HomeMy WebLinkAbout6715 W. 35th AvenueFrom: Jackie Corn cell
To: CommDev Permits
Subject: Re: Online Form Submittal: Foundation Repair
Date: Monday, January 3, 2022 3:51:00 PM
Attachments: imaoe001.Dno
Hello,
I have uploaded and submitted. The workers comp coverage is effective as of 9/2021 till it
expires, it has not expired.
Thank you,
Jackie Cornicelli
303-688-7979
Jackie()liftechcorp.com
iftech Logo
❑®
On Mon, Jan 3, 2022 at 3:36 PM CommDev Permits <PermitsAci.wheatridge.co.us> wrote:
Good afternoon,
Your application is in receipt, however your contractor's license and workerman's comp
insurance have both expired back in September. Please renew these using the link below.
Once they are renewed, respond to this email and we will be able to continue moving
forward with your application.
Thank you,
Kallah Heiner
Permit Technician
Building Division
City Of
�Wheat
w�e - •
ComluNrrtD[aaroe& akrr
area
From: no reblv&i wheatrdee no us<no-reolv(A whearidee no us
S®t Monday, January 3, 2022 296 PM
To: CommDev Permits Herm t=4o m6earvidge Qp
Subject: Feline Form Submittal. Foundatlon Repair
Foundation Repair
This application is exclusively for FOUNDATION REPAI RS
YOU MUST ATTACH A VALID ELECTRONIC PAYMENT ORM IN ORDER
FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT
BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED.
Is His application for a
Foundatlon Repair?
Yes
PROPERTY INFORMATION
Property Address
6115 West 35th Avenue
Property Owner Name
Natalie Parks
Property Owner Phone
Number (enter WITH
dashes, M 303-123456])
9168623148
Property Fewer Email
Address
turnemarksV018diogmad mm
Attach City of wheat
Electronic Payment -Formulas on
Ridge Electronic Payment
Form - **DO NOT
ATTACH A PICTURE
OF A CREDIT CARD**
CONTRACTOR INFORMATION
Contractor Business
Liftech Corporation
Name
Wheat Ridge Contractor's
202213
License Number (This is
a 5 or 6 digit number for
the City of Wheat Ridge)
Contractor Phone
303-688-7979
Number (enter WITH
dashes, eg303-123-4567)
Contractor Email Address
iackie(o)liftechcorD.com
Retype Contractor Email
ackie0liftechcorD.com
Address
DESCRIPTION OF WORK
Location of Work
Front & Side of House
How is repair being
Helical Piers
done? Piers, strips, etc.
# of Piers or Strips
7
Upload engineer letter or
Permit Drawings - Signed
(1) Ddf
pages on 8 1/2" x 11"
only
Repair Plan Set on
Field not completed.
11"x17" only - if
applicable
Project Value (contract
3134.00
Valuation adjusted per building
value or cost of ALL
valuation data
materials and labor)
7 helical piers x 1250 = 8750
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 been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Person Applying for Jacqueline Cornicelli
Permit
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.
Email not displaying correctly? View it in your browser.
L_
N
J
N
N
N
i
W
O
70
Engineering Studio Denver DBA
Veradyn, LLC
1801 Wewatta St 11a' Floor,
Denver, CO 80202
720-612-7553
Egress Window For: Heath Cillessen
Date: 5/10/2021
Job Number: 9925
Property Address: 6715 W. 35' Avenue, Wheat Ridge, CO 80033
Reference:
Date of Observation: 5/5/2021
Inspection Completed by: Dustin Randle
Scope of Work: Two egress windows are needed to be cut out of an existing structure. ESDenver will
provide a letter and design details, for the work to be completed.
Observations
-Two windows are needed to be cut out and installed in an existing property at 6715 W. 35th Ave,
Wheatridge, CO 80033. Upon observation ESDenver has proposed the following design details to
complete the job * see details page below. Formed concrete is shown in detail for reference only, steel
prefab (not shown) can be used in place of concrete.
ES Denver will not be on site during installation, however, upon completion of the work, ESDenver
will review and inspect the newly installed egress windows to ensure that they are in compliance with
and meet all local, state and federal codes.
Conclusion and Recommendations:
Upon the completion of work, ESDenver will review and inspect the newly installed egress windows
(x2) to ensure that the work meets manufacturer's installation recommendations and are structurally
sound, per ESDenver's recommendations and meet all local, state and federal codes.
Page 7 of 3
Details:
Not to scale
Not to scale
&11LDING FRAMING
IS HIDDEN
SECTION
1 / SGWI£
u vra lawrr.rxnYE
arEacxmEw
�TM
CI
RIN>r0Y'rrrFMro vw
Ilmsl
YLIV'R
YN.SEIPID
I I
cvruso XEIxNXGxG a+zs EwMEo
a
..
6N10IVic YG ITmil F UTTMV
HNXEW FW XOI.rgXWW.IH W'0
1
I
Bgic[raw[UIT)c
r SCYN. /I
�
_
1 1 1
$IXCfFlmT F3o FOOMFXPFf� Ii
I I I I
�v
PF¢PogOWp mlmlPconsmucmX
..
1
zlm
�
II35ryTX1Y
:�caxc.xYu
QIYEEMENi
Not to scale
IwiWU:r vnmii'.m`�
caxnWUE
aaxc
WINDOW WELL PLAN
YEaed�ac+ns
�
Ytl Mu
SECTION
STEEL LINTEL DETAIL
May substitute for
prefab steel window
well
SEA Ycora. wXu �T1x
CI
_ _ _
I I
EoonxG
I I
cvruso XEIxNXGxG a+zs EwMEo
..
6N10IVic YG ITmil F UTTMV
HNXEW FW XOI.rgXWW.IH W'0
1
I
Bgic[raw[UIT)c
r SCYN. /I
t Truu'�-w.
_
1 1 1
$IXCfFlmT F3o FOOMFXPFf� Ii
I I I I
�v
PF¢PogOWp mlmlPconsmucmX
I 'MIG. YIN. I
I I
I I
ffiI¢yXEW d4xNGXFX 3tPavix:� fix..
QIYEEMENi
Not to scale
IwiWU:r vnmii'.m`�
caxnWUE
uxruulnnEiaxurHT xr
WINDOW WELL PLAN
pi W heat
ti� a
mg
Emergency escape and egress shall
comply with R310
-5] square feet net clear opening min.
-24 inches min net dear height
-20 inches min net aearwidth
-Window wells with a depth greaterthan
44" shall be equipped with a
permanently affixed ladder.
-Window wells shall have a min.
horizontal area of 9 sq ft and a
horizontal projection of not less than 36"
New windows shall be 30 or better
U -factor per Table N1102.1.1
Page 2 of 3
Deliverables
All items observed were found to be structurally sound and up to building code and the standards of
ES Denver.
Contractor Responsibilities
Engineering Studio Denver performed a full observation of the work site and thoroughly examined all
new construction areas in accordance with the engineering standards of ES Denver.
Limitations of Services
a. This report is based on the available data and the limited accessibility of the elements and
compounds of the structure. No invasive testing was conducted.
b. The opinions and assessment of this structure are based on accepted general practice and are
limited to the data available to our office. ES Denver makes no warranty on the continued
structural integrity of the property.
c. Stability of soils in Colorado are unpredictable and unknown for what future condition may
exist.
d. Based on this information, the value of the observation given is mutually agreed to be limited to
the cost of the observation report.
Thank you for having ES Denver perform this observation. Please contact us at 720.612.7553 for any
questions regarding this report.
Regards,
'j Digitally signed by Dustin Randle
DN: C=US,
E=du sti n @esden ve r. com,
O=Engineering Studio Denver,
CN=Dustin Randle
Dustin Randle Location: Denver, CO
Reason: I am approving this
document
Contact Info:
dustin@esdenver.com
Date: 2021.05.10 11:39:31-06'00'
Page 3 of 3
Owner Info
Turner fRe!5iBasement dence finish
Ave Wheat Ridge
_ Lanes
Dairy Queen
L
- w_37th_PI.
Nick Turner & Natalie darks W3GthPl
6715 Nest 35th Avenue
Nheat Ridge, GO 80033 W36thAve
503-320-4q4q
W 35th Ave 6715 W 35th
Email: turnerpark5201 5@gmail.com Ave Wheat
Ridge CO 50033
General Contractor Info
Cillessen Construction Company
12300 West 49th Place
Wheat Ridge, GO 80033
303-305-7001
I heat
' L +,
C cu
g
W 33rd Ave
2nd PI
CL
`11 City of
�`]Vheatde
ComM[IN1TY DEVELOPMENT
"REVIEWED FOR CODE COMPLIANCE"
These drawings were reviewed under the applicable
laws in effect at the time of submittal. Reasonable
effort was exercised in checking for code compliance.
The stamping of these documents shall not be
construed to be a permit for, or an approval of any
violation of state and/or local codes, ordinances or
amendments thereto.
Plan Reviewer Stones
Date 06/15/2021
z
CD
W 38th Ave
33rd Ave
r
cn 9s
ax
W 32nd Ave
L
ALL WORK SHALL COMPLY WITH
2018 IRC
2018 IBC
2018 IECC
2020 NEC
CITY OF WHEAT RIDGE AMENDMENTS
Electrical Gontractor Info
Modern Electric
Jason Niles
303-263-8068
Plumbing Gontractor Info
Hydro Mechanics
Rod Lebsock
T711 Kendall 5t
Arvada, GO 80003
Engineer Info
Engineering 5tudio Denver
1801 kNewatta 5t, 11 th f=loor
Denver, GO b0202
info@esdenver.com
Building Gode
Nheat Ridge Golorado
2018 International Building Gode Amendments
• 2018 International Mechanical Gode Amendments
• 2018 International Plumbing Gode Amendments
• 2018 International Energy Gonservation Gode Amendments
• 2018 International Residential Gode Amendments
• 2018 International l=ire Gode Amendments
• 2018 International f=uel Gas Gode Amendments
• 2018 International Existing Building Gode Amendments
• 2018 International 5wimming Pool and 5pa Gode Amendments
• 2018 International Property Maintenance Gode Amendments
• NFPA qq 5tandards for Health Gare f=acilities, 2018 Edition
• Uniform Gode for the Abatement of Dangerous Buildings, 111111 Edition
M
M
� >
V Q O00
IZ—
a-J O
—Ln M
U
4-J 4)
cn 0)
L -0
ry
L Lr) 4_j
ro
O �>
E
Q O
E
V o O
go O `''
o�
o(n � �
LAVO O
N 3: ao))M r-
M°n
0 C:) cn
V N CU M O
r �U
(D
Z
O
z
w:)> -
z
LU cn a
J Z
JOO
U U U
V
m
o�
wo
o�
O L
a c �
U) U
�V
�U) -0
Q
W
� U
PROJECT:
6715
DATE:
5/4/2021
SCALE:
3/811=11
SHEET:
Main Level Notes5b40r?Ho
M
5840DH
� >
V Q O
No work completed on Main level
p
00
IZ-
4-J
U
Ln •c!1
M
4)
Q
L � �
R4 O
_
BEDROOM
Ln
ro
Q�
Q5
13'-3" X 101- 1 "
I\
ALL WORK SHALL COMPLY WITH
BEDROOM5068
2018 IRC
2018 IBC
11 '-4" X 14'-0"
2568
2018 I ECC
GL05 ET
2020 NEC
q1-1 1 " X 21-011
CITY OF WHEAT RIDGE AMENDMENTS
"
E
Q 0
E
5068
° 0
V o O
GLO5 ET GLO5 �
I~ U
O
° � o
4'-8" 4'-2" X 4'-8"
=
R4 0
❑
U)
0
o Lo O
N gME
FC1
-
BEDROOM
0o�M
° o U)
I
B6521
< X
1'-1 1" X 1 1 1_311
Q
(•� N CU M O
c _
Q BATH
"
'
m
r
11 '-4" X 7'-0"
5068
-
18080
3068
U443290
1440DH
GL05 ET
t�
—
q'-11 " X 2'-0"
z
-------------------
_3068_
O
H
z
Z
4
�CL
zf
-00
2068
U U U
LO5 E
.)1-1 11 X 3- 1 11x
GARAGE
LIVING
m
° o
18,_q�, X20,_8 �,
X
=
2q'-3" X 20'-10"
a US
Lul Fn
'- N
LL
� H
a
U
11
Oil T1
/� -C
PROJECT:
21068_
2668
R4
6715
DATE:
5/4/2021
Ok heal
2aba
6068
SCALE:
3/811_11
k A Y
CD
t
5b40DH
Main
e v e
SHEET.
.
�/Iing
1 st Floor
AS
Built
�1
D�SJNON
Basement Finish Notes
-frame new floating walls per floor plan
-Install electrical outlets per plan
-Install new can light per plan
-Replace hot water heater
-enlarge 2 windows per attached engineers letter
-Install R-1 q insulation on all new exterior walls
-Install R-30 in all rim joists
-Install sound insulation in floorjoists
-Install 1/2" Drywall in all basement except utility room
-Tape, mud, and texture all drywall to level 4 finish
-Build and install new access door to crawl space
-Install interior doors, trim, and baseboard in finish area of basement
-No work to be completed in utility room other than
a,
P
'z
-interior partitions erected on concrete slab on grade must deal with
deflection and slab movement.
-Enclosed accessible spaces under stairs shall comply with code section
R302.7
-Fire Blocking and Draft Stopping shall be installed in concealed spaces
per R302.11 & R302.12
•1 st Floor fire protection of floors shall comply with R302.13
-Bathroom lighting ventilation shall comply with R303.3
-Minimum Ceiling height shall be 7' or accordance with section R305.1 &
R305.1.1
-Fixtures in a bathroom shall meet the minimum space required per
R307.1 & P2705.1
-Emergency Escape shall comply with R310
-Stair Handrail shall comply with R311.7.8 and guards shall comply with
R312.1
-Smoke Alarms shall comply with R314.2.2
-Carbon Monoxide Alarms shall comply with R315.2.2
o
-Mechanical rooms that communicate directly with bedrooms or bathrooms
shall comply with G2406.2 #5
x.
•At time of inspection, please provide the inspector with combustion,
ventilation and dilution of flue gases
CRAM 5FAGE ACCE55
18PT
U
UTILITY
q,_.7" X 131_111
4.<-- 3'-11"
Nt
R4 R4
7.
31'-10"
❑ ❑
l ci
R4
� 4'-2 1/2"
Emergency escape and egress shall
comply with R310 - 5.7 square feet
net clear opening min. - 24 inches
min net clear height - 20 inches min
net clear width - Window wells with
a depth greater than 44" shall be
equipped with a permanently affixed
ladder. - Window wells shall have a
min. horizontal area of 9 sq ft and a
horizontal projection of not less than
36"
Basement finish Plan
M
M
�>o
V Q 00
IZ—
a-J 0
—M M
U
T
U) 0)
L
,-� ro
cu
l0 �>
ca E
CL o
E
U o O
i 4-1
a 0 ` � U
o�Mc
oo�
�08, [*-r 0
i C:)
O
C? a
ao�M
C o O
(,) N CU M
a
Z
O
ZU
w:�
Z
W V) a
J Z
JOO
U U U
V
m
w o
0 +�
U
L C
V o
a c �
Cul U
c
CM
V
Q QJ MML
Q _ W
� U
PROJECT:
6715
DATE:
5/4/2021
SCALE:
3/811=11
SHEET:
�3
ALL WORK SHALL COMPLY WITH M
2018 IRC M
2018 IBC > 0
2018 I ECC � Q 00
2020 NEC
CITY OF WHEAT RIDGE AMENDMENTS4-' O
�M
U
Ln
4-J 4)
cn 0)
L _0
(U > .—
� oC
L Lr) 4_j
ro
l0 c
ca E
Q 0
E
V o O
r 0 i` � U
O mO
op
00
P. -
o
L AVO O
N CM c:
�oM �
Oo�� U)
V co cu M
a)
r � U
N
V
Z
O
ZU
w:�
Z
LU cn a
J Z
JOO
U U U
V
m
o�
wo
o�
O L �
LL c
CU7 U
c
V
V) _0
W
� U
PROJECT:
6715
DATE:
5/4/2021
heat SCALE:
'
3/8rA
" = 1'
C CD
SHEET:
4
� ► � i City of Wheat Ridge
Residential Remodel PERMIT - 202101079
PERMIT NO: 202101079 ISSUED: 06/25/2021
JOB ADDRESS: 6715 W 35th Ave EXPIRES: 06/25/2022
JOB DESCRIPTION: Basement Finish Notes -Frame new floating walls per floor plan -Install
electrical outlets per plan -Install new can light per plan -Replace hot
water heater -Enlarge 2 windows per attached engineers letter -Install R-19
insulation on all new exterior walls -Install R-30 in all rim joists
-Install sound insulation in floor joists -Install 1/2" Drywall in all
basement except utility room -Tape, mud, and texture all drywall to level 4
finish -Build and install new access door to crawl space - Install interior
doors, trim, and baseboard in finish area of basement - No work to be
completed in utility room other than replacement of water heater. No demo
work to be completed.
*** CONTACTS ***
OWNER (916)802-3148
PARKS NATAL I E
GC (303)305-7001
HEATH A. CILLESSEN
180398 CILLESSEN CONSTRUCTION COMPANY
SUB (303)981-6404
ROD LEBSOCK
022426 HYDRO MECHANICS
SUB (303)420-5459
MICHAEL SPRANKLE
170671 MODERN ELECTRIC LLC
SUB (303)961-1913
JEROME VANDRE
150207 EXPERT SERVICES, INC.
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2405 / BARTHS, COULEHAN GRANGE,
WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 32,412.24
FEES
Total Valuation
0.00
Plan Review Fee
347.13
Use Tax
680.66
Permit Fee
534.05
** TOTAL **
11561.84
*** 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 - 202101079
PERMIT NO: 202101079 ISSUED: 06/25/2021
JOB ADDRESS: 6715 W 35th Ave EXPIRES: 06/25/2022
JOB DESCRIPTION: Basement Finish Notes -Frame new floating walls per floor plan -Install
electrical outlets per plan -Install new can light per plan -Replace hot
water heater -Enlarge 2 windows per attached engineers letter -Install R-19
insulation on all new exterior walls -Install R-30 in all rim joists
-Install sound insulation in floor joists -Install 1/2" Drywall in all
basement except utility room -Tape, mud, and texture all drywall to level 4
finish -Build and install new access door to crawl space - Install interior
doors, trim, and baseboard in finish area of basement - No work to be
completed in utility room other than replacement of water heater. No demo
work to be completed.
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 municpal 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
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
06/25/2021
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: Residential Interior Remodel
Date: Thursday, May 20, 2021 12:59:21 PM
Residential Interior Remodel
This application is exclusively for Residential Interior Remodels and other scopes
of work which do not have a specific form already available.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Property Address 6715 West 35th Ave Wheat Ridge, CO 80033
Property Owner Name Nick Turner & Natalie Parks
Property Owner Phone 503-320-4949
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email turnerparks20l8@gmail.com
Address
Attach City of Wheat PavmentWheatRidae.odf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
APPLICANT INFORMATION
Applicant Name Samantha larussi
What is your role in the General Contractor
project?
Wheat Ridge 180398
Contractor's License
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contact Phone Number 303-808-1048
(enter WITH dashes,
eg 303-123-4567)
Contact Email Address heath@cillessenconstruction.com
for Plan Review
Comments
Retype Contractor
Email Address
heath@cillessenconstruction.com
DESCRIPTION OF WORK
Detailed Scope of
No demo work to be completed. Basement Finish Notes -Frame
Work - In the space
new floating walls per floor plan -Install electrical outlets per plan
below (not as an
-Install new can light per plan -Replace hot water heater -Enlarge
attachment), Provide a
2 windows per attached engineers letter -Install R-19 insulation
detailed description of
on all new exterior walls -Install R-30 in all rim joists -Install
work Including
sound insulation in floor joists -Install 1/2" Drywall in all basement
mechanical, electrical,
except utility room -Tape, mud, and texture all drywall to level 4
plumbing work
finish -Build and install new access door to crawl space - Install
interior doors, trim, and baseboard in finish area of basement -
occurring,
No work to be completed in utility room other than replacement of
adding/removing walls,
water heater
etc
I, the applicant, I have entered a detailed scope of work.
understand my
application will be
rejected if I do not
include a Detailed
Scope of Work.
Location of Work Basement
Square Footage Area 520 sqft
of Work Being
Performed
Asbestos Report Field not completed.
Upload letter size
documents here
Construction Plans Turner Basement Finish layout ndf
scanned on 11'x17" or
larger
Project Value (contract $32,412.24 Valuation Ok
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 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.
Person Applying for Samantha larussi
Permit
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.
Email not displaying correctly? View it in your browser.
City of
Wheat idge
IT
COMMUNY DEVELOPMENT
SUBCONTRACTOR AUTHORIZATION FORM
Electrical Subcontractor
This form must be completed & signed by the ELECTRICAL SUBCONTRACTOR
performing electrical work on site.
Subcontractor's insurance and license must be up to date prior to permit issuance.
Project Address: 6-7)5 �• ...3 J�Y7•
General Contractor: _� ll25Sevl CO/1s4i—L(C�
FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION
Company Name: 1 ' t O (+.Yrl Cl 6wc LTcontact Phone
Wheat Ridge Contractor License #: 110671 (required field)
State License #: 1 00 5�z7
Master License #: (0 00 6 51
61,f 1 202
Date
y City of
Vvh6a-t�idge
COMMUN E TY DEVELOPMENT
SUBCONTRACTOR AUTHORIZATION FORM
Mechanical Subcontractor
This form must be completed & signed by the MECHANICAL SUBCONTRACTOR
performing mechanical work on site.
Subcontractor's insurance and license must be up to date prior to permit issuance.
Project Address:
��44 tkle--
General Contractor:— el� i / /,- S5; -e 0 l �,? 7f , - L,`, C,-- 1) L \f-)
FORM WILL. NOT BE ACCEPTED WITH MISSING INFORMATION
i
Company Name: Y YU t e e,5 Contact Phone
Wheat Ridge Contractor License #: ���� 7 (required field)
� -0— -\t- (D m ,Q , Y 0-A G Y' le-�
Printed Name of Authorized-A-eent
Signafure-U,Authorized Agent
L -2- 2� 2
Date
City of
%Wheatidge
COMMUNITY DEVELOPMENT
SUBCONTRACTOR AUTHORIZATION FORM
Plumbing Subcontractor
This form must be completed & signed by the PLUMBING SUBCONTRACTOR
performing plumbing work on site.
Subcontractor's insurance and license must be up to date prior to permit issuance.
Project Address:
General Contractor:
1
4\
Company Name:\1r� 1n "�N Contact Phone #:
Wheat Ridge Contractor License #: 0 ZZ t J Z G (required field)
State License #:_ L -,G
Q No
Master License #: rxpn 22)c2:�). 4t
Name of Authorized Agent
An
Agent
Date
i CITY OF WHEAT RIDGE
Building Inspection Division �.
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
k
Ll No one available for inspection: Time AM/PM
Re -Inspection required: /'Yes, No
When corrections are
Date In
I* � 4 i CITY OF WHEAT RIDGE
~Building Inspection Division
(303) 235-2855 Office
_:�9r
INSPECTION NOTICE
Inspection Type: Yom`
Job Address: L t_
Permit Number: z�
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes I�
When corrections are complete, schedule re -inspection online.
Dater`-' <<- 1 Inspector:
DO NOT REMOVE THIS NOTICE
� � 4 i CITY OF WHEAT RIDGE
1 Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: P0 1
Job Address: T1-_ 1,
Permit Number:
❑ No one available for inspection: Times AM/PM
Re -Inspection required: fYes� No
When corrections are complete, schedule re -inspection online.
Date:rQ `-° ° i Inspector: r'
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE'
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: 1 (4 -
Permit Number:
❑ No one available for inspection: Time - AM/PM
Re -Inspection required: Yes(_*
When corrections are complete, scheduja re -inspection online.
Date
wA �IA1- 1
City of
Wheatjj-.(dAge
COMMUNITY DEVELOPMENT
SUBCONTRACTOR AUTHORIZATION FORM
Plumbing Subcontractor
This form must be completed & signed by the PLUMBING SUBCONTRACTOR
performing plumbing work on site.
Subcontractor's insurance and license must be up to date prior to permit issuance.
Project Address: 1 n C�4iQ
General Contractor: C � (I L cn(\-a ttrA 'o (\ -
FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION
Company Name: �!,.A �^ kl A, C'C 5 Contact Phone #: 2,o -3 - X4)1 • G1404
Wheat Ridge Contractor License #: OZ.Z4 7 Co (required field)
State License #: c nn to �7
Master License #: ern % ;��y
Printed Name of Authorized Agent
1 I=5 I Z 1
ture of Aut lorized Agent Date
� ► � i City of Wheat Ridge
Residential Remodel PERMIT - 202100076
PERMIT NO: 202100076 ISSUED: 01/25/2021
JOB ADDRESS: 6715 W 35th Ave EXPIRES: 01/25/2022
JOB DESCRIPTION: SWO Demo of all wall finishes on main level bathroom. Adding a knee wall in
bathroom, new electrical and plumbing.
*** CONTACTS ***
OWNER (503)320-4949
PARKS NATAL I E
GC (303)305-7001
HEATH A. CILLESSEN
180398 CILLESSEN CONSTRUCTION COMPANY
SUB (303)981-6404
ROD LEBSOCK
022426 HYDRO MECHANICS
SUB (303)420-5459
MICHAEL SPRANKLE
170671 MODERN ELECTRIC LLC
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2405 / BARTHS, COULEHAN GRANGE,
WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 22,500.00
FEES
Total Valuation
0.00
Plan Review Fee
266.73
Use Tax
472.50
Permit Fee
410.35
Investigative Fees
410.35
** TOTAL **
11559.93
*** 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* � 4 41'
City of Wheat Ridge
Residential Remodel PERMIT - 202100076
PERMIT NO: 202100076
JOB ADDRESS: 6715 W 35th Ave
JOB DESCRIPTION: SWO Demo of all wall finishes on main
bathroom, new electrical and plumbing.
ISSUED: 01/25/2021
EXPIRES: 01/25/2022
level bathroom. Adding a knee wall in
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
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
01/25/2021
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: Residential Interior Remodel
Date: Wednesday, January 13, 20219:51:47 AM
Residential Interior Remodel
This application is exclusively for Residential Interior Remodels and other scopes
of work which do not have a specific form already available.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Property Address 6715 W 35th Ave
Property Owner Name Nick Turner
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
503-320-4949
turnerparks2018@gmail.com
Electronic -Payment -Form -Turner. odf
APPLICANT INFORMATION
Applicant Name Cillessen Construction Company
What is your role in the
project?
Wheat Ridge
Contractor's License
Number (This is a 5 or
6 digit number for the
General Contractor
City of Wheat Ridge)
Contact Phone Number
(enter WITH dashes,
eg 303-123-4567)
Contact Email Address
for Plan Review
Comments
Retype Contractor
Email Address
DESCRIPTION OF WORK
Detailed Scope of
Work - In the space
below (not as an
attachment), Provide a
detailed description of
work including
mechanical, electrical,
plumbing work
occurring,
adding/removing walls,
etc
I, the applicant,
understand my
application will be
rejected if I do not
include a Detailed
Scope of Work.
Location of Work
Square Footage Area
of Work Being
Performed
Asbestos Report
Upload letter size
documents here
Heath@ciIlessenconstruction.com
heath@ciIlessenconstruction.com
Demo all wall finishes on main level bathroom, setup dust
barriers, owner to demo ceiling tiles and wall paneling in
basement, install new tub, rough in shower valve and tub valves,
toilet location to remain in existing location, add knee wall / half
wall between shower and tub, build new shower pan in place,
install new drywall, add two can lights, make sure all electrical in
bathroom is to code, provide two outlets at sink location, one
outlet for owner supplied mirror light, install new vanity, install
tile, install shower door, paint walls, install bathroom hardware,
cleanup. House is heated via boiler and no changes will be made
to the heating, bathroom fan or HVAC for this project. Electrican
and plumber listed on plans and have current licenses. House to
be unoccupied for project as the house only has one bathroom
on the main level. Owners to rent Airbnb for duration of project.
I have entered a detailed scope of work.
Main level bathroom and south side of basement
el.V:
1118-42-2 Parks, Natalie Environmental Report - Asbestos
Renovation (Visit2) (1).pdf
Asbestos Testina Email. pdf
Construction Plans Turner Bathroom Remodel layout.odf
scanned on 11'x17" or
larger
Project Value (contract 22500 $22,500 Valuation
value or cost of ALL Approved as
materials and labor) Submitted SP
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.
Person Applying for Heath Cillessen
Permit
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.
Email not displaying correctly? View it in your browser.
� M
O
U Q �
4-J 0
Fn M U
L � -0
L U) 4-j
Wheat Ridge
Ave Lanes W 38th Ave
Owner Info 0 Dairy Queen
a, electrical Contractor Info
� W 37th Pt CD�z Modern Electric
Jason Niles
Nick Turner & Natalie Parks _ �
W 36th P_I— `� m c=C E
co
(ol151�lest 35th �Ye n u e � � 303-263-8068 0
� � V o 0
c�i r U
r
W 36th Ave - O a oo L
VNheat midge, GO 800334-0 6), 00
iao
NUS O
Plumbing Contractor Info � � co
503-320-4q4q � =�-,., C) U)
M 1U)
Hydro Mechanics v N co CO
6715 W 35th =
email: turnerpark5201 5@gmail-com w35tnnve- Ave Wheat Rod Lebsock
Ridge CO 80033
771 1 Kendall 5t0
=
U
Arvada, GO 80003
Z
0
1�-
W 33rd Ave W 33rd Ave� cnYor W � r
"0000-�MWheat�EN�.� ON ITE PLAN " � Z
SS
APPROVED
W {p 0.
F- RavieweOforCadeCanolianee MUST BE ONSITE FOR INSPECTIONS J o 0
2nd PI 3 E3Steven Peck 01/22/2021 v v v
rt Pans examiner Date ALL PROJECTS ARE
� �e����:��,�q/o pern*or approval ofplans � SUBJECT TO FIELD INSPECTIONS
L) and mmcvwmv mnomt be a nem.th%a an unarasio/. anr..oronon m
any Mthe poWrbru o/Me 4wkM9 code waJ Wl CRyaMimoea himb
G pxwMiq to gbr authority to wNneacancel mepwtimiu of the OeM&V Uj
CL coda aother aBmwnMthe ahsnaunot aeMot
W 32nd Ave
General Contractor Info
}
m0 C:
LU o
Building Code C) ,
o
�
�� a
a c
Wheat Ridge Colorado z A.-
Cillessen Construction Company
2018 International Building Code amendments
12300 Nest 4qth Place • 2018 International Mechanical Gode amendments PROJECT:
Nheat Ridge, GO 80033 SMOKE ALARMS AND CARBON MONOXIDE : 201S International Plumbing Gode amendments6715
DETECTORS TO COMPLY WITH 2O181RC R314 2016 International Ener Conservation Code amendments
AND R315. SMOKE ALARMS SHALL BE gy
303-305-1001 INSTALLED IN EACH SLEEPING ROOM, ALL WORK SHALL COMPLY WITH • 2018 International Residential Code amendments DATE:
2018 IRC
OUTSIDE OF SLEEPING AREAS, ON EACH 2018 IBC • 201 8 International Fire Code Amendments
STORY, AND BE INTERCONNTECTED. zona iEcc 1/4/2021
2020 NEC
CARBON MONOXIDE ALARMSOUTSIDE OF CITY OF WHEAT RIDGE AMENDMENTS • 2018 International Fuel Gas Code amendments
EACH SLEEPING AREA IN THE IMMEDIATE • 201 S International Existing Building Code amendments SCALE:
VICINITYOF THE BEDROOMS. COMBINATION • 201 S International Swimming Pool and Spa Code amendments
DETECTORS ARE PERMITTED. • 201 8 International Property Maintenance Code amendments 3/8"=1'
• NFP qq Standards for Health Gare Facilities, 201 8 Edition SHEET:
• Uniform Code for the abatement of Dangerous Buildings, 111111 Edition
Main Level Demo Plan
Remodel Bathroom Main
Demo
bathtub
Demo
flooring
Demo
Cabinets
Demo
Tile
Demo Plumbing fixtures
56400H 56400H
1st Floor
56400H
0
Ln
A
0
Ln
X
LL
r
City of
Wheat Ridge
Building Division
As Built
M
� M
O
U Q O
00
4-J Q
Ln U
Fn M
�4—)�
0)
L�-0
LLr) 4—)
t'.0�
ME
CL o
E
VCD 0
M" -U
O��O
._ O
U LnO
CD
O)CO �
can)
M O
},
UNcoC o
U
z
O
z U
L >Z -
cn oc z
LU
w cn a
J z
JOO
U U U
Uj
m
o
LU o
C),
U
0 L C
LL V O
0
U
c
z �
0 U
PROJECT:
6715
DATE:
1/4/2021
SCALE:
3/8" = 1'
SHEET:
Basement Demo Notes
Owner to remove 350 sqft of c
Owner to remove 440 sqft of Y
No reconstruction work to tat
time.
Foundation
Gravel Space access
City of
Wheat Ridge
Building Division
Basement
A,5 Built
M
� M
> O
U Q O
00
4-J Q
U
V) M
�4-)�
0)
L �-0
LLr) 4-)
t'.0�
ME
CL o
E
Vo 0
ti U
O��O
._ � p
U Ln O
CD0
O)
O
Oo�A
M p
},
UNCUC o
U
z
O
z U
W�>Z-
Z
LU
w cn a
J z
JOO
U U U
Uj
m
M
LU o
C)
U
0 L C
LL � O
O
U M
c
z �
V
< L
(X =
M U
PROJECT:
6715
DATE:
1/4/2021
SCALE:
3/8" = 1'
SHEET:
Main Level Project Notes
Main Level Bathroom Re
-Rough Plumbing as reqs
-Install new Plumbing fix
-Install new Electrical as i
-add can lighting above t
-Install tile flooring and SL
-Install vanity
-Install Countertops
SHOWER TO COMPLY WITH CO
AMENDMENTS TO PLUMBINGCODE. THIS
INCLUDES SEC 2.5.1.15 — SHOWERHEAD
SHALL NOT DISCHARGE DIRECTLY AT
ENTRANCE TO COMPARTMENT AND
BATHER CAN ADJUST VALVE PRIOR TO
STEPPING INTO SHOWER. SHOWERS
SHALL COMPLY WITH 2018 IRC P2708
INCLUDINGSHOWER DOORS SHALL
SWING OUTWARD.
MINIMUM CLEARANCE FOR TOILET,
BATH, SHOWER SPACES TO COMPLY
WITH R307: TOILETS 30" CLEAR AREA
WITH 15" ON CENTER SIDE TO SIDE,
21" FRONT CLEARANCE. 24"
CLEARANCE AT SHOWER OPENING.
SAFETY GLAZING TO COMPLY
WITH 2018 IRC R308.
56400H 56400H
56400H
Ck
0
Ln
A
0
Ln
X
LL
r
City of
Wheat Ridge
Building Division
Main Level
M
� M
> O
U Q O
00
0
Ln U
V) M
V) O
LLr) 4—)
t'.0�
ME
CL o
E
V o O
ti U
a
0 i"
._ O
U Ln O
�co �
O
Oo�A
M O
},
UNcoC
U
z
O
z U
w:)>_
z
LU cn a
J z
JOO
U U U
UJ
m
o�
wo
C),
U
0 L C
LL � O
O
U 0
c
z �
V
(X =
0 U
PROJECT:
6715
DATE:
1/4/2021
SCALE:
3/811=11
/8"=1'
SHEET:
i CITY- OF WHEAT RIDGE
Building Inspectiorl Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (30 ) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: /7
Job Address:
Permit Number:
❑ No one available for inspection: Time [7�23{ AMIPM
J
Re -Inspection required: Yes;>'NO.'/
When corrections have been made, call for re -inspection at 303-234-5933
Date: :5! -z l' d Inspector:/'A0_________
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
�� Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: O_�!)
Job Address:
Permit Number: '2c:>
v
❑ No one available for inspection: Time1_t �)M/PM
Re -Inspection required: Yes No
When corrections have been made, 114�r re -inspection at 303-234-5933
Date. ` � n Inspector:
DO NOT REMOO E THIS NOTICE
� Y�c 'tel f? oo -3-3
IHLENFELDT ASSOCIATES
STRUCTURAL ENGINEERS
January 30, 2019
Wheat Ridge Building Department
7500 West 29th Avenue
Wheat Ridge, CO 80033
RE: Turner Residence
6715 West 35th Avenue
Wheat Ridge, Colorado
Dear Sirs/Ms:
This letter is to verify that I provided structural engineering services for the widening of
an opening in a bearing wall in this residence. This included the following:
a) The design of a 2 - 1 3/4" x 9 1/2" micro -lam beam in the attic above the wall opening.
This beam was subsequently increased in size by the contractor to 2 - 1 3/4" x 11 7/8".
b) Support of the post at the west end of this beam on a 2 - 1 3/4" x 7 1/4" beam in the
floor below.
C) Support of the east end of the beam on an adjustable steel pipe column that extends
down to the existing basement slab. The slab is adequate to act as a footing for the
column without any modification.
d) Reinforcing of the 6x8 center beam in the basement ceiling with a 1 3/4" x 7 1/4"
micro -lam sistered to each side.
After some of this work was completed, I visited the site and observed that it was
properly in place. The remainder,should be observed by a building official or by me before
It is covered up.
g
130 Pearl Street #704 Denver CO 80203
970.948.9163
dihienfeldt@centurylink.net
Very tr ly yours
AA
Donald W. Ihlenfeldt, P. E
cc: Cillessen
p 7148
• " <ce
tR9�aniAL�9
i CITY OF WHEAT RIDGE
Building Inspection division
(303) 234-5933 Inspection line
(303) 2,3/5-2855 Office • (303) 237-8929 Fax
IN PECTION Nr
TICE�
Inspection Type: 4 ?9
Job Address:Permit Number: Number: c2OI 5 Z
❑ No one available for inspection: Timed c� AM/ M
Re -Inspection required: Yes No
`"*When Vprredions h ve been made, callfor re -inspection at 303-234Date:- / Inspector: -
DO NOT REMOVE THIS NOTICE
IHLENFELDT -- ASSOCIATES
STRUCTURAL ENGINEERS
January 30, 2019
Wheat Ridge Building Department
7500 West 29th Avenue
Wheat Ridge, CO 80033
RE: Turner Residence
6715 West 35th Avenue
Wheat Ridge, Colorado
Dear Sirs/Ms:
z' -2_D 1-7 o-715
This letter is to verify that I provided structural engineering services for the widening of
an opening in a bearing wall in this residence. This included the following:
a) The design of a 2 - 1 3/4" x 9 1/2" micro -lam beam in the attic above the wall opening.
This beam was subsequently increased in size by the contractor to 2 - 1 3/4" x 11 7/8".
b) Support of the post at the west end of this beam on a 2 - 1 3/4" x 7 1/4" beam in the
floor below.
C) Support of the east end of the beam on an adjustable steel pipe column that extends
down to the existing basement slab. The slab is adequate to act as a footing for the
column without any modification.
d) Reinforcing of the 6x8 center beam in the basement ceiling with a 1 3/4" x 7 1/4"
micro -lam sistered to each side.
After some of this work was completed, I visited the site and observed that it was
properly in place. The remainder should be observed by a building official or by me before
It is covered up.
130 Pearl Street #704 Denver CO 80203
970.948.9163
dihlenfeldt@centurylink.net
Very tru y yours
Donald W. Ihlenfeldt, P. E.
cc: Cillessen
/ a'r_�
C
Cillessen Construction verifies that a two component, closed cell spray foam made by Touch `n
Seal was used to insulate the exterior walls effected by the kitchen remodel. We installed it at a
3 1/2" depth which gives it an R -value of 19.5.
Date: 3 C
X
X
GENERAL CONTRACTING I CUSTOM CABINETRY I CNC MILLWORKS U ��
Disposable Polyurethane Foam Systems
SPRAY FOAM INSULATION JOB SITE LABELING CERTIFICATE
As per the spray foam labeling requirement included in 2012 IECC code language:
"For sprayed polyurethane foam (SPF) insulation, the installed thickness of the areas covered
and R- value of installed thickness shall be listed on the certification. The insulation installer
shall sign, date and post the certification in a conspicuous location on the job site. "
Please complete the following certification and post it on the job site upon completion.
Type: Spray Polyurethane Foam (SPF)
Manufacturer: Convenience Products
Product Applied: Touch `n Seal Foam Kit (Class A)
Reference ICC -ESR 3228
SPF Thickness Applied:
R -Value Installed:
Date Installed: -117-(Z19
Installed By: a O
Company Name: �o.�� ;r,:- "C)a Lea -✓n 1
Phone Number: �U3S
Signature:
52122 -090116 -TNS
i CITY OF WHEAT RIDGE.
Building Inspection Division ,
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
0/(-- 1
Inspection Type: "
Job Address: �"� 11�5 W
Permit Number: 6 {) G U
❑ No one available for inspection: Tim 27PM
Re -Inspection required: Yes�"J
When corrections have been made, call for re -inspection at 303-234-5933
Date: % _-b ._ / (� Inspector:
r i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office . (303) 237-8929 Fax
11'$PC TION `NOTICE 2 e fl f
Inspection Type: L.t r L
Job Address:
Permit Number:��
A
❑ No one available for inspection: Time a 6 ` AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
c -L._.,_
Inspection Type:
Job Address:
Permit Number:
1
Zia
❑ No one available for inspection: Time
Re -Inspection required. es No
When correcti ns have bee (n -made, call for re -inspection at 303-234-
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
INSPECTIONTI
:5) 3 3�A,_�� "
Inspection Type: - S,0/
Job Address: 10-21
Permit Number: eZr�,J , ,� :a
❑ No one available for inspection: Time A M
Re -Inspection required: Yes No
When corrections ha v been made, call for re -inspection at 303-234-5933
Date: lIC12 Inspector: o y'"'
DO NOT REMOVE THIS NOTICE
i CIT -,Y OF WHEAT RIDGE
Building Inspection Division
(303),234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: R
Job Address: �%f.�
Permit Number:
❑ No one available for inspection: Time
Re -Inspection required: rZD No
When corrections have been made, call for re -inspection at 303-2,?4-5933
Date: Inspecto
DO NOT REM E THIS NOTICE
City of Wheat Ridge
Residential Remodel PERMIT - 201900033
PERMIT NO:
201900033
ISSUED: 01/14/2019
JOB ADDRESS:
6715 W 35th Ave
EXPIRES: 01/14/2020
JOB DESCRIPTION:
Residential kitchen
remodel -demo
of entire kitchen to studs. Installing new
electric, plumbing,
HVAC for new
appliances. Installing rough -ins for
washer/dryer in basement. Installing
spray foam on exterior wall in
kitchen - 450 sq ft
total
*** CONTACTS ***
OWNER (503)320-4949
TURNER NICK
SUB (303)305-7001
Heath A. Cillessen
180398 Cillessen Construction Company
SUB (303)961-1913
Jerome Vandre
150207 Expert Services, Inc.
SUB (720)639-2889
Thomas Smiley
160252 5280 Plumbing Inc
SUB (303)435-5074
Salvatore Cottone
140096 S. C. Electric
*** PARCEL INFO ***
ZONE CODE: �
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2405 / BARTHS, COULEHAN
GRANGE,
WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 37,850.00
FEES
Total Valuation
0.00
Plan Review Fee
384.51
Use Tax
794.85
Permit Fee
591.55
** TOTAL **
1,770.91
*** 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.
City of Wheat Ridge
Residential Remodel PERMIT - 201900033
PERMIT N0: 201900033
ISSUED: 01/14/2019
JOB ADDRESS: 6715 W 35th Ave
EXPIRES: 01/14/2020
JOB DESCRIPTION: Residential kitchen remodel -demo of entire kitchen to studs. Installing new
electric, plumbing, HVAC for new appliances. Installing rough -ins for
washer/dryer in basement. Installing spray foam on exterior wall in
kitchen - 450 sq ft total
I, by my signature, do hereby attest that the work to pbe performed shall comply with all accompanying approved plans and specifications,
applicable buildneg codes, h e propertydall
and authorize d to obtain policies and
perform the work descand that I am ribed and approval owner oed in conjunr have been ction with
be
by the legal o p
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to io
performe that all work at 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 ppFlans and specifications and is
pstatutes, ordinances, re ulations, oIicies and procedures.
subject to the compliance with those documents, and all applicableg p
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 andxpired permits is at the sole discretion of
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 subjectto the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of e
the Chief Building Offial 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 of aland sp re' uiredproval.
5. The permit holder shall notifythe or cionceal work and without writtenection ea proval of such wos Division in rk from hnce with e Building tablished andiInspect on Services
inspections and shall not proceed
Division.
6 T Nuance or gra g of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision o any
ble.R,code or 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 Rclg ECS I D
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 291 Ave., Wheat Ridge, CO 80033 pe.
Office: 303-235-2855 * Fax: 303-237-8929 - —
Inspection Line: 303-234-5933
Email: permits(i.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
//6 T/ 9
Plan/Permit #
190x)033
Plan Rey ►ew Fee:
, % 6)
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
4
Property Address: 715 �V, 4
Property Owner (please print): il�z�K "��,,� r /l!k. �rt�d � rk3 Phone: SO.> - 20 - 474 `P
Property Owner Email:
Tenant Name (Commercial Projects Only) �L
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itect/Enganeer:
Architect/Engineer E-mail: /'79W vFr&P LeZ;v7&,,e Phone:
Contractor Name: L�11s5sev
City of Wheat Ridge License M Phone: 30�?— 908 - /oz/9
Contractor E-mail Address: /,��n'L=�«>N<_ „N.+~►,e ccrs v , Lo
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Nr 4r� ����ss� Phone: 303 6306 — I049
CONTACT EMAIL(p/ease print): C-0.
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
IDENTIAL
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.
SMD L/VTi X'5 6H,5 -'J SrN1JS / i/�ST.4, /'/5w f rtuo� / /fJ� X5.2
ml w
5 11v���rL
�} .'V C
Sq. FULF BTUs _
TT /�
,i�✓ -'i"�G .v��S�%6, .J'r✓�/�L� FaP-,sly '`a-7 Wf"- �✓V
Gallons
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type: _
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ / �o
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) (CO OR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name). DATE:
Printed Name:
DEPARTMENT USE ONLY (�
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Reviewer:
BUILDING DEPARTMENT COMMENTS: &I e W L = � S U
_ M l 1 n
Reviewer: i
PUBLIC WORKS COMMENTS:
Reviewer:
Building Division Valuation: _� 7,
City of
W h6at�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: 6715 W. 35th Ave Permit #:
General Contractor: Cillessen Construction Company
Electrical Sub -Contractor
Company '� �
P y Name: Phone #: .3�' � -�� �-S ^ Si'' -7q
State License #: �s�� r Master #:
Wheat Ridge License #: _(required field)
ignature of Authorized Agent Date
Plumbing Sub -Contractor
Company Name:
State License #:
Phone #:
Master #:
Wheat Ridge License #: (required field)
Signature of Authorized Agent
Mechanical Contractor
Company Name:
Date
Phone:
Wheat Ridge License #: (required field)
Signature of Authorized Agent
Date
City of
W heat �idge
CCOMMUNITY 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: 6715 W. 35th Ave
Permit #:
General Contractor: Cillessen Construction Company
Electrical Sub -Contractor
Company Name:
Phone #:
State License #: Master #:
Wheat Ridge License #: (required field)
Signature of Authorized Agent
Plumbing Sub -Contractor
Date
Company Name: , Phone #: 70 - (0_�
State License #: dy 0 3 Ztp Master #:_0 G k 0 C) U
Wheat RidrFLicense #: 2_S __'Z— (required field)
� d— i—1
Signature of Author' Agent Date
Mechanical Contractor
Company Name:
Phone:
Wheat Ridge License #: (required field)
Signature of Authorized Agent Date
It o
�Ir
Per
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: 6715 W. 35th Ave
Permit #: 0.0/ 2 66 33
General Contractor: Cillessen Construction Company
Electrical Sub -Contractor
Company Name:,
State License #:
Wheat Ridge License #:
Phone #:
Master #:
(i-equired field)
Signature of Authorized Agent Date
Plumbing Sub -Contractor
Company Name: Phone #:
State License #: Master #:
Wheat Ridge License #:
required field
Signature of Authorized Agent Date
I Mechanical Contractor I
Company Name: �Yr,'T J, r r e e-3 Phone: 36) 3 11,3
heat Ri L►c #: ISO � 0 `% (required field)
2 L
Signatur f Authorized Agent Date
r
Milk] N ice• 't01' r
MS—ED—EW-9909, 1260 ENEEGY IANE
ST. PAUL, DRQ 55108
Prepared By:
HOPE h!RM
750 W HADWDE N AVENUE
ENGUDAI=, CO 80110
303-214-6393
[Space Above This Line For Recording Data]
ALL OR PART OF THE PURCHASE PRICE OF THE PROPERTY IS PAID FOR
WITH THE MONEY LOANED.
8fi �• 6 Ff x ,7 y ,
PURCHASE MONEY
DEED OF TRUST
MIN 100392411203612208
DEFINITIONS
Words used In multiple sections of this document are defined below and other words are defined In
Sections 3, ii, 13, 18, 20 and 21. Certain rules regarding the usage of words used in this document are
also provided in Section 16.
(A) "Security Instrument" means this document, which is datedNOVEMEM 19, 2018
together with all Riders to this document.
(B) 'Borrower" is
NICHOLAS TUMM AND NA`T'AME PARKS
Borrower is the trustor under this Security Instrument.
(C) "Lender" is
FAIFSW 14DFdGAM CORPCRATICK
1460112362
COL0RA00-Sin Family- annie Mae/Freddie Mac UNIFORM INSTRUMENT WITH MERS
VM P
Form 3006 7161
VMP6A(CO) (1706).00
Bankes Syystemgs�'
Writers Kluwar Financial Servlcm
Page t of 17
Property Information
Natalie Parks
6715 w 35th Ave
Wheat Ridge, CO 80033
Property Type Residential
Date of Construction 1958
PH 916-802-3148
Prepared By
EnvioCore LLC
Asbestos Consulting Firm No. 21660
1685 S. Colorado Blvd
Denver, CO 80124
303-GoEnvio (463) 6846
www.goEnvioCore.com
info@qoenviocore.com
Conducted By
Nick Hopkinson
Asbestos Building Inspector Cert. No. 23887
Inspection Information
Inspection Date 12/5/2018
Arrival Time 10:00 AM
Report Date 12/7/2018
Inspection # 1118-42-2 Parks, Natalie
Limited Residential
Asbestos Renovation
Inspection Report
6715 W 35th Ave
Protocols Followed
Asbestos AHERA envI..
rore
ENVIRONMENTAL INSPECTIONS
Lab Information
CEI Labs
DECEIVED
730 SE Maynard Road Carly, NC
919-481-1413 j i)
Asbestos NVLAP Cert # 107168-0 f�
�e
#Zo19W033
envl Core PAGE 1 OF 21
ENVIROO-E ,T/�l NSPECTIGNS
Table of Contents
Definitions.................................................................................................................................................... 3
KevTerms.................................................................................................................................................... 3
LimitedInspection Summary ..................................................................................................................... 4
General.......................................................................................................................................................................
4
Asbestos......................................................................................................................................................................
4
Purposeand Scope of Inspection
............................................................................................................. 4
General.......................................................................................................................................................................
4
Asbestos......................................................................................................................................................................
4
Background................................................................................................................................................5
Sampling.....................................................................................................................................................5
AsbestosResults Reporting........................................................................................................................ 6
Asbestos Inspection Conclusion............................................................................................................... 6
Closing......................................................................................................................................................... 7
InspectionPhotos.......................................................................................................................................8
LabResults.................................................................................................................................................13
InspectionCertifications..........................................................................................................................20
envCore PAGE 2 OF 21
[rwinapru.+[r�-n� ra=_?[[r ons
Definitions
1. The term "Certified Inspector" shall mean individual who is identified on the first page of this Limited Inspection
Report as conducting the Inspection.
2. The term "Client" shall mean the entity that has ordered the Limited Inspection on the Property on behalf of the
Client.
3. The term "Limited Inspection Report" shall mean this report, which summarizes the Inspection, as applicable to
the Property.
4. The term "Owner" shall mean the owner of the Property.
5. The term "Property" shall mean the buildings) or structures) at the address listed under Property Information on
the first page of this Limited Inspection Report.
6. The terms "Work Activity" shall mean any construction, renovation, remediation, decontamination, cleanup, or
other work.
Key Terms
Asbestos
1. Asbestos is a naturally occuring mineral. Asbestiform varieties include chrysotile, amosite, crocidolite,
anthophyllite, tremolite and actinolite.
2. Asbestos abatement is the wrecking or removal of builiding materails that contain friable and non -friable
asbestos fibers.
3. Asbestos abatement contractor is any person hired to conduct asbestos abatement.
4. Friable material can be crumbled, pulverized, or rendered to powder by hand pressure when dry.
5. A homogenous area is an area of surfacing material, thermal system insulation material, or miscellaneous
material this is uniform in color, texture, construction, application date, and general appearance.
6. Miscellaneous material is interior building material on structural components, structural members, or fixtures, such
as floor and ceiling tiles, and does not include surfacing material or thermal system insulation.
7. Non -friable material cannot be crumbled, pulverized, or reduced to powder by hand pressure when dry.
8. Point counting is a secondary analytical technique to verify the presences of asbestos in samples with 10% or
lower asbestos.
9. Surfacina material is sprayed, troweled, or otherwise applied on surfaces, such as acoustical plaster on celilings
and fireproofing materials on structural members, or other materials on surfaces for acoustical, fireproofing, or
other purposes.
10. Thermal system insulation (TSI) is material tha tis applied to pipes, fittings, boilers, breeching, tanks, ducts, or
other interior structural components to prevent heat loss, heat gain, or water condesation, or for other purposes.
11. The terms "Asbestos Containinci Material" or "ACM" shall mean surfacing, thermal system insulation, or
miscellaneous materials that contain 1 % or more of asbestos.
12. The terms "Asbestos Containina Building Material" or "ACBM" shall mean Asbestos Containnig Materials that has
been used for construction or improvement of a building or other structure.
envCore PAGE 3 OF 21
ENVIRONMENTAL INSPECTIONS
13. The term "Certified Asbestos Consulting Firm" shall mean any person licensed with the State of Colorado and the
EPA, hired for a fee to conduct any of the folowing activities, as required by Regulation No. 8, Part B, in the State
of Colorado: asbetos builidng inspection and bulk sampling; development of asbestos management plans; air
monitoring for asbestos fibers; development of asbestos project designs; and , project management, as
specified in Section II.J.
14. The term "Certified Asbestos Laboratory" shall mean a laboratory with accreditation from the National Voluntary
Laboratory Accreditaion Program (NVLAP) to analyze bulk samples for asbestos using polarized light microscopy
(PLM).
15. The terms "Damaged ACM" and "Significantly Damaged ACM" shall mean friable or non -friable ACM that has
deteriorated or delaminated to the point that it has lost its bond to the substratre or has otherwise suffered
crumbling, blistering, nonadhesiveness, gouging, water staining, or marring. The term "Damaged ACM" applies
when 1 /10 of the entire surface has suffer damage (1 /4 if the damage is localized). The terms "Significantly
Damaged ACM" shall apply when more than 1 /10 of the surface has suffered damage.
16. The term "Limited Asbestos Ins ection" shall mean an abbreviated inspection by the Inspector of the
components of the Property that may be subject to Work Activity. The Inspection shall investigate the presence
of ACBM and shall comply with all state and federal laws, rules, and regulations.
Limited Inspection Summary
General
The Client agrees to read the Limited Inspection Report upon receipt and promptly call the Inspector with
questions or concerns. This Limited Inspection Report is not intended to be exhaustive in the manner of
inspecting the Property and all of its building materials and components. The Inspector only inspected
specific areas that may be subject to Work Activity and that are visually and physically accessible. The
Limited Inspection was not a risk assessment or physical inspection of systems, structure, or components of
the Property. The use of this Limited Report and its contents, in whole or in part by persons or entities other
than the Client is not authorized without the written mutual consent of the Client and envioCore LLC.
Asbestos
The Limited Inspection Report documents the findings of a Limited Asbestos Inspection at the Property. The
Limited Asbestos Inspection intended to locate ACBM in areas that might be the subject of Work Activity.
The Certified Inspector performed the Limited Asbestos Inspection in accordance with the current state and
federal laws at the time of inspection.
Purpose and Scope of Inspection
General
The scope of this report included a visual inspection of all affected rooms and/or areas throughout the
subject property for visible suspect ACBM and/or Lead Based Paint. This does not include any materials that
were covered or hidden by walls, structures, carpeting, wood flooring, multiple layers, wallpaper, texturing,
etc. However, the Certified Inspector made every reasonable effort to access and identify all suspect ACM
and/or Lead Based Paint. If the scope of work changes, the Client must inform the Certified Inspector to
allow the Certified Inspector to supplement the Limited Inspection Report. This Limited Inspection Report is
solely a record of activities, observations, analytical results, and recommendations performed to date.
Asbestos
Bulk asbestos samples were randomly collected from homogenous areas of suspect ACM by the Certified
Inspector. If the color, texture, construction, application date, or general appearance differs between
materials or if for any reason the Certified Inspector suspects that the materials might differ in any respect,
the Certified Inspector will take separate samples from each homogenous area. The Certified Inspector took
en Wp re PAGE 4 OF 21
EN''IRptiME^.'/+l N«ECT U'•-
representative bulk samples were similar materials, but this does not guarantee that materials of similar
appearance are of the some composition. Even similar materials are subject to uneven mixing and
distribution, and random sampling can miss ACM. EnvioCore used reasonable diligence and its professional
judgment consistent with industry standards in order to identify all suspect ACBM. Bulk samples were
analyzed by Certified Asbestos Laboratory.
Background
The inspector was called to the subject property by Natalie Parks, Owner. Mrs Parks was concerned about
asbestos containing building materials in the affected areas of the building. Per Mrs Parks, suspect asbestos
containing building materials to be disturbed in the scope of work include:
The affected materials sampled:
- Texture
- Vinyl Floor
- Mastic
The affected areas include:
- Kitchen
- Bathroom
- Master Bedroom
The Certified Inspector and the Client understand and agree that the Limited Asbestos Inspection shall
include only the above -referenced potentially affected areas. If the Work Activity later includes other areas
or materials that may contain ACBM, the Client understands that the Certified Inspector will only perform a
Limited Asbestos Inspection of these areas upon a subsequent engagement.
Sampling
Using methods that are generally accepted in the industry, the Certified Inspector determined that it was
necessary to collect 5 bulk samples from the various homogenous areas (see the Asbestos Sampling
below for exact areas). All samples were submitted to Certified Asbestos Laboratory. The laboratory results
are incorporated into this report.
Neither envioCore, LLC nor the Certified Inspector warrants the accuracy of any laboratory results. The
Client and any other parties hereby agree that envioCore, LLC and the Certified Inspector shall not be liable
in any manner for erroneous laboratory results or other errors with the laboratory testing process.
See Data Table (Table 1) Below for Tabulated Results along with Attached Photos (Figure 1, etc.)
envlCore PAGE 5 OF 21
VIR��J i'AEN'"AL f•ISPEC i'�OIvS
Asbestos Results Reporting
Table 1: Table of asbestos samples taken during inspection with lab results.
ND = Non Detected, (Asbestos Materials Could become Friable during Renovation / Demolition. If this occurs the
friability can change from Non -Friable to Friable and all state and federal regulation shall be followed)
Wall "A" in each room is the wall where the front entrance door opening is located (or aligned with the street). Going
clockwise and facing wall "A" (the street), wall "B" will always be to your right, wall "C" directly to the rear and wall "D"
to the left. Doors, windows and closets are designated as left, center or right depending on their location on the wall.
Asbestos Inspection Conclusion
Asbestos containing building materials WERE NOT found in the samples analyzed by the laboratory. The
affected building materials DO NOT need to be removed according to Regulation 8 of CDPHE Regulation if
any renovation or disturbing of the materials occur. Caution should still be taken and OSHA Regulation could
still be in effect for the renovation or disturbing of the tested materials. Personal protective equipment and
all state and federal regulations should be used during any removal of sampled building materials by all
parties.
en kgp.re PAGE 6 OF 21
ewvwory �rc�.-;��- vsnecr oNs
KITCHEN -
WALL C,
6715-SM1-01
BATHROOM -
SM. PLASTER
Good
To
WALL B,
FLAT TEXTURE -
ND
N/A
N/A
Friable
Condition
1000
N/A
6715 -SMI -03
MASTER
WHITE
BEDROOM -
WALL C
6715-FC1-01
BATHROOM
MISC.VINYL
Non-
Good
To
FLOOR
FLOOR &
ND
N/A
N/A
Friable
Condition
60
N/A
6715-FC1-02
MASTIC
Table 1: Table of asbestos samples taken during inspection with lab results.
ND = Non Detected, (Asbestos Materials Could become Friable during Renovation / Demolition. If this occurs the
friability can change from Non -Friable to Friable and all state and federal regulation shall be followed)
Wall "A" in each room is the wall where the front entrance door opening is located (or aligned with the street). Going
clockwise and facing wall "A" (the street), wall "B" will always be to your right, wall "C" directly to the rear and wall "D"
to the left. Doors, windows and closets are designated as left, center or right depending on their location on the wall.
Asbestos Inspection Conclusion
Asbestos containing building materials WERE NOT found in the samples analyzed by the laboratory. The
affected building materials DO NOT need to be removed according to Regulation 8 of CDPHE Regulation if
any renovation or disturbing of the materials occur. Caution should still be taken and OSHA Regulation could
still be in effect for the renovation or disturbing of the tested materials. Personal protective equipment and
all state and federal regulations should be used during any removal of sampled building materials by all
parties.
en kgp.re PAGE 6 OF 21
ewvwory �rc�.-;��- vsnecr oNs
Closing
EnvioCore assumes no liability for any loss, injury, claim or damages arising directly or indirectly from any use
or reliance on this report or the opinions expressed herein. EnvioCore makes no risk assessment, warranty,
guarantee or insurance policies of any kind, express or implied. This report is limited only to the samples taken
and locations sampled. There are no risk assessments, warranties, guarantees, or insurance available or
provided by EnvioCore.
Additional sampling may be needed to further identify other pollutants, or other mold/fungus affected areas
inside the subject property.
This report was prepared pursuant to the contract EnvioCore has with the client. That contractual
relationship included an exchange of information about the subject property that was unique and between
EnvioCore and its client and serves as the basis upon which this report was prepared. Because of the
importance of the communication between EnvioCore 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
EnvioCore.
No warranty is made. EnvioCore's liability and that of contractors and subcontractors arising from any
service rendered here under shall not exceed the total fee paid by the client to EnvioCore.
Thank you for the opportunity to work with you on this project. Please call at (303) GoEnvio (463) 6846 with
any questions or concerns. Thank you.
Sincerely,
Nick Hopkinson
Certified Inspector
EnvioCore LLC, Environmental Consulting
Asbestos Building Inspector Cert. No. 23887
env (core PAGE 7 OF 21
ENVIRONMENTAL IN5?ECT-.ON5
Inspection Photos
Figure 1 - Overview of Exterior
1/12/05
Figure 2- Overview of Kitchen
env�Core PACE 8 OF 21
EN :'IfiOrJ �rErt'Al ^J��[[*-�rv5
Figure 3 -Sample location #1
Figure 4- Overview of Bathroom
enviqore PAGE 9 OF 21
ENVJRONMEN r�� C T'ON5
qNIW7-
0 Z
ha
Figure 5- Sample location #2
Figure 6- Overview of Master Bedroom Wal
eny)i f e PAGE 10 OF 21
ENJIRCINMEN TAL INS�'EC TONS
Figure 7- Sample location #3
Figure 8- Overview of Bathroom Floor
envCore PAGE 11 OF 21
ENVIRONMENTAL INSPECTIONS
Figure 9- Sample location #I
M'� vW e
���► He
Figure 10- Sample location #2
eny a PAGE 12 OF 21
EIS,; ��Er1MCn'AL N_�CCT OnS
Lab Results
�eurofins
CEI
December 7, 2018
EnvioCore
1685 S. Colorado Blvd. Ste. S151
Denver, CO 80222
CLIENT PROJECT:
CEI LAB CODE:
Dear Customer:
1118-42 Parks, Natalie
A1816418
Enclosed are asbestos analysis results for PLM Bulk samples received at our laboratory on
December 6, 2018. The samples were analyzed for asbestos using polarizing light microscopy
(PLM) per the EPA 600 Method.
Sample results containing >1% asbestos are considered asbestos -containing materials
(ACMs) per EPA regulatory requirements. The detection limit for the EPA 600 Method is <1 %
asbestos by weight as determined by visual estimation.
Thank you for your business and we look forward to continuing good relations.
Kind Regards,
Tianbao Bai, Ph.D., CIH
Laboratory Director
NYLA
TESTING f
NVLAP LAB CODE 101768-0
730 SE Maynard Road • Cary, NC 27511 • 919.481.1413
envi ,Core PAGE 13 OF 21
ENJ�Rp N1AE h"AL NSoEC T�GN�
tiff eurofins
ASBESTOS ANALYTICAL REPORT
By: Polarized Light Microscopy
Prepared for
EnvioCore
CLIENT PROJECT: 1118-42 Parks, Natalie
LAB CODE: A1816418
TEST METHOD: EPA 600 / R93 / 116 and EPA 600 / M4-82 / 020
REPORT DATE: 12/07/18
TOTAL SAMPLES ANALYZED: 5
# SAMPLES >1% ASBESTOS:
envi ,,Core PAGE 14 OF 21
E�4J �(�9�-1ME�:"/•l N�-ECC��.S
eurofins Asbestos Report Summary
By: POLARIZING LIGHT MICROSCOPY
PROJECT: 1118-42 Parks, Natalie LAB CODE: A1816418
METHOD: EPA 600 / R93 1116 and EPA 600 / M4-82 / 020
ASBESTOS
Client ID Layer Lab ID Color Sample Description %
6715-SM1-01
Layer 1
A203370
White
Plaster Skim Coat
None Detected
-------------------------
Layer 2
A203370
----
White
----------------
Plaster Base Coat
---- -
None Detected
6715 -SMI -02
A203371
White
Piaster Skim Coat
None Detected
6715 -SMI -03
A203372
White
Sheetrock
None Detected
6715-FC1-01
Layer 1
A203373
Yellow,
Sheet Vinyl
None Detected
Patterned
---------------------------------------------------------------
Layer 2
A203373
Brown
Mastic
None Detected
6715-FC1-02
Layer 1
A203374
Yellow,
Sheet Vinyl
None Detected
Patterned
---------------------------------------------------------------
Layer 2
A203374
Brown
Mastic
None Detected
Page 1 of 1
envb PAGE 15 OF 21
ENVIRONMENTAL IN5PECT!ON5
..= ASBESTOS BULK ANALYSIS
C U COfi h S ! By: POLARIZING LIGHT MICROSCOPY
CF1
Client:
EnvioCore
Cellulose
Lab Code:
A1816418
Heterogeneous
1685 S. Colorado Blvd.
Ste. S151
Date Received:
12-06-18
40%
Denver, CO 80222
Date Analyzed:
12-06-18
Bound
Bound
Date Reported:
12-07-18
Project:
1118-42 Parks, Natalie
60%
Calc Carb None Detected
A203371
ASBESTOS BULK PLM, EPA 600 METHOD
35%
Binder
nt ID
Fuab
Lab
Lab
NON -ASBESTOS COMPONENTS
ASBESTOS
ID
Description
Attributes
Fibrous Non -Fibrous
%
6715 -SMI -01 Plaster Skim Coat
Heterogeneous
60% Calc Carb
None Detected
Layer 1
40%
White
35% Binder
Yellow,Pattemed 10%
A203370
20%
Non-fibrous
5% Paint
Fibrous
Bound
Bound
Lab Notes: No texture present.
Heterogeneous 30%
Cellulose
40%
Layer 2 Plaster Base Coat
Heterogeneous
60%
Silicates None Detected
A203370
White
40%
Binder
Non-fibrous
Bound
Bound
------
6715 -SMI -02 Plaster Skim Coat
Heterogeneous
60%
Calc Carb None Detected
A203371
White
35%
Binder
Non-fibrous
5%
Paint
Bound
Lab Notes: No texture present.
6715SM1-03 Sheetrock Heterogeneous 15% Cellulose 60% Gypsum Norte Detected
A203372 White 20% Binder
Fibrous 5% Paint
Bound
Lab Notes: Neither texture nor plaster present.
6715-FC1-01 Sheet Vinyl
Heterogeneous 30%
Cellulose
40%
Vinyl None Detected
Layer 1
Yellow,Pattemed 10%
Fiberglass
20%
Binder
A203373
Fibrous
Bound
------
------------------
Layer 2 Mastic
---------------
Heterogeneous 2%
-------
Cellulose
----
98%
---------------
Mastic None Detected
A203373
Brown <1%
Fiberglass
Non-fibrous
Bound
6715-FC1-02 Sheet Vinyl
Heterogeneous 30%
Cellulose
40%
Vinyl None Detected
Layer 1
Yellow,Pattemed 10%
Fiberglass
20%
Binder
A203374
Fibrous
Bound
Page 1 of 3
envkCore PAGE 16 OF 21
EN 1RC)r 1CN-AL ;^!5P'CCT'Cn'5
tiff eurofins
'EI
ASBESTOS BULK ANALYSIS
By: POLARIZING LIGHT MICROSCOPY
Client: EnvioCore Lab Code: A1816418
1685 S. Colorado Blvd. Ste. S151 Date Received: 12-06-18
Denver, CO 80222 Date Analyzed: 12-06-18
Date Reported: 12-07-18
Project: 1118-42 Parks, Natalie
ASBESTOS BULK PIM FPA Raft METHOD
Client ID Lab Lab NON -ASBESTOS COMPONENTS ASBESTOS
Lab ID Description Attributes Fibrous Non -Fibrous %
-----------------------------------------------------------------
Layer 2 Mastic Heterogeneous 2% Cellulose 98% Mastic None Detected
A203374 Brown <1% Fiberglass
Non-fibrous
Bound
Page 2 of 3
env Core PAGE 17 OF 21
ENVIRONMENTAL INSRECTION5
tiff eurofins
CH
LEGEND: Non-Anth = Non-Asbestiform Anthophyllite
Non-Trem = Non-Asbestiform Tremolite
Calc Carb = Calcium Carbonate
METHOD: EPA 600 / R93 / 116 and EPA 600 / M4-82 / 020
REPORTING LIMIT: <1% by visual estimation
REPORTING LIMIT FOR POINT COUNTS: 0.25% by 400 Points or 0.1% by 1,000 Points
REGULATORY LIMIT: >1% by weight
Due to the limitations of the EPA 600 method, nonfriable organically bound materials (NOBS) such as
vinyl floor tiles can be difficult to analyze via polarized light microscopy (PLM). EPA recommends that
all NOBs analyzed by PLM, and found not to contain asbestos, be further analyzed by Transmission
Electron Microscopy (TEM). Please note that PLM analysis of dust and soil samples for asbestos is
not covered under NVLAP accreditation. Estimated measurement of uncertainty is available on
request.
This report relates only to the samples tested or analyzed and may not be reproduced, except in full,
without written approval by Eurofins CEI. Eurofins CEI makes no warranty representation regarding
the accuracy of client submitted information in preparing and presenting analytical results.
Interpretation of the analytical results is the sole responsibility of the client. Samples were received in
acceptable condition unless otherwise noted. This report may not be used by the client to claim
product endorsement by NVLAP or any other agency of the U.S. Government.
Information provided by customer includes customer sample ID, location, volume and area as well as
date and time of sampling.
i
ANALYST: APPROVED BY:
Kyle Demsko Tianbao Bai, Ph.D., CIH
Laboratory Director
NVLA
TESTING
NVLAP LAB CODE 101768-0
Page 3 of 3
envi ,Core PAGE 18 OF 21
CN�INO-E-AL. NE�CCT❑NS
�vtlLa�l�''v
N+ 20"5M -- R -2-b3"
CEI Labs
Cr ��r� 730 SE Maynard Read. Gry. NC 27511
„`_ Samples Chain Of Custody (COC) Phpn.: aca•4e+-+az
Fu: 9teJe+•lu2
Company: ErvgC LLC
Pmjept NameMumWr. 1'1642 P'r "NMala
Stleot: 16855 Cobmdo Eh -0
Pmt de RewRs VM: Er
Cit Oenrer
SYS. i111efmOlfiN'
state: CO
Garrfar Neme;
Fedex Highlands Rarch
2i :80222
Physical Address:
Sap MquWa RmcBea. H.pN�nd1
Ramp. coo W+»
Ra n To: Nick u+son
Location Phone:
303.346-3233
7010 hdno M: 720-473.9014
Shippina Priority:
dex PriMi Ova - ht -10:00 A
Eman Addnsa: NtAHShippina
Conurmation N:
784216525393
Date7Timo ETA:
0.'.M— ro On:
Total fo/Sam Ms
5
Re0 ulaMtl Client : Nrrh Haawmson
Reli uish Daternme:
12'5le 1 CPN
R—i—d Ilab .
R—e Oa rr—
I
Sample Number SampM O—ptlen
SampM Analysis Type -TAT- DaMlTima Of SampM Tabn
VOlumelArw
6715 1.01 KFTCHEN - WALL C SM RASTER FLAT
TEXTURE, WHnE
PLW24 HR TAT
1215118. 1000 AM
2 BATHROOM - WALL a SM PLASTER FLAT
TEXTURE - WHITE
PLM -24 HR TAT
125118, W 00 AM
3 MASTER SEOROOM � WALL SM PLASTER
FLATTEXTJRE - WIRE
PLM 24 HR TAT
12r1/1a. 1000 AM
671;YFC'.01 BATHROOM - FLOOR MISC 1RNYL FLOOR A
MASTIC
PLM 24 HR TAT
1215'18,'000 AM
2 BATHROOM - FLOOR MISC VINYL FLOOR 6
MASTIC
PLM -24 HR TAT
12+S Ia, 1000 AM
EUROFINS CEI. INC,
SAMPLES ACCEPTED
�-)
envCore PAGE 19 OF 21
ENVIROIJMEN–Al NSPEC TIONS
Inspection Certifications
T --
Colorado Delwunent
of Pub ' Health
and Environment
ASBESTOS CONSULTING FIRM
This certifies that
enAoCore
Registration No.: ACF - 21ti60 _
has met the registration requirements of 25-7-507, C.R.S. and the Air Quality -Control
Commission Regulation No. k Part B, and is hereby authorized to perform asbtiestos consulting,
activities as required under Regulation No 8, Part B, in the state of Colorado. • -
Issued: January 13, 2018
Expires: January 13, 2019 _
envWCore PAGE 20 OF 21
era .-iFo�+men-nv=_ac�r ops
envilwCore PAGE 21 OF 21
EN J IFONMEN "Al INSPEC TIONS
Property Information
Natalie Parks
6715 w 35th Ave
Wheat Ridge, CO 80033
Property Type Residential
Date of Construction 1958
PH 916-802-3148
Prepared By
EnvioCore LLC
Asbestos Consulting Firm No. 21660
1685 S. Colorado Blvd
Denver, CO 80124
303-GoEnvio (463) 6846
www.goEnvioCore.com
info@aoenviocore.com
Conducted By
Nick Hopkinson
Asbestos Building Inspector Cert. No. 23887
Inspection Information
Inspection Date 11/27/2018
Arrival Time 11:00 AM
Report Date 11/29/2018
Inspection # 1118-42 Parks, Natalie
Protocols Followed
Asbestos
Lab Information
Limited Residential
Asbestos Renovation
Inspection Report
6 715 W 35th Ave
AHERA envi .C:ore
ENVIRONMENTAL INSPECTIONS
CEI Labs
730 SE Maynard Road Carly, NC
919-481-1413
Asbestos NVLAP Cert # 107168-0
# 24PI70WO33
enviCore PAGE 1 OF 24
ENVI(:OIJIAE,TgL NS9EC T�.ONS
Table of Contents
Definitions.................................................................................................................................................... 3
KeyTerms.................................................................................................................................................... 3
LimitedInspection Summary .....................................................................................................................4
General.......................................................................................................................................................................
4
Asbestos......................................................................................................................................................................
4
Purpose and Scope of Inspection
............................................................................................................. 4
General.......................................................................................................................................................................
4
Asbestos......................................................................................................................................................................
4
Background................................................................................................................................................5
Sampling.....................................................................................................................................................5
AsbestosResults Reporting.......................................................................................................................6
AsbestosInspection Conclusion............................................................................................................... 6
Closing......................................................................................................................................................... 7
InspectionPhotos....................................................................................................................................... 8
LabResults.................................................................................................................................................17
InspectionCertifications..........................................................................................................................23
xv, ,* '141%, ! , 4). J� %.*
envi ,Core PAGE 2 OF 24
EN-:IF1�NMEh'I.E NS�EC TO�.�
Definitions
1. The term "Certified Inspector" shall mean individual who is identified on the first page of this Limited Inspection
Report as conducting the Inspection.
2. The term "Client" shall mean the entity that has ordered the Limited Inspection on the Property on behalf of the
Client.
3. The term "Limited Inspection Report" shall mean this report, which summarizes the Inspection, as applicable to
the Property.
4. The term "Owner" shall mean the owner of the Property.
5. The term "Property" shall mean the building (s) or structure (s) at the address listed under Property Information on
the first page of this Limited Inspection Report.
6. The terms "Work Activity" shall mean any construction, renovation, remediation, decontamination, cleanup, or
other work.
Key Terms
Asbestos
1. Asbestos is a naturally occuring mineral. Asbestiform varieties include chrysotile, amosite, crocidolite,
anthophyllite, tremolite and actinolite.
2. Asbestos abatement is the wrecking or removal of builiding materails that contain friable and non -friable
asbestos fibers.
3. Asbestos abatement contractor is any person hired to conduct asbestos abatement.
4. Friable material can be crumbled, pulverized, or rendered to powder by hand pressure when dry.
5. A homoaenous area is an area of surfacing material, thermal system insulation material, or miscellaneous
material this is uniform in color, texture, construction, application date, and general appearance.
6. Miscellaneous material is interior building material on structural components, structural members, or fixtures, such
as floor and ceiling tiles, and does not include surfacing material or thermal system insulation.
7. Non -friable material cannot be crumbled, pulverized, or reduced to powder by hand pressure when dry.
8. Point counting is a secondary analytical technique to verify the presences of asbestos in samples with 10% or
lower asbestos.
9. Surfacina material is sprayed, troweled, or otherwise applied on surfaces, such as acoustical plaster on celilings
and fireproofing materials on structural members, or other materials on surfaces for acoustical, fireproofing, or
other purposes.
10. Thermal system insulation (TSI) is material tha tis applied to pipes, fittings, boilers, breeching, tanks, ducts, or
other interior structural components to prevent heat loss, heat gain, or water condesation, or for other purposes.
11. The terms "Asbestos Containing Material" or "ACM" shall mean surfacing, thermal system insulation, or
miscellaneous materials that contain 1% or more of asbestos.
12. The terms "Asbestos Containina Building Material" or "ACBM" shall mean Asbestos Containnig Materials that has
been used for construction or improvement of a building or other structure.
envi core PAG[ 3 OF 24
ENVIPOI-ENTAL IN5?ECTIpNS
13. The term "Certified Asbestos Consulting Firm" shall mean any person licensed with the State of Colorado and the
EPA, hired for a fee to conduct any of the folowing activities, as required by Regulation No. 8, Part B, in the State
of Colorado: asbetos builidng inspection and bulk sampling; development of asbestos management plans; air
monitoring for asbestos fibers; development of asbestos project designs; and , project management, as
specified in Section II.J.
14. The term "Certified Asbestos Laboratory" shall mean a laboratory with accreditation from the National Voluntary
Laboratory Accreditaion Program (NVLAP) to analyze bulk samples for asbestos using polarized light microscopy
(PLM).
15. The terms "Damaged ACM' and "Significantly Damaged ACM" shall mean friable or non -friable ACM that has
deteriorated or delaminated to the point that it has lost its bond to the substratre or has otherwise suffered
crumbling, blistering, nonadhesiveness, gouging, water staining, or marring. The term "Damaged ACM' applies
when 1 /10 of the entire surface has suffer damage (1 /4 if the damage is localized). The terms "Significantly
Damaged ACM' shall apply when more than 1 /10 of the surface has suffered damage.
16. The term "Limited Asbestos Inspection" shall mean an abbreviated inspection by the Inspector of the
components of the Property that may be subject to Work Activity. The Inspection shall investigate the presence
of ACBM and shall comply with all state and federal laws, rules, and regulations.
Limited Inspection Summary
General
The Client agrees to read the Limited Inspection Report upon receipt and promptly call the Inspector with
questions or concerns. This Limited Inspection Report is not intended to be exhaustive in the manner of
inspecting the Property and all of its building materials and components. The Inspector only inspected
specific areas that may be subject to Work Activity and that are visually and physically accessible. The
Limited Inspection was not a risk assessment or physical inspection of systems, structure, or components of
the Property. The use of this Limited Report and its contents, in whole or in part by persons or entities other
than the Client is not authorized without the written mutual consent of the Client and envioCore LLC.
Asbestos
The Limited Inspection Report documents the findings of a Limited Asbestos Inspection at the Property. The
Limited Asbestos Inspection intended to locate ACBM in areas that might be the subject of Work Activity.
The Certified Inspector performed the Limited Asbestos Inspection in accordance with the current state and
federal laws at the time of inspection.
Purpose and Scope of Inspection
General
The scope of this report included a visual inspection of all affected rooms and/or areas throughout the
subject property for visible suspect ACBM and/or Lead Based Paint. This does not include any materials that
were covered or hidden by walls, structures, carpeting, wood flooring, multiple layers, wallpaper, texturing,
etc. However, the Certified Inspector made every reasonable effort to access and identify all suspect ACM
and/or Lead Based Paint. If the scope of work changes, the Client must inform the Certified Inspector to
allow the Certified Inspector to supplement the Limited Inspection Report. This Limited Inspection Report is
solely a record of activities, observations, analytical results, and recommendations performed to date.
Asbestos
Bulk asbestos samples were randomly collected from homogenous areas of suspect ACM by the Certified
Inspector. If the color, texture, construction, application date, or general appearance differs between
materials or if for any reason the Certified Inspector suspects that the materials might differ in any respect,
the Certified Inspector will take separate samples from each homogenous area. The Certified Inspector took
envi ,Core PAGE 4 OF 24
`1I 0,MEn'AL
representative bulk samples were similar materials, but this does not guarantee that materials of similar
appearance are of the same composition. Even similar materials are subject to uneven mixing and
distribution, and random sampling can miss ACM. EnvioCore used reasonable diligence and its professional
judgment consistent with industry standards in order to identify all suspect ACBM. Bulk samples were
analyzed by Certified Asbestos Laboratory.
Background
The inspector was called to the subject property by Natalie Parks, Owner. Mrs. Parks was concerned
about asbestos containing building materials in the affected areas of the building. Per Mrs. Parks, suspect
asbestos containing building materials to be disturbed in the scope of work include:
The affected materials sampled:
Popcorn
Insulation
- Ceiling Tile
The affected areas include:
- Living Room
- Hallway
- Attic
- Basement
The Certified Inspector and the Client understand and agree that the Limited Asbestos Inspection shall
include only the above -referenced potentially affected areas. If the Work Activity later includes other areas
or materials that may contain ACBM, the Client understands that the Certified Inspector will only perform a
Limited Asbestos Inspection of these areas upon a subsequent engagement.
Sampling
Using methods that are generally accepted in the industry, the Certified Inspector determined that it was
necessary to collect 7 bulk samples from the various homogenous areas (see the Asbestos Sampling
below for exact areas). All samples were submitted to Certified Asbestos Laboratory. The laboratory results
are incorporated into this report.
Neither envioCore, LLC nor the Certified Inspector warrants the accuracy of any laboratory results. The
Client and any other parties hereby agree that envioCore, LLC and the Certified Inspector shall not be liable
in any manner for erroneous laboratory results or other errors with the laboratory testing process.
See Data Table (Table 1) Below for Tabulated Results along with Attached Photos (Figure 1, etc.)
enviCore PAGE s OF 24
EN'JI(0141AEN An NSPECTIO145
Asbestos Results Reporting
Table 1: Table of asbestos samples taken during inspection with lab results.
ND = Non Detected, (Asbestos Materials Could become friable during Renovation / Demolition. It this occurs the
niabiiiiy cerin change from Non -Friable to Friable and all state and federal regulation shall be followed)
Wall "A" in each room is the wall where the front entrance door opening is located (or aligned with the street). Going
clockwise and facing wall "A" (the street), wall "B" will always be to your right, wall "C" directly to the rear and wall "D"
to the left. Doors, windows and closets are designated as left, center or right depending on their location on the wall.
Asbestos Inspection Conclusion
Asbestos containing building materials WERE NOT found in the samples analyzed by the laboratory. The
affected building materials DO NOT need to be removed according to Regulation 8 of CDPHE Regulation if
any renovation or disturbing of the materials occur. Caution should still be taken and OSHA Regulation could
still be in effect for the renovation or disturbing of the tested materials. Personal protective equipment and
all state and federal regulations should be used during any removal of sampled building materials by all
parties.
envCore PAGE 6 OF 24
E N.; �L NS�ECT 015
LIVING
6715 -SMI -01
ROOM -
SM. POPCORN
Good
To
CEILING,
WHITE
ND
N/A
N/A
Friable800
Condition
N/A
6715-SM1-03
HALLWAY -
CEILING
6715 -INS -01
ATTIC _
MISC.
Good
To
FLOOR
INSULATION -
ND
N/A
N/A
Friable
Condition
800
N/A
6715 -INS -02
BLACK
6715 -CTI -01
To
BASEMENT -
MISC. CEILINGT
ND
N/A
N/A
Friable
Good
400
N/A
CEILING
TILE - WHITE
Condition
6715 -CTI -02
Table 1: Table of asbestos samples taken during inspection with lab results.
ND = Non Detected, (Asbestos Materials Could become friable during Renovation / Demolition. It this occurs the
niabiiiiy cerin change from Non -Friable to Friable and all state and federal regulation shall be followed)
Wall "A" in each room is the wall where the front entrance door opening is located (or aligned with the street). Going
clockwise and facing wall "A" (the street), wall "B" will always be to your right, wall "C" directly to the rear and wall "D"
to the left. Doors, windows and closets are designated as left, center or right depending on their location on the wall.
Asbestos Inspection Conclusion
Asbestos containing building materials WERE NOT found in the samples analyzed by the laboratory. The
affected building materials DO NOT need to be removed according to Regulation 8 of CDPHE Regulation if
any renovation or disturbing of the materials occur. Caution should still be taken and OSHA Regulation could
still be in effect for the renovation or disturbing of the tested materials. Personal protective equipment and
all state and federal regulations should be used during any removal of sampled building materials by all
parties.
envCore PAGE 6 OF 24
E N.; �L NS�ECT 015
Closing
EnvioCore assumes no liability for any loss, injury, claim or damages arising directly or indirectly from any use
or reliance on this report or the opinions expressed herein. EnvioCore makes no risk assessment, warranty,
guarantee or insurance policies of any kind, express or implied. This report is limited only to the samples taken
and locations sampled. There are no risk assessments, warranties, guarantees, or insurance available or
provided by EnvioCore.
Additional sampling may be needed to further identify other pollutants, or other mold/fungus affected areas
inside the subject property.
This report was prepared pursuant to the contract EnvioCore has with the client. That contractual
relationship included an exchange of information about the subject property that was unique and between
EnvioCore and its client and serves as the basis upon which this report was prepared. Because of the
importance of the communication between EnvioCore 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
EnvioCore.
No warranty is made. EnvioCore's liability and that of contractors and subcontractors arising from any
service rendered here under shall not exceed the total fee paid by the client to EnvioCore.
Thank you for the opportunity to work with you on this project. Please call at (303) GoEnvio (463) 6846 with
any questions or concerns. Thank you.
Sincerely,
Nick Hopkinson
Certified Inspector
EnvioCore LLC, Environmental Consulting
Asbestos Building Inspector Cert. No. 23887
en kgore PAGE 7 OF 24
ENVIP.�tlMEN TAL NEPEC TIONS
Inspection Photos
Figure 1 - Overview of Exterior
Figure 2- Overview of Address
envWCore PAGE 8 OF 24
E—MCINME h'�.L •J�?ECi ❑n
Figure 3- Overview of Living Room Ceiling
Figure 4- Overview of Living Room Ceiling
enol J Core PAGE 4 OF 24
ENVISOIJMEIYTAL
Figure 5- Sample location # 1
Figure 6- Overview of Living Room Ceiling
enVbCor,eNSFECT ONS PAGE 10 Of 24
C-IFO NMEN
Figure 7- Sample location #2
Figure 8- Overview of Hallway Ceiling
env, ore PAGE 11 OF 24
ENVIF01j"EIv -nqNS�EC 'ONS
Figure 9- Sample location #3
Figure 10- Overview of Attic
en kqp. a PAGE 12 OF 24
E-11fl ON ME N'nL NS�'CCT ONS
Figure 1 1 - Overview of Attic Floor
Figure 12- Overview of Attic Floor
et'tVl Core PAGE 13 OF 24
ENV IFvON�+1EN T/.l INS?EC i.C�vS
Figure 13- Sample location #I
Figure 14- Sample location #2
envWCore PAGE 14 OF 24
ENI RO 1.AEtM1'!t NSPC�T'p N�
Figure 15- Overview of Basement Ceiling
Figure 16- Overview of Basement Ceiling
enAmccre PAGE 15 OF 24
CNVIFO-ENTAD NSPVCT�DNS
Figure 17- Sample location #I
Figure 18- Sample location #2
env Core PAGE 16 OF 24
CNVI(jONMEn'nl NC-ECTpr:�
Lab Results
ti eurofins
CEI
November 29, 2018
EnvioCore
1685 S. Colorado Blvd. Ste. S151
Denver, CO 80222
CLIENT PROJECT:
CEI LAB CODE:
Dear Customer:
1118-42 Parks, Natalie
A1815872
Enclosed are asbestos analysis results for PLM Bulk samples received at our laboratory on
November 28, 2018. The samples were analyzed for asbestos using polarizing light
microscopy (PLM) per the EPA 600 Method.
Sample results containing >1% asbestos are considered asbestos -containing materials
(ACMs) per EPA regulatory requirements. The detection limit for the EPA 600 Method is <1%
asbestos by weight as determined by visual estimation.
Thank you for your business and we look forward to continuing good relations.
Kind Regards,
Tianbao Bai, Ph.D., CIH
Laboratory Director
NVi% °
TESTING
NVLAP LAB CODE 101768-0
730 SE Maynard Road • Cary, NC 27511 • 919.481.1413
e n A a PAGE 17 OF 24
Ell-ONMEN
%*. eurofins
-Fn
ASBESTOS ANALYTICAL REPORT
By: Polarized Light Microscopy
Prepared for
EnvioCore
CLIENT PROJECT: 1118-42 Parks, Natalie
LAB CODE: A1815872
TEST METHOD: EPA 600 / R93 / 116 and EPA 600 / M4-82 / 020
REPORT DATE: 11/29/18
TOTAL SAMPLES ANALYZED: 7
# SAMPLES >1% ASBESTOS:
envCore PAGE 18 OF 24
Ell -o 1VMGN"N 1. Nc�'[CT ONS
tiff eurofins
CF!
PROJECT: 1118-42 Parks, Natalie
Asbestos Report Summary
By: POLARIZING LIGHT MICROSCOPY
LAB CODE: A1815872
METHOD: EPA 600 / R93 / 116 and EPA 600 / M4-82 1020
Client ID
Layer Lab ID
Color
Sample Description
ASBESTOS
%
6715-SM1-01
6715-SM1-02
6715 -SMI -03
A193584
A193585
A193586
White
White
White
Popcorn Ceiling
Popcom Ceiling
Popcorn Ceiling
None Detected
None Detected
None Detected
6715 -INS -01
A193587
Brown,Gray
Insulation
None Detected
6715 -INS -02
A193588
Brown.Gray
Insulation
None Detected
6715 -CTI -01
A193589
White,Tan
Ceiling Tile
None Detected
6715-CT1-02
A193690
White,Tan
Ceiling Tile
None Detected
Page 1 of 1
envCore PAGE 19 OF 24
ENVIRONMENTAL INSPECTIONS
.-, ASBESTOS BULK ANALYSIS
e u rof i n s By: POLARIZING LIGHT MICROSCOPY
CH
Client: EnvioCore
Lab Code:
Al 815872
1685 S. Colorado Blvd.
Ste. S151
Date Received:
11-28-18
Denver, CO 80222
Date Analyzed:
11-29-18
Date Reported:
11-29-18
Project: 1118-42 Parks, Natalie
ASBESTOS BULK PLM, EPA 600 METHOD
Client ID Lab
Lab
NON -ASBESTOS COMPONENTS
ASBESTOS
Lab ID Description
Attributes
Fibrous
Non -Fibrous
%
6715 -SMI -01 Popcorn Ceiling
Heterogeneous
15%
Paint
None Detected
A193584
White
15%
Calc Carb
Non-fibrous
70%
Binder
Loosely Bound
6715 -SMI -02 Popcorn Ceiling
Heterogeneous
15%
Paint
None Detected
A193585
White
15%
Calc Carb
Non-fibrous
70%
Binder
Loosely Bound
6715-SM1-03 Popcorn Ceiling
Heterogeneous
15%
Paint
None Detected
A193586
White
15%
Calc Carb
Non-fibrous
70%
Binder
Loosely Bound
6715 -INS -01 Insulation
Heterogeneous
100% Fiberglass
None Detected
A193587
Brown,Gray
<1% Cellulose
Fibrous
Loosely Bound
6715 -INS -02 Insulation
Heterogeneous
100% Fiberglass
None Detected
A193588
Brown,Gray
<1% Cellulose
Fibrous
Loosely Bound
6715 -CTI -01 Ceiling Tile
Heterogeneous
95% Cellulose
5%
Paint
None Detected
A193589
White,Tan
Fibrous
Loosely Bound
6715 -CTI -02 Ceiling Tile
Heterogeneous
95% Cellulose
5%
Paint
None Detected
A193590
White,Tan
Fibrous
Loosely Bound
Page 1 of 2
envCore PAGE 20 OF 24
EN:1RD1 AEN'AL-NE'CC' GNS
tiff eurofins
CEI
LEGEND: Non-Anth = Non-Asbestiform Anthophyllite
Non-Trem = Non-Asbestiform Tremolite
Calc Carb = Calcium Carbonate
METHOD: EPA 600 / R93 / 116 and EPA 600 / M4-82 1020
REPORTING LIMIT: <1% by visual estimation
REPORTING LIMIT FOR POINT COUNTS: 0.25% by 400 Points or 0.1 % by 1,000 Points
REGULATORY LIMIT: >1% by weight
Due to the limitations of the EPA 600 method, nonfriable organically bound materials (NOBs) such as
vinyl floor tiles can be difficult to analyze via polarized light microscopy (PLM). EPA recommends that
all NOBs analyzed by PLM, and found not to contain asbestos, be further analyzed by Transmission
Electron Microscopy (TEM). Please note that PLM analysis of dust and soil samples for asbestos is
not covered under NVLAP accreditation. Estimated measurement of uncertainty is available on
request.
This report relates only to the samples tested or analyzed and may not be reproduced, except in full,
without written approval by Eurofins CEI. Eurofins CEI makes no warranty representation regarding
the accuracy of client submitted information in preparing and presenting analytical results.
Interpretation of the analytical results is the sole responsibility of the client. Samples were received in
acceptable condition unless otherwise noted. This report may not be used by the client to claim
product endorsement by NVLAP or any other agency of the U.S. Government.
Information provided by customer includes customer sample ID, location, volume and area as well as
date and time of sampling.
ANALYST:
Mikaela Batta
NVLA
TESTING P
NVLAP LAB CODE 101766-0
envki core PAGE 21 OF 24
ENVIFOWAEN"AL N9PECTIC!J5
APPROVED BY: /-/I-- -
Tianbao Bai, Ph.D., CIH
Laboratory Director
Page 2 of 2
GEI Lab.
CEL
770 SE Maynaro R. Cary. NC 21St:
— Samples Chain Of Custody (COC) R11ene: ..Jal-1412
Faa: 919-N1 :442
Cempa!ry: E,—Core LLC
Protect NampMumber. 1116-42 Pans Na:a r
8Ve41: 166' S Ce— Is.d
Provide Naaoha Via: Emal
Cit Denvo r
51,r'nHl�en
61a1o: CO
Cartier Na—
Fee- HIMItlandil Ranch
Zip80222
Ph iGl Addresb:
See Waa Rantli B—. HI,-
RaiCI CD 90129
Ra n Te: NIC* H mson
Location Phono:
303.34&3233
Toto honor M: 7204719044
Bhi In PHon
Oea Prmrl Ore fit -10 00 At
Email"dr99k: N�cLH
hi in ContUmalbna:
512795873561
DatOTime ETA:
WIwR Oro on:
Tetal a el Sa ba
Relln u191wd CkaM : Nek H
Rec d (Lab ,
Rhin m,ib 0*1*171 e:
Recei-II D.I fn a:
Sample Number $ample Deacnpbon
Sample AMIvMa TyP -TAT-
Velum9lAroa
DaleR�me W 8amplo Taken
671 SSMI-01 WING ROOM CARE SM POPCORN -
FLM 24 NR TAT
.27,18.1100-
1-127,18.1100-
2 LIVING ROOM - CEILING SM POPCORN -
2
WHITE
FLM -24 HR TAT
1'27.16 11 00am
3 HALLWAY - CEILING SM POPCORN - WHITE
PLM 24 HA TAT
11271NI It 00=
6715 -INS -01 ATIC - FLOOR MISC.INSULATION -BLACN
PLM34 HR TAT
11271:a, 11 OOem
2 ATIC - FLOOR M15C INSULATION - aLACN
PLM -24 HR TAT
1127,18 11 ODam
671 SCT: -0: BASEMENT- CEILING MISC CEILING TILE
WHT7E
KM 24 HR TAT
11.27;16 1too—
2 BASEMENT CEILING M:SC CEILING TILE
WHITE
Ph! 24 HR TAT
1127, 1511 OOam
I
I
I
1
!
I
1
3
2
)
5
i
9
9
envEN
VIFIONMEN41* ore PAGE 22 OF 24
EN �AL !J_�ECT ONS,
A AI VS -90
EURCIFINS CEI. INC
S A M P L A O
Inspection Certifications
ASBESTOS CONSULTING FIRM
This certifies that
envioCore
Registration No.: ACF - 21660
has met the registration requirements of 25-7-507, C.R.S. and the lir Quality Control
Commission Regulation No. 8, Part B, and is hereby authorized to perform asbestos consulting
activities as required under Regulation No 8, Part B, in the stateofColorado.
Issued: January 13, 2018-
Expires: January 13, 2019 _T/ r` U
envCore PAGE 23 OF 24
ENVlFOIJMENTAL NS�+EC TONS
4x ,
tl�
Colorado Department
of Public Health
and Environment
ASBESTOS
CERTIFICATION*
This certifies that
Nicholas Hopkinson
Certification No.: 23887
has met the requirements of 25-7-507, C.R.S. and Air AWN
Commission Regulation No. 8, Part 13, and is hereby certified by the
state of Colorado in the following discipline:
Building Inspector*
k Issued:
r
Expires
August 16. 2018
August 30, 2019
'This ce"if rwe 1s valid onh wl/h the possrsshrn of a
rarrrat INvi.lon-approveil fra/nlnx rorne repil/lrallon
. � { M the dt,, 1phnr y.rrifird ahove
i✓ ,
envi , Core PAGE 24 OF 24
ENVIRON ME N'AL INSPEC T'p N5
Att!reQAPCV H;L1W
City of
�Wheat Midge
MUNiTY DEVELOPMENT
City of Wheat Ridge Municipal Building 7500 W. 29`b Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929
Review is limited to the contents of the plans submitted and any errors or omissions contained herein shall not be
construed as permission to allow any conditions to exist in violation of the codes of the City of Wheat Ridge
Rough Framing and Wood Requirements
3 The complete rough inspection is to be made after the rough framing, rough electric, rough plumbing, and
rough heat and ventilation are complete.
4 Fire blocking shall be installed to cut off all concealed draft openings in the following locations: (IRC
302.11)
A. In concealed spaces of stud walls and partitions, including furred spaces, vertically at the ceiling and floor
levels, and at 10 -feet horizontal intervals. B, At interconnections between concealed vertical and horizontal
spaces such as occur at soffits, drop ceilings, and cove ceilings. C. In openings around vents, pipes, ducts, cable,
wires, chimneys, fireplaces, and similar openings that afford a passage for fire at ceiling and floor levels. D. In
concealed spaces between stair stringers at the top and bottom of the run, and between studs in line with the
run of the stairs at unfinished walls.
5 Appliances and equipment shall be installed in accordance with the conditions of their listing.
Manufacturer's installation instructions must be available at the time of the inspection. (IRC G2408.1,
M1307.1, M1401.1,(M1902.2)
6 Appliances shall be accessible for inspection, service, repair and replacement without removing
permanent construction. 30 -inches of working depth and width shall be provided in front of the control side
of an appliance. (IRC M1305.1)
7 Combustion air is required for all liquid fuel, solid fuel and gas appliances. (IRC M1701.1, G2407)
8 Gas burning appliances may not be located in or obtain combustion air from: a sleeping room, bathroom,
toilet room, or storage closet unless it is a direct vent appliance or installed in an enclosure that opens only
into a bedroom or bathroom in and such enclosure is provided with a solid weather-stripped door, a self-
closing device and all combustion air is taken from the outdoors. (IRC G2406.2)
Electrical Requirements
9 All hot, neutral, and grounding conductors in electrical boxes shall be tied together with a mechanical
connection at the time of rough inspection.
'04Y of
Wheat Rlc ge
eulldin9 olvialon
Recessed lighting fixtures must either be IC -rated or installed in a sealed box in which the insulation is at least
3 -inches from the light fixture. All recessed lights must be tightly sealed or gasketed to prevent air leakage
through the fixture into the ceiling cavity. (IRC N 1102.4.5)
10 Tamper -resistant Receptacle outlets are required in every kitchen, family room, dining room, living room,
parlor, library, den, sunroom, bedroom, recreation room or similar dwelling areas spaced so that no point
along the wall line exceeds 6 -feet from an outlet. (IRC E3901, E3902, and 4002.1-4002.14)A. Counters 12 -
inches in width or wider shall have receptacles placed no more than 20 -inches above the counter top and
spaced so no point exceeds 24 -inches from an outlet. B. Island and peninsula counters with a length at least
24 -inches and a width of 12 -inches or greater must be equipped with at least one outlet. C. At least one
receptacle shall be installed in a bathroom within 36 -inches of each basin. D. A least one receptacle outlet
must be installed in each laundry, basement, attached garage and detached garage with power. E. At least
one receptacle outlet that is accessible while standing at grade level and located not more than6-feet, 6 -
inches (1981 -mm) above grade, shall be installed outdoors at the front and back of each dwelling unit having
direct access to grade. Balconies, decks, and porches that are accessible from inside of the dwelling unit and
that have a usable area of 20 square feet. F. Attics or crawlspaces containing equipment must be provided
with at least one receptacle outlet within25-feet of the equipment. G. Hallways 10 -feet or more in length.
11 Two 20 -amp rated branch circuits shall serve receptacles in the kitchen, pantry, breakfast area, and dining
area. At least one 20 -amp branch circuit shall supply bathroom receptacles and at least one 20 -amp branch
circuit shall supply laundry. (IRC E3703.2, E3703.3, E3901)
12 Ground fault protection shall be provided on all 125 -volt, single phase, 15 and 20 -amp receptacles in the
following locations: bathrooms, garages, unfinished grade level accessory buildings, at exterior locations,
crawlspaces, unfinished basements, kitchen counters, within 6ft. of laundry, utility and wet bar sinks,
boathouses, hydro massage, spa and hot tub locations. Receptacles must be in a readily accessible location.
(IRCE3902, E3902.11)
13 Combination type Arc -Fault circuit interrupters must be installed on all 120 -volt 15 and 20 -amp branch
circuit outlets in Receptacle outlets are required in every family room, dining room, living room, parlor, library,
den, sunroom, bedroom, recreation room, hallway, closets, and similar dwelling areas. (IRC 3902.12)
14 Smoke alarms shall comply with UL 217. Smoke alarms are to be powered by the building's wiring operated
light. (IRC E3903)with battery backup and shall be interconnected so the actuation of one alarm will activate
all alarms in the dwelling unit. Smoke alarms shall be installed in the following locations: (IRC R314) A. In each
sleeping room; B. Outside each sleeping area in the immediate vicinity of the bedrooms; and C. One on each
additional story including basements.
Cjty of
15 Carbon Monoxide alarms are required in a single-family dwelling that has fuel -fired appliance(s), ora e
Qat .
fireplace, or an attached garage. The alarm must be installed within 15 -feet of the entrance to ea c�i sleeping
room. Must be listed by a nationally recognized, independent lab. Plugs into a dwelling's electrical @WlffRAd�on
has a battery backup. They may be combined with a smoke -detecting device if the combined device complies
with applicable law. (IRC R315)
16 Working space must be provided around energized equipment for servicing and maintenance. The
minimum dimensions shall not be less than 36 -inches in depth and 30 -inches in width in front of the
equipment. Working space shall extend to at least 6 -feet, 6 -inches above the floor. (IRC E3405.2)
Plumbing Requirements
17 DWV systems shall be tested on compellation of the rough piping installation by water or for piping
system other than plastic by air with no evidence of leakage. Either test shall be applied to the drainage system
in its entirety or in sections after rough piping has been installed .1) Water test 10 feet above the highest fitting
connection or to the highest point of the completed system. The system shall prove leak free for 15 minutes.
2) Air test shall maintain 51bs of pressure for 15 minutes.
18 Piping must be inspected and tested prior to concealing. It shall be protected against physical damage and
it must be approved for use and bear the identification of the manufacturer. (IRC P2503, P2603, P2608.1)
19 Backflow prevention must be provided to prevent contamination of potable water. This includes but is not
limited to: hose connections, irrigation systems, boilers, solar systems, fire sprinklers, and dishwashers.
Backflow device must be inspected and approved by a 3rd party agency. (IRCP2902.2, Table P2902.3, P2717)
Insulation
20 R-20 Walls R-49 Ceiling
R-19 Crawlspace Window
U -Factor .32 Floor R-30
21 Supply Ducts in attics shall be insulated to a minimum of R-8. All other ducts shall be insulated to
minimum R-6. ( NI 103.2. 1)
Wallboard Requirements
22 Nail spacing for gypsum board '/ gypum board Ceiling 16oc, 7", nails 12", Type S screws '/z wall spacing
24"OC, 8" nail spacing. 12"OCscrews. 5/8 ceiling board 16"OC, 7"nails 12"spacing, screws 24OC 8".
7500 W. 29n Ave
Wheat Ridge, Co 80033-8001
303-235-2878
City of
Wheat Ridge
Building pi'ision
IHLENFELDT`
ASSOCIATES
STRUCTURAL ENGINEERS
130 PEARL ST #704
DENVER CO 80203
970.948.9163
dihienfeldt@centurylink.net
RECEWED
#Zoe 9000 3 3
city of
NNI'e3t Ridge
Build -Ing Division
7 ►
& C? 1 \N,
\IN - 115,
co
r";7
'2414"474
-17)(
8�)
�/ :�
F700, 114 55 Iq 7— city of
Wheat Ridge
Building Division
138x'
s
3A$n
RECD- IVSD
i
Soffit along window wall
Dolling height 83" 1/4
Rogow
Width of Soffit 25" 5/8
W2433L W3033 W3018
N
?
W3033 right of the stove IS modified 25 1/8 for soffit
1
8
f31
tlPla11/28724L
a
—
21878
5181
�
'
A W 3615.24 D
W1833
JW
C
itche n run will and at Fight of Window �
3° „-18'
„
—
_ '�' _ uo onoh for shoo storage
'till at arge broom closet Is modified at 82.5 tall
_381"
311
t Ilt� with 718
finished with Scribe
s
18"—
92g` 13"
28
-3 3
City of
All dimensions _size designations �—
This is an original design and must
Designed: 11/20/2018
given are subject to verification on
not be released or copied unless
018
job site and adjustment to fit job
applicable fee has been paid or job
conditions.
20
order placed.
Building
Division
Turner Nick _Natalie 11.18
All Drawing #: 1 JNo Scale
a
I
[
/z
6�
) «\
[
\§
�[
0\
,
u§
—(
�
�
{
(
C44
a
I
[
) «\
[
u§
%)\\
bw
of
_
2 2
\ oc
\
�/
\ \
u
} \. j
/
'&°)
2
\\
�•\/3
\
\ j) M
/
;%
\ / �
\
\
_
2 2
u
} \. j
/
'&°)
2
�•\/3
\
\ j) M
/
;%
\ / �
\
\
bt9ol
vllem Ridge
mvos�lo
ow of
Note: This drawing is an artistic
Designe 1q irk 2018
interpretation of the general
YY���� �7` -O i 8
appearance of the design. It is
not meant to be an exact rendition.
plvtston
guildin9 j
Turner Nick -Natalie 11.18 All Drawing #: 1
Note: This drawing is an artistic
interpretation of the general
appearance of the design. It is
not meant to be an exact rendition.
CJty 01
Designed: 111_20/2018
priIjk*JTU W2O18
2U020"
,,"'Cl IDWIS on
Turner Nick-Natahe 1 t.18 1 All I Drawing #: 1
Turner residence
Owner Info
Nick Turner & Natalie Parks
6115 blest 35th Avenue
Vheat Ridge, GO 80033
503-320-4g4q
Email: turnerparks2015@gmail.com
Contractor Info
Cillessen Construction Company
12300 1,/Nest 4gth Place
Nheat Ridge, GO 50033
303-305-1001
Ave Wheat Ridge
Lanes w 38th Ave Electrical Contractor Info
Dairy Queen
v
5C Electric
a
W37thP'z 20651 E Eastman Ave
CD
Aurora, GO 50013
W 36th P1 ~' Cody V�orley
Lo
o
L - 120-271-7266
L
W 36th Ave 303-435-5014
10
Plumbing Contractor Info
0
W35thAve 6715 W 35th 5280 Plumbing Inc.
Ave Wheat
Ridge CO 80033 1205 Gilpin Nay Ste 1110
Denver, GO 5022q
Ln
120-63q-2bbq
City or
Wheat�ic�
COMMUNITjQb& T
APPROVED
Reviewed for Code Compliance
2-n d
Ma�K Ewnlner ` Date
�ae.�0stiam aMlwat�e�N+e�tNr r w�wwewlK �M YkbBss b
Mr ytbe o+or+sloia oJMe l�ilU�osde«yer�YoN�s. Mwb
w ro a �,ra�a,yed«wra«woera►r,roaw, �lrne,w,
W 33rd Ave
W 32nd Ave
LO
5280plumbing@gmail.com
Mechanical Contractor Info
Expert Services
1616 5 Jersey YNay
Denver, GO 50224
Jerry
303-q61-1 q 13
M
Q) M
O
U Q 0
Ln0
i•�nMU
rY Q)
L
Q) re
L Ln y
Z) i- A M
I— r\ Q)
jerry@expertservicescorp.com
o�
a�
zv
m
�v m
PROJECT.
6715
DATE:
,1/79
SCAyy��L,,E:
T
E
o
A°
UU
Mo
_MA�2
o�oo
7 O Lo 0
U
tL, O U
p mM C
oo[o�
L)Q-r' Iv
s
C —
d � U
U
�I
U
z
0
2 U
w � >
Z
N Ix
Vi f Q
W�a
J 2 .E
-00
U U U
jerry@expertservicescorp.com
o�
a�
zv
m
�v m
PROJECT.
6715
DATE:
,1/79
SCAyy��L,,E:
Main Level Demo Plan
-Demo drywall in kitchen to studs
-Demo flooring in Kitchen and Powder Bath
-Demo Cabinets
-Demo baseboard entire main level
5140 H -
--------
I
I I
I I
I I
I
I
I I
I' I
I I
I I
sl I
I I
I I
BEDROOM
11 '-4" X 14'-0"
I
I
I I
I I n
I I
I
I
I I -
I I
CL05ET CL05E'f
b' -T X 4'-8" 4'-2" X 4'-8"
I I
I 545,
BATH
- - 11'-4" X T-0"
DINING
I 524R 15c024R II 5218
rc
5540DH
= u
X
=o�
mfl
BEDROOM
G'-11" X 11'-3"
r CLOSET
9'-11" X 2-0"
LIVING
29'-3" X 20'-10"
Z
M
N M
0
U Q 00
70 � 0
cn M U
(1)U�
L 70
z
0
I-
Main Lev(
As Built
II Main Level Project Notes
-Install new Plumbing as required for Kitchen remodel
-Install new Electrical as required for Kitchen remodel
-Install new HVAG as required for vent hood
-Add Gan lighting per owner in Living, Dining, and Kitchen
-Enlarge Kitchen opening per Engineer Drawings
-Install new bathroom fans in Hall Bathroom and Powder Bathroom
-Install Tile f=looring in kitchen and powder bath
-Install baseboard entire main level
-Install cabinetry
GARAGE
18'-T X 20'-Y
5540DH
BEDROOM
11'-4" X 14'-0"
GLOSE"T
4'-2" X 4'-8"
0
See Detail
Kitchen Plan
5a0DN
5540DH
BEDROOM
9'-11" X 11'-3"
LIKING
29'-3" X 20'-10"
11
�mti) ei i— _S
a4-er
lA/
All new and existing smoke alarms
shall be interconnected so the
actuation of one alarm will activate all
of the alarms per 2012 IRC R314.5.
Minimum 50 CFM exhaust fan
vented to exterior shall be provided
in toilet rooms and bathrooms.
Main Level
M
M
O
U Q 00
Ln O
U
cn r
h
L Q) -0
Ln
T
E
E
0 o O
62 M 0
_ o0
LO 0
y-C:) c
U'an)
C+
z
0
H-
zU
wiz
N C Z
u,0a
U, 00.
J z
-00
U U U
m
0
wo
o�
0
a� o
;s o
zv
0
v -
0
PROJECT:
6715
DATE:
1/7/2019
SCALE:
e
t-y4gs
MA
r
\j4-ro OPS
Ifs,' ; k L
IL - t
I �d 14-r
Wole
rlIoC7_T* 'To
t="`
r
T 12 -NII 5T
(1%41)
GENERAL STRUCTURAL NOTES
1. Live Losds Used in Design
Roof ----------- 30psf(snow)
Floor ----------- 40psf
2 Conventional Lumber: Hem -Fir #2 or better.
3. Micro -Lam beams: As manufactured by Trus -Joist
Corp. or equal. Fb = 2,600 psi (min), Fv = 285 psi
(min), E = 1,800,000 psi (min.) Spike and glue
securely together.)
tit*
" 1- �`-
�o r ri �,,
C-1 V
o
W
Cc
W
W
z
+(-9
WZ
W
LU cc
Z U ►D-
U1 05 D
Cr
_ate
C
CO
0
N j
�- OD c
U'oCY)
JCJr�
rn is
wW�v a�
ozo
M W �
ty of
Wh tR
(9r Lilriinn M
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 an inspection the following business day
PERMIT:, � q &2 ADDRESS: � %l,�' 0 � r JOB CODE: IZ i2
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
10-- 4 . 1-7
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
10-- 4 . 1-7
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: ,�61,HCl'7S-Cr2 ADDRESS: �' "7 �5� ��" �S �``i4�,� JOB CODE:
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
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
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
�(303)
Building Inspection Division
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: &10 9 - r7.',II )
Job Address: (lo -71-s- U.✓ 3 S `' A L: e
Permit Number: ' / -7 O -7,T- 9 a
❑ No one available for inspection: Time _ AM/PM
Re -Inspection required: Yes MbD
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector: -T6
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: C_/ e q - �, 1
Job Address: (v -7S w �'� `' A ve
Permit Number: o i-7 0 -7 s g a
>,) A t ,- 1, a
A >> le /Sz_e
Ill-tGf1Pn
❑ No one available for inspection: Time 1 = 4 g JOPM
Re -Inspection required: � No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 1 J/1 J/g Inspector: —1-L
DO NOT REMOVE THIS NOTICE
s
0
C/_
i CITY OF WHEAT RIDGE
-1�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: X10 R- F--, i n f
Job Address: (o -7/57 W -3 A,
Permit Number: 0 ) -7 D -7 S' S a
,1al
a- 1%e nj c G F A P r YNC n"<7!S, _
�eC1�CSPY)h7
SU V eI r1 I f 0
❑ No one available for inspection: Time3 - 33 AI PNS
Re -Inspection required: es No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 1 L( / R Inspector: -I--b
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
y r
4
Residential Roofing PERMIT - 201707582
PERMIT NO: 201707582 ISSUED: 09/22/2017
JOB ADDRESS: 6715 W 35th AVE EXPIRES: 09/22/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles with ROOF DECKING - 30
sq Pitch = 4/12
*** CONTACTS ***
OWNER (303)437-1325 ELIO EVELYN
SUB (720)708-4126 Terry Marks 130138 Home Guard Services LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,053.75
FEES
Total Valuation 0.00
Use Tax 211.13
Permit Fee 220.15
** TOTAL ** 431.28
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped
off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the
Homeowner,
City of Wheat Ridge
Residential Roofing PERMIT - 201707582
PERMIT NO: 201707582 ISSUED: 09/22/2017
JOB ADDRESS: 6715 W 35th AVE EXPIRES: 09/22/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles with ROOF DECKING - 30
sq Pitch = 4/12
I by my signature do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications;
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am 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 O R or _491LTRA Z R Circle one) Date
l , This permit as issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po Flans
and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpennit 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 an 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, 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 Official V 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: Tuesday, September 19, 2017 10:44 AM C___
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
C�—
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
L
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
i_-
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 6715 W 35th Ave
Property Owner Name Rick Elio
Property Owner Phone 303-437-1325
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Field not completed.
Address
Do you have a signed
Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Elio Contract.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Homeguard Roofing and Restoration
Name
.,r L
Contractor's License
130138
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
720-708-4126
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
6850 W 52ND AVE SUITE 106
(Primary address of your
business)
Contractor Email Address
fernl@homeguardroof.com
Retype Contractor Email
fernl@homeguardroof.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
30
the entire scope of work:
Project Value (contract --7500
value or cost of ALL
,
materials and labor)
Are you re -decking the
Yes
roof?
Is the permit for a flat
Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
50
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
4/12
30
GAF Timberline HD
Asphalt
Replacing roof on main structure.
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
51
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Terry Marks
Email not displaying correctly? View it in your browser.
52
sic
HOMEGUARD
HOOFING & REST9RAilON
SURETY AND LIABILITY INSURER INFORMATION
Colony Insurance- Policy Number OTE21366
Contact: GIA Risk Management, (3031423-0162. ext. 136
6850 W. 52nd Avenue Suite 106 Arvada, CO 80002
Office: 720.708.4126 Fax 720.92 L8658
info@HomeGuardRoof.com HomeGuardRoof.com
CUSTOMER INFORMATION
�.�'qqql`'
t.i fts, 611'.1.
1 7 L 4
BBs
Name: LL. iclad Address:—_1662_7. W. 770' pige
City:_ Alryotdq Zip: 910005
Project Address: (if different from above)
Home#: Ceti# 363—LI37'1325 Email Ira Cri ,Iii Q A01 •co"
Insurance Company: /"1:wr Gm &% Claim No: Deductible: 1100b
Sales Representative: Name: Don" ��%� Phone: 7 Z 2-23-3327
1?hlnrly 7Zp- ZS'3- 3311
Project Manager: Name: �t;)C Phone:
NEW ROOFING SYSTEM: SCOPE OF RESTORATION SERVICES TO BE PROVIDED
STRUCTURES INCLUDED ®Main []Detached Garage ❑ Other
IgManufacturer: 17h6Type: -MC
KType:1"iihif%_�_�Ot HSP Color: s
09 Ridge Material: •_ Z. Cd U
®Underlayment:_ S)JbJhQt;k
Leak Barrier Eaves (e Valley Per Code X Penetrations
Drip Edge Eaves Rakes Color Ubk2h
Flashing Sidewall ❑ Chimney
Ventilation ❑ Turtle Ridge N Edge ❑ Other
Plumbing Boots C9
Paint Alt Roof Accessories
Remove trash from roof gutters & yard
® Rott lawn & drive with magnetic sweeper
Furnish permit ❑ Miscellaneous:
LOW SLOPE AREAS Material
Manufacturer
Type -
Color
SERVICE AGREEMENTS
GAF ROOFING SYSTEMS
50 -year 50 -year
manufacturer warranty manufacturer warranty
25 -year service policy 10 -year service policy
Non-ProrateuNon-Prorated
ferrable
TransTransferrable
Material - Matenal -
Manufacture Standard Manufacture Standard
Workmanship 5 yrs Workmanship 2 yrs
Out-of-pocket upgrade costs
ROOF SYSTEM
Customer Initials
ADDITIONAL AREAS OF CONSTRUCTION: SCOPE OF RESTORATION SERVICES TO BE PROVIDED
Alt additional areas of construction will be repaired or replaced with high grade materials of like kind and quality SERVICE AGREEMENT
® Gutters ❑ Paint/Stain ❑ Siding ❑ Windows ❑ Interior ❑ Skylight ❑ Other a •►
Notes: Material - Manufacture Standard
Workmanship
Repair 1 yr Full Replacement 2 yrs
'Scope of Restoration Services Provided shalt include any additional supplements and services approved by Customers insurarce company and accepted by Company
TERMS OF RESTORATION SERVICES TO BE PROVIDED
This Agreement does NOT obligate the Customer nor Company in any way unless the insurance claim is approved for repairs or replacement to the above mentioned/written scope of
restoration services to be provided by Customer's insurance company and excepted by Company.. Customers signature betow signifies acceptance of all terms and conditions of this
Agreement, Including all terms on the reverse side hereof. Customer's total out of pocket expenses are not to exceed insurance deductible plus upgrades for non -insurance items.
Customer Payment is due upon completion of each trade. Company and its authorized representatives are NOT acting as public insurance adjusters. Alt work is installed per the
manufacturer's installation instructions & the local building codes
Agreed Price: 11 LAW Ci'OC(VK shalt be the total amount due to Company under this Agreement, which Is subject to any addi ons and/or deductions pursuant to
authorized insurance supplements or as set Forth on the reverse side hereof. Total estimated cost of any non -insurance upgrades shalt be: $_fo
.
Approximate Dates of Service. Substantial commencement of work shall mean either the physical d liver of materials onto the premises or the performance2f any lab r and shall be
subject to any permissible delays as per provision (41 on the reverse side. Approximate Start Date: s Approximate Completion Date:
By signing this A���of
n provided notice of this right to cancel orally in addition to ng contained herein. This contract is subject to Company
management re this contract and authorize Company to proceed.
Approved and accepted (Customer) Date Approved andJcepte Company) Date
Approved and Accepted (Customer) Date I have received the "Things to Remember" document Initials
RIGHT OF CANCELLATION PURSUANT TO FEDERAL REGULATION AND COL. REV. STAT. $ 5-3-403: YOU, THE BUYER, MAY CANCEL
THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THISTRANSACTION. SEE
ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.
RIGHT OF CANCELLATION PURSUANT TO COL. REV. ST. � 6-22-104: YOU, THE BUYER, MAY CANCEL THIS AGREEMENT AT ANY TIME
WITHIN 72 HOURS AFTER YOU HAVE BEEN NOTIFIED THAT YOUR INSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND
SERVICES TO BE PROVIDED UNDER THIS AGREEMENT. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF
THIS RIGHT.
r'--nv chnll hold in t.uct f,-- r...-t.........—A
STANDARD
50 -year
10 -year
manufactum—amanty
manufxtnrar warranty
S -year service policy
2 -year
workmanship warranty
Non.Pr ted
Ift Prorated
Sr,* Transferrable
NW
Material - Matenal -
Manufacture Standard Manufacture Standard
Workmanship 5 yrs Workmanship 2 yrs
Out-of-pocket upgrade costs
ROOF SYSTEM
Customer Initials
ADDITIONAL AREAS OF CONSTRUCTION: SCOPE OF RESTORATION SERVICES TO BE PROVIDED
Alt additional areas of construction will be repaired or replaced with high grade materials of like kind and quality SERVICE AGREEMENT
® Gutters ❑ Paint/Stain ❑ Siding ❑ Windows ❑ Interior ❑ Skylight ❑ Other a •►
Notes: Material - Manufacture Standard
Workmanship
Repair 1 yr Full Replacement 2 yrs
'Scope of Restoration Services Provided shalt include any additional supplements and services approved by Customers insurarce company and accepted by Company
TERMS OF RESTORATION SERVICES TO BE PROVIDED
This Agreement does NOT obligate the Customer nor Company in any way unless the insurance claim is approved for repairs or replacement to the above mentioned/written scope of
restoration services to be provided by Customer's insurance company and excepted by Company.. Customers signature betow signifies acceptance of all terms and conditions of this
Agreement, Including all terms on the reverse side hereof. Customer's total out of pocket expenses are not to exceed insurance deductible plus upgrades for non -insurance items.
Customer Payment is due upon completion of each trade. Company and its authorized representatives are NOT acting as public insurance adjusters. Alt work is installed per the
manufacturer's installation instructions & the local building codes
Agreed Price: 11 LAW Ci'OC(VK shalt be the total amount due to Company under this Agreement, which Is subject to any addi ons and/or deductions pursuant to
authorized insurance supplements or as set Forth on the reverse side hereof. Total estimated cost of any non -insurance upgrades shalt be: $_fo
.
Approximate Dates of Service. Substantial commencement of work shall mean either the physical d liver of materials onto the premises or the performance2f any lab r and shall be
subject to any permissible delays as per provision (41 on the reverse side. Approximate Start Date: s Approximate Completion Date:
By signing this A���of
n provided notice of this right to cancel orally in addition to ng contained herein. This contract is subject to Company
management re this contract and authorize Company to proceed.
Approved and accepted (Customer) Date Approved andJcepte Company) Date
Approved and Accepted (Customer) Date I have received the "Things to Remember" document Initials
RIGHT OF CANCELLATION PURSUANT TO FEDERAL REGULATION AND COL. REV. STAT. $ 5-3-403: YOU, THE BUYER, MAY CANCEL
THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THISTRANSACTION. SEE
ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.
RIGHT OF CANCELLATION PURSUANT TO COL. REV. ST. � 6-22-104: YOU, THE BUYER, MAY CANCEL THIS AGREEMENT AT ANY TIME
WITHIN 72 HOURS AFTER YOU HAVE BEEN NOTIFIED THAT YOUR INSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND
SERVICES TO BE PROVIDED UNDER THIS AGREEMENT. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF
THIS RIGHT.
r'--nv chnll hold in t.uct f,-- r...-t.........—A
A 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: 10
Job Address: 01 15 1A ��
Permit Number: 201"101 1-5 �2,7_
❑ No one available for inspection: Time 2 00 A PM
Re -Inspection required: Yes (No)
When corrections have been made, call f''o e -inspection at 303-234-5933
DateADLP 17 Inspector: -fn C, U11,
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 30�; 11)
Job Address: 6; 7 / �5_ W '? q -f �Ve
Permit Number: x/70'7 �-
❑ No one available for ins ion: Time AM/PM
Re -Inspection required:Ze/,
s No
When corrections have been call for re -inspection at 303-234-5933
Date:j 7 Inspector: � 11
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD
OccuaancyRyae
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.
a
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATIONINSPECTIONS
DATE INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
-
Stemwall / (CEG) Concrete
Encased Ground
Building Final
Reinforcing or Monolithic
Fire Department
Weatherproof/ French Drain
Sewer Service Lines
Water Service Lines
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
-
- Do NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath /Wall tie
-
Mid -Roof
Electrical Service
Rough Electric
Rough Plumbing
-
Gas Piping
Rough Mechanical
.�uvrc moron. nvnJ IV OC JIbrvCV YKIVK IV YKVGttUING -
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
-
Fire Department
R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
"NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION. DOES NOT CONSTITUTEAUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
UCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PDn -T TLIIC !`ADn CC nnfi TLIC IA /CA-rLICCl
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
r (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTI NOTICE
Inspection Type: ^�lG �� �° V\
Job Address:
Permit Number:( l(.
1
❑ No one available for inspection: Time A
Re- Inspection required No
When corrections have been made, call for e inspection at 303 - 234 - 5933
Date: Inspector: tit
DO NOT REMOVE THIS N TICE
♦ 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: Q,'-
Job Address:
~j~, 3~ A u¢
Permit Number:
❑ No one available for inspection: Time AM/ M,
Re-Inspection required: Yes to)
"When corrections have been made, call for re~spe ti on at 3Q3-234-5933
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
INSPECTION NOTICE
n
Inspection Type:
Job Address: (~;'d) s ki.) ri a ^
Permit Number: 09 ab i4
No one available for inspection: Time A ,M
Re-Inspection required: Yes No
When corrections have been made, call for re-inspection at 303-234-5933
Date: Inspector: 1 V"
d 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
INSPECT NOTICE
J
Inspection Type:
Job Address: f l J
Permit Number: C~~i3~c> K
❑ No one available for inspection: Time ` AIVI'/p
Re-Inspection required: Ye No
' When corrections have been made, call for rej`inspection at 303-234-5933
Date: € i ~,a, Inspector:
DO NOT REMOVE THIS NOTICE
" ' City of Wheat Ridge
roooor Residential Roofing PERMIT - 093624
PERMIT NO: .'..093624.- :.ISSUED 10/23/2009
JOB ADDRESS:..' 6715 W'35TH AVE EXPIRES: ..04/21/2010
DESCRIPTION:. Reroof: 29 sqs
***.CONTACTS
owner 303/422-9598 Evelyn Elio
sub 303/816-1888 Derek Lindsay 02-2377 Infinity Restoration
**"PARCEL 'INFO
ZONE CODE: UA ;USE: UA
SUBDIVISION:: 0479 BLOCK/LOT#: 0/
**FEE SUMMARY ESTIMATED PROJECT VALUATION: 7,600.00.
FEES
Permit Fee 199.30
Total Valuation ' .00
Use Tax 136.80 3tz~j
TOTAL 336.10
Conditions:
6 nail installation & mid roof inspection required.' Board sheathing spaced more
thanes 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield required from-eave edge to 2''inside '.exterior 'walls.
***Contractor/Property owner shall provideladder(s) secured in place for
inpsections....
Subject to field inspection.
I hereby certify that the setback distances proposed by this permit application, are accurate, and do: not violate applicable
ordinances, `rules or. regulations of the City of :Wheat Ridge or covenants, :easements or restrictions: of record; that all
measurements shown, and allegations made are accurate; that I have.. read and agree to abide by all. conditions printed on.. this
application and that I assume full responsibility for :compliance with the Wheat Ridge :Building Code `(I.B.C): and. all other
appli abl W at`Rid Ordinances, for work under this permit. Plans subject to field inspection.
6 t ? ~ i~ 3~2te
Sia~rg o o contractor/owner date
1. This permitwas issued in accordance with the provisions. set forth in your application and is subject to the laws of the
State of Colorado and. to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any. other applicable
ordinances of the City..:
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
:date. An extension may be granted.: at the discretion of the Building Official.
3. If ..this permit expires, `a new permit may be acquired for a fee ofone-half the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
exceeded one. -(1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for a new permit.
4. No work of any manner shall be done that will'. change the natural flow of water causing ;a drainage` problem.
5. Contractor :shall notify. the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before lproceeding with successive phases of the job.
6. The issuance of a permit or the approval of drawings and specifications shall.. not be construed to be a permit for, nor
an approval of, any violation of. the provisions of the building codes or any. other ordinance, law,:. rule or regulation. -
All,plan review is subject to field inspections.
Signature Building: Official (date
T~O
INSPECT N.. QUEST LINE: (303)234-5933 BUILDING OFFICE: (303)2.35-2855-.
REQUES it MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE :FOLLOWING BUSINESS DAY."
~oF W"E?TR, City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
00 o Inspection Line: 303-234-5933
<ORPO
Property Address: _(-Z15 1„) ' QUA
Property Owner (please print):
Mailing Address: (If different than property address)
Address:
State,
Building Permit Application
Date.
Plan A
Permit
Phone: 'gp3 N22
Contractor: (Ze5'1a("a ib1-`%
Contractor License 0901377 Phone: 303 - ta1(o - 10-353
Sub Contractors:
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): 5~ D Construction Value: Z WO - 00
Description oftt work: T (as calculated per the Builditm Valuation Data sheet)
Q2-!~ r-DO'1- I Cj~ J✓ Y✓ i ivh ~:.t2 1 3~~. Plan Review (dive at fime of submittal):
Sq. Ft./L.Ft added: Squares 2 _ BTU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown,: and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to fiel lion
PERSONAL CIRLCE ONE:: /((O''WNER) CONTRACTOR) REPRES NT((gg~(5//~~/IVof(//Q,WN/F/f~~ (CONTRATOR)
PRINT NAME: hA6 i SIGNATURE: /i•~ML Li.) ////1L 4, _ID/Ia/2EL
Date:
DEPARTMENT USE ONLY
ZONING' COMMENTS:
Zoning:`.
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer. -
BUILDING DEPARTMENT COMMENTS:
Reviewer.
FIRE DEPARTMENT.: O approved W( comments ❑ disapproved ❑ no review required Bldg Valuation.-
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 95-539
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :3/16/95
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 Q6 °7
Property Owner : ELIO JAMES
Properry Address: 6715 35TH AV Phone: 422-6427
Contractor License No. : 17747
Company : Dick's Custom Roofing Phone : 989 6833
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value :
$1,580.00
I hereby certify that the setback distances proposed by this permit application are accurate,
P2fmit FE2 :
$37.00
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
0
00
covenants, easements or restrictions of rewrd; that all measurements shown, and allegations
Plan Review Fee :
.
$
made are accurate; that I have read and agree to abide by all conditions printed on this
B
ildi
x :
U
T
70
$23
u
ng
application, and that I assume full responsibility for compliance with the Wheat Ridge
se
a
.
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE~
TOtel :
$60.70
Descripfion : REROOF
Electrical License No :
Company :
Plumbing License No :
Company:
Mechanical License No :
Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
(7) This permit was issued in accordance wilh the provisions set forth in yopur applicalion antl is sub1'ect to the laws of the State of Coloredo and to the Zonin9
Re9ulations antl Buildin9 Code of Wheat Ridge, Coloredo or any other applirable ordinances of the Ciry.
(2) Th is permit shall ezpire if (A) the work auihorized is not wmmencetl within sixry (60) days from issue tlate or (B) the buildin9 authorized is suspended or
ahantlonetl for a period of 720 tlays (3) If this permit expires, a new permit may be acquired for a fee of one-half the amounl normally required, provided no changes have been or will be made in the
original plans and specifcations and any suspension or abantlonment has not exceeded one (1) year. If changes are made or iFSUSpension or abantlonmen[
exceeds one (1) year, full fees shall be paid for a new pertniL
(4) No work of any manner shall be tlone that will change the natural flow of water causing a dreinage problem.
(5) Contraclor shall notify the Building Inspector lwenty-four (24) hours in advance (or all inspections antl shall receive written approval on inspection cartl before
proceediing wkh successive phases of the job.
(6) The issuance of a pertnit or the approval of drawings and specifications shall not be consWed lo be a permit for, nor an approval of, any violation of the provisions
oFNe building cotles or any other ordinance, law, rule or regulation.
m/a-`
Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : ~ l-t " Phone z z~~ ~Z7
Property Address 1,5 Lj „7~
Contractor License No. 7 V
Company : Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback tlistances proposed by this permit application are accurete,
and do not violate applicabie ordinances. rules or regulations of the City of Wheat Ridge or
coveqants, easements or restrictions of record; that ali 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 respo sibility for compliance with the Wheat Ritlge Building
Code (U.B.C.) and all other applicableat Ridg@ ordinances. for work under this permit.
(OWNER)(CONTRACTOR) SIGNED
Description :
BUILDING DEPARTMENT USE ONLY
n~g}f:'bm ents::
Approval :
Zoning :
~~ng~~~ents~
Approval :
P~t1cWd~~omments::
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Application Number'
Date : '3- j6
Construction Value
Permit Fee :
3 Z
b rJ
. Use Tax :
c~ 3
-)o
Total :
60 •
~70
Electrical License No : Piumbing License No : Mechanical License No :
Company :
Company :
Company:
Expiration Date :
Approval :
_J Rl"s' .eq
Expiration Date :
Approval :
Plans Required'..; ;
Expiration Date :
Approval:
~J
(1) This pertnit was issuetl in accortlance with the prowsions set forth in yopur application and is subject to the laws ot the State of Coloredo and to Ihe Zoning
Regulations and Building Code of Wheat Ridge, Coloratlo or any other applicable ordinances of the Ciry.
(2) This permit shall expire if (A) the work authorizetl is not commenced within sixry (60) days from Issue tlate or (B) the building au[horizetl is suspended or
abantlonetl tor a penotl of 120 tlays.
(3) If this permit e:pires, 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
onginal plans and specifcations and any suspension or abantlonment has not exceetled one (t) year. IF changes are mada or if suspension or abantlonment
exceeds one (i) year. full fees Shall be paitl for a new permit.
(4) No work of any manner shall be done that will change the naWrai flow of water causing a drainage problem.
(5) Contractor shall notiy the Building Inspector lwenry-four (24) hours in advance for ail inspeclions and shall receive written approval on inspection cartl before
proceediing with successive phases of the joh.
(6) The issuance of a pertnit or the approval of drewings and specifications shall not be construetl to be a permit for, nor an approval of, any violation o(ihe provisions
of ihe building cotles or any other ortlinance. law. mie or regWation.
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