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Home My WebLink About3475 Ward Roadi 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: �j ` `+� T n (2 Permit Number:y 1 f 1 y') 9' k-' ❑ 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 Date: 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 �� '•rye Inspection Type: —, Job Address: -Sy T:5- W D 12-0 Permit Number: _a C) 1 i � V ❑ No one available for insDe tion: Time ,�� AM/PM Re -Inspection required: No When corrections have been made, call for re -inspection at 303-234-5933 Date: , -.) I.2 o ) J Inspector: L i` DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE c) Inspection Type: E Y Job Address: Permit Number: r ❑ No one available for inspection: T`iim JCM/PM Re -Inspection required: Yes When corrections have been made, schedule for re -inspection online at: http;1Avww.ci.wheatridge.co.uql Inspect' Date i-•�� Inspect,. _ DO NOT REVS THIS NOTICE City of Wheat Ridge Residential Remodel PERMIT - 201902210 PERMIT NO: 201902210 ISSUED: 10/18/2019 JOB ADDRESS: 3475 Ward Rd EXPIRES: 10/17/2020 JOB DESCRIPTION: SWO Remodel to include replaced tile in bathroom, replaced wood panels with drywall, replace 3 windows like for like; replace 15 squares of siding, fascia and soffits; replace handrail on patio deck **REVISION: Reroof flat roof with TPO - 3 squares total; Added valuation: $1,200.00 *REVISION: Electrical upgrade, 200 AMPs in the back of the home. Added valuation: $2250 *** CONTACTS *** OWNER (720)217-3736 ARELLANO EDMUND GC (720)233-6794 ARTURO CHACON 100303 ARTURO CHACON SUB (303)775-0971 CESAR ARRIOLA 170072 2 BROTHERS ELECTRIC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 17,800.00 FEES Total Valuation 0.00 Plan Review Fee 184.31 Use Tax 373.80 Permit Fee 331.10 investigative Fees 283.55 ** TOTAL ** 1,172.76 *** 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 w Residential Remodel PERMIT - 201902210 PERMIT NO: 201902210 ISSUED: 10/18/2019 JOB ADDRESS: 3475 Ward Rd EXPIRES: 10/17/2020 JOB DESCRIPTION: SWO Remodel to include replaced tile in bathroom, replaced wood panels with drywall, replace 3 windows like for like; replace 15 squares of siding, fascia and soffits; replace handrail on patio deck **REVISION: Reroof flat roof with TPO - 3 squares total; Added valuation: $1,200.00 *REVISION: Electrical upgrade, 200 AMPS in the back of the home. Added valuation: $2250 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 al[ entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po Flans 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 pen -nit 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 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 j�uance 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 ap . is le code or ariprdinance 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 What Ridge 81/10/2020 09:43 CUBB NO Rmm&l to inclu CDB022347 AMOUNT 8PSP 3475 Ward Rd 49.45 APPL/PEKNIT NO: 201902210 PAYMENT RECEIVED AMOUNT Pp / 4263 49,45 AUTH CODE; 69492670 TOTAL 49.45 ____________________ From: no-reply@ci.wheatridge.co.us Sent: Friday, January 10, 2020 9:16 AM To: CommDev Permits Subject: Online Form Submittal: Residential Electrical Service Change/Upgrade Permit Application Categories: Dina Residential Electrical Service Change/Upgrade Permit Application This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE OR UPGRADE (200 amps or less). YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes electrical service change or upgrade - 200 amps or less? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Attach Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS** 3475 N WARD DR ARELLANO 720-217-3736 Credit Card Authorization Form 201906141051228536 pdf CONTRACTOR INFORMATION Contractor Business 2 BROTHERS ELECTRIC LLC Name 1 Contractor's License 170072 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-775-0971 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address office@2brotherselectric.com Retype Contractor Email Address DESCRIPTION OF WORK Is this an electrical service upgrade or change? Number of Amps Location of upgrade/change (garage, house, etc) office@2brotherselectric.com Upgrade 200 OUTSIDE BACK OF HOUSE Provide additional details, N/A if needed. Project Value (contract 1600 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work may not begin on this property until a permit has been issued and posted on the property. Yes Yes i I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Cesar G Arriola Permit 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: cf)C:l Ci 6 1 Z ❑ No one available for inspec ion: Time t AM/PM Re -Inspection required: Y No When corrections have been made, schedule for re -inspection online at: http://www. ci. wheatridge.co. usfinspection Date :n+— �� Inspector: 1 iL <,ay.1" DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: oy-'<� Job Address: � l 11 t Permit Number: c1 �� Z QD rL� ❑ No one available for inspection: Time ;lJ AM/PM Re -Inspection required: Yes When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge, co. uslinspection Date:) ! l l% �1 Inspector: ®O NOT (REMOVE THIS NOTICE ®� A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: —_I',- n Job Address:' Permit Number: _ l -a. (} 6 ❑ No one available for inspection: Time �% AM/PM Re -Inspection required: Yes9 When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge.co. uslinspection Date: "k �,' 1Cl Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 0 E , -o_,^.S Job Address: -S V,_�A I- C$ r., {D Permit Number: 00 l� (> '�L_L \ C� ❑ No one available for inspection: TimeAM/PM Re -Inspection required: YesNo When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge.co. uslinspection Date: '` Inspector:_ DO NOT REMOVE THIS NOTICE Y i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: _ Job Address:7L� %� ( r r Permit Number:C= '-, )c c C ,mac_ Ley CV-- U im ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: httpJ/www. ci. wheatridge. co. uslinspection Dater _ Inspector: Zk DO NOT REMOVE THIS NOTICE 1* � 4 i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 230t - Job Address:` r Permit Number: ❑ No one available for inspection: i ,,e ! /'AM/M Re -Inspection required: Yes- .No When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge.co. usVinspection Date:/ 1. f l ,-r Inspector: -- DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Remodel PERMIT -201902210 PERMIT NO: 201902210 ISSUED: 10/18/2019 JOB ADDRESS: 3475 Ward Rd EXPIRES: 10/17/2020 JOB DESCRIPTION: SWO Remodel to include replaced tile in bathroom, replaced wood panels with drywall, replace 3 windows like for like; replace 15 squares of siding, fascia and soffits; replace handrail on patio deck **REVISION: Reroof flat roof with TPO - 3 squares total; Added valuation: $1,200.00 *** CONTACTS *** OWNER (720)217-3736 ARELLANO EDMUND GC (720)233-6794 ARTURO CHACON 100303 ARTURO CHACON *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,200.00 FEES Total Valuation 0.00 Plan Review Fee 184.31 Use Tax 340.20 Permit Fee 315.25 Investigative Fees 283.55 ** TOTAL ** 1,123.31 *** 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 F Residential Remodel PERMIT - 201902210 PERMIT NO: 201902210 ISSUED: 10/18/2019 JOB ADDRESS: 3475 Ward Rd EXPIRES: 10/17/2020 JOB DESCRIPTION: SWO Remodel to include replaced tile in bathroom, replaced wood panels with drywall, replace 3 windows like for like; replace 15 squares of siding, fascia and soffits; replace handrail on patio deck **REVISION: Reroof flat roof with TPO - 3 squares total; Added valuation: $1,200.00 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 th property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I furth att st that I am legally authorized to include all entities named within this document as parties to the work to be performed and t ork to be 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 Budding Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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 grantingaf a permit shall, of be construed to be a permit for or an approval of, any violation of any provision of any applicable code or any r an or reg ion 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 Rdge co MUNrry DEVELOPMENT Building & Inspection Services 7500 W. 29' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 I FOR OFFICE USE ONLY Date: Plan/Permit # Email: permits cDci.wheatridge.cc.us N V1 '—A�yn Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: _ �2-4 � 'J w a Property Owner (please print): Phone: 72 e? 21 -7- 3 73 � Property Owner Email: Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer E-mail: _ Phone: Contractor Name: la,- L r C d ® r. c) n City of Wheat Ridge License #: Phone: r a '2 -Z G' ;z-24 Contractor E-mail Address: a [ ' _� ev (--"- �?) l ct' LJ 0 o CC, For Plan Review Questions & Comments (please print): CONTACT NAME (please print): I Phone: CONTACT EMAIL(p/ease print): 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. -,'A J J -� SCQ l P a Sq. FULF BTUs Gallons Amps Squares For Solar: KIN # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ ) X 6 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 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)tax ,or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: —� Printed Name: � r I -cJ f- 0 G 4 0— fi ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: City of Wheat Ridge E -Res. Furnace Replacement PERMIT - 201902264 PERMIT NO: 201902264 ISSUED: 10/24/2019 JOB ADDRESS: 3460 Benton St EXPIRES: 10/23/2020 JOB DESCRIPTION: Replacing gas 80% efficiency, 60k BTU furnace in crawlspace. *** CONTACTS *** OWNER (303)478-9164 ALLEN FRANK E *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,563.00 FEES Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 200.82 ** TOTAL ** 240.82 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by 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 l 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 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 flans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies 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 original permit fee. 1 If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change. of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The i uance or grant' of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any app ca 1e c de 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. Sy # Wheat Ridge lyGM 19 07!12 eqA P� «G ms m7 ef gmgg9 #OUNJ +e 3160 Bent, y z0.8,21 eF R2R m:20 Py+9 RJSq +�# 9ZQ66 GCR qm CODE. 65871696 TOTAL 2 E 82) ------------------- Dina Kemp From: no-reply@ci.wheatridge.co.us Sent: Wednesday, October 23, 2019 4:20 PM To: CommDev Permits Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application Residential Furnace/Boiler Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes replacement residential furnace or boiler like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach Credit Card Authorization Form - **DO NOT ATTACHED RANDOM FORMS** 3460 BENTON ST FRANK ALLEN 303-478-9164 permits@applewoodfixit.com WHEAT RIDGE CC(1).pdf CONTRACTOR INFORMATION Contractor Business APPLEWOOD PLMB, HTG & ELEC Name I Contractor's License 18236 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-458-5988 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address permits@applewoodfixit.com Retype Contractor Email permits@applewoodfixit.com Address DESCRIPTION OF WORK What type of unit is being Furnace installed? Number of BTUs 60000 What is the efficiency 80 (%) of the unit? Is the unit GAS or GAS ELECTRIC? Where is the furnace or CRAWLSPACE boiler located (for example, basement, crawlspace, etc)? Project Value (contract 9563 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 2 has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for LACEY MABE Permit Email not displaying correctly? View it in your browser. i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 41C2 L,22 ' Job Address: --�5 q2 fi: ALJ i2 Permit Number: ❑ No one available for inspection: Time f93QfCM/'I M Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: {9 a 1- /1 Inspector: --- DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Asbestos Abatement PERMIT - 201902180 PERI-4IT NO: 201902180 ISSUED: 10/11/2019 JOB ADDRESS: 3475 Ward Rd EXPIRES: 10/10/2020 JOB DESCRIPTION: Asbestos Abatement - 200 sq ft total *** CONTACTS *** OWNER i72C)717-3736 ARELLANO EDMUND SUB (720810-6652 SAUL OROZCO 190193 ABATMENT QUALITY SERVICES PARCEL INFO ZONNE CODE: UA Unassigned USE: UA Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 FEE SUMr4ARY ESTIMATED PROJECT VALUATION: 10,000.00 FEES Asbestos Abatement $0.00 Total Valuation 0.00 ** TOTAL ** 50.00 * * * COY4MENTS * * * CONDITIONS Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. 8314, 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. b my si nature, do hereby attest that the work to be performed shall comply with all accompany -4 plans and specifications, panyln%approv( I applicabletuilding codes, and all applicable municigal codes, policies and procedures. and thatcite legal owner or have been authorized by the legal owner of the property and am authorize 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 th to be per ormed is disclosed in this document andior its' acco pang` g approved plans and specifications. 'co 71,17144 Signature of OWNER or CONTRACTOR (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, po icies 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 da 'made be C% ys granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original ennitlite. 3. if this permit expires, a new permit may be required to be obtained. rssuance of a new permit shall be subject to the standard requirements, fees andprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Off -icial 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 al required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division, 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief thifing I Date REQUESTS MUST BE 11 59PU ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY, City of Wheat Ridge Residential Remodel PERMIT - 201902210 PERMIT NO: 201902210 ISSUED: 10/18/2019 JOB ADDRESS: 3475 Ward Rd EXPIRES: 10/17/2020 JOB DESCRIPTION: SWO Remodel to include replaced tile in bathroom, replaced wood panels with drywall, replace 3 windows like for like; replace 15 squares of siding, fascia and soffits; replace handrail on patio deck *** CONTACTS *** OWNER (720)217-3736 ARELLANO EDMUND GC (720)233-6794 ARTURO CHACON 100303 ARTURO CHACON *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,000.00 FEES Total Valuation 0.00 Plan Review Fee 184.31 Use Tax 315.00 Permit Fee 283.55 Investigative Fees 283.55 ** TOTAL ** 1,066.41 *** 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 - 201902210 PERMIT NO: 201902210 ISSUED: 10/18/2019 JOB ADDRESS: 3475 Ward Rd EXPIRES: 10/17/2020 JOB DESCRIPTION: SWO Remodel to include replaced tile in bathroom, replaced wood panels with drywall, replace 3 windows like for like; replace 15 squares of siding, fascia and soffits; replace handrail on patio deck 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 ermrt. 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 perrmeisdisclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This pen -nit 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 original pennit 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. The issuance or ranting of a pen -nit shall not be construed to be a permit for, or an approval of, any violation of any provision of any licable code any ordinance or regulation of this jurisdiction. Approval of work is subject to geld inspection. Signature iff Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat f?,idge COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a)ci.wheatridge.co.us I FOR OFFICE USE ONLY I Date: Plan/Permit # T I q UW 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: r On Property Owner (please print): �� ,r,? �,.� //,�--y.0 Phone: Property Owner Email: '�E1' C2 S/V t)/-?. 47 1-2- Tenant ^Z Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: �9(p4. '�" fit U�•9 ti S f City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor Name: /� Tom` Phone: k0ai-' 'f,-7qq City of Wheat Ridge License #: 1O6 3U 3 Phone: 72o . Z 3 3. 47� Contractor E-mail Address: L� o r-bI2 .4'< J tz n l.cofn For Plan Review Questions & Comments (please print)`: r� CONTACT NAME (please print): N� �� iel� Phone: /wo, "2/ 7 -3 CONTACT EMAIL(please print): C/) 2 - 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 #of ow Wheat �iti'3� Complete all highlighted fields, if applicable. ❑COMMERCIAL []RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. l ��. ter. L �w S Tri t c �'J ri Y Sq. FULF 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) S ut, OVVNER/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. CIRCLEO?VE: (OWNS (CONTRACTO _ (AUTHORIZED /REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name) -i— Q /D T �`�`'— DATE: Printed Name: '! DgUell,7 �. /�✓c l(iRs�a ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: (o ll.•IS Reviewer. PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: vironm ASBESTOS SURVEY INVENTORY OF 3475 WARD ROAD WHEAT RIDGE, COLORADO PREPARED FOR: Ell ARELLANO 1966 SOUTH VIVIAN STREET DENVER, COLORADO 80228 OCTOBER 3, 2019 PREPARED BY: BLUE MESA ENVIRONMENTAL 9956 W. REMINGTON PL. A10, SUITE 230 LITTLETON, COLORADO 80128 (303) 981-3458 SECTION 1.0 GENERAL PROJECT INFORMATION 1.1 INTRODUCTION This asbestos inspection report presents data which describe the condition and location of asbestos - containing material (ACM) identified at 3475 Ward Road in Wheat Ridge, Colorado. This report is to be used as a program planning tool for all construction activities at this location. All ACM identified in this report should be handled in accordance with all applicable federal, state, and local regulatory requirements. This will assist in preventing potential exposure to airborne asbestos fibers, during abatement and clean-up operation. The combined goals of the sampling and visual assessments are as follows: 1) identify ACM at the facility and document the condition, friability, location, and quantity of each identified material; and 2) consolidate sample data and observations obtained during the site visit into report form, applicable parts of which will be incorporated into construction activities. 1.2 INSPECTION AND SAMPLING PROCEDURE Blue Mesa Environmental inspection and sample collection procedures are based on the Asbestos Hazard Emergency Response Act (AHERA) and Environmental Protection Agency (EPA) protocols. An initial facility walk-through is conducted to familiarize the inspectors with the facility layout. The facility drawings are reviewed for accuracy and suspect materials are identified. The facility is then divided into functional spaces and suspect homogeneous materials are selected for bulk sampling. Samples are collected and placed into separate, sealed plastic bags. Each sample is individually numbered, and sample information is entered onto a Field Data Sheet. Sample tools are decontaminated after each sample collection. The samples are delivered to an accredited laboratory for analysis, each accompanied by a completed Chain of Custody Form. Asbestos Survey Inventory October 3, 2019 Asbestos Survey 3475 Ward Road Wheat Ridge, Colorado Suspect materials are divided into three categories: surfacing materials (such as plaster and surface coatings), thermal system insulation (TSI) (such as mudded TSI fittings, duct insulation, and pipe insulation), and miscellaneous material (such as floor tile, drywall, and mastic). Asbestos -containing materials are classified according to: Condition • Good • Damaged • Significantly Damaged Friability • Friable • Non -friable Potential for Disturbance • Low Potential • Potential for Damage • Potential for Significant Damage Disturbance Source • Contact • Vibration • Air Flow • Water Friable materials are materials that, when dry, can be crushed, pulverized, or reduced to powder by hand pressure. Prior to sampling, these materials are wetted with amended water to minimize potential for incidental exposure or accidental fiber release. At the inspector's discretion, personal protective equipment (PPE) is used as an added precaution. Bulk samples are collected using EPA guidelines for the type of suspect material sampled. Where practical, sample locations are determined using random sampling methods. Within each area, samples are collected where minimal damage will occur to facility structures or finishes. A particular suspect material may be found in several different locations within a facility. The EPA does not require that these materials be sampled in each location, provided the materials are of the same type, age, appearance, have the same date of installation, and are sampled in accordance with AHERA requirements to provide statistically reliable data that can be extrapolated onto all remaining non - sampled areas. Asbestos Survey Inventory October 3, 2019 Asbestos Survey 3475 Ward Road Wheat Ridge, Colorado EPA/AHERA-accredited inspectors determine the number of samples of each material to be collected, depending on the material's category and the amount of material present. The objective of the AHERA protocol is to insure statistically reliable data by requiring or suggesting a minimum number of samples to be collected and, in some cases, by requiring the use of random sampling techniques to determine sample locations. However, in every case, AHERA relies on the judgment of inspectors experienced in AHERA methodology and with the type of facility being inspected. 1.3 METHOD OF LABORATORY ANALYSIS Samples are analyzed in accordance with AHERA requirements using the following reference methods: EPA Interim Method for the Detection of Asbestos in Bulk Insulation Samples (EPA 600/M4-82020, December 1982). • McCrone Research Institute's The Asbestos Particle Atlas. All bulk samples are analyzed using PLM visual area estimation (VAE). Friable materials containing asbestos estimated at less than ten percent by PLM-VAE may be reanalyzed by PLM point counting. Additional treatment and tests may be used as required to accurately define composition (i.e., ashing, extractions, and TEM). All bulk sample laboratory reports are verified through an established quality assurance (QA) procedure. Unused portions of samples are archived for a minimum of six months. 1.4 QUALITY CONTROL PROCEDURES All samples are analyzed by laboratories accredited by the National Voluntary Laboratory Accreditation Program (NVLAP). These laboratories participate in the NVLAP, as well as the American industrial Hygiene Association (AIHA) Bulk Asbestos Sample Quality Assurance Program. Blue Mesa Environmental verifies all sample data for accuracy by cross-referencing Field Data Sheets, Chain Of Custody Forms, and field notes. 1.5 DETERMINATION OF ACM CLASSIFICATION The positive identification of asbestos in a material or product can only be made through laboratory analysis. Visual inspection or common knowledge is not a positive test. The asbestos content of a suspect material is determined by collecting a bulk sample and having it analyzed by PLM. The PLM technique determines the specific type of asbestos present in the bulk sample and VAE provides an estimate of the percentage of asbestos. Asbestos Survey Inventory October 3, 2019 Asbestos Survey 3475 Ward Road Wheat Ridge, Colorado The EPA National Emission Standards for Hazardous Air Pollutants (NESHAP) - National Emission Standard for Asbestos (40 CFR Part 61, Subpart M) defines a non -friable asbestos -containing material as any non -friable material with an asbestos content greater than one percent as determined by PLM analysis. A friable material estimated to contain less than ten percent asbestos as determined by PLM- VAE must be analyzed by PLM point counting and determined to contain less than one percent asbestos in order to be considered a non-regulated ACM. A clarification memorandum issued by the EPA regarding the NESHAP regulation included the following statement: "The parties legally responsible for a building (owner or operator) may take a conservative approach to being regulated by the NESHAP. The responsible party may choose to act as though the building material is an asbestos -containing material (greater than 1%) at any level of asbestos content (even less than 1% asbestos). Thus, if the analyst detects asbestos in the sample and estimates the amount to be less than 10% by visual estimation, the parties legally responsible (owner or operator) of the building may (1) elect to assume the amount to be greater than 1% and treat the material as regulated asbestos -containing material or (2) require verification of the amount by point counting." In consideration of this statement, Blue Mesa Environmental and Ed Arellano (owner) agree that, in most cases, suspect material samples containing less than ten percent, but more than one percent asbestos as determined by PLM-VAE are, for the purpose of this report, considered to be ACM. No distinction will be made between these materials and those classified as ACM by EPA definition. However, in some cases, material samples with an asbestos content of one percent or less as determined by PLM-VAE are classified as "assumed ACM" and are so addressed in this report. At the discretion of Blue Mesa Environmental or Ed Arellano (owner), materials either "considered" or "assumed" ACM may be analyzed by PLM point counting to provide a more definitive result regarding the percentage of asbestos content. 1.6 INSPECTION LIMITS 1.6.1 Accessible Areas and Materials All accessible interior spaces and rooms, located in structures falling within Blue Mesa Environmental scope of work, are inspected for asbestos -containing materials. Facility roof of this facility was inspected. Asbestos survey Inventory October 3, 2019 Asbestos Survey 3475 Ward Road Wheat Ridge, Colorado Blue Mesa Environmental does not inspect underground conduit, electrical systems, or, unless specifically requested to do so, any appurtenances or above -ground structures that do not directly support the primary facility. 1.6.2 Inaccessible Areas and Materials All access areas of the facility were inspected. To the best knowledge of Blue Mesa Environmental all areas of the facility were inspected for asbestos. Asbestos Survey Inventory October 3, 2019 SECTION 2.0 ASBESTOS LOCATION SUMMARY 2.1 INTRODUCTION This section discusses inspection findings and analytical results for suspect asbestos -containing material sampled at 3475 Ward Road in Wheat Ridge, Colorado. The potential for asbestos fiber release and recommendations for future action are presented for all ACM identified (refer to the "Recommendations" sub -section). Representative samples of suspect materials were sent to an accredited laboratory for analysis. Appendices for this report are as follows: • Appendix A - Glossary -- Iist of terms used in this report • Appendix B - Laboratory Results — bulk sample analyses results • Appendix C - Map — location of bulk samples • Appendix D — Inspector Certification 2.1.1 Statement of Inaccessibility During the site visit, enclosed pipe chases were accessible for inspection. Blue Mesa Environmental believes that the materials most likely to exist in these areas were identified in other areas of the facility and determined to be non -ACM. These areas and materials are listed and further addressed below. Unidentified suspect materials encountered in inaccessible areas during future repair or renovation projects should be assumed asbestos -containing until sample collection and subsequent analysis prove otherwise. 2.2 INSPECTION DATE AND INSPECTOR INFORMATION The 3475 Ward Road was inspected on September 22, 2019 by Mr. Brandon Ramer. Mr. Ramer is EPA/AHERA trained and accredited and Colorado State asbestos inspectors. Asbestos survey Inventory October 3, 2019 Asbestos Survev 3475 Ward Road Wheat. Ridge, Colorado 2.3 FACILITY INFORMATION 3475 Ward Road consists of a single family home. The house has a main floor, upstairs and a basement. The garage is attached and is constructed of wood framing and roof shingles. The house foundation is constructed of concrete. The interior finishes include drywall, joint compound, flooring is wood and tile. 2.4 3475 Ward Road 2.4.1 Description 3475 Ward Road, Is a single family home. 2.4.2 Suspect Material Summary The following suspect materials were identified during the inspection, 14 bulk samples were taken: • Exterior Siding Board (approx. 1,500 square feet) • Exterior Soffit (approx. 300 square feet) • 12x12 Floor Tile and mastic (entry only 5 square feet) • Ceramic file and grout (7 square feet of impacted area) • Wall Texture (3,500 square feet • DrywalI and Joint Compound (3,500 square feet) • 12x12 floor file and mastic (by bath garage) • 12x12 stone pattern floor tile and mastic (basement under carpet) • 12x12 pin hole ceiling file (500 square feet) • Bat insulation (garage 200 square feet) Note: All quantities are approximate and contractors shall verify Asbestos survey mventoty October 3, 2019 0 0 7 ts cs v � \° a zA zA zAa� ZAMU 3 3 U a CA C7 C7 C7 t7 t? wz � w w z°wzw 00 8 N o0 z _ q O 9 0 0 �p 0 0 O Ca. OC of et 'et `� �' d• � r1' � � d � 'ef Q � 'L v v W � o a •� •N o r Y w G V i W F � e u O p F p 0 0 � •� F Z-6 Z 0 N b Z U o U u U h za z F z°c $ o o a $ U o; Q �.7 C7 G7 C7 t7 w w z z w z w z w w DO c a o z V3 00 00 0+ o N %o n U uJ fy !'7 � M M Ni M of M M M M M -u O W X00 rra• � d v N � L 0 d C. N N y N 00 A U F a FC A A; f37 d z o 0 00 0 Asbestos Survey 3475 Ward Road Wheat Ridge, Colorado 2.4.3 3475 Ward Road asbestos -Containing Material • Through -out Wall Texture located on walls and ceilings • Through -Out Drywall joint compound located on walls and ceilings • Basement 12x 12 Stone Pattern Floor Tile located under carpet 2.5 RECOMMENDATIONS Prior to renovation or construction activities that would impact the above materials it is suggested that an approved Colorado State Asbestos Abatement Contractor conducted the removal. Alterations to or the removal of asbestos -containing materials requires adherence to all applicable federal, state, and local regulations concerning the removal and disposal of asbestos materials. Periodic condition inspections are recommended until the materials are removed. 2.6 LP41TATIONS This report describes the locations and conditions of ACM identified at 434/434 duplex University Boulevard located in Denver, Colorado at the time of inspection. Blue Mesa Environmental represents that our services are performed within the limits prescribed by applicable regulations and in a manner consistent with the level of care and skill ordinarily exercised by other professional consultants under similar circumstances. No other representation is made to the client, expressed or implied, and no warranty or guarantee is included or intended. Brandon Ramer President Asbestos survey Inventory October 3, 2019 Appendix A Glossary Asbestos sunny Inventory October 3, 2019 GLOSSARY Actinolite — one of six naturally occurring asbestos minerals. It is not normally used commercially. Action level — a level of airborne fibers specified by OSHA as a warning or alert level. It is 0.1 fibers per cubic centimeter (f/cc) of air, 8 -hour time -weighted average, as measured by phase contract microscopy. ARERA — Asbestos Hazard Emergence Response Act. AIHA - American Industrial Hygienists' Association. Amosite — (brown asbestos) an asbestos form mineral of the amphibole group. It is the second most commonly used fo9rm of asbestos in the U.S. Amphibole — one of the two major groups of minerals from which the asbestos form minerals are derived — distinguished by their chain -like crystal structure and chemical composition. Amosite and crocidolite are examples of amphibole minerals. Anthophyllite — one of six naturally occurring asbestos minerals. I t is of limited commercial value. Asbestos — a generic name given to a number of naturally occurring hydrated mineral silicates that possess a unique crystalline structure, are incombustible in air, and are separable into fibers. Asbestos includes the asbestos form varieties of chrysotile (serpentine), crocidolite ( riebeckite), amosite (cummingtonite-grunerite), anthophyllite, actinolite, and tremolite. Asbestos -Containing Material (ACM)__ any material or product which contains more than 1 percent of asbestos (AHERA definition). Asbestosis — scarring of the lungs caused by exp9osure to asbestos. Continued exposure may lead to degeneration of lung function and death. Bulk Sample — samples of bulk material, in the case of asbestos, suspect material. Carcinoma — a malignant tumor of epithelial origin, and in this context, referring to membranous tissues of the human body. Chain -of -custody — formal procedures for tracking samples and insuring their integrity. Chrysotile — (white asbestos) the only asbestos form mineral of the serpentine group. It is the most common form of asbestos used in buildings. Crocidolite — (blue asbestos) strongest of asbestos minerals. As asbestos form mineral of the amphibole group. It is of minor commercial value in the U. S. EPA — Environmental Protection Agency. Epidemiology— the study of causes, occurrence and distribution of disease throughout a population. Fireproofing — spray or trowel applied fire resistant materials. Friable — material that can be crumbled or reduced to powder by hand pressure. Functional spaces — spatially distinct units within a building which contain identifiable populations of building occupants. Heating ventilation, and air conditioning (HVAC) system — the system of pipes, ducts, and equipment (air conditioner, chiller, heaters, boilers, pumps, fan's) used to heat, cool, move, and filter air in a building. HVAC systems are also known as mechanical systems. Homogeneous areas — an area which appears similar throughout in terms of color, texture, and date of material application. Lung cancer — a malignant growth of tissue in the lungs, specifically of the bronchial covering. Mesothelioma — a rare cancer of the lining around the lung or the abdomen. Mesothelium — epithelium derived from mesoderm that lines the body cavity a vertebrate embryo and gives rise to epithelia, among others. NESHAP — National Emission Standards for Hazardous Air Pollutants. NVLAP -- National Voluntary Laboratory Accreditation Program. Personal Protective Equipment (PPE) — equipment, such as hard -toe shoes, gloves, respirator, etc. designed to protect a worker from certain work place hazards. Phase Contrast Microscopy WCM) — a method of analyzing air samples for fibers using a light microscope. Polarized Light Microscopy (PLM) — a method of analyzing bulk samples for asbestos in which the sample is illuminated with polarized light (light which vibrates in only one plane) and viewed under a light microscope. Quality assurance — a program for collecting and analyzing additional duplicate of suspect material to check on the liability of procedures. Regulated material — in the case of ACM, a material is regulated by federal law if the asbestos content is one percent or greater by volume. Respiratory tract — the organs of the body which convey air to the blood, allow exchange of gases, and remove carbon dioxide. Serpentine — one of the two major groups of minerals from which the asbestos form minerals are derive — distinguished by their tubular structure in chemical composition. Chrysotile is a serpentine mineral. Surfacing, material — material in a building that is spray -on, troweled—on, or other wise to surfaces, such as acoustical plaster on ceiling and fire proofing materials on structural members, or other material on surface for acoustical, fire proofing, or other purposes AHERA definition) Synergistic — the combination of to effects which is greater than the sum of the two independent effects. Thermal System Insulation (TSI) — means material applied to pipe, fittings, boilers, breaching, tanks, ducts, or other interior structural components to prevent heat loses or gain, or water condensation, or for other purposes. Transite — a trade name commonly used for asbestos cement wallboard and pipe material Transmission Electron Microscopy (TEM) a method of analyzing air samples for asbestos fibers using a transmission electron microscope and, possibly, associated instruments for further identifying asbestos. Tremolite — one of six naturally occurring asbestos minerals. Tremolite has few commercial uses. Vinyl Asbestos Tile (VAT) — a floor tile made of plastic imbedded with asbestos Appendix B Laboratory Results Asbestos Survey Inventory October 3, 2019 Reservohs Environmental, Inc. Effective April 2. 2018 Reservoirs Environmental QA Manual Q: QAOC AbiReservoirs Environmental QA Manual.doc -.Wdal- REI .,WIPIp.. Reservoirs Environmental, Inc. September 28, 2019 Brandon Ramer Blue Mesa Environmental 9956 W. Remington Place A10, Ste 230 Littleton CO 80128 Dear Customer, Subcontract Number: Laboratory Report: Project # t P.O. # Project Description: NA RES 445563-1 None Given 3475 Ward Road 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 445563-1 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. 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OS, .001 1:0-01 Vb3" Mat O -AWX"*:O A'4010"71 Wr 30,tbaid .,a.ai@.e Wets - W-14 u s� r in 3 >. c - � in a i O � ti$� � .p Mi 1� _� T d• a d S QI `J uj O ii t _ t r �1 K X X X X X K X x X X X x }d i= l J Y & T7 L'} W7 iii i!i Cji S/i yi l9 T+c t V 0 46 1 iii 0 'n N'7 %n 0 0 0 0 Com') t''Y M tom') fes') "n cl'� fn M r C4 fnQ in t0 n •D o+ Q P P P Z a 'z z� LU v C6 x yg C �, aikc� x�J1eW S3JON N3iUO MO'11VUIN1 S.a3-WWVS uO[�PA/iu@I"{.,'j f0 ° r 't!� +0 SCJj itIId§ tf}6tly ,ruio�oAu,3,01r, uiP1nGc--8 J0410 t'%1 c:?il]€Q t21 s+�^o'J �titd 3�paJ0Y 41Ma{•J ie+Ro��4P1 T J Q �+ �]u31V'�yjUiYfL} M ..� ►WMpIW'a a0{puC 4107'3 .� z s w isio E; easurs�u4ry v weed aYacua� euotSaACd cn W H:.3Y4 SatNY0k1O 7 �. 14}.w'Y44ury slvl3w .qgo feb 4eMOj - !sna .. O.SC ODCwi 'VM"P., watt adWd Beeps! C$1 "A-Wo A wa b was OSi jOt4 It W01 xb3*0 - w31 i+.tM14^: :O,p ✓filer G:tCZ ;:9di+4 S- wId! X XC X XC XC. K x x x x x x x x x 4 � D Q C F 4t �gggg E U G V .. � � C E E m _ 3 a N y6 e o z m G} 21 « 49 C lX X X X X X X K 7f �% ra r 4D R �' 4Nt N N' N N co � t 4 [V `�✓ � h R hQ RQ A R R A RQ h R A � R AQ O Q � E Cl)M M epi Cl) 'O ° d' j IA /8 !- aE! OS O N N f'll V IA R eQ dr O �- N !*f O fJS t0 R tq A O r' N !9 f Q.uj d .- .� r�- +�' N N N N N N N N N +9 Ol -- 1'i Appendix C Map Asbestos Survey Inventory October 3, 2019 /71 A -i / //- v��2 1v, 9956 W. Remington PI, A10 Suite 230 Littleton, Colorado 80128 Tel. 303,981.3458 Fax. 866.585.2474 S�nr�sn�! A/C--' 4� �®r Blue Mesa EnvirommwW Appendix D Inspector Certification Asbestos survey Inventory October 3, 2019 C019C DOUGLAS CNTY/CO CD 4% SUBTOTAL TAX TOTAL SALESPERSON: P007777 4,213.81 168.55 4,382.36 BUYER: **Unless otherwise specified herein, all prices shown shall only be valid for materials delivered for or received by the Purchaser within 30 days from the date of this order.** * * WTL-CALL J.-IBuilders FirstSo rce o'Y .,p(Y 1X10-16' TW REV HDBD TRIM MSF DATE SO NUMBER r 1�7�J1�J ***REPRINT*** 09-15-19 I�v")�� 43560049 Builders FirstSource 130 SF76912CLS 9 1/2"X16' TX SMART FIBER 76 MSF 1166.67 1,921.17 24 SALES ORDER MSF 1000.00 768.00 40 TW544RT 5,/4X4-16' TW REV HDBD TRIM STOCK ORDER Page 1 S co TRUWOOD o 512272 16 H 545560 ***CPU*** .71 L CASH SALE JEFFREY FREEMAN * i CASH SALE JEFFREY FREEMAN-LBR 3.62 n 8037 MIDWAY DR 30 P 3475 WARD ROAD 578.49 T 6 T *SUNRISE PROPERTIES* EA 2.39 O LITTLETON, CO 80125-0000 0 WHEATRIDGE EA 2.36 28.32 2 9150WL-I CO 80033 134.93 JOB NO. 2 cUS TOMER PO 12X18 ALUM RECT VENT WHT COS -T CODE 24.27 EST SHIP DATE CLERK p SHIPPED FROM 3475WARDRD EA ED ARELLANO 17.60 � rn rn N 09-17-19 Xv jaqO LITTCOYD SO CTY f EM NO �j -�,�� o n, t+v'" DESCRIPT;ON Ui m UNIT PRICE EXTENDED PRICE C019C DOUGLAS CNTY/CO CD 4% SUBTOTAL TAX TOTAL SALESPERSON: P007777 4,213.81 168.55 4,382.36 BUYER: **Unless otherwise specified herein, all prices shown shall only be valid for materials delivered for or received by the Purchaser within 30 days from the date of this order.** * * WTL-CALL 20 TW110RT 1X10-16' TW REV HDBD TRIM MSF 1792.99 478.12 TRUWOOD p O L1 N 130 SF76912CLS 9 1/2"X16' TX SMART FIBER 76 MSF 1166.67 1,921.17 24 SF7648CP 4X8 TX SMART FIBER 76 MSF 1000.00 768.00 40 TW544RT 5,/4X4-16' TW REV HDBD TRIM MSF 2040.03 435.18 co TRUWOOD p o r c a 16 12HBCTX 12" HB LAP SIDING OS CRNR TEXT EA .71 11.36 10 ROLLOCK8 8' POLL LOCK FLASHING EA 3.62 36.20 30 2416HF 2X4-16 STD&BTR HEM FIR SDRY MBF 578.49 185.12 6 114ZBAR8 11/4" 8' Z -BAR FLASHING EA 2.39 14.34 12 1ZBAR8 1" 8' Z -BAR FLASHING EA 2.36 28.32 2 9150WL-I 9'X150'WEATHERMATE DOW H -WRAP EA 134.93 269.86 2 AV81214 12X18 ALUM RECT VENT WHT EA 24.27 48.54 40 9TXJC 9 112" TEXTURED "J" JOINT COVE EA .44 17.60 C019C DOUGLAS CNTY/CO CD 4% SUBTOTAL TAX TOTAL SALESPERSON: P007777 4,213.81 168.55 4,382.36 BUYER: **Unless otherwise specified herein, all prices shown shall only be valid for materials delivered for or received by the Purchaser within 30 days from the date of this order.** Q p O L1 N EF O a a r + C co p o r c a n c-, O X � rn rn N Xv �j -�,�� o n, t+v'" k m Co �ti X N T Ds Gi C019C DOUGLAS CNTY/CO CD 4% SUBTOTAL TAX TOTAL SALESPERSON: P007777 4,213.81 168.55 4,382.36 BUYER: **Unless otherwise specified herein, all prices shown shall only be valid for materials delivered for or received by the Purchaser within 30 days from the date of this order.** 03A Frame Width = 62 3/8" ;I ( Frame Height = 48" _I Sash Split = Even Divide JELD�VEN W r H t1 U W 5 V {) n Q a 200-1 62.375 -in x 48 -In V-4500 2 Panel Slider $308.61 5262.33 1 (546.28) $262.33 V-4500, Single Slider, 62.375 x 48 Assembly = Full Unit, Product to Match = Matches Single Hung, Regional Compliance = US Natlunal-HAMA, Rating = PG20, DP+20/-20, Fresh Air Ventilator = No Ventilator, Even Sightline = With Even Sight Line, Installation & Frame Type = Replacement Block Frame, Operation = XO (Left Hand) Frame Color - Exterior = White, Frame Color- Interior = White Measurement Type = Net Frame Size, Frame Width = Custom, Custom Frame Width = 62.3/5, Frame Height = Custom, Custom Frame Height = 48, Begin Line 200 Description ---- line 200.1 ---- Vent Division = Even Divide, Vent Width = 31.4375 Glass Breakage Warranty = No, Energy Efficiency= Energy Saver, Soundmaster = Standard, Glazing = Insulated, Low -E = Low -E, Glass Colar/Texture = Clear, Glass Type = Standard, IG Options = Argon, Elevation = 3501 - 5500 feet, Select Glass Thickness = Standard Default Thickness Grid Type = No Grids Screen = Screen, Select Screen Options = Standard Screen Frame, Select Screen Mesh Type = Fiberglass Mesh Lock Type = Mag-Lock(s), End Line 200 Description Number of Locks = 1 Lock, Hardware Finish - Interior = White Does Unit Meet Egress Req.? = Meets 5.7 sgft Egress (All Floors) Secondary Vent Stop = No Secondary Vent Stop, Installation Accessories = None, interior Frame Options = None, Perimeter frame Options = None Prep for Shipping = None U -Factor = 0.29, Solar Heat Gain Coefficient _ 0.34, Visible Light Transmittance = 0.58, Condensatlon Resistance = 56, CPD# = )EL -A-544-16012-00001 Room Location w, Is This a Remake = No, Specific Information = None f` + Frame Width = 62 5/8" ` Frame H ;I eight = 48" -I Sash Split = Even Divide JELDy�EN - �== WINVOw1k Vnr)v$ cnluloC Von,on 15R 300-1 62.625 -in x 48 -in V-4500 2 Panel Slider $308.68 $262.39 1 ($46.29) ' $262.39 V•4S00, Single Slider, 62.625 x 48 Assembly = Full Unit, Product to Match = Matches Single Hung, ReglOnal Compliance = US National-AAMA, Rating = PG20, DP+20/-20, Fresh Air Ventilator= No Ventilator, Begin line 300 Description --- Line 300-1 ---- Vent Division = Even Divide, Vent Width = 31.5625 Glass Breakage Warranty= No, Energy Efficiency = Energy Saver, Soundmaster = Standard, Glaring= Insulated, low -E = Low -E, Glass Color/Texture = Clear, Number of Locks = 1 Lock, Hardware Finish - Interior = White Does UnIt Meet Egress Req.? = Meets 5.7 sqft Egress (All Floors) Secondary Vent Stop = No Secondary Vent Stop, Installation Accessories = None, Interior Frame Options = None, Perimeter Frame Options = None pace 2 crf .4 £iZ d "h6686£0£ << £L925L6£0£ £L5Z5L6£O£ adOM LL:OL OL -OL -602 BASEMENT FLOOR PLAN O SALE. VB• • 1'-0• �� C NOTE TN W6TNG OWK SONG TO REI'm FAMILY ROOM 8,-81",-0. IP DN LIVING ROOM m-m•,am•e• LIP GARAGE mV-m•,om'•r ❑ I NBLATE MOTNDG UTALL AND G NEN RYPE W FIRE RATED DRTUTALL AT ALL WALLS BE UM GARAGE AND UNABLE SPACE LIP RSLAGE EXOT 2 DOOR AND WNDOU tHT. MATCH 1mTNG OPENW. F— EXMTNG BRICK SO►>, TO FOUN OFIRST FLOOR PLAN �\ SCALE: VS• . I'-0• / NORTH REMOVE EXIETRG SONG AND REPLACE UI1H NW SVI%d6' TX SMART Few 16 Beim MaTm SONG MO R<PLALE WYH N9119y,A6' TX SMART RM U 0SECOND FLOOR PLAN .\ SCALE• i/S• . 1'-01 / NORTH GENERAL CONTRACTOR NOLL BE ENTIRELY RESPONSIDLE FOR 6TROC'TURAL, MECHANICAL, AND ELECTRICAL NTE&trTY OF THIS PADACT. GENERAL CONTRACTOR SHALL VERFY ALL DIPFN61ONS, SPECIFICATIONS, SYSTEMS, FINISHES AND CONDITIONS PRIOR TO CONSTRICTION P THERE AIiE ANY DISCREPANCY N THE PLANK, TIE DESIC3ER MIST BE CORACTED TO REVIEW AND CORRECT THE PLANS. TW GENERAL CONTRACTOR 814ALL COMPLY WITH ALL APPLICABLE LOCAL, STATE AND NATIONAL BUILDING C4DDE8 AND 6TANDARDS. .C7 W I�y I F••�••i w 3 rz LAUNDRY/BATH O FWF�N� Il• 3 L17 Fm 60 R@ IO E ExMt6r, uuoD ON ALL WALLS, N THM KITCHEN � W. REPL.AGE WIiH h• NUATE EXISTRY WALL AND ADD DINING ROOM SdSd3_7' DRYWALL - TIT' ALL UA L8 NSW •TYPE X'FIRE RATED T'_Im wQ'-0' DRYWALL AT ALL WN.L$ b URN GARAGE AND LIVABLE SPACE FAMILY ROOM 8,-81",-0. IP DN LIVING ROOM m-m•,am•e• LIP GARAGE mV-m•,om'•r ❑ I NBLATE MOTNDG UTALL AND G NEN RYPE W FIRE RATED DRTUTALL AT ALL WALLS BE UM GARAGE AND UNABLE SPACE LIP RSLAGE EXOT 2 DOOR AND WNDOU tHT. MATCH 1mTNG OPENW. F— EXMTNG BRICK SO►>, TO FOUN OFIRST FLOOR PLAN �\ SCALE: VS• . I'-0• / NORTH REMOVE EXIETRG SONG AND REPLACE UI1H NW SVI%d6' TX SMART Few 16 Beim MaTm SONG MO R<PLALE WYH N9119y,A6' TX SMART RM U 0SECOND FLOOR PLAN .\ SCALE• i/S• . 1'-01 / NORTH GENERAL CONTRACTOR NOLL BE ENTIRELY RESPONSIDLE FOR 6TROC'TURAL, MECHANICAL, AND ELECTRICAL NTE&trTY OF THIS PADACT. GENERAL CONTRACTOR SHALL VERFY ALL DIPFN61ONS, SPECIFICATIONS, SYSTEMS, FINISHES AND CONDITIONS PRIOR TO CONSTRICTION P THERE AIiE ANY DISCREPANCY N THE PLANK, TIE DESIC3ER MIST BE CORACTED TO REVIEW AND CORRECT THE PLANS. TW GENERAL CONTRACTOR 814ALL COMPLY WITH ALL APPLICABLE LOCAL, STATE AND NATIONAL BUILDING C4DDE8 AND 6TANDARDS. .C7 W I�y I F••�••i w 3 rz F•L� � FWF�N� Il• 3 PLAN NOTES 011 THESE FLOOR PLANE IERE CREATED BAKED ON FIELD N�R�ITUF ALL SUB -CONTRACT CHANGES, IN TAE FIELD. LARGA DISCREPANCIES NAI6T BE REVIETNED BY THE 0d DE81GlER r` DRAWN BY: LAB DATE: 10/14/2019 ISSUE: PERMIT EXISTING FLOOR PLANS A1.0 9/9/13 Directions 1. Fill in the blanks. Please print legibly. 3 Y?S— 2. Indicate in the check box which detail from page 4 will be used. Size and Spacing of Lags /G" d.e (example: Two 1/2'x 4 1/2"legs @ 16'0. C.) R 6 M Type of decking x ---T-1 (example: 1 x 4 ort x s- Trexl Existing bldg. 6" high guard fElectrical outletwith balusters required on decksced so that a nch diameter phere cannot Leaice Approvedpassthrough flashing M required occur over 1/2" bearing Attach decking with non corrosive fasteners B i 0 Detail B ❑ Alternate Detail Bi m O Alternate Detail B2 Detail A (sae page 4) co (see page 3) d E Conditions such as attachment to cantilevers or veneers may °D require Engineer's approval U - Detail C (see page 4) Fi Note: Emergency escape windows are allowed a to be installed under decks and porches provided the location of the deck allows the emergency escape window to be fully opened and provides a path not less than 36" in height to a yard or court. 6'8" required for walk out basements or patios. 2x_,.ql joists spaced _,&_" apart (example: 2 x 10" spaced 24"apart) U -- x S' beam (example: (2) 2 x 10 - see detail B) 2x -A'_ rim joist (example: 2 x 10 - see Alternate B 18 82) I C�'" 'X posts spaced 5- 7 apart (example: 4 x 4 posts spaced 8' apart) Span / 0 x .2 Y < (o (example: 13'- 41) I�Ze of siding (exisbhg) C- • 5Pge ad I I r ,: tsl 1 WneQt Rid9d Note: A plot plan (plan view) showing the dimensions of your project or additions and its relationships to existing buildi structures on the property must be included. In addition to project dimensions, your plot plan must also show other s7'%r' as post locations and spacing, joist and beam spans, and any other pertinent information not shown on the se ton drawing. This handout was developed by the Colorado Chapter of the International Code Council as a basic plan submittal under the 2012 International Residential Code. It is not intended to cover all circumstances. Check with your Department of Building Safety for additional requirements. 2 Iv City of Wheat Ridge Residential Asbestos Abatement PERMIT - 201902180 PERMIT NO: 201902180 ISSUED: 10/11/2019 JOB ADDRESS: 3475 Ward Rd EXPIRES: 10/10/2020 JOB DESCRIPTION: Asbestos Abatement - 200 sq ft total *** CONTACTS *** OWNER (720)717-3736 ARELLANO EDMUND SUB (720)810-6652 SAUL OROZCO 190193 ABATMENT QUALITY SERVICES *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,000.00 FEES Asbestos Abatement 50.00 Total Valuation 0.00 ** TOTAL ** 50.00 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this pen t. I further attest that I am le ally 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 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 an 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, any violation of any provision of any applicable code or any ordinance 6�r fegulation 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 `J`I heat �ge 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(cDci.wheatridae.co.us FOR OFFICE USE ONLY Date: Plan/Permit # 1� � ,l�,/j 0 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: `1 7 5 W a s � '�k � h r , \ '�, s " L ay 01 Property Owner (please print):. j My ,I � N a C \\a►14 Phone: o 7/ 7 g.1 3 6 Property Owner Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: 126 tr S '_� , 'A'% OL %I 1� N )ie.1 k lt�' W 0 0 -� ., (_X_' 9 0 Z Z. z, City, State, Zip: Architect/Engineer E-mail: Phone: Contractor Name: City of Wheat Ridge License M / � Q 19 3 Phone: -3 Z C ? i 0 66. 5 Z Contractor E-mail Address: [/ For Plan Review Questions & Comments (please print): CONTACT NAME (please print): 42__� d0\ O C oz c U Phone: 3Z O?/ 0 6 6 5 L CONTACT EMAIL(p/ease print): 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: City License # Other City Licensed Sub: City License # Complete all highlighted fields, if applicable. F—ICOMMERCIAL 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. Sq. FULF L 00 S7 E4, 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 sho«m 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) ((C:0N:TECT:O';,- (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): aA `J k O I C L DATE:/014/7 Printed Name: Jc A V` C z ID ZONING COMMMENTS: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: vironm ASBESTOS SURVEY INVENTORY OF 3475 WARD ROAD WHEAT RIDGE, COLORADO PREPARED FOR: ED ARELLANO 1966 SOUTH VIVIAN STREET DENVER, COLORADO 80228 OCTOBER 3, 2019 PREPARED BY: BLUE MESA ENVIRONMENTAL 9956 W. REMINGTON PL. A10, SUITE 230 LITTLETON, COLORADO 80128 (303) 981-3458 SECTION 1.4 GENERAL PROJECT INFORMATION 1.1 INTRODUCTION This asbestos inspection report presents data which describe the condition and location of asbestos - containing material (ACM) identified at 3475 Ward Road in Wheat Ridge, Colorado. This report is to be used as a program planning tool for all construction activities at this location. All ACM identified in this report should be handled in accordance with all applicable federal, state, and local regulatory requirements. This will assist in preventing potential exposure to airborne asbestos fibers, during abatement and clean-up operation. The combined goals of the sampling and visual assessments are as follows: 1) identify ACM at the facility and document the condition, friability, location, and quantity of each identified material; and 2) consolidate sample data and observations obtained during the site visit into report form, applicable parts of which will be incorporated into construction activities. 1.2 INSPECTION AND SAMPLING PROCEDURE Blue Mesa Environmental inspection and sample collection procedures are based on the Asbestos Hazard Emergency Response Act (AHERA) and Environmental Protection Agency (EPA) protocols. An initial facility walk-through is conducted to familiarize the inspectors with the facility layout. The facility drawings are reviewed for accuracy and suspect materials are identified. The facility is then divided into functional spaces and suspect homogeneous materials are selected for bulk sampling. Samples are collected and placed into separate, sealed plastic bags. Each sample is individually numbered, and sample information is entered onto a Field Data Sheet. Sample tools are decontaminated after each sample collection. The samples are delivered to an accredited laboratory for analysis, each accompanied by a completed Chain of Custody Form. Asbestos Sunny Inventory October 3, 2019 Asbestos Survey 3475 Ward Road Wheat Ridge, Colorado Suspect materials are divided into three categories: surfacing materials (such as plaster and surface coatings), thermal system insulation (TSI) (such as mudded TSI fittings, duct insulation, and pipe insulation), and miscellaneous material (such as floor tile, drywall, and mastic). Asbestos -containing materials are classified according to: Condition a Good • Damaged • Significantly Damaged Friability a Friable • Non -friable Potential for Disturbance a Low Potential • Potential for Damage • Potential for Significant Damage Disturbance Source • Contact e Vibration e Air Flow • Water Friable materials are materials that, when dry, can be crushed, pulverized, or reduced to powder by hand pressure. Prior to sampling, these materials are wetted with amended water to minimize potential for incidental exposure or accidental fiber release. At the inspector's discretion, personal protective equipment (PPE) is used as an added precaution. Bulk samples are collected using EPA guidelines for the type of suspect material sampled. Where practical, sample locations are determined using random sampling methods. Within each area, samples are collected where minimal damage will occur to facility structures or finishes. A particular suspect material may be found in several different locations within a facility. The EPA does not require that these materials be sampled in each location, provided the materials are of the same type, age, appearance, have the same date of installation, and are sampled in accordance with AHERA requirements to provide statistically reliable data that can be extrapolated onto all remaining non - sampled areas. Asbestos survey Inventory October 3, 2019 Asbestos Survey 3475 Ward Road Wheat Ridge, Colorado EPA/AHERA-accredited inspectors determine the number of samples of each material to be collected, depending on the material's category and the amount of material present. The objective of the AHERA protocol is to insure statistically reliable data by requiring or suggesting a minimum number of samples to be collected and, in some cases, by requiring the use of random sampling techniques to determine sample locations. However, in every case, A14ERA relies on the judgment of inspectors experienced in AHERA methodology and with the type of facility being inspected. 1.3 METHOD OF LABORATORY ANALYSIS Samples are analyzed in accordance with AHERA requirements using the following reference methods: • EPA Interim Method for the Detection of Asbestos. in Bulk Insulation Samyles (EPA 600/M4-82020, December 1982). McCrone Research Institute's The Asbestos Particle Atlas. All bulk samples are analyzed using PLM visual area estimation (VAE). Friable materials containing asbestos estimated at less than ten percent by PLM-VAE may be reanalyzed by PLM point counting. Additional treatment and tests may be used as required to accurately define composition (i.e., ashing, extractions, and TEM). All bulk sample laboratory reports are verified through an established quality assurance (QA) procedure. Unused portions of samples are archived for a minimum of six months. 1.4 QUALITY CONTROL PROCEDURES All samples are analyzed by laboratories accredited by the National Voluntary Laboratory Accreditation Program (NVLAP). These laboratories participate in the NVLAP, as well as the American Industrial Hygiene Association (AIHA) Bulk Asbestos Sample Quality Assurance Program. Blue Mesa Environmental verifies all sample data for accuracy by cross-referencing Field Data Sheets, Chain Of Custody Forms, and field notes. 1.5 DETERMINATION OF ACM CLASSIFICATION The positive identification of asbestos in a material or product can only be made through laboratory analysis. Visual inspection or common knowledge is not a positive test. The asbestos content of a suspect material is determined by collecting a bulk sample and having it analyzed by PLM. The PLM technique determines the specific type of asbestos present in the bulk sample and VAE provides an estimate of the percentage of asbestos. Asbestos Survey Inventory October 3, 2019 Asbestos Survey 3475 Ward Road Wheat Ridge, Colorado The EPA National Emission Standards for Hazardous Air Pollutants (NESHAP) - National Emission Standard for Asbestos (40 CFR Part 61, Subpart M) defines a non -friable asbestos -containing material as any non -friable material with an asbestos content greater than one percent as determined by PLM analysis. A friable material estimated to contain less than ten percent asbestos as determined by PLM- VAE must be analyzed by PLM point counting and determined to contain less than one percent asbestos in order to be considered a non-regulated ACM. A clarification memorandum issued by the EPA regarding the NESHAP regulation included the following statement: "The parties legally responsible for a building (owner or operator) may take a conservative approach to being regulated by the NESHAP. The responsible party may choose to act as though the building material is an asbestos -containing material (greater than 1%) at any level of asbestos content (even less than 1% asbestos). Thus, if the analyst detects asbestos in the sample and estimates the amount to be less than 10% by visual estimation, the parties legally responsible (owner or operator) of the building may (1) elect to assume the amount to be greater than 1% and treat the material as regulated asbestos -containing material or (2) require verification of the amount by point counting." In consideration of this statement, Blue Mesa Environmental and Ed Arellano (owner) agree that, in most cases, suspect material samples containing less than ten percent, but more than one percent asbestos as determined by PLM-VAE are, for the purpose of this report, considered to be ACM. No distinction will be made between these materials and those classified as ACM by EPA definition. However, in some cases, material samples with an asbestos content of one percent or less as determined by PLM-VAE are classified as "assumed ACM" and are so addressed in this report. At the discretion of Blue Mesa Environmental or Ed Arellano (owner), materials either "considered" or "assumed" ACM may be analyzed by PLM point counting to provide a more definitive result regarding the percentage of asbestos content. 1.6 INSPECTION LIMITS 1.6.1 Accessible Areas and Materials All accessible interior spaces and rooms, located in structures falling within Blue Mesa Environmental scope of work, are inspected for asbestos -containing materials. Facility roof of this facility was inspected. Asbestos survey Inventory October 3, 2019 Asbestos Survey 3475 Ward Road Wheat Ridge, Colorado Blue Mesa Environmental does not inspect underground conduit, electrical systems, or, unless specifically requested to do so, any appurtenances or above -ground structures that do not directly support the primary facility. 1.6.2 Inaccessible Areas and Materials All access areas of the facility were inspected. To the best knowledge of Blue Mesa Environmental all areas of the facility were inspected for asbestos. Asbestos survey Inventory October 3, 2019 SECTION 2.0 ASBESTOS LOCATION SUMMARY 2.1 INTRODUCTION This section discusses inspection findings and analytical results for suspect asbestos -containing material sampled at 3475 Ward Road in Wheat Ridge, Colorado. The potential for asbestos fiber release and recommendations for future action are presented for all ACM identified (refer to the "Recommendations" sub -section). Representative samples of suspect materials were sent to an accredited laboratory for analysis. Appendices for this report are as follows: • Appendix A - Glossary -- list of terms used in this report • Appendix B - Laboratory Results — bulk sample analyses results • Appendix C - Map — location of bulk samples • Appendix D — Inspector Certification 2.1.1 Statement of Inaccessibility During the site visit, enclosed pipe chases were accessible for inspection. Blue Mesa Environmental believes that the materials most likely to exist in these areas were identified in other areas of the facility and determined to be non -ACM. These areas and materials are listed and further addressed below. Unidentified suspect materials encountered in inaccessible areas during future repair or renovation projects should be assumed asbestos -containing until sample collection and subsequent analysis prove otherwise. 2.2 INSPECTION DATE AND INSPECTOR INFORMATION The 3475 Ward Road was inspected on September 22, 2019 by Mr. Brandon Ramer. Mr. Ramer is EPA/AKERA trained and accredited and Colorado State asbestos inspectors. Asbestos survey inventory October 3, 2019 Asbestos Survey 3475 Ward Road Wheat Ridge, Colorado 2.3 FACILITY INFORMATION 3475 Ward Road consists of a single family home. The house has a main floor, upstairs and a basement. The garage is attached and is constructed of wood framing and roof shingles. The house foundation is constructed of concrete. The interior finishes include drywall, joint compound, flooring is wood and tile. 2.4 3475 Ward Road 2.4.1 Description 3475 Ward Road, Is a single family home. 2.4.2 Suspect Material Summary The following suspect materials were identified during the inspection, 14 bulk samples were taken: • Exterior Siding Board (approx. 1,500 square feet) • Exterior Soffit (approx. 300 square feet) • 12x12 Floor Tile and mastic (entry only 5 square feet) • Ceramic tile and grout (7 square feet of impacted area) • Wall Texture (3,500 square feet • Drywall and Joint Compound (3,500 square feet) • 12x12 floor tile and mastic (by bath garage) • 12x 12 stone pattern floor tile and mastic (basement under carpet) • 12x12 pin hole ceiling tile (500 square feet) • Bat insulation (garage 200 square feet) Note: All quantities are approximate and contractors shall verify Asbestos Survey Inventory October 3, 2019 T -8 T 7 p A4 zA z 4a ZA e°yU L L.' w e a U � A C7 C7 C9 C� L7 o O �� f n n n V) n kn vl� ti) Y7 Vl h N Vl Vl o ae a7 �t � •rr eY v v � n � n �! n eh n V n n a n v U Vi M M M M M M M M M t+f M e+f � of M 'ri y 2L 9 W g O A y D CO � cd c� m A W V? Cil W rAoNt O O O d O in O Z. N b � U CL ze ° zca L o U A; A c� oo w z C z w a49 Z w z w w w to � o z z N 00 _ N N N N N 4' Y7 K� V7 h � � h h h h r ait t%t h h V1 h h h V1 h 00 et � �0. � d o m 00 gs v d yob 2 o +, � � n L r.6 G a� 8 k °' � H t3 y k •� � Z. Asbestos Survey 3475 Ward Road Wheat Ridge, Colorado 2.4.3 3475 Ward Road asbestos -Containing Material • Through -out Wall Texture located on walls and ceilings • Through -Out Drywall joint compound located on walls and ceilings • Basement 12x 12 Stone Pattern Floor Tile located under carpet 2.5 RECOMMENDATIONS Prior to renovation or construction activities that would impact the above materials it is suggested that an approved Colorado State Asbestos Abatement Contractor conducted the removal. Alterations to or the removal of asbestos -containing materials requires adherence to all applicable federal, state, and local regulations concerning the removal and disposal of asbestos materials. Periodic condition inspections are recommended until the materials are removed. 2.6 LIMITATIONS This report describes the locations and conditions of ACM identified at 430/434 duplex University Boulevard located in Denver, Colorado at the time of inspection. Blue Mesa Environmental represents that our services are performed within the limits prescribed by applicable regulations and in a manner consistent with the level of care and skill ordinarily exercised by other professional consultants under similar circumstances. No other representation is made to the client, expressed or implied, and no warranty or guarantee is included or intended. Brandon Ramer President Asbestos Survey Inventory October 3, 2019 Appendix A Glossary Asbestos Survey Inventory October 3, 2019 GLOSSARY Actinolite -- one of six naturally occurring asbestos minerals. It is not normally used commercially. Action level -- a level of airborne fibers specified by OSHA as a warning or alert level. It is 0.1 fibers per cubic centimeter (Fcc) of air, 8 -hour time -weighted average, as measured by phase contract microscopy. AHERA — Asbestos Hazard Emergence Response Act. AIHA - American Industrial Hygienists' Association. Amosite — (brown asbestos) an asbestos form mineral of the amphibole group. It is the second most commonly used fo9rm of asbestos in the U.S. Amphibole_- one of the two major groups of minerals from which the asbestos form minerals are derived — distinguished by their chain -like crystal structure and chemical composition. Amosite and crocidolite are examples of amphibole minerals. Anthophvllite — one of six naturally occurring asbestos minerals. I t is of limited commercial value. Asbestos — a generic name given to a number of naturally occurring hydrated mineral silicates that possess a unique crystalline structure, are incombustible in air, and are separable into fibers. Asbestos includes the asbestos form varieties of chrysotile (serpentine), crocidolite ( riebeckite), amosite (cummingtonite-grunerite), anthophyllite, actinolite, and tremolite. Asbestos -Containing Material [ACM) — any material or product which contains more than 1 percent of asbestos (AHERA definition). Asbestosis — scarring of the lungs caused by exp9osure to asbestos. Continued exposure may lead to degeneration of lung function and death. Sulk Sample — samples of bulk material; in the case of asbestos, suspect material. Carcinoma — a malignant tumor of epithelial origin, and in this context, referring to membranous tissues of the human body. Chain -of -custody — formal procedures for tracking samples and insuring their integrity. Chrysotile — (white asbestos) the only asbestos form mineral of the serpentine group. It is the most common form of asbestos used in buildings. Crocidolite — (blue asbestos) strongest of asbestos minerals. As asbestos form mineral of the amphibole group. It is of minor commercial value in the U.S. EPA — Environmental Protection Agency. Epidemiology — the study of causes, occurrence and distribution of disease throughout a population. Fireproofing — spray or trowel applied fire resistant materials. Friable -- material that can be crumbled or reduced to powder by hand pressure. Functional spaces — spatially distinct units within a building which contain identifiable populations of building occupants. Heating ventilation, and air conditioning (HVAC) system — the system of pipes, ducts, and equipment (air conditioner, chiller, heaters, boilers, pumps, fan's) used to heat, cool, move, and filter air in a building. HVAC systems are also known as mechanical systems. Homogeneous areas — an area which appears similar throughout in terms of color, texture, and date of material application. Lung cancer--7a malignant growth of tissue in the lungs, specifically of the bronchial covering. Mesothelioma — a rare cancer of the lining around the lung or the abdomen. Mesothelium — epithelium derived from mesoderm that lines the body cavity a vertebrate embryo and gives rise to epithelia, among others. NESHAP — National Emission Standards for Hazardous Air Pollutants. NVLAP — National Voluntary Laboratory Accreditation Program. Personal Protective Equipment (PPE) — equipment, such as hard-toe shoes, gloves, respirator, etc. designed to protect a worker from certain work place hazards. Phase Contrast Microscopy (PCM) — a method of analyzing air samples for fibers using a light microscope. Polarized Light Microscopy (PLM) — a method of analyzing bulk samples for asbestos in which the sample is illuminated with polarized light (light which vibrates in only one plane) and viewed under a light microscope. Quality assurance — a program for collecting and analyzing additional duplicate of suspect material to check on the liability of procedures. Regulated material — in the case of ACM, a material is regulated by federal law if the asbestos content is one percent or greater by volume. Respiratory tract — the organs of the body which convey air to the blood, allow exchange of gases, and remove carbon dioxide. Serpentine — one of the two major groups of minerals from which the asbestos form minerals are derive — distinguished by their tubular structure in chemical composition. Chrysotile is a serpentine mineral. Surfacing material — material in a building that is spray -on, troweled—on, or other wise to surfaces, such as acoustical plaster on ceiling and fire proofing materials on structural members, or other material on surface for acoustical, fire proofing, or other purposes AHERA definition) Synergistic — the combination of to effects which is greater than the sum of the two independent effects. Thermal System Insulation (TSI) — means material applied to pipe, fittings, boilers, breaching, tanks, ducts, or other interior structural components to prevent heat loses or gain, or water condensation, or for other purposes. Transite — a trade name commonly used for asbestos cement wallboard and pipe material Transmission Electron Microscopy (TEM) — a method of analyzing air samples for asbestos fibers using a transmission electron microscope and, possibly, associated instruments for further identifying asbestos. Tremolite — one of six naturally occurring asbestos minerals. Tremolite has few commercial uses. Vinyl Asbestos Tile (VAT) — a floor tile made of plastic imbedded with asbestos. Appendix B Laboratory Results Asbestos Survey Inventory October 3, 2019 Reservoirs Environmental. Inc Effective April 2, 2018 Reservoirs Environmental QA Manual O: tQAQC"b%Reservoirs Envimnmernal QA Manual.doc — REII �._ e5erv0irrs Environmental, Inc. September 28, 2019 Brandon Ramer Blue Mesa Environmental 9956 W. Remington Place A10, Ste 230 Littleton CO 80128 Dear Customer, Subcontract Number: Laboratory Report: Project # I P.O. # Project Description: NA RES 445563-1 None Given 3475 Ward Road 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 445563-1 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, f- ..JC..�t..,. Jeanne Spencer President P 303.9641986 F 303-477-4275 5801 Logan Street. Suile 100 Denver. CO 80216 Page 1 of 1 1.866-RESI-ENV wAwsailab.com Ll V Z_ J Fa - Z W Z O 2 W V) O W U) W w s 91 x u E N Y C, T o m Ln to LO o 0 0 0 OC z N C 7CL O z n � � r z m m� a Lu c IX C4 N CA 0-E Q m i Q E 0. 0.p C w Ix to �) Sw ui cmn CL 1- w000O N o `n C, T o m Ln to LO o 0 0 0 OC z N C Y z 0 r r m m� a EU) IL z T Z:,g� t5 iv CA 0-E Q .0 O Q E 0. 0.p cz E (a! m mom E w 1- w000O I -C c 3 Y' o o `n C, T o m Ln to LO o 0 0 0 OC z N C r r r,. g E 0 C N 04 02= 7 C v O In m m O IA O W O f- CA CO tf) 6n ~C) 0 0 0 0 CO Cf) CO d C U �,�-'cc cc ca c a a a coo 0O z z z z z z z z z z z z z O uJ v......... 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Remington PI, A10 Suite 230 Littleton, Colorado 80128 Tel. 303.981.3458 Fax. 866.585.2474 M r `vwlc Blue Mesa Envirommntal Appendix D Inspector Certification Asbestos survey Inventory October 3, 2019 `' �`'�-rte' ��' �.�J�. .`�. .C� .... ..'�'r ii�-,'''.•., �� . � ... ..__....... ....�.... ......... ..... .......».,. ...,..,... .»».».. .......�am.e .rmnnsamumrrunmmni roncatlrtWtfutfAriL.lkftf9lR/.fl �� y '� F �' r, i CITY OF WHEAT RIDGE Am Building Inspection 14Lision (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: : c ,-� ( kooF Job Address: 34-71S Wo_/a €- Permit Number: �O I ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: c6 'C6' i � Inspector: E DO NOT REMOVE THIS NOTICE i CITY OF WHEAlr RIDGE tiO Building InIgpec 4on Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 4;:21 yicL ( 9 oa r Job Address: 3477- UU"to 6 tx Ca Permit Number: ►�rrlr��u� ❑ No one available for inspection: Time`/ ' /. A Re -Inspection require When corrections have been made, call for re -inspection at 303-234-5933 Date: - 3 i - (b 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: MiI(0 Pyr Job Address: _�� 1l. OAd Permit Number: 20/ Y-0 R % ❑ 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: 73t- Inspector: DO NOT REMOVE THIS NOTICE M A #I City of Wheat Ridge Residential Roofing PERMIT - 201801978 _:�9r PERMIT NO: 201801978 ISSUED: 07/11/2018 JOB ADDRESS: 3475 Ward RD EXPIRES: 07/11/2019 JOB DESCRIPTION: Reroof remove and install CetainTeed Landmark Asphalt Shingles with 18 squares. Pitch 5/12. *** CONTACTS *** OWNER (303)808-7917 ROACH MARY L SUB (303)271-0100 Rob Theis 090269 RJI Professionals 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: 5,400.00 FEES Total Valuation 0.00 Use Tax 113.40 Permit Fee 140.90 ** TOTAL ** 254.30 *** 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. A ,( City of Wheat Ridge Residential Roofing PERMIT - 201801978 PERMIT NO: 201801978 ISSUED: 07/11/2018 JOB ADDRESS: 3475 Ward RD EXPIRES: 07/11/2019 JOB DESCRIPTION: Reroof remove and install CetainTeed Landmark Asphalt Shingles with 18 squares. Pitch 5/12. 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 arri authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as partes to the work to be performed and th �t�a�lwork to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature ofd OWNER 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, 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 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 permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable�e or any ordu Ice or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS NUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Lagenia Reimer Qc iM � C11 _W From: no-reply@ci.wheatridge.co.us Sent: Tuesday, July 10, 2018 4:10 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) 3475 Ward Rd r Mary Roach 03-808-7917 � (�(( 3(� Property Owner Email mroach@fpsfinancial.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 Roach Siqned Contract.pdf Contract CONTRACTOR INFORMATION Contractor Business RJI Professionals Inc. Name Contractor's License 090269 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-271-0100 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 13551 W 43rd Drive Unit Q Golden CO 80403 (Primary address of your business) Contractor Email Address Naomi@rjipro.com Retype Contractor Email Naomi@rjipro.com Address DESCRIPTION OF WORK TOTAL SQUARES ofoNo the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking theroof?Is the permit for a flat (2:12 pitch or greater) roof, pitched roof, or 2 both? (check all that apply) What is the specific pi 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 th PITCHED roof: Provide any additional detail here on the description of work. (I this for a house or garage? Etc) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal 3 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 Naomi Ordonez Permit Email not displaying correctly? View it in your browser. enia Reimer L�OIW30� From: mroach@fpsfinancial.com Sent: Wednesday, July 11, 2018 12:39 PM To: Lagenia Reimer Subject: Re: Reroofing Permit for 3475 Ward Rd Hi Lagenia, �Ww 1 � 0'! have chosen RJI Professionals, Inc. to reroof my mother's home. Her name is Mary Roach and her home is at 3475 Ward Road. No work was performed by Barclay Roofing. Please void the permit related to Barclay Roofing. Thanks, Matt Roach 303-808-7917 > Good Morning Mary, > I left you a voicemail at the phone number 303-808-7917 earlier. > I have received a permit application for your residence at 3475 Ward > Rd to re -roof your house. > Our records show that there is still an outstanding reroof permit that > was pulled by Barclay Roofing last year on 7/7/2017. > Did this Barclay Roofing do any work on your roof? Our records show > that there were not any inspections scheduled. > If Barclay Roofing and you terminated/cancelled your contract and work > was never performed, could you please respond to this email stating > that you have chosen to have another contractor, RJI Professionals > Inc., to reroof your residence and that the other permit simply needs to be voided. > Your quick response to this email will expedite the processing of the > newly submitted residential reroof permit application for your > property at > 3475 Ward Rd. > I simply need something in writing acknowledging that you have decided > to have RJI Professionals Inc do the work on your roof instead of > Barclay Roofing. > If you have further questions please contact me at 303-235-2810. > Sincerely, > Lagenia Reimer > Permit Technician > 7500 W. 29th Avenue > Wheat Ridge, Colorado 80033 > Office Phone: 303-235-2810 > Fax: 303-237-8929 > www.ci.wheatridge.co.us<http://www.ci.wheatridge.co.us/> > [cid:image002.jpg@01CC7D31.6BAEOD201 > CONFIDENTIALITY NOTICE: This e-mail contains business -confidential > information. It is intended only for the use of the individual or > entity named above. If you are not the intended recipient, you are > notified that any disclosure, copying, distribution, electronic > storage or use of this communication is prohibited. If you received > this communication in error, please notify us immediately by e-mail, > attaching the original message, and delete the original message from > your computer, and any network to which your computer is connected. Thank you. City of Wheat Ridge .. Residential Roofing PERMIT - 201703422 PERMIT NO: 201703422 ISSUED: 07/07/2017 JOB ADDRESS: 3475 Ward RD EXPIRES: 07/07/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with 17.67sq. *** CONTACTS *** OWNER (303)232-1114 ROACH MARY L SUB (970)776-3322 John Barclay 170332 Barclay Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,074.07 FEES Total Valuation 0.00 Use Tax 106.56 Permit Fee 140.90 ** TOTAL ** 247.46 i *** 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 one half 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 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201703422 PERMIT NO: 201703422 ISSUED: 07/07/2017 JOB ADDRESS: 3475 Ward RD EXPIRES: 07/07/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with 17.67sq. I, by my Signa"ture, reby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building c and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by tkie legal own r o ropetty and am authorized to obtain this permit and perform the work described and approved in conjunction with thls ermit. I furt r a a II am legally authorized to include all entities named within this document as parties to the work to be P, and th al rk be perionned is drsclosed in this document andf/or its' accompanying approved plans and specifications. Signature of or CONTRACTOR (Circle one) Date 1 ! I. This permit waS`issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be reqquired to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approva► of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change. of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6, The iss ce 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 apple ,e nndeffoo,rr.anny ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. 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. �0l'713�9� Dan Schultz From: no-reply@ci.wheatridge.co.us Sent: Monday, June 26, 2017 11:00 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being processed within 5 business days, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name 3475 Ward Rd Mary Roach Property Owner Phone 303-232-1114 Number �w�� /� 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 Barclay Roofing Contractor's License 170332 Number (for the City of Wheat Ridge) Contractor Phone 9707763322 Number Contractor Email Address chelsea@bdrfw.com Retype Contractor Email chelsea@bdrfw.com Address DESCRIPTION OF WORK Are you re -decking the No , roof? Description of Roofing GAF Timberline Material Select Type of Material: Other (specify below) If "Other" is selected dimensional above, describe here: How many squares of the 17.67 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? 2 TOTAL SQUARES of all roofing material for this project Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) 17.67 Remove and replace shingles on house 5074.07 SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Chelsea Bassett Email not displaying correctly? View it in your browser. 3 BARCL" ROOFING Phone: (970) 776-3322/ Fax: (970) 336-8835/ 1108 8th Ave. Greeley, CO 80631 Work Authorization Roach ("Owner") hereby authorizes Barclay Roofing ("Barclay") to mobilize and complete the necessary work to restore, rebuild, clean, and/or deodorize the building structure and/or contents and to provide emergency services as authorized by Owner, insurance company, and/or Barclay relating to the loss or project ("Work") described below. The person signing below represents they have the authority to do so on Owner's behalf. Work Name - - Work Location Work Description Roach Loss Date '5/8/2017 3475 Ward Road Wheat Ridge, CO 80033 Work # 303.212.1114 SHINGLE COLOR: - GU TER COLOR: Owner agrees to pay Barclay for all labor, materials, and equipment utilized to mobilize, demobilize, and perform the Project described above in accordance with Barclay's Rate Schedule or on a Lump Sum basis. Barclay's Rate Schedule does not include any applicable taxes or fees which will be itemized and charged to Owner and insurance carrier by Barclay. Our Rate Schedule has been pre -approved by most insurance carriers. Pe— Barclay's Time and Material Rate Schedule, in accordance with insurance industry pricing. Lump Sum Amount of: $ - per Estimate or Proposal dated Price will be determined at a later date, to be market pricing and insurance agreed. Owner agrees to make payment directly to Barclay for the Work and for any deductible, depreciation, or amounts not covered by insurance for this Work. Owner requests that all payments pertaining to Barclay's work be paid directly to Barclay by Owner's insurance provider, or to add Barclay as additional payee on all claim payments. Owner to remove cash, jewelry, firearms, collectibles, or any valuable items prior to Work start. Owner acknowledges understanding and agreement to all terms and conditions on reverse side. "'... ...... `. nomeowner. l Z Signed: Signed: r—f�� t Name: //� �� Name: Mary Roach Corporate office: BDR Fire & Water Restoration, LLC Date 1108 81h Avenue, Greeley, CO. 80631 Mailing Address 3475 Ward Rd Insurance Company: Nationwide Claim Representative: Daniel Qualk Phone 303-232-1114 Wheat Ridge, CO 80033 0 0 Email: Qualkdlgnationwide.com Phone: 614-854-2244 Deductible: $ TERMS and CONDITIONS 5ditional Work: Barclay agrees to perform scope of Work referenced on page 1. Owner agrees that any supplements or additions to Work may be accom ally or with supplement. Supplemental work includes betterment; Owner selected changes; and/or enforcement of code or ordinance by city. Lump Sum Contract & Pricing: An estimate will be written to define the scope and pricing, if not based on time & materials. The estimated value for each line item multiplied by 40% for the replacement only will equal the material cost of that item. If Owner reduces the overall scope of Work, profit and overhead of 10% each will still apply to the overall price. Barclay at its option may utilize value engineering to complete the same Work in a more efficient manner or in order to achieve a savings to Barclay. Work Quality: All work involving restoration and/or repairs is for the damaged Work only and for like kind & quality craftsmanship and does not cover unaffected areas and does not cover modifying existing deficiencies. Estimate presumes original walls, floors and framing are plumb, square, and straight. Construction does not result in "Perfect Finishes" such as is found in manufacturing in a controlled environment Barclay's work will conform to existing qualities and will be governed by references published by the National Association of Home Builders, "Residential Construction Performance Guidelines". All construction debris will be removed from project and areas left in a broomed and/or shop vac quality cleaned condition. _Contract rime: -rime is of the essence to this agreement and contractor will diligently pursue a substantial completion of the Work, but will not be held liable for Mays due to deliveries, weather, Owner or insurance carrier, or any other conditions beyond contractor's control. Owner agrees to hold harmless contractor for any additional delays to Work. Owner further agrees not to cause delays to project for any reason and to provide clear and continuous access to the Work site from 7:00 a.m. to 5:30 p.m., Barclay may at their option, place a "LOCK BOX" at the property and assume no responsibility for unauthorized entry. Owner agrees to provide electricity, heat, water, local telephone, and sanitary facilities. Substantial completion is the date when the property can be occupied for its intended use, not when the Work is 100% complete. Invoice & Payment Method: Owner agrees to make payment directly to Barclay for the Work, whether or not such work is covered by insurance. Barclay may invoice Owner for parts of Work completed. Owner shall pay Barclay the amount of each invoice no later than ten (10) days following Owner's receipt of the invoice. Interest shall accrue on payments not received within such time at the lesser of (i) the maximum lawful interest rate or (ii) one and one-half percent (1.5 %) per month. Any remaining balance of the Contract Price after the above payments are made shall be paid no later than ten (10) days following completion of the Work. At the completion of Final Walk Through, Owner must pay Barclay for all sums less correction items on list. Items addressed after Final Walk Through will be placed on a warranty list and will not be subject to subtractions from final payments subject to limited warranty below. Limited Warranty: Conditioned upon payment in full of all amounts due Barclay, Barclay warrants that the Work will be free from defects for a periodrof one year from the first day the Work is occupied or is ready to be occupied (whichever occurs first) by Owner and shall assign to Owner all applicable warranties of manufactures, supplies or others. Barclay's warranty is limited to repair or replacement, at Barclay's option, of the defective Work and specifically excludes any equipment or materials covered by manufacturer's, supplier's or others' warranties, and also specifically excludes incidental or consequential damages. This warranty specifically excludes cracking, etc. of any concrete, drywall, plaster, caulking, sealant, tile, or any other product subject to movement of any kind. This warranty also excludes any loss caused by or consisting of any mold or microbial growth whether or not caused by Barclay or their subcontractors or suppliers. Except as provided herein, there are no other expressed or implied warranties. Certain Owner Obligations: Owner shall make customer selections within Barclay deadlines or pay additional overhead fees to Barclay and agrees to utilize the design center of contractors choice to do so. If Owner fails to make timely selections, Barclay can make selections on behalf of Owner with standard items. Owner agrees to sign the Substantial Completion Form if work is substantially complete. Owner agrees to sign the Final Walk -Through Form upon presentation. Owner assigns to Barclay any insurance proceeds or payment for Work performed by Barclay that Owner may receive or otherwise be entitled to receive. Owner agrees to allow Barclay to communicate with insurance company in order to facilitate the processing and payment of the claim. Owner agrees to quickly facilitate the signing of any proof of loss and/or mortgage company inspections and/or endorsements to claim payments. Owner waives any right of recovery or subrogation against Barclay to the extent of Owner's insurance coverage. Owner shall provide and maintain Property, Building, Personal Property, Builders Risk, "All Risk" and Premises Liability Insurance covering the Work, including all materials and supplies on site but not yet installed. Owner agrees to make claim for defects in construction pursuant to the Colorado Construction Defect Claims Act. Hazardous or Other Conditions: Barclay may halt the Work upon any finding of hazardous substances or unsafe conditions. Barclay will notify Owner upon the discovery of any such items. Owner must notify Barclay of any known hazardous items at the site including asbestos, chemicals, lead, or other, and Owner shall indemnify and hold harmless Barclay from and against any and all claims arising from or related to the conditions, and Barclay shall be entitled to payment from Owner for all costs, expenses and damages, including reasonable attorneys' fees and expenses, it incurs as a result of the conditions. If conditions cause delay to project for more than 1 week, Barclay may terminate this agreement. Default: If Owner defaults in any of its obligations hereunder, Barclay may, at its option, in addition to other remedies provided in this Contract or pursuant to applicable law or principles of equity, pursue one or more of the following remedies: suspend some or all of the Work until all defaults have been cured, upon three (3) days written notice to Owner; terminate some or all of Barclay's obligations under this Contract, and/or recover all amounts due under this Contract plus all expenses and reasonable attorneys' fees and expenses incurred by Barclay as a result of Owner's breach or Barclay's enforcement of this contract. In the,event this Contract or Barclay's obligations. are terminated by Barclay pursuant to the. terms of this Contract, Barclay shall be paid for all work performed through the date of termination in an amount that will compensate Barclay forall costs incurred, plus thirty percent of these costs. Barclay retains the right to file a Mechanics Lien for services rendered and hereby notifies Owner that Barclay will file said liens to protect Barclay's interest in the subject property. In such event, owner shall pay all interest charges and filing fees for the lien. Owner shall also pay Barclay's liquidated damages of $100.00 for Owner's delays. Dispute Resolution: Any Controversy or claim arising out of or relating to this Contract shall be resolved by arbitration in accordance with the Construction Industry Arbitration Rules of the American Arbitration Association, and judgment upon the award may be entered in any court having jurisdiction. Prevailing party shall be entitled to all reasonable attorneys' fees and other legal associated costs. Limitation, Waiver, and Venue: Owner and Barclay agree that venue for any legal proceedings shall be Weld County, Colorado, and that Colorado law shall govern all disputes relating to this agreement. Arbitration may be utilized per the above or the Better Business Bureau at contractor's option. Owner agrees not to libel or slander contractor for any reason whatsoever and that in doing so to any source, agrees to indemnify contractor an amount equal to $5,000.00 unless it can be proven that such libel and slander did not cause any damages. Owner further waives their right to trial by jury and any claims for consequential or punitive damages against contractor. iiii 1, 1 1 1 ''1 1 10 Occupanc /T e Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 3:00 p.m, to receive an inspection the following business day. MENNEELIF11111A 0 0 - c ons n T) a ins ecti Inspector Underground/Slab In spections; initials comments Underground) um ing Below/ln-slab) M W . -- , 1 011111 ill • *0 A Kola# AMM 1 • Not Proceed Without A M. L�=g / Frame N S= W� I Vr Wnt"I hiout, 11:18 AN cdba Stephen C Lanyaq RECEIPT 46:04888 ARGUNT DPW Install 48"He btu f 122.86 2 2 81380587 Permit Fee 48.10 Use Tax 82.80 PAYMENT RECEIVED ANDUNT K 4619 122.96 Ruth Code: 006251 TOTAL ---- ----------------- -.-- ------------- 1 22. go Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather 0 d . Mailin Add ress: ... r- a. OF M ! d!. ACREEMENY « « «rm r. t E « ^„ ?a• ♦ *..m T Y. «:f t «., 2 tt... .,: #' S at A�. ♦ 0 x m t r FIRE DEPARTWNr,: 0 approved w/ commants Cl disapproved 0 no review requVoo e,! + CITY OF WHEAT RIDGE ' Building Inspection Division (303) 234 -5933 inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: > / Job Address: Permit Number: ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No "When collections have been made, cell for re- inspection at 303-234-5933 Date: J Inspector: D© NOT REMOVE THIS NOTICE INSPECTION RECORD OGCUpancvlTVpe 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 IN FOUNDATION INSPECTIONS DATE. INITIALS Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof / French Drain Sewer Service Lines =Water Water Service Lines ^„ �� oFrl ACES PERTAINING TO THIS . 013 COMMENTS: CONCRETE SLAB FLOOR Electrical (Unde rground) Plumbing (Underground) ROUGHS Sheathing A `-- Lath / Wali tie Mid -Roof ,< Electrical Ser Rough FleciriRough.♦Plumb Gas Piping - Rough Mechanical:' ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing . Insulation D wall Screw - rY — F _ { FINALS :.., j Electrical: I. Plumbing::: I Mechanical I. Roof l /� Building Final I ` Fire Department _ ('.. R_G.W$ Drainage ,.. INSPECTIONS FOR P A TLE A ST ONE SZONI WEEK PRIOR TO FINAL INSPECT r SHOULD BE CALDAT.LES.EEK PRIOR TO FINAL ITIONS. LE I ` ' andscapin9 . . * *NO T1 =1 .�BLL IT�N1S MUST BE MPLETED ANp A`P,PROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A Parking CERTIFICATE OF OCCUPANCOYFI,A C ICA OF OCCUPA NOR PERMI SSION DI OR OCC O UPANCY CONSTITUTEAUTHORIZATION OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦ i CITY OF WHEAT RIDGE Building Inspection Division I (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INS~}PECTION NOTICE Inspection Type: NF { ,t Job Address: T(75 ( rm r f Permit Number: 6~1 i , 4I1(,dpl ` -t,4"r a4dFr" SOP nt r irLr, ❑ No one available for inspection: Time j A Re-Inspection required Yes No "When corrections have been made, call for r -inspection ak303,234ti5983 Date: Inspector: <;,cPr f Y? DO NOT REMOVE THIS NOTICE ♦ ! CITY OF WHEAT RIDGE Building' Inspection Division f( (303) 234-5933 Inspection line 303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ( > Job Address: Permit Number: f~ ~1 2 / ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No *When corrections have been made, call for re-inspection ' at 303-234-5933. Date: Inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division r (303) 234-5933 Inspection line (303)235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: a!✓ ~1 Job Address: 22 (t 75 (,,),1PA Permit Number: C; €t ri( Ito be "~'l ❑ No one available for inspection: Time 7;I r~ AM/FY / Re-Inspection required: es No *When corrections have been made, call or -i spe~tion a 30 234-5933 , Date: 1r',V-e)q Inspector: DO NOT REMOVE THIS NOTICE I` ♦ 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: Pf Job Address: ~if7 5 Won IM Permit Number: 04IP6( 1 ❑ No one available for inspection: Time fi(? AMAM~ Re-Inspection required:r Yes No When corrections have been made, oaORfpor re-inspection at 303-234-5933 Date: Inspector: lkr,uI" Latll s DO NOT REMOVE THIS NOTICE 1 City of Wheat Ridge r40001 Residential Roofing PERMIT - 092517 PERMIT NO: -092517 ISSUED: 09/17/2009 JOB ADDRESS: 3475. WARD RD EXPIRES: 03/16/20.10 DESCRIPTION: T/o: Install 18.sgs O.C. 30yr duration CONTACTS. owner 303/232-1114 May roach gc `.303/825-5273 08-0138 Colorado Roofing Exteriors **PARCEL INFO ZONE CODE:. UA.. USE: : UA SUBDIVISION: 0695 BLOCK/LOT#: 0/ FEE SUMMARY 'ESTIMATED PROJECT VALUATION: 6,174.00 - FEES ' 'Permit Fee 181.10 Total Valuation .00 Y (D~. Use Tax 111.13 r V SSCJ **-TOTAL 292.23 ..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 i>water shield required:. from eave edge to 2':inside exteriorwalls. Subject to field 'inspection: 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 rp, 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.Ridge Ordinances, for work under this perm t. Ps subject to field inspection. Signature of 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 ordinances of the city- 2. :This permit shall expire 180 days from the issue date. Requests for an extension must be received. prior to expiration date. An extension may be granted at the discretion of the Building Official. '3. If this permit expires,a new permit may be acquired for. a fee of one-half the amount normally required, provided no 'changes have been or will be mads 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 r, be paid for a new permit. y, 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. F 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 P. proceeding with successive phases of. the job. 6. The issuance of apermit or the approval of drawings and specifications 'shall not be construed to be apermit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance,.. law,. rule or regulation.. All plan review .i object to field' inspections. r Signature of uilding Official date hs INSPECT NREQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 r'REQUESTS MUST. BE MADE BY 3PM_ANY BUSINESS.. DAY FOR INSPECTION THE FOLLOWING 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 oOtoRao° Inspection Line: 303-234-5933 Building Permit Application Date: 4//'y Plan Permit Property Address: t j y f wa j U Property Owner (please print): Aw I L dCL Phone: Mailing Address: (if different than property address) Address: J Y75' A)" U City, State Zip: (,J"W4e R7~73 Contractor: L&mAn nm t C~ XfiPJ ntC LL 7 Contractor License / Phone: 303 !3Z5- 5z73 Sub Contractors: Electrical City License Company: Plumbing City License Mechanical City License Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $ (gI Description of work: 2C 120A. . 6e n 1. ;v r (as calculated per the Building Valuation Data sheet) tC KcX3t: Vc~.~r~a 7 Plan Review (due at time of submittal): $ Sq. Ft./L.Ftadded: Squares 19 BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements. shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of(OWNER) NTRA OR PRINT NAME: ~~ry,,r YMwv SIGNATURE: Date: R / ZONING~COMMENTS: Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY: FIRE DEPARTMENT:: D approved wl comments D disapproved 0 no review required Building Permit CITY OF WHEAT RIDGE 7500 West 291'FI Avenue Wheatridge, CO 80033 303-235-2855 Permit Number 19701 1/23/2006 Inspection Line 303-234-5933 Residential Plumbing PROPERTY 347$ Ward Rd Unit: owtvER: Bill Roach (303) 232-1114 Description Hot water heater replacement. 40 gallon gas. - - - - - - ~ _ - FEES - - ~I = - - - ~ Fees Due ~Paid ~ Use Tax ~ 30 ~6_30 Per mitFee $30 55 $30.55 Total Fees ---.~$36.85 - . . -S . - - 1 - - CONTRACT _ORS - -=J ame ~Licnse # -~one N Metro Mechanical.__ ~?394 _ 866 293-3031 I benby artlfy thet [he setbaat dbbnces propoaM by thla permls appllcatloo vtt accuntq anA do nol vWbte ~pplicable oNimnaw, ruka or rtgulutlom of N<Ciry of Wheat Ridfe or mveoants, memenb or ratl h.` ~~uu~ ~~PoneibNty for mmpllmce with tlM1e Whe~t IUdC~aB~~~Ne Code (I_B.C.) n, d all o[h<r~ippliubk br a11 rondidnm printed on [h0 applkatbq an Whea1 Rid{e ordiomns, for work under [htv permu. i `~~i• GtyotVMmiRdpe Citv of Wheat Ridqe PRESCRIPTIVE ENERCY CO BOILERS I FURNACES A MINiMUM OF 90% AFUE GAS WATER HEATFRS A MINIMUM OF.60 EkERGY FACTOR ELECTRIC WATER HEATERS A MINIMUM OF.93 ENERGY FACTOR SETBACK THERMOSTAT REQUIRED (EXCEPT HYDRONIC HEAT) R-21 WALLS • R-38 CEILINGS • R49 CRAWLSPACES Units: Occupancy: Walls: Roof: Stories: Sq Feet: DATE ~ W. pe'myt waa iuueE I.... rdmce with she Drav4bne set forth In yam appll<atioo md b euLjeat m tbe lawe of tM1e Stam of Cobndo md ro tAe ]noing ReeuhaHOre vnd BuiWloe CoAe af Wham Ritlgq Colondo ar ony other apPlicabk ardinmm of tAe City. 3 Every permlt bwed shall beeome Invnlid uNeu the work oo tFe sits authoWed by mcb permtl is eommeottd withlo 190 drya aRer its iuwnce, or if Ne work lumhorized on Ihe ttle by tucA permit 1. susPended or ~bmJOOM hr a perioE ot 180 d.yf oflo Ihe tIme of work 6 mmmenced. 3 H dpy Peno¢ uplnF a new permlt mry b<acquircd for a fa of ono-holf Me amount norm+lly rtqutrM, provided no cbm¢w hrve bnn or wN be made in the udp1wJ plans and spee111catiom mA my mepensbn ar abmdonment hae not exceeded one (i) yert. lf chmgee erc maEe or if suapentlov or aLaoOOnmmt eaceeN one (q Yert, full @o shA be Pala for a new Permlt. { No work opny mmner aM1all be tlanc Ih rt wN aAmee tbe ootunl ibw atwvter caming a draimee Pbblem. 5 CovtrmMOr vbMll noHy tM1e Bulldine Impetlnr Mmry-four (24) houn in aAvmtt for JI NspMlons md sha0 melve wdnm apprwd on InspaNbn nrtl before p'oceeding witb fuaufive p6ucxv of Ihe Job. 6 'ITe ieuanre ot~t~or , he ap 'n md specl0ntlov shali nol Ee comlrueE to be a permtl foq oor io approval o(, aoy vlal~tbn of the . .n e vntM1erortlinane w,ruleorrepWtbn. (OWNEIU(COPlTRACTOR) Monday, January 23, 2006 Page 1 of 1 COMMtlwTY DE1+ELOPMENT DEPAR7MENT BUILDMG INSPECTION LINE - 903.234-5933 Building Permit Numter. CITY OF WHEAT RIDGB D`te: 7500 WEST 29TH AVENUE l WNEAT RIDGE, CO 80033 -(303-233.2g5M ~ tXpPIJCATION -.'~reg ~ - PraParty~lddress: ~~{'J GJ& 1C01. Phonc: Cornractar Lioense No.: 1~ c363 - o?30-1 //4 Phone: 303-53~k- Il~SC7 = OWNHLCGN7RACTOR SIpY1NRE OF UNOERSTqHDING AND AfitEEMENT pgt Valuation Figure: $ . I nerebr oernry nac me setuaec dstena: proaoeea ny mlaaermrc appncetion xe . aecurale, end tlC not viohab ePPMcabte ardrwnoes, rWes or rcpuletlona of the CNy of V2.ille:$ " . N+hOt R'idpe cr covenanb, ~eemanb or restrSCtlons dreowd. tiat all meaeuremaKs shown, xid allecatlans made are accurete; that I have reaC erp aR¢e ~p ~B conal~a pSr~6ea on mFs piw6cn ena ewe I asaume iull res~«,slwuryb ror Permit Fee:$ ~w~neewimu,ewneetFaX, ceae(i.a. 1erwa~oub.a~,~ui,wn~c PlanReviewFee:$ Rldpe Ordinances, for work u P subject to /e(d Enspeqq~, ' l~~W(C~RRCTOFS1;316N I` . N ~ .n. Use of Space (description): DeseMklonofwork: ~e- S9. F. addW 7Uy~w~-' A C~ V COMdEMS' APProval; Zoninp: COMAENTS: Approval: WOHCS COMRiENTB; Approlai: NRMENT CW/AIEN7$; APDroval: ~ luccuiPencY Walls: Roof: Stories• Residential Units: I Electrical License No: PlumWng Lieense No: Mechanicai License No: ComPwY Company: ComPany Expiration Date: Expiratlon Daie: Exptration Date: Approval: ApProval: ApProval• (1) Thla pennitwas iseved in aomNanoe with She proviafons set Porfi In ywr app4oa8on aidls aubjed to the laws ofthe Sta1e nf Cobradaandto 1heZonlrg FLm9atpns and BuHd'ng Codes W WhpiPodp0. Cdoado oraryotherapPlicahleord'nenees M the City. (2) TAis pertnk shaq exqf4e If (A) the wplc auMarized is rol cpnmenced wlihin accly (90) day8 (rom Issue date or (B) tle DuiHkng autlwrfzed is suspendaf or ebandoned 1or a period of 180 days. (3) If Ws permk expims, a newpwrtt may be acquiretl for a fae oF one-laIfthe amauntnormaly reyuqed, provteNd no dhmrges hava been wwBl De-made In the oriqnal pfensantl specf9mbns arM any sueperisbn or abandomienthas not axceeded one (1)Yoar. MdhangeshaYebeenorifwLpenslonorabandomnentexesedeone(1)year.fulifeesehallhepaldtoranawpamit (4) No wak af arry rtwfner shaq he done ihal will change me natlual flow dwater cauekg a draqrogm proti:em. (5) Con4atta afrel notify the Buqdnp Inspettor Mipdydqr (24) ha:rs In atlvanm {ora11 Inspeciens and sha11 raceMe wr}ten approvat on Inspectlon cad bafae prooeadkq wNh wcoeasive phases of Nejob. (B) The Wuamx of a perm3 a Ihe approval vF drawinps arxi specifications shall nat ba oo-iamuetl tp pe a permC for, nor dn appravel of, arryvioa6on ofthe pmvlsfonsofMe Lu9BnA coCas or arry otlrer ordimnce, law, rule or regtlation. Nlpim rovlew la subJact b tMld InspecGorts. DEPARTMENT OF GOMMUNITY DEVELAFMENT 7500 wEST 29tn AvENUE BUILDING INSPECTION DIVISION 237-6944 ExT. 255 a.o. BoX 638 CITY OF WHEAT RIDGE, C0L0'^ ^-^w ONIY WNEN iEF ?(Z~' ,Ci PERMIT N0. M921117949- ADD ESS ~/.91~lZ1~ ~U- 47 J08 ADDRESS . ~ CONTRACTOR ZIpCODE PHONE ADDRESS ~c(v CONTRACT PRIGE $ CITY ZIP CODE DATE U CENSE PHONE NO. D Fae~ Woll❑ Proieeliny❑ Oth., S p L TYPE GrounE ❑ Total Squan FNt 2. MATERIAL Elee1. Pvmit No. SIGNS 3. IILUMINATION Yes❑ No❑ TYDe E_ `N Zon,,_, Apprwed,2ona Ins"cta 4. SET BACK FROM PROPERTY LINE N_._._ 5 a ❑ ❑ DisapprweE (SDSeify which is fronl ) ❑ Solid~ Mon Thon 80% Open~ L~~t Thon BO% Opm L TYPE Heipht MATERIAL Zone__ Apprwed,ZoM Inlpsota FENCES E- W 3. SET BACN FROM PROFERTY L1NE N- S a ~ a pyppproved (SDetify whith ittront) S 1. t OTHER 2 3. . R OTHER STRUCTURE,GINM1G DISTANCES FROM PROPERT'~ LINES. Ft SHOW BT~O`, uCE F~EN~'E,SIGN, O pRAW (SETBACKS SKETCH OOR PRO.' ~ SPECffY NORTH MAIN STREET NAME pSTANCENTOSPROPERTFY L~NESBNOTD'MAXIMUMJOR OINIA ERAGEEDISTANCE.S'AND PROPERTY IINES;ON ~RRECULAR LATS, SHOW ~ c°-eT APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THISAPPLICATION ERILL MIBTWI~LMEXPPREMBODAYSRROMT EEDATEOFESSUAWORK NCEOIFWORKISNOTSTARTEDWITHINTHATTIMEPECTIONDIVISION. T MECHANICAL PERMIT ELECTRICAL PERMIT STATE LICENSE N0. JMINUAI VARE UNDER SI2E 8 ILLE1 TEMPORARY METER , NEW SERVICE - AMPS _ 9 WORK i hereDy ocknowledpe thot Ms opDlico- tion is correct ond understond that I connof ttort this prolett until Ihis ~DD^i' cotion if aDGroved. I s~oll comDly the lowe of Ihe State o1 Colorado and ro Me ZoninQ AeQulahone ond Buildin0 Code ofthe City of Wheat RidOe. Any violation of the obove terme will cause immediate revocation of lnls Oermit i , _ n PLUMBIN6 PERMI STATE LiCENSE N0. pq BSM 15T 2NI ER CIASET tH BO'NL DISH WGSHER FIDOR DRAIN PERMIT FEE USE TAX TOTAL FEE GHIEF BUILDI AND $ V 9• ~ U INSPECTOR,City of Wheat Ridqe Date Issu 3 -y A CALL 237-8944 EXT. 255 24 HOURS IN ADVANCE FORINSPECTIONS ~yplieanl~ 41Onamr•