HomeMy WebLinkAbout8603 W. 44th PlaceCity of Wheat Ridge
Residential Roofing PERMIT - 201705127
PERMIT NO: 201705127 ISSUED: 07/31/2017
JOB ADDRESS: 8603 W 44th PL EXPIRES: 07/31/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm IR asphalt
shingles - 26 sq (23 sq pitched / 3 sq flat)
*** CONTACTS ***
OWNER (303)350-0949 POTTER NICOLAS AARON
SUB (720)224-7000 Pedro Zavala 170129 Weatherproof Exteriors, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,117.00
FEES
Total Valuation 0.00
Use Tax 233.46^'
Permit Fee 236.00
** TOTAL ** 469.46
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
� A r City of Wheat Ridge
1
Residential Roofing PERMIT - 201705127
PERMIT NO: 201705127 ISSUED: 07/31/2017
JOB ADDRESS: 8603 W 44th PL EXPIRES: 07/31/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm IR asphalt
shingles - 26 sq (23 sq pitched / 3 sq flat)
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 m icipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am aut on ed to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally a thor zed to include alI entities named within this document as parties to the work to be
performed and that all work to be performed s di s d in t ' document and/or its' accompanying approved plans and specifications.
^7
Signature of OWNER or CONTRACTOR ( le one) Date
I. This permit was issue on the informatio rovided in the permit application and accompanying plans and specifications and is
subject to the compliance wit nts, 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 maybe subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issu2=umr
f a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicabr re utat' n of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz qo17 M 7
From:
no-reply@cim heat ridge.co.us
1�7
Sent:
Friday, July 21, 2017 10:09 AM
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
—
Categories:
Danny
c��
Residential Roofing Permit Application
(71
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in 1
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR �
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 8603 W 44TH PLACE DL
Property Owner Name NICOLAS POTTER
Property Owner Phone 3033500949
Number
Property Owner Email NPOTTER82@MSN.COM
Address
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
WEATHERPROOF EXTERIORS INC
170129 P L
7202247000
Contractor Email Address PEDRO@MYWEATHERPROOFEXTERIORS.COM
Retype Contractor Email PEDRO@MYWEATHERPROOFEXTERIORS.COM
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing OWENS CORNING DURATION STORM IR asphalt shingles
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 23 SQS
material selected above?
Does any portion of the Yes
property include a flat
roof?
If yes, how many squares 3
on the flat roof?
TOTAL SQUARES 26/
(pitched + flat) of all
roofing material for this
proj ect
z
Provide additional detail RERoofing asphalt shingle roof
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract11117 ''
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant PEDRO ZAVALA
Email not displaying correctly? View it in your browser.
3
51807 N. UNION BLVD #104
COLORADO SPRINGS, CO 80918
F: (888) 562-8014 • P: (719) 578-3347
COMMERCIAL & RESIDENTIAL
Customer:
Address:
City: U)
Phone: 3C
WWW
615 BILLINGS ST. UNIT F
AU KO RA, CO 80011
F: 888-562-8014 • P: 720-224-7000
ROOFING • SIRING • WINDOWS• GUTTERS
LICENSED • BONDED • INSURED
AGREEMENT
THIS AGREEMENT IS SUBJECT TO INSURANCE COMPANY APPROVAL
+ 0 6 S �� i4c, -, ('Customer") Date of Loss: c5-9- `
e023 01 LILT 1 Insurance Company:
3 Claim Number: V q563
State(—,& zip: C
_._
Work:
Email Address:
Q- Yvi5 %-k " C -%D rvt
Sales Rep: w
#:
ROANG
SPECIFICATIONS
Shingle Grade:_o
Pitch: 2 Story:
Layers:
Drip Edge size:
Color:
Valley: Open:
Closed:
Vents: R750:
Ridge:
Plumbing Stacks:
PVCIMetal
Obtain Permit
Magnetic Roll Yard
Tarp Landscape
X Final Inspection
Adjuster:
Phone:
Mortgage Company:
I07i
LIFE TIME WORKMANSHIP WARRANTY_
P OPERTY EVALUATION
NEW vFiNCS wrrLK..AE rt ry -`--- __
Shingle Type: O
Shingle Color: i t
Homeowners lnitia a Date: 7
Homeowners Initials; Date:
COMMERCIAL GENERAL LIABILITY DECLARATIONS
Blue Sky Insurance Services
9090 Ridge Lin Blbd. #206
Highlands Ranch, CO 80129
Policy number: MP0002007001133 Weatherproof Exteriors Payment Schedule
Drop Check (1st Insurance ckfhalf of total job)'
PIKES PEAK REGIONAL BUILDING DEPARTMENT7 ! / 2 f j`7 Ck#6..;-Z � $ X000
Certifies: Paid Date 1s�_ --c—
WEATHERPROOF EXTERIORS Final Check (completion of each individual job)
Licensed ID# 19307 Paid Date / / Ck# @$
Building D-1 Roofing
Supplement insurance checks/overhead & profit are due
DOUGLAS COUNTY to Weatherproof on completion of job.
Certifies:
WEATHERPROOF EXTERIORS Paid Date!—/— Ck# @$
Licensed ID# R100416
SB38 Prohibits a roofing contractor from paying, waiving or rebating an
insurance deductible for a property owner.
GENERAL CONTRACTOR: Homeowner acknowledges Weatherproof Exteriors as a general contractor and such will be entitled to 10% Overhead and
10% Profit, as allowed by Insurance industry standards.
INSURANCEIMORTGAGE NOTE: i hereby authorize the insurancelmortgage company listed above to negotiate any and all details of above stated claim and
to make any and all checks PAYABLE JOINTLY TO THE HOMEOWNER & Weatherproof Exteriors.
Terms: This agreement does not obligate Weatherproof or the homeowner in any way unless approved by the insurance company. By signing this agreement
the homeowner authorizes Weatherproof to pursue the homeowner's best Interest for replacement of damaged property at a "price agreeable" with the
insurance company & Weatherproof with NO ADDITIONAL COST THE E EXCEPT FOR THE DEDUCTIBLE.
When the price is approved it shall become the final contract price of the homeowner authorizes Weatherproof to obtain labor and
material in accordance with the 'price agreement" and a specificatlons set out herein and on the reverse side hereof to accomplish the replacement or repair.
AFTER 2N° REINSPECTION IF INSURANCE COMP D IE AIM, AGREEMENT IS NULL AND VOID. i
Accepted by Homeowner,- or Date: / 1 i9 17
BSB_BBB
Certified Representative:
r Date:
INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/Type
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
uo Not Pour Concrete Prior To Approval Of Thp Ahnvp Incnpcfinne
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
uo Noi cover unaergrouna or Below/In-Slab Work Prior To Approval Of Tho Ahnvo Incnnr+ir%rne
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
F Ur OW VOILage Pe Inns — riease oe sure mat rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201705127
PERMIT NO:
201705127
ISSUED:
07/31/2017
JOB ADDRESS:
8603 W 44th PL
EXPIRES:
07/31/2018
JOB DESCRIPTION:
Residential Re -roof to install Owens
Corning Duration
Storm IR asphalt
shingles - 26 sq (23 sq pitched /
3 sq flat)
*** CONTACTS ***
OWNER (303)350-0949
POTTER NICOLAS AARON
SUB (720)224-7000
Pedro Zavala
170129 Weatherproof Exteriors, Inc.
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2406 / BEL AIRE,HILLCREST HEIGHTS,
ME BLOCK/LOT#:
0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION:
11,117.00
FEES
Total Valuation
0.00
Use Tax
233.46
Permit Fee
236.00
** TOTAL **
469.46
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
The City of Wheat Ridge
Third Party Form
Property Address 37-15- Aoft �a
Permit Number 7 Q 1-4C� -33
Permit Issued Date -7-
Owner Information
Property Owner Information LAi)wft
Property Owner Address 3z/- 14,wcs g�-
Inspector Information
Inspection Company Construction Support Services, inc
Inspector Name Richard Boon
Inspector Contact info. 303-221-1559
Inspector Statement and Acknowledgement
I hearby acknowledge the roof I am inspecting is 6/12 or over all roofs
that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept.
* I hearby acknowledge the roofing system for the referenced building has been insl
and found to be in compliance with the minimum requirements of the 2012 IRC and
IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's
recommendations and specifications.
Inspector:
ite: 8 - z-1?
*1 hearby acknowledge that I am the owner of the building referenced above and I g
my consent for the listed third -party inspection company to perform my roof inspecti
in lieu of the City of Wheat ction.
Propery Owner/ Agent:=2Z:47
e
Date: �,
This original document as well as the roofing check list, must be submitted to the C1
Building Offical within seven days of the final inspection.
Drop off in person
Permit counter 2nd floor
7500 W. 29th Ave
Wheat Ridge CO 80033
Drafted Date: 7/26/17
Submit via Email
Kcook(@,ci.wheatridge.co.us
Please add note to reverse side
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Property Address 3 z it 4 w e5 .5f
Permit Number Zc= 1? 0
Permit Issued Date 7J
Roof Inspection
Pass FAIL Date of Inspection: 8-2-17
Structural roof components
x Verify that no more than 2 layers of shingles exist
x Flashing for roof and walls
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
Verify sheathing nail pattern ( See policy & Proceedures)
x Crickets and saddles where needed
x Verify B vent must have boot same gauge as pipe
x Verify vent caps
x Verify no flashings are damaged or rusted
x Step flashing shall be min. of 8x8 piece per shingle
Verify scuppers allow for proper drainage
x Ice and water shield 2' in heated wall spaces
x Underlayments must follow 2012 IRC / 2012 IBC
x Verify roof slope for proper drainage
x Dripedge shall have min of 2" overlap
x Dripedge should extend down min 2" past roof deck
x Dripedge shall be mechanicaly fastened 12" OC
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
1:12
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
Above roof insulation R-25
NOTES
Companj Construction Support Se
Inspector signature:
c
1
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Property Address
3 Z /S 14 ti .rj
Permit Number
Permit Issue Date
Roof Inspection
Pass Fail
Structural roof components
r
Verify that no more than 2 layers of shingles exist
Y,
Flashing for roof and walls
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
Verify sheahing nail pattern ( See policy & Proceedures)
Crickets and saddles where needed
Verify B vent must have boot same gauge as pipe
-�,
Verify vent caps
Verify no flashings are damaged or rusted
Step flashing shall be min. of 4x4 piece per shingle
`''--- ---.
Verify scuppers allow for proper drainage
Ice and water shield 2' in heated wall spaces
Underlayments must follow 2012 IRC / 2012 IBC
Verify roof slope for proper drainage
�c
Dripedge shall have min of 2" overlap
Dripedge should extend down min 2" past roof deck
Dripedge shall be mechanicaly fastened 12" OC
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
1:12
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
Above roof insulation R-25
Below roof residential R-38
Below roof commercial R-32
Notes
Company Name: k c.l'f(JH 9 p✓'� f
Inspector signature:
Date of Inspection: - �-1�-
e
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: of
Job Address:
Permit Number:
❑ No one available for inspection: Time ` AAIPM
Re -Inspection required: Yes V
When corrections have been made, call for re -inspection at 303-234-5933
Date: 4 P Inspector: // A
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:--�
Job Address:�r
Permit Number:
❑ No one available for inspection: Time '' S / AM/FN
Re -Inspection required: Yes (N"'
When corrections have been made, call for re -inspection at 303-234-5933
Date: , ' Inspector: !�-we) tl
DO NOT REMOVE THIS NOTICE
Or Current Owner/occupant
POTTER NICOLAS AARON
8603 W 44TH PL
WHEAT RIDGE CO 80033
Regarding Permit: 201401718; Vault existing ceiling, new insulation and drywall. *200 amp
electrical upgrade.
8603 W 44th PL, Wheat Ridge, CO 80033-3201
Our Records indicate that the above noted permit was issued on 11/06/14. Our last
inspection related to that permit was on 12/15/14.
Because of the inactivity on this permit, it will become void as of 12/31/2015.
Please contact this office within one week from the date of this letter to update us on
the status of this permit, or call for a final inspection on the property. You may call
303-234-5933 or request inspections online at www.ci.wheatridge.co.us. Information needed
are permit number, property address, type of inspection and date to be inspected.
If you do not contact this office, and wish to resume work at a later date, you will be
required to submit a new permit application, drawings with appropriate code edition
information and pay applicable fees. Incomplete or inactive permits may be reported to
agencies such as Jefferson County Assessor, title companies, etc., and could affect future
transactions related to this property.
Thank you for your cooperation concerning this matter. If we can answer any questions,
please don't hesitate to contact us at 303-235-2855, option 7.
Melissa Mackey
Senior Permit Technician
• IM
Property Address.
Property , Owner (psses rrint): P ;
tttr ; (it different than property qtr
Plumbing:
City License # City License # City License #
(Fully describe worts to rf r d « Attach additional sheet if necessary) t Contract Value of alt work:
Office 303-235-28,55 * Fax 303-237-8,929
Inspedion Request Line, 303-234-5933
Building Permit Application
(Coroplete all highfightod woos)
Propetty Addrfts
PrIverty OWIW (PApase fIrk)f)
Q2§gdpjj2a2f
.Wqj.fC (Fully des CrIte ww* to be pWwff wd Attarh addltmn,* Shf*t If *.esswy)
Contrwt, u* of aft rk
Val, wo
e
)Y,10,i w\8 r�ej ctlur- 4.; E
p Review Fe (div of lov, chi submomf��-,
_5
Squafes' BTU's G _ Amps Sq
MAINNEWCON"MACIAYR SIGNATU"RE OF UNDERS7'A.NNDINN0,'; AND AGREEMENT'
I he cot4 dusl the setback & 1xvi"hascif by this parnit application am aevuratc and do not aiol te applica Me ofdirw
a anctN
rul(N or rey aanv,, (tv re ""' Ifi ctions" ofaxord w
- hat all me asuremau s J
"umn and
,ulation"' of I'lac City taf W"hcw, RJdgC ok cm �C
aflqpvtuw%a mare "wrl 8",Uraw. thal I havc tcuvd and 4 toabidc by all c("I'ditww", printod (MI This atplicausm and dw I asunne NO
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FCSj.'KM,Sft%hT) (Of sari Iphance wilh a4l''gicahk Citv of %%%vml ,idg v CV . . .. . N anj twhawwVS f6f wod, under am pmwa is�suad hamxl 141
this al that aar du- kq,"Valk sera c't Or haV as, NCTI kk4thkXiZ0J by the legal ownwrofthe pn1mn) to rwriorm tile do'cri1xil wwk
, a " by dry lc.g al owner of any entif y includtxI on this application to HA that enfity on d16 giv— fi"Ilkvl,
nd am also aothoti�,! M i
f(,`o%T*I4CUW
1ATE,':-tqi Lf
MAO V.%h cofinn. I 1 4
CWIF 0AW
ff"ONTS."U"W"M Ig f 0 THORIZED REPS15"U„ ° `
r,aw XANtE,
SIGN UR
5,J NATJ C
f(,`o%T*I4CUW
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CMM3���
APPROVED
Su�,iect to Field Inspections
Wheat Ridge Building Dept,
Date—Y, 71
�ned .... R/f :........ Checker
11/4/14
Table of Contents
1.1 ProjectSummary
1.2 Photo Log of ACM materials (if identified)
Summary of Asbestos Samples
Recommendations
Section 3
lammm��
Section 4
4.1 Asbestos Containing Materials (ACM
4.2 Suspect Asbestos Containing Materials
4.3 General Comments
Conclusion
BIHMH��
MDSUE•• r
Section I
1.1 Project summary
Job ID:
JD1 41103-1
Inspection Date:
1113114
Inspector:
Jim Durgee
CO Cert #:
16040
Laboratory:
Reservoirs Environmental
NV P' #:
101896-0
Turnaround Time:
Rush
Site Address:
8603 W 44th PI
Wheatridge, CO 80033
Site Contact.
Nicholas Potter
Client
Nicholas Potter
Contact*
Reason for Inspection: Investigative
Affected Area; I st floor ceiling, Kitchen/ living room
wall
Total Samples: 4 Project Notes: 1 st floor ceilings and walls are the
same texture.
Inspection Type: Limited ACM AHERA/Reg 8
Homogenous Areas in Work Scope Table
I SMW White smooth texture, drywall
1.2 Photo Log of ACM (if Identified)
MM
throughout the first floor contains up to
3% Chrysotile in the texture and
compounds.
SCE= Significantly Damaged, D= Damaged, Good, NIA= None Dectected
Section 2
2.1 Recommendations
Section 3
Project Overview
Colorado Asbestos Inspections was contracted by the client to perform a'limited asbestos Inspection at the previously
referenced address. This asbestos inspection was conducted by a Colorado State Certified Asbestos Building Inspector.
10111M
MMIMM te ait stspeci KOWTIMUMI 77
disturbed during the course of the repair/renovation work.
•
This asbestos inspection was conducted according to the United States Environmental Protection Agency (EPA)
procedures published in 40 Code • Federal Regulations (CFR) Part 763, Subpart E - Asbestos-containing Materials in
Schools and Colorado Regulation 8. These inspection protocols specify requirements for the inspector (Section 763.85),
laboratory (Section 763,87), and number of samples collected during an inspection (Section 763.86).
EMM=M:P J!� I I It 51-M I � I
Suspect ACBM are building materials historically known to contain asbestos and therefore suspected to contain
asbestos, The EPA and the Occupational Safety and Health Administration (OSHA) maintain comprehensive lists of
suspect ACBM frequently encountered during inspections.
This asbestos inspection was conducted in a manner consistent with the level of care and skill ordinarily exercised by
members of the profession currently practicing under similar conditions in the same locale. The results, findings,
s inspect'lons nas perform tL 7as estos inspection ot the nome previously reterenceo. I hrough
laboratory analysis of bulk samples, Colorado Asbestos Inspections recommends hiring a certified asbestos abatement
contractor only if asbestos containing materials were identified, as determined by laboratory testing and in Sections 1 &
2 of this report,
Any work associated with any asbestos containing materials must be performed in accordance with all State and Federal
Regulations,
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Reserwirs Environmental, Inc, Motive January 1, 2014
Reservoirs Environmental QA Manuel TAQAQC Environmental OA Manual.doc
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10, - - Re-servoirs En vironmen tal., Inc.
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MESSOMMIM
Jim Durgee
4 WAN i I "I "WA A 1 4
Denver CO 80209
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Laboratory Report:
Project Description:
NA
RES 3046014
JD141103-1
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,
IiVe E-FivironmenFUT,77c. nas anaIy samples for asbestos content as per your request, Tha
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.
N i
R 3QM64-1986
F: 303-477-4275
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♦ v 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: / f�� �✓/p L
Permit Number: /�q / 5
❑ No one available for inspection: Time AM /PM
Re- Inspection required: <g No
* When corrections have been made, call for re- inspection at 303-234-5933
Date: 2 Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 7"1r"~) 1<iof
Job Address:
Permit Number:
~y Pj?~~f1U C?.2~
❑ 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: 10 - L.? - U q Inspector: f'{,t
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: f'M,~''rtrj~
Job Address: ~ j W,
Permit Number: 0FP 3 0 1
All, l r / t
F r ° yt f'~f T 7'~1nr. ' F!\ t~l f'.' f F , 1!) (i M"y e)
J~ f E rtrtr~ C'7~ fi bt n'ie Lvm, O~t
J
I '7t I L, °1- C'~~i ~Yit'~ 't. p'? n~iA"'ttV~~,rt'..i7fh .P•1°-;~C.
i
E
i
No one available for inspection`. Time 7 AM/ M
Re-Inspection required: Yes No
"When corrections have been made, calf for re-inspection at 303-234-5933
o-` N
Date: 1 Lj ° f~ Inspector: R4tlz l ~wj,- ~
DO NOT REMOVE THIS NOTICE
"4' City of Wheat Ridge
Residential Roofing PERMIT - 093123
PERMIT NO: 093123 " 'ISSUED: 10/07/2009
JOB ADDRESS: 8603 W 44TH PL EXPIRES: 04/05/2010
DESCRIPTION: Reroof 23 sqs
***'CONTACTS
owner 303/424-2036 Owner/Occupant
sub ` 303/217-7570 Phil Coutu. 09-0329 Chateau Roofing
PARCEL INFO
ZONE CODE: UA USE: UA
SUBDIVISION:. 0235 '-BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 7,300.00
FEES
Permit Fee 199.30°
Total Valuation .00
Use Tax 131.40
.TOTAL.** 330.70
o-...... ,.._em 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 shieldrequired from eave edge to 2'.:inside exterior walls.
`
***Contractor/Property owner shall provide ladder.(s) secured in place for
inpsections'
Subject to field inspection.
I hereby certify"that the setback di slant s pr posed by this permit application are accurate, and do not violate applicable
ordinances, rules or regulations of the it of.Wheat Ridge or covenants, easements or restrictions of record; that all
measurements shown, and allegations ma a accurate; that I.have read and agree to abide by all conditions printed on this
application.. and that I. assume full res nsibili(y for compliance with the Wheat Ridge Building Code.(I.B.C) and all other
app i lAY Wheat Ridge Ordinances, f work under this permit. Plans. subject to field inspection.
l' n ure of contractor/own date 1) 7` o
L. This permit was is ed in accordance with the,. provisions set forth in your application and is subject to the laws of the
State of colors and to the Zoning Regulations and :Building Codes of Wheat Ridge, Colorado or any other.: applicable
ordinances of e City.
> This permit a 1 expire 380 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 It 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 of suspension or abandonment' exceeds one (1) year, full fees shall
be :paid for anew permit.
k. 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 proceeding 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 y violation of the provisions of the building codes or any other ordinance, law,rule or regulation.
Al 1:. pl is subject to field inspections.
3ignatur of of Buildmg; official 'date
INSPE TION REQUEST LINE:,(303)234-5933 BUILDING OFFICE: (303)235-2855
ZEQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE rFOLLOWING BUSINESS DAY.
~LA41
City of
~Wheatldge ED COMMUNITY DEVELOPMENT : I I
Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929
Inspection Line: 303-234-5933
PropertY Address:
Facsimile Building Permit Application
_F .r v I/v+
Property Owner (please print): (Q Qj
Mailing Address: If different than pro rty
Address: G3 771
State,
V
Contractor: C f ca -f - C,5~L rti
Contractor License O q o 3 2--
Use of space (description):
Description of work:
FLIL.Ft added:
BTU's
d ~N ~~or m ~4 .,et`rty e~ O
3 1-1 1P - I'll'
f~ CJ U~ ~ lil G t u
Phone: C3 c j -6 66
27 $ -7 A
Plan Review (due at time of submittal): $
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of recur
allegations made are accurate; that I have read and agree to abide by all conditions printed on I
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicabl
under this permit. Plans subj ction.
CIRLCE ONE:: WNE/R) CONTRACTOR) r PERSONAL REPRE TA1 VE f
O(0 1
PRINT NAME(, SIGNATURE:=
10
ZONING COMMENTS: DEPARTMENT USE NLY
Zoning:
. Reviewer
PU13UC WORKS: COMMENTS:
Reviewer. -
BUILDING DEPARTMENT COMMENTS
Reviewer.
EIRE -DEPARTMENT:: 0 approved w/ comments ❑ disapproved no review required
n olate applicable ordinances,
at II measurements shown, and
a placation and that 1 assume full
eat Ridge Ordinances, for work
(COtyTRATOR)
1 irn-7-.-c
OCCUPANCY:
Bldg Valuation: $
I Credit Card Payment: Use credit card listed on file. Date:
Print name: Signature: