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7400 W. 34th Avenue
09/08/20 15:00 City of Wheat Ridge Page 1 of 1 bp435_Wr_pg.php/Job No: 35140 Print Inspection Cards USER: TODEAN Permit #: 201901357 Requested Date/Time: 09/08/20 12:00 Inspector #: ZT Actual Date/Time: IjI Z312 -02-D BY: Zrt Address: 7400 W 34th Ave, Wheat Ridge, CO 80033-6221 Parcel: 39-261-14-006 Description: Add 912 sq ft master suite Lot: Block: 0 Location: B!#0009809 with bathroom, remodel Subdivision: BARTHS, COULEHAN GRANGE, WHEAT Contact: SHAFFER MICHAEL (314)805-9294 Company: Inspection Type: 417 ZONING FINAL INSPECTION CIRCLE ONE : COMPLETE INCOMPLETE PARTIAL CANCEL REQD: 09/08/20 12:00 BY: ZT STATUS: TYPE: 417 -ZONING FINAL INSPECTION i._ CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 3 F1 Job Address: 7`/0 D VI/ 4-1 /4v� Permit Number: 20I ©J ( 7 ❑ No one available for inspection: Time ?,'/0 M Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http✓/www.ci.wheatridge.co.us inspection Date: 011161T1%�r� Inspector: .51-4 DO NOT REMOVE THIS NOTICE 41 City of Wheat Ridge Residential Addition PERMIT - 201901357 PERMIT NO: 201901357 ISSUED: 09/09/2019 JOB ADDRESS: 7400 W 34th Ave EXPIRES: 10/08/2020 JOB DESCRIPTION: Add 912 sq ft master suite with bathroom, remodel existing family room and entire house **REVISION 5/21/2020: change from french door to two windows in master bedroom, vaulted ceiling in living room area, add window in bathroom and, modify closet in two bedrooms (make closets wider); Added valuation: $3,000.00 *** 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. As part of the foundation inspection and PRIOR to the placement of concrete and before proceeding with any further construction, a completed, signed and sealed, Foundation Setback and Elevation Certification shall be submitted to the City for review. The certification form shall be fully completed by a Professional Land Surveyor licensed in the state of Colorado, stating that the foundation was constructed in compliance with all applicable minimum setback and elevation requirements of the City. Owner/Contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. Landscaping removed or damaged during construction must be replaced prior to final inspection. **REVISION: 200 AMP upgrade. No added valuation *** CONTACTS *** OWNER (314)805-9294 SHAFFER MICHAEL GC (720)233-6794 ARTURO CHACON 100303 ARTURO CHACON SUB (303)522-3872 LUIS MORGAN 110057 PROLINE PLUMBING LLC SUB (303)990-6466 JOSE ISABEL SAUCEDO 190189 INFINITY HEATING & AIR SUB (303)502-8481 DARREL GARCIA 180080 UNIQUE CONSTRUCTION AND ASSOC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 152,223.00 FEES Total Valuation 0.00 Plan Review Fee 958.04 Use Tax 3,196.68 Permit Fee 1,473.90 Engin. Review Fee 150.00 ** TOTAL ** 5,778.62 *** 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. As part of the foundation inspection and PRIOR to the placement of concrete and before proceeding with any further construction, a completed, signed and sealed, Foundation Setback and Elevation Certification shall be submitted to the City for review. The certification form shall be fully completed by a Professional Land Surveyor licensed in the state of Colorado, stating that the foundation was constructed in compliance with all applicable minimum setback and elevation requirements of the City. Owner/Contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. Landscaping removed or damaged during construction must be replaced prior to final inspection. ► , City of Wheat Ridge Residential Addition PERMIT - 201901357 r PERMIT NO: 201901357 ISSUED: 09/09/2019 JOB ADDRESS: 7400 W 34th Ave EXPIRES: 10/08/2020 JOB DESCRIPTION: Add 912 sq ft master suite with bathroom, remodel existing family room and entire house **REVISION 5/21/2020: change from french door to two windows in master bedroom, vaulted ceiling in living room area, add window in bathroom and, modify closet in two bedrooms (make closets wider); Added valuation: $3,000.00 **REVISION: 200 AMP upgrade. No added valuation 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 authonzed by the legal owner of the property and t authorized to obtain this permit and perform the work described and approved in conjunction with this permit. 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 andmay be subject to a fee equal to one-half of the original permit fee. i 3. If this pe it 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, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MIDST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. t City of Wheat R0(w COMMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 291h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Permit Extension Request Form Permits 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 may 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. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. Please complete this form in its entirety and submit to the Building Division at permits ,ci.wheatrid eg co.us or fax to 303-237-8929. Party requesting permit extension: Arturo Chacon Permit # 201901357 Phone # 720-233-6794 Property Address: 7400 W 34th Ave. Wheat Ridge, CO 80033 Email Address: ahchacon68@aol.com Reason for extension request: Need to schedule zoning inspection and final inspection Number of days requested: 30 Printed Name: Arturo Chacon Signature: 4t&" Date: 09/08/2020 For office use only This request has been: XApproved ❑ Denied Extended until: 10/08/2020 Approved by: I L4 A' Date: 9/08/2020 www.ci.wheatridge.co.0 s City of Wheat Ridge Residential Addition PERMIT - 201901357 PERMIT NO: 201901357 ISSUED: 09/09/2019 JOB ADDRESS: 7400 W 34th Ave EXPIRES: 10/08/2020 JOB DESCRIPTION: Add 912 sq ft master suite with bathroom, remodel existing family room and entire house **REVISION 5/21/2020: change from french door to two windows in master bedroom, vaulted ceiling in living room area, add window in bathroom and, modify closet in two bedrooms (make closets wider); Added valuation: $3,000.00 **REVISION: 200 AMP upgrade. No added valuation *** CONTACTS *** OWNER (314)805-9294 SHAFFER MICHAEL GC (720)233-6794 ARTURO CHACON 100303 ARTURO CHACON SUB (303)522-3872 LUIS MORGAN 110057 PROLINE PLUMBING LLC SUB (303)990-6466 JOSE ISABEL SAUCEDO 190189 INFINITY HEATING & AIR SUB (303)502-8481 DARREL GARCIA 180080 UNIQUE CONSTRUCTION AND ASSOC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 152,223.00 FEES Total Valuation 0.00 Plan Review Fee 958.04 Use Tax 3,196.68 Permit Fee 1,473.90 Engin. Review Fee 150.00 ** TOTAL ** 5,778.62 *** 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. As part of the foundation inspection and PRIOR to the placement of concrete and before proceeding with any further construction, a completed, signed and sealed, Foundation Setback and Elevation Certification shall be submitted to the City for review. The certification form shall be fully completed by a Professional Land Surveyor licensed in the state of Colorado, stating that the foundation was constructed in compliance with all applicable minimum setback and elevation requirements of the City. Owner/Contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. Landscaping removed or damaged during construction must be replaced prior to final inspection. **REVISION 5/21/2020: change from french door to two windows in master bedroom, vaulted ceiling in living room area, add window in bathroom and, modify closet in two bedrooms (make closets wider); Added valuation: $3,000.00 **REVISION: 200 AMP upgrade. No added valuation 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 partes 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 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 -;cies 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 originalpermit fee. 3, If this permit expires, anew permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature ofrhief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge Residential Addition PERMIT - 201901357 PERMIT NO: 201901357 ISSUED: 09/09/2019 JOB ADDRESS: 7400 W 34th Ave EXPIRES: 10/08/2020 JOB DESCRIPTION: Add 912 sq ft master suite with bathroom, remodel existing family room and entire house **REVISION 5/21/2020: change from french door to two windows in master bedroom, vaulted ceiling in living room area, add window in bathroom and, modify closet in two bedrooms (make closets wider); Added valuation: $3,000.00 **REVISION: 200 AMP upgrade. No added valuation 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 partes 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 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 -;cies 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 originalpermit fee. 3, If this permit expires, anew permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature ofrhief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat fZjJge COMMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 291h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Permit Extension Request Form Permits 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 may 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. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. Please complete this form in its entirety and submit to the Building Division at permitsAci.wheatridge.co.us or fax to 303-237-8929. Party requesting permit extension: Arturo Chacon Permit # 201901357 Phone # 720-233-6794 Property Address: 7400 W 34th Ave. Wheat Ridge, CO 80033 Email Address: ahchacon68@aol.com Reason for extension request: Need to schedule zoning inspection and final inspection Number of days requested: 30 Printed Name: Arturo Chacon Signature: .c44 a �� Date: 09/08/2020 For office use only 1. This request has been: XApproved ❑ Denied Extended until: 10/08/2020 Approved by: Date: 9/08/2020 ' F www. ci. w heatridge. co. u s i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 9 F1 Job Address: Z -V00 ke Permit Number: 2�0/ f2 <5� f _? -5- % . O , ❑ No one available for inspection: Time �L AM/PM • Re -Inspection require Yes o When corrections have been made, schedule for re -inspection online at: http://www. ci. wheatridge. co. uslinspection Date: �/� Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 9 C, (-_ P % / `.-I /` / Job Address: zlo 0 w Permit Number: ZeV/ C_^ / POP Z_429,1,22 Ar- e f•- r ❑ No one available for inspection: Time ,AM'/PM Re -Inspection required: Yes ,�Io When corrections have been made, schedule for re -inspection online at: httpYA,vww.ci.wheatridge.co.us inspection Date: 1/1_._/..�rInspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office IIP TION NOTICE Inspection Type: 405 FT"1q.C__ - Job Address: ef' Permit Number: i ❑ No one available for inspection: Tirne/AM413M Re -Inspection required: Yes Nom When corrections have been made, spiydule for re -inspection online at: httpJ/www.ci.wheatridge.co.usdnspe titii C i CITY OF WHEAT RIDGE w Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: M Fl Job Address: _7t ®Oy✓ .� ��-- /� V2 Permit Number: 0 S % ��, Pd- Ufa i✓ �_ X=>c�'r,- r -� - F:111 �"�' r' /'�'' 1 /fir_', rt� .� � ,� t+ �v;• <, cam' �.t� ..�i� �. ❑ No one available for inspection: Time " 2 '�j M/ M Re -Inspection required: 16EVNo When corrections have been made, schedule for re -inspection online at: http://www, ci. wheatridge. co. uslinspection Date: 26�Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: YY - Job Address: _7'_-&T_t- ` Permit Number:.-�..-�-. f ❑ No one available for inspection: Time Re -Inspection require Yep No When corrections have been made, Bch ule for r".5.� _,MI 6 O&M i online at: i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Time AM/PM Re -Inspection required: ;Yes No When corrections have been made, sclWdule for re -inspection online at. hUpJ/www.ci.wheatridge.co.usllnspe�ta�,,� T- •� , From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Revision to Permit Application Date: Wednesday, May 20, 2020 3:18:08 PM Revision to Permit Application Permit Number 201901357 assigned to project PROPERTY INFORMATION Permit Number 201901357 Property Address 7400 W 34th Ave. Property Owner Name Mike & Caroline Schaffer Property Owner Phone 314-805-9294 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email cwuestling@gmail.com Address CONTRACTOR INFORMATION Contact Name victor Contact Phone Number 720-323-6070 (enter WITH dashes, eg 303-123-4567) Contact Email Address victormvarguez@hotmail.com Retype Contact Email victormvarguez@hotmail.com Address DESCRIPTION OF WORK Detailed Revised change from french door to two windows in master bedroom, Scope of Work - vaulted ceiling in living room area, add window in bathroom and, Provide a detailed modify closet in two bedrooms (make closets wider) description of work including mechanical, electrical, plumbing work occurring, adding/removing walls, etc Engineer Letter (if applicable) Additional Documents on Letter Size Are plans or documents locked for editing? Construction Plans scanned on 11'x17" or larger Additional Project Value Only add what the revised scope of work is valued at. Field not completed. No $3,000 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 work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to 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. Person Submitting Arturo chacon Revision Email not displaying correctly? View it in your browser. m 2 WE awn wel Lc-r*tA- 1.1 &,.t C: Uwe 915 PIS IrF-c- - "I w Pefev/ti ANOTt. "'�r c4ogo Pwr, i L I --------- ROOF FRAMING PLAN. - Scale 1/4" V — 0" REVISION CONSTRUCTION June 19, 2019 City of Wheat Ridge SHEET Building Division A6 OF 7 !e tic MI6.. REVISION CONSTRUCTION June 19, 2419 City ofSHtr. T s t0 O 00 a V t 'AAML M N g ANN ■ c O CJ E 00 v 2• CcE i 1 V -a O (D s:. CD -(D C 4-0 00 cts O O .c , Li O O > V = O qtcrM U 00Uj t!3 400 M co 0 3: O ® Vcc :3 5 •= QJ !e tic MI6.. REVISION CONSTRUCTION June 19, 2419 City ofSHtr. T i w p i every w _. _. w....,_. _ y .•....�... .,.. r ® _®�z lip � Ta �t Note: Field Verify existing foundation at garage perimeter. Provide foundation gall for floor framing as required. GARAGE i r �- -� CRAWL SPACE (NEW) i 1-tW OTC Id 8/t if �® !sr Pj54CVlAKqt 50ti rr(t2cls-r.) all To eXr, r CRAWL SPACE (NEW) , - ppw �`GTt®� 00 c5c�r�E WNL _�' � �'• CRAWL SPACE (EXISTING) e _ums tea. (FLOS44 F M $' _.. ,ter �s � �.a�.. a c. A4J-- �i —• ( A0-C6SS ML's ftMMW,ttjq Wim-) NSU . well w • p f .w • sS &.) i ' P y t 3 t� (i OW s; sell 0 1, .ese ® Q f y 1! _ _._.._ W '® aztet . j ofsr• A - SECTION thru STRUCTURE off AA z7lZ�l1J A dww� j' REVISION CONSTRUCTION June 19, 2019 City of SHEET A5 OF 7 Wheat Ridge Building Division NORTH mem- mr.. •.w•�sr am+®aa.. w .rm.®n ELEVATION ' gale 8899 = I® w �®99 aEAST ELEVATION Scale 1/4" ® 9 ® 99 SOUTH ELEVATION Scale 1/4" = V— 0" C GENERAL NOTES/ EXTERIOR D� Note Number 1. FACE BRICK /EXISTING 2. BRICK VENEER TO MATCH EXISTING 3. HARDBOARD LAP SIDING ! 81NCH EXPOSURE 4. HARDBOARD SIDING PANELS /VERTICAL PATTERN! MATCH EXISTING 5. HARDBOARD TRIM SURROUND 6. EXISTING COLUMN SUPPORT TO BE ENCLOSED WITH FRAMING AND HARDBOARD 7. MATCH EXISTING FASCIA BOARD 8. VERIFY EXISTING ROOF SLOPE 6:12 PITCH 9. OVERFRAME AREA OF EXISTING ROOF 10.INSTALL NEW GUTTERS AND DOWNSPOUTS 11. CONCRETE STEP AT .DOOR OPENING 12.CONCRETE STOOP TO EXISTING DRIVE 13.VERIFY VERTICAL RISE / APPROX. 6 INCH RISERS 14.COMPOSITION SHINGLES MATCH EXISTING 15. VINYL WINDOW UNIT /REFER TO PLAN FOR NOM. SIZE 16. VINYL SLIDING GLASS PATIO DOOR 17.VERIFY EXISTING MASONRY OPENING INSTALL NEW WINDOW UNIT 18. WINDOW UNITS TO MEET EGRESS REQUIREMENTS FOR SLEEPING ROOMS 19.RELOCATED WINDOW UNITS /FIELD VERIFY 20. EXTERIOR WALL MOUNTED LIGHT FIXTURE !SELECTION BY OWNER r r / REVISION June 19, 2019 City of SHEET Wheat Ridge A4 7 Building Division F 17 F -1-7 Ij"lrePF r - Al? MAW07,4�. At I?-Eo%v, Y^PP. Zlk tsAw cur EXIST r .mom I cr. le,�er. vvA u. CT F ts ti ^I kO - I) V, GENERAL NOTES/ DEMOLITION Note Number 1. REMOVE EXISTING WINDOW UNITS 1 STOCKPILE TO BE REINSTALLED ZLO 2. REMOVE EXISTING MECHANICAL EQUIPMENT u T. 3. REMOVE EXISTING DOORS / STOCKPILE I L w 5 stfawm 4. EXISTING HARDWOOD FLOORS / PROVIDE PROTECTION TO BE RETAINED MCI sori r4j. M4t, 5. REMOVE EXISTING FLOOR COVERINGS 6. REMOVE EXISTING CABINETS / STOCK PILE/ VERIFY WITH OWNER 7. REMOVE PLUMBING FIXTURES 8. REMOVE EXISTING WALLS AS NOTED 9. RELOCATE EXISTING ELECTRICAL SERVICE ®W W OF 0( Kr, Or 9 ICIdfw V/ VP ef-f 2, W Lt,1l-1A-ycct - v ptr-y r -)Els -r- ia rovvt-lu LeuwveN 4,-vope- pmivE -!"l 65vor e*j lu 13 m4ftzj� Ll '01 ew. MOO sy P -V v o 51-0 W -5-A3 F+W, wA-u- vem r -Y: ---r f- - - ------- MA-P4T—P-Y 9>kposel --- ------ KE -W - CS -a" F:j?.&H OPP"HAMY. (To 11-417 77'* ------ -- m__. NORTH A SECTIONFLOOR PLAN DEMOLITION (Existing) Scale 1/2" =1 1 -off Scale 1/4" - V- 0" City of Wheat Ridge Building Division REVISION vvr,Lex ex - tpp (63rar + %.OvV, rop GARAGEPO\ NDER 4 offM11111 AM Isr. wtwcwt"St, I F-y1r, (A 3 t w x z 1-)_ x to mr; M, I I I I IF BASE: 511 MDF, #603, OR SIMILAR, U.O.N LoDui CASING & APRON: 1 X 4, MDF STOCK, PRIMED CAU ""re p L - ----------- SILL: 1 X 8 OR AS NEEDED, MDF STOCK, PRIMED L\> to I 51/z It INTERIOR DOORS: MASONITE LOGAN, 2 PANEL, SOLID CORE OR SIMILAR, BLACK HINGES, SCHLAGE ADDISON TRIM WITH k 1-Y tt steps (Vo 10 -,rp j,00Fr-1 V- Lee. EXTERIOR DOOR FRONT -rU= RAA -r Of)j2l f'%Q WAcUL— ANDOVER KNOB, BLACK KITCHEN PLAN LAYOUT Scale 1/2" - If - off 1z SCHLAGE CENTURY HANDLESET, BLACK TOILE LAVS EXTERIOR DOOR: KITCHEN, THERMATRU S6021 OR SIMILAR SCHLAGE TOUCHSCREEN KEYLESS BOWERY LEVER, CENTURY BEDROOM - 2 TRIM, BLACK AND MATCHING DEADBOLT MAIN ENTRY MASTER BATH "W'TE - EXTERIOR DOOR: GARAGE, THERMATRU 54800 OR SIMILAR REVISION SCHLAGE TOUCHSCREEN KEYLESS BOWERY LEVER, CENTURY TRIM, BLACK AND MATCHING DEADBOLT 'PORCHAV EXTERIOR FRENCH DOORS: SINGLE LITE, BLACK HINGES SCHLAGE ADDISON TRIM WITH ANDOVER KNOB, BLACK AND MATCHING DEADBOLT T 7 jtl It V./I Z, 7 A FLOOR FINISH SCHEDULE: mal 14ew I5;z1Ct.* 2.40Z 0 A W-1 NEW WOOD FLOOR, TO MATCH EXISTING T-1 MASTER TILE, T.B.D A-00 T-9 win-czBATH TILE, T.B.D y . . T-3 PANTRY/LAUNDRY TILE, T.B.D T-4 MUD ROOM TILE, T.B.D City of Wheat Ridge e Building Division CONSTRUCTION June 19, 2019 SHEET A2oF7 AAA SURVEYING LAND CONSULTANTS , LLC P.O. BOX 2016, CO 80107 303-579-7075/FAX 303-940-4927 IMPROVEMENT LOCATION CERTIFICATE ATTEN: REBEKAH CNOLAK 4 JOB NO. 18-0360 DA TE: 09/17/2018 FEE: $ 4 75. 00 CLIENT : ADDRESS: 7400 WEST 34TH AVENUE SCALE I"=40' " LEGAL DESCRIPTION LEGEND: (PER CLi EN T) x EXISTING FENCES LOT 20, CONNELLEE SUBDIVISION, COUNTY OF FOUND NAIL TAG JEFFERSON, STATE OF COLORADO. ® FOUND #4 REBAR -I- FOUND CROSS 7400 WEST 34TH AVENUE (50') o, 359. 1' ( 75.041 U) • ' � G'; I M � // I I � N � I�f 111 30' >=RONr (SETBACK (PLAT) I #7440 #7420 g91� 118.9'��s i3.2\o CNC , 9 gt of 100 #7380 #7340 \� 27.3' N1 rzi I \ONE SY (JI�It 1 I ,��� � II Q — x 21.7' 2.01 I Ij N I �' N I �I I� ILC IS BASED ON LINES OF m POSESSION AND R.Q. W. 's AS al SHOWN. ACCORDING TO MY INTERPRETATION OF COLORADO LAW A BOUNDARY SURVEY IS RECOMMENDED, WHICH MAY PRODUCE .._.._.._.._.._.._.._.._.._.. �.. DIFFERENT RESUL TS. I 25' REAR SETBACK (PLAT) 5' O.E. (PLAT) �k ,� 75.00' On the basis of my knowledge, information, and belief, I hereby certify that this improvement location certificate was prepared for that it is not a Land Survey Plat or Improvement Survey Plat and that it is not to be relied upon for the establishment of fence, building, or other future improvement lines. l further certify that the improvements on the above described parcel on this date, except utility connections, are entirely within the boundaries of the parcel, except as shown, that there are no encroachments upon the described premises by improvements on any adjoining premises, except as indicated, and that there is no apparent evidence or sign of any easement crossing or burdening of any part of said parcel except as noted. "NOTICE: According to Colorado law you must commence any legal action based upon any defect in this survey within three years after you first discover such defect. In no event may any action based upon any defect in this survey be commenced more than ten years from the date of the certification shown hereon." C 6. X t hall$ 9-17-18 A EYF NOTE: a£;r� ILC IS DRAWN USING PLATTED ANGLS OR BEARINGS ANDEDIMENSiONS. ALL TIES SHOWN TO PROPERTY LINES ARE RICHARD E. HEiNZ, P. L. S. #16116 MORE OR LESS .6 A• City of - Wheat�e COMMUNITY DEVEL01-MENT APPROVED Reviewed for Code Compliance Randy Slusser 5/26/2020 Plans Examinb, Date Validity of oermlt: The issuance of a perm* or *provd of plata spec#katbm and computobons shag not be a petit for, or an opprova# of any violation to any of the provisions of the budding code or of o{W City ordsamwes. Permits presunwng to give authority to violoAe or cancel the prw Dom of the i coda or other ortanoeom of the city shoo not be vagal REVISION CODES City of Wheat Ridge Adopted Codes & Amendments Codes Effective July 1, 2018 City of Wheat Ridge will be enforcing the 2017 National Electrical Code, as adopted by the State of Colorado. Effective July 1, 2018 City of Wheat Ridge will be enforcing the State of Colorado adopted Plumbing Code and Colorado Fuel Gas Code. Effective December 1, 2014 mid -roof inspections will be required for all asphalt roof coverings. Effective December 1, 2014 Building & Inspection Services switched to the 2012 International Codes as adopted by City Council on October 13, 2014. Amendments to each are listed below: * 2012 International Building Code Amendments * 2012 International Mechanical Code Amendments * 2012 International Plumbing Code Amendments * 2012 international Energy (conservation Code Amendments * 2012 International Residential Code Amendments * 2012 International Fire Code Amendments * 2012 International Fuel Gas Code Amendments * 2014 National Electrical Code Amendments * 2012 International Property Maintenance Code Amendments NFPA 99 Standards for Health Care Facilities, 2015 Edition Uniform Code for the Abatement of Dangerous Buildings, 1997 Edition Attic Access: 22" X 30" Crawl Space Access: 18" X 24" Drywall: Screws: 12" on ceilings Nails: 7" on ceilings 16" on walls framed 16" on center 8" on walls 12" on walls framed 24" on center Frost Level: 36" below grade Snow Load: 30 Lbs. Sq. Ft., 30 Lbs. Drift Wind Load: 105 MPH 3 -second wind gust Exposure: C . Seismic Zone: B Insulation: R-20 walls Window:.32 R-49 ceilings R-19 crawlspaces Minimum Space Heating System -- Replacements: Gas Furnaces 80% AFUE (sized Manual S) Gas Boilers 80% AFUE New Construction: Gas Furnaces 80% AFUE Gas Boilers 80% AFUE Ducts: Non -Conditioned Space R-6 Outside Building R-8 Water Heaters: High & Low combustion air ducting is required at a rate of 1 sq. in. per 2000 BTUs Arc Fault: ARC Fault required on all outlets per 2017 NEC Attic/Crawl Space Venting: 1 Sq. Ft. of vent per 150 Sq. Ft of space vented Vapor Barrier: Required under all slabs under habitable space Roofing: Ice and Water shield two (2) feet in from exterior wall (eaves); 6 nails per shingle required; 2 layers allowed, must tear off ail layers if doing any tear -off. See Policy BD -10-002 for additional requirements. Flat Work: Minimum 4" depth for all residential work Foundation Standards: Engineered design and Inspection required by engineer of record. Windows: All new windows shall meet egress except windows in existing basement bedrooms. (5.7 Sq. Ft. of openable space). Window height from floor to openable area on window max height is 44". All existing windows shall comply with Policy BD -10-003. Sec. 26-209. Residential -Two District (R-2). A. Intent and purpose: This district is established to provide high quality, safe, quiet and stable low to moderate -density residential neighborhoods, and to prohibit activities of any nature which are incompatible with the residential character. B. Development standards: vc�uavn h7 (C) ` (C) Principal Buildings - • Address 7400 W. 34th Avenue r Zone District Residential -Two (R-2) Occupancy Group Single Family Residential Type of Construction V B Non -Rated Height One Story Legal Description Lot 20 Connellee Subdivision, County of Jefferson, State of Colorado Lot Area (75.00'X 202`) = 15,150 SF Building Calculations Existing Structure 1,399 SF Addition 912 SF Garage 480 SF 2,791SF Allowable Building Coverage 40% x 15,150 SF (Max. Coverage) = 6,060 S Lot Coverage = 2,791 SF (18.42%) may! [i s I i i PON SITE MUST BE ON SITE FOR INSPECTION ALL Projects. are 4 Subject to Field Inspections e/ E v�@ W T46 t.0 (ff t0 00 Cc co E CG i a 0 v101111111 O%do i.. U v f ® eC LL Ce) r Q� CDLL der t rmkl sr. 1?t NhiiCcj ' -"yam!?7cfTH Z Il d To iwamAjw. 1 i ..—. o.....7 ko Rix VP 1�• j t O $1jIZ.YtcY 1 it W1" Ul Stoop � p 22 S Patio 320 SF v �`01 Porch 96 S 2 �w j Driveway 1,290 SF ,1 A5C_H "T 4 Total Hard Surface 1 728 SF L Total Builsing Area 2,791 SF TOTAL 4.519 SF Lot Coverage = 4,519 SF (74.5%) Open Area = 1,541 SF (25.5%) j 8 PROVIDE SITE LOCATION OF ALL EXISTING SERVICE LINES PRIOR TO EXCAVATION W. i _ NORTH cale 1/8" =1 V— 0" CONSTRUCTION June 19, 2019 SHEET Al of 7 May 1, 2020 City of Wheat Ridge Building Department 7500 W. 29 h Ave. Wheat Ridge, CO 80033 Re: 7400 W. 34th Place Wheat Ridge, CO 80033 Residential Remodel Dear Sir: City of ]V•• W cormMUNIiYE�V'Ea MEN APPROVED Randy Slusser 5/26/2020 Plans Examiner Date Validity of venni: 7fyt issuance of a pe►mRor approval ofpions spec4katlone and computations shah not be a permit for, or art approval of any violation tv any of the provisions of the buddMg code or of aW Cay aedinonces. Permits presuming to give authority to v(olollt or cancel the pravAlm of tie iutfsJitg codes or other ordin000et of the City shall not be valid. Architects Engineers 2727 BRYANO'S'F��7-,U1 SUM' 6i0 F)FNVFR; CO 303 4;35 '> .. r ON SITE PLANS MUST BE ON SITE FOR INSPECTION ALL Projects are Subject to Field Inspections This letter is to confirm that our office provided design changes to the permitted project and have observed the field framing at the referenced address. This letter is in addition to our recommendations outlined in the letter dated October 30, 2020. The purpose of this visit was to observe the design changes and view the nearly completed framing. The follow list is a summary of our observations, 1. Attic Mechanical Unit at Northeast Bedroom Attic framing at the mechanical unit is sufficient. Ceiling joists included joist hangers and -the main supporting beam is sufficiently supported at the masonry wall and with stud packs. 2. Crawlspace Spot Footings and Posts Additional spot footing and posts specified by this office were in place and satisfactory. 3. Vaulted Living Room Framing and Ridge Beam The ridge beam, supporting end posts, sistered LVL roof rafters, and rafter bearing and hangers were installed as specified by this office. End posts were also supported down through -the floor to new concrete spot footing noted in item 2 above. No additional remediation required. 4. Attic Framing at Northwest Bedroom The LVL supporting the new roof joists, attic framing, and bearing supports are sufficient. The double LVL header at the west window is also sufficient. 5. Exterior Wall Connections The stud wall bolts to the existing masonry walls are sufficient. These joints have also been draft sealed with expansive foam insulation. 6. Master Bedroom Windows and Doors The southwest bedroom now includes alternate windows and doors. The alternates did not change the intention of the original framing and are sufficient. No additional framing specified. Please feel free to call me if you have any questions. Thank you. ZP Architects Engineers, Inc. , 4)4 William J. Logan, P.E. Principal Engineer .3170 • e Z 19-051 7400 W 34th Ave 5 -01-2020. docx i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office �v INSPECTION NOTICE Inspection Type: Job Address: lel Permit Number: Zn / 3S.7 ❑ No one available for inspection: Time �' r910 Re -Inspection required: Yes /NO/' When corrections have been made, schedule for re -inspection online at: h ttp://www, c% whea tridge, co, uslinspection Date:_ l-Z-,:?Oe'67 Inspector: S7>0 DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office �•, j�ri INSPECTION NOTICE / 42 '-.?d Inspection Type: D k/_S Job Address: 7 % P® Permit Number: -Z0 / q C? ❑ No one available for inspection: Time `r M/0M Re -Inspection required: Yes ro l_0 When corrections have been made, schedule for re -inspection online at: http://www.ci. wheatridge.co. uslinspection Date: aInspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: 2,21le-1 o U No one available for inspection: Time IwPM Re -inspection required: Yes No When corrections have been made, schedule for re -inspection online at. http✓/www.ci. wheatridge. co. usrinspection Date:— Inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE' . . . Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: '74440 Permit Number: -7 L) No one available for inspection: Time M M Re -inspection required: Yes Go% When corrections have been made, schedule for re -inspection online at: httpYA,vww. ci. wheatridge. co. usfiInspection Date: Inspector: DO NOT REMOVE THIS NOTICE VA, CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: r, v Job Address: --"4! Permit Number: -7 IJ No one available for inspection: Time Re -Inspection required: (S) No When corrections have been made, schedule for re -inspection online at: http://ivww.ci. wheatridge. co. uslinspection Date Inspector DO NOT REMOVE THIS NOTICE "* � A ` City of Wheat Ridge Residential Addition PERMIT - 201901357 PERMIT NO: 201901357 ISSUED: 09/09/2019 JOB ADDRESS: 7400 W 34th Ave EXPIRES: 09/08/2020 JOB DESCRIPTION: Add 912 sq ft master suite with bathroom, remodel existing family room and entire house **REVISION 5/21/2020: change from french door to two windows in master bedroom, vaulted ceiling in living room area, add window in bathroom and, modify closet in two bedrooms (make closets wider); Added valuation: $3,000.00 *** CONTACTS *** OWNER (314)805-9294 SHAFFER MICHAEL GC (720)233-6794 ARTURO CHACON 100303 ARTURO CHACON SUB (303)522-3872 LUIS MORGAN 110057 PROLINE PLUMBING LLC SUB (303)990-6466 JOSE ISABEL SAUCEDO 190189 INFINITY HEATING & AIR SUB (303)502-8481 DARREL GARCIA 180080 UNIQUE CONSTRUCTION AND ASSOC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 152,223.00 FEES Total Valuation 0.00 Plan Review Fee 958.04 Use Tax 3,196.68 Permit Fee 1,473.90 Engin. Review Fee 150.00 ** TOTAL ** 5,778.62 *** 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. As part of the foundation inspection and PRIOR to the placement of concrete and before proceeding with any further construction, a completed, signed and sealed, Foundation Setback and Elevation Certification shall be submitted to the City for review. The certification form shall be fully completed by a Professional Land Surveyor licensed in the state of Colorado, stating that the foundation was constructed in compliance with all applicable minimum setback and elevation requirements of the City. Owner/Contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. Landscaping removed or damaged during construction must be replaced prior to final inspection. City o� Whoat Ridge O6/O4/2O2O 1O 45 0U� A�912sq�m��r CDAO22O2O 8PSP ?4OO W J4th Avo 94.Y3 APPL/PEKMlT �O� ?0\901357 PAYMEHT KECEIVEU AMOUNT Y4 ' 93 rP / 9�48 AUTH C08E: 76O93197 City of Wheat Ridge Residential Addition PERMIT -201901357 PERMIT NO: 201901357 ISSUED: 09/09/2019 JOB ADDRESS: 7400 W 34th Ave EXPIRES: 09/08/2020 JOB DESCRIPTION: Add 912 sq ft master suite with bathroom, remodel existing family room and entire house **REVISION 5/21/2020: change from french door to two windows in master bedroom, vaulted ceiling in living room area, add window in bathroom and, modify closet in two bedrooms (make closets wider); Added valuation: $3,000.00 I, by my signature, do heattest 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 perfonn the work described and approved in conjunction with this permit. 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 perfornled is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. 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 originalpenmt 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 pen -nits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: /'I: C-11 3 5 7 J No one available for inspection: Time (AM/PM Re -Inspection required: Yes,, 16 ill When corrections have been a dule fdr_�d4hipedltidd"olirMe at: http:lAvww.ci.wheatridge.co.us4�nspec�tio Date:- t ' - , I - _1 - -, �� I - Inspector: /V DO NOT REMOVE THIS NOTICE 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: _70Z &/,' /�'? Job Address: 7'151C ul. 3Al2 Permit Number: 7611cl C// 35' 7 Z7� J No one available for inspection: Time A Re -Inspection required: i,_Yes No When corrections have been made, schedule for re -inspection online at: http.lAvww.cLwheatridge.co.uslinspection Date: — Inspector: DO NOT REMOVE THIS NOTICE i.. CITY OF WHEAT RIDGE. Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax Wo --3d3- (oa7o. INSPECTION NOTICE Inspection Type: ,.,, I A h L Job Address: 7V ��¢`' Ay -r. Permit Number: aolq ®13'5_% ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes C.:=01-/ When corrections have been made, call for re -inspection at 303-234-5933 Date: �_) �_ D 0 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: 10 -- N ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http:l/www. ci. wheatridge. co. usrnspection Date: Inspector: DO NOT REMOVE THIS NOTICE 'i i CITY SOF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: � L 1 7':�r-- Job Address:? . y4:� . Permit Number: ❑ No one available for inspectiop-e AMt PM Re -Inspection required: Yes e�No When corrections have been made, �shedu"r re -inspection online at: http✓/www. ci. wheatridge. co. usfiInspection DateZ_��.-'-7-x-� Inspector: -- r DO NOT REMOVE THIS NOTICE f�� i CITY OF WHEAT RIDGE Building Insp�ction Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: ''7 4 Permit Number: ,�;;ao} Wi-3 ❑ No one available for inspection%Timef. s' M Re -Inspection required: Yes:-- No,,/ When corrections have been m ale; scd ule for re -inspection online at: httpJ/www.ci. wheatridge.co. ualinspection Date:,,�Inspector: DO NOT REMOVE THIS NOTICE �o� q City of ®Z WheatFjgge mmuNITY DmwrMENT City of Wheat Ridge Municipal Building 7500 W. 20 Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2846 F: 303.235.2857 THIS FORM FOR RESIDENTIAL PROJECTS ONLY FOUNDATION SETBACK AND ELEVATION CERTIFICATION This form, including the Exhibit on the reverse side, must be fully completed by a Professional Land Surveyor licensed in the State of Colorado. This Certification must be submitted for review and approval prior to the placement of concrete and before proceeding with any further construction. DATE: 11/21/2019 PERMIT# 201901357 ADDRESS: 7400 W 34th Ave. Wheat Ridge, CO 80033 LOT 0020 . BLOCK 9 164200 CONNELLEE SUBDIVISION I hereby certify that the elevation and location of the recently constructed structural foundation for the above property described above has been measured by me or directly under my supervision. The foundation setbacks and elevations for all recently constructed building corners as stated herein have been found by me to be in compliance with all civil engineering and Building Permit construction plans as approved by the City of Wheat Ridge. The MINIMUM SETBACK DISTANCES from the property lines are determined to be: FRONT: 35.3' REAR: 106.4' SIDE: 5.5' SIDE: 5.0' If in floodplain, the MINIMUM ELEVATION determined to be: NA (NAVD88). The above measurements have been determined on the following location: Check only one: --.L--Top of proposed foundation prior to placement of concrete Top of foundation subsequent to placement of concrete The setback and elevation measurement locations are identified on the attached exhibit. Signed A&&A.c l yi49 v r Print Richard E. Heinz Professional Surveyor f v Bile i= cr 12-10-19 r AL LAN'0.,,�<<'r Date 12-10-19 FOR OFFICE SE ONLY Approved by: 6pedow, Date www.ci.wheatridge.co.us Rev 09/18 EXHIBIT FLOW O SOUTH SIDE OF STREET V------------------------ 'd I 75.0q', — — 30 FROI��I�ETBACK (PLA I 1 Qq�1. 2 13.2' o CONC IeT•21 An 1E` 27.3' iNN ' F rn EXISTING a ig S o ONE STORY 2 BRICK , 21.7' 2.0'1 I I aaTu.Kir �ro NEW IOF00TM I I IY 97.10 cng1v ADDITION I � p1 A7UUt U!ff lg I I N ?� 9R.T7• V .e I O--z1.r__ C C y C I �v gAJi' I i ic,l Im vl Iv yl I� I � I I � I I I I I 25 EAR SETBACK (PLAT) i I ( i I L— — 5' U.E. ()LAT) �,. --- 7rin0'— �'.. NOTICE TO SURVEYOR: 1. Elevations shall be shown for ALL foundation corers. ?.Foundation corers with nininunt elevation and setback distance shall be identified. 3. Drawing must be properly oriented (North = top of page). 4. Show the roadway in front of the property. 5. If drawing is to -scale, provide the scale. If not to -scale show as N.T.S. 2 v i SCALE N. T. S. i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE 3 ;2[– Inspection Type: ,r? r` al--, -d t-1— Job Address: Pv it Nurn er: t Date: zr � '" Inspector: DO NOT REMOVE THIS NOTICE � 0 ❑ No one available for inspection: Ti me Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: h ftp✓/www. ci. wheatridge. co. uslinspection Date: zr � '" Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE ./ 5 C- r— ;;-,4 Inspection Type: 0 fE Job Address: Permit Number: Q� %"/ ❑ No one available for inspection: TimedAM/FSM Re -Inspection required: Ye No { When corrections have been made, schedule for re -inspection online at: http.l www. ci. wheatridge. co, uslinspection Date:/',---- r � �I Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE ./ 5 C- r— ;;-,4 Inspection Type: 0 fE Job Address: Permit Number: Q� %"/ ❑ No one available for inspection: TimedAM/FSM Re -Inspection required: Ye No { When corrections have been made, schedule for re -inspection online at: http.l www. ci. wheatridge. co, uslinspection Date:/',---- r � �I Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: __� S - F -r, n I, ., Q Job Address: y00 W 9 'L Permit Number: _2V I Wil' 1 si F c- I's I/,0 _ f� t -� ❑ No one available for inspection: Time q -�- L)) PM Re -Inspection required: Yes 0 When corrections have been made, schedule for re -inspection online at: http://www. ci. wheatridge. co. us4nspection Date:-/) d5,—)L9 Inspector: DO NOT REMOVE THIS NOTICE City of "� Wheat 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: NO ,iN 3 HMYiV2 . Permit #: 20 /9 013 S 4 General Contractor:-�lc"I�U"�© C,HA(.OiJ Electrical Sub -Contractor U tV IQVr, Lp-,�ip�J CTI�e) Company Name: a D �}SSoCI &_�� Phone #: 302t3lM f State License #: I 0D2 s"c3 Master #: 49 S Z y Wh=IdgelcenDUn f'$C� (required field) 6 2C3 SigVturf Auth zed Agent Date Plumbing Sub -Contractor Company Name: Phone #: State License #: Master Wheat Ridge License#: (required Geld) Signature of Authorized Agent Mechanical Contractor Date Company Name: Phone: Wheat Ridge License #: (required field) Signature of Authorized Agent Date City of "� Wheat 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: NO ,iN 3 HMYiV2 . Permit #: 20 /9 013 S 4 General Contractor:-�lc"I�U"�© C,HA(.OiJ Electrical Sub -Contractor U tV IQVr, Lp-,�ip�J CTI�e) Company Name: a D �}SSoCI &_�� Phone #: 302t3lM f State License #: I 0D2 s"c3 Master #: 49 S Z y Wh=IdgelcenDUn f'$C� (required field) 6 2C3 SigVturf Auth zed Agent Date Plumbing Sub -Contractor Company Name: Phone #: State License #: Master Wheat Ridge License#: (required Geld) Signature of Authorized Agent Mechanical Contractor Date Company Name: Phone: Wheat Ridge License #: (required field) Signature of Authorized Agent Date City of Wheat Ridge Residential Addition PERMIT - 201901357 PERMIT NO: 201901357 ISSUED: 09/09/2019 JOB ADDRESS: 7400 W 34th Ave EXPIRES: 09/08/2020 JOB DESCRIPTION: Add 912 sq ft master suite with bathroom, remodel existing family room and entire house *** CONTACTS *** FEES Total Valuation OWNER (314)805-9294 SHAFFER MICHAEL 945.46 Use Tax GC (720)233-6794 ARTURO CHACON 100303 ARTURO CHACON SUB (303)659-3143 ALEJANDRO GUERRERO 021696 RAYO ELECTRIC, INC. SUB (303)522-3872 LUIS MORGAN 110057 PROLINE PLUMBING LLC SUB (303)990-6466 JOSE ISABEL SAUCEDO 190189 INFINITY HEATING & AIR *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED FEES Total Valuation 0.00 Plan Review Fee 945.46 Use Tax 3,133.68 Permit Fee 1,454.55 Engin. Review Fee 150.00 ** TOTAL ** 5,683.69 *** COMMENTS *** PROJECT VALUATION: 149,223.00 *** CONDITIONS *** All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. As part of the foundation inspection and PRIOR to the placement of concrete and before proceeding with any further construction, a completed, signed and sealed, Foundation Setback and Elevation Certification shall be submitted to the City for review. The certification form shall be fully completed by a Professional Land Surveyor licensed in the state of Colorado, stating that the foundation was constructed in compliance with all applicable minimum setback and elevation requirements of the City. Owner/Contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. Landscaping removed or damaged during construction must be replaced prior to final inspection. rt City of Wheat Ridge Residential Addition PERMIT - 201901357 PERMIT NO: 201901357 ISSUED: 09/09/2019 JOB ADDRESS: 7400 W 34th Ave EXPIRES: 09/08/2020 JOB DESCRIPTION: Add 912 sq ft master suite with bathroom, remodel existing family room and entire house I, by in 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 1 am legally authorized to include all entities named within this document as parties to the work to be performed an hat all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CON TO (Circle one) Date 1, This permit was issued based on a information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired 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 ordinance or, regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief`Building REQUESTS MUST BE MADE BY ficial Date 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City o _jd C� sn�tt UN ri �r i-'vt.i o[1:��t:.N Building & Inspection Services 7500 W. 291`' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perrnitsC ci.v heatridge.c€ ms FOR OFFICE USE ONLY Date: 9/ I / Plan/Permit # 0 Plan Review Fee: Building Permit Application '** Complete all applicable highlighted areas on bath sides of this form. Incomplete applications may not be processed. *** Property Address: '� t% Ad X1". Property owner (please print): A%/ G H H E�__ /H i= FEP— Phone; 34 -50S_ -921i11 Property Owner Email: Sh l ffel ,�� yCC alSCG-L��1�G�irc. .S'f�li7����i1'1C1I%G4/�? Tenant Name (Commercial Projects only) Property owner Mailing Address: (if different than property address) Address: City, State Zip: Architect/Engineer E-mail: 4,q/1'FS ' j/�1 /� . fZ7�j Phone: �G 3 f �% i ,�' �,�- G'( Contractor Name: Ag -71'g -C! tlfl Cnf� City of Wheat Ridge License #: / r C :� C 3 Phone: 72—C -- 2 3 3 & `7 % [-/ Contractor E-mail Address: For Plan review Questions & Comments (please print): CONTACT NAME ('please print): l✓/L= /�- `'�i� rf � Phone: Z- Z 3 CONTACT EMA1L(please 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 # FICOMMERCIAL ESIDENTIAL 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. 1 e X(/vs 74Cy ev / 5 tL/ '71e �/l Af As f� , 7 ,41 k -e Z12,q 7' 3 7- (!!,Fy!LF Amps — Squares BTUs Gallons For Solar: - Kw tt 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) ONVNERXONTRACTOR SIGNATURE OF UNDERSTANDIING 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 ani 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 truthfidness of the inft--)rmqtioli provided on the application. CII?CLEONE: (OWNER) (CONTRACTOR) or 41,'TUORIZEDREPRESER'T4TIPVE) of (OWNER) (COATRACTOR) Signature (first and last name): -rF, 00� Atinted Name: le, 1-f- 1412 7— ZONNG COMMENTS: 7,0w $Lkj . 9 — Z.. Reviewer. -Z-T 7011? BUILDING DEPA T C MMEN Reviewer. OCCUPANCY CLASSIFICATION CONSTRUCTION TYPE'.. S NEW ADUnoiu- qpv lg1.oZ,,q?- ,13o Ev SnN C- wl 9& -no 0 cc- -134 q U- q0- 91 - PUBLIC WORKS COMMENTS: OF AFP)2-0VA4- 4 gJ50 - Reviewer: Building ilding Division Valuation: 1 013 City of Wh6at�dge 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: Q W, ? � Permit #: General Contractor: ChACC % CtkIZAL AVIUK0 Electrical Sub -Contractor Company Name: I C7-11111( State License #: ,�s Z j Wheat Rid e e #• Signature of Authorized Agent Plumbing Sub -Contractor Phone #: 77t� 3PO r Master #: (required field) Date Company Name: KAII&C 1111;A1Jj UP hone #: S3- 5 -ZZ.- ,3S ,� J State License #: z-5-? `j Z � Master #: / A& Z_ Wheat 'dge License #: Si atur f Auth ized Agent Date Mechanical Contractor Company Name: a� stn ►� ��'c`h�, Phone: .- Wheat Ridge License #: [f)( g q (required field) ,V 4� - , o�-No -19 Signature of Authorized Agent Date City of �1,7�ihcat kicicrc CITE' OF WHEAT RIDGE BUILDING AND INSPECTION SERVICES DIVISIO\T 7500 W 29th Ave Wheat Ridge, CO 80033-8001 p. 303-235.2855.f 303.237.8929 Proof of Submission for Permitting/Plan Review (Water and Sanitation only) A copy of this form must be completed by each water and sanitation agency indicated on the Permit Submittal Checklist for the project type and be attached to the Building Permit Application at the time of submission. Applications presented for submission without a completed Proof of Submission form from a required agency will not be accepted or processed. Date: �'—Z Project Address: Name of Firm/Individual submitting documents:�T�/%Zfl Project Type/Description: cam. G'/ /ssyr�!''� Signature of Firm Representative or Individual: DO NOT WRITE BELOW THIS POINT - FOR AGENCY USE ONLY I, , am a duly authorized representative of the agency indicated below and do, by my signature below, hereby acknowledge receipt of documents necessary for review and approval of the project indicated above. Agency represented: (Please check one) o Wheat Ridge Water District n Wheat Ridge Sanitation District o Consolidated Mutual Water District O Clear Creek Sanitation District o Valley Water District o Fruitdale Sanitation District o Denver Water o Westridge Sanitation District o Other Agency Notes: Applicant must let the District know if current 3/4" meter will be modified and provide a letter from the water jurisdiction. The improvements being acceptable by WRSD is only for the existing Single Family and is not for Signature: ` ` f f ,r Date: June 27, 2 019 (Agent Representative) District Consulting Engineer for Wheat Ridge San. *an ADU or addition that is not attached to the main building. h� CITY OF WHEAT RIDGE BtiILDING AND INSPECTION SERV"ICES DIN71SION 7500 til' 29th Ave Wheat Ridge, CO 80033-8001 p. 303.235.2855.'f 303.237.8929 Proof of Submission for Permitting/Plan Review (Water and Sanitation only) A copy of this form must be completed by each water and sanitation agency indicated on the Permit Submittal Checklist for the project type and be attached to the Building Permit Application at the time of submission. Applications presented for submission without a completed Proof of Submission form from a required agency will not be accepted or processed. Date: Project Adress: 2�4Q Name of Firm/Individual submitting documents Project Type/Description: Signature of Firm Representative or Individual: I A C L7/ C�rV ri DO NOT WRITE BELOW THIS POINT - FOR AGENCY USE ONLY 1, C[ ii `��� , am a duly authorized representative of the agency indi ated below Ad d , by my signature below, ereby acknowledge receipt of documents necessary for review and approval ofthe project indicated above. Agency represented: (Please check one) e---Wh—eat Ridge Water District 0 c Consolidated Mutual Water District 0 c Valley Water District o Denver Water 0 0 Wheat Ridge Sanitation District Clear Creek Sanitation District Fruitdale Sanitation District Westridge Sanitation District Other FM " City of SINGLE FAMILYIDUpLEX r --- heat --;�V PeJbt IC WORKS BUILDING PEWMITAPDLICA TION "VIEW Date: _23 t JL -Y' la Location: - 74 -CC W E ¢-#' ATTENTION: BUELDING DIVISION I have reviewed the submitted application documents to construct a 7- 10 located at the above referenced address. Please note the comments checked below. X E 12E"Cnk=-L- 1. V Drainage: a. Drainage Letter & Plan required: Yes No b. Site drainage/grading plan have been reviewed and are: ZOK refer to 2. g/ Public Improvements required & to be completed with project: stipulations. a. street paving/patching: YesNo b. curb & gutter: -AL—YesCompleted c. sidewalk: Yes --t.- NO Completed d. Other (specify): Yes -� No Completed For items not constructed, the amount of funds taken in lieu of construction: Completed 3. -4% Does all existing roadway/alley R.O.W. meet the standards of the City: Yes If not, what is required? No If R.O.W. is required, has the deed been received: Yes — — No (see Note below) NOTE: All deeds must be reviewed and approved prior to issuance of the Certificate of Occupancy. 4. APPROVED: The Public Works Department has reviewed the submitted material and hereby approves this Permit Application, subject to the stated requirements and/or attached stipulations. Signature Mark Van Nattan Date 5. j` NOT APPROVED: The Public Works Department has reviewed the submitted material and does not approve this Permit Application for the stated reason(s): Signature • • • Mark Van Nattan Date 7. -kZ- A Grading Certification Letter from the Engineer -of -Record accompanied bImprovement a Certificate (ILC) shall be required prior to the issuance of the Certificate ® Occ pay mint Location 8. NOTE: ANY DAMAGE TO EXISTING PUBLIC IMPROVEMENTS AS A RESULT OF PROJECT CONSTRUCTION SHALL BE REPAIRED PER ROW CONSTRUCTION PERMIT PRIOR TO THE ISSUANCE OF THE CERTIFICATE OF OCCUPANCY. Rev 04/2016 City of Wheat jjge PUBLIC WORKS CONDITIONS OF APPROVAL Address: 7400 W. 3411 Avenue Permit Number: 201901357 Approval of this building permit is subject to the following conditions and notes: • Final Slope Grading should not exceed 4:1 to be consistent with recommended City Grading and Drainage Standards. Swale(s) should be constructed solely on applicant's property — see Swale Detail on Site Plan. • Direct roof drain downspouts in the directions indicated on the red -lined Site Plan to protect adjacent properties from stormwater runoff. MVN 7/25/19 Page 1 of 1 City of �'} s f cam' ��; �.1C 1N()RKQ City of Wheat Ridge Municipal Building 7500 W. 291h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2861 F: 303.235.2857 PUBLIC WORKS DEVELOPMENT REVIEW FEES Date: 73 wt -Y Dey Location of Construction: 7¢p12 14 Purpose of Construction: AzeApnJTio /->lortil;- rQ A L Single Family _ /_ Commercial Multi -Family Development Review Processing Fee: ................................................ $100.00 $ 1 DO Ot---) (Required of all projects for document processing) Single Family Residence/Duulex Review Fee..........I.......................... $50.00 s-50,00 Commercial/Muld-Family Review Fees: ® Review of existing or minimal technical documents: ........................ $200.00 $ a Initial review' of technical civil engineering documents (Fee includes reviews of the I' and 2"d submittals): .......................... $600.00 $ c, Trak Impact Study Review Fee: (Fee includes reviews of the 1" and 2nd submittals): .......................... $500.00 $ o Trip Generation Study Review Fee: .................................................. $200.00 $ o O & M Manual Review & SMA Recording Fee ................................ $100.00 $ 'Each Application will be reviewed by staff once and returned for changes. If after review of the second submittal changes have not been made to the civil documents or the Traffic Study as requested by staff, further reviews of the Application will be subject to the following Resubmittal Fees: e Resubmittal Fees: 3rd submittal (% initial review fee): .................................................... $300.00 $ 0 submittal (full initial review fee) :................................................. $600.00 $ All subsequent submittals: ................................................................. $600.00 $ (Full initial review fee) TOTAL REVIEW FEES (due at time of Building Permit issuance): $ PLEASE NOTE THAT IN ADDITION TO THE ABOVE FEES, THERE WILL BE ADDITIONAL LICENSING AND PERMITTING FEES REQUIRED FOR CONSTRUCTION OF IMPROVEMENTS WITHIN PUBLIC RIGHT-OF-WAY. Rev 12112 4 F :Y City of h6at �'�PUBWtIC WORKS City of Wheat Ridge Municipal Building 7500 W. 291' Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2861 F: 303.235.2857 NO'TIFICAT'ION FOR PUBLIC IMPROVEMENTS RESTORATION DATED: 2a J -7 ADDRESS: 74 Cc W, - A A /E Dear Contractor: In conjunction with the approval of the building permit application for the above referenced address, this letter is to inform you that all existing public improvements located along the frontage of said address shall be restored, (if damaged from related construction) to an acceptable condition, as determined by City of Wheat Ridge Public Works Department, and prior to the issuance of a Certificate of Occupancy. Prior to any construction commencing, the City's representative will conduct an onsite inspection to determine the existing condition(s) of the public improvements at this address. If you have any questions, please contact me at 303.235.2864. Sincerely, David F. Brossman, P.L.S. Development Review Engineer CC: File w ww.ci.wheatridge.co.us Rev 2/08 Rev. 09/2017 RESIDENTIAL Building Permit — Plan Review Worksheet Address: 34bO W, 3 `( ive Zoning: F,— L oL�1) (-AM�Ak) Lot Size: sq. ft. Lot Width: 75 ft. Property in the flood plain? 1 X If yes, notify PW Floodplain Administrator and add surveying condition FLD Subdivision: 691kn#t (T Any conflict? (Y/N) Related Cases: Type of project (applicable survey conditions in parenthesis): Maximum Lot Coverage: k D % Existing Improvements (footprints): House-tAtk0ed qCn, [&Iq sq. ft. Shed: sq. ft. Detached garage: sq ft. Other: sq. ft. Total Existing 1,46 1 q sq. ft Lot Coverage t 7,4 % Required Setbacks: FR 7-5' S S Provided Setbacks: FR '3 5, 3' S 5' S 6069 sq. ft. Proposed Improvements (footprints): House/addition: A Z sq. ft. Shed: sq. ft Detached Garage: sq. ft. Other: sq. ft. Proposed+Existing sq. ft Lot Coverage P6, 4 % R loi s` R-3 For additions or new construction, is the structure within 2 feet of minimum setbacks? S If yes, add surveying condition FND. Maximum Height: 35 ft. Proposed Height: '\- 11,'%5J ft. Maximum Size: 6i U60 sq. ft. Proposed Size: 2��q sq. ft. Does the bulk plane apply? (Y/N) V D If yes, does it meet on all sides (Y/N): FR S S R (See 26-642 and 26-120.C.1 — applies to all single-family structures (new, addition, accessory) in R -IC and R-3) Parkland Conditions Does the permit result in a new dwelling unit (new structure or conversion from non -res use)? If yes, have parkland dedication fees already been paid (eg with a previous land use approval)? If fees are owed, add condition PFEE, notify owner, notify building division, enter fee amount in ADG. Rev. 09/2017 Streetscape Conditions Does the permit result in any of the following conditions? ❑ Construction of new roads ❑ Platting of new lots ❑ New development ❑ Additions that increase gross floor area (not just the footprint) by 60% or more (proposed floor area Z d 41 — existing floor area1,K 7 I_ ) / existing floor area1 �'4 'I f _ LNC S % increase If any box above is checked... For SF/DUPLEX—Is there existing ❑ Curb ❑ Gutter L35 -ft+ sidewalk adjacent to the property? If curb, gutter or sidewalk is missing, streetscape construction or fees -in -lieu will be required. MULTIFAMILY—Does the frontage meet current city standards? If not, streetscape construction or fees -in -lieu will be required. Fees -in -lieu of dedication or construction are due at the time the permit is issued. Access Conditions (apply to all new driveways, garages, additions, or new homes/units) Ll For one and two-family dwellings, the first 25' of driveway area from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick pavers or similar materials. j, eR ❑ For all uses other than one and two family dwellings, no vehicle entrances or exits may be closer than 25' to any property line, except when used as joint access for two or more lots. I— In residential zone districts, curb cuts shall be at least 10 feet and not more than 24 feet in width. ❑ One and two-family dwellings may have horseshoe driveways, provided that the street accesses are at least 30 feet apart, measured from the interior edges. ❑ For all uses, one access point per property is permitted. Landscaping Conditions (apply to additions and new dwelling units) ❑ For one -and two-family dwellings, one tree for every 70 feet of street frontage is required. Frontage of lot 7 5 - width of driveway $' 5 ) / 70 = I (round up for required trees) Street trees required: I Street trees provided: 3 ❑ 100% of the front yard and 25% of the entire lot must be landscaped prior to issuance of C.O. ❑ In the event that landscaping cannot be installed due to inclement weather prior to the issuance of a C.O., an escrow agreement with financial guarantees may be allowed to ensure future installation. 125% of the cost of the proposed improvements will be required with the agreement. These funds will be reimbursed back to the property owner or contractor once the improvements are in place. Dwelling Unit ❑ Not approved as an independent dwelling unit. Colorado Geoscience & Design, Inc. P.O. Box 68 Franktown, Colorado 8o116 • Phone: 303.688.2150 • Fax: 303.688.1295 • CoGeoDesign.Com Caroline Shaffer 7400 West 34th Avenue Wheat Ridge, CO 80033 SUBSURFACE INVESTIGATION M 7400 WEST 34TH AVENUE JEFFERSON COUNTY, COLORADO REPORT NO. 19-094 April 3, 2019 C„>o ��ZUOk;•.• 4 � a 30452 NOT VALID WITHOUT ORIGINAL SIGNATURE GEOTECHNICAL STRUCTURAL CIVIL ENGINEERS TABLE OF CONTENTS General Site Conditions Field and Laboratory Investigation Foundation Recommendations Criteria for Concrete Slab on Grade Construction Placement of Foundation Fill Subsurface Drainage Surface Drainage Foundation Excavation Radon Gas General Information Location Map Log of Test Holes Swell / Consolidation Charts Summary of Laboratory Testing Details of Foundation Drain System Foundation Grading Detail Appendix 1 1 1 2 3 5 5 6 7 7 7 Figure 1 Figure 2 Figure 3 Table 1 Detail 1 Detail 2 Information about the Report Subsurface Investigation Caroline Shaffer Colorado Geoscience and Design, Inc. Report No. 19-094 GENERAL This report presents the results of data obtained during the subsurface investigation at 7400 WEST 34TH AVENUE, JEFFERSON COUNTY, COLORADO. This investigation was made to determine the type of foundation required, allowable bearing capacity, and groundwater conditions encountered at the time of the field investigation. SITE CONDITIONS At the present time there is an existing single-family residence located at this site. It is our understanding an addition over a crawl space is planned for the residence. Due to groundwater encountered at the time of the field investigation. A crawl space may not be feasible due to the groundwater encountered at the time of the field investigation The proposed structure will consist of wood framed construction with a steel reinforced concrete foundation. We anticipate the foundation loads for the house to range from 1,000 to 2,000 pounds per lineal foot of foundation wall. The topography of the site is generally flat. The site is landscaped with native trees, shrubs and grass. The weather was cool and sunny at the time of the investigation. If the type of construction changes from that specified above, please contact this office for additional recommendations and/or requirements. __. FIELD AND LABORATORY INVESTIGATION One (1) exploratory test hole was drilled on March 26, 2019 at the site shown on the Location Map, Figure 1. The test hole was drilled with a four -inch (4") diameter auger advanced with a CME -45 soil exploration drill rig. At specific intervals, the drilling tools were removed from the test holes and soil samples were obtained with a two-inch (2") diameter spoon sampling tube. The depths at which the soil samples were taken, and a description of the soil encountered are shown on the Log of Test Holes, Figure 2, and the Summary of Laboratory Testing, Table 1. All soil samples were carefully observed in the field during the drilling operation. These samples were classified in the laboratory through visual observation and laboratory testing to determine the pertinent properties. The natural moisture content and dry density was obtained from relatively undisturbed drive samples of typical soils. Swell - consolidation tests were performed on typical soil samples see Figure 3. These tests indicate the behavior of the soil upon various loadings in a wetted condition. '&01 , 0% at ,fQiel�tFi�6ge La�''.�'' ._.iq, Groundwater was encountered at a depth of 9 feet at the time of thi investigation. When checked later groundwater was measured at a depth feet and the bore hole caved to 10 feet. These observations represe April 2, 2019 Subsurface Investigation Caroline Shaffer Colorado Geoscience and Design, Inc. Report No. 19-094 groundwater conditions at the time of drilling or measurement and may not be indicative of the conditions at other times. Groundwater levels can be expected to fluctuate with varying seasonal weather conditions and if the sites use irrigation for lawns. Site soil conditions encountered may appear different from the test borings as presented in this report. An excavation observation is required and must be performed by a representative of this office to verify existing soil conditions, and the proposed design bearing pressure. The excavation observation must be performed only after the entire building footprint has been excavated to the bottom of bearing elevation. In addition, it may be necessary to revise our foundation recommendations based upon results of the excavation. The fee for this observation and/or revised foundation recommendations is not included in the cost of the soil report. Failure to follow the observation requirements noted herein may jeopardize the success of this construction project and Colorado Geoscience and Design Inc. shall be absolved from any and all responsibility for any damages arising from the failure to obtain proper site observations. If an individual or contractor performs an open -hole or site observation or disregards the foundation recommendations cited herein, other than those provided by Colorado Geoscience and Design, Inc.'s, or that which has been approved by the local building officials, that individual or contractor will assume all liability for using this subsurface investigation and its relevant construction recommendations. FOUNDATION RECOMMENDATIONS Based on our evaluation of the subsurface conditions, we recommend the proposed addition to the residence be founded on continuous concrete footings and pads. The new foundation system shall coincide with the existing foundation system A professional engineer should use the following design criteria to design the foundations. 1. The footings and pads shall be designed a maximum soil bearing pressure of 1,250 pounds per square foot (DL+LL). The entire foundation shall bear on the fine- grained, medium dense, very clayey sand at least 4 feet above the groundwater. • A 4 feet deep observation pit shall be excavated in a non-bearing area within the footprint of the proposed foundation to verify that the required separation to groundwater is maintained. 2. No footing or pad shall bear upon topsoil or soils that contain organic material. All loose and disturbed soil shall be removed before pouring the concrete fo 'the footings or bearing pads. cti �eatRodge 3. All continuous footings supporting perimeter concrete foundation walls shalli at .-n 0% April 2, 2019 2 Subsurface Investigation Caroline Shaffer Colorado Geoscience and Design, Inc. Report No. 19-094 least 16 inches wide or the width required for the maximum design loads. We recommend footings be reinforced to bridge isolated soft areas up to 10 feet. Exterior footings should be provided with at least 3 feet of soil cover for frost protection, or per county codes. 4. The foundation walls shall be designed for an active horizontal pressure based on an equivalent fluid density of 45 pounds per cubic foot plus any applicable surcharge or hydrostatic loads. 5. In place structural settlements are very difficult to predict with any reasonable accuracy, due to the large number of variable geotechnical parameters involved. However, based upon the currently available methods of settlement prediction, it is estimated that total structural settlement will be on the order of 1" and differential structural settlement will be on the order of Y2". CRITERIA FOR SLAB -ON -GRADE CONSTRUCTION Virtually all concrete slabs undergo some type of movement. Concrete slabs placed on soils comprised of medium dense or dense granular material or comprised of soft or stiff clays with swell potential less than 1 % under a 1000 Ib surcharge is considered unlikely to sustain intolerable movement by standard engineering practice. Cracking of slabs -on -grade is difficult to control and should be expected to occur with time. Cracking may be the result of many factors such as concrete shrinkage and daily and seasonal variability in temperature and humidity and not necessarily the result of soil movement. Further, cracks and movement of slabs -on -grade can be transmitted through rigid floor coverings such as ceramic tile. Performance expectations should be taken into consideration in the selection of floor slab coverings. If floor coverings or coatings less permeable than the concrete slab are used, or if moisture is a concern, we recommend a vapor retarder be placed beneath the slab. Flooring installation should be consistent with the flooring manufacturer's recommendations for subsoil and slab construction and moisture testing prior to installation. A change in water content in soils is a major contributor to slab movement Colorado Geoscience and Design recommends that steps be taken to reduce the possibility of intolerable concrete slab movement due to changes in water content. Properly landscaped yards, drainage from the foundation walls, and the installation of perimeter and/or under slab drainage systems are ways to mitigate changes in the water content of the indigenous soils (See "Surface Drainage"). -000.ft„ A slab performance risk evaluation was conducted in general compliance guidelines for the local area. The risk assessment of a site for potential April 2, 2019 Subsurface Investigation Caroline Shaffer Colorado Geoscience and Design, Inc. Report No. 19-094 not absolute; rather, it represents a judgment based upon the data available and our experience in the area. Movement of foundations and concrete flat work will occur over time in low to very high-risk areas as the soil moisture content increases. On low and moderate rated sites, slab movements of up to 3 inches across the slab with cracking of up to V inch in width and/or differential movement are not unusual. The damage generally increases as the risk assessment increases and as the depth of wetting increases. It must be understood, however, that assessing risk is an opinion, and the prediction of heave is not an exact science. Therefore, it may be possible that heave less than or in excess of what is described herein may be experienced. This risk should be communicated to the subsequent homebuyer. We recommend the owner or prospective buyer review "A Guide to Swelling Soils for Colorado Homebuyers and Homeowners", which is a special publication produced (SP43) by the Colorado Geological Survey to assist homeowners in reducing damage caused by swelling soils. Swell Potential Chart Slab Performance Risk Category Representative Percent Swell 1,000 psf Surcharge) Low 0 to <2 Moderate 2 to <4 High 4 to <6 Very High >_ 6 Note, the representative percent swell values presented are not necessarily measured values; rather, they are a judgment of the swell of the soil and bedrock profile likely to influence slab performance. The swell potential of the indigenous soils for the residence at this site meets the criteria for low risk of slab -on -grade movement. Concrete slabs may be used for slabs -on - grade and exterior surface (sidewalks, patios and aprons) placed on the native soil. Furthermore, intolerable movement of any slab on grade may occur at the site as a result of future factors beyond the control of Colorado Geoscience and Design, Inc. If differential slab -on -grade movement is not acceptable to the owner/builder, and if the owner/builder is unwilling to accept the risk of differential slab -on -grade movement, a structural floor above a crawl space is required. The owner/builder shall be cautioned that problems with mold may arise when floors are built over a crawl space or with a structural floor. In order to prevent such problems, it may be necessary to take specific actions to mitigate the potential for molds, such as installing actively controlled humidistat systems and devices, providing adequate ventilation of enclosed spaces below the floor, and/or treatment of the soils with anti - mold, anti -fungal chemical agents. Colorado Geoscience and Design, Inc. will not be responsible for any and all claims arising from issues of mold or fungal contamination. It is the builder's responsibility to adequately address these issues during construction. If the owner/builder accepts the risk of slab -on -grade movement and chooses a slab -or grade floor, the following steps shall be part of the concrete slab design: / CAI dt Wheat 5td9e April 2, 2019 4 Subsurface Investigation Caroline Shaffer Colorado Geoscience and Design, Inc. Report No. 19-094 • Any soil disturbed during construction shall be compacted by use of a vibratory plate in the case of loose granular soils or wheel rolled by heavy equipment in the case of soft clay or silt soils prior to placement of the concrete slab. • The soil should be kept moist but not wet during the compaction process as well as immediately prior to the placement of the concrete slab directly onto the soil. Steps shall be taken to ensure that subsurface moisture beneath the concrete slab remains constant during the construction process. • The concrete slab shall be structurally isolated from all foundations and shall be isolated from penetrations by suitable expansion material not less than Y2" thick. The floating concrete slab shall be completely isolated from all utility lines. • Control joints shall be provided in the concrete slab. These control joints must be saw cut or tooled to a minimum of one third of the thickness of the slab. No portion of the concrete slab will have an area greater than neither 100 square feet nor a maximum dimension of 12'-0" in any direction without a control joint. • All non-bearing partition walls shall be constructed with a minimum of 3 inches of float to allow for slab -on -grade movement. • If a hot water heating system is used, the piping may be cast within the concrete slab if the slab is reinforced with steel rebar and special care is taken not to damage the piping during future construction activities. Nails shall not be driven into a concrete slab that has hot water piping. Base plates should be attached with construction adhesive or anchor bolts cast in the concrete slab at the time of placement. • If a forced air furnace is used, a 2" flexible connection should be installed between the furnace and the duct. PLACEMENT OF FOUNDATION FILL Expansive soil is not suitable for backfill material adjacent to the foundation backfill or for retaining walls. Any soil disturbed or imported material adjacent to the foundation walls shall be re -compacted to a minimum of 90% of Standard Proctor Density, ASTM D-698. Compaction of each lift adjacent to walls should be accomplished with hand -operated tampers or other lightweight compactors. Over compaction may cause excessive lateral earth pressure, which could result in wall movement. No water flooding techniques should be used in the compaction of backfill. SUBSURFACE DRAINAGE The installation of an exterior foundation perimeter drainage system is requiretl for any habitable space below grade level. See Perimeter Drain Detail 1, for a suggested April 2, 2019 5 Subsurface Investigation Caroline Shaffer Colorado Geoscience and Design, Inc. Report No. 19-094 method of installing this system. The perimeter drain shall discharge at a daylight location a minimum of 15 -feet away from the home. The daylight end shall have a screened end section to prevent rodents from entering the drain. Alternatively, the perimeter drain may discharge into a sump pit with a sump pump. If a sump pit is used, homeowners should perform routine observations of the sump pump system to make sure it remains in good working order. Failure to install and failure of a sump pump system can cause serious foundation problems. Water accumulation around foundation elements is the major cause of foundation stress, therefore proper installation of the perimeter drain is very important. SURFACE DRAINAGE The backfill soil around the foundations should be moistened and well -compacted in 12 - inch maximum lifts with hand operated mechanical compaction equipment to prevent future settling. Controlled puddling of the backfill soils is not allowed. Site grading is critical. A simple means of reducing moisture change to prevent water infiltration into the soil is to slope the ground away from the foundation. For proper drainage, a slope of 10% (1' in 10') away from the foundations in all directions is required. This slope must be maintained for a minimum distance of 10'-0". The property owner should inspect the area around the foundation regularly particularly after rainstorms to determine if proper drainage away from the structure has been maintained. The owners are advised to immediately fill in any settled area near the foundations to eliminate containment of water. Roof drainage should include gutters, downspouts, extensions, and splash blocks. Down spouts must discharge onto concrete splash blocks or into metal gutter extensions at least 6 foot away from the foundation walls and beyond any backfill zones directing water away from the foundation. The owners should be cautioned regarding the installation of a lawn adjacent to the foundation walls. Lawn irrigation must be more than five feet (5') from the foundation walls to prevent wetting of the subsurface soils. Lawn and/or plants should not be planted within five feet (5') of the foundation walls. We recommend providing decorative gravel or bark around the foundations, as shown in Foundation Grading Detail 2. This method will prevent ponding of water and provide for proper drainage from the foundations. Non -woven geo textile fabric can be placed under the mulch to reduce weed growth and still allow some evaporation of soil moisture. Sprinkler heads and emitters should not be located or spray within 5 feet of the foundation or patio slabs and beyond backfill zones. Plantings near the foundations should not trap surface runoff. Furthermore, sidewalks or low-water consumption groundcover are recommended to further reduce the risk of water infiltration near the foundation walls. All pressurized irrigation lines and valve boxes should be located at least 10 feet from the foundation or patio slabs. April 2, 2019 6 Subsurface Investigation Caroline Shaffer Colorado Geoscience and Design, Inc. Report No. 19-094 Buried rain gutter discharge pipes are not recommended because of often undetected seepage problems caused by clogging, crushing and adverse grading of the pipes. Similarly, infiltration basins are not recommended adjacent to or upgrade of adjacent structures. If detention is required by statute, infiltration basins should be located down gradient and at least 30 feet from foundations. Changes in site grading by landscapers or property owners can have damaging effects on foundations and concrete slabs -on -grade. It is the property owner's responsibility to control water and maintain the site to prevent infiltration near foundations. Additionally, it is the property owner's responsibility to maintain downspouts and buried sprinkler system conduits. FOUNDATION EXCAVATION Precautions should be taken in deep excavations for safety of workers and to protect nearby structures. The sides of the temporary excavations should be sloped or benched per OSHA excavation requirements. Spoils from the excavation should not be placed within 2 feet of the excavation sidewalls and the excavation should not be subject to excess vibration wetting or drying. It is the owner/contractor responsibility to be familiar with the OSHA Safety and Health Standards for the Construction Industry, 29 CFR Part 1926, or the appropriate foundation chapters of the International Building Code prior to construction. RADON GAS Most counties in Colorado have average radon levels (measured in homes) above the U.S. EPA recommended level of 4 PicoCuries per liter of air (pCi/1). Results of a 1987- 1988 EPA -supported radon study for Colorado indicated that granitic rocks, in particular, generally have elevated levels of uranium. Radon tends to accumulate in poorly ventilated areas below ground level and can accumulate in above grade construction as well. Providing increased ventilation of crawl spaces and sealing of the joints can mitigate build-up of radon gas. This mitigation is best implemented during the design and construction phase of the residence. The Colorado Geologic Survey and the U.S. EPA are both good sources for additional information regarding radon. GENERAL INFORMATION Based on this subsurface investigation, the proposed foundations appear to be technically feasible to be constructed at the proposed site. The structures should be designed for construction in the direct vicinity of the boring location. If t eproposed e49� � e April 2, 2019 Subsurface Investigation Caroline Shaffer Colorado Geoscience and Design, Inc. Report No. 19-094 locations change, additional borings will be required to assess the soil conditions at the new location. Permitting work will be required to obtain any local and state approval, and design work will need to be performed by a qualified professional engineer to bring this project into final design, and subsequent construction. A qualified contractor experienced with similar projects should carry out the construction of this project. The construction process should be carefully observed and documented to ensure the construction is performed in accordance with the design drawings and technical specifications. In any soil investigation it is necessary to assume that the subsurface soil conditions do not vary greatly from the conditions encountered in our field and laboratory testing. Our experience has been that at times soil conditions do change and variations do occur and may become apparent at the time of excavation for the foundation system. The work contained herein was performed by, or under the direct supervision of a licensed Professional Engineer in the State of Colorado. Professional judgments and evaluations are presented based on information gathered during the drilling operations, conversations with the owner and/or contractor, and on experience with similar projects. The performance of the project is not guaranteed in any manner, only that the engineering work and judgments rendered meet the standard of care of the engineering profession. The engineering services performed are within the limits set by the Client, with the usual thoroughness and competence of the engineering profession. No other representation, expressed or implied, is included or intended. The parties specifically agree that Colorado Geoscience and Design, Inc. has not been retained nor will they render an opinion concerning any environmental issues, hazardous waste or any other known or unknown conditions that may be present on this site, since this is not in the scope of this report. April 2, 2019 8 Colorado Geoscience and Design, Inc. PROJECT: Subsurface Investigation JOB NO: 19-094 CLIENT: Caroline Shaffer Log of Test Holes LOCATION: 7400 West 34th Avenue, Jefferson County, Colorado DRILLING METHOD: 4" Continuous Flight Auger 1 100 EI. 100 Fine-grained sand, very clayey, medium dense, moist, light brown M. 92 M iv U_ C O 84 LU M 01 72 s. Clay, very sandy, very stiff, very moist, brown Clay, slightly sandy, very stiff to hard, moist, brown Claystone, moist to very moist, olive gray brown 100 88 76 72 Notes: Where Applicable --- 1. x/y indicates that "x" number of blows of a 140 -pound hammer falling 30 a: s Indicates ground water encountered during the drilling operation. inches are required to drive a 2 -inch diameter sampler "y" number of inches. b. Indicates ground water encountered after 24 hours. 2. 1 Indicates depth at which soil samples were taken. I C. Indicates auger refusal. d. _C_ Indicates caving. Figure 2 + +8 .J +6 J W +4 LL cl) O M +2 O Z 0 O W Q -2 U � W J -4 a O Z Z -6 O U -8 Water added to sample SWELL - CONSOLIDATION TESTS Swell/Consolidation prurettdgr 100 300 1M 3M 5M 10M 20,000 28,000 APPLIED PRESSURE (PSF) Test Hole No. 1 Depth 3' Soil Description: Fine-grained sand, very clayey, medium dense, moist light brown + +8 J +6 J W +4 LLN O W +2 —. O ZO 0 W Q -2 U D W J -4 W O CL Z- Z 6 O U -8 Water added to sample � Swell/Consolidation pruurettdgr 100 300 1M 3M 5M 10M 20,000 APPLIED PRESSURE (PSF) Test Hole No. 1 Depth 8' Soil Description: Clay, very sandy, very stiff, very moil JOB NO. 19-094 0e 2 8, 0 cry �'210 yOA a *� 90 FIGURE 3 SWELL - CONSOLIDATION TESTS Swell/Consolidation under ++8 pressure due to wetting J +6 J W +4 LL N W +2 O .-. O 0 0 w Q -2 U � WJ -4 W O �- Z 6 O U -8 Water added to sample 100 300 1 M 3M 5M 10M 20,000 28,000 APPLIED PRESSURE (PSF) Test Hole No. 1 Depth 14' Soil Description: Clay, slightly sandy, very stiff to hard, moist brown Swell/Consolidation under ++8 pressure due to wetting J +6 J W +4 LL N O +2 —. O �.. 0 OZ W Q -2 U � J -4 W O 0. N Z -6 O U -8 Water added to sample 100 300 1M 3M 5M 10M 20,00028,000 APPLIED PRESSURE (PSF) Test Hole No. 1 Depth 19' Soil Description: Claystone, moist to very moist, olive pray brown age Building pivison JOB NO. 19-094 FIGURE 3 SWELL - CONSOLIDATION TESTS Swell/Consolidation under S + +8 pressure due to wetting J +6 J W +4 LL N O a' +2 O Z 0 O w Q -2 U0 10000, 000, W J -4 a cnO Z -6 O 44 U -8 Water added to sample 100 300 1M 3M 5M 10M 20,000 28,000 APPLIED PRESSURE (PSF) Test Hole No. 1 Depth 24' Soil Description: Claystone, moist to very moist olive gray brown c Vqtid9e IDWiSov JOB NO. 19-094 FIGURE 3 L C 0) .00 E 3 Z O z CD 0 LU 0 Z Q W U Z W U U O LU d'Or o 0 ya��a�R�a9eof A� O Cii,_. U 1 15 1 ►� E 3 3 o 0 L (D c L O EL 0 L. E v C O O O > v7 (15 ,O V (jj E E NN a) a > m a) > > > > o0 � �_ In C N OO O C C E w i C (� N CD C > lA O O C O CU co cu N iL a U U U U pd a m 0) 0) c O CD w d c C) r r N r � C O U L �# 0 3 N Er N r N fr N CD 0000 � C) 0] = m N V LO al > c •d � v L rn rn a ccoo CD c 0404 0 a c e 0) 00 00 00 V d o p O p p c� m o L W 3 *' y 00 r O) O fl - 0 O N r (y r U O' dO al d O O O Z r r r r z CD 0 LU 0 Z Q W U Z W U U O LU d'Or o 0 ya��a�R�a9eof A� O Cii,_. U APPENDIX Important Information About the Report The data collected by Colorado Geoscience & Design, Inc. during this investigation was used to provide geotechnical information and recommendations regarding subsurface conditions on the site investigated, the effect of those conditions on the proposed construction, and the foundation type for the named client. The stratification lines indicated on the boring log are approximate, and subsurface conditions encountered may differ from those presented herein. This uncertainty cannot be eliminated because of the many variabilities associated with geology. For example, material and engineering characteristics of soil and bedrock may change more gradually or more quickly than indicated in this report, and the actual engineering properties of non -sampled soil or rock may differ from interpretations made based on boring logs. Quantitative conclusions regarding the performance of geotechnical structures prior to construction are not possible because of the complexity of subsurface conditions. Rather, engineering judgments and experience are used to estimate likely geotechnical performance and provide the necessary recommendations for design and construction. Put another way, we cannot be sure about what is not visible, so the collected data and our training and experience are used to develop predictions and recommendations. There are no guarantees or warranties implied or expressed. The owner and/or client must understand that uncertainties are associated with geotechnical engineering, and they, the owner and/or client, must determine the level of risk they are willing to accept for the proposed construction. The risks can be reduced, but not eliminated, through more detailed investigation, which costs more money and takes more time, and through any appropriate construction which might be recommended as a result of that more detailed investigation. To reduce the level of uncertainty, this report was prepared only for the referenced client and for the proposed construction indicated in the report. Unless authorized by Colorado Geoscience & Design, Inc. in writing, the owner will assume additional geotechnical risk if this report is used for any construction that differs from that indicated in the report. Our firm should be consulted well before changes in the proposed construction occur, such as the nature, size, configuration, orientation, or location of any improvements. Additionally, the knowledge and experience of local geotechnical practices is continually expanding and it must be understood the presented recommendations were made according to the standard of practice at the time of report issuance. If the construction occurs one or more years after issuance of the report, the owner and/or client should contact our firm to determine if additional investigation or revised recommendations would be advisable. Geotechnical practice in the Denver Region must consider the risk associated with expansive soils and bedrock. Geotechnical practice in the Denver area uses a relative scale to evaluate swelling potentials. As stated in the Subsurface Investigation, when the sample is wetted under a surcharge pressure (loading) of 1000 pounds per square fo (PSF), the measured amount of swell is classified as low, moderate, high, or very hiot \Nieat Ridge Page 1 of 3 Table 1 presents the relative classification criteria for the percentage of expansion relative to the initial sample height, at the indicated surcharge pressure. Swell Potential Chart SWELL POTENTIAL AT 1,000 LBS. CLASSIFICATION 0 to %2% Non-expansive/Very low %2 to 1 %2% Low 1 %2 to 3V2% Moderate 3Y2 to 6% High 6 to 8% Very High Greater than 8% Critical The swell potential classifications are based on the percentage of swell for samples placed on swell/consolidation machines under a surcharge of 1000 pounds per square foot. The relative swell classification can be correlated to potential slab damage as follows: Low - minor slab cracking, minor differential movement, and heave Moderate - lab cracking and differential movement, partial framing void and furnace plenum closure. High to Very High - large slab cracking and differential movement, closed voids, closed furnace plenum, and possible pipe rupture. These effects are based on monitoring and observation by several firms in the Denver metropolitan area and are not limited to the relative swell classification. More or less damage can occur in all classifications because of the uncertainty associated with subsurface conditions and geotechnical engineering. It is important to note that measured swell or soil expansion is not the only geotechnical criteria for the type of floor and foundation recommendations. Additional criteria considered include: • Soil and bedrock type and variability • Stratigraphy • Groundwater depth and anticipated post -construction moisture conditions. • Surface water drainage and features • Post -construction landscaping and irrigation • Construction details and proposed use of • Local experience ��ieat Ride Page 2 of 3 Post-construction landscaping and owner maintenance will greatly affect structures on expansive soils and bedrock. Typically, irrigated landscaping increases the soil moisture content above the pre-constructed water content. Slabs, pavements, and structures significantly reduce evaporation of the soil moisture. Therefore, post- construction heave and resulting damage to buildings and other improvements are likely to occur on sites with expansive soils because of the high probability that subsurface moisture content will increase as the property and surrounding area is developed. Poor owner maintenance, such as negative slopes adjacent to foundation walls and irrigated landscaping adjacent to the foundation, also will significantly increase the risk of damage from expansive soil and bedrock. The property owner, and anyone he or she plans to sell the property to, must understand the risks associated with construction in an expansive soil area and also must assume responsibility for maintenance of the structure. The owner and prospective purchaser also should review "A Guide to Swelling Soils for Colorado Homebuyers and Homeowners, " which is a special publication (SP 43) produced by the Colorado Geological Survey to assist homeowners in reducing damage caused by swelling soils. Page 3 of 3 BRACE WALLS, TOP & BOT., PRIOR TO BACKFILLING -- CONCRETE GRADE FLOOR SLAB EXPANSION JOINT. 4" MIN. WELL SLOPED - 12" PER 10 FT. MIN. DO NOT DIKE WITH --�_ ,(--SOD OR EDGING o• •• •poi: � r• � O �,�b � �O \O Oi�Op� TOP 12" OF WELL -COMPACTED BACKFILL ODERATELY COMPACTED ACKFILL P PROOFING POLYETHYLENE GLUED TO WALL AND EXTENDED ALONG THE BOTTOM OF THE EXCAVATION. 5# BUILDING FELT 3/4" TO 1 1/2" CLEAN GRAVEL 4" DIAMETER PERFORATED PIPE. \SLOPE DRAIN PIPE 1/8- PER FOOT TO 12" MIN. DAYLIGHT, OR TO A SUMP PIT. IF TO DAYLIGHT, COVER END WITH SCREEN. BACKFILL AROUND THE FOUNDATION SHOULD BE MOISTENED AND COMPACTED AND THE FINAL GRADE SHOULD BE WELL SLOPED TO PRECLUDE PONDING OF RAINFALL, IRRIGATION WATER, AND SNOW MELT ADJACENT TO FOUNDATION WALLS. CAUTION: DO NOT DIKE OR IMPEDE THE FLOW OF WATER AWAY FROM FOUNDATION WALLS WITH SOD, EDGING OR DECORATIVE GRAVEL AND POLYETHYLENE. DOWNSPOUTS AND SILL COCKS SHOULD DISCHARGE INTO SPLACE BLOCKS OR LONG EXTENSIONS. EXTERIOR DRAIN SYSTEM BELOW GRADE AND BACKFILL DETAILS (FOR FOOTING FOUNDATION) LBuilding SECTION SCALE: NTS Colorado Geoscience & Design, Inc. P.0 80%68. FRAM ON CO. 80116, PHONE # (303) 688-2150 FOUNDATION GRADING DETAIL 4'-0" MINIMUM DECORATIVE GRAVEL OR BARK AREA. DO _= ooQp O Q O Q oop O� Q 0 O SOIL TO BE SLOPED AWAY FROM FOUNDATION. ATION WALL NOTE: 1. PROVIDE A MINIMUM SLOPE OF 6" IN THE FIRST 2. DOWNSPOUT -0S AND EXTENSFROM HOUSEIONS SHOULDO EXTENDED 5'-0" BEYOND THESFOUNDATION. GRADE City of 2 - trs 7 I Prof• V/� LFww II - lli um�w�p� � ML-YtYtOC 1!'J WOOY WTM�J'4nP�Mx SSW x4�AW/PiWN'mxL J+V1N EE009 00 '86P!N I—W 'anuenV .K 'M OOiL 16pow911 / UOMPPV - 3ON3amu N3:jjHHS inn dodd fe - u I# � UJ 5� N 6/27/2019 Project Name : 7400 W. 34th Avenue @ System : 1 Zone :1 (J Wheat Ridge, CO, USA Summer Outdoor F: Winter Outdoor F: Duct Internal Infiltration Ceiling Floors Above Grade Walls Doors Duct Floors Infiltration Ceiling AED Graph 20,000 Summer Indoor F Winter Indoor F: Cool Calc Manual J Load Report Design Grains: Cooling RH: "< (001 (91C nual 1 Daily Range: Elevation (Ft): HTM Approved ACCA MJ8 �-- - Average Calculations 15,000 "' Average 1.3 s CO 10,000 Calculations are based on the ACCA Manual j 8th Edition and are approved by ACCA. All computed calculations are estimates 5,000 on building use, weather data, and inputted values such a R - Values, window types, duct loss, etc. Equipment selections 0 should meet both the latent and sensible gain as well as 8 9 10 11 12 13 14 15 16 17 18 19 building heat loss. See Cool Calc Manual S Report for Hours equipment sizing verification. Prepared by: Cool Calc Version 1.0.0 Beta - www.coolcalc.com https://legacy.coolcalc.com/manualj/loadReport?project id=114861&system=1&zone=1 1/2 Cooling Loads Name Area Sensible Latent Windows & Glass Doors 450 9,642 0 Skylights 0 0 0 Doors 105 772 0 Above Grade Walls 1,765 1,488 0 Windows Floors 2,311 578 0 Ceiling 2,311 2,080 0 Ventilation 0 0 0 Infiltration 0 1,060 0 Internal 0 1,053 0 Duct 0 967 0 Blower Heat 0 0 0 AED Excursion 0 0 0 Total 6,942 17,640 0 Heating Loads Name Area Heat Loss Windows & Glass Doors 450 12,060 Windows Skylights 0 0 Doors 105 2,462 Above Grade Walls 1,765 8,041 Below Grade Walls 0 0 Doors Ceiling 2,311 3,097 Ventilation 0 0 Above Grade Infiltration 0 8,875 Walls Internal 0 0 Floors 2,311 7,742 Duct 0 4,397 Humidification 0 0 Hot Water Piping 0 0 Total 6,942 46,674 HTM Approved ACCA MJ8 �-- - Average Calculations 15,000 "' Average 1.3 s CO 10,000 Calculations are based on the ACCA Manual j 8th Edition and are approved by ACCA. All computed calculations are estimates 5,000 on building use, weather data, and inputted values such a R - Values, window types, duct loss, etc. Equipment selections 0 should meet both the latent and sensible gain as well as 8 9 10 11 12 13 14 15 16 17 18 19 building heat loss. See Cool Calc Manual S Report for Hours equipment sizing verification. Prepared by: Cool Calc Version 1.0.0 Beta - www.coolcalc.com https://legacy.coolcalc.com/manualj/loadReport?project id=114861&system=1&zone=1 1/2 Manual D Duct Sizing Total Sq R Tonnage *CFM per ton Total CFM CFM/Sq Ft 2,311 2.00 400 800 0.35 CPL ASP Longest Supply Longest Return Room Name Guest Laundry Living Bedroom 1 Bedroom 2 Master Hall Master Bath Gathering Kitchen Powder Storage Manual D Index # 800 400 267 Total Heat Loss Total Heat Gain Index # - 0.1 0.05 0.05 0.05 46,674 19,460 So Feet Rea CFM SuoDIV Ducts Return Duct Return Duct if 2 Return Duct if 3 Room Heat Loss Room Heat Gain 180 62 6 in 160 55 6 in 240 83 7 in 180 62 6 in 170 59 6 in 230 80 7 in 160 55 6 in 150 52 6 in 360 125 8 in 230 80 7 in 130 45 6 in 121 42 6 in 18 14 12 3,635.36 1,515.71 3,231.43 1,347.30 4,847.15 2,020.94 3,635.36 1,515.71 3,433.40 1,431.50 4,645.18 1,936.74 3,231.43 1,347.30 3,029.47 1,263.09 7,270.72 3,031.41 4,645.18 1,936.74 2,625.54 1,094.68 2,443.77 1,018.89 Page 1 PROKOP Environmental, LLC July 30, 2019 V&A Construction 7400 West 34th Avenue Wheat Ridge, Colorado 80033 Re: Prokop Environmental, LLC Project #: 07-19.3443 Subject Property Owner and Address: 7400 West 34th Avenue Wheat Ridge, Colorado 80033 To Whom It May Concern: 1115/11 lolqD1351 Cover Letter Prokop Environmental, LLC was pleased to be contacted and authorized by the above referenced parties to perform a limited asbestos survey at the subject property. This limited asbestos survey was conducted for the purpose of identifying the presence of asbestos containing materials (ACM) as required by state and/or federal regulatory agencies in the areas of the building that was part of the scope of work communicated to Prokop Environmental, LLC. The specific limitations of the area(s) and suspect ACM tested as part of this survey can be found in the Scope of Work Limitations section on page 3 of the attached report. This survey was performed by a Colorado Department of Public Health and Environment (CDPHE) certified asbestos inspector and in compliance with applicable federal, state, and local regulatory rules. Please see the attached copy of the limited asbestos survey report for detailed information on the survey performed. If you have any question regarding this report or need additional assistance please feel free to contact Prokop Environmental at any time. Sincerely, Doug Prokop Prokop Environmental, LLC 720-232-7152 Enclosed: Limited Asbestos Survey Report Prokop Environmental, LLC 9457 S. University Blvd., Suite 612 Highlands Ranch, CO 80126 720-232-7152 Pr Cyd neat Ftid9e 07-19.3443 7400 West 34th Avenue Wheat Ridge, Colorado 80033 LIMITED ASBESTOS SURVEY REPORT PROJECT BACKGROUND INFORMATION Firm Performing Survey: Survey Site Name and Property Type: Survey Site Address: Survey Performed For: Prokop Project Number: Date of Survey: Prokop Environmental, LLC 9457 S. University Blvd., Suite 612 Highlands Ranch, CO 80126 Phone: 720-232-7152 Single Family Residential 7400 West 34th Avenue Wheat Ridge, Colorado 80033 V&A Construction 7400 West 34th Avenue Wheat Ridge, Colorado 80033 07-19.3443 July 23, 2019 Asbestos Report Page 1 Licensed Inspector: Tomoki Igi CDPH&E Asbestos Building Inspector: 25081 AHERA Certification Number: 12078252 v� Inspector Signature: l� Date of Report: July 30, 2019 # of Samples Collected: 18 (Eighteen) # of Material(s) Containing >1% Asbestos: 1 (One) Report Attachments: List of Homogeneous Areas Identified & Sampled Summary Chart & The Exact Sample Location Photographs of the Property and Homogeneous Areas Chain of Custody and Laboratory Report Inspector, Consulting Firm and Laboratory Certifications emy4a Prokop Environmental, LLC Wheet Ridge 9457 S. University Blvd., Suite 612 Highlands Ranch, CO 80126 uNdit Wow 720-232-7152 07-19.3443 7400 West 34th Avenue Wheat Ridge, Colorado 80033 PROJECT SUMMARY INFORMATION Asbestos Report Page 2 Sample Collection Protocol: As part of this limited asbestos survey a CDPHE certified asbestos building inspector performed an onsite inspection of the property to visually and physically identify suspect ACM and it's condition within the area of the building that was damaged and/or part of the scope of work that was communicated to Prokop Environmental, LLC (see Scope of Work Limitations on Page 3). The identified suspect ACMs were each assigned a homogeneous area (HA) number and randomly sampled in accordance with regulatory guidelines. Homogenous areas are defined as an area of material that is uniform in color and texture. The HA list for this project including the description, location, categorization, and condition of each material on the HA list is attached to this report. Also attached is a digital photo of each HA. Specific sample location, material type, condition, classification, and material quantification can be found on the attached charts. Materials that were not observable, accessible, or not part of the scope of work communicated to Prokop Environmental, LLC are not included in this limited survey. If additional materials that are not included in this survey are found, samples of these materials should be tested for asbestos content. Methods: The samples collected were delivered under chain of custody to EMSL Analytical a National Voluntary Laboratory Accreditation Program (NVLAP) and CDPH&E certified laboratory. Laboratory accreditations and certifications are attached to this report. Laboratory analytical method used: EPA Method 600/M4-82-020; 600/R-93/11. Limitations: See the Scope of Work Limitations section on page 3 of this report for details on the specific area(s) and material(s) that the asbestos testing for this project and report is limited to. This limited asbestos survey was conducted following federal and CDPHE protocols for identifying ACM. Areas of suspect ACM may be present in areas not visible or accessible during this limited asbestos survey. Prior repairs or remodeling of the subject property and building components may have altered building materials so that suspect ACM could not be identified during this inspection. If any additional suspect ACM is discovered these materials should be properly sampled and tested for asbestos content. Reasonable attempts have been made to ensure that this report is complete and accurate with respect to Prokop Environmental, LLC's authorized scope of investigation. Our site visit was of a limited nature with emphasis on bulk asbestos testing based on the scope of work communicated to Prokop Environmental, LLC at the subject property identified herein. Test results represent the samples collected and the conditions present at the time of the inspection and are limited to the scope described herein. This report shall not be reproduced except in full and only with the written approval of Prokop Environmental or the client. Our services consist of professional opinions, conclusions and recommendations that are made in accordance with generally accepted consulting standards, principles and practices. Prokop Environmental assumes no liability for any loss, injury, claim, or damages arising directly or indirectly from any use or reliCe report or the opinions expressed herein. Prokop Environmental makes no risk assessmentguarantee or insurance policies of any kind, express or implied. Prokop Environmental, LLC 9457 S. University Blvd., Suite 612 Highlands Ranch, CO 80126 720-232-7152 07-19.3443 7400 West 34th Avenue Wheat Ridge, Colorado 80033 Asbestos Report Page 3 Limitations - Continued: This report was prepared pursuant to the contract, either written or verbal, Prokop Environmental has with the client. That contractual relationship included an exchange of information about the subject property that was unique and between Prokop Environmental and its client and serves as the basis upon which this report was prepared. Because of the importance of the communication between Prokop Environmental and its client, reliance or any use of this report by anyone other than the client, for whom it was prepared, is prohibited and therefore not foreseeable to Prokop Environmental. Scope of Work Limitations: Based on the scope of work communicated to Prokop Environmental the asbestos testing performed for this specific project and report is limited to the following rooms, areas, and type of suspect ACM listed below: Room(s)/Area(s) West Bedroom - Walls Skimcoat, Plaster West Bathroom - Walls Ceramic Tile, Grout, Thinset, Texture, Skimcoat, Plaster East Bedroom - South Wall Skimcoat, Plaster Sun Room - Floor Vinyl Sheet Flooring and Mastic Interior&Exterior - Brick Walls Mortar Attic Insulation & Backing Roof Shingles, Tar, Felt Findings/Conclusions: The following materials) were found to contain greater than 1% asbestos: • The Texture located on the Bathroom - Walls. This material is categorized as Surfacing, Friable, and in Good Condition. C*y of Vhest Ridge Prokop Environmental, LLC 9457 S. University Blvd., Suite 612 Highlands Ranch, CO 80126 720-232-7152 07-19.3443 7400 West 34th Avenue Wheat Ridge, Colorado 80033 HOMOGENEOUS AREA LIST HA# 01 Material Description Skimcoat, Plaster Material Location West Bedroom - Walls Material Classifications & Condition Surfacing - Friable - Good Quantity 100 Sq. Ft. 02 Cerarnic Tile, gout "rhinscL 1 emure. Sknnmat_ Plaster Bathroom - Walls Surtacina - Friable - Good 75 Sq, Ft. 03 Skimcoat, Plaster East Bedroom - Walls Surfacing - Friable - Good 75 Sq. Ft. 04 Vinyl Sheet Flooring and Mastic Sun Room - Floor Misc. - Friable - Good 100 Sq. Ft. 05 Mortar Interior/Exterior - Brick Wall Misc. - Friable - Good 200 Sq. Ft. 06 Insulation, Tar Paper Attic Misc. - Friable - Good N/A 07 Shingle Tar, Felt Roof Misc. - Nonfriable - Good 700 Sq. Ft. SAMPLE SUMMARY CHART Sample # 07-19.3443 -01 Layer 1 HA 4 01 Material Description Skim Coat Exact Sample Location West Bedroom - West Wall % Asbestos None Detected 07-19.3443 -01 2 01 Plaster West Bedroom - West Wall None Detected 07-19.3443 -02 1 01 Skim Coat West Bedroom - West Wall None Detected 07-19.3443 -02 2 01 Plaster West Bedroom - West Wall None Detected 07-19.3443 -03 1 01 1 Skim Coat West Bedroom - West Wall None Detected 07-19.3443 -03 2 01 Plaster West Bedroom - West Wall None Detected 07-19.3443 -04 l 02 Ceramic Tile Bathroom - Wall None Detected 07-19.3443 -04 2 02 Grout Bathroom - Wall None Detected 07-19.3443 -04 3 02 Thinset Bathroom - Wall None Detected 07-19,3443 -04 3 02 Texture Bathroom - Wall 2% Chn sotile 07-19.3443 -04 5 02 Skim Coat Bathroom - Wall None Detected 07-19.3443 -04 6 02 Plaster Bathroom - Wall None Detected 07-19.3443 -05 4 02 Tcxture Bathroom - Wall Positive Stopped 07-19.3443 -06 4 02 Texture Bathroom - Wall Positive Stopped 07-19.3443 -07 1 03 1 Skim Coat East Bedroom - South Wall None Detected 07-19.3443 -07 2 03 Plaster East Bedroom - South Wall None Detected 07-19.3443 -08 1 03 Skim Coat East Bedroom - South Wall None Detected 07-19.3443 -08 2 03 Plaster East Bedroom - South Wall None Detected 07-19.3443 -09 1 03 Skim Coat East Bedroom - South Wall None Detected 07-19.3443 -09 2 03 Plaster East Bedroom - South Wall None Detected 07-19.3443 -10 l 04 Vinyl Sheet Flooring Sun Room - Floor None Detected 07-19.3443 -11 l 04 Vinyl Sheet Flooring Sun Room - Floor None Detected 07-19.3443 -12 l 05 Mortar Sun Room - Interior - Wall None Detected 07-19.3443 -13 1 05 Mortar Exterior - West Wall None Detected 07-19.3443 -14 1 05 Mortar Exterior - West Wall None Detected 07-19.3443 -15 1 06 Tar Paper Attic None Detected 07-19.3443 -15 2 06 Yellow Insulation Attic None Detected r C" d Wheal Ridge Prokop Environmental, LLC 9457 South University Blvd., Suite 612 Highlands Ranch, CO 80126 720-232-7152 07-19.3443 7400 West 34th Avenue Wheat Ridge, Colorado 80033 SAMPLE SUMMARY CHART - CONTINUED Sample # 07-19.3443 -15 Layer 3 HA # 06 Material Description Brown Insulation Sample Location Attic % Asbestos None Detected 07-19.3443 -16 1 06 Tar Paper Attic None Detected 07-19.3443 -16 2 06 Yellow Insulation Attic None Detected 07-19.3443 -16 3 06 Brown Insulation Attic None Detected 07-19.3443 -17 1 07 Shingle Roof None Detected 07-19.3443 -17 2 07 Tar Roof None Detected 07-19.3443 -17 3 07 Roofing Roof None Detected 07-19.3443 -18 1 07 Shingle Roof None Detected 07-19.3443 -18 2 07 Felt Roof None Detected CNV of W,Ieat Ridge Prokop Environmental, LLC 9457 South University Blvd., Suite 612 Highlands Ranch, CO 80126 720-232-7152 07-19.3443 7400 West 34th Avenue Wheat Ridge, Colorado 80033 PHOTO REPORT 7400 West 34th Avenue Wheat Ridge, Colorado 80033 Front Exterior of Property I it ■nrrr■�i� HA -02 HA - 04 - N/A 131:EIIENNA 1 HA - 03 Prokop Environmental, LLC 9457 South University Blvd., Suite 612 Highlands Ranch, CO 80126 720-232-7152 HA - 05 City of Wheat Ridge 07-19.3443 7400 West 34th Avenue Wheat Ridge, Colorado 80033 PHOTO REPORT 7400 West 34th Avenue Wheat Ridge, Colorado 80033 HA - 06 Prokop Environmental, LLC 9457 South University Blvd., Suite 612 Highlands Ranch, CO 80126 720-232-7152 HA - 07 City of ',heat Ridge EMSL Analytical, Inc. 1010 Yuma Street Denver, CO 80204 Tel/Fax: (303) 740-57001 (303) 741-1400 40— http://www.EMSL.com / denverlab@emsl.com EMSL Order: 221905903 Customer ID: PKPE25 Customer PO: Project ID: Attention: Doug Prokop Phone: (720) 232-7152 Prokop Environmental Fax: Sample Description 9457 S. University Blvd Received Date: 07/23/2019 10:08 AM Suite 612 Analysis Date: 07/30/2019 Highlands Ranch, CO 80126 Collected Date: 07/23/2019 Project: 07-19.3443 - 7400 W 34th Non -Fibrous 78% Non-fibrous (Other) Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized White Light Microscopy Plaster - Bathroom Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type 07 -19.3443 -01 -Skim Skim Coat, Plaster - White 10% Ca Carbonate None Detected Coat West Bed Rm - West Non -Fibrous 90% Non-fibrous (Other) Wall Heterogeneous 221905903-0001 Inseparable paint/coating layer included in analysis HA. 1 07 -19.3443 -01 -Plaster Skim Coat, Plaster - Pink West Bed Rm - West Non -Fibrous 221905903-000IA Wall Homogeneous HA: 1 07 -19.3443 -02 -Skim Skim Coat, Plaster - White Coat West Bed Rm - West Non -Fibrous Wall Homogeneous 221905903-0002 Inseparable paint/ coating layer included in analysis 5% Ca Carbonate None Detected 95% Non-fibrous (Other) 10% Ca Carbonate None Detected 90% Non-fibrous (Other) HA: 1 07 -19.3443 -02 -Plaster Skim Coat, Plaster - Pink 5% Ca Carbonate None Detected West Bed Rm - West Non -Fibrous 95% Non-fibrous (Other) 221905903-0002A Wall Homogeneous HA: 1 07 -19.3443 -03 -Skim Skim Coat, Plaster - White 10% Ca Carbonate None Detected Coat West Bed Rm - West Non -Fibrous 90% Non-fibrous (Other) Wall Heterogeneous 221905903-0003 Inseparable paint/ coating layer included in analysis HA 1 07 -19.3443 -03 -Plaster Skim Coat, Plaster - Tan 5% Ca Carbonate None Detected West Bed Rm - West Non -Fibrous 95% Non-fibrous (Other) 221905903-0003A Wall Homogeneous HA: 1 07 -19.3443 -04 -Ceramic Tile, Grout, Skimcoat, White Tile Plaster - Bathroom Non -Fibrous Walls Homogeneous 221905903-0004 07 -19.3443 -04 -Grout Tile, Grout, Skimcoat, White Plaster - Bathroom Non -Fibrous 221905903-0004A Walls Homogeneous HA: 2 HA: 2 100% Non-fibrous (Other) None Detected 15% Ca Carbonate None Detected 85% Non-fibrous (Other) 07-19.3443-04-Thinset Tile, Grout, Skimcoat, White 5% Ca Carbonate None Detected Plaster - Bathroom Non -Fibrous 95% Non-fibrous (Other) 221905903-00048 Walls Homogeneous HA: 2 07 -19.3443 -04 -Texture Tile, Grout, Skimcoat, White 20% Ca Carbonatetile Plaster - Bathroom Non -Fibrous 78% Non-fibrous (Other) 221905903-0004C Walls Heterogeneous City Of Inseparable paint/ coating layer included in analysis HA: 2 l Initial report from: 07/30/2019 13:23:05 ASB—PLM-0008-0001 - 1.78 Printed: 7/30/2019 11:23 AM Page 1 of 4 EMSL Analytical, Inc. EMSL Order: 221905903 Customer ID: PKPE25 1010 Yuma Street Denver, CO 80204 Customer PO: Tel/Fax: (303) 740-5700 / (303) 741-1400 Project ID: http://www.EMSL.com / denvedab@emsl.com Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type 07 -19.3443 -04 -Skim Tile, Grout, Skimcoat, White 10% Ca Carbonate None Detected Coat Plaster- Bathroom Non -Fibrous 90% Non-fibrous (Other) Walls Homogeneous 221905903-0004D HA: 2 07 -19.3443 -04 -Plaster Tile, Grout, Skimcoat, Pink 5% Ca Carbonate None Detected Plaster - Bathroom Non -Fibrous 95% Non-fibrous (Other) 221905903-0004E Walls Homogeneous HA: 2 07-19.3443-05 Tile, Grout, Skimcoat, Positive Stop (Not Analyzed) Plaster - Bathroom 221905903-0005 Walls HA: 2 07-19.3443-06 Tile, Grout, Skimcoat, Positive Stop (Not Analyzed) Plaster - Bathroom 221905903-0006 Walls HA: 2 07 -19.3443 -07 -Skim Skimcoat, Plaster - White 10% Ca Carbonate None Detected Coat East Bedrm - S Wall Non -Fibrous 90% Non-fibrous (Other) Heterogeneous 221905903-0007 Inseparable paint/ coating layer included in analysis HA: 3 07 -19.3443 -07 -Plaster Skimcoat, Plaster - Pink 5% Ca Carbonate None Detected East Bedrm - S Wall Non -Fibrous 95% Non-fibrous (Other) 221905903-0007A Homogeneous HA: 3 07 -19.3443 -08 -Skim Skimcoat, Plaster - White 10% Ca Carbonate None Detected Coat East Bedrm - S Wall Non -Fibrous 90% Non-fibrous (Other) Heterogeneous 221905903-0008 Inseparable paint/coating layerincluded in analysis HA: 3 07 -19.3443 -08 -Plaster Skimcoat, Plaster - Pink 5% Ca Carbonate None Detected East Bedrm - S Wall Non -Fibrous 95% Non-fibrous (Other) 221905903-0008A Homogeneous HA: 3 07 -19.3443 -09 -Skim Skimcoat, Plaster - Tan/White 10% Ca Carbonate None Detected Coat East Bedrm - S Wall Non -Fibrous 90% Non-fibrous (Other) Heterogeneous 221905903-0009 HA: 3 07 -19.3443 -09 -Plaster Skimcoat, Plaster- Tan 5% Ca Carbonate None Detected East Bedrm - S Wall Non -Fibrous 95% Non-fibrous (Other) 221905903-0009A Homogeneous HA: 3 07-19.3443-10 Vinyl Sheet Flooring - Brown/Gray 10% Glass 90% Non-fibrous (Other) None Detected Sun Room - Floor Non -Fibrous 221905903-0010 Homogeneous HA: 4 07-19.3443-11 Vinyl Sheet Flooring - Brown/Black 5% Glass 95% Non-fibrous (Other) None Detected Sun Room - Floor Fibrous 221905903-0011 Homogeneous HA: 4 07-19.3443-12 Mortar - Interior Sun Gray 10% Ca Carbonate None Det ed Room - Wall Non -Fibrous 90% Non-fibrous (Other) Cdy of 221905903-0012 Homogeneous HA: 5 e Initial report from: 07/30/2019 13:23:05 ASS—PLM-0008-0001 - 1.78 Printed: 7/30/2019 11:23 AM Page 2 of 4 EMSL Analytical, Inc. Mortar - Exterior - EMSL Order: 221905903 5% Ca Carbonate Customer ID: PKPE25 1010 Yuma Street Denver, CO 80204 Wall Non -Fibrous 95% Non-fibrous (Other) Customer PO: Tel/Fax: (303) 740-5700 / (303) 741-1400 Homogeneous Project ID: http://www.EMSL.com / denvedab@emsl.com Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized HA: 5 Light Microscopy Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type 07-19.3443-13 Mortar - Exterior - Gray 10% Ca Carbonate None Detected Wall Non -Fibrous 90% Non-fibrous (Other) 221905903-0013 Homogeneous Fibrous HA. 5 07-19.3443-14 Mortar - Exterior - Gray 5% Ca Carbonate None Detected Wall Non -Fibrous 95% Non-fibrous (Other) 221905903-0014 Homogeneous HA: 5 07 -19.3443 -15 -Tar Insulation/ Tar Paper Black 55% Cellulose 45% Non-fibrous (Other) None Detected Paper - Attic Fibrous Homogeneous 221905903-0015 HA:6 07 -19.3443 -15 -Yellow Insulation/ Tar Paper Yellow 98% Min. Wool 2% Non-fibrous (Other) None Detected Insulation - Attic Fibrous Homogeneous 221905903-0015A HA: 6 07 -19.3443 -15 -Brown Insulation/ Tar Paper Brown 98% Min. Wool 2% Non-fibrous (Other) None Detected Insulation - Attic Fibrous Homogeneous 221905903-00158 HA: 6 07 -19.3443 -16 -Tar Insulation/ Tar Paper Black 75% Cellulose 25% Non-fibrous (Other) None Detected Paper - Attic Fibrous Homogeneous 221905903-0016 HA: 6 07 -19.3443 -16 -Yellow Insulation/ Tar Paper Yellow 98% Min. Wool 2% Non-fibrous (Other) None Detected Insultion - Attic Fibrous Homogeneous 221905903-0016A HA: 6 07 -19.3443 -16 -Brown Insulation/ Tar Paper Brown/Gray 98% Min. Wool 2% Non-fibrous (Other) None Detected Insulation - Attic Fibrous Homogeneous 221905903-00168 HA: 6 07 -19.3443 -17 -Shingle Roofing- Roof Red/Black 15% Glass 85% Non-fibrous (Other) None Detected Fibrous 221905903-0017 Homogeneous HA: 7 07 -19.3443 -17 -Tar Roofing- Roof Black 100% Non-fibrous (Other) None Detected Non -Fibrous 221905903-0017A Homogeneous HA: 7 07 -19.3443 -17 -Roofing Roofing - Roof Black 10% Glass 90% Non-fibrous (Other) None Detected Fibrous 221905903-00176 Homogeneous HA: 7 07 -19.3443 -18 -Shingle Roofing - Roof Black 10% Glass 90% Non-fibrous (Other) None Detected Fibrous 221905903-0018 Homogeneous HA: 7 07 -19.3443 -18 -Felt Roofing - Roof Black 25% Glass 75% Non-fibrous (Other)rone cted Non -Fibrous o! 221905903-0018A Homogeneous HA 7 Initial report from: 07/30/2019 13:23:05 "" " ""Z ASB—PLM-0008-0001 - 1.78 Printed: 7/30/2019 11:23 AM Page 3 of 4 EMSL Analytical, Inc. 1010 Yuma Street Denver, CO 80204 Tel/Fax: (303) 740-5700 / (303) 741-1400 40— http://www.EMSL.com / denverlab@emsl.com EMSL Order: 221905903 Customer ID: PKPE25 Customer PO: Project ID: Analyst(s) Call I_kX c.� Amanda Hammer (23) Melanie Rech, Laboratory Director Timothy Kleehammer (11) 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/M "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 repr ced, except r II, 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(�Wheat nsibilty tjAclien 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 bAP, Nl or any age y of the federal government. EMSL recommends gravimetric reduction for all non -friable organically bound materials prior to analysis. Estimation of uncertainty is availsrequest. Samples analyzed by EMSL Analytical, Inc. Denver, CO NVLAP Lab Code 20082110 Ridge Initial report from: 07/30/2019 13:23:05 ASB—PLM-0008-0001 - 1.78 Printed: 7/30/2019 11:23 AM Page 4 of 4 OrderID: 221905903 Asbestos chain of custody EMSL Order Number (Lab use Only): EMSL ANALYTICAL, INS. 1010 YUMA S DENVER, CO 80204 PHONE (303)740-5700 FAX: (303)741-1400 Com an : Prokop Environmental, LLC EMSL-Bili to: ❑ Same ❑ Different If Bill to is Different note instrucbons in Comments" Third Pwty Bift me eines written authon¢abon from Hwd Street: 9457 S. University Blvd. Suite 612 City: Highlands Ranch State/Province: CO Zip!Postal Code: 80126 Country: USA Re rt To (Name):_ Doug Prokop Fax #: Telephone #: 720.232-7152 j Email Address: dprokop&rokopenv.com Project Name/Number: 4 3 �740 Please Provide Results: Fax Email Purchase Order: U.S. State Samples Taken: Colorado Tumaround Tlme TAT tions' - Please Check 3 Hours 6 Hours 24 Hrs 48 Mrs 3 Da _4Da 5 Das 10 Da 'For TEM Ar 3 hours/6 hours, please call ahead to schedule_ *There is a premium charge for 3 Hour TEM AHERA or EPA Level it TAT You writ be asked to sign an authorization farm for this service. Analysis corn feted in aocordanoe with EMSL's Terns and Conditions bated in the Anal Pmce Guide P M - Air ❑ NIOSH 7400 ❑ w/ OSHA 8hr_ TWA TEM - Air ❑ AHERA 40 CFR, Part 763 ❑ NIOSH 7402 ❑ EPA Levet 11 ❑ ISO 10312 TEM- must ❑ Microvac - ASTM D 5755 ❑ Wipe - ASTM 06480 ❑ Carpet Sonication (EPA 600/.1-93/167) PA - Bulk (reoortina limit) PLM EPA 600111-9311163 (<1%) ❑ PLM EPA NOB (<1%u) Point Count ❑ 400 (<0.25%) ❑ 1000 (<0.1 %) Point Count w/Gravimetric ❑ 400 (<0.25%) ❑ 1000 (<O.1%) ❑ NYS 198 1 (friable in NY) ❑ NYS 198.6 NOB (non -friable -NY) ❑ NIOSH 9002 <I% §o1yaocklVeLMIculite ❑ PLM CARB 435 - A (0.25% sensitivity) ❑ PLM CARB 435 - B (0.1% sensitivity) ❑ TEM CARB 435 - B (01% sensitivity) ❑ TEM CARB 435 - C (0.01% sensitivity) ❑ EPA Protocol (Semi -Quantitative) ❑ EPA Protocol (Quantitative) TEIIA - 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 >101im ❑ Waste ❑ Drinking All Fiber Sizes ❑ Waste ❑ Drinking Other. Check For Positive Stop — Clearly Identify Homogenous Group Samplers Name: Temoki t9i Samplers Signature: Sample # Sample Description Volume/Area (Air) HA # Bulk Date/Time Sam led - ant_ vw rj -% N ` v3 \\ a r - E"K0 �m - S ,r,9� I\ Client Sample # (s): - Total # of Sam les: Relinquished (Client): Hate: Z 71 Tune: Received (Lab): Date: `� .2"3 k Time: CommentstSpeciallnstructions: �p -d a, ' curl, t� wma�eao�w.�+-A%bWmCDC -R+-SIM= Page 1 of pages pang I of OrderID: 221905903 ■+au wNw�.rncwa, ate. Asbestos Chain of Custody EMSL Order Number cab use Only): 221 q CSQ 4 3 EMSL ANALYTICAL, INC. 1010 YUMA ST DENVER, CO 80204 PHONE: (303)740-5700 Fw (303)741-1400 Additional Pages of the Chain of Custody are only necessary if needed for additional sample information Sample # Sample Description VolumelArea (Air) HA # Bulk Datemme Sampled 07-040 -oq LI atoo(� - ) 03 3/14 1 v �-)f Al a MM - C-1%0 \\, \� \v \� -13 .• r r� C - i 07 'CommentslSpecial Instructions: Ue"Ad Page of pages COWa �aoa�- coc-R1-3l180M pane � of � Colorado Department of Public Health and Environment ASBESTOS CERTIFICATION* This certifies that Tomoki Igi :> Certification No.: 25081 - } has met the requirements of 25-7-507, C.R.S. and Air Quality Control Commission Regulation No. 8, Part B, and is hereby certified by the state of Colorado in the following discipline: } Q) Building Inspector* Issued: October 30, 2018 Expires: October 30, 2019 * This certificate is valid only with the possession of a _ current Division -approved training course certification in the discipline specified above. Y APCD Representative SEAL LO P Q cB 4 0 O. o N Z` o N o ■ ■ q C i /� O a L / Q N Q Z .o Lu 0 C/5 0 oc TOMa'r d O a c Q� a oa o V _ � 2 - z b cc E(� 0 E ��c.. d "`� `L° Amo o 0� N V Q. ~ .a?0) EQ a) El OL Vi O ..•.i is » i.. U. � c a g dW .� v o m U �"`E � m � QUO CL ;� o a W c ,{,r a O � E col "Mon,a c10,10 o G1 c o L o ob A v `c N co 1 y� M Ri Z .r c w V O O O O ,Q C N �C` c co z Qi m ooc- c �. c0 o M of U W�ie�;� ��na,t� oa QF ® National Voluntary �$ QLaboratory Accreditation Program G SkTjS OF SCOPE OF ACCREDITATION TO ISO/IEC 17025:2005 EMSL Analytical, Inc. 1010 Yuma Street Denver, CO 80204 Henry Printz Phone: 303-740-5700 Email: sprintz@emsl.com http://www.emsi.com ASBESTOS FIBER ANALYSIS NVLAP LAB CODE 200828-0 Bulk Asbestos Analysis Code Description 18/A01 EPA — 40 CFR Appendix E to Subpart E of Part 763, Interim Method of the Determination of Asbestos in Bulk Insulation Samples 18/A03 EPA 600/R-93/116: Method for the Determination of Asbestos in Bulk Building Materials Airborne Asbestos Analysis Code Description 18/A02 U.S. EPA's "Interim Transmission Electron Microscopy Analytical Methods -Mandatory and Nonmandatory -and Mandatory Section to Determine Completion of Response Actions" as found in 40 CFR, Part 763, Subpart E, Appendix A. For the National 11,J: Effective 2019-04-01 through 2020-03-31 CiM1Y of Ridge Af W, REPUBLIC NON -HAZARDOUS SPECIAL WASTE & ASBESTOS MANIFESt WV seRvIces p If waste is asbestos waste, complete Sections I, II, III and IV !! If waste is NOT asbestos waste, complete Sections 1, 11 and 111 5548712 I- GENERATOR (Generator completes la -r) a. Generator's US EPR ID Number 7b. Manifest Document Number c. Page 1 of d. Generator's Name and Location: f. Phone: e. Generator's Mailing Address: g. Phone: If owner of the generating facility differs from the generator, provide: h. Owner's Name: I i i. Owner's Phone No.: j. Waste Profile # k. Exp. Date 1. Waste Shipping Name and Description m- Containers g. Operator's Name and Title (Print) ' h. Signature n. Total j Quantity 1 o. Unit WVVol No. Type I GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR 261 or any applicable state law, has been properly described, classified and packaged, and is in proper condition for transportation according to applicable regulations: AND, if this waste is a treatment residue of a previously restricted hazardous waste subject to the Land Disposal Restrictions. I certify and warrant that the waste has been treated in accordance with the requirements of 40 CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261. Generator.Authorized A ent Name (Print) q. Signature r. Date 11. TRANSPORTER Generator completes Ila -b and Transporter completes lic-e a. Transporter's Name and Address: b. Phone: c. Driver Name Print d. Signature e. Date Ill. DESTINATION (Generator comolete Iiia -c and Destination Site completes llld-o) a. Disposal Facility and Site Address: b. c. US EPA Number d. Discrepancy Indication Space: I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. e. Special Handling Instructions and Additional Information: f. E3 Friable © Non -Friable 0 Both % Friable % Non -Friable OPERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name e. Name of Authorized Agent Print f. Signature q. Date IV. ASBESTOS (Generator comoletes IVa -f and Ooerator complete IVa -i) a. Operator's Name and Address: c. Responsible Agency Name and Address: b. Phone: d. Phone: e. Special Handling Instructions and Additional Information: f. E3 Friable © Non -Friable 0 Both % Friable % Non -Friable OPERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name and are classified, packaged, marked and tabeled/placarded, and are in all respects in proper condition for transport according to applicable international and national governmental regulations. g. Operator's Name and Title (Print) ' h. Signature i. Date 'Operator refers to the company which owns, leases, operates, controls, or supervises the facility being demolished or renovated, or the demolition or renovation operation or both REV 01/14 GENERATOR RETAIN RS -1`11A G i> 'A. oor.,A w~~4o-. M# 5!1*5r 4.., 6& 8000" (MZ0)25t..376f q.. (303)7555-5/6 CLOSEOUT REPORTS REFERENCE SHEET Genera/[y, 2 Copies of Closeout to be made: One for the client with original waste manifests, and one copy for the Intertech Environmental Inc. file. Sometimes 3 Copies (2 for the Client, One for file) ✓ TAB 1 — Permits/Notifications: G.A.C. (General Abatement Certificate) Asbestos Permits ❑ Demo Permits (If Applicable) INt Pr ❑ If no asbestos permit, include only GAC ✓ TAB 2 — Disposal Documentation: Z Original Waste Manifests (with stamps) ❑ Make 2 color copies of Original, original to client closeout, one copy to Intertech closeout, one copy for file. ✓ TAB 3 — Air Monitoring: o' All Air monitoring reports (Usually Reservoirs) in order by date. cl If not air monitoring, exclude this tab. ✓ TAB 4— I urance: Certificate of Insurance ❑ If none. exclude this tab ✓ TAB 5 — Activity Logs: ❑ All daily reports, organized by date, to include Daily sign -in, activity log, safety meeting, inspection forms. ❑ Containment logs and manometer strip tape go behind daily paperwork, in order by date as well. ❑ Manometer strip tape is usually taped to back of containment sign -in and extra sheets when necessary and needs to be copied separately front and back. A� r�ah�, se��...fr✓(.� TAB 6 — Licenses/Certifications: ❑ Certifications of all workers listed on the daily reports. Usually Certification are already in the job file directly from job book, but verification is needed to ensure all certs are included. ❑ Clean Copy of Certifications should go to client, and original job site certs can go in Intertech closeout files. (only 1 copy of certs will need to be made in this case) If no copies of certs are in the file, 2 will need to be made. f"L&Q04g4 'cefx`rU �y rf v�eQ.cfi Piwweon«.«�?wL r%+.a. 7Z0 ZfUF76f 6*" &rot, Tw«,7 Avr Colorado Department of Public Health and Environment Air Pollution Control Division — Indoor Environmenf' Program — Asbestos/IAQ Unit 4300 Cherry Creek Drive South, APCD-IE-B1 Denver, Colorado 80246-1530 Phone: 303-692-3100 — Fax: 303-782-0278 E-mail: asbestos@state.co.us ASBESTOS ABATEMENT PERMIT This permit is granted subject to Colorado Air Quality Control Commission Regulation No. 8, Part B, adopted December 24, 2007, and effective January 30, 2008, the Colorado Air Pollution Prevention and Control Act (25-7-101 or 25-7-501 et seq., C.R.S.) and the following provisions. It is only for the purpose of allowing asbestos abatement. ADDITIONAL PERMIT PROVISIONS: By performing work under this permit the abatement contractor agrees that the Division may revoke or suspend this permit should the Division find that the contractor: • has violated or has aided and abetted in the violation of 25-7-101 or 25-7-501 et seq., C.R.S. or Regulation No. 8, Part B, or an order of the Division or Commission, • has failed to meet any permit and notification requirement or failed to correct any violations cited by the Division during any inspection within a reasonable period of time, as may be determined by the Division, • has used misrepresentation or fraud in obtaining this permit, or, • has committed any act or omission which does not meet generally accepted standards of the practice of asbestos abatement. As a contractor, you may be subject to other licenses and permits, depending on the requirements of the county and municipality in which the work is being performed. The Colorado Department of Public Health and Environment, Air Pollution Control' Division strongly suggests that you check with county and municipal authorities in order to determine any other local building/permitting requirements that must be met. THE ORIGINAL PERMIT MUST BE POSTED ON SITE AT ALL TIMES. Immediately notify the Asbestos/IAQ Unit ofproject modifications by fax (number above) or e-mail (address above) and the appropriate county health department by fax. Project modifications include changes in the scope of work or the scheduled work dates, etc. This asbestos abatement permit is valid beginning 8/26/2019 through 11:59 PM on 9/24/2019. The actual scheduled work dates are from 8/26/2019 through 8/29/2019. Approval issued on: 8/21/2019 Record number: 151772 Notice Number: 19JE5410A Variance: None Comments: None For the location specified below: 7400 W. 34th Ave (Residence) Bathroom 7400 W. 34th Ave Wheatridge Jefferson County This permit has been issued to: Intertech Environmental, Inc. 2524 South Rifle St Aurora, CO 80013 Fee paid: $180.00 Check number: CC 1020 Project Supervisor: Sebastian Ojeda Cerification No.: 22881 Project AMS: Joseph Todd Anderson Cerification No.: 2157 Project Manager: Issued by: SM ;STC August 28, 2019 Ms. Raquel Ojeda Intertech Environmental, Inc. 2524 South Rifle Street Aurora, CO 80013 RE: Clearance Air Monitoring 7400 W. 34" Ave. Wheat Ridge, Colorado 80033 Ms. Ojeda: 8985 E. Nichols Avenue, Suite 350 Centennial, Colorado 80112 Telephone 303-799-6100 Fax 303.799.3441 Mr. Todd Anderson provided Clearance Air Monitoring services for Intertech Environmental, Inc. at the residential asbestos abatement project. The visual inspection and clearance air monitoring was completed inside the house located at 7400 W. 34'1' Avenue in Wheat Ridge, Colorado. The visual inspection and clearance air monitoring was conducted in accordance with Colorado Regulation Number 8, Section III.P. Mr. Anderson conducted a visual inspection and collected five (5) clearance air samples inside the bathroom containment on August 27. 2019. The air monitoring results indicated that concentrations of airborne fibers were less than the concentration recommended by the Environmental Protection Agency (EPA) and Colorado Regulation Number 8 air monitoring guidelines of 0.01 fibers per cubic centimeter (f/cc) for Phase Contrast Microscopy (PCM) for re -occupancy of a space following an abatement project. Furthermore, Mr. Anderson did not observe any visible dust or debris remaining in the containment during the visual inspection event. Air sample results are summarized in the enclosed Air Monitoring Report. The work area that was tested has passed the required clearance criteria. If you have any questions please call me at 303-799-6100. Sincerely, Todd Anderson Air Monitoring Specialist Certification No.: 2157 Enclosure: PCM Report and Certifications PCM REPORT ,,,I TC 8985 E. Nichols Avenue, Suite 350 Centennial, Colorado 80112 (303) 799-6100 Client: Intertech Environmental Inc. Project ID: 7400 W. 341 Ave. Project Location: 7400 W. 34" Ave., Wheat Ridge, CO Identification: Asbestos, Air Filter Analysis Test Method: Phase Contrast Microscopy (PCM) NIOSH Method 7400 Sample Sample Sample Description / Location Fiber Concentration Number Date (f/cc) 8-27-01 8-27-2019 Field Blank NA 8-27-02 8-27-2019 Field Blank NA 8-27-03 8-27-2019 Clearance, bathroom west side <0.004 8-27-04 8-27-2019 Clearance, bathroom north center <0.004 8-27-05 8-27-2019 Clearance, bathroom south center <0.004 8-27-06 8-27-2019 Clearance, bathroom east side <0.004 8-27-07 8-27-2019 Clearance, hallway by bathroom <0.004 Results indicate the concentration of all fibers- The PCM method cannot positively identity asbestos fibers. Results may not be reproduced except in full This report relates only to the samples tested. City of Wheat Ridge Residential Asbestos Abatement PERMIT - 201901840 PERMIT NO: 201901840 ISSUED: 08/29/2019 JOB ADDRESS: 7400 W 34th Ave EXPIRES: 08/28/2020 JOB DESCRIPTION: Asbestos Abatement - 140 sq ft total *** CONTACTS *** OWNER (314)805-9294 SHAFFER MICHAEL SUB (720)251-3769 RAQUEL ARRENONDO DE OJEDA 190242 INTERTECH ENVIRONMENTAL *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,300.00 FEES Asbestos Abatement 50.00 Total Valuation 0.00 ** TOTAL ** 50.00 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by my signature, do hereby attest that the work to be performedVcomplith all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, poldures, and that I am the legal owner or have been authorized b the legal owner of the property and am authorized to obtain thierform the work described and approved in conjunction with t 's erm I further attest that I am legally authorized to includeed within this document as parties to the work to be pe' or d and that all work to be performed is disclosed in this dr its' accompanying approved plans and specifications. `1 atu of R or TR ACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The -issuance or gra f g of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any a/pyeable code or ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. i; 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 I�idg� COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 291 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: " 41 / q Plan/Permit #�v IV IPO 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: -7 YDO `GAJ l`�'1 - 34�e , h Ay Property Owner (please print): i C hp el I &—r)ki nP (Sh cIPF er Phone: 31c/ f6S - 9 29 y Property Owner Email: Tenant Name (Commercial Projects Only) NI N Property Owner Mailing Address: (if different than property address) It is 441c Surne. Address: City, State, Zip: Architect/Engineer E-mail: Phone: Contractor Name: _fnt!crtech Celwronrneri61 Tne City of Wheat Ridge License #: 19 02Zg2 Phone: 19p 251-3769 Contractor E-mail Address: 111 �* r te-c h e n 0 ho%mu i I - Co ry, For Plan Review Questions & Comments (please print): CONTACT NAME (please print):_ Qod ArreGorh de ©l.pd4 Phone: CONTACT EMAIL(p/ease print): IJer mail -corn 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 highlighted fields, if applicable. ❑ COMMERCIAL ❑ 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. ?yoptr Conk tnm.eyrt1 i pernoval o(rJ cifyosgl ©f APprokirna l -e 14D sF: pr r-�ct4 Ttas�er �ex}rJre i also 4Av skarn ooakl crop} oerarnie &r looC4 1 i n the 6,!-hroorn 0 1 h e lies iC,eenae. W e Will Cons} r �a�- ct �� I I Corl�cc t`n men>� dor h removal of Ae AamPtoLS--er }exkvice. kJeq Lhill be Usirj G�eF melhsc�sl l�or dJ��i Lind Fiber con+la) C. cu'i'n9 pfrless spruyers wiF6 +Uct�Cr Inel +bt,k hc�l- We Lod' use C N1,c,r�,•hoininers� Oro �xir� and FIgF bars, Srwd b4rsi. OF fhe mu}err4ls will be Jd hle- ba39ed. cind ode?ucdety and I�ro erly ct tsecced 54,J& I and F� 11 • OsH/� Persvnai a •0 i',r rn0111rt n� Will be r& n ¢p������ � h>s pr -Mss' VJ will be- vsl n ro er t,V4 K- erQo41bes meti•nS } he re��lc,torY Utnel �s oe s•1-c,i-e OF Co�crc�.do1 QS"Fkr{ dta(A fie dlA+tt 8 WeWili hove Ct �rJns�\ 0�eAM R ciYlJ Sq. FUN 4 c, n a � o k. %gyrus F n,Yok po. r a y � 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) �OL4 p 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) (CONTJ49Cor-4AVUT ORIZED-REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and PL last name): L ( / CT // DATE: Printed Name: ciap /'it�edpg4& c 'e 0tn- C ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: Colorado Department of Public Health and Environment Air Pollution Control Division — Indoor Environment Program — Asbestos/IAQ Unit 4300 Cherry Creek Drive South, APCD-IE-B1 Denver, Colorado 80246-1530 Phone: 303-692-3100— Fax: 303-782-0278 E-mail: asbestos@state.co.us ASBESTOS ABATEMENT PERMIT This permit is granted subject to Colorado Air Quality Control Commission Regulation No. 8, Part B, adopted December 21, 2007, and effective January 30, 2008, the Colorado Air Pollution Prevention and Control Act (25-7-101 or 25-7-501 et seq., C.R.S.) and the following provisions. It is only for the purpose of allowing asbestos abatement. ADDITIONAL PERMIT PROVISIONS: By performing work under this permit the abatement contractor agrees that the Division may revoke or suspend this permit should the Division find that the contractor: • has violated or has aided and abetted in the violation of 25-7-101 or 25-7-501 et seq., C.R.S. or Regulation No. 8, Part B, or an order of the Division or Commission, • has failed to meet any permit and notification requirement or failed to correct any violations cited by the Division during any inspection within a reasonable period of time, as may be determined by the Division, • has used misrepresentation or fraud in obtaining this permit, or, • has committed any act or omission which does not meet generally accepted standards of the practice of asbestos abatement. As a contractor, you may be subject to other licenses and permits, depending on the requirements of the county and municipality in which the work is being performed. The Colorado Department of Public Health and Environment, Air Pollution Control Division strongly suggests that you check with county and municipal authorities in order to determine any other local building/permitting requirements that must be met. THE ORIGINAL PERMIT MUST BE POSTED ON SITE AT ALL TIMES. Immediately notify the AsbestosAAQ Unit of project modifications by fax (number above) or e-mail (address above) and the appropriate county health department by fax. Project modifications include changes in the scope of work or the scheduled work dates, etc. This asbestos abatement permit is valid beginning 8/26/2019 through 11:59 PM on 9/24/2019. The actual scheduled work dates are from 8/26/2019 through 8/29/2019. Approval issued on: 8/21/2019 Record number: 151772 Notice Number: 19JE5410A Variance: None Comments: None For the location specified below: 7400 W. 34th Ave (Residence) Bathroom 7400 W. 34th Ave Wheatridge Jefferson County This permit has been issued to: Intertech Environmental, Inc. 2524 South Rifle St Aurora, CO 80013 Fee paid: $180.00 Check number: CC 1020 Project Supervisor: Sebastian Ojeda Cerification No.: 22881 Project AMS: Joseph Todd Anderson Cerification No.: 2157 Project Manager: Issued by: SM ;STC August 28, 2019 Ms. Raquel Ojeda Intertech Environmental, Inc. 2524 South Rifle Street Aurora, CO 80013 RE: Clearance Air Monitoring 7400 W. 34"' Ave. Wheat Ridge, Colorado 80033 Ms. Ojeda: 8985 E. Nichols Avenue, Suite 350 Centennial, Colorado 80112 Telephone 303-799-6100 Fax 303.799.3441 Mr. Todd Anderson provided Clearance Air Monitoring services for Intertech Environmental, Inc. at the residential asbestos abatement project. The visual inspection and clearance air monitoring was completed inside the house located at 7400 W. 34t' Avenue in Wheat Ridge, Colorado. The visual inspection and clearance air monitoring was conducted in accordance with Colorado Regulation Number 8; Section III.P. Mr. Anderson conducted a visual inspection and collected five (5) clearance air samples inside the bathroom containment on August 27, 2019. The air monitoring results indicated that concentrations of airborne fibers were less than the concentration recommended by the Environmental Protection Agency (EPA) and Colorado Regulation Number 8 air monitoring guidelines of 0.01 fibers per cubic centimeter (f/cc) for Phase Contrast Microscopy (PCM) for re -occupancy of a space following an abatement project. Furthermore, Mr. Anderson did not observe any visible dust or debris remaining in the containment during the visual inspection event. Air sample results are summarized in the enclosed Air Monitoring Report. The work area that was tested has passed the required clearance criteria. If you have any questions please call me at 303-799-6100. Sincerely, /c7�1/ 17���'ad l^-• Todd Anderson Air Monitoring Specialist Certification No.: 2157 Enclosure: PCM Report and Certifications PCM REPORT ATC 8985 E. Nichols Avenue, Suite 350 Centennial, Colorado 80112 (303) 799-6100 Client: Intertech Environmental Inc. Project ID: 7400 W. 34th Ave. Project Location: 7400 W. 341 Ave., Wheat Ridge, CO Identification: Asbestos, Air Filter Analysis Test Method: Phase Contrast Microscopy (PCM) NIOSH Method 7400 Sample Sample Sample Description / Location Fiber Concentration Number Date (f/cc) 8-27-01 8-27-2019 Field Blank NA 8-27-02 8-27-2019 Field Blank NA 8-27-03 8-27-2019 Clearance, bathroom west side <0.004 8-27-04 8-27-2019 Clearance, bathroom north center <0.004 8-27-05 8-27-2019 Clearance, bathroom south center <0.004 8-27-06 8-27-2019 Clearance, bathroom east side <0.004 8-27-07 8-27-2019 Clearance, hallway by bathroom <0.004 Results indicate the concentration of all fibers. The PCM method cannot positively identify asbestos fibers. Results may not be reproduced except in full. This report relates only to the samples tested. Rocky Mountain Center for Occupational and Environmental Health Department of Family and Preventative Medicine University of Utah certifies that has completed a Continuing Education Post Graduate course entitled A NIOSH Sponsored Educational Resource Center Colorado Department of Public Health and Environment ASBESTOS CERTIFICATION* This certifies that Joseph Todd Anderson Certification No.: 2157 has met the requirements of 25-7-507, C.R.S. and Air Quality Control Commission Regulation No. 8, Part B, and is hereby certified by the state of Colorado in the following discipline: Air Monitoring Specialist* Issued: December 19, 2018 Expires: December 19, 2019 This certificate is valid only with the possession of a current Division -approved training course certification in the discipline specified above. i' A horized APCC epres ntat' e SEAL :3U') N C) < 00 E rN 0 < u0 — I r - r10 In > Qj > ti at O to O O MR Im 'E V) o 0 Z 4-1 0 Ln E is f -'r- 0 0 4- E M 0 -0 Q) 0 > Q 0 C- 4- CL f= V) V) 0 > 0 C t5 -F '-u bA0 tai VA NO MCI m my v tx() C— LL: ul no ui C) C) 0 u rn u U u v tx() C— LL: ul no ui u INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive n inspeation the following business day PERMIT: ADDRESS:AJOB CODE. Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT ADDRESS: jA-Y�/JOB CODE:IF Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous j - 1 a - SS �'►� Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof j - 1 a - SS �'►� 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 "For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. M 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: y 0 C? - � ^C, I Job Address: i 0 o` w 3 y Permit Number: ';) 0 f -, o y o S ❑ No one available for inspection: Time is :7 SAM PM Re -Inspection required: Yes P When corrections have been made, call for re -inspection at 303 -234 - Date: / Inspector: �S DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division r (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 4 Job Address: 7 g d 0' k'_ A L., Permit Number: P�2Uv��- R. ❑ No one available for inspection: Time �% , AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspect' at 303-234-5933 Date: � - ( 7 ' / �7 Inspector: DO NOT REMOVE THIS NOTICE i i A i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:` 1` Job Address: -) Y o n tj Permit Number: s -7 b V0 ` q ❑ No one available for inspection: Time '`•UAAM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection t36-234-5933 Date: � -I(o -/77 Inspector: DO NOT REMOVE THIS NOTICE t /,Ls ,rom: 06124/2015 39:56 #404 M3/003 Inspections will not be performed unless this inspectionCal I the inspeption request line before 11:59 pm. to receive an Inspector Must Sign ALL Spaces pertinent to this project Foundation In# : + « mments Monolithic S#Reinforcement FootingiSternwaff P.E. Letter Underground/Slab Inspections« .x � IiIMM�ful l� u�M.. • # ��N��� RoughInspections « Final Inspe ns Date Ins car Initials Final Electrical -* Final Plumbing Final Mechanical Road Final Building f Frame ROW & Drainage Public Works Fire Inspection / Fire Protectii5it « # «'. "its' • XF t '.# «.: ♦ it #: :! #, • « # #:. ProtectOccupancy Is Not Perml Until A Certificate of Occupancy Is lis-ued «. From .Weather ii OCCU INSPECTION RECORD X—an-CY-1 T e INSPECTION REQUEST LINE: (303) 234-5933 Inspections will not be performed unless this card is posted on the project site, Call the inspection request line before 11:59 p.m. to receive an inspection the following business day. Inspector Must Sign ALL Spaces pertinent to this project ,:Pector Foundation Inspections Comments M W11.3 C11MANKIN ". Underground/Stab Inspections Inspector Initials Sewer Service (Underground) Water Service (Underground) Plumbing (Below / In -slab) Heating (Below / In -slab) ATM ro M Do Not Proceed Without Rough Framing Insulation EDrywail :Sc::re:w/ �Nail Final Inspections Date Final Electrical Final Plumbing Final Mechanical Roof Final Building / Frame . . . . . . ----- LM, ROW & Drainaae / Public Works DeDt. Fire Inspection / Fire Protection Dist. kp_nova l_.Of"Abov( ftt� of Wheat Ridge 86/,,4/2015 19-36 MA Install new 2 ton A/ Inspector CDA811517 MOUNT Initials PEP 7400 W 34th AVE, 136.50 APPLIMMIT NO: 1'015@9949 PAYNENT RECEIVED AMOUNT VS / 5589 136.50 AUT14 CODE: 081026 TOTAL 136.50 ----------------- ---------------- Inspections from these entities should be requestec one week in advance. For landscaping and parking inspections call 303-236-2846. For ROW and drainage inspections call 303-235-2351. For fire inspections contact the Fire Protection District for your project. 2015-06-24 08:53 Lakeside Heating 3034638837 >> 4 € •JJ +r • �l City of Am w�fi6at lftv**"rtyt). :: 20- M W. 29* Ave., Wheat Ridge,CO SM lrmpe*afi •, LMe: 303-234-5M 127-77 r7tt w..a�raw�ar^� sarrPa rur� r m WHEqrA City of Wheat Ridge °OLoR0 Residential Mechanic PERMIT - 070812 PERMIT NO: 070812 ISSUED: 08/03/2007 JOB ADDRESS: 7400 W 34TH AVE EXPIRES: 01/30/2008 DESCRIPTION: Replace ductwork in crawlspace(asbestos removal by cert prof CONTACTS owner 303/238-2667 gc 303/421-2161 PARCEL INFO ZONE CODE: UA - SUBDIVISION: 0546 FEE SUMMARY Permit Fee Total Valuation Use Tax TOTAL Sarron Speedy 01-7835 Blue Sky Plumbing USE: UA BLOCK/LOT#: 0/ ESTIMATED PROJECT VALUATION: 4,300.00 FEES 144.70 .00 77.40 222.10 030- Comments: Asbestos must be removed by state certfied asbestos removal professional. i hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations o£ the City o£ Wheat Aidge or covenants, easements or restrictions o£ record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the wheat Ridge Huilding Code (I.B.C) and all other applicable Wheat Aic]gqOrdi,~ncesyfgx~j rk iyV this permiL Plans subject to field inspection. ~/7j ~ Signature of cont ctor/owner date 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws o£ the State of Colorado and to the Zoning Regulations and Huilding Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 3. If this permit espires, a new pesmit 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 pexmit. 4. No work of any maxuier 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 £or all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. 6. The issuance of ermit or the approval of drawings and epecifications shall not be construed to be a permit for, nor an appr a f, ~ violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All pla~ f,~ r is subject to Eield inspections. Signatur f Chief Huilding Official date INSPECTION REQIIEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION TAE FOLLOWING BUSINESS DAY. :g/ 2/ 07 T H U 03: pF WHE9'7~ ~ ~n ~ ~aLONP~~ 21 ( wmrviurvn r utVtLOPMENT DEPqRTMEN7 BUILDING INSPEC770N LINE - 308-234•5933 CITY OF WHEAT RIDGE 7500 WEST 28TM AVENUE wMEAT woc3E, CO 60033 - (303-236-2855) PS0pem OWIICC; Propercy Address: -44QQ Contractar License No,;'7.3 3 s OWNBR/coN7RACTeR SIONA7vttE OF uNpERS7qNDINa aND AartEEMEN7 vVnee[ niq(JB or cov¢pmtg, BdBamerft Of teal shown, end alleg0tlons matla ere aCCUrate; tY condklons prlnted on thle appllcatlan and that 1 wtth the Wheat Rldga Bullding Coda (I.B.C; Ofd111017ces, (OI work Ulltler thh pBtmlt. Pldtls Use of Space (descriK Description of work: Sq. Ft added w, Wilt 6~ u5irig bvp4Gec~M.reg . T P"'°P"'' SIC: Approval: Zoning: CoMMEN75: ' mifj"f Y1. J Approv~l: ~ WORK$ COMMENTS: Approval: DEPARTMENT COMMaNTS: aaP~ai: au-e C-ef-t - ~S -C`-. S~.lo gp'YMIQYr"'- Eiectrical License No: plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date: Expiration Date: Expiration Date: AppfoVal: Approval' Appraval• (1) This permlt was Issuad in accordence wlth the provlsbns aet Porth In your epplicatlon end Is subject to the laws of the state of Colorotl0 0nd to the Zaning REgUlatioqS AOd Bulldlqg COdes o1 Whast Rldge, Caloiado or eny othel' epplicpble ardlnapC08 of the Ciry. (2) Thla permlt shen explrq 180 dsya from the lasue tlste. Requests for an edenslon must be received prlor ta ezplratlon date, M eutenelon may be yrented pt the diacretlon of the Bullding O((Iclel. (3) If this parmlf axplrea, a new permit may be acquired Tor e fea of one-haNthe amaunt nonnally requlretl, prwlded no chariges have 6eenorwlllbemadelntheoriginalplensandapeciScetloneandaityeuspenelonora6andonmentlmenoteuceetledone(t)yeaz, If changes have been or If suspenslon ar ebendonmant mccaeds cne (1) year, lull fees shall pe pald fir a new permlt. (4) Na work oI eny manner shail be tlone that wlli change the natural tlow of weter ceueing a dralnage problem. (5) Contra,ctorahallnotirytheBulWinglnapaoMrtwentydour(2A)houtsinadvancefor allinapectloneandshallreceiveWfittenapproval an [napectlan card befora proceetling with succesalve phases of tha job, (6) TheiasuancaotapermltormeapprovelofdraeWngaandepeclncatlonashallnot6ecanatruadiobeapennltfor,naronapprovaloL any WoleNon pf the pmvlalons aFifid bullding codee or any other ordlnanca, lew, rule or rogulalmn. AII plan reWew is supJgd to Fiald InSpectipnS. Chief Building Official 13032352657 4 2/ 2 Building PermR Numher: oate; PLAN # Phone: DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 14276 BUILDING INSPECTION LINE - 303-234-5933 Date : 8/2/02 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner. SCOTT SPEEDY Property Address : 7400 W 34TH AVE Phone : 238-2667 Contractor License No. : 19312 Company : Deer Creek Plumbing Phone : 697 5883 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, mles or regulations of the City of Wheat Ridge or covenants, easements or restridions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. Construction Value : $300.00 Permit Fee : $23.50 Plan Review Fee : $0.00 Use Tax : $3.60 Total: $27.10 (OWNER)(CONTRACTOR) SIGNED DATE US2 : Description : INSTALL 40 GAL. GAS WATER HEATER r!'i ~a ~ Electrical License No : Plumbing License No :19312 Mechanical License No : Company : Company : Deer Creek Plumbing Company : Expiration Date : 4/9/03 Expiration Date : Approval : OK/KS Expiration Date : Approval : Approval : (1) This permit was issued in accortlance with the provisions set foAh in yopur applica6on and is subjectto the laws of the Sta[e of Colo2do antl to the Zoning Regula[ions and Builtling Code of Wheat Ridge, Colorado or anyother applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within siaTy (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 720 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half ihe amount norma0y required, pmvided no changes have been or will 6e made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) yeac If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new peFmit - .(4) No work of any manner shall be tlone ihatwill change the naturel Flow of water causing a tlrainage problem. - (5) Contractor shall notiy the Building Inspector hventy-Pour (24) hours in advance for all inspeciions and shall receive written approval on inspection cartl 6efore pmceediing with successive phases of thejob. (6) The issuance of a permit orthe approval of drewings and specifications shall not be consUUed to be a permitfor, nor an approval of, any violation of the . prov . s of the building wtles or any other ordinance, law, rule or regulation. ief ui di , DEPARYMENT OF^Pi.l1NNING AND DEVELOPMENT $uildjng Permit Number; BUILDINC3 INSPECTION DIVISI ON - 234-2855 ~ CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE Date. " WHEAT RID9E, CO 80215 . . , . APPL1CATioN ; property Owner : f1cO I PropeRy Addresa : ~~Phone Cantroctor lieense No. : kQ 312 I - ComPanY: tc&.~~ ,2 ' 1y,r-, I - ~ ;Phone : Ep`11-5883 QWNER/CONTRACTOR SIGNATURE OF UNDERSTANDINOAND AGREEMENT Constructlpn Value: I lfsnby eertNy thal the utback dhbnat ProP~d by thb paenN aDPliution arc saunU, and do na vbi■u .ppllueN oMln■nas, ruMs or ropuution. or M. ciry ar Wlisat aWp• or ; Permil Fee : , eovenaMS, euemsnts a rosUlalan of racord: that aA irnnursrmnb shawn, and pkps tfoiy ~ . mads aro acante: lhd I hws roatl and aqroe ta abids bv aA eondkian pOMSd en thb : Use T87i : aDPikation, and Nat 1 auumw hll nsponfibU1ry Por eom ILna wkh tM Whait Ridp BuAdkp dkp CaG (y.B.CJ and all wMr sPPat R_Wp nas, for woAc unda tlW p~rtroL . ~ ~ Approvel ; . , Zoning : . lll ry . Approval: ` Approval : OccupanCy : Walls : ElecUical Lkenae No : Company: ' _ . . • ~ Eipiratlon Date : Approvai : Tahdl: i TrUse : " . ;T _-___•.-*^..n,», g3J~ . !t~.) tA ; . ~ ~ . BUILDING DEPARTMENT U5E ONLY, • . SIC Sq. FC t - y i . . ' ' J ' .F. : . ~4' . • { ~ , - Roof : Stories > Plumbing License No : Company: ~ Expiration Date Approval : Residentlal Unib : . . . ...:'.`a Mechanical Llcense No : ' Company : -._..~..,~.n,..~ Eupiretion Date : . APProval : nus o.m+n w.. wuM u,.awa.ne. wrm ft voww...i ronn un yopw .pqk.um.oa h w n,e u.s an,. sna wcownao.ro b tn. zer" R~OWtlam rM Buu~ coa. a wn..t way., caa.eo «.ny an«.oWw+a. waw~'a~~cny. (2) Thh w~ wa aqn B NON wak aWiarzma q na mmriew wnJn shty (eu) Gys trom ww aw a'(s) fM buYdMq uabnew N wrpMdN er ~WrWdNtl br a PenoE of 1 tlay~. . (7) If th4 D~k~xPM'a, mn~w pwmfl mry N rep4~KM~+d tar mtw W orsIWl tM wnant a "npuftd. pa'Ihd ro tlhrqw Im DMn a wM be modR YCNi ncaW~o~rr(f Ywh~M~iWIIbiOMN ~ar~n~'7~ twnolaa~tl~COne(1)yw. MChatpNN nwNOr MWpMW4nwGhrlOM~fYA ~ Nowakdam~mwwYWWdor»tlutwlpGUnp~lMnMallbwNwMrcmkqaOrMnp~peoONm. !61 mg wm;ft ;~1the (24) hom in .a.,,c.,w 0~.~..nd MM ,.W.m ft.~.~~' aw~ ' ro1 a~a. « .~ow o1°biriww~o. w~ aW ~ e. mewwd a a. p«mx a,~wr.n.opw~ a..nrwowen arw p~ . .ny a~wr amnana, r.. . . . . r:J i Chief Building Inspecior " . ` DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Date 9241 7/27/99 Property Owner : Property Address : 7400 34TH AVE Contractor License No. : Phone : 238-2667 Company : Phone : OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT $2 900 00 I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibiliry for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat R~~~id999e ordi for~` rk under this permit. (OWNER)(CONTRACTOR)SIGNED~""--j DATE ) a~ ~ Construction Value Permit Fee Plan Review Fee Use Tax Total Use: Description : TEAR OFF AND RE ROOF WITH THREE TAB $83.25 $0.00 $72.50 $155.75 Electrical License No : Company : Plumbing License No : Company : Mechanical License No : Company: of the builtling coQes ordny other ordinance, law, rule or regulahon. Building Permit Number Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: (1) Th is pertni[ was issued in accordance with the provisions set forih in yopur application antl is suc[ to the laws of the State of Coloredo antl to the Zoning Regulations and Builtling Code of Wheat Ritlge, Colorado or any otherappliratile ortlinances ofbje the City. (2) This petmit shall expire if (A) the work authorizetl is not commenced wifhin sixty (60) days from issue date or (B) the builtling authorized is suspended or abandoned for a period of 720 days. .(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in fhe original plans and specifications and any suspension or abandonment has not exceedetl one (1) year. If changes are made or if suspension or abandonment ezceetls one (1) year, full fees shall be paitl for a new permit. (4) No work of any manner shall be done that will change ihe naturel Flow of water causing a dreinage problem. (5) Contractor shall notiy the Building Inspector hvenTy-four (24) hours in advance for all inspedions and shall receive written approval on inspection card before proceediing with successive phases of the jo6. (6) The issuance of a pertnit or the approval of tlrawings and specffirations shall not be consttued to be a permit for, nor an approval of, any violation of the provisions Chief Building DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 APPLICATIo N Property Owner : P. &cc Property Address : 7Y~ ~l~'~ Contractor License No. : _ Company : OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed 6y this pertnit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordina esf rwunder this pertnit.; (OWNER)(CONTRACTOR) SIGNED ,___DATE 7 oZ7 1ye14 Electrical License No : SIC : Sq. Ft. : Company : Expiration Date : Approval: 11 Phone : 3e3 43k-L1667 Phane: Construction Value f Permit Fee : Use Tax : Total : Use : BUILDING DEPARTMENT USE ONLY mv5fi b-e Roof a.'/2 Plumbing License No : Company : Expiration Date : Approval: Stories : Residential Units : Mechanical License No : Company : Expiration Date : Approval : (1) This pertnit was issuetl in accortlance with the provisions set forth in yopur application and is subjeM to the laws of the State of Coloredo and to the Zoning Regulations and Builtling Cotle of Wheat Ridge, Colo2do or any other appliwble orUinances of the City. . . (2) This permit shall expire "rf (A) the work authorizetl is nat commencetl wiNin sixty (60) days trom issue tlate or (8) the building authorized is suspended or abandoned for a perio0 of 120 days (3) If this pertnit expires, a new pertnit may be acquiretl for a fee of one-half the amount nortnally required, provitled no changes have been or vrill be made in the onginal plans antl specificafions and any suspension or a6antlonment has not ezceetled one (1) year.. If changes aie matle or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new pertnit (4) No work of any manner shall be done that will change the natu2l flow of water causin9 a dreinaqe problem. . (5) Contractor shall notiy the Building Inspector twenty-four (24) hours in advance For all inspeclions and shall receive written approval on inspection card betore proceetliing with successive phases of the7'ob. (6) The issuance of a pertnit or the approval of tlrawings and specificatlons shall not be consWed to be a pertnit for, nor an approval of, any violatlon of the provisions of the builtling codes or any other oMinance, law, mle or regula6on. . . Chief Building Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 8451 . BUILDING INSPECTION DIVISION - 235-2855 ` CITY OF WHEAT RIDGE Date : 1/26/99 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Property Address : 7400 W 34TH AVE Phone : 237-1733 Contractor License No. : 19884 Company : Jamey Flatt Plumbing Phone : 937-3536 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 restridions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OVJN ER)(CONTRACTOR) Description : Replace gas line and water to bring to current code Construction Value : $410.00 Permit Fee : $23.50 Plan Review Fee : $0.00 Use Tax : $6.15 Total: $29.65 Use: Electrical License No : Company : Plumbing License No : Company : Mechanical License No : Company: Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : (1) This pertnit was issued in accortlance with the provisions set forfh in yopur applicatlon and is subject to the laws of the S[a[e of Colorddo antl to the Zoning Re9ulations antl Building Code of Wheat Ridge, Coloredo or any other applicable ordinances of ihe City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the builtling au[horized is suspentled or abandoned for a periotl of 120 days. (3) If this pertnit expires, a new permit may be acquired for a fee of one-half the amount nortnally required, provided no changes have been or will be made in the original plans and speaficaUOns and any suspension or abandonment has not ezceeded one (1) year. If changes are matle or if suspension or abantlonment exceeds one (1) year, full fees shall be paid for a new pertnit. (4) No work of any manner shall 6e done ihat will change ihe nalurel flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector hvenry-four (24) hours in advance for all inspections and shall receive written approval on inspection caN before proceediing with successive phases oFthe job. (6) The issuance a pertnit or the approval of drawings and specifcations shall not be wnstrued to be a permif for, nor an approval of, any violation oF the provisions of the buil d y other ordinance, law, rule or regulation. Chief Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL• 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 ~ Property Owner : rh )~P1 /!lfrll- Property Address : 71O11 1~ , ~h ~s~ Phone :~QJ ;2, Z7 Contractor License No. : I qgg ~ , Company : OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND i hereby certify that the setback distances proposed by this pertnit appliwtion are accurate, and do not violate appiicable ordinances, rules or regulations of the Ciry 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 lo abide by all conditions printed on this application, and that I assume full responsibility for compliance wdh the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for wqrk under this pertnit. (OWNER)(CONTRACTOR) SIGN vl ` /~L-UATE- Description 67~r5 ~rrnl °Fe Cet r~en,t e'--C-Qe:. " Phone : (3 p S) C13 7' 3 J o Construction Value : eic.;, Permit Fee : Use Tax : Total: $0.00 Use BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Approval : Zoning : Approval : Approval: Occupancy: Electrical License No : Company : Expiration Date : Approval: Plumbing License No : 088V Company : f7111Ti" 10ltcpnb2+~; Expiration Date : Approval: Mechanicai License No : Company : Expiration Date : Approval: (1) This pertnR was Issued in accoNance wilh the pmWsions set lorth in yopur appliwEOn antl is subject to the laws o( the Slate ol Cab2do afM to the Zanifg RegulaGons antl Building Cotle of Wheat Ridge, Coloraao or any other applicable a0inances of the Ciry. (2) This permit shall expire d(A) the vrork authonzed is frol commenceA within sixry (60) days from Issue tlate w(8) the buildinp auUwrized is suspenAeE w abarWOnetl tor a period of 120 Eays. (3) If Ihis pertnit ezpire5; a new pemul may be acquired for a fee ol one~haH the amounl nartnalty fequired, proviCeO rw changes have been w will be made in the original plans and spedfications and any suspension w aban0onmenl has not exceeded one (i) year. If rhanges are matle w if wspension or aEantlonment excee0s one (1) year, (ull fees shall be pald lor a new pertnit - (4) Na wark ol any manner shall he done Ihal will change the naWral flax ol water wusing a drainaqe problem. . (5) CanVaclor shall noUfy the Builtling Inspector twentydour (24) hours in atlvance for all inspectlons and shall receive written approval on Inspection pM belore proceetliing with su¢essive phaxs ot Uhe~ob. (61 The is5uance of a pefmit w ihe approval o tlrawings and spedfiwtions sha11 nol 0e consWed lo be a permit (or, rar an approral ol, any Nolation of ihe provisions of the 6uilaing codes w any oMer ordinance, Ww, nlle or regulaGOn. . Chief Building Inspector Walls : Roof : Stories : Residential Units : For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DE'PARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number : Date : PropertyOwner: P 0 (3C 2"` EGICNY-12OT Property Address :q-z} pc, W 344~-- OuL ' Contractor License No. : 1 +p 1 CompanY Lw.'eire t'vlec_hR.H;c_~.1 51s-FeV,-,s Phone : ~ 3 7- - --7-16 0 Phone : ;Z 3,2 OWNERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certity that the setback distances proposed by this permit application are accwate, and do not violate appliwble ordinances, rules or regulations of the Cily of Wheat Ridge or wvenants, easements or restnclions 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 appliwtion, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.CJ and all ather applicable Wheat Ri~qe ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED~~ Description : Construction Value : Permit Fee : Use Tax : Total : BUILDING DEPARTMENT USE ONLY Approval : Zoning : ME0129 -m-m Approval : twive8CImem11~tits~ Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : g gPffl 1*3ft ~equff5] IN is EE..r~M~t~~d=°~ (1) This pertnit was issuetl in accortlance with the provisions set toAh in yopur application and is subjecl to the laws of the State of Coloredo antl to the Zoning Regulations antl euilding Code of Wheat Ridge, Colorado or any other applicable ordinances oF the City. (2) This pertnil shall expire if (A) the work authonzetl is not cammenced within sinty (60) days from issue tlate or (B) the tuilding authorized is suspended or abandoned for a penotl of 720 days. (3) If ihis pertnlt expires, a new pertnit may be acquired for a fee of one-half the amount nortnalty required, providetl no changes have been or will be made in the original plans and specifiqlions and any suspension or abandonment has not exceedetl one (1) year. It changes are matle or if suspension or abantlonmenl exceeds one (1) year, full fees shall be paitl for a new pertnit. (4) Nn work of any manner shall be done Ihat will change the natural 9ow of waler causing a drainage problem. (5) Conlrector shall noti(y the Builtling Inspector hvenry-four (24) hours in atlvance lor all inspectlons antl shall receive written approval on inspection cartl betore pmceediing with successive phases of the joC. (6) The issuance of a permit or the approval ot drawings antl specifcations shall not be construetl to 6e a permit for, nor an approval of, any violation of the provisions of the buil0ing codes or any other ortlinance, law. rule or regulation. Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 6114 BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 10/27/97 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Property Address : 7400 34TH AVE Phone : 237-7160 Contractor License No. : 17701 Company : Empire Mechanicai Systems Phone : 232-6167 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 applica6le ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that i have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Description : NEW FURNACE Construction Value : $1,522.00 Permit Fee : $52.25 Plan Review Fee : $0.00 Use Tax : $18.26 Total: $70.51 Electrical License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiration Date : Approval: Expiration Date : Approval : Expiration Date : Approval: (7) This permit was issuetl in accordance with the provisions set forth in yopur application and is subject to the laws of the Siate of Colorado antl to the Zoning Regulations and Builtling Code of VJheat Ridge, Coloredo or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixry (60) days from issue date or (B) the building au[horizetl is suspendetl or .h-n-n t- . .,oH„d „t 19n na~, (3) di the amount normally required, provided no changes have 6een orwill be made in the has not exceeded one (7) year. If changes are made or if suspension or abandonment exceeds one (7) year, full fees shall be paitl fbr a new permit. (4) No work of any manner shall 6e done that will change the natu2l flow of water causing a drainage problem. (5) Contra r shall notify the euilding Inspec[or Fxenty-four (24) hours in advance for all inspections and shail receive wririen approval on inspection card before proce,ed" ng with successive phases of thejob. (6) The s ance permit or the approv I of drawings and specifcations shall not 6e consirued to be a permi[ Por, nor an approval of, any violation of the provisions oftt e uilQin desorany hero nance,law,mleorregulation. Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO WSPECTION � s i City of Wheat Ridge Residential Roofing PERMIT - 201704054 PERMIT NO: 201704054 ISSUED: 07/15/2017 JOB ADDRESS: 7400 W 34th AVE EXPIRES: 07/15/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 22 sq *** CONTACTS *** OWNER (314)805-9294 SHAFFER MICHAEL SUB (303)600-8696 Lawrence Kerr 110274 Formula Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,000.00 FEES Total Valuation 0.00 �� Use Tax 273.00 Permit Fee 251.85 ** TOTAL ** 524.85 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201704054 PERMIT NO: 201704054 ISSUED: 07/15/2017 JOB ADDRESS: 7400 W 34th AVE EXPIRES: 07/15/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 22 sq 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 thisppermit. I further attest that I am leg�ally authorized to include alI entities named within this document as parties to the work to be pertOrin Z iid that all work toWerformed 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 pplans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Buildi��j.J1� . @ 1_10 —�te 59PM AN REQUESTS MUST BE MADE:Y BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett Zoi70i o�`f From: no-reply@ci.wheatri dge.co.us Sent: Thursday, July 6, 2017 9:19 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received 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 7400 W 34th Ave Property Owner Name Michael Shaffer Property Owner Phone (314) 805-9294 Number Property Owner Email formularoofing1 @gmail.com Address s5n�'S, 9 L� Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Formula Roofing 3036008696 Contractor Email Address form ularoofing 1 @gmail.com Retype Contractor Email Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material If "Other" is selected above, describe here: How many squares of the material selected above? Does any portion of the property include a flat roof? formularoofing1 @gmail.com No GAF Shingles Asphalt Field not completed. 22 No If yes, how many squares Field not co feted. on the flat roof? TOTAL SQUARES of all 22 roofing material for this project Provide additional detail 4/12 Pitch here on the description of z work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 13000 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Dominick Orrino Email not displaying correctly? View it in your browser. 3 AGREEMENT 4560 Columbine 5t. Denver, CO 80216 FOM&RULA 303.600.8696 GAF ROOFIu0ELIN6 FAX 303.600.8654 Building Solutions for Colorado \ Customer Name: \ y( \ 5\tl'%0C' Rep. Address: Customer Phone: Ph#2 Email Insurance Adjuster Name: Claim: Adjuster Phone:_ Customer Initials Shingle Manufacturer: Style of Shingles: \ R� Color of Shingles: Number of Squares: S Tear o fi m of layers: At VV - Install Felt: \5 N"t Replace Plumbing Jack: Replace Roof Vents: Ice and Water Shield: Nailing Pattern: Drip Edge: Appropriate County/City Code Requirements Clean-up and haul o ffall trash from roof Roll yard and driveway with magnetic roller Clean gutters of roofing debris Formula R & R will furnish all material & labor Permit pulled by Formula R & R s� All new roofs guaranteed for 5 years All repairs guaranteed for 90 days. Additional Warranty: t Qti�1_ �IVca;Crrn��-t Homeowner U Total Cost: S Excluding permit anc Phone: —�5k 2,`6% Email: �Qtcv,�\rr�o� rrq1—rYV Pitch: Trailer Access.—V Stories: Adjuster Email: Formula Roofing & Remodeling will perform all repairs as outlined and approved by the Homeowner's insurance company, including supplements. Gutters S Windows v, Screens/Glazing Bead Paint Fence/Deck o Siding --kLS Additional Comments: W.cusb} 04 chi : rh4 ted. nJ Mr Sv pQS . c rx zc, v OA -A 4n M Customer By signing this contract 1, the prolierty owner, agree to theilb$ve listed work being completed Initials as outlined. W1Insurance Clalm: By signing this contract I do hereby give Limited Power ofAttomey to Formula Roofing & Remodeling, authorizing my insurance company to speak with my contractor Formula Roofing & Remodeling on my behalf with anyand all dealings regarding the current claim listed in this contract Limited Power of Attorney is to be withdrawn when Formula Roofing & Remodeling is paid in full Formula Roofing & Remodeling will bill my insurance company for all work, including code required work necessary, which, in most cases, is payable by my insurance company. I, the insured, will not be responsible for any monies not paid by the insurance company except for the deductible and optional upgrades listed on contract, unless notification is made prior to work being completed, or in cases of"No Code Coverage" or "Non -Recoverable Depreciation" on my insurance policy. Code items are required to comply with city/county code and are not optional. Formula Roofing & Remodeling will request the final inspection with the appropriate City/County Authority. Formula Roofing & Remodeling will perform any and all supplemental work approved by the property owner's insurance company. Any additional funds Customer allocated for additional work as part of this claim will be payable to Formula Roofing & Remodeling Initials once the work has been completed and funds have been released W1THE "TERMS AND CONDITIONS OF THE AGREEMENT" PRINTED ON THE BACK OF THIS PAGE ARE INCORPORATED INTO, AND FORM A PART OF, THIS AGREEMENT. Contractor shall hold in trust any payment received from Owner until Contractor has delivered roofing materials to the site or has performed a majority of the roofing work on the r ht h W c ever occurs first. p operty, Deposit Received: $ X00 • (� Approximate date Of service eommencement:1 i Insurance claims proceeds: Owner to remit ACV insurance payment no late an ate o� service commencement. Final payment due upon completion of scope of work as agreed upon, receipt of insurance proceeds (if applicable) and/or approval of building department final inspection. Upon signing of the contract the owner reserves the right to a three day rescission period. If the contract Is canceled fte Pthat three day period, customer will pay 25% of contract price. A �. Customer Signature:Z Date: Customer Signature: J _ _ Date. _ } 5�, mula Representative: Date: 'A�