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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
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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
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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.
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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
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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.
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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.
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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
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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
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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
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"'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 -�
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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
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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-
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PERMIT:
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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.
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