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3941 Routt Street
1 d�C1 To whom it may concern, February 13, 2020 This letter is to state that D&O Developers opted to not finish the kitchen located in the basement for the following property 3941 Routt St. Wheatridge, CO 80033. If you have any questions please give our property manager Marina Velarde a call. Thank you, Marina Velarde Property Manager i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type:. ID r wvl\ Job Address: i V-04Afi Permit Number: ay 3 1vS' ("4,CJ-. r-1 �fr�`,_ n J`r) i ten. (\., `, 1 � v ❑ No one available for inspection: Time Q t`� AM/PM F, Re -Inspection required: Yes N6 When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. uslinspection i Date: A �`` t� L Inspector: tom+ ' DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: -2,C, Permit Number: o \ 6 c� lno I. ❑ No one available for inspection: Time `) 2 o AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http://www. ci. wheatridge. co. usrnspection Date:_1 \-A at) -Lo 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: c Sf Permit Number: i ll 1pIn j2l.12Cc 'o9f-)s� --i � rc�,✓ c.. � ►,rte 4 � ❑ No one available for ins fiction: Time AM/PM Re -Inspection required Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date:. Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type:"" Job Address: Permit Number: d .a ❑ No one available for inspection: Tiny %PM Re -Inspection required: Yes'' N When corrections have been made, schedule for re -inspection online at: http✓/www. Date Colorado Structural Consultants. 2186 S. Holly St. Suite 102, Denver CO 80222 Cell: (720) 939-3405 E-mail: adjebli@wmconnect.com Ref The Residence 3941 N. Routt St. Wheat Ridge, CO80033 To: Whom it may concern The Colorado Structural Consultants engineer has visited the residence above on February 1 Ith, 2020 to check on the enlargement of a basement windows to egress windows at the above residence. Since the egress windows opening and header are existing, they need just a saw cut to make them deep. By the IRC2015 Sect: R310.2. Minimum opening area. Emergency and escape rescue openings shall have a net clear opening of not less than 5.7 square feet. The net clear height opening shall be not less than 24 inches wide and it shall have a sill height of not more than 44 inches above the floor. The already existing window has adequate width 30". The window when saw cut 48" the sill height of maximum will 41" which is less than the sill height required of 44". If there are any questions regarding the above-mentioned report, please feel free to contact us at your convenience. pz0 Sincerely, oma , Ail �'yo ��,� JP EER Ahcene Djebli, PhD (u), P.E. f 2/11/2020 A 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: Z �' Job Address: i ��- Permit Number: c) I c (� �l ❑ No one available for inspection: Time i C `� AM/PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date Inspector: Wit` DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: N\ V-) S W Job Address: Permit Number: Z v CIO Z U\3 ❑ No one available for inspection: Time£'.,. " � AM/PM Re -Inspection required: Yes NO—) When corrections have been made, schedule for re -inspection online at: http://www. ci. wheatridge.co. uslinspection Date: L ' ' " Inspector: DO NOT REMOVE THIS NOTICE Z01 Cl U Z01-3 Colorado Structural Consultants. 2186 S. Holly St. Suite 108, Denver CO 80222 Cell: (720) 939-3405 E-mail: adjebli@wmconnect.com Rcf: Residence 3941 Routt St Wheat Ridge, CO 80033 To: Whom it ma:- concern The Colorado Structural Consultants engineer has visited the residence above On January aid , 2020 to check on removing a wall and replace it with a beam (2) 13/4" x 9 1/2" L.V.L in the living room according to our plans recommendations. The house is structurally sound. If there are any questions regarding the above-mentioned report, please feel free to contact us at your convenience. LOf;nDp C� Co J' "vAL ENG�N� Ahcene Djebli, PhD (u), P.E. 09/16/2019 i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: OK"_1 �,l L � ►' X,-..) ryn�5 W Job Address: Ci i14, U� Permit Number: ,. QUI C� u-') Un a ❑ No one available for inspection: Time�� `:r� AM/PM Re -Inspection required: 'i(e No When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge.co. uslinspection Date: ' y "`Tt' Inspector: DO NOT REMOVE THIS NOTICE " i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type:i Job Address: Permit Number: kC11:; I j•r6 t jtL ❑ No one available for ins4i, ection: Time 1510 AM/PM Re -Inspection required: No When corrections have been made, schedule for re -inspection online at: http://www. ci. wheatridge. co. usVinspection Date: i C 'r Uc L Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: a r�- Job Address: 677 1 c� Si - Permit Number: Z- ° t d k/� (:) ` / c_ f�-- ❑ No one available for inspection: Timey `' AM/PM Re -Inspection required: l(es) No When corrections have been made, schedule for re -inspection online at: http.lAvww.ci.wheatridge.co.usl7nspection Date:-! 1 ? ..2U,) C Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address:�- Permit Number: e ❑ No one available for inspection: Tim 4�- ), M M Re -Inspection required: YecNQ When corrections have been made, sche a for re -inspection online at: http✓/www.ci.wheatridge.co.uslnspection o s CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Ce � f- )"-r Job Address: G'�� C) S f Permit Number: �, t ❑ No one available for inspection: Time6 VS AM/PM Re -Inspection required: Yes KO -11 When corrections have been made, schedule for re -inspection online at: http://www.cL wheatridge.co. uslinspection Date Inspector: ®O NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Remodel PERMIT - 201902013 PERMIT NO: 201902013 ISSUED: 12/20/2019 JOB ADDRESS: 3941 Routt St EXPIRES: 12/19/2020 JOB DESCRIPTION: SWO Replace kitchen cabinets, upstairs and downstairs, counters and appliances (house has 2 kitchens); replace flooring, carpet and tile; bathroom remodel; removing three walls (two upstairs in kitchen and one downstairs kitchen); replace all interior doors *** CONTACTS *** OWNER (720)244-4010 ROSALES OMAR GC (720)934-6195 LUIS V RODRIGUEZ 190237 ALL PHASES OF REMODELING SUB (720)549-1148 DANIEL ROBISON 190274 D&L ELECTRIC SUB (720)296-5786 ROSENDO RODRIGUEZ/JOSEPH MOLIM 130053 TED'S PLMB., HEAT & SEWER *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** Total Valuation Plan Review Fee Use Tax Permit Fee Investigative Fees ** TOTAL ** *** COMMENTS *** ESTIMATED PROJECT VALUATION FEES 0.00 531.77 1,272.74 818.10 818.10 3,440.71 60,606.56 *** CONDITIONS *** All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. e City of Wheat Ridge Residential Remodel PERMIT - 201902013 PERMIT NO: 201902013 ISSUED: 12/20/2019 JOB ADDRESS: 3941 Routt St EXPIRES: 12/19/2020 JOB DESCRIPTION: SWO Replace kitchen cabinets, upstairs and downstairs, counters and appliances (house has 2 kitchens); replace flooring, carpet and tile; bathroom remodel; removing three walls (two upstairs in kitchen and one downstairs kitchen); replace all interior doors 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 permit. I further attest that I am legally authorized to include alI entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRAC*'k (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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 or gra t' g of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any de or ordinance or regulation of this jurisdiction. Approval of work is subject to f eld inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat age COMMUNITY DEVELOPMENT Building &Inspection Services so� 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(cDci.wheatridge.co.us FOR OFFICE USE ONLY Date: q1 r q q Plan/Permit # V � tvJ Plan Review Fee: $ ► 1 `n Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: .32 � % ko it f l 5 � vd 6 cJ (= d,,_ CO �oo Property Owner (please print): 0M, ar p 5a.CP S Phone: 720 1, 2. IN - yb /0 Property Owner Email: aMcyrn S s `J 2;�';0 f2 0 wlZ,.. / C0 ie? Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: 0 10 r OL O St V -U C_�t/ ^c C Oil S L) t[. a n L's Architect/Engineer E-mail: _cXA' e b 1 c() M/ W1 Conti one: �o� ' 9 3 / 0�5 Contractor Name: All Ph ase S J �ont4 I' 45 City of Wheat Ridge License #: 19 (7 a_3 Phone: %O = q3 ' 6 r 25 Contractor E-mail Address: 601 nha-sesntewtJ, ��,- (: C e � For Plan Review Questions & Comments (please print): CONTACT NAME (please print): L vi 5 IL -p d (' z ue2r Phone: 7; ©' CONTACT EMAIL(p/ease print): Cil k, h _Mr) &t G t u r (cam 4 ma. t - COM 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. G `11'ew j r e M0 d d- ; C L'L.s Piz a C -V- ;n '0-r7 + 01 tr; 4-c h -e k, C a h; n e -+-s Up54-a+:,es (�,AJ I)C"I 51-C' :K-5 C0Vn•�ertS tzPP �+CirtC��1vj�54- \ approi-Ae,,Le-(y 3oco 3 �� J � � � 'bZ �1 (��cL��-5 Nr,�-4► j►c�✓� wrcv �� C ,� ta- Y►'t , i �- . JY1 v� + h ! o D IL m.ncr pool �ec�►� �'��:► ���� � 1� �.w►ov� ofSe- e- c� wvx(ts, AI% W-I%ks) C(?;�,,LS (- �c�r� Cyt �n r��r dv�ps Mie otj�&'O(t I(AA65cetef"IS Sq. FULF ii]QQ) BTUs Gallons Amps Squares For Solar: KW # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ j 50,0V 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. CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) < r Signature (first and last name): DATE: Printed Name: L ✓IS 4-1 f f ' DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: y j(1 1UC� UL 0� r-L--'� C C1 C ' CONSTRUCTION TYPE: Reviewer: brae ryNc.na- r-c-tr o cX e.1 BUILDING DEPARTMENT COMMENTS: ;� 1 u "2-�`� C�� •5 Ula .� Reviewer: 1 ��-\� 1 ► v V "` PUBLIC WORKS COMMENTS: Reviewer: (( \\ Building Division Valuation: V I S City of W heat�dge COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: 37 4 / 1/ GV &� Permit #: General Contractor: A I t Electrical Sub -Contractor Company Name• Q h (;.L.L^'� ,7�1,/� Phone #•��) State License #: % Z L,5 Master #: � Wheat Ridge;, ense�#: (required field) < igt�ature of Autho wed Agent Date Plumbing Sub -Contractor ,�,I)eA Qn�S2W�f Company Name:jy, A 2 lv, m' j A!� Phone #: —7 7 0 2- T State License k (j DO �,A3 Master #: Wheat Midge: License #: of Authorized Agent Mechanical Contractor (required field) (?_5-11 Date Company Name: Phone: Wheat Ridge License #: (required field) Signature of Authorized Agent Date ,(£S8£ I :# uolleovpao) :podaa s!yl of papelle s! uo!}eoilpeo SAV aul '(z "d-111 uoljoaS :g -ON ugge1n6ad opeaoloo 3Hd(7O) sjuawaa!nbai ao/pue suoi}elnbai algeo!Idde yl!nn aouepa000e ui saldwes a!e (Wod) Adoosoaoiw IseaIuoo aseyd (9) an!l patoalloo pue bu!ldwes aoueaealo ale Ieu!l pawao}jad od `uo!joadsu! 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W !e;ol W jH Zl it iagwnN a! weg 00agp!alea4M'laaj;S;;noa Tb6E-S3d wo3'I1eW3@ZL$u!;!nsuo3japuod I S66E'L9L'StZ 10J'aSPajlM)l gull nsuo Japuodl City of Wheat Ridge Residential Asbestos Abatement PERMIT - 201902048 PERMIT NO: 201902048 ISSUED: 09/27/2019 JOB ADDRESS: 3941 Routt St EXPIRES: 09/26/2020 JOB DESCRIPTION: Asbestos Abatement - 1,603 sq ft total *** CONTACTS *** OWNER (720)244-4010 ROSALES OMAR SUB (303)356-9598 JOSE MANZANO 190280 PROFESSIONA ENVIRONMENTAL SVCS *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,400.00 FEES Asbestos Abatement 50.00 Total Valuation 0.00 ** TOTAL ** 50.00 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal�,wner of the perty and am authorized to obtain this permit and perform the work described and approved in conjunction with this�permyC' 1 turther tte hat I am le ally authorized to include all entities named within this document as parties to the work to be perforrndid tha rk to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. J Signa of "64 R or CONTRACTOR (Circle one) Date' I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Drvision in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or apynrdmance or relation of this jurisdiction. Approval of work is subject to Field inspection. Signature of Chief Building Ofircial Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat jdge COMMUNITY DEVELOI'MEN-r Building & Inspection Services 7500 W. 29' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(cDci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Pennit # ✓ O Plan Review Fee: Building Permit Application Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Property Owner (please print): Omar 46,50le Phone: % Q -Z/Al- e16 !d Property Owner Email: Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: 9,U�� 'E. ��67 _4 -ye - City, State, Zip: D?1Wef_'I C_Q. (F0213 Architect/Engineer: Architect/Engineer E-mail: Contractor Name: ` Phone: I City of Wheat Ridge License #: Phone: `��-C� 36�o —'�`7�5q Contractor E-mail Address: efnq l rb hC�_nCc (� . co (Y) For Plan Review Questions & Comments (please print): 303 -35L -95W (� �Y CONTACT NAME (please print): _ ��. YYl�rl7 �) Phone: 303 -35L- `7n 5 Z 0 CONTACT EMAIL(p/ease Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields. ❑COMMERCIAL ORESIDENTIAL 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. Sq. FULF I V) 352ABTUs 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) 0. q00-00 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE. (OWNER) (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): Printed Name: _7SELs e Wbh7—Ct,l 0 ZONING COMMMENTS: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer. PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY DATE: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: Colorado Department of Public Health and Environment Air Pollution Control Division — Indoor Environment Program — Asbestos/IAQ Unit 4300 Cherry Creek Drive South, APCD-IE-B1 Denver, Colorado 80246-1530 Phone: 303-692-3100— Fax: 303-782-0278 E-mail: asbestos@state.co.us ASBESTOS ABATEMENT PERMIT This permit is granted subject to Colorado Air Quality Control Commission Regulation No. 8, Part B, adopted December 21, 2007, and effective January 30, 2008, the Colorado Air Pollution Prevention and Control Act (25-7-101 or 25-7-501 et seq., C.R.S.) and the following provisions_ It is only for the purpose of allowing asbestos abatement. . ADDITIONAL PERMIT PROVISIONS: By performing work under this permit the abatement contractor agrees that the Division may revoke or suspend this permit should the Division find that the contractor: • has violated or has aided and abetted in the violation of 25-7-101 or 25-7-501 et seq., C.R.S. or Regulation No. 8, Part B, or an order of the Division or Commission, • has failed to meet any permit and notification requirement or failed to correct any violations cited by the Division during any inspection within a reasonable period of time, as may be determined by the Division, • has used misrepresentation or fraud in obtaining this permit, or, • has committed any act or omission which does not meet generally accepted standards of the practice of asbestos abatement. As a contractor, you may be subject to other licenses and permits, depending on the requirements of the county and municipality in which the work is being performed. The Colorado Department of Public Health and Environment, Air Pollution Control Division strongly suggests that you check with county and municipal authorities in order to determine any other local building/permitting requirements that must be met. THE ORIGINAL PERMIT MUST BE POSTED ON SITE AT ALL TIMES. Immediately notify the Asbestos/IAQ Unit of project modifications by fax (number above) or e-mail (address above) and the appropriate county health department by fax. Project modifications include changes ill the scope of work or the scheduled work dates, etc. This asbestos abatement permit is valid beginning 7/11/2019 through 11:59 PM on 8/9/2019. The actual scheduled work dates are from 7/11/2019 through 7/29/2019. Approval issued on: 7/12/2019 Record number: 150370 Notice Number: 19JE4592A Variance: None Comments: None For the location specified below: House Interior 3941 Routt St. Wheat Ridge Jefferson County This permit has been issued to: Professional Environmental Services 19402 E. 42nd Ave. Denver, CO 80249 Fee paid: $400.00 Check number: CC 5581 Project Supervisor: Jose Claudio Manzano Cerification No.: 4416 Project AMS: Tim J. Ponder Cerification No.: 13853 Project Manager: Issued by: SK PONDER CONSULTING, LLC PO BOX 142, Kittredge Colorado 80457 248-767-3995 1 ponderconsulting72@gmail.com July 26th, 2019 Mr. Jose Manzano Professional Environmental Services Cell: 303-356-9598 proenvirol @hotmail.com d�l(�v��zl� qla 7111 RE: Final Clearance Air Monitoring Report for 3941 Routt Street, Wheat Ridge Colorado (Project Number: PC1901.06) Ponder Consulting, LLC (PC) performed Final Clearance Air Sampling Services following asbestos abatement operations on behalf of Professional Environmental Services (PES) located at 3941 Routt Street, Wheat Ridge Colorado (Site) on July 19th, 2019. Services were performed by a Colorado Department of Public Health and Environment (CDPHE) certified Air Monitoring Specialist (AMS). Certifications are attached to this summary report. PC performed Final Visual Clearance and Final Clearance Air Sampling Services at the project Site following the removal of approximately: • Drywall 240 sf • Texture 1243 sf • Vinyl60sf • Tile 60 sf The final visual inspection of the work area performed following abatement activities was found to be effectively abated of ACM and free of dust and debris to adequately meet final visual inspection clearance criteria in accordance with applicable regulations and/or requirements (CDPHE Colorado Regulation No. 8. Section ///.P. 1). Following successful completion of the final visual inspection, PC performed final air clearance sampling and collected five (5) Phase Contrast Microscopy (PCM) air samples in accordance with applicable regulations and/or requirements (CDPHE Colorado Regulation No. 8. Section III.P.3). The AMS certification is attached to this report (Certification #: 13853). PES was notified that the area passed Final Air Clearance (FAC) sampling criteria upon review of the (5) PCM sample(s) analysis data and comparison to the Environmental Protection Agency (EPA) and CDPHE final air clearance re -occupancy standard of 0.01 fibers per cubic centimeter (f/cc) required for an asbestos regulated work area (RWA). FAC sampling results were found to be at or below 0.01 f/cc. The PCM sampling analysis data form is attached to this report. The collection and analysis of the PCM air samples were performed by Ponder Consulting, LLC (PC) in accordance with applicable regulations and industry standards. PC is a Colorado Department of Public Health & Environment (CDPHE) registered Asbestos Consulting Firm (Registration No.- 24156) and Laboratory participating in the ANA Proficiency Analytical Testing (PAT) Industrial Hygiene Proficiency Analytical Testing (IHPAT) Program (Lab ID- 232267). Sincerely, Tim J Ponder Ponderconsulting72Ca)gmail.com 248.767.3995 Ponder Consulting, LLC General Manager — Owner Certification #- 13853 ANA Laboratory ID- #232267 Registration #- ACF — 21148 0 b G 0 O o tn ° II n v B n 3 n Y @ m D a N 07 O z N 0 4 (.0 flo m r, tD O Ln of N lD 116 V u I'D L!) m 11 Q Q tD � r• r. U0 0 0 0 0 z z -a 0 0 0 0 0 0 0 0 0 0 m d 3 N r m 00 O O ci c-1 i-1 ri -1 O O Q O O O t` c 01 � ILO i OLO ry {j U � 0 0 y,l +� 3 d � OQ W N M U O Ln 3 N N NN N L O U O a0, O > _q c I 1 + -i f6 \ poco a V O O O O O m 3 0 0 0 0 0 N ID ILD to tD t0 > O uj -4 -1 14 .1 c-1 V) a -0 4- c U') a Q� y Q) LD N O 0 0 0 0 it u pN O 3 0 0 0 0 0 OM C Q1 Ql GO 00 r` U Q Q r, I\ r` t\ (\ O cu U LL v Q L o CD — ial rn m o0 0o r 4J m a+ e-1 `--1 1-4 r -I i-1 L OL p i E �-i r -i ri .--1 c-1 L Q LL p, i V N aj LL -0 � C 01 Ql 00 00 r` 1 L.L. O LL r L ci 7! c^i 71 _ to O O O M O O O O O C: (B o � � L Q U � Ln w O U Q rn hI `1 Q7 7! Ol 7! Q1 Dl 7 Ql N -0 O M LL j O p pp p p p p p p O O O O S O O O S co W 1- t000 Ln V MMo N �o-i oQ N 0 (:):)/I) aujogny c u E O3 a z -a ui L! — r-1 N m I:T Ln .--i N ,.,0 0 0 0 0 0 0 O" m U U U U U 11 J CL �C N U- Li LL. Li LL I I m I m ♦-111 " � � �. v. a Colorado Department 5 of Public Health -g j and Environment ASBESTOS_ - CERTIFICATION* . This certifies that rr. Tim J. PonderF: <§ Certification No.: 13853 �'- has met the requirements of 25-7-507 C.R.S. and Air Quality Control } Commission Regulation No. 8, Part B, and is hereby certified by theZ. state of Colorado in the following discipline: �X r Air Monitoring Specialist* ; `< Issued: July 24, 2018 Expires: J u by 24, 2019 { * This certificate is ralid onk with the possession of a ` ? current DivAjon-approved training course certification in the discipline specified above. horize APC.^. Re�.eseniati�e . g SEAL 34 4 1 ((Ott#,3k- June 8, 2019 Tom LaRocque Denver House Pros 1460 Juniper Street Golden, Co. 80401 Dear Mr. LaRocque: M' Asbestos -Certified Building Inspector RRP Lead Certified I am pleased to submit this report summarizing an Asbestos Containing Materials Inspection. The enclosed report details the fieldwork and analytical results of samples collected. These services were provided to assist with the planning of asbestos abatement activities for the property. This asbestos inspection was conducted for the purpose of identifying the presence of Asbestos Containing Materials (ACM) in the areas of the residential property that are part of the scope of work, communicated to Jacque Dussex, by Denver House Pros, as required by State and/or Federal agencies. This work was authorized by you on June 6, 2019. I sincerely appreciate the opportunity to provide this service for this project. If you have any questions regarding this report, please contact Jacque Dussex at (720) 503-6702. Sincerely, auu�' 01- ILWILA�x Jacque Dussex AHERA/State of Colorado -Accredited Asbestos Building Inspector 421632 Registration No.: ACF - #21635 Asbestos Containing Materials Sampling Inspection Report 3941 Routt Street Wheatridge, Colorado 80033 Prepared For: Denver House Pros 1460 Juniper Street Golden, Co 80401 Date Prepared: June 8, 2019 Prepared By: Jacque Dussex PO Box 694 Fort Lupton, Co 80621 Table of Contents 1.0 Introduction........................................................ 2.0 Field Activities..................................................... 2.1 Building Description & Visual Assessment 2.2 Physical Assessment & Sample Collection 3.0 Laboratory Analysis ............................................. 4.0 Regulatory Overview ........................................... 5.0 Findings................................................................. 5.1 Identified Asbestos Containing Materials 6.0 Conclusions & Recommendations ..................... 6.1 Major and Minor Asbestos Spill Response Action ........... 7.0 Limitations............................................................ 8.0 Photos................................................................... 9.0 Homogeneous Areas Tables ............................................ 1.0 INTRODUCTION It is my understanding that there are planned renovation activities at the above referenced address. Per the United States Environmental Protection Agency (EPA) procedures, published in Code of Schools and Colorado Regulation 8 (Regulation 8), suspect Asbestos Containing Building Materials (ACBM) must be properly sampled and analyzed prior to any renovation, restoration, or demolition activities. EPA regulation 40 CFR 61, National Emission Standards for Hazardous Air Pollutants (NESHAP), prohibits the release of asbestos fibers to the atmosphere during renovation, restoration, or demolition activities. The asbestos NESHAP requires that potentially regulated Asbestos Containing Materials (ACM) be identified, classified, and quantified prior to planned disturbances or demolition activities. All friable ACM and non — friable ACM that can be rendered friable during demolition activities must be removed by a licensed general abatement contractor prior to demolition. The purpose of this sampling was to evaluate for the presence of any ACM in the designated components located in the basement east great room, southwest bedroom, northeast bedroom, northwest bathroom, and kitchen; 1 st level east family room, southeast bedroom, northeast bedroom, southwest dining room, kitchen, northwest master bathroom and bedroom, guest bathroom, foyer, and stairwell of this residential property. The inspection was conducted in accordance with Regulation 8. These inspection protocols specify requirements for the inspector (Section 763.8), laboratory (Section 763.87), and number of samples collected during an inspection (Section 763.86). 2.0 FIELD ACTIVITIES I conducted an asbestos inspection and sampling of the structure located at 3941 Routt Street, Wheatridge, Co. 80033. The inspection and sampling were conducted on June 6, 2019, by a Colorado State Certified Asbestos Building Inspector. The inspection and sampling were conducted in general conformance with the sampling protocols established by 40 CFR 763 and Regulation 8, 2.1 Building Description & Visual Assessment My inspection and sampling activities began with visual observation of the designated components located in the basement east great room, southwest bedroom, northeast bedroom, northwest bathroom, and kitchen; Ist level east family room, southeast bedroom, northeast bedroom, southwest dining room, kitchen, northwest master bathroom and bedroom, guest bathroom, foyer, and stairwell to identify homogeneous areas of suspect ACM. Subtopics 2.2 and 9.0, contain a list of the homogeneous areas developed for sampling at the subject property. A homogeneous area consists of materials which appear similar throughout in terms of appearance, color, texture, and date of application. 2.2 Physical Assessment & Sample Collection A physical assessment of the homogeneous areas of suspect ACM was conducted to assess the general condition of the materials and determine the friability of the materials. The EPA defines a friable material as one which, when dry, can be crumbled, pulverized, or reduced to powder by hand pressure. Non -friable materials cannot be crumbled, pulverized, or reduced to powder by hand pressure when dry. Friability was assessed by physically touching suspect materials. Based on the results of the visual observation, bulk samples of suspect ACM were collected in general conformance with AHERA protocols. Random bulk samples of suspect materials were collected in the homogeneous areas, using wet methods as applicable to reduce the potential for fiber release. Two (2) suspect miscellaneous ACM samples of Green Carpet were collected from the homogeneous area (HA #1): Basement Level East Great Room. Two (2) suspect miscellaneous ACM samples of Gold Carpet were collected from the homogeneous area (HA #2): Basement Level Southwest Bedroom. Two (2) suspect miscellaneous ACM samples of White Porcelain Tile Baseboard were collected from the homogeneous area (HA #3): Basement Level Northwest Bathroom. Three (3) suspect surfacing ACM samples of Coarse Orange Peel Texture were collected from the homogeneous area (HA #4): Basement Level Kitchen east wall (This Coarse Orange Peel Texture is also located on the basement level northwest bathroom walls/ceiling, laundry room walls/ceiling, and kitchen walls/ceiling. The northwest bathroom walls (approximately 208 Total SF) and baseboard, may become impacted by the renovation). Seven (7) suspect miscellaneous ACM samples of Joint Compound and Pink Drywall were collected from the homogeneous area (HA #A): Basement Level Kitchen east wall; lst Level East Family Room ceiling, Southeast Bedroom ceiling, Kitchen south wall, and East Family Room west wall. Three (3) suspect surfacing ACM samples of Popcorn Texture were collected from the homogeneous area (HA #5): Basement Level East Great Room ceiling, Northeast Bedroom ceiling, and Southwest Bedroom ceiling. Two (2) suspect miscellaneous ACM samples of Joint Compound and Three (3) suspect miscellaneous ACM samples of Pink Drywall were collected from the homogeneous area (HA #B): Basement Level East Great Room ceiling, Northeast Bedroom ceiling, and Southwest Bedroom ceiling. Three (3) suspect surfacing ACM samples of Popcorn Texture were collected from the homogeneous area (HA #6): 1st Level East Family Room ceiling, Southeast Bedroom ceiling, and Northwest Master Bedroom ceiling (This Popcorn Texture is also located on the northeast bedroom ceiling, stairwell ceiling, foyer ceiling, and southwest dining room ceiling). Three (3) suspect surfacing ACM samples of Smooth Orange Peel Texture were collected from the homogeneous area (HA #7): 1st Level Southwest Dining Room north wall, Kitchen south wall, East Family Room west wall. The following walls will also be directly impacted by the planned renovation: 1st level southwest dining room east wall; kitchen east wall and west wall; guest bathroom shower surround and walls. The northwest master bathroom north wall, east wall, and west wall (approximately 120 SF), may become impacted, by the possible removal of tile baseboard. (This Smooth Orange Peel Texture is also located on these directly impacted areas and throughout the 1st level walls, and the ceilings that do not contain popcorn texture.) Two (2) suspect miscellaneous ACM samples of Joint Compound and White Drywall were collected from the homogeneous area (HA #C): 1st Level Northwest Master Bedroom ceiling and Southwest Dining Room north wall. Two (2) suspect miscellaneous ACM samples of Beige/Gray Vinyl Linoleum were collected from the homogeneous area (HA #8): 1st Level Northwest Master Bathroom flooring. Two (2) suspect miscellaneous ACM samples of 1st Layer Beige Square Pattern Vinyl Linoleum and Two (2) suspect miscellaneous ACM samples of 2nd Layer Beige Vinyl Linoleum were collected from the homogeneous area (HA #9): 1st Level Guest Bathroom flooring. Two (2) suspect miscellaneous ACM samples of White 4" Cove Base and Tan Mastic were collected from the homogeneous area (HA #10): 1st Level Guest Bathroom. Two (2) suspect miscellaneous ACM samples of Light Blue Porcelain Tile were collected from the homogeneous area (HA #11): 1st Level Guest Bathroom shower surround and Northwest Master Bathroom baseboard. Two (2) suspect miscellaneous ACM samples of White 12x12 Tile were collected from the homogeneous area (HA #12): 1st Level Foyer flooring and Kitchen flooring. (This White 12x12 Tile is also located on the 1st level kitchen south wall and northwest living room flooring, adjacent to the kitchen.) Two (2) suspect miscellaneous ACM samples of White Glue and Two (2) suspect miscellaneous ACM samples of Tan Mastic were collected from the homogeneous area (HA #13): 1st Level Kitchen black/silver granite slab countertop and backsplash. Samples were placed in sealable containers and labeled with unique sample numbers using an indelible marker. 3.0 LABORATORY ANALYSIS The bulk samples were submitted under chain of custody procedures to EMSL of Denver, Co. for analysis by PLM with dispersion staining techniques per EPA methodology ( 40 CFR 763, Subpart F ) Microscopic visual estimation was used in obtaining the percentage of asbestos in bulk samples. EMSL is accredited under the National Voluntary Laboratory Accreditation Program (NVLAP). 4.0 REGULATORY OVERVIEW Title 40 Code of Federal Regulations (CFR) Part 61, regulates asbestos fiber emissions and asbestos waste disposal practices. It also requires the identification and classification of existing building materials prior to demolition or renovation activity. Under NESHAP, asbestos containing building materials are classified as either friable, Category I non — friable, or Category II non — friable ACM. Friable materials are those that, when dry, may be crumbled, pulverized, or reduced to powder by hand pressure. Category I non — friable ACM includes packings, gaskets, resilient floor coverings, and asphalt roofing products. Category II non — friable ACM are any materials other than Category I materials that contain more than 1 % asbestos. Friable ACM, Category I, and Category II non- friable ACM, which is in poor condition and has become friable or which will be subjected to drilling, sanding, grinding, cutting, or abrading and which could be crushed or pulverized during anticipated renovation, restoration, or demolition activities, are regulated ACM (RACM). RACM must be removed prior to renovation or demolition activities, regardless of the amount of asbestos materials present. If the amount of RACM exceeds 260 linear feet of pipe insulation or more than 160 square feet in other building components in a commercial building, or 50 linear feet of pipe insulation or 32 square feet in other building components in a private residence, the owner or operator must provide the EPA, the State of Colorado Department of Public Health and Environment —Air Pollution Control Division, with written notifications of planned removal activities, at least ten (10) working days prior to the commencement of asbestos abatement activities. Removal of RACM must be conducted by a trained and appropriately licensed asbestos abatement contractor. *The Occupational Safety and Health Administration (OSHA) Asbestos standard for the construction industry (29 CFR 1910.110 1), regulates workplace exposure to asbestos. Adherence to OSHA regulations, regarding occupational exposure during renovation, restoration, and demolition activities is also mandatory. The OSHA standard requires that employee exposure to airborne asbestos fibers be maintained below 0.1 asbestos fibers per cubic centimeter of air (0.1 f/cc). The OSHA standard classifies construction and maintenance activities, which could disturb ACM, and specifies work practices and precautions which employers must follow when engaging in each class of regulated work. 5.0 FINDINGS Suspect ACM includes nearly all building materials except glass, natural wood, metal, or rubber. RACM contains asbestos greater than 1 percent, (> 1% asbestos) as confirmed by an accredited laboratory. 5.1 IDENTIFIED ASBESTOS CONTAINING MATERIAL Based on the completed PLM results, asbestos was detected in the following materials. The locations of these materials can be found in Subtopic 6.0. Friable ACM: • Samples 07,08.09 (HA #4).(RA #A)- The Coarse Orange Peel Texture and Joint Compound sampled from the basement level kitchen east wall contain 2% Chrysotile. • Samples 13,14,15 (HA #6),(HA #A),(HA #C) - The Popcorn Texture and Joint Compound sampled from the 1st Level East Family Room ceiling, Southeast Bedroom ceiling, and Northwest Master Bedroom ceiling contain 2% Chrysotile. • Samples 16,17,18 (HA #7),(HA #A).(HA #C) - The Smooth Orange Peel Texture and Joint Compound sampled from the 1st Level Southwest Dining Room north wall Kitchen south wall, and East Family Room west wall contain 2% Chrysotile. • Samples 19,20 (HA #8) - The Beige/Gray Vinyl Linoleum sampled from the 1st Level Northwest Master Bathroom flooring contains 25%-30% Chrysotile. • Samples 21,22 (HA #9) - The 2nd Layer Beige Vinyl Linoleum sampled from the 1st Level Guest Bathroom flooring contains 35%-45% Chrysotile. Category II Non -Friable ACM: • Samples 23,24 (HAM) -The Tan Mastic associated with the White 4" Cove Base and sampled from the 1st Level Guest Bathroom contains 4% Anthophyllite. 6.0 CONCLUSIONS & RECOMMENDATIONS The Coarse Orange Peel Texture and Joint Compound located on the basement level kitchen east wall (HA #4),(HA #A) contain 2% asbestos. This Coarse Orange Peel Texture is also located on the basement level northwest bathroom walls/ceiling, laundry room walls/ceiling, and kitchen walls/ceiling. The Popcorn Texture and Joint Compound located on the 1st level east family room ceiling, southeast bedroom ceiling, northeast bedroom ceiling, northwest master bedroom ceiling, southwest dining room ceiling, foyer ceiling, and stairwell ceiling (HA #6),(HA #A),(HA #C) contain 2% asbestos. The Smooth Orange Peel Texture and Joint Compound located on the 1st Level Southwest Dining Room north wall, Kitchen south wall, East Family Room west wall (HA #7),(HA #A), (HA #C) contain 2% asbestos. (This Smooth Orange Peel Texture is located throughout the 1st Level walls, and the ceilings that do not contain popcorn texture.) The Beige/Gray Vinyl Linoleum flooring located in the 1st Level Northwest Master Bathroom (HA #8) contains 25%-30% asbestos. The 2nd Layer Beige Vinyl Linoleum flooring located in the 1st Level Guest Bathroom (HA #9) contains 35%-45% asbestos. The Tan Mastic associated with the White 4" Cove Base and located in the 1st Level Guest Bathroom (HA #10) contains 4% asbestos. *The friable ACM identified in Section 5.1 and 6.0 above, must be removed by a Colorado certified General Abatement Contractor (GAC) prior to renovation/demolition activities. 6.1 Major and Minor Asbestos Spill Response Action If the total quantity of significantly damaged ACM spilled, exceeds the regulatory trigger levels, the area is deemed a "Major Asbestos Spill". The area is consequently subject to the requirements in Regulation 8, Section IILT. I., Major Asbestos Spills. In the event that an asbestos spill involves less than or equal to the trigger levels, the building owner or contractor should follow the protocol outlined in Regulation 8, Section III.T.2., Minor Asbestos Spills. Additional asbestos air or dust sampling should also be conducted within the remaining areas not directly impacted by the Major Asbestos Spill, to determine if asbestos -containing dust/debris has spread to adjacent areas. If asbestos fibers are found within any other areas or on building contents, they should be included in the scope of professional abatement and decontamination. The total quantity of ACM removed from the 1st level guest bathroom (2nd layer beige vinyl linoleum flooring and tan mastic associated with the white 4" cove base) is less than regulatory trigger levels, and is therefore deemed a Minor Asbestos Spill. The majority of these two materials are still present in this bathroom. In the event of an asbestos spill involving less than or equal to the trigger levels, the building owner or contractor should take the following non -mandatory steps: • 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. • Shut off or temporarily modify the air handling system to prevent the distribution of asbestos fibers to other areas of the building. • Seal all openings between the contaminated and uncontaminated. 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. • HEPA vacuum or steam clean all carpets, drapes, upholstery, and other non -clothing fabrics in the contaminated areas, or discard these materials in accordance with subsection III.R., (Waste Handling). • Launder or discard contaminated clothing in accordance with subsection III.R. (Waste Handling). • HEPA vacuum or wet clean all surfaces in the contaminated area. • Following completion of subparagraph IILT.2.a. through III.T.2.f. of Regulation 8, conduct air monitoring requirements, as described in subsection III.P.3. of Regulation 8 (Final Clearance Air monitoring and Sample Analyses): 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. 7.0 LIMITATIONS This asbestos inspection was conducted in a manner consistent with the level of care and skill ordinarily exercised by a member 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 during my renovation specific inspection of the property. The information contained in this report is relevant to the date on which this survey was performed, and should not be relied upon to represent conditions on a later date. This survey and inspection is considered a comprehensive inspection, specifically conducted for the renovation of the designated areas in this residential property. Care was taken to sample the accessible materials that are discussed in this report. Sampling was accomplished using random/representative sampling protocols. This report has been prepared on behalf of and exclusively for use by the client. Contractors or consultants reviewing this report must draw their own conclusions, regarding further investigation or remediation deemed necessary. Jacque Dussex 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. Jacque Dussex assumes no liability for any loss, injury, claim, or damages arising directly or indirectly from any use of or reliance on this inspection report or the opinions expressed herein. Jacque Dussex makes no risk assessment, warranty, guarantee, or insurance policies of any kind, express or implied. This report was prepared pursuant to the contract Jacque Dussex has with the client, including an exchange of information about the property, that was unique and between Jacque Dussex and her client. No guarantees are made arising from any service rendered. Liabilities hereunder, shall not exceed the total fee paid by the client and Jacque Dussex. No warranty, express or implied is made. This report does not serve as a scope of work or bidding document. Should you have any questions or require additional information, please feel free to contact Jacque Dussex at (720) 503-6702 Sincerely, Jacque Dussex AHERA/ State of Colorado- Accredited Asbestos Building Inspector #21632 Registration No.: ACF - #21635 8.0 PHOTOS Front of Home Built in 1966 Address of Home Coarse Orange Peel Texture (HA #4) = 2% Chrysotile Joint Compound (HA #A) = 2% Chrysotile w� r w a Popcorn Texture (HA #6) = 2% Chrysotile Joint Compound (HA #A),(HA #C) = 2% Chrysotile Smooth Orange Peel Texture (HA #7) = 2% Chrysotile Joint Compound (HA #A),(HA #C) = 2% Chrysotile Beige/Gray Vinyl Linoleum = 25%-30% Chrysotile 1st Layer Beige Square Pattern Vinyl Linoleum (HA #9) = Non -Detect Attached 2nd Layer Beige Linoleum (HA #9) = 35%-45% Chrysotile White 4" Cove Base (HA #10) = Non -Detect Tan Mastic = 4% Anthophyllite -cow 0, "876 Colorado Department of Public Health and Environment ASBESTOS CONSULTING FIRM This certifies that Jacque Dussex Registration No.: ACF - 21635 has met the registration requirements of 25-7-507, C.R.S. and the Air Quality Control Commission Regulation No. 8, Part B, and is hereby authorized to perform asbestos consulting activities as required under Regulation No 8, Part B, in the state of Colorado. Issued: December 17, 2018 Expires: December 30, 2019 uthof"d APOO Rme$entali" S"L OF.C�lO 0! �c *1876 Colorado Department of Public Health and Environment ASBESTOS CERTIFICATION* This certifies that Jacqueline R. Dussex Certification No.: 21632 has met the requirements of 25-7-507, C.R.S. and Air Quality Control Commission Regulation No. 8, Part B, and is hereby certified by the state of Colorado in the following discipline: Building Inspector* Issued: November 20, 2018 Expires: January 02, 2020 * This cerdflcate is valid only with the possession of a current Division -approved training Course certification in the discipline specified above. 4th�..Representative SEAL EMSL Analytical, Inc. EMSLOnler 221904506 law YOM afeaat D 1MW. ca M" Customer tD: JDFL42 Customer Por 7LKg» (3037 740370D 1(3031 741-14110 .��d ftt, �h1a19.�em Lcam / CemseVabQ%1mm Plr*D. Toast Report: Asbestos Ana"is of Bulk Materials via FPA 6OOfR-931116 Method Lwng Polarized Light Microscopy 841111016 DwAff% m MPttaraaaa %FWXDW YHun4M.am %Typ 619D$9.2S-GA t 1st Level KIctim Bleck 5%Call cwborlme None Detected Whbe t2e12 Flaw No.rFtrofa MIA Nar.+fabfa IOthe* 1Haa.:IDF06L6 Tilt Homwomeobs fr19.m.aka mg lst level fcthen Gray M%CrJMM 5% Ncrfbr= tOther) ?etected Whie 1W2 Flow FrM a`na.xs to.`ec TOE HGnoge elln fr19.059.294wft 1st Level Klkf� ARM 11311% NCV-F1em E iOaxr) %0"Ift Deeded WOUN l Grave C.corttr4to Mon- lbmm s Glx Hwoomenus 6-19.059.29-Na5[1: 1st Level fct.hm TIN, 1710% Non-Ntom s fOthe,) Ntm Detected Gromit Cbwdenm Non-Ftmm v+ew®amau Glx "cilwommla 6-19.059.30-Mte 1st Level lcf[fen A%* 100%NWPftMla JOM&.I Wk e.,.etectea 1 Gtante SackgOsF. Npl-Fixala Gkx HrmDOeeme; vrsousn.wer 5-19M9.3d-Mali€C 15t Level MOM Tbn IUD%Nc.-X c iOmer) 'kne Detram GTwfS&3cksPtrsh mcn-VINTIG ?]na.eW.XLVA Glia Hamapmeom AsRky Ovid (oat Me6sYe Reds, °Laboratury E)hmZr A aue SMeek td71 ar OVWAPProved &Vn8tM7 SWWf F -r12 t3; EM13L err.r4.m ytwr (nto6lc ase of ri+lYW. Th.a&—.b.traIw, wan uahaoed �b ai—Ie$%cA .elthAWai at.EG&ftwt Ex140 CFR(otavnrrl, EH69tW"11-02a `att.kn M.nadt led "Ill—Nd .1h afooasra"rod do the 19p3 tTnM wft&M olds nr0cd TW noon f.feti cnymtho oorrpW npaMB ob.w aye a+r..ndn.pt>m:a1. •.aopt ke:il .4v�rt wtlM.pplW.i bl EWEL EMSL be" IN, MlmV1b41,lurAt 6-0.6. ae'a.ONb1. mrAtlan urtlr,oao�rai.. ne9.d. Ttsl. gr.rk m.Y r.x d Dy do eYot b rWn Vuto6 okalt>fl(on_ ap,w.41, or arox.nn.v. b, N4tJW, NBT a urr ►pet/ d a. %dnY tpwrmr k EMSO artnr d. y—tee 106.11... ak MIA able wo d allY le -el —W ab jr- m net m Ea9esdon d dY o owioBn on rap a.t BonOM afd.e.d b. EWaLAe.W%.9 loo D.—. C0:4VL4?:_.b CW.200f12&0 k1Ti3 teLMcr3 AWr: OBJ;. x019 21:1590 Prsaed: BI72019 7:15 PM Faye 7 or 7 EMSL Analytical, Inc. 1st tet NW !Caster EMSLOrder 22+.B;r165e iaic roma strxd obm ca ecsoa %me Detected Customer Ise: JCFL42 — Nohitrom Customer PO- Ibl-ar x;303) 74C-5=? .' ,,3D3; 7=1-14CC 22r304®s46wri Pa[ebm Tie Haropereom Project Id. vew.v.ewl-tom � I Gray 65%Cdkdm Test Report. Asbestos Analysis of Bulk Materials via EPA 600IR-93416 Method a«sing Polarized %RG a Selected Light Microscopy 1st Levet NW Wmfer Banat Unarmed C.ppearatna nodwam %FIND= BMW" %HarIM900% %Typo &I MS.23-(bV@ B36e 15t LEW retest )1'112[ Baan, Uald Sue 11111% Non -MM s 1Omeo N(3ie 3e997 6allmm Whte 4' wwns m 22 r+e aoaoc:sn r2+sw�am2f Cove Sass Homopeneoam Honwpenears 1D%Ca Carbanaae 6-191IS?3-MmItc 1st Lewei forest Smwn 10% Ftrmrs @thew) 86%Nar9araes f Omer) 4% Armw"tte Bndw Wht:e 4' NarFbmw 30% ea Cabmale SIOM Detected 2211100NOR R Cove Base Hcwropereota SaMm U2M Sue NCn+7=G 619AM.2"- we Base ist Levei Guest Trr i M%Norlft to (Othewt None Detected BAN— WhW 4' Na,Fko HaffmUmeum 100%NOMtrma (Omer) 22OBwe146 Cave Bae Humyeoeoas ir1.RM27-0BrdNc 1st Level Foyer Wh2e f>-15i6B33.2d-N ist Lem Guest Tan 16% Fl r IDNen 86% Na"Ibmw IOTHW) b%. An4gp31}kt$ Baaam WhRe d' Non+k a 1312 FhwTLe Ndrt-FErom Homopenemm 22,� Gore Same Ndt02eneous 22R504W*4ws rr11M.25<Warydo 1st Level Guest Aftle i00%Nor�"tArel: iQtherr NOM Detected MIS Ba0am ugt6&ue NarFtroes 6-19DOM-Ter6et ist Level mtchm Pacel3kr Shower Hamoperemm 1D%Ca Catbpaie Nine 0rmt4d MODWO64M Sun v rd THe Wht21312 Ftam NarFtroro S19.O�J.25-C�rplt ist Level CLest wwte 10% Ca Ca,boraCe :Vett Detected EUMM UBM BIR NarrFtrm Hanopeneaus 90% Nan+mra S (Omer) 22hq611544M Paced Shower HomVeneous Su"Ound Tie 6-19As.i5-masse ist Level Guest Tan 1 Do%tome, J. -M Detected Bottom upht Sue NenFtram z,w..x'rcx sr Pacem Shower Hc"Openeaus 6-19.i153. rar1C 1st tet NW !Caster Awle 1110%NwAuc: s (Omer) %me Detected Tie Baaw. Uptd Bue Nohitrom 90%NLYF1tra 100 w) 22r304®s46wri Pa[ebm Tie Haropereom 2.^+ou,axcn.a Baseooard Gray 65%Cdkdm 35%Nor4trota; (Omew) %RG a Selected {t19.L1,3.2E '.Sd a 1st Levet NW Wmfer Tan 111MRO UM (Omewl None Detected 2]1w�VZF002r21 Baan, Uald Sue NdrFdmm 22 r+e aoaoc:sn Pwcel&M Tte Baseboard Honwpenears 1D%Ca Carbanaae Nrne aetecWd &I 9.M--B-Gr= ist Levet NW minter Awte 30% ea Cabmale SIOM Detected 221rtM:06 aGZX' SaMm U2M Sue NCn+7=G 70% Non +brcid;Ccler) a:+rc s '3e Pacean Tie EWSdX and HaffmUmeum 100%NOMtrma (Omer) None Detected ir1.RM27-0BrdNc 1st Level Foyer Wh2e Tan 100% NMA2—Ur 10then None Detected n1e 1312 FhwTLe Ndrt-FErom Homopenemm &19MW.ZT-GR Y 1st Level Foyer Whh Sba 10%CaC11bDraft Nose'1etected 1312 Fkw Tte Non-Ftror6 90%NLYF1tra 100 w) 22r304®s46wri Haaapeneous 6.19m1.Pr-aaw11g lstLEW Foyer WhIe Gray 65%Cdkdm 35%Nor4trota; (Omew) %RG a Selected 12312 FIosT3e NarFtrord 2]1w�VZF002r21 HantpeneoLLs 6-19.0.5 .27-TWEd 15t LeVet Foye WhIe Gray 1D%Ca Carbanaae Nrne aetecWd 1312 Fkw'Me NcP-Fbma 90%Narlts fOmew) 221rtM:06 aGZX' Homopdremm 6-19 M-W-Cerift 1st Level Who" Btaan 100%NOMtrma (Omer) None Detected nfp W HE 12312 Floor Nm,+'brom Tte Hamflpereom 22R504W*4ws 6-19DOM-Ter6et ist Level mtchm Crap 1D%Ca Catbpaie Nine 0rmt4d Wht21312 Ftam NarFtroro 90%Noir-4trvrc+Ovw) 22+KKHa 00238 Tile Hanopeneaus l Sada teport Mm OW7=19 21:11sm e ASS r1&i "X3 0007.1.'& Mrded: W701119 7:15 FU Pape 6 of 7 EMSL Analytical, Inc. EMSL Order 221a545W 1018 rrea 06" Denim, CO aria Custonw ILD_ JCFL42 Customer PO: rlwFZC (303) 740-57001 i 303) 741-9460 aVV:ftW a 3A8Laom 1 aerr eraba—i m Test Report: Asbestos Analysis of Bulk Materials via EPA 600-R-93'11Wethod using Polarized Light Microsmpy agape 01060411110011 Moeennaa %Fli. 'x %NarwI 1roc= %Type L:�fW'eN1 pW!/eaYly N/6rknr:ia6 N rtY,W iter Detected NowFt mo Rm W VM -Pea 6-19ZO.17-JM 1st Level r-vhm a Nlftte 15%CA careanaft 2% ca ysame (br1�01fIQ V"I-pk* Dwa�:l mwlrum 83%l4W-MM a t00lmr) 5-MGS.21-flo6(ryg 2 Hmropeneaus &19.(359.19d-1=Tq 1st Level NW Mmster 2NrW®6d'!SA Bamrm Beige Staare 70% Nart iaeos lCMSYI 30% Grysom xlyrraNrQ:sd/aarvairrrNw. isattrAr7 r, r.rruv Ballmn Beige)Gml FUR= &19M9.17-ory" ist level KIxt:h n 3 amblimSVham 15%C-eileose 65%Gypm m 1Vor DetetleC rml - P@n D"w Fimat:: 26%mmmwn 16 (Oraer) 50% Nmt-nta45 la0retl Nm¢ Dewded 22tlbr®bmra Hemoperrems ran &191m.16-Textim 1st Level E Fame( N9a* 15%ca Cafboraoe 2% Chryso--ie Rm W 114191 -Ptt% NmrFRima 83%Namara tOMer) 22vru®emn pryaar Hcffw2mema HarroOmeous W-pvabbprtx —kV N,erdvn WW. rrlPas &19.059.2D-FIOQfR9 Ild Leel NW llahr 6-191M.18-jon 15t Level E Famay ram 95%Ca Cat4omee _% Criri=le C0rtVmmd FLM W wad -P1:a NamFtrom 83%Non+.braus iOther} DrYO/M Hamopeneim 3:<904211161= Vpw unmelen 140ro0me0us 6-19DSGI.18-dryYra6 isUmvel E Famly anwiry ite 10% Cellimm 65%G• pun iter Detected NowFt mo Rm W VM -Pea Forane c1%Gims 25%Nan?Eraus 1001ep 2111DOW MM Dry9%1 Honmigmemm 5-MGS.21-flo6(ryg 2 1st Level cv" &19.(359.19d-1=Tq 1st Level NW Mmster White Bamrm Beige Staare 70% Nart iaeos lCMSYI 30% Grysom 22twvsebac:�s Ballmn Beige)Gml FUR= 1001) iN: W'"'0 VVifi(lnalearm HOffmom ous 1st Levei Guest ran 50% Ce1u)ase 50% Nmt-nta45 la0retl Nm¢ Dewded &19.059.19n11351C 1s1 Level NW VASW ran 100%Nmwera tolher) NDae Deft4led HemoOe in; Ba9am BepNGray mw -b 016 2:Yabm640l11 Vlr)91lhawv HarroOmeous &19.059.2D-FIOQfR9 Ild Leel NW llahr mile 75%Nm -Mmw tOOleT) 25% Ctoyso®e BaQNm Bey K"W Rm-trum 3:<904211161= Vpw unmelen 140ro0me0us 6-19.059.20-Ma>S. 151 Level NW Nmtsr ran 100%Nmr9aaa (Other) !Vane Dem 8 mm SeOmKtrmy NowFlmarn 22110e0364 " Very) Lnciemi HamODMeDUS 6-19ME1.21,90m`etg i 1st Level Guest r$r SD% Ceil)lose 30%Hmm ltmma (Other) None Deleiaed Bm@me Beige aware Fll r 20% Guns 2HI60111F602, V" Lnaie t2 Hammgenema &19LS.21-MaSk 1st Level Grist lar. 100%Nvff-x a 1011N) Nmne Detec" BaOnrn Beige Swam NowFt mo 2211004RIPA rA Vkw Jnow9 12 HerKigmeous layers) 5-MGS.21-flo6(ryg 2 1st Level cv" r3n 55% mwpwlms tome* 45% ClsysDM Bamrm Beige Staare F&tUm 22twvsebac:�s Veal L H*wn 12 HamDgerimus 1001) &19.053.22 -Mix TTe r 1st Levei Guest ran 50% Ce1u)ase 50% Nmt-nta45 la0retl Nm¢ Dewded BaftM Beige Swtme Flarau5 2290#51`54VTI Ver/7 Llnolew. (2 HemoOe in; &19.11522 -Mate 1 9stLevel Gaest Tin 1w%Nmrehrma lather) Nom Deleli:a Bann Beige Swat Nan -=torus 22aDvaso¢22A V" LinaleiRn 12 Hmrtopmems &19.DM.M-Fk16r TTe2 1st i evviGuest ran 85%mcn-m ma 100iK) 35% ChTsoMe Baamn Beige SCume Flhrws 22tK+OmO64 = Very) Honogerim s layem) l "m repart Flats INW2111921:15m ASE PLM XCS 6001-f.70 Prkfkbd-. 6rrA" 7:15 Pp Fayesmr7 EMSL Analytical, Inc. EMSLOrder: 221945W Ifre rens street Domer. a6 9=4Custoffter ID: JDFL42 Custnettef PO: TdrFm ;363) m 7CL - rC ; (3l %:1-14CC hllp-VmmN.EYBLcam 1 de"aenaba—Lcum Proled ID' Test Report: Asbestos Analysis of Bulk Materials via EPA 600fR-93416 Method using Polarizes( Light Microscopy 8prlpm Dailaalon Appeoranaa %F'ftao:N -ANon4grws 'AI"m 6190.13-jobt istLevel EFamry-file t5%CaC rbonift 2%Cmymme �Cing C-W Pon Popcorn et- Nor.- broln 83% mon-gme*1 Pty Dryamll Hamopeneous 6t9J1m.130g1il'ail lit level E Famty BtLwrvYyhTe 159E CeiUm 65%Gypsum Nme DrIedCo Rm Popcorn Gelling - Fttrwl5 2D% Nomlffiers Millet) arrro.saavrn Fm Dr^wl Honwpeneom 2319015m dl.a PM Drj"l Hortwpmeous 6191M.14-IM&M i tat Level 8E Sedan Whir 20% OR Carboortde mwm Demdo Pbpcbm Celtp- Nm-F(4rae: 86%Nor,4 row l08ter1 DeedeC MWMNeasrs Pm Rall, Horxx mmLm 95%Ntr'Wtu 10th-) pa*WY+Piri/-rouph/vr.+atl�ar. vr.rrvn M11000160ts MIR Drywal HOnmgereous 619AM.14-7eXkffE 2 Ist Level SE eeom ARM is%ea Carbm--�e '% cfcysox Popcorn U41ro- Nce3Lvm 83%Non+Svm lOfier, 6191M IS -TERM 2 151 Level NW Beam misareo:asrN Pte Dryad Hwropmebus Is%ca Ca tlz 2% cnyw`ls tra.rurl.p.ig/mreeyign' drlrs.e n nuryaa -- 83% Nor.- brou i09rer? 619J799.14 -Tape III Level BE sem- Mae 98%Cellullm 2% Nor-zmw fowmi Nom Deteiled Popcorn Calep- FIDmus n' ""Webb 9A NY-d"Myer m d"w N Andy - ffif.0lNeati6 Pry 07"1 mormogmemm 61909.15 -Tape 1st Level NW Beam 6-191759.14-JCM IsiLm18E 8edrn Mile 99%Nrw-?Wcr s 011mr1 --% Chry5.7 - (klf P -d Popcorn Celtp- Nor-Ftwom Ptd Dmmll Hornoweam Hcawgenews 619.059.14 Ist Level BE Bel- smwbvhte IS%Ceftrlow 65%Gypsy+ Vc .o- etr C Ptp[am CRUX;- Fftn= 26%mcn- 1acti5 f08tai 2319015m dl.a PM Drj"l Hortwpmeous 619J75'9.16-1E388e 1 ISI Level NW Beam vmle 15% On Carbar" DeedeC Popcorn Crag- Nom -10111a 95%Ntr'Wtu 10th-) M11000160ts MIR Drywal HOnmgereous s..pvatd. Pare/mu'gr ape r dm.egr rrrrn 6191M IS -TERM 2 151 Level NW Beam Tan Is%ca Ca tlz 2% cnyw`ls Popcorn Cettg - -- 83% Nor.- brou i09rer? 3sttwt11a 34 Witme Drprai Homogeneous n' ""Webb 9A NY-d"Myer m d"w N Andy - 61909.15 -Tape 1st Level NW Beam lARft 96%Cel Llose hl a Demme Popcorn Cettg - F1Npa 231110rmaads>m While Drmal Hcawgenews 619059.15JDInt Ist Level NW Seam Th, 15% Ca carbo tff 2% Chysarse ( Popcorn Crag- Nor-F&otm 83%Non-av-*ther) Wile unmal Homopmeam z rwm.avfso 619.059.150YRW ist Level NW Be" Br xmwhfte 10%Celtda-.e 654 Gypswn pare cetedeo Popcorn Cethg - Noa+IDrals +:1% r ms 25% wcv b - lope) 8 3001 ofm While DrLwal Hornope mus 619.99.76-Rmdm 1st five SNP mfwv Wale 15% 0& Cmbpsfe 2% Cmysom Rol Npmt-While ND:-Fmrum G3% Wmbrcw Iorw) y,^naNamta Dry" Hamogmeom sraya edt. a.ra!®ruq rr.rkrrdoa ar.rryu, 619.9.16Jglttt Ist Level 3*Af D<akrp Wh1e 15% OR carbce ax 2% cfol^.a'Ck cwr1 -ld Fm N yflf-Whfle FMMS 83%Nor.'brCW iOthe) [kyma7 Hamopeneoos 7]1i0imi0C!1� 6:f.Nbl=i.:yrJ/arfdyr tilY.r 1.9GW W •Y.rWyn 61905J.76-ayygC' ISt Lf 3W IYTItg Brownwhi± t5%cNWoa 65%Gypskn pox Detmie" RM N Wet - wrlI fe Flom" 26% Nariebmrs f0AyY1 uravmemeao Drywal Hartwpmews 619.099.17-TelUe 1st Level Ktclen 3 myte I5% OR Carbbemte 2% chry^cC e u Wf - Pty Dryaol Nwrzbrom 63% mmgw a foatC) svlsor®aasn Hovnogercom tdm teport*ww. Od8712814 21:iS= ASH PLM X" OOM 1.TS PtfltEd: 6(7.28!9 7:15 PM Paged of EMSL Analytical, Inc. EMSLOrder 22='93453e mm Yom ab wtt Dow", Co SM4 Customer ii: JCFL42 Custaa w PC_ TeWar (383) 740 -SM f 011 1 7et-14CC tMWJYeaw.EUSLamr:tmer.ata sl. Project ID: Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Pofafized Light Microscopy Ago" ammo DWArWOW Appoaana %Fafdtx %Nott. %rvfA %TYW �+>I+uuael� Pree/m!&�Agw.t,a.wa rr rrrpra 519A59.Ui,M Ba'e-Mr M&M E tV t 98% MW -GN= 1O8er) d% C"Sark D Wal - PLAortwal Norr--T=iz Hcmapmeous 6-1919.ONXywal BesemCd Kllctsea E Brlc n'Wht� 111L Celllose 65%Gypwaro, None Dete�d Wrl - Pk* Drywa9 Fitnra 5 it%Glass 25%Nasalbapus [Ome1) iTa1a1SOF000d Honanpeneous NdrFarma 85% Nmlltvam to eq 519z%.10-1Effiae Baserne tE Great Wynte 2v% Cal CarEana4 Nene Detected Rm Papcw CeDmp Ntxr� %Nao"6mta lotheri rrlatmFmla Pti Drywall Ttonaopmeam ✓ }tN / eefyt Npr Lsale W d K rnryw ease-a!rn NE Bcdrn W%te 6.19.DSAD-Tape Base"wrtE Great 101R6N 98%Celblase 2% Net!IDrora lOmer) Nage Deletted 2noo.ol6mw Rrn Popmm CAH" Pts[ Drywwll FUMM Homnpmeam 6.19.IO.10-iDn BaxmcRE Great vftle 15% Ca Carbarafte Mallet) Carp—d Rrn Popcorn Ce&V NdrFarma 85% Nmlltvam to eq PFA Drywall HannBeledus 22Alt1at16WfNff Pink Drywall Haftwq to 519A99.1DDrf" BaRmeR E Great BmwMNhl>c 15% CelMore 657E eyps None Detected Pon Popcorn Ce1mp FBrmta 291% Nen-±%actin IOtheh n+sae fx Pink Drywall Haftwq to 6.19.099.11-T ie ease-a!rn NE Bcdrn W%te 28% Ca CartanWe Horn Deed Paacam CeEhp- Non-4:1tma BD%NG: aIQ9cel" �.Y1a16sO91r F4-,1 Ory" Hanrapeneom ansptrtlll YrMiaoty,>am ;W lalmrarnn 6.19.059.11-7�pE 11=7: r2 NE Bebrm W tL. 9B1°i CLquwe 2%Ncr-'beds 10the r! Nona Detected Pdpcom CeEtp- F8ean 221larmaallM Ft• Drywall Hcoiapenema 1549A59.11-iWill Bae-nert NE Bed— WK% 15% Ca Cartermll' Nene Date CXaI> OLM P®a[oru CeEtnp - NarFLata 85%NtmIANpus iota) PtA Orywall Hmapmema; "I1al10512111to 6-t9ml"Xyv,71 88.vlerl NE Bed— Sm Whte Is%CSIWosr 65%Gypstvn None Detected Papcam Cefhp- Fthada 29% Npt$rtus IOBKr) a4t/aria. WIl P11% Drywall Homopeneous 6-19A59.12-TDXWM Bar—tBW Seam WME 20% Ca Cartnaale 0OWe Detected Pcpmm Ce%Fp- F111,1W BD%NwRbv a (Omer) MoOdO&W12 Ptd Drywall HCngpmeDus �tt6w i+N/cs.eu,dhywhawesat rr r.rytd &&59.12 -'Pape Baiemert 8W Be" Tat 95%Celuase 5% Nce-brow (OMM Ncr`e Delecled Papmm CeDtg - Fmrous 7ytwws vim PtA Drywall Honwpeneam 519AS9.124ky" Base"Mr BW Beet¢rn Brdwr^ffia 1p%CelUclse SSA ryp--x:t Nary -detected Papccrn Cel�9- -arcus e1%Geass 25% tlaellanous f0mi) ?]+tpP� 129 Pta DAyaall HtNnogenean 519.059.13-Ttftn1 1tt4saelEFamfy xaYle 2D%Car = None Oeteded Nht Papmm Cellnp- Non-FtlrotG 60%Nd1qtrWs(OBtey 2210"W16W13 PtA Dry"] Hmwum m W>� pVt/tru6}q ne+r 11Wufwtn %rNlyua 519A..=9.13-1bM f 2 1st Level E Famty Wale t5%Ca Carbadate 2% CmylaJe Rrn Pdpcom Cesatp- Nw 4 true 83%NaNDralz (Omer) IN1104 waaa-sr Pta Drywall Horropmeous 4..tiye �.'tM/cbrdip (tyW iflda6wih Trym 519AS9.13-Tape 1stlssslEFamry Wh1e 911%CeWase 2%Ntlre+Racu 101her) Narr_Dete d Rte Popow Ullbrp - FRm%z z^twrosasrss Ph%Drywall Hcrnapeneom l ftbat repaelTtom: QdOi,Qp1921:7531 ASB PLM _;.C3 0061 - 1.78 F9naed: 6Qf2M9 7:15 PY Pape 3 of 7 EMSL Analytical, Inc. _ 1010 ria atrmt nam W.00 dazes Ttl)F>g (383) 746-57M 1(3831741-14M NWritbN.918Loom 1 dem emi&Quastrnm EMSL Order 2219MMe Customer ID: JDFL42 Customer PO, Project 0}: Test Report Asbestos Analysis of Bulk Materials via EPA 600/R,93116 Method using Polarized Light Microscopy era" wove oeca%7bm Aar»aralma %Fibm:1: %Non41brom %IYW 6-19m.05-M=C 1 BAR My Smarr 188% Nan4bm s looter) Norm 0eteded SSUMM Wh{t mop—Fftna tamoso .Ouw Pacelatr Tse Nanopenema Baseboom &IUMO5-6AaM2 Baze"U2 NW Whir •33% r tOaRr) mom DEtected None Oetclmd Bettors Whit Nurforous Nat--wous 22foo.an.l= Pomel m Re Baseboard Hartopmeous Pmeelart Tte &j9l3PJ.46.Oeranle Baserner¢Nw NAdt 100%Non4bmrstome+) honeDetstd Tile BaCam WhIL Non-F8rm6 2% cwywft srrol0aa[ade ParceIN&t Tit Baseboard HonvIgemou5 15% Ce Carbora t &19.DM-O&-T1Yh6et Basel."" NW 17taEile 138E Ca Car1x.te None DEtE h!d a5%Norroseaa (Omr) Baavrn Whit Nmt-Fvrorn 91%Ncr--b—'Omer) r.+m8.soaaaau Pamelalr Tie Hmfopertbus 6-19A99.054WIM2 >`19 053.06 -Masts 1 ease-lew. My Gray !M,% None Oetclmd Now-UGrs Bvlhrm Whte Nat--wous 3; 1sormsassr Hprmpmrom vtwsemo® Pmeelart Tte Hawpenema Baseboard 1t" to 15% Ce Caftraft 2% cwywft 6 19.D59.00rMud Base -ler. NW While 15% Ce Carbora t Nage ^et+w Ho"I geneous Baaom Whet mo"-Ftram a5%Norroseaa (Omr) a:+eoemsdaw Pacelasl Tie Baseboard Hclrnpmemm 6-19A99.054WIM2 Same.-Krl-IVA 8r tum Nareaeas (Cate" None Oett12d Val - Pr* 0ryltal SNDIOW Whit Nat-FhraG az++nmsamra aluamssdslo Pacetlt Re Hahope = 6-19A�.0&Tetmpe Sesa'neM KnCrATI E Wh°e 6-19. .O6 CaWR Basement tt'N Wvhft t68% Nvn4mIms (orae" Nam Detect ed Baha" white NorrFtrora 3}1XY006a1aS Pacetaat TAe Haropenepus 6-19AS.07-Texue Base.lot Kl4hen E YMIE 15% Ca Carboni 3!b CNysoG7e Waft - Ph1 crrw 3 Now-UGrs 83% Non4maa IOmer) 3; 1sormsassr Hprmpmrom lral—W.P-d/- UV An. kd ftd n rrrtm 6.19A59.O -Art Base*7ery Water E 1t" to 15% Ce Caftraft 2% cwywft LY1r1'701f10 L"I-Pti CMra] 83% Nmflvas 108rer) Ho"I geneous T?170aapaAGarA tnrnQrtaryaa7� iglr�r 1a�YcCro rr r.ryti 6.19. 1.D'F-[�Ip2L Base-IV?KadtmE Moor 15%CelUmse 65%Gyparvrl loot Detected Val - Pr* 0ryltal Nowt- ous 20% Noe46rous 1091c) az++nmsamra Namopmear6 6-19A�.0&Tetmpe Sesa'neM KnCrATI E Wh°e 15% Go Carbomfle 2% Creysone WYI-Pra or" Nomftraus 83%Nw-brous 10me) alIIIIDO e -.r Ho"opmemm Altamaha Par" Iv A-M:.'%l:w w 0 rnrrab 6.19A93.D8IUM BaSETWIt KhdME YEOdt 15% Ca Carbomme 2%C"S'vve CMFPD a Wall - Ph1 Cryvad Nor .txm 83% Na-16mrs (Omer) 2T10ormsemm Homoprnrous ra "WidJr 0 -91 -Al -V dAP&Aladw S mlrrm 6-19A59. BaselnertKBtlierIE Smaff"VAt t5%Cemose 65%Grow" NO"oe4mftd Mei - Pled Cwnd FFmmus 20% Nmt4eas4011ie" 2"U040 40CID Hamopeneam 6-19AMA9-TeRWR Saserde. KBdtnE VaTte 15%Ca Carloormle 2%ClvysoLqt WEI - Pink 6ryw Nae-FbmtG 83% Naeflbrois(OthW ulramsedm "amogen— (&AW .Wmtftm 86+0713819 21:1528 ASP PLA 1%10 0001 - 1.78 FrOde d: SM2019 715 Pal PRW 2 of 7 EMSL Analytical, Inc. _ im nasi Sued Demro,, co BMW TCUFasc (303) 740-57M 1(3033) 741-1400 It�alaw.t3a8Lamn f detntrfab�ernsl.00m EMSL OFder: 221204508 Customer ID. JDFL42 Custarer PO: Protect ID- Atte3 Sm— Jacque Dussu Phone: ?720) 503-37012 Jacqueline Dusrsex Fax: PO Banc 694 Reeehed pate: 08/0612019 4:05 PM Fort Lupton, CO 80621 Analysis Date: 081071'2019 Fftrnms Collected Date: Project 6-19.CZ913941 Routt St lMleabidge. CO BOD33 Fest Report: Asbestos Analysis of Bulk Materials via EPA 6OOfR-931116 Method using Polarized Light Microscopy ianpa Oaaayman Apptarmoa %Ftbrouc %Not.r:gmats Aanaatac % TAR 6.19.65.01-CWPF.t Basemerr. E Great :+. m 05% SyrahtCc 15%mon-maps 40merj None Detected Pon - Green Carpet Fftrnms vno-tss.ame Hortogerxms 6.19DS.01443mC Baserwa E Great Tarvyle m Inc%Nom-aprors (Other) None Detected Rm - Green Carpet Nmrftroos T.taPaiaaafA Hammgeneous 6 -19 -MMI -Pad Basement E Gnat Yelow 1110% N0114tros (Other) Nose Deteded RM - Green Carpet Non-Ftross z^rwsaamaea HomMeneous &19199.M4Ca fI¢t Baumera E Great Green 95% SyrCfeOc 5%NmHb mz (00H9) None Detected Rm - Green Carpet No -Ftrom axaw3ra4m7 Homogeneous &19.059.^' ""'^ BasensemE Great Tan 111001 NW-JNUW tOtherl None 7etetfrd Rm - Green Carpet "on Ftroas rrsaass4maA Homogeneous 6.19.095.02 -Pad Base -era E Great tlerurr 109%NarStrus (Ottrer) None Detected firm - Green Carpet Nmo-Ft wo s ]Alaaraaa.00affi Homogeneous 6.191i5sJ.W4CaPd Bast^sva Ow Bed— Gad 85% 8yr>useuo 15% NaMtros (Otte) alone Deteded Gold cape[ Non-9Crois rnaeVaaf a9ai Hor7ogeneous 6-19-059.03-mawc Baserser SWSedrrs Tan 100% Nmrldess(OMj None Deed Gold Carpet No -FbWs 271a0ma601aat Homogeneous &19DS9.03-Pati BaR'xm SW Be" Yetov 10% Nom!tros lOute) Nose Deteutrd God Carnet Non-Fbram Z"aatra41sar Horopeneous rr19Ds.06-ca t Base—wo Bw Be" Gds 95% effl*w0c 5% mon- o (Outer) Nome Detected Goa! Carpet F%mss 7: � Homogeneous 6.19m5&(x4MaS9C Base'neri 8W Sed"n Tan 100%Non4tt u )Others None Detected Goo Caper Nor--trom Hong mu; 6.191010d -Pad Base -era SW Beam Yelm 100% Nm4bro s t6usQ) None Detected Gnat Carpet Nora -Ft rom z^ne.ma4aar Homngmeous 6-19.059.054O2raft BdsernerdNW Whae i110% Nomamos totter? None Detected flier Battmm WhFm NmFtrom a7raorssaox Pocetmn T1e Baseboard Hoeopmeaus &191M.45 -(al/[ Baer. ern NW War too%Norltrotstourtfl WO Detected Baume Whft No -Mus vnuaraaoaa Psceten ne Baseboard Hpmsugeneous 619D59.05-7TInset Basem&.. NIN W, to 29% Ca Carbonate Marc Detelled Baucom wits Noe=Ensco 80% Nmlbros (Othar) 2916SSSQSa Fu cetsa Tie Hcrtsogrreous Baseboard G" redact *arms- W07120iS 21ASM A.B P—I m Gis;B 000+ - t7e Rr led: 5712'019 7:15 PM Paw 1 orT 9.0 Homogeneous Areas Table — Page 1 HA - Homogeneous Area SM - Surfacing Material G - Good ND - Non -Detect MM - Miscellaneous D - Damaged C. - Chrysotile TSI - Thermal System insulation SD - Significantly Damaged HA40 Sarrrpie Material Description Sample location Material Material Appmxunate Friable oe Asbestos Nu Classification Condition Quardh) Non -Friable Content 1 01 Green Carpet Basement Level MM D 300 SF Non ND E_Great Room 1 02 Green Carpet Basement Level MM D 300 SF Non ND E.Great Room Gold Carpet Basement Level 2 03 S.WBedroom MM G 110 SF Non ND 2 04 Gold Carpet Basement Level S.WBedroom MM G 110 SF Non ND 3 05 White Porcelain Basement Level Tile Baseboard N.W.Bathroom MM G 25 SF Non ND White Porcelain Basement Level 3 06 1 -de Baseboard N -W -Bathroom MM G 25 SF Non ND 4 07 Coarse Grange Basement Level Peel Texture Kitchen E.Wall SM G 80 SF F 2% C. Joint Compounds Basement Level Joint C-= A 07 Pink Drywall Kitchen E.Wall MM G 80 SF F 2% CJND 4 08 Coarse Orange Basement Level Peel Texture Kitchen E.Wall SM G 80 SF F 2% C. Joint C.= Joint CoinpoundV Basement Level A 08 QWNWl Kitchen E.Wall MM G 80 SF F 2% CJND 4 09 Coarse Orange Basement Level SM G 80 SF F 2% C. Joint C.ampoundl Basement Level Joint C.= A 09 Pink DWMI Kitchen E.Wall MM G 80 SF F 2% CJND 5 10 Popcorn Texture Basement Level SM G 515 SF F ND E.Great Room Ceiling B 10 Joint CornpourW Basement Level MM G 515 SF F ND Puck Drywall E.Great Room Ceiling 5 19 Pop. Texture Basement Level SM G 515 SF F ND N_E_Bedroom Ceiling 9.0 Homogeneous Areas Table — Page 2 HA - Homogeneous Area SM - Surfacing Material G - Good ND - Nan -Detect MM - Miscellaneous D - Damaged C. - Chrysotile TSI - Thermal System Insulation SD - Significantly Damaged Nh# Sample Material Description Sample Location Material Material Approxenate Friable or Asbestos Num CLass'iication Condition Quantity Non-FriaN Cordent B 11 Joint CarrPOWN Basement Level MM G 515 SF F ND Pink Drywall N.E.Bedroorn Ceiling 5 12 popcorn Texture Basement Level SM G 515 SF F ND S.W.Bedroom Ceiling Joint Compound/ Basement Level B 12 Pink til S.W.Bednoorn Ceiling MM G 515 SF F ND 6 13 Popcorn Texture 1° Level E.Family Room Ceiling SM G 850 SF F 2% C_ A 13 Joint Compared/ V Level E_Fantily Joint C_= ;'ink Drywall Room Ceiling MM G 850 SF F 2% CJND 6 14 Popcorn Texture 1" Level S_EBedrwn SM G 850 SF F 2% C. Ceding Joint CompwxV 1" Level S.E.Bedroom Joint C_= A 14 Pink Drywall Ceding MM G 850 SF F 2% CJND 6 15 PoAeorn Texture 1" Level N.W.Master SM G 850 SF F 2% C_ Bedroom Ceding Joint Compoundl i" Level N_W_Master MM G 850 SF F Joint C.= C 15 White DryaW Bedroom Ceiling 625 SF F 2% CJND 2% C_ 7 16 SmooffxZ nge- 1"Level S_W_Dining - - SM G Peel Texture Roux N.Wall Joint Compound/ 1" Level S_W_Dinirg Joint C_= C 16 white Drywall Room N.Watl MM G 625 SF F 2% CJND 7 17 a 1" Level Krbchen S.Wail Texture SM G 625 SF F 2% C. A 17 Joint Cdr 1" Level i daw S.Wal 9.0 Homogeneous Areas Table - Page 3 HA - Homogeneous Area SM - Surfacing Material G - Good ND - Non -Detect MIIA - Miscellaneous D - Damaged Anth. - Anthophyllite TSI - Thermal System Insulation SD - Significantly Damaged C. - Chrysotile, HA# Sample ----------- Material Description Sample Location --- - ------- Material Material APPI130mate Friable or Asbestos Nu ClassffioaWn Condition I 0-rillity Nm -Friable Content 8 19 Beige/Gray Vinyl I- Level N-W.Master MM G 25 SF F 30% C. Linoleum Flooring Bauvwn 8 20 Beige/Gray Vinyl 1" Level N.W.Master MM G 25 SF F 25% C. Linoleum Flooring Bathroom 1'EWge 1' Leve! Guest 9 21 -S*— PattenBathroom Flooring MIA SD 30 SF F ND I Mnyt Lindeum 9 21 2nd Law, Ek4w V Level Guest VffYA Undeurn Bathroom Flooring MM SD 30 SF Non 45% C- 9 22 1' Lay- Beige Im Level Guest MIA SD 30 SF F ND Sq— Pattern Bathroom Paring 9 22 2nd Layer Beige 10 Level Guest MIA SD 30 SF Non 35% C. Vinyl Linoleum Baffiroom Flooring 10 23 While 4- Cove Im Level Guest MM SD 15 SF Non Tan Mastic= Base Bathroom 4%Anth . 10 24 White 4* Cave I" Level Guest MA S6 15 SF Non Base Bathrucim Tan Mastic= 4%Anth. Light Blue I" Level Guest 11 25 Porcelain Tile Balthruorn Stxmw MM SD 75 SF Non Surround SD 75 SF ND 11 26 Light Blue 1JLevelN.W-Master MM Non ND Porcelain Tile - 12 27 White 12x12 Tile I- Level Foyer Flooring MM SD 345 SF Non ND 12 28 White 12A 2 Tile V Level Flooring Kitchen MM SID 345 SF Non ND V Level Kitchen 13 29 Black/Silver CounLaftp MIA D 55 SF Non ND Granite Slab Glue 13 30 Black/Sitver 1" Level Kitchen MM D 55 SF Non Granite Slab Glue Backsplash ND A 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: c r-� Job Address: Cl `4 ✓UC. , ��— Permit Number: E I C' —] L, ❑ No one available for inspection: Time ; 4 AM/PM Re -Inspection required: Yes No`% When corrections have been made, call for re -inspection at 303-234-5933 Date: r� IQ 0 * 14, Inspector: 11i 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: r -r �'"� Job Address: C1 `( 1�- Permit Number: ❑ 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- Date: - 03 -234 -Date: �Q U ' I ! Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE 1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: '~ C V -w JobAddress: `` r` U v S Permit Number: \Ci C) 0 ❑ No one available for inspection: Time r `, AM/PM ^s Re -Inspection required: Yes-, No When corrections have been maple; call for re -inspection at 303-234-5933 C Date: ' � cam, - � Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201900786 ERMIT NO: 201900786 ISSUED: 04/25/2019 OB ADDRESS: 3941 Routt St EXPIRES: 04/24/2020 OB DESCRIPTION: Replace asphalt shingles, 4/12 pitch, 33 squares total **REVISION: Adding redecking, 4 squares; No added valuation ** CONTACTS *** WNER (303)862-1777 SISCO DEAN & CLARA UB (303)425-1083 Matthew Rock 017908 Rock's Roofing Inc. ** PARCEL INFO *** UNE CODE: UA / Unassigned USE: UA / Unassigned UBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / ** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,481.00 FEES Dtal Valuation 0.00 se Tax 178.10 =rmit Fee 188.45 * TOTAL ** 366.55 ** 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% 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% of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201900786 PERMIT NO: 201900786 ISSUED: 04/25/2019 JOB ADDRESS: 3941 Routt St EXPIRES: 04/24/2020 JOB DESCRIPTION: Replace asphalt shingles, 4/12 pitch, 33 squares total **REVISION: Adding redecking, 4 squares; No added valuation 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 operty and am authorized to obtain this permit and perform the work described and approved in conjunction with thispermit. I furthe st that I am legally authorized to include all entities named within this ocument as parties to the work to be performed d all work to be per for is -disclosed in this document and/or its' ac ompan ong approved plans and specifications. Si ature 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. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing, and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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 re uired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. A IF Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City Of W heat midge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: �/ V Add to Permit # 400 " _ Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Property Owner (please print): OACiur�� t --.c (�p Phone:3n r2� —'F(c Z - Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Contact Person: Phone: �� �7 /6� Contractor: Contractors City License #: C) \1 � a Phone: eX Contractor E-mail Address: f ((JKS b i Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: pin'vlib — Sq. Ft./LF Amps Yom, c�e.c" Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED PRINT NAME:iV-,,.71i. o1 r ZQ5 SIGNATURE: i DEPART60 ZONING COMMMENTS: Reviewer BUILDING DEPARTMENT COMMENTS Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required ATIVF,) of (OWNER) (CONTRACTOR) i�� DATE: 19 USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ City of Wheat Ridge Residential Roofing PERMIT - 201900786 ERMIT NO: 201900786 ISSUED: 04/25/2019 OB ADDRESS: 3941 Routt St EXPIRES: 04/24/2020 OB DESCRIPTION: Replace asphalt shingles, 4/12 pitch, 33 squares total **REVISION: Adding redecking, 4 squares; No added valuation ** CONTACTS *** WNER (303)862-1777 SISCO DEAN & CLARA UB (303)425-1083 Matthew Rock 017908 Rock's Roofing Inc. ** PARCEL INFO *** UNE CODE: UA / Unassigned USE: UA / Unassigned UBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / ** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,481.00 FEES Dtal Valuation 0.00 se Tax 178.10 =rmit Fee 188.45 * TOTAL ** 366.55 ** 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% 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% of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201900786 PERMIT NO: 201900786 ISSUED: 04/25/2019 JOB ADDRESS: 3941 Routt St EXPIRES: 04/24/2020 JOB DESCRIPTION: Replace asphalt shingles, 4/12 pitch, 33 squares total **REVISION: Adding redecking, 4 squares; No added valuation 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 operty and am authorized to obtain this permit and perform the work described and approved in conjunction with thispermit. I furthe st that I am legally authorized to include all entities named within this ocument as parties to the work to be performed d all work to be per for is -disclosed in this document and/or its' ac ompan ong approved plans and specifications. Si ature 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. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing, and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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 re uired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. A IF Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City Of W heat midge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: �/ V Add to Permit # 400 " _ Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Property Owner (please print): OACiur�� t --.c (�p Phone:3n r2� —'F(c Z - Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Contact Person: Phone: �� �7 /6� Contractor: Contractors City License #: C) \1 � a Phone: eX Contractor E-mail Address: f ((JKS b i Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: pin'vlib — Sq. Ft./LF Amps Yom, c�e.c" Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED PRINT NAME:iV-,,.71i. o1 r ZQ5 SIGNATURE: i DEPART60 ZONING COMMMENTS: Reviewer BUILDING DEPARTMENT COMMENTS Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required ATIVF,) of (OWNER) (CONTRACTOR) i�� DATE: 19 USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ i CITY OF WHEAT RIDGE _��9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: t N-2C(i a j', " 1.'i s Job Address:' i K? Sk Permit Number:,, 6 0-'1 i el �f F ❑ No one available for inspection: Time /,,) _3 --)' AM/PM Re -Inspection required: Yes° _ When corrections have been made, call for re -inspection at 303-234-5933 Date: `�' 1 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:" ' `TG'0� Job Address: Y'C>v �- S Permit Number: CD I e 0 0 -7 4 � ( }" c.? % Vim, CJI...•i `e w � Y :',s't� rf"Y, (' r`l !�%li, � ) C_ � f � �' _� c,' rte• J yl 1;7 t/ L, ❑ 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: Inspector: ®O NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201900786 s PERMIT NO: 201900786 ISSUED: 04/25/2019 JOB ADDRESS: 3941 Routt St EXPIRES: 04/24/2020 JOB DESCRIPTION: Replace asphalt shingles, 4/12 pitch, 33 squares total *** CONTACTS *** OWNER (303)862-1777 SISCO DEAN & CLARA SUB (303)425-1083 Matthew Rock 017908 Rock's Roofing 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: 8,481.00 FEES Total Valuation 0.00 Use Tax 178.10 Permit Fee 188.45 ** TOTAL ** 366.55 *** 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% 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% of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201900786 PERMIT NO: 201900786 ISSUED: 04/25/2019 JOB ADDRESS: 3941 Routt St EXPIRES: 04/24/2020 JOB DESCRIPTION: Replace asphalt shingles, 4/12 pitch, 33 squares total 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 permit. I further attest that I am legally authorized to include all entities named within this document as partes 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 tee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance r regulation of this jurisdiction. Approval of work is subject to field inspection. a Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Vv ` Kimberly rl Cook t- From: no-reply@ci.wheatridge.co.us Sent: Thursday, April 25, 2019 10:36 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Kim Residential Roofing Permit Application This application is exclusively for new RESIDENTIAL roofing permits and for licensed contractors only. Permits are processed and issued in the order they are received. You will be notified if your contractor's license or insurance has expired. The license and insurance must be current before the permit will be processed. 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. The Building Division permit counter is open from 7:30 am to 3:30 pm, 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 RESIDENTIAL reroof permit? How many dwelling units are on the property? Yes Single Family Home PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address 3941 Routt St Clara Sisco 303-862-1777 rocksroofinginc@hotmail.com Do you have a signed Yes contract to reroof this property? CONTRACTOR INFORMATION Contractor Business Rock's Roofing Inc. Name Contractor's License 017908 Number Contractor Phone 3034251083 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address rocksroofinginc@hotmail.com Retype Contractor Email rocksroofinginc@hotmail.com Address Credit Card Authorization Building Division Credit Card Authorization Form.pdf Form DESCRIPTION OF WORK TOTAL SQUARES of 33 the entire scope of work: Project Value (contract 7 0 value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or both? (check all that apply) What is the specific pitch 4/12 of the PITCHED roof? How many squares are 33 part of the PITCHED roof? Describe the roofing Atlas materials for the PITCHED roof: z Type of material for the Asphalt PITCHED roof: Provide any additional Remove and replace existing shingles. Install Atlas roofing detail here on the system. description of work. (Is this for a house or garage? Etc) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have 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. 9 Person Applying for Matthew Rock Permit Email not displaying correctly? View it in your browser. ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSP CTI N NOTICE — Inspection Type: a Job Address: Permit Number: 9 ' n e ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No When corrections have been made, call for re- inspection t ` Date: f f Sr `" I spector: DO NOT REMOVE THIS NOTICE 303 - 234 -5933 ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: IVY1 t Ile Job Address: Permit Number: r } 4 / e? ❑ 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: /V 51_111, / 0 9nspector: f f DO NOT REMOVE /S NOTICE a t / r. ~ CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office ' (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: V1,11Ata, Job Address/Permit Number: e7y ~/y t7 P rise ~,'4pV1 0 6- A sa s 4A A;xr, r IM fyI9411 is(, MPro',` ❑ No one available for inspection: Time AM/ M Re-Inspection required: es No 'When corrections have been made, call for re-inspection at 303-234-5933 Date: Inspector: L~Lj DO NOT REMOVE THIS NOTICE City of Wheat Ridge r4000or Residential Roofing PERMIT - 091740 PERMIT NO: 091740 - ISSUED: 08/27/2009 JOB ADDRESS: 3941 ROUTT ST EXPIRES:. 02/23/2010 DESCRIPTION: Reroof,14 sqs ***CONTACTS owner Dean Sisco: sub.. .303/880-2068 Mike McGuire 09-0276.Concreations Inc. PARCEL INFO ZONE CODE: UA .'USE: UA SUBDIVISION: 0194. 'BLOCK/LOT#: ;0/. **:FEE SUMMARY ESTIMATED PROJECT VALUATION: 3,500.00. FEES Permit Fee 126.50 Total Valuation .00 Lj>C)Cal~3 Use Tax 63.00 TOTAL ......189.50 Conditions: 6 nail 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. Subject to field inspections. 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 hat `I assume full responsibility for.. compliance with the Wheat Ridge Building Code,.(I.B.C and all other applicable Whe t Ridge. Ordinances, for work under this permit. Plans subject to field inspection. i Signature Le/f contractor/owner date 1. This permit was issued in accordance with the provisions. set forth in your application and is subject to then 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 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 exceeded one (1) year: If changes have been or if suspension or 'abandonment exceedsone (1)' year,. full fees shall be paid for a new 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 thejob. - 6. 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 is s ject to field inspections. Signature of Chi ding Official ' date INSPECTIOT LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS. MADE BY 3P M ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Q 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 Building Permit Application Date: Plan Permit Prdperfy Address rliJee<~/14A,, ©~dO~ j Property Owner (please print): 1714aJj; SGC~ Phone: Mailing Address: (if different than property address) Address: r\ !r City, State, Zip: Contractor: 6411611?111 S 3; G, Contractor License Q 6(- p 27 (p Phone( 3cy.) ~j~~7 -Z!1(o 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: $ DeSCrption of WOI,'k2 (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: Squares J_q_ BTU's Gallons Amps OWNERICONTRACTOR 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. C/RLCE ONE:: (OW ER) (CONTRACT ) or PERSONAL REPRESS ATIVE of (OWNER) CONTRATOR) PRINT NAME: o-_ SIGNATURE: Date: Bldg Valuation: o a m i m Z ~ rn C m a o~ m c S 5 m ~ ~ ~ ~ ~ c 0 t m m ~ v~+ a C 3 N l~D ~p ~a 3 3 0 a~ ~ o ~ t m ~ os tC 92. 7 I~C < O m O ~ N ~ ~ <z °c S'v m r fc ~ < o w e ° 3aq a m rt ow ~ to~ _ < fl' O ~ .Ol+. fH 7 M H C i e n~ ~d ~a ~s o (D ~ tN `D 3 m • N N ~N to d O 7 < a ♦ ♦ r-, ~ rop O ~ 0 ~ ~ ~ =W aiN - v m C on v ~ Z ~ i v ~ ~ 3 Z Mi COMMUNITY DEVELOPMEN7 DEPARTMENT Building Permit Number : 16770 BUILDING INSPECTION LINE -(303-2345933) Date : 8/26/2003 CITY OF WHEAT IRIDGE 7500 WEST 29TH AiVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: DEAN SISCO Property Address : 3941 ROUTT ST Phone : 424-6991 Contractor License No. : 19569 ' Company : Candlelight Electric Phone : 935 9841 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiTy that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of W heat Ridge or covenants, easements or restrictions of record; that all measuremenls 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 cortlPliance with the W heat Ridge Building Code (U.B.C.) and all other applicable Wpheat Ridge ortlinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE`7 O Construction Value : $2,800.00 Permit Fee : $108.30 Plan Review Fee : $0.00 Use Tax : $33.60 Total: $141.90 Use: Description : 200 AMP O/H SERVICE CHANGE. FIX BURNT W IRED TO KITCHEN LIGHT. INSTALL 2 GFI OUTLETS BIJILDING DEPARTMENT USE ONLY , SIC : Sq. Ft. : Approval: Zoning : ComSnerj#s Approval: P,Vb1iC WorWGommen'ks:` Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiration Date : Ekpiration Date : Expiration Date : Approval: Approval: Approval: (1) This pertnit was issued in accordance with lhe provisions set forth in yopur application and is subject to iFre laws of the Stale of Colorado antl to the Zoning Regulations and Builtlin9 Code of Wheat Ridge, Colorado or any other applicable ordinances of the Ciry. (2) This permit shall expire if (A) lhe work authorized is not commenced within sizty (60) days from issue date or (B) the building authorized is suspendetl or abandoned for a period of 120 days. (3) If this Dermit expires, a new permit may be acquiretl for a fee of one-half the amount normally required, provide0 no changes have baen or will be made in the original plans and specifcations and any suspensipn or abandonment has not exceeded one (1) year. If changes are made or it suspension or abandonment exceeds one (1) yeaf, full fees shall be paid for a new permit. (4) No worK of any manner shall be done that will chan9e the naturai tlow otwater causing a dreinage problem. (5) Contraclor shall notiy the Building Inspector hventy-four (24) hours in advance tor all inspections and shall receive wntlen approval on inspection card before proceediing h successive phases of the job. (6) The issu e a permit he appmval of drawirj7s and specifcations shall not be construed to be a permit for, nor an approval ot, any violation ot the provisio ot e des or any other ordinance, law, rule or reguiation. i Chief Building Ins ector Please sign Terms and Conditions on reverse side of page. DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION LINE - 303-234-5933 Cil'`( OF WHEAT RIDGE Date : 7500 WEST 29TH A'VENUE WHEAT RIDGE, CO 80215 - (303-235-2855) QPPLIG lo Property Owner :DeA4 :5.'4 t' o Property Address : ,j4ie-/ I P-,;t p f-J' S~', Phone : 3c3 - f4 2-4 ' &y~/1 Contrac;or Licensz No. : tl j L7 CompanY CAhilIt'Phone OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value :?,660 ~ I herehy certify that the setback distances proposed hy this permit application are accurate, and ao not violate applicable ortlinances, rutes or regulations of the Ciry oi Wheat Ridge or covenants, easements or resVictions of recortl: tha[ all measurements shown, and allegations made are accurete; that I have read and agree to aoitle hy all conditions printetl en this apoiication, and ;hat I assume iull responsibility tor compliance with the Wheat Ritlge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED~ DATE Y'_ Permit Fee : US@ I aX : Total : Use: ' i ti n: 2 D ~ C)f N St',LrJ~ t- ^ C G7,Q.,.T~~, ~ escr p o , . I „lirrG~ f BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Approval: Zoning : 6~[~~tenfs~ Approval : Approval : Occupancy : '.',alls : Roor : Stories : Residential Units : Electrical License No : Company: Expiration Date : Approval : Piumbing License No : Company: Expiration Date : Aporoval : Mechanical License No : Company : Expiration Date : Aporoval : (1) This pertnit was issued in accorCance with the prorsions set forN in yo0ur appliration antl is sublect to Ne laws ot Ne State of Coloratlo and ta Ne Zomn9 Regulatlons and Builaing CoCe of Wheat Riage, Colo2do or any other applica0le ortlinances of the Ciry. (2) This pertnil shall expire d(A) Ne work auNOnzeE is not commenced within sixly (60) days from issue date or (B) the Cuilaing auNOnzed Is susFended or ahandaned for a penotl ot 120 days. (3) It this pertnit expires, a new permit may be acpuiretl for a fee of one-half tne amount normalq reQUireC, pmviCed no changes nave been or will Se made in the onginal plans anG speafications anC any suspension or ahandonment has not exceedeG one (1) yeac If cnan9es are matle or if suspension or aoanCOnment exceeas one (1) year, lull (ees sha11 Ce paitl tor a new pertnit. (s) No worK of any manner shall he done Nat will Uange Ne natural Aow of water causing a Oraina9e pmblem. (5) Contractor s0all notlfy Ne Builtling Inspector twenry-four (24) hours in advance for all inspectians anE snall receive wntten appmval on inspeclion wrtl hefore pmceeCiing With SUCCeSSiVe pha3eS of Ne job. (6) The issuance ot a pertnit or Ne appmval ot d2wings anC s0ecifintlons shall not be constmeE to be a pertnit for, nor an appmval of, any violatlan ot Ne provisions ot the 6uilding coCes or any otlier orEinance, Iaw, mle or regulafian. Chief Building Inspectar I COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 76238 BUILDING INSPECTION LINE -(303-234-5933) Date : 9/19/2003 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: CLARA DEAN SISCO Property Address : 3941 ROUTT ST Contractor License No. : Company: Phone : 424-6991 Phone : OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are acwrete, and do not violate applicable ordinances, rules or regulations of the City of W heat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurele; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance witp the Wheat Ridqe Building Code (U.B.C J and all other applicable W eat Ridg ordinances fg(r work under this permit. 11 (OWNER)(CONTRACTOR)SIGNED~ / DATE Description : NEW ATTACHED CARPORT Construction Value : $2,500.00 Permit Fee : $108.30 Plan Review Fee : $0.00 Use Tax : $50.00 Total: $158.30 Use: 91-Zoni n g +~oi?~ments; Approval: Zoning : Butl4lin9 CO~+nasnts:' Approval: DM Rubllc Vya'rks Coinments:, Approval : Occupancy: Walls BUILDING DEPARTMENT USE ONLY SIC : $~t. : ~af%r%~'~opo~ 5e ~~~e ~O, ~~cc~~a'nvaa<a~ OK PER REDLINES. 9119103~~1~;~~3° \lt~ cd p~~~ te`Q , e p~'a~' aLCU;:= . ~~r Roof : Stories : Residential Units : Electrical License No Company: Expiration Date : Approval: Plumbing License No : Company : Mechanical License No : Company : Expiration Date : Approval: Expiration Date : Approval : (1) 7his permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to lhe Zoning Regulalions and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (80) days from issue date or (B) the building authorized is suspended or abantloned tor a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half lhe amount nortnalty required. providad no changes have been or will be made in the onginal plans and specifcations and any suspension or abandonmenl has not exceeded one (1) year. If changes are made 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 will change the natural Flow of water causing a drainage problem. (5) Contractor shall notify the 8uilding Inspeclor hventy-four (24) hours in advance for all inspections and shall receive written appmval on inspeclion card before proceediing with successive phases ot the job. (6) The issua of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nar an approval of, any violalion of lhe provisio of lhe b iltli odes or any other ortlinance, law, rule or regulation. e Chie Building I ector Please sign Terms and Conditions on reverse side of page. of WHEqT COMMUNITY DEVELOPMENT DEPARTMENT Building Pertnit Number: i ~ BUILDING INSPECTION LINE - 303-234-5933 Date: CITY OF WHEAT RIDGE u m 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2555) °oc oa aoo y r f~PLy~~y+~iy~~~y l l.Pi 3 S l79 V ~ Proper[y Owner: q r ci. n S i S c p Property Address: 3 941 N0 u7~ STr(~ a g~.3 .3 Phone : C o n t r a c t orLi~ ic se o.: rl °(g p> YV1 n q I P. 0, )3 aX~9r ~L~ r n7 r 1✓~ i°. L v0 Phone: 31t_I'tP OWKEWCONTRACTOR SIGNATURE OF UNDERSTANDINC ARD ACREEMEM1T 1 hereby certify that the setback distances proposed by this pertnit application are accurate, and do not violate applicable ordinances, iules or regulations o([he Ciry of V✓heat Ridge or covenams, easements or restric[ions of record; that all measurements shown, and allegations made arc accurate; that 1 have read and agrce to abide by all conditions pnnted on this application and that 1 assume full responsibiliry for compliance with the Wheat Ridge Building Code (U.B.C) and alI o[her applicable Wheat Ridge Ordinances, for work under /this permit. / (04VNERHCONTRACTOR):SIGNED_~d/~/ . ATE / "/9'Q3 (0N4TERHCOMRACfOR):PRIMED(f/ ~Arq ~P(7tl SISC~DATE/ DESCRIPTION: ~~r~ ( vo ~onstruction Value:$ 2~00'00 Permit Fee:$ ! 08; s`n Plan Review Fee:$ Use Tax:$ TOt31:$ ! BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: ZONIN6 COMMENTS: Approval: Zoning: BUILDING COMMENTS: ApprovaL• PUBLIC WORKS COMMENTB: 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: (q This permit e'az issued in accordance with the provisions set foM in yow applicaoon and is subject to Ihe laws ofthe Sute ofColoado and to the Zoning RegWation5 and Building Codes of Wheat Ridg<, Cobrndo or any olher ayplicable ordinances of thc Ciry. lliis permi(shall enpirt if(A) Ihe xork aulhonztd is not commenc<d wilhin sizty (60) days from isme date or (B) Ihe building auNOtiz<d is suspended or abandoned for a penod of 120 days. (3) If this pemiil capires, a new pemiit may be acquired (or a fte ofonahalf Ort amoum normally required, provided m changes have been or will be made in the onginal ylans and specifications and any suspension or abandonmrnt hu nol exceeded on< (1) year. if changes have been or i( suspension or abandonmem exeeeds one ( q year, full Res shall be paid for a nex pemiit. (4) No work of any manner sLall be done ihat will chvige the namnl ilow o( wamr causing a drainage problem. (5) Convacror shall notiry Uu Building Inspecbr twenry-four (24) hours in adrann tor all inspecfions and shall ¢ceive wdtkn approval on inspection card beforc procttding with suaessivc phazes of Jmjob. (b) Tha issuance of a pemiit or the apyroval of dnwings and specifications shall not be conswed m be a permit for, nor en appmval of, any violation of the provisions of dic buiiding <od<s or any othn ordinance, law, rul<or rcgulation. ~ Chief Buil ing Ins ~ tor Chapter of the International Code Council How to Use this 6uide Provide two sets of plans and complete the following: 1 Compiete this Building 6uide by filling in the blanks on page two, and indicating which construction details wiil be used. 2 Provide 2 Plot Plans (site plan) showing dimensions of your project or addition and its relationship to existing buildings or structures on the property and the distance to existing property lines drawn to scale. 3 Fili out a building permit application. The majority of permit applications are processed with little delay. The submitted documents will help determine if the project is in compliance with building safety codes, zoning ordinances and other applicable laws. , The Colorado Chapter ot the International Code Council is a professional organizatbn seeking to promde the public heafth, satery and welfare to building construction. We appreciate your feedbadc ' ,R_~ •`q}Y~ t and suggestiau. To obiain a master copy of this buiiding guide, please wrde to the j r ~•~~a t~~y -sv.'• Cobrado Chapter d the Irdemational Code Counal, P.O. Box 961. Arvade, CO 80001. This handout was developed by the Coloredo Ory o'Wbent 4(j~gc Chapter of the International Code Council as a ~gung ~Divisiort ~ o basic plan submittal under the 2000 International 5001 .19"t1ve. Residential Code. Ii is not intended ro cover all 44.Keat RiQge, CO 80033 ~ circumstances. Check with yoUr Department ot (303)235-2855 o1 0a.0~ Building Safety for additionai requirements. 1 a✓i eroz m 1e Family R' d• ♦ atio Covers k Carports • DII'CC~OIIE 1. Fill in the blanks with dimensions and materials which will be used to build the structure. Please print legibly. 2. Indicate in the check boxes which details from page 3 will be used. Please note if any of the sides of your carport addition are closer than 3'-0" to the property line, that side of the carport must be endosed with a solid 1 hour fire rated wall as shown in Alternate Details B and C. You must however, keep at least two sides of the carport open to mnform to the bullding code requirements. Zoning approval is required. a. Roofing to be installed per manufacturer's instructions, induding low slope application and required inspections made. Roof coverin ~ Underlayment exemple. 1essA3taCSliingles) (erampe: ieyers i r elY 1 ~ Fi Sheathing '/•r' ~ ~ 12 (e~mp~PC''ealenwdl'~'~l ~ ~ pitch ~ ~ 2x 6 rafters spaced" O.C. Q~ (ewnWe:PxBmRersspnted2l' Cl • l Overhang No closer than 2 feet to property line : ~ • Beam splices io occur . ; over posts with 1 1/2 ~C bearing € Deteil e DetaO ^ Altemate A Alternete B O (siif pve 3) 5 , X 6 '"beam (see 0~ 3/ (exerrp~e: (2l YiI07 Existing 014• buildin9 E---- 1'~N Span A Maximum a~ 5' 04 ~e~ Iral ~ rise 8' petell C at door v~e~s~e c -8• Siding n°IsolatefromSlab~ minimum Slope fi ~ X~ POSLS ~ s . _ . '..~._a: . . . (emrpy: VW7 I I. spaced a art Concrete Slab 67 .o 1 4 ? minimum ~ Minimum Diameter Pier Footin~ / :•~=r:'-:• ~n~nuamarec«~y~ This handout was devebped by ihe Cdo,ado Chapter of tne Intematbnal Code Counal es a basic plan submittal under tlie 2000 InlemaUOnel Residential Cotle. It is not intendetl to cover all circumstances. Chedc with your Departrnent oi Building Satery br add'rtbnal requirements. 2 , Existlng rooi 2tters or Irusses GaNan¢ed metal joist or rafler hangers ~ ~ F~c1eM undeAayrt~ent hom new roof a minimum ot 18' onto existirg roof ~ ~ Remove existirg Yascia 'Cont.2xletlger ~ Secure ledger to wall with 4'h' x 3/8' min. lag bolts 0 16' O.C. Locate lag botts ro penehaie top plate or studs Note: Rertave bridc veneer at top of wall walt belure insWllirg con6nuous 2x ledger Solid 2x blocking Roof tie downs required Galvanized metal posWeam connector Treated or decay resistive post Minimum 3 1/2" Galvanized concrete slab column base w/ 1" spacerto ` concrete . . ......a,-" Bottom plate shall be treated Infill between posts wood or Foundation redwood w/ 2x4's @ 16' O.C. Minimum 3 112" concrete slab Galvanized column base w/ 1' spacer to concrete Isolate ~ from Slab • Anchor bolt Isolate from Slab i : Anchor bolt 7" minimum > T minimum penetration ' " Check local penetration 8" minimum 3 -0 ~ilding 3'-0' diameter ; minimum departrnent for ` minimum concrete swelling soils. cais0n ~ • i caissons may be required. , Footing This handout was developed by tlie Cdoratlo Chapter of the Intemational Code Council as a basic plan subminal urrder Ne 2000 Internatbnal Resitlential Code. It is rat intended to cover all circumsiances. Checlc with your Department ot Building Safery for addkbnal requirements. Lap underlayment a minimum of 18' under eyis6ng roofing felts mzaSoiid 2x blocking ~ Roof tie downs required Exiswall InII i V ~ Existing Roof Cont. 2x6 secured to existing roof with tasteners at each refter or Wss Solid 2x fire blocking 2x facia Roof tie downs required 5/8' type 'X' exterior~ gypsum sheathing ~ GaNanized metal posUbeam connector ( No doser man 2 feet to property line Exterar siding 518' type "X^ exterior Infill behveen posts w/ 9ypsum board soffit zxa's 0 16• O.C. r COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 15910 BUILDING INSPECTION LINE -(303-234-5933) Date : 7/22/2003 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: CLARADEAN SISCO Property Address : 3941 ROUTT ST Phone : 424-6991 Contractor License No. : 21702 Company : Linear Fencing, Inc 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 wvenants, easements or reslrictions of record; lhat all measurements shown, and allegations made are accurete; that I have read and agree to abide by all conditions printed on this application, and lhat I assume full responsi 'lity for complian with the W heat Ridge Building Code (U.B.C.) and all other applica~b!J~-)N aFRidge ordin esrfor work under this permit./,z (OWNER)(CONTRACTOR)SIGNFJd DATE % Phone : (720) 205-1567 Construction Value : $1,800.00 Permit Fee : $82.16 Plan Review Fee : $0.00 Use Tax : $21.60 Total: $103.76 Use: Description : REPLACE OLD FENCE W ITH A 6' DOG EARED CEDAR FENCE. Zatii`ng .Com~nents: Approval : MP Zoning : R-1A ~ulldin"~ Co~rrier~'ts'; Approval: BG ~~iC'~Wo~ks;Cortintents: Approval Occupancy : W alls : Eiectrical License No : Company: Expiration Date : proval • AP • BUILDING DEPARTMENT USE ONLY SIC .~~4• Sq. Ft. : OK. 7121103 pImaNote: OWM / coaIrctM {s responsible for locating properiy lbp NA CpnsWCting improvements according to the 7121103 apprpved plan sndrequired developmentstandards. '(he C[ty is not rcsponsible for inaccurate infomation ynbmitted within the plan set and am cc struction errors resulting from inaccuratc infon ll:iun. Roof : Stories : Residential Units : Plumbing License No : Company: Expiration Date : Approval: Mechanical License No : Company: Expiration Date : Approval: (1) This permit was issued in accordance with the provisions set forth in yopur applicalion and is subject to the laws of the State of Colorado and lo the Zoning Regulations and Building Cotle of W heat Ridge, Colorado or any other applica6le ortlinances of the Ciry. (2) This permit shall expire if (A) the work authorized is not commenced wilhin sixty (60) days fmm issue date or (B) the building authorized is suspendetl or abandoned for a period of 120 days. (3) If ihis permit enpires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have bean or will be made m e original plans and specifcations and any suspension or abandonmem has not exceeded one (t) year. If changes are made or if suspension or abandonment exceeds one (7) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done that will change the naturat Oow of water causing a drainage problem. (5) Contrector shall notiry the Buiiding Inspector lwenty-four (24) hours in advance (or all inspections and shall receive written approval on inspection card before &Thesu wilh successive phases of the job. (6) ce of a p it or lhe approval of drawings and specifications shall not be consirued to be a permit for, nor an approval of, any violation of the i ing codes or any other ordinance, law, rule or regulation. Chief Buildin nspector Please sign Terms and Conditions on reverse side of page. COMMUNITY DEVELOPMENT DEPARTMENT oF w~Eqr p gUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE U m 7500 WEST 29TH AVEA'UE WHEAT RIDGE, CO 80215 - (303-235-2855) Al'PL1'CATtO1V Building Pemtit Number: Date: Pro e t Gt V° Gl 'e~{ 0 ,~j i S f, b 3ci 4 I Z o titl- sT ' .4&.r00r; .#Wnwt: -~03- vz'? - 64q / O\ViNEWCONTitACTOR SICNATURE OF UNDER57ANDNC AND ACREEPIENT I hercby certi(y that the setback distances proposed by this permit application arc accurate, and do not violate applicable ordinances, rules or regulations of the Ciry of W heat Ridge or covcnanIs, easements or restrictions ofrecord; that all measurements showm, and allegations made are accurate; that I have read and agree to abide by all conditions printed on ihis application and that I assume foll responsibiliry for compliance with the Wheat Ridge 6uilping Code (U.B.C) and all othe~ pable Wheat Ridye Ordinances, tor work under this ennit. ~J ( N'1'RACTOIt) PitIN?E6"~~ DATE P~-..v • 1 Permit Fee:$ Plan Review Fee:$ Use Tax:$ TOt3l:$ za5-1ssj iZ~eplac-4~_ C)~cQ ce r~ 1'4GL a 6 `lm9 -eamdC;\ BUILDING DEPARTMENT USE OnLY JSj~ ~ J SIC: Sq.Ft.: ZONING COMMENTS: ~ Approval:6K ~ ~ 2103 - Zoning: jJ'1 Q R /l BUILDING COMMENTS: ApprovaL e,k- 7/a.,/a3 PUBLIG WONKS COMMENTS: Approval: Occupancy: Walls: Roof. Stories: Residential Units: Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Da[e: Expira[ion Date: Expiration Da[e: Approval: Approval: Approval: (1) This pennit was issued in accordance with the prorisions set forth in your application and is subjcal to the laws o(the Stale ofColorado and Io Ihe Zoning Regulations and Suilding Codcs of N'Aeat RiJKq Colondo or any odier appiicable ordinanc<s of the Cily. This pemii, shall espire if(A) the work aulhorized is nol commenccd within sizp' (00) days fmm issue date or (B) Uie building awhorized is suspendcd or abandoned (or a penod of 120 days. (3) If Ihis pcmiit cxpires, a ncw pemiit may be acquired for a ftt o(one-half ihe amoum nomially cequired, Drorided no chang<s M1avc been or xill be madc in the onginal ylans and spetifications and any msprnsion or abandonmrnl hu not c.xceeded on< (7) ycar. If changes har< been or if suspension or abandonmem excecds one (1) ywq full ftts shall be paid for a new pemiit. (i) No work ofeny mann<r shall be done thet will change the nalual Oow of wat<r causing a dninag<problem. (5) Cootnemr shaii notify Oie Building Inspecror twenty-four (24) hours m adrantt for all inspecUOns and shall receive xnuen approcai on inspection card before proceeding with sumessiv<phazes of thejab. (G) The issuance of a permit or the approval of Mwings and spetificafions shall nat bc conslrued to be a pemiit for, nor an apptosal of, any riolalion of the pm~isions o the buildmg codes or any odi<r ordmance, law, mle or rzKuWUOn. . ~F-~ . _ Chief By~l mg Inspector v cp C-D 3e-l- _ ~ _ v _ _ - - s - - - _ m S - _ (b _ _ . ~+v, COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number BUILDING INSPECTION LINE - (303-234-5933) Date CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: CLARA SISCO Property Address : 3941 ROUTT ST Contractor License No. : 17533 16074 8/7/2003 Phone : 424-6991 Company : Ranco Roofing, Inc. Phone : 2340102 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permil application are accurate, and do not violate applicable ordinances, rules or regulations of the City of W heat 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 W t Fjid or ances, for work under this~ p~e~r~mit~. -~_7- (OWNER)(CONTRACTOR)SIGNED ~<i~~ DATE LY~,.J Construction Value : $4,200.00 Permit Fee : $144.70 Plan Review Fee : $0.00 Use Tax : $50.40 Total: $195.10 Use : Description : TEAR OFF TWO LAYERS AND INSTALL NEW DIMENSIONALS BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Zoning Comments Approval : Zoning : Building Comments;; OKAY 817103 Approval: DM ublic Warks Comments;;, Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company: Expiration Date : Approval : Plumbing License No : Company: Expiration Date : Approval: Mechanical License No : Company : Expiration Date : Approval : (1) This permil was issued in accordance with the provisions sef forth In yopur applicaiion and is subject to the laws of fhe SSate of Colorado and to the Zoning . Regulations and Building Cotle of W heat Ridge. Coloratlo or any other applicable ordinances of the City (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days fmm issue dale or (B) the building authorized is suspended or abandoned for a period of 120 days. (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 lhe original plans antl specifwlions and any suspension or abandonment has not exceadetl one (t) year. If changes are made 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 will change the naNral flow of water wusing a drainage problem. (5) Contractor shall notify the Building Inspector lwenty-four (24) hours in advance for all inspections and sha0 receive written approval on inspection card before pmceediing wrth su essiva phases of lhe job. (6) The issuance of er it or he pmval of drawin9s and specifcations shall not be construed to be a permit for, nor an approval of, any violation of the provisions o bui in any other ordinance, law, rule or regulalion. &I Chief Building Inspect Please sign Terms and Conditions on reverse side of page. DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Numbcr 16-Alq - BtIILDING INSPECTTON LINE - 3113-234-5933 D,uc. CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) APPLICAT1O1V Property Owner: C~ Q rC~ S-, S C G q Property Address: ~ i-} I ~cJZxr}~ Phone 363 Contractor License No.: Company: J:ZCa Y-,v r n '-V2 OC-4-"(~ ~ I11X', Phone:SG32.3L1-Q(QZ O WNEILCONTRACTOR SIGYA7URE OF U:VDERST,L1'DING ,UND ,\GREEME\7 I hearby certify Iha[ the setback distances pmposed by this pertnit application are nccurnte, and do not violate applicable ordinances, cules or regulations ofthe City uf Whaat Ridge or covenanls. eacemznis or eeNiccions of record: that all me[isu2ments showq and allzgafions mada are accurate; that I have read nnd agree to abide bv all conditions prinied on this applications and that I assume full rzsponsibiliTy tor complianca with tlie Wheut Ridgz Budd Code (l;.B.C) and all other applicablz W heat Ridge Ordjn3rs~Ls, for work u er is pemul. (OWDIERxCOMRACTOR). Construction Value-t:vqZ '~,0 Permit Fee: ~ Plan Review Fee: Total: Description: 2 (C 'l /_s BUILDING DEPARTMENT USE ONLY Zonutg Caausienks: Approval: Zoning: Building Cpmments Approval. j ~ i/ Pt31)liC bT7MkS:['fttnritCt3ts: Approval: Occupanc}': Walls: Roof: S[ories: Electrical License No: Plumbing License No: Compam: Compam: Espiration Date: Expiration Date: SIC: Sq.Ft: Residen[ial Units: Mechanical License No: Companv: Expira[ion Date: ApprovaC _ Approval: Approval (1) This permit was fsmed in accordence with Ne pmvisions set forth ia yoor appfico[ion and is mhject to the lews o(flha Jmte oCColoaado unA to the Zomng Rcyvlations and Boilding Codo of Wheat Ridge, Colorado oe sny other applicable ordinances ol the Ciry_ (2) "Cos permLL shell axpim i! (A) the work authorized is not commenced wnhin saxry (60) duys tmm usoe dxie or (B) che building authorized is mspended or abandoneA Cor a penod o(1 20 days. (3) It this perznit expires, a new pemit may be acyuired lor a fee o( one-half the amount nortnally reyuired, provideA no changes hive bern or will be made m the original plarts and specificatiom and any suspension or abanJo`unrnt haz not ex«eAed one (1) vear . I1' changes have becn or if svspension or ab.indoonent exceeds one (1) year, fWl (ees shall be paid for a new pemilt. (4) No work of any manner shall bz done tha[ will chenge Ne natwal 11ow of watzr causing a drainage pmblem. (5) ConVacmr shall no[i(y the Buddin6 ImPector twenry-four (24) hows in aMance for all irtspections and shall receive wntten approval on insp<etion cud before proceeding with successive phases of ihe job. (6) The issuance of a perznit or [he apprwai o( drawinES and speciticatiom shall not ba ronswed to be a permie tor, nor an approval of nny violation of the pmvisiorts o( the buildinS codes or any o[her ordinaoce, law, rule or rebvlation. 7500 WEST 29th AVENUE 237-6944 EXT. 255 P.O. BOX 638 THIS PERMIT VALID ONLY WHEN SIGNED JOB ADDRESS 3 q4 I I`d uA _ TI ADDRESS CITY / DEPARTMENT OF COMMUNITY DEVELAPMENT BUILDING INSPECTION DIVISION CITY OF WHEAT RIDGE, COLO. THE CNIEf BUILDING INSPECTOR AND RECEIPTED BfLOW. PERMIZ;~ qP+LICATION FOR MIS IEOwNEaUS /~1 J ~ ZIP CODE S IICENSE NO: FLDUR irve GrounA ❑ Woll Proiectinp❑ Otha 5 a D Fee~ I. TYPE TMnI Sniu+r~ RM 2. MATERIAL t❑ No❑ Type~-- Y Gj SIGNS s 3. ILLUMINATION 4. SET BACK FROM PROPERTY LINE N_- S._._ E ~ W~ INSPECTION TICKET (Spxify whien ie front) ❑ 0 TYPE Solido Mon I Thon BO% OPsn~ Lost T JOB U( l~D~ • C - . - ADDRESS FENCES MATERIAL 3. SET BACK FROM PROPERTY LINE N__ S a E 0 - W. (Specifywhieh ittroM) ❑ ~07~~-6 I DATE: ~-7k 11 BLDG. PERMITk ' ` ( OTHER PERMITM 3 INGEUDED)E,SIGN,OR OTHER STRUCTURE,Gp BLDG. CONTR. A- DRAW SKETCH OR SHOW BELOW,TH (SETBACNS OR PRO. r SUBCONTRACTOR DATE INSP. REQ.~ TYPE OF INSP. -b'~ INSPECTION REMARKS STREET NAME W.R. FOnM E79 SHp 5 AINCE N TO PROPETY ~ UMAIN NESBNOT DI MAXIMUM J OR I AE~E E DISTANCES, Ft ~ qppLICATION FOR PLUMBING; ELECTRIC THIS APPLICATION WILI BECOME A PERMtT TO PERFORM THE INDICATED WOR PERMIT WILI EXPIRE 60 DAYS FROM DATE OF ISSUANCE !F WORK IS NOT STARTED WITH E HAN AL PERMIT ELECTRICAL PERMIT PLUMBING PERMQIT STATE LICENSE N0. STATE LICENSE N0. ~ 7/ JTO «.l Fi OOR BSM IST 2ND 3RD 4TH N0. FUEI~C'ucMOne ~Fal wTU Q WASH DISP B 9 1 hsreby acknowledpe ihat thia applicn' tion is Gorrett and understond thui I cannot ttort this prolecf until thia appli- cotion is aDVroved. I sholl comply witA ths lawf oi Ihe State of Colorado ond to the Zonina ReQulations ond Buildinq Code of the City ot Wheat Rid9e. AnY violation oi the above terme will cause immediate revocation of 11+is permit. Ue~~eanu 7i0^M L PERMIT FEE USE TAX TOTAL FEE CHIEF PERMIT NO.MP93#3414 r.ooaESS ZIP CODE ~p0 33 PHONE ~ OONTRACT PRICE $ )51 sea r ~ $ .V )5, of Wheat Ridqe Dote Issued- ;Lq CALL 237-8944 EXT. 255 24 HOURS IN ADVANCE FORINSPECTIONS $" -t ,I 1 d�Ct To whom it may concern, February 13, 2020 This letter is to state that D&O Developers opted to not finish the kitchen located in the basement for the following property 3941 Routt St. Wheatridge, CO 80033. If you have any questions please give our property manager Marina Velarde a call. Thank you, Marina Velarde Property Manager i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type:. ID r wvl\ Job Address: i V-04Afi Permit Number: ay 3 1vS' ("4,CJ-. r-1 �fr�`,_ n J`r) i ten. (\., `, 1 � v ❑ No one available for inspection: Time Q t`� AM/PM F, Re -Inspection required: Yes N6 When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. uslinspection i Date: A �`` t� L Inspector: tom+ ' DO NOT REMOVE THIS NOTICE