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HomeMy WebLinkAbout3275 Moore Court2:) _ ffrvct, (!-+. INSPECTION RECORD INSPECTION REQUEST LINE: (303) 234-5933 19 occupancy/T-ype `VInspections will not be performed unless this card is posted on the project site. all the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Date Inspector Comments oundation Inspections Initials 'ier ,oncrete Encased Ground (CEG) :oundation / P.E. Letter Do Not Pour Concrete Prior To Ap roval Of The Above Inspections Inspector Comments Jnderground/Slab Inspections Date Initials lectrical sewer Service Plumbing round or Below/in-Slab peae bWork Prior To Ap roval Of The Above ns Do Not Cover Under Date tor Comments Rough Inspections Initials Wall Sheathing Mid -Roof V Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Date Inspector Final Inspections Initials Landscaping & Parking / Planning Dept. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof 17 Final Window/Doors Comments ons Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. Final Building NOTE: All items must be completed of the Final approved Building Planning, on does not consti�ute au ire �oriza�ongof occupancy.re a *For of Occupancy is issued. Approval `For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. "For Inspection Time Window — Please a CUibl CSP e o the egmaill.. Time window is based on the inspector's route. oft e inspection with the property address in the Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From Th Weather City of Wheat Ridge Residential Roofing PERMIT - 201701400 PERMIT NO: 201701400 ISSUED: 06/02/2017 JOB ADDRESS: 3275 Moore CT EXPIRES: 06/02/2018 JOB DESCRIPTION: Tear off existing roof and replace with Malarkey Class IV; no redecking 33 squares *** CONTACTS *** OWNER (720)775-7591 MITCHELL RONALD P SUB (720)921-6717 Kurt Ulrich 170107 The Colorado Roofing Company *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,550.00 FEES Total Valuation 0.00 Use Tax 242.55 Permit Fee 236.00 ** TOTAL ** 478.55 *** 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€rms 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&#39;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 - 201701400 PERMIT NO: 201701400 ISSUED: 06/02/2017 JOB ADDRESS: 3275 Moore CT EXPIRES: 06/02/2018 JOB DESCRIPTION: Tear off existing roof and replace with Malarkey Class Iv; no redecking 33 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 all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am le� ally authorized to include alI entities named withm this document as parties to the work to be performed and that all work to be pert anca ned is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Re uests 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 andprocedures 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. 5. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any applicable code or any d 1 nce or regal n of s 'jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PN ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.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. ity c�fi �Wc' heatid�e COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(cDci.wheatridge.co.us I FOR OFFICE USE ONLY Date: PlanlPermit # n VOLV I IN Y0 6 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: 3 Z 7� Cy- • Co �-oo 33 Owner Property Owner Email: ^��14 Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Phone: Phone: 7Zv - 77r -75 -?l Contractor: Contractors City License #: / � O /O 7 Phone: Contractor E-mail Address: fo Sub Contractors: Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all 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 ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ 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 size and efficiency, type and amount of materials to be used, etc.) ° /mow—O�f 2XICv�c� root Q-.� ✓�enlac2 D I-V/Ziolk.rly Gess /r — ZlJ<c�kSyJ�r/C _ (� A4 f/5 t 1V<9 — (tlec- -14) Sq. FULF Amps Btu's w, ✓4 de- e- VL�...� , a. � 4 ve- 4 D Z Q S j 4- C,� 'iv Gallons Squares 3 S Other IV Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ X 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Electronic Electronic Signature (first and last name) �—, ^ DATE: CO • <. / ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer. DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ ► i CITY.OF WHEAT RID _:�9�Building Inspection Division- (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Po F 17 Job Address: 3 S �d'_ \1 Permit Number: c O ❑ No one available for inspection: Time AM/PM j Re -Inspection required: YesNo When corrections have been made, call for re -inspection at 303-234-5933 Date:to/19/0 Inspector: X�`� G f lbor_�� DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division 9r(303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: r1 T a rc Permit Number: a. h 1'7 0 I Y o v s r I rt �v-i' h6 0 �k �c� -Fr,�� 4orz NS 1,�j'I/l C�pr /� Y>> _(7 ; PJB!- f�) „ A,)? P (/ n () r !) El No one available for inspection: Time d•" S r 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 INSPECTON RECORD O�DU anc;T v vie 'INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. ,32 awe as - a?a INSPECTOR MUST SIGN ALL SPACES+, PERTAINING TO THIS J OB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: - Footings /Caissons Mid -Roof Mechanical - Stemwall / (CEG) Concrete Encased Ground - Electrical Service Roof Reinforcing or Monolithic Rough Electric Building Final Weatherproof / French Drain Rough Plumbing Fire Depart ment Sewer Service Lines - R.O.W & Drainage Water Service Lines Sough Mechanical ABOVE Framing INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Insulation _ UUrv\.rco m UN HL A uuvt n OttN DIGNED CONCRETE ,SLAB FLOOR 'Electrical (Underground). - Plumbing (Underground) Heating (Underground) tE DO NOT POUR FLOOR UNTIL. ABOVE HAS BEEN SIGNED ROUGHS I s f Sheathing Electrical Lath /Wall tie Plumbing - Mid -Roof Mechanical Electrical Service Roof Rough Electric Building Final Rough Plumbing Fire Depart ment Gas Piping R.O.W & Drainage Sough Mechanical ABOVE Framing INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Insulation * NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED.. FINAL INS�ECTIONBY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NORPERMISSION FOR OCCUPANCY. Drywall Screw FINALS Electrical - Plumbing Mechanical Roof Building Final Fire Depart ment R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR. TO FINAL INSPECTIONS. Parking & Landscaping * NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED.. FINAL INS�ECTIONBY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NORPERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL, CERTIFICAT,Ec'OF OCCUPANCY IS ISSUED PROTECT THIS:CARD FROM THE WEATHER V CITY OF WHEAT RIDGE / Building Inspection Division (303) 234 -5933 Inspection line �JJ (303) 235 -2855 Office - (303) 235 -2857 Fax INSPECTION NOTICE ^ Inspection Type: ?ern/ f, ?VAS Job Address /Permit Number: 327 yNl.nna -c C zt. b)9' rg R ( If I C ❑ No one available for inspection: Time j c!! AM/' M ' Re- Inspection required: Yes /low When corrections have been made, call to re i i I nsp {f at i a03- t 2 33 4 -5 5933 Date: f Inspector: DO NOT REMOVE THIS NOTICE ♦ ♦ CITY OF WHEAT RIDGE Building Inspection Division r (303) 234-5933 Inspection line f (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE' Inspection Type: Wezgl= Job Address: 375 e7 Permit Number: G ~~©SS oO~aG~E 6yd ssr/sYAll a s!F~~ ~y]~v7~2 %a~s¢Shr ! u~.yl.5i, 6~ .P!✓ErfJ 7V /rLS77f'!/ ..io YJ"L'T 7- ;PAP 0-IS ❑ No one available for inspection: Time 3'7, AM/0-1- Re-Inspection required: No When corrections have been made, call for re-inspection at 303-234-5933 Date: Inspector: r DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE I Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax - INSPECTION NOTICE Inspection Type: K rtt)-r Job Address: 3"2-7£ 6V!r, ,rf Permit Number: MP("5 g ❑ No one available for inspection: Time j 2~ A~V/ Re-Inspection required: Yes When corrections have been made, calf for re-inspection at 303-234-5933 Date: Inspector: A roll 7 a cr Van DO NOT REMOVE THIS NOTICE I% City of Wheat Ridge .rte / Residential Roofing PERMIT - 092058 PERMIT NO: 092058 ISSUED: 09/04/2009 - JOB ADDRESS: 3275 MOORE CT EXPIRES: 03/03/2010 r DESCRIPTION: T/o: :Install 38 sgs..OC 30.yr CONTACTS `owner .303/462-1949. Ron Mitchell `'gc -,303/366-1514- Jennifer Rimkus 09-0094-Total Home Exteriors Inc. PARCEL INFO f" ZONE CODE: UA USE:. UA SUBDIVISION: 0647 BLOCK/LOT#:.-0/ s 3 **.FEE SUMMARY ESTIMATED PROJECT VALUATION: 7,600.00.: FEES z Permit Fee 199.30 , ' Total Valuation .00 Use Tax ,,y}~G✓.~~.. 136.80 TOTAL .336.10. "..,"'Conditions: _ „6. nail installation & mid-roof inspection required. Board sheathing spaced more ;than a 1/2.of"an inch apart requires plywood overlay on entire roof. ice and ''water shield required from save edge to 2' inside exterior walls.: Subject to field inspection. 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, an,.allegations made. are accurate; that Ihave read and agree to abide by. all conditions printed on this app do .and that assume full responsibility for compliance with the Wheat Ridge Building Code. (P.B.C) and all other app is b e idg 0 din/ances,.. for work under this e it. laryq subject to field inspection. signature of contractor/own r dat ("J^I 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 G, 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.. f6. 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 viola r n of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review i suQje to field inspections. Signature of Chief ildi§ Official date -INSPECTION RE VEST LINE: (303)234-59.33 BUILDING: OFFICE: (303)235-2855 ,:REQUESTS MUST, BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING. BUSINESS DAY. n: ~;S From: 09/04/2009 08:10 04 W"~?TR City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 _ Office: 303-235-2855 * Fax: 303-235-2857 o Inspection Line: 303-234-5933 OLORPO Building Permit Application Property Address: 3 ► + c) CY-t- M- Property Owner (please print): tJ F/l V-y\t Mailing Address: (if different than property address) Address: City, State, Zi Contractor: Contractor License Phone: 3 - - [ !~;-l L4 Sub Contractors: Electrical City License Company: Exp. Date: Plumbing City License Company Exp. Date: #503 P.001/002 Date: Plan Permit Phone3• " 4-~ Mechanical City License Company: Exp. Date: Use of space (description):1~-t e;!J!gi Description of work: ~n r V\J Sq. Ft./L.Ft added: Squares BTU's Construction Value: $ {P6C) (as calculated per the Building Valuation Data sheet) Plan Review (due at time or submittal): $ Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT thereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate: that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER)((CONTRACT'OR))por~ PERSONAL REP NTATIVE1M(OW R) (CONTRATOR) ~ RA)rr `i ( SIGNATURE. Date: ql /a / PRINT NAME: Q- *%%t5 0-A `-(y DEPARTMENT USE ONLY ZONING COMMENTS: Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewer. BUILDING DEPARTMENT COMMENTS: OCCUPANCY' Reviewer: FIRE DEPARTMENT:: ❑ approved w/ comments ❑ disapproved D no review required Bldg Valuation: $ ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 inspection line (303) 235-2855 Office • (303) 235-2857 Fax i r INSPECTION NOTICE Inspedion-Type: Job Address 3' Permit Number: #k ❑ No one available for inspectio ime AM/PM r Re-Inspection required: Yes 11' *When corrections have been mad , J~e-S inspection at 303-234-5933 Date: /4 57 InspectorDO NOT REMONOTICE a City of Wheat Ridge Building Division Date: 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Plan Inspection Line: 303-234-5933 Permit#: Building Permit Application 06 opertyA ~Ir,`ess 3;~7 5- ,Af4e) Ve /d. Property Owner (please print): Phone: Mailing Address: (if different than property address) Address: State, Cont~actdr: Contractor License Phone: 303- 932- 37L Sut%Cont.~acto'fs Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space description): ReAa r scud«~ C4) 1)~ Construction Value: $ wa (as calculated per the Buildi g Valuation Data sheep Desgrlptlon ofwor S'(brm. D New 15011 W cyv,.- ~Gl" s w j e e- Plan Review (due at time of submidaq: $ Sq. Ft./L. Ft added: Squares BTU's Gallons Amps OWNERICONTRACTOR 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 1 assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: SIGNATURE: Date: COYLE INSPECTION ENGINEERS, INC. 2170So. ParkerRoad, Suite 240-F, Denver CO 80231 Phone (303) 745-5209 Fax (303) 745-2571 7uly 1, 1997 Attn: 7im Kelsey 3D PIERING & HOME IMPROVEMENT, INC. 7120 W. 117th Ave., Unit B2 Broomfield, CO 80221 FIELD OBSERVATION REPORT Client: 3D Piering Owner: Rich Smith Address: 3275 Moore Ct. CIE Job # 97152 Orig Report Date: 6/3/97 Date Observed: 7/1/97 Purpose: Observation of placement of steel piers and footing pads At the time of this observation it appears that the steel piers and footing pads have been installed in locations substantially conforming with the STANDARD PIERING REPORT referenced above. Very truly yours, ; oo ri ec/sT~ Coyle Inspection Engineers, Inc. % ~ i~Q' O•, 19458 ~ r( tirl.•~~ ~ 4 0,~ ' sS Michael D. Coyle, P.E. ~H~`,~ President ~t . . DEPARTMENT OF PLANNING AND DEVELOPMENT -BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Property Address : 3275 MOORE CT Contractor License No. : 19529 Company : 3D Piering & Home Improvement Phone: 456-7555 Phone : 439 9624 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $7,500.00 I hereby certiTy that the setback distances proposed by this permit application are accurete, Permit Fee : $138.00 and do not violate applieable ordinances, rules or regulations of the Ciry of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations Plan ReVIeW Fee : $0.00 made are accurate; that I have read and agree to abide bY all conditions printed on this i h lh Wh t Rid B ildi l U T $90 00 ia c application, and that i assume full resp sibility f o p ea ge u ng w t e S@ 8X : . Code (U.B.C.) and all other applica eat Ri e ina s, for work under this permit. (OWNER)(CONTRACTOR) SIGNE DATE L~" Y/'~"l Total : $228.00 Description : STABILIZE SOUTH FOUNDATION AND REPLACE OLD MONO POSTS WITH NEW ADJUSTABLE POSTS BUILDING DEPARTMENT USE ONLY Approval : Zoning : Approval : Approval: Occupancy: Electrical License No : Company : Walls : Roof Plumbing License No : Company : Mechanical License No : Company : Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: (1) This permit was issuetl in accordance with the provisions set forth in yopur applicalion and is sub7'ect to the laws of the Siale of Colorado and to the Zoning Regulations and Buildiny Code of Wheat Ridge, Colorado or any oiher applicable ordinances of ihe Ciry. (2) This permit shall expire if (A) the viork authorized is not commenced within sixty (60) days from issue date or (B) lhe building authonzed is suspended or abarWoned for a periotl of 720 days. (3) If this permit ez0ires, a new permit may be acquiretl for a fee of one-half the amount nortnally required, proviCetl no chan9es have been or will be matle in the ori9inal plans and specifcatlons antl any suspension or abandonment has not exceedetl one (7) year. I/ changes are made or it suspension or abandanment exceeds one (1) year, full feea shall be paid for a new permit. (4) No work of any manner shall be tlone thalwill change the natural Flow of water wusing a draina9e pro6lem. (5) Contractor shall notiry the Building Inspector lwenry-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of the 1~ob. (e) T~e issuance o( a permtt or the approval of drawinqs and specifcations shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the uiltling codes o y othel law, rule or regulation. I a'u/~v Ch' Building Inspector IS PERMIT VALID ONI.Y WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION . SIC : Sq. Ft. : Stories : Residential Units : Building Permit Number : 5304 Date : 6/19/97 DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date 1`7'q7 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner. Property Address : GF Phone ~ Contractor License No. Company > Phone : ~ 4`~Q 962~1 OWNERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value :-7 I hereby certi(y that the setback distances proposed by this permit application are accurete, 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 accurete; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility fo(compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable 1~eat Ridt,~3 ordp ances, for work under this pertnit. / I (OWNER)(CONTRACTOR) SIGNEDI /1 a'L DATEL IUA? ~ Description: ~Iab.A L'~- Permit Fee : Plan Review Fee : Use Tax : Total : o+~~ yu, (I-o -k~75 Grr _ ,~~~~~4~1e F7as7s BUILDING DEPARTMENT USE ONLY 22rilii 1C3ifi1ftMfsM SIC : Sq. Ft. : Approval : Zoning : BulldiiiVCbmments-I Approval: EatswonmEmmntq Approval: Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No. Mechanical License No : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: Jum,a-~~s~ate~ns 0 IIIIIVINRM~~ 0 ffamgl~~ (1) This pertnit was issued in accordance with Ne pmvisions se1 forth in yo0ur applicaNOn and is subjed to tne laws of the Stale o( Cobrado and to the Zoning Regulations antl Builtling Cade of Wheal RiAge, Coloratlo or any other apPliwble ordinances of the Ciry. (2) This pertnil shall e:pire R(A) the work authonzetl is not commence0 vnthin sinty (60) days from issue tlate or (B) lhe builtling authonzetl is suspended or abanAOned kr a penod of 120 days. (J) If ihis permit expires, a new pertnM1 may Oe acquire0 for a fee of ona-half Ne artwunt normally required, Orovided no changes have been or will be made in the original plans and specifications antl any suspension or abandonment has not exceeded oae (7) yeac If changes are made or if suspension or aEanJOnment ezceeds one (1) year, /ull fees shall Oe paia for a new Oermit. (4) No work of any manner shall 6e Done that will change Ne naWral flow of water c~ausing a dreinage pmblem. (5) Contractor shall nolify the Building Inspector twenry-four (24) houro in advance Por all inspections and shall receive written appmval on inspection carC be(ore proceetliing with successrve phases of the Iob. (6) The issuance of a permit or the appmval o( drdwings and s0ecifcations shall not be construetl to be a Oertnit lor, nor an appmval ol, any violation ol the pmvisions of the builEing codes or any oMer ordinance, law, rule or regulalion. 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 COYLE INSPECTION ENGINEERS, INC. 2170 So. Parker Road, Suite 240-F, Denver CO 80231 Phone (303) 745-5209 Fax (303) 745-2571 June 3, 1997 Attn: Jim Kelsey 3D PIERING & HOME IMPROVEMENT, INC. 7120 W. I 17th Ave., Unit B2 Broomfield, CO 80221 Re: 3275 Moore Ct. CIE 7ob # 97152 Dear Mr. Kelsey: Per your request, on May 27, 1997, we made an inspection at the above referenced property. The purpose of the inspection was to observe the structural condition of the house and make recommendations for quantity and general location of steel piers to be installed by 3D Piering, to stabilize the structure. Also proposed was the replacement of the beam support piers and footings due to settlement. Provided for our use was a sketch by 3D Piering showing proposed pier locations and beam support locations. This report summarizes our observations and recommendations on this matter. General - The home is a one story residential structure, of wood frame construction with brick veneer, and a poured concrete foundation. The foundation system encloses a crawlspace. Spread footings were observed to be the support system for the foundation walls. Two sump pits and pumps were observed in the crawlspace. Structural Distress - Based on observations at the interior and eaterior, it is our opinion that the home has experienced structural settlement due to poor drainage conditions and undersized footing pads for the steel beam supports. The South wall of the crawlspace has settled and cracked and the support pads for the steel beams have settled, several on the order of 2 inches. Resulting floor system deflections and cracking of the finished wall surfaces was appazent in the main floor areas. Recommendation - It is our opinion that the South wall of the crawlspace can be underpinned with 4 steel shaft piers, with maximum pier spacing of 7'-0". It is assumed that each pier will achieve penetration into bedrock. The e3cisting beam support footing pads and concrete COYLE INSPECTION ENGINEERS, INC. 3D Piering - Engineering Report - CIE Job # 97152 3275 Moore Ct - June 3, 1997 piers can be replaced with new, larger sized pads in the same locations, and adjustable steel columns, per the attached details. Drainage - The property owner should be made aware that minimizing water accumulation azound the foundation is necessary in Colorado, in order to preserve structural stability. To this end it is recommended that the owner observe the following standard precautions: 1. In landscaped areas, six inches of slope in the first five feet away from the foundation is recommended. Concrete or other hard surfaces should slope away from the foundation and should be sealed where they abut the foundation with a flexible caulking compound or asphaltic cement. 2. Downspout drainage should be discharged no closer that five feet from the foundation. 3. Sod and sprinklers should be located no closer than five feet from the foundation. 4. Plastic weed barriers should not be installed adjacent to the foundation. A geotextile fabric weed barrier is recommended instead, that will allow the ground to evaporate its moisture. Limitations - This inspection was visual and cursory in nature, and represents the professional opinions of this firm. No detailed measurements were taken, nor was any soil or material sampling/testing performed. No warranties are made or implied as to the continued structural integrity of this property. The opinions expressed and recommendations made are based upon experience with similar homes under similar conditions. The assumptions, limitations, and conditions of the agreement by and between Coyle Inspection Engineers, Inc. and 3D Piering & Home Improvement, Inc., dated September 19, 1996, are hereby incorporated by reference as if contained herein. Thank you for the opportunity to be of assistance in this mater. Please feel free to call should you have any questions. Very truly yours, _ o~.oo acc~s?F _ tp1. D' C' 9~ ~~~i, Coyle Inspection Engineels, ~he~P 19458 m 6 17 i 4~v = ~ 0m = MichaelD.Coyle, P. President encl. Beam support details Page - 2 - JUN-04-97 WED 08:07 PM VISL1pLIZE WORLD PEFICE 303 367 9159 P.01 CQYLE INSPECTIOIY ENGINEERS, TNC. CLIENT- 0f6Q(,ol& C-"r 2/70 S Parkei• Kd., #240-F, Denver. Cd 80231 ADDRESS: ^°i Z 15 6/`7Gi7Pr (303) 745-5209 Fnx (303) 745-2571 7d13 DATE; 5 h'71f ] 1 i ....,-w._.,...w...... t - - .-..........:~r.:_.......__,_ :".:_:~.-~~c 1~..._...~. ~ ~ l'11s,:.,ci sst- 6C-°/?::t ;c) I~zis»ull.-l - 34'~ SIO 57L.. F'/f°L` G f)L c.+su, r~. '000,;~s t5~4y ~ SYieEir(Y77-F G4nCPE'7U ~~rr,~~ ~ . ~ ~ -73 . rYp ' - " --r_,-- --~~t'cLK.'..w - Oq r-iI C,ii w.4 Y 1--y67 1~51nl ~~u7G~' RC~F4~r~~ :•#r.C f'c~~"„r~riG ~o57s.av~rJFX~~"r~i~5 C.. Sfl!-If:s GCtiA Y/C4i-5 _ ..f'.°._,, At.'s. PIERING & HOME IMPROVEMENT 7120 W. 'I 'I 7°h Ave.. Unit B3 Broomfield, CO 80221 [303) 439-5824 CONTpACT SUBMITfED TO PHONE DATE Coldvell Banker c/o Ric}x Smith I w 456-7555 FAX 420-8367 '•5-*5-97 SiPEET " JOBLOCATION . . 7878 Wadsworth, Suita 100 I 3275 Maore Court CITV,STRTEPNDZIPCODE Arvada, CO 80003 I wheat Ridge. Co 900t33 . 1. Furnish labor and material for the Installation oT steel plers to stabilize the vertical diHerentlal movement at pler locations only of the building at the above address. The piers shall be driven to and make oontact withr§upporting strata of bedrock. 2. Back fill and compact all excavation. 3. Complete the above within-2D _working days. 4. Items i.e. tile, carpet, paneling, air conditioners, personal belongings, outside plantings, etc., which must be removed and replaced by 3D Piering, will be handled with care; however, we are not responsible for the Workability or condition of these items. 5. Cosmetic repairs are not included unless otherwise stated below. 6. Price base on 30 feet to bedrock ( minimum charge). An additional $30.00 wiII be assessed on every 3 foot section of tubing needed on ail piers that go beyond the estimated depth to bedrock. ° 1. Inatall 4-34" Atee1 piere a south foundation wa11 in craviagace ae per engineers rep.nrt. 2. Inatall 11-31X3'x10" concreta pads with adjustahle monopoats in place of cancrate piers at. steel beams. 3. Epoxy inject cracic in south ae pex engineera report. 4. Rapair brir_k as per enqineere report. 5. Remove and rep].ace drivec;ay and garaye floor. 6. Permit. Engineering ia not included in thie proposal. LIMITED WARRANTY Sketch not to scale The piering work to be performed under this agreement is warranted for as long as you own the above-described building against all defects in material and workmanship. If any vertical differential movement occurs in the area described in paragraph 1 other than movement caused by earthquake, flood, act of God, or any similar man-made condition, then 3D Piering will, at no cost or expense to you, correct any defect in workmanship or material that may have occurred in order to stabilize such area. The foregoing is our sole warranty, all other warranties, expressed or implied, including any warranty of inerchantability and warranty of fitness for purpose, are excluded. ' YOUf P.XCIIIRIVP. fP.R1P.fIV RFIAII YtP. fnr enrractinn nf ami r1aFFC1 in wnrkmanRhin anrl mntariale ~e eef Inr/hohnve Innn 7920 W. 9 97°h Ave., Unit B3 Broomfield, CO 80229 D • 13031 439-9624 . PIERING & HOME IMPROVEMENT Phone: H W 456-7555 concrete pads with posts pier location Date: 5-5-07 Name:Coldwell Bar.ker c/o Rich Smith Address: 3275 Moore Court 7A I ~ ~ C I~ u ~ 0 ~ , , - ~ a ; 0 ~ ~ ~ ~ ~ ❑ ~ I I Foundation Repair and Renovation Specia/ists - - r~.eds aSCP i, I ~ ~ O e 5156 Clerkson 3DPIERINSG o ,3Denver, CO B02'16 (303) 296-OB95 FAX # (3031 296-9 739 AND HOME IMPROVEMENT, INC. Appotntment 4/a9 Date: nr, 1) 2 bu ~ Owner: Time: Interesr Area- Name: 00)(1C/ ) P I I 2Q..YI Y -~~~n 1'~h Address: -3a 7 ci m nnY'r r4• cny: lA) hicn ~ Pl'r] Qe z;p: Ano 3 3 Phone - H: W; - 4F3a-=7 Location: c~ • 1~ ~ Y~--~'1 4-U Y}ZQQYQ Ci4-. Basement Crawlspace Brick Stone How old 57 Previous Repaira Descriptlon: -4DP P(~5 i f~,S r/ .fl Y-+ . First hear of 3D Piering Mailing Address: ~ ,V 11 (2Pl a t'nn 3 Outcome a-=av 4ao -~3~3~ Mileage Charge: Advice Charge: MC/Visa Check Cash C-P) CA- lI aCJD ~ p / ~ ~ ~ -A14 / M ~ c;m - - - , _ __---_a _ O ~ . ~ g4' ~;•-L` M h, ,'t ~ ~cl-, -CoH~Vei _ L~ bQ~ - - - 2`~"~~ p'ito`t d~o s7~ ~O o 0 . , y ~ - , \ ~t 'a a' ~ .zq ~ p, AFR 29 ' S? 11 :49 FR COLDWELL BRPtllER USI IW . . . 30 ~f35.q~3 S KLP (2t;,o CONSULTINd ENGINEERS, INC. PN 97-142 Apri] 7, 1997 Ms. Karen Boisnazd 11860 West Tabor Drive L,akewood, CO 80215 c'! g.? ~-o 2) el Y3 Re: Visual Suuctural Review r~ 3275 Movre Court 5- i 5- a Wheat Ridge, CO 80033 ' r-eQLi1 S~'P d a D(I Q i pLLI rep or+s. Deaz Ms. Boisnazd; A[ your request, on April 3, 1997 a representative from KLP Consulting Engineers, Inc. visited flie residence at the above address. The purpose of [he visit was to perfo:m an overall asscssment regarding the strucrural condition of the home. Observatlons The residence is a onc-story, brick veixer and frame sttucture with a erawlspace. It is constructed on a cast-in-place concrete spread footing. The residence faces in a general easurly direction and was consavcted in 1957. Interior - Main Floor Drywall/plaster cracks were observed at the following locations: Diagonal crack above door to master ba[Lroom. Diagonal and horizontal cracks on above door to master bedroom closet. Diagonal and vertical cracks above the doorway from the living room to the foyer. Diagonal crack above the doorway from the dining coom to the kitchen. Diagonal crack above the doorway between the family room and dining room. "L" shaped crack in the ceiling at the corner of the living room and dining room. Interior - Patiol5un Room A large crack was observed above the door in the brick masonry wall between the patio and the garage. This crack is approximately three-quarters of an inch wide and extends to the exterior wall. The brick in the exterior wall has buckted outward slightly at this location. There is a horizontal crack in the mor[ar of the extcrior wall at this location. Crawlspace The crawlspace exunds for the full dimension of the house. Floor framing consists of wood flewr joists supported by steel beams and the extorior foundation wall. The stzel beams bear on circular concrUe columns which are suppotted by concrete footings. A drain system fias becn insialled which consists of several trenches which are adjacent to the exterior and interior footings, PVC drain pipes and sump pumps. Dry soil conditions were observed. 5885 GREENWO00 PLAZA BLVD., wire zao G4~ '11 S) ENGLEWOOD, COLORADO $0111 (303) 741•1300 FAX (303) 741•1914 TO 4399138 P. Ch?.,67 G-~ _ g~v -s~93 ~ vwo~~ on~-(2. RPR 29 '97 11:50 FR COLDWELL BRPKER VSTIW PN 97-142 April 7. 1997 Page Two The floor joists appear to be in good conciition. ?0 4399138 P.03.'0'7 One suet floor beam does not have bearing on one of the concrete columns. A gap of approximatcly one-quarter inc:h was observed hetween the bottom of the beam and the top of the top shim plau. Efflorescence was observed on the foundation walls, with the most notable area being at the south wall. The south foundation wall is cracked belnw the steel beam bearing. This crack begins at the lower corner of tlic beam pocket and runs diagonally to the top oi the footing, and is approximately onc-eighth of an inch wide. The earth has pulled away frorn many of the interior footings. Some of these footing appear to have rotated slightly. GaraQe Garago wall and roof framing was concealed by drywall so rhe conditions could not be reviewed. The gatage slab is cracked in several locations. Exterior The brick masonry in the front has been repointed below the bedroom windows nnd near the kitchen door. Shrubbery was observed adjacent to the foundation in several locations. The driveway appears to slope towazd the structure, and evidcnce of ponding was observed near the kitchen door step. A crack was observed which runs the length of the driveway. ' Conclusions In our opinion, and to the best of our knowledge, it appears the craclang of the drywall is a result of settlemem of the interior footings. This settlement could be due to drying of the soils in the craw(space. The efflorescence on the interior of the conerete foundation walls indicates that water has been present in the crawlspace. Wetting, and then drying of the soils can cause settlement. The cracked brick between the garagc and patio appears to be a result of setflement of the south wall. The drainage condition of the drivewvy, which slopes toward [he house, arn1 the presonce of thc shrubbery adjacent tot he foundaTion wall may have contributed to water entering the crawl space. APR 29 '97 11:51 FR COLDWELL BAFKER VSNW TO 4399138 F.04i07 PN 97-142 Apti17, 1997 Page Three Recommendations The following is recommended: 1. A quelified structiual engineer should perform a level survey to determinc the extcnt of the settlcment. This data will then be used to prepare drawings to address the settlement problem and associated damage. 2. Stabilize the interior footings by one of two methais: Me[hod 1: Install helica( piers. Methal 2: Increase ttie footing sius of the interior footings to lower bearing pressures. 3. Stabilize the south foundatien wall by instaltation of steel piers or piles. 4. Repair the crack in the south foundation wall by epoxy injection. 5. Repair the brick masonry wall between the patio and garage, arnl repair the west exuriot brick masonry wall in this area. This may require remova] and reinstallation of some of lhe brick. 6. Install an interceptor drain in the driveway to direct runoff away from the structure, or replace the driveway. 7. Repair the driveway crack, if the driveway is not repiaced. 8. Rcpair thc garage slab by epoxy injection. 9. Repair the imerior drywall cracks. For budgetary purposes, we estimate the cost of these repaits, including fees for engineering services, to be approximately $18,000 - $23,000. Please refer to the attached list of repair contractors to assist you in obtauung quotes and completing the recommended work. RPR 29 '97 11:52 FR COLOWELL HRPKER USNW TO 4399139 P.05i07 PN 97-142 Apri17, 1997 Page Four As a requirement by our professionel liability insurance cazrier, when usuaAy rcviewing a structute, certain assumptions must be made. Therefore, the folluwing statement defines these particular conditions. Inasawch as the site review of an existing structure for dLe Qurpose of observing the structural conditions r.quires that cettain assumpdons be made regarciing existing conditwns, and because some of these assumptions may not be veri6able without expending additional sums of money or destroying otherwisa xdequatc or serviceflble pottions of the building, the Client agrees rLat, except for negligencc on the part of the Engineor, the Clien[ will hold harmlesa, indemni~ and de&nd the Engineer from and against any and all claicns arising out of the professionalservices we ave pcovided. If you have any questions, please contact our office. Sincerely, P Consultlng Engineers, Inc. . L,arry . Rtynolds, . Senior Project Engineer cc: file APR 29 '97 11:54 FR COLUWELL BAP#5ER USNW RTK ENGINEERiNG r NOME k tlV0.DIKG 6%AMISAI'If)~T 2139 Ncwion Stroet 4wii 22, U97 Jkane s. Bullacn, sstate C/O Vii.yil 8oairight, Attczney 4318 Wadrdarth Boulevaxd Whmt Ri.dgei 00 80033 RE: Foiaydatian Sl•sucdme 3218 Moore douLt We2it Ridge, OD 80037 Job #9704013,0 U3ax' W. Bedtsight: TO 4399138 p,g7i07 Denver. Colorndo 60211 U67) 477•0011 At requQ9t o1' Rich 9otfth and Dcn Si]dcema, Faalta¢s, Co]dwall Hanker Van SChaack i Ce. o'., " ,.,:.i.acs oF wb}aat single faaily Yiartn frnarlatfon atd reviaw o! 4si1 7th letter zeporL bY UP Engir*em, InC. (3QP) ww9 aade. a ty~n or ~aa.a ~iiai ~o~k. aippeass eseentially .,........r.,.i. It aay ba a bit modost. ~ ticn tn 1QP 2i~tod iaax7atim dist.~ss, a oolwm ia missing to su~xut riytit e~ of a sbesl bame aE 1~[t fxvnt at t2~e kmuse. A7so, or► paga tl~rea of tlrir lettar it~s 9 aad 4 seier to atabilizing and se~f~:ing 'k~ sauth famdation waYl" ~es~a it may ac~ally lx tha east cr rxu~t srau intenaaa to t~e atabilizea ana sepatted. stauilizinq WA sepatrS,►q nap a]sa be tsee9ad at t]ae ric~rC Partion oP t3~e yaraye seeixtaall. ]h ad8ltiaa~ ta Yhe xIP auope oE rendial s+vrk, capPfn4 0! ifie settled garaga lloor slab tcgetltrs sritli ~t o! the severely cyacked and modarata7. settled .,Le dtlve appow . Rapose of thf.s last nate4 wosis would ba to inwove drafnage at the lnuee letE S hilizfng az~d •xJ az~e for distress to tYie building attas Pa~a~datt~ sts The IRP $18 - 23,000 oost eskfmate !ar lxrlget-ary gapaoes oE repairs doas net appear ~1e, asam~ir~g at least rne additi~irol wluml !9 insta].lad, the garage ilaor elab is cappad and drlve repl~.~.~,:c are a7so &me. aQ~.TI167Qi datigm ia to aooept tlm PXWM*lY 4afined Um9Atude order far eoope ot totnadial reglairs; end a 625,o00 eoat as not bsinq ~m.,,~:s_..nble to oa~trilute to xestiaac3ng amd ga3ntaining buildlq at.mctrse fuxtianel eeaviceability. 'ihadc yui SL~~lY. ee--T. Iff/k the appoxtu►ity IOticlwboCloeio c: xich 3tofth, Pealror aPa aa 'e7 iA:a~ aor.c a7 TOTAL PRGE.07 FINAL 1NSP6CTION .JobsiCr clenned up? Final Transit shui.s? ConcreLe or asphalt finished? Oi] and hand prints off wulls & floors? Slabilized? Raised (how much)? Client sntisfied? yes_____ no Final co]lect.ion of payment? Piering Chart(s) ALtached? PC'v,JE)CL MaLeriuls List Atteched? Subcontractor? yes_____ no SubconLract Comp]ele? Foremnn Signature Dale llate Supervisor Signature L'lienC Comments: Date Client Signature JCESTI':.' ACL=-: L- _c__ P :2__ JcC] r_..-z c' =-==,e- ncr=: _ ~e==ce - _ ~ _ C_ _ca: • =8 r9 xl T2 43 4 n10 411 112 = -5 {r., Pcr II'_-1 ?cI PSI PSI `'"i ~~n PST PSI Imri Psz k.-: Psz 9sz ~ s PsT ==T ' I I I I I 1 1 1 f ~ ~ VI I 1 3V ; i I I f I ~ 161 1 1 i i 1 I i ~ I{ ! I I~ I{ i I I I i 4 1 ~ I! i{ I I I ~ i l l I I,zi z,l 24{ z;l ~sel {331 1 ~ l f ~ i 1 t i 1 I i ` ~ 1 361 ~ 39 ' 42 45 49 s1 ~ { i I I I I 1 l l l I ~ i I ; I