HomeMy WebLinkAbout3888 Upham StreetCITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: V, 4"C'
Permit Number: C-1
r
02
J
J No one available for inspection: Time AM/PM
Re -inspection required: "Yes 0*
When corrections have been Ma e, schedule for re -inspection online at.-
hUPYAvww. ci. wheatridge. co. uslinspection
. r -f - I �,
Date:— Inspector:
DO NOT REMOVE THIS NOTICE
x City of Wheat Ridge
Commercial Demolition PERMIT - 201901233
PERMIT NO: 201901233 ISSUED: 06/14/2019
JOB ADDRESS: 3885 Upham St EXPIRES: 06/13/2020
JOB DESCRIPTION: SWO Remove non -load bearing walls to open up room, capping electrical
*** CONTACTS ***
OWNER (303)238-3838 VIVAGE SENIOR LIVING
GC (720)308-0062 SENAD CAUSEVIC 170187 EUROSTYLE
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 243 / BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,000.00
FEES
Total Valuation 0.00
Investigative Fees 50.00
Investigative Fee 2 50.00
Demolition Fee 50.00
** TOTAL ** 150.00
*** COMMENTS ***
*** CONDITIONS ***
STOP WORK ORDER, POSTED 2X
All work shall comply 2012 International Codes, 2017 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work is subject to field inspections.
I, by m signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specificationsZ
applicable building codesand all applicableymunicipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner o �e�rop,!y
.and`am authorized to obtain thisthis permit.Ifuerast that I am legally authorized to include all entities named within this document as parties to the work to be
performed anhat a to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signat of O R or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all re uired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
'e> -
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City cif
W hcat jc ge
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 29' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: ) 1 Y
Plan/Permit # On
l � J
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: '� � CE v -7c"- `�`
Property Owner (please print):
3 ?VS LL Phone: 7/9 - 0C &'y(P
Property Owner Email:
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail: rU35 e(�� e 11�r�lte-Uk z -Phone: �3 �� se' �
Contractor Name: CU \ry Sl- I
City of Wheat Ridge License #:
Phone: 72 -' 30 k.�
Contractor E-mail Address: �C �Ac LC USQy't �P (o 'C "s'f. kl e f
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): S SC �c��c �'z c, Caysevt-�_ Phone: 7 -Lo jo Y MJK'2_
CONTACT EMAIL(p/ease print): �- �r4v . C Vi Z:�-s—�I��---,�
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields.
COMMERCIAL ❑ RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
00
C'tI-1
Sq. FULF BTUs Gallons
Amps Squares For Solar: Kw # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I. the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): — �—
Printed Name: IF—'+- "� C-- �a� �U—
ZONING COMMMENTS:
Reviewer:
BUILDING DEP MEN COM ENTS:
Reviewer:
SJ��I i4
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
DATE: Q— A
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation: 20DO
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Asbestos Consultina Services
PRE -RENOVATION
ASBESTOS INSPECTION
SUNRISE
Envit°omim,- tai, Inc.
3895 UPHAM STREET
WHEAT RIDGE, COLORADO
80033
(Suite #60)
PREPARED FOR:
Vivage Quality Health Partners
12136 Bayaud Avenue #200
Lakewood, Colorado 80203
PROJECT: SEI19-P 102
PREPARED: June 11, 2019
4 of
Sunrise Environmental, Inc. Wheat Ridge
371 Crest View Drive - PO Box 429
Black Hawk, Colorado 80422 Building Division
Phone: 720-209-5282
www.sunnse-enviro.com
Appendices
Appendix A - Analytical Data
Appendix B - Certifications
2
TABLE OF CONTENTS
SECTION DESCRIPTION
PAGE
CERTIFICATION OF RESULTS
3
1.0
EXECUTIVE SUMMARY
4
2.0
SCOPE AND FACILITY INFORMATION
5
2.1 Inspection Objectives and Scope
5
2.2 Review of Existing Information
5
3.0
METHODS AND TECHNIQUES
6
3.1 Inspection
6
3.2 Bulk Sampling
6
3.3 Sample Analysis
7
4.0
ASBESTOS -CONTAINING MATERIAL DESCRIPTIONS
AND RECOMMENDATIONS
8
5.0
PRESUMED ASBESTOS CONTAINING MATERIAL
DESCRIPTIONS AND RECOMMENDATIONS
8
6.0
NON -ASBESTOS CONTAINING MATERIAL DESCRIPTIONS
8
7.0
INSPECTOR COMMENTS
10
8.0
CONCLUSIONS AND RECOMMENDATIONS
11
9.0
LIMITATIONS
I1
Appendices
Appendix A - Analytical Data
Appendix B - Certifications
2
Pre -Renovation Asbestos Inspection
3895 Upham Street, Suite 60, Wheat Ridge, Colorado 80033
2.0 SCOPE AND FACILITY INFORMATION
2.1 Inspection Objectives and Scope
Sunrise Environmental, Inc. inspected 3895 Upham Street, Suite 60, Wheat Ridge,
Colorado 80033 for the presence of asbestos containing building materials (ACBM) June
6th, 2019. Sunrise Environmental, Inc. performed a pre -renovation Asbestos Inspection in
accordance with the requirements of 40 CFR 61, National Standards for Hazardous Air
Pollutants (NESHAP), and Colorado Department of Public Health and Environment Air
Quality Control Commission (CDPHE-AQCC) Regulation 8, which require that a building
be thoroughly inspected for the presence of asbestos -containing building materials prior to
renovation or demolition.
Our scope of services included the following:
• Identify suspect asbestos -containing building materials (ACBM) within the
interior of 3895 Upham Street, Suite 60, Wheat Ridge, Colorado 80033.
• Collect bulk samples of all identified suspect materials in accordance with 40
CFR 763.86 and CDPHE-AQCC Regulation # 8.
• Submit the bulk samples to a NVLAP accredited asbestos laboratory for
analysis;
• Specify the condition of the suspect ACBM;
• Compile a final report of findings.
Sunrise Environmental, Inc. made reasonable efforts to locate and identify Asbestos
Containing Building Materials (ACBM) within the interior of 3895 Upham Street, Suite
60, Wheat Ridge, Colorado 80033. Sunrise Environmental, Inc. performed some
destructive access to inspect inaccessible areas, however, should unidentified suspect
materials be encountered, additional bulk material samples should be collected to
determine potential asbestos content. The inspection was conducted by CDPHE Certified
Asbestos Building Inspector Scott D. Sanders.
2.2 Review of Existing Information
No previous asbestos inspection data regarding asbestos containing building materials at
3895 Upham Street, Suite 60, Wheat Ridge, Colorado 80033 was provided for review.
City Q
5
1^
Pre -Renovation Asbestos Inspection
3895 Upham Street, Suite 60, Wheat Ridge, Colorado 80033
3.0 METHODS AND TECHNIQUES
3.1 Inspection
Sunrise Environmental, Inc. inspected the interior of 3895 Upham Street, Suite 60, Wheat
Ridge, Colorado 80033 to locate and identify friable and non -friable asbestos containing
building materials. Scott D. Sanders of Sunrise Environmental, Inc. performed the
inspection June 6'', 2019. Scott Sanders is a Colorado Department of Public Health and
Environment (CDPHE) certified asbestos building inspector. The inspector visually
inspected accessible interior portions of the building to locate and identify suspect ACBM,
touched suspect ACBM to determine friability, and determined the extent of homogeneous
areas of friable and non -friable suspect ACBM.
3.2 Bulk Sampling
Random bulk samples, representative of the suspect asbestos -containing building materials
of each homogeneous area, were collected according to guidelines published as
Environmental Protection Agency (EPA) Final Rule: Title II of the Toxic Substances
Control Act (TSCA), 15 USC, Sections 2641 through 2654 and in compliance with 40
CFR, Part 763 and Colorado Department of Public Health and Environment (CDPHE),
Regulation Number 8. Representative sampling is based on the following criteria:
1. The distribution of the suspect material throughout the homogeneous area.
2. The suspect materials physical characteristics and application.
3. Random sampling patterns determined for each homogeneous area.
Suspect materials sampled and analyzed should be considered representative of materials
in each homogeneous area if -
1.
i
1. They exhibit similar physical characteristics.
2. The application of the sampled material can be correlated to the application of
un -sampled material.
Suspect materials similar in appearance and application were sampled as homogeneous
areas. Suspect materials were divided into three classifications and sampled according to
applicable regulations based on classification of each homogeneous material and the
quantity of each homogeneous material as listed below:
1. Surfacing Materials - Troweled on or sprayed on material
• 1,000 square feet requires a minimum of three (3) samples
• Greater than 1,000 square feet but less than or equal to 5,000 square feet
requires a minimum of five (5) samples
• Greater than 5,000 square feet requires a minimum of seven (7) samples
2. Thermal System Insulation
0 Each system requires three (3) samples
Pre -Renovation Asbestos Inspection
3895 Upham Street, Suite 60, Wheat Ridge, Colorado 80033
3. Miscellaneous - other suspect materials not classified in the above categories
• Sufficient samples to adequately characterize the materials with a minimum
of two (2) samples
A material can either be friable or non -friable. A friable material is one that, when dry,
can be pulverized or reduced to powder by hand pressure. A non -friable material cannot
be reduced to a powder by hand pressure. A non -friable material may become friable if its
condition has deteriorated or has been impacted by forces that have rendered it friable.
After identifying homogeneous areas of suspect ACBM, representative samples from each
homogeneous area were collected. The inspector randomly selected the sample locations
and collected samples in a manner to minimize the release of fibers into the air. The
inspector collected a small bulk sample of the material using an appropriate tool (e.g, clean
knife or chisel), and placed each bulk sample into an unused, uniquely labeled, sealable
bag. The inspector documented each homogeneous area, sample location, sample number
and other pertinent information at the time of the inspection. A total of twenty-two (22)
bulk samples were collected for analysis from seven (7) separate Homogeneous Areas. A
total of twenty-two (22) bulk samples were analyzed.
3.3 Sample Analysis
Bulk samples collected were submitted for analysis at FRS Geotech, Inc. 1441 W. 461h
Avenue, Suite 14, Denver, Colorado 80211 and were analyzed by Polarized Light
Microscopy (PLM) for asbestos content. FRS Geotech, Inc. is accredited by the National
Institute of Standards and Technology (NIST) under the National Voluntary Laboratory
Accreditation Program (NVLAP). PLM was performed in compliance with guidelines
established by the USEPA (EPA 600 Method).
A building material of a given homogeneous area is considered to be ACBM based on a
finding that at least one sample collected from the material showed asbestos present in an
amount greater than one percent (1.0%). A building material is not to be considered ACBM
only if the results of all samples collected from the material showed asbestos content to be
equal to or less than one percent (1.0%).
The CDPHE-AQCC require point count analysis for friable materials greater than 0% but
equal to or less than 1.0% to disprove false negative results analyzed by visual estimation.
EPA-NESHAP recommends point count analysis for visual estimations from greater than
1% to 10% to disprove false positive results or consider the material to be asbestos -
containing. SEI recommends point count analysis up to 2% based on experience and
quality of analysis. None of the samples were submitted for point count analysis.
The Polarized light Microscopy analysis of the bulk samples was performed June 10th, 2019
as listed in the Analytical Data Section of this report (See Appendix A). Condition
assessments were performed by the accredited inspector at the time of inspection. My of
Wheat Ridge
Building Division
7
Ar
Pre -Renovation Asbestos Inspection
3895 Upham Street, Suite 60, Wheat Ridge, Colorado 80033
4.0 Asbestos Containing Building Material Descriptions and Recommendations
No asbestos was detected in any of the bulk samples collected at 3895 Upham Street, Suite
60, Wheat Ridge, Colorado 80033.
5.0 Presumed Asbestos Containing Building Materials
No additional building materials were presumed to contain greater than I% asbestos.
6.0 Non -Asbestos Containing Building Materials
The following building materials were sampled from the interior of 3895 Upham Street,
Suite 60, Wheat Ridge, Colorado 80033 and found to contain I% or less asbestos:
Sample #:
Homogeneous Area
Sample
& Material Description:
Location:
1-1
Homogeneous Area 1:
Suite #60,
Drywall & joint compound
east area,
(Miscellaneous Material) (Friable)
northeast wall,
5,000 sq. ft.
center, at seam
1-2
Homogeneous Area 1:
Suite #60,
Drywall & joint compound
east center room,
(Miscellaneous Material) (Friable)
south wall,
5,000 sq. ft.
center, at seam
1-3
Homogeneous Area 1:
Suite #60,
Drywall & joint compound
east area, south wall,
(Miscellaneous Material) (Friable)
west end adjacent
5,000 sq. ft.
center office at seam
1-4
Homogeneous Area 1:
Suite #60,
Drywall & joint compound
west area,
(Miscellaneous Material) (Friable)
debris pile from wall
5,000 sq. ft.
demolition
1-5
Homogeneous Area 1:
Suite #60,
Drywall & joint compound
west area,
(Miscellaneous Material) (Friable)
east wall,
5,000 sq. ft.
north end, at seam
1-6
Homogeneous Area 1:
Suite #60,
Drywall & joint compound
south center lab room,
(Miscellaneous Material) (Friable)
northeast corner wall
5,000 sq. ft.
1-7
Homogeneous Area 1:
Suite #60,
Drywall & joint compound
west area,
(Miscellaneous Material) (Friable)
southwest corner wall
5,000 sq. ft.
Pre -Renovation Asbestos Inspection
3895 Upham Street, Suite 60, Wheat Ridge, Colorado 80033
Sample #:
Homogeneous Area
Sample
& Material Description:
Location:
2-1
Homogeneous Area 2:
Suite #60,
2' x 2' white ceiling tile,
west area ceiling,
small fissures & perforations
center
(Miscellaneous Material)
Friable 4,500 sq. ft
2-2
Homogeneous Area 2:
Suite #60,
2' x 2' white ceiling tile,
east area ceiling,
small fissures & perforations
center
(Miscellaneous Material)
Friable 4,500 sq. ft
2-3
Homogeneous Area 2:
Suite #60,
2' x 2' white ceiling tile,
south center lab room
small fissures & perforations
ceiling, center
(Miscellaneous Material)
Friable 4,500 sq. ft
3-1
Homogeneous Area 3:
Suite #60,
Carpet & adhesive
east area,
(Miscellaneous Material) (Non -Friable)
center
4,500 sq. ft.
3-2
Homogeneous Area 3:
Suite #60,
Carpet & adhesive
west area,
(Miscellaneous Material) (Non -Friable)
center, adjacent
4,500 sq. ft.
column
3-3
Homogeneous Area 3:
Suite 460,
Carpet & adhesive
hall,
(Miscellaneous Material) (Non -Friable)
adjacent west door to
4,500 sq. ft.
center office
4-1
Homogeneous Area 4:
Suite #60,
Cove -base adhesive
east area,
(Miscellaneous Material) (Non -Friable)
northeast wall,
100 sq. ft.
center
4-2
Homogeneous Area 4:
Suite #60,
Cove -base adhesive
west area,
(Miscellaneous Material) (Non -Friable)
east wall,
100 sq. ft.
center
4-3
Homogeneous Area 4:
Suite #60,
Cove -base adhesive
center hall, east wall,
(Miscellaneous Material) (Non -Friable)
adjacent west door to
100 sq. ft.
center office
5-1
Homogeneous Area 5:
Suite #60, ow °
12" x 12" white floor tile & yellow mastic
South center lab ro9
(Miscellaneous Material) (Non -Friable)
Northwest corpus°
(-100 sq. ft.)�'
guildi�g
on
Pre -Renovation Asbestos Inspection
3895 Upham Street, Suite 60, Wheat Ridge, Colorado 80033
Sample #:
Homogeneous Area
Sample
& Material Description:
Location:
5-2
Homogeneous Area 5:
Suite #60,
12" x 12" white floor tile & yellow mastic
South center lab room
(Miscellaneous Material) (Non -Friable)
Southwest corner
100 sq. ft.
6-1
Homogeneous Area 6:
Suite #60,
2' x 2' white ceiling tile, small perforations
west area ceiling,
(Replacement Tiles) (Miscellaneous Material)
center
Friable —100 sq. ft
6-2
Homogeneous Area 6:
Suite #60,
2' x 2' white ceiling tile, small perforations
west area ceiling,
(Replacement Tiles) (Miscellaneous Material)
west of center
Friable —100 sq. ft
7-1
Homogeneous Area 7:
Suite #60,
2' x 2' white textured ceiling tile
east area ceiling,
(Replacement Tile) (Miscellaneous Material)
east center
Friable —8 sq. ft
7-2
Homogeneous Area 7:
Suite #60,
2' x 2' white textured ceiling tile
east area ceiling,
(Replacement Tile) (Miscellaneous Material)
center
Friable —8 sq. ft
7.0 Inspector Comments
Sunrise Environmental, Inc. identified and sampled a total of seven (7) Homogeneous
Areas, none (0) of which were found to contain greater than 1% asbestos. Samples were
collected June 6th, 2019. Sunrise Environmental, Inc. did not presume any additional
building materials to contain greater than 1% asbestos. The CDPHE-AQCC requires the
removal of friable asbestos containing materials and non -friable asbestos -containing
materials that may become friable during renovation activities or prior to demolition of the
building.
This asbestos inspection was limited to the interior of Suite 60.
Sunrise Environmental, Inc. made reasonable efforts to locate and identify Asbestos
Containing Building Materials (ACBM) and performed some destructive access to access
inaccessible areas. If unidentified materials are encountered, additional bulk material
samples should be collected to determine potential asbestos content. Inspector's
certifications are located in Appendix B of this report.
10
Pre -Renovation Asbestos Inspection
3895 Upham Street, Suite 60, Wheat Ridge, Colorado 80033
8.0 Conclusions and Recommendations
No asbestos was detected in any of the bulk samples collected within the interior of 3895
Upham Street, Suite 60, Wheat Ridge, Colorado 80033.
OSHA requires contractors and workers be notified of the presence and location of asbestos
and requires employers to protect employees from exposure to asbestos above the
permissible exposure limit of 0.10 f/cc as determined by personnel monitoring, over an 8 -
hour time weighted average.
Sunrise Environmental, Inc. recommends that employees, workers and contractors have
OSHA required asbestos training prior to any renovation activities that are performed
where the renovation contractor may contact but not disturb the asbestos containing
materials. Building and/or facility owners are required to notify prospective employers
applying or bidding for work, employees of the owner and tenants that can reasonably be
expected to work in or occupy areas containing ACM and/or PACM, of the presence of
such materials.
9.0 Limitations
The findings set forth in this report are strictly limited in time and scope to the date of the
evaluation(s). The conclusions presented in the Report are based solely on the services
described therein, and not on scientific tasks or procedures beyond the scope of agreed
upon services.
Because of the hidden nature of many building components, it may be impossible to
determine if all building components have been located and subsequently tested.
Destructive testing in some instances is not a viable option. Sunrise Environmental, Inc.
does not, therefore, guarantee that all potential ACM has been located. If unidentified
materials are encountered, additional bulk material samples should be collected to
determine potential asbestos content. For the same reasons, estimates of quantities are
subject to readily apparent situations. We do warrant however that the investigations and
methodology reflect Sunrise Environmental, Inc.'s best efforts based upon prevailing
standard of care and due diligence in the environmental field.
The purpose of this report was to assess the physical characteristics of the subject Site with
respect to the presence of asbestos -containing materials. No specific attempt was made to
check on the compliance of present or past owners or operators or of the Site with federal,
state or local laws and regulations, environmental or otherwise.
City of
Wheat Ridge
Building Division
11 ,
APPENDIX A
ANALYTICAL DATA
FRS Geotech, Inc.
1441 W. 46th Ave, Ste. 14
Denver, CO 80211-2338
June 10, 2019
Mr. Scott Sanders
Sunrise Environmental, Inc.
P.O. Box 429
Black Hawk, CO 80422
Re: Project: 3895 Upham St., Wheat Ridge, CO
FRS Lab Number 124941
Dear Mr. Scott Sanders:
Phone: (303) 477-2559
(800) 386-3136
FAX: (303) 477-2580
e-mail: frsgeo@ix.netcom.com
The bulk samples submitted to FRS Geotech, Inc. have been analyzed by polarized light microscopy (PLM),
the EPA -recommended method for determination of fibrous constituents in building materials. The percent of
asbestos contained in the samples is a visual estimation based upon comparisons with published charts. The
results of these analyses are summarized in the enclosed table. This report relates only to the items received
and tested by our laboratory. According to requirements set by the National Institute of Standards and
Technology/NVLAP, this report must not be used by the client to claim certification, approval, or
endorsement by NVLAP, NIST, or any agency of the Federal Government. Also, NVLAP guidelines specify
that this report should not be reproduced, except in full, without the written approval of FRS.
A copy of your Chain of Custody is attached for your convenience. This report is considered highly
confidential. Results will not be discussed with any person not associated with you.
Please call if you have any questions about this work.
Sincerely,
4U/
David A. Schroeder, Ph.D.
Data Controller
Enclosures
CAY vi
NVLAP Accredited Lab #102078-0 �, @1
FRS GEOTECH, INC. RESULTS OF BULK ASBESTOS SAMPLE ANALYSIS
1441 W. 46th Avenue, Ste. 14
Denver, CO 80211-2338 BY POLARIZED LIGHT MICROSCOPY (PLM) EPA -600/R-93/116
Client: Sunrise Environmental, Inc.
Project: 3895 Upham St., Wheat Ridge, CO
Sample No. [layer]
Sample
Nonasbestos
Asbestos
Description
°
Volume ° Date
Fibrous Material (%)
Minerals (%)
1-1
1001%
Fiberglass
2
Amosite
Cellulose
8
Anthophyllite
Drywall & joint compound [gray/white]
Synthetics
Chrysotile
Others .
Crocidolite
Trem./Act.
11-2
100%
Fiberglass
Amosite
Cellulose
10
Anthophyllite
Drywall & joint compound [pink/white]
Synthetics
Chrysotile
Others .
Crocidolite
Trem./Act.
1-3
100%
Fiberglass
2
Amosite
Cellulose
8
Anthophyllite
Drywall & joint compound [gray/white]
Synthetics
Chrysotile
Others.
Crocidolite
Trem./Act.
14
100%
Fiberglass
2
Amosite
Cellulose
8
Anthophyllite
Drywall & joint compound ]gray/white]
Synthetics
Chrysotile
Others .
Crocidolite
Trem./Act.
1_5
100%
Fiberglass
2
Amosite
Cellulose
8
Anthophyllite
Drywall & joint compound [gray/white]
Synthetics
Chrysotile
Others .
Crocidolite
Trem./Act.
1-6
100%
Fiberglass
Amosite
Cellulose
10
Anthophyllite
Drywall & joint compound [pink/whitel
Synthetics
Chrysotile
Others .
Crocidolite
Trem./Act.
* Composite analysis (multilayered sample, see individual layer analyses).
Analyst(s):
Chris Carbino
FRS GEOTECH, INC. RESULTS OF BULK ASBESTOS SAMPLE ANALYSIS
1441 W. 46th Avenue, Ste. 14
Denver, CO 80211-2338 BY POLARIZED LIGHT MICROSCOPY (PLM) EPA -600/R-93/116
Client: Sunrise Environmental, Inc.
Project: 3895 Upham St., Wheat Ridge, CO
Sample No. [layer]
Sample
Nonasbestos
Asbestos
Description
0
Volume o Date
Fibrous Material (%)
Minerals (%)
1_7
100%
Fiberglass
Amosite
Cellulose
10
Anthophyllite
Drywall & joint compound [pink/white]
Synthetics
Chrysotile
Others.
Crocidolite
Trem./Act.
2_I
100%
Fiberglass
10
Amosite
Cellulose
65
Anthophyllite
Ceiling tile [white/gray]
Synthetics
Chrysotile
Others .
Crocidolite
Trem./Act.
2-2
100%
Fiberglass
10
Amosite
Cellulose
65
Anthophyllite
Ceiling tile [white/tan]
Synthetics
Chrysotile
Others .
Crocidolite
Trem./Act.
2-3
100%
Fiberglass
10
Amosite
Cellulose
65
Anthophyllite
Ceiling tile [white/gray]
Synthetics
Chrysotile
Others .
Crocidolite
Trem./Act.
33=1
100%
Fiberglass
Amosite
Cellulose
Anthophyllite
Carpet/adhesive [gray/tan]
Synthetics
75
Chrysotile
Others .
Crocidolite
Trem./Act.
33=2
100%
Fiberglass
Amosite
Cellulose
Anthophyllite
Carpet/adhesive [gray/tan]
Synthetics
75
Chrysotile
Others .
Crocidolite
Trem./Act.
* Composite analysis (multilayered
/sample, see individual layer analyses).
Analyst(s): G
Chris Carbino
City o/
Wheat Ridge
Building Division
FRS GEOTECH, INC. RESULTS OF BULK ASBESTOS SAMPLE ANALYSIS
1441 W. 46th Avenue, Ste. 14
Denver, CO 80211-2338 BY POLARIZED LIGHT MICROSCOPY (PLM) EPA -600/R-93/116
Client: Sunrise Environmental, Inc.
Project: 3895 Upham St., Wheat Ridge, CO
Sample No. [layer]
Sample
Nonasbestos
Asbestos
Description
°
Volume °) Date
Fibrous Material (%)
Minerals (%)
3-3
100%
Fiberglass
Amosite
Cellulose
Anthophhyllite
Carpet/adhesive [gray/tan]
Synthetics 75
Chrysotile
Others .
Crocidolite
Trem./Act.
4-1
100%
Fiberglass
Amosite
Cellulose
Anthophhyllite
Cove base adhesive [tan]
Synthetics
Chrysotile
Others .
Crocidolite
Trem./Act.
4-2
100%
Fiberglass
Amosite
Cellulose
Anthophhyllite
Cove base adhesive [tan]
Synthetics
Chrysotile
Others .
Crocidolite
Trem./Act.
4-3
100%
Fiberglass
Amosite
Cellulose
Anthophhyllite
Cove base adhesive [tan]
Synthetics
Chrysotile
Others .
Crocidolite
Trem./Act.
5-1
100%
Fiberglass
Amosite
Cellulose
Anthophhyllite
FT/mastic [gray/yellow]
Synthetics
Chrysotile
Others .
Crocidolite
Trem./Act.
5-2
100%
Fiberglass
Amosite
Cellulose
Anthophhyllite
FT/mastic [gray/,yellow]
Synthetics
Chrysotile
Others .
Crocidolite
Trem./Act.
* Composite analysis (multilayered sample, see individual layer analyses).
Analyst(s): '44 G
Pre -Renovation Asbestos Inspection
3895 Upham Street, Suite 60, Wheat Ridge, Colorado 80033
1.0 EXECUTIVE SUMMARY
Sunrise Environmental, Inc. has completed a pre -renovation asbestos inspection at 3895
Upham Street, Suite 60, Wheat Ridge, Colorado 80033. The inspection was performed by
Scott D. Sanders of Sunrise Environmental, Inc. June 6a', 2019. After identifying
Homogeneous Areas of suspect Asbestos Containing Building Materials (ACBM), the
inspector collected samples from each Homogeneous Area. The samples were submitted
to an independent laboratory where they were analyzed by Polarized Light Microscopy.
None (0) of the seven (7) Homogeneous Areas identified and sampled by Sunrise
Environmental, Inc. were found to contain greater than 1% asbestos. Sunrise
Environmental, Inc. did not presume any additional building materials to contain greater
than 1% asbestos.
4
Pre -Renovation Asbestos Inspection
3895 Upham Street, Suite 60, Wheat Ridge, Colorado 80033
CERTIFICATION OF RESULTS
This pre -renovation asbestos inspection was performed on behalf of Vivage Quality Health
Partners (hereafter referred to as "Client"), subsidiaries, partners, directors and officers,
and all successors and assigns, solely for use in evaluation of the presence of asbestos -
containing building materials sampled at 3895 Upham Street, Suite 60, Wheat Ridge,
Colorado 80033 (hereafter referred to as the "Site"). The information herein is only for the
specific use of Vivage Quality Health Partners. and Sunrise Environmental, Inc. Use by
any other parties is unauthorized. Sunrise Environmental, Inc. accepts no responsibility
for the use, interpretation, or reliance by other parties on the information contained herein,
unless written authorization is obtained by Sunrise Environmental, Inc. This report is
respectfully submitted this 1 Ph day of June, 2019.
Sunrise Environmental, Inc.
Digitally signed by
' Scott D Sanders
Date: 2019.06.11
08:11:48 -06'00'
Scott D. Sanders
President
CDPHE Building Inspector Certificate #633
z
APPENDIX B
CERTIFICATIONS
Client:
Address*
5.�.
Telephone:(.
Rk
IP
_)
q
_
FAX*:(
Person to Contact: Ov ir
Alternate Phone(jjQ-,).2
Accept/
Reject
Sdmlh� Mwmhmb� mmwlbL
ampleof
Wheat Ridge
mivision
0
Client: Si
It
ft
Telephone,(
FAX
Person to Contact:
Alternate Phone( 20)�
Accept/
Reject
Sample
Number
FRS GEOTECH, INC. RESULTS OF BULK ASBESTOS SAMPLE ANALYSIS
1441 W. 46th Avenue, Ste. 14
Denver, CO 80211-2338 BY POLARIZED LIGHT MICROSCOPY (PLM) EPA -600/R-93/116
Client: Sunrise Environmental, Inc.
Project: 3895 Upham St., Wheat Ridge, CO
Sample No. [layer]
Sample
Nonasbestos
Asbestos
Description
°
Volume (° Date
Fibrous Material (%)
Minerals (%)
66=1
100%
Fiberglass
10
Amosite
Cellulose
65
Anthophhyllite
Ceiling tile [white/gray]
Synthetics
Chrysotile
Others .
Crocidolite
Trem./Act.
6-2
100%
Fiberglass
10
Amosite
Cellulose
65
Anthophhyllite
Ceiling the [white/gray]
Synthetics
Chrysotile
Others .
Crocidolite
Trem./Act.
7_1
100%
Fiberglass
90
Amosite
Cellulose
Anthophhyllite
Ceiling the [white/gray]
Synthetics
Chrysotile
Others .
Crocidolite
Trem./Act.
7-2
100%
Fiberglass
90
Amosite
Cellulose
Anthophhyllite
Ceiling tile [white/gray]
Synthetics
Chrysotile
Others .
Crocidolite
Trem./Act.
* Composite analysis (multilayered sample,,see individual layer analyses).
Analyst(s): /4 '/'// pl//
Chris Carbino
City of
Whaot Ridge
guilding I)iytslon
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` D19?'/4RTMENT OF PLANNING AND DEVELOPMENT Buiiding Permit Number : 3555
'BCJILDING IN3PECTION DIVISION - 235-2855
t CITY OF WHEAT RIDGE Date : 8096
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address : 3888 UPHAM ST Phone :
Contractor License No. : 19000
Company : HEPP PLUMBING CO INC
)WNEF2IGONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 henehy t?IN1Hy that the setbedc Cistances proposed by this pertn8 application are eccureM,
ahd dp:tiW yp~ Ipte applwabb ordinancas, rules or regulatwns of the Ciry of Wheat Ridge or
covervanl6, eMemsMS or restriclions of record; that ell measuremeMs shown, and albgationa
..mqN1e ilfeaecurote; that I heve resd aM agroe to ebide by all conditlons prinled on this
~tl Chat I asaurt~e fuU responaibiliry for cor~hance with lhe Wheat Ridge Buildirp
C 6.C.)and all other applicebb Wheet Ridge ort6nances, for woAc under this parmk.
. (CWVMER)(CONTRACTOR) SIGNED DATE
DesCription : RENOVATIONS WITH SIDING
BUILDING DEPARTMENT USE ONLY
Phone : 425-1333
Construcdon Value : $1,500.00
Permit Fee :
Plan Review Fee :
$0.00
Use Tax :
$0.00
Total:
$0.00
SIC : Sq. Ft. :
Zoning :
APproval :
APproVal :
OCCUpancy : Walls : Roof : Stories : Residential Units :
ElecMcal License No : Plumbing License No : Mechanical License No :
Comparry : Company : Company :
'Exprgtlon Date : Expiration Date : Expira6on Date :
qpppVal; Approval : APProval :
0 ~~r s 0
. (1) TMSp0lmkwes ie.+ued in axadenee with tlro provislons 6et foM in yopur eppAcelbn aiM la eublec[ to 1M Iewa dtla Shle of Cdorado and to the 7aninG
RepWptlona and BWICinp Code W Wfieat CdaaCc a afry otlbr aDdirabb ordinances M the City.
ketl dete u(8) the bWlAinp auMOAzetl Is suapended M
(p) 7l~bpertnit shell exphe H(A) ~work eulha~zeC la not comrtro~ce0 w~Ml~ aixty (80) daya hom isaue
w~drned r« a peF+oa a~30
roqu
(s) rcpqs p.nnn expiroa a rfn ~t maY ~~Qulrad for e fee M ono-haM Ne amouM nomiely . pwiAetl no cha~pea have bean or wlll be mede in Me
pf~ql plans and apecif+rry suepenebn w ebandonmeM as no~ yeeror H suapensbn a sbaMonmaM
s(7) Yr~ lupaWror a new pemikathat wfll aiqe tlie natural tlow ot weleunia mine problemg Msaectw IueoH'faur (2a) houn in aEVence for eil tnspectlais antl shall recelve written approval on inspec~tion caid hefoie
crooeadii~p upcecmes~1soiver haseqswotAtllrefob.
.
MthB.bu In9 _ f+6enY n bea ~e9~~~ahell nolbe consWed to hea P~ R fw, nor an epP~i M. anY vbladon of the P~abna
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 2345933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RiDGE, CO 80215
Property Owner. ~Property Address :
Phone: '
ContractorLicenseNo.:
CompanY
Phone: yZ_5~/_3 3~
vwrvcni1-vrv i rtHC i urt SuirvA i uKt VF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurete,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions prinied on this
application, and that I assume full responsibiliry for compliance with the Wheat Ridge Buildinq
Code (U.B.C.) and all other applicable WhedERidge ordinances, for w/ork under this p
(OWNER)(CONTRACTOR) SIGNEO- I-~, DATE
~
Description
Construction Value :
Permit Fee :
Plan Review Fee :
Use Tax :
i
Iw Pe C
I 11 . f iv~:c%I _
Zoning°C'"o`mmentg
LL Approval:
Zoning :
Buiiding~Cbmments~
~ Approval:
Public:WorkwGo-tff rWnts -:i
Approval
Occupancy : Walls
ca<< ~u ~doccG ./ac•, ~jYy~'~sf_~ ,-,,~„~y,-/
BUII.DING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
Ej €Plans,Required~ g i,1P,lans Reqqired~ f] !pian3:Requiretl
(1) This permit was issued in accor0ance with the provisions sN farth in yopur application and is su01e« <a the iaws o( the State ol Coloratlo anC ro tne Zoning
Re9ulatians anC Builtling Code o( Wheat RiEge. Coloratlo or any oiher ap0liraCle ordinances of the Ciry.
(2) This permit shall expire if (A) the work authonzeC is not commenceG within siaty (60) tlays from issue Gate or (B) the buil0ing auNOnzeE is suspenCeC or
aDanOOnetl lor a penotl of 120 Gays.
(7) It this permit ex0ires, a new permit may Ee acquired (or a Iee of one-hall the amounl normalty requiretl. proviGed no Uanges have Deen or will be matle in the
onqinal plans and speCiflcations antl any suspension or aDantlanment has not exceeEeC one (1) year. If changes are maEe or if suspension or abantlonment
exceeGS one (t) year, iull fees shall be paid tor a new permit.
(4) No work of any manner shall Oe Eone that wiil change the natural Aow o(water wusing a drainage Oroblem.
(5) Contractor sh notiry Ne Builtling InspeCtor Iwenry-Pour (24) hours in aEvance for all inspections antl shall reCeive written apOroval on inspecticn Cartl 6elore
proceediin i succqssi ha5es of thejo7. 9 9
(6) The is5u Ce ( a q/h~it or the a qbval yR Grawin s and s eci(wtions shail not be constmetl ro De a permit 1or, nor an approval 01, any violalion of the provisions
ol the tltli Coqp1, or an itie~)7rtlin~ee-taw, rule or reulation.
ilding Inspector
For Mayor
7HIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION