HomeMy WebLinkAbout7010 W. 44th Avenue1-!t T1.j - N X, V --'\ C� V %, I - - r . - . I t ,
41 CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office & (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: vt- y-', " , v, (I r- k I
Job Address: —1 0 1 U w `-(`-i 0"
Permit Number: � 0 V-1 Q3 0 '-) '3-(
lk-
4.
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I.J No one available for inspection: Time I AM/PM
Re -Inspection required:/`Yes) No
When corrections have been made, call for re -inspection at 303-234-5933
&-e" - � L. - \6�
t) Inspector:
DO NOT REMOVE THIS NOTICE
NV
r
01"
I.J No one available for inspection: Time I AM/PM
Re -Inspection required:/`Yes) No
When corrections have been made, call for re -inspection at 303-234-5933
&-e" - � L. - \6�
t) 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
r,
Inspection Type:
Job Address: —1 0 k C) w .''a Ji
Permit Number:
No one available for inspection: Time % '' ` AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date: �'- ` Inspector:
DO NOT REMOVE THIS NOTICE
144 1 ( )
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: C (,.�_j X, V ¢ -)V
Job Address: �' U L� �.; `�`-� L� r_, v
Permit Number:
S i s V - f1 a'�. • •-
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0 1
❑ No one available for inspection: Time AM/PM
Re -Inspection required:/Yes VVg-
k
When corrections have been made, call for re -inspection at 303-234-5933
Date: Ll - 11. 1 Cl Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Homeowner Interior Remodel PERMIT - 201900534
PERMIT NO: 201900534 ISSUED: 04/03/2019
JOB ADDRESS: 7010 W 44th Ave EXPIRES: 04/02/2020
JOB DESCRIPTION: Homeowner interior remodel adding one bedroom and 2 bathrooms, new plumbing
in kitchen and bathrooms. 200 AMP change, 50 gallon gas water heater with
80 BTU' s.
1000 square feet
*** CONTACTS ***
OWNER (303)856-8916 CORDOVA FLORENCIO
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
Total Valuation
Plan Review Fee
Use Tax
Permit Fee
** TOTAL **
*** COMMENTS ***
ESTIMATED PROJECT VALUATION
FEES
0.00
406.93
848.57
626.05
1,881.55
40,408.00
*** CONDITIONS ***
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. If professionals are hired, those contractors are licensed with the
City of Wheat Ridge and are listed on the permit. Consultations and inspections will only
be performed with the homeowner of record present.
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
City of Wheat Ridge
Homeowner Interior Remodel PERMIT - 201900534
PERMIT NO: 201900534 ISSUED: 04/03/2019
JOB ADDRESS: 7010 W 44th Ave EXPIRES: 04/02/2020
JOB DESCRIPTION: Homeowner interior remodel adding one bedroom and 2 bathrooms, new plumbing
in kitchen and bathrooms. 200 AMP change, 50 gallon gas water heater with
80 BTU&439;s.
1000 square feet
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 an am authorized to obtain thispermit and perform the work described and approved in conjunction with
this it. I further attest that I am Bally authorized to include all entities named within this document as parties to the work to be
perforwned and that all or 't, be p dorm is disclosed in this document and/or its' accompanying approved plans and specifications.
-- r
Signature of O .f ER or , TRA TOR (Circle one) Date
1. This pe�iwas issued ed on thepnformation provided in the permit application and accompanying plans and specifications and is
subject to the compliance wit hos documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days er the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of amanner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit ho
lnyder 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 ' nce or granti of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
app c e c e or an dinance or regulation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
F r
City of
dg�
COMMWheatUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 2911 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(cDci.wheatridge.co.us
a
I FOR OFFICE USE ONLY I
Date:3/__�
I
/ 1
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:
) Q L� LA *+'- "'� �'M�
Property Owner (please prino: i- A p C , f -4o ),a Phone -17 , 2� ';Ct/ (d
Property Owner Email;
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail:
Contractor Name:
Phone:
City of Wheat Ridge License #: Phone:
Contractor E-mail Address:
For Plan Review Questions & Comments (please print):
CONTACT NAME lease print): F1C1-=e&_&4 @ (Ing
CONTACT EMAIL(p/ease print): �- k 1-(m (' O�-
Sub Contractors (Must provide Wheat Ridge License
Electrical: Plumbing:
W.R. City License # W.R. City License #
Other City Licensed Sub:
City License #
Subcontractor Authorization form):
Mechanical:
W.R. City License #
Other City Licensed Sub:
City License #
Complete all highlighted fields, if applicable.
❑COMMERCIAL f6RESIDENTIAL
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.
c3 uQ /1-o�►-�t 34'b,v� �►`� v a �� �-- . l 8 C7 S�i1�r� �-
ra � z
Sq. FULF BTUs Gallons �0 140 -� �/Vl.. r 1- -�'-
Amps Squares For Solar: ./ Kw # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ -4, -
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 a lication. I, the applicant for this building permit application, warrant the
truthfulness of the infonnaiipn provided on the application.?
CIRCLE OA'E: (OWNER) ( ONTRACTOR) br (A TH RIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last _oame):~� DATE: p�
Printed Name:
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: W ` 3
CONSTRUCTION TYPE: S F
Reviewer:
BUILDING DEPARTMENT COMMENTS: %( J E x _ '-/ ! /Yl CL i, ("� / y 0
Reviewer: ! Ya Li ' � - i �J
PUBLIC WORKS COMMENTS:
Reviewer:
Building Division Valuation: iC" e,
ENVIRONMENTAL CONSULTING
VP,
LIMITED ASBESTOS INSPECTION REPORT
7010 W 44th Ave
Wheat Ridge, CO 80033
3/26/2019
Prepared for:
New Customer
Florencio Cordova
7010 W 44th Ave
Wheat Ridge, CO
303-856-8916
Intcordova@gmaii.com
-n- IVSD
f111, R;'
P 4L
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 iA.
O 1 t)5 3L/
303 S BROADWAY, 200-239, DENVER 00 B0209 www. BUILD SAFEENVIRO.COM
Table of Contents
Section i Inspection Project Summary
1.1 Homogenous Areas in Work Scope - Table
1.2 Summary of Asbestos Samples
1.3 Sample Locations (optional)
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
SD
Significantly Damaged
Miscellaneous
BBA
Baseboard Adhesive
F
Friable
CA
Carpet Adhesive
NFI
Non -Friable Category I
CDW
Composite Drywall
NFII
Non -Friable Category II
CT
Ceiling Tile
DW
Drywall
NA
Not Analyzed
FTM
Floor Tile Mastic
ND
None Detected
MA
Miscellaneous Adhesive
MS
Miscellaneous Sealant
EA
Each
OT
Other Material
LF
Linear Feet
RSG
Roof Shingle
SF
Square Feet
RSH
Roof Sheeting
RSL`%
'Raofing Sealant
Trace
:51% by (Point Gount/Composite�
IVF
,Sheet Vinyl Flooring
ACM
ACM (>1%o asbestos) ,,
{ WG
Wftow Glazing
Section 1 Inspection Project Summary
Sob ID: 190320-5 Inspector: Kevin Lovato
Date: 03/20/19 State Cert #: 24949
Client: New Customer
Customer: Florencio Cordova
Property Details:
Site Address: 7010 W 44th Ave
Wheat Ridge, CO 80033
Property Type: SFRD
Age of Construction: 1950 Renovation: N/A
Inspection Details:
Type of Inspection: Limited/Renovation ACM AHERA/Reg 8
Reason of Inspection: Remodel
Affected Area(s): Throughout
Scope of Inspection: Partial Renovation
Potential Spill Identification?: Yes Damaged Suspect ACMs Quantity: 1000 SF
Work Scope Notes: Remodeling home
Sample Notes:
Laboratory: Reservoirs
NVLAP #: 101-896-0
Results Time: Next Day
# of Samples: 5
1.1 Homogenous Areas in Work Scope - Table
Material # of
ID* Type** Samples Material Description Functional Space
Quantity
in Scope
1 PL 5 Slap brush plaster Throughout whole home
2322 SF
2
3
4
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 & Locations Table
Sample Location ID*
Material
Condition
Friability
Category
Analytical
Results
PL 1-1
1
North wall, T from W, 3' up
SD
F
ND
PL 1-2
1
North wall, 5' from E, 5' up
SD
F
ND
PL 1-3
1
East wall, 9' from S, 4' up
SD
F
ND
PL 1-4
1
South wall, 6' from W, 5' up
SD
F
ND
PL 1-5
1
West wall, T from N, 2' up
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 inspection 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
2
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,
; 11010'
Kevin Lovato
BuildSafe Environmental, LTD
303 S Broadway, Suite 200-239
Denver, CO 80209
720.519.7283
Kevin@buildsafeenviro.com
Appendix A
Laboratory Report and Chain Of Custody Form
Reservoirs Environmental, Inc. Effective April 2, 2018
Reservoirs Environmental QA Manual Q:\QAQC\Lab\Reservoirs Environmental QA Manual.doc
RET Reservoirs Environmental, Inc.
March 21, 2019
Kevin Lovato
Build Safe Environmental
303 S. Broadway #200-239
Denver CO 80209
Dear Customer,
Subcontract Number:
Laboratory Report:
Project # / P.O. #
Project Description:
NA
RES 430865-1
190320-5
7010 W 44th Ave Wheat Ridge,
CO 80033
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 430865-1 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.reilab.com
Re"rvdrs Environmental, Inc.
Reservoirs Environmental QA Manual
RESERVOIRS ENVIRONMENTAL INC.
NVLAP Lab Code 101896-0
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
RES Job Number: RES 430865-1
Client: Build Safe Environmental
Client Project Number / P.O.: 190320-5
Client Project Description: 7010 W 44th Ave Wheat Ridge, CO 80033
Effective April 2, 2018
O.\QAQC\LAB\Reservoirs Environmental OA Manual.doc
Method: EPA 600/R-93/116 - Short Report, Bulk
ND=None Detected
Turnaround: Rush
TR=Trace, <1% Visual Estimate
Trem/Act=Tremolite/Actinolite
Date Samples Analyzed: March 21, 2019
Client
Lab
L
Asbestos Content
Non
Non -
Sample
ID Number
A Sub
Asbestos
Fibrous
Number
Y Physical Part
Mineral Visual
Fibrous
Components
E Description
Estimate
Components
R (%)
(%)
PL 1-1
EM 2274310
A Off white paint w/ tan granular material 10
ND
0
100
B Off white granular plaster 15
ND
TR
100
C White compound w/ white paint 25
ND
0
100
D White plaster w/ off white/multi-colored paint 50
ND
0
100
PL 1-2
EM 2274311
A Tan granular plaster 35
ND
TR
100
B White plaster w/ greenish-gray/off white paint 65
ND
0
100
PL 1-3
EM 2274312
A Off white granular plaster 45
ND
TR
100
B White plaster w/ off white/multi-colored paint 55
ND
0
100
PL 1-4
EM 2274313
A White plaster w/ gray/multi-colored paint 50
ND
0
100
B Tan granular plaster 50
ND
TR
100
PL 1-5
EM 2274314
A White plaster 25
ND
0
100
B Tan granular plaster 75
ND
TR
100
TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%.
P'. 303-964-1986
F: 303A774275
5801 Logan Street, Suite 100, Denver, CO 80216
Page 1 of 1
"moi%/�
John C Mdnryre
Analyst / Data QA
1-866-RESI-ENV
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03/26/2019 14:45 (FAX) P. 001/001
ACORO® CERTIFICATE OF LIABILITY INSURANCE
��
FDATE(MMIDONYYY(
3/13/2016.
.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: IF the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
Stolts Insurance Agency
7707 Ralston Rd
P 0 BOX 664
1Lt:vada Co 130001
NAME, Pat Martine
PHONE (303) 420-47661091; 1110, EXtI' I NC Net 1707117 i-ai11
ADORES, pLt@stolteins.com
INSURERS AFFORDING COVERAGE NAIC S
INSURGRA:AUt;0-Own0rS Insurallce lases
INSURED
Will Raven Inc
2790 w 105th Dr
Westminster CO 80234
INSURERB:Owners InBIarance ConpREX 32700
INSURER c: Rinnacol Assuianc0
INsUAERD:
INSURER E:
INSURERF:
COVERAGES CERTIFICATE NUMBER:11/17-18 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOPMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCEAFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTR
TYPE OF INSURANCE
IMSD ADOL
WVQ BURR
POLICY NUMBER
MMM0"NYYY POLICY EPP
POLICY EXP
LIMITS
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE Q OCCUR
74804646
11/20/2017
11/20/2018
EACH OCCURRENCE 5 11000,000
UNIEU
PREMISES (a caunenee S 300,000
MED CXp (Any one poraon) S 10,000
PERSONAL &ADV INJURY S 1,000,000
GGN'LAGGREGATE LIMITAPI'LIES PER:
JRO- ❑ LOC
X POLICY F P ECY
OTHER:
GENCRALAGGREGATE B 2,000,000
PRODUCTS - COMP/OPAGG S 2,000,000
Premisesfoperallo�o S
E
AUTOMOBILE LIABILITYNED
ANYAVTO
ALL AVT06 ED X AUTOSSCHEDULED
X HIREOAUT08 R AUTOS NON-OWNEO
4480464600
11/20/2017
11/20/2018
SINGLE LIMIT to aceldelnii 5 1,000,000
BODILY INJURY (Per perwj S
BODILY INJURY (ParnccldenQ S
per Bede DAMAGE S
UI%;muredmotadstBlsplllllmll E 1,000,000
UMBRELLALIAS
EkcESS LIAR
HOLAIMS-MAOr
OCCUR
EACH OCCURRENCE S
AGGREGATE 5
DED RETENTION S
S
C
WORKERS COMPENSATIONFLK
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETORIPARTNEIVEXECUTIVE ❑NIA
ManeoMEnNHREXCLUDED7
( tory )
If you dasG(ba under
DESGIRIPTION OF OPERATIONS below
4015467
12/1/2017
12/1/2018
OTH-
ii TAT TE
E1. EACH ACCIDENT S 100,000
F.L. DISEASE • EA EMPLOYEE 6 100,000
E.L, DISEASE- POLICY LIMIT IS 500,000
DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101.AadIdonal Remarks Sehedulo, m1ky be atueh4d Ir more spado Is roqulred)
vr.mi1rI6A1C nwLLJrm %'A[NUCLL^I IVIS
(303)237-8929
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Wheat Ridge THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
7500 W. 29th Ave. ACCORDANCE WITH THE POLICY PROVISIONS.
Wheat Ridge, CO 80033-8001
AUTHORIZED REPRESENTATIVE
Pat Martine/PAT
O 1988-2014 ACORD CORPORATION. All rights reserved,
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
INS025 (261401)
Randy Slusser
From: L T Cordova <lntcordova@gmail.com>
Sent: Wednesday, March 27, 2019 4:55 PM
To: Randy Slusser
Subject: Follow up for paperwork
Hi Randy,
I wanted to follow up with you, regarding paperwork that I dropped off this
afternoon. I'm concerned (to say the least...) that my numbers will be rejected;
because they are low. I am writing to provide an explanation.
I based the dollar estimate on materials I have purchased at a discount and have
yet/need to purchase. My "day job" has put me in a unique position garner free material
or trade my own labor for free material, on a regular basis (with multiple trades).
I have worked both residential and commercial projects as an electrician (approx
2001). Since becoming a homeowner, I have been collecting material for this remodel.
For example, materials given to me include:
Cabinets, Countertops, Sheetrock, Plumbing Fixtures, Some wood (fence posts), tile
(various slate and ceramic and decorative), sink/vanity. My two brothers are also
electricians (one with his own business), and they have contributed to providing me with
wire/supplies for free.
Another main example is from a large residential job I led at Belleview and I25 (The Mile
House and The Den, approx 470 and 427 units each) Upon completion (2016 and
2017), the General Contractor demolished all of the mock-up units; I was able to take
any material I wanted (with permission). This included cabinets, quartz countertops
(kitchen and bathroom), extra sheetrock, fixtures (electrical and plumbing), some wire,
wood, posts and extra flooring, screws, nails and paint (tons of paint!)
I hold everything in storage at I70 and Harlan.
Also, for this remodel, I am reusing all existing appliances; they are mostly newer,
within the last 7 years (refrigerator, stove, dishwasher, water heater, washer/dryer,
microwave, vanities, toilet)and all in working/clean condition. I am also doing all of the
labor; carpentry, drywall/mud/paint, electrical, plumbing..etc., with occasional help from
my father and brothers; Over the last 15 years, I have helped them with their additions
and remodels too.
So far, my largest cost will be the wood and the nicer light fixtures and design add ons.
I hope it's worthy to provide an explanation; I'm sorry if this is lengthy note. I haven't
slept since this process has started; I'm learning about being my own general contractor
- and I don't know what is too much or too little information.
1
Regards,
Florencio
(303) 856-8916
City of
Wheat iIge
COMMUNITY DEVELOPMENT
Official Certification of Property Owner Permit
THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently
reside at the project property, or intend to reside at the property for a period of one year after
completion of the project, and am personally performing all work, without the assistance of
hired or professional workers, or, if hiring sub -contractors, list them on the permit.
Consultations and inspections will only be performed with the homeowner of record present at
the project property.
Property Owner(s): u
Project Property: u o
Project Type:
Notarized signatur of Applin
State of Colorado }
County of Je KSOI- } ss
4
a
The foregoing iMkte_1d_0vA_
rument was acknowledged by me thisday of � 20� by
j�(lupdc
( Idt,
Notary Publi�t
JO®I L BAROS
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 2014401®892
W COMMISSION EXPIRES MAY OII, 2022
My Commission Expires 4L7—pJ20_2,�
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41 CITY OF WHEAT RIDGE
Building Inspection Division
►/ (303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:-L)V)
Job Address: f ` \ rJ `-i l -t 1 �' ! i �i
Permit Number:
❑ No one available for inspection: Time AM/PM
Re -Inspection required:' Yes" No
*When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 12356
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 6/20/2001
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 7010 W 44TH AVE
Contractor License No. : 17174
Company : Bell Plumbing & Heating
Phone : 421-0500
Phone : 757-5661
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiTy that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
. (OW NER)(CONTRACTOR)
TE
Construction Value :
$466.00
Permit Fee :
$23.50
Plan Review Fee :
$0.00
Use Tax :
$6.99
Total:
$30.49
Use:
Description : WATER HEATER REPLACEMENT 40 GALLON 40,000 BTU NM
Electrical License No : Plumbing License No :17174 Mechanical License No :
Company : Company : Bell Plumbing & Heating Company :
Expiration Date : 9113/2001
Expiration Date : Approval : pKIKS Expiration Date :
Approval: Approval:
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Coioredo antl to ihe Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other appiica6le ordinances of theCity.
(2) This permit shall ezpire if (A) the worK authorized is no[ commenced within siMy (60) tlays from issue date or (B) the building authorized is suspentled or
abandoned for a periotl of 720 days.
(3) If Ihis pertnit expires, a new permit may be acquired for a fee of one-half the amount normaily required, provided no changes have been or will be made in the
original plans and specifications antl any suspension or abantlonment has not exceeded one (7) year. If changes are made or if suspension or abandonment
exceeds one (1) year, Fuli fees shall 6e paid for a new pertnit.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem. -
(5) Contraclor shali notify the Building Inspedorhventy-four (24) hours in advance for all inspeclions and shall receive wririen approval on inspection card 6efore
proceediing with successive phases of the job.
(6) The is~ance of a pertnit or the approval of drewings and specifca[ions shall not be construed to be a permiifor, nor an approval of, any violation of the provisions
of tha6utidinq cod~i6r any other ordinance, law, rule or regulation.
DEPARTMENT OF PLANNING AND DEVELOPMENT
' BUILDING INSPECTION DNISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Application Number :
Date :
Property Owner :
Property Address:
SHARON GERARD PROPERTIES
7010 W: 44th AVENUE
Contractor ucense No. : 177 74
Phone:303/421-0500
Company: BELL PLUMBING & HEATING Phone: 3ni/757-,S66i
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permrt application are acwrate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
coverlants, 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 responsibiliry for compliance wrth the Wheat Ridge Building
Code (U.B.C.) and all otttet applicable Wheat Ridnge ordi"nances. for work under this permit.
(OWNER)(CONTRACTOR) SIGNED V• q DATE
Description : WATER HEATER REPLACEMENT 40 GALLON 40,
Construction Value :
466.00
ol1 Permit Fee :
Z°i. 94
Use Tax :
L. a 9
oF
Total :
30 .qj
000 BTU W.0
BUILDING DEPARTMENT USE ONLY
Approval
:
Zoning :
~-r!!rtimenft~
Approval :
~~7iltc~slMd[ks;Goinrtie~ts:
: v
Approval
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company :
Plumbing License No : 1 717Q-
Company :
Mechanical License No :
Company :
Expiration Date : Expiration Date : Expiration Date :
Aoproval: Aporoval: Approval:
J JW-s_'~'F~u[rieii;;w~~ _ Plans Required j ~ -
(1) This permit was issued in accorEance wiN the provisions set foM in yopur application antl is su6lect to the laws of lhe State ot Coloratlo antl to the Zoning
Thisulalions antl Builtling Cotle of 4Vheat Ritlge, Coioratlo or any other applicabte ortlinances of the Ciry. (2) permit shall eapceif (A) the work authonzeU a not commenced withm sixty (60) days from issue dale or (B) Ufe builtling authonzetl is suspentled or
a6andoned for a permd of 120 days.
(3) If Nis permit expires, a new perinrt may De acquiretl for a fee of one-half ihe amount normally requireQ provided no changes have heen orwill he matle in the
onginal plans antl speufiw6ons antl any suspension or abanaonment has not exceetle0 one (7) year. If changes are made or if suspension or abandanment
exceeds one (1) year. fu0 fees shall he paitl (or a new pemit.
(4) No work ot any manner shall be tlone Nat will change tne naturai flow of water causing a drainage pmblem.
(5) Contractar shall no60y Me Builtling Inspector twenry-four (24) nours in aavance for all inspections and shall receive written approval on inspection card before
pfoceediing with s~e~sive pha5es of the job.
(8) The issuance of a perenR orMe approval of drawinos and speciFCations shall not 6e construed to be a permil for, nor an appmval of, any violaEon of Ne provisions
of the building coees or any other ortlmance. law, rwe or reguiatan. .
Chief Building iraspector For Mayor
THIS PERNIIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL 234-5933 24 HOURS PRIOR TO INSPECTION