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3803 Wright Street
Frwn: m bft wheatndae co us To: mmmoN oermm subject: Wine Fm" wbnlui: Petitlmoal Rccessory Shue (Garage, Shad over 120 W R. Gao N) Dare: FtlEag 3Yre 11, 2021 12 37:43 PM Residential Accessory Structure (Garage, Shed over 120 sq ft, Gazebo) THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Property Address 3803 Wright St Property Owner Name Kate Johnson Property Owner Phone 303-263-6892 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Ilatejohnson@Iive.com Address Attach City of Wheat Johnson- Electron Payment Form- Revised S1 -20 - Ridge Electronic Fillable.odf Payment Form - **DO NOT ATTACH A PICTURE OF A CREDIT CARD** CONTRACTOR INFORMATION Contractor Business Integrity Pool Builders Name Wheat Ridge 160014 Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-583-8306 Number (enter WITH dashes, eg 303-123- 4567) Contact Email Address craig@integntypoolbuilders.wm for Questions/Comments Retype Contractor araig@integntypooIWIders.com Email Address 9:.141:112NIS] IED] yrJPl V 8 Detailed Scope of 15'x 30'Pool&7'x7' Work - Example: Detached Garage with Electrical; Unconditioned shed Square Footage of 499 Accessory Structure Engineering Letters Field mt completed and Other Letter Size Attachments Construction Plans Johnson - sumDed Here.= scanned on 11"x17" or larger Project Value (contract 41,176.50 Valuation adjusted $44,736.00 value or cost of ALL 76SOFT+ 1322 SOFT32 = materials and labor) 44736 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 Craig Beaty Permit I attest that everything Yea 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 displayiig wmaclly? View it in your browser. From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Electrical Service Change/Upgrade/Electrical Work Permit Application Date: Tuesday, August 3, 20218:11:13 AM Electrical Service Change/Upgrade/Electrical Work Permit Application This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE OR UPGRADE (200 amps or less). 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 Yes electrical service change or upgrade - 200 amps or less? PROPERTY INFORMATION Is this Residential or Commercial? Property Address Residential 3112 Mountain Shadows Drive Property Owner Name Nicholas Whittier Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Applewood PH&E Name 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 Tracey L. Johnson Permit Email not displaying correctly? View it in your browser. 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 permits@applewoodfixit.com Address Retype Contractor permits@applewoodfixit.com Email Address DESCRIPTION OF WORK Is this an electrical Change service upgrade or change? Number of Amps 200 Location of work House (garage, house, etc) Provide additional Complete underground service replacment. details, if needed. Project Value (contract 12961.00 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 PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Homeowner Interior Remodel PERMIT - 202000231 *** CONTACTS *** OWNER (720) 460-6515 SUB (303) 522-3829 202000231 ISSUED: 02/07/2020 3803 Wright St EXPIRES: 05/03/2021 SWO Removed seven walls, 15 new can lights, new subpanel - 50 amps JOHNSON SCOTT & KATIE BRIAN A HERREN 110271 ANTLER ELECTRIC LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: *** FEE SUMMARY *** Total Valuation Plan Review Fee Use Tax Permit Fee Investigative Fees Same Day Inspection ** TOTAL ** *** COMMENTS *** ESTIMATED PROJECT VALUATION: FEES 0.00 132.80 210.00 204.30 204.30 120.00 871.40 UA / Unassigned 0 / 10,000.00 *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. NOTE: Consultations and inspections will only be performed with the homeowner of record present. All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Homeowner Interior Remodel PERMIT - 202000231 202000231 ISSUED: 02/07/2020 3803 Wright St EXPIRES: 05/03/2021 SWO Removed seven walls, 15 new can lights, new subpanel - 50 amps 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 �pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 02/07/2020 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. 1 .' City of wh6 atV**jidge COMMUNITY DEvELOPML-NT City of Wheat Ridge Municipal Building 7500 W. 291h Ave. Wheat Ridge, CO Permit Extension Rec 80033-8001 P: 303.235.2855 uest Form F: 303.237.8929 Permits ex ire 365 days after the date of issuance regardless of activity. Requests for extension must be made in p writing and received prior to the date of expiration. An extension of no more than 180 days may 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. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building fficial and is not guaranteed. Please complete this form in its entirety and submit to the Building Division permits(a,ci wheatridge.co.us or fax to 303-237-8929. Parry requesting permit extension: Permit # Z Z drZ 3 Property Address: Phone # 7ZO -y2 7 2-J7 Email Address: Reason for extension request: Number of days requested: IN a Printed Name:! Co/' ' ST,041,5oh Signature: For office use only This request has been: Approved by: 0 ❑ Denied r ot7n6o_ J www.ci.wheatridge.co.us Date: Z/0 (V Extended until: Date: 2/03/2021 5/03/2021 i CITY OF WHEAT RIDGE �,- Building Inspection Division r/ (303) 235-2855 Office INSPECTION NOTICE Inspection Type: - - Job Address: Permit Number: ❑ 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:—/- /<- Z! Inspector: �J DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ 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. us/inspection Date: d"' '' ' ° Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: '' .- ==v� ,-,s<,,•.r^ Permit Number: .A 2, ❑ No one available for inspection: Tjme f.) -=; Aopm Re -Inspection required: Yes'. No When corrections have been made, schedule for re -inspection online at: http //www.ci.wheatridge.co.usVinspection Date: / . -7F Inspector: DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: ^� -� I Job Address: Permit Number: % Ak— - L # ❑ No one available for inspection: Time/ 6 4 57AM/PM Re -Inspection required: Yes`` NGD� When corrections have been made,Isc�edule for re -inspection online at: http://www.ci.wheatridge.co.uslinspectiogf" r: o CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Time r 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:—/e-,- -G, Z'r' Inspector: DO NOT REMOVE THIS NOTICE 1* � � i City of Wheat Ridge E -Res Egress Window PERMIT - 202002183 PERMIT NO: 202002183 ISSUED: 10/27/2020 JOB ADDRESS: 3803 Wright St EXPIRES: 10/27/2021 JOB DESCRIPTION: Install 2 egress windows with horizontal and vertical cuts - 20 sq ft total *** CONTACTS *** OWNER (303)263-6892 JOHNSON KATE & SCOTT GC (720)626-4221 STEPHEN S ENNETT 150231 DENVER EGRESS WINDOW *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 61000.00 FEES Total Valuation 0.00 Plan Review Fee 91.59 Use Tax 126.00 Permit Fee 140.90 ** TOTAL ** 358.49 *** COMMENTS *** *** CONDITIONS *** 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 2018 IRC, 2020 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. I by m si nature do hereby attest that the work to, be performed shall comply with all accompanyin approved plans and specificationsapplicale uilding codes, and all applicable munical codes, policies and procedures, and that I am t e legal owner or have been authorized by the legal owner of the property and am authorize to obtain this ermit and perform the work described and approved in conjunction with this ermit. I further attest that I am le ally authorized to include al entities named within this document as parties to the work to be per ormed and that all work to be per ormed 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: General Permit Application Date: Thursday, October 22, 2020 2:52:02 PM General Permit Application This application is exclusively for Scopes of Work that do not already have a specific form. YOU MUST ATTACH AN ELECTRONIC PAYMENT FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Is the property Residential Residential or Commercial? Property Address 3803 Wright St. Property Owner Name Kate & Scott Johnson Property Owner Phone 303-263-6892 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Field not completed. Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTACT INFORMATION Submitting General Denver Egress Window Contractor or Architect Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) 150231 Contract Phone Number (enter WITH dashes, eg 303-123- 4567) Contact Email Address Retype Contact Email Address DESCRIPTION OF WORK Detailed Scope of Work - Provide a detailed description of work including mechanical, electrical, plumbing work occurring, adding/removing walls, etc. 720-626-4221 info@denveregresswindow.com info@denveregresswindow.com install two egress windows Square footage of 20 scope of work Location of work basement south and east walls (backyard, on roof, etc) Project Value (contract 6000 value or cost of ALL materials and labor) Upload Engineer letter, other documents on 8 1/2" x 11 " Upload Asbestos Report if triggler level is met per CDPHE regulation. Upload Drawings 11" x 17" or larger $6,000 Valuation is OK n..rbacxi�xxr��rrna��er����rxsinrry►�rr��i�r�:�z�r`r. Field not completed. Field not completed. 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 may not begin on this property until a permit has been issued and posted on the property. I certify that I have been authorized by the legal owner of the property to submit this application and to perform the work described above. 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 Yes Yes Person Applying for Denver Egress Window -Stephen Sennett Permit Email not displaying correctly? View it in your browser. NOTES • TEMPORARY SUPPORT IS REQUIRED ON ALL LOAD BEARING WALLS PRIOR TO DECONSTRUCTION • WINDOW WELL SHALL BE 13 SQ. Fr. MIN. AREA WITH 36"MIN. CLEARANCE FROM FOUNDATION WALLTO INSIDE OF WELL. A PERMANENT LADDER IS REQUIRED IN ME WINDOW WELL IF BOTTOM OF WELL IS 46" OR MORE BELOW GRADE. • IN CASE WHERE THE NEW EGRESS WINDOWS R.O. IS LES THAN OR EQUAL TO THE EAWING WINDOW WIDTH, THE EXISTING HEADER OR LINTEL IS SUFFICIENT TO SUPPORT THE MAXIMUM DESIGN LOADS IMPOSED. NO ADDITIONAL SUPPORT REQUIRED. ON SITE PLANS ALL Protects are Subject to Field Inspections FRONT IS FLOOR JOIST BEARING RIGHT WAIL DOES NOT (720)626-4221 EXISTING WINDOW STEEL NOTi IN TIME EXISTING CONCRETE FOUNDATION CUT A HORIZONTAL SLOT HSS 6"x Tx 1/0"MIN.— FOR TUBE STEEL PLACEMENT= R.O.+y WIDE X 2" DEPTH. CUR HORIZONTAL AND VERTICAL ROUGH OPENINGS +3"FOR CUT SLOT FOR TBEARINC TRIMMING ALL SIDES OF NEW WINDOW. MIN. TYPICAL BOTH ENDS ADD NON-STRUCTURAL INFILL BETWEEN NEW HSS HEADER AND NEW WINDOW AS REQUIRED. ME NEW WINDOW LOCATION MAY BE AUGNED WITH BOTH SIDE OF THE EXISTING WINDOW. NOTES • TEMPORARY SUPPORT IS REQUIRED ON ALL LOAD BEARING WALLS PRIOR TO DECONSTRUCTION • WINDOW WELL SHALL BE 13 SQ. Fr. MIN. AREA WITH 36"MIN. CLEARANCE FROM FOUNDATION WALLTO INSIDE OF WELL. A PERMANENT LADDER IS REQUIRED IN ME WINDOW WELL IF BOTTOM OF WELL IS 46" OR MORE BELOW GRADE. • IN CASE WHERE THE NEW EGRESS WINDOWS R.O. IS LES THAN OR EQUAL TO THE EAWING WINDOW WIDTH, THE EXISTING HEADER OR LINTEL IS SUFFICIENT TO SUPPORT THE MAXIMUM DESIGN LOADS IMPOSED. NO ADDITIONAL SUPPORT REQUIRED. ON SITE PLANS ALL Protects are Subject to Field Inspections FRONT IS FLOOR JOIST BEARING RIGHT WAIL DOES NOT • VERIFY DIMENSIONS WITH WINDOW MANUFACTURER, AND ADJUST SAWCUT DIMENSIONS IF REQUIRED. EXISTING 2X FLOOR JOISTSAND DECKING VERTICAL 2X PLACE HORIZONTAL a NAILER SILL �p SNUGLY BETWEEN VERTICAL NAILERS. mZ Z7 Q OF FLOOR SLAB EM4'i X4""EGRESS WINDOW OPENING - INTERIOR ELEV. SCALE: NONE Qty: (2) 48" x 48" I Mark Benjamin P.E. have observed the Location: Basement Front s Right wall proposed installation and determined that Type: Slider this detail meets existing conditions. U Value: .30 At existing window YES WhcatP dge Existing lintel or header NO)29 a.,".,,,,."„�,,..,.a. Window above NO APPROVED Floor joist bearing Front: YES Ri a•n•.•a,orcm•c".wr �•• Brick veneer Rand- Slusser 10/26/20200 Building Code: 2018 IRC/IHC Roof Snow: 30 psf Ground Snow: 30 psf based Nominal/V-Ult. Wind Speed: 135 mph; Seismic Design: Category B PHI -D&E, INC dba. crown jade DESIGN AND ENGINEERING P.O. BOX 17, FORT COLLINS COLORADO, 80522-0017 (970) 472-2394 www.ovmnjade.mm Phns Enamrer �� •uevexmmym�mwssm �"i s",miuw 9wuoay 105 3 sec. gust. Exp STREET ADDRESS: 3803 Wright St. Wheat Ridge ENGINEER'S JOB # SNTW2166-20716 SHEET # 1 of 1 EXISTING WINDOW • VERIFY DIMENSIONS WITH WINDOW MANUFACTURER, AND ADJUST SAWCUT DIMENSIONS IF REQUIRED. EXISTING 2X FLOOR JOISTSAND DECKING VERTICAL 2X PLACE HORIZONTAL a NAILER SILL �p SNUGLY BETWEEN VERTICAL NAILERS. mZ Z7 Q OF FLOOR SLAB EM4'i X4""EGRESS WINDOW OPENING - INTERIOR ELEV. SCALE: NONE Qty: (2) 48" x 48" I Mark Benjamin P.E. have observed the Location: Basement Front s Right wall proposed installation and determined that Type: Slider this detail meets existing conditions. U Value: .30 At existing window YES WhcatP dge Existing lintel or header NO)29 a.,".,,,,."„�,,..,.a. Window above NO APPROVED Floor joist bearing Front: YES Ri a•n•.•a,orcm•c".wr �•• Brick veneer Rand- Slusser 10/26/20200 Building Code: 2018 IRC/IHC Roof Snow: 30 psf Ground Snow: 30 psf based Nominal/V-Ult. Wind Speed: 135 mph; Seismic Design: Category B PHI -D&E, INC dba. crown jade DESIGN AND ENGINEERING P.O. BOX 17, FORT COLLINS COLORADO, 80522-0017 (970) 472-2394 www.ovmnjade.mm Phns Enamrer �� •uevexmmym�mwssm �"i s",miuw 9wuoay 105 3 sec. gust. Exp STREET ADDRESS: 3803 Wright St. Wheat Ridge ENGINEER'S JOB # SNTW2166-20716 SHEET # 1 of 1 Window well (If Applicable), shall comply with 2018 IRC Emergency Escape And Rescue window wells must provide a minium area of 9 square feet with a minimum dimension of 36 Inches and shall enable the window to open fully. If the depth of the window well exceeds 44 Inches. a permanently affixed ladder must be provided. The ladder must not interfere with the operation of the Window. window well Ladder 1 nr c air Net clear dimensions when fully opened to provide 9 square feet of opening. Emergency-' ' 36" escape or I • mina' rescue opening with , finished sill height below Ladder or stair permitted to the adjacent encroach a maximum of 6 inches into the required dimensions. Emergency Escape And Rescue Windows must meet the following criteria: • A minimum total openable area of not less than 5.7 square feet • A minimum dear openable height of not less than 24 inches A minimum dear openable width of not less than 2fl Inches. • A finishetl SM height or not more than 44 inches above the floor and the window should be openable from the Inside with normal operation and without the use of tools, keys or special knowledge. Examples of Complying height & Width Combinations 34 � fo" dear I ' Openable% T 41' area=5.7 El 24" dew C. sqA sq.. lea Minimum size window Mir mm size window Floor for 24" dear height 44 rho. ' for 2? dear width This handout was developed by the Colorado Chapter of the ► 4 International Code Council as a basic plan submittal under �Y City Of the 2018 International Residential Code. It is not intended `� %heat gc to cover all circumstances. Check with your Department r r C y f of Building Safety for additional requirements. COMMUNITY DEVELOPMENT idge Building Division CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number:c- t46 a. 1- ❑ No one available for inspection: Tiros'�R/ Re -Inspection required: Yes'No When corrections have been made;-sch --ule for re -inspection online at: httpYlwww.ci. wheatridge. co. us,'Inspection Date:,, Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: 01z(;bem) IJ No one available for inspection: Time M PM Re -Inspection required: Yes N 3 When corrections have been made, sched� insp ction online at: http✓/www.ci.wheatridge.co.usllnspecti DaZ14 2! > Insp to City of Wheat Ridge Homeowner Interior Remodel PERMIT - 202000231 PERMIT NO: 202000231 ISSUED: 02/07/2020 JOB ADDRESS: 3803 Wright St EXPIRES: 02/06/2021 JOB DESCRIPTION: SWO Removed seven walls, 15 new can lights, new subpanel - 50 amps *** CONTACTS *** OWNER (720)460-6515 JOHNSON SCOTT & KATIE SUB (303)522-3829 BRIAN A HERREN 110271 ANTLER ELECTRIC LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,000.00 FEES Total Valuation 0.00 Plan Review Fee 132.80 Use Tax 210.00 Permit Fee 204.30 Investigative Fees 204.30 ** TOTAL ** 751.40 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. NOTE: Consultations and inspections will only be performed with the homeowner of record present. All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. V A City of Wheat Ridge _A Homeowner Interior Remodel PERMIT - 202000231 PERMIT NO: 202000231 ISSUED: 02/07/2020 JOB ADDRESS: 3803 Wright St EXPIRES: 02/06/2021 JOB DESCRIPTION: SWO Removed seven walls, 15 new can lights, new subpanel - 50 amps I, do hereby attest vy)des, and all a eff the property r attest that I � all work to, l :fined shall comply with all acc ides, policies and procedures, and ibtain this permit and perform the include all entities named within I in this document and/or its' accon ed plans and specifications, owner or have been authorized 1 approved in conjunction with unties to the work to be plpxs)and specifications. Signature of GW �r%CONT OR (Circle ones -Date ` 1, This permit was issued based t information provided in the permit applicatio and acc panying plans and specifications and is subject to the compliance wi t se documents, and all applicable statutes, ordi ces, re ulations, policies and procedures. 2. This, permit shall expire 365 s after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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 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 granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable color any ordmagcg 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. City c>f %"Wheat d COMMUNITY DEVELOPMENT ,ding & Inspection Services JO W. 2911 Ave., Wheat Ridge, CO 80033 ,ffice: 303-235-2855 * Fax: 303-237-8929 inspection Line: 303-234-5933 Email: permits(cki.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit #a0k OA3 Plan Review Fee: , /o Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 3903 I-16hl -9• L� A �Y�/0i, --� 73 0- -14;0 �✓r % Property Owner (please print):,�� 1�r�%P Ir��1✓I✓4i/1 Phone. .3c); Property Owner Email:_ acv fikv dAnhal? P. avollonleel Acg�eni Q4in O,-7 &_/_i t� Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, Skate, Zip: Architect/Engineer E-mail: /i�/ Phone:_z2z� Contractor Name: City of Wheat Ridge License #: Y7lig Phone: { d Contractor E-mail Address: AA For Plan Review Questions & Comments (please print): CONTACT NAME (please print): GoJMhhPhone: 7dq&C, Cah /- CONTACT EMAIL(p/ease print): ; Oro Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: bri-avi Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields, if applicable. ❑COMMERCIAL RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. (/` ' VIGGUEi2dj WOW 61a-tr6a5,e " c7 oh V lalK dli'a (1 1 co-111�� N Sw, GLS �ofc��awI42\Qt ��o� Lx�S�t tig�_ ot���e � a-� Sq. FULF BTUs Gallons Amps Squares For Solar: KW # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) �'2co,e-6 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: OWNS Signature (first and last name): Printed Name: ZONING COMMMENTS: Reviewer: BUILDING DEP E T COM NTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: or (Ay-�HVRIZED REPRESENTATIVE) DEPARTMENT USE ONLY of (OWNER) (CONTRACTOR) DATE: 2 `26 OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: V"3 Building Division Valuation: ��- Y k City of Wh6atp-j..dge CoMMUNay DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s): 6c- // e State of Colorado ) County ) ss The fore oing instrument was acknowledged by me this � day of �� �� , 202" by otary Public/ CrARLOS a QUfl�ER EZ NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20194015751 W OOM►MIS M EXPIRES APRIL 23, 2023 My Commission Expires �� 120 City of W heat�idge COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: 3PI13 (�ri`C'- � �� Permit #: General Contractor: Electrical Sub -Contractor Company Name: A- !04 JP r Elec'i r, c Lb- Phone #: 1 f z Z �: I'2 State License #: (� j (v j Master #: Wheat Ridge License #: (required field) Signature of Authorized Agent Date Plumbing Sub -Contractor Company Name: State License #: Wheat Ridge License #: Signature of Authorized Agent Mechanical Contractor Company Name: Phone #: Master #• _(required field) Date Phone: Wheat Ridge License #: (required field) Signature of Authorized Agent Date BTG I xii'SC,_X 7ES - LC SUNillf on TRUST ASSESSMENT OF SUSPECT ASBESTOS -CONTAINING MATERIALS JOHNSON RESIDENCE RENOVATION AREAS & DUMPSTER 3803 WRIGHT STREET WHEAT RIDGE, COLORADO January 31, 2020 Prepared For: Mr. Scott Johnson Homeowner 3803 Wright St. Wheat Ridge, Colorado 80033 Prepared By: a3/aZlc�o -' - -----Billy,Gadby, Gen`eral�Nlariager ---- __ -_ BTG & Associates, LLC 834-F South Perry Street - Suite 551- Castle 51 Castle Rock Colorado 80104 BTG Project No.: B20301.01 W heat &iO9e alslr� 834-F South Perry Street 9 Suite #551 • Castle Rock, CO 9 80104 • (720) 341-9495 BTG LXY3O h% Es."4 L- sWIIl r on iriisif INTRODUCTION Mr. Scott Johnson retained BTG & Associates, LLC (BTG) to conduct an assessment of suspect asbestos - containing materials (ACM) at the Residential Structure located at 3803 Wright Street in Wheat Ridge, Colorado. Mr. Tyler Godby of BTG is an AHERA-accredited building inspector and is also licensed as a building inspector by the Colorado Department of Public Health and Environment (CDPHE), Mr. Tyler Godby (License No. 21667 expires February 14, 2020) conducted the assessment on January 17, 2020. Copies of the inspector's certificates of accreditation and licensure are included in Appendix C. At the time of this limited inspection, samples were collected in the renovation areas on the main and basement levels including the exterior dumpster for suspect asbestos -containing materials (ACM). If other areas of the home will be renovated or demolished in the future, BTG recommends that these areas be inspected for ACM prior to repairs and renovations. The following appendices supplement the results of this assessment: • Appendix A: Data Tables • Appendix B: Laboratory Reports • Appendix C: BTG Credentials ASSESSMENT DESCRIPTION BTG understands that the objective of this assessment was to identify ACM and/or presumed ACM (PACM) that must be removed prior to planned renovation/demolition of the Site. The samples collected by BTG during this assessment were submitted to EMSL Analytical, Inc.in Denver Colorado for analysis using polarized light microscopy (PLM) in accordance with United States Environmental Protection Agency's (USEPA) method EPA/600R-93/116 (July 1993) for determining asbestos in bulk building or soil materials. This laboratory is accredited for asbestos analysis using PLM by the National Institute of Standards and Technology National Voluntary Laboratory Accreditation Program - (NVLAP). Certificates of laboratory accreditation and licensure are included in Appendix C. The EPA National Emissions Standard for Hazardous Air Pollutants (NESHAP) (40 CFR 61, Subparts A and M) has a requirement related to assessment of suspect ACM in buildings and soils. Per CDPHE, Section III.A.1.c., if the asbestos content of a sample of friable asbestos is estimated to be 1 % asbestos or less, but greater than 0%, by a method other than point counting (such as visual estimation), the determination shall be repeated using the point counting technique with polarized light microscopy (PLM). 834-F South Perry Street • Suite #551 9 Castle Rock, CO • 80104 9 (720) 341-9495 tom, N, TG supalf ON insi< If a result obtained by point count is different from a result obtained by visual estimation, the point count result must be used. When no asbestos is detected by PLM, point counting is not required. Prior to beginning this assessment, BTG confirmed with the client that BTG would point count samples reported as trace (<1 %) asbestos, and consider results of 1 to 10% as positive for asbestos. RESULTS AND RECOMMENDATIONS The results of the assessment and recommendations are summarized in the table below. A table providing detailed results of the assessment is provided in Appendix A. A copy of the laboratory report is provided in Appendix B. Based on the laboratory analysis report, samples collected contain asbestos. Friable ACM Samples of the materials listed below contained friable asbestos at concentrations greater than 1% asbestos under PLM analysis, and shall be treated as ACM. The quantities of these materials arerg eater than the CDPHE Regulation 8B (Residential) trigger levels of 50 linear feet, 32 square feet, or the volume equivalent to a 55 -gallon drum. If the structure is scheduled for renovation, BTG recommends that a certified General Abatement Contractor (GAC) licensed with the State of Colorado remove and dispose of these materials prior to renovation. The GAC shall verify all quantities of asbestos -containing materials. APProximate_ Number Material Description, Locations) ; Classification, ConditFon <. s r Quantity HA #1 Drywall W/ Sponge Texture & Associated Friable Damaged +/- 1,155 SF & Joint Compound — Walls & Ceilings #2 throughout house main level & basement HA #3 Drywall Debris in Dumpster — Front Driveway Friable Damaged 30 Yard Dumpster Non -Friable ACM No samples collected during the inspection contained non -friable asbestos at concentrations greater than 1% asbestos under PLM analysis. Materials with <11% Asbestos No samples collected during the inspection contained concentrations of less than or equal to 1% asbestos under PLM analysis. 834-F South Perry Street 9 Suite #551 9 Castle Rock, CO 0 80104 9 (720) 341-9495 TG SUM an TRUST During renovation/demolition operations, materials may be uncovered which are different from those accessible for sampling during this assessment. Personnel in charge of demolition should be alerted to note materials uncovered during these operations which differ substantially from those included in this assessment. If suspect ACM are found, additional sampling by a CDPHE-licensed building inspector and analysis by a NVLAP-accredited laboratory should be performed to determine if the materials contain asbestos. ASSUMPTIONS AND LIMITATIONS The results, findings, conclusions, and recommendations expressed in the report are based only on conditions that were noted at the time of BTG's assessment. BTG's selection of sample locations and frequency of sampling was based on our observations and the assumption that like materials in the same area are homogeneous in content. The report is designed to aid the building owner, architect, construction manager, general contractors, and potential asbestos abatement contractors in locating ACM. Under no circumstances is the report to be utilized as a bidding document or as a project specification document since it does not have all the components required to serve as an Asbestos Project Design document or an Abatement Work plan. Our professional services have been performed, our findings obtained, and our conclusions and recommendations prepared in accordance with customary principles and practices in the fields of environmental science and engineering. This statement is in lieu of other statements either expressed or implied. This report does not warrant against future operations or conditions, nor does it warrant against operations or conditions present of a type or at a location not investigated. This report is certified to Mr. Scott Johnson. The scope of services performed in execution of this evaluation may not be appropriate to satisfy the needs of other users and use or re -use of this document or the findings, conclusions, or recommendations is at the risk of said user. ASSESSMENT METHODOLOGY BTG's inspector completed a walkthrough the entire structure. However, it is possible that additional materials are present that were not visible or accessible during BTG's assessment. If suspect materials are encountered during future renovation activities, they should be assumed to contain asbestos until evaluated by a qualified asbestos inspector. "Suspect" material includes, but is not limited to, any material serving as a sprayed on or troweled on acoustic or fireproofing surface; floor and ceiling tiles; drywall, joint compound, and related materials; transite panels, siding and shingles; thermal insulation and any material 834-F South Perry Street 9 Suite #551 9 Castle Rock, CO • 80104 9 (720) 341-9495 BTG MUUMT ON 7RUUST associated with mechanical systems; and binding agents such as tar sealant, mastic, adhesive, roofing tar, caulking, etc. REGULATIONS AND GUIDELINES EPA National Emissions Standard for Hazardous Air Pollutants (NESHAP) The U.S. Environmental Protection Agency (EPA) National Emissions Standards for Hazardous Air Pollutants (NESHAP) regulations for asbestos (40 CFR 61, Subparts A and M) apply to certain demolition and renovation projects in facilities containing ACM and/or presumed ACM (PACM). The NESHAP rule usually requires that all friable ACM and some categories of non -friable ACM be removed before a building is demolished and may require localized removal before or as part of a renovation. For renovation projects where friable ACM will be disturbed, the NESHAP rule may require appropriate work practices or procedures for the control of emissions. The following EPA NESHAP definitions of ACM are very important in interpreting which NESHAP requirements may apply to your building: • Friable asbestos -containing material: any material containing more than 1 percent asbestos, determined using PLM analysis, that when dry, can be crumbled, pulverized, or reduced to powder by hand pressure. • Category I non -friable asbestos -containing material: asbestos -containing packings, gaskets, resilient floor covering, and asphalt roofing products containing more than 1 percent asbestos as determined using PLM. • Category 11 non -friable asbestos -containing material: any material excluding Category I non -friable ACM, containing more than 1 percent asbestos as determined using PLM that, when dry, cannot be crumbled, pulverized, or reduced to powder by hand pressure. • Regulated asbestos -containing material (RACM): (1) friable ACM, (2) Category I non -friable ACM that has become friable (3) Category I non -friable ACM that will be or has been subjected to sanding, grinding, cutting, or abrading, or (4) Category II non -friable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the materials in the course of demolition or renovation operations regulated by NESHAP. According to NESHAPs, RACM need not be removed before demolition if: • It is Category I non -friable ACM that is not in poor condition and is not friable. • It is on a facility component that is enclosed in concrete or other similarly hard material and is adequately wet whenever exposed during demolition. • It was discovered after demolition began, and as a result, cannot be safely removed. If not removed, the material must be kept wet until disposal. • It is Category II non -friable ACM and the probability is low that the material will become crumbled, pulverized, or reduced to powder during demolition. 834-F South Perry Street 9 Suite #551 • Castle Rock, CO 9 80104 9 (720) 341-9495 wTGBURLT ON TRUST NESHAP also requires that the EPA or the state (if the state has been delegated authority under NESHAP) be notified before a building containing RACM is demolished, or before certain renovations impacting RACM begin. OSHA Asbestos Standards The U.S. Occupational Safety and Health Administration (OSHA) regulates employee exposure to asbestos in general industry (29 CFR 1910.1001) and construction (29 CFR 1926.1101). The OSHA asbestos standards provide a permissible exposure limit (PEL) of 0.1 fibers (equal to or longer than 5 micrometers) per cubic centimeter of air (fibers/cc) determined as an 8 -hour, time -weighted average (TWA) and an excursion limit of 1 fiber/cc as a 30 -minute TWA. The asbestos construction standard applies to exposure of employees to asbestos during abatement and renovation/demolition activities. The construction asbestos standard also applies to employees who may contact or disturb ACM during their work activities (e.g. maintenance and custodial workers). It is important to note that the OSHA regulations apply to materials that contain any detectable concentration of asbestos, whereas the NESHAP regulations only apply when the concentration is greater than 1%. The following are selected OSHA definitions regarding asbestos work: • Class I asbestos work: means activities involving the removal ofTSI and surfacing ACM and PACM. • Class I/ asbestos work: means activities involving the removal of ACM which is not thermal system insulation or surfacing material. This includes, but is not limited to, the removal of asbestos -containing wallboard, floor the and sheeting, roofing and siding shingles, and construction mastics. • Class I// asbestos work: means repair and maintenance operations, where "ACM", including TSI and surfacing ACM and PACM, is likely to be disturbed. • Class IV asbestos work: means maintenance and custodial activities during which employees contact but do not disturb ACM or PACM and activities to clean up dust, waste and debris resulting from Class I, II, and III activities. • Intact: means that the ACM has not crumbled, been pulverized, or otherwise deteriorated so that asbestos is no longer -likely to be bound with -its -matrix. OSHA requires that specific work practices and procedures be followed to control asbestos exposure of employees involved in abatement or renovation activities as well as the building occupants. In addition, the OSHA standard provides requirements for exposure monitoring, employee training, medical surveillance, respiratory protection, signage, and other protective measures. 834-F South Perry Street * Suite #551 • Castle Rock, CO 0 80104 • (720) 341-9495 BTG SUDRT ON TMUST LOCAL AND STATE REGULATIONS The Colorado Department of Public Health and Environment (CDPHE) has promulgated regulations pertaining to asbestos activities in Colorado Regulation 8, Part B. Regulation 8B is based on the EPA NESHAP requirements, with additional state -specific provisions for asbestos inspections, abatement, and other activities. Regulation 8B also identifies training and certification requirements for professionals performing asbestos work in the State of Colorado. A summary of the requirements related to renovation and demolition of structures containing ACM is provided below: 1. Regulation 8B requires that any public or private building must have an asbestos survey performed to confirm the presence of ACM prior to renovation or demolition activities. 2. If friable ACM will be removed or disturbed as part of the renovation/demolition activities, the ACM must be removed under abatement conditions before demolition begins. CDPHE Regulation 8B requires that a State of Colorado Licensed General Abatement Contractor (GAC) perform the removal in accordance with Section III.H (Abatement Sequence). 3. CDPHE must be notified for all renovations and demolitions of all residential and commercial structures and all asbestos abatement projects that exceed the trigger levels (50 linear feet, 32 square feet, or the volume equivalent to a 55 -gallon drum, "residential' and (260 linear feet, 160 square feet, or the volume equivalent to a 55 -gallon drum, "commercial"). The notification requirements apply to both friable and non -friable asbestos materials. Notifications must be postmarked or delivered at least 10 working days before initiating abatement activities and must be made using CDPHE forms. 4. During demolition, all non -friable asbestos -containing materials are exempt from abatement activities provided that they remain in a non -friable state and are kept wet at all times during demolition activities. 5. During renovation, non -friable materials may remain in place if they are not disturbed during the renovation activities. If these materials will be disturbed, they must be removed prior renovation. 6. Waste materials containing friable ACM must be properly disposed of at a landfill licensed to receive friable ACM materials. This requirement applies even if the quantities are below the CDPHE trigger levels requiring an abatement permit. Non -friable ACM waste must be disposed of at an approved landfill that accepts non -friable materials. If waste contains a mixture of friable and non -friable materials, it must be disposed of at a landfill licensed to receive friable ACM materials. 7. A CDPHE licensed Air Monitoring Specialist (AMS) shall follow Regulation 8B Section III.P (Clearing Abatement Projects) prior to signing any demo permits at the site. 8. The building owner should be aware that removing ACM does not discharge ownership of the ACM. During transport or after burial in an approved landfill, any contamination throughout the lifetime of the material remains the responsibility of the building owner. QUALITY ASSURANCE BTG appreciates this opportunity to provide asbestos consulting services to Mr. Scott Johnson. We have enjoyed working with you on this project and look forward to meeting your needs in the future. Should any questions arise concerning this report, please contact us at (720) 341-9495. 834-F South Perry Street • Suite #551 • Castle Rock, CO 9 80104 • (720) 341-9495 Billy Godby General Manager BTG & Associates, LLC 834-F South Perry Street • Suite #551 • Castle Rock, CO 9 80104 * (720) 341-9495 j} BTG Y y6�' muni old imusif Billy Godby General Manager BTG & Associates, LLC 834-F South Perry Street • Suite #551 • Castle Rock, CO 9 80104 * (720) 341-9495 fff 9, XISO ,A.i1 :$,.LLE BUOIIT OR TRUST Appendix A: Data Tables 834-F South Perry Street 9 Suite #551 • Castle Rock, CO s 80104 • (720) 341-9495 J a a� y O O z 'C N V M Q) L r0+ CL _O o tq �/► O O = U N L 0 m .O W 'y O C � I L C V cn M 4. Q cn ++ z 15 ,U cm Co v "r (D Y (D 0 j E M m E O OO M U N 7 to �£. � v � 3 .b c ; \ e Q ,0 LL.: / � E C) O �M / \ :E k J : U a �Xq ^ko ƒ c w M m Cc < 0 Q . E --:� . m n ƒ 0 \ �tr- f f m © G 5 ■ v $ \ E ,. m E . U) k —$¥ �fo5¢ L\� 5 \ 3 \J ƒ �k m 0 E % $ f o ;E o, m� o E \ CU m o �� 3 -0 -0 m o 0 �k / / r U I o U -1 E Q ) « L 3 $ a .§§ g �a oCL E �� Cc 9 @ E o o 0 e / „ I Z Z w m z g ƒ k / / ƒ IUUVIIT ON TRUST Appendix B: Laboratory Data 834-F South Perry Street • Suite #551 • Castle Rock, CO • 80104 9 (720) 341-9495 EMSL Analytical, Inc. 1010 Yuma Street Denver, CO 80204 Tel/Fax: (303) 740-5700 / (303) 741-1400 kop hlArluow BUSL.cum // d &nxe lWb§ammsfl ¢mnm EMSL Order: 222000386 Customer ID: BTGA42 Customer PO: Project ID: Attention: Billy Godby Phone: (720) 341-9495 BTG & Associates LLC Fax: 834 F South Perry St Received Date: 01/17/2020 11:27 AM Suite 551 Analysis Date: 01/18/2020 - 01/20/2020 Castle Rock, CO 80104 Collected Date: 01/17/2020 Project: B20301.01 3803 WRIGHT ST. I Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type 3803A -1 -Texture DWJC-BSMT WALL White 15% Ca Carbonate 2°% Chrysotile Non -Fibrous 83% Non-fibrous (Other) 222000386-0001 Heterogeneous Inseparable paint / coating layer included in analysis HA: 1 3803A -1 -Joint DWJC-BSMT WALL Tan 15% Ca Carbonate 2% Chrysotile Compound Non -Fibrous 83% Non-fibrous (Other) Homogeneous 222000386-000IA HA: 1 3803A -1 -Drywall DWJC-BSMT WALL Tan/White/Beige 20% Cellulose 65% Gypsum None Detected Fibrous 15% Non-fibrous (Other) 222000386-00018 Homogeneous HA: 1 3803A -1 -Composite DWJC-BSMT WALL Tan/White/Beige 15% Cellulose 10% Ca Carbonate <1% Chrysotile Fibrous 60% Gypsum 222000386-000IC Homogeneous 15% Non-fibrous (Other) This is a composite result of Joint Compound and Drywall. HA: 1 3803A -2 -Texture DWJC ML-LVR White 98% Non-fibrous (Other) 2% Chrysotile CEILING Non -Fibrous 222000386-0002 Homogeneous Inseparable paint / coating layer included in analysis HA: 1 3803A -2 -Tape DWJC ML-LVR White 98% Cellulose 2% Non-fibrous (Other) None Detected CEILING Fibrous 222000386-0002A Homogeneous HA: 1 3803A -2 -Joint DWJC ML-LVR White 98% Non-fibrous (Other) 2% Chrysotile Compound CEILING Non -Fibrous Homogeneous 222000386-00028 HA: 1 3803A -2 -Drywall DWJC ML-LVR Brown/White 15% Cellulose 60% Gypsum None Detected CEILING Fibrous 25% Non-fibrous (Other) 222000386-00020 Homogeneous HA: 1 3803A -2 -Composite DWJC ML-LVR Brown/White 15% Cellulose 60% Gypsum <1% Chrysotile CEILING Fibrous 25% Non-fibrous (Other) 222000386-0002D Heterogeneous This is a composite result of drywall, jt. compound, and tape HA. 1 3803A -3 -Texture DRYWALL White 10% Ca Carbonate 2% Chrysotile W/SPONGE Non -Fibrous 88% Non-fibrous (Other) 222000386-0003 TX-ML-LVR CEILING Heterogeneous Inseparable paint / coating layer included in analysis HA: 2 3803A -3 -Drywall DRYWALL Tan/Beige 20% Cellulose 65% Gypsum None Detected W/SPONGE Fibrous 15% Non-fibrous (Other) 222000386-0003A TX-ML-LVR CEILING Homogeneous Initial report from: 01/20/2020 11:47:17 AS8_PLM-_0008_0001 - 1 78 Printed: 1/20/2020 9:47 AM Page 1 of 3 EMSL Analytical, Inc. EMSL Order: 222000386 1010 Yuma Street Denver, CO 80204 Customer ID: BTGA42 Tel/Fax: (303) 740-5700 / (303) 741-1400 Customer PO: If o//Aw=w. L.mo1iidkff edbba& l[ mm Project ID: Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non -Asbestos Asbestos Sample Description Appearance %, Fibrous %, Non -Fibrous %, Type HA: 2 3803A -4 -Texture DRYWALL White 15% Ca Carbonate 2% Chrysotile W/SPONGE Non -Fibrous 83% Non-fibrous (Other) 222000386-0004 TX-ML-LVR WALL Heterogeneous Inseparable paint / coating layer included in analysis HA: 2 3803A4 -Tape DRYWALL Yellow 98% Cellulose 2% Non-fibrous (Other) None Detected W/SPONGE Fibrous 222000386-0004A TX-ML-LVR WALL Homogeneous HA: 2 3803A -4 -Joint DRYWALL White 15% Ca Carbonate 2% Chrysotile Compound W/SPONGE Non -Fibrous 83% Non-fibrous (Other) TX-ML-LVR WALL Homogeneous 222000386-00048 HA: 2 3803A4 -Drywall DRYWALL Tan/White 15% Cellulose 65% Gypsum None Detected W/SPONGE Fibrous 20% Non-fibrous (Other) 222000386-0004C TX-ML-LVR WALL Homogeneous HA: 2 3803A4 -Composite DRYWALL Tan/White/Beige 20% Cellulose 10% Ca Carbonate <1% Chrysotile W/SPONGE Fibrous 55% Gypsum 222000386-0004D TX-ML-LVR WALL Homogeneous 15% Non-fibrous (Other) This is a composite result of Joint Compound, Drywall and Tape. HA: 2 3803A -5 -Texture DRYWALL White/Beige 15% Ca Carbonate 2% Chrysotile W/SPONGE Non -Fibrous 83% Non-fibrous (Other) 222000386-0005 TX-BSMT-WALL Heterogeneous Inseparable paint / coating layer included in analysis HA: 2 3803A -5 -Drywall DRYWALL Tan/White/Beige 15% Cellulose 65% Gypsum None Detected W/SPONGE Non -Fibrous 20% Non-fibrous (Other) 222000386-0005A TX-BSMT-WALL Homogeneous HA: 2 3803A -6 -Texture DRYWALL White 98% Non-fibrous (Other) 2% Chrysotile W/SPONGE Non -Fibrous 222000386-0006 TX-BSMT-WALL Homogeneous Inseparable paint / coating layer included in analysis HA: 2 3803A -6 -Drywall DRYWALL Brown/White 15% Cellulose 60% Gypsum None Detected W/SPONGE Fibrous 25% Non-fibrous (Other) 222000386-0006A TX-BSMT-WALL Homogeneous HA: 2 3803A -7 -Texture — DRYWALL - _ White - 98% Non-fibrous (Other) 2% Chrysotile W/SPONGE Non -Fibrous 222000386-0007 TX-BSMT-CEILING Homogeneous Inseparable paint/coating layer included in analysis HA: 2 3803A -7 -Drywall DRYWALL Brown/White 15% Cellulose 60% Gypsum None Detected W/SPONGE Fibrous 25% Non-fibrous (Other) 222000386-0007A TX-BSMT-CEILING Homogeneous HA: 2 3803A -8 -Texture DUMPSTER Brown/White 15% Ca Carbonate 2% Chrysotile DRYWALL Non -Fibrous 83% Non-fibrous (Other) 222000386-0008 W/SPONGE TX Heterogeneous Inseparable paint /coating layer included in analysis HA 3 Initial report from: 01/20/2020 11:47:17 ASB _PLM_0008_0001 - 1-78 Printed: 1/20/2020 9:47 AM Page 2 of 3 EMSL Analytical, Inc. EMSL Order: 222000386 1010 Yuma Street Denver, CO 80204 Customer ID: BTGA42 Tel/Fax: (303) 740-5700 / (303) 741-1400 Customer PO: imp///=,w,,,ar< L ottrim // dwvmrIbb40ymislL wim Project ID: Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-931116 Method using Polarized Light Microscopy Analyst(s) Molly Elkins (10) Timothy Kleehammer (18) 1c, c,' - Melanie Rech, Laboratory Director or Other Approved Signatory EMSL maintains liability limited to cost of analysis. The above analyses were performed in general compliance with Appendix E to Subpart E of 40 CFR (previously EPA 600/M4-82-020 "Interim Method"), but augmented with procedures outlined in the 1993 ("final") version of the method. This report relates only to the samples reported above, and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations . Interpretation and use of test results are the responsibility of the client. All samples received in acceptable condition unless otherwise noted. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. EMSL recommends gravimetric reduction for all non -friable organically bound materials prior to analysis. Estimation of uncertainty is available on request. Samples analyzed by EMSL Analytical, Inc. Denver, CO NVLAP Lab Code 200828-0 Initial report from: 01/20/2020 11:47:17 ASB--PLM-0008__0001 - 1.78 Printed: 1/20/2020 9:47 AM Page 3 of 3 Non -Asbestos Asbestos Sample Description Appearance %, Fibrous %, Non -Fibrous % Type 3803A -8 -Joint DUMPSTER Tan 15% Ca Carbonate 2% Chrysotile Compound DRYWALL Non -Fibrous 83% Non-fibrous (Other) W/SPONGE TX Homogeneous 222000386-0008A HA: 3 3803A -8 -Drywall DUMPSTER Tan/Beige 20% Cellulose 65% Gypsum None Detected DRYWALL Fibrous 15% Non-fibrous (Other) 222000386-00088 W/SPONGE TX Homogeneous HA: 3 3803A -8 -Composite DUMPSTER Tan[White/Beige 10% Cellulose 10% Ca Carbonate <11% Chrysotile DRYWALL Non -Fibrous 60% Gypsum 222000386-000BC W/SPONGE TX Homogeneous 20% Non-fibrous (Other) This is a composite result of Joint Compound, Drywall and Tape. HA: 3 3803A -9 -Texture DUMPSTER Brown/White/Beige 15% Ca Carbonate 2% Chrysotile DRYWALL Non -Fibrous 83% Non-fibrous (Other) 222000386-0009 W/SPONGE TX Heterogeneous Inseparable paint / coating layer included in analysis HA'3 3803A -10 -Texture DUMPSTER White 98% Non-fibrous (Other) 2% Chrysotile DRYWALL Non -Fibrous 222000386-0010 W/SPONGE TX Homogeneous Inseparable paint / coating layer included in analysis HA: 3 Analyst(s) Molly Elkins (10) Timothy Kleehammer (18) 1c, c,' - Melanie Rech, Laboratory Director or Other Approved Signatory EMSL maintains liability limited to cost of analysis. The above analyses were performed in general compliance with Appendix E to Subpart E of 40 CFR (previously EPA 600/M4-82-020 "Interim Method"), but augmented with procedures outlined in the 1993 ("final") version of the method. This report relates only to the samples reported above, and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations . Interpretation and use of test results are the responsibility of the client. All samples received in acceptable condition unless otherwise noted. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government. EMSL recommends gravimetric reduction for all non -friable organically bound materials prior to analysis. Estimation of uncertainty is available on request. Samples analyzed by EMSL Analytical, Inc. Denver, CO NVLAP Lab Code 200828-0 Initial report from: 01/20/2020 11:47:17 ASB--PLM-0008__0001 - 1.78 Printed: 1/20/2020 9:47 AM Page 3 of 3 OrderID: 222000386 Asbestos Chain of Custody EMSL Order Number (Lab use Only: EMSL ANALYTICAL, INC. L"GN TOW-ftmm"•TMmMu EMSL ANALYTICAL, INC. 1010 YUMA STREET, DENVER, CO, 80204 PHONE: (303) 740-5700 FAX: (856) 858-4960 Company: BTG & Associates LLC EMSL-Bill to: 0 Same CJ Different If Bill to is Different note instructions in comments - ThirdPa Billing requires written authorization ham third/ party Street: 834-F South Perry St., Ste. 551 City: Castle Rock I State/Province: CO Zi /Postal Code: 80104 Country: USA Report To (Name): Billy Godb fr ler Godby Fax #: Telephone #: 720-341.9495 Bili 720-231-5680 ler Email Address: bil! b enviro.com; ler b enviro.com Project Name/Number: $26301.0 ( Please Provide Results: ❑ Fax to Email I Purchase Order. U.S. State Samples Taken: CO Turnaround Time TA Options - Please Check ❑ 3 Hour ❑ 6 Hour Hour I ❑ 48 Hour I ❑ 72 Hour I ❑ 96 Hour I ❑ 1 Week 10 2 Week 'For TEM Air 3 hr through 6 hr, pleas&tiff1bead to schedule. *There is a premium charge for3 Hour TEM AHERA or EPA Level 1f TAT. You wpl be asked to sign an authorization form for this service. Analysis aom leted in accordance with EMSL's Terms and Conditions located in the Analytical price Guide. PCM -Air ❑ NIOSH 7400 ❑ wl OSHA 8hr. TWA TEM — Air ❑ 4-4.5hr TAT (AHERA only) ❑ AHERA 40 CFR, Pati 763 ❑ NIOSH 7402 ❑ EPA Level II ❑ ISO 10312 TEM- Dust ❑ Microvac - ASTM D 5755 ❑ Wipe - ASTM D6480 ❑Carpet Sonication (EPA 600/J-93/167) P - Bulk (reporting limit 9 LM EPA 600/R-93/116 (<1%) PLM EPA NOB (<1 %) Point Count ❑ 400 (<0.25%) ❑ 1000 (<O.1%) Point Count w/Gravimetric ❑ 400 (<0.25%) ❑ 1000 (<0.1%) ❑ NYS 198.1 (friable in NY) ❑ NYS 198.6 NOB (non -friable -NY) ❑ NIOSH 9002 <I% Soil/RocklVermiculite ❑ PLM CARE 435 - A (0.25% sensitivity) ❑ PLM CARE 435 - B (0.1 /o sensitivity) ❑ TEM CARB 435 - B (0.1% sensitivity) ❑ TEM GARB 435 - C (0.01% sensitivity) ❑ EPA Protocol (Semi -Quantitative) ❑ EPA Protocol (Quantitative) TEM - Bulk ❑ TEM EPA NOB° ❑ NYS NOB 198.4 (non -friable -NY) ❑ Chatfield SOP ❑ TEM Mass Analysis -EPA 600 sec. 2.5 TEM —Water: EPA 100.2 Fibers >10pm ❑ Waste ❑ Drinking All Fiber Sizes ❑ Waste ❑ Drinking Other: [] ❑ Check For Positive Stop - Clearly Identify Homogenous Group Samplers Name: d edby r- V ktr Samplers Signature: Sample # Sample Description Volume/Area (Air) HA # Bulk DatetTMme Sampled a ZA- i Dwsc, - w4 kx I 1 2 1-- ML- LvR c_ei l;r, Dr WC1k W S jq3n e -C - ML- LVk Ce—; J;K cr fZ LV IX W C_ k l Z6M - (,W x.11 W �� 14 e lbvvK SA -e_-- w-tl t^jtspan e-cx y 3 Client Sample # (s); 3'Y -A - 1 - k a Total # of Samples. Relinquished (Client): e, 67oci% Date. 1 1-7 12.a Time: rr f Received (Lab): A/k Date: Z© Time: 70p"l Comments/Special Instructions: rte' Pa�Y1� CQ.jr A- 7r'-_C.L 1905; Wcid �- C= mOed Dat rd - AsbeSla$ COC - R2 -111212010 Page 1 of ?- pages OrderID: 222000386 EMSL INC. L�OOCAIOiM� MOmIlCTa �'F W FYip Asbestos Chain of Custody EMSL Order Number (Lab Use Only): 00 -39 6 EMSL ANALYTICAL, INC. 1010 YUMA STREET, DENVER, CO, 802042 PHONE: (303) 740-5700 FAX: (856) 858-4960 Additional Pages of the Chain of Custody are only necessary if needed for additional sample information le # Sample Description Volume/Area (Air) HA # Bulk Date/TimeSam Sam led 35olq- Cl Dv .kms - Z) wets 'Comments/Special Instructions: �>011r\�_ LAUV% Page -2 of 'I, pages Co dmUed omnenf-Asbestos coo -R2— U12010 vBTGc: BUILT ON TRUST Appendix C: BTG Credentials 834-F South Perry Street • Suite #551 • Castle Rock, CO • 80104 • (720) 341-9495 � 7�il�i y.— ..�'�""__'!.,..�Tt".�.., -. x3�r, i ... _.._..t�5'` '�s,, � � „��_. "+� _ ..,�'�rrh... �,h'�'b _ �,.+. sem. _ ,-. r,..t. _ Y..k ... "`� _ A .� -kt '► �► 76 ' Colorado Department of Public Health +. and Environment ASBESTOS ;f CERTIFICATION* This certifies that Tyler Godby r Certification No.: 21667 has met the requirements of 25-7-507, C.R.S. and Air Quality Control Commission Regulation No. 8, Part B, and is hereby certified by the f state of Colorado in the following discipline: Building Inspector* Issued: _ February 12, 2019 Expires: February 14, 2020 " This cerfilicate is valid only with the possession of a a current Division -approved training course certification in the discipline specified above. ' aAPCI lie I �H N /���} * • . a�q r �tird♦ �4f� x: ,co� �Y dU CotI }.{ a T- -. 40 w 30 L L . BTG .. BUILT ON TRUST Mr. Scott Johnson Homeowner 3803 Wright Street Wheat Ridge, Colorado 80033 MoVVDa3l 9/3/aooU Subject: Final Air Clearance Monitoring Report Containment/Work Area: Full Containment — Main & Basement Levels, Various Areas Site Name, Address: Residential Structure, 3803 Wright St., Wheat Ridge, Colorado Dear Mr. Johnson: Attached is the report for the final air clearance monitoring performed on January 29, 2020, at the Residential Structure, located at 3803 Wright Street in Wheat Ridge, Colorado. If you have any questions regarding the content of this report, do not hesitate to contact us at (720) 341- 9495. Thank you for this opportunity to have served you. Regards, r Billy Godby General Manager BTG & Associates, LLC BTG's Project #B20301.02 city of Wheat Ridge 834-F South Perry Street • Suite *551 • Castle Rock, CO 9 80104 0 (720) 341-9495 W BTG SU111A ON TRUST On January 29, 2020, BTG & Associates, LLC (BTG), Air Monitoring Specialist, Billy Godby (AMS license #14714 Expires August 20, 2020), collected final air clearance samples at the Residential Structure (Main and Basement Levels, Various Areas), located at 3803 Wright Street in Wheat Ridge, Colorado. BTG subsequently conducted clearance inspection and monitoring as follows: • A visual inspection was performed to confirm the completeness of asbestos removal and cleanup. The visual inspection was performed in accordance with the American Society for Testing and Materials Standard E1368 — Standard Practice for Visual Inspection of Asbestos Abatement Projects. Five (5) air samples were then collected inside the contained area utilizing aggressive air sampling techniques as directed in 40 CFR Part 763, Appendix A to Subpart E (EPA 1995). The air samples and two (2) quality control blanks were then analyzed utilizing Phase Contrast Microscopy (PCM) employing the NIOSH 7400 method. BTG is a certified asbestos laboratory by CDPHE and successfully participates in the American Industrial Hygiene Association's Proficiency Analytical Testing Program (PAT) for determining concentrations of airborne asbestos fibers. (CDPHE Laboratory I.D. #1602890, AIHA Laboratory I.D. #16026469). Results: Based on BTG's visual inspection, asbestos materials requiring abatement, including contaminated dust, debris and residues, were determined to have been removed satisfactorily. The results of the PCM analyses are as follows: Full Containment - (Main & Basement) Sample No. Location Air Volume (liters) Results (fibers/cc) CDPHE MAAL 0,010 3803F-01 Main Level — Living Room 995 0.003 3803F-02 Main Level — Hall at Restroom 1014 0.006 3803F-03 Main Level — Kitchen 1027 0.002 390-3F-04 - - Basement --Restroom- -1027 0.004 3803F-05 Basement — Den 1014 0.002 3803F-06 Field Blank --- --- 3803F-07 Lab Blank --- --- C/A = Containment Area / I/C = Inside Containment "Limit Of Detection (LOD) = 0.005 834-F South Perry Street • Suite #551 e Castle Rock, CO 0 80104 • (720) 341-9495 o:=BTGBUILT on TRUST Conclusion: The final clearance air sample results were below the Colorado Department of Public Health and Environment (CDPHE) Maximum Allowable Asbestos Level (MAAL) of 0.010 fibers per cubic centimeter of air (f/cc). Based on our visual inspection and air sampling results, asbestos removal in this work area is complete and the area can be released for renovation/demolition. Details of the air sampling are provided in Appendix A. Copies of BTG's credentials are provided in Appendix B. BTG appreciates the opportunity to work with you on this project. Please call if you have any questions. This report was prepared by: Billy Godby General Manager BTG & Associates, LLC 834-F South Perry Street • Suite #551 0 Castle Rock, CO • 80104 • (720) 341-9495 i BTG RUHaT ON TRUST Appendix A: Air Monitoring Data Sheet 834-P South Perry Street • Suite #551 • Castle Rock, CO • 80104 0 (720) 341-9495 N L V C7 O CD O N O 0 O N O �U O O o 0 0 � LL Q, o "a O N O y _O O O O O O Of� N Lt7 m UJ O O C . C ( tv X a) E 0 N LO C N N �J„ 0) O O O O 0 ! d Q > J '.....: u 0 c�. M M co 00 co. CD _ ioIL o Q LL J O fQ MCD I m m Ll( O d w 00 00 ca a v ui LO LO LO O V r E m Z E y L "3 w 00 00 00 co co m O saa L6 LO L6 6 U-) it oCL i O d Q U F— IM O N O _d Q = u -)LO co o U') m � o L o f ; m CL O oN N T co N N _O F' o U ^^,, r ai _ O O O O O a) a) s � C o � in 4. E a QE L O 0 C ` N Q 00 C Y V) Y C: Y C c oCD ? -- — I — v0i co O J I _� c6 2 I � (D m m II .c L) > m E ai -°� a> o I O ai m J ECN OV co Q� 1 Q E {Q m cc@ C C Y L C1 I di N Ch 0 Lo d O O O O O O wLL E U- Ll Ul U- Ll LL O @ m= co O O O o O O co o I I CO 00 co 00 co co co co co co co ai Cd Cd U aU.+ E E N O C cz b4 c �3 C w U C b u 14M u E U U a. y U a� 100--1 L 1;SSDCltkTf� 11C BUILT 00 TRUST Appendix B: BTG Credentials 834-F South Perry Street s Suite #551 • Castle Rock, CO + 8o104 0 (720) 341-9495 .au?'�"_�""�*.X�.c «.�y)tu��.:_ _ ._.r+?°'. lt7Y.-.- �:i�.t. '^;..te��i(•.r�.�.._ _s?,.1`5... ._. _,.b`..t%�... _ ��'_,:'*�. - �\ I MEL .,oforidt, Popartment of Pubh�, I Icalth and 97 7. fl, cta ffi art xpires: 812012020 Cert. # 14714 it '�♦ yy �` _� t , � A� ! ! . js�. `t: , i �� ��t4 1±i ,%'. �> t � F �`.., ` !==_c('N \ / , j, t°" _td� �+m: .. .++.. «. +sem _�c�. ..+.+ �.. ... ..c. ++cr w tea.. s *.��,+. -j.. ���+►~ �►+ ICS N V � t`'' f4J'o ;; i 16 • I 06 {Y{ • ♦C too �N "► • ' �� • CIO CL • LLI• • �\ rr ,SAP► • • u I''''"* f0; • • LL cr UJ UJI , CD • 1 1� {� 7t f ti J r`.�.."�. t. NNII�i,► • �a�.:::' .,q • cu 1 a t1 + �pf l r�ca+ , co a f� •{?� Ill 9 vi w 0 w ���si��i� �♦ ♦ r/....f :I L .kv ♦'n"1 'fit ♦' �¢ ,t twS♦_:. ♦�♦ -♦_�'♦ ♦ IF r ♦ ♦ s.. ♦ i s. ♦ ♦ a ♦ I" ��aPPP f®� r ���►���' 3!►ts s .e.. w= ► as � ��. -�''.w+. .s i:... --:�i.�.rf' �+...� �.:► 4",' e � �+' a .,,:'t��,�� `�1�L�1,��t���`►',.5;���P ,4�%::'..,�fl.,�1`ln6l�r.t !'�c��f�Al ! �±.n��^�� !,'. �%' 'i'-��M:.. �S Y r • . `•` ') : I •� - I ' _ to `,` {1 1 `' ••_ • 'L , .. 1 �..�, A..f rj COMPLETE ENGINEERING -SERVICES, INC. . RO PJECT. NO. 20-1.1219. ;. January 30;,202b',-., Mr. --Scott Johnson •3863, .Wright.'St Wheat -Ridge;- :CO. 80033- ; SUBJECT: Structural -.Evaluation -Proposed Framing•Modifications,,'_3803.. Wright.Street,.Wheat Ridge,:.Colorado. r REFER:. Architectural,Dimensional Drawings-Existing/Demo, •Sheets'- A-, ; • . Ol • and A-02, •3803 Wright ;Street; Wheat ..Ridge,' (not' dated)' - ' .. '-' -• � Architectu-ral' Dimen '• ••'; .,• -. :, ., ., - _ . ; , . • _ • , -, : - • • s onala-Drawings,.' Remodel,. •Sheets A=01 .and'..",,-,'-, �: • P.,-0.2-,.13803 _ Wright Street;., Wheat." Ridge;" '(not; dated): Mr.: -'Johnson.: . , The single family' residence .' s at the ubs " ' , ' 7ect locationwas• observed. on January 17, 2020,..to;evaluate`proposed..framing:.modifications = Information presented :herein ,is• 'basedon ,observation ; of '.exposed and accessible components of the•structure; verbal information provided during --;our site visit,�,.referenced remodel. plans: prepared -by others, ; applicable` codes• and •standards; and our experience'• with- similar:.-;' conditions - Design criteria''used 'to evaluate •,the proposed' modifications are. International 'Residential .Code 2018 Edition''' Roof Snow Load: 30 :psf Roof Dead Load: 10-'psf-' . Wind .Speed:.Vasd: ' 105 mph, ,Vult 135 mph` Exposure: C Seismic Zone B' . '. ... ;The, structure ':is one... story over'•a, partial:;full-depth,",basement.- A:wood , •framed'superstiucture,.is supported:by'a poured•concrete.foundation. 'The foundation. appears• io 'be 'supported: by, continuous- -spread ' footings.:';. Plans call for removing a"load"-bearing wall on the.- north side . of • the stairwell and widening-; the :,stair openi;ng;: ° The wall:, being removed supports floor ' framing• only :and:'is -supported„by.,_a continuous -spread footing beneath the basement floor,. Y =- 912 TWELFTH STREET; GOLDEN, CO.}•80401 "303-279-6418. FAX: 303-279-9586 Th e wa Veneer Call 20-1 be st end uler be ZE?.pl e PRojg-rT ary 301 thresupp0z,i� the that s ?th a nconte Page 2 bOtt°m o g h dia e by °ne 1t im l t° the nu Usd0a blE? jeep inated New s the st 1r adJust tUCI and west fou oss an 8 foof ]span from ah COnore Ap.or,t s s able steel e king ds ti On wa11.. The beam sh shall to foo tUds wi Co -Z tud at each end and a thf su°difZCat suX'por ebeneatbe suAAo at the mid -span: near P pported s Deta b37 the fIs floor d lease COnta hown in F1yu adju da b on comp, 7 o u xe 1, 1 e US i f 3700 h a Ire �nr\SerV 1 Ces, Attach ne Or,. SU the east istinl SUP st end by the eX end s shown Uds on the west ing LeelCOZU11117 sha11 Inst lied az'ld �3uestiorls gaming MOdifi cation Details con Ce thisir�for atior, I i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Ca() 0 Inspection Type:• Job Address:` : l aVI ; Permit Number: 9 ,06c,2 Ll No one available for inspection: Time Z A Re -Inspection required: Ye No When corrections have been made, call forre-i Pection at 303-234- 33 Datez - 20 Inspector:: --a--- DO NOT REMOVE THIS N- TICE City of Wheat Ridge Residential Asbestos Abatement PERMIT - 202000253 PERMIT NO: 202000253 ISSUED: 02/05/2020 JOB ADDRESS: 3803 Wright St EXPIRES: 02/04/2021 JOB DESCRIPTION: Removal of asbestos debris from dumpster. *** CONTACTS *** OWNER (303)263-6892 JOHNSON SCOTT & KATIE SUB (303)254-8812 MICHELLE & RICK VAVRIK 110114 C-R SERVICES LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,500.00 FEES Asbestos Abatement 50.00 Total Valuation 0.00 ** TOTAL ** 50.00 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2017 NEC. Smoke alarms shall comply with 2012 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 ARE ADDED 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; 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 thi rther attest that I am legally authorized to include all entities named within this document as parties to the work to be er ormed and at 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, 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. The issuance or granting 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 anV prdmance 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. City of' �`J`l heat ,i - C_ MUNITY DE.YELOPMENT Building & Inspection Services 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office. 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a7ci.wheatridge.co.us I FOR OFFICE USE ONLY I Date: Plan/Permit # Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 3 03 W e`�a� cz ' Property Owner (please print): Phone603) Property Owner Email: Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: �a���Ca�Zot. \o cSO3'3 Arch itecVEng i neer E-mail: Phone: Contractor Name: City of Wheat Ridge License #: �/ %%�/ �-/ Phone: Contractor E-mail Address: For Plan Review Questions & Comments (please print): CONTACT NAME (please print): V_ Y Ali K Phon3133 �1 L_D ` -I CONTACT EMAIL(p/ease print): '�Z Cc SL\C. Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W. R. City License # W. R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields, if applicable. [—]COMMERCIAL ❑ RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. �•e�d.�A� O� C� S�C`3�o S ��ar� S �Ro,-c, � vsr� � 5� t0. Sq. Ft./LF BTUs Gallons Amps Squares For Solar: KW # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: _ Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLEON (OWNLR) TOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last nam � � DATE:(7(cc�� Printed Name: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: alaV Q.J § Sm 12,RLg' 3 a cr ZL s a g g4 4 CD rLvg PL �C �a oma .a' CD up C3. I& 4 m. RN W d 3 ? [D H`s 8� ED m 5' o s� s -o o� �L &(D o -�. to 0 11 it 11 El 2 , a S o rcr. a '^ w Z o $. n i3 1 J c M❑❑ [1 OF 800 rD o �n -v .,U 1 � CO xv N ;3' �. N F o -� cr ID o ' 'a CD CD a V, m a o �x s 08 >A d 0 14 E fS D. ®zz p (D rA (n Ln (13 N m Ci n T �. .. N O CL cb Q D C-) m N �� a E (D. w � `� cnM. a o _a19 o 4v a � -I R� S� z gg z;4aa b 23' =5* o t YI m m mm vCi p CO) 00 �A �a �rn Z A dO �D o ..� ::a0 �z �i C m n� D .. (n > r w .n rn� z m -n 0 Q I 'd OOSz 'ON' LIj I'e;H �O 0;a IIT a'ed;Q 01)eA0l03 AVE l! ON'00 'ur T {� to 0 11 it 11 El 2 , a S o a '^ w Z o n 1 J M❑❑ [1 OF 800 o �n -v .,U � CO xv �. z;4aa b 23' =5* o t YI m m mm vCi p CO) 00 �A �a �rn Z A dO �D o ..� ::a0 �z �i C m n� D .. (n > r w .n rn� z m -n 0 Q I 'd OOSz 'ON' LIj I'e;H �O 0;a IIT a'ed;Q 01)eA0l03 AVE l! ON'00 'ur PERMIT: ADDRESS: JOB CODE: INSPECTION RECORD��z Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential RoughPlumbing Commercial F135 S howerr Pan SEE OVER FOR ADDITIONAL INSPECTIONS Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 1409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning Inspections from these entities shall be requested one week in advance. For landscaping and parking inspections please call 303-235-2846 For ROW and drainage inspections please call 303-235-2861 For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works 413 Flood plain Inspection 414 Fire Insp. / Fire Protection 415 Public Works Final 416 Storm Water Mgmt. i 417 Zoning Final Inspection 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. City of Wheat Ridge i r "r Residential Roofing PERMIT - 201708075 PERMIT NO: 201708075 ISSUED: 10/06/2017 JOB ADDRESS: 3803 Wright ST EXPIRES: 10/06/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles - 30 sq Pitch = 5/12 *** CONTACTS *** OWNER (720)670-9510 SOUTHERN JOSEPH F SUB (303)795-1400 Matt Robl 019749 M & R Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT*: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,261.00 FEES Total Valuation 0.00 Use Tax 257.48 Permit Fee 251.85 ** TOTAL ** 509.33 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge 3��'r Residential Roofing PERMIT - 201708075 PERMIT NO: 201708075 ISSUED: 10/06/2017 JOB ADDRESS: 3803 Wright ST EXPIRES: 10/06/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles - 30 sq Pitch = 5/12 I, by my signature, do hereby attest that the work to be performed shall comply with all accompany ingg approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am tre legal owner or have been authorized by the legal owner of the pro erty and am th ' ed to obtain this permit and perform the work described and approved in conjunction with thisermit. I further attest I a orized to include all entities named within this document as parties to the work to be performed and tall to d is disclosed in this document and/o its' companying approved plans and specifications. ��1911/7 Signatur94f OWNER or T ircle one) Date / 1. TbK permit was issued based n the information provided in thepermit application and accompanying plans and specifications and is s baect 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 originalpermitfee. 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. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicabl�ude 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. M&R Roofing Inc. 2706 W Union Ave • Englewood, CO 80110 Phone: 303-795-1400 • Fax: 303-347-0784 PROPOSAL SUBMITTED TO Joe & Krista Southern STREET 0 PROPOSAL AND ACCEPTANCE DATE 10/3/2017 WK.PHONE Email 0 jsouthern@denverapparel.com CELL PHONE Fax 720-670-9510 CITY, STATE AND ZIP CODE JOB LOCATION HM. PHONE 3803 Wright Street 0 Wheat Ridge Colorado 80033 CURRENT ROOF TYPE & COLOR 1 Q Remove 1 layers of existing roofing. There will be an additional charge to remove extra layers 2 0 Install Synthetic Felt 3 7 Install Tamko 30 year dimensional Other 4 Q Install Valley: ❑ W Valley ED Ice&water shield 57 Install Colored Flashing: ❑ BLK ❑ BRN 7 W H T P1 x2 -Rakes _[/ 2x3 -Eaves Other: 6 El Install Roof Vents 10 Vent Flashings 3 7 7 Gutters[Z5" seamless ❑6" seamless Downspouts _ 7 2x3. / 3x4 8 LJ Ice and water at eaves Yes 9 All trash will be cleared daily and removed from exterior of the house. 10 Price includes all material and labor. 11 5 -Year Warranty on workmanship upon full payment. 12 E] Hourly rate for work requested over and above proposal is $115.00 man hour. SPECIAL INSTRUCTIONS A permit will be furnished by M&R Roofing and billed to the homeowner at cost. Any decking needing replaced will be at a charge of $60.00 per 4'X 8' sheet. Replace 1 layer of existing roof with Tamko Heritage 30 yr. and replace all gutters as well with 5" seamless gutters and 3" x 4" downspouts to complete. W vve rropose•nereoy to turnish material and labor to complete in accordance with above specifications and on the terms and conditions on the second page hereof for the sum of: Roofing $ 12,261.40 Initial: Gutters $ - Initial: Roofing and Gutters $ - Initial: Acceptance of Proposal: The above prices, specifications and conditions stated on both sides hereof are satisfactory and are hereby accepted. M&R Roofing is authorized to do the work as specified. Customer Signature Date of Customer Acceptance Company Signatur n Date of Company's Acceptance NOTE: PLEASE INITIALtERMS AND CONDITIONS ON THE SECOND PAGE OF THIS FORM 17 TERMS AND CONDITIONS 1 _ All proposals are subject to approval by Company and company's credit department. 2. 1/3 down on start date. Balance Due within 3 business days after M&R designates in writing that the job is substantially complete. M&R may change terms that will be specified in comments section first page. Payment terms shall not be extended by the date of any government inspection or any weather issues. Unpaid balance shall accrue interest at the rate of two percent (24% APR) with a minimum of $2,00 per month. 3_ In the event this contract is placed in the hands of a collection agency and/or attorney, all fees incurred by Company shall be added to the Company's claim and be paid by customer_ 4. This proposal does not include snow removal, repair, replacement or guaranty of deteriorated decking, skylights, fascia, sheathing, roof jacks, ventilators, debris falling into the attic, or any other existing roof materials; unless otherwise stated on the reverse side hereof at additional cost 5. This proposal does not include builder's risk insurance. Company shall not be responsible for fire, hail, windstorm, weather, painting; touchup painting, ice damage, broken concrete, landscape damage, theft, labor controversies, labor or materials cost increases, inability to obtain materials from usual sources, consequential damages, and all other problems, hazards, delays or damages. 6, This proposal does not include any construction bond or other surety or liability insurance coverage unless a certificate of insurance is attached hereto and the coverage is specified on the reverse side hereof at additional cost_ T Prices stated on the reverse side hereof are guaranteed for thirty (30) days from the date of the proposal, unless extended in writing by the Company. The proposal excludes the cost of latent or unknown damages discovered during the progress of the work. 8. Consistent with Colorado law, customer can rescind this agreement in writing within seventy-two (72) hours after customer receives written notice from customer's insurer that customer's claim for roofing work is denied. M&R will then refund all funds received less the reasonable value of materials and labor incurred for roofing work performed on the property prior to the written notice. M&R is prohibited by law to pay, waive or rebate customer's insurance deductible, if any_ Contractor will hold in trust any monies received by the property owner until materials are delivered to the site, or until a majority.of work has been done. 9_ The Uniform Building Codellriternational Residential Code require that nails and staples penetrate roof sheathing. Company shall not be responsible for any resulting condition thereby, or any leak or nail pop or damage to the property from pounding during or following the course of the work. If, after proposal is signed and codes change in your municipality, additional time and monies may be added. 10. Customer is responsible for removing all vehicles, lawn furniture, vases, planters, etc_, from garage, driveway, and interior and exterior of home before work is started. Company is not responsible for damaged items. Customer must provide suitable driveway access to the structure to allow for loading and unloading of materials_ Inadequate access will require additional work at additional cost. 11. Company is authorized to perform work set forth herein at the stated cost. Company is further authorized to make additional roof repairs, as needed, to bring the roof into compliance with applicable building codes. Repair work shall be billed and paid by customer on a time and material basis at the Company's current rate per man-hour for labor and cost plus 10% for material needed for repair_ 12. This Contract is between the Company and the Homeowner. The Company will assist if homeowner's insurance is involved, but ultimately the Homeowner is responsible for payment of the labor and materials set forth herein. 13. Customer is required to notify M&R Roofing, Inc. for any repairs that are needed during the warranty period prior to any repairs being made. 14. Price for materials and labor on front is for the work at the time of the Proposal. Additional work will be submitted and approved by change order. 15. If any provision of this agreement should be held to be invalid or unenforceable, the validity and enforceability of the remaining provisions of this agreement shall not be affected thereby. 16. This agreement constitutes the entire agreement between the parties. No other representations, statements, or communications have been relied upon the by the parties. This agreement may be changed on by written instrument signed by both parties. LIMITED WARRANTY M&R ROOFING, INC. (COMPANY) WARRANTS ITS WORKMANSHIP FOR A PERIOD OF FIVE (5) YEARS FOLLOWING COMPLETION OF THE WORK AND FULL PAYMENT_ COMPANY DISCLAIMS AND CUSTOrvIER ACKNOWLEDGES AND ACCEPTS SUCH DISCLAIMER, ALL REPRESENTATIONS OR WARRANTY OF ANY KIND, WITHOUT LIMITATION WHETHER AN EXPRESS WARRANTY BUT ASSIGNS THE MANUFACTURER'S PRODUCT WARRANTIES, IF ANY, TO CUSTOMER, WRITTEN WARRANTY CLAIMS MUST BE RECEIVED WITHIN THE WARRANTY PERIOD_ Acceptance of Proposal: The above prices, specifications and are satisfactory and are hereby accepted. M&R Rooting is authorized to do the work as specified. Customer Company Sign Date of Customer Acceptance 10/3/17 Date of Company's Acceptance 10/3/17 0/3/17 Thank you for the opportunity to assist you with your roofing needs_ If you have any questions, please call us_ Dane Lovett 2 o?o , 07.5 From: no-reply@ci.wheatridge.co.us Sent: Wednesday, October 4, 2017 7:08 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed G L_S�_7 Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION L Property Address 3803 Wright St Property Owner Name Joe Southern Property Owner Phone 720-670-9510 Number (enter WITH dashes, eg 303-123-4567) 1 Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract jsouthern@denverapparel.com Yes M. CONTRACTOR INFORMATION Contractor Business M&R Roofing Name Contractor's License 019749 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 303-795-1400 2706 W Union Ave Contractor Email Address jaker@mandrroofing.net Retype Contractor Email jaker@mandrroofing.net Address DESCRIPTION OF WORK TOTAL SQUARES of 30 sqaures the entire scope of work: Project Value (contract 12,261 value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or No Pitched roof (2:12 pitch or greater) both? (check all that apply) What is the specific pitch 5/12 of the PITCHED roof? How many squares are 30 part of the PITCHED roof? Describe the roofing Tamko Heritage materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional Remove existing 1 layer of shingles, install ice and water shield detail here on the around eaves, install all new dripedge, install new feltex on roof description of work. (Is surface, install tamko heritage to complete 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 been Yes authorized by the legal owner of the property to 3 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. Name of Applicant Jacob Robl Email not displaying correctly? View it in your browser. CITY OF WHEAT RIDGE �� Building Inspection Division } (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTI E Inspection Type: %tom Job Address: Permit Number:[/'�l? �r k 4� ❑ No one available for inspection: Time _m/PM Re -Inspection required: Yes tNo> When corrections have been made, call for re -inspection at 303-234-5933 F� � I l Date: j 2 ) % � Inspector: DO NOT REMOVE THIS NOTICE t 4' CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: <` c Permit Number: ❑ No one available for inspection: Time AM/ Re -Inspection required: Yes (No. *When correcti ns have been made, call for re -inspection atIO-3-234-5933 Date: ' (- I - A Inspector: j ¢� DO NOT REMOVE THIS NOT/CE INSPECTION RECORD OCCUDBDCV,TVDO OV°WSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. L �' - r' INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS .JOB FOUNDATION INSPECTIONS DATE :` INSPECTOR NITIALS I COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground .Reinforcing or Monolithic 6'�, Weatherproof /french Drain Sewer. Service Lines :Water Service. Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD `. BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED EElec tricalSewice Rough Electric Rough: Plumbing - - Gas Piping Rough Mechanical ABOVEINSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation Drywall Screw FINALS Electrical" Plumbing Mechanical Roof 6'�, Building: Final Fire Department R.O W &'.Drainage -. INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD `. BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking $ Landscaping "'NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. JFINAL INSPECTION BKTHE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER CITY OF WHEAT RIDGE Building Inspection Division (' (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE l; Inspection Type: of Job Address: 7L %_ Permit Number: ! G ! ! 74 �O `7 -:J i ❑ No one available for inspection: Time /! //. / . M Re- Inspection required: Ye No "When corrections have been made, call fo for � re-inspection at 303- 234 -5933 Date: `� ! - 1 U Inspector: /L DO NOT REMOVE THIS NOTICE ♦ All CITY OF WHEAT RIDGE ' Building Inspection Division a (303) 234 -5933 inspection tine (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: 4fvsYz gayF' Job Address: 3'�3 uJ4?rsrdrA ST P ermit Number: /0 ll7y r iOSS ✓r,z 2) xl4,,Z 7 e C2,4 5� .7 7' S�'lr2' l7i,.s/rtJ ST,�,€?TFf1 G��lL.Sf � lo�u 3l0l�� 7)�Ary5 /T, ❑ No one available for inspection: Time & F PM Re- Inspection required: No When corrections have been made, call for r inspection at 303 - 234 - 5933 Date: /a Inspector DO NOT REMOVE THIS NOTICE City of Wheat Ridge 1 Residential Roofing PERMIT - 101174 PERMIT NO: 101174 i ,'ISSUED:, 05/10/2010 JOB ADDRESS:. 3803 WRIGHT ST' ':EXPIRES: 11/06/2010 DESCRIPTION: Reroof -28 sqs with 30 yr 'GAF /ELKshingles * ** CONTACTS * ** owner 303/425 -9994 Richard Culna sub 303./507 -0842 Gumercindo Nunez 09-0215 GN Roofing, l; Inc. ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION:r 0120 :BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT: VALUATION: :7,500.00 FEES Permit Fee 199.30 Total Valuation _ .00 e u'�7aZ Use Tax _..135.00 u/ r ** TOTAL ** '334.30 �".. Conditions: 6 nails per shingle `is required. Ice dam membrane is required from eave edge to 2' inside exterior walls. Board sheathing with any gap greater than 1/2 - requires panel sheathing overlay on entire roof. Sheathing inspection is setback distances proposed by t musr De rn fee do not violate applicable ns of record; that all conditions printed on this ie 'f I B ( 1 and all other 235-2855 FOLLOWING BUSINESS DAY. f City o y�✓ Ileat�lC e Date: C' COMMUNITY DEVELOPMENT Plan # Building &nspection Services Division Permit 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303- 235 -2855 * Fax: 303- 237 -8929 Inspection Line: 303- 234 -5933 Building Permit Application Pro a Address= ? Property Owner (please print)' fZ t L11 Y � f � << Phone Z 5-- � 17` 4 Mailing Address: (if different than property address) Address: City, State, Zip: oo 8oU3 Cont'ractori: � � t�L`�(7 �I?��i I Yl C Contractors City License #: Q Phone: Electrical. Plumbing: Mechanical: City License # City License # City License # Des�erabtloaf:bi'�unrk�i `� �� C�wZ�' 7 Contract Value: 1715faLL ccCy Gc G $ ea — Review Fee (due at time of submittal):. Squares Z Y BTU's Gallons _ Amps Sq Ft. L-' OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I. have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLEONE: (OWNER) (CONTR�A CT ar (AUTHORIZED REPRESENTATIVE) af,(OWNER) (CONTRACTOR) PRINT NAME: :. tU( CSC In'd / �N/lijZE�j SIGNATURE: j /j�l f:JU),�f�- 66o _ DATE:0✓ FIRE pEPARTMENT ❑ approved W( comJ)tegts �� dJSapproved Clrjto,rel(IeW required Bldg Valuation: $ o i J ti ER TYPICAL HEADER POST DETAIL N.T.S. THE SOUTH FACING WALL HAS A GABLED END ROOF AND THE WEST WALL IS BEARING WITH A TRIBUTARY AREA OF 9 -FEET. THE ROOF IS CONSTRUCTED OF CUT FRAME MEMBERS WITH AN ASPHALTIC SHINGLE COVERING, THE ROOF SNOW LOAD FOR THIS RESIDENCE IS 30 PSF, PER THE JEFFERSON COUNTY WEBSITE. A DEAD LOAD OF 15 PSF WAS USED FOR DESIGN. THE FOLLOWING IS RECOMMENDED FOR EACH OPENING: 1. SOUTH WALL- (2)2X8 HEADER WITH (2)2X4 TRIMMERS AND (1)KING STUD AT EACH END. 2. WEST WALL- (2)2X10 HEADER WITH (2) 2X4 TRIMMERS AND (1)KING STUD AT EACH END. A (2)2X8 HEADER MAY BE USED IF A 6- FOOTOPENING IS CHOSEN. . .......... ' CH' . A ' 9 < 64844 .L ..''O JAMESON RESIDENCE DRWNBY JFM osGN BY _ 6760 WEST 31 ST AVE, WHEAT RIDGE, CO CHK'D BY _JFM_ NEW WINDOW HEADERS - - - -- DATE 4 -2 8 -2010 FOR SMITH BROS. REMODELING SHEET _ S1 00 City of Wheat Ridge °Q,o p~ Residential Roofing PERMIT - 070912 PERMIT NO: 070912 . ISSUED:. 08/28/2007 JOB ADDRESS: 3803 WRIGHT ST EXPIRES: 02/24/2008 DESCRIPTION: re-roof,~.t/o to decking ***~CONTACTS. rr+.. . gc 303/816-1888 Derek Lindsay 02-2377 Infinity Restoration owner 303/641-9234:Richard Culna PARCHLINFO ZONE CODE: UA USE:UA SUBDIVISION: 0120 BLOCK/LOT#: 0/ FES:SUMMARY **ESTIMATED PROJ&CT VALUATION: 6,200.00 FEES PermitFee . 181.10 BM Total Valuation . .00 Uae Tax . 111.60 TOTAL 292.70 Comments< muat be 6' nailed subject Eo field inspection mid-roo€'required if any decking is replaced I hereby certiYy that the aetback dietancee propoeed by thie pexmit application are accurate, and Co not violate appllcahle ordinancee,rulee or regulatione of the City of Wlieat Ridge or covenante, eaeemente or reetrictlone of record; that all meaeuremenG6.shown, and allegatione made are accurate; that I have read and agree to abide by all couditione printed on thie applicatlon end that I aesume Pull reeponeibility for compliance with the 7iheat Ridge Huildixg Code (I.B.C) and all other appllcable~Nheat Ridge Ordinancee, for work undar thie permit. Qlane eub7ect to field Snepection. _ a 1. Thie pexmSt wae iesuefl in accordance with the provieione eet forth in your application and ie eub]ect [o the lawe of the Staee o€ Colorado and tothe Zoning Regulatione and Buildin9 Codee of Wheat Ridge, Colorado or any other applicable ordinanelb of the City. _ Z• Th1e pemit ~ehall expire 180 flaye from [he iaeue date. Requeete for an exteneion muet be received prior to expiration date.An.expenaion may be gxanted at tEe diecretion of the Building Official. 3. iF thie.permii eacpires, a new pemit may be acquired for a fee oP one-half the amount noxmally required, prwided rw changpe.Rave bxn or will be made in the original plane and epecificatione and any euepeneion or aban8onment hae not exceededone (1). yeaz. If changee have been or if euepenaion.or abandonment exceede one (1) yeas,.iull feee ehall be paidfor a new permit. 4. No.rrork pf any mannez ehall be done that will change the natural flow of water caueSng a drainage problem. 5. Cbntractoz.ehall notify the Huilding Inepector Cwenty-four (24) houre in advance Eor all inepectione and ehall receive writtea approval.on Snepection card before proceeding wiCh eucceeeive phaeee of the job. 6. The ieauaneeof a pemit orthe apgroval of drawinge end epecificatione ehall not be conetrued to be a pemit for, nor an approvdlof; any violation of tbAprovieione of the building codes arany other ordinance, law, rule or regulation. All plan review.is aubject to e nepectione. . SSgnature of-Ch1ef Huildfng0 ~ici date INSPSCTZONR8QII8ST L~~ a(303)234-5933 BUILDING OFFICE:(303)235-2855 REQUBSTS'NFUST SEMADBHY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLAWING BUSINESS DAY. COMMUNITY DEVELOPMENT DEPARTMENT of wneqrP gUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) , ~~(OftPO~ IC.,41.frOR t'xPPA PropeRy Owner: iZ i c. r~✓ t~ ~'L-- Property Address: 3 $a } ~ ~.-1 GHT Building Permit Number: Date: PLAN #r~?~ I ~ TION Phone: 30z~,- 6`O- °I 2.3q Contractor License No.: Company:TNF-NJJ Phone: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT guildina Dept. Valuation Figure: $ ~ ZCC I hereby ceNfy that Ihe setback distances proposed by this permit appliration are accurale, and do not violate applicable ordinances, rules or regulalions of the Cityof W heat Ridge or covenants, easements or restrictions of record; fhat all measurements shown, and allegations made are accurate; tha[ 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 (I.B.C) and all oNer applica6le Wheat Ridge Ordinances, for work un~der this permit. Plans subject to field inspection. (oWNEaJ(CONTPACTOR):SIGNED DATE 9 Zp O'7 (OWNER)(CONTRACTOR):PRINTED DATE Use of Space (description): I Description of work: Sq. Ft. added ~ Value:$ Permit Fee:$ Plan Review Fee:$ Use Tax: TOY21:$ . BUILDING DEPARTMENT USE ONLY - SIC: Sq.Ft.: COMMENTS ' Approval: Zoning: COMMENTS: Approval: WORKS COMMENTS: Approval: IRE DEPARTMENT COMMENTS: I I Approval: lOccupancy: Walls Roof 21 Zh'S Stories Residential Units Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date: Expiration Date: Expiration Date: Approval ApprovaP ApprovaC (1) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to lhe Zoning Regulalions and Building Codes of Wheal Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sizty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 180 days. (3) If this permit expires, a new pertnit may be acquired for a fee of one-half the amount normaily required, provided no changes have been or will 6e made in the original plans and specif cations and any suspension or abandonment has not exceeded one (1) yeac If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done lhat will change lhe natural Flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector hvenry-four (24) hours in advance for all inspections and shall receive writtea approvai on inspectlon card before proceeding with successive phases of the job. . --(6) The issuance of a permit or the approval of drawings and specifications shall not be wnstrued to be a permit for, nor an approval o(, any violation of the provisions of ihe building codes or any other ordinance, law, rule or reguiation. All plan review is subject to field inspections. hief Building Official PARtMENT OF PLANNING AND DEVELOPMENT 13UILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner Property Address GoMractor License No. Company BENKE BOW 3803 WRIGHT ST 18553 Heatac, Inc. Phone : 425-9994 Phone: 337 0888 SIGNATURE OF UNDERSTANDING AND AGREEMENT , that the setback distances proposed by this permit application are accurate, ale applicable ordinanees, rules or regulations of the City of Wheat Ridge or sements or restrlctions of record; that all measurements shown, and allegahons rtpte; that I have read and a ree to abide by all conditions printed on this d that I assume tull res " for complian ith the Wheat Ridge Building and ali other appli e Wheat ordinan s, rwork under this permit. NTRACTOR) SIGN DATE d/O in : REPLACE FURNACE Approval: Zoning : ~ ' Approval: Approval : uoancv : Walls : Roof : Stories : Residential Units : License No : Plumbing License No : Mechanical License No : , Company: Company: Date : Expiration Date : Expiration Date : Approval : Approval : .0 aC " w~ ~ ~ ~ mpo~,~~ :tl in accorUance with the provisions set forth in yopur application and is sub1~ec[ to the laws oF the State of Goioreao ana [o me con11'y fing Code of Wheat Ritlge, Colora0o or any other applicable ordinances of the City. re If (A) ihe work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or "t2o days. a new pertnR may be acquiretl for a Fee of one-half the amount normally required, providetl no changes have been or will be made in e 3cificetions andany suspension or abandonment has not exceedetl one (1) year. If changes are made or if suspension or abantlonment . . n r.., n oaw naemif or BUILDING DEPARTMENT USE ONLY rule fiow of water causing a dreinage problem. rs in atlvance for all inspeclions and shall receive written approval on inspection card before ations shall not be wnstrued to De a permit for, nor an approval ot, any violation of the provisions uilding Inspector U THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION ,;,-r ~-41t1 Building Permit Number : 95-2021 Date :10110/95 Construction Value : Permit Fee : Plan Review Fee : Use Tax : $1, 590.00 $37.00 $0.00 $23.85 $60.85 Total DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 Date : CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE ~C~' ~0/9~- WHEAT RIDGE, CO 80215 Property Owner : ~y- Property Address : 3803 Phone : ~1. 5- 4444 Contractor License No. : J85 s 3 Company : (-~O~ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certity that the setback distances proposed by this permit applieation are accurate, and do not violate applieabte oMinances, rules or regulations of the City of Wheat Ridge or covananu, easements or restnctions of record: that all measurements shown. antl allegations matle are accurete: that I have read and a rea to abide by all coodRions pnnted on this applieation, and that I assume full resp for compliance with the Wheat Ridga Building Code (U.B.C.) and all other appliwb Whea ' gtardin . for work untler this permrt. (OWNER)(CONTRACTOR) SIGNE DATE )0~0 ~ Description : Phone : Construction Value : 7s Ro.vl7 Permit Fee : Use Tax: Total : BUILDING DEPARTMENT USE ONLY Approval: Zoning : Approval : -°H Approval : Occupancy : Walls Roof : Stories : Residential Units : Electncal License No : Plumbing License No Mechanical License No : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: PIOins ReQuired . I P~Y►~ Fi~qe~r~t~~ ~ (1) This permit was issuetl in accortlance wrth the provisions set brth in yopur aDDiimtlon antl is suDjecl t t~e laws of the Stale of Colo2tlo and to the Zonin9 Regulations antl Builtling Cotle of VJheat ftiEge, Coloratlo or any other apOBCable ordinances of Ne Ciryo. (p) This permit shall ezplre 1( (A) ihe work authonzetl is no[ commence0 within sixry (60) days from issue tlate or (8) Ihe building authonzed is suspentletl or abandonetl for a periotl of 120 days. (3) If Uis permit eapires, a new permit may be acquiretl for a fee of one-half the amount normalry reawred, provldetl no changes have been or wlll Ee matle In Ne original plans an0 specifica6ons antl any suspension or abantlonment has not eaceetletl one (1) year. If clan9es are matle or if suspension or abantlonment exceetls one (1) year, full (ees shall be paltl for a new permit. (4) No work o( any manner shall be tlone ihat will change the natural flow of water causing a draina9e problem. (5) ConV CEaclor shall notity [he Building Inspector lwenry-four (24) hours in atlvance for all inspeCtions antl shall recerve writlen approval on mspEtlion Wrtl De(ore pfOEtlg with SuCC235iVe ph33E5 at thE job. is) The issuance of a permit or the approval of tlrawmgs antl specifications shall not De wnstruetl to 6e a permit lor, nor an apDfoval ot. any viola4on of the provisions o( (he butlomg codes or any other ordinance. law. rule or regulation. Chief Building Inspector Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION 7500 WEST 29tn AVENUE 237-6944 EXT. 255 P.O. BOX 638 DEPARTMENT OF GOMMUNITY DEVELOPMENT M91#17652 BUILDING INSPECTION DIVISION PERMIT N0. CITY OF WHEAT RIDGE, COLO. VALID ONLY WHEN SIGNED BY TNE CNi JOB ADDRESS CONTRACTOR CITY G PHONE SIGNS ZIPCODE 1) v(I " LICENSEN0J 5 yI-z ANC RECEIPTED OWNER ' ADDRESS 39~~~ > PHONE L~72-ZIPCODE CONTRACT PRICE $ 1119 y y DATE //L L TYPE Ground❑ Woll❑ Prolectin0❑ Othsr SaDFou 2. MATERIAL Tolal Square Faet . 3. ILLUMINATION Yea❑ No❑ Type EIKf. Permit No. Zona__ Approvad,ZMe Inspoclor 4. SET BACK FROM PROPERTY UNE N- S Q E❑ W❑ DisaDDrwed eifv whic~ is front ) ❑ _ f5na I TYPE Solido Mors Than 80% Lest Thon BO% ? MATERIAL - FENCES 3 SET BACN FROM PROPERTY LINE N-- (Soecifv whith is front) ❑ I OTHER 2 a. E_ W Zcna_ ApprwW,Zons InsDeeta 0 Dieovvfoved DRAW SNETCH OR SNOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIVIhG DISTANCES FROM PROPERTY LINES. (SETBACKS OR PROJECTqNS INCLUDED) INSPECTION TICKET J JOB DDRESS ITH il> y/ DATE: BLDG. PERMITB ~ ppPLICATION FOR PLUMBING; ELE THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICAPERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF STREET NAME PLUMBII STA7E LICENSE N FLOOR BSM WATER CLASET WASH BOWL BATH TUB SMOW DISTANCE$ FROM THE MCIN BUILDINfi TOADJOINING HOUSES, S SUBCONTRACTOR DISTANCE TO PROPERTY lINES, NOT MAXIMUM OR AVERAGE 015' ELECTRICAL PERMIT STATE LICENSE N0. UMINUM WIRE UNDER SRE 8 ILLEG! TEMPORARY METER NEW SERVICE - AMPS _ CHANGE SERVICE-AMPS LIGHTING HEATIN~ POWER SU9-CIFCUITS UTILITY (RANGE, DISPO5ER, ET FIXTURES WIRING MOTOFtS 9 CONTROLS_ SIGNS TRANSFORMERS 9 RECTFIERS ADDITION TO OLD WORK unrna5 OVFR I NP I hereby ocknowledqe tl+ot this 00011c0- tion is correct ond understand that I Gannot ftart this Droltltt unfil this opDli' Cotion is oDCroved. I shall comply wifh the laws 01 1he Slote of Colorodo and lo ihe ZoninQ Repulations ond Buildina Code of tne Lity of Wheaf RidQe. QnY violotion of the obove terma will cause ;immed, e ~e~ocalion of fnis Oermil ~ ~ ~'~-5-- r . ~o~arv,. DISH WASHER FIDM DRAIN URINAL SEWERS PERMIT FEE USE TAX TOTAL FEE CHIEF BUILDING PERMITB BLDG. CONTR. DATE INSP. l-';2 6 , 'isioN. TYPE OF INSP. 4L _ INSPECTION MADE_ REMARKS d Elx 12 " W.R. FORM 6-19 - 2 S ~ 0/ - OC~'~~ /YJ O~l~~j M '~,3 -6zO $/3/,3S ~ City Wheat Ridqe Dote Issued J~-~ / ESS RECEIPTED f VAIiD UNl";Ad CAL1237-8944 EXT.255 24 HOUR5 IN ADVANCE FORINSPECTIONS DEPARTMENT OF GOMMUNITY DEVELOPMENT 7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. mq~ 237-6944 ExT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHlEF BUILDING INSPECTOR QNC RECEIPTED BELOW. JOB ADDRESS 'S 6 C) f- W Y, 5! b~" ~CONTRACTOR I~ r zv S-t ~v , S f' ADDRESS Io U~( 4 U/1w.- e-~+- ' CITY A Y U q-d !A C 0 . ZIP CODE PHONE ~~15'53/~Z_LICENSENO 1~~15 OWNER d•L ADDRESS PHONE ZIP CODE CONTRACT PRICE $ n ~ DATE 2 ' 3 TYPE Ground ❑ 1 Woll❑ Proiectinp❑ Othsr 5 or D Faa . 2. MATERIAL Totol Squon Feet SIGNS 3. ILLUMINATION Yss❑ No❑ Type Elxt. Parmil No. 4. SET BACN FROM PROPERTY lME N (SDetify whith ia fron}) _ ❑ S_ E ❑ _ W ❑ ❑ Zoro_ Apprwsd,ZOne Inspeclor Disopproved 1. TYPE Solid❑ Mon TAOn 80% Opsn❑ Lesi Thon BO % Open MATERIAL Hoipht FENCES 3. SET BACN FROM PROPERTY LINE N (SOecify which ie tront) _ ❑ S_ E ❑ _ W ❑ ❑ Zons_ ADOrwed,Zons Inspeefw asa00roved 2 OTHER 3 . DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIVII:v" DISTANCES FROM PROPERTY LINES. (SETBACKS OR PROJECTpNS INCLUDED) i ~ J > r z SPECIFY NORTH ~9 vi FRf1NT STREET NAME SNOW DISTANCES FROM THE MAIN BUILDING TQADJOINING HOUSES, STREETS, AND PROPERTY I.INES; ON IRREGULAR IATS, SHOW LEAST DISTANCE TO PROPERTY IINES, NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMITTO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE Bl11LDING INSPECTION DIVISION. PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME. ELECTRICAL PERMIT ST~E N0. ALUMtNUAAVAREUNDERSIZE81LlEGAL PLUMBWG PERMIT STATE UCENSE N0. FLOOR BSM IST 2ND 3RD 4TH MECHANICAL PERMIT N0. FUEL:CircISQNGOtqIROpOrN EIaCSola Np. WATER ClASET FORCED AIR - BTU TEMPORARY METER WASH BOWL HOT WATER - BTU NEW SERVICE - AMPS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LIGHTING SINK OTHER HEATING GARBAGE DISV REFRIGERATION SYSTEM POWER SUB-CIFCUtTS WATER HEATER Refri eronf Goup UTILITY(RANGE,DISPOSER,ETC.) AUTO. WASHER Fbunds CAOr e FIXTURES DISH WASHER AUIOMATIC SPRINKLER SYSTEM WIRING MOTOF25 Bi CONTROlS FLOOR DRAIN ELEVATOR SIGNS URINAI. TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES I hareAy ocknowledQe that this oDDlico- tion n corroct and undersfond ihat I Gonnot ftarf tAis projbCt until lhis appli- totion ie approved. I sholl tomply with fhs lows oi the Stqte of Colorado and 10 iM Zoninq Requlafions and Buiidinp Code ofthe City of Wheai Ridpe. Any violation of ine above terme will couse immediate revocation of fhis permit 4ecea", sfa+mw. PERMIT FEE USE TAX J ,-L TOTAL FEE ~ $ ~ , CHIEF BUILDIN¢r,FfVSPECTOR,Cityof Wheat Ridqe Date Issued- p VALID UNLESS RECEIPTED ~ 3 ) 3c~3 U CALL 237-8944 EXT. 255 24 HOURS IN AOVANCE FORINSPECTIONS