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HomeMy WebLinkAbout10665 W 26th AvenueA i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number:��';v i ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http://www.ci.wheatridge.co. uslnspection Date: Inspector:`. ,. DO NOT REMOVE THIS NOTICE City of Wheat Ridge E -Res. Furnace Replacement PERMIT - 202002496 PERMIT NO: 202002496 ISSUED: 12/02/2020 JOB ADDRESS: 10665 W 26th Ave EXPIRES: 12/02/2021 JOB DESCRIPTION: Installing 40k, 77.29% efficiency gas furnace in family room, *** CONTACTS *** OWNER (303)548-8214 THOMAS GREGORY B SUB (303)668-4219 CHRIS GOODRICH 120265 GOODRICH CHIMNEY SERVICES *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 81252.47 FEES Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 173.30 ** TOTAL ** 213.30 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section 134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of which require a building permit, occurs or where one or more rooms lawfully used for sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. 1* � � i City of Wheat Ridge E -Res. Furnace Replacement PERMIT - 202002496 PERMIT NO: 202002496 ISSUED: 12/02/2020 JOB ADDRESS: 10665 W 26th Ave EXPIRES: 12/02/2021 JOB DESCRIPTION: Installing 40k, 77.29% efficiency gas furnace in family room, 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 Pets Subject: Online Form Submittal: Furnace/Boiler Replacement Permit Application Date: Tuesday, December 1, 2020 3:40:20 PM Furnace/Boiler Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes replacement residential furnace or boiler like for like? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 10665 W 26th Ave, Wheatridge , CO Property Owner Name Greg Thomas Property Owner Phone 303-548-8214 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email gtonskis@gmail.com Address Attach City of Wheat Electronic Payment Form - Revised 5-1-20 Ridge Electronic Fillable 202005011620013849 202006081141368198.Ddf Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Goodrich Chimney Services Name Contractor's License 120265 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-233-1307 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email gcsmainoffice@gmail.com Address Retype Contractor gcsmainoffice@gmail.com Email Address DESCRIPTION OF WORK What type of unit is Furnace being installed? Number of BTUs 40,000 What is the efficiency 77.29% (%) of the unit? Is the unit GAS or gas ELECTRIC? Where is the furnace or Family room (Mendota Gas Insert) boiler located (for example, basement, crawlspace, etc)? Project Value (contract $$,252.47 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit 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. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Chris Goodrich Permit Email not displaying correctly? View it in your browser. e CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office _1�9� INSPECTION NOTICE Inspection Type: ` Job Address: Permit Number: s ` `- f ❑ No one available for inspection: Time ! 1_ AM/PM Re -Inspection required: Yes 40 When corrections have been made, schedule for re -inspection online at: h ttp://www. ci. wheatridge. co. uslins pection Date: Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: - Job Address: ! t' D Permit Number: <r ; `� ` `` s ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge.co. uslinspection Date: " � � -1. Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: c) b V ❑ 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: 'oi DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: v Job Address: PermitNumber: ❑ No one available for inspection: Time fPM Re -Inspection required: Ye oaf When corrections have been made,edule for re -inspection online at: http://www.ci.wheatridge.co.uslin6ect n D s Irpe'Qr_ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICEv:�,r Inspection Type: Job Address: 1 U k -P Permit Number: ;3L U f'+ Cr-� ,rr Cr - i ❑ No one available for inspection: Time ' VCAM/PM Re -Inspection required: S), No When corrections have been made, call for re -inspection at 303-234-5933 Date: '; , '-t , - LO Inspector: DO NOT REMOVE THIS NOTICE M& N QLD d R /060 N. -2-CQ-t� AVS . alanns shall be rewired in ;eping room and outside each area per 2012 IRC, Section i1t �5L MFS T '\�j 0 ay -,-5 �Ao F FA M I L,� �oc V�& RECEIVE Pe estors are required Water hammer arr 2903.5 at quick -closing �a]ves R UOMf,!(j BuNA e6p!b;oayM to M!3 e, A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: n-, \C) `"-' Job Address: \L-�, Permit Number: '� c_! C) L °� ❑ No one available for inspection: Time -�J1 AM/PM Re -Inspection required: Yes ,No) When corrections have been made, schedule for re -inspection online at: http✓/www, ci. wheatridge, co. uslinspection Date: ) d- ) - I C( Inspector: DO NOT REMOVE THIS NOTICE 5366 Godding Hollow Pkwy EARTH ENERGY ENVIRONMENT (E3) Longmont, CO 80504 Local: 303.902-5851 Industrial Hygiene and Environmental Engineering _:�/ q6Z2W`� October 25, 2019 RECEIVED Mr. Case Hushen OCT 2 8 1019 All Phase Restoration 12362 Dumont Way Littleton, CO 80125 Subject: Clearance Report 10665 W 26" Ave Wheat Ridge, CO 80215 Dear Mr. Hushen: Following is the project completion report for the work area located at 10665 W 26`" Ave in Wheat Ridge, CO 80215. The purpose of this report is to document this remediation project was successfully completed, and indoor asbestos amplification was not occurring in the work area. An Industrial Hygienist for Earth Energy Environment (E3) performed the remediation project completion inspection and testing procedures. The remediation work area (Interior Area) was visually inspected in order to confirm the scope of work was properly followed and completed. The containments were also visually inspected to verify breaches and/or defects were not present. Phase Contrast Microscopy (PCM) samples were collected in accordance with the National Institute for Occupational Safety and Health (NIOSH) method 7400 using cassettes (standard 3 piece, 25 mm dia., 0.8 um MCE filter) purchased from Zefon International, Inc. Asbestos concentrations in the containment were calculated as airborne fibers per cubic centimeter of air (F/cc). Table 1 provides a summary of the sample numbers, sample volumes, and calculated concentrations. The National Emission Standards for Hazardous Air Pollutants (NESHAP) clearance standard is 0.01 F/cc. Visual inspection confirmed that no asbestos -containing debris was observed in the work areas. The PCM clearance air sample results were all below the NESHAP clearance standard of 0.01 F/cc. Based on the information presented above, E3 concludes the asbestos abatement in the work area has been successfully completed, and the work area may be reoccupied after build back. PCM Air Clearance Page 2 of 2 TABLE 1: PCM CLEARANCE AIR SAMPLING RESULTS Date Unit/ Area Sample # Sample Description Sample Volume *Fibers/cc Air Clearance at: CL -102519-1 860 0.001 10665 W 26"' CL -102519-2 Inside 845 0.002 Ave in Wheat CL -102519-3 Containment 835 0.001 October 25, Ridge, CO CL -102519-4 820 0.001 2019 80215 CL -102519-5 815 0.001 (Interior Area) BLK-1 Blanks - BRL BLK-2 - BRL *BRL denotes "Below Reporting Limits". The PCM Colorado Department of Public Health and Environment (CDPHE) clearance standard is 0.01 F/cc. The sampling results relied upon for this report do not include or apply to any other areas within the structure that were not sampled but may contain asbestos; including materials/areas that may be hidden or inaccessible. Furthermore, E3 is unable to speak on the condition of the personal items within the work area. Thank you for allowing E3 the opportunity to provide environmental services to you. If you have questions or require additional information, do not hesitate to contact me directly at (303) 902-5851. Sincerely, Eli Willden Certified Air Monitoring Specialist No. 20139 A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: , 0 t �-- Job Address: A u <- Permit Number: 2 ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes N,o ,f,, When corrections have been made, schedule for re -inspection online at: http://www, ci. wheatridge. co. uslinspection Date: .4 { 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: i ❑ No one available for inspection: Time l'` �i AM/PM Re -Inspection required: {Yes. No When corrections have been made, schedule for re -inspection online at: http✓/www. ci, wheatridge. co. uslinspection Date: i l� t Inspector: DO NOT REMOVE THIS NOTICE r i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: ` ' O l.r — Permit Number: ` ❑ No one available for inspection: Time Uf3M Re -Inspection required: Ye;8 No When corrections have been made, schedule for re -inspection online at: http✓/www.ci.wheatridge.co.usrnspect`� 14.1^ Date: In'spec r,_ _ DO NOT REfWOVE THIS NOTICE A s_ CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office r ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. uslinspection Date: -9-1 C, Inspector: DO NOT REMOVE THIS NOTICE INSPECTION NOTICE Inspection Type: Job Address: Permit Number:•)\rl',�.?"�a f'�' Y� �.t "r✓4 i.'� •— E'".i tJ '�i (`1l ` �`e` . ! (Y ti.� V j r ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. uslinspection Date: -9-1 C, Inspector: DO NOT REMOVE THIS NOTICE 6L4� Vr City of r 9Wh6atl�idge COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: J 0Lp(c,5 U\J (y}�' v Permit #: General Contractor: Electrical Sub -Contractor Company Name: State License #: Phone #: Master #: i,04 Ridge License #: (required field) Signature of Authorized Agent Plumbing Sub -Contractor Date Company Name: })WU, c ocl V f I E: Phone #:3c 5 N St - 5 -'r $S x IS -0 State License #: PC, CeeO v Z zi Master #:1h P, 0 1 _�� #: (required field) Signature of I thoAzed Agent Mechanical Contractor Company Name: Date Phone: WeatgeLceuse#: (required field) Signature of Authorized Agent Date i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: `� `�! L� e�� �A, vL Permit Number:1:° ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes "No s When corrections have been made, schedule for re -inspection online at: http://www.ci. wheatridge.co. uslinspection Date: ` Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Homeowner Interior Remodel PERMIT - 201902163 T PERMIT NO: 201902163 ISSUED: 10/31/2019 JOB ADDRESS: 10665 W 26th Ave EXPIRES: 10/30/2020 JOB DESCRIPTION: SWO - Interior remodel to include kitchen and bathroom - 700 sq ft total *** CONTACTS *** OWNER (303)548-8214 THOMAS GREGORY SUB (719)531-0000 Shaun Lackey SUB (303)232-6611 JOSH WARD 150212 Legacy Electric 018236 APPLEWOOD PLMB, HEAT, & ELEC. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 44,350.00 FEES Total Valuation 0.00 Plan Review Fee 436.83 Use Tax 931.35 Permit Fee 672.05 Investigative Fees 672.05 ** TOTAL ** 2,712.28 *** COMMENTS *** *** CONDITIONS *** All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. 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. NOTE: Consultations and inspections will only be performed with the homeowner of record present. City of Wheat Ridge Homeowner Interior Remodel PERMIT - 201902163 r PERMIT NO: 201902163 ISSUED: 10/31/2019 JOB ADDRESS: 10665 W 26th Ave EXPIRES: 10/30/2020 JOB DESCRIPTION: SWO - Interior remodel to include kitchen and bathroom - 700 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 ap licable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property d am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I,%ther st that I le ally authorized to include all entities named within this document as parties to the work to be performe .and at, k t ormed selesednin this document and/ its' acc panying approved plans and specifications. 71' / /_51 � Signature bf OWNER or TONTRACTOR (Circle one) Datil' l I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpenmt 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 pen -nit shall not be construed to be a permit for or an approval of, any violation of any provision of any applicable code or any or4inance 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. FOR OFFICE USE ONLY City of Date: Wheati!jge C,OMMUNI7Y DEVELOPMENT Y1 Jq011b3 Plan/Permit # aI 1 �/ Building &Inspection Services -0 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Plan Review Fee: Office: 303-235-2855 * Fax: 303-237-8929 o Inspection Line: 303-234-5933 Email: permits oki.wheatridpe.co.us Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Property Owner (please print):, 1-L LLC L' UZ J"� . / Z� i;7 c / t Phone: / 1 Property Owner Email: t"c��l ��iS <<' dl a I _611"I 1 �.1 Tenant Name (Commercial Projects Only) -- - - - Property Owner Mailing Address: (if different than property address) 1v /A_ Address: City, State, Zip: Arch itect/Enganeer: %1/ 1 /.A Architect/Engineer E-mail: Phone: Contractor Name: City of Wheat Ridge License M Contractor E-mail Address: For Plan Review Questions & Comments (please print): Phone: CONTACT NAME (please print): Phone: CONTACT EMAIL(p/ease print): Sub Contractors (Must provide Wheat Ridge License No 8 Signed Subcontractor Authorization form): Electrical: Plumbing: PLGa,A, echanical: W.R. City License # W.R. City License # MR. City License # Other City Licensed Sub: City License # Other City Licensed Sub: City License # Complete all highlighted fields, if applicable. ❑COMMERCIAL ESIDENTIAL 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. r \-' j-1 C 14 C -A) /� c iJ t✓ L — N�. t.J r iu T S ! G. D ✓.v ; —%Z�,D s /l� (� c� C' ✓ /4-�U �r C,�Ts � /Zt5T,�, 12 I=� ca2 T/L6:;-- /14 I+S � - r�- TI-{ !2 i✓�2zu L — j74 c f4 -e' I i = 7-y n/ /5 /514-z) /Z/ Lt6HT-s Sq. FULF ` �TUS Gallons Amps Squares For Solar: KW # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ Z5 ;WD 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 informer rovided on the application. /' CIRCLE ONE: (OWNE (CONTRACJOR or (AU7H ZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name):2Z:yaDATE: Printed Name: DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: axr 'r-u(.'e-\ V Lrh r, 1x ` /. CONSTRUCTION TYPE: v �' Reviewer: 0 W \ av rd fy GL' BUILDING DEPARTMENT COMMENTS: � 5 Reviewer: L�1 ISL_ PUBLIC WORKS COMMENTS: U� Reviewer: s Building Division Valuation: � ���Q • City of Wheat I i e 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): Project Property: Notarized signat a of Applicant State of Colorado } County ofss / D l +vim t ZE: . ­T-R7,M A'S lac- -_"o <�-t z -(s - The foregoing instrument was acknowledged by me this 1 day of a , 201_j by LYNN M MARTINEAU NOTARY PUBLIC - STATE OF COLORADO NOTARY ID 19994017772 MY COMMISSION EXPIRES JUN 23, 2023 n,' A I/1ln V, L 1.��.� My Commission Expires _L_JJ3 NotaiAt Public PCM Air Clearance Page 2 of 2 TABLE l: PCM CLEARANCE AIR SAMPLING RESULTS Date Unit/ Area Sample # Sample Description Sample Volume Fibers/cc Air Clearance at: CL -102519-1 860 0.001 10665 W 26th CL -102519-2 Inside 845 0.002 Ave in Wheat CL -102519-3 Containment 835 0.001 October 25, Ridge, CO CL -102519-4 820 0.001 2019 80215 CL -102519-5 815 0.001 (Interior Area) BLK-1 Blanks - BRL BLK-2 - BRL *BRL denotes "Below Reporting Limits". The PCM Colorado Department of Public Health and Environment (CDPHE) clearance standard is 0.01 F/cc. The sampling results relied upon for this report do not include or apply to any other areas within the structure that were not sampled but may contain asbestos; including materials/areas that may be hidden or inaccessible. Furthermore, E3 is unable to speak on the condition of the personal items within the work area. Thank you for allowing E3 the opportunity to provide environmental services to you. If you have questions or require additional information, do not hesitate to contact me directly at (303) 902-5851. Sincerely, Eli Willden Certified Air Monitoring Specialist No. 20139 5366 Godding Hollow Pkwy EARTH ENERGY ENVIRONMENT (E3) Longmont, CO 80504 Local: 303.902-5851 Industrial Hygiene and Environmental Engineering October 25, 2019 Mr. Case Hushen All Phase Restoration 12362 Dumont Way Littleton, CO 80125 Subject: Clearance Report 10665 W 261h Ave Wheat Ridge, CO 80215 Dear Mr. Hushen: Following is the project completion report for the work area located at 10665 W 26th Ave in Wheat Ridge, CO 80215. The purpose of this report is to document this remediation project was successfully completed, and indoor asbestos amplification was not occurring in the work area. An Industrial Hygienist for Earth Energy Environment (E3) performed the remediation project completion inspection and testing procedures. The remediation work area (Interior Area) was visually inspected in order to confirm the scope of work was properly followed and completed. The containments were also visually inspected to verify breaches and/or defects were not present. Phase Contrast Microscopy (PCM) samples were collected in accordance with the National Institute for Occupational Safety and Health (NIOSH) method 7400 using cassettes (standard 3 piece, 25 mm dia., 0.8 um MCE filter) purchased from Zefon International, Inc. Asbestos concentrations in the containment were calculated as airborne fibers per cubic centimeter of air (F/cc). Table 1 provides a summary of the sample numbers, sample volumes, and calculated concentrations. The National Emission Standards for Hazardous Air Pollutants (NESHAP) clearance standard is 0.01 F/cc. Visual inspection confirmed that no asbestos -containing debris was observed in the work areas. The PCM clearance air sample results were all below the NESHAP clearance standard of 0.01 F/cc. Based on the information presented above, E3 concludes the asbestos abatement in the work area has been successfully completed, and the work area may be reoccupied after build back. • Miscellaneous Materials: collect enough samples sufficient to determine the asbestos content with a minimum of two (2) samples of each 4.5 Materials Reporting "TRACE" Results Any sample reporting a "TRACE" amount of asbestos shall be considered to contain greater than 1% asbestos unless it is further analyzed utilizing the point -count method and verified to be less than or equal to 1% asbestos content, and therefore not an ACM. TRACE does not mean it contains less than or equal to 1%. 4.6 Materials Containing 1% Asbestos or Less Materials containing less than or equal to 1% asbestos are not regulated by the Colorado Department of Public Health and Environment (CDPHE) Regulation 8, Part B — Asbestos. However, all demolition/abatement activities should be performed following the applicable Occupational Safety and Health Administration (OSHA) regulations. This includes, but is not limited to, the appropriate asbestos training for the type of material being removed/disturbed as well as having a properly trained supervisor onsite, using wet removal methods, wearing adequate personal protective equipment (HEPA-filtered particulate respirators), medical surveillance of workers, personal -exposure air monitoring, area air monitoring in occupied buildings, etc. There may also be landfill disposal requirements for these materials, depending on the facility. DS recommends that all demolition/renovation projects involving the disturbance of any amount of asbestos be subjected to post - work visual inspections and a final clearance air testing by a CDPHE-certified Asbestos Air Monitoring Specialist (AMS) after the work has been completed, but before any containments are dismantled, the contractor demobilizes, and the area is reoccupied. 4.7 Overspray Any surfacing material indicated in this report also includes any associated overspray of that material, e.g., under carpet, above suspended ceilings, on studs and structural members, etc. 5.0 Inspector & Firm Certifications The inspection detailed within this report was conducted by Mr. Zack Westfall with DS. DS is a CDPHE certified Asbestos Consulting Firm, Registration No. 14912. Mr. Westfall is a CDPHE certified Building Inspector; having certification number 22529 (see Appendix A for certificates). 6.0 Inspection, Sampling & Analytical Procedures 6.1 Inspection Procedures The asbestos inspection detailed in this report was conducted by an Environmental Protection Agency (EPA) and CDPHE certified asbestos Building Inspector. The inspection procedures included identifying and sampling suspect ACM within the pre -defined areas that were within the scope of work, submitting samples to an accredited laboratory for analysis, classifying the materials and assessing their condition, and compiling a final report detailing the inspection and the analytical results of the bulk -samples. 6.2 Sampling Procedures Statistically random bulk -samples representative of the suspect ACM of each homogeneous area were collected according to the guidelines published in the Environmental Protection Agency's October 1985 publication, "Asbestos in Building: Simplified Sampling Scheme for Friable Surfacing Materials", commonly known as the "Pink Book." 7 4.0 Material Information A Homogeneous Area (HA) means an area of surfacing material, thermal system insulation material, or miscellaneous material that is uniform in color and texture. The asbestos content of the bulk -samples collected within a homogeneous area can be applied to the entire homogenous area, if they conform to the above characteristics and the regulated minimum sample quantities of each type of material have been collected and analyzed. An Asbestos Containing Material (ACM) is a material that contains more than 1% asbestos. Any material can be assumed to be an ACM, but not the contrary. 4.1 Material Friability A material can either be friable or non friable. A friable material is one that, when dry, can be pulverized, or reduced to powder by hand pressure, a non -friable material cannot. A non -friable material may become friable if its condition had deteriorated or has been impacted by forces that have rendered it friable. 4.2 Material Classifications Sampled materials are divided into one of the following three categories: • Surfacing Material: sprayed or troweled onto structural building members • Thermal System Insulation (TS1): any type of pipe, boiler, tank, or duct insulation • Miscellaneous Material: all other materials not classified in the above two categories 4.3 Material Conditions Sampled materials are placed into one of the following three categories of conditions: • Good: none to very little visible damage or deterioration • Damaged: the surface is crumbling, blistered, water -stained, gouged, marred or otherwise abraded over less than one-tenth of the surface if the damage is evenly distributed, or one-quarter if the damage is localized • Significantly Damaged: the surface is crumbling, blistered, water -stained, gouged, marred or otherwise abraded over greater than one-tenth of the surface if the damage is evenly distributed, or one-quarter if the damage is localized 4.4 Sample Quantities DS collected at least the minimum number of samples from each homogeneous area necessary to meet all regulatory requirements for the quantity of material to be disturbed in the scope of work as defined by the client. The quantities listed in this report are approximate and on-site verification of the exact quantity of each material is required for permitting, estimating and billing purposes. The following outlines the minimum sample quantities required per homogeneous area: • Surfacing Materials: up to 1,000 ft' of material requires a minimum of three (3) samples; between 1,000 ft2 and 5,000 ft' of material requires a minimum of five (5) samples; over 5,000 ft' of material requires a minimum of seven (7) samples; one (1) sample of each patch • Thermal System Insulation (TSI): each homogeneous area requires a minimum of three (3) samples; at least one (1) sample must be collected from each patch; and collect enough samples sufficient to adequately assess the material and determine the asbestos content for TSI fittings such as pipe elbows or T's, which a minimum of two (2) samples of each 9 mple ID: SM2-1 Description: Orange Peel Drywall Texture ,mple Location: Master Bathroom — Classification: Surfacing Material est Wall Condition: Significantly Damaged Quantity: —180 ft2 mPle ID: SM2-2 Friability: Friable mple Location: Master Bathroom — East Assessment Category: (3) 2% CHRY Wall Reason for Assessment: ample ID: SM2-3 Potential for Contact: High mple Location: Master Bathroom - Potential for Vibration: Low piling Potential for Air Erosion: Low Description: Joint Compound Associated w/ SM2 Classification: Miscellaneous Material Sample ID:1C2-1 Condition: Significantly Damaged Sample Location: Master Bathroom — Quantity: —180 ft' fling at East Wall Friability: Friable Assessment Category: (4) 2% CHRY mple ID: JC2-2 Reason for Assessment: mple Location: Master Bathroom — ,utheast Corner Potential for Contact: High Potential for Vibration: Low Potential for Air Erosion: Low 3.0 Conclusions & Summary of Findings Materials in RED are materials that contain greater than 1% asbestos or are assumed to contain >1% asbestos. Materials in GREEN contain 1% or less asbestos Materials in BLACK do not contain asbestos. Sample Information ACRONYMS ACM ASSESSMENT CATEGORIES 1— damaged/significantly damaged thermal system insulation ACM Description: Orange Peel Drywall Texture CHR- — Chrysotile 2 — damaged friable surfacing material ACM SUMMARY OF ACT—Actinolite 3 — significantly damaged friable surfacing material ACM FINDINGS TR —Trace; Asbestos 4 — damaged or significantly damaged friable miscellaneous material ACM et cted ND — None -detected 5 — ACM with the potential for damage Quantity: ^200 ft2 ACM —Asbestos Containing 6 — ACM with the potential for significant damage Sample ID: SMI -2 Material (>1% asbestos) 7 — any remaining friable ACM or friable suspected ACM Materials in RED are materials that contain greater than 1% asbestos or are assumed to contain >1% asbestos. Materials in GREEN contain 1% or less asbestos Materials in BLACK do not contain asbestos. Sample Information Material Information Asbestos Content Description: Orange Peel Drywall Texture Sample ID: SM1-1 Classification: Surfacing Material Sample Location: Kitchen — South Wall Condition: Significantly Damaged Q. Quantity: ^200 ft2 qA Sample ID: SMI -2 Friability: Friable W Sample Location: North Side of Dividing Assessment Category: (3) 2% CHRY W Wall Between Kitchen and Entryway 0 Reason for Assessment: O Sample ID: SMI -3 Potential for Contact: High Sample Location: Kitchen Ceiling Potential for Vibration: Low Potential for Air Erosion: Low Description: Joint Compound Associated w/ SMI Classification: Miscellaneous Material ;ample ID: JC1-1 Condition: Significantly Damaged Sample Location: Kitchen — Southwest Quantity: ^200 ft' Corner Friability: Friable 2%CHRY Sample ID: 1C1-2 Assessment Category: (4) ample Location: Ceiling at North Side of Reason for Assessment: j dividing Wall Between Kitchen and Potential for Contact: High Entryway Potential for Vibration: Low Potential for Air Erosion: Low 4 1.0 Introduction Mr. Zack Westfall with DS Environmental Consulting (DS) conducted an asbestos inspection and collected bulk - samples of suspect asbestos -containing building materials within the single-family residence detailed on the cover page of this report. The purpose of the inspection was to determine if any of the materials that were damaged by recent remodeling activities contain asbestos. 2.0 Limitations of Inspection This inspection was limited in its scope and only included specific areas and materials as defined by the client. The inspection did not constitute a full -building inspection and does not fulfill the asbestos inspection requirements for structures that are to be demolished. The table below, (Table 1.0), lists the suspect asbestos -containing materials included in the scope of the inspection. It identifies the specific areas that were included in the inspection as well descriptions of the suspect asbestos -containing materials in those areas that were sampled; or materials that were assumed to contain asbestos. The suspect asbestos -containing materials listed below may be found in other areas of the building that were outside of the scope of work for this inspection and sampling. Additionally, there may be other materials in other parts of the building that contain asbestos, which were not included in the scope of this inspection and sampling. Table 1.0 Scope of Work Suspect Asbestos -Containing Materials Sampled Material Locations Homogeneous Area 1 (SM1) Orange -Peel Drywall Texture Walls and Ceilings in Kitchen Homogeneous Area 2 (JC1) Joint Compound Associated •Walls and Ceilings in Kitchen with SM1 Homogenous Area 3 (SM2) Orange -Peel Drywall Texture Walls and Ceiling in Master Bathroom Homogeneous Area 4 (JC2) c��-��t� Joint Compound Asswith Walis and Ceiling in Master Bathroom SM2 c1 Table of Contents 1.0 Introduction 2.0 Limitations of Inspection 3.0 Conclusions & Summary of Findings 4.0 Material Information 5.0 Inspector & Firm Certifications 6.0 Inspection, Sampling & Analytical Procedures 7.0 Recommendations 8.0 Asbestos Abatement & Demolition Requirements 9.0 Major & Minor Asbestos Spill Response Actions 10.0 Project Design & Project Manager Requirements 11.0 Disclaimer & Limitations 12.0 Copyright Notice APPENDIX A CERTIFICATIONS APPENDIX B LABORATORY REPORT 2 DS Environmental ---- co14(5UL'FIiiito RECEIVED OCT 7 Q 2019 Pe 4d��L "The trusted choice for your environmental & industrial hygiene needs." PRESENTED TO: Mr. Greg Thomas (303) 548-8214 gtonskis@gmail.com Front Range 7555 W 10th Ave Suite A, Lakewood, CO 80214 ASBESTOS INSPECTION REPORT 10665 W 26t" Ave, Wheat Ridge, Colorado INSPECTED BY: Mr. Zack Westfall DS Environmental Cell: (303) 304-1329 PROJECT DETAILS: DS Job Number: 20300 Date of Inspection: October 15, 2019 70/ 1?6 z /6 3 Mountains PO Box 6864 Avon, CO 81620 Western Slope PO Box 3793 Aspen, CO 81612 Web dsconsultinginc.com Direct (303) 286-9094 Fax (303) 986-0121 • 0 m ii . • • . • �ce.a �[ a -.-1 o ti �•N•a R fDO (D a, R s y a° .opo w o y m cn_- co g w ogt y CCD C 5❑ 3 a o �. fJQ O O A w �w O ti E �9 Cn �a o w — cw: 1 v^i CSD ._ K UQ O CD A _ S A C ° lH COD .°y ti CD , A� CD vcD, c °Q. w ' o coo o R B 0 0 `D �•< ao � � o = w pM N p. a eE3 7y w n l�cwi � � a ° �° CD•o h a o �. o 0 ., a o o W C CD N o Cc,. � cr o o CD nN CDGQ N c a N•C, S G ❑ E m a w' C, Vn 21 0 aM. CDa 51CD < 0' n O 0 :3O C QD Er FD K D CD A p < A m A. �ii. 0 n c F CD CCD CD 0 C w CD CSD O pl p N O a 8 C n S T.D o, p W CC CSD co p CD h O. tv* C' 0CD A' C ti co ° Q c d o a CC CD rs a co C. T w w CC,, 0 ti y R CD co sw o y° CD < N n w M �• CDo' sw uoo a .D b CD o m w Y n w 0 k a upp;ynC7na, p '� 7n • . • n u 'V p • (?5 P) W Q. 0 w s LJ. o 2 1 5 C� C7dwUwU Ec m � w � C7� aac N J U l\n t\n y N 7 � a C. z 0 o 0 � y n' a a b b !n w = '•3 a w � r w � w !_ c U c D s b 2 � o e?. o <o C O 3 � n O Q. 0 w s LJ. o 2 1 5 C� C7dwUwU Ec m � w � C7� aac (n J U l\n t\n y V m 0 m w Z r n D 0 Q' T 0 /o rm0 m ,X/ S c c. r =R z m a 7i v J J v (n � Cl 1"7• r= rn � w `7 C S S m � D H G d m v � r rm O A Q a� C O S O rS � O 9 S ,� v •p 9 � e7 w w w C a NnD � N O 0 d 5 3 » 0 d a O 0 m °G x z z z z z a O odds Ocno.a f o. O Q o g o 0000 - wn 3� r O O, ? C p O O 7Gi -moi n n N y a m N N � �z o � Ic o rr" r Cr' Cr" tr" m o z o `o ID w p m m n z m a m N rn �- m � ❑yui (n � Cl 1"7• rn � w `7 7 � � D m v � r rm O 5 Q a� C a n a Fi v � e7 w N � a NnD � N O 0 5 3 0 a O 0 m d a O odds Ocno.a f o. O Q o g o 0000 - wn 3� m m N m r' ,t n O Z n 0 X o rm0m m A A A A A A A A A a j z S S S w -� GG N �x 2 z z z z z z z z zg r O O C O 0000 n D v s r Com' Cm" Com' S, m z 'm o _ C n � w C1 n G n C7 G C1 C1 O q y'- w'K _ n O Z n 0 X o rm0m d m r a Iu w" r, a N a n a w � o `pp� o o o o _ o' c. w A A A p�p A A A A p�p A A p�p A A C S o d f Er o o a o w 2 z z z z z z z z z z iso n y _ A ^ zz zz d N 6 N s C1 C � CJ C7 m m to to � z o — o o o 0 o00 00 _ C w 7 APPENDIX B: LABORATORY REPORT 14 13 C Colorado Department of Public Health and Gwimnment t ASBESTOS u = __ CERTIFICATION* This certifies that C 1 E-515 A Zack Westfall s Cerlificalion No.: 22529_ sir O v G ? .. t has ntct the mquirenicnts of'_5-7-507, C.R.S. and Air Qualiq Control 'o a V F E - Commission Regulation No. 8, Pan B. and is hereby certified by the T state of Colorado in the following discipline: Building Inspector* w z, Issued: October 16, 2018 Expires: Now ber 04, 2019 R F F ._ _ E •11tH rxm/:rw l.,vNJ ww/, r4k Mrlv..n,bw w/w _ �..r.r t J e _ _ bMr dir)pfior y+nl/ird wbnr ,y;1=r.xep APCC R.. �..0 _ _ rIC , Inspector Certification: 22529 Firm Certification: 14912 13 APPENDIX A: CERTIFICATIONS 12 environmental health with a major concentration in industrial hygiene, or the possession of a certified industrial hygienist (CIH) certificate given by the American Board of Industrial Hygiene (ABIH) may be substituted for the Colorado asbestos Air Monitoring Specialist certification. The GAC shall notify the building owner during the bid process as to whether a Project Manager is required. Project Managers shall be independent of the asbestos abatement contractor and work strictly on behalf of the building owner to the extent feasible unless the abatement is being performed in-house. Project Managers must sign the original copy of the abatement permit for the permit to be valid, and before any abatement can take place. 11.0 Disclaimer & Limitations The activities outlined in this report were conducted in a manner consistent with a level of care and expertise exercised by members of the environmental consulting and industrial hygiene profession. All activities were performed in accordance with all applicable federal, state, and local regulations as well as generally accepted standards and professional practice. No warranty is either expressed or implied. DS assumes no responsibility or liability for error in public information utilized, statements from sources other than DS, or developments resulting from situations outside the scope of work for this project. The details provided within this report outline the inspection activities on the dates) indicated and should not be relied upon to represent conditions at a later date. The laboratory results contained in this report apply specifically to the materials in which bulk -samples were collected. The results do not include or apply to any other materials within the structure that were not sampled but may contain asbestos; including materials that may be hidden or inaccessible. Additional inspection and bulk -sampling activities by a certified inspector would be required to determine whether any other materials contain asbestos. This report has been prepared on behalf of and exclusively for use by the DS's client, with specific application to their project as discussed in the scope of work. The information contained in this report is intended as supplementary material for abatement design and is not to be used as the sole means to develop the scope of abatement activities, bidding or billing purposes. Contractors or consultants reviewing this report must draw their own conclusions regarding further investigation or remediation deemed necessary. DS can provide a full scope of work for abatement upon request. DS 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. 12.0 Copyright Notice © DS Environmental 2019. All Rights Reserved. This document contains material protected under Federal Copyright Laws. No part of this document or any of its contents may be reproduced, copied, modified or adapted, without the prior written consent of the author and DS Environmental. 11 • Restrict entry to the area and post warning signs to prevent entry to the area by persons other than those necessary to respond to the incident. • Shut off or temporarily modify the air handling system to prevent the distribution of fibers to other areas in the building. • Seal all openings between the contaminated and uncontaminated areas. This is to be accomplished by using polyethylene sheeting to cover all areas such as windows, doorways, elevator openings, corridor entrances, drains, grills, grates, diffusers and skylights. • HEPA vacuum or steam clean all carpets, draperies, upholstery and other non -clothing fabrics in the contaminated area or discard all contaminated materials in accordance with subsection III.R. (Waste Handling). • Launder or discard contaminated clothing in accordance with subsection III.R. (Waste Handling). • HEPA vacuum or wet clean all non -fabric surfaces in the contaminated area. • Following completion of subparagraphs III.T.2.a. through III.T.2.f. of Regulation 8, conduct air monitoring as described in paragraph III.P.3 of Regulation 8. (Final Clearance Air Monitoring and Sample Analyses); air samples shall be collected aggressively as described in 40 C.F.R. Part 763, Appendix A to Subpart E (EPA 1995), except that the air stream of the leaf blower shall not be directed at any friable ACM that remains in the work area. 10.0 Project Design & Project Manager Requirements DS can provide an Asbestos Abatement Project Design as well as fulfill the Colorado Asbestos Abatement Project Manager requirements for any asbestos abatement project, as applicable below. Project Design An abatement Project Design is an accurate and detailed scope of work, which includes project specifications and procedures, containment design/equipment placement, and descriptions of engineering controls and work practices for an asbestos abatement project or response action that is required by CDPHE Regulation Number 8, Part B - Asbestos (Reg. 8) on large asbestos abatement projects. Prior to the start of any asbestos abatement project in a non -school building, where the amount of asbestos -containing material (ACM) to be removed or disturbed exceeds 1,000 linear feet on pipes, or 3,000 square feet on surfaces, or in a school building in which the amount of friable ACM to be abated exceeds 3 linear feet on pipes, or 3 square feet on surfaces, a written Project Design must be developed by a State of Colorado certified Project Designer in accordance with subsection IV.G.7 of Regulation 8. A signed copy shall be posted on-site prior to commencing any abatement activities, shall be available on-site at all times, and shall remain onsite until final air clearances have been completed by a State of Colorado -certified Air Monitoring Specialist (AMS). Project Manager A Project Manager shall be used on all asbestos abatement projects in which the amount of friable asbestos - containing material to be abated exceeds 1,000 linear feet on pipes, or 3,000 square feet on other surfaces per CDPHE Regulation Number 8, Part B — Section III.B.6. An asbestos Project Manager on an abatement project shall be responsible for assessing that the project is conducted in accordance with Regulation 8, assessing that the Project Design is followed, assessing that the abatement project is cleared in accordance with Regulation 8, assessing that the asbestos waste generated on the project is properly manifested and disposed of in accordance with Regulation 8, and communicating these assessments to the building owner or GAC. Project Managers must have proof of Colorado certification as an asbestos Project Designer and Air Monitoring Specialist in accordance with Section II of CDPHE Regulation 8 as well as a minimum of one (1) year of experience supervising, overseeing or monitoring asbestos abatement projects. A 4 -year college degree in industrial hygiene, a degree in 10 OSHA regulations regarding occupational exposure during demolition activities is still mandatory. OSHA 29 CFR 1926.1101 requires that workers performing construction -related activities be protected from asbestos fibers in excess of the permissible exposure limit of 0.1 f/cc of air. Contractors are must comply with applicable provisions of OSHA 29 CFR 1926.1101 during demolition and renovation activities. These OSHA provisions include, but are not limited to, PPE and respirators, personnel training, personal -exposure air monitoring, employee medical surveillance, wet removal methods, signage for regulated areas, etc. 9.0 Major & Minor Asbestos Spill Response Actions If ACM is significantly damaged and the total quantity exceeds the regulatory trigger levels, the area is deemed a "Major Asbestos Spill." The area is consequently subject to the requirements in Reg. 8, Section III.T.1. — Major Asbestos Spills, as outlined below. Additional asbestos air or dust sampling should also be conducted within the remaining areas not directly impacted by the Major Asbestos Spill to determine if asbestos -containing dust/debris has spread to adjacent areas. If asbestos fibers are found within any other areas or on building contents, they should be included in the scope of professional abatement and decontamination. The following response actions must be followed per Colorado Reg. 8 when a Major Asbestos Spill occurs: • Restrict access to the area and post warning signs to prevent entry to the area by persons other than those necessary to respond to the incident. • Shut off or temporarily modify the air handling system to prevent the distribution of asbestos fibers to other areas. • Immediately contact the Division by telephone, submit a notification in compliance with subsection III.E. (Notifications) and, if in an area of public access, apply for a permit in accordance with subsection III.G. (Permits). • Be exempted from the requirements to have a certified Supervisor on-site at all times, until such time as the immediate danger has passed. Any cleanup or asbestos abatement that must occur after the immediate danger has passed shall be supervised by a person certified by the Division. • Using certified Supervisors and certified Workers in accordance with section II. (Certification Requirements) of this Regulation, seal all openings between the contaminated and uncontaminated areas and establish negative air pressure within the contaminated area in accordance with paragraph III.J. (Air Cleaning and None -detected Pressure Requirements). This is to be accomplished using polyethylene sheeting to cover areas such as doorways, windows, elevator openings, corridor entrances, grills, drains, grates, diffusers and skylights. • HEPA vacuum or steam clean all carpets, drapes, upholstery, and other non -clothing fabrics in the contaminated area, or discard these materials. • Launder or discard contaminated clothing in accordance with subsection III.R. (Waste Handling). • HEPA vacuum or wet clean all surfaces in the contaminated area. • Discard all materials in accordance with subsection III.R. (Waste Handling). • Following completion of subparagraph III.T.1.a. through III.T.1.i. above, comply with air monitoring requirements as described in subsection III.P. (Clearing Abatement Projects); air samples shall be collected aggressively as described in 40 C.F.R. Part 763, Appendix A to Subpart E (EPA 1995), except that the air stream of the leaf blower shall not be directed at any friable ACM that remains in the area • Comply with any other measures deemed necessary by the Division to protect public health. In the event of an asbestos spill involving less than or equal to the trigger levels, the building owner or contractor should take the following non -mandatory steps: 9 DS has collected the appropriate number of bulk -samples to meet all regulatory requirements for the classification and quantity of each homogeneous area. All reasonable efforts were made to identify homogeneous areas and to sample or assume suspect materials. Destructive investigation was conducted whenever feasible, and every effort was made to locate and quantify suspect ACM within the scope of work. Any material not identified and sampled in this report shall be assumed to be an ACM or shall be sampled by an EPA -trained and CDPHE-certified inspector and submitted for analysis. 6.3 Analytical Procedures All asbestos bulk -samples were analyzed by a third party, National Voluntary Laboratory Accreditation Program (NVLAP) accredited laboratory via Polarized Light Microscopy (PLM) for asbestos content per CDPHE Regulation 8 (see Appendix 8 for laboratory report). 7.0 Recommendations The asbestos inspection detailed in this report did identify ACM(s); therefore, professional abatement activities are required to remove or disturb the above -referenced asbestos -containing materials. The drywall texture on the walls and ceilings in the kitchen and master bathroom were found to contain asbestos greater than 1% asbestos and greater than the trigger level of 32 ft' were significantly damaged. This has resulted in a "Major Asbestos Spill" (see Section 9.0) within, at least, the kitchen and master bathroom. Other areas within the home may also be contaminated by asbestos -containing dust/debris from the spill and additional testing shall be conducted to define these areas as contaminated or not. Until further testing is completed, all areas shall be considered contaminated until tested and proven otherwise. 8.0 Asbestos Abatement & Demolition Requirements If ACM is to be removed or disturbed in a single-family residence, and the total quantity exceeds any of the regulatory trigger levels of 50 linear ft. on pipes, 32 ft' on other surfaces, or the volume equivalent of a 55 -gallon drum, a CDPHE-certified General Abatement Contractor (GAC) is required to perform the work. The regulatory trigger levels within a commercial building are 260 linear ft. on pipes, 160 ft2 on other surfaces, or the volume equivalent of a 55 -gallon drum. In addition, formal notification to CDPHE prior to the abatement of ACM as well as air monitoring, visual inspections, and final air clearances by a CDPHE-certified Asbestos AMS is required. DS can provide the client or building owner with a proposal for project design, abatement oversight and air monitoring upon request. CDPHE regulations allow for the demolition of a building that contains non -friable asbestos -containing materials, such as caulking, mastic or resilient floor tiles. However, demolition must be completed without causing the non -friable ACM to be rendered friable. Burning a building with any ACM is prohibited. Operations such as sanding, cutting, crushing, grinding, pneumatic jacking, etc. of ACM are not permitted. Recycling of building materials such as concrete, metal, or wood that are bonded or contaminated with ACM, e.g. glue, caulking, or mastic is also prohibited. If any of the non -friable asbestos containing materials are to be recycled and rendered friable after demolition (i.e. crushing mastic -coated concrete), these materials must be abated of all ACM prior to shipping offsite for recycling. E? City of RECEIVED Wh6atpjidge COMMUNITI' DEVELOPMENT Per— SUB-CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance ,and license must be u�p�to� date prior to permit issuance. Project Address: �'/�Y� Vv , ,Z �t r�V"E Permit #: General Contractor: A/n A/ 7 Electrical Sub -Contractor Company Name: (FAQ•\/ eL -C'_* %&irPhone #: ;30 State License #: � = 0 (Q Master #: At Wheat Ri License #: (required field) Sig ature of Authorize Agent Date Plumbing Sub -Contractor Company Name:A� Pl �OG0 F"IOA6 Phone #: State License #: Wheat Ridge License #: Signature of Authorized Agent Mechanical Contractor Master #: required field) Date Company Name: Phone: Wheat Ridge License #: (required field) Signature of Authorized Agent Date Brandon Fresquez From: Brandon Fresquez Sent: Thursday, October 10, 2019 3:14 PM To: 'gtonskis@gmail.com' Subject: 10665 26th ave Attachments: interiorremodelwr.pdf I am reviewing your plans that were submitted. Please reference the attach document. We need full floor plans of your house including all levels. We also need a copy of your deed because you signed an homeowner permit. We also need a sub -contractors form filled out and submitted. All your sub -contractors need to be licensed with the City of Wheat Ridge. We also need you asbestos survey because you have removed more than 32 sq ft of material. Please reference the attach document for all the information and required documents. Please reach out to me if you have any questions. Brandon Fresquez, Building Inpector Building Division 7500 W. 29th Avenue Wheat Ridge, Colorado 80033 Office Phone: 303-235-2892 www.ci.wheatrid eg co.us r 'A 'd WaiMR a City of Wheat Ridge Residential Asbestos Abatement PERMIT - 201902247 PERMIT NO: 201902247 ISSUED: 10/22/2019 JOB ADDRESS: 10665 W 26th Ave EXPIRES: 10/21/2020 JOB DESCRIPTION: Removal of 1,532 square feet of asbestos drywall. *** CONTACTS *** OWNER (303)548-8214 THOMAS GREG SUB (303)749-5830 MARK PIJANOWSKI 130245 ALL PHASE RESTORATION *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,539.00 FEES Asbestos Abatement 50.00 Total Valuation 0.00 ** TOTAL ** 50.00 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. 1, by m 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 Iegal 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 l , ally authorized to include all entities named within this document as parties to the work to be performed and that all workI�e performed is e,#-i�rthis document and/or its' accompanying approved plans and specifications. Signature of OWNER or ACTOR ircle one) Date 1 _ This permit was issued based o� ormation provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po Flans and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3, If this permit expires, a new permit may be required to be obtained. Issuance of a new 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 InspectionServices 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. Signafu``t•FoT Chief Building Official Date REQUESTS MUST'$E MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ,I City of j�rWh6atl MMUNITY 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(o)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: `//o// � ;/(/ Plan/Permit # ,,)'0/ �F6 aY 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: �0665— u� 2.6t1 WU ,eaU1 ���, �C- 7 3o•-z--iS7 Property Owner (please print): :t t ���a Phone:)4 5 -YS -92t44 Property Owner Email: Cr0 J'a_ co Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: CV Architect/Engineer E-mail: :2i't— Contractor Name: phbe- Re,54e,_'9`l' 0 6e44 -V-'_ L.LC City of Wheat Ridge License # 1302-y S Phone: " ?`! - �-� 3 Contractor E-mail Address:–)' -,f CU' n'1 For Plan Review Questions & Comments (please print): CONTACT NAME (please print): ��� Phone: 72-0 yyc 3y 3S CONTACT EMAIL(please print): �PR�s��i7. c�•n Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: WIA- City License # City License 4 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. Lt'L�1 — t, Soo sf Sq. Ft./LF BTUs Gallons Amps Squares For Solar: Kw # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ .5 �5 , bU OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTO o (AUTHORIZED REPRESENTATIVE) of (OWNER (CONTRACTOR Signature (first and last name): DATE: 2 'tel Printed Name: C,5ve- v-3 Veo,- DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer. PUBLIC WORKS COMMENTS: Reviewer: Building Division Valuation: 3Z sr a ' 5 d tY- ,01-) I I rn'4'sra- bed / �h,- iA 4o 7F841 i �ake- rne'�o t Ud ct'e jijqtJP 0'F Wdt.0 /�f -k/aL W Lt'L�1 — t, Soo sf Sq. Ft./LF BTUs Gallons Amps Squares For Solar: Kw # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ .5 �5 , bU OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTO o (AUTHORIZED REPRESENTATIVE) of (OWNER (CONTRACTOR Signature (first and last name): DATE: 2 'tel Printed Name: C,5ve- v-3 Veo,- DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer. PUBLIC WORKS COMMENTS: Reviewer: Building Division Valuation: 0 W Z W W m J J U) z 0 Q U J CL M Q W W _..L CL Q U Z 0 Lt U) t-- } z Q LL 2 0 U Q f-- W W LL 0 Q O � ? 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C U N 0) c 0 E � U n n( m.� W m �.O _ CL ..�. a y O C9 V) C y C0 w0 C W U�cLw m C6 a U c c N Y a O L0 0 N U) •a0c2rna a �0 n. c ai m ) C 63 m m o m E m y 'OEC -v; C O = L y — E y c �N3o3' � y �m yY m m a y L O N cL � 0 :3 c 0N E of U U N O Y U> Q '2N N O C L C: 3gy 0 `o o Em C CU — N c y O >, cm3 ma o y a) CO w = E m -3� 0 Q. 0� 't N C a� o .0 LO y 0 0 o m n m �_ N p> y E O N a o� 3co, 3 f6 � M d o � c c 3w. v o0iaomcm w o 6 E m o m C m E a a m a o y �ENc= m J cm.si v m-_ rnE 19 OC c 3 E m � fU U ���caln3 o m'- and a m cr— y U N OU a Vi O L m 0 0 c C L lG' ai 6 y 'D m -O U c3amm oca'n U� C 2C : (6 yCl y O C� LL E U2 L.. U N v m y 0 CO C N .y C a m 0 y o m a)_ > O E CO O N L C,< �' yw EF 5 OCT 2 2 2019 Per DS Environmental CONSULTING "The trusted choice for your environmental & industrial hygiene needs." ASBESTOS INSPECTION REPORT 10665 W 26th Ave, Wheat Ridge, Colorado PRESENTED TO: INSPECTED BY: Mr. Greg Thomas Mr. Zack Westfall (303) 548-8214 DS Environmental gtonskis@gmail.com Cell: (303) 304-1329 VIA Front Range 7555 W 101h Ave Mountains PO Box 6864 Suite A, Lakewood, CO 80214 Avon, CO 81620 PROJECT DETAILS: DS Job Number: 20300 Date of Inspection: October 15, 2019 Western Slope PO Box 3793 Aspen, CO 81612 Web dsconsultinginc.com Direct (303) 286-9094 Fax (303) 986-0121 Table of Contents 1.0 Introduction 2.0 Limitations of Inspection 3.0 Conclusions & Summary of Findings 4.0 Material Information 5.0 Inspector & Firm Certifications 6.0 Inspection, Sampling & Analytical Procedures 7.0 Recommendations 8.0 Asbestos Abatement & Demolition Requirements 9.0 Major & Minor Asbestos Spill Response Actions 10.0 Project Design & Project Manager Requirements 11.0 Disclaimer & Limitations 12.0 Copyright Notice APPENDIX A CERTIFICATIONS APPENDIX B LABORATORY REPORT Oki 1.0 Introduction Mr. Zack Westfall with DS Environmental Consulting (DS) conducted an asbestos inspection and collected bulk - samples of suspect asbestos -containing building materials within the single-family residence detailed on the cover page of this report. The purpose of the inspection was to determine if any of the materials that were damaged by recent remodeling activities contain asbestos. 2.0 Limitations of Inspection This inspection was limited in its scope and only included specific areas and materials as defined by the client. The inspection did not constitute a full -building inspection and does not fulfill the asbestos inspection requirements for structures that are to be demolished. The table below, (Table 1.0), lists the suspect asbestos -containing materials included in the scope of the inspection. It identifies the specific areas that were included in the inspection as well descriptions of the suspect asbestos -containing materials in those areas that were sampled; or materials that were assumed to contain asbestos. The suspect asbestos -containing materials listed below may be found in other areas of the building that were outside of the scope of work for this inspection and sampling. Additionally, there may be other materials in other parts of the building that contain asbestos, which were not included in the scope of this inspection and sampling. Table 1.0 Scope of Work Suspect Asbestos -Containing Materials Sampled Material Locations Homogeneous Area 1 (SM1) Orange -Peel Drywall Texture Walls and Ceilings in Kitchen Homogeneous Area 2 (JCI) Joint Compound Associated . Walls and Ceilings in Kitchen with SMI Homogenous Area 3 (SM2) Orange -Peel Drywall Texture • Walls and Ceiling in Master Bathroom Homogeneous Area 4 (JC2) Joint Compound Associated Walls and Ceiling in Master Bathroom with SM2 3 3.0 Conclusions & Summary of Findings Materials in RED are materials that contain greater than 1% asbestos or are assumed to contain >1% asbestos. Materials in GREEN contain 1% or less asbestos Materials in BLACK do not contain asbestos. Sample Information ACRONYMS ACM ASSESSMENT CATEGORIES 1—damaged/significantly damaged thermal system insulation ACM Description: Orange Peel Drywall Texture CHRY —Chrysotile 2—damaged friable surfacing material ACM SUMMARY OF ACT—Actinolite 3 — significantly damaged friable surfacing material ACM FINDINGS TR — Trace; >1% Asbestos 4—damaged or significantly damaged friable miscellaneous material ACM ND — None -detected 5 — ACM with the potential for damage uantit : —200 ftZ ACM — Asbestos Containing 6 — ACM with the potential for significant damage Sample ID: SM1-2 Material (>1% asbestos) 7 — any remaining friable ACM or friable suspected ACM Materials in RED are materials that contain greater than 1% asbestos or are assumed to contain >1% asbestos. Materials in GREEN contain 1% or less asbestos Materials in BLACK do not contain asbestos. Sample Information Material Information Asbestos Content Description: Orange Peel Drywall Texture �-+ Sample ID: SM1-1 Classification: Surfacing Material Sample Location: Kitchen—South Wall Condition: Significantly Damaged Q uantit : —200 ftZ `" � Sample ID: SM1-2 Friability: Friable Sample Location: North Side of Dividing Assessment Category: (3) 2% CHRY w Wall Between Kitchen and Entryway (D Reason for Assessment: 5; Sample ID: SM1-3 Potential for Contact: High = Sample Location: Kitchen Ceiling Potential for Vibration: Low Potential for Air Erosion: Low Description: Joint Compound Associated w/ SMI ev Classification: Miscellaneous Material ,a Sample ID: JC1-1 Condition: Significantly Damaged Sample Location: Kitchen —Southwest a Corner Quantity: —200 ft' N Friability: Friable 2% CHRY z Sample ID: JC1-2 Assessment Category: (4) 0 Sample Location: Ceiling at North Side of Reason for Assessment: 2 Dividing Wall Between Kitchen and Potential for Contact: High Entryway Potential for Vibration: Low Potential for Air Erosion: Low 4 Sample ID: SM2-1 Description: Orange Peel Drywall Texture m Sample Location: Master Bathroom — Classification: Surfacing Material w West Wall Condition: Significantly Damaged Q uantit : —180 ft' � Sample ID: SM2-2 Friability: Friable O Sample Location: Master Bathroom — East 2% CHRY Assessment Category: (3) ,Z. Wall 0 Reason for Assessment: O 2 Sample ID: SM2-3 Potential for Contact: High = Sample Location: Master Bathroom - Potential for Vibration: Low Ceiling Potential for Air Erosion: Low Description: Joint Compound Associated w/ SM2 Rr Classification: Miscellaneous Material W Sample ID: JC2-1 Condition: Significantly Damaged Q Sample Location: Master Bathroom — uantit : —180 ft2 Ln Ceiling at East Wall Friability: Friable LU Assessment Category: (4) 2% CHRY w Sample ID: JC2-2 p Sample Location: Master Bathroom — Reason for Assessment: Southeast Corner Potential for Contact: High z Potential for Vibration: Low Potential for Air Erosion: Low 4.0 Material Information A Homogeneous Area (HA) means an area of surfacing material, thermal system insulation material, or miscellaneous material that is uniform in color and texture. The asbestos content of the bulk -samples collected within a homogeneous area can be applied to the entire homogenous area, if they conform to the above characteristics and the regulated minimum sample quantities of each type of material have been collected and analyzed. An Asbestos Containing Material (ACM) is a material that contains more than 1% asbestos. Any material can be assumed to be an ACM, but not the contrary. 4.1 Material Friability A material can either be friable or non friable. A friable material is one that, when dry, can be pulverized, or reduced to powder by hand pressure, a non -friable material cannot. A non -friable material may become friable if its condition had deteriorated or has been impacted by forces that have rendered it friable. 4.2 Material Classifications Sampled materials are divided into one of the following three categories: • Surfacing Material: sprayed or troweled onto structural building members • Thermal System Insulation (TSI): any type of pipe, boiler, tank, or duct insulation • Miscellaneous Material: all other materials not classified in the above two categories 4.3 Material Conditions Sampled materials are placed into one of the following three categories of conditions: • Good: none to very little visible damage or deterioration • Damaged: the surface is crumbling, blistered, water -stained, gouged, marred or otherwise abraded over less than one-tenth of the surface if the damage is evenly distributed, or one-quarter if the damage is localized • Significantly Damaged: the surface is crumbling, blistered, water -stained, gouged, marred or otherwise abraded over greater than one-tenth of the surface if the damage is evenly distributed, or one-quarter if the damage is localized 4.4 Sample Quantities DS collected at least the minimum number of samples from each homogeneous area necessary to meet all regulatory requirements for the quantity of material to be disturbed in the scope of work as defined by the client. The quantities listed in this report are approximate and on-site verification of the exact quantity of each material is required for permitting, estimating and billing purposes. The following outlines the minimum sample quantities required per homogeneous area: • Surfacing Materials: up to 1,000 ft2 of material requires a minimum of three (3) samples; between 1,000 ft2 and 5,000 ft2 of material requires a minimum of five (5) samples; over 5,000 ft2 of material requires a minimum of seven (7) samples; one (1) sample of each patch • Thermal System Insulation (TSI): each homogeneous area requires a minimum of three (3) samples; at least one (1) sample must be collected from each patch; and collect enough samples sufficient to adequately assess the material and determine the asbestos content for TSI fittings such as pipe elbows or T's, which a minimum of two (2) samples of each • Miscellaneous Materials: collect enough samples sufficient to determine the asbestos content with a minimum of two (2) samples of each 4.5 Materials Reporting "TRACE" Results Any sample reporting a "TRACE" amount of asbestos shall be considered to contain greater than 1% asbestos unless it is further analyzed utilizing the point -count method and verified to be less than or equal to 1% asbestos content, and therefore not an ACM. TRACE does not mean it contains less than or equal to 1%. 4.6 Materials Containing 1% Asbestos or Less Materials containing less than or equal to 1% asbestos are not regulated by the Colorado Department of Public Health and Environment (CDPHE) Regulation 8, Part B — Asbestos. However, all demolition/abatement activities should be performed following the applicable Occupational Safety and Health Administration (OSHA) regulations. This includes, but is not limited to, the appropriate asbestos training for the type of material being removed/disturbed as well as having a properly trained supervisor onsite, using wet removal methods, wearing adequate personal protective equipment (NEPA-filtered particulate respirators), medical surveillance of workers, personal -exposure air monitoring, area air monitoring in occupied buildings, etc. There may also be landfill disposal requirements for these materials, depending on the facility. DS recommends that all demolition/renovation projects involving the disturbance of any amount of asbestos be subjected to post - work visual inspections and a final clearance air testing by a CDPHE-certified Asbestos Air Monitoring Specialist (AMS) after the work has been completed, but before any containments are dismantled, the contractor demobilizes, and the area is reoccupied. 4.7 Overspray Any surfacing material indicated in this report also includes any associated overspray of that material, e.g., under carpet, above suspended ceilings, on studs and structural members, etc. 5.0 Inspector & Firm Certifications The inspection detailed within this report was conducted by Mr. Zack Westfall with DS. DS is a CDPHE certified Asbestos Consulting Firm, Registration No. 14912. Mr. Westfall is a CDPHE certified Building Inspector; having certification number 22529 (see Appendix A for certificates). 6.0 Inspection, Sampling & Analytical Procedures 6.1 Inspection Procedures The asbestos inspection detailed in this report was conducted by an Environmental Protection Agency (EPA) and CDPHE certified asbestos Building Inspector. The inspection procedures included identifying and sampling suspect ACM within the pre -defined areas that were within the scope of work, submitting samples to an accredited laboratory for analysis, classifying the materials and assessing their condition, and compiling a final report detailing the inspection and the analytical results of the bulk -samples. 6.2 Sampling Procedures Statistically random bulk -samples representative of the suspect ACM of each homogeneous area were collected according to the guidelines published in the Environmental Protection Agency's October 1985 publication, "Asbestos in Building: Simplified Sampling Scheme for Friable Surfacing Materials", commonly known as the "Pink Book." 7 DS has collected the appropriate number of bulk -samples to meet all regulatory requirements for the classification and quantity of each homogeneous area. All reasonable efforts were made to identify homogeneous areas and to sample or assume suspect materials. Destructive investigation was conducted whenever feasible, and every effort was made to locate and quantify suspect ACM within the scope of work. Any material not identified and sampled in this report shall be assumed to be an ACM or shall be sampled by an EPA -trained and CDPHE-certified inspector and submitted for analysis. 6.3 Analytical Procedures All asbestos bulk -samples were analyzed by a third party, National Voluntary Laboratory Accreditation Program (NVLAP) accredited laboratory via Polarized Light Microscopy (PLM) for asbestos content per CDPHE Regulation 8 (see Appendix B for laboratory report). 7.0 Recommendations The asbestos inspection detailed in this report did identify ACM(s); therefore, professional abatement activities are required to remove or disturb the above -referenced asbestos -containing materials. The drywall texture on the walls and ceilings in the kitchen and master bathroom were found to contain asbestos greater than 1% asbestos and greater than the trigger level of 32 ftz were significantly damaged. This has resulted in a "Major Asbestos Spill" (see Section 9.0) within, at least, the kitchen and master bathroom. Other areas within the home may also be contaminated by asbestos -containing dust/debris from the spill and additional testing shall be conducted to define these areas as contaminated or not. Until further testing is completed, all areas shall be considered contaminated until tested and proven otherwise. 8.0 Asbestos Abatement & Demolition Requirements If ACM is to be removed or disturbed in a single-family residence, and the total quantity exceeds any of the regulatory trigger levels of 50 linear ft. on pipes, 32 ftz on other surfaces, or the volume equivalent of a 55 -gallon drum, a CDPHE-certified General Abatement Contractor (GAC) is required to perform the work. The regulatory trigger levels within a commercial building are 260 linear ft. on pipes, 160 ftz on other surfaces, or the volume equivalent of a 55 -gallon drum. In addition, formal notification to CDPHE prior to the abatement of ACM as well as air monitoring, visual inspections, and final air clearances by a CDPHE-certified Asbestos AMS is required. DS can provide the client or building owner with a proposal for project design, abatement oversight and air monitoring upon request. CDPHE regulations allow for the demolition of a building that contains non -friable asbestos -containing materials, such as caulking, mastic or resilient floor tiles. However, demolition must be completed without causing the non -friable ACM to be rendered friable. Burning a building with any ACM is prohibited. Operations such as sanding, cutting, crushing, grinding, pneumatic jacking, etc. of ACM are not permitted. Recycling of building materials such as concrete, metal, or wood that are bonded or contaminated with ACM, e.g. glue, caulking, or mastic is also prohibited. If any of the non -friable asbestos containing materials are to be recycled and rendered friable after demolition (i.e. crushing mastic -coated concrete), these materials must be abated of all ACM prior to shipping offsite for recycling. 0 OSHA regulations regarding occupational exposure during demolition activities is still mandatory. OSHA 29 CFR 1926.1101 requires that workers performing construction -related activities be protected from asbestos fibers in excess of the permissible exposure limit of 0.1 f/cc of air. Contractors are must comply with applicable provisions of OSHA 29 CFR 1926.1101 during demolition and renovation activities. These OSHA provisions include, but are not limited to, PPE and respirators, personnel training, personal -exposure air monitoring, employee medical surveillance, wet removal methods, signage for regulated areas, etc. 9.0 Major & Minor Asbestos Spill Response Actions If ACM is significantly damaged and the total quantity exceeds the regulatory trigger levels, the area is deemed a "Major Asbestos Spill." The area is consequently subject to the requirements in Reg. 8, Section III.T.1. — Major Asbestos Spills, as outlined below. Additional asbestos air or dust sampling should also be conducted within the remaining areas not directly impacted by the Major Asbestos Spill to determine if asbestos -containing dust/debris has spread to adjacent areas. If asbestos fibers are found within any other areas or on building contents, they should be included in the scope of professional abatement and decontamination. The following response actions must be followed per Colorado Reg. 8 when a Major Asbestos Spill occurs: • Restrict access to the area and post warning signs to prevent entry to the area by persons other than those necessary to respond to the incident. • Shut off or temporarily modify the air handling system to prevent the distribution of asbestos fibers to other areas. • Immediately contact the Division by telephone, submit a notification in compliance with subsection III.E. (Notifications) and, if in an area of public access, apply for a permit in accordance with subsection III.G. (Permits). • Be exempted from the requirements to have a certified Supervisor on-site at all times, until such time as the immediate danger has passed. Any cleanup or asbestos abatement that must occur after the immediate danger has passed shall be supervised by a person certified by the Division. • Using certified Supervisors and certified Workers in accordance with section II. (Certification Requirements) of this Regulation, seal all openings between the contaminated and uncontaminated areas and establish negative air pressure within the contaminated area in accordance with paragraph III.J. (Air Cleaning and None -detected Pressure Requirements). This is to be accomplished using polyethylene sheeting to cover areas such as doorways, windows, elevator openings, corridor entrances, grills, drains, grates, diffusers and skylights. • HEPA vacuum or steam clean all carpets, drapes, upholstery, and other non -clothing fabrics in the contaminated area, or discard these materials. • Launder or discard contaminated clothing in accordance with subsection III.R. (Waste Handling). • HEPA vacuum or wet clean all surfaces in the contaminated area. • Discard all materials in accordance with subsection III.R. (Waste Handling). • Following completion of subparagraph III.T.1.a. through III.T.1.i. above, comply with air monitoring requirements as described in subsection III.P. (Clearing Abatement Projects); air samples shall be collected aggressively as described in 40 C.F.R. Part 763, Appendix A to Subpart E (EPA 1995), except that the air stream of the leaf blower shall not be directed at any friable ACM that remains in the area • Comply with any other measures deemed necessary by the Division to protect public health. In the event of an asbestos spill involving less than or equal to the trigger levels, the building owner or contractor should take the following non -mandatory steps: 9 • Restrict entry to the area and post warning signs to prevent entry to the area by persons other than those necessary to respond to the incident. • Shut off or temporarily modify the air handling system to prevent the distribution of fibers to other areas in the building. • Seal all openings between the contaminated and uncontaminated areas. This is to be accomplished by using polyethylene sheeting to cover all areas such as windows, doorways, elevator openings, corridor entrances, drains, grills, grates, diffusers and skylights. • HEPA vacuum or steam clean all carpets, draperies, upholstery and other non -clothing fabrics in the contaminated area or discard all contaminated materials in accordance with subsection III.R. (Waste Handling). • Launder or discard contaminated clothing in accordance with subsection III.R. (Waste Handling). • HEPA vacuum or wet clean all non -fabric surfaces in the contaminated area. • Following completion of subparagraphs III.T.2.a. through III.T.2.f. of Regulation 8, conduct air monitoring as described in paragraph III.P.3 of Regulation 8. (Final Clearance Air Monitoring and Sample Analyses); air samples shall be collected aggressively as described in 40 C.F.R. Part 763, Appendix A to Subpart E (EPA 1995), except that the air stream of the leaf blower shall not be directed at any friable ACM that remains in the work area. 10.0 Project Design & Project Manager Requirements DS can provide an Asbestos Abatement Project Design as well as fulfill the Colorado Asbestos Abatement Project Manager requirements for any asbestos abatement project, as applicable below. Project Design An abatement Project Design is an accurate and detailed scope of work, which includes project specifications and procedures, containment design/equipment placement, and descriptions of engineering controls and work practices for an asbestos abatement project or response action that is required by CDPHE Regulation Number 8, Part B - Asbestos (Reg. 8) on large asbestos abatement projects. Prior to the start of any asbestos abatement project in a non -school building, where the amount of asbestos -containing material (ACM) to be removed or disturbed exceeds 1,000 linear feet on pipes, or 3,000 square feet on surfaces, or in a school building in which the amount of friable ACM to be abated exceeds 3 linear feet on pipes, or 3 square feet on surfaces, a written Project Design must be developed by a State of Colorado certified Project Designer in accordance with subsection IV.G.7 of Regulation 8. A signed copy shall be posted on-site prior to commencing any abatement activities, shall be available on-site at all times, and shall remain onsite until final air clearances have been completed by a State of Colorado -certified Air Monitoring Specialist (AMS). Project Manager A Project Manager shall be used on all asbestos abatement projects in which the amount of friable asbestos - containing material to be abated exceeds 1,000 linear feet on pipes, or 3,000 square feet on other surfaces per CDPHE Regulation Number 8, Part B — Section III.B.6. An asbestos Project Manager on an abatement project shall be responsible for assessing that the project is conducted in accordance with Regulation 8, assessing that the Project Design is followed, assessing that the abatement project is cleared in accordance with Regulation 8, assessing that the asbestos waste generated on the project is properly manifested and disposed of in accordance with Regulation 8, and communicating these assessments to the building owner or GAC. Project Managers must have proof of Colorado certification as an asbestos Project Designer and Air Monitoring Specialist in accordance with Section II of CDPHE Regulation 8 as well as a minimum of one (1) year of experience supervising, overseeing or monitoring asbestos abatement projects. A 4 -year college degree in industrial hygiene, a degree in 10 environmental health with a major concentration in industrial hygiene, or the possession of a certified industrial hygienist (CIH) certificate given by the American Board of Industrial Hygiene (ABIH) may be substituted for the Colorado asbestos Air Monitoring Specialist certification. The GAC shall notify the building owner during the bid process as to whether a Project Manager is required. Project Managers shall be independent of the asbestos abatement contractor and work strictly on behalf of the building owner to the extent feasible unless the abatement is being performed in-house. Project Managers must sign the original copy of the abatement permit for the permit to be valid, and before any abatement can take place. 11.0 Disclaimer & Limitations The activities outlined in this report were conducted in a manner consistent with a level of care and expertise exercised by members of the environmental consulting and industrial hygiene profession. All activities were performed in accordance with all applicable federal, state, and local regulations as well as generally accepted standards and professional practice. No warranty is either expressed or implied. DS assumes no responsibility or liability for error in public information utilized, statements from sources other than DS, or developments resulting from situations outside the scope of work for this project. The details provided within this report outline the inspection activities on the date(s) indicated and should not be relied upon to represent conditions at a later date. The laboratory results contained in this report apply specifically to the materials in which bulk -samples were collected. The results do not include or apply to any other materials within the structure that were not sampled but may contain asbestos; including materials that may be hidden or inaccessible. Additional inspection and bulk -sampling activities by a certified inspector would be required to determine whether any other materials contain asbestos. This report has been prepared on behalf of and exclusively for use by the DS's client, with specific application to their project as discussed in the scope of work. The information contained in this report is intended as supplementary material for abatement design and is not to be used as the sole means to develop the scope of abatement activities, bidding or billing purposes. Contractors or consultants reviewing this report must draw their own conclusions regarding further investigation or remediation deemed necessary. DS can provide a full scope of work for abatement upon request. DS 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. 12.0 Copyright Notice © DS Environmental 2019. All Rights Reserved. This document contains material protected under Federal Copyright Laws. No part of this document or any of its contents may be reproduced, copied, modified or adapted, without the prior written consent of the author and DS Environmental. 11 APPENDIX A: CERTIFICATIONS 12 Inspector Certification: 22529 13 Firm Certification: 14912 � e Colorado t)cpattmrnt e of Public ealdt and Environment'1' �+ ASBESTOS CERTIFICATION* This certifies that r1 v' .- C Zack Westfall E'S U -• ez Z Certification No.: 22529` c) o ? = a has met the requirements of25-7.507, C.R.S. and Air Quality Control d Commission Regulation No. 8, Part 13, and is hereby certified by the •- E e state ofColomdo in the following discipline: Building Inspector* W w i Issued: October 16, 2018 Ezpires: November Od. 2019 { ° •rat.muA<.na..ttse,r(..:.a,e:p..,,,,n. N. �c�/� ,e U a SEA. Inspector Certification: 22529 13 Firm Certification: 14912 APPENDIX B: LABORATORY REPORT 14 AERobiQFOC.iy/ LAboRATORy ASSOCIATES, INCORPORATED Expertise Since 1997 Certificate of Analysis 780 Simms Street Suite 104 Gnlden, CO, 80401 303.232.3746 -aerobioloav,ret Client Name DS Environmental Consulting,�rrr� ,t(� ��® Date Collected: 10/15/19 Street address 7555 W. 10th Ace, Suite A W v Vl Date Received: 10/15/19 City, State ZIP Lakewood, CO 80214 TESTING Date Analvzed: 10/15/19 .Atm: Zack Westfall NVLAP lab Code 200860-0 Date Reported: 10/15/19 Client Project Name: 10665 W. 26th Are.. Wheat Ridge, CO Project ID: 19047667 Test Requested: 3002, Asbestos in Bulk Samples Method: EPA/600/R-93/116: Method for the Determination of Asbestos in Bull: Building Materials; EPA -600/M4-82-020: Interim Method for the Determination of Asbestos in Bull: Insulation Samples Sample Identification Physical Description, of of Sample layer Homo- geneous /Yds percentage Asbestos Detected Asbestos Percentaga Non -Asbestos Fiber Percentage, Non -Fibrous Material Percentage Matrix Material Composition Client Lab Sample Number V - A-aaaiesliu 19047667 -IA White Texture with Brown Paint N 4 CHRY 2 98 C SMl-1 19047667-1B Whitelfan Drywall N 96 ND NO®4:ons Datwtod W. W*Uw*cite IO CELL 90 B 19047667-2A White Texture with Brown Paint N 10 CHRY 2 98 C SMI -2 19047667-2B White/Tan Drywall N 90 ND 10 CELL 90 G 190476673A White Texture with White Paint N 20 ND 100 C SMI -3 19047667-313 White/Tan Drywall with White Paint N 80 ND IOCELL 90 G 190476674A White Texture N 4 CHRY 2 98 C 190476674B White Tape N 2 ND 99 CELL 1 JCI -I 190476674C White Joint Compound N 3 CHRY 2 98 G 190476674D White fan Drywall N 1 91 ND 10 CELL 90 G 11 Pant R.nappe Laboratory Aaalpat page 1 &5 T.1—Oh— Asbestos Lab 5,p— AC m Actinolite AH - Ani&W Hair S =Hatdr Q a Qatutz .AM Ans"tx CELLaCtttutose C."eita T.T. XV Aathophyllite FG • Filxma Giga D - Di — V - A-aaaiesliu CHRY. Ch*,an7e XW-Nfiawai Went GGYP— CR - Croeidoln* OT • Othw M :sGsa TEEM -Ta lite SYN- S>xtk tie OR. Otyanit Tr • Tsaoe TL - Talc OP Opayaa NO®4:ons Datwtod W. W*Uw*cite P-Pafsta AERObiology LAbORATORy ASSOCIATES, INCORPORATED Expertise Since 1997 Certificate of Analysis rxuxymmamtra Sucre IW GolJcn, CO. 80401 303'-32.3"146 erab'oloay.net Client Name DS Environmental Consulting ,�r,�n(� (�® Date Collected: 10/15/19 Street address 7555 W. 10th Ave, Suite A w V Vl l: f Date Received: 10/15/19 Cil, State ZIP Lakewood. CO 80214 TESTING Date AnalyxM: 10/I5/l9 Arm: Zack Westfall NVLAP Ib Cole 200860-0 Due Reported: 10/15/19 Client Project Name: 10665 W. 26th A—, Wheat Ridge, CO Project ID: 19047667 Test Requested: 3002, Asbestos in Bulk Samples Method: EPA/600/R-93/1 l6: Method for the Determination of Asbestos in Bull: Building Materials; EPA-600IM4-82-020: Interim Method for the Determination of Asbestos in Bull: Insulation Samples Sample Identification Physical Description of Sample/layer Homo- sarcous IYM layer PercentageAsbzstos Detected Asbestos Percentage Non -Asbestus Fiber Percent , Non -Fibrous Material Percentage Matrix Material Composition Client lab Sam Ie Number V - t'ermiealia 19047667-5A White Texture with White Paint N 15 CHRY 2 98 G OR a O s2ok 19047667-5B White Tape N 4 ND N'D- Now Dttaeted 99 CELL 1 JCI -2 19047667-5C White Joint Compound N 15 CHRY 2 98 G 19047667-5D White/Tan Drywall N 66 ND 10 CELL 90 G 19047667-6A White Texture with Tan Paint N 2 ND 100 C SM -1-1 19047667-6B White/Tan Drywall N 98 ND 10 CELL 90 G 19047667-7A White Texture with Tan Paint N 30 ND 100 C SM2-2 19047667-7B Whae/Tan Drywall N 70 ND 10 CELL 90 G 19047667-8A White Texture with White Paint N 40 ND 100 C SM2-3 19047667-8B N bite Texture with White Paint N 30 CHRY 2 98 C Pori kstappa Laboratory Analyst Page 2 of 5 Tatma Oiiaer Asbestos Lab Sul -- AC Aetiaolite AH a Aaimai Rai, BaBmder Q -Quist- AM Aw—it. CELL . C.! W— C - Calcite T - Ta AN Anthophyllite M a F'Erom GLa D - Dian— V - t'ermiealia Clay - ch*—.0 Airy ..L uut,,4 W" 0 - 0 -,"— CR- Croei .6w OT - other M • Mi. TIME • TrapoGte SYN. S}athetx OR a O s2ok Tr • Tr TL a Tak OP a Op+goes N'D- Now Dttaeted R'=R'oaw—ite P=Polite AEaobiology A LAbo"Toay 1 ASSOCIATES, ':iA INCORPORATED Expertise Since 1997 Certificate of Analysis 780 Simms Street Suite 104 Golden, CO. 80401 303.232.3746 erob'olaay.net Client Name DS Environmental Consulting,�n�(j ^ �® Date Collected: 10/15/19 w Street address 7555 W. 10th Ave, Suite A �tl(� Date Received: 10/15/19 City, State ZIP Lakewood, CO 80214 TESTING Date Analyzed: 10/15/19 At" Zack Westfall NVLAP Lab Code 200860-0 Date Reported: 10/15/19 Client Project Name: 10665 W. 26th Ave., Wheat Ridge, CO Project ID: 19047667 Test Requested: 3002, Asbestos in Bulk Samples Method: EPA/600/R-93/116 Method for the Determination of Asbestos in Bull: Building Materials; EPA -600/M4-82-020: Interim Method for the Determination of Asbestos in Bull: Insulation Samples Sample Identification Physical Description of Sample/Layer Homo- seneous (YIN) percent Layer a Asbestos Detected Asbestos Percentage Non -Asbestos Fiber Percentage Non -Fibrous Material Porcentanoc Matrix Material Composition Client lab Sam le Number SM -1-3 19047667-8C White/fan Drywall N 30 ND U ofia 10 CELL 90 G OR. Orpnic 19047667-9A White Texture with White Paint N 50 ND V'D=Nana Datss:tsd W=Wollutonitt 100 C 19047667-913 White Tape N 4 ND 99 CELL 1 19047667-9C White Joint Compound N 10 ND 100 C JC2-1 19047667-9D Wh ite Texture with White Paint N 6 CHRY 2 98 C 19047667-9E White Tape N 4 ND 99 CELL I 19047667-9F White Joint Compound N 6 CHRY 2 98 G 19047667-9G White/Tan Drywall N 20 ND 10 CELL. 90 G 19047667-10A White Texture with Tan Paint N 10 ND 100 C JC2-2 19047667-1OB White Tape N 4 ND 99 CELL I Pant Knappe Talma Oliver Laboratory Analyst A.abettor Lab Sup -- Page 3 of 5 AC. Actinolite AH a Anenud Hair B =Bizi. Q . Qu— ANI A.—it. CELL .CrU.1— C. C.I h. T=Tar AN AatLophyUite FO-Fibom Olns D=Diatmu V. Vennie®hte CHRY. CMysata. AW-mi."Wool 0 C-YPsant CR•Croeidolita OT. Other U ofia Mi - Tr tit* SY?i • S}athatic OR. Orpnic Tr. Tex. TL•Tsk OP. Opaque V'D=Nana Datss:tsd W=Wollutonitt P=Pathe AEROb10lOgy A LABORATORY Physical Uscrip[ion of Sample/Layer 780S6masSt,- \� ^� ASSOCIATES, ! INCORPORATED Asbestos Percentage G,lden a . CO, Bo Matrix Material Com osition Expertise Since 1997 fab Sam le Number 303 232.3746 aerobloloay.net 19047667 -IOC White Joint Compound Certificate of Analysis 30 ND Client Name DS Environmental Consulting^nom n� pa Date Collected: 10/15/19 Street address 7555 W. 10th Ave. Suite A W v Date Received: 10/15/19 Cin, State ZIP Lakewood, CO 802t4 TFSTn4G Daze Analyzed: 10/15/19 Ann: Zack Westfall NVtAP Lb Cafe 20086041 Date Reported: 10/15/19 Client Project Name: 10665 W. 26th Ave., Wheat Ridge, CO Project 1D: 19047667 Tat Requested: 3002, Asbestos in Bulk Samples Method: EPA/600/R-93/116: Method for the Determination of Asbestos in Bulk Building Materials; EPA -600/M4-82-020: Interim Method for the Determination of Asbestos in Bull: Insulation Samples Sample Identification Physical Uscrip[ion of Sample/Layer Homo- grnmus (1''N) rcent Pzrcentage Asbestos Detcc[zd Asbestos Percentage Non -Asbestos Fiber Percent . Non -Fibrous Material Percentage Matrix Material Com osition Client fab Sam le Number t . Petite 19047667 -IOC White Joint Compound N 30 ND 34 • 3ftti 100 C JC2-2 19047667 -IOD WhitefTan Drywall N 56 ND \D-N—i Detected 10 CEI.I, 90 G Purl Kaappu Laboratory Anatyst Page 4 of 5 Talent Oliver A sbinaw Lib S,;, -130r AC a Ac Lite AH . Ammo! Hair B - Binder Q: Q.-- A3I:A—ite ti].L-C.W— C. Cileite T -Tu AN AathophyBita FG • Fil.— Gtm D - Diitamn t . Petite CHAY-Chry-bk NW-Rtinetat Wpol 0-Gyysant CR - Croeidobte OT a Other 34 • 3ftti TRNI a Tr Iita Sri a Synthetic OR a Orpnic Tr -T— TL -Tarr OP-Opaq— \D-N—i Detected W.Wotlattamite P -Pwlite `AERObiolow� LAbomTORy As$OCtws, ' INCORPORVEQ rt Expertise Since 1797 Certificate of Analysis Iso sNuSt Stteet r' Suite oo Golden, CO, 80401 303.232.3746 "�'"`"-roh'°I°oy.net Client Name DS Environmental Consulting^nom nn n ® Date Collected: 10/15/19 Street address 7555 W. 10th Ave, Suite A w v Vl (� Date Received: 10/15/19 City, State ZIP Lakewood, CO 80214 TESTING� Date Analyzed: 10/15/19 Attn: Zack Westfall NVL4P lab Code 200860-0 Date Reported: 10/15/19 Client Project Name: 10665 W. 26th Ave., Wheat Ridge, CO Project ID: 19047667 Test Requested: 3002, Asbestos in Bulk Samples Method: EPA/600/R-93/116: Method for the Determination of Asbestos in Bulk Building Materials; EPA -600/M4-82-020: Interim Method for the Determination of Asbestos in Bulk Insulation Samples General Notes • ND indicates no asbestos was detected; the method detection limit is 1 %. • Trace or "< V indicates asbestos was identified in the sample, but the concentration is less than 1% and cannot be quantified without point counting. • Samples identified as inhomogeneous (more than one layer) are separated into individual layers, and each layer is analyzed and reported separately. • All regulated asbestos minerals (i.e. chrysotile, annosite, crocidolite, anthophyllite, tremolite, and actinolite) were sought in every layer of each sample, but only those asbestos minerals detected are listed. Autosite is the common name for the asbestiform variety of the minerals cunnningtonite and grunerite. Crocidolite is the common name used for the asbestiform variety of the mineral riebeckite. • Tile, vinyl, foam, plastic, and fine powder samples may contain asbestos fibers of such small diameter (< 0.25 microns in diameter) that these fibers cannot be detected by PLM. For such samples, more sensitive analytical methods (e.g. TEM, SEM, and XRD) are recommended if greater certainty about asbestos content is required. Semi -quantitative bulk TEM floor file analysis is accepted under NESHAP regulations. • These results are submitted pursuant to .Aerobiology Laboratory Associates, Inc.'s current terms and conditions of sale, including the company's standard warranty and limitation of liability provisions. No responsibility or liability is assumed for the manner in which the results are used or interpreted. • Unless notified in writing to return the samples covered by this report, Aerobiology Laboratory Associates, Inc. will store the samples for a minimum period of thirty (30) days before discarding. A slipping and handling charge will be assessed for the return of any samples. • Aerobiology does not guarantee the results of tape lifts, nicrovacs, wipe, and/or debris samples. Accurate analysis camtot be pet -formed due to particle size, media used, and/or amount of material given. Analysis of these materials should be preformed by a TEM. A result of ND does not indicate that the sample area does not contain asbestos. It means the analyst could not identify asbestos in the specific sample for the reasons listed above. Notes Required by NVLAP • This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Govemment. • This test report relates only to the items tested or calibrated. • This report is not valid unless it bears the name of a NVLAP-approved signatory. • Any reproduction of fl»s document must include the entire document in order for the report to be valid. Page 5 of 5 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: Lim- if 06- Job Address: 10k 7 1/ (4 Lk f , Permit Number:'A0.23 0 0 ,f ❑ No one available for inspection: Time It0.0o &I/PM Re -Inspection required: Yes lo) When corrections have been made, call for re -inspection at 303-234-5933 Date: / I , e/Inspector: ir` G �.Et DO NOT REMOVE THIS NOTICE 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: Job Address: 0 L; to,, 10 Permit Number: -,16 / � 0 6 (;-7 (-;, � 11 ' , I.J No one available for inspection: Time f 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 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 f� Job Address: f v Ltd Permit Number: y ❑ No one available for inspection: Time 'V : 1 t A Re -Inspection required: Yes; No When corrections have been made, call for re-insp�ation at 303-234-5933 Date: l 1 Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201803067 PERMIT NO: 201803067 ISSUED: 11/26/2018 JOB ADDRESS: 10665 W 26th Ave EXPIRES: 11/26/2019 JOB DESCRIPTION: Reroof remove and install Davinci Plastic Shake Shingles, look like wood, with 28 squares. Pitch 4/12. House Roof. **Installed per provided Manufacturers installation spec sheets** *** CONTACTS *** OWNER (303)748-1427 MCRAE BRUCE W SUB (303)948-5556 Dallas Robert Green 130142 1st Colorado Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 32,632.00 FEES Total Valuation 0.00 Use Tax 685.27 Permit Fee 534.05 ** TOTAL ** 1,219.32 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75% of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75% of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201803067 201803067 10665 W 26th Ave ISSUED: 11/26/2018 EXPIRES: 11/26/2019 Reroof remove and install Davinci Plastic Shake Shingles, look like wood, with 28 squares. Pitch 4/12. House Roof. "Installed per provided Manufacturers installation spec sheets" 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 pennit and perform the work described and approved in conjunction with this pe It I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perform�d and drat all work to be performed i s disclosed in this document anc}/or its' accompanying approved plans and specifications. 0 nature of OWNER or CONTRACTOR (Circle one) Date This permit was issued ba ation 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. 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. 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. No work of an manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 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. The issuance or granting ofpermit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordirpyce or regulation of this jurisdiction. Approval of work is subject to geld inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Laaenia Reimer -Z( I I From: no-reply@ci.wheatridge.co.us Sent: Sunday, November 25, 2018 2:35 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. The Building Division permit counter is open from 7:30 am to 3:30 pm, Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential root? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name 10665 W 26th Ave Judy McRae P1, 0 JJCd Property Owner Phone 303-748-1427 Number (enter WITH dashes, eg 303-123-4567) , Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed SKM C25818112514370.pdf Contract CONTRACTOR INFORMATION Contractor Business 1 st Colorado Roofing, LLC Name Contractor's License 1301421 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-948-5556 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 5815 w 6th ave suite 2a (Primary address of your business) Contractor Email Address production@1 stcoloradoroofing.com Retype Contractor Email production@1 stcoloradoroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of 28 the entire scope of work: Project Value (contract 32632 value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or 2 both? (check all that apply) What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: Type of material for the PITCHED roof: If "Other" is selected above, describe here: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 4/12 28 Davinci Shake, Ice and water shield, synthetic felt, d -style drip edge. Other Plastic tiles, wood like look. Installing on house SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work may not begin on this property until a permit has been issued and posted on the property. Yes Yes Yes 3 I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Dallas Green Permit Email not displaying correctly? View it in your browser. CAV71 .tNql DaVinci Shake Multi -Width Shake •Single -Width Shake INSTALLATION GUIDE DaVinci polymer shakes are carefully engineered to provide the authentic look of hand -split shakes with dramatically increased durability and resistance to fire and impact. Special care has been taken to make the product easy to install. By following these instructions, and using good installation practices, you will be assured a quality installation. NOTE TO INSTALLER DaVinci Shake offers a 5/8" thick profile, yet remains lightweight, because the shakes have an engineered rib structure. When cutting shakes for valleys or at overhangs such as eaves and gable ends, the ribbed support structure on the underside of the shake needs to be A hidden by standard metal flashings. In addition, DaVinci offers a 12" solid accessory tile that can be used in these areas and would not require the need for special flashing. Pay special attention to recommendations for accessories and installation at eaves (page 2), gable ends (page 4) and valleys (page 7). JOB SITE READY! DaVinci shake bundles are delivered to the construction site pre -collated with shingle widths and color variations in the ordered blend. This pre -planned distribution produces the right aesthetic effect every time. Collated bundles also simplify installation and save time by eliminating hand sorting on the job site. Multi -Width Shake Widths: 9" 8" 7" 6" 4" Length:22" Thickness at butt: 5/8" Single -Width Shake Widths: 9" Length:22" Thickness at butt: 5/8" This information is provided for the use of professional roofing contractors. This Installation Guide does not supersede local building codes which should always be followed. DaVinci Roofscapes*) does not warranty or have any responsibility for installation of its products. The DaVinci Roofscapes Lifetime Limited Material Warranty outlines its warranty responsibilities for the roofing materials it manufactures. For questions about DaVinci Shake or its application, contact DaVinci Roofscapesak, LLC 913-599-0766 or 800-DaVinci (800-328-4624) or www.davinciroofscapes.com Please be sure to check DaFin ci's website for updates. Installation Guide is subject to change without notice. MLIGSH-10/18 Pg. 1 of 10 INSTALLATION DECKING Distance from butt -line to felt is equal to twice the shingle exposure Decking Felt In� y DaVinci Shake must be installed on a smooth flat surface (plywood or OSB); Shingle \ exposure minimum 15/32" APA approved plywood or 7/16" approved OSB. It is necessary' that all previous roofing materials be removed prior to installation of DaVinci Shake. Imperfections in the decking may transmit through to finished roof. DRIP -EDGE Metal flashing is required on gable ends and eaves. An overhanging drip edge is recommended on gable ends to help mask the rib structure on the underside. An overhanging drip edge may also be used on eaves although non -overhanging drip edge styles are acceptable options. SELF -ADHERED MEMBRANE or Self -Adhere Style e F F DDrip Edge Membrane (Severe Climate Underlayment in accordance with Chapter 15 of the UBC) can be used Starter Course In areas where the average daily temperature in January is 25° F or lower or where ice buildup is possible, DaVinci requires self -adhered membrane be installed: from the bottom edge extending two feet above the exterior wall line on all eaves. The self -adhered membrane is required in all valleys regardless of average daily temperatures or the possibility of ice buildup. UNDERLAYMENT AND INTERLAYMENT Method 1: Class A installation One layer of GAF VersaShield® Fire—Resistant Roof Deck Protection (ESR -2053) in addition to required self -adhered membrane. Method 2: Class A Installation One layer Fontana VulcaSeal G40 in addition to the required self -adhered membrane(This system is not recognized by ICC -ES). Method 3: Class A Installation One layer of Eco Chief SOLARHIDE (ESR -4035) in addition to the required self -adhered membrane. Method 4: Class C Installation The entire roof must be covered with an approved underlayment in addition required self -adhered membrane. Pitches below 6:12 — DaVinci Shake should be installed with 30 lb felt interlay. Felt interlay is installed by rolling out 18" wide rolls of 30 lb felt at the same exposure as the shakes. The felt should be applied over the top portion of the shakes and extend onto the plywood sheathing so that the bottom edge of the felt is positioned at a distance above the butt equal to twice the weather exposure. So for an exposure of 10", start the layer of felt 20" above the butt line of the course below. If a class A installation is required the felt interlay must be used in addition to the other required underlayments. An alternative to using felt interlay is to use two layers of approved underlayment with their laps offset. If class A is required one of these layers may be GAF VersaShield or Fontana VulcaSeal G40. Note 1: Underlayment and Asphalt Shingles are listed Class A components of a listed roof deck assembly by an Approved Agency. The third party program in which products are certified, carry a label, and are listed in the directory of an agency accredited by the International Accreditation Service, Inc. (IAS), or by an accredited body that is a partner with IAS in a mutual recognition arrangement, pertaining to certification bodies and their compliance with ISO/IEC Guide 65, General Requirements for Bodies Operating Product Certification Systems. These underlayment and asphalt shingle components are to meet Class A Classification when tested to ASTM E108 or UL 790. Note 2: Underlayment and Asphalt Shingle components are to be installed with mechanical fasteners in accordance with the manufacturer's pub- lished installation instructions. Self -adhering or adhesive applied underlayment and asphalt shingle installations are outside the scope of this listing. FASTENERS Tiles should be installed with nails long enough that they will penetrate through the roof deck by at least 3/16". In most instances, 13/4" roofing nails are acceptable. We recommend copper, stainless steel, or hot -dipped galvanized nails. Ring -shank nails are optional for plywood, but must be used for OSB decks and in high wind areas. STARTER COURSE Each starter tile should be installed so that it extends past the drip edge by approximately 1 ". If using overhanging drip edge, the starter shingle may overhang less if it is appropriate for the gutter system. The starter tiles should be installed with the DaVinci logo on top. The starter tiles should be spaced 3/8" apart as tiles will expand when warm. Each starter tile should be nailed with two approved nails on a line approximately 6" from the butt and 3/4" from outside edge. MLIGSH-10/18 Pg. 2 of 10 INSTALLATION GETTING STARTED Use approved nails in each shake at or near nailing location shown on the shakes (see page 10). Nails may be placed lower than the indicators as long as the tile above it covers the nail. Once the starter tiles are in place, begin installing shakes in the lower left corner (or lower right corner for a left-handed roofer). The shakes should be flush with the starter tiles on the outer (rakes) and lower (eaves) edges. DaVinci recommends a minimum 3/8" gap between shakes. Two methods of installation are available: Straight: in which the exposure of each shake is kept consistent Staggered: in which the exposure varies by a maximum of 1" on adjacent shakes Use the alignment indicator at the top of each shake to help manage the exposure. An exposure of between 9" or 10" is acceptable for straight courses and 9" for staggered courses. As you progress up the roof, be careful not to damage shakes a ready in place. Put something, perhaps a piece of cardboard or cut shake, under toe irons (scaffolding brackets) to avoid scratching or marring the shake already installed below. STRAIGHT COURSING Install the shakes one at a time starting in the lower left hand corner if right handed or lower right hand corner if left handed. The first course of shakes should be laid directly on the starter tiles with the butt of the shake flush with the butt of the starter tile. The shakes should be installed individually with two nails in or near the defined areas. The shakes should _ be laid individually with a rack type system, also known as rack -style, stair -stepping, or pyramiding; to prevent same size shake directly on top of another. The shakes should be laid with an approximate 3/8" gap between each shake. The gaps between shakes on adjacent courses should offset by a minimum 1'/2". To assure proper horizontal alignment we recommend that chalk lines be snapped frequently. These chalk lines should be placed on the underlayments so that the shakes are aligned by the tips of the tiles rather than the butts. Straight Coursing on DaVinci Shake at a 10" Exposure Chalk lines should be snapped on underlayment with the tips of the shakes following the lines. Do not snap lines on Da Vinci Shake or use red chalk as the chalk may permanently discolor the shake. STAGGERED COURSING Staggering the courses is accomplished by laying the shakes in 9" courses with every other shingle lowered 1". An example of how to accomplish this is as follows: Step 1: Lay the first course of shakes flush on top of the starter. Then snap a horizontal line 9" above the tips of the shakes you just installed or 31" from the eave line (butt of the shake you just laid). Step 2: The first shake on second course should be installed putting the tip of the shake on the chalk line. The next or adjacent shake should be V below the line. The third shake should be on the line; the fourth shake should be below the line. This continues in the same pattern all the way across the roof one shingle tip on the line and the next 1" below the line. 3/8" Gap between each shingle Staggered Coursing on DaVinci Shake at a 9" Exposure MLIGSH-10/18 Pg.3 of 10 42" 32" 22" IN 31' 22" INSTALLATION STAGGERED COURSING (Continued) Step 3: Snap another horizontal line 9" above the line you chalked in Step 2 or 40" above the butt of the first course of shakes. Start laying shakes as in Step 2 with the first shake tip on the line and the next shake tip about 1" below the line. Step 4: Continue up the roof in this manner. Every course does not need to be chalked. As roofers begin to understand the concept, they may use alignment indicators to accomplish the stagger. However, we do recommend frequent horizontal chalking to assure correct alignment. Chalk lines should be snapped on underlayment with the tips of the shakes following the lines. Do not snap lines on Da Irnci Shake or use red chalk as the chalk may permanently discolor the shake. Single -Width 9" Shake Installation Tip: 4 %2" or 5" setback pattern Method 1: A 5" setback pattern is recommended. In this method, starting from the bottom course, each 9" shake is set back 5" from the shake on the adjacent course. This pattern is most easily established by using a roofing hammer with gauge set at 5" Once the pattern has been established the setback should be checked occasionally. Method 2: A 4 ''/2" pattern may also be used. In this method, starting from the bottom course, each 9" shake is set back 4 ''/2" from the shake on the adjacent course. This method requires that the pattern be straight vertically as well as horizontally because the breaks between shakes on alternate course are aligned. With this method we recommend frequent vertical chalk lines so that the pattern may be checked regularly. GAP The recommended gap between shakes is 3/8" with a minimum 3/16" gap required. The number of shingles per square for DaVinci Shake is based on the assumption of 3/8" spacing between shakes. If spacing is less, more shingles per square will be required. AVOID "CRACK ON CRACK" The gap between two shingles in one course should always line up 1 %" or more from the gap between two shingles in the course below. Correct Incorrect MLIGSH-10/18 GABLE ENDS / RAKES Cutting DaVinci Shakes at gable ends, or where a course terminates can almost always be avoided by choosing from the five different shake sizes and adjusting the spacing between shakes. In the rare case when cutting is required, shakes should be cut so that the factory edge faces out on the gable end. Single -Width Shake Installation Tip The shakes are all 9" wide so must be cut at gable ends and any abutments. The 9" shakes should be cut so that the factory edge is on the outside. CUTTING DaVinci Slate may be cut with a utility knife and straight edge. It may also be cut effectively with a circular saw. Carbide tooth blades are recommended for maximum blade life. COLOR AND WIDTH VARIATION DaVinci multi -width field shakes come in five widths: 9", 8", 7", 6" and 4". Each bundle contains a mixture of 25 shakes and includes a pre -collated assortment of widths and colors needed for each color blend. Single -Width Valore shakes come in a single 9" width with 20 shakes per bundle. DaVinci Roofscapes recommends that the shakes should generally be installed as they come out of the bundles. Keep in mind there must be 1%" side lap maintained and installation must be in a rack or pyramid style. Pg. 4 of 10 INSTALLATION ONE-PIECE HIP AND RIDGE APPLICATION: HIP AND RIDGE PREPARATION DaVinci one-piece hip and ridge shakes have an optimum appearance when used on pitches of 12:12 or less. Steeper pitches may cause outside edge to lift and it is recommended the conventional two-piece hip and ridge method be used for pitches greater than 12:12. Roofing nails that penetrate through the roof deck and exceed it by 3/16" should be used. RIDGE VENT APPLICATION If using a continuous ridge vent we recommend a rigid shingle roll-over type. Once the continuous vent is installed, prepackaged 12" DaVinci One -Piece Hip and Ridge shingles should be installed in accordance with the standard hip and ridge installation instructions below. Special caution should be used when cutting the decking on the ridge to assure adequate nailing for the ridge pieces. DAVINCI ONE-PIECE HIP AND RIDGE SHINGLE INSTALLATION • DaVinci Shake one-piece hip and ridge should be installed at a 10" exposure with two roofing nails in each piece. • A pair of 6" shakes should be used as a starter course underneath the first piece of hip and ridge. These 6" tiles should be cut so that they are approximately 5" widths and they should also be cut in length so that they don't extend beyond the top of the second course of field tiles. If preferred on the bottom of a hip the two 6" DaVinci Shakes may be placed upside down so that the rib structure on the underside is not visible. • When installing the hip and ridge attempt to nail in areas where the underneath shakes offer support. It is not necessary to nail precisely in the nailing circles. This is especially important on hips. Roofing nails that penetrate through the roof deck by 3/16" should be used. 1 r "b 12" DaVinci Shake 12" exposureOne-Piece Hip and Ridge MLIGSH-10/18 Pg.5 of 10 INSTALLATION TWO-PIECE HIP AND RIDGE APPLICATION: HIP AND RIDGE PREPARATION After installing field shakes, hips and ridges should be prepared by installing a minimum 6" wide piece of non -corrosive metal, UV stable EPDM or equivalent over the hips and ridges. This metal or EPDM should extend at least three inches from the center point on each side of the hip or ridge. RIDGE VENT APPLICATION If using a continuous ridge vent we recommend a rigid shingle roll-over type. When installing continuous ridge vent, care should be taken to insure joints in ridge vent are water tight. Once the continuous vent is installed, prepackaged 6" DaVinci hip and ridge shakes should be installed in accordance with the standard hip and ridge installation instructions below. Caution should be used when cutting the decking on the ridge to assure adequate nailing for the ridge pieces. Roofing nails that penetrate through the roof deck and exceed it by 3/16" should be used. TWO-PIECE HIP AND RIDGE SHINGLE APPLICATION The bottom piece of hip and ridge should be cut so the tip does not extend past the butt of the second course. If preferred on the bottom of a hip, two 6" DaVinci Shake cut 5" wide placed upside down can be used as an under course. This will prevent the rib structure from being seen on the underside. These shakes that make up a hip and ridge unit should be installed with a ten -inch exposure. Using a chalk line to assure straightness, the prepackaged 6" hip and ridge should be installed one piece at a time so that the butts of two shingles are adjacent and the inside edges touch. MLIGSH-10/18 Pg.6 of 10 INSTALLATION VALLEYS Because DaVinci Shake has a rib -structure on the underside*, care must be used when installing DaVinci Shake in valleys. Open or closed valley systems may be used with variants of each system. Whether installing an open or a closed valley system, valley metal should be made from 24" stock of copper, minimum .019 aluminum, or minimum 28 -gauge clad steel. DaVinci requires self -adhered membrane be used in all valleys. *A 12" solid shake accessory tile is available. OPEN VALLEYS If open valleys are preferred, be aware that the cut edge of the tile may be seen. Location of the valley, roof pitch and height of roof should be considered in determining if the cut tiles will have an acceptable appearance. Option A: In many cases, with steeper pitched roofs, it is acceptable to Option A install a "W" valley and cut the DaVinci Shake on an angle parallel and Single Diverter Valley Metal 2'h" from the center diverter. Keep in mind that the cut rib structure of the shakes may be visible from the ground with some roof pitches. DaVinci offers 12" solid tiles if the rib structure or open area under DaVinci IOV2" shakes is a concern. Option B: Double "W" valley. This should be made from 24" stock that is broken in the middle without diverter to look like a "V" Additionally, there should be a "W" (diverter) on either side 2'/2" from the center line. (See Diagram) DaVinci Shake should be cut and laid against the diverters on either side to mask the rib structure. Valley metal broken from 24" stock. The top corner of the shake closest to the center of the valley should be cut off at a 45° angle. Nail as far from center as practical. Try to not nail closer than 5" from center. Option B Twin Diverter Valley Metal lo° Valley metal (Option A or B) Self -adhered membrane is required in all valleys. Use wider shakes adjacent to where possible. MLIGSH-10/18 Pg. 7 of 10 INSTALLATION CLOSED VALLEYS A closed valley can be achieved by using valley metal option (A or B). In our preferred method, option A, valley metal with a single, narrow -based diverter in the middle is used and the DaVinci Shakes are cut and butted to the diverter. An alternate is to use standard "W" valley with the shakes butted against the diverter. Wider shakes should be used as valley cuts in order to ensure that nailing be kept at least 5" from center or as far from center as possible. Option A: Install valley with a standing seam in the middle and place already -cut DaVinci Shake against center standing seam. Option B: It is acceptable to install a "W" valley and place an all ready -cut DaVinci Shake against center diverter. Metal should be broken with a diverter at least 1'/4" tall. Valley metal broken from 24" stock. The top corner of the shake closest to the center of the valley should be cut off at a 45° angle. Nail as far from center as practical. Try to not nail closer than 5" from center. Option A Standing Seam Valley Metal 1 V4.' 10'/2" Option B Single Diverter Valley Metal Valley metal (Option A or B) Self -adhered membrane is required in all valleys. Use wider shakes adjacent to where possible. MLIGSH-10/18 Pg.8 of 10 SPECIAL ISSUES FLASHING Flashing should be used in all areas where the roof abuts a vertical wall, dormer, chimney, skylight or other structural protrusions. Use the step flashing method,with copper, a minimum of 28 -gauge clad steel, or a minimum .019 aluminum flashing. The flashing should extend 4" upvertical walls. Counter Flashing Apron Flashing VENTILATION In some climatic regions of the country, proper ventilation is crucial to the performance of a roofing system. Proper ventilation is especially important in cold climates where modern houses are well insulated and weather -tight. We suggest you follow standard building practices in your area and meet all national and local building codes. A continuous ridge vent combined with proper intake or eave ventilation is an especially effective ventilation system, and one that we highly recommend. SNOW GUARDS Snow guards should be considered in all geographic areas where accumulating snow fall is possible. Most kinds of brass, copper, or clad aluminum snow guard systems work well with DaVinci. Rocky Mountain Snow Guards, Inc. is good source for further information about snow guards. Contact them at www.rockymountainsnowguards.com or call 877-414-7606. It is recommended that snow guards be installed during the installation of the DaVinci roof although retro -fit snow guards are available for previously installed DaVinci roofs. Details regarding installation remain the w w, lir Fold down counter flashing over step flashing. Fasten flashing �- to roof. Continuous Vent One sqi r, vent foi responsibility of the installer and the customer.+,t For additional information please see Q & A Guide to Snow Guards at http://dvroof.com/IBEYNIW. Consult with your local contractor to determine if snow guards would be appropriate for your project. DaVinci makes no representations or warranties about the propriety of snow guard installation on any given project. Rather, the decision to install snow guards rests solely with the end user. MLIGSH-10/18 Pg. 9 of 10 PRODUCT FEATURES EXPOSURE ROOF PITCH COURSING INTERLAY MAX. EXPOSURE Less than 3:12 Not Recommended less than 6:12 Staggered Required* 9" less than 6:12 Straight Required* 10" 6:12 or greater Staggered Recommended 9" 6:12 or greater Straight Recommended 10" Felt interlay it suggested on any pitch and required on pitches less than 6" in IT! *If two layers of Fontana VulcaSeal is used interlay is not required. NAILING Each shake should be applied with two copper, non -corrosive stainless steel, or hot -dipped galvanized, 3/8" head x 13/a" length nails in most instances. Roofing nails that penetrate through the roof deck and exceed it by 3/16" should be used. Shakes can be nailed by hand or with a pneumatic nail gun. Don't overdrive nails or drive nails at an angle. Keep the nail head flush with the surface of the shingle to avoid creating "craters" which can collect moisture and can also prevent the exposed end of the shingles from laying flat. Use these alignment guides with the top edge of the previous row of shakes to control the exposure. CUTTING DaVinci Shake can be cut with a utility knife and straight edge. Electrical circular saws (carbide blade, two teeth per inch) or cordless circular saws (a minimum of 18 volts is recommended) may also be used. Please note: DaVinci Shake is made flat, should be stored flat and must not be installed unless it is flat and in its original form. If shakes are not stored flat and become twisted or curled, lay them flat in a warm place and they will return to their original flatness. Damaged shake should never be installed. ELECTRO-GALVINIZED NAILS DaVinci recommends the use of copper, stainless steel, or hot -dipped galvanized nails. We realize however that in many climatic regions nail corrosion is not a factor in the long-term performance of the roof system. Therefore DaVinci Roofscapes supports the use of Electro -galvanized nails and a system using those nails will be in compliance with the DaVinci Lifetime Limited Material Warranty. The exception to that is that if the nails fail, any portion of the warranty associated with wind performance would be void. QUICK REFERENCE • Don't overdrive or install nails at an angle • Always leave a gap between all tiles • Vertical, always install up the roof not one row across the roof at a time • Install over a clean plywood deck only • Never use red chalk • Cut edges always go to the inside along rake edges or gable ends • Install snowguards in any snow prone area ISSUE DAVINCI RECOMMENDS ACCEPTABLE ALTERNATIVES Valley Copper 28 -gauge clad metal Flashing Copper 28 -gauge clad metal Eaves Flashing Copper 28 -gauge clad metal Nails Non -Corrosive Stainless Steel Hot -dipped Galvanized For questions about DaVinci Shake or its application, contact DaVinci Roofscapes®, LLC 913-599-0766 or 800-DaVinci (800-328-4624) or www.davinciroofscapes.com Please be sure to check Da trnci's website for updates. Installation Guide is subject to change without notice. MLIGSH-10/18 Pg. 10 of 10 City of Wheat Ridge Residential Roofing PERMIT - 201803067 PERMIT NO: 201803067 ISSUED: 11/26/2018 JOB ADDRESS: 10665 W 26th Ave EXPIRES: 11/26/2019 JOB DESCRIPTION: Reroof remove and install Davinci Plastic Shake Shingles, look like wood, with 28 squares. Pitch 4/12. House Roof. **Installed per provided Manufacturers installation spec sheets** *** CONTACTS *** OWNER (303)748-1427 MCRAE BRUCE W SUB (303)948-5556 Dallas Robert Green 130142 1st Colorado Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 32,632.00 FEES Total Valuation 0.00 Use Tax 685.27 Permit Fee 534.05 ** TOTAL ** 1,219.32 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75% of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75% of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201803067 201803067 10665 W 26th Ave ISSUED: 11/26/2018 EXPIRES: 11/26/2019 Reroof remove and install Davinci Plastic Shake Shingles, look like wood, with 28 squares. Pitch 4/12. House Roof. "Installed per provided Manufacturers installation spec sheets" 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 pennit and perform the work described and approved in conjunction with this pe It I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perform�d and drat all work to be performed i s disclosed in this document anc}/or its' accompanying approved plans and specifications. 0 nature of OWNER or CONTRACTOR (Circle one) Date This permit was issued ba ation 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. 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. 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. No work of an manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 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. The issuance or granting ofpermit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordirpyce or regulation of this jurisdiction. Approval of work is subject to geld inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Laaenia Reimer -Z( I I From: no-reply@ci.wheatridge.co.us Sent: Sunday, November 25, 2018 2:35 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. The Building Division permit counter is open from 7:30 am to 3:30 pm, Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential root? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name 10665 W 26th Ave Judy McRae P1, 0 JJCd Property Owner Phone 303-748-1427 Number (enter WITH dashes, eg 303-123-4567) , Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed SKM C25818112514370.pdf Contract CONTRACTOR INFORMATION Contractor Business 1 st Colorado Roofing, LLC Name Contractor's License 1301421 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-948-5556 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 5815 w 6th ave suite 2a (Primary address of your business) Contractor Email Address production@1 stcoloradoroofing.com Retype Contractor Email production@1 stcoloradoroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of 28 the entire scope of work: Project Value (contract 32632 value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or 2 both? (check all that apply) What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: Type of material for the PITCHED roof: If "Other" is selected above, describe here: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 4/12 28 Davinci Shake, Ice and water shield, synthetic felt, d -style drip edge. Other Plastic tiles, wood like look. Installing on house SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work may not begin on this property until a permit has been issued and posted on the property. Yes Yes Yes 3 I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Dallas Green Permit Email not displaying correctly? View it in your browser. CAV71 .tNql DaVinci Shake Multi -Width Shake •Single -Width Shake INSTALLATION GUIDE DaVinci polymer shakes are carefully engineered to provide the authentic look of hand -split shakes with dramatically increased durability and resistance to fire and impact. Special care has been taken to make the product easy to install. By following these instructions, and using good installation practices, you will be assured a quality installation. NOTE TO INSTALLER DaVinci Shake offers a 5/8" thick profile, yet remains lightweight, because the shakes have an engineered rib structure. When cutting shakes for valleys or at overhangs such as eaves and gable ends, the ribbed support structure on the underside of the shake needs to be A hidden by standard metal flashings. In addition, DaVinci offers a 12" solid accessory tile that can be used in these areas and would not require the need for special flashing. Pay special attention to recommendations for accessories and installation at eaves (page 2), gable ends (page 4) and valleys (page 7). JOB SITE READY! DaVinci shake bundles are delivered to the construction site pre -collated with shingle widths and color variations in the ordered blend. This pre -planned distribution produces the right aesthetic effect every time. Collated bundles also simplify installation and save time by eliminating hand sorting on the job site. Multi -Width Shake Widths: 9" 8" 7" 6" 4" Length:22" Thickness at butt: 5/8" Single -Width Shake Widths: 9" Length:22" Thickness at butt: 5/8" This information is provided for the use of professional roofing contractors. This Installation Guide does not supersede local building codes which should always be followed. DaVinci Roofscapes*) does not warranty or have any responsibility for installation of its products. The DaVinci Roofscapes Lifetime Limited Material Warranty outlines its warranty responsibilities for the roofing materials it manufactures. For questions about DaVinci Shake or its application, contact DaVinci Roofscapesak, LLC 913-599-0766 or 800-DaVinci (800-328-4624) or www.davinciroofscapes.com Please be sure to check DaFin ci's website for updates. Installation Guide is subject to change without notice. MLIGSH-10/18 Pg. 1 of 10 INSTALLATION DECKING Distance from butt -line to felt is equal to twice the shingle exposure Decking Felt In� y DaVinci Shake must be installed on a smooth flat surface (plywood or OSB); Shingle \ exposure minimum 15/32" APA approved plywood or 7/16" approved OSB. It is necessary' that all previous roofing materials be removed prior to installation of DaVinci Shake. Imperfections in the decking may transmit through to finished roof. DRIP -EDGE Metal flashing is required on gable ends and eaves. An overhanging drip edge is recommended on gable ends to help mask the rib structure on the underside. An overhanging drip edge may also be used on eaves although non -overhanging drip edge styles are acceptable options. SELF -ADHERED MEMBRANE or Self -Adhere Style e F F DDrip Edge Membrane (Severe Climate Underlayment in accordance with Chapter 15 of the UBC) can be used Starter Course In areas where the average daily temperature in January is 25° F or lower or where ice buildup is possible, DaVinci requires self -adhered membrane be installed: from the bottom edge extending two feet above the exterior wall line on all eaves. The self -adhered membrane is required in all valleys regardless of average daily temperatures or the possibility of ice buildup. UNDERLAYMENT AND INTERLAYMENT Method 1: Class A installation One layer of GAF VersaShield® Fire—Resistant Roof Deck Protection (ESR -2053) in addition to required self -adhered membrane. Method 2: Class A Installation One layer Fontana VulcaSeal G40 in addition to the required self -adhered membrane(This system is not recognized by ICC -ES). Method 3: Class A Installation One layer of Eco Chief SOLARHIDE (ESR -4035) in addition to the required self -adhered membrane. Method 4: Class C Installation The entire roof must be covered with an approved underlayment in addition required self -adhered membrane. Pitches below 6:12 — DaVinci Shake should be installed with 30 lb felt interlay. Felt interlay is installed by rolling out 18" wide rolls of 30 lb felt at the same exposure as the shakes. The felt should be applied over the top portion of the shakes and extend onto the plywood sheathing so that the bottom edge of the felt is positioned at a distance above the butt equal to twice the weather exposure. So for an exposure of 10", start the layer of felt 20" above the butt line of the course below. If a class A installation is required the felt interlay must be used in addition to the other required underlayments. An alternative to using felt interlay is to use two layers of approved underlayment with their laps offset. If class A is required one of these layers may be GAF VersaShield or Fontana VulcaSeal G40. Note 1: Underlayment and Asphalt Shingles are listed Class A components of a listed roof deck assembly by an Approved Agency. The third party program in which products are certified, carry a label, and are listed in the directory of an agency accredited by the International Accreditation Service, Inc. (IAS), or by an accredited body that is a partner with IAS in a mutual recognition arrangement, pertaining to certification bodies and their compliance with ISO/IEC Guide 65, General Requirements for Bodies Operating Product Certification Systems. These underlayment and asphalt shingle components are to meet Class A Classification when tested to ASTM E108 or UL 790. Note 2: Underlayment and Asphalt Shingle components are to be installed with mechanical fasteners in accordance with the manufacturer's pub- lished installation instructions. Self -adhering or adhesive applied underlayment and asphalt shingle installations are outside the scope of this listing. FASTENERS Tiles should be installed with nails long enough that they will penetrate through the roof deck by at least 3/16". In most instances, 13/4" roofing nails are acceptable. We recommend copper, stainless steel, or hot -dipped galvanized nails. Ring -shank nails are optional for plywood, but must be used for OSB decks and in high wind areas. STARTER COURSE Each starter tile should be installed so that it extends past the drip edge by approximately 1 ". If using overhanging drip edge, the starter shingle may overhang less if it is appropriate for the gutter system. The starter tiles should be installed with the DaVinci logo on top. The starter tiles should be spaced 3/8" apart as tiles will expand when warm. Each starter tile should be nailed with two approved nails on a line approximately 6" from the butt and 3/4" from outside edge. MLIGSH-10/18 Pg. 2 of 10 INSTALLATION GETTING STARTED Use approved nails in each shake at or near nailing location shown on the shakes (see page 10). Nails may be placed lower than the indicators as long as the tile above it covers the nail. Once the starter tiles are in place, begin installing shakes in the lower left corner (or lower right corner for a left-handed roofer). The shakes should be flush with the starter tiles on the outer (rakes) and lower (eaves) edges. DaVinci recommends a minimum 3/8" gap between shakes. Two methods of installation are available: Straight: in which the exposure of each shake is kept consistent Staggered: in which the exposure varies by a maximum of 1" on adjacent shakes Use the alignment indicator at the top of each shake to help manage the exposure. An exposure of between 9" or 10" is acceptable for straight courses and 9" for staggered courses. As you progress up the roof, be careful not to damage shakes a ready in place. Put something, perhaps a piece of cardboard or cut shake, under toe irons (scaffolding brackets) to avoid scratching or marring the shake already installed below. STRAIGHT COURSING Install the shakes one at a time starting in the lower left hand corner if right handed or lower right hand corner if left handed. The first course of shakes should be laid directly on the starter tiles with the butt of the shake flush with the butt of the starter tile. The shakes should be installed individually with two nails in or near the defined areas. The shakes should _ be laid individually with a rack type system, also known as rack -style, stair -stepping, or pyramiding; to prevent same size shake directly on top of another. The shakes should be laid with an approximate 3/8" gap between each shake. The gaps between shakes on adjacent courses should offset by a minimum 1'/2". To assure proper horizontal alignment we recommend that chalk lines be snapped frequently. These chalk lines should be placed on the underlayments so that the shakes are aligned by the tips of the tiles rather than the butts. Straight Coursing on DaVinci Shake at a 10" Exposure Chalk lines should be snapped on underlayment with the tips of the shakes following the lines. Do not snap lines on Da Vinci Shake or use red chalk as the chalk may permanently discolor the shake. STAGGERED COURSING Staggering the courses is accomplished by laying the shakes in 9" courses with every other shingle lowered 1". An example of how to accomplish this is as follows: Step 1: Lay the first course of shakes flush on top of the starter. Then snap a horizontal line 9" above the tips of the shakes you just installed or 31" from the eave line (butt of the shake you just laid). Step 2: The first shake on second course should be installed putting the tip of the shake on the chalk line. The next or adjacent shake should be V below the line. The third shake should be on the line; the fourth shake should be below the line. This continues in the same pattern all the way across the roof one shingle tip on the line and the next 1" below the line. 3/8" Gap between each shingle Staggered Coursing on DaVinci Shake at a 9" Exposure MLIGSH-10/18 Pg.3 of 10 42" 32" 22" IN 31' 22" INSTALLATION STAGGERED COURSING (Continued) Step 3: Snap another horizontal line 9" above the line you chalked in Step 2 or 40" above the butt of the first course of shakes. Start laying shakes as in Step 2 with the first shake tip on the line and the next shake tip about 1" below the line. Step 4: Continue up the roof in this manner. Every course does not need to be chalked. As roofers begin to understand the concept, they may use alignment indicators to accomplish the stagger. However, we do recommend frequent horizontal chalking to assure correct alignment. Chalk lines should be snapped on underlayment with the tips of the shakes following the lines. Do not snap lines on Da Irnci Shake or use red chalk as the chalk may permanently discolor the shake. Single -Width 9" Shake Installation Tip: 4 %2" or 5" setback pattern Method 1: A 5" setback pattern is recommended. In this method, starting from the bottom course, each 9" shake is set back 5" from the shake on the adjacent course. This pattern is most easily established by using a roofing hammer with gauge set at 5" Once the pattern has been established the setback should be checked occasionally. Method 2: A 4 ''/2" pattern may also be used. In this method, starting from the bottom course, each 9" shake is set back 4 ''/2" from the shake on the adjacent course. This method requires that the pattern be straight vertically as well as horizontally because the breaks between shakes on alternate course are aligned. With this method we recommend frequent vertical chalk lines so that the pattern may be checked regularly. GAP The recommended gap between shakes is 3/8" with a minimum 3/16" gap required. The number of shingles per square for DaVinci Shake is based on the assumption of 3/8" spacing between shakes. If spacing is less, more shingles per square will be required. AVOID "CRACK ON CRACK" The gap between two shingles in one course should always line up 1 %" or more from the gap between two shingles in the course below. Correct Incorrect MLIGSH-10/18 GABLE ENDS / RAKES Cutting DaVinci Shakes at gable ends, or where a course terminates can almost always be avoided by choosing from the five different shake sizes and adjusting the spacing between shakes. In the rare case when cutting is required, shakes should be cut so that the factory edge faces out on the gable end. Single -Width Shake Installation Tip The shakes are all 9" wide so must be cut at gable ends and any abutments. The 9" shakes should be cut so that the factory edge is on the outside. CUTTING DaVinci Slate may be cut with a utility knife and straight edge. It may also be cut effectively with a circular saw. Carbide tooth blades are recommended for maximum blade life. COLOR AND WIDTH VARIATION DaVinci multi -width field shakes come in five widths: 9", 8", 7", 6" and 4". Each bundle contains a mixture of 25 shakes and includes a pre -collated assortment of widths and colors needed for each color blend. Single -Width Valore shakes come in a single 9" width with 20 shakes per bundle. DaVinci Roofscapes recommends that the shakes should generally be installed as they come out of the bundles. Keep in mind there must be 1%" side lap maintained and installation must be in a rack or pyramid style. Pg. 4 of 10 INSTALLATION ONE-PIECE HIP AND RIDGE APPLICATION: HIP AND RIDGE PREPARATION DaVinci one-piece hip and ridge shakes have an optimum appearance when used on pitches of 12:12 or less. Steeper pitches may cause outside edge to lift and it is recommended the conventional two-piece hip and ridge method be used for pitches greater than 12:12. Roofing nails that penetrate through the roof deck and exceed it by 3/16" should be used. RIDGE VENT APPLICATION If using a continuous ridge vent we recommend a rigid shingle roll-over type. Once the continuous vent is installed, prepackaged 12" DaVinci One -Piece Hip and Ridge shingles should be installed in accordance with the standard hip and ridge installation instructions below. Special caution should be used when cutting the decking on the ridge to assure adequate nailing for the ridge pieces. DAVINCI ONE-PIECE HIP AND RIDGE SHINGLE INSTALLATION • DaVinci Shake one-piece hip and ridge should be installed at a 10" exposure with two roofing nails in each piece. • A pair of 6" shakes should be used as a starter course underneath the first piece of hip and ridge. These 6" tiles should be cut so that they are approximately 5" widths and they should also be cut in length so that they don't extend beyond the top of the second course of field tiles. If preferred on the bottom of a hip the two 6" DaVinci Shakes may be placed upside down so that the rib structure on the underside is not visible. • When installing the hip and ridge attempt to nail in areas where the underneath shakes offer support. It is not necessary to nail precisely in the nailing circles. This is especially important on hips. Roofing nails that penetrate through the roof deck by 3/16" should be used. 1 r "b 12" DaVinci Shake 12" exposureOne-Piece Hip and Ridge MLIGSH-10/18 Pg.5 of 10 INSTALLATION TWO-PIECE HIP AND RIDGE APPLICATION: HIP AND RIDGE PREPARATION After installing field shakes, hips and ridges should be prepared by installing a minimum 6" wide piece of non -corrosive metal, UV stable EPDM or equivalent over the hips and ridges. This metal or EPDM should extend at least three inches from the center point on each side of the hip or ridge. RIDGE VENT APPLICATION If using a continuous ridge vent we recommend a rigid shingle roll-over type. When installing continuous ridge vent, care should be taken to insure joints in ridge vent are water tight. Once the continuous vent is installed, prepackaged 6" DaVinci hip and ridge shakes should be installed in accordance with the standard hip and ridge installation instructions below. Caution should be used when cutting the decking on the ridge to assure adequate nailing for the ridge pieces. Roofing nails that penetrate through the roof deck and exceed it by 3/16" should be used. TWO-PIECE HIP AND RIDGE SHINGLE APPLICATION The bottom piece of hip and ridge should be cut so the tip does not extend past the butt of the second course. If preferred on the bottom of a hip, two 6" DaVinci Shake cut 5" wide placed upside down can be used as an under course. This will prevent the rib structure from being seen on the underside. These shakes that make up a hip and ridge unit should be installed with a ten -inch exposure. Using a chalk line to assure straightness, the prepackaged 6" hip and ridge should be installed one piece at a time so that the butts of two shingles are adjacent and the inside edges touch. MLIGSH-10/18 Pg.6 of 10 INSTALLATION VALLEYS Because DaVinci Shake has a rib -structure on the underside*, care must be used when installing DaVinci Shake in valleys. Open or closed valley systems may be used with variants of each system. Whether installing an open or a closed valley system, valley metal should be made from 24" stock of copper, minimum .019 aluminum, or minimum 28 -gauge clad steel. DaVinci requires self -adhered membrane be used in all valleys. *A 12" solid shake accessory tile is available. OPEN VALLEYS If open valleys are preferred, be aware that the cut edge of the tile may be seen. Location of the valley, roof pitch and height of roof should be considered in determining if the cut tiles will have an acceptable appearance. Option A: In many cases, with steeper pitched roofs, it is acceptable to Option A install a "W" valley and cut the DaVinci Shake on an angle parallel and Single Diverter Valley Metal 2'h" from the center diverter. Keep in mind that the cut rib structure of the shakes may be visible from the ground with some roof pitches. DaVinci offers 12" solid tiles if the rib structure or open area under DaVinci IOV2" shakes is a concern. Option B: Double "W" valley. This should be made from 24" stock that is broken in the middle without diverter to look like a "V" Additionally, there should be a "W" (diverter) on either side 2'/2" from the center line. (See Diagram) DaVinci Shake should be cut and laid against the diverters on either side to mask the rib structure. Valley metal broken from 24" stock. The top corner of the shake closest to the center of the valley should be cut off at a 45° angle. Nail as far from center as practical. Try to not nail closer than 5" from center. Option B Twin Diverter Valley Metal lo° Valley metal (Option A or B) Self -adhered membrane is required in all valleys. Use wider shakes adjacent to where possible. MLIGSH-10/18 Pg. 7 of 10 INSTALLATION CLOSED VALLEYS A closed valley can be achieved by using valley metal option (A or B). In our preferred method, option A, valley metal with a single, narrow -based diverter in the middle is used and the DaVinci Shakes are cut and butted to the diverter. An alternate is to use standard "W" valley with the shakes butted against the diverter. Wider shakes should be used as valley cuts in order to ensure that nailing be kept at least 5" from center or as far from center as possible. Option A: Install valley with a standing seam in the middle and place already -cut DaVinci Shake against center standing seam. Option B: It is acceptable to install a "W" valley and place an all ready -cut DaVinci Shake against center diverter. Metal should be broken with a diverter at least 1'/4" tall. Valley metal broken from 24" stock. The top corner of the shake closest to the center of the valley should be cut off at a 45° angle. Nail as far from center as practical. Try to not nail closer than 5" from center. Option A Standing Seam Valley Metal 1 V4.' 10'/2" Option B Single Diverter Valley Metal Valley metal (Option A or B) Self -adhered membrane is required in all valleys. Use wider shakes adjacent to where possible. MLIGSH-10/18 Pg.8 of 10 SPECIAL ISSUES FLASHING Flashing should be used in all areas where the roof abuts a vertical wall, dormer, chimney, skylight or other structural protrusions. Use the step flashing method,with copper, a minimum of 28 -gauge clad steel, or a minimum .019 aluminum flashing. The flashing should extend 4" upvertical walls. Counter Flashing Apron Flashing VENTILATION In some climatic regions of the country, proper ventilation is crucial to the performance of a roofing system. Proper ventilation is especially important in cold climates where modern houses are well insulated and weather -tight. We suggest you follow standard building practices in your area and meet all national and local building codes. A continuous ridge vent combined with proper intake or eave ventilation is an especially effective ventilation system, and one that we highly recommend. SNOW GUARDS Snow guards should be considered in all geographic areas where accumulating snow fall is possible. Most kinds of brass, copper, or clad aluminum snow guard systems work well with DaVinci. Rocky Mountain Snow Guards, Inc. is good source for further information about snow guards. Contact them at www.rockymountainsnowguards.com or call 877-414-7606. It is recommended that snow guards be installed during the installation of the DaVinci roof although retro -fit snow guards are available for previously installed DaVinci roofs. Details regarding installation remain the w w, lir Fold down counter flashing over step flashing. Fasten flashing �- to roof. Continuous Vent One sqi r, vent foi responsibility of the installer and the customer.+,t For additional information please see Q & A Guide to Snow Guards at http://dvroof.com/IBEYNIW. Consult with your local contractor to determine if snow guards would be appropriate for your project. DaVinci makes no representations or warranties about the propriety of snow guard installation on any given project. Rather, the decision to install snow guards rests solely with the end user. MLIGSH-10/18 Pg. 9 of 10 PRODUCT FEATURES EXPOSURE ROOF PITCH COURSING INTERLAY MAX. EXPOSURE Less than 3:12 Not Recommended less than 6:12 Staggered Required* 9" less than 6:12 Straight Required* 10" 6:12 or greater Staggered Recommended 9" 6:12 or greater Straight Recommended 10" Felt interlay it suggested on any pitch and required on pitches less than 6" in IT! *If two layers of Fontana VulcaSeal is used interlay is not required. NAILING Each shake should be applied with two copper, non -corrosive stainless steel, or hot -dipped galvanized, 3/8" head x 13/a" length nails in most instances. Roofing nails that penetrate through the roof deck and exceed it by 3/16" should be used. Shakes can be nailed by hand or with a pneumatic nail gun. Don't overdrive nails or drive nails at an angle. Keep the nail head flush with the surface of the shingle to avoid creating "craters" which can collect moisture and can also prevent the exposed end of the shingles from laying flat. Use these alignment guides with the top edge of the previous row of shakes to control the exposure. CUTTING DaVinci Shake can be cut with a utility knife and straight edge. Electrical circular saws (carbide blade, two teeth per inch) or cordless circular saws (a minimum of 18 volts is recommended) may also be used. Please note: DaVinci Shake is made flat, should be stored flat and must not be installed unless it is flat and in its original form. If shakes are not stored flat and become twisted or curled, lay them flat in a warm place and they will return to their original flatness. Damaged shake should never be installed. ELECTRO-GALVINIZED NAILS DaVinci recommends the use of copper, stainless steel, or hot -dipped galvanized nails. We realize however that in many climatic regions nail corrosion is not a factor in the long-term performance of the roof system. Therefore DaVinci Roofscapes supports the use of Electro -galvanized nails and a system using those nails will be in compliance with the DaVinci Lifetime Limited Material Warranty. The exception to that is that if the nails fail, any portion of the warranty associated with wind performance would be void. QUICK REFERENCE • Don't overdrive or install nails at an angle • Always leave a gap between all tiles • Vertical, always install up the roof not one row across the roof at a time • Install over a clean plywood deck only • Never use red chalk • Cut edges always go to the inside along rake edges or gable ends • Install snowguards in any snow prone area ISSUE DAVINCI RECOMMENDS ACCEPTABLE ALTERNATIVES Valley Copper 28 -gauge clad metal Flashing Copper 28 -gauge clad metal Eaves Flashing Copper 28 -gauge clad metal Nails Non -Corrosive Stainless Steel Hot -dipped Galvanized For questions about DaVinci Shake or its application, contact DaVinci Roofscapes®, LLC 913-599-0766 or 800-DaVinci (800-328-4624) or www.davinciroofscapes.com Please be sure to check Da trnci's website for updates. Installation Guide is subject to change without notice. MLIGSH-10/18 Pg. 10 of 10 Certificate Of Completion Building Division 7500 W 29TH AVE WHEAT RIDGE • 80033-8001 Permit#:201300491 Issued: 07/1112013 Stipulations: Bathroom Remodel. This certificate verifies that the building constructed and/oN the use proposed of the building and/or premises, under t above permit number and on property described below, does compl with the Wheat Ridge Building Code and development standards the zone district in which it is located and may be occupie All other licensing requirements for the City must be met. I INN IM Owner: MCRAE BRUCE W / MCRAE JUDY 10665 W 26TH AVE WHEAT RIDGE CO 80215-6661 Contractor: Roger B. Stingley 12565 N TENDERFOOT TRL PARKER CO 80138 For the Following Purpose: Residential Remodel Code ditions ICC/2008 NEC 2006 ICC/2005 NEC 2003 ICC/2005 NEC Sprinkler System HVJMsM p 14 -,long #-*III • r s • 01N N, o ' w.. a, Bi,tilding & Inspection Serv ices Division 7531 W 29"' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Request twine 393 - 234 -5933 303-840-3003 .3 Date: q - a Plan # tt 0�` l M ACI sear "t Building (Complete til highlitthred areas) Property :` fit'' € Property Owner (please print). �� r � �w �'..w _ m F� a�� � siting A ddress , (if different than properly ddre Address Contractor; :.` (jo c Co ntractors City t i n City i_ €cartes t , (flatly describe work to be performed - Attach additional sheet if necessary) Co ntract Value of all nark Review Fee Idue aat tulle Of tsttbM''100: __ .. citcn BTU n ... Ott i .4.. 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H Co) Is m m I Tub motor/heater shall be accessible through panel.. Glass less than bid" above tub floor is required to be safety glazed. Wheat Ridge Building Department Walls in shower shall ' have non- pproved abs orbent finish to 6' above floor, Carbon detector( s ii yq with y ids tig5 x pya a94gp required t�4'�it.& in 1 ft o all *lc,, ,+� }ARS,g # wmmmwm�x«wµu+. ..�„«. ,.. .�w....., e� $ $ � IL ar d �:tnta areas. #rt of permit The issuave of a pertnit cy approval o p lans, %,w"ificitions and comp utations shit not be a permit for, or an appr oval rrt anrr viclatsm to S moke alamis shall be required in any of the provisions of the building code or of any Oty ordinances, each sleeping room and outside each Pennh p to give a ttotsys to viOate or cancel the w of the sleelrrrrg area per 2 006 1 R C, Sectio build codes or other or dinances of the Cqy sh aH not tw* valid, 313 �,,.,�, nawuamwua xew: w. mmumw.aaw.a.nx.+wmmmvnw+muarvnuw man+.n.,�at APPROVED Direct connect smoke alarm are twrl�lf �� l ° It���ptut�li�4�� ix� required. Outlet t pe, loc tion and spacing )Atheat Rill *fie Building Dept, Steal c � c � �m with 00618 ' and s 2 P N EC I C Date, Mrrrru m 50 tMFM exhaust Can M err � r vented to exterior shall lie° provided � igne�. in toilet rooins and hatthrc on -is. hutotl valves required on la atonies and water closets, A minimum of 21 " of clear space is required in front of lavatories. Minimum 0" clear area for toilet is required with rrrrrrrnium 15" from center to srdewall on each side. Tub motor/heater shall be accessible through panel.. Date: Plan # Permit # 04-L LM 04��� (please print): . �Phone:�%j 7q8- L( I gx� (if different than property address) Address: WW�: WL2ZL Contractors City License#: Z( Phone: Plumbing: Mechanical: CityLicense# Zlz6z City License # City License # (Fully describe work to be performed - Attach additional sheet If necessary) %-t U& V P03�� Ae4b yAurwf— I IN Squares BTU's Gallons _ Amps _ Sq Ft. SEEIZamililill I El 11111 1 110111V J I I' JI 4 1 ///41� City of Wheat Ridge 1� Residential Roofing PERMIT - 094008 PERMIT NO: 094008 ISSUED: 11/12/2009 JOB ADDRESS: 10665 W 26TH AVE EXPIRES: - 12/31/2010 DESCRIPTION: Reroof 30 sqs with 50 yr shingles * ** CONTACTS * ** owner 303/237 -4020 Myrla Havice sub 303/237 -5179 Curt Marceau 02 -2364 Roofing Plus ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0678 USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 13,500.00 FEES Extend Expired Permi 154.25 Permit Fee 308.50 Total Valuation .00 Use Tax 243.00 ** TOTAL ** 705.75 Conditions: 6 nail installation & mid -roof inspection required. Board sheathing spaced more than a 1/2 of an inch apart requires plywood overlay on entire roof. Ice . and water .,h eld- requirred from eave edge to' 2 inside exterior walls. ** *Contractor /Property owner shall provide ladder(s) secured in place for inpsections. Subject to field inspection. I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all 'measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. Signature of contractor /owner date 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 3. If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review is subject to field inspections. Signature of Chief Building official date INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE B 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. �1t` CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line - (303) 235 -2855 Office " (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type d mil° Job Address to - I "aiE Permit Number C 7 V�IS A (ig1,> J one available for Inspection: I Ime 0 AM P�, Mme:- nspection required: Yes No w corrections have been made, call for re- inspection at 303 -234 • f`"�uf�r7 Inencr• #nr• �i DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Bung Inspection Division r (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:fi•`G3' e O7 Job Address: lt6rn( t~~~ Permit Number: E>~tICY r [Vi' I f ❑ No one available for inspection: Time AMf M Re-Inspection required:- Yes No ' When corrections have been made, calf ~foorre-inspection ~at 303-234-5933 Date: f~Q Inspector: ilk} Ti,n 4, DO NOT REMOVE THIS NOTICE City of Wheat Ridge 1 Oro 0*' 0 r Residential Roofing PERMIT - 094008 PERMIT NO: -094008'! ISSUED:: 11/12/2009 JOB ADDRESS: 106G5 W 26TH AVE EXPIRES: 05/11/2010 DESCRIPTION: Reroof 30 sgswith 50;yr shingles CONTACTS owner 303/237-4020 Myrla Havice sub 303/237-514.9 Curt Marceau 02-2364 Roofing Plus :PARCEL INFO ZONE CODE: UA 'USE: UA SUBDIVISION:. 0678 BLOCK/LOT#: 0/. FEE SUMMARY ESTIMATED PROJECT VALUATION: 13,500.00 FEES Permit Fee 308.50 Total Valuation .00 i 4 s C~~l a Use Tax 243.00 TOTAL .551.50 Conditions: S nail installation & mid-roof inspection required.. Board sheathing spaced more _han`a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and water shield required from eave edge to 2' inside exterior walls. a**Contractor/Property owner shall `provide 'ladder(s) secured in place for inpsections.= Subject to field inspection. I hereby certify. that the setback distances proposed by this permit application are accurate, and do not violate: applicable ordinances, rules or regulations of the City of wheat Ridge or covenants, easements or restrictions of record; that all 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 C(i B.C) and all other applicable Wheat edge Ordinances, for work under this -permit. Planes subject to field inspection. Signature ature of contractor/owner date This permit was issued in accordance with the provisions. set forth in your application and is subject to the laws of the state of Colorado and to the zoning Regulations and Building Codes r: of Wheat Ridge, Colorado or any other applicable ordinances of the city. This permit shall expire :.180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official'. If this permit expires, 'a new permit may be acquired for -.a fee of one-half the amount normally recured. provided no DAY. W HEgT City of Wheat Ridge Building Division Date: 'yt; m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ` Fax: 303-237-8929 Plan oo----- . o Inspection Line: 303-234-5933 ~,LID <olxPO Permit ~ Building Permit Application Property Address ~IJGI S- / G74 Property Owner (please print): Phone:,? -237 - 41y.20 Mailing Address: (if different than property address) Address: , , f a City, State, Sub Contractors: Electrical City License Company: Plumbing City License Mechanical City License Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval Approval 05 Use of space (description): es Construction Value: $ /3SClU Description of work; (as calculated per the Building Valuation Data sheet) / ' ~O D Plan Review (due at time of submittal): $ -2uu" uJlW-. Sq. Ft./L.Ft added: Squares, BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and. that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: C--" .d- Y o-,Lc ea.., SIGNATURE: 2 / Date: Contractor License O a - - - Phone: -.22 -J~l ~ r/' 41 CITY OF WHEAT RIDGE Building Inspection Division /0 (303) 234-5933 Inspection line (303) 235-2855 Office ' (303) 235-2857 Fax INSPECTION NOTICE Date: Inspector: _ DO NOT REMOVE ❑ No one available for i Re-Inspection required: Yes No 'When corrections have been made, kal AM/PM at 303-234-5938 g s r Inspection Type: `l!GG~Faa~a/j~ Job Address/Permit Number: /0h&,. 5- " ' City of Wheat Ridge Residential Mechanic PERMIT - 090016 PERMIT NO; 090016 ISSUED: 01/12/2009 JOB ADDRESS: 10665 W 26TH AVE EXPIRES: 07/11/2009 DESCRIPTION: Replace hot water heater CONTACTS owner 303/237-4020. Myrla Harice sub 303/534-0881 Gary Kenfield 01-7152 Precise Plumbing PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION: 0678 - BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 975.00 FEES Permit Fee 50.40 Total Valuation .00 TOTAL 50.40 Conditions: Must comply w/ 2003 IRC & 2005 NEC. Subject to field inspections. Must comply w/ 2003 IBC & 2005 NEC. I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances., rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I-assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. Signature of contractor/owner date 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. - 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review is s "ec o field inspections. r Signature of Chief B i Official date INSPECTION RE ST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION LINE - 303-234-5933 Date: CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) "PLICATION PropertyOwner: Myr/.o sa/rz Property Address: /06e ,,c a v 1f7 gY ° Phone : ~0 -10 d Contractor License No.: / 7 / 5- 2, company: Per c /5 f P/. C L s -Z'n C' Phone: S3 O WNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I nearby 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 ate accurate; that I have read and agree to abide by all conditions printed on this applications end that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C) and all other applicable Wheat Ridge Ordinnarcoes, for work under this permit. (C''M,7SRXCO1,7RACfGR): slcN&D/'r AIB Construction Value: ? 6`0 Permit Fee: 5c,- y C' Plan Review Fee: T TeP Tax .fie s 5ron Z Total: Cam. i Description: / BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: Approval: Zoning: :W'10 WWWW: Approval: Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No: Plumbing License No: Mechanical License No Company: Company: Company: Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval: (1) This pemait was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) Use work authorized is not contracted within silly (60) days fran issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this permit Wires, a new pewit may be acquired for a fee of ono-half the amount nowally required, provided no changes have been or wil l be made in the original plans and speaficatiotu and any suspension a abandonment has not exceeded one (1) year. If changes have bean a if suspension a abandonment exceeds one (1) year, M £am shall be paid fa a new pewit (4) No work of airy amounts shall be done that will change Ua natural flow of water causing a drainage problem (5) _ Contractor shall notify the Building Inspector twenty-four (24) hours in advance fa all inspections; and shall receive written approval on inspection card before :proceeding with 3cccessive phase of the job. (6) The issuance of a Parrott or the approval of drawings and specifications dull not be construed to be a paonlt for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. Chief Building Inspector 7500 WEST 29ih AVENUE 237-8944 EXT. 255 P.O. BOX 638 PERMIT VALID ONIY WHEN SIGNED BY JOB ADDRESS _14 CONTRACTOR / ADDRESS . --3 1 DEPARTMENT OF GOMMUNITY OEVELOPMEN7 BUILDING INSPECTION DIVISION CITY OF WHEAT RIDGE, COLO. CITY -ZIP CODE PHONE LICENSE NO. 9Cr- I. TVPE Ground ❑ K, m AND RECEIPTED li-)~,G PERMIT N0. OWNER ADDRESS PHONE ZIP CODE 0'~'24i' CONTRACT PRICE $ DATE 2 . MATERIAL oll rrmeoflnpU pfher . SaDFee@ - SIGNS 3. ILIUMINAT10N yOS ❑ No~ Typa Tolel Squon FNf 4 SET BACK FROM PROPERTY LINE N EIKt, pe rmif No. (Spstify whith ia fronf ) 5E ❑ ~ _ ~y ~ ❑ Zon~_ Approvy, 2on~ Inap~na i. TYPE Solid[:] More Than 80% 0sn PU LOSS Than 80o ~e Open Disopprov~d MATERIAL FENCES 3. SET BACK FROM PROPERTY LINE N HeiQht (Specify w ich is tront) E ❑ ❑ W ❑ ❑ Zons_ AOMwed,Zong Impeetw a~a00~ov~d OTHER I2 s. DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GNINu pISTANCES FROM PROPERTY LINES. (SETBACKS OR PROJECTqNS INCIUDED) ~ SPECIFY NORTH STREET NAME SHOW OISTANCES FROM THE M41N BUILDING TOADJOINING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGUTAR LpTS, SMOW Lceer DISTANCE TO PROPERTY LiNES, NOT MAXIMUM OR evFRaGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION. PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WOflK IS NOT STARTED WITHIN THAT TIME. ELECTRICAL PERMIT STATE LICENSE N0. 1MINUM WIqE UNDER SRE 8 ILLEG TEMPORARV METER NEW SERVICE - AMPS CHAN6E SERVICE-AMPS LIGHTING HEATING WIRING MOTORS d REMARKS I hareby ocknowledqe tAOt Ihis opplico- fion ie correct ond understonC thot I Connof start fhis projtltt until this oppli- eafion is approved. I ehall comply witA the lows ol Ihe Stafe of Colorado ond fo fhs Zoninq Repulotione ond Butldinp Code offhe City ot Wheat RidQe. Any violofion Ot tAe above ferme will touse immediot ocatiqyoi ~nia permif IAOP~IC 11~ 10110~u!• PLUMBING PERMIT STATE LICENSE N0. WASH BOWL BATH TUB GARBAGE FIDOR URINAL PERMIT FEE USE TAX TOTAL FEE AP~ CHIEF BUILDII INSPECTOR, City of Wheat Ridqe MECHANICAL PERMIT N0. FUEL~CirclaOneCw~q~ ~ FORCED AIR BTU HOT WATER - BTU STEAM Date Issued ~ NOT CAL1237-8944 EXT.255 24 HOURS IN ADVANCE FORINSPECTIONS i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: - Job Address: ! t' D Permit Number: <r ; `� ` `` s ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge.co. uslinspection Date: " � � -1. Inspector: DO NOT REMOVE THIS NOTICE