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7403-7403 1/2 W 48th Avenue
A 4, - CITY OF WHEAT RIDGE..,,. . Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: '07 Permit Number: Mw WUMMI 9 Mal wd Ll No one available for inspection: Time M Re -inspection required: Yes When corrections are complete, scheq%(le re -inspection online. IWAM 1* ► � i City of Wheat Ridge '/� Residential Solar PERMIT - 202002678 PERMIT NO: 202002678 ISSUED: 01/04/2021 JOB ADDRESS: 7403 W 48th Ave EXPIRES: 01/04/2022 JOB DESCRIPTION: Install 4.42 kw solar PV system on main house roof, 13 panels, no structural required *** CONTACTS *** OWNER (303)250-6081 CASEY FRANCIS SUB (888)781-7074 DAVE RASMUSSEN 180349 ION DEVELOPER LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 61409.00 FEES Total Valuation 0.00 Residential Solar 500.00 ** TOTAL ** 500.00 *** COMMENTS *** *** CONDITIONS *** A printed copy of the permit and city stamped on-site plans must be available on-site for the first inspection. Approved per plans and red -line notes on plans. Must comply with 2018 IRC, 2020 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. I, by my signature, do hereby attest that the work to, be performed shall comply with all accompanying approved plans and specifications, applicae building codes, and all applicable municpal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this�permrt. I further attest that I am leg ally authorized to include alI entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Form Submittal: Solar PV Installation Date: Monday, December 28, 2020 11:05:51 AM Solar PV Installation This application is exclusively for Solar PV Installations YOU MUST ATTACH A VALID ELECTRONIC PAYMENT ORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes Solar PV Installation? PROPERTY INFORMATION Property Address 7403 W 48th Ave Property Owner Name Francis Casey Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" (303) 250-6081 casey.fjn@gmail.com Wheat Ridae - Electronic Payment Form.odf CONTRACTOR INFORMATION Contractor Business Name Wheat Ridge Contractor's License Number (This is a 5 or 6 digit number for the ION Developer LLC 180349 City of Wheat Ridge) Contractor Phone 888-781-7074 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email PERMITS@ionsolar.com Address Retype Contractor PERMITS@ionsolar.com Email Address DESCRIPTION OF WORK Scope of Work Installation of solar panels on existing residential roof KW 4.42 # of Panels 13 Location of Panels Main house Structural required No Upload engineer letter Casey Residence, Wheat Ridge. CO-S.Ddf or pages on 8 1/2" x 11" only Solar Installation Plan CAD Casey, Francis DESIGN 12-23-2020 revised V2-S.odf Set on 11'x17" only. Project Value (contract 6409.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. Person Applying for Ashley Martin Permit I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Email not displaying correctly? 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Cards ASIA CE 7 -yr • feet Dead Load- [patAill U • 0 �abeee-13red mad 5mo NkbErpr ni as •.. g �'•S� .Z 0 Attachment mx[4-433ouaxxexreucath2ne 043079 cE min depth emettymtummmgeam..,tep,ang throunae ed g'............ nasebuaame.ivanyatteerw=sancomam:,�ming the print Dig by sm eni John Calvert Date 2020.1224 1134.28-0700' Ended Engineer Casey Restlense, WM1eat odge, Co dsm 1 i� DQMPIS a01Rod Reform Structural Engineering, LLC PO.Box 6986 S- we)gn on PV System (Per Ion Solar) 30 pA Broomfield CO 80021 T R U C T U R A L Y CAndoll Spacing= 2]6X 90.861]055 N C T N C R N a N Cr, A P C 111e Domussructual@g me it com on loading Grwiry Loading po=Ground Snow Load- .Popo p=OC,GIpo (ACCP-E]-1) C, - Exposure Factor= 1 (ACCP -rowers) G=Thermal Factor= 1 (ACCP-Table7C) =1mpocanreFactor= 1 p=FM Amo Snow Load- too 0Rod Ps CA (ACCP-E]-2) Cs=Slope Factor= 1 A Supped Wad Auv Wady 100151 ad Rad Wai l pop (Per In Sola) CL Common to 5 Agree Slope a01Rod ad System NRight 200 we)gn on PV System (Per Ion Solar) 30 pA X CAndoll Spacing= 200X Y CAndoll Spacing= 2]6X Manor memory Sea= 550A Purl Wade N Startltlle 111e None: PV Slanaol6 aregaggerea to ensure proper aRtnbulon on loading xm1 ua Wad :20 W None Ad lies load 6 removed in areas covered by PV army Red Deal Wad (Pm1 A&W you Up Ad 400 PoN Synods 200 2uwFarmers ®24'oc 152 Vauted Ceiling 400 Miscellaneous OAC itlal Potl DL(Red nid 120151 DL Common to 5 Agree Slope 120Rod uN/�ibZlo Casey Reseen ce Meat Ridse, CO zlsm 2 DON E)S S r R13CT a R I. Enc F fv H. F. xFnc T. f.0 Borons eo-nnnal engineering, aC PO Body 6986 Broomlleld CO 80021 536801]0.55 Bomosatronoali com Wind CamofaCona Per MME 716 Compensate and Cladding jjjjjfnam ,mined w�na 71'1.P' mm I'd'pn EromreCatedy C Cof Shape GableCol Smleope 5degree, Wan Soot lkigm ton Blepiw dend Area 193N Smuntl discern 5366N — Design wine Reaanre CalenlAuns ph— 696256• K, a Cad Kd a be aV2 (Ed 26101) Kzlmomre Cbefiioeng-096 Udell, 303-11 Kr Oopogrepbicfactor) — 196 gre 268111 Kd Mind Vuepiohe rty Factor)— 695 (fable266-11 Ke Smuntl Bavarian Factor)— 693 066 V (Design deintlSpeed) —135 mph gre265-1p pop Category =ll jfable1511 ph— 2952 060 Cammum Design Calm=224 In Stand oN Uplift Capacity —2blm 291 In capacitn 224 In demand monk,, CK Fastener Capae'Ty Cheek fastener— 2 015 OMBXHD se8 Number of Factors,— 2 Embed mnm Depth =2 Naar Capacity Per Inch= 121 In btnnnr Capacity— 04 In 4 FC of f 58 DOL of 16-517m 5169m capacitn 224 In demand 11i CK ay Casey Bestdence, wheal Ridge, co xlsm3 Zone Zone2�n Zone Posts, = 066 066 696 696 84= 200 390 —360 060 (So 303) haft Premre= 4E2par ED9par 850par 141par Chip 29A3) ADD haft Pressure= 283par 425par 510 par 96par %ehndof Spring= 296 296 133 Yehndoff Spring= 275 275 275 inIArea — 556 556 367 Dead Load on,mmmem= nm nm nm Reagan Calx Cf.®meuf= -utile sour im le wane,, Calx Ca Zone Zone Zone Pestles = 066 066 696 696 04= 200 300 —360 060 (So 30 3) haft Pressure — 4E2par ED9par 850par 152par Chip 29A3) ADD Open Pressure 0 bWk 283par 425par 510 par 96par %ehndof Spring= 296 296 133 Yehndoff Spring= 175 175 175 inIArea — 356 356 233 Dead Load on attachment= 1656 1656 796 Reagan Calx 111.MQ0)v 93 fh -u2 fh 10 lb Cammum Design Calm=224 In Stand oN Uplift Capacity —2blm 291 In capacitn 224 In demand monk,, CK Fastener Capae'Ty Cheek fastener— 2 015 OMBXHD se8 Number of Factors,— 2 Embed mnm Depth =2 Naar Capacity Per Inch= 121 In btnnnr Capacity— 04 In 4 FC of f 58 DOL of 16-517m 5169m capacitn 224 In demand 11i CK ay Casey Bestdence, wheal Ridge, co xlsm3 i� Remus Structural Engineering, LLC DQMPI5 PO.Box 6986 S - T R U C T U R A L Broomfield CO 80021 90.861]055 NQ I NCRRSI N0 LIsjraming CM1eck Romussructual@gmail corn (Root ARB) PASS w=90p9 Dead Load 120 pa PV Led 30Pan Show Load PoOPan allem®2Pbe Governing lmtl Source- Di Member8pan=1 A Se food Wad G.11e1 Member ROledies Member Size Bin i) Iini LumberSri& Member Spacing 2uw 1314 4]03 DF10 ®24"ac Mock Bencing tress Ad(AN)= Vb A Stl A GY A Cr (NDS Table 431) 900 A 115 A 12 A 115 Allowed Bening Stress =1CAR a psi Maximum Moment=PL°2)1A 15632 XA loa9R4 cry Actual Bantling titres= (M&amum Moment)/ S 14002psi Allmaeda Actin-981%tressed — Tberelue, 0 Fllwreda Actin-269%tressed — Tbereloe, 0 Casey Reseen cc Meat Ritlga, CO xIsm 4 Mock Bylijclion Allowed Second (T01al Load) = w (E= 1 Shown psi Per NDS) - 0777In Selected CMerh Basel on = Simple Span Actual Deflection (Total lmtl) _ (Anc LuR I(SVEC) 0ORin ba =12w4 > Neo Therefore OR Allowed Rlleplon (Elva Lxt) = 0 Ra in BUAgFg Actual Delleplon (Dve Load) tl) _ Du 0BSALM)/(384'FI) 032 1n V426 > L240 Therefore OR Mock %ear Member Area =1091ni Fvpsi) =1Npsi (NDS Table 4A) Proved Shear =N'A=195Ato Max Shear (V)=w'L12= 52616 Fllwreda Actin-269%tressed — Tbereloe, 0 Casey Reseen cc Meat Ritlga, CO xIsm 4 R - J ..-' 1 `Image III aybesubjttor_.opyrigM 20 f. MAP OF LOCATION Approval Notes: 1) PN array system to have grounding system installed per Part III of Article 250 per 2020 NEC Article 690.47(A). 2) If UFER ground in not available provide or verify supplemental ground rods per 2020 NEC Article 250.53(A)(3). 3) Cold & Hot Water & Natural Gas bondin er 021LN —Aftk_ 'r11M(A)(B) - - I \ 0 I o O O 0 I \ 4801 N UNIVERSITY AVE, SUITE 900 PROVO, UT 84604 (888)781-7074 W U U NZ LL LL z 0 co COO O m O Lu 0 DU zw Lu Q 0 2 � 00 Q Lu Lu >H = M O \ PV Installation Professional Dm4m Denids xtie� NrNW PnffwWuW FPW188I6�1816 LICENSED ELECTRICAL CONTRACTOR COMPANY: ION DEVELOPER LLC, Sealed For DAVID STANLEY CONRAD (ME.3000364) \ CLASSIFICATION: Existing Roof Q LTC ELECTRICAL CONTRACTOR LICENSE NUMBER: EC.0100960 Attachment Only EXPIRATION AUTHORIZED CONTRACTOR 9/30/2023 p _ �f A % ze'- "i SCOPE OF WORK: THE SYSTEM CONSISTS OF A 4.42 KW DC (3.12 KW AC) ROOF -MOUNTED PHOTOVOLTAIC POWER SYSTEM OPERATING IN PARALLEL WITH THE UTILITY GRID. THERE ARE (13) SILFAB SOLAR SIL-34ONL MODULES AND (13) ENPHASE IQ7-60-E-US MICRO -INVERTERS, MOUNTED ON THE BACK OF EACH PV MODULE, CONNECTING TO THE UTILITY GRID THROUGH THE EXISTING MAIN LOAD CENTER. ELECTRICAL MODIFICATIONS WILL BE MADE TO THE MAIN LOAD CENTER. INTERCONNECTION METHOD: LOAD -SIDE BREAKER ROOF MATERIAL: Rolled Composite PROJECT WILL COMPLY WITH THE 2018 IBC, 2018 I EBC, 2018 IECC, 2018 IFC, 2018 IRC, AND 2020 NEC. 4 u1 tr - : a � rpt 12/23/2020 ALL CONDUIT WILL BE PAINTED TO MATCH THE EXISTING STRUCTURE. ( �j' IAZZI ADDITIONAL NOTES: Plans Examiner Date %Widkv of permN: 7The lssuame of a permit or Wgroval of plens spec4kattons and compotabons shaft not be a permit for, or art approvof of, any viotabon to any of the provisions of the building rode or of ujW City ordinances. Permits presuming to give outWty to vlolafe or cancel the prowfa s of the &Wft codes or othtr ofdinoom of Me City shah not be v0dd SCALE: 1" = 22' AC DISCONNECT LOCATED NEXT TO OR WITHIN 10 FEET OF MAIN SERVICE PANEL (LINE OF SIGHT MAINTAINED). .•••..:•COVER PV 0.0 000, � � City of ter. x �t� VV ��V SYSTEMslzE: 4.42 kW DC f \ COMMUNITY DtVEL01'MENT 3.12 kW AC `' '" �' '••# ; APPROVED 13 MODULES '} Reviewed for Cade Compliance DATE: 12/23/2020 DRAWN BY: TH SCOPE OF WORK: THE SYSTEM CONSISTS OF A 4.42 KW DC (3.12 KW AC) ROOF -MOUNTED PHOTOVOLTAIC POWER SYSTEM OPERATING IN PARALLEL WITH THE UTILITY GRID. THERE ARE (13) SILFAB SOLAR SIL-34ONL MODULES AND (13) ENPHASE IQ7-60-E-US MICRO -INVERTERS, MOUNTED ON THE BACK OF EACH PV MODULE, CONNECTING TO THE UTILITY GRID THROUGH THE EXISTING MAIN LOAD CENTER. ELECTRICAL MODIFICATIONS WILL BE MADE TO THE MAIN LOAD CENTER. INTERCONNECTION METHOD: LOAD -SIDE BREAKER ROOF MATERIAL: Rolled Composite PROJECT WILL COMPLY WITH THE 2018 IBC, 2018 I EBC, 2018 IECC, 2018 IFC, 2018 IRC, AND 2020 NEC. 4 u1 tr - : a � rpt 12/23/2020 ALL CONDUIT WILL BE PAINTED TO MATCH THE EXISTING STRUCTURE. ( �j' IAZZI ADDITIONAL NOTES: Plans Examiner Date %Widkv of permN: 7The lssuame of a permit or Wgroval of plens spec4kattons and compotabons shaft not be a permit for, or art approvof of, any viotabon to any of the provisions of the building rode or of ujW City ordinances. Permits presuming to give outWty to vlolafe or cancel the prowfa s of the &Wft codes or othtr ofdinoom of Me City shah not be v0dd SCALE: 1" = 22' AC DISCONNECT LOCATED NEXT TO OR WITHIN 10 FEET OF MAIN SERVICE PANEL (LINE OF SIGHT MAINTAINED). .•••..:•COVER PV 0.0 imPV CIRCUIT 1 PV ARRAY WIRING JUNCTION BOX - - - PV ARRAY WIRING PROPERTY LINE PV COLLECTION PANEL & ENVOY IQ METER (DRAWS 0.22 AMPS) MAIN SERVICE PANEL LOCATION/ POINT OF INTERCONNECTION i �•js .IiiI �ID����p,. i� Il�Siaih, UTILITY METER LOCATION ON ION (13) PV MODULES WITH MICRO -INVERTERS FIRE CODE ACCESS POINTS I AND OFFSETS Sealed For I Existing Roof & i Attachment Only :943019: ; 12/23/2020 SCALE: in 1" = 15'-8" 4801 N UNIVERSITY AVE, SUITE 900 PROVO, UT 84604 (888)781-7074 [Z' z 0 coo } O 00 O Q j0 U z j LU W CD QD U = � H L W Lu M O PV Installation Professional Dm4m Danids eueWarNWPn wWuui i IfA8I6 316 LICENSED ELECTRICAL CONTRACTOR COMPANY: ION DEVELOPER LLC, DAVID STANLEY CONRAD (NIE.3000364) CLASSIFICATION: ELECTRICAL CONTRACTOR LICENSE NUMBER: EC.0100960 EXPIRATION: AUTHORIZED CONTRACTOR: 9/30/2023 SYSTEM SIZE: 4.42 kW DC 3.12 kW AC 13 MODULES DATE: 12/23/2020 DRAWN BY: TH ADDITIONAL NOTES: C" r" #A ',air,()4WkZA- V SITE PLAN PV 1.0 P I i n At— �I II rr% AND =RS. ION 4801 N UNIVERSITY AVE, SUITE 900 PROVO, UT 84604 (888) 781-7074 B (7 ... .... z 3' --- ---- --� 3' p J co CO ..... ..... W mao o O-- z Ov ---- --Jv i C/)Q LLI > LU ........................................LJ.............................. z 2 o u H W ............................................................. FIRE CODE ACCESS POINTS Sealed For _ AND OFFSETS 3' Existing Roof & Attachment Only 0 3' ROOF SECTION DATA ROOF SECTION A B C D MODULES 7 6 TILT 5 5 AZIMUTH 233 143 SOLAR ACCESS AVG. 1 85.00% 87.00% E I F I G I H LVI 1ll1VIVllL 1 /'lV 1 LIVIIVIJ/MOUNTING IVI REFER TO PAGE 4 FOR SECTION DETAIL & ATTACHMENT INFO. SCALE: V 43019 �7)r � rix 12/23/2020 PV Installation Professional (21w11z;'4 lue�QirNWPnffw uW i IMI6 316 LICENSED ELECTRICAL CONTRACTOR COMPANY: ION DEVELOPER LLC, DAVID STANLEY CONRAD (ME.3000364) CLASSIFICATION: ELECTRICAL CONTRACTOR LICENSE NUMBER: EC.0100960 EXPIRATION: AUTHORIZED CONTRACTOR: 9/30/2023 SYSTEM SIZE: 4.42 kW DC 3.12 kW AC 13 MODULES DATE: 12/23/2020 DRAWN BY: TH ADDITIONAL NOTES: FIRE CODE OFFSET 2" x 8" RAFTER SYSTEM 24" ON CENTER CANTILEVERS WILL BE NO MORE THAN 24" ATTACHMENT POINTS WILL BE NO MORE THAN 2' APART SHEET: ROOF PLAN PV 2.0 WEATHER DATA HIGH TEMP, 2% AVG. 33 °C MIN DESIGN TEMP -23 °C GROUND SNOW LOAD 30 psf WIND SPEED 135 mph FROM 2009 ASHRAE HANDBOOK - FUNDAMENTALS 1. HIGH TEMPERATURE 2% AVERAGE BASED ON ASHRAE HIGHEST MONTH 2% DRY BULB TEMPERATURE FOR ASHRAE LOCATION MOST SIMILAR TO INSTALLATION LOCATION 2. MINIMUM DESIGN TEMPERATURE BASED ON ASHRAE MINIMUM MEAN EXTREME DRY BULB TEMPERATURE FOR ASHRAE LOCATION MOST SIMILAR TO INSTALLATION LOCATION 3. ALTERNATE POWER SOURCE PLACARD SHALL BE PERMANENTLY ATTACHED TO A/C DISCONNECT 4. ELECTRICAL INSTALL SHALL COMPLY WITH 2020 NATIONAL ELECTRICAL CODE 5. ALL SOLAR MODULES, EQUIPMENT, AND METALLIC COMPONENTS SHALL BE BONDED 6. IF THE EXISTING MAIN SERVICE DOES NOT HAVE VERIFIABLE GROUNDING ELECTRODE, IT IS THE PV CONTRACTOR'S RESPONSIBILITY TO INSTALL A SUPPLEMENTAL GROUNDING ELECTRODE 7. EACH MODULE SHALL BE GROUNDED PER MANUFACTURER INSTRUCTIONS AND APPROVED METHODS 8. PV INSTALLATION SHALL NOT OBSTRUCT ANY PLUMBING, MECHANICAL OR BUILDING ROOF VENTS 9. CONNECTORS THAT ARE NOT READILY ACCESSIBLE AND THAT ARE USED IN THE CIRCUITS OPERATING AT OR OVER 30V AC OR DC SHALL REQUIRE A TOOL FOR OPERATING AND ARE REQUIRED TO BE MARKED "DO NOT DISCONNECT UNDER LOAD" OR "NOT FOR CURRENT INTERRUPTING" 10. THIS SYSTEM IS IN FULL COMPLIANCE WITH THE COLORADO FIRE CODE FOR PHOTOVOLTAIC INSTALLATION AND ARTICLE 690 OF THE NATIONAL ELECTRIC CODE (NEC NFPA 70) 11. BUILDING CONSTRUCTION TYPE: TYPE V 12. BUILDING OCCUPANCY TYPE: R3 ION 4801 N UNIVERSITY AVE, SUITE 900 PROVO, UT 84604 (888)781-7074 W Q U U z LL ry (D z_ Q co J CO 0 00 00 w0 ::)U z W LLj Q 0 00Q �w w� M 0 NABCEP CERTIFIED ry 11INL4110LRM Professional (11� 14- Dm4az oankse KA9warHw F IMI6 2316 LICENSED ELECTRICAL CONTRACTOR COMPANY: ION DEVELOPER LLC, DAVID STANLEY CONRAD (ME.3000364) CLASSIFICATION: ELECTRICAL CONTRACTOR LICENSE NUMBER: EC.0100960 EXPIRATION: AUTHORIZED CONTRACTOR: 9/30/2023 SYSTEM SIZE: 4.42 kW DC 3.12 kW AC 13 MODULES DATE: 12/23/2020 DRAWN BY: TH ADDITIONAL NOTES: ,0*4�CRY at �, u)4wk1-4- SHEET: LOCATION NOTES PV 3.0 ION 4801 N UNIVERSITY AVE, SUITE 900 PROVO, UT 84604 (888)781-7074 FLASHING (4) 3" OMG XHD ECOFASTEN a o a a SIMPLE GRIP a a a a MOUNT ROOF TILT(S): 5° " MAX Sealed For Existing Roof & Attachment Only 12/23/2020 f. PV Installation Professional Dm4m 0anidr eueWarNWPn wWuui i IfA8I6 316 LICENSED ELECTRICAL CONTRACTOR COMPANY: ION DEVELOPER LLC, DAVID STANLEY CONRAD (ME.3000364) CLASSIFICATION: ELECTRICAL CONTRACTOR LICENSE NUMBER: EC.0100960 EXPIRATION: AUTHORIZED CONTRACTOR: 9/30/2023 SYSTEM SIZE: 4.42 kW DC 3.12 kW AC 13 MODULES DATE: 12/23/2020 DRAWN BY: TH ADDITIONAL NOTES r eXy to cYyL Wim" MOUNTING PV 4.0 r' r' MODULE z CLAMP _j 00 } W D O m co U j0 PHOTOVOLTAIC �_ > MODULE ECOFASTEN CLICK FIT RACKING, U Q Q � k.nw I TRADITIONALS CO w� L—FOOT 00 M O ti FLASHING (4) 3" OMG XHD ECOFASTEN a o a a SIMPLE GRIP a a a a MOUNT ROOF TILT(S): 5° " MAX Sealed For Existing Roof & Attachment Only 12/23/2020 f. PV Installation Professional Dm4m 0anidr eueWarNWPn wWuui i IfA8I6 316 LICENSED ELECTRICAL CONTRACTOR COMPANY: ION DEVELOPER LLC, DAVID STANLEY CONRAD (ME.3000364) CLASSIFICATION: ELECTRICAL CONTRACTOR LICENSE NUMBER: EC.0100960 EXPIRATION: AUTHORIZED CONTRACTOR: 9/30/2023 SYSTEM SIZE: 4.42 kW DC 3.12 kW AC 13 MODULES DATE: 12/23/2020 DRAWN BY: TH ADDITIONAL NOTES r eXy to cYyL Wim" MOUNTING PV 4.0 8.0 System Specifications Max. Modules Par Ground Lug 300 Max Cantilever 113 of allowable Bracket Spacing Fire Bating - Tile Type 1 on Non-Combusthle Roof Surfaces Fire Bating Type 1 Max syste veltage 100tlVDC Ground Wye specs TBD by Engineer of Record Max DownforcelQpliQ TBD by Engineer of Recend w rdr 1201r - ldate.i l end werla..er,ahlp UL Marketng System Marketings Per-Imstall on all End -Caps Roof pitch 10-94 Degrees UL titlark Ekample-. (-X denotes manufacturer ID) Torque Specifications component lbrgm fin -lb) Notes Lag Screw 120-140 Changes depending on ronVinoisttnePele. Use visual indicator of the black EPDM ring around the bonded washer for torquing. Mid -Clamp 144 End -Clamp 144 Rail Clicker Leveling Bolt 90 Pre -torqued upon delivery. Applies. to Tile Hook and I.-Foot/Clicker Hook Heighl Bolt NIA Lightly clamp hook to flush with top of no -,I the mw Ground Lug NIA Refer to specific ground lug manufacturor's installation manual A. V EcoFasten An ESDEC Company 4.0 System Coinponont$ 1) C1ickRt Rail _ 1500033 (Z 130nun) - -- 1500034 (3166rnm) ISCCO35 (4202mm) 2) Bail Splice % 1008061 3) CF Tile Hoak and L foot 15010005 - Tile Book 1500004 - L foot 4) CF End Clamp See Section 1.0 5) CF End Cap f. 1510441 (Black) 151.0442 {Crey) 6) CF 1'tlfid Clamp See Section 10 C7) MLP'E Clip r -8) Module jumper }- 1500028 END CLAMPS/CAPS & MID CLAMPS a 6-4 Imstaliing the Rail 1, place the rail in the Clickers. 2. Easure the rails. extend a minimum of 2" past the last Attachments in each row and that each rail is aligned with the nest row North and/or South. J. Roll the rail into each Clicker, an audible "+click" should be heard. if attachments ase extremely misaligned it may be necessary to loosen the leveling bolt, snap the Clinker onto the rail, then re -tighten the leveling bolt. 4. Level the rail if necessary by loosening the belt attaching the Clicker to the L foot or tile hOOk. *Ensure the tab on the Clicker is aligned with the rail edge as shown below* REL" DATE: 11r,252©15 I Ore115 REW�&SP 3.0 Banding and Grounding 7.1 Banding Paths All brand paths are carried either module -to -module through the mid clamp„ or module -to- module through the module jumper shown below (bored paths shown in green): Mid Clarnp Module furnper ryr` Array cirounding through ground lug on last module (1) Lug per (M) Modules 2X Mid -Clamp bonding Per 2 Modules E -W Pertrall Ix OVnobond N S Lel nd stapc N -S Portrait 1-W Landscape *Mid clamps are multi -us e, however, it a mid -clamp is removed after tightening, ensure that the grounding pins bite into "new rnetal" to ensure proper bonding* ION 4801 N UNIVERSITY AVE, SUITE 900 PROVO, UT 84604 (888)781-7074 IY (D Z COco } O W M ao U j0 Z j LU W CD 5 0 U Q = � H L W H =_ W M O ti AL61he PV Installation Professional Dottgles Daniels KADWarSW r 10M 16 LICENSED ELECTRICAL CONTRACTOR COMPANY: ION DEVELOPER LLC, DAVID STANLEY CONRAD (ME.3000364) CLASSIFICATION: ELECTRICAL CONTRACTOR LICENSE NUMBER: EC.0100960 EXPIRATION: AUTHORIZED CONTRACTOR: 9/30/2023 SYSTEM SIZE: 4.42 kW DC 3.12 kW AC 13 MODULES DATE: 12/23/2020 DRAWN BY: TH IADDITIONAL NOTES: Cft at 0000Z�C*, MOUNTING PV 4.1 ION 4801 N UNIVERSITY AVE, SUITE 900 PROVO, UT 84604 (888)781-7074 THIS PV SYSTEM WILL HAVE THE FOLLOWING MARKINGS: 0�ry z } O W m co U j0 1 -- MATERIALS USED FOR MARKINGS WILL BE WEATHER RESISTANT. THE UNDERWRITERS LABORATORIES MARKING AND � W uj LABELING SYSTEM 969 (UL969) WILL BE USED AS STANDARD TO DETERMINE WEATHER RATING. C) Q 0 z =� L �w 2 -- MARKING STATING "CAUTION: SOLAR ELECTRIC SYSTEM CONNECTED" WILL BE PLACED AT THE MAIN SERVICE ~ 1:w� DISCONNECT. 00 M O ti 3 -- MARKING STATING "WARNING: PHOTOVOLTAIC POWER SOURCE" WILL BE PLACED ALONG DIRECT CURRENT CONDUIT, RACEWAYS, ENCLOSURES, CABLE ASSEMBLIES, AND JUNCTION BOXES.d ft'a I a I PV Installation Professional 4 -- THE MARKING WILL BE MADE TO THE FOLLOWING SPECIFICATIONS: • RED BACKGROUND �w Danidz LICENSED ELECTRICAL CONTRACTOR COMPANY: ION DVID�CONRAD (ME.3000364) • WHITE LETTERING CLASSIFICATION: MINIMUM 3/8" LETTER HEIGHT ELECTRICAL CONTRACTOR LICENSENUNMER EC.01009600960 ALL CAPITAL LETTERS EXPIRATION: AUTHORIZED CONTRACTOR: 9,30,ZOZ3 Awwoze,--e • ARIAL OR SIMILAR FONT, NON -BOLD SYSTEM SIZE: 4.42 kW DC 3.12 REFLECTIVE, WEATHER RESISTANT MATERIAL SUITABLE FOR THE ENVIRONMENT DURABLE ADHESIVE MATERIALS ( L 13 MODULES ULES MAY MEET THIS REQUIREMENT) DATE: 12/23/2020 DRAWN BY: TH 5 -- MARKING WILL BE PLACED ON ALL INTERIOR AND EXTERIOR CONDUIT, RACEWAYS, ENCLOSURES, CABLE ADDITIONAL NOTES: ASSEMBLIES, AND JUNCTION BOXES TO ALERT THE FIRE SERVICE TO AVOID CUTTING THEM. MARKINGS WILL BE PLACED ON ALL EXTERIOR DC CONDUIT, RACEWAYS, ENCLOSURES, AND CABLE ASSEMBLIES EVERY 10 FEET, AT TURNS AND chy at ABOVE AND/OR BELOW PENETRATIONS AND ALL DC COMBINER AND JUNCTION BOXES. JW .rG(J4Wk- SHEET: SYSTEM MARKINGS PV 5.0 O Ld&WARNING ELECTRIC SHOCK HAZARD 0 TERMINALS ON THE LINE AND LOAD SIDES MAY BE ENERGIZED IN THE OPEN POSITION NEC 690.13(B) & NEC 705.22 LOCATED AT ALL PV DISCONNECTING MEANS WHERE ALL TERMINALS OF THE DISCONNECTING MEANS MAY BE ENERGIZED IN THE OPEN POSITION NEC 690.13(B) & NEC 690.54 LOCATED AT THE POINT OF INTERCONNECTION AND MARKED AT ALL A/C DISCONNECTING MEANS O e AWARNING—'q DUAL POWER SUPPLY j SOURCES: UTILITY GRID AND PV SOLAR ELECTRIC SYSTEM a NEC 705.12(B)(3) LOCATED AT THE POINT OF INTERCONNECTION FOR EQUIPMENT CONTAINING OVERCURRENT DEVICES IN CIRCUITS SUPPLYING POWER TO A BUSBAR OR CONDUCTOR SUPPLIED FROM MULTIPLE SOURCES LOCATED AT EACH SERVICE EQUIPMENT AND ALL ELECTRIC POWER PRODUCTION SOURCE LOCATIONS 0 AWARNING INVERTER OUTPUT CONNECTION DO NOT RELOCATE THIS OVERCURRENT jCOLMFLICOM DEVICE ft" 01 o] NEC 690.31(G)(3 & 4) LOCATED ON EXPOSED RACEWAYS, CABLE TRAYS, COVERS AND ENCLOSURES OF JUNCTION BOXES, AND OTHER WIRING METHODS LABEL SHALL BE SPACED AT MAXIMUM 10 FT. SECTIONS OR WHERE SEPARATED BY ENCLOSURES, WALLS, PARTITIONS, CEILINGS, OR FLOORS SOLAR PV SYSTEM EQUIPPED WITH RAPID SHUTDOWN TURN RAPID SHUTDOWN SWITCH TO THE "OFF" POSITION TO SHUT DOWN PV SYSTEM ���uPare.s AND REDUCE SHOCK HAZARD „- IN THE ARRAY NEC 690.56 (C) (1) (A) LABEL PLACED FOR PV SYSTEMS THAT SHUT DOWN THE ARRAY AND CONDUCTORS LEAVING THE ARRAY LEVEL (AFTER THE MICRO -INVERTER OUTPUT TERMINALS) LOCATED NO MORE THAN 3 FT. AWAY FROM THE SERVICE DISCONNECTING MEANS TO WHICH THE PV SYSTEMS ARE CONNECTED AND AT ALL IDENTIFIED RAPID SHUTDOWN SWITCHES IF NOT IN THE SAME LOCATION ALL F LEMIC POWER SOURCE DISCONNECT11111110MEANSGROUPED,AND LAKE LF D'IIPJlff)*N 10 FT AND LNE OF SITE OF THS IlOUTIQN NEC 690.56(B) & NEC 705.10 LOCATED AT MAIN SERVICE DISCONNECTING MEANS IF ALL ELECTRICAL POWER SOURCE DISCONNECTING MEANS ARE GROUPED WITHIN 10 FT. AND WITHIN LINE OF SITE OF THE MAIN SERVICE DISCONNECT H O U NEC 690.56(C)(3) LOCATED AT THE PRIMARY RAPID SHUT DOWN DISCONNECT SWITCH WARNING THIS EQUIPMENT FED BY MULTIPLE SOURCES, TOTAL RATING OF ALL OVERCURRENT DEVICES, EXCLUDING MAIN SUPPLY OVERCURRENT DEVICE, SHALL NOT EXCEED AMPAI ITY OF BUSBAR. NEC 705.12(B)(2)(3)(C) LABEL USED ONLY IF THERE ARE 3 OR MORE SUPPLY/POWER SOURCES ON A BUSBAR LOCATED AT LOAD CENTERS CONTAINING 3 OR MORE SUPPLY/POWER SOURCES 10 WARNING PHOTOVOLTAIC SYSTEM � COMBINER PANEL DO NOT ADD LOADS NEC 705.12(B)(2)(3)(B) LOCATED ON THE PV CIRCUIT(S) COMBINER PANEL NEC 705.12(B)(2)(3)(B) UTILITY METER PV SYSTEM LABELING MAP LOCATED AT THE POINT OF INTERCONNECTION AND MARKED AT ALL A/C DISCONNECTING MEANS w w I\V/I EXISTING/NEW SUB PANEL (APPLICABLE IF USED FOR PV PV CIRCUIT(S) INTERCONNECTION) COMBINER PANEL O O O O O ARRAY/MODULE LEVEL 2 7 O MICRO-INVERTER(S) O O 10 OO O PV CONDUIT O O O O ti O O O O O O4O OARRAY LEVEL JUNCTION BOX(ES) (USED ONLY IF PV A/C DISCONNECT SWITCH (USED ONLY IF PV INTERCONNECTION (RAPID SHUT DOWN SWITCH) INTERCONNECTION METHOD METHOD IS A LOAD SIDE IS A LOAD SIDE BREAKER) BREAKER) MAIN SERVICE PANEL ION 4801 N UNIVERSITY AVE, SUITE 900 PROVO, UT 84604 (888)781-7074 01-1 01-1 z COco o m O Q j0 U z w w U Q 0 z =ry IL w w� M O 0 PV Installation Professional Deas Danlds MADW WNW PmMtkFW owgmnao ZM LICENSED ELECTRICAL CONTRACTOR COMPANY: ION DEVELOPER LLC, DAVID STANLEY CONRAD (ME.3000364) CLASSIFICATION: ELECTRICAL CONTRACTOR LICENSE NUMBER: EC.0100960 EXPIRATION: AUTHORIZED CONTRACTOR: 9/30/2023 SYSTEM SIZE: 4.42 kW DC 3.12 kW AC 13 MODULES DATE: 12/23/2020 DRAWN BY: TH ADDITIONAL NOTES SHEET: SYSTEM MARKINGS PV 6.0 THIS PV SYSTEM WILL HAVE THE FOLLOWING MARKINGS: ION 4801 N UNIVERSITY AVE, SUITE 900 PROVO, UT 84604 (888)781-7074 PV Installation Professional Dm4= Onnidz iPW1�FUS1916 LICENSED ELECTRICAL CONTRACTOR COMPANY: ION DEVELOPER LLC, DAVID STANLEY CONRAD (ME.3000364) CLASSIFICATION: ELECTRICAL CONTRACTOR LICENSE NUMBER: EC.0100960 EXPIRATION: AUTHORIZED CONTRACTOR: 9/30/2023 SYSTEM SIZE: 4.42 kW DC 3.12 kW AC 13 MODULES DATE: 12/23/2020 DRAWN BY: TH ADDITIONAL NOTES: c" or ik UTILITY MARKINGS PV 7.0 r' r' Z CO o W m 00 U j0 Z W 1 --A YELLOW PLACARD WITH BLACK LETTERING STATING "PHOTOVOLTAIC SYSTEM Q o REQUIRED AT THE MAIN BILLING METER. CONNECTED" RE Q Q ry 0 0- 1 �w �_ w� 2 --A YELLOW PLACARD WITH BLACK LETTERING STATING "PV AC DISCONNECT" REQUIRED AT THE AC DISCONNECT. co PV Installation Professional Dm4= Onnidz iPW1�FUS1916 LICENSED ELECTRICAL CONTRACTOR COMPANY: ION DEVELOPER LLC, DAVID STANLEY CONRAD (ME.3000364) CLASSIFICATION: ELECTRICAL CONTRACTOR LICENSE NUMBER: EC.0100960 EXPIRATION: AUTHORIZED CONTRACTOR: 9/30/2023 SYSTEM SIZE: 4.42 kW DC 3.12 kW AC 13 MODULES DATE: 12/23/2020 DRAWN BY: TH ADDITIONAL NOTES: c" or ik UTILITY MARKINGS PV 7.0 PV MODULE SPECIFICATIONS MICRO -INVERTER SPECIFICATIONS MODULE MAKE AND MODEL SILFAB SIL 340NL INVERTER MAKE AND MODEL ENPHASE IQ7-60-E-US MAXIMUM POWER (DC) 340 WATTS RATED OUTPUT POWER (AC) 240 WATTS MAX POWER -POINT VOLTAGE (VMPP) 33.7 VOLTS NOMINAL OUTPUT VOLTAGE (AC) 240 VOLTS MAX POWER -POINT CURRENT (IMPP) 10.10 AMPS MAX OUTPUT CURRENT (AC) 1 AMPS MAX INPUT VOLTAGE (DC) 48 VOLTS OPEN CIRCUIT VOLTAGE (VOC) 40.9 VOLTS MAX INPUT CURRENT (DC) 15 AMPS SHORT CIRCUIT CURRENT (ISC) 10.5 AMPS MAX OCPD RATING (AC) 20 AMPS TEMPERATURE COEFFICIENT VOC -0.28 %/OC MAX NUMBER OF PANELS PER CIRCUIT 16 MAXIMUM SYSTEM VOLTAGE 1000V DC (UL) Approval Notes: 1) PN array system to have grounding system installed per Part III of Article 250 per 2020 NEC Article 690.47(A). 2) If UFER ground in not available provide or verify supplemental ground rods per 2020 NEC Article 250.53(A)(3). 3) Cold & Hot Water & Natural Gas bonding per 2020 NEC Article 250.104(A)(B) PV CIRCUIT 1: 13 MODULES/PARALLEL • • • rw MICRO -INVERTER ATTACHED AC PHOTOVOLTAIC SYSTEM RATINGS MAX AC OPERATING CURRENT 13 AMPS MAX AC OPERATING VOLTAGE 240 VOLTS *TYPE NM -13 CABLE WILL BE RAN THROUGH THE ATTIC SPACE/INTERIOR WHERE POSSIBLE. *IF REQUIRED PER MANUFACTURE SPECIFICATIONS A MINIMUM OF 6AWG WIRE OR REDUCING LUGS WILL BE USED GOING INTO THE PRODUCTION METER. ** IF MORE THAN 12 CONDUCTORS, TWO SEPARATE RACEWAYS MAY BE INSTALLED WITH NO MORE THAN 12 CONDUCTORS IN EACH RACEWAY OTHERWISE, 98 WIRE AND 3/4" CONDUIT MUST BE USED WHERE APPLICABLE COMBINER PANEL 125A/240V ENVOY IQ (DRAWS 0.22 AMPS) I I 10A JUNCTION BOX LOCATED ON ROOF 0 L7V 20 A C ih 150 A 20 A EXISTING 240V/200A BUSBAR RATED LOAD -CENTER (NON -CENTER FED) PANEL. BREAKER WILL BE FURTHEST POSITION AWAY FROM DISCONNECT. RACEWAY AND CONDUCTOR SCHEDULE TAG CONDUCTOR TYPE MINIMUM WIRE SIZE # OF CONDUCTORS RACEWAY / CABLE TYPE MINIMUM CONDUIT SIZE A ENPHASE Q -CABLE (USE -2) 12 2 USE -2 / FREE AIR FREE AIR BARE COPPER (EGC) 6 1 BARE / FREE AIR B CU THHN OR NM -13 CABLE * 10 2 EMT OR NM -13 CABLE 3/4" / INTERIOR USE CU THHN OR NM -13 CABLE (EGC) * 10 1 C CU THHN/THWN-2 10 3 EMT 3/4" CU THHN/THWN-2 (EGC) 10 1 ION 4801 N UNIVERSITY AVE, SUITE 900 PROVO, UT 84604 (888)781-7074 Z M o LU m00 Q j0 U z W W U Q � w w� M O ti rNBCEP CERTIFIED vv instaiiation Professional Dm4n Dankh wra�a�n.r .ad iPW182d6�1816 LICENSED ELECTRICAL CONTRACTOR COMPANY: ION DEVELOPER LLC, DAVID STANLEY CONRAD (ME.3000364) CLASSIFICATION: ELECTRICAL CONTRACTOR LICENSE NUMBER: EC.0100960 EXPIRATION: AUTHORIZED CONTRACTOR: 9/30/2023 SYSTEM SIZE: 4.42 kW DC 3.12 kW AC 13 MODULES DATE: 12/23/2020 DRAWN BY: TH ADDITIONAL NOTES: SHEET: cNy at x uit l/W0 an 1 -LINE EL 1.0 NEC ARTICLE 690.43 EQUIPMENT EQUIPMENT MAY BE STAND-ALONE ION GROUNDING SPECIFIES THAT ALL EXPOSED GROUNDING COMPONENTS OR UL -2703 4801 N UNIVERSITY AVE, SUITE 900 PROVO, UT 84604 (888) 781-7074 NON -CURRENT -CARRYING METAL PARTS OF LISTED MOUNTING HARDWARE. IN AN PV MODULE FRAMES, ELECTRICAL ENPHASE MICROINVERTER SYSTEM, IF THE BE USED AS THE EQUIPMENT GROUNDING GROUNDING CONDUCTOR PROVIDED TO CONDUCTOR IN A PHOTOVOLTAIC SYSTEM. THE MICROINVERTERS THROUGH THE PV Installation z EQUIPMENT, AND CONDUCTOR MICROINVERTERS AND MODULES ARE °°4=°°®� a iPW1�FUS1916 - CO USED TO GROUND THE OTHER LICENSED ELECTRICAL CONTRACTOR COMPANY: ION DEVELOPER LLC, DAVID STANLEY CONRAD (ME.3000364) W Do m co ENCLOSURES SHALL BE PROVIDED WITH BONDED TO THE RACKING ASSEMBLIES v z o c Qo EQUIPMENT GROUNDING. 690.43(B) WITH THE USE OF LISTED AND APPROVED z 3.12 kW AC 1 �w STRUCTURE AS EQUIPMENT GROUNDING GROUNDING CLIPS OR GROUNDING DATE: 12/23/2020 ~ w� DRAWN BY: TH SUPPORTS." THE DEVICES LISTED AND CONDUCTOR ALLOWS FOR EQUIPMENT TO COMPONENTS, THE EQUIPMENT co IDENTIFIED FOR GROUNDING THE �Gty o - Bullilw2_1 SHEET: ELECTRICAL NOTES EL 2.0 BE USED AS THE EQUIPMENT GROUNDING GROUNDING CONDUCTOR PROVIDED TO CONDUCTOR IN A PHOTOVOLTAIC SYSTEM. THE MICROINVERTERS THROUGH THE PV Installation Professional SPECIFICALLY, "DEVICES LISTED, LABELED, ENPHASE ENGAGE CABLE MAY ALSO BE °°4=°°®� a iPW1�FUS1916 AND IDENTIFIED FOR BONDING AND USED TO GROUND THE OTHER LICENSED ELECTRICAL CONTRACTOR COMPANY: ION DEVELOPER LLC, DAVID STANLEY CONRAD (ME.3000364) CLASSIFICATION: ELECTRICAL CONTRACTOR LICENSE NUNIEER: GROUNDING THE METAL PARTS OF PV PHOTOVOLTAIC SYSTEM COMPONENTS. EC.0100960 EXPIRATION A°°RIZED°°NTRA°T°R 9/30/2023 SYSTEM SIZE: 4.42 kW DC SYSTEMS SHALL BE PERMITTED TO BOND 3.12 kW AC 13 MODULES THE EQUIPMENT TO GROUNDED METAL DATE: 12/23/2020 DRAWN BY: TH SUPPORTS." THE DEVICES LISTED AND ADDITIONAL NOTES: IDENTIFIED FOR GROUNDING THE �Gty o - Bullilw2_1 SHEET: ELECTRICAL NOTES EL 2.0 � ► � i City of Wheat Ridge Homeowner Addition PERMIT - 201902232 PERMIT NO: 201902232 ISSUED: 11/06/2019 JOB ADDRESS: 7403 W 48th Ave EXPIRES: 04/26/2021 JOB DESCRIPTION: Addition on SE side of house for two bedrooms - 344 sq ft total **REVISION NOT ISSUED YET 10/26/2020**REVISION: Adding ground level deck outside of bedroom addition in the front of the house. Sq ft.: l4 3 *** CONTACTS *** OWNER (303) 250-6081 CASEY FRANCIS *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 37,154.00 FEES Total Valuation 0.00 Plan Review Fee 384.51 Use Tax 780.23 Permit Fee 591.55 Extend Expired Permi 313.02 ** TOTAL ** 21069.31 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. NOTE: Consultations and inspections will only be performed with the homeowner of record present. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. 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. For one- or two-family dwellings, the first twenty-five feet (25') of driveway area from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick pavers or similar materials. A right-of-way permit may be required; contact Public Works Department at 303-235-2861. (This requirement is triggered by the addition and must be completed PRIOR to final inspection) Landscaping removed or damaged during construction must be replaced prior to final inspection. 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Homeowner Addition PERMIT - 201902232 201902232 7403 W 48th Addition on "REVISION: front of the Sq ft.: l4 3 Ave SE side of house for two ISSUED: 11/06/2019 EXPIRES: 04/26/2021 bedrooms - 344 sq ft total Adding ground level deck outside of bedroom addition in the house. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ♦6 A♦ City Of 19cor eat dge COMMUNITY DEVELOPMENT CityofWheat Ridge Municipal Building 7500 W. 2u'Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Permit Extension Request Form Permits expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days maybe granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the original permit fee. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. Please complete this form in its entirety and submit to the Building Division at vermitsaci.wheatridge.co.us or fax to 303-237-8929. Party requesting permit extension: Francis Casey - Home Owner Permit # 201902232 Property Address: 7403 W 48th Ave Wheat Ridge Co 80033 phone #3032506081 Email Address: casey.fjn@gmail.com Reason for extension request: I still need to get the drive way resurfaced to meet building code. The company that said they would do it, bailed on me at the last minute. The work won't be completed before my permit expires. Please extend my permit deadline. Number of days requested: 180 Printed Name: Francis Casey Signature: Date: 10/23/2020 For office use only This request has been: XApproved ❑ Denied Extended until: 4/26/2021 Approved by: L� Date: 10/26/2020 www.d.whce dgexo.us �! i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: IAA 5 k4-"'5 Job Address: yQ tile/ �/ Permit Number: iii' tV 3 Z— ❑ No one available for inspection: Re -Inspection required: Yes /No When corrections have been made, schedule for re -inspection online at. http✓/www. ci. wheatridge. co. us-Onspection Date:121ZoZo Inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE ,-s Inspection Type: Job Address: 7y Permit Number: J No one available for inspection: Time AM/PM Re -Inspection required: V No When corrections have been made, schedule for re -inspection online at: httpYlwww.ci. wheatridge. co. uslinspection Date: Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: /So Job Address: 7 (1a-75 Lys t,1 Permit Number: Qa ❑ No one available for inspection: Tim �� J�'" M/PM Re -Inspection required: Yes No��' When corrections have been made,, sshptdule for re -inspection online at: http✓/www.cLwheatridge.co.uslinspectior� Date ��C�'nector. ��, e � A CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: 'V Permit Number: ?c/`/ L f 3 2 + f��;r,,�•`/ - ��' % �t7� � �G .�- ,• ♦:'.:-`.-%� �,; " / ? s �C(.f 5 tri ,/lam.: ❑ No one available for inspection: Time I / I c! GPM Re -Inspection required: Yes (No) when corrections have been made, -schedule for re -inspection online at: http://www. ci. wheatridge. co. us/inspection Date: Inspector: Al,rY, ®O HOT REMOVE THIS NOTICE 41 CITY OF WHEAT RIDGE V, Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 3c,/ Job Address: 7-l-/'0-7 Ltz Permit Number: zo/11 C.,t -z. 7 ❑ No one available for inspection: Time Re -inspection required: ��s) No When corrections have been made, schedule for re -inspection online at: http://Www.ci. wheatridge.co, uslinspection Date: Inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: 74/cl 3 Permit Number: rl� 1737 LJ No one available for inspection: Time (M/,Pm Re -inspection required: (Yes No When corrections have been made, schedule for re -inspection online at: http.-Ilwww. ci. wheatridge. co. uslinspection Date: inspector: A- /-1-1 DO NOT REMOVE THIS NOTICE 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE ,303 13c -,l Inspection Type: 106 - Job Address: Permit Number: AVIC -"-A, - 1,xko. J No one available for inspection: Time CAM �P M Re -Inspection reqiuired:° Yes No AW, When corrections have been made, schedule for re -inspection online at: http://Www.ci.wheatridge.co.uslinspection Date: Inspector: DO NOT REMOVE THIS NOTICE 9-10 Am i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: _ 109- P - P/ F,W� 4)�'4'N Job Address: Li(9 3 w tli3 w Ave Permit Number: 20 0 o ZZ 32 LJNo one available for inspection: Time APM Re -Inspection required: Yesr t.._ When corrections have been made, schedule for re -inspection online at: http.11www. ci. wheatridge.co. usfinspection Date:_3 ° 13 • Z,?20 Inspector: A�2wL DO NOT REMOVE THIS N TICE CITY OF WHEAT RIDGE Building Inspction Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: �� %� Job Address: Permit Number: ❑ No one available for inspection: TimeO,Mj FSM Re -Inspection required: Yes Ao fl When corrections have been made, gehedule for re -inspection online at: httpAvww. ci. wheatridge. co. us4nspection Date:3 Inspector: `-- r DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspction Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: �� %� Job Address: Permit Number: ❑ No one available for inspection: TimeO,Mj FSM Re -Inspection required: Yes Ao fl When corrections have been made, gehedule for re -inspection online at: httpAvww. ci. wheatridge. co. us4nspection Date:3 Inspector: `-- r DO NOT REMOVE THIS NOTICE i CITY, OF -WHEAT RIDGE Building ,inspection Division (303) 235-2855 Office INSPECTION NOTICE j 62 Inspection Type: / c Job Address: 6/F l Permit Number: ❑ No one available for inspection: Ti IN Re -Inspection required: Yes`s" No III -L-1-1 When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. uslinspection Date:--,,-,- a_.5�, 7_;,-"z:-2 Inspector: -- DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: _ C7'ta �,.� LAI V -V h1v- Permit Number: b's -kms ❑ No one available for inspection: Time r` . AM/PM Re -Inspection required: Yes Io� When corrections have been made, schedule for re -inspection online at. http✓/www.ci. wheatridge.co. uslinspection Date: Inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 1 ^ Job Address: Permit Number:` ❑ No one available for inspection: Time AMiPM Re -Inspection required: No When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge.co. uslinspection Date:'?-_72eInspector: --� DO NOT REMOVE THIS NOTICE City of Wheat Ridge Homeowner Addition PERMIT - 201902232 PERMIT NO: 201902232 ISSUED: 11/06/2019 JOB ADDRESS: 7403 W 48th Ave EXPIRES: 11/05/2020 JOB DESCRIPTION: Addition on SE side of house for two bedrooms - 344 sq ft total *** CONTACTS *** OWNER (303)250-6081 CASEY FRANCIS *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 35,154.00 FEES Total Valuation 0.00 Plan Review Fee 369.56 Use Tax 738.23 Permit Fee 568.55 ** TOTAL ** 1,676.34 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. NOTE: Consultations and inspections will only be performed with the homeowner of record present. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. 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. For one- or two-family dwellings, the first twenty-five feet (25') of driveway area from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick pavers or similar materials. A right-of-way permit may be required; contact Public Works Department at 303-235-2861. (This requirement is triggered by the addition and must be completed PRIOR to final inspection) Landscaping removed or damaged during construction must be replaced prior to final inspection. City of Wheat Ridge Homeowner Addition PERMIT - 201902232 PERMIT NO: 201902232 ISSUED: 11/06/2019 JOB ADDRESS: 7403 W 48th Ave EXPIRES: 11/05/2020 JOB DESCRIPTION: Addition on SE side of house for two bedrooms - 344 sq ft total I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with thispermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performe all work be perfTed is disclosed in this document and/or its' accompanying approved plans and specifications. Sinre ofCONTRACTOR (Circle one) Date I. This perm s 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 maybe 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, any violation of any provision of any applickle code or anfirdinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat jddge COMMUNITY DrVELOPMENT Building & Inspection Services 7500 W. 291h Ave., Wheat Ridge, CO 80033 L Office: 303-235-2855 " Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permitsC�ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # 1) OCO ��� J Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 7qc)s 10, J1,3 Property Owner (please print): Phone: C�✓C3 Property Owner Email: C A,e_� @ U Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: 1—t— Architect/Engineer E-mail: Contractor Name: City of Wheat Ridge License #: Contractor E-mail Address: For Plan Review Questions & Comments (please print): Phone: CONTACT NAME (please print): Ff-Gty1 �l ���i c� t� Phone:_ CONTACT EMAIL(p/ease print): c' �' y j) r� A Y31 1 Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields, if applicable. ❑COMMERCIAL X RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. c� �1�bt\ d� o becQfonMS +-' s,- s;-dC_ c9 { y�S1, Stt�cci v��-�t �►'11C . vji , t 'n JL'2teC� Q�E�alq� iRccA- �fb mcefc-h I e A rJ c_ vld G a vn e- S o" J�Zu vps 0q((� +a �i e- , Sq. FULF BTUs Gallons Amps Squares For Solar: KW # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) b /0 . 0V1'NER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record: that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that 1 am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLEONE: (OWNE (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): _ l DATE: i Printed Name:(' DEPARTMENT USE ONLY ZONING COMMMENTS: ed -2 t (owt21 �Qp OCCUPANCY CLASSIFICATION: 10 CONSTRUCTION TYPE: Ve Reviewer: BUILDING DEPART T CO ME Reviewer: l o l s/of PUBLIC WORKS COMMENTS: Reviewer: X0).02 351 I S 4 Building Division Valuation: I Randy Slusser From: Helena Dopita <helena@yorkengr.com> Sent: Thursday, October 24, 2019 6:09 PM To: 'Michael Payne'; Randy Slusser; casey.fjn@gmail.com Subject: RE: Plan review for addition at 7403 W 48th Ave Thank you Michael, that is correct. I met with Stephanie today at the City of Wheat Ridge and dropped off the plans with her. Thank you, Helena -----Original Message ----- From: Michael Payne <mpayne@empiredrafting.net> Sent: Thursday, October 24, 2019 5:29 PM To: Randy Slusser <rslusser@ci.wheatridge.co.us>; casey.fjn@gmail.com Cc: 'Helena Dopita' <helena@yorkengr.com> Subject: RE: Plan review for addition at 7403 W 48th Ave Randy and all The attached drawing answers all the questions below, except for the Wet Stamped Structural plans. And I believe Helena Dopita of York Engineering took care of that with the Casety/Truong family today. 2/3) We moved some items around on the layout, and didn't get that reflected in the plans referring to the cross sections and wall sections. That has been corrected, and the callouts are now correct. 4) a mini split system will be added over the closet area, with duct work and vents provided for each bedroom through the duct work. We had discussed this with the Caseys, but it didn't get followed up on. 5) We have corrected the address on each page, as well as in the title. Sorry about that oversight. As you continue your review, do let us know if there is anything else we have missed. Thank you for your attention! Michael Payne Empire Drafting and Design, LLC 303 325 1849 mpayne@EMPIREDRAFTING.NET From: Randy Slusser Sent: Wednesday, October 23, 2019 3:25 PM To: casey.fjn@gmail.com; Michael Payne <mpayne@empiredrafting.net> Subject: Plan review for addition at 7403 W 48th Ave Good afternoon, I am reviewing your project for the Building Division and have the following comments. 1. Structural plans shall be wet stamped and signed by engineer of record. 2. Sheet A-4: Section views not found on sheet A-5 as indicated in detail 2 Foundation Plan. 3. Sheet A-5: Section views not found on sheet A-5 as indicated in detail 2 Main Level Plan. 4. Clarify if existing HVAC system will be utilized and if new ducts will be branched off from existing to bedrooms. 5. FYI - Sheets A-1 through A-10 specifies 7403 W 48th Street as the project address. I have revised to Avenue. No further action on this item required. Please contact me with any questions. Randy Slusser, CBO Chief Building Official Building Division 7500 W. 29th Avenue Wheat Ridge, Colorado 80033 Office Phone: 303-235-2803 www.ci.wheatridge.co.us<http://www.ci.wheatridge.co.us/> [cid:image001.png@01D58A90.6B6F5600] 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. Randy Slusser To: casey.fjn@gmail.com; mpayne@empiredrafting.net Subject: Plan review for addition at 7403 W 48th Ave Good afternoon, I am reviewing your project for the Building Division and have the following comments. 1. Structural plans shall be wet stamped and signed by engineer of record. 2. Sheet A-4: Section views not found on sheet A-5 as indicated in detail 2 Foundation Plan. 3. Sheet A-5: Section views not found on sheet A-5 as indicated in detail 2 Main Level Plan. 4. Clarify if existing HVAC system will be utilized and if new ducts will be branched off from existing to bedrooms. 5. FYI - Sheets A-1 through A-10 specifies 7403 W 48th Street as the project address. I have revised to Avenue. No further action on this item required. Please contact me with any questions. Randy Slusser, CBO Chief Building Official Building Division 7500 W. 29th Avenue Wheat Ridge, Colorado 80033 Office Phone: 303-235-2803 www.ci.wheatridge.co.us r 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. City of Wh6atpjd e COMMUNITY DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s): Project Property: Project Type: 7,1\ 5� 1 Notarizeldsignature of Applicant State of Colorado } County of J e�Sefso� } ss 41 i 411,2. rL i 5� The foregoing instrument was acknowledged by me this day of ker 20 by TAMARA D ODEAN NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20164015481 MY COMMISSION EXPIRES APRIL 22, 2020 T�--- My Commission Expires Notary Public (�iiy of `7`I heat ic��c CITY OF WHEAT RIDGE BUILDING AND INSPECTION SERVICES DIVISION 7500 W 29th Ave Wheat Ridge, CO 80033-8001 p. 303.235.2855.f 303.237.8929 Proof of Submission for Permitting/Plan Review (Water and Sanitation only) A copy of this form must be completed by each water and sanitation agency indicated on the Permit Submittal Checklist for the project type and be attached to the Building Permit Application at the time of submission. Applications presented for submission without a completed Proof of Submission form from a required agency will not be accepted or processed. Date: ! 0, I F,- 1 S) Project Address: ( � i -� i%$ � �'LR L�� i cid C S 4 Name of Firm/Individual submitting documents: 1 r—a 0 "' 13 2 SL Project Type/Description: v ,�� ,-�-Y-� � �� r� e.c� ro 0-p >-' Signature of Firm Representative or Individual: DO NOT WRITE BELOW THIS POINT - FOR AGENCY USE ONLY I, T(L.Av-_rJS -T t 1eAJJ— , am a duly authorized representative of the agency indicated below and do, by my signature below, hereby acknowledge receipt of documents necessary for review and approval of the project indicated above. Agency represented: (Please check one) o Wheat Ridge Water District o Consolidated Mutual Water District o Valley Water District o Denver Water Y- Wheat Ridge Sanitation District o Clear Creek Sanitation District o Fruitdale Sanitation District o Westridge Sanitation District o Other Agency Notes: t9LC Af-C,- /verrFy T-1+er D-rJ'rRT(T :pp Tye L_trete. ST C ({4'aG(%I. 0W+IIC;K /` uyr 1-ot,1.LA j t)s..5rKrC7- yZt.,LLt-5 AA/o A - C -v u L� ATTa-., 5' Signature: /4 Date: (Agency Representative) C OZsT2scY'S D ' City of W heatj"icige CITY OF WHEAT RIDGE BUILDING AND INSPECTION SERVICES DIVISION 7500 W 29th Ave Wheat Ridge, CO 80033-8001 p. 303.235.2855.f 303.237.8929 Proof of Submission for Permitting/Plan Review (Water and Sanitation only) A copy of this form must be completed by each water and sanitation agency indicated on the Permit Submittal Checklist for the project type and be attached to the Building Permit Application at the time of submission. Applications presented for submission without a completed Proof of Submission form from a required I agency will not be accepted or processed. Date: Project Add 4 6'a,- *x� W �GcA R•1 aG V Name of Firm/Individual submitting documents: ' V-A v) c des 1. //�� Project Type/Description: -4 c, d Cy -1 —kL;, a Lw— .Ci V- 0-0 7 S --�' J Signature of Firm Representative or Individual: DO NOT WRITE BELOW THIS POINT - FOR AGENCY USE ONLY I, /^/ bLs=��1-1,, am a duly authorized representative of the agency indi below d d y my signature below, reby acknowledge receipt of documents necessary for review and approval of a project indicated above. Agency represented: (Please check one) c,,�heat Ridge Water District o Wheat Ridge Sanitation District o Consolidated Mutual Water District o Clear Creek Sanitation District o Valley Water District o Fruitdale Sanitation District o Denver Water o Westridge Sanitation District o Other l Agency Notes: �d ')/W COY A gineering olutions and Technologies Prepared By: 4 Madeline K. Tarasar, E.I.T. Staff Engineer GEOTECHNICAL ENGINEERING STUDY 7403 WEST 48TH AVENUE WHEAT RIDGE, COLORADO 80033 PROJECT NUMBER 19-1132 JULY 29, 2019 PREPARED FOR FRANCIS CASEY 7403 WEST 48TH AVENUE WHEAT RIDGE, COLORADO 80033 Reviewed By: Matthew A. Best, P Project Engineer Silas LA it "O doe to0*� to"0 Locations: Summit County & Lakewood, Colorado - Psalm 20 - Phone: 970.409.9670 - Matt(cDBestEnaineerinaUSA. corn )F)/Z,31(9 Mailing: 747 Sheridan Boulevard, Unit 2A - Lakewood, Colorado 80211® Phone: 303.238.1770 - Office BestEngineeringUSA.com 7403 West w8thAvenue l�l���'� Project Numb19-1132 ��°��°��"��" Table ^.0Dte[KS BN8CDTl»rESUMMARY ....................................................................................................................................................................... ] PURPOSEAND SCOPE OFWORK ........................................................................................................................................................ 4 PROPOSEDCONSTRUCTION ............................................................................................................................................................... 4 SITECONDITIONS .................................................................................................................................................................................. 4 FIELD EXPLORATION ----------------------------------------------.----------'4 SUBSURFACECONDITIONS ................................................................................................................................................................ 4 FOUNDATION QD8lGN RECOMMENDATIONS ------------------------------------------'5 FLOORSLABS ......................................................................................................................................................................................... V BEl8Y41C CONSIDERATIONS ---.—'_---.--.--'------------_—_--_.--.---.--------? SURFACEDRAINAGE ............................................................................................................................................................................ 7 umuEmmm/um SYSTEM ........................................................................................................................................................................ ? HOMEOWNER—PRECAUTIONS ............................................................................................................................................................. ` DESIGN AND CONSTRUCTION SUPPORT SERVICES ..................................................................................................................... 8 LIMITATIONS.......................................................................................................................................................................................... 8 TABLE FIGURE l—LOCATION AND SITE MAP FIGURE 2—LOCATION 0FEXPLORATORY BORING FIGURE 3—BORING LOG FIGURE 4—LEGEND AND NOTES [Q Locations; Summit County & Lakewood, Colorado ~ Psalm 2o^Phone: e7u.4oe.9ero^ 7403 West 48th Avenue Project Number: 19-1132 B B••S V• 1T • EXECUTIVE SUMMARY Best Engineering Solutions and Technologies, LLC (BEST) completed a geotechnical engineering study for the project located at 7403 West 48th Avenue in Wheat Ridge, Colorado. Design parameters and a discussion of geotechnical engineering considerations related to construction of the proposed residences are included in this report. A summary of the findings include: 1. Subsurface explorations encountered natural, medium dense silty sand with gravel over sandy clay and clayey sand. Groundwater was not encountered during excavation of the test boring. Fluctuations of the groundwater may occur seasonally or with precipitation events. 2. Based on the subsurface conditions encountered in the test boring and the nature of the proposed construction, we recommend the proposed structures be founded with spread footings bearing on native soils. Spread footings bearing as recommended should be designed for an allowable bearing pressure of 2,500 pounds per square foot (psf). 3. Native soils or imported structural fill are suitable for support of concrete slab construction. 4. A representative of our office should observe the construction operations discussed in this report. 5. Keep any exposed soils from excessive drying or wetting during the construction process. 6. More detailed recommendations are made throughout this report. These must be reviewed to assure proper consideration in the design. [3] Locations: Summit County & Lakewood, Colorado • Psalm 20 , Phone: 970.409.9670 . MattaBestEnaineerinoUSA.com Mailing: 747 Sheridan Boulevard, Unit 2A • Lakewood, Colorado 80211 • Phone: 303.238.1770 • Office(ED BestEng ineering USA. corn 7403 West 48th Avenue •�•S•�• Project Number: 19-1132 BB V PURPOSE AND SCOPE OF WORK This report presents the results of a geotechnical engineering study for the project located at 7403 West 48th Avenue in Wheat Ridge, Colorado. The project site is shown on Figure 1. The study was conducted to provide foundation design and support of slabs -on -grade recommendations. A field exploration study consisting of one exploratory boring was conducted to collect information on the subsurface conditions. Samples of the subsoils collected during the field exploration were tested in the laboratory to determine their classification and engineering characteristics. The results of the field exploration and laboratory testing were analyzed to develop recommendations for foundation types, depths, and allowable pressures for the proposed building foundations. This report has been prepared to summarize the data obtained during this study and to present our conclusions and recommendations based on the proposed construction and the subsurface conditions encountered. Design parameters and a discussion of geotechnical engineering considerations related to construction of the proposed residences are included in this report. PROPOSED CONSTRUCTION We understand that the proposed construction will consist of an addition to the existing single-family home. Conventional wood frame construction, with column loads expected to be low to moderate and typical of this type of structure, will be used above grade with cast -in-place concrete foundations below grade. Ground floors will be slab -on -grade. Site development is expected to include sidewalk and landscaped areas. Local utilities will generally be underground, except for surface storm runoff and overhead electric. If the loadings, locations, or grading plans for the structures change significantly from those described above, we should be notified to re-evaluate the recommendations contained in this report. SITE CONDITIONS At the time of our field exploration, the property consisted of two single-family residence. The site is bounded by residential single-family homes. The topography in the area slopes down toward the north and west and is at an approximate elevation of 5,370 feet MSL. FIELD EXPLORATION The exploratory boring was drilled on July 11, 2019, approximately at the location shown on Figure 2 to evaluate the subsurface conditions. The boring was drilled using a truck -mounted rig and was logged by a representative of BEST. Samples of the soils were taken with undisturbed sampling methods and the depth of the boring and samples are shown on the Boring Log, Figure 3 and Legend and Notes, Figure 4. SUBSURFACE CONDITIONS Natural medium dense silty sand with gravel was encountered to a depth of approximately 7 feet. Fine grained clayey sand and sandy clay where encountered to a depth of 16 feet. Medium grained clayey sand was encountered to the depth explored of 25 feet. The soils encountered were slightly moist to very moist. Groundwater was not encountered at the time of the boring. Fluctuations in the groundwater levels may occur seasonally or with precipitation events. Samples taken from the exploratory boring were obtained for laboratory testing and inspected by the project engineer. The results of the tests performed on the samples obtained from the test borings are shown on Table 1. Laboratory testing included index property tests; such as moisture content and density, swell/consolidation testing and gradation analysis. The testing was performed on relatively undisturbed drive samples and were in [4] Locations: Summit County & Lakewood, Colorado - Psalm 20 . Phone: 970.409.9670 . Matta BestEnaineerinoUSA.corn Mailing: 747 Sheridan Boulevard, Unit 2A - Lakewood, Colorado 80211 • Phone: 303.238.1770 • Office(cDBestEngineeringUSA. com 7403 West 48th Avenue Project Number. 19-1132 B B•.S V•• general conformance with recognized test procedures, primarily, ASTM and Colorado Department of Transportation (CDOT). FOUNDATION DESIGN RECOMMENDATIONS The native soils are suitable to support lightly to moderately loaded slab -on -grade construction. Based on the subsoil conditions encountered in the exploratory boring and the nature of the proposed construction, we recommend that the structures be founded with spread footings bearing on native soils. The design and construction criteria presented below should be observed for a spread footing foundation system. 1. Footings placed on the native soils should be designed for an allowable soil bearing pressure of 2,500 pounds per square foot (psf). Based on experience it is expected that movement of the footings, designed and constructed as discussed in this section, would be approximately 1.5 -inch or less. Differential movements are estimated to be approximately %2 to 3/4 of the total settlement. Most of this settlement will occur during the construction phase. 2. Spread footings placed on native soils should have a minimum footing width of 18 inches for continuous footings and 24 inches for isolated pads. 3. Exterior footings and footings beneath unheated areas should be provided with adequate soil cover above their bearing elevation for frost protection. Placement of foundations at least 36 inches below exterior grade is required by the City of Wheat Ridge. 4. Continuous foundation walls should be reinforced top and bottom to span local anomalies by assuming an unsupported length of at least 10 feet. 5. A grounding system (Ufer Ground) may be installed where the grounding system is contained within the exterior building wall and the concrete foundation wall. This is in place of having a copper ground rod installed adjacent to the foundation wall. 6. The lateral resistance of a spread footing placed on undisturbed native soils or properly compacted granular structural fill material will be a combination of the sliding resistance of the footing on the foundation materials and passive earth pressure against the side of the footing. Based on the soil characteristics, the resistance to sliding at the bottoms of the footings can be calculated based on a coefficient of friction of 0.60. Passive pressure against the sides of the footings can be calculated using an equivalent fluid unit weight of 370 pounds per cubic foot (pcf). The at -rest lateral pressures on the walls can be calculated using and equivalent fluid density of 60 psf per foot of depth. The active lateral earth pressures should use and equivalent fluid density of about 40 psf per foot of depth. These lateral resistance values are working values. 7. All loose or soft soils should be removed, and the footing bearing level placed on native soils or properly compacted structural fill. The disturbed surface of the native soils should be compacted prior to concrete placement. 8. Interior backfill should consist of onsite native soils and should be placed in uniform lifts not to exceed 10 inches thick and compacted to at least 98% of the standard Proctor (ASTM D 698) maximum dry density and within 2 percentage points of the optimum moisture content. Interior backfill should extend laterally beyond the edges of the footings at a distance at least equal to the depth of the fill below the footing subgrade. Prior to the fill placement, any loose subgrade soils should be compacted. Any wet and soft subgrade soils should be removed prior to fill placement. The backfill material should be free of snow and [51 Locations: Summit County & Lakewood, Colorado - Psalm 20 - Phone: 970.409.9670 - Matta.BestEnaineerinaUSA.com Mailing: 747 Sheridan Boulevard, Unit 2A - Lakewood, Colorado 80211- Phone: 303.238.1770 - OfficeOBestEngineerinaUSA. com 7403 West 48th Avenue B. E. S.T. Project Number: 19-1132 ice, vegetation, topsoil, organics, trash, construction debris, oversized rocks greater than 8 inches in diameter, and other deleterious material. 9. Exterior backfill may consist of the onsite native soils or imported structural fill and should be properly placed and compacted to reduce the risk of settlement and distress. Onsite backfill material placed on the exterior of the structure should be placed and compacted to at least 95% of the standard Proctor (ASTM D 698) maximum dry density within 2 percentage points of the optimum moisture content. 10. Backfill in pavement and walkway areas should also be compacted to at least 95% of the standard Proctor (ASTM D 698) maximum dry density and within 2 percentage points of the optimum moisture content. Care should be taken when compacting around the foundation walls and underground structures to avoid damage to the structure. Hand compaction procedures may be used to prevent excessive lateral pressures from exceeding the design values. 11. Backfill in landscaped areas may consist of native onsite soils or imported structural fill. It should be placed in uniform lifts and compacted to at least 90% of the standard Proctor (ASTM D 698) maximum dry density within 2 percentage points of the optimum moisture content. 12. Utility backfill should be compacted as appropriate for the proposed surface uses (landscape, building, pavement, etc.). 13. All foundation and retaining structures should be designed for appropriate hydrostatic and surcharge pressures, such as adjacent footings, traffic, construction materials, and equipment. The buildup of water behind a wall or an upward sloping backfill surface will increase the lateral pressure imposed on a foundation wall or retaining structure. An underdrain system should be provided to prevent hydrostatic pressure buildup behind the walls. The lateral resistance values identified above assume drained conditions behind the walls and a horizontal backfill surface. Refer to the Underdrain System section for further information. Minor cracking of concrete foundation walls should be expected. 14. Based on our experience, we recommend all concrete exposed to the onsite materials meet the cement requirements for Class 2 exposure of sulfate attack on concrete as presented in ACI 201. Alternatively, the concrete could meet the CDOT requirements for Class 2 exposure as presented in Section 601.04 of the CDOT Standard Specifications for Road and Bridge Construction (2011). 15. Depending upon depth of excavation and seasonal conditions, groundwater may be encountered within excavations on the site. Pumping from sumps may be utilized to control water within excavations, if necessary. BEST is available to provide further dewatering recommendations if this issue arises. 16. A BEST representative should observe all footing excavations prior to concrete placement to evaluate bearing conditions. FLOOR SLABS The native soils are suitable to support lightly to moderately loaded slab -on -grade construction. To reduce the effects of differential movement, floor slabs should be separated from all bearing walls and columns with expansion joints, which allow unrestrained vertical movement. Interior non-bearing partitions resting on floor slabs should be provided with slip joints so that, if the slabs move, the movement cannot be transmitted to the upper structure. This detail is also important for wallboards, stairways and door frames. Slip joints which will allow at least 1.5 inches of vertical movement are recommended. [61 Locations: Summit County & Lakewood, Colorado . Psalm 20 • Phone: 970.409.9670 • Mafte.BestEnnineerinaUSA.corn Mailing: 747 Sheridan Boulevard, Unit 2A s Lakewood, Colorado 80211 • Phone: 303.238.1770 . Office@ BestEngineerinaUSA. com 7403 West 48th Avenue Project Number: 19-1132 B B• E -S S•lagT• Floor slab control joints should be used to reduce damage due to shrinkage cracking. Joint spacing is dependent on slab thickness, concrete aggregate size, and slump, and should be consistent with recognized guidelines such as those of the Portland Cement Association (PCA) and American Concrete Institute (ACI). The joint spacing and slab reinforcement should be established by the designer based on experience and the intended slab use. Fill placed beneath floor slabs may consist of native onsite soils, an imported structural fill, or non -expansive, predominantly granular material. The geotechnical engineer should evaluate the suitability of fill materials prior to placement. Slab performance is greatly dependent on the amount of moisture introduced to the underlying soils, which could result in potential excessive movement causing uneven slabs and cracking. Proper surface grading and foundation drain installation will help to reduce water infiltration in the sub -slab soils. Recommendations within the Surface Drainage and the Underdrain System sections below, should be followed. Recommendations provided in this section are meant to reduce the possible distress caused by slab movement but will not completely eliminate risk. A structurally supported floor system should be used if the owner cannot tolerate potential movement. SEISMIC CONSIDERATIONS This area of Wheat Ridge is located in Seismic Design Category "B". The soil at the foundation level has a very dense soil profile. The average soil profile in the top one -hundred feet provides an overall "stiff soil" profile, which provides a Site Class of "D". Based on the subsurface profile, site seismicity, and the anticipated ground conditions; liquefaction is not a design consideration. SURFACE DRAINAGE Proper surface drainage is very important for acceptable performance of the slab -on -grade during construction and after the construction has been completed. The following recommendations should be used as guidelines and changes should be made only after consultation with the geotechnical engineer. 1. Excessive wetting or drying of the excavation and underslab areas should be avoided during construction. 2. The ground surface surrounding the exterior of the building should be sloped to drain away from the foundation in all directions. We recommend a minimum slope of 12 inches in the first 10 feet in unpaved areas and a minimum slope of 3 inches in the first 10 feet in paved areas. Free -draining wall backfill should be capped with approximately 2 feet of the onsite finer graded soils to facilitate surface drainage. Site drainage beyond the 10 -foot zone should be designed to promote runoff and reduce infiltration. These slopes may be changed as required for handicap access points in accordance with the Americans with Disabilities Act. 3. Xeriscaping should be considered with limited irrigation within 4 feet of the foundation walls. Roof downspouts and drains should discharge well beyond the limits of all backfill and onto splash blocks. UNDERDRAIN SYSTEM The slab -on -grade construction precludes the need for an underdrain system. It is recommended that an impermeable plastic sheet be placed beneath the floor slab to reduce moisture migration through the concrete slab. The sheet should be secured to the interior of the foundation walls. There should be a minimum one -foot side lap and at least two feet of end lap. [7l Locations: Summit County & Lakewood, Colorado - Psalm 20 - Phone: 970.409.9670 - MattBestEnaineerinaUSA.com Mailing: 747 Sheridan Boulevard, Unit 2A - Lakewood, Colorado 80211- Phone: 303.238.1770 - Office(ZDBestEnoineeringUSA.com 7403 West 48th Avenue �' S Project Number. 19-1132 B B 1T• HOMEOWNER PRECAUTIONS All new construction has an adjustment period after construction is completed. Exterior and interior observation should be performed on a regular basis. The exterior backfill should be checked for positive drainage away from the foundation. No ponding of water should be observed. Roof downspouts and splash blocks should direct water away from the foundation. The discharge of any sump should be free of blockage and discharge away from the foundation. DESIGN AND CONSTRUCTION SUPPORT SERVICES Please consider retaining BEST to provide the following services: 1. Review of the project plans and specifications for conformance with the recommendations provided in this report. 2. Observation and testing to document that the intent of this report and that the requirements of the plans and specifications are being followed during construction. 3. Identification of possible variations in subsurface conditions from those encountered in this study, so that recommendations can be re-evaluated, if needed. 4. Preparation of a shoring plan, if necessary, for the protection of adjacent structures. BEST is also available to assist the design team in preparing specifications for the geotechnical aspects of the project and performing additional studies if necessary to accommodate possible changes in the proposed construction. LIMITATIONS This study has been conducted in accordance with generally accepted geotechnical engineering practices in this area for exclusive use by the client for design purposes. Copying of this report or portions of this report without the express written permission of Best Engineering Solutions and Technologies, LLC (BEST), is specifically prohibited. We make no warranty either express or implied. The conclusions and recommendations submitted in this report are based upon data obtained from the exploratory test borings at the locations indicated on Fig. 2, and the proposed construction. This report may not reflect subsurface variations that occur between the explorations. The nature and extent of variations across the site may not become evident until site grading and excavations are performed. If fill, soil, rock or water conditions appear to be different from those described herein, BEST should be advised at once so that a re-evaluation of the recommendations presented in this report can be made. BEST is not responsible for liability associated with interpretation of subsurface data by others. The scope of services for this project does not include any environmental assessment of the site or identification of contaminated or hazardous materials or conditions. In addition, this study does not include determination of the presence, prevention, or possibility of mold or other biological contaminants developing in the future. If the owner is concerned about the potential for such contamination, other studies should be undertaken. Matthew A. Best, P.E. Project Engineer [81 Locations: Summit County & Lakewood, Colorado - Psalm 20 - Phone: 970.409.9670 - Matta- BestEnaineerinoUSA. com Mailing: 747 Sheridan Boulevard, Unit 2A - Lakewood, Colorado 80211- Phone: 303.238.1770 - Officea_BestEnoineerinoUSA. corn 0 3 r co 0 v � A V p ? N �cn a � 3 3 co O C O fD C N � a � 90 x. A whit Q O a N ° � y m <o CD O_ Gn p O O (9 O O O .t Q OQ � ft� C) C ? N � w F' 0a 3 1 N O O 3 O S N O 7 CO O W A O O w O w rn CD - o V a °x1I ---14z O CD I II II 11 II 0 D ro O'Owoo� CD t•no m c � .» m R' 0 0 ao 0 (D b tD C � D o D 3 O 0 3 0 oa d _ _ r � n d O W O r. j trJ O O O 00 + 4/ p e e A z o 00 A N O �c v 00 O N C m 0 W r7 O� 00 00 o� O a m 7 off. O o $,� gi A � o � � m n e fu a n CL f d 00 �. -0. z c 3 m m N 1p v - w r N 'Q o v �+ o s m � 3 3 W - O C7 C O G C N � d _ Qp C r (c N tD D0 O r n m - x n CD o_ 0 0 o m PL n 0 �3 � 3 O (O m v t o � A W � IV C.0 O PO v 0 V ` O � a� a 0 n O O 7 W m I N m m M C a CD W C 0 C D3 i� 0 3 ~' z O rr O N �J A L tD m S a n� � r o V V0 O = O S N N � p; C w 3 7 o n m o m � n� Sh C: r � m �x N N D O N C f�D n OO F' o o T O y N N 00-3 O N O O 3 � O O � (O O O � O � 9D V � O V . V O S . v 0 ci p CD O CO co m mm = m T T ►A APPROXIMATE BORING ELEVATION B1 5366' 0' 0' 24/12" 5' 5' 24/12" 10' 10' 30/12" 15' 15' 50/4" 20' 20' 50/9 2.5' 25' 30' 30' 35' 35' BORING LOG Best En�nneering Lakewood Office: Solutions and 747 Sheridan Blvd, Unit 2A „ Technologies Lakewood, CO 80214 Project Location: DRAWN BY: MKT SCALE: 7403 West 48th Avenue REVIEWED BY: MAB DATE: July 29, 2019 vertical: 1" = 5' Horizontal: N/A Wheat Ridge, Colorado PROJECT NO: 19-1132 FIGURE: 3 Silty sand with coarse gravel, light brown Sandy clay to Clayey sand, fine grained, tan Clayey sand, medium grain, tan (0) Water Level, Time After Drilling (0 = At Time of Drilling) r Disturbed Sample Collected EF Undisturbed Sample Collected X/12" Blow Counts; Number of Blows to Drive the Sampler 12-Inches (ASTM D-1586) ((X)) Depth of Caving Soils NOTES: 1. The samples were collected on July 11, 2019 with a CME 45 truck mounted drill rig and 4" solid flight auger. 2. The stratification lines represent the approximate boundary between soil types and the transition may be gradual. 3. The boring log(s) show subsurface conditions at the dates and locations indicated, and it is not warranted that they are representative of subsurface conditions at other locations or times. 4. Elevations are provided by Google Earth© and are considered approximate. LEGEND &NOTES ` BEngineering Lakewood Office: Geotechnical Engineering Study Solutions and 747 Sheridan Blvd, Unit 2A Technologies Lakewood, CO 80214 Project Location: DRAWN BY: MKT SCALE: 7403 West 48th Avenue REVIEWED BY: MAB DATE: July 29, 2019 Vertical: N/A Horizontal: N/A Wheat Ridge, Colorado PROJECT NO: 19-1132 FIGURE: 4 Environmental & Disaster Restoration, Inc. ECOS Environmental - Aurora, Colorado 3538 Peoria Street Aurora, CO 80010 Office - (303) 442-3267 info@ecosenvironmental.com www.ecosenvironmental.com ASBESTOS INSPECTION REPORT CLIENT: FRANCIS CASEY ADDRESS: 7403 W. 48TH AVE., WHEAT RIDGE, CO 80032 EMAIL: novnaycasey@amail.com PHONE: 303.230.6081 T Ecos Jos NUMBER: B -19 -0181 -AT PROJECT LOCATION: 7403 W. 48TH AVE., WHEAT RIDGE, CO 80032 jww" DATE OF INSPECTION: 2 APRIL, 2019 1 e c�o s Environmental h Disaster tlnstoration, Inc. ECOS Environmental & Disaster Restoration (ECOS) was retained to conduct a survey of limited scope at the above location in reference to determining if there is asbestos containing material (ACM) in a temporary dumpster outside of the structure. The inspection was performed in accordance with the Standards of Practice of the Colorado Regulation 8 Part B in effect at the time of this Inspection. This inspection is not intended to be technically exhaustive. The inspection included all building materials in the proposed areas, however, should any additional building materials be discovered during renovation, those materials must be sampled and analyzed prior to continuing with the work. Three (3) samples were collected of all suspect surfacing materials. The Inspector has prepared this written asbestos Inspection Report for the sole use and benefit of the client. The asbestos inspection report shall identify, report, and make recommendations for future evaluation. Client agrees to read the entire asbestos inspection report when received and shall promptly call the inspector with questions or concerns regarding the report. The use of this report and information contained herein by others, in whole or in part, is not authorized without the written mutual consent of the client and EGOS Environmental. This inspection was performed by Colin Mullin, Colorado State Department of Public Health and Environment Certification Number 25268. ECOS collected bulk samples of the homogenous materials in a random and representative manner, as determined by the Inspector. A minimum of one composite core samples that included all layers within the suspect material was obtained from each homogenous area. Samples of soft friable materials were obtained by removing a small portion using wetting techniques. The sampler cleaned equipment following collection of each sample to minimize cross -contamination between samples. The sampler assumed that materials in inaccessible locations were similar to those in accessible locations, in order to limit destruction during the sampling process. All samples were placed in sealed, labeled containers, and the sample descriptions and locations were recorded. Samples were delivered under a chain of custody for analysis to Aerobiology Laboratory in Denver, CO. Samples were analyzed by Polarized Light Microscopy. Performance of this asbestos inspection is intended to reduce, but not eliminate, uncertainty regarding the presence of ACBM in connection with the above referenced property. No guarantee is expressed or implied that all ACBM was identified in the inspection. Therefore, ECOS Environmental cannot be held accountable for restrictions placed on us by the client, conditions or information that remained unknown, or areas that were inaccessible at the time of the inspection. city of Wheat Ridge ) 2 Environmental & Disaster Restoration, Inc. l itA SNIT i d AL OF Bir iL.Dii G One (1) copy of the results of the building/ structure asbestos survey shall be immediately transmitted by the building/ structure owner as follows: One copy of the completed asbestos survey shall be sent by the owner or their agent to the local government entity charged with issuing a permit for such demolition, renovation, remodeling or repair work under applicable State or local laws. The completed asbestos survey shall be kept on the construction site with the asbestos notification and variance, if required, throughout the duration of the asbestos project and any associated demolition, renovation, remodeling or repair project. 13L?IZL?I VG% t cwgE 1�i^sT3EST Jfir t°sUR 'F_A 1NFC)RMATION The asbestos survey shall, at a minimum, identify and assess with due diligence, the locations, quantities, friability and conditions of all building material types at the affected portion of the building/ structure. The certified asbestos inspector is responsible for identification and assessment of all type within the affected portion of the building/structure. All building materials visually assessed shall be assumed to be asbestos containing building material (ACBM), unless bulk sampling is conducted as per standard EPA and OSHA accepted methodologies. The subsequent analysis is performed by a laboratory that meets the requirements and the analyses satisfies both CO STATE ELAP and federal requirements, including multi- layered sample analyses, to document non -asbestos containing material. The building/ structure asbestos survey shall also include the building/structure name, address, the building/ structure owner's name and address, the name and address of the owner's agent, the name of the firm performing the asbestos survey and a copy of the firm's current asbestos handling license, the names of the certified inspector(s) performing the survey and a copy of the current asbestos handling certificate for each inspector utilized, the dates of the asbestos survey, a listing of homogeneous areas identifying which ones are ACBM, all laboratory analysis reports for bulk samples collected, and copies of the appropriate certifications for the laboratory used for analysis of samples taken during the asbestos survey. IRFA9MAi, fil:.QUIRI:1-IU If the building/ structure asbestos survey finds that the portion of the building/ structure to be demolished, renovated, remodeled, or have repair work contains asbestos containing building material (ACBM), which is impacted by the work, the owner or the owner's agent shall conduct, or cause to have conducted, asbestos removal performed by a licensed asbestos abatement contractor in conformance with all standards set forth. All ACBM impacted by the demolition, renovation, remodeling or repair project shall mid; prior to access or disturbance by other uncertified trades or personnel No demolition, vation, remodeling or repair work shall be commenced by any owner or the owner's agent pri r ttoo fW Ridge O S Environmental & IINaMer Restoration, Inc, completion of the asbestos abatement in accordance with the notification requirements. For multi - phased work, the access restriction for uncertified trades or personnel applies to each intermediate portion of the entire project. Upon completion of the intermediate portion of the asbestos project, other trades, or personnel may access that portion of the work site. For demolition projects that are exempt from asbestos survey requirements due to being structurally unsound, the demolition is considered an asbestos project. All building/ structure owners and asbestos abatement contractors on a demolition, renovation, remodeling, or repair project shall inform all trades on the work site about the ACBM at the work site. LJNA N (11:IED AND U'ti:�ssuss t) Ast3rs i-oAS When any construction activity, such as demolition, remodeling, renovation or repair work, reveals suspect ACBM that has not been identified by the asbestos survey, or has not been identified by other inspections as per current OSHA or EPA requirements, all activities shall cease in the area where the suspect ACBM is found. Unassessed suspect miscellaneous ACBM shall be treated and handled as ACBM and assumed to be ACBM, unless proven otherwise by standard EPA and OSHA accepted methods. To document non -asbestos containing material, analysis must be performed by a laboratory that meets the requirements of the DOH; and the analysis satisfies both CO STATE ELAP and federal requirements. An asbestos project is any work that involves the removal, encapsulation, enclosure, repair or disturbance of friable or non -friable asbestos, or any handling of asbestos material that may result in the release of asbestos fibers. For the purpose of compliance an asbestos project shall include any disturbance of asbestos fibers, and the planning, asbestos survey, design, background air sampling, inspection, air sampling and oversight of abatement work, cleanup, and the handling of all asbestos material subject to abatement, as well as the supervising of such activities. An asbestos project starts with Phase I when the planning, asbestos survey, and design work begins or is required to begin. The project shall not be considered completed until Phase Il D is complete. (See Table 1 below). Phase I (Prior to Asbestos Phase II Start -> Abatement -> End Abatement Contractor) A B A B C D Regulated Asbestos Asbestos abatement handling Final survey, Background work area(s) including gross cleaning Final waste planning, air sampling preparation removal or and removal and design and enclosure abatement, initial clearance from site construction cleans, and waste air samples Start -> Asbestos Project ->Final Clearance city or (Wheat Ridge Building oivis,, Rnvironmontal h Uisastor Restoration, Inc. ;N'g i'3STC 15. iSUI .:T``s 1'1_i1i'1 Cf-ir l J "5.�+tzF`+lC)�i 1'lif.3ill__i. °'°ii✓_'i Large asbestos project: An asbestos project involving the removal, disturbance, enclosure, encapsulation, repair or handling of 160 square feet or more of ACBM, or 260 linear feet or more of ACBM. Small asbestos project: An asbestos project involving the removal, encapsulation, enclosure, repair, disturbance or any handling of more than 10 and less than 160 square feet of ACBM or more than 25 and less than 260 linear feet of ACBM. Minor asbestos project: An asbestos project involving the removal, disturbance, repair, encapsulation, enclosure or handling of 10 square feet or less of ACBM or 25 linear feet or less of ACBM. City of Homogenous areas sampling requirement: SF= Square Footage. LF= Linear Footage (Wheat Ridge uilding Diviso e l� 1 0 S Environmental 2i disaster Resinration, Inc;. HOMOGENOUS MATERIAL 1YPE QUA1VTillES - MIIVIM(iiVl.# OF SAMPLES SURFACING MATERIAL 0 TO < 1,000 SF 3 1,000 To 5,000 SF 5 >5,000 SF 7 THERMAL SYSTEM INSULATION EACH MATERIAL 3 PATCH < 6 SF, LF 1 MISCELLANEOUS MATERIALS EACH MATERIAL 2 A BESTC)',' RELN'10V-AL CATF(J)RIE_ Category I Non -Friable ACBM: NESHAP classification - Asbestos -containing packings, gaskets, resilient floor covering, and asphalt roofing products, containing more than one percent (1 %) asbestos, that when dry, cannot be crumbled, pulverized, or reduced to powder by hand pressure. Category II Non -Friable ACBM: NESHAP classification - Any material, excluding Category I Non - Friable ACM, containing more than one percent (1%) asbestos that, when dry, cannot be crumbled, pulverized, or reduced to powder by hand pressure. Class I Asbestos Work: OSHA term meaning activities involving the abatement of Thermal Systems Insulation (TSI) and surfacing ACBM and PACM. Class H Asbestos Work: OSHA term meaning activities involving the abatement of ACBM which is not TSI or surfacing material. This includes, but is not limited to, the removal of asbestos -containing wallboard, floor the and sheeting, roofing and siding shingles, and construction mastics. Class III Asbestos Work: OSHA term meaning Repair and Maintenance operations, where no more than a minor quantity of ACM, including TSI and surfacing ACBM and PACM, is likely to be disturbed. Class IV Asbestos Work: OSHA term meaning Maintenance and Custodial Activities during which employees contact but do not disturb ACBM or PACM and activities to clean up non-ACBM dust, waste and debris resulting from Class 1, II and III activities. City of Wheat Ridge wilding Divisonj 6 e�.as Environniontal & Disaster Restoration, Inc. Abatement: Procedures to control fiber release from asbestos material. This includes removal, encapsulation, enclosure, repair, and disturbance of friable asbestos or any handling of asbestos material that may result in the release of asbestos fibers. Amosite: An Asbestiform mineral of the amphibole group containing approximately 50% silicon and 40% Iron (II) Oxide, and is made up of straight brittle fibers, light gray to pale brown in color. Amphibole: One of the two major groups of minerals from which the Asbestiform minerals are derived, distinguished by their chain -like crystal structure and chemical composition. Asbestos: A generic name given to a number of naturally occurring hydrated mineral silicates that possess a unique crystalline structure, are incombustible in air, and are separable into fibers. Asbestos includes the asbesti-form varieties of chrysotile (serpentine); crocidolite (riebeckite); amosite (cummington-grunerite); anthophylhte; and actinolite. Asbestos Project: Work undertaken by a contractor which at any time involves any aspect of the removal, encapsulation, enclosure or disturbance of friable asbestos, or any handling of asbestos material that may result in the release of asbestos fiber, except work in an owner -occupied single- family dwelling performed by the owner of such dwelling. An asbestos project shall include the planning, design, monitoring, inspection, and air sampling of abatement work, as well as the supervising of such activities. Building Owner: The person in whom legal title to the premises is vested unless the premises are held in land trust, in which instance building owner means the person in whom beneficial title is vested. Electron Microscopy: A method of asbestos sample analysis which utilizes an electron beam to differentiate between fibers. Emergency: An unexpected, unanticipated or unforeseen occurrence, including but not limited to, a steam, chemical, gas or water line rupture, a boiler failure, or a building collapse, which poses (a) an imminent danger to the health and safety of the public, the response to which will constitute an asbestos project; or (b) an asbestos- related risk to the health and safety of the public from exposure to asbestos fibers. Friable Asbestos: Any materials that contain asbestos and can be crumbled, pulverized, or reduced to powder by hand pressure. HEPA Filter Vacuum Equipment: Vacuuming equipment with a high efficiency particulate air filtration system. This filter is capable of trapping and retaining 99.97 percent of asbestos fibers greater than 0.3 microns equivalent aerodynamic diameter. Homogenous: Evenly mixed and similar in appearance and texture throughout. NESHAP: National Emission Standard for Hazardous Air Pollutants City of OSHA: Occupational Safety and Health Administration Wheat Ridge (Building Divisor ecz� o s Environmental & llisaster Restoration, Inc. Operations and Management Plan (OMP): Specific procedures and practices developed for the interim control of asbestos -containing materials in buildings until it is removed. Polarized Light Microscopy (PLM): An optical microscopic technique used to distinguish between different types of asbestos fibers by their shape and unique optical properties. Repair: Corrective action using required work practices to control fiber release from damaged asbestos material. TSI: Thermal Systems Insulation ACBM: Asbestos containing building material Surfacing Material - material that is sprayed on, troweled on, or otherwise applied to surfaces, such as acoustical plaster on ceilings and fireproofing materials on structural members, or other materials on surfaces for acoustical, fireproofing, or other purposes. Thermal System Insulation - material applied to pipes, fittings, boilers, breeching, tanks, ducts, or other interior structural components to prevent heat loss or gain, or water condensation, or for other purposes. Miscellaneous Materials - interior building material on structural components, structural members or fixtures, such as floor and ceiling tiles, and does not include surfacing material or thermal system insulation. City of Wheat Ridge Diviso e 6"_ O S Environmental F. Disaster Restoration, Inc. r;0'OUS ;t,RLA i °>AXII Lf_t) IJt kli` G iNSPEt _d tl.tX CONDITION G= No VISIBLE DAMAGE D= VISIBLE DAMAGE <10% OVER ENTIRE MATERIAL OR 25% LOCALIZED SD= VISIBLE DAMAGE >10% OVER ENTIRE MATERIAL OR 25% LOCALIZED FRIABLE CATEGORY F= FRIABLE MATERIAL; MATERIALS THAT CAN CRUMBLE OR BE REDUCED TO POWDER BY HAND PRESSURE NFI= CATEGORY I NON -FRIABLE MATERIAL; MA'T'ERIALS THAT CANNOT BE CRUMBLED OR REDUCED TO POWDER BY HAND PRESSURE THAT DO NOT INCLUDE CATEGORY I NON -FRIABLE MATERIALS. POTENTIAL FOR DISTURBANCE L= LOW POTENTIAL FOR DAMAGE D= POTENTIAL FOR DAMAGE SD= POTENTIAL FOR SIGNIFICANT DAMAGE ** THESE MATERIALS ARE MADE FRIABLE DURING REMOVAL AND MUST BE HANDLED IN ACCORDANCE WITH COLORADO STATE REGULATION S, OSHA, AND THE EPA. IF THESE MATERIALS ARE TO BE DISTURBED THEY MUST BE REMOVED BY A CERTIFIED ABATEMENT CONTRACTOR TO PROTECT THE HEALTH OF THE PROPERTY OWNER, THE PUBLIC, AND THE WORKERS. a LOCATION/FUNCTIONAL SPACES INCLUDED IN LOCATION] HOMOGENOUS AREA DUMPSTER Material Q OO A o w u c„ Q Al Drywall Dumpster N 0 F SD SD 1 10 sq. ft. A2 Drywall Dumpster N 0 F SD I SD 1 1Osq. ft. A3 Drywall Dumpster N 0 F SD SD 1 10 sq. ft. CONDITION G= No VISIBLE DAMAGE D= VISIBLE DAMAGE <10% OVER ENTIRE MATERIAL OR 25% LOCALIZED SD= VISIBLE DAMAGE >10% OVER ENTIRE MATERIAL OR 25% LOCALIZED FRIABLE CATEGORY F= FRIABLE MATERIAL; MATERIALS THAT CAN CRUMBLE OR BE REDUCED TO POWDER BY HAND PRESSURE NFI= CATEGORY I NON -FRIABLE MATERIAL; MA'T'ERIALS THAT CANNOT BE CRUMBLED OR REDUCED TO POWDER BY HAND PRESSURE THAT DO NOT INCLUDE CATEGORY I NON -FRIABLE MATERIALS. POTENTIAL FOR DISTURBANCE L= LOW POTENTIAL FOR DAMAGE D= POTENTIAL FOR DAMAGE SD= POTENTIAL FOR SIGNIFICANT DAMAGE ** THESE MATERIALS ARE MADE FRIABLE DURING REMOVAL AND MUST BE HANDLED IN ACCORDANCE WITH COLORADO STATE REGULATION S, OSHA, AND THE EPA. IF THESE MATERIALS ARE TO BE DISTURBED THEY MUST BE REMOVED BY A CERTIFIED ABATEMENT CONTRACTOR TO PROTECT THE HEALTH OF THE PROPERTY OWNER, THE PUBLIC, AND THE WORKERS. a LOCATION/FUNCTIONAL SPACES INCLUDED IN p' HOMOGENOUS AREA DUMPSTER City of "ftieal Ridge GivisoA e o s Environmental (Sc Disaster Restoration, Inr:. CONCUISION Bulk samples were gathered of suspected Asbestos containing building materials (ACBM) in directed regions of concern, being the dumpster outside of the structure. Three (3) samples were collected and relinquished to Aerobiology Laboratories in Golden, CO. No asbestos was detected in alio of the bulk satnples collected. City of Wheat Ridge Divison 10 I I Uosin!Cl 6Uappn8 96p!8 #eaM --- d 964 10 K �B.a aTcar' L O V �: U •C :J out `uoile�o(sap� ao(sesi(1',,q je(uaunu J!ALIA so��r d �4 iL E V x oc o`c x oc c � Z � f 7 a m a .V e o z o z `z c z z a G� z z z z J i V 3 s 3 = F c= E CJ O rl rt1 r! c E U r ` d �4 ,!a 1ee4M H ry o.aaao ^ � a .Q by 9 UGC CiY U V U V �cA`o a w 0 Qz�3 F U M F u z U e wa '3 iA Y m e 0 Z � 01 cT w 8 w :e £ 8 y Lr W Q C� a gi K 9 G W �M•Q�/F M Lil 9 UrnUQU F.e oul'uuije.uijsOH JMSL"l!(j -.4 jPIUUWuoJintlH 0 E Y p d M = v v .VVe W v CL V C T U E JA 0 V W o V 'O � C •m V C C w t 4 3 v r d c m _5 O W y C .° rVi � W C •O d • O $g x3 do �q A� v �' ti E 3 X W x $b F '£ a a E W w c if 9!° �• a E`� Qcy o LU s' S 0 C V .. E � E 70 E g4 w C O y �; W o a W° � r $ P wdY °v'zy `� �_ °d U 3 j pa, C +� m es F TETI '2' a.+ w ca U vn B a Environmental & Disastor Restoratiun, Inc. 00ON _y y k y \,,,Ieridge ....n o%v`50 , e �, o s Environmental & Disaster Restoration, Inc. PHOTOS AND DIAGRAM (7ity of Im,eat Ridge ullding L.A rtivirnnnipmal N- M%astur Restoration, Inc. City of \!Vv,,eaj Ridge ilding DWISOl Ftivironmental & Disaster Kestoration, Inc. City of W meat Ridge i CITY OF WHEAT RIDGE uilding1hspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: v Permit Number: P c� $ �t V 1 ❑ No one available for inspection Ti� /`�"`PM f'�d 7 Re -Inspection required: Ye, ?,No When corrections have been made, call for re -inspection at 303-234-5933 Date: L 2 �� r ," 1 Inspector: 1: ; - DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTIOII,NO ICE Inspection Type: Job Address: Permit Number: O I C, o r ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes (0) When corrections have been made, call for re -inspection at 303-234-5933 Ll Date: � Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge 0 Homeowner Interior Remodel PERMIT - 201900567 PERMIT NO: 201900567 ISSUED: 04/05/2019 JOB ADDRESS: 7403 W 48th Ave EXPIRES: 04/04/2020 JOB DESCRIPTION: SWO Demo partition walls, add pocket door to divide bedroom to bathroom; install door from living room to bathroom; 500 sq ft total *** CONTACTS *** OWNER (303)250-6081 CASEY FRANCIS *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 500.00 FEES Total Valuation 0.00 Plan Review Fee 17.23 Use Tax 10.50 Permit Fee 26.50 Investigative Fees 26.50 ** TOTAL ** 80.73 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. Consultations and inspections will only be performed with the homeowner of record present. All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. City of Wheat Ridge Homeowner Interior Remodel PERMIT - 201900567 PERMIT NO: 201900567 ISSUED: 04/05/2019 JOB ADDRESS: 7403 W 48th Ave EXPIRES: 04/04/2020 JOB DESCRIPTION: SWO Demo partition walls, add pocket door to divide bedroom to bathroom; install door from living room to bathroom; 500 sq ft total I, by my signature, do hereby attest that the work to be performed shall comply with ali accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be per a hat all �york to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. In �'i j j fifire of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writingand 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 maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a pen -nit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat JR...jge COMMUNITY DEVELOPMENT Building &Inspection Services W,�4,t+ 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits@ci.wheatridge.co.us SWD K (�� FOR OFFICE USE ONLY Date: 11' q Plan/Permit # � � � a Plan Review Fee:, X1-1.2_3 Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Prooerty Owner Property Owner Email: Tenant Name (Commercial Projects Only) t� rA Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer E-mail: Contractor Name: City of Wheat Ridge License #: Phone: Phone: Phone: .50,.3 Contractor E-mail Address: For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Phone: CONTACT EMAIL(p/ease print): Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields, if applicable. ❑COMMERCIAL RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. D'e vo 0 fct7,+" 0,(\ G\')' , -P err T Ck cl Ctj o Poc6zt al� (`1iw�r�; idL��sr Sq. FULF � BTUs Gallons Amps Squares For Solar: Kw # of Panels Requires Structural � r For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTZLORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: r Printed Name: DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Reviewer: BUILDING DEPA NT COMMEN Reviewer: �G/� qi PUBLIC WORKS COMMENTS: Reviewer: --- Building Division Valuation: ionf� City of 5 wheat i e COMMUNITY DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner Project Property Project Type: hG'mude i I 0 c6E TAS k. I I k P&&k e4 � ed signature of Applicant State of Colorado } County of. t.s,r' } ss The foregoing instrument was acknowledged by me this day of gil , 202 by " s � My Commission Expires !y / !g�20�y Notary Public Environmental & Disaster Restoration-, Inc. EGOS Environmental - Aurora, Colorado 3538 Peoria Street Aurora, CO 80010 Office - (303) 442-3267 info@ecosenvironmental.com www.ecosenviromnental.com ASBESTOS INSPECTION REPORT CLIENT: FRANCIS CASEY ADDRESS: 7403 W. 48TH AvE., WHEAT RIDGE, CO 80032 EMAIL: noynaycasey(@cimaii.com PHoNE: 303.230.6081 Ecos JoB NUMBER: B -19 -0181 -AT PROJECT LOCATION: 7403 W. 48m AVE., WHEAT RIDGE, CO 80032 1`'� �1 s'%! q P V� O S Environmental & Disaster Restoration, Inr,. ECOS Environmental & Disaster Restoration (ECOS) was retained to conduct a survey of limited scope at the above location in reference to determining if there is asbestos containing material (ACM) in a temporary dumpster outside of the structure. The inspection was performed in accordance with the Standards of Practice of the Colorado Regulation 8 Part B in effect at the time of this Inspection. This inspection is not intended to be technically exhaustive. The inspection included all building materials in the proposed areas, however, should any additional building materials be discovered during renovation, those materials must be sampled and analyzed prior to continuing with the work. Three (3) samples were collected of all suspect surfacing materials. The Inspector has prepared this written asbestos Inspection Report for the sole use and benefit of the client. The asbestos inspection report shall identify, report, and make recommendations for future evaluation. Client agrees to read the entire asbestos inspection report when received and shall promptly call the inspector with questions or concerns regarding the report. The use of this report and information contained herein by others, in whole or in part, is not authorized without the written mutual consent of the client and ECOS Environmental. This inspection was performed by Colin Mullin, Colorado State Department of Public Health and Environment Certification Number 25268. ECOS collected bulk samples of the homogenous materials in a random and representative manner, as determined by the Inspector. A minimum of one composite core samples that included all layers within the suspect material was obtained from each homogenous area. Samples of soft friable materials were obtained by removing a small portion using wetting techniques. The sampler cleaned equipment following collection of each sample to minimize cross -contamination between samples. The sampler assumed that materials in inaccessible locations were similar to those in accessible locations, in order to limit destruction during the sampling process. All samples were placed in sealed, labeled containers, and the sample descriptions and locations were recorded. Samples were delivered under a chain of custody for analysis to Aerobiology Laboratory in Denver, CO. Samples were analyzed by Polarized Light Microscopy. Performance of this asbestos inspection is intended to reduce, but not eliminate, uncertainty regarding the presence of ACBM in connection with the above referenced property. No guarantee is expressed or implied that all ACBM was identified in the inspection. Therefore, ECOS Environmental cannot be held accountable for restrictions placed on us by the client, conditions or information that remained unknown, or areas that were inaccessible at the time of the inspection. Wheat Ridge 2 Rnitdinp Divison Environmental & Disaster Restoration, Inc. One (1) copy of the results of the building/ structure asbestos survey shall be immediately transmitted by the building/ structure owner as follows: One copy of the completed asbestos survey shall be sent by the owner or their agent to the local government entity charged with issuing a permit for such demolition, renovation, remodeling or repair work under applicable State or, local laws. The completed asbestos survey shall be kept on the construction site with the asbestos notification and variance, if required, throughout the duration of the asbestos project and any associated demolition, renovation, remodeling or repair project ASBESTOS SURVEY INFORMATION The asbestos survey shall, at a minimum, identify and assess with due diligence, the locations, quantities, friability and conditions of all building material types at the affected portion of the building/ structure. The certified asbestos inspector is responsible for identification and assessment of all type within the affected portion of the building/ structure. All building materials visually assessed shall be assumed to be asbestos containing building material (ACBM), unless bulk sampling is conducted as per standard EPA and OSHA accepted methodologies. The subsequent analysis is performed by a laboratory that meets the requirements and the analyses satisfies both CO STATE ELAP and federal requirements, including multi- layered sample analyses, to document non -asbestos containing material. The building/ structure asbestos survey shall also include the building/ structure name, address, the building/ structure owner's name and address, the name and address of the owner's agent, the name of the firm performing the asbestos survey and a copy of the firm's current asbestos handling license, the names of the certified inspector(s) performing the survey and a copy of the current asbestos handling certificate for each inspector utilized, the dates of the asbestos survey, a listing of homogeneous areas identifying which ones are ACBM, all laboratory analysis reports for bulk samples collected, and copies of the appropriate certifications for the laboratory used for analysis of samples taken during the asbestos survey. REMOVAL RFaLuREmLuNT If the building/ structure asbestos survey finds that the portion of the building/ structure to be demolished, renovated, remodeled, or have repair work contains asbestos containing building material (ACBM), which is impacted by the work, the owner or the owner's agent shall conduct, or cause to have conducted, asbestos removal performed by a licensed asbestos abatement contractor in conformance with all standards set forth. All ACBM impacted by the demolition, renovation, remodeling or repair project shall b9Cemft9,dF \ prior to access or disturbance by other uncertified trades or personnel. No demolition,Tvation, remodeling or repair work shall be commenced by any owner or the owners agent 1 tr toWt Ridge egos Environmental & Hisastcr Kestoration, Inc. completion of the asbestos abatement in accordance with the notification requirements. For multi - phased work, the access restriction for uncertified trades or personnel applies to each intermediate portion of the entire project. Upon completion of the intermediate portion of the asbestos project, other trades, or personnel may access that portion of the work site. For demolition projects that are exempt from asbestos survey requirements due to being structurally unsound, the demolition is considered an asbestos project All building/ structure owners and asbestos abatement contractors on a demolition, renovation, remodeling, or repair project shall inform all trades on the work site about the ACBM at the work site. When any construction activity, such as demolition, remodeling, renovation or repair work, reveals suspect ACBM that has not been identified by the asbestos survey, or has not been identified by other inspections as per current OSHA or EPA requirements, all activities shall cease in the area where the suspect ACBM is found. Unassessed suspect miscellaneous ACBM shall be treated and handled as ACBM and assumed to be ACBM, unless proven otherwise by standard EPA and OSHA accepted methods. To document non -asbestos containing material, analysis must be performed by a laboratory that meets the requirements of the DOH; and the analysis satisfies both CO STATE ELAP and federal requirements. An asbestos project is any work that involves the removal, encapsulation, enclosure, repair or disturbance of friable or non -friable asbestos, or any handling of asbestos material that may result in the release of asbestos fibers. For the purpose of compliance an asbestos project shall include any disturbance of asbestos fibers, and the planning, asbestos survey, design, background air sampling, inspection, air sampling and oversight of abatement work, cleanup, and the handling of all asbestos material subject to abatement, as well as the supervising of such activities. An asbestos project starts with Phase I when the planning, asbestos survey, and design work begins or is required to begin. The project shall not be considered completed until Phase 11 D is complete. (See Table 1 below). Phase I (Prior to Asbestos Phase II Abatement Contractor Start -> Abatement -> End A B A B C D Regulated Asbestos Asbestos abatement handling Final survey, Background work area(s) including gross cleaning Final waste planning, air sampling preparation removal or and removal and design and enclosure abatement, initial clearance from site construction cleans, and waste air samples Start -> Asbestos Project ->Final Clearance City of Wheat Ridge Diviso Asmsros RESULTS FLOW CHART No Action Required F.nvironmcntal & Disaster Restoration, Inc. Large asbestos project: An asbestos project involving the removal, disturbance, enclosure, encapsulation, repair or handling of 160 square feet or more of ACBM, or 260 linear feet or more of ACBM. Small asbestos project: An asbestos project involving the removal, encapsulation, enclosure, repair, disturbance or any handling of more than 10 and less than 160 square feet of ACBM or more than 25 and less than 260 linear feet of ACBM. Minor asbestos project: An asbestos project involving the removal, disturbance, repair, encapsulation, enclosure or handling of 10 square feet or less of ACBM or 25 linear feet or less of ACBM. City of Homogenous areas sampling requirement: SF= Square Footage. LF= Linear Footage Wheat Ridge e os Environmental & Disaster Restoration, Inc. HOMOGB OUS MATEML TYPE QUANTITIES MRga-1 Il4l # OF SAMPLES SURFACING MATERIAL 0 TO < 1,000 SF 3 1,000 To 5,000 SF 5 >5,000 SF 7 THERMAL SYSTEM INSULATION EACH MATERIAL 3 PATCH < 6 SF, LF 1 MISCELLANEOUS MATERIALS EACH MATERIAL 2 ASBESTOs REN40 AL CATEGORIES Category I Non -Friable ACBM: NESHAP classification - Asbestos -containing packings, gaskets, resilient floor covering, and asphalt roofing products, containing more than one percent (1 %) asbestos, that when dry, cannot be crumbled, pulverized, or reduced to powder by hand pressure. Category II Non -Friable ACBM: NESHAP classification - Any material, excluding Category I Non - Friable ACM, containing more than one percent (1%) asbestos that, when dry, cannot be crumbled, pulverized, or reduced to powder by hand pressure. Class I Asbestos Work: OSHA term meaning activities involving the abatement of Thermal Systems Insulation ('FSI) and surfacing ACBM and PACM. Class II Asbestos Work: OSHA term meaning activities involving the abatement of ACBM which is not TSI or surfacing material. This includes, but is not limited to, the removal of asbestos -containing wallboard, floor tile and sheeting, roofing and siding shingles, and construction mastics. Class III Asbestos Work: OSHA term meaning Repair and Maintenance operations, where no more than a minor quantity of ACM, including TSI and surfacing ACBM and PACM, is likely to be disturbed. Class IV Asbestos Work: OSHA term meaning Maintenance and Custodial Activities during which employees contact but do not disturb ACBM or PACM and activities to clean up non-ACBM dust, waste and debris resulting from Class I,11 and III activities. City of Wheat Ridge 6 egos Environmental & Disaster Restoration, Inc. Abatement: Procedures to control fiber release from asbestos material. This includes removal, encapsulation, enclosure, repair, and disturbance of friable asbestos or any handling of asbestos material that may result in the release of asbestos fibers. Amosite: An Asbestiform mineral of the amphibole group containing approximately 50% silicon and 40% Iron (II) Oxide, and is made up of straight brittle fibers, light gray to pale brown in color. Amphibole: One of the two major groups of minerals from which the Asbestiform minerals are derived, distinguished by their chain -like crystal structure and chemical composition. Asbestos: A generic name given to a number of naturally occurring hydrated mineral silicates that possess a unique crystalline structure, are incombustible in air, and are separable into fibers. Asbestos includes the asbesti-form varieties of chrysotile (serpentine); crocidolite (riebeckite); amosite (cummington-grunerite); anthophyllite; and actinolite. Asbestos Project: Work undertaken by a contractor which at any time involves arty aspect of the removal, encapsulation, enclosure or disturbance of friable asbestos, or any handling of asbestos material that may result in the release of asbestos fiber, except work in an owner -occupied single- family dwelling performed by the owner of such dwelling. An asbestos project shall include the planning, design, monitoring, inspection, and air sampling of abatement work, as well as the supervising of such activities. Building Owner: The person in whom legal title to the premises is vested unless the premises are held in land trust, in which instance building owner means the person in whom beneficial title is vested. Electron Microscopy: A method of asbestos sample analysis which utilizes an electron beam to differentiate between fibers. Emergency: An unexpected, unanticipated or unforeseen occurrence, including but not limited to, a steam, chemical, gas or water line rupture, a boiler failure, or a building collapse, which poses (a) an imminent danger to the health and safety of the public, the response to which will constitute an asbestos project; or (b) an asbestos- related risk to the health and safety of the public from exposure to asbestos fibers. Friable Asbestos: Any materials that contain asbestos and can be crumbled, pulverized, or reduced to powder by hand pressure. HEPA Filter Vacuum Equipment: Vacuuming equipment with a high efficiency particulate air filtration system. This filter is capable of trapping and retaining 99.97 percent of asbestos fibers greater than 0.3 microns equivalent aerodynamic diameter. Homogenous: Evenly mixed and similar in appearance and texture throughout. NIESHAP: National Emission Standard for Hazardous Air Pollutants city of OSHA: Occupational Safety and Health Administration Wheat Ridge (Ruildina Divison 7 e 0 S Environmental 8. Disaster Restoration, Inc. Operations and Management Plan (OMP): Specific procedures and practices developed for the interim control of asbestos -containing materials in buildings until it is removed. Polarized Light Microscopy (PLM): An optical microscopic technique used to distinguish between different types of asbestos fibers by their shape and unique optical properties. Repair: Corrective action using required work practices to control fiber release from damaged asbestos material. TSI: Thermal Systems Insulation ACBM: Asbestos containing building material Surfacing Material - material that is sprayed on, troweled on, or otherwise applied to surfaces, such as acoustical plaster on ceilings and fireproofing materials on structural members, or other materials on surfaces for acoustical, fireproofing, or other purposes. Thermal System Insulation - material applied to pipes, fittings, boilers, breeching, tanks, ducts, or other interior structural components to prevent heat loss or gain, or water condensation, or for other purposes. Miscellaneous Materials - interior building material on structural components, structural members or fixtures, such as floor and ceiling tiles, and does not include surfacing material or thermal system insulation. City of Wheat Ridge uilding Divisoni 8 e6 os Environmental 2Y Disaster Restoration, Inc. E- ,-'a_ A_: `5 .1.lZ9�N,=,i'*r;.,c'�4�3t t j -p ik��i.si' �s BNS 3 1.F4..'S' I I -CEN CONDITION G= NO VISIBLE DAMAGE D= VISIBLE DAMAGE <10% OVER ENTIRE MATERIAL OR 25% LOCALIZED SD= VISIBLE DAMAGE >10% OVER ENTIRE MATERIAL OR 25% LOCALIZED FRIABLE CATEGORY F= FRIABLE MATERIAL; MATERIALS THAT CAN CRUMBLE OR BE REDUCED TO POWDER BY HAND PRESSURE NFI= CATEGORY I NON -FRIABLE MATERIAL; MATERIALS THAT CANNOT BE CRUMBLED OR REDUCED TO POWDER BY HAND PRESSURE THAT DO NOT INCLUDE CATEGORY I NON -FRIABLE MATERIALS. POTENTIAL FOR DISTURBANCE L= LOW POTENTIAL FOR DAMAGE D= POTENTIAL FOR DAMAGE SD= POTENTIAL FOR SIGNIFICANT DAMAGE ** THESE MATERIALS ARE MADE FRIABLE DURING REMOVAL AND MUST BE HANDLED IN ACCORDANCE WITH COLORADO STATE REGULATION 8, OSHA, AND THE EPA. IF THESE MATERIALS ARE TO BE DISTURBED THEY MUST BE REMOVED BY A CERTIFIED ABATEMENT CONTRACTOR TO PROTECT THE HEALTH OF THE PROPERTY OWNER, THE PUBLIC, AND THE WORKERS. , A ENS R:: W LOCATION%FUNCTIONAL SPACES INCLUDED IN LOCATION V ppo HOMOGENOUS AREA °0 � �, W Material w V O Q o W U R Q' Al Drywall Dumpster N 0 F SD SD 1 10 sq. ft. A2 Drywall Dumpster N 0 F SD SD 1 10 sq. ft. A3 Drywall Dumpster N 0 F SD SD 1 10 sq. ft. CONDITION G= NO VISIBLE DAMAGE D= VISIBLE DAMAGE <10% OVER ENTIRE MATERIAL OR 25% LOCALIZED SD= VISIBLE DAMAGE >10% OVER ENTIRE MATERIAL OR 25% LOCALIZED FRIABLE CATEGORY F= FRIABLE MATERIAL; MATERIALS THAT CAN CRUMBLE OR BE REDUCED TO POWDER BY HAND PRESSURE NFI= CATEGORY I NON -FRIABLE MATERIAL; MATERIALS THAT CANNOT BE CRUMBLED OR REDUCED TO POWDER BY HAND PRESSURE THAT DO NOT INCLUDE CATEGORY I NON -FRIABLE MATERIALS. POTENTIAL FOR DISTURBANCE L= LOW POTENTIAL FOR DAMAGE D= POTENTIAL FOR DAMAGE SD= POTENTIAL FOR SIGNIFICANT DAMAGE ** THESE MATERIALS ARE MADE FRIABLE DURING REMOVAL AND MUST BE HANDLED IN ACCORDANCE WITH COLORADO STATE REGULATION 8, OSHA, AND THE EPA. IF THESE MATERIALS ARE TO BE DISTURBED THEY MUST BE REMOVED BY A CERTIFIED ABATEMENT CONTRACTOR TO PROTECT THE HEALTH OF THE PROPERTY OWNER, THE PUBLIC, AND THE WORKERS. , A ENS R:: W LOCATION%FUNCTIONAL SPACES INCLUDED IN HOMOGENOUS AREA u1 DUMPSTER City of Wheat Ridge 9 e o s Fnvironmental & Disaster Restoration, Inc. Bulk samples were gathered of suspected Asbestos containing building materials (ACBM) in directed regions of concern, being the dumpster outside of the structure. Three (3) samples were collected and relinquished to Aerobiology Laboratories in Golden, CO. No asbestos was detected in any of the bulk samples collected. City of Wheat Ridge uilding Divisors,/ 10 Gy O S Environmental 1x Disaster Restoration. Inc. wilding Divison/11 N � L a j P J - {'s z z z z z e o e o o �rt o zv o 0 v ff z v c y z `� 3 x x x x C m 7 �j 3 Gy O S Environmental 1x Disaster Restoration. Inc. wilding Divison/11 0 • C 0 a e( os Environmental & Disaster Restoration, Inc. • • ie m r m 5 � � r' n c 5 n W d mw „na: F 0 T n 0 N D t=+ `5a xo Z3 0 v zAT n x -C) � �• < � w a Y � c � Q y� � - o o 0 o D n � � a c n o � _a s a - m it E. C 5' C o io i> m • ti 4 o �c^ .G A A w N A �O •O �L• �O N H G S City of Wheat o c .O � �+ v on hyo x * •n tp V PC Q 4-i N •O ��iZS K l. C y a� W bn 'W C o cn in c i cd ILO S Environmental 8� Disaster Restoration, Inc. co ON 0 0 N N 0 0 .A ,a co on �,Nxjeat F,,d9e 4 SOS Environmental & Disaster Restoration, Inc. PHOTOS AND DIAGRAM C;m of Wineat Ridge a e �,� 0 s F.nvironmental ck M -aster Restoration, Inc. City of vVineat Ridge e 0 8 Environmental & Disaster Restoration, Inc. c-Ity Ot Wheat Ridge i CITY OF WHEAT RIDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office . (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: o Job Address: —1 Permit Number: ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: .i 0 Inspector: DO NOT REMOVE THIS NOTICE l� A i CITY OF WHEAT RIDGE Bui ' kg" "Inspectioli' Voision (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 2 1 u m hUck x� Job Address: -74l0 3 /- ,-e Permit Number: 0! S 0 a y © 7 C--1 ❑ No one available for inspection: Time = % 3 AM M Re -Inspection required: Yes (9 When corrections have been made, call for re -inspection at 303-234-5933 S Date: z4 /IR Inspector: ` 11 -� DO NOT REMOVE THIS NOTICE 3 nj City of Wheat Ridge Residential Plumbing PERMIT - 201802407 'f M PERMIT NO: 201802407 ISSUED: 08/30/2018 JOB ADDRESS: 7403 W 48th Ave EXPIRES: 08/30/2019 JOB DESCRIPTION: 3/4 in. water service repair; replace 10 ft of pipe due to leak **REVISION: Updated address; spot repair will be 5 ft; no added valuation *** CONTACTS *** OWNER (720)530-6264 COLEMAN MICHELLE 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 ** 108.50 *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes, 2017 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. Work is subject to field inspections. I, by my signature, d herebyattest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermit. 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. ..�� - 11 i Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying )Tans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3, If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Budding Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of MW heat R dg� COMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29t1 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(a-ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Add to Permit # qV -7 Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 1�e Cf �' Property Owner (please print): Phone: _2J 65 _531n 6 Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Submitting Com ag_ny@ Contact Person: Contractor: _ Pee ( Contractors City License #: Contractor E-mail Address: Phone: Phone: SOD �) 'S Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: Sq. Ft./LF Amps Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) $ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: Y t`C� k "t'��t'� SIGNATURE:% l a,�� DATE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ VJ qj�h 0(0 INSPECTION RECORD Occupancy/Type 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 Sewer Service Concrete Encased Ground (CEG) Mid -Roof Foundation / P.E. Letter uo Not Pour concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Wall Sheathing Sewer Service f Mid -Roof Plumbing uo Not Cover underground or FSeiowiln-Slab Werk Prior Tn Annrnval (1f Tho Akt%wp Rough Inspections Date Inspector Initials ✓ Comments , s Wall Sheathing f 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 t 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. *F 1 or ow voltage permits - Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. "For Inspection Time Window - Please email insptimerequest@Ci.wheatridge.Co.US by 8:00 A.M. the morning of the inspection with the property address in the subject line of the email. Time window is based on the inspector's route. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather 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: MTb Job Address: 7go3 Permit Number: O% 7n % O% ❑ No one available for inspectio ime -53AM/PM Re -Inspection required: Yes No When, corrections have been made, call for re --inspec b a 383 234-5933 Date: f2 f ��' —Inspector:--,,, DO NOT REMOVE MIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201701706 PERMIT NO: 201701706 ISSUED: 06/07/2017 JOB ADDRESS: 7403 W 48th AVE EXPIRES: 06/07/2018 JOB DESCRIPTION: Permit for reroof:; remove all layers roofing, install one layer laminate shingles 6 sq 5/12 & 7 sq of 2/12 pitch total squares 13 *** CONTACTS *** OWNER (720)538-6264 COLEMAN MICHELLE L SUB (303)421-7663 Stephen W. Simpkin 120242 All Around Roofing & Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,800.00 FEES Total Valuation 0.00 Use Tax 79.80 Permit Fee 109.20 ** TOTAL ** 189.00 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding A/2 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturerdems installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer's technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201701706 PERMIT NO: 201701706 ISSUED: 06/07/2017 JOB ADDRESS: 7403 W 48th AVE EXPIRES: 06/07/2018 JOB DESCRIPTION: Permit for reroof:; remove all layers roofing, install one layer shingles 6 sq 5/12 & 7 sq of 2/12 pitch total squares 13 laminate I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermit. I further attest that I am legally authorized to include all entities named within this ocument as parties to the work to be performed and that 1 work to be performed is disclosed in this document and/or its' acco pa ing approved plans and specifications. 1 Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe 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 Off-cial and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. W Signature of Chief Building Official Date REQUESTS NUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of Wheat idge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Request Line: 303-234-5933 Building Permit Application (Complete all highlighted areas) Date: (0 /1j-7 � Plan # Permit # ZZ)1 Z 017 Property Address: ! q 0,3 (bey Zf k kt -,e— Property Owner (please print)_ r`C,h e- l r' 64D It s, Phone: `4, 0 - i3- 0- Mailing Address; (if different than property address) Address: City, State, Zip: Contractor: Contractors City License #: t y,c,, 4- Phone: ;�,V 6 Electrical: Plumbing: Mechanical: City License # City License # City License # Descnatton ofw6 (Fully describe work to be performed - Attach additional sheet if necessary) c/�ol Coriacfi Uafe o allwok: Review Fee (due at time of submittal): c S Pte; % fs""' c' / Squargs /_� BTU's GaNbns/ Amns So Ft_ $ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIMCIE ONE: (OWNER) CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) 1 f 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: w� Job Address: Permit Number: ❑ No one available for inspection: Time A Re -Inspection required: YesNo When corrections have been made, call for re -inspection at 303-234-5933 Date: d ( �� 7 Inspector: J DO NOT REMOVE THIS NOTICE plan Bitilding & Inspection Services Division '150 i M 29"' Ave., tl hest Ridge, CO800:3.^, � Permitw �. µ� Office: 303-235.2855 " lax` 303-237-8929 w Inspection Request brye; 303-234.5933 Property Property Ownor (please print) TU Address;: Lo mm MWNAWAIUL�m; El clricAil. Plumbing: Mechanical, City License 4 City License ity License # 92§2rigfion . . l performed �.Lo L+KSquares 87U's Gallons Amps So Ft,ols;s or rquialions 1)(111V City ol,wim-11 Ridge or 0$0110m or rwrivions nf wkwJ; thatnit iYomsurimm(s ihown and;114q,414111" mu'de arc ocwotc; timt I hive rowl and.%grix to ahiUc bly vill eonditi%miz printed on thi.,t application ond that I assume fill,MIJ wil olsomillutrimi by tile lqul f1wrcr ofany 011fity incluckd 'm 111i'k tillpliIntiot) to list 11101 craity on this Applictition, SII cru rrr City of WE eat c1ge. 8iii1ding & Inspection Services Division 7,500 W 291" Ave- Wheat Ride, CO 80033 Office, 303a235-2855 " Fax. 303-237-892,9 Inspection Request Line: 303-7,34.5933 Building Permit Application (Corriplete all highligriled oreas) Property Address: I City. State, Zip: 0 Date: Plan # Permit # C" antra ctors, City License #t Phono:—.� a Llw� Sub Contractors, Electrical: Plumbing: Mechanical: City License 4 City License # City Licemse # Square$ _ BTU's _ Gallons _ Amps _ Sq Ft, Review fee (due at time of OWNERICONTRACTO)k SIGNATURE Or, UNDERSTANDING AND AGREEMENT I hcrt.+r, ccni6, that ftsuibuck Jit'lancts proposed by this pertnit i1pplicatioil Irc accurst o and do not violate applicublu ortfinanuk'N, rti)Ci m* reyolittims ni'the Ctiv ol'Wharwt Ptidgo or covenanty., cast mentA or restrivions of ord; t1tai ill trictisurcrtlents shown am) Alvptitml� lluttk ate;itcuratv. that J have rtaut .and ngme it;',w ibide, 1ivntl cosiditiont printed tin alis application ant) that I wuire f(Ill Oty o(Whow Ridge co&�s aml ordiminces for wo6 under ring permit 4sued batted on thni I awn the lepil owner or bavu been uutboriwtl 1:8�- the legat o*ner of the ptopony to rtcrRvii the artier bed work And ttin ,jlsv% mithorizett by Ihe legM im'P4;r ktf any oldly inchatc-0 on this application to list 1hol entity on thin npplicatioti. 0P CLE VA4, 101j-')1VrR) a of (011WER1 Dr:FkARTM#NT U$,E ONt-Y' ZONINO COMMENTS: Zoning., kevievw ruSoC WORKS COMMENTS: OCCUPANCYt Reviewer: FAE 0FPARTMENT,,: apprOvtd wt COMMC1146 r. disapproved no review rdViTed 1 04109 VAluationt Citv of COMNAUNrry D[-',VEI,,('.')IIMFNY Date: Plan # Permit# Address: cft y, State, zip: own ~ ~ . . , wr+Earqf City of Wheat Ridge C~[ORP~ Residential Mechanic PERMIT - 071048 PERMIT NO: 071048 ISSiT&D: 09/26/2007 JOB ADDRESS: 7403 W 48TFI AVE EXPIRES: 03/24/2008 DESCRIPTION: INSTALL 90% F[TRNACE W/DUCTING CONTACTS . GC 303/688-4320 DAVID BURKETT 07-0181 BURKETT HVAC, INC. OWNER 720/218-8473 DENISE ANDfiRTON PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION: 0009 BLOCK/LOT#: 0/ FEE SUMMFIRY ESTIMATED PROJECT VALUATION: 2,000.00 FEES Permit Fee 90.10 Total Valuation .00 Use Tax 36.00 TOTAL 126.10 Comments: SUBJECT TO FIELD INSPECTION I hereby certify ehat the eetback dietancee pxopoeed by thie permit application are accuraie, and do not violate applicable ordinancee, rulee or regulations of the City of 77heat Ridge or covenante, eaeementa or ceatrictione of record; that all meaeuremente ehown, and alle atione made are accuraee; that I have read and agzee to abide by all conditiona printed on thie application_¢nd th~a,t' Iee aponeibility for compliance with the wheat Ridge Building Code (I.B.C) and all other applicablly(ieat~cyagy y n~(ee/ work under thie pezmit. Plane aubject to field inspection. 1. Thia permit wae iseued in accordance with the provieione set forth in your application and ia eubject to the lawe of the State of Colorado and to the Zoning Regulatione and Building Codee of wheat Ridge, Colorado or any other applicable ordinancee of the City. . 2. Thia permit ahall expire 180 daye from the ieeue date. Requeete for an exteneion muat be received pzior to expiration date. An exteneion may 6e granted at the diecretion of the Huilding Official. 3. If thie pexmit eupires, a new permit may be acquired for a fee of one-half Che amount normally required, provided no chan9ee have been or will be made in the original plane and epecificatione and any euepeneion or abandonment hae not exceeded one (1) year. If changee have been or if euepeneion or abandonment exceede one (1) Year, full fees etull be paid for a new pezmit. 4. xo work of any manner ehall be done that will change the natural flow of water caueing a draina9e problem. 5. Contrattor shall notify Che Building Inepector twenty-four (29) houre in advance for all inspectiona and ehall receive written approval on Snepection zd before proceeding with eucceeeive phaeea of the job. 5. The iseuance of a pernii o h proval of drawinge and apecificatione ehall not be conatrued to be a permit for, nor an approval of, any v1 f the provieione of the building codee or any other ordinance, law, zule or regulation. All plan review ie eub-. field inepectione. Signature of ChieE BUildfgg Officlal date Yv ' IN3P8CTION RBQIIBST LINB: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWI BUSINESS DAY. ~REgC.e~e~vF F1i1~Rt3Y CQ~ mWmn ~ OplacemMboihrsl(umtoss- (tepNW$IfumaQes tn new OaMtr11Co011- gNback Thermostat requMed lExapt ior "00r4c NO" Gas Mter Heaters - Minimum d.EO EnNW Facbr ENetric V4Eer Heaters - MYdnun d.93 EM►9Y Fodor budm-nm n 0 R-19 CaMA Spwas 0 R-1 89WnlWt we' - N L F- ❑ d 'NO ~ H a U) d 0 Z o u y"or) Z Z~ ~0 M ~ W N W UI O1 N ~ 0 b V oaM ~ a+ N M 1.1. ? Qo-~ ~C' C ~ G U E ~ ❑ m Y U ~ Y M ❑ ❑ r ~o U C ~ N ~ ❑ N ~ a ❑ U N W ❑ .0 0 -3 6 0 Z 6> a ~ N ~ a ~ o Q o I n a a c C ~ w ~ E c 0 U N L]. N C 0 (D ~ w ca U Q > n ~ y Y G V 'y O ~ m ❑ ❑ n ~ ~ ~ a M N M ~ a 0 a C ~ u v E N a > R Z c O N ~ o C y O C O L Z 3 . "~oF'""~Tq, City of Wheat Ridge Building Division oare: ~ " m 7500 W. 29'h Ave., Wheat Ridge, CO 80033 OffiCe: 303-235-2855 " Fax: 303-235-2857 Plan ~o`oRPao o Inspection Line: 303-234-5933 permit Building Permit Application PropertyAddress: '7403 w 4g33i Q,,rE Property Owner (please print): du~-~pA( Phone: '7~-~8L- $Q.'73 Mailing Address: (if different than property address) Address: ?4~3 w (48 ~ l~ A~(r City, State, Zip: Contractor ~VQy~~[l- (.GV{1PCI aK6li 9,#& Al.Fnu,A,w[/CAL Contractor License Phone: I 4sol,p Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Description of work: AcoD toU.~.D Amz i vrz,,dAat. bvla"i lwi -i- Construction Value: 3 i~i , ~l7 /as calculated per fhe Builnq Valuafion Data sheef) Plan Review (due af time o/submittal): $ qo90 vp,-r Sq. Ft./L.Ft added: Squares BTU's (gQtj=Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify Ihat the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations oi 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 antl agree to abide by all conditions printed on this application and ihat I assume full responsibility for compliance with the Wheat Ridge Building Code (LB.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE(OW ) ONTRA ERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: SIGNATURE: ►yqAL t6 !S ja J4.11t.E7T Date: Z~arr,_y ZONING COMMENTS: Zoning: Reviewer PUBLIC WORKS COMMENTS'. Reviewer: DEPARTMENT USE ONLY BUILDING DEPARTMENT COMMENTS: OCCUPANCY-. Reviewer: FIRE DEPARTMENT:: El ePPfOVOd W/ CAfI1fIlEIIfS ❑ disapproved ❑ no review required N ~ F- ~ O d ~•N~ ~ ~.OwQ O apZ p ~a~nZ V_ h ~ O W e ao wc°n'~NV ~ 4~NCo') y,. ? ao~~ ~ c V ~ U E O O i ~ ~l 40 O ❑ m U Y U) M ❑ ❑ v ~ C d) N ~ LJ ❑ = a' a n ❑ N U -`0 N ~ w ~ 0 r M ~ o ~ U a N N ~ O ~ a ~ m o Q o ~ ~ N a y ~ 79 C ~ a ~ ~ I N u o. , m c~i E n p, N y N C C N a tH p ai ~ O A ~ L w C r. y f0 ' ~ a ~ o ~ ~ N d G t 1 ~ O O d Y cr m Z 3 ❑ ❑ 0 • Q . _ I"~~~ ~w. . WHE4T • ~ ~y$ City of Wheat Ridge COLORaO Residential Electric PERMIT - 071002 PERMIT NO: 071002 ISSUED: 09/19/2007 JOB ADDRESS: 7403 W 48TH AVE EXPIRES: 03/17/2008 DESCRIPTION: Service upgrade 150 Amp. CONTACTS owner 720/218-8473 Denise gc 303/429-3800 02-2224 Chaz Electric Inc. PARCEL INFO ZONE CODE: UA . USE: r-3 SUBDIVISION: 0009 BLOCK/LOT#: 0/ FEE SUMMARY . ESTIMATED PROJECT VALUATION: 1,800.00 FEES Permit Fee . 82.16 1 e~c~ Total Valuation .00 ~ Use Tax 32.40 TOTAL 114.56 1 3 i Commenta: Muat comply w/ 2005 NEC & 2003 IRC. I hereby certify that the eetback dietancee propoeed by this pemit application are accurate, and do not violate applicable ordinanc aeu e ehown, and allegatione ma e, ulee or regulatione of the City of wheat Ridge or covenants, easemente or reetrictione of record; that all mede are accurate; that I have read and agree to abide by all conditione printed on thia app ca i n nd that I aeeume f 1 reeponal6iliCy for compliance wi[h the wheat Ridge Huilding Code (I.B.C) and all other ap ic e eat nidge Or e, for work under thie permit. Plane subject eo fleld inapection. 7 • 6 7 a ~ nf rnnerwetor/ovner ddte . 1. Thie pemit wae ieeued in accordance with the provieione eet forth in your application and ie eubject to the lave of the 8tate of Colorado and to the Zoning Regulatione and Building Cbdee of Wheat Aidge, Colorado oz aay other appllcable ordinancee of the City. 2. Thie pemit ehall expire 180 daye from the ieeue date. Requeete for an exteneion muet be receivad pzior to expiration date. An exteneion may be granted at the diecretion of the Huildin9 Official. 3. If thia pemit expiree, a new pemit may be acquired for a fee of one-half the amount nornully required, provided no changee have been or will be mafle in the original plane and epeciEicatione and any euepeneion or abandonmeat hae not exceeded one (1) year. If changee have been or if auepeneion or abandonment exceede one (1) year, full feee ehall be gaid for a new pezmit. 4. No work of any manner ehall be done that will change the natural flow of water causing a drainage problem. 5. Contractor ehall notify the Building Inapector twenty-four (24) houre in advance for all inepections and ehall recelve written approval on inepection card before proceeding with eucceeeive phaeee of the job. 6. The ieeuance of a pemit or the apprwal of drawinge and epeclEicatione ehall not be conetrved to be a pemit for, nor an approval oP lolation of the prwieione of the building codee or any other ordinance, law, rvle or regulation. All plan y%I.Yubject to field inepectiona. Official date INSPSCT~ON R84UEST LINBx (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number. of W"E°r ~ BUILDING INSPECTION LINE - 303-234-5933 Date: ~ o CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 -(303-235-2855) PLAN # ~~L ORAO~ . MINQR APPLI4A# ik l/.f [ . Property Owner: 4h i c o PropertyAddress: 7 y03 w. yp~ Phone: 7 ' ~~r,14'V73 Conhactor License No.: Company: l~ Z ie- .1-VIG, Phone: 3. 9q 9.Ss"'-o OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT ~ Buildina Dent. Valuation Figure: $ 02 I hereby certify that the setback distances proposed by this permit application are accurete, and do nol violate applicable ordinances, rules or regulafions of the City of Wheat Ridge or covenants, easements or restrictions of record; thatall measuremenis shown, and aflegations made are accurate; that I have read and agree lo abide by all conditions printed on lhis application and that I assume (ull responsibilily for compliance with the Wheat Ridge B ilding Code (I.B.C) and all ofherapplicatile Wheat Ridge Ordinances, for work uryGe] ffiis permit Plan~,subject to fieid inspection. (0 W NERT(GONTRACTOR)'. Q Use of Space (description):_ Description of work: ser u.'c¢ Sq. Ft. added COMMENTS: Approval: Zoning: COMMENTS: Approval: WORKS COMMENTS: Approval: DEPARTMENT COMMENTS: Approval: Ir. Value:$ Permit Fee:$ Plan Review Fee:$ Use Tax:$ Total:$ A_ . lSo Ati-ps 17,01r,c/ BUILDING DEPARTMENT USE ONLY SIC: Walls: Roof: Stories: Residential Units: Electrical License No: Company: Plumbing License No: Company: Mechanical License No: Company: Expiration Date: Expiration Date: Expiration Date: ApprovaL ApprovaC ApprovaC (1) This permit was issued in accordance with the provisions set forth in your applirafion and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall ezpire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 180 days . (3) If this permit expires, a new permit may be acquired for a tee of one-half the amount normally requiretl, provided no changes have been orwill be made in the originai plans and specifications and anysuspension orabandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done that will change the natural Flow of water causing a drainage problem. (5) Contractor shall notify the Buiiding Inspector twenty-four (24) hours in advance for all inspections and shall.receive written approval on inspecfion card before proceeding with successive phases of lhejob. . (6) The issuance of a permit or the approval of drawings and specifications shall not be wnstrued to be a permit for, noran approval of, any violation of the provisions of the building codes or any other ordinance, Iaw, rule or regulation. All plan review is subjed to field inspections. Chief Building