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3294 Quail Street
From: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Sewer or Water Line Repair Date: Wednesday, March 23, 2022 10:54:52 AM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Sewer or Water Line Repair This application is exclusively for SEWER OR WATER LINE REPAIR -IN YARD Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Right of Way permits must be applied for with the Public Works Department. Is this application for Yes sewer line or water line repair - in yard only? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 3294 Quail St Wheat Ridge, CO 80033 Property Owner Name Monica Brym Property Owner Phone 303-288-0039 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email nia Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" Wheat Ridae Payment form.odf CONTRACTOR INFORMATION Contractor Business Stone and Concrete Inc Name Contractor's License 20542 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-288-0039 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email info@godirectservices.com Address Retype Contractor info@godirectservices.com Email Address 01:K163CiIi1 ffl0N]avOLelS:/ Is this a sewer line or sewer Line water line repair? Length of repair 12 ft long Location of repair front yard (backyard, frontyard, etc) Provide additional New clean outs will be installed details including installation of clean - outs. Project Value (contract 7,465.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Snake Blocker Pe rm it Email not displaying correctly? View it in your browser. i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: _) \ S L \ t y C. (Vn � V -T j e .n i nkru�:.I C_ ❑ No one available for inspection: TimeAM/PM Re -Inspection required: Yes 6,0 When corrections have been made, schedule for re -inspection online at: http://www. ci. wheatridge. co. usVinspection ,-) � C, , ,i 11 1 Date: 9)6 -LC - Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: (,-��! JobAddress: < Permit Number: 'r t ❑ No one available for inspection: Time ' '' ` l AM/PM 1 Re -Inspection required: Yes �Nq When corrections have been made, schedule for re -inspection online at: http://www.ci, wheatridge.co. usrnspection Date: � I �; � ) 6 Inspector: DO NOT REMOVE THIS NOTICE c�nVeo =e i� Ll ZI i) SMIJ.l t I,— {{ �l v,lZ 15 �4, ha�� wall City of � W heat- P ge -Y.lY I)tvf I (�I nU N APPROVED Review for od Compliance ans miner Date C� Pe -L": ,ssuonce of a permit o, approml of plans emipcotiom ow' • otIons shall not be o perm,t fw, a, jr, OXW( -,I ,.f o,r) yeotonon to Orly u) 3'rOW00fu 4 the build ny cove o• ,,, aty City 010, t„nM perMft pre—Ming to give authority to VAWo1e or Gore? the promsions Of ft V [Odes Or Othtc Ordinonces of the ALL Woav- -To eb MRLY LJ I -F)- 2o'Z l P� Z 1'7 IVeC SkI4tk Mim LI ar- i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: L/03 r_,hf^ j f je C , Job Address: j 0% Q� _1,151. Permit Number:yl 11-(01`1 L -Y ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes When corrections have been made, schedule for re -inspection online at: http://www.ci. wheatridge.co. ualinspection Date: �v-f� ``�i Inspector: DO NOT REMOVE THIS NOTICE Rd City of Wheatj�idge COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: 32 5 y Ct tmt t- Sl Permit #: ZO/ �01y,79 General Contractor:�1/�{� c�c �nic�2 Electrical Sub -Contractor Company Name: T,fc;hone #: XO3 -�S o - �Y >L/ State License #: 01 Ue F% Z Master #: d (0�70 Z 7 Wh t edge 'cens e#:_ ��!C��1 (required field) S gnature of Authorized Agent Date Company Name: Phone #: State License #: Master #: Wheat Ridge License #: (required field) Signature of Authorized Agent Date Mechanical Contractor Company Name: Phone: Wheat Ridge License #: (required field) Signature of Authorized Agent Date 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: ( t;�_,i �, 'C'_- . Job Address:, C,L- Permit Number: r) ! I C>, C_-, i 3 ❑ 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: I Inspector DO NOT REMOVE THIS NOTICE City of Wheat Ridge Homeowner Interior Remodel PERMIT - 201901429 PERMIT NO: 201901429 ISSUED: 07/16/2019 JOB ADDRESS: 3294 Quail St EXPIRES: 07/15/2020 JOB DESCRIPTION: Homeowner interior remodel removing closet wall and 1/2 wall. Relocating light switches and doorbell chime. Demo of basement ceiling tile. *** CONTACTS *** OWNER (703)863-2332 BRYM MONICA *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA % Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,000.00 FEES Total Valuation 0.00 Plan Review Fee 100.75 Use Tax 42.00 Permit Fee 77.50 Investigative Fees 77.50 ** TOTAL ** 297.75 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. NOTE: Consultations and inspections will only be performed with the homeowner of record present. All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. sW.V. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Homeowner Interior Remodel PERMIT" - 201901.429 201901429 3294 Quail St ISSUED: 07/16/2019 EXPIRES: 07/15/2020 Homeowner interior remodel removing closet wall and 1/2 wall. Relocating light switches and doorbell chime. Demo of basement ceiling tile. 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 parties to the work to be performed and that all wok to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. w Signature cif OR N1 CONTRACTOR (Circle one) Date ' I 1. This permit was issued based on the information provided in thepermit 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 Division. 6. The issuance or granf of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any apph code or an dinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat f-11jdge COMMUNITy DEVELOPMENT Building & Inspection Services 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits@.ci.wheatridge.co. us I FOR OFFICE USE ONLY I Date: • /I - /I Plan/Permit # 'qo/ 9 v1 y2 9 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: 3z9q Om -0 S�re_J- Property Owner (please print): MDnle" -Srym Phone: 7i3-9( 3-233Z. Property Owner Email: men I Tenant Name (Commercial Projects Only) n1),ayri Property Owner Mailing Address: (if different than property address) Address: , State Architect/Engineer E-mail: Contractor Name: I&, il�� �Yta wr� City of Wheat Ridge License #: Contractor E-mail Address: For Plan Review Questions & Comments (please print): Phone: Phone: CONTACT NAME (please print): 90P) , 1�fV66 Phone: CONTACT EMAIL(p/ease print): /73D 07 V1�400f e.0 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. rcrnNt c2os,c4 MAA a- '�L bra11 ciuuCY\- hA�` ►-ra1�- m�)' 5���F. ' A'A dame Ch � rer�ov� �l�d�rt�c �,r\d ►n�.Jl e�� �1o„Y-►� -3 Sq. Ft./LF BTUs Gallons Amps Squares For Solar: KW # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) ,2r6, 0 b 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 (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: l Printed Name: DEPARTMENT USE ONLY e.3ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Reviewer: BUILDING DE PA MENT MMEN S: Reviewer: � Jlsha PUBLIC WORKS COMMENTS: Reviewer: Building Division Valuation: 2400 11 SWtJt � rr, S I RECEIVED � 0�9 o1qzI S� ID31Y1) Sk-► J, COMMUNriY Ulm i ( )PNUN I`'� APPROVED Revie for Code Compliance ` u , L -Bans miner bate lir, ,fpe usrarxe o/a permit or approval of plans smopcoNarq atvns shall not be a permrt , or " o pPrG nl J j �r7' NOlOt/a/1 to 1 Oty uj ;r PrOwSI-0 of the building rode or (','uW City aldvwjwft presunnng to 9" outhorlty to walott or Centel the prowslons of thR adk" toles or other ordinancrs of the Cw � . � ,, vo o - tl -to Z -"Z 1 �� Zo I-) IV �C City of Wh6atP',,j1.C19e COMMUNITY DEVELOPMT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s): Project Property:: 32QY QVAI ) Stj 7— , b�� � ):i*_ , N 9 V 63!� Project Type: &W-o'w rimA )I -k- 4- Notarized sigvfat/ire,6f Applicant State of Colorado } County of } ss The foregoing instrument was acknowledged by me this � day of t. 1v 20_ff by F =00DEAN TAROFRY ON E My Commission Expires/20o7L` Notary Public En I/A ec CONSULTING 780 Simms Street, Suite 101 nC / Golden, Colorado 80401 www.enviro-spec.com Limited Asbestos Bulk Sampling Report 3294 Quail Street Wheat Ridge, Colorado 80033 Report Date: July 12, 2019 Prepared For: Monica Brym 3294 Quail Street Wheat Ridge, Colorado 80033 Page 1 of 12 En i/A pec t !r]NSLJLYlrW3 Table of Contents ExecutiveSummary....................................................................................................................................................3 Introduction..................................................................................................................................................................4 AsbestosInspection...................................................................................................................................................5 Suspect Asbestos Containing Materials..................................................................................................................7 Regulated Asbestos Containing Materials..............................................................................................................8 MajorAsbestos Spill...................................................................................................................................................9 Recommendations....................................................................................................................................................10 GeneralComments...................................................................................................................................................12 Appendices Appendix A Summary of Laboratory Results Appendix B Laboratory Results and Chain of Custody Appendix C Certifications Appendix D Photos Page 2 of 12 En� = pec Executive Summary ➢ EnviroSpec, LLC's (EVS) Mr. Luke Bochmann conducted a limited, area and material specific asbestos inspection within the residential structure located at 3294 Quail Street in Wheat Ridge, Colorado. ➢ This inspection was conducted due to renovations in progress causing damage to suspect asbestos containing materials (ACM). ➢ Twenty-three bulk samples were collected and submitted for analyses on a 4 - hour turnaround. ➢ Samples were collected of ceiling tiles, sheet vinyl floorings, floor tile, adhesive, drywall (to include tape and joint compound), and surfacing textures. ➢ Laboratory results indicated the textures (samples TS01, TS02, TS03), drywall to include tape and joint compound (sample CDW01, associated with all textures), sheet vinyl flooring (samples SVF01, SVF02) to contain asbestos in concentrations greater than 1 %. ➢ The quantity of ACM directly impacted exceeds the CDPHE trigger level of the 32 square feet classification as a major asbestos spill for a single-family residential dwelling. EVS recommends following clean up procedures as referenced in CDPHE Regulation 8, Section III3.1. Major Asbestos Spills within the structure, inside the dumpster outside, and the driveway. ➢ EVS recommends Micro -Vacuum sampling to determine spill delineation within the structure. ➢ Based on the laboratory analytical results, ACM listed in this report should be removed by a Colorado State Certified General Abatement Contractor. Page 3 of 12 Eng ec Introduction EVS's Mr. Luke Bochmann conducted a limited, area and material specific asbestos inspection within the residential structure located at 3294 Quail Street in Wheat Ridge, Colorado. The inspection was conducted due to renovations in progress causing damage to suspect asbestos containing materials (ACM) within the structure. Materials sampled, were limited to specific areas specified by the client, and did not include suspect materials in which the client stated would not be or were not disturbed during renovation activities. The Environmental Protection Agency (EPA) and Colorado Department of Public Health and Environment (CDPHE) Colorado Regulation No. 8 (Reg. 8) requires that suspect ACM be properly sampled and analyzed prior to any renovation activities that may disturb these materials. The purpose of this inspection was to identify and sample specific suspect ACM that could be impacted by renovation activities in these specific areas as requested by the client. This asbestos inspection was conducted on July 11, 2019 by Colorado State Certified Asbestos Building Inspector Mr. Luke Bochmann, Certificate #25131. Page 4 of 12 En�/ir ec ®rvSU�T,� . P Asbestos Inspection This limited asbestos inspection was conducted in general accordance with the United States EPA procedures published in 40 Code of Federal Regulations (CFR) Part 763, Subpart E — Asbestos -containing Materials in Schools and Colorado Reg. 8. These inspection protocols specify requirements for the inspector (Section 763.85), laboratory (Section 763.87), and number of samples collected during an inspection (Section 763.86). This limited area and material specific asbestos inspection involved identification and sampling of specific homogenous areas of suspect ACM in the specific areas that could be impacted by renovation activities as requested by the client. Suspect ACM includes nearly all building materials except concrete, glass, metal, wood, plastic and ceramic. A physical assessment of each homogeneous area of suspect ACM was conducted to assess the general condition of the material and determine the friability of the material. Under the National Emissions Standards for Hazardous Air Pollutants (NESHAP), asbestos -containing building materials are classified as either friable, Category I non - friable or Category II non -friable ACM as described below: ➢ Non -friable ACM when dry, cannot be crumbled, pulverized or reduced to powder by hand pressure. ➢ Friable ACM when dry, can 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 containing more than 1 % asbestos. ➢ Category II non -friable ACM are materials excluding Category I non -friable ACM materials that contain more than 1 % asbestos. Bulk samples of suspect ACM were collected in general accordance with the Asbestos Hazard Emergency Response Act (AHERA) protocols as outlined in Colorado Reg. 8. Random samples of suspect building materials were collected for the specific areas and materials identified in this report. Page 5 of 12 EnNI�r ec O�_�r_Tj�<< P Surfacing materials sampled in this report include, but are not limited to overspray, and droppings, which may be under flooring materials, adjacent walls, structural beams, and other concealed areas. Title 40 CFR Part 61 regulates asbestos fiber emissions and asbestos waste disposal practices, and also requires the identification and classification of existing building materials prior to demolition or renovation activity. Page 6of12 En J& = pCOWS Ui ec Suspect Asbestos Containing Materials Building materials are historically known to contain asbestos and therefore suspected to contain asbestos. OSHA maintains comprehensive lists of suspect ACM frequently encountered during inspections. The following suspect ACMs were observed during the inspection that were determined based on review of the renovation activities in progress within the structure: • (CA01) Tan adhesive associated with tan carpet in family room • (CDW01) 5/8" Off-white drywall, tape, and joint compound associated with TS01, TS02, TS03 on closet walls by front door • (CT01) 2" x 2" White lay -in ceiling tile with swirl texture in basement main room • (CT02) 1' x 1' White ceiling tile with brown adhesive in basement northeast room • (FTC01) 2' x 2' wood tile with laminate finish on SVF02 in kitchen and dining room • (SVF01) Brown sheet vinyl flooring with 4" x 4" square pattern and tan adhesive inside closet by front door • (SVF02) 2 layers of sheet vinyl flooring with 2" x 2" square pattern in kitchen and dining room • (TS01) Stomp applied surfacing texture associated with CDW01 on south exterior wall of closet • (TS02) Roll applied surfacing texture associated with CDW01 on interior closet walls • (TS03) Light orange peel surfacing texture associated with CDW01 on exterior north and east closet walls Twenty-three samples were submitted under chain of custody procedures to Aerobiology Laboratory Associates, Inc., of Golden, Colorado, for analysis by Polarized Light Microscopy (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. Aerobiology is an accredited laboratory under the National Voluntary Laboratory Accreditation Program (NVLAP 200860-0). Page 7of12 Engk'T'I ec C13NJSL.JL U: / Regulated Asbestos Containing Materials ACM was identified in concentrations greater than one percent (>1%) in the following building materials, noted in bold: • (CDW01) 5/8" Off-white drywall, tape, and joint compound associated with TS01, TS02, TS03 on closet walls by front door • (SVF01) Brown sheet vinyl flooring with 4" x 4" square pattern and tan adhesive inside closet by front door • (SVF02) 2 layers of sheet vinyl flooring with 2" x 2" square pattern in kitchen and dining room • (TS01) Stomp applied surfacing texture associated with CDW01 on south exterior wall of closet • (TS02) Roll applied surfacing texture associated with CDW01 on interior closet walls • (TS03) Light orange peel surfacing texture associated with CDW01 on exterior north and east closet walls Regulated asbestos -containing materials (RACMs) are those ACMs that are required by EPA and CDPHE regulation to be removed prior to renovation and/or demolition activities that will impact these materials. RACMs are either friable material and/or non - friable materials likely to be rendered friable during the demolition/renovation processes (which are more likely to release airborne asbestos). Under renovation activities, all friable and non -friable materials are considered RACM due to greater potential for direct impact to the non -friable material using hand removal methods that will typically result in a higher level of disturbance, thus rendering the non - friable material friable. All ACMs listed in this report are also considered RACM due to renovation activities. Page 8 of 12 En�/iI pec COr%JSULT1rVC P Major Asbestos Spill The quantity of ACM directly impacted exceeds the CDPHE trigger level of the 32 square feet classification as a major asbestos spill for a single-family residential dwelling. EVS recommends following clean up procedures as referenced in CDPHE Regulation 8, Section III.T.1. Major Asbestos Spills including, but not limited to the following: • Restrict access and post warning signs, • Shut off or temporarily modify air handling to prevent distribution of asbestos fibers, Immediately contact the CDPHE Air Pollution Division. All contents of the unit should be considered contaminated until extent of spill is determined. Personal effects impacted by spill are subject to cleaning or disposal requirements under CDPHE Reg. 8. Page 9 of 12 En g/& ecJLT1r'-JCCJr\JSU:� Recommendations EVS's Mr. Luke Bochmann conducted a limited, area and material specific asbestos inspection within the residential structure located at 3294 Quail Street in Wheat Ridge, Colorado. Through laboratory analysis of bulk samples, EVS confirmed asbestos in concentrations greater than one percent (>1%) in the following building materials, noted in bold: • (CDW01) 5/8" Off-white drywall, tape, and joint compound associated with TS01, TS02, TS03 on closet walls by front door • (SVF01) Brown sheet vinyl flooring with 4" x 4" square pattern and tan adhesive inside closet by front door • (SVF02) 2 layers of sheet vinyl flooring with 2" x 2" square pattern in kitchen and dining room • (TS01) Stomp applied surfacing texture associated with CDW01 on south exterior wall of closet • (TS02) Roll applied surfacing texture associated with CDW01 on interior closet walls • (TS03) Light orange peel surfacing texture associated with CDW01 on exterior north and east closet walls The CDPHE requires that a licensed asbestos abatement contractor remove regulated ACM prior to any activity that may potentially disturb these materials. The proper removal and handling of these materials are typically addressed through the preparation of a written "abatement scope of work/specification" document. This document is used to identify the specific locations of RACM within the scope of work to be removed by the abatement contractor. ACM is subject to OSHA Construction Industry Standard for Asbestos (29 CFR Part 1926.1101). Based on the laboratory analytical results, ACM listed in this report should be removed by a Colorado State Certified General Abatement Contractor prior to conducting any renovation activities associated with the asbestos - containing material mentioned above. The quantity of ACM directly impacted exceeds the CDPHE trigger level of the 32 square feet classification as a major asbestos spill for a single-family residential dwelling. EVS recommends following clean up procedures as referenced in CDPHE Page 10 of 12 En�/m = pec CONSULTING m../ Regulation 8, Section III.T.1. Major Asbestos Spills within the structure, inside the dumpster outside, and the driveway. All contents of the unit should be considered contaminated until extent of spill is determined. Personal effects impacted by spill are subject to cleaning or disposal requirements under CDPHE Reg. 8. EVS recommends Micro -Vac sampling within the structure to determine spill delineation. Page 11 of 12 En� pec General Comments EVS assumes no liability for any loss, injury, claim, or damages arising directly or indirectly from any use or reliance on this inspection report or the opinions expressed herein. EVS makes no risk assessment, warranty, guarantee or insurance policies of any kind, express or implied. This report is limited only to the area(s) inspected. There are no risk assessments, warranties, guarantees, or insurance available or provided by EVS. Additional sampling may be needed to further identify other materials affected by renovation in the future. This report was prepared pursuant to the contract EVS has with the client, including an exchange of information about the subject property that was unique and between EVS and its client. No guarantees are made arising from any service rendered and liabilities hereunder shall not exceed the total fee paid by the client to EVS. This report does not serve as a scope of work or bidding document. EVS greatly appreciates the opportunity to be your environmental consulting company. Please feel free to call with any questions, comments, or concerns regarding this report. Regards, Luke Bochmann, Environmental Technician I Luke(a-benviro-spec.com Cell: 720.261.6228 i Serina Schenker, Managing Partnerl Seri na(a)enviro-spec.com Cell: 303.242.0711 EnviroSpec Consulting 780 Simms Street, Suite 101 Golden, Colorado 80401 Page 12 of 12 En ✓i�.�5pec Appendix A Summary of Laboratory Results Eng r pec Material Description Material Location Estimated Material Type and Friability Material Potential for Assessment Laboratory Result Quantity Classification Condition Disturbance Category (CDW01) 5/8" Off-white Friable drywall, tape, and joint on closet walls by 117 SF Miscellaneous Significantly High 3 Joint compound = compound associated with front door Material Damaged 2% Chrysotile TS01, TS02, TS03 (SVF01) Brown sheet vinyl inside closet by Non -Friable Category I Not Sheet vinyl flooring = flooring with 4" x 4" square front door 7 SF Miscellaneous Damaged High applicable 25% Chrysotile pattern and tan adhesive Material (SVF02) 2 layers of sheet in kitchen and Friable Sheet vinyl flooring = vinyl flooring with 2" x 2" dining room 200 SF Miscellaneous Good High 5 25% Chrysotile square pattern Material (TS01) Stomp applied on south exterior Friable Significantly 4 Texture = 2% surfacing texture associated wall of closet 12 SF Surfacing Damaged High Chrysotile with CDW01 Material (TS02) Roll applied on interior closet Friable Significantly 4 Texture = 2% surfacing texture associated walls 70 SF Surfacing Damaged High Chrysotile with CDW01 Material Em r _ _ pec t'fntti^ Material Description Material Location Estimated Material Type and Friability Material Potential for Assessment Laboratory Result quantity Classification Condition Disturbance Category (TS03) Light orange peel on exterior north Friable Significantly Texture = 2% surfacing texture associated and east closet 35 SF Surfacing Damaged High 4 Chrysotile with CDW01 walls Material SF=Square Feet LF = Linear Feet Under AFIERA, friable materials in each area assessed shall be placed in one of the following categories: 1. Damaged or significantly damaged friable thermal system insulation 2. Damaged friable surfacing ACM 3. Significantly damaged friable miscellaneous ACM 4. Damaged or significantly friable miscellaneous ACM S. ACM with potential for damage 6. Any remaining friable ACM or friable suspect ACM En Jir pec I - � 1! ( i4L1& - - Material Description Material Location Estimated Material Type and Friability Material Potential for Laboratory Result quantity Classification Condition Disturbance Non -Friable (CA01) Tan adhesive associated with tan in family room 4 SF Category II Miscellaneous Good High None detected carpet Material (CT01) 2" x 2" White lay- in basement main Friable in ceiling tile with swirl 100 SF Miscellaneous Good High None detected texture room Material (CT02) V x 1' White n basement northeast Friable ceiling tile with brown 100 SF Miscellaneous Good High None detected adhesive room Material (FTC01) 2'x 2' wood tile in kitchen and dining Non -Friable Category I Significantly with laminate finish on room 120 SF Miscellaneous Damaged High None detected SVF02 Material Enilir.pec Sample Description Sample Numbers and Approximate Sample Locations (CA01) Tan adhesive associated with CA01-01: 1' from south, 3' from east tan carpet in family room CA01-02: 2' from west, 3' from south (CDW01) 5/8" Off-white drywall, tape, and joint compound associated with CDW01-01: Interior of closet east wall, southeast corner, 4' high TS01, TS02, TS03 on closet walls by CDW01-02: Exterior of closet, west side, southeast corner, 8' high front door (CT01) 2" x 2" White lay -in ceiling tile CT01-01: Basement main room, 5' from west, 1' from south with swirl texture in basement main CT01-02: Basement main room, northwest corner room (CT02) V x 1' White ceiling tile with CT02-01: Northeast corner brown adhesive in basement CT02-02: 5' from north at east wall northeast room (FTC01) 2'x 2' wood tile with FTC01-01: Northeast corner of dining room laminate finish on SVF02 in kitchen FTC01-02: Dining room, 5' from west, 8' from north and dining room (SVF01) Brown sheet vinyl flooring SVF01-01: Northeast corner of closet with 4" x 4" square pattern and tan SVF01-02: Northwest corner of closet adhesive inside closet by front door (SVF02) 2 layers of sheet vinyl SVF02-01: Dining room, 5' from north, east wall flooring with 2" x 2" square pattern in SVF02-02: Dining room at entrance to living room kitchen and dining room En✓ice per Sample Description Sample Numbers and Approximate Sample Locations (TS01) Stomp applied surfacing TS01-01: South closet wall, 5' high, 4' from west texture associated with CDW01 on TS01-02: South closet wall, 4' from west, 4' high south exterior wall of closet TS01-03: South closet wall, exterior, 1' from west, 3' high (TS02) Roll applied surfacing texture TS02-01: West wall, 8' from north, 5' high associated with CDW01 on interior TS02-02: East wall, 1' from south, 6' high closet walls TS02-03: South wall, 3' from west, 1' high (TS03) Light orange peel surfacing TS03-01: Closet east exterior wall, behind door texture associated with CDW01 on TS03-02: Entry north wall, 10' from west, 5' high exterior north and east closet walls TS03-03: Entry north wall, 4' from west, 1' high Efn ec Appendix B Laboratory Results and Chain of Custody `kt.,�AERObIOlOqy LABORATORY Physical Description of Sample�Layer 780 S+ Sneer ASSOCIATES, INCORPORATED Asbestos Detected mire 104 Golden, CO, RO401 \_ Expertise Since 1997 Non -Fibrous Materia] Pefcenta ge w 303.L P 3746 a oh'°"� net Lab Sample Number Certificate of Analysis 19029499 -IA Yellow Mastic Client Name EnviroSpec, LLC^nom n(� n l Date Collected: OTI 1,19 Street address 780 Simms St., Suite 101 W v (� �e Date Received: 07, 1 1' 19 City, State ZIP Golden, CO 80401 TESTING Date Analyzed: 07' 12,19 Arm Luke Bochmaan NV LAP Lab Code 200860-0 Date Reported: 07,12 19 Client Project Name: 19-7417 / 3294 Quail St. 19029499-2A Project ID: 19029499 Test Requested: 3002, Asbestos in Bulk Samples ND Trace Method: EPA'600i R-93/116: Method for the Determination of Asbestos in Bulk Building Materials; EPA -600M4-82-020: Interim Method for the Determination of Asbestos in Bulk Insulation Samples Sample Identification Physical Description of Sample�Layer Homo- geneous f1'/N) Layer Percentage Asbestos Detected Asbestos Percentage Non -Asbestos Fiber Percentage Non -Fibrous Materia] Pefcenta ge Matrix Material Composition Client Lab Sample Number CAOI-01 19029499 -IA Yellow Mastic N 10% ND Trace-<'% Trace 100 B 19029499 -IB Light Yellow Foam N 90% ND 100 CAO 1-02 19029499-2A Yellow Mastic N 5% ND Trace 100 B 19029499-2B Light Yellow Foam N 95 % ND Trace 100 CDWOI-01 19029499-3A Off -White Compound with White Paint N 7% CHRY 2 98 C 19029499-3B White Tape N 3% ND 95 5 19029499-3C Off -White Joint Compound N 10% CHRY 2 98 C 19029499-3D Whiterran Drywall N 80% ND 15 85 G CDWOI-02 190294994A Off -White Compound with White Paint N 5% CHRY 2 98 C 190294994B White Tape N 3% ND 95 5 c a_e caTe_s - Laboratory Analyst Page 1 of 7 Y42Z, st' _ .. a ena Olivff Asbestos Lab Supervisor AC - A.6 -tit. .lir-.tavnat H— B - Biodar Q - Q-- ;-10-amour. CL - Cendeu C -C.1— T -T. AN -A h phy ii. PG-Fib—Gla.. D - Diat«at V-t'.,m -1u. CHRY -Cb*_'it. bftt'-94n.ra1 wool G-Gw. CR -Cr doGt. OT -Oth.r M-hfiu TR- T—lit. SYN- Syrlh.tk Oft- orpaic Trace-<'% TL - Tek 02-opap:.. ND -Sen. D.[ .d W - R'.11—nit. P - pii tu. \kt,, AERobiolow A LAbORATORy Physical Description of Sample/Layer 780 Simms Street ASSOCIATES, INCORPORATED Asbestos Detected Suite 10 Golden, CSu 804011 Expertise Since 1997 Certificate of Analysis 3031o,I, n46 emn1^�^ar et Client Name EnviroSpec, LLCK� n(I Date Collected: 07/11/19 Street address 780 Simms St., Suite 101 6 �° v Vl ( , Date Received: 07/1 l/19 City, State ZIP Golden, CO 80401 TESTING Date Analyzed: 07/12/19 Atm: Luke Bochmann NVLAP Lab Code 200860-0 Date Reported: 07/12/19 Client Project Name: 19-7417 / 3294 Quail St. White/Tan Drywall Project ID: 19029499 Test Requested: 3002, Asbestos in Bulk Samples ND Method: EPA/600/R-93/116: Method for the Determination of Asbestos in Bulk Building Materials; EPA -600/M4-82-020: Interim Method for the Determination of Asbestos in Bulk Insulation Samples Sample Identification Physical Description of Sample/Layer Ho— � s^^e^p (Y/N) Layer Percentage Asbestos Detected Asbestos Percentage Non -Asbestos Fiber Percentage Non -Fibrous Material Percentage Matrix Material Composition Client Lab Sample Number CDWOI-02 190294994C Off -White Joint Compound N 5% CHRY 2 TL - Talc 98 C 190294994D White/Tan Drywall N 87% ND 10 90 CTOI-01 19029499-5 White/Brown Fiberboard Ceiling Tile N 100% ND 80 20 CTOI-02 19029499-6 White/Brown Fiberboard Ceiling Tile N 100% ND 75 25 CT02-01 19029499-7A White/fan Fiberboard Ceiling Tile N 90% ND 85 15 19029499-7B Brown Mastic N 10% ND 100 B CT02-02 19029499-8A White/ran Fiberboard Ceiling Tile N 95% ND 45 15 19029499-8B Brown Mastic N 5% ND 100 B FTCOI-01 19029499-9A Light Pink/Tan Fiberboard Floor Tile N 100% ND 80 20 19029499-9B Colorless Mastic N Trace ND 100 B c ai�i e cares Laboratory Analyst Page 2 of 7 Talena Oliver Asbestos Lab Supervisor AC-Actiaotit. AH -Ammar train B=Hiadar Q -Quartz AMAmorit. CL-C.U.. C-Caloar.em T -T. AN-Amlwphvilds FG-Fit.oc. Glave D -Diatom. V-Vemimht. CHRY-Chr„wtit. DiW-M—A Wool G-Gyp.mt CR-Crn6&1u. OT -Otho M-Atiu TR-T.—.lit. SYN - S)oth.eic OR-Orpoie Tru. -<1% TL - Talc OP-opw— ND-Non- D.,—.d W-Woaute it. P-PMi,. AERObIOIOqy LABORATORY Physical Description of SampleLayer 780 St.- Street ASSOCIATES, ; - INCORPORATED Asbestos Detected sate Ina Golden CO, 80401 Expertise Since 1997 Non -Fibrous Material Percentage Matrix Material Composition 303.232.3746 erobinloQy ne, Lab Sample Number Certificate of Analysis www Light Pink/Tan Fiberboard Floor Tile Client Name EnviroSpec, LLC K Date Collected: 07!11/19 Street address 780 Simms St., Suite 101 W l/lSl.`-'-:�J� v (� Date Received: 07/11/19 City, State ZIP Golden, CO 80401 TESTING UU Date Analyzed: 07/12,19 Atm: Luke Bochmann NVLAP Lab Code 200860-0 Date Reported: 07/12,19 Client Project Name: 19-7417 / 3294 Quail St. Project ID: 19029499 Test Requested: 3002, Asbestos in Bulk Samples Method: EPA/600/R-93! 116: Method for the Determination of Asbestos in Bulk Building Materials; EPA -600/M4-82-020: Interim Method for the Determination of Asbestos in Bulk Insulation Samples Sample Identification Physical Description of SampleLayer Homo- geneom (YIN)Percentage Layer Percentage Asbestos Detected Asbestos Percentage Non -Asbestos Fiber Non -Fibrous Material Percentage Matrix Material Composition Client Lab Sample Number CR - Creeideht• 19029499-IOA Light Pink/Tan Fiberboard Floor Tile N 100% ND 80 20 �a-<I% NouD.t.etM FTCO 1-02 P -Fret: 19029499-IOB Colorless Mastic N Trace ND 100 B 19029499 -IIA Light Brown Sheet Vinyl with White Fibrous Backing N 99% CHRY 25 5 70 SVFO1-01 19029499-1113 Brown Mastic N 1% ND 100 B 19029499-12A Light Brown Sheet Vinyl with White Fibrous Backing N 100% CHRY 25 5 70 SVFOI-02 19029499-12B Brown Mastic N Trace ND 100 B 19029499-13A Off-White/Beige Sheet Vinyl with White Foam Backing N 45% ND 100 C 19029499-13B White Mastic with Brown Resinous Debris N 4% ND Trace 100 B SVF02-01 19029499-13C Fellow Sheet Vinyl with White Fibrous Backing N 45% CHRY 25 5 70 19029499-13D Brown Mastic N 6% ND 100 B c ae ca es Laboratory Analyst Page 3 of 7 � 14� ab-', Talera Oliver Asbestos Lab Supervisor AC - Acu"tit• AH-Auimat H.ir B-B.Ad Q -Qu - AM - Amo.;t. CL - C<tldeu C - cateu•om T -Tu AN -A -I. hvtlit• rG-FTeau Glu. D-Du.oa.. V-�'rm csiit• CHRY-Clmwtit• sfW-M -1 Peal G-Glj— CR - Creeideht• OT - Otter TR-T—fit• SIN-5vttth•tk Oa -Omni' TL -Tak OP - op. _ �a-<I% NouD.t.etM a-Ppv.t�a• P -Fret: AERObiolo Y LABORATORY Physical Description of Sample/Layer 780 Simi s Street ASSOCIATES, A INCORPORATED Asbestos Detected Suite 104 Golden CO, 80401 Expertise Since 1997 Certificate of Analysis eo�w 303.232.3746 eeron.oiopy oat Client Name EnviroSpec, LLC ^n�n(� r\ ^�' Date Collected: 07/11/19 Street address 780 Simms St., Suite 101 w �/ Vl (�"��J Date Received: 07/11/19 City, State ZIP Golden, CO 80401 TESTING Date Analyzed: 07/12/19 Atm: Luke Bochmann NVLAP tab Code 200860-0 Date Reported: 07/12/19 Client Project Name: 19-7417 / 3294 Quail St. l race Project 11): 19029499 Test Requested: 3002, Asbestos in Bulk Samples S V F02-02 Method: EPA/600/R-93/116: Method for the Determination of Asbestos in Bulk Building Materials; EPA -600/M4-82-020: Interim Method for the Determination of Asbestos in Bulls Insulation Samples Sample Identification Physical Description of Sample/Layer Bomo- ge❑eous (Y/N) layer Percentage Asbestos Detected Asbestos Percentage Non -Asbestos Fiber Percenta a Non -Fibrous Material Percentage Matrix Material Composition Client Lab Sample Number CR -Crocidolite 19029499-14A Off-White/Beige Sheet Vinyl with White Foam Backing N 47% ND Traee - < 1% TL - Tak 100 NO -None Detected 19029499-14B White Mastic with Brown Resinous Debris N 3% ND l race 100 B S V F02-02 19029499-14C Yellow/Green Sheet Vinyl with White Fibrous Bacldng N 48% CHRY 25 5 70 19029499-14D Brown Mastic N 2%. ND 100 13 19029499-15A White Compound with Multicolored Paint Layers N 80% CHRY 2 98 C TSOI-01 19029499-15B Whiteaan Drywall N 20% ND 65 35 G 19029499-16A White Compound with Multicolored Paint Layers N 60% CHRY 2 98 C TSOI-02 19029499-16B White/Tan Drywall N 40% ND 60 40 Ci 19029499-17A White Compound with Multicolored Paint Layers N 80% CHRY 2 98 C TSOI-03 r19029499-1713 Whitefran Drywall N 20% ND 60 40 G � Ifs -✓r/6 G�IsC� Ct�aeT9c_Jes Laboratory Analyst Page 4 of 7 ens Oliver Asbestos Lab Supervisor AC-Am—lite AH-Artimal lies B -Binds Q-Qeurez AM-.lmosite CL-Wulws C -Cal— T -T. AN—A uhorhyMte PG-Ftl-01m D -Diatoms V-V,i=hte CHRY -Ch*-11. 11W-If—Z wool G -Gyps® CR -Crocidolite OT -Other hl -hriea TR-Tremaate SIX. syathetk Oft-Ott— Traee - < 1% TL - Tak OP - Opaywt NO -None Detected W-waWtonite P-Petlite \� AEROb10lOqy LAbORATORy ASSOCIATES, INCORPORATED Expertise Since 1997 Certificate of Analysis 780 Simms Street Suite 104 Goldert, CO, 80401 307.2723746 Prop o�� ae, Client Name EnviroSpec,LLCW K Date Collected: 07/11/19 Street address 780 Simms St., Suite 101 Vl VW�J® Date Received: 07/11/19 City, State ZIP Golden, CO 80401 TESTING U Date Analyzed: 07/12/19 Ann; Luke Bochmann NVLAP tab Code 200860-0 Date Reported: 07/12/19 Client Project Name: 19-7-417 / 3294 Quail St. White/PanDrywall Project ID: 19029499 Test Requested: 3002, Asbestos in Bulk Samples Method: EPA/600/R-93/116: Method for the Determination of Asbestos in Bulk Building Materials; EPA -600/M4-82-020: Interim Method for the Determination of Asbestos in Bulk Insulation Samples Sample Identification Physical Description of Sample/Layer tionto- geaeorts (YM) Lays Percentage Asbestos Detected Asbestos Percentage Non -Asbestos Fiber Percentage Non -Fibrous Material Percentage Matrix Material Composition Client Lab Sample Number TS02-01 19029499-18A White Compound with White Paint N 45% CHRY 2 TL-Tak 98 C 19029499-18B White/PanDrywall N 55% ND 60 40 (i TS02-02 19029499-19A White Compound with White Paint N 35% CHRY 2 98 C' 19029499-19B White/Tan Drywall N 65'x. ND 70 30 G ISO -1-03 19029499-20A White Compound with White Paint N 25 % CIIRI 2 98 C 19029499-20B White/fanDrywall N 75';,b ND 70 30 G TS03-01 19029499-21A White Compound with Off -White Paint N S.. ND 100 C 19029499-21B White Compound with Multicolored Paint Layers N 60% CHRY 2 98 C 19029499-21C Tan Drywall Paper N 35;o ND 80 20 TS03-02 19029499-22A Light Tan Wallpaper with White Paint N 5 ND 55 45 c arc ar t�vf _ee 9c_aTm Laboratory Analyst Page 5 of 7 Talena Oliver Asbestos Lab Supervisor Ac-A.ti_tit. art-A-9Hat B -Bim.t Q-Qmta AM Ame.is. CL -Cade. C - Calear.em T -Tar AN-AnWnphyU.. FG-Fit—GI.. D -DW— V-V—Lotit. CHRY -CMywtd. DSt\'.Dim Tal R'eol G=rny.cm CS-Cterid tit. OT -Otho Df-DLea TR-Tt It. SIN -Synth.. OR-chp Tran -<1% TL-Tak OP-op.p. Iva. Dten. D.t.ead w - W.I1--tit. P - Perlis. 'Nkt,�AERObIOtOCi*y ,A LAbORATORY Physical Description of Sample/Layer 780Si— Street ASSOCIATES, INCORPORATED Asbestos Detected Asbestos Percentage Non -Asbestos Fiber Percenta a Non -Fibrous Material Percentage Goldeq CO, 80401 80404 \_ Expertise Since 1997 Lab Sample Number 303232.3746 19029499-22B Certificate of Analysis Pmh n ^cr net Client Name EnviroSpec,LLC,�^�(j ^° Date Collected: 07/11/19 Street address 780 Simms St., Suite 101 W V Date Received: 07/11/19 City, State ZIP Golden, CO 80401 TESTING@ Date Analyzed: 07/12/19 Atm: Luke Bochmann NVLAP Lab Code 200860-0 Date Reported: 07/12/19 Client Project Name: 19-7-417 / 3294 Quail St. 98 Project ID: 19029499 Test Requested: 3002, Asbestos in Bulk Samples White/CanDrywall N Method: EPA/600/R-93/116: Method for the Determination of Asbestos in Bulk Building Materials; EPA -600/M4-82-020: Interim Method for the Determination of Asbestos in Bulk Insulation Samples Sample IdentificationHomo- Physical Description of Sample/Layer generous (YIN) Layer Percentage Asbestos Detected Asbestos Percentage Non -Asbestos Fiber Percenta a Non -Fibrous Material Percentage Matrix Material Composition Client Lab Sample Number TS03-02 19029499-22B White Compound with White Paint N 20% ND T--<1% TL -Tile 100 C 19029499-22C Off -White Compound with White Paint N 55% CHRY 2 98 19029499-22D White/CanDrywall N 10% ND 65 35 G TS03-03 19029499-23A White Caulking with White Paint N 5% ND 100 19029499-23B White Wallpaper with White Paint N 30% ND 60 40 19029499-23C White Compound with White Paint N 10% ND Trace 100 C 19029499-23D Light Tan Wallpaper with White Paint N 35% ND 65 35 19029499-23E White Compound with White Paint N 5% CHRY 2 3 95 C 19029499-23F White/fan Drywall N 15% ND 45 55 G ClC1 11e5 Laboratory Analyst Page 6 of 7 �J Talena Oliver Asbestos Lab Supervisor AC =Actinolite AH - Animal Hair B - ander Q - Qotsta AM-Amoxte CL-Ceactose C-Ca1-- T -T. XX=Aathoyhyllite FG-nb—Glaze D-Diatomr v-t-da�k hta CHRY-Chrysotile tw D-Alinxal Wool G=Gyr— CR-Crncidohte OT-Othr M-hGaa TR-Tre=ht* SIN-Sywheue OR-Orrmic T--<1% TL -Tile OP=opagawr ND–Nane Detected W - w'otlutoaite P - Perlia '��AERObIOlOCiy LABORATORY 780 Si—Street ASSOCIATES, INCORPORATED sane404 \_ Go1de4 CO, 80401 Expertise Since 1997 303.232.3746 p Certificate of Analysis www eerobinbgy net Client Name EnviroSpec,LLCryM��R (�° Date Collected: 07/11/19 Street address 780 Simms St., Suite 101 W V & 1J Date Received: 07/11/,9 City, State ZIP Golden, CO 80401 TESTING U Date Analyzed: 07/12/19 Ann. Luke Boelunann NVLAP Lab Code 200860.0 Date Reported: 07/12/19 Client Project Name: 19-7-017 / 3294 Quail St. Project ID: 19029499 Test Requested: 3002, Asbestos in Bulk Samples Method: EPA/600/R-93/116: Method for the Determination of Asbestos in Bulk Building Materials; EPA -600/M4-82-020: Interim Method for the Determination of Asbestos in Bulk Insulation Samples General Notes • ND indicates no asbestos was detected; the method detection limit is 1 %. • Trace or "< 1" indicates asbestos was identified in the sample, but the concentration is less than 1 % and cannot be quantified without point counting. • Samples identified as inhomogeneous (more than one layer) are separated into individual layers, and each layer is analyzed and reported separately. • All regulated asbestos minerals (i.e. chrysotile, arnosite, crocidolite, anthophyllite, tremolite, and actinolite) were sought in every layer of each sample, but only those asbestos minerals detected are listed. Amosite is the common name for the asbestiform variety of the minerals cummingtonite and grunerite. Crocidolite is the common name used for the asbestiform variety of the mineral riebeckite. • Tile, vinyl, foam, plastic, and fine powder samples may contain asbestos fibers of such small diameter (< 0.25 microns in diameter) that these fibers cannot be detected by PLM. For such samples, more sensitive analytical methods (e.g. TEM, SEM, and XRD) are recommended if greater certainty about asbestos content is required. Semi -quantitative bulk TEM floor tile analysis is accepted under NESHAP regulations. • These results are submitted pursuant to Aerobiology Laboratory Associates, Inc.'s current terms and conditions of sale, including the company's standard warranty and limitation of liability provisions. No responsibility or liability is assumed for the manner in which the results are used or interpreted. • Unless notified in writing to return the samples covered by this report, Aerobiology Laboratory Associates, Inc. will store the samples for a minimum period of thirty (30) days before discarding. A shipping and handling charge will be assessed for the return of any samples. • Aerobiology does not guarantee the results of tape lifts, microvacs, wipe, and/or debris samples. Accurate analysis cannot be performed due to particle size, media used, and/or amount of material given. Analysis of these materials should be preformed by a TEM. A result of ND does not indicate that the sample area does not contain asbestos. /t means the analyst could not identify asbestos in the specific sample for the reasons listed above. Notes Required by NVLAP • This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government. • This test report relates only to the items tested or calibrated. • This report is not valid unless it bears the name of a NVLAP-approved signatory. • Any reproduction of this document must include the entire document in order for the report to be valid. Page 7 of 7 1, 12 13 14 15 —MbleSpureirap LAB USE ONLY A: M 7 /I Z / i V. Nk\AERobioloq / LAbowoRy A,SSOC MB, `. ' INCORPORATED \� Expertise Since 1997 e ELITE AZ C.A. CO, GA. VA W Page 1 Of Routine 9 o fl 24 hbtcr pay 4 H r5 Day -it Nipaye (pct t SAMPLING LOCATION 21P CODE Sam le No. Test Code Sample Location Total Volume/Area 1 —Q 00 2 ' _ Q �. 3 �U �Q c a -0 i D� ~U s v I=o 1-~ v l u 5dr) 0 1 t W i o 1%,+ullure - VVR r r K Phoenix, AZ Cherry Hill, NJ Los Angeles, CA (602) 441-3700 (856) 486-9177 (714) 895-8401 L Usct Pie ofAERobiol0 [AboRAYO , Expertise sfrtce 1997 !ELM -" Aerobiology Client - f - K.CA A.GCO.VA i�"a `.V� Field Contact CoUoctod By/Da!?I "(t- ( Rsllnqulshed WDaW,,>-7 / Phone/F Po;lVJotak: Email Project Name' ,� / 1L LQ Sample No. Test Code Sample Location Total volmne/Area 1 T5 ,Qt 17 -0 3 1 20 2, 503 -o 22 -- o —D3 24 25 26 27 28 29 30 31 32 33 34 3 38 37 38 39 40 vvasnmgron, u.t;. Auanta, uA oenver, co Phoenix, AZ Chert' Hill, NJ Los Angeles, CA Ft Lauderdale, FL (877) 648-9150 (770) 947-2828 (303) 232-3746 (602) 441-3700 (856) 488-1177 (714) 895-8401 (954) 451.3725 wwr, 1: Enr �� pec CONSULTING Appendix C Certifications •c N 1876 ColomdoDepartment Of public Health and Environment ASBESTOS CONSULTING FIRM This certifies that EnviroSpec LLC Registration No.: ACF - 21882 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 consuhing activities as required under Regulation No 8, Part B, in the state of Colorado. Issued: February 14, 2019 Expires: April 01, 2020 Aut WMOO APCD Rep- gtfv� --- Cenificate of Compfe tion Presented To: duke C. Oochmann Has successfully completed 24 hours of training required under section 206 of the Toxic Substance Control Act (TSCA), Title II. "INITIAL BUILDING INSPECTOR" ASBESTOS TRAINING a SAFETY CONSULTING 2170 W Yale Ave. Englewood, CO 8ouo (720) 441-5049 This cerfificate is valid only with the possession! 00 current Division -approved training course cerfifla in the discne specified above. Lok flo, .0.00 0 0 10 En it ec CE3PJE;- UL-- G Appendix D Photos En!kr pec c�r�rv��r_ar Irv: U ACM Inspection CA01 Is CDW 01 3294 Quail St U C TO CT02 En /r pec CoIVSU�i ACM Inspection 3294 Quail St Driveway debris Dumpster 2 ACM Inspection En!kJ7-P-5Pn9CCt7NSf- Font entry IN soon mumm BEEN J Front of house H Front closet 3294 Quail St FTC01 Eng Ah pec CONSUL CM ACM Inspection 3294 Quail St Garden le\,el family room Kitchen floor Kitchen SFV01 Eng N pec COIVSL1l TING ACM Inspection FO SVF02 3294 Quail St 0 �Sol TS01 TS02 TS03 30 3 -8 go - 0-1/7-11 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: 3 %0 1;-)h A Job Address: ,30iq y 0 vc, > S (- Permit Number: �Igoi lcly diI i ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes �o When corrections have been made, call for re -inspection at 303-234-5933 Datel&/o Inspector:—.. m Tb 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: -310 aS Job Address: 30 c1 g O U11(t ST Permit Number: 27 01 � c) i 1 a Lj ❑ No one available for inspection: TiqV Re -Inspection required:e" Yes )No When corrections have been made, call qr re -inspection at Dat Inspecto . A City of Wheat Ridge E -Res. Electrical Service Upgr PERMIT - 201801194 PERMIT NO: 201801194 ISSUED: 04/27/2018 JOB ADDRESS: 3294 Quail ST EXPIRES: 04/27/2019 JOB DESCRIPTION: Electrical service upgrade to 200amp O/H service change. Extend Riser above roof. *** CONTACTS *** OWNER (703)863-2332 BRYM MONICA SUB (303)880-0474 Chris Feiner 100011 Feiner Electricians LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,700.00 FEES Total Valuation 0.00 Use Tax 56.70 Permit Fee 93.35 ** TOTAL ** 150.05 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2014 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, applica le building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be perormeisdiscIosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalpermitfee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicab�ode or any orliyance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief kilding Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City or comW heat lkd 4iUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permitsasci wheatridae.co.us FOR OFFICE USE ONLY Date: 7-Tf q Plan/Permit # q Plan Review Fee: 15 6�5 Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: L - I ` U " ' `�' ' Property Owner (please print)' r t (� 41 I C Ci r \t i`Yl Phone: ?>C` 4� T Property Owner Email: Tenant (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: city, State, Zi Ar E Architect/Engineer E-mail: Phone: Contractor P 1n� �� ��1 , { CinS City of Wheat Ridge License #: Phone: Zi0 3 V) Contractor E-mail Address: For Plan Review Questions & Comments (please print): p CONTACT NAME (please print): �1 V 1 S Q i 41 Sr Phone: 323- U �� CONTACT EMAIL(p/ease print): (� ht'1S t t > X (6) \JnX�X a) 0 0M Sub Contractors (Must provide Wheat Ridge License No.): Mechanical: Electrical: Plumbing: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # COMMERCIAL LRESIDENTIAL Description of work: For ALL projects, provide idetailed 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. ZbU 41- {p 0/ii SreviC e Cfirtn=C:rr� e e'T&W:7 �L`i? 0!0' 46o06 Commercial Projects Only: occupancy Type: Construction Type: Sq. FULF BTUs Amps Z 0 o At-IP5 Squares Gallons Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ Z7VC) ON'NERICONTRACTOR 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 1 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 1 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the applica ion. CIRCLE ONE: (0 N NER) (CON CTOR) (A UT IORIZED REPRESENTATIVE) of (014 NER) (CONTRACTOR) DATE: L Sifnature (first and last name): Printed Name: C_ N p - )-s ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: 9C17 (2Z INSPECTION RECORD °ccupancvne INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Insp tec or Comments Initials Electrical Comments Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric' Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical 'ol Final Plumbing Final Mechanical g 30 417 lni Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. "For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request n inspection before MIDNIGHT (11:59 PM) to receiv n inspection he following busineMd,, PERMI `� ! ADDRESS:E JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation I Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. I 206 Water Underground uo Not cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspoctior, 305 Insulation I 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT'ADDRESS:. C I. C �t JOB CODE: � N Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential _ 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 03 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous I T- Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 03 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning'' Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 fire i`ICane Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** ✓ — H- ----n — — 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. 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: 4 O g- Job Address: D,9 q Permit Number: a O ► `4 OQ 4 p �- ❑ No one available for inspectio : Time 1 3- AM/PM Re -Inspection required: Yes When corrections have been made, ca for re -inspection at 303-234-5933 r Date: ! Inspector DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Mechanic PERMIT - 201709707 PERMIT NO: 201709707 ISSUED: 12/28/2017 JOB ADDRESS: 3294 Quail ST EXPIRES: 12/28/2018 JOB DESCRIPTION: Residential mechanical permit for the removal and installation of 50gallon/40K BTUs gas Water heater. *** CONTACTS *** OWNER (703)863-2332 BRYM MONICA SUB (303)487-5157 Shannon Monahan 160018 Service Experts *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,462.00 FEES Hot Water Heater 40.00 Total Valuation 0.00 Use Tax 30.70 ** TOTAL ** 70.70 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications; applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perfp ed and tJ all yr t� be performed is disclosed in this document and/or its' accompanying approved plans and specifications. MWIM 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 originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, 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. LU Signature of Chit Mg 0TTiciar '%#%0— ''%#%0Date REQUESTS MUST BE MADE BY 11t59PM ANY BUSI SS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. I FOR OFFICE USE ONLY City of Date: Wheatl,d.�e Plan/Permit � U jl �} � U�l Building & Inspection Services Division ��f 1 ` 7 7500 W. 291h Ave., Wheat Ridge, CO 80033 Plan Review Fee: 10-70 7 �l Office: 303-235-2855 * Fax: 303-237-8929 j (� Inspection Line: 303-234-5933 Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address:.93'2AL4 Q Uri t I St - Owner Property Owner Email: 0 r1 ) Mailing Address: (if different than property address) Address: C -DC'_ % City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor: Se Phone: Phone: 7a 3 - .31- Mailing 2 Contractors City License #: � pV � U 1 Phone:�J�7 '_7 3 Contractor E-mail Address: i Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # ry) Mechanical: W.R. City License # Complete all information on BOTH sides of this form Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please 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.) ,n _ U�-�t cr_ I) on UJ t� K -Q -0(-t; F. H 0 �- b -Tu-, s Sq. Ft./LF Amps Btu's Squares Gallons CJ Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) 11 NTRAC R) bL►n Co l� n PRINT NAME: SIGNATURE��� v �,eD� DATE: l I 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 DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION- Rnilriinn flivicinn Q Zit I101cl 3 __5 INSPECTION RECORD INSPECTION CORD INSPECTION REQUEST LINE: 303 234-5933 Occunancy/TjTe Inspections will not be performed unless this card is posted on the project site. :;.e inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Pier Concrete Encased Ground Foundation / P.E. Letter DateIInspector Initials Comments Do Not Pour Concrete Prior To Annroval Of The Ahcwo Incnpctinnc Underground/Slab Inspections Date Inspector Initials Comments Electrical Wall Sheathing Floodplain Inspection (if applicable) Sewer Service Final Electrical Mid -Roof Plumbing Final Mechanical AV Roof Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of Tho Ahnvp Incnnr4innc Rough Inspections Date Inspector Initials Comments Wall Sheathing Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Mid -Roof Final Plumbing Final Mechanical AV Roof Lath /Wall Tie Final Window/Doors Final Building Rough Electric NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *L. 1. _Ia Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Fo- Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical AV Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *L. 1. _Ia low VOILage Prnrnis — riease oe sure that rough inspections are completed trom the Fire District and electrical low voltage by the Building Division. For notification of your assigned inspection time window please email i"stimerequest d)�c .wheatrid e.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Time windows are assigned based on inspection routing. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Roofing PERMIT - 201701933 -ERMIT NO: 201701933 ISSUED: 06/13/2017 .iB ADDRESS: 3294 Quail ST EXPIRES: 06/13/2018 JOB DESCRIPTION: Residential reroof: Install Owens Corning Duration storm 22.33 squares 4/12 and 2/12 double felt on low slope k** CONTACTS *** OWNER (303)250-5204 BRYM MONICA 3UB (303)660-9394 Guy Smith 090201 GBS Enterprises Inc k** PARCEL INFO *** 7,ONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,703.93 FEES Dotal Valuation 0.00 :Ise Tax 245.78 Permit Fee 236.00 ** TOTAL ** 481.78 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding kh-inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€i"s 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's technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. / i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSP ECTION NOTICE /f Inspection Type: 0 Job Address: 7 z 9 t-1 U 5/ - Permit Number: 20/9 0 /9/3� ❑ 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: (j Inspector: t�" G i CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: / v `_T 0 Job Address: 3 6/ U /4YL S Permit Number: Zo i -7 d i y 3� ❑ No one available for inspection: Time �M/PM Re -Inspection required: Yes'No When corrections have been made, call for re-inspeptiofr at 303-234-5933 _ J d Date: 1 —Z, Z � J Inspector: G-% DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201701933 PERMIT NO: 201701933 ISSUED: 06/13/2017 JOB ADDRESS: 3294 Quail ST EXPIRES: 06/13/2018 JOB DESCRIPTION: Residential reroof: Install Owens Corning Duration storm 22.33 squares 4/12 and 2/12 double felt on low slope *** CONTACTS *** OWNER (303)250-5204 BRYM MONICA SUB (303)660-9394 Guy Smith 090201 GBS Enterprises 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: 11,703.93 FEES Total Valuation 0.00 Use Tax 245.78 Permit Fee 236.00 ** TOTAL ** 481.78 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding Al/z-inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€ms 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's technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201701933 201701933 3294 Quail ST Residential reroof: Install Owen 4/12 and 2/12 double felt on low ISSUED: 06/13/2017 EXPIRES: 06/13/2018 Corning Duration storm 22.33 squares slope I, by my signature, do hereby attest that thework to be performed shall comply with all accompanying approved plans and specifications, applica le 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 roper 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 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 an 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 appr, f, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is suHe to an inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Antoinette Kulick 7iol'I i;1i33 From: no-reply@ci.wheatridge.co.us Sent: Thursday, June 8, 2017 10:21 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing PP Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being processed within 24-48 hours, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Existing permits that require amendments (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. PROPERTY INFORMATION Property Address 3294 Quail St Property Owner Name Monica Brym Property Owner Phone 703.863.2332 Number C Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this -- property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name GBS Enterprises Inc Contractor's License 090201 Number (for the City of Wheat Ridge) Contractor Phone 3036609394 Number Contractor Email Address info@gbsroofing.com (permit pick-up instructions will be sent to this email) DESCRIPTION OF WORK Is this application for a Yes new permit for a residential roof? Are you re -decking the No roof? Description of Roofing Owens Corning Duration storm Material How many squares of 22.33 material? Provide additional detail 4/12 & 2/12 double felt on low slope here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 11703.93 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a 2 permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Guy E Smith Email not displaying correctly? View it in your browser. City of Wheat Ridge �® Residential Mechanic PERMIT - 201706232 PERMIT NO: 201706232 ISSUED: 08/17/2017 JOB ADDRESS: 3294 Quail ST EXPIRES: 08/17/2018 JOB DESCRIPTION: residential furnace w/new 90K BTU furnace & replace 4 ton A/C like for like *** CONTACTS *** OWNER (703)863-2332 BRYM MONICA SUB (303)487-5157 Shannon Monahan 160018 Service Experts SUB (303)916-8696 Michael K. McAdams 100132 MK Electric Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,841.00 FEES A/C Replacement 60.00 Furnace Replacement 40.00 PAID Total Valuation 0.00 Use Tax 269.66 ** TOTAL ** 369.66 *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. Work is subject to field inspections.Work shall comply with 2012 IRC & 2014 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. City of Wheat Ridge Residential Mechanic PERMIT - 201706232 PERMIT NO: 201706232 ISSUED: 08/17/2017 JOB ADDRESS: 3294 Quail ST EXPIRES: 08/17/2018 JOB DESCRIPTION: residential furnace w/new 90K BTU furnace & replace 4 ton A/C like for like 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 thisppermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed an - Ad at allycel o+e performed is disclosed in this document and/or its' accompanying approved plans and specifications. __/ Signature of OWNER or CONTRACTOR (Circle one) Date I, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original pen -nit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements. fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Styj d an,,- es Division in accordance with established policy of all required inspections and shall not proceed or c$nc al work wil n 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 ' ordmance or regulation of t s jurisdiction. Approval of work is subject to Held inspection. ' 4,5J.11f4a_ Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. I FOR OFFICE USE ONLY City of Date: % ^'' -7 Wheat �dlge I( I PlanlPermit # Building & Inspection Services Division v� 7500 W. 291h Ave., Wheat Ridge, CO 80033 Plan Review Fee: Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Cl GJ Property Owner (please print): M n ; c--& f�r- r✓1 Phone: Property Owner Email: Mailing Address: (if different than property address) Address: �C�L City, State, Zip: Arch itect/Enaineer: Architect/Engineer E-mail: Phone: Contractor: `Z)f J' V 5 Contractors City License #: ILP -60 i% Phone:'? o V �J -7 -zj— 7 �,O<J Contractor E-mail Address: , Sub Contractors: Electrical: M \L- 4. i W.R. City License #' f� Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please 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.) a W 0 c` LL GO / v-Lp� q 6 k-- r�1AA $ /�. Sq. Ft./LF Amps Btu's Squares Gallons Other Project Value: Value: (Contract value or the cost of all materials and labor included in the entire project) L $ � -<� � 1 9,0 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 1 have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: co _ SIGNATURE: \ 9 "" l �' ` DATE: 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 DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION• Rnilainn i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE ❑ No one available for inspection n—Time( !!` �-1 AM/PM Re -Inspection required: Yes/ No,, U When corrections have been made, call for re -ins a etion'at 303-234-5933 !7` ri Date: k,/ .y!•` Inspector: u Building PermitApplication « different than propertyaddress) �=« Electrical: Plumbing: Mechanical: CityV:F, City License # F. ice S:: ether City tiec�. Other City t i ens City License City License COMMERCIAL)�g IDENTIAL crloilo l of w+ : (Check all that apply) Sq. FttLF Btu's Gallons Amps Squares Other Pi'.Jia Velie: (Contract value or the cast of all materials and Mbar Included In theVfLft ragect) #UNDERSTANDING I hereby certify that the setback distances proposedand do not violate applicable or have been authorized by the legal owner of the property to perforar 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. 1, the applicant for this building permit application, warrant the truthfulness of the information♦ # on application, BuildingDivisionValuation: INSPECTION RECORD occupancylTVpe 'INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS IOB FOUNDATION INSPECTIONS DATE 'INSPECTOR INITIALS COMMENTSf Footings /Caissons Stemwall. / (CEG) Concrete Encased Ground Reinforcing or Monolithic NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS . Sheathing;. Weatherproof / French Drain Lath / Wall tie Sewer Service Lines,.. " Mid Roof Water. Service Lines. +. Electrical Service POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) 'DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS . Sheathing;. Lath / Wall tie " Mid Roof Electrical Service ' Rough Electric Rough Plumbing Gas Piping 'Rough Mechanical ^ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation Drywall Screw FINALS Electrical Plumbing .Mech anical , Roof Building Final Fire Department R.O.W & Drainage if INSPECTIONS. FOR PLANNING $ ZONING, FIRE AND PUBLICE WORKS I. .SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. ng & Lan dscaping OTEALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A rCERTI.. FICA TE OF OCCUPANCY is ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER `It I' CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line J (303) 235 -2855 Office - (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: _f r'f I tl 60 t Job Address /Permit Number: i�+?r € C.fi rPVfGG ❑ No one available for inspection: Time a f /(" MOM Re Inspection required: y's No E when corrections have been made, call or r - inppection gt 303 - 2345933 l;. i � E Date: �t`l� Inspector: 1.il .� F — %, DO NOT REMOVE THIS NOTICE 'r ♦ 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: KC©f Job Address: -3;?qlt 61,1011 5f. Permit Number: ~i~tlm ❑ No one available for inspection: Time AM1 Re-Inspection required: Yes O 'No, When corrections have been made, call for re-insertion at 0 - 34u933 Dater Inspector: aril ~'n DO NOT REMOVE THIS NOTICE t A 41 CITY OF WHEAT RIDGE ~-j Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax. INSPECTION NOTICE Inspection Type: ,#-L QAol= Job Address: 3;257Z Qu<t r1 57;F- Permit Number: O 17w/ V 3/2 ❑ No one available for inspection: Time 7,e5o AM/ I~V Re-Inspection required: es No When corrections have been made, call forme-inspection at 303-234-5933 Date: tf ~8/rte Inspector: DO NOT REMOVE THIS NOTICE 4 19,f 7TJ![ ~Rar~r!>~~ SF T r~ F' «c i~ 2C ♦ i CITY OF WHEAT RIDGE r Building Inspection Division 1 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: Poc''~rT Job Address: ' uC,,"f Permit Number: Oq/il'~f 2 6~~ '1 r4 ❑ No one available for inspection: Time A PM Re-Inspection required: Yes No i *When corrections have been made, call C re-inspection at 303-234-5933 Date: 7-G Cl Inspector: e R` A? DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE 3 Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office ' (303) 235-2857 Fax 1 INSPECTION NOTICE Inspection Type: P,0~9 Job Address/Permit Number: ?:zdlr„ i ~pp 1 ❑ No one available for inspection: Time '13 • f~ AM N Re-Inspection required: Pes/ No When corrections have been made, call for re-inspection at 303-234,5933 Date: -2~ Inspector: / (y DO NOT REMOVE THIS NOTICE 3 3 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line _1J (303) 235-2855 Office ' (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: ~rr /mc~? Job Address/Permit Number: :27~{(/ Y bi4~t,, Inn~ h7 ''e F lu , err rl , zu b ~1 1 ❑ No one available for inspection: Time f't MppM i Re-Inspection required: Yes No When. corrections have been made, call for re-inspection at 303-234-5933 Date: X-ell Inspector: 't r_i / FCJm DO NOT REMOVE THIS NOTICE " ' City of `Wheat Ridge Residential Roofing PERMIT - 091942 PERMIT NO: 091942 -ISSUED: 09/02/2009 ` JOB ADDRESS:. 3294 QUAIL ST: EXPIRES: 03/01/2010 DESCRIPTION: Reroof 23 sqs - CONTACTS - owner `303/232-9495 !George Hock = sub:'. 303/825-5273 08-0138 Colorado Roofing & Exteriors **'PARCEL INFO ` ZONE CODE: UA. USE: UA SUBDIVISION: 0668 BLOCK/LOT#: 0/ FEE SUMMARY ' - ESTIMATED PROJECT VALUATION: ` 6,027.00 FEES Permit Fee 181.10 , e Total Valuation .00 Use Tax 108.49 a~lbV~J.'1j/`lg **.TOTAL 289.59?r_...._,. Conditions: 6. nail installation & mid-roof inspection required.. Board. sheathing spaced more than a 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 inspection. 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 that I assume full responsibility for compliance with. the Wheat Ridge Building Code (I.B.C)-and all other ap heat Ridge Ordinances, for work under this permit. Plans subject to field inspection. Signature o contractor/owner date 1. This permit was issued in accordance with the. provisions set forth in your application and is subject to the laws of the State of 'Colorado and to the zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other. applicable 9 ordinances of the City.- - 2. This permit shall expire 1s0. 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 afee 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 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 adrainage problem. 5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for. all inspections and shall receive 'written approval on inspection card before proceeding with successive phases of. the job. 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, an violation of the provisions. of the building codes or any other ordinance, law, rule or regulation. All plan. revie i ject to field inspections. T Signature of is uilding Official date of INSPECTI REQUEST LINE: (303)234-5933 1BUILDING OFFICE: (303)235-2855 ,:,REQUESTS MUST BE MADE BY 3PM ANY :BUSINESS DAY FOR INSPECTION THE FOLLOWINGS BUSINESS DAY. W HEgT City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 o Inspection Line: 303-234-5933 OCORP~ Building Permit Application Date: Plan Permit L1111 Property Address: XgLl QUJ S+ Property Owner (please print): Mailing Address: (if different than property address) Address: City, State, Contractor: Phone: 3/ ZR Contractor License Phone: W:1 13M- 5273 Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $ 6~ 7-7 Description of work: ;1e n ~-3 Z i (as calculated per the Building Valuation Data sheet) K Koc~F',s, /i p.a Plan Review (due of time of submittal): $ CC- 00,4nage 30)~ Sq. Ft./L.Ft added: Squares 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 toabide 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. CIRLCEONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) , NTRA OR PRINT NAME: SIGNATURE: Date: ZONING~COMMENTS: Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY: FIRE DEPARTMENT:: ❑ approved w/ comments ❑ disapproved ❑ no review required ~ , f ~ C1.My V ri , iiS+r Riligir . . ~ ~ ~ . : m~ i _ 1 Rovring FERMIT - 080569 pRkh1IT NOd080569~ . . . . ISSUED: " 06/04/2008. ~ . J J` ,ADDRSS3: 3294 QSJAIL S EXPIRES: 12/O1/2008 p*kitIPTION: T(0; IneCail 23~ s a of'O.C. 30pY diinensional comp shingle.' CONTACTS e,r* owniBr 303/232-9495 G or e D Hock 07-0171 1-DERFtJL ROOF & RESTOFATION. ANTENER E gC 303/984-7663 R . . CODE: uA USE: . r-3 . . . 05,69.. . $~NY`SION.; . ~ . . : BLOCK/LOT#: .0/ i ESTIMA,TED PRQJECT VALUATION: , 4,671.00 . . pbXqit Pee ~ ( . ELES. . 144.70 . . . 7"tstal valuation . ~ . •00 UBB..Tax . . j . 73.28 . . ~#..TQTAL.** . . 217.98. . . . . Caraditions : 6 n;ai1 inata2lation,& mi -rd of inapection required. 'T !{kreby certify that theeetback diat an te pzopoeefl by triiepexmit application are accurate,and do not violate applicatile: eaeemente or reeCnc4iona9f rmcOxd;that all t pbQ'inancee, tvlee orYegulatione ~ f t e e, ity-of wheat Ridge or covenan thatI have read and a9see to abide by a11cbnditione printedon thie t c ppk¢ieuYemehteshown, and dlieqatio 'appiicatmon'and that I assume_ful a re de po ura e; are.ac eiblllty for compli'snce with the wheatBidge Building Code(I.B.C). azW all othez tion i dpplicable L]heat &1d9eOrdinanc4a . . fo ~ nepec rk under thie pevmik. Plane eubject to lield , . . . . ' .Slg~ature ofcontraetorjownes . ~ . . date . . x. Ttiia geTmit wae leaued.Srt acco I dan t Ce ith.t6e provi9ione'~,seC EoLth in your application an9 is eubjeCt to the lavs of the olorado oY any oCher applicatrYe id ~.,8tate of,Cbiorado and to the Z ni.-. p R ge, C 9ulatione and Building Codea of wheat x ordinancea.of the C1ty:: 1 0 t xo Cheieauedate. R4queste for an erzteneion muet.Ce Teceive9.pripr Co expicetion e B 7„ Th16 pexmit.ehall expl ddte,. Aa ExCaneiOn may be gs ,y~ te at the dlecretion of the Bui193n9 Official. . . fee oPone kialfthe amount normally zequised, pYbvl.defl no f ' If thix pexmit expizea,a new changes riavebeen or will be e fle~ t n or a y beacquired he original plane 4nd epecificatione and any euapeneiOn ox abandonment 1~ae not . , fu11 feeeehail .,.exceeda9:one (1) yeaz.' If c ge ha e been or if euepension or abandonment exceede one (1) year . . . . ' ' . be Paid for a xiep Pexmit. S. i.NO work aE any mannar~qhall.ti ~ do t . . atwill change [Ee.natural flow oE weter caueing a dFainage..problem.. , e for all inspectione and shall receive. d ~S.:COntrncton eha1Y notify Cke ild ~ 9 vanc nspectop twenty-foar (24) houze in a with euceeeaive phaeee of the job. oceedin f wXitten.aBProval an inspeeCio t ca e a d r g ore pz of drawinge and apecificatione ehall not be construed ao be a pesmit for,nar, al d. -The Sesuanpe.oE a pexmit o;t 'an approv5lof, anviol#tion of he . rovision9 of the bpildingcodee or any other ordinance,.law, rile pr.regulatSOn. :.A11 glau-.seui S , ject to fie d epectione. . . . . . . . ~a~,ture ot. ~ ie ildSng Otfic al date. : t'*RBCT 88GIISS't J.I"' (3 3 234-5933 $UILDING OFFICE: (303)235-2855 OR INSPECTION THE FOLLOW3NG SU6INES3 DAY_ MOIIEST3MUS't' BE MADE BY . . , . . . . . . . . . . . . . . . . . . . . ' I . . . . . . . . , 3P ~ ~ . I . . . i 4 ~ . I ~ ` ANY BUSINESS DAY F , . . . . . . . . . . . , : . . i . . . . . . . . . . : . . . , . . . . . . . . . . . . , . , . . . . . . . . . . . . . . . . . : . . . . . . . . . . . , . . . . . . . _ - pF WHEqT,P City of Wheat Ridge Building Division ~ 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855' Fax: 303-235-2857 c o Inspection Line: 303-234-5933 ~IORA~ ~ Building Permit Application Property Address: ~aaq 4 Date: Plan Permit Property Owner (please print): cl e.u~g.& 1-b ck-- Phone: 303 Mailing Address: (if different than property address) Address: ~qs City, State, zip: ,&uL--}V,a,.QL , W g0033 Contractor: ~-bck:-r'~.i1L ~~►^-9~ ~ Contractor License ~ 1-1 ' Phone: Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date Approval: Approval: Approval: Use of space (description): Construction Vaiue: $ Descriptlon Of work: (as calculated per the Building Valuarion Data sheeU 4aw a fC ~ rl~.~,h aQ.f ~ Plan Review (due at time ofsubmittaQ: E il - p , -r • r„~..__~ W QG 3lJ G~YY~sib~-a.Q fi~~ Sq. Ft./L.Ft added: Squares 4'3 BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurete, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions ot record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (,OWNER) ONTRACTO r PERSONAL REPRE NTATIVE of (OWNER) (CONTRATOR) PRINTNAME: ~.11AG~/1 J K3+e/'14*- SIGNATURE: Date: ZONING COMMENTS: Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY BUILDING DEPARTMENT COMMEN7S: OCCUPANCY: Reviewer: FIRE DEPARTMENT:: ❑ appfoVetl W/ COfnmen[5 ❑ diSapproVed ❑ no revieW fequired Bldg Valuation: $ m d LT w•°-=~ ~ N C N ~ a ~ M ~ Q V N c ~ ~ w~= ~ y M U Ly C ~ O O ro V'~ oN ° W -4 4 U H~ V Z O c. i U W F £ fA o Z Z c £ c a N N ~ Q a 0 ~ t L? a ~ N ~ o V V ~ m a p c Z ~ ~ y E . 4 o ~tr ai o p o_ i a E a W CC E' a m J2 . p 7 o N O U W O p_ V N Z C = 41 3 ~ El Q L . . . . . . ~ . _ . . . M 4 v~ ~ h •.h a i ~M,v LT ~ Q o W N C N i. R~~yn~JJ~ 7k C1 O M ~ a N ~ p v a ~ r '~.3 n p W~L ~ ~ vy e Z W~ C~ 2 G> M cmi Q ~ ~ ~y; F ~ ~ LL c u°~j o Z p h \ c z u O O r N 0 V y ~ `L a~i U= MN N~'~ e a 3 O ~JJ C ~ m~O Z ro a~) " oe 0 m o `u o~ o ~ a ~ a ~ ~y o rn _ ~ 9 ~ ~ ❑ a~ 3 m + ~ ~ ~ T I, i-;.r.. m LT o W Y1 C N ~ 01 N ~ Q V C d ~ Q Y y O lyJ 0 a « = a C~1 U Ly C y~ O O ma Lo M N 'vC C)~ oN m `o W U 0 Z Z O U W a N Z t~l V H O~o ~ N i G ~ H ~ o z fY1 ~ N E a ~ d c a N d v v Q a 0 ~ G ' a I a VIO N E P c 0 d ~ c 0 d .0 A j co N C O 0 Z ❑ F 7- N } N ~ 6 N c 0 U N n ~ c N cr M M A N 0 N O M ~ 0 N C ~ u v ~ m a i L G 0 ~ u a m 3 . 0 U N Q ~ c ~ ai m 0 City of Wheat Ridge % Residential Roofing PERMIT - 080569 PERMIT NO: 080569 ISSIIED:~ 06/04/2006 JOB ADDRES5:~3294~ QUAIL ST EXPZRES: 12/01/2008 ~ DESCRIPTION: T/O; InsCall 23~sqs of O.C. 30yr dimenaional comp shingle.~~ . •r*~CONTACTS~rew* . ~ . . owner ~303/232-9495 Georgo Hock ~ . ~ gc ~ 303/984-7663 RONALP E. ANTENER 07-0171 1-DERFUL ROOF & RESTORA2'FON . PARCEL~ INFO~ . . I, . . . . . . . . ZONE CODE: UA USE: ~ r-3 SUBDIVISION:~ 0666 . ~ , BLOCK/LOT#: 0/~ FEE SUMMARY ESTIMATED PROJECT VALUATION: . 4,071.00 . ~ . . FEES ~ . ~ I~ Pezmit Fee 144.70 - ~ ~ . . . Total'VdlUation , .00 ~ ~ . . . Use Tax 73.28 . . ~ ~ . ~ . . +r TOTAL. 217.98 Conditione:'' . 6 nail inatallation & mid-roolf inspection required. i I hereby certify that the eetback dista~cee proposed by Ghie permit application are accurate, an9 do not vlolate applicable ordinances, ru10s or regnlatione of thci,City of Wheat Ridge or covenante, eaeementa or reatsictions of record; that all meaeuremente sho.rsn ,.and allegatione mad¢ are accurate; that I have read and agree to abifle'by all conditione printed on tRie.: application andthaC I aeeume Eull reeponeibility for compliance with the Wheat Ridge Building Code (I.B.C) andallotner applicati].e Wheat&idge-0rdinancee, for Work under thia germit. Plane eub7ect to field inepection. ' , . . . . . i . . . . : Signatuze af contractos/owner 1. Thie permit Mae.iaeued 1n accordancelaith the provisione set forth in your application and iseubiect Co the laws of theSEate of Colorado and [o the Zoning ~egulatlone and Huilding Codee of Wheat Ridge, Colorado or any other applicable ordinanceeof thc-0ity.. 2.Thie.pexmi.t ehall ezpire 180 daye frlpm the ieeuedate. Requeete foa an extenelon muet be received prior to expiration date. An exterteion may tie gzanted at the diecretion ofthe Building Official. 3. If thiv pezmit e~cpiree, anew permitli may beacquired for a fee of one-half the amount normally requlred, provided no change9 have baen ocaill be made ity the ori9inal plana and epecificatione and any evepeneionor abandonment has mt exceedBd one (1)yeat. If changea tl~ave been or if euapenaion or abendonment exceedeone (i) year, full fees ehall. be paid foi a nev peimit.- ~i9. No work of any manrien6ha31 bG donelthatw111 change the natural flow of water caueing a.drainageproblem. 5. Contructor.ehnll notify the Building Inepector twenty-four (24) hwre in advance for all inepectiona-and ahall receive . written approval ory inepectioncardlbefose proceeding with eucceeeive phasee of the job.. 6. 74ie is6uaace o£ a it or theappOval of dzawinge and epeclficationeehall not be wnetrued to be a pexmit for, nor an approva o aiolatioa of thoIprovipSDna of the 6uildSng codee or any other ordinance, lav, rule or regulation. All plan eiib7ect [o field iinepectione. . Signature o niaf gvalding.official j INSBSCTION~RBQLTSST LINB: (301 REQUESTS MUST BE MADE BY 3PM ~ I -5933 BUILDING OFFICE:(303)235-2855 BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSSNESS DAY.'