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Home My WebLink About6725 W. 45th Avenue� ► � i City of Wheat Ridge Homeowner Interior Remodel PERMIT - 202002245 PERMIT NO: 202002245 ISSUED: 12/07/2020 JOB ADDRESS: 6725 W 45th Ave EXPIRES: 12/07/2021 JOB DESCRIPTION: Remove living space constructed by previous owner back into garage use - 332.8 sq ft total *** CONTACTS *** OWNER (805)558-6817 WHETSTONE ELIZABETH *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 21000.00 FEES Total Valuation 0.00 Plan Review Fee 50.38 Use Tax 42.00 Permit Fee 77.50 ** TOTAL ** 169.88 *** COMMENTS *** *** CONDITIONS *** A printed copy of the permit and city stamped on-site plans must be available on-site for the first inspection. 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. All roughs to be done at Framing Inspection. 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. 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Homeowner Interior Remodel PERMIT - 202002245 202002245 ISSUED: 12/07/2020 6725 W 45th Ave EXPIRES: 12/07/2021 Remove living space constructed by previous owner back into garage use - 332.8 sq ft total I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Frohn Submittal: Residential Interior Remodel Date: Thursday, October 29, 2020 12:38:54 PM Residential Interior Remodel This application is exclusively for Residential Interior Remodels and other scopes of work which do not have a specific form already available. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Property Address 6725 W 45th Ave, Wheat Ridge CO 80033 Property Owner Name Eilzabeth Whetstone Property Owner Phone 805-558-6817 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email ewhetstone25@gmail.com Address Attach City of Wheat Electronic Payment Form Whetstone.odf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" APPLICANT INFORMATION Applicant Name Elizabeth Whetstone What is your role in the Property Owner project? Are you performing the Yes work yourself, live in the home and will be living in the home 1 year after completion? Attach Notarized notarized homeowner form.odf Homeowner Authorization Form Contact Phone Number 805-558-6817 (enter WITH dashes, eg 303-123-4567) Contact Email Address ewhetstone25@gmail.com for Plan Review Comments Retype Contractor ewhetstone25@gmail.com Email Address DESCRIPTION OF WORK Detailed Scope of This permit pertains to work to be completed in the interior of the Work - In the space detached garage at 6725 W 45th Ave, Wheat Ridge, CO 80033. below (not as an I, as the homeowner, plan to remove the existing framing of walls attachment), Provide a that were added by the previous owner. Roughly, that would be detailed description of removal of 45.6 feet of framing (perimeter -wise). This includes work including the framing that was supposed to be a closet (as told by the mechanical, electrical, previous owner). I also plan to unseal the garage door, and plumbing work replace the tracks so I can open the garage door normally. The previous owner left a garage door opener and I plan to hire a occurring, garage subcontractor and will file the correct permit update once adding/removing walls, I have hired a garage subcontractor. I also plan to remove the etc drywall ceiling that currently outlines the largest "room" in the garage, and remove its light fixture mount box as well The drywall ceiling is held up by the room framing and is 102" above the garage floor. I plan to keep the back framing of the "rooms" in the back of the garage, which includes laundry hookups, the shower floor, and the toilet drain. The plumbing is currently connected to the main sewer line which was replaced earlier this year (permit #202002015). There is no toilet or any other functioning water supply line to the detached garage. The "plummed" toilet will remain and the PVC pipe that connects from the garage to the main sewer will remain. The electric mount boxes do not have functioning wire in them, and I plan to remove 6 outlet mount boxes that were added by the previous owner, they currently sit in the framing. I plan to keep the two windows that measure 36'x36", there is one on each side of the garage. There is currently a hanging light fixture on the west side of the garage that is not functioning, and I plan to keep that and update the permit once I hire a licensed electrician to make the lights work. The light fixture hangs 7 feet above the garage floor. I also plan to keep the drywall on the east side of the garage, it is I, the applicant, understand my application will be rejected if I do not include a Detailed Scope of Work. Ili .i . STiTtem Square Footage Area of Work Being Performed insulated and has been tested for asbestos. Functioning laundry hookups will be for future use, as well as the toilet and shower plumbing. I will file the correct permits once I know what outlets to I need to make function and once I can afford to make the laundry hookups and bathroom function, and will provide a Wheat Ridge licensed subcontractor for both electrical and plumbing. I have entered a detailed scope of work. detached garage 332.8 square feet (that is the entire footprint of the detached garage) Asbestos Report 1020-37 Hernandez, Omar Environmental Report - Asbestos Renovation.pd Upload letter size letter and deed pdf documents here Construction Plans scanned on 11'x17" or larger Project Value (contract $2,000 value or cost of ALL $2,000 OK for materials and labor) removal ONLY. 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 Elizabeth whetstone Permit I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Email not displaying correctly? View it in your browser. City Of W heat j�idge 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 must be in individuals' name, not a company. Property Owner(s): 6 -Iii �&eA, 1W16-tSID e Project Property: 6 Project Type: S- W. ys^ , signature of Applicant State of Colorado } County of S'-�, r ' — } ss WWII C7 80033 The foregoing instrument was acknowledged by me this �� day of Ayo ✓ 20'� by 24f6-' Ir 4/Wh L'K ren' DENNIS A. BARNES III NOTARY PUBLIC STATE OF COLORADO NOTARY ID 19964018635 MY COMMISSION EXPIRES 1012412024 My Commission Expires /2C Notary Public W Property Information Omar Hernandez 6725 W 45th Ave Wheat Ridge CO 80033 Property Type Residential Date of Construction 1951 PH 303-947-8204 Prepared By EnvioCore LLC Asbestos Consulting Firm No. 21660 1685 S. Colorado Blvd Denver, CO 80124 303-GoEnvio (463) 6846 www.aoEnvioCore.com info@aoenviocore.com Conducted By John Peralta Asbestos Building Inspector Cert. No. 24339 Inspection Information Inspection Date 10-19-2020 Arrival Time 11:30 AM Report Date 10-20-2020 Inspection # 1020-37 Hernandez,Omar Protocols Followed Asbestos Lab Information Limited Residential Asbestos Renovation Inspection Report 6725 W 45th Ave AHERA envi,�Core ENVIRONMENTAINSPECTIONS CEI Labs 730 SE Maynard Road Carly, NC 919-481-1413 Asbestos NVLAP Cert # 107168-0 envkCore PAGE 1 OF 16 ENviao Nrn ENrn� iNsaE Brio Ns No ACM Found -RS City of Wheat Ridge Building Division Table of Contents Definitions.................................................................................................................................................... 3 KeyTerms.................................................................................................................................................... 3 LimitedInspection Summary .....................................................................................................................4 General................................................................................................................................................................ 4 Asbestos............................................................................................................................................................... 4 Purpose and Scope of Inspection.............................................................................................................4 General................................................................................................................................................................ 4 Asbestos............................................................................................................................................................... 4 Background................................................................................................................................................5 Sampling.....................................................................................................................................................5 AsbestosResults Reporting........................................................................................................................6 Asbestos Inspection Conclusion...............................................................................................................6 Closing......................................................................................................................................................... 7 InspectionPhotos.......................................................................................................................................8 LabResults...................................................................................................................................................9 InspectionCertifications..........................................................................................................................15 envkCore PAGE 2 OF 16 srvviao NrnsNrn� iNsaE Brio Ns City of Wheat Ridge Building Division Definitions 1. The term "Certified Inspector" shall mean individual who is identified on the first page of this Limited Inspection Report as conducting the Inspection. 2. The term "Client" shall mean the entity that has ordered the Limited Inspection on the Property on behalf of the Client. 3. The term "Limited Inspection Report" shall mean this report, which summarizes the Inspection, as applicable to the Property. 4. The term "Owner" shall mean the owner of the Property. 5. The term "Property" shall mean the building(s) or structure(s) at the address listed under Property Information on the first page of this Limited Inspection Report. 6. The terms "Work Activity" shall mean any construction, renovation, remediation, decontamination, cleanup, or other work. Key Terms Asbestos 1. Asbestos is a naturally occuring mineral. Asbestiform varieties include chrysotile, amosite, crocidolite, anthophyllite, tremolite and actinolite. 2. Asbestos abatement is the wrecking or removal of builiding materails that contain friable and non -friable asbestos fibers. 3. Asbestos abatement contractor is any person hired to conduct asbestos abatement. 4. Friable material can be crumbled, pulverized, or rendered to powder by hand pressure when dry. 5. A homogenous area is an area of surfacing material, thermal system insulation material, or miscellaneous material this is uniform in color, texture, construction, application date, and general appearance. 6. Miscellaneous material is 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. 7. Non -friable material cannot be crumbled, pulverized, or reduced to powder by hand pressure when dry. 8. Point counting is a secondary analytical technique to verify the presences of asbestos in samples with 10% or lower asbestos. 9. Surfacing material is sprayed, troweled, or otherwise applied on surfaces, such as acoustical plaster on celilings and fireproofing materials on structural members, or other materials on surfaces for acoustical, fireproofing, or other purposes. 10. Thermal system insulation (TSI) is material tha tis applied to pipes, fittings, boilers, breeching, tanks, ducts, or other interior structural components to prevent heat loss, heat gain, or water condesation, or for other purposes. 11. The terms "Asbestos Containing Material' or "ACM" shall mean surfacing, thermal system insulation, or miscellaneous materials that contain I% or more of asbestos. 12. The terms "Asbestos Containing Building Material' or "ACBM" shall mean Asbestos Containnig Materials that has been used for construction or improvement of a building or other structure. City of Wheat Ridge envi PAGE 3 OF 16 Core Building Division ENVIRONMENTAL INSPEETIONs 13. The term "Certified Asbestos Consulting Firm" shall mean any person licensed with the State of Colorado and the EPA, hired for a fee to conduct any of the folowing activities, as required by Regulation No. 8, Part B, in the State of Colorado: asbetos builidng inspection and bulk sampling; development of asbestos management plans; air monitoring for asbestos fibers; development of asbestos project designs; and , project management, as specified in Section II.J. 14. The term "Certified Asbestos Laboratory" shall mean a laboratory with accreditation from the National Voluntary Laboratory Accreditaion Program (NVLAP) to analyze bulk samples for asbestos using polarized light microscopy (PLM). 15. The terms "Damaged ACM" and "Significantly Damaged ACM" shall mean friable or non -friable ACM that has deteriorated or delaminated to the point that it has lost its bond to the substratre or has otherwise suffered crumbling, blistering, nonadhesiveness, gouging, water staining, or marring. The term "Damaged ACM" applies when 1 /10 of the entire surface has suffer damage (1 /4 if the damage is localized). The terms "Significantly Damaged ACM" shall apply when more than 1 /10 of the surface has suffered damage. 16. The term "Limited Asbestos Inspection" shall mean an abbreviated inspection by the Inspector of the components of the Property that may be subject to Work Activity. The Inspection shall investigate the presence of ACBM and shall comply with all state and federal laws, rules, and regulations. Limited Inspection Summary General The Client agrees to read the Limited Inspection Report upon receipt and promptly call the Inspector with questions or concerns. This Limited Inspection Report is not intended to be exhaustive in the manner of inspecting the Property and all of its building materials and components. The Inspector only inspected specific areas that may be subject to Work Activity and that are visually and physically accessible. The Limited Inspection was not a risk assessment or physical inspection of systems, structure, or components of the Property. The use of this Limited Report and its contents, in whole or in part by persons or entities other than the Client is not authorized without the written mutual consent of the Client and envioCore LLC. Asbestos The Limited Inspection Report documents the findings of a Limited Asbestos Inspection at the Property. The Limited Asbestos Inspection intended to locate ACBM in areas that might be the subject of Work Activity. The Certified Inspector performed the Limited Asbestos Inspection in accordance with the current state and federal laws at the time of inspection. Purpose and Scope of Inspection General The scope of this report included a visual inspection of all affected rooms and/or areas throughout the subject property for visible suspect ACBM and/or Lead Based Paint. This does not include any materials that were covered or hidden by walls, structures, carpeting, wood flooring, multiple layers, wallpaper, texturing, etc. However, the Certified Inspector made every reasonable effort to access and identify all suspect ACM and/or Lead Based Paint. If the scope of work changes, the Client must inform the Certified Inspector to allow the Certified Inspector to supplement the Limited Inspection Report. This Limited Inspection Report is solely a record of activities, observations, analytical results, and recommendations performed to date. Asbestos Bulk asbestos samples were randomly collected from homogenous areas of suspect ACM by the Certified Inspector. If the color, texture, construction, application date, or general appearance differs between materials or if for any reason the Certified Inspector suspects that the materials might differ in any respaq,of the Certified Inspector will take separate samples from each homogenous area. The Certified Inspector took Wheat Ridge envkCore PAGE 4 OF 16 Building Division srvviao NrnsNrn� iNsaE Brio Ns representative bulk samples were similar materials, but this does not guarantee that materials of similar appearance are of the same composition. Even similar materials are subject to uneven mixing and distribution, and random sampling can miss ACM. EnvioCore used reasonable diligence and its professional judgment consistent with industry standards in order to identify all suspect ACBM. Bulk samples were analyzed by Certified Asbestos Laboratory. Background The inspector was called to the subject property by Omar Hernandez Buyers Agent. Mr. Hernandez was concerned about asbestos containing building materials in the affected areas of the building. Per Mr. Hernandez, suspect asbestos containing building materials to be disturbed in the scope of work include: The affected materials sampled: - Drywall The affected areas include: Garage Carriage House The Certified Inspector and the Client understand and agree that the Limited Asbestos Inspection shall include only the above -referenced potentially affected areas. If the Work Activity later includes other areas or materials that may contain ACBM, the Client understands that the Certified Inspector will only perform a Limited Asbestos Inspection of these areas upon a subsequent engagement. Sampling Using methods that are generally accepted in the industry, the Certified Inspector determined that it was necessary to collect 3 bulk samples from the various homogenous areas (see the Asbestos Sampling below for exact areas). All samples were submitted to Certified Asbestos Laboratory. The laboratory results are incorporated into this report. Neither envioCore, LLC nor the Certified Inspector warrants the accuracy of any laboratory results. The Client and any other parties hereby agree that envioCore, LLC and the Certified Inspector shall not be liable in any manner for erroneous laboratory results or other errors with the laboratory testing process. See Data Table (Table 1) Below for Tabulated Results along with Attached Photos (Figure 1. etc.) City of Wheat Ridge Building Division envkCore PAGE 5 OF 16 .N11..NrnsNrn� iNsaE Brio Ns Asbestos Results Reporting Table 1: Table of asbestos samples taken during inspection with lab results. ND = Non Defected, (Asbestos Materials Could become Friable during Renovation / Demolition. If this occurs the .nobility can change from Non -Friable to Friable and all state and federal regulation shall be followed) Wall "A" in each room is the wall where the front entrance door opening is located (or aligned with the street). Going clockwise and facing wall "A" (the street), wall "B" will always be to your right, wall "C" directly to the rear and wall "D" to the left. Doors, windows and closets are designated as left, center or right depending on their location on the wall. Asbestos Inspection Conclusion Asbestos containing building materials WERE NOT found in the samples analyzed by the laboratory. The affected building materials DO NOT need to be removed according to Regulation 8 of CDPHE Regulation if any renovation or disturbing of the materials occur. Caution should still be taken and OSHA Regulation could still be in effect for the renovation or disturbing of the tested materials. Personal protective equipment and all state and federal regulations should be used during any removal of sampled building materials by all parties. City of Wheat Ridge envkCore PAGE 6 OF 16 Building Division srvviao NrnsNrn� iNsaE Brio Ns Closing EnvioCore assumes no liability for any loss, injury, claim or damages arising directly or indirectly from any use or reliance on this report or the opinions expressed herein. EnvioCore makes no risk assessment, warranty, guarantee or insurance policies of any kind, express or implied. This report is limited only to the samples taken and locations sampled. There are no risk assessments, warranties, guarantees, or insurance available or provided by EnvioCore. Additional sampling may be needed to further identify other pollutants, or other mold/fungus affected areas inside the subject property. This report was prepared pursuant to the contract EnvioCore has with the client. That contractual relationship included an exchange of information about the subject property that was unique and between EnvioCore and its client and serves as the basis upon which this report was prepared. Because of the importance of the communication between EnvioCore and its client, reliance or any use of this report by anyone other than the client, for whom it was prepared, is prohibited and therefore not foreseeable to EnvioCore. No warranty is made. EnvioCore's liability and that of contractors and subcontractors arising from any service rendered here under shall not exceed the total fee paid by the client to EnvioCore. Thank you for the opportunity to work with you on this project. Please call at (303) GoEnvio (463) 6846 with any questions or concerns. Thank you. Sincerely, John Peralta Certified Inspector EnvioCore LLC, Environmental Consulting Asbestos Building Inspector Cert. No. 24339 City of Wheat Ridge envkCore PAGE 7 OF 16 Building Division .N11..NrnsNrn� iNsaE Brio Ns Inspection Photos Figure 1 - Sample location Address Figure 2- Overview of Garage Carriage House Figure 3 -Sample location #1 Figure 5 -Sample location #3 Figure 4 -Sample location #2 City of Wheat Ridge envkCore PAGE 8 OF 16 Building Division srvviao NrnsNrn� iNsaE Brio Ns Lab Results * eurofins October 20, 2020 EnvioCore 1685 S. Colorado Blvd_ Ste. S151 Denver. CO 80222 CLIENT PROJECT: 1020-37 6725 W 45th Ave CEI LAB CODE: B208828 Dear Customer: Enclosed are asbestos analysis results for PLM Bulk samples received at our laboratory on October 20, 2020. The samples were analyzed for asbestos using polarizing light microscopy (PLM) per the EPA 600 Method. Sample results containing a1% asbestos are considered asbestos -containing materials (ACMs) per EPA regulatory requirements. The detection limit for the EPA 600 Method is <1% asbestos by weight as determined by visual estimation_ Thank you for your business and we look forward to continuing good relations. Kind Regards, Tianbao Bai, Ph.D_, CIH Laboratory Director lHG NVLA�� TESI 730 SE Maynard Road • Cary, NC 27511 • 919.481.1413 City of Wheat Ridge Building Division env) Core PAGE 9 OF 16 til eurofins CEI ASBESTOS ANALYTICAL REPORT By: Polarized Light Microscopy Prepared for EnvioC CLIENT PROJECT: 1020-37 6725 W 45th Ave LAB CODE: B208828 TEST METHOD: EPA 600 1 R93 1 116 and EPA 600 1 L14-82 1 020 REPORT DATE 10/20/20 TOTAL SAMPLES ANALYZED: 3 ft SAMPLES >11% ASBESTOS: City of Wheat Ridge Building Division env) Core PAGE 10 OF 16 tiff eurofins CEI PROJECT: 1020-37 6725 W 45th Ave Asbestos Report Summary By: POLARIZING LIGHT MICROSCOPY METHOD: EPA 600 I R93 7 116 and EPA 6001 M4-821020 LAB CODE: 8208828 ASBESTOS Client 10 Layer Lah 10 CDIDF Sample Description X 64254D1-01 8137557 White Drywall None Detected 64254D1-02 8137558 White Drywall None Detected 64254D1-03 8137568 White Drywall None Detected Page 1 of 1 City of Wheat Ridge env) Core PAGE 11 OF 16 Building Division tiff eurofins CEI ASBESTOS BULK ANALYSIS By. POLARIZING LIGHT MICROSCOPY Client: EnvioCore Lab Code: B208828 1685 S. Colorado Blvd. Ste- 5151 Date Received: 10-20-20 Denver. CO 80222 Date Analyzed: 10-20-20 nate Reported: 10-20.20 Project: 1020-37 6725 W 45th Ave ASBESTOS BULK PLM. EPA 600 METHOD Client lD l LablD Lab Description Lab Attributes NON -ASBESTOS COMPONENTS Fibrous Non -Fibrous ASBESTOS % 64254D1-01 Drywall Homogeneous 10': Cellulose 90ie Gyps.., None Detected 8137557 White 0% Fiberglass 64254D1-03 Drywall Fibrous Board ICIN Cellulose 9D% GyW" None Detected 64254D1-02 Drywall Hortugerie us ION Cellulose 90% Gypwm None Detected 8137558 While <1% Fiberglass Fibrous Bound 64254D1-03 Drywall Honxlgeneous ICIN Cellulose 9D% GyW" None Detected 8137559 While -1% Fiberglass Fibrous Bound Page 1 of 2 env) Core PAGE 12 OF 16 City of Wheat Ridge Building Division tiff eurofins CEI LEGEND: Non-Anth = Non-Asbestiform Anthophyllite Non -Tram = Non-Asbestiform Tremolite Calc Carb = Calcium Carbonate METHOD: EPA 600 / R93 / 116 and EPA 6001 M4-821020 REPORTING LIMIT: <1% by visual estimation REPORTING LIMIT FOR POINT COUNTS: 025% by 400 Points or 0.1% by 1.000 Points REGULATORY LIMIT: >1% by weight Due to the limitations of the EPA 600 method, nonfriable organically bound materials (NOBs) such as vinyl floor tiles can be difficult to analyze via polarized light microscopy (PLM). EPA recommends that all NOBs analyzed by PLM, and found not to contain asbestos, be further analyzed by Transmission Electron Microscopy (TEM). Please note that PLM analysis of dust and soil samples for asbestos is not covered under NVLAP accreditation. Estimated measurement of uncertainty is available on request This report relates only to the samples tested or analyzed and may not be reproduced. except in full, without written approval by Eurohns CEI. Eurofins CEI makes no warranty representation regarding the accuracy of client submitted information in preparing and presenting analytical results. Interpretation of the analytical results is the sole responsibility of the client. Samples were received in acceptable condition unless otherwise noted. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the US. Government Information provided by customer includes customer sample ID and sample description. ANALYST: APPROVED BY: /-1--' GF89 R Tranbao Bei. Ph.D., CIH Laboratory Director NYLA,n rluc u> 1. Page 2 of 2 City of Wheat Ridge envi Core PAGE 13 OF 16 Building Division CEff awwn eir. a urrr rooq �... `3aoss-;2� 313-755-7- 13 1 3 -75-15- C) Add to Po (;to 6 ; cb a � '= S4u4 CSC. City of Wheat Ridge env)Core PAGE 14 OF 16 Building Division Inspection Certifications -tv(':o Y 14�n a IB7�� Colorado Dcp3nmcnt of Public I Will and Fmv mnment ASBESTOS CONSULTING FIRM This certifies that EnvinCure, LLC Reghlralion No.: ACh • 11660 has met the rcgistration requirements of 25-1501, C.R.S. and the Air Quality Control Commission Regulation No. R. 1111d 11, and is hereby aunt orired to perfomt asbestos consulting activities as required under l4gulation No R, I'm B. in the state of Colorado. Issued. February 14,:020 Expires: February 14, 2021 Autlw AM) N-1 1 at - "in - hw 9AI City of Wheat Ridge Building Division env) Core PAGE 15 OF 16 ON SITE PLANS �e ed LSQre�r rp�l (7�4 a� aaa� MUST BE ON SITE FOR INSPECTION }� ALL Protects are Suhtect to Field Inspections W CO °Uv033 COrz,,G/7iDrS rt e plcus 0 -IV e°&-ic L, OF 2kcis-NV--1 1nr-60V^1�c�wl J 51 wz con [ 4c-��7tie n� i to e �� h pru�z �iGUi iS /�lcrhne�tC7�itice� vr4i Com GC110� �� -�I�snr�S u-( �/ h2 Y? /CaL �r o�Gl `/ /c-�2%✓ °� //�UiIG J Y %3fC� a�tir�c 90 �Grror dram � tN�l �zyry S� l i O/t5�� Vic( �?0 °dopy � rX fK cwt✓ ( < --i �j�� `ui I= IGO ., ftg- 10 X ,Oe 1 OIX, vi OW lop rr 3 �rv-0w7 F/go 0 r� mo �� P -d x ALL WORK SHALL COMPLY WIT • 2018 INTERNATIONAL RESID N IAL CODE • 2020 NATIONAL ELECTRICAL CC DE • COLORADO PLUMBING COD cv_ Jr City or •Y /�1 QOM W hc3 Rxd APPROVED Reviewed for Code Comoliance Randy Slusser 11/23/2020 Plans Examiner Date VMtlMoI oermX: A[irvmmeo/apemxtwggvamlafpNmmx J�mbM ardmmnwar�wu.rwxrrmae nynmrhi amaowawral. an mrwon m onrWnr a.owsau gmeeumMy mdse e/opcMyaramxm. yprmns {vmurmip mgM ou4Ywlty to WbmmmritellMpmmmt aJIM ftm v mdmmomrrmd9rmmmu/W ofy~wtWr 0 /(42 r 3 0 r__ Erna rrt lav ( h b f X f�r✓�lr�fe/p(0 nd�" �ttNUh J r CO 0,ev /12( u7 Ride CO gao33 Cc�rrl%fi7-� 7 7,e S=- �J/e�vJS ltd? e F,Uh,�t7 %r�vr 2 / 112J LvGI/ I �inw w� � %J �✓ /cc vine �/ 710 ant e bizq��r u )U! r�ezaL_Aj T7•Ce i deer ,� cA �� e fc wiz `y /'l oUtcu/vs int f x 20 vP 111 v � ry V/i , i7oo � — 1�oos lIk wc, V�Vjt 5 0`'c I-er"?u-e �s � owfe�- M YGmS -� FF FRoly 6F (ya. -ate x = rern0re- V/, /P-eIf/0 AV \fj i IN City of Wheat Ridge Building Division CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type:c 3<-cr,4,- JobAddress: Permit Number: U No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http://Www.ci.wheatridge.co.usfinspection Date:— 0 <' Zc) —Inspector: DO NOT REMOVE THIS NOTICE o Cl) c}&] N CD C- 0 CD 75 CD (D 0 0 t z > o a CL < 41 I/ CD (D (D r I CD — CL C11 CD W-, CD r,) 2n §k 0 0 0 M al > )}§ CD o (D C) 0 m L / \� * D o o \ \» ER / @ CD{ ( \ 0 - . Cl) ( \ / 2 !f CD : _[ / . / _ / \ } \ \ d » \ � 2C-/ }&0 z�E crƒ'< (q# 2 cnm 0 F5 z 0 ./ m City of Wheat Ridge E -Res. Sewer/Waterline Repair PERMIT - 202002015 PERMIT NO: 202002015 ISSUED: 10/08/2020 JOB ADDRESS: 6725 W 45th Ave EXPIRES: 10/08/2021 JOB DESCRIPTION: Installing 60 ft sewer line in front yard with a set of dual clean outs. *** CONTACTS *** OWNER (720)233-3519 CARDENAS DANIEL JR SUB VERONICA BARAY 190327 PUEBLO DRAIN & EXCAVATION *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,000.00 FEES Total Valuation 0.00 Use Tax 189.00 Permit Fee 188.45 ** TOTAL ** 377.45 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. � t City of Wheat Ridge `X E -Res. Sewer/Waterline Repair PERMIT - 202002015 PERMIT NO: 202002015 ISSUED: 10/08/2020 JOB ADDRESS: 6725 W 45th Ave EXPIRES: 10/08/2021 JOB DESCRIPTION: Installing 60 ft sewer line in front yard with a set of dual clean outs. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new pen -nit 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 in, and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. TbeNuance or gr g of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any abl code or 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. Dina Kemp From: no-reply@ci.wheatridge.co.us Sent: Wednesday, October 7, 2020 2:15 PM To: CommDev Permits Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application Categories: Dina Sewer or Water Line Repair Permit Application This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD 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. Right of Way permits must be applied for with the Public Works Department. Is this application for Yes sewer line or water line repair - in yard only? PROPERTY INFORMATION Is this Residential or Commercial? Property Address Property Owner Name 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** Residential 6725 W 45th Ave Daniel Cardenas 720-233-3519 PUEBLODRAIN@HOTMAIL.COM electronic payment form.pdf CONTRACTOR INFORMATION Contractor Business Pueblo Drain & Excavation, LLP Name I Contractor's License 190327 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-998-2980 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address pueblodrain@hotmail.com Retype Contractor Email pueblodrain@hotmail.com Address DESCRIPTION OF WORK Is this a sewer line or Sewer Line water line repair? Length of repair 60ft Location of repair front yard (backyard, frontyard, etc) Provide additional details set of dual cleanouts will be installed including installation of clean -outs. f Project Value (contract 3000 value or cost of ALL q00b 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. 2 I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Veronica Baray Permit Email not displaying correctly? View it in your browser. ♦ i CITY OF WHEAT RIDGE f Building Inspection Division r (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE r Inspection Type: F�rvL Qcal= rs <l�ct Job Address: —_�7� av 'fSrbf /�rJE Permit Number: i�702 I ❑ No one available for inspection: Time sL: oS 0w PM Re - inspection required: ` Yes o When corrections have been made, call for re inspection at 303 - 234 - 5933 Date: Sh.<1 Inspecto DO NOT REMOVE THIS NOTICE 41 CITY OF WHEAT RIDGE o Building Inspection Division 1 (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: 7ec> 7 '—° Job Address: ex f C e Permit Number: Ao ca 716_2.. 1 G o� u tr / /, i 6 ❑ No one available for inspection: Time "S AM /PM Re- Inspection required; s> No *When corrections have been made, call for re inspection at 303 - 2345933 Dater ) Inspector: I O NOT REMOVE THIS NOTICE i yI~City of y y cat KiC~e Date: COMMUNITY DEVELOPMENT Plan # Building & Inspection Services Division Pennit# 7500 W. 29th Ave., Wheat Ridge, CO 80033 t Office: 303-235-2855 " Fax: 303-237-8929 Inspection Line: 303-234-5933 Building Permit Application Property Address; W 145111. &1,_ Property Owner (please print): Q~ L~ b pliliq n~ Phone: Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: , eM Contractors Citv License t_lecmcar. Plumbing: City License # City License # bes"crtppptlon of wAr Phone: Mechanical: City License # Contra kct Value• $ y4irb Review Fee (due at time of submiN»II: Squares 3,Z- BTU's Gallons _ Amps Sq 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. CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) - T PRINT NAME: ` SIGNATURE: DATE: t~ 111 epprovetl w/ comrrteots, ❑,disapproued L7 ho review requld Bidg valuation: $ . OFWHEqTq City of Wheat Ridge °OL oRpa° Residential Electric PERMIT - 070950 PERMIT N0: 070950 ISSUED: 09/06/2007 JOB ADDRESS: 6725 W 45TH AVE EXPIRES: 03/04/2008 DESCRIPTION: 200 amp service change + various outlets/lighting CONTACTS gc 720/217-7734 Zoran Pejic owner 303/424-4187 John Holman 07-0168 Zoran Electric PPI2CEL INFO ZONE CODE: UA SIIBDIVISION: 0380 USE: UA BLOCK/LOT#= 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 2,250.00 FEES Permit Fee 108.30 . Total Valuation .00 Use Tax 40.50 U~ TOTAL 148.80 . Comments: must meet 2005 NEC Subject to field inspection I hereby certify that the setback distances proposed by this pesmit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions oE record; Chat all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and tha assume full responsibility for compliance with the Wheat Ridge Building Code (Z.B.C) and all other app~icab~wheat idle 0rdin4es, for work under this permit. Plans subject to field inspection. . of 1. 4. 5. 6. date This permit was issued in accordance with the provisions seC forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of wheat Ridge, Colorado or any other applicable ordinances of the City. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to espiration date. An extension may be granted at thediscretion of the Building Official. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, Eull fees shall. be paid for a new pesmit. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. The issuance of a pexmit or t e oval of drawings and specifications shall not be construed to be a permit for, nor ~o proviaions oE the building codes or any other ordinance, law, rule or regulation. an approval of, any viol he Allplan review is subje eld inspections. Signature of Chief aate INSPECTION.REQTTEST LINE: (303)234-5933 BUILDING OFEICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS.DAY FOR INSPECTION.THE FOLLOWING BUSINESS DAY. f WHEql o p , c~CORP~~ COMMUNITY DEVELOPMENT DEPARTMENT ti o m U BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) MINQ",R APP1 Building Permit Number. Date: PLAN # PropertyOwner: ~O/'H/~/ HO.~/~{~/~✓ Property Address: 6 ~-2 `J Phone: . 4)r ~03 - 4-2 ~ - W7 Coniractor License No.: ' ~ ~3 Company: 2oQANC'~CG1'j~1C Phone: "/Z0-2/7-~ OWNER/CONTRACTOR SIGNATURE OP UNDERSiANDMG AND AGREEMENT Building Dept. Waluation Figure:- I hereby ceNfy that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of . Vgllle:$ 'v- WheatRidgeorcovenants,easementsorrestrictionsofrecord;fhatallmeasurements . shown, and allegations made are accurate; that I have read and agree to abide byall P011111t F00:$ . conditions printed on this application' and that I assume full resPoosinmry ror - plan Review Fee:$ compliancewiththeWheatRidgeBUildingCode(I.B.C)andallotherapplica6leWheat Ridge Ordinances, for work under this permit: Pians subject to field inspection. . . LJSe 'j`2JCt(OWNER)(CONTRACTOR):SIGNE Z b`O'l/~ ' ~ DATE .°K/ ~I - TOt~dl.y :(OWNER)(CONTRACTOR):PRINTEOLDP-KN ~ IG- DATE•±.//6/v/ - ( ~ Use of Space (description): Description of work: ~ lvcu f V~9,2ooft a~adr~ ~l 22 OVc i , t/o~ ik.~c~te.~WeircuilJ~ l/ov' ~'e:~ re9e,-e/.~~o ~~c/~u,~r~~ rio✓ ~,e/r~~o~ !fl-fe u~~~-, Sq.Ft.added G{QG'CP~ L~✓i LiC~//Ir'S plpl~t~ - - ! Expiration Date: Expiration Date; _ Expiration Date: ApprovaP Approval: Approval: _ (4) -This permitwasissued in accoedance with the ptovisions set forth in your application and is subject to the laws of the State of - Colorado and to lhe Zoning RegulaBons and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of fhe City. (2) This permit shall expire 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 aew pertnit may be aequired for a fee of one-half the amount normally required, provided no changes have been or will be madein the original plans and specifications and any suspension or abandonment has notexceeded one . . . . (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid fora new permit. - (4) No work of any manner shail be done that will change the natural flow of water causing a drainage problem. (5) Contractor shall noti(y the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written . :approval on inspeciion-card before proceeding with successive phases of thejob. . - . - . . ' (6) The issuance of a permit or the approval of drawings and specifica8ons shall rmt.be construed.to be a permit for;-noran -approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulaUon. All plan reviewis subject to field inspections. Building Official Electrical License No: Plumbing License No: Mechanical License No: Company.Lppp// SLCCj/Z(G Company: Company: COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 76487 BUILDING INSPECTION LINE -(303-234-5935) Date : 11/20/2003 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: JOHN HOLMAN Property Address : 6725 W 45 AVE Contractor License No. : 17865 Phone : 424.4187 Company : Lakeside Heating Co. Phone : 421-3572 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 albconditions printed on this application, and that I assume full responsibility for compliance wifh the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) Description : INSTALL NEW 110K BTU FURNACE Construction Value : $1,400.00 Permit Fee : $66.28 Plan Review Fee : $0.00 Use Tax : $16.80 Total: $83.08 Use : BUILDING DEPARTMENT USE ONLY 1 10 SIC : Sq. Ft. : tr~a Ca . t~~~~ : Approval Zoning : ~u~' Jn,Goe ffi OKAY Approval: DM ffidbliC o~ Q litert ~ Approval: Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company : Expiration Date : Approval: Piumbing License No : Company : Expiration Date : Approval: Mechanical License No : Company: Expiration Date : Approval : (1) This pertnit was issued in accordance with the provisions set forth in }ropur application and is subject to the laws of ihe State of Colorado and to ihe Zoning Regulations and euilding Code of Wheat Ridge, Colo2do or any other applipble ordinances of ihe City. (2) - This pertnit shall expire if (A) the work authorized is not commenced within sizty (80) days fiom issue date or (B) the building authorized is suspended or abandoned for a penod of 120 days (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount nortnally required, provided no changes have been or will be made in ihe original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension orabandonment 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) Contractorshall notifythe Building Inspector Rventy-four (24) hours in advance for all inspedions and shall receive written approval on inspection card 6efore proceediing with successive phases of the job. (6) The issuance of it or the a roval of drewings and specifcalions shall not be construetl to 6e a permit for, nor an approval of, any violation of the provisionss~ uil ingf ,anyotherorUinance,law,ruleorregulatiort Chief Building Inspect Please sign Terms and Conditions on reverse side of page. DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :~'(p`f~ / BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE l///P/63 WHEAT RIDGE, CO 80215 APPLICATIo N Property Owner : SJ,) PropertyAddress: 672,5' A), 5/~t`~Qrc• Phone:3o3-yZ-'1- <1167 Contractor License No. : 1,786$' CompanY : Z,~Z5iote ~{.k.1.4S ~~~G # ~7d Zos Phone: 363-<f2_1- 3S 2 z-- OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT ConStruction Value :/t/b0 o 00 I hereby certity that the setback distances proposed by this permit application are accurete, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or wvenants, easements or restrictions of record; that ali measurements shown, and allegations made are accurate; that 1 have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat ' inances, for work under this permd. (OWNER)(CONTRfiCTOR) SIGN _ DATE47a3 Permit Fee : 2--9 Use Tax : ~(Q< $0 Total : g3 . QCT Use: Description : )~T /zCe. [J~~ew //O,dOa ,b %Gt '4t5 BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Approval: Zoning : Approvai: Approvai: Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval : Approvai : Approval : (t) This pemit was issuetl in accoNance with the provisions set toM in yopur application and is sub1'ect to the laws of the State of Colo2tlo antl to the Zoning Regulations and Buildiny Cotle of Wheat Ridye, Colorado or any other appliwble ordinances of ihe Ciry. (2) This pemit shall ezpire if (A) ihe work authonzed is nol commenced wiNin sizty (80) tlays (mm issue date or (B) lhe builtling authorized is suspendetl or abandoned for a periotl of 120 days. (3) If this pemit expires, a new pemit may Ue.acquired tor a fee of one-half ihe amount nortnally require4 provided no changes have been or will be made in tha onginal plans and specfications and any suspension or abandonment has not exceeded one (7) year. II changes are made or if suspension orabandonment exceeds one (1) year, PoII fees shall be paid tor a new permit. . (4) No work of any manner shall be tlone that will change the natural flow of water wusing a drainage problem. -(5) Contractor shall noGfy llte Building Inspectortwenry-four (24) hours in advance for all inspections and shall receive wriHen approval on inspeclion card before proceetliing with successive phases of the1'ob. (6) The issuance of a pemit or ihe approval o( tlrawings antl specifications shall not be consWed to be a pertnit for, nor an approval of, any. violatlon of the pmvisions of the builtling wdes or any other ortlinance, law, rule or regulaUOn. Chief Buiiding Inspector