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Home My WebLink About11661 W. 44th Avenue (Riverside Terrace Bldg 2)h7 n o a n�*0"'Cri� 00�700 -4w - 1-1-IRW - N d .0.I 4 i fi I n a y C C n (D H n air n H. ��t"%�� 0� om yn O�xzrr og� n 0 (D p r* Vi o J OH ° Z .n y o A m° m O Irl cmm b w coo Z <<CD nrfi CD cn w 0 5.r� c°r N r o w CD w n N O v .ly CG CD a y ro f] tr pO N w CCD tr" to en+ A7 p a !y cr a45 � Y zC.- a� N a O 0 CD b Q'• ° o 0 y rOh r. p c(o Y" cl u o Z n Cil 3 'O 0 ? C7 M rD 20 S cN° CA .' A o W coo cn a E O r• p O H OCD rr _ CD y w n�+ H rr CD �C o o mrr N co JC °rt w m Cl rn 0 a. T cD _ M� n o n c V pw v, _• d N p a y <o w K � c '" G1 m � E r g �� x C, b7 o C. m rrCDa cc O o N '+ G o a oo °a p 9 y rn N � oId O n o a eD m M w Z = m N d ee O i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:_ P Job Address: �� 9 ( w `� A� L Permit Number: Q6 1 C� O r -C S C C. vc J ! USA ❑ 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 DateInspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: CAll7-�-�, Job Address: 6 j F J. T - Permit Number: ` T a �i ❑ No one available for inspection: Tim /PM Re -Inspection required: YesN� When corrections have been made{ache ule for re-inspecGioneat: httpYAvww.ci.wheatridge.co.us ins ection DOaMpecto sir; i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: P Job Address: a i W (-414 1 Permit Number: c) ❑ No one available for inspection: Time AM/PM Re -Inspection required: N&e No f�5� When corrections have been made, call for re -inspection at 303-234-5933 r Dater 7 ` �,Otl Inspector: '. l DO NOT REMOVE THIS NOTICE ® May 29, 2020 � Mr. Stephen Sandberg Mr. Duane Cerniglia Riverside Terrace, L.L.C. 6825 S. Galena Street 6143 South Willow Drive, Suite 300 Suite314 Centennial, C080112 Greenwood Village, Colorado 80111 T. 3033T7.6581 RE: Floor Truss Ribbon F. 303377.6656 Riverside Terrace Townhomes www rvaengineeringcorn Buildings 1, 2 and 3 11661 West 44'"Avenue Wheat Ridge, Colorado Structural Plans: Prepared by MNA, Inc. Project Number: 4440TSTH Dated: September 10, 2018, Revised March 22, 2019 Attn: Mr. Sandberg and Mr. Carl MNA, Inc. has reviewed the structural plans and compared them with the as built condition for the referenced buildings. The structural plans indicate a 2x6 ribbon to be installed at the end of the floor trusses. A 2x4 ribbon was installed at the location the 2x6 was indicated. The floor trusses were engineered by a different company. The 2x4 ribbon is adequate to support the loads on the structure. Should you have any additional questions or concerns, please do not hesitate to call me at 303-377-6601. Sincerely, NINA, Inc. Gabriel Gabriel Andrews, P.E. Structural Project Manager Reviewed by: 1U, Naim G. Nassar, PE President/CEO Naim Nassar „, ",- --------^ STRUCTURAL ENGINEERING - CIVIL ENGINEERING - PLANNING - ARCHITECTURE qwer ERCIENCY May 20, 2020 11661 W 4411 Ave Wheatridge, CO Re: Blower Door Test for 11661 W 44th Ave To whom it may concern: E3 Power performed a blower door test on the above-mentioned building on May 20, 2020, at 10:15 am. The volume of the building was calculated to be 17,000 cubic feet. The final blower door number was 970 CFM @-50 pascals achieving an ACH of 3. The building meets the air tightness requirement and is compliant with code. Weather conditions: 50 degrees, Wind 0 MPH, no precipitation, 35% humidity. Site Conditions: 1. Exterior windows and doors, fireplace and stove doors were closed, but not sealed, beyond the intended weather stripping or other infiltration control measures; 2. Dampers including exhaust, intake, makeup air, backdraft and flue dampers were closed, but not sealed beyond intended infiltration control measures; 3. Interior doors were open; 4. Heating and cooling systems were turned off; and 5. Supply and return registers were fully open. Sincerely, Andy Wildenberg (e3 power) 303-292-1233 Building Analyst (BPI) Resnet HERS Rater CEA/CEM Digitally signed by Andrew Andrew Wildenberg Wildenberg Date: 2020.05.21 08:59:27 -06'00' 303.292.1233 720.207.0946 e3powor.oel, IFIIIE FIN WEB i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office PFZ N TIC Inspection Type: Job Address: Permit Number: 'ZL�_> G QL© `�>�S t� -dam ❑ No one available for inspection: Ti e AM/PM Re -Inspection required Ye No When corrections have been made, sc le for re -inspection online at: http✓vww.ci.wheeatridge.co.usfnspectio / Date. • 2 L nr ♦ A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 'D \,.�'' Job Address: Ate, �. Permit Number: ❑ No one available for inspection: Time ' ? AM/PM Re -Inspection required: Yes N,6 When corrections have been made, schedule for re -inspection online at: http✓/www.ci, wheatridge.co. uslinspection Date:Li -"1 = ? a r t, inspector: t' DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: YDWe-�, I � Job Address: 1 � �—� 1 \ ,P� L4(ATF Permit Number: C1 L> )._-)1'—? p i ' ❑ No one available for inspection: Time '' AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. uslinspection Date: V! ' ` 1 ° 2 Inspector: s DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: i � M d! ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http://www. ci. wheatridge. co. uslinspection Date:` 1 r y Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office _:�9r INSPECTION NOTICE Inspection Type:�- Job Address: Permit Number: ❑ No one available for inspection: Time it 4 `''— AM/PM Re -Inspection required: Yes IN When corrections have been made, schedule for re -inspection online at: http.11www. ci. wheatridge. co. usfinspection Date.-,- i Inspector: DO NOT REMOVE THIS NOTICE >00-itk** 0 W 0 r P ONOMIC ENERGY EEf ICIENCY March 17th, 2020 11661 W 44th Ave Wheat Ridge CO 80033 Re: Duct leakage test for 11661 W 44th Ave Wheat Ridge CO 80033 To whom it may concern: E3 Power performed a Duct leakage test on the above mentioned building on March 17th, 2020 at 11:00 am. The total duct leakage measurement was 99 CFM @-25 pascals. The target CFM measurement is 61 CFM. Using a smoke machine, it was determined that all of the additional leakage is coming through the furnace supply plenum where the evaporator coil will be located. Because the A/C is not yet connected, I feel that all of the existing leakage will be corrected once the A/C is finally connected. The equivalent orifice leakage area is a 2.6 inch by 2.6 inch hole. Once the A/C is connected, the duct system will likely meet the air tightness requirement of 4 CFM per 100 square feet of area served and be compliant with code. Please let me know if I can be of further assistance to you. Sincerely, Jeremy Bryan (e3 power) 303-668-7295 Building Analyst (BPI) 303.292,1233 120,201.0946 03 ower.Bel , OffICE 1AX WEB City of Wheat Ridge Site Work Permit PERMIT - 201901681 f PERMIT NO: 201901681 ISSUED: 08/23/2019 JOB ADDRESS: 11661 W 44th Ave EXPIRES: 08/22/2020 JOB DESCRIPTION: Riverside Terrace - Site improvements to include 1.52 acres of grading and improvements. **REVISION 9/23/2019: Site lighting; No added valuation *** CONTACTS *** OWNER (720)473-7019 RIVERSIDE TERRACE , LLC SUB (720)488-1600 BILL LYONS, JR 190054 RIVERSIDE TERRACE, LLC *** PARCEL INFO *** ZONE CODE: R-3 / Residential Multi USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 387,531.00 FEES Total Valuation 0.00 Plan Review Fee 1,943.27 Use Tax 8,138.15 Permit Fee 2,989.65 Engin. Review Fee 4,600.00 ** TOTAL ** 17,671.07 *** COMMENTS *** *** CONDITIONS *** No C.O. may be issued until public improvements are complete as identified in the Subdivision Improvement Agreement. Owner/Contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. City of Wheat Ridge y Site Work Permit PERMIT - 201901681 PERMIT NO: 201901681 ISSUED: 08/23/2019 JOB ADDRESS: 11661 W 44th Ave EXPIRES: 08/22/2020 JOB DESCRIPTION: Riverside Terrace - Site improvements to include 1.52 acres of grading and improvements. **REVISION 9/23/2019: Site lighting; No added valuation I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the leg,al owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be 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 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 originalermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit sh ll not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or aninance or re4u)ation 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 or Wheat iomm(JNIIY D(viiormCN1� Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits ci.wheatridge.co.us FOR OFFICE USE ONLY Date: ql�,,?I) Add to Permit # a0lb �b Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: //Wel l W yN 't'- elven v2 , W luau tZ, Jqe , Co 80033 Property Owner (please print): /Z,',,erS,'cie Ter,,acP, [- L C Phone: 720 117 3 701 9 Property Owner Email:_ 5s%jnd6e.ro�@ c o -e ems : dQco,...M,� n, 4, os . conn Mailing Address: (if different than property address) Address: 6,143 S. Vl% l r'o v✓ Dr , Sle 300 City, State, Zip: Green v,ro o cl V�' t (a e 80033 Submitting Company: Sa,,, a s Own e r Contact Person: Efc9 e -n SLjndbe�j Phone: 720 `1'73 7011 Contractor: Sa as O w n« Contractors City License #: 19005"/ Phone: Contractor E-mail Address: Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: arP CIA C dA Sq. FULF Amps des�'9� plans inc J �r C,3 P.,; 4 wl�, t' cA 1"I c l v aled Btu's Squares -/� 0-1eCc Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) $ Ai/ A, OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) %.O TRACT or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: cSf•e mr, SIGNATIJRE f � DATE: 41111 /to) 9 ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ SITE ELECTRICAL PLAN 20• 0 10• 20• Q. SCALE: 1"=20' 29145 9-12-19 9-25:1 Date i L r+Mt-Thr issMonrc c; c p�r.,,rt «4wovol opt,,,, W0d computations shall not he a aer w for, 0,Ww OWml of, ow Yiob aq of Me orovlsio„ s of the N"" co* or aft" City ordinoaes. TV, WV pesumtng to give ovtlwrlty to vtowte of em"the wavimm offt ""IV codes «o Ma onfoonces of the City start JW M vow ox•,rc o,e SITE ELECTRICAL PLAN «a E-1 ROUND STRAIGHT� zNo W W o - STEEL POLE BLACK FINISH Z Z Z 0 DESIGNED TO WITHSTAND Q a o A MIN. 80 MPH WIND tl.1 Lu k WITH 1.3 GUST FACTOR om LLJE $ Z o In N 3 Z o HAND HOLE ANCHOR BOLTS. PROVIDED v Z O zQ.g BOND GROUND WIRE BY E.C., INSTALLED BY G.C. L!J V w TO METAL REBAR GRADE _ E � E"� z 444 REBARS WITH bil . ui o I R TIES AT 12" O.C. 12 3/4' CONDUIT IN AND 24' B CONCRETE BASE BY GENERAL OUT BE CIRCUIT WIRE CONTRACTOR 2 FT.. BELOW GRADE MIN. POLE MOUNTED FIXTURES INSTALLATION DETAIL FOR FIXTURE "SA" NO SCALE ENERGY Q NOTES ON FEEDER SIZE: Q O 2 /12 THWN CU, 1�12G - 3/4-C UJ x l/`J -i NOTE ON LIGHTING CONTROLS: ALL SITE LIGHTS ON THIS PLAN SHALL BE PHOTO CELL V O CONTROLLED AND O DUSK UNTIL DOWN. () CELL CENTRALIZED PHOTO CELL IS A PART OF THE LIGHTING CONTROL METERING PEDESTAL. LU MINIMUM BURIAL DEPTH FOR CIRCUIT WIRING r � �/ IN NON-METALLIC CONDUIT I5: 18 INCHES IN LANDSCAPE AREAS, 24 INCHES Q L• W 7 UNDER DRIVEWAYS OR PARKING. Q W W �r 0 J ui U) W Q U)'t ui 1, A City `O WheatF " C�unrm DMton%Wr APPROVED Renewed for Code Compliant 9-25:1 Date i L r+Mt-Thr issMonrc c; c p�r.,,rt «4wovol opt,,,, W0d computations shall not he a aer w for, 0,Ww OWml of, ow Yiob aq of Me orovlsio„ s of the N"" co* or aft" City ordinoaes. TV, WV pesumtng to give ovtlwrlty to vtowte of em"the wavimm offt ""IV codes «o Ma onfoonces of the City start JW M vow ox•,rc o,e SITE ELECTRICAL PLAN «a E-1 WITH 60A/2P MAIN 100 KVA PAD MOUNTED— XCEL ENERGY TRANSFORMER 120/24OV, 1 PH., 3 W XCEL ENERGY PEDESTAL LIGHTING CONTACTOR IN — NEMA 3R ENCLOSURE RUN SITE LIGHTING CIRCUITS THRU CONTACTOR TO BE CONTROLLED BY THE CENTRALIZED PHOTO CELL MOUNTED TO THIS PEDESTAL PHOTO CELL 3 /4 THWN CU, 1#8G — 1 XCEL ENERGY ME AL METER/POWER PEDESTAL. 200A. NEMA 3R, 120/24OV, 1 PH, 3—WIRE PER XCEL ENERGY STANDARDS. SEE DETAILS ON THIS SHEET. (i),6 CU I TO G6CUROUND (ROD O) (1/2'C) 1 TO GROUND — ROD b0 AMP, 2P + S.N. NEMA 3R SWITCH, 60 AMP FRN—R FUSES TYPICAL ONE LINE DIAGRAM - LIGHTING CONTROL CENTER FAULT CURRENT CALCULATIONS MAXIMUM AVAILABLE FAULT CURRENT AT THE SECONDARY OF 100 KVA PAD MOUNTED 120/240 VOLT, 1 PH, 3 W XCEL ENERGY TRANSFORMER IS 29,600 AMP, RMS. FAULT CURRENT AT THE DISTRIBUTION PEDESTAL: L = 150 FT, C = 17,635 (1 RUN OF /350 AL CABLE) NM f 2 xLxlsc T= 2x 150x29,600 = 21 C x EI—I 17,635 x 240 m = 1+ m ---1-2.1— = 0.32 Isc AT PEDESTAL 29,600 AMP x 0.32 = 9,472 AMP FAULT CURRENT AT THE METER/POWER PEDESTAL L = 10 FT, C — 2,966 (1RUN OF /3 AL CABLE) NM f= 2x L x Isc f= 2x 8 x 9,472 = 0.27 C x EI—I 2,966 x 240 m=1-+ m �,P=0.79 Isc AT METER PEDESTAL = 9,472 AMP x 079 = 7,483 AMP ALL CIRCUIT BREAKERS IN PANEL 'HP' SHALL BE FULLY RATED 10,000 AIC. LIGHTING CONTROL PEDESTAL CABINET DETAIL ADE CABINET COMPONENT LIST AQ FULLY HINGED METER/TEST SECTION LOCKABLE COVER WITH HOLD OPEN ARM TO KEEP COVER FROM BLOWING SHUT. COMBINATION ALL—IN—ONE COMMERCIAL METER POWER PEDESTAL IN NEMA 3R 1/8' ALUMINUM CONSTRUCTION TYPE 5052—H32, WITH 2 SCREENED AND GASKETED VENTS. DOORS: HEAVY DUTY CONCEALED HINGES (UFT—OFF TYPE). STAINLESS STEEL VAULT HANDLES. PADLOCKA13LE METER DOOR WITH BEST CX LOCK ON DISTRIBUTION DOOR. POLISHED WIRE GLASS WINDOW IN METER DOOR. PROVIDE WITH CLOSED CELL NEOPRENE GASKET, CARD HOLDER. FINISH: BARE ALUMINUM (MILL FINISH) OUTSIDE, WHITE INSIDE. O UTILITY METER INSIDE NEMA 3R ENCLOSURE METER SHALL HAVE LEVER BYPASS AND INTERNAL LOCKING TAB ON METER COVER. METER BASE PER XCEL ENERGY REQUIREMENTS. © GFCI MAINTENANCE RECEPTACLE FLUSH MOUNTED IN PANEL DEAD FRONT INSIDE OF THE NEMA 3R ENCLOSURE. QD CONTACTOR QE UTILITY TERMINATION LANDING LUGS. QF LOAD CENTER 'IP14' OR 'LP15' WITH SERVICE MAIN AND BRANCH BREAKERS. PROVIDE PANEL SCHEDULE FOR BREAKERS IN POCKET ON HINGED DOOR. © PROVIDE NEUTRAL TO GROUND BONDING JUMPER. QH UFr OFF SERVICE COVER WITH PAD LOCK HASP. QI CABINET GROUND BOND /6 BARE COPPER CONDUCTOR. JQ NEMA 3R 120V PHOTOELECTRIC CONTROL WITH 3—PRONG TWIST—LOCK RECEPTACLE BASE WIRED THROUGH THE H.O.A. SWITCH. THE PHOTOELECTRIC CONTROL SHALL BE MOUNTED ON THE NORTH SIDE ON ENCLOSURE TO MINIMIZE THE SUN'S INTERFERENCE. QK REINFORCED CONCRETE (CLASS B) FOUNDATION. EDGE OF CONCRETE TO EXTEND 6' MAXIMUM ABOVE GRADE, 3/4' CHAMFER ALL EXPOSED EDGES, 3' MINIMUM (6' MAXIMUM) OVERLAP BEYOND EDGE OF CABINET ON ALL SIDES. PLACE SILICON SEAL BETWEEN THE CABINET FOUNDATION AND CABINET. © (2) 3/4' X 8'-0' Lg. COPPER CLAD DRIVEN GROUND RODS. EXOTHERMIC WELD OR UNDERGROUND RATED LUG CONNECT CONDUCTOR TO GROUND ROD. QM T—HANDLE, PULL—OUT FUSE HOLDER WITH FRN—R FUSES, METER DISCONNECT FOR METER PROTECTION — COLD SEQUENCE METER, WEATHERPROOF COVER WITH TAB LOCKABLE. NOTES 1. CONTRACTOR SHALL USE CABINET MANUFACTURER'S REQUIREMENTS TO ASSURE PROPER FIT OF CABINET ON BASE WITH RESPECT TO CONDUIT PLACEMENT. 2. COORDINATE WITH XCEL ENERGY REGARDING THE SERVICE CONNECTION. 3. ALL INSTALLATIONS MUST BE PER 2017 N.E.C. AND IN COMPLIANCE WITH XCEL ENERGY REQUIREMENTS. LIGHTING FIXTURE SCHEDULE ITEM NO MANUFACTURER CAT. NO. LAMPS WATT DESCRIPTION P.- I- 3— 3000K LED 97 SINGLE HEAD FULL CUT OFF POLE LIGHT ON 12 FT. SQUARE POLE SA LUMARK SA—BZ-7030—HSS— PRVSA—MSP/DIM L30 6,192 LUMENS TYPE 111 OPTICS, HOUSE SIDE SHIELD, AUTOMATIC DIMMING AFTER MID—NIGHT 2 PRV—Al5D—UNV—T3— 3000K LED 57 SINGLE HEAD FULL CUT OFF POLE LIGHT ON 12 FT. SQUARE POLE SAI LUMARK SA—BZ-7030— PRVSA—MSP/OIM L30 6,192 LUMENS TYPE III OPTICS, AUTOMATIC DIMMING AFTER MID—NIGHT SB 6 CREE LIGHTING PWY—EDG—SM—P3-02 'w�K LED 28 ROUND OUTDOOR FULL CUT OFF PATHWAY UGHT 3e3AL Pe•tl F— —E—UL—BK-350-40K 1,565 LUMENS D4ocrxx� XCEL ENERGY PEDESTAL LIGHTING CONTACTOR IN — NEMA 3R ENCLOSURE RUN SITE LIGHTING CIRCUITS THRU CONTACTOR TO BE CONTROLLED BY THE CENTRALIZED PHOTO CELL MOUNTED TO THIS PEDESTAL PHOTO CELL 3 /4 THWN CU, 1#8G — 1 XCEL ENERGY ME AL METER/POWER PEDESTAL. 200A. NEMA 3R, 120/24OV, 1 PH, 3—WIRE PER XCEL ENERGY STANDARDS. SEE DETAILS ON THIS SHEET. (i),6 CU I TO G6CUROUND (ROD O) (1/2'C) 1 TO GROUND — ROD b0 AMP, 2P + S.N. NEMA 3R SWITCH, 60 AMP FRN—R FUSES TYPICAL ONE LINE DIAGRAM - LIGHTING CONTROL CENTER FAULT CURRENT CALCULATIONS MAXIMUM AVAILABLE FAULT CURRENT AT THE SECONDARY OF 100 KVA PAD MOUNTED 120/240 VOLT, 1 PH, 3 W XCEL ENERGY TRANSFORMER IS 29,600 AMP, RMS. FAULT CURRENT AT THE DISTRIBUTION PEDESTAL: L = 150 FT, C = 17,635 (1 RUN OF /350 AL CABLE) NM f 2 xLxlsc T= 2x 150x29,600 = 21 C x EI—I 17,635 x 240 m = 1+ m ---1-2.1— = 0.32 Isc AT PEDESTAL 29,600 AMP x 0.32 = 9,472 AMP FAULT CURRENT AT THE METER/POWER PEDESTAL L = 10 FT, C — 2,966 (1RUN OF /3 AL CABLE) NM f= 2x L x Isc f= 2x 8 x 9,472 = 0.27 C x EI—I 2,966 x 240 m=1-+ m �,P=0.79 Isc AT METER PEDESTAL = 9,472 AMP x 079 = 7,483 AMP ALL CIRCUIT BREAKERS IN PANEL 'HP' SHALL BE FULLY RATED 10,000 AIC. LIGHTING CONTROL PEDESTAL CABINET DETAIL ADE CABINET COMPONENT LIST AQ FULLY HINGED METER/TEST SECTION LOCKABLE COVER WITH HOLD OPEN ARM TO KEEP COVER FROM BLOWING SHUT. COMBINATION ALL—IN—ONE COMMERCIAL METER POWER PEDESTAL IN NEMA 3R 1/8' ALUMINUM CONSTRUCTION TYPE 5052—H32, WITH 2 SCREENED AND GASKETED VENTS. DOORS: HEAVY DUTY CONCEALED HINGES (UFT—OFF TYPE). STAINLESS STEEL VAULT HANDLES. PADLOCKA13LE METER DOOR WITH BEST CX LOCK ON DISTRIBUTION DOOR. POLISHED WIRE GLASS WINDOW IN METER DOOR. PROVIDE WITH CLOSED CELL NEOPRENE GASKET, CARD HOLDER. FINISH: BARE ALUMINUM (MILL FINISH) OUTSIDE, WHITE INSIDE. O UTILITY METER INSIDE NEMA 3R ENCLOSURE METER SHALL HAVE LEVER BYPASS AND INTERNAL LOCKING TAB ON METER COVER. METER BASE PER XCEL ENERGY REQUIREMENTS. © GFCI MAINTENANCE RECEPTACLE FLUSH MOUNTED IN PANEL DEAD FRONT INSIDE OF THE NEMA 3R ENCLOSURE. QD CONTACTOR QE UTILITY TERMINATION LANDING LUGS. QF LOAD CENTER 'IP14' OR 'LP15' WITH SERVICE MAIN AND BRANCH BREAKERS. PROVIDE PANEL SCHEDULE FOR BREAKERS IN POCKET ON HINGED DOOR. © PROVIDE NEUTRAL TO GROUND BONDING JUMPER. QH UFr OFF SERVICE COVER WITH PAD LOCK HASP. QI CABINET GROUND BOND /6 BARE COPPER CONDUCTOR. JQ NEMA 3R 120V PHOTOELECTRIC CONTROL WITH 3—PRONG TWIST—LOCK RECEPTACLE BASE WIRED THROUGH THE H.O.A. SWITCH. THE PHOTOELECTRIC CONTROL SHALL BE MOUNTED ON THE NORTH SIDE ON ENCLOSURE TO MINIMIZE THE SUN'S INTERFERENCE. QK REINFORCED CONCRETE (CLASS B) FOUNDATION. EDGE OF CONCRETE TO EXTEND 6' MAXIMUM ABOVE GRADE, 3/4' CHAMFER ALL EXPOSED EDGES, 3' MINIMUM (6' MAXIMUM) OVERLAP BEYOND EDGE OF CABINET ON ALL SIDES. PLACE SILICON SEAL BETWEEN THE CABINET FOUNDATION AND CABINET. © (2) 3/4' X 8'-0' Lg. COPPER CLAD DRIVEN GROUND RODS. EXOTHERMIC WELD OR UNDERGROUND RATED LUG CONNECT CONDUCTOR TO GROUND ROD. QM T—HANDLE, PULL—OUT FUSE HOLDER WITH FRN—R FUSES, METER DISCONNECT FOR METER PROTECTION — COLD SEQUENCE METER, WEATHERPROOF COVER WITH TAB LOCKABLE. NOTES 1. CONTRACTOR SHALL USE CABINET MANUFACTURER'S REQUIREMENTS TO ASSURE PROPER FIT OF CABINET ON BASE WITH RESPECT TO CONDUIT PLACEMENT. 2. COORDINATE WITH XCEL ENERGY REGARDING THE SERVICE CONNECTION. 3. ALL INSTALLATIONS MUST BE PER 2017 N.E.C. AND IN COMPLIANCE WITH XCEL ENERGY REQUIREMENTS. C -1 of wheot RLd90 `1(1s1on Bud(91 , 29145 9-12-19 tDAAD v m _Z"Ez od �Q�L2 Up WH¢z �- Lu o� ZNd LJ — ZD. d3 F m WOE W <— EN S M i , ZE— ONE LINE DIAGRAM 9EET xP E-2 PANEL 'HP' NEMA3R Manmp 1.te81otl Patel 5tat,s P.- I- -RELOCATED ❑ VP1 240/120 Bus Re g 100 AMP SURFACE NEW -A/2P FLUSH ❑ EXISTING ❑ Wie 3 PIC Reo-:p- 10,000 FeeC•r 3e3AL Pe•tl F— TRANSFORMER CMNevJ D4ocrxx� L—d Bb PPhiPhP S, Ldetl Dexroton. GodIN- -1, Ckt =10-1 / BKR VA AIB VA BKRi x 1 1 NORTH POLE LIGHTS_ "1 a 11 • 1 20 1W SCLLAPD LIGHTS 3 1 EAST POLE LIGHTS'20 _ _:J t _ i 20 200 IRRIGATION CCtrrRO.LER 6 1 A 5 SPACE •I•I1 ?0 180 GR RECEPTACLE 12 6 T SPACE 1 20 100 CONTACTOR 6 8 9 SPACE SPACE 10 11 SPACE SPACE 12 131 SPACE SPACE 1S SPACE iSPACE 16 17' SPACE SPACE :18 Cade Dacrxxo� _ad VA Can Lp Summary 1 '_:91,M9 396 ,25% Per PMeda 2 P• up b 10.000 180 10Cti Ph A 462 VA Ret d 10,000 5040 Ph B 414 VA 3 N dr 00% L—. Muer 125. •ehr 125% Corm• 876 VA 5 Kxphen tW0 Code Dement 975 '✓A 6 CMta 300 100% 7 SW Penh 1004 C.. Dement 4.05 Amps C -1 of wheot RLd90 `1(1s1on Bud(91 , 29145 9-12-19 tDAAD v m _Z"Ez od �Q�L2 Up WH¢z �- Lu o� ZNd LJ — ZD. d3 F m WOE W <— EN S M i , ZE— ONE LINE DIAGRAM 9EET xP E-2 STREET LIGHTING ELECTRICAL PLAN 2Q 0 ,Q 21 4Q N SCALE: 1"=20'M INIMUM BURIAL DEPTH FOR CIRCUIT, WIRING IN NON—METALLIC CONDUIT IS: 18 INCHES IN LANDSCAPE AREAS, 24 INCHES UDER DRIVEWAYS OR PARKING. LIGHTING FIXTURE SCHEDULE ITEM NO MANUFACTURER CAT. NO. LAMPS MT. HT DESCRIPTION HEAD: CYIIT48-2- ST 3 Sow 3000K LEDCITY OF WHEAT RIDGE STANDARD PEDESTRIAN POST TOP LIGHT WITH GFl 12 MOUNTAIN STATES 50W -3K -240 -PC -8 5,714 LUMENS RECEPTACLE. TYPE II OPTICS. INCLUDES A VANDAL PROOF 16" DIA. X 19" CFI: TAYMAC ML4000 TALL GAWVAN STYLE BASE COVER MADE OF 71 LB/FP HIGH DENSITY POLE: /12RS1-4.5- ELASTOMER. TEN/3X3-OPTGFI- VBC-GAL-BK ENERGY rat srtcsic.%n�us. rat ev wuxr,w srrEs urmuz IXR9CE prtE!ERa.. W:1LL TeCIdE3:. 5' 1eA6AlE1 %Hl'ERNL?1N.4N.M PQtE N�lr EltS106E0.Bal CQhP Era MWMBa YJ M80 %IEI,2UE PMt� I.fGH3(:AITCW:L�ra'TC.f}l'�GLLalt Irt%lU[rto i9 R�aHI4 P0.00F ,6'b %lff la1LA+LLrvNI%IriE ease cau w,oeRx z, UL4T,.:.xosr;m a%stcsgAl elMsrz rgmTeoauc% -:n%axumxaE rtxrE�En,r E„aa eQrralQr rat acrras maiwQw°Eo r+ae tic. a,onmar, �acgrEo rr �"�l�b` _ mE¢rt cLirtPutL eo% TRIAN ,i Wheat �Ixt.l wl,,>a% LG NOTES ON FEEDER SIZE: Q+ 2 #12 THWN CU, 1#12G - 3/4"C LIGHTING CONTROL NOTES: ALL STREET LIGHTS TO BE TURNED ON AND OFF BY CENTRAL PHOTO CELL ON METERING PEDESTAL. TWj 2 Msls H alawcrE sop mMptrs VmllV Mm cM •y�,...boinw ryD+%W sol snitla-n. STREET LIGHTING POLE FOUNDATION aq D�Le $ cams wv Frano I LG � LG 01 01N 0% meat R�d9° 7. n o 29145 9-12-19 V Z O U< 20 </r Q U J LLi ry Zo W ¢� H �Q �w wW� 0 LLI U) LU W ~� > STREET LIGHTING ELECTRICAL PLAN ES -1 METER/POWER PEDESTAL. 200A, NEMA 3R, 120/24OV, 1 PH, 3 -WIRE PER XCEL ENERGY STANDARDS. SEE DETAILS ON THIS SHEET. PHOTO CELL__J- SL 3 /4 THWN CU, I#8G - 1 1/4"C L XCEL ENERGY METER (1)/ /6 TO cu pfi (1/2'c) _ ., hl TO GROUND ROD 100 KVA PAD MOUNTED— XCEL ENERGY TRANSFORMER 120/24OV, 1 PH., 3 W LL0AMP, 2P + S.N. NEMA aft SWITCH, 60 AAP FRN -R FUSES 3 #3 USE AL CABLE ONE LINE DIAGRAM - LIGHTING CONTROL CENTER URRENT CALCULATIONS: MAXIMUM AVAILABLE FAULT CURRENT AT THE SECONDARY OF 100 KVA PAD MOUNTED 120/240 VOLT. 1 PH, 3 WXCEL ENERGY TRANSFORMER IS 29,600 AMP, RMS. FAULT CURRENT AT THE METERIPOWER PEDESTAL. L = 164 FT, C = 2,966 (1 RUN OF #3 AL CABLE) NM f= 2x LxIc f_ 2x 164 x 29,600 =13.6 (7. EI -1 2,966.240 _ 1_ 1 -0068 �"- T;f m- 1*13.6 1. AT METER PEDESTAL = 29 600 AMP. 0 068 = 2.013 AMP ALL CIRCUIT BREAKERS IN PANEL "SL' SHALL BE FULLY RATED 10,000 AIC. FROM :RVICE LATERAL SIZE AND CONDUCTORS. INSTALL 36" BELOW FINISHED GRADE LIGHTING CONTROL CENTER GABINET DETAIL CABINET COMPONENT LIST 29745 �`T PANEL *SL* ,�' QA FULLY HINGED METER /TEST SECTION LOCKABLE COVER WITH HOLD OPEN ARM TO KEEP COVER FROM BLOWING SHUT. COMBINATION ALL -IN -ONE COMMERCIAL METER POWER PEDESTAL IN NEMA 3R 1/8" ALUMINUM CONSTRUCTIONF-� V_," M•Ihod Penh Sb Panel Inbrtnamn - I` DOORS: HEAVY DUTY CONCEALED HINGES (LIFT-OFF TYPE), STAINLESS STEEL VAULT HANDLES. 9-12-19 RELOCATED Vol240/120 Bus Fa 100 AMP SURFACE NEW PM 1 Main Bm—. 60A2P PROVIDE WITH CLOSED CELL NEOPRENE GASKET, CARD HOLDER. FLUSH ❑ EXISTING V/. 3 AICPaEn 10,000 FaeOer 3R3AL F••d Fram TRANSFORMER CM N•WCode'. D•ocroton Load Bb P Ph Ph P BW Load D•3crptcn CodelNav # BKR. kDN� I VA A B VA iBKR' X - PEDESTRIAN LIGHTS' 150! 20 .SPACE 2 3 2 IGFl RECEPTACLE 180 20 'SPACE C -Q¢ J W ¢ Z 5 I_ ISPACE ! - • SPACE I 6 © PROVIDE NEUTRAL TO GROUND BONDING JUMPER. SPACE- ------ SPACE e 9 I6PACE - SPACE 10 1_1.SPACE JQ NEMA 3R 12GV PHOTOELECTRIC CONTROL WITH 3 -PRONG TWIST -LOCK RECEPTACLE BASE WIRED THROUGH THE - - - SPACE Q'= 1_3 .SPACE '.SPACE14 MINIMIZE THE SUN'S INTERFERENCE. 15� 'SPACE - - 'SPACE 16 17. SPACE I !SPACE I18 PLACE SILICON SEAL BETWEEN THE CABINET FOUNDATION AND CABINET. Code Demi Lo•d VA Dem Load Summery © (2) 3/4" X 8'-0" L9. COPPER CLAD DRIVEN GROUND RODS. EXOTHERMIC WELD OR UNDERGROUND RATED LUG L!g1Mg 1 SO 125% Par P'_' CONNECT CONDUCTOR TO GROUND ROD. _ Z -to 10,000 180 100% Ph A 150 VA - COLD SEQUENCE METER, WEATHERPROOF COVER WITH TAB LOCKABLE. F_ over 10... 50% PF B 180 VA NOTES: 3 M.- oorLaryeaH•efer L.— IF— 125% Connected 330 VA 5 Kitchen t009u Code Demantl 368 VA 6 00-•r 100% Sub Penal 10096 code Damand 1.53 Amy CABINET COMPONENT LIST 29745 �`T ,�' QA FULLY HINGED METER /TEST SECTION LOCKABLE COVER WITH HOLD OPEN ARM TO KEEP COVER FROM BLOWING SHUT. COMBINATION ALL -IN -ONE COMMERCIAL METER POWER PEDESTAL IN NEMA 3R 1/8" ALUMINUM CONSTRUCTIONF-� S?j�,;•-- TYPE 5052-H32, WITH 2 SCREENED AND GASKETED VENTS. - I` DOORS: HEAVY DUTY CONCEALED HINGES (LIFT-OFF TYPE), STAINLESS STEEL VAULT HANDLES. 9-12-19 PADLOCKABLE METER DOOR WITH BEST CX LOCK ON DISTRIBUTION DOOR. POLISHED WIRE GLASS WINDOW IN METER DOOR. PROVIDE WITH CLOSED CELL NEOPRENE GASKET, CARD HOLDER. FINISH: BARE ALUMINUM (MILL FINISH) OUTSIDE, WHITE INSIDE. QB UTILITY METER INSIDE NEMA 3R ENCLOSURE METER SHALL HAVE LEVER BYPASS AND INTERNAL LOCKING TAB ON METER COVER. METER BASE PER XCEL ENERGY REQUIREMENTS. kDN� © GFCI MAINTENANCE RECEPTACLE FLUSH MOUNTED IN PANEL DEAD FRONT INSIDE OF THE NEMA 3R ENCLOSURE. w UTILITY TERMINATION LANDING LUGS. 0 AN Z Z Z O o QF LOAD CENTER "SL' WITH SERVICE MAIN AND BRANCH BREAKERS. PROVIDE PANEL SCHEDULE FOR BREAKERS C -Q¢ J W ¢ Z OU _ IN POCKET ON HINGED DOOR. © PROVIDE NEUTRAL TO GROUND BONDING JUMPER. Z v a OH UFT OFF SERVICE COVER WITH PAD LOCK HASP. V) ¢ v ry 2m IQ CABINET GROUND BOND /6 BARE COPPER CONDUCTOR. t% Z � JQ NEMA 3R 12GV PHOTOELECTRIC CONTROL WITH 3 -PRONG TWIST -LOCK RECEPTACLE BASE WIRED THROUGH THE Z0i W Q'= H.O.A. SWITCH. THE PHOTOELECTRIC CONTROL SHALL BE MOUNTED ON THE NORTH SIDE ON ENCLOSURE TO W u- w MINIMIZE THE SUN'S INTERFERENCE. Q REINFORCED CONCRETE (CUSS B) FOUNDATION. EDGE OF CONCRETE TO EXTEND 6" MAXIMUM ABOVE GRADE, ,Eos =� 3/4" CHAMFER ALL EXPOSED EDGES, 3" MINIMUM (6" MAXIMUM) OVERLAP BEYOND EDGE OF CABINET ON ALL SIDES. . w PLACE SILICON SEAL BETWEEN THE CABINET FOUNDATION AND CABINET. © (2) 3/4" X 8'-0" L9. COPPER CLAD DRIVEN GROUND RODS. EXOTHERMIC WELD OR UNDERGROUND RATED LUG CONNECT CONDUCTOR TO GROUND ROD. QM T -HANDLE, PULL-OUT FUSE HOLDER WITH FRN -R FUSES, METER DISCONNECT FOR METER PROTECTION - COLD SEQUENCE METER, WEATHERPROOF COVER WITH TAB LOCKABLE. NOTES: 1. CONTRACTOR SHALL USE CABINET MANUFACTURRE'S REQUIREMENTS TO ASSURE PROPER FIT OF CABINET ON BASE WITH RESPECT TO CONDUIT PLACEMENT. 2. COORDINATE WITH XCEL ENERGY REGARDING THE SERVICE CONNECTION. 3. ALL INSTALLATIONS MUST BE PER 2017 N.E.C. AND IN COMPLIANCE WITH XCEL ENERGY REQUIREMENTS. 0% .69e O .Vj,o0 :tag W U Q ry W F— LLI0 \W rig V Z 0 r) 20 U_0 Ld J U Z c� LU W� Q LLJ WQ 'W {L U STREET LIGHTING ONE LINE DIAGRAM a•xr na ES -2 i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: e_,\,-� {-( /' L.�^ )) Job Address: \.0 1 Permit Number: ci ❑ No one available for inspection: Time 04V r AM/PM Re -Inspection required: Yes Id When corrections have been made, schedule for re -inspection online at: http://Www.ci.wheatridge.co.u-%rinspection Date:'-) -Y II Z° 10 Inspector: L__�._. DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: ED— +`- Job Address: i 1 AA I Permit Number: �_2Q5 ( -=:f --- 4A --4, ❑ No one available for inspection: Time AM/PM Re -Inspection required_Yes No When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. us/inspecton Date .1 `3.�201nspe DO NOT RE E THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: �� U w, f— C. G �, Job Address: A \ 1 Ha L -V L Permit Number: L C t c> \"l (-\—1 ❑ No one available for inspection: Time, AM/PM Re -Inspection required: Yes` No When corrections have been made, schedule for re -inspection online at: http://www. ci. wheatridge. co. uslinspection Date. Dc),Dc) Inspector:_ DO NOT REMOVE THIS /NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office 11 CTION.,NOTICE Inspection Type: Job Address: •4 Permit Number: f , ❑ No one available for inspection: Ti Re -Inspection required: Yes 'No When corrections have been made, schedule for re -inspection online at: http://www.ci. wh ea tridge. c o. uslinspection Date 1 1!�_� n peCtor � DO NOT REMOVE THIS NOTICE 4i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: (-i rr f f - Job Address: 1 Le w V Permit Number: 00 \ C, '�J- ^l, - 451- 1 LL lrc a� — t C L A • 1 f ❑ No one available for inspection: Time `� AM/PM Re -Inspection required: Yes Nd When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. uslinspection Date:_✓ Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Time 10 ) AM/PM Re -Inspection required: Yes When corrections have been made, schedule for re -inspection online at: http://www.ci.wheatridge.co.uslinspection Date: �f �" Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Q- S� (_' A', Job Address: \ L 9�.p \ -A"A\ Permit Number: Do \ O1Q� Sn�r� ❑ 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, us4nspection Date: Q I -9c) L -Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 4, k C ' Job Address: w 1. — Permit Number:. LJNo one available for inspection: Time `; AM/PM Re -Inspection required: Yes 16) When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. u-%rinspection Date:- 1 q' 1 U2J Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:` Job Address: Permit Number: oc> \ (� U ❑ No one available for inspection: Time AM/PM Re -Inspection required:Ys No �-) When corrections have been made, call for re -inspection at 303-234-5933 Date: Q , l o Inspector-: l.. DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type:° Job Address: -1� Permit Number: * 3 ❑ No one available for inspection: Time / U AM/PM Re -Inspection required: Yes When corrections have been mad,0, ...Schedule for re -inspection online at: http✓/www.ci.wheatridge.co.usfin pecti spec - i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: �a Job Address: Permit Number: '2 �1'�'!l , ✓, _ t may. � �' LlNo one available for inspection: Te" AM/PM Re -Inspection required: Ye N -o When corrections have been made, ca r re -in on a -234-5933 Date;-— pQr�4 spector: DO NOT REMbVE 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/ -2q) 4-- _ Job Address: 4 Permit Number: ❑ No one available for inspection: Tim /P Re -Inspection require`, d� s_ --'No When corrections have been ma e, call r re-inspe tion at 303-234-5933 DateJ '`-tet': nspect , 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:.- -- A Job Address: Permit Number: r9_t t -* ❑ No one available for inspection: Lime i AM/PM Re -Inspection required: 'Ye. —Y When corrections have been madq call r - ns ection at 303-234-5933 Date: ispector"_j DO NOT R �!QVE THIS NOTICE City of Wheat Ridge Single Family - New PERMIT - 201901747 PERMIT NO: 201901747 ISSUED: 12/30/2019 JOB ADDRESS: 11661 W 44th Ave EXPIRES: 12/29/2020 JOB DESCRIPTION: Riverside Terrace - New single family townhome - 1,950 sq ft total (Bldg 2, B -Unit) *** CONTACTS *** OWNER (720)473-7019 RIVERSIDE TERRACE LLC GC (720)488-1600 BILL LYONS, JR 190054 RIVERSIDE TERRACE, LLC SUB (720)315-9026 SCOTT WILLIAMS/LESLIE WILLIAMS 080076 ONECORE ELECTRIC, INC. SUB (303)888-5853 RICHARD KANSTEINER 019302 M&R PLUMBING, INC SUB (303)798-0500 JOE COLLIDA 170685 INDOOR AIR QUALITY INC *** PARCEL INFO *** ZONE CODE: R-3 / Residential Multi USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 169,992.00 FEES Total Valuation 0.00 Plan Review Fee 120.00 Use Tax 3,569.83 Permit Fee 1,583.55 Engin. Review Fee 50.00 ** TOTAL ** 5,323.38 *** 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. No C.O. may be issued until public improvements are complete as identified in the Subdivision Improvement Agreement. All landscaping shall be in conformance with Section 26-502 of the Zoning and Development Code. All landscaping shall be installed in accordance with the approved landscape plan prior to C.O., a landscape escrow agreement with financial guarantee in the amount of 1250 of the cost of the installation shall be required. City of Wheat Ridge Single Family - New PERMIT - 201901747 PERMIT NO: 201901747 ISSUED: 12/30/2019 JOB ADDRESS: 11661 W 44th Ave EXPIRES: 12/29/2020 JOB DESCRIPTION: Riverside Terrace - New single family townhome - 1,950 sq ft total (Bldg 2, B -Unit) 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 thispermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclos is document and/or its' accompanying approved plans and specifications. _ 1213 f /2G (may Signature of or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the 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 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 armit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable cpd'2-pr any ordinarpcy or regulation of this jurisdiction. Approval of work is subject to lield 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 .e_ t� d� - Building & inspection Services 7500 W. 291' Ave., Wheat Ridge, CO 80033 rl Office: 303-235-2855 * Fax: 303-237-8929 J Inspection Line: 303-234-5933 Email' permitsna ci.wheatridoe co us FOR OFFICE USE ONLY Date: Plan/Permit # � 1q0 Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this for Incomplete applications may not be processed. *** Property Address: ) 16 (o 1 vti! w --t+ t2 tl cue , C o 3 0 o 3 3 Property Owner (please print): 1 ` L Phone: 7 Zo - q 73 - 701 9 Property Owner Email: c r -e e� k_ s i cie c a nn rv: un .tie s. coy) Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: 6 114 3 S. L -j . r I c ,4 Cir. , Yl e goo City, State, Zip: fjK-ecnvrvod Y, i JAge, (C) 30111 Architect/Engineer: Der:nf'.5 7-A,,p5en LG,,, clo-vi c , Sh-vctufa f -tel .tet v P, dtrsni>.thao psang�nna�n Architect/Engineer E-mail: dta V.V d0V I c GL N'tno, �„yE ,��: :zj . cam, Phone: 50 3 - 3 -7 -7 - �0 Contractor Name: Ri'varrstcle- t'err6cc Lt City of Wheat Ridge License #: 19 ° ° -r `( Phone: 72.0 - 1-413-7c) i 9 Contractor E-mail Address: 5 s j n 6� P � @ ere- e.w__S eele co :, �"v n' ft es. cow For Plan Review Questions & Comments (please print): CONTACT NAME (please print): 5 fee lk-an Phone: 72.o - q 73- 701 9 a CONTACT EMAIL(p/ease print): 55u n Acrg © CK0-CIZ-3 r'CIC CC�IAA U'I I f, cs . "01" - 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. FICOMMERCIAL aRESIDENTIAL 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. t-0 asitct lar)nod 3-Un,4, s'',,7/,2 , 1� r 5 4 1 e ->fac r)k,o,uQ�no 00"Dr-5 Co n S r'u c t?'o r1 Sq. FULF 1 � 5_0 sr BTUs Zoo � Gallons 3,57-a t1 / to Amps I ,S0 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) 1('9 i,UrCQO.00 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that 1 assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that 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)CONTRALTO2>o± (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: W I `I Printed Name: DEPARTMENT USE ONLY ZONING COMMMENTS: ZP%C4 Z'7 r O?g G a(,Pv&%,,f? OCCUPANCY CLASSIFICATION: Il Reviewer: V t 5�7c' Q` f `/ L 1 CONSTRUCTION TYPE: v BUILDING DEP TMENT COM NTS; SZ S /� loI �`f' " Reviewer: l��x•� ��3 `•J — 1 n/11 PUBLIC WORKS COMMENTS: n N v�D � �L � O� �.'C '/0,R>7 -C s- ' I "w& (0/I i��T_B `Reviewer:CI /r,D. • ding Division Valuation: FI�J"Il !3v/" /ivlo . City ®f Whew i 1'1 BLIC WORKS ge City of Wheat Ridge Municipal Building 7500 W. 29t' Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2861 F: 303.235.2857 PUBLIC WORKS DEVELOPMENT REVIEW FEES Date: e 4 /1 ? 19 Location of Construction: 1146/ 44/. 41ZIVA ftp . Purpose of Construction: 1> J" ,= Single Family Commercial Multi -Family _ C Development Review Processing Fee: ................................................ $100.00 $ (Required of all projects for document processing) ��,� ^401-77— P&,AeX4-W4A& r Single Family Residence/Dulalex Review Fee: ..................................... $50.00 Commercial/Multi-Family Review Fees: (Fees include reviews of the I" and 2nd submittals) ® Review of existing or minimal technical documents: ........................ $200.00 ® Initial review' of technical civil engineering documents: ................ $600.00 ® Traffic Impact Study Review Fee: .................................................... $600.00 o Trip Generation Study Review Fee: .................................................. $200.00 © Stormwater Management Plan (SWW) Review Fee: ....................... $200.00 ® O & M Schedule Review & SMA Recording Fee ............................. $100.00 o Construction Control Plan ................................................................. $100.00 $ 5-P. co $ Each Application will be reviewed by staff once and returned for changes. If after review of the second submittal changes requested by staff have not been fully made to the civiUstormwater/traffic documents, further reviews will be subject to the following Resubmittal Fees: e Resubmittal Fees: 31 submittal ('/z initial review fee): .................................................... $300.00 $ 4'b submittal (full initial review fee) :................................................. $600.00 $ All subsequent submittals: ................................................................. $600.00 X = $ (Full initial review fee) TOTAL REVIEW FEES (due at time of Building Permit issuance): $ t® ®® PLEASE NOTE THAT IN ADDITION TO THE ABOVE FEES, THERE WILL BE LICENSING AND PERMITTING FEES REQUIRED TO CONSTRUCT IMPROVEMENTS AND UTILITIES WITHIN THE PUBLIC RIGHT-OF-WAY. x",Axi.,A heatridge.co.us Rev 05/19 t` -(/"Wheat City of SINGLE FA M ILYIDUPLEX eatH UILD IVIG PERMITAPPLICA TION RE VIEWPUBLIC WORKS Date: 0'e f I ICY Location: l l & ea / l�tl. �lY4,,,4-vc . ATTENTION: BUILDING DIVISION I have reviewed the submitted application documents to construct a 7G�✓J�r /.F�.*,,� E located at the above referenced address. Please note the comments checked below. 1. V" Drainage: a. Drainage Letter & Plan required: b. Site drainage/grading plan have been reviewed and are: ✓OK No NOT OK; refer to 2. _v" Public Improvements required & to be completed with project: stipulations. a. street paving/patching: ✓ Yes b. curb & gutter: _1Z Yes C. sidewalk: / Yes d. Other (specify): L!b/tn 4A16'j ® uS F D Yes ��t,� For items not constructed, the amount of funds taken in lieu of construction: No Completed No Completed No Completed No Completed $ 3. Does all existing roadway/alley R.O.W. meet the standards of the City: _ If not, what is required? ROW DEQ l t/�� J ✓ft7uE� Yes t.,- No If R.O.W. is required, has the deed been received: %o' Yes No (see Note below) NOTE: All deeds must be reviewed and approved prior to issuance of the Certificate of Occupancy. 4. _tZ APPROVED. The Public Works Department has reviewed the submitted material and hereby approves this Permit Application, subject to the stated requirements and/or attached stipulations. Signature David F. Brossman, P.L.S. Date 5. X14 NOT APPROVED: The Public Works Department has reviewed the submitted material and does not approve this Permit Application for the stated reason(s): Signature David F. Brossman, P.L.S. Date 6. Stipulations: 6-AP-41bt,V &> G4ft_*eT7F1<4-r7®,J 0A aph4-7iEh GC P 4�X 7— 64_&1! 5 sN4,W_ ,�E R�cD PRS `T8 iSsv.A;C& DF 7 XkviE7 7Mf 7 7. �h A Drainage Certification Letter accompanied by As -Built plans from the Engineer -of -Record shall be required prior to the issuance of the Certificate of Occupancy. 8. NOTE: ANY DAMAGE TO EXISTING PUBLIC IMPROVEMENTS AS A RESULT OF PROJECT CONSTRUCTION SHALL BE REPAIRED PER ROW CONSTRUCTION PERMIT PRIOR TO THE ISSUANCE OF THE CERTIFICATE OF OCCUPANCY. Rev 06/2013 6 ily cif WhcatR1f C City of Wheat Ridge Municipal Building 7500 W. 29h Ave. Wheat Ridge, Co 80033-8001 P: 303.235.2861 F: 303.235.2857 NOTIFICATION FOR PUBLIC IMPROVENIENT'S RESTORATION TION DATED: O / ADDRESS: Dear Contractor: In conjunction With the approval of the building permit application for the above referenced address, this letter is to inform you that all existing public improvements located along the frontage of said address shall be restored, (if damaged from related construction) to an acceptable condition, as determined by City of Wheat Ridge Public Works Department, and prior to the issuance of a Certificate of Occupancy. Prior to any construction commencing, the City's representative Will conduct an onsite inspection to determine the existing condition(s) of the public improvements at this address. If you have any questions, please contact me at 303.235.2864. Sincerely, David F. Brossman, P.L.S. Development Review Engineer CC: File - -Ci-cr. Ptecrittge.eo, u s Rev 2108 V, Wh6at city Of � d O " R.. ge �� %CMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM nis form must be signed Dy eacn sun -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor'4 in rance and license must be up to date prior to permit issuance. Project Address: 11 & 83 - 11 03 93 w qSn P/ Permit #: 7-3D General Contractor: Z--ee rs.'de TeriGCe I -L L Electrical Sub -Contractor Company Name: One tore E1 ec4r,' , ;c.Phone #• 303 - y37 -S Ito I State License#: EC . olon(o415 Master#: "!Y7!O V--_Whe ge Lic�n e #: a(T) 267 (required field) ignatu of Autho " d Agent Date Plumbing Sub -Contractor Company Name: M + Phone #: 30S -888 State License #• l () �)_i Master #: Cly Wheat Rie (cense #._ :. (required field) Signature of Authorized Agent Date Mechanical Contractor Name:��r :'k�vE.Phone: 3©3 -198 -0S00 I 7#� 0& _,(required fYel ) ♦ ..e..t Date dZ° O '_� O o W 2 Q A "G CD �. (D O N C7 b a N N p• o n Q p `< n ry N 0 O N o O C < GG0 N p a O �y �p (D Cr G, 10 zs a. CD � �' o a CD o o' CD Q. O O p o CD CL w uq CD (-). D W nit a C. CD CD 0 CD Z cr O 2 O,= O -0 CD o CD CC—D O tv lD S,OCD v CO CD V CDo n CD CDCD W' CD Ia. CD 14 CD 0 fps CCD O O O O y CD to CSD (D O fD AfD O CD ¢ o CCD CCD CCD —Ln CD ¢ of •.CD 01 O N • hR (D Q- O. 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CCD (D z ft 0 m 9 O s H 0 Q City of COMMUNITY Wheat R COMMUNITY DEVELOPMENT FOR OFFICE USE ONLY Approved by: Inspector Date City of Wheat Ridge Municipal Building 7500 W. 29' Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2846 F: 303.235.2857 FOUNDATION SETBACK AND ELEVATION CERTIFICATION For Single Family Developments This form, including the Exhibit on the reverse side, must be fully completed by a Professional Land Surveyor licensed in the State of Colorado. This Certification must be submitted for review and approval prior to proceeding with any further construction. DATE: 12/9/19 PERMIT# 201901961 ADDRESS: 11659, 11661, 11663, 11665, 11667, 11669 W. 44TH AVE., WHEAT RIDGE CO. LOT 7-12 , BLOCK RIVERSIDE TERRACE SUBDIVISION I hereby certify that the elevation and location of the recently constructed structural foundation for the above property described above has been measured by me or directly under my supervision. For the recently formed or constructed building foundation corners, the setback distances have been found by me to be in compliance with City of Wheat Ridge required limits and the elevations as stated herein have been found by me to be in compliance with the Building Permit construction plans as approved by the City of Wheat Ridge. The MINIMUM SETBACK DISTANCES from the property lines have been determined to be: FRONT: 4.4' REAR: 5.6' SIDE: 0' SIDE: 0' If in the floodplain, the MINIMUM ELEVATION is determined to be: 5413.08' (NAVD88) The above measurements have been determined on the following location: (Check only one): X Top of proposed foundation prior to placement of concrete Top of foundation subsequent to placement of concrete The setback and elevation measurement locations are identified on the attached exhibit. Signed Print MICHAEL SEAN KERVIN, PLS 34592 Date 12/9/19 Professional Surveyor O Pp0 L/cF , /� PSERf 2/919`��'2� . LA www.ci.wheatridge.co.us 5� L Rev 11/18 Co O V_ W rn N 07 N (0 U) EXHIBIT NORTHEAST QUARTER, SECTION 20, TOWNSHIP 3 SOUTH, RANGE 69 WEST OF THE 6TH P.M., CITY OF WHEAT RIDGE, COUNTY OF JEFFERSON, STATE OF COLORADO. pOC, REc/ SEAN THIS FOUNDATION SETBACK AND ELEVATION 12-9-1&''�': a CERTIFICATE IS NOT A LAND SURVEY PLAT AS SET = z FORTH IN CRS 38-51-102(12) OR AN IMPROVEMENT _ 34592 o SURVEY PLAT AS SET FORTH IN CRS 38-51-102(9). �rrrrnnnm��a � O N89010'16"E ' kk 03 0Co 0 TRACT B �T Z 5413.06 5.6' S86 01 26 W �,•J� 5413.31 5413.25 � i o � n 5413.23 5413.05 5413.10 5413.08 413.26 5413.28 5413.21 I h 18.61' 5413.06 1 1 5413 203 5413.43 5413.29W i sQ�3L . .0868.7' 4 5413.42 5413.37 . 7 5413.24 5413.15 > .5413.27� o Q S89039'59"E Loi 5413.08 d 20.39' 5413.07 BUILDING 2 5413.12 Q 0 FOUNDATION WALL Z 5413.12 �R 5413.09r 5413.0 5413.07 5413.09 h�"3 E j 48.3 5411.85 5412.16) 4.4' 5412.32 PRIVATE DRIVE B 1' (ASPHALT) TRACT C BUILDING 1 NOTICE TO SURVEYOR: 1. ELEVATIONS SHALL BE SHOWN FOR ALL FOUNDATION CORNERS. 2. FOUNDATION CORNERS WITH MINIMUM ELEVATION AND SETBACK DISTANCE SHALL BE IDENTIFIED. 3. DRAWING MUST BE PROPERLY ORIENTED (NORTH = TOP OF PAGE). 4. SHOW THE ROADWAY IN FROM OF THE PROPERTY. 5. IF DRAWING IS TO -SCALE, PROVIDE THE SCALE. IF NOT TO -SCALE SHOW AS N.T.S. NOTE: THIS DOES NOT REPRESENT A MONUMENTED SURVEY. IT IS INTENDED ONLY TO DEPICT THE ATTACHED DESCRIPTION PROJECT: 19-116 DR: KIDS DATE: 12/9/19 DS: MSK SHEET 1 OF 1 ti O c� >M 00 N Co 0 O 1 inch = 30 ft. i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type:..h Job Address: Permit Number: N ( i LlNo one available for inspection: Time � ? ! `) AM/PM Re -Inspection required: Yes IVa; When corrections have been made, schedule for re -inspection online at: http✓/www.ci.wheatridge.co.us inspection Date:1 a k - ` Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: C_-:. ❑ No one available for inspection: Ti Re -Inspection required, Yes, -,'lo When corrections have been made, schedule for re -inspection online at: http✓/www.ci. whea tridge. c o. 'ct-Ibn Date:( Inspecto . i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type:, Job Address: 1, 1 ( 14- `_j Permit Number: ( r` ❑ No one available for inspection: Time M Re -Inspection required: Yes�Noa When corrections have been made, schedyle'rfor re' -in -Vection online at. httpYAvww.ci.wheatridge.co.us4nspe tro Date: Inspecto . ""°�. 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: IZ Job Address: Permit Number: C% ❑ No one available for inspection: Time SAM/PM Re -Inspection required: YesNo l When corrections have been made, ca(Opr re-inspec oa_ Q3-2- -5933 Date:1 C% i � C Inspectow' i — DO NOT REMOTHIS NOTICE City of, W heat idgc 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 (Water and Sanitation only) A copy of this form must be completed by each water and sanitation 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: t!h060 3Project Address: in d e , L 3 Name of Firm/Individual submitting documents: Project Type/Description: IZ:ve.�s.-�le lcfYacC L( G 1 %s:GlenTrtt f tofT� tri ct 7'owYl tonsej U't-5 Signature of Firm Representative or Individual: DO NOT WRITE BELOW THIS POINT - FOR AGENCY USE ONLY ?.. , am a duly authorized representative of the agency indicated below and do, by my signature below, hereby acknowledge receipt of documents necessary for review and approval of the project indicated above. Agency represented: (Please check one) o Wheat Rid ge Water District a Wheat Ridge .Sanitation District o Oonsolidaied Auival Water District Q Clear Creek Sanitation District Valley mater t3istri o Fruitdaie Sanitation District o Westridge Sanitation District o Denver Miter o Other k-Acte>cv.�otes. t - Cily of Wheat PJdge CRY 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 (Water and Sanitation only) A copy of this form must be completed by each water and sanitation 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: slfzI Zo Iq Project Address: Met, tQ I W J9 ' A, -e- , w ke ,+ 2: d 9e— , CO 800 .33 Name of Firm/Individual submitting documents: R.'y e rs,* d e Tc r, -a c e, L L C Project Type/Description: w Signature of Firm Representative or Individual: Ce5tde, 1)�i.cal a4'+ached �_OWYIkoAAeS DO NOT WRITE BELOW THIS POINT - FOR AGENCY USE ONLY William (Bill) Willis * , am a duly authorized representative of the agency indicated below and do, by my signature below, hereby acknowledge receipt of documents necessary for review and approval of the project indicated above. Agency represented: (Please check one) o Wheat Ridge Water District o Consolidated Mutual Water District o Valley Water District o Denver Water o Wheat Ridge Sanitation District o Clear Creek Sanitation District pec Fruitdale Sanitation District o Westridge Sanitation District o Other Agency Notes: *All FSD Standards must be adhered to. Acceptance of the subject development is conditional on final approval of plans, extension and easement agreements and any off-site improvements required. All applications, fees, etc. must be completed based on established timinc_ All previous correspondence must b6.-6ompleted/addressed as well. Signature: ' -- Date: 08/12/19 (Agencg'Representative) *As District Consulting Engineer City of Wheat Ridge Site Work Permit PERMIT - 201901681 PERMIT NO: 201901681 ISSUED: 08/23/2019 JOB ADDRESS: 11661 W 44th Ave EXPIRES: 08/22/2020 JOB DESCRIPTION: Site improvements for Riverside Terrace to include 1.52 acres of grading and improvements. *** CONTACTS *** OWNER (720)473-7019 RIVERSIDE TERRACE , LLC SUB (720)488-1600 BILL LYONS, JR 190054 RIVERSIDE TERRACE, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 387,531.00 FEES Total Valuation 0.00 Plan Review Fee 1,943.27 Use Tax 8,138.15 Permit Fee 2,989.65 Engin. Review Fee 4,600.00 ** TOTAL ** 17,671.07 *** COMMENTS *** *** CONDITIONS *** No C.O. may be issued until public improvements are complete as identified in the Subdivision Improvement Agreement. Owner/Contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. City of Wheat Ridge Site Work Permit PERMIT - 201901681 PERMIT NO: 201901681 ISSUED: 08/23/2019 JOB ADDRESS: 11661 W 44th Ave EXPIRES: 08/22/2020 JOB DESCRIPTION: Site improvements for Riverside Terrace to include 1.52 acres of grading and improvements. I, by my signature, hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications= applicable buildi cedes, and all applicable unicippal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal ow er of h ,property and am au orized to obtain this permit and perform the work described and approved in conjunction with this permit. I f rther of that I am le all` thorized to include all entities named within this document as parties to the work to be performed an hatl work to be p " orm is disclosed in thi document and/or (its' 'accompanying approv�edd' plans and specifications. Signature V OWNER or CONTRACTOR (Circle one) Date f 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 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 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 i4ng of a permiT''s all not be construed to be a permit for, or an approval of an violation of any provision of any applicable code o an ' ord'nance o r gulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat midge COM,LIIJNITY DIW1 Ql MI N t Building & Inspection Services 7500 W. 29' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits ci.wheatridge.co.us FOR OFFICE USE ONLY Date; F// Plan/Permit # Plan Review ree: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: / 1 (p u I W `l -f, '.ve- Property Owner (p/ease print): F_; ve.Si'Cfe 7e -rc, r P t L L C Phone: 7M W 7 3 701 9 Property Owner Email:__SSu nclberQ@cre er�s.'decoMmun��5 coM Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: (OH3 S. W, 1l(ow 'br. , Si -e_ 300 City, State, Zip: a GQ. 1 CO 8 11 Architect/Engineer: __be,,> b e r r tj1 S3 (C"V"I- S" f e W o r i-) Architect/Engineer E-mail: d bar reA4 tAe.0, dewberr,J . caM Phone: 720 - 3 8 (o - '4317 Contractor Name: %Z: Y c rs ; d e T rr'rx c e, t:1: C City of Wheat Ridge License #: 1900 5"� Phone: 72-0 '47'3 3 - -7019 Contractor E-mail Address: S«' -k- «s For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Sam as A&o -re Phone: CONTACT EMAIL(p/ease print): It Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields. ❑COMMERCIAL [✓]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. wore on,5 , f e- wo ra. -/-o 1'011crJ c1e l..sz acres 645 qlr j ,' n q anti Gar f�worlL� N� ys LF o f .5a4 '-�6Lr /✓ia�n of /✓J anholeS/^'(Q Z S Lo� 1r(afcr /✓lain d• Jeri C�, N 5-1 S SF of re, �u n n� Wa l l S, and PL D po nd w% ^' 8 8 t C. >L kopr�7' e (See OnS�te. ESt:Mcx.k-t �CloSeol) Sq. FULF See lkb o Ye- BTUs Amps Squares For Solar: Gallons 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) $ 3ST 5-3 1 (See- dr\s -'V 0- C-C(o)PCO 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)(CONTRACT or (AUTHORIZED R TATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name) DATE: 7�I�t 12A 1 q Printed Name:S}r�(itQh vnC ber-!G DEPARTMENT USE ONLY ZONING COMMMENTS: S Wti�� eveli OCCUPANCY CLASSIFICATION: _ Reviewer: -�/L3,( 1 CONSTRUCTION TYPE: BUILDING DEPA ENTOMME S: Reviewer: +�C-4" r1r—V4C}L 5h6C71S g/05111 WLV B 1l DL-'FGW69 PUBLIC WORKS COMMENTS Reviewer: 81141Iq rD, t i fl � Rtt i•,�r4f9�. �T/f /cry I SSv ,CE i so C. p, Z� 4 Wlu �� IF, Building Division Valuation: /gL.sv City of rrWheatPudLye BLIC WORKS City of Wheat Ridge Municipal Building 7500 W. 29" Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2861 F: 303.235.2857 PUBLIC WORKS DEVELOPMENT REVIEW FEES Date: D V /!y /14l Location of Construction: 11641 W • 4A A4,140V 'E_ Purpose of Construction: IlYyz77— 2)-=—Va .,!2eA4CA.171 Single Family Commercial Multi -Family Development Review Processim Fee: ................................................ $100.00 $ (Required of all projects for document processing) Single Family Residence/Duplex Review Fee: ..................................... $50.00 $ Commercial/Multi-Family Review Fees: (Fees include reviews of the 1St and 2nd submittals) • Review of existing or minimal technical documents: ........................ $200.00 $ • Initial review' of technical civil engineering documents: ................ $600.00 $ ADO - DO • Traffic Impact Study Review Fee: .................................................... $600.00 $ • Trip Generation Study Review Fee: .................................................. $200.00 • Stormwater Management Plan (SWMP) Review Fee: ....................... $200.00 $ 24yog, p p • O & M Schedule Review & SMA Recording Fee ............................. $100.00 $ �p • Construction Control Plan................................................................. $100.00 $ IDD. lop ' Each Application will be reviewed by staff once and returned for changes. If after review of the second submittal changes requested by staff have not been fully made to the civil/stormwater/traffic documents, further reviews will be subject to the following Resubmittal Fees: • Resubmittal Fees: 31 submittal ('/z initial review fee) :.................................................... $300.00 $ 300. W 4" submittal (full initial review fee): ................................................. $600.00 $ 6&0-0 All subsequent submittals: ................................................................. $600.00 X = $ 2 gov. (Full initial review fee) TOTAL REVIEW FEES (due at time of Building Permit issuance): y Go Co. 00 PLEASE NOTE THAT IN ADDITION TO THE ABOVE FEES, THERE WILL BE LICENSING AND PERMITTING FEES REQUIRED TO CONSTRUCT IMPROVEMENTS AND UTILITIES WITHIN THE PUBLIC RIGHT-OF-WAY. ww w. ci.w h eat ri dge. co. u s Rev 05/19 City of COMMER CIALIMUL TI-FAMIL Y Wheat -Midge PUBLIC WORKs BUILDING PERMIT APPLI CA TION RE VIEW Date: D911,g1/9 Location: l l Lilt / Li.". qq4A A-VJ-_—)U" ATTENTION: BUILDING DEPARTMENT I have reviewed the submitted application documents to construct a Iit�t vc.77 F.9'Ivr t Ly D�y�EZ GPIyE=✓7— located at the above referenced address. Please note the comments checked below. 1. ✓ Site Survey: ,,-'OK Not OK; refer to stipulations. 2. r Drainage: a. Final Drainage Report and Plan required _Yes No b. Drainage Letter and Plan required ✓ Yes No C. Site drainage/grading have been reviewed and are: ✓ OK Not OK; see stipulations 3. ✓ CDPS Permit & SWMP Approved: v' Yes No N/A 4. _k/- Public Improvements to be completed: a. street paving/patching: 4,1' Yes No b. curb & gutter/drivecut: ✓ Yes No C. sidewalk: _/Yes No d. standard street lights: _✓ Yes No e. pedestrian lights: �z Yes No ff, storm sewer: ✓Yes No g. Letter of Credit (LOC) required: _1,rYes No h. Funds in lieu of construction: Yes No If an LOC or funds in lieu of are required, for what improvements? .514;iE7 jgVVIG Amount of the LOC or funds: $ �z, R� S• ®� 5. ✓ SIA/PIA required: _Yes No 6. �� Traffic impact analysis required & approved: ✓ Yes No 7. Street Access Permit required: Yes _✓No If yes, was it approved by the Director of Public Works? Yes No 8. _� Does all existing roadway/alley R.O.W. meet the standards of the City: _ Yes _✓No If not, what is required: b"/c4-Y7 A,,, BV 40z,*7 - If R.O.W. is required, has the deed been received? Yes _ No (See Note below) NOTE: All deeds must be reviewed and approved prior to issuance of the Certificate of Occupancy. 9. J/ APPROVED: The Public Works Department has reviewed the submitted material and hereby approves this Permit Application, subject to the stated or attached stipulations. D 4/ fir Signature David F. Brossman, P.L.S. Date 10.A/A NOT APPROVED: The Public Works Department has reviewed the submitted material and does not approve this Permit Application for the following reason(s): Signature David F. Brossman, P.L.S. Date 11. ✓ Stipulations: SLOG REG �> P,>lIOR. 777 15JL*p*.r"C OFRA�y � - 12. ✓ NOTE: Any damage to the existing Public Improvements resulting from this construction shall be repaired to City standards prior to the issuance of the Certificate of Occupancy (C.O.). A Drainage Certification Letter with by As -Built plans shall be required prior to the issuance of the Certificate of Occupancy. Rev 06,2013 9��at cif ficy l'Ubt IC W0 RKtF , City of Wheat Ridge Municipal Building 7500 W. 29`� Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2861 F: 303.235.2857 NOTIFICATION FOR PUBLIC IMPROVEMENTS RESTORATION DATED: OS /y !ct ADDRESS: 111o(Q / Dear Contractor: In conjunction with the approval of the building permit application for the above referenced address, this letter is to inform you that all existing public improvements located along the frontage of said address shall be restored, (if damaged from related construction) to an acceptable condition, as determined by City of Wheat Ridge Public Works Department, and prior to the issuance of a Certificate of Occupancy. Prior to any construction commencing, the City's representative will conduct an onsite inspection to determine the existing condition(s) of the public improvements at this address. If you have any questions, please contact me at 303.235.2864. Sincerely, David F. Brossman, P.L.S. Development Review Engineer CC: File www.ci.wheatridge.co.us Rev 2/08 City of W heat -Midge PUBLIC WORKS Memorandum TO: Scott Cutler, Planner II FROM: Dave Brossman, Development Review Engineer DATE: July 23, 2019 SUBJECT: PBG -19-01 & WS -19-01 — 11661 W. 44th Avenue — Review #9 I have completed my ninth review for the request for approval of a Planned Building Group site plan for the property located at 11661 W. 44th Avenue, received on July 23, 2019. This letter is to inform you that all civil engineering documents for this development have been reviewed and are hereby approved for construction by the Department of Public Works. Please note the following: PLANNING & ZONING: Planned Building Group All previous comments have been addressed and the PBG is found to be approvable from a PW standpoint. Final Plat 1. All comments have been addressed and the plat was previously approved by Public Works on May 16, 2019. 2. A copy of the easement must be provided to the City subsequent to plat recordation. CIVIL ENGINEERING: Final Drainage Report (Narrative): 1. All previous comments have been adequately addressed. Please include a seal and signature on the next submittal for City approval. Final Drainage Report (Appendix): 1. All previous comments have been adequately addressed. Riverside PBG-Civils_11661 W44th Ave_Review-9.approval.ltr.docx Public Works Engineering June 23, 2019 Page 2 I Final Drainage Plan: 1. All previous comments have been adequately addressed. Please include a seal and signature on the next submittal for City approval. Civil Construction Plans 1. All previous comments have been adequately addressed. Please include a seal and signature on the next submittal for City approval. Opinion of Probable Costs Public Improvements: 1. All previous comments have been addressed; the cost estimate is hereby approved. Onsite Improvements: 1. All previous comments have been addressed; the cost estimate is hereby approved. Please be aware of the following items regarding the construction of the project: Subdivision Improvement Agreement: Prior to the issuance of any Building or Right -of -Way Construction Permits or the commencement of any construction activities, a Subdivision Improvement Agreement (SIA) shall be executed by the project owner/developer. The project owner/developer will need to contact the Dept. of Community Development at 303.235.2846 to obtain a copy of the SIA template. Please note that an approved engineer's itemized cost estimate for the public improvements will be included in the SIA (refer to Other Requirement #3 below). SIAs are recorded at the Jefferson County Clerk & Recorder's Office with the Final Plat. 2. CDPS Permit & Stormwater Management Plan: This site in general is greater than one acre in size and the area of disturbance will meet or exceed one (1) acre, so a Stormwater Management Plan (SWMP) associated with the required State CDPS Permit shall be submitted to the City of Wheat Ridge for review and approval. The SWMP must be approved by the City prior to issuance of any Demolition, Grading, ROW Construction, or Building Permits. The CDPS Permit is generally obtained from the Colorado Department of Public Health and Environment by the contractor at time of Building Permit Application. A copy of the CDPS must accompany the final submittal of the SWMP. Please contact Bill LaRow, Stormwater Program Manager at 303.235.2871 for further information). It is highly recommended that Riverside PBG-Civils_I 1661 W44th Ave_Review-9.approvaHtr.docx Public Works Engineering June 23, 2019 Page 3 the SWMP be submitted as soon as possible to avoid delays in the issuance of required Permits. 3. Public Improvements Performance Guarantee: Upon acceptance of the Itemized Engineer's (Public) Cost Estimate, an Irrevocable Letter of Credit (ILOC) in the amount of reflecting the total amount of the approved cost estimate plus 25% (125% of the total estimate) shall be submitted by the owner/developer for review and approval at the time of SIA submittal. The total amount required for the Irrevocable Letter of Credit will be determined upon approval of the cost estimate. The ILOC shall remain in force for the entire duration of the project, and the City reserves the right to request the ILOC be renewed if deemed necessary. A photocopy of both the itemized cost estimate and ILOC will be attached to the SIA and recorded at the county. 4. Site Work Permit/ Construction Control Plan: A Site Work (Building) Permit shall be obtained from the City of Wheat Ridge Building Division (303.235.2876) prior to commencement of any on-site work. The Site Work Permit covers all horizontal infrastructure work that occurs on private property, including but not limited to, interior drives, curb, gutter, sidewalk, landscaping, irrigation, lighting, common areas, parking, and drainage - related items. The Site Work Building Permit Application shall be accompanied by an approved copy of a Construction Control Plan ("CCP"). The Construction Control Plan is a modified set of construction plan sheets used in the field to facilitate recordation of key as -built elevations and set -back dimensions. The CCP shall be developed by the design engineer and architect and shall be submitted to the City for review and final approval prior to issuance of any Site Work or ROW Construction Permits. Instructions for development of the CCP are available on the City's website under the Public Works Development Review webpage. 5. Post-Entitlement/Pre-Construction Meeting: Prior to commencement of any construction activities the contractor may be required to attend a post-entitlement/pre-construction meeting with the City. Please contact the Case Manager Scott Cutler, Planner II (303.235.2849) for further details. 6. Right -of -Way Construction Permit(s)/Licensing: a. ROW Permits. Prior to any construction within the public right-of-way (ROW), the necessary Right -of -Way Construction Permit(s) and respective licensing will need to be submitted for processing by the City. Right -of -Way Construction Permits are issued by the City only after approval of all required technical documents, including but not limited to, the Final Drainage Report & Plan, Final Plat, Final Development Plan, Traffic Impact Study, Storm Sewer Plans, Street Construction Plans, Grading & Erosion Control Plan, Traffic Control Plan (if applicable), Construction Control Plan and easement or ROW dedications Riverside PBG-Civils_11661 W44th Ave_Review-9.approval.ltr.docx Public Works Engineering June 23, 2019 Page 4 b. Licensing. All work within the public Right -of -Way shall only be performed by a municipally -licensed contractor. 7. Public Improvement Restoration/Debris Tracking: It will be the responsibility of the contractor for the project to repair any damage to the existing public improvements along Ames Street or W. 44th Avenue as a direct result of related construction traffic. Also, the contractor will be responsible for maintaining all affected roadways on a regular basis such that they remain free of construction debris and tracking from construction traffic accessing the site. 8. 2 -Year Warranty Period and Guarantee for Public Improvements: Upon completion of all public improvements and Final Acceptance has been granted by the City Inspector, the original Irrevocable Letter of Credit shall be surrendered. At that time a 2 -year warranty period for the completed and approved public improvements shall commence. If at any time during said 2 -year Warranty Period the City Inspector deems that the constructed public improvements are in such condition as to require repairs or replacement, the Developer shall complete such work upon request. Upon commencement of the 2 - year Warranty Period, a 2nd Letter of Credit in the amount of 25% of the original itemized engineer's cost estimate shall be submitted to the City of Wheat Ridge and be dated as to expire on the 2 -year anniversary of the Warranty Period commencement date. The City shall retain said Letter of Credit for the entire 2 - year Warranty Period. Upon completion of the 2 -year Warranty Period, the 2nd Letter of Credit shall be surrendered by the City of Wheat Ridge. 9. Drainage Certification/ As -Built Plans/ SMA and O & M Plan: Please note the following items required prior to the issuance of the first Certificate of Occupancy for the subdivision: a. Drainage Certification: Upon completion of the drainage improvements, the Engineer -of -Record shall provide to the City of Wheat Ridge a written, signed and sealed Drainage Certification Letter (DCL) that compares the required and provided detention/water quality volumes to ensure the constructed facility has sufficient volume. The DCL must state that the overall site grading was completed per the approved Grading and Drainage Plans, all drainage facilities were constructed per the approved construction plans and shall function as defined in the approved Final Drainage Report/Plan, and that the site has been accurately surveyed to confirm that the grading and construction of all drainage facilities was completed in accordance with these documents. An electronic PDF file of the DCL shall be submitted to the City for review and approval, and shall be accompanied with As -Built Plans on the Current City Datum for all constructed drainage facilities prior to issuance of the first Certificate of Occupancy for the subdivision. b. As -Built Plans: The following items shall be included in the As -Built Plan prior to City acceptance: i. Stormwater System (this info referenced in DCL) Riverside PBG-Civils_11661 W44th Ave_Review-9.approva1.1tr.docx Public Works Engineering June 23, 2019 Page 5 1. Detention/WQ pond volume (sufficient spot elevations for engineer to calculate the provided volume). 2. Detention/WQ pond Outlet Structure elevations. 3. Manholes, rim and invert elevations. 4. Drop Inlets, grate and invert elevations ii. Lighting (within Public ROW only) 1. Streetlight locations. 2. Pedestrian light locations. 3. Pull Box locations. 4. Electric meter location(s) Two (2) electronic files of the "As -Built" Plans are to be submitted as follows: i. One (1) file in AutoCAD 2015 DWG or older format, AND ii. One (1) file in PDF format (of the signed & sealed sheets). 10. Materials Testing for any Construction within the Public Right -of -Way: It will be the responsibility of the developer/owner, to provide the necessary testing, as applicable for the scope of this project, for sub -grade compaction and other related material tests for any improvements to be constructed within the public Right -of -Way. (SEE ATTACHED MATERIAL SAMPLING & TESTING REQUIREMENTS) Riverside PBG-Civils_11661 W44th Ave_Review-9.approval.ltcdoex Public Works Engineering June 23, 2019 Page 6 CITY OF WHEAT RIDGE MATERIALS AND TESTING REQUIREMENTS FOR CONSTRUCTION OF PUBLIC IMPROVEMENTS DESCRIPTION Materials sampling and testing for public improvements shall be performed by an independent materials testing company at the expense of the developer, and/or utility district. Unless otherwise designated, all referenced specifications, standards or policies shall be the latest edition as revised or updated by approved supplements published and issued prior to the date of the building permit. REQUIREMENTS All materials sampling and testing shall be performed by certified, experienced and qualified materials testing technicians who work under the supervision of a registered professional engineer in the State of Colorado. All materials sampling and testing equipment shall be serviceable and have current calibrated certifications. Soil classifications and moisture -density curves shall be provided to the Department of Public Works inspector prior to in-place density testing. Materials testing technicians shall furnish copies of failed test results to the inspector as promptly as the results become available. On a weekly basis when testing is being performed, the developer shall furnish the inspector with copies of all test results taken during the prior week and a cover letter, signed by the supervising registered professional engineer, which summarizes the results and discusses any failed tests or inconsistencies. The City materials testing requirements are provided in Table 720-1. All testing procedures of verification and central lab requirements shall be as specified in the Frequency Guide Schedule of the Colorado Department of Transportation Field Materials Manual. One test is required for any fraction of the specified frequency. The reference to Section 203.07 in the table is from the Colorado Department of Transportation Standard Specifications for Road and Bridge Construction. Riverside PBG-Civils_l 1661 W44th Ave_Review-9.approva1.1tr.docx Ilk Public Works Engineering June 23, 2019 Page 7 Table 720-1 City of Wheat Ridge Materials Testing Requirements Type of Test Frequency Remarks Soil Survey (Classification), 1 per 500 feet of roadway, Surveys for roadway and trench AASHTO M145 Sidewalk or pipe trench may be combined Moisture -Density Curve, 1 per on-site soil type AASHTO method determined AASHTO T99 1 per import material source By soil or materials type Embankment in-place density, 1 per 250 feet per lane per 6 -inch Minimum density per soil Colorado Procedures loose lift classification, Section 203.07 Roadway subgrade in-place 1 per 250 feet per lane Minimum density per soil density, Colorado Procedures Classification, Section 203.07 Sidewalk subgrade in-place 1 per 250 feet of sidewalk Minimum density per soil density, Colorado Procedures Classification, Section 203.07 Pipe trench in-place density, 1 per 200 feet of trench per 18 Minimum density per soil Colorado Procedures inch vertical interval Classification, Section 203.07 Aggregate base course in-place 1 per 250 feet per lane Minimum 95% of maximum density, Colorado Procedures Density, T180 Lime treated subgrade in place 1 per 250 feet per lane No less than 95% of std. dry density, Colorado Procedures density and opt. moisture, T99 Cement treated base in place 1 per 250 feet per lane Density in accordance with contract density, Colorado Procedures documents, T134 Hot Bituminous Pavement 1 per 1000 tons Within specifications of asphalt content and gradation Approved mix design, binder PG 64-22 Hot Bituminous Pavement in 1 per 100 tons 92-96% of maximum density, T209 place density, Colo. Procedures Concrete compressive strength 1 set per 50 cubic yards PCC pavement, structural AASHTO Procedures Concrete, sidewalks and curbing Concrete air content and slump 1 per 25 cubic yards PCC pavement, structural AASHTO Procedures Concrete, sidewalks and curbing Riverside PBG-Civils_l1661 W44th Ave_Review-9.approval.ltr.doex Riverside Terrace, LLC Transmittal Date: August 14, 2019 To: City of Wheat Ridge, Building Department Attn: Mark Van Nattan, Public Works Via: Hand Delivered From: Stephen Sundberg, EI ; Development Manager Riverside Terrace, LLC Re: Riverside Terrace Site Work Permit Application Package Please find the following items included with this application package for a site work permit at the above referenced project site, 1. One (1) Wheat Ridge Site Work Permit Application 2. One (1) Set of the Approved Civil CDs S&S 3. One (1) Set of the Approved Construction Control Plan (CCP) 4. One (1) Drainage Report S&S 5. One (1) Copy of the Approved Onsite Estimate for Use Tax Calculation Should you have any questions or concerns in this regard, please do not hesitate to contact me via email at ssundberg@creeksidecommunities.com , or by phone at 720-473- 7019. Sincerely, tephen Sundberg, EI Development Manager Riverside Terrace LLC Received By: Print: Signature: City of Wheat Ridge 6143 S. Willow Dr, Suite 300 Greenwood Village, CO 80111 720-488-1600 Fax: 720-488-1601 1 01%. of Wheat ic�gc� CITY OF WHEAT RIDGE BUILDING AND INSPECTION SERVICES DIVISION 7500 W 29th Ave Wheat Ridge, CO 80033-8001 p. 303.235:3855) 303.237.8929 roof Submission for Permitting/Plan Review (Water and Sanitation only) A copy of this form -must be completed by each water and sanitation 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: Project Address: j I L7 la f 1n/ ' rh--v'2 , vJ I« -� ;d �e , rp 00(3 3'Z Name of Firm/individual submitting documents: Project Type/Description: 3,, w Signature of Firm Representative or Individual: —Fey -l -ace LLC re5:denfj'o1 ca -f +ached h'ownkoAAe.5; a DO NOT WRITE BELOW THIS POINT - FOR AGENCY USE ONLY am a duly authorized representative of the agency indicated beloW and do, by my signature below,, hereby acknowledge receipt of documents necessary for review and approval of the projectindicated above. Agency -represented: {Please check one) o Wheat Ridge Sanitation District o Wheat €rige dater District o Clear Creek Sanitation District ® Cons6lit3ated krlutuai,l�'atel`District. y o Fnlitdale Sanitation District Valley Water ¢?istrlct R a Westridge Sanitation District o Q raver dater _ o Otter Agcy Motes, r �r � r f a?80N yTb/ §g j y On ;y } City of W heat P,�idgc 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 (Water and Sanitation only) A copy of this form must be completed by each water and sanitation 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: SJ I Z- I La I I Project Address: I to to W vel k e,+ 2-.15e. CO s00 3 3 Name of Firm/Individual submitting documents: Z v e rs,',I e- Te r, -a c L i- C Project Type/Description: M w Signature of Firm Representative or Individual: re 5; de- nffaI of+4cheol hownI,oMe3 DO NOT WRITE BELOW THIS POINT - FOR AGENCY USE ONLY 1 William (Bill) Willis * , am a duly authorized representative of the agency indicated below and do, by my signature below, hereby acknowledge receipt of documents necessary for review and approval of the project indicated above. Agency represented: (Please check one) o Wheat Ridge Water District o Consolidated Mutual Water District o Valley Water District o Denver Water o Wheat Ridge Sanitation District o Clear Creek Sanitation District -ac Fruitdale Sanitation District o Westridge Sanitation District o Other Agency Notes: *All FSD Standards must be adhered to. Acceptance of the subject development is conditional on final approval of plans, extension and easement agreements and any off-site improvements required. All applications, fees, etc. must be completed based on established timinc_ All previous correspondence must be.ic`ompleted/addressed as well. Signature: zG Date: 08/12/19 (Agency Representative) *As District Consulting Engineer OPINION OF PROBABLE COSTS RIVERSIDE TERRACE TOW;NHOfVIESF'� Engineers Cost Estimate Prepared: Project: xb,i _ CITY OF WHEAT RIDGE PUBLIC WORKS, ENGINEERING APPROVED FOR: 0 DRAINAGE 0 SIDEWALK OCURB &GUTTER 0STREET jid MISCELLANEOUS 0 PLAT COMMENT it��me.9m.r:C-tE.0 . i� �07/28/2079 CIVIL ENGINEER DATE AKM SUBJECT TO FIELD INSPECTIONS ONSITE IMPROVEMENTS CITY OF WHEAT RIDGE PUBLIC WORKS DATE 07/29/2019 RECEIVED 07/29/2019 10th Submittal Job No: 50107859 Date: 7/29/2019 Item No. Items Quantity Unit Unit Cost Total Cost STORM 1 6"HDPE 98 LF $ 30.00 $ 2,940.00 2 8" HDPE 80 LF $ 31.00 $ 2,480.00 3 12" HDPE 147 LF $ 45.00 $ 6,615.00 4 15" HDPE 200 LF $ 70.00 $ 14,000.00 5 18" HDPE 52 LF $ 90.00 $ 4,680.00 6 24" HDPE 304 LF $ 42.00 $ 12,768.00 7 6" Inline Drain 2 EA $ 250.00 $ 500.00 8 8" Drain Basin w/ Grate 1 EA $ 750.00 $ 750.00 9 12" Dome Grate w/ Drain Basin 3 EA $ 1,000.00 $ 3,000.00 10 18" Dome Grate w/ Drain Basin 2 EA $ 1,200.00 $ 2,400.00 11 18" Standard Grate w/ Drain Basin 1 EA $ 1,200.00 $ 1,200.00 12 30" Drain Basin 1 EA $ 1,300.00 $ 1,300.00 13 Type L Riprap 14 Cy $ 140.00 $ 1,960.00 14 5' Dia Manhole Flat -Top 1 EA $ 4,700.00 $ 4,700.00 15 5' Dia Manhole (6'-12' Depth) 2 EA $ 4,592.00 $ 9,184.00 STORM SUBTOTALI 68,477.00 SANITARY 1 Connect to Existing Sanitary Line 1 EA $ 2,332.00 $ 2,332.00 2 8" PVC 645 LF $ 55.00 $ 35,475.00 3 4' Diameter Manhole (12'-18' Depth) 5 EA $ 2,500.00 $ 12,500.00 4 4" Sanitary Sewer Service 18 EA $ 750.00 $ 13,500.00 5 Air Test, Jet & Camera Sewer 645 LF $ 3.00 $ 1,935.00 SANITARY SUBTOTAL $ 65,742.00 WATER 1 Wet Tap Connection to Existing 20" Water Line 1 EA $ 2,320.00 $ 2,320.00 2 8" Water Main (C900 PVC) 200 LF $ 40.00 $ 8,000.00 3 6" Water Main (C900 PVC) 280 LF $ 35.00 $ 9,800.00 4 1.5" Water Main (Type K Copper) 148 LF $ 45.00 $ 6,660.00 5 8" Gate Valve with Box 1 EA $ 1,695.00 $ 1,695.00 6 6" Gate Valve with Box 1 EA $ 1,375.00 $ 1,375.00 7 6" Bends With Thrust Block 2 EA $ 300.00 $ 600.00 8 8"x6" Reducer 1 EA $ 325.00 $ 325.00 9 3/4" Water Service with Meter Pit 18 EA $ 1,600.00 $ 28,800.00 10 Fire Hydrant Assembly With 6" Gate Valve & 8"x6" Tee 1 EA $ 6,185.00 $ 6,185.00 11 6" DIP 37 LF $ 40.00 $ 1,480.00 12 2" Temp Blow off 1 EA $ 1,120.00 $ 1,120.00 13 Water Line Lowerings 2 EA $ 3,380.00 $ 6,760.00 14 Flush, Fill & Pressure Test 480 LF $ 1.25 $ 600.00 WATER SUBTOTAL $ 75,720.00 -;�fZoiyal(P8/ ASPHALT AND CONCRETE PAVING 1 Asphalt Pavement- 4.0" Bottom Lift HBP/ 2" Top Lift HBP 1,739 SY $ 33.75 $ 61,962.50 2 12" Scarify and Recompact-Asphalt Subgrade Prep 1,739 Sy $ - $ - ASPHALT AND CONCRETE PAVING SUBTOTAL $ 61,962.50 RETAINING WALLS 1 Retaining Wall, Modular Block 575 SF -Face $ 22.00 $ 12,650.00 RETAINING WALLS SUBTOTAL $ 12,650.00 CONCRETE FLATWORK 1 Concrete Subgrade Prep 21,606 SF $ 0.35 $ 7,562.10 2 Sidewalk Chase 3 EA $ 300.00 $ 900.00 3 Vertical Curb w/ 2' Pan 616 LF $ 15.75 $ 9,702.00 4 Catch Curb 170 LF $ 5.13 $ 872.10 5 6" Concrete Driveways and CDOT Driveway Entrance D 332 SY $ 58.23 $ 19,312.95 6 2' Concrete Pan 132 LF $ 15.50 $ 2,046.00 7 5' Wide Sidewalk - 6" THK 499 SY $ 48.42 $ 24,161.58 CONCRETE FLATWORK SUBTOTAL $ 64,556.73 SIGN, STRIPING, AND TRAFFIC CONTROL 1 R7-1 No Parking Any Time 1 EA $ 225.00 $ 225.00 2 R7 -1-L No Parking Any Time 2 EA $ 225.00 $ 450.00 3 R7 -1-R No Parking Any Time 2 EA $ 225.00 $ 450.00 4 R7-1 Special No Parking Any Time 1 EA $ 225.00 $ 225.00 5 OM4-3 Red Warning Sign 2 EA $ 225.00 $ 450.00 6 Relocate Sign 1 EA $ 230.00 $ 230.00 7 Striping -4" Solid White, Painted 171 LF $ 1.70 $ 290.70 SIGN, STRIPE, AND TRAFFIC CONTROL SUBTOTAL $ 2,320.70 LIGHTING 1 Site Light -12' 3000k LED Ornamental Light on Steel Pole 4 EA $ 1,800.00 $ 7,200.00 2 Path Lights (30" 5W LED) 6 EA $ 150.00 $ 900.00 LIGHTING SUBTOTAL $ 8,100.00 POROUS LANDSCAPE DETENTION AND RETAINING WALLS 1 Outlet Structure -Type C Inlet 1 LS $ 3,200.00 $ 3,200.00 2 Wooden Fence - Horizontal Rail 151 LF $ 24.00 $ 3,624.00 3 Concrete Wall 38 Cy $ 450.00 $ 17,100.00 4 6" Biotite Filtration and Growing Media 30 Cy $ 50.00 $ 1,478.70 5 Type L Soil Riprap 5 Cy $ 140.00 $ 700.00 6 Concrete Maintenance Access 45 SY $ 42.20 $ 1,899.00 POROUS LANDSCAPE DETENTION AND RETAINING WALLS SUBTOTAL $ 28,001.70 TOTAL SUBTOTAL $ 387,530.63 CITY OF WHEAT RIDGE 3.S% USE TAX $ - TOTAL ONSITE CONSTRUCTION COST $ 387,530.63 TOTAL ONSITE IMPROVEMENT COST $ 387,531 City of Wheat Ridge Residential Demolition PERMIT - 201900539 PERMIT NO: 201900539 ISSUED: 03/28/2019 JOB ADDRESS: 11661 W 44th Ave EXPIRES: 03/27/2020 JOB DESCRIPTION: Residential demotion of single story residential structure, detached garage and 3 framed sheds. State permit number:19JE18540, 18570, 18560,18550, and 18530. *** CONTACTS *** OWNER (720)473-7019 RIVERSIDE TERRACE, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 24,000.00 FEES Total Valuation 0.00 Demolition Fee 50.00 ** 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 ennrt. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be perforIied and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Sigdature of OWNERr-baLsed-on-the-ififo ONTRACTOR (Circle one) Date 1. ;This permit was issuermation 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 originalppermit fee. 3, If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Divisio 6. Theis ae or grantin a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any appli c or any finance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat Midge COMMUNITY 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 Email: permits(&ci.wheatridge.co.us FOR OFFICE USE ONLY Dat�� Plan/Permit # CID 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: Uwa„ l kl `-f Wl AVP Property Owner (please print):�Vf Y �� Q ��(y u ULC' Phone: 24-7 Property Owner Email: 1, nm Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: State Architect/Engineer: Arch itect/Eng 1 neer E-mail: Phone: Contractor Name: City of Wheat Ridge License #:Phone:___?�(�?�� Contractor E-mail Address: �C�,1 C (� C�` \��r fir' ��1�;n. C myN l; For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Ar\UaYl Phone: CONTACT EMAIL(p/ease print):(I�;)��,Ptz�1`,��Yl_CLrc,\ Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields. ❑COMMERCIAL M 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 BTUs I 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) $ a4 , � r\r - C)L' 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. r CIRCLE ONE: (OWNER) ( CONTRACTOR) _n (AUTHORIZED � REPRESENTATIVE) of (OWNER) (CONTRACTOR) : FSignature (brat and last name)Y DATE: Printed Name: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: 2 ti Colorado Departme of Public Healtba and Environment DEMOLITION NOTIFICATION APPLICATION FORM APPLICATION FEE MUST ACCOMPANY THIS FORM INCOMPLETE APPLICATIONS WILL BE RETURNED (06- tice will be mailed to the demolition contractor unless specified otherwise) !T Fee: $50 + $5 per 1000 ft2 of area to be demolished = $ 55.00 (See Instruction 01 on reverse side) Submit form to: Permit Coordinator Colorado Dept. of Public Health and Environment APCD-IE-B1 4300 Cherry Creek Drive South Denver, CO 80246-1530 Phone: 303-692-3100 Fax: 303-782-0278 Asbestos@state.co.us . Regulated asbestos -containing materials means (a) friable asbestos-containina material, (b) Category I nonfriable AGM that has become friable, (c) Category I nonfriable ACM that will be or has been subjected to sanding,rig nding, cutting, or abrading or (d) Category II nonfriable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation operations regulated by this regulation. Note: Asbestos -containing sheet vinyl and linoleum must be properly abated/removed prior to demolition. Form. DNA08 Rev, 01/30/08 Company Name: Building Name: Alpine Demolition Shed 3 Street: Square footage of footprint of facility or portion of facility to be demolished 5990 Kipling Pk #200 382 vCity: State: Zip Code: Street: Lp Arvada CO 80004 :: 11661 W 44th Ave Telephone # Fax # city: County: Zip Code: to VC 303-421-3366 303-940-0868 Wheat Ride Jefferson 80033 Project Manager: Cell Phone # Proposed Start Date Proposed Completion Date c C o Annah Fairchild (303) 901-9830 p - MethodlMeans of Demolition: ___ I certify that the Certified Asbestos Building Inspector has informed me E B about any remaining asbestos -containing materials in the facility to be O E demolished. t M Wrecking ❑ Buming ❑ Implosion El [I Other, specify: gnature: Print Name: O Annah Fairchild t ndfill Receiving Building Debris: — Burning requires additional authorization — Please call (303) 692-3100 and ask % to speak to the Open Burning Permit Coordinator General Abatement Contractor (GAC) b. Owners Name: i0CDPHE Asberstos Permit # Total Quantity of Asbestos Removed � C it � t Street: O f� Lu [1] 0n"�E Removal Completed Telephone # City: State: Zip Code: CDate C V CO. ii Type(s) of Asbestos -Containing Material.Removed, m Contact's Name: Telephone # _ Stephen Sundber 720 473-7019 th my signature below, I certify that 1 possess current AHERA accreditation and state of Colorado certification as Asbestos Building Inspector. I also certify that I have thoroughly inspected the facility to be demolished, as listed rCoLasbestos the Demolition Site block above, sampled all suspect materials, had all samples analyzed for the presence of by a NVLAP-accredited laboratory, and have determined that no Regulated ACM exists anywhere in the ility." I also certify that I have informed the owner/operator of the facility or the demolition contractor that any S.0 asbestos -containing material allowed to stay in the facility must remain non -friable during demolition. Specify type(s) of ACM remaining, below: (check appropriate box(es)): w � ❑Vinyl asbestos floor the (VAT) El VAT mastic ❑ Tar/asphalt impregnated roofing El Asphaltic pipe coatings a ❑ Spray -applied tar coAQngsE3Caulking ❑ Glazin ❑ Other, specify: tit Signature: (I Blue Ink) Printed Name: 1 C m Ci Date of Fin I Inspection Cert # Expiration ate Telephone # Cell Phone # 3 _ - -Ia �35H6 3 / 2�'� 3u 82" 77 3c' SL- 6777 that all refrigerants from air conditioning/refrigeration appliances have been property recovered in accordance with AQCC Regulation No. (for information on CFC requirements call 692-3100). 1 further verify that all luminous exit signs (containing radioactive material) have been 7-t,rify posed of in accordance with 6 CCR 1007-1 subpart 3.6.4.3 (for information on luminous exit sign requirements call 303-692-3320). ECK THE APPROPRIATE BOX: m3 C 0 B 'Icing er ft ❑ Contractor El Other Date: C.1 Sig ur :Pri ame: 7 , o'wJV THIS BOX Is FOR CDPHE USE ONLY: Postmark or Hand Delivery Date: 3/ I �( Approved By: _ a Code: � initial -310 ❑ transfer -380 Form of Pa ment 8 #: r P Reco Date Issued: . Regulated asbestos -containing materials means (a) friable asbestos-containina material, (b) Category I nonfriable AGM that has become friable, (c) Category I nonfriable ACM that will be or has been subjected to sanding,rig nding, cutting, or abrading or (d) Category II nonfriable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation operations regulated by this regulation. Note: Asbestos -containing sheet vinyl and linoleum must be properly abated/removed prior to demolition. Form. DNA08 Rev, 01/30/08 Colorado Department of Public Health and Environment Air Pollution Control Division — Indoor Environment Program — Asbestos/IAQ Air Unit 4300 Cherry Creek Drive South, APCD-IE-B1 Denver, Colorado 80246-1530 Phone: 303-692-3100— Fax: 303-782-0278 E-mail: asbestos@state.co.us DEMOLITION APPROVAL NOTICE This approval notice is granted subject to Colorado Air Quality Control Commission Regulation No. 8, Part B, adopted December 21, 2007, and effective January 30, 2008 and the Colorado Air Pollution Prevention and Control Act C.R.S. (25-7-101 and 25-7-501 et seq). This notice signifies that the structure was inspected for asbestos, luminous exit signs (containing radioactive material), and Ozone -Depleting Refrigerants and the demolition contractor has properly notified the Colorado Department of Public Health and Environment pursuant to Regulation No. 8, Part B. As a contractor, you may be subject to other demolition licenses and pennits, depending on the requirements of the county and municipality in which the work is being performed. The Colorado Department of Public Health and Environment, Air Pollution Control Division, strongly suggests that you check with county and municipal authorities in order to determine any other local building/permitting requirements that must be met. Please note that certain asbestos -containing materials (ACM) may remain in the structure during demolition. Therefore, any demolition debris left behind after the completion of post - demolition site cleanup may constitute a "reason to know of asbestos -contaminated soil" at the site, subject to the requirements of Section 5.5 of the Solid Waste Regulations (6 CCR 1007-2, Part 1). THE ORIGINAL APPROVAL NOTICE MUST BE POSTED ON SITE AT ALL TIMES. Immediately notify the Asbestos/IAQ Unit of project modifications by fax (number above) or e-mail (address above) and the appropriate county health department by fax. Project modifications include changes in the scope of work or the scheduled work dates, etc. This demolition approval notice is valid beginning 4/4/2019. The actual scheduled work dates are from 4/4/2019 through 5/3/2019. Approval issued on: 3/25/2019 Record number: 146991 Notice Number: 19JE1854D For the location specified below: Shed 3 11661 W. 44th Ave Wheatridge Jefferson County This notice has been issued to: Alpine Demolition 5990 Kipling St. #200 Arvada, CO 80003 Fee Paid: $55.00 Check number: 9121 Asbestos Building Inspector: Weston Short Cerification No.: 23540 Inspection Date: 03/21/2019 Issued by: S Colorado DartA of Public th' and Environment b�EMOLITION NOTIFICATION APPLICATION FORM G APPLICATION FEE MUST ACCOMPANY THIS FORM r INCOMPLETE APPLICATIONS WILL BE RETURNED pt (Notice will be mailed to the demolition contractor unless specified otherwise) Fee: $50 + $5 per 1000 ft2 of area to be demolished = $ 55.00 (See Instruction #1 on reverse side) Submit form to: Permit Coordinator Colorado Dept. of Public Health and Environment APCD-IE-B1 4300 Cherry Creek Drive South Denver, CO 80246-1530 Phone: 303-692-3100 Fax: 303-782-0278 Asbestos@state.co.us " Regulated asbestos -containing materials means (a) friable asbestos -containing material, (b) Category I nonfriable ACM that has become friable, (c) Category I nonfriable ACM that will be or has been subjected to sanding,rig nding, cutting, or abrading or (d) Category II nonfriable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation operations regulated by this regulation. Note: Asbestos -containing sheet vinyl and linoleum must be properly abated/removed prior to demolition. Form. DNA08 Rev. 01/30/08 Company Name: Building Name: Alpine Demolition Shed 2 Street: Square footage of footprint of facility or portion of facility to be demolished 5990 Kipling Pkwy #200 3%3 VCity: State: Zip Code: Street: E Arvada CO 80004 :: 11661 W 44th Ave Telephone # Fax # city: County: Zip Code: C iA 0 303-421-3366 303-940-0868 C Wheat Ride Jefferson 80033 +; Project Manager: Cell Phone # Proposed Start Date Proposed ompletion Date p Annah Fairchild (303) 901-9830 Method/Means of Demolition: „= 1 certify that the Certified Asbestos Building Inspector has informed me E 6 about any remaining asbestos -containing materials in the facility to be d 0 E d demolished. t 0 wrecking ❑ Buming ❑ Implosion [IMoving [I Other, specify: S' nature: Print Name: O Yt X L PdJ Annah Fairchild t _'i Ila ndfill Receiving Building Debris: _ Y, ` Burning requires additional authorization -Please Call (303) 892-3100 and ask to speak to the Open Burning Permit Coordinator Ge -1 A---nt Contractor (GAC) ` Owner's Name: ` �p Total Quantity Asbestos Removed C 3 _C_ Street: rte, CDi-na wsoestos rermit # of O P ^1 0 V , City: State: Zip Code: Z E C Date Removal Telephone # _ Completed7 C QIX C ( '� CO V Type(s) of Asbestos -containing Material Removed: m Telephone # Contact's Name: Stephen Sundber 720 473-7019 With my signature below, I certify that I possess current AHERA accreditation and state of Colorado certification as c an Asbestos Building Inspector. I also certify that I have thoroughly inspected the facility to be demolished, as listed in the Demolition Site block above, sampled all suspect materials, had all samples analyzed for the presence of Q, asbestos by a NVLAP-accredited laboratory, and have determined that no Regulated ACM exists anywhere in the facility.* I also certify that I have informed the owner/operator of the facility or the demolition contractor that any o asbestos -containing material allowed to stay in the facility must remain non -friable during demolition. Specify type(s) box(es)): of ACM remaining, below: (check appropriate 2 a � El Vinyl asbestos floor file (VAT) El VAT mastic ❑Tar/asphalt impregnated roofing El Asphaltic pipe coatings Q ,o v ElS ra -applied tar coatingsCaulking ❑ Glazing ❑ Other, specify: 0) Signature: (In to Ink) Printed Name: V Date of Final Inspection 3-2i- Z ic( do Cert # 235't Expirafon Date / o cv Telephone # i Cell Phone # 3J355L5 0771 (33 525 677 I verify that all refrigerants from air conditioning/refrigeration appliances have been properly recovered in accordance with AQCC Regulation No. 15 (for information on CFC requirements call 692-3100). 1 further verify that all luminous exit signs (containing radioactive material) have been ce 0 disposed of in accordance with 6 CCR 1007-1 subpart 3.6.4.3 (for information on luminous exit sign requirements call 303-692-3320). m ` CHE K THE APPROPRIATE BOX: r �.. m0 C Buildin Owner ❑ Contractor ❑ Other Date. 1 V lure: Prin me: Mn it THIS BOX IS FOR CDPHE USE ONLY: Postmark or Hand Delivery Date: �2 �/ Approved By: Code: 0 initial -310 ❑ transfer -380 Form of Payment & #: r ` } �a P RecoDate Issued: " Regulated asbestos -containing materials means (a) friable asbestos -containing material, (b) Category I nonfriable ACM that has become friable, (c) Category I nonfriable ACM that will be or has been subjected to sanding,rig nding, cutting, or abrading or (d) Category II nonfriable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation operations regulated by this regulation. Note: Asbestos -containing sheet vinyl and linoleum must be properly abated/removed prior to demolition. Form. DNA08 Rev. 01/30/08 Colorado Department of Public Health and Environment Air Pollution Control Division — Indoor Environment Program — Asbestos/IAQ Air Unit 4300 Cherry Creek Drive South, APCD-IE-B1 Denver, Colorado 80246-1530 Phone: 303-692-3100—Fax: 303-782-0278 E-mail: asbestos@state.co.us DEMOLITION APPROVAL NOTICE This approval notice is granted subject to Colorado Air Quality Control Commission Regulation No. 8, Part B, adopted December 21, 2007, and effective January 30, 2008 and the Colorado Air Pollution Prevention and Control Act C.R.S. (25-7-101 and 25-7-501 et seq). This notice signifies that the structure was inspected for asbestos, luminous exit signs (containing radioactive material), and Ozone -Depleting Refrigerants and the demolition contractor has properly notified the Colorado Department of Public Health and Environment pursuant to Regulation No. 8, Part B. As a contractor, you may be subject to other demolition licenses and permits, depending on the requirements of the county and municipality in which the work is being performed. The Colorado Department of Public Health and Environment, Air Pollution Control Division, strongly suggests that you check with county and municipal authorities in order to detennine any other local building/pennitting requirements that must be met. Please note that certain asbestos -containing materials (ACM) may remain in the structure during demolition. Therefore, any demolition debris left behind after the completion of post - demolition site cleanup may constitute a "reason to know of asbestos -contaminated soil" at the site, subject to the requirements of Section 5.5 of the Solid Waste Regulations (6 CCR 1007-2, Part 1). THE ORIGINAL APPROVAL NOTICE MUST BE POSTED ON SITE AT ALL TIMES. Immediately notify the Asbestos/IAQ Unit of project modifications by fax (number above) or e-mail (address above) and the appropriate county health department by fax. Project modifications include changes in the scope of work or the scheduled work dates, etc. This demolition approval notice is valid beginning 4/4/2019. The actual scheduled work dates are from 4/4/2019 through 5/3112019. Approval issued on: 3/25/2019 Record number: 146994 Notice Number: 19JE1857D For the location specified below: Shed 2 11661 W. 44th Ave Wheatridge Jefferson County This notice has been issued to: Alpine Demolition 5990 Kipling St. #200 Arvada, CO 80003 Fee Paid: $55.00 Check number: 9121 Asbestos Building Inspector: Weston Short Cerification No.: 23540 Inspection Date: 03/21/2019 Issued by: SY ° 1COpEMOLITION NOTIFICATION APPLICATION FORM APPLICATION FEE MUST ACCOMPANY THIS FORM INCOMPLETE APPLICATIONS WILL BE RETURNED Colorado Dergl� (Notice will be mailed to the demolition contractor unless specified otherwise) of Public ` and Enviro nt Fee: $50 + $5 per 1000 ft2 of area to be demolished = $ 55.00 (See Instruction #1 on reverse side) Submit form to: Permit Coordinator Colorado Dept. of Public Health and Environment APCD-IE-B 1 4300 Cherry Creek Drive South Denver, CO 80248-1530 Phone: 303-892-3100 Fax: 303-782-0278 Asbestos@state.co.us * Regulated asbestos -containing materials means (a) friable asbestos -containing material, (b) Category I norifnable ACM that has become friable, (c) Category I nonfriable ACM that will be or has been subjected to sanding, grindin , cuttin , or abrading or (d) Category II nonfriable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation operations regulated by this regulation. Note: Asbestos -containing sheet vinyl and linoleum must be properly abated/removed prior to demolition. Form. DNA08 Rev 01130/08 mpany Name: Building Name: Alpine Demolition Shed 1 7—i eet: Square footage of footprint of facility or portion of facility to be demolished 5990 Ki lin P #200 216 : State: Zip Code: Street: Arvadaff CO 80004 :: 11661 W 44th Ave •' Co Telephone # Fax # City: County. Zip Code. V303-421-3366 303-940-0868C Ride Jefferson 80033 Project Manager. Cell Phone # Proposed qtart.Date Proposed Completion Date Wheat = o Annah Fairchild (30_3)_ 901-9830 O Method/Manns of Demolition: I certify that the Certified Asbestos Building lnsiiiii6 has informed me E p about any remaining asbestos -containing materials in the facility to be G E 0S' demolished. t 19 Wrecking ❑ Buming ❑ Implosion ❑ Moving ❑ Other, specify: nature: Print Name: O Annah Fairchild t Burning requires additional authorization -Please call (303) 892-3100 and ask '�ndfill Receiving Building Debris: to speak to the Open Burning Permit Coordinator Genefal Abatement Contractor (GAC) ` Owners Name: �— - C ~ CnPHE Asbesos Permit # Total Quantity of Asbestos Removed3 Street: (gyp m r d O` 0) EC 1M C City: State: Zip Code: co Date Removal Completed Telephone # . a cl: Type(s) 9f Asbestos -Containing Material Removed: m Contact's Name: Telephone # .10 Stephen Stmdber 720) 473-7019 With my signature below, I certify that I possess current AHERA accreditation and state of Colorado certification as c an Asbestos Building Inspector. I also certify that I have thoroughly inspected the facility to be demolished, as listed in the Demolition Site block above, sampled all suspect materials, had all samples analyzed for the presence of o, asbestos by a NVLAP-accredited laboratory, and have determined that no Regulated ACM exists anywhere in the facility.* I also certify that I have informed the owner/operator of the facility or the demolition contractor that any o asbestos -containing material allowed to stay in the facility must remain non -friable during demolition. Specify type(s) box(es)): W of ACM remaining, below: (check appropriate 4) a U Qm ❑ Vinyl asbestos floor tile (VAT) ❑ VAT mastic ❑ Tar/asphalt impregnated roofing ❑ Asphaltic pipe coatings U ❑ Spray -applied to coatin s Caulking❑ Glazing❑ Other, specify: ❑ 0 Signature' (In Blue Ink) Printed N e: h1k ID V Date of mal Inspection 3-21 2�� CO Cert # 0237�/c Expirafi9n Dote 3/I �Zot� Telephone # Cell Phone # 303 r'fz5 o77Ji 3�3 525 671 I verify that all refrigerants from air conditioning/refrigeration appliances have been properly recovered in accordance with AQCC Regulation No. 15 (for information on CFC requirements call 692-3100). 1 further verify that all luminous exit signs (containing radioactive material) have been p disposed of in accordance with 6 CCR 1007-1 subpart 3.6.4.3 (for information on luminous exit sign requirements call 303-692-3320). C U CHHE APPR OPRIATE BOX: m03 o Buil ing wner ❑ Contractor El Other Date: U Si Prin me: ure r &kA a Li ti THIS Box is FOR CDPHE USE ONLY: Postmark or 7Handdivery Date:.3 �� t r /9 Approved By: �� Code: 0 initial -310 ❑ transfer -380 Form of Pay�� (yam--. P '� 1 Reco ; . ite Issued: * Regulated asbestos -containing materials means (a) friable asbestos -containing material, (b) Category I norifnable ACM that has become friable, (c) Category I nonfriable ACM that will be or has been subjected to sanding, grindin , cuttin , or abrading or (d) Category II nonfriable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation operations regulated by this regulation. Note: Asbestos -containing sheet vinyl and linoleum must be properly abated/removed prior to demolition. Form. DNA08 Rev 01130/08 Colorado Department of Public Health and Environment Air Pollution Control Division — Indoor Environment Program — Asbestos/IAQ Air Unit 4300 Cherry Creek Drive South, APCD-IE-B1 Denver, Colorado 80246-1530 Phone: 303-692-3100 — Fax:. 303-782-0278 E-mail: asbestos@state.co.us DEMOLITION APPROVAL NOTICE This approval notice is granted subject to Colorado Air Quality Control Commission Regulation No. 8, Part B, adopted December 21, 2007, and effective January 30, 2008 and the Colorado Air Pollution Prevention and Control Act C.R.S. (25-7-101 and 25-7-501 et seq). This notice signifies that the structure was inspected for asbestos, luminous exit signs (containing radioactive material), and Ozone -Depleting Refrigerants and the demolition contractor has properly notified the Colorado Department of Public Health and Environment pursuant to Regulation No. 8, Part B. As a contractor, you may be subject to other demolition licenses and permits, depending on the requirements of the county and municipality in which the work is being perfonned. The Colorado Department of Public Health and Environment. Air Pollution Control Division, strongly suggests that you check with county and municipal authorities in order to determine any other local building/permitting requirements that must be met. Please note that certain asbestos -containing materials (ACM) may remain in the structure during demolition. Therefore, any demolition debris left behind after the completion of post - demolition site cleanup may constitute a "reason to know of asbestos -contaminated soil" at the site, subject to the requirements of Section 5.5 of the Solid Waste Regulations (6 CCR 1007-2, Part 1). THE ORIGINAL APPROVAL NOTICE MUST BE POSTED ON SITE AT ALL TIMES. Immediately notify the Asbestos/IAQ Unit of project modifications by fax (number above) or e-mail (address above) and the appropriate county health department by fax. Project modifications include changes in the scope of work or the scheduled work dates, etc. This demolition approval notice is valid beginning 4/4/2019. The actual scheduled work dates are from 4/4/2019 through 5/3/2019. Approval issued on: 3/25/2019 Record number: 146993 Notice Number: 19JE1856D For the location specified below: Shed 1 11661 W. 44th Ave Wheatridge Jefferson County This notice has been issued to: Alpine Demolition 5990 Kipling St. #200 Arvada, CO 80003 Fee Paid: $55.00 Check number: 9121 Asbestos Building Inspector: Weston Short Cerification No.: 23540 Inspection Date: 03/21/2019 Issued by: SM °F CO *eJ�.�EMOLITION NOTIFICATION APPLICATION FORM Cj APPLICATION FEE MUST ACCOMPANY THIS FORM 6 INCOMPLETE APPLICATIONS WILL BE RETURNED Colorado D e (Notice will be mailed to the demolition contractor unless specified otherwise) of Public Huth and Environment Fee: $50 + $5 per 1000 ft2 of area to be demolished = $ 55.00 (See instruction 91 on reverse side) Submit fort to Permit Coordinator Colorado Dept of Public Health and Environment APCD-IE-B1 4300 Cherry Creek Drive South Denver, CO 80248-1530 Phone: 303-892-3100 Fax: 303-782-0278 Asbestos(gstate.co.us Regulated asbestos -containing materials means (a) friable asbestos -containing material, (b) Category I non riable ACV that has become friable, (c) Category I nonfriable ACM that will be or has been subjected to sanding,rig nding, cutting, or abrading or (d) Category II nonfriable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation operations regulated by this regulation. Note: Asbestos -containing sheet vinyl and linoleum must be properly abated/removed prior to demolition. Form: DNA08 Rev 01/30/08 Company Name: Building Name: Alpine Demolition Garage Street: Square footage of footprint of facility or portion of facility to be demolished 5990 Kipling Pkwy #200 306 0 ++ City: State: Zip Code: Street: Arvada CO 80004 w 11661 W 44th Ave C d) Telephone # Fax # City: County: Zip Code: V 303-421-3366 303-940-0868 Wheat Ride Jefferson 80033 c Project Manager: Cell Phone # Proposed Start Date Proposed Completion Date p Annah Fairchild (303) 901-9830 ---- - p- Method/Means of Demolition: „: I certify that the Certified Asbestos Building Inspector has informed me I: p about any remaining asbestos -containing materials in the facility to be C E 4) demolished. t ® Wrecking 0 Buming ❑ Implosion ❑ Moving ❑ Other, specify: --� Print Name: DAnnah ;n�dfillnature: CA Fairchild rBurning requires additional authorization —Please call (303) 892-3100 and ask Receiving Building Debris: to speak to the Open Burin Permit Coordinator neral Abatement Contractor (GAC) ` Owners Name: pPHE Asbestos Pdrmit # Total Quantity of Asbestos RemoveO C it _ ? C} Street:; ^� ) 1100ovo Vf1t 3Zae Removal Completed Telephone # C City: State: Zipa a - CO 2rw Type(s) of Asbestos -Containing Material Removed: m Contact's Name: _, Telephone # Stephen Sundber 473-7019 I.720 With my signature below, I certify that I possess current AHERA accreditation and state of Colorado certification as c an Asbestos Building Inspector. I also certify that I have thoroughly inspected the facility to be demolished, as listed U in the Demolition Site block above, sampled all suspect materials, had all samples analyzed for the presence of CL asbestos by a NVLAP-accredited laboratory, and have determined that no Regulated ACM exists anywhere in the c C facility.' I also certify that I have informed the owner/operator of the facility or the demolition contractor that any asbestos -containing material allowed to stay in the facility must remain non -friable during demolition. Specify type(s) m' of ACM remaining, below: (check appropriate box(es)): � El Vinyl asbestos floor the (VA� El VAT mastic EJTarlasphalt impregnated roofing El Asphaltic pipe coatings a v ElSpray-applied tar coatings Caulking ❑ Glazing ❑ Other, specify: d Signature: (1 Blue Ink) Printed Name: 's V Date of Final Inspection 3- Cert # �. 0 Expiration 9ate -3 LO " Telephone # Cell Phone # 303 ?L5 0177 077 1 verify that all refrigerants from air conditioning/refrigeration appliances have been properly recovered in accordance with AQCC Regulation No. 15 (for information on CFC requirements call 692-3100). 1 further verify that all luminous exit signs (containing radioactive material) have been 70)- disposed of in accordance with 6 CCR 1007-1 subpart 3.6.4.3 (for information on luminous exit sign requirements call 303-692-3320). K THE APPROPRIATE BOX: 0 B ilding ner ❑ Contractor ❑ Other Date: V natu P are: - GC THIS Box is FOR CDPHE USE ONLY: Postmark or Hand Delivery Date::' ^ ( /� `t Approved By: Code: Q ihitial-310 ❑ transfer -380 Fo ofof Payment 8 P Record to Issued: Regulated asbestos -containing materials means (a) friable asbestos -containing material, (b) Category I non riable ACV that has become friable, (c) Category I nonfriable ACM that will be or has been subjected to sanding,rig nding, cutting, or abrading or (d) Category II nonfriable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation operations regulated by this regulation. Note: Asbestos -containing sheet vinyl and linoleum must be properly abated/removed prior to demolition. Form: DNA08 Rev 01/30/08 Colorado Department of Public Health and Environment Air Pollution Control Division — Indoor Environment Program — Asbestos/IAQ Air Unit 4300 Cherry Creek Drive South, APCD-IE-B1 Denver, Colorado 80246-1530 Phone: 303-692-3100 — Fax: 303-782-0278 E-mail: asbestos@state.co.us DEMOLITION APPROVAL NOTICE This approval notice is granted subject to Colorado Air Quality Control Commission Regulation No. 8, Part B, adopted December 21, 2007, and effective January 30, 2008 and the Colorado Air Pollution Prevention and Control Act C.R.S. (25-7-101 and 25-7-501 et seq). This notice signifies that the structure was inspected for asbestos, luminous exit signs (containing radioactive material), and Ozone -Depleting Refrigerants and the demolition contractor has properly notified the Colorado Department of Public Health and Environment pursuant to Regulation No. 8, Part B. As a contractor, you may be subject to other demolition licenses and pen -nits, depending on the requirements of the county and municipality in which the work is being performed. The Colorado Department of Public Health and Environment, Air Pollution Control Division, strongly suggests that you check with county and municipal authorities in order to determine any other local building/penmitting requirements that must be met. Please note that certain asbestos -containing materials (ACM) may remain in the structure during demolition. Therefore, any demolition debris left behind after the completion of post - demolition site cleanup may constitute a "reason to know of asbestos -contaminated soil" at the site, subject to the requirements of Section 5.5 of the Solid Waste Regulations (6 CCR 1007-2, Part 1). THE ORIGINAL APPROVAL NOTICE MUST BE POSTED ON SITE AT ALL TIMES. Immediately notify the Asbestos/IAQ Unit of project modifications by fax (number above) or e-mail (address above) and the appropriate county health department by fax. Project modifications include changes in the scope of work or the scheduled work dates, etc. This demolition approval notice is valid beginning 4/4/2019. The actual scheduled work dates are from 4/4/2019 through 5/3/2019. Approval issued on: 3/25/2019 Record number: 146992 Notice Number: 19JE1855D For the location specified below: Garage 11661 W. 44th Ave Wheatridge Jefferson County This notice has been issued to: Alpine Demolition 5990 Kipling St. 4200 Arvada, CO 80003 Fee Paid: $55.00 Check number: 9121 Asbestos Building Inspector: Weston Short Cerification No.: 23540 Inspection Date: 03/21/2019 Issued by: ISIA OF COLO ° N°",�D�QAOLITION NOTIFICATION APPLICATION FORM APPLICATION FEE MUST ACCOMPANY THIS FORM 'x'876 * ` a INCOMPLETE APPLICATIONS WILL BE RETURNED Colorado Departme (Nt will be mailed to the demolition contractor unless specified otherwise) of Public Health? 2 and Environment Fee: $50 + $5 per 1000 ft of area to be demolished = $ +} (See instruction #1 on reverse side) Submit form to: Permit Coordinator Colorado Dept. of Public Health and Environment APCD-IE-81 4300 Cherry Creek Drive South Denver, CO 80246-1530 Phone: 303-692-3100 Fax. 303-782-0278 Asbestos@state.co.us " Regulated asbestos -containing materials means (a) friable asbestos -containing material, (b) Categdry I nonfriable ACM that has become friable, (c) Category I nonfriable ACM that will be or has been subjected to sanding,rig nding, cutting, or abrading or (d) Category II nonfriable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation operations regulated by this regulation. Note: Asbestos -containing sheet vinyl and linoleum must be properly abatedlremoved prior to demolition. Form DNA08 Ree 01'30'08 Company Name: Building Na f1 \"-An Street: Square footage of footprint of facility or portion of facility to be demolished 0 City: S ate: Z' Code: Street: 4' `o U) c Telephone # Fax # City: t�hc.af- (?,d e County: Tcf rror� Zip Code: gce33 U ( ) w Project Manager: Cell Phone # q�� Proposed St rt Date Proposed Completion Date I certify that the Certified Asbestos Building Inspector has informed me Method ares of Demolition - E 0 about any remaining asbestos -containing materials in the facility to be N d demolished. (Wrecking ❑ Burningt ❑ Implosion ❑ Moving ❑ Other, specify: naure: S' t Print Name: " O l ndfill Receiving EFuilddingDebris: Burning requires additional authorization -Please call (303) 692-3100 and ask to speak to the Open Burning Permit Coordinator General Abatggment Contractor (GAC) `/ I `— ` Owner's Name: - ✓a ✓� t' , % e q /" a) %'r ace L C C ` p R 0 o �+ CDPHE Asbestd ermit # / J>< ZZ Total Quantity of Asbestos Remove 0 �� o. ?rJ > Street: �� Wq3 S. 611,110,J br. , ` 4) EC o X Date Re%ovarl ,Copmpleted elephone # 3/iI t rg �� Ci State: remid.0 oct {%i I t a a eO Zip Code: 80/l ( Q U Type(s) of Asbestos-Containin erial Remole, L q/"gJ LJ C-W(k,- ULi m Contact's Name: Telephone # Ste hen Sundbe (720 ) V3 7o/7 With my signature below, I certify that I possess current AHERA accreditation and state of Colorado certification as o an Asbestos Building Inspector. I also certify that I have thoroughly inspected the facility to be demolished, as listed in the Demolition Site block above, sampled all suspect materials, had all samples analyzed for the presence of a asbestos by a NVLAP-accredited laboratory, and have determined that no Regulated ACM exists anywhere in the = facility." I also certify that I have informed the owner/operator of the facility or the demolition contractor that any rn o asbestos -containing material allowed to stay in the facility must remain non -friable during demolition. Specify type(s) HM of ACM remaining, below: (check appropriate box(es)'): tin ❑ Vinyl asbestos floor tile (VAT) ❑ VAT mastic ❑ Tar/asphalt impregnated roofing ❑ Asphaltic pipe coatings a 0 ❑ Spray -applied tar c atin s ❑ Caulking ❑ Glazin ❑ Other, specify: v o Signat e: (I Blue Ink) VIZ/ Printed pam�e y V Date of Final Inspection CO Cert # 'Expiration Date Telephone # I Cell Phone # (3�3) '6L507771 ( :5 )5z5 b7 7 - I verify that all refrigerants from air conditioning/refrigeration appliances have been properly recovered in accordance with AQCC Regulation No. 15 (for information on CFC requirements call 692-3100). 1 further verify that all luminous exit signs (containing radioactive material) have been C p disposed of in accordance with 6 CCR 1007-1 subpart 3.6.4.3 (for information on luminous exit sign requirements call 303-692-3320). COOwn BOX: r ❑ Contractor ❑ Other Date: 2CHECKAPPROPRIATE --- -- -- --- -- t Name: v /�tirz a THIS BOX IS FOR CDPHE USE ONLY: r Hand Delivery Date: �I'�/ Approved By: 4 ..- Code: Ealnitial-310 ❑ transfer -380 EFormof ment & #: yi? 1 1,C� P , Lecor Date Issued: " Regulated asbestos -containing materials means (a) friable asbestos -containing material, (b) Categdry I nonfriable ACM that has become friable, (c) Category I nonfriable ACM that will be or has been subjected to sanding,rig nding, cutting, or abrading or (d) Category II nonfriable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation operations regulated by this regulation. Note: Asbestos -containing sheet vinyl and linoleum must be properly abatedlremoved prior to demolition. Form DNA08 Ree 01'30'08 Colorado Department of Public Health and Environment Air Pollution Control Division — Indoor Environment Program — Asbestos/IAQ Air Unit 4300 Cherry Creek Drive South, APCD-IE-B1 Denver, Colorado 80246-1530 Phone: 303-692-3100 — Fax: 303-782-0278 E-mail: asbestos@state.co.us DEMOLITION APPROVAL NOTICE This approval notice is granted subject to Colorado Air Quality Control Commission Regulation No. 8, Part B, adopted December 21, 2007, and effective January 30, 2008 and the Colorado Air Pollution Prevention and Control Act C.R.S. (25-7-101 and 25-7-501 et seq). This notice signifies that the structure was inspected for asbestos, luminous exit signs (containing radioactive material), and Ozone -Depleting Refrigerants and the demolition contractor has properly notified the Colorado Department of Public Health and Environment pursuant to Regulation No. 8, Part B. As a contractor, you may be subject to other demolition licenses and pennits, depending on the requirements of the county and municipality in which the work is being performed. The Colorado Department of Public Health and Environment, Air Pollution Control Division, strongly suggests that you check with county and municipal authorities in order to detennine any other local building/permitting requirements that must be met. Please note that certain asbestos -containing materials (ACM) may remain in the structure during demolition. Therefore, any demolition debris left behind after the completion of post - demolition site cleanup may constitute a "reason to know of asbestos -contaminated soil" at the site, subject to the requirements of Section 5.5 of the Solid Waste Regulations (6 CCR 1007-2, Part 1). THE ORIGINAL APPROVAL NOTICE MUST BE POSTED ON SITE AT ALL TIMES. Immediately notify the Asbestos/IAQ Unit of project modifications by fax (number above) or a -mail (address above) and the appropriate county health department by fax. Project modifications include changes in the scope of work or the scheduled work dates, etc. This demolition approval notice is valid beginning 4/4/2019. The actual scheduled work dates are from 4/4/2019 through 5/3/2019. Approval issued on: 3/25/2019 Record number: 146990 Notice Number: 19JE1853D For the location specified below: Residential house 11661 W. 44th Ave Wheatridge Jefferson Countv This notice has been issued to: Alpine Demolition 5990 Kipling St. #200 Arvada, CO 80003 Fee Paid: $70.00 Check number: 9121 Asbestos Building Inspector: Weston Short Cerification No.: 23540 Inspection Date: 03/21/2019 Issued by: SM Submit form to: Permit Coordinator Colorado Dept. of Public Health and Environment APCD-IE-Bt 4300 Cherry Creek Drive South Denver, CO 80246-1530 Phone: 303-692-3100 Fax: 303.782.0278 asbestos@state.co.us Name of Facility: Facility Location: 11661 W 4411 Ave Wheatridge 11661 W 441 Ave Wheatridge GAC/Consultant: Phone # Fax # Advantage Environmental INC 720-394-6592 303-500-8631 E-mail Address: Permit Number (if already issued): eric@advantageabatement.com 19JE 1422A Please check the appropriate box(es) in A, B and C, as applicable: 1y(P,y3? A. Upgrade to: ❑ 30 -day permit ❑ 90 -day permit ❑ I -year permit B. ❑ Request to cancel above notice/permit. (Al l but $80 of the application fee will be returned. If you paid by check or money order, a state of Colorado Warrant will be mailed to the company appearing in the contractor box on the application. If you paid by credit card, a credit will be issued to the same account used to pay for the original application, fee.) C. Change in: ❑ Supervisor: ❑ A.M.S.: ❑ Project Manager: Certification # Certification # Certification # ❑ Start Date: ❑ End Date: ❑ Work Times: ❑ Disposal Site: ❑ County: ® Additional Scope of work (include type of ACM, quantity, location in or on facility and work practices): 20 sf window glazing b y �A k'„n v wj' i-11 1 Ji Act a M1 DIGS 0- 0-5,'A 4 -t -5,'A4 WL -l- �tavtl.l� M(A"J5, r r-G-0yr—t ,!4 �k- MUMAV' i"LMAsAl PO4 f-P'aVt- I-11IV,,4�tsv� (� n1�/ty/'10Acrt ,In �D�lnlI- %irw I J�tS �ri-r i�ar i 1— t`�zdr %r+ii-L Set ttdct�,`u,w( 1.rr1< pirui� cs. 2 (bc7L F 4 q SF I certify that I am the person authorized to sign this modification on behalf of the General Abatement Contractor and that all statements made in this modification are, to the best of my knowledge, correct and complete. (Note: Making false statements on this application c9nstitGfes second-degree perjury as defined by 18-8-503 C.R.S., and is punishable by law.) Representative Signature 3/19/19 Date Eric Korum President Printed Name Position or Title Form: KPM08 Rev. 01/30/08 p�gp6�h�� o� pF•co yam" ASBESTOS/DEMOLITION * rays NOTIFICATION and PERMIT Colorado Department MODIFICATION FORM of Public Health and Environment Submit form to: Permit Coordinator Colorado Dept. of Public Health and Environment APCD-IE-Bt 4300 Cherry Creek Drive South Denver, CO 80246-1530 Phone: 303-692-3100 Fax: 303.782.0278 asbestos@state.co.us Name of Facility: Facility Location: 11661 W 4411 Ave Wheatridge 11661 W 441 Ave Wheatridge GAC/Consultant: Phone # Fax # Advantage Environmental INC 720-394-6592 303-500-8631 E-mail Address: Permit Number (if already issued): eric@advantageabatement.com 19JE 1422A Please check the appropriate box(es) in A, B and C, as applicable: 1y(P,y3? A. Upgrade to: ❑ 30 -day permit ❑ 90 -day permit ❑ I -year permit B. ❑ Request to cancel above notice/permit. (Al l but $80 of the application fee will be returned. If you paid by check or money order, a state of Colorado Warrant will be mailed to the company appearing in the contractor box on the application. If you paid by credit card, a credit will be issued to the same account used to pay for the original application, fee.) C. Change in: ❑ Supervisor: ❑ A.M.S.: ❑ Project Manager: Certification # Certification # Certification # ❑ Start Date: ❑ End Date: ❑ Work Times: ❑ Disposal Site: ❑ County: ® Additional Scope of work (include type of ACM, quantity, location in or on facility and work practices): 20 sf window glazing b y �A k'„n v wj' i-11 1 Ji Act a M1 DIGS 0- 0-5,'A 4 -t -5,'A4 WL -l- �tavtl.l� M(A"J5, r r-G-0yr—t ,!4 �k- MUMAV' i"LMAsAl PO4 f-P'aVt- I-11IV,,4�tsv� (� n1�/ty/'10Acrt ,In �D�lnlI- %irw I J�tS �ri-r i�ar i 1— t`�zdr %r+ii-L Set ttdct�,`u,w( 1.rr1< pirui� cs. 2 (bc7L F 4 q SF I certify that I am the person authorized to sign this modification on behalf of the General Abatement Contractor and that all statements made in this modification are, to the best of my knowledge, correct and complete. (Note: Making false statements on this application c9nstitGfes second-degree perjury as defined by 18-8-503 C.R.S., and is punishable by law.) Representative Signature 3/19/19 Date Eric Korum President Printed Name Position or Title Form: KPM08 Rev. 01/30/08 11661 W. 44w Ave Lakewood CO. Window Removal Steps 1. Walk up to the window and visually assess whether it is suitable to be removed without impacting asbestos. 2. Lay down a 6 mil drop cloth and critical the interior with a layer of 6 mil in case of a release. 3. There is a vertical and horizontal trim piece holding in the window in place. 4. 1 will look at this piece and make sure its in good condition so we can remove it with a pry bar. 5. After a brief pause, I will slowly remove the 1x1 trim piece so the window will release from its position in the frame. 6. 1 will then spray it with an amended water to assure we are not going to have a release of fibers. 7. After we have taken ALL precautions, we will then use two layers of 6 mil to wrap each window to be transported to the asbestos waste facility. 8. All work will be done a regulated area, to warn potential victims of a hazardous work area. 9. 1 will use a pry bar, a razor knife to remove the trim piece securing the window to the frame. 10. All work will be closely monitored by a supervisor to assure these steps will be followed. "ECEATD #4#702#19 �b City of Wheat Ridge Residential Asbestos Abatement PERMIT - 201900449 PERMIT NO: 201900449 ISSUED: 03/19/2019 JOB ADDRESS: 11661 W 44th Ave EXPIRES: 03/18/2020 JOB DESCRIPTION: Asbestos abatement of single family residence 1588 sq.ft. CDOHE Asbestos Abatement Permit #19JE1422A. *** CONTACTS *** OWNER (303)278-1988 LINCS CARPET CARE TRUST GC (720)488-1600 BILL LYONS, JR 190054 RIVERSIDE TERRACE, LLC SUB (720)394-6592 ERIC KORUM 190059 ADVANTAGE ENVIRONMENTAL *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,250.00 Total Valuation Demolition Fee ** TOTAL ** *** COMMENTS *** FEES 0.00 50.00 50.00 *** 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, applica le building codes, and all applicable municipal codes, policies and procedures, and that I am t e legal owner or have been authorized by the legal owner of the roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with this�permit. I furthe that I am Ie ally authorized to include al I entities named within this document as parties to the work to be performed a t 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 I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3_ If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Offial 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 o a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicabl e or any or nce 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. -A City of ) W heat fide ( ()MMUNI lY UEvE i-cw.MLNh e re_ n Building & Inspection Services �—�E�J� I �( 7500 W. 291' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm itsna.ci.wheatridge.co.us FOR OFFICE USE ONLY Date: 1 /( b�/ Plan/Permit # 0i V Plan Review Fee: ,Z1 v Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 1( 6 C. I W y If-%, A,4 -, W kt-a'I" F�t' J q e. CO 190033 Property Owner (please print): 7 e- 1-raac e LCC Phone: 7m q73 -7019 Property Owner Email: SSvr�dber9 Q creet�s clecan�►,��n� }:oS . co�+1 J Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: (e N 1 -S , W 'Flo fir. ,Ste 300 City, State, Zip: C7,(e-P n L'i o o e� �% t � (�tc12 , C-0 ea r < Architect/Engineer "IA Architect/Engineer E-mail: Contractor Name: C,'vL* Vs►' de T r-aLc e 6(( Phone: City of Wheat Ridge License #: 19C�OS" `� Phone: %LO V73 7611 Contractor E-mail Address: s"surlclbeQ (2 - For For Plan Review Questions & Comments (please print): CONTACT NAME (please print): S'�c �1�e �r� Svr,�b_Phone:_ 7ZO y73 76/ CONTACT EMAIL(please print): S S,J ru� bc�rG L° Gree!- 3 c(e M M^' ,u n.'f ('n1, cow 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 # l gcic jCl Other City Licensed Sub: AAv-cttk4-t)G A444 (, '; Other City Licensed Sub: City License # IS U. -6£ I) J City License # mow. Complete all highlighted fields. [-]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. k� est -00 ab�{-r- Mk-n.-� 0�7 5:'9(e -�M� 1 y res/rc%n ce Se ,�� o t+ ri'a n1 C� J. �x� s �,�q U,T e J 6 s:^ (e -�w<<I e y fl l v��,� S ��rafe �cr�� o��%"� GEaraacP. F /LF IrSS 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) Z 2-- S"O . O d 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: '#VERj —( TRACTOR)or fAUTHORIZED TATIVE) of (OWNER) I (CONTRACTOR) Signature (first and last name):DATE: Printed Name: h0-./1 S v r, el 10 em --4 ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: Colorado Department of Public Health and Environment Air Pollu!ton Conlroil D t" -on - tr Jocw Erivwc- --w-- *-t Program - Asbe-VMIAG Unit 4300 Ctie-ry teIee* D -w Sou*,tl AP1MIE-81 Denver Lk0246-1530 Phorre 303-78202778 it I " I ,NII V ASBL' rhos prnnst ",iAnicd - '" 4" w*Ns tv ( 44iwa#J�t Aj Q"kt� �vmaw*wwa Rcjrw4f%-n ilwt kii �Plwjvtc-J Dr� I It AM Cih%:uNC jjeuiiin "v :I 10s, the t 0w4", -tv NAtAKa ??"Vowav mod( t4dowl IR Is -t Ilse tolikK%mr, 1•ttet.lae3 tM4 Nsr rtw MW'T*—tw A Aimawkt s4v%& JI)DI I to t El RNI i I rRuNty ray IN-$ 'AN'.tild RV D, s 1%lem rMl 1hal the e K&%,mtialird or tu-� ail 4 4nd A"rd Lw I C1 R % ,q li net .an vocirr 0 cht, 1)omaiwi or ( ret aka;.ur. 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I I I v I •!97)I I I / m 31 AfO&VHS 2/V-17VA -'&3A//wo 1\ v 39VNIV&a \ S 1N31M5V3 s A1/711n s 9 370H 153E ` I 11 I - - - - - - I 1 107 1810 -NdV I SS3O9r --- I 1 \ \ 6L0 -60 -I00 -6r `\ 9 107 , 3 d i OIK I / ( �s 370'\ s I I \ I 1 37\QHISM I� I Hl rd NO/aa 1(9NrzWK) l I 1 I I _ I OCKY0700 j I 1Sn3&V-3 I Nos2/�.jr?i' .;o .(mnoo I 1.,370H IS31� / �L ,i9dcYVD $ONl7 I NOISI/flGr4nS 2/:�1_S[>W1HOl4 I I I \ I I I t �I— — — — — — — — — — — ,u L 107 a N 1N3N35Y3 30YN/Ya0 / I 1N3N3�Y3 HO1/o OLLYO/aH/ Y anon ,OI � I i o I \ 2/ SHW7/ NO�FJ2/n1 2/�NNO2/ 7g/N[jG NO3D2/n1 ;2/3N/40 I I NO/Sl/IIOBnS l\1o�02/n1 ZIZrI s75 ¢ 107 I E 107 q, d. a •6ma P, d9O a N ,i/1 f Puma OZ -S'SPOcP 7aa7,PN ODH I (s o9OlK) 0310N SV Lovmm N01103S ONnOJ SlIV310NI 7Oa1NO0 NOU"081 IBOK Sld 03dwr1S AMMON 13S S31Y010NI O "o1K 081z90/IS 0310N SV iorinNON ONnOL Sh ONI • S310N 1N3Wf1NOW s�BS O(YS /9NY'L711K) LN3w3SV3 Al 0 U ON/POW) .Ld33 OZ Ol 0 OZ 31VDS OIHdVHD S3NIl 831VM ONn08083ONn = S3Nn 3NOHd3l31 ONn08083ON0 = t t S311I1 SAE AWLN95 ONn0a0830Nn = s a S3Nn 31810313 OV3Ha3A0 SAll SN0 ONn080830Nn = a e SIN11 31813313 aNnMM30Nn = 7 7 3ON3J NNONIVH3 = —•—•.- 33N33 3HIM 038M _ •—•—•—• S3Nn 3NVId 0001) = .................. . SAIL AVM JO 1H918 = — — — S3Nn 1N3N35V3 =------------- S3Nn AMNAOO 1338Vd ONINIOrOV = - — — — — — - S3NO N01133S- S3NIl ABVONn08 1338Vd 133r8nS = ON39319NI1 I 1 I �rs1OL NK) 9 1O l>N11 3an5O7 N3 1 IE '► I • 1 (s,Bc"K) I 8313W 831VM \ \,17VHdSVs- 3AlVA SVD Will \ \ 9N107Ina ) �17YNd5Y'30 3003 F ni 91 \ �773N '3 v HL1ii�M 19911 I I �O(YS k 1 1NV80AH 3813 " A1nLLn .S - - - - - - LN3N3511 30YNIYaO - u 1' 1 --J6o+s 1SOd N015 ,; 35nOH 3ovjHnS HSINIJ s3 (emz 6OisJ \ I ® m" 33 AVM JO 1HOla MYl'a 1lVHdSV JO 3003 11 310d a3MOd 3381 Snon01030 r-------------- --qv .ko ivaPPe 9NrHa3nO r. I / / M313WlO o y ONf1080 1tl801VN I o3H5 I/ I D /JN1071nB 1 I * 1N3W3AVd 3J380N00 O I ON3931 NOIlVIA3a99V V109WAS r TOM 1S31-/' I/ S. I I I v I •!97)I I I / m I 3.9&10.BHN v =Ye x9lae 11 I - - - - - - - I -NdV I \ I -Wd \ \ 6L0 -60 -I00 -6r `\ 9 107 , 3 I;n I (9NL6LOK) II 1 37\QHISM I� y35Y�nYSYNO„ 1 1,/• 1 I I OCKY0700 j I Nos2/�.jr?i' .;o .(mnoo I / �L 370H LS31 I NOISI/flGr4nS 2/:�1_S[>W1HOl4 I I I \ I I I I Z 107 1 ,�� " I ONS I I lala/SSY49 1 (ON119 WQ . I fd 370H 1531 Cd 370H 1531 I "-Id 37OH 1631 I I I I I� •l@68111 - dPO wnwwnlY f'! P no/J N I -- / --.LOK.�\ II - --------- ----------- I I I - J --- �I— — — — — — — — — — — ,u L 107 a N 1N3N35Y3 30YN/Ya0 / I 1N3N3�Y3 HO1/o OLLYO/aH/ Y anon ,OI � I i o I \ 2/ SHW7/ NO�FJ2/n1 2/�NNO2/ 7g/N[jG NO3D2/n1 ;2/3N/40 I I NO/Sl/IIOBnS l\1o�02/n1 ZIZrI s75 ¢ 107 I E 107 q, d. a •6ma P, d9O a N ,i/1 f Puma OZ -S'SPOcP 7aa7,PN ODH I (s o9OlK) 0310N SV Lovmm N01103S ONnOJ SlIV310NI 7Oa1NO0 NOU"081 IBOK Sld 03dwr1S AMMON 13S S31Y010NI O "o1K 081z90/IS 0310N SV iorinNON ONnOL Sh ONI • S310N 1N3Wf1NOW s�BS O(YS /9NY'L711K) LN3w3SV3 Al 0 U ON/POW) .Ld33 OZ Ol 0 OZ 31VDS OIHdVHD S3NIl 831VM ONn08083ONn = S3Nn 3NOHd3l31 ONn08083ON0 = t t S311I1 SAE AWLN95 ONn0a0830Nn = s a S3Nn 31810313 OV3Ha3A0 SAll SN0 ONn080830Nn = a e SIN11 31813313 aNnMM30Nn = 7 7 3ON3J NNONIVH3 = —•—•.- 33N33 3HIM 038M _ •—•—•—• S3Nn 3NVId 0001) = .................. . SAIL AVM JO 1H918 = — — — S3Nn 1N3N35V3 =------------- S3Nn AMNAOO 1338Vd ONINIOrOV = - — — — — — - S3NO N01133S- S3NIl ABVONn08 1338Vd 133r8nS = ON39319NI1 I 1 I �rs1OL NK) I I 3an5O7 N3 1 IE '► I • 1 (s,Bc"K) I 8313W 831VM \ \,17VHdSVs- 3AlVA SVD \(�)` Sri90/YS \ \ 9N107Ina ) �17YNd5Y'30 3003 F 1 — -1- _ L );- - (9NLS'log) a _-1119----- (ONWOIK) (9090/K) �• �O(YS k 1 7 7107(9 l\(O GIA t/G 2J3HSl� �2/�l\l/NO \\ (9N996'0K) (9NC0'OtYS) IN3N3sY3 30VNIVHG s unu�,y�.wK) (9AOB B0Y9) \ �\ \ (PNOr'r11S) I \ I \ I � I � I \ \ la+srzlK?� ON/07/nB � (SJL9Et6S) \ C __---_-LIK- O 3AIVA a31VM '► 3A1VA lOa1N00 NOUV01881 • 8313W 831VM "b 3AlVA SVD 1 1VOIdA1 d l a313W Stl0 1V15303d 3NOHd3l31 a 3NIl MO1J 73 k 08VONVIS 1HOIl 133815--+ 1NV80AH 3813 'b � O 1SOd N015 a 3ovjHnS HSINIJ s3 h 31OHNVW 83M3S ® 80010 03HSINIJ 33 AVM JO 1HOla MYl'a 1lVHdSV JO 3003 -� 310d a3MOd 3381 Snon01030 --qv .ko ivaPPe OarllOB ONINBVd M313WlO o y ONf1080 1tl801VN ON 3381 Sf1083JIN03 Q 310d 1HOIl * 1N3W3AVd 3J380N00 O ON3931 NOIlVIA3a99V V109WAS m C JO £ 133HS s s s s NS MS p5 a1S s s a uS IHS a15 I¢S (S3wYA M'O'a) Ma99'60K sus 1Ip9L00YS NS NS s NIZ[00K NS MS 1¢S ZWal 'ON 901" lr :A9 810Z 'G 838M3330 :31V0 ,oz = •L :31VJS 8313LV SV0 S310N 1N3Wf1NOW S1BS'O(K S2 'JAV HI66 'M 73 08VONVIS 1H011 133HiS -n 1 D _ 1SOd NOIS T f - _________-�---- -_--- - --- I ---- r----- - r (s3sr9oKJ - - - (sXi'sxnK) _ - - (S3s'f WK) (s3Lc s0i J (SAro,n) �i 1J - _ - - 3aOLJnaIS 7O NOJNOUYJroaI m iil ' fl NOUVOIG30 AMM-JO-IMJ/a Z rroraa Iffi180K 0910[ 36S 9 Owq'60K 3 3z6A7K 09[Sf�K 1Nf'60K NJN3f3 OaILB'f3S o10155n8 O r 0 3381 50083dIN03 09/91'A7 K 3 (91(Z'60K) \ n7 i 1 `, I ti 1 (0N6960YS1 —I — — - = W ti W D :n 0 -n F-` p Z �+% 0310N SV IN3MONOM N01103S 0N003 S311010NI Y Z7 Q [A7K \ M.S5.966BN— punoi0 V. V>'^V P°a Pu j , 1M91 SBYS - [ N7YM30/S 3FL'60i5 roozl K (sN9L'W)Sj BOZ-3d 'ON I ry/S{g'6pbS \ — I 11 I O No11d35X d0 p 0 = 8313LV SV0 S310N 1N3Wf1NOW S1BS'O(K S2 1N3N35V3 /N3NYIVa3d i1 73 08VONVIS 1H011 133HiS -n 1 rm 1SOd NOIS T f - _________-�---- -_--- - --- I ---- r----- - +------- Boz Ill 0 = D G Z J0 \ �y1/7738 '31V Hila M 19911 �i 91 1 07 XOJ IN i735V3 NOUVOINY, -I-- \ - - - - 1N3 6Y35Y) 30YN/Ya0 y - - m iil ' fl 3381 500001330 Z rroraa m I I B 37T/H 1531 I W Al1I711n 0/ , to r - - - - - J ,I 370H ISM -n z T O m m F 3381 50083dIN03 A (91(Z'60K) \ n7 1 1 `, I ti 1 (0N6960YS1 CTr - (sN9f - OoG zo � 7 n 200m O :�<. PTI � m - S ONYH8340 , / / 1 ONIf'60K \.s 17YHoSY s- I 1 ) ✓3mIM 1n p oNlavne . _ IN I II \ s3K'OIK \ 1 // � F 37081531 6 17YHd5Y X30 3003 .y y ti i J �_ � y L695 A 0 (n s 0 Z ` m 1N3N3SV3 30VNIVUO 8 A1/7un ,S 91 \ ~ \ \�` '9 370H 1531 \ I I/ !JNI6 HOK)---_---- 10 9>— — — — i --,_-_NK--___- ss33Yla I 01K I �,S 3704 1531 Hl Yd NOw6 _� ONIZ'BOK) N y I // (//�' '"'\ `s• 1310H IS \ /\ 0 M.6g6r. NIlF K MMi'OIK d0a •Of7 II.tlCS'bOK Ns 1N3N3SY3 A 91 S A1/7an ,S (S"V,K) 0310N SV IN3MONOM N01103S 0N003 S311010NI Y 3A1VA 1081NO3 NOIIV01881 1909E Sld 03drN1S 1N3MONOM 13S S3➢OIONI O 7oaliro� Nou rolaai % nusolbs) 0310N SV 1N3MONOM ONn03 S31V310N1 • 061L90IK dU 8313LV SV0 S310N 1N3Wf1NOW S1BS'O(K S2 M 1^ 03 \\ \ 1 / I m 01K - I W I I (/ H1Yd Nowa (ONLI90K)\\\\ \ \ / E /\/OS/(zl V'G _V M ,UMUCIS Al.3H9fJ -&3M/140 m D m 0 37 < U /0705 -0 ,(1Nno5 1I 2/31St>Vil1H0/� I 107 1 IV Im a/gb mll� �P-10 4!!M yan/J Ya L - O do0 ulnwwnlV .S'1 Pun l 1 107 ;2/3Ni40 \\ 0107 3H lOOd \ n \ I y I1N361'3SV3 30YNIVdG LM3'• ' ' • r .b (ONzsroK1 11 7q / I I� m Alnune[ 3OYNIY!(0• ( l 3 H 1531 I I✓Nn'60K) \ I / �L370H1531 ,9ov, / I I SSVNO � \ 03H5 S lard I 1 � I 1 1 I (oAlY9'MOK L>] Zd 970H 1531 I I $V—,fd 370H 1531 II '-/d 370H 1531 �- - -�- - --------------- -� -T Q --- � T\ Z 107 a0J 1N3M3SV3 30YNIYaO / punoq oqy ,Y"0 1N3M3#Y3 H3110 NOU VOWHI W Ainun ,OI / +ogaa i1 Purro3 91 91 i �I \ I NOISI/lo9nS I No3J21n1 y 73/1Mo N035?J( J- ,Y3MM0 0 107 (ON99'WK) (0NL0'OIK) •L553 Oz 0L 0 OZ SUDS 31Hdd2IJ S3N11 831VM ONnONDOCIN0 = S3Nn 3NOW3131 ONnM!)830N0 = I I S311I1 83M3S ABVNNVS ONn080830Nn = s s S3Nn OIWD313 UV3H83AO S31411 SV3 ONn089830Nn = a S3NI1 01810313 ON008083ON0 = 7 33833 NMINNHO = •—••- 33833 381M 038M _ •—•—• SlNn 3NVld 00013 = . .......... • ...... . S3NIl AVM 30 1HO18— S3Nn 1NA35V3 =------------- S3N0 ABVONn08 1332Nd 3NI1,110r0V = - — — — — — - S3NIl NO803S = - - - S3Nn ABVON000 1338Vd 133r8nS = FE ON3991 3NI1 uearunl \ sJ99rus (s1L9rlK) (sl9rrlK) (s399nK) IAB (N9S'CfK) ,17MHd5M S 536[ Elis (5ffiY rIYS) SIM/K \ I \ � I I s39srlbs (OAMIK) - I i (5X9'flbS) w w (n WVA 831VM 1 3A1VA 1081NO3 NOIIV01881 0 KY % 3AIVA SVO •S 1V31dAL dU 8313LV SV0 "IV1S303d 3NOHd3l31 S2 3NI1 MOl3 73 08VONVIS 1H011 133HiS --• 1NMIAH 3813 1SOd NOIS +- 33V38nS HSINIJ s3 rf n 0 80013 03HSINIJ J0 \ �y1/7738 '31V Hila M 19911 M'O'a IIVHdSV 30 3003 -d - N 3381 500001330 m M rroraa 3al15070N3 8313ViVlO B z ,3 o ON 3381 50083dIN03 (91(Z'60K) \ n7 1 L^ O ON3931 NOIlVIA32199V 18 109WAS - zo � 7 n of � m - S ONYH8340 , / / 1 ONIf'60K \.s 17YHoSY s- r / (OM1897tIs) / i" p oNlavne . _ IN I II \ s3K'OIK \ rl 08/0X00 ( � F 37081531 6 17YHd5Y X30 3003 .y y ti i J �_ � y L695 1991 I r \\\\ 9>— — — — i --,_-_NK--___- 39414wN / I Lei I ) (sMC60Y�) I 8 (ONS60l ,=•� K) lsNY9DUSJ M 1^ 03 \\ \ 1 / I m 01K - I W I I (/ H1Yd Nowa (ONLI90K)\\\\ \ \ / E /\/OS/(zl V'G _V M ,UMUCIS Al.3H9fJ -&3M/140 m D m 0 37 < U /0705 -0 ,(1Nno5 1I 2/31St>Vil1H0/� I 107 1 IV Im a/gb mll� �P-10 4!!M yan/J Ya L - O do0 ulnwwnlV .S'1 Pun l 1 107 ;2/3Ni40 \\ 0107 3H lOOd \ n \ I y I1N361'3SV3 30YNIVdG LM3'• ' ' • r .b (ONzsroK1 11 7q / I I� m Alnune[ 3OYNIY!(0• ( l 3 H 1531 I I✓Nn'60K) \ I / �L370H1531 ,9ov, / I I SSVNO � \ 03H5 S lard I 1 � I 1 1 I (oAlY9'MOK L>] Zd 970H 1531 I I $V—,fd 370H 1531 II '-/d 370H 1531 �- - -�- - --------------- -� -T Q --- � T\ Z 107 a0J 1N3M3SV3 30YNIYaO / punoq oqy ,Y"0 1N3M3#Y3 H3110 NOU VOWHI W Ainun ,OI / +ogaa i1 Purro3 91 91 i �I \ I NOISI/lo9nS I No3J21n1 y 73/1Mo N035?J( J- ,Y3MM0 0 107 (ON99'WK) (0NL0'OIK) •L553 Oz 0L 0 OZ SUDS 31Hdd2IJ S3N11 831VM ONnONDOCIN0 = S3Nn 3NOW3131 ONnM!)830N0 = I I S311I1 83M3S ABVNNVS ONn080830Nn = s s S3Nn OIWD313 UV3H83AO S31411 SV3 ONn089830Nn = a S3NI1 01810313 ON008083ON0 = 7 33833 NMINNHO = •—••- 33833 381M 038M _ •—•—• SlNn 3NVld 00013 = . .......... • ...... . S3NIl AVM 30 1HO18— S3Nn 1NA35V3 =------------- S3N0 ABVONn08 1332Nd 3NI1,110r0V = - — — — — — - S3NIl NO803S = - - - S3Nn ABVON000 1338Vd 133r8nS = FE ON3991 3NI1 uearunl \ sJ99rus (s1L9rlK) (sl9rrlK) (s399nK) IAB (N9S'CfK) ,17MHd5M S 536[ Elis (5ffiY rIYS) SIM/K \ I \ � I I s39srlbs (OAMIK) - I i (5X9'flbS) w w (n WVA 831VM 1 3A1VA 1081NO3 NOIIV01881 0 8313VI 831VM % 3AIVA SVO •S 1V31dAL dU 8313LV SV0 "IV1S303d 3NOHd3l31 a 3NI1 MOl3 73 08VONVIS 1H011 133HiS --• 1NMIAH 3813 1SOd NOIS +- 33V38nS HSINIJ s3 31OHNVM 83M3S 0 80013 03HSINIJ JJ AVM d0 1H018 M'O'a IIVHdSV 30 3003 -d - 310d 83MOd 3381 500001330 tV 08Vll08 ONINHVd 8313ViVlO B ONn080 1V801VN ON 3381 50083dIN03 310d 1H911 0 IN3r13AVd 31380NO3 O ON3931 NOIlVIA32199V 18 109WAS (�o / 9 0 0 414 4V IBM I N S O! P O R A? 4 4D ASBESTOS SURVEY AND LEAD BASED PAINT SAMPLING FOR DEMOLITION 11661 WEST 44TH AVENUE WHEAT RIDGE, COLORADO Prepared for: CREEKSIDE COMMUNITIES 6143 South Willow Drive Greenwood Village, Colorado 80111 Attention: Mr. Duane Cerniglia Project No. DN49,768-221-R1 Revised January 9, 2019 Revised February 18, 2019 1971 West 12th Avenue I Denver, Colorado 80204 1 Phone: 303-825-0777 1 Fax: 303-825-4252 1 www.ctlt.com 01 TABLE OF CONTENTS ACRONYMS............................................................................................................. i 1.0 INTRODUCTION..........................................................................................1 2.0 ASBESTOS METHODOLOGY.....................................................................1 3.0 ASBESTOS INSPECTION PROCEDURE....................................................2 3.1 Asbestos Sample Collection.............................................................. 3 3.2 Asbestos/Lead Sample Analysis........................................................3 4.0 ASBESTOS REGULATORY CRITERIA.......................................................4 5.0 ASBESTOS INSPECTION RESULTS..........................................................5 6.0 CONCLUSIONS AND RECOMMENDATIONS.............................................6 6.1 Asbestos Containing Materials (ACM) ............................................... 6 6.2 Lead Containing Paint........................................................................6 7.0 LIMITATIONS...............................................................................................7 SUMMARY OF FEDERAL AND STATE ASBESTOS REGULATIONS TABLE 1 —ASBESTOS RESULTS FOR HOMOGENEOUS MATERIALS TABLE 2 — LEAD PAINT RESULTS FIGURE 1 — UPPER LEVEL SAMPLE LOCATIONS FIGURE 2 — LOWER LEVEL SAMPLE LOCATIONS FIGURE 3 — OUT BUILDING SAMPLE LOCATIONS FIGURE 4 — UPPER LEVEL ABATEMENT DIAGRAM FIGURE 5 — LOWER LEVEL ABATEMENT DIAGRAM APPENDIX A — SITE PHOTOGRAPHS APPENDIX B — ASBESTOS LABORATORY RESULTS AND CHAIN OF CUSTODY APPENDIX C — LEAD PAINT LABORATORY RESULTS AND CHAIN OF CUSTODY APPENDIX D — CDPHE REGULATED BUILDING MATERIALS INFORMATION APPENDIX E — CTL I THOMPSON CERTIFICATIONS CREEKSIDE COMMUNITIES 11661 WEST 44TH AVENUE TOWNHOMES CTL I T PROJECT NO. DN49,768-221-R1-REVISED E ACRONYMS Commonly Used Acronyms ACBM Asbestos Containing Building Materials ACM Asbestos Containing Materials AHERA Asbestos Hazard Emergency Response Act EPA Environmental Protection Agency HA Homogeneous Area HEPA High Efficiency Particulate Air HVAC Heating Ventilation and Air Conditioning NESHAP National Emission Standards for Hazardous Air Pollutants O&M Operations and Maintenance OSHA Occupational Safety and Health Administration PCM Phase Contrast Microscopy PLM Polarized Light Microscopy RBM Regulated Building Material TEM Transmission Electron Microscopy TSI Thermal System Insulation CREEKSIDE COMMUNITIES 11661 WEST 44TH AVENUE TOWNHOMES CTL I T PROJECT NO. DN49,768-221-R1-REVISED 1.0 INTRODUCTION Creekside Communities retained CTL I Thompson, Inc. (CTL) to perform an asbestos survey and lead based paint sampling at the residence located at 11661 West 44th Avenue in Wheat Ridge, Colorado. The residence is approximately 1,588 square feet built in 1916. The property also includes 5 out buildings. The buildings are scheduled for demolition. Mr. Weston C. Short, certified CDPHE Asbestos Inspector #23540, performed the asbestos survey on December 12, 2018. We observed and sampled suspect asbestos containing building materials (ACBM) in the structures for asbestos content. In addition, lead based paint sampling was performed. All observed suspect ACBM were sampled in general accordance with AHERA regulations. 2.0 ASBESTOS METHODOLOGY The purpose of the asbestos inspection was to identify the condition and location of friable and non -friable asbestos materials that are present in the building. During the asbestos materials survey, CTL performed the following tasks: • Inspected accessible areas for suspected asbestos materials; • Determined friability of suspected asbestos materials by touching; • Developed a sampling plan for each material based on the homogeneous material type, friability, accessibility, and material locations; • Assessed the condition and potential hazards of the suspected asbestos materials; • Collected samples of suspected homogeneous and non-homogeneous materials and submitted them for laboratory analysis by Polarized Light Microscopy (PLM); and, • Documented findings and inspection protocol in accordance with accepted industry standards. CREEKSIDE COMMUNITIES 1 11661 WEST 44TH AVENUE TOWNHOMES CTL I T PROJECT NO. DN49,768-221-R1-REVISED 3.0 ASBESTOS INSPECTION PROCEDURE Homogeneous suspect asbestos materials were identified by visually inspecting the following systems: • Wall/partition systems; • Flooring systems; • Ceiling systems; and • Miscellaneous systems. Based on our inspection, the following types of suspect asbestos -containing materials were identified: • Wall and Partition Systems o Block Filler — 3 Samples o Drywall Joint Compound — 4 Samples o Plaster — 8 Samples o Texture — 9 Samples o Wallpaper — 4 Samples • Flooring Systems o Ceramic Floor Tile — 2 Samples o Floor Backing Material — 2 Samples o Floor Leveling Compound — 2 Samples o Mastic — 2 Samples o Sheet Vinyl Flooring — 2 Samples • Ceiling Systems o No Samples Taken • Miscellaneous o Countertop Material — 4 Samples o Insulation — 2 Samples o Roofing Material — 10 Samples o Duct Wrap — 3 Samples o Window Glazing — 4 Samples CREEKSIDE COMMUNITIES 2 11661 WEST 44TH AVENUE TOWNHOMES CTL I T PROJECT NO. DN49,768-221-R1-REVISED The inspection did involve some destructive observation methods; this generally consisted of placing holes in walls. Although some destructive sampling was conducted there may be areas warranting further investigation. If additional suspect materials are encountered during the demolition, CTL should be contacted for additional sampling. 3.1 Asbestos Samole Collection CTL collected bulk samples of the suspected friable ACBM and non -friable RACM (that would become friable during demolition) asbestos materials in a random and representative manner as defined by the U.S. Environmental Protection Agency (EPA) statistical sampling methods. The collected samples were packaged in sealed and labeled containers. 3.2 Asbestos/Lead Sample Analysis The bulk samples of suspected asbestos materials were submitted to EMSL Analytical Inc. for analysis. EMSL is accredited by the National Voluntary Laboratory Accreditation Program (NVLAP) (Lab Code NVLAP Lab Code 200828-0). Individual layers of the samples were analyzed by PLM (Polarized Light Microscopy) to determine asbestos type and content. Unused portions of the samples are archived for 60 days unless the client requested special handling. By regulation, any single positive asbestos sample classifies the entire homogeneous material/area (material that is uniform in color and texture) as asbestos -containing and additional analysis is not required. Individual layers of the suspect asbestos samples were analyzed by PLM (Polarized Light Microscopy) to determine asbestos type and content. Unused portions of the samples were archived for 60 days, unless the client requested special handling. By regulation, any single positive asbestos sample classifies the CREEKSIDE COMMUNITIES 3 11661 WEST 44TH AVENUE TOWNHOMES CTL I T PROJECT NO. DN49,768-221-R1-REVISED entire homogeneous material as asbestos -containing and additional analysis is not required. 4.0 ASBESTOS REGULATORY CRITERIA According to the Occupational Safety and Health Administration (OSHA), the Environmental Protection Agency (EPA), and the Colorado Department of Public Health and Environment (CDPHE), samples with asbestos concentrations greater than one percent (1 %) are classified as asbestos containing materials and are a regulated material. If a building structure is scheduled for renovation or demolition, friable samples that contain trace amounts of asbestos (1 % or less) must be further analyzed by a more accurate point -count analysis to determine if they exceed the one percent threshold, or the materials must be assumed to contain asbestos and be classified as a regulated material. The EPA and OSHA distinguish between friable and non -friable forms of asbestos materials. Friable materials can be crumbled or reduced to powder by hand pressure when dry. Non -friable materials cannot be crumbled, pulverized, or reduced to powder by hand pressure when dry. Friable materials are more likely to be released into the air, especially if impacted or damaged during normal use, renovation, or demolition of a building. Therefore, the distinction between friable and non -friable asbestos materials is important. The EPA further segregates non -friable asbestos materials into Category I or Category 11. Category I non -friable asbestos materials include resilient floor coverings, asphalt roofing products, packings, and gaskets. Removal of these asbestos materials is not required prior to demolition as long as they are in good condition and not friable and/or rendered friable. Category II asbestos materials are all other non -friable asbestos materials, and may be required to be removed prior to demolition if those materials will be rendered friable. CREEKSIDE COMMUNITIES 4 11661 WEST 44TH AVENUE TOWNHOMES CTL I T PROJECT NO. DN49,768-221-R1-REVISED Whether removed or remaining in a structure during demolition, the confirmed or presumed asbestos materials are subject to EPA National Emission Standards for Hazardous Air Pollutants (NESHAP) and OSHA regulations. In 40 CFR 61.145, NESHAP requires that each owner or operator of a demolition activity provide the administrator with written notice of intent. The CDPHE has implemented the NESHAP program. 5.0 ASBESTOS INSPECTION RESULTS Results of the asbestos analyses for the homogeneous materials collected from the building are summarized below. Laboratory reports for the samples are presented in Appendix B. CTL collected sixty-one (61) samples of suspect ACBM from the structures. Laboratory results for sampled materials are available in Appendix B. Our survey results identified the following asbestos containing materials: • Duct Wrap (TS11) — Friable o Duct wrap remnants located in the basement. 0 70% Chrysotile 0 Requires abatement prior to demolition • Window Glazing (WG1) — Friable 0 20 Exterior Windows — Main Residence 0 1.50% Chrysotile 0 Requires abatement prior to demolition • Vermiculite Insulation, Pump House (INS -PH) - Friable 0 Vermiculite Insulation located inside pump house walls. 0 < 0.25% Tremolite - Trace 0 Does not require abatement. However, contractors should follow all OHSA rules during demolition and disposal. CREEKSIDE COMMUNITIES 5 11661 WEST 44TH AVENUE TOWNHOMES CTL I T PROJECT NO. DN49,768-221-R1-REVISED �T 6.0 CONCLUSIONS AND RECOMMENDATIONS 6.1 Asbestos Containing Materials (ACM) Our survey identified the following ACM materials at the property: • Duct Wrap — 70% Chrysotile — Abatement Required for Demolition • Window Glazing —1.50% Chrysotile — Abatement Required for Demolition 6.2 Lead Containing Paint Since the building is planned for demolition and the non-metal building waste is planned to be placed in a landfill, we conducted sampling for lead contain- ing paint. CTL collected six (6) paint samples as follows: • Forest Green — Residence Interior • Lime Green — Residence Interior • Sky Blue — Residence Interior • Red — Residence Exterior • White — Residence Interior • Garage Green/White — Garage Exterior The lead paint samples for non-metal components did result in a lead con- centration above 20 times the TCLP hazardous waste limit of 5 parts per million (5 ppm), or 0.01 %/100 ppm in three of the six samples collected. A summary of paint sample results can be found in Table 2. Paint sample locations can be found on Figures 1, 2, & 3. Paint sample lab results and chain of custody can be found in Appendix C. CREEKSIDE COMMUNITIES 6 11661 WEST 44TH AVENUE TOWNHOMES CTL I T PROJECT NO. DN49,768-221-R1-REVISED Note: The six paints sampled from the buildings did contain some amount of Lead. Any contractor disturbing lead containing materials must comply with OSHA 29 CFR 1926.62 Lead in Construction Standard (Laboratory paint results are presented in Appendix C). 7.0 LIMITATIONS This report was prepared for the use of Creekside Communities in assessing asbestos in the residence located at 11661 West 44th Avenue in Wheat Ridge, Colorado. Observations made were with limited intrusiveness and of readily visible or exposed building materials. Our services were performed with limited destructive sampling; thus, our services are not intended to guarantee or certify the absence of asbestos. The crawl space ceiling will require dismantling to ascertain/quantify asbestos present. This document is not to be used as bid document for the removal, repair, encapsulation, enclosure, or Operations and Maintenance (O&M) of asbestos containing materials. CDPHE certified individuals from our firm can prepare a scope of work, bid documents, removal and repair methods/procedures, specifications, designs and O&M plans if desired. The accuracy and reliability of environmental studies are a reflection of the number and type of samples taken and extent of the analyses conducted, and are thus inherently limited to and dependent upon the resources expended. An independent laboratory performed laboratory analysis. CTL is not responsible for the accuracy of data presented by others. We believe we performed the survey in a manner consistent with the level of care and expertise exercised by members of the asbestos inspection and assessment profession. CTL does not imply or guarantee that every suspect asbestos material on or in the facility has been identified or sampled. Historically, CREEKSIDE COMMUNITIES 7 11661 WEST 44TH AVENUE TOWNHOMES CTL I T PROJECT NO. DN49,768-221-R1-REVISED D asbestos has been used extensively in the United States. This inspection is intended to identify those components that are reasonably suspect and hence most likely to be asbestos materials in quantities subject to regulation based on existing industry and regulatory standards. If additional asbestos materials or asbestos -suspect materials are encountered, work should be stopped and an additional inspection performed. If we can be of further service discussing the contents of this report, please call us. Very truly yours, CTL I THOMPSON, INC. Weston C. Short Certified Asbestos Inspector #23540 Reviewed by: Matthew L. Wardlow, P.E. Environmental Department Manager WCS:MLW/nn Via e-mail: dcerniglia(a)-creeksidecommunities.com ssundberq(ab_creeksidecommunities.com CREEKSIDE COMMUNITIES O 11661 WEST 44TH AVENUE TOWNHOMES CTL I T PROJECT NO. DN49,768-221-R1-REVISED SUMMARY OF FEDERAL AND STATE ASBESTOS REGULATIONS OSHA: U.S. Department of Labor, Occupational Safety, and Health Administration, including but not limited to: • Occupational Exposure to Asbestos, Tremolite, Anthophyllite, and Actinolite; • Final Rules Title 29, Part 1910, Section 1325 and Part 1926, Section 1101 of the Code of Federal Regulations; • Respiratory Protection Standard Title 29, Part 1910, Section 134 of the Code of Federal Regulations; • Construction Industry Title 29, Part 1926, of the Code of Federal Regulations; • Access to Employee Exposure and Medical Records Title 29, Part 1910, Section 2 of the Code of Federal Regulations; • Hazard Communication Title 29, Part 1926 Section 59 of the Code of Federal Regulations; and • Specifications for Accident Prevention Signs and Tags Title 29, Part 1910, Section 145 of the Code of Federal Regulations. DOT: U.S. Department of Transportation, including but not limited to: • Hazardous Substances Title 29, Part 171 and 172 of the Code of Federal Regulations. EPA: U.S. Environmental Protection Agency, including but not limited to: • Asbestos Hazard Emergency Response Act (AHERA) Regulation; • Asbestos Containing Materials in Schools Final Rule & Notice Title 40, Part 763 Sub -part E of the Code of Federal Regulations; • Training Requirements of (AHERA) Regulation; • Asbestos Containing Materials in Schools Final Rule & Notice Title 40, Part 763, Sub -part E, Appendix C of the Code of Federal Regulations; CREEKSIDE COMMUNITIES 11661 WEST 44TH AVENUE TOWNHOMES CTL I T PROJECT NO. DN49,768-221-R1-REVISED D National Emission Standard for Hazardous Air Pollutants (NESHAPS); and National Emission Standard for Asbestos Title 40, Part 61, Sub -part A, Sub -part M (Revised Sub -part B) of the Code of Federal Regulations. CDPHE: Colorado Department of Public Health and Environment, including but not limited to: Air Quality Control Commission, Regulation No. 8, Part B "Emissions Standards for Asbestos"; and Hazardous Materials and Waste Management Division, 6 CCR 1007-2, Section 5 "Asbestos Waste Management." CREEKSIDE COMMUNITIES 11661 WEST 44T" AVENUE TOWNHOMES CTL I T PROJECT NO. 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DN49,768-221-R1-REVISED O a O _F J N I4� O r N C N m o W z C7 o CLO C •� i fti � � t f. i (w ,! k, O � d I� o d I a 5 1 O p � W 0 I O a O _F J ♦A dM 0 0 V� 3� W r- 2 N N (2 O > N Ii > N w d a /^ NO N 0 i d L f0 � O Z O o z CL d w a Cl) U 0 a -r 0 - k r r 3 3 x t� 44 o a E N 7 d IL aw c 3 CL 0 6 V V V O` r d E Vj e N i L U v v p g � = o 2 a (}( 1 C A R C � m d p a V 3 o � a ' c o c o V d U d ♦A dM 0 0 V� 3� W r- 2 N N (2 O > N Ii > N w d a /^ NO N 0 i d L f0 � O Z O o z CL d w a Cl) U 0 D "TA jojo x,B ASBESTOS LABORATORY RESULTS AND CHAIN OF CUSTODY CREEKSIDE COMMUNITIES 11661 WEST 44TH AVENUE TOWNHOMES CTL I T PROJECT NO. DN49,768-221-R1-REVISED EMSL Analytical, Inc. 1010 Yuma Street Denver, CO 80204 Tel/Fax: (303) 740-5700 / (303) 741-1400 http://www.EMSL.com / denverlab@emsl.com Attention: Wes Short CTL Thompson 1971 West 12th Avenue Denver, CO 80204 Project: DN49768-221 EMSL Order: 221809916 Customer ID: CTLT34 Customer PO: Project ID: Phone: (303) 825-0777 Fax: Received Date: 12/12/2018 1:35 PM Analysis Date: 12/17/2018 - 12/18/2018 Collected Date: WP2-2 Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-931116 Method using Polarized White/Blue/Gold 55% Cellulose 45% Non-fibrous (Other) Light Microscopy PATTERN - ROOM 2 Fibrous Non -Asbestos 221809916-0004 Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type WP1-1 GOLD FLORAL White/Gold 45% Cellulose 55% Non-fibrous (Other) None Detected White PATTERN - ROOM 1 Fibrous None Detected WHITE SKIM COAT 221809916-0001 Homogeneous 221609916-0005 Homogeneous HA: 1 WP1-2 GOLD FLORAL White/Gold 45% Cellulose 55% Non-fibrous (Other) None Detected Gray PATTERN - ROOM 1 Fibrous None Detected WHITE SKIM COAT 221809916-0002 Homogeneous 221809916-0005A Homogeneous HA: 1 WP2-1 GOLD/BLUE FLORAL White/Blue/Gold 60% Cellulose 40% Non-fibrous (Other) None Detected White PATTERN - ROOM 2 Fibrous None Detected WHITE SKIM COAT 221809916-0003 Homogeneous 221809916-0006 Homogeneous HA: 2 WP2-2 GOLD/BLUE FLORAL White/Blue/Gold 55% Cellulose 45% Non-fibrous (Other) None Detected PATTERN - ROOM 2 Fibrous 221809916-0004 Homogeneous HA 2 PL1-1-Skim Coat GRAY PLASTER, White 5% Ca Carbonate None Detected WHITE SKIM COAT Non -Fibrous 95% Non-fibrous (Other) 221609916-0005 Homogeneous HA: 3 PI -1 -1 -Plaster GRAY PLASTER, Gray <1% Hair 5% Ca Carbonate None Detected WHITE SKIM COAT Non -Fibrous 95% Non-fibrous (Other) 221809916-0005A Homogeneous HA: 3 PL1-2-Skim Coat GRAY PLASTER, White 5% Ca Carbonate None Detected WHITE SKIM COAT Non -Fibrous 95% Non-fibrous (Other) 221809916-0006 Homogeneous HA: 3 PI -1 -2 -Plaster GRAY PLASTER, Gray <1% Hair 5% Ca Carbonate None Detected WHITE SKIM COAT Non -Fibrous 95% Non-fibrous (Other) 221809916-0006A Homogeneous HA: 3 PL1-3-Skim Coat GRAY PLASTER, White 5% Ca Carbonate None Detected WHITE SKIM COAT Non -Fibrous 95% Non-fibrous (Other) 221809916-0007 Homogeneous HA: 3 PI -1 -3 -Plaster GRAY PLASTER, Gray <1% Hair 5% Ca Carbonate None Detected WHITE SKIM COAT Non -Fibrous 95% Non-fibrous (Other) 221809916-0007A Homogeneous HA: 3 PL1-4-Skim Coat GRAY PLASTER, White 5% Ca Carbonate None Detected WHITE SKIM COAT Non -Fibrous 95% Non-fibrous (Other) 221809916-0008 Homogeneous Inseparable paint/ coating layer included in analysis HA: 3 PI -1 -4 -Plaster GRAY PLASTER, Gray <1% Hair 5% Ca Carbonate None Detected WHITE SKIM COAT Non -Fibrous 95% Non-fibrous (Other) 221809916-0006A Homogeneous HA: 3 Initial report from: 12/18/2018 12:40:58 ASS—PLM-0008-0001 - 1.78 Printed: 12/18/2018 10:41 AM Page 1 of 7 EMSL Analytical, Inc. EMSL Order: 221809916 Customer ID: CTLT34 1010 Yuma Street Denver, CO 80204 Customer PO: Tel/Fax: (303) 740-5700 / (303) 741-1400 http://www.EMSL.com / denverlab@emsl.com Project ID: Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type PL1-5-Skim Coat GRAY PLASTER, White 100% Non-fibrous (Other) None Detected WHITE SKIM COAT Non -Fibrous 221809916-0009 Homogeneous Inseparable paint /coating layer included in analysis HA: 3 PI -1 -5 -Plaster GRAY PLASTER, White <1% Hair 5% Ca Carbonate None Detected WHITE SKIM COAT Non -Fibrous 95% Non-fibrous (Other) 221809916-0009A Homogeneous HA: 3 CFT1-1-Ceramic Tile 6"X2' WOOD -LOOK Gray 100% Non-fibrous (Other) None Detected TILE - ROOM 4 Non -Fibrous 221809916-0010 Homogeneous HA: 4 CFT1-1-Thinset 6"X2' WOOD -LOOK Gray 5% Ca Carbonate None Detected TILE - ROOM 4 Non -Fibrous 95% Non-fibrous (Other) 221809916-OOIOA Homogeneous HA: 4 CFT1-2-Ceramic Tile 6"X2' WOOD -LOOK Gray 100% Non-fibrous (Other) None Detected TILE - ROOM 4 Non -Fibrous 221609916-0011 Homogeneous HA: 4 CFT1-2-Thinset 6"X2' WOOD -LOOK Gray 5% Ca Carbonate None Detected TILE - ROOM 4 Non -Fibrous 95% Non-fibrous (Other) 221809916-0011A Homogeneous HA: 4 CNTPI-1-Countertop BROWN Brown/Tan 65% Cellulose 35% Non-fibrous (Other) None Detected COUNTERTOP- Fibrous 221809916-0012 ROOM 4 Homogeneous HA: 5 CNTPI-1-Mastic BROWN Red 100% Non-fibrous (Other) None Detected COUNTERTOP- Non -Fibrous 221809916-0012A ROOM 4 Homogeneous HA. 5 CNTP1-2-Countertop BROWN Brown/Tan 65% Cellulose 35% Non-fibrous (Other) None Detected COUNTERTOP- Fibrous 221809916-0013 ROOM 4 Homogeneous HA: 5 CNTPI-2-Mastic BROWN Red 100% Non-fibrous (Other) None Detected COUNTERTOP- Non -Fibrous 221809916-0013A ROOM 4 Homogeneous HA: 5 CNTP2-1-Countertop GRAY Gray 60% Cellulose 40% Non-fibrous (Other) None Detected COUNTERTOP- Fibrous 221809916-0014 ROOM 4 Homogeneous HA: 6 CNTP2-1-Mastic GRAY Orange 100% Non-fibrous (Other) None Detected COUNTERTOP- Non -Fibrous 221809916-0014A ROOM 4 Homogeneous HA: 6 CNTP2-2-Countertop GRAY Gray 60% Cellulose 40% Non-fibrous (Other) None Detected COUNTERTOP- Fibrous 221809916-0015 ROOM 4 Homogeneous HA: 6 CNTP2-2-Mastic GRAY Red 100% Non-fibrous (Other) None Detected COUNTERTOP- Non -Fibrous 221809916-0015A ROOM 4 Homogeneous HA: 6 Initial report from: 12/18/201812:40:58 ASS—PLM-0008-0001 - 1.78 Printed: 12/18/2018 10:41 AM Page 2 of 7 EMSL Analytical, Inc. EMSL Order: 221809916 Customer ID: CTLT34 1010 Yuma Street Denver, CO 80204 Customer PO: Tel/Fax: (303) 740-5700 / (303) 741-1400 http://www.EMSL.com / denvedab@emsl.com Project ID: Test Report: Asbestos Analysis of Bulk Materials via EPA 600IR-93/116 Method using Polarized Light Microscopy Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type FBM1-1 FLOOR BACKING Gray 10% Glass 5% Ca Carbonate None Detected MATERIAL - ROOM 4 Non -Fibrous 85% Non-fibrous (Other) 221809916-0016 Homogeneous HA: 7 FBM1-2-Mesh FLOOR BACKING White 95% Glass 5% Non-fibrous (Other) None Detected MATERIAL- ROOM 4 Fibrous 221609916-0017 Homogeneous HA: 7 FBM1-2-Backing FLOOR BACKING Gray 5% Ca Carbonate None Detected Material MATERIAL - ROOM4 Non -Fibrous 95% Non-fibrous (Other) Homogeneous 221809916-0017A HA: 7 TX1-1-Texture KNOCKDOWN/TRO White 20% Ca Carbonate None Detected WEL TEXTURE - Non -Fibrous 80% Non-fibrous (Other) 221609916-0016 ROOM 4 Homogeneous Inseparable paint/coating layerincluded in analysis HA: 8 TX1-1-Drywall KNOCKDOWN/TRO Brown/White 15% Cellulose 65% Gypsum None Detected WEL TEXTURE - Fibrous 20% Non-fibrous (Other) 221809916-0018A ROOM 4 Homogeneous HA. 8 TX 1 -2-Textu re KNOCKDOWN/TRO White 20% Ca Carbonate None Detected WEL TEXTURE - Non -Fibrous 80% Non-fibrous (Other) 221809916-0019 ROOM 4 Homogeneous Inseparable paint / coating layer included in analysis HA: 8 TX1-2-Drywall KNOCKDOWN/TRO Brown/White 15% Cellulose 65% Gypsum None Detected WEL TEXTURE - Fibrous 20% Non-fibrous (Other) 221809916-0019A ROOM 4 Homogeneous HA. 8 TX1-3-Texture KNOCKDOWN/TRO White 20% Ca Carbonate None Detected WEL TEXTURE - Non -Fibrous 80% Non-fibrous (Other) 221809916-0020 ROOM 4 Homogeneous Inseparable paint/ coating layer included in analysis HA: 8 DWJCI-1-Joint DRYWALL JOINT White 20% Ca Carbonate None Detected Compound COMPOUND- Non -Fibrous 80% Non-fibrous (Other) ROOM 4 Homogeneous 221809916-0021 HA: 9 DWJC1-1-Mesh DRYWALL JOINT Yellow 95% Glass 5% Non-fibrous (Other) None Detected COMPOUND- Fibrous 221809916-0021A ROOM 4 Homogeneous HA 9 DWJC1-1-Drywall DRYWALL JOINT Brown/White 15% Cellulose 65% Gypsum None Detected COMPOUND- Fibrous 20% Non-fibrous (Other) 221809916-00218 ROOM 4 Homogeneous HA: 9 DWJC1-2-Joint DRYWALL JOINT White 20% Ca Carbonate None Detected Compound COMPOUND- Non -Fibrous 80% Non-fibrous (Other) ROOM 4 Homogeneous 221809916-0022 HA: 9 DWJCI-2-Drywall DRYWALL JOINT White 15% Cellulose 65% Gypsum None Detected COMPOUND- Fibrous <1% Glass 20% Non-fibrous (Other) 221809916-0022A ROOM 4 Homogeneous HA: 9 Initial report from: 12/18/2018 12:40:58 ASB—PLM-0008-0001 - 1.78 Printed: 12/18/2018 10:41 AM Page 3 of 7 EMSL Analytical, Inc. EMSL Order: 221809916 Customer ID: CTLT34 1010 Yuma Street Denver, CO 80204 Customer PO: Tel/Fax: (303) 740-5700 / (303) 741-1400 http://www.EMSL,com / denverlab@emsl.com Project ID: Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-931116 Method using Polarized Light Microscopy Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type TX2-1 SPIKE TEXTURE - White 20% Ca Carbonate None Detected ROOM 5 Non -Fibrous 80% Non-fibrous (Other) 221609916-0023 Homogeneous Inseparable paint/ coating layer included in analysis HA: 10 TX2-2 SPIKE TEXTURE - White 20% Ca Carbonate None Detected ROOM 5 Non -Fibrous 80% Non-fibrous (Other) 221809916-0024 Homogeneous Inseparable paint/ coating layer included in analysis HA: 10 TX2-3-Texture SPIKE TEXTURE - White 20% Ca Carbonate None Detected ROOM 5 Non -Fibrous 80% Non-fibrous (Other) 221609916-0025 Homogeneous Inseparable paint/ coating layer included in analysis HA: 10 TX2-3-Skim Coat SPIKE TEXTURE - White 20% Ca Carbonate None Detected ROOM 5 Non -Fibrous 80% Non-fibrous (Other) 221809916-0025A Homogeneous HA: 10 TX3-1 SPECKLE TEXTURE White 20% Ca Carbonate None Detected - ROOM 6 Non -Fibrous 80% Non-fibrous (Other) 221809916-0026 Homogeneous Inseparable paint /coating layer included in analysis HA: 11 TX3-2 SPECKLE TEXTURE White 20% Ca Carbonate None Detected - ROOM 6 Non -Fibrous 80% Non-fibrous (Other) 221809916-0027 Homogeneous Inseparable paint/ coating layer included in analysis HA 11 TX3-3-Skim Coat SPECKLE TEXTURE White 20% Ca Carbonate None Detected - ROOM 6 Non -Fibrous 80% Non-fibrous (Other) 221809916-0028 Homogeneous Inseparable paint/ coating layer included in analysis HA: 11 TX3-3-Plaster SPECKLE TEXTURE Beige 100% Non-fibrous (Other) None Detected - ROOM 6 Non -Fibrous 221809916-0028A Homogeneous HA: 11 TSI1-1 DUCT WRAP - Gray 50% Non-fibrous (Other) 50% Chrysotile BASEMENT Fibrous 221809916-0029 Homogeneous HA: 12 TS11-2 DUCT WRAP - Gray 30% Non-fibrous (Other) 70% Chrysotile BASEMENT Fibrous 221809916-0030 Homogeneous HA: 12 TSI1-3 DUCT WRAP - White 35% Non-fibrous (Other) 65% Chrysotile BASEMENT Fibrous 221809916-0031 Homogeneous HA: 12 SVF1-1 GRAY FLAKE - Black/Green 20% Cellulose 80% Non-fibrous (Other) None Detected ROOM 4 Fibrous 221809916-0032 Homogeneous HA: 13 SVF1-2-Vinyl Sheet GRAY FLAKE - Black/Pink/Green 20% Cellulose 75% Non-fibrous (Other) None Detected Flooring ROOM 4 Fibrous 5% Synthetic Homogeneous 221809916-0033 Initial report from: 12/18/2018 12:40:58 ASB—PLM-0008-0001 - 1.78 Printed: 12/18/2018 10:41 AM Page 4 of 7 EMSL Analytical, Inc. EMSL Order: 221809916Customer ID: CTLT34 1010 Yuma Street Denver, CO 80204 Customer PO: Tel/Fax: (303) 740-5700 / (303) 741-1400 http://www.EMSL.com / denverlab@emsl.com Project ID: Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type HA: 13 SVF1-2-Mastic GRAY FLAKE - Brown 100% Non-fibrous (Other) None Detected ROOM 4 Non -Fibrous 221809916-0033A Homogeneous HA: 13 SVF1-3 GRAY FLAKE - Not Submitted ROOM 4 221809916-0034 HA: 13 BF1-1 BLOCK FILLER - Tan 100% Non-fibrous (Other) None Detected BASEMENT Non -Fibrous 221809916-0035 Homogeneous Inseparable paint/coating layer included in analysis HA: 14 BF1-2 BLOCK FILLER - Tan 100% Non-fibrous (Other) None Detected BASEMENT Non -Fibrous 221809916-0036 Homogeneous Inseparable paint /coating layer included in analysis HA: 14 BF1-3 BLOCK FILLER - Tan 100% Non-fibrous (Other) None Detected BASEMENT Non -Fibrous 221809916-0037 Homogeneous Inseparable paint/ coating layer included in analysis HA: 14 DWJC2-1-Texture BASEMENT White 15% Ca Carbonate None Detected DRYWALL Non -Fibrous 85% Non-fibrous (Other) 221809916-0038 Homogeneous Inseparable paint / coating layer included in analysis HA: 15 DWJC2-1-Drywall BASEMENT Brown/White 15% Cellulose 65% Gypsum None Detected DRYWALL Fibrous 20% Non-fibrous (Other) 221809916-0038A Homogeneous HA: 15 DWJC2-2-Texture BASEMENT White 20% Ca Carbonate None Detected DRYWALL Non -Fibrous 80% Non-fibrous (Other) 221809916-0039 Homogeneous Inseparable paint/coating layerincluded in analysis HA: 15 DWJC2-2-Drywall BASEMENT White 15% Cellulose 65% Gypsum None Detected DRYWALL Fibrous 20% Non-fibrous (Other) 221809916-0039A Homogeneous HA: 15 FLC1-1 FLOOR LEVELING Brown 5% Cellulose 95% Non-fibrous (Other) None Detected COMPOUND- Non -Fibrous 221809916-0040 BASEMENT Homogeneous HA: 16 FLC1-2 FLOOR LEVELING Brown 5% Cellulose 95% Non-fibrous (Other) None Detected COMPOUND- Non -Fibrous 221809916-0041 BASEMENT Homogeneous HA: 16 MAI -1 BLACK FLOOR Black 100% Non-fibrous (Other) None Detected MASTIC - Non -Fibrous 221809916-0042 BASEMENT Homogeneous HA: 17 MA1-2 BLACK FLOOR Black 100% Non-fibrous (Other) None Detected MASTIC - Non -Fibrous 221809916-0043 BASEMENT Homogeneous HA'. 17 Initial report from: 12/18/201812:40:58 j ASB—PLM-0008-0001 - 1.78 Printed: 12/18/2018 10:41 AM Page 5 of 7 Initial report from: 12/18/2018 12:40:58 j ASS—PLM-0008_0001 - 1.78 Printed: 12/18/2018 10:41 AM Page 6 of 7 EMSL Analytical, Inc. EMSL Order: 221809916 Customer ID: CTLT34 1010 Yuma Street Denver, CO 80204 Customer PO: Tel/Fax: (303) 740-5700 / (303) 741-1400 Project ID: http://www.EMSL.com / denverlab@emsl.com Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-931116 Method using Polarized Light Microscopy Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type WG1-1 WHITE WINDOW White 98% Non-fibrous (Other) 2% Chrysotile GLAZING Non -Fibrous 221809916-0044 Homogeneous Inseparable paint/ coating layer included in analysis HA: 18 WG1-2 WHITE WINDOW White 98% Non-fibrous (Other) 2% Chrysotile GLAZING Non -Fibrous 221809916-0045 Homogeneous HA: 18 PL -G -1 -Skim Coat PLASTER - GARAGE White 5% Ca Carbonate None Detected Non -Fibrous 95% Non-fibrous (Other) 221809916-0046 Homogeneous Inseparable paint/coating /ayerincluded in analysis HA: 19 PL -G -1 -Plaster PLASTER - GARAGE Gray <1% Hair 5% Ca Carbonate None Detected Non -Fibrous 95% Non-fibrous (Other) 221809916-0046A Homogeneous HA: 19 PL -G -2 -Skim Coat PLASTER - GARAGE White 5% Ca Carbonate None Detected Non -Fibrous 95% Non-fibrous (Other) 221809916-0047 Homogeneous Inseparable paint/coating /ayerincluded in analysis HA: 19 PL -G -2 -Plaster PLASTER - GARAGE Gray <1% Hair 5% Ca Carbonate None Detected Non -Fibrous 95% Non-fibrous (Other) 221809916-0047A Homogeneous HA: 19 PL -G -3 -Skim Coat PLASTER - GARAGE White 5% Ca Carbonate None Detected Non -Fibrous 95% Non-fibrous (Other) 221809916-0048 Homogeneous Inseparable paint/coating layerincluded in analysis HA: 19 PL -G -3 -Plaster PLASTER - GARAGE Beige <1% Hair 5% Ca Carbonate None Detected Non -Fibrous 95% Non-fibrous (Other) 221809916-0048A Homogeneous HA: 19 RM1-1 MAIN BUILDING Black 15% Glass 85% Non-fibrous (Other) None Detected ROOFING SHINGLE Fibrous 221809916-0049 Homogeneous HA: 20 RM1-2 MAIN BUILDING Black 15% Glass 85% Non-fibrous (Other) None Detected ROOFING SHINGLE Fibrous 221809916-0050 Homogeneous HA: 20 RM2-1 GARAGE ROOFING Black 10% Glass 90% Non-fibrous (Other) None Detected Fibrous 221809916-0051 Homogeneous HA 21 RM2-2 GARAGE ROOFING Black 15% Glass 85% Non-fibrous (Other) None Detected Fibrous 221809916-0052 Homogeneous HA: 21 RM3-1 SHED 1 ROOFING Black 5% Cellulose 95% Non-fibrous (Other) None Detected Fibrous 221809916-0053 Homogeneous HA: 22 Initial report from: 12/18/2018 12:40:58 j ASS—PLM-0008_0001 - 1.78 Printed: 12/18/2018 10:41 AM Page 6 of 7 EMSL Analytical, Inc. EMSL Order: 221809916Customer ID: CTLT34 1010 Yuma Street Denver, CO 80204 Customer PO: Tel/Fax: (303) 740-5700 / (303) 741-1400 http://www.EMSL.com / denverlab@emsl.com Project ID: Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Analyst(s) Amanda Hammer (26) Cassandra Schorzman (12) Molly Elkins (49) Melanie Rech, Laboratory Director or Other Approved Signatory -MSL maintains liability limited to cost of analysis. The above analyses were performed in general compliance with Appendix E to Subpart E of 40 CFR (previously EPA 600/M4-82-020 "Interim Method"), but augmented with procedures outlined in the 1993 ("final') version of the method. This report relates only to the samples reported above, and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations . Interpretation and use of test results are the responsibility of the client. All ;amples received in acceptable condition unless otherwise noted. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of he federal government. EMSL recommends gravimetric reduction for all non -friable organically bound materials prior to analysis. Estimation of uncertainty is available on request. 'amples analyzed by EMSLAnalytical, Inc. Denver, CO NVLAP Lab Code 200828-0 Initial report from: 12/18/201812:40:58 ASB—PLM-0008-0001 - 1.78 Printed: 12/18/2018 10:41 AM Page 7 of 7 Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type RM3-2-Shingle SHED 1 ROOFING Black 15% Glass 85% Non-fibrous (Other) None Detected Fibrous 221809916-0054 Homogeneous HA: 22 RM3-2-Tar SHED 1 ROOFING Black 100% Non-fibrous (Other) None Detected Non -Fibrous 221809916-0054A Homogeneous HA: 22 RM4-1 SHED 2 ROOFING Red/Black 20% Cellulose 80% Non-fibrous (Other) None Detected Fibrous 221809916-0055 Homogeneous HA: 23 RM4-2 SHED 2 ROOFING Red/Black 30% Cellulose 70% Non-fibrous (Other) None Detected Non -Fibrous 221809916-0056 Homogeneous HA: 23 INS -PH -1 VERMICULITE Various 100% Non-fibrous (Other) <1% Tremolite INSULATION - PUMP Fibrous 22180991 6-005 7 HOUSE Homogeneous HA: 24 INS -PH -2 VERMICULITE Brown 95% Vermiculite <1% Tremolite INSULATION - PUMP Non -Fibrous 5% Non-fibrous (Other) 221809916-0058 HOUSE Homogeneous HA: 24 RMS -1 RED/GREEN Gray/Red/Green 5% Ca Carbonate None Detected ASPHALT DEBRIS Non -Fibrous 95% Non-fibrous (Other) 221609916-0059 Homogeneous Inseparable paint/coating layerincluded in analysis HA: 25 RMS -2 RED/GREEN Black 100% Non-fibrous (Other) None Detected ASPHALT DEBRIS Non -Fibrous 221809916-0060 Homogeneous HA: 25 WG2-1 SHED 3 WINDOW White 100% Non-fibrous (Other) None Detected GLAZING Non -Fibrous 221809916-0061 Homogeneous Inseparable paint/ coating layer included in analysis HA: 26 WG2-1 SHED 3 WINDOW White 100% Non-fibrous (Other) None Detected GLAZING Non -Fibrous 221809916-0062 Homogeneous HA: 26 Analyst(s) Amanda Hammer (26) Cassandra Schorzman (12) Molly Elkins (49) Melanie Rech, Laboratory Director or Other Approved Signatory -MSL maintains liability limited to cost of analysis. The above analyses were performed in general compliance with Appendix E to Subpart E of 40 CFR (previously EPA 600/M4-82-020 "Interim Method"), but augmented with procedures outlined in the 1993 ("final') version of the method. This report relates only to the samples reported above, and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations . Interpretation and use of test results are the responsibility of the client. All ;amples received in acceptable condition unless otherwise noted. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency of he federal government. EMSL recommends gravimetric reduction for all non -friable organically bound materials prior to analysis. Estimation of uncertainty is available on request. 'amples analyzed by EMSLAnalytical, Inc. Denver, CO NVLAP Lab Code 200828-0 Initial report from: 12/18/201812:40:58 ASB—PLM-0008-0001 - 1.78 Printed: 12/18/2018 10:41 AM Page 7 of 7 EMSL Analytical, Inc. 1010 Yuma Street Denver, CO 80204 Phone/Fax: (303) 740-5700 / (303) 741-1400 http://www.EMSL.com / denverlab@emsl.com EMSL Order: 221809916 Customer ID: CTLT34 Customer PO: Project ID: Attention: Wes Short Phone: (303) 825-0777 CTL Thompson Fax: 1971 West 12th Avenue Received: 12/12/2018 1:35 PM Denver, CO 80204 Analysis Date: 12/21/2018 Collected: Project: DN49768-221 Disclaimer:Some samples may contain asbestos fibers present in dimensions below PLM resolution limits. The limit of detection as stated in the method is 0.25%. EMSLAnalytical Inc suggests that samples reported as -0.25% or none detected undergo additional analysis via TEM. The above test report relates only to the items tested. This report may not be reproduced, except in full, without written approval of EMSL Analytical Inc. This test report must not be used by the client to claim product endorsement by NVLAP or any agency of the United States Government . EMSL Analytical Inc., bears no responsibility for sample collection activities, analytical method limitations, or the accuracy of results when requested to separate layered samples. EMSL Analytical Inc., liability is limited to the cost of sample analysis.The test results contained within this report meet the requirements of NELAC unless otherwise noted. Samples received in good condition unless otherwise noted. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Samples analyzed by EMSL Analytical, Inc. Denver, CO NVLAP Lab Code 200828-0 Initial report from: 12/21/2018 11:08:38 Printed 12/21/2018 11:08:40AM Page 1 of 1 Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy. Quantitation using 400 Point Count Procedure Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type WG1-1 WHITE WINDOW White 99.0% Non-fibrous (Other) 1.00%Chrysotile 221809916-0044 GLAZING Non -Fibrous Homogeneous HA: 18 Point Count performed on NOB material without gravimetric reduction at client request. Asbestos results may be under -reported. WG1-2 WHITE WINDOW White 98.5% Non-fibrous (Other) 1.50%Chrysotile 221809916-0045 GLAZING Non -Fibrous Homogeneous HA: 18 Point Count performed on NOB material without gravimetric reduction at client request. Asbestos results may be under -reported. INS -PH -1 VERMICULITE Various 100.0% Non-fibrous (Other) <0.25%Tremolite 221809916-0057 INSULATION - PUMP Non -Fibrous HOUSE Homogeneous HA: 24 INS -PH -2 VERMICULITE Brown 100.0% Non-fibrous (Other) <0.25%Tremolite 221809916-0058 INSULATION - PUMP Non -Fibrous HOUSE Homogeneous HA: 24 Analyst(s) Molly Elkins (4) Melanie Rech, Laboratory Director or other approved signatory Disclaimer:Some samples may contain asbestos fibers present in dimensions below PLM resolution limits. The limit of detection as stated in the method is 0.25%. EMSLAnalytical Inc suggests that samples reported as -0.25% or none detected undergo additional analysis via TEM. The above test report relates only to the items tested. This report may not be reproduced, except in full, without written approval of EMSL Analytical Inc. This test report must not be used by the client to claim product endorsement by NVLAP or any agency of the United States Government . EMSL Analytical Inc., bears no responsibility for sample collection activities, analytical method limitations, or the accuracy of results when requested to separate layered samples. EMSL Analytical Inc., liability is limited to the cost of sample analysis.The test results contained within this report meet the requirements of NELAC unless otherwise noted. Samples received in good condition unless otherwise noted. Unless requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Samples analyzed by EMSL Analytical, Inc. Denver, CO NVLAP Lab Code 200828-0 Initial report from: 12/21/2018 11:08:38 Printed 12/21/2018 11:08:40AM Page 1 of 1 OrderID: 221809916 4 emm aaarrnc�ar., U*-- ILANDRAMM-MROMMManow Asbestos Chain of C EMSL order Number (Lai �. a II q< CSA C)1 E I EMSL ANALYTICAL, INC. JStOdy I 1010 YUMA ST. Use Qnly): i DENVER, CO 80204 I PHONE: (303)740-5700 1 / FAx: (303)741-1400 12/17 CTL SO ^ Company: , a:f' ; EMSL-Bill to: Same Different ff Bill is Differe note Instructions In Comments— Thfrd Pa B' ra Imes written authorization from third patty Street: � ct 7 1 U) 1-2T'- f 4 V e I City- De ,44-, StatelProvince: Zi /Postal Coder 6;20q Caun U 5 Report To (Name): 1;S Fax#. Tele hone#: 303 62 67 6�IZ Email Address: W 5 io�� Pro ect NamelNumber. DtJ `� 97 6y�221 116 I Please Provide Results: ❑ Fax Ema)f Purchase Or ler U.S. State Samples Taken: Turnaround rime O ons'—Please',Check) 3 Hours I El 6 Hours ❑ 24 Hrs I 48 His 3 Days 1 4 Days I ❑ 5 Days I ❑ 10 Da For TEM Air 3 hours/6 hours, please call ahead to sdmdule.'There Is a pre nium charge for a Hour TEM AHERA or EPA Level H TAT. You will be asked to sign an authodzefion farm for this service. An corrh feted in accord noe with EMSLs Tema end Condfions lomled M the AffabWcalPlice Guide. PCM - Air ❑ NIOSH 7400' ❑ w/ OSHA 8hr.1WA i TEM -Air ❑ AHERA 40 FR, Part 763 ❑ NIOSH 740 ❑ EPA Level I ❑ ISO 10312 TEM- Dust ❑ Mitxovac - ASTM D 5755 ❑ Wipe - ASTM D6480 ❑ Carpet Sonication (EPA 600/J-931167) PLM - Bulk (reporting limit) Pd PLM EPA 600/11-93/11B(<1%) ❑ PLM EPA NOB (<1%) Point Count ❑ 400 (<0.25%) [) 1000 (<O.1%) Point Count w/Gravimetric ❑ 400 (<0.25%) ❑ 1000 (<O.1 %) ❑ NYS 198.1 (liable in NY) ❑ NYS 198.6 NOB (non -friable -NY) ❑ N10SH 9002 <7% SoMocklVemticulite ❑ PLM CARE 435 - A (0.25% sensitivity) ❑ PLM GARB 435 - B (0.1 % sensitivity) ❑ TEM CARB 435 - B (0.1% sensitivity) ❑ TEM CARB 435 - C (0.01 % sensitivity) ❑ EPA Protocol (Semi -Quantitative) ❑ EPA Protocol (Quantitative) TEM - Bulk ! ❑ TEM EPA N OB ❑ NYS NOB 1 38A (non-liable-Nl) ElChatfield SC P ❑ TEM Mass I knalysis-EPA 600 sec. ,2.5 TEM —Water PA'100.2 Fibers >10Nm ❑ Waste ❑ Drinidr�g A11 Fiber Sizes 0 Waste ❑ Drinking Other. p ❑ Check For Positive Stop — Clearly Identify Ho Group Samplers Name: w.S+ r. ��o Z��J L(� Iinogerious Samplers Signature:- Sample # Sample Descrip on Yolrmte/Area (Air) HA # Bul DateMme Sampled t lr}P I I t' 1 a LaA Pafte Room. 2 it ! 2 -t t .Q I UL 0- SIM -CIL! ?u. c, - R Oro K Z z q -zI I! z M c oa I I 3 Client Sample # (s): - Total # of Samples: (, Relinquished (Client): ,, r Da : I2 - l s.- 2-o) b' Time: Received (Lab): Dat : tZ %2 l!� Time: '35if'in CommentsfSpecial Instructions: E Ej / Jj Uv —X— Cceft eooameru-nae&sm.00c-M-3rrMM Page 1 of 1 ; pages Paqe 1 Of rp OrderID: 221809916 Asbestos Chain of Custo EMSL Order NL mber (Lab Use'o EMSLANALYTICAL, INC. Additional Pages of the Chain of Custod� are only neces ary if needed for y EMSL ANALYTICAL, INC. Volume/Area (Air) HA # Bulk 1010 YUMA STREET'S DENVER, CO 80204 PHONE: (303) 740-5700 3 FAx: (303) 741-1400 ditional sample information Sample # Sample Descril tion Volume/Area (Air) HA # Bulk Date/Time Sampled �1 3 T f i rI _ L I K IZ NTFI - l S 13 -2 S 1P M (, 16�M 1- 1 Flooc `��; f�nu� gal `Rocs rx / FfroweA t wre_ ' � 0D Iq -2 g Zo -3 + 8 t.- 151 X 2 00 t,\ 5 10 2S � 2FFX3 — l Z$ - 3 tiI 2q TST I - " Comments/Special Instructions: ContmUe0 DOCuMeN—Asteslos CCC —RIO —0510912016 I Page of�pages, Paqe 2 Of 4 f I OrderID: 221809916 EMSL ANALYTICAL, INC. uao.umm•rnawrn.mmawo IrV Asbestos C ain of Cust EMSL Order Nimber (Lab use EMSL ANALYTICAL, INC. 1010 YUMA STREET DENVER, CO 80204 PHONE: (303) 740-5700 FAx: (303) 741-1400 Additional Pages of the Chain of Custody are only necessary if needed for additional sample information I � f Sample # Sample Descr 3tion Volume/Area (Air) HA # Bulk Date/Time Sampled -i�DO y ! 13 13 _3 13 1-37 34 Moo Floor— LevcU\-\ yl } X13 ys I YgRI`n1- �� R 51„� It i Zo zo zZ z2. "Comments/Special lnstractions: 1 j i I Cantmiled Document — Asbestos COC — R10— OSM912016 Page of � pages Paqe 3 Of 4 1 OrderID: 221809916 q_� SMSL ANALVTICA L, INC. c o_. vnowrn.re .o Additional Pages of the Chain of bes#os Chin of Cus SL Order N mber (tab us are only necestary if needed EMSL ANALYTICAL, INC. 1010 YUMA STREET DENVER, CO 80204 PHONE: (303) 740-5700 FAX: (303) 741-1400 sample information Sample # Sample Descri tion Volume/Area (Air) HA # Bulk Daterrime Sampled s5 1Z IM - c S i. � �.. f �' I ds D �3 541N� - 1A ��( `c v.` i�e I i awl ivr� - l�w� nowise Zy 5'Z $g Rens - I &A s tia,� bs i s 2 5 Go Z 7-6 i I I l I i i �i I I I i I I i "Comments/Special Instructions: 1 I Controlled Dent —Asbestos COC —Rio — 8518812818 Page of 1 pages i I I I Paqe 4 Of 4 I APPENDIX C LEAD PAINT LABORATORY RESULTS AND CHAIN OF CUSTODY CREEKSIDE COMMUNITIES 11661 WEST 44TH AVENUE TOWNHOMES CTL I T PROJECT NO. DN49,768-221-R1-REVISED Reservoirs Environmental, Inc. Effective April 2, 2018 Reservoirs Environmental QA Manual Q:\QAQC\Lab\Reservoirs Environmental QA Manual.doc REI LAB ROHOrVJ3irHE1Jviranmenra1, Inc. December 14, 2018 Laboratory Code: RES Subcontract Number: NA Laboratory Report: RES 424264-1 Project # / PO #: DN49768-221 Project Description: 11661 W 44th Ave Wes Short CTL/Thompson (Denver) 1971 West 12th Place Denver CO 80204 Dear Customer, Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and Environmental matrices by the American Industrial Hygiene Association, Lab ID 101533 - Accreditation Certificate #480. The laboratory is currently proficient in both IHPAT & ELPAT programs respectively. Reservoirs has analyzed the following sample(s) using Atomic Absorption Spectroscopy (AAS) / Inductively Coupled Plasma - Mass Spectrometry (ICP -MS) per your request. Reported sample results were not blank corrected. The analysis has been completed in general accordance with the appropriate methodology as stated in the analysis table. Results have been sent to your office. RES 424264-1 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 authorized by the client. The results described in this report only apply to the samples analyzed. 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 should have any questions about this report, please feel free to call me at 303-964-1986. Sincerely, Jeanne Spencer President P: 303-964-1986 5801 Logan Street, Suite 100 Denver, CO 80216 1-866-RESI-ENV F: 303-477-4275 www.reilab.com Page 1 of 2 Reservoirs Environmental, Inc. Reservoirs Environmental QA Manual P: 303-964-1986 F: 3034774275 TABLE Effective April 2, 2018 Q:\QAQC\Lab\Reservoirs Environmental QA Manual.doc RESERVOIRS ENVIRONMENTAL, INC. 5801 Logan St., Suite 100 Denver CO 80216 ANALYSIS: RES Job Number: Client: Client Project Number / P.O.: Client Project Description: Date Samples Received: Analysis Type: Turnaround: Date Samples Analyzed: LEAD IN PAINT RES 424264-1 CTL/Thompson (Denver) DN49768-221 11661 W 44th Ave December 12, 2018 USEPA SW846 3050B / AA (7420) Standard December 14, 2018 Client Lab Reporting LEAD ID Number ID Number Limit CONCENTRATION 1 Forest Green EM 2220461 0.0031 15.5 2 Lime Green EM 2220462 0.0017 0.23 3 Sky Blue EM 2220463 0.0021 0.79 4 Red EM 2220464 0.0010 11.5 5 White EM 2220465 0.0025 0.080 6 Garage Green/White EM 2220466 0.0010 9.8 * Unless otherwise noted, all quality control samples are performed within specifications established by the laboratory. Analyst / Data QA: 5801 Logan Street, Suite 100 Denver, CO 80216 Page 2 of 2 Renee A. Cortez 1-866-RESI-ENV www.reilab.com In lu ud M o 0- w `m Ji �7, j o E5 z z £} 5 Ws 0 {3o Wit a a ° `m ~ easy; (l) a un)OA oldu-TS . LL f .� x ' olge•A-uON JO aWVA Oa s re }_. u0ne0(yumnO ' u0n939!Iua01 ' -J. ;Ing jo daa a -ds Pion = n � 0 0 tl E _ _ lewamai"aAlVl'uxlmvo!8 �W10q ._ 'n vl ffi o - Si9uMluo0 ---• uoge0yquendw •/- ."tau ao�6� T ' 0 ; u u n a w aPoa)nJieyy r[s a 0 {3o '= easy; (l) a un)OA oldu-TS . LL f .� ;S310N M3H10 NO SIVLLINI S.1l3ldWdS ' olge•A-uON JO aWVA Oa s 5 3 3 }_. u0ne0(yumnO ' u0n939!Iua01 ' -J. ;Ing jo daa a -ds Pion I u, Q _ _ lewamai"aAlVl'uxlmvo!8 �W10q ._ K. o i __ ---• uoge0yquendw •/- ."tau ao�6� T ' 0 ; c o` v t O — a�. (n uone�+ywen0 m -/, •fa6unj'euageg O •' 0 J JO W I A '01 luno:) aleld NQQmV :t ano+0 le14agln m0 w i - - --- R'. ON / SaA (8u0 a1j0 aSeald) lalem ams z >, C G `x D r q u0nealp uenO IO y. .SuuoppO lo/pue Ila? 3' E n•. � w uatenluenp 'LH 1n o p �D W jai+ A1oMwdwe0'SMIngS'eua"flLSM J. E w 1.- m YunoO ateld aipaay :sua6oyled �- jNaa3'.7lauaukcS Cy SSI Hi3W-SOINVoitoLU Z A 'x i r u LL Hd 'ueos Sletayl 'awn3 6uippM d'171 '8 Vjjo21 (S)aU4euy SWl3W C1 — _ alnendsaa 'moi isn0 VHSO '80M '7W4L WO ..� Sdaid LawToul-OSI 'zeA-=tv4 'wvon iwaS wenO (lanO n king 'ire.) -l• 'OSI 'ZOaL *11100-1 VM3HV W31 m _ c oA ,eUtenO 'uodai 6uo-I 7urg011nOd VOft LOyS - Wld LL LL Oa s 5 3 3 LU u, Q Q e 0; E a ;, 3 Oz WQ a�. a e > C G `x D n a '' E n i 1n o p �D W J. E w 1.- m T ~ w t00 Z "°• d' II W N t•s C1 IX No�yer NOi=m la ", m M I = O „ n 4 in R s = v' = O A o G ' NS 7 cr I- I I I I J O A q 1.- c � O m c o m m 0 > N C = W a t s g ..1 : v o 1W Ix ti i 2°co w C7 n R u K 3& mOr w Q. m LuE V m N a O V o o o 1 S6 N CL m V O L N' e c Q a V � C LL O i ui o. 2 2 z a m � � N C 0 u N 7' e ZOL a� � c U m E °z b -t0 1+ CD T 3 � Z /_\»2101970�7 CDPHE REGULATED BUILDING MATERIALS INFORMATION CREEKSIDE COMMUNITIES 11661 WEST 44TH AVENUE TOWNHOMES CTL I T PROJECT NO. DN49,768-221-R1-REVISED Rbc co ye � X8'!6 � Colorado Department of public Health and Environment Why regulate mercury -containing devices? Compliance Bulletin Hazardous Waste Management of Mercury -containing Devices July 2004 Waste mercury -containing devices are commonly gener- ated by a wide variety of generator types including households, medical clinics, hospitals, the electronics industry, dairies, small businesses, pipeline monitoring companies, and other industrial operations. Such devic- es include mercury thermostats, thermometers, manome- ters, barometers, blood pressure cuffs, electrical switches and relays, gauges and flow regulators, pyrometers, thermocouples and vacuum pumps. Improper disposal of mercury can impact state water supplies or be released into the air as gas emissions. Mercury is among a group of pollutants that do not break down or go away. When deposited into the environ- ment, mercury can be converted into methylmercury, which builds up in the tissues of fish, wildlife and hu- mans. Mercury is a potent neurotoxin that interferes with the way nerve cells function and can cause damage to the brain, kidneys and lungs. How are mercury -containing devices regulated? Household wastes are not regulated as hazardous waste in Colorado, so residential wastes may be disposed of through a local household hazardous waste collection event or facility, or if these options are not available - disposed of in a municipal solid waste landfill. Disposal of mercury -containing devices in a solid waste landfill is strongly discouraged, however. While residential consumers are exempt from the Colo- rado Hazardous Waste Regulations, businesses, medical facilities, schools and government agencies must follow State requirements regarding proper management and disposal of hazardous wastes that they generate. How should mercury -containing devices determined to be hazardous waste be managed? Until a nationwide, long-term solution is found for man- aging mercury, the preferred alternative is to send mer- cury -containing devices and other mercury -contaminated waste to a facility that recycles the waste by retorting (distilling) it. Alternatively, a generator must ensure delivery of the mercury -containing devices or waste to a permitted hazardous waste treatment or disposal facility. Waste mercury -containing devices can either be ma- naged in full compliance with the Colorado Hazardous Waste Regulations, or they can be managed in com- pliance with the reduced requirements of the Universal Waste Rule in Part 273. The "Guide to Generator Re- quirements of the Colorado Hazardous Waste Regula- tions" describes the requirements applicable to each generator category. The Guide is available on the Divi- sion website or by calling the Customer Technical Assis- tance line. The Universal Waste Rule provides an alternative set of reduced management standards for mercury -containing devices that the generator can follow instead of the full hazardous waste requirements. This rule was designed to reduce the regulatory burden on non-residential enti- ties that generate these wastes and to encourage recy- cling, while at the same time reducing the amount of hazardous waste items illegally sent to municipal solid waste landfills. What are Universal Wastes? The Universal Waste Rule [Colorado Hazardous Waste Regulations 6 CCR 1007-3 Part 273] includes certain hazardous wastes that are commonly generated by very small to very large non-residential sources such as busi- nesses, government agencies, and schools. Universal wastes are subject to wide spread use, which makes dis- posal of these hazardous wastes difficult to control. Materials included as universal wastes are regulated un- der the Resource Conservation and Recovery Act (RCRA) and have been required to be handled as ha- zardous wastes since the early 1980s. In the past, if these wastes were determined to be a hazardous waste, small and large quantity generators of hazardous waste needed to manage them in full compliance with the ha- zardous waste regulations, including labeling, employee training, manifest requirements, and restrictive time lim- its. [6 CCR 1007-3 Parts 260-268, 99, 100] Why manage mercury -containing devices as univer- sal waste? Managing wastes as universal wastes is most beneficial to small and large quantity generators of hazardous waste, or conditionally exempt small quantity generators that would otherwise be small quantity generators if they Page 1 of 4 did not manage some of their wastes as universal wastes. The primary benefits of choosing the reduced manage- ment standards of the universal waste rule are that the waste does not count toward the monthly total of ha- zardous waste in determining generator category; the waste can be shipped without a hazardous waste manif- est; the waste can be shipped by common carrier instead of a hazardous waste transporter; there are reduced noti- fication and record-keeping requirements, and the sto- rage time limits are less restrictive. Because universal waste does not require a hazardous waste manifest for shipment in Colorado, it is not considered hazardous waste under US Department of Transportation regula- tions, though other regulations may apply. State re- quirements for universal waste transporters are included in 6 CCR 1007-3 Part 273 Subpart D. What are the requirements for universal waste man- agement? Categories of Universal Waste Handlers Under the Universal Waste Rule, persons who generate or accumulate waste mercury—containing devices are considered "handlers" of universal waste. [6 CCR 1007- 3 Section 273.9] [Note: this definition is different from that of a generator of hazardous waste]. There are two categories of handlers, Small Quantity Handlers of Universal Waste and Large Quantity Han- dlers of Universal Waste. A small quantity handler of universal waste is one who does not accumulate more than 5,000 kilograms of universal at any one time. A large quantity handler of universal waste is a handler of universal waste who accumulates 5,000 kilograms or more of universal waste. [6 CCR 1007-3 Section 273.9] In the case of open-ended universal waste mercury - containing devices, a handler in either category can- not accumulate more than 35 kilograms (about 77 pounds) of elemental mercury at one time. The designation of small quantity or large quantity hand- ler of universal waste has no relationship to a facility's hazardous waste generator status. Thus a small quanti- ty generator of hazardous waste may be a large quantity handler of universal waste, and a facility that is a large quantity generator of hazardous waste may be a small quantity handler of universal waste. If, at any time during a calendar year, a facility exceeds the quantities for a small quantity handler of universal waste, they would be considered a large quantity handler until the next calendar year when they can reevaluate their status. [6 CCR 1007-3 Section 273.9] Labeling When universal waste mercury -containing devices are generated, they must be labeled as "Waste _," "Used _" or "Universal Waste Mercury -containing Devices." If the waste is placed into an accumulation container, only the container needs to be labeled, not the individual items in it. If a device is not in good condition and is leaking or shows sign that it could leak, it must be indi- vidually over -packed in a closed container that is proper- ly labeled and capable of preventing a release of hazardous constituents to the environment under reason- ably foreseeable conditions. [6 CCR 1007-3 Sections 273.13, 273.33] Accumulation of Waste Universal waste handlers are required to manage their waste in a manner that prevents releases of the waste or waste constituents. [6 CCR 1007-3 Sections 273.13, 273.33] There is a one year accumulation time limit, and handlers must be able to demonstrate that universal waste on-site has not been accumulated for more than one year. [6 CCR 1007-3 Sections 273.15, 273.35] Al- though it is not required to be marked with the accumu- lation start date, this would be the easiest way to document that the waste is in compliance with the one year accumulation limit. Shipment of Waste A universal waste handler cannot dispose of universal waste on site without a permit, and treatment by the handler is not allowed except under limited conditions (see the section on handler treatment). Universal waste can only be shipped to another universal waste handler, a destination facility or a foreign destination. Shipment to another universal waste handler is allowed to aid in con- solidation of wastes. A destination facility is a facility that is permitted to treat, dispose, or recycle the waste. [6 CCR 1007-3 Section 273.9] Shipment of universal waste in Colorado does not re- quire the use of the hazardous waste manifest system. Therefore, universal waste is not considered hazardous waste under US DOT regulations. Some universal wastes are regulated by the US DOT as hazardous mate- rials because they meet criteria for one or more hazard classes, but the word "waste" may not be used in the shipping name. [6 CCR 1007-3 Section 273.52] Other states may have different requirements for wastes that are managed as universal waste in Colo- rado. The handler should always confirm the regula- tory status of universal wastes in the destination state Page 2 of 4 and in all intervening states the waste will travel through. Notification Small quantity handlers of universal waste are not re- quired to notify the Division of their universal waste management activities. [6 CCR 1007-3 Section 273.12] Large quantity handlers of universal waste are required to notify the Division of their universal waste manage- ment activities and obtain an EPA identification number. This must be done even if the facility has previously given notification and received an EPA identification number for its hazardous waste activities. The EPA identification number will remain the same. Employee Training Small quantity handlers of universal waste are required to inform all employees who manage universal waste about the proper handling and emergency procedures appropriate to the types of universal waste at the facility. [6 CCR 1007-3 Section 273.16] Large quantity handlers are required to ensure that personnel are thoroughly fa- miliar with the requirements for universal waste man- agement and emergency response relative to their level of responsibilities in dealing with the waste. [6 CCR 1007-3 Section 273.36] This is a performance-based standard, and there are no requirements to maintain for- mal training records for either category. Spills All handlers of universal waste are required to imme- diately containerize and appropriately manage any spills or residues from releases of universal wastes. [6 CCR 1007-3 Sections 273.17(a), 273.37(a)] A hazardous waste determination would need to be made on these newly generated wastes. Record Keeping Requirements A small quantity handler of universal waste is not re- quired to maintain specific records. [6 CCR 1007-3 Sec- tion 273.19] However, it is strongly advisable to keep adequate records to document waste management prac- tices to substantiate the facility's handler status. A large quantity handler of universal waste must keep written records for universal wastes shipped to and from its facilities. These records must be kept for at least three years and include: the types and quantities of uni- versal waste shipped or received, the date the waste was shipped or received, and to whom the waste was shipped. [6 CCR 1007-3 Section 273.39] Universal waste handlers that drain elemental mercury from open-ended devices must maintain documentation of the date of accumulation, a description of each device drained, and the amount of mercury drained from each device. Can a universal waste handler treat its hazardous wastes? Removing mercury ampules from mercury -containing devices and draining elemental mercury from open- ended mercury -containing devices are allowed by han- dlers of universal wastes as long as these activities are conducted in accordance with the requirements of Part 273.13 or 273.33 of the Colorado Hazardous Waste Regulations. Prior to removing the ampules or draining elemental mercury, a handler must develop and imple- ment a written procedure detailing how to conduct these activities safely. Included in this document must be the type of equipment to be used, operation and maintenance of the equipment, and the precautions that need to be taken to protect workers. In addition, the document must include a review of the wastes that will be generat- ed from these activities and how these will be managed. A spill kit must be readily available in case there is a spill or release. Removal of mercury ampules A handler of universal waste mercury -containing devices must ensure that workers are thoroughly familiar with the procedures to safely remove mercury ampules and the precautions needed for worker safety. They must be familiar with the type of equipment to be used and how to operate and maintain it. Handlers of universal wastes must ensure that the mer- cury ampules are removed from the devices in a manner that is designed to prevent the release of any universal waste or component of universal waste to the environ- ment. Mercury -containing ampules may be removed from a device only if these activities are done over or in a containment device (e.g., a tray or pan) sufficient to collect and contain any mercury released in case of brea- kage or spillage. Any mercury spilled during the remov- al activities must be immediately transferred to a closed, non -leaking container that meets the requirements of Section 262.34 of the Colorado Hazardous Waste Regu- lations 6 CCR 1007-3. Ampules removed from mer- cury -containing devices must be packed with material adequate to prevent breakage during storage and ship- ment. The handler must ensure that the area in which the universal waste devices are managed is well venti- lated and monitored to ensure compliance with applica- ble OSHA exposure levels for mercury. Page 3 of 4 Removal of elemental mercury from open-ended devices A handler of universal waste mercury -containing devices must ensure that workers are thoroughly familiar with the procedures to safely drain mercury from open-ended devices and the precautions needed for worker safety. They must be familiar with the type of equipment to be used and how to operate and maintain it. Handlers of universal wastes must ensure that the ele- mental mercury is removed from the devices in a manner that is designed to prevent the release of any universal waste or component of universal waste to the environ- ment. Elemental mercury may be removed from a de- vice only if these activities are done over or in a containment device (e.g., a tray or pan) sufficient to col- lect and contain any mercury released in case of brea- kage or spillage. All mercury removed from open-ended devices or spilled during the removal activities must be immediately transferred to a closed, non -leaking con- tainer that meets the requirements of Section 262.34 of the Colorado Hazardous Waste Regulations. A universal waste handler that drains elemental mercury from open-ended devices must maintain documentation of the date of accumulation, a description of each device drained, and the amount of mercury drained from each device. The handler must ensure that the area in which the universal waste devices are managed is well venti- lated and monitored to ensure compliance with applica- ble OSHA exposure levels for mercury. What about Conditionally Exempt Small Quantity Generators (CESQG)? Conditionally exempt small quantity generators are those that generate less than 100 kilograms (approximately 220 pounds) of total hazardous waste and no more than one kilogram of acutely hazardous waste per calendar month AND never accumulate more than 1000 kilo- grams of hazardous waste on site at one time. In Colo- rado, conditionally exempt generators must identify which of their wastes are hazardous wastes and must ensure that their wastes are sent to a facility that is per- mitted to accept it. Conditionally exempt small quantity generators may choose to manage their mercury -containing devices as conditionally exempt wastes or as universal wastes. [6 CCR 1007-3 Section 273.8] Because of the reduced management requirements already applicable to condi- tionally exempt small quantity generators of hazardous waste, it is generally not to their benefit to manage their wastes as universal waste, unless they would otherwise be small quantity generators by having to include the mercury -containing devices in their monthly generation quantities. Unlike small and large quantity generators of hazardous waste, conditionally exempt generators are not required to notify the State of their regulated waste activity or to get an EPA identification number. There is no time limit on how long they may store their hazard- ous waste on site as long as they don't exceed the quan- tity limits for conditionally exempt small quantity generators, and they may transport their hazardous waste without a hazardous waste manifest under a standard bill of lading. Conditionally exempt generators may not dispose of their hazardous wastes on site or send them to a solid waste landfill in Colorado. These wastes must be sent to a permitted hazardous waste treatment, storage or dis- posal (TSD) facility, sent to a legitimate recycler of the waste, or sent to an out-of-state solid waste disposal fa- cility that is permitted to accept conditionally exempt small quantity generator hazardous wastes. For more information: Colorado Department of Public Health & Environment Hazardous Materials and Waste Management Division 4300 Cherry Creek Drive South Denver, Colorado 80246-1530 Customer Technical Assistance (303) 692-3320 (888) 569-1831 ext. 3320 toll-free Division Website www.colorado.gov/cdphe/hm E-mail comments.hmwmd@state.co.us CHW-010 This Compliance Bulletin is intended to provide guidance on the appropriate management of wastes based on Colorado sol- id and hazardous waste statutes and regulations only. The wastes described in this guidance may also be regulated under other statutes and regulations. Page 4 of 4 APPENDIX E CTL I THOMPSON CERTIFICATION CREEKSIDE COMMUNITIES 11661 WEST 44TH AVENUE TOWNHOMES CTL I T PROJECT NO. DN49,768-221-R1-REVISED A City of W heik. I -Q- ge c( UN Im -vL,,Lo 'N'T Mn'Y DL ,. PME Building & Inspection Services Division 7500 W. 29'h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Request Line, 303-234-5933 Dote: Plan # fD) V") Cl� CA iii Pernfit # Proptrty Owner tease print): Maltin vAddMss: (if different than property C I "o 2� o , : V 0! Phone Mechanicat City License # (Fully describe work to be performed - Attach additional sheet if necessary) cooftimt Value Of all WOW Squares BTU's Gallons Sq R -- 1 Review Fee (due at fin7e of subtaitWj: OWNERWONTRACTOR SIGNA,rt 'Rl& OF UNDERSTANDING AND AGREEMENT I hereby certify that thesetbackdistances prolst'),"'W h ' V thi',' pemit application my accur,,'ve and do movioa late pplicadioanc ble ores, rules or regulations ofthe City of Nk"'heat Ridge or c(o emants, caserrients or rearictiofis of record; that, all measummous shown and aHcgatrotis made are. accurate; that I have rvad atid agree wabide by all conditims printed mi this ajij)ficaficm atid that I a-'os'Ume 1'411 respoll"'ibifity, to c"oMphance with ajaplicahlc City of'"haat Ridge cotfcs atid ordirianevs for work, utider any jwnnit isstuxt leased (it) this applicafiow that I arra the lvgal o-A'iicr or havc tKvri authori/W by the lcgal ovvflcr of the prolicay to 1,h, -rd' rm thc alerilxxi aork '411d am also authori�cd by the lqtal mvncr ol'any entity includW on duNallpficatioo to Tisa that entity on this, ar4ificafiom clgctravr- ?0"WEP r#'f0lVNERj fCO3V'r94('T0R) M Bldg Valuation: Complete all information on BOTH sides of this for ,gill qj Project Value- (Contract value or the cost of 11_1matesale and labor included in the jatftre project) k' 9 1 11 ;5j' DRAINAGE A MUTY EASEAIEX��:'.Il 1t x., �' '" ..f . y,.. a Fags l Gf r p i Maps Assodated with Scheduq ttp:J eff .0 i�ats pl a. o?sch=44 0&- 9/9/2013 i I GLENDENE H. SIG HTMkRTER STATE OF COLORADO ) ) ss. COUNTY OF JEFFERSON ) mm R $ lot 1111111 0$0. \2 201 I«<£a 202:08 P <®a«« JEF FERSON Col x7+ }» # ?» # f :1410330 m ±f 2 : }2 ?! * + :2 22f f ?2 :3? }# 2 ? ■ ° *! +! \t « ? W ommi-Mri RR.. STATE OF COLORADO COUNTY §�< � * :!\ <z4 MSTEM ff t 2 </� » • +� a s 5 .. �iGMCiE �Wit'4YlF�R �'ittili�OY �i 7 -5-3:3 i a , a 35 SID 10 4 Copyright 0 200 Cokwaft Wslon of Waftr sww*s. All r hu mer+rtcl. w . . s, , « Well cawbucted 0910511994 # ry n Recdved J O 121W21*7 No Complete all information on BOTH sides of this form Mailing Address: ( Sq. FULF Btu's Gallons Amps Squares Other ` DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 4175 BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 11/12/96 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Property Address : Contractor License No. : Company : 11661 44TH AV 17152 Precise Plumbing OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposedby 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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) Description : WATER HEATER Phone : 940-4722 Phone: 534 0881 Construction Value : $357.00 Permit Fee : $22.00 Use Tax : $0.00 Total: $22.00 Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : o~ «m = (1) This permit was issued in accortlance wi[h the provisions set forth in yopur appliration antl is su6ject to ihe laws of the State of Coloratlo antl to the Zoning Regula6ons antl Builtling Cotle of Whea[ Ridge, Colorado or any other applicable ordinances of [he City. (2) This permit shall expire if (A) the work au[horized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If [his permit ezpires, a new pertnit may be acquiretl for a fee of one-half the amount normally required, provided no chan9es have been or will be matle in the original plans antl specifications and any suspension or abantlonment has not exceeded one (1) year. If changes are made or if suspension orabantlonment exceeds one (t) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done ihat will change the na[ural tlow of water causing a dreinage problem. (5) Contractor shall notify Ue euiltling Inspec[or Fxenty-four (24) hours in atlvance for all inspec[ions and shall receive written approval on inspection card before proceedi with successive phases oFihe job. (6) The is ce of permit or the approval of drewings and specifcations shall not be construed to be a permit for, nor an approval of, any violation of the provisions oFth es or any qther ordinance, law, rule or regulation. iief Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Bu'ilding Permit Number :BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RJDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Q. PropertyAddress: /iC6/ ~tl, //y Phone: qy~- y~2Z ConVactor License No. Company : / r Phone y o~~ ~ Pi~-P Ci 5 Z •n G' J.~i~ cOWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hercby certiy that the selbadc tlistances proposetl by this permrt apDlication are aeeurate. antl tlo not violate apphwble ommanees. rules or regutatlons of the City of Wheat Ridge or covenants. easements or restnctions of reeorcL that all measurements shown. an7 allegaUOns matle are accura[e: tnat I have reatl antl agree ro abitle by all contl¢ions pnntetl on Lhis appliption. ana that 1 assume full responsroilRy for eompuance wnh the Wheat Ridge Building . Code (U:B.C.) and sii omer appucable Wheat " ge ommances. forwork un_ r this pertnK. (ONRJER)(CONTRACTOR) SIGNED. . ~Z~ OATE Descnption : , _ . _ ` ~ ConsVuctionValue: _35~~ Pertnit Fee : .2.2, Use Tax : SvA,~s TOtal '~2 2 C 11 1 BUILDING DEPARTMENT USE ONLY Zi ~ 1TnitE6fYimel Approval : Zoning : PM diiip:Cdbi-hfflI " Approval : P061J~-1Ardrk~s-'~Cali~ments:! Approval : ' Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbmg License No : Mechanical License No : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : ~ ~T!llillliIliilil qu(red~ .1 _PIBhsRequired:YRI rFW!gJMuir8tl~ M0111 (1) Thi5 pertnrt was iSSUeG m attOfCance wnUf ttie pionswns Set PoM m yopur appl,CaOOn an0 is SuDjeCt t0 the laws of the Stete o( CoIORCO anC f0 the ZOning Regulanons ana BuilEmg CoCe of 1Miea[ RiCge. Colonao or arry omer appucaEle oroinances of tne City. R7 This permrt snall exprte d(A) the wonc aumonzeo rs nm commenaw wimm sixry (60) Eays hvm issue tlate or (B) Ne builtling auUionzea Is suspentletl w aWntlonea tor a cenoo ot 120 Cays. (3) II mis pertnrc e:eires. a new cermrt may oe acquirea lor a/ee of ono-natt the amount nortnairy mquiretl. orovwetl no Uanges nave Oeen or vnll Oe made in the onginal plani antl speafiUaons anC atry suspenawn or aOaMOnment nas not excee0e0 one (1) year. It Wngey are maae or H suspensMn or aDantlanmMt 'ExClE05 OnB 11) yC2f, hlll 1!l•3 311211 be p2q fpf 8 n!w plrtllt(. (a) No woni of any manner shail be tlone tnat vnli ohange me nam2i Ilow of waler wusmg a areinaqe protlem. (5) Contrac[or snail notiy tne BmiOing Inspeaor twenry-four (24) hours in aavanee lor an mspecuons anE shall rer.ene wntlen approvai on inspecoon am Eelo`e proceetlnng wnn successive onases of tne pb. :(6) The issuanCe of a permit or Ilie approval ot a2wings antl s0eafiW uons snall not Oe cons W etl to be a pertnn tor. nor an approval of. any violaoon o( Ute pfOnsions oGtne.omiamg coaes or any otner ominance. iaw, rwe or reguiauon. . Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 2345933 24 HOURS PRIOR TO INSPECTION