Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
4545 Ingalls Street
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: NSU t 6a-7/or �J >' l c cove s Job Address: /S /S_ �w�� C�- s S Permit Number: 2 O /2 D 3-3 6 �. When corrections have been made, call for ' re-inspe ion- t 303-234-5933 �... p �z Date: Ins ector: E� DO NOT REMOVE THIS NOTICE City of Wheat Ridge Res. Accessory Struc PERMIT - 201708015 PERMIT NO: 201708015 ISSUED: 10/05/2017 JOB ADDRESS: 4545 Ingalls ST EXPIRES: 10/05/2018 JOB DESCRIPTION: Homeowner accessory structure replacement of shed due to hail damage and increase size to 12x12ft=144sq. Sided with Hardie Board siding. *** CONTACTS *** OWNER (720)327-6739 WILSON GREGORY C AND ALISSA *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,500.00 FEES Total Valuation 0.00 Plan Review Fee 39.33 Use Tax 31.50 Permit Fee 60.50 ** TOTAL ** 131.33 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed -in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure.Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.All roughs to be done at Framing Inspection. 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. NOT APPROVED AS AN INDEPENDENT DWELLING UNIT. Landscaping removed or damaged during construction must be replaced prior to final inspection. PERMIT N0: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Res. Accessory Struc PERMIT - 201708015 201708015 4545 Ingalls ST ISSUED: 10/05/2017 EXPIRES: 10/05/2018 Homeowner accessory structure replacement of shed due to hail damage and increase size to 12xl2ft=144sq. Sided with Hardie Board siding. 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 le al owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this e I further attest tha# I am legally authorized to include al[ entities named within this document as parties to the work to be per drdht all wbrl po be pertprmec,is disclosed in this document and/or its' accompanying approved plans and specifications. Sfgnatur'' of OMINEk oT CONTRACTOR (Circle one) Date I. Th`ipermit 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 originalermit 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 pen -nits is at the sole discretion ol' the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code o rdinance or re atio o t is 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. Building & Inspection Services Division 7500 W. 29`h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(o)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: 1015 0` IC7 Plan/Permit # I I USO Sv Plan Review Fee: /31. J Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: qeD_y1C:3_ Propertv Owner Property Owner Emai Mailing Address: (if different than property address) Address: City, State, Zi Architect/Engineer: Architect/Engineer E-mail: Contractor:-�-A`�DC/�✓L(? Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phone: Other City Licensed Sub: City License # Phone: Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, 513A deck, etc.) ,RESIDENTIAL ACCESSORY STRUCTURE (Garage shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REP MENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please 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, ize and efficiency, type and amount of materials to be used, etc.) 60 � i acwv, � � C'GLl1� e 6� h6 KNO c. yr �1vf�e� �- C`XX+raiVLdc ►�lSct iv�, S d C�e�S�- tics . ice;► bR S'Ind c,� v� ie baa>,c s,cl �►�q Sq. Ft./LF 144 CCS\ 11— Btu's Amps Squares Gallons Other 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 truthfiilness of the information provided on the application. CIRCLE ONE. (OWNER) (CONTRACTO br (AUTHORIZED EPR N ATI E of (OWNER) (CONTRACTOR) Electronic Signature (first and last name): DATE: DEPARTMENT USE ONLY II ZONING COMMMENTS: V-- Z _ OCCUPANCY CLASSIFICATION' Reviewer:i" 171 1 :°rte ( �,✓ "�� > 1 ?. J (� la `'��� �� SCS ..� ZU (D.C.6 BUILDING DEPARTMENT /CMMENTS: f� Reviewer: ,ok4 1010n �20,3, 4o X 1ggSr Building Division Valuation: $ �� ✓ Z1. 60 fi City of Wh6atP's,.dgei COMMUNITY DEVELOPMET Official Certification of Property Owner for Trade Specific Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. XI am the owner and live in the project property. _I am the owner and do not live in the project property. Property Owner(s): Project Property: No `led$ig'hature of Appli'tant TAMARA D ODEAN State of Colorado } NOTARY PUBLIC STATE OF COLORADO County of �'� iS�s,,,, } ss NOTARY ID 20164015481 MY COMMISSION EXPIRES APRIL 22, 2020 The foregoing instrument was acknowledged by me this day of 6c6, , 20LZby A 1 "ss et Me, I/" ss et Me, I/ ���� My Commission Expires - qj®7a�20 as Notary Public 919/13 Colorado Chapter of the International Code Council now toON lift Provide two sets of plans, drawn to scale and complete the following (hint. use graph paper with Y " squares. Example: 1/ " =1): Check with your jurisdiction for additional requirements. I COMPM #6 BUIft WN by filling in the blanks on page two and four, and indicating which construction details will be used. 2 Pmvfde t Plot Phn (site plan) showing dimensions of your project and its relationship to existing buildings or structures on the property and the distance to existing property lines, drawn to scale. See page3. FM Out a WNW peP# appIcadon. The majority of permit applications are processed with little delay. The submitted documents will help determine if the project is in compliance with building safety codes, Zoning ordinances and other applicable laws. The Colorado Chapter of the International Code Council is a professional organization seeking to promote the public health, safety and welfare to building construction. We appreciate your feedback and suggestions. To obtain a master copy of this building guide, please write to the Colorado Chapter of the international Code Council, P.O. Box 961, Arvada, CO 80001. httpJ/www.coloradochaoerioc.org This handout was developed by the Colorado Chapter of the International Code Council as a basic plan submittal under the 2012 International Residential Code. it is not intended to cover all circumstances. Check with your Department of Building Safety for additional requirements. 1 9/9/13 '. Fill in the blanks on pages 2 and 4 with dimensions and materials which will be used to build the structure. Please print legibly. r - I Indicate in the check boxes on page 4 which details from page 5 will be used. Note. Heated garages will require insulation, such as ceilings, walls, and foundation. Dimension 17-� Locate and detail bracing ❑ Garage Is healed (Garage Is not 17 Show door and window header sizes and location and size of landing in front of door Indicate rafter or truss direction El Floory�nension 31/2" minimum concrete slab slope Y Cq) 2- x -t— header (te:12)2x 12 Note: If roof trusses or rafters bear on header, special header design may be required Double 2x4 or 2x6 trimmers each end of overhead door header Garage door opening Garage door opening width * II less than 4' see Braced wall Panel Detail on Dimension*i papa 5 to comply with section R602.10.6.2 (IRC) (minimum width 16" with wall 10' high) This handout was developed by the Colorado Chapter of the International Code Council as a basic plan submittal under the 2012 International Residential Code. It is not intended to cover all circumstances. Check with your Department of Building Safety for additional requirements. Dimension* ) 1 / 4 9/9/13 Note: For roofs with slopes less than 4:12, follow ma mdacturert insbuctions for low slope applicoon of roofing material. ❑ 7fto or 2x Ujaftas ced " (axxM*'Pudahld w*hhw-or- 2x 1OFhfi=Spaaxd24' Minimum lx_Q_ ridize board Provide roof be downs Solid 2x bloddng between rafters that are 2x12 or greater Note: Pre-engineered roof trusses wRruss clips may be used in lieu of roof structure shown. Diagonal wind bracing or braced wail panels @ corners and each 20' of wall. Max. 10' : wall height t• Concrete Encased Ground required for new service 0 Founifatl t�statl B •�C� �� This handout was developed by the Colorado Chapter of the International Code Council as a basic plan submittal under the 2012 International Residential Code. it is not Intended to cover all circumstances. Check with your Department of Building Safety for additional requirements. Roof 13 1 I eiling hw6tion y - n ron"WI n axaq*.* Rse) 22 xcdlin8 joistsO.C. (=n**:2 x e f 24• aa) Double 2x Ltop plate (a+Wnpla:2x 6) fi] Ceiling height (e:62 Siding 1'&r1 io 1n0� � (e�:lupor1=111) Wall 2x 0 studs @jsa O.C. , L (e :2x 6 ® 24' aC.) V Cont. 2x4Lsill plate (a=MPb:2x6) Wall Insulation 10 120 p/heata&W) F(ffFoundation hLudationh&Wd • example: A1o) NNIFooting size ( x 16•) Midge 9/9/13 O.C. Ile x 10" s anchor bolls 6 0" 'k' x 10' qNl ntdror bolls 6'-0' Max. 10' O.C. max., r min. max., o min. par 2--frw max. tr penetration � a from Domer and 1 r from each acrd wall height max. 121 from comer and 12" minimum m of 11 of plate (min. 2 bolls per plate)• from each end of plate (min. 2 bob per plate) Bottom plate shall treated min. 8' Bottom plate shall be treaded above grade, or be treated +•• •+..a wood or decay resistive wood Lap siding over or be separated from concrete 6° min. foundeiicn a ===above imparvlous moisture Finished!_;. " t a:•n> :; 3 'n' t4irdmum minimum of 1". barrier end be 8" above grade. grade concrete slab :,: +•.„c ; .,�:a.,w,.>: 3 r/z^ Minimum Fiberboard expenslon loud Conaete Slab Finished �?>' ' r ca: r, ` Provide "rebar vert. @ 4'-0• grade 36' min. A. O.C. Insert rebar into concrete :': t8��.. ” .� a:�+• #4rebar min. Note: Check footing or key M'aY ==M 0111 top 8 with local Note: Check with local laps for 18" for :4� i4 rebar edn. continuous top of departmentbuilding depw trnattt for "12' sous.stsmwreil it at toodrq with 18' laps +..: may �CeiSSOns Cdssbe requked >-;::>:a�;;,,. 3' Extent of Header with double portal frame (two braced wall panels) Extent of header with single portal frame (one braced wall paneq —► 2' -18' Finished width of opening for single or double portal Fasten top -► - - hee to adeatr wvith two rows of 16D sinker nails at 3' O.C.Typ. E E Typical E 1,000 lo. strap opposite sheathing 1,000 ib. portal trelne : Shap construction E Fasten top plate to header with two ' rows of 160 sinker nails at 3" O.C. typ. For a panel ' Fasten sheathing to header with 8D common or sp0oe (il r gain lvanized box nails in 3° grid pattern as shown and n), be E 3" O.C. in all framing (studs, blocking, and sills) typ. die occur wdhin 24 Min. 3/8' E Min length of panel per table R602.10.5 01 row wood structural : Min. 2x4 framing Min. double panel panel ' 3B" min. thickness wood 2x4 post Q laifi1 is sheathing structural panel sheathing required. �c4 blocift is Min. 4,200 Ib. tle-down device (embedded used, the 2x4 Into concrete and nailed into framing must be cabled "oft with _ Min. 1,000 lb. 16D sinkers See Section 8602.10.6.2 tie down device�.. 0 :• �� �{ � :ir: 1`rj jl: j,ti:•9r �d`✓,'?'F�''1�: �?$isY'at>;� i�.-?'F:�l:'�Stc"4�Y5i���-i'u•.�.�5cc`�i5�c�?�: •i:=:+.>'�cs��' This handout was developed by the Colorado Chapter of the International Code Council as a basic plan submittal under the 2012 International Residential Code. It is not intended to cover all circumstances. Check with your Department of Building Safety for additional requirements. r 3 .LA. jor APPROVED BY: '21d AA DATE: .51 ?.o l—, COMMENTS: AA& V -OoM( ) 4 Q Sectio tj �240 -1 20 (,.,F 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. City or WheatR� j ComIT MUNY DEW LOPMENT APPROVED Reviewed for Code Compliance 10 1 Vton; Ex mirrr Date of_permil Thr iSSWMC Uf o prrrrrtt or appraval of plans Specifications a4dd campumuons sholl not be a permit for, Oran ap9rova1 of. any Violation to m+ of the provisions of the building code or of any City ordinances. lermfrs artsuming ro give authority to violate of cancel the provisions of the Auisdbq c 7ia)[es or other ordinances of the City ShOU not be valid. t t fi i 1 eX� s+�,(",� ut d NOT APPROVED AS AN INDEPENDENT DWELLING UNIT. Landscaping removed or damaged during construction must be replaced prior to final inspection. .L.. jor APPROVED BY: %tillM DATE: ? COMMENTS:-Cofdp�, jjtL L-A EIL�s e a/C— VL�co -u- 11,,N1 S /0 NOT APPROVED AS AN INDEPENDENT DWELLING UNIT. Landscaping removed or damaged during construction must be replaced prior to final inspection. ♦ , City Of �Wheatl d' e MUNITY DEVELOPMENT APPROVED Reviewed for Code Compliance 10��'�� 7 Plan; t.ami er Date Val4jb_o+_ermrt Thr issuance of u permitw aPProvat of plops specifications and computatluns sholl not be a Permit for, at an approval of, any violation to any of the provisions of the buildina code or of any City ordinances. Permits presuming to give authority to violate of cancel the provisions of the Building codes or other ordinances of the City shall not be valid. 30IION SIH13/IOIN3hf ION 00 =.adsui-ei :ao}oadsul/4££65-b£i-£0£ I aoi peo `apew ueaq aney suoi;oaaaoo uayM. . rtin""i "ear -nmimhni i innnnrlci ii_ni i / O :aagwnN llwaad :ssaippd qof r'SN:adA.L uol;oadsul 331ION N01133dSM,, xeJ 6069-200 (EOE) • aq/11055,90-5Ez (EOE) oug ugijoadsul SS6S-tCg (COC) uolsinia uoiloadsul 6uiplm8 39ala lV3HM =10 A113 A City of Wheat Ridge HO Interior Remodel PERMIT - 201703362 PERMIT NO: 201703362 ISSUED: 07/28/2017 JOB ADDRESS: 4545 Ingalls ST EXPIRES: 07/28/2018 JOB DESCRIPTION: Homeowner will be adding new wiring and new plumbing in kitchen and living room; will use existing plumbing for old bathroom and laundry room; insulation, drywall for living room and kitchen, headers and rafters *** CONTACTS *** OWNER (720)327-6739 WILSON GREGORY C *** 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 Plan Review Fee 112.19 Use Tax 157.50 Permit Fee 172.60 Investigative Fees 172.60 * * TOTAL * * 614.89 — -- --- *** COMMENTS *** *** CONDITIONS *** **Permit fee doubled for stop work order I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. 'ri £ City of Wheat Ridge -V r HO Interior Remodel PERMIT - 201703362 PERMIT NO: 201703362 ISSUED: 07/28/2017 JOB ADDRESS: 4545 Ingalls ST EXPIRES: 07/28/2018 JOB DESCRIPTION: Homeowner will be adding new wiring and new plumbing in kitchen and living room; will use existing plumbing for old bathroom and laundry room; insulation, drywall for living room and kitchen, headers and rafters 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 ermit. I fort �er_ ,a,tt,,e_st that I m le ally authorized to include alI entities named within this document as partes to the work toe performed and�i1�r14 t�bper �d i disclosed in this document and/or its' accompanying approved plans and specifcations. Signature ot-iFV'W—U—ONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, 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 originalermit 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, an violation of any provision of any applicable code or,; durance or, re ul tion of th' jurisdiction. Approval of work is subject to field inspection. fl- O� Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of ,�qr`J`I heat j COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(d)-ci.wheatridge.co.us FOR OFFICE USE ONLY Date: r„ / Plan/Permit #� 1 �1 n Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** I Property Address: Property Owner (please print): Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Arch itect/Engineer: Architect/Engineer E-mail: Contractor: Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # S is Plumbing: W.R. City License # I � .w/J Phone: �L ' 3zT *111 , i Phone: Phone: Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT �i PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, pliance size and efficiency, type and amount of materials to be used, etc.) I.�„a pU ��jZi " g� Ne,::, Lo`�(�;�� y � Id d - Ja �ea�e�s Sq. Ft./LF ����jPoe-r cL0 raJ I � 15 Btu's Amps Squares D Wako Gallons _ Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 3.800 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. CIRCLE ONE (OWNER) (CONTRACTOR) or (AUTHOR" EPRESENTAT/VE) of (OWNER) (CONTRACTOR) PRINT NAME: 69-1 G C . UJl l Jat}t SIGNATURE: DATE: 5 —1 2l� "L01.7 DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: P-,-*' Reviewer: TYPE OF CONSTRUCTION: SPRINKLERED: BUILDING DEPARTMENT COMMENTS: OCCUPANT LOAD: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required Building Division Valuation: $ ADVANCED ENVMON ENTAL CONSULTING TRUSSED ENVIRONMENTAL SPECIALISTS LIMITED SCOPE ASBESTOS INSPECTION REPORT Project Details: Project Location: 4545 Ingalls Street in Wheat Ridge, Colorado 80033 Performed By. Megan Lococo Inspection Date: March 21, 2017 Report Date: March 24, 2017 Presented To: Mr. John & Mr. Wilson Prepared By. Advanced Environmental Consulting, LLC Colorado Consulting Firm#: 20874 7751 East 137tli Avenue Thornton, CO 80602 TABLE OF CONTENTS 1.0 INTT'RODUCf1ON 2.0 OBSERVATIONS AND SITE DESCRIP'T'ION 3.0 OTHER ENVIRONMENTAL REGULATIONS 1.0 SAMPLING AND ANALYTICAL PROCEDURES 5.0 SAMPLING QUAN'T'ITIES 6.0 INSPECTION PROTOCOL 7.0 LABORATORY RESULTS 8.0 CONCLUSIONS 9.0 RECOMMENDATIONS 10.0 ASBESTOS SPILL RESPONSE 11.0 OSHA GUIDELINES 12.0 COLORADO DEMOLITION AC T`IV-rfIES 13.0 LIMIrATIONS List of Attachments Attachment A: Bulk Sample Log Attachment B: LaboratoxT Report Attachment C. Certifications IA INTRODUCTION Advanced Environmental Consulting, LLC (AEC) was retained to collect samples of suspect asbestos - containing material(s) (ACM) that would be disturbed at the above -referenced property and provide an asbestos building inspection report including laboratory analysis. Colorado Regulation No. 8 - Part B Section 111A.1, Prior to any renovation or demolition which may disturb greater than the, trigge-• levels of material identified as a suspect ACM pursuant to the Environmental Protection Agencv (EPA), the faciliiv components) to be, afketed by the renovation or demolition shall be inspected to determine if abatement is -required 2.0 OBSERVATIONS AND SITE DESCRIMON The asbestos survey was conducted on March 21, 2017 by Colorado Department of Public Health and Environment (CDPHE) and Asbestos Hazard Emergency Response Act (A RA) certified asbestos building inspector Mrs. Megan Lococo (Certification Number 22255). AEC research indicates that the building was constructed in 1950. The building is a single-family residential dwelling. Destructive sampling was conducted on the materials planned to be disturbed. Three (3) homogeneous area(s) with suspect ACM were sampled in nine (9) location(s) at the job site. 3.0 O'T'HER ENVIRONMENTAL RE(11ULATIONS As of April 22, 2010, the EPA instituted guidelines and regulations for the renovation and/or remodel of homes built prior to 1979, the year that the manufacturing of lead-based paint was prohibited. If lead is present within paint on building components above the action level, any activity impacting these components must be conducted using "lead safe" work practices and RRP (Renovation, Repair, and Painting) Certified contractors. Trigger levels. ■An inspection must occur if more than six square feet of interior sur faces; ■ Twenty square feet of exterior surfaces will he disturbed, ■ ANY window is being replaced As of March 26, 2014, the EPA has instituted new guidelines and regulations for the failure of firms to follow REP engineering controls, or when remodeling projects are done by individuals or firms that do not have proper REP training and certification. When it is suspected that a lead hazard has been created, EPA will require an inspection, including wipe samples. If the results of the inspection determine that a lead hazard has been created the follow steps will be conducted: The site will be considered a lead -contaminated home or building and RRP standards and practices will no longer apply; Both the EPA and the CDPHE Lead Unit have determined that the clean-up is now defined as a lead abatement project, Regulation 19 standards will be required to be followed in order to properly clean-up the lead hazards: A state certified abatement firm and individuals will be required to conduct the clean-up The firm will need to apply for a permit and follow all of the requirements of Regulation No. 19, Part A, Section V, Abatement A state -certified firm and individual will be required to conduct project clearances, sampling and provide the CDPHE Lead Unit with copies of the clearance reports. Colorado Air (duality Control Commission Regulation 19, Part A, states: Lead-based paint hazard means any condition that causes exposure to lead from lead -contaminated dust, lead -conta'mina'ted soil, or lead-based paint Lead-based paint hazard also means hazardous lead-based paint, dust lead hazard or soil -lead hazard as identified in: - Paint -lead hazard - Dust -lead hazard - Soil -lead hazard 4.0 SAMPLING AND ANALYTICAL PROCEDURES The inspection and assessment were performed in accordance with EPA/AERA procedures. 'These Hprocedures call for the visual inspection of all areas of concern and collection and analysis of representative bulk samples of suspect material. Random bulk samples, representative of the suspect asbestos -containing building materials (4CBM) of each homogeneous area, (HA), were collected according to the guidelines published as EPA Final Rule: Title II of the Toxic Substances Control Act (TSCA), 15 USC, Sections 2641 through 2654 and in compliance with 40 CFR, Part 763. Representative sampling is based on the following criteria: 1. The distribution of the suspect material throughout the HA. 2. The suspect material's physical characteristics and application. 3. Random sampling patterns determined for each HA. Suspect materials sampled and analyzed should be considered representative of materials in each HA if: 1. They exhibit similar physical characteristics; and 2. The application of the sampled material can be correlated to the application of um -sampled material. AEC collects samples by toques of texture. Not every room witli each texture may have been tested; however, it is assumed to be positive if it has the same texture as the above referenced types. AEC uses dryNvallsehool.com/texturc:s to determine the texture label comparisons. For thermal system insulation sampling, AEC uses the images tab through Google for comparison. 5.0 SAMPLING QUANTITIES AEC collected at least the minimum number of samples from each homogeneous area necessary to meet all regulatory requirements for the quantity of material to he disturbed. The quantities listed in this report are approximate and on-site verification of the exact quantity of each material is required. The following outlines the minimum sample quantities required per HA: Surfacing Materials (511 up to 1,000 ft' of material requires a minimum of three (3) samples, between 1,000 ft' and 5,000 ft' of material requires a minimum of five (5) samples; over 5,000 ft' of material requires a minimum of seven (7) samples; one (1) sample of each patch. Thermal System Insulation (TSI) each homogeneous area requires a minimum of three (3) samples, at least one (1) sample must be collected from each patch, and collect enough samples sufficient to adequately assess the material and determine the asbestos content for TSI fittings such as pipe elbows or T's. Ah'scellaneous Materials (1Vlisc:). collect enough samples sufficient to determine the asbestos content 6.0 INSPECTION PROTOCOL Suspect materials alike in appearance and application were sampled as HAs. Suspect materials were divided into three classifications: 1. Swlaeing material (SM).' sprayed or troweled onto structural building member. 2. Tlleimal sfsstems insulation (TSI)' any type of pipe, boiler, tank, or duct insulation. 3. Kiseellaneous (Mise.).' other suspect materials, including flooring, ceiling tiles, insulation, and finishing materials. Condition assessments were performed by the accredited inspectors at the time of inspection. Condition assessments are listed in the following section. Ratings of "good," "damaged," and "significantly damaged" are meant to indicate the overall condition of the material. A material in "good" (G) condition has no visible damage or deterioration, or showing only very limited damage or deterioration. A material in "damaged" (D) condition has the following characteristics: The surface is enunbling, blistered, water -stained, gouged, marred or otherwise abraded over less than one-tenth of the surface if the damage is evenly distributed. A material in "significantly damaged" (SD) condition has one or more of the following characteristics: • The surface is crumbling or blistered over at least one-tenth of the surface if the damage is evenly distributed. • One-tenth of the material is hanging from the surface, deteriorated, or showing adhesive failure. • Nater stains, gouges, or mars are over at, least one-tenth of the surface if the damage is evenly distributed. Accumulation of powder, dust or debris similar in appearance to the suspect material on surfaces beneath the material can be used as confirmatory evidence. Friable MA ACM means any material that contains asbestos and when dry can be crumbled, pulverized, or reduced to powder by hand pressure and that contains more than one percent asbestos by weight, area or volume. A non - friable (NI+) material may become friable if its condition had deteriorated or has been impacted by forces that have rendered it friable. If an ACM is SD and greater than CDPHL+' trigger levels (Le. commercial 160 sq./ft., 2601n./ft., equivalent of a 55 - gallon drum) (Le. residential 32 sq./ft, 50 In./ft, equivalent of a 55 -gallon drum) the area(s) axe deemed a major spill. If the materials are less than the trigger levels but greater than 3 sq./ft. or 31n./ft it is a minor spill. 7.0 LABORATORY RESUIHS Samples were submitted to Reservoirs Environmental Laboratory Incorporated (Reservoirs) laboratory for Polarized Light Microscopy (PLPI) analysis to identify asbestos content The samples were requested on a rush turnaround time for results. Bulk samples collected were analyzed utilizing the EPA's Method for the Determination of Asbestos in Bulk Building Materials (EPA 600/R/116, July, 1993) and the McCrone Research Institute's The Asbestos Particle Atlas as methods references. Analysis of the bulk samples was performed on the "date reported," as listed in the bulk - sample analysis report. Laboratory results received on March 23, 2017 document that three (3) sampled material(s) submitted contained asbestos above the regulatory limit of It Colorado Regulation No 8 — Part B Section _rffA -1 c, Abatement Renovation and Demolition Projects - of Colorado Regulation 8lequires that all samples of friable asbestos is estimated to be R asbestos orless butgirater than 0A by a method other than point counting, the determination shall be repeated using the point counting technique with PT,M. " LDPBE Compliance Bulletin Apzil 2007 Drywall and drywall mud may contain asbestos: The percent ofasbe5tos contained in the drywall and its associated materials, including mud and tape, may be. determined based on a representative composite sampling program. "Ifjoint compound is verified to be, applied only over drywall seams and/or cozners, it may be eomposited at a laboratorv. The laboratory is able to point count and/or composite sample(s) for an additional fee. Please find attached the Reservoirs laboratory report of PLM results. 8.0 CONCLUSIONS ALC observed three (3) homogeneous area(s) that would be disturbed during the planned project, The suspect asbestos containing building material(s) were sampled in nine (9) location(s). Based on the site observations and, bulk sample PLM laboratory analysis results collected by AEC, three (3) suspect material contained asbestos; therefore, removal of these area(s) will require asbestos abatement. The following sampled materials in red are ABOVE the regulatory limit of 1%, and in bold are asbestos -containing: Material T'W' Location Condition I+Iiabllity Est Quantit Result SM — Feather Drywall Ilall/I.J.6iig Damaged I'riable 50 sq..ft. 6`" SM — Orange Peel Drywall Living (rood Friable 1W sq.'/ft. I`) SM — Popcorn Drywall 1:.;ivirig t.Tood Friable 200 sq.rft. 2` The following sampled materials and areas are NOT asbestos -containing: Material Tune Location Result N/A The CDPHE requires permitting for any removal activities in a commercial or residential building that contains greater than the trigger levels (i.e. commercial 160 sq./ft., 260 In./ft, equivalent of a, 55 -gallon drum) (i.e. residential 32 sq./ft., 50 In./ft., equivalent of a 55 -gallon drum); however, OSHA trigger levels are 10 sq./ft, or 25 In./ft, Colorado ]Regulation No. 8 requires a project design in with the amount of ACM to be abated exceeds 1,000 In. /ft. on pipes, or 3,0(0 sq./ft on other surfaces. AEC is able to develop a project design for this project. 9.0 RECOMMENDATIONS AEC recommends that when ACM is removed/abated, that only a licensed asbestos abatement contractor using personnel trained in the handling of ACM be allowed to conduct such activities using appropriate methods (HEPA- filtered vacuuming, wet cleaning methods, respiratory protection, protective clothing, personnel decontamination, negative -air enclosures, air monitoring, etc.). For all spills, AEC recommends that all soft goods (carpet, pad, clothes, couches, etc.) and any ceiling and/or wall surfacing restoration activities be removed from the interior of the building as asbestos waste. AEC also advises that only hard surfaces (plastic, metal, wood, concrete, etc.) are allowed to be left in place before the final visual and final air clearance tests are completed. AEC urges that electronics and appliances (refrigerators, air conditioners, DVD players, microwaves, toasters, etc.) are removed due to the mechanical openings and working parts that make it difficult to clean thoroughly. 10.0 ASBESTOS SPILL RESPONSES major spigBesppozw Protocols If ACM is significantly damaged and the total quantity exceeds the regulatory trigger levels, the area is deemed a "Major Asbestos Spill." The area is consequently subject to the requirements in Reg. 8, Section III.T.1. — Major A,gbe,54%Spills; as outlined below. Additional asbestos air or dust sampling should also he conducted within the remaining areas not directly impacted by the Major Asbestos Spill to determine if asbestos -containing dust/debris has spread to adjacent areas. If asbestos fibers are found within any other areas or on building contents, they should be included in the scope of professional abatement and decontamination. The following response actions must be followed per Colorado Reg. 8 when a Major Asbestos Spill occurs: ■ Restrict access to the area, and post warning signs to prevent entry to the area, by persons other than those necessary to respond to the incident. ■ Shut off or temporarily modify the air handling system to prevent the distribution of asbestos fibers to other areas. ■ Immediately contact the Division by telephone, submit a, notification in compliance with subsection IRE. (Notifications) and, if in an area of public access, apply for a permit in accordance with subsection M.G. (Permits). ■ Be exempted from the requirements to have a certified Supervisor on-site at all times, until such time as the immediate danger has passed. Any cleanup or asbestos abatement that must occur after the immediate danger has passed shall be supervised by a person certified by the Division. ■ Using certified Supervisors and certified Workers in accordance with section H. (Certification Requirements) of this Regulation, seal all openings between the contaminated and uncontaminated areas and establish none - detect air pressure within the contaminated area in accordance with paragraph M.J. (Air Cleaning and None - detect Pressure Requirements). This is to be accomplished using polyethylene sheeting to cover areas such as doorways, windows, elevator openings, corridor entrances, grills, drains, grates, diffusers and skylights. ■ HEPA vacuum or steam clean all carpets, drapes, upholstery, and other non -clothing fabrics in the contaminated area, or discard these materials. ■ Launder or discard contaminated clothing in accordance with subsection M.R. (Waste Handling). ■ HEPA vacuum or wet clean all surfaces in the contaminated area. ■ Discard all materials in accordance with subsection M.R. (Waste Handling). ■ Following completion of subparagraph HI.T.l.a, through IH.T.l.i. above, comply with air monitoring requirements as described in subsection M.P. (Clearing Abatement Projects); air samples shall be collected aggressively as, described in 40 C.F.R. Part 763, Appendix A to Subpart E (EPA 1995), except that the airstream of the leaf blower shall not be directed at any friable ACM that remains in the area and ■ Comply with any other measures deemed necessary by the Division to protect public health. AnBorSpill RbSpoBM If ACM is significantly damaged and the total quantity is less than the regulatory trigger levels, however, more than three square feet or three linear feet (3 fV/3 In/ft.), the area is deemed a "Minor Asbestos Spill." The arra is consequently subj ect to the requirements in Reg. 8, Section M.T.2. — I rioz• Asbestos Spills, as outlined below. Additional asbestos air or dust sampling should also be conducted within the remaining areas not directly impacted by the Minor Asbestos Spill to determine if ashestos-containing dust/debris has spread to adjacent areas. If asbestos fibers are found within any other areas or on building contents, they should be included in the scope of professional abatement and decontamination. The following response actions must be followed per Colorado Reg. 8 when a Minor Asbestos Spill occurs: ■ Restrict access to the area and post warning signs to prevent entry to the area by persons other than those necessary to respond to the incident ■ Shut off or temporarily modify the air handling system to prevent the distribution of asbestos fibers to other areas. ■ Using certified Supervisors and certified Workers in accordance with section IL (Certification Requirements) of this Regulation, seal all openings between the contaminated and uncontaminated areas and establish none -detect air pressure within the contaminated area in accordance with paragraph I I.J. (Air Cleaning and None -detect Pressure Requirements). This is to be accomplished using polyethylene sheeting to cover areas such as doorways, windows, elevator openings, corridor entrances, galls, drains, grates, diffusers and skylights. ■ HEPA vacuum or steam clean all carpets, drapes, upholstery, and other non -clothing fabrics in the contaminated area, or discard these materials. ■ Launder or discard contaminated clothing in accordance with subsection M.R. (Waste Handling). ■ HEPA vacuum or wet clean all surfaces in the contaminated area. ■ Discard all materials in accordance with subsection MR. (Waste Handling). ■ Following completion of subparagraph HI.T.I.a, through III.T.l.i. above, comply with air monitoring requirements as described in subsection M.P. (Clearing Abatement Projects); air samples shall be collected aggressively as described in 40 C.F.R. Part 763, Appendix A to Subpart E (EPA 1995), except that the air stream of the leaf blower shall not be directed at any friable ACM that remains in the area and ■ Comply with any other measures deemed necessary by the Division to protect public health. 1L0 OSHA GFUIDELMS Samples containing trace amounts of asbestos require following these federal guidelines: federal worker protection regulations (29 CFR 1926.1101 and 40 CFR 763); the National Emissions Standards for Hazardous Air Pollutants 0 (NESHAP, 40 CUR. 61 Subpart M); the U.S. Environmental Protection Agency (EPA) Guidance for Controlling Asbestos -Containing Materials in Buildings ("Purple Book", EPA 560 / 5-85-04); and the Asbestos Hazard Emergency Response Act (AHERA, 40 CFR 763 Subpart Q. Complfanee Specifics — OSIL4 Regalmiions 29 cm 19201101 Class I asbestos work — defined by OSFIA as activities involving the removal of Asbestos Containing Materials which are TSI or surfacing material. Class II asbestos work — defined by OSHA as activities involving the removal of ACM which is not TSI or SAL Class III asbestos work — defined by OSHA as repair and maintenance operations, where ACM TSI or SM is likely to be disturbed. OSHA requires the following (at a minimum, the contractor should thoroughly review regulation): 1. Establishment of a regulated work area minimizes access to unauthorized personnel, protects persons outside from airborne asbestos exposure and requires the use of respirators inside of the regulated area (essentially a HEPA filtered negative air pressure containment area). 2. Supervision of the removal work by a competent person: an EPA trained asbestos abatement supervisor. 3. Workers handling ACM shallbe properly trained: training requirements as stipulated in OSHA regulations specify a minimum of 8 hours training of required topics. Material and hands-on training more closely fits the EPA Operations and Maintenance Worker 16 hour class. 4. Exposure monitoring of personnel' both eight hour TWA (time weighted average) and STEL (short term exposure limit). This monitoring will ensure that personnel are wearing adequate respiratory protection. 5. Proper use of engineering controls: namely, wet methods to control airborne asbestos filters, prompt clean rip and disposal of debris in leak tight containers, removal of material in an intact state (prohibited use of high speed abrasive disc saws without HE, filtered exhaust, prohibited use of compressed air on AGMs, prohibited by dry sweeping, shoveling or other dry clean-up methods). 6. Removal of ACK in an intact state to the extent feasible. 7. If using cutting machines they shall be continuously misted: during use, unless a competent person determines that misting decreases worker safety. Dust generated by a power cutter shall be collected by a, HEPA vacuum or IIEPA vacuumed along the cut line. 8. Asbestos containing material from a roof must be either hand carried: or lowered to the ground by crane, hoist or in a dust�tight chute. 9. All waste shall be either wrapped and/or placed into a closed receptacle: in such manner so as to preclude the dispersion of dust 10. If working on a root roof level heating and ventilation air intake sources shall be isolated (sealed) or the ventilation system shut down. 11. AEC Recommends: A final visual and air clearance after the material has been removed. Other Requirements ■ Other appropriate PPE as necessary Personnel wearing respirators more than 30 days per calendar year. ■ Implementation of a, Respiratory Protection Program. ■ Respirator physical exam for personnel (if issued negative pressure respirator) 12.0 COLORADO DEMOLITION ACTIVITIES Section II1A.3 — Any asbestos -containing material that is friable or will be made friable during demolition activities in any area, of public access or non-public access area must be removed prior to demolition. Removal, in accordance with Regulation No. 8, is required if the amount of asbestos -containing material that is friable or will become friable during demolition exceeds the trigger levels. Per CDPHE Demolition Permit: Demolition of a building that has non -friable asbestos -containing materials remaining must be completed without causing the asbestos -containing materials to become friable. Burning a building with any asbestos -containing materials is prohibited. Concrete floors covered with floor tile shall be removed in as large sections as possible. Operations such as crushing, pneumatic jacking, etc. of materials containing asbestos are not permitted. Recycling of materials, such as concrete or wood, that are bonded or contaminated with asbestos -containing materials such as floor file or mastic, is not permitted. 13.0 IJ MTI`ATIONS This report describes the data collected and observations made by AEC during the visual inspection and bulk sampling in the above referenced building. AEC represents that its services were performed within the limits prescribed by applicable regulations, within scope of work as approved by the EPA and the State of Colorado and in a manner consistent with the level of care and skill ordinarily exercised by other professional consultants under similar circumstances. AEC accepts no responsibility for data collected, the recommendations made or expressed to the client, and/or other commitments made by persons or firms other than AEC. No other representation is made to the client, expressed or implied, and no warranty or guarantee is included or intended. Thank you for the opportunity to provide industrial hygiene services. If there are any questions on this limited scope asbestos building inspection, please contact AEC by phone or email. Respectfully Submitted, ADYANM ENftOMMNTAL CONSULTING Megan Lococo Industrial Hygienist o N W C'! LO c4 di m LL LL LL C L 6 (L C {� 0 4) V V O v c 0 �m �u E E E �y v 0 o 0, U 0 E 00 Q m � � c � — J (u 2 co co mcz — — — U U U E ao 0 0 0 0 0 0 0 00cz °o co N 0 2 2 2 J J J 0L — ai M /^D LL (Q Q CO y.� N Q m N d L)cza L 0 C! EO O O O O N O co O O N O co O co a Q m U I : mail] IMAN L1•live ' '1• Reservoirs Environmental, Inc. Effective January 1, 2015 Reservoirs Environmental QA Manual T:\QAQC\Lab\Reservoirs Environmental QA Manual.doc RE Re5rervoirs rnvtronmenta/, InE. March 23, 2017 Subcontract Number: NA Laboratory Report: RES 374881-1 Project # / P.O. # John Project Description: 4545 Ingalls St. Wheat Ridge Megan Lococo Advanced Environmental Consulting (AEC) 7751 E. 137th Ave. Thornton CO 80602 Dear Customer, Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code 101896-0 for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the American Industrial Hygiene Association (AIHA), Lab ID 101533 - Accreditation Certificate #480 for Phase Contrast Microscopy (PCM) analysis. This laboratory is currently proficient in both Proficiency Testing and PAT programs respectively. Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request. The analysis has been completed in general accordance with the appropriate methodology as stated in the attached analysis table. The results have been submitted to your office. RES 374881-1 is the job number assigned to this study. This report is considered highly confidential and the sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with personnel other than those of the client. The results described in this report only apply to the samples analyzed. This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the U.S. Government. This report shall not be reproduced except in full, without written approval from Reservoirs Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested. If you have any questions about this report, please feel free to call 303-964-1986. Sincerely, Jeanne Spencer President P:303-964-1986 F: 303477-4275 5801 Logan Street, Suite 100 Denver, CO 80216 Page 1 of 1 1 -866 -RES I -ENV www.reilab.com P-. 6 2 � � 2 LU 2 2 O » 2 W CO w 0 � W CO W w w k R cu =0 §§ =k§ as= $a§ F- 0 )/k 612 zed_ a \ % Co g 7 S k S 2 S \ 2±± � 7 � E A $ \ \ \ e 4 0 t Ir / o E 0 $ § $ to (n C 2 q k 00 #u IMNo C-4�@=SB= m;= g t I K w 2 n.4 w C4 2 \ .. \ \ \ \ »:> k E @ ( \ k z 0 < 2 9 2 ƒ $ » 7 = e E § E \ = I U) 0 ®\ } 0 2 a c $ ƒ 2 0\ 0 2/ j ( ] c \ % Co g 7 S - \ \ S 2 S \ 2±± E A $ \ \ _ \ / ) 0 � ` §§§ ]� o\ o g o/ g Cl) o o r o / z\gr� \ ƒ LL CL < E 2 j / � �a��o�c�000nco�o 0 z z z z z z z z 2 $ >g E E c ) � k •---....... }} < ■ / �: © e e e e (D 7 j ) j m R 2 2$/ 2\? Q r r« 2 CL CL j_ \ 0 7 = 5 2 5 2 2 � /Z /k k / E \ 5 ® o \ ® Q§_ ° E /m / \ E jCL \ r = f 9 cm f ® ƒ o \) \ 00 k c}\ 7 = = EnE 9 = — ƒ \ o E k / \k \\/ / 7 7 k+ 7 a 3 a 0 8 0 _ 0 / \ FT -0 / / \ 0 / } \ / u < ¥ ± w < co < m < _ < m o < = 0 0 § $ / & p o \ j \ \ 3N � 1 � \ 3 3 3 3 / 2 2 �.o C. C) n a = \k \ \ \ Q U) z < < < 3 I 19 ( / $ \ \ _ \ / ) � ` § � \ \ ƒ E 2 j � a 0 /co \ E E ) k f }} < _ / �: U 2 � � 2 W 2 2 O > 2 w m � O � W C/) LU w w m � �\ i 2 0 0 2 / \ 0 $ S \ \ @ a � -0c CLE 0 & 0 2 ■ ` o E $ 2 § $ 3 r 0 0 o r r 0 � 2 m k � 2k %@ C*4ccl I=S2= @ ; 12 k 0 � k w< n 2 2 w 0 \)\ \ »y: p E L) ( \ z 0 ± k ZE 3 \ \ -a 5k z K E E 5 E \ I & $ 0 ( ) ] a 2 0 0 2 / \ 0 $ S \ \ @ z -0c CLE 0 _®� a r o 0 0 0 r 0 0 o r r 0 2/§}� �EE / �a?cow -0 MONO con z z e z z z z z z z 2 C �g 0 ..b. . 2 2 k j j \ m r r r g r z r$ z\$ \ } $ it f cu CU CU �\ ° CL (D D ) 2 $_ 2 222 / a 22 9 \ .RR \ o E R = = e = $ e \ e ` \ / \ + = e \ 7 7 3 = m 2 & \) E ƒ - \ J) \ ƒ _ § J ƒ =eo= \ $ _ ° 0 0 E 7 7 2 \ E 2 f S« \ § m ° 2 E 2 \ : - = 2 = 3 ~- _ C:\ 2 $ 0 / 4 « 4 / \ « 2 u<¥±a<Io=z<moc4@e Cl) / E R G Q G E / / / cc w 3 3 CL � ~ 0 \ \ \k} j / \ ) _ / � C;=0 (3 2 � « � 2 W m 2 O » 2 W m w O � W Cl) W w CD coj \ § z a = o r— o = 2 = « .. / \ \ k %£2 � E ) c j 0 E mor/ z / / E CL & 0) � 3 0 j = 3 3 # » » _ E 0 2 § k § c w CO3 a q 7 k co kCi r %@ 04 3=SQ= 2 t w 2 0 -3 g ■ w C-4 0 = o r— o = 2 = « .. / \ \ .2 %£2 \ E ) c \ z 0 < E mor/ z / / E = E \••��$\($ y t £ _ £ c J j = 3 3 # » » _ ± o 0 0 0 5 e c g \ \ = o r— o = 2 = « z E E 0 =10e©2 mor/ z 2 a) < E / a a ■ a a § z e z z 2 >§ 0w L) ........... 0 2 2 k ■ 2 � � � 3 o a n- $ U) \ E S ƒk =/�M \ / 2 CL / Ea / S E ! o 0 5 2 X _ » o a ƒ \/E \ \ 2 7 } \ \ / u<»E± <Io= U') § � \§ w a� \k} Cl) \ \\ CL I w 0 z z w at ulII it 11 Z5 tl 10, MV t(1} swnlOA aldwu � IS ;S31ON S3HIO NO SWIINI SX31dih Stow ,RjPQW=;Au3 X ;v I uqpxQQljR J0410 UMjIM,jMl,amo JO -t+186unjaUei*R6 10 kY a A 01 IUMO OMd'oiOOJOV 4WAWS lV#qOl;4W ON Jo -t. suuojw3Jojpueqw3 Ao-i+ ofiguot"iss SSI'HI3Eli - S:WNVV HJ Ueas ;Ruj awn, j6UIPRV djo-i '6 Y8 SIVI 648, 3548 'Icol is VHSO gootl r=14 w WE (;m 0 xma ov) -;- 'Os' zolq o RAGA 'ybaHv VA 40 11 C-4 0 0 0 S co > 2 DO Oa °tom w ti 0151 uj a. u. �C* rl co I ml lz ATTACBMENT C CERTIFICATIONS Alm rrrwtecma Cern�ics Choi xr w C �Mk ASBESTOS CONSULTING FIRIM Advanced Environmental Consulting, LIX R $4 ft ASBESTOS CERTIFICATION* ti M LOCArts �ekl —1W k, "I B.ildi.g t..,p-t*e 0 Alm rrrwtecma Cern�ics Choi xr C �Mk ASBESTOS LABORATORY Advanced Environmental Consulting, LIX Alm rrrwtecma Cern�ics Choi xr City of Wheat i e COMMUNITY DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homegwner of record present at the project property. Property Owner(s): Project Property: Notarized §ignatl re of Applicant State of Colorado} County of ss .9; foregoing instrument w s acknowledged by me this \ day ' ' , 20 17 by Vj Notary Pu lic 7NOTARY EGALADO UBLIC LORADO 164037744 W COS OCTOBER 3, 2020 My Commission Expires _L/_0�3/20_X EXISTING HOUSE 0 BACK YARD 23,_2,2„ EXISTING WTKinn% / XTERI❑R WALL n RAFTER BEARING DETAIL Plans E.a ner Date SCNL 3/4'=1'-0' MAO permit: Thr issaance oja permit or approval of pbm specifications totionsshall not beapermit for, oranapproval of,any viotationto XISTING BACK srovisiom o/the buildinq code orof airy City ordleonces. Penns 1. LOADS to give outhoray to violate of cawd the provlslom of the 8fdtdlnq DOOR KITCHEN 1 1 ROOF LIVE SNOW.......................30 PSF 1.2. ROOF DEAD... .............................. 10 PSF 1.3. WIND SPEED ........................105 MPH 3 SEC. GUST (EXP. C) NTERIOR WALLS REQUIREMENTS AND TO BE DONE BY CONTRACTOR. REMOVED, . , —N R 31, SUBSTITUTION OF WOOD SPECIES IDENTIFIED HEREIN MAY BE AS APPROVED BY LOCAL BUILDING OFFICIAL. AND MATERIAL 1) 1.5E RIGIDLAM w _ VL 7'X1j° CONNECT ��TO A ` Ln I I TOP OF WALL LUMBER INSPECTION BUREAU: I 3.•1. HF/DF NO, 2 FOR JOISTS, RAFTERS, LIGHT FRAMING USING STRAPS o ®p 6 Q�®pe 4d 3.• NO. 1 FOR POSTS OR BEAMS EVERY THIRD STUD, Acu `�L�� 3.3. COMPLY WITH THE LATEST EDITION OF THE NFPA NATIONAL STRAP FROM SIMPS❑N w yey I I STRONG -TIE (MODEL 3.4. PROVIDE CUT WASHERS FOR ALL BOLTS BEARING O O�Tr 3.5 ALL NAILS SHALL BE COMMON WIRE NAILS. city of # ST12) II II LIVING ROOM II II SHEATH BOTH WALLS W/ PLYWOOD NAIL 6' @ BOARDERS AND 12' IN II FIELD. XISTING FRONT DOOR II RAFTERED ROOF DIRECTION JEXISTIN EXTERI❑ EW 8'-0° ROUGH WIND❑W WALL OPENING WIND❑W, (2) 11 FRONT YARD J'Xli' RIGIDLAM LVL STRAP FROM SIMPS❑N STR❑NG-TIE HEADE(2T-1K STUDS), (MODEL # ST18) ON HEADER TO SUPPORT STUD BOTH SIDES, 13'-2Yz" HOUSE PLAN VIEW Sl SCALE, 1/4'=1'-0' AODO 10'-0" OEW 40' ROUGH PENING WINDOW <2) Ili' LVL'S FOR HEADER mid comp any of the pfes_*4 \ codesoec `--EXTERI❑R WALL �4 It 0 •• X6 COLLAR TIE `-�X6 RAFTER @ sl 12' 0. C. fj SLOPE APPR❑X, NOTE, 2X6 RAFTERS @ 12' ❑,C, WHEN SPANS EXCEED 8'-0', NEED 2X6 COLLAR TIES ATTACHED W/ (4) 3' SCREWS FRONT EACH SIDE, MATCH EXISTING EXTERIOR 2X4 COLLAR TIE HEIGHT. STUD WALL HOUSE PLAN VIEW SI SCALE, 1/4'=1'-0' AOAO City of Wheat�e Auwm Drawrmiwr APPROVED HURRICANE TIE SIMPSON STRONG—TIE (MODEL # HI) BACK EXTERI❑R 2X4 STUD WALL 2X6 RAFTERS AT 12' O.C✓ AUT AND TRIM NEW 2X6 RAFTERS TO ALLOW MAXIMUM BEARING ABOVE STUD WALL. 2X4 EXTERIOR STUD WALL 7.04"? 4"? n RAFTER BEARING DETAIL Plans E.a ner Date SCNL 3/4'=1'-0' MAO permit: Thr issaance oja permit or approval of pbm specifications totionsshall not beapermit for, oranapproval of,any viotationto GENERAL NOTES (BASED ON 2012 IRC) srovisiom o/the buildinq code orof airy City ordleonces. Penns 1. LOADS to give outhoray to violate of cawd the provlslom of the 8fdtdlnq her mOmoncesofthe City sWilnot bevalid. 1 1 ROOF LIVE SNOW.......................30 PSF 1.2. ROOF DEAD... .............................. 10 PSF 1.3. WIND SPEED ........................105 MPH 3 SEC. GUST (EXP. C) 2. INSULATION FOR REMODEL NEEDS TO MEET LOCAL JURISDICTION REQUIREMENTS AND TO BE DONE BY CONTRACTOR. 3. TIMBER AND WOOD FRAMING . , —N 31, SUBSTITUTION OF WOOD SPECIES IDENTIFIED HEREIN MAY BE AS APPROVED BY LOCAL BUILDING OFFICIAL. AND MATERIAL �O ®oo®®ooaa�f6y O®.'® as®� R STRENGTH AND CAPACITIES SHALL EQUAL OR EXCEED THAT _ OF THE SPECIES IDENTIFIED HEREIN. 3.2. ALL LUMBER TO BE GRADED PER BOOK 16 OF THE COAST 48311 � LUMBER INSPECTION BUREAU: 0.03 � �6 3.•1. HF/DF NO, 2 FOR JOISTS, RAFTERS, LIGHT FRAMING e PLATES AND BRACING ®p 6 Q�®pe 4d 3.• NO. 1 FOR POSTS OR BEAMS E66� j ��etsacnoa_s 3.•3. HIF DF' FOR STUD WALL FRAMING " `�L�� 3.3. COMPLY WITH THE LATEST EDITION OF THE NFPA NATIONAL DESIGN SPECIFICATION" AS MODIFIED BY THE IBC FOR ALL yey STRUCTURAL TIMBER REQUIREMENTS. 3.4. PROVIDE CUT WASHERS FOR ALL BOLTS BEARING O O�Tr 3.5 ALL NAILS SHALL BE COMMON WIRE NAILS. city of Gregory Wilson "` a �" oVf% at 4545 Ingalls Street, 1 Wheat Ride CO 80033 ,tee � 1r ,c (� t� If� �V AS SHOWN 6/20/2017 BTW cnfBK e G.,r ENGINEERINri ANU INspcciiO17 Llving RQQm Rem eI 0 ly loemo-occ ftA,i J -A- PgO)CLT YhALk- (20 m py w ll -M Z012 19C Ll Nec - 1cry IC-) VIIN M,\ f"t o -a -4 FKA NOW City ()f it ity of Wheat Rlid)gLe. SMAN Aw. L1\l w-\O� Uo),A- Ea STW rcity of ft of wheat nidge I A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: a i ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re-inspectiori4t 303-234-5933 Date:�Inspector: DO NOT REMOVE THIS NOTICE �.41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Pk.f 1 �r e Job Address: `iiµ "atn b //j PermitNumber:. D.0/10 7!) 73 W 1 ' ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -Inspection at 303-2 4-5933 <_2vDate:Inspector: DO NOT REMOVE PHIS 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: it i X Job Address: U S Lt I l T Permit Number: ") p p � Z I j -4 P A e a w 42 L P Fs �; N ,%1 a ( �hL )v Y P,'� h� 4 1� F+_�1, P, y U JJ tf�, >> n �! f/ r f A r,17 n r f o 6 g S;s fPK i� (� �f1• �, � ra o l? Ad .) %x AX P,p f) i; u-/�p n i S G n/ r! rj S= v 4,c a n& /'l i i / 14 1 Oy-Is r L.^ltJt'vf7at l�crn .�.%�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: 1- L/ - Inspector: 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: n.Aj �- Job Address: d�C� Permit Number: � Lr J � 1 %\d ❑ No one available for inspection: Time AM%PM�') Re -Inspection required: Yes f No When corrections have been made, call for re -inspection at 303 -234 - Date: �' Inspector: DO NOT NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: D Job Address: t/ S 04 F A //S Permit Number: 6i a/ 7 a .3 3 (, I- rA ❑ No one available forcation: Time A /P kM Re -Inspection require .-Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: Inspector• DO NOT REMOVE THIS NOTICE •'l CITY OF WHEAT RIDGE Building Inspection Division a / (303) 234-5933 Inspection line r (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3rtO r, Job Address: 141'p L/ !3? '�•�•1`lyn4 S j i i -''�T Permit Number: Xn) / Y oM v �r7JLVj �p -10 C U ❑ No one available for inspection: Time'�_-VAM/PM Re -Inspection required: Yes No *When corrections have been made, call for re -inspection at 303-234-5933 Date: 3 °' b '� I Inspector: i DO NOT REMOVE THIS NOTICE -s� Inspection Type: 3rtO r, Job Address: 141'p L/ !3? '�•�•1`lyn4 S j i i -''�T Permit Number: Xn) / Y oM v �r7JLVj �p -10 C U ❑ No one available for inspection: Time'�_-VAM/PM Re -Inspection required: Yes No *When corrections have been made, call for re -inspection at 303-234-5933 Date: 3 °' b '� I Inspector: i DO NOT REMOVE THIS NOTICE 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 0? 0 t. Job Address: 4-/ L ,� b. a► iI s S'7"' 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: /7 Inspector: DO NOT REMO Vk TIS NOTICE Building : Inspection 7500 W. 29�'Ave., Wheat Ridge, CO 80033 O 303-235-2866 i 8929 Inspection ! Building Permit Rovisf Property Owner Email-. �81 Mailing Address: (if different than property address) Address: City; , tate, Zip. * FOR OFFICE USE ONL. Add to Permit 0 Contractor E-mail Address: 2gse Viii a*. Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not Included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due of the time of approval. Depending on the scope of works additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). W -S O f Lm�- ' :s° c KOO+ OLA le,+s 0 UJ CA 4 Sq, FUL.F Stuns Gallons Amps Squares Other dRdhdA&AW 61UJW�19 Mailing Address. (if different then property address) Address: Contractors City License Contractor !-mail Address: Sub Contractors. - Electrical: Plumbing: Mechanical: WR City License # WR City License # WR City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all information on BOTH sides of this form i - s e .� .s• m �y 6 Y 1 #� • Y :MC IN d •� w• Y 1 � K 'M • Y • • Y � A!• Y amount of materials to be used, etc. �zc U. FOIL f7ftEri PC 000 . FULF Btu's Gallons Amps Squam Other Vol, City of M�h6aiu OMMUNITYDEW SUB -CONTRACTOR AUTHORIZATION R Project Address: �5 �S Permit #: I OL LLi3,3 General • • Electrical Contractor t r. x Agent Company Name: Phone #: State License Master #: ea..idge License ---------- Signature of Authorized 4 u. Company Name Phone: RidgeWheat License #: Signature of Authorized Agent 0 .date Brad Umbar, - Fro : e From: Greg Wilson <gwilsonl0987@msn.com> Sent Friday, May 27, 2016 9:33 AM To: Brad Umbarger Subject: RE: 4545 Ingalls Permit Application I have received your email Thank you Sir! Sent from my 'T -Mobile 4G LTE Device -------- Original message -------- From: Brad Umbarger <bumbargertot, ci.wheatridge.co.us> Date: 5/27/16 9:27 AM (GMT -07:00) To: gwilson10987@msn.com Subject: 4545 Ingalls Permit Application mmmml We were finally able to coordinate and conduct a site inspection of your remodel project at 4545 Ingalls St. In order to proceed with the review of your permit application we will need some additional information, Please provide the following: L,/', Detailed plumbing drawing and isometric drawing for the DWV system. 2 lectricat drawing showing all new circuits and new outlets installed. 3 /Mechanical drawing including Manual I and D to verify proper sizing of the heating system. 4-V All contractors and sub -contractors are to be listed on the permit application and are to be property licensed with the City of Wheat Ridge. 0�• Brad Umbarger Combination Inspect City of Wheat Ridge Ph: 303-235-2882 ,ACompleted Permit Application Form , Copy of Property Deed - Three (3) Sets of I I" x 17" Construction Plans Containing- Completed-13ttil,ding- G-- ut&,-and/or Floor Plan(s) o -A, I Other C', V) q -A IV tN 4, A-1 "�O 0 C) 3M: M 0 J3 < 'P MOMO 00 >X 00— (D 0 M U)i=MO r - CD Mr - _0 >r -c a -0 0 0 CD M M !M I I tfM 0 I I r. M !M I I tfM 0 I I P 0 i d pp °r* G f m z m0 Q .f4' Ul S _0 m 0 �ry w.. 0 tA 4t ♦♦♦ $1?4 0 CD ,. c ch CA Z z z CD r0 MZ q ^*Wv .. C0 m 51d pq d cn �5 erg. m�r z a 0, m q+ � > V �,. gam„ dp°'. z r m '"d qIn t m X 0 01) to OD ry ra Kristi Graham From: +172013276739{ tmomail.net Seat. Friday, April 1, 20316 21:1.7 AM To: Kri ti Graham Subject: Fwd.kgraham@ciwheatridge.co,us FOR OFFICE USE ONLY w011A, Of' Date: fie, zit f Q�i'Cd('-"Tc_ Amcm LIM'['Y PlanlPennit # Building & Inspection Services Division '2 c> t4-50 7500 W. 29"' Ave., Wheat Ridge, CO 80033 Plan Review Fe P'a P n 2 Plan 'P e rm L Review Fe Office: 303-235-2855 Fax: 303-237-8929 Inspection Line: 303-234-5933 c) I Building Per pplicatio/n mit A Please complete all hip0e0doar*eas Nooth sides of this form. Incomplete a ications may not be processed, Property Address- ., (if Addre v,"' Sub Contractors. - Electrical: W.k City License Other City Li nsed Sub: City Licens MEEMEM= Plumbing: NR City License ii Phone. Phone: Other City Licensed Sub: City License # Mechanical: W.R, Citv Lic=" Complete all information on ROTH sides of this forni ,. OTHER (Describe) .., y „t Y a , 1 c a t 1 k �* �t 11�91MII �ilririlllllAi�IIIVII�D �IIIII J�II���, 1�a t;t I m�l j'p�d'I r� r. 1 tt. 4+ �4 r �l a COMIM5 Plk, 'r \ FOR OFFICE DISE ONLY City of Date. a. COMMUNiTy DEVIELOt'MENT plan1permit ## Building & Inspection Services Division 7500 W. 29th Ave,„ Whet Ridge, CO 80033 Plan Review Office: 03-235-2855 * Pax: 303-237-8929 Inspection Line:. 3013-234-5933 Building ermit Application * Please complete all highlighted areas on both sides oft is form. Incomplete applications may not be processed. *** Property Owner Emnll Wiling Address: (if different than property address) Address: Cit State, # Archite tlEngin r E-mail: Phone: Contractor: Pr z 0 o 1,0 Contractors City License #. Phone. Contractor E-mail Addr+�ss�: Sub Contractors: Electrical: Plumbing: Mechanical: W.R. City License # WR City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License Complete all information on BOTH sides of this form M� A.• M a f► M1 a r' � M! M a a mount 9materiats tobe used, etc.).: j"' t"` d'"$ �, , / t o Ik Sq. FULF a,,, Gallons Amps Squares Other Date. Plan # Perinit # Address: City, State, Zip: Contractor: 6 'actors Citv License #- Phone-S but) uontractor$: Electrical: Plumbing.- 4�eFanical. - City License # City License # City License # k9SCL12§ n WOrk *. (Fu wlly describe to be performed - Attach additional sheet If necessary) Of Contract Value of all work: Review Fee (due at time of submittal): Squares BTU's Gallons Amps _ Sq ft $- PUBLI, City of Wheat Ridge Residential Fence PERMIT - 070572 PERMIT NO: JOB ADDRESS: DESCRIPTION: 070572 4545 INGALLS ST Install 32 L,F of 3' fence & ISSUED: EXPIRES: of 61 fence. 06/12/2007 12/09/2007 30 L.F, *** CONTACTS *** OWNER 303/960-6704 Emilie Ward ** PARCEL INFO ZONE CODE: SUBDIVISION: ** R-2 0379 '" USE: BLOCK/LOT#: R-3 0/ 1; 'IflA\f ESTIMATED FEES 30,55 19.86 ,00 6.48 56,89 PROJECT VALUATION: 360,00 ** FEE SUMMARY ** Permit Fee Plan Review Fee Total Valuation Use Tax ** TOTAL ** Own Please Note' . er / contractor is rcsponsibl 'f< . Imes and CO""""fl'ct' . . e or locatmzpro"'".rl1, h;) "'" ffiO' Impro~ ...... .t''''~l.J approved plan and r~qu: d "dement: according to the Th C' . 0 Jre evelopm t ' e l{y IS not respons'LI r.' .en standaras. ~ i lu e or In''''.......H!l. . - ~.... HI ucu Wlrnln the pI i.!.~", Alu.uuuauon an set and an ' errors resultina from' Y constructlGll b J maccurate in.f':onnat' d.; -'- Ion. Comments: KS: Permit approved per plan, 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 ap licable heat Ridge Ordinances, for work under this permit. Plans subject to field inspection. 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 3. If this permit expires" a new permit may be. acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. 4. No work-of any manner shall be done that will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications-shall not be construed to be a permit for, nor an aJiPr of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All p. eview is ect to field inspections. .~ Signature of Chief al date INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. COMMUNITY DEVELOPMENT,DEPARTMENT . BUILDING INSPECTION LINE -303.234-5933 CITY OF WHEAT RIDGE 7500 WEST 29THAVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) MINOR APPUCAT10N Property Owner: brrl/ lie /,():;Ly(jI Property Address: 45L/5r~S $'-/-. ~+,eid~CD~'3.. Contractor License No.: Building Permit Number: Date: I PLAN # Phone( 8D3) q LPO- Lo "70<1 Company: Phone: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I Buildinq Dept. Valuation Figure: $ I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable <?rdiflances, rules or regulations of tile City of Wheat Ridge-or covenants; easements.orrestrictions 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 otherapplicaole Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. (OWNER)(CONTRACTOR), SIGNED f.vv:9. ~cQ DATE1t\\;;>)o1 Value;$?~ Permit Fee:$ Plan Review Fee:$ Use Tax:$ Total:$ (OWNER)(CONTRACTOR):PRINTED DATE Use of Space (description): Description of work: . / /JI ~,~. 3ZL. r: Irf ]:? ( J 3D Lf bc! /P' ~~ ;;' tM, Sq, Fl. added ONING COMMENTS: fr7 Approval: If '2 Zoning: 4\ -(;/' BUILDING DEPARTMENT USE ONLY. SIC: Sq,Ft.: ~wd JOe r~~ ~~~ JI/&! ~!n'::: iff W~ :>, ~ <i?,?)' BUILDING COMMENTS: Approval: PUBLIC WORKS COMMENTS: Approval: IRE DEPARTMENT COMMENTS: Approval: Occupancy: Walls: Roof: . Stories: .. .. Residential Units: Electrical License No; Company: Plumbing License No: Company: Mechanical License No: Company: Expiration Date: Approval: Expiration Date: Approval: Expiration Date: Approval: (1) . This permit was..issued in accor-dance 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 theCily, (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 180 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem. (S) Contractor shall notify the Building Inspector tvlenty.four (24) hours in advance for all inspections and shallxeceive 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 forj-.nor-an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review- is subject to field inspections. Chief Building Official fMI!-I~ W A-R j) / t' . .D 1f'1'1/IfN FkEDoi4- ~5~ 5 ...,- 5- j..1\JC-4L!-5 /. !t\Lt~.q-r R 1f)~E: co 8'%!t5 33 ( 30'3') q 6(0 - i'D -:;.% l.r ~ rkl<Ml1 [;12 ::DvSTt'TI.-I-IN&- !l v.j.oo/) [;Nc.r; AL.ON{,- Ouf< SOUTI(- P~Of'&I2T';' LING. If'. s f I ~ ~ ~ ~ ~ c t ~ l' ~ IV""/' <<=-1>' B, /)(. oR J <:)0 \S~ ~;;.C ~~~ ~';;:4 /-'r ~<t" St:y<~~ I ~ b) ;> - - - - - ""' - - - - ~ t- >~ IS- ?lO' '> ~. <:.. W ~ :f :z. - <::oS> ~ ~ ~~ :r 0,0 ~~ ~ ~r y'l ~ \~ (\ '3: ~ ~ ( i. r- ~ ~ ;jl ~ ? ~ "" y (' ~ :c +- ~ 0 ;--L ~ ?? -0' C 'P \J) -() ~ rI\ ~ --<I~ '-0 .... "" -C"b Z. l1\~ ~ '" -C"3 '" '" '^- r .. '" r.-, , I-\~ ;J) ~ C> ~ :t7 .c. '" J1 .. '" .., r- '" ,.. '6 VI 0 0 0 o 0 -1 \>>0 V\.f> "" "i ~c:// '\ ~ 8e>.p --S '%..-~ \ ., ;l.g 5' 9 t:: CD't:I C1I ~ C1I 0'" C1..... v.I Cll :: a _.0 g .. ~ ;;'~ Ci Q.;;- en ('Ii -'P.on 0 ..,c.rn"tjotJ " "" " -" !r a;:i.g.gVltj :;t. Ef: C! '" 2' s ::s ::J VI ~ 0 ., o~ s::g ~ S' ~. ~ot:t(\,dJQ..,:s _ "0 ~.,.c ....Cil (t :;$ -O'"t: a.{) 10 S' ~ cr ~r~ 0 = ~.,S'o.o~z og.'"'Io.r;o:o s"'-''!a-;r s :;::, =:s til Cl. ...,.c.go~CP. ~.~g~E;'~ "'< j;J S", 0 (Yo.....CDOn .'tooag~ " ,,_. a-' ~ tt:l ::l tI:I 0 :;to 2' S'II s.OQ . g g a g.OQ ~ . era ~ s'" . "o'fZo So II ::s' G~ ~ . DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 95-1874 BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date :9/14/95 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: VON LINTEL LUCILLE Property Address: 4545 INGALLS ST Phone: 422-5967 Contractor License No,: 18121 Company: The Electri-Serve Corp, Phone: 892 0027 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: Permit Fee: Plan Review Fee: Use Tax: $200,00 $25,00 . $0,00 $3,00 $28.00 I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regUlations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Whea . ge ordinances, for work un er this permit. r (OWNER)(CONTRACTOR) SIGN Total: Description: CONN TAlC BUILDING DEPARTMENT USE ONLY ~ Approval: Zoning: ~ Approval: ~ Approval : Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: . _1iIlIlIIIBI Expiration Date: Approval: .~ Expiration Date: Approval: .~ (1) (2) (3) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 day's. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of the job. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. ~~ t~(l4'/ Chief Building Inspe r THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234.5933 24 HOURS PRIOR TO INSPECTION (4) (5) (6) DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 propertyowner:~~& I(6vt lJv,-J--ef Property Address :4545 1:1'\0Cl. ~(s Sf- Contractor License No.: ~d,,:- ~ )'$ / ~ 1 Company: ecec~i'- Se-rve. Co"'1O Phone: 4'2-2- SC/ b 7 Phone: (312- 6Qz,7 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: :2.co coO Permit Fee: Use Tax: 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 aU measurements shown, and allegations made are accurate: that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance WIth the Wheat Ridge Building Code (U,B,C,) and all other applicable Y'\h71 Ridge ord~a~s, ~r war!< under t~ '1:;/;, // (OWNER)(CONTRACTOR) SIGNED ~ ~ DATE~ Description: ~ VLI\.QcA- fffc- BUILDING DEPARTMENT USE ONLY Total: ~ifIt~raI~ Approval: Zoning: _(f'~~J!ftl Approval: PD1'!lr~mn!l1Piitl!i:l Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electricai License No : Company: Plumbing License No : Company: Mechanicai License No : Company: Expiration Date: Approvai : ..". ,,~"jfs;"""u1:~ .:a ""... ^~..~.~~~~~'t~~., . Expiration Date: Approval : m ~gOCI!S'R!ItI"!fiKf;'i2,:l Expiration Date : Approvai : III~~ (1) (2) (3) This permit was issued in accordance with the provIsions set forth in yapur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of \^/heat Ridge, Colorado or any other applicable orClinances of the City. This permit shall expire if (A) the work. authorized is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or abandoned for a period of 120 days. If this permit expires. a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or jf suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. Contractor shall notify the Building Inspector twenty.four (24) hours in advance for all inspections and shall receive wntten approval on inspection card before proceediing with successive phases of the job. 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, taw. rule or regulation. (4) (5) (6) Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234.5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 95-1865 BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date :9/13/95 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: VON LINTEL LUCILLE Property Address: 4545 INGALLS ST Phone: 422-5967 Contractor License No,: 17667 Company: Jebco Heating & A1C Inc, Phone: 573-7300 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. Construction Value: Permit Fee: Plan Review Fee: Use Tax: $2,679,00 $54,00 $0,00 $40,19 $94,19 (OWNER)(CONTRACTOR) SIGNED DATE Total: Description: INSTALL LENNOX HS29-261 2-TON A1C BUILDING DEPARTMENT USE ONLY ~ Approval: Zoning: ~ Approval: --,-----~"'" ''1-';'- Approval: Occupancy: Stories: Residential Units: Walls: Roof: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: .1lI1!1I_~ Expiration Date: Approval: . ......11111_ Expiration Date: Approval: II~ (1) (2) (3) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shaH receive written approval on inspection card before proceediing with successive phases of the job. 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, Jaw, rule or regulation. (4) (5) (6) Chief Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-593324 HOURS PRIOR TO INSPECTION r ~I. DEPARTMENT OF COMMUNITY DEVELAPMENT 7500 wES7 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. 237-e944 Ex7. 255 P.O. BOx 638 CITY OF WHEAT RIDGE, C0L0. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW. )OB ADDRESS LIC n L P r~l FOR MISC ELLANEOU P RM T, OWNER /,,y']~~ ' nONTRACTOR k-jp ` 0 QvA j ~-I ADDRESS a ~ 4DDRESS ~ PHONE ZIP COD~( . CITY ZIP CODE Z(D CONTRACT PRICE $ PHONE ~ IICENSE NO . / 1. TYPE GrounA ❑ Wall Proieolinp❑ O1ho S u D Pod 2. MATERIAL 7ofol Squore Feef SIGNS 3, ILLUMINATION YIS❑ No❑ Typa Eleef, Permit No. 4. SET BACK FROM PROPERTY LINE N _ 5 _ E _ W Zons_ ApprwM, Zons Inspeota (SOxity whicA ia fronl) ❑ ❑ ❑ ❑ DiwDDroved 1. 7YPE Solid[:] Mon TAOn 80% OpsnO Losa TAon 80% Opon FENCES MATERIAL 3. SET BACK FROM PROPER7Y LINE N _ 5 _ E HHpAt _ W 2me_ Apprwed,Zono Inspeeta (Spseify whieh ie tront) ❑ ❑ ❑ ❑ Disapproved I . 2 OTHER 3 . DRAW SKETCH OR SHOW BEIOW, THE FENCE,SIGN,OR OTHER STRUCTURE, GIVIh'u DISTANCES FROM PROPERTY LINES. (SETBACNS OR VROJECTIONS INCLUDED) ~ SPECIFY NORTH STREET NAME SHOW DISTANCES FROM THE MAIN BUILDING TOAWOINING HOUSES, STREETS, AND PROPERTY LINESiON IRREGULAR LATS, SHOW LEAST DISTANCE TO PROPERTY LINES, NOT MA%IMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INqCATED WORN pJLY UPON VALIDATION BY TYE BUILDINC INSPECTION DIVISION. PERMIT WILL EXPIRE 60 DAYS FROM DATE OF ISSUANCE !F WORK IS NOT STARTED WITHW THAT TIME. ELECTRICAL PERMIT STATE IICENSE N0. ALUININUMWIREUNDERSIZE81LlEGAI PLUMBING PERMIT STATE LICENSE N0. FLOOR BSM IST 2N0 3RD 4TH MECHANICAL PERMIT NQ Ft1EUCiGsOn~GofOIlPropon~ E Solm Np, WATER ClASET FORCED AIR - BTU TEMPOItARY METER WASH BOWL HOT WATER - BTU NEW SERVICE AMPS CHANGE SERVICE-AMPS BATH TUB SMOWER STEAM - 8TU AIR CONDITIONING-BTU LIGHTING SINK OTHER HEATING GARBAGE DISF REFRIGERATION SYSTEM POWER SUB-GFCUITS UTILITY(RANGE,DISPOSER,ETC.) FIXTURES WATER HEATER AUTO.WASHER DISH WASHER qafri eroM Grou Pounds CMr s AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS 9 CONTROLS FLOOR DRAIN EIEVATOR SIGNS URINAL. TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES xueairc~ 1_..1 S"~I(71.1~ . ~ I hsreby ocknowladqe thot thia applica- tion u corrocf and unde.sfond that I connot stort this projecf until thia oppli- cotion is apOroved. I thall tomply with fhe lows ot the Sfote of Colorado and to ths 2oninp ReQulations and Buildinp Code of the City of Wheai Ridqe. Any violotion of fhe above terme will cause immediafe revocofion ot ihia permit. PERMIT FEE ~ NOT VAIID UNLE55 USE TAX TOTAL FEE ~ APPROVED DISAPPROVED CHIEF BUILDING INSPECTOR,Cityof Wheat Ridqe e ~,(~l( Dafe Issued ~IliCanM1 SiOnaNn CALL 237-8944 EXT. 255 24 HOURS IN ADVANCE FORINSPECTIONS