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3295 Ward Road
`® ®' CITY OF WHEAT RIDGE o Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ✓ 4 �,� Job Address: -% ,2 ci `� `) Permit Number: I ❑ No one available for inspection: Time % " AM/PM Re -Inspection required: Yes LNo When corrections have been made, call for re -inspection at 303 -234 - Date: Inspector: ; DO NOT REMOVE THIS NOTICE A i 61TY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: �� �72R� Permit Number: I? X-, -I J No one avai a le for i saecti' efM�'� Re -Inspection required: " si Nc When corrections have been made, I fere-insp'eecctiion at 303-234-5933 Date: : ` C Inspe DO NOT REM VE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address:���GI`f Permit Number: 17, U C,'�. r U ❑ No one available for inspection: Time ? AM/PM /11 Re -Inspection required: Yes Nc)'' When corrections have been made, call for re -inspection at 303-234-5933 Date: � ] I C, Inspector:v--) r DO NOT REMOVE THIS NOTICE 1* � 4 i CITY OF WHEAT RIDGE _3��Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address:=_ GI �� 0 fit. t Permit Number: t= ! cl 0 » ❑ No one available for inspection: Time "I AM/PM Re -Inspection required: e No ! ; - When corrections have been made, call for re -inspection at 303-234-5933 Date: '� ` f Inspector: ' DO NOT REMOVE THIS NOTICE i CITY OF WHEAT -RIDGE Builhi § Inspectiontfiivision (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: qQ � l XL,� t - Job Address: s— CA_D[ I� t Permit Number: ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No' When corrections have been ma p, I for re -inspection at 303 -234 - Dat - Inspcto DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303),234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: [. t Permit Number: �►, ❑ No one available for inspection:14ne'� - AM/PM Re -Inspection required. Yes `No When corrections have been made,, cell for re -inspection at 303-234-5933 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: 6n'._ cA w C c r V --mJ f1-( e c4 M V4 k,— ".0 ❑ No one available for inspection: Time '03- AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: �' i Inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office * (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:. Job Address: Permit Number: J No one available for inspection: Time AM/PM Re -inspection required: Ye I s; No When corrections have been made, call for re -inspection at 303-234-5933 Inspector:— DO NOT REMOVE THIS NOTICE 1- " 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: Y�, �' S Job Address: -� s� i� 4 r.� n 0 Permit Number: ❑ No one available for inspection: Time i ` ''' AM/PM Re -Inspection required: Yes (N� When corrections have been made, call for re -inspection at 303 -234 - Date: C ' i) Inspector: ' r 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: �-'� {��-� ` C_ Job Address: 2. ✓^ 10 r 0 Permit Number: )O\CU .1 vC ❑ No one available for inspection: Time i `fR AM/PM Re -Inspection required: Yes No"/ When corrections have been made, call for re -inspection at 303-234-5933 r Date: 'tom; Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Ins �, ) a V, (" Job Address: moi_ ri 5 1.)A r7 ?- 0 Permit Number: b 019 y ❑ No one available for inspection: Time rr s.a, ` AM/PM Re -Inspection required: (es', No When corrections have been made, call for re -inspection at 303-234-5933 Date: 7 `-) ` � Inspector: DO NOT REMOVE THIS NOTICE C, ' 13 i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: "2,'7-9 'S-v'JAYZ r" q , Permit Number: ❑ No one available for inspection: Time F AM/PM Re -Inspection required: Yes rNo When corrections have been made, call for re -inspection at 303-234-5933 Date:" ' � ° Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Remodel PERMIT - 201900788 PERMIT NO: 201900788 ISSUED: 05/01/2019 JOB ADDRESS: 3295 Ward Rd EXPIRES: 04/30/2020 JOB DESCRIPTION: SWO New carpet and pad, cabinets, granite countertops, light fixtures, paint, faucets, toilets, casing & trim, door blanks, vanities; removing knee wall and bar shelves in basement **REVISON: Eliminate 2 rooms; construct straight wall where existing monoposts are located; No added valuation *** CONTACTS *** OWNER (720)488-6939 LANGLY JAMES GC (720)710-4742 CLETUS J WEBER 190102 IRGC SUB (303)887-5599 RAY BOCANEGRA 190098 COLORADO PLUMBING & CONST SRVS SUB (303)667-0807 MARK DILL 180263 MED ELECTRIC SUB (303)952-9047 KURT SIMPSON 190099 GUARDIAN HEATING & AIR *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 42,330.34 FEES Total Valuation 0.00 Plan Review Fee 843.77 Use Tax 888.94 Permit Fee 649.05 Investigative Fees 649.05 ** TOTAL ** 3,030.81 *** COMMENTS *** *** CONDITIONS *** All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. City of Wheat Ridge Residential Remodel PERMIT - 201900788 PERMIT NO: 201900788 ISSUED: 05/01/2019 JOB ADDRESS: 3295 Ward Rd EXPIRES: 04/30/2020 JOB DESCRIPTION: SWO New carpet and pad, cabinets, granite countertops, light fixtures, paint, faucets, toilets, casing & trim, door blanks, vanities; removing knee wall and bar shelves in basement **REVISON: Eliminate 2 rooms; construct straight wall where existing monoposts are located; No added valuation 1, 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 ll work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. 07V ir Signature of OWI& or CONTRACTOR (Circle one) Date 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, po plans 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. Signature of ChiefBuilding O�fflcial` Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat I dge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(oci.wheatridge.co.us FOR OFFICE USE ONLY Date: lv! a Add to Permit # II q U Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: _ �'� 9� 41z 24 &J Property Owner (please print): Phone: Property Owner Email: Mailing Address: (if different than property address) FA Contact Person:���� Phone: Contractor: Contractors City License #: Contractor E-mail Address: it Phone: Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description off revisedlamended work: I° Sq. FULF Amps Btu's Squares Gallons Other Additional Project Value: (Myst include all general and subcontracted work to be performed related to revisions/amendments described above) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: Q �q� SIGNAT: DATE: URE DEPARTMENT USE ONLY ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: t' PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required OCCUPANCY CLASSIFICATION: Building Division Valuation: $ REVISION 0 it ♦t aI W city of WMMUtJITY DEVEIO ME e APPROVEDIN , laps Examiner mw ` rsni : the asuasce of.oe.nw.rmprorwolob"Wr k.tl.. ardcomputot+o"sStw.roreeo,erew/br,«a,opyo,.rtt«yMorH»to © r onvof the ofthe 6uAdbq code aofwq. Cityoediftw d. Aer+Wb prc<uminq to give outhorpy to vi&we of c~Nu mvi*m pf tf f coda or other ordmW.Ces of the City ShopOW pe .V". -s-jtY-zC 1\j7\ s -- �� /Pj� / ' /4/e- b"h f A )( r —; I- -= ITE PLANS MUST BEITE FOR INSPECTION \ALJL Pro'ects a icid in ions /Stn eXCdL �a- a..vrwnaup"IT VEVEL014 ;APPROVE Reveevved foe Lode Cc Mart EpamYoer Date ��rL�liteitwrK.d.lestla ypb. tat/e.�ttttiewrMl.etEe.�rwE�t►.• egewald.a i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE �1v Inspection Type: Job Address: �? !^JA r 0 Permit Number: C�\ �. G 1 an�� amu!' \rlr� rs r eu;r �p _,c.t-� � as -. �`• �'� l� t 1 ,n v � ❑ No one available for inspection: Time S SAM/PM Re -Inspection required: (e)s No When corrections have been made, call for re -inspection at 303-234-5933 Date: � Inspector: DO NOT REMOVE THIS NOTICE 20 � �oSt� 30 rt r `J' ,t,,f -,—,,�1 ov" ,3 ::� C/ 5 Al'i /(34j Cityof Wheat Ridge Building Division IV i CITY 0*'INHE d RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: R, L� Q, Job Address: Permit Number: ( c.45(t) 7 -� ❑ No one available for inspection: Time � M Re -Inspection required: Yes When corrections have been made, or re-' spy tion at 303-234-5933 D,at . — Inspec. DO NOT REAV iTHIS NOTICE t' � 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: P Job Address: `� ;LCT � ` ) Lv 7 j t_ Permit Number: D C)Ne , � ',_,` _-1 I y � ! ❑ No one available for inspection: Time AM/PM Re -Inspection required: Les� No When corrections have been made, call for re -inspection at 303-234-5933 Date: fie_ Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3– Job Address: Permit Number: �—rT one available for inspection: Ti required: Yes No Wherf'corrections have been made, Dat '�'` spec i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: z. f Permit Number: —5 4 � -, ❑ No one available for inspection: Timed _*'( J AM/PM Re -Inspection required: Yes No i CITY OF WHEAT RIDGE. , Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE rr �0 may.: L n� ❑ No one available for inspection: Tie ' AM/PM Re -Inspection requireCr- Yes o - When corrections have been made, �_ A"Iws� for re -inspection at 303-234-5933 Reservoirs Environmental, Inc. Effective April 2, 2018 Reservoirs Environmental QA Manual Q:\QAQC\Lab\Reservoirs Environmental QA Manual.doc REI LAB Reservoirs Environmental, Inc. T May 9, 2019 Kent Egland IRGC 13797 W. Warren Dr. Lakewood CO 80228 Dear Customer, Subcontract Number: Laboratory Report: Project # / P.O. # Project Description: NA RES 434832-1 Ward Road Upgrade remodel Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code 101896-0 for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the American Industrial Hygiene Association (AIHA), Lab ID 101533 - Accreditation Certificate #480 for Phase Contrast Microscopy (PCM) analysis. This laboratory is currently proficient in both Proficiency Testing and PAT programs respectively. Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request. The analysis has been completed in general accordance with the appropriate methodology as stated in the attached analysis table. The results have been submitted to your office. RES 434832-1 is the job number assigned to this study. This report is considered highly confidential and the sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with personnel other than those of the client. The results described in this report only apply to the samples analyzed. This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the U.S. Government. This report shall not be reproduced except in full, without written approval from Reservoirs Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested. If you have any questions about this report, please feel free to call 303-964-1986. Sincerely, Jeanne Spencer President P: 303-964-1986 5801 Logan Street, Suite 100 Denver, CO 80216 1-866-RESI-ENV F: 303-477-4275 vwvw.reilab.com Page 1 of 1 Reservoirs Environmental, Inc. Reservoirs Environmental QA Manual RESERVOIRS ENVIRONMENTAL INC. NVLAP Lab Code 101896-0 TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: RES 434832-1 Client: IRGC Client Project Number / P.O.: Ward Road Client Project Description: Upgrade remodel Date Samples Received: May 09, 2019 Effective April 2, 2018 QAQA=LAB\Reservoirs Environmental QA Manual.doc Method: EPA 600/R-93/116 - Short Report, Bulk ND=None TR=Trace, Turnaround: Rush Trem/Act=Tremolite/Actinolite Date Samples Analyzed: May 09, 2019 Detected <1% Visual Estimate Client L Asbestos Content Non Non - Sample A Sub Asbestos Fibrous Number Y Physical Part Mineral Visual Fibrous Components E Description Estimate Components R 1 A Tan/white ceiling tile 100 ND 85 15 2 A Brown fiberboard w/ off white paint 100 ND 85 15 3 A Tan adhesive 2 ND 0 100 B Tan floor tile 98 ND 0 100 4 A Off white/tan drywall 100 ND 15 85 TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%. Gregory Nronkh Analyst / Data QA P'. 303-9641986 5801 Logan SUeet, Suite 100, Denver, CO 80216 1-866-RESI-ENV F'. 303-4774275 Page 1 of 1 Hy,�,,, .reilab.com N Cl) 00 M C W X O H U z2 O U 0 W U O z 0 :S31ON 1!31410 NO SIVUIN1 SA131dWVS- a R n m a'� v � Blgel/yu0,y W Y � U m a u, m 1 x m i Cp Mriiswuaynu3 io lHl uaPFWol6 Je410 0 S u0°.e�911uMp JD -H ellauo6ol 1 O y uogFayrtuenp m •WIE6unj'eueloeg}W O �.- g' n o - �' II N Q G '01 J !I II Q '— p Gi > C > V1 io n 8 A Lunoo aletd algaay 4vnap lel gaolW,�'t LD m V b ' . W ~ y c n 0 :S31ON 1!31410 NO SIVUIN1 SA131dWVS- R Blgel/yu0,y Y � uolleoiyguenp uoge:igquaFi -i. Mine io dell eiodS ploW Mriiswuaynu3 io lHl uaPFWol6 Je410 �Nl u0°.e�911uMp JD -H ellauo6ol 1 O y uogFayrtuenp m •WIE6unj'eueloeg}W O �.- �e x N '01 p p Gi > C d o .4i 1 E V1 io n 8 A Lunoo aletd algaay 4vnap lel gaolW,�'t LD m V b c q . W ~ y Q 0 I - ON I SSA (aup 87i"J SSesldl ia:egn SielS z uoge:i4nuenp io •l. SuuO;,Io �1Pue !!os 3 z $ i s W vo9P:) uenp • Ii F so-!. 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C a W V V E °� it =° o E flu S to -E1- V { o 0 0 4 r w m m nfY- 0 9� u ai€ U m° u C. r N M V N SD f` 00 y O U N K u 69 ui a •'i- 5 r2 r z R oa. rl N Ila p p Gi > C d o .4i 1 E E • c o 'c a I - T T Y) W a IS Go s O V R 9 0 ( ( E Y Q Uri ��) cI nl=c* azo :nza°m 0 O o o 41 2 O N N Y 4 = a ( 1 �� 5 m I I I I Im9 9 �_ g� C N C a J O p r -1W. C a W V V E °� it =° o E flu S to -E1- V { o 0 0 4 r w m m nfY- 0 9� u ai€ U m° u C. r N M V N SD f` 00 y O U N K u 69 ui a •'i- 5 r2 r z City of Wheat Ridge Residential Remodel PERMIT - 201900788 PERMIT NO: 201900788 ISSUED: 05/01/2019 JOB ADDRESS: 3295 Ward Rd EXPIRES: 04/30/2020 JOB DESCRIPTION: New carpet and pad, cabinets, granite countertops, light fixtures, paint, faucets, toilets, casing & trim, door blanks, vanities; removing knee wall and bar shelves in basement *** CONTACTS *** OWNER (720)488-6939 LANGLY JAMES GC (720)710-4742 CLETUS J WEBER SUB (303)887-5599 RAY BOCANEGRA SUB (303)667-0807 MARK DILL SUB (303)952-9047 KURT SIMPSON 190102 IRGC 190098 COLORADO PLUMBING & CONST SRVS 180263 MED ELECTRIC 190099 GUARDIAN HEATING & AIR *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** Total Valuation Plan Review Fee Use Tax Permit Fee Investigative Fees ** TOTAL ** *** COMMENTS *** ESTIMATED PROJECT VALUATION FEES 0.00 843.77 888.94 649.05 649.05 3,030.81 42,330.34 *** CONDITIONS *** All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. .:. City of Wheat Ridge Residential Remodel PERMIT - 201900788 PERMIT NO: 201900788 ISSUED: 05/01/2019 JOB ADDRESS: 3295 Ward Rd EXPIRES: 04/30/2020 JOB DESCRIPTION: New carpet and pad, cabinets, granite countertops, light fixtures, paint, faucets, toilets, casing & trim, door blanks, vanities; removing knee wall and bar shelves in basement 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 iegal owner of the property and am authorized to obtain thisyermitandperf0nthre work described and approved in conjunction with thispermit.Ifurtherattesthat I am legally authorized to include aentities named within this document as partiestothe work toe performed and that all worktoeperformed isdisclosed in this doment and/or its' accompanying approved plans and specifications. Signature of O R or ' CT_fi (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying Flans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. Thispermit 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 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, TP�pance or gran of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any ale cede ora rdinance 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 W heat �idgc MUNITY DEVELOPMENT r Building & Inspection Services 7500 W. 291 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: Permits(cDci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit# Plan Review Fee: $ �5_y f rn Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: ®'� / 641krd X004 ,/ `,, e, c 960 Property Owner (please print):,_ -(- Z 4 / Phone: Property Owner Email: Tenant Name (Commercial Projects Only) $ Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Phone: Contractor Name: YA 41-1i City of Wheat Ridge License M Contractor E-mail Address:, r? G For Plan Review Questions & Comments (please print): Phone: Z20— 7/0 — CONTACT NAME (please print): hone:_A0J CONTACT EMAIL(please 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 [0 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. ��?7 /1J G�S'���/1`'.�se/F'.J vcc/J/ GC/% r li /"M, '�/'� ��/,� '/;�r Av �Ic�r/ s�e �r�/rev �&i/� z�Ge., Sq. FULF Zoe BTUs Gallons Amps Squares For Solar: KW # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Sienature (first Printed Name: DEPARTMENT USE ONLY ZONING COMMMENTS: Reviewer: ILTE: _ OCCUPANCY CLASSIFICATION: 05 CONSTRUCTION TYPE: BUILDING DEPARTMENT COMMENTS: ' � r M�I-W it `e Reviewer: is o 20 71 C)C) ;7 - PUBLIC PUBLIC WORKS COMMENTS: Reviewer: �Zj Y50' Building Division Valuation: 4/24/2019 M 2019-04-24_084853.jpg City of REQ: E 4 z-,. eat i. e to COMMUNITY DEVELOPMENT SUB—CONTRACTOR AUTHORIZATION FORM FSnr 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:% C -%k t� %� �/ Permit #:s— General Contractor: _ f2 Electrical Sub -Contractor Company Name: �(0 � �,:G-ry 1 C Phone #: State License #: 06VIl U — Master Wheat Ridge License #: (required field) � Signature of Authorized Agent Date Plumbing Sub -Contractor Company Name: Phone #: Master #: State License #: (required field) Wheat Ridge l..icense #: Signature of Authorized Agent Mechanical contractor Date Phone: Company Name: lregiiired field) Wheat Ridge License #• Date ed Agent Signature of Authoriz https://mail.google.com/mail/u/0/#inbox/FMfcgxwCgLvgNdSQQPDvBwbwFIKWfJnC?projector-1 &messagePaMd=0.1 1/1 Cily oF (f�, Wh6at iddue kA"11COMMUNITY DEV ELOPMEN`C per SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's Cit' of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and license i lust he up to date prior to permit issuance. Project Address:,f General Contractor: 7k L-1 �J 1- leeWeal Sub -Contractor PA)/,11)),,n 0010va&io P)wv-0biwJ 4 CtiO)'% h luh'ov, Company Name: Phone #: State License #: 0 O0;CA ce3 00 Master #:_ 001 � (o 5Z (o Wheat Ridge License #: 0 09,z Signature f uthorize t gent Date Plumbing Sub -Contractor Company Name: Phone #: State License #: Master #: Wheat Ridge License #: Signature of Authorized Agent Mechanical Contractor Date Company Name: Phone: Wheat Ridge License Y: (,�.;t Signature of Authorized Agent Date Scanned by CamScanner �� Clty of Wh6atP.,.j111..C19e COMMUNITY DEVELOPMET 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: 3� qY Wmc) //a Permit #: General Contractor: Electrical Sub -Contractor Company Name: Phone #: State License #: Master #: Wheat Ridge License #: (required field) Signature of Authorized Agent Date Plumbing Sub -Contractor Company Name: Phone #: State License #: Master #: Wheat Ridge License #: (required field) Signature of Authorized Agent Date Mechanical Contractor Company Name:Gugr�, 4, "� Phone: `(/3 9s a- uel% Wheat Rid -License #: 1 (?(1(91 � (required field) t ~1 -ZZ_ ignatu f Authorized Agent Date 4/26/2019 u%�I+ REC21 ED ABSOLUTE J 4r - Inspection report page 1.jpg ABSOLUTE PEST CONTROL PO Box 877 10450 E Progress Way Ste. # 105 Parker, CO 80134 www.apcpestcontrol.com Phone 3) 841-7378 -�;SA��CI , Pest Inspection Report Residential - Homes/Apartments https://mai1.google.com/mail/u/0/#inbox/QgrcJHsbcVJJzBjzWMjMKhIDkfSQgzpmFBV?projector=1 &messagePartld=0.1 111 4/26/2019 Inspection report page 2.jpg A. Landscaping Al. Shrubbery / Trees - trimmed properly • branches touching structure bushes covering soil A2.Lawns - away from foundation • Yard debris - branches, lawn clippings A3. Vegetable & Fruit gardens • evidence of rodents feeding snails, slugs • fruit / vegetables on soil - flies, beetles A4. Pet Waste - collected / disposed of quickly A5. Excessive mulch A6. Wood piles - away from structure A7. Trash receptacles - location / condition B. Exterior of Structure B1. Vent screens condition B2. Exterior doors - gaps B3. Exterior windows - gaps G�A7i3rit"%>��2 84. Exterior walls / Eaves • wasp nests present �• ►//�j • holes or gaps around pipes, cable entry points B5. Exterior lighting - location / type B6. Out -buildings • storage sheds - rodents, spiders • pet houses/kennels - fleas, ticks • food / water bowls - condition B7. Standing water - containers, gutters, soil, others C. Crawl Space, if present C1.Entry door and ventilations screens • condition? C2. Excessive soil moisture C3. Evidence of animals residing D. Finished Basement, if present D1. Exterior doors for proper fit D2. Windows and screens present / condition D3. Excessive moisture problems water heater floor areas and integrity washer area N. Integrity of walls - holes, cracks D5. Storage - clutter, deteriorated condition E. Attics - finished or unfinished E1. Vent screens condition E2, Skylights - gaps E3. Exterior windows - gaps E4. Evidence of insects - nests, feces E5. Evidence of rodents - damage, feces, nests F. Garage F1.Moisture problems - water heater, washer,sinks F2. Food resources bags / boxes of nuts, grains pet foods garbage bins inside F3. Lumber storage / Firewood inside F4. Rodent evidence - feces, gnawed materials, eaten food items F5. Evidence of spiders, wasps 77-771 G. Kitchen & Dining Areas G1. Water leaks / Moisture present • under sinks, under refrigerator dishwasher 32. Food residues on surfaces - floor, walls, stove, refri erator, dishwasher G3. Insect harborage - gaps, holes G4.Insect harborage - bags, boxes, piles of papers G5.Pest evidence in overhead lighting DISCLAIMER - This form is provided by Univar USA Inc. 'as is' as a service to customers. Univar does not provide any warranty for this form whatsoever, whether expr��ss�t+U� 0 or statutory, including, but not limited to, any warranty of merchantability or fitness for a particular purpose or any warranty that the contents of the form will be error -free. Inhb re§pea shall Univar incur any liability for any damages, including. but limited to, direct, indirect, special, or consequential damages arising out of, resulting from, or any way connected to the use of Ins form. whether or not based upon warranty, contract, tort. or otherwise. at R\d9e r.� e Version: 1.0 10/12/12 vyrPagle 1 of 2 �ov% �u\\d-tn9 Qif15 https://mail.google.com/mail/u/0/#inbox/QgrcJHsbcVJJzBjzWMjMKhlDkfSQgzpmFBV?projector=1 &messagePartld=0.1 1/1 4/26/2019 Inspeection report page 3.jpg G. Kitchen & Dining Areas (continued) G6. Bulk Foods Storage • pet foods • cereals, grains H. Bedrooms 1-11. Food items in closets or dressers H2. Woolen items stored properly H3. Pet bedding - evidence of fleas H4. Bedbugs - any evidence on mattress, floor ed es, other areas H5. Carpets accessible under beds I. Bathrooms 11. Moisture problems / Leaks • Under sinks, around toilet Potted plants - soil moisture 11. Residues of soap, toothpaste 11. Laundry Hampers / Chutes J. Living Areas of Structure: J1.Fireplace - flue / door closed when not in use • bird / rodent guards on chimney top J2. Firewood - stored outside J3. Potted plants - excessive moisture J4. Food improperly stored - closets, drawers JS. Insect food resources • dried flowers • grains in decorative items, nuts • food spills under furniture K. Homeowner Reports Being Bitten: 41 e. ✓N/T IA16- 4P77/ 4 K1. Insect glue traps - captured specimens identified K2. Any presence of birds in or on structure K3. Any presence of rodents in attic or other areas K4. Any evidence of bedbug presence K5. Window screens in place to exclude mosquitoes K6. Pets in the home - evidence of fleas on pets or in pet bedding NotedL. Pests L1. Spiders L2. Cockroaches L3. Stored food products moths/beetles L4. Carpet beetles L5. Silverfish L6. Ants - nests on site L7. Paper wasps - nests on site L8. Honeybees - nests on site L9. Filth Flies - breeding resources L10. Small flies I Gnats 1-11. Mosquitoes / Larvae L12. General crawling pests Ll 3. Rodents - signs / nests L14. Birds - nests L15. Other pests: - Important Note - this is not a structural inspection for the purpose of discovering the presence of wood damaging pests. This is not an inspection to note any deficiencies in electrical or plumbing installations or structural integrity. For inspections of these items the appropriate licensed contractor should be contacted. Recommendations: 41 e. ✓N/T IA16- 4P77/ 4 X70 0 Ifori/t/6 X�7914�-" DISCLAIMER -This form is provided by Univar USA Incas is'as a service to customers. Univar does not provide any warranty for this form whatsoever, whether express, implied. or statutory. including, but riot limited to. any warranty of merchantability or fitness for a particular purpose or any warranty that the contents of the form will be error -free. In no respect shalt Univar incur any liability for any damages, including, but limited to, direct, indirect, special, or consequential damages arising out of, resulting from, or any way connected to the use of this fb(tytvpoofw or not based upon warranty, contract, tort, or otherwise. Version: 1.0 1011 2/1 2 Paso. bat Ridge Building Division https://mail.google.com/mail/u/0/#inbox/QgrGJHsbcVJJzBjzWMjMKhlDkfSQgzpmFBV?projector=1 &messagePartld=0.1 1/1 4/26/2019 waiver form for IRGC.jpg ABSOLUTE PEST CONTROL PO Box 877 • Parker, CO 80134 (303) 841-7378 *�7� tN X37 ALWAYS KEEP CHILDREN AND PETS AWAY FROM RODENTICIDES Refer to EPA Reg. # for additional information RODENTICIDE WAIVER & INFORMATION FORM ❑ EATONS ANSWER: - (cas # 82-66-6): The active ingredient is diphacinone, at a concentration of .005% active. The antidote is vitamin K1 intramuscularly or orally as indicated in bishydrokycoumarin overdose. Causes reduced clotting ability or internal bleeding. EPA Reg # 56-57 (Pre -mix) (CAUTION) **Dark green bar or block GENERATION: - (cas # 104653-34-1): The active ingredient is difethialone, at a concentration of .0025% active. The antidote is vitamin K1 intramuscularly or orally as indicated in bishydrokycoumarin overdose. Causes reduced clotting ability or internal bleeding. FRA. Reg # 7173-218 (Pre -mix) (CAUTION) **Tan colored block ❑ TERAD 3 - (cas # 87-97-0): The active ingredient is cholecaliferol at a concentration of .075% active. TREATMENT FOR PET POISONING, NOTE TO VETERINARIAN: Calcium Mobilizer Cholecalciferol: For animals ingesting bait, induce vomiting by using hydrogen peroxide or administration of activated charcoal with a cathartic. If clinical signs develop, treatment consisting of saline diuresis combined with the use of furosemide, corticosteroids, and phosphate binders are recommended. Calcitonin or pamidronate may be needed for animals that remain hypercalcemic despite symptomatic treatment. EPA Reg # 12455-106 (Pre -mix) (CAUTION) **Brownish grooved blocks WEATHER BLOK XT - (cas # 56073-10-0): The active ingredient is brodifacoum, an anticoagulant, at a concentration of .005%. The antidote is vitamin KI. The balance is inert ingredients consisting of grain and bitrex. Bitrex is a very bitter substance which tends to repel dogs, cats and people. EPA Reg # 100-1055 (1're-mixt (CAUTION) **Blue colored block ❑ ZP RODENT BAIT AG - (cas # 1314-84-7): The active ingredient is zinc phosphide, at a concentration of 2% active (grain bait). If swallowed call a poison control center or a physician. DO NOT consume anything by mouth and DO NOT make patient vomit unless directed or advised by a doctor. FPA Rel; # 12455-102 1Restricted use product) (CAUTION) **High odor wheat shaped grain KEY SIGNAL HAZARD WORDS: ^lost hazardous -Danger (skull & cross bones symbol); Less hazardous -Warning label; Least hazardous - Caution label - (same as aspirin type labels). It is understood that although the technician has taken appropriate precautions, the client is ultimately responsible for protect- ing their pets and family from the bait. Proper procedure including my participation to accomplish our common goals, has been explained in detail by my pest control technician.t.'•' r by a human. contact a physician. Local Poison Control # (303) 739-1123 X X Customer The National Pesticide Telecommunication Network #1-800-858-7378 Date City of Wheat Ridge *** KEEP PETS AND CHILDREN AWAY FROM THESE AND ALL RODENTICIyfPSP*i**. hftps:Hmail.google.com/mail/u/0/#inbox/QgrcJHsbcVJJzBjzWMjMKhlDkfSQgzpmFBV?projector=l &messagePart1d=0.1 1/1 4/26/2019 M Gmail Gmail - Pest Control Work Order Pest Control Work Order 1 message Absolute Pest Control <rana@apcpestcontrol.com> Reply -To: Absolute Pest Control <rana@apcpestcontrol.com> To: IRGCbids@gmaii.com Pest Control Work Order attached below.. Thank You SERVICE PERFORMED AT Inspection Resolution General Contractors, Inc 3295 Ward Rd Wheatridge, CO 80033 Signed for by: IRGC Bids <irgcbids@gmail.com> Fri, Apr 26, 2019 at 2:22 PM BILLING ACCOUNT INFORMATION Account #: IN137 Inspection Resolution General Contractors, Inc 13797 W Warren Dr Lakewood, CO 80228 (720) 710-4742 PAY ONLINE TODAY! Click Here to Register Registration #: 0137EB099 DETAILS OF YOUR SERVICE ON: 4/26/2019 WO #: 120077 Special - Special Performed By: Scott Harris License / Certification Number: 24969 PO: Started: 4/26/2019 12:13:00 PM Ended: 4/26/2019 12:45:00 PM TECHNICIAN COMMENT: Inspected home for mice activity; found excessive activity; placed 6 rtu stations inside (1 in each INVOICE bedroom, 1 in hall closet, 1 in kitchen and 2 in garage), also placed 1 fortress by ac unit outside.. NOTES: recommend sealing where air conditioner line comes into home as well as garage door seal; ENVIRONMENT: Temperature: 0 / Wind: - 0 MPH TARGETS: Mice(0) PERFORMED: MATERIAL / PRODUCT QUANTITY EPA # ACTIVE APP RATE Service Material: Generation 5 Block 7173-218 0.0025 Mini Blocks Equipment used: Application method: Locations: Active Ingredient: Difethialone Area Treated: 0.00 Treated For: Service Material: 5 Block 100-1055 0.005 RTU WeatherBlok XT Equipment used: Application method: Locations: Active Ingredient: Brodifacoum https://mail.google.com/mail/u/0?ik=82448bbbf4&view=pt&search=all&permthid=thread-f%3A1631909484361442499&simpl=msg-f%3Al6319094843... 1/2 4/26/2019 Area Treated: 0.00 Treated For: Gmail - Pest Control Work Order Absolute Pest Control, Inc Absolute Pest Control, Inc PO Box 877 lil Parker, CO 80134 303-841-7378 ABSOLUTE rana@apcpestcontrol.com, License #: 00578 State Required Information Colorado - Commercial applicators are licensed by the Colorado Department of Agriculture. City of Wheat Rla9e Quilting Division https://ma il. google.com/mai I/u/0?i k=82448bbbf4&view=pt&sea rch=al I&permth id=th read-f%3A 1631909484361442499&sim pl=msg-f%3A 16319094843... 2/2 /I' 30 or 1)oPJc)r' o Ae� - q/a�5 Ii9 I � tad re -:1 I J plucity of S--/, -1-,o Date vvwetpbm VARW of ww 1, - abs IN aovhiau of Me � z 30 or 1)oPJc)r' o Ae� - q/a�5 Ii9 I � tad re -:1 I J plucity of S--/, -1-,o Date vvwetpbm VARW of ww 1, - abs IN aovhiau of Me II` j e ALSCAI 61e ,_1 qiuxre.=/ / 4/1 ►q ac I qO07ff 9 aid ?01 City of Wheat Ridge Building Division W40 ��C/ City of Wheat Ridge Building Division INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an insp ction the following busines y PERMIT:�01 ftO� ADDRESS: 1WQJJOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground 41 d7 Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 41 d7 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: Ol1�.U'I� ADDRESS:3'AqS JOB CODE: Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous ( �} Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 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 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. i CITY OF WHEAT RIDGE �/- Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office e (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: �I �4 Job Address: 3 2 G, Ccs Permit Number: ZJ c� `l ❑ No one available for inspection: Time QPM Re -Inspection required: Yes i I) When corrections have been made, call for re -inspection at 303-234-5933 Date:-'-) 1 13)) <g Inspector: DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: C.. YY)- i2ll y Job Address: 3a 9 7!70 cx c Permit Number: ❑ No one available for inspection: Time Y.3--) ' AN(( Re -Inspection required: Yes ( 3 When corrections have been made, call for re -inspection at 303-234-5933 Date:) 1 Inspect: --�";, DO NOT REMOVE THIS NOTIC City of Wheat Ridge Residential Roofing PERMIT - 201800097 PERMIT NO: 201800097 ISSUED: 01/10/2018 JOB ADDRESS: 3295 Ward RD EXPIRES: 01/10/2019 JOB DESCRIPTION: Reroof with mulehide rolled mod bit for flat roof portion, 1/12 pitch, 3 squares; atlas pinnacle asphalt shingles on pitched portion, 4/12 & 2/12 pitch; 25 squares; 28 squares total *** CONTACTS *** OWNER (303)238-2977 CLARK ELIZABETH SUB (303)984-7663 Judy Antener 070171 1-DERFUL ROOF & RESTORATION *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,200.00 FEES Total Valuation 0.00 Use Tax 235.20 Permit Fee 236.00 ** TOTAL ** 471.20 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201800097 PERMIT NO: 201800097 ISSUED: 01/10/2018 JOB ADDRESS: 3295 Ward RD EXPIRES: 01/10/2019 JOB DESCRIPTION: Reroof with mulehide rolled mod bit for flat roof portion, 1/12 pitch, 3 squares; atlas pinnacle asphalt shingles on pitched portion, 4/12 & 2/12 pitch; 25 squares; 28 squares total I by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal ner of the property and am authorized to obtain thispermit and perform the work described and approved in conjunction with this ppe . I her attest that I am leggally authorized to include all entities named within this document as parties to the work to be pertor ed an t at all work to be erform4�4js d osed in this document n s' acco panying approved plans and specifications. S'gnatu OWNER or CONTRACTOR (Circle one) Da e 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subj�r to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall 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 f any inspection. Signature of C-Merbunding Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Girton Drive .dtewood, CO 80227 Phone: 303-984-ROOF(7663) Fax: 855-696-7776 �.: nFRFUL ROOFING S RESTORA 0 PROPOSALFOR:A Vv_ Name:` Job Address -3-1- 9 ' ' L..,(4-f_>4-� V" - City, State, Zip: ( Phone: —Z38 Mailing Address: (If Different) Email Address: Best way to contact:.¢ Tear Off %y and eaves are open or closed. Proposal Date /"I,,Tf/1-,7- This proposal may be withdrawn by 1-Derful Roofing & Restoration if not accepted within 30 days from the above date. SUBMITTED BY: 1-DERFUL ROOFING & RESTORATION 1-Derful Rep:- �- Cell Phone: _ i��,a — � 73r Insurance Company: Adjustor Information: Policy Number: Claim Number: J Gutters: Inspect Decking: Deteriorated existing decking color Outlet replaced at cost of $ ,tet,/1/� Per Sq. Ft. Homeowner J Siding: will be notified if any damaged wood is found during tear off. j Install ice shield on eaves and in valley(s) �,+�...�ya,r< s, s Install drip edge ,?-e-- c,,' Color J Extra work Install underlayment /off` SyC� f!' Recover roof with J _ yiQ GF"P year manufacturer warranty. X25ye J Shingle manufacturer color 6 Nail i Install every ge style rid Special instructions: install pipe jacks J lead jacks J swamp cooler j Step flash sidewalls -step flash chimney J step flash skylight 1-derful Roofing and Restoration shall hold in trust any ;X-Derful Roofing & Restoration will provide general liability insurance payment received from you until 1-derful has delivered ,olf at least $2,000,000 and Workers Com ensation of at least $500,000 roofing materials at the site or has performed a �Clean up and haul of roofing debris lean out gutters majority of the roofing work on your property. lagnetic sweep of surrounding area Clean around landscaping $ deductible to be collected All required Permits furnished by 1-Derful Roofing & Restoration - at time of material delivery. to be reimbursed by Insurance Company $ initial total claim amount 1-Derful Roofing & Restoration five year warranty on labor as of / 120 This _J Current Ventilation Recommended price is subject to supplements/adjustments. J Decline recommendation on ventilation Roof work to be completed within 21 days of final _ insurance approval and mortgage endorsement* Date of Acceptance 1-Derful Roofing &Restoration Representative 1ameowner's Sipnaturd i r, Property Owner is 10 A /is not intending to make payment from the proceeds of a property and casualty insurance policy. INSURANCE ALLOWANCE AGREEMENT If so, homeowner must read and sign below. IAVe agree to retain 1-Derful Roofing & Restoration (contractor) to repair/replace the damaged or entire portion of the property described on this contract contingent upon the contractor obtaining my insurance company's approval and payment to have said work completed. It is agreed that the contractor is empowered to contact my insurance carrier and to meet with their representative in order to negotiate the amount of damage, the cost of the repair or replacement of the damage to the above property. Upon the insurance carrier agreement with the contractor and the down payment being made the work will be scheduled and may begin on a first in first out basis. Checks shall be made payable to 1-Derful Roofina & Restoration In the event that the insurance carrier fails to negotiate in a fair and reasonable manner, the contractor shall not be held liable and this agreement will be void. The contractor will release the compiete file to the Commissioner of Insurance at the customer's request. .—Insured out of pocket expense will not exceed the insured (purchaser) policy deductible for the work agreed upon between the insurance carrier and the contractor. Insured also agrees to provide all the necessary documentation for the claim (including documentation to facilitate payment from insurance carrier and/or mortgage holder). The contractor reserves the right to rile for supplemental claims due to material and/or labor increases due to a storm environment or to insurance adjuster's mistakes, errors or omissions. ��C/ZS Insures Con}pWy Claim Number — 1/we aoree by sionino above to all the contract conditions on both the front and back of this agreement I' Kimberly Cook ov V From: no-reply@ci.wheatridge.co.us Sent: Tuesday, January 9, 2018 1:49 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be v completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? 1 PROPERTY INFORMATION 1 Property Address 3295 Ward Rd Property Owner Name Elizabeth Clark J0 Property Owner Phone 303-238-2977 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email 1 derfulcolleen@gmail.com Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed 17-0399 Clark.pdf Contract CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) 1-derful Roofing & Restoration 070171 303-984-7663 Contractor Address 9858 W Girton Dr (Primary address of your business) Contractor Email Address 1 derfulcolleen@gmail.com Retype Contractor Email 1 derfulcolleen@gmail.com Address DESCRIPTION OF WORK TOTAL SQUARES of 28 the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or both? (check all that apply) 11200.00 No Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or greater) i What is the pitch of the FLAT roof? How many squares are part of the FLAT roof? Describe the roofing material for the FLAT roof: Type of material for the FLAT roof. What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: Type of material for the PITCHED roof Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 1:12 3 Mulehide Mod Bit Rolled 4:12 & 2:12 25 Atlas Pinnacle Asphalt Re -Roof House SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this application is NOT a permit. I understand I will be contacted by the City Yes Yes 3 to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Colleen Jacobsen Email not displaying correctly? View it in your browser. A 4 City of Wheat Ridge v Residential Roofing PERMIT - 20120470 PERMIT NO: 20120470 ISSUED: 04/25/2012 JOB ADDRESS: 3.295 Ward RD EXPIRES: 04/25/2013 JOB DESCRIPTION: Reroof 31 sqs with 30 yr. Dimensional shingles. *** CONTACTS *** OWNER (303) 238--2977 CLARK ELIZABETH SUB (303)984-7663 RONALD E. ANTENER *** PARCEL INFO *** ZONE CODE: UA / Unassigned SUBDIVISION CODE: 0695 / APPLEWOOD VILLAGE 070171 1-DERFUL ROOF & RESTORATION USE BLOC K/L0T#: 0 FEE SUMMARY ESTIMATED PROJECT VALUATION; 9,300.00 FEES Permit Fee 50,00 Total Valuation 0.00 Use Tax 282.35 ** TOTAL 332.35 *** COMMENTS *** S, 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 an the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perfo= the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its accompanying approved plans and specifications. Signature of OWNER or CONTPhCTOR (Circle one) Date MKIMMJEMMEH�� INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2055 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. CITY OF WHEAL RIDGE 14/25/12 8:2 AN dd Judith Antener RECEIPT" .- 56 AMOUNT 8PSP Re lace windows- 332.B d Pewit Fee .8 Use Tax' 282.35 KYNENT RECEIVED ANOUNI VS 9773 332.35 Auth Code: 09S 97D 70TH 332.35 DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number : 95-164 Date :1/23/95 Property Owner Properry Address Contractor License No. CLARK BARBARA H 3295 WARD RD 17658 Company : Restoration Service, Inc. Phone : 238-2977 Phone: 296-4106 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 regulalions 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 ayree t abide by all conditions printed on this application, and that I assume full responsibilit f r pliance with the Wheat Ridge Building Code (U.B.CJ and all other applicab(eunlheat ~ideances, for work under this,permi). (OWNER)(CONTRACTOR) Description : REROOF Construction Value : $3,300.00 Permit Fee : $63.00 Use Tax : $49.50 Total: $112.50 BUILDING DEPARTMENT USE ONLY Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : fo. . Mm " m (1) This permit was issued in accordance with the provisions set Forth in yopur application and is subjecl to the laws of the State of Colorado antl to the Zoning Regulations and Builtling Cotle of Wheat Ritlge, Coloretlo or any other applicable ordinances of the Ciry. (2) This permit shall expire if (A) the work authonzed is not wmmencetl within sixty (60) days from issue tlate or (B) the Ouilding authorized is suspen0ed or aDantlonetl for a penotl of 120 days. (3) If this permil expires, a new permit may be acquired for a(ee of one-half the amount normally required, provitled no changes have been or will be made in the original plans antl specifica[ions and any suspension or abandonment has not exceeded one (1) year. If changes are made or iF suspension or abandonment exceetls one (1) year, (ull fees shall be paitl for a new permit - (4) No work o( any manner shall be done that will change the natural flow of water causing a tlrainage problem. (5) Contractor shall notiy the Building Inspeclor twenty-four (24) hours in a0vance for all inspections and shall receive wntlen approval on inspection card before proceediing with SuCCe55ive pha5e5 O( the job. (6) The issuance of a permit or the approval of drawings and specifcations shall not be construetl to be a permit kr, nor an approval of, any violation of the provisions of the builtling wtles or any other ortlinance, law, rule or regulation. ~ ) C.fJ ~ / Cr/l Chief Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION uc:rf+rc i IvIttv I UF F'LANNING AND DEVELOPEMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner c„ ) Property Address:~ Contractor License No. : Company : OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby ceAity that the setback distances proposed by this permit application are accurate, and do nol violate applicable ordinances, rules or regulalions of the Cdy of Wheat Ridge or covenaMS, easements or resUictions of record; thal all measurements shown, and allegalions made are accurate; that I have read and agree to abide by all conditions printed on this application, ana that I assume full responsibddy fw compf nce with the Wheat Ridge BuiWing Code (U.B.C.) and all other applicabllWheat ~idge ord~ces, for work under this perrr1it. Application Nuniber : Date : ~0 Phone: C - Phone : ~ ~ ~ D-A Construction Value Permit Fee : o el Use Tax : c7d Total : (OWNER)(CONTRACTOR) SIGNE ' w uhj c - Description ~ ~ ~ -W BUILDING EPARTMENT USE ONLY EMAq&0Mg_ 5:, Approvai : Zoning : 99It1i,.IR0 LA_i Approval : P ilb~ic~„f Vo rtks', Co;t~~e~~,ts,u' Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Expiration Date : Expiration Date : Approval Approval : ~j }J'P larts~tequired~ J TF`lans;Re;q"iii,~,e~;M Company : Expiration Date : Approval: a NMI' (1) Tnrs permn was issued in accorCance with Ihe provisions se1 foM in yopur applicalion and is su0jecl lo the laws W ft Stale W Co.brado and athe Zoni^g Regulaltons and Builtling CoOe of Wheal Ritlqe, Colora0o or any olher applicable ortlirences of the Cily. (2) Tms Dermii snall ezpire if (A) the work authonzeA is not commenceA within sixry (60) Cays Imm issue tlate a(8) the builAing aWlwrized is sus0ended a a0andone0 br a period of 720 Oays. (3) II this permit ezpires, a n2w permit may Oe acputred br a lee of one-half the amount normally required, proviEed no dhan9e5 hav2 been Ot vrill Ue made in onqinal pians and speci(calions an0 any suspension or aoan0onment has not excee0ed one (7) yeac II Uaa9es are made a if suspension M abanEOnment excee0s one (1) year, /ull fees shall De paid for a new permil. (d) No work ol any manner shall be tlone Ihat will change the naWral Ilow o/ water causing a drainage proGlem (5) Cnn~racm: shau notily the Building Inspecia iwenly-low pnl hours in aavance for all mspections and shall receive written approval an inspetlion rab befae pioceeUUny with succe55ive p025e5 of the OD yy~ 0[ 2!ry' VroWU00 Of U~¢ D~OV~iiafs (6j Tne issuanie ol a permit or the appwval o~drawings and speci/icalion5 shall rwl be tonsWed lo be a permit for, rqr an approot me bu~idn~9 coDes or any other or0inance. law. mle or iegWawn Chi, Budding Inspector For Mayor THIS PFRMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION