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HomeMy WebLinkAbout7100-7110 W. 33rd Avenueu{Ir n%eya�q'o �yY 30 mp OM' VENT December 7, 2021 Daniel Losh Losh Contracting 9925 Harris St Thornton, CO 80229 loshcontracting@gmaiLcom (303) 515-13681 Dear Daniel Losh, The successful completion of your project is important to us! Equally important is the health and safety of you, your team, building occupants and any other party affected. As such, we bring both experience and diligent adherence to federal and state regulations in order to provide your organization with complete and accurate asbestos surveys for all your project needs. We strive to provide you and your clients with a pleasant, yet professional, experience all the way through your project duration. That means you can count on us for timely response and arrival for the initial asbestos inspection, adaptive turn -around times for delivery of your results and reports, and continuous consulting support thafs only a phone call away. From start to finish, you can count on us to bring you excellent service. This comprehensive report has been prepared for you with your goals in mind. Our aim is to encompass the thoroughness of our inspection in a concise, easy to read report that delivers inclusive results so your project can move forward with informed and accurate decisions. Please let us know how we can further assist the success of your goals. Thank you for choosing Advent Environmental Consulting! Sincerely, Dme Beasley, President Advent Environmental Consulting CDPHE Registration #: ACF - 22068 7830 West Alameda Avenue Suite 103 - 216 Lakewood, Colorado 80226 myteam@advent-enviro.com 720.675.7175 120121-DB4 VENT nvxoranental Consulting ASBESTOS INSPECTION REPORT 7110 West 33rd Avenue Wheat Ridge, CO 80033 Preoared for. Daniel Losh Losh Contracting 9925 Hams St Thornton, CO 80229 loshcontmcting@gmail.com (303) 51 5-1 36 81 Year Bulk 1976 Type of Propem Residential - Duplex Unit Type of Inspection NON-DESTRUCTIVE INVESTIGATION Reason for Inspection Remodel Regulations Satisfied 40 CFR 61 Subpart M Reg No. 8 Part B Prepared Bv: Advent Environmental Consulting LLC 7830 West Alameda Avenue Suite 103 - 216 Lakewood, CO 80226 1720.675.7175 CDPHE Asbestos Consulting Firm # 22068 myteam@advent-enviro.com ADVENT ENVIRONMENTAL CONSULTING 7206757175 98M West AbmWa Avenue Sufte 103-216 my m@a&entcnvimmm Lakemoc, Cdome SU26 w a"ntM nvko.com TABLE OF CONTENTS Section 1 - Project Snapshot 1.1 Project Site Summary 1.2 Sampled Materials Summary 1.2.a Asbestos Hazard & Damage/Potential Damage Indicator Section 2 - Inspection Photos & Sample Locations Section 3 - Asbestos Content Summary & Recommendations 3.1 Regulatory Overview 3.2 Project Results & Recommendations Section 4 - Purpose Section 5 - Comments & Limitations Glossary Appendix A - Laboratory Report Material Result ACM Asbestos Containing Materials Material Condition G Good D Damaged SO Significantly Damaged Material Material T� LAI F -SM Friable -Surfacing Material F -TSI Friable -Thermal System Insulation F-MISC Friable -Miscellaneous NF -TSI Non -Friable Thermal System Insulation NF-MISC Non -Friable Miscellaneous NEI Non -Friable CategoryI Sample Locations N North S South E East W West Other Acronyms LAI Limited Asbestos Inspection PPE Personal Protective Equipment SFRD Single -Family Residential Dwelling VENT Material Codes CMS CMU Sealant CT Ceiling Tile DT Duct Tape/Wrap DW Drywall FTM Floor Tile Mastic JC Joint Compound MA Miscellaneous Adhesive MS Miscellaneous Sealant OT Other Material PI Pipe Insulation PL Plaster RSG Roof Shingle RSH Roof Sheeting RSL Roofing Sealant SVF Sheet Vinyl Flooring SM Surfacing Material WG Window Glazing BBA Baseboard Adhesive CA Carpet Adhesive CB Cove Base ADVENT ENVIRONMENTAL CONSULTING 7206757175 7830 West Alameda Avenue Suite 103 - 216 nowam@aMentcnvim.mm wwky anveneemAro.com Lakewood, Colorado 80226 kvla Section 1 - Project Snapshot Fxwseuse this section Nsernaqui oversaw ofthe a,rieetarmdei about 1. 1 Project Site Summary IInspecfeOmatealsDeraledAdlynvlifoibwfurfrerinrotherepar Project Address: 7110 West 33rd Avenue Wheat Ridae CO 80033 She Contact: Vacant Type of Property: Residential -Duplex Unit Inspection Dale: December 1, 2021 Reason for lnsoection: Remodel Basement finish - Unfinished basement will be modified with new rooms and finishes. Existing, finished bathroom in the basement, may be impacted during the build nut No suspect materials were identified throughout the basement, except in the bathroom. 1.2 Sampled Materials Summary Your Inspector: orue Beasley CO Carl #: 18325 ID Description of Sampled Condition Hazard Appel. # of Material Result I M 00all(s) Basement I Rating OuanOty" Samples SM1 Textured Drywall Bathroom Walls and Ceilings F -SM Good Low 180 ft2 3 ACM Ji Joint Compound of SM1 Bathroom Walls and Ceilings F-MISC Good Low 180 his 2 ACM To al: 5 1.2.a Asbestos Hazard & Damage/Potential Damage Indicator Materials in good condition with a low hazard rating are in normal condition with no indication of previous damage or potential for future damage. scope of work into other areas of the property. "Approximate quantities are used by inspector to determine number of samples to collect per regulatory, requirements and should not be usedfor purposes otherwise. See Glossary (identifying Homogenous..) for more details. ADVENT Www AbnnO MvenwSONSULTI16 kt )20615)1)5 993E NT EAbmeda ENTM- ONSU TINGmy ac"nt a ro.aimmm Lakewom, cdoam aozzsww,..adventvent .num Section 2 - Inspection Photos & Sample Locations Please note: Any joint compound (Material Code JC) samples on this report, are typically pall of a shed, textured wall or ceiling system with texture samples (Material Code SM). The texture and joint compound, from the same wall or ceiling, are sampled separately, but may be represented by the same picture. The overall asbestos candent, for a material with multiple samples, is the highest result in the sal Material Code: SM1 ACM Description: Textured Drywall Class: F -SM Condition- G Hamm: Low Material Code: JC1 ACM Description: Joint Compound of SMI Class: F-MISC Condition: G Hazard: Low ADVENT ENVWONMENrw CONSULTING / w )20.6)5.)95 ADVENTslAbmeN Avence Suite ONSU-216 mr�m to ror.lm.mm �sewom, cdoam arms ,�NT w rn@a&erto.mm Section 3 - Summary & Recommendations 3.1 Regulatory Overview Any material with an asbestos content greater than 1% that is friable or will become friable during work activities is considered a regulated asbestos containing material (RACM) by both the Environmental Protection Agency (EPA) and the Colorado Department of Public Health and Environment (CDPHE) due to its potential to release hazardous asbestos fibers, polluting the air. g the amount of RACM that will be impacted during work exceeds trigger levels, it must be removed by a certified asbestos abatement contractor prior to beginning work. Initial results are generated from a visual estimate by the analyst and could differ with a more accurate analysis known as point counting. Any friable material sample identified as having a trace (equal to or less than 1 %) amount of asbestos, must be considered a RACM unless verified by point -counting to be equal to, or less than 1% and, in fad, a trace material. For materials with a set of multiple samples (i.e. SM with 3, 5, or 7 samples) the asbestos content is whatever the highest result is out of the set; therefore, if one result of a material with multiple samples is trace, but another result of the same material is 3%, then the 3% result supersedes the other results for regulatory and asbestos management purposes. 3.2 Project Results & Recommendations Asbestos -Containing Material Materials with an asbestos content greater than 1% have been identified. Please do not disturb asbestos - containing materials in any manner that would damage, break, crack or otherwise risk the possibility of asbestos fibers releasing from the material, contaminating the air, and creating hazardous exposure to asbestos fibers. Asbestos -containing materials in non -school buildings do not have to be removed simply because they Contain asbestos, or managed in a way that would prevent accidental disturbance; however,'d a friable asbestos - containing material will be disturbed, ora non -friable asbestos -containing material will be disturbed in a manner that will render it friable, or otherwise damage, break, crack or risk the possibility of asbestos fbers releasing from the material, contaminating the air and creating hazardous exposure, it must be managed by a certified asbestos abatement contractor approved by the Air Pollution Control Division to manage asbestos. ADVENT ENCONSULTING ]206]5]1)5 7 8MWWAbmipJa Avenw Suite mymyleemvem "ntmentt!) ro.erim �wo. ,_mm sem, cdoam aozzs ,�NT w Section 4 - Purpose The purpose of the inspection was to verify the absence or presence of asbestos in the building materials included in the project scope of work which may be disturbed during work activities to determine if asbestos management and notification is required prior to beginning work. The property located at the site address identified in this report was inspected by a building inspector trained by an approved EPA, Asbestos Hazard Emergency Response Act (AH ERA) training organization and certified by the Colorado Department of Public Health and Environment. During inspection, the inspector inspected and assessed suspect building materials, pursuant to the EPA "Green Book," Managing Asbestos in Place, Appendix G (1990), described by the client to be affected during demolition or renovation which would need to be sampled and analyzed for the presence of asbestos prior to commencement of work activities that would break, crack or otherwise damage the materials) in a manner that could allow asbestos fibers to release from its compound. This inspection was conducted in accordance with applicable EPA National Emission Standards for Hazardous Air Pollutants (NESHAP) 40 CFR Part 61, Subpart M and/or CDHPE Colorado Regulation Number 8 Part B - Asbestos (Reg. 8). Samples were submitted to a laboratory accredited under the National Voluntary Laboratory Accreditation Program (NVLAP) to be analyzed for the presence of asbestos. The NESHAP standard for asbestos states that the owner or operator of a demolition or renovation activity involving asbestos must remove all such material from a facility being demolished or renovated before any activity begins that would break up, dislodge, or similarly disturb the material, or, preclude access to the material for subsequent removal. Section 5 - Comments 8 Limitations The inspection of the site address listed at the beginning of this report was limited to only specific materials of the project scope of work as directed by the client. The limitation of the inspection also includes only portions of a material sampled as identified in the location and quantity sections of this report and any material beyond the specified quantity should not be considered adequately sampled to represent the entirety of the material. Additional samples may be needed to represent materials outside of the work Scope even if they are included in this report. Quantities listed in this report (Section 1 - Project Snapshot) are approximate quantifies of the amount of material that will be included within the scope of work based on information gathered from the client. This approximate quantity is used by the inspector to determine the amount of samples to collect respective to the regulatory requirements outlined in the Identifying Homogenous Areas 8 Sampling section of the Glossary. Contractors using this report should gather more accurate measurements before drawing Conclusions of subsequent work activities. In order to collect samples, various marks, cuts, breaks or other slight damage to materials may be required. In order to prevent damage extending outside of the work scope, samples were collected in client designated areas of remodel/renovation which the client will remove during work activities. This is done so that damage created by the inspection will be removed with the bulk removal in the work scope. Alternatively, samples were collected in Inconspicuous, hidden places to avoid unsightly damage. The best possible measures were taken to collect the minimal amount of materials necessary, to get accurate results, in the most inconspicuous places possible; however, no guarantee is made that the conditions exist to prevent visible damage. ING ADVENT Wixt ENVIRONMENTAL verw Sure 103- 216 / w ]206]5]1)5 ]aao West Alameda ENTAL ONSU -416 myreem@emlm ke, cdoam arms !)Aro.�m�m�m`�NT AEC and its consultants, partners, agents and employees shall not be liable to the client for any materials damaged, during the rendering of services by the AEC. Additionally, AEC shall not be liable to the client for any materials damaged, during work activities subsequent to the services rendered by AEC, which were not property inspected by AEC. Finally, AEC shall not be liable to the client for any special or consequential damages, including but not limited to, lost profits, loss of use, or any other cause whatsoever. Any compensation to the client for damages shall not exceed the total compensation received by AEC from the client. Although diligence was used to inspect and sample all materials within the work scope, there may be additional materials not covered in this report discovered during gross removal which may need to be sampled. If additional, suspect materials are discovered which are not covered in this report, please contact AEC prior to disturbing them to have them property sampled. ANY MATERIAL NOT PROVEN TO BE FREE OF ASBESTOS SHOULD BE ASSUMED TO CONTAIN ASBESTOS UNTIL PROVEN OTHERWISE. This report, including any other documents attached hereto or referred to herein, which form a part hereof, embodies the entire agreement and understanding of the parties hereof including, but not limited to, any verbal or written agreements) made prior or subsequently to the preparation of this report. This report may not be amended except in writing signed by a duly authorized representative of the respective parties. The receiving party shall not alter, modify, decompile, disassemble, ravens engineer, translate or create derivative works from this report. The receiving parry shall use this report only for the limited purpose descrbed above and not for any other purpose. The asbestos inspection was conducted in a manner consistent with the degree of care and skill ordinarily exercised by and consistent with the standards of competent consultants of the asbestos inspection profession. The results, findings, conclusions and recommendations expressed in this report are based on conditions of the specific areas, defined by the client, observed during the time of the limited inspection. 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. Advent Environmental Consulting 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. Respectfully Submitted, Drue Beasley, CO Asbestos Building Inspector#18325 Advent Environmental Consulting CDPHE Business Registration #: ACF - 22068 7830 West Alameda Avenue Suite 103-216 Lakewood, Colorado 80226 myteam@advent-enviro.com 720.675.7175 ADVENT aimNVmxla Awnw CONSULTING / w ]206]5]1)5 ]9aoweslA6meN Avenue $Yik SULTING my "nmeAro. �,_mm "keYmm, cdomm arms ,�NT vmm.savemeexorvim GLOSSARY Material Friability These categories were used to determine methods for assessing suspect materials based on their friability and ability to release harmful asbestos fiber i.e. finable materials are more likely to release asbestos fibers. 1. Friable (F) - materials that can be crumbled or reduced to powder by hand pressure. 2. Category I Non -Friable (NFI) - 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 (NF) -All other materials that cannot be crumbled or reduced to powder by hand pressure that do not include category I non -triable materials. Material Type AHERA and Reg 8 require building inspectors to categorize the type of suspect building materials into one of three categories: 1. Surfacing Material (SM) - a material that is sprayed on, troweled on, or otherwise applied to surfaces, such as acoustical plaster in ceilings and fireproofing materials on structural members, or other materials on surfaces for acoustical, fireproofing, or other purposes. 2. Thermal System Insulation (TSI)- a material applied to pipes, fittings, boilers, breaching, tanks, ducts, or other interior structural components to prevent heat loss or gain, or water condensation, or for other purposes. 3. Miscellaneous (MISC) - an 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. Friability and material type categories for each material inspected are reported with their respective friability and type codes (e.g. F -SM, F -TSI, NFI, etc.). Non -friable category II materials are identified with non -friable code (NF) and the type code for the material (e.g. NF -SM, NF -TSI, NF-MISC). Identifying Homogenous Areas & Sampling Homogenous areas of each material are identified within the work area. Homogenous materials are grouped based on color, texture, and date of application. These materials are then given an approximate quantification of removal or disturbance during work activities to determine the amount of samples to take for each material as defined by AHERA and Reg. 8: 1. Surfacing materials • Minimum of 3 random samples for quantities under 1,000 fl° • Minimum of 5 random samples for quantities >1,000 W & <5,000 ft2 • Minimum of 7 random samples for quantities>5,000 ft2 2. Thermal system Insulation • Minimum of 3 random samples for all TSI `except patches <6 linear ft. or 6 ft2 3. Miscellaneous materials • Minimum of 1 sample ADVENT WW AbmWa Avenw CONSULTING / w mffi m@a& ]830 Wes1ke moc, dom Su8e 103-216 'Fla myleam@aMen[cnvimmm LakevwW, Cdoada 80236 wwx.alveMenWo.com APPENDIX A - Laboratory Report SEEML Reference Number: 211202009 -PLM Date Issued: 12/02/21 Southeast Environmental Microbiology Laboratories 102 Edinburgh Court SEEML Labs Phone: R°3'W Phonne.e:(RM) 233659900 Pae: (864)233-6589 Asbestos Analytical Report By: Polarized Light Microscopy This report has been prepared for Advent Environmental Consulting the information and data has been checked for thoroughness and accuracy. The results reported apply only to the materials as received. The documents(s) contained herein are confidential and privileged information intended for the exclusive use of the individual or entity named above. This report shall not be reproduced except in full without SEEML's approval. Client Project Name: 120121-DB4 The Following report was prepared using this test methods) contained within this document. ® PLM Bulk Asbestos Either Analysis: EPA 600/R-93/116 ❑ PLM 400 Point Count (<0.25%) EPA 6o0/R-93/116 ❑ PLM 1000 Proud Count (<0.1%) EPA 6008-93/116 ❑ PLM Carb 435 Level A Reporting Limit (<0.250/*) ❑ PLM Carb 435 Level B (Reporting limit <0.1%) ❑ PLM by EPA/6008-93/116 with Milling Prep 4W Point Count ❑ PLM Vermiculite Initial Screening EPA 600R-93/116 ❑ PLM Cincinnati Method 600/R-04/004 (Amphibole Only) ❑ PLM Vermiculite Method SOF-V 198.8 (Step 1 Chrysofile& Prep) ❑ PLM Vermiculite Method SOF-V 198.8 (Step 2 (Amphibole) Thank you for choosing SEEML Labs. We strive to provide superior quality testing, analytical dam and customer service. SEEML is accredited through the National instimm of Standards and Technology (NIST) National Voluntary Accreditation Program (NVLAP) for bulk asbestos analysis LAP ft 201031-0) and licensed by the Texas Department of State Health Services (License Noakes: 300494). This report must not be used to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the IIS government. Firm ns Rev. ] 0511120 Pape 1 d2 Southeast Environmental Microbiology Laboratories - Asbestus Division 102 Edinburgh Court Greenville, SC 29607 SEEM Labs Phone: 864233-3]]0, Fax: 864-233-6589, vnva.seeml.com NVLAD lab 1D:201031-0 Texas Lic: 300474 PLM Asbestos Bulk Sample Summary Client: Advert Evimonmental Consulting Drue Beasley ]830 W. Alameda Ave. Suite 103-216 Lakewood, CO 80226 720-675-7175 Date Sampled: 12/01/21 pate Received: 12/02/21 Date Analyzed: 12/02/21 Date Reported: 12/02/21 Date Revised: Project Name: Project No: 120121 -DM Analyzed by: Jayson Dunn Project Address: 7110 W 33rd Ave City, State. IIP: Wheat Ridge, CO 80033 Methodology: Epn/500/X-93/116 willwut emvervaly SEEML Ref#: 2112021)09-0LM Lab Mo.: %Asbestos type We Fibrous Non- AFMstoa Material Type %Non -Fibrous Materal Description/Location allen No: MW 3%CM1rymtile None De[ectetl 98%Dintler/Filler Te#nR SMl-1 0168 Mone Detected ID%Cellula=e 911%GyMin Drinew 5113-1 o47A 2% Chimaera None Deisal 98%Bincer/Bluer Texture 5141-2 at Mone Imerial ID%Celluuase 90%Gypsum Drywall 5141-2 MBA 3%Chry le I Nm:e Detechtl 98%Binder/Eller Tevlure SM, -3 MBB Nam Detected 10%Cellulose 90%Gypeum Upvall SM1-3 Mal 3%Chrysotile None Deleced 97%Bincer/Rller Jam Compound 1C1-1 03" 3% Detestable None Darted 97%Bincer/Rller Jam Compound 'Cl, Approved By: Jayson Dunn In The mount a this mount she apply to the make., NO mmpiev am tested u national a patiory Sued. We enN reeemmendmsxvmwe ax nmpee rwmrwinmswn:f amyl rammed 47M or lantAmpless. Inhummumnernme samples are Why trim hommeners normal analysedandshwn ruo mmat nnamm I al, is less than 1% unless pent countim is purforined Floor tile zmpn mr<vremnt amvsmamzr:aena m FIlad xn Sammmunded that mz sa�ie trsurym1 a owlect apmcountanappas to Forms the dreachican and and W aid in asbestos adentafication roan o-0 xe.. a wasiw Pape 2 of 2 "'All work shall comply with the 2018 IRC, 2020 NEC and City of Wheat Ridge Municipal Codes" ,w"°•rq "Approved constructign plans, and ducumBnts shall be on-site for all inspections. "Work shall not be covered or concealed without inspection. o -� lli e Al 1 a�' i�•eorwr7s m� rnYll L'I' K.con 2�c¢ L.IYq.I R•II -'N�? 6a'fi'z Comb a reitulr M WW raosi v '•. E I �S7L 2 IJZe aa6 If uccotao antic a AT ft'n r-�W-dai 2sa '=JC O y�15f5- G6rL11.�JaISj'S I�'I✓'IN EXQWIsp lli e Al 1 N U w s ,Eo p U � 3 C w lion Air as N F per Mi 701 t P24 V �I x a�- S Bathroom updates new shower valve, IA��EXIZ(I116 wall tile etc. —.� ��• UUC.( .JOI No demo due to asbestos. wntector not to disturb only encapsulate (cover over existing drywall) I YV rnYll L'I' K.con Comb a reitulr M WW raosi v '•. E I �S7L 2 antic a 2sa '=JC O M 4 RP�ia-aC p JI 2 rJet.( 6NwF - I NWpRa_ �r- N U w s ,Eo p U � 3 C w lion Air as N F per Mi 701 t P24 V �I x a�- S Bathroom updates new shower valve, IA��EXIZ(I116 wall tile etc. —.� ��• UUC.( .JOI No demo due to asbestos. wntector not to disturb only encapsulate (cover over existing drywall) -Interior partitions erected on concrete slab on grade must deal with deflecfion 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 •1st Floor fire protection of floors shall comply with R302.13 -Bathroom lighting ventilation shall comply with R303.3 -Bathtub and shower spaces per R307.2 and P2710 -Showers shall comply with P2708 -Minimum Ceiling height shall be 7' or accordance with section R305.1 & R3g5.1.1 -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 R31d.2.2 -Carbon Monoxide Alarms shall comply with R315.2.2 tJ54J tI. T?WAJ- f -.`N y6ilt �.d January 16, 2018 In Regard To: 7100 and 7110 West 331d Ave Wheatridge, CO 80033 Re: Mule -Hide Warranty Inspections Mule -Hide Products Co., Inc. is in the business of distribution of commercial roofing materials and offers a warranty program that includes Material Only and Labor and Material Warranties for products provided by Mule -Hide. Projects that are not warranted or where a Material Only warranty is requested are not inspected. While there are various commercial roofing products and materials that are regularly used in residential applications, Mule -Hide does not inspect roofing systems or materials installed in single-family residential roofing applications. Mule -Hide inspects projects where a Labor and Material Warranty is requested to determine if they meet our criteria for warranty when installed by a Mule -Hide eligible contractor. Mule -Hide single ply roof membranes and accessories are commodities sold through distribution to professional contractors and it is not unusual for a contractor to purchase and install any number of different manufacturer's products. In checking our project database Mule -Hide has no record or specific knowledge of the installation at your residence. The only manufacturer's warranty offered by Mule -Hide Products Co. at the time of purchase for residential projects is a 1 -Year Limited Membrane warranty printed on the Mule -Hide Product packaging. Other limited material warranties with extended terms are available when registered with Mule -Hide Products. When a Limited Membrane Material Warranty is requested, warranty eligibility as a contractor is not necessary and an inspection is not offered or conducted by Mule -Hide as Mule -Hide is warranting only that the roof membrane(s), shall be free from manufacturing defects and will not prematurely weather to the extent it will not maintain a water -tight condition. A Limited Membrane Material warranty does not provide coverage for workmanship of a contractor. Complete specifications and details are available on the Mule -Hide Products Co., Inc website at www.mulehide.com. If you have any questions or require further assistance, please contact me at (800) 218-7838 Ext. 6824 Sincerely, �dm L ?Ami,4*ir— Ryan L. Parrish Technical Services Administrator Mule -Hide Products 0:608-361-6824 Ryan. Parrish (a)Mulehide.com Mule -Hide Products Co., Inc. National Support Center 11195 Prince Hall Drive, Beloit, WI 53511-5481 1 tel. 608.365.3111 1 fax. 608.365.7852 030-3- 4z2- 41�s 30"3 - q. 6-7 - 201 V ��: C�� SV14 t ,-W PERMIT: Avq0g��- ADDRESS: JOB CODE: INSPECTION RECORD LAM% Inspection online form: http://www.cl.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 AA tl� Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business P600 Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS 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 Roof410 Final 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. January 16, 2018 In Regard To: 7100 and 7110 West 33 d Ave Wheatridge, CO 80033 Re: Mule -Hide Warranty Inspections Mule -Hide Products Co., Inc. is in the business of distribution of commercial roofing materials and offers a warranty program that includes Material Only and Labor and Material Warranties for products provided by Mule -Hide. Projects that are not warranted or where a Material Only warranty is requested are not inspected. While there are various commercial roofing products and materials that are regularly used in residential applications, Mule -Hide does not inspect roofing systems or materials installed in single-family residential roofing applications. Mule -Hide inspects projects where a Labor and Material Warranty is requested to determine if they meet our criteria for warranty when installed by a Mule -Hide eligible contractor. Mule -Hide single ply roof membranes and accessories are commodities sold through distribution to professional contractors and it is not unusual for a contractor to purchase and install any number of different manufacturer's products. In checking our project database Mule -Hide has no record or specific knowledge of the installation at your residence. The only manufacturer's warranty offered by Mule -Hide Products Co. at the time of purchase for residential projects is a 1 -Year Limited Membrane warranty printed on the Mule -Hide Product packaging. Other limited material warranties with extended terms are available when registered with Mule -Hide Products. When a Limited Membrane Material Warranty is requested, warranty eligibility as a contractor is not necessary and an inspection is not offered or conducted by Mule -Hide as Mule -Hide is warranting only that the roof membrane(s), shall be free from manufacturing defects and will not prematurely weather to the extent it will not maintain a water -tight condition. A Limited Membrane Material warranty does not provide coverage for workmanship of a contractor. Complete specifications and details are available on the Mule -Hide Products Co., Inc website at www.mulehide.com. If you have any questions or require further assistance, please contact me at (800) 218-7838 Ext. 6824 Sincerely, ��m L ?ARRt,4f- Ryan L. Parrish Technical Services Administrator Mule -Hide Products 0:608-361-6824 Ryan. ParrishCJMulehide.com Mule -Hide Products Co., Inc. National Support Center 11195 Prince Hall Drive, Beloit, WI 53511-5481 1 tel. 608.365.3111 1 fax. 608.365.7852 i CITY OF WHEAT RIDGE _:�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax I,NJSPECTION NOTICE 7 Inspection Type: k F Job Address: -7/00 W 33 t Permit Number: rr Dl70 M9 ❑ No one available for inspectio me ��� AM/PM fL S l Re -Inspection required: Yeso When corrections have been made, c or re -inspection at 303-234-5933 Date:—(r l Inspector: MT /y 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: 306 � � ` % 140 Job Address: 7100 w _33"'t'?cam Permit Number: 20170 7 �29 ❑ No one available for inspection: ime I � ,�y AM/PM Re -Inspection required: Yes o When corrections have been made, call for re -inspection at 303-234-5933 Date: /l .3d I Inspector: rl re ► V DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line ' (303) 235-2855 Office • (303) 237-8929 Fax F INSPECTION NOTICE Inspection Type: M -1 too Job Address: Permit Number: V��sLti/ , 6 A-/�✓ o/ V ❑ No one available for inspection: Time AM PM rN Re -Inspection required: Yes No When corrections have been made,call f re -inspect' n at 03-2 4-5933 Date: 02b/1'1_lnspector: DO NOT REMOVE THIS NOTICE IV ► ! City of Wheat Ridge Residential Roofing PERMIT - 201707598 PERMIT NO: 201707598 ISSUED: 09/22/2017 JOB ADDRESS: 7100 W 33rd AVE EXPIRES: 09/22/2018 JOB DESCRIPTION: Residential Re -roof at 7100 and 7110 W 33rd Ave to install TPO/EPDM WITH ROOF DECKING - 25 sq (flat only) Pitch = 1.5/12 *** CONTACTS *** OWNER (303)907-2018 ARCHER DOROTHY R SUB (720)940-6184 Juan Castillo 160035 Juan Castillo Ent. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,378.13 FEES Total Valuation 0.00 Use Tax 175.94 Permit Fee 188.45 ** TOTAL ** 364.39 *** 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 100:9r Residential Roofing PERMIT - 201707598 PERMIT NO: 201707598 ISSUED: 09/22/2017 JOB ADDRESS: 7100 W 33rd AVE EXPIRES: 09/22/2018 JOB DESCRIPTION: Residential Re -roof at 7100 and 7110 W 33rd Ave to install TPO/EPDM WITH ROOF DECKING - 25 sq (flat only) Pitch = 1.5/12 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 al'a p,icab' applicablmunicipal 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 perormeisdisclsed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2, This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalppermit 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 arequired 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 or an approval of, any violation of any provision of any appl 1ble code or any ordinance or regulation of�sdictior9.�Ap al o work is subject to field inspection. Signature of Chief Building Official i ,rDate ' REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. a tum t„ omiliu 13224 ColumMee Ci Thomm C+�batado 4:a ] Dorothy . ether 3W0 Ma,rshsl $. Wheat lk4r., CO SM33 H 303423-015rp 303-907-21136 Job address: SW 12, 2017 7 =31 10 well dd'" Ave wvwat IWIO, Co 1w33 Tenn Smth (jpm for Ivan Cas440 Entorprues) cp 303 855,6490 At: A►ssistanm with tompktf roUf rep4Cl Wrvt at abOvO addrtM this will ifK (rade: * sear ori read bitumen root and scrape W dock sod debres tiea:n up ante harm off * Remove drip edtte * Injullation of tata+hj Adhered 60ma €pOM roof over nrw Densdeck foot dec* far class A fire ratsng a Ww drip edge atoll gabl" • New drip edge at gutters a R and A ipGt boot for rlec`i -2 + ptgetai Saielkte "em del&& and reset • 2 t N# W pipe tacks- 6 R and R rmf nems - a ® Rand R exhauat tap 2 - 6-:r New Ne tip, lark and storm COLI rr as needed 3 - S All flasNegs painted to thatch roV « R and IA %hake tap shonglles only - heave All materUll ons! quality Of labor will meet or exceed the requirements Of Ow City Of Wheat Ridge for roof repfacoment. Roof Cost Eleiposit to start wr0A rs to 40 $3500.00 Balancd due atter completion and all required insimt+ons passed; $3500.00 If you currently have arty Dish netw <wk dMes an the house, they may haute to be tuned by Dish after the roof Is Irtstailee and they may tharit for this service. Dane Lovett Z 017 o7 �q U From: no-reply@ci.wheatri dge.co.us Sent: Tuesday, September 19, 2017 3:48 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Duplex are on the property? PROPERTY INFORMATION r) Property Address 7100,7110 west 33rd Ave Property Owner Name Dorothy Archer, Vincent Archer, Martha Dell Property Owner Phone 303-907-2018 Number (enter WITH dashes, eg 303-123-4567) 117 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 IMG 4746.JPG Contract CONTRACTOR INFORMATION Contractor Business Juan Castillo Enterprises Name v`, l Contractor's License 160035 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 720-940-6184 13224 Columbine Ct. Thornton, CO 80241 Contractor Email Address orioles11juan@aol.com Retype Contractor Email orioles11juan@aol.com Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or 25 squares r i Yes / Flat roof (less than 2:12 pitch) 118 both? (check all that apply) What is the pitch of the FLAT roof? How many squares are part of the FLAT roof? Describe the roofing material for the FLAT roof: Type of material for the FLAT roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 1.5/12 25 60 mil EPDM over Dendeck for class A fire rating as required by Wheat Ridge inspector TPO/EPDM duplex SIGNATURE OF UNDERSTANDING AND AGREEMENT 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. I understand that this 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 may not begin on this property until a permit has been issued and posted on the property. I certify that I have been authorized by the legal owner of the property to submit this application Yes Yes Yes Yes 119 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 Juan Castillo Email not displaying correctly? View it in your browser. 120 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - (303-234-5933) CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Building Permit Number Date 15752 6/25/2003 Property Owner: Praperty Address Contractor License No. Company DOROTHYARCHER 7100 W 33RD AVE 21438 YK ELECTRIC, LLC OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certity 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 Rid9e or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.CJ and all other applicable W he~ {t,'f-tidge~ o/rt~/'qaynce~/s,.f,o,r~ w_ork under this permit. (OWNER)(CONTRACTOR) SIGNED d~'~~DATE~C--?9,0 Description : SERVICE CHANGE Plumbing License No : Company: BUILDING DEPARTMENT USE ONLY Zoning CommentSIC : Sq. Ft. : Approval: Zoning : cz n ~~uiicltng Comments~i Approval : Publrc Works~Coqimenfs~ Approval: Occupancy : Walis : Roof : Stories : Residential Units : Electrical License No : 21438 Company :YK ELECTRIC, LLC Expiration Date : 2/28/2005 Approval : OK/KS Expiration Date : Approval: Phone : 422-4515 Phone: 303-419-7849 Construction Value : $1,300.00 Permit Fee : $62.31 Plan Review Fee : $0.00 Use Tax : $15.60 Total: $77.91 Use : mo Mechanical License No : Company: Expiration Date : Approval : (i) This pertnit was issued in accordance with the pmvisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge; Colo2do or any other applicable ordinances of the Ciry. (2) - This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issuedate or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans andspecifications and any suspension or abandonment has not exceeded one (7) year. If changes are made 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 4e done that will change the natural Flow of water causing a dreinage probiem. (5) ConVactor shall notify the Buiiding Inspector lwenty-four (24) hours in advance for all inspections and shali receive written approvai on inspection card before proceediin with successi e phases of the job. . (6) The iss nc of a r ihe approval of drdwings and specifcations shall not be consirued to be a permit foL nor an appmval of, any violation of the pmv" s th d n codes an~other ordinance, law, mle or regulation: i Chief Building In pector CODIMUA'ITY DEVELOPMENT DEPARTMENT Building Permit Number: CE WHF4T r BUILDIAG INSPECTION LINE - 303-234-5933 Date: CITY OF WFIEAT RIDGE U m 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-~285~5) ~y ~OC Oft F0~ ,f~ ,~PL1 L.ifl TIO/1 V PropertyOwner: J)020+t^-t 42CI-fGJ/2 7/~o u~ ~a~ 1Zr~ ~,c- , c a ~-o0 33 Property Address: Phone p 3 ~ a a_ 9 S/'j Convactor License No.: a/ `F 3 campany: yK C-(-eC~7 rzrC- Phone: 3p3-4/9-7,?,# t3 ON'NER/CONTRACTOR SIGNANRE OF tiNDERSTANDI\G AND AGREEA7EN7 1 hercby cenify tha[ the setback dismnces proposed by this permit application are accurate, and do not violate applicable ordinances, mles orregulations of the City of Wheat Ridge or covcnants, easemenis orres[rictions of record; Ihat all measuremenis shoNvm, and allegations made are accunte; that 1 have read and agree to abide by alt conditions pnnted on this application and that 1 assume full responsibiliry for compliance w4th the Wheat Ridge BuildingCode (U.B.C) and all otherapplicable Wheat Ridge Ordinances, for work under this pefmii. (O\iTERHCOTTRACfOR):SIGNED DATE0 "G•`,?R Construction Value:$ Permit Fee:$ Plan Review FeeS Use Tax:$ Total:$ (0WNER)(CON7RACTOR): PRINfED DATE DESCRIPTION: /i C~<7d~~ ~5- cr BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: 20NING COMMENTS: ApprovaL Zoning: BUILDING COMMENTS: Approval: PUBLIC WORKS COMMENTS: Approval: Occupancy: Walls: Roof: Stories: Residenaal Units: Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date: Expiration Date: Expiration Date: Approval: Approval: ApprovaL (1) This yertnit wu issued in accordance with the prodsions set forth in wur application and is subjm a'he laws of the Sute of Colorado and to the Zoning Reguktions and Building Codes of N'Lpi Ridg<, Colondo or mp' othcr applicable ordinanccs of Ih< Ciry. This petmit shall expirt if(A) the work aulhoriztd is nol commenced within sixry (60) d.iys fiom issue dale or (B) the building amhorized is suspttid<d or abandoned for a period of 120 days. (3) lf this permit exyiees, a new yemiit may be acquired for a ke of ono-M1alf 16e amounl normally required, provided no changes have bttn or xill M made in iLe origiml ylans and speeifintions and vry smpmsion or abandonmrnt hss not exceeded one (i) year. If changes hav< bcen or if surycnsion or . . a6andonmenc euttdc one (1) year. fiJI far shall be yaid for a ocw permit (5) No work of any manner shall be done that uill change IM naaral tlow of watn causing a dninage yrobkm. (5) Contractor sha0 notify the HuiWing Lispector lwmry-[ow (24) hours in advantt Cor aIl imyecaons and sM1all rtceiv< wriaen appmvai on inspectlan card before proceeding with successive pM1ases of thejob. (6) The issuance ata prnnit or tM1e ayymval of dlawings and specificadons shall not be <onstrued to be a persnit for, nor an appro.al of, any 1doiarion of the pmvisions of the building codes or any otAtt ordirunce, law, rule or regulation. . _ . . . . Chief Building Inspector COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 15768 BUILDING INSPECTION LINE -(303-234-5933) Date : 6/30/2003 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) PropertyOwner: DOROTHYARCHER Property Address : 7110 33RD AVE Phone : 422-4515 Contractor License No. : 21438 Company : YK ELECTRIC, LLC Phone : 303-419-7849 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $1,200.00 I hereby certify that the setback distances proposed by this permit applicafion are accurate, and Permit Fee : $58.34 do not violate applirable ordinances, rules or regulations of the City of Wheat Ridge or 00 $0 covenants, easements or restrictions of record; 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 Use Tax : $14.40 application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat idge or inancwork under this permit. - (OWNER)(CONTRACTOR)SIGNED L DATE ~ `O Total: $72J4 Use : Description : 200 A SERVICE CHANGE BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : omm.'e„nts; Zon,ing C ` Approval : Zoning : Bu~ltl,i~ng Comr~ents:~ Approval : BG Public~WorkstCommen`Y Approval : Occupancy : Walls : Roof : Stories : Residential Units ; Electrical License No : Company: Plumbing License No : Company : Mechanical License No : Company : Expiration Date : Approval : Expiration Date : Approval : Expiration Date : Approval : (1) This permit was issued in accordance with the provisions set foAh in yopur application and is subject to the law,s of the State of Cobrado and to the Zoning Regulations and Building Code of Wheat Ridge, Colo2do or any other applicable ordinances of the City. (2) This permit shail expire if (A) the work authorized is not commenced within sia1y (60) days fmm issue date or (B) the building authonzed is suspended or - abandoned tor a period of 120 days. (3) If ihis permit expires, a new permit may be acquired for a fee of one-half the amount normally required, pmvided no changes have been or will be made in the originai plans and specifcations and any suspension or abandonment has not exceedetl one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shali be paid for a new permit. (4) No work of any manner shall be done that will change lhe natural flow of water causing a drainage problem. (5) Contractor shall notify the Buiiding Inspector twenty-four (24) hours in advance for all inspections and shall receive written appmval on inspection card before proceediing with successive phases of the job. (6) The issuance of a pertnit or the appmval of drawings and specifcations shall not be construed to be a permit for, nor an approval of, any violation of ihe prov of tine building codes or any other ordinance, law, rule or regulation. ~ azae:zo Chief Build g Inspector COM114UNITY DEVELOPMENT DEPARTMENT Buildin2 Permit Number: w"ES BUILDING INSPECTION LIA'E - 303-234-5933 Date: CITY OF WHEAT RIDGE ` 7500 WEST 29TH AtiEnliE WHEAT RIDGE, CO 80215 - (303-235-2855) ~~c oa Fo° ~i9P3~ ~i~j. y~7~.7 qy~/~ ~L-~L1f3~ldi'V Property Owner: lJr-otbl~{ Property Address: 7 ~ Phone : 3rci3 "4a a- 1-5 O ~3~' ~ co o0 3 3 Contractor Licrnse No.: Company: \lK CLC- G~- 2c C- Phone: 303- ,q! 9- 7<f elj 0ViNEA/CONTRACTOR SIGNANRE OF UNDEASTANDING.4ND AGREEMENT I hercby ceitify that the setback distances proposed by this pemit appliwtion are accurate, and do noi violate applicable ordinanccs, rules or regulations of thc Cny of Whean Ridge or cmenants, casemrnu orrutrictions ofraord; ihat all meuurements shown, and allegaGons made are accunte; that 1 have read and agrtt to abide by all condiGOns pnnted on this application and that I assume full responsibiliry for compliance wiih the Wheai Ridgc Building Code (U.B.C) and all other applicable Wheat Ridge Ordinances, for work unda this pertnit. (ON'TERHCO?~TRACTORj:9GNED'""~° DpTE 06 - 310. (OwT'ERHCO\TRACfOR):PN!.TED DATE DESCRIPTION: -121 -2a0,A SP.YVI'CQ 1;'" -121 Construction Value:S Permit Fee:$ Plan Review Fee:S Use Tax:$ Total:$ 12 0-0, 2 / BUILDI\G DEPARTDIENT USE ONLY SIC: Sq.Ft.: ZONING COMMENTS: Approval: Zoning: BUILDING COMMENTS: Approval: PUDLIC WORKS COMMENTS: Approval: Occupancy: Walls. Roof: Stories: Residenrial Uniu: Elecvical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date: Expiration Date: Expintion Date: Approval Approval: APProval: _ (1) This pemit v'ss issued in a<cotdance with Iht Dne`isions set forth in wur appliotion and'¢ subjmt to the laws o(the Sua<of Colondo and m tht Znning Regulauons and BwWmg Codes of MTnt Ridgq Cobndo or any oiher apyliobic ordinances of Ne Cirv. This pemit siuli expirz i((A) 6e woek amhorized is ml eommrnecd within sixp' (60) days (rom issue date or (8) the building auNOriz<d is suspend<d or abandoned fw a paiod of 130 days . (3) I(thts pemit ezpi2s, a Mw yermrt mry be acquiad for a ftt of one-hal(1he amoum nomiatly rcquieed, pmvided no changa have bmn or will M mads in t6e origimi ylans and ryxifications aod any susymsion w abandonmrnt haz " euuded ove (1) yw. If ciungrs have been or if suryrnsion w abandonmevt enceeds me (I) Ym. fWl fas slull be paid for a xw Vennit (i) t:o Woile of anY manna sha0 be dwe dwt will change the voual fbw of waw causing a drainage probkm. . (5) Contraclor shall nolify the BuiWin8lnryecbr wrnry'tour (24) hours iv advzntt fw ill irtryecuom u~d sEall ~aave wrinrn appmval on msyecoon card befwe Pmceeding with successive Dhaxc of the job. (6) The issuance of a pcmiit w dc appmwl of Mwings ud Specificauons shall nw be convwed a M a yermii for, nor m appro.l of, any .iohuon of the pm.~sio2t of th building da w any dhtt mdiiuvice. Iaw, ruk or rtgulauon. Chief Building ector INSPECTION TICKET JOB 1i00-]I10 IN-33a-Nf~ ADDRESS DATE: `t II~ BLDG. PERMIT# Mq 1-1975I2 PEflMIT# BLDG.CONTR SUBCONTRACTOR 'DATE INSP. REQ,It'~ / . iYPE OF INSP. INSPECTION MADE , REMARKS IVL. Drt:~ 4 ~ W.R. 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