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4350 Teller Street
i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: s Job Address: _ _1 �J 11 If r Permit Number: "Lozo®i 194 p M ❑ No one available for inspection: Time e -D ;{N1/PM Re -Inspection required: Yes N_o� When corrections have been made, call for re -inspection at 303-234-5933 Date:?s' Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: IA/ S Job Address: 9350 Permit Number: J ❑ No one available for inspection: Time ` ' &PM Re -Inspection required: Yes No t When corrections are complete, schedule re -inspection online. Date:` Inspector: DO NOT REMOVE THIS NOTICE ♦ A i CITY OF WHEAT RIDGE Building Inspection Division l (303) 235-2855 Office INSPECTION NOTICE Inspection Type: cylkt Pe. JobAddress:4-_ vw r'r Permit Number: 3 0,57 U 0 ( 0) q f) --1)c ❑ No one available for inspection: Time 'f ' AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http://www.ci. wheatridge.co.usfinspection Date: 1 t't• f0>' Inspector:_', DO NOT REMOVE THIS NOTICE A i 'CITY OF WHEAT RIDGE, 1 Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: ELT— Job Address: Permit Number: ❑ No one available for inspection: Time Re -Inspection required: Yes , o,) When corrections have been http.-11www.ci.wheatridge.co.0 Da/e PS72aZ M for re -inspection online at; PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Remodel PERMIT - 202001284 202001284 4350 Teller St Major remodel on kitchen, bathroom, relocation of plumbing in kitchen, mechanical throughout. Sq ft: 450 ISSUED: 08/14/2020 EXPIRES: 08/14/2021 enclosure of existing windows, new windows, and updated electrical and **REVISION: Electrical service change, Added valuation: $2,250.00 *** CONTACTS *** OWNER (720) 217-7730 ZADRAN JAWED SUB (303)419-0417 JOSE GARCIA 180225 GARCIA PLUMBING LLC SUB (970)371-1161 ZACHARY JAMES NEWTON 130150 Z ELECTRIC LLC GC (720)569-6764 DANIEL BERKOWITZ 150075 ALIMAR CONSTRUCTION LLC SUB (720)447-3157 MAR IANO ROCHA 150301 TEAMWORKS MECHANICAL *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 35,559.00 FEES Total Valuation 0.00 Plan Review Fee 354.61 Use Tax 746.74 Permit Fee 568.55 ** TOTAL ** 11669.90 *** COMMENTS *** *** CONDITIONS *** All roughs to be done at Framing Inspection. A printed copy of the permit and city stamped on-site plans must be available on-site for the first inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. 1* � � i City of Wheat Ridge �� Residential Remodel PERMIT - 202001284 PERMIT NO: 202001284 ISSUED: JOB ADDRESS: 4350 Teller St EXPIRES: JOB DESCRIPTION: Major remodel on kitchen, bathroom, enclosure of relocation of plumbing in kitchen, new windows, mechanical throughout. Sq ft: 450 08/14/2020 08/14/2021 existing windows, and updated electrical and **REVISION: Electrical service change, Added valuation: $2,250.00 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain thispermit and perform the work described and approved in conjunction with this�permrt. I further attest that I am legally authorized to include alI entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Revision to Permit Application Date: Monday, December 21, 2020 2:28:55 PM Revision to Permit Application Permit Number 202001284 assigned to project PROPERTY INFORMATION Permit Number Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) 202001284 4350 Teller Jawed Zadran 7202177730 Property Owner Email Jawed.zadran@gmail.com Address CONTRACTOR INFORMATION Contact Name Zach Newton Contact Phone Number (enter WITH dashes, eg 303-123-4567) 14mm 9703711161 zelectricllc@gmail.com Retype Contact Email zelectricllc@gmail.com Address DESCRIPTION OF WORK Detailed Revised Scope of Work - Provide a detailed description of the change in scope of work including mechanical, electrical, plumbing work occurring, Change out electrical panel adding/removing walls, etc Engineer Letter (if applicable) Additional Documents on Letter Size Are plans or documents locked for editing? Construction Plans scanned on 11'x17" or larger Additional Project Value Only add what the revised scope of work is valued at. Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" Field not completed. Field not completed. No plans needed Field not completed. $1000 Electronic Payment Form - Revised 5-1-20 Fillable 202005011620013849 202006081141368198.odf SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. 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. Person Submitting Jawed zadran Revision Email not displaying correctly? View it in your browser. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Asbestos Abatement PERMIT - 202002586 202002586 4350 Teller St Asbestos abatement - 934 sq ft total ISSUED: 12/14/2020 EXPIRES: 12/14/2021 *** CONTACTS *** OWNER (720) 217-7730 ZADRAN JAWED SUB (303)481-8234 VICTORA GARCIA 180013 MILE HIGH ENVIRONMENTAL SVC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 41900.00 FEES Asbestos Abatement 50.00 Total Valuation 0.00 ** TOTAL ** 50.00 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section 134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of which require a building permit, occurs or where one or more rooms lawfully used for sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. I, by my signature, do hereby attest that the work to, be performed shall comply with all accompanying approved plans and specifications, applicae building codes, and all applicable municpal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this�permrt. I further attest that I am leg ally authorized to include alI entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Form Submittal: Asbestos Abatement Date: Monday, December 14, 2020 2:00:57 PM Asbestos Abatement This application is exclusively for RESIDENTIAL ASBESTOS ABATEMENT YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for residential asbestos abatement? Provide copy of CDPHE State Permit or Stamped Approved CDPHE State Permit Application Yes PROPERTY INFORMATION Property Address 4350 Teller St. Wheat Ridge, CO 80033 Property Owner Name Jawed Zadran Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) 720-217-7730 Property Owner Email jawed.zadran@gmail.com Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" Electronic Payment Form 4350 Teller St.Ddf CONTRACTOR INFORMATION Contractor Business Mile High Environmental Services Name Wheat Ridge Contractor's License 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) 180013 303-481-8234 Contractor Email project@ m hes. contractors Address Retype Contractor project@ m hes. contractors Email Address DESCRIPTION OF WORK State Permit No. or 20JE4321A Application Approval Date with Initials of CDPHE Employee approving application. Location of Abatement throughout the main level of the residence Square Footage Area 934 sq ft of Abatement Has the abatement Yes been completed If abatement has been E3 - PCM Clearance Letter 4350 Teller Street in Wheat Ridae completed, upload the CO80033.odf clearance report. Project Value (contract $4900.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. Person Applying for Abbie Culbertson Permit I attest that everything 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. Yes Email not displaying correctly? View it in your browser. Colorado Department of Public Health and Environment Air Pollutior, Control Division — Indoor Environment Program — Asbestos/IAQ Unit 4300 Cherry Creek Drive South, APCD-IE-131 Denver, Colorado 80246-1530 Phone: 303-692-3100 —Fax: 303-782-0278 E-mail: asbestos@state.co.us ASBESTOS ABATEMENT PEr,,adopted IT This permit is granted subject to Colorado Air Quality Control Commission Regulation No. 8, PaDecember 21, 2007, and effective January 30, 2008, the Colorado Air Pollution Prevention and Control Act (25-7-10101 et seq., C.R.S.) and the following provisions. It is only for the purpose of allowing asbestos abatement. ADDITIONAL PERMIT PROVISIONS: By performing work under this permit the abatement contractor agrees that the Division may revoke or suspend this permit should the Division find that the contractor: • has violated or has aided and abetted in the violation of 25-7-101 or 25-7-501 et seq., C.R.S. or Regulation No. 8, Part B, or an order of the Division or Commission, • has failed to meet any permit and notification requirement or failed to correct any violations cited by the Division during any inspection within a reasonable period of time, as may be determined by the Division, • has used misrepresentation or fraud in obtaining this permit, or, • has committed any act or omission which does not meet generally accepted standards of the practice of asbestos abatement. As a contractor, you may be subject to other licenses and permits, depending on the requirements of the county and municipality in which the work is being performed. The Colorado Department of Public Health and Environment, Air Pollution Control Division strongly suggests that you check with county and municipal authorities in order to determine any other local building/permitting requirements that must be met. THE ORIGINAL PERMIT MUST BE POSTED ON SITE AT ALL TIMES. Immediately notify the AsbestosAAQ Unit ofproject modifications by fax (number above) or e-mail (address above) and the appropriate county health department byfay- Project modifications include changes in the scope of work or the scheduled work dates, etc. This asbestos abatement permit is valid beginning 7/28/2020 through 11:59 PM on 8/26/2020. The actual scheduled work dates are from 7/28/2020 through 7/31/2020. Approval issued on: 8/3/2020 Record number: 161090 Notice Number: 20JE4321A Variance: None Comments: None For the location specified below: sfrd throughout main level 4350 Teller St Wheat Ridge Jefferson County This permit has been issued to: Mile High Environmental Services, Inc. 9520 E. Jewell Ave Suite C Denver, CO 80247 Fee paid: $400.00 Check number: CC 9981 Prosect Supervisor: Jonathan Rivera Cerification No.: 20744 Project AMS: Eli Willden Cerification No.: 20139 Project Manager: Issued by: SM 5366 Godding Hollow Pkwy EARTH ENERGY ENVIRONMENT (E3) Longmont, CO 80504 Local: 303.902-5851 Industrial Hygiene and Environmental Engineering July 31, 2020 Mr. Ivan Garcia Mile High Environmental Services Inc. 9520 E Jewell Avenue Suite C. Denver, Colorado 80247 Subject: Clearance Report 4350 Teller Street Wheat Ridge, CO 80033 Dear Mr. Garcia: Following is the project completion report forthe work areas located at 4350 Teller Street in Wheat Ridge, CO 80033. The purpose of this report is to document this remediation project was successfully completed, and indoor asbestos amplification was not occurring in the work area. An Industrial Hygienist for Earth Energy Environment (E3) performed the remediation project completion inspection and testing procedures. The remediation work area (Interior Area) was visually inspected in order to confirm the scope of work was properly followed and completed. The containments were also visually inspected to verify breaches and/or defects were not present. Phase Contrast Microscopy (PCM) samples were collected in accordance with the National Institute for Occupational Safety and Health (NIOSH) method 7400 using cassettes (standard 3 piece, 25 mm dia., 0.8 um MCE filter) purchased from Zefon International, Inc. The asbestos concentrations in the containment were calculated as airborne fibers per cubic centimeter of air (F/cc). Table 1 provides a summary of the sample numbers, sample volumes, and calculated concentrations. The National Emission Standards for Hazardous Air Pollutants (NESHAP) clearance standard is 0.01 F/cc. Visual inspection confirmed that no asbestos -containing debris was observed in the work areas. The PCM clearance air sample results were all below the NESHAP clearance standard of 0.01 F/cc. Based on the information presented above, E3 concludes the asbestos abatement in the work area has been successfully completed, and the work area may be reoccupied after build back. PCM Air Clearance Page 2 0{ 2 TABLE 1: PCM CLEARANCE AIR SAMPLING RESULTS Date Unit/ Area Sample # Sample Description Sample Volume Fibers/cc Air Clearance CL -073120-1 970 0.002 at: CL -073120-2 Inside 965 0.002 4350 Taller CL -073120-3 Containment 950 0.001 July 31, Street in Wheat CL -073120-4 935 0.001 2020 R;dga, CO CL -073120-5 925 0.001 80033 Interior Aram BLK-1 Blanks - BRi, BLK-2 BRIE 'kBRL denotes "Below Reporting Limits"_ 'IYve PCM Colorado Department o{ public Healtkv and Environment (CDPHE� clearance standard is 0.01 F/cc. The s mpling r ults relied upon for this report do not include o apply to any other ar witrvin the structure treat ware not sampled but may contain asbestos; including materi al s/areas treat may be hidden or vnaccessi ble Thank you £or allowing E3 the opportunity to provide e o ental s s to you. I£ you have questions or require additional inform tion, do not hesitate to contact ma directry at �303� 902-5851. Sincerely, Eli Willden Certified Air Monitoring Specialist No. 20139 i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE i Inspection Type: 20t s 3,1 r�T' � 1 Job Address: IY3 ct S / . a Permit Number:�r�/ l far al, i 3 ❑ No one available for inspection: Time AM/PM Re -Inspection required:. Yes No When corrections have been made, schedule for re -inspection online at: http://www.ci. wheatridge.co. uslinspection Date: Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE i Inspection Type: 20t s 3,1 r�T' � 1 Job Address: IY3 ct S / . a Permit Number:�r�/ l far al, i 3 ❑ No one available for inspection: Time AM/PM Re -Inspection required:. Yes No When corrections have been made, schedule for re -inspection online at: http://www.ci. wheatridge.co. uslinspection Date: Inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: r Job Address: Permit Number:; dry,z 1` ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http://www. cL wheatridge. co, uslinspection Date: '"' -_ �'P:= ' Inspector: DO NOT REMOVE THIS NOTICE 5366 Godding Hollow Pkwy ENVIRONMENTEARTH ENERGY Longmont, CO 80504 Local: 303.902-5851 Industrial Hygiene and Environmental Engineering July 31, 2020 Mr. Ivan Garcia Mile High Environmental Services Inc. 9520 E Jewell Avenue Suite C. Denver, Colorado 80247 Subject: Clearance Report 4350 Teller Street Wheat Ridge, CO 80033 Dear Mr. Garcia: Following is the project completion report for the work areas located at 4350 Teller Street in Wheat Ridge, CO 80033. The purpose of this report is to document this remediation project was successfully completed, and indoor asbestos amplification was not occurring in the work area. An Industrial Hygienist for Earth Energy Environment (E3) performed the remediation project completion inspection and testing procedures. The remediation work area (Interior Area) was visually inspected in order to confirm the scope of work was properly followed and completed. The containments were also visually inspected to verify breaches and/or defects were not present. Phase Contrast Microscopy (PCM) samples were collected in accordance with the National Institute for Occupational Safety and Health (NIOSH) method 7400 using cassettes (standard 3 piece, 25 mm dia., 0.8 um MCE filter) purchased from Zefon International, Inc. The asbestos concentrations in the containment were calculated as airborne fibers per cubic centimeter of air (F/cc). Table 1 provides a summary of the sample numbers, sample volumes, and calculated concentrations. The National Emission Standards for Hazardous Air Pollutants (NESHAP) clearance standard is 0.01 F/cc. Visual inspection confirmed that no asbestos -containing debris was observed in the work areas. The PCM clearance air sample results were all below the NESHAP clearance standard of 0.01 F/cc. Based on the information presented above, E3 concludes the asbestos abatement in the work area has been successfully completed, and the work area may be reoccupied after build back. y3 k (/t' �r PCM Air Clearance Page 2 of 2 TABLE 1: PCM CLEARANCE AIR SAMPLING RESULTS Date Unit/ Area Sample # Sample Description Sample Volume Flbers/cc Air Clearance CL -073120-1 970 0.002 at: CL -073120-2 Inside 965 0.002 4350 Teller CL -073120-3 Containment 950 0.001 July 31, Street in Wheat CL -073120-4 935 0.001 2020 Ridge, CO CL -073120-5 925 0.001 80033 (Interior Area) BLK-1 Blanks - BRL BLK-2 BRL *BRL denotes "Below Reporting Limits". The PCM Colorado Department of Public Health and Environment (CDPHE) clearance standard is 0.01 F/cc. The sampling results relied upon for this report do not include or apply to any other areas within the structure that were not sampled but may contain asbestos; including materials/areas that may be hidden or inaccessible Thank you for allowing E3 the opportunity to provide environmental services to you. If you have questions or require additional information, do not hesitate to contact me directly at (303) 902-5851. Sincerely, Eli Willden Certified Air Monitoring Specialist No. 20139 i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Ll v ' Job Address: 71 `)z_ Permit (dumber: {) 0 C> U '� � �,r if.' �r' r C•• � i ❑ No one available for inspgction: Time AM/PM Re -Inspection required: ` 16s No When corrections have been made, schedule for re -inspection online at: httpYAvww.ci. wheatridge.co.us4nspection Date: Inspector: DO NOT REMOVE THIS NOTICE e i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type:7 OF Job Address: --%3-30 l e "t-9,0-- .,-/— Permit Number: p f 733 _c ;'e acs /--, /G r -/-,, _ • /-, er�I C.,=,ca r -0 r ?"e -2c ✓r �� 2/p C?f O ' ❑ No one available for inspection: Time ,AFI M Re -Inspection requiredYes No When corrections have been made, schedule for re -inspection online at: http://Www.ci.wheatridge.co.uslinspection Date: %/ /M �49!�-7.2aspector: DO NOT REMOVE THIS NOTICE A 41 City of Wheat Ridge Residential Remodel PERMIT - 202001284 PERMIT NO: 202001284 ISSUED: 08/14/2020 JOB ADDRESS: 4350 Teller St EXPIRES: 08/14/2021 JOB DESCRIPTION: Major remodel on kitchen, bathroom, enclosure of existing windows, relocation of plumbing in kitchen, new windows, and updated electrical and mechanical throughout. Sq ft: 450 *** CONTACTS *** OWNER (720)217-7730 ZADRAN JAWED SUB (303)419-0417 JOSE GARCIA 180225 GARCIA PLUMBING LLC SUB (970)371-1161 ZACHARY JAMES NEWTON 130150 Z ELECTRIC LLC GC (720)569-6764 DANIEL BERKOWITZ 150075 ALIMAR CONSTRUCTION LLC SUB (720)447-3157 MARIANO ROCHA 150301 TEAMWORKS MECHANICAL *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 33,309.00 FEES Total Valuation 0.00 Plan Review Fee 354.61 Use Tax 699.49 Permit Fee 545.55 ** TOTAL ** 1,599.65 *** COMMENTS *** *** CONDITIONS *** All roughs to be done at Framing Inspection. A printed copy of the permit and city stamped on-site plans must be available on-site for the first inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. It�AIt PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Remodel PERMIT - 202001284 202001284 4350 Teller St Major remodel on kitchen, relocation of plumbing in mechanical throughout. Sq ft: 450 ISSUED: 08/14/2020 EXPIRES: 08/14/2021 bathroom, enclosure of existing windows, kitchen, new windows, and updated electrical and I, by my signature, do heattest that the work to be performed shall comply with all accompanying approved plans and specifications applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perforin the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include alI entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 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, po icies 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 maybe 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 required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or gra g of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. i Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Form Submittal: Residential Interior Remodel Date: Thursday, July 9, 2020 11:52:37 AM Residential Interior Remodel This application is exclusively for Residential Interior Remodels and other scopes of work which do not have a specific form already available. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Property Address 4350 Teller St Wheat Ridge CO 80033 Property Owner Name Jawed Zadran Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" 7202177730 jawed.zadran@gmail.com 4350 Teller Permit Payment Authorization, odf APPLICANT INFORMATION Applicant Name Jawed Zadran What is your role in the project? Contact Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner 7202177730 Contact Email Address for Plan Review Comments jawed.zadran@gmail.com Retype Contractor jawed.zadran@gmail.com Email Address DESCRIPTION OF WORK Detailed Scope of Kitchen - Sink will be moved to island from current location of Work - Provide a exterior wall. 6 can lights will be added. Existing window will be detailed description of replaced with a smaller window. Exterior door to backyard will be work including added. Locations of range and refrigerator will be re -arranged. mechanical, electrical, Range will have pot filler faucet and hood above it. Laundry/Half plumbing work bathroomNVater heater area - These will all reconfigured location wise in the same area. 2 existing windows will be canceled. occurring, Family room - This will be convereted to a master suite after adding/removing walls, which the house will become 4 bedrooms and 3 bathrooms from etc the current 3 bedrooms and 2 bathrooms. There will be an addition of walk in closet and en -suite bathroom with stand up shower. Removal of existing fireplace. Cancelation of 4 windows. Removal of exterior 32" door and addition of 5' french door. Living room - Load bearing wall between kitchen and living room will be removed. Per engineer's requirements a beam will be added under the ceiling. 8 Can lights will be added to ceiling in living room and 3 for the hallway. Family bathroom - New shower valve, tub, and vanity. Existing wall tile will be replaced. Current bathtub is sunken style tub and will be raised to floor level. Electrical - Electrical panel will be upgraded and moved to the exterior of the house from the current interior location. Demolition - The wall between living room and kitchen will be removed. The laundry and 1/2 bathroom walls will be removed. The fireplace will be removed. The drywall abatement/removal will be handled by Mile High Environmental Services for these areas. Location of Work Kitchen, Family room, Laundry, bathroom Square Footage Area 450 of Work Being Performed Asbestos Report Asbestos Inspection Report HOT (4350 Teller St).pdf Upload letter size 4350 Teller Eno neer no Report ndf documents here Construction Plans Plans 4350 Teller zip scanned on 11 "x17" or larger Project Value (contract 27000 Approx. 680 sf x ($122.46 x.40) _ $33,309 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. Person Applying for Jawed zadran Permit I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Email not displaying correctly? View it in your browser. A City o 1. Wh6at'Kid e COMMUNITY DEVELOPMENT SUBCONTRACTOR AUTHORIZATION FORM Plumbing Subcontractor 9 This form must be completed & signed by the PLUMBING SUBCONTRACTOR performing plumbing work on site. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: g 3 S O To le, r S-�— General Contractor: LAIC,( & KOXV )+Z FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION Company Name: G-ArL' 1^ 6"\v NContact Phone #: �03 — 4 �� k Wheat Ridge Contractor License #: 190 2 2 Y- (required field) State License #: Master License #:� JO 1 57 1 c rlwido dafici 4 Printed Name of Authorized Agent JAE- 4 Signature of Authorized Agent &/ G /'-'C) Date Scanned with CamScanner ,,�r l A 1 "Itr City of .4 Wh6at'p.jidd e COMMUNITY DEVELOPMENT SUBCONTRACTOR AUTHORIZATION FORM Electrical Subcontractor This form must be completed & signed by the ELECTRICAL SUBCONTRACTOR performing electrical work on site. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: 'rWU 5� General Contractor: 5Kot-) t fiZ FORM WILL, NOT BE ACCEPTED WITH MISSING INFORMATION Company Name: Z je�e-c t r ' L Contac one #: q 70 J �r Wheat Ridge Contractor License #: equir d Held) .� State License #: UJ i Master License #: D 0 C>67 `7 rinted Name of Authorized Agent 516 A) SiIlature o Authorized Agent Date Scanned with CarnScanner City of Wh6atP%, . COMMUNITY DEVELOPMENT ge SUBCONTRACTOR AUTHORIZATION FORM Mechanical Subcontractor This forni must be completed & signed by the MECHANICAL SUBCONTRACTOR performing mechanical work on site. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: �i 1 n -(1C-/— 5 3' General Contractor: A "61 e,� Aff c� ' -�- Z FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION l tit e Company Name: 5Z80 80(-�` i �.� q *40d Contact Phone #: 920 -2 -'?0-7127 Wheat Ridge Contractor License #: )0 0 12 -5 (required field) i I Printed Name of Authorized Agent i lX n Scanned with CarnScanner Versatile Environmental LIMITED/RENOVATION ASBESTOS INSPECTION REPORT For the Subject Property: 4350 Teller St. Wheat Ridge, CO 80033 Year Built: 1955 Report Date: 07/06/20 Inspection Date: 06/30/20 Job File: 020-0632 Prepared by: Billy Huff Colorado Certified Asbestos Building Inspector, 17831 Air Monitoring Specialist Mold Inspector and Assessor Versatile Environmental LLC 649 Independence St Lakewood CO 80215 720-234-5010 billy@versaenv.com © Versatile Environmental LLC 2020 Abatement contractor needed City of Wheat Ridge Building Division Page I Limited Scope of Report The asbestos inspection performed for client was designed to identify suspect Asbestos Containing Building Materials (ACBM) in the affected areas of the above -referenced subject property as they existed at the time of the inspection. The inspection was limited to those areas that were visually and physically accessible. The inspection was not a risk assessment, physical inspection of systems, structure, or components of the subject property, as it relates to their serviceability. The inspection was performed in accordance with the Standards of Practice of the Colorado Regulation 8 Part B in effect at the time of this inspection. This inspection is not intended to be technically exhaustive. The inspector has prepared this written Asbestos Inspection Report for the sole use and benefit of the client. The Asbestos Inspection Report shall identify, report, and make recommendations for future evaluation. Client agrees to read the entire Asbestos Inspection Report when received and shall promptly call the Inspector with questions or concerns regarding the report. The use of this report and information contained herein by others, in whole or in part, is not authorized without the written mutual consent of the client and Versatile Environmental. Purpose and Scope The purpose of this inspection was to conduct a visual asbestos inspection and to collect necessary samples in order to determine the presence or absence of asbestos within the subject property in the affected areas only. The scope of this report included a visual inspection of all affected rooms and/or areas throughout the subject property for visible suspect Asbestos Containing Materials (ACM). This does not include any materials that were covered or hidden by walls, structures, carpeting, wood flooring, multiple layers, wallpaper, texturing, etc. However, the inspector made every reasonable effort to access and identify all suspect ACM. Bulk asbestos samples were randomly collected from homogenous areas of suspect ACM by the above-named Inspector, an EPA/State of Colorado Certified Asbestos Inspector. Homogenous areas are defined as any area with the same material, texture, and color. If any of these variables differs between materials or if for any reason the inspector feels the materials might be different in any respect (such as materials being installed at different times even though they appear similar), separate sets of samples must be taken from each homogenous area. Representative bulk samples were taken from similar materials, but this does not guarantee that materials of similar appearance are of the same composition. Even similar materials are subject to uneven mixing and distribution and random sampling can miss ACM. Versatile Environmental used reasonable diligence and its professional judgment consistent with industry standards in order to identify all suspect ACM. Homogenous Material Types City of The inspection involved identification and sampling of suspect ACBM in the areas establishedNheat Ridge by the client that would be part of the scope of work. Suspect ACBM were grouped into Building Division Page 2 homogenous materials based on color, texture, and date of application. Homogenous materials are grouped into one of three categories based on intended use: 1. Surfacing Material: Material that is sprayed on, troweled on, or otherwise applied to surfaces, such as acoustical plaster on ceilings and fireproofing materials on structural members, or other materials on surfaces for acoustical, fireproofing, or other purposes. 2. Thermal System Insulation: Material applied to pipes, fittings, boilers, breeching, tanks, ducts, or other interior structural components to prevent heat loss or gain, or water condensation, or for other purposes. 3. Miscellaneous Materials: Interior building material on structural components, structural members or fixtures, such as floor and ceiling tiles, and does not include surfacing material or thermal system insulation. Homo enous Areas Sampling Require ent Homogenous Material Type Quantities Minimum # of Samples Surfacing Material 0 to < 1,000 SF 3 1,000 to 5,000 SF 5 > 5,000 SF 7 Thermal System Insulation Each Material 3 Patch < 6 SF, LF 1 Miscellaneous Materials Each Material 2 Key: SF=Square Footage / LF=Linear Footage Performance of this asbestos inspection is intended to reduce, but not eliminate, uncertainty regarding the presence of ACM in connection with the above referenced property. No guarantee is expressed or implied that all ACM was identified in the inspection. Therefore, Versatile Environmental cannot be held accountable for restrictions placed on us by the client, conditions or information that remained unknown, or areas that were inaccessible at the time of the inspection. Bulk samples were analyzed by Polarized Light Microscopy (PLM) in general compliance with guidelines established by the US EPA (40 CFR Part 763, Subpart F, Appendix A). Asbestos concentrations were visually estimated and/or point counted and reported in percent for each layer of the sample. The assessment was executed in accordance with the authorized scope of work. If the scope of City of work is changed the inspector must be informed and an addendum made to this report. This Wheat Ridge report is solely a record of activities, observations, analytical results, and recommendations performed to date. Building Division Page 3 Regulatory Review EPA and the Colorado Department of Public Health and Environment (CDPHE) regulate all building materials that contain greater than 1% asbestos as determined through PLM Analysis. OSHA regulates all building materials that contain smaller amounts of asbestos (even trace concentration as determined by PLM analysis). EPA and CDPHE Regulation No. 8, Part B, requires that suspect ACM in buildings built prior tc 1988 be assumed to be asbestos or an inspection be conducted prior to demolition or remodeling activities that could disturb ACM. However, with the North American Free Trade Agreement in effect and trade with countries such as Canada, Mexico, and China, it can never be determined that a material is not asbestos containing (even if it was produced after 1988) unless it is tested by a certified state inspector. The EPA and CDPHE require all friable and non -friable ACMs in the affected area(s) be removed prior to renovation activities that may disturb the ACM, and all friable ACM must be removed prior to demolition. Removal or management of regulated ACM is only required if they may be damaged or disturbed during remodeling, demolition, or burning. In some circumstances, "point count' analysis is required for bulk samples previously analyzed by PLM. Point counting is a more detailed means of analysis that standard PLM. Federal and State agencies define ACM as materials containing greater than 1% asbestos. The NESHAP regulation requires that if standard PLM analysis determines that a sample contains less than 10% asbestos, the material must be considered asbestos containing or be point counted. Even if the sample is less than 1% by standard PLM, the material either has to be assumed to be ACM or point counted. If the point counting analysis is different than the PLM analysis, the point counting results take precedence over the PLM. If standard PLM analysis determines that a material has no asbestos or that the material contains greater than 10% asbestos, point counting is not necessary. Background The inspector was called to the subject property by, Jawed Zardan of Sell Fast 2020 LLC. Mr. Zardan was concerned about ACBM in the affected areas of the property due to a planned remodel of the house involving the removal of the interior kitchen/dining room common wall, the dining room common wall, kitchen/west addition common wall, bathroom, mechanical room, the kitchen walls and hallway bathroom walls. This includes all tile flooring of above mention areas. No sheet vinyl flooring was tested. Per Mr. Zardan suspect ACBM to be disturbed in the scope of work include: • Textured Surfacing Material on Drywall (TSM) • Miscellaneous Adhesive (MA) • Composite Drywall (CDW) City of • Ceiling Tile (CT) Wheat Ridge • Tile Grout and Mastic (TGM) Building Division Page 4 Affected Homogenous Areas Sampled During Inspection Sample Set Affected Homogenous Area TSM01 Living Room North Wall Material Description Area of Sampling Number of Samples Stipple Brush 120 SF 3 Material Condition Friability Category Potential for Disturbance G F L Sample Set Affected Homogenous Area TSM02 Kitchen West Wall Material Description Area of Sampling Number of Samples Hand Trowel 60 SF 3 Material Condition Friability Category Potential for Disturbance G F L Sample Set Affected Homogenous Area TSM03 Kitchen North Wall Material Description Area of Sampling Number of Samples Hand Trowel 70 SF 3 Material Condition Friability Category Potential for Disturbance G F L Sample Set Affected Homogenous Area CDW01 Bathroom & Mechanical Room Off of Kitchen Material Description Area of Sampling Number of Samples Wall System 250 SF 2 Material Condition Friability Category Potential for Disturbance G F L Sample Set Affected Homogenous Area CT01 West Addition Ceiling Material Description Area of Sampling Number of Samples White/Gray Ceiling Tile 210 SF 2 Material Condition Friability Category Whed Potential for Disturbance G F L 13011aini Page 5 of Ridge Division Affected Homogenous Areas Sampled During Inspection Sample Set Affected Homogenous Area TGM01 Kitchen & West Addition Floors Material Description Area of Sampling Number of Samples Gray Ceramic 160 SF 2 Material Condition Friability Category Potential for Disturbance G NFII L Sample Set Affected Homogenous Area TGM02 Hallway Bathroom Floor Material Description Area of Sampling Number of Samples Light Gray Ceramic 50 SF 2 Material Condition Friability Category Potential for Disturbance G NFII L Sample Set Affected Homogenous Area TGM03 Hallway Bathroom Walls Material Description Area of Sampling Number of Samples White/Yellow Ceramic 290 SF 2 Material Condition Friability Category Potential for Disturbance G NFII L Sample Set Affected Homogenous Area MA01 Kitchen Floor Under Tile Material Description Area of Sampling Number of Samples Off-WhiteNellow Resinous Material 160 SF 2 Material Condition Friability Category Potential for Disturbance G NFII L Key: Material Condition D = No Visible Damage D= Visible Damage v 10% over entire material or 25% Localized SD = Visible Damage v 10% over entire material or 25% Localized Friable Cateaory F =Friable Material: Materials that an be crumbled or reduced to powder by hand pressure. Area of Sam Dlina LIF =Linear Feet SF = Square Feet City of NFI = Category I Non -friable Material: Materialsthat cannot be crumbled or reduced to powder by hand pressure including resilient floor coverings, gaskets, packing material and asphalt impregnated roofing materials. Wheat Ridge NFII =Category II Non -friable Material: All other materials that sono[ be crumbled or reduced to powder by hand pressure that do not include Category INon-triable Materials. Potential for Disturbance L = Low Potential for Damage D = Potential for Damage SD = Potential for Significant Damage Building Division Page 6 Sampling The inspector determined that it was necessary to collect 21 bulk samples from the various homogenous areas (see "Asbestos Sampling Location & Testing Results" for exact areas). All samples were submitted to an accredited third -party independent laboratory. The laboratory results are attached in Appendix A and incorporated into this report. Asbestos Sampling Location & Testing Results Sample ID Description of Sample Location TSM01-1 Living Room: North Wall —West Side (High) TSM01-2 Living Room: North Wall — Center (Low) TSM01-3 Living Room: North Wall — East Side (High) Sample Layer and Asbestos Content Light Gray/Multicolored Paint: 0% White Texture: 2% White/Brown Drywall: 0% Sample ID Description of Sample Location TSM02-1 Kitchen: West Wall — South Side TSM02-2 Kitchen: West Wall —Center TSM02-3 Kitchen: West Wall — East Side Sample Layer and Asbestos Content Light Gray/Multicolored Paint with White/Tan Fibrous Micaceous Material: 0% Brown Fiberboard with White Paint: 0% Sample ID Description of Sample Location TSM03-1 Kitchen: North Wall —West Side TSM03-2 Kitchen: North Wall — Center TSM03-3 Kitchen: North Wall — East Side Sample Layer and Asbestos Content Light Gray/Multicolored Paint: 0% White Texture: 2% Brown Paper: 0% City of Wheat Ridge Building Division Page 7 Asbestos Sampling Location & Testing Results Sample ID Description of Sample Location CDW01-1 Bathroom Off of Kitchen: Southwest (Corner On Seam) CDW01-2 Mechanical Off of Kitchen: Northeast (Corner On Seam) Sample Layer and Asbestos Content Light Gray Grout: 0% Light Gray/Multicolored Paint: 0% Gray Compound: 2% White Tape: 0% Gray Joint Compound: 2% White/Brown Drywall: 0% Off -White Compound: 3% White Compound: 2% Pink/Multicolored Paint: 0% Off -White Texture: 2% White Joint Compound: 2% Sample ID Description of Sample Location CT01-1 West Addition: Ceiling — West Side CT01-2 West Addition: Ceiling — East Side Sample Layer and Asbestos Content White/Gray Perlitic Ceiling Tile: 0% Sample ID Description of Sample Location TGM01-1 Kitchen: Floor — At Living Room Threshold TGM01-2 West Addition:Floor — At Kitchen Threshold Sample Layer and Asbestos Content Gray Ceramic Tile: 0% White Mortar: 0% Light Gray Grout: 0% Sample ID Description of Sample Location TGM02-1 Hallway Bathroom: Floor — By Door (East Side) TGM02-2 Hallway Bathroom: Floor — By Door (East Side) Sample Layer and Asbestos Content Light Gray Ceramic Tile: 0% Light Gray Mortar: 0% Gray Mortar: 0% Light Gray Caulk: 0% City of Wheat Ridge Building Division Page 8 Asbestos Sampling Location & Testing Results Sample ID Description of Sample Location MA01-1 TGM03-1 Hallway Bathroom: South Wall — By Vanity TGM03-2 Hallway Bathroom: East Wall — Shower Surround Sample Layer and Asbestos Content White/Yellow Ceramic Tile: 0% Cream Grout: 0% Yellow Mastic: 0% White Compound: 2% Tan Mastic: 0% Brown Paper: 0% Sample ID Description of Sample Location MA01-1 Kitchen: Floor — Under Tile (East Side) MA01-2 Kitchen: Floor — Under Tile (West Side) Sample Layer and Asbestos Content Off-White/Yellow Resinous Material: 0% White Granular Debris: 0% The affected areas as defined by the scope of work are limited to those listed above. If the scope of work is to change at any point, the inspector must be called back to the property to do additional testing. Assumed ACBM: Joint Compound on wall kitchen west wall over fireplace. Conclusion Asbestos containing building materials WERE assumed or found in the samples analyzed by the laboratory. If affected building materials are to be removed they DO need to be removed by a General Abatement Contractor (GAC). Versatile Environmental assumes no liability for any loss, injury, claim or damages arising directly or indirectly from any use or reliance on this report or the opinions expressed herein. Versatile Environmental makes no risk assessment, warranty, guarantee or insurance policies of any kind, express or implied. This report is limited only to the samples taken and locations sampled. There are no risk assessments, warranties, guarantees, or insurance available or provided by Versatile Environmental. Additional sampling may be needed to further identify other pollutants, or other mold/fungus affected areas inside the subject property. This report was prepared pursuant to the contract Versatile Environmental has with the client. That contractual relationship included an exchange of information about the subject property that was unique and between Versatile Environmental and its client and serves as the basis upon which tb{ of report was prepared. Because of the importance of the communication between Versatile Environmental and its client, reliance or any use of this report by anyone other than the cliAp"t Ridge whom it was prepared, is prohibited and therefore not foreseeable to Versatile Environmet"dQftivision warranty is made. Versatile Environmental liability and that of contractors and subcontractors Page 9 arising from any service rendered hereunder shall not exceed the total fee paid by the client to Versatile Environmental. Thank you for the opportunity to work with you on this project. Please call the undersigned at 720- 234-5010, if you have any questions. Sincerely, Billy Huff Versatile Environmental Industrial Hygienist Colorado State Certified Asbestos Inspector, 17831 Air Monitoring Specialist Mold Inspector and Assessor City of Wheat Ridge Building Division Page 10 AEaobiology� Laboasaroay ASSOGL4iE5. � 11VGORPORAiEo Expe�fise Since 7997 certmeae or wnayBla ehrnt Name vasedR Env:mnmrnul . r r q�/� Q� oae cell«[ea: �3oaozo Sweet 649 Indepentlenw Se LS Oa[e Received: 6/302020 IP Ciry. S. te zip lakewoad. CO 60215 Pao<nuge Oete Analysed: OA 2020 Alm: Bily HUR' Nvt..v l.ee code aapa5pa Oa¢ Reported: ')/12020 Caen[ Project Names 20-0632 / 4350 Tdb 5[ OP a Opago� Pryor[ BJ: 20025946 Tar[ Requested: 3003, AfOestas In Bu14 Sestplee 20025946-1A L:gh[GsaY/MWticobred Pain[ N MCMad: EPA 600/R-93/116: Memad fw Asbestos :n BUIX BuiH:ng Meteisis. EPA — 40 CFR App—ax E m —1,— E of Pert 763. 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Name ve.¢aale Environmrnaal LLC ��/� Q� nam ceueema: f✓3o2ozo svicea Aaaress 649 maepenaen« si lS Ove Recefv 6302oz0 clay. smm zIP Ivke¢vnaa. co sons N oa.e Analyeea: 120 Ann: di11Y Hut£ nlvt+aP 1-+4 code zaoa50o Oate Reported: 1 ]/120-20 Comt PmjeR Nara 20-0632 / 4350 Tcdv St N Pmjma 1Da 20D25996 Tasa ReyucafN: 3002, Aabeftm W Bo1R Saaryle % C o MCNaa: EPA 600/R-93/116: MCNaa for Aabatos in Bulk Building Metvisk, EPA - 40 CFR Appendix E m Subpart E of Part 763. Inaerim Mellwd fm A¢bems in Buh 4uukuon Smnpks N Sample ldeoti6u¢im Clien[ 1J.b Sam k Number PlayaiW IXscription of Semple/layer Hu...a wu (yM) VM Pva<nYBe Asbe¢w¢ I3ewctea Asbexw¢ Peacenuge Non -Asbestos Fibcr PemrnN Non -Fibrous Msaaial Perv-�am Mavix Mawrkl ('aero �1�Ga0.W C�Gluaa rc-ra®ate o-n.aa.m. afw--nr �alwm c-cyP.® 20025906-]A Light G¢ay/Mullicolmad Perim N 40 ND Mab! a l00 - R•hitmae. 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T-2: Y vA:eba. �llJ..- .A h. / l�f•C<- aYAnttwp6yWe iiyet0a TfA' � Mvat WmI G � Cyp® Anita Gip R'hitmma TRM � TrmOp ZlT' � fyneMie OR � Oeaaie I�boratoey Matyat Aab�ta Iib Svpe¢viaor Tt a Ttae. TL a Tale OP a Oppo� \'p a Nan. 0.t.etN R• a R•ega¢tert. P a Priit. W C tp 27 —• S Paan a s f c t o OrQ AErtobiolociy� Lsaboasarorxy ASSOt�L4TE5� INCORPOIiATEO Expej^Eise Since 7997 cartlnram or Analyal. �� senna see. Oo Suie IOD www_aemObloIIV.nB< oleo[ Name ve.¢aale Environmrnaal LLC ��/� Q� nam ceu«ma: 63o2ozo svicet Aaaress 649 maepenaen« si lS ova Recefv 6302020 clay. smm zIP I�kewooa. co sons N Da.e Analyeea: 120 Ann: di11Y Hut£ nlvt+tP 1-+4 code 2aoa50o Oate Reporlea: 1 ]/120-20 Comt PmjeR Nara 20-0632 / 4350 Tcdv St N Pmjmt iDa 20D25996 Tasa ReyucafN: 3002, Aabeftm W Bo1R Saaryle % C I�boratoey Matyat MCNaa: EPA 600/R-93/116: MCNaa for Aabatos in Bulk Building Metvisk, EPA - 40 CFR Appendix E m Subpart E of Part 763. Inaerim Me11wd fm A¢bems in Bub 4uukuon Smnpks N Sample ideotiiiea0m Caen[ [ib Sam k Number PbyaiW IXscription of Semple/layer Hu...a wu (yM) VM Pva<nu8e Asbe¢w¢ I3ewctea Asbexw¢ Petcenuge Non -Asbestos Fibcr Pemrnu Non -Fibrous Msaaial Pnnxma Mavix Material ('aan �1-C.tkteaa PG Pam Gir 211025946-i iA Light G¢ay/Muhicolmed Paint N i ND TfA' � Mvat WmI G � Cyp® itNl 20025946-11B Gray Teztusa N 2 CHRY 2 ZlT' � fyneMie % C I�boratoey Matyat 20D25946 -11C Off -White Compound N 2 CHRY 3 M C P a Priit. 28025996-11D Whitc Compound N I CHRY 2 % C CDWOI-2 20025946-11E Pink/Muhicoiored Paint N I ND 100 20 0 2 594 6-11F OR-WWts Tszlnre N 4 CHRY 2 % C 20025946-I IO Whim Taps N _ ND 95 CELL 5 20025946-11H White Jolnt Compound N 4 20025946-I It WhimJBtown Drywall N 83 ND 20 C- ELL2002 2--2 5996-12 WhitdO¢aY Parhtic Cai—.Tim N 100 ND CELL•MW 20 1' P W C v asl � C � A p S fD n 4C iL �F PO 0 c t o OrQ � to Ae-Aeaineliaa AR -Ammar else B-elm4e li-Ovte 4� X-4 A �� AM-Ame�ta �1-C.tkteaa PG Pam Gir C -Citi¢. I) n.aeem. T-2: Y vA:eba. �llJ..- .A h. / l�f•C<- aYAnttwp6yWe iiyet0a TfA' � Mvat WmI G � Cyp® Anita Gip R'hitmma TRM � TrmOp ZlT' � fyneMie OR � Oeaaie I�boratoey Matyat Aab�ta Iib Svpe¢viaor Tt a Ttae. TL a Tale OP a Oppo� \'p a Nan. 0.t.etN R• a R•ega¢tert. P a Priit. P W C v asl � C � A p S fD n 4C iL �F PO 0 c t o OrQ � to AErtobiolociy� Lsaboasarorxy ASSOGFAiESa INCORPORs1TEO Expe�iise Since 7997 cerrineam or Adalyal. �>w sass,¢ see. � Suie IOO www_aemObloIIV.nB< oleo[ Name ve.¢aale Environmrnml uc ��/� Q� Dam ceueetea: f✓3o2ozo sve:et Aaare¢¢ e49 maepenaen« si lS Daae Re«iv 0 clay. smm zIP I�kewooa. co sons 40 Daae nal Ayeea: 7-2 0 Atm: di11Y Hut£ nlvt+aP 1-+4 code zaoa50o Daae Reported: 11 ]/120-220 Comt PmjeR Nara 20-0632 / 4350 Tcdv Sa ND Pmjma IDs 20D25996 Tasa ReyucafN: 3002, Aabeftm 1p Bo1R Saaryle 20025946-1]C Gmy Morty N MCNaa: EPA GOO/R-93/116: MCNaa for Asbestos in Bulk Building Metvisk, EPA — 40 CFR Appendix E m Subpart E of Part 763. Inaerim Mellwd fm A¢bems in Buh 4asukuon Smnpks OI�pa\� Sample ldeoti6ea0av Clien[ [ib Sam k Numl Cr PbyaiW Oesa�ipaion of Sample/layer Ru...a wu (yM) VM Pva<nta8e Asbe¢w¢ I7<wctea Non -Asbestos Asbexw¢ Peacenuge Fiber Peternta Non -Fibrous Metaial PeareeN Mavix Malarial C®n 211025946-1]A Light G¢ay Ceremie Tile N 40 ND {�/ 100 �tR<— � 20025946-1]B Light stay Mortar N 45 ND �.A. to (� 100 Q TGM02-2 20025946-1]C Gmy Morty N 13 ND OI�pa\� 100 Q Amts Gip 21M25946-t7D light Gmy Gaulle N 2 ND 1�boratmY 100 AWrtm Lao svpa¢viaor Tt � Tales 20021-18A WhimJYellow Ceramic Tile N 94 ND 100 R' a R'e0a¢twita P a Prtita 2L0'L5946-18B Ctvm G¢wrt N 1 ND 100 TGM03-1 20025946 -ISG Yellow Mastic N 5 ND 100 20025946-18D W— Cotnp d N Tr CIiRY 2 % C 20025946-19A WlaitrlYellow C<mrtaic Tile N 93 ND ItNI TGM03-2 20025996-19B Whim Compound N Tr ND 100 G p � C S 27 (v n apad>y N 70 0 c t o OrQ to AC � A<tineliaa AFI � MOL Hie B � Dmds Q � Qoate AM � Amp�ta �1 � Ga0.laaa C � Gluaa T � 2s {�/ �� �tR<— � rMm�a1 V � YAiegta •'� �.A. to (� QSY Qyet➢a MA Wee1 G � Gyps® CRS^_ - OI�pa\� M�66aa Amts Gip � -- R'hitmoea TRM � TamOp ZlT' � fyaeMie OR � Oaraie 1�boratmY Analyst AWrtm Lao svpa¢viaor Tt � Tales TL a Tale OP a Oppo� \'p a Nava 0.taetN R' a R'e0a¢twita P a Prtita p � C S 27 (v n apad>y N 70 0 c t o OrQ to !!!m §§©En' ° / ) ! ! !*® -! ° f k k 2 = 29 � � 2 f ` 2 f I § k @ R § !=k \})}/}}/ � City�f _we_ orae _uimm.a_mn ,P, ,g, 16 gg� 8 _ v ..� A fa�nn i o 7E -8 8 [ .dam e ad o"e=. c�- 3 Z Q v ems. d a _ 3 isn 45 _ _ c $ 79 O ig �� � � = d tea`' s^y+Z do �' .^S �_ � J :_ dq €` 4 € g d • _ City of Wheat Ridge Building Division Page 17 S4 f AErsobiology Lnbow+roRy � Expertise Since ROCLUM PO 1ebu. /j G� 2a 02 5 I1 � 1 Page —L— of L �.1 e(, ELITE NVLA?e rrn ao. a. Gz. ., �, uu G,ve G4 L VS Aerobiology Client Versatile Environmental LLC Field Contact Billy Huff c.u. e G 74, a.nq Q.� Aporting 649 Independence Street R""°"' y-� a" ' ' Aar P f�.: /L 33 pm Billing Lakewood, CO 8�25� Sampler Aneersen SampleAire outer Address T e ero rap to u ure _ PhonelFaz 720-234-5010 Po Jobir' - 06*9, 3 "0 70 e 97 Reporting billy rsaenv.com Project Name: II R e HGur same ay 4H 2 H r Notes: t l ea?,c� SAMPLING L'GCATION ZIP CO 6 r cc Info: Sample No. Test Code Sample Location Tolal Volume/Area Moll -Sod L;u o 1v a4 w sf,� 120 J SBESTOS - PCM Anal is t ) Q' ._.!1 3enix, AZ Cherry Hill, NJ Los Angeles, CA Ft. Lauderdale, FL J -J D )441.3700 e 1"102- r,.. ura 11 s• %o j -3 s/L/ /V W USS 2 (T �' •3 (x slr% 0 S-0 s C IU1'1 i✓ adwil oK AedI in (✓- -S lvrli 71d 5r r 4 vy li G//km / 9 ( l Vl-. ,n �r�[.(�I U1 / l b 6 .`t W Z a (lcl,—N t 47 i �'uepl Non-viahlq, nnrq nn1 1015]Culture- WATER L LAB USE ONLY WAB alla -E.coli/lolal ATER- Potable coliforms WAB - E. coli/local colilonns ��lr A. P -i ` ,Lu WAS - Sawa a Screen E. coli/Entam/tecal coli[artns M3004 ATER-Helerolm hic Plate Count BE5T05-Paint count \ V. (3 1\y `` ((�� UCY p `S 1 1 -Zo G %210 AT- SBESTOS - PLM Analysis ASBESTOS - Particle Chamclenzation SBESTOS - PCM Anal is t ) Q' ._.!1 3enix, AZ Cherry Hill, NJ Los Angeles, CA Ft. Lauderdale, FL J -J D )441.3700 (856)486-1177 (714)895-8401 (954)451-3725 w..a,.l City of Wheat Ridge Building Division Page 18 2 2 2 2 2 2' 2 2 3 3 3: 3: 3, 3: 31 31 3! 31 4( AENobiolowLAborsatoNy lel Page Z or AssocalEs, INCOItrMTM 200Z5914:2 e LI�539 � Expertise Since 1997 NVLA.� C Aerobiology Client K.GfA.R GA VAw p; G,CO VI. G4.w vP Field Contact oI : Heia 30 7A :G PhonelFax 72U• Z - Z7 U - %� /y Email 6.'1 Cn14.r(/ PH roleot Name:ZO•d Z lyjb Sample No. Test Code Sample Location Total Volume/Area -t �3 OO Z' f }-1../iLV• � I�.1.o/ lmi r L SU S V Z .i s fC-1ma3-1 S I'll S Zia Sr 1 MAb1-1 (:1ct+w l Washington, D.C. Atlanta, GA Denver, CO Phoenix, AZ Cherry Hill, NJ Los Angeles, CA Ft. Lauderdale, FL (877)648-9150 (770)947-2828 (303)232-3746 (602)441-3700 (856)486.1177 (714)895.8401 (954)451-3725 wma u City of Wheat Ridge Building Division Page 19 Appendix B - Photo Log (ACM) Sample Set TSM01: Living Room North Wall ~/TMo7 -6 Sample Set TSM03: Kitchen North Wall Sample Set CDW01: Bathroom & Mechanical Room Off of Kitchen City of Wheat Ridge Building Division Page 20 Sample Set TGM03: Hallway Bathroom Walls City of Wheat Ridge Building Division Page 21 Scanned with CamScanner Scanned with CamScanner - 1 -- Let.-�rc. �i li 57 LIP it - 1 �i ji O 10�ESS���P�O TE City of Wheat Ridg- w ing ivisi Scanned with CamScanner I i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: / 4:> Job Address: as (� / �. Permit Number: t -D Q ❑ No one available for inspection: Time AM/9 Re -Inspection required:es No When corrections have been made, schedule for re -inspection online at. http://www.ci. wheatridge.co. uslinspection Date: 7131,40-7-6 Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: 3 S0 '"% ,-- .S Permit Number: �.��® �' / % 3_3 ❑ No one available for inspection: Time /,�. AM M Re -Inspection required: YesN11 go'/ When corrections have been made, schedule for re -inspection online at: httpYAvww. ci. wheatridge. co. uslinspection Date: 71,yl.-V20 Inspector: -570 DO NOT REMOVE THIS NOTICE 1* � � i City of Wheat Ridge �� Residential Roofing PERMIT - 202001733 PERMIT NO: 202001733 ISSUED: 08/31/2020 JOB ADDRESS: 4350 Teller St EXPIRES: 08/31/2021 JOB DESCRIPTION: Reroof with architectural asphalt shingles, 4/12 pitch, 31 squares *** CONTACTS *** OWNER (720) 217-7730 SELL FAST 2020 LLC SUB (720)643-5033 DAVID SCHECK 170158 WATERSHED ROOFING & RESTORATN *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 71967.00 FEES Total Valuation 0.00 Use Tax 167.31 Permit Fee 172.60 ** TOTAL ** 339.91 *** COMMENTS *** *** CONDITIONS *** ALL PITCHED ROOFS REQUIRE A MIDROOF INSPECTION REGARDLESS OF PITCH. FOR ROOF PITCH 6/12 AND OVER: Midroof & Final Roof inspections for ROOFS with 6/12 PITCH & OVER REQUIRE A 3RD PARTY INSPECTION. The 3rd party inspection report must be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with Building Division Policy BD -18-001 for Balanced Ventilation Systems, or manufacturer installation instructions, whichever is more stringent. MIDROOF & SHEATHING: Effective December 1, 2014, asphalt shingle installations require an approved mid -roof inspection, conducted when 25-750 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 25-750 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. LADDER MUST BE SET FOR ALL ROOF INSPECTIONS: A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. COMMERCIAL ROOFS: 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. 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 202001733 202001733 4350 Teller St ISSUED: 08/31/2020 EXPIRES: 08/31/2021 Reroof with architectural asphalt shingles, 4/12 pitch, 31 squares I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Form Submittal: Roofing Permit Application Date: Monday, August 31, 2020 12:48:17 PM Roofing Permit Application THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this property Residential Commercial or Residential? How many dwelling Single Family Home units are on the property? PROPERTY INFORMATION Property Address 4350 Teller Street Wheatridge, CO 80033 Property Owner Name Sell Fast 2020 LLC Property Owner Phone 720-217-7730 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email heather@watershedroofs.com Address Do you have a signed Yes contract to reroof this property? CONTRACTOR INFORMATION Contractor Business Watershed Roofing and Restoration Name Contractor's License 170158 Number Contractor Phone 720-643-5033 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email heather@watershedroofs.com Address Retype Contractor heather@watershedroofs.com Email Address Attach City of Wheat Electronic Payment Form Wheatridae ndf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" DESCRIPTION OF WORK TOTAL SQUARES of 31 the entire scope of wo rk: Project Value (contract $6200 value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or both? (check all that apply) What is the specific 4/12 pitch of the PITCHED roof? How many squares are 31 part of the PITCHED roof? Describe the roofing Architectural shingle (asphalt composition) materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional This is a complete Tear Off and Install Architectural Shingle detail here on the (asphalt comp) description of work. (Is this for a house or garage? Etc) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Heather Mrzlack Permit Email not displaying correctly? View it in your browser. :4t7�Zoo! 2�Wy 5366 Godding Hollow Pkwy EARTH ENERGY ENVIRONMENT (E3) Longmont, co 80504 Local: 303.902-5851 Industrial Hygiene and Environmental Engineering July 31, 2020 t Mr. Ivan Garcia Mile High Environmental Services Inc. 9520 E Jewell Avenue Suite C. Denver, Colorado 80247 Subject: Clearance Report 4350 Teller Street Wheat Ridge, CO 80033 Dear Mr. Garcia: V ON SITE PLANS MUST BE ON SITE FOR INSPECTION 4l 1q r • ,tet . ►; .: Following is the project completion report for the work areas located at 4350 Teller Street in Wheat Ridge, CO 80033. The purpose of this report is to document this remediation project was successfully completed, and indoor asbestos amplification was not occurring in the work area. An Industrial Hygienist for Earth Energy Environment (E3) performed the remediation project completion inspection and testing procedures. The remediation work area (Interior Area) was visually inspected in order to confirm the scope of work was properly followed and completed. The containments were also visually inspected to verify breaches and/or defects were not present. Phase Contrast Microscopy (PCM) samples were collected in accordance with the National Institute for Occupational Safety and Health (NIOSH) method 7400 using cassettes (standard 3 piece, 25 mm dia., 0.8 um MCE filter) purchased from Zefon International, Inc. The asbestos concentrations in the containment were calculated as airborne fibers per cubic centimeter of air (F/cc). Table 1 provides a summary of the sample numbers, sample volumes, and calculated concentrations. The National Emission Standards for Hazardous Air Pollutants (NESHAP) clearance standard is 0.01 F/cc. Visual inspection confirmed that no asbestos -containing debris was observed in the work areas. The PCM clearance air sample results were all below the NESHAP clearance standard of 0.01 F/cc. Based on the information presented above, E3 concludes the asbestos abatement in the work area has been successfully completed, and the work area may be reoccupied after build back. Ad V"WeRwe PCM Air Clearance Page 2 of 2 TABLE l: PCM CLEARANCE AIR SAMPLING RESULTS Date Unit/ Area' Sample # Sample Description Sample*Fibers/cc Volume Air Clearance CL -073120-1 970 0.002 at: CL -073120-2 Inside 965 0.002 4350 Teller CL -073120-3 Containment 950 0.001 July 31, Street in Wheat CL -073120-4 935 0.001 2020 Ridge, CO CL -073120-5 925 0.001 80033 (Interior Area) BLK-1 Blanks - BRL BLK-2 BRL *BRL denotes "Below Reporting Limits". The PCM Colorado Department of Public Health and Environment (CDPHE) clearance standard is 0.01 F/cc. The sampling results relied upon for this report do not include or apply to any other areas within the structure that were not sampled but may contain asbestos; including materials/areas that may be hidden or inaccessible Thank you for allowing E3 the opportunity to provide environmental services to you. If you have questions or require additional information, do not hesitate to contact me directly at (303) 902-5851. Sincerely, Eli Willden Certified Air Monitoring Specialist No. 20139 1b Me 69NM ft" f q 3 50 `rEu-&e Eq-, _#__ Z000 0) Z 8 � 5366 Godding Hollow Pkwy EARTH ENERGY ENVIRONMENT (E3) Longmont, co 80504 Local: 303.902-5851 Industrial Hygiene and Environmental Engineering July 31, 2020 Mr. Ivan Garcia Mile High Environmental Services Inc. 9520 E Jewell Avenue Suite C. Denver, Colorado 80247 Subject: Clearance Report 4350 Teller Street Wheat Ridge, CO 80033 Dear Mr. Garcia: Following is the project completion report for the work areas located at 4350 Teller Street in Wheat Ridge, CO 80033. The purpose of this report is to document this remediation project was successfully completed, and indoor asbestos amplification was not occurring in the work area. An Industrial Hygienist for Earth Energy Environment (E3) performed the remediation project completion inspection and testing procedures. The remediation work area (Interior Area) was visually inspected in order to confirm the scope of work was properly followed and completed. The containments were also visually inspected to verify breaches and/or defects were not present. Phase Contrast Microscopy (PCM) samples were collected in accordance with the National Institute for Occupational Safety and Health (NIOSH) method 7400 using cassettes (standard 3 piece, 25 mm dia., 0.8 um MCE filter) purchased from Zefon International, Inc. The asbestos concentrations in the containment were calculated as airborne fibers per cubic centimeter of air (F/cc). Table 1 provides a summary of the sample numbers, sample volumes, and calculated concentrations. The National Emission Standards for Hazardous Air Pollutants (NESHAP) clearance standard is 0.01 F/cc. Visual inspection confirmed that no asbestos -containing debris was observed in the work areas. The PCM clearance air sample results were all below the NESHAP clearance standard of 0.01 F/cc. Based on the information presented above, E3 concludes the asbestos abatement in the work area has been successfully completed, and the work area may be reoccupied after build back. C&I d VVNeet Ridge oWh= ,915*1 �� ,r PCM Air Clearance Page 2 of 2 TABLE 1: PCM CLEARANCE AIR SAMPLING RESULTS Date Unit/ Area Sample # Sample Description Sample Volume Fibers/cc Air Clearance CL -073120-1 970 0.002 at: CL -073120-2 Inside 965 0.002 4350 Teller CL -073120-3 Containment 950 0.001 July 31, Street in Wheat CL -073120-4 935 0.001 2020 Ridge, CO CL -073120-5 925 0.001 80033 (Interior Area) BLK-I Blanks - BRL BLK-2 BRL *BRL denotes "Below Reporting Limits". The PCM Colorado Department of Public Health and Environment (CDPHE) clearance standard is 0.01 F/cc. The sampling results relied upon for this report do not include or apply to any other areas within the structure that were not sampled but may contain asbestos; including materials/areas that may be hidden or inaccessible Thank you for allowing E3 the opportunity to provide environmental services to you. If you have questions or require additional information, do not hesitate to contact me directly at (303) 902-5851. Sincerely, Eli Willden Certified Air Monitoring Specialist No. 20139 �City of Wheat Ridge E -Res. Water Heater Replcmnt PERMIT - 201901149 PERMIT NO: 201901149 ISSUED: 06/05/2019 JOB ADDRESS: 4350 Teller St EXPIRES: 06/04/2020 JOB DESCRIPTION: Replacing gas water heater, 40 gallons, 40k BTUs in utility room. *** CONTACTS *** OWNER (720)298-6637 CLASSEN ROGER GEORGE SUB (303)232-6611 JOSH WARD 018236 APPLEWOOD PLMB, HEAT, & ELEC. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,405.00 FEES Total Valuation 0.00 Use Tax 50.51 Permit Fee 93.35 ** TOTAL ** 143.86 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermI I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed rs disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. T t uance or gra f g of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any a able ode or ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dina Kemp! From: no-reply@ci.wheatridge.co.us Sent: Wednesday, June 5, 2019 12:57 PM To: CommDev Permits Subject: Online Form Submittal: Residential Water Heater Replacement Permit Application Residential Water Heater Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT WATER HEATERS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes replacement water heater like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address (Leave blank if not known) Attach Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS** 4350 TELLER ST ROGER CLASSEN 720-298-6637 permits@applewoodfixit.com 621520 CC FORM.pdf CONTRACTOR INFORMATION I /C13• c-� Contractor Business APPLEWOOD PLUMBING HEATING & ELECTRIC Name I Contractor's License 18236 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-458-5988 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address permits@applewoodfixit.com Retype Contractor Email Address DESCRIPTION OF WORK Number of gallons Is the water heater GAS or ELECTRIC? If GAS, enter # of BTUs If electric, enter n/a Where is the water heater located (for example, basement, crawlspace, etc)? permits@applewoodfixit.com 40 GAS 40000 UTILITY ROOM Project Value (contract 2405 value or cost of ALL materials and labor) 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 work may not begin on this property until a permit has been issued and posted on the property. Yes Yes 2 I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. 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. Person Applying for JOSH WARD Permit Email not displaying correctly? View it in your browser. . ~ `D O N N o j 0 C O 7 SD ~ P7 Q Q O > N n > ~ { N y 7 !~1 ~ 0 7 n . ~ N CD N I 0 n ~ I ~ D O ~ W ~ W ~ A N b W W ~ I C- 0 a D a C W N ~ i ~ Z ~ C Q A ~ - ~ Z W ~ W W 7 ~ N Q W 3 t N O Z m cn A ~ 0 o(Ag-n Z 3 y 0 N S 3 ~ m ~ (7 m 4 3 N ~ O ~ ~ y ~ 1 R W 1 t V > > T (b k DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number Date 8683 3/26/99 Property Owner : Property Address : 4350 TELLER ST Contractor License No. : Company: Phone : 423-2922 Phone : 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 the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Description : Gas log insert Construction Value : $99.00 Permit Fee : $23.50 Plan Review Fee : $0.00 Use Tax : $0.00 Total: $23.50 Use: Electrical License No : Company : Expiration Date : Approval: Plumbing License No : Company : Expiration Date : Approval: Mechanical License No : Company : Expiration Date : Approval : (1) 7his permit was issued in accordance with the provisions set /orlh in yopur application antl is subject to the laws of the State of Colo2do and to the Zoning Regulations antl Builtling Code of Wheat Ridge, Colorado or any other apDlicable oNinances otMe Ciry. (2) This permit shall expire if (A) the work authorized is not commenced within sinty (80) days from issue tlate or (B) the building auMorized is suspentleA or abandoned !or a periotl of 120 tlaYs. (3) If this permit expires, a new permit may be acquired for a tee of one-half the amount normalty required, provided no changes have Deen or will be made in the original plans and specifications antl any suspension or abantlonment has nol ezceedetl one (1) year. If changes are matle or if suspension or abantlonment exceeds one (1) year, (ull fees shall be pai0 for a new permit. (4) No work of any manner shall be done that will change the naturel flow of water causing a drainage problem. (5) Contrector shall noUry the euilding Inspector twenty-four (24) hours in atlvance for all inspections and shall receive wntten approval on inspection card before proceetliing with successive phases of the job. (e) The issuance ot a permit or the approval of drawings and specifica6ons shall not be construed to be a pertni[ for, nor an approval of, any violation of the provisions of the building codes or any other ortlinance, law, rule or regulation. Chief Building Inspector 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 APPLICATIo N PropertyOwner:mQ2 Property Address : Contractor License No. : Phon~ ~ -Z'~ ' -2 ~7 Company: Phone: OWNER/CONTR,4CTOR 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 restriMions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions pnnted on this application, and that I assume full responsibility for compliance with the Wheat Ridge Buildinq Code (U.B.C.) and all other applic Wheat Ridge ordi9~nces, t work under this permit. (OWNER)(CONTRACTOR)SIG '(.-~'/J ~ n hDATfi3~ ~ Description Construction Value : wlev Permit Fee : Use Tax: Total : Use BUILDING DEPARTMENT USE ONLY Zonin 1G~3~~ SIC : Sq. Ft. : Approval: Zoning : BUi1am n~ Approval : P,i76lt~W mments,j Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company : Expiration Date : Approval : Piumbing License No : Company: Expiration Date : Approval: Mechanical License No : Company : Expiration Date : Approval: (t) This pertnit was issued in accordance with the provisions set foM in yopur appliwtlon and is subI~ecl to the laws of the SWte of Colorado anC to the Zoning Re9ulations anA Builtling CoOe of Wheat Ridge, Caloratlo or any other appliwble oMinances of it~e City. (2) Th is pertnit shall expire if (A) the work auNOnzetl is not commented wiNin sixty (60) days (rom issue date or (B) the building authorized is susDended or abanAOneE for a periotl ot 120 tlays. (3) If tliis pertnit expires, a new permit may be acQuired for a(ee of one-half Ne amount normally require4 provided no changes have been or will be maae in the onginal plans anC specifcations and any suspension or abandonment has not ezceeded one (1) year. If changes are made or i( suspension or abandanment exceeds one (1) year, full tees shall be paiC for a new permit. (4) No work o( any manner shall be tlone Nat will change the naNral Ilow o/ water fausing a Groinage Droblem. (5) Contrecfor shall notity the Building Inspector twenly-four (24) hours in advance lor all inspeclions and shall receive wntten approval on inspec6on wrd be(ore proceediing with successive phases of the job. (6) The issuance of a permit or the approval o( drawings anC specifcations shall not be construed to be a permit for, nor an approval of, any violation of the provisions o( Ihe building cotles or any other ordinance, law, mle or regulation. Chief Building Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number Date 3777 9/4/96 Property Owner Property Address Contractor License No. ANDERSON MERLYN K 4350 TELLER ST 18232 Company : Aaark Heating & A/C, Inc. Phone: 423-2922 Phone : 431 8015 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 Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Description : REPLACE FURNACE ConstructionValue: $1,850.00 Permit Fee : $60.50 Plan Review Fee : $0.00 Use Tax : $2220 Total: $82.70 BUILDING DEPARTMENT USE ONLY NE_ ~ ,1 SIC : Sq. Ft. : Approval: Zoning : , Approval : Approval: Occupancy Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: im 21 FFIO.' I' 7 a MRIMMKIMs.~~ (1) This permit was issued in accordance with the provisions sei forth in yopur application antl is subjecl to Ne laws of the State oF Colorado and to the Zoning Regulations antl Builtling Cotle of Wheat Rid9e, Coloretlo or any other applicable ortlinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sizty (60) tlays from issue tlate or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If lhis permit expires, a new permR may be acquired for a fee of one-half Ihe amount normally required, provided no changes have been or will be matle in Ihe onginal plans and specifications and any suspension or abandonment has not exceedetl one (1) year. It changes are made or it suspension or abandonment exceetls one (1) year, !u0 fees shall be paid for a new permit. (4) No work of any manner shail be tlone that will change the natural Flow of water causing a tlrainage problem. (5) Contrector shall notiy the Builtling Inspector hventy-four (24) hours in advance for all inspec6ons and shall receive written approval on inspeclion cartl beFOre proceediing with successive phases of the job. (6) e issuance ot a permit or the approvai of drawings and specifcations shall not be construetl to be a permit for, nor an approval of, any violation of lhe provisions f he bpilding code;n[ any other~prdinance, law, rule or regulation. Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION CEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : Cj-3 -F G 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Property Address : Phone: 6/.2-3 -;~~ZZ Contractor License No. : j~o232 Company : 1~s2~~ y✓~ ~ ~e Phone dQ"s /J OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certity that the setback distances proposed by lhis permit applicalion are accurate, and do not violata appliwble ordinances, rules or ragulations of the City ot Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate: that 1 have read and ayree to abide by all conditions printed on this application, and that I assume full responsibihty for compliance with the Wheat Ridge Building Code (U.B.C.) and all other aOPlicable WheaAtq~ e ortlinances, for wor under this permit. (OWNER)(CONTRACTOR) SIGNED_yc/yd~~~ DATE ~ 3-FL Description f":"`tCC .p 16e~~j~~,~~-- Construction Value .Ua Permit Fee : GC3. So Use Tax : Total : . 765 BUILDING DEPARTMENT USE ONLY ~~i ii31'~SL 8TS1~igRf$7 Approval: Zoning : @IIltdinraa~~h~ent3~l Approval: F~i: t~:5f1(b~KS~'a7nh~~ Approval: Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company : Expiration Date : Approval: Plumbing License No : Company : Expiration Date : Approval: Mechanical License No Company : X/11~ Expiration Date : Approval: ~ OvIrf►.!s?€"mi MWOOM m vl , Pa2 ?Z (1) This permit was issuetl in accordance wilh the Orovrsions set IoM in yopur applintlon and is aubject to Ne lawa of ihe State of Colorod0 and to ihe Zoning Regula6ons and Builtliny Cotle ot Wheat Ridge, Coloratlo or any other aDGlicable ortlinances ol tha City. (2) This permit shall expire d(A) the work authonzetl is not commenced within sixry (60) tlays from issue dale or (B) ihe buildinp auNOnzed Is suspended or abandoned bra period ot120 tlays. (3) It ihis pertnit expires, a new permit may be acquiratl for a lee of one-half Ne amount normally required, providad no chan0es have been or will be matle in the onginal plans and specificationa and any suspension or aOanEOnment has nol exceetled one (i) year. If Uanqes are matle or i( suspansion or abandonment exceeES one (1) year. Nll lees shall be paitl for a new pertnit. (a) Nb work ol any manner shall Oe Oone that will thange tlta naWral flpw of waler Wusing a tlrainage problem. (5) ConVaqor shall notiry the Building Inspector hvenry-lour (24) hours in advance for all inspectlons and ahall receive written approval on inspection cartl Oefore proceetliing with succauive phases of the job. (6) The issuance of a pertntt or the approval of Erawings and specifiw6ons shall not be construetl to Ee a pertnit lor, nor an approval of, any violation of the Drovisions of Ne Duilding cotles or any other ortlinance, law, mle or regulation. Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF COMMUNITY DEVELOPMENT ME911/4786 750o WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. ~ 237-6944 ExT. 255 P.O. Box 83e CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLV WHEN SIGNED BY THE CHIEF BUIIDING INSPECTOR AND RECEIPTED BELOW. JOB ADDRESS CONTRACTOR ADDRESS ~ CITY ZI P CODE .k LICENSE NO. 1. TVPE Ground❑ Woll❑ Proiectinp❑ 01her SaDFOCe 2. MATERIAL Totai Squan Fut _ SIGNS 3, ILLUMINATION Yis❑ No❑ Typa Eloef. Permif No. 4. SET BACK FROM PROPER7Y LINE N _ S_ E _ W Zono_ Apprwad, 2ona Inspeeta (SDecity whieh is front ) ❑ ❑ ❑ ❑ DiwpDroved 1. TYPE Solid❑ Mon TMn 80% OpsnO Less Thon 80% Open FENCES MATERIAL Heipht 3. SET BACN FROM PROPERTY LINE N _ S_ E _ (SDetifv whieh it }rontl ❑ ❑ ❑ S i. OTHER 2 13. DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHERSTRUCTURE (SETBACKS OR VROJECTqNS INCLUDED) STREET NAME INSPECTION TICKET JOB ADDRESS T 3 ~ t~-~ <4-lt p- . DATE: a ~ ~ BLDG.PERMITA i)!E 9/ PERMIT# ~~if~ BLDG. CONTR. _ SUBCONTRACTOR DATE INSP. REQ. T / TYPE OF INSP. INSPECTION MADE SHOW DISTANCES FROM THE MAIN BUIIDING TtrADJ01NING MOUSES,STREEI REMARKS DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE APPLICATION FOR Pl.UM81NG; ELECTF " ` SHIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED W > M. PERMIT WILI E%PIRE 60 DAYS FROM DATE OF ISSUANCE ELECTRICAL PER T / STATE LICENSE N0. / PLUMBING F W.R. FORM 619 / I STATE UCENSE N0. r/ ALUMINUM WIRE UNDER SIZE 8 ILLEGAL FLOOR BSM IS : Sola N0. WATER CLASET TEMPORARY METER WASH BOWL HOT WATEH BTU NEW SERVICE AMPS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LIGHTING SINK OTHER HEnMM6 CQG . W GARBAGE D150 REFRIGERATION SVSTEM POWER SUB-CIRCUITS WA7ER HEATER Retri sranf Group UTILITY(RANGE,DISPOSER,ETC.) AUTO. WASHER PowMs Chor a FIXTURES DISH WASHER AUTOWATIC SPRINNLER SYSTEM WIRING MOTq25 B CONTROLS FIDOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FI%TURES I hereby ccknowled9e thot ihis oDPlico- tion ia eorrect and underatand thot I connot atarf this project until this oDPli- cotion ie opOroved. I sholl comply with tAe lawa of the State ol Colorado and to ths Zonina ReQulations ond Buildinp Code otthe City ot Wheai Ridqe. Any violation of the obove ferma will couse immediote revocotion of thie permit ~y0lieanU 9i0naNn PERMIT FEE -NOT VALID UNLESS RECEIPTE rl L(~6ro~o USE TAX TOTAL FEE $ ~`A 7 -~6-`t / CHIEF BUILDI*INSPECTOR,City of Wheat Ridpe v ( CAL1237-8944 EXT.255 24 HOURS IN ADVANCE Dafe Issued FORINSPECTIONS OWNER PHONE - /g0---;1 ZIP CODE7-=M.?_.:t- pONTRAC7 PRICE $ ~ ~ MM91113736 DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 wEST 29th AvENUE BUILDING INSPECTION DIVISION PERMIT N0. %X9%y4= 237-6944 ExT. 255 P.O. eox 838 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW. n~ICl~T10~ FOR MISCELLANEOUS PER~IITi~~.~ r~~v JOB ADDRESS ADDRESS 3 CITY ZIP CODE ~ PHONE LICENSE NO. OWNER 41 PHONE ~-3'~~ 21P COD~OD3 ONTRACT PRICE $ ~~G v 1. TVPE Ground ❑ Woil❑ Proiscfin0❑ OfMr S or D Fate 2. MATERIAL Tofal Squon Fqt SIGNS 3. ILLUMINATION YOs❑ No❑ TYDs Eleef. Permit No. 4 SET BACK FROM PROPERTV IINE N _ S_._ E _ W Zons_ _ Apprwad,2onelnspeetw (SOkify whioA is fronl) ❑ ❑ ❑ ❑ DisoPDrovsd 1. TYPE Solid0 More Thon BO% Open[3 Less Thon BO% Open ? MATERIAL HeiQht FENCES , 3 SET BACK FROM PROPER7Y LINE N _ 5_ E _ W Zone_ ADCrovied,Za^e Inspeeta (SoaaiH wFiehiefronl) ❑ ❑ ❑ _ ❑ DisaDDroved OTHER 3. DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIVIh'v DISTANCES FROM PROPERTY LINES. (SETBACKS OR PROJECTIONS INClUDEO) ~ SPECIFY NORTM STREET NAME SHOW DISTANCES FROM TME M41N BUILDING TQADJOININ6 HOUSES, STREETS, AND PROPERTY LINES;ON IRRECiULAR lATS, SHOW LEAST DISTANCE TO PROPERTY LINES, NOT MA%IMUM OR AVERAGE DISTANCE. APPLICATION FOR PLIkABING; EIECTRICAI; MECHANICAL PERMIT THIS APPLICATION~I~L'T WO~"~ E%PIRE 60 DAYS FROM R DATE OF ISSUANCE W~ WORK IS NOT VALIDATION WIBTHW THATI TIYAE INSPELTION DIVISION. ELECTRICAL PERMIT PLU MBING PER MIT MECHANICAL PERMIT STATE LICENSE N0 STATE LICENS E N0. ALUM . INUM WIRE UNDERSIZE 8 ILLEGAL FLOOR BSM IST 2ND 3RD 4TH Na ElxSolor ~ Gas p' ~ WATER CLASET g ORCED A HOT WATER BTU TER WASH BOWL BTU - AMPS BATH TUB STEAM AIR CONDITIONING-BTU P E-AMPS ff SHOWER SINK STEM GARBAGE DISF RCUITS CIRCUITS WATER HEATER Refri sroM Group ETC) DISPOSER Y(RANGE TI I AUTO. WASHER Pounds Char e , , T L U AUTOMATIC SPRINKLER SYSTEM FIXTURES DISH WASHER ELEVATOR WIRING MOTOF25 9 CONTROLS FLOOR DRAIN SIGN$ URINAL TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER RES MOTORS OVER I HP TOTAL FIXTU REMARKS 1 hareDy acknowlsdQe ihot thia aDPlica' fion is correct and understond thof I cannot sfort this projecf until this aDDli- cation ie apDroved. I shall comply with the laws of the Slate of Colorodo and to ths Zonina ReQulationa ond Bwidin0 Code of fhe City of Wheaf Ridpe. Any violation of the obove terme will couse immediate revocation of ihis Oermit. PERMIT FEE usE Tax TOTAL FEE APPROVED DGAPPR9VE0-_ CHIEF BUILDING CiTy of Wheat Ridge Date IssuPd. VALID UNlE55 RECEIPTED 0 (4'_~ o b 6 ~_.26-`i/ fI C' lkl ) 9 8<I CALL 237-8944 EXT. 255 24 HOURS IN ADVANCE FORINSPECTIONS