D. Merger 3865 Elm St. DENVER, CO 80207 3032964106 sub CLA Colonial Electric Cc Chuck Nichols 6200 E. Pacific Place #104 Denver, CO 80231 3036956743 PARCEL INFORMATION: 10 Structure Type RANT 20 Year Built 1950 30 Property Type RESID PERMIT CONDITIONS: KC: Approved per plans and notes on plans. Must comply with 2006 IRC, 2005 NEC, and all applicable City of Wheat Ridge Municipal Codes. Subject to field inspections. APPROVALS: REQUIRED INSPECTIONS STATUS: PERMIT NOTES: 01/19/11 Restoration Services contacted JS to complain about fees (also was in the office in December to complain to me- VER RUDE). JS approved refund of $522.64. Sent to accounting. 12/06/10 CREATED FROM APPL# 10 -0418 12/02/10 Given to KC for review. INSPECTION INFORMATION: # TYPE CONTR# CALLED MCI WHO REQ DT INS DT STATUS 1 ERI:Electrical Rough Ins 01 -8109 12/14/10 no MV 12/15/10 12/15/10 COMPLETE 2 EMR:Elec Service - EMR 01 -8109 12/14/10 no MV 12/15/10 12/15/10 COMPLETE 3 FRI:Framing Rough Insp. 01 -9503 - 12/15/10 no KC 12/16/10 12/16/10 COMPLETE 4 DWS:Drywall screw /nail 12/16/10 no KC 12/16/10 12/16/10 COMPLETE 02/01/11 08:46:36 City of Wheat Ridge Page 2 bp70l -ls PERMIT INFORMATION - 102687 mmackey 5 E£I:Electrical Final Ins 01 -8109 12/29/10 no BCSI 12/30/10 12/30/10 COMPLETE 6 BFI:Building Final Insp 01 -9503 01/03/11 no KC 01/04/11 01/04/11 INCOMPLETE 7 EMR:Elec Service - EMR 01/04/11 no KC 01/04/11 01/04/11 COMPLETE 8 BFI:Building Final Insp 01 -9503 01/28/11 no BCSI 01/31/11 01/31/11 COMPLETE INSPECTION ON RECORD OccupancvlTvpe LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. - -11 VC_ F CCl INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: - FootingslCaissons Drywall Screw Stemwall / (CEG) Concrete Encased Ground DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ° ROUGHS Sheathing AW 19 Reinforcing or Monolithic Mid -Roof Electrical Service j - Rough Electric Weatherproof / French Drain Gas Piping Rough Mechanical Sewer Service Lines Water Service Lines CONCRETE SLAB FLOOR Electrical (Underground) Insulation Plumbing (Underground) Drywall Screw Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ° ROUGHS Sheathing AW 19 Lath / Wall tie Mid -Roof Electrical Service j - Rough Electric Rough Plumbing Gas Piping Rough Mechanical Fire Department Framing Electrical Insulation Plumbing Drywall Screw Mechanical FINALS - Electrical - Plumbing Mechanical 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 OFOCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER T RIDGE )n Division pection line 11 uf No one available for inspection: Time i AIV PM¢ f Re- Inspection required: Yes o/ When corrections have been made, call f�qr re -i isp d, c 'op st 303 - 234 - 5933 Date: - i Inspector: - rf2- t �fli�f ' DO NOT REMOVE THIS NOTICE O y lcense Phone: J � — . ..- ... yr ui�unm, r u r ! !/(J I hereby certify.that the setback distances proposed rules or regulations of the City. of ,Wheat Ridge or covenants e� y > , �; a� G } 'and allegations made are accurate, that I have read and agree to abet" �. 5"i , e (a11 responsibility for compliance with cable Ci a this application; that 1 am the legal owner.or have.beea and am also authorized by the.legal.owner of any C7RCLEONE.' (OWNER) (CONTRACTOR)or - r r 3 .. PRINT NAM E: .. 6"��1'? � �,� � �- �i1�1� ��� ti �;Z�.rv, ��It ��0� a% ly.r^ ✓' '. t y ✓x ��k'i>��/w ��i4 NI-k? r"' a,�^." _ Re +� Bldg Valuation: $ i.4' fieP . � i at -60 . —`" Plan Building & Inspection Services Division Parmit# 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office; 303 -235 -2855 x Fax: 3037237 -8929 Inspection Line: 303 -234 -5933 Building Permit Application mdope7ty- ltid3�bs" Property Owner (please prinf): '. ly' /lC�!�rCl2 Phone: Malting Address: (if different than property address) Address: City, State, Zip: Contractors Cit L' # C O y lcense Phone: J � — . ..- ... yr ui�unm, r u r ! !/(J I hereby certify.that the setback distances proposed rules or regulations of the City. of ,Wheat Ridge or covenants e� y > , �; a� G } 'and allegations made are accurate, that I have read and agree to abet" �. 5"i , e (a11 responsibility for compliance with cable Ci a this application; that 1 am the legal owner.or have.beea and am also authorized by the.legal.owner of any C7RCLEONE.' (OWNER) (CONTRACTOR)or - r r 3 .. PRINT NAM E: .. 6"��1'? � �,� � �- �i1�1� ��� ti �;Z�.rv, ��It ��0� a% ly.r^ ✓' '. t y ✓x ��k'i>��/w ��i4 NI-k? r"' a,�^." _ Re +� Bldg Valuation: $ i.4' fieP . � i ' SAFECO INSURANCE COMPANIES P.O. BOX 515097 Insurance :, Los Angeles, CA 90051 -5097 `�,,. "..::.....:..` Phone: 1-800-332-3226 Fax: 1- 888 -268 -8840 Document Submission: prpmlm@safeco.com Bob Davis Summary for Dwelling Line Item Total - 12,396.49 Overhead @ 10.0% x 12,396.49 1,239.65 Profit @ 10.0% x 12,396.49 1,239.65 Material Sales Tax @ 7.600 ° /a x 3,089.68 234.82 Replacement Cost Value $15,110.61 Less Recoverable Depreciation (1,701.86) Less Non - recoverable Depreciation _ <174.86> Actual Cash Value $13,233.89 Lcss Deductible (1,000:00) Net Claim $12,233.89 Total Recoverable Depreciation - 1,701.86 Net Claim if Depreciation is 12ceovered - $13,935.75 Bob Davis ♦ 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: fF? - Job Address: ydaa e. 7 Permit Number: I b 7G & ff s�%l rc>2�3� f}S7 rad�i2 �sr ✓€ ❑ No one available for inspection: Time AM /PM Re- Inspection required: No When corrections have been made, call for re-inspection at 303 -234 -5933 Date: _/./y / Inspecto r DO NOT REMOVE THIS NOTICE I' ♦ 16 Al i CITY OF WHEAT RIDGE Building Inspection Division f (303) 234 -5933 Inspection line r (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE . Inspection Type: c J� —rte YP � _ Job Address: �c (_J f' - 6? T, .,? 6�i Permit Number: /cis f r , ❑ No one available for inspection: Time AM/PM 1 Re- Inspection required: Yes No When corrections have been made, call for re- Inspection at 303 -234 -5933 Date: "/ inspector: c'- DO NOT REMOVE THIS NOTICE `► / 4 CITY OF WHEAT RIDGE r Building Inspection Division r (303) 234 -5 933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE X r Inspection Type: Job Address: L Permit Number: ✓/s Zz� S' V ❑ No one available for inspectio Jme AM /PM Re- Inspection required: Yes,ly { * .When corrections have been mall, cali f re -i �spection at 303 234 -5933 Date: Inspector: DO NOT REMO THIS NOTICE 4' City of Wheat Ridge Residential Remodel PERMIT - 102687 PERMIT NO: 102687 ISSUED: 12/06/2010 JOB ADDRESS: 4080 FENTON CT EXPIRES: 12/06/2011 DESCRIPTION: Fire repair, drywall, ceiling joist repair, insulation * ** CONTACTS * ** owner 303/980 -5308 Rebecca Marback gc 303/296 -4106 Larry D. Harger 01 -9503 RESTORATION SERVICES, INC. sub 303/695 -8743 Chuck Nichols 01 -8109 Colonial Electric Cc ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0426 BLOCK /LOT #: 0/ a ** FEE SUMMARY ** ESTIMATED P C V N: 5,110.61 FEES D �� , Permit Fee 299.40 Plan Review Fee 39.33 sa Plan Review Addtiona 155.28 ; n Total Valuation .00 Use Tax 271.99 ** TOTAL ** 766.00��L' Conditions: KC: Approved per plans and notes on plans. Must comply with 2006 IRC, 2005 NEC, and all applicable City of Wheat Ridge Municipal Codes. Subject to field inspections. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as par res to the work to be ormed and that all work to be performed is disclosed in this document and /or its accomp yinq �d z1ans and she ations. Signature of OWNER 1. 2. 3. 4. 5. 6. Date 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. 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. 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. 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. 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. 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 insoection. Building Oitical 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. F /p [ Ity UI i - L a�i;A4�1�.,,11 t li:Vi ((71'1vt t:PV'1 Plan !# Building £• Inspection Services Division Par,nit # 7500 W. 29 Ave., Wheat Fridge, CO 80033 Office: 303 -235 -2855 � Fax: 303- 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application Properly �Vos Property Owner (please print): �c Phon ;i �. Mailing Address: (if different than property address) Address: City, State, Zip: CoirYrictoi+: � / n ,� 0CL /GAS' Contractors City License #: Phone: � • 91 �� Sul) ontractors: - Electricai:�'� ,/,)G mbing Mechanical: City License City License # City License # 1 �i v &)a/ Contr V lue: � 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 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. - CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHOR/ZEDREPRESENTATIVE) of OI V R) (CONTRACTOR) PRINT NAME: SIGNATURE y 20NINO COMMENT'S c- r 6� � ^.- r ,. ✓l�r'u�, K � _ ' 7 : �i.?� � ✓/' � i,� �, �; i Z01Jlq(J .i � J r< r� 's /,w.�✓'S �m.'i s`'s.. v/,' ^'`�,:,.�"�"'�1��„���"�q'.'��`5 ✓s ✓ .c. . � � e � 4 s� Ji � s � sx.� c i s r - �. , „Y s � �n � err l � ]2eY18wer5 r _..a"�r h i r � r � w h f/ � r� c✓�^'�?� i+ 3r /' � u s n L Y l m �J ✓*r��.?"2���ii w„ r �'>4. _,� `Y,U '6DILUING DEPART�}iEA�[�"Q 'ENTS "� n � �. �„� %�nt�' �"'�� ,7t r ✓ s„a,�i�`.'?. s ��� �`7 � ..f 5 .a,� f;^ ��s'� �� � ✓� �•^.. �z /,{� r �� 1 s xvl a r i � � �� ? `1 ReVIeSver s ✓. 5� �r�, � ✓� s ✓Gf�r✓?cy' ����ai�S '? � � C ^',� �� •✓r %M'����F�������^' ,^ C S � v ����. , �s�� � �'���, -� � ,a u� w .r3 3:✓Y � '`'� �.r l� 1� l � s ✓ ;--^' : ° 7 � r y � " . �j e'- 's`��r„ l b ✓aX.! y . � y✓�� +i .!'v ^✓' y i � F. > ✓� a �, �, s a �'er� r ° ��i� i�t^r aC;�� -F� � ��'af � r-✓^F 1ys3 / r ✓ � a T y "' � f ✓ � h,,. ,>i f a�� �r'�� ��'�i fi� ✓" t L� 4 �% � ..'�' Yf"r� ✓� y ' ,� >£ � ✓�' b � ✓ ✓ � �c '✓ �j' < a' ,:�i /, f �✓xt d �r�rN� ��'% �yy.;(�S <a��ti��� ✓� �"�� yn � ��. ✓.. r '�' '��J r' L G1 r ��.��✓ v lam"`^' Ca rr/" ,� pU3 17S`.>jVOR1S6 COMMENTS ✓: i l iii c /`�i�" c%�` r �� ` r vin' - i - RBweW�i+ �. � � ,%� r 'r'_ �` a, l sy.;�✓„� .✓w' � `r'`„!". -'i v ,e,. �2' -; i �'.�✓ OCr"1�''1' - F7RE.DEPFiRTMENT Ckapprovedv�)commehts i2dtsapproJea� L3J1oTeUleW retli317ed Bldg Valuation $ i y /L© L• i S1 es ora io Semi Insurance Repair Specialists • Licensed General Contractors Yllr'� -,;3 tj a-w i /! --Z TCk14fA.1 aufj:r a r, VC4- "5 Office: 303.296.4106 - Fax: 303.296.4223 • 3865 Elm Street Denver, CO 80207 a ' SAFEC IN SURANCE COMPANIES aw� L A nge l es, i nsurance,. Los Angeles, CA 90051 -5097 Phone: 1- 800 -332 -3226 Fax: 1- 888 - 268 -8840 Document Submission: prprclm@safece.com We have prepared this estimate to assist you in determining what is necessary to restore your covered property to its' pre -loss condition. You can provide the estimate to your chosen contractor. We have issued a payment to you for the covered restoration cost less your policy deductible and deprepiation, or in other words Actual Cash Value. Actual Cash Value represents the value of your damaged covered property as it was just before the loss. We offer Replacement Cost Coverage. To claim this, simply provide Safeco with a copy of the final bill from the contractor or other receipts showing your total cost of repairs for covered property. Payment for this coverage is subject to the terms, conditions, and limitations of your policy, but generally it is based upon the amount you actually spend restoring or replacing the damaged covered property with like kind and quality, up to the amount of depreciation listed on our estimate. We are available to assist you if you decide to make repairs. It is your choice whether or not you have repairs completed. If you choose to make repairs, you will want to carefully consider who you hire to perform the repairs. If you do not have a preferred contractor we may be able to help by providing information for some contractors in your area. Remember, the choice of contractors is always yours. Contact us immediately if additional damages are found or if your contractor estimate is higher than the Safeco estimate and we will work with you and your contractor to confirm how these factors might change our estimate, It is important that we have the opportunity to address additions or changes to the estimate before you have those repairs completed, otherwise the policy may not provide coverage for the additional expenses. "For your protection Colorado law requires the following to appear on this form. It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for the purpose of defrauding of attempting to defraud the company. Penalties may include imprisonment, fines, denial of insurance, and civil damages. Any insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading facts or information to • policyholder or claimant for the purpose of defrauding or attempting to defraud the policy holder of cl,'aimant with regard to • settlement or award payable from insurance proceeds shall be reported to the Colorado Division of Insurance within the Department of Regulatory Agencies." We at Safeco appreciate your business and the trust you have placed in us as your insurer of choice. We are always looking for ways to improve our claims service. If you have any suggestions for improvement, please let me know. You may receive a survey from Safeco in the near future. If you would rate your claim experience anything less than a "10 ", please let us know as soon as possible. Our goal is to exceed your expectations at every opportunity. Want to know more? Common homeowners claims questions - our pamphlet may answer questions you have after your property has been inspected. wrwv..safecacom - visit our website for more information about your claim, or how we can provide additional . service to you, your family or your business. Contact us ifyou have additional questions or needs Please refer to your insurance policy for actual policy language and definitions. MARBACH_REBECCA_A 11/11/2010 Page:2 i I WSURANCE COMPANIES 97 9 0051 -5097 3226 r 3840 `n: PrPrclm @safeco.com MA RBACII_REBECCA_A GENERAL CONDITIONS DEPRECIATION DESCRIPTION GENERAL CONDITIONS QUANTITY UNIT COST S. Loss Settlement. Covered Property RCV 1)EPREC. ACV P perty losses are settled as follows: b. Carpeting, domestic appliances, awnings, outdoor antennas and outdoor equipment, whether or not att.ached to buildings, at actual cash value at the time Of loss but not exceeding the amount necessary to repair or replace; c. (2) When the cost to repair or replace the damage is more than $2,500, we will pay the difference be repaired tween actual cash value ORIGINALLY BUILT IN 1 and replacement cost only after the damaged or destroyed property has actually been r ired or replaced. DEPRECIATION IS BASED ON THE AGE OF LS BEING REPLACED MATERIALS AT TIME OF LOSS. HOME 9 O , OF Ti EMS WHICH IS AN EFFECTIVE AGE OF 60 YEARS. FOLLOWING ARE AND THE DEPRECE "TION APPLIED TO THEM. I. DOORS. AVERAGE USE LIFE IS 100 THE CATEGORIES OF DOORS AT TIME OF LOSS 20 YEARSE( WHICH �A20E DEPRECIATION A YEAR. AVERAGE AGE REV ALL OF THE FOLLOWING CATEGORIES USE THE SAME FORMULA, 2. ELECTRICAL: 100 YR - I % X 30 YR = 30"70 WHICH IS 3. TILE: 100 YR - I % X 20 YR = 20 % 4. VINYL FLOORING: 50 YR - 2% X 20 YR = 40 % ( VINYL COVE BASE) /J 5. FINISH TRIM: 150 YR - .67% X 30 YR = 20"/0 \ 6. FINISH HARD WARE: 20 YR - 5% X 20 YR = 50% APPLIED 7. FRAMING: 150 YR - .67% X 60 YR = 40"/0 8. INSULATION: 150 YR - .6'7 "/o X 60 YR = 40% 9. LIGHT FIXTURES: 20 YR - 5% X 10 YR = 50 "70 10. PAINTING: 15 YR - 6.67% X 3 YR = 20% Totals: DEPR ' Ge Ilo N G� Q 0.00 aoo 0.00 Main Level ATTIC DESCRIPTION 1. 2" x 4" x 12'#2 & better Fir / Larch (material only) QUANTI7'Y 3.00 EA UNIT COST RCV UEPREC. ACV 2. C arpenter - General Framer -per hour 4.00 HR 3.58 10.74 (4.30) 6 REPLACE 3 EACH JOISTS. LABOR ' Remove Blown TO REMOVE EXISTING 50.25 201.00 (80.40) 120.60 (f -in insulation - ¢x Machine removal AND L NEW (TIE INTO EX ISTING) 1,018.00SF 1.18 - { Blown -in insulation - 12" depth _ R30 P 1,018.00SF 1,201.24 (0.00) 1,201.24 MARBACH REBECCA A _ 0.75 763.50 (305.40) 458.10 11/11/2010 Page: 3 Wo SAFECO INSURANCE COM PANIES P.O. BOX 515097 Insurance, Los Angeles, CA 90051 -5097 Phone: 1-800-332-3226 Fax: 1 -888- 268 -8840 Document Submission: prprclm @safeco.com CONTINUED -ATTIC DESCRIPTION QUANTITY UNIT COST RCV DEPR ACV 5. Seal attic training for odor control - 1,018.00 SF 0.63 641.34 (128.27) 513.07 up to 5/12 6. Seal floor or ceiling joist system 1,018.00 SF 0.58 590.44 (118.09) 472.35 Totals: ATTIC 3,408.26 636.46 2,771.80 KITCHEN r 284.67 SF Walls G w=. 389.18 SF Walls & Ceiling 11.61 SY Flooring s 43.50 LF Ceil. Perimeter Missing Wall: 1 - 2'6" X 6'8" Opens into Exterior Missing Wall: I - 2'3" X 6'8" Opens into FAMILY Missing Wall: I - 4'9" X 6'8" Opens into LAUNDRY DESCRIPTION QUANTITY UN C OST Ceiling Height: 8' 104.51 3F Ceiling 104.51 SF Floor 34.00 LF Floor Perimeter Goes to Floor Goes to Floor Goes to Floor RCV DEPREC. ACV 7. Remove Tear off plaster * 42.00 SF 1.26 52.92 (0.00) 52.92 REMOVE CEIf INC PCAS3 GR IN ATtEA WFTEKE�OIS i� ARE I O =BE REPd ACED� AREA A4'Pdi�O AT�LX 6 X 7 � ... 8. Two coat plaster over 1/2" gypsum 42.00 SF 5.01 210.42 (0.00) 210.42 core blueboard 9. Thin coat plaster (no lath) 104.51 SF 2,52 263.37 (0.00) 26337 SKIM COAT CEILING AREA. 10. Clean part of the walls 220.67 SF 0.33 72.82 (0.00) 72.82 11. Seallprime part of the walls and 325.18 SF 0.30 97.55 (19.51) 78.04 ceiling - one coat 12. Paint part of the walls and ceiling 325.18 SF 0.34 110.56 (22.11) 88,45 - one coat 13. Clean door / window opening 4.00 EA 11.68 46.72 (0.00) 46.72 (per side) 14. Paint door or window opening - 2 4.00 EA 17.60 70.40 (14.08) 56.32 coats (per side) OPENINGS TO LIVING ROOM AND FAMILY ROOM. 15. Clean door (per side) LOOEA 6.47 6.47 (0.00) 6.47 16. Clean door opening* 1.00 EA 11.68 11.68 (0.00) 11.68 MARBACH REBECCA A 11/11/2010 Page:4 ME SAFECO I C Insurance., P.O_ BOX 515097 (2.34) Los Angeles, CA 90051 -5097 t Phone: 1-800-332-3226 Fax: 1 -888- 268 -8840 Document Submission: prprclm @safeco.com CONTINUED - KITCHEN DESCRIPTION QUANTITY UNIT COST RCV ACV 17. Paint door slab only - I coat (per 1.00 EA 11.71 1131 (2.34) 9.37 side) 18. Paint door /window trim & jamb - 1.00 EA 1197 11.97 (2.39) 9.58 1 coat (per side) 19. Clean window unit (per side) 3 - 1.00 EA 9.47 9.47 (0.00) 9.47 9 SF 20. Clean sill -tile 3.00LF 0.86 2.58 (0.00) 2.58 21. Clean window blind - horizontal 9.00 SF 0.82 7.38 (0.00) 7.38 or vertical - Light 22. Clean cabinetry - upper - inside 10.58 LF 11.00 116.38 (0.00) 116.38 and out 23. Seal & paint cabinetry - upper- 10.58 LF 18.87 199.64 (39.93) 159.71 inside and out 24. Cleats cabinetry - lower - inside 7.75 LF 10.90 84.48 (0.00) 84.48 and out 25. Seal & paint cabinetry - lower - 7.75 LF 22.62 175.31 (35.06) 140.25 inside and out 26. Clean countertop - Heavy 15.50 SF 0.86 13.33 (0.00) 13.33 27. Clean ceramic tile 8.45 SF 0.48 4.06 (0.00) 4.06 28. Clean sink - double and faucet 1.00 EA 23.32 23.32 (0.00) 23.32 29. Clean door chime f.00EA 9.02 9.02 (0.00) 9.02 30. Clean floor - tile- Heavy clean 104.51 SF 0.74 77.34 (0.00) 77.34 31. Regrout tile floor 104.51 SF 166 278.00 (55.60) 222.40 32. Remove Cove base molding - 23.58 LF 0.23 5.42 (0.00) 5.42 rubber or vinyl, 4" high 33. Cove base molding - rubber or 23.58 LF 1.60 37.73 (15.09) 22.64 vinyl, 4" high 34. Range - gas - Remove & reset 1.00 EA 115.47 115.47 (0.00) 1 15.47 35. Clean range - interior and exterior I.00 EA 38.33 38.33 (0.00) 38.33 36. Remove Refrigerator - bottom 1.00 EA 25.77 25.77 (0.00) 25.77 freezer - 18 to 22 cf 37. Refrigerator - bottom freezer - 18 1.00EA 914.82 914.82 <137.22> 777.60 to 22 cf APPLIANCES UNDER THE POLICY ARE COVERED AT ACTUAL CASH VALUE ONLY. REFRIGERATOR AVERAGE USE LIFE IS 13 YEARS WHICH IS 7 69% DEPRECIATION PER YEAR APPROXIMATE AGE OF REFRIGERATOR AT TIME OF LOSS 2 YEARS. 7.69% X 2 YEARS = 15% DEPRECIATION APPLIED WHICH IS NON- RECOVERABLE. y ' 8. Rewire - average residence - 104.51 SF 2.50 261.28 (78.38) 182.90 copper wiring 39. Light fixture 2.00 EA 47.52 95.04 (47.52) 47.52 MARBACH_ REBECCA _A 11/11/2010 Page:5 C t r s VU SAFECO INSURANCE CO MPANIES P.O. BOX 515097 I X15 U ra n ce , Los Angeles, CA 90051 -5097 Phone: 1-800-332-3226 Fax: 1- 888;268 -8840 Document Submission: prprclm@safecw.com CONTINUED - KITCHEN DESCRIPTION QUANTITY UNIT COST RCV Totals: KITCHEN Ceiling Height: 8' 70.67 SF Walls 77.06 SF Walls & Ceiling 0.71 SY Flooring 10.50 LF Ceil. Perimeter Missing Wall: I - 2 "0" X 6B" Opens into LIVING DE SCRIPTION Q UANTITY UNIT COST 59. Clean the walls and ceiling 883.49 SF 0.33 60. Clean window unit (per side) 10 - 1.00EA 13.73 20 SF 9.47 18.05 61. Clean window unit (per side) 3 - 1.00 EA 9.47 9 SF 11.03 62.56 62. Clean window unit (per side) 21 - 1.00 EA 18.05 40 SF 25.11 20.54 64. Clean sill - file 12.83 LF 0.86 65. Clean shutter 8.00 EA 7.82 8 SETS OF SHURTTERS ON WINDOWS. 12.94 66. Clean baseboard 76.08LF 0.33 67. Clean base shoe 76.08 LF 0.27 68. Clean exterior door (per side) 2.00 EA 12.80 69. Clean door (per side) 2.00 EA 6.47 MARBACH REBECCA_A LIVING Ceiling Height: 8' 549.89 SF Walls 806.43 SF Walls & Ceiling 28.50 SY Flooring 74.50 LF Ceil. Perimeter Opens into Exterior Opens into HALL ACV 3,460.76 469.23 2,991.53 256.54 S!F Ceiling 256.54 SF Floor 67.58 LF Floor Perimeter Goes to Floor Goes to Floor I - 2'6" X 6'8" 1- 2'5" X 6'8" Subroom 1: CL 6.39 SF Ceiling 6.39 SF Floor 8.50 LF Floor Perimeter RCV Goes to Floor DEPREC. ACV 291.55 (0.00) 291.55 13.73 (0.00) 13.73 9.47 (0.00) 9.47 18.05 (0.00) 18.05 11.03 (0.00) 11.03 62.56 (0.00) 62.56 25.11 (0.00) 25.11 20.54 (0.00) 20.54 25.60 (0.00) 25.60 12.94 (0.00) 12.94 11/11/2010 Page:6 l/ Missing Wall: Missing Wall: M SAFECO INSURANC COMPANIES P.O. BOX 515097 Insurance,, Los Angeles, CA 90051 -5097 Phone: 1- 800-332 -3226 Fax: 1- 888 -268 -8840 Document Submission: prprchn@safeco.com CONTINUED - LIVING DESCRIPTION QUANTITY UNIT COST 70. Clean door / window opening 3.00 EA 11.68 (per side) 71. Clean closet organizer and rod LOOEA 34.04 72. Clean register - heat / AC 2.00 EA 5.10 73. Clean light fixture 1.00 EA 9.61 74. Clean floor and seal - wood 262.93 SF 0.60 WOOD FLOOR CLEANING TO INCLUDE FLOOR STRIPPING CHEMIC 108. Cleaning Technician - per hour 0.25 HR 43.17 CLEAN OF WINDOW AC UNIT Totals: LIVING RCV UEPREC. ACV 35.04 (0.00) 35.04 34.04 (0.00) 34.04 10.20 (0.00) 10.20 9.61 (0.00) 9.61 157.76 (0.00) 157.76 AL, FLOOR WAX AND; LABOR. 10.79 (0.00) 10.79 748.02 0.00 748.02 Ceiling Height: 8' 172.33 SF Walls 212.58 SF Walls & Ceiling ^ semaez 4.47 SY Flooring 1 25.50 LF Ceil. Perimeter H - T6 " Missing Wall: 1 - 4 X 6'8" Opens into KITCHEN DESCRIPTION QUANTITY UN IT COST 40.25 8F Ceiling 40.25 SF Floor 20.75 LF Floor Perimeter Goes to Floor RC V DEPRE 40. Clean part of the walls and 191.58 SF ceiling - Heavy 41. Seal/prime part of the walls and 191.58 SF ceiling - one coat 42. Paint part of the walls and ceiling 191.58 SF - one coat 43. Clean cabinetry - upper - inside 6.83 LF and out 44. Seal & paint cabinetry - tipper - 6.83 LF inside and out 45. Clean light fixture - low detail 1.00 EA 46. Clean water heater 2.00 EA CLEAN WATER HEATER ,AND SOLAR WATER TANK. MARBACH REBECCA A 0.42 80.46 0.30 57.47 0.34 65.14 11.00 75.13 18.87 128.88 7.61 7.61 21.20 42.40 (0m) (11.49) (13.03) (0.00) (25.78) (0.00) (0.00) 11/11/2010 ACV 8U.46 45.98 52.11 75.13 103.10 7.61 42.40 Page: 7 6) SA FECO INSURANCE COMPANIES WOMMAWA P.O. BOX 515097 Insurance Los Angeles, CA 90051 -5097 Phone: 1-800-332-3226 Fax: 1- 888 -268 -8840 \ / Document Submission: prprclm@safe-co.com �S CONTINS LAUNDRY DESCRIPTION QUANTITY UNIT COST RCV UEPREC. ACV 47. Remove Door opening (jamb & Ceiling Height: 8' 1.00 EA 4.87 4.87 (0.00) 4.87 casing) - 36 "to60 "wide - paint grade 42.92 SF Floor rx 1 4.77 SY Flooring 48. Door opening (jamb & casing) - 1.00 EA 106.19 106.19 (21.24) 84.95 36"to60 "wide - paint grade - =2'---1 49. Paint door or wind tipg - 2.00 EA 20.71 41.42 (8.28) 33.14 Large - 2 coats (per. de)- RCV DEPREC. ACV 109. Clean part of the walls and 154.92 SF 0.33 50. Folding door cl- °" 1.00EA 85.51 85.51 (17.10) 68.41 51. Clean floor - ' 40.25 SF 0.55 22.14 (0.00) 2114 52. Regrout file floor 40.25 SF 2.66 107.07 (21.41) 85.66 53. Remove Cove base molding - 10.00 LF 0.23 2.30 (0.00) 2.30 rubber or vinyl, 4" high MARBACH_REBECCA A 54. Cove base molding - rubber or 10.00 LF 1.60 16.00 (6.40) 9.60 vinyl, 4" high 55. Washing machine - Remove & L00EA 30.84 30.84 (0.00) 30.84 reset 56. Clean washer - interior and 1.00 EA 19.18 19.18 (0.00) 19.18 exterior 57. Dryer - Remove &reset 1.00 EA 27.77 27.77 (0.00) 27.77 58. Clean dryer - interior and exterior 1.00 EA 16.71 16.71 (0.00) 16.71 fotals: LAUNDRY 937.09 124.73 812.36 -5 r BATHROOM NfICHE! Ceiling Height: 8' T _ e 204.00 SF Walls 42.92 SF Ceiling e - ;� - 246.92 SF Walls &Ceiling 42.92 SF Floor rx 1 4.77 SY Flooring 25.17 LF Floor Perimeter 27.17 LF Ceil. Perimeter - =2'---1 Missing Wall: l - 2'0" X 6'8" Opens into HALL Goes to Floor DESCRIPTION QUANTITY UNITCOST RCV DEPREC. ACV 109. Clean part of the walls and 154.92 SF 0.33 51.12 (0.00) 51.12 ceiling 110. Clean ceramic tile 24.36 SF 0.48 11.69 (0.00) 11.69 111. Clean mirror 7.50 SF 0.65 4.88 (0.00) 4.88 112. Clean tub and surround LOOEA 32.13 32.13 (0.00) 32.13 MARBACH_REBECCA A 11/11/2010 Pa e:8 SAFECO INSURA COMPANIES P.O. BOX 515097 insurance .- Los Angeles, CA 90051 -5097 Phone: 1-800-332-3226 Fax: 1- 888 -.268 -8840 Document Submission: prprchn @safeco.com CONTINUED - BATHROOM DESCRIPTION QUANTITY UNIT COST RCV DEPREC. ACV 113. Clean tub / shower faucet 1.00 EA 12.64 12.64 (0.00) 12.64 114. Clean toilet 1.00 EA 19.76 19.76 (0.00) 19.76 115. Clean vanity - inside and out 3.00 LF 9.55 28.65 (0.00) 28.65 116. Clean countertop - the 6.00 SF 0.97 5.82 (0.00) 5.82 117. Clean sink and faucet 1.00 EA 15.57 15.57 (0.00) 15.57 118, Clean door (per side) 2.00 EA 6.47 12.94 (0.00) 12.94 119. Clean door / window opening 2.00 EA 11.68 23.36 (0.00) 23.36 (per side) Opens into BR -N Goes to Floor Missing Wall: 1 - 2'6" X 6'8" 120. Clean cabinetry - upper - inside 1.75 LF 11.00 19.25 (0.00) 19.25 and out Missing Wall: I - 2 X 6 Opens into LIVING Goes to Floor 121. Clean light bar 1.00EA 16.53 16.53 (0.00) 16.53 122. Clean bath accessory 3.00 EA 6.39 19.17 (0.00) 19.17 t23- Clean register - heat / AC 1.00 EA 5.10 5.10 (0.00) 5.10 124. Clean baseboard 7.33 LF 0.33 2.42 (0.00) 2.42 125. Clean exhaust fan 1.00 EA 14.35 14.35 (0.00) 14.35 126. Clean floor - the 30.92 SF 0.55 17.01 (0.00) 17.01 I'otals: BATHROOM 312.39 0.00 312.39 HALL Ceiling Height 8' 7T 7 149.89 SF Walls 34.00 SF Ceiling h S u l 183.89 SF Walls & Ceiling 34.00 SF Floor 3.78 SY Flooring 16.75 LF Floor Perimeter _ 28.67 LF Ceil. Perimeter 6 Missing Wall: 1 - 2'6" X 6'8" Opens into BR -FRT Goes to Floor Missing Wall: 1 - 2'6" X 6'8" Opens into BR -N Goes to Floor Missing Wall: 1 - 2'6" X 6'8" Opens into FAMILY Goes to Floor Missing Wall: 1 - 2'0" X 6'8" Opens into BATHROOM Goes to Floor Missing Wall: I - 2 X 6 Opens into LIVING Goes to Floor DESCRIPTION QUANTITY U NITCOST RCV DEPREC. ACV 75. Clean the walls and ceiling 183.89 SF 0.33 60.68 (0.00) 60.68 76. Clean baseboard 16.75 LF 0.33 5.53 (0.00) 5.53 MARBACH_REBECCA_A 11 /11 /2010 /ry Page v / , SAFECO INSURANCE COMPANIES P.O. BOX 515097 Insurance , Los Angeles, CA 90051 -5097 Phone: 1-800-332-3226 Fax: 1 -888- 268 -8840 Document Submission: prprchn@safeco.com CONTINUED - HALL DESCR IPTION QUANTITY UNIT COST 1 \ ACV 77. Clean base shoe 16.75 LF 0.27 4.52 (0.00) 4.52 78. Clean light fixture 1.00 EA 9.61 9.61 (0.00) 9.61 79. Clean floor and seat - wood 34.00 SF 0.60 20.40 (0.00) 20A0 Totals: HALL 100.74 0.00 100.74 missing wall: BR -FR7' Ceiling fleight: 8' 354.67 SF Walls 146.51 SF Ceiling 501.18 SF Walls & Ceiling 146.51 SF Floor 16.28 SY Flooring 43.50 LF Floor Perimeter 48.50 LF Ceil. Perimeter 1 - 2'6" X 6'8" Opens into HALL QUANTITY UNIT COST Subroom I: CL Ceiling Height: 8' 98.00 SF Walls 10.06 SF Ceiling 108.06 SF Walls & Ceiling 10.06 SF F1oor 1.12 SYFlooring 11.83 LF'FloorPerimeter 14.33 LF Ceil. Perimeter t?'5'1 Missing Wall: DESCRIPTION 80. Plaster patch / small repair - ready for paint 81. Clean the walls and ceiling 82. Seal/prime the ceiling - one coat 83. Paint the ceiling - one coat 84. Clean baseboard 85. Clean base shoe 86. Clean door (per side) 87. Clean door / window opening (per side) 88. Clean closet organizer and red MARIIACH_REBECCA_A I - 2'6" X 6'8" Opens into BR -FRT RCV Goes to Floor Goes to Floor RCV ACV 1.00 EA 174.03 174.03 (0.00) 174.03 609.24 SF 0.33 201.05 (0.00) 201.05 156.58 SF 0.30 46.97 (9.39) 37.58 156.58 SF 0.34 53.24 (10.65) 42.59 55.33 LF 0.33 18.26 (0.00) 18.26 55.33 LF 0.27 14.94 (0.00) 14.94 4.00 EA 6.47 25.88 (0.00) 25.88 4.00 EA 11.68 46.72 (0.00) 46.72 1.00EA 34.04 34.04 (0.00) 34.04 11/11/2010 PV OG - =SAFECO INSURANCE COMPANIES P.O. BOX 515097 Insurance, Los Angeles, CA 90051 -5097 t Phone: 1-800-332-3226 Fax: 1 -888- 268 -8840 Document Submission: prprchn @safeco.com CONTINUED - BR -FRT DESCRIPTION QUANTIFY UNIT COST RCV DEPREC. ACV 89. Clean window unit (per side) 10 - 1.00 EA 13.73 13.73 (0.00) 13.73 20 SF 90. Clean sill - the 7.33 LF 0.86 6.30 (0.00) 6.30 INCLUDE SILL OF AC OPENING 9 L Clean window blind -horizontal 30.31 SF 1.17 35.46 (0.00) 35.46 or vertical 92. Clean light fixture 1.00 EA 9.61 9.61 (0.00) 9.61 93. Clean register - heat / AC 1.00 EA 5.10 5.10 (0.00) 5.10 94. Clean floor and seal - wood 156.58 SF 0.60 93.95 (0.00) 93.95 107. Cleaning Technician - per hour 0.25 HR 43.17 10.79 (0.00) 10.79 CLEAN OF WINDOW AC UNIT. Totals: BR -FRT 790.07 20.04 770.03 T i T 1 BR -N 276.67 SF Walls 384.33 SF Walls & Ceiling 11.96 SY Flooring 41.67 LF Ceil. Perimeter Ceiling Height: 8' 107.67 SF Ceiling 107.67 SF Floor 3117 LF Floor Perimeter (Hissing Wall: 1 - 2'6" X 6'8" Opens into HALL Goes to Floor 8 z' -- Subroom 1: CL Ceiling Height: 8' R' 120.00 SF Walls 16.00 SF Ceiling 4 . 136.00 SF Walls & Ceiling 16.00 SF Floor 1.78 SY Flooring 14.00 LF Floor Perimeter 20.00 LF Ceil. Perimeter A 9N-" II ii Missing Wall: 1 - 6 X 6'8" Opens into BR -N Goes to Floor DESCRIPTION QUANTIFY UNIT COST RCV DEPREC. ACV 95. Plaster patch / small repair - 1.00 EA 174.03 174.03 (0.00) 174.03 ready for paint 96. Clean the walls and ceiling 520.33 SF 0.33 171.71 (0.00) 171.711 MARBACH_REBECCA_A 11/11/2010 Paa- I SAFECO INSURANCE COMPANIES �ClSiICaClC2. P.O. BOX 515097 Los Angeles, CA 90051 -5097 Phone:1- 800 -332 -3226 Fax: 1- 888 - 268 -8840 Document Submission: ptprclm@safeco.com CONTINUED - BR -N DESCRIP'T'ION QUANTITY UNIT C OST RCV DEPREC. ACV 97. Scat/prime the ceiling - one coat 12167 SF 0.30 37.10 (7.42) 29.68 98. Paint the ceiling - one coat 123.67 SF 0.34 42.05 (8.41) 33.64 99. Clean baseboard 47.17 LF 0.33 15.57 (0.00) 15.57 100. Clean base shoe 47.17 LF 0.27 12.74 (0.00) 12.74 101. Clean door (per side) 2.00 EA 6.47 12.94 (0.00) 12.94 102. Clean door / window opening 2.00 EA 11.68 23.36 (0.00) 23.36 (per side) 103. Clean door - bypass set (per side) 2.00 EA 13.04 26.08 (0.00) 26.08 104. Clean closet organizer and rod 1.00 EA 34.04 34.04 (0.00) 34.04 105. Clean floor and seal - wood 12167 SF 0.60 74.20 (0.00) 74.20 106. Cleaning Technician - per hour 0.25 HR 43.17 10.79 (0.00) 10.79 CLEAN OF WINDOW AC UNIT. Totals: BR -N 634.61 15.83 618.78 Missing Wall: Missing Wall: Missing Wall: FAMILY Ceiling Height: T 3" 438.63 SF Walls 689.53 SF Walls & Ceiling 27.88 SY Flooring 67.17 LF Ceil. Perimeter I- 2'6 "X6 1 - 2'3" X 6'8" 1- 2'6" X 6'8" 11 DESCRIPTION Subroom 1: CL Opens into Exterior Opens into KITCHEN Opens into HALL 50.67 SF Walls 53.00 SF Walls & Ceiling 0.26 SY Flooring 6.33 LF Ceil. Perimeter QUANTITY UNIT COST 250.90 SF Ceiling 250.90 SF Floor 59.92 LF Floor Perimeter Goes to Floor Goes to Floor Goes to Floor Ceiling Height: 8' 2.33 SF Ceiling 2.33 SF Floor 6.33 LF Floor Perimeter RCV DE:PREC. ACV MARBACH_REBECCA_A 11 /11 /2010 Pa :12 S AF EC O IN COMPANIES P.O. BOX 515097 i nsurance, Los Angeles, CA 90051 -5097 Phone: l -800- 332 -3226 Fax: 1- 888 -268 -8840 Document Submission: ptprclm @safeco.com CONTINUED - FAMILY DESCRIPTION QUANTITY UNITCOST RCV DEPREC. ACV 127. Clean part of the walls and 715.53 SF 0.33 236.12 (0.00) 236.12 ceiling 128. Seal then paint part of the walls 715.53 SF 0.56 400.70 (80.14) 320.56 and ceiling (2 coats) 129. Clean baseboard 66.25 LF 0.33 21.86 (0.00) 21.86 130. Clean base shoe 66.25 LF 0.27 17.89 (0.00) 17.89 131. Paint baseboard - one coat 66.25 LF 0.53 35.11 (7.02) 28.09 132. Paint base shoe or quarter round - 66.25 LF 0.31 20.54 (4,11) 16.43 1 coat 133. Clean cabinetry - full height - 2.42 LF 19.03 46.05 (0.00) 46.05 inside and out 134. Seal & paint full height 2.42 LF 28.49 68.95 (13.79) 55.16 cabinetry - inside and out 135. Clean door (per side) 2.00 EA 6.47 12.94 (0.00) 12.94 136. Clean door / window opening 2.00 EA 11.68 23.36 (0.00) 23.36 (per side) 137. Paint door slab only - I coat (per 2.00 EA 11.71 23.42 (4.68) 18.74 side) 138. Paint door /window trim & jamb - A 11.97 23.94 (4.79) 19.15 1 coat (per side) 139. Clean masonry . 0 S 0.52 24.44 (0.00) 24.44 CLEAN OF BRICK ON WALL AND BRICK HEARTH UNDER WOOD BURNING STOVE. 140. Cleaning Technician - per hour 0.50 HR 43.17 21.59 (0.00) 21.59 LABOR TO CLEAN WOOD STOVE AND PIPE 141. Clean window unit (per side) 3 - 2.00 EA 9.47 18.94 (0.00) 18.94 9 SF 142. Clean window unit (per side) 21 - 1.00 EA 18.05 18.05 (0.00) 18.05 40 SF 143. Clean sill -tile 10.75 LF 0.86 9.25 (0.00) 9.25 144. Clean window blind - horizontal 40.32 SF 1.17 47.17 (0.00) 47.17 or vertical 145. Clean roof window or skylight 2.00 EA 30.33 60.66 (0.00) 60.66 INCLUDE OPENING WITH SKYLIGHT, 146. Clean light fixture - low detail - 6.00 EA 5.48 32.88 (0.00) 3188 Light CLEAN OF TRACK AND TRACK LIGHTS 147. Remove Exterior door - metal - 1.00 EA 16.57 16.57 (0.00) 16.57 insulated - flush or panel style 148. Exterior door - metal - insulated - 1.00 EA 249.74 249.74 (49.95) 199.79 !lush or panel style MARBACH_REBECCA_A 3 11/11/2010 Pa 13 � 9�. ' 3 1 _ / ® S AF E CO INSURANCE COMPANIES insurance, P.O. BOX 515097 (7.08) Los Angeles, CA 90051 -5097 (per side) Phone: 1- 800 - 332 -3226 Line Item Totals: MARBACH REBECCA A Fax: 1- 888 - 268 -8840 1,525.58 Document Submission: prprclm@safeco.com CONTINUED - FAMILY DESCRIPTION QUANTITY UNIT COST RCV DEPREC. ACV 149_ Paint door slab only - 2 coats 2.00 EA 17.71 35.42 (7.08) 28.34 (per side) 10,870.91 Line Item Totals: MARBACH REBECCA A 12,396.49 1,525.58 10,870.91 150. Paint door /window trim & jamb - 2.00 EA 17.60 35.20 (7.04) 28.16 2 coats (per side) 151. Door lockset & deadbolt - 1.00 EA 78.95 78.95 (39.48) 39.47 exterior 152. Remove Storm door assembly 1.00 EA 13.65 13.65 (0.00) 13.65 153. Storm door assembly 1.00EA 206.04 206.04 (41.21) 164.83 154. Clean floor, strip & wax 253.24 SF 0.81 205.12 (0.00) 205.12 Totals: FAMILY 2,004.55 259.29 1,745.26 Total: Main Level 12,396.49 1,525.58 10,870.91 Line Item Totals: MARBACH REBECCA A 12,396.49 1,525.58 10,870.91 Grand Total Areas: 2,770.07 SF Walls 1,018.09 SF Floor 0.00 SF Long Wall 1,018.09 Floor Area 1,090.25 Exterior Wall Area 0.00 Surface Area 0.00 Total Ridge Length 1,018.09 SF Ceiling 113.12 SY Flooring 0.00 SF Short Wall 1,111.70 TotalArea 146.50 Exterior Perimeter of Walls 0.00 Number of Squares 0.00 Total Hip Length 3,788.16 SF Walls and Ceiling 341.50 LF Floor Perimeter 407.83 LF Ceil. Perimeter 2,770.07 Interior Wall Area 0.00 Total Perimeter Length MARBACH_REBECCA_A 11/11/2010 Pa e: 14 SAFECO INSURANCE COM PANIES P.O. BOX 515097 insurance.,. Los Angeles, CA 90051 -5097 y .._, ..:......::::. "' Phone: 1-800-332-3226 Fax: 1- 888 - 268 -8840 Document Submission: prprclm@safeco.com 12,396.49 1,239.65 1,239.65 234.82 $15,110.61 (1,701.86) <174.86> $13,233.89 (1,000.00) $12,233.89 1,701.86 $13,935.75 Bob Davis MARBACII_REBECCA A 11/11/2010 Pa : 15 Summary for Dwelling Line Item Total Overhead @ 10.0% x 12,396.49 Profit @ 10.0% x 12,396.49 Material Sales Tax @ 7.600% x 3,089.68 Replacement Cost Value Less Recoverable Depreciation Less Non - recoverable Depreciation Actual Cash Value Less Deductible Net Claim Total Recoverable Depreciation Net Claim if Depreciation is Recovered 12,396.49 1,239.65 1,239.65 234.82 $15,110.61 (1,701.86) <174.86> $13,233.89 (1,000.00) $12,233.89 1,701.86 $13,935.75 Bob Davis MARBACII_REBECCA A 11/11/2010 Pa : 15 SAFECO IN SURANCE COMPANIES P.O. BOX 515097 Insurance Los Angeles, CA 90051 -5097 r " ' Phone: 1-800-332-3226 Fax: 1 -888- 268 -8840 Document Submission: prprclm @safeeo.com Recap by Room Estimate: MARBACII REBECCA A Area: Main Level ATTIC KITCHEN LIVING LAUNDRY BATIIROOM HALL BR -F'R7' BR -N FAMILY Area Subtotal: Main Level Subtotal of Areas Total 12,396.49 100.00% 12,396.49 100.00"/ MAR13ACH_RFBFCCA_A 11/11/2010 Pa .16 3,408.26 27.49% 3,460.76 27.92% 748.02 6.03% 937.09 7.56% 312.39 2.52% 100.74 0.81% 790.07 637% 634.61 5.12% 2,004.55 16.17% 12,:196.49 100.00% SAFECO INSURANCE CO nSUi`�nCE.- P.O. BOX 515097 Los Angeles, CA 90051 -5097 Phone: 1-800-332-3226 Fax: 1-888- 268 -8840 Document Submission: prprclm @safeco.com Recap by Category with Depreciation O &P Items RCV Deprec. ACV APPLIANCES CONT: CLEAN APPLIANCES CLEANING GENERAL DEMOLITION DOORS ELECTRICAL FLOOR COVERING - CERAMIC TILE FLOOR COVERING - VINYL FINISH CARPENTRY /TRIMWORK FINISII HARDWARE FRAMING & ROUGH CARPENTRY INSULATION LIGHT FIXTURES INTERIOR LATH & PLASTER PAINTING. Subtotal 951.68 Overhead (07 10.0% P rol➢t @ 10.0% O &P Items Subtotal 1,322.74 Material Sales Tax @ 7.600% Total MARBACH REBECCA A 1,088.90 35.89 3,605.85 1,322.74 541.29 261.28 385.07 53.73 106.19 78.95 211.74 763.50 95.04 821.85 3,024.47 12,396.49 1,239.65 1,239.65 14,875.79 234.82 15,110.61 137.22 951.68 35.89 3,605.85 1,322.74 108.26 433.03 78.38 182.90 77.01 308.06 21.49 32.24 21.24 84.95 39.48 39.47 84.70 127.04 305.40 458.10 47.52 47.52 821.85 604.88 2,419.59 1,525.58 10,870.91 152.56 1,087.09 152.56 1,087.09 1,830.70 13,045.09 46.02 188.80 1,876.72 13,233.89 11/11/2010 Pa : 17 - i:aaateu 11/1112010 ly Y - i:aaateu 11/1112010 NSURANCE COMPANIES 0051 -5097 .226 -08 -8840 eobmission: Prprclrn @safeco.com j MARBACH REBECCA A . 4080 FENTON CT. Home: (303} 8984510 L DENVER, CO 80212 L � ox �� U k7 Business: (3033 898 4510 Home: PO BOX 909 EVERGREEN, CO 80437 -0909 Claim Rep.: Bob Davis Estimator. Bob Davis Claim Number: Date Contacted: Date of Loss: Date Inspected: Date Est. Completed: Price List: Estimate: 46 9497744036 -001 11/5/2010 11/5/2010 11/912010 11 /9/201010:46 AM CODE5B_NOVIOREAD Restoration/Service/Remod MARBACH REBECCA A Business: (303) 980 -5308 Business: (303) 980 -5308 Type of Loss: Fire Date Received: 11/5/2010 Date Entered: 11/8/20107:12 AM 6IVtj1 -1 } C P n � Policy Number: OY04223117