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Home My WebLink About7000 W 27th Avenuei CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: `� CC© W a Job Address: Permit Number: 2 C ! a C>Z 1 LiNo one available for inspection jime Z�, AM/M Re -Inspection required: Yes l No �' When corrections have been made, call �for're-inspection at 303-234-5933 Date: 5/ 1 K/ Inspector: DO NOT REMOVE THIS NOTICE City of isjOr Wheat j�idge COMMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building F: 303.237.8929 May 18, 2018 Owner/Occupant 7000 W. 27th Avenue Wheat Ridge, CO 80033 7500 W. 29`h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 RE: Previously permitted project plans available for retrieval — Permit 201700211 (Residential Addition) Owner/Occupant, This letter is being sent to you because a project for which a permit was issued by the City of Wheat Ridge Building Division and plans and/or other documents were required was recently completed and approved. In accordance with the Building Division's document retention policy, the associated plans and/or other documents are scheduled for disposal. We are writing to offer you an opportunity to retrieve those approved plans and/or documents prior to their disposal by the Building Division. The plans and/or documents are available for retrieval for a period of 20 working days (4 weeks) from the date of this letter — June 22nd — and must be retrieved in person at the Building Division offices. This letter must be presented at the time of retrieval of the plans and/or documents. Plans and/or documents available for retrieval CANNOT be mailed and plans and/or documents will NOT be available for retrieval after the expiration of the retrieval period. You may retrieve plans and/or documents between the hours of 7:30 a.m. and 3:30 p.m., Monday through Friday, at the Building Division offices located at 7500 W. 291h Avenue in Wheat Ridge. Cordially, Kimberly Cook Permit Technician 7500 W. 29th Avenue Wheat Ridge, Colorado 80033 Office Phone: 303-235-2873 Fax: 303-237-8929 www.ci.wheatridge.co.us City of W heat f dge COMMUNITY DEVELOPMENT www.ci.wheatridge.co.0 s itscoo Ave—, �N70 °2 INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Occupancy/Type Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical 41 Sewer Service . Z3 Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Insnections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric " Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. For iow voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather Uty of Wheat Ridge Residential Plumbing PERMIT - 201706225 PERMIT NO: 201706225 ISSUED: 08/16/2017 JOB ADDRESS: 7000 W 27th AVE EXPIRES: 08/16/2018 JOB DESCRIPTION: residential sewer line repair under city sidewalk up to 5ft long *** CONTACTS *** OWNER (303)638-0701 JOSHUA COORS SUB (303)215-1348 Brian Wilkie 060162 Apex Plumbing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,800.00 FEES Total Valuation 0.00 Use Tax 37.80 Permit Fee 70.70 ** TOTAL *x 108.50 *** COMMENTS *** *** CONDITIONS *** ALL sewer_ repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** City of Wheat Ridge Residential Demoliti PERMIT - 201601987 PERMIT NO: 201601987 ISSUED: 12/14/201.6 JOB ADDRESS: 7000 W 27th AVE EXPIRES: 12/14/2017 JOB DESCRIPTION: Interior demolition for removal of all drywall in the 870 sf home, remove existing patio and attached garage. * * * CONTACTS * * * OWNER (303)238-8210 BILGER MICHAEL W GC (303)829-4606 Michael Bilger 160275 B & B Design * * * PARCEL INFO * * * ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,000.00 FEES Total Valuation 0.00 Demolition Fee 50.00 ** TOTAL ** 50.00 -�---- *** COMMENTS *** *** CONDITIONS *** All work shall comply with applicable codes and ordinances and is subject to field inspections. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable iiuilding codes, and all applicable municipal codes, policies and procedures, and that [ am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ennrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6, The issuance r `ranting of avermit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable co r ordi ce r lation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequestgei.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. -7000 L10 t5- _f - INSPECTION RECORD occu ancv,Tyroe INSPECTION REQUEST LINE: (303) 234-5933 Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P E Letter 11 All J�' 1%14V1 J' I � Do Not Pour Concrete Prior To Approval Of The Above Inspections. Under round/Slab Inspections 9 p Date Inspector Initials Comments Electrical Mid -Roof Sewer Service Lath /Wall Tie Plumbing Rough Electric h I r% KI -4 d`. ^r 11r%Ad%rrnrniinri nr Ralnw/In-Rlah Work Prior To Approval UT I ne ADove Inspecluons LAW 1\VL V%FVIWI Rough Inspections Date Inspector CommentsInitials Wall Sheathing Mid -Roof Lath /Wall Tie Rough Electric h I ough Plu in / as Line c1 - Rough Mechanical y/ Rough Framing u 111.10, Ile Insulation f/' ? a o y Drywall Screw / Nail "57 11 S-// � '! 1 l Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing — Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate .,f nrrunancv is issued. ADDroval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. **For Inspection Time Window Requests — Please email insptimerepuestC�ci.wheatridge.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather �.►.l CITY OF WHEAT RIDGE Building Inspection Division (/ (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: P w S _ Job Address: -7 O 6 n \,j py C Permit Number: U! 7 } 0 41/ 1 Cr 170 Vro ❑ No one available for inspection: Time ', - 7: AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date:.-" i Inspector: l 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: . > ( d, (A Job Address: -7600 (0 2 -7 �` AL)O- Permit Number: 26/ _7 (50 ,� 11 nrcJV� ❑ No one available for inspection: Time_AM/PM Re -Inspection required: Yes No , When corrections have been made, call for re -inspection at 303-234-5933 Date: 04(//f,! Inspector: DO NOT REMOVE THIS NOTICE s CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 9w, t e r- F; F I- 1 Job Address: ?'0'b4� _,. - '44 k Permit Number: p i2L f /` 7 A ,C RLC I � �, � u -e o �4 h � Srl p /It J\ L /v S 7 4 I 1 L-) /C. /-\f 73 e� 1 1� /� 'f /o l i C be, a/c' SPA F,�st �t?Fi GY✓ �C 1� c <,�'Pi �i�a % N -57A/! VI t { T 1 P ISe A& k t. A w <A L,y ;�': F% N01- A PP -0u v -C o C JC ; tN0f APPit avtp P Ic KO+ AV,I- noytip //i ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: -6-2-O' ` Inspector: ®O NOT REMOVE THIS NOTICE :1 i ❑ No one available for inspection: Time, ? AM/PM Re -Inspection required: Yes No When corrections have been made, calf for re -in spectio/at 303-234-5933 r' Af f, Date: c, Inspector: 4, 1 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 J C - Inspection Type: `-, Job Address: 7 000 Ix / 2_7 '/ A Permit Number: '*'Z- (-)/ 7 0 L�- Z Z !�- :1 i ❑ No one available for inspection: Time, ? AM/PM Re -Inspection required: Yes No When corrections have been made, calf for re -in spectio/at 303-234-5933 r' Af f, Date: c, Inspector: 4, 1 DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE 1 Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE / Inspection Type: INS S Job Address: mco vj 'Z: -)7y Avc Permit Number: 2011 {HOZ) I ❑ No one available for inspection: Time2 •� AM & Re -Inspection required: Yes *When corrections have been made, call for re -inspection at 303-234-5933 Date: II 1 inspector: 1,1JA?1jv)A4 DO NOT REMOVE THIS kOTICE CITY OF WHEAT RIDGE. ` . . 1�Building Inspection Division (303) 234-5933 Inspection line r4000or (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: fV S Job Address: 7 o 0 a Permit Number: ") G / 0 OL �)0 A4719rovQ/I T is Je!� � ±� 1? �� Al -3) —log A C ❑ No one available for inspection: Time 3 AM/PM Re -Inspection required: Yes No * When corrections have been made, call for re -inspection at 303-234-5933 Date: S`-/7 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: % N 15 Job Address: -7 6 0 0 w a `7 A v F Permit Number: ;) 0 I -7 () 4 )1 Nd 7 p P199 Gu -,ell 0. U S, C .A1 -r Y J) I" S v /�r rs iv 8 s✓ G—Ifei nit IV Al i' 4 :T b Li V N C 66fi. 56 IC Pl�t< �-p t C S--0 P, t4 MS i D re d i" r, ar- T7 v P,Pe 1 P, T f�� J ❑ No ore available for inspection: Time: r�� A PM Re -Inspection require : Yes:>o *When corrections have bee made, call for re -inspection at 303-234-5933 Date: s " � ' 1 � Inspector: DO NOT REMOVE THIS N TICS i CITY OF WHEAT RIDGE Building Inspection Division r (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: gn I FA . n7p l .&I Job Address: 70®o W 2-7to�- A j t Permit Number: 201'7002-11 ❑ No one available for inspection: Time—2.'00' AM/OM Re -Inspection required: Yes Flo * When corrections have been made, call for re -inspection at 303-234-5933 Date: 51,11117 Inspector: C9' - DO NOT REMOV THIS NOTICE ®� s CITY OF WHEAT RIDGE �Vr Building Inspection Division _] (303) 234-5933 Inspection line /P (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: M., 5 Job Address: `7 n a U w Permit Number:. ;) L1fi b % 9 441 - pail ,+i�e�Srs eutn�e 4 4,j _ Ali. g I h 4 f F n h I o V F h i 1' l W Vs b i e] a t ..�b ro ry �, . �.,. � .a. � S i a I � � �+ u W �• to %, � m �'+�� 0 W i wynI, K -ILA,4 J b, "1*r'nPr2.l� ❑ No one available for inspection: Time %� AM/PM Re -Inspection required: Yes No *When corrections have been made, call for re -inspection at 303-234-5933 Date: t`? Inspector: 7d4 DO NOT REMOVE THIS NOTICE e 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: f 0 V, Job Address: a L o 0 ti,j -4_� A � Permit Number: *__ 0 7 t5 tj a I i ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No *When corrections have been made, call for re -inspection at 303-234-5933 Date: �r nspector: 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: -re-, 'r Job Address: e 6 o w "1 �i is v� Permit Number: ) 1 -7 0 6 11 ❑ No one available for inspection: Time Llb? twpm Re -Inspection required: Y� No When corrections have been made, call for re -inspection at 303-234-5933 Date: f� 7 Inspector: DO NOT REMOVE TH/S NOTICE Cit} of W heat id Ct�MML1NITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29d Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2846 F: 303.235.2857 FOUNDATION SETBACK AND ELEVATION CERTIFICATION This form, including the Exhibit on the reverse side, must be fully completed by a Professional Land Surveyor licensed in the State of Colorado. This Certification must be submitted for review and approval prior to the placement of concrete and before proceeding with any further construction. DATE: 03 — 24 — 2017 PERMIT# 201700211 ADDRESS: 7000 W. 27TH AVENUE, WHEATRIDGE, CO 80033 LOT 1 , BLOCK 4 , MORTENSEN SUBDIVISION I hereby certify that the elevation and location of the structural foundation for the above property described above has been measured by me or directly under my supervision. The foundation setbacks and elevations for all building corners as stated herein have been found by me to be in compliance with all municipal setback and elevation requirements, and all civil engineering and Building Permit construction plans as approved by the City of Wheat Ridge. The MINIMUM SETBACK DISTANCES from the property lines have been determined to be: FRONT: 25' REAR: 10' SIDE: 5' WEST SIDE: 10' EAST The MINIMUM ELEVATION has been determined to be: 5372.79' TOP FOOTER (NAVD88) THE PLAN FINNISHED FLOOR IS 44.75" OR 3.729' ABOVE FOOTER = 5376.52'. The above measurements have been determined on the following location: Check only one): X Top of FOOTER fatindation prior to placement of concrete Top of proposed foundation subsequent to placement of concrete The setback and elevation measurement locations are identified on the attached exhibit. Signed Print :Q 2 :O C .or's Seal) �J NAI LAND,�� WWW by: Date 03-24-17 FOR OFFICE USE ONLY Inspector Date Rev 12/06 EXHIBIT - N.T.S. W. 2 7TH ,AVE (5O' PUBLIC ROW) Nl TOG'OQ"E 100,M' IS' SEMAM r— — — — — — — — — — — — — — — — — — — — — -- HOUSE HOUSE f __,5372.83 pM w� I I I k I I 537283 537282 5372-83 I I C 537279 I x5372.80 0ONCRET I FORMS 7000 W. 27TH AVENUE, I W HEATRIDGE, CO 80033 LOT 1, BLOCK 4, 10.74' N SEN i `372.79 s37u79-IIORTE SUBDIVISION �a' �'raArx � �� N99°09'09"iV 10?7,00' NOTICE TO SURVEYOR: 1. Elevations shall be shown for ALL foundation corners. 2. Foundation corners with minimum elevation and setback distance shall be identified. 3. Drawing must be properly oriented (North = top of page). 4. Show the roadway in front of the property. 5. If drawing is to -scale, provide the scale. If not to -scale show as N.T.S. Rev 12/06 City of Wheat Ridge ]",00P' Residential Addition PERMIT - 201700211 /PERMIT NO: 201700211 ISSUED: 03/14/2017 JOB ADDRESS: 7000 W 27th AVE EXPIRES: 03/14/2018 JOB DESCRIPTION: Remodel of existing home, and addition of 3 car garage and addition of roughly 1500 sf. *** CONTACTS *** OWNER (303)238-8210 BILGER MICHAEL W GC (303)829-4606 Michael Bilger 160275 B & B Design SUB (303)644-3281 Greg Kennedy 022263 Kennedy Plumbing SUB (303)901-7110 Stephen Beatty 100153 Vintage Electrical Services SUB (303)423-7905 Timothy Bartels 017674 B & B Heating & A/C *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 119,052.23 FEES Total Valuation 0.00 Plan Review Fee 819.68 Use Tax 2,142.94 Permit Fee 1,261.05j� Misc. Fee 20.00 C,=-1--tl.l ** TOTAL ** 4,243.67 *** COMMENTS *** *** CONDITIONS *** MM: Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. **Occupancy is not permitted until Certificate of Occupancy has been issued. LM: Approved per red -line notes on plans. Prior to CO, existing driveway must be removed and this area landscaped, new driveway must be paved, and 2 trees must be planted in the front yard. If landscaping cannot be installed prior to CO, a landscape escrow agreement with financial guarantee in the amount of 125% of the cost of the installation shall be required. Owner/Contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. As part of the foundation inspection and PRIOR to the placement of concrete and before proceeding with any further construction, a completed, signed and sealed, Foundation Setback and Elevation Certification shall be submitted to the City for review. The certification form shall be fully completed by a Professional Land Surveyor licensed in the state of Colorado, stating that the foundation was constructed in compliance with all applicable minimum setback and elevation requirements of the City. A City of Wheat Ridge Residential Addition PERMIT - 201700211 PERMIT NO: 201700211 ISSUED: 03/14/2017 JOB ADDRESS: 7000 W 27th AVE EXPIRES: 03/14/2018 JOB DESCRIPTION: Remodel of existing home, and addition of 3 car garage and addition of roughly 1500 sf. I, by n signature, do hereby attest that the work to be er'Ormed 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 lepa( owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. l further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that aII} o k to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. �-Y Signature of (T4F�%or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing, and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Budding Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable c dp_�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. Inspect gn.tirpe requests will be accepted by email only pse email requests to insptimerequest@ci.wheatridge.co.us betweer.m grnd 8Ilinspec'I'lease put the address of the inspection in the subject line. City of ��Wheat i'Cge COMMUNITY DEVELOPMENT 4 -7 - FOR 7FOR OFFICE USE ONLY��,>, I .tii Date: /� I I I+ Plan/Permit # 1. QW 0 G 4 1 Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Plan Review Fee Office: 303-235-2855 * Fax: 303-237-8929 „ Inspection Line: 303-234-5933 Building Permit Application L ' Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: -7000 Iq/ al" A✓�. , UJi•Ar ?-I b6*5 C ID SCot, 33 Property Owner (please print): M Ia,4M6L d lLy6>< Phone: 303 • a9 �l ioo(o Property Owner Email: 6� w��e MP-4o-rr�� • c: w✓I Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: lmzz w,, 4rs,c-n/ S6Lonp,4/c , jE4c ! "salt/ Architect/Engineer E-mail: t A 11 Phone: 303. 014 S. qd-nA&."- COWL Contractor: II-k-fi Dtf'G4U Contractors City License #: Contractor E-mail Address: GtujK +avhPJ4*rr Aii-•covet Sub Contractors: Phone: 3o3 • 4q.14(,*& Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: City License # Other City Licensed Sub: City License # Complete all information on BOTH sides of this form Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ® RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) V,�Vr4oro� 9v� lkb.bt-nb1J 0r 4.xIST�n1G ikov%61 Jkbbtz''oIIJ of 3 CAYL (o0<XA(,E, An1oS RouG44L-y 1590 SQ �r Sq. Ft./LF15?. 1 1 It, 0s, C, Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) ,•• OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accuratd and' do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that 1 assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: OWNS (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: Ili JC�k4<5G . G t tepq�A& SIGNATURE:!�6 DATE: oZ. l4. / 7 DEPARTMENT USE/ONLY ZONING COMMMENTS —nOCCUPANCY CLASSIFICATION- Reviewer LASSIFICATION Reviewer ''rtep �V v4 vo 31VII I -C✓ 01- �iir►'vJ BUILDING DEPAR+T�ME�T COMMENTS:"' • tii, t r`'w)! `. Reviewer: /�2In 9 6`� PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required' `� S� r2'' 23Sanitation District n Received n Not Required Building Division Valuation: $ (19-05 -• -- Melissa Mackey From: Melissa Mackey Sent: Wednesday, February 15, 2017 9:20 AM To: 'bilgerm@hotmail.com' Subject: 7000 W. 27th Ave. Good morning Michael, Myself and Bill have done an initial review of the plans submitted and have the following comments: • /age A 3.1— Section 1: R-38 is adequate for the non -attic portion, but the portion of the home with attic space will need to have minimum R-49 insulation to be referenced on the plans. • A RESCheck, including a Manual J & D is required. Is the existing mechanical equipment being used and sufficient to support the additional living space? • ✓A truss pack listing the specifications of the trusses to be used. • Vmoke detectors will need to be noted in the bedrooms and outside the immediate vicinity, and carbon . /onoxide detectors are not noted. indow schedule, including tempered window locations (if applicable) • Page A 6.2 says plumbing and mechanical, but doesn't list any information. An ISO would be adequate. Since the plans are stamped, we are unable to make the red line notes changes. If these could be updated with the above information, brought to our office and submitted in the original set, we can continue the review. We do require that the pages removed be left at our office for reference purposes. Planning will also need to review due to the nature of the project. Please let me know if you have any questions or need additional information. Thanks, Melissa Mackey Senior Permit Technician 7500 W. 29th Avenue Wheat Ridge, Colorado 80033 Office Phone: 303-235-2855 Fax: 303-237-8929 www.ci.wheatridge.co.us 011%, of W h6a— W icicle ('cmi%ItINI I DIV IIt►rantN t CONFIDENTIALITY NOTICE: This e-mail contains business -confidential information. It is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are notified that any disclosure, copying, distribution, electronic storage or use of this communication is prohibited. If you received this communication in error, please notify us immediately by e-mail, attaching the original message, and delete the original message from your computer, and any network to which your computer is connected. Thank you. Rev. 06/2014 RESIDENTIAL Building Permit - Plan Review Worksheet Address: JIM VV AVe4ll L/t� Zoning: Lot Size: 14,03 o e w sq. ft. Lot Width: � p � ft. Property in the flood plain? I/A0 If yes, add surveying condition FLD. Type of project (applicable survey conditions in parenthesis): foundation:Aipermit, we need: Survey at CO: ❑ Accessory ISP, ILC or site plan none if in floodplain (FLD) ,A Addition _ ILC and site plan if w/in 2' of setback or in floodplain (FND) if in floodplain (FLD) ❑ New ILC w/in 2' of setback (NRS) LC and site plan yes (FND) if in floodplain (FLD) Maximum Lot Coverage: o % Existing Improvements: House: 1 �' I'L sq. ft. Shed: sq. ft. Detached garage: sq ft. Other:{ . j 0 sq. ft. Total Existing sq. ft Lot Coverage let % � � � -2/ sq. ft. Proposed Improvements: House/addition: sq. ft. Shed: sq. ft Detached Garage: sq. ft. Other: sq. ft. Proposed+Existing a ("1/ 14.sq ft Lot Coverage 19-0 % Required Setbacks: FR � 5 S S S R 10 Provided Setbacks: FR o2,S S S R 23 For additions or new construction, is the structure within 2 feet of minimum setbacks? - If yes, add sure ing co' edition FND. Maximum Height: S ft. Proposed Height: ft. Maximum Size: &11- sq. ft. Proposed Size: sq. ft. Parkland: If the permit is for new construction, have parkland dedication fees been paid? N +- If no, add condition PFEE, notify owner, and notify building division. Streetscape: Does the permit result in any of the following conditions? ❑ Construction of new roads ❑ Platting of new lots ❑ New development ❑ Additions that increase floor area by 60% or more (see formula) (proposed floor area — existing floor area ) / existing floor area — �% inc. If any box is checked... SF/DUPLEX—Is there existing ❑ Curb ❑ Gutter L15 -foot sidewalk adjacent to the property? If curb, gutter or sidewalk is missing, streetscape construction or fees -in -lieu will be required. MULTIFAMILY—Does the frontage meet current city standards? If not, streetscape construction or fees -in -lieu will be required. Fees -in -lieu of dedication or construction are due at the time the permit is issued. Rev. 06/2014 Other notes/considerations: Access P4 For one and two-family dwellings, the first 25' of driveway area from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick pavers or similar materials. ❑ For all uses other than one and two family dwellings, no vehicle entrances or exits may be closer than 25' to any property line, except when used as joint access for two or more lots. 14 In residential zone districts, curb cuts shall be at least 10 feet and not more than 24 feet in width. ❑ One and two-family dwellings may have horseshoe driveways, provided that the street accesses are at least 30 feet apart, measured from the interior edges. ❑ For all uses, one access point per property is permitted. L ndscaping For one -and two-family dwellings, one tree for every 70 feet of street frontage is required. Street trees required: —, Street trees provided: 100% of the front yard and 25% of the entire lot must be landscaped prior to issuance of C.O. In the event that landscaping cannot be installed due to inclement weather prior to the issuance of a C.O., an escrow agreement with financial guarantees may be allowed to ensure future installation. 125% of the cost of the proposed improvements will be required with the agreement. These funds will be reimbursed back to the property owner or contractor once the improvements are in place. XVII[ MiTek" Re: 170241 7000 W 27th Ave MiTek USA, Inc. 7777 Greenback Lane Suite 109 Citrus Heights, CA, 95610 Telephone 916/676-1900 Fax 916/676-1909 The truss drawing(s) referenced below have been prepared by MiTek USA, Inc. under my direct supervision based on the parameters provided by Noble Truss -Colorado. Pages or sheets covered by this seal: R49867329 thru R49867333 My license renewal date for the state of Colorado is October 31, 2017. ��kD 0 Lie d 9 • 2• ;d PE -46766: f e •yh s 1(�J March 2,2017 Hernandez, Marcos IMPORTANT NOTE: Truss Engineer's responsibility is solely for design of individual trusses based upon design parameters shown on referenced truss drawings. Parameters have not been verified as appropriate for any use. Any location identification specified is for file reference only and has not been used in preparing design. Suitability of truss designs for any particular building is the responsibility of the building designer, not the Truss Engineer, per ANSI/TPI-1, Chapter 2. Job Trus Truss Type Qty Ply 7000 W 27th Ave GRIP (Roof Snow=30.0) Plate Grip DOL 1.15 TC 0.87 Vert(LL) 849067329 170241 A Monopilch 21 1 Vert(TL) -0.25 8-10 >999 180 MT20HS 148/108 BCLL 0.0 * Rep Stress Incr YES Job Reference o tional Noble Truss Colorado Inc., Sedalia, Colorado, Sedalia CO. 7.640 s Apr 19 2016 MiTek Industries, Inc. Wed Mar 01 14:28:40 2017 Page 1 I D:tDSeeM3OaElhaJPOtivlpuzibgF-kzN?K4ZwuJ19zstG6ZxNAKDkGgh3q PdQVDRidxzfEPb -1-0-0 7-10-3 15-4-13 23-3-0 24-3-0 1-0-0 7-10-3 7-6-11 7-10-3 1-0-0 3.00 12 Scale = 1:48.7 5x5 11 6 7 12 " w 8 4x6 I 4x6 = 3x4 = 3x6 = 6x6 = LOADING (psf) TCLL 30.0 SPACING- 2-0-0 CSI. DEFL. in (loc) I/defl Ud PLATES GRIP (Roof Snow=30.0) Plate Grip DOL 1.15 TC 0.87 Vert(LL) -0.10 8-10 >999 240 MT20 197/144 TCDL 10.0 Lumber DOL 1.15 BC 0.43 Vert(TL) -0.25 8-10 >999 180 MT20HS 148/108 BCLL 0.0 * Rep Stress Incr YES WB 0.66 Horz(TL) 0.05 8 n/a n/a BCDL 10.0 Code IRC2012ITP12007 (Matrix -M) Weight: 104 Ib FT = 10% LUMBER- BRACING - TOP CHORD 2x4 SPF 1650F 1.5E TOP CHORD Structural wood sheathing directly applied or 2-2-0 cc purlins, except BOT CHORD 2x4 SPF 1650F 1.5E end verticals. WEBS 2x4 SPF No.2 BOT CHORD Rigid ceiling directly applied or 8-7-1 cc bracing. WEBS 1 Row at midpt 3-10,4-8 REACTIONS. (Ib/size) 8=1240/0-5-8,12=1240/0-5-8 Max Horz 12=483(LC 11) Max Uplift8=-491(LC 14), 12=452(LC 10) Max Grav 8=1527(LC 21), 12=1296(LC 21) FORCES. (lb) -Max. Comp./Max. Ten. -All forces 250 (lb) or less except when shown. TOP CHORD 2-13=-1953/571, 3-13=-1879/588, 3-14=-1426/408, 4-14=-1292/428, 6-8=-528/233, 2-12=-1220/490 BOT CHORD 11-12=-615/549, 10-11=-690/1823, 10-16=-451/1318, 9-16=-451/1318, 8-9=-451/1318 WEBS 3-10=-631/305, 4-10=-44/496, 4-8=-1584/570, 2-11=-437/1660 NOTES - 1) Wind: ASCE 7-10; Vult=139mph (3 -second gust) V(IRC2012)=11Omph; TCDL=6.Opsf; BCDL=6.Opsf; h=25ft; Cat. II; Exp C; enclosed; MWFRS (envelope) gable end zone and C -C Exterior(2) -1-0-0 to 2-0-0, Interior(1) 2-0-0 to 24-3-0 zone, cantilever left and right exposed ; end vertical left and right exposed;C-C for members and forces & MWFRS for reactions shown; Lumber DOL=1.60 plate grip DOL=1.60 2) TCLL: ASCE 7-10; Pf=30.0 psf (flat roof snow); Category II; Exp C; Partially Exp.; Ct=1.1 3) Unbalanced snow loads have been considered for this design. 4) This truss has been designed for greater of min roof live load of 20.0 psf or 1.00 times flat roof load of 30.0 psf on overhangs non -concurrent with other live loads. 5) All plates are MT20 plates unless otherwise indicated. 6) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads. 7) * This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide will fit between the bottom chord and any other members, with BCDL = 10.Opsf. 8) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 100 Ib uplift at joint(s) except Qt=lb) 8=491, 12=452. 9) "Semi-rigid pitchbreaks including heels" Member end fixity model was used in the analysis and design of this truss. 0 cic « ® 2y •U • 2. :¢ PE -46766 moi s � s s til • AL March 2,2017 WARNING - Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE 11411- 7473 rev. 10/03/2015 BEFORE USE. Design valid for use only with MiTek® connectors. This design is based only upon parameters shown, and is for an individual building component, not �K a truss system. Before use, the building designer must verify the applicability of design parameters and property incorporate this design into the overall building design. Bracing indicated is to prevent buckling of individual truss web and/or chord members only. Additional temporary and permanent bracing 1► e�Tel�` is always required for stability and to prevent collapse with possible personal injury and property damage. For general guidance regarding the !Y� t R fabrication, storage, delivery, erection and bracing of trusses and truss systems, see ANSITIPII Quality Criteria, DSB-89 and BCSI Building Component 7777 Greenback Lane Safety Information available from Truss Plate Institute, 218 N. Lee Street, Suite 312, Alexandria, VA 22314. Suite 109 Citrus Heights, CA 95610 Job a Truss Truss Type Qty Ply 7000 W 27th Ave Plate Grip DOL 1.15 TC 0.49 Vert(LL) -0.00 15-16 n/r 120 MT20 197/144 TCDL 10.0 849867330 170241 AE Monopitch Supported Gable 2 1 WB 0.18 Horz(TL) -0.01 17 n/a n/a BCDL 10.0 Code IRC2012/TP12007 (Matrix) Job Reference o tional Noble Truss Colorado Inc., Sedalia, coloraao, Sedalia Co. 1-0-0 7.640 s Apr 19 2016 MiTek Industries, Inc. Wed Mar Ot 14:28:41 2017 Page 1 I D:tDSeeM3OaElhaJPOtivlpuzibgF-CAxOYQaYfd9ObOSSg GSciXI?y35KY_NZjtAFAOzfEPa 23-3-024-3-0 23-3-0 1-0-0 3.00 12 Scale = 1:46.8 15 16 30 29 28 27 26 25 24 23 22 21 2019 18 17 3x4 = 3x4 = 3x4 = LOADING (psf) TCLL 30.0 SPACING- 2-0-0 CSI. DEFL. in (loc) I/deft Ud PLATES GRIP (Roof Snow=30.0) Plate Grip DOL 1.15 TC 0.49 Vert(LL) -0.00 15-16 n/r 120 MT20 197/144 TCDL 10.0 Lumber DOL 1.15 BC 0.18 Vert(TL) -0.01 15-16 n/r 120 ; end vertical left and right exposed;C-C for members and forces & MWFRS for reactions shown; Lumber DOL=1.60 plate grip BCLL 0.0 ' Rep Stress Incr YES WB 0.18 Horz(TL) -0.01 17 n/a n/a BCDL 10.0 Code IRC2012/TP12007 (Matrix) \�,�X) d [ Weight: 123 Ib FT = 10% LUMBER- BRACING - TOP CHORD 2x4 SPF 1650F 1.5E TOP CHORD Structural wood sheathing directly applied or 6-0-0 oc purlins, except BOT CHORD 2x4 SPF 1650F 1.5E end verticals. WEBS 2x4 SPF No.2 BOT CHORD Rigid ceiling directly applied or 6-0-0 oc bracing. OTHERS 2x4 SPF No.2 REACTIONS. All bearings 23-3-0. (lb) - Max Horz 30=483(LC 11) Max Uplift All uplift 100 Ib or less atjoint(s) 24, 25, 26, 27, 28, 23, 22, 21, 20, 18 except 17=-113(LC 11), 29=-450(LC 11) Max Grav All reactions 250 Ib or less atjoint(s) 24, 25, 26, 27, 28, 29, 23, 18 except 30=472(LC 11), 17=257(LC 21), 22=267(LC 21), 21=270(LC 21), 20=279(LC 21) FORCES. (lb) -Max. Comp./Max. Ten. -All forces 250 (lb) or less except when shown. TOP CHORD 2-30=-705/352, 2-3=-534/281, 3-31=-509/267, 4-31=-507/275, 4-5=-473/262, 5-6=-440/250, 6-7=-406/238, 7-8=-372/226, 8-9=-338/215, 9-32=-304/194, 10-32=-301/203, 10-11=-270/191, 15-17=-247/263 BOT CHORD 29-30=-680/446 WEBS 2-29=-476/886 NOTES - 1) Wind: ASCE 7-10; Vult=139mph (3 -second gust) V(IRC2012)=110mph; TCDL=6.Opsf; BCDL=6.Opsf; h=25ft; Cat. II; Exp C; enclosed; MWFRS (envelope) gable end zone and C -C Corner(3) -1-0-0 to 2-0-0, Exterior(2) 2-0-0 to 24-3-0 zone; cantilever left and right exposed ; end vertical left and right exposed;C-C for members and forces & MWFRS for reactions shown; Lumber DOL=1.60 plate grip DOL=1.60 2) Truss designed for wind loads in the plane of the truss only. For studs exposed to wind (normal to the face), see Standard Industry Gable End Details as applicable, or consult qualified building designer as per ANSI/TPI 1. 3) TCLL: ASCE 7-10; Pf=30.0 psf (flat roof snow); Category 11; Exp C; Partially Exp.; Ct=1.1 \�,�X) d [ 4) Unbalanced snow loads have been considered for this design. �� •�.*•••.*•* !jib 5) This truss has been designed for greater of min roof live load of 20.0 psf or 1.00 times flat roof load of 30.0 psf on overhangs non -concurrent with other live loads.GJ U� •:* )�. 1 !,•*•� ti ; 6) All plates are 1.5x4 MT20 unless otherwise indicated. 7) Gable requires continuous bottom chord bearing. : Lt PE -46766 8) Truss to be fully sheathed from one face or securely braced against lateral movement (i.e. diagonal web). ` r o 9) Gable studs spaced at 2-0-0 oc. 10) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads. ' _�p t{ 11) This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide will (! fit between the bottom chord and any other members. 12) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 100 Ib uplift at joint(s) 24, 25, 26, 27, 28, •*••*••®* s` ZONA 23, 22, 21, 20, 18 except (jt=lb) 17=113, 29=450. 13) "Semi-rigid pitchbreaks including heels" Member end fixity model was used in the analysis and design of this truss. March 2,201 7 WARNING - Verify design parameters and READ NOTES ON THIS AND INCLUDED WTEK REFERENCE PAGE 11111-7473 rev. 10/03/2015 BEFORE USE. Design valid for use only with MiTek® connectors. This design is based only upon parameters shown, and is for an individual building component, not �k a truss system. Before use, the building designer must verify the applicability of design parameters and property incorporate this design into the overall building design. Bracing indicated is to prevent buckling of individual truss web and/or chord members only. Additional temporary and permanent bracing A A ��ef.` is always required for stability and to prevent collapse with possible personal injury and property damage. For general guidance regarding the M fl fabrication, storage, delivery, erection and bracing of trusses and truss systems, see ANSIrrPl1 Quality Criteria, DSB-89 and BCSI Building Component 7777 Greenback Lane Safety Information available from Truss Plate Institute, 218 N. Lee Street, Suite 312, Alexandria, VA 22314. Suite 109 Citrus Heights, CA 95610 Job r Tr�ss�JM__S:l s Type Qty Ply 7000 w 27th Ave LUMBER- BRACING - TOP CHORD 2x4 SPF 1650F 1.5E 849867331 170241 B itch 30 1 WEBS 2x4 SPF No.2 *Except* BOT CHORD Rigid ceiling directly applied or 2-2-0 oc bracing. 7-9: 2x6 SPF 1650F 1.5E Job Reference (optional) Noble Truss Colorado Inc., Sedalia, Colorado, Sedalia CO. 7.640 s Apr 19 2016 MiTek Industries, Inc. Wed Mar 01 14:28:42 2017 Page 1 I D:tDSeeM3OaElhaJPOtivlpuzibgF-hM VmlmbAQXHtD91 fE_zrF117?TE5HGBiyXwpigzfEPZ F11 1:P-10 6-7-12 13-0-0 19-0-4 26-0-0 27-0-0 �1-0-0� 6-7-12 6-0-4 6-4-4 6-7-12 1-0-0 3.00 12 Scale = 1:53.4 5x6 % 13 6x12 M18SHS % LOADING (psf) TCLL 30.0 (Roof Snow=30.0) TCDL 10.0 BCLL 0.0 BCDL 10.0 SPACING- 2-0-0 Plate Grip DOL 1.15 Lumber DOL 1.15 Rep Stress Incr YES Code IRC2012/TPI2007 CSI. TC 0.66 BC 0.97 WB 0.85 (Matrix -M) DEFL. in (loc) I/deft Ud Vert(LL) -0.56 11-12 >548 240 Vert(TL) -1.08 11-12 >284 180 Horz(TL) 0.21 9 n/a n/a PLATES MT20 MT20HS M18SHS Weight: 100 lb GRIP 197/144 148/108 197/144 FT=10% LUMBER- BRACING - TOP CHORD 2x4 SPF 1650F 1.5E TOP CHORD Structural wood sheathing directly applied or 2-6-5 oc purlins, except BOT CHORD 2x4 SPF 1650F 1.5E end verticals. WEBS 2x4 SPF No.2 *Except* BOT CHORD Rigid ceiling directly applied or 2-2-0 oc bracing. 7-9: 2x6 SPF 1650F 1.5E WEBS 1 Row at midpt 6-9 2 Rows at 1/3 pts 3-13 REACTIONS. (Ib/size) 13=137310-5-8,9=1380/0-5-8 Max Horz 13=374(LC 11) Max Uplift 13=-471(LC 10), 9=-569(LC 14) Max Grav 13=1433(LC 21), 9=1708(LC 21) FORCES. (lb) -Max. Comp./Max. Ten. -All forces 250 (Ib) or less except when shown. TOP CHORD 2-13=-403/269, 3-4=-4447/1543, 4-15=-4704/1502, 5-15=-4634/1503, 5-6=-4573/1511, 6-16=-345/34,7-9=-481/232 BOT CHORD 12-13=-1722/3805, 11-12=-2084/5172, 10-11=-1527/4172, 9-10=-1513/4203 WEBS 3-13=-3963/1433, 3-12=-34/676, 4-12=-897/390, 4-11=-625/453, 6-11=-142/754, 6-9=-3807/1425 NOTES - 1) Wind: ASCE 7-10; Vult=139mph (3 -second gust) V(IRC2012)=11Omph, TIC DL=6.Opsf; BCDL=6.Opsf; h=25ft, Cat. Il; Exp C; enclosed; MWFRS (envelope) gable end zone and C -C Exterior(2) -1-0-0 to 2-0-0, Interior(1) 2-0-0 to 27-0-0 zone; cantilever left and right exposed ; end vertical left and right exposed,C-C for members and forces & MWFRS for reactions shown; Lumber DOL=1.60 plate grip DOL=1.60 2) TCLL: ASCE 7-10; Pf=30.0 psf (flat roof snow); Category ll; Exp C; Partially Exp.; Ct=1.1 3) Unbalanced snow loads have been considered for this design. 4) This truss has been designed for greater of min roof live load of 20.0 psf or 1.00 times flat roof load of 30.0 psf on overhangs non -concurrent with other live loads. 5) All plates are MT20 plates unless otherwise indicated. r0:.'_<PE-46766 6) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads.7) * This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide will fit between the bottom chord and any other members. 8) Bearing atjoint(s) 13, 9 considers parallel to grain value using ANSI/TPI 1 angle to grain formula. Building designer should verifycapacity of bearing surface. 9) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 100 Ib uplift at joint(s) except Qt=1b) 13=471,m9=569. 10) "Semi-rigid pitch breaks including heels" Member end fixity model was used in the analysis and design of this truss. 'I"QNAL March 2,2017 WARNING -Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE MII-7473 rev. 10/03/2015 BEFORE USE. Design valid for use only with MiTek® connectors. This design is based only upon parameters shown, and is for an individual building component, not �Y a truss system. Before use, the building designer must verify the applicability of design parameters and property incorporate this design into the overall building design. Bracing indicated is to prevent buckling of individual truss web and/or chord members only. Additional temporary and permanent bracing Tp I.' is alwaysMirequired for stability and to prevent collapse with possible personal injury and property damage. For general guidance regarding the Ilrerrr Il fabrication, storage, delivery, erection and bracing of trusses and truss systems, see ANSI/TPI1 quality Criteria, DSB-89 and BCSI Building Component 7777 Greenback Lane Safety Information available from Truss Plate Institute, 218 N. Lee Street, Suite 312, Alexandria, VA 22314. Suite 109 Citrus Heights, CA 95610 Job � Truss Truss Type Qty in w27th Ave849867332 I/deft L/d PLATES GRIP (Roof Snow=30.0) 7T7ObOO TC 0.08 170241 B1E GABLE 1 120 MT20 197/144 BCDL 10.0 Lumber DOL 1.15 BC 0.03 Vert(TL) -0.01 Reference (optional) Noble Truss Colorado Inc., Sedalia, Colorado, Sedalia CO. 0 1-M 10-0-0 7.640 s Apr 19 2016 MiTek Industries, Inc. Wed Mar 01 14:28:43 2017 Page 1 I D:tDSeeM3OaEl haJ POtivlpuzibq F-9Y38z6coBEPkgJcrohU4nyrRutp3OwzsBBfM EGzfEPY 13 3x4 = Scale = 1:25.8 LOADING (psf) TCLL 30.0 SPACING- 2-0-0 CSI. DEFL. in (loc) I/deft L/d PLATES GRIP (Roof Snow=30.0) Plate Grip DOL 1.15 TC 0.08 Vert(LL) -0.00 1 n/r 120 MT20 197/144 BCDL 10.0 Lumber DOL 1.15 BC 0.03 Vert(TL) -0.01 1 n/r 120 BCLL 0.0 ' Rep Stress Incr YES WB 0.05 Horz(TL) -0.00 8 n/a n/a BCDL 10.0 Code IRC2012/TP12007 (Matrix) Weight: 38 Ib FT = 10% LUMBER- BRACING - TOP CHORD' 2x4 SPF 1650F 1.5E TOP CHORD BOT CHORD 2x4 SPF 165OF 1.5E WEBS 2x4 SPF No.2 BOT CHORD OTHERS 2x4 SPF No.2 REACTIONS. All bearings 10-0-0. (lb) - Max Hoa 13=203(LC 11) Max Uplift All uplift 100 Ib or less atjoint(s) 13, 8, 9, 10, 11 except 12=-172(LC 11) Max Grav All reactions 250 Ib or less at joint(s) 13, 8, 10, 11, 12 except 9=250(LC 21) FORCES. (lb) -Max. Comp./Max. Ten. -All forces 250 (lb) or less except when shown. BOT CHORD 12-13=-273/200 WEBS 2-12=-181/275 Structural wood sheathing directly applied or 6-0-0 oc purlins, except end verticals. Rigid ceiling directly applied or 10-0-0 oc bracing, Except: 6-0-0 oc bracing: 12-13. NOTES - 1) Wind: ASCE 7-10; Vult=139mph (3 -second gust) V(IRC2012)=110mph; TCDL=6.Opsf, BCDL=6.Opsf; h=25ft; Cat. II; Exp C, enclosed; MWFRS (envelope) gable end zone and C -C Exterior(2) -1-0-0 to 2-0-0, Interior(1) 2-0-0 to 9-10-4 zone; cantilever left and right exposed ; end vertical left and right exposed;C-C for members and forces & MWFRS for reactions shown; Lumber DOL=1.60 plate grip DOL=1.60 2) Truss designed for wind loads in the plane of the truss only. For studs exposed to wind (normal to the face), see Standard Industry Gable End Details as applicable, or consult qualified building designer as per ANSI/TPI 1. 3) TOLL: ASCE 7-10; Pf=30.0 psf (flat roof snow); Category II; Exp C; Partially Exp.; Ct=1.1 4) Unbalanced snow loads have been considered for this design. 5) This truss has been designed for greater of min roof live load of 20.0 psf or 1.00 times flat roof load of 30.0 psf on overhangs non -concurrent with other live loads. 6) All plates are 1.5x4 MT20 unless otherwise indicated. 7) Gable requires continuous bottom chord bearing. 8) Truss to be fully sheathed from one face or securely braced against lateral movement (i.e. diagonal web). 9) Gable studs spaced at 2-0-0 oc. 10) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads. 11) ' This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide will fit between the bottom chord and any other members. 12) Bearing at joint(s) 13, 8, 9, 10, 11, 12 considers parallel to grain value using ANSI/TPI 1 angle to grain formula. Building designer should verify capacity of bearing surface. 13) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 100 Ib uplift at joint(s) 13, 8, 9, 10, 11 except (jt=1b) 12=172. 14) Beveled plate or shim required to provide full bearing surface with truss chord at joint(s) 8, 9, 10, 11, 12. 15) "Semi-rigid pitchbreaks including heels" Member end fixity model was used in the analysis and design of this truss. -r6,90 cfcF�s 0 9 PE -46766 f0NAI- March 2,2017 A WARNING - Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE Ml1-7473 rev. 1010312015 BEFORE USE. Design valid for use only with MiTek® connectors. This design is based only upon parameters shown, and is for an individual building component, not a truss system. Before use, the building designer must verify the applicability of design parameters and property incorporate this design into the overall building design. Bracing indicated is to prevent buckling of individual truss web and/or chord members only. Additional temporary and permanent bracing w Ai��iIl�' is always required for stability and to prevent collapse with possible personal injury and property damage. For general guidance regarding the � V� fabrication, storage, delivery, erection and bracing of trusses and truss systems, see ANSVTP11 quality Criteria, DSB49 and BCSI Building Component 7777 Greenback Lane Safety Information available from Truss Plate Institute, 218 N. Lee Street, Suite 312, Alexandria, VA 22314. Suite 109 Citrus Heights, CA 95610 ID:tDSeeM3OaElhaJPOtivlpuzibgF-dlcWAScQyYYbSTB1 LP?JKANTVHvZIAh?PgpwmizfEPX F0-0 6-7-12 13-0-0 19-4-4 26-0-0 27-0-0 �1-0-0� 6-7-12 6_4-4 6-4-4 6-7-12 1-0-0 3.00 12 Scale = 1:53.4 5x6 % 13 6x12 M18SHS % N N N N v C'l LOADING (psf) TCLL 30.0 (Roof Snow=30.0) BCDL 10.0 BCLL 0.0 ' BCDL 10.0 SPACING- 2-0-0 Plate Grip DOL 1.15 Lumber DOL 1.15 Rep Stress Incr YES Code IRC2012ITP12007 CSI. TC 0.66 BC 0.97 WB 0.85 (Matrix -M) DEFL. Vert(LL) Vert(TL) Horz(TL) in (loc) I/defl Ud -0.56 11-12 >548 240 -1.08 11-12 >2114 180 0.21 9 n/a n/a PLATES MT20 M18SHS Weight: 117 Ib GRIP 197/144 197/144 FT = 10% LUMBER- 4 BRACING - 2) Truss designed for wind loads in the plane of the truss only. For studs exposed to wind (normal to the face), see Standard Industry TOP CHORD 2x4 SPF 1650F 1.5E TOP CHORD Structural wood sheathing directly applied or 2-6-5 oc purlins, except BOT CHORD 2x4 SPF 1650F 1.5E end verticals. [} a LICF WEBS 2x4 SPF No.2 *Except* BOT CHORD Rigid ceiling directly applied or 2-2-0 oc bracing. non -concurrent with other live loads. 7-9: 2x6 SPF 1650E 1.5E WEBS 1 Row at midpt 6-9 7) All plates are 1.5x4 MT20 unless otherwise indicated. OTHERS 2x4 SPF No.2 8) Gable studs spaced at 2-0-0 oc. 2 Rows at 1/3 pts 3-13 9) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads. 10) ' This designed for load REACTIONS. (Ib/size) 13=1373/0-5-8,9=1380/0-5-8 truss has been a live of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide will fit between the bottom chord and any other members. ; 11) Bearing atjoint(s) 13, 9 considers parallel to grain value using ANSI/TPI 1 angle to grain formula. Building designer should verify Max Horz 13=374(LC 11) capacity of bearing surface. tis 12) Provide mechanical Connection (by others) of truss to bearing plate Capable of withstanding 100 Ib uplift at joint(s) except Qt=1b) Max Uplift 1 3=-471 (LC 10), 9=-569(LC 14) 13=471,9=569. 13) "Semi-rigid pitchbreaks including heels" Member end fixity model was used in the analysis and design of this truss. Max Grav 13=1433(LC 21), 9=1708(LC 21) FORCES. (lb) - Max. Comp./Max. Ten. - All forces 250 (lb) or less except when shown. TOP CHORD 2-13=-403/269, 3-4=-4447/1543, 4-37=-4704/1502, 5-37=-4634/1503, 5-6=-4573/1511, 6-38=-345/34, 7-9=-481/232 BOT CHORD 12-13=-1722/3805, 11-12=-2084/5172, 10-11=-1527/4172, 9-10=-1513/4203 WEBS 3-13=-3963/1433, 3-12=-34/676, 4-12=-897/390,4-1 1 =-625/453, 6-11=-142/754, 6-9=-3807/1425 NOTES - 1) Wind: ASCE 7-10; Vult=139mph (3 -second gust) V(IRC2012)=110mph; TCDL=6.Opsf; BCDL=6.Opsf; h=25ft; Cat. II; Exp C, enclosed; MWFRS (envelope) gable end zone and C -C Exterior(2) -1-0-0 to 2-0-0, Interior(1) 2-0-0 to 27-0-0 zone, Cantilever left and right exposed ; end vertical left and right exposed;C-C for members and forces & MWFRS for reactions shown, Lumber DOL=1.60 plate grip DOL=1.60 2) Truss designed for wind loads in the plane of the truss only. For studs exposed to wind (normal to the face), see Standard Industry Gable End Details as applicable, or consult qualified building designer as per ANSIfTPI 1. 3) TCLL: ASCE 7-10; Pf=30.0 psf (flat roof snow); Category II; Exp C; Partially Exp.; Ct=1.1 4) Unbalanced snow loads have been considered for this design.p [} a LICF 5) This truss has been designed for greater of min roof live load of 20.0 psf or 1.00 times flat roof load of 30.0 psf on overhangs �� 1/s non -concurrent with other live loads. �••.•••.••� �� • P . Fi9••• {<Q 6) All plates are MT20 plates unless otherwise indicated. ; 45 7r ; 7) All plates are 1.5x4 MT20 unless otherwise indicated. 8) Gable studs spaced at 2-0-0 oc. ; PE -46766 9) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads. 10) ' This designed for load m truss has been a live of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide will fit between the bottom chord and any other members. ; 11) Bearing atjoint(s) 13, 9 considers parallel to grain value using ANSI/TPI 1 angle to grain formula. Building designer should verify •'•••••••'• capacity of bearing surface. tis 12) Provide mechanical Connection (by others) of truss to bearing plate Capable of withstanding 100 Ib uplift at joint(s) except Qt=1b) `�1ONA 13=471,9=569. 13) "Semi-rigid pitchbreaks including heels" Member end fixity model was used in the analysis and design of this truss. March 2,2017 WARNING - Verify design paramefers and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE Mll-7473 rev. 1010312015 BEFORE USE. Design valid for use only with MiTek® connectors. This design is based only upon parameters shown, and is for an individual building component, not �6 a truss system. Before use, the building designer must verify the applicability of design parameters and properly incorporate this design into the overall building design. Bracing indicated is to prevent buckling of individual truss web and/or chord members only. Additional temporary and permanent bracing Mifiek` is always required for stability and to prevent collapse with possible personal injury and property damage. For general guidance regarding the fabrication, storage, delivery, erection and bracing of trusses and truss systems, see ANSI/TPI1 Quality Criteria, DSB-89 and BCSI Building Component 7777 Greenback Lane Safety Information available from Truss Plate Institute, 218 N. Lee Street, Suite 312, Alexandria, VA 22314. Suite 109 Citrus Heights, CA 95610 mp D-'A (nn coo Z CL LI)m D r o r V' rn a �>D m D a D `° Z X m � m m (n O > d N ° = W O ca cr ; m C0:3 li D 0 °w�Q�.mo'd D vQ O =! o(o�om �n _ n jCD O Vi CL G0) �� _��min .0 <O- Z sod-1 m01 o(D-1 C m vDpoC� Z �° ° 3 0� n- (D G7 m o m a rn �� N v o n� 3 D a 07 .� o v m cc cn CL x m a Yy(3D oNvaN�N(D—o oQ c o (D 6m°o O o CD m m< (D cMn NN 3('� N ID 0 � NCn 0C 0 0- NN WQ �Q-OZm Q nopao E;@ � j an 3 6 ° 0-D0 °-mD 0°7 3 p S 0 3'c� 0 7 0 3 (D o° CD 3 0_� D 0 (D N 7 (D n� (n S (D -p y' (p (n N C T t'n p � N O O n O Vi (D N (D ). (D 0 N 7 (D � O O °- 0 C N G 7 0 O (/1 O S N O 5 a (D Ln. 7 O m�'� s� o m (° CD o.� in b"Q� o �.fD m 9 CO XC Z O j`� N p N C N O (D O 29 (D Q "' p 7 U( DJ N O (D X (7 O Q (D 'Y 0 00 (y s o (�/ s (D cn O m (fin CD c D c m m n z 0 TOP CHORD m 3 Cl)c= _�� '� C> m � �� C7 g O m O z Cl-8 (0 =0, CCD �� (D �C mo MZU) :3 s Q �7 (7 ;u to -n O D (OD fl.. W (D CCD N m- D r z mm �� 6) �. cr (n to (D (/) m p n m p m 0 On ti .p s(0 r, CDo C X� N O -� -am O v m Cr (gyp O N< (D Ln w- m C m W 3 (D n) cc • O W N y N; O n (D C E (D N N D D N D J W2-7 N 0 n(n (D CD a m X �� O O a �. p �' Rv rn o �� (mn M m �{ 0 3 3 r� ■ O (�D cn oS O m c n W m N C, o a = °° y n Dm (n p N � m0 -� m0 cn 41 p m o W mm °' N W � ® O j — N L --1 7' rh CD D 0 N z �m m x CD -n o Tm6 W �N. o 6 p O D D x nD Z'1 < Z (D 2 O d O N N O m o z N 3 C'n C4-5 A CL ° m TOP CHORD C D O w W A -9 CD C W `(W_�-'� ' NJC.(D3WJ_ J C(o�ND pU0E- 0°CN•. CaJrnOi (J"Qp QOdONN. . p°p�' "OOO C 5 ' -0 Oo `Jo>CJ--uoJW TO W J(D J.a`<N mO N Uz 3 o 3 0y o m mo< omom < (D J 3WN3 m o<m 3 (g m c 3 m O m o W 1 3 W x c _ ((U N X J S J d OuS ny W(D >(OO CN (D (D °O p- I �W Nd W XD O CD -0 D N -n r,'3 (D aO-3 3 ( 3 N nC OO" N NN(D n D (a <JID m N (D mo, SL CD WO d 3 OW CN N (n S NC 5Ci W f-N JC O O NN N N O N N (0 Q(d 0 OdN D (p OO .. ° N C °3 6 S C l)N. O N o CD c 3 O Eo N N N ON (D N W N <N a. U 3 N N ° m mCD U y 0' CD Cb mCD 3Di. (D . °� 7 N NN % ' c\�V/Q OV N N N0E Jdj ° m N d O o d OJ ((DOJ :E� 3 — 1N D c O :(O O O N 0 3 N W < (D (D .(-. O- O� - (D .J. S (i O- (D 1 S (D O O T WO � °j n C ° N� N W n O N 10 n' 3 O W J N N O O N v rf s JNn ca m' v J Ja ° N? mff m n p� m m� C�i O 0 - p( CD p. N O J' N N N CD ° (n -O CD N a� 3- 3 Z S 0 N .T CD N I 1 r - ot FOR OFFICE USE ONLY Dote: City of Wh6atPjdge, COMMUNI-1-Y DEVELOPMENT ftWft)7n## Building & Inspection Services Division 7500 W. 2e Ave., Wheat Ridge, CO 80033 plan Roview Fee. Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building Permit Application Please cmvlete all hightightst! cross on both sides of this fom.'jnm**tW aWcations may not be Processed. Property Address: -1,11 -1 --low Property Owner Email: 9 1 Lx-. ol+, Mailing Address: (if different than property address) Address, - City, State, Zip: Archit"VEngArte er E-mail: Phone - Contractor: & '�_ L�! Z*�'l contractors City License,#: Phone. -_3 Z' ' d'-4 (P Contractor E-mail Address: 4, Sub Contractors-, Electrical: Plumbing: Mechanical: WA. City License # W.R. City License # WA. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all information on BOTH sides of this form M A t C -A" 6-61 Vc >q. FULF Btu's Gallons Amps :Squares father Summ"t Asbestos Testing Asbestos Survey, Renovation/Potential Partial Dernolitio" 7000 W. 27 th Avenue Wheat Ridge, CO 80033 Prepared For: Michael Bilger 7000 W. 27 Ih Avenue Wheat Ridge, CO 80033 303-829-4606 Prepared By: Summit Asbestos Testing, LLC Nicole Rolfe PO Box 927 Breckenridge, \# 8#¥»* 970-406-8038 Survey Date: December 6, 2016 Summit Asbestos «,.«n• *i Number: 2161 39=6 t N 14P CERTIFICATION STATEMENT Signature: Date: e 2-01(o Nicole Rolfe Su*cwtit AAestos Testiwg, LLC PO Box 927 Breckenridge, CO 80424 (970) 406-8038 Expiration Date: February 19, 2017 Nicole Rolfe CDPHE Asbestos Building Inspector, Certification Number: 22581 Expiration Date: February 19, 2017 CERTIFICATION STATEMENT.. ........ .~................ ............. ........................ ............ ^..... ...... 1 1. EXECUTIVE SUMMARY / SCOPE OF SERVICES ................................................ ....... 3 2, SITE DESCRIPTION .................... .......... ....~,^......... ........................ ,.~`^........ ^.,....... 3 3. ASBESTOS INSPECTION METHODOLOGY.....~..,,...~.........................~...........~.. 4 31 Asbestos Sample Demmby....... ....--..__~....._...--..__....._,~..._-._.._........ ...........__.~_-4 3.2 '......... ........ 5 33 Physical Assessment _.._._~_....._..._......—........._..~......~^~_._.._'_..~..~..'...._.~^5 3.4 Sample Co|lectkxn..._-..__...... ....~._-...^......._.._.....-......—~.'............—..__.._..._...-5 IS Analytical Laboratory Information .... ..._...._..._..._._._._-.._....._..~....^._.—...^....~_..6 4` ASBESTOS SUMMARY TABLES ......... .......... ~.......................... ............. ................... 7 4.1 Table 1: Homogeneous Areas in Scope of VVerk...... _._--.._.........._....._.........~.—.._._..-7 4.2 Table 2:Bulk Sample Locations and Results.~. .... '....___..-_—_~...—..._.~—..__.^'~^-^'-`-^^'9 4.3 Table 3:Photo Log mfAsbestos Containing Samples ..-~.-............._....~........-...-...~_..—.,.,1J 5. F|ND!NGS...... ....... ....... ....... ............ ......................... ............................. .~...... ... 13 6. RECOMMENDATIONS— ......... .............~~.._.~....................... .......... ,.......... ..~13 7. STATE and FEDERAL COMPLIANCE /&REGULATORY REQUIREMENTS., ............. .... 14 71 Colorado Air Quality Control Commission Requirements .... 14 7.2 National Emission Standards for Hazardous Pollutants (NESHAPS)_..—...... _.—..--.---....15 73 Asbestos Hazard Emergency Response Act (AJHERA)_....~.--.... ._..—..—.............. 15 7.4 Occupational Safety and Health Administration (OSHA) ........ ... 15 8. LIMITATIONS AND ASSUMPTIONS ............... ................ ................................... .~^16 Appendix A: Sample Area Diagram ....... .......... ............... ......................... .^..~`^.^^^.^^~~18 Appendix B: Certifications............. ............................................................................. 19 Appendix C: Laboratory Analytical Report and Chain of Custody .................. --- ......... 21 7000 th Avenue, Wheat Ridge, CO 1. EXECUTIVE SUMMARY / SCOPE OF SERVICES Summit Asbestos Testing was contracted by Michael Bilger to perform an asbestos building survey for Asbestos Containing Building Material (ACBM) due to a proposed renovation/potential demolition at 7000 W. 27th Avenue in Wheat Ridge, Colorado 80033. White sealant coating on laundry nook, 60% Chrysotile White painted grey window glaze, 2% Chrysotile Grey roof tar, 15% Chrysotile Black roof tar, 3% Chrysotile The survey, conducted on December 6, 2016, consisted of a walk-through of applicable areas proposed to be disturbed, delineation and quantification of homogeneous areas, an assessment as to whether the suspect ACBM is friable or non -friable, a physical assessment of the condition of the suspect ACBM, wizuw�vj_*Uq At �ka avm_vio_4, t wlcam 'n W,*fJ#, prialytical laboratory. All areas of the house and garage areincludedin the scope of work of this pre-renovation/potential demolition asbestos survey with the _exception ofw ❖ West wall of the garage CMU on all walls of crawl space 2. SITE DESCRIPTION The site is a single story single family home located at 7000 W. 27 1h Avenue in Wheat Ridge, Colorado. Based on Jefferson County Assessor's Office records, the date of original construction is 1952. The home is 868 square feet with an attached enclosed sunroom measuring 372 square feet. The attached garage is 288 square feet; there is no access to the home via the garage. The total square footage is 1,528. The interior walls and ceilings are plaster and the floors are primarily wood overlaid with carpet. 3.2 Homogeneous Meas/Matei-ials Prior to collecting any samples, Summit Asbestos Testing performed a visual inspection of all areas within the potential renovation areas identified in the scope of work to determine the presence of suspected ACBM. Homogeneous areas and materials were identified and listed to develop a sampling plan. The §tv2A4Mr*V, VgAmk�- *-, VtaALO+ 1'4100411 2;#*J*X46iwW f�-*j samples to be collected. Summit Asbestos Testing attempts to capture the square footage measurements as exacting as possible; however for the purpose of this report the measurements are considered an estimate. This information was recorded on the Homogeneous Areas in Scope of Work Form; see Section 4.1 (Table 1). Homogeneous areas are defined by AHERA protocol and state regulation as an area of surfacing material, thermal system insulation material, or miscellaneous material that is uniform in color, appearance, texture, date of application, and/or manufacturers' labels. 3.3 Physical Assessnient The condition of all confirmed ACBMs were evaluated as: Good (no visible damage or showing only very limited damage), Damaged (less than 25% localized damage or 10% distributed damage), Significantly damaged (25% or greater localized damage or 10% or greater distributed damaged) 3A Saniple Collection Bulk samples of suspect ACBM were collected in general conformance with AHERA protocols as outlined in CDPHE's—Colorado Regulation 8. The sampling locations are selected so that they are representative of the homogeneous area with regard to the material present and its potential asbestos content, When fewer than 9 samples are collected per homogeneous area, a random sampling scheme is used to determine the sample location. M 7000 W. 27�h Ave n ue, Wheat Ridge, CO Once sampling was complete, all unique sample IDs were recorded on a chain of custody form, and then submitted to an accredited laboratory, The sampling tools were cleaned between each sample collection to prevent cross contamination. 3.5 Analytical Labotatoi-y Inforniation Thirty-three (33) bulk samples were collected and submitted under chain of custody to EMSL, Analytical of Denver, CO (AIHA Lab ID 189946). The samples were analyzed using Polarized Light Microscopy (PLM), per EPA method 600/R-93/116. EMSL, Analytical participates in the National Voluntary Laboratory Accreditation Program (NVLAP), a quality assurance program for PLM analysis. 17KC Any -Lingle sample collected from that homogeneous area shows that asbestos is present in an amount greater than one percent, Additionally, a homogeneous area is considered not to contain ACM only if the results ofAll samples required to be collected from the area show asbestos in amounts of one percent or less. If the asbestos content of a sample of friable asbestos is estimated to be 1 % asbestos or less, but greater than 0% (trace), by a method other than point counting (such as visual estimation), the determination shall be repeated using the point counting technique with PLM. If the result obtained by point count is different from a result obtained by visual estimation, the point count result must be used. '11J MaTeria IT c7mains-giTaTer TrTarr-litne �er=l and must be handled in accordance with OSHA, EPA, and applicable state and local regulations. Laboratory analysis results for this project are summarized in Section 4.2. See Appendix C for laboratory report and chain of custody. 4. ASBESTOS SUMMARY TABLES 4.1 "I'able 1: Homogeneous Areas in Scope of Work rolled mtl 7 M White 2x2 tile 8 M Ceiling tiles white 9 M Orange/tan tile/thinset 10 M White/gold 4A tile/yellow mastic White rolled sealant 11 M faux brick/ pressboard base layer zmzmr. • Sunroom ceiling 24 1 340 Sunroom flooring near door 72 Bathroom shower walls 53 Laundry nook flooring 6 M White figure 8 swirl 1 Sm Living room ceiling, bedroom ceiling 340 3 plaster 2 Sm White fan swirl Spare room off of the sunroom-ceiling 118 3 3 Sm White orange peel Kitchen ceiling, kitchen walls, bath ceiling 318 3 White stomp Spare room off of the sunroom-walls, 4 Sm 469 3 surfacing mtl bedroom walls Living room walls (excl. east brick wall), White stamped 5 Sm halfway walls and ceiling, bath west wall, 520 3 striped sm bath east wall Tiger textured print 6 M Bathroom east recessed wall 32 2 rolled mtl 7 M White 2x2 tile 8 M Ceiling tiles white 9 M Orange/tan tile/thinset 10 M White/gold 4A tile/yellow mastic White rolled sealant 11 M faux brick/ pressboard base layer zmzmr. • Sunroom ceiling 24 1 340 Sunroom flooring near door 72 Bathroom shower walls 53 Laundry nook flooring 6 M 12 M 13 M 14 M 15 M Limited Asbestos Containing Materials Survey 7000 W.27th Avenue, Wheat Ridge, CO ... .. ............... .... ...... ......... .. ... ... ..... Black cloth electrical Crawl space, near gas boiler, visible in LR 60 1 wire Fireplace sealant Inside of fireplace, south side 30 White painted brick Living room east wall, short wall around 335 1 fireplace, sunroom north wall Change brick/taupe Sunroom East Wall 40 1 grout M window glazing aeemect friable) 17 M Grey loose insulation Crawl Space 1 18 M Grey roof tar Around chimney 8 1 Roofing shingles 19 M Roof 1,700 1 Qlayers) Roofing felt (single 20 M Roof 1,700 1 layer) 21 M Tan painted CMU Garage south and east walls 285 1 22 M Black roof tar Around rooftop air vents and vent pipes 20 1 HA=Homogeneous Area Material Category Abbreviations: SM= Surfacing Material, TSI= Thermal System Insulation, MISC = Miscellaneous DW= Drywall, JC= Joint Compound M 7000 W. 27'h Avenue Wheat Ridge, CO 4.2 Table 2- Bulk Sample Locations and Results M Living room North of fireplace 3' 1 FIG -SM -01 ceiling, north from n wall, 1.7' from G Friable Friable ND side east gall Bedroom ceiling, 1.4' from w wall, T 1 FIG -SM -02 G Friable Friable ND west side s wall 3.3' from south wall, Living room 1 FIG -SM -03 5.1 feet from west G Friable Friable ND ceiling, sw side wall NW corner, 1.5' from Spare room 2 FAN -SM -04 north wall, 2.2'f west G Friable Friable ND Ceiling, wall Spare room, 5.6' from west wall, 2 FAN -SM -05 G Friable Friable ND south side center 2.7' from south wall Spare room, 1.7` from east wall, 2 FAN -SM -06 north side as 2.8' north of header G Friable Friable ND enter room wall 3' from north wall, 3 OP -SM -07 Kitchen ceiling G Friable Friable ND center 2' from east wall - 1' from south drop 3 OP -SM -08 Bath ceiling G Friable Friable ND down shower ceiling wall Above stove top, IT Kitchen wall, east 3 OP -SM -09 north of floor to G Friable Friable ND wall ceiling cabinet Spare Room, 4.9' from floor- 4 STOMP -SM -10 G Friable Friable ND south wall center M Limited Asbestos Containing Materials Survey 7000 W.27te' Avenue, Wheat Ridge, C Spare Room, east 3.1' from floor, 1,28' 4 STOMP -SM -11G Friable Friable NCS wall from s wall 2' from floor, 2«7' Bedroom, east 4 STOMP -SM -12 from north closet G Friable Friable Nil '. wail '. door Living room, 9" from floor, 3.9' STR-SM-13 South Wali -next from west edge of G friable Friable ND to outlet south wall 3.2°from floor, 1' Bathroom, West 5 STR-SM-14 from the north doer G Friable Friable ND Wall frame Hallway North 4.' from floor, 5.2' 5 STR-SM-15 Friable Friable Nle Wall from east wall Bathroom, east 5.9' from floor, 3" TIG -M-16 G Friable Freebie N wall from tileND -M-17 Bathroom, east 2.4' from floor, 23' B TIG G Friable Friable ND wall from north wall kitchen kitchen wall, south edge of tiling, Non_ 7 2x2 -m-18 Friable Nil west wall 2nd from top tele Friable 3' from south wall, 9.7' from west wall B CT -M'19 Sunroom Ceiling G Friable Friable Ni (ne corner of ceiling tile) Sunroom Right at doorway, 4 Non - 9 OTILE-M-20 Flooring, east G Friable ND from south wall Friable side Bathroom West wall, north Non_ 10 Gold -M-21 G Friable ND Shower west wail edge bottom the Friable Laundry Nook West front side of 60 11 Seal -M-22 G Friable Friable Floor floor Chrysotile Living Roam, East 12 Cloth -M-23 In brick short wall G Friable Friable NCS Side 7000 W. + Wheat Ridge, CO South interior wall at 13 FP -M-24 Inside Fireplace Damaged Friable Friable ND sw corner Northeast corner of Living Room, Non - 14 WHBR-M-25 protruding east short G Friable ND Short East Wall Friable wall Sunroom East North edge of East Non- 15 OB -M-26 G Friable ND Wall Wall, .9' from Floor Friable Exterior of West 20% Friable 20% Friable East side of the west 2% 16 GLAZE -M-27 Living Room Damaged Window window (bottom) 80% Non- 80% Non - Chrysotile Friable Friable Crawlspace, East side of 17 INS -M-28 around wall G Friable Friable ND crawlspace edges Non- Non- 15% 18 BF -M-29 Around Chimney West side of chimney G Friable Friable Chrysotile Shingles on north Non- Non- 19 SH -M-30 Center G ND side of house Friable Friable Roofing felt on 20 RF -M-31 north side of Center G Friable Friable ND house Vfrom floor, 8,9' Non- 21 CM -M-32 Garage east wall G Friable ND from north wall Friable Non- Non- 3% 22 BI -M-33 Eastern air vent East side G Friable Friable Chrysotile HA=Homogeneous Area Condition Abbreviations: SD= Significantly Damaged, D= Damaged, G= Good Results: ND= None Detected 'Current Condition: Is the Material Friable or Non -Friable in Current Condition: F= Friable NF=Non-Friable 2 Due To Reno/Demo: If the Material is Non -Friable in Current Condition, Will it Become Friable when Disturbed by Renovation or Demolition: F= Friable NF=Non-Friable If any samples in the same Homogeneous Area (HA#) contain asbestos, then all samples in the same Homogeneous Area (HA#) must be considered asbestos containing. 7000 W. 7' Avenue, Wheat Ridge, CO 43 Table 3. Photo Log of Asbestos Containing Saniples GLAZE -M-27 7000 W. 27 1h Avenue, Wheat Ridge, CO At the time of this report, the EPA has not prohibited the manufacture and import of miscellaneous materials, such as vinyl floorings, mastics, roofing materials, etc., which may be asbestos containing. As a result, Summit Asbestos Testing recommends testing of future replacement materials for the presence of asbestos prior to installation. 7. STATE and FEDERAL COMPLIANCE & REGULATORY REQUIREMENTS 111111111; 11111111lillill IM -11 WAT rr# wo #11,11titig !irfTe; K7,1144 711 Ititclittj k-UTILMI Zt O'CUTIfdUllidt ->d1CLj driv neaTul Administration (OSHA), Environmental Protection Agency (EPA), and National Emission Standards for Hazardous Air Pollutants (NESHAP) requirements. 71 Colorado Air Quality Control Cominissioii 11equiremetits Colorado Regulation 8 definitions and requirements include: I.B. Definitions: ...Demolition' means the wrecking or taking out of any load -supporting structural member of a facility together with any related handling operations or the intentional burning of any facility..." "In the event of an asbestos spill involving less than 50 linear feet on pipes, 32 square feet on other surfaces, or the volume equivalent of one 55 -gallon drum, the building owner should..." (Refer to pages 8.114 and 8.115 for exact recommendations). "In the event of an asbestos spill involving greater than 50 linear feet on pipes, 32 square feet on other surfaces, or the volume equivalent of one 55 -gallon drum, the owner shall .. " (Refer to page 8.115 for exacl requirements). MEMEMEM "Prior to any renovation or demolition in any single family housing which may disturb 50 linear feet of material on pipes, 32 square feet of material on other surfaces, or the volume equivalent of one 55 -gallon drum of material identified by the EPA as a suspect asbestos- conta i ni ng material, the facility components(s) to be affected by the renovation or demolition shall have an inspection performed by a building inspector certified under these regulations. The inspection must be performed to the AHERA standards as given in 40 CFR Part 763 (1992)." ima Cei*•I) IndLef1di *1 ' pl[Aleb, 1934i MeL *1 n1dLef Idt V1 *MV b1f tdLeb, F(tWeitIFITdIeFIL W1 441C X) - gallon drum of material identified by the EPA as a suspect asbestos -containing material, the facility component(s) to be affected by the renovation or demolition shall have an inspection performed by a building inspector certified under these regulations. The inspection must be performed to the AHERA standards as given in 40 CFR Part 763 (1992)." 7.2 National Eniissioii Standardst"(.w Hazardous Pollutatits (NESHAPS) Section 61,141 Definitions: V 7TTU=hT commerfTern tilt n e I Tion or renov-Xion, toI y lns,�Fec ec acilli7j717, arr of the facility or part of the facility where the demolition or renovation operation will occur for the presence of asbestos, including Category I and Category 11 no friable ACM..." "If a facility is being demolished...if the combined amount of RACM is at least 260 linear feet on pipes or at least 160 square feet on other facility components, or at least 35 cubic feet off facility components where the length or area could not be measured previously..." ,#7 'T amount of RACM to be stripped, removed, dislodged, cut, drilled, or similarly disturbed... is at least 260 linear feet on pipes or at least 160 square feet on other facility components, or at least 35 cubic feet off facility components where the length or area could not be measured previously..." 7.3 Asbestos Hazard Eniergency Response Act (AHERA) As referenced in 40 C.F.R. Part 763 (1992), "...requires a minimum number of samples for surfacing er sufficiett to 4leterinite 7.4 Occtipational Safety and Health AdrTiinistration (OS11A) Summit Asbestos Testing is not responsible or liable for any opinions, conclusions or recommendations provided by others regarding the data presented in this Limited Asbestos Survey. Appendix A: Sample Area Diagram (Not To Scale) Fl1 1 OAMM Appendix Colorado Department of Public Healdi and ttrirrarunent ASBESTOS 'I !alar certifies that Nicole Rolfe Certification o.- 22581 has reset the requirements nts ea#" 25- -507, (".R -S, and Air Quality Control Commission Regulation No, 8, Peart B, and is hegr b% certified b) the state aaf'Colrrr°aado in the l'ollowing discipline: Building Inspector* Issued, February 19, 2016 Expires- Februarry 19, 2017;C ThA verdyiewer A av#aid vaia with lite iddas,msian #rf a C#4 of 4"Rwme oertifloFdew Z the diwipfine SrSf ri iedd a bo r#'.. A6 -ho, mod A. rte? d'n'oY }a ikK "3i7iF^}:FgN '. Jr l 3 h F d$b4Su# itpµ}Fi a7 l 4 Yr aP ,y#1H 1 V�'wuul.yj {W ryA` 1 i,} t \ .Y, HIMESEEMIEM '1775 West W Aw-uv 10106v:pa co 90c 11 303:410-4941 tymn"lech"tom Certifies that, Has SuccesquPy Completed the EPA-AppvvedAtTtivalAsbesto$,Re,,fresher Tranlimq Course Under Sema n 206 cast he Tow Substance Control Act (rSCA), Title, 11 BURVNG INSPFCTOR 7000 W. 27th Avenue, Wheat Ridge, CO cbww' Date Ovx'be' Z 1, 7016 C&ls,rale Nc, PlfiAZl4Af,C0 No, of Hmos, It fvoaumn Date Ombe, 201 .. ........ ASBESTOS CONSULTING FIRM 111k cemork"s that Summit Asbestos Testing, LLC Registration No-, ACT - 22742 ha, mel the tzpwarmo M , t,7.507, ('* IS, irnt dw A,r QaahlConM4 ("onunkAm Rqwlinwn No 9, llamR mut 6 herrty mffhormM to jvobrm 'mNswvmwhing 4V6, it'c' as rcquirce� as R CgWmwn No 9, par3 W m the eawc "F Cokrfad�' hw'OW f Vhrrmev � q, 20R, 7000W.27 Avenue, Wheat Ridge, CO Appendix C: Laboratory Analytical Report and Chain of Custody EIVISL Analytical, Inc. 1010 Yuma Street Denver, CO 80204 Tid/Fax� (303) 740-5700 / (303) 741-1400 hftp1,1wvvw EMSt, com 1 denvedab@ernsl cour Summit Asbestos Testing PO Box 927 Breckenridge, CO 80424 EMSL Order: 221608742 Customer ID: SMAT42 Customer PO: Project ID: I Fax: Received Date: 12/06/2016 4:55 PM • =T,#_7M7T7-,T1-d=Z7 Light Microscopy OP -SM -08 White Plaidej Orange While Peel - Both Ceiling Non -Fibrous 22166187424=8 Homogeneous insiootrab,fe, paint 1coal,ng Iayei includol w analycs iqA 3 15% Quartz None Detected 85% Non-fibrous (Other) Initial report from: 12,10712016 18:22,19 ASS, Pjjd0008 � 1, 71 Phrrssd. 12,712016 222 PM Page 1 of 4 Sample Description Appearance % Fibrous % Non -Fibrous % Type FIG -SM -01 -Texture I Figure 8 Swirl - White White 15% Ca Carbonate None Detected Plaster - LR Ceiling Non -Fibrous 85% Non-fibrous (Other) 22 1608742 0001 Homogeneous lnsopa,abiPo1ei,'1Cnah,1kq4aye1 arCifA4dea, in anaiy&s HA t FIG -SM -01 -Texture 2 Figure 8 Swirl - White Beige 15% Ca Carbonate None Detected Piaster - LR Ceiling Non -Fibrous 85% Non-fibrous (Other) 221608742-001A Homogeneous MserweaNe pawt " coafing layet mduaad'n analyns HA I FIG -SM -02 Figure 8 Swirl - While White 15% Quartz None Detected Piaster - Bedroom Non -Fibrous 85% Non-fibrous (Other) 2' 108 74-0=2 Gail Homogeneous msr`,73:F'xabip p nt /coarng' viyer mchvw' m analysis HA I FIG -SM -03 Figure 8 Swirl - Wide Afrite 15% Ouartz None Detected Piaster- Living Room Non -Fibrous 85% Non-fibrous (Other) Ceiling SW Side Homogeneous insepar,,ibte 17aint I coateng laye,f mcluded m ama4,ss FAN -SM -04 Spare Room NW White 15% Quartz None Detected Corner- White Non -Fibrous 85% Non-fibrous (Other) Plaster' Fan Swirl Homogeneous HA 2 FAN -SM -05 Spare Room South White 100%, Non-fibrous (Other) None Detected Side renter- White Non -Fibrous 2,'1160874?,OCA_5 Piaster Fan Swirl Homogeneous hrisf,ko,'vabie pa,,fit coawyOyei mdahroOn ani ysis HA 2 FAN -SM -06 Spare, Room North White 100% Non-fibrous (Other) None Detected Side - White Piaster Non-Ftbrous M08742,acC Fan Swirl Homogeneous HA."2 OP -SM -07 -Texture I Whae Plaster Orange to 15% Ca Carbonate None Detected Peel - Kitchen Ceiling Non-FibrOUS 851'r"i Non-fibrous (Other) 2216087424=7 Homogeneous feisepwab,ltpaint /coatwa layermCludedin ana�y&s IJA 3 OP -SM -07 -Texture 2 White Piaster Orange Beige 15% Ca Carbonate None Detected Peel - Kitchen Ceiling Non -Fibrous 85% Non-fibrous (Other) 221&r,6742,0Zx'17A Homogeneous HA a OP -SM -08 White Plaidej Orange While Peel - Both Ceiling Non -Fibrous 22166187424=8 Homogeneous insiootrab,fe, paint 1coal,ng Iayei includol w analycs iqA 3 15% Quartz None Detected 85% Non-fibrous (Other) Initial report from: 12,10712016 18:22,19 ASS, Pjjd0008 � 1, 71 Phrrssd. 12,712016 222 PM Page 1 of 4 EIVISL Analytical, Inc. EMS L Cirdec 221608742 Customer ID: SMAT42 1010 Yuma Street Denver, Co 80204 Customer PO: Tel,'Fax, (303) 740-5700 / (303) 741-1400 Project ID: hftp f/voow ENISL corri/densedab@emsl com Test Report. Asbestos Analysis of Bulk Materials via EPA 600IR-931116 Method using Polarized Light Mkroscopy Non -Asbestos &S-tis—tos Sample Description Appearance % Fibrous % Non -Fibrous % Type OP -SM -09 White Plaster Orange White 15% Quartz None Detected Peel - Kitchen E Wait Non -Fibrous 851, Non-fibrous (Other) 22'166,11511 42401119 Homogeneous 1nsepwable, par f / coarmig, hayer mcluded in analyos HA 3 STOMP -SM -10 White Stomp Plaster White Is% Quartz None Detected Spare Room S Wall Non -Fibrous 85% Non-fibrous (Other) Homogeneous HA 4 STOMP -SM -11 White Stomp Piaster White 15% Quartz None Detected Spare Room East Non -Fibrous 85% Non-fibrous (Other) 211608742-0011 Walt Homogeneous �nseparabie PaTm / coating Aayirr included m analysrs HA 4 STOMP -S%4-12 White Stomp Plaster White 15% Quartz, None Detected Bedroorn East Wall Non -Fibrous 85% Non-fibrous (Other) 22F608742.W12 Homogeneous wseparoWe pawt /coaurio oye, mcluded in analy&s HA 4 STR-SM,, 13 White Stamped White 15% Quartz None Detected Stnped Plaster- LR S Non -Fibrous 85% Non-fibrous (Other) Wall HomogeneiXor inseparaule paor coaftng kiyer a,, duded vi analurrr HA 5 ISTR-SM-14 White Stamped White 15% Quartz None Detected Striped Plaster - Non-Fibm us 85% Non-fibrous (Other) 508741? DOW Bathroom W Wall "T" Homogeneous qseparabje panw,' Coat ng 1yer=Wdea Tv anatys,s HA 5, STR-SM-15 White Stamped White 15% QuarL7. None Detected Striped Plaster - Non -Fibrous 85% Non-fibrous (Other) Hallway N Wait Homogeneous inseaar",* coarng layer Tnchided m analysis HA 5 TiG-M-16 Tiger Striped Rolled White 50% Cellulose 50% Non-fibrous (Other) None Detected hilt i - Bath E Wall Non -Fibrous Honrogeneous iayermcludedtfi anatyvs HA C TIG -M -17 -Wallpaper Tiger Striped Rolled While 50% Synthetic 50% Non-fibrous (Other) None Detected Mil - Bath E Wail Fibrous Homogeneous HA 6 TIG -M,17 -Tape Tiger Striped Rolled White 95% Cellulose 5% Non-fibrous (Other) None Detected MV - Bath E Wall Fibrous NI,V42..007A Homogeneous HA 6 TIG -M -17 -Joint Tiger Striped Rolled White 100% Non-fibrous (Other) None Detected Compound Mill - Bath E Wall Non -Fibrous Homogeneous .?2TC1J674'2-W,i?8 HA 6 2x2 -M -18 -Ceramic Tile White 2x2 Tile - Tan White 100% Non-fibrous (Other) None Detected Thinset - Kitchen W Fibrous 22MW42 WITS Wait Homogeneous HA 7 2x24 -18 -Adhesive White 2,x2 Tile - Tan Beige 100% Non-fibrous (Other) None Detected Thinset - Kitchen W Non -Fibrous 2 " '+f C3. 7 42 00 1,13A Wall Homogeneous ASB PLAW, 0008, l, 71 Printed 1217 /2016 2 22 PM Page 2 of 4 EIVISL Analytical, Inc.M L Order; 221608742 Customer ID: SMAT42 9010 Yuma Street Denver, CO 8020 Customer Ptd. Te€/t=axi (303) 7403-570 , (03) 41-1400 Project ID: h€ p rlwww 5M5L.com; denverlaL@emsi corgi Test Report: Asbestos Analysis of Bulla Materials via EPA 600IR-931996 Method using Polarized Light Microscopy Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous Flo Type HA. 7 2x2 -10-18m Skirn Coat White 2x2 Tile - Tan White 1010% Non-fibrous (Cather) None Detected Thinset - Kitchen W Non -Fibrous ayr'r -Qcraa Wall Horrorgeneous H+i" CT -M-19 White Getting Tiles - Browne ite 90 Cellulose 10% Non-fibrous (Other) None Detected Sunrroc m Ceiling Fibrous x asiaf;.a*. gv Homogeneous HA s o'l-IL E-M-20-Cerarnic Orange Tile' Grey Fust 100% Non-fibrous (03ther) None Detected Tile Thinset n Sunroorn Non -Fibrous Fbof Homogeneous HA ra OTI L E -.M -20-G rout Orange Tile ?Carey Tan 10% Quartz None Detected Thinset- Sunroorn Non•F rprous 90% Non fibrous (Other) 1606742 ,'K20A Floor Homogeneous HA: 4 GOLD -M-2 1-Cerarngw White & Gold 4x4 Tile White 1001% Non-frbmus (Other) None Detected Tile 1 Yellow Mastic . Bath Non�Fibrous W Arali Homogeneous NM: 10 GOLD- M-21 -Adhesive VVhrte & Gold 44 Tire Tan 900'"r'o Non-fibrous (Other) hone Detected J Yellow Mastic - hath Non-FibrorA 22 tCw'V'42-00-11.A W WWI Homogeneous HA 10 GOLD -M -21 -Leveler 'Arhste & Gold 44 Tile White 15% Ca Carbonate Nome Detected 1 YeUow Nihodic ,. Bath Non -Fibromas 85% Non-fibrous (Other) rsias 42- ac<ata W Wall Homogeneous HA ler SEAL -M -22 -Gray Layer White. Rolled Sealant Gray,?V hate 40% Non Brous (Other) 60% Chrysotile - Laundry Nook Floor Fibrous z_1r60874Z,W22 Homogeneous SEAL -M -22 -Brown While Polled Sealant Brawn 90% C.eRulose 0% Nogg -fibrous (Othert None Detected Layer - Laundry Nook Floor Fibrous Homogeneous ?42-Ci'722A CLOTH -M-23 Black Cloth Wire - Gray/Black 95% Glass 5% Non-fibrous (Other) None; Detected L'iv'ing Room Fibrous 2,116067,12c023 Homogeneous r?.M'112 FT -M-24 Fireplace Sealant - Gray 40°f, Quartz None Detected Inside S Corner Non -Fibrous 60% Non-fibrous (Other) '%2 Homogeneous his rrpwatrie papri t'r'oah g Oyer ttt£;iLFded i3'➢ i9F7c"itysis HA 13 WHBR-10-25 White Fainted Brick . While/Red 100% Non-fibrous (Other) None 03etected LR r Short E WaH bion -Fibrous ;rrc s>r• Homogeneous HA 14 OB-M-26®Ceramic Tile Grange Brick I Taupe Fled 100% Non-fibrous (Other) None Detected Set - Sunroom E Wall Non -Fibrous 22M506',142-0026 Homogeneous N.A 16 3nito-a3 report from: 92,fQ7t2Q t6 1G 22 19 A SB PLM 0008 „ 1.7f &printed. 12/712016 2 22 PM Page 3 of 4 EIVISL Analytical, Inc. EMSL Order: 221608742 Customer ID: SMAT42 1010 Yuma Street Denver, CO 80204 Customer PO: Tel/Fax: (303) 740-5700t (303) 741 1400 hrtp�VwvooLMSL corn, IdenveriabCaberroM core Project 10h Test Report: Asbestos Analysis of Bulk Materials via EPA 600IR-931116 Method using Polarized VIMELZ�� Ancityst(s) Abigail Crock OC) Fratnin,f Wood (13) This rencid, retates oin@y to the sarrPpfes orponed and may not be reproduced, except in fuH without written approvai by EM$L EMSLbearsno resrronsbd4y for sarnpe collection actio' bes ar analytical Method irmitarons InIerpteurbon anduse of test resuits are the respons6dity of tete citertr This report muni not be used by the c4ent to cirsm r)r,ocluedce,rlistc,Wionapprovaf,car ersdoseaner',Iby NVLAP NiSI or any agency of the federal governrrient Non-frottile orsarricagy bound materiatspresent aprobient, nirifinxand therefore EMSL recommends, gravirnePr�creduction pr6fir toar,,aiysis Estirriatedacruiacy loecitioxnand uncerianly data avweible upon request rinesir requested by the client buRdng materees manulactu,ecl wth muAtipkr bryers (3,e inoleurn vooiRtoyorl etc ; are heotned as a ssnqie trarnoe Reaming hmd is 1% $ainpies anatvzed by EMSL yrnatytcat. Inc Deriver CO NVL.AFI Lab Code 200828 0 4SS PLAI 0008 - 1.71 Printed '12,1712016 2,22 PM Page 4 of 4 Non -Asbestos Asbestos Sample Description Appearance % Fibrous % Non -Fibrous % Type OB -M -26 -Gray Layer Orange Brick i Tebbe Gray 10% Cellulose 90% Non-fibrous (Other) None Detected Set - Sunroom E Wall Non -Fibrous 221601~`r42 W26A Homogeneous HA, 16 GLAZE -M-27 White Painted Gray 98% Non-fibrous (Other) 2% Chrysottle Giazing - Exterior LR Non -Fibrous Z2NXe742 002.1' VVindow Homogeneous HA l6 INS -M-28 Grey Loose lrerdation Brown 15% Cellulose 5% Non-fibrous (Other) None Detected - Cravusoaoe E Side Fibrous 80% Min Woor 22160$742-0yc'' Homogeneous HA 17 BF -M-29 Grey Tar - Chimney White/Black 85% Non-fibrous (Other) 159% Chryscifile W Side Fibrous 221608742,0029 Homogeneous HA Is SH -M -30 -Shingle I Asphalt Shingles - 2 WhitelBlack 20% Glass 80% Non-fibrous (Other) None Detected Layers- N Side Roof Fibrous 22H`1087420030 HornogeneoLis HA 19 SH -M -30 -Shingle 2 Asphaft Shingles - 2 Various/Black 20% Cellulose 80% Non-fibrous (Other) None Detected Layers- N Side Roof Fibrous 22',ist$742,0030A Homogeneous HA 39 RF -M-31 Black, Roof Felting - N Black 30% Ceflubse 70% Non-fibrous (Other) None Detected Side Roof Fibrous e2t608742,,'Xcr1 Homogeneous HA 20 CM -M,32 Tan Painted CMU - White 15% Quart: None Detected Garage E Wali Non -Fibrous 851St Nmr-fibrous (Other) Homogeneous H", 21 BL -M-33 BNlck Roof Tar - East Black 97% Non-fibrous (Other} 3% Chfysottle Air Vent Non -Fibrous -21C Homogeneous He 22 Ancityst(s) Abigail Crock OC) Fratnin,f Wood (13) This rencid, retates oin@y to the sarrPpfes orponed and may not be reproduced, except in fuH without written approvai by EM$L EMSLbearsno resrronsbd4y for sarnpe collection actio' bes ar analytical Method irmitarons InIerpteurbon anduse of test resuits are the respons6dity of tete citertr This report muni not be used by the c4ent to cirsm r)r,ocluedce,rlistc,Wionapprovaf,car ersdoseaner',Iby NVLAP NiSI or any agency of the federal governrrient Non-frottile orsarricagy bound materiatspresent aprobient, nirifinxand therefore EMSL recommends, gravirnePr�creduction pr6fir toar,,aiysis Estirriatedacruiacy loecitioxnand uncerianly data avweible upon request rinesir requested by the client buRdng materees manulactu,ecl wth muAtipkr bryers (3,e inoleurn vooiRtoyorl etc ; are heotned as a ssnqie trarnoe Reaming hmd is 1% $ainpies anatvzed by EMSL yrnatytcat. Inc Deriver CO NVL.AFI Lab Code 200828 0 4SS PLAI 0008 - 1.71 Printed '12,1712016 2,22 PM Page 4 of 4 Order'I'D: 221,608742 Asbestos Chain of Custody EMSL ANALYTICAL, INC. ltdEMSL Order Number(Lab Use Only). 1010YUMASTREET, DENVER, CO, 80204 F CPO 611-421 PHONE: (303) 740-5700 U, Inc. Fw (303) 741-1400 Additional Pages of the Chain of Custody are only necessary if needed for additional sample information Volume/Area (Air) Datattime Sample # sample Description HA # Bulk Sam ad IIV /L �Vv4t �t VVAtl -lot -T— ki L Maic t Tomments/Special Instructions: Pageof ? _1pages � C4,AmW AsWort,001-- 92- IMMiC Pace 2 Of OrderID: 221608742 Asbestos �nlscwEMSL Order• .(Lab : Only): 1010 YUMA STREET, DENVER, PHONE'l Additional Pages of the Chain of Custody are only necessary if needed for additional sample information VotumelAres (Ali) Mme Sam le # Sam Ie D rl tion FtA # 8utk Sampled bat: ?I,R AA �-� "Commen lallns ctionas: Page. 2- o . Pages �;p9 .. etas GCS - 6i2 - iti2/fiGitY - DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number Date 9569 10/4/99 Property Owner : Property Address : 7000 W 27TH AVE Contractor License No. : 17152 Company : Precise Plumbing Phone : 238-8210 Phone: 534 0881 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this pertnit application are accurete, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Fiidge ordinances, for work under this permit. (OWNER)(CONTR4CTOR) Construction Value : $385.00 Permit Fee : $23.50 Plan Review Fee : $0.00 Use Tax : $0.00 Total: $23.50 Use: Description : Replace hot water heater BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : a a .wkFw?P~'.M Approval : Zoning : Approval : 1!IS~E~li3~~~ Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company : Plumbing License No : Company: Mechanical License No : Company: Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: (1) This pertnit was issued in accortlance with the provisions set forth in yopur application and is sub'ed to the laws of the State of Colorado and to the Zoning Regula6ons antl Building Cotle oF Wheat Ritlge, Colorado or any other applicable ordinances of the City. (2) This pertnit shall expire it (A) the work authorized is not commenced within sixly (60) days from issue tlate or (B) the builtling authorized is suspentled or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquiretl For a fee of one-half the amount nortnally requiretl, provitled no changes have been or will be made in the original plans and specifcations and any suspension or abantlonment has not exceetled one (i) year. If changes are made or if suspension or abandonment exceeds one (1) year, full tees shall be paid for a nev, 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 notiry the Building Inspector twenty-four (24) hours in advance for all inspeclions and shall receive written approval on inspection card before proceetliing with successive phases of the job. (6) 7he issuance of a permit or the approval of tlrawings antl specifications shall not be construed to be a pertnit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or reguladon. Chief in _ - DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permrt Number: BUILDING 1NSPEC1ION DNISION • 235-2866 ClTY OF WHEAT RIDGE Date : 7500 WEST 28TH AVENUE WHEAT R1DGE, CO 80215 Property Owner : /ei 7-/-7 a • a Property Address : 70o e e2' a 7~ Al 61'e --_P0 Phone :,2 l v Contractor License No. 7/ ~'Z Company 3 ° j> /5/~PGiSG Phone:S9y og~'rr/ ~ ; ONMER/CONTRACTOR SIGNATIW OF UNDERSTANDING AND AGREEMENT I Msrsby xrtily that Me satDatlc tlisbncOf proposaC q thit pertmf appuxg(i0n are atarats. and Co not vroate app4obM oramanos. iulq a rcyuunay W Ne City W WASat Ridpe a cowmrtts, eassrtrome a isavCoons W rkord: thu w maaswamaims snown. and a1Npalpry imoos are acwnu: tnat I nsw rsaa ub ro add~ Dy aq oontlrooia Ormqtl on Ihb appbrafim. ana mat I arswr fuM nq~pnoomqWp WIry dy yWAW Rbp SkaftCOdO (U.B.C.) and 1U Otl1M ippYClibM NIINN 01OYIailpi. fOf W WkYfMW tl1A WmiL (OWNER)(CONTRACTOR) SIGNED e OATE Construction Value : aem,it Fee : z 3 so Use Tax : .~i^S Po-o~y roral: 23 ~o Descnpuon . rc~a/C e Ap"A,6.'~ ilyo, -ev.- ~ 'rf,..d ,C'oi, i n~.e I ZM(filt'BOh"i~ Approval : Zoning : ~8llslttio~~~t~ Approval PObi ~ A¢prcvai : Occupancy : Walls BUILDING DEPARTMENT USE ONLY Roof : Stories : Residential Units : Electncal License No : Plumbmg License No : Mechanical License No : Company: Company: Co rnpa,y : ExpireGOn Date : Expiradon Date : Expiration Date : Approval: Approval: Approval: a.rrns;~yyrreaw-~l ~ - Prrns ~qorrsa:r:~ - (1) Thia oermrt waa iswea n aomraanea .+m tne Wwoans set Mmi n yoour aupira0on and u auqea eo Mt 4ws W tlr SIaY W Colowao and oo Cr Zafinp ; 2) TTis~~oertn°fn snL aipn A lA~tlia waK a~uva~n eoCu - no~ w a anv ^,Nmu~ oOnnW aroinsncn ol Me Ci1y awroonea ra a cawo or 1 to aar.. +av taol wrS ~ osw aro a(e) ma eumuq autnonxw s wspwwW a (7) it wf Gertnn axuuss. a naw wmn m+Y ee scpurw ror a!w W on►naM tM amouM nortmWly rapuvW, OroNaM ro aquw Waro and soeeMeaoona ua +nf' wse~nsan a aoanoonmom rut na ~:www ans (1) yeuII aunpe ~ dmr"s a ww ~p~a ~ !%C000s one 17) Ye!!. MI hf! YyY p! Wq (p(a MM pMryL (4) No WaM of any manner snan oe Oone mat ww aunqe me natww Mw, of wanr nuanq a anwqe proWm. (5) Conaactor snan roury me Bwamq insosaor nvenN.lau Rq noua m awsnea ror an mspaoppns and tNtl r~~ "aan aDOro"i on uupemon nle OMx~ P~omsannq wnn sutusane onasef o/ tna p0. (6) TT! tfSUinC! Of i DlRnrt OI Nf i0P/W11 O/ Cf7wu191 and SDOC1(K2bOfq 3lNII nOt Of WIISWlC 10 De a pplmR /y rp/ NaOParHl 0(. 7ly v101S00110( Illf pOWqf1{ 01 PI! DUilOiOQ oo0l5 0/ any ONlI OfElflillCl, 13W. N:! 0! ll9ulip00. Chief Budtling Inspecror For Mayor THIS. PERMIT VALID ONLY WHEN SIGNED BY THeCHIEF BUILDING IN5PECTOR AND MAYOR CALL: 2345933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 95-366 BUILDING INSPECTION DIVISION - 235-2855 Date :2/21/95 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Property Address : 7000 W 27TH AVE Contractor License No. : 17258 Company : Drury Bros. Roofing OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback tlistances proposed by this permit applicalion are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or wvenants, easements or restrictions of record; that all measurements shown, and allegations made are accurete; that I have read and agree to abide by all conditions printed on this appliwtion, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Description : REROOF Phone: 238-8201 Phone : 722 2213 Construction Value : $2,835.00 Permit Fee : $54.00 Plan Review Fee : $0.00 Use Tax : $42.53 Total: $96.52 Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: . . m6 (1) This permit was issuetl in accortlance with the provisions set forth in yopur application and is sub'ed to the laws ol the State of Colo2tlo antl to the Zoning RegulaUons and Building Cotle of VMeat Ridpe, Coloretlo or any oUier applicable oMinances of the Ciry. (2) This permit shall ezpire if (A) the work authonzeC is not commencetl within sixty (BO) tlays from issue Oate or (B) the building authorized is suspendetl or abanAOnetl for a period o(120 tlays. (3) If this permit expires, a new permit may be acquiretl for a fee of one-halF the amount normally required, providetl no changes have been or will be matle in the original plans and specifiwtions and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceetls one (1) year, lull fees shall be paid for a new permit. (4) No work of any manner shall be tlone that will change the natural flow of waler causing a tlrainage problem. (5) Contractor shall notify the 8uilding Inspector twenry-four (24) hours in advance (or all inspections and shall receive written approval on inspection cartl be/ore proceediing with successive phases of the ob (6) The issuance of a permit or the approval of tlrawings and specifcations shall not be wnstrued to be a permit for, nor an appmval ot, any violation o( the Drovisions of the building codes or any other ordinance, law, rule or regulafiort Chief Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 PropertyOwner: ~WptAA Ajf~d'"vw ~ 0'$210 Property Address : 7o,36 WqT4\ AJ-c Phone :2~p Contractor License No. : 112,5? f~ CompanY BR~S. FaJb,~~ Phone 3 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMEN7 Construction Value : I hereby certity that the setback distances proposed by this permit application are accurate, Pgffillt FB@ : and do not violate applicable ordinances, rules or regulahons 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 US2 T8X : application, and that I assume full respo ibilit for c pliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable ea idg inances, for work under~th~sy Pertnit. ~ Total : (OWNER)(CONTRACTO ) SIGNED ~ ~--DATH_/ ~ Description : Electrical License No : Plumbing License No : Company : Company : Mechanical License No : Company : Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: . (1) This pertnR was iasuetl in aaortlance wiN the provisions set forth in yopur eppliwfion and is su0jecl to the laws of the State of Colo2tlo and lo the Zoning Regulalions and Building Code of Wheat RiCge. Coloratlo or any, other applicable ordinances of Ne Ciry. (2) This pertnit shall ertpire N(A) Ne work auNonzed is not commencetl within sixry (60) Oays from issue dale or (8) Ihe building auttionzetl is suspentleC or aDandonetl for a penotl W 720 days. (3) If this permit expires, a new pertnit may be acquire0 for a fee of one-haN the amount normalry require0, pmvided no changes have been or will be matle in the original plans and speGfications and any suspenaion or aDandonment has not ezceetled one (1) year. IF charges are matle or if suspension or abandonment exceetls one (1) year, full faes shall Ee paid tor a new permit. (4) Nb work Of any mannef shall Oe Gone that Will change the natutal flow of water cau5ing a drainage problem. (5) Coniraqor shall notly the BuilOing Inspeclor Rveny-four (24) hours in advance tor all inspections and snall receive wntten appmval on inspection card before proceediing with successive phases of the job. (6) The issuance of a permit or Ne approval of Arawmgs and specifications shall not Oe construetl to be a pertnit W. na an approval of, any violaGon of Me provisions of the builtling cotles or any other or0inance, law, rule or regulation. Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION