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Revision to Permit Application
Permit Number
202100315
assigned to project
PROPERTY INFORMATION
Permit Number
202100315
Property Address
3651 Tabor Court, Wheat Ridge, CO
Property Owner Name
Brent A. Holten
Property Owner Phone
5206843688
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
baholten@gmail.com
Address
CONTRACTOR INFORMATION
Contact Name
Brent A. Holten
Contact Phone Number
5204843688
(enter WITH dashes,
eg 303-1234567)
Contact Email Address
baholten@gmail.com
Retype Contact Email
baholtzenfikgmall.com
Address
DESCRIPTION OF WORK
Detailed Revised
Additional Electrical Scope of woik:- Replace aluminum wiring
Scope of Work -
with copper in kitchen, living, dining and bath room. - Replace
Provide a detailed
service panel. • Mitigate aluminum to copper Interface In
description of the
bedrooms with aluminum -le -copper connectors. - Install
change in scope of
interconnecting smoke detectors Additional Plumbing Scope of
work including
Work •Move kitchen water faucets, drain and dishwasher from
mechanical, electrical,
West wall under the window to new constructed island.
plumbing work
occurring,
adding/removing walls,
etc
Engineer Letter (if
Field not completed.
applicable)
Additional Documents
Revision to Scope of work donx
on Letter Size
Are plans or
No
documents locked for
editing?
Construction Plans
Field not completed.
scanned on 11"x17" or
larger
Additional Project
$10,00 VALUATION
Value Only add what
APPROVED AS
the revised scope of
SUBMITTED SP
work is valued at.
Attach City of Wheat
Revision in Srnne of work 1 done
Ridge Electronic
Payment Form - ""DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Submitting Breen A. Holtzen
Revision
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� ► � i City of Wheat Ridge
Residential Remodel PERMIT - 202100319
PERMIT NO: 202100319 ISSUED: 03/02/2021
JOB ADDRESS: 3651 Tabor Ct EXPIRES: 03/02/2022
JOB DESCRIPTION: Residential remodel removing load bearing walls in kitchen and living room.
Sq ft: 300
***REVISION*** Additional Electrical Scope of Work: a€� Replace aluminum
wiring with copper in kitchen, living, dining and bath room. a€� Replace
service panel. a€� Mitigate aluminum to copper interface in bedrooms with
aluminum -to -copper connectors. a€� Install interconnecting smoke detectors
Additional Plumbing Scope of Work a€� Move kitchen water faucets, drain and
dishwasher from west wall under the window to new constructed island.
ADDITIONAL VALUATION $10,000
*** CONTACTS ***
OWNER (520)484-3688
HOLTZEN BRENT
GC (303)921-2138
HUGH J YLARRAZ
202031 SHEPHERD CONSTRUCTION, LLC
SUB (720)422-3167
RICHARD COLLINS
100264 UNITED PLUMBING SERVICES CO.
SUB (303) 549-5609
ERNEST RANDOLPH
020980 PRIME ELECTRIC, INC.
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2403 / APPLEWOOD
VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION: 30,000.00
FEES
Total Valuation
0.00
Plan Review Fee
324.71
Use Tax
630.00
Permit Fee
499.55
** TOTAL **
11454.26
*** COMMENTS ***
*** CONDITIONS ***
All roughs to be done at Framing Inspection.
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
Approved per plans and red -line notes on plans. Must comply with 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 - 202100319
PERMIT NO: 202100319 ISSUED: 03/02/2021
JOB ADDRESS: 3651 Tabor Ct EXPIRES: 03/02/2022
JOB DESCRIPTION: Residential remodel removing load bearing walls in kitchen and living room.
Sq ft: 300
***REVISION*** Additional Electrical Scope of Work: a€� Replace aluminum
wiring with copper in kitchen, living, dining and bath room. a€� Replace
service panel. a€� Mitigate aluminum to copper interface in bedrooms with
aluminum -to -copper connectors. a€� Install interconnecting smoke detectors
Additional Plumbing Scope of Work a€� Move kitchen water faucets, drain and
dishwasher from west wall under the window to new constructed island.
ADDITIONAL VALUATION $10,000
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
03/02/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
� ► � i City of Wheat Ridge
Residential Remodel PERMIT - 202100319
PERMIT NO: 202100319 ISSUED: 03/02/2021
JOB ADDRESS: 3651 Tabor Ct EXPIRES: 03/02/2022
JOB DESCRIPTION: Residential remodel removing load bearing walls in kitchen and living room.
Sq ft: 300
*** CONTACTS ***
OWNER (520)484-3688 HOLTZEN BRENT
GC (303)921-2138 HUGH J YLARRAZ 202031 SHEPHERD CONSTRUCTION, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 20,000.00
FEES
Total Valuation 0.00
Plan Review Fee 235.82
Use Tax 420.00
Permit Fee 362.80
** TOTAL ** 11018.62
*** COMMENTS ***
*** CONDITIONS ***
All roughs to be done at Framing Inspection.
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
Approved per plans and red -line notes on plans. Must comply with 2018 IRC, 2020 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Remodel PERMIT - 202100319
202100319
ISSUED: 03/02/2021
3651 Tabor Ct EXPIRES: 03/02/2022
Residential remodel removing load bearing walls in kitchen and living room.
Sq ft: 300
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
03/02/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Residential Interior Remodel
Date: Thursday, February 18, 20216:58:11 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 3651 TaborCt
Property Owner Name Brent Holtzen
Property Owner Phone 520-484-3688
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email baholtzen@Gmail.com
Address
Attach City of Wheat Electronic -Payment -Form wheatridae Buildina Deot..odf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
APPLICANT INFORMATION
Applicant Name Shepherd Construction LLC
What is your role in the General Contractor
project?
Wheat Ridge 202031
Contractor's License
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contact Phone Number 3039212138
(enter WITH dashes,
eg 303-123-4567)
Contact Email Address Jylarraz@Gmail.com
for Plan Review
Comments
Retype Contractor Jylarraz@Gmail.com
Email Address
0]:R16]CII91M0N]MYLO]M:/
Detailed Scope of Remove a couple bearing walls and mainly cosmetic after that.
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,
I have entered a detailed scope of work
understand my
application will be
rejected if I do not
include a Detailed
Scope of Work.
Location of Work
Living Room and Kitchen
Square Footage Area
300
of Work Being
Performed
Asbestos Report
Field not completed.
Upload letter size
Field not completed.
documents here
Construction Plans 2U21 U2 l3- Hoitzen Kesioenceil2�AU I. Dolt
scanned on 11'x17" or
larger
Project Value (contract 20000 Valuation OK
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
Person Applying for Hugh J Ylarraz
Permit
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
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BTG
& ASSOCIATES,LLC
BUILT ON TRUST
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ASSESSMENT OF SUSPECT
ASBESTOS -CONTAINING MATERIALS
RESIDENTIAL STRUCTURE
RENOVATION INSPECTION
3651 TABOR COURT
WHEAT RIDGE, COLORADO
February 2, 2021
Prepared For:
Mr. Tyler Fauth
11856 W. 371h Place
Wheat Ridge, Colorado 80033
Prepared By:
Billy Godby, General Manager
BTG & Associates, LLC
834-F South Perry Street — Suite 551
Castle Rock Colorado 80104
BTG Project No.: B21101.01
834-F South Perry Street 9 Suite 9551 9 Castle Rock, CO 9 80104 9 (720) 341-9495
BTG
& ASSOCIATES,LLC
BUILT ON TRUST
Mr. Tyler Fauth retained BTG & Associates, LLC (BTG) to conduct an assessment of suspect asbestos -
containing materials (ACM) at the Residential Structure located at 3651 Tabor Court in Wheat Ridge,
Colorado. Mr. Tyler Godby of BTG is an AHERA-accredited building inspector and is also licensed as a
building inspector by the Colorado Department of Public Health and Environment (CDPHE), Mr. Tyler
Godby (License No. 21667 expires February 26, 2021) conducted the assessment on January 14, 2021.
Copies of the inspector's certificates of accreditation and licensure are included in Appendix C. At the time
of this inspection, samples were collected from the walls in the kitchen, living room and sunroom
for asbestos -containing materials (ACM). It is BTG's recommendation that these areas mentioned
above will be renovated. If other areas of the residence will be renovated in the future than BTG
recommends that these areas be tested for asbestos content prior to renovation or demolition.
The following appendices supplement the results of this assessment:
• Appendix A: Data Table
• Appendix B: Laboratory Reports
• Appendix C: BTG Credentials
ASSESSMENT DESCRIPTION
BTG understands that the objective of this assessment was to identify ACM and/or presumed ACM (PACM)
that must be removed prior to planned renovation/demolition of the Site.
The samples collected by BTG during this assessment were submitted to ATC Group Services in
Centennial, Colorado for analysis using polarized light microscopy (PLM) in accordance with United States
Environmental Protection Agency's (USEPA) method EPA/600R-93/116 (July 1993) for determining
asbestos in bulk building materials. This laboratory is accredited for asbestos analysis using PLM by the
National Institute of Standards and Technology National Voluntary Laboratory Accreditation Program
(NVLAP). Certificates of laboratory accreditation and licensure are included in Appendix C.
The EPA National Emissions Standard for Hazardous Air Pollutants (NESHAP) (40 CFR 61, Subparts A
and M) has a requirement related to assessment of suspect ACM in buildings. Per CDPHE, Section
I II.A.1.c., if the asbestos content of a sample of friable asbestos is estimated to be 1 % asbestos or less, but
greater than 0%, by a method other than point counting (such as visual estimation), the determination shall
be repeated using the point counting technique with polarized light microscopy (PLM). If a result obtained
834-F South Perry Street 9 Suite 9551 9 Castle Rock, CO 9 80104 9 (720) 341-9495
Urq�Os rbbott AssoGa®e
BTG
& ASSOCIATES,LLC
BUILT ON TRUST
by point count is different from a result obtained by visual estimation, the point count result must be used
When no asbestos is detected by PLM, point counting is not required. Prior to beginning this assessment,
BTG confirmed with the client that BTG would point count samples reported as trace (<1 %) asbestos, and
consider results of 1 to 10% as positive for asbestos.
RESULTS AND RECOMMENDATIONS
The results of the assessment and recommendations are summarized in the table below. A table providing
detailed results of the assessment is provided in Appendix A. A copy of the laboratory report is provided in
Appendix B.
Based on the laboratory analysis report, NO samples collected at the site contain asbestos.
Friable ACM
No samples collected during the inspection contained friable asbestos at concentrations greater than 1 %
asbestos under PLM analysis.
Non -Friable ACM
No samples collected during the inspection contained non -friable asbestos at concentrations greater than
1 % asbestos under PLM analysis.
Materials with <1 % Asbestos
No samples collected during the inspection contained concentrations of less than or equal to 1 % asbestos
under PLM analysis.
During renovation/demolition operations, materials may be uncovered which are different from those
accessible for sampling during this assessment. Personnel in charge of demolition should be alerted to
note materials uncovered during these operations which differ substantially from those included in this
assessment. If suspect ACM are found, additional sampling by a CDPHE-licensed building inspector and
analysis by a NVLAP-accredited laboratory should be performed to determine if the materials contain
asbestos.
ASSUMPTIONS AND LIMITATIONS
The results, findings, conclusions, and recommendations expressed in the report are based only on
conditions that were noted at the time of BTG's assessment. BTG's selection of sample locations and
frequency of sampling was based on our observations and the assumption that like materials in the same
834-F South Perry Street 9 Suite 9551 9 Castle Rock, CO 9 80104 9 (720) 341-9495
BTG
& ASSOCIATES,LLC
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area are homogeneous in content.
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The report is designed to aid the building owner, architect, construction
manager, general contractors, and potential asbestos abatement contractors in locating ACM. Under no
circumstances is the report to be utilized as a bidding document or as a project specification
document since it does not have all the components required to serve as an Asbestos Project Design
document or an Abatement Work plan.
Our professional services have been performed, our findings obtained, and our conclusions and
recommendations prepared in accordance with customary principles and practices in the fields of
environmental science and engineering. This statement is in lieu of other statements either expressed or
implied. This report does not warrant against future operations or conditions, nor does it warrant against
operations or conditions present of a type or at a location not investigated.
This report is certified to Mr. Tyler Fauth. The scope of services performed in execution of this evaluatior
may not be appropriate to satisfy the needs of other users and use or re -use of this document or the findings,
conclusions, or recommendations is at the risk of said user.
ASSESSMENT METHODOLOGY
BTG's inspector completed a walkthrough assessment of the building and recorded the areas of the building
inspected, as well as areas where materials suspected of containing asbestos were located.
BTG's inspector also evaluated the condition, accessibility, and friability of suspect ACM according to the
following ratings:
• Condition, as good (G), fair (F), or poor (P)
• Friability, as friable (F), Category I non -friable (CAT 1), or Category II non -friable (CAT 11), according
to the USEPA National Emissions Standard for Hazardous Air Pollutants (NESHAP) definitions in
Section 4.0.
When materials suspected of containing asbestos were identified, BTG's inspector collected representative
bulk samples from each homogeneous area using the protocol presented in the following table:
SUSPECT ACM SAMPLING PROTOCOL
Homogeneous Area (HA)
Category
HA Size
Minimum Number of Samples
Surfacing Materials
1,000 SF or Less
3
1,001-5,000 SF
5
834-F South Perry Street 9 Suite 9551 9 Castle Rock, CO 9 80104 9 (720) 341-9495
J[6BTG
& ASSOCIATES,LLC
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SUSPECT ACM SAMPLING PROTOCOL
Homogeneous Area (HA)
Category
HA Size
Minimum Number of Samples
>5,000 SF
7 or more
Thermal System Insulation
No Stipulation
3 of each type of TSI.
(TSI)
(Must also sample all repair patches)
Miscellaneous Materials
No Stipulation
One to 3 samples of each miscellaneous material.
Note: A Homogeneous Area is defined to include surfacing material, thermal systems insulation, and miscellaneous material areas
which are uniform in color, texture, construction and application date, and general appearance.
Destructive access and sampling techniques were -not used during this assessment. However, it is
possible that additional materials are present that were not visible or accessible during BTG's assessment.
If suspect materials are encountered during future renovation or demolition activities, they should be
assumed to contain asbestos until evaluated by a qualified asbestos inspector. "Suspect" material includes,
but is not limited to, any material serving as a sprayed on or troweled on acoustic or fireproofing surface,
floor and ceiling tiles, drywall, joint compound, and related materials, transite panels, siding and shingles,
thermal insulation and any material associated with mechanical systems, and binding agents such as tar
sealant, mastic, adhesive, roofing tar, caulking, etc.
REGULATIONS AND GUIDELINES
EPA National Emissions Standard for Hazardous Air Pollutants (NESHAP)
The U.S. Environmental Protection Agency (EPA) National Emissions Standards for Hazardous Air
Pollutants (NESHAP) regulations for asbestos (40 CFR 61, Subparts A and M) apply to certain demolition
and renovation projects in facilities containing ACM and/or presumed ACM (PACM). The NESHAP rule
usually requires that all friable ACM and some categories of non -friable ACM be removed before a building
is demolished and may require localized removal before or as part of a renovation. For renovation projects
where friable ACM will be disturbed, the NESHAP rule may require appropriate work practices or
procedures for the control of emissions. The following EPA NESHAP definitions of ACM are very important
in interpreting which NESHAP requirements may apply to your building:
• Friable asbestos -containing material: any material containing more than 1 percent asbestos,
determined using PLM analysis, that when dry, can be crumbled, pulverized, or reduced to powder
by hand pressure.
• Catecory I non -friable asbestos -containing material: asbestos -containing packings, gaskets,
resilient floor covering, and asphalt roofing products containing more than 1 percent asbestos as
determined using PLM.
834-F South Perry Street 9 Suite 9551 9 Castle Rock, CO 9 80104 9 (720) 341-9495
Urq�Os fbbott AssoGa®e
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• Categoryll non-friableasbestos-containing material: any material excluding Category I non -friable
ACM, containing more than 1 percent asbestos as determined using PLM that, when dry, cannot
be crumbled, pulverized, or reduced to powder by hand pressure.
• Regulated asbestos -containing material (RACM): (1) friable ACM, (2) Category I non -friable ACM
that has become friable (3) Category I non -friable ACM that will be or has been subjected to
sanding, grinding, cutting, or abrading, or (4) Category 11 non -friable ACM that has a high probability
of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to
act on the materials in the course of demolition or renovation operations regulated by NESHAP.
According to NESHAPs, RACM need not be removed before demolition if:
• It is Category I non -friable ACM that is not in poor condition and is not friable.
• It is on a facility component that is enclosed in concrete or other similarly hard material and is
adequately wet whenever exposed during demolition.
• It was discovered after demolition began, and as a result, cannot be safely removed. If not
removed, the material must be kept wet until disposal.
• It is Category 11 non -friable ACM and the probability is low that the material will become crumbled,
pulverized, or reduced to powder during demolition.
NESHAP also requires that the EPA or the state (if the state has been delegated authority under NESHAP)
be notified before a building containing RACM is demolished, or before certain renovations impacting
RACM begin.
OSHA Asbestos Standards
The U.S. Occupational Safety and Health Administration (OSHA) regulates employee exposure to asbestos
in general industry (29 CFR 1910.1001) and construction (29 CFR 1926.1101). The OSHA asbestos
standards provide a permissible exposure limit (PEL) of 0.1 fibers (equal to or longer than 5 micrometers)
per cubic centimeter of air (fibers/cc) determined as an 8 -hour, time -weighted average (TWA) and an
excursion limit of 1 fiber/cc as a 30 -minute TWA.
The asbestos construction standard applies to exposure of employees to asbestos during abatement and
renovation/demolition activities. The construction asbestos standard also applies to employees who may
contact or disturb ACM during their work activities (e.g. maintenance and custodial workers). It is important
to note that the OSHA regulations apply to materials that contain any detectable concentration of asbestos,
whereas the NESHAP regulations only apply when the concentration is greater than 1 %. The following
are selected OSHA definitions regarding asbestos work:
• Class 1 asbestos work: means activities involving the removal of TSI and surfacing ACM and PACM.
• Class 11 asbestos work: means activities involving the removal of ACM which is not thermal system
insulation or surfacing material. This includes, but is not limited to, the removal of asbestos -containing
wallboard, floor tile and sheeting, roofing and siding shingles, and construction mastics.
834-F South Perry Street 9 Suite 9551 9 Castle Rock, CO 9 80104 9 (720) 341-9495
�q�®s Abbott psso�a.
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• Class 111 asbestos work: means repair and maintenance operations, where "ACM", including TSI and
surfacing ACM and PACM, is likely to be disturbed.
• Class IV asbestos work: means maintenance and custodial activities during which employees contact
but do not disturb ACM or PACM and activities to clean up dust, waste and debris resulting from Class
I, II, and III activities.
• Intact: means that the ACM has not crumbled, been pulverized, or otherwise deteriorated so that
asbestos is no longer likely to be bound with its matrix.
OSHA requires that specific work practices and procedures be followed to control asbestos exposure of
employees involved in abatement or renovation activities as well as the building occupants. In addition, the
OSHA standard provides requirements for exposure monitoring, employee training, medical surveillance,
respiratory protection, signage, and other protective measures.
LOCAL AND STATE REGULATIONS
The Colorado Department of Public Health and Environment (CDPHE) has promulgated regulations
pertaining to asbestos activities in Colorado Regulation 8, Part B. Regulation 813 is based on the EPA
NESHAP requirements, with additional state -specific provisions for asbestos inspections, abatement, and
other activities. Regulation 813 also identifies training and certification requirements for professionals
performing asbestos work in the State of Colorado. A summary of the requirements related to renovation
and demolition of structures containing ACM is provided below:
1. Regulation 813 requires that any public or private building must have an asbestos survey performed to
confirm the presence of ACM prior to renovation or demolition activities.
2. If friable ACM will be removed or disturbed as part of the renovation/demolition activities, the ACM must
be removed under abatement conditions before demolition begins. CDPHE Regulation 813 requires that
a State of Colorado Licensed General Abatement Contractor (GAC) perform the removal in accordance
with Section III.H (Abatement Sequence).
3. CDPHE must be notified for all renovations and demolitions of all residential and commercial structures
and all asbestos abatement projects that exceed the trigger levels (50 linear feet, 32 square feet, or the
volume equivalent to a 55 -gallon drum, "residential' and (260 linear feet, 160 square feet, or the
volume equivalent to a 55 -gallon drum, "commercial'. The notification requirements apply to both
friable and non -friable asbestos materials. Notifications must be postmarked or delivered at least 10
working days before initiating abatement activities and must be made using CDPHE forms.
4. During demolition, all non -friable asbestos -containing materials are exempt from abatement activities
provided that they remain in a non -friable state and are kept wet at all times during demolition activities.
5. During renovation, non -friable materials may remain in place if they are not disturbed during the
renovation activities. If these materials will be disturbed, they must be removed prior renovation.
6. Waste materials containing friable ACM must be properly disposed of at a landfill licensed to receive
friable ACM materials. This requirement applies even if the quantities are below the CDPHE trigger
levels requiring an abatement permit. Non -friable ACM waste must be disposed of at an approved
landfill that accepts non -friable materials. If waste contains a mixture of friable and non -friable
materials, it must be disposed of at a landfill licensed to receive friable ACM materials.
834-F South Perry Street 9 Suite 9551 9 Castle Rock, CO 9 80104 9 (720) 341-9495
�q�®s Abbott psso�a.
J[6BTG
& ASSOCIATES,LLC
BUILT ON TRUST
7. A CDPHE licensed Air Monitoring Specialist (AMS) shall follow Regulation 8B Section III.P (Clearing
Abatement Projects) prior to signing any demo permits at the site.
8. The building owner should be aware that removing ACM does not discharge ownership of the ACM.
During transport or after burial in an approved landfill, any contamination throughout the lifetime of the
material remains the responsibility of the building owner.
QUALITY ASSURANCE
BTG appreciates this opportunity to provide asbestos consulting services to Mr. Tyler Fauth. We have enjoyed
working with you on this project and look forward to meeting your needs in the future. Should any questions
arise concerning this report, please contact us at (720) 341-9495.
This report was prepared by:
Billy Godby
General Manager
BTG & Associates, LLC
834-F South Perry Street 9 Suite 9551 9 Castle Rock, CO 9 80104 9 (720) 341-9495
J[6BTG
& ASSOCIATES,LLC
BUILT ON TRUST
Appendix A: Data Tables
�q�®s Abbott psso�a.
�®e
"1A
0<"/0
`,7g 5`o\ �
834-F South Perry Street 9 Suite 9551 9 Castle Rock, CO 9 80104 9 (720) 341-9495
J[6BG 1 T`Q Pbewrtpsyo�
C/wI■ a/®
`/SLA P
& ASSOCIATES,LLC
BUILT ON TRUST
��a'ngD
TABLE1
Results of Bulk Sampling & Analysis for Asbestos Using PLM
Residence—Renovation Inspection
3651 Tabor Ct. — Wheat Ridge, Colorado
Date of Sampling: January 14, 2021
HA
Sample ID
Material
Sample
Material
Material
Estimated
Material
Asbestos
ID
Description
Location
Classification
Condition
Quantity
Friability
Content
1
3651A-01
Drywall Joint Compound
Kitchen, Wall
MM
G
N/A
Friable
NO
3651 A-02
Drywall Joint Compound
Living Room, Wall
MM
G
N/A
Friable
NO
2
3651 A-03
Drywall w/ Rough Orange
Living Room, Wall
SM
G
N/A
Friable
NO
Peel Texture
3651 A-04
Drywall w/ Rough Orange
Kitchen, Wall
SM
G
N/A
Friable
NO
Peel Texture
3651 A-05
Drywall w/ Rough Orange
Kitchen, Wall
SM
G
N/A
Friable
NO
Peel Texture
4
3651 A-06
Drywall Joint Compound
Sunroom, Wall
MM
G
N/A
Friable
NO
3651 A-07
Drywall Joint Compound
Sunroom, Wall
MM
G
N/A
Friable
NO
5
3651 A-08
Drywall w/ Orange Peel
Sunroom, Wall
SM
G
N/A
Friable
NO
Texture
3651 A-09
Drywall w/ Orange Peel
Sunroom, Wall
SM
G
N/A
Friable
NO
Texture
3651A-10
Drywall w/ Orange Peel
Sunroom, Wall
SM
G
N/A
Friable
NO
Texture
_ = Greater than 1 % ACM COMM = Composite Analysis
HA = Homogenous Area PC = Point Count
ND = Non -Detect G = Good, D = Damaged (Fair), SD = Significantly Damaged (Poor)
N/A= Non -Applicable MM = Miscellaneous Material, SM= Surfacing Material, TSI = Thermal System Insulation
TR = Trace, <1 % Visual Estimate CHRY = Chrysotile, TREM/ACT = Tremolite/Actinolite, AMO = Amosite
SF = Square Feet LF = Linear Feet
834-F South Perry Street 9 Suite 9551 9 Castle Rock, CO 9 80104 9 (720) 341-9495
BTG
& ASSOCIATESILC
Appendix B: Laboratory Data
Urq�Os Pbbott AssoGa®e
i
cALA
834-F South Perry Street 9 Suite 9551 9 Castle Rock, CO 9 80104 9 (720) 341-9495
AA
;ATC ��`
ANALYTICAL REPORT
Prepared for:
BTG &Associates, LLC
834-F South Perry Street #551
Castle Rock, CO 80104
Project: 3651 Tabor Court
Order No.: 0032312
ReportDate: 01212021
ATCGmup Sa c¢LLC W85 E. Nichols Aveme, Sidle 35R Colosimo, CO 80112 Ph: 307906100
appered spars,
;ATC Ph,Daaanla
Qmennial 00 8
PFone .1303 )9 6
Fa. �1303i�45a
cnMamer: PLM REPORT SUMM4RY NVTAP red Cod, 102031
ANA red coen 101536
Billy Gadby ATC Job No.:
BTO B Associates, LLC hoped No. 0032312
034 F South Perry Street V551 Radiophate OV212021
Castle Rock CO 00104 Sample Dine: rift aper
Project: 3651 Tabor Coup 03e Analyzed: 01202021
Customer prompt No.:
ItlerNinmtion: WA
TomMNbod: 600VRON116 40 CFR Pat 763 Agency Eto Subpart E Page 1 of 4
Client No. Lab No. Sample Description /Location Asbestos Content
3651A-1 0032312001 None Deemed
scroll
3651A-1 0032312001 None Deemed
Known Wall
3651A-1 0032312001 None Deemed
coup Compound 3 ments,
Known Wall
3651A-1 0032312001 None Deemed
scroll
3651A 2 0032312002 None Deemed
LvieVeral
3651A 2 0032312002 pea None Deemed
Drappal TapeLvieVeral
3651A 2 0032312002 None Deemed
coup Compound 2 ments,
Lvis Wall
3651A2 0032312002 None Deemed
answerPal Jort Compound 3 Secure
Note Layer is mainly Pal
LvieVeral
Thead samples were e permentassalossibibrated Moual Ads orpip
os
cormung only ift powers mom tan pAmpQ EPAw
Reredos contoung prime (nAoe)�m
appersed spars,
;ATC Ph,aaaela
Qmennial 00 8
PFone .1303 )9 6
Fa,
a1303i�,g
cnMamer: PLM REPORT SUMM4RY NVTAP red Cod, 102031
ANA red coee 101536
Billy Ootlby ATC Job No.:
BTO B Associates, LLC Began No. 0032312
034 F South Perry Street M51 Radiophate OV212021
Castle Rock C000104 Sample Dine: rift V2021
Project: 3051 Tabor Coup Bole Analyzed: 01200021
Customer prompt No.:
ItlerNinmtion: WA
Test MNbod: 000VR ON116 40 CFR, Pat 763, Appendix Eto Subpar E Page 2 of 4
Client No. Lab No. Sample Description /Location Asbestos Content
3651A2 0032312002 LATER 5 Noneoaedea
LvieVeral
3651A3 0032312003 Paintopough Orange Peel TaNune Lt Blue/OX None00edeu
cents 24-C
Note No Droveal Prepare
Lvis Wall
3651A4 0032312004 PandRom Orange Peel redone VORAVeblte, NoneOeedeu
Note No Droveal Prepare
scroll
3651A5 0032312005 LATER 1 NoneOeedeu
PandRom Orange Peel redone GreenfPcoute
scroll
3651A5 0032312005 LATER 2 NoneOeedeu
Note Layer is mainly Pal
scroll
3651A5 0032312005 LATER 3 NoneOeedeu
scroll
3651A-6 0032312006 LATER 1NoneOeedeu
answerPal Jort Compound Broval Cal
Sun Room Wall
Thead samples were e permentasbealossibibled,ed Moual Ads orpip
os
cormung only ift powers Reredos contoung
mom tan
Ockpi Hrne
ds(nAoe)�m
appersed spars,
;ATC Ph,Daaanla
Qmennial 00 8
PFone .1303 )9 6
Fa. �1303i�,g
cnMamer: PLM REPORT SUMM4RY NVTAP red Cod, 102031
ANA red coen 101536
Billy Gadby ATC Job No.:
BTO B Associates, LLC Began No. 0032312
034 F South Perry Street M51 Radiophate OV212021
Castle Rock C0 00104 Sample Dine: rift aper
Project: 3651 Tabor Coup Bole Analyzed: 01202021
Customer prompt No.:
ItlerNinmtion: WA
TomMNbod: 600VRON116 40 CFR Pat 763 Agency Eto Subpart E Page 3 of 4
Client No. Lab No. Sample Description /Location Asbestos Content
3651A-6 0032312006 LATER 2 None00edeu
Sun Room Wall
3651A-6 0032312006 LATER 3 None00edeu
Sun Room Wall
3651A 7 0032312007 LATER 1 None00edeu
Pal Jort Compound Broval Cal
Sun Room Wall
3651A 7 0032312007 LATER 2 None00edeu
Sun Room Wall
3651A 7 0032312007 LATER 3 None00edeu
Sun Room Wall
3651A-0 0032312000 LATER 1 None00edeu
Pal Orange Peel Toddle Panel Cal
Sun Room Wall
3651A-0 0032312000 LATER 2 None00edeu
Sun Room Wall
3651A-0 0032312000 LATER 3None00edeu
answerSun Room Wall
Thead samples were e peopentassaloseybibled,ed Moual Ads orpip
os
cormung only ift powers mom tan (Ccei Hw
Reredos contoung prime (nAoe)�m
;ATC Ph,Daaanla
Qmennial 00 8
PFone .1303 )9 6
Fa. �1303i�,g
cnMamer: PLM REPORT SUMM4RY NVTAP red Cod, 102031
ANA red coen 101536
Billy Gadby ATC Job No.:
BTO B Associates, LLC Began No. 0032312
034 F South Perry Street V551 Radiophate 01/212021
Castle Rock C0 00104 Sample Dine: rift V2021
Project: 3651 Tabor Court Bole Analyzed: 01202021
Customer prompt No.:
ItlerNinmtion: NIA
TomMNbod: 600VR5N116 40 CFR Pat 763 Agency Eto Subpart E Page 4 of 4
Client No. Lab No. Sample Description /Location Asbestos Content
3651A9 0032312009 LATER 1 None00edeu
Pal Orange Peel Toddle Panel Cal
Sun Roo, Wall
3651A9 0032312009 LATER 2 None00edeu
Sun Roo, Wall
3651A9 0032312009 LATER 3 None00edeu
Sun Roo, Wall
3651A-10 0032312010 LATER 1 None00edeu
Pal Orange Peel Toddle Panel Cal
Sun Roo, Wall
3651A-10 0032312010 LATER 2 None00edeu
Note Layer is mainly Pal
Sun Room Wall
3651A-10 0032312010 y None00edeuSun Room Wall
powers only no powers mom tan one permentassalossibibized Moual Ads or PAmpQ AmreThe EAmonsidersa manage os
Reredos Contaning nes pas produce what am Mable ormay, become table be timermargedbypowbouncing whenteresults nd a
STC
pproiriya
�R.
8985 E. NioM1o9 Ave, 3
Centennial, CO 301
Phone 1303 Sea 6100
Fax 130370 1 yoc
alcgroutseviw kP}JID[q��
PLM Analysis Methodoloiry
PLM samples were analyzed utilizing the Environmental Protection Agency's Test Method. Method forthe Determination
of Asbestos In Building Materials (EPA 600/R-93/116. July, 1993) 40 CFR, Part 763, Appendix Etc Subpart E. Reporting
Limit Q % Asbestos. Additional treatment and tests maybe required to accurately define composition (i e. ashing, exactions,
acetone treatment and TEM). Unused portions of samples are archived for one year unless client requests special handling.
Samples not taken by laboratory personnel.
Laboratory Equipment
Laboratory analysis was accomplished utilizing an Olympus BIT 2 polarized light microscope. The microscope Is
equipped with dispersion staining lenses.
Duality Control
ATC Group Services is accredited byNVLAP Bulk Asbestos Sample Quality Assurance Program (Lab Code 102031).
ATC participates In the NVLAP Bulk Asbestus Sample Quality Assurance Program and maintains an In-house QC/QA
program for bulk samples whereby 10% of all submitted samples are reanalyzed and documented In a Quality Control
Manual. ATC also participates In a quarterly round robin QC/QA program for bulk samples with several accredited
laboratories throughout the United States.
Laboratory Personnel
Sampleswere analyzed by Alex Colombo, LaboratoryAnalyst. Mr Colombo has successfully completed the MICA a
"Asbestos Identification Using Polarized Light Microscopy" Course and ATC Group Services TO a Quality Control
PPrrogram.
Approved Signatory.. � Vw4
AI C
NVLAP LAB CODE 102031-0
The non detection of asbestos fibers In floor tile by PLM Is of itself inconclusive . Confirmation by Transmission
Electron Microscope (TEM) Is recommended for negative floor tile samples.
This report must not be used by the client to claim product endorsements by NVLAP or an agency of the U S. government.
This test reports only to the items stated This report Is confidential to customer Results are not published on a public domain.
PLM REPORT SUMMARY
AIIHALab 11536
Customer
Code10de
Billy Godby
ATC Job No.:
BTG &Associates, LLC
Batch No.:
0032312
834F South Perry Street
#551
Report Date:
01/21/2021
Castle Rock CO 80104
Sample Date:
01/14/2021
Project:
3651 Tabor Court
Date Analyzed:
01/20/2021
Customer Project No.:
Identification:
N/A
Test Method:
600/R-93/116, 40
CFR, Part763, Appendix Etc SubpartE
Page 1 of 1
PLM Analysis Methodoloiry
PLM samples were analyzed utilizing the Environmental Protection Agency's Test Method. Method forthe Determination
of Asbestos In Building Materials (EPA 600/R-93/116. July, 1993) 40 CFR, Part 763, Appendix Etc Subpart E. Reporting
Limit Q % Asbestos. Additional treatment and tests maybe required to accurately define composition (i e. ashing, exactions,
acetone treatment and TEM). Unused portions of samples are archived for one year unless client requests special handling.
Samples not taken by laboratory personnel.
Laboratory Equipment
Laboratory analysis was accomplished utilizing an Olympus BIT 2 polarized light microscope. The microscope Is
equipped with dispersion staining lenses.
Duality Control
ATC Group Services is accredited byNVLAP Bulk Asbestos Sample Quality Assurance Program (Lab Code 102031).
ATC participates In the NVLAP Bulk Asbestus Sample Quality Assurance Program and maintains an In-house QC/QA
program for bulk samples whereby 10% of all submitted samples are reanalyzed and documented In a Quality Control
Manual. ATC also participates In a quarterly round robin QC/QA program for bulk samples with several accredited
laboratories throughout the United States.
Laboratory Personnel
Sampleswere analyzed by Alex Colombo, LaboratoryAnalyst. Mr Colombo has successfully completed the MICA a
"Asbestos Identification Using Polarized Light Microscopy" Course and ATC Group Services TO a Quality Control
PPrrogram.
Approved Signatory.. � Vw4
AI C
NVLAP LAB CODE 102031-0
The non detection of asbestos fibers In floor tile by PLM Is of itself inconclusive . Confirmation by Transmission
Electron Microscope (TEM) Is recommended for negative floor tile samples.
This report must not be used by the client to claim product endorsements by NVLAP or an agency of the U S. government.
This test reports only to the items stated This report Is confidential to customer Results are not published on a public domain.
A
STC
asses Pbbon Assocle
i
Cr N
8985 East NicholsjItTenud SlAte 350
Centenni 80112,
TEL: 303.799.6100
ENVIRONMENTAL • GEOTECHNICAL303.79441
BUILDING SCIENCES •MATERIALS TESTING 3Z3 / ang 0`4\
PROJECT INFORMATION Turnaround: 2 hour 24 hour 48 hour 3-5 da
(Any 2 hour TAT projects received after 3 pm will be completed first thing the following morning)
Company/Customer: %—Q- d SSW-;""
Project Name:
Address:
Collection Date: ( t{ 1 2A
Address:
Customer Number/P.O.: \3 Z\ \00k. 0
Phone/Fax:
Collection Address: 31, -TtI6 r Cf.
Customer Contact: Goab
wk -' 1L;2 [o 11
Special Instructions: CoMpos%kt 'So„r,} Cow,Dov,n 1 orl��
Email: ��\�\� A��Mehy�r�•cwnn }�\GrLs\aev�y�ro.cuw.
Sample Number
Sample Material
Sample Location
1 3(or1 A- 1
To W-71
\c''}GV—kW,\\
2
.1.
LVQ W \\
3
To ( w.\ W VRV\j c�P
W
4
W
5
'�VG we-\\
6
7
8
r \\ W I Oros Pte\
s �L M W o �\
10 1 ID
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Note:
Sample collector is responsible for ensuring that all samples have been preserved and prepared to the appropriate and applicable
methodology. If package has sustained damage during transit, notify collector and shipper. Turnaround time begins upon receipt of
sample (s) by laboratory. ATC will not be responsible for errors or omissions in calculations from inaccuracy of original data.
CHAIN OF CUSTODY
Relinquished By:
Date:
Time:Receiv d By:
Date: Time:
BTG
& ASSOCIATESILC
Appendix C:
BTG Credentials
Urq�Os Pbbott AssoGa®e
i
cALA
834-F South Perry Street 9 Suite 9551 9 Castle Rock, CO 9 80104 9 (720) 341-9495
M.E. TRAINING
2170 W. Yale Ave.
Englewood, CO 80110
CAA
o`
ding D, J�S�
(720) 441-5049
info@metraining247.com
www.metraining247.com
Certiate of ComyCetw`n
�yCer Godb�
has successfully completed 4 hours of annual refresher training required under section 206 of the
Toxic Substance Control Act (TSCA), Title II.
Course Date: January 14, 2021
Examination Date: N/A
Certificate No.: CO -BIR -21-1001
Hours Completed: — 4
Expiration Date: January 14, 2022
"BUILDING INSPECTOR"
AQa,doalmae�-
Instructor — Michael Schluterbusch
AW Mwwd
Authorized Signature — Training Provider
A i CITY OF WHEAT RIDGE
_��9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: 4,r
Permit Number: '; U(% C,Z A U
JA
�D
S4,
❑ No one available for inspection: Time c/ �kl/Pm
Re -Inspection required: Yes 'No;
When corrections have been made, ca rfor re -inspection at 303 -234 -
Date: r'2 Inspector:
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:
Job Address: orf, �`% q C
Permit Number: r 7,-Zse U
❑ No one available for inspection: Time _� .5 A
Re -Inspection required: Yes 0,)
When corrections have been made, call for re -inspection at 303-234-5933
Date: 7 # Inspector:
DO NOT REMOVE THIS NOTICE
„ City of Wheat Ridge
Residential Roofing PERMIT - 201702860
PERMIT NO: 201702860 ISSUED: 06/29/2017
JOB ADDRESS: 3651 Tabor CT EXPIRES: 06/29/2018
JOB DESCRIPTION: Residential Re -roof to install Malarky Legacy asphalt shingles - 23 sq.
*** CONTACTS ***
OWNER (303)467-3103 CAPRA DANIEL P & ESTHER
SUB (720)684-5500 Scott Brasington 170091 GreenPoint Roofing, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,925.00
FEES
Total Valuation 0.00
Use Tax 124.43 -- -- ,
Permit Fee 140.90
** TOTAL ** 265.33
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A-�-inch exists. 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 manufacturera€ls 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&439;s technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering” is required to be on site at the time of final
inspection.
City of Wheat Ridge
_ 9
` Residential Roofing PERMIT - 201702860
PERMIT NO: 201702860 ISSUED: 06/29/2017
JOB ADDRESS: 3651 Tabor CT EXPIRES: 06/29/2018
JOB DESCRIPTION: Residential Re—roof to install Malarky Legacy asphalt shingles — 23 sq.
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 le al owner oft e prop and am authorized to obtain this permit and perform the work described and approved in conjunction with
this per i 1 further st that m legally authorized to include all entities named within this document as partes to the work to be
perfo ed nil thatja ork to performed is disclosed in this docy�ment and/or its' accompanying approved plans and specifications.
Signaturte-of OWNER or CONT CTOR (Circle one) elate
1, This permit was issued based onka
information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with thdocuments; and all applicable statutes, ordinances, regulations, po icies and procedures.
2. This .permit shall expire 365 dayser the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a-paqtA shal knot a construed to be a permit for, or an approval of, an violation of any provision of any
applicable co, . r fiance of this jurisdiction. Approval of work is subject to fyeld inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequestgei.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Antoinette Kulick 201702 X60
From:
no-reply@ci.wheatridge.co.us
Sent:
Saturday, June 17, 2017 2:18 PM
To:
Permits CommDev
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. 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. Permits are currently being
processed within 3-5 business days, subject to change based on volume.
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
Property Owner Email
Address
3651 Tabor Court
Daniel & Esther Capra
303-467-3103
cappy1233@gmail.com
�G y . 53
0 WE
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
GreenPoint Roofing
170091
720-684-5500
Contractor Email Address info@greenpointroofing.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email info@greenpointroofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing Malarkey Legacy
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 23
material selected above?
Does any portion of the No
property include a flat
roof?
If yes, how many squares Field not completed.
on the flat roof?
2
TOTAL SQUARES of all 23
roofing material for this
proj ect
Provide additional detail 20 SQ -house, 3 SQ -garage, 5/12 pitch
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract5925
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Lisa Underhill
Email not displaying correctly? View it in your browser.
3
n
GreenPoint
ROOFING
Residential Roof Replacement
This agreement is only in effect if the insurance company agrees
to a NULL roof replacement.
Anything less than a full roof replacement and the homeowner is
under no obligation to use the services of GreenPoint Roofing.
The homeowner gives GreenPoint Roofing and its representatives
permission to represent and work on their behalf with the
homeowner's insurance company.
GreenPoint Roofing will furnish all materials and labor in
accordance with the scope of work or estimate provided by the
insurance company.
Homeowner only pays amount allowed and agreed upon
by insurance company as specified by their scope of work /
estimate / loss sheet.
1-64 100
Insurance Information
Company
Date of Loss ___---j( g/ ` 1
720-684-6500
Green PointRoofing.com
2600 South Parker Rd., Suite 155
Aurora, CO 80014
Fax: 720-6845501
info@greenpointroofing.com
ontingency
1�
40 1
BBB.
Agreement
Any and all supplements approved and paid for by insurance
for work performed by GreenPoint Roofing, will be considered
part of the claim and due to GreenPoint Roofing. This includes
building code items, and permits that may be required within
your municipality.
The ONLY cost to the homeowner is their deductible as part
of the policy. Any additional work to be performed above and
beyond the insurance scope of work will be accepted in writing
by the homeowner.
Homeowner agrees to furnish GreenPoint Roofing with all
insurance claim information needed including claim number,
insurance scope of work / estimate / loss sheet. Greenpoint
Roofing will perform all work in a quality manner and adhere
to all local building code requirements. Workmanship and
manufacturer warranties will be delivered upon final payment.
Claim Number--—-17--
Deductible
L--Deductible___ • _���
Dale
Email
�Name
vf"'
CeH Phone
Home
Address
�s� a rrAr{I�
CRY State
Zip
W0033
cv
titepresentative of G nPomt R;4291 llc Property Owner Date
HOME -• , PREFERRED
SERVICES•CONTRACTOR of
A urHOR2Ev seRME mowoER
A i CITY OF WHEAT RIDGE
_��9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: 4,r
Permit Number: '; U(% C,Z A U
JA
�D
S4,
❑ No one available for inspection: Time c/ �kl/Pm
Re -Inspection required: Yes 'No;
When corrections have been made, ca rfor re -inspection at 303 -234 -
Date: r'2 Inspector:
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 0
INSPECTION NOTICE
Inspection Type: F� 1
Job Address: S ( T A 6 0.c
Permit Number:416 I (7 (, 3
6
rx6
/1� �
? V S C4 6M la le C
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: / '1% Inspector:
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division
(/ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: YY\ t 3
Job Address: S LS I 1 b� b f � t
Permit Number: a 4 6 1�
❑ No one available for inspection: Time / : I AM/PM
Re -Inspection required: Yes I No
*When corrections have been made, call for re -inspection at 303-234-5933
Date: 3• / 4� - / 7 Inspector:
DO NOT REMOVE4TH/S NOTICE
IT N0:
ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Solar PERMIT - 201601076
201601076 ISSUED: 07/27/2016
3651 Tabor CT EXPIRES: 07/27/2017
Install 4.68 kw roof mounted solar PV system.
t** CONTACTS ***
OWNER (303)910-3687 ESTER CAPRA
3UB (888)765-2489 Jared A Miller 110035 SolarCity
F** PARCEL INFO ***
,ONE CODE: UA / Unassigned USE: /
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,751.60
FEES
.otal valuation 0.00
tesidential Solar 500.00
`* TOTAL ** 500.00
** COMMENTS ***
** CONDITIONS ***
BU: Approved per plans and red—line notes on plans. Must comply with 2012 IRC, 2014 NEC and
tall applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
byy myy signature, do heattest that the work to be performed shall comply with all accompanying approved plans and specifications,
ppica ble building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
y the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
lis pen I I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
erfonned and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications:
ignature of OWNER or CONTRACTOR (Circle one) Date
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.
This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Bwlding Offcial and is not guaranteed.
No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
The permit holy
der 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.
The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applic�ablee code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
ignature of ChiB iuiu lding'�ffcial � Date
EQUESTS MUST BE MADE BY 11:59PM ANYL INESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
51 -51b-o +
,k b o f o -)(to INSPECTION RECORD
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections
Date
Inspector Comments
Initials
Monolithic Slab Reinforcement
Rough Electric
Water Service (Underground)
Caissons
Plumbing (Below / In -slab)
Concrete Encased Ground (CEG)
Gas Piping
Heating (Below / In -slab)
Footing/Stemwall P.E. Letter
W uu ImUt rLJUF L-MICUB7B I-rinr in LinnrnV91 1 It 1 nAm /1nAvn iFf
Underground/Slab Inspections
Date
Inspector Comments
Initials
Electrical (Underground)
Roof Sheathing
Date
Sewer Service (Underground)
Comments
Rough Electric
Water Service (Underground)
Rough Plumbing
Plumbing (Below / In -slab)
Gas Piping
Heating (Below / In -slab)
Final Mechanical
111111 Aemh:to] MW19rLatlfu a 1:4101110191/14 we]M MAL=r--V'W.1
Rough Inspections
Date Inspector Comments
Initials
Wall Sheathing
Roof Sheathing
Date
Lath / Wall Tie
Comments
Rough Electric
-I
Rough Plumbing
Rough Mechanical
Gas Piping
UO NOT rroceeO vvirnnur sannrnvai tit ziP►nvLa wr%" h incnnr+i^�
-r-
Rough Framing
Insulation
Drywall Screw / Nail
Final Inspections
Date
Inspector
Initials
Comments
Final Electrical
-I
Final Plumbing
Final Mechanical
Roof
Final Building / Frame
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requeste
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Fire Inspection / Fire Protection Dist.
*"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.
vccupancy Is Ivor rermlttea until A uertlticate of Occupancy Is Issued
Protect This Card From The Weather
A i CITY OF WHEAT RIDGE
�9r(303)
Building Inspection Division
(303) 234-59331nspection line 235-2855 Office - (303) 237-8929 Fax
Inspection Type
INSPECTION NOTICE
E P: I
Job Address: y 3/ o, 6 012. CP
Permit Number: o / 0 /0 % S_
Y
❑ No one available for inspection: Time/ ' Z PM
Fie -Inspection required: Yes No
*When corrections have been made,ca>r-Inspoction at 303-234-5933
Date: 2 �l' Inspector:
DO NOT REMOVE THIS NOTICE
OR. OFFICE USE ONLY
A ter i
City o .
COMMUNI-tY DEVELOPMENT (PO
Building & Inspection Services Division �
7500 W.2e Ave., Wheat Ridge, CO 80033
bran ,tresrw Fgw .. � .
Office: 303-235-2855 " Fox. 303-237-8929
Inspection Line. 3013-234-5933
Malling Address: (if different than property address)
Address: Same as above
i tetez i
Ar hiter+ r gine r E-mail: Phone -
Contractors
e -
Contra Irs City; i.i nse : 10035 Phone* 253-720-4461
Contractor E-mail Address: tward@solarClty.Ccarrt
Sub Contractors:
Electrical: Plumbing. Mechanical:
W.R. City License # W.R. City Licensee W.R. City License #
Other City Licensed Sub. dither City Licensed Sub:
City License # City License
Complete all information on BOTH skies of this form
tSolarCwity
M=
Version *61,2 TOD
-
U
R6: CERTIFICATION LETTER
Project/Job # 8DO902
Project Address: Capra Residence
3651 Tabor Ct
Wheat Ridge, CO 80033
AHJ Wheat Ridge l
SC Office Denver
Design Criteria:
77
4 eras *x
g
Applicable Codes= IRC 2012 / IBC 2012, ASCE 7-10, and 2012 NIBS
- Risk Category : II
- Wind Speed = 1:35 mph, Exposure Category C ,
- Ground/Roof Snow Coad, = 30 psf (Unreduced)
- MPI: 2x6 4 OC, Roof DL= .5 psf, Roof 1.iW SL = 30 psf �, NFA
MP3: 3x6 @ 24" OC, Roof DIL = 10.5 psf, Roof LL/SL = 30 psf } �a �y cin a*sxev�Pa
- .'ChYus
Vera O rox
Note: Per IBC 1613.1; Seismic check is not required because Ss v 41.23116 < 0.4g and Seismic Design Category (SDC) B <
To Whom It May Concern,
A jobsite survey of the existing framing system of the address indicated above was performed by a site survey team from SolarCity-
Structural evaluation was based on site observations and the design criteria listed above.
Based on this evaluation, I certify that the existing structure, with upgrades specified in the pians, directly supporting the PV system is
adequate to withstand all loading indicated in the design criteria above based on the requirements of the applicable existing building
and/or new building provisions adopted/referenced above.
Additionally, I certify that the PV module assembly including all standoffs supporting it have been reviewed to be in accorclarite with the
manufacturer's specifications and to meet and/or exceed all requirements set forth by the referenced codes for loading.
The PV assembly hardware specifications are contained in the plans/docs submitted for apprav
Sincerely,
Alpe De Vera, P.E.
Prrrf banal Engineer t R
Tin: 588.765.2489, x57526
emaM adeverac4solarcity,corn Whoot Ridge Building
Approvordl
,05"'-'Wae .x. {tic_ ." wa ,�Cv .n,t3'" 4 & 10"'.",
DATE
VAlity of parent, rw Ise s *Is or
and computftmi shall not be a pemft for, or sar approval of, any n t
any of the provisions of the building code or of any City oftifinam.
Perarb praying to give whority to violale or Cow the PMVW*ft$
Building codes or other ordinances of the City shall not be valltl
SolarCity,
Ve on *61.2 - TSD
RU
Refer to the submitted drawings for details of information collected during a site survey. All member analysis and/or evaluation is based on framing Information
gathered on site. The existing gravity and lateral load carrying members were evaluated in accordance with the IBC and the I
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INSTALLATION NOTES;
(E) 20 OR 2x6 PURLIN t. ATTACH N) 2x6 PURLIN TO
THE E) PURLIN WITH old
' MAX: --COMMON NAILS STAGGERED AT
61N. ON CENTER.
SISTER PURLIN UNDER ALL
RAFTERS INTO WHICH THE ARRAY
{N) 2x6 PURLIN ATTACHED Tib , , I IS LAGGED,
PURLIN WITH 10d COMMON NAILS
E) STRUTS
(E) LBW
THIS STRUCTURE WILL RECEIVE
PURLIN UPGRADE.
MPI x -SPACING x- ANTI ER Y -SPACING Y -CANTILEVER NOTES 7zz/4/L////'/ LANDSCAPE 22" 24 STAGGERED
;t RTRArr 48' 1911
�� f R A2I 70 PIi"CFi IS YI
RAFTER 2x6 24 ARRAY AI 20 PITCH 1S STORIES: 1
CJ. 2x6 16" OC Como Shinale
J-8009029 tit
«i
e
) REC III REC26OPEZ
1�
w p�
Abe
Vera
I
gita,ly signet, by Abe. N Vera
do-Aoca,,dc=s",arCity, E) COMP. SHINGLE
0�4Sowaryusees,
rw=Hawth , cn=Abe De Vera.
esnait=adevara�saiurt§ty.com �� (E) ROOF DEKINGcte.zar oxtt:za -cam 2) p€
5/16" CIA STAINLESS : ( )
STEEL. LAG BOLT LOWEST MODULE SUBSEQUENT MODULES IIS
WITH SEALING WASHER)
(2--1/2" EMBED, MIN)
(E) RAFTER-> I'I` u
(S� ki�- Le. 1 1/r" = 1'
ESTER #iii X
u TABOR
WHEAT RIDGE, CO 80033
Ester Capra Nil
SIDENCE
4.61 M...: ARRAY 1
PAM MC
STRUCTURAL uu
WS
Cody Anderson
w3m Oex*w =
Woy
w # «.
PV
« #. ! *
«
# � #, •
V MODULE
5/16'" BOLT NTH P
INSTALLATION ORDER
FENDER WASTERS
LOCATE RAFTER, MARK HOLE
E LEVELING FOOT
1) LOCATION, AND DRILL PILOT
I
D11L
ZEP ARRAY SKIRT
6)HOLE.
SEAL PILOT HOLE WITH)
2)
SEALANT.to
POLYURETHANE
ZEP COMP MOUNT C
ZEP FLASHING
_ { }
INSERT FLASHING.
{3)
gita,ly signet, by Abe. N Vera
do-Aoca,,dc=s",arCity, E) COMP. SHINGLE
0�4Sowaryusees,
rw=Hawth , cn=Abe De Vera.
esnait=adevara�saiurt§ty.com �� (E) ROOF DEKINGcte.zar oxtt:za -cam 2) p€
5/16" CIA STAINLESS : ( )
STEEL. LAG BOLT LOWEST MODULE SUBSEQUENT MODULES IIS
WITH SEALING WASHER)
(2--1/2" EMBED, MIN)
(E) RAFTER-> I'I` u
(S� ki�- Le. 1 1/r" = 1'
ESTER #iii X
u TABOR
WHEAT RIDGE, CO 80033
Ester Capra Nil
SIDENCE
4.61 M...: ARRAY 1
PAM MC
STRUCTURAL uu
WS
Cody Anderson
w3m Oex*w =
Woy
w # «.
PV
« #. ! *
«
# � #, •
s (099):J Oza a (099YI
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I
Multiple(E) 100A MAIN SERVICE PANEL
Main
(E) VARING
Overhead Service Entrance
Vac* = MAX VOC AT MIN TEMP
(2)� 8 x
(2) IPC 4 O -
imt T: m ungrounaea HINV--(i )Delta # Salivia 5.2 TL �. A
Tme—ln; Supply Side C necti In er,5200W, 40V, 9 , Zigbee, PLC
-- (18)RECREC260 EZ TYPE C 8041
PV odule, 260W, 236.61.E PTC, MC4, 40mm, Black Frame„ ZEP Enabled
VOP: 37,8 Vpmax. , 30.7
Use AND imp ARE SHOWN IN THE DC STRINGS IDENTIFIER
Delta
i 1) AWG #6, Sdkl Bore CopW
DC
- ( 1) Ground Reda 5/8. x 6y, Copper
Insulattax, 4/0-4. Tai 6-14Meter
e# � , R'
PRT�°�:^tlit�jF4: p
ESTER CAPRA
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ter Copra
s £k LOCATE (N) NEC TO Y. '
t9E
Cody Anderson
(1)COMER DG2 1iiR8
NEMA 3R
—0)
Mount Type C
3651 TABOR CT
AEP TE (N) jtGEC ELECTRICALLY ARRAY ETO (N) ELECTRODE,
(1)CU 4rtrd It Duty
09eta; lOak #12 - 1/0 AWG
�1► +„+
��A� � 6w
PART To O OU THE T"S
4HE (N) GEC SHALL BE KEPT SSPARAIE FROM ALL OTHER T CARRYING METAL PARTS,
(DG)
SUPPLY WE CONNECTION. DISCONNECTING MEANS MALL BE SUITABLE
AS SERVICE EQUIPMENT AND SHALL 6E RATED PER NEC.
REC REC260PE2
1Ai6 i�= THWN-2,Slock1AWG
() (t) AWG 16, 7HYM-2, Red
,�,� SIO, TIiWTV 2, k
t `! } (I )AWG /l4, THYMI -2, Red
(2}AiG ¢ta. PV Vie. V» kt>c*
t 5 i (t )AWG 10, Sand e ECC
477.5VC>C Lse - S.il2}AtMG
V P = 337.7 VI Imps= R.S
...
j�iti Pi 1Mre Y F Vac 93.$9Vi Isc .pt
� (t )AWG jtfi. /THWPi 2, EGG V 214.9 VDC Imp= 8,5 ADC
ti;
(1) AWS j6, THiMN-2, Mltidte TRAL VmP = 240 VAC Imp- 21.6 AAC
70)At! :#6. .. `. IEC -•° (i) duit KI1; 31e EMT
' • d (i )AWG #10, THVM-2, Wte ' RAI. Vine = 240 VAC Imp= 21,6 4C
- (t )A#q . TFiY l-2..:.... EG /GSC (I) Gait, Kit: 3/,C EI T, .
` J
(2 )AiYG #14, PV We, V. 8i "
Vac* - 3018 Vi Isc =� 9,01
Vine = 214.9 VDC Imp= 115
0 i#Wt ICt„. 3!4`. EMIT .
{2 AN #10, PV *e, 600y, Vuc* r
m 477.55VDC Isc 9,01 ADC
(1)AWG Grew Eta VmP = 37.7 VDC imp= 8.5 ADC
t 7 h (1)AWG tit, Sdid EGC
j19 %T"wN- Z
(1)Canduit Kit:. 3I4' EMT
COWIDENTTAL - THE INFORMATION HEREIN
CONTAINED SHALL NOT USED FOR THE
JB-8009029 00
PRT�°�:^tlit�jF4: p
ESTER CAPRA
i�SCR6'Tlkl;
ter Copra
RESIDENCE
t9E
Cody Anderson
,�►�t� • �"
.�
BEI F T OF ANYONE EXCEPT SGEARCITY MIC.,TRIG
NOR TALL IT D OR INnn
Mount Type C
3651 TABOR CT
4.68 W PV
ARRAY
�1► +„+
��A� � 6w
PART To O OU THE T"S
[Twedta
WHEAT RIDGE, CO 80033
ORGANIZATION, EXCEPT IN C 1WTH
THE SALE AND USE OF THE RESPECTIVE
REC REC260PE2
DATE'T;
�
CA
CITY EQUIPMENT, WITHOUT THE NR21
PERMISSION CITY INC
t Soiivio 5.2 1
PAS
THREE LINE
DIAGRAM
PV 5 7/9%2(}16
( ) 638-1028 (650) 1029
( )- - TY (765-2489)www.s*mity.com
(68K-s9r), a -IQs-( )
ozol-aEg tosoi szor-ass (oso ""to,
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• Installs in portrait and lands pe orientations
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• Wind tunnel report to Res 7-05 and 7-10 standards
• Zap System groundhog products are UL listed to UL 2703 and UL 467
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Transformerless (TL)t 3,0 kW, 3.8 kVV, 5.2 kW6,6 M 7.6 kW
Features:
Wide operatng voltage rarrqe� 120 - 550V
Wide operating temperature range: -13 - 158'F (-25 - 70'',
High CEC efficiency.:
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.. INSPECTION RECORD ecu ngi'I'
ype
INSPECTION REQUEST LINE: (303) 234-5933
111!1!IJ 111 1111
r
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections
Monolithic SReinforcement # »
Underground/Slab
� - �uspector
u�m�Nw�Upoqu
Initials
Underground)
ie er�
Plumbing (Below / In -stab)
. f #Inspectionsr
Roof
Sheathing
» »
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"f Wheat Ridne
. kt kai t 96'ARI R Kb i e f
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2,,,01604234
'N'T A ,"A"i
Final Inspections
iy �**igs4�i �
CommentsInitials
Landscaping Parking Planning Dept,
ROW & Drainage / Public Works Dept.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect
• Card From The Weather
041, Of
C �CnAAAWI
OMMUNITY DEviELopm,,E
Buy7&v DMsion
75M W. 2e Ave., VWWW Ridge, 00 80033
Office: 303-235-2855 * Fax 303-237-8M
InspecOon Une: 303-234-W33
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FacskMe SwItMV Pannft AppRoation
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INSPECTION RECORD Occupancy/Type
'V INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
Electrical
Plumbing
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Roof
-
Stemwall / (CEG) Concrete
Encased Ground
Building Final
Reinforcing or Monolithic
Fire Department
Weatherproof/ French Drain
R.O.W & Drainage
Sewer Service Lines
Parking & Landscaping
Water. Service Lines
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath /Wall tie.
Mid -Roof
Electrical Service
Rough, Electric
Rough Plumbing
Gas Piping -
Rough Me
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
-
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY is ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office "(303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: 2mr
Job Address/Permit Number:(.,
r
i
,y f) r ry
i
p j t( a
tvr<f(t~x(r~tAA/ Tror V,nrn`j 01) IN //P0~sy-~
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No one available for inspectionn`:~ Time AM/
Re-Inspection required: Yes /4~1d
s , `When corrections have been made, call for re-inspe n an 30325933
, i 4
I Date: Inspector: iL„t,~,~ Ti ~`aPr a „t`~
DO NOT REMOVE THIS NOTICE
j
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CITY OF WHEAT RIDGE
�r;+ Building Inspection Division
/ (303) 234 -5933 Inspection line
(303) 235 -2855 Office ' (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type:
Job Address /Permit Number: r 44X01741
$ ❑ No one available for inspection: Time ./ AM�PM J
Re- Inspection required: 'Yes
W hen corrections have been made, calf fo - r r e-Inspection at 303 - 234 -5933
Date: `lil Inspector:
DO NOT REMOVE THIS NOTICE
I
City of Wheat
Ridge
1110-
Residential Roofing PERMIT - 091751
r400
PERMIT NO: 091751
'ISSUED: 08/28/2009
JOB ADDRESS,:. 3651 TABOR CT
EXPIRES: 02/24/2010
DESCRIPTION: Reroof27 sqs
CONTACTS
owner 303/423-3103 Dan Capra
sub 303./428-6139 Aaron` Herman
09-0196 Frost Construction
-
PARCEL INFO
`ZONE CODE : UA
USE : UA
SUBDIVISION: 0690
. BLOCK/LOT#: 0/.
**.FEE SUMMARY
ESTIMATED:.
PROJECT VALUATION: 10,165.00
FEES
°a
Permit Fee
T
otal Valuation
253.90
, 00
RN
Use. Tax
-182.97
TOTAL
436.87
",Conditions: -
6nail installation & mid-roof inspection required Board sheathing spaced more
thana 1/2 of an inch apart.: requires plywood overlay on entire roof. Ice and
water shield. required from eave edge to 2'.inside exterior walls.
of
G Subject to field inspections.
4-° I hereby certify the the setback stances proposed by this permit application are accurate, and do not violate applicable
jam; ordinances,. rule or regulatio o£ She City of [cheat Ridge or covenants, easements or. restrictions of record;.. that all
c measur n and ationemade are accurate; that I have read and agree to abide by all conditions printed on this
appli ationran +.a me f ~lresponsibility for compliance with the Wheat Ridge Building Code.(I.B.C) and all other
appli blg'Wh Ri e / din ces, for work under this permit. Plans subject to field inspection.
F" Signs ure op c rac r date
,y 1. This p mit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
yp. State of Colorado and to the Zoning Regulations. and Building Codes of Wheat Ridge;. Colorado or any other applicable
f; ordinances of the City.
This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
i '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 one-half the amount normally required, provided no
' changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
y' exceeded one (1) year. If changes have been or if suspension or. abandonment' exceeds one (1) year,. full fees shall -
be paid for a new permit.
4. No work of any manner shall be done that willchange 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
~f,.` written approval on inspection card before proceeding with successive phases of the job..
k,16. The issuance of a permit or the. approval of drawings and specifications shall not be construed to be a permit, for, nor
an approval of any violation of the provisions of the building codes or any. other ordinance, law,.. rule or regulation
All 'plan review i s t to field inspections.
i
'Signature of
;INSPECTION Ch/ B ding official date
EQUEST LINE: (303)234-5933 BUILDING: OFFICE:. (303)235-2855
z REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
z
b
F City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Property Address:
Property Owner (p/el
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor:
Date: 6
Plan
Permit 00 { ~
Contractor License l~~-~L9 Phone:,,M ? 7 [ve~7'~~ %
Sub Contractors:
Electrical City License
Company:
Plumbing City License Mechanical City License
Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $ X.
Description of work` (as calculated per the Building Valuation Data sheet)
'rte- ewe,~--4r~,~/gre Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares -211- BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B~C~ and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection. ~
CIRLCE ONE:: (OWNER) (CO RACTOR) or PERSONAL
PRINT NAME:
Date:
;l Bldg Valuation: $ 1
Building Permit Application
BUILDING DEPARTMENT
237•6944 Ext. 255
CITY OF WHEAT RIDGE
. .
Correction Notice
Job Located at
I have this day inspected this structure and these premises and
have found the following violations of City and/or State laws
governing same:
You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
D a te
Inspector for Building Dept.
DO NOT REMOVE THiS TAG
FORM Wp6-32
7500 WEST29thAVENUE DEPARTMENT OF COMMUNITY DEVELOPMENT
234-5933 P.O.BOX638 BUILDING INSPECTION DIVISION PERMIT N0 M94#19776
CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALIO ONLY WHEN SiGNED BY THE CMEF BUILDING INSPELTOR ANC RECEIPTED BELOW.
JOBADDRESS - I~5( -T4
rarrul.HllUN hUFi MI°
~in c j
CONTRACTOR
R6d F-ItiiC (k) c
ADDRESS~jc>S I S,
& v -
CITY 1=1 ~iz=7'd~J
ZIP CODE -.961 (327
PHONE I_n'f `tCo(O
LICENSE NO.
OWNER .
ADDRESS
!ofs~ ( i 3~2
PHONE ZIP CODE
CONTRACT PRICE.S SG~ 2> a
DATE . n(tl0 ! /9 ¢
1. TVPE GroundU Woll❑ Proiettinp❑ OfhN
S a D Fee~
2. MATERIAL
SIGNS Total Spuars Faaf
3. ILLUMINATION Yes❑ No❑ Typa
4 SET BACK FROM PROPERTY LINE N_ S_ E_,_ W Elet}. Parmif No.
Zons_ A
pprov*d,ZOnalnspeotor
(Spxifywhith iafront) ❑ ❑ n IN.._1
1. TYPE SolidLJ Mort Thon BO% Open❑ Lou TAOn 80% Open
FENCES MATERIAL H~ipht
3. SET BACK FROM PROPERTY LINE N S E_ W Zone_ ADDraei Inspeetw
(Specify wnieh is front) ❑ ❑ ❑ ❑ Dieapproved
i 00Z)-_~ FkNC~ avt~Pas«~c.
OTHER 2
DRAW SKETCH pFt SHOW BELOW,THE FENCE,SIGN,OR OTNER STRUCTURE,GIV{hG pISTANCES FROM pRppERTV LINES.
(SETBACNS OR PROJECTIONS INCLUDED)
~
SPECIFY NORTH
STREET NAME
SNOW D157ANCES FROM THE MAIN BUILDING TPAOJOINING MOUSES, STREETS,AND PRpPER1V LINES; ON IRREGULAR lATS, SNOW LEAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR pVERAGE DIST4NCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INOICATED WORK ONLY UPON VALIDATION BY TNE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DA7E OF ISSUANCE IF WORK IS NOT STARTED WITHIN THATTIME.
ELECTRICAL PERMIT
PLUM8ING PERMIT
MECHANICAL PERMIT
STATE LICENSE N0.
STATE UCENSE N0.
ALUM
INUM WIRE UNDER 512E B ILLEGAL
fL00R
BSM
IST
2ND
3RD
4TH
N0.
FlJEI:CrtclaOn~ Goy ql qo
y» EI
NO'
WATER CIASET
p
K Solw
TEMPORARY METER
FORCED AIR BTU
WASH BOWL
NEW SERVICE - AMPS
BATH Tl1B
HOT WATER - BTU
CHANGE SERVICE-AMPS
SMOWER
STEAM - BTU
LI6HTING
AIR CONDITIONING-BTU
SINK
OTMER
HEATING
GARBAGE DISP
REFRIGERATpN SVSTEM
POWER SUB-qFCUITS
WATER HEATER
UTIUTY(RANGE,DISPO5ER,ETC)
AUTO
WASHER
Refri eronf Group
FIXTURES
.
DISH WASHER
Pounds CAor e
WIRING MOTOftS Bi GONTROLS
FI
fX)R DRAIN
AUTOMA7IC SPRINKLER SYSTEM
SIGNS
.
URINAL
ELEVATOR
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
I hsreby ocknowledpe that this applico-
PERMIT FEE
NOT VALiD UNLESS RECEII
tion u conect and understand tnot I
USE TAX
connot simf tAie projeci until this appli-
cotion is approved. I sholl comply wrth
TOTAL FEE
$ J: /~l
~
C~
9~
the laws of the State o1 Colorado and to
• ~
~
the Zoninp Requlations and BuildinQ
ROVE
Code af the City of Wneat Riepe. Any
DISAP LCP ~11A~A`b~'IU1~~a~c_
violation of tne above terme win cauee
CHIEF BUILDI INSPECTOR,Cify Wheat Ridqe
immediate revocotion of tnls Dermit
"
CALL 234-5933
\
24 NOURS IN ADVANCE
`L
Da1B ISSUBd <z~- ~l 7
FOR INSPECTIONS
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