HomeMy WebLinkAbout3395 Union StreetA 4' CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
-
Job Address: 33 C/
Permit Number: _?_49
J No one available for inspection: Time -S,AMVPM
Re -Inspection required: Yes, f No
When corrections have been made, -schedule for re -inspection online at:
http.,Ilwww. cL wheatridge. co. uslinspection
Date:
Inspector:
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: D 11V A-4 IS
Job Address: ;e9"
Permit Number:
J No one available for inspection: Time eeylpm
Re -inspection required: Yes No
When corrections have been made, schedule for re -inspection online at:
http.11www.ci.wheatridge.co.ushnspection
Date:,Inspector:
DO NOT REMOVE THIS NOTICE
�' CITY OF WHEAT RIDGE
i Building Inspection Division
(303) 235-2855 Office
F INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: A�7 e> � e_"_") j:�t
',I- �P7 r` , - ` '• s„ _`` Js"
e . fp
❑ No one available for inspection: Time
Re -Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at:
http✓/www.ci.wheatridge.co.uslinspection
Date: /Z Z- : spector:�
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:' -
Job Address:''.
Permit Number: -ZCZ `
❑ No one available for inspection: Time OM/PM
Re -Inspection required: Yes o:-``
*When corrections have been made, schedu a for re -inspection online at:
http✓/www.ci.wheatridge.co.ueinspection
Date:' _ or:
f
i CITY OF WHEAT RIDGE
Building Inspection Division
/ �I - 9 -Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: ?, j '7--
Permit
7- Permit Number:
❑ No one available for inspection: Time ! M
Re -Inspection required: Yes rNo-,-
When
o--When corrections have been made, call for re -inspection at 303-234-5933
Date: �' 1 'Z_ Inspector:
DO NOT REMOVE THIS NOTI
1�,Xa
CITY OF WHEAT RIDGE ISO
Building Inspection Division
.(o*23"034.nspecNan-liner------
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTIONf NOTICE
Inspection Type: f
Job Address:
Permit Number:
❑ No one availabie for inspection: Time .�: AM/ M
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: / Z Inspector:
DO NOT REMOVE THIS NOTICE
k 5AR •A 4 A S, INC.
• SIMUCTURM N
• SEP A1C SYSTRAS CGSM
October 27, 2020
Kunz Enterprises
Terry Kunz
2770 Isabell St.
Golden, CO 80401
303-916-8976
Tkunz47@comcast.net
Re: 3395 Union St.
Wheat Ridge CO 50033
Wheat Ridge Bldg. Permit #2020-02001
Home Remodel
0&%8Wm=
Co awn
4-1M
Vr'UN34"077 ro?"t Z 0 -ft F I rx presentau" from inis office made a site inspection
at the above-mentioned property to ve* ff the interior walls that were removed we raWmring In
The residence is a one level single family dwelling built in the late 1970x, and consists of manufactured
attic trusses that spare from outside to outside bearing walls. These trusses were reviewed through the
attic access, and pictures are on No for future reference.
Due to the dear span of the trusses, all of the Interior walls are reg mW can be removed
without any compromise to its structural lntn ty.
Therefore, the wails that have been removed between the master bath and the hall bath, which also
consists of a laundry room, are non-structural.
Feel free to contact me if you have any questions
Sincerely,
Ronald E. Barta, President t Project Manager
..-
Fili Ir -TI A Owl ✓ •
—00
.'�:'�
c 0
!(unawy-338"Jora
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: ' 6- l
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at:
http://www. ci. wheatridge. co. uslinspection
Date: Inspector: V
DO NOT REMOVE THIS NOTICE
� ► � i City of Wheat Ridge
Residential Remodel PERMIT - 202002001
PERMIT NO: 202002001 ISSUED: 10/19/2020
JOB ADDRESS: 3395 Union St EXPIRES: 10/19/2021
JOB DESCRIPTION: SWO Remodel including tearing out 45 feet of existing walls to create
master bath and closet. Replacing hot water heater/boiler. Installing
recessed lighting.
Sq ft: 380
*** CONTACTS ***
OWNER (303)205-1074
OWEN GAYLE
SUB (303)884-5930
RUBEN ARCHILLA
020448 RC ELECTRIC INC.
SUB (303)419-5225
LOUIS BUCCINO
018490 BUCCINO PLUMBING
SUB (720)261-0491
BRIAN GIECK
110053 TECHNICAIR MECHANICAL
GC (303) 981-7046
LARRY KUNZ
021503 KUNZ & ASSOCIATES
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
UA / Unassigned
BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION: 77,489.00
FEES
Total Valuation
0.00
Plan Review Fee
620.72
Use Tax
11627.27
Permit Fee
954.95
Investigative Fees
477.48
** TOTAL **
31680.42
*** COMMENTS ***
*** CONDITIONS ***
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
All roughs to be done at Framing Inspection.
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
Approved per plans and red -line notes on plans. Must comply with 2018 IRC, 2020 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
1* � � i City of Wheat Ridge
�� Residential Remodel PERMIT - 202002001
PERMIT NO: 202002001 ISSUED: 10/19/2020
JOB ADDRESS: 3395 Union St EXPIRES: 10/19/2021
JOB DESCRIPTION: SWO Remodel including tearing out 45 feet of existing walls to create
master bath and closet. Replacing hot water heater/boiler. Installing
recessed lighting.
Sq ft: 380
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
To Whom It May Concern
anted to elatlry a feu Items. First [he only permit I bave is the oneyou Issued to Colleen Miller
which Is a Homeowner Interior Remodel Permit Since Kunz &Associates will be acting asthe
General Contractor do I need a different permit to bave at the house?
Second one ouch,, malls Colleen rec iv dfrom the Gry of Wheat RICK, mentioned a,"courtesy
inspection' ,o we bay, the air clearance report. Is this Inspection still required if it no longer
Homeowner Permit?
I expect to bave the Alr Clearance Reports for both the dumprter and the house lacer today and
wl 11 forward them to enn6(o7[ wheatitlee m us
Notablly,
Terry Kunz
303 9369976
From: Commoev Permits 6ennitsi wheamag, m. us,
Sent Tburstlay, CETI 2020143PM
To: 4erry KunzQkunz47@comrart neb
Cc: Kimberly Cook 6moki wheactltlg,Ccus,, Tama Calhoun <TWIhoun@dwheactltlg, m. us,
Subject: RE' Remodel permit for 3395 Union S[.
Hello,
I have added you to the permit for 3395 Union Street You had missing payment Information so you
au 11 not be eligible for Inspections until you pay forth, license
The nk you,
Dina O. Kemp
Permit Technician
7500 W. 29th Avenue
Meat Ridge, Colorado 80033
Office Phone: 303 235 2873
Fax 303 2373929
vrvrva.n.whearritloe.co.ue
Wh
City eo at
-RleFwuui iv DIvILUPn6M
CONFIDENTIALITY NOTICE The . UI made mandeNoddemal informanen I OmLandedonly for ,x,USE ol n,maMa.,l or
CO:
dmrwdi 1.t
Soulnech
RE Remodel permit Em 3395 Union St
D.U.:
Thai Concezer 29, 2020 11 54 51 M
To Whom It May Concern
anted to elatlry a feu Items. First [he only permit I bave is the oneyou Issued to Colleen Miller
which Is a Homeowner Interior Remodel Permit Since Kunz &Associates will be acting asthe
General Contractor do I need a different permit to bave at the house?
Second one ouch,, malls Colleen rec iv dfrom the Gry of Wheat RICK, mentioned a,"courtesy
inspection' ,o we bay, the air clearance report. Is this Inspection still required if it no longer
Homeowner Permit?
I expect to bave the Alr Clearance Reports for both the dumprter and the house lacer today and
wl 11 forward them to enn6(o7[ wheatitlee m us
Notablly,
Terry Kunz
303 9369976
From: Commoev Permits 6ennitsi wheamag, m. us,
Sent Tburstlay, CETI 2020143PM
To: 4erry KunzQkunz47@comrart neb
Cc: Kimberly Cook 6moki wheactltlg,Ccus,, Tama Calhoun <TWIhoun@dwheactltlg, m. us,
Subject: RE' Remodel permit for 3395 Union S[.
Hello,
I have added you to the permit for 3395 Union Street You had missing payment Information so you
au 11 not be eligible for Inspections until you pay forth, license
The nk you,
Dina O. Kemp
Permit Technician
7500 W. 29th Avenue
Meat Ridge, Colorado 80033
Office Phone: 303 235 2873
Fax 303 2373929
vrvrva.n.whearritloe.co.ue
Wh
City eo at
-RleFwuui iv DIvILUPn6M
CONFIDENTIALITY NOTICE The . UI made mandeNoddemal informanen I OmLandedonly for ,x,USE ol n,maMa.,l or
or use of this communication is prohibited. If you received this communication in error, please notify us immediately bye -mail, attaching
the original message, and delete the original messagefrom your computer, and any networkto which yourcomputer Is connected.
Thankyou.
From: Terry Kunz <tkunz47(cDcomcast.net>
Sent: Thursday, October 22, 2020 12:01 PM
To: CommDev Permits <Permits(cDci.wheatridge.co.us>
Cc: tkunz47(cDcomcast.net
Subject: Remodel permitfor 3395 Union St.
To Whom It May Concern,
The City of Wheat Ridge has recently issued a Homeowner Interior Remodel Permit (202002001)
for 3395 Union St. The reason for this email is to obtain the process required to transfer the permit
to Kunz & Associates. We have submitted whatwe believe to be the required information and fee to
renew our Wheat Ridge license.
The On Site Plans the city provided the owner state to " provide asbestos clean air report to the
inspector prior to entrance at first inspection". Are you requiring Air Quality Testing or a Final Air
Clearance?
If you require any clarification or have any questions, please contact me at this email or the
number listed below.
Sincerely,
Terry Kunz
303-916-9976
� ► � i City of Wheat Ridge
Homeowner Interior Remodel PERMIT - 202002001
PERMIT NO: 202002001 ISSUED: 10/19/2020
JOB ADDRESS: 3395 Union St EXPIRES: 10/19/2021
JOB DESCRIPTION: SWO Remodel including tearing out 45 feet of existing walls to create
master bath and closet. Replacing hot water heater/boiler. Installing
recessed lighting.
Sq ft: 380
*** CONTACTS ***
OWNER (303)205-1074
OWEN GAYLE
SUB (303)884-5930
RUBEN ARCHILLA
020448 RC ELECTRIC INC.
SUB (303)419-5225
LOUIS BUCCINO
018490 BUCCINO PLUMBING
SUB (720)261-0491
BRIAN GIECK
110053 TECHNICAIR MECHANICAL
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
UA / Unassigned
BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION: 77,489.00
FEES
Total Valuation
0.00
Plan Review Fee
620.72
Use Tax
11627.27
Permit Fee
954.95
Investigative Fees
477.48
** TOTAL **
31680.42
*** COMMENTS ***
*** CONDITIONS ***
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
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.
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.
1* � � i City of Wheat Ridge
�� Homeowner Interior Remodel PERMIT - 202002001
PERMIT NO: 202002001 ISSUED: 10/19/2020
JOB ADDRESS: 3395 Union St EXPIRES: 10/19/2021
JOB DESCRIPTION: SWO Remodel including tearing out 45 feet of existing walls to create
master bath and closet. Replacing hot water heater/boiler. Installing
recessed lighting.
Sq ft: 380
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
no change to valuation, has asbestos
From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Residential Interior Remodel
Date: Monday, October 5, 2020 7:49:54 PM
Residential Interior Remodel
This application is exclusively for Residential Interior Remodels and other scopes
of work which do not have a specific form already available.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Property Address 3395 Union St.
Property Owner Name Colleen E Miller
Property Owner Phone 303-909-7179
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email colleenemiller23@gmail.com
Address
Attach City of Wheat Electronic -Payment -Form CEM.odf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
APPLICANT INFORMATION
Applicant Name Colleen E Miller
What is your role in the Property Owner
project?
Are you performing the Yes
work yourself, live in
the home and will be
living in the home 1
year after completion?
Attach Notarized
Homeowner
Authorization Form
Contact Phone Number
(enter WITH dashes,
eg 303-123-4567)
Contact Email Address
for Plan Review
Comments
3395Certificationof PronertyOWnerCert (1).PDF
303-909-7179
colleenemiller23@gmail.com
Retype Contractor colleenemiller23@gmail.com
Email Address
DESCRIPTION OF WORK
Detailed Scope of
Work - In the space
below (not as an
attachment), Provide a
detailed description of
work including
mechanical, electrical,
plumbing work
occurring,
adding/removing walls,
etc
I, the applicant,
understand my
application will be
rejected if I do not
include a Detailed
Scope of Work.
Iii .M . STMO 7:
Square Footage Area
of Work Being
Performed
Asbestos Report
Remove 45 L ft of existing walls& reconfigure master bath and
closet. Residence is ranch style home w/ manufactured clear
span trusses so there are NO internal structural walls. Replace
hot water heater/boiler. Replace kitchen
cabinets/vanities/appliances. Install recessed lighting. Replace
carpet in Master and guest bedroom. While I was waiting for all
signatures and numbers for subcontractors, I had
cabinets/walls/carpet/appliances removed. I was entirely
unaware of permit requirement for removal and I entirely stopped
workto get permits. No work has been done since I located
requirements. No new re -build has been started and I received
asbestos report attached.
I have entered a detailed scope of work.
Master bedroom/bathrooms/kitchen
380 sq feet
Upload letter size 3395SubContractorAuthorizationForm (1).PDF
documents here
Construction Plans
scanned on 11'x17" or
larger
Project Value (contract
value or cost of ALL
materials and labor)
77489.00 ok bf 10/7/2020
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work
may not begin on this
property until a permit
has been issued and
posted on the property.
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.
Yes
Yes
Yes
Person Applying for Colleen E Miller
Permit
I attest that everything
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Yes
Email not displaying correctly? View it in your browser.
October 29, 2020
Colleen Miller
3395 Union Street
Wheat Ridge, Colorado 80033
11318 Fowler Drive Northgleaa, Colorado 80233
RE: PCM Final Air Clearance
3395 Union Street — Wheat Ridge, Colorado
Enviro Care Project Number: 102220-1
Dear Ms. Miller:
As requested, Enviro Care Consulting Services LLC (Enviro Care) performed your final air
clearance and visual inspection for your asbestos abatement project atthe above referenced address
on October 23`d and 29d', 2020.
Final clearance air sampling was performed following a minor asbestos spill at the above
referenced property. Samples were collected inside the home and outside the home on a waste
trailer after the waste trailer was declared a major asbestos spill by a Colorado Certified Air
Monitoring Specialist (AMS). Samples were analyzed under Air Quality Analysis certified by
the American Industrial Hygiene Association. AQA-AIHA Certificate number is 219321. The
analysis was performed by the AMS, a Proficiency Analytical Testing (PAT) certified
microscopist, utilizing Phase Contrast Microscopy (PCM). Removal and disposal of the asbestos
containing material was performed by Oak Environmental. This report details the fieldwork
completed and analytical results of samples collected.
Asbestos containing materials, or presumed asbestos containing materials remain inside the home.
This final air clearance was conducted to verify a minor spill response was correctly
decontaminated only, and was not after an properly conducted asbestos abatement project.
1.0 FIELD ACTIVITIES
Visual Inspections
Priorto collecting air samples for clearance post abatement final visual inspections were conducted
to verify the asbestos containing material were removed, sealed, and cleaned up as specified, and
that the containment was free from visible dust and debris. With only critical barriers in place and
the HEPA air filtration unit still in operation, the air monitoring specialist (AMS) conducted a
thorough visual inspection of the regulated work area. Careful examinations of all areas within
the containment where debris and water could accumulate and be concealed were thoroughly
inspected. If any area had visible dust or debris, the contractor was required to perform the
necessary re -cleaning until the area met the final visual inspection criteria. Once the containment
met the visual criteria aggressive final air clearance sampling was performed. Initially the
residence failed final air clearances, but following an additional cleanup of the area the final air
clearances passed.
1
Aggressive Method
11318 Fowler Drive Northgleaa, Colorado 80233
Final air clearance was conducted using aggressive techniques as outlined in Appendix A of the
EPA Asbestos Hazard Emergency Response Act (AHERA) regulation (40 CFR Part 763), and as
referenced in CDPHE Regulation No. 8 Part B Asbestos. Aggressive sampling consists of
agitating the air using a leaf blower with 1 horsepower, on low, for five (5) minutes for every 1,000
square feet of floor space and one (1) stationary box fan per 10,000 cubic feet of volume in
containment. For each work area one (1) box fans was strategically placed within the containment
and the leaf blower was used five (5) minutes.
Air Sampling
Following the aggressive protocol activities, five (5) air samples were then collected throughout
each of the containments using variable high volume pumps. Flow rates of each pump were
established and checked with a calibrated flow meter before and after the collection of each sample
using a rotameter (secondary standard) traceable to a primary standard.
Air samples were collected by drawing air through 25mm mixed cellulose ester membrane
(Millipore 0.8 MCEF) filter, housed in three-piece cassettes and equipped with 50mm electrically
conductive extension cowls. A pre and post calibration of each sample pump was documented
and an average flow rate was calculated and used in the final analysis of each sample collected.
Calculations used in the final analysis combine the average flow rate (LPM), the total sample time
and the volume of air collected.
PCM Analysis
All air samples collected were analyzed by the AMS under Air Quality Analysis, LLC using the
Phase Contrast Microscopy (PCM) NIOSH 7400 Method. Samples were analyzed for airborne
fibers using a positive Phase -Contrast microscope equipped with a Walton -Beckett graticule (type
G-22 for "A counting Rules"). Only fibers greater than 5 microns in length with a length -width
(aspect) ratio equal to or greater than 3:1 were counted. A total fiber count for each sample filter
was divided by their respective sample volumes. The resulting concentrations were expressed in
terms of total fibers per cubic centimeter of air (fibers/cc). The resulting concentrations were
expressed in terms of total fibers per cubic centimeter of air (Fee). PCM is not asbestos specific
as it counts total fibers, which shows worse case situation because all fibers are counted (carpet,
cloth, hair, paper, asbestos, etc.).
Final Clearance Criteria
An asbestos abatement action is considered complete when the results of samples collected within
the abatement work area and analyzed by PCM using the NIOSH Method 7400 show that the
concentration of fibers for each of the five samples collected is equal to or less than, 0.01 fee. The
is the level the EPA and the Air Quality Control Commission (CDPHE) requires all samples to be
equal to or less than in order to have an area released to the public. All final air samples collected
2
11318 Fowler Drive Northgleaa, Colorado 80233
for this project have met the clearance criteria and the containment can be
Dismantled, and the area returned for normal occupancy.
2.0 FINDINGS AND CONCLUSIONS
Analytical results from the area sampled during final clearance testing had fiber counts of 0.01f/cc
(fibers per cubic centimeter of air) or less. This is the level the EPA and the State of Colorado Air
Quality Control Commission requires all samples to be equal to, or less than, prior to releasing an
area for public occupancy.
Based on visual observations, documentation review and air sample results, it is the opinion of
Enviro Care that the air quality within your work area was in compliance with regulatory and
industry standards at the time the sampling was conducted.
3.0 LIMITATIONS
The PCM final air clearances were conducted in a manner consistent with the level of care and
skill ordinarily exercised by members of the profession currently practicing under similar
conditions in the same locale. The results, findings and/or conclusions expressed in this report are
based on conditions observed during our testing of the areas in question. The information
contained in this report is relevant to the date on which the PCM final air clearance was performed
and should not be relied upon to represent conditions at a later date.
This report has been prepared on behalf of and exclusively for use by the client for specific
application to the project as discussed. Contractors or consultants reviewing this report must draw
their own conclusions regarding further investigation or remediation deemed necessary. Enviro
Care does not warrant the work of regulatory agencies or other third parties supplying information
which may have been used in the preparation of this report. No warranty, express or implied is
made.
A copy of the PCM Final Air Clearance sheet is attached. Should you have any questions
concerning this project, please do not hesitate to contact our office at (303) 945-0091
Sincerely,
Enviro Care Consulting Services, LLC
Kimberly Lopez
Colorado Air Monitoring Specialist #3317
3
11318 Fowler Drive Northgleaa, Colorado 80233
Dalton Lopez
Colorado Air Monitoring Specialist #23485
Enclosures: AQA Laboratory Report
Sample Data Sheets
4
Air Quality Analysis, LLC
"Air quality assurance professionals"
DATE: September 23, 2020
Colleen Miller
3395 Union Street
Wheat Ridge, CO 80033
Project: 102220-1
Dear Ms. Miller
Air Quality Analysis, LLC (AOA) has analyzed the following samples by Phase Contrast
Microscopy (PCM), according to the National Institute for Safety and Health (NIOSH) 7400
method in general accordance with the PCM methodology.
Air Quality Analysis, LLC is accredited through the American Industrial Hygiene Association
(AIHA) for Phase Contrast Microscopy (PCM) analysis Lab ID #219321. Air Quality Analysis,
LLC successfully participates in the AIHA Proficient testing (PAT) program.
Air Quality Analysis, LLC Laboratory Job #: AQA19-0145 is the lab number assigned to this
project. The air sample results for the project referenced above have been included in your final
report and sent to the email and or address associated with this project. The results described in
this report apply only to the samples submitted and analyzed. This report is considered highly
confidential and the sole property of the customer. Samples will be disposed of after sixty (60)
days unless longer storage is requested.
Should you have any questions concerning this project, please do not hesitate to contact our
office at
(303) 945-0091.
Respectfully,
Kimberly Lopez
AMS Cert # 3317
P.O. Box 685 Kittredge, CO 80457-0685 (303) 945-0091
Enviro Care
Consulting Services L.L.C.
Client Name: Terry Kunz
Project Name/Job# 102220-1
Project Location: 3395 Union Street
Wheat Ridoe. CO 80033
Filter TVDe: 25m m. 0.8 um MCE
11318 Fowler Drive
Northglenn, CO 80233
303-945-0091
Analvtical Method: NIOSH 7400
Air Samples
Project # : 102220-1
Sample Date: 10/2320
Analysis Date: 10/2320
Report Date: 10/2320
Blank Averaoe = BRL
Client
Sample I
Activity/Location
Sample
Type
Pump
ID
Flow Rate (LPM)
Running Time
Total
Minutes
Volume
Liters IFibers
Fields
Fibers/
mm2
Fibers/cc
Start
End
Avg
Start
Stop
FC 10222009
Dumpster Containment
PCM
1
15.27
15.27
15.27
1:15 PM
2:35 PM
81
1236.87
5.5
100
7.006369
0.0022
FC 10222009
Dumpster Containment
PCM
2
15.27
15.27
15.27
las PM
2:38 PM
80
1221.6
6
100
7.643312
0.0024
FC 10222010
Dumpster Containment
PCM
3
15.27
15.27
15.27
1:19 PM
2:39 PM
79
1206.33
8
100
10.19108
0.0033
FC 10222011
Dumpster Containment
PCM
4
15.27
15.27
15.27
1:21 PM
2:42 PM
81
1236.87
4.5
100
5.732484
0.0018
FC 10222012
Dumpster Containment
PCM
5
15.27
15.27
15.27
122PM
2:43PM
81
1236.87
7
100
8.917197
0.0028
FC 102220 13
Field Blank
PCM
NA
100
0
BRL
FC 102220 14
Field Blank
PCM
NA
100
0
BRL
SAMPLE TYPE Final Air Clearances ACTIVITY None RESPIRATORTYPE 1/2 Mask
0=loadout IWA=insidework area NAE=negativeair exhaust
PREP=slteprep.
DEMO=Demolition
HM=halfmask
APR -air purifying respirator
SCBA--self contained breathing
LK- blank OWA= outside work area CR, clean room
GLBG=glovebag
CLN=cleanup
IFF-fullface
SA -supplied air
apparatus
C=clearance BGD=background EXC= excursion
GREM=gross removal
ExC=excursion
P=powered
PD -pressure demand
OTES
inal visual inspection and final air clearance following the cleanup of contaminated dumpster parked on the above referenced property.
Collected By: Signature. `�,__
Dalton Lopez
Enviro Care
Consulting Services L.L.C.
Client Name:
Project Name/Job# 102220-1
Project Location: 3395 Union Street
Wheat Ridoe. CO 80033
Filter TVDe: 25m m. 0.8 um MCE
11318 Fowler Drive
Northglenn, CO 80233
303-945-0091
Analvtical Method: NIOSH 7400
Air Samples
Project # : 102220-1
Sample Date: 10/2320
Analysis Date: 10/2320
Report Date: 10/2320
Blank Averaoe = BRL
Client
Sample I
Activity/Location
Sample
Type
Pump
ID
Flow Rate (LPM)
Running Time
Total
Minutes
Volume
Liters IFibers
Fields
Fibers/
mm2
Fibers/cc
Start
End
Avg
Start
Stop
FC 10292001
Dining Room
PCM
15.39
15.39
15.39
12:41 PM
2:05 PM
84
1292.76
31.5
100
40.12739
0.0120
FC 10292002
Dining Room
PCM
15.39
15.39
15.39
12:42 PM
2:08 PM
86
1323.54
28
100
35.66879
0.0104
FC 10292003
Living Room
PCM
15.39
15.39
15.39
12:44 PM
2:10 PM
86
1323.54
CBR
100
CBR
NA
FC 102920 04
South Bedroom
PCM
15.39
15.39
15.39
12:47 PM
2:12 PM
85
1308.15
CBR
100
CBR
NA
FC 10292005
Hallway
PCM
15.39
15.39
15.39
12:48 PM
2:13 PM
85
1308.15
CBR
100
CBR
NA
FC 10292006
Field Blank
PCM
NA
100
0
BRL
FC 10292007
Field Blank
PCM
NA
100
0
BRL
SAMPLE TYPE Final Air Clearances ACTIVITY None RESPIRATORTYPE 1/2 Mask
0=loadout IWA=insidework area NAE=negativeair exhaust
PREP=slteprep.
DEMO=Demolition
HM=halfmask
APR -air purifying respirator
SOBA --self contained breathing
LK- blank OWA= outside work area CR, clean room
GLBG=glovebag
CLN=cleanup
IFF-fullface
SA -supplied air
apparatus
C=clearance BOD -background EXC= excursion
GREM=gross removal
ExC=excursion
P=powered
PD -pressure demand
OTES
inal visual inspection and final aoir clearance following the cleanup of a fiber release episode from main level of the above referenced address.
Collected By: Signature.
Kimberly Lopez
Air Quality Analysis, LLC
"Air quality assurance professionals"
DATE: September 29, 2020
Colleen Miller
3395 Union Street
Wheat Ridge, CO 80033
Project: 102220-1
Dear Ms. Miller
Air Quality Analysis, LLC (AOA) has analyzed the following samples by Phase Contrast
Microscopy (PCM), according to the National Institute for Safety and Health (NIOSH) 7400
method in general accordance with the PCM methodology.
Air Quality Analysis, LLC is accredited through the American Industrial Hygiene Association
(AIHA) for Phase Contrast Microscopy (PCM) analysis Lab ID #219321. Air Quality Analysis,
LLC successfully participates in the AIHA Proficient testing (PAT) program.
Air Quality Analysis, LLC Laboratory Job #: AQA19-0146 is the lab number assigned to this
project. The air sample results for the project referenced above have been included in your final
report and sent to the email and or address associated with this project. The results described in
this report apply only to the samples submitted and analyzed. This report is considered highly
confidential and the sole property of the customer. Samples will be disposed of after sixty (60)
days unless longer storage is requested.
Should you have any questions concerning this project, please do not hesitate to contact our
office at
(303) 945-0091.
Respectfully,
Kimberly Lopez
AMS Cert # 3317
P.O. Box 685 Kittredge, CO 80457-0685 (303) 945-0091
Enviro Care
Consulting Services L.L.C.
Client Name:
Project Name/Job# 102220-1
Project Location: 3395 Union Street
Wheat Ridoe. CO 80033
Filter TVDe: 25m m. 0.8 um MCE
11318 Fowler Drive
Northglenn, CO 80233
303-945-0091
Analvtical Method: NIOSH 7400
Air Samples
Project # : 102220-1
Sample Date: 10/2920
Analysis Date: 10/2920
Report Date: 10/2920
Blank Averaoe = BRL
Client
Sample I
Activity/Location
Sample
Type
Pump
ID
Flow Rate (LPM)
Running Time
Total
Minutes
Volume
Liters IFibers
Fields
Fibers/
mm2
Fibers/cc
Start
End
Avg
Start
Stop
FC 10292001
Dining Room
PCM
15.39
15.39
15.39
9:22 AM
10 42A
80
1231.2
5
100
6.369427
0.0020
FC 10292002
Dining Room
PCM
15.39
15.39
15.39
9 23A
10 44A
81
1246.59
7.5
100
9.55414
0.0030
FC 10292003
Living Room
PCM
15.39
15.39
15.39
9:25AM
10:46AM
81
1246.59
8
100
10.19108
0.0031
FC 102920 04
South Bedroom
PCM
15.39
15.39
15.39
9:27 AM
10:47 AM
80
1231.2
9
100
11.46497
0.0036
FC 10292005
Hallway
PCM
15.39
15.39
15.39
929 AM
10:49 AM
80
1231.2
11
100
14.01274
0.0044
FC 10292006
Field Blank
PCM
NA
100
0
BRL
FC 10292007
Field Blank
PCM
NA
100
0
BRL
SAMPLE TYPE Final Air Clearances ACTIVITY None RESPIRATORTYPE 1/2 Mask
0=loadout IWA=insidework area NAE=negativeair exhaust
PREP=slteprep.
DEMO=Demolition
HM=halfmask
APR -air purifying respirator
SOBA --self contained breathing
LK- blank OWA= outside work area CR, clean room
GLBG=glovebag
CLN=cleanup
IFF-fullface
SA -supplied air
apparatus
C=clearance BOD -background EXC=xc
eursion
GREM=gross removal
ExC=excursion
P=powered
PD -pressure demand
OTES
inal visual inspection and final aor clearance following the cleanup of aminor asbestos spill from main level of the above referenced address.
Collected By: Signature. `�,__
Dalton Lopez
i
&te a4r8&y.0 cfdowd", &c
it
www.envirocaredenver.com
October 2, 2020
Colleen Miller
3395 Union Street
Wheat Ridge, Colorado 80033
RE: Exterior Waste Trailer Inspection
3395 Union Street — Wheat Ridge, Colorado 80033
Enviro Care Project Number: 092920-1
Dear Ms. Miller
Enviro Care Consulting Services LLC (Enviro Care) is pleased to submit this report summarizing
our inspection of the waste trailer on the exterior of your home which contained asbestos waste
from a small demolition conducted inside your home.
It is our understanding that you are planning renovation activities at the above referenced address.
Per the United States Environmental Protection Agency (EPA) procedures published in Code of
Federal Regulations (CFR) Title 40 Part 763, Subpart E — Asbestos -containing Materials in
Schools and Colorado Regulation 8 (Regulation 8), suspect Asbestos Containing Building
Materials (ACBM) must be properly sampled and analyzed prior to any renovation or demolition
activities. If friable asbestos or non -friable asbestos than could be rendered friable is present a
General abatement Contractor (GAC) must remove those materials prior to any renovation or
demolition activities beginning. The purpose of this sampling was to evaluate for the presence of
any ACM in the waste trailer following your self -conducted removal of materials inside the home.
The inspection was conducted in accordance with Regulation 8. These inspection protocols
specify requirements for the inspector (Section 763.85), laboratory (Section 763.87), and number
of samples collected during an inspection (Section 763.86).
1.0 FIELD ACTIVITIES
The inspection was conducted by a Colorado State Certified Asbestos Building Inspector on
September 29, 2020. This inspection involved identification and sampling of suspect ACM in the
waste trailer that was removed from inside the home. The interior of the residence was reasonably
clean without demolition debris with the exception of a small piece of blown insulation. The
demolition debris was inside the waste trailer located on the driveway. The homeowner submitted
a opt out of the regulation to Colorado Department of Public Health and Environment (CDPHE)
Asbestos Division for the interior of the home. Samples of materials were collected from the waste
trailer that were demolished from inside the home because the interior of the home is no longer
regulated by CDPHE, and the materials that the homeowner wanted removed were already
removed.
2.0 LABORATORY ANALYSIS
Twelve (12) samples were submitted under chain of custody procedures to Reservoirs
Environmental (RE) for analysis by polarized light microscopy (PLM) with dispersion staining
techniques per EPA methodology (40 CFR 763, Subpart F). Visual estimations were used in
obtaining the percentage of asbestos in bulk samples. RE is accredited under the National
Voluntary Laboratory Accreditation Program (NVLAP). A copy of the original laboratory report
is attached to this summary report.
3.0 FINDINGS
Suspect ACM includes nearly all building materials except bare concrete, glass, wood, masonry,
metal or rubber. ACM contains asbestos greater than 1 percent, (> 1% asbestos) as confirmed by
an accredited laboratory. ACM is categorized as Friable or Non -friable asbestos. Friable asbestos
can be crumbled, pulverized, or reduced to a powder by hand pressure when dry. Non -friable
asbestos is any material that cannot be crumbled, pulverized or reduced to a powder by hand
pressure when dry.
Our Inspector observed suspect ACM during this inspection:
3.1 Identified Asbestos Containing Materials
Based on the completed PLM results, asbestos was identified in samples collected from the waste
trailer
Table 1 enclosed, contains a listing of homogeneous materials and locations of those materials.
Table 2, enclosed, contains a summary of samples and results.
4.0 CONCLUSION & RECOMMENDATION
The waste trailer is a major asbestos spill and as such the following are requirements to address
the spill. 38ft2 of asbestos surfacing material is co -mingled within approximately 1 Cubic yard
of waste inside the waste trailer.
III. T.1 Major Asbestos Spills In the event of an asbestos spill involving greater than the trigger levels,
the building owner or contractor shall:
IILT.la - Restrict access to the area and post warning signs to prevent entry to the area by persons -other
than those necessary to respond to the incident.
IILT.lb - Shut off or temporarily modify the air handling system to prevent the distribution of asbestos
fibers to other areas
IILT.le - Immediately contact the Division by telephone, submit a notification in compliance with
subsection IILE. (Notifications) and, if in an area of public access, apply for a permit in accordance
with subsection III.G. (Permits).
IILT.ld - Be exempted from the requirements to have a certified -Supervisor on-site at all times, until such
time as the immediate danger has passed. Any cleanup or asbestos abatement _that must occur after the
immediate danger has passed shall be supervised by a person certified by the Division.
IILT.le - Using certified -Supervisors and certified Workers in accordance with section IL (Certification
2
Requirements) of this Regulation, seal all openings between the contaminated and uncontaminated areas
and establish negative air pressure within the contaminated area in accordance with paragraph IILJ. (Air
Cleaning and Negative Pressure Requirements). This is to be accomplished using polyethylene sheeting
to cover areas such as doorways, windows, elevator openings, corridor entrances, grills, drains, grates,
diffusers and skylights.
IILT.If - HEP Avacuum _or steam clean all carpets, drapes, upholstery, and other non -clothing
fabrics in the contaminated area, or discard these materials.
IILT.19 - Launder or discard contaminated clothing in accordance with subsection IILR. (Waste
Handling).
IILT.lh - HEP Avacuum-or wet clean all surfaces in the contaminated area.
IILT.li - Discard all materials in accordance with subsection IILR. (Waste Handling).
III.T.1j - Following completion of subparagraph III. T .La. through III. T .Ii above, comply with air
monitoring requirements as described in subsection IILP. (Clearing Abatement Projects); air samples
shall be collected aggressively as described in 40 C.F.R. Part 763, Appendix A to Subpart E (EPA 1995),
except that the air stream of the leaf blower shall not be directed at any friable ACM that remains in the
area.
IILT.lk - Comply with any other measures deemed necessary by the Division to protect public health.
Testing was not conducted on the interior of the residence because the demolished materials
were within the waste trailer and the homeowner obtained an opt out of Colorado Regulation #8
for the interior of the home.
Enviro Care recommends the homeowner hire a General Abatement Contractor to decontaminate
the residence and have Final Air Clearance sampling conducted. This step is not required by
CDPHE, but is nonetheless recommended. Enviro Care recommends and informs the
homeowner that abatement and decontamination of the waste trailer is required as it is on the
exterior of the home and is an area of public access. Following the decontamination, final air
clearances
Only listed materials were tested or quantified as part of this inspection. If materials are
encountered during renovation that have not been discussed in this report, stop all construction
activities and contact a Colorado Certified Asbestos Building Inspector to test those materials prior
to continuing with building demolition.
5.0 LIMITATIONS
This report has been prepared on behalf of and exclusively for use by the client. Client must
read and understand this asbestos inspection report to make educated decisions for the property
referenced in this report. If there are any questions concerning the material descriptions,
location, or requirements for asbestos containing materials, client must contact Enviro Care to
answer questions and/or clarify requirements for materials described, tested or assumed to
contain asbestos in this report. Enviro Care will not be held responsible for client
misinterpreting this report and/or regulatory requirements for asbestos containing materials or
OSHA regulated materials. Therefore, it is the responsibility of the client to contact Enviro Care
to discuss the reported findings and obtain further guidance if necessary.
This asbestos inspection was conducted in a manner consistent with the level of care and skill
ordinarily exercised by members of the profession currently practicing under similar conditions
in the same locale. The results, findings, conclusions and/or recommendations expressed in this
report are based on conditions observed during our asbestos spill specific inspection of the waste
trailer.
This asbestos inspection is not considered a comprehensive asbestos inspection. Care was taken
to sample all building materials within the waste trailer, or assume those materials are asbestos.
No materials were collected from within the residence as the materials that would be impacted
were already removed by the homeowner and placed into the waste trailer. The homeowner
obtained an opt out of regulation #8 for the interior of the residence.
Contractors or consultants reviewing this report must draw their own conclusions regarding
further investigation or remediation deemed necessary. Enviro Care does not warrant the work
of regulatory agencies or other third parties supplying information which may have been used in
the preparation of this report. No warranty, express or implied is made.
This report is not to be used as a bidding document.
Should you have any questions or require additional information, please feel free to contact our
office at 303-945-0091
Sincerely,
o
Dalton Lopez
Enviro Care Consulting Services LLC
Colorado State Certified Asbestos Building Inspector # 23485
Enclosures: Table 1 - Homogenous Materials
Table 2 - Summary of Asbestos Samples and Results
Laboratory Analytical Report
4
TABLE I
HOMOGENEOUS MATERIALS TABLE
Table 1
HOMOGENEOUS MATERIALS TABLE
3395 Union Street
Wheat Ridge CO 80033
Estimated
Friable
Hazard Ranking
HA
Description
Quantity
Locations
Non -Friable
& Disturbance
Category
Potential
1
Light Sponge Textured
180 ft,
Waste Trailer
F
NA/High
Surfacing Material on Drywall
2
Heavy Knock Down Textured
38 ft2
Waste Trailer
F
3/High
Surfacing Material on Drywall
3
Tape and Joint Compound
16 ft2
Waste Trailer
F
3/High
Associated with Drywall
4
Grout Associated with Ceramic
10 ft2
Waste Trailer
NF
NA/High
Tile
5
Blown in Insulation
1CF
Waste Trailer and Residence Attic
F
NA/High
Friable: material that be crumbled pulverized or reduced to powder with hand pressure when dry
Non -Friable: material that cannot be crumbled pulverized or reduced to powder with hand pressure when dry
Thermal Systems Insulation (TSI): used to control heat transfer and or condensation on HVAC, hot and cold water or other mechanical systems etc.
Surfacing Material: material that is sprayed or troweled onto surfaces such as fire proofing on structural members, plaster for acoustical, decorative, etc.
Miscellaneous Material: all other materials including taping mucl floor file mastic, stucco, leveling compound and hard plasters.
Category I non -friable ACM: resilientfloor coverings, asphalt roofing products, packings, gaskets, or galbestos containing greater than 1% asbestos
Category II non -friable ACM: any material that is not Call that contains greater than 1% asbestos
Asbestos Containing Materials are Listed in Red.
Hazard Ranking:
1= damaged or significantly damaged Thermal Systems Insulation (TSI) ACM,-
2=damaged fnable surfacingACM,-
3=significantly damaged fnable surfacing ACM,-
4—damaged or significantly damaged fnjable miscellaneous ACM,-
5 ACBM with potential for damage;
6ACBM with potential for significant damage;
7—any remaining fnable ACBM or suspected ACBM.
Disturbance Potential:
Low = the material may be accessible but is not likely to be damaged under most circumstances.
Moderate = the material is accessible and is likely to suffer limited damage over time.
High = the material is fnjable and/or already damaged is accessible, and there is specific reason to believe the material will receive a large amount of
damage in the foreseeable future.
Asbestos Containing Materials are Listed in Red.
TABLE 2
SUMMARY OF COLLECTED SAMPLES
AND ANALYTICAL RESULT
TABLE 2
SUMMARY OF COLLECTED SAMPLES AND ANALYTICAL RESULT
3395 Union Street
Wheat Ridge CO 80033
HOMOGENOUS
SAMPLE
ASBESTOS
MATERIAL
NUMBER
MATERIAL DESCRIPTION
SAMPLE LOCATION
SAMPLE
AND
RESULTS
CONDITION
SM 1-1
Light Sponge Textured Surfacing
Inside Waste Trailer
ND
1 Significantly
Material on Drywall
Damaged
Light Sponge Textured Surfacing
1 Significantly
SM 1-2
Material on Drywall
Inside Waste Trailer
ND
Damaged
Light Sponge Textured Surfacing
1 Significantly
SM 1-3
Material on Drywall
Inside Waste Trailer
ND
Damaged
Heavy Knock Down Textured
3%
2 Significantly
SM 2-1
Surfacing Material on Drywall
Inside Waste Trailer
Chrysotile
Damaged
Heavy Knock Down Textured
3%
2 Significantly
SM 2-2
Surfacing Material on Drywall
Inside Waste Trailer
Chrysotile
Damaged
Heavy Knock Down Textured
3%
2 Significantly
SM 2-3
Surfacing Material on Drywall
Inside Waste Trailer
Chrysotile
Damaged
Tape and Joint Compound
3%
3 Significantly
TJC 1-1
Associated with Drywall
Inside Waste Trailer
Chrysotile
Damaged
Tape and Joint Compound
3%
3 Significantly
TJC 1-2
Associated with Drywall
Inside Waste Trailer
Chrysotile
Damaged
4 Significantly
GR 1-1
Grout Associated with Ceramic Tile
Inside Waste Trailer
ND
Damaged
4 Significantly
GR 1-2
Grout Associated with Ceramic Tile
Inside Waste Trailer
ND
Damaged
ND = No Asbestos Detected
Sample Results are Expressed in Percentage and Type of Asbestos Mineral Present.
Sample Sets That are Greater than 1% Asbestos are Listed in Red. Sample Sets Listed in Blue are OSHA Regulated Materials.
TABLE 2
SUMMARY OF COLLECTED SAMPLES AND ANALYTICAL RESULTS
3395 Union Street
Wheat Ridge CO 80033
HOMOGENOUS
ASBESTOS
SAMPLE
MATERIAL
MATERIAL DESCRIPTION
SAMPLE LOCATION
SAMPLE
NUMBER
AND
RESULTS
CONDITION
5 Significantly
INS 1-1
Blown in Insulation
Inside Waste Trailer
ND
Damaged
5 Significantly
INS 1-2
Blown in Insulation
Floor of Residence
ND
Damaged
Condition:
Good —the material had no visible damage, or extremely minor damage or surface marring (i. e., a room offloor Zile has only four orfive with small corners
broken from the tile.
Damaged —the material had visible damage evenly distributed over less than 10% of its surface, or localized over less than 25% of its surface.
Significantly damaged —the material had visible damage that is evenly distributed over 10% or more of its surface, or localized over 25% or more or its
surface.
ND = No Asbestos Detected
Sample Results are Expressed in Percentage and Type of Asbestos Mineral Present.
Sample Sets That are Greater than 1% Asbestos are Listed in Red. Sample Sets Listed in Blue are OSHA Regulated Materials.
LABORATORY ANALYTICAL REPORTS
Reservoirs Environmental, Inc Effective April 02, 2018
Reservoirs Environmental QA Manual Q:\QAQC\Lab\Reservoirs Environmental QA Manual.doc
REI LAB Reservoirs Environmental, lnc_
September 29, 2020
Kim Lopez
Enviro Care Consulting
11318 Fowler Drive
Northglenn CO 80233
Dear Kim,
Subcontractor Number:
Laboratory Report:
Project #/P.O. #:
Project Description
RES 474474-1
092920-1
3395 Union St. WheatRidge, CO
Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and
Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code
101896-0 for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the
American Industrial Hygiene Association (AIHA), Lab ID 101533 - Accreditation Certificate #480 for Phase
Contrast Microscopy (PCM) analysis. This laboratory is currently proficient in both Proficiency Testing and PAT
programs respectively.
Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request.
The analysis has been completed in general accordance with the appropriate methodology as stated in the
attached analysis table. The results have been submitted to your office.
RES 474474-1 is the job number assigned to this study. This report is considered highly confidential and the
sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with
personnel other than those of the client. The results described in this report only apply to the samples analyzed.
This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of
the U.S. Government. This report shall not be reproduced except in full, without written approval from
Reservoirs Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested.
If you have any questions about this report, please feel free to call 303-964-1986.
Sincerely,
by John McIntyre
Jeanne Spencer
President
(303) 9641986 5801 Logan St, Suite 100, Denver, CO 80216 -.reilab.com
(866) RESI-ENV clients.reilab.com
Reservoirs Environmental, Inc.
Reservoirs Env i re nme ntal GA Manual
RESERVOIRS ENVIRONMENTAL INC.
NVLAP Lab Code 101896-0
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
RES Job Number:
Client:
Client Project Number/ P.O.
Client Project Description:
Date Samples Received:
RES 474474-1
Enviro Care Consulting
092920-1
3395 Union St. WheatRidge, CO
Seotem ber 29. 2020
Effective ADnl 2, 2018
Q AGAGCALABAReservoirs Env i re nme ntal GA Manual.doc
Method: EPA 6001R-931116 - Short Report, Bulk
ND=None Detected
Turnaround: Rush
TR=Trace, <1 % Visual Estimate
T re m /Act=Tremolite /Act i n of i t e
Date Samples Analyzed: September 29, 2020
Client
L
Asbestos Content
Non
Non -
Sample
A Sub
Asbestos
Fibrous
Number
Y Physical Part
Mineral Visual
Fibrous
Components
E Description
Estimate
Components
R (%)
M)
(%)
(%)
SM 1-1
A Off white texture w/ off white paint 18
ND
0
100
B Tan/off white drywall w/ cream paint 82
ND
45
55
SM 1-2
A White paint w/white compound 7
ND
0
100
B Off white texture w/ off white paint 13
ND
0
100
C Tan/pink drywall 80
ND
40
60
SM 1-3
A Off white texture w/ off white paint 20
ND
0
100
B Tan/pink drywall w/ white paint 80
ND
70
30
SM 2-1
A Beige paint 3
ND
0
100
B White texture 17
Chrysotile 3
0
97
C White texture w/ tan paint 35
ND
0
100
D Tan/off white drywall 45
ND
80
20
TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1 %.
P'. 303-964-1986 5801 Logan Street, Suite 100, Denver, CO 80216 1-866-RESI{NV
F. 303-477-4275 www. reilab. com
Page 1 of4
Reservoirs Environmental, Inc.
Reservoirs Env i re nme ntal GA Manual
RESERVOIRS ENVIRONMENTAL INC.
NVLAP Lab Code 101896-0
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
RES Job Number:
Client:
Client Project Number/ P.O.
Client Project Description:
Date Samples Received:
RES 474474-1
Enviro Care Consulting
092920-1
3395 Union St. WheatRidge, CO
Seotem ber 29. 2020
Effective ADnl 2, 2018
Q AGAGCALABAReservoirs Env i re nme ntal GA Manual.doc
Method: EPA 6001R-931116 - Short Report, Bulk
ND=None Detected
Turnaround: Rush
TR=Trace, <1 % Visual Estimate
T re m /Act=Tremolite /Act i n of i t e
Date Samples Analyzed: September 29, 2020
Client
L
Asbestos Content
Non
Non -
Sample
A Sub
Asbestos
Fibrous
Number
Y Physical Part
Mineral Visual
Fibrous
Components
E Description
Estimate
Components
R (%)
M)
(%)
(%)
SM 2-2
A Beige paint 5
ND
0
100
B White texture 20
Chrysotile 3
0
97
C White texture w/ tan paint 30
ND
0
100
D Tan/off white drywall 45
ND
75
25
SM 2-3
A Beige paint 6
ND
0
100
B White texture 23
Chrysotile 3
0
97
C White texture w/ tan paint 30
ND
0
100
D Tan/off white drywall 41
ND
80
20
TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1 %.
P'. 303-964-1986 5801 Logan Street, Suite 100, Denver, CO 80216 1-866-RESI{NV
F. 303-477-4275 www. reilab. com
Page 2 of4
Reservoirs Environmental, Inc.
Reservoirs Env i re nme ntal GA Manual
RESERVOIRS ENVIRONMENTAL INC.
NVLAP Lab Code 101896-0
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
RES Job Number:
Client:
Client Project Number/ P.O.
Client Project Description:
Date Samples Received:
RES 474474-1
Enviro Care Consulting
092920-1
3395 Union St. WheatRidge, CO
Seotem ber 29. 2020
Effective ADnl 2, 2018
Q AGAGCALABAReservoirs Env i re nme ntal GA Manual.doc
Method: EPA 6001R-931116 - Short Report, Bulk
ND=None Detected
Turnaround: Rush
TR=Trace, <1 % Visual Estimate
T re m /Act=Tremolite /Act i n of i t e
Date Samples Analyzed: September 29, 2020
Client
L
Asbestos Content
Non
Non -
Sample
A Sub
Asbestos
Fibrous
Number
Y Physical Part
Mineral Visual
Fibrous
Components
E Description
Estimate
Components
R (%)
M)
(%)
(%)
TJC 1-1
A Tan paint 1
ND
0
100
B Off white tape 3
ND
0
100
C White texture w/ tan paint 4
ND
0
100
D White joint compound 6
Chrysotile 2
0
98
E White texture 10
Chrysotile 3
0
97
F Tan/off white drywall 76
ND
15
85
TJC 1-2
A Off white tape 3
ND
95
5
B White joint compound 5
Chrysotile 2
0
98
C White compound 10
Chrysotile 2
0
98
D Tan/off white drywall 82
ND
15
85
GR 1-1
A Gray grout 100
ND
0
100
GR 1-2
A Gray grout 100
ND
0
100
INS 1-1
A Beige insulation 100
ND
90
10
TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1 %.
P'. 303-964-1986 5801 Logan Street, Suite 100, Denver, CO 80216 1-866-RESI{NV
F. 303-477-4275 www. reilab. com
Page 3 of4
Reservoirs Environmental, Inc.
Reservoirs Env i re nme ntal GA Manual
RESERVOIRS ENVIRONMENTAL INC.
NVLAP Lab Code 101896-0
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
RES Job Number:
Client:
Client Project Number/ P.O.
Client Project Description:
Date Samples Received:
RES 474474-1
Enviro Care Consulting
092920-1
3395 Union St. WheatRidge, CO
September 29, 2020
Effective ADnl 2, 2018
Q AGAGCALABAReservoirs Env i re nme ntal GA Manual.doc
Method: EPA 6001R-931116 - Short Report, Bulk
ND=None Detected
Turnaround: Rush
TR=Trace, <1 % Visual Estimate
T re m /Act=Tremolite /Act i n of i t e
Date Samples Analyzed: September 29, 2020
Client
L
Non
Non -
Sample
A Sub
Asbestos
Fibrous
Number
Y Physical Part
Mineral Visual
Fibrous
Components
E Description
Estimate
Components
R (%)
M)
M)
M)
INS 1-2
A Beige insulation 100
ND
90
10
TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1 %.
John C. McIntyre
Analyst / Data QA
P'. 303-964-1986 5801 Logan Street, Suite 100, Denver, CO 80216 1-866-RESI{NV
F. 303-477-4275 www. reilab. com
Page 4 of4
Reservoirs Environmental, Inc
Reservoirs Environmental QAManual
REI LAB Reservoirs En vironmen to/, /nc.
Effective April 02, 2018
Q:\QAQC\Lab\Reservoirs Environmental QA Manual.doc
RES Job #: 474474
SUBMITTED BY
INVOICE TO CONTACT INFORMATION
SERIES
Company: Enviro Care Consulting
..................................................................................................................................................................................................................................................
Company: Enviro Care Consulting Contact: Kim Lopez
.........................................................................................................................
-1 PLM Rush *VERBALS*
Address: 11318 Fowler Drive
..................................................................................................................................................................................................................................................
Address: 11318 Fowler Drive Phone: (303) 945-0091
.........................................................................................................................
..................................................................................................................................................................................................................................................
Fax:
.........................................................................................................................
Bulk =
Northglenn, CO 80233
Northglenn, CO 80233 Cell:
s............................................
61
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C
€ O 2'• z°
a M a
Project Number and/or P.O. #: 092920-1 Final Data Deliverable Email Address:
....................................................................................................................................................................................................................................................
Project Description/Location: 3395 Union St. Wheat Ridge, CO klopez.envirocare@gmail.com (+ 2 ADDNL. CONTACTS)
Dust
Paint
Surface
ASBESTOS LABORATORY HOURS: Weekdays: 7am - 7pm & Sat. 8am - 5pm
REQUESTED ANALYSIS
VALID MATRIX CODES
LAB NOTES
PLM / PCM / TEM DTL IRUSH PRIORITY STANDARD
a
Air =
A
Bulk =
B
s............................................
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Dust
Paint
Surface
= D
= P
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= ¢
SU
Food =
Soil =
Swab =
F
S
SW
CHEMISTRY LABORATORY HOURS: Weekdays: 8am - 5pm
Dust RUSH PRIORITY STANDARD
N
Cal)Y .�
........................................
Tape
.....................................
= T
Wipe =
W
*PRIORNOTICEREQUIREDFORSAMEDAYTAT
— e : ° w E
�
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""""""""""
Metals RUSH PRIORITY STANDARD
� m € € € €
N J o
Drinking Water
= DW
= a' ... N N
Q 5 Q E E E
N = O Q 00 ...
-
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...............................................................................
Waste Water
= WW
Organics* SAME DAY RUSH PRIORITY STANDARD
M € + w + € € ���44 Q €
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`� = a CZ
a O N
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**ASTM
El
o
a
792 approved
wipe media
only**
MICROBIOLOGY LABORATORY HOURS: Weekdays: 8am - 5pm
Viable Analysis** PRIORITY STANDARD
**TAT DEPENDENT ON SPEED OF MICROBIAL GROWTH
.�t
° E aa° 2? ?
_ 5 0
m � E a
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Medical Device Analysis RUSH STANDARD
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Mold Analysis RUSH PRIORITY STANDARD
O N co_
T N
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**Turnaround times establish a laboratory priority, subject to laboratory volume and are not
guaranteed. Additional fees apply for afterhours, weekends and holidays."
a a € € �, �': z €
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Special Instructions:
a Fc)c a Oc���Hc o
Viables �:
Q
L
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Instructions
Client Sample ID Number (SamplelD'smustbeunique)
ASBESTOS CHEMISTRY MICROBIOLOGY
1 SM 1-1
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2 SM 1-2
3 SM 1-3
4 SM 2-1
5 SM 2-2
6 SM 2-3
7 TJC 1-1
8 TJC 1-2
9 GR 1-1
10 GR 1-2
11 INS 1-1
12 INS 1-2
REI will analyze incoming samples based on information received and will not be responsible for errors or omissions in calculations resulting from the inaccuracy of original data. By signing, client/company representative agrees that submission of the following samples for requested analysis as indicated on this Chain of Custody shall consitute
analytical services agreement with payment terms of NET 30 days. Failure to comply with payment terms may result in a 1.5% monthly interest surcharge.
relinquished By: Kim Lopez Date/Time: 09/29/2020 11:40:11 Sample Condition: Acceptable
received By: -- AnneMarie Kieffer Date/Time: 09/29/2020 11:48:15 Carrier: Hand
(303) 964-1986 5801 Logan St, Suite 100, Denver, CO 80216 vwvw.reilab.com
(866) RESI-ENV Page 1 of 1 clients. reilab.com
City of
�/ W heat j�idge
CoMMUfJiTY DFVELOI'MENT
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): CO it . N\'A k�e-'r
Project
3315
Notarized signature of Applicant
State of Colorado \}
County of, kllz+50 } ss
The foregoing instrument was acknowledged by me this ��day of , 20Z by
_/ Cr J,) �_' hip Il er
My Commission Expires Z.6 / D_Z /2073
TEVEN EDWARD GARCIA
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20194038067
MY COMMISSION EXPIRES 10/03/2023
City Or
W att idge
COMMUNITY DEVELOPML-N
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: ' 33 1 J UN told 5� Permit #:
General Contractor:
Electrical Sub -Contractor
Company N
State License
RC
.Sl3 9
r w���-'!llLAorized
eat fudge - -cense M
�2�� dgAgent
Plumbing Sub -Contractor
Phone#: 3e3 (?Sy-
Master #: d S 4 ?2"
_ , required field)
F 070— 2,9ZJ
Date
Company Name: LIC C.IY,, 0 &M, Phone #:
State License #: / 0 4p Master #: 17! 07
Z,,,,fAutcn*r
eiFce -(regwred field)
Signatre oized Agent Date
Mechanical Contractor
Company Name: 1ZC"L c L M" Phone:
wneat xtdge License IF: /100S3 l req uu ed field)
o2i -,20Zn
Signature of Authorized Agent Date
b
n
i
ON SITE PLANS
MUST BE ON SITE FOR INSPECTION
- — �►iL� �l��e
gubitii Fleld Inspection
• - City
"� Whcat�
COMMUNfTY DEVELOPMEh
APPROVE'
'2e11;gwed tpi
BRANDON F
.' in I A 11
ALL WORK SHALL COMPLY WITH
2018 IRC, 2018 I EDC, 2020 NEC,
10/07/2020 COLORADO PLUMBING CODE
SS
i st i ng� Demo x = Remo�� Wa��Ex
SCALE 1/4"=1
provide as isometric to inspector prior the gas line inspection if range is ga or adding or moving
any gas a pliances
smoke alarms shall comply with section 314 of 2818 IRC
Smoke alarms shall be installed in the following locations:
In each sleeping room.
Outside each separate sleeping area in the immediate vicinity of the
bedrooms.
On each additional story of the dwelling, including basements and
habitable attics and not including crawl spaces and uninhabitable
attics. In dwellings or dwelling units with split levels and without an
intervening door between the adjacent levels, a smoke alarm
installed on the upper level shall suffice for the adjacent lower level
provided that the lower level is less than one full story below the
upper level.
When more than one smoke alarm is required to be installed within
an individual dwelling unit, the alarm devices shall be interconnected
in such a manner that the actuation of one alarm will activate all of
the alarms in the individual unit.
carbon monoxide alarms shall be installed within 15 feet of each
sleeping room
0
fro
6'-1011 x 4'-&"
4'-011 x 61-01( 31-011 x 4'-011
Add 1
Refinish Dining Room Windt
Wood �oor 215 sq.ft.
1
1
446 sq, ft,
New Tile
243 sq.ft.
a1-011
SCALE 1/4 11=11
1,B18 sq, ft.
provide engineer letter for the walls removed
-a"�1 - I O
provide asbestos clean air report to the inspector prior to entrance at first inspection
ew \good Flo r
)00 sq.ft.
o
.'0
Pantry B21 -I-DW F6536
- �
W21301I W1630
3'-011 x 3'-0"
4
Refinish Livin53 Rm,
x
o Wood Floor -222 sq.ft.
v
Refinish Hall E Close�
wood Floor -109 sq.ft.
all T lcii
58 sq t.
New
Tile
55 sq.f
Wall Tile
o�
85�q�f`t.
3V21 31
New -
(Q Fan ' \
0-
= ew , _
Tile -60 sq.ft. 4 -Cf
u-
N 51
I
W,
I _
_J New Wood-,
L33612 Floor -69 sq.ft.
l WCC3030
Replace Electrical X1-611 x 4 -O"
Panel
4 9
I® -
New Wood
Floor -136 sq.ft.
N
2'-s11
lea°
�1
N
�� Barn
Door
exhaust terminations for mechanical shall meet 2018 irc
N = New Wall
/ nn
New Wood
Floor -159 sq.ft.
,
O\
41-01
33S!5 Union St.
4
I
I
1
1
I
I
1
I
1
I
1
I
--------------------
0
fro
6'-1011 x 4'-&"
4'-011 x 61-01( 31-011 x 4'-011
Add 1
Refinish Dining Room Windt
Wood �oor 215 sq.ft.
1
1
446 sq, ft,
New Tile
243 sq.ft.
a1-011
SCALE 1/4 11=11
1,B18 sq, ft.
provide engineer letter for the walls removed
-a"�1 - I O
provide asbestos clean air report to the inspector prior to entrance at first inspection
ew \good Flo r
)00 sq.ft.
o
.'0
Pantry B21 -I-DW F6536
- �
W21301I W1630
3'-011 x 3'-0"
4
Refinish Livin53 Rm,
x
o Wood Floor -222 sq.ft.
v
Refinish Hall E Close�
wood Floor -109 sq.ft.
all T lcii
58 sq t.
New
Tile
55 sq.f
Wall Tile
o�
85�q�f`t.
3V21 31
New -
(Q Fan ' \
0-
= ew , _
Tile -60 sq.ft. 4 -Cf
u-
N 51
I
W,
I _
_J New Wood-,
L33612 Floor -69 sq.ft.
l WCC3030
Replace Electrical X1-611 x 4 -O"
Panel
4 9
I® -
New Wood
Floor -136 sq.ft.
N
2'-s11
lea°
�1
N
�� Barn
Door
exhaust terminations for mechanical shall meet 2018 irc
N = New Wall
/ nn
New Wood
Floor -159 sq.ft.
,
O\
41-01
33S!5 Union St.
City of Wheat Ridge
E -Res. Window Replacement PERMIT - 201902136
PERMIT NO: 201902136 ISSUED: 10/08/2019
JOB ADDRESS: 3395 Union St EXPIRES: 10/07/2020
JOB DESCRIPTION: Replacing 6 windows in kitchen, bedroom, and living room. U -factor 0.28
and 0.29.
*** CONTACTS ***
OWNER 720-508-3531 OWEN GAYLE
SUB (720)697-6131 ANDREW CHAMBERS 130049 VIVAX PRO ROOFING
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,866.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 165.19
** TOTAL ** 215.19
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I by m 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 permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be 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, anew permit maybe required to be obtained. Issuance of anew permit shall be subjectto 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 re uired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or gra ting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
ap ,ble code or *y 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.
Sy 901 ±S#ex-2#-m#aq
I0 -111w019 S d0 DA
Replacing 6 windows
Egyim0 AMOUNT
p?33 Union St 2129
pm±RylNO! mlg3k
�
Gggl RECEIVED AMOUR
PP Zlm4 215,19
qAM m+; 65336506
TOTAL 3&33
City RWheat Ridge
10/112019 14101 CGr
3Q« 400 ROVING
c991097UT
+± LIC -r - TOTAL RE PAID IOU 3B
CONTRACTOR q:!3049
P,$GI RECEIVED AMOUNT
6/409 S%m
qm CUE: 65331043
TOTAL 100=00
--------------------
Dina Kemp ����� / �6C5�1
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, October 8, 2019 1:46 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application
Categories: Dina
Residential Window/Door Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) 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
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
**REQUIRED** Attach
Credit Card Authorization
Form - **DO NOT
ATTACH RANDOM
DOCUMENTS**
3395 Union Street
Gayle Owen
928-310-2769
gayleo576@gmail.com
J"�/'r -'9
W heatRidgeCCAuthorizationForm. pdf
CONTRACTOR INFORMATION
1
Contractor Business Vivax Pros
Name
Contractor's License 130049
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 720-229-2115
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address dstevenson@vivaxpros.com
Retype Contractor Email dstevenson@vivaxpros.com
Address
DESCRIPTION OF WORK
Number of window 6
and/or doors being
replaced
Location of kitchen, bedroom, living room
window(s)/door(s) being
replaced (for example,
master bedroom, kitchen,
bathroom, etc):
What is the a -value of the 0.28, 0.29
window(s)/door(s)? City
of Wheat Ridge requires
the u -value to be .32 or
better on windows..
Attach copy of Owen Shop Drawinq- Phase 2.pdf
window/door cut sheets
showing sizes and u -value
Project Value (contract 7866.00
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
2
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 been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Danny Stevenson
Permit
Email not displaying correctly? View it in your browser.
- City of Wheat Ridge
Resid. Windows/Doors PERMIT - 201900409
PERMIT NO: 201900409 ISSUED: 03/12/2019
JOB ADDRESS: 3395 Union St EXPIRES: 03/11/2020
JOB DESCRIPTION: Replacement of 5 vinyl windows and 1 sliding patio door, like for like with
no structural changes. U -value .29 or better.
*** CONTACTS ***
OWNER (928)310-2769 GAYLE OWEN
SUB (720)697-6131 Andrew Chambers 130049 Vivax Pro 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: 5,905.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 124.01
** TOTAL ** 174.01
*** COMMENTS ***
*** CONDITIONS ***
Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be
safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24
inches of a vertical edge of a door.
I, bymy signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicabble 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 permit. I further attest that I am Ivally authorized to include all entities named within this document as parties to the work to be
perform d that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Si 6ture o OWNER or CONTRACTOR` ircle 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 I80 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 issua ce or granting a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applica e ode or any ance 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.
A e 4' City Of
"Wheat jjdg�
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 29°t Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits .ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: ,4 /1
Plan/Permit #
Plan Review Fee: 7
4 6�
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: 339
Owner
VnIon 5t- Mw -at R;d� CD 00 .33
au /A 0
Property Owner Email: 0-Ayk 1(211 � b5 7& F? ck mal f
,J J
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itect/Eng 1 neer E-mail: Phone:
Contractor Name: \ 1 i VOIX ?(-
Phone: �a ,3/0 _. c �Lq
City of Wheat Ridge License #: 1 3 6O y 9 Phone: 7Z - 3 �'
Contractor E-mail Address: i ATo CK VU01K VC -0.51 cf
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): 11()� �i�'20/1 Phone: �RU __ �� " )/%5
CONTACT EMAIL(p/ease print): J� �"/! 5o f UIVAV_ f (-OS,
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.
L; VsZ,aCZYN.,O, - o arU;')RC;
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BTUs
Gallons
Amps Squares For Solar: KIN # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type: _
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record: that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OIINER) (CON TOR) o AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): DATE: 3 -)d—I C
Printed Name:
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: _
CONSTRUCTION TYPE:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
Building Division Valuation:
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INSPECTION RECORD
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 da
PERMIT: 2) ADDRESS: 115 UM� JOB CODE:
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMIT: kJ2T2T- ADDRESS: 1'5 ()'11) JOB CODEY��
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
-
r-;--)
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
-
r-;--)
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.**
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.
4,e CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: `A ` - �,S
Job Address:
Permit Number: OO
LA
b
❑ No one available for inspection: Time 0',06 OPM
Re -Inspection required: Yes I o
When corrections have been made, call#oAr re -inspection at 303-234-5933
r, 1 _
Date1 Inspect'? _.-,.
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: r,,() -
Job Address:4
Permit Number: Q_ cp /2 C�
❑ No one available for inspection: Time1��,'y _(AM/PM
Re -Inspection required: YesoNo
When corrections have been made, re -inspection at 303-234-5933
Date: Inspect r: ct l e.
DO NOT REMOVE THIS NOTICE\
City of Wheat Ridge
p` Residential Roofing PERMIT - 201800280
PERMIT NO: 201800280 ISSUED: 01/29/2018
JOB ADDRESS: 3395 Union ST EXPIRES: 01/29/2019
JOB DESCRIPTION: Reroof with Malarkey Legacy asphalt shingles, 4/12 pitch, 32 squares total
*** CONTACTS ***
OWNER 720-508-3531 LENORE HESSNER
SUB (303)670-3048 Terry Harper
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
SUBDIVISION CODE: UA / Unassigned
018383 Harper Services
USE: UA / Unassigned
BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,900.00
FEES
Total Valuation 0.00
Use Tax 207.90
Permit Fee 204.30
** TOTAL ** 412.20
*** 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.
6
r r
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201800280
201800280
3395 Union ST
ISSUED: 01/29/2018
EXPIRES: 01/29/2019
Reroof with Malarkey Legacy asphalt shingles, 4/12 pitch, 32 squares total
I by m sitnature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable wilding 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 permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all wor to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER o CONTRA TOR (Circle one) Date
I , This permit was issued based on the information provided in the permit application and accompanyingplans 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 originalpeimt 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 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 note construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulatiV of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building'Official t Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Kimberly Cook 100OX13D
From: no-reply@ci.wheatridge.co.us
Sent: Sunday, January 28, 2018 4:28 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
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
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
3395 Union St
Lenore Hessner
720-508-3531
Field not completed.
Do you have a signed
Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Scan 84.ipeg
Contract
CONTRACTOR INFORMATION
Contractor Business
Harper Services
Name
Contractor's License
018383
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
303-870-1832
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
37895 Highway 40 Evergreen,Co. 80439
(Primary address of your
business)
Contractor Email Address
harperservice@qwestoffice.net
Retype Contractor Email
harperservice@qwestoffice.net
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
32
the entire scope of work:
Project Value (contract
$9,900.00
value or cost of ALL
materials and labor)
Are you re-decking the
No
roof?
Is the permit for a flat
Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
both? (check all that
apply)
2
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
4/12
32
Malarkey Legacy
Asphalt
Tear off layer ,ice shield, felt base, drip edge metal, new jacks
and vents
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been
authorized by the legal
owner of the property to
submit this application
Yes
Yes
Yes
Yes
3
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 Terry Harper
Email not displaying correctly? View it in your browser.
4
2819 Olympia Circle HARPER
Evergreen, Colorado 80439 Services, Inc.
11 Proposal
Proposal (Submitted To
Name �1ht7 E. gess YtU
Street 1A 10 N E
City !.D _
State (� v' {rte- --sJ zip 25
Telephone Numbers Home ?.20— ���%
Work
Phone 303-670-3048
Work To Be Performed At
Street 0 A � _k
City tc�rw<_
State -
0 zip
Proposal No. -49 /?
Date /
All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications
submitted for above work and completed in a substantial workmanlike manner for the sum of Dollars ($�e ), with payments
to be made UPON COMPLETION. Q
Note: This proposal may be withdrawn by Harper Services, Inc. anytime before starting job.
Subject to the following Conditions:
This Proposal, when accepted and signed by you and approved by a duly authorized official
of this firm, shall constitute the contract between us, it being understood that it covers all agreements
between us. No modification of this proposal or contract shall be binding unless said modification
shall be in writing and signed by the parties hereto.
ACCEPTANCE: This proposal is rendered for prompt acceptance. After it has been accepted
and signed by you and approved by a duly authorized official of this firm, it shall constitute exclu-
sively a contract for the entire work embraced herein.
Collection Costs. The expense of any action taken by Harper Services, Inc. for collection on
this contract, whether such is by lawsuit or otherwise, shall be liability of and paid by the customer
including ruble attorney fees.
4S, �
Harper Services, Inc.\ Authorized Signature
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.
Jtl ' �rj 4 OTT
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
: INITIALS
.COMMENTS:
Footings /Caissons
Stemwell / (CEG) Concrete'
Encased Ground
Reinforcing or Monolithic
Weatherproof/ French Drain
Sevver Service Lines
Water :Service Lines
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: 6 PGA�O°
Job Address: 3995 57
Permit Number:
❑ No one available for inspection: Time 1 AM'Z
t Re- Inspection required: Yes
When corrections have been made, call for re inspection at 3o3 234 - 5933
Date: 7/ /0 Inspector:
DO NOT REMOVE THIS NOTICE
" ' City of Wheat Ridge
_r-
Residential Roofing PERMIT - 100967
PERMIT NO: 100967. ISSUED.: 04/19/2010
JOB :ADDRESS: 3395 UNION ST G EXPIRES: 10/16/20.16
DESCRIPTION:. Reroof..'.29 sqs with GAF Timberline shingles
***.CONTACTS
OWNER Dick Swanson
sub 303/670-3048 Terry Harper 01-8383 Harper Services
**PARCEL INFO
ZONE. CODE: UA USE: UA
SUBDIVISION: 0696 iBLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 8,400.00
FEES
Permit Fee ' .217.50
Total Valuation .00
Use Tax 151.20
* * ..:TOTAL ` * * . 3 6 8-.
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 onentire roof.Sheathing inspection is
required prior to covering. .:Mldroof:inspection is not required on permits
purchased after 4/18./10. Contractor' shall provide ladder for inspections.
Scheduled inspections that cannot be performed due to inclement weather must be
cancelled prior to 8.:30 a.m. on the day of 'inspection or a re inspection fee
will be assessed.
I hereby certify.. that the setback distances proposed by this permit application. are accurate, and do not violate applicable
ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record;.: that all
measurements shown, and allegations made are accurate; that I have read and agree to abide. by all conditions printed on this
application and that I assume full responsibility for compliance with the Wheat Ridge Building code. '(I.B.C) and all other
applicable Wheat Ridge Ordinances, for work under this pierrmiit Plans subject to field inspection.
Signature bf cont actor/owner date
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 the Zoning Regulations and Building Codes of Wheat. Ridge, Colorado or any other applicable
ordinances of the City..
2. This permit shall expire 180 days from the issue date. Requests : for an extension must be received prior to expiration
date. An extension may, be granted: at the discretion of the Building Official.
3. If this permit expires, :a new permit may be acquired for a fee of -onehalf the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or ` abandonment's. has not
exceeded one (1) year. GIf changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for anew permit.
4. No work of any manner shall be done that will change the natural flow of water causing a drainage (problem.
5. Contractor shall notify the Building Inspector twenty-:four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
Theissuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of, y violation of the provisions of the building codes or any other ordinance, law, rule or regulation. "
Allpla r 'e is subject to field inspections.
Signature Ch f Building: Official `date
INSPEC ON REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESSz DAY FOR 'INSPECTION THE FOLLOWING BUSINESS DAY.
x e4 City of
Whcat idgc
COMMUN ITY D EVELOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Building Permit Application
troperty Aclilcess 33 l ~ ckvk~o >n S-ii,
Date:
Plan #
Permit #
jCJcq~,
Property Owner (please print): ~ LLB S W A, v~SOv,~ Phone:
Mailing Address: (if different than property address)
Address: qL -2'
City, State, Zip:
446000k: ~kli.I r~ 5j- qf----C V :tee
Phone:
RAW 3! VMYPA-: fSr
Electrical: Plumbing: Mechanical:
City License # City License # City License #
bssr~,~tlohfiworks rhg ~e~u~o~nes
~c e Stn%211~ - nce ~i vke5d?c~ $ Contract 7AP a/
Review. Fee (due at time of submittal):
Squarest / BTU's Gallons Amps Sq Ft. $
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.
CIRCLE ONE: (OWNER) (CON`TRACTOR) o (A UTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: SIGNATURE: DATE: ` ( /1 c/ l o
❑ approuetl w/ comrt7ettts "O dlsapproued D no r~v~6 $ktured Bldg Valuation: $
4
~ BUILDING DEPARTMENT
(303) 235-2855
CITY OF WHEAT RIDGE
Correction Notice
Job Located at R 315- Uil rI
I have this day inspected this structure and these premises and
have found the following violations of City and/or State laws gov-
erning same:
A
~i---A'~~ -;,t
You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
Date
Bullding Dept
DO NOT REMOVE THIS TAG ~
FORM WFi&72 '
Property Owner. BOUMAN CORNELIS F
Property Address : 3395 UNION ST Phone : 205-1074
Contractar License No. : 17152
Company : Precise Plumbing Phone : 534 0881
OWNERlCONTRACTOR SIG{JATURE OF UNDERSTANDING AND AGREEMENT
Description : REPLACE WATER HEATER
ConstrucGon Value :
$453.00
Pertnit Fee :
$22.00
Plan Review Fee :
$0.00
Use Tax :
$0.00
Totai :
$22.00
BUILDING DEPARTMENT USE ONLY
Approvaf :
Zoning :
Approval :
Approval :
Occupancy : Walls : Roof : Stories
SIC : Sq. Ft. :
Residential Units :
8lectrical License No : Pfumbing Lfcense No : Mechanicat License No :
Company : Company : Company ;
Expiratlon Date : Expiratlon Date : Expiratlon Date :
Approval : Approval : Approval :
0 0 m
(t) TTis pemMt was bBuad in aaortlatwe witR tlo qwlabna aet forth in yopur appllcatbn aM k auMect to Me laws of the Slate ofCOlonOO aM b the Zoning
Repulatbnt aM 8u~ng Co0ao1 V~Teal Rkloe. Cdoratlo or arn/ other appl~ede ortliner~ces of ihe City.
(2) Thla permtt ahaN exNn 8(A) kie wark autlb~fzedia not tanmenced wNNn abcly (80) tlaya irom laaua tlete w(B) Cn buNdhgautliaped Ia suspended or
abendoneC ror e ps~bd of 720 tle .
(3) H "a pe~mit exWrea. e rww . msy bs aWuked fa a fee of ono-Mif ihe amouM namaly raquirea, provieetl no Manpes heva bun or win be mede in the
aiplnM Want an~ s trW aMnuapensbn a a6endonm~t has not ezceedad ona (1) year. If chengea am ma0e a d auepenabn or ebendonment
~astle ona (1) YaerhAI tea shaN bs PeMrora newpa mvt `4> No wrork of mY ~a~ E~ell be ~ne b+at wNl chanpe tha naWral Ilow of wator aw~q a Ndnape pioWam.
ts) Contrae[oreha~i ' uro ewpa1~tr~ge sin.~ecam~or bwemr-aur ~za~ noura in aavance ror all (nepecNons arM shep receive wriCen epproval o~ inspecGOn card before
(8~ ~~tl . .ot tlie a'Moval d4a'xin9s and epecmcatlons ehafl nol be consWetl to be a Pemdll tor. nor an aPP~I o(.. anY vidation ot the P~'Inbns
d tM my oMel adlnanCelaw, Nle w repUledan.
Chief ~Sliding Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-6933 24 HOURS PRIOR TO INSPECTIOM
(OWNER)(CANTRACTOR) 316NED DATE
QEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : ~?-7 y
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE . Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
PropertyOwner:
Property Address t Phone :,-,2 o
ConVactor License No.
Company s ~Phone : S3 y c73 y/
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING ANO AGREEMENT
I heroby certlty that the setbadc distanees proposeO Dy thls Dertnrt appuntion are aceurote.
antl tlo not vlolate acphpbk ommanees. rules or regulanons of the City of Wheai RiAge or
wvenants. easementl or restnGions of recorC: that all measurcments shown. ano allegatlons
matle are accunte: that I have reatl antl agree to abMe Dy all contlrtions pnnted on this
Appliqti0n, an0 that I assume lull responaDddy for eompuenGe wilh the Wheet Ritlge Buiking
Code (U.B.C.) antl all other apptleable Wheat Rjdge ommanees. for work untler this permR.
(OWNER)(CONTRACTOR) SIGNED DATE
ConsWction Value :
Y5o-3 -
Permit Fee :
2Z
Use Tax :
TOtal :
2 z
DESCfIptlOf1 : ~ r- t c:e'i.° `l."~ X~.r+-l"'4'~i- /n ~'c.'Yr`n°-,
BUILDING DEPARTMENT USE ONLY
Z~IiiYYeC6~isRti7
Approval :
Zoning :
~Hlldliia~Him~s tis
Approvai :
PQ61(~YVblic~_+CaYmrron7s~
Approvai : '
Occupancy : Watls : Roof : Stories : Residential Units :
Electncat License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approvai : Approval :
~ -P.f~ris Rqutredr,'1 3 : FRhs ReZluUed." rp-JO92muiratl-M
(1) Tnis pemut was issuca m acoweanx wm me prov~aans set rortn in yoour aoOiKaaon ana is suoj«x ro the uwa ot the State d Cobnaa ano w tne Zau
Reguiauons ana Buiitlmg Coae of Whea RiOge. Co;onao or arry omer ao7IPcable oramanms of tne Cdy. ~
(Z) This pertnit snall expiR d fAl the wak aumonZeO is noi cdmrtMntiC wimm sixry (60) Eays hOm isaue tlala or (B) the EwlEmg euUwnZee iS auspantlsC or
abafbonea for a penW of 720 Cays.
(a) u mila permrt e.oirea. a new vmnn mry oa ecpuireo ror a fee or onanarc me amount normaiN reouiretl, orwiaatl no cnanpaa na" eean w win pa maM n the
onglnal olana and speallcaeona ana arry auspsnawn w aDaraonment nas na excaaoatl one (1) year. 11 Uynyay aro maaa or II auspaneqn or aDatqonnNnt
exoeeas one (i) yeac tun kes anmi be wb ror a ncw omnrt.
(a) No work 0f any manner shell De Oone Ihat vnll CMange me naturil Ilow pf walar Causmq a tlrainege proElem.
(5) Contnaor snau nonN the BwiEing insoeuor twenry-bw (24) nours in aavance for au inspecuons antl anall recave wnnen apOrovai on inspxvon am Delore
proceeCUng wan 5uccessrve onases of ine p0.
(6) Tne usuanri ol a permrt or tne approvai ot erawmgs ano soeafirauons snan not be consbued ro M a pertntt lor, nor an approwi ol. any naaoon ol the qohawns
of the DunOmg coees or any otner ortlmance, law. Nm or rcguiauon.
Chief Building Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number
Date
3111
5/20/96
Property Owner : BOUMAN CORNELIS F
Property Address : 3395 UNION ST
Contractor License No. : 18853
Company : R& R Home Improvement
Phone :
Phone : 980 8783
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
matle are accurate; that I have read and agree to abide by all wnditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable i ordinances, for Work under this permit.
(OWNER)(CONTRACTOR) SIGNED ~~~"'ORTE 3'2v `I
Description : REROOF
Construction Value :
$3,800.00
Permit Fee :
$63.00
Plan Review Fee :
$0.00
Use Tax :
$45.60
Total:
$108.60
BUILDING DEPARTMENT USE ONLY
0 SIC : Sq. Ft. :
1.900,
APProval
Zoning :
RINIM-9 e11
Approval:
~>w..n..~.m ....s_..~"
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company :
Company:
Company:
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
i
(t) This permit was issuetl in accortlance wiM the provisions set forth in yopur applica[ion antl is subject to the laws o( the State oF Coloratlo and to the Zoning
Regulations antl Building Code of Wheat Ridye, Colorado or any other applicabie ordinances of the Ciry.
(2) This permit shall expire if (A) the work auMOnzed is not wmmenced within sixty (60) tlays from issue date or (B) the buiitling authorizetl is suspendetl or
abantlonetl for a periotl of 120 tlays.
(3) If this permit expires, a new permit may be acquired for a tee of one-half ihe amount normally required provided no changes have been or will be matle in the
original plans antl specifcations antl any suspension or abantlonment has not exceetletl one (1) yeac If changes are matle or if suspension or abantlonment
exceeds one (t) year, full fees shall be paid for a new permit.
(4) No work o( any manner shall be done that will change the naturel flow of water causing a draina9e problem.
(5) Contrector shall notiry the Building Inspedor hventy-four (24) hours in advance for all inspections and shall receive writlen approval on inspection card before
proceediing with successive phases of the 1~ob.
(6) The issuance of a permi[ or the approval o( tlrewings and specifwtions shall not be wnshuetl to be a permit (or, nor an approvai oF, any violation of the provisions
of the 51~ Itling otles or any other ortl rule or r on.
CIIS uilding Inspector
PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner Pi
Property Address
Contractor License No.
Company
3 3/ S- u N! D~J ~ri ~f phone :
/ 9-r~5- 3 p
R 7~',•,e % Phone: °~F0-a"~03
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit appliwtion are accurete,
and do not violate applicable ordinances, rules or regulations of the City ot Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable WheahRidge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED ATE
Description
X'-u~ - 3 a
Construction Value : 380o. eL
Permit Fee :
Plan Review Fee :
Use Tax:
Total :
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval :
Zoning :
Approval:
Approval :
Occupancy:
Walls : Roof : 30 34 Stories :nee Residential Units :
Electrical License No :
Company:
Expiration Date :
Approval:
rj lan"~°Re'ijL;tied
Plumbing License No :
Company:
Expiration Date :
Approval:
m fiPl,ah~Req
Mechanical License No :
Company :
Expiration Date :
Approval:
IM nPlans Required~
(1) iTis permit was issued in accordance with the provisions set forih in yopur aDPliwtion anE is subjed to the laws of the SWte of Colorado and to the Zoning
Regulations and Builtling Cotle of Wheat Ritlge, Colorado or any other aDP~iciible ordinances o( tlie Ciry.
(2) This permit shall expire if (A) Ne work authonzed is not commencetl within sizry (60) tlays from issue tlate or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may Ee acquiretl for a fee of one-hal( the amounl nortnally requireQ provided no changes have been or will be made in the
original plans and specificalions and any suspension or abandonment has nol ezceeded one (p year. 1( changes are made or i( suspension or abantlonment
exceetls one (7) year, hll fees shall be paid for a new pertnit.
(4) No work of any manner shall be Aone ihat will change the natural flow of water causing a Urainage problem.
(5) ConVaclot shall notify the Building Inspector hvenry-(our (24) hours in advance for all inspeclions anA shall receive wririen approval on inspection wrE before
proceetliing with successive phases of the job.
(6) The issuance of a pertnit or ihe approval of drewings and specifcations shall not be construed to be a permit for, nor an approval o[ any violation of the Orovisions
of the 6uilEing wdes or any olher ortlinance, law, rule or regulation.
Chief Building Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION