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HomeMy WebLinkAbout6117 W. 38th Avenuei CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: L--• Job Address: Permit Number: T[2/� ❑ No one available for ins ection: Tj Q� C A ASM Re -Inspection required: Yes 6o When corrections have been made, call for re -inspection at 303 -234 - Date �2� Inspector: �- DO NOT REMOVE THIS NOTICE Wk w r. 9 C' O °' U r'" U 3z� 80 30° �Nfx &n c> A � o M FA O QANO OOQO�O F"U�G� w 3o�ad'O OUo.wr= r-i ro U .rl w w O b) a .r., ro ri w 41 �r U w o v A N U 0G �ro a u U 4 k Jj O ro w U 44 U ji U m 0 O U a N O 4J rd N a by 0 0 N PERMIT NO. 201901290 tof Wl�yeati c BUSINESS LICENSE INSPECTION INSPECTION DAY/TIME Tues., July 2, 2019 @9 am INSPECTION DAY/TIME INSPECTION DAY/TIM BUSINESS NAME: Thrive Hemp Company ADDRESS: 6117 W. 38th Avenue CONTACT NAME: Tri To SQ FT TV) OCCUPANCY TYPE OCCUPANCYLOAD CONSTRUCTION TYPE ❑ SPRINKLERED XNON-SPRINKLERED 2 Date City of ��;;Or'Whe_atR 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(cDci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit# 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. 6117 W. 38th Avenue Wheat Ridge, CO. 80033 Property Owner (please print): Tran Tofue Phone: 720-609-1266 Property Owner Email: info@cultivatedinc.com Tenant Name (Commercial Projects Only) Cultivated Hemp Company Property Owner Mailing Address: (if different thanproperty addres) I Address: City, State, Zip: NA Architect/Engineer E-mail: Contractor Name: NA City of Wheat Ridge License #: Contractor E-mail Address: Phone: Phone: For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Seth DeWitt Phone: 720-397-8618 CONTACT EMAIL(p/ease print): info@cultivatedinc.com Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: City License # 0 Other City Licensed Sub: City License # ❑✓ 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. Looking to install 1 - 4 foot by 8 foot backlit box sign onto the front roof wall that isfeet long and 4 feet high. Approximately 100 pounds. Sq. FULF 32 sf 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) $ 300.00 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE.- (OWNER) (CONT CTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: 01/09/2019 Printed Name: Seth DeWitt DEPARTMENT SE ONLY ZONINGCOMMMENTS: jy�d lv1�—� AV9r—p-A V LL Ll' Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: cwr N w �nbOZ C 3•� ojo N•CT ro m 'r1�"C��7 C.� � � N O N re00 n O N Ow�� p C.rt Ea 4. b zo`�Y y m v O H Z 00 Z c N. M Cr O m O m z ~' cn W m v Orli (� �. �• '� ti W �eD a° n ►, i O Hrr Fj 0 Cr coo C O ` O M (D ti w fort A CD 0(D a a �CUQ Q "• a m b O C] fD w a ! O x m W F- M 1 �"ry• H N A pnj "- O H O w r°n 11 o Mrr Q M mH cr " ►C ^ rr w xt1ipr < -,? rr N to CD m CD n G n � �e f] r O m y E.ci CL o. ! W R AUC k CD <7 M C Q G rr 00 0 O C ° O ° o CL i O tj eDr - p Gee °p .40 PERMIT NO. 201802417 City Of wheat P,,Ldge BUSINESS LICENSE INSPECTION INSPECTION DAY/TIME Thurs. 9/6 q@ 10 am INSPECTION DAY/TIME�s , (' �%' 1 zc) Am INSPECTION DAY/TIME BUSINESS NAME: Cultivated Incorporated ADDRESS: 6117 W. 38th Avenue CONTACT NAME: Seth 1305 SQ FT OCCUPANCY TYPE t �CCUPANCYLOAD CONSTRUCTION TYPE ❑ SSPPRINKLERED 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: ,i s -e Job Address: to N `7 Permit Number: "d O P6 a a i-/ ) 7 1 4- ❑ No one available for inspection: Time _/Q = q . /PM Re -Inspection required: e No When corrections have been made, call for re -inspection at 303-234-5933 Date: 41� I J$ Inspector: ` I z� DO NOT REMOVE THIS NOTICE 1/7 0 i CITY OF WHEAT RIDGE _��9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 6L T Job Address: C//7 L✓ 3-W`' AvO Permit Number: ZG/f, U 2- `11 % ❑ No one available for inspection: Time t;t` AM/PM Re -Inspection required: Yes 'N When corrections have been made, call for re -inspection at 303-234-5933 Date:/ / / %T' Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Community Development Department Memorandum TO: Accounting Department FROM: Kim Cook, Building Division SUBJECT: Refund for Permit DATE: January 9, 2018 Reason: Contractor cancelled permit for 6117 W. 38th Avenue, Permit No. 201706953 needs to be refunded. Please refund: Contractors License$ (acct 01-510-00-513) 80% permit fee: $ 277.56 (acct 01-510-00-516) 0% plan review $ (acct 01-550-05-551) 100 % use tax: $ 379.39 (acct 01-500-02-505) Total: $ 656.95 TO: Palace Construction 7 S. Galapago Street Denver CO 80021 Thank You! " Cao4 Permit Technician City of _/ �7'�Theat j�idge COMMUNITY DEVELL�PMENT �DAnI P3 q� 19s qjs U 3?7, 3cy- 111 . S(, City of Wheat Ridge Municipal Building 7500 W. 291h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Refund Application Complete this application in its entirety, attach all copies of permits, permit cards (if issued) and receipts that were received at the time of permit issuance. Requests for more than 80 percent of the amount paid will not be approved without prior approval from the Building Official. The refund application must be received by the Wheat Ridge Building Division no later than 180 days after permit issuance. Applications received after 180 days of permit issuance will not be approved. You can mail or hand -deliver all required documents to: City of Wheat Ridge, Attn: Building Division, 7500 W. 29`x' Ave., Wheat Ridge, CO 80033. Company Name/Name (to whom check should be made out to): ?aVkcC_-GO;Q f'A r (kc, f O A Address `1 City:State: Zip: �Uc Z Phone: _720- �( 71 -- .300 � Fax: Email: t/D'lC0_"_)etil Permit #: Permit Address: W. 243 4`1,+ Reason for request: 4-6 �,�1GLJT Printed Name: I _� &;I Signature: >f EM (� Date: (1 Z ci .- For office use only This request has been: Approv Denied R fund Amount: $ S Approved by: Date: www.ci.w heatridge.co. u s City of Wheat Ridge Commercial Roofing PERMIT - 201706953 PERMIT NO: 201706953 ISSUED: 09/05/2017 JOB ADDRESS: 6117 W 38th AVE EXPIRES: 09/05/2018 JOB DESCRIPTION: Commercial Reroof remove and replace 4.22 sq rubber roofing remove and replace 17 sq owens corning asphalt shingles total-21.22sq pitch 4/12 *** CONTACTS *** OWNER (720)412-7274 TOPHU TRAN VI SUB (303)777-7999 Rick Carter 018009 Palace Construction Co., Inc.. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 140 / Converted Residences; 0 BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 18,066.28 Total Valuation FEES 0.00 ^ Use Tax 379.39 Permit Fee 346.95 ** TOTAL ** 726.3 * * * COMMENTS *** CONDITIONS *** \rat In order to pass a final n comme 1 ela 'bmeric or sim' pe roofing, a letter of inspection and fr the ma ctu technical representative stating that "the application of reject ) has been applied in accordance with the installation instruct00 '.material brand name) roof covering" is required to be on site at the time of. e ion. Effective December 1, 2014, asphalt�gle installations require an approved midroof inspection, conducted when 25-75 per of the roof covering is installed, prior to final approval. Installation of roof sheathi g (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 -roof inspections may be called in at the same time, 100 percent of the sheathing must be complete and 25-75 percent of the midroof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. 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. i CITY OF WHEAT RIDGE 1�9 Building Inspection Division (303) 234-5933 inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: `ya 13 Job Address: _�// % �/ Permit Number: ZO /'20 p T 7 i. V ❑ No one available for inspection: Time AM/PM Re -Inspection required: YesoNo When corrections have been made, call for re-insperflan at 303-2 34-5g33 Date:Inspector:— DO Inspector: DO NOT REMOVE THIS °NOTICE i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:"���� J�e rrj i� V Job Address:61127 Permit Number: '\ Z C)/ `) 0 0 3 Z �? ❑ No one available for inspection _Ti e r� Re -Inspection required: Yes No When corrections have been made, call for re -in. !Inspector: '`Jf Date: ( C !� ! 1 AM/PM 303-234-5933 A AAT CITY OF WHEAT RIDGE_ r -.A Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax � _6( 1�2 0066 INSPECTION NOTICE A. Inspection /�L I Inspection Type: / ^> Job Address: 611,2 0 3� 4 V Permit Number: \2- / 0 3 2,L \ij �( T r ❑ No one available for inspection: Time A PM Re -Inspection required: Yes No When corrections have been made, call for re-inspoc on at 3037234-5933 � ray Date: O`- - Inspector: �; DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE _A Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Ffilgc vt /`l rr? TES" Job Address: % 1A1 .� I! Permit Number: ';L, Q / 7 003 .2,2. No one available for inspect n: Time AM/PM f - Re -Inspection required:' Ye No When corrections have b an ado, call forge -inspection at 303-234-5933 q Dater Inspector: i. DO NOT REMOVE THIS NOTICE 1* � 4 CITY OF WHEAT RIDGE Building Inspection Division / (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: f R I Job Address: 6 1 1 '7 W ` A v t. Permit Number: D (') I'? V 0 7 � n a0SPr e 2 AJ bhb A_ IV a � t SPp< =.a(j e -0N PVA ❑ No one available for inspection: Time S d AM/PM Re -Inspection require Yes No When corrections have been: made, call for re -inspection at 303-234-5933 r Date: (� Inspector: a DO NOT REMOVE THIS NOTICE A City of Wheat Ridge Commercial Remodel PERMIT - 201700322 PERMIT NO: 201700322 ISSUED: 03/15/2017 JOB ADDRESS: 6117 W 38th AVE EXPIRES: 03/15/2018 JOB DESCRIPTION: Commercial tenant finish - remove tub to make bathroom ADA compliant; add 3 egress windows (2 west, 1 north) - 1200 sq ft *** CONTACTS *** OWNER TOPHU IRAN VI GC (720)917-8229 Ed Gonzales 090101 Jade Renovations SUB (303)332-6438 Michael Geier 120183 Techmasters Electrical, LLC SUB (303)332-6438 Michael Geier 140268 Techmasters Plumbing LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 146 / Converted Residences; 6 BLOCK/LOT#: 0 / *** FEE SUMMARY *** Total Valuation Plan Review Fee Use Tax Permit Fee Investigative Fees ** TOTAL ** *** COMMENTS *** ESTIMATED PROJECT VALUATION FEES 0.00 184.31 270.00 283.55 283.55 1,021.41 15,000.00 *** CONDITIONS *** NOTE FROM WEST METRO FIRE: Ensure that exit signage is functioning and a correct fire extinguisher is installed PRIOR to final inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IBC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. City of Wheat Ridge Commercial Remodel PERMIT - 201700322 PERMIT NO: 201700322 ISSUED: 03/15/2017 JOB ADDRESS: 6117 W 38th AVE EXPIRES: 03/15/2018 JOB DESCRIPTION: Commercial tenant finish - remove tub to make bathroom ADA compliant; add 3 egress windows (2 west, 1 north) - 1200 sq ft 11by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermit. I further a le ally authorized to include all entities named within this document as parties to the work to be per or and th work to be p r oormed is disclosed in this document and/or its' accompanying approved plans and specifications. fp � t_ Signature o OWtER or CONTRACTOR (Circle one) Date r 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 maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any c applicab oor�a�ny�ordma or re uI t' n of this jurisdiction. Approval of work is subject to field inspection. qzn� 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. FOR OFFICE USE ONLY ^ City of Date: wheat d COMMUNITY DEVELOPMENT "gel 1l � � Plan/Permit # !l O � 3 Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Plan Review Fee: Office: 303-235-2855 * Fax: 303-237-8929 I �1 Inspection Line: 303-234-5933 Email: permits(@cimheatridge.co.us rM Building Permit Application 0.0bQ), **" Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 6U9 1�a Property Owner (please print): Phone: d "_ Property Owner tibail: ; r f' � �' 1 �}`t'► Mailing Address: (if different than property address) Address City, State, Zip: Arch itect/Enaineer: Architect/Engineer E-mail: Contractor: Phone: `u� UC Contractors City License #: Phone: Contractor E-mail Address: VVlcc,04`�v f �/"4, G�rn Sub Contractors: 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 information on BOTH sides of this form COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE © ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE R PAIR�r RE�P),ACEMENT OTHER (Describe) (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, getc.) ' . Al ev Sq. Ft./LF \ -,:)_0 `-' Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ ''1:2 . OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED -REPRESENTATIVE) ENTATIVE) of (OWNER) (CONTRACTOR) Electronic Signature (first and last name): ._ DATE: DEPARTMENT USE ONLY ZONING COMMMENTS: Reviewer: BUILDINGRTMENT COMMENTS: Review_er: ivl OCCUPANCY CLASSIFICATION: nC- i Z. j P (, Building Division Valuation: $ Melissa Mackey From: Melissa Mackey Sent: Tuesday, March 7, 2017 11:44 AM To: 'machine4253@hotmail.com' Subject: 6117 W. 38th Ave. Good morning Ed, I did a review of the items that you had submitted for 6117 W. 38th Ave. and the plans are pretty vague regarding the 3 egress windows that you're going to install. Cut sheet information regarding the windows will need to be provided to show that they meet the u -factor, as well as minimum egress size. Also, we typically see an engineer letter if the window is being widened, along with height change. If you can clarify this information so we know whether or not an engineer letter will also be required as a part of the review. If this is a completely new window, engineering would be required. Thanks, Melissa Mackey Senior Permit Technician 7500 W. 29th Avenue Wheat Ridge, Colorado 80033 Office Phone: 303-235-2855 Fax: 303-237-8929 www.ci.wheatridge.co.us 00,01 cel heat l is lLye 4 -- 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. 3/7/2017 30 in. x48 in. Left -Hand Vinyl Casement Window with Screen - White-VC3048-L - The Home Depot • Maintenance -free white finish complements any surroundings • Smooth Control hardware system for easy opening • Full insect screens keep bugs out of your house • Heavy-duty lock and keeper hardware is specifically designed to secure your home • PROFESSIONAL WINDOW INSTALLATION - CALL 1-855-892-4386 to get started with a free in-home consultation or learn mere about our trusted window ns'allatlon service. • Tips for selecting windows at The Home Depot Specifications Details Exterior Color/Finish Family White , Number of Locks 1 Features Hardware Included,Screen Product Weight (lb.) 451b Included Frame Material Vinyl Returnable 90 -Day Glazing Type Double -Pane Solar Heat Gain Coefficient .61 Grid Pattern None U -Factor .44 Hardware Color/Finish Family White Window Type Casement Interior Color/Finish Family White Window Use Type New Con structionReplacement Lock Type Cam Action Warranty / Certifications Energy Star Qualified Not Qualified Manufacturer Warranty Limited Lifetime How can we improve our product information? Provide feedback, http://www.homedepot.com/p/30-in-x-48-in-Left-Hand-V nyl-Casement-W indow-with-Screen-White-VC3048-U203164719 2/2 City of `1`I heat i idge- CITY OF WHEAT RIDGE BUILDING AND INSPECTION SERVICES DIVISION 7500 W 29th Ave Wheat Ridge, CO 80033-8001 p. 303.235.2855.f 303.237.8929 Proof of Submission for Permitting/Plan Review A copy of this form must be completed by each agency indicated on the Permit Submittal Checklist for the project type and be attached to the Building Permit Application at the time of submission. Applications presented for submission without a completed Proof of Submission form from a required agency will not be accepted or processed. Date: 3 - ,� — � Project Address: (-ia 2 3� Name of Firm/Individual submitting documents: Project Type/Description: Signature of Firm Representative or Individual: BELOW THIS POINT - FOR AGENCY USE ONLY tile PrujeuUmulud Aciency represented: (Please check one) ,rte West Metro Fire Protection o Arvada Fire Protection o Wheat Ridge Water District o Consolidated Mutual Water District o Valley Water District o Denver Water Agency Notes: 13K) (ref K)01- ,A- �� � f -k- V� Signature: )01- Signature: InS am a( vledge authorized representative of the agency indicated below eipt of documents n cessary for review and approval of )--- Et, l - o Wheat Ridge Sanitation District o Clear Creek Sanitation District o Fruitdale Sanitation District o Westridge Sanitation District o Other I � not 'f Date:' (Agency Representative) Servpro of Golden Wheat Ridge Evergreen PO Box 1294 Evergreen, CO 80437 Federal Tax ID # 45-5441340 303-279-8055 Bill To Tri To 6117 W 38th Ave Wheat Ridge, CO 80033 Invoice Date Invoice # 10/5/2016 3298092 P.O. No. Terms Project Due Upon receipt Quantity Description Rate Amount Commercial mold remediation. Sales Tax p 692.27 0.00% 692.27 0.00 Total $692.27 Servpro of Golden Wheat Ridge Evergreen Servpro of Golden Wheat Ridge Evergreen PO Box 1294 Evergreen, CO 80437 303-279-8055 Federal Tax ID #:45-5441340 Insured: Tri To Property: 6117 W 38th Ave Wheat Ridge, CO 80033 Estimator: Christine Spies Business: PO Box 1294 Evergreen, CO 80437 Claim Number: Date of Loss: Date Inspected: Policy Number: Price List: CODE8X SEP16 Restoration/Service/Remodel Estimate: TO Home: (720) 609-1266 E-mail: tritoll@hotmail.com Business: (303) 279-8055 E-mail: servpro10087@gmail.com Type of Loss: Date Received: Date Entered: 9/16/2016 2:55 PM Servpro of Golden Wheat Ridge Evergreen Servpro of Golden Wheat Ridge Evergreen PO Box 1294 Evergreen, CO 80437 303-279-8055 Federal Tax ID #:45-5441340 Main Level TO Main Level DESCRIPTION QTY REMOVE REPLACE TAX TOTAL 1. Negative air fan/Air scrubber (24 hr 1.00 DA 0.00 70.00 0.00 70.00 period) - No monit. 6. Containment Barrier/Airlock/Decon. 40.00 SF 0.00 1.14 0.00 45.60 Chamber 15. Carbon vapor filter (for air 1.00 EA 0.00 74.90 0.00 74.90 scrubber) - 16" x 16" 7. HEPA Vacuuming - hourly charge 1.50 HR 0.00 90.36 0.00 135.54 8. Hazardous Waste/Mold Cleaning 1.50 HR 0.00 87.23 0.00 130.85 Technician - per hour 9. Add for HEPA filter (for upright 1.00 EA 0.00 33.58 0.00 33.58 vacuums) 10. Apply anti -microbial agent 30.00 SF 0.00 0.35 0.00 10.50 11. Tear out drywall, cleanup, bag - 20.00 SF 1.91 0.00 0.00 38.20 Cat 3 5. Add for personal protective 2.00 EA 0.00 17.75 0.00 35.50 equipment - Heavy duty Total: Main Level 0.00 574.67 Room 472.00 SF Walls 682.00 SF Walls & Ceiling 23.33 SY Flooring 59.00 LF Ceil. Perimeter Height: 8' 210.00 SF Ceiling 210.00 SF Floor 59.00 LF Floor Perimeter DESCRIPTION QTY REMOVE REPLACE TAX TOTAL 12. Deodorize building - Hot thermal 1,680.00 CF 0.00 0.07 0.00 117.60 fog Totals: Room 0.00 117.60 Total: Main Level 0.00 692.27 Line Item Totals: TO 0.00 692.27 TO 10/5/2016 Page:2 Servpro of Golden Wheat Ridge Evergreen Servpro of Golden Wheat Ridge Evergreen PO Box 1294 Evergreen, CO 80437 303-279-8055 Federal Tax ID #:45-5441340 Grand Total Areas: 472.00 SF Walls 210.00 SF Floor 0.00 SF Long Wall 210.00 Floor Area 555.00 Exterior Wall Area 0.00 Surface Area 0.00 Total Ridge Length 210.00 SF Ceiling 23.33 SY Flooring 0.00 SF Short Wall 230.11 Total Area 61.67 Exterior Perimeter of Walls 0.00 Number of Squares 0.00 Total Hip Length 682.00 SF Walls and Ceiling 59.00 LF Floor Perimeter 59.00 LF Ceil. Perimeter 472.00 Interior Wall Area 0.00 Total Perimeter Length TO 10/5/2016 Page:3 Servpro of Golden Wheat Ridge Evergreen Servpro of Golden Wheat Ridge Evergreen PO Box 1294 Evergreen, CO 80437 303-279-8055 Federal Tax ID #:45-5441340 Summary for Dwelling Line Item Total 692.27 Replacement Cost Value $692.27 Net Claim $692.27 Christine Spies TO 10/5/2016 Page:4 Am obiotogy LAbo mmy "1 ASSOaMES, ZjA INCORPORATED Expertise Since 1997 Tri To 1800 S Wadsworth Blvd Lakewood CO 80232 43760 Trade Center Place Suite 100 Dulles, VA 20166 Remit To: Aerobiology Laboratory Associates, Inc. 43760 Trade Center Place, Suite 100 Dulles, VA 20166 Client Reference Information Invoice Date 9/26/2016 Invoice # 16-29568 Terms Rep Name 9/26/2016 Due Date 9/26/2016 Aerobiology Laboratory Associates, Inc. 43760 Trade Center Place, Suite 100 Dulles, VA 20166 Client Reference Information Client P.O. Nu... Tech # Aerobiology Pr... Collection Date 6117 W 38th 16031686 9/26/2016 Quantity Item Code Description Price Each Amount 1 3002-24HR Asbestos, PLM --24 Hours. 85.00 85,00 Paid Cash 09/23/16 BN/1ah Wire and EFT Payments: For project specific questions please Bank Name: United Bank contact the laboratory were samples Balance Due $ss.00 Routing No.: 056004445 were submitted. Account No.: 20122276 43760 Trade Center Place, Suite 100, Dulles, VA 20166 - (877) 648-9150 Fax 877-598-0946 -e-mail: inquire@aerobiology.net 2400 Herodian Way, Suite 190 Symma, GA 30080, - (866) 620-9313 Fax 877-598-0946 - e-mail: ATL@aerobiology.net 780 Simms St, Suite 104, Golden, CO 80401 - (866) 620-9348 Fax (303) 232-3746 - e-mail: denver@aerobiology.net 2228 W. Northern Ave, Suite B104, Phoenix, AZ 85021 - (855) 738-5619 Fax (602) 441-2818 - e-mail: phoenix@aerobiology.net 7184 North Park Dr, Pennsauken, NJ 08109 - (856) 486-1177 Fax (856) 486-0005 - e-mail: info@purearthlab.com 15061 Springdale St, Suite 111, Huntington Beach, CA 92649 (714) 895-8401 e-mail: socal@aerobiology.net i n n� n 10 yDwm°p'N �crCD a p O b El M N "1 7 ddod 7, O O O O O 10 'D 'D W NN \ N a,rn�w � r r n 0 a n� 0 n ;n r c� � G � N O W W a a OC 00 � � z c Rj 'o C ti (D � � O O S CC f� O N w D C b o 0 a z z d d o N s a b ry n tlQ z ID "a if N 6 w 70 O z CD a v n�� O m � C cc c n O 7 ddod 7, O O O O O 10 'D 'D W NN \ N a,rn�w � r r n 0 a n� 0 LIM 480 c Q m m z H Ly mtTj O �o 00 z r~ m n F /czTx L O N 2 P�;nK QO2 =gyp m -� p w w. a J J w J d" IVA Cali r jo 7-1, 0 A Ui DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 WEST 29th AVENUE 234-5933 P.O. BOX 638 BUILDING INSPECTION DIVISION CITY OF WHEAT RIDGE, COLO. PERMIT NO. M94#19849 THIS PERMIT VALID ONLY WH EN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW. JOB ADDRESS 6&7 Wi APPLICATION FOR MISCELLANEOUS PERMIT) 3Cg/7/~y• OWNER CONTRACTOR AIA ADDRESS 7 ~o ADDRESS CITY ZIP CODE _ PHONE LICENSE NO. PHONE _ CONTRACT PRICE $ - DATE _1_162-2 ZIP CODE S-35033 V /-5-67e) 1. TYPE Ground ❑ Woll❑ Proiecting❑ Other S or D Face 2. MATERIAL Total Square Feet SIGNS 3. ILLUMINATION Yes[] No❑ Type Elect. Permit No. 4. SET BACK FROM PROPERTY LINE N (Specify which is front) ❑ S_ E ❑ _ W ❑ ❑ Zone_ Approved, Zone Inspector Disapproved 1(` v/ I. TYPE Solid❑ More Than 80% Open❑ Less Than 80% Open MATERIAL - Height FENCES 3. SET BACK FROM PROPERTY LINE N (Specify which is front) _ ❑ S_ E ❑ _ W ❑ ❑ Zone_ Approved,Zone Inspector Disapproved / 2- I. S rz ~ 2' OTHER 3. DRAW SKETCH OR SHOW BELOW, THE FENCE, SIGN, OR OTHER STRUCTURE, GIVING DISTANCES FROM PROPERTY LINES. (SETBACKS OR PROJECTIONS INCLUDED) S,eL W w w t 0 n SPECIFY NORTH STREET NAME E7" / G.J. SPl -T SHOW DISTANCES FROM THE MAIN BUILDING TOADJOINING HOUSES, STREETS, AND PROPERTY LINESiON IRREGULAR LOTS,SHOW LEAST DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION. PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME. ELECTRICAL PERMIT STATE LICENSE NO. PLUMBING PERMIT STATE LICENSE NO. MECHANICAL PERMIT ALUMINUM WI RE UNDER SIZE 8 ILLEGAL FLOOR 8SM IST 2ND 3RD 4TH NO. FUEL:Circle One Go5011Propone Elea Solor NO. WATER CLOSET FORCED AIR - BTU TEMPORARY METER WASH BOWL HOT WATER - BTU NEW SERVICE - AMPS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LIGHTING SINK OTHER HEATING GARBAGE DISP REFRIGERATION SYSTEM POWER SUB-CIRCUITS WATER HEATER Refrigerant Group UTILITY (RANGE, DISPOSER, ETC.) AUTO.WASHER Pounds Charge FIXTURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS & CONTROLS FLOOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS B RECTIFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES I hereby acknowledge that this applica- tion is correct and understand that I cannot start this project until this oppli- cation is approved. I shall comply with the lows of the State of Colorado and to the Zoning Regulations and Building C Code of the City of Wheat Ridge. Any violation of the above terms will cause immediate revocati/gn of this permit PERMIT FEE USE TAX L FEE 915APP}3E~ CHIEF BUILDING ~(1[Lrnt ,~Y/AlCP Date Issued- pplicant. Sienetui~ NOT VALID UNLESS RECEIPTED Zi3~/ CALL 2345933 24 HOURS IN ADVANCE FOR INSPECTIONS ~ i i I o~ x+ '7y No i1d o sQ l~s TC..3.i.b72l1. -fi~ fj' .7.0 ,-bZ s~sior ~oa7J 9XZ c7N1 ?So0~3 SSO ' ' O .bz c7 N I wt d ZU V~ Z N ` ~NIQIS ~~1`~dG -ld~S c;3Nl`!7: VMN 9YL' << Irla-~ apiC'nQl r~i~ r , ' •~'O bz S~S>y~~`~1! `7X~ N IH S Lbl L ~ tv 1~1~35 ~~13S ~~~1 ~s~Z ~ ~SSn~J 21SO 9VL ~ i _ - 1 7500 WEST 29TH AVENUE P.O. BOX 638 WHEAT RIDGE CO 80034-0638 (303) 234-5900 City Admin. Fax k 234-5924 January 12, 1994 Police Dept. Fax # 235-2949 Jef£erson County Assessor 100 Jeffco Parkway Golden, CO 80419-2500 Attn: Pat Sullivan Dear Mr. Sullivan: The City of Mheat 'Ridge As we discussed in our telephone conversation concerning 6117 w. 38th Avenue, we have no records that would support the claim that this property is residential. At this time, the property is classified as a business structure. To convert this building to a residentiai property, the owner would have to bring the buiiding in to compliance with residential building codes. This wouid require the building to have: 1. A kitchen 2. A bathroom 3. Heat 4. Smoke detection 5. Approved egress 6. Building permits for above work Once this is complete, the Building Department will notify the assessor's of£ice o£ the change in occupancy. Sinely, John W. Eckert Building Inspector JWE/at 1trSullivan C, rz.,,.i,.dr„r-