HomeMy WebLinkAbout6390 W. 44th AvenueCERTIFICATE OF OCCUPANCY
Permit #: 202002211
Stipulations: Vantage Salon, LLC
A� Wheatpjd eg
COMMUNITY DEVELOPMENT
7500 W 29TH AVE
WHEAT RIDGE CO 80033-8001
Date: 01/19/2021
This certificate verifies that the building constructed and/or the use proposed of the building and/or premises, under the above
permit number and on property described below, does comply with the Wheat Ridge Building Code, Zoning and other related
land use and development laws of the City of Wheat Ridge, and may be occupied for the use specified.
OWNER: CONWAY DREAMS LLC
ADDRESS: , ,
CONTRACTOR/ADDRESS: BUILDERS GROUP PO BOX 6362 Longmont, CO 80501
PROPERTY ADDRESS: 6390 W 44th Ave Suite 110, Wheat Ridge, CO 80033
PARCEL #: 39-243-06-030 ZONING: R -C OCCUPANCY: B TYPE OF CONST: III -B OCC LOAD: 9
FOR THE FOLLOWING PURPOSE: Bus. License Report
Code Editions:
2012 ICC / 2017 NEC
No change shall be made in the Use of this building without
prior notice and a new CERTIFICATE OF OCCUPANCY
from the City of Wheat Ridge
Certificate MUST be
posted by front door of
commercial occupancies
Chief Building Official
Zoning Administrator
Sprinklered:
No
41
Inspection Type:
Job Address:
Permit Number:
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
LJ No one available for inspection: Time -,,AM/PM
Re -inspection required: Yes <No l,
When corrections are complete, schedule re -inspection online.
Date: -,:�,lnspector:
DO NOT REMOVE THIS NOTICE
® CITY OF WHEAT RIDGE �o �
Building Inspection Division
►/
(303)235 -2855 Office
INSPECTION NOTICE
Inspection Type: '_ /_�? e, '-
Job Address: t'� L:_�--/�
Permit Number:
❑ No one available for inspection: Time �Q/PM
Re -Inspection required: Yes No
When corrections are complete, schedule re -inspection online.
Date: ' 2 - Z ,��slnspector:;
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:10
❑ No one available for inspection: Time I---`AM/PM
Re -Inspection required: Yeso,,,_`
When corrections have been made, ule for re -inspection online at.
http."IA,vww.ci.wheatridge.co.uslinsp6ction
Am
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: `Y 4p '�� s—
Job Address: L'AQ
Permit Number: �`
v:
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes/,fcaf
When corrections have been made, schedule for re -inspection online at:
httpYlwww.ci. wheatridge. co. uslinspectioh
Dat4 a&04
DO NOT REMOVE THIS NOTICE
z0 Q dVz
6/28/2018 MobileEyes
West Metro Fire Protection District
rm 433 S. Allison Pkwy, Lakewood, CO 80226 (303) 989-4307
To schedule an inspection go to www.westmetrofire.org.
Occupant Name: Vacant
Address: - 6390 West 44th Avenue
Wheat Ridge, CO 80033
Suite:
Contractor: SFGC Pro
Frank Walley
303-808-2243
Property Use Type: Undefined (DEFAULT)
Inspections Required: Tenant Improvement Final
(REQUIRED: Contact
information for the onsite
contractor is required in the
notes box below)
Job Number:
Job Description
Permit Number:
Permit Contacts:
Project Cost:
Permit Issued On
180627003
Tenant finish for hair salon on
west side of building, and
recording studio on east side
of building.
180627003
None
$75,000.00
6/28/2018
Permit Expires On: 6/28/2019
Permit: Tenant Improvement - B Occupancy
ADDITIONAL INSPECTIONS
REQUIRED
INSP #1 INSP #2
INSP #3 INSP #4
PASS,, FAIL PASS
FAIL PASS FAIL PASS FAIL
Radio Signal Strength Test & Sticker
Fire Wall Inspection
Tenant Improvement Permit Final
7
I(�
COMMENTS:
TO BE BUILT ADHERING TO THE ADOPTED INTERNATIONAL FIRE CODE, NFPA STANDARDS AND FIRE
DEPARTMENT REQUIREMENTS. Approval as a result of an inspection shall not be construed to be an approval of a
violation of the above requirements. Inspections presuming to give authority to violate or cancel the above requirements shall
not be valid.
Associated plans for this permit must remain on site and made available to inspectors at all inspections. Failure to
comply will result in a re -inspection and associated fee.
POST THIS PERMIT ON THE JOB SITE.
https://www.mobile-eyes.com/MobileEyes3[TrackPermits_BasicPermit.asp?PID=1328&PPID=1330 1/1
� ► 44" City of Wheat Ridge
'/� Commercial Sign PERMIT - 202002540
PERMIT NO: 202002540 ISSUED: 12/10/2020
JOB ADDRESS: 6390 W 44th Ave EXPIRES: 12/10/2021
JOB DESCRIPTION: Install one (1) 4x14 single -faced illuminated mansard mount wall sign.
Remodel the existing illuminated double-faced monument sign
Tenant: Conway Sound/Vantage Salon
*** CONTACTS ***
OWNER
CONWAY LISA & RYAN
SUB (303)726-5015
CURT MARCOLINA
110193 CDM SIGNS
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
520 / Office; 0
BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION: 91500.00
FEES
Total Valuation
0.00
Plan Review Fee
132.80
Use Tax
199.50
Permit Fee
204.30
** TOTAL **
536.60
*** COMMENTS ***
*** CONDITIONS ***
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
Approved per plans and red -line notes on plans. Must comply with 2018 IBC, 2020 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
**Prior to final inspection approval - As-builts are required before approval of the
Building Final Inspection and Certificate of Occupancy can be issued.
� ► 44" City of Wheat Ridge
'/� Commercial Sign PERMIT - 202002540
PERMIT NO: 202002540 ISSUED: 12/10/2020
JOB ADDRESS: 6390 W 44th Ave EXPIRES: 12/10/2021
JOB DESCRIPTION: Install one (1) 4x14 single -faced illuminated mansard mount wall sign.
Remodel the existing illuminated double-faced monument sign
Tenant: Conway Sound/Vantage Salon
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�permrt. I further attest that I am leg ally 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 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 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 requ�ired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Commercial Sign
Date: Tuesday, December 8, 2020 10:43:06 AM
Commercial Sign
This application is exclusively for Commercial Signs
YOU MUST ATTACH A VALID ELECTRONIC PAYMENT FORM IN ORDER FOR
THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
Commercial Signs?
PROPERTY INFORMATION
Property Address 6390 West 44th Ave.
Property Owner Name Lisa and Ryan Conway
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
719-232-3299
Iraymondstyles@aol.com
Electronic-Payment-Form-Blda. odf
APPLICANT INFORMATION
Applicant Name CDM Signs, LLC
What is your role in the
project?
Wheat Ridge
Contractor's License
General Contractor
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contact Phone Number
(enter WITH dashes,
eg 303-123-4567)
Contact Email Address
for Plan Review
Comments
Ki�xaci�a�z:��
jIiley@visionpointsign.com
Retype Contact Email jliley@visionpointsign.com
Address
DESCRIPTION OF WORK
Scope of Work install one (1) 4'x14' single -faced illuminated mansard mount wall
sign. Remodel the existing illuminated double-faced monument
sign per the drawing dated 12-08-2020
Square Footage wall sign 54 square feet. Monument sign 18 square feet.
Name of Business Conway SoundNantage Salon
Location of Sign wall sign north elevation. monument sign existing 10 feet back of
sidewalk on 44th ave.
Is structural required? No
Upload any 8 1/2" x 11"
pages
Sign Installation Plan
Set on 11 "x17" only.
Project Value (contract $9,500.00
value or cost of ALL $9,500 Valuation is
materials and labor) OK
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
Person Applying for Jim Liley
Permit
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Email not displaying correctly? View it in your browser.
_Wall Sign Calculation Sheet
i
You must complete this sheet and include it in the submittal package for
any new wall signs. You will also need to create a site plan and a detail
sheet of the signage.
Project Address: i��' 3 1'�7D Ccll ltiI
Contractor. _ �i�vrS LLz-,-
You are allowed 1 square foot of signage for every 1 linear foot of wall to which you are
attaching a sign.
All wall signs must be adjacent to a street or major interior drive.
Step 1: Measure the length of the wall(s) where you are attaching the sign:
Wall 1 - feet Wall 2 - feet Wall 3 - feet
Step 2: The length of the wall is the allowable square footage for the wall sign
Wall 1 allowable signage- e square feet
Wall 2 allowable signage- square feet
Wall 3 allowable signage- square feet 06
Site Plan &
/L�t�/ S/SrDf
r-w7—
W
Project
Freestanding Sian Calculation Sheet
You must complete this sheet and include it in the submittal package for
any new freestanding signs. You will also need to create a site plan
and a detail sheet of the signage.
dress: X310 Gf/',i Contractor:
� f
You are allowed 1 freestanding sign for every street right-of-way adjacent to your
property. The allowable sign size is related to building size.
Step 1: Determine the square footage of the building:
Building size (in square feet): OCA (This will be inserted in the formula below)
Step 2: Complete the appropriate allowable signage formula:
If the building is 0 —1,500 square feet in size, you are allowed a 35 square foot sign.
If the building is 1,501 — 5,000 square feet in size, complete the following:
3Ito0 - 1,501 = l Cq�� _ 50 = -3Z + 35 = 71— l�
Building size Allowed sign size
If the building is 5,001 — 50,000 square feet in size, complete the following:
- 5,001 = _ 500 = + 100=
Building size
If the building is 50,000 + square feet in size, complete the following:
50.001 1,000 = �� + 190
Building size
Allowed sign size
Allowed sign size
The "allowed sign size" may be placed on each side of the freestanding sign.
Check here if the sign is existing and you are replacing a cabinet or face with the same size
cabinet or face.
Continued on back
The sign must meet a setback from the street right-of-way.
If the sign is less than 7 feet in height, the sign must be setback 5 feet.
�
If the sign is between 7 feet and 15 feet the sign must be setback 10 feet.
For most freestanding signs, the maximum height is 15 feet. For properties within % mile of the
interstate, freestanding signs may be 50 feet tall. These signs must be setback at least 30 feet froi
the street right-of-way.
Step 3: Determine the height of the new sign:
5fIle ) d /
The new propod freestanding sign will be l feet tall.
Step 4: Determine the setback from the street right-of-way:
f
The new proposed sign will be setback /6 feet from the street right-of-way.
All freestanding signs must adhere to the sight distance triangle requirements as listed in Sectio
26-603 of the Code of Laws.
You must include a site plan which details the location of the freestanding sign, building and drive
areas. Show all new and existing signage (include the square footage and height of all existing
signs). Please include a detail of the proposed sign, including the overall square footage and heig
as well as any electrical and structural details which may be pertinent.
ON SITE PLANS
MUST BE ON SITE FOR INSPECTION
ALL Projects are
Subject to Field Inspections
City of
W heat �ge
COMMUl DEVIll El
APPROVED
Reviewed for Code Compliance
Randy Slusser 12/09/2020
Plans Examiner Date
yelii of oesmb: ire Wall of a p~ M appnoi of Ptens spiw4kati
Md wmputatwns shop not be a permq(o, w m awresol of any walwon III
my of me prowsans of ale buraag rode or of air city audosaaes. Pesmhs
pmsunarg to 91W out" tg Vi or motel the "w -Avis of me /uill
coda "gall ordimaIof ale Cityst" alt be sgbG
EXISTING DOUBLE FACED MONUMENT -18 Square Feet
ib
M
14'-0"
VANTAGE
SINGLE FACED DISPLAY - 56 Square Feet
Scale: %" =1'-0"
8.5" deep ABC Type II frame with 1.5" retainers.
White polycarbonite face
Paint cabinet, retainers and back satin black
VANTAGE' Vinyl Color #_3630-51 Silver Gra
Salon' Vinyl Color #-L630-L58 Bright Violet New Colo
White LED illumination
Mansard mount. Aluminum angle stringers as required. Paint satin black
Electrical out back- CONFIRM
Reviewed for Zoning Compliance by the 6A,
City of Wheat Ridge Planning Division
APPROVED
L•l'B
DATE:
omplies with sign code.
Vall sign on mansard
(lowed (not considered a
)of sign).
0
v
REMODELED MONUMENT SIGN
NEW FACES. NEW OVERLAY FOR BASE. NEW BLOCK
NEW MANSARD MOUNT WALL SIGN
DATE:
12.8.2020
REVISIONS:
CLIENT:
VANTAGE SALON
SEC Lamar & 44th
Wheat Ridge, CO
VANTAGE
D111111I:IkiIria:Z819eTIIII1
SCALE:
VOLTAGE:
Copyright
TMsdesign Is an Instrument of service
and Is the exclusive properly of
VlsicuPoint, Inc., and may not be duplicated,
disclosed, or reproduced without their
written consent. Copyrights and Infringements
will be enforced and proseculea.
DRAWING #
WALL SIGN & MONUMENTS
Via ionPoinr
Signage Products & Consultants
Jim Lill
1961 S. Ingalls Ct.
Lakewood, CO 80227
303.349.2615
jliiey@visionpointsign.com
INERONT RANGE
TEST
a, BALANCE
TEST AND BALANCE REPORT
13oT:3
VANTAGE SALON
6390 W. 44TH AVENUE
WHEAT RIDGE, COLORADO
DECEMBER 2020
permit 201901660
MECHANICAL CONTRACTOR: ROYALS HEATING & AIR
MECHANICAL ENGINEER: RAMIREZ, JOHNSON, AND ASSOCIATES
PREPARED BY:
FRONT RANGE TEST AND BALANCE, INC.
Front Range Test & Balance, Inc. certifies that all balancing is done in
accordance with NEBB, AABG and ASHRAE standards.
P.O. Box 630112 • Highlands Ranch ■ Colorado - 80163-0112
December 3, 2020
Wheat Ridge Building Department
Wheat Ridge, Colorado
RE: VANTAGE SALON
To Whom It May Concern:
All test and balance work on Vantage Salon in Wheat Ridge, Colorado has been
completed in accordance with NEBB, AABC, and ASHRAE standards.
Please let me know if you need anything else with regard to the Air Balance Report for
Vantage Salon.
Sincerely,
Chris Cooper
President
Front Range Test & Balance, Inc.
FRONT
PROJECT:.
RANGE TEST AND BALANCE
VANTAGE SALON
FAN TEST REPORT
FAN DATA
FAN NO.
F-1
FAN NO.
EF -1A
FAN NO.
EF -1B
Location
CEILING
CEILING
CEILING
Service
SALON
RESTROOM
RESTROOM
Ma ufacturer
HEIL
NUTONE
NUTONE
Model Number
N92ESN120242OAl
AERN100SN-A
AERN100SN-A
Se dal Number
A194759565
91 C29H
91 C29H
Moor Make/Frame
NG/NG
NG/NG
NG/NG
Moor H.P./RPM
.75/NG
NG/NG
NG/NG
Vol ts/Phase/Hertz
115/1/60
120/1/60
120/1/60
F.L. Amps/S.F.
9.7/TP
A/TP
A/TP
Mo or Sheave Make
DIRECT DRIVE
DIRECT DRIVE
DIRECT DRIVE
Moor Sheave Diam./Bore
DIRECT DRIVE
DIRECT DRIVE
DIRECT DRIVE
Fan Sheave Make
DIRECT DRIVE
DIRECT DRIVE
DIRECT DRIVE
Fan Sheave Diam./Bore
DIRECT DRIVE
DIRECT DRIVE
DIRECT DRIVE
No Belts/Make/Size
DIRECT DRIVE
DIRECT DRIVE
DIRECT DRIVE
Sheave CL Distance
DIRECT DRIVE
DIRECT DRIVE
DIRECT DRIVE
Filters
24"X24"X1"
TEST DATA
DESIGN
ACTUAL
DESIGN
ACTUAL
DESIGN
ACTUAL
CFM
1950
2048
75
91
75
94
Fan RPM
NG
DD
NG
DD
NG
DD
Outside Air
555
567
Voltage
115
121
120
121
120
121
jAmperage
9.7
6.9
1 .4
.3
1 A
.3
MARKS:
DATE: 12/3/2020 READINGS BY: CC
FRONT
PROJECT:
RANGE TEST AND BALANCE
VANTAGE SALON
FAN TEST REPORT
FAN DATA
FAN NO.
EF -2A
FAN NO.
EF -2B FAN NO.
Location
CEILING
CEILING
Service
SALON
SALON
Manufacturer
BROAN
BROAN
M del Number
L150
L150
Se ial Number
91 E08H
91 E08H
M for Make/Frame
NG/NG
NG/NG
M for H.P./RPM
NG/NG
NG/NG
Vo is/Phase/Hertz
120/l/60
120/l/60
F.L. Am ps/S.F.
1.3/TP
1.3/TP
M for Sheave Make
DIRECT DRIVE
DIRECT DRIVE
M for Sheave Diam./Bore
DIRECT DRIVE
DIRECT DRIVE
Fa i Sheave Make
DIRECT DRIVE
DIRECT DRIVE
Fai Sheave Diam./Bore
DIRECT DRIVE
DIRECT DRIVE
No. Belts/Make/Size
DIRECT DRIVE
DIRECT DRIVE
Sheave CL Distance
DIRECT DRIVE
DIRECT DRIVE
Fillers
TEST DATA
DESIGN
ACTUAL
DESIGN
ACTUAL DESIGN ACTUAL
CFM
200
201
200
210
Fai RPM
NG
DD
NG
DD
O tside Air
Voltage
120
121
120
121
Amperage
1.3
1.1
1.3
1.1
MARKS:
DATE: 12/3/2020 READINGS BY: CC
FRONT RANGE TEST AND BALANCE
ECT:
VANTAGE SALON
F-1
TEST APPARATUS:
AIR OUTLET
TEST REPORT
FLOW HOOD
REMARKS: 1) CORRECTED FOR ALTITUDE
DATE: 12/3/2020 READINGS BY: CC
■mem
• •
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■mom
• :
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....
REMARKS: 1) CORRECTED FOR ALTITUDE
DATE: 12/3/2020 READINGS BY: CC
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MAKF- CHECKS PAYABLE TO ROGER SCI :�
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: M E/ ? F1
Job Address: 6 25 � 0 W e-1 74
Permit Number: _Z,0 c) C/
Ll No one available for inspection: Time AMIPM
Re -Inspection required: YesxlNo'
When corrections have been made, sch-edule for re -inspection online at:
http://Www. cL wheatridge, co. us/inspection
Date: Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:""` (-
Job
iJob Address: i }
Permit Number: �
r
❑ No one available for inspection: me^
Re -Inspection required: Yet
When corrections have been made, schedule for re-inspe
hUp,//www.ci.wheatridge.co.us11nspectjon__-
Da - ?''f pecto�r.
AM/PM
at:
Permit 201901660
BACKFLOW TEST
303-469-4635
Assembly Serial # 298023
Test Date / Time 12/1/20
Tester Certification # 22387
Assembly Test Res ultsK] Pass 0*Fail
Under Suspension - Process Immediately
Water Backflow Assembly Test & Maintenance Report (please print with BLOCK LETTERING)
�WaterSupplier: WHEAT RIDGE District:
Acct.:
M
Facility Address: 6390 W. 44TH AVE.
City: WHEAT RIDGE ST: CO Zip:
Contact Person: RYAN CONWAY
Phone: (720) 341-9258
Make: WATTS Model: LF009M3QT
Type of Use Protection Orientation
Type: X RP DC PVB ❑ Air Gap
'Size: 3/4" Date Installed UNKOWN
X Domestic X Containment Inlet Outlet
EX New Existing
Fire ❑ Glycol ❑ Containment by Isolation X Horizontal X
N
Previous Assembly#:
Irrigation Isolation Vertical Up
Location NW CORNER
❑ Recycled Vertical Down
Approved: YXN❑
Line Initial Test Results
—es
Repairs Re -Test Results
PSI 51 Ti q htns Differential
Ti htness ifferential
Check Valve #1 ❑ Leak 9.0
❑ Leak
RP, DC, PVBX Ti ht
Tight
Check Valve #2 ❑ Leak 2.1
❑ Leak
g...R(_.P,_DC) ........... X Tight .......
Tight
Relief Valve 2.2
d RP
a Buffer 6.8
RP
o Air Inlet
PVB
Shutoff Valve #1 : XTight ❑ Leaking ❑ Replaced IShutoff Valve #2: X Tight C Leaking ❑ Replaced
Backpressure: ❑ Yes X No Test Procedure: ❑ ABPA: X ASS E:
Comments:
0Alarm Company/Fire Department:
DFS Certification #: 20-B-07982
Person Notified:
Contacted By:
°,Turn Off Date/Time:
Turn On Date/Time:
Test Kit Make MAKO
Model: MK5
N
Seria l #: 02AC19070034
Last Calibration Date: 11/9/20
Tester certifies this assembly has been tested with the above
listed procedure and verifies the isolation valves were returned to pre-test orientation.
;,Testing Company:
BACKFLOW SERVICES
dTester Name: ROBERT PRESCOTT Phone: 303-469-4635
Signature:—���–�� –
Certificate Expiration Date, 7/31/21
Testing Company: Submit by e-mail (preferred) to CrossConnectionControl@denverwater.org,
type"Backflow Test Reports" in the subject line OR submit by Fax to (303) 794-8325.
*FAILED test results must be reported to Denver Water within 24 hours of failure at (303) 628-5969.
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: 14FI
A
Job Address:
Permit Number: 7 C,
7—
/6e, ,,Aze
Ll No one available for inspection: Time AWPIVI
Re -inspection required: YesNo
When corrections have been made, schedule for re -inspection online at:
http✓/www.ci. whea tridge. co. uarinspection,
Date: Inspector:
DO NOT REMOVE THIS NOTICE
� ► 44" City of Wheat Ridge
'/� Comm. Tenant Finish PERMIT - 201901002
PERMIT NO: 201901002 ISSUED: 05/16/2019
JOB ADDRESS: 6390 W 44th Ave Suite 110 EXPIRES: 01/02/2021
JOB DESCRIPTION: Renovation of west side of building for the salon area; Originally
permitted on 201901881; 1,100 sq ft total
*** CONTACTS ***
OWNER (720)341-9258
CONWAY DREAMS LLC
SUB (720) 435-4773
JASON BRITTAIN
170408 JBS ELECTRIC LLC
SUB (303)257-3735
Danny Young
180243 Young's
Plumbing & Heating
SUB (720)544-9634
FRANK L GARCIA
170430 ABSOLUTE
MECHANICAL CONTRACTOR
GC (720)319-4850
STEVE TRIPP
190191 BUILDERS
GROUP
SUB (720)648-1341
JOSEPH ROYAL
150245 ROYAL'S HEATING AND AIR LLC
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
520 / Office; 0
BLOCK/LOT#:
/
*** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION:
35,000.00
FEES
Total Valuation
0.00
Extend Expired Permi
120.00
No Fees
0.00
** TOTAL **
120.00
*** COMMENTS ***
*** CONDITIONS ***
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IBC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
**Prior to final inspection approval - As-builts are required before approval of the
Building Final Inspection and Certificate of Occupancy can be issued.
� ► 44" City of Wheat Ridge
'/� Comm. Tenant Finish PERMIT - 201901002
PERMIT NO: 201901002 ISSUED: 05/16/2019
JOB ADDRESS: 6390 W 44th Ave Suite 110 EXPIRES: 01/02/2021
JOB DESCRIPTION: Renovation of west side of building for the salon area; Originally
permitted on 201901881; 1,100 sq ft total
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this�permrt. I further attest that I am leg ally 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 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 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 requ�ired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of'
Wheat IkLdge
COMMUNITY DI VI 101'M N 1
City of Wheat Ridge Municipal Building 7500 W. 29`h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929
Permit Extension Request Form
Permits 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 may 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.
Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not
guaranteed. Please complete this form in its entirety and submit to the Building Division at
pennits(a')ci.wheatridge.co.us or fax to 303-237-8929.
Party requesting permit extension:
Permit # l ' `J 0 Z Property Address:3 � as
Phone # 70? -3V- - 12 KE Address: In I Ayi A t4np) o io b
Reason for extension request:
Number of days requested: �3(2
Printed Name: Signature: _Date: 2- '2
For office use only
This request has been: Approved — Denied Extended until: 1/02/2021
Approved by: Date: 12/01/2020
www.ci.wheatridge.co.us
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: (-
Job Address: a '= (.-� '- ! ova t"�4
Permit Number:�-
a one available for inspection: Time O'tAM/PM
Re -Inspection required:1� ° 1 ziLaS,
When corrections have been made, schedule for re -inspection online at:
http✓/www.ci, wheatridge.co, uslinspection
7
Date:_ { 'Inspector:
DO NOT REMOVE THIS NOTICE
.10
Lf L( I,, A ✓
�)vtCiOluoI
2May2020
To Whom it May Concern:
I have reviewed the 3/8" curved drywall partition at 6390 W. 441h
Avenue, and found it to be quite sturdy, given the extremely close (8"
o.c.) stud spacing and the 6 inch o.c. screw attachment. Thicker drywall
is not necessary as this is a non bearing interior partition and there is
no requirement that it be designed for shear.
Sincerely,
Architect 'J
-
CO DOUGLAS S. 0
WALTER
c, B-1614 ;
SC® A¢y�v q
dougwalterarchitects@gmail.com 1 303 880 9080 1 mvw.dougwaiterarchitects.com
41 CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: \C)kr., S
Job Address: U_Yl Q) w k4l__W�
Permit Number:
A
2
!�- l
C
J No one available for inspection: Time AM/PM
Re -inspection required: Yes No_'
When corrections have been made, schedule for re -inspection online at:
h ttpYlwww. ci. whea tridge. co. ueins pection
Date, Inspector: !9/'"
DO NOT REMOVE THIS NOTICE
Ile CITY OF WHEAT RIDGE
.A Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: IAN)
77-
_�
Job Address: C° tJ
'0 0
Permit Number: G I
Ll
Ld
J No one available for inspection: Time'V'-, L, U AM/PM
Re -inspection required: Yes No
When corrections have been made, schedule for re -inspection online at:
http.IA,vww.ci.wheatridge.co.usfinspection
Date:,--, Inspector:
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
i
Y �
e
*' No one available for inspection: Time `.i ` AM/PM
Re -Inspection required: Mei No
i
When corrections have been made, schedule for re -inspection online at.
http://www. ci. wheatridge. co. uslinspection
t _ >
Date:l-A, "),-�-,),C' �)OInspector:
DO NOT REMOVE THIS NOTICE
4 i CITY OF WHEAT RIDGE
1r
Building Inspe61on Division
f (303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: '� g:> tv C-, -
Job Address:71e''-�
Permit Number: `3V t z.
❑ No. one available for inspection: Time M
Re -Inspection required: Yes, No
When corrections have been made, schedule for re -inspection online at:
hUp✓Avww. ci. wheatridge. co. usfinspection
Dater -a Inspector:
/ f
DO NOT REMOVE THIS NOTICE
- city or
Wheat Pdcre
BUSINESS LICENSE INSPECTION
PERMIT NO. 2020001'" 1
BUSINESS NAME: Conway Sound
INSPECTION DAY/TIM
INSPECTION DAY/TIME
INSPECTION DAY/TIME
ADDRESS: 6390 W. 44th Ave Ste 100
CONTACT NAME: Ryan Conway
Will provide'
SQ FT
OCCUPANCY TYPE
OCCUPANCY LOAD
Z+-" CONSTRUCTION TYPE
c F-1SSPRINKLERED
DSI NON-SPRINKI FRFs
Date
Friday, Feb. 21, 2020 @9:30 am
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i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: Lo lie 4 1*4tT
Permit Number: 1 �"
❑ No one available for inspection: Time M
Re -Inspection required: Yes( No
When corrections have been m&de, sheduk-f6prezinspection online at.
http✓/www.ci.wheatridge.co.us�nspect n
i CITY OF WHEAT RIDGE
%
Building ii ection Divisidrt (303) 235-2855 Office
f
.INSPECTION NOTICE
-- Inspection Type: -
Job Address:
Permit Number:
❑ No one available for insp`�ti naTime� AM/�M
Re -Inspection required t Ye o
When corrections have been n e; chedule for re -inspection online at:
http✓/www. ci. wheatridge-co. uslinspection
Date:,':::!-,?- 1 5;2-.,2 Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: L,
Job Address: t c7
Permit Number:
g
❑ No one available for inspection: Tim 5Q--- - 1PM
Re -Inspection required: Yes No
When corrections have been made, dule for re -inspection online at:
http://www.ci. wheatridge.co. uslinspection
Date:i� Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: i •t/�
Permit Number:
❑ No one available for inspectiowllrfiY�_J' ' � AM/PAA
Re -Inspection required: Yes /No
When corrections have been made ehedule for re -inspection online at:
http✓/www. ci. wheatridge. co, us4nspection
Date: 2 l ' ' ? Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office!
INSPECTION NOTICE
Inspection Type: z � t-- tt`
Job Address:
Permit Number: C ( 9' SM K R
❑ No one available for inspection: Time f� (LIZAAM/,PM
Re -Inspection requirq es :�o
When corrections have been made, sch dule for re -inspection online at:
http://Www.ci.wheatridge.co.uslinspectioiA
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: S
Job Address: t,3 • 4- ' 4-c: - f
Permit Number:
❑ No one available for inspection: Time % AM/ M
Re -Inspection required: -Yes,)
When corrections have been made, schedule for re -inspection online at.
h ttpYAvww. ci. wheatridge. co. usfins pection
Date: 7--' �; Inspector: --�
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
}`Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: �/� �_ E_'
Job Address:
Permit Number:►�7 / c5
❑ No one available for inspection: Time ';2
-AMTM
Re -Inspection requir _Yes No
When corrections have been made, schedule for re -inspection online at:
http ✓/www. ci. wheatridge. co. usfinspection
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:f 1 _
�f
Ll No one available for inspection: Tirrec� _—A1 PM
Re -Inspection required: Y, _No�J
When corrections have been made, sch ule for re-inspe n -online at:
http✓/www.ci.wheatridge.co.u�nspettion�,-" j
Dat Insp
--)c' . ► i
-Ai
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
�n'
Inspection Type:
Job Address: 7"C> k) • 4 4
Permit Number: C]Se> �
❑ No one available for inspection: Time 6>3M
Re -Inspection required: Yes, No
When corrections have been made, schedule for re -inspection online at:
hUp✓/www. ci, wheatridge, co. uslinspection
Dater Inspector:
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: ��?�'`
Job Address: C1CC , t4 Lj,
Permit Number:. -?-
cg>
t
❑ No one available for inspection: Time MIPM
Re -inspection required,"Yes- No
When corrections have been
http✓/www.ci, wheatridge.co. u
schedule for re -inspection online at:
amity of
Wh6atP,.j1,111.C19e
COMMUNITY EVELOPMET
SUBCONTRACTOR AUTHORIZATION FORM
Mechanical Subcontractor
This form must be completed & signed by the MECHANICAL SUBCONTRACTOR
performing mechanical work on site.
Subcontractor's insurance and license must be up to date prior to permit issuance.
Project Address: f �% l i l,j
General Contractor:
FORM WILL NOT BE ACCEPTED WITH MISS NG I N
�-
Company Name: ('`i � �^ � � / � onc tact Phone #:
Wheat Ridge Contractor Licensed#)(% Z`7 �� (required field)
gel J c�/91-1—
Printed
Name of Authorized Agent
LJ04-12 —
JS*nature of Authorized Agent
"t-00 / 6C (<fy I
,f cq-()I,�691 00 ?
l vZ�
Pate
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: 4,,---->! /L �i `t
Job Address:
Permit Number:'/
❑ No one available for inspection; ' AM/P
Re -Inspection required: Yes No
When corrections have been made chedule for re -inspection online at.
http✓/www. ci. wheatridge. co. uslinspection
Date:'►'. Inspector: �7_'_�
DO NOT REMOVE THIS NOTICE
® A , City of Wheat Ridge
i Comm. Tenant Finish PERMIT - 201801881
PERMIT NO: 201801881 ISSUED: 09/06/2018
JOB ADDRESS: 6390 W 44th Ave Suite 100 EXPIRES: 02/03/2020
JOB DESCRIPTION: Renovate space to include recording studio and salon with separate
mechanical systems; recording studio with a bathroom on east side,
electrical and new lighting - 2,000 sq ft; hair salon on west side,
installing 2 bathrooms, electrical and new lighting - 1,270 sq ft; 3,270 sq
ft total
Tenants: Conway Sound and Vantage Salon
**REVISION: Electrical C phase to A phase, and switched to aluminum wiring,
plumbing changes are different pipe sizing. Changed duct venting. No added
valuation.
**REVISION 2: Tenant Finish for Salon area moved to a separate Permit No.
201901002; No change in Valuation
***
CONTACTS ***
FEES
Total Valuation
0.00
OWNER (720)341-9258
CONWAY
DREAMS LLC
3,121.32
Permit Fee
SUB
(720)435-4773
Jason
Brittain
170408
JBS Electric LLC
SUB
(303)257-3735
Danny
Young
180243
Young's Plumbing & Heating
SUB
(720)544-9634
Frank
L Garcia
170430
Absolute Mechanical Contractor
GC
(720)319-4850
STEVE
TRIPP
190191
BUILDERS GROUP
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 520 / Office; 0 BLOCK/LOT#: /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 148,634.40
FEES
Total Valuation
0.00
Plan Review Fee
941.27
Use Tax
3,121.32
Permit Fee
1,448.10
Extend Expired Permi
724.05
Plan Review Add'1
120.00
** TOTAL **
6,354.74
*** COMMENTS ***
*** CONDITIONS ***
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IBC, 2014 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
**Prior to final inspection approval - As-builts are required before approval of the
Building Final Inspection and Certificate of Occupancy can be issued.
Tenants: Conway Sound and Vantage Salon
**REVISION: Electrical C phase to A phase, and switched to aluminum wiring,
plumbing changes are different pipe sizing. Changed duct venting. No added
valuation.
**REVISION 2: Tenant Finish for Salon area moved to a separate Permit No.
201901002; No change in 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 author►zed
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be perrmeiSdisclosed 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 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 Budding Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
ap�able code or 4ny ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of (Aief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge
Comm. Tenant Finish PERMIT -
201801881
PERMIT NO:
201801881
ISSUED:
09/06/2018
JOB ADDRESS:
6390 W 44th Ave Suite 100
EXPIRES:
02/03/2020
JOB DESCRIPTION:
Renovate space to include recording
studio and salon
with separate
mechanical systems; recording studio
with a bathroom
on east side,
electrical and new lighting - 2,000
sq ft; hair salon
on west side,
installing 2 bathrooms, electrical and new lighting
- 1,270 sq ft; 3,270 sq
ft total
Tenants: Conway Sound and Vantage Salon
**REVISION: Electrical C phase to A phase, and switched to aluminum wiring,
plumbing changes are different pipe sizing. Changed duct venting. No added
valuation.
**REVISION 2: Tenant Finish for Salon area moved to a separate Permit No.
201901002; No change in 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 author►zed
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be perrmeiSdisclosed 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 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 Budding Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
ap�able code or 4ny ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of (Aief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
RECEIVED
�eat_
ily <ti DEC �' 1019
W I id
COMMUNITY DFVFtOPMFNT PP.t
City of Wheat Ridge Municipal Building 7500 W. 29'h Ave. Wheat Ridge. CO 80033-8001 P: 303.235 2855 F: 303.237.8929
Permit Extension Request Form
Permits expire 365 days after the date of issuance regardless of activity. Requests for extension ;bust be made in
writing and received prior to the date of expiration. An extension of no more than 180 days may 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.
Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not
guaranteed. Please complete this form in its entirety and submit to the Building Division at
permits(u;ci.wheatridge.co.us or fax to 303-237-8929.
Party requesting pen -nit extension:
i;00
Pen -nit #M ) ' Property Address:
Phone IG�� 5�1—�% Email Address: Vt`A����VtW�T�nc;(��.20M
Reason for extension request:G/f , ;' -
.c.,4vell ai
Number of days requested: X0 ✓ _
f
Printed Name:_k/�_;A i q Signature:Date:
77
For office use only 2
This request has be Ap roved Denied Extended until:Z 3
Approved by: _Date: r 2' Z 1 ZO
N %+%%.ci.s% heat ridge.co.u5
s s_ CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:1-
Job Address:
Permit Number: �2D
❑ No one available for inspection:_Ti e��A�MA
Re -Inspection required: Yep/ No
When corrections have been made, schedule for re -inspection online at:
http://www. cL wheatridge. co. uslinspection
Date: /- ` Inspector: jam\
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: im K -.;Y" 1,,-, 'AMI M
Re -Inspection required: Yes— No
When corrections have been madhedule for re -inspection online at:
http://www.ci. wheatridge. co. uslinspection
Date:-/ -7--t-Ir I �f Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: 61 �' r
Permit Number: c7 i rZ
1
❑ No one available for inspection: Tirrre-'`AaVI/PM
Re -Inspection required: Yes
When corrections have been made,
http✓/www. ci. wheatridge. co, uslinspi
Date: ?___- . Inspec
for re -inspection online at:
44, CITY OF WHEAT RIDGE
Be lding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: ? � > F10 "
Job Address: (z)
Permit Number: Oaffg/ /
v
❑ No one available for inspection:, e P S 37�52,AM10M
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: n Inspector:---�..
DO NOT REMOVE THIS NOTICE
41 CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
��wInspection Type:r4-
Job Address:
Permit Number:
o
Ll No one available for inspection: Time 0^ ��,W-AWPM
Re -inspection required: Yes
When corrections have been made, schedule for re -inspection online at.
httpYAvww.,ci.wheatridge.co.uslinspeciUon
Date:C-iinspec or:
% t
i ;=CITY OF WHE#T RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: _T:2�, • cPL-LkrA :E?
Job Address:
Permit Number: / P;
❑ No one available for inspection: Tim
Re -Inspection required: Ye No
When corrections have been made, call for re -inspection at 303-234-
Date:-(-Ie
03-234-Date:` e Inspector:-, -
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Comm. Tenant Finish PERMIT - 201801881
PERMIT NO: 201801881 ISSUED: 09/06/2018
JOB ADDRESS: 6390 W 44th Ave Suite 100 EXPIRES: 12/03/2019
JOB DESCRIPTION: Renovate space to include recording studio and salon with separate
mechanical systems; recording studio with a bathroom on east side,
electrical and new lighting - 2,000 sq ft; hair salon on west side,
installing 2 bathrooms, electrical and new lighting - 1,270 sq ft; 3,270 sq
ft total
Tenants: Conway Sound and Vantage Salon
**REVISION: Electrical C phase to A phase, and switched to aluminum wiring,
plumbing changes are different pipe sizing. Changed duct venting. No added
valuation.
**REVISION 2: Tenant Finish for Salon area moved to a separate Permit No.
201901002; No change in Valuation
***
CONTACTS ***
FEES
Total Valuation
0.00
OWNER (720)341-9258
CONWAY DREAMS LLC
Use Tax
31121.32
SUB
(720)435-4773
Jason
Brittain
170408
JBS Electric LLC
SUB
(303)257-3735
Danny
Young
180243
Young's Plumbing & Heating
SUB
(720)544-9634
Frank
L Garcia
170430
Absolute Mechanical Contractor
GC
(720)319-4850
STEVE
TRIPP
190191
BUILDERS GROUP
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 520 / Office; 0 BLOCK/LOT#: /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 148,634.40
FEES
Total Valuation
0.00
Plan Review Fee
941.27
Use Tax
31121.32
Permit Fee
1,448.10
Extend Expired Permi
724.05
Plan Review Add'1
120.00
** TOTAL **
6,354.74
*** COMMENTS ***
*** CONDITIONS ***
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IBC, 2014 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
**Prior to final inspection approval - As-builts are required before approval of the
Building Final Inspection and Certificate of Occupancy can be issued.
City of Wheat Ridge
Comm. Tenant Finish PERMIT - 201801881
PERMIT NO: 201801881 ISSUED: 09/06/2018
JOB ADDRESS: 6390 W 44th Ave Suite 100 EXPIRES: 12/03/2019
JOB DESCRIPTION: Renovate space to include recording studio and salon with separate
mechanical systems; recording studio with a bathroom on east side,
electrical and new lighting - 2,000 sq ft; hair salon on west side,
installing 2 bathrooms, electrical and new lighting - 1,270 sq ft; 3,270 sq
ft total
Tenants: Conway Sound and Vantage Salon
**REVISION: Electrical C phase to A phase, and switched to aluminum wiring,
plumbing changes are different pipe sizing. Changed duct venting. No added
valuation.
**REVISION 2: Tenant Finish for Salon area moved to a separate Permit No.
201901002; No change in 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 legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this_�ppermit. I further attest that I am legally authorized to include all enti ies named within this document as parties to the work to be
pe for ed and that all work to be p formed is disclosed in this d um t and/or its' accompanying approved plans and specifications.
'-
oe
na re of 7 OWNE or CONTRACTOR (Circle e) Date
1. This permit w is ed 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 tee.
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 i nce or granti of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
app ca e c e or an dinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Oily of,
W heat 1icicwc
Ccis�n�uNi ry DI VI 101'MI N I �
City of Wheat Ridge Municipal Building 7500 W. 29"' Ave. Wheat Ridge. CO 80033-8001 P: 303 235.2855 F: 303.237.8929
Permit Extension Request Form
Permits 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 snore than 180 days may 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.
Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not
guaranteed. Please complete this form in its entirety and submit to the Building Division at
pen-nits(c4,ci.wfieatrid,i-,e.co.us or fax to 303-237-8929.
Party requesting permit extension:
Permit # ADX$fM 1 Property Address: _ 0350 w yy"" five.
Phone # -?ao - 341-9'15 8 Email Address: (_ J
Reason for extension request:
1�
Number of days requested: J�o d fiu
Printed Name: Signature: Date: —3— M
I- __ I
For office use only 11 r7
This request has been: YAppro ed Denied Extended until: L !�
Approved by: _ _ Date: X131
v► �s n .ci.�� heatridge.co.us
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: ) &--) - I_ •- Z //
Job Address: K-7 y
PermitNumber: f f
❑ No one available for inspection: Time
M
Re -Inspection required: YesNo
When corrections have been made, call for re -inspection at 303-234-5933
Date:_!g, a! 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:
❑ No one available for inspection,70. -. -J` '` AM/P
Re -Inspection required: Yep No.
When corrections have been made, call for re -inspection at 303-234-5933
Date: ", 5 • ( 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: `2� T�, d
Job Address: &3 qQ 00,
Permit Number: ;;t0,1 6) / , a j
❑ No one available for inspection: Time AM/ M
Re -Inspection required: Ye No
When corrections have been made, 'all' -for re -inspection at 303-234-5933
Date: ; _), %T Inspector: -- --- -
DO NOT REMOVE THIS NOTICE
I* � i i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time 115-4-.7 M/ M
Re -Inspection required: Yeo
When corrections have been made, call for re -inspection at 303-234-5933
Date: 1 : 5 ) / 0)' 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_�OTICE
Inspection Type:
Job Address:' •LTJ;44i�
Permit Number:),: ,i G1/ ` I
❑ No one available for inspection: Time ! ALf MM 'M
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date: Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
Inspection Type:
Job Address:
Permit Number:
INSPECTION NOTICE
❑ No one available for inspection: Time'` ��/>AM/B
Re -Inspection required: Yes,-' No
When corrections have been made, call for re -inspection at 303-234-5933
Date: (P' ) '��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: �� r l !�� `� 4 --
Job Address: a 4
Permit Number: o"_'V I vF 0/ 'S -'S
❑ No one available for inspection: Time Q ;, V WIPM
f�
Re -Inspection required: Yes ,N—
When corrections have been made, call for re -inspection at 303 -234 -
Date:— sS ' ? Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Comm. Tenant Finish PERMIT - 201901002
PERMIT NO: 201901002 ISSUED: 05/16/2019
JOB ADDRESS: 6390 W 44th Ave Suite 110 EXPIRES: 05/15/2020
JOB DESCRIPTION: Renovation of west side of building for the salon area; Originally
permitted on 201901881; 1,100 sq ft total
***
CONTACTS ***
OWNER (720)341-9258
CONWAY DREAMS LLC
GC
(303)210-5991
SCOTT
FALCONE & FRANK WALLEY
150181
SF CONSTRUCTION INC
SUB
(720)435-.4773
JASON
BRITTAIN
170408
JBS ELECTRIC LLC
SUB
(303)257-3735
Danny
Young
180243
Young's Plumbing & Heating
SUB
(720)544-9634
FRANK
L GARCIA
170430
ABSOLUTE MECHANICAL CONTRACTOR
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 520 / Office; 0 BLOCK/LOT#: /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 35,000.00
FEES
Total Valuation 0.00
No Fees 0.00
** TOTAL ** 0.00
*** COMMENTS ***
*** CONDITIONS ***
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IBC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
**Prior to final inspection approval - As-builts are required before approval of the
Building Final Inspection and Certificate of Occupancy can be issued.
City of Wheat Ridge
Comm. Tenant Finish PERMIT - 201901002
PERMIT NO: 201901002 ISSUED: 05/16/2019
JOB ADDRESS: 6390 W 44th Ave Suite 110 EXPIRES: 05/15/2020
JOB DESCRIPTION: Renovation of west side of building for the salon area; Originally
permitted on 201901881; 1,100 sq ft total
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal 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 leg�ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be erfo
formed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of O or CONTRACTOR (Circle one) Date ((�
1. This permit—WItussiled 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 Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any or bprice 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
Wheafl d;c
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 29t' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(oki.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit #
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: (PS9a W �9"' AVz lo"V e_e_ .k AJoe Co 8o033 Sv`,k2 �ko
Owner (please print): K"&,(\ O_nCA L;j& (�nwc u Phone: '7J U . 3 y 1.
Property Owner Email;
Tenant Name (Commercial Projects Only) So_�oo
Property Owner Mailing Address: (if different than property address)
Address: 6, ,; 1y/ L -I H N Aye -
City, State, Zip: WIALak ir%ap L) 80033
Architect/Engineer E-mail: I) t Phone: �>ouG- 30Z.880.9680
�(Anr),CACA(\n(O qi- X1[ .Cory)
Contractor Name:
IF 0w J J
City of Wheat Ridge License #: 15 6) A / Phone: 303. b08 .aa Y 3
Contractor E-mail Address: -�Wo "'Lj c. Dco . (off
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print):
CONTACT EMAIL(p/ease
ON,
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # I W.R. City License # `�t�, W.R. City License # (, /�. C
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields, if applicable.
COMMERCIAL
❑ RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
acv hc� of w ,St SOQ- of I UN1d I (s'j I t e <<6) de 44, IS
Sq. FULF / l U BTUs /)U'' , 6c" Gallons
Amps Squares 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 pr ect)
$ C1
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 ' on provided on the application.
CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (/CONTRACTOR)
Signature (first and last name) .iv' '/ �_w"� _ -� DATE: �� I / V r l
Printed Name: \6M AV",,
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
W
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
City of Wheat Ridge
Comm. Tenant Finish PERMIT - 201801881
PERMIT NO: 201801881 ISSUED: 09/06/2018
JOB ADDRESS: 6390 W 44th Ave Suite 100 EXPIRES: 09/06/2019
JOB DESCRIPTION: Renovate space to include recording studio and salon with separate
mechanical systems; recording studio with a bathroom on east side,
electrical and new lighting - 2,000 sq ft; hair salon on west side,
installing 2 bathrooms, electrical and new lighting - 1,270 sq ft; 3,270 sq
ft total
Tenants: Conway Sound and Vantage Salon
**REVISION: Electrical C phase to A phase, and switched to aluminum wiring,
plumbing changes are different pipe sizing. Changed duct venting. No added
valuation.
*** COMMENTS ***
*** CONDITIONS ***
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IBC, 2014 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
**Prior to final inspection approval - As-builts are required before approval of the
Building Final Inspection and Certificate of Occupancy can be issued.
**REVISION 2: Tenant Finish for Salon area moved to a separate Permit No.
201901002; No change in Valuation
*** CONTACTS ***
OWNER (720)341-9258
CONWAY DREAMS LLC
GC (303)210-5991
Scott Falcone &
Frank Walley
150181 SF CONSTRUCTION INC
SUB (720)435-4773
Jason Brittain
170408 JBS Electric LLC
SUB (303)257-3735
Danny Young
180243 Young's Plumbing & Heating
SUB (720)544-9634
Frank L Garcia
170430 Absolute Mechanical Contractor
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
520 / Office; 0
BLOCK/LOT#: /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 148,634.40
FEES
Total Valuation
0.00
Plan Review Fee
941.27
Use Tax
3,121.32
Permit Fee
1,448.10
Plan Review Add'1
120.00
** TOTAL **
5,630.69
*** COMMENTS ***
*** CONDITIONS ***
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IBC, 2014 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
**Prior to final inspection approval - As-builts are required before approval of the
Building Final Inspection and Certificate of Occupancy can be issued.
City of Wheat Ridge
Comm. Tenant Finish PERMIT - 201801881
PERMIT NO: 201801881 ISSUED: 09/06/2018
JOB ADDRESS: 6390 W 44th Ave Suite 100 EXPIRES: 09/06/2019
JOB DESCRIPTION: Renovate space to include recording studio and salon with separate
mechanical systems; recording studio with a bathroom on east side,
electrical and new lighting - 2,000 sq ft; hair salon on west side,
installing 2 bathrooms, electrical and new lighting - 1,270 sq ft; 3,270 sq
ft total
Tenants: Conway Sound and Vantage Salon
**REVISION: Electrical C phase to A phase, and switched to aluminum wiring,
plumbing changes are different pipe sizing. Changed duct venting. No added
valuation.
**REVISION 2: Tenant Finish for Salon area moved to a separate Permit No.
201901002; No change in 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 legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature o`f % OWNER/ or CONTRACTOR (Circle one) Date
I , This permit wa�'issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Of ficial Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
I r .71XWORI "�
City of
W heat I_idg -
COmmuNillf DEVLLOJIMENT
Building & Inspection Services Division
7500 W. 29't' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(c�ci.wheatridge.co.us
FOR OFFICE USE ONLY
date:( y f'
C « Plan/Permit #
J
Plan Review Fee:
Building Permit Application t
*** Please complete all highlighted areas on both sides of this form. Incomplete applications
may not be processed. ***
Property Address: —'e", 90 W m'yl\ Z Lo)ileks'� C&e'_ Co
Owner (please print): I ; LLCA b so' (_00W&A Phone: ' q 1
Property Owner Email:
Tenant (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address: ;-� 15 6 fin( Jy&
City, State, Zip: �CCxwe_.0 CU AU
Architect/Engineer E-mail: �C�G _t�oLGw,; u C,ACct�i4�Phone: �Oyq: X03 ° f3YiU' t�O�U
1�o.c n= ��in�t�c�-end>Cc?a0 51 u} Lf
Contractor: ,('t_,
City of Wheat Ridge License M 15 Phone: 3 0 ,q
Contractor E-mail Address:(i;CpCt7 . LC M
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print):
CONTACT EMAIL(please print):
0�.?��1q�J
Sub Contractors (Must provide Wheat Ridge License No.):
Electrical: Plumbing:Mechanical: `
W.R. City License # 1 �' W.R. City License # t W.R. City License # \ - �- ��`
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
COMMERCIAL ❑ RESIDENTIAL
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.
(et�cvc��e oc \n\ -o Vwu commP-rc�cL\ uSeS) cC cecc�;c�•tn Sic �o �f1 ec�St
"A
she a�c� Inci,c Sc�1vn o�n we5+. APP �p
C Xwo -� � (Y\66v. c �ctV, 1 D b� vs� \ nCl'JJ(2t l 1 n m Le elan .
Commercial Projects Only: Occupancy Type: _� Construction Type: L ��
70 7
Sq. FULFf ewg SC BTUs � � 1 � Gallons
Amps S� Squares It
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
5,000
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, casements 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. 1, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE:(OWNER) CONTRACTOR)) or (AUTHORIZED REPRESENTATIVE) of (OWNER) �(CCONTRAC(T�OR)
Signature (first and last name): /����% DATE: ^2 W Z9 (tom
Printed Name
ZONING COMMMENTS,
Reviewer:
BUILDING
PUBLIC WORKS COMMENTS:
Reviewer.
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION: '✓
CONSTRUCTION TYPE: 11113
3400K 10� , Z q
�n�lo
43 -72 -
Building
3:72Building Division Valuation: I ` 6, /a3�.
City of
CW heat Rj
DN
ge
MET
City of Wheat Ridge Municipal Building 7500 W. 29th Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2846 F: 303.235.2857
May 15, 2019
OFFICIAL ADDRESS CHANGE
NOTIFICATION is hereby given that the following address has been assigned to the property/properties as
indicated below:
NEW ADDRESS: 6390 West 44'" Avenue, Suite 100 and Suite 110
CURRENT ADDRESS: 6390 West 44"' Avenue
Lakeview Subdivision, Tract/Key: OOA & OSA, Section Parcel #: 39-243-06-030
NOTES: This is a courtesy notification.
AUTHORIZED BY: DATE: S(111
15
DISTRIBUTION:
1. Property Owner
2. Addressing* effco.us Jefferson County Assessor: Data Control, Lacey Baker; Jefferson County Elections:
Holly Roth; Jeffco IT Services (Mapping): Steve Mitchel
3. Jeffco Public Schools, ATTN: Communication Services, 1829 Denver West Dr., Bldg. 27, Golden, CO
80401
4. U.S. Post Office, 4210 Wadsworth Blvd., Wheat Ridge, CO 80033
5. Email to erlinda.j.martinez(&usps.gov and arlene.a.vickrey_(a),usps.gov
and sheena.l.abe tgaAusps.gov
6. Xcel Energy, sandra.cardenasAxcelenergy.com
7. Century Link, Capacity Provisioning Specialist, 5325 Zuni St., Room 728, Denver, CO 80221
8. Comcast, Attn: Scott Moore, 6850 S. Tucson Way, Englewood, CO 80112
9. Wheat Ridge Water District
10. Wheat Ridge Sanitation District
11. West Metro Fire District
12. Wheat Ridge Planning Division
13. Wheat Ridge Building Division
14. GIS Specialist
15. Log File
NOTE: Please notify all other parties concerned.
ADDRESS MAP UPDATED BY:
www.ci.wheatridge.co.us
DATE:
Vicinity Map
05320 '
City of
CW heat Rj
DN
ge
MET
City of Wheat Ridge Municipal Building 7500 W. 29th Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2846 F: 303.235.2857
May 15, 2019
OFFICIAL ADDRESS CHANGE
NOTIFICATION is hereby given that the following address has been assigned to the property/properties as
indicated below:
NEW ADDRESS: 6390 West 44'" Avenue, Suite 100 and Suite 110
CURRENT ADDRESS: 6390 West 44"' Avenue
Lakeview Subdivision, Tract/Key: OOA & OSA, Section Parcel #: 39-243-06-030
NOTES: This is a courtesy notification.
AUTHORIZED BY: DATE: S(111
15
DISTRIBUTION:
1. Property Owner
2. Addressing* effco.us Jefferson County Assessor: Data Control, Lacey Baker; Jefferson County Elections:
Holly Roth; Jeffco IT Services (Mapping): Steve Mitchel
3. Jeffco Public Schools, ATTN: Communication Services, 1829 Denver West Dr., Bldg. 27, Golden, CO
80401
4. U.S. Post Office, 4210 Wadsworth Blvd., Wheat Ridge, CO 80033
5. Email to erlinda.j.martinez(&usps.gov and arlene.a.vickrey_(a),usps.gov
and sheena.l.abe tgaAusps.gov
6. Xcel Energy, sandra.cardenasAxcelenergy.com
7. Century Link, Capacity Provisioning Specialist, 5325 Zuni St., Room 728, Denver, CO 80221
8. Comcast, Attn: Scott Moore, 6850 S. Tucson Way, Englewood, CO 80112
9. Wheat Ridge Water District
10. Wheat Ridge Sanitation District
11. West Metro Fire District
12. Wheat Ridge Planning Division
13. Wheat Ridge Building Division
14. GIS Specialist
15. Log File
NOTE: Please notify all other parties concerned.
ADDRESS MAP UPDATED BY:
www.ci.wheatridge.co.us
DATE:
Vicinity Map
05320 '
i CITY OF WHEAT.
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: _51D / ` CiA r"i!E,
Job Address:
Permit Number:
❑ No one available for inspectiop-Tir
Re -Inspection required: Ye `CN
When corrections have been made, call for re -inspection at 303-234-5933
Date -:_Z'/'5`1 !moi' Inspector:
DO NOT REMOVE THIS NOTICE
City of
CW heat Rj
DN
ge
MET
City of Wheat Ridge Municipal Building 7500 W. 29th Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2846 F: 303.235.2857
May 15, 2019
OFFICIAL ADDRESS CHANGE
NOTIFICATION is hereby given that the following address has been assigned to the property/properties as
indicated below:
NEW ADDRESS: 6390 West 44'" Avenue, Suite 100 and Suite 110
CURRENT ADDRESS: 6390 West 44"' Avenue
Lakeview Subdivision, Tract/Key: OOA & OSA, Section Parcel #: 39-243-06-030
NOTES: This is a courtesy notification.
AUTHORIZED BY: DATE: S(111
15
DISTRIBUTION:
1. Property Owner
2. Addressing* effco.us Jefferson County Assessor: Data Control, Lacey Baker; Jefferson County Elections:
Holly Roth; Jeffco IT Services (Mapping): Steve Mitchel
3. Jeffco Public Schools, ATTN: Communication Services, 1829 Denver West Dr., Bldg. 27, Golden, CO
80401
4. U.S. Post Office, 4210 Wadsworth Blvd., Wheat Ridge, CO 80033
5. Email to erlinda.j.martinez(&usps.gov and arlene.a.vickrey_(a),usps.gov
and sheena.l.abe tgaAusps.gov
6. Xcel Energy, sandra.cardenasAxcelenergy.com
7. Century Link, Capacity Provisioning Specialist, 5325 Zuni St., Room 728, Denver, CO 80221
8. Comcast, Attn: Scott Moore, 6850 S. Tucson Way, Englewood, CO 80112
9. Wheat Ridge Water District
10. Wheat Ridge Sanitation District
11. West Metro Fire District
12. Wheat Ridge Planning Division
13. Wheat Ridge Building Division
14. GIS Specialist
15. Log File
NOTE: Please notify all other parties concerned.
ADDRESS MAP UPDATED BY:
www.ci.wheatridge.co.us
DATE:
Vicinity Map
05320 '
i CITY OF WHEAT RIDGE
1-
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: �?- `<_-� ��c�, k',i
Job Address: �r73 `� \r-� 4 4_-.,r_Aa 4,,(1_:"
Permit Number: Wit"? 1,6 L:) t ��;
❑ No one available for inspection:
Re -Inspection required:
When corrections have been made,
for re -inspection at 303-234-5933
Date:_ Inspector: -
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
•
BAIding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:_- �% 1 ��•?
Job Address: ff lei. t� ✓�.
Permit Number:.,�)� /
❑ No one available for inspection: Tirn xx� PAM/
Re -Inspection required: Yew --No
When corrections have been made, call for re -inspection at 303-234-5933
Date:- %' Inspector:.
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
,Building; Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: t9��lj.✓�_--
Permit Number:
Y..
❑ No one available for inspection:--TinWe° 1 I VKJXAMPM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303 -234 -
Date: J `/`' Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection' Dirrision
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: J -t
JobAddress:
Permit Number:
❑ No one available for inspection: Time"-�l M/PM
Re -Inspection required: Yes- ,No '
When corrections have been made, call for re -inspection at 303 -234 -
Date: `A1 'i� Inspectors
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:
Perm it Number:
❑ No one available for inspection: Time -::
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303 -234 -
Date: x",25 - r6' inspector:.��-�� -
DO NOT REMOVE THIS NOTICE
EEO
CITY Of WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
'z
INSPECTION NOTICE
Inspection Type: 3 -! I -J.
Job Address: &-326) /-0. v.
Permit Number: c G7/ �904!Mj
❑ No one available for inspection: TimeC/j 1_ -?1A YM
Re -Inspection required: Yes "No
When corrections have been made, call for re -inspection at 303-234-
V
5933
Date: -2 Inspector: Z-�_
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
�Building Inspection Division
(3
03) 234-5933 Inspection line
(303)235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:�`�"
Job Address: Z -3
❑ No one available for inspection: ,Time�'�A /PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: _/ '/ 1 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: _ 60 tf
Permit Number: %'! ?__7 / 51,17
❑ No one available for inspection: Time..' AMYPM
Re -Inspection required: Yes %No
When corrections have been made, call for re -inspection at 303-2345933
Date: %� Inspector:.
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection DiAlision
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection:.Time h2 PV � /PM
Re -Inspection required: Yes,''/Ngo
When corrections`haye been made, call for re -inspection at 303-234-5933
Date: Inspec, or:
DO NO VE THIS NOTICE
i CITY OF W,iEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: _`� � txj j
Job Address:
Permit Number: ��1'
❑ No one available for inspection_.JTe AM/VM
Re -Inspection required: Yes No
When corrections have been made; call for re -inspection at 303-234-5933
Date: f I //' 117 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: 32 o " &J� tell
Job Address: (mo V Q Lt_f , AVE,
Permit Number: �cPl w� I'
❑ No one available for inspection: Time 0;20 ,�/PM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date:_! / f�`� Inspector: b<'^& t( Ltf
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: 320- J,,,/L,pj1 L,
Job Address: 63gy L / c k `i !� X � e .
Permit Number: c 1
a� Il /a1 �/- L aj
❑ No one available for inspection: Time r j 5— rAKj)P M
Re -Inspection required: Yes Vo)
When corrections have been made, call for re -inspection at 303-234-5933
Date:14 / ( i! 1 `( Inspector: IXne
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: �� 0 '
Job Address: 6ZR4 Ll
Permit Number: 61 b 1 $
7'
❑ No one available for inspection: Time��lyl'/PM
Re -Inspection required: Yes 6)
When corrections have been made, call for re -inspection at 303-234-5933
Date: 3 i Inspector: NC/1( 0ve:�
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: 11-- l c �e L/
Job Address: 62'V)
Permit Number: ��6«
Sic t- d"- r1/1 14 %,:�, 1) "1)
6,04'04 _N
❑ No one available for inspection: Time 01(Z 6—M-1 p
Re -Inspection required: Yes 00
When corrections have been made, call for re -inspection at 303-234-5933
Date: >f,� G f inspector: � (F !)✓f
DO NOT REMOVE THIS NOTICE
41 CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office v (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: Oreo LlIfN-t4 /w,
Permit Number: At) I in t
f
(lei 4 vrd
J No one available for inspection: Time MI/PM
Re -Inspection required: No
When corrections have been made, call for re -inspection at 303-234-5933
Date: -JInspector:
DO NOT REMOVE THIS NOTICE
`� 4 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: 3Z&- b� v w) d St - o, I✓
Job Address: I3?qo l✓ 1,144 AvP,
Permit Number:'!() 6cl� 1
❑ No one available for inspection: Time { / � 6 /PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: '/ 2 jWInspector:
DO NOT REMOVE THIS NOTICE
N* 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: 3Zp- <<4..rj fe,r-
Job Address:?(? ; qtl_t� Aver
Permit Number: 701601 O f I
❑ No one available for inspection: Time NPM
Re -Inspection required: Yes 'No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 3120%1 Inspector: bd(?E toveIt
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
,
Inspection Type: 3 � 0- P( V a (tr -XO f',?,'!,' l
Job Address: 6__.'qQ Lr
Permit Number: - t"'180, 10 t#
I
d
❑ No one available for inspection: Time ��� I4MiPM
Re -Inspection required: LYes No
When corrections have been made, call for re -inspection at 303-234-
15933
Date:-, If Inspector: ' ye' r1 tri
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: 0 1 Ll�
Job Address:
Permit Number:
❑ No one available for inspection: Time AM/PM
Re -Inspection required: 4
When corrections have been made, call for re -inspection at 303-234-5933
Date: ti Inspector: `'
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: '✓�� I �`f �� ('
Job Address: b 306 L/ r
Permit Number: 0l 9D X
❑ No one available for inspection: Time /040 AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-
Date:-2,
03-234-Date:2 ?2 Inspector: �J..-
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
INSPCTION NOTICE
Inspection Type:- 16� G
Job Address: & 3 9 C W '-J i-1 +-b Ave
Permit Number: �D_ c/ g 0 1 is S!
❑ No one available for inspection: Tim673 AM/PM
Re -Inspection required: Yes No
When corrections have been made, ca for re -inspection at, 0324-5_933
Dater2 -2--) t Inspe '
DO NOT REMOVE THIS NOTICE
7
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION �OTI
p `3 8lac
Inspection Type: 310 - Lf -,16,e
Job Address: art o ty `/ z-/ 4-1 A L,,e
Permit Number: a o 15; o f S S I
❑ No one available for inspection: Timb-17(" AM/PM
Re -Inspection required'^s No
When corrections have been made r re -ins "on at 303-234-5933
Dat `� "` Inspoctar-i—,
141,
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: C� L `� ✓'
Permit Number:
❑ No one available for inspection: TimmsAM/ M
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date:,tP Inspector: Z1h
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:
❑ No one available for inspection: Time op ja M
Re -Inspection required: Yes No
When corrections hav been made, call for re -inspection at 303-234-5933
Date: / �' Inspector: ,6�,— –�
DO NOT REMOVE THIS NOTICE
i�
i CITY OF WHEAT RIDGE
_��9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection:
Re -Inspection required: Y
When corrections have been made, call for re -inspection at 303-234-5933
r
Date: "��� Insp
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: cs 0 1 �_) I E -C /
#= V-Frk_PA_( C:�) F4>—
MA
❑ No one,available for inspection: Time j /PM
Re -Inspection requir : Yes` No
When corrections have been made, call for re -inspection at 303-234-5933
Date: '"N Inspector
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
gzg?,�;?, [A-4
INSPTCTI0 NOTI E
Inspection Type:
Job Address:
Permit Number:
f %.r t :r'! E ! f�et.sf jlfj✓ Abij,oi"fj
❑ No one available for inspection: Time &PIVI
Re -Inspection required: Yes I
When corrections have been made, call for re -inspection at 303-234-5933
Date: -12/ Inspector:4 n.
r'
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Comm. Tenant Finish PERMIT - 201801881
PERMIT NO: 201801881 ISSUED: 09/06/2018
JOB ADDRESS: 6390 W 44th Ave EXPIRES: 09/06/2019
JOB DESCRIPTION: Renovate space to include recording studio and salon with separate
mechanical systems; recording studio with a bathroom on east side,
electrical and new lighting - 2,000 sq ft; hair salon on west side,
installing 2 bathrooms, electrical and new lighting - 1,270 sq ft; 3,270 sq
ft total
Tenants: Conway Sound and Vantage Salon
**REVISION: Electrical C phase to A phase, and switched to aluminum wiring,
plumbing changes are different pipe sizing. Changed duct venting. No added
valuation.
***
CONTACTS ***
OWNER (720)341-9258
CONWAY
DREAMS LLC
SUB
(303)210-5991
Scott
Falcone & Frank Walley
150181
SF Construction Inc
SUB
(720)435-4773
Jason
Brittain
170408
JBS Electric LLC
SUB
(303)257-3735
Danny
Young
180243
Young's Plumbing & Heating
SUB
(720)544-9634
Frank
L Garcia
170430
Absolute Mechanical Contractor
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
SUBDIVISION CODE: 520 / Office; 0
USE: UA / Unassigned
BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 148,634.40
FEES
Total Valuation 0.00
Plan Review Fee 941.27
Use Tax 3,121.32
Permit Fee 1,448.10
Plan Review Addtiona 120.00
** TOTAL ** 5,630.69
*** COMMENTS ***
*** CONDITIONS ***
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IBC, 2014 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
**Prior to final inspection approval - As-builts are required before approval of the
Building Final Inspection and Certificate of Occupancy can be issued.
City of Wheat Ridge
Comm. Tenant Finish PERMIT - 201801881
PERMIT NO: 201801881 ISSUED: 09/06/2018
JOB ADDRESS: 6390 W 44th Ave EXPIRES: 09/06/2019
JOB DESCRIPTION: Renovate space to include recording studio and salon with separate
mechanical systems; recording studio with a bathroom on east side,
electrical and new lighting - 2,000 sq ft; hair salon on west side,
installing 2 bathrooms, electrical and new lighting - 1,270 sq ft; 3,270 sq
ft total
Tenants: Conway Sound and Vantage Salon
**REVISION: Electrical C phase to A phase, and switched to aluminum wiring,
plumbing changes are different pipe sizing. Changed duct venting. 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 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 t all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
l2--
Signature of O R or CONTRACTOR ( ircle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This, permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermitfee.
3. If this permit expires, anew permit maybe required to be obtained. Issuance of anew permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of ChieMu'`Mg (Pl�� Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City Of
heatdj/Wge
COMMUNiTy DEVELOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Add to Permit #
9' 0/ /
Building Permit Revision/Amendment Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Owner (Dlease Drint):1� t/1" t G'A Phone: /7()-_5
Property Owner Em
Mailing Address: (if different than property address)
Address:� 3r 1 0 �2"4eg
cn
City, State, Zip: L3"V_"� -()
Submitting Com any:
Contact Person: R -,,)A-V)
(/1 �Phone: t Z-
Contractor: , 0 _/ f
`9
Contractors City License #: I �Q � � Phone:
Contractor E-mail Address: ��C- n' �n VA
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:
GcJI r�
rp
v� U tiff `ter f-(� -e
Sq. Ft./LF Btu's !/ Gallons !V
/j A
Amps /A- Squares �� Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, casements 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 is app i to list that entity on this application.
CIRCLEON (� OWNER NTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME:
ZONING COMMMENTS:
Reviewer:
ow SIGNATURE
BUILDING DEPAR MEN COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DATE: f2- //^ /
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
City of Wheat Ridge
Comm. Tenant Finish PERMIT - 201801881
PERMIT NO: 201801881 ISSUED: 09/06/2018
JOB ADDRESS: 6390 W 44th Ave EXPIRES: 09/06/2019
JOB DESCRIPTION: Renovate space to include recording studio and salon with separate
mechanical systems; recording studio with a bathroom on east side,
electrical and new lighting - 2,000 sq ft; hair salon on west side,
installing 2 bathrooms, electrical and new lighting - 1,270 sq ft; 3,270 sq
ft total
Tenants: Conway Sound and Vantage Salon
***
CONTACTS ***
OWNER (720)341-9258
CONWAY DREAMS LLC
SUB
(303)210-5991
Scott
Falcone & Frank Walley
150181
SF Construction Inc
SUB
(720)435-4773
Jason
Brittain
170408
JBS Electric LLC
SUB
(303)257-3735
Danny
Young
180243
Young's Plumbing & Heating
SUB
(720)544-9634
Frank
L Garcia
170430
Absolute Mechanical Contractor
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 520 / Office; 0 BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 148,634.40
FEES
Total Valuation 0.00
Plan Review Fee 941.27
Use Tax 3,121.32
Permit Fee 1,448.10
** TOTAL ** 5,510.69
*** COMMENTS ***
*** CONDITIONS ***
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IBC, 2014 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
**Prior to final inspection approval - As-builts are required before approval of the
Building Final Inspection and Certificate of Occupancy can be issued.
W City of Wheat Ridge
Comm. Tenant Finish PERMIT - 201801881
PERMIT NO: 201801881 ISSUED: 09/06/2018
JOB ADDRESS: 6390 W 44th Ave EXPIRES: 09/06/2019
JOB DESCRIPTION: Renovate space to include recording studio and salon with separate
mechanical systems; recording studio with a bathroom on east side,
electrical and new lighting - 2,000 sq ft; hair salon on west side,
installing 2 bathrooms, electrical and new lighting - 1,270 sq ft; 3,270 sq
ft total
Tenants: Conway Sound and Vantage Salon
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 ermrt. I further attest that I am legally authorized to include al
I entities named within this document as partes to the work to be
performed and that all work to be perf"ormed 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 accompanyingplans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Budding Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applica�code or any Zhnance or regulation of this jurisdiction. Approval of work is subject to Field inspection.
Signature of Chiehuilding Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
0
City of
W heat jkd�
COMMUNITY DEVELO('MENI
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: Permits0)ci.wheatridae.co.us
FOR OFFICE USE ONLY
� Date:
Plan/Permit #
((JJJ ((
Plan Review Fee: �� % ►�
Building pp Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications
may not be processed. ***
Property Address: �-g I0 NL W�Vk
Owner
Property Owner Email:
Tenant (Commercial Projects Only)
U
L
Property Owner Mailing Address: (if different than property address)
Address: ( \Af
City, State, Zip: �) CAvIex Co � j 0
h%
Phone: T0 �,7 y I
Architect/Engineer E-mail:�i4� 4yAPhone:
1�0.c cc m mac, (V. 7a o a u }1
Contractor: L {'�;
City of Wheat Ridge License #: J iY I Phone: 3 a g • F_ �',
Contractor E-mail Address:
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): �(Lo ( _ vW CL Phone: �0
CONTACT EMAIL(please print): CUL (� conwA.6unJ.cc fte
Sub Contractors (Must provide Wheat Ridge License No.):
Electrical: _ - _� -� Plumbing: V `� Mechanical:
W.R. City License # 1 W.R. City License # l ' W.R. City License # -
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
M
WMEE66P •
M/COMMERCIAL F-1 RESIDENTIAL
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.
vAcwnc\5 CusNA1 3400 4&CVa��, de-ck-c-'s�5�( c.e. P(a-C)ec- vS �c
Ce-miCA-Q mn e_" �cc \ m -o iw u w•nnmec(AO 1 USIS, a f eco'%C l Si-v_iw 0o (CAS,
Sc�2 0 -)A V\ 'kk- SCAAC)o o� des+• A pVooct Size. an(k e c��
Q
Ut movo Ana_Agc;u15 -tv be \)seA � �c WJeA , n ) LF �)Cu .
Commercial Projects Only: Occupancy Type: Construction Type: LT
Sq. Ft./LF/ z S t1t BTUs �SEe /IJP! Gallons/see. /ME
Amps f s p e �1 Squares
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ —5 0 C) U
OWNEPUCONTRACTOR 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: QOWNER)CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last am DATE:
DATE:
Printed Name:
ZONING COMMENTS:
Reviewer:
BUILDING DEP NT ME
Revie r:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION: '✓
CONSTRUCTION TYPE: I" 5
3400 )c 10 � . Z q
gt)19o 4 3 :7 2
Building Division Valuation: Iz/6. /v3 r • Tv
City of
Wh6atj�idge
COMMUNITY DEVELOPMENT
SUB -CONTRACTOR AUTHORIZATION FORM
This Corm must be signed by each sub -contractor.
Subcontractor's City of Wheat Ridge License number must be provided in the applicable space.
This form will not be accepted with missing information.
Project Address: � .-s 1 � � �"� Permit #:
General Contractor: C `)
Electrical Sub -Contractor
Company Name: �� �; (��� _`i'r i Phone #:Cj "775
State License #: ��� Master #:�L115'
r
Wheat ' ge icense #:_170 (required field)
916- J/ g'
Sig tore of Authorized Agent Date
Plumbing Sub -Contractor
Company Name: �,,, r, `� (, , •Phone #:
3c)3-25)-3) 5
State License #: L 06 a'1� ( C, Master #:_L 0
Wheat Ridge License (required field)
Signatu a of orized Agent Date
Mechanical Contractor I
Company Name: -4 C, �V Phone:
Wat 'dge icenys`e #:(required field)
Signature of Authorize gent Date
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STRUCTURAL DESIGN CALCULATIONS
CONWAY RECORDING STUDIO
& HAIR SALON
INTERIOR RENOVATION
6390 W. 44th Ave., Wheat Ridge, CO 80033
Project No. 18.37
Submitted to:
City of Wheat Ridge
7500 W. 29th Ave., 2"d floor
Wheat Ridge, CO 80033
303.235.2803
June 07, 2018
Prepared By:
Envision Design, LLC
Denver, CO 80204
(c) 720.224.6613
chrisc@envisioridesignllc.com
-7
0 PAGE 01 of 12
4i AV'r,'t"W
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ATTACHMENT #1
Calculation Printout
PAGE 04 of 12
City of
Wheat Ridge
Building Division
iziI F O p T e MEMBER REPORT Level, N Wall header - 9'-3" PASSED
i" �U rw ` 2 pieces) 13/4" x 9 1/4" 2.0E Microllam® LVL PAGE 05 of 12
Overall Length: 9'3"
819.
0
11 0
All locations are measured from the outside face of left support (or left cantilever end).AII dimensions are horizontal.; Drawing is Conceptual
Design Results
Actual 0 Location
Allowed
Result
LDF Load: Combination (Pattern)
Member Reaction (lbs)
5651 @ 1 1/2"
7613 (3.00")
Passed (74%)
-- 1.0 D + 1.0 S (All Spans)
Shear (lbs)
4404 @ i' 1/4"
7074
Passed (62%)
1.15 1.0 D + 1.0 S (All Spans)
Moment (Ft -lbs)
12372 @ 4' 7 1/2"
12884
Passed (96%)
1.15 1.0 D + 1.0 S (All Spans)
Live Load Defl. (in)
0.259 @ 4' 7 1/2"
0.300
Passed (L/417)
1.0 D + 1.0 S (All Spans)
Total Load Defl, (in)
0.435 @ 4' 7 1/2"
1 0.450
Passed (L/248)
- 1.0 D + 1.0 S (All Spans)
Deflection criteria: LL (L/360) and TL (L/240).
Top Edge Bracing (Lu): Top compression edge must be braced at 4' 1" o/c unless detailed otherwise.
• Bottom Edge Bracing (Lu): Bottom compression edge must be braced at 9' 3" o/c unless detailed otherwise.
Tributary
Loads Location (Side) Width
Bearing
Loads to Supports (lbs) -
Supports
Total Available Required
Dead Snow Total Accessories
1 - Trimmer - SPF
3.00" 3.00" 2.23"
2287 3365 5652 None
2 - Trimmer - SPF
3.00" 3.00" 2.23"
2287 3365 5652 None
Tributary
Loads Location (Side) Width
Dead Snow
(0.90) (1.15)
Comments
0 - Self Weight (PLF) 0 to 9' 3" N/A
9.4
1 - Uniform (PSF) 0 to 9'3" 24' 3"
20.0 30.0
roof
Weyerhaeuser Notes
Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values.
Weyerhaeuser expressly disclaims any other warranties related to the software. Use of this software is not intended to circumvent the need for a design
professional as determined by the authority having jurisdiction. The designer of record, builder or framer is responsible to assure that this calculation is
compatible with the overall project. Accessories (Rim Board, Blocking Panels and Squash Blocks) are not designed by this software. Products manufactured at
Weyerhaeuser facilities are third -party certified to sustainable forestry standards. Weyerhaeuser Engineered Lumber Products have been evaluated by ICC ES
under technical reports ESR -1153 and ESR -1387 and/or tested in accordance with applicable ASTM standards. For current code evaluation reports, Weyerhaeuser
product literature and Installation details refer to www.weyerhaeuser.com/woodproducts/document-library.
The product application, input design loads, dimensions and support information have been provided by Forte Software Operator
Forte Software Operator
Chris Chen
Envision Design, LLC
(720)224-6613
2envisiondesig n@gmail.corn
System: Wall
Member Type : Header
Building Use : Residential
Building Code : IBC 2012
Design Methodology: ASD
0 SUSTAINABLE FORESTRY INITIATIVE
C
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4f "p/d
1&4r/cf6/7/2018? ?:22:51 AM
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Page 2of7
: T O R T E MEMBER REPORT Level, N Wall header - 4'-0" PASSED
®` 2 pieces) 2 x 8 Douglas Fir -Larch No. 2 PAGE 06 of 12
0
Overall Length: 4'6"
4'
0 0
All locations are measured from the outside face of left support (or left cantilever end).AII dimensions are horizontal.; Drawing is Conceptual
Design Results
Actual ® Location
Allowed
Result
LDF Load: Combination (Pattern) —!
Member Reaction (lbs)
2769 @ 1 1/2"
5625 (3.00")
Passed (49%)
1.0 D + 1.0 S (All Spans)
Shear (lbs)
1718 @ 10 1/4"
3002
Passed (57%)
1.15 1.0 D + 1.0 S (All Spans)
Moment (Ft -lbs)
2778 @ 2' 3"
2720
Passed (102%)
1.15 1.0 D + 1.0 S (All Spans)
Live Load Defl. (in)
0.035 @ 2'3"
0.142
Passed (L/999+)
-- 1.0 D + 1.0 S (All Spans)
Total Load Defl. (In)
0.059 @ 2' 3"
0.213
Passed (L/861)
-- 1.0 D + 1.0 S (All Spans)
• Deflection criteria: LL (L/360) and TL (L/240).
Top Edge Bracing (Lu): Top compression edge must be braced at 6" o/c unless detailed otherwise.
Bottom Edge Bracing (Lu): Bottom compression edge must be braced at 4' 6" o/c unless detailed otherwise.
Applicable calculations are based on NDS.
Loads
Bearing
Loads to Supports (lbs)
Supports
Total Available Required
Dead Snow Total Accessories
1 - Trimmer - SPF
3.00" 3.00" 1.50"
9 No
1115 1654F-176
2 - Trimmer - SPF
3.00" 3.00" 1.50"
ills 16549 None
Loads
Tributary
Location (Side) Width
Dead Snow
(0.90) (1.15) Comments
0 - Self Weight (PLF)
0 to 4' 6" N/A
5.5
1 - Uniform (PSF)
0 to 4'6" 24' 6"
20.0 30.0 roof
Weyerhaeuser Notes
Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values.
Weyerhaeuser expressly disclaims any other warranties related to the software. Use of this software is not Intended to circumvent the need for a design
professional as determined by the authority having jurisdiction. The designer of record, builder or framer is responsible to assure that this calculation is
compatible with the overall project. Accessories (Rim Board, Blocking Panels and Squash Blocks) are not designed by this software. Products manufactured at
Weyerhaeuser facilities are third -party certified to sustainable forestry standards. Weyerhaeuser Engineered Lumber Products have been evaluated by ICC ES
under technical reports ESR -1153 and ESR -1387 and/or tested In accordance with applicable ASTM standards. For current code evaluation reports, Weyerhaeuser
product literature and Installation details refer to www.weyerhaeuser.com/woodproducts/document-library.
The product application, Input design loads, dimensions and support Information have been provided by Forte Software Operator
Forte Software Operator
Chris Chen
Envision Design, LLC
(720) 224-6613
L2envisiondesignCa grnail.com
System: Wall
Member Type : Header
Building Use : Residential
Building Code : IBC 2012
Design Methodology: ASD
0 SUSTAINABLE FORESTRY INITIATIVE
Ow 01
wheot Ridge
6/7� a O1vZOAM
Forte v5.3, De ngine: V7.0.0.5
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Page 3 of 7
ill! F O R T G MEMBER REPORT Level, Ceiling joist Type 1 - SE studio PASSED
T
1 pieces) 117/8" T7I® 210 @ 24" OC PAGE 07 of 12
0
Overall Length: 21'4 1/2"
21'4 1/2"
0
0 2
All locations are measured from the outside face of left support (or left cantilever end).AII dimensions are horizontal.; Drawing is Conceptual
Design Results
Actual 0 Location
Allowed
Result
LDF
Load: Combination (Pattern)
Member Reaction (lbs)
847 @ 2 1/2"
1417 (2,25")
Passed (60%)
1.25
1.0 D + 1.0 Lr (All Spans)
Shear (lbs)
832 @ 3 1/2"
2069
Passed (40%)
1.25
1.0 D + 1.0 Lr (All Spans)
Moment (Ft -lbs)
4393 @ 10' 8 1/4"
4744
Passed (93%)
1.25
1.0 D + 1.0 Lr (All Spans)
Live Load Deli. (in)
0.465 @ 10'8 1/4"
0.699
Passed (1./541)
1.0 D + 1.0 Lr (All Spans)
Total Load Deft, (in)
0.930 @ 10'8 1/4"
1.048
Passed (1./270)
1.0 D + 1.0 Lr (All Spans)
TJ -Pro'" Rating
7
Any
Passed
Deflection criteria: LL (L/360) and TL (L/240).
Input live load span ratio deflection limit Is below building code minimum value of L/360. This minimum value was used for design.
Input total load span ratio deflection limit Is below building code minimum value of L/240. This minimum value was used for design.
Top Edge Bracing (Lu): Top compression edge must be braced at 3' 4" o/c unless detailed otherwise.
Bottom Edge Bracing (Lu): Bottom compression edge must be braced at 21' 2" o/c unless detailed otherwise.
A structural analysis of the deck has not been performed.
Deflection analysis Is based on composite action with a single layer of 23/32" Panel (24" Span Rating) that is glued and nailed down.
Additional considerations for the TJ -Pro'" Rating include: None
• Rim Board Is assumed to carry all loads applied directly above it, bypassing the member being designed.
Bearing
Loads to Supports (Ibs)
Supports
Total Available Required
Dead Ru000ff Total Accessories
1 - Stud wall - SPF
3.50" 2.25" 1.75"
428 428 856 1 1/4" Rim Board
2 - Stud wall - SPF
3.50" 2.25" 1.75"
428 428 856 11/4" Rim Board
• Rim Board Is assumed to carry all loads applied directly above it, bypassing the member being designed.
Weyerhaeuser Notes
Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values.
Weyerhaeuser expressly disclaims any other warranties related to the software. Use of this software is not Intended to circumvent the need for a design
professional as determined by the authority having jurisdiction. The designer of record, builder or framer is responsible to assure that this calculation is
compatible with the overall project. Accessories (Rim Board, Blocking Panels and Squash Blocks) are not designed by this software. Products manufactured at
Weyerhaeuser facilities are third -party certified to sustainable forestry standards. Weyerhaeuser Engineered Lumber Products have been evaluated by ICC ES
under technical reports ESR -1153 and ESR -1387 and/or tested in accordance with applicable ASTM standards. For current code evaluation reports, Weyerhaeuser
product literature and Installation details refer to www.weyerhaeuser.com/woodproducts/document-library.
The product application, input design loads, dimensions and support information have been provided by Forte Software Operator
Forte Software Operator
Chris Chen
Envision Design, LLC
(720)224-6613
2 e n vi sio ndesigngg m ai I. com
System : Floor
Member Type: Joist
Building Use : Residential
Building Code : IBC 2012
Design Methodology: ASD
l SUSTAINABLE FORESTRY INITIATIVE
City Ot
Wheal Ridge
Tj;e#'M°22:51 AM
Forte v5.3,"sign Engine: V7.0.0.5
Conway.4te
Page 4 of 7
Dead
Roof Live
Loads
Location (Side)
Spacing
(0.90)
(non -snow: 1.25)
Comments
1 - Uniform (PSF)
0 to 21' 4 1/2"
24"
20.0
20.0
Residential - Living
Areas
Weyerhaeuser Notes
Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values.
Weyerhaeuser expressly disclaims any other warranties related to the software. Use of this software is not Intended to circumvent the need for a design
professional as determined by the authority having jurisdiction. The designer of record, builder or framer is responsible to assure that this calculation is
compatible with the overall project. Accessories (Rim Board, Blocking Panels and Squash Blocks) are not designed by this software. Products manufactured at
Weyerhaeuser facilities are third -party certified to sustainable forestry standards. Weyerhaeuser Engineered Lumber Products have been evaluated by ICC ES
under technical reports ESR -1153 and ESR -1387 and/or tested in accordance with applicable ASTM standards. For current code evaluation reports, Weyerhaeuser
product literature and Installation details refer to www.weyerhaeuser.com/woodproducts/document-library.
The product application, input design loads, dimensions and support information have been provided by Forte Software Operator
Forte Software Operator
Chris Chen
Envision Design, LLC
(720)224-6613
2 e n vi sio ndesigngg m ai I. com
System : Floor
Member Type: Joist
Building Use : Residential
Building Code : IBC 2012
Design Methodology: ASD
l SUSTAINABLE FORESTRY INITIATIVE
City Ot
Wheal Ridge
Tj;e#'M°22:51 AM
Forte v5.3,"sign Engine: V7.0.0.5
Conway.4te
Page 4 of 7
,�T O R T MEMBER REPORT Level, Ceiling joist Type 2 - recording #1&2
4A 1 pieces) 9 1/2" T310 110 a@ 24" OC
Overall Length: 16'9"
16'9"
0
El 2
All locations are measured from the outside face of left support (or left cantilever end).Ail dimensions are horizontal.; Drawing is Conceptual
Design Results
Actual 0 Location
Allowed
Result
LDF Load: Combination (Pattern)
Member Reaction (lbs)
662 @ 2 1/2"
1302 (2.25")
Passed (51%)
1.25 1.0 D + 1.0 Lr (All Spans)
Shear (lbs)
647 @ 3 1/2"
1525
Passed (42%)
1.25 1.0 D + 1.0 Lr (All Spans)
Moment (Ft -lbs)
2668 @ 8' 4 1/2"
3125
Passed (85%)
1.25 1.0 D + 1.0 Lr (All Spans)
Live Load Deft. (in)
0.330 @ 8'4 1/2"
0.544
Passed (L/593)
1.0 D + 1.0 Lr (All Spans)
Total Load Defl. (in)
0.661 @ 8'4 1/2"
1 0.817
Passed (U297)
1.0 D + 1.0 Lr (All Spans)
TJ -Pro'" Rating
9
Any
Passed
Deflection criteria: LL (1-1360) and TL (L/240).
Input live load span ratio deflection limit is below building code minimum value of L/360. This minimum value was used for design.
Input total load span ratio deflection limit is below building code minimum value of L/240. This minimum value was used for design.
Top Edge Bracing (Lu): Top compression edge must be braced at 2' 11" o/c unless detailed otherwise.
Bottom Edge Bracing (Lu): Bottom compression edge must be braced at 16'7" o/c unless detailed otherwise.
A structural analysis of the deck has not been performed.
Deflection analysis Is based on composite action with a single layer of 23/32" Panel (24" Span Rating) that is glued and nailed down.
Additional considerations for the TJ -Pro•" Rating Include: None
• Rim Board is assumed to carry all loads applied directly above it, bypassing the member being designed.
Bearing
Loads to Supports (lbs)
Supports
Total Available Required
Dead Roof
Total Accessories
Loads
Location (Side)
Spacing
1 - Stud wall - SPF
3.50" 2.25" 1.75"
335 335 670 1 1/4" Rim Board
2 - Stud wall - SPF
3.50" 2.25" 1.75"
335 335 670 11/4- Rim Board
• Rim Board is assumed to carry all loads applied directly above it, bypassing the member being designed.
Weyerhaeuser Notes
Weyerhaeuser warrants that the sizing of Its products will be in accordance with Weyerhaeuser product design criteria and published design values.
Weyerhaeuser expressly disclaims any other warranties related to the software. Use of this software Is not intended to circumvent the need for a design
professional as determined by the authority having jurisdiction. The designer of record, builder or framer is responsible to assure that this calculation is
compatible with the overall project. Accessories (Rim Board, Blocking Panels and Squash Blocks) are not designed by this software. Products manufactured at
Weyerhaeuser facilities are third -party certified to sustainable forestry standards. Weyerhaeuser Engineered Lumber Products have been evaluated by ICC ES
under technical reports ESR -1153 and ESR -1387 and/or tested in accordance with applicable ASTM standards. For current code evaluation reports, Weyerhaeuser
product literature and Installation details refer to www.weyerhaeuser.com/woodproducts/document-library.
The product application, input design loads, dimensions and support information have been provided by Forte Software Operator
Forte Software Operator Job Notes
Chris Chen
Envision Design, LLC
(720)224-6613
2envisiondesign@gmaii.com
PASSED
PAGE 08 of 12
System : Floor
Member Type : Joist
Building Use : Residential
Building Cade : IBC 2012
Design Methodology : ASD
0 SUSTAINABLE FORESTRY INITIATIVE
GdV at
090
1811 :2.2::1 AM
Forte v5.3. De lgn Eng"' 4_, 7.0.0.5
®J``a\ng Conway.4te
Page 5of7
Dead I
Roof Live
Loads
Location (Side)
Spacing
(0.90) 1
(non•.now:1.25)
Comments
1 - Uniform (PSF)
0 to 16'9"
24"
20.0
20.0
Residential - Living
Areas
Weyerhaeuser Notes
Weyerhaeuser warrants that the sizing of Its products will be in accordance with Weyerhaeuser product design criteria and published design values.
Weyerhaeuser expressly disclaims any other warranties related to the software. Use of this software Is not intended to circumvent the need for a design
professional as determined by the authority having jurisdiction. The designer of record, builder or framer is responsible to assure that this calculation is
compatible with the overall project. Accessories (Rim Board, Blocking Panels and Squash Blocks) are not designed by this software. Products manufactured at
Weyerhaeuser facilities are third -party certified to sustainable forestry standards. Weyerhaeuser Engineered Lumber Products have been evaluated by ICC ES
under technical reports ESR -1153 and ESR -1387 and/or tested in accordance with applicable ASTM standards. For current code evaluation reports, Weyerhaeuser
product literature and Installation details refer to www.weyerhaeuser.com/woodproducts/document-library.
The product application, input design loads, dimensions and support information have been provided by Forte Software Operator
Forte Software Operator Job Notes
Chris Chen
Envision Design, LLC
(720)224-6613
2envisiondesign@gmaii.com
PASSED
PAGE 08 of 12
System : Floor
Member Type : Joist
Building Use : Residential
Building Cade : IBC 2012
Design Methodology : ASD
0 SUSTAINABLE FORESTRY INITIATIVE
GdV at
090
1811 :2.2::1 AM
Forte v5.3. De lgn Eng"' 4_, 7.0.0.5
®J``a\ng Conway.4te
Page 5of7
F
T G 0 R C ' MEMBER REPORT Level, Ceiling joist Type 3 - control room PASSED
r 1 1 piece(s) 9 1/2" TH@ 110 @ 24" OC PAGE 09 of 12
Overall Length: 13'
13'
0
0 9
All locations are measured from the outside face of left support (or left cantilever end).AII dimensions are horizontal.; Drawing is Conceptual
Design Results
Actual ® Location
Allowed
Result
LDF
Load: Combination (Pattern)
Member Reaction (lbs)
512 @ 2 1/2"
1302 (2.25")
Passed (39%)
1.25
1.0 D + 1.0 Lr (All Spans)
Shear (Ibs)
497 @ 3 1/2"
1525
Passed (33%)
1.25
1.0 D + 1.0 Lr (All Spans)
Moment (Ft-Ibs)
1583 @ 6' 6"
3125
Passed (51%)
1.25
1.0 D + 1.0 Lr (All Spans)
Live Load Defl. (In)
0.124 @ 6' 6"
0.315
Passed (L/999+)
--
1.0 D + 1.0 Lr (All Spans)
Total Load Defl. (in)
0.247 @ 6' 6"
0.629
Passed (L/611)
1.0 D + 1.0 Lr (All Spans)
T] -Pro'" Rating
37
Any
Passed
Deflection criteria: LL (L/480) and TL (L/240).
Top Edge Bracing (Lu): Top compression edge must be braced at 4' o/c unless detailed otherwise.
Bottom Edge Bracing (Lu): Bottom compression edge must be braced at 12' 10" o/c unless detailed otherwise.
A structural analysis of the deck has not been performed.
Deflection analysis Is based on composite action with a single layer of 23/32" Panel (24" Span Rating) that Is glued and nailed down.
Additional considerations for the TJ -Pro'" Rating include: None
" Rim Board is assumed to carry all loads applied directly above It, bypassing the member being designed.
Bearing
Loads to Supports (Ibs)
lupports
Total Available I Required
Dead ewe Total Accessories
Loads
Location (Side)
Spacing
Stud wall - SPF
3.50" 2.25" 1.75"
260 260 520 1 1/4" Rim Board
Stud wall - SPF
3.50" 2.25" 1.75"
260 260 520 1 1/4" Rim Board
" Rim Board is assumed to carry all loads applied directly above It, bypassing the member being designed.
Weyerhaeuser Notes
Weyerhaeuser warrants that the sizing of Its products will be in accordance with Weyerhaeuser product design criteria and published design values.
Weyerhaeuser expressly disclaims any other warranties related to the software. Use of this software is not Intended to circumvent the need for a design
professional as determined by the authority having jurisdiction. The designer of record, builder or framer is responsible to assure that this calculation Is
compatible with the overall project. Accessories (Rim Board, Blocking Panels and Squash Blocks) are not designed by this software. Products manufactured at
Weyerhaeuser facilities are third -party certified to sustainable forestry standards. Weyerhaeuser Engineered Lumber Products have been evaluated by ICC ES
under technical reports ESR -1153 and ESR -1387 and/or tested in accordance with applicable ASTM standards. For current code evaluation reports, Weyerhaeuser
product literature and installation details refer to www.weyerhaeuser,com/woodproducts/document-library.
The product application, input design loads, dimensions and support information have been provided by Forte Software Operator
System : Floor
Member Type : Joist
Building Use : Residential
Building Code : IBC 2012
Design Methodology: ASD
0 SUSTAINABLE FORESTRY INITIATIVE
Forte Software Operator Job Notes 6/7/2018 11:22:51 AM
Chris Chen Forte v5.3, Design Engine: V7.0.0.5
Envision Design, LLC Conway.4te
(720) 224-6613
2envisiondesign@gmail.com Page 6 of 7
Dead
Roof Live
1
Loads
Location (Side)
Spacing
(0.90)
(non -arrow: 1.25)
Comments
1 - Uniform (PSF)
0 to 13'
24"
20.0
20.0
Residential - Living
Areas
Weyerhaeuser Notes
Weyerhaeuser warrants that the sizing of Its products will be in accordance with Weyerhaeuser product design criteria and published design values.
Weyerhaeuser expressly disclaims any other warranties related to the software. Use of this software is not Intended to circumvent the need for a design
professional as determined by the authority having jurisdiction. The designer of record, builder or framer is responsible to assure that this calculation Is
compatible with the overall project. Accessories (Rim Board, Blocking Panels and Squash Blocks) are not designed by this software. Products manufactured at
Weyerhaeuser facilities are third -party certified to sustainable forestry standards. Weyerhaeuser Engineered Lumber Products have been evaluated by ICC ES
under technical reports ESR -1153 and ESR -1387 and/or tested in accordance with applicable ASTM standards. For current code evaluation reports, Weyerhaeuser
product literature and installation details refer to www.weyerhaeuser,com/woodproducts/document-library.
The product application, input design loads, dimensions and support information have been provided by Forte Software Operator
System : Floor
Member Type : Joist
Building Use : Residential
Building Code : IBC 2012
Design Methodology: ASD
0 SUSTAINABLE FORESTRY INITIATIVE
Forte Software Operator Job Notes 6/7/2018 11:22:51 AM
Chris Chen Forte v5.3, Design Engine: V7.0.0.5
Envision Design, LLC Conway.4te
(720) 224-6613
2envisiondesign@gmail.com Page 6 of 7
MEMBER REPORT Level, Interior wall header - 4'-0" PASSED
2 pieces) 2 x 8 Douglas Fir -Larch No. 2 PAGE 10 of 12
Overall Length: 4'6"
0
4'
All locations are measured from the outside face of left support (or left cantilever end).AII dimensions are horizontal.; Drawing is Conceptual
Design Results
Actual Q Location
Allowed
Result
LDF Load: Combination (Pattern)
Member Reaction (Ibs)
766 @ 1 1/2"
5625 (3.00")
Passed (14%)
-- 1.0 D + 1.0 Lr (Ail Spans)
Shear (Ibs)
475 @ 10 1/4"
3263
Passed (15%)
1.25 1.0 D + 1.0 Lr (All Spans)
Moment (Ft-Ibs)
769 @ 2' 3"
2957
Passed (26%)
1.25 1.0 D + 1.0 Lr (All Spans)
Live Load Defl. (In)
0.008 @ TY
0.142
Passed (L/999+)
-- 1.0 D + 1.0 Lr (All Spans)
Total Load Defl. (in)
0.016 @ TY
0.213
1 Passed (L/999+) I
-- 1.0 D + 1.0 Lr (Ali Spans)
Deflection criteria: LL (L/360) and TL (L/240).
Top Edge Bracing (Lu): Top compression edge must be braced at 4' 6" o/c unless detailed otherwise.
Bottom Edge Bracing (Lu): Bottom compression edge must be braced at 4' 6" o/c unless detailed otherwise.
Applicable calculations are based on NDS.
Weyerhaeuser Notes
Weyerhaeuser warrants that the sizing of its products will be In accordance with Weyerhaeuser product design criteria and published design values.
Weyerhaeuser expressly disclaims any other warranties related to the software. Use of this software Is not intended to circumvent the need for a design
professional as determined by the authority having jurisdiction. The designer of record, builder or framer Is responsible to assure that this calculation is
compatible with the overall project. Accessories (Rim Board, Blocking Panels and Squash Blocks) are not designed by this software. Products manufactured at
Weyerhaeuser facilities are third -party certified to sustainable forestry standards. Weyerhaeuser Engineered Lumber Products have been evaluated by ICC ES
under technical reports ESR -1153 and ESR -1387 and/or tested in accordance with applicable ASTM standards. For current code evaluation reports, Weyerhaeuser
product literature and installation details refer to www.weyerhaeuser.com/woodproducts/document-library.
The product application, input design loads, dimensions and support information have been provided by Forte Software Operator
Forte Software Operator
Chris Chen
Envision Design. LLC
(720) 224-6613
2envisiondesign@gmail.com
System: Wall
Member Type: Header
Building Use : Residential
Building Code : IBC 2012
Design Methodology : ASD
(l� SUSTAINABLE FORESTRY INITIATIVE
6/7/2018 11:22:51 AM
Forte v5.3, Design Engine: V7.0.0.5
Conway.4te
Page 7of7
Bearing
Loads to Supporta (Ibs)
Supports
Total Available Required
Dead Live Total Accessories
Loads
Location (Side)
Width
1 - Trimmer - SPF
3.00" 3.00" 1.50"
389 377 1 766 None
2 - Trimmer - SPF
3.00" 3.00" 1.50"
389 377 766 None
Weyerhaeuser Notes
Weyerhaeuser warrants that the sizing of its products will be In accordance with Weyerhaeuser product design criteria and published design values.
Weyerhaeuser expressly disclaims any other warranties related to the software. Use of this software Is not intended to circumvent the need for a design
professional as determined by the authority having jurisdiction. The designer of record, builder or framer Is responsible to assure that this calculation is
compatible with the overall project. Accessories (Rim Board, Blocking Panels and Squash Blocks) are not designed by this software. Products manufactured at
Weyerhaeuser facilities are third -party certified to sustainable forestry standards. Weyerhaeuser Engineered Lumber Products have been evaluated by ICC ES
under technical reports ESR -1153 and ESR -1387 and/or tested in accordance with applicable ASTM standards. For current code evaluation reports, Weyerhaeuser
product literature and installation details refer to www.weyerhaeuser.com/woodproducts/document-library.
The product application, input design loads, dimensions and support information have been provided by Forte Software Operator
Forte Software Operator
Chris Chen
Envision Design. LLC
(720) 224-6613
2envisiondesign@gmail.com
System: Wall
Member Type: Header
Building Use : Residential
Building Code : IBC 2012
Design Methodology : ASD
(l� SUSTAINABLE FORESTRY INITIATIVE
6/7/2018 11:22:51 AM
Forte v5.3, Design Engine: V7.0.0.5
Conway.4te
Page 7of7
Tributary
Dead
Roof Live
Loads
Location (Side)
Width
(0.90)
(non -snow: 1.75)
Comments
0 - Self Weight (PLF)
0 to 4' 6"
N/A
5.S
Linked from: Ceiling
1 - Uniform (PLF)
0 to 4' 6"
N/A
167.5
167.5
joist Type 2 -
recording #1&2,
Support 1
Weyerhaeuser Notes
Weyerhaeuser warrants that the sizing of its products will be In accordance with Weyerhaeuser product design criteria and published design values.
Weyerhaeuser expressly disclaims any other warranties related to the software. Use of this software Is not intended to circumvent the need for a design
professional as determined by the authority having jurisdiction. The designer of record, builder or framer Is responsible to assure that this calculation is
compatible with the overall project. Accessories (Rim Board, Blocking Panels and Squash Blocks) are not designed by this software. Products manufactured at
Weyerhaeuser facilities are third -party certified to sustainable forestry standards. Weyerhaeuser Engineered Lumber Products have been evaluated by ICC ES
under technical reports ESR -1153 and ESR -1387 and/or tested in accordance with applicable ASTM standards. For current code evaluation reports, Weyerhaeuser
product literature and installation details refer to www.weyerhaeuser.com/woodproducts/document-library.
The product application, input design loads, dimensions and support information have been provided by Forte Software Operator
Forte Software Operator
Chris Chen
Envision Design. LLC
(720) 224-6613
2envisiondesign@gmail.com
System: Wall
Member Type: Header
Building Use : Residential
Building Code : IBC 2012
Design Methodology : ASD
(l� SUSTAINABLE FORESTRY INITIATIVE
6/7/2018 11:22:51 AM
Forte v5.3, Design Engine: V7.0.0.5
Conway.4te
Page 7of7
Envision Design, LLC Project Title: PAGE i t of 12
863 Santa Fe Dr. Engineer:
Denver, CO 80204 Project ID:
chdsc@envisiondesignllc.com Project Descr:
720.224.6613
Steel Beam
Description : CMU Lintel
CODE REFERENCES
Calculations per AISC 360-10, IBC 2015, CBC 2016, ASCE 7-10
Load Combination Set: ASCE 7-05
Material Properties
Analysis Method: Allowable Strength Design
Beam Bracing: Completely Unbraced
Bending Axis: Major Axis Bending
LL 4x4x1/4
Span = 3.667 ft
Fy : Steel Yield
E: Modulus:
Printed: 7 JUN 2018, 11:25AM
80219 -18.31 - Conway DreamsZnglComvay.ed6
36.0 ksi
29,000.0 ksi
Frrr-�1
Applied Loads
Service loads entered. Load Factors will be applied for calculations.
Beam self weight calculated and added to loading
Uniform Load : D = 0.020, S = 0.030 ksf, Tributary Width = 20.0 ft, (Roof DL)
Uniform Load : D = 0.0550 ksf, Tributary Width = 8.0 ft, (Wall DL)
DESIGN SUMMARY
•
Maximum Bending Stress Ratio =
0.413: 1 Maximum Shear Stress Ratio =
0.103: 1
Section used for this span LL
4x4x1 /4
Section used for this span
LL 4x4x1 /4
Me: Applied
2.443 k -ft
Va : Applied
2.664 k
Mn / Omega: Allowable
5.921 k -ft
Vn/Omega : Allowable
25.868 k
Load Combination
+D+S+H
Load Combination
+D+S+H
Location of maximum on span
1.834ft
Location of maximum on span
0.000 ft
Span # where maximum occurs
Span # 1
Span # where maximum occurs
Span # 1
Maximum Deflection
Max Downward Transient Deflection
0.014 in Ratio=
3,122>=360
Max Upward Transient Deflection
0.014 in Ratio=
3,122 >=360
Max Downward Total Deflection
0.034 in Ratio=
1289 >=180
Max Upward Total Deflection
0.000 in Ratio=
0 <180
Maximum Forces & Stresses for Load Combinations
Load Combination Max Stress Ratios
Summary of Moment Values
Summary of Shear Values
Segment Length Span # M V
Mmax + Mmax -
Ma Mau Mnx Mnx/Omega Cb Rm
Va Max
Vnx Vnx/Omega
D Only - - -- ---
- -- - -
-
Dsgn. L = 3.67 ft 1 0.242 0.060
1.43
1.43 9.89 5.92 1.14 1.00
1.56
43.20
25.87
+D+L+H
Dsgn. L = 3.67 ft 1 0.242 0.060
1.43
1.43 9.89 5.92 1.14 1.00
1.56
43.20
25.87
+D+Lr+H
Dsgn. L = 3.67 ft 1 0.242 0.060
1.43
1.43 9.89 5.92 1.14 1.00
1.56
43.20
25.87
+D+S+H
Dsgn. L = 3.67 ft 1 0.413 0.103
2.44
2.44 9.89 5.92 1.14 1.00
2.66
43.20
25.87
+D+0.750Lr+0.750L+H
Dsgn. L = 3.67 ft 1 0.242 0.060
1.43
1.43 9.89 5.92 1.14 1.00
1.56
43.20
25.87
+D+0.750L+0.750S+H
Dsgn. L = 3.67 ft 1 0.370 0.092
2.19
2.19 9.89 5.92 1.14 1.00
2.39
43.20
25.87
+D+W+H
Dsgn. L = 3.67 ft 1 0.242 0.060
1.43
1.43 9.89 5.92 1.14 1.00
1.56
43.20
25.87
+D+0.70E+H
Dsgn. L = 3.67 ft 1 0.242 0.060
1.43
1.43 9.89 5.92 1.14 1.00
1.56
43.20
25.87
+D+0.750Lr+0.750L+0.750W+H
Dsgn. L = 3.67 ft 1 0.242 0.060
1.43
1.43 9.89 5.92 1.14 1.00
1.56
43.20
25.87
+D+0.750L+0.750S+0.750W+H
Dsgn. L = 3.67 ft 1 0.370 0.092
2.19
2.19 9.89 5.92 1.14 1.00
2.39
43.20
25.87
+D+0.750Lr+0.750L+0.5250E+H
Envision Design, LLC Project Title:
863 Santa Fe Dr. Engineer: PAGE 12 of 12
Denver, CO 80204 Project ID:
chdsc@envisiondesignllc.com Project Descr:
720.224.6613
Printed: 7 JUN 2018,11:25AM
Steel Beam C:\Usem\ychihch\Dropbox\WorkNISCCL-1\ANDREW-lVO180219 -18.37 -Conway Draams\Eng\Conway.ec6
Description : CMU Lintel
Load Combination
Max Stress Ratios
Max. "-" Dell
Summary of Moment Values
+M+__H - - ------ ---
Summary of Shear Values
Segment Length Span #
M
V
Mmia4-
_Mmax_ -M-a- Max--
Wrix
-M-u-J-0--menn -6b -------
Rh ------
V_ -a Max x
Vnx
VnxiOmega
.__
L 367 f
--
U40066
.
- ---- ____---A-
1A3
3
--- _
9.89
--------
5.92
-
1141.0
0-
.56
--
43.20
----6,8Dsgn.
27
+D+0.750L+0.750S+0.5250E+H
+D+Lr+H
1.564
1.564
+D+S+H
2,664
2.664
+D+0.750Lr+0.750L+H
1.564
Dsgn. L = 3.67 ft 1
0.370
0.092
2.19
2.19
9.89
5.92
1.14
1.00
2.39
43.20
25.87
+0.60D+W+H
+D+0.750LP+0.750L+0.750W+H
1.564
1.564
+D+0.750L+0.750S+0.750W+H
2.389
2.389
+0+0.750Lr+0.750L+0.5250E+H
1.564
Dsgn. L = 3.67 ft 1
0.145
0.036
0.86
0.86
9.89
5.92
1.14
1.00
0.94
43.20
26.87
+0,60D+0.70E+H
D Only
1.564
1.564
Lr Only
L Only
Dsgn. L = 3.67 ft 1
0.145
0.036
0.86
0.86
9.89
5.92
1.14
1.00
0.94
43.20
25.87
Overall Maximum Deflections
Load Combination
Span
Max. "-" Dell
Location in Span Load Combination
+M+__H - - ------ ---
-6.6341-
--- ---- -- ____ -- -
Vertical Reactions
Support notation Far left is #1
- - ------- -- --- ---
Load Combination
----------------- -----
Support I
-
Support 2
-Overall -MAN-im-um
X664
2.664
Overall MINimum
0.939
0.939
D Only
1.564
1,564
+D+L+H
1.564
1.564
+D+Lr+H
1.564
1.564
+D+S+H
2,664
2.664
+D+0.750Lr+0.750L+H
1.564
1.564
+D+0.750L+0.750S+H
2,389
2.389
+D+W+H
1.564
1.564
+D+0.70E+H
1.564
1.564
+D+0.750LP+0.750L+0.750W+H
1.564
1.564
+D+0.750L+0.750S+0.750W+H
2.389
2.389
+0+0.750Lr+0.750L+0.5250E+H
1.564
1.564
+D+0.750L+0.750S+0.5250E+H
2.389
2.389
+0,60D+W+H
0.939
0.939
+0.600+0.70E+H
0.939
0.939
D Only
1.564
1.564
Lr Only
L Only
S Only
1.100
1.100
W Only
E Only
H Only
Max. 'Y' Dell Location in Span
------ -----
0.0000 0.000
Values in KIPS
----------- - -------- _-
ENVIRONMENTAL CONSULTING
LJ"
LIMITED ASBESTOS INSPECTION REPORT
6390 W 44th Ave
Wheat Ridge CO
8/23/2017
Prepared for:
New Customer
Ryan Conway
3156 W 38th Ave
Denver CO 80211
720-341-9258
ryan@conwaysound.com
Prepared by:
BuildSafe Environmental Ltd.
CDPHE Registration No.: ACF - 19059
303 S Broadway Unit 200-239
Denver, CO 80209
Admin@BuildSafeEnviro.com
(720) 598-0600
303 S BROADWAY, 200-239, DENVER CO 80209 WWW.BUILDSAFEENVIRO.COM
Table of Contents
Section 1 Inspection Project Summary
1.1 Homogenous Areas in Work Scope - Table
1.2 Summary of Asbestos Samples
Section 2 Results and Recommendations
2.1 Post -Renovation Asbestos Containing Materials Notice (if identified)
2.2 Photo Log of Asbestos Containing Materials (if identified)
Section 3 Project Overview
Section 4 Asbestos Inspection Procedure
4.1 Suspect Asbestos Containing Building Materials
4.2 Sampling and Laboratory Analysis
Section 5 Conclusion
5.1 Limitations
Appendix A - Laboratory Report and Chain of Custody Form
Homogenous Material Types - Reference List
Surfacing Material
List of Acronyms
TS
Textured Surfacing
ACM
Asbestos Containing Materials
PL
Plaster
ACBM
Asbestos Containing Building
CMS
CMU Sealant
Material
SOF
Spray -on Fire Proofing
Thermal System Insulation
G
Good
DT
Duct Tape/Wrap
D
Damaged
PI
Pipe Insulation
§911
ROOPFA� ERM lI
Miscellaneous
Ceiling Tile
� seP�c�,aArd Adhesive
E.
NA
Fr hh11
RA ��ial zed to ory I
g
C
F� W
r�r-T �i �d pss�i' I
�U
N& ����eCt
R
Rs�c��AUVRc�iesive
rig
imsceuaneous 5eaianL
EA
Each
OT
Other Material
LF
Linear Feet
RSG
Roof Shingle
SF
Square Feet
RSH
Roof Sheeting
RSL
Roofing Sealant
Trace
51% by (Point Count/Composite)
SVF
Sheet Vinyl Flooring
ACM
ACM (>1% asbestos)
WG
Window Glazing
Section 1 Inspection Project Summary
Job ID: 170818-5 Inspector: Brian Cook
Date: 08/18/17 State Cert #: 22169
Client: New Customer
Customer: Ryan Conway
Property Details:
Site Address: 6390 W 44th Ave
Wheat Ridge CO
Property Type: Commercial
Age of Construction: N/A Renovation: N/A
Inspection Details:
Type of Inspection: Limited/Renovation ACM AHERA/Reg 8
Reason of Inspection: Remodel
Affected Area(s): throughout building
Scope of Inspection: Partial Renovation
Potential Spill Identification?: Yes (See Section 2 Results and Recommendations)
Work Scope Notes: Testing materials previously removed for permitting process
Sample Notes:
Laboratory: Reservoirs
NVLAP #: 101-896-0
Results Time: Next Day
# of Samples: 6
1.1 Homogenous Areas in Work Scope - Table
ID*
Material
Type**
# of
Samples
Material Description Functional Space
Quantity
in Scope
1
CDW
1
Off wht DW & JC Unknown areas
200 SF
2
TS
3
Off wht knockdown TS Unknown areas
200 SF
3
OT
1
Blue WP & Adhsv Unknown areas
200 SF
4
CT
1
Off wht lay in panel Unknown areas
600 SF
5
6
7
8
9
10
*ID - Homogenous Materials ID in Homogenous Areas Table & Bulk Samples Table
**See table of contents Reference List for how to classify homogenous materials type
1.2 Summary of Asbestos Samples
Sample
ID
Homog.
Mat'I ID
Bulk Sample and Locations Table
Sample Location ID*
Material
Condition
Friability
Category
Analytical
Results
CDW 1-1
1
Debris pile
SD
F
ND
TS 1-1
2
Debris pile
SD
F
ND
TS 1-2
2
Debris pile
SD
F
ND
TS 1-3
2
Debris pile
SD
F
ND
OT 1-1
3
Debris pile
SD
F
ND
CT 1-1
4
Debris pile
SD
F
ND
Section 2 Results and Recommendations
No asbestos -containing building materials have been identified within the affected area(s) of the Site
Address (see Section I of this report for limited scope of infection and affected areas). Please work safely
and if any additional materials are discovered that are not listed in the "Homogenous Areas in Work
Scope" table, please contact BuildSafe prior to disturbing these materials.
According to federal and state regulation, any materials that have not been sampled by a State-certifed
Asbestos Building Inspector and analyzed by an AIHA-accredited laboratory must be assumed asbestos
containing, regardless of the year of construction/renovation.
Any work performed on asbestos -containing building materials and/or trace asbestos -containing building
materials is subject to OSHA regulations, including but not limited to: hazard communication, asbestos
construction industry, general construction industry, and respiratory protection standards. Worker
exposure assessments are part of the asbestos construction industry standard and include excursion
limits and 8 -hour time -weighted permissible exposure limits which, if exceeded, may require additional
engineering or administrative controls to properly protect workers engaged in activities that may damage
or disturb materials which contain asbestos.
Section 3
Project Overview
BuildSafe Environmental, Ltd. (BuildSafe) was contracted by the client to perform a
limited repair/renovation specific asbestos inspection (inspection) at the above referenced
"Site Address". The inspection was conducted by an Environmental Protection Agency
(EPA) accredited and Colorado Department of Public Health and Environment (CDPHE)
certified Asbestos Building Inspector. The inspection was performed at the direction of
the client and only includes those materials, locations, and quantities specified in the
"Homogenous Areas in Work Scope Table".
The client is planning repair/renovation activities that will disturb suspect Asbestos
Containing Building Materials (ACBM) within the repair/renovation affected areas at the
Site Address. CDPHE Air Quality Control Commission Regulation No. 8, Part B — Asbestos
(Reg 8) requires that all suspect ACBMs be properly inspected and sampled by certified
personnel prior to conducting any repair/renovation activities that will disturb the suspect
ACBMs. All samples were analyzed by a laboratory accredited under the National
Voluntary Laboratory Accreditation Program (NVLAP). The CDHPE has established the
following trigger levels for different types of properties, which specify how suspect and
confirmed ACBMs are inspected and subsequently abated:
• With regard to single-family residential dwellings (SFRD), the trigger levels are
50 LF on pipes, 32 SF on other surfaces, or the volume equivalent of a 55 -gallon
drum
• With regard to all areas other than SFRDs, the trigger levels are 260 LF on pipes,
160 SF on other surfaces, or the volume equivalent of a 55 -gallon drum
The purpose of the inspection was to identify, visually inspect, and sample all suspect
ACBMs, at the direction of the client, which may be disturbed during the course of the
repair/renovation work.
Section 4
Asbestos Inspection Procedure
The inspection procedure was conducted in accordance with EPA Asbestos Hazard and
Emergency Response Act (AHERA), the EPA Pink Book, CDPHE Reg 8, and applicable
Occupational Safety and Health Administration (OSHA) guidelines and regulations. These
regulations specify requirements and protocols for conducting asbestos inspections,
sample analysis, and asbestos abatement.
4.1 Suspect Asbestos Containing Building Materials
Homogenous Material Types
The inspection involved identification and sampling of suspect ACBMs in the areas
established by the client that would be part of the scope of work. Suspect ACBMs were
grouped into homogenous materials based on color, texture, and date of application.
Homogenous materials were given distinct codes (CDW01, FTCO2, TS05, etc.) based on
the type sequence of the homogenous material. Details about the size, color, condition,
friability, quantity, location within each functional space and other important details for
each homogenous material were reported as part of the inspection. Homogenous
materials are grouped into one of three categories based on intended use:
1. Surfacing Material — material that is sprayed on, troweled on, or otherwise
applied to surfaces, such as acoustical plaster on ceilings and fireproofing materials
on structural members, or other materials on surfaces for acoustical, fireproofing,
or other purposes.
2. Thermal System Insulation — material applied to pipes, fittings, boilers,
breeching, tanks, ducts, or other interior structural components to prevent heat
loss or gain, or water condensation, or for other purposes.
3. Miscellaneous Materials — interior building material on structural components,
structural members or fixtures, such as floor and ceiling tiles, and does not include
surfacing material or thermal system insulation.
Homogenous Material Friability
Each homogenous material was given one of the three following friability categories
defined by the EPA and CDPHE:
1. Friable Material — materials that can be crumbled or reduced to powder by hand
pressure.
2. Category I Non -friable Material — materials that cannot be crumbled or
reduced to powder by hand pressure including resilient floor coverings, gaskets,
packing materials and asphalt impregnated roofing materials.
3. Category II Non -friable Materials — all other materials that cannot be
crumbled or reduced to powder by hand pressure that do not include category I
non -friable materials.
Homogenous Material Condition
Each homogenous material was given one of three condition categories based on visual
observation defined by the EPA and CDPHE:
1. Good Condition — No visible signs of damage were observed during the
inspection.
2. Damaged Condition — Visible signs of damage less than ten percent spread over
the entire material or twenty five percent localized.
3. Significantly Damaged Condition — Severe damage greater than ten percent
spread over the entire material or twenty five percent localized.
4.2 Sampling and Laboratory Analysis
Sample Collection
Bulk samples of each suspect homogenous material were collected randomly throughout
the homogenous material area within the scope of work. Bulk samples were sampled all
of the way through the material so that all associated layers within each homogenous
material are represented. Bulk samples were placed in closeable sample bags and then
labeled with a permanent marker with distinct sample identifiers (e.g., CDW1-1, FTC2-1,
MISC2-3, etc.) for transport to the laboratory. Sample locations and photographs of the
homogenous materials were also collected at this time during the inspection. Sample
quantities of each homogenous material were collected based on material type and
quantity detailed in the following table as required by regulation:
Homogenous Material
Minimum Number of
Quantity
Type
Samples
0 to <1,000 SF
3
Surfacing material
1,000 to 5,000 SF
5
>5,000 SF
7
Each Material
3
Thermal System Insulation
Patch < 6 LF, SF
1
Miscellaneous Material
Each Material
1
Laboratory Sample Analysis
Bulk samples were submitted to the laboratory along with a completed chain of custody
form to the above listed NVLAP accredited laboratory for analysis by polarized light
microscopy (PLM) techniques per EPA methodology (EPA -600/M4-82-020, Dec. 1982).
Microscopic visual estimation was used in obtaining the percentage of asbestos within
each layer of the bulk samples.
Asbestos Containing Building Materials
EPA and CDPHE both define an asbestos containing building material (ACBM) as a
material which has an asbestos content of greater than one percent. In the event that a
friable material is estimated to contain "trace" or between zero -to -one percent, that
material must undergo a point -count analysis by the laboratory to confirm that the
material is trace asbestos -containing. Further, if a point count analysis is performed on a
bulk sample, the point count result takes precedence over the visual estimation result.
See appendix A for laboratory report and chain of custody documents.
Section 5
Conclusion
BuildSafe has performed a limited repair/renovation specific asbestos inspection of the
home/facility located at the Site Address. Through visual inspection and laboratory
analysis of bulk samples collected at the Site Address, BuildSafe recommends hiring a
certified general asbestos abatement contractor to remove any ACBMs that may have
been identified within the scope of work. All inspection activities were conducted at the
direction of the client and only include those materials, quantities and locations detailed
in sections 1 and 2 of this report. See sections 1 and 2 of this report for information
regarding inspection scope of work, suspect ACBMs, confirmed ACBMs, sample
information and laboratory analysis results.
5.1 Limitations
General Comments and Limitations
Reasonable effort was made by BuildSafe to locate and sample accessible suspect ACBMs
within the scope of work. However, for any structure, the existence of unique or
concealed suspect ACBMs is a strong possibility. BuildSafe only inspected and collected
suspect ACBM bulk samples in the repair/renovation areas at the direction of the client.
This limited repair/renovation asbestos inspection report is not considered a
comprehensive asbestos inspection report and is only valid for the materials and locations
detailed in sections 1 and 2 of this report.
Should further repair/renovation work expand outside of materials and locations listed in
sections 1 and 2 of this report, those locations must be properly inspected and sampled
by qualified personnel prior to disturbance of suspect ACBMs. Any subsequent abatement
of ACBMs must be performed in accordance with all federal, state and local regulations
pertaining to abatement, transport, and disposal of ACBMs.
The asbestos inspection was conducted in a manner consistent with the level of care and
skill exercised by professionals of the asbestos inspection profession. The results,
findings, conclusions and recommendations expressed in this report are based on
conditions observed during our limited inspection of the repair/renovation areas. The
information contained in this report is relevant to the date on which this survey was
performed, and should not be relied upon to represent conditions at a later date. This
report has been prepared on behalf of and exclusively for use by the client for specific
application to the project as discussed. Contractors or consultants reviewing this report
must draw their own conclusions regarding further investigation or remediation deemed
necessary. BuildSafe does not warrant the work of regulatory agencies, laboratories or
other third -parties supplying information which may have been used in the preparation
of this report. No warranty, express or implied is made.
Sincerely,
Brian Cook
BuildSafe Environmental, LTD
303 S Broadway, Unit 200-239
Denver, CO 80209
970 531 3115
Brian@BuildSafeEnviro.com
Appendix A
Laboratory Report and Chain Of Custody Form
Reservoirs Environmental, Inc. Effective January 1, 2015
Reservoirs Environmental QA Manual T:\QAQC\Lab\Reservoirs Environmental QA Manual.doc
RE-� Reservoir "
T_ s Env�ronmenta/, Inc.
August 22, 2017
Build Safe Environmental
303 S. Broadway #200-239
Denver CO 80209
Dear Customer,
Subcontract Number
Laboratory Report:
Project # / P.O. #
Project Description:
NA
RES 387697-1
170818-5
6390 W 44th Ave Wheat Ridge CO
Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and
Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code 101896-0
for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the American
Industrial Hygiene Association (AIHA), Lab ID 101533 - Accreditation Certificate #480 for Phase Contrast
Microscopy (PCM) analysis. This laboratory is currently proficient in both Proficiency Testing and PAT programs
respectively.
Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request. The
analysis has been completed in general accordance with the appropriate methodology as stated in the attached
analysis table. The results have been submitted to your office.
RES 387697-1 is the job number assigned to this study. This report is considered highly confidential
and the sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with
personnel other than those of the client. The results described in this report only apply to the samples analyzed.
This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the
U.S. Government. This report shall not be reproduced except in full, without written approval from Reservoirs
Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested. If you have any
questions about this report, please feel free to call 303-964-1986.
Sincerely,
Jeanne Spencer
President
P: 303-964-1986
F:303-477-4275
5801 Logan Street, Suite 100 Denver, CO 80216
Page 1 of 1
1-866-RESI-ENV
www.reitab.com
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INSPECTION
RECORD
Ki INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric "
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
**For Inspection Time Window — Please email insptimerequest@ci.Wheatridge.co.US by 8:00 A.M. the mornin_q of the
inspection with the property address in the subject line of the email. Time window is based on the inspector's route.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
%,icy of Wheat RiLt,..
}
Residential Roofing PERMIT - 201701330
T
PERMIT NO: 201701330 ISSUED: 06/01/2017
JOB ADDRESS: 6390 W 44th AVE EXPIRES: 06/01/2018
JOB DESCRIPTION: Reroof; modified tib and GAF timberline; 29 squares
*** CONTACTS ***
OWNER (303)431-0765 Harriets Treadle Arts Inc
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 1 / Commr Vacant BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 19,500.00
FEES
Total Valuation 0.00
Use Tax 409.50
Permit Fee 362.80
** TOTAL ** 772.30
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€ms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Commercial Demolitio PERMIT - 201708201
201708201
6390 W 44th AVE
Commercial Demolition of
tenant finish.
ISSUED: 10/11/2017
EXPIRES: 10/11/2018
8 non -load bearing walls within building for new
*** CONTACTS ***
OWNER (720)341-9258 RYAN AND LISA CONWAY
SUB (303)210-5991 Scott Falcone & Frank Walley 150181 SF Construction Inc
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
SUBDIVISION CODE: 520 / Office; 0
USE: UA / Unassigned
BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 500.00
FEES
Total Valuation 0.00
Demolition Fee 50.00
** TOTAL ** 50.00
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work is subject to field inspections.
I by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications;
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include ali 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 /OWN�`ER or CONT>TOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180.days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to I 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 a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applic e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheat Midge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(cD_ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit #
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Owner
Property Owner Email:
() tl qzl� (,a, -
W
Mailing Address: (if different than property address)
nU,l
Address: 1 I
City, State, Zip: Det-I/y— , Lo
Architect/Engineer:
Architect/Engineer E-mail:
Phone:
Phone:
Contractor: L1 [2N((, Z S -F Lo.!ATc)J_ioo
Contractors City License #: L X16 1 Phone:
Contractor E-mail Address: _�
Sub Contractors: NA
Electrical
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
COMMERCIAL ❑ RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ELECTRICAL SYSTEMPLIANCE REPAIR or REPLACEMENT -
1JQOTHER (Describe) �.: ,<, rly %5 2N L,,Vl� i'"
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materiafIs to be used, etc.)
�evoouk9 �Jvfr-/MD
Sq. FULF
OBtu's Gallons
Amps 7 (?t7 f1�1v)D Squares
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that 1 have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): '"v` `�� DATE: //
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
Building Division Valuation: $
ENVIRONMENTAL CONSULTING
LJ"
LIMITED ASBESTOS INSPECTION REPORT
6390 W 44th Ave
Wheat Ridge CO
8/23/2017
Prepared for:
New Customer
Ryan Conway
3156 W 38th Ave
Denver CO 80211
720-341-9258
ryan@conwaysound.com
Prepared by:
BuildSafe Environmental Ltd.
CDPHE Registration No.: ACF - 19059
303 S Broadway Unit 200-239
Denver, CO 80209
Admin@BuildSafeEnviro.com
(720) 598-0600
303 S BROADWAY, 200-239, DENVER CO 80209 WWW.BUILDSAFEENVIRO.COM
Table of Contents
Section 1 Inspection Project Summary
1.1 Homogenous Areas in Work Scope - Table
1.2 Summary of Asbestos Samples
Section 2 Results and Recommendations
2.1 Post -Renovation Asbestos Containing Materials Notice (if identified)
2.2 Photo Log of Asbestos Containing Materials (if identified)
Section 3 Project Overview
Section 4 Asbestos Inspection Procedure
4.1 Suspect Asbestos Containing Building Materials
4.2 Sampling and Laboratory Analysis
Section 5 Conclusion
5.1 Limitations
Appendix A - Laboratory Report and Chain of Custody Form
Homogenous Material Types - Reference List
Surfacing Material
List of Acronyms
TS
Textured Surfacing
ACM
Asbestos Containing Materials
PL
Plaster
ACBM
Asbestos Containing Building
CMS
CMU Sealant
Material
SOF
Spray -on Fire Proofing
Thermal System Insulation
G
Good
DT
Duct Tape/Wrap
D
Damaged
PI
Pipe Insulation
§911
ROOPFA� ERM lI
Miscellaneous
Ceiling Tile
� seP�c�,aArd Adhesive
E.
NA
Fr hh11
RA ��ial zed to ory I
g
C
F� W
r�r-T �i �d pss�i' I
�U
N& ����eCt
R
Rs�c��AUVRc�iesive
rig
imsceuaneous 5eaianL
EA
Each
OT
Other Material
LF
Linear Feet
RSG
Roof Shingle
SF
Square Feet
RSH
Roof Sheeting
RSL
Roofing Sealant
Trace
51% by (Point Count/Composite)
SVF
Sheet Vinyl Flooring
ACM
ACM (>1% asbestos)
WG
Window Glazing
Section 1 Inspection Project Summary
Job ID: 170818-5 Inspector: Brian Cook
Date: 08/18/17 State Cert #: 22169
Client: New Customer
Customer: Ryan Conway
Property Details:
Site Address: 6390 W 44th Ave
Wheat Ridge CO
Property Type: Commercial
Age of Construction: N/A Renovation: N/A
Inspection Details:
Type of Inspection: Limited/Renovation ACM AHERA/Reg 8
Reason of Inspection: Remodel
Affected Area(s): throughout building
Scope of Inspection: Partial Renovation
Potential Spill Identification?: Yes (See Section 2 Results and Recommendations)
Work Scope Notes: Testing materials previously removed for permitting process
Sample Notes:
Laboratory: Reservoirs
NVLAP #: 101-896-0
Results Time: Next Day
# of Samples: 6
1.1 Homogenous Areas in Work Scope - Table
ID*
Material
Type**
# of
Samples
Material Description Functional Space
Quantity
in Scope
1
CDW
1
Off wht DW & JC Unknown areas
200 SF
2
TS
3
Off wht knockdown TS Unknown areas
200 SF
3
OT
1
Blue WP & Adhsv Unknown areas
200 SF
4
CT
1
Off wht lay in panel Unknown areas
600 SF
5
6
7
8
9
10
*ID - Homogenous Materials ID in Homogenous Areas Table & Bulk Samples Table
**See table of contents Reference List for how to classify homogenous materials type
1.2 Summary of Asbestos Samples
Sample
ID
Homog.
Mat'I ID
Bulk Sample and Locations Table
Sample Location ID*
Material
Condition
Friability
Category
Analytical
Results
CDW 1-1
1
Debris pile
SD
F
ND
TS 1-1
2
Debris pile
SD
F
ND
TS 1-2
2
Debris pile
SD
F
ND
TS 1-3
2
Debris pile
SD
F
ND
OT 1-1
3
Debris pile
SD
F
ND
CT 1-1
4
Debris pile
SD
F
ND
Section 2 Results and Recommendations
No asbestos -containing building materials have been identified within the affected area(s) of the Site
Address (see Section I of this report for limited scope of infection and affected areas). Please work safely
and if any additional materials are discovered that are not listed in the "Homogenous Areas in Work
Scope" table, please contact BuildSafe prior to disturbing these materials.
According to federal and state regulation, any materials that have not been sampled by a State-certifed
Asbestos Building Inspector and analyzed by an AIHA-accredited laboratory must be assumed asbestos
containing, regardless of the year of construction/renovation.
Any work performed on asbestos -containing building materials and/or trace asbestos -containing building
materials is subject to OSHA regulations, including but not limited to: hazard communication, asbestos
construction industry, general construction industry, and respiratory protection standards. Worker
exposure assessments are part of the asbestos construction industry standard and include excursion
limits and 8 -hour time -weighted permissible exposure limits which, if exceeded, may require additional
engineering or administrative controls to properly protect workers engaged in activities that may damage
or disturb materials which contain asbestos.
Section 3
Project Overview
BuildSafe Environmental, Ltd. (BuildSafe) was contracted by the client to perform a
limited repair/renovation specific asbestos inspection (inspection) at the above referenced
"Site Address". The inspection was conducted by an Environmental Protection Agency
(EPA) accredited and Colorado Department of Public Health and Environment (CDPHE)
certified Asbestos Building Inspector. The inspection was performed at the direction of
the client and only includes those materials, locations, and quantities specified in the
"Homogenous Areas in Work Scope Table".
The client is planning repair/renovation activities that will disturb suspect Asbestos
Containing Building Materials (ACBM) within the repair/renovation affected areas at the
Site Address. CDPHE Air Quality Control Commission Regulation No. 8, Part B — Asbestos
(Reg 8) requires that all suspect ACBMs be properly inspected and sampled by certified
personnel prior to conducting any repair/renovation activities that will disturb the suspect
ACBMs. All samples were analyzed by a laboratory accredited under the National
Voluntary Laboratory Accreditation Program (NVLAP). The CDHPE has established the
following trigger levels for different types of properties, which specify how suspect and
confirmed ACBMs are inspected and subsequently abated:
• With regard to single-family residential dwellings (SFRD), the trigger levels are
50 LF on pipes, 32 SF on other surfaces, or the volume equivalent of a 55 -gallon
drum
• With regard to all areas other than SFRDs, the trigger levels are 260 LF on pipes,
160 SF on other surfaces, or the volume equivalent of a 55 -gallon drum
The purpose of the inspection was to identify, visually inspect, and sample all suspect
ACBMs, at the direction of the client, which may be disturbed during the course of the
repair/renovation work.
Section 4
Asbestos Inspection Procedure
The inspection procedure was conducted in accordance with EPA Asbestos Hazard and
Emergency Response Act (AHERA), the EPA Pink Book, CDPHE Reg 8, and applicable
Occupational Safety and Health Administration (OSHA) guidelines and regulations. These
regulations specify requirements and protocols for conducting asbestos inspections,
sample analysis, and asbestos abatement.
4.1 Suspect Asbestos Containing Building Materials
Homogenous Material Types
The inspection involved identification and sampling of suspect ACBMs in the areas
established by the client that would be part of the scope of work. Suspect ACBMs were
grouped into homogenous materials based on color, texture, and date of application.
Homogenous materials were given distinct codes (CDW01, FTCO2, TS05, etc.) based on
the type sequence of the homogenous material. Details about the size, color, condition,
friability, quantity, location within each functional space and other important details for
each homogenous material were reported as part of the inspection. Homogenous
materials are grouped into one of three categories based on intended use:
1. Surfacing Material — material that is sprayed on, troweled on, or otherwise
applied to surfaces, such as acoustical plaster on ceilings and fireproofing materials
on structural members, or other materials on surfaces for acoustical, fireproofing,
or other purposes.
2. Thermal System Insulation — material applied to pipes, fittings, boilers,
breeching, tanks, ducts, or other interior structural components to prevent heat
loss or gain, or water condensation, or for other purposes.
3. Miscellaneous Materials — interior building material on structural components,
structural members or fixtures, such as floor and ceiling tiles, and does not include
surfacing material or thermal system insulation.
Homogenous Material Friability
Each homogenous material was given one of the three following friability categories
defined by the EPA and CDPHE:
1. Friable Material — materials that can be crumbled or reduced to powder by hand
pressure.
2. Category I Non -friable Material — materials that cannot be crumbled or
reduced to powder by hand pressure including resilient floor coverings, gaskets,
packing materials and asphalt impregnated roofing materials.
3. Category II Non -friable Materials — all other materials that cannot be
crumbled or reduced to powder by hand pressure that do not include category I
non -friable materials.
Homogenous Material Condition
Each homogenous material was given one of three condition categories based on visual
observation defined by the EPA and CDPHE:
1. Good Condition — No visible signs of damage were observed during the
inspection.
2. Damaged Condition — Visible signs of damage less than ten percent spread over
the entire material or twenty five percent localized.
3. Significantly Damaged Condition — Severe damage greater than ten percent
spread over the entire material or twenty five percent localized.
4.2 Sampling and Laboratory Analysis
Sample Collection
Bulk samples of each suspect homogenous material were collected randomly throughout
the homogenous material area within the scope of work. Bulk samples were sampled all
of the way through the material so that all associated layers within each homogenous
material are represented. Bulk samples were placed in closeable sample bags and then
labeled with a permanent marker with distinct sample identifiers (e.g., CDW1-1, FTC2-1,
MISC2-3, etc.) for transport to the laboratory. Sample locations and photographs of the
homogenous materials were also collected at this time during the inspection. Sample
quantities of each homogenous material were collected based on material type and
quantity detailed in the following table as required by regulation:
Homogenous Material
Minimum Number of
Quantity
Type
Samples
0 to <1,000 SF
3
Surfacing material
1,000 to 5,000 SF
5
>5,000 SF
7
Each Material
3
Thermal System Insulation
Patch < 6 LF, SF
1
Miscellaneous Material
Each Material
1
Laboratory Sample Analysis
Bulk samples were submitted to the laboratory along with a completed chain of custody
form to the above listed NVLAP accredited laboratory for analysis by polarized light
microscopy (PLM) techniques per EPA methodology (EPA -600/M4-82-020, Dec. 1982).
Microscopic visual estimation was used in obtaining the percentage of asbestos within
each layer of the bulk samples.
Asbestos Containing Building Materials
EPA and CDPHE both define an asbestos containing building material (ACBM) as a
material which has an asbestos content of greater than one percent. In the event that a
friable material is estimated to contain "trace" or between zero -to -one percent, that
material must undergo a point -count analysis by the laboratory to confirm that the
material is trace asbestos -containing. Further, if a point count analysis is performed on a
bulk sample, the point count result takes precedence over the visual estimation result.
See appendix A for laboratory report and chain of custody documents.
Section 5
Conclusion
BuildSafe has performed a limited repair/renovation specific asbestos inspection of the
home/facility located at the Site Address. Through visual inspection and laboratory
analysis of bulk samples collected at the Site Address, BuildSafe recommends hiring a
certified general asbestos abatement contractor to remove any ACBMs that may have
been identified within the scope of work. All inspection activities were conducted at the
direction of the client and only include those materials, quantities and locations detailed
in sections 1 and 2 of this report. See sections 1 and 2 of this report for information
regarding inspection scope of work, suspect ACBMs, confirmed ACBMs, sample
information and laboratory analysis results.
5.1 Limitations
General Comments and Limitations
Reasonable effort was made by BuildSafe to locate and sample accessible suspect ACBMs
within the scope of work. However, for any structure, the existence of unique or
concealed suspect ACBMs is a strong possibility. BuildSafe only inspected and collected
suspect ACBM bulk samples in the repair/renovation areas at the direction of the client.
This limited repair/renovation asbestos inspection report is not considered a
comprehensive asbestos inspection report and is only valid for the materials and locations
detailed in sections 1 and 2 of this report.
Should further repair/renovation work expand outside of materials and locations listed in
sections 1 and 2 of this report, those locations must be properly inspected and sampled
by qualified personnel prior to disturbance of suspect ACBMs. Any subsequent abatement
of ACBMs must be performed in accordance with all federal, state and local regulations
pertaining to abatement, transport, and disposal of ACBMs.
The asbestos inspection was conducted in a manner consistent with the level of care and
skill exercised by professionals of the asbestos inspection profession. The results,
findings, conclusions and recommendations expressed in this report are based on
conditions observed during our limited inspection of the repair/renovation areas. The
information contained in this report is relevant to the date on which this survey was
performed, and should not be relied upon to represent conditions at a later date. This
report has been prepared on behalf of and exclusively for use by the client for specific
application to the project as discussed. Contractors or consultants reviewing this report
must draw their own conclusions regarding further investigation or remediation deemed
necessary. BuildSafe does not warrant the work of regulatory agencies, laboratories or
other third -parties supplying information which may have been used in the preparation
of this report. No warranty, express or implied is made.
Sincerely,
Brian Cook
BuildSafe Environmental, LTD
303 S Broadway, Unit 200-239
Denver, CO 80209
970 531 3115
Brian@BuildSafeEnviro.com
Appendix A
Laboratory Report and Chain Of Custody Form
Reservoirs Environmental, Inc. Effective January 1, 2015
Reservoirs Environmental QA Manual T:\QAQC\Lab\Reservoirs Environmental QA Manual.doc
RE-� Reservoir "
T_ s Env�ronmenta/, Inc.
August 22, 2017
Build Safe Environmental
303 S. Broadway #200-239
Denver CO 80209
Dear Customer,
Subcontract Number
Laboratory Report:
Project # / P.O. #
Project Description:
NA
RES 387697-1
170818-5
6390 W 44th Ave Wheat Ridge CO
Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and
Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code 101896-0
for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the American
Industrial Hygiene Association (AIHA), Lab ID 101533 - Accreditation Certificate #480 for Phase Contrast
Microscopy (PCM) analysis. This laboratory is currently proficient in both Proficiency Testing and PAT programs
respectively.
Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request. The
analysis has been completed in general accordance with the appropriate methodology as stated in the attached
analysis table. The results have been submitted to your office.
RES 387697-1 is the job number assigned to this study. This report is considered highly confidential
and the sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with
personnel other than those of the client. The results described in this report only apply to the samples analyzed.
This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the
U.S. Government. This report shall not be reproduced except in full, without written approval from Reservoirs
Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested. If you have any
questions about this report, please feel free to call 303-964-1986.
Sincerely,
Jeanne Spencer
President
P: 303-964-1986
F:303-477-4275
5801 Logan Street, Suite 100 Denver, CO 80216
Page 1 of 1
1-866-RESI-ENV
www.reitab.com
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PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Commercial Demolitio PERMIT - 201708201
201708201
6390 W 44th AVE
Commercial Demolition of
tenant finish.
ISSUED: 10/11/2017
EXPIRES: 10/11/2018
8 non -load bearing walls within building for new
*** CONTACTS ***
OWNER (720)341-9258 RYAN AND LISA CONWAY
SUB (303)210-5991 Scott Falcone & Frank Walley 150181 SF Construction Inc
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
SUBDIVISION CODE: 520 / Office; 0
USE: UA / Unassigned
BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 500.00
FEES
Total Valuation 0.00
Demolition Fee 50.00
** TOTAL ** 50.00
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work is subject to field inspections.
I by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications;
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include ali 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 /OWN�`ER or CONT>TOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180.days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to I 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 a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applic e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheat Midge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(cD_ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit #
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Owner
Property Owner Email:
() tl qzl� (,a, -
W
Mailing Address: (if different than property address)
nU,l
Address: 1 I
City, State, Zip: Det-I/y— , Lo
Architect/Engineer:
Architect/Engineer E-mail:
Phone:
Phone:
Contractor: L1 [2N((, Z S -F Lo.!ATc)J_ioo
Contractors City License #: L X16 1 Phone:
Contractor E-mail Address: _�
Sub Contractors: NA
Electrical
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
COMMERCIAL ❑ RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ELECTRICAL SYSTEMPLIANCE REPAIR or REPLACEMENT -
1JQOTHER (Describe) �.: ,<, rly %5 2N L,,Vl� i'"
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materiafIs to be used, etc.)
�evoouk9 �Jvfr-/MD
Sq. FULF
OBtu's Gallons
Amps 7 (?t7 f1�1v)D Squares
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that 1 have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): '"v` `�� DATE: //
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
Building Division Valuation: $
City of Wheat Ridge
Residential Roofing PERMIT - 201701330
PERMIT NO: 201701330 ISSUED: 06/01/2017
JOB ADDRESS: 6390 W 44th AVE EXPIRES: 06/01/2018
JOB DESCRIPTION: Reroof; modified tib and GAF timberline; 29 squares
*** CONTACTS ***
OWNER (303)431-0765 Harriets Treadle Arts Inc
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 1 / Commr Vacant BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 19,500.00
FEES
Total Valuation 0.00
Use Tax 409.50
Permit Fee 362.80
** TOTAL ** 772.30
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€ms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
1a� I A( City of Wheat Ridge
51
Residential Roofing PERMIT - 201701330
PERMIT NO: 201701330 ISSUED: 06/01/2017
JOB ADDRESS: 6390 W 44th AVE EXPIRES: 06/01/2018
JOB DESCRIPTION: Reroof; modified tib and GAF timberline; 29 squares
I by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am t11e legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
�& 'e— �,x -/-/
Signa e of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the pen -nit 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 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. e -
6. The issuancr ting of a perM f shal of be construed to be a permit for, or an approval of, any violation of any provision of any
.
applicable cor nce b of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of
mat le
cOMMUNiTy DEVELOPMENT
Building d Inspection Services Division
7500 W. 2e Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: r)ermits(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
®ane: �O/
Plan/Permit # a ONO
630
Plan Review Fee:
Building Permit Application
Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed,
Property Address: !0 3 '?O L.l �! y Ave -
Property Owner
4 ve.PropertyOwrner (please print): ly�,�, c71s reao%e,��& l'nc Phone: 303 -y3/ -07,6i -
Property owner Email: Y: y So @ NI A c , c o M
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Archltect/Engineer E-mail:
Phone:
Contractors City License; : 170 11/// Phone: 720 - 96S- 0126
Contractor E-mail Address: J%'c ,'C. : i�v<<w :
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL ❑ RESIDENTIAL
®eecriction of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
�NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING
] COMMERCIAL ADDITION RESIDENTIAL ROOFING
�RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
] COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
OTHER (Describe)
(For ALL projects, please provide a deWlIed 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.) // / / /
Re -goo o(ve iso Lta.'l /y%d•'1Q4r g. 7' on,,/ 6,4F
Z SQ o� /pa c,�5o ISD e'FSv7�c�A-1
Sq. Ft./LF ,?7 SQ Btu's
Amps
Gallons
Squares -Z 7 sa Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
5-00 00
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
FRINTNAME: �c�1te /CP.� SIGNATURE: � ��/ DATE: 7
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORM§
Fre Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ® Received ❑ Not Required
TYPE OF CONSTRUCTION:
SPRINKLEREM
OCCUPANT LOAD:
Building Division Valuation: $
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Commercial Demolitio PERMIT - 201708201
201708201
6390 W 44th AVE
Commercial Demolition of
tenant finish.
ISSUED: 10/11/2017
EXPIRES: 10/11/2018
8 non -load bearing walls within building for new
*** CONTACTS ***
OWNER (720)341-9258 RYAN AND LISA CONWAY
SUB (303)210-5991 Scott Falcone & Frank Walley 150181 SF Construction Inc
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
SUBDIVISION CODE: 520 / Office; 0
USE: UA / Unassigned
BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 500.00
FEES
Total Valuation 0.00
Demolition Fee 50.00
** TOTAL ** 50.00
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work is subject to field inspections.
I by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications;
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include ali 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 /OWN�`ER or CONT>TOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180.days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to I 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 a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applic e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheat Midge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(cD_ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit #
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Owner
Property Owner Email:
() tl qzl� (,a, -
W
Mailing Address: (if different than property address)
nU,l
Address: 1 I
City, State, Zip: Det-I/y— , Lo
Architect/Engineer:
Architect/Engineer E-mail:
Phone:
Phone:
Contractor: L1 [2N((, Z S -F Lo.!ATc)J_ioo
Contractors City License #: L X16 1 Phone:
Contractor E-mail Address: _�
Sub Contractors: NA
Electrical
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
COMMERCIAL ❑ RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ELECTRICAL SYSTEMPLIANCE REPAIR or REPLACEMENT -
1JQOTHER (Describe) �.: ,<, rly %5 2N L,,Vl� i'"
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materiafIs to be used, etc.)
�evoouk9 �Jvfr-/MD
Sq. FULF
OBtu's Gallons
Amps 7 (?t7 f1�1v)D Squares
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that 1 have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): '"v` `�� DATE: //
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
Building Division Valuation: $
ENVIRONMENTAL CONSULTING
LJ"
LIMITED ASBESTOS INSPECTION REPORT
6390 W 44th Ave
Wheat Ridge CO
8/23/2017
Prepared for:
New Customer
Ryan Conway
3156 W 38th Ave
Denver CO 80211
720-341-9258
ryan@conwaysound.com
Prepared by:
BuildSafe Environmental Ltd.
CDPHE Registration No.: ACF - 19059
303 S Broadway Unit 200-239
Denver, CO 80209
Admin@BuildSafeEnviro.com
(720) 598-0600
303 S BROADWAY, 200-239, DENVER CO 80209 WWW.BUILDSAFEENVIRO.COM
Table of Contents
Section 1 Inspection Project Summary
1.1 Homogenous Areas in Work Scope - Table
1.2 Summary of Asbestos Samples
Section 2 Results and Recommendations
2.1 Post -Renovation Asbestos Containing Materials Notice (if identified)
2.2 Photo Log of Asbestos Containing Materials (if identified)
Section 3 Project Overview
Section 4 Asbestos Inspection Procedure
4.1 Suspect Asbestos Containing Building Materials
4.2 Sampling and Laboratory Analysis
Section 5 Conclusion
5.1 Limitations
Appendix A - Laboratory Report and Chain of Custody Form
Homogenous Material Types - Reference List
Surfacing Material
List of Acronyms
TS
Textured Surfacing
ACM
Asbestos Containing Materials
PL
Plaster
ACBM
Asbestos Containing Building
CMS
CMU Sealant
Material
SOF
Spray -on Fire Proofing
Thermal System Insulation
G
Good
DT
Duct Tape/Wrap
D
Damaged
PI
Pipe Insulation
§911
ROOPFA� ERM lI
Miscellaneous
Ceiling Tile
� seP�c�,aArd Adhesive
E.
NA
Fr hh11
RA ��ial zed to ory I
g
C
F� W
r�r-T �i �d pss�i' I
�U
N& ����eCt
R
Rs�c��AUVRc�iesive
rig
imsceuaneous 5eaianL
EA
Each
OT
Other Material
LF
Linear Feet
RSG
Roof Shingle
SF
Square Feet
RSH
Roof Sheeting
RSL
Roofing Sealant
Trace
51% by (Point Count/Composite)
SVF
Sheet Vinyl Flooring
ACM
ACM (>1% asbestos)
WG
Window Glazing
Section 1 Inspection Project Summary
Job ID: 170818-5 Inspector: Brian Cook
Date: 08/18/17 State Cert #: 22169
Client: New Customer
Customer: Ryan Conway
Property Details:
Site Address: 6390 W 44th Ave
Wheat Ridge CO
Property Type: Commercial
Age of Construction: N/A Renovation: N/A
Inspection Details:
Type of Inspection: Limited/Renovation ACM AHERA/Reg 8
Reason of Inspection: Remodel
Affected Area(s): throughout building
Scope of Inspection: Partial Renovation
Potential Spill Identification?: Yes (See Section 2 Results and Recommendations)
Work Scope Notes: Testing materials previously removed for permitting process
Sample Notes:
Laboratory: Reservoirs
NVLAP #: 101-896-0
Results Time: Next Day
# of Samples: 6
1.1 Homogenous Areas in Work Scope - Table
ID*
Material
Type**
# of
Samples
Material Description Functional Space
Quantity
in Scope
1
CDW
1
Off wht DW & JC Unknown areas
200 SF
2
TS
3
Off wht knockdown TS Unknown areas
200 SF
3
OT
1
Blue WP & Adhsv Unknown areas
200 SF
4
CT
1
Off wht lay in panel Unknown areas
600 SF
5
6
7
8
9
10
*ID - Homogenous Materials ID in Homogenous Areas Table & Bulk Samples Table
**See table of contents Reference List for how to classify homogenous materials type
1.2 Summary of Asbestos Samples
Sample
ID
Homog.
Mat'I ID
Bulk Sample and Locations Table
Sample Location ID*
Material
Condition
Friability
Category
Analytical
Results
CDW 1-1
1
Debris pile
SD
F
ND
TS 1-1
2
Debris pile
SD
F
ND
TS 1-2
2
Debris pile
SD
F
ND
TS 1-3
2
Debris pile
SD
F
ND
OT 1-1
3
Debris pile
SD
F
ND
CT 1-1
4
Debris pile
SD
F
ND
Section 2 Results and Recommendations
No asbestos -containing building materials have been identified within the affected area(s) of the Site
Address (see Section I of this report for limited scope of infection and affected areas). Please work safely
and if any additional materials are discovered that are not listed in the "Homogenous Areas in Work
Scope" table, please contact BuildSafe prior to disturbing these materials.
According to federal and state regulation, any materials that have not been sampled by a State-certifed
Asbestos Building Inspector and analyzed by an AIHA-accredited laboratory must be assumed asbestos
containing, regardless of the year of construction/renovation.
Any work performed on asbestos -containing building materials and/or trace asbestos -containing building
materials is subject to OSHA regulations, including but not limited to: hazard communication, asbestos
construction industry, general construction industry, and respiratory protection standards. Worker
exposure assessments are part of the asbestos construction industry standard and include excursion
limits and 8 -hour time -weighted permissible exposure limits which, if exceeded, may require additional
engineering or administrative controls to properly protect workers engaged in activities that may damage
or disturb materials which contain asbestos.
Section 3
Project Overview
BuildSafe Environmental, Ltd. (BuildSafe) was contracted by the client to perform a
limited repair/renovation specific asbestos inspection (inspection) at the above referenced
"Site Address". The inspection was conducted by an Environmental Protection Agency
(EPA) accredited and Colorado Department of Public Health and Environment (CDPHE)
certified Asbestos Building Inspector. The inspection was performed at the direction of
the client and only includes those materials, locations, and quantities specified in the
"Homogenous Areas in Work Scope Table".
The client is planning repair/renovation activities that will disturb suspect Asbestos
Containing Building Materials (ACBM) within the repair/renovation affected areas at the
Site Address. CDPHE Air Quality Control Commission Regulation No. 8, Part B — Asbestos
(Reg 8) requires that all suspect ACBMs be properly inspected and sampled by certified
personnel prior to conducting any repair/renovation activities that will disturb the suspect
ACBMs. All samples were analyzed by a laboratory accredited under the National
Voluntary Laboratory Accreditation Program (NVLAP). The CDHPE has established the
following trigger levels for different types of properties, which specify how suspect and
confirmed ACBMs are inspected and subsequently abated:
• With regard to single-family residential dwellings (SFRD), the trigger levels are
50 LF on pipes, 32 SF on other surfaces, or the volume equivalent of a 55 -gallon
drum
• With regard to all areas other than SFRDs, the trigger levels are 260 LF on pipes,
160 SF on other surfaces, or the volume equivalent of a 55 -gallon drum
The purpose of the inspection was to identify, visually inspect, and sample all suspect
ACBMs, at the direction of the client, which may be disturbed during the course of the
repair/renovation work.
Section 4
Asbestos Inspection Procedure
The inspection procedure was conducted in accordance with EPA Asbestos Hazard and
Emergency Response Act (AHERA), the EPA Pink Book, CDPHE Reg 8, and applicable
Occupational Safety and Health Administration (OSHA) guidelines and regulations. These
regulations specify requirements and protocols for conducting asbestos inspections,
sample analysis, and asbestos abatement.
4.1 Suspect Asbestos Containing Building Materials
Homogenous Material Types
The inspection involved identification and sampling of suspect ACBMs in the areas
established by the client that would be part of the scope of work. Suspect ACBMs were
grouped into homogenous materials based on color, texture, and date of application.
Homogenous materials were given distinct codes (CDW01, FTCO2, TS05, etc.) based on
the type sequence of the homogenous material. Details about the size, color, condition,
friability, quantity, location within each functional space and other important details for
each homogenous material were reported as part of the inspection. Homogenous
materials are grouped into one of three categories based on intended use:
1. Surfacing Material — material that is sprayed on, troweled on, or otherwise
applied to surfaces, such as acoustical plaster on ceilings and fireproofing materials
on structural members, or other materials on surfaces for acoustical, fireproofing,
or other purposes.
2. Thermal System Insulation — material applied to pipes, fittings, boilers,
breeching, tanks, ducts, or other interior structural components to prevent heat
loss or gain, or water condensation, or for other purposes.
3. Miscellaneous Materials — interior building material on structural components,
structural members or fixtures, such as floor and ceiling tiles, and does not include
surfacing material or thermal system insulation.
Homogenous Material Friability
Each homogenous material was given one of the three following friability categories
defined by the EPA and CDPHE:
1. Friable Material — materials that can be crumbled or reduced to powder by hand
pressure.
2. Category I Non -friable Material — materials that cannot be crumbled or
reduced to powder by hand pressure including resilient floor coverings, gaskets,
packing materials and asphalt impregnated roofing materials.
3. Category II Non -friable Materials — all other materials that cannot be
crumbled or reduced to powder by hand pressure that do not include category I
non -friable materials.
Homogenous Material Condition
Each homogenous material was given one of three condition categories based on visual
observation defined by the EPA and CDPHE:
1. Good Condition — No visible signs of damage were observed during the
inspection.
2. Damaged Condition — Visible signs of damage less than ten percent spread over
the entire material or twenty five percent localized.
3. Significantly Damaged Condition — Severe damage greater than ten percent
spread over the entire material or twenty five percent localized.
4.2 Sampling and Laboratory Analysis
Sample Collection
Bulk samples of each suspect homogenous material were collected randomly throughout
the homogenous material area within the scope of work. Bulk samples were sampled all
of the way through the material so that all associated layers within each homogenous
material are represented. Bulk samples were placed in closeable sample bags and then
labeled with a permanent marker with distinct sample identifiers (e.g., CDW1-1, FTC2-1,
MISC2-3, etc.) for transport to the laboratory. Sample locations and photographs of the
homogenous materials were also collected at this time during the inspection. Sample
quantities of each homogenous material were collected based on material type and
quantity detailed in the following table as required by regulation:
Homogenous Material
Minimum Number of
Quantity
Type
Samples
0 to <1,000 SF
3
Surfacing material
1,000 to 5,000 SF
5
>5,000 SF
7
Each Material
3
Thermal System Insulation
Patch < 6 LF, SF
1
Miscellaneous Material
Each Material
1
Laboratory Sample Analysis
Bulk samples were submitted to the laboratory along with a completed chain of custody
form to the above listed NVLAP accredited laboratory for analysis by polarized light
microscopy (PLM) techniques per EPA methodology (EPA -600/M4-82-020, Dec. 1982).
Microscopic visual estimation was used in obtaining the percentage of asbestos within
each layer of the bulk samples.
Asbestos Containing Building Materials
EPA and CDPHE both define an asbestos containing building material (ACBM) as a
material which has an asbestos content of greater than one percent. In the event that a
friable material is estimated to contain "trace" or between zero -to -one percent, that
material must undergo a point -count analysis by the laboratory to confirm that the
material is trace asbestos -containing. Further, if a point count analysis is performed on a
bulk sample, the point count result takes precedence over the visual estimation result.
See appendix A for laboratory report and chain of custody documents.
Section 5
Conclusion
BuildSafe has performed a limited repair/renovation specific asbestos inspection of the
home/facility located at the Site Address. Through visual inspection and laboratory
analysis of bulk samples collected at the Site Address, BuildSafe recommends hiring a
certified general asbestos abatement contractor to remove any ACBMs that may have
been identified within the scope of work. All inspection activities were conducted at the
direction of the client and only include those materials, quantities and locations detailed
in sections 1 and 2 of this report. See sections 1 and 2 of this report for information
regarding inspection scope of work, suspect ACBMs, confirmed ACBMs, sample
information and laboratory analysis results.
5.1 Limitations
General Comments and Limitations
Reasonable effort was made by BuildSafe to locate and sample accessible suspect ACBMs
within the scope of work. However, for any structure, the existence of unique or
concealed suspect ACBMs is a strong possibility. BuildSafe only inspected and collected
suspect ACBM bulk samples in the repair/renovation areas at the direction of the client.
This limited repair/renovation asbestos inspection report is not considered a
comprehensive asbestos inspection report and is only valid for the materials and locations
detailed in sections 1 and 2 of this report.
Should further repair/renovation work expand outside of materials and locations listed in
sections 1 and 2 of this report, those locations must be properly inspected and sampled
by qualified personnel prior to disturbance of suspect ACBMs. Any subsequent abatement
of ACBMs must be performed in accordance with all federal, state and local regulations
pertaining to abatement, transport, and disposal of ACBMs.
The asbestos inspection was conducted in a manner consistent with the level of care and
skill exercised by professionals of the asbestos inspection profession. The results,
findings, conclusions and recommendations expressed in this report are based on
conditions observed during our limited inspection of the repair/renovation areas. The
information contained in this report is relevant to the date on which this survey was
performed, and should not be relied upon to represent conditions at a later date. This
report has been prepared on behalf of and exclusively for use by the client for specific
application to the project as discussed. Contractors or consultants reviewing this report
must draw their own conclusions regarding further investigation or remediation deemed
necessary. BuildSafe does not warrant the work of regulatory agencies, laboratories or
other third -parties supplying information which may have been used in the preparation
of this report. No warranty, express or implied is made.
Sincerely,
Brian Cook
BuildSafe Environmental, LTD
303 S Broadway, Unit 200-239
Denver, CO 80209
970 531 3115
Brian@BuildSafeEnviro.com
Appendix A
Laboratory Report and Chain Of Custody Form
Reservoirs Environmental, Inc. Effective January 1, 2015
Reservoirs Environmental QA Manual T:\QAQC\Lab\Reservoirs Environmental QA Manual.doc
RE-� Reservoir "
T_ s Env�ronmenta/, Inc.
August 22, 2017
Build Safe Environmental
303 S. Broadway #200-239
Denver CO 80209
Dear Customer,
Subcontract Number
Laboratory Report:
Project # / P.O. #
Project Description:
NA
RES 387697-1
170818-5
6390 W 44th Ave Wheat Ridge CO
Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and
Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code 101896-0
for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the American
Industrial Hygiene Association (AIHA), Lab ID 101533 - Accreditation Certificate #480 for Phase Contrast
Microscopy (PCM) analysis. This laboratory is currently proficient in both Proficiency Testing and PAT programs
respectively.
Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request. The
analysis has been completed in general accordance with the appropriate methodology as stated in the attached
analysis table. The results have been submitted to your office.
RES 387697-1 is the job number assigned to this study. This report is considered highly confidential
and the sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with
personnel other than those of the client. The results described in this report only apply to the samples analyzed.
This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the
U.S. Government. This report shall not be reproduced except in full, without written approval from Reservoirs
Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested. If you have any
questions about this report, please feel free to call 303-964-1986.
Sincerely,
Jeanne Spencer
President
P: 303-964-1986
F:303-477-4275
5801 Logan Street, Suite 100 Denver, CO 80216
Page 1 of 1
1-866-RESI-ENV
www.reitab.com
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City of Wheat Ridge
Residential Roofing PERMIT - 201701330
PERMIT NO: 201701330 ISSUED: 06/01/2017
JOB ADDRESS: 6390 W 44th AVE EXPIRES: 06/01/2018
JOB DESCRIPTION: Reroof; modified tib and GAF timberline; 29 squares
*** CONTACTS ***
OWNER (303)431-0765 Harriets Treadle Arts Inc
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 1 / Commr Vacant BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 19,500.00
FEES
Total Valuation 0.00
Use Tax 409.50
Permit Fee 362.80
** TOTAL ** 772.30
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€ms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
1a� I A( City of Wheat Ridge
51
Residential Roofing PERMIT - 201701330
PERMIT NO: 201701330 ISSUED: 06/01/2017
JOB ADDRESS: 6390 W 44th AVE EXPIRES: 06/01/2018
JOB DESCRIPTION: Reroof; modified tib and GAF timberline; 29 squares
I by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am t11e legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
�& 'e— �,x -/-/
Signa e of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the pen -nit 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 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. e -
6. The issuancr ting of a perM f shal of be construed to be a permit for, or an approval of, any violation of any provision of any
.
applicable cor nce b of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of
mat le
cOMMUNiTy DEVELOPMENT
Building d Inspection Services Division
7500 W. 2e Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: r)ermits(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
®ane: �O/
Plan/Permit # a ONO
630
Plan Review Fee:
Building Permit Application
Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed,
Property Address: !0 3 '?O L.l �! y Ave -
Property Owner
4 ve.PropertyOwrner (please print): ly�,�, c71s reao%e,��& l'nc Phone: 303 -y3/ -07,6i -
Property owner Email: Y: y So @ NI A c , c o M
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Archltect/Engineer E-mail:
Phone:
Contractors City License; : 170 11/// Phone: 720 - 96S- 0126
Contractor E-mail Address: J%'c ,'C. : i�v<<w :
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL ❑ RESIDENTIAL
®eecriction of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
�NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING
] COMMERCIAL ADDITION RESIDENTIAL ROOFING
�RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
] COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
OTHER (Describe)
(For ALL projects, please provide a deWlIed 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.) // / / /
Re -goo o(ve iso Lta.'l /y%d•'1Q4r g. 7' on,,/ 6,4F
Z SQ o� /pa c,�5o ISD e'FSv7�c�A-1
Sq. Ft./LF ,?7 SQ Btu's
Amps
Gallons
Squares -Z 7 sa Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
5-00 00
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
FRINTNAME: �c�1te /CP.� SIGNATURE: � ��/ DATE: 7
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORM§
Fre Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ® Received ❑ Not Required
TYPE OF CONSTRUCTION:
SPRINKLEREM
OCCUPANT LOAD:
Building Division Valuation: $
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: (W r
Job Address: L 3 9 v w q i o L -e
Permit Number: ?c470 3 3 o
F,�V! r ( �q G c)
❑ No one available for inspection: Time ,Y/pm
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: 17 Inspector: !_( 2
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division
/ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: /RZ,- p /Zoo
Job Address: 6 3 ?0 Vl,, z1 yam_
Permit Number: O 130
No one available for inspection: Time AM/PM
Re -Inspection required: Yes ' No
When corrections have been made, call for re -ins ctio : at 303-234-5933
Date: Inspector:
DO NOT REMOVE IS NOTICE
7500 WEST 29th AVENUE
237-6944 EXT. 255 P.O. BOX 638
THIS PERMIT VALIO ONIY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
JOB ADDRESS 6390 West 44th Ave ,
CONTRACTOR Young Electric Sign Co
ADDRESS 3660 E 40th Ave
C1TY Denver ZIp CODE 80205
PHONE -i 9-37 .h LICENSE NO. 1,9691
[LLANEOUS PERMIT
OwNER Harriets Tr adle rt
ADDRESS 6390 W 44ht Ave
PHONE ZIP CODE80033
CONTRACT PRICE S 4e000.00
1. TYPE Ground0 Woll❑ Proieetinp❑ O1Mr SaD
2. MATERIAI ~l ETA L " a^t'~ Total Sauere Fed_
$IGN$ 3. ILLUMINATION Yng NoU Typs'~/Z- Ebet. lrmlt No
4. SET BACK FROM PROPERTY LINE N_ 5_ E_ W_ Zons A,pprov ,2a
1. TYPE SolidU Mors TMn 80%
FENCES 2' MATERIAL
3. SET BACK FROM PROPERTY LINE N_ ;
I I.
OTHER Z
Leu Thon 80% Opon
Hdpht
W Zone_ Apprwed,Zone ImDeata :1 ❑ DiaapOroved ,
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GNIhG DISTANCES FROM PROPERTY UNES.
(SETBACKS OR PROJECTpNS INCUUDEA). .
F" ~
3
-5 . SPECIFY NORTH
N
FRONT PROPERTY LINE
]~4 f"L,. GU.
STREET NAME n
.
SHOW OISTANGES FROM THE MAIN BUILDING TQAWOINING FIOUSES, STREETS, AND PROPERTY LINES; ON IRREGUTAR tATS, SHOM' LEAST
DISTANCE TO PROPERTY LINES, NOT MA%IMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BV TNE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 60 DAYS FROM Q4TE OF ISSUANCE IF WORK IS NOT STARTED WITHW THAT TIME
ELECTRICAL PERMIT
PLUMBING PERMIT
MECHANICAL PERMIT
STATE IICENSE N0.
STATE LICENSE N0.
ALUMINUdNAREUNDER51YE8ILlEGAL
FLOOR BSM IST 2ND 3RD 4TH
N0. FLELCkGSOns dIR'opda ElxSda
WATER CLASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE AMP5
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATION SYSTEM
POWER SU8-CIRCUITS
WA7ER HEATER
Retri sront Grou
UTILITY (RANGE, DISPOSER, ETC.)
AUTO.WASHER
PouiMt Chor s
FI%TURES
DISH WASHER
AUTOMATIC SPRINNLER SYSTEM
WIRING MOTORS 9 CONTROLS
FLDOR DRAIN
ELEVATOR
SIGNS
URINAI
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OlD WORK
OTHER
MOTORS OVER 1 HP
TOTAL FIXTURES
1 hereby oeknowledqe ihot this opplico-
tion u emreef and undsrsfand that I
eonnot start this projecf until this oppii-
oation it aDOroveA. I shall eomply with
ibe lows ofi the State o1 Colorodo and to
ths Zoninp Rsqulations ond Buildinq
Code o} tha Cify of WAeai Ridpe. Any
violation of fhe obovs terme will couee
immadiate ro~yo\ cationof this permil.
DEPARTMENT OF COMMUNITY OEVELOPMENT
BUILDING INSPECTION DIVISION
CITY OF WHEAT RIDGE, COLO.
PERMIT FEE
usE Tax a 3 a sS
TOTAL FEE $
CHIEF BUILDING INSPECTOR,City of Wheat Ridqe
Date Issued
PERMIT N0. 11924k13275
OT VALID UNLESS RECEIPTED
EM
CAL1237-8944 EXT.255
24 HOURS IN ADVANCE
FORINSPECTIONS
e}Iie~H BYnalun
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i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: s
Job Address:
Permit Number:,
❑ No one available for inspection: Time M/PM
Re -Inspection required: Yes d
When corrections have been made, schedule for re -inspection online at:
httpAwww. ci. w°hheeatridge. co. usfnspe
Date Z- - 4 -�pectora
I
DO NOTRE; V 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: Ti
Re -Inspection required: Yes/ No
,11
When corrections have been made,
http✓/www.ci. wheatridge.co. uslinspi
M
online at: