HomeMy WebLinkAbout7001 W. 35th AvenueCity of Wheat Ridge
Residential Remodel PERMIT - 201900829
PERMIT NO: 201900829 ISSUED: 05/10/2019
JOB ADDRESS: 7001 W 26th Ave EXPIRES: 05/09/2020
JOB DESCRIPTION: SWO Residential remodel moving kitchen to dining area; add bathroom and
bedroom in basement with egress window. New electrical panel 200 AMPS. HVAC
ducts will be added; 2,026 sq ft total
*** CONTACTS ***
OWNER (303)907-8763
SUB (720)629-4300
SUB (303)522-3872
SUB (720)999-6554
SUB (303)335-6866
K HOMES VI
STEPHEN WARD
LUIS MORGAN
MARK & KATHLEEN BOGLE
RICARDO CORONADO
180279 WARD CONSULTING LLC
110057 PROLINE PLUMBING LLC
190124 ARTIC MOUNTAIN ELECTRIC INC
190037 J & J HEATING
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 58,575.00
FEES
Total Valuation 0.00
Plan Review Fee 521.30
Use Tax 1,230.08
Permit Fee 802.00
Investigative Fees 802.00
** TOTAL ** 3,355.38
*** 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 - 201900829
PERMIT NO: 201900829
JOB ADDRESS: 7001 W 26th Ave
JOB DESCRIPTION:. SWO Residential remodel moving kitchen
bedroom in basement with egress window
ducts will be added; 2,026 sq ft total
ISSUED: 05/10/2019
EXPIRES: 05/09/2020
to dining area; add bathroom and
. New electrical panel 200 AMPS. HVAC
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 rmrt. I further attest that I am legally authorized to include ali entit' s named within this document as parties to the work to be
er rmed nd that all work to be performed is disclosed in this documen a or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6The issuance or r nting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
licable
r c
ode any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
a > f
City of
. Wheat Ridge
COMMUNITY DEVELopmENT
Building & Inspection Services
7500 W. 291 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ' Fax: 303-237-8929
Inspection Line: 303-234-5933
FOR OFFICE USE ONLY
Date: "//cPf/ r7
Pla7; (
Plan Review Fee:
Email: permitsci.wheatridge.co.us '�
Bu!?in g PermaitApp I i cati o
Complete all applicable highlighted areas on both:sides of this form.
Incomplete applications may not be processed. ***
Property Address: 001 M� Ave
Property Owner (please print): K HSSii U' phone: 3 03 -
Property OWnerEmail: Y\eOACty I n\It_ 4'0-G lhQ: I. co—
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
l
Architect/Engineer E-mail:
S
Contractor Name:Jic 064
4
City of Wheat Ridge. License #: ��A.
Contractor E-mail Address: SGC�a AGIi l�llb Y/.
For Plan Review Questions & Comments
CONTACT NAME (please print): & 014 11 e--(-,7
CONTACT EMAIL(please print):.
Phone:
sC' SCR69:
A� I / v
Phone: �720 ^ & �/"-N ` 300
UC'�arl ne
�✓, �Z�_ � lel `�
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:
City License #
Other City Licensed Sub:
City License #
Complete all highlighted fields, if applicable.
❑COMMERCIAL
RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and, efficiency, type and amount of materials to be used, etc.
fie- will be, f xak� 41%< 14+t�eNI"" Wa is t i%;s 4� -b W i -m 4& &'64A,
j4"I ( , e 6,"J (6 A /nuS sPhu (-no cams ar
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t)►,i.s W; (� �.e. ae�d�Gd -�.-a e��-1 r,e�"d 1 � c�s� k, � ��w�a,. , � new el �
Pial P.t\ 6c s4tiJli--r1.cct will },t bl,'�ol9.5 a,c ad
Sq. FULF O BTUs Gallons �r ���f'��+" Sca �dl
� cos K'XI
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)
$ 7C cm. %. a V
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. 1, the applicant for this building permit application, warrant the
truthfulness of the information provid cation.
CIRCLE ONE. (OWNER) (CONT O T D REPRESENTATIVE) of (OWNER) ONT ACTOR)
Signature (first and last name): DATE: L 9
Printed Name: >'
ZONING COMMMENTS:
Reviewer:
BUILDING 4DEPT4MENCO;MMTS:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMI
r USE ONLY
t..
'OCCUPANCY GLASSi FICATION: 1123
CONSTRUCTION TYPE:
OMEN &T
`��� � 601
ZM Ani fANr(
"= ZZbro
Building Division Valuation: ��
Kimberly Cook
From: Luis Morgan <Iuismorgan08@gmail.com>
Sent: Friday, May 10, 2019 9:20 AM
To: Kimberly Cook
Subject: Proline plumbing
Hello this is Luis Morgan i am authorizing Martin Construction/George Castro to add my plumbing license #110057
(Proline Plumbing LLC) for the address 7001 W 26 Ave (only).
Luis Morgan
Proline Plumbing LLC
303-522-3872
BUILD
ENVIRONMENTAL CONSULTING
VP'
LIMITED ASBESTOS INSPECTION REPORT
7001 W 26th Ave
Wheat Ridge, CO 80330
4/29/2019
Prepared for:
New Customer
Vincent Ku
9975 Wadsworth Parkway, 2-274
Westminster, CO
303-907-8763
newdayinvest@gmail.com
Prepared by:
BuildSafe Environmental Ltd.
C-IVED
Pq/gL1--- -- -
CDPHE Registration No.: ACF - 19059
303 S Broadway Unit 200-239 Cit -V
Denver, CO 80209 VVtieat Rid
Admin@BuildSafeEnviro.com
guildig9 Divisor.
(720)598-0600
303 S BROADWAY, 200-239, DENVER CO B0209 WWW. BUILD SAFE ENVIRO.COM
Table of Contents
Section 1 Inspection Project Summary
1.1 Homogenous Areas in Work Scope - Table
1.2 Summary of Asbestos Samples
1.3 Sample Locations (optional)
Section 2 Results and Recommendations
2.1 Post -Renovation Asbestos Containing Materials Notice (if identified)
2.2 Photo Log of Asbestos Containing Materials (if identified)
Section 3 Project Overview
Section 4 Asbestos Inspection Procedure
4.1 Suspect Asbestos Containing Building Materials
4.2 Sampling and Laboratory Analysis
Section 5 Conclusion
5.1 Limitations
Appendix A - Laboratory Report and Chain of Custody Form
Homogenous Material Types - Reference List
Surfacing Material
List of Acronyms
TS
Textured Surfacing
ACM
Asbestos Containing Materials
PL
Plaster
ACBM
Asbestos Containing Building
CMS
CMU Sealant
Material
SOF
Spray -on Fire Proofing
Thermal System Insulation
G
Good
DT
Duct Tape/Wrap
D
Damaged
PI
Pipe Insulation
SD
Significantly Damaged
Miscellaneous
BBA
Baseboard Adhesive
F
Friable
CA
Carpet Adhesive
NFI
Non -Friable Category I
CDW
Composite Drywall
NFII
Non -Friable Category II
CT
Ceiling Tile
DW
Drywall
NA
Not Analyzed
FTM
Floor Tile Mastic
ND
None Detected
MA
Miscellaneous Adhesive
MS
Miscellaneous Sealant
EA
Each
OT
Other Material
LF
Linear Feet
RSG
Roof Shingle
SF
Square Feet
RSH
Roof Sheeting
RSL
Roofing Sealant
Trace
<_1% by (Point Count/Composite)
SVF
Sheet Vinyl Flooring
ACM
ACM (>10/o asbestos)
WG
Window Glazing /00�Ztylf
Wheat Ridge
ilding Divisor,
Section 1 Inspection Project Summary
Job ID: 190425-2EXP Inspector: Kevin Lovato
Date: 04/25/19 State Cert #: 24949
Client: New Customer
Customer: Vincent Ku
Property Details:
Site Address: 7001 W 26th Ave
Wheat Ridge, CO 80330
Property Type: SFRD
Age of Construction: 1947 Renovation: N/A
Inspection Details:
Type of Inspection: Limited/Renovation ACM AHERA/Reg 8
Reason of Inspection: Remodel
Affected Area(s): Throughout
Scope of Inspection: Complete Renovation
Potential Spill Identification?: Yes Damaged Suspect ACMs Quantity: 48 SF
Work Scope Notes: Remodeling home throughout
Sample Notes:
Laboratory: Reservoirs
NVLAP #: 101-896-0
Results Time: Rush
# of Samples: 14
1.1 Homogenous Areas in Work Scope - Table
ID*
Material
Type**
# of
Samples
Material Description
Functional Space
Quantity
in Scope
1
PL
3
Trowel applied texture
Living room
48 SF
2
PL
3
Skim texture
Kitchen
64 SF
3
MA
2
Yellow mastic
Kitchen
15 SF
4
MA
2
Black mastic
Kitchen
15 SF
5
CT
2
Ceiling tiles
Basement
320 SF
6
FTM
2
White floor tile
Living room
60 SF
7
8
9
10
*ID - Homogenous Materials ID in Homogenous Areas Table & Bulk Samples Table
**See table of contents Reference List for how to classify homogenous materials type
1.2 Summary of Asbestos Samples
Sample
ID
Homog.
Mat'l ID
Bulk Sample & Locations Table
Sample Location ID*
Material
Condition
Friability
Category
Analytical
Results
PL 1-1
1
Living room, S wall, 3' from E, 5' up
SD
F
.75% Chrysotile
PL 1-2
1
Living room, S wall, 3' from E, 2' up
SD
F
.25% Chrysotile
PL 1-3
1
Taken from dumpster
SD
F
<.25% Chrysotile
PL 2-1
2
Kitchen, E wall , 3' from S, 4' up
D
F
ND
PL 2-2
2
Kitchen, E wall, 4' from S, 4' up
D
F
ND
PL 2-3
2
Taken from dumpster
D
F
<.25% Chrysotile
MA 1-1
3
Kitchen, N wall, 6' from E, 4' up
SD
F
ND
MA 1-2
3
Taken from dumpster
SD
F
ND
MA 2-1
4
Kitchen E wall, 6' from E, 4' up
SD
F
ND
MA 2-2
4
Taken from dumpster
SD
F
ND
CT 1-1
5
Taken from dumpster
D
F
ND
CT 1-2
5
Taken from dumpster
D
F
ND
FTM 1-1
6
Living room, floor, 1' from E, 7' from S
G
NFII
ND
FTM 1-2
6
Living room, floor, 1' from E, 10' from S
G
NFII
ND
OM °1
at Ridge
Section 2 Results and Recommendations
Building materials with trace asbestos (:51%) have been identified within the affected area(s) of the Site
Address. These include friable materials that have been confirmed by the point count method to contain
51% asbestos and/or non -friable materials that have been estimated to contain :51% asbestos. These
building materials which contain :51% asbestos content are not subject to EPA and CDPHE regulatory
requirements.
It is recommended to have this work performed by a General Abatement Contractor in accordance with all
State and Federal regulations. It is also recommended to have BuildSafe or another Colorado State -certified
Air Monitoring Specialist perform an aggressive Final Air Clearance to clear the project.
Any work performed on asbestos -containing building materials and/or trace asbestos -containing building
materials is subject to OSHA regulations, including but not limited to: hazard communication, asbestos
construction industry, general construction industry, and respiratory protection standards. Worker exposure
assessments are part of the asbestos construction industry standard and include excursion limits and 8 -hour
time -weighted permissible exposure limits which, if exceeded, may require additional engineering or
administrative controls to properly protect workers engaged in activities that may damage or disturb
materials which contain asbestos.
f
fteat P
2.1 Post -Renovation Asbestos Containing Materials Notice
As BuildSafe understands it, the abatement of ACM(s) identified in this report is limited to the Affected
Area(s) and Work Scope Notes provided and ACBM(s) will remain post -renovation (See section 1
Inspection Project Summary). Any remaining ACBM(s) will be accessible with the potential for
disturbance and/or damage from material contact, vibration and/or air erosion. The CDPHE has
requested that all property owner(s) and site contractors be notified of the ACBM(s) to remain post -
renovation. BuildSafe kindly requests that the Client or Project Manager assist with notifying all parties
involved.
2.2 Photo Log of Asbestos Containing Materials
The plaster in the living room is confirmed
trace by point count analysis.
General abatement contractor cleanup is
recommended for the first floor.
The Plaster in the kitchen is confirmed trace by
point count analysis.
General abatement contractor cleanup is
recommended for the dumpsters.
ok
Section 3
Project Overview
BuildSafe Environmental, Ltd. (BuildSafe) was contracted by the client to perform a
limited repair/renovation specific asbestos inspection (inspection) at the above referenced
"Site Address". The inspection was conducted by an Environmental Protection Agency
(EPA) accredited and Colorado Department of Public Health and Environment (CDPHE)
certified Asbestos Building Inspector. The inspection was performed at the direction of
the client and only includes those materials, locations, and quantities specified in the
"Homogenous Areas in Work Scope Table".
The client is planning repair/renovation activities that will disturb suspect Asbestos
Containing Building Materials (ACBM) within the repair/renovation affected areas at the
Site Address. CDPHE Air Quality Control Commission Regulation No. 8, Part B — Asbestos
(Reg 8) requires that all suspect ACBMs be properly inspected and sampled by certified
personnel prior to conducting any repair/renovation activities that will disturb the suspect
ACBMs. All samples were analyzed by a laboratory accredited under the National
Voluntary Laboratory Accreditation Program (NVLAP). The CDHPE has established the
following trigger levels for different types of properties, which specify how suspect and
confirmed ACBMs are inspected and subsequently abated:
• With regard to single-family residential dwellings (SFRD), the trigger levels are
50 LF on pipes, 32 SF on other surfaces, or the volume equivalent of a 55 -gallon
drum
• With regard to all areas other than SFRDs, the trigger levels are 260 LF on pipes,
160 SF on other surfaces, or the volume equivalent of a 55 -gallon drum
The purpose of the inspection was to identify, visually inspect, and sample all suspect
ACBMs, at the direction of the client, which may be disturbed during the course of the,,�— �
city of \
repair/renovation work.
at Ridge
suddin
1.9 Divisor,
Section 4
Asbestos Inspection Procedure
The inspection procedure was conducted in accordance with EPA Asbestos Hazard and
Emergency Response Act (AHERA), the EPA Pink Book, CDPHE Reg 8, and applicable
Occupational Safety and Health Administration (OSHA) guidelines and regulations. These
regulations specify requirements and protocols for conducting asbestos inspections,
sample analysis, and asbestos abatement.
4.1 Suspect Asbestos Containing Building Materials
Homogenous Material Types
The inspection involved identification and sampling of suspect ACBMs in the areas
established by the client that would be part of the scope of work. Suspect ACBMs were
grouped into homogenous materials based on color, texture, and date of application.
Homogenous materials were given distinct codes (CDW01, FTCO2, TS05, etc.) based on
the type sequence of the homogenous material. Details about the size, color, condition,
friability, quantity, location within each functional space and other important details for
each homogenous material were reported as part of the inspection. Homogenous
materials are grouped into one of three categories based on intended use:
1. Surfacing Material — material that is sprayed on, troweled on, or otherwise
applied to surfaces, such as acoustical plaster on ceilings and fireproofing materials
on structural members, or other materials on surfaces for acoustical, fireproofing,
or other purposes.
2. Thermal System Insulation — material applied to pipes, fittings, boilers,
breeching, tanks, ducts, or other interior structural components to prevent heat
loss or gain, or water condensation, or for other purposes.
3. Miscellaneous Materials — 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.
Homogenous Material Friability
Each homogenous material was given one of the three following friability categories
defined by the EPA and CDPHE:
1. Friable Material — materials that can be crumbled or reduced to powder by hand
pressure.
2. Category I Non -friable Material — materials that cannot be crumbled or
reduced to powder by hand pressure including resilient floor coverings, gaskets,
packing materials and asphalt impregnated roofing materials.
3. Category II Non -friable Materials — all other materials that cannot be
crumbled or reduced to powder by hand pressure that do not include category I
non -friable materials.
Homogenous Material Condition
Each homogenous material was given one of three condition categories based on visual
observation defined by the EPA and CDPHE:
1. Good Condition — No visible signs of damage were observed during the
inspection.
2. Damaged Condition — Visible signs of damage less than ten percent spread over
the entire material or twenty five percent localized.
3. Significantly Damaged Condition — Severe damage greater than ten percent
spread over the entire material or twenty five percent localized.
4.2 Sampling and Laboratory Analysis
Sample Collection
Bulk samples of each suspect homogenous material were collected randomly throughout
the homogenous material area within the scope of work. Bulk samples were sampled all
of the way through the material so that all associated layers within each homogenous
material are represented. Bulk samples were placed in closeable sample bags and then
labeled with a permanent marker with distinct sample identifiers (e.g., CDW1-1, FTC2-1,
MISC2-3, etc.) for transport to the laboratory. Sample locations and photographs of the
BUdduig
homogenous materials were also collected at this time during the inspection. Sample
quantities of each homogenous material were collected based on material type and
quantity detailed in the following table as required by regulation:
Homogenous Material
Minimum Number of
Quantity
Type
Samples
0 to <11000 SF
3
Surfacing material
1,000 to 5,000 SF
5
>5,000 SF
7
Each Material
3
Thermal System Insulation
Patch < 6 LF, SF
1
Miscellaneous Material
Each Material
2
Laboratory Sample Analysis
Bulk samples were submitted to the laboratory along with a completed chain of custody
form to the above listed NVLAP accredited laboratory for analysis by polarized light
microscopy (PLM) techniques per EPA methodology (EPA -600/M4-82-020, Dec. 1982).
Microscopic visual estimation was used in obtaining the percentage of asbestos within
each layer of the bulk samples.
Asbestos Containing Building Materials
EPA and CDPHE both define an asbestos containing building material (ACBM) as a
material which has an asbestos content of greater than one percent. In the event that a
friable material is estimated to contain "trace" or between zero -to -one percent, that
material must undergo a point -count analysis by the laboratory to confirm that the
material is trace asbestos -containing. Further, if a point count analysis is performed on a
bulk sample, the point count result takes precedence over the visual estimation result.
See appendix A for laboratory report and chain of custody documents.
Section 5
Conclusion
BuildSafe has performed a limited repair/renovation specific asbestos inspection of the
home/facility located at the Site Address. Through visual inspection and laboratory
analysis of bulk samples collected at the Site Address, BuildSafe recommends hiring a
certified general asbestos abatement contractor to remove any ACBMs that may have
been identified within the scope of work. All inspection activities were conducted at the
direction of the client and only include those materials, quantities and locations detailed
in sections 1 and 2 of this report. See sections 1 and 2 of this report for information
regarding inspection scope of work, suspect ACBMs, confirmed ACBMs, sample
information and laboratory analysis results.
5.1 Limitations
General Comments and Limitations
Reasonable effort was made by BuildSafe to locate and sample accessible suspect ACBMs
within the scope of work. However, for any structure, the existence of unique or
concealed suspect ACBMs is a strong possibility. BuildSafe only inspected and collected
suspect ACBM bulk samples in the repair/renovation areas at the direction of the client.
This limited repair/renovation asbestos inspection report is not considered a
comprehensive asbestos inspection report and is only valid for the materials and locations
detailed in sections 1 and 2 of this report.
Should further repair/renovation work expand outside of materials and locations listed in
sections 1 and 2 of this report, those locations must be properly inspected and sampled
by qualified personnel prior to disturbance of suspect ACBMs. Any subsequent abatement
of ACBMs must be performed in accordance with all federal, state and local regulations
pertaining to abatement, transport, and disposal of ACBMs.
CRY Ot
4`J :gat Ridge
uilding
The asbestos inspection was conducted in a manner consistent with the level of care and
skill exercised by professionals of the asbestos inspection profession. The results,
findings, conclusions and recommendations expressed in this report are based on
conditions observed during our limited inspection of the repair/renovation areas. The
information contained in this report is relevant to the date on which this survey was
performed, and should not be relied upon to represent conditions at a later date. This
report has been prepared on behalf of and exclusively for use by the client for specific
application to the project as discussed. Contractors or consultants reviewing this report
must draw their own conclusions regarding further investigation or remediation deemed
necessary. BuildSafe does not warrant the work of regulatory agencies, laboratories or
other third -parties supplying information which may have been used in the preparation
of this report. No warranty, express or implied is made.
Sincerely,
Kevin Lovato
BuildSafe Environmental, LTD
303 S Broadway, Suite 200-239
Denver, CO 80209
720.519.7283
Kevin@buildsafeenviro.com
City of
Vol ;mai Rid4ge
Appendix A
Laboratory Report and Chain Of Custody Form
Reservoirs Environmental, Inc. Effective April 2, 2018
Reservoirs Environmental QA Manual Q:\QAQC\Lab\Reservoirs Environmental QA Manual.doc
RT Reservoirs Environmental, Inc.
April 26, 2019
Kevin Lovato
Build Safe Environmental
303 S. Broadway #200-239
Denver CO 80209
Dear Customer,
Subcontract Number: NA
Laboratory Report: RES 433783-2
Project # / P.O. # 190425-2EXP
Project Description: 7001 W 26th Ave Wheat Ridge,
CO 80330
Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and
Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code 101896-0
for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the American
Industrial Hygiene Association (AIHA), Lab ID 101533 - Accreditation Certificate #480 for Phase Contrast
Microscopy (PCM) analysis. This laboratory is currently proficient in both Proficiency Testing and PAT programs
respectively.
Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request. The
analysis has been completed in general accordance with the appropriate methodology as stated in the attached
analysis table. The results have been submitted to your office.
RES 433783-2 is the job number assigned to this study. This report is considered highly confidential
and the sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with
personnel other than those of the client. The results described in this report only apply to the samples analyzed.
This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the
U.S. Government. This report shall not be reproduced except in full, without written approval from Reservoirs
Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested. If you have any
questions about this report, please feel free to call 303-964-1986.
Sincerely,
Jeanne Spencer
President
P: 303-964-1986
F: 303-477-4275
5801 Logan Street, Suite 100 Denver, CO 80216
Page 1 of 1
1-866-RESI-ENV
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PROJECT ADDRESS: D W 1 W Z67—H A YE
1. Ceiling Neigltts:
If the finished ceiling will be less than 7', please consult your Building Department_
2. Emergency Escapes:
All basements and sleeping rooms must have an emergency escape window or exterior door. Emergency escape
windows with a sill height below grade must be provided with an emergency escape window well and ladder. (For
emergency escape window and window well requirements, see page 4.)
3. Smoke Alarms and Carbon Monoxide Detectors:
Smoke alarms are required in all basements. If the finished basement contains a sleeping room, a smoke alarm must
be installed on the ceiling or wall in the sleeping room and in the hallway or area immediately outside of the sleeping
room. Smoke alarms added to satisfy the above requirements must be hard -weed with batter backup, and interconnected
with existing smoke alarms. Smoke alarms are required to be hardwired and interconnected in new and existing
bedrooms, halls and on each level unless removal of interior wall or ceiling finishes would be required. In this case,
battery operated devices are acceptable. C.O. detectors are required within 15 ft outside of each bedroom.
4. Fuel Burning Affiances:
Furnaces aril water heaters cannot be located in a bedroom or bathroom unless appliances are installed in a dedicated
enck cure in which all combustion air is taken directly from outdoors, and a weather stripped solid door equipped with
an approved self closing device is installed. If the furnace and water heater are being enclosed, adequate combustion
air must be provided for these appliances to operate property. For maintenance purposes, a minimum of 30 inches
clear working space must be provided in front of furnaces and water heaters. Maintenance or removal of each
appliance must be possible without removing the other or disturbing walls, piping, valves, wiring and junction boxes.
5. Floated Walls:
In areas subject to floor heaving, non-bearing walls on basement floor slags should be built to accommodate not less
than 142 inches of floor movement. A detail of a typical floated wall is included on Page 4 of this hand-out. Drywall
should be held to a minimum of 1 inch above the stab to allow for movement.
6. Fireldocking:
Fireblocking must be installed in concealed spaces of wood -furred welts at time ceding levet, at 10 -foot intervals along
the length of the wall and at all interconnections of concealed vertical and horizontal spaces such as intersection of
stud walls and soffits or dropped ceilings. A detail of typical flreblocking is included on the following page of this
handout. Fireblocks may be constructed of 1-112 inch lumber, 314 inch plywood or particle board, 112 inch gypsum
board or fiberglass insulation 16 inches minimum in heigth, securely fastened.
%. Insulation: A minimum of R-10 insulation is required on basement walls. A minimum of R-21 is
required in floors above unconditioned spaces (crawl spaces, etc.).
8. Space Undep Stairs:
If access to the area or space under the basement stairs is provided for storage or other uses, the walls and ceiling
of this enclosed space must be protected on the inside.
9. Bathroom:
Toilets must be provided with a minimum of 21 inches in front of the toilet and 15 inches from the center of the toilet
and any sidewall or other obstruction. Showers shall have a minimum inside dimension of 900 square inches, capable
of encompassing a 30 inch circle and be finished 72 inches above the floor with non-absorbent materials. See Exception
2, P2708.1. A ventilation fan is required in toilet rooms and bathrooms with unopenable windows
or windows with less than 1.5 SF of openable area. Fans must be vented to the exterior of the
structure and may not terminate within 3 feet of an opening.
10. lighting III Ventilation:
Lighfing and ventilation are required for any finished portion of the basement. Contact your Building Department for
specific requirements.
The Bolding Department staff cell help you detepmine what is necessary to meet minimum safety requiretnents.
City of
Wheat Ridge
Diviso
PROJECT ADDRESS:
20 or
101A
mon
its
F jo�v IrsW bebm
nstibrg tail
Typ" sod: tnSulatE pet Fdwblod lure
"—
Frasb AWNS International orhert
mates! Res4entat Code
Fret *d tore Frebtoc# oanceai d spaces of furred walls and so! n at 10 -
cc here foot intervals .a" V* Wo of d* wall wnh 2A krrttW 314
cc here inch plywood or gypsum board nailed to wall stud and held
tight t0 COr�Drlyt f ratdatMrh tea@ from tlo0f to Ce"f
Fd rwmamic�pygaps at lop and batbrn wt h m r+tral woof or
lies+ M perimeited wall --.
N&& ".r4 Inmir i r paw' tm
Eastav conctft turxialm wall
.. 4W nils fte"holes in boW, plate br 4pd ftft
I t t'2 inch wid space —
Pressure ereatied M low plate andlored ffi food stab
Spacer — sante *or*" as wall fSh material
Basement floor slab
&r*rger y Escape Acrd Rescue w mow welts must provide a rr nnum arta d 6
squaw ltd wash a mr4mm dm osion d 38 roohn acrd" enable d+c wndaA tD
open fAy lfeek depdt d rte rrtMa vWI ew**ds 4! holies, a permanenhy aft
W6w mAa be prowled. The ladder Rattat not arhgettert ltffiI rte apeow d rK x nfth.
WIV dw aEf
Met clear donensms Wase 161ty opened
to provide g squaw icer of operlens
cc
s
`'►
�
•
tit
"saw opWWQ
wrth tiirs Sa
i4iierK Ladder or sear pwm4ted 'to
117ade encroach a m&v tturn & e Wt",.hes
&3
dY't6 rIe !lq:nTed �tlrleM'r'h5.
MMMININ
Ir
EFIEWey €wipe AM RMU 1%rAM no MM MA a ra
• A muar w ata op&%** mta CO riot 1eSs VW 5.7 si�wrr tett
+ A rnnr, r , clear opwab* lesion d act less dw 2-t adm
• A mala +i n 4*ar opruW* wdb dnot less Ow 20 crane.
A tnst«ed sl hrV t of nat more asst aµ anchts above rhe Sm aid sho:ad
be ope iW* Cont dk ins* win racrm9 operation and nirW rte hese o`
toms. keys or etibrt.
Esaraapk-s of Cort*iMq Height i dear
Wim coffAillabom
3t ha'dear '
st' '
openabe
area�S..
T oe, spat
i4�--• sem; ` � � `
s �
Hnrw sin wvAas4or &W mda for F00r
24' Ctex ttr L` "nal 2a' de.- w &h
City of
Wheat Ridge
4
5 R
City Of
Wh6atR,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 insuranc�e1 and license must be up to date prior to permit issuance.
Project Address: ��(,>� �� �dtk Permit #:
General Contractor: k
LfA
Electrical Sub -Contractor
Company Name: /41t c- �4N . �Lt_t4A_, Phone #: -7 Zo -''`l• - 3 q 7 y
State License #: OD ( D I Master #: 7 6 8
Wheat Ridge License #: Po 21 (required field)
Signature of Authorized Agent Date
Company Name: Phone #:
State License #: Master #:
Wheat Ridge License #: (required field)
Signature of Authorized Agent Date
Mechanical Contractor
Company Name: Phone: 2,,:2�3•-
Wheat Ridge License #: (required field)
Signature of Aut Agent Date
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number :
BUILDING INSPECTION LINE - (303-234-5933)
Date : 12/25/2003
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: KEVIN & DIANE ROBB
Property Address : 7001 W 35TH AVE
Phone : 431-4251
Contractor License No. :
Company :
Phone :
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value : $35,000.00
I hereby certify that the setback distances proposed by this permit application are accurate, and
Permit Fee : $640.00
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
PIBn RBVi@w Fee : $416.00
made are accurate; that I have read and agree to abide by all conditions printed on this
$700
00
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
.
Use Tax :
Code (U.B.C.) and all other applicable W hgat Ridge ordinan s,Jb ork under this permit.
(OWNER)(CONTRACTOR) SIGNED NLL /9 ~ DATE! 2 3
TOlal: 1,756.00
Description : REPLACE EXISTING GARAGE W ITH NEN/ ~NLARqE GARAG
I 1-IM
BUILDING DEPARTMENT USE ONL
SIC : Sq. Ft. :
Zoning Comme'rits~:
Approval : TRC OK. 17 NOV 03. A DITION MAY NOT BE CONVERTEDIUSED AS
Zoning : R-2 ESIDEN IAL LIVI G SPACE
Please Note:
Bwlding Comment~ \ responsible £or locat'sn~ property
K. 1 22/ ~Wr is
Approval: DM ibfe,qgndCOnsWCtingimprovementsacce.:finntothe
approved plan and required developmcnt tanc r d~.
rr~ent 'phe City is not resPonsi
Publi~c~Work`s C'.am
Approval subrnitted within the pbaze sfor et tand any cers ~T~~~ ' ~
~ errors resulting from inaccu:atc infornnscte,~
Oc panc V~alls : oof : Stories : Residential Units :
=lectri'al License No : Plum g License No :\0 Mechanical License No :
;omp ny : Company : ~~Lj Company :
:xpirati n Date : Expiration Date : Expiration Date :
\pproval: ~ Approval: Approval:
(7) This pe it was ssued in accordance with the provisions set forih in yopur application and is subject to the laws of lhe State of Colorado and to the Zoning
Regulations nd Building Code of Wheat Ridge, Colorado or any other appiicable ordinances of the City.
(2) This pertnit shall expire if (A) the work authorized is not commenced within sixry (60) days from issue date or (B) the building authorized is suspendetl or
abandoned for a period of 120 tlays.
(3) If this permit expires, a new permi[ may be acquired for a fee of one-half the amount normaliy required, provided no changes have been orwiil be made in the
original plans and specifcations and any suspension or abandonment has not exceetletl one (7) year. If changes are made or it 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 wiil change the natural Flow of water causing a dreinage problem.
(5), ConVactor shall notifythe Building Inspectortwenty-four (24) hours in advance for all inspeIXions and shall receive written approval on inspection card before
proceediing with successive phases of the job.
(6) The issu e of a pertni the approval of drawings and specifications shall not be constmed to be a permit for, nor an approvai of, any violation of the
proof h des or any other ordinance, law, rule or regulation. . 8rr
Chief Building Ins ector
Please sign Terms and Conditions on reverse side of page.
wr~Eq COMMITA'ITY DEVELOPMENT DEPARTMENT Building Pemrit A'tunber:
{°F rP BUILDING IA'SPECTION LWE -303-234-5933 Date:
CITY OF WHEAT RIDGE
\ 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
COL pR p00 y j ~sg 5~
?~PPq-.Il-?l $ Iy~
i~N
Property Owmer: K~Q ~ uti d- 7 i q nC, TZ 6 61V>
Property Address: 'j p o 1 W. 3 Stc~v \.3 G Phone : 3 0 3- u 31- 4 25 l
Connactor License No.: /.5 3 0 3- 43l - 5 9
Phoae: k~\~ I r. -worK,
Company: cl w,~ e~r - b~ i 1 cQ
ONTER/CORTRACTOR SIGNATURE OF liNDERSTAIVDING.ND AGR£EMENT
1 hereby certify that the setback distances proposed by this permit application are accura[e,
and do not violau applicable ordinances, mies or regulations of [he Ciry of Wheat Ridge or
covenants, easements orrestrictions of record; tha[ all meamremcnlt shown, and allegations
made are accurete; that 1 have read and agree to abide by all conditions printed on this
application and that I assume fuil responsibiliry for compliance wi[h the Wheat Ridge
Building Code (U.B.C) and all other applicablc Wheat Ridge Ordinancu, tor work under
this pcmmit. .
(ON'1:ERxCONTRACTOft):SIGKED Kf! ~ DATE i I
(ONR.ERHCOhTRACI'OR): PRINTED DATE
Construction Value:$ 3s, pO°
Permit Fee:$ (o4c
Plan Review Fee:$ res 4-1 tc~
UseTax:$
TOt31:$
DESCRIPTION:
BUILDING DEPARTMENT USE ONLY
SIC: Sq. t. ~
ZONING COMMENiS:3
Approvai /kdai~., xw.~ ro'f ~ c.o^V er~2d I µSed dS rtSi d.en'F
Zoning: f~z klv- { SQ242
Q o
BVILDING COMMENTS:
Approval: tftx I-4Z1,10
PUBUC WORKS COMMENTS: Approval:
Occupancy: Walls: Koof:
Elechical License No: Plumbing License No:
Company: Company:
~
Stories: ResideotialUnits:
Mechanical License No:
Company:
Expuation Date: Expirapon Date: Expiration Date:
Approval: Approval:Approval: -
(1) This yermit was issued in accordance witM1 tM1e provisions set forUi in your apyliwuon and is subjat b the laws of the Staa of Colonda and m the Zoning
ReguWtlons and Building Coda of Whwt RiBge, Colondo or any otLer appiicable ordinances of the Ciry.
'fhisyermit shallexpirtif(A)theworkauJiorized¢not commencedw'ithin5ixry(60)daYSfromissu<dauor(B)thebuildingamhorizedissuryendedor
abandoncd for a penod of 120 days. ~ .
(3) 1f this pemiit cxpires, a ne. pemnt may be acquired for a fx of one-hal( LAe amowt nomally mquirzd, prbvided no changa have been or xill be made
in the origiwl plans >nd specificarions and any suspmsion or aWndonmem haz not ezceeded one p) yur. I( clunga hav< been or if suspeasion or
abandonmem exceeds one'(7 ) year, full fe's shall be paid [or a new permiL .
(4) - No work of any manna shali be done Uut will change the oacuni Pow o(wekr causing a dairugc problem.
(5) Contractor shall norify the Building InspecWr twrnty-four (24) hours in adnntt for all inspecUOns md shall recei.x wrinen approval on inspecuon card
betorc procceding with successive phaus of fhejob.
(6) The issuante of a pennit or the appmval of drawings and spccilcation5 shall not be conswed m be a permit for, nor an appeoval of, any viotauon of the
provisions of the building coda or any otha ordinantt, lew, mle or nguUtlon.
Chief Building Inspector
City of Wheat Ridge
Community Development Department
Memorandum
TO: Accounting Department
FROM: Kristy Shutto, Building Division 0
SUBJECT: Refund for Permit
DATE: January 27, 2004
Reason: Homeowner unable to proceed with project. Cancelling permit for 7001 W. 35`"
Ave. Please refund.
Please refund:
80% permit fee:
0% plan review
100% usetax:
$512.00 (acct 01-510-00-516)
$
$700.00(acct 01-500-02-505)
TO: Kevin & Diane Robb
7001 W. 35"' Ave.
Wheat Ridge, CO 80033
Thank You!
Kristy Shutto
Kristy M. Shutto
Bldg. Dept. Secretary
Total:
$1212.00
CABuilding Department\Word PerfecAFormsUtefund Total Pertnit .wpd
Kevin and Diane Robb
7003 - 7001 West 35th Avenue
Wheat Ridge, CO 80033
303-431-4251
January 26, 2004
City of Wheat Ridge
Community Development Department
7500 West 29'h Avenue
Wheat Ridge, CO 80033
Re: Building Permit Number 16602
We paid for the above mentioned building permit on December 26, 2003. On January8`h
my husband suffered a massive stroke. We had not started the construction project and
now we certainly wili not be doing any construction on this property.
In consideration of the tum of events, could you please refund any of the fees that we
have paid? I understand that the Zoning Plan Review fee of $416.00 would not be
refundable, but I would greatly appreciate a refund on the Building use tax ($700) and the
Building Permits ($640.00). Enclosed is a copy of the permit and receipt.
Thank you for you consideration.
Diane Robb
; ) ,~ns'
L~ ~ ~
; r•,
COMMUMTI( DEVELOPMENT pEP.AF
Lx:n
' BUILDING.INf$PItGTIDN'LINE-(30'.F
CITY OF W1i6T R,b~E~ Mr :
7500 WEST ~9TH AYENUE
WHEAT'RIDGE, GO 80033 - 003=235
Property Owner. KEV1N & DIANE,ROI
Property Address : 700t W 35TH AVE )
Contractor License No
Companyrt
OWNER/CONTRACTOR SIGNA,7lJ~F UND~RSTANRIN~ F'§ H
I hereby ceNry that Uie setback disianeas ptOj7tlsed: by this pgmiit app
do not violate applicable'ordinances; [ple8 oftuladons b(the City o1
wveoafits,easemerits.orrestrictlonsgf re 11;tha2allmeasi"lne6ts
made are accurate; Ut2tY:have read and,00redto sbide byall conditlo
.c.oae ~u.o.~.J aqo an amer appnunuro vr~ ~~navyc v.
(OWNER)(CONTRAF70R) S~IGNED~
~--r
aNJ.
Description " REPLACE EXISTiNG GARA
-k
BUILD.
t ~
APpiroV"a'~~I"
~RE;
Zoning R 2 y
: APproval
APP~~'a~
p ~ ~ Vlfalis ~ ~.r ~
' Occu anoYa,~yr~'4iw "
. 1 Y X*1 lfi ? F„'+ >M1tY
Elecfneal Ircense No PIS~mb~
. `3~ ~ ~t rr`~~f: J'~c F'~ ~
Company r Cq~n
Expiration Date .
Approval
. . (i) Tldc permlCwas issued irta&oida~ ~
. . ReguFatlona~nd9ullding Cade dFVTl~e~l{~~~i0~~ra~~',
(2) Thlspamiftelieltexpfmit{A) ~xbtlc ~KK~4
' abam]onedru~~a"I?~1on,q~r2o~~~'~
(3) If this pehnll.expltes e trow Pertnit meY 66'~qulred tor`a,7
•aiiginafYNa r~saedNeaNw~sarkC@nYsCwPdnaa~oee4
eiiceeds one1!~rIutl fees sNatl 6eAald far a rbw(4) Noworkota~rym2ener8hallbedoneYhatwilld~nge :
(5) ContraclorehallnctHyMeBuildingtnsp@e~ortwenly- ~i
pmceedling y~ith successNe phases of Uiejob '
Sppt~6t ~NK~~~hdi
(8) '-The lesua o a p4 e tt
, provi ~7DP9nyc$fer'b~li~~~
ti
~ u
14,
Chief Building Ins cfor`~
Please sign Terni
NT
Buildiir
6933).1
i) -
~.-'iTY OF aHEnT DTn_r,E
.
~ ,.3 3:ii FM
n /Fe_^r FatL
6FCETF9 N0;016498
eflrn~•ti
r75D P11I1-DItiL FEFMTTS
640,00
F
FM j nPTu13 PLPYi fiF'."r4 F
d~ .)0
- n .lii...`~lllf +-E T>j,~
i;tn,nr
f-G>hi~~,~ CF."EI(7Fi1
F~.ItiT
i 4 i n
r 9Q
t,
i; .._.r1n
KEVIN ROBB
7003 W. 35`h Avenue
Wheat Ridge, CO
303-431-4251
December 19, 2003
Darin Morgan
Wheat Ridge Building Department
7500 W. 29t' Avenue
Wheat Ridge, CO 80033
Re: Gazage addition corrections
Dear Mr. Morgan,
Please find attached details to address the questions concerning the garage addition I am
proposing.
Please call me if you have any other questions.
Thank you very much.
Sincerely,
Kevin Robb
S'T12UC`I'UItAL CALCiTLA'TIC)NS
FoP: Mr. & Mrse Robb
By: Kgt'T Engineering
Ken Thom.pson PE
2171 South'I'renton V✓ay
Denver, CO 80231
303-755-3315
Yro}eot tvw,e: New Garmge WaIls & Opens
Project I,ocation: 7001 & 7003 Wzst 35th Avenue
Whrat Ridge, CO 80033
Date: (kfober 7, 2001
STRUCTURAL CALCULATIONS by KRT-ENG
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5'TRUCTUgIA,L CALCULATIOIoTS
For: Mr. & Nirs. Robb
By: K2T Engineering
Ken i'hompson PE
Z171 South'I'renton Way
,
Denver, CO 80231
3lD3-755-3315
ProjectName: New Garage WaBis e& Opens ~
Project Lacation: 7001 & 7003 West 35'h Avenur
Whcai Ridge, CO 80033
Date: tktober 7, 2001
\5
S'd'RUCTURAL CALCULATIONS by KR'T-~llleTT~
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Kevin & Diane Robb
7003 W. 35hAvenue
Wheat Ridge, CO 80033
303-431-4251
October 23, 2001
Darin Morgan
Wheat Ridge Building Department
7500 W. 29d' Ave
Wheat Ridge, CO 80215
Deaz Darin,
Eazlier this month we submitted plans for your review on a new attached garage at 7001
W. 35~` Avenue. This letter is to inform you that we have decided to delay this project
until neart yeaz. Please call if you have any questions. Thank you.
Sincerely,
Kevin Robb
Cr7C'Y OF WFHAT RIDG]E BUILD]LNG D][VISIO1V
Code Correction List
October 16, 2001
Owner: Robb
Builder: Owner
Address: 7001 W 35th Avenue
Description: New Attached Garage
~
~
1. Monolithic slab foundations are not permitted for structures exceeding 1000 sq ft in
size, provide an engineered frost foundation for the proposed structure.
2. The east wall of the structure is required to be constructed as a one-hour assembly
due to an S-3 occupancy and being located less than twenty feet from the property
line. Provide wall detail.
3. Provide a detail from your engineer showing how the wood top and bottom plates
are to be structurally attached to the steel framed walis.
4. Due to the occupancy of the structure being an S-3 garage, a full one-hour
occupancy separation wali is required between the house and the garage. The UBC
exception to allow 5/8 Type X drywall only on the garage side only will not be
permitted.
5. Provide an existing house layout with room uses indicated, window locations and
sizes to verify natural light, ventilation and egress are being maintained.
6. New smoke detectors that are A/C with battery back-up are required through-out the
existing house located per UBC requirements.
7. Label all outlets in the garage area as being GFCI protected.
8. Provide electric service information for the proposed garage and house.
9. Have your engineer provide a column / header attachment detail.
Please make these additions or corrections to the submittal and resubmit for review, if
you have any questions or comments please feel free to contact me at 235-2853.
Sincerely,
Darin Morgan
Codes Administrator
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 4746
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
Date : 3/20/97
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address : 7001 35TH AV
Phone :
Contractor License No. : 18622
Company : S.R.T. ELECTRIC CO
Phone : 477-3255
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value : $700.00
I hereby certify that the setback distances proposed by this permit application are accurate,
PBfil'tlt F28 : $45.00
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
ll
ti
ll
h
d
00
$0
ega
ons
measurements s
own, an
a
covenants, easements or restrictions of record; that a
.
Plan Review Fee :
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
Use Tax : $$.40
Code (U.B.CJ and all other applicable Wheat Rid e ordi nc , for work under this permit.
(OWNER)(CONTR4CTOR) SIGNED r' t R DATE 3-20' `Y
Total : $53.40
Description : CHANGE SERVICE TO 200 AMPS
Electrical License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
wjmm
(1) This permit was issued in accordance with ihe provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the 2oning
Regulations and Building Cotle of Wheat Ritlge, Coloredo or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within siMy (60) days from issue date or (B) the building authorized is suspentled or
abandonetl for a period of 120 tlays. -
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally requiretl, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (7) year. If changes are made or if suspension or abandonment
exceetls 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 naturel flow oFwaler causing a drainage problem.
(5) ConUac[or shall notify the Builtling Inspec[or hventy-four (24) hours in advance for all inspections and shall receive written approval on inspection cartl before
procee g with successive phases of fhe job. (6) The i u nce ofpermit or the approval of drawings and specifications shall not be wnstrued to be a permi[ for, nor an approval of, any violation of [he provisions
oFt b Iding pbdes or any otinier ordinance, law, mle or regulation. Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 -
Building Permit Number :
Date :
Property Owner : UA121~~- ~`-66b
Property Address : 700 t /r
Contractor License No. V
Company : ~ ~ ✓ ~/~~T /~/C ~ 0
Phone:
Phone :
OWNERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value :
I hereby certify that the setback distances proposed by this permit application are accurate, P@ffl'11t FEe :
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 Plan Review Fee :
made are accurate; that I have read and agree toabide by all conditions printed on this
application, and that I assume full responsibiliry for compliance with the Wheat Ridge Building Use T8X :
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE ~ Total :
Description:
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval:
Zoning :
6uilain_a..o me
Approvai:
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
IN
(i) This permit was issued in accordance with the provisions set torth in yopur application and is sub ect to the laws of the SWte of Colorado and to the Zoning
Re9ulations and Buildiny Code of Nfieat Ridge, Coloredo or any other applicable ordinances o( t~e Ciry. (2) is permit shall expire R(A) ihe work authonzed is no co
t mmence d within snAy (60) days trom issue date or (B) ihe buildin9 authonzed is suspended or
bandoned for a penod ot 120 Cays.
(3) If this permit expires, a new pertnit may be acquired for a fee of one-half ihe amount nortnally required, provided no changes have been or will be made in the
original plans and speciffations and any suspension or abandonment has not exceetled one (i) year. I(changes are made or if suspension or abandonment
exceeds one (7) year, full tees shall be paid for a new pertnit.
(4) No work of any manner shall be done that will change Ne natural Flow o( water causing a dreinage problem.
(5) Con[racror shall notify the Builtling Inspector lwenty-(our (24) hours in advance tor all inspeclions and shall receive written approval on inspection wrd 6efore
proceetliing with successive phases of the job.
(6) The issuance of a permit or ihe approval o( drawings and specifiwtions shall not be wnsW ed to be a pertnit for, nor an approval of, any violation of the provisions
of ihe building codes or any olher orUinance, law, rule or regulalion.
iief 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