HomeMy WebLinkAbout12040 W. 35th AvenueCITY OF WHEAT RIDGE
Building Inspection Division
I ►/ (303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: !'-1 /
Job Address: 12- CC 4YO
Permit Number: ' ?Ci {dl=
y '�"d d t � Fy we .: �...frf � /•�./ � '1�..-- f d%-� �l'J / r
❑ No one available for inspection: Time fi '` A
Re -Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at:
http.hWww.ci. wheatridge. co. uslinspecticn
Date: Inspector:
DO NOT REMOVE THIS NOTICE
1lPage Elevation Environmental Services
Elevation Environmental Services
�6013340 Harrison St
Elevation Eoviramnenal Thornton CO 80241
(833)536-8476
Asbestos Abatement Clearance Report
Wheat Ridge, CO 80033
Prepared For:
Mike Rogers
Homeowner
Prepared By:
Elevation Environmental Services
13340 Harrison St
Thornton, CO 80241
CDPHE CERTIFICATE #'s: 24795, 25621
Date(s) of Inspection— September 23, 2020
NO ACM - 11/9-2020 RS
City or
Wheat Ridge
Building Division
21Page
Elevation Environmental Services
Table of Contents
1.0
Regulations....................................................................................................
3
2.0
Introduction....................................................................................................
4
3.0
Visual Inspection.............................................................................................
4
4.0
Final Clearance Air Monitoring............................................................................
4
5.0
Sample Results...............................................................................................
4
6.0
Conclusion and Recommendations.........................................................................
4
7.0
Lab Results.....................................................................................................
5-6
8.0
Certifications..................................................................................................
7-8
City of
Wheat Ridge
Building Division
31Page
1. Regulations
Elevation Environmental Services
CLEARING ABATEMENT PROJECTS
This subsection III.P. applies to asbestos abatement projects in areas of public access, other than school buildings, where
the amount of asbestos -containing material that will be abated exceeds the trigger levels. For clearance requirements in
school buildings, see paragraph IV.G.9. (Completion of Response Actions). The GAC, certified Air Monitoring Specialist,
and the building owner shall ensure that all abatement projects are completed as described below. All air monitoring and
final visual inspections required under this regulation shall be performed by certified Air Monitoring Specialists
independent of the GAC to avoid possible conflict of interest.
Final Visual Inspection
At the conclusion of any abatement action and with only critical barriers still in place, a certified Air Monitoring
Specialist, who is independent of the GAC, shall visually inspect each work area where such action was conducted, and
behind the critical barriers, to determine whether all dust and debris has been removed. If any such dust or debris is found,
the area shall be re -cleaned until no dust or debris is found. If a critical barrier is removed for cleaning purposes, the area
behind the critical barrier shall be cleaned and the critical barrier immediately replaced.
Final Clearance Air Monitoring and Sample Analyses
IILP.3.a. Sample Collection IILP.3.a.(i). Once the area has passed a final visual inspection and no dust or debris has been
found, the certified Air Monitoring Specialist shall collect air samples using aggressive sampling as described in 40
C.F.R. Part 763, Appendix A to Subpart E (EPA 1995), to monitor air for clearance after each abatement project; except
that fans and leaf blowers shall not be directed toward any known friable ACM remaining in the work area.
Clearance Criteria
The laboratory may analyze air monitoring samples collected for clearance purposes by PCM to confirm completion of
removal, encapsulation, or enclosure of ACM. The action shall be considered complete when the results of samples
collected in the abatement work area and analyzed by PCM using the NIOSH Method 7400 entitled "Fibers" published in
the NIOSH Manual of Analytical Methods, 3rd Edition, Second Supplement, August 1987, show that the concentration of
fibers for each of the five samples is less than or equal to a limit of quantification for PCM (0.01 fibers per cubic
centimeter, 0.01 f/cm3 , 10,000 f/m3 ). The analyst doing said analysis shall be NIOSH 582 or 582E trained.
For each work area within the project where the
State -Permitted Project in
Response Action in School
amount of ACM is:
Non -School Building
Building
Minimum # of samples to
Minimum # of samples to
clear each of the following:
clear each of the following:
Work Area
Project
Work Area
Project
Less than 3 square feeF3 linear feet
1
5
5
5
From 3 square feeF3 linear feet up to 32 square feet/50
2
5
5 PCM or 13
5 PCM or
linear feet/volume equivalent of a 55 -gallon drum
TEM
13 TEM
Greater than 32 square feet/50 linear feet/volume
5
5
5 PCM or 13
5 PCM or
equivalent of a 55 -gallon drum up to 160 square feet/260
TEM
13 TEM
linear feet/volume equivalent of a 55 -gallon drum
Greater than 160 square feet/260 linear feet/volume
5
5
13 TEM
13 TEM
equivalent of a 55- gallon drum
The Maximum Allowable Asbestos Level (MARL)
IILU.2.a. PCM If PCM is used as the method of analysis the standard is 0.01 fibers per cubic centimeter of air (f/cc),
which is equivalent to 10,000 fibers per cubic meter of air (f/m3 ). The NOSH 7400 Method entitled "Fibers" published
in the NOSH Manual of Analytical Methods, 3rd Edition, Second Supplement, August 1987, shall be used to analyze
samples. The number of samples to be taken shall be determined by the certified Air Monitoring Specialist. City of
Wheat Ridge
Building Division
� ► � i City of Wheat Ridge
Residential Remodel PERMIT - 202002215
PERMIT NO: 202002215 ISSUED: 12/07/2020
JOB ADDRESS: 12420 W 35th Ave EXPIRES: 12/07/2021
JOB DESCRIPTION: Remove load bearing wall between dinning room/ kitchen and relocate l
return air duct and l heating duct. Also remove load bearing wall between
hallway and living room. - 100 sq ft total
*** CONTACTS ***
OWNER (303)338-7987 ROGERS MICHAEL
GC (720)295-3099 DUANE RADCLIFF 202127 DURSA LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 51000.00
FEES
Total Valuation 0.00
Plan Review Fee 81.28
Use Tax 105.00
Permit Fee 125.05
** TOTAL ** 311.33
*** COMMENTS ***
*** CONDITIONS ***
All roughs to be done at Framing Inspection.
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
Approved per plans and red -line notes on plans. Must comply with 2018 IRC, 2020 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
1* ► � i City of Wheat Ridge
'/� Residential Remodel PERMIT - 202002215
PERMIT NO: 202002215 ISSUED: 12/07/2020
JOB ADDRESS: 12420 W 35th Ave EXPIRES: 12/07/2021
JOB DESCRIPTION: Remove load bearing wall between dinning room/ kitchen and relocate l
return air duct and l heating duct. Also remove load bearing wall between
hallway and living room. - 100 sq ft total
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�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees 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 requ�ired
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, anviolation 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.
41Page
2. Introduction
Elevation Environmental Services
On September 23, 2020 Elevation Environmental conducted Asbestos Abatement Air Clearances according to
CDPHERegulation No. 8PartB Section IIIP (page 46) at 12420 W 351h Ave, Wheat Ridge CO. Clearance was
performed on abatement of ACM texture on walls and ceiling.
3. Visual Inspection
A visual inspection was conducted by wearing black nitrile gloves and touching all work and adjacent surfaces
to look for any dust or debris left behind. Critical barriers were inspected to make sure they were in place and
no dust or debris had passed through.
4. Final Clearance Air Monitoring
Aggressive sampling was performed using fans and leaf blowers prior to setting up the samples in the breathing
zone.
Five pumps were set in the work area and allowed to equilibrate. The pumps were calibrated and PCM
cassettes were attached on stands to each.
The pumps were allowed to sample until the requirements of NIOSH Method 7400 were met. The pumps were
then recalibrated and the average of the two calibrations was used to calculate the volume of air passed through
each cassette.
[Liters/min] * [Run Time (min)] = Liters Sampled
5. Sample Results
Samples were submitted to Reservoirs Environmental which is a NIST approved lab for PCM and TEM
analysis.
Sample Name
Volume
Sampled
L
MAAL
(F/cc)
Fiber Cone
(F/CC)
PASS/FAIL
12420-CLO1
1205
0.01
BRL
Pass
12420-CL02
1217
0.01
BRL
Pass
12420-CL03
1212
0.01
BRL
Pass
12420-CL04
1210
0.01
BRL
Pass
12420-CL05
1207
0.01
BRL
Pass
6. Conclusions and Recommendations
The work areas/containments met the standards set forth by CDPHE Regulation 8. Therefore, the area is cleared
for the purposes intended. This is part one of a two stage project.
City of
Wheat Ridge
Building Division
511'age Elevation Environmental Services
7. Lab Results
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GENERAL STRUCTURAL NOTES
.1L.vodcsltall real to tltel=, ifimi of the IRC and IRC is adopted by wheat Ridge, CO.
DESIGN LOADS:
2018 IRC and IBC
Design maria me Ice l;e291}IRC
and BC unless mated other- se
• R Deed Load
15 oI
• Roof Snowload
3) '1
• Geduld Sup loud
30 pep
• Floor Dud lain
15 psi
HA,T I,,land
40 add
• Wall No ad(Vilna
111 1. Fxpasda,C
• Seismic
Cosent,R
• Leslynreading pocN
n:Co airline, —mufall,,,,
• Mnalmian
danign aril I amore 1500 puf
• Winhmun
dead load design sod pressure: 500 psf
• Fhdd wpb CF A) all ressli (EX) crandrumeor andI oromaled inpltna prior 1.i loni,tnollon and noify Lead
Jungemostim,and Amhaemt at Lin, discrepancies 11, una,
• A] 1 111011 angOTarNil e rodub anni I I aAir nNIX al a IihLvA0ocol drand Anne shoring shOoll 011 run plans In clurrallualn ly_
• Andr, eftecale,oa Smmtimnl or Amhrtcctrodhundred nslopesof'.dig loops shall b i dined by the Conduction mthe
fil All geometrical anallannirb, I We cslnhno acLlhut nould call he oL W. mu w,so, mainas the pilchca
and heel l-gl Ls. and We loCidarea andfactsion IT aret-nlirmdfrn shall to We rile resporablib, of the Contain The
indication of such informan attic structural or Ardmtectual tiro 'rg, such as shaving the pitch rout c'tttg no[ is AT
design v t - art, and drain t relsove die C-IntGomfulla v ,'badly for the .. oftlut itdorinwion in the design
mrd frlrricadon plural
• WAI.I. RRACMC- Shear Wall Thousand domain is in ancroudiance ull iterguedengineed g roddi in adarrals—pialline
20121UC endo as pcmfMd bywetlomPerot 1.3 slid P602. 10 ofthe 2(121R0 Resonance plan notes mrd dotalle for pall
1 arhia the nualmr,I andirrago acquirsdanda
• Obtenat 1 drandmial ondfidamila or harlarma adquired To tile 01 lenderhuddina department a ail, other
pa —11 To urn npFmed n, the e gine. of do 0-gi N espenee. At least 49 hours ad entice is ballooned
10UNDAflON.
• health ngs shall be placed on mtWsharbed ramal soil or compacted fill tested and chi Ad by soils engineer.
• AT Too, on gado elWl be acpamted Lova adjacent structural and finish elomcnis to allow 6cc nrocidmnt refund slab, unless
apeoiba ll, shcoar mal mal There ac.
CONCRFTF ASD REISFORCFNIENT:
• panache II National 11) I)ahroblis I :e ol ACT 3al midill
• sAirrinuall easier,ermpmxe all O d it concrete shall Inc 3000 parAll Liuramn ship heTold, ldL Concrete MtM1
Th,1l WentM1onna prtmfal.richaI rah., carport slabs and garage Hour allies shall be 1500pni Air contained (air content
bet,well 5oland7s pet 84022.
• All defr f..ni e tsull be AS I M A61 a olle(4)exalrt baxslccfialm 1.Fll lc,, said, mclue, h.al, shall
be grade 40. Reirrcoagiver, AIL be fabricated and placed ArACl Abnormal of Standmd Opmeoc (ACT 315). At splices lap Mrs
50 diallanCre rahrornoted ar 21for :41 2Slot Ub b2lot Pies,
• Ivlf etemeern Ir, ng xhdlll 11 Iaconmen placed a3vrNrf rr3fi—durele phased assns
earth Soo at. canvases.
• In contimanda norders,such as grade nems ,11c,Lopban, at mad -p and hnuam ba: iAm support.
• Kc, dounfingdoNint clean aid nee ofdrrt, oil. scale. Oil hours prion laclig teunngencnt
• Imicre noted oLhcmlNC ducrocid rods holderc . and annular dinted on d damad 10 Loanimcu vuh pp
shall inn - .p lodonbcdmon in a Talc 1 8' largern dammar than the anchor prapnrodad lselwd inrdatee va
vofah 'rstallston'instructions,cofthe fellmmag t r t din.. a, Sip SL adhereA AIll 'I-ILY200
udheniv Clean hole vith To dah andanlmss,d I m
-.lr- elaCona Harr a
tx must be above 4a'I'or 48
Four ladod ad mtallanaa I.snoted b` ne:
n tired .m
S1RUCI JKd1. S1 LLL:
• Stcd dulterill. shall be 11 tallt licall Nal+tic 11 listed o almase'.
* i diameterll -gaa, shall be eemfiedfav the mamubmmat in,, a safe lord eapaom of 13.500 To. at 76. Madman
t
• Thou m I,uL beneath oil am n base unit berm boddringplates such bear metal l is N lir inn mimed preys-e.xnenaWrl
5,000
Ch, ria
W heat R-1ge
COMMUNI'tt UIVFt(M`M WT
APPROVED
Reviewed for Code CGaarlana
Randy SIusser 11/09/2020
Plans Eaarnmer Dale
wax
YKardear .m,aagnroeewMeapaeMmua,W.•Mw.>n•mpwewmMmaaa/bqtma•n --to
hub
w.al'icdN•Awrowroado'. .9.w
mnmm.aa—a"wover•xmtnnalic
ON SITE PLANS
MUST BE ON SITE FOR INSPECTION
ALL Projects are
w001) 1R.Ah1IN G:
• Al l firming and dotal l a nota am real lc specified dial l comply vind the prouripovA don-olnginoe:nd l aqui romonts at
I turns Ronal Resdanlinti Gide-
•
Said, it Lumber and Tim Tend
* Harland2a,3,add4. din;cusiou lumber Crall be Halm -Fit Orad, No 2 uxwp, mmowd bolas.
+ 2x4 and pre studs 9'-0 i n length nw he H am -Nr Stud Grad,
* At eontmcmrs optim,Tion:gl us IT r tarry be xubx6tured liar HenaFir.
+ Sill does tad latera in anda,n Sthe.a ttsHll be Ilan lir las t e tooled dth rise—brad, or
Southaven Yellow Pinv"L' Ontario` lumber, or b&andgmud LSL. ACO trcatnlcnr is N01' aooephblc.
• Prasarrathvetreatc THIU`t lrmlxrshall ba Lamins va¢tarial of the specified species nMich nos lean passure treated
A�h�d treatment
arateu,mwf e ll ontsincl il CQ,Afi ldoc r a 'areomoauwI adco.
AmepN a To hcalmcnimcdind cfetnvwd Ault reappheatimmmsndid ACQ the prenc Coppered veel ry)and copper
ntolr ed NdralatLxtennrs douuacwaul�dl anent ane recummeud`f ns of the praxst re wnwdm cod mauubwmrer.
Engineer a AN
* 1 reINi I air do IVI$ Manei cdaredl I'd wide Mcollnms (MCIIs, I as IT ad aqu vhent with
Ib-? 600 pr,P:IJot 000 par,F,. zgS n,
vly,•I and OSR Shand Cr g:
* N41, valid and nI:un c LodipuOSE):I-hbgelralllu g vv�c0 gred TI AFM1 grade astute :dioatirg
Hi individualo sparing oftrppuad
* Flonrshomideminag momlat 15;2 CNrnd-i-oad,CAN APA u2.16 ruic led grnowallied and nailed_
+ R I':hemli ngmn uml5/2 ( DX p plyunod OSE, APA 32 16 24i lad.
* hreoWallehanHi L-92"CUX plywoodo2'll'(11H 41'A21iIG,,IT chaos ll kcdnal anilad.
+
efildindrand radmigain II sailliall earnIRCTable 24049.1 or HiTable R602pill ) c—pa eloo!armorIndoor ndinnia
xl I r . Ahronal,atweM1 neat unit spacing small oomph Ail IRC Table IL602'(2)
• N a1L. Moog amt Rnot Framing.
+ All rr.fr dna, Ioasai arrAc, andb hail be aroused oupports orill mold1 g
*** hotdofgablooaalm.mhorodwn-alln9lh:
nmonoa st4'.
-0mi
bringdnmotthaagtSOocntmacig,oiiuntedbytefabmtor
All null swdevhull beeduldsuours Moort, loororinam loodamriot
All binnamaddied,el tiref y
{oioovntc.r.aStde
manufacturer , Interature, for wchstiffcnc'installation.
mid darriannal connections at bourn,locationsU ul
etnucnultlya
r
rot hdrad Holes 6 Ian td c t published Ilut itre,
*1 It gIpIb dIII ptt:.P IIItlII
int dnN bearings *spas: bloateddNk inn plan. Rlaok Mn joists and t an gnmllan d wr nreryor
shrarpalls.
• All banes shall be braced against romfiomnt points of hearing. NO, -park grout all bane pockets in cor,rcle Ldl altar
Icmm set
+ At built-up stud solumns, nad all laroun rold 161ec 12 fail bright, studleacd.
+ All n Rad an" amallamoull0adpil hilbandation-S plausbor,astane, H der—sa, the"in tire the
marmandur required 11 dors nal` be duncrach,cd at leaned i atC natetot' e opthon. Insall one tr9mnmr and one
drug stud Ice 4'-0 or dth meal z do afope I ngN i in stud mall, u less niped adcro se.
+ Atdropped mod isams be on built-up t&,, lmr berm. on stud and grain .F a pociAloe-vl d gking
ands to the nllTop plate each side ofthm. Nail Ling bads in lesmAim al laidnail. side
m kis nota omerinse.
\ti pOD LIL1NLINQ HARIDNt dIR CONNECI 0115 AND I isrENERS.
• mota,anl mn.ahallbelw4npm n Strang Tie and i mantled o thiel ing tr,h m e ana, arm, rated entered, ud ee.N noted
atlion— Notaditkovac dntga dnkonmd M1nm mgniro slccdl rndor.
• All mnnerwrx had meet the remmmandadonN of the pressure treated a rood manafncamer. Connactons in cOotul
rril isdardiS dallI h hL hall than l lol Dppal Cul nd(TIDC) or Sum idols col(SS)
All sI mdbolm slain mrtcla arterial awl aatilleoflwtiea dad orma 'Quidi DONOf nAschadms star
iall,ransend ma eta
• Lead holes mdag sides, AWl be r0s. to 0a% eflae shank maractcrin compliance with,AlICodtan
• 4'AS'I'1S]IRS
* N 1 ( ell.adR I t'ag II 1 d and ad"culson,loor,laillb,8drimpuTern
ni 113 ddi t ang) inness noted ahenvse.Nall A oldentbna our 4d r 6"12' mularoulanduess
notcdotheraisc
•
Forming nailsmAxI I I IIbe121 I:([)131 dill long) unle—lotedoillirmacThere
n onlyrl JI a"xluals tem or Issiounni Nal --led mss `I(ad onplmsha111xpd
common milts -rept .x named below oras plan
Pr'Ldo,gnmodorpl Lagu nails shalb'd`l(0145
cllQ' Andrei"lonu).bnDON01 uchunecr
nolle Inpiece ofc:rnmonnails omegaspecidmlhns Uwedon plrn.
R tPindicate14T `d i p -d rttid 1-:. U. II'1 1 iM1tl it.tl ntcrivl pc.
• And tarinoadllnle.nod vamenalag
h {ed nfmtimlca'ashall
have
s2 d
eat
hirldolesa l,mantanchorClean out note Adds in, amain and ompareairLII hot,3 fullvim
SS'WM1 icarouma
• SDSSCLd1hoS-14lcewseithlojiatWin ad,p'SNtLUDSlIlUION
• TLOKmaNdaGliRIA1docras parFaalsrnmaderpa difld,18'bati—ccµlublcfrtaiaul.Sbsntuigq
SDS si,ire
oosome Icvgm is aoecpablc.
LEVEL
ENaneSaNG AND INaPAa7D0x
Rogers
BEARING WALL REMOVAL
12420 Wan 35M Shat
Wrest Rte, CO 800033
S1.0
Notes
PW GtMTECMMENCEMEWMAW
W ORIO, TE &II W ER M M MECN
AMIOMEIERNINE ALL CMI O RUCTION
DETAIL!, INCWMG CiffiI EIWTM
811E LIEV EMN0 OINENNONB. INE
ORAWIM BI M BE REAGIN
CONNNORON YVIIII ALL MERPROMECY
OMIMMB, CMKTBICTON NOTES
AMIOR PROJECT SPEG11G1RON.
ALlD18CREPANGE88MUW BE
REPORIEUIYYEGAIELY.
��yp,DO L�'�JI,;••
"I Iv;Qy3 '�i"'v'O
57033 si
oy,
0
N1911d by Chrbt,mbr
S ge. zozo 03 z3 os os amo@i `..� aeao-oI-,°
No. Date Revisions
jALEVEL
GieN
Michael Rogers
6220
Joh Teie
BEARING WALL REMOVAL
12420 Wag 3% Shot
Wheel Rte, CO 80033
®
MAIN FLOOR FRAM/NG & FOUNDAPON PLAN
OrewlnP rule
vury Noeln 114"= Ta
PRONOE M/N 2-214 IFRT 9L/ -G (50UA5H 9/XG) IHRO - FLGCR SYSTEM 9 COL A9V
LOCS NOTED 7HU5
• SEE SHEET S10 FOR GENERAL STROCIURAL N07ES & S21 FEW Tlp/CAL FaINDW70N
OETA/LS
City of Bay
Wheat Ridge °Ye Grnvnq CDI
OIaIM9 No. S1.1 RM810n
Building Divisio
AT NEW COLOMN LOCAnON ✓ER/FY
� EX/SANG OR PRONOE NEW
10'X24 SgJARE FCOnNG ON
ro � UND/SIl/R9E0 SC/L REINF W�2 �4
AWAY ®J° CLR Q` R0T
y � w
W �
T2 NEW CGY LOGS, 12R/FY NEW
� CCLOMNS AL/0N W�EX/SnNG Sn RM
�' BELOW 04 PRONOE 2-7,"Z11 I �
s TRANSFER BEAMS (RUSH) sisrER
M/N/Ml/M 6'6ACK SPAN ANO FLOOR 51�
HEADER CONNECnO,N TO 2 JC/S/S �
S E 2522 FOR AOOL INFO � CGL' 4-224
T
tg sz v sv
�5 J R L GARAG_= NOT
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Notes
PRIOR TO TE COM YENCEYEIR OP ANY
WORIO, TEBUILDER M Tl GIECR
•INORDEIERMINE ALL CONSTRUCTION
DETAIIM, INCLUDNG GIECNING EMSTING
SITE LEV ELSAND MNENMONS. THE
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CONJUNCTON YVTTTT ALL OTNERPROMECT
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No. Date Revisions
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DETAILS
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PRIORTOTECOMYENCENEWOPANY
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57033 ip
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3-2x6 x 24 f 515TERE0 70
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5TAGGEREO
No.
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PLACE NEW FTG HAMMER CH/SEL
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SQUASH 9LOCK/NG
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City of
B W
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Wheat Ridge
OMRME No. RMebn
Building Division
L
S".1
Notes
PRNNITOTIECOMMENCEMEWOPANY
WO , TE BUILDER M TO MECN
ANNORDEIERMINEALLCONSTRUCTION
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AN NOR PROJECT SPEG1%CAMON.
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REPORTED IMMEDIATELY.
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57033
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9ZOCK/NG WERE REQ/R�
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TRANSFER 9EAM & FLOOR HfAJfP OETAQ /F REQO/RFO. CONTACT LEAEL PER PLAN
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—6220
BEARI •
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D.Mg M
SC
City of
°Mems
Dnwnq CDJ
Wheat Ridge
Building Division
Om g No. S2,2 RMebn
1* ► � i City of Wheat Ridge
'/� Residential Roofing PERMIT - 202002511
PERMIT NO: 202002511 ISSUED: 12/03/2020
JOB ADDRESS: 12040 W 35th Ave EXPIRES: 12/03/2021
JOB DESCRIPTION: Re -roof with IKO asphalt shingles tearing off existing.
Squares: 30.5 Pitch: 2:12
*** CONTACTS ***
OWNER (303) 238-8940 DAVID R OSMUNDSEN LIVING TRUST
SUB (303)691-5035 MICHAEL DYE KRISTINE L 100355 APEX ROOFING CONSULTANTS LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,500.00
FEES
Total Valuation 0.00
Use Tax 220.50
Permit Fee 220.15
** TOTAL ** 440.65
*** COMMENTS ***
*** CONDITIONS ***
ALL PITCHED ROOFS REQUIRE A MIDROOF INSPECTION REGARDLESS OF PITCH.
FOR ROOF PITCH 6/12 AND OVER: Midroof & Final Roof inspections for ROOFS with 6/12 PITCH &
OVER REQUIRE A 3RD PARTY INSPECTION. The 3rd party inspection report must be dropped off to
the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with Building Division Policy
BD -18-001 for Balanced Ventilation Systems, or manufacturer installation instructions,
whichever is more stringent.
MIDROOF & SHEATHING: Effective December 1, 2014, asphalt shingle installations require an
approved mid -roof inspection, conducted when 25-750 of the roof covering is installed,
prior to final approval. Installation of roof sheathing (new or overlay) is required on the
entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists.
Sheathing and mid -roofs may be called in at the same time, one hundred percent of the
sheathing must be complete and 25-750 of the mid -roof may be complete. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required.
LADDER MUST BE SET FOR ALL ROOF INSPECTIONS: A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections.
COMMERCIAL ROOFS: 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.
1* � � i City of Wheat Ridge
�� Residential Roofing PERMIT - 202002511
PERMIT NO: 202002511 ISSUED: 12/03/2020
JOB ADDRESS: 12040 W 35th Ave EXPIRES: 12/03/2021
JOB DESCRIPTION: Re -roof with IKO asphalt shingles tearing off existing.
Squares: 30.5 Pitch: 2:12
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees 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 requ�ired
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, anviolation 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.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Roofing Permit Application
Date: Thursday, December 3, 2020 1:14:29 PM
Roofing Permit Application
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this property Residential
Commercial or
Residential?
How many dwelling Single Family Home
units are on the
property?
PROPERTY INFORMATION
Property Address 12040 W 35th Ave Wheat Ridge, CO 80033
Property Owner Name Judy Osmundsen
Property Owner Phone
303-238-8940
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
iosmund@comcast.net
Address
Do you have a signed
Yes
contract to reroof this
property?
CONTRACTOR INFORMATION
Contractor Business
Apex roofing consltants
Name
Contractor's License
100355
Number
Contractor Phone
303-691-5035
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email apexdenveroffice@gmail.com
Address
Retype Contractor apexdenveroffice@gmaiI.corn
Email Address
Attach City of Wheat Wheat Ridae Electon0c Payment form ndf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
DESCRIPTION OF WORK
TOTAL SQUARES of 30.5
the entire scope of
wo rk:
Project Value (contract
10500
value or cost of ALL
materials and labor)
Are you re -decking the
No
roof?
Is the permit for a flat
Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
both? (check all that
apply)
What is the specific
2:12
pitch of the PITCHED
roof?
How many squares are
30.5
part of the PITCHED
roof?
Describe the roofing
IKO Nordic Shingles
materials for the
PITCHED roof:
Type of material for the
Asphalt
PITCHED roof:
Provide any additional
Tear existing roof down to decking and install IKO Nordic
detail here on the
Shingles
description of work. (Is
this for a house or
garage? Etc)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I
will be contacted by the
City to pay for and pick
up the permit for this
property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have 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 Applying for Danielle Gastelum
Permit
Email not displaying correctly? View it in your browser.
'7U10q %0
120 YO � 35��4 h y, INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections
Date
Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Mid -Roof
Foundation / P.E. Letter
Lath / Wall Tie
Do Not Pour Concrete Prior To Approval Of The Above Insnections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Insnections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
For iow voltage permits — mease be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
' 3
City of Wheat Ridge
Residential Roofing PERMIT - 201704170
PERMIT NO:
201704170 ISSUED:
07/17/2017
JOB ADDRESS:
12040 W 35th AVE EXPIRES:
07/17/2018
JOB DESCRIPTION:
Residential Re -roof to install modified bitumen rolled roofing - 28.52 sq
*** CONTACTS ***
OWNER (303)238-8940 DAVID R OSMUNDSEN LIVING TRUST
SUB (970)663-3400 Mike O'Brien 170371 Regional
Town Centre
*** PARCEL INFO
***
ZONE CODE:
UA / Unassigned USE:
UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#:
0 /
*** FEE SUMMARY
*** ESTIMATED PROJECT VALUATION:
14,000.00
FEES
Total Valuation
0.00
Use Tax
294.00
Permit Fee
267.70
** TOTAL **
561.70
*** 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.
i CITY OF WHEAT RIDGE 9
Building Inspection Division
(303) 234-5933 Inspection line_1�9r_.
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: u .:`j F_ I ,.,mak P��
Job Address: 12 o W Q 3S`fh jA
Permit Number: cDv i--�_ p Lj 1 `4 o
❑ No one available for inspection: Timela"/o �I /PM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: y 0k (1't Inspector: r—. 7-T,,J_)
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201704170
PERMIT NO: 201704170 ISSUED: 07/17/2017
JOB ADDRESS: 12040 W 35th AVE EXPIRES: 07/17/2018
JOB DESCRIPTION: Residential Re -roof to install modified bitumen rolled roofing - 28.52 sq
*** CONTACTS ***
OWNER (303)238-8940 DAVID R OSMUNDSEN LIVING TRUST
SUB (970)663-3400 Mike O'Brien 170371 Regional Town Centre
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,000.00
FEES
Total Valuation 0.00
Use Tax 294.00
Permit Fee 267.70 PAID
** TOTAL ** 561.70
*** 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.
�► A City of Wheat Ridge
Residential Roofing PERMIT - 201704170
PERMIT NO: 201704170 ISSUED: 07/17/2017
JOB ADDRESS: 12040 W 35th AVE EXPIRES: 07/17/2018
JOB DESCRIPTION: Residential Re -roof to install modified bitumen rolled roofing - 28.52 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
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 thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the originalpermitfee.
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 granti _ o permit sha c t to be a permit for, or an approval of, any violation of any provision of any
applicable code or any orulati fiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
From: no-reply@ci.wheatridge.co.us
Sent: Friday, July 7, 2017 1:42 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dane
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 exVrld 6/21/
t7
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 12040 W 35th Ave, Wheat Ridge, CO 80033
Property Owner Name David Osmundsen
Property Owner Phone 303-238-8940
Number
Property Owner Email Field not completed.
Address
4-IS561, 7d
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
Regional Town Centre
Contractor's License
170371
Number (for the City of
Wheat Ridge)
Contractor Phone
970-663-3400
Number
Contractor Email Address
niki@regionaltown.com
Retype Contractor Email
niki@regionaltown.com
Address
DESCRIPTION OF WORK
Are you re -decking the
No /f
roof?
Description of Roofing
Rolled roof
Material
Select Type of Material:
Rolled
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
28.52
material selected above?
Does any portion of the
No
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
TOTAL SQUARES of all
28.52
roofing material for this
project
Provide additional detail
Re roof home with mod bit roof
here on the description of
z
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract14000
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 Josh Vicars
Email not displaying correctly? View it in your browser.
3
AUTHORIZATION FOR REPAIRS
AND
DIRECTION OF PAYMENT
CLAIM #: 3008676962-1-1 Date of Loss: 5/8/17
INSURED. David Osmundsen
ADDRESS. W 35th Ave, Wheat Ridge CO 80033
Farmers Insurance Group has made available direct repair services provided by contractors that are
members of the CCA Global Partners, Inc. cooperative organization. CCA members are represented in
the networks of Lionsbridge Contractor Group (LCG), Carpet One Floor & Home and Flooring
America. For the above noted insurance claim, I/we have agreed to hire (contractor name):
Regional Town Centre (RTC)
(print contractor name)
I understand the use of the repair program and the program contractor is voluntary as I may choose any
independent contractor, that using a program contractor for my repairs may provide special labor
warranties, and that the program contractor may coordinate other repair vendors including flooring,
textile or furniture repair vendors to complete my repair process. I/We:
• authorize the program contractor to perform covered repairs to be detailed on an estimate which
must be approved by Farmers.
• understand Farmers will pay for approved repairs subject to any applicable insurance
deductible and my policy's terms and conditions.
will timely sign a Certificate of Satisfaction when repairs are satisfactorily completed so that
C payment can be made directly to the program contractor for covered repairs.
• understand that the deductible, if not already satisfied, is my/our responsibility, as are the cost
of any upgrades and additional services not covered under my policy, and that the applicable
/' e
n4�fi
deductible may not yet be calculated by Farmers. �f
C1 ` Date: � •Z? l-7 Insured: ,�6 �✓..��
\J s
Date:-j6JR �% - Insured:__ -_—_ — ` • ___ _
Deductible Amount Applicable for direct repairs: $1500.00
(if available)
To be completed by program contractor - coordinated repairs under this claim may include:
Structural Repairs ❑ Flooring F --J Textiles/Clothing❑ Roofing✓ Other
Repair Start Date: / /. Time am pm Estimated Completion Date:
The CCA0
fa» uly of , CARPE
include T t3�;d
co.-rrpaniesL I.O N S B R I D G E 1 ONE'
Global Partners ° � C O N Ty�RAACT O R i FLOOR & How: America
arir„is.tq f>� €hues u' crxtrti+rer� uta � /
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: l O G/0 G) S 'r ,<1 ✓c
Permit Number: zoo 901-/ 0P
❑ No one available for inspection: Time -7.` .SIF
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234-
Date: -
03 -234 -Date: �! Inspector:���-�f��t'�
DO NOT REMOVE THIS NOTICE
mm
0912912014 07:07 #150 P.0021002
INSPECTION RECORD
<P*INSPECTION LINE'. (303) 234-5933
Inspections . be made unless this card is posted on building,
Call by Inspection a business day.
a ♦ r •• a ► ..
GUIM�u! iu �rip� ilUWla�� � IV ��
�y%i!IAi[3l L�IY[4 ati t� 4#
� a �
Loth / mail tie
Mid -Roof
Rei
Rough R#um.rs
Gas PIg
Rough M anical
Asovt MP 014 IOP io .
Frarrdng
Insulagon
DrywaH Screw
a
M
• as:
! f.. • a t C 4 a C !
OCCUPANCY NOT PERMI ED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT •
MWOM site
Call by 11:59 P.M. receive Inspection
$ #! T ! r
! # • "#
s`
,• its....:
t
I : r
41n
ik
city `"f he' a Rini' e
05,11.... !'knb^
Replace 40 gallon Wa
Y D1 81855
WSP 12040 W 35th AVE 3.4
AP UPERMI O: 28
*CCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM
To: Page 2 of 2 2014-09-29 13l'50:40 (GMT) 13034240495 From" Jesse Lanyon
MV72-=
Property Ommer (Please print)
Mailing AdOres (if differeril than pmpeftyaddress)
Address
City, State, Zip-
Sub 0ontractors:
Comellov-Nawl.
___E_xnlrAjjQa Date: TMdelProfessiorr. A
j�
ZONING COMMENTS:
Zoning:
Revewer�
PUSUC WORKS COMMENTS:
Rov*,W&
SUR."G DCFARTMENT COMMENTS:
Revewer
SiCAMEMMIM
PRE 0SPARTMENI:- 0 approVfm! w! Comnelts 773 -no review requ�rad
Credit Card Payment: Use credit clard Asted oh file.
Print narrie Z"L Ut V
Signature
I FOR OFFICE USE ONLY I
I MI iN I IN I )I V� WVNP�_'
RM
PlanlPertnit #
1_11mro 1 1. 0 . M=Mnim
III p1pi IIIIIIIII�I 111111!1111 11111111111 111! 1111111 r 11111111 1111111111 - - - - - - - y.
Property Address: X0
Prooertv Owner (Meese Drint):11,id" .A ( Phone: � �� � ,�,,�
Property Owner
Mailing Address: (if different than property address)
Address:
it , S tate, Zip:
Archlt
ArchitdWEngineer E-mail: Phone:
Contractor:`
Contractors City License #:
Phone:
Contractor E-mail Address: &A' e"&Y��
Sub, Co tractors:,,
Il
I
Ucd 41 '6&ktll�j
Eltrical: k
k
k Plumbing: Mechanical:
WR City License # t W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License 4
Complete all information on BOTH sides of this form
°, "x
Btu's
Amps Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
-Imk
GO
OWNERICONTRA(71'OR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I bereby certify that the setback distances proposed by this Penn application are accurate anddo not violate applicabicordinances, rules or
regulations of the City of Wheat Ridge or covenants, casements or restrictions of record that all measurements shown said allegations made are
accurate, that I have read and agme to abide by all conditions printed on this application aW that I assunic fall responsibility for compliance
with applicable City of Wheat Ridge ccKles and ordinances for work under arry permit issued based on this application: that I arn 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 o of' any
entity included on this application to Cast that entity on this applicatron,
CIRCLE ONE: (OWVrR) (CONTRACTOR) car (AUTHORIZED
E_RINr NAME. /?wsw SIGNXTURF:
I
TIVT) qf (OlVA1,R) (CONTRACTOR)
DATE;
ATMENT COMMENTS:
COMMENTS:
- ,eceived Not Re
---v
Building Division Valuation: $
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: P T
Job Address: (A) 3 � it " A r
Permit Number: 012 G I
❑ No one available for inspection: Time ` e(r AMCPM
Re- Inspection required: Yes Flo i
When corrections have been made, call for re- ms at, 234 -5933
Date: 17 -YrI Inspector:
DO NOT REMOVE THIS NOTICE
09128/2009 MON 15:57 FAX 303 237 8929 303 Rest way 1 derful roofing
/2002 /004
INSPECTION. RECORD o ccupancvRyLie
' LINE (303) 234 -5933
- E Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
NSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
TION INSPECTIONS COMMENTS:
Permit Fee
Caissons
l / (CEG) Concrete
Ground
WServ iceLines
M
'
ng or Monolithic
roof / French Drain
..
rvice Lines
rvice Lines
PAYMENT .; RECEIVED
AMOUNT
) LETED AND APPROVEDBYPIANNINGAND:C
CONCRETE SLAB FLOOR
Electrical(Underoround)
ROUGHS
�ucdumiy
Lath / Wall tie
Electrical Service
Mechanical
Insulation
Drywall Screw
FI
Electrical
Mechanical -
Building Final
Fire De partment
R.O.W & Drainage
Parking & Landscaping
"IVOTE: ALL ITEMS MUST BE CO1
CERTIFICATE OF OCCUPANCY IS
OCCUPANCY NOT P
CITY OF UWAT RIDGE
89128/04 1:49 PH cdka
Judith Aotener
SQS .
ERMITTED UNTIL CERTIFICA - , c yr vi a.vi -Hivt, i ia.7d
DOATCPT'TL11Q I"Ann nn.-sw rim uo- wr�mn . .
Permit Fee
181.18
Use Tar
INSPECTIONS FC "'.:
..
_,
SHOULD BE CAL
PAYMENT .; RECEIVED
AMOUNT
) LETED AND APPROVEDBYPIANNINGAND:C
VS ..8454
Auth :.Code
712 86
SUED. FINAL INSPEC77ONBY THE BUILDING
*
'ERTIFlC OF OCCUPANCY NOR PERM1SSr.
TO7AL -
712.99
ERMITTED UNTIL CERTIFICA - , c yr vi a.vi -Hivt, i ia.7d
DOATCPT'TL11Q I"Ann nn.-sw rim uo- wr�mn . .
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office (303) 237-8929 Fax
INSPECTIONS NOTICE
Inspection Type: d - aid rYt
Job Address: 001(, fit).
Permit Number: no 17,1004 f6,p 4t) 4, t) fi,' d
4G.P'e (0/11,1115 CAP rllva'
y c
❑ No one available for inspection: Time l f AWF6)
Re-Inspection required: Yes
*When corrections have been made, call for e-inspection at 303-234-5933
P-1 Date: Inspector: All,r v I , ~
j ~k1
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
11, 0
INSPECTION NOTICE
Inspection Type: ^'(PyLar,
Job Address: l7#17 1 t7 f~ /f
Permit Number: 14r) e~i!/rnC4{ /Atr ~^Pr1J^I+F.~
'y -6pe h104 011 if 1/14,
.P
❑ No one available for inspection: Time 7,eD AM OM
Re-Inspection required: es No
*When corrections have been made, call for re-inspection at 303-234-5933
Date: Inspector:
,Ar~J11
DO NOT REMOVE THIS NOTICE
Dec 08 09 04:27p I DERFUL ROOFING 3039844860 p.1
FAX COVER PAGE
Date: 12d 1 Q
To:
Attn:
Fax:
p~ V 2.
u~,Q 4~'t !
303 -~31 - ~-q
From: l ojje 4j-,Ya A Sge
Fax: 3n .'::a 4 - 4 8~,0
Phone:.303 9 8~-`2 6~3
Job ::V-- og(o$L4
Pales: (including cover)
Confidential For Review Urgent
Please Call ASAP Response Requested CITY OF NNEAT RIDGE
12109/09 8:15 AM cdbb
Judith Aotener
RECEIPT NO:CD8003503 AMOUNT
BPSP Re-roof 28 Sqs
092811 81.00
Reinspection Fee
PAYMENT RECEIVED AMOUNT
9864 W. GIRTON DR. LAKEWOOL AAuth 8 Code de 61.0e
:
303-984-7663 Fax 303-9844 009319
TOTAL 61.00
INSPECTION RECORD Occupancvfrype
'INSPECTION LINE: (303) 234-5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings/Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof/ French Drain
Sewer Service Lines
Water Service Lines
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
ROUGHS
Sheathing
Lath /Wall Fie
Mid-Roof
Electrical Service
Rough Flertrir
Rough Plumbing
Gas Piping
Rough Mechanical
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
neeN aIuNeo
CITY OF WHEAT RIDGE
99/28/89 1:49 PM edha
Judith Antener
sqs
Roof
Permit tee
Use Tax
235.70
17r,_411
inal
BPSP~teanf 22 sqs
299.99
992812
rtment
Permit Fee
181.19
2R.O.W
Drainage INSPECTIONS F(
Use T ax
118.89
Landscaping sHOULO 6E cAL
PAYMENT RECEIVED
ANOUNT
**NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND,'
VG 8959
Auth Code:
712.99
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING
928838
OF A CERTIFICATE OF OCCUPANCY NOR PERM/SSA
TOTAL
712.99
OCCUPANCY NOT PERMITTED UNTIL CERTIFICA"
c yr
w
l
T
a
rHlV
.
vr.
lay IJa7lJL a,
pOATC!`T TLIIQ l~A~rl Q~ARl1 TUG LA
IC ATLICn
Sep 28 09 12:55p 1 DERFUL ROOFING 3039844860 p.1
✓ C,) ~~y ~
Cite of¢ :
,hea- !-\dge Date:
MUMTY DEVELOPMENT Permit
Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ` Fax: 303-237-8929
Inspection Line: 303-234-5933
Facsimile Building Permit Application
Property Address: o~o4o f-iV
303
Property Owner (p/ease print) "i~1VI ig V U ~ IA, V"P1 J~ Phone:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: J- fc f-! t L IC 1 i~ t~ t + f r'~ Ty G ;U
Contractor License m: Phone: '-'v j - c L~ (c
Sub Contractors:
Company Name- License Expiration Date- TradelProfession: Approval:
Use of space (descripiiDn :
De criptto ~ fwork: I~~,~t2so
I ♦J~ ` ,~w.> Cpl cam. Plan Review (due at time ars"bM;Va,): S
Sq. FtlLF? 2ded: Squares d-% BTU's Gallons Amps
OWNERJCONTPACTOP. SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certirythat tha setback distances proposed by this perrrd 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 t have read and agree to abide by all conditions printed an this application and that I assume full
responsibility for compliance urilh the `Nneat Ridge Buidirg Code (I.B.C) and all other applicable Vdlheat Ridge Ordinances, for vmrk
under this permit. Plans subject to field ins ection.
I CIP.LCE OPJE:: (OWNER) (CONTRACTO + 'r PERSONAL REPRE NTATIVE Of (OWNER, (CONTRATOR)
ER TNAME: T(/`L~ SIGNATURE:
ZONING COMMENTS:
zoning:
RevE`Ner:
DEPARTMENT USE ONLY
PUBLIC WORKS COMMENTS:
Reviewer
BUILDING DEPARTMENT COMMENTS OCCUPANCY:
Reviewer:
FIRE DEPARTMENT:- rJ approved vd comments Q disapproved r- no review required Bldg Valuation: S
Credit Card Payment: Use credit card listed on file. Date: _
Print name: ~r \ rA~f 1 rte! its Signature:
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number : 18112
Date : 12/6/2004
Property Owner: David Osmundsen
Property Address : 12040 w. 35th
Contrector License No. : 18464 w-
Company : B& F Heating & A/C
Phone :
Phone : 431 8914
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiry that the setback distances proposed by this permit application are accurate, and
do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all otherapplicable Whea e oldinances, forwork underthis pe it.
(OWNER)(CONTRACTOR)SIGNED~~ DATE ka. Description : Install and replace 140,000 BTU Boiler. 80 %
Valuation :
$5,368.00
Permit Fee :
$162.90
Use Tax :
$0.00
Total:
$162.90
Use:
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
, F~ ~
Approval :
Zoning :
U~' din"c~,~g p~tents•' Q~~~
Approval .
lir~'~)Ill.o ¢omm er~ts~
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company :
Plumbing License No :
Company :
Mechanical License No :
Company :
Expiration Date :
Approval :
Expiration Date :
Approval :
Expiration Date :
Approval :
(1) This permit was issued in accorUance with the provisions set foAh in yopur application and is subjec[ to the laws of the Staie of Coloredo and to ihe Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of ihe City.
(2) This pemit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days. `
(3) If fhis pemit ezpires, a new pemit may 6e acquired for a fee of one-half the amount normally required, providetl no changes have been or vfill be made in the
original plans and specifications and any suspension or abandonment has not exceetled one (1) year. If changes are made 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 ihat will change the natural flow of water causing a drdinage problem. -
(5) Contractor shall notify ihe Building Inspector hventy-four (24) hours in advance for all inspections and shall receive written approval on inspection caid before
proceediing with successive phases of the job. (6) The issuance of a permit r the approval of drewin d cificalions shall not be construed to be a pemit for, nor an approval of, any violation of the
provisionsofihe.bypl5'Aesoranyother , aw,ruleorregulatiort . Please sign Terms and Conditions on reverse side of page.
Dec-06-04 09:12
z1 [YTQF WHE4T R6DGE
f
7800 WE5T 29TH AVENUE
WHEA"T RlOGE, GQ 80215
APPLICAT1a N
P.03
Date
Propek Ctwfier G ~ "•'/}%lfr~~~>C'!'),,,
PrDPer1YA{1dros ~r 'J "ii Phone
~ r - 1.',/.%~c'-~~-t.•~ YContractor Liconse h1o.
OY ~ ~ 1 1!" Phone ')3
OWNER/C6NTRACTdR
t hereby carlity that the seth
and do nai vinlale a35pliuble
covenanta, easerngnis ar re:
made sre aecurate:thail he
appllcativn, and thai I asSUrt
Code (U.B.C.) and all ciher,
(ONlNER)1CONTRACTC3R)
Ejescription :
RE QF UNDER3TANpiNG AND AGREEMENT
:a praptrsed by fhis pemut appiicatian zre accurate,
evtes cr r¢gulafione af the City oi Wheat Ryqe nr
revbrd; that a8 meoaurcments shown, and alFeqatiens
agree to ahide tsv afl cond'Rions pnnlsd an this
nsihi7i4y fOr cattOfisnce wlEh the Wheat Rfdgg Baildirg
!he§tRidge ort}usanees, Por wmk untler this peEmit. ,
T~,' / J
c" ~
~./Y
COtSStftlCtidi1 V3lide
P2E:'Ttt? F2C :
Use Tax :
Taiai : 7 t:;
USe :
l
1/Le.G~~~~ 1L~'' ~'~i C tz~Of J
8ElILDING DEPAR7MEN7 USE t3Nl.Y
81C ; Sq. Ft. :
Rpproval:
2oning :
Rpptoval:
~ RpProval: ;
Occupancy : 1M,ita ; Roat: S4aries : Residenpal Units :
Eiectricat License No plumbing License No : Mechanicai License No :
Gompany J ' ,t,: Corrfn
C~raz:, w E.,~°~ Y' Company:
ExpiraGon paFe : Fxpiraiion Date : ExpiraNon Date :
Appravaf: Approval; Rpproval:
;i
(f) 7fis fxmut waa imusd ~p N wnh the pwisians fmi torth in Yopvr app4eat{pn end is auCiect;o the iawa o1 Ne State ot Colara2a sna qo thB Zaning
RtgtdN!onsandBUNtllnqei il~SpeCWatadoara+ryother appliw6knrtllnancesnf tlro Clry.
{27 ~a eem+lt ana3~ ~pvt traautlqiudE is nat cammenced wqnin ruery (60) tlays hum issue date w(B) the WlWing avNw+zed is suepentleA cr
abantlpMd h7r a penp0 ;
(3) tt Ibiz pemii Sapkas, a np4r pRnsµt %ay 0e EcqNretl fOC 7 7!e M ane.ha7the am0unt r1omu6J reqtiae+J. provie~~ no chanOeS hkve dsen a wiVl 6e made in Me
crtqinel piam an~ ~pm(p~~q. my wa~ne t~ a pya~qpnmertE tu1 nol maeOeQ olib (t) year. it dtan.~ts e9 matle or q suspenawn ur e6antlonrtkm
oxcaetla an<I1) Y~. flW;Pk~3 . Gre VNd twa ne.f oermit
(a) HownMO4anyenxnnera 4bC - 55iFplWdtanQe916niture€IfawO(walernulingbdf3efigeptObktT.
(b)) Gomsac7or sasax ~UPV ~n~~ ~#w+nty4our (Za) houn in wvance eor df mpeetions wnd enag reuira minen spprova! on msvectlon caN betom
Woceanitag rodit~ ~cceuR+Mb ~ Itht p~ y
(51 Tre iswqnCa d a pCr~ut ~ BM -DVM ~dnwinps ao0 eprJBtatiSns sheI11W1 Ca wnatluEd to Oe a pertnJt foi. nor an appmvei aP. a+!y vqlatlan aP he Prouhbns
o+Ne Lwwing codee a mt,~ u~Cxr' ' rce. law, nae w nguiauan.
i;.
DEPARTMENT OF COMNIUNITY DEVELOPMENT M91~~17443
7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION PERMIT N0.
237-6944 ExT. 255 P.O. BOx 63e CITY OF WHEAT RIDGE, COLO.
THi$ PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUIIDING INSPECTOR AND RECEIP . ELOW.
ION FOR MISCELLANEOUS PER IT
OWNER
CONTRACTO y ADDRESS -9~
ADDR ~ V 3 PHONE ZIP CODEC~L
CITY ZIPCODE t-n CONTRAC~RICE7$~'~oo% -kX .
iNE
LICENSE NO
. Li-)`rU
DATE L~4-1
1. TVPE Ground❑
Woll❑ Proieatinp❑
Olher
SaDFoee
2. MATERIAL
Total Squoro Feet
SIGNS
3. ILLUMINATION Yaa❑ No❑
Type
Elaet. Psrmil No.
4. SET BACK FROM PROPERTY LINE N
_ S- E
_ W
Zone_
Approvsd,2ona Inspaotor
(Spacify which ie f ronl )
❑ ❑ ❑ ❑
DisapDroved
1. iYPE SolidE] Mon Thon 80% Open❑
Leu Than 80% Opan
MATERIAL
Heiphf
FENCES
3. SET BACK FROM PROPER7Y LINE N
_ S_ E
_ W
Zans_
ADOraed,Zons InoOeeta
(Specify whieh ie tront)
❑ ❑ ❑ ❑
DisaDDroved
1 ~
2
OTHER
3
a
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIV
(SETBACKS OR PROJELTIONS INCIUDED)
STREET NAME
SHOW DISTANCES FROM THE MAIN BUIIDING TPADJOINING HOUSES, STREETS, I
DISTANCE TO PROPERTY LINES,NOT MAXIMUM OR AVERAGE DISTANCE.
PERMIT FEE
USE TAX
TOTAL FEE
APPLICATION FOR PLUMBING; ELECTRIC
TYPE OF INSP.
THISAPPLICATION WILL BECOMEA PERMITTO PERFORM THE INDICATED WORN
PEf1MIT WILL EXPIRE 180 DAVS FROM THE DATE OF ISSUANCI
INSPECTION MADE
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERP REMARKS J 9~/ ocGo2.
STATE LICENSE N0.
ALUMINUM WIRE UNDERSI2E B ILIEGAL
FLOOR
BSM
IST
or
WATER CIASET
TEMPORARY METER
WASH BOWL
NEW SERVICE AMPS
BATH TUB
W
R
FORM &19
CHANGE SERVICE-AMPS
SHOWER
,
.
LIGHTING
SINK
f ~
HEATING
GARBAGE DISP
V
POWER SU8-CIFCUITS
UTILI7Y(RANGE,DISPOSER,ETC)
WATER HEATER
AUTO.WASHER
FIXTURES
DISH WASHER
AUTOMATICSPRINKLER SYSTEM
WIRING MOTORS 8i CONTROI.S
FLOOR DRAIN
EIEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OlD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
I hereby acknowledge fhot this applico-
tion is eorroct and understond thot I
tonnot atart ihis projxd unfil this appli-
eotion ie aDDroved. I shall comply wifh
the lowe oi the State o( Colorodo and to
the ZOninq Requlations and Buiidinq .
Code of the City of Wheat RidQe. Any
violafion of the above terme wilt couse
immediate revocation of this Dermif
' r
pfieaMiSi o un
APPROVEO k
tt5*PPRQ#9P-_-
CHIEF BUILDINC
INSPECTION TICKET
1~
JOB
ADDRESS Yo ~ 3 sG~e
DATE: / BLDG. PERMIT# P7 -lq
BLDG. CONTR. C- J_
PERMITN
SUBCONTRACTOR
!79
DATE INSP. REQ.
City of Wheat Ridqe
Date IssuPd 3
L,
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
Building Permit
CTTY OF WHEAT RIDGE
7500 West 29TH Avenue
Wheatridge, CO 80033
303-235-2855
,
Residential Electric
Permit Number
19414
10/26/2005
Inspection Line
303-234-5933
PROPERTY 12040 35th AV Urilt:
owtvER: David & Judith (303) 238-8940
Description
Service Change - kitchen & bath remodel. 6 new cucuits
. Units: Occupancy: Walls Roaf: Stories; Sq Feet: ~
Ihereby nfythst[hesetbacktl6tancesproposedhytM1ispermrtapplirntia arcacware,and flat applicebleorduianca,mles rregWationsoffheCity of
WheatlUtlg<o co uanfs,easemenb rresm~tiansofrec ;thatallmsu meolssM1Own, aho. medeareacurare;thatlM1averwdandagreetoebide6y alicontl[tionsprioredonfFigapp iov,evd[ha[[ass (Wlrapo- iV (orcompli wit eWM1eatRidgeBuildingCadeN.B.Cdandallothe2app4cable. WhenlRidgeortline ,torw mtla[hispemut- .
- (OWNEN)( R) . SIGNEDDATE
. 1 This pcrmi[ wes issued'm accordance with fhe prvvisions set tarth in yow epplicafion and is subject ro the laws ottM1C Stace o[Caloratlo aud m the Zovfng
RegWatlom and Building Cade of Whea[ R1tlgq Calomtlo or any neher app4whle ordinanca of Ne City.
. .2 This permit shall exp've if(A) fhe wark aufM1OrivA is ua[ commcn<eA witLin sixty (60) days Gom Lssue date or (B) th= building autfiorized is suapended m .
. . abendaned far e period of 120 dayx .
3 ifthB pumit ery'vu, a new permit may be ecqu4ed (oi a ftt ofonrtialf Ne vnowt normally requUed, pmNded na chhngcs have been ar will tie made in the
originai pinvs and apecificstious eud any suspwsion or abaudonmmc hvs m[ exccetled om (i) year.lf chengu vrc made ar ifsusp<nslon at e6andomuen[ .
exceeds om (I) y<ey fuil fees shail be paid far e new pcrmit.
4 NoworkotanymaMershellb<donetha, wJlchangethenamniilowofwatercausingadrawageprc6lem.
5 Cantractor shali mtify fhe Huilding Inxpec[or hvenly-fow (34) hours tv advanm far all inspecfiaw and sha11 receivc wriueu approval on lospurian card be(ore
. . pro<eedingwithsucewsivepM1eseso(tM1ejob. . . .
6 Theismanceofyfe?VVarthe rovalafdrewingsan ecifieationssAaRmtbeconstmedrobeapermitfar,noranapprovalof,enyvialationofNe
ChieBuiWinglnspecror SIG[iEDDATE .
Wednesday, October 26, 2005 Page 1 of 1
Building Permit
CTTY OF WHEAT RIDGE
7500 West 29TH Avenue
Wheatridge, CO 80033
303-235-2855
cuYoeum~ rddde
Residential Electric
Permit Number
19414
10/26/2005
Inspection Line
303-234-5933
PROPERTY 12040 35th AV Ulllt:
owNEx: David & Judith (303) 238-8940
Description
Service Change - kitchen & bath remodel. 6 new circuits
Authorized By guildingApproval Zoning
Authorized On 10/26/2005 Approved By KS
Must meet 2002 NEC
Wednesday, Oc[ober 26, 2005 . Page l of l
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number:
of w"EA' P gUILDING INSPECTION LINE - 303-234-5933 Date:
~ a CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
. c~CORPO~ AFFLIGATION PropertyOwner: f9OVq &
PropertyAddress: Phonq~✓
Contractor License No.:
l~aa3
ComPanY: Phone:~k)37 97'z
fOWNER/CONTRACTOR SIGNATURE OF UNDERS7ANDING AND AGREEMENT guilding Dept Valuation Figure: $ ~'L171 ~,CI hereby certify that the setback distances proposed by lhis permit application are
accurate, and do not violate applicable ordinances, rules or regulations of the City of
Value:$
Wheat Ridge orcovenants, easements or restrictions of record; fhatall measurements
shown, and allegations made are accurate; that I have read and agree t"bide by all
P0ri'rilt F00:$
conditions printed on this application and that I ssLme full reppojisibdity for
Plan ReV1eW FeO:~
compliancewiththeWheatRidgeBwldingCode(I.B. ,and,allotherapplicableWheat
Ridge Ordinances, for work under t s permiL Pla.~SUbje'ct to feld inspechon
~
'
F y
USe T2X:
/
~ ~
1
. F
^+s~ .~r
(OWNER)(CONTRACTOR):SIGNED DATEs'~at= ~ "~b"=^'L~`~`~~
•
'
a
TOta1:$
~F
a
(OWNERI(CONTRACTORI:PRINTED d DATE
Use of Space (description): ' a
Description of work: 5ei°iJ1.1_6 21/
Sq. Ft. added
COMMENTS:
Approval:
Zoning:
COMMENTS:
Approval:
W ORKS COMMENTS:
Approval:
BUILDING DEPARTMENT USE ONLY
IRE DEPARTMENT COMMENTS:
Approval:
OWalis: Roof: Stories: Residential Units:
Electrical License N:~~~~~~, ~ Plumbing License No: Mechanical License No:
Company: t Company: Company:
Expiration Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
(1) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of
Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of
the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (90) days from issue date or (B) the building
authorized is suspended or abandoned for a period of 180 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes
have been orwill be made in the original plans and specifcations and any suspension or abandonment has not exceeded one
(1) year. If changes have been or if suspension or abandonmentexceeds one (t) year, full fees shall be paid fora new permit.
(4) No work of any manner shall be done that will change the natural Flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenTy-four (24) hours in advance for all inspections and shall receive written
approval on inspection card before proceeding with successive phases of the job. -
(6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an
approval of, anyviolation of the provisions of the buildin9 codes or any other ordinance, law, rule or regulation. All plan review
is subJect to field inspections. Chief Building Official
COMMUNITY DEVELOPMENT DEPT.
Inspection Services Division
(303) 235-2855
Correction Notice
Job Address: 22te~2~~~~hAgo-L` /.~//~~az,./
303-234-5933.
When corrections have been made, call for re-inspection at
A 41 CITY OF WHEAT RIDGE
® Building Inspection Division
®� (303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: 0
Job Address: a 4 o ,
Permit Number:
l��
t
❑ No one available for inspection: Time
AM/PM
Re -Inspection required: Yes No
when corrections are complete, schedule re -inspection online.
- __Z�e —
Date: �ZZ-_ c Inspector:
DO NOT REMOVE THIS NOTICE