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Home My WebLink About3835 Robb Streeti CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: - Job Address:. Permit Number: j ❑ No one available for inspection: Tire e>' 11NPM l Re -Inspection required: Yes,, corrections have been made,, schedule for re -inspection online at. hUp✓/www.ci.wheatridge.co.uslnspecitipn - _„_ Date I ._Z . M�;Ins-oec _ - :..�, ,......''I \ i CITY OF WHEAT RIDGE - Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type:" Job Address: Permit Number: t ❑ No one available for inspection: Time=`�� AM Re -Inspection required: Ye<N(o When corrections have been made, schedule for re -inspection online at: http://www.ci, wheatridge.co.uslinspection Date: ) --,,? i -"=' Inspector: DO NOT REMOVE THIS NOTICE e i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: � '' > >� &'j Job Address: Permit Number: ❑ No one available for inspect n-jIM . I t.` AMIPM Re -Inspection required: Yes t` No When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. ushnspection Date: Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: K2 i Job Address: a7 Permit Number: ❑ No one available for inspection: Time /� M Re -Inspection required: Yes *0 When corrections have been made, schedule for re -inspection online at: http.-Ilwww.ci.wheatridge.co.ushnspection Date:-/ Inspector DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: �� (�� (Q_ ❑ No one available for inspection: Ti M Re -Inspection required: Yes- o When corrections have been made schedule for re -inspection online at: h ttp://www. ci. wheatridge. co. usrnspe DateA 2- 1 Z. I Inspe,.- o DO NOT REIT: VE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type:Job Address: Address: '3� r�-- Permit Number: =--- ❑ No one available for inspection:,,Time Re -Inspection required: Yes .<No When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge.co.uslinspection Date: " / � ' � -7 Inspector: -- DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: C 4 - Job Address: Permit Number: __L ❑ No one available for inspection: TiAVAM/PM Re -Inspection required:Yes No When corrections have been made, schedule for re -inspection online at: http✓/www.ci.wheatridge.co.uslinspq ptio�--- "-----.-,!:::!" � Dates 1 Ins a to City of Wheat Ridge Homeowner Asbestos Abatement PERMIT - 201902376 PERMIT NO: 201902376 ISSUED: 11/12/2019 JOB ADDRESS: 3835 Robb St EXPIRES: 05/10/2020 JOB DESCRIPTION: Asbestos abatement - 120 sq ft total *** CONTACTS *** OWNER (720)382-9903 RISLEY CARLY J & DAVID *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,000.00 FEES Asbestos Abatement 50.00 Total Valuation 0.00 ** TOTAL ** 50.00 *** COMMENTS *** *** CONDITIONS *** 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. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. NOTE: Consultations and inspections will only be performed with the homeowner of record present. All work shall comply 2012 International Codes, 2017 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. Work is subject to field inspections. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Homeowner Asbestos Abatement PERMIT - 201.902376 201902376 3835 Robb St Asbestos abatement 120 sq ft total ISSUED: 11/12/2019 EXPIRES: 05/10/2020 1, by m 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 l 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 ermrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2, This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalppennitfee. 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 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 any ordmancf or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat jjdgc COMMUNiTy DEVELOPMENT Building & Inspection Services 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits .ci.wheatridge.co.us FOR OFFICE USE ONLY Date: 1101 1 Plan/Permit # XRO 3 Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: _ � � yo\ab 'G� Owner Property Owner Email: Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer E-mail: Contractor Name: City of Wheat Ridge License #: Phone: Phone: Phone: V0 Contractor E-mail Address: For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Phone: CONTACT EMAIL(p/ease print): Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): 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 highlightedfieI , if applicable. [—]COMMERCIALRESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. Sq. FULF BTUs \0'0W0,_AAZ Gallons Amps Squares For Solar: KW # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value r the cost of all materials and labor included in the entire project) OWAER/CONTRACTOR'SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record: that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLEONE: (OWNER) Signature (first and last name): Printed Name: t).v ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: CTOR) or (AUTHORIZED REPRESENTATIVE) DEPARTMENT USE ONLY of (OWNER) (CONTRACTOR) / DATE:n, I C� � u & OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: HERO INSPECTIONS & ENVIRONMENTAL 303-500-3378 access @� IEROinspect.corn HT'TPs://www.HERO[tisIDe,lt.coiTi ASBESTOS REPORT 3835 N Robb St Wheat Ridge CO 80033 Sherm Kooh-na NOVEMBER, :3, 201') Greg Fowler (3031500-33-78 greg@heroinspect.conl 36J3 N K000 5t Table of Contents 5nerm K001ma Table of Contents 2 ..................... SUMMARY 4 1: ASBESTOS PRESENT [YES OR NO] 6 2: ASBESTOS FIRM 7 3: PROPERTY INFO 8 4: INSPECTION INFORMATION 9 5: HOMOGENEOUS MATERIAL #1 12 6: HOMOGENEOUS MATERIAL #2 13 7: CONTAINMENT REQUIREMENTS 14 8: LABORATORY INFORMATION 21 9: PROPERTY OWNER & CONSUMER INFORMATION 22 Yah N KOOt) 5t 5)nerM KOOlnla This report is the exclusive property of this inspection company and the client(s) listed in the report title. Use of this report by any unauthorized persons is prohibited. 3rj�5 N Floor] St SUMMARY 5)nerM KOOrllla 1.1.1 Asbestos Present [Yes or Ido] - Asbestos Present: Asbestos Present - Yes 0 1.1.2 Asbestos Present [Yes orNo] - Asl,,estos Present: Asbestos Was Found Present In The Following Areas 2.1.1 Asbestos Firm - Firm & Inspector- Information: EPA Asbestos Building Inspector 4.1.1 inspection Information - Limitations: Limitations -Renovations 4,4.1 Inspection Information - Materials Known OrAssumed To Be ACIv1: Materials Known Or Assurned, To Be ACIVI 0 5.1.1 Homogeneous I'iiaterial #1 - Homoeneous Bulk Sam.ple 1: Asbestos Present 0 5.1.2 Homogeneous N1:,terla l #1 - Homo , Balk SaMple 1: 1 n Asbestos - Nlh.,st follow OSHA and C-I.3I-SHE Reg 8 Re unrements (includes with this report) 6.1.1 Horno eneous Material #2 - I- omcj eneous Bull< SamPling: =asbestos Present Q 6.1.2 Homogeneous Material #2 - Homogeneous Bulk Sampling: > 1 V6 Asbestos Must follow OSHA and ,,':;DPI -IE Rei; 8 Requirements (included with this report) 0 7.2.1 1ontainrnent Requirements - Asbestos ; 1% OSHA & CDPH" CEonta nment Requirements: The Colorado Department of Public Health and Environments (CDPHE) Regulation #8 Containment RegUirements V 7.2.2 Containment ea 1r_rrrenents - Asbestos > 1% OSHA & CH- Containrnent RouEreraierats' Cie C ccupatlonal Safety and Health Admin's ration i'sbeslos in Construction Standards `29 C_FP 1926,1101' 'ontainrraent Requirements 8.1.1 Laboratory Information - EIVISL Laboratory Information: EMSIL Address 8.1.2 Laboratory Information - EIVISL Laboratory Information: NVLAP Lab Code 8.1.3 Laboratory Informatior. - EIVISL Laboratory Inforrnation: CDPHE Registration lr.rm'Der 8.1.4 Laboratory Information - EIVISL Laboratory= Information: Analysis Inforrtratiori 9.1.1 Property Owner & ConsurTaer Information - FAQ: What is.Asbestos? 9.1.2 Property Owner & Consumer Information - FAQ: How is Asbestos used? 9.1 .3 Property Owner & Consumer Information - FAQ: I oae% Do I Tell If A Material I Jas Asbestos In It Q 9.1 .4 Property Owner & ConSLImer Infos-nation - FAQ: Aren't All Asbestos Products armed? 9,1 .5 Property Owner & Consumer Inforrnation - FAQ: What are the health hazards of exposure to asbestos? 10 9.1.6 Property Owner & Consumer Information; - FACS: How significant is the r sk:' :.3.1.7 Property Owner & Consumer InfOrmation - FACS: How long ego YOU need to be exposed to asbestos to I. •e at risk? 36 -Sb N KOOO 5t 5nerm KOOima 3.1.8 Property Owner & Consumer Information - FAQ: Who 3 elp gates the general PUblic's exposure to CX`;be..stos? 36J5 N HOOD St 1: ASBESTOS PRESENT [YES OR NO] Observations 'I." h,�bestos Present ASBESTOS PRESENT -YES Yes Reco rn rr, e ndatio n Contact a qualified environmental contractor .1.,.,.'Asbes1,_)s Preseni ASBESTOS WAS FOUND PRESENT IN THE FOLLOWING AREAS Wall surface and joint compound kitchen and livingroorn walls Recommendation Contact a qualified environmental contractor SnerM K00ima LA* Safety Hazard] Safety Hazard 3635 N KOIDID �t Information. !>nerm Kooima Firm & Inspector Information: Firm & Inspector Information: Firm & Inspector Information: Firm Name CDHPE Asbestos Consulting Firm Address HERO Inspections & CDHPE Asbestos Consulting Firm 3580 Smuggler Circle, Boulder, Environmental Registration #23365 CO 80305 HERO Inspections & Environmental Observations Firm & Inspector Information: Firm Phone Number 303-500-3378 11 Firm & Inswr-tor information EPA ASBESTOS BUILDING INSPECTOR Greg Fowler - Colorado CDIPHE License #23813 36-15 N KOIDID tA Information Building Use Building Type Year Built Residential Single Family 1968 5>nerM K001ma J635 N K000 St 4: INSPECTION INFORMATION Information 5)nerrn K00II71a Type Of Inspection: Date Samples Were Taken Reason For Asbestos Inspection Initial 2019-11-05 Renovation Location of Property Being Asbestos Assessment Included Renovated The Following Areas Kit Liv Wall Removal Only Area Being Renovated Are any part of the heating system, including boiler(s), hot water pipes, water heater, etc., being renovated or replaced? No Has any part of the heating system, including boiler(s), hot water pipes, water heater, etc., been renovated or replaced? Scope: Description of Evaluation and Scope For This Evaluation Limited to the walls between the kitchen and livingroom 36.35 N KOOb t)t Methodology: Inspection Methodology 5nerm Kooima The sampling and destructive investigation process was conducted in accordance with AHERA under Title 40 of the Federal Register, CDPHE Regulation 8, and other applicable industry standards (including EPA, NESHAP, OSHA asbestos regulations, and asbestos regulations.) Asbestos inspection activities were conducted by AHERA and State of Colorado accredited personnel. The scope of the asbestos inspection was to identify ACBM and included the following steps: - Visual inspection of all accessible areas of the structure to identify suspect materials. - Visual inspection of all areas of suspect ACBM. - Determination of friability by touching all suspect ACBM. - Development of sampling plan for each material based on the homogeneous type, friability, and accessibility and material locations. Samples were submitted for laboratory analysis by Polarized Light Microscopy (PLM). - Inspection in two phases: comprehensive non-destructive inspection for accessible areas, followed by destructive investigation (creating large openings in walls, ceilings, chases, etc) to identify ACBM in previously inaccessible areas. A homogeneous area (material) is defined as an area containing a material that appears similar throughout with regard to color, texture, and date of application. Individual systems that were inspected, but not suspected to contain asbestos, are not included in this report. Such systems include carpet, fiberglass, plastic, and wood products. Each type of suspect building material (homogeneous area) was assigned an alpha material code, followed by a number to identify the different varieties of that building material. For example, ceiling tiles are designated by the material code of CT. Each type of ceiling tile was denoted by subsequent type number (CT -01, CT -02, etc). Material size, thickness, substrate, material friability, location, and quantity were recorded. Material information was recorded on a room -by -room (functional space) inventory form (and/or Walsh Asbestos Inspection Form). The homogeneous area was classified into one of three available types of homogeneous material descriptions. - Surfacing Material refers to a wide range of trowel or spray -applied materials typically used for acoustical or fireproofing purposes. Examples include spray -applied fireproofing and acoustical texture ceilings. - Thermal System Insulation (TSI) refers to insulation that is applied to heating or mechanical system components. Examples include pipe, tank and boiler insulation. - Miscellaneous Materials refers to all other materials that do not fall into one of the above categories. Examples include floor tile, adhesives, and ceiling tiles. Once the homogeneous area was determined it was then classified as friable or nonfriable. The EPA distinguishes between friable and nonfriable forms of ACBM. Friable materials can be crumbled or reduced to powder by hand pressure, whereas nonfriable materials cannot. Friable materials are more likely to be released into the air, especially during renovation and demolition of a structure. Therefore, the distinction between friable and nonfriable homogeneous material is important. The following Bulk Sampling protocol for friable and Category I and II nonfriable materials was used to determine the number of samples to be collected for friable materials and nonfriable materials deemed potential Regulated Asbestos -Containing Material (RACM, nonfriable materials with potential to be rendered friable during normal demolition), Bulk Sampling Strategy Homogeneous Area Min No. of Samples < 1000 ft2 3 Friable Surfacing 1000 - 5000 ft2 5 >5000 ft2 7 Nonfriable Surfacing 3 Friable & Nonfriable Thermal System Insulation 3* Friable & Nonfriable Miscellaneous Materials 2* * One sample was collected for limited quantity replacement or patch (salient) materials. .366-') N KOOO St Snerm Koorma 11 A Lin atiCr S yN 0 LIMITATIONS - RENOVATIONS No survey can completely eliminate the uncertainty regarding the presence of asbestos containing materials, lead-based paint and other hazardous materials. The level of diligence and investigative procedures utilized are intended to reduce, but not eliminate potential uncertainty regarding the presence of these materials. The procedures used for this survey attempted to establish a balance between the competing goals of inspection cost, time and aesthetic damage. The determinations of this report should not be construed as a guarantee that all such materials present in the subject property have been identified in the report. The inspection was performed in a manner consistent with the level of care and expertise exercised by members of the asbestos inspection and assessment profession. Those entities and persons involved with the inspection and generation of this report do not imply or guarantee that all potential asbestos -containing materials on or in the structure have been identified or sampled. Historically, asbestos has been added as a component to over 3,000 materials and products produced in the United States. The inspection was intended to identify those accessible materials that were reasonably suspect and that were most likely to contain asbestos in quantities subject to regulation, based on existing industry and regulatory standards. Destructive investigation activities were conducted to identify materials in previously inaccessible areas (behind walls, above ceilings, etc), using limited demolition methods. These activities created small openings for investigation, but are limited in that full observation is not possible due to the presence of walls, flooring, ceilings, etc. Informational (hazard communication) training for demolition supervisory staff and workers, and additional inspection by an accredited asbestos inspector during demolition may assist in identifying any other hidden or concealed materials that may exist in the building. Drawings and diagrams contained in this report are for informational purposes only, and proportion and scales are approximate. Recommendation Contact a qualified professional. MATERIALS KNOWN OR ASSUMED TO BE ACM Surfacing & joint Compound Remnir-nendation Contact a qualified environmental contractor -;6J!3 N I K000 t)t 5: HOMOGENEOUS MATERIAL #1 Information Homogeneous Bulk Sample 1: Location 1 st Floor, Kitchen, Living Room Homogeneous Bulk Sample 1: Square Feet < 1000 ft2 Observations I I Ho - z h . --k B u I Sa f i p ASBESTOS PRESENT Reconir'nendation Homogeneous Bulk Sample 1: Material Drywall Texture/Surface Homogeneous Bulk Sample 1: ACM Classification 5. ACM with potential for damage. Contact a qualified environmental contractor 1't'].'; Horn E-neous Bulk S,mnple > 1% ASBESTOS - MUST FOLLOW OSHA AND CDPHE REG 8 REQUIREMENTS (INCLUDED WITH THIS REPORT) RecornrnendaLlon Contact a qualified environmental contractor SnerM K001ma Homogeneous Bulk Sample 1: Type of Material Tested Surfacing Homogeneous Bulk Sample 1: Type of Asbestos Present Chrysotile Homogeneous Bulk Sample 1: # of Samples Obtained 3 L4Safety Hazard 366!3 N ROOD t)t 6: HOMOGENEOUS MATERIAL #2 Information Homogeneous Bulk Sampling: Location 1 st Floor, Kitchen, Living Room Homogeneous Bulk Sampling: Square Feet < 1000ft2 11 Hlornouene-ous. Bull ASBESTOS PRESENT Recommendation Homogeneous Bulk Sampling: Material Drywall, Joint Compound Homogeneous Bulk Sampling: ACM Classification 5. ACM with potential for damage. Contact a qualified environmental contractor ge.reO.!, > 1% ASBESTOS - MUST FOLLOW OSHA AND CDPHE REG 8 REQUIREMENTS (INCLUDED WITH THIS REPORT) RL,cornmendalJon, Contact a qualified environmental contractor S,nerrn Kooima Homogeneous Bulk Sampling: Type of Material Tested Miscellaneous Homogeneous Bulk Sampling: Type of Asbestos Present Chrysotile Homogeneous Bulk Sampling: of Samples Obtained 3 LASafety Hazard J63ti N ROOD 5t 7: CONTAINMENT REQUIREMENTS Observations 5nerm K001ma 7." . /�sbestos = I Q?o 0S)HA & CDPH Cortainrrier t Rec uirenlents �.ASafety Hazard THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENTS (CDPHE) REGULATION #8 CONTAINMENT REQUIREMENTS The following is a synopsis of the requirements that must be followed in the State of Colorado if greater than the regulated amounts of asbestos -containing building materials are removed or disturbed within a building (i.e., greater than the Trigger Levels). The amount of asbestos -containing material which requires removal in compliance with the CDPHEs Regulation #8 is as follows; • If 50 linear feet on pipes, 32 square feet on other surfaces, or the volume equivalent of a 55 -gallon drum of asbestos containing material (>1%) will be removed from a single-family residential dwelling (i.e., homes, apartments, condominiums, duplexes, etc.,); or • If 260 linear feet on pipes, 160 square feet on other surfaces, or the volume equivalent of a 55 -gallon drum of asbestos containing material (>1%) will be removed from all areas other than single-family residential dwellings (i.e., commercial properties). PLEASE NOTE: The following is meant to be a synopsis and overview of the general permitting and containment requirements under Regulation #8 and is by no means intended to be comprehensive. This document does not discuss the required removal methods, work practices, or engineering controls. To gain an understanding of the comprehensive removal requirements specific to your property, please consult a certified General'Abatement Contractor. IF THE MATERIAL IS FRIABLE (i.e., the material, when dry, MAY BE crumbled, pulverized, or reduced to powder by hand pressure) the following subsections must be complied with: • II. CERTIFICATION REQUIREMENTS • II.A. GENERAL REQUIREMENTS • II.A.1. Persons required to be certified as a General Abatement Contractor, Building Inspector, Management Planner, Project Designer, Abatement Worker, Abatement Supervisor or Air Monitoring Specialist shall obtain the appropriate certification from the Division in accordance with this section 11. • III.C. PROJECT DESIGN • III.C.1. Prior to the start of any asbestos abatement in an area of public access of a non -school building, in which the amount of asbestos -containing material to be abated exceeds 1,000 linear feet on pipes, or 3,000 square feet on other surfaces, a written project design shall be developed by a Project Designer certified under these regulations. • III.G. PERMITS X25 i5 N Robb st 5nerM KOOlnla • III.G.1.a. No person shall commence an abatement project in which the amount of friable asbestos - containing material exceeds the trigger levels in an area of public access without first obtaining a permit from the Division. Only the GAC in whose name the permit is issued may conduct the abatement project. • 111.1. CRITICAL BARRIER INSTALLATION • All openings between the work area and clean areas including, but not limited to, windows, doorways, elevator openings, corridor entrances, drains, ducts, grills, grates, diffusers and skylights shall be sealed with a minimum of one layer of 6 -mil polyethylene sheeting. • III.J. AIR CLEANING AND NEGATIVE PRESSURE REQUIREMENTS • III.J.1. Negative Air Machines and HEPA Filters • 111.J.1.a. Negative pressure air filtration units shall be operated continuously from the time of barrier construction through the time that acceptable final clearance air monitoring results are obtained in accordance with subsection IILP (Clearing Abatement Projects). • III.J.I .b. The GAC who is required to use air cleaning shall properly install, use, operate, and maintain all air -cleaning equipment authorized by this subparagraph III.J (Air Cleaning and Negative Pressure Requirements). • Ill.j.l .c. The GAC who is required to use air cleaning shall use a NEPA filter to clean the air. • III.j.1.d. These units shall exhaust filtered air to the outside of the building when the length of exhaust duct required to do so does not overburden the negative air units. If air must be exhausted to the interior of the building, it must be done in accordance with subparagraph III.U.1.b. (During Abatement). • III.K. DECONTAMINATION UNIT • III.K.1. Construction • A decontamination unit shall be constructed to provide employees with a facility to be used to decontaminate asbestos -exposed Workers and equipment before such Workers and equipment leave the work area. The decontamination unit shall consist of the following three stages, which shall be separated by staggered flaps or an equivalent system of barriers that will self -close should negative air pressure fail • III.L. PRE -CLEANING OF SURFACES • Pre -cleaning of surfaces contaminated with visible dust or debris shall be conducted prior to the commencement of any abatement project. • III.M. COVERING FIXED OBJECTS • At a minimum, all fixed objects in the work area shall be covered with one (1) layer of six -(6) mil polyethylene sheeting, secured in place. • III.N. CONTAINMENT COMPONENTS • Construction of the containment components may commence only after adequate negative pressure is established. Polyethylene sheeting shall be used in the construction of containment barriers in order to isolate the work area during abatement projects. Spray poly may be substituted for polyethylene sheeting. • • III.N.1. Wall, Floor and Ceiling Polyethylene • Polyethylene sheeting shall be used in thicknesses and number of layers as specified in subparagraphs III.N.1.a., b., c., and d. below, and shall be used to seal all windows, doors, ventilation systems, and wall penetrations, and to cover ceilings, walls, and floors in the work area. • III.N.I.a. Laying Polyethylene on Floors • At a minimum, floors shall be covered with sheeting consisting of two (2) layers of six -(6) mil polyethylene sheeting, unless spray poly is used. Floor sheeting shall extend up sidewalls at least twelve (12) inches and be sized to minimize seams. No seams shall be located along wall/floor joints. • III.N.l.b. Hanging Polyethylene on Walls • At a minimum, walls shall be covered with sheeting that shall consist of two (2) layers of four (4) mil or thicker polyethylene, unless spray poly is used. It shall be installed to minimize seams and shall extend beyond wall/floor joints at least twelve (12) inches. No seams shall be located along wall/wall joints. • III.N.1.c. Hanging Polyethylene Sheeting on Ceilings • If a work area has a ceiling that will not be abated as part of the abatement work, at a minimum, the ceiling shall be covered with sheeting that shall consist of one (1) layer of four (4) mil or thicker 36j5 N MOOD 5t i)nerM K001ma wall/ceiling joints at least twelve (12) inches. No seams shall be located along wall/ceiling joints. • III.N.3. Waste Load -out Area • All containments shall be constructed to include a waste load -out area. This area shall be separate from the decontamination unit and shall be used as a temporary storage area for bagged waste and as a port for transferring waste to the transport vehicle. All waste load -out areas must have a minimum of two separate chambers separated by air locks. • IILP. CLEARING ABATEMENT PROJECTS • The GAC, certified Air Monitoring Specialist, and the building owner shall ensure that all abatement projects are completed as described below. • All air monitoring and final visual inspections -required under this regulation shall be performed by certified Air Monitoring Specialists independent of the GAC to avoid possible conflict of interest. • III.P.1. Final Visual Inspection • At the conclusion of any abatement action and with only critical barriers still in place, a certified Air Monitoring Specialist, who is independent of the GAC, shall visually inspect each work area where such action was conducted, and behind the critical barriers, to determine whether all dust and debris has been removed. If any such dust or debris is found, the area shall be re -cleaned until no dust or debris is found. If a critical barrier is removed for cleaning purposes, the area behind the critical barrier shall be cleaned and the critical barrier immediately replaced. • III.P.3. Final Clearance Air Monitoring and Sample Analyses • III.P.3.a. Sample Collection • III.P.3.a.(i). Once the area has passed a final visual inspection and no dust or debris has been found, the certified Air Monitoring Specialist shall collect air samples using aggressive sampling as described in 40 C.F.R. Part 763, Appendix A to Subpart E (EPA 1995), to monitor air for clearance after each abatement project; except that fans and leaf blowers shall not be directed toward any known friable ACM remaining in the work area. • III.R. WASTE HANDLING • III.R.1. Disposal Containers Disposal containers shall be leak -tight and waterproof when sealed. Disposable bags shall be at least six -(6) mil polyethylene. III.R.2. Handling Waste Material Each person handling asbestos -containing waste material(ACWM) shall: • III.R.2.a. Seal all asbestos -containing waste (Material in leak -tight containers while wet and label the containers in accordance with subsection Q IiI.R.2.b (Labeling), below. Appropriate containers and procedures shall be used to prevent all breakage, rupture or leakage during loading, shipping, transportation and storage of asbestos -containing waste material. • III.R.2,d. Discharge no visible emissions during the collection, processing (including incineration), packaging, transportation, or deposition of any ACWM generated by the source. • III.R.2.e. Dispose of ACWM in accordance with Colorado Department of Public and Environment Health, Hazardous Materials and Waste Management Division regulations. • III.R.2.f. All asbestos -containing wastewater shall be filtered to five (5) micrometers prior to discharge and shall be discharged to a sanitary sewer. • III.R.3. Fallow the waste shipment procedures in accordance with the provisions of 40 C.F.R. Part 61 Section 150 (EPA 1995). IF THE MATERIAL IS NON -FRIABLE (i.e., the material, when dry, CANNOT be crumbled, pulverized, or reduced to powder by hand pressure) the following subsections must be complied with: • IiI.E. NOTIFICATIONS • III.E.1. Notices • Any person intending to either abate asbestos -containing materials in any amount greater than the +,-;-I.,,,r.ir .,r .d---I;,k -, k,11 -- -, �F, --1;-,4 k- +-k- ---*,4_ -, --+;,- -47 J6J_1) N KOOO 5t • III.S.2. Asbestos Cement Products 5nerm Kooima • Transite roofing shingles, transite siding and other asbestos cement products that remain nonfriable during removal are subject to the requirements of subsection III.E (Notifications). The transite roofing shingles, transite siding, or other asbestos cement products must be removed in accordance with paragraph III.S.4 (Other Nonfriable Asbestos -Containing Materials), below. If the transite roofing shingles, siding, other asbestos cement products become friable during removal, then sections I. (Definitions), II. (Certification Requirements), and III. (Abatement, Renovation and Demolition Projects) apply. • III.S.3. Asphaltic Materials • Tar impregnated roofing felts, asphalt -roofing tiles, roofing asphalts, roofing mastics, and asphaltic pipeline coatings that are nonfriable and will remain nonfriable during abatement are exempt from this regulation. • III.S.4. Other Nonfriable Asbestos -Containing Materials • III.S.4.a. Adequately wet the surface areas of the nonfriable ACM to prevent dust emissions throughout the removal process. • III.S.4.b. Remove the materials using hand removal methods or power tools that do not subject the material to cutting, grinding, sanding, bead blasting, sandblasting, or otherwise damage the material in such a way as to render it friable. • III.S.4.C. Remove the material carefully with minimal breakage and disturbance. III.S.4.d. If the nonfriable material is to be disposed of, then it must be transported to the landfill that will accept nonfriable ACM. The landfill must be contacted prior to disposal to ensure that the nonfriable ACM is transported and packaged in accordance with the landfill's specific policy or regulation. If the materials have been rendered friable, they must be disposed of as friable asbestos -containing waste materials pursuant to subsection III.R. (Waste Handling.) Recommendation Contact a qualified environmental contractor %.G. Asbestos =- 'I;0 OSHA & {_�)1 1 - Lo`ltalrl'T12'"` i cGt_JI'`I`i12(1C ; Safety THE OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION ASBESTOS IN CONSTRUCTION STANDARDS (29 CFR 1926.1101) CONTAINMENT REQUIREMENTS The following is a synopsis of the requirements that must be followed, in all 50 states, if greater than the regulated amounts of asbestos -containing building materials are removed or disturbed within any type of building. The amount of asbestos -containing material which requires removal in compliance with OSHAs Asbestos in Construction Standard (29 CFR 1926.1101) is as follows; • If 10 square feet of Surfacing Material or Thermal Systems Insulation is removed or disturbed; or • If 25 linear feet of Surfacing Material or Thermal Systems Insulation is removed or disturbed. The definition of Surfacing Material and Thermal Systems Insulation in the OSHA Asbestos in Construction Standard (29 CFR 1926.1101) is as follows; • Surfacing material means material that is sprayed, troweled -on or otherwise applied to surfaces (such as acoustical plaster on ceilings and fireproofing materials on structural members, or other materials on surfaces for acoustical, fireproofing, and other purposes). • Thermal system insulation (TSI) means ACM applied to pipes, fittings, boilers, breeching, tanks, ducts or 3663) N HOOD 5A Snerm K00ima PLEASE NOTE: The following is meant to be a synopsis and overview of the general containment requirements under the OSHA Asbestos in Construction Standard (29 CFR 1926.1101) and is by no means intended to be comprehensive. This document does not discuss the required removal methods, work practices, or engineering controls. To gain an understanding of the comprehensive removal requirements specific to your property, please consult a General Abatement Contractor. CLASS I REMOVAL REQUIREMENTS Class I asbestos work means activities involving the removal of TSI and surfacing Asbestos -Containing Material and Presumed Asbestos Containing Material. 1926.1101(e) Regulated areas. 1926.1101(e)(1) All Class I, II and III asbestos work shall be conducted within regulated areas. 1926.1101(e)(2) Demarcation. The regulated area shall be demarcated in any manner that minimizes the number of persons within the area and protects persons outside the area from exposure to airborne asbestos. Where critical barriers or negative pressure enclosures are used, they may demarcate the regulated area. Signs shall be provided and displayed. 1926.1101(e)(3) Access. Access to regulated areas shall be limited to authorized persons and to persons authorized by the Act or regulations issued pursuant thereto. 1926.1101(e)(4) Respirators. All persons entering a regulated area where employees are required pursuant to paragraph (h)(1) of this section to wear respirators shall be supplied with a respirator selected in accordance with paragraph (h)(2) of this section. 1926.1101(e)(5) Prohibited activities. The employer shall ensure that employees do not eat, drink, smoke, chew tobacco or gum, or apply cosmetics in the regulated area. 1926.1101(e)(6) Competent Persons. The employer shall ensure that all asbestos work performed within regulated areas is supervised by a competent person, as defined in paragraph (b) of this section. The duties of the competent person are set out in paragraph (o) of this section. 1926.1101(g)(4) Class I Requirements. in addition to the provisions of paragraphs (g)(1) and (2) of this section, the following engineering controls and work practices and procedures shall be used. 1926.1101(g)(4)(i) All Class I work, including the installation and operation of the control system shall be supervised by a competent person as defined in paragraph (b) of this section; 1926.1101(g)(4)(ii) For all Class I jobs involving the removal of more than 25 linear or 10 square feet of thermal system insulation or surfacing material; while the Class I work is being performed, the employer shall use the following methods to ensure that airborne asbestos does not migrate from the regulated area: 1926.1101 (g)(4)(ii)(A) Critical barriers shall be placed over all the openings to the regulated area, except where activities are performed outdoors; 1926.1101(g)(4)(ii.i) For all Class I jobs, HVAC systems shall be isolated in the regulated area by sealing with a double layer of 6 mil plastic or the equivalent; 1926.1101(g)(4)(iv) For all Class I jobs, impermeable dropcloths shall be placed on surfaces beneath all removal activity; 1926.1101 (g)(4)(v) For all Class I jobs, all objects within the regulated area shall be covered with impermeable dropcloths or plastic sheeting which is secured by duct tape or an equivalent. 1926.1101 (g)(4)(vi) For all Class I jobs where the employer cannot produce a negative exposure assessment, or where exposure monitoring shows that a PEL is exceeded, the employer shall ventilate the regulated area to move contaminated air away from the breathing zone of employees toward a NEPA filtration or collection device. 1926.1101 (g)(5) Specific control methods for Class I work. In addition, Class I asbestos work shall be performed using one or more of the following control methods pursuant to the limitations stated below: 36:35 N KOOID St S>nerM K001ma configuration of the work area does not make the erection of the enclosure infeasible, with the following specifications and work practices. 1926.1101(g)(5)(i)(A)(1) The negative pressure enclosure (NPE) may be of any configuration, 1926.1101 (g)(5)(i)(A)(2) At least 4 air changes per hour shall be maintained in the NPE, 1926.1101(g)(5)(i)(A)(3) A minimum of -0.02 column inches of water pressure differential, relative to outside pressure, shall be maintained within the NPE as evidenced by manometric measurements, 1926.1101(g)(5)(i)(A)(4) The NPE shall be kept under negative pressure throughout the period of its use, and 1926.1101(g)(5)(i)(A)(5) Air movement shall be directed away from employees performing asbestos work within the enclosure, and toward a HEPA filtration or a collection device. 1926.11010) Hygiene facilities and practices for employees. 1926.11010)(1) Requirements for employees performing Class I asbestos jobs involving over 25 linear or 10 square feet of TSI or surfacing ACM and PACK 1926.1101(j)(1)(i) Decontamination areas, the employer shall establish a decontamination area that is adjacent and connected to the regulated area for the decontamination of such employees. The decontamination area shall consist of an equipment room, shower area, and clean room in series. The employer shall ensure that employees enter and exit the regulated area through the decontamination area. CLASS II REMOVAL REQUIREMENTS Class II asbestos work means activities involving the removal of ACM which is not thermal system insulation or surfacing material. This includes, but is not limited to, the removal of asbestos -containing wallboard, floor the and sheeting, roofing and siding shingles, and construction mastics. 1926.1101 (e) Regulated areas. 1926.1101(e)(1) All Class I, II and III asbestos work shall be conducted within regulated areas. 1926.1 101(e)(2) Demarcation. The regulated area shall be demarcated in any manner that minimizes the number of persons within the area and protects persons outside the area from exposure to airborne asbestos. Where critical barriers or negative pressure enclosures are used, they may demarcate the regulated area. Signs shall be provided and displayed. 1926.1101(e)(3) Access. Access to regulated areas shall be limited to authorized persons and to persons authorized by the Act or regulations issued pursuant thereto. 1926.1101(e)(4) Respirators. All persons entering a regulated area where employees are required pursuant to paragraph (h)(1) of this section to wear respirators shall be supplied with a respirator selected in accordance with paragraph (h)(2) of this section. 1926.1101(e)(5) Prohibited activities. The employer shall ensure that employees do not eat, drink, smoke, chew tobacco or gum, or apply cosmetics in the regulated area. 1926.1101 (e)(6) Competent Persons. The employer shall ensure that all asbestos work performed within regulated areas is supervised by a competent person, as defined in paragraph (b) of this section. The duties of the competent person are set out in paragraph (o) of this section. 1926.1101 (g)(7) Work Practices and Engineering Controls for Class II work. 1926.1101(g)(7)(i) All Class II work shall be supervised by a competent person as defined in paragraph (b) of this section. 1926.1101 (g)(7)(ii) For all indoor Class II jobs, where the employer has not produced a negative exposure assessment or where during the job, changed conditions indicate there may be exposure above the PEL or where the employer does not remove the ACM in a substantially intact state, the employer shall use the following methods to ensure that airborne asbestos does not migrate from the regulated area; 1926.1101 (g)(7)(ii.)(A) Critical barriers shall be placed over all openings to the regulated area. • 1926.11D1(g)(7)(ii)(C) Imnermeable dron cloths shall be nlaced on surfaces beneath all removal activity: ,3635 N KOOO St Recommendation Contact a qualified environmental contractor 5nerm Kooima 3t5�S N HOOD St r ,61 Olkpk A AnAlk j[4 ink Observations EMSL ADDRESS 1010 Yuma Street, Denver, CO 80204 _. 1.t. Ea _,1 orc, l,lu (I ):.: a : NVLAP LAB CODE 200828-0 Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method P�."?._, El ;SL _ak_rora_;ry CDPHE REGISTRATION NUMBER S.1.4 EP I'SL a bo r attor� I nforryi ANALYSIS INFORMATION 5nerm K00ima The date of analysis, the name and signature of the microscopist performing the analysis, the method of analysis and the results of the analysis can all be found in the attached report from EMSL. .3665 N KOIDD 5t 5nerM KOolnla 9: PROPERTY OWNER & CONSUMER INFORMATION observations 'I. FAQ WHAT IS ASBESTOS? "Asbestos" is the name given to a group of minerals that occur naturally as masses of strong, flexible fibers that can be separated into thin threads and woven. These fibers are not affected by heat or chemicals and do not conduct electricity. For these reasons, asbestos has been widely used in many industries. 9.1 .2 F_ -AQ; HOW IS ASBESTOS USED? Asbestos has been mined and used commercially in North America since the late 1800s, but its use increased greatly during World War II. Since then, it has been used in many industries. For example, the building and construction industry uses it for strengthening cement and plastics as well as for insulation, fireproofing and sound absorption. The shipbuilding industry has used asbestos to insulate boilers, steampipes, hot water pipes and nuclear reactors in ships. The automotive industry uses asbestos in vehicle brakeshoes and clutch pads. More than 5,000 products contain or have contained asbestos, including sewage piping, roofing and siding, railroad cars, airplanes, industrial filters for beverages, small appliance components, and underlying material for sheet flooring, packing components, heat- and fire- resistant clothing, paints, coatings, sealants caulking and much more. FLO HOW DO I TELL IF A MATERIAL HAS ASBESTOS IN IT? Read the labeling on any product you buy or contact the manufacturer. With the advent of trade agreements, products from outside the United States that contain asbestos are now being introduced into the American consumer marketplace. Another alternative is to have a HERO EPA certified asbestos inspector sample the material and have it analyzed by a qualified laboratory for asbestos. s IA FAQ AREN'T ALL ASBESTOS PRODUCTS BANNED? 3t5 i,5 N KOOO St SnerM K00If71a No. The United States Environmental Protection Agency (EPA)has banned the use of the following products in new construction and renovation: Spray -applied surfacing asbestos -containing material. • Sprayed -on application of materials containing more than 1 % asbestos to buildings, structures, pipes, and conduits unless the material is encapsulated with a bituminous or resinous binder during spraying and the materials are not friable after drying. * Wet -applied and pre -formed asbestos pipe insulation, and pre -formed asbestos block insulation on boilers and hot water tanks. * Corrugated paper, rollboard, commercial paper, specialty paper, flooring felt, and new uses of asbestos. In the late 1970s, the U.S. Consumer Product Safety Commission (CPSC) banned the use of asbestos in wallboard patching compounds and gas fireplaces because these products released excessive amounts of asbestos fibers into the environment. In addition, manufacturers of electric hair dryers voluntarily withdrew asbestos. These and other regulatory actions, coupled with widespread public concern about the hazards of asbestos, have resulted in a significant annual decline in U.S. use of asbestos over the years. Domestic use of asbestos amounted to about 560,000 metric tons in 1979, but it had dropped to about 55,000 metric tons by 1989. �►�' Maintenance (tem Exposure to asbestos may increase the risk of several serious diseases, including Asbestosis, Lung cancer, Mesothelioma and other cancers such as larynx and gastrointestinal tract. Asbestosis is a chronic lung ailment that can produce shortness of breath and permanent lung damage and also increase the risk of dangerous lung infections. Mesothelioma is a relatively rare cancer of the thin membranes that line the chest and abdomen. 5 FAQ �►'� .Maintenance Item HOW SIGNIFICANT � Not all workers exposed to asbestos will develop diseases related to their exposure. In fact, many will experience no ill effects. Asbestos that is bonded into finished products such as walls, tiles and pipes poses no risk to health as long as it is not damaged or disturbed (for example, by sawing or drilling) in such a way as to release fibers into the air. However, when asbestos particles are set free and inhaled, exposed individuals are at risk of developing an asbestos-related disease. Once these nearly indestructible fibers work their way into body tissues, they tend to stay there indefinitely. The risk of developing asbestos- related diseases also varies with the type of industry in which the exposure occurred and with the extent of the exposure. In addition, different types of asbestos fibers may be associated with different health risks. For example, results of several studies suggest that crocidolite and amosite are more likely than chrysotile to cause lung cancer, asbestosis, and, in particular, mesothelioma. Even so, no fiber type can be considered harmless, and people working with asbestos should always take proper safety precautions. 9 r ...AQ HOW LONG DO YOU NEED TO BE EXPOSED TO ASBESTOS TO BE AT RISK? The risk to workers increases with heavier exposure and longer exposure time, but investigators have found asbestos-related diseases in some shipyard workers exposed to high levels of asbestos fibers for only brief periods (as little as 1 or 2 months), Even workers who may not have worked directly with -nchnctnc hi it Anrhncn inhc \ Aim rn Inr-atnA nnnr rnntnminntnrl nrnnc hniin Ani inInn nA nchnctncic mncnthnI;mmn M -It) N K00b �)t S)nerM K001ma 1. f/\Q maintenance item WHO REGULATES THE GENERAL PUBLIC'S EXPOSURE TO ASBESTOS? The U.S. Environmental Protection Agency (EPA) regulates the general public's exposure to asbestos in buildings, drinking water and the environment. The EPA's Toxic Substances Control Act (TSCA) Assistance Office can answer questions about toxic substances, including asbestos. The U.S. Food and Drug Administration is concerned with asbestos contamination of foods, drugs and cosmetics. >rderID: 221908779 EMSL ANALYTICAL, INC. we..�m....wawrn.*....�.m Asbestos Chain of Custody EMSL Order Number (Lab use ono : EMSL ANALYTICAL, INC. 1010 YUMA ST. DENVER, CO 80204 PHONE: (303)740-5700 FAx: (303)741-1400 Company :HERO Inspections &Environmental EMSL-Bill to: M Same ❑ Different 1f 8111 to 1s Different note instructions in Comments— Third Party Billing re uires written authorization from third party Street: 3580 Smuggler Circle City: Boulder State/Province: CO Zi /Postal Code: 80305 Country: US Report To (Name): HERO Fax #: Telephone M 303-500-3378 Email Address: �HEROins ect.com Project Name/Number: 383prAlZ Please Provide Results: ❑ Fax M Email Purchase Order: U.S. State Samples Taken: CO Turnaround Time TATO tions' — Please Check ❑3Hours I ❑6Hours I M24Hrs48Hrs ❑ 3Days I ❑ 4Days I ❑5Days ❑ 10 Days For TEM Air 3 hours16 hours, please call ahead to schedule, 'There is a premium charge for 3 Hour TEM AHERA or FPA Level// TAT. You will be asked to sign an authonzation form for this service, Analysis injoleted in accordance with EMSL's Terms and Conditions located in the Anabdical Price Guide PCM -Air ❑ NIOSH 7400 ❑ w/ OSHA 8hr. TWA TEM -Air ' ❑ AHERA 40 CFR, Part 763 ❑ NIOSH ,7402 ❑ EPA Level II ❑ ISO 10312. TEM- Dust ❑ Microvac - ASTM D 5755 ❑ Wipe - ASTM D6480 ❑ Carpet Sonication (EPA 6001.1-93/167) PLM - Bulk (reporting limit) ® PLM EPA 600/R-931116 (<i%) ❑ PLM EPA NOB (<I%) Point Count ❑ 400 (<0.25%) ❑ 1000 (<0.1%) Point Count w/Gravimetric ❑ 400 (<0.25%) ❑ 1000 (<0.1%) ❑ NYS 198.1 (friable in NY) ❑ NYS 198.6 NOB (non -friable -NY) ❑ NIOSH 9002 <1% Soil/Rock/Vermiculite ❑ PLM CARB 435 - A (0.25% sensitivity) ❑ PLM CARE 435 - B (0.1 % sensitivity) ❑ TEM GARB 435 - B (0.1% sensitivity) ❑ TEM CARE 435 - C (0.01 % sensitivity) ❑ EPA Protocol (Semi -Quantitative) ❑ EPA Protocol (Quantitative) TEM - Bulk ❑ TEM EPA NOB ❑ NYS NOB 198.4 (non -friable -NY) ❑ Chatfield SOP ❑ TEM Mass Analysis -EPA 600 sec. 2.5 TEM —Water: EPA 100.2 Fibers >10pm ❑ Waste ❑ Drinking All Fiber Sizes ❑ Waste ❑ Drinking Other: ❑ ❑ Check For Positive Stop —Clearly Identify Homogenous G Samplers Name: Greg Fowler Samplers Signature: lt:� I Sample # Sample Description V (A' HA # Date/Time Sampled ` 1-2 15,107 1-3 d 13,'l O 2-1 V ��( ��-- L, 3:D z -z l ( 02 L/ t 06 Z-3 1 J Client Sample # (s): - Total # of Samples: Relinquished (Client): Date: 1 ' Time: ! O 7 Received (Lab): Date: `. Ste. \ Time: Comments/Special lnstructio C*Wolled DOOM M-AS2*So5C0C-R1-3/18/2009 Page 1 of JL pages EMSL Analytical, Inc. 1010 Yuma Street Denver, CO 80204 Tel/Fax: (303) 740-5700 / (303) 741-1400 http://www.EMSL.com / denverlab@emsl.com Attention: HERO HERO Inspections & Environmental 3580 Smuggler Circle Boulder, CO 80305 Project: 3835 N ROBB EMSL Order: 221908779 Customer ID: HIES42 Customer PO: Project ID: Phone: (303) 500-3378 Fax: Received Date: 11105/2019 1:59 PM Analysis Date: 11/06/2019 Collected Date: 11/05/2019 Test Report: Asbestos Analysis of Bulk Materials via EPA 600IR-93/116 Method using Polarized Light Microscopy 1 -2 -Joint Compound KIT/LIV WALL Tan Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type 1 -1 -Texture KIT/LIV WALL White 20% Ca Carbonate 2% Chrysotile SURFACING Non -Fibrous 78°% Non-fibrous (Other) .21908779-0003 221908779-0001 Heterogeneous Inseparable paint / coating layer included in analysis KIT/LIV WALL CORE Inseparable paint / coating layer included in analysis 20% Ca Carbonate 2% Chrysotile 1 -1 -Drywall KIT/LIV WALL White 15°% Cellulose 65% Gypsum None Detected SURFACING Fibrous 20% Non-fibrous (Other) 221908779-0001 A Homogeneous 1 -2 -Texture KIT/LIV WALL White 20% Ca Carbonate 2% Chrysotile SURFACING Non -Fibrous 78% Non-fibrous (Other) Tan 221908779-0002 Heterogeneous 2% Chrysotile Inseparable paint/coating layer included in analysis Non -Fibrous 78% Non-fibrous (Other) 1 -2 -Joint Compound KIT/LIV WALL Tan 20% Ca Carbonate 2% Chrysotile SURFACING Non -Fibrous 78% Non-fibrous (Other) 221908779-0002A Homogeneous Fibrous 1 -3 -Texture KIT/LIV WALL White/Beige 15% Ca Carbonate 2% Chrysotile SURFACING Non -Fibrous 83% Non-fibrous (Other) .21908779-0003 Heterogeneous Inseparable paint / coating layer included in analysis KIT/LIV WALL CORE White 2 -1 -Texture KIT/LIV WALL CORE White 20% Ca Carbonate 2% Chrysotile Non -Fibrous 78% Non-fibrous (Other) 221908779-0004 Heterogeneous Inseparable paint / coating layer included in analysis 2 -1 -Drywall KIT/LIV WALL CORE White 15% Cellulose 65% Gypsum None Detected Fibrous 20% Non-fibrous (Other) 221908779-0004A Homogeneous 2 -2 -Texture KIT/LIV WALL CORE White 20% Ca Carbonate 2% Chrysotile Non -Fibrous 78% Non-fibrous (Other) 221908779-0005 Heterogeneous Inseparable paint/ coatiny layer included in analysis 2 -2 -Joint Compound KIT/LIV WALL CORE Tan 20% Ca Carbonate 2% Chrysotile Non -Fibrous 78% Non-fibrous (Other) 221908779-0005A Homogeneous 2 -2 -Drywall KIT/LIV WALL CORE White 15% Cellulose 65% Gypsum None Detected Fibrous 20% Non-fibrous (Other) 221908779-00058 Homogeneous 2 -3 -Joint Compound KIT/LIV WALL CORE White 15% Ca Carbonate 2% Chrysotile Non -Fibrous 83% Non-fibrous (Other) 221906779-0006 Homogeneous 2 -3 -Tape KIT/LIV WALL CORE Yellow 98% Cellulose 2% Non-fibrous (Other) None Detected Fibrous 221906779-0006A Homogeneous 2 -3 -Drywall KIT/LIV WALL CORE Tan/White/Beige 20% Cellulose 65% Gypsum None Detected Fibrous 15% Non-fibrous (Other) 221908779-0006B Homogeneous Initial report from: 11/06/2019 13:40:21 ASB—PLM-0008-0001 - 1.76 Printed: 11/6/2019 11:40 AM Page 1 of 2 EMSL Analytical, Inc. 1010 Yuma Street Denver, CO 80204 Tel/Fax: (303) 740-5700 / (303) 741-1400 http://www.EMSL.com / denveriab@emsl.com Analyst(s) Amanda Hammer (9) Timothy Kleehammer (4) EMSL Order: 221908779 Customer ID: HIES42 Customer PO: Project ID: 1/D , Melanie Rech, Laboratory Director or Other Approved Signatory EMSL maintains liability limited to cost of analysis. The above analyses were performed in general compliance with Appendix E to Subpart E of 40 CFR (previously EPA 600/M4-82-020 "Interim Method"), but augmented with procedures outlined in the 1993 ("final") version of the method. This report relates only to the samples reported above, and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations . Interpretation and use of test results are the responsibility of the client. All samples received in acceptable condition unless otherwise noted. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. EMSL recommends gravimetric reduction for all non -friable organically bound materials prior to analysis. Estimation of uncertainty is available on request. Samples analyzed by EMSLAnalytical, Inc. Denver, CO NVLAP Lab Code 200828-0 Initial report from: 11/06/2019 13:40:21 ASB—PLM-0008-0001 - 1.78 Printed: 11/6/2019 11:40 AM Page 2 of 2 City of Wheat Ridge Residential Remodel PERMIT - 201902329 PERMIT NO: 201902329 ISSUED: 11/12/2019 JOB ADDRESS: 3835 Robb St EXPIRES: 11/11/2020 JOB DESCRIPTION: Kitchen remodel - remove two non -load bearing walls, relocate electrical, install gas line for cook top, repair drywall, install cabinets - 250 sq ft total *** CONTACTS *** OWNER (720)382-9903 RISLEY CARLY J & DAVID GC (303)907-8194 SHERWIN KOOIMA 090231 KOOIMA CONTRACTORS SUB (303)667-2047 KEVIN ROBBINS 020029 KEVIN ROBBINS, ELECTRICAL CONT SUB (303)257-3545 RAYMOND BEARD 070136 COMFORT MASTER HTG & COOLING *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 37,100.00 FEES Total Valuation 0.00 Plan Review Fee 384.51 Use Tax 779.10 Permit Fee 591.55 ** TOTAL ** 1,755.16 *** COMMENTS *** *** CONDITIONS *** All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Remodel PERMIT - 201902329 201902329 3835 Robb St Kitchen remodel install gas line total ISSUED: EXPIRES: remove two non -load bearing for cook top, repair drywall, 11/12/2019 11/11/2020 walls, relocate electrical, install cabinets - 250 sq ft 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 prmrt'I further attest that I arr le ally authozed to include all entities named within this document as parties to the work to be perf�rmecand that all work to be per rmed is disclosed m this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CNTRACTOR (Circle one) Date 1. This permit was issued baked on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance-Nith 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 maybe subject to a fee equal to one-half of the originalpermitfee. 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 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 ranting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable cod ny ordinanc ° qr regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat t�dge COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(aDd.wheatridge.co.us FOR OFFICE USE ONLY Date: I /5/ ) q Plan/Permit # Ojqo(d 3 Plan Review PQe: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Owner Property Owner Email: Tenant Name (Commercial Projects Only) ,6 S W11141111154111FOU V Property Owner Mailing Address: (if different than property address) Address: 8 AO City, State, Zip: 101 :pct RI A?e , Phone: I :-j1p3 Architect/Engineer E-mail: / 47 7�> k'(f --L p . "-'.*Ae\,Phone: X03 -- 917 1 Contractor Name:Zf h, a. �o� �1-2C, �G rs City of Wheat Ridge License M Phone: 303- 9d 7 - l -7 Contractor E-mail Address: OlS !7L a '44-15na;/' 6h For Plan Review Questions & Comments (please print): CONTACT NAME (please print): _ /A e i-04, �ols < /h Phone:_. 9,'-!5Y- 7— V1 CONTACT EMAIL(p/ease print): S k a 4�" 47M l Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # 0 2 d 4 ar q W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields, if applicable. ❑COMMERCIAL 2] RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. ��•t��ey. /��itGGf2/ — �E�D�e, '�"G�� hvn �ea,�i r�(� ��5 1 dG� 4�l �e r Way':2- hers Sq. FULF SD l BTUs Gallons Amps Squares For Solar: KIN # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER)(CONTRACTOR) r (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: Printed Name: DEPARTMENT USE ONLY ��®® ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Y( -O) �L%�-(hCrl rvy-'o C� C, rn \= r w CONSTRUCTION TYPE: Reviewer: J BUILDING DEPARTMENT COMMENTS: Reviewer: 1 5 PUBLIC WORKS COMMENTS: Ire � 11•l� •fig Reviewer: Building Division Valuation: 1 c2 L) EST. 1965 CONSULTING ?,,H,l E ENGINEERS 387 CORONA STREET 4534 d DEtNVM CO 86213 [ PH: 303-279-4663 October 15, 2019 Attention: Mr. Sherwin Kooima Kooima Homes Re: Structure at 3835 Robb Street Wheat Ridge, CO 80033 HIE Report No: CD53427 In accordance with your request, I visited the property at the above location on October 15, 2019 to determine if the interior wall assembly dividing the upper -floor kitchen and living room area was either lateral/loadbearing in nature; without regard to other components or systems of the property. Following is a report of my findings: The property is a split-level structure, built for single-family occupancy, with a finished basement. Exterior wood framed stud walls appear to serve as both primary vertical load-bearing and lateral stability structural wall assemblies. Exterior foundation walls are constructed of reinforced concrete. The partially accessible roof structure appears to be constructed with prefabricated 2x4 wood trusses spaced at 24 inches center to center (Fig. 1), which appear to span from exterior to exterior wall assembly only and bear directly on those members. Upon review, the interior wall opening proposed for demolition/enlargement does not appear to be structurally load-bearing in nature (Fig. 2&3). Therefore, the installation of additional structural members is not required for structural support. However, while not structurally required, the owner should be aware that existing interior finishes may experience some minor cracking due to truss deflections not experienced under prior loading and framing conditions. If unforeseen conditions are exposed during demolition which are in direct conflict with our assumptions or reveal non -conventional framing components or structural members, work shall stop immediately and HIE Consulting Engineers shall be contacted prior to the recommencement of work. This includes, but is not limited to, the presence of built-up headers, metal strapping, hold-down fasteners, or sheathing/nailing patterns which would indicate the wall panels are serving as components of the structure's primary gravity/lateral force resisting system. Page 1 3835 Robb Street - Kooima Homes HIE Job No: CD53427 Alteration of these walls may require rerouting of existing utilities (e.g. electrical, HVAC, etc.), which needs to be confirmed with the selected contractor prior to beginning work. This structural review was limited to the present condition of the visible items discussed above and is not a prediction of the future behavior of the building components. This report is for your exclusive use. No guarantee or warranty explicit or implicit is offered as part of this review. In addition to this report, any verbal communication with the engineer at the time of this site visit is also a vital part of this review and is information that you should consider. Any written or verbal information provided by HIE Consulting Engineers, including this report, is for the benefit and exclusive personal use of the client(s) expressly stated above, no other person is entitled to rely upon this information. We are available to discuss this with you, your staff, or the owner at your convenience. Sincerely, HIE Consulting Engineers Anthony Eulberg, P.E. Structural Engineer Page 2 R. Blair Harris, E.I. Project Engineer 3835 Robb Street - Kooima Homes HIE Job No: CD53427 FIG. 1 FIG. 2 Page 3 FIG. 3 � 1 k � City Of W heat�idge COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: General Contractor: &b/M(x Electrical Sub -Contractor Permit #: Company Name: Q i % Phone #: State License #: Master #: Wheat,Ridge License l 01 Signature of Agthorized Agent Plumbing Sub -Contractor Company Name: State License #: Wheat Ridge License #: Signature of Authorized Agent Mechanical Contractor (required field) ., j Date Phone #: Master #• _(required field) Date Company Name:4�W -fort &&94e Phone: �W ge (required field) Siinattire of Authorized Agent D aie 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: �5 S Permit Number: ❑ No one available for inspection: Time !)AM4 PM Re -Inspection required: Yes No When corrections have been made, call or rspection at }303-2.34-5933 Date: - 1 Inspector:t'�-- DO NOT REMOVE THIS NOTICE ► A , City of Wheat Ridge Residential Roofing PERMIT - 201708140 PERMIT NO: 201708140 ISSUED: 10/10/2017 JOB ADDRESS: 3835 Robb ST EXPIRES: 10/10/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 27 sq Pitch = 4/12 *** CONTACTS *** OWNER (720)382-9903 RISLEY CARLY J SUB (303)660-9394 Guy Smith 090201 GBS Enterprises Inc *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 17,775.00 FEES Total Valuation 0.00 Use Tax 373.28 Permit Fee 331.10 ** TOTAL ** 704.38 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. 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. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201708140 201708140 ISSUED: 10/10/2017 3835 Robb ST EXPIRES: 10/10/2018 Residential Re -roof to install asphalt shingles - 27 sq Pitch = 4/12 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 all entities named within this document as parties to the work to be performed and that all work to be per a is isclosed in this document and/or its' accompanying approved plans and specifications. s I/ J l — I 77 Signature of OWNER or��NTRACTOR (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, po Flans and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing, and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Off-cial 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. o 6. The issuance or gram" sh hued to be a permit for, or an approval of, any violation of any provision of any applicable code ora inance or reg I urisdiction. 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. Dane Lovett L u l 70U From: no-reply@ci.wheatridge.co.us Sent: Friday, October 6, 2017 12:26 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 3835 Robb St Property Owner Name Carly Risley Property Owner Phone 720-382-9903 Number (enter WITH dashes, eg 303-123-4567) 37 Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Risley contract.pdf Contract CONTRACTOR INFORMATION Contractor Business GBS Enterprise Roofing Name Contractor's License 090201 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-660-9394 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 6801 S emporia St #103 Greenwood Village co 80112 (Primary address of your business) Contractor Email Address info@gbsroofing.com Retype Contractor Email info@gbsroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of 27 the entire scope of work: , Project Value (contract 17775.00 value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or 38 both? (check all that apply) What is the specific pitch 4/12 of the PITCHED roof? How many squares are 27 part of the PITCHED roof? Describe the roofing presidential shake it materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional house detail here on the description of work. (Is this for a house or garage? Etc) 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 39 submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Amanda Malone Email not displaying correctly? View it in your browser. 40 6801 S. Emporia St. #103 Greenwood Village, CO 80112 www.gbsroofing.com NAME DAVID AND CARLY RISLEY ADDRESS 3835 ROBB ST. CITY / STATE / ZIP WHEAT RIDGE, CO 80033 GBIS ENTERPRISES ROOFING Email: infor?gbsroofing.cotl-t Phone: 303 -660 -9394 - Fax: 303-660-1405 PHONE /EMAIL 720-382-9903 970-420-2979 INSURANCE CO/CLAIM# 06-0276-1119 LIEN HOLDER/ ACCT EXISTING ROOF TYPE: PRESIDENTIAL SHAKE TRIPLE LAMINATE GBS proposes to furnish all materials and labor required to complete In accordance with the above stated specification, for the sum Of: EXISTING LAYERS 1 TEAR OFF YES VENTILATIOWRIDGE VENT, B VENT CAPS BY OTHERS UNDERLAYMENT: NEW 30#, ICE AND WATER SHIELD GALVANIZED NAILS, 6 PER SHINGLE:YES REPLACE WITH: PRESIDENTIAL SHAKE'TL I COLOR OF PRODUCT: f H A UC &,2J C�t�Pv PATIO OR FLAT ROOF:N/A — PROTECT LANDSCAPE WHERE NEEDED:YES MANUFACTURER'S LIMITED WARRANTY: LIFETIME GUTTERS CLEANED OF ROOFING DEBRIS: REMOVE IMPACT RESISTANT— 1t CLEAN UP AND HAUL OFF ALL TRASH FROM ROOF:YES VALLEY TYPE:CLOSED ROLL YARD WITH MAGNETIC ROLLER:YES REPLACE PLUMBING JACKS / PAINT: 7 NEW 5 YEAR WORKMANSHIP WARRANTY METAL EDGE SIZE EAVES: 2X4 COLOR: tlj)<-6M( PERMIT FURNISHED BY GBS ROOFING: PAID AFTER BY INSURANCE METAL EDGE SIZE RAKES: 2X2 PROOF OF GENERAL LIABILITY . INSURANCE AVAILABLE UPON REQUEST , u.. I .v •,. - REPLACE EXISTING ROOF PER ATTACHED SUMMARY (ROOF IS A TRIPLE LAMINATE, NOT A DOUBLE LAMINATE AS WAS PAID FOR BY STATE FARM) ; 17775. I I INSTALL NEW 5" SEAMLESS GUTTERS WITH BAKED ON ENAMEL (COLOR TBD) $91.9.77 DOES NOT INCLUDE DOWNSPOUTS. DOES INCLUDE GUTTER GUARDS ON E3AC14 rsi?PE;. CONTINGENT UPON INSURANCE APPROVAL 6(l( `j f-~ A 7 t (we) hereby authorize and/or instruct the insurance company and all lien holders to communicate with and include the name GBS Enterprises, Inc. as Co -Payee on any subsequent loss draft checks after today's date as indicated below I (we) hereby authorize and/or instruct any legal representative and/or agent of GBS Enterprises, Inc. to obtain any and all information necessary to negotiate the settlement of my (our) claim as well as any information necessary to complete the funding process relative to the claim number listed above If the property owner plans to use the proceeds of a property and casualty insurance policy issued pursuant to part 1 of article 4 of title 10, C.R.S., to pay for the roofing work, pursuant to section 6-22-105, it is unlawful for the contractor to pay, waive, rebate all or part of any insurance deductible applicable to the insurance claim for payment for work on the covered residential property. GBS proposes to furnish all materials and labor required to complete In accordance with the above stated specification, for the sum Of: DEPOSIT $ 's, DUE UPON COMPLETION $ IN FULL TOTAL $ ' d UPON COMPLETEION OF THE WORK, THE UNDERSIGNED PURCHASER AGREES TO MAKE PAYMENT IN FULL THE AMOUNT SHOWN ABOVE GBS shall hold in trust, any deposit from the property owner until material deliveryto the jobsite or a majority of the roofing work has been completed on the above property All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to stand- ard practices. All interior damage to buildings is excluded 90 days after completion date and the owner Ls notified APPROXIMATE START/ FINISH DATES 9/26-10/26/1.7 that any damage to contents will be the responsibility of the owner and his insurance company. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Scheduling will be done based upon date signed but limited to availability of materials, crews and weather conditions Customer -'approval I Date ACCEPTANCE OF PROPOSAL: THIS PROPOSAL BECOMES A LEGAL BINDING CONTRACT 72 HOURS FROM DATE Of ACCEPTANCE. Cancellation of this contract can be made with written notice within 72 hours of date of acceptance and will allow tife property owner to rescind the contract for roofing services and obtain a full refund of any deposit. �y�v _... 9 !' G✓! The property owner may also rescind this contract within 72 hours of notice from the insurance company for a clalm GBS that is denied in whole or part if the work being contracted for is to be funded from the proceeds of a property and approval Date casualty insurance claim. Interest at a rate of 1-1/2% per month (18%per annum} will be added on to all accounts 30 ALL PROPOSALS ARE SUBJECT TO MANAGEMENT APPROVAL days past due. In addition, cwts and reasonable attorney's fees for collections may be charged on any account past due over 30 days. Payment he This proposal is valid for 30 days will made as outlined above. Failure to pay can constitute a mechanics lien filed — — against property. Cancellation of the contract outside of the 72 hour right of rescission period may be achieved by Paying a cancellation fee in the amount of 5% of the contract price. All returned checks are subject to a returned GBS Enterprises is a registered corporation in Colorado and is insured by: check charge fee. Colony fns Co & Pinnacol Assurance # 41190, Denver Agency 210 University Blvd, Ste 600 Denver, CO 80206-4661 303-892 6900 i CITY 01"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: D i 9 b ❑ No one available for inspection: Time J 3 A PM Re -Inspection required: Yes No When corrections have been made, call Wye -inspection at 3o3-234-5933 s Date: I 0 /1 -1 11 Inspector: DO NOT REMOVE THIS NOTICE FOR OFFICE USE ONLY City of Date: rW'Wh6at]*d le OMMttNiTy EV L PVQ[N !!�tPlawpormit# � Building & Inspection Services Division 7500 W, 2e Ave., Wheat Ridge, CO 80033 Plan Review Fee: Office: 303-235-2855 * Fax: 3013-237-8929 Inspection Line: 303-234-5933 Building Permit Application * Please complete all highlightedboth sides of this form. Incomplete aWitations nnay notbe processed. �** Property Owner Email: Malling Address: (if different than propertyaddress) Address: City, State, Zip: Ar+ hilt t ., !'E-malk Pie. Contractor: Contractors City License Coat t+ all Address: n Subntra ct lectncal: ' Plumbing: Mechanical: st�i lc n# Wk City License W.R. City License Other City Licensed Sub: Other City Licensed :Scab; City License # City License Complete all information on BOTH sides of this for s a(Check all that apply) COMMERCIAL0 NEW !, ELECTRICAL UPGRADE NEW RESIDENTIAL STRUCTURE U COMMERCIAL ROOFiNG COMMERCIAL ADDITION RESIDENTIAL ROOFING RESDENTIAL ADDITION ., w.. WINDOW REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) MECHANICAL F X ssA REPAIR o r wF.r* REPLACEMENT ...r A:.. ELECTRICALPLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT SYSTEM/APPLIANCE Al•♦ AM 4 X or REPLACEMENT 111' • " Sq. FULF Btu's Gallons Amps Squares othet 1 OU.VU Z /UU6 101 Occupancy /Type e building site ness day. wM 11-Y, HIS JOB ROUGHS Sheathing 100677 : - PeTmit Fee _.- _.._ _ -I PAYMENT RECEIVED — AMOUNT Aoth Code: 015888 .......... ..._....._._ __._ _.... TmTAL.:_..... -----°-- ---- ----------- °_____-_-_---_- Electrical Lath -/ Wall Ue Plumbing _ Mid -Roof' Mechanical Electrical Service _ _....._ ....,.... ___... -..... .............. ____.__ ...__....... ___- ..,_...__ _..... ....-_. -__ ._.. ....... ____.,. _. .._..._..... SIGNED PRIOR TO PROC CITY OF WHEAT RIDOE N3/15/Lq.. '12:31 P17..._....cdhb T ....... - sky Plumbing B ........_......- ........ _.. RECEIPT NO -'CDD0041u5 AMOUN ___ppSP Redlace 75 000 btu b' " "'. Rough Electric FireDepartment Rough Plumbing R.O, W & Drainage Gas Piping INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Rough Mechanical "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY ISISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZA TION OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. ABOVE INSPECTIONS TO BE Framing Insulation Drywall Screw I ...... c OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER 100677 : - PeTmit Fee _.- _.._ _ -I PAYMENT RECEIVED — AMOUNT Aoth Code: 015888 .......... ..._....._._ __._ _.... TmTAL.:_..... -----°-- ---- ----------- °_____-_-_---_- Electrical Plumbing Yll'7 /d7 Pee- . Mechanical Roof Building Final FireDepartment R.O, W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC 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 ISISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZA TION OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: 1 Job Address: 3835 Ao,614 sr Permit Number: _ ir»G77 ❑ No one available for inspection: Time 3: -� 90 AM/ Re- Inspection required: Yes o When corrections have been made, call for re- inspection at 303 -234 -5933 Date: 4// ,0/ -e9 Inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: a%"G� 04 -, Job Address: 1 r Permit Number: 40 9 1 q! I ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No 'When oorreotions have been made, calf for re- inspection at 303 - 234 -5933 Date: s Inspector: D NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE / Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: Ld ).!^p,,f Job Address: Permit Number: 00/11 7! wf'r_'rr _ Piz ❑ No one available for inspection: Time Re- Inspection required: Yes 0 ) When corrections have been made, a for re-inspection at 303-234-593,S-' Date: L�,- -, / �a Inspector: DO NOT REMOVE THIS NOTICE INSPECTION RECORD Occupancy/Type "V 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. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INITIALSNSPECTOR I COMMENTS: Footings/Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof/ French Drain Sewer Service Lines Water Service Lines CONCRETE SLAB FLOOR Electrical OO N(1T POIIR FI l1l1R IINTII GRl1VF MGC RFFIJ CII:UCn ROUGHS Sheathing Lath / Wall tie Mid-Roof Electrical Service - Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROC Framing CITY OF WHEAT RiBOE 03/15110 15:31 PM cdbb Insulation _ _ _ _ _ Drywall Screw -Blue Sly Plumbing 8 dttItdPl NUIUVIJOWIIl D HNUUNI FINALS FPSP Replace 75,000 btu b 135.33 100677 Electrical Permit Fee 40.00 Use -Taz_ _35.33_ Plumbing Mechanical PAYMENT RECEIVER AMOLINT SIC 4614 135.33 Roof Auth Code: --015$$$ Building Final TOTAL . 135.33 Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. 'NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER >>/4' 1 City of Date: 03 0 101 `J~Theatde l.Vl11MUNITX DEVELOPAIEN'T Permit#: Building Division 7500 W. 29th Ave., Wheat Ridge, CC 80033 Office: 303-235-2855 " Fax: 303-237-8929 Inspection Line: 303-234-5933 Property Address: Property Owner (plc. Mailing Address: (if different than property address) Address: City, State, Zip: f Contractor: Qlue ~~ubl✓1 ~iCU I✓1 -7Q Contractor License ~ l a Phone; 5-14af-c;W(A Sub Contractors: Company Name' License Expiration Date: Trade/Profession: Approval: - Use of space (description); Description of work: r t~ on Value: 3 ~ a ~ bt b~ j -6r- t'JI N $r Plan Review (due at time of submittal); S t v\ 1bol l S7. Ft./L.Ft added; Squares BTU's Gallons Amps OWNEWCONTRACTOR 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 6y all conditions printed on this application and that I assume full responslblfity for compliance with the When( Ridge Building Code (I.©.C) and all other applicable Wheat Ridge ordinances, for work under this permit, Plans subject to field Inspection. CIRLCE On1E:: (OWNECR)CONTRACT.Oar PERSONAL REP ENTAT o WNER) (GONTRATOR) PR.._IN7 NAME; V~4T r 1 SIGNATURE: Date: ✓ Ia~~ ZONING COMMENTS: Zoning; Reviewer: PUBLIC WORKS COMMENTS: Reviewer, DEPARTMENT BUILDING DEPARTMENT COMMENTS; occuPANCY: Reviewer FIRE DEPARTMENT:; O approved w/ comments ❑ disapproved O no review required Bldg Valuation: $ Credit Card P yment: Use credit card listed on fi/eDat - o<: IL.) Print name: CZ~ Signature: Facsimile Building Permit Application City of Wheat Ridge Residential Roofing PERMIT - 091471 PERMIT NO:. 091471 ISSUED: 08/19/2009 JOB ADDRESS: 3835 ROBE ST EXPIRES: ` 02/15/2010 DESCRIPTION:. Reroof.. 28 sqs... ***CONTACTS owner 303/424-2186 Sam Martin. sub 303/237-5179 Curt Marceau 0.2-2364. Roofing Plus 'PARCEL INFO .:ZONE. CODE: UA. USE: UA SUBDIVISION:. 0193 BLOCK/LOT#:.0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: `7,500..00 FEES'.... Permit Fee 199.30 - Total Valuation .00 "f2, Use Tax 135.00 TOTAL 334.30 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`eave edge to 21 inside' exterior walls. Subject to field inspections. 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... measureff;eTMV and allegations. made are accurate; that I have read and agree to abide by all conditions printed on this applic do and tha Ias a :full responsibility for compl' nce w'th the wheat Ridge Building Code (I.B.C). and all other. appli .able ~at R' g Or i anc for work under this er rte`.,. 'l s s ect to field .inspection. Si nature o /o da e L is permit was sued in accordance with. the provision set forth in your application and is subject to thelaws of the State of. Color oand to the Zoning: Regulations and.. Building. Codes r 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 receiver :.written approval on inspection card before proceeding with successive phases of the job. 6. The issuance. of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law,. rule or regulation. All p/l^lla ev is subject to field inspections. Signatu~ oief Building Official date INSPEV20N REQUEST LINE: (303)234-5933 >BUILDING OFFICE: (303)235-2855 REQUESTS MUST 13E.. MADE BY..3PM.ANY'-BUSINESS DAY FOR INSPECTION . THE r FOLLOWING BUSINESS DAY. - oew"~Tq City of Wheat Ridge Building Division m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 0 o Inspection Line: 303-234-5933 OCORA~ Date: 03(j pq. Plan A Permit A Building Permit Application Property Address's; 5 Property Owner (please print): Mailing Address: (if different than property address) Address: Phone: I 1zZI-zlY~; City, State, Zip: / Contractor: l ( S Contractor License z _ 3 Phone: 52-37-5-17 Sub Contractors: ZZ 5 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): Construction Value: $ 77 4~7 R) Dessriptlon of Work` n (as calculated per the Building Valuation Data sheet) `yam 0- Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: . Squares X BTU's Gallons Amps