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3360 Newland Street
i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: ���L U v�1 {c�- Permit Number: iV-(.-;/N-k__ 1\,.,f,%t t" E-__. f . a ❑ No one available for inspection: Time �AM/PM Re -Inspection required: LYeV No When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge.co. uslinspection Date: Inspector: DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type:P ��� Job Address: r'% ` c- V-1 C,� Permit Number: �d ❑ No one available for inspection: Time '; j ' .,; `, AM/PM Re -Inspection required: Yes [Vo,)/ When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge.co. uslinspection Date:'' Inspector: DO NOT REMOVE THIS NOTICE 31� N6,wLAnk) Date: February 12, 2020 Re: 3360 Newland st.,Wheatridge, CO. 24c))q co3Nq 2600 S. Parker Rd. #1-317, Aurora, CO 80014 Final plumbing inspection item - Failed inspection due to shower door system. To whom it may concern: This letter is regarding an interpretation of the building code 417.7. Brought to my attention by the inspector. Code states: "The bather can adjust the valve prior to stepping into the shower spray." It is my understanding that with the more than adequate space available that is not being cover by the shower spray, the bather can turn the shower valve on to desired temperature prior to entering into the shower spray zone. As seen in the attached photos, the bather can operate the shower valve from either side of the valve/ spray zone without getting sprayed. This is true for both shower controls in said walk-in shower. Please see attached photos of operation of shower valve and shower stall space. Please let me know if you have any questions. Sincerely, Steven Flores Builders Class B certificate Holder Construction Manager Best Kitchen and Baths 720 297 3816 City of Wheatridge License# 202040 .,'• • City of � ; W ill at PJdge MUNI i Y DINIA0I'MUN I ' APPROVED Review for Code, Compliance Plan E aminer nate yalidltr of cerm : The issumxe of o permit or Wrroval if :+tans swif conn! Ond computations shoN not be o Permit for, Or Ort a9010•al of arty vloiobon to any of the provislom of the buwiding code or of oW fuy arJ lr.nces. Permits pros WWW to g(W Outhodty to vwale or contel the provislons of the 6Wtdlnp codes or other ordinorom of the t ty shah not be valid. IMM mmmp� -2� I III A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: C �A Job Address: , '6 Permit Number: r) s o c) 4 v Cr, 1-` t- 4rvv .., ❑ No one available for inspection: Time AM/PM Re -Inspection required: Ye No When corrections have been made, call for re -inspection at 303-234-5933 Date: ' APtfnspector:�1 DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: LAsk Permit Number: ❑ No one available for inspection: Til AM/PM Re -Inspection require L Yes _-No When corrections have been made, schedule for re -inspection online at: http✓/www.ci.wheatridge.co.uslinspe o DateeZ Inspecto . DO NOT R OVE 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:C. Job Address: T?U U ocw � nGl Si Permit Number: U t U,Q�i� I ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes (Vo} When corrections have been made, call for re -inspection at 303-234-5933 Date:—' *T Inspector: DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: rn�05 Np-.; � \ Job Address: -57) L-' Dt to r cl `- V Permit Number: Y .V ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. usfinspection Date: i ,-.� I()' I CI Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: r� S Job Address: �s :1Lr �-' C_ ; i �A Permit Number: ❑ No one available for inspection: Time ` AM/PM Re -Inspection required: Yes &0-) When corrections have been made, schedule for re -inspection online at: h ttp✓/www. ci. wheatridge. co. uslinspection Date Inspector: DO NOT REMOVE THIS NOTICE � � 4 i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type:�� Job Address: C)\,.. Permit Number: U(� f C ; ; ..:. V t f r r.., l., l ( ✓ i C - e• - i ❑ No one available for inspection: Time 1 AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge.co. uslinspection Date: Inspector DO NOT REMOVE THIS NOTICE ♦�A41 �i Inspection Type CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Job Address:-I��� 0' Permit Number: { ❑ No one available for inspection: Time i; AM/PM Re -Inspection required: des No When corrections have been made, schedule for re -inspection online at; http✓/www.ci. wheatridge. co. uslinspection Datej C Inspector: ®O NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: _fe (n: r Job Address: � ' --� U o r\ i Permit Number: ❑ No one available for inspection: Time `yil... AM/PM Re -Inspection required: =Yes No When corrections have been made, schedule for re -inspection online at. h ttpYA,vww. ci. wheatridge. co. uslinspection Date: '; Inspector:gw , DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: �5 -L`' Permit Number: , .l ` `1 Ljk" ❑ No one available for inspection: Time l" i �: AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. uslinspection Date:-' (I Inspector: DO NOT REMOVE THIS NOTICE 1* � 4 i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: J { ; C. (`` >'� ,�► `-{ ❑ No one available for inspection: Time f AM/PM Re -Inspection required: (1(e No When corrections have been made, schedule for re -inspection online at: http://www. ci. wheatridge. co. uslinspection Date: 0 1 ' '_. (' � Cl Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Tir Re -Inspection required: Yes(_N,o-- When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. unspgctio Date:( Inspecto . DO NOT REMOVE THIS NOTICE o i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office r INSPECTION NOTICE Inspection Type: e V\11j r.1_ `0 fzf1r1 e- `-� Job Address: �`� v .,N r`,-\ c Permit Number: \CA 9 f'e _— a �\ U".P° %I:� lies i 'L., t ❑ No one available for inspection: Time is AM/PM Re -Inspection required: �Y i No When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. uslinspection Date:,O,'i ` Inspector: DO NOT REMOVE THIS NOTICE City of Wheat ge 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: �y�; �� �a;,, A Permit #: f General Contractor: 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 Mechanical Contractor At,-eV\,nUtem Company Name: Phone:,--- -z7cy q l �, Wheat ' ge License #: 0 -Z < < y Z (required field) Sig tuO of Authorized Agent Date A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: ry-) JobAddress: Permit Number: C40 C, 0 ��� � Li V �. C.. f.. � : s. � � � i•y, d.a ..i � ❑ No one available for inspection: TimeAM/PM Re -Inspection required: YO No When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. uslinspection Date: i �.. �`i Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: `2. C-.4- ��) Job Address: �;l Le u r\ U Y-\ G PermitNumber:. -� ©Vk (_) 0'3\1 b ❑ No one available for inspection: Time i f r� AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: httpA,vww, ci, wheatridge. co. uslinspection Date: A I �n - T-1 Inspector: t; DO NOT REMOVE THIS NOTICE Inspection Type: Job Address: Permit Number: CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE N ' A !v! J No one available for inspection: Time AM/PM Re -Inspection required: "res,- No When corrections have been made, schedule for re -inspection online at: http:llwww.ci. wheatridge.co. uslinspection Date: Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: U, <% 'iti- e w l'A C\_ -- Permit Number: c1 6 L°, �1`-1 A ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: (_a. c; Inspector: 'J DO NOT REMOVE THIS NOTICE 11* � 4 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: ry-, u. , --i \\ 1-) C V r, -- Job Address: U) o Permit Number: DO kck G Q_') ------------- J No one available for inspection: Time -) i"-! AM/PM " Re -inspection required: YesN When corrections have been made, call for re -inspection at 303-234-5933 Date:-'-; - a t ci 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: k -(- W-- Job Address: `1 C ` C"\ CA <, Permit Number: `-, ❑ No one available for inspection: Time '-'AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: ,' �� Inspector: DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: st-c V,-, v, h \N ),k 0 Job Address: 31 (.a -0 0 C Loi C`-\ Permit Number: C (1 '� f �-� � f Ll No one available for inspection: Time f 1-)'_. AM/PM Re -Inspection required: Ye No When corrections have been made, call for re -inspection at 303-234-5933 Date: r �=` ° �� Inspector: i 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: `� c Job Address:3� Permit Number: 0 \CA 0 {� ��- s ❑ No one available for inspection: Time f AM/PM Re -Inspection required: s) No When corrections have been made, call for re -inspection at 303-234-5933 Date: _< A- \ Inspector: DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: r �� Job Address: ck,. Permit Number: 6-k d ❑ No one available for inspection: Time E i 3AM/PM Re -Inspection required: Yes r When corrections have been made, call for re -inspection at 303-234-5933 Date: ':�_ ' H - i '� Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Addition PERMIT - 201900344 1p. PERMIT NO: 201900344 ISSUED: 05/06/2019 JOB ADDRESS: 3360 Newland St EXPIRES: 05/05/2020 JOB DESCRIPTION: Single story addition on crawlspace with trussed roof for master bedroom and bathroom; 363 sq ft total *** CONTACTS *** FEES OWNER (303)218-1749 KRICHIVER ARI Plan Review Fee GC (303)638-1559 Charles P. Miller 140293 General Specialists, Inc. SUB (303)412-2234 DEREK PATTERSON 100260 EEC ELECTRIC SUB (303)596-3289 ORLANDO GONZALEZ 180242 CHESS PLUMBING & HEATING LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED FEES Total Valuation 0.00 Plan Review Fee 474.21 Use Tax 1,050.00 Permit Fee 729.55 ** TOTAL ** 2,253.76 *** COMMENTS *** PROJECT VALUATION: 50,000.00 *** 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. As part of the foundation inspection and PRIOR to the placement of concrete and before proceeding with any further construction, a completed, signed and sealed, Foundation Setback and Elevation Certification shall be submitted to the City for review. The certification form shall be fully completed by a Professional Land Surveyor licensed in the state of Colorado, stating that the foundation was constructed in compliance with all applicable minimum setback and elevation requirements of the City. Owner/Contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. Landscaping removed or damaged during construction must be replaced prior to final inspection. 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ON LINdad �d. City of Wheat p'idbe COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 291 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 15" Inspection Line: 303-234-5933 Email: permitsC6-ci.wheatridqe.co.us FOR OFFICE USE ONLY Date: � // h Plan/Permit #�U 19 �A( Plan Review Fee: r"-/ -14, % l Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 3��n rl�,�J L -P -PA 0 s��-- Owner .-� o Et- V -R-1 C -IA (V E-,- Phone: Property Owner Email: ��� 13t.i �� {q�- (�jrr� Zo " 21 (7 40( Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: 3 3 to O ts.G"L� L -,O- 40 City, State, Zip: U✓ E� t'c��C' (?-10 G -+i - G.p OO® Z Architect/Engineer A--A1es.tol {-��s� C%t�St4�t Nc4 <f ,Tr SLre�.r0-tZ- &--A,-Nf--� ru*t }AovW-P4tq • Go -4•r Architect/Engineer E-mail: Phone: 3 n 3 4-4,4-- a Z4,6 Contractor Name: City of Wheat Ridge License #: _ Phone: 303 Z_7-7 t'SZL Contractor E-mail Address: !_' vt2. �e sf . ca* - For Plan Review Questions & Comments (please print): CONTACT NAME (please print): -� ®tAt-t t%ti �t ��L-. Phone: Sr -9-3 4-(v+ puye CONTACT EMAIL(p/ease print): -A 6,- 9-1 �_ r( f-( 1-16. I ( a K . Co.Yt Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W..R.CCit`y 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 DENTIAL 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. '3(e'5 -- S I N G.L-rr— tr t ?' a1- R•� s S dc.ID (� vo E" . For` (-- L✓/ CJv a r- 1 hl Sq. FULF 3 3 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)=g, HORIZED REPR IVE) of� (CONTRACTOR) Signature (first and last name): DATE: £+ Printed Name: /+-1 40- -- DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:_ ZoAed R -z, AWYO,d V-4 Ct 3cti©ng. Reviewer:��9 CONSTRUCTION TYPE: � BUILDING DEP TMENT COMME S: Reviewer. 1� PUBLIC WORKS COMMENTS: Reviewer: Building Division Valuation: 1* � 4 4. "' .0 r City Of �Wheat�idge COMMUNI'T'Y 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 3 ( C' 41e,(,J /0 11 d " Permit #: General Contractor: b_S - - k, C 1, ei 4- 6,VK Electrical Sub -Contractor Company Name: C Ec E i ecf r 4 L Phone #: '22-0 5Y2- -lyy .Z State License #:— � (I I E 3 Wheat Ridge License #: C> Z6 C 6 - Signature of Authorized Agent Plumbing Sub -Contractor Company Name: State License #: (required field) Date Phone #: Master #: Wheat Ridge License #: (required field) Signature of Authorized Agent Date Mechanical Contractor Company Name: Phone: Wheat Ridge License #: {required field) Signature of Authorized Agent Date Kimberly Cook From: Steven Flores <sfcdllc@gmail.com> Sent: Monday, May 6, 2019 2:02 PM To: CommDev Permits Subject: Fwd: Sub contractor authorization form ---------- Forwarded message--------- From:Orlando Gonzalez <chessplumbingggmail.com> Date: Mon, May 6, 2019, 2:00 PM Subject: Sub contractor authorization form To: <sfcdllcngmail.com> City of `JV heat Rj, COMMUNITY I)FVFIOI'MENT SUB -CONTRACTOR AUTHORIZATION FORM Mets torte most bestgned by each sub -contractor. This form will not he accepted with missing information. Subcontractor's City of Wheat Ridge t.ieeuse number must he provitled in the applicable space. Subcontractor's insurance and license must be rap to date prior to permit issuance. Project Address:-,.. . __...^_ Permitil;.______. General Con tractor. Electrical Sub -Contractor Company Name: Phone k: Slate License M: Master C Wheat Ridge Lictme N:.(required Heid; Siguaiureof Aulhurited Agent Date Plumbing Sub -Contractor Company Name: t4 e— Phone, 3G, n`i6 3289 State License N:-!�S._.:SiSS. ].�, i _ Master *:_rv,0�'., :..: ,I�L ) %VI%"I Ridge License N: jregaired field) 4 f d• 9 - Signature of Authorized Agent Date Mechanical Contractor Company Name:____ Wbrat Ridge i imnse q: -. required field) Signature of Authorized Agent Date 1 Randy Slusser From: Randy Slusser Sent: Thursday, March 7, 2019 10:41 AM To: jgeier@americanhousedesign.com' Cc: Lagenia Reimer; Kimberly Cook; Dina Kemp Subject: Plan review for new addition at 3360 Newland St - 201900344 Good morning Mr. Geier, The Building Division has completed our review of your project. One pending comment is for the submittal of an asbestos test report for all walls and finishes being removed to accommodate the addition. Once the report has been received and reviewed, the Building Division can approve your project. Please contact me with any questions. Randy Slusser, CBO Chief Building Official Building Division 7500 W. 29th Avenue Wheat Ridge, Colorado 80033 Office Phone: 303-235-2803 www.ci.vvbeatridge.co.us 2019 CONFIDENTIALITY NOTICE: This e-mail contains business -confidential information. It is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are notified that any disclosure, copying, distribution, electronic storage or use of this communication is prohibited. If you received this communication in error, please notify us immediately by e-mail, attaching the original message, and delete the original message from your computer, and any network to which your computer is connected. Thank you. c�ly or `b �1?(;034f W heat �dge CITY OF WHEAT RIDGE BUILDING AND INSPECTION SERVICES DIVISION 7500 W 29th Ave Wheat Ridge, CO 80033-8001 p. 303.235.2855.f 303.237.8929 Proof of Submission for Permitting/Plan Review (Water and Sanitation only) A copy of this form must be completed by each water and sanitation agency indicated on the Permit Submittal Checklist for the project type and be attached to the Building Permit Application at the time of submission. Applications presented for submission without a completed Proof of Submission form from a required agency will not be accepted or processed. Date:ct Project Address: '33 (v O t4*.A4JL,4-t4 C) Name of Firm/Individual submitting documents: PC.4c4r~i efa� Project Type/Description: 3 (103 S I✓ j'—v p i Ti vim - ,✓1n -sem- tp(► ,M Signature of Firm Representative or Individual: DO NOT WRITE BELOW THIS POINT - FOR AGENCY USE ONLY I, 1 F-A(Ak 5T&16 -VS indicated below and do, by my signature bi and approval of the project indicated above. Agency represented: (Please check one) o Wheat Ridge Water District o Consolidated Mutual Water District c Valley Water District v Denver Water , am a duly authorized representative of the agency )wledge receipt of documents necessary for review Wheat Ridge Sanitation District o Clear Creek Sanitation District o Fruitdale Sanitation District o Westridge Sanitation District a Other Agency Notes: f (,G456 f-r-PcK T- T tft ArfAc µeD I-lyrrEn 0,+-r✓ 2 12'L 1201ok , AI -L 0EJTYLTCT P—Ul.t?S, 1e-C-(p(Aj artvNS Arwo .17Y-}/Vo/Afz rt.�sY 3� oto+4Etz� o T0 '4-F AL` TTti►ts. Signature: Date: 2 / 2 4►f Ld Q (Agency Representative) 112A✓)S JV-? t,61.S -y- IbtMALF of ViSTKiC r AY D,TyrKT(T � CQVJin i-TTAv(, 00-wf�'Yatp%it<-Ige �,r 11*0_11:10 A140P.3qq CFIT OF WHEAT RIDGE BUILDING AND INSPECTION SERVICES DIVISION 7500 W 24th Ave Wheat Ridge, Co $0033-8001 p. 303-235.2855.f 303.237.8929 Proof of Submission for Permitting/Plan Review (water and Sanitation only) A copy of this form must be completed by each water and sanitation agency indicated on the Permit Submittal Checklist for the project type and be attached to the Building Permit Application at the time of submission. Applications presented for submission without a completed Proof of Submission form from a required agency will not be accepted or processed. Date: t `t Project Address: & 0 f �f.�cJ c. �-t i � � "1 -ii ,�,�a j'- "• Name of Firmlindividual submitting documents: A-A*r .t u -rt (-�.3� �.Si4 j l� Project Type/Description: 3 tai F /pro p i ,� t Signature of Firm Representative or Individual: DO NOT WRITE BELOW THIS P0114T - FOR AGENCY USE ONLY am a duly authorized representative of the agency indicated below and do, by my signature below, °hereby acknowledge receipt of documents necessary for review and approval of the project indicated above. Agency represented: (Please check one) Wheat Ridge Water District o Wheat Ridge Sanitation District o Consolidated Mutual Water District o Clear Creek Sanitation District o Valley Water District c Fruitdale Sanitation District o Denver Water o Westridge Sanitation District o Other Agency Notes: Signature: � k Date: ,2 (Agency Representative) Rev. 09/2017 RESIDENTIAL Building Permit — Plan Review Worksheet Address: -A3 69 UCU✓t 5J Zoning: V -2 - Lot Z Lot Size: \0.,115 sq. ft. Lot Width: Z5 ' ft. Property in the flood plain? If yes, notify PW Floodplain Administrator and add surveying condition FLD Subdivision: Any conflict? (Y/N) 00 Related Cases: t4 6 Type of project (applicable survey conditions in parenthesis): ❑ Accessory ISP, ILC or site plan none if in floodplain (FLD) ®' Addition ILC and site plan if Win 2' of setback or in floodplain (FND) if in floodplain (FLD) ❑ New ILC and site plan yes (FND) Maximum Lot Coverage: t-10 % 9, 050 sq. ft. if w/in 2' of setback (NRS) if in floodplain (FLD) Existing Improvements (footprin s) e � Proposed Improvements (footprints): House: 1� 5 (l �cl� ; a*.tck� q. . S�� ��- *°Mouse/addition: 3(; -5 sq. ft. Shed: sq. ft. Shed: sq. ft Detached garage: sq ft. Detached Garage: sq. ft. Other: sq. ft. Other: sq. ft. Total Existing, 1 sq. ft Proposed+Existing k, ,;� 7 4 sq. ft Lot Coverage Q 5 % Lot Coverage I e�' , S % Required Setbacks: FR 2-5' S S ;' R t o l Provided Setbacks: FR Z�S (n' S 15` R 5q' 6'' For additions or new construction, is the structure within 2 feet of minimum setbacks? �iES If yes, add surveying condition FND. Maximum Height: T9 ft. Proposed Height: 16 ft. Maximum Size: %W 16 sq. ft. Proposed Size: V I A sq. ft. Does the bulk plane apply? (Y/N) NQ If yes, does it meet on all sides (Y/N): FR S S R (See 26-642 and 26-120.C.1 —applies to all single-family structures (new, addition, accessory) in R -IC and R-3) Parkland Conditions Does the permit result in a new dwelling unit (new structure or conversion from non -res use)? Na If yes, have parkland dedication fees already been paid (eg with a previous land use approval)? If fees are owed, add condition PFEE, notify owner, notify building division, enter fee amount in ADG. Rev. 09/2017 Streetscape Conditions Does the permit result in any of the following conditions? Q0 ❑ Construction of new roads ❑ Platting of new lots ❑ New development ❑ Additions that increase gross floor area (not just the footprint) by 60% or more (proposed floor area 1 — – existing floor area _115 �t _ ) / existing floor area 14S 0 _ 7j4 % increase If any box above is checked... For SF/DUPLEXIs there existing ❑ Curb ❑ Gutter L]5 -ft+ sidewalk adjacent to the property? If curb, gutter or sidewalk is missing, streetscape construction or fees -in -lieu will be required. MULTIFAMILY—Does the frontage meet current city standards? If not, streetscape construction or fees -in -lieu will be required. Fees -in -lieu of dedication or construction are due at the time the permit is issued. Access Conditions (apply to all new driveways, garages, additions, or new homes/units) I� For one and two-family dwellings, the first 25' of driveway area from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick pavers or similar materials. Q(A ❑ For all uses other than one and two family dwellings, no vehicle entrances or exits may be closer than 25' to any property line, except when used as joint access for two or more lots. 0�_In residential zone districts, curb cuts shall be at least 10 feet and not more than 24 feet in width. �f ❑ One and two-family dwellings may have horseshoe driveways, provided that the street accesses 11 are at least 30 feet apart, measured from the interior edges. CA For all uses, one access point per property is permitted. Landscaping Conditions (apply to additions and new dwelling units) U For one -and two-family dwellings, one tree for every 70 feet of street frontage is required. Frontage of lot 7 � , - width of driveway 14 I ) / 70 = I (round up for required trees) Street trees required: Street trees provided: ❑ 100% of the front yard and 25% of the entire lot must be landscaped prior to issuance of C.O. ❑ In the event that landscaping cannot be installed due to inclement weather prior to the issuance of a C.O., an escrow agreement with financial guarantees may be allowed to ensure future installation. 125% of the cost of the proposed improvements will be required with the agreement. These funds will be reimbursed back to the property owner or contractor once the improvements are in place. Dwelling Unit ❑ Not approved as an independent dwelling unit. Property Information Per —� Best Kitchen & Bath Ben McBride 3360 Newland St Wheat Ridge CO 80033 Property Type Residential Date of Construction 1958 PH 720-218-1749 Prepared By EnvioCore LLC Asbestos Consulting Firm No. 21660 1685 S. Colorado Blvd Denver, CO 80124 303-GoEnvio (463) 6846 www.goEnvioCore.com infoCa'aoenviocore.com Conducted By Nick Hopkinson Asbestos Building Inspector Cert. No. 23887 Inspection Information Inspection Date 03/26/2019 Arrival Time 08:00 AM Report Date 03/27/2019 Inspection # 0319-48 McBride,Ben 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 Limited Residential Asbestos Renovation Inspection Report 3360 Newland St Pnvi.� orae ENVIRONMENTAL INSPE=CTIONS ;0-Z01q003,e1jt Cityd \ (Wheat Ridgee uilding Divison, ,' PAGE 1 OF 21 Table of Contents 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 Asbestos Results Reporting........................................................................................................................ 6 Asbestos Inspection Conclusion...............................................................................................................6 Closing......................................................................................................................................................... 7 InspectionPhotos.......................................................................................................................................8 LabResults.................................................................................................................................................13 InspectionCertifications.......................................................................................................................... 20 wheat R;dee r PAGE 2 OF 2 E i�w Definitions 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. }_ ` 3m -- 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 (TSII is material tho tis applied to pipes, fittings, boilers, breeching, tanks, ducts, or other interior structural components to prevent heat loss, heat gain, orwater condesation, or for other purposes. 11. The terms "Asbestos Containina Material" or "ACM" shall mean surfacing, thermal system insulation, or miscellaneous materials that contain 1 % or more of asbestos. 12. The terms "Asbestos Containing Building Material" or "ACBM" shall mean Asbestos Containnig erials that has been used for construction or improvement of a building or other structure. City of Wheat Ridge aHyl®..,,t'E? PAGE 3 OF 21 <,�� 7,, 13. The term "Certified Asbestos Consulting Rrm" shall mean any person licensed with the State of Colorado and the EPA, hired for a fee to conduct any of the folowing activities, as required by Regulation No. 8, Part B, in the State of Colorado: asbetos builidng inspection and bulk sampling; development of asbestos management plans; air 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, waterstaining, 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 applywhen 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. 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. I�'rpos and .cloloe ODI I T1s D G l G: 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 AC by tp46jerti Inspector. If the color, texture, construction, application date, or general appearance(Building fers between materials or if for any reason the Certified Inspector suspects that the materials might dWNMIyRo�' c the Certified Inspector will take separate samples from each homogenous area. The Ctied Inspector' Davison/ ! . PAGE 4 OF 21 representative bulk samples were similar materials, but this does not guarantee that materials of similar appearance are of the some composition. Even similar materials are subject to uneven mixing and distribution, and random sampling can miss ACM. EnvioCore used reasonable diligence and its professional 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 Ben McBride of Best Kitchen & Bath. Mr. McBride was concerned about asbestos containing building materials in the affected areas of the building. Per Mr. McBride, suspect asbestos containing building materials to be disturbed in the scope of work include: The affected materials sampled: Brick Mortar - Texture The affected areas include: - Main House - Back Bedroom 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. J m t . n �t sir 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.) City of Wheat Ridge er1Vi C®re PAvE 5 OF L1 SS°- less Repot"li . ng Table 1: Table of asbestos samples taken during inspection with lab results. ND = Non Detected, ;.=asbestos Materials Could become Friable during Renovation / Demolition. If this occurs the Mobility 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. ,,60-1_,Sl 0S Inspection Coondusion 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. City of wheat Ridge ei1Vl Ore PAGE 6 OF 21 3360-1D1-03 MAIN HOUSE MISC.BRICK & Good To ND N/A N/A Friable 1000 N/A 3360 -IDI -02 . WALL MORTAR - RED Condition 3360-SM1-01 BACK SM. PLASTER To BEDROOM - ND N/A N/A Friable Good S00 N/A 3360-SM1-03 WALL TEXTURE - Condition GREEN Table 1: Table of asbestos samples taken during inspection with lab results. ND = Non Detected, ;.=asbestos Materials Could become Friable during Renovation / Demolition. If this occurs the Mobility 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. ,,60-1_,Sl 0S Inspection Coondusion 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. City of wheat Ridge ei1Vl Ore PAGE 6 OF 21 EnvioCore assumes no liability for any loss, injury, claim or damages arising directly or indirectly from any use or reliance on this report or the opinions expressed herein. 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, Nick Hopkinson Certified Inspector EnvioCore LLC, Environmental Consulting Asbestos Building Inspector Cert, No, 23887 eny 1 Core PAGE 7 OF 21 Inspre-cfion Phall'os Figure 1 - Overview of Exterior Figure 2- Overview of Address F city or , Wheat Ridge PAGE 8 OF 21 Figure 3- Overview of Main House Wall Figure 4- Sample location # I City of Wheat Ridge PAGE 9 OF 21 ellny!* -olre Figure 5- Sample location #2 Figure 6- Overview of Back Bedroom Wall city or Wheat Ridge envijCore PAGE 10 OF 21 3%0 -SMI -M P44xf Figure 7- Sample location #I Figure 8- Sample location #22 - City of Wheat Ridge PAGE I I OF 21 Figure 9- Sample location #3 City Of Wheat Ridge PAGE 12 OF 21 ab Resl,its ANALYTICAL REPORT Prepared for: EnvioCore Environmental, LLC 1685 S. Colorado Blvd. Denver, CO 80222 Project: 0319-48/McBride Order No.: 0028051 Report Date: 03/27/2019 ATC Group Services LLC 8985 E. Nichols Avenue, Suite 350, Centennial. CO 80112 Ph: 303-799-6100 city of NJheat Ridge env Core PAGE 13 OF 21 These samples were analyzed by layers- Specific layer or component asbestos content is indicated when relevant. The EPA considers a material to be asbestos containing only if it contains more than one percent asbestos by Calibrated Visual Area Estimation (CVAE). EPA regulations also indicate that Regulated Asbestos Containing Materials (RACM) — materials which are friable or may become friable-- be further analyzed by point counting when the results indicate less than ten percent asbestos by CVAE. Our laboratory utilizes CVAE on a routine basis and does not include pant counting unless specifically requested. The results may not be reproduced except in full, and should not be used as a scope of work for abatement without consulting with ATC. r Cita ot Wheat Ridge ,Building Divison enykqore Pfi�E 14 of 21 8985 E. Nichols Avenue. Suite 350 Centennial. CO 80112 Phone +1 303 799 6100 Fax -1303 799 3441 v4u1nN. atc g rou ps a rvi c e s. c om PLM REPORT SUMMARY ALab Code 102031 Customer: AIH L AIHA Lab Code 1015361536 Nick Hopkinson ATC Job No.: EnvioCore Environmental, LLC Batch No.: 0028051 1685 S. Colorado Blvd. Report Date: 03/27/2019 Denver CO 80222 Sample Date: 03/26/2019 Project: 0319-48/McBride Date Analyzed: 03/27/2019 Customer Project No.: 0319-48 Identification: N/A Test Method: 600/R-93/116 Page 1 of 2 Client No. Lab No. Sample Description/ Location Asbestos Content 3360-ID1-01 0028051-001 LAYER 1 None Detected Brick. Red, 24°C Main House Wall 3360 -IDI -01 0028051-001 LAYER 2 None Detected Mortar. Cray Main House Wall 3360-ID1-02 0028051-002 LAYER 1 None Detected Brick, Red, 24"C Main House Wall 3360-ID1-02 0028051-002 LAYER 2 None Detected Mortar. Cray Main House Wall 3360-SM1-01 0028051-003 LAYER 1 None Detected Paint! Skim Coat. Multi -colored/ White, 25`C Back Bedroom 3360-SM1-01 0028051-003 LAYER 2 None Detected Plaster, Off White Back Bedroom 3360-SM1-02 0028051-004 LAYER 1 None Detected Paint/ Skim Coal, Multi -colored! White, 25`C Baric Bedroom 3360-SM1-02 0028051-004 LAYER 2 None Detected Plaster. Ort White Back Bedroom These samples were analyzed by layers- Specific layer or component asbestos content is indicated when relevant. The EPA considers a material to be asbestos containing only if it contains more than one percent asbestos by Calibrated Visual Area Estimation (CVAE). EPA regulations also indicate that Regulated Asbestos Containing Materials (RACM) — materials which are friable or may become friable-- be further analyzed by point counting when the results indicate less than ten percent asbestos by CVAE. Our laboratory utilizes CVAE on a routine basis and does not include pant counting unless specifically requested. The results may not be reproduced except in full, and should not be used as a scope of work for abatement without consulting with ATC. r Cita ot Wheat Ridge ,Building Divison enykqore Pfi�E 14 of 21 Aft8985 E. Nichols Avenue, Suite 350 Centennial, CO 80112 Phone -1303 799 6100 Fax -1303 799 3441 www.atcgroupseMces.com PLM REPORT SUMMARY NVLA Customer: AIHA lab Code 101536 Lab Code 1536 Nick Hopkinson ATC Job No.: EnvioCore Environmental, LLC Batch No.: 0028051 1685 S. Colorado Blvd. Report Date: 03/2712019 Denver CO 80222 Sample Date: 03/26/2019 Project: 0319-48/McBride Date Analyzed: 0312712019 Customer Project No.: 0319-48 Identification: N/A Test Method: 600/R-93/116 Page 2 of 2 Client No. Lab No. Sample Description I Location Asbestos Content 3360-SM1-03 0028051-005 LAYER 1 None Detected Paint/ Skim Coat, Mule -colored/ White, 25'C Back Bedroom 3360 -SMI -03 0028051-005 LAYER 2 None Detected Plaster, Off White Back Bedroom These samples were analyzed by layers Specific layer or component asbestos content is indicated when relevant_ The EPA considers a material to be asbestos containing only if it contains more than one percent asbestos by Calibrated Visual Area Estimation (CVAE)- EPA regulations also indicate that Regulated Asbestos Containing Materials (RACM) — materials which are triable or may become friable —be further analyzed by pant counting when the results indicate less than ten percent asbestos by CVAE. Our laboratory utilizes CVAE m a routine basis and does not include point counting unless specifically requested. The results may not be reproduced except in full, and should not be used as a scope ofwork for abatement without consulting with ATC. �nl' of what Ridge ili/t C®f e P��E �� cF z� Customer: Nick Hopkinson EnvioCore Environmental, LLC 1685 S. Colorado Blvd. Denver CO 80222 Project: 0319-48/McBride Customer Project No.: 0319-48 Identification: N/A Test Method: 600/R-931116 PLM REPORT SUMMARY ATC Job No.: Batch No.: Report Date: Sample Date: Date Analyzed: 0028051 03/27/2019 03/26/2019 03/27/2019 8985 E. Nichols Avenue, Suite 350 Centennial. CO 80112 Phase -1303 799 6100 Fax .1 303 799 3441 www. atc gr ou ps er o ce s. c om 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-931116. 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. Asbestos content of mastic/adhesive is separated from total percent asbestos and other materials. 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- Current and past QC/QA program results are available in the laboratory for inspection. 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 : # (J\ \ ,Jeff Lomme NVLAP LAB CODE 102031-0 The non -detection of asbestos fibers in floor the 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. �nY of 4 0 -atRidAc PAGE 16 OF 21 MkTc— -- _ 8985 EastAichols Avenue, Suite 350 AV Centennial, Colorudu 80112 ENV IRONSiENTAL• SE07ECORICAL V ( TEL: 303.799.6100 BUILDING SCIENCES • MATERIALS TESTING hAJi: 303.799-1441 PROJECT INFORINIATION Turnaround: 2 hour 24 hour 48 hour 3-5 clay (Any 2 hour TAT projects received after 3 pun will lie nim irNt thinL the followine momin¢I CompunylCustomcr: FnvimAwe, 1.1.0 4 Project Name:N\CU't-lE Address: 1685 Colorado Blvd Collection Date: Address: Denver, CO 80222 Customer NumberlP.O.: p' r + { Phone/Fax: 720-473-9044 Collection Address: '3j' Customer Contact: Nick 1 -lo kinson Special Instructions: Email: Sample Number Sample Material Sample Location 1 — —SJ G C+ 2 4 Is t �t 5 6 7 _R 9 10 11 12 13 14 15� 16 17 _. _18 19 20 21 22 _ — -23 24 25 Note: Sample collector is rsponsiblc for ensuring that all samples have been preserved and prepared to the appropriate and applicable mvlhudololry. If package has sustained damage during transit, notity collector and shipper. Turnaround tittle begins upon receipt of sample (s) by laboratory. A'N'C will not be responsible for errors or omissions in calculations Lona inumurucy of original data. CHAIN) OF CUSTODY A --1 City of Wheat Ridge envi ��re PAGE 17 0F 21 r Ar C ArAkT Nick Hopkinson EnvioCore Environmental, LLC 1685 S. Colorado Blvd. Denver CO 80222 Collected: 03/26/2019 Collected By: Nick Hopkinson Collection Address: 3360 Newland Street, Wheat Ridge, CO Lab ID Sample Location Sample # Sample Description BATCH NO. 0028051 NVLAP Lab Code 102031 AfHA Lab Code 101536 Customer Project No.: 0319-48 Description: 0319-48/McBride Date Received: 03/26/2019 Daze Analyzed: 03/27/2019 Date Reported: 03/27/2019 Comments: Asbestos Non -Asbestos Constituents Constituents 0028051-001 Main House Wall None Detected Cellulose Fiber (Incom) 5% 3360-ID1-01 LAYER 1 Aggregate 30-A Brick, Red, 24`C Binder/Filler 65% None Detected Cellulose Fiber (Incom) '1% LAYER 2 Aggregate 65% Mortar, Gray Binder/Filler 35% 0028051-002 Main House Wall None Detected Cellulose Fiber (Incom) 5% 3360-01-02 LAYER 1 Aggregate 30% Brick, Red. 24'C Binder/Filler 65% None Detected Cellulose Fiber (Incom) <1% LAYER 2 Aggregate 65% Mortar, Gray Binder/Filler 35% 0028051-003 Back Bedroom None Detected Cellulose Fiber (Incom) <1% 3360 -SMI -01 LAYER 1 Aggregate 40% Paint/ Skim Coat. Multicolored/ White, Non -Fibrous Material 60% 25'C None Detected Cellulose Fiber (Incom) <1% LAYER 2 Aggregate 45% Plaster, Off White Binder/Filler 55% 0028051-004 Back Bedroom None Detected Cellulose Fiber (Incom) c1% 3360-SM1-02 LAYER 1 Aggregate 40°,6 Paint/ Sk rn Coat, Multi -colored/ White, Non -Fibrous Material 601% 25'C None Detected Cellulose Fiber (Incom) <1% LAYER 2 Aggregate 45% Plaster. 08 White Binder/Filler 55% Analyzed by: PAGE 18 OF 21 v i o r Reviewed by: Page 1 of 2 City Of Wheat Ridge 3uilding Djvison, Nick Hopkinson EnvioCore Environmental, LLC 1685 S. Colorado Blvd, Denver CO 80222 Collected: 03/26/2019 Collected By: Nick Hopkinson Collection Address: 3360 Newland Street, Wheat Ridge, CO BATCH NO. 0028051 NVLAP Lab Code 102031 AIHA Lab Code 101536 Customer Project No.: 0319-48 Description: 0319-48/McBride Date Received: 03/26/2019 Daae Analyzed: 03/27/2019 Date Reported: 03/27/2019 Comments: (%) LAYER 2 Plaster, Off VMnite Analyzed by: _ a. PAGE 14 OF 21 ff# r Nate Detected Cellulose Fiber (Incom) <1% Aggregate 45% Binder/Filler 55% Reviewed by: VANPage 2 of 2 City of wheat Ridge Asbestos Non -Asbestos Lab ID Sample Location 1 Constituents Constituents Sample# Sample Description (%) M 0028051-005 Back Bedroom None Detected Cellulose Fiber (Incom) '1% 3360 -SMI -03 LAYER 1 Aggregate 40°.6 Paint/ Skim Coat, Multi -colored/ White, Non -Fibrous Material 601% 25°C LAYER 2 Plaster, Off VMnite Analyzed by: _ a. PAGE 14 OF 21 ff# r Nate Detected Cellulose Fiber (Incom) <1% Aggregate 45% Binder/Filler 55% Reviewed by: VANPage 2 of 2 City of wheat Ridge t In-spection Certificat iol-11:3. U10maoliepanment of Public Health anffiv�onment ASBESTOS CONSULTING RRM This certifies that envioCore, LLC -Registration No.: ACF - 21660 has met the registration -re requirements of 2,54.507, CKS. and the Air Quality Control Commission Regulation No-, 8, ?art B and, is hereby authorized to perfo m- asbestos consulfing, activities as - required ;under Regulition No'.8, Part B, in the state of Colorado- brIuary 14 201 - -Autalmd0co'h 4 y 14 2070 ME M enyWppre PAGE 20 OF 21 City of Wheat Ridge ' AA +-rrtificale 1= <ui1Q o4l), Wilk the powv*Ssfwe of a ,:utrrnt t�1ri�l rn-.+/q+ranrd tralnlnyr course ranlQcallan to ibt d/n•IyNnt �ryrr/fFnd ulw�v' en yi rore PAGE 21 OE 21 i CITY OF WHEAT RIDGE Building Inspection Division �(303) (303) 234-59331nspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: /f// r10 Job Address: 7-76'0 S 7— Permit Number: 2 0/r/ O ice'%/ r 1 u - `J � No one available for inspection %ane 7 ,f"�' AM/PM Re -Inspection required: Yes (I` When corrections have been made, call for re-ition at 303-234-5933 Date: Inspector:V",!)177, DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201701871 PERMIT NO: 201701871 ISSUED: 06/11/2017 JOB ADDRESS: 3360 Newland ST EXPIRES: 06/11/2018 JOB DESCRIPTION: Residential Reroof: INstall GAF Timberline HD house 4/12 12 squares *** CONTACTS *** OWNER (303)569-6073 KRICHIVER ARI SUB (303)435-0868 David Schumacher 150102 Galaxy Roofing 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: 7,500.00 FEES Total Valuation 0.00 Use Tax 157.50 Permit Fee 172.60 ** TOTAL ** 330.10 *** 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 A/2 -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 manufacturera€-s 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's 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. City of Wheat Ridge Residential Roofing PERMIT - 201701871 PERMIT NO: 201701871 ISSUED: 06/11/2017 JOB ADDRESS: 3360 Newland ST EXPIRES: 06/11/2018 JOB DESCRIPTION: Residential Reroof: INstall GAF Timberline HD house 4/12 12 squares 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,,ati 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 attesYihat I am ]e ally'authorized to include all entities named within this document as parties to the work to be performed and that all }ytirk to be perfor�`ed is dys' c sed in this document and/or its' accompanying approved plans and specifications. P Signature of OWNER or CORACTOR (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 fe. 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. 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. Antoinette L. ~ ` I � ) 'ck ) -6 I From: no-reply@ci.wheatridge.co.us Sent: Thursday, June 8, 2017 9:12 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being processed within 24-48 hours, subject to change based on volume. C.J / For all other requests: � � CK ` (� Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Existing permits that require amendments (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. PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address Do you have a signed contract to reroof this property? It will need to be provided at the time of permit pick-up. 3360 NEWLAND ST KRICHNER 303-659-4274 Field not completed. Yes CONTRACTOR INFORMATION Contractor Name GALAXY ROOFING Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number 150102 303-435-0868 Contractor Email Address GALAXYROOFING@OUTLOOK.COM (permit pick-up instructions will be sent to this email) DESCRIPTION OF WORK Is this application for a new permit for a residential roof? Are you re -decking the roof? Description of Roofing Material How many squares of material? Yes No gGAF TIMBERLINE HD 19 Provide additional detail HOUSE; 4/12 here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 7500 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 z 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 DAVID SCHUMACHER Email not displaying correctly? View it in your browser. (303)333-3739 IFr.,ee Estimates COM1 'R -C LAL & XIESXDENTLA�L. L_ Galaxy Roofing -- 365 S Jersey St Denver, Colorado 80224 303-333-3739 First in Quality �$ First in Service First in Satisfaction Ins. Co. Tel. # Claim #� Adj. Name _ Tel. #"'� �A Fax. # %� .� r ' W4 PROPOSAL SUBMITTED TO:t DA'L'E: STREET: JOB #: R CITY, STATE, ZIP: UBDIVISION: HOME PHONE: 'in_r�> ^ (Cc"� BUSINESS PHONE: SPECIFICATIONS" D OR LABOR AND 7ATERIAL Tear off. c Tural iteetComposition: ter: Wi=t at�-C im itio �'Layer Initial for color of s files: essionally Install: Brand TypeAl Color: 0 25 0 30 0 40 ears etime Bonded Roofll starter coarse shingle around perimeter a ce & Water Shie)d SkylightXt._ 2 A 4 (Q Tear oy ut on AU -dew Valle Ft.. Install: Felt 0 30 Felt C,_, Garage ----- -d � � _,_ va dzed Nails �" Ygood replaced at $40 -Sheet (If Needed) a t U=<ee" roof stacks, side walls, counter and Step flashings 4_R Chimney np Edge E_ initial e n Re -use 0 4" 0 5" 0 6" 3 to 1 Autos � Plumb' g Vents �- OverFurnaceCaps R_D t edge: Zen5tlilagnn:Low Profiles Turbines �yard ntsdge Vent 1 P Lean -Up and haul off all job related trash magnetic roller L t yard and shrubs WARRANTIES 0 3 -Tab, Dimensional a J or less') er , r k i� rz�uaante�i Flat,' 0 1 Year Labor 0 3 Year Labor 115 Year L bor ear Lxor initial for co or of gutter: 0 Gutters: owns: Color: ascta: 0 PVC OCoil Siding: Profiler \- Size: Color: Soffit Color • Galaxy Roofing is not responsible for pre- existing structural conditions. Buyers agree they have seen, read & understood all terms & conditions of this contract & agree to be bound by some. 1 ak A LEN WAIVER, WA Y * zL' P`IiT I(E WILL BE PROVIDED UPON l IiLL PAY "t `•',r�-'"� f TINGENT—This proposal is contingent upon the insurance company paying ford ages. This proposal [ be V .lD onfy if df im is disailowed by insurance company. Property owners out- of—packet expertsa is not to exceed the deductible amount. BUYER RIGHT TO CANCEL—if you decide you do not want the goods or services, you may cancel this Agreement by mailing a notice to the Seller. The notice must say that you do not want the goods or services and must by mailed by midnight of the Third Business Day after you sign this agreement. The notice must be mailed to Galaxy Roofing Company. PROPERTY OWNER AGREES TO PROCEED WITH THE WORK AS PER PROPERTY- LOSS WORKSHEET WHEN RECE4FF[t7 We propose to -hereby f sh materials compI in accoidance-withabove spedficatia esum of -t t aspertheinsurance company toss scope sheet, for which Is incorporated fterein mad part a by refer ce, to ;HNq. cult ry profit and o _ ead whe curred. Payment upon compleI ach r de. I RA ROCEEDS $ Authorized Signatur Miust be approved by company owner. No oth . work expressed or implied verbally. All changes to he in writing and accepted before enn , an "NOTE: This proposal maybe withdrawn by us if not excepted within 30 days. ACCEPTANCE OF PROPOSAL: The above prices, sp co safisfactory and are hereby accepted. You are authorized t do e%work specified Payment will be made as outlined about X �X�" DATE�i�. FOR OFFICE USE ONLY Property Owner Eni ' ' - City, State, Zip: ' Amps S quares Other INSPECTION RECORD ' l `'INSPECTION LINEN ( -5933 f Inspections will not be made unless this card is posted on the buildi 1 - 0 CCIIp ng site Call by 3 :00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB j 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 CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) r Heating (Underground) ROUGHS DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED )� Sheathing r, Lath; / Wall tie Mid Roof ,�- Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical Framing ABOVE INSPECTIONS TOBE SIGNED PRIOR TO PROCEEDING r Insulation Drywall Screw R:. FINALS a� �. Electrical ""- Plumbing Mechanical Roof B uilding Final Fire Department R O.W &:Drainage: Parking & Landscaping INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SH NOTE:. ALL /TENS MUST BE COMPLETEL, AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFOf CERT /F /LATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES .NOT CONSTITUTE AUTHORIZAT ,OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR bCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUEI PROTECT THIS CARD FROM THE WEATHER ♦ 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: 3YKa, S7` Permit Number: /d 179G ❑ No one available for inspection: Time ZL 1 _ 05< _ (A M Re- inspection required: Yes * When corrections have been made, call for re Inspection at 303 - 234 -5933 Date: �� Inspecto r DO NOT REMOVE THIS NOTICE ►' City of Wheat Ridge Homeowner Roof PERMIT - 101796 PERMIT NO: 101796 ISSUED: 07/20/2010. JOB ADDRESS: 3360 - . NEWLAND ST - EXPIRES: 01/16/2011 DESCRIPTION:, Reroof 17 sqs- with 30'yr - shingle -: ** *CONTACTS * * *' owner - 303/621 -4520 Lynn Ellis * *:PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0482' -BLOCK /LOT #:. 0/. * *.FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 3,009.00 FEES Permit Fee 126.50 Total Valuation .00 , Use -Tax 54.16 CDs7 6Ot� ** TOTAL ** 180.66 2a� Conditions: 6 nails per - shingleis required. Ice dam membrane is required from - eaveedge 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. Midroof inspection is not required on permits.= purchased after 4/18/10. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a( re-inspection "fee will be assessed. I hereby certify that the setback distances proposed by this permit application: are accurate, and do not violate . applicable . ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements: or restrictions' of record; that all measurements shown,. and allegations made are accurate; that I have read and agree to abide by all conditions printed on this 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, r for work under this permit. Plans subject to field inspection. Sig f contractor /owner date 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning. Regulations and Building Codes. of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire 180 days . from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted 'at' the discretion of the Building Official.- 3. If this permit expires, 'a new permit may be acquired fora 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 orif - suspension - orabandonment exceeds one (1) year, . full fees shall be paid for a new permit. 4. No work of any manner . shall be done that will change the natural flow of water causing a drainage problem. - 5. Contractor shall notify. the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of any. violation . of the provisions of the building . codes or any other ordinance, rule or regulation. Al 1 .pia .subject to field. inspections. Signature f.0 'ef: Building official .:date INSPE 20N REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS.. MUST. 13E MADE. BY 3PM` ANY `. BUSINESS. DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY...- Cit of Y heat R Lc Date: � UNITY DEVELOPMENT Pian # Building & Inspection Services Division permit # 7500 W. 29 Ave., Wheat Ridge, CO 80033 - Office: 303 - 235 -2855 " Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application gropetfiy'Adtiiress: ' �,( 3� G d J11�w �a S f l� `�e • ! _ rr)) Property Owner (please print): �4 aj, �,' S Phone:, Mailing Address; (if different than property address) Address: City, State, Zip: C*r 00: License #: Phone: auu"4Un1T Electrical: Plumbing: Mechanical: City License # City License # City License # Nst;�ori`ot wcir�c '3 d lrCC/ S -1 t. Contract Value: / $ Review Fee (due at time of submittal): Squares 2 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, roles 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; than 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). ar (AUTHORIZED REPRESENTATIVE) of (OWNER). (CONTRACTOR) PRINTNAME: L'7i1.. E , SIGNATURE: v DATE: p Cl7JvIMENTS r� �• . ! >: j � "� i.. m.✓, r .' � to a �` 3',.^.'�"..'�� �� /�i / ,..a. :, "; ,, y -tee ��' _,. w`5',.�...✓„.: ti .,.r�,, fi fA�.�m zlc..,, /..�`' yll,, .,_,.. �.�,..>„ ,., .. ,ix, �,.. �.a, Bldg Valuation: ~ k N ~ El I I (D A 0 I (D CD 10,` m r'. 41 ' ~ 0 N 0) y ~p C (D O O Q Q N r~jn . -0 n y N I m i ~ O ~ ~ , p m n _ ~ ~ o ~ 3 , y (D y ~ m = o w ~ ~ w A w W ~ 1 l ~ ~ 0 n Q fl. N J ~ 3 (D * ~ n M Z ~ ` Z O cn ~ FI m z ~ ~ a ~ .-~i, faD -1 w ~ . r 6 O ~ w ) Q ` ~ N W I71 ` W < ~ x' Z NWC 171 w1' 0, n m 0 ~ ~ m `D m W -I N aov wCD~D " q, ~ ~ ~00 X fD 7 ~ rM" p~~ ~MIK2~ . , . I3SUEII:: 11/I3/2007 NO; 071250 EXPIRES: 05/11/2008 J Rt7DR8S8: 3460 1+F94tLANb S`' nE RTPTYONxYntericr demo~for bed2'04m bBChruom. . . ow c +t ZO en r►e CONTACT3 r«« " _ er... 303f232-1635 J.J. Roche ~ RCEL INFO COD$:. UA`~ . . . ~ . . . . VISION; :~.UA. . . . . ' USB: ~ r-3 ~ . . ~ BLOCK/LOT#: ~0/ FEE.~SUMMARY ~ D malition Fee ~ TOTAL . ~ ~ MATEDPROJECTFEES 50.00 50.00 :o~ninente : ~ )e~Olition of nori load-bearing walle only. Ilhezeby certify tdat Khe eetDack dieCancea piopoeed by thie permit application aie accurate, and do ao[ vialate applicable o dinancee, sulee or regulatione ofthe City oL iPheat Ridge or covenante, eaeemente ox.testrictione of record;thaG all m asurementeehowp, aniallegatione made are accurate; ChatI haveread and.agrm Co ebide.by.all eonditione prinCed onthie a ~plication and that I aaeume Lull zeepo[Se1bi11ty for compliance with the 7Pheat Ridge Building Code (I.B.C) and all otrter a~plicable.tiheat RidgeOrdinancee, for work vnder thie pe=it. Plens eubject to Eield inepection. . . . . . . . . SignstureoE Canisaccoriowner. 1.1 Thie permit wae Saeuld in acwrdance with thepsovieiona.aet forth in your appllcation end ia eubject Co the lawe of tne I State ofCOlorado aM to the Zoning Regulatione and Building Codee o£.Wheat Ridge, Coloradoor any other applicable ordinances of the C1ty. 2.1 Thie permlt ehall e%pize 180 .daXe from tAe ieaue date. Requeets for an exteneion muat be recelveG prior to expiration . I date. An ex[qns}~May be gt pted at tY diecretion of Che.B¢ilding OfEicial. y rovided no 3. Ifthie petmit expi;ee, e new ermit msbe acqulred for a feeof one-ha1F the amount narmall required, p , changee have teen arwilF be madO 1nthb originalplane end specificationeandany suepeneion or abandonment hae not . exceeded one. (1).year.If ch2ngen have been.or if euepenaion or abandonment exceede one (1) year, full.feee atull 1 be paid for a nea peimft. 4.1 No vork oi any mennarehall De done Chat will.chan9e the natural [low of water caueing a drainage problem. 5.1 Contractor aha11 notify the BuildingInepector twenty-foua(2U hours in advance for sll inepectione and ehall receive II written approval on inepectidn cnrd befose'pz'oceeding witheucceseive phases of tRe job. • . 6. The iaevence of a perfi.it or the appraval of 3rawinge and epecSFicatione ehall not bewnetruedto tie a permit for, nor . an approval ot, y latiot~ of the prWleiona of the bulidiag codee o;any other ordinance, law, rule or re9ulation. . IAll plan jtpbject to field inepectSOna. fingofficial aace T LIN$e (~'03)234-5933 SUILDING OFFICE: (303)235-2855 MADE.BY 3PM P.NY BUSINESS DAY.FOR IN5PECTIONTHS FOLLOWING BUSZNESS DAY. ,v. ~c HEqTq' . m City of Wheat Ridge ~ °~~oRaa Residential Plumbing PERMIT - 070153 PEE2MIT N0: 070153 ISSUED: 03/01/2007 JOB ADDRESS: 3360 NEWLAND ST EXPIRES: 08/28/2007 . DESCRIPTION: replace water heater CONTACTS.*** owner Lynn Ellis gc303/534-0881 Gary Kenfield 01-7152 Precise Plumbing **:PARCEL INFO ZONE CODE: UA USE: R-3 SUBDIVISION: UA BLOCK/LOT#: 0/ **'FEE SiTNA7ARY ESTIMATED PROJECT VALUATION: 600.00 FEES Permit Fee 34.52 Total Valuation .00 TOTAL 34.52 r r..~v . . . _ A~UE Replacement balersffumaces M;~.Imum .r 7~, gpNerslFumaces in rrow consuudion - Minunun' nf 8U% AFUE Setback Thertnostat required (Except for Hydromc Heffi) Gas VWater Heaters - Minimum of 60 Energy Factor gy EWric Wster Heatem ' R 21 Wails 3~ R- EnerFaCW Insulation reaui~: o • R-79 Crawl Spaees 8 R-19 Basementwalb Ihereby certify that the setback diatances propoaed by thle permit application are accurate, and do not violate applicable orpinances, tulee ox re9ulatione of the City of wheat Rid9e or covenante, eaeementa or restrictione of record; that all meaeurementa ehown, and allegationa made are accurate; that I have read and agree to abide by all conditione printed on thie application and that S aeeume full reeponeibili[y for compliance with the wheat Ridge Building Code (I.e.C) and all other applicable Wheat Aidge Oxdinancee, for work undez thie permlt. Plana eubject to field inepection. oL COffCYdCLOD/OW[12x 1. 'Thie permit wae iesued in accordance with [he provieione ee[ forth in your application and is subject to the lawa of the I.State of Colorado and to the Zoning Regulationa and Building Codee of taheat Ridge, Colorado oi any other applicable '.ordinancee of the City. 2. Thie permit ahall expire 180 daye from the ieeue date. Requeate for an extenaion muet be received prior to expiration :date. An exteneion may be granted at the diecretion of the Building Official. 3. 'If this pexmit expiree, a new permit may be acquired for a fee of one-half the amoant normally required, provided no changee have been or will be made in the original plana and epecificationa and any euapeneion or abandonment hae not : exceeded one (1) yeaz. If changee have been oz if auepeneion or abandonment exceede one (1) year, full feee shall be pald for a new permit. 4. ~.NO work of any manner ehall be done thaC will change the natural flow of wa[er causing a drainage problem. 5. COntractor ehall notify tha Huilding Inepector twenty-four (24) houre in advance for all inepections and ehall receive ' written approval on inepection card before proceeding with eucceaeive phaees of the job. 6. ~ The Seeuance of a permit or the approval of drawinge and epeclfications ehall not be wnetrued to be a permit for, nor ;an approval of, an 'olation e provieiona of the building codee or any other ordinance, law, rvle or regulation. 'All plan revbj o field in ctions. - Signature of Chiei Huilding nfical date - INSPBCTION RSQIISST LINB: (303)234-5933 BUILD2NG OFFICE: (303)235-2855 RE,n.UESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number. BUILDING INSPECTION LINE - 303-234-5933 Date. CITY OF R'HEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) ~~UCATION Property Owner y.+n 4 //1' S ' Property Address: 3 j~ O /ur /A " 57 Phone : Contractor License No.: / '7 / s :2. Company, P~c c i sc P~vM jp/,L Y -Tn c Phone. 0%i~TIL'CONTAACTOR SICNATUR& OF UNDERSTANDING AND A6R&EMENT i hearby certify thnt $e aetbsok diatances propoeed by Uiln pamut appliontion ue accurate, xnd do not violnte applionblo otdinmcw, cula ot rosulntiom oCtho City et Wheat Ridge or covenenb, euemenk of ratria4o`u o1' reoord; Nnt dl measuremc~is shown, end ellesnlione mnde are nocurete; t}ut I have resd md n~ee te xbi8e 6y nll conditiona pnnted on ttue epplientioni md ihat I msume tull : espensibility far complimce with ihe Wheet Ridge Building Code (U.B.C) md ~i l ethcr xpplicable Wheat Ridge Ordinmcu, for work under Uils petmit '-,t~,RxCO*fIR4CTOR). 910NSIJ~~)!a.a~__~AIB r~r pescriphon: r Ir/lo /I c¢ Zonu3g CotriE11C31ts. Approval Zoning Hw(dEng Ccszatuouts: Approval: Publio WazNS ~.ft" ~Stle~itA: Approval: Occupancy: Walls Elecvical License No: Comoany. Construction Vaiue: 6If'o I' Permit Fee: 9y S ? Plan Review Fee: T1cr TaYSt.ar s tir'vr:L TOC31: . 31f S -i- i BUILDING DEPARTMENT USE ONLY SIC Sq.Ft Roof: Staries; Residential Units: Plumbing License No: Mechanical License No. Company Company, Ezp;:ation Date. Sxpirarion Date: Expiration Date: ilpp;oval Approval: Approval: . lTis pemut was iuued in acwMmce wilh Ne pravisiom ~at forth in yow ~pplimtion mA is mbjecl Lo ihe I.w, of Ne 3tete a( ColonAo anA to thc 2o~rg Reguhtlo`v mA Buildin' Code of Whe•i Ridge, Coloudo or ury oUu spplinble wdiwncu oC1he Ciry. . ilvs pertnit ihell ezpim J(A) the work mlhonzed is not aammenoeA witNn iixry (60) A~ys 6om iave Aete or (B) 1he buildin¢ 4uthonxed ie mspcndcA o; nbmdaned tor . period of 110 drys. It iAie pomtit expizw, & new permit mry be aequirod fm , fee of one-Ivlf Ihe unowt norsndty mquireA, prwideA no ehm{a hve bem ar will 6e mene U. the angiul plw md spmifie&LLau and Ny iwpvuion ot abandwmml hu not ueeeded ane (1) yeu. If ehan{e, hrve ben ot Y iu+pwian or abenAorunent exceedn ane (1) yeu, 1L11 Cee, ih,ll he pud for a nsw pemill No work of ury rtwines dull be done Uut will eNrye Ue wtunl Aow otwitu nwin` i drwuQe problem ConcrecWr shall notity Ne Buildin[ w7aw<<'F'ortrY'four (24) houn in aManee fo[ aII'uupections and itull reeeive wnnen Apptwat ort vupeetion cud beforc pmcceding wilh mceafive ➢wa of 1he job, The iuumce of A pemtit oe Ne ipprwJ af dnwinp md speeiLet4au ihell noe be ooruwed to be e pvmit for, nor en epprovel of, my "olenon of thc provisiont oC1he building codv or eny o1Ev ardinuncq Iiw,'ule or rogalaton. r.li A t,/"- /i~'e CMef Building Inspector - aEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number Date 14359 8/20/02 Property Owner: Jose & Nicole Campos Property Address : 3360 Newland St Phone : 303-202-6618 Contractor License No. : 20357 Company : Wright Roofing, Inc Phone : 412-1477 OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT COnStfuCtiOn Value I hereby certify that the setback distances proposed by this permit application are accurate, and Pefmit Fee do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or Plan Review Fee 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 Use Tax application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable W~eat Ridge ordinances, for wo[~c under this permit. TOt81 (OWNER)(CONTRACTOR) SIGNED N DATE~d~'y3~~/((~' 7 e: Description : Tear off 3-layers composition shingles-lay over with 18 sq 3-tab shingles $3,322.50 $97.25 $0.00 $39.87 $137.12 BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Approval: Zoning : Approval: Approval: Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company: Expiration Date : Approval: Plumbing License No : Company : Expiration Date : Approval: Mechanical License No : Company : Expiration Date : Approval: (7) This permit was issued in accordance with ihe provisions set Forth in yopur application antl is subject to ihe laws of ihe State ot Coloratlo and to the Zoning Regulations and Building Code ot Wheat Ridge, Colorado or any other applicable ordinances otthe Cily. (2) This permit shall expire if (A) the work authorized is not commencetl within sixty (60) days from issue date or (e) the builtling authorized is suspentled or abantloned for a period of 120 days. (3) If this permit expires, a new permit may be acquired tor a fee of one-half the amount nortnally require4 provided no changes have been or will be matle in the original plans and specifcations and any suspension or abandonment has not exceeded one (t) yeac If changes are made 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) Con[ractor shall notiy the Building Inspec[or M1venry-four (24) hours in atlvance for all inspections and shall receive written approval on inspeclion card before proceediing with successive phases of the job. (6) The issuance o( a pe ~ r the ~pprryp I of drawings and specifications shall nol be construed to be a permit For, nor an approval ot, any violation of the provisions of the m o~~N~fpfi/other ordinance, law, rule or regulation. ~ ~ l Chief Building Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 8/20/02 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 AppLtCATio N Property Owner: Jose and Nicole Campos Property Address : 3360 Newland Street Phone : 202 6618 Contractor License No. : 20357 Company: Wright Roofing, Inc. Phone: 412 1477 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposeC by this pertnit applieation are aecurate, and do not violare applicable oMinanees, rules or regulations of the Ciry of 4Vheat Ritlge or covenants, easements or restrictions of rccortl; that al1 measurements shown, and allegations made are aceurate; that I have read and agree to abitle by all conditions pnntetl on Nis applica6on, and that I assume full rcsponsibiliry for compliance wkh the Wheat Ridge Building Coae (U.B.C.) and all other applicable Wheat Ridge ordinances, forwork underthis pertnR. (OWNER)(CONTRqCTOR) SIGNED pA7E8/20~ Construction Value : $3, 322.50 Permit Fee : y-7 ~5 Use Tax: Total: 0 Use * Description: Tear off 3 layers composi_tian shingles-l.ay over with 18 sq. 20 yr. f/g 3 tab shingles. BUILDING DEPARTMENT USE ONLY Zoning, om„tsp SIC : Sq. Ft. : Approval : Zoning : omi-ne Approval: Approval : Oceupancy : Wails : Roof : Stories : Residential Units : ElectnC3l License No : Company: Expiretfon Date : Approval: Plumbing License No : Company : Expiretion Date : Approval: Mechanical License No : Company: Expiretion Date : Approval: (i) inis cea.guqitwasalw'suw aweaain awrdancs wimma o~ow~s an rortn in wourudrcanon ane o weroc m me ws m n+e snte at Coaraao and ro aro Zawq tions'mrg coa. or wnnt aiaye. conram o. a'ry omar aaw"anie oiewrKSS a m. cny. (Z) bThis antlorN.W b~a QpenoC 0!(Ajp dry~~ m ~~neeE wipun Yaty (BO) EryS rypm iSSUe tlate or (B) Ne Euiltlinq auNOnzeO ia suspentlN a (3) If Mis Oermit at0l23. a Mw Print rtyy Oe EWUiraO hN a he of ona-hall Me amouM nom111qy RpwiaO. DroviDeC no dunqeS Ifave Deen w will 0e maEe in tlfe onqinal plans anC fpecfiotlpro in0 wly npppqpn p aprppnmeM haa not erzteeyey one (1) Year. tt Wngn am maEe w il auspenswn or aWnOOnm@M uceetls one (1) yaar. NN Mn shaN De G" for a new pertnrt. (Sj ContraC[ar ]t i iminmm aMll Cf tlane Nrt w111 Cialqf tlle IliWlil lbw o/ w,tel dufinq a Oriinage p1o01¢m. OroCeeOiin wMt ~ 1h! BUi1Em9 tNGeCEO/ MianN-/av (24)11oun in aMance br ill inaP~s aiM fMall Rteiva wrillfn approval on ufs0eC0on orC bdaa (6) The uswn m a~~ Pnaoea ae vM pb. Of Ne OuiW' mEes Parrind tt tM a7P~+i o( Erawvlqs and apecifinUOns sf WI Ilot be mnsUVeC to Oe a Pemtit br, nor an aPWDVaI o(. anY notadon Of Mie O~~s ~9 inY OtlICf WtlI11ii1CQ. IiW. NN IX RyYli0011. Chief Buiiding Inspector