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11700 W. 46th Avenue
i CITY OF WHEAT RIDGE �f -Building Inspection Division �+ (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: 7 670fit/ '/"7 t e., Permit Number: 107;�o &9 -Z, Z j ❑ No one available for inspection: -Time e Er% A l M Re -Inspection required: Yes ( o �;� When corrections have been made, schedule for re -inspection online at. http✓/www. cl. wheatridge. co. usCnspection Date: p0 Inspector:_ DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: .J` ✓'�J ,r� ,�tet'y�,, ❑ No one available for inspection: Time rte.' r` AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. us/inspection Date: ` -E,? ' Inspector: - DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ 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. cL wheatridge. co. us/inspection Date: /0—?0 Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: cS Job Address: i E 14 Permit Number: AIIZZ?PCZ i ❑ No one available for inspection: Ti AM/PM Re -Inspection required: Yes o When corrections have been made, scheduk for re-inspectio ni" a at. http✓/www.ci.wheatridge.co.ussfinspection�- 0(c �i Ins ectU . I* � 4 i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE 44 Inspection Type:Q-2--- Job Address:C C4 Permit Number:-2-;?—�- ❑ No one available for inspection: Time M/PM Re -Inspection required: Yep No When corrections have been made, schedule'for re -inspection online at: http✓/www.ci.wheatridge.co.uslinspecton r: A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 6,V Job Address: %�r;sP� G-ts �i� -- vim. Permit Number: -P-d9 ?e--) ®/ ❑ No one available for inspection: Time M M Re -Inspection required: Yes N'�y�l When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. us4nspection Date: /t9 /`/'20e----0 Inspector:_ S /";�:' DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: t (_A) Permit Number: ®» B ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes' When corrections have been made, schedule for re -inspection online at: http✓/www.ci,wheatridge.co.us4nspec Date( C' ('�' " nsp, r: L.Y f1` � DO NOT REMbVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: F/ t / /i'19 Job Address: //7490 Permit Number: Z47 2.,p a ❑ No one available for inspection: Time,f `�' AM M .11 Re -Inspection required: Yes ,t'No W� When corrections have been made, che_dule for re -inspection online at: http✓/www.ci. wheatridge.co. uslinspection Date: /a 7Z72in eannspector: Fe?!� DO NOT REMOVE THIS NOTICE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ 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.-Ilwww.ci-wheatridge.co.uslinspection Date: Inspector: ®O NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: / e ®% 1!� Permit Number: ?4V _ 07 f Ll No one available for inspection: Time ?� AM/Mj Re -Inspection required: Yes&0 When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. us4nspection Date :O spector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: zlb4� e Job Address: Permit Number: ❑ No one available for inspection: Time`1�' f�AM M ,a Re -Inspection required: Yes'N o When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge.co. uslinspection Date: Inspector: -� DO NOT REMOVE THIS NOTICE I* � 4 i CITY OF WHEAT RIDGE Building Inspection Division v (303) 235-2855 Office INSPECTION NOTICE Inspection Type: W V 7, Job Address: w Liv Permit Number: Z_C Z-0 tO/ ❑ No one available for inspection: Time -" AWPM Re -Inspection required: 'Yes No When corrections have been fnade, schedule for re -inspection online at: http.IA,vww.ci.wheatridge.co.uslinspection Date:-';$?.�?,VInspector: DO NOT REMOVE THIS NOTICE 4' CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 04 6,--97- 1VAL L Job Address: 4V Permit Number: e0 Q 1 ❑ No one available for inspectiori: Time • � 'A M 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: DO NOT REMOVE THIS NOTICE September 24, 2020 Re: 11700 W. 46th Wheat Ridge, CO — Foundation Damp Proofing Sean Ilnicki Natural Construction 4727 Pierce St. Wheat Ridge, CO Sean, This purpose of this letter is to certify that foundation damp proofing was installed per 2012 IRC R406.1. Thank you, Studio64fo Eric Blase, AIA Principal cture, LLC )� Colo '*"� �o ERIC C o ►� 4nG�174 _� Zj 0 Digitally signed by Eric Blase Date: 2020.09.24 16:19:03-06'00' STUDIO 646 ARCHITECTURE 1 303.284.1276 115940 S. Golden Rd, Golden 1646arch.com l/7(o0 X6746 7-02-0 o/ q3S Monroe & Newell Engineers, Inc. >' IMEG August 26, 2020 Studio 646 Architecture, LLC 15940 S. Golden Road Golden, CO Attn: Mr. Steve Mason Re: 11700 W. 461h Ave, Wheat Ridge, CO Foundation Conformance Letter Dear Mr. Mason Monroe & Newell Engineers, Inc. reviewed the footing reinforcing and found it to be constructed in substantial compliance with the construction documents approved by the building department. If you have any questions or comments, please call. Very truly yours, MONROE & NEWELL ENGINEERS Now IMEG raig acro 1, P.E. Ass ciate Principal/Project Executive Digitally signed by Craig Carroll PE Date: 2020.08.26 10:50:19-06'00' 1400 Glenarm PI., Suite 101, Denver, CO 80202 ) 303.623.4927 > monroe-newell.com Monroe & Newell Engineers, Inc. �'�IMEG September 2, 2020 Studio 646 Architecture, LLC 15940 S. Golden Road Golden, CO Attn: Mr. Steve Mason Re: 11700 W. 46th Ave, Wheat Ridge, CO Foundation Conformance Letter Dear Mr. Mason Monroe & Newell Engineers, Inc. reviewed the foundation wall reinforcing and found it to be constructed in substantial compliance with the construction documents approved by the building department. If you have any questions or comments, please call. Very truly yours, MONROE & NEWELL ENGINEERS ,a 'ow IMEG Craig ' rroll, P.E. Asso ate PrineipaUProject Executive 1400 Glenarm PI., Suite 101, Denver, CO 80202 > 303.623.4927 > monroe-newell.com Digitally si ned b 9 y 4 U 9 Craig Carroll ' C PE Date: 2020.09.02 11:34:13-06'00' 1400 Glenarm PI., Suite 101, Denver, CO 80202 > 303.623.4927 > monroe-newell.com i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: �,Vs Job Address: _1`Z67o!57 Com✓ ,�L� _ Permit Number: 7 ❑ No one available for inspection: Time Re -Inspection required: Yes) No When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge.co. usrnspection Date:_7 A"& Inspector: DO NOT REMOVE THIS NOTICE 7 City of Wheat Ridge Residential Attached Garage PERMIT - 202001435 PERMIT NO: 202001435 ISSUED: JOB ADDRESS: 11700 W 46th Ave EXPIRES: JOB DESCRIPTION: Addition of garage and covered patio. 08/25/2020 08/25/2021 *** 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. 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. Approved per Case No. WZ-20-04. For one- or two-family dwellings, the first twenty-five feet (251) 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. Also contact Public Works for permission for the second driveway. Prior to issuance of a CO, 2 tree(s) shall be planted within the front setback. In addition, no less than twenty-five percent (25%) of the gross lot area and no less than one hundred percent (100%) of the front yard shall be landscaped. Sq ft: 480 *** CONTACTS *** OWNER (510)325-2655 MARY ANN FAKE TRUST GC (303)901-0977 SEAN ILNICKI 202016 NATURAL CONSTRUCTION SUB (845)464-5947 SAMUEL R ALBERTSON 180152 M & S PROSERVICES LLC SUB (303)827-5021 KEATON EGGLESTON 180070 5280 ELECTRICAL SUB (720)422-7900 MARTIN MCCOY 021456 IN HOUSE MAINTENANCE HEATING *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 100,000.00 FEES Total Valuation 0.00 Plan Review Fee 735.83 Use Tax 2,100.00 Permit Fee 1,132.05 ** TOTAL ** 3,967.88 *** COMMENT'S *** *** 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. 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. Approved per Case No. WZ-20-04. For one- or two-family dwellings, the first twenty-five feet (251) 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. Also contact Public Works for permission for the second driveway. Prior to issuance of a CO, 2 tree(s) shall be planted within the front setback. In addition, no less than twenty-five percent (25%) of the gross lot area and no less than one hundred percent (100%) of the front yard shall be landscaped. City of Wheat Ridge Residential Attached Garage PERMIT 202001435 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg 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 I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the 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 changeof the natural flow of water without prior and specific approval. 5. The permit border 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 applicable de or any ord nce or regulation of this jurisdiction. Approval of work is subject to field inspection. 1429., 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: Addition to Existing Building Date: Wednesday, July 29, 2020 8:36:16 AM Addition to Existing Building THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this Residential or Residential - upload Proof of Submission to Sanitation District Commercial? and Sanitation District Upload Proof of Proof of Submission Letter.odf Submission to Sanitation Department Upload Proof of Proof of Submission Letter Ddf Submission to Water Department Upload Proof of Proof of Submission Letter Ddf Submission to Fire Department PROPERTY INFORMATION Property Address 11700 W. 46th Ave. Property Owner Name Mary Ann Fake Property Owner Phone 510-325-2655 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email dmrvfake@msn.com Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" APPLICANT INFORMATION Applicant Name Steve Mason What is your role in the project? Contact Phone Number (enter WITH dashes, eg 303-123-4567) Contact Email Address for Plan Review Comments Retype Contact Email Address DESCRIPTION OF WORK Detailed Scope of Work - Provide use of addition (i.e. master bedroom with master bathroom); Indicate mechanical, electrical, plumbing scopes Architect 303-284-1276 smason@646arch.com smason@646arch.com Garage and covered patio addition Location of Work Addition to the east of the home. Square Footage of 480 Addition Asbestos Report Asbestos _11700 W 46th Avenue 07-28-2020 Ddf Engineering Letters, Field not completed. Energy Calcs and Other Letter Size Attachments Construction Plans Arch-Struct 11700 W 46th Avenue Phase2CDs 07-28-2020 Ddf scanned on 11'x17" or larger Provide Passcode for Field not completed. Plans if locked Addition - 227sf x $122.46 = $27,798 100,00 Project Value (contract Sun Room - 216sf x $49.00 = $10,584 value or cost of ALL Garage - 480sf x $48.30 = $23,184 materials and labor) Total - $61,566 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 Sean Ilnicki 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. 5366 Godding Hollow Pkwy EARTH ENERGY ENVIRONMENT (E3) Longmont, CO 80504 Local: 303.902-5851 Industrial Hygiene and Environmental Engineering December 14, 2019 Mr. Ivan Garcia Mile High Environmental Services Inc. 9520 E Jewell Avenue Suite C. Denver, Colorado 80247 Subject: Clearance Report 11700 W 46a' Ave Wheat Ridge, CO 80033 Dear Mr. Garcia: [APPROVED] Following is the project completion report for the work areas located at 11700 W 46"' Ave in Wheat Ridge, CO 80033. The purpose of this report is to document this remediation project was successfully completed, and indoor asbestos amplification was not occurring in the work area. An Industrial Hygienist for Earth Energy Environment (E3) performed the remediation project completion inspection and testing procedures. The remediation work area (Interior Area) was visually inspected in order to confirm the scope of work was properly followed and completed. The containments were also visually inspected to verify breaches and/or defects were not present. Phase Contrast Microscopy (PCM) samples were collected in accordance with the National Institute for Occupational Safety and Health (NIOSH) method 7400 using cassettes (standard 3 piece, 25 mm dia., 0.8 um MCE filter) purchased from Zefon International, Inc. The asbestos concentrations in the containment were calculated as airborne fibers per cubic centimeter of air (F/cc). Table 1 provides a summary of the sample numbers, sample volumes, and calculated concentrations. The National Emission Standards for Hazardous Air Pollutants (NESHAP) clearance standard is 0.01 F/cc. Visual inspection confirmed that no asbestos -containing debris was observed in the work areas. The PCM clearance air sample results were all below the NESHAP clearance standard of 0.01 F/cc. Based on the information presented above, E3 concludes the asbestos abatement in the work area has been successfully completed, and the work area may be reoccupied after build back. City of Wheat Ridge Building Division PCM Air Clearance Page 2 0{ 2 TABLE 1: PCM CLEARANCE AIR SAMPLING RESULTS Date Unit/ Area Sample # Sample Description Sample Volume Fibers/cc Air Clearance CL -121419-1 880 0.001 at: CL -121419-2 Inside 870 0.002 December 11700 W 46T" CL -121419-3 Containment 865 0.001 14, Ave in Wheat CL -121419-4 840 0.001 2019 Ridges, CO CL -121419-5 835 0.001 80033 �Interi or Areal BLK-1 Blanks - BRL BLK-2 BRL 'kBRL denotes "Below Reporting Limits"_ The PCM Colorado Department o{ public Healtlx and Environment (CDPHE� clearance standard is 0.01 F/cc. The s mpling r ults relied upon for this report do not include o apply to any other ar within the structure treat ware not s mpled but may contain asbestos; including materi al s/areas treat may be hidden o ace si ble. Furthermore, E3 is unable to speak on true condition o£ true personal items within the work area_ Thank you £or allowing E3 the opportunity to provide e o ental s s to you. I£ you have questions or require additional inform tion, do not hesitate to contact ma directry at �303� 902-5851. Sincerely, Eli Willden Certified Air Monitoring Specialist No. 20139 cxy of Wheat Ridge s..ua�.,e o�..�s �o., Submission forms for 17000 W. 46" In our previous permit submittal, "Phase 1", we turned in hard copies of the below documents. The plans have not changed. We were hoping the old documents would still be sufficient for this submittal. • Proof of Submission to Sanitation Department • Proof of Submission to Water Department • Proof of Submission to Fire Department Let us know if you need us to get any other documentation. Thank you, Steve Mason Studio 646 Architecture smason@646arch.com 303-284-1276 RESIDENTIAL Address: 11700 W 46th Ave Lot Size: 14,025 (Site plan) sq. ft. Property in the flood plain? NO Subdivision: Lees Related Cases: WZ-20-04 Permit- Plan Review Worksheet Zoning: R-2 Lot Width: 165 ft. Rev. 09/2017 If yes, notify PW Floodplain Administrator and add surveying condition FLD Any conflict? (Y/N) Type of project (applicable survey conditions in parenthesis): Maximum Lot Coverage: 40 % 5,610 sq. ft. Existing Imrovements (footprints): House: 3NO6 sq. ft. Shed: sq. ft. Detached garage: sq ft. Other: sq. ft. Total Existing 3706 sq. ft Lot Coverage -24-4- % Proposed Improvements (footprints): House/addition: 4,519 sq. ft. Shed: sq. ft Detached Garage: sq. ft. Other: sq. ft. Proposed+Existing 4,519 sq. ft Lot Coverage 32.2 % Required Setbacks: FR 25' S 5' S V 5' R 10' S +S MUST EQUAL 15' Provided Setbacks: FR 29' S 25.75' 4' R 18.43' (te-e6ge-efpetio For additions or new construction, is the structure within 2 feet of minimum setbacks? Yes, existing If yes, add surveying condition FND. Maximum Height: 35 Proposed Height: 16' (tallest) ft. ft. Maximum Size: Proposed Size: sq. ft. sq. ft. Does the bulk plane apply? (Y/N) NO If yes, does it meet on all sides (Y/N): FR S S R (See 26-642 and 26-120.C.1 -applies to all single-family structures (new, addition, accessory) in R-1 C and R-3) Parkland Conditions Does the permit result in a new dwelling unit (new structure or conversion from non -res use)? No If yes, have parkland dedication fees already been paid (eg with a previous land use approval)? If fees are owed, add condition PFEE, notify owner, notify building division, enter fee amount in ADG. Rev. 09/2017 Streetscape Conditions Does the permit result in any of the following conditions? ❑ Construction of new roads ❑ Platting of new lots ❑ New development ❑ Additions that increase gross floor area (not just the footprint) by 60% or more (proposed floor area — existing floor area ) / existing floor area = °% increase If any box above is checked... For SF/DUPLEX-Is there existing ❑ Curb ❑ Gutter L]5 -ft+ sidewalk adjacent to the property? If curb, gutter or sidewalk is missing, streetscape construction or fees -in -lieu will be required. MULTIFAMILY Does the frontage meet current city standards? If not, streetscape construction or fees -in -lieu will be required. Fees -in -lieu of dedication or construction are due at the time the permit is issued. Access Conditions (apply to all new driveways, garages, additions, or new homes/units) ® For one and two-family dwellings, the first 25' of driveway area from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick pavers or similar materials. ❑ For all uses other than one and two family dwellings, no vehicle entrances or exits may be closer than 25' to any property line, except when used as joint access for two or more lots. LN In residential zone districts, curb cuts shall be at least 10 feet and not more than 24 feet in width. ❑ One and two-family dwellings may have horseshoe driveways, provided that the street accesses are at least 30 feet apart, measured from the interior edges. ® For all uses, one access point per property is permitted. Landscaping Conditions (apply to additions and new dwelling units) Ll For one -and two-family dwellings, one tree for every 70 feet of street frontage is required. Frontage of lot 165 - width of driveway39 /70— 2 (round up for required trees) Street trees required: 2 Street trees provided: 1 U 100% of the front yard and 25% of the entire lot must be landscaped prior to issuance of C.O. 11 In the event that landscaping cannot be installed due to inclement weather prior to the issuance of a C.O., an escrow agreement with financial guarantees may be allowed to ensure future installation. 125% of the cost of the proposed improvements will be required with the agreement. These funds will be reimbursed back to the property owner or contractor once the improvements are in place. Dwelling Unit ❑ Not approved as an independent dwelling unit. City of Wheat�clge 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: July 30th, 2020 Project Address: 11700 W 46th Ave. Wheat Ridge, CO 80033 Name of Firm/Individual submitting documents: Studio 646 Architecture, LLC / Steve Mason Project Type/Description: The scope of this project includes a new, 480 sq. ft. garage addition along with a covered porch to the existing home located at 11700 W 46th ave. in Wheat Ridge, Colorado. Signature of Firm Representative or Individual: Steve Mason, Senior Designer AGENCY USE II/>��%l/%/fid/ /✓��`/��'l� 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 Wheat Ridge Sanitation District o Consolidated Mutual Water District o Clear Creek Sanitation District *r'— Valley Water District o Fruitdale Sanitation District o Denver Water o Westridge Sanitation District o Other Agency Notes: 4►L! V- city of "� WTheat Psjdge COMMUNITY DEVELOPMENT SUBCONTRACTOR AUTHORIZATION FORM Mechanical Subcontractor This form must be completed & signed by the MECHANICAL SUBCONTRACTOR performing mechanical work on site. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: General Contractor: ee1Z111111 % Al �G 4A,;Se�J cc FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION Company N Ph/one /f z oollOie .J-10�00e Wheat Ridge Contractor License #: 1 � Z/ (required field) Printed Name of Authorized Awl re of Authorized t Gid Dat City of Wh6atPsidge COMMUNITY DEVELOPMENT SUBCONTRACTOR AUTHORIZATION FORM Plumbing Subcontractor This form must be completed & signed by the PLUMBING SUBCONTRACTOR performing plumbing work on site. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: 11700 W 46th Avenue Wheat Ridae,CO 80033 General Contractor: Natural Construction FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION Company Name: M&S ProServices LLC Contact Phone #: (845) 464-5947 Wheat Ridge Contractor License #: 180152 (required field) State License #: PC 0003650 Master License #: MP 00600522 Samuel R. Albertson Printed Name of Authorized Agent K ignature of Authorized Agent 8/17/2020 Date City of Wheat j�dge COMMUNITY DEVELOPMENT SUBCONTRACTOR AUTHORIZATION FORM Electrical Subcontractor This form must be completed & signed by the ELECTRICAL SUBCONTRACTOR performing electrical work on site. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: 1170 w 46th Ave General Contractor: Sean Ilnicki FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION Company Name: 5280 Electrical Contact Phone #• 303-827-5021 Wheat Ridge Contractor License #: 180070 State License #: EC.0100896 Master License #: ME.0600715 Keaton Eggleston Printed Name f A horized Agent Signature Agent required field) 8/18/20 Date CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: /n,,p /3V1 216, Job Address: Permit Number: C, c 2,3 -7 -5 U No one available for inspection: Time AM/OM Re -inspection required: ,"Yes) No C -i -r When corrections have been made, schedule for re -inspection online at: hffpYlwww. ci. wheatridge. co. usfinspection Date: -C - � cJ inspector:. DO NOT -REM.0 _VEXHIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: CXP Job Address: k 0 Permit Number: C) J 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.us inspection Date' ."" 'I _c) - !-;*,I L)8 o Inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office & (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: rL Job Address: Permit Number: Ll No one available for inspection: Time AM/PM Re -inspection required: Yes N, o When corrections have been made, call for re -inspection at 303-234-5933 Inspecto0,7) .1, DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE . Inspection Type: Job Address: < -7< c.; /,,A Permit Number: r' Czr Z7. E- i.4 I LI No one available for inspection: Time 5 r 'ArNM Re -Inspection required: Yes/j> No _ i When corrections have been made, schedule for re, -inspection online at: http✓/www. ci, wheatridge. co. usrinspection Date: Inspector: DO NOT REMOVE THIS_NOIz TICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office .INSPECTION NOTICE +�- Inspection Type: Job Address:f Permit Number. ❑ No one available for inspection: Time - PM Re -Inspection required: Yes�No� When corrections have been made, sch re -ins ection online at: httpYlwww.ci.wheatridge.co.uslinspecti '" e ^...,_ jffi CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: —y Job Address: Permit Number: ❑ -A' No one available for inspection: Time M M Re -Inspection required: Ce�, No When corrections have been made, schedule for re -inspection online at: http://www.ci, wheatridge. co. usfinspection, Date: 4/. Inspector., DO NOT REMOVE THIS NOTICE , CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: -''i --� 1./'�•,t l• !.'t -!i r,� �.1 CG! ! 1 1/4�P/v �'�. J Job Address: �i %�,r� '� /�L•`i� /�.' 1641Z.- Permit Number: 1l J . !a' -''i --� 1./'�•,t l• !.'t -!i r,� �.1 CG! ! 1 1/4�P/v �'�. J i n1� _"� jr, ter-. -<,ri �i %�,r� '� /�L•`i� /�.' � '_..: �r L4 �� /,;e� u! jig Gi'�riv<•t �'-,� ��-; c,�� «s.�,� �Y ❑ No one available for inspeFtion: Time :CC',, P Re -Inspection required: IMMS No When corrections have been made, schedule for re -inspection online at: h ttp://www. ci. wheatridge. co. us/inspection Date: -r- - Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: 7c%? Gu 2z7 ❑ No one available for inspection: Time /? AhM Re -Inspection required: Yes (o i When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. usVinspection Date: `/, 3- 7c, Inspector: _. t DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: '3X, ?6 Job Address: 1176<.2 W. Permit Number:. ;2c,,2o C,<., Z J No one available for inspection: Time AM/PM Re -inspection required: Yoe No When corrections have been made, schedule for re -inspection online at: httpLllwww.ci.wheatridge.co.us/inspection Date:–/-/- 6 -;?O—Inspector: DO NOT REMOVE THIS NOTICE PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Remodel PERMIT - 202000223 202000223 ISSUED: 02/28/2020 11700 W 46th Ave EXPIRES: 02/27/2021 SWO: Interior remodel with new bathroom. Plumbing, electrical and mechanical. Square footage: 1432 *** CONTACTS *** OWNER FAKE MARY ANN GC (303)901-0977 SEAN ILNICKI SUB (303)827-5021 Keaton Eggleston SUB (845)464-5947 SAMUEL R ALBERTSON SUB (720)422-7900 MARTIN MCCOY 202016 NATURAL CONSTRUCTION 180070 5280 Electrical 180152 M&S PRO SERVICES LLC 021456 IN HOUSE MAINTENANCE HEATING *** PARCEL INFO *** .ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 90,000.00 FEES Total Valuation 0.00 Plan Review Fee 683.51 Use Tax 1,890.00 Permit Fee 1,051.55 Investigative Fees 1,051.55 ** TOTAL ** 4,676.61 *** COMMENTS *** *** CONDITIONS *** 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. r City of Wheat Ridge Residential Remodel PERMIT - 202000223 PERMIT NO: 202000223 ISSUED: 02/28/2020 JOB ADDRESS: 11700 W 46th Ave EXPIRES: 02/27/2021 JOB DESCRIPTION: SWO: Interior remodel with new bathroom. Plumbing, electrical and mechanical. Square footage: 1432 I, by m�si'naturedo hereby attest that the workobe performed shapliuiding codesand all applicable municipal codes, policbyhgal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this a 1t. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be pekfo ned 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 anew 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 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 �i5 suance or gr . ing of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any a l%ab ' code o 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. 4 City of W heat P-..jdge COMMW Y DEVELOPMENT Building & Inspection Services Division 7500 W. 291 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits .ci.wheatridge.co.us FOR OFFICE USE ONLY Date: � Afdt?ro Permit # Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: `I 00 ,,Q . 9 (b4A"' I'Ayc- Property Owner (please print): M: -Y y,,�,� �� ,� Phone: Sim 3 LS -- zc�s-s Property Owner Email: ctii,'yj r v A-,.1,�-c i � rq ) y J c'�4 �i Mailing Address: (if different than property address) Address: City, State, Zip: Submitting Company:,, , r.'`v�S�r�G t"1cn�1 Contact Person: S11V114-1' V1rc s. Phone:3b " L C %7 Contractor: ) Cr Y)'Y)) UCi-'ic Contractors City License #: 24�, Z -01(e Phone: 62 77 Contractor E-mail Address: 5 , i ri Q Ca- J,�-, 176 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: 1 p t \ / "t Y \. S Q v� IS -- a.-t••t�c.� Y�.FS.� h c �,....- --� w � 1 t S �t�Y F'►� t S`�` h"c , 1 vuoo kt k vac./ % VA C� r�z Wl GJ�T � n �l' L C; v ^� s I 5 14,l1 6c12w1p�jC.YJ� C c�—�klv�cif��l Vi I cVol A thy. Vi w-.,✓ (•-4 v'�-�-c.. S�yS +z t�.. v.� I �� , n Y Sq. Ft./LF ( ` a L Btu's ! col C�� Amps ZL= Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) $ qo1� 00D OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with 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) ONTRACTOR or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: SeIUA l h 1 L SIGNATURE: _�� DATE: Z " Zg - ze> DEPARTMENT USE ONLY 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 OCCUPANCY CLASSIFICATION: Building Division Valuation: $ February 20, 2020 OOZZ03 15940 S. Golden Rd. Golden, Colorado 80401 �/ ����---�����----!raj 303.284.1276 61 Z. KT -'201 Re: 11700 W. 46th Ave. Wheat Ridge, CO Plan Check No.: 202000223 Response to Building Department Comments The following is a response to building department review comments. Our responses have been written in blue for clarity. Along with this resubmittal we have now phased the project. The reason for this to continue the remodel in the current A-1 zoning. We are now in the process of rezoning to R-2. Once the zoning is changed to R-2 we will then immediately start construction of the addition, garage and sunroom. Building Comments The project plans were reviewed for compliance with the following codes and standards: 2012 IBC, 2012 IRC, 2012 IMC, 2012 IPC, 2012 IFGC, 2012 IECC, 2017 NEC, ANSI ICC A117.1 2009 and City of Wheat Ridge Amendments Please provide an asbestos report per scope of work being performed. Applicant Response: Asbestos report is included City Response: An air sample report has been provided. The City is requiring an Asbestos report. Also, the City is requiring a Demo/Asbestos Abatement permit. Submittals shall be provided according to the Asbestos Abatement Checklist. The City will not release this permit until the Demo/Asbestos Abatement permit has been issued and approved. Attached is the correct Asbestos report. • Please clarify in the construction document the thermal envelope at the existing exterior wall and new garage. Applicant Response: Notes have been added to detail 2/A-102 indicating all walls new and existing will meet the current code requirements. City Response: Comment accepted and closed. • Please clarify in the construction documents that the under floor area complies with code section R408 of the IRC. Is this space unvented or conditioned space? Applicant Response: Note have been added on 2/A-102 the space will be mechanically vented City Response: Redline comments have been added to the construction documents. Comment accepted and closed. • It appears from the construction documents submitted that a new furnace is being installed in the attic. o Please provide Manual J, S and D per code section M1401.3 and M1601.1 of the IRC o Please clarify that the existing ceiling joist are capable of handling the new loads being added. o Please clarify that the access to the appliance in the attic complies with code section M1305.1.3. Applicant Response: The furnace has been relocated to the crawl space and the Manuals have been included in this resubmittal. City Response: Redline comments have been added to the construction documents. Comment accepted and closed. Do to the size of the addition the City is requiring an open excavation observation be performed by a licensed Geotechnical Engineer to determine the load-bearing values of the native soils. The Structural Engineer of record shall verify that the proposed foundation is capable of performing with the native soil conditions. A letter from both engineers shall be submitted to the inspector at time of footing inspection. Applicant Response: Noted, and the required letters will be submitted once the open hole inspections have been completed. City Response: Comment accepted and closed. Please provide the truss layout and engineered truss design to the inspector at time of inspection. Applicant Response: Noted City Response: Comment accepted and closed. Updated responses 2/13/20 K.M. If you have any questions, please don't hesitate to call. Thank you, Studio 646 Architecture, LLC Steve Mason 4 M City of FJF, r - Wath6 pnoow Z PLAN REVIEW COMMENTS Project Description: Residential Remodel with a single story addition Project Address: 11700 W. 46' Ave. Plan Check No.: 202000223 Permit App. Date: 1/31/2020 Applicant: Steve Mason Phone: 3 — ZzI/ ,'2_7�, Applicant email: smason@646arch.com Plan Checker: Kirk Money Phone: 303-235-2882 Plan Checker email: kmoney@ci.wheatridge.co.us See Studio 646 Architecture's response comments below in red. The project plans were reviewed for compliance with the following codes and standards: 2012 IBC, 2012 IRC, 2012 IMC, 2012 IPC, 2012 IFGC, 2012 IECC, 2017 NEC, ANSI ICC A117.1 2009 and City of Wheat Ridge Amendments • Please provide an asbestos report per scope of work being performed. o Asbestos report is included • Please clarify in the construction document the thermal envelope at the existing exterior wall and new garage. o Notes have been added to detail 2/A-102 indicating all walls new and existing will meet current code requirements. 1Z Please clarify in the construction documents that the under floor area complies with code section R408 of the IRC. Is this space unvented or conditioned space? o Note have been added on 2/A-102 the space will be mechanically vented f✓It appears from the construction documents submitted that a new furnace is being installed in the attic. o Please provide Manual J, S and D per code section M1401.3 and M1601.1 of the IRC o Please clarify that the existing ceiling joist are capable of handling the new loads being added. o Please clarify that the access to the appliance in the attic complies with code section M1305.1.3. ■ The furnace has been relocated to the crawl space and the Manuals have been included in this resubmittal. L� Do to the size of the addition the City is requiring an open excavation observation be performed by a licensed Geotechnical Engineer to determine the load-bearing values of the native soils. The Structural Engineer of record shall verify that the proposed foundation is capable of performing with the native soil conditions. A letter from both engineers shall be submitted to the inspector at time of footing inspection. o Noted, and the required letters will be submitted once the open hole inspections have been completed. Civrw, ty of of ;r,dr,. -i 1 +` ca"mti,q rry F)rVFLOPiAFNT Please provide the truss layout and engineered truss design to the inspector at time of inspection. • TO EXPEDITE PROJECT APPROVAL: Please provide a written response indicating how and where each comment was resolved on the plans. • Resubmit all previously reviewed plans, updated plans and supporting documents with each subsequent review. • For clarification of any plan review comment, please call or email the plan checker listed above. Steve Mason Studio 646 Architecture s mason (5646a rch. com 303-284-1276 -• � City of Wh6atpNidge COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: it -jW y (p Permit #: General Contractor:W�-i ( ceyls f i2J 11 d, Electrical Sub -Contractor Company Name: S CJ' E �t t hone #: �� i"� ✓ �2 State License #: �L' C) t C)o 2Q (� Master #: • 0(00n lS Wheat Ridge -License #: 9 U0 (required field) l6 Signatr-evtkuthorized Agent Dat Plumbing Sub -Contractor 'c n Company Name: �i�'iLC� Phone #: S L i 7 State License #: T, Master #: 1 oy 5,2 2— Wheat 2— Wheat Ridge License #: pt(required field) Signure of Authorized Agent Dat Mechanical Contractor Company Name:�L/ 01 Phone: 1-19e?1,* Wheat Ridge License #: 6��I (required field) Signature of Authorized Agent Date WARRANTY DEED THIS DEED, made this July 11, 2019, between John Quintana and Cindy Quintana of the County of Jefferson and State of Colorado, grantor(s), and The Mary Ann fake Trust dated January 24, 2013 whose legal address is 11700-117 10 W 46th Avenue, M/heat Ridge, CO 80033 FEE $65.00 of the County of Jefferson and State of Colorado, grantees: WITNESS, that the grantor(s), for and in consideration of the sum of SIX HUNDRED FIFTY THOUSAND AND 00/100 DOLLARS ($650,000.00), the receipt and sufficiency of which is hereby acknowledged, has granted, bargained, sold and conveyed, and by these presents does grant, bargain, sell, convey and confirm unto the grantees, their heirs and assigns forever, not in tenancy in common but in joint tenancy, all the real property, together with improvements, if any, situate, lying and being in the County of ,Jefferson and Stale of Colorado, described as follows: SEE ATTACHED EXHIBIT "A" also known by street and number as: 1 1 700-1 1 71 0 W 46t1t Avenue,Wtrcat. Midge, CO 80033 TOGETHER with all and singular the hereditaments and appurtenances thereunto belonging, or in anywise appeartaining, and the reversion and reversions, remainder and remainders, rents, issues and profits thereof, and all the estate, right, title, interest, claim and demand whatsoever of the grantor(s), either in law or equity, of, in and to the above bargained premises, with the hereditaments and appurtenances; TO HAVE AND TO HOLD the said premises above bargained and described, with the appurtenances, unto the grantees, their heirs and assigns forever. 'file grantor(s), for himself, his heirs, and personal representatives, does covenant, grant, bargain and agree to and with the grantees, their heirs and assigns, that of the time of the enscaling and delivery of these presents, he is well seized of the premises above conveyed, has good, sure, perfect, absolute and indefeasible estate of inheritance, in law, in fee simple, and has good right, full power and lawful authority to grant, bargain, sell and convey the same in manner and form as aforesaid, and that the same are free and clear from all former and other grants, bargains, sales, liens, taxes, assessments, encumbrances and restrictions of whatever kind or nature soever, except general /axes for the current year and subsequent years, and except easements, covenants, conditions, restrictions, reservations, and rights of way of record, if any, subject to statutory exceptions as defined in CRS 38-30-113, revised. The grantor(s) shall and will WARRANT AND FOREVER DEFEND the above -bargained premises in the quiet and peaceable possession of the grantees, their heirs and assigns, against all and every person or persons lawfully claiming the whole or any part thereof. The singular number shall include the plural, the plural the singular, and the use of any gender shall be applicable to all genders. IN WITNESS WHEREOF, the grantor has executed this deed on the date set forth above. ohn Quintana (/ l Cindy Quintana STATE OF COLORADO } ss. COUNTY OF DENVER } The foregoing instrument was acknowledged before me this .fuly 11, 2019, by John Quintana and Cindy Quintana. My Commission expires: �ja%�j� \witness my hand and official seal. n SI IIFt_t A. SMITH Notary Public State of Colorado Notary lU r. zot oao308,13 Notary Public ommission Expires 09-23-2020 WARRAN71' DEED tTo.lninl'fennnls) File if F1-196222 AFFIDAVIT AND INDEMNITY To First American Title Insurance Company Order Number ET196222 County of Jefferson Slate Of Colorado RE: Real Estate and improvements located at 11700-11710 VV 46-rH AVENUE, WHEAT RIDGE, CO 80033, County of.leffcrson, State of Colorado, being more particularly described in the above order number. I. 1 /we am (arc) of legal age and am (arc) suffering under no legal disability with respect to the subject matter hereof. 2. This is written evidence to you that there are no unpaid bills, and to the extent there may be unpaid bills that the undersigned undertakes and agrees to cause the same to be paid such that there shall be no mechanics or minter illuncri's liens affecting the proper( for materials or labor furnished for construction and erection, repairs or improvements contracted on behalf of the undersigned on the Property within the statutory lien period of 120 days within which a lien could he filed. 3. Uwe further represent that there are no public improvements affecting the properly prior to the (late of closing that would give rise to a special property tax assessment against the property after the date of closing. 4. I/we further represent that are no pending proceedings or unsatisfied judgments of rccord, in any Cour(, Stale or Federal, nor any tax liens filed or taxes assessed against us which may result in liens, and that if there are judgments, bankruptcies, probate proceedings, state or federal tax liens of record against parties cvi(h same or similar names, they arc not against us. 5. I/wc further represent. that (here are no unrecorded contracts, lenses, casements or other agreements or interests relating to said premises of which we have knowledge. 6. I/we furthcr represent that we are in sole possession or the real property described herein other than lease hold estates reflected as recorded items under the subject commitment for title insurance. 7. 1/we further represent that there are no unpaid charges and assessments that could result in a lien in favor of any association of homeowners which are provided for in any document referred to in Section 13. 8. Uwe have not during (he period of ownership done or committed ally act which has changed or could change the boundaries of the property. 9. Uwe have not during the period of ownership allowed any encroachment onto the properly herein described by the ncljoining land owners nor have [/We encroached upon property of the adjoining land owner. 10. I/we have not given, granted or permitted any casements, rights of way, continuous driveway usage, drain, sewer, water, gas or oil pipeline or other rights of passage to others over the properq, hereinabove described and I/We have no knowledge of the existence of any such adverse rights. I I. I/wc have no knowledge of any old highways, abandoned roads, linos, cemetery or family burial ground, springs, streams, rivers, ponds or lakes bordering or running through said properly, EXCEPT (if none, please state "NONE "). 12. That all improvements constructed on the real estate herein were completed on or before The undersigned affiant(s) know the matters herein stated are true and docs hereby agree to protect, defend, indemnify and save harmless Homestead Title and Escrow - ET and First American Title Insurance Company against loss costs, damages and expenses of every kind incurred by it by reason of its reliance on the statements made herein. 13. DUTY TO COOPERATE. 'file undersigned(s) acknowlcdgc(s) and represcnt(s) that Uwe have a duly to immediately cooperate with both Homestead Title and Escrow - ET and First American Title Insurance Compngy with the correction or re-execution orally documents rehued to the sale and transfer ofthc Property including, but not limited to, Deeds, Deeds ofTrum, Mortgages, 1 -IUD 1-A and other closing documents, and any and all other necessary documents associated with the sale or transfer of the Property. In addition, (lie undersigned(s) have a duly to cooperate with Homestead Title nal Escrow - ET and First American Title Insurance Compagy regarding any underpayments or overpayments Ihat occurred through the sale and transfer of the Property and agree to immediately pay such underpayments or reinnbuise any such overpayments. The undersigned agrees to indemnify and both Homestead Title and Escrow - ET and First American Title insurance Company for any fees, costs or al(orney's fees either incurs as a result of the undersigned(s) failure to cooperate with any of the above. 14. SEVLRABILTY. If any of the provisions of this Affidavit and Indemnity or its application to any party nutter any circumstances is adjudicated to be invalid or unenforceable, such invalidity or unenforceability shall not affect any other provision of this Affidavit and Indemnity or its application. )1111 Quintana vunttana STATE OF COLORADO ) )ss. COUNTY OF DENVER The foregoing instrument was acknowledged before nae this I Ith clay of.fuly, 2019, by John Quintana and Cindy Quintana My Commission expires. Notary Public SHIELA A7,Sblic",T�' —Notary State of Co Notary IUt)20Ir.S0 43� L Cortunission Expiras OJ -23-2020 BILL OF SALE KNOW ALL MEN BY TI4ESE PRESENTS, That JOHN QUINTANA AND CINDY QUINTANA of the County of JEFFERSON, in the State of Colorado, Seller(s), for all and in consideration of TEN DOLLARS to him in hand paid at or before the ensealing or delivery of these presents by THE MARY ANN FAKE TRUST DATED JANUARY 24,1013 of the County of JEFFERSON, Purchaser(s), the receipt whereof is hereby acknowledged has bargained and sold, and by these presents do grant and convey unto the Purchaser(s), executors, administrators, successors or assigns, the following property, goods and chattels, to wit: 2.5 Inclusions: The Purchase Price includes the following items (inclusions):: 2.5.1. Inclusions – Attached. If attached to the Property on the date of this Contract, the following items are included unless excluded under Exclusions: lighting, healing, plumbing, ventilating and air conditioning unfits, TV antennas, inside telephone, network and coaxial (cable), wiring and connecting blocks/jacks, plants, mirrors, floor coverings, intercom systems, built-in kitchen appliances, sprinkler systems and controls, built-in vacuum systems (including accessories), garage door openers including ALL remote controls. If checked, the following are owned by the Seller and included (leased items should be listed under Due Diligence Docuinell s):_ NONE, _Solar Panels, Water Softeners, _ Security Systems, _ Satellite Systems (including satellite dishes). If any additional items are attached to the Property after the dale of this Contract, such additional items are also included in the Purchase Price. 2.5.2 Inclusions –Not Attached. If on the property, whether attached or not, on the date of this Contract, the following items are included unless excluded under Exclusions: storm windows, storm doors, window and porch shades, awnings, blinds, screens, window coverings and treatments, curtain rods, drapery rods, fireplace inserts, fireplace screens, fireplace grates, heating stoves, storage sheds, carbon monoxide alarms, smoke/fire detectors and all keys. 2.5.3 Personal Property - Conveyance: Any personal properly must be conveyed at Closing by Seller free and clear of all taxes (except personal property taxes for the year ol'Closing), liens and encumbrances, except NIA Conveyance of all personal property will be by bill of sale or other applicable legal instrument. 2.5.4 Other Inclusions. The following items, whether fixtures or personal property, are also included in the Purchase Pricc: 2 OF THE FOLLOWING: DISHWASHER, DISPOSAL, DRYER, REFRIGERATOR SMOKE ALARM, STOVE/RANGE/OVEN, WASHER, ALL WINDOW COVERINGS AND BATHROOM FIXTURES INSTALLED ON DATE OF OFFER 2.5.5. Parking and Storage Facilities. ( ) Use Only ( XX ) Ownership ofthe following parking facilities: GARAGES 2.6 The following items are excluded From this sale: NO EXCLUSIONS located at 11700-11710 W 46TH AVENUE, WHEAT RIDGE, CO 80033 TO HAVE AND TO HOLD the sante unto the Purchaser(s), their executors, administrators, successors or assigns, covenant and agree to and with the Purchaser(s), their executors, administrators, successors or assigns, to WARRANT and DEFEND the sale of said properly, goods and chattels, hereby made unto the Purchaser(s), their executors, administrators, successors or assigns against all and every person or persons Whomsoever. IN WITNESS WI-IEREOF, The Seiler(s) have hereunto set their hands and seals, this I I th day Of July, 2019. STATE OF COLORADO COUNTY OF DENVER xesence of: The foregoing instrument was acknowledged before me this I I lh clay or July, 2019, by: JOHN QUINTANA AND CINDY QUINTANA. Witness my hand and seal. j My commission expires: SHiI_LA A. SMITH — Notaty Pu61ic Notary Pub is State ni Colorado. Notary ID 4 201 fi403oE3.13 QJ MyCorrimi<.sionExpires00-2fi-2020 t`icJ- fj C4rvch'm 3c3-901-0177 City .if W heat c ge 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: I - 2 3 - 20 Project Address: 1 110 0 \N• ci �o ' Ave- \2 \'J -r � Co Name of Firm/Individual submitting documents: SQor1 Iic�l ' ( 0' UY'G.' =n1�v1 S�rcJci-�o►'1 Project Type/Description: ��t C�ch�. gex�c. c t �c� - ((a t X Za t ►� GL,Y' Q � � tt l bti - � a -1- P K I sTi✓IA GICI'ci rt7 u✓1 d 15 • -0- tff ►-iC k/ r-VU,/J iW Signature of Firm Representative or Individual: DO NOT WRITE BELOW THIS POINT - FOR AGENCY USE ONLY 11 rV// / 1171 /10')111//.PSC indicated below and do, by my signature 6E and approval of the project indicated above. Agency represented: (Please check one) o Wheat Ridge Water District 0 onsolidated Mutual Water District Valley Water District o Denver Water Agency Notes: , am a duly authorized representative of the agency acknowledge receipt of documents necessary for review o Wheat Ridge Sanitation District o Clear Creek Sanitation District o Fruitdale Sanitation District o Westridge Sanitation District o Other Signature: //- Date: T(/ Agency epresentative) Citv of l W heat idgc 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: I -Z3- t o Project Address: I 117 0 �,�(. `f Eo`�' ✓C . I� �'► cw� �t &. Q G Name of Firm/Individual submitting documents: Sew —,Uylickt I dabotJ &vis4rur—d- v' Project Type/Description:yj Q-l-grbJ ga,.r� bvi U - rer✓.r- wr ait i : Amo .+ *,yv ue_ 4- re -b,, (6 exiAlog AddtAoi I d 1 4- navy nets Signature of Firm Representative or Individual: DO NOT WRITE BELOW THIS POINT - FOR AGENCY USE ONLY I, C �,M.� am a duly authorized representative of the agency indicated delow 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 Agency Notes: Signature: Represe o Wheat Ridge Sanitation District o Clear Creek Sanitation District Fruitdale Sanitation District o Westridge Sanitation District o Other /''23_z`�z v Date: 0 ty of . W heati -� '-��Cvhimuisll 1-Y PI F / �Y PLAN REVIEW COMMENTS Project Description: Residential Remodel with a single story addition Project Address: 11700 W. 46th Ave. Plan Check No.: 202000223 Permit App. Date: 1/31/2020 Applicant: Steve Mason Phone: 303-284-1276 Applicant email: smason@646arch.com Plan Checker: Kirk Money Phone: 303-235-2882 Plan Checker email: kmoney@ci.wheatridge.co.us The project plans were reviewed for compliance with the following codes and standards: 2012 IBC, 2012 IRC, 2012 IMC, 2012 IPC, 2012 IFGC, 2012 IECC, 2017 NEC, ANSI ICC A117.1 2009 and City of Wheat Ridge Amendments Please provide an asbestos report per scope of work being performed. Applicant Response: Asbestos report is included City Response: An air sample report has been provided. The City is requiring an Asbestos report. Also, the City is requiring a Demo/Asbestos Abatement permit. Submittals shall be provided according to the Asbestos Abatement Checklist. The City will not release this permit until the Demo/Asbestos Abatement permit has been issued and approved. Applicant Response: Attached is the correct Asbestos Report. City Response: Comment accepted and closed • Please clarify in the construction document the thermal envelope at the existing exterior wall and new garage. Applicant Response: Notes have been added to detail 2/A-102 indicating all walls new and existing will meet the current code requirements. City Response: Comment accepted and closed. • Please clarify in the construction documents that the under floor area complies with code section R408 of the IRC. Is this space unvented or conditioned space? Applicant Response: Note have been added on 2/A-102 the space will be mechanically vented City Response: Redline comments have been added to the construction documents. Comment accepted and closed. 0 It appears from the construction documents submitted that a new furnace is being installed in the attic. W IL itv 0i lic clicyc o Please provide Manual J, S and D per code section M1401.3 and M1601.1 of the IRC o Please clarify that the existing ceiling joist are capable of handling the new loads being added. o Please clarify that the access to the appliance in the attic complies with code section M1305.1.3. Applicant Response: The furnace has been relocated to the crawl space and the Manuals have been included in this resubmittal. City Response: Redline comments have been added to the construction documents. Comment accepted and closed. • Do to the size of the addition the City is requiring an open excavation observation be performed by a licensed Geotechnical Engineer to determine the load-bearing values of the native soils. The Structural Engineer of record shall verify that the proposed foundation is capable of performing with the native soil conditions. A letter from both engineers shall be submitted to the inspector at time of footing inspection. Applicant Response: Noted, and the required letters will be submitted once the open hole inspections have been completed. City Response: Comment accepted and closed. Please provide the truss layout and engineered truss design to the inspector at time of inspection. Applicant Response: Noted City Response: Comment accepted and closed. Updated responses 2/13/20 K.M. Updated responses 2/24/20 K.M. • TO EXPEDITE PROJECT APPROVAL: Please provide a written response indicating how and where each comment was resolved on the plans. • Resubmit all previously reviewed plans, updated plans and supporting documents with each subsequent review. • For clarification of any plan review comment, please call or email the plan checker listed above. 5366 Godding Hollow Pkwy EARTH ENERGY ENVIRONMENT (E3) Longmont, co 80504 Local: 303.902-5851 Industrial Hygiene and Environmental Engineering En December 14, 2019 D � Q V l' : DD Mr. Ivan Garcia Mile High Environmental Services Inc. 9520 E Jewell Avenue Suite C. Denver, Colorado 80247 Subject: Clearance Report 11700 W 46t' Ave Wheat Ridge, CO 80033 Dear Mr. Garcia: Following is the project completion report for the work areas located at 11700 W 46' Ave in Wheat Ridge, CO 80033. The purpose of this report is to document this remediation project was successfully completed, and indoor asbestos amplification was not occurring in the work area. An Industrial Hygienist for Earth Energy Environment (E3) performed the remediation project completion inspection and testing procedures. The remediation work area (Interior Area) was visually inspected in order to confirm the scope of work was properly followed and completed. The containments were also visually inspected to verify breaches and/or defects were not present. Phase Contrast Microscopy (PCM) samples were collected in accordance with the National Institute for Occupational Safety and Health (NIOSH) method 7400 using cassettes (standard 3 piece, 25 mm dia., 0.8 um MCE filter) purchased from Zefon International, Inc. The asbestos concentrations in the containment were calculated as airborne fibers per cubic centimeter of air (F/cc). Table 1 provides a summary of the sample numbers, sample volumes, and calculated concentrations. The National Emission Standards for Hazardous Air Pollutants (NESHAP) clearance standard is 0.01 F/cc. Visual inspection confirmed that no asbestos -containing debris was observed in the work areas. The PCM clearance air sample results were all below the NESHAP clearance standard of 0.01 F/cc. Based on the information presented above, E3 concludes the asbestos abatement in the work area has been successfully completed, and the work area may be reoccupied after build back. PCM Air Clearance Page 2 of 2 TABLE 1: PCM CLEARANCE AIR SAMPLING RESULTS Date Unit/ Area Sample # Sample Description Sample Volume *Fibers/cc Air Clearance CL -121419-1 880 0.001 at: CL -121419-2 Inside 870 0.002 December 11700 W 461h CL -121419-3 Containment 865 0.001 14, Ave in Wheat CL -121419-4 840 0.001 2019 Ridge, CO CL -121419-5 835 0.001 80033 (Interior Area) BLK-1 Blanks - BRL BLK-2 BRL *BRL denotes "Below Reporting Limits". me rum uoioraao uepartmenl Ul ruouc nca111l a«u Environment (CDPHE) clearance standard is 0.01 F/cc. The sampling results relied upon for this report do not include or apply to any other areas within the structure that were not sampled but may contain asbestos; including materials/areas that may be hidden or inaccessible. Furthermore, E3 is unable to speak on the condition of the personal items within the work area. Thank you for allowing E3 the opportunity to provide environmental services to you. If you have questions or require additional information, do not hesitate to contact me directly at (303) 902-5851. Sincerely, Eli Willden Certified Air Monitoring Specialist No. 20139 0 w NZ x D F - w of w m J J U) Z O d U J d a_ d w w J a O U Z crO 2 H Z d CL O U U d F- D w w LL m � y o S U � � O 0 mac?N LO? O �N (V 0 G U c) (O N76 m o Z'Oco w o o G uM M m U W U d me o E o c U o c o X a in a-0 <"4. CLuOm 43 C C U '(D R? N LZz° 07 M a N 6 nmaa ch 2 y al O CL Q W LL Cn c 00j O COQ v �UIU p# C m 0L) E (t3 Z ci a6 06 �. -� 76 rA a as a O a 0 m m 0 (D 4) IS LL =c 'ov ay L L O U O Z O Z p M O(c rn M a a m a o LLo �U a>� a} O 0 J OCp '7�N OOD NWi 69 to I W. 69 E �❑❑ 10 ❑❑ _ 3 O Q'_L3CQ m D O OcnN ¢ xN¢ c r aLLi c cc -1 adm( O —N "a Q3 G U a O U OO U11 -O m T, (n O O Q M Q vi E M \\ LO MM v J o O p m 1 ca to o z Xk LLL N � o d U E � o Z Q U LO L') E E d a o � J > O�l`.'' m as m o (a d v> 0) �000 6 N c N a� m �. 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Z 70 0 M - a (tea V * c 3 0 n aQi o' o O U (� U 4)m [- `n iA U n- o L CI � M 00 / l _n 4 C3 (a 8 O m N L M to -X °° _r_ O a a F_ ® °' d m 'CUM NCO ® H viLO 3 �/� VJ a E a U y C) Q p E E Q F- = (a N m -_ rn > a) co 4.0 L] F=® � 2zC 3 O � N 9 L a W a W mo Q -0 0 3 10 C� G C o p >to > c ==3 ❑ b U- U Q: a) y a p 0 O = U + V c n F- d 7 m t C m coon Q N m to a m a 0 z O N Jp N 6 O ❑ 0) a v m 4 N m c O 04 Q ca a CI.Z -0 a r U 0, 0 CO E m 0 Of C o Q O C /a F- Y 0 O LL a a�oi v 00 0 ami 0a (n (n U ca U (0U W :7 'p0 N U 6 # O CO CL rn N R N U N N L U la m O.w cn m CD6 - co UCO L co 0) = C V N N N (n N t+ (D X ¢ �Z .� Ja O =a O ¢ V Q L o (D U £ d 0 0 «. 0 3 d tci 'c m -� 0V r Q o ¢ L w N .Q m � (N fCD O' L m m Z W m m rn c m 0 a. E Z m E oaai to a c .� N Zc E W N E co m N cli �k ito n # d ik COO U- E # O C a 0) = U m U a) 00 V tt m W (a z N r- - O� mm Q 0 r r o O� o O .c-., E d m o M do 0 d a a a - a a� - M 5 N c ui g a -o L) (n u � Ca. o �� o o L) CIO a L) Ci C) Q Q Otnw Y Q � U ¢ 0 -M H O Z c O w O U r M 4) z a O WU� m U 3 U F- J to Q Y0= O W O S m O¢� W cj) O is L) Z CL Z3 WRQ O W U) i U Z0�Z LLI W L Ow a 2 U WO=? x~F-Q w Z n LLao?O U - 0U 0 O x Z F Z In 0 w� vai ww30 coU `a ZUFw-Q W Q W F U 0 OW H 0LL< 2:Un 0 (a U' 0-a' N :)(nQ0. r- Ooieo xU')ww �zM = Z¢ao o w wZ o mXWO U Z W Y U ¢C W F¢-JFfm O Q -W J E U¢wv FL�00Z ¢ J J x ° - v CL j U) Q OO a 0 Z LL 6 Q 2) ?-'0 0 Q Ww 2(D WU- 7m d U < a LjowU) » - Z o 0 0 v a�-6F_0 2 p>cn N H = L) a,ww0W IW w oww}a DcU)X<� a)z�`nW -:2SWZ z V - 'cnZwZ> 51-w¢Q n U a � (DC7��2 U IM= H W a c W z Z 0¢(n LUgUSZ) Colorado Department of Public Health and Environment Air Pollution Control Division — Indoor Environment Program — Asbestos/IAQ Unit 4300 Cherry Creek Drive South, APCD-IE-B1 Denver, Colorado 80246-1530 Phone: 303-692-3100 — Fax: 303-782-0278 E-mail: asbestos@state.co.us ASBESTOS ABATEMENT PERMIT This permit is granted subject to Colorado Air Quality Control Commission Regulation No. 8, Part B, adopted December 21, 2007, and effective January 30, 2008, the Colorado Air Pollution Prevention and Control Act (25-7-101 or 25-7-501 et seq., C.R.S.) and the following provisions. It is only for the purpose of allowing asbestos abatement. ADDITIONAL PERMIT PROVISIONS: By performing work under this permit the abatement contractor agrees that the Division may revoke or suspend this permit should the Division find that the contractor: • has violated or has aided and abetted in the violation of 25-7-101 or 25-7-501 et seq., C.R.S. or Regulation No. 8, Part B, or an order of the Division or Commission, • has failed to meet any permit and notification requirement or failed to correct any violations cited by the Division during any inspection within a reasonable period of time, as maybe determined by the Division, • has used misrepresentation or fraud in obtaining this permit, or, • has committed any act or omission which does not meet generally accepted standards of the practice of asbestos abatement. As a contractor, you may be subject to other licenses and permits, depending on the requirements of the county and municipality in which the work is being performed. The Colorado Department of Public Health and Environment, Air Pollution Control Division strongly suggests that you check with county and municipal authorities in order to determine any other local building/permitting requirements that must be met. THE ORIGINAL PERMIT MUST BE POSTED ON SITE AT ALL TIMES. Immediately notify the Asbestos/IAQ Unit of project modifications by fax (number above) or e-mail (address above) and the appropriate county health department by fax. Project modifications include changes in the scope of work or the scheduled work dates, etc. This asbestos abatement permit is valid beginning 12/9/2019 through 11:59 PM on 1/7/2020. The actual scheduled work dates are from 12/9/2019 through 12/20/2019. Approval issued on: 11/27/2019 Record number: 154629 Notice Number: 19JE7432A Variance: None Comments: None For the location specified below: Residential remodel Interior of residence 11700 W. 46th Ave Wheatridge Jefferson County This permit has been issued to: Mile High Environmental Services, Inc. 9520 E. Jewell Ave Suite C Denver, CO 80247 Fee paid: $400.00 Check number: CC 9981 Project Supervisor: Pedro Toledo Cerification No.: 19776 Project AMS: Arthur Willden Cerification No.: 20138 Project Manager: WAIVED Certification No.: 15045 Issued y: SK co Pam Cosa d P Ne,mn `O BUILDING OWNER'S y� .�vcosss; ASBESTOS ABATEMENT PROJECT MANAGER ,, 30 SOUM t�• 00 WAIVER APPLICATION Far 3a3. -tee * 1876 Building Owner Street I 1-im Jc City , 9-•aj, State CO Zip Code X0033____._-- Phone Number 510 1 325 - 2cn5S Building Name 0 Street l o .J. `-1 to"y (' > Zip Code `$033 State City � � tZ�ci s� GAC# 7r0t0 1?- Abatement 2Abatement Contractor fA'I j., �nJiroy\r+�cth4�— Project Manager Waiver Colorado Regulation No. 8, Part B, requires that project managers be used to monitor asbestos abatement projects in which the amount of friable asbestos contthei abatement has a h suirement M y be t ry of compliance with Regulation No. 8! orefthe building owner waived if the contractor performing can demonstrate that this requirement is overly burdensome or not feasible by providing a written explanation below. Check which condition applies: The abatement contractor has informed me that they have fewer than two compliance determinations with a finding f guilty in the preceding two years. �o Dent is overly For the above project, the projectrhegfol rem reason(s). burdensome Please attach additionallpages if necessary. from the project manage requirement for I understand that use of a Project Manager is an effective means of ensuring the project is properly conducted in compliance with applicable regulations. ng the waiver t of MY I, the undersigned, hereby certify hatthe for eprojectmanager be waived tements lfor the duration roftth s asbestorue to the s abatement knowledge and request that the requirement project. -16JA hiC,lG Signature Building Owner or Legal Agent (print name) G - LE&AL A(,0 -4 i Title The foregoing instrument was acknowledged before me this (month/daytyear) 3 Za My commission expires (month/day/year) k11CQ- ?'l f1U� 2— Witness my hand and official seal. /gd'VWbCr Iq 26111 r Notary Public (sign) Rev. 3103, J.Wsbestos end lead tlrut5\ASWst0s Forms tlPgQd btenW' Scanned with CamScanner E COLORADO ASBESTOS INSPECTIONS rcommerc�al Limited Asbestos Inspection Report 11700 W 46th Ave Wheat Ridge, CO 80033 Report Date: 10/28/19 Prepared For: Zo 2'0'0O zZ Natural Construction Sean Illnicki sean@naturalconstruction.net 303-901-0977 Prepared by: Colorado Asbestos Inspections 303 S Broadway, Unit 200-209 Denver, CO 80209 info@coasbestest.com 303-246-4587 Table of Contents 1.1 Project Summary 1.2 Homogenous Areas in Work Scope 1.3 Photo Log of ACM and/or Trace Materials (if identified) 1.4 Summary of Asbestos Samples Section 2 Recommendations Section 3 Project Overview Section 4 4.1 Asbestos Containing Materials (ACM) 4.2 Suspect Asbestos Containing Materials 4.3 General Comments Conclusion Appendix A: Drawing(s) B: Certifications C: Laboratory Report and Chain of Custody Form Section 1 1.1 Project summary Location/ Textured walls, joint compounds, tile grouts, insulation and roofing material. components inspected: Client: Natural Construction Inspector: James Durgee Consulting Firm # 19102 Inspector Cert # 16040 Inspection Date: 10/23/19 Scope: Partial renovation Building Single family residence Description: Date(s) of 1968 Laboratory: Reservoirs Environmental construction: NVLAP # 101896-0 1.2 Homogenous Areas in Work Scope Homogenous Areas in Work Scope Class= Material Classification: S=Surfacing Material, M=Miscellaneous, T=TSI 'Quantities are estimates only and should not be used for bidding Group Class Material Location(s) Quantity Samples 1 S Blue/grey/white swirl texture, drywall Living room, hall, bedrooms, walls and F 3500 7 ceilings (majority texture) 2 M Composite drywall Joint compound areas- swirl texture j 200 2 3 S Blue thick texture, drywall kitchen, dining room walls and ceiling 200 3 j 4 S Blue knockdown texture, drywall Hall bathroom walls and ceiling 200 3 5 i M Composite drywall Joint compound areas -hall bath 100 2 6 S Blue knockdown texture, drywall Laundry room and laundry bath walls 400 3 and ceiling 7 M Composite drywall Joint compound areas -laundry room 100 2 and laundry bath 8 S White smooth texture, drywall Mechanical room and hall closet walls 200 3 9 M Grey tile adhesive Hall bath flooring 100 2 I 10 M Grey blown insulation Attic space insulation 600 2 11 M Black rolled roofing Roof over back patio I 200 2 1.3 Photo Log of ACM and/or Trace Materials (if identified) Swirl textured walls and ceilings contain up to 2% Kitchen walls contain up to 2% chrysotile in the texture. chrysotile in the texture and joint compounds. Hall bathroom walls contain up to 3% chrysotile in the texture and joint compounds. Mechanical closet and hall closet walls contain up to 0.50% chrysotile in the texturing compounds (trace asbestos). 1.4 Summary of Asbestos Samples Bulk Sample and Locations Table Group Sample ID Sample Locations Condition Friable Result 1 SMW 1-1 Living room W wall, middle G Yes None detected 1 SMW 1-2 Living room closet E wall, middle G Yes None detected 1 SMW 1-3 Hall S wall, 4'E of W end G Yes None detected 1 SMW 1-4 SE bedroom N wall, middle G Yes None detected 1 SMW 1-5 S middle bedroom N wall, middle G Yes None detected 1 SMW 1-6 S middle bedroom S wall, middle G Yes 2% Chrysotile 1 SMW 1-7 W middle room 'W wall, middle G Yes 2% Chrysotile 2 CDW 1-1 Living room NW corner G NF1 0.21% Chrysotile (composited) 2 CDW 1-2 SE bedroom NE corner G NF1 0.22% Chrysotile (composited) 3 SMW 2-1 Kitchen/dining S wall, W end G Yes 2% Chrysotile 3 SMW 2-2 Kitchen/dining S wall, middle G Yes 2% Chrysotile 3 SMW 2-3 Kitchen/dining S wall, E end G Yes 2% Chrysotile 4 SMW 3-1 Hall bathroom E wall, middle G Yes 2% Chrysotile 4 SMW 3-2 Hall bathroom S wall above vent G Yes Trace: 0.75% Chrysotile 4 SMW 3-3 Hall bathroom W wall by door G Yes 3% Chrysotile 5 CDW 3-1 Hall bathroom SE corner G NF1 0.09% Chrysotile (composited) 5 CDW 3-2 Hall bathroom SW corner G NF 1 0.13% Chrysotile (composited) 6 SMW 4-1 Laundry room E wall by outlet G Yes None detected 6 SMW 4-2 Laundry room S wall, middle G Yes None detected 6 SMW 4-3 Laundry bath N wall, middle G Yes None detected 7 CDW 4-1 Laundry room . S middle corner G NF1 0.50% Chrysotile (composited) 7 CDW 4-2 Laundry bath SE corner G NF 1 0.50% Chrysotile (composited) 8 SMW 5-1 Hall closet N wall, middle G NF 2 None detected 8 j SMW 5-2 Mechanical closet S wall, E end G NF 2 Trace: 0.50% Chrysotile 8 SMW 5-3 Mechanical closet N wall, E end G NF 2 Trace: 0.50% Chrysotile 9 TG 1-1 Hall bathroom Floor at door, N end G NF 2 None detected 9 TG 1-2 Hall bathroom Floor at door, S end G NF 2 None detected 10 INS 1-1 Attic space At access G Yes None detected 10 INS 1-2 Attic space 5' N of access G Yes None detected 11 RM 1-1 Roof over back patio SE corner G NF 1 None detected 11 RM 1-2 Roof over back patio 10'W of SE end G NF1 None detected Condition: SD= Significantly Damaged, D= Damaged, G=Good Friable: NF1= Category 1 Non -Friable, NF2= Category 2 Non Friable If any samples in the same sample "Group" number contain asbestos, then all samples in the same sample group must be considered as asbestos containing. Section 2 2.1 Recommendations The following materials contain asbestos: Blue/grey/white swirl texture, drywall -Living room, hall, bedrooms, walls and ceilings (majority texture) Composite drywall -Joint compound areas- swirl texture Blue thick texture, drywall -kitchen, dining room walls and ceiling Blue knockdown texture, drywall -Hall bathroom walls and ceiling Composite drywall -Joint compound areas -hall bath White smooth texture, drywall -Mechanical room and hall closet walls (trace asbestos) Based on the laboratory analytical results, the above identified asbestos containing materials should be removed by a Colorado State Certified General Abatement Contractor prior to conducting any removal or demolition activities associated with these materials over the trigger levels (32 sq. feet or 50 linear feet or the equivalent to a 55 gallon drum, for residential properties and 160 square ft, 260 linear feet for commercial properties). All work associated with these materials must be performed in accordance with all State and Federal regulations. Trace Asbestos: Materials with less than 1 % asbestos content (analyzed by point count analysis) are not regulated by the state of Colorado and may be discarded as regular construction debris. OSHA regulations for worker protection/ safety apply. Although not regulated by the state, a state certified asbestos abatement company may be considered. As per AHERA, a material is to be considered as asbestos containing unless it is proven otherwise by appropriate sampling. Please work safely and if you encounter any other suspect building materials not listed in this report, please contact Colorado Asbestos Inspections for additional sampling. Section 3 Project Overview Colorado Asbestos Inspections was contracted by the client to perform a limited asbestos inspection at the previously referenced address. This asbestos inspection was conducted by a Colorado State Certified Asbestos Building Inspector. The client is planning remodeling activities of the inspected areas in the property at the above mentioned address. Colorado Regulation #8 requires that all suspect Asbestos Containing Building Materials (ACBM) be properly sampled and analyzed prior to conducting any repair or renovation activities over the established trigger levels (32 sq. feet or 50 linear feet or the equivalent to a 55 gallon drum, for residential properties and 160 square ft, 260 linear feet for commercial properties). The purpose of this inspection was to identify and sample all suspect ACBM that may be disturbed during the course of the repair/renovation work. Section 4 Asbestos Inspection This asbestos inspection was conducted according to the United States Environmental Protection Agency (EPA) procedures published in 40 Code of Federal Regulations (CFR) Part 763, Subpart E — Asbestos -containing Materials in Schools and Colorado Regulation 8. These inspection protocols specify requirements for the inspector (Section 763.85), laboratory (Section 763.87), and number of samples collected during an inspection (Section 763.86). This inspection involved identification and sampling of suspect ACBM in the areas to be repaired or renovated. Suspect ACBM includes nearly all building materials except glass, metal, wood and ceramic. Bulk samples of suspect ACBM were collected in general conformance with AHERA protocols as outlined in Colorado Regulation 8. Random samples of suspect building materials were collected throughout each homogeneous area (see appendix A). Samples were placed in sealable containers and labeled with unique sample numbers using an indelible marker. 4.1 Asbestos Containing Materials Asbestos Containing Materials (ACM) contain asbestos in concentrations greater than 1 percent, (> 1 % asbestos) as confirmed by an accredited laboratory. ACM is categorized as Non -friable or Friable asbestos. Non -friable asbestos is any material that cannot be crumbled, pulverized or reduced to a powder by hand pressure when dry. Friable asbestos can be crumbled, pulverized, or reduced to a powder by hand pressure when dry. Sample(s) were submitted under chain of custody procedures to an accredited laboratory for analysis by polarized light microscopy with dispersion staining techniques per EPA methodology (40 CFR 763, Subpart F). Microscopic visual estimation was used in obtaining the percentage of asbestos in bulk samples. The laboratory is accredited under the National Voluntary Laboratory Accreditation Program NVLAP. See appendix A for sample and laboratory summary and appendix C for laboratory report and chain of custody documents. 4.2 Suspect Asbestos Containing Materials Suspect ACBM are building materials historically known to contain asbestos and therefore suspected to contain asbestos. The EPA and the Occupational Safety and Health Administration (OSHA) maintain comprehensive lists of suspect ACBM frequently encountered during inspections. 4.3 General Comments This asbestos inspection was conducted in a manner consistent with the level of care and skill ordinarily exercised by members of the profession currently practicing under similar conditions in the same locale. The results, findings, conclusions and recommendations expressed in this report are based on conditions observed during our limited inspection of the areas in question. The information contained in this report is relevant to the date on which this survey was performed, and should not be relied upon to represent conditions at a later date. This report has been prepared on behalf of and exclusively for use by the client for specific application to the project as discussed. Contractors or consultants reviewing this report must draw their own conclusions regarding further investigation or remediation deemed necessary. Colorado Asbestos Inspections does not warrant the work of regulatory agencies, laboratories or other third parties supplying information that may have been used in the preparation of this report. No warranty, express or implied is made. 4.4 Conclusion Colorado Asbestos Inspections has performed a limited asbestos inspection of the property previously referenced. Through laboratory analysis of bulk samples, Colorado Asbestos Inspections recommends hiring a certified asbestos abatement contractor only if asbestos containing materials were identified, as determined by laboratory testing and in Sections 1 & 2 of this report. Any work associated with any asbestos containing materials must be performed in accordance with all State and Federal Regulations. Reasonable effort was made by Colorado Asbestos Inspections to locate and sample accessible suspect building materials. However, for any structure, the existence of unique or concealed asbestos containing materials is a strong possibility. Colorado Asbestos Inspections only collected PLM bulk samples in the property's repair/renovation areas at the direction of the client. This limited asbestos inspection report is not considered a comprehensive asbestos inspection report. Respectfully Submitted, James Durgee Colorado State Certified Building Inspector: 16040 Consulting Firm: 19102 Colorado Asbestos Inspections, LLC. 303 S Broadway, Suite 200-209 Denver CO. 80209 Tel (303) 246 4587 info@coasbestest.com Appendix A: Drawing (Not to scale) SMW 3-1, 3-2, 3-3, SMW 1-4, CDW 1-2 CDW 3-1, 3-2, TG 1-1,1-2 SMW 1-6 MW 5-2, 5-3 1 RM 1-1 SMW 2-1, 2-2, 2-3 RM 1-2 SMW 5-1 CDWi1-11smW 1-2 1-1 SMW 1-3 SMW 4-2, CDW SMW1-5 14-1 ISMW 1-7 1 SMW 4-1 ySMW 4-3, CDW 4-2 Appendix B: Certifications �/JIpY,ldn lJepataplelli of Public Health and Emimnuscllt ASBESTOS C.ERTI [+ICATTON* Chis ctttifiea that James D. Dulgee Cvrtifleatioa Nu.: 16040 has r..et the requirements of 35 -?-50', e7.R.S. alwl .Ai i Qualily Cr�tmt C'mMi=sion L egtOlion No- 5, Pun B. and is heron, cett&od by Ikn +tate of Csolortctu in the fol llowirrg diuiplilx: Building Inspector* issued; lkrembcr W. 111119 Espfres: 13—enter 07. 21119 -���rYVY sir' it. � ,.: .tri44n41 CHCTraining Nationwide Training& Certification Experts nrSM■r■I,sww WAININe4 Mla1SO[rt VM,YYrYMrna ISF1CrRY Calsa0p5uYg0.arr14ffiI I CERTIFICATE OF 1 1taM ICiI 4�4T JAES MURGEE In recognition of satisfactory completion of the ECM -approved annual asbestos refresher training course under section 206 of the Toxic Substance Control Act (TSCA), Tide II entitled: BUILDING INSPECTOR COARSE DATE: OCMOER 9.2019 F.XpIRATxw DATE OCfOeER9.2020 CWPsa HMRS 4A Jf 0 � � ® uo..,+was•Av�� r.s �r Ocresmrwl m. �.� cRcTrkftcntW—m c. 91 0, ■ ussam R19 -01344 -co Reservoirs Environmental, Inc. Effective April 2, 2018 Reservoirs Environmental QA Manual Q:%QAQC\Lab\Reservoirs Environmental QA Manual.doc R-� Environmental Inc. T Reservoir October 27, 2019 Jim Durgee Colorado Asbestos Inspections 303 S. Broadway Suite 200-209 Denver CO 80209 Dear Customer, Subcontract Number: NA Laboratory Report: RES 447962-2 Project # / P.O. # 191023-1 Project Description: 11700 W 46th Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code 101896-0 for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the American Industrial Hygiene Association (AIHA), Lab ID 101533 - Accreditation Certificate #480 for Phase Contrast Microscopy (PCM) analysis. This laboratory is currently proficient in both Proficiency Testing and PAT programs respectively. Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request. The analysis has been completed in general accordance with the appropriate methodology as stated in the attached analysis table. The results have been submitted to your office. RES 447962-2 is the job number assigned to this study. This report is considered highly confidential and the sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with personnel other than those of the client. The results described in this report only apply to the samples analyzed. This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the U.S. Government. This report shall not be reproduced except in full, without written approval from Reservoirs Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested. If you have any questions about this report, please feel free to call 303-964-1986. Sincerely, Jeanne Spencer President P:303-964-1986 F:303-477-4275 5801 Logan Street, Suite 100 Denver, CO 80216 Page 1 of 1 1-866-RESI-ENV www.reilab.com nc. !A Manual RESERVOIRS ENVIRONMENTAL INC. NVLAP Lab Code 101896-0 ULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME Q:\QAQC\LAB\Reservoirs Envii ND=None Detec TR=Trace, <1 % Trem/Act=Tremc RES 447962-2 Asbestos Content Mineral Visual Estimate Colorado Asbestos Inspections iber / P.O.: 191023-1 :ription: 11700 W 46th ;eived: October 23, 2019 ND EPA 600/R-93/116 - Point Count, Bulk Rush lyzed: October 24, 2019 Q:\QAQC\LAB\Reservoirs Envii ND=None Detec TR=Trace, <1 % Trem/Act=Tremc mmended for organically bound material (i.e. floor tile) if PLM results are <1 %. pe and wallboard layers are used in the calculation of a composite result. 5801 Logan Street, Suite 100, Denver, CO 80216 Page 1 of 8 L A Sub Y Physical Part E Description Asbestos Content Mineral Visual Estimate Nc Asbestl Fibrou Componen A Off white/tan drywall w/ gray/multi-colored paint 100 ND 1 A Off white/tan drywall w/ gray/multi-colored paint 100 ND 1 A Off white/tan drywall w/ gray/multi-colored paint 100 ND 1 A Off white/tan drywall w/ gray/multi-colored paint 100 ND 1 A Off white/tan drywall w/ gray/multi-colored paint 100 ND 1 A Gray/multi-colored paint 4 ND B White compound 4 Chrvsotile 2 C Off white/tan drywall 92 ND 1 A White compound 4 Chrysotile 2 B Gray/multi-colored paint 4 ND C Off white/tan drywall 92 ND 1 mmended for organically bound material (i.e. floor tile) if PLM results are <1 %. pe and wallboard layers are used in the calculation of a composite result. 5801 Logan Street, Suite 100, Denver, CO 80216 Page 1 of 8 nc. IA Manual RESERVOIRS ENVIRONMENTAL INC. NVLAP Lab Code 101896-0 ULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES 447962-2 Q:\QAQC\LAB\Reservoirs Envii ND=None Detec TR=Trace, <1% Trem/Act=Trem< Colorado Asbestos Inspections Iber / P.O.: 191023-1 :ription: 11700 W 46th :eived: October 23, 2019 EPA 600/R-93/116 - Point Count, Bulk ND Rush Ilyzed: October 24, 2019 Q:\QAQC\LAB\Reservoirs Envii ND=None Detec TR=Trace, <1% Trem/Act=Trem< ,mmended for organically bound material (i.e. floor tile) if PLM results are <1 %. ipe and wallboard layers are used in the calculation of a composite result. 5801 Logan Street, Suite 100, Denver, CO 80216 Page 2 of 8 L A Sub Y Physical Part E Description Asbestos Content Mineral Visual Estimate Nc Asbesti Fibrou Componen A White joint compound 2 Chrysotile 2 B Off white tape 2 ND 9 C Gray/multi-colored paint 4 ND D White compound 8 Chrysotile 2 E Off white/tan drywall 84 ND 1 Composite 0.21 A Gray/multi-colored paint 2 ND B Off white tape 3 ND 9 C White joint compound 3 Chrysotile 2 D White compound 8 Chrysotile 2 E Off white/tan drywall 84 ND 1 Composite 0.22 ,mmended for organically bound material (i.e. floor tile) if PLM results are <1 %. ipe and wallboard layers are used in the calculation of a composite result. 5801 Logan Street, Suite 100, Denver, CO 80216 Page 2 of 8 nc. IA Manual RESERVOIRS ENVIRONMENTAL INC. NVLAP Lab Code 101896-0 ULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME Q:\QAQC\LAB\Reservoirs Envit ND=None Detec TR=Trace, <1% Trem/Act=Tremc RES 447962-2 Asbestos Content Mineral Visual Estimate Colorado Asbestos Inspections Iber / P.O.: 191023-1 ;ription: 11700 W 46th :eived: October 23, 2019 Chrysotile 2 EPA 600/R-93/116 - Point Count, Bulk Rush lyzed: October 24, 2019 Q:\QAQC\LAB\Reservoirs Envit ND=None Detec TR=Trace, <1% Trem/Act=Tremc mmended for organically bound material (i.e. floor tile) if PLM results are <1 %. pe and wallboard layers are used in the calculation of a composite result. 5801 Logan Street, Suite 100, Denver, CO 80216 Page 3 of 8 L A Sub Y Physical Part E Description Asbestos Content Mineral Visual Estimate Nc Asbestt Fibrou Componen A White/multi-colored paint 2 ND B White compound 6 Chrysotile 2 C White compound w/ gray paint 10 ND D Off white/tan drywall 82 ND 1 A Gray/multi-colored paint 2 ND B White compound 3 Chrysotile 2 C White compound w/ gray paint 10 ND D Off white/tan drywall 85 ND 1 A Off white compound 2 Chrysotile 2 B Off white/multi-colored paint 3 ND C White compound w/ gray paint 5 ND D Off white/tan drywall 90 ND 1 mmended for organically bound material (i.e. floor tile) if PLM results are <1 %. pe and wallboard layers are used in the calculation of a composite result. 5801 Logan Street, Suite 100, Denver, CO 80216 Page 3 of 8 ne. 1A Manual RESERVOIRS ENVIRONMENTAL INC. NVLAP Lab Code 101896-0 ULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME Q:\QAQC\LAB\Reservoirs Envii ND=None Detec TR=Trace, <1% Trem/Act=Trem< RES 447962-2 Asbestos Content Mineral Visual Estimate Colorado Asbestos Inspections iber / P.O.: 191023-1 -ription: 11700 W 46th :eived: October 23, 2019 ND EPA 600/11-93/116 - Point Count, Bulk Rush ilyzed: October 24, 2019 Q:\QAQC\LAB\Reservoirs Envii ND=None Detec TR=Trace, <1% Trem/Act=Trem< immended for organically bound material (i.e. floor tile) if PLM results are <1 %. ipe and wallboard layers are used in the calculation of a composite result. 5801 Logan Street, Suite 100, Denver, CO 80216 Page 4 of 8 L A Sub Y Physical Part E Description Asbestos Content Mineral Visual Estimate Nc Asbesti Fibron Componen A Off white compound 1 Chrysotile 2 B Off white/multi-colored paint 6 ND C White compound w/ gray paint 9 ND D Off white/tan drywall 84 ND 1 A Off white compound 2 Chrysotile TR Point Count 0.75 B Off white/multi-colored paint 6 ND C White compound w/ gray paint 8 ND D Off white/tan drywall 84 ND 1 A White compound w/ gray paint 2 ND B Off white/multi-colored paint 3 ND C Off white compound 5 Chrysotile 3 D Off white/tan drywall 90 ND 1 immended for organically bound material (i.e. floor tile) if PLM results are <1 %. ipe and wallboard layers are used in the calculation of a composite result. 5801 Logan Street, Suite 100, Denver, CO 80216 Page 4 of 8 nc. lA Manual RESERVOIRS ENVIRONMENTAL INC. NVLAP Lab Code 101896-0 ULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES 447962-2 Q:\QAQC\LAB\Reservoirs Envii ND=None Detec TR=Trace, <1 % Trem/Act=Tremc Colorado Asbestos Inspections Iber / P.O.: 191023-1 ;ription: 11700 W 46th :eived: October 23, 2019 EPA 600/R-93/116 - Point Count, Bulk Chrysotile 2 Rush Ilyzed: October 24, 2019 Q:\QAQC\LAB\Reservoirs Envii ND=None Detec TR=Trace, <1 % Trem/Act=Tremc mmended for organically bound material (i.e. floor tile) if PLM results are <1 %. pe and wallboard layers are used in the calculation of a composite result. 5801 Logan Street, Suite 100, Denver, CO 80216 Page 5 of 8 L A Sub Y Physical Part E Description Asbestos Content Mineral Visual Estimate Nc Asbestl Fibrou Componen A Off white compound 2 Chrysotile 2 B Off white joint compound 2 Chrysotile 2 C Off white/multi-colored paint 3 ND D White tape 3 ND 9 E White compound w/ gray paint 9 ND F Off white/tan drywall 81 ND 1 Composite 0.09 A Off white joint compound TR Chrysotile 3 B Off white/multi-colored paint 2 ND C Off white compound 3 Chrysotile 3 D White tape 3 ND 9 E White compound w/ gray paint 7 ND F Off white/tan drywall 85 ND 1 Composite 0.13 mmended for organically bound material (i.e. floor tile) if PLM results are <1 %. pe and wallboard layers are used in the calculation of a composite result. 5801 Logan Street, Suite 100, Denver, CO 80216 Page 5 of 8 nc. 1A Manual RESERVOIRS ENVIRONMENTAL INC. NVLAP Lab Code 101896-0 ULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES 447962-2 Q:\QAQC\LAB\Reservoirs Envii ND=None Detec TR=Trace, <1 % Trem/Act=Tremc Colorado Asbestos Inspections iber / P.O.: 191023-1 :ription: 11700 W 46th :eived: October 23, 2019 EPA 600/R-93/116 - Point Count, Bulk ND Rush llyzed: October 24, 2019 Q:\QAQC\LAB\Reservoirs Envii ND=None Detec TR=Trace, <1 % Trem/Act=Tremc immended for organically bound material (i.e. floor tile) if PLM results are <1 %. !pe and wallboard layers are used in the calculation of a composite result. 5801 Logan Street, Suite 100, Denver, CO 80216 Page 6 of 8 L A Sub Y Physical Part E Description R (%) Asbestos Content Mineral Visual Estimate (%) Nc Asbestt Fibrou Componen (c A Off white paint w/ white compound 5 ND B White compound w/ gray paint 13 ND C Light pink/tan drywall 82 ND 1 A White compound w/ off white paint 5 ND B White compound w/ gray paint 15 ND C Light pink/tan drywall 80 ND 2 A White texture w/ gray paint 11 ND B Light gray/tan drywall 89 ND 2 A White fibrous woven material 1 ND 9 B White compound w/ gray paint 8 ND C Off white/tan drywall 91 ND 1 A White fibrous woven material 1 ND 9 B White compound w/ gray paint 7 ND C Light gray/tan drywall 92 ND 1 immended for organically bound material (i.e. floor tile) if PLM results are <1 %. !pe and wallboard layers are used in the calculation of a composite result. 5801 Logan Street, Suite 100, Denver, CO 80216 Page 6 of 8 nc. !A Manual RESERVOIRS ENVIRONMENTAL INC. NVLAP Lab Code 101896-0 ULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME QIQAQC\LAB\Reservoirs Envit ND=None Detec TR=Trace, <1 % Trem/Act=Tremc RES 447962-2 Asbestos Content Mineral Visual Estimate Colorado Asbestos Inspections ber / P.O.: 191023-1 ;ription: 11700 W 46th eived: October 23, 2019 ND EPA 600/R-93/116 - Point Count, Bulk Rush lyzed: October 24, 2019 QIQAQC\LAB\Reservoirs Envit ND=None Detec TR=Trace, <1 % Trem/Act=Tremc ,emended for organically bound material (i.e. floor tile) if PLM results are <1 %. pe and wallboard layers are used in the calculation of a composite result. 5801 Logan Street, Suite 100, Denver, CO 80216 Page 7 of 8 L A Sub Y Physical Part E Description R Asbestos Content Mineral Visual Estimate Nc Asbestl Fibrou Componen A Off white/tan drywall w/ gray/multi-colored paint 100 ND 1 A White paint 2 ND B Off white compound 3 Chrysotile TR Point Count 0.50 C Off white/tan drywall 95 ND 1 A Off white compound 2 Chrysotile TR Point Count 0.50 B White/multi-colored paint 3 ND C Off white/tan drywall 95 ND 1 A Gray grout 100 ND A Gray grout 100 ND A Gray insulation 100 ND 9 A Gray insulation 100 ND 9 A Black shingle w/ black tar 100 ND 2 ,emended for organically bound material (i.e. floor tile) if PLM results are <1 %. pe and wallboard layers are used in the calculation of a composite result. 5801 Logan Street, Suite 100, Denver, CO 80216 Page 7 of 8 nc. !A Manual RESERVOIRS ENVIRONMENTAL INC. NVLAP Lab Code 101896-0 ULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME Q:\QAQC\LAB\Reservoirs Envii ND=None Detec TR=Trace, <1 % Trem/Act=Tremc RES 447962-2 Asbestos Content Colorado Asbestos Inspections iber / P.O.: 191023-1 :ription: 11700 W 46th :eived: October 23, 2019 Mineral Visual EPA 600/R-93/116 - Point Count, Bulk Rush Ilyzed: October 24, 2019 Q:\QAQC\LAB\Reservoirs Envii ND=None Detec TR=Trace, <1 % Trem/Act=Tremc immended for organically bound material (i.e. floor tile) if PLM results are <1 %. 1pe and wallboard layers are used in the calculation of a composite result. A-4 �Jw.1 Daniel Erhard Analyst 5801 Logan Street, Suite 100, Denver, CO 80216 Page 8 of 8 ole Landon Spells Analyst Tyler Data QA L Asbestos Content Nc A Sub Asbestl Y Physical Part Mineral Visual Fibrou E Description Estimate Componen A Black shingle w/ black tar 100 ND 2 immended for organically bound material (i.e. floor tile) if PLM results are <1 %. 1pe and wallboard layers are used in the calculation of a composite result. A-4 �Jw.1 Daniel Erhard Analyst 5801 Logan Street, Suite 100, Denver, CO 80216 Page 8 of 8 ole Landon Spells Analyst Tyler Data QA 03 S. Broa Denver. CO F+.'� R�sarviirs Enrviror-4mernta/ /r>rc_ 5601 Logan 31 over. CO 60216 • Ph: 303964-1986 • Fax 303-4774275 •Tot Free '868 REST -ENV After Haws Cell Phone: 720338.8228 INVOICE TO: OF DIFFERENT) CONTACT INFORMATION: RES Job # Page 1 riurnAoiim(n)nmai1 rnm LABORATORY HOURS: Weekda Tam - 7prn REQUESTED ANALYSIS VALID MATRIX CODES rEM RUSH (Same Day) IORITY (Ne)a Day) ,STANDARD (Rush PCM - 2hr, TEM = 8hr.) _ o 9 o g r o = o � .T }sem; it ae -C , ylcrtoewt 6 ooY if nal T Ak - A Bulk - a Dust - D Sou- S Paint - P Wipe - W F = Food waste water = Ww Y LABORATORY HOURS: Week : Sam - Spm tt _ RUSH _ 24 hr. _3S Day "•Prior twdecatbn h ars 3 wetdht �� 9 _ RUSH _ 5 day _10 day rewired br RUSH turnarounds." _ 24 tv. _ 3 day _„_b Day Swab - SW +doe weMr = O =Other ..ASTM E1792 appmved wipe media any" — _OCiY LABORATORY HOURS: W Sam - 6pM d a Date MM*ww Time � li 17, Coliforms, S.sureus _ 24 hr. _2 Day _3-6 Day Jsteda, Econ, APC, Y & M —48 Hr. _ RUSH 24 Hr 48 Hr _3 Day 5 Day J. .�,,, Actions:'11/Y+/�l AL / CY1 1 Inumber Sanple ID's must be ) D �/ i♦' l OG..+t DGS' !-Y L nples received: —�T / (Additional samples shall be listed or ettactted bop form.) A volyxe tnwoaft samples based upon b,brnaft n rectus, end sM not bo reeponWW rarwmm w amtsabra I ciaatiorY eas Ow awn to xmcaraay d atoW doe- By soft Wr,twropoey sepramuffm mWees "MI s kmisdm of Me Mewing MR ,bard on Wa Ctrin of CumdY an wAVew serums aeuunw wah paY--M Yana d NET 30 dayk lairs to cempiy vM roti §w" n" nMA Y a t.6Y nand* lobo, su,drvas, Datarrune: Z- 3 ' / Semple Condition: On ice Seek 1 Use On Temp. (Fe) Yes/ No Yes ! Date/fGne: C- Cartier: I I �Q 'IVA -"4 d ontact Phare Email Fax Date Time ittlials lContact Phone Email Fax Date Time onted Phone Ernall Fax Date Time Initials lcww Phone Email Fax Date Tina 7-201 1version 1 Qe�Soan Str�oPA)��• ��� �ronm�ental� lsnc- } ci (.V'� IV Page --a_ of — Colorado Asbestos Inspection: -- S-3 City of �Wheat��� COMMUNE'IY DEVELOPMENT Building & Inspection Services 7500 W. 29' Ave., Wheat Ridge, CO 80033 SQh Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(cDci.wheatridge.co.us FOR OFFICE USE ONLY I Date: I �^ Plan/Permit # Plan Review Fee: % Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 11700 W. 46th AVENUE Property Owner (please print): Mary Ann Fake Phone: Xl O -31S- Z(P SS Property Owner Email: dmrvfake@msn.com Tenant Name (Commercial Projects Only) NA Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Arch itect/Engineer: Studio 646 Architects Arch itect/Eng 1 neer E-mail: smason@646arch.com Contractor Name: Sean llnicki - lJa+ucoJ (rohs+(Uc4'%0t1 ai?�mViL� bI o ow►tpi' I'�Zorl'� Z7 qR[107-V Phone: 303-284-1276 City of Wheat Ridge License #: 2_07_01l9 Phone: 303-901-0977 Contractor E-mail Address: s.ilnicki@comcast.net For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Steve Mason CONTACT EMAIL(please print): smason@646arch.com Phone: 303-284-1276 Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: 52fsa 0&Z-�'�'c I Plumbing: R$5 Ft -o Serv%CeZ LLC Mechanical: SiAPA W.R. City License # t% to-ts W.R. City License # 18 o 16 2 W.R. City License # U Z J, s t� Other City Licensed Sub: City License # Other City Licensed Sub: City License # Complete all highlighted fields. ❑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. This property is currently an attached home and the use will stay the same. There will be a 480 sq. ft. garage addition to the east. The interior of the home will be remodeled with a new layout keeping the kitchen in the same location. The rear of the home is built on a slab on grade and will be modified to have a foundation, crawlspace with wood framing above. A new furnace and duct layout will be part of the scope along with installing a new water heater and plumbing as required. Sq. Ft./LF 480 addition BTUs /001c9�0 �Uawy}Ct Gallons 416 Amps ZC10 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) $ 1601000 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) Signature (first and last name): _ Printed Name: �' t?Ct.Y\ ZONING COMMMENTS: Reviewer: Lr (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) DEPARTMENT USE ONLY fru R�n� 5 BUILDING DEPARTMENT COMMENTS: fiv Reviewer: /-�r /n, PUBLIC WORKS COMMENTS: Reviewer: DATE: !' 7-3- Z.A OCCUPANCY CLASSIFICATION: _R CONSTRUCTION TYPE: _V 00 Building Division Valuation: 1�� 000 ' 2 :gym' .zy_zv 5366 Godding Hollow Pkwy EARTH ENERGY ENVIRONMENT (E3) Longmont, co 80504 Local: 303.902-5851 Industrial Hygiene and Environmental Engineering December 14, 2019 Mr. Ivan Garcia Mile High Environmental Services Inc. 9520 E Jewell Avenue Suite C. Denver, Colorado 80247 Subject: Clearance Report 11700 W 461h Ave Wheat Ridge, CO 80033 Dear Mr. Garcia: Following is the project completion report for the work areas located at 11700 W 46th Ave in Wheat Ridge, CO 80033. The purpose of this report is to document this remediation project was successfully completed, and indoor asbestos amplification was not occurring in the work area. An Industrial Hygienist for Earth Energy Environment (E3) performed the remediation project completion inspection and testing procedures. The remediation work area (Interior Area) was visually inspected in order to confirm the scope of work was properly followed and completed. The containments were also visually inspected to verify breaches and/or defects were not present. Phase Contrast Microscopy (PCM) samples were collected in accordance with the National Institute for Occupational Safety and Health (NIOSH) method 7400 using cassettes (standard 3 piece, 25 mm dia., 0.8 um MCE filter) purchased from Zefon International, Inc. The asbestos concentrations in the containment were calculated as airborne fibers per cubic centimeter of air (F/cc). Table 1 provides a summary of the sample numbers, sample volumes, and calculated concentrations. The National Emission Standards for Hazardous Air Pollutants (NESHAP) clearance standard is 0.01 F/cc. Visual inspection confirmed that no asbestos -containing debris was observed in the work areas. The PCM clearance air sample results were all below the NESHAP clearance standard of 0.01 F/cc. Based on the information presented above, E3 concludes the asbestos abatement in the work area has been successfully completed, and the work area may be reoccupied after build back. ®� City of Wheat Ridge Residential Roofing PERMIT - 201706918 PERMIT NO: 201706918 ISSUED: 09/04/2017 JOB ADDRESS: 11700 W 46th AVE EXPIRES: 09/04/2018 JOB DESCRIPTION: Residential re -roof to install GAF Timberline HD asphalt shingles & Modified Bitumen with 45.98 sq. Pitch = 5/12 *** CONTACTS *** OWNER (720)201-1440 QUINTANA JOHN SUB (303)732-6625 Dennis Benoit 100219 Allegiant Roofing & Restoratio *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 18,851.82 FEES Total Valuation 0.00 Use Tax 395.89 Permit Fee 346.95 ** TOTAL ** 742.84 ** 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) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. Zo(7DAS 11700 V INSPECTION RECORD Occupancy/Type INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection �� r INSPECTION REQUEST LINE: (303) 234-5933 S Cancellations must be submitted via the online form before 8 a.m. the day of the inspection /l 2 Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Comments Pier Wall Sheathing Concrete Encased Ground (CEG) Sewer Service Foundation / P.E. Letter Mid -Roof Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Wall Sheathing Sewer Service 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. Mid -Roof Plumbing Floodplain Inspection (if applicable) Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing 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. Mid -Roof Floodplain Inspection (if applicable) Lath / Wall Tie Fire Inspection / Fire Protection Dist. Rough Electric Final Electrical Rough Plumbing/Gas Line Final Plumbing Rough Mechanical Final Mechanical Rough Framing Roof 1 Rough Grading Final Window/Doors Insulation Final Building Drywall Screw / Nail 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. 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 1 Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. 'For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather t-ity of Wheat Ridge Residential Electric PERMIT - 201704762 PERMIT NO: 201704762 ISSUED: 07/25/2017 JOB ADDRESS: 11700 W 46th AVE EXPIRES: 07/25/2018 JOB DESCRIPTION: Electrical service upgrade 200 amps *** CONTACTS *** OWNER (720)201-1440 QUINTANA JOHN SUB (303)927-9682 Grant Llafet 120020 Grant's Electric LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,250.00 FEES Total Valuation 0.00 Use Tax 47.25 Permit Fee 93.35 ** TOTAL ** 140.60 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection. 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 le 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 I, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Buildin Official and may be subject to a tee equal to one-half of the original permit fee. g 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 Offial 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 Division. and Inspection Services 6. The issuance orgting 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 a y ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Via._ Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. V)#VL?.-4 NS TION RECORD® INSPECTION ONLINE FORM: http,//www.ci.wheatridge.co.us/inspection 1JG2( INSPECTION REQUEST LINE: (303) 234-5933 Occu -)ancy/Type 126L, Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector CommentsInitials Pier Concrete Encased Ground (CEG) Cnii A.finn / P P I aff-r Do Not Pour Concrete Prior 10 Approvai UT i ne HDove I1I5pVULIVIIt, Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing . �►_____ I I�J_ .......I 13..1...../Ir._421h Wr%rk Prinr Tn onnrnvg1 UT 1 np- AnOve insDecuutib V V I\ V L V V Y G I V I I M 4 1 I V w • Rough Inspections Wall Sheathing Date ------ Inspector - ---- - CommentsInitials 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 CommentsInitials 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 "� �' U , Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. For low voltage permns — "ease oe 5ure uiaL [Uuy1 iiiaiJUULUiia - -11V by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather �. A ,r City of Wheat Ridge Residential Roofing PERMIT - 201706918 PERMIT NO: 201706918 ISSUED: 09/04/2017 JOB ADDRESS: 11700 W 46th AVE EXPIRES: 09/04/2018 JOB DESCRIPTION: Residential re -roof to install GAF Timberline HD asphalt shingles & Modified Bitumen with 45.98 sq. Pitch = 5/12 *** CONTACTS *** OWNER (720)201-1440 QUINTANA JOHN SUB (303)732-6625 Dennis Benoit 100219 Allegiant Roofing & Restoratio *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 18,851.82 FEES ,Vf)k Total Valuation 0.00'$ Use Tax 395.89 Permit Fee 346.95 ** TOTAL ** 742.84 *** 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) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. City of Wheat Ridge Residential Roofing PERMIT - 201706918 PERMIT N0: 201706918 ISSUED: 09/04/2017 JOB ADDRESS: 11700 W 46th AVE EXPIRES: 09/04/2018 JOB DESCRIPTION: Residential re -roof to install GAF Timberline HD asphalt shingles & Modified Bitumen with 45.98 sq. Pitch = 5/12 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 al[ entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a.pt shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance o regulation jurisdiccti . Approval of work is subject to field inspection. 0 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ALLEGIANT ROOFING AND RESTORATION 6148 Vivian Ct. Arvada, Co 80004-4137 Phone (303) 732-6625 Fax (720) 335-6073 www.allegiantroofing.com CONTRACT SCOPE OF SERVICE (PART B) CONSENT FOR REPRESENTATION / SELECTION OF MATERIALS Property Owner/Home Owner (H/O) Name: c� Job Property Address: 11700 W City: H/O Phone Number:v 241 1 -1Yy(2 Work: ( ) - Cell: (_� - Email: State: 6`© Zip: Allegiant Roofing and Restoration agrees to install the following material selected by the Property Owner/Representative as authorized by its insurance company to complete authorized repairs resulting from and insurable loss. The Property Owner/Authorized Representative selects the following materials and directs Allegiant Roofing and Restoration to furnish this material and its labor in a good workmanlike manner according to standard practice in the industry. Any alterations, modifications, changes or additions must be in writing and agreed to between the parties as evidenced by their signatures. Allegiant Roofing and Restoration is not responsible for damage caused by improper original construction including faulty framing, masonry bracing, and/or roof decks. Allegiant Roofing and Restoration is not responsible for existing damaged or weathered siding or paint and sheet rock damage due to vibration. Allegiant Roofing and Restoration is not responsible for damaged electrical, cable, A/C, or plumbing lines which are installed within 6 inches of the roof line. It is the property owner's responsibility to notify Allegiant Roofing and Restoration of any deed restrictions/mortgage delinquency/HOA requirements. h% %Approximate Project Start Date: �� Project End Date: 1 tri off all la�stin roofing material Clean and haul debris Sidewall flashing, 6 nails per shingle 1/4" Galvanized TO INCLUDE: Pull permit, Strip y g g g> p g Nails per Shingle), Chimney (re -flash, caulk, and paint), Standard Ridge and Material Selectin as follows: SHINGLE BRAND: &A(' COLOR: IS LB FELT BASE SHEET VALLEY: ose Open MATERIAL: 2x2 INCH DRIP EDGE COLOR: Brown / Black / Gray /<a Almond PIPE JACKS: # 1-3" # 4" # 5" TURTLE VENTS: i, # Replace # Re -use COLOR: Brown / Black / Gray / Galvanized OTHER: DEDUCTIBLE: (If deductible is more than stated by Property Owner, then Proy7 Owner agrees to pay the difference.) CSA YOUR TOTAL OUT OF POCKET EXPENSE FOR INSURANCE CLAIMS: $ 1000 In addition to current insurance proceeds $ '951) SO Supplements being billed and approved by insurance, and O&P If paying by Credit Card, there will be a 3.75% surcharge for processing the transaction. I understand that if I fail to pay Allegiant Roofing and Restoration any amounts due under this contract within seven (7) days from the date of construction, then Allegiant Roofing and Restoration may declare the entire unpaid balance to be immediately due and payable with my account declared in default. In the event of any default, I agree to pay the following charges in addition to my unpaid balance. 1) Late Fee: I understand that if an installment I not paid within seven (7) days after the due date then Allegiant Roofing and Restoration will assess a delinquency charge in an amount not exceeding the greater of 10% of the unpaid amount of the installment not to exceed $50 provided that such charge may be collected at the time it accrues or anytime thereafter but only once such charge shall be made for each installment in default regardless of the length of the period it remains unpaid. 2) Interest Charge: I understand that if payment is not made within seven (7) days from the date of construction, then Allegiant Roofing and Restoration may apply a monthly interest charge in the amount of twenty four (24) percent of the unpaid balance. 3) Collection Costs: I understand that in any default, Allegiant Roofing and Restoration may declare the entire unpaid balance to be immediately due and payable, and if Allegiant Roofing and Restoration then assigns this agreement to a collection agency for recovery, I will be responsible for up to 30% of the unpaid principle balance as the reasonable cost of the collection. 4) Attorney Fees / Court costs? I understand that any lawsuit over the terms of this agreement shall be brought within the courts of Colorado and governed by the laws of that state. Accordingly, the parties hereby subject themselves to the jurisdiction of those e courts. Should such a dispute result in any term bein eclared contrary to those laws, the remaining terms shall still be binding. The losing party will pay all reasonable and necessary costs (including attorney �s) of any lawsuit to enforce this agreement. We accept this propos/al in accordance with the above: Print Name: Signature: Print Name: Signature: Date: Date: Allegiant Roofing and Restoration Signatures -Representative: U 1�4/ S /1C, 01 -Owner: Dan Schultz From: no-reply@ci.wh eat ridge.co.us Sent: Thursday, August 31, 2017 12:09 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Duplex are on the property? PROPERTY INFORMATION Property Address 11700 W. 46th Ave. Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address John and Cynthia Quintana 720-201-1440 jcquin4@comcast.net 85 Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Yes Quintana Contract08312017.pdf / CONTRACTOR INFORMATION Contractor Business Allegiant Roofing and Restoration Name .Q Contractor's License 100219 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 303-732-6625 6148 Vivian Ct. Arvada, CO 80004 Contractor Email Address sandy@allegiantroofing.com Retype Contractor Email Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: sandy@allegiantroofing.com 45.98 ✓ Project Value (contract 18851.82 value or cost of ALL materials and labor) Are you re -decking the No roof? Does the scope of the Yes project include a flat roof (less than 2:12 pitch)? 86 How many squares are (_13..13- part of the flat roof? Describe the roofing Modified Bitumen material for the flat roof: Type of material for the Other (specify below) flat roof: If "Other" is selected Modified Bitumen - remove and replace above, describe here: Does the scope of the Yes project include a pitched roof (2:12 or greater pitch)? How many squares are L325 part of the pitched roof? Describe the roofingminate Dimensional Shingle - GAF Timberline HD - materials for the pitche 5:1�pitch roof: Type of material for the Asphalt pitched roof: Provide any additional Remove all existing composite, flashing, and underlayment detail here on the down to deck. Replace all new underlayment, flashing, and description of work. (Is shingles. this for a house or garage? What is the roof pitch? Etc) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this application is NOT a permit. I understand I will be contacted by the City Yes Yes 87 to pay for and pick up the permit for this property. 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 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. Name of Applicant Dennis Benoit Email not displaying correctly? View it in your browser. 88 City of Wheat Ridge Residential Electric PERMIT - 201704762 PERMIT NO: 201704762 ISSUED: 07/25/2017 JOB ADDRESS: 11700 W 46th AVE EXPIRES: 07/25/2018 JOB DESCRIPTION: Electrical service upgrade 200 amps *** CONTACTS *** OWNER (720)201-1440 QUINTANA JOHN SUB (303)927-9682 Grant Llafet 120020 Grant's Electric LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,250.00 FEES Total Valuation 0.00 Use Tax 47.25 Permit Fee 93.35 ** TOTAL ** 140.60 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection. 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 nd all applicable municipal codes, policies and procedures, athat 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 pen -nit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be performf a d a all wwrk tgtbe g�rf0 ed 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 origm inal perit 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 applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Offi-6 al REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat -Midge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(oki.wheatridge.co.us FOR OFFICE USE ONLY I Date: Plan/Permit # I Plan Review Fee: Building Permit Application Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed.'"*" Property Address: T? 00 Property Owner (please print): --j- Cr V, k �A 1 11 LA 611 Phone: Z Property Owner Email: �� C' U Cwt a Mailing Address: (if different than property address) Address City, State, Zip: Arch itect/EIng 1neer: Architect/Engineer E-mail: Contractor: G "Ct'V H t- 1 ` 4 L\r f Contractors City License #: Contractor E-mail Address Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # 120020 Vf'Ctw k e I -e C �%'' i' -C Plumbing: W.R. City License # Phone: Phone: -5d-?C('2-7 - q 11iC004 Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL Ly' RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE 21ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) 2-00 Q tk4f 5, vv i'r -e Sq. Ft./LF Amps ZO Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 1 -00 (9C, 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) Signature (first and last name): ZONING COMMMENTS: Reviewer: (CONZMVr OR ED REPRESENTATIVE) BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY of (OWNER) (CONTRACTOR) DATE: l 2 l 7 OCCUPANCY CLASSIFICATION: Building Division Valuation: $ 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: Job Address: � � .' Permit Number: � ❑ No one available for inspection: Time 5%� AM/PM Re -Inspection required: Yes o When corrections have been made, call for re -in fi ,n at 303-234-5933 Date: Inspector: l' DO NOT REMOVE 7ZHIIS NOTICE 3011 ON S/HI.9AOW3tl ION 00 (/ •aoloadsul ££65-b£Z-£0£ le uoiloadsui-aa aol Ileo `apew ueaq aneq suoiloaaaoo uegM,, ON-) SGA :paainbaa uoi}oadsul-ab Wd/WV 1 awil :uoiloadsui aol ajgqiane auo ON r :aaquanN Iiwaad :ssaippd qor I- :adA1 uoiloadsul 33IION N01133dSNI xeJ 6068-200 (000) • aq!u0 ssgz-ssz (000) auil uoi;oadsul EE6S-bEZ (EOE) T uoisinia uoiloadsul 6ulppe - 3Ja1H 1V3HM d0 A110 j 3011ON S1H1.9AOW31i ION 00 �;; :ao}oadsu1 EE6S-ti£Z-EOE le ugi;oadsut-aa ao{ peo `apew uaaq aney suoi}oaaaoo uayM, k:,oNj SPA :paainbaa uoi}oadsul-aa X11[- , quail :uoijoadsui aol apilapene quo ON r :aagwnN Iivaaad Pi t�t�S, // :ssaippd qof �1 :edA.L uoil3odsul 33IION N01133dSNI xeJ 6068-200 (000) • ag1jjo ssga-sez (000) aut/ uoijoadsul EE6S-bEZ (EOE) J uoisinid uoiloadsul fiuip�in8 ,9, 3Jala IV3HM d0 A113 � City of Wheat Ridge Residential Electric PERMIT - 201700101 PERMIT NO: 201700101 ISSUED: 01/25/2017 JOB ADDRESS: 11700 W 46th AVE EXPIRES: 01/25/2018 JOB DESCRIPTION: Remove FPE panel, new service - 125 meter and mast. *** CONTACTS *** OWNER (720)201-1440 JOHN & CINDY QUINTANA SUB (720)985-7399 Jon Tozier 130136 Green Mountain Electric LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,500.00 FEES Total Valuation 0.00 Use Tax 27.00 Permit Fee 60.50 Investigative Fees 60.50 ** TOTAL ** 148.00 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection. 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 legalwner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. further attest that I am legally authorized to include all entities named within this document as parties to the work to be pertormed Gild that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. 17 Signatu f OWNER or CONTRACTOR (Circle one) Date I. .I'his ermit 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 original permit fee. 3. if this permit expires, anew permit maybe required to be obtained. Issuance of anew 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 issua_ e or granting of a p rmit s ll not be construed to be a permit for, Oran approval of, any violation of any provision of any aphcbl+ode or any ordian cy y1pJicJiBf this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to 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 __,�01rW heat idle COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29`h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits fti.wheatridae.coms 1 FOR OFFICE USE ONLY Date: Plan/Permit # lo O (� Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. Property Address: Property Owner (please print): J_( ji ❑ COMMERCIAL , RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE 8 ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) \ _[ /7 — C �P�t 4 I y""`'"T,f` 2---�r�-�rea'rPJ Sq. Ft./LF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are 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)IE, r (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Electronic Sienature (first and last name): 1,! DATE:/ :Z ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ Kimberly Cook From: Brad Umbarger Sent: Tuesday, January 24, 2017 3:05 PM To: Kimberly Cook; Melissa Mackey; William Myers Subject: SWO 11700 W. 46th Ave Good Afternoon, SWO issued for remodel and electrical work without a building permit. The electrician told me they were doing a kitchen remodel, but no access was provided. Thanks, Brad Umbarger Combination Inspector City of Wheat Ridge Ph: 303-235-2882 Email: btunbarger&ci.wheatridge.co.us City of - Wh6atPj,d COMMU NITY DEVELOPMENTge 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. PropertyOwner(s): OP, V11 Project Property: 7D ,L'Ie Notarized signature of Applicant ,tate of Colorado } County of } ss ��33 The foregoing instrument was acknowledged by me this 9r-fi) day of . GU(lU(�1'i , 20 (-T by 9 Notary Public MELISSA MACKEY NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20134042377 MY COMMISSION EXPIRES JULY 9, 2017 My Commission Expires c L � 1 /20a i CITY OF WHEAT RIDGE f �► Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: Job Address: 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 f f Date: _5 0 Inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Bung Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: i1`Jr o Roo F Job Address: 117oc> Ues i 4-to H Nje- Permit Number: C~~ 9 ze) 5 ❑ No one available for inspection: Time AM/PM Re-Inspection required ( Yes;) No *When corrections have been made. call for re-inspection at 303-2345933' I s CITY OF WHEAT RIDGE Bung Inspection Division (303) 234-5933 inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOT/ICE Inspection Type: ,.(rt~r j l ~/'%-are-sr, Job Address: ?l~ Permit Number: 1 70 10i'r`foF Enh r ! t,J H: o`P ---t Ye Vf bell f)' ~7 .'(I Md) "Oil `r'.,117-(J r< ❑ No one available for inspection: Time Al Re-Inspection required: Yes No When corrections have been made, tali for re-inspection at 303-234-5933 Date: ~fi 7 t Inspector: ? nor G jr DO NOT REMOVE THIS NOTICE Interstate Roofing 11452 W. Hampden Pl. Denver, CO 80227 October 27, 2009 To whom it may concern; This is to state that Wheat Ridge has the right to use the credit card on file to charge for a same day inspection fee for permit number 093129, with address 11700 W. 46th Ave. Thankyou CITY OF WHEAT RIDGE 10!27/09 2:33 PH edbb Robert Fowler RECEIPT NG:CDD003141 AMOUNT BPSP Reroof 35 sqs 61.00 093129 Sane Day Inspection 61.00 PAYMENT RECEIVED AMOUNT VS 4950 61.00 Auth Code: 03534D TOTAL 61.00 PERMIT 140: .093129 ISSUED: .10/07/2009 c JOB ADDRESS: 11700 W 46TH AVE EXPIRES: 04/05/2010 .00 e ~...t..a,`s 132.30 331.60 rv.-a r INSPECTION RECORD Occupancy/Type INSPECTION LINE: (303) 234-5933 I Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS. Footings/Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof / French Drain Sewer Service Lines Water Service Lines POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) ROUGHS Lath / Wall tie Mid-Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical POUR INSPECTIONS TO BE SIGNED PRIOR TC Insulation CITY OF WHEAT RIDGE 10/08x'09 9:14 AM edba Drywall Screw Robert Fowler FINALS RECEIPT NO:CDA002776 AMOUNT Electrical RPSP Reroof 19 sqs 093127 198.32 Plumbing Permit Fee Use Tax 126.50 Mechanical APSP Reroof 40 sqs 71.82 408.56 093128 Roof Permit Fee 235.70 Building Final _ax DPSP Reroof 35 sqs 331.69---{ Fire Department 093129 Permit Fee 199.30 R.O.W & Drainage INSPECTIONS Use, Tax 1$2.0 Parking & Landscaping SHOULD BE C GHYMEtdT"RECEIVED _ AMOUNT - "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AN US:. 4950 938.42 93$.42 CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDI~ Auth Code. 01548D OF A CERTIFICATE OF OCCUPANCY NOR PERMI: - TOTAL - 93$:42 OCCUPANCY NOT PERMITTED UNTIL CERTIFK - PROTECT THIS CARD FROM THE WFATHER 00 1tnp~oar Aettr : 11 Property Owner (please x,41 I City of Data, W h6at g F ~d COMMUNITY DEvEmPMENT Permit #:CI j JJ.~l . Building Division 7500 W, 29th Ave., Wheat Ridge, CO 80003 Office; 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Facsimile Suliding Permit Applicatl alit ynvrq: camtn&&"~ yja Ina, I; Plan Review (dim Wtbna oTstrBmittaQ: S oi,r reel l l0'6 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certify that th® setback distances pproposed by this permit epplicatton are acswrate, aria do nat violets appilca6le ordinances, rotes or regulations of the Cigr pf Wheat Rldga er eavananfs, easements ar rasRiatlena of retr,Dia that all meaebaam®nIS sham, antl allegations made ens armwrate: that I have read and agree to abide by all rmndklons printed ortfitia epplicatlan and that i assume full rasponelbllN far compliance with them Rfdge Building Coda (I.B.C) and It other applicWBNe Whast R1dge Ordhrences, Tar work undder this pamrit Ftans a~6ject W fierrepa n. CrRLCE ONE.: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWWR) (CONTRATOR) PRINT NAME: SIGNATURE: ,ztt'NNNt Prlatitold. , 1'll~: ~.rraritttA~'tlfB" ~grdVBd L1 vaktadon: Date: Credit Card a Lj~ cre and listed on Me. e IUD ` UC1 Print name: . t- • { Signature: G ~11 MeiAng ,Address: CIF than property address) Address; City of Wheat Ridge Residential Remodel PERMIT - 080053 , PERMIT NO: 080053 ISSUED: 01/22/2008 JOB ADDRESS: 11700-11710 46th Avenue EXPIRES: 07/20/2008 DESCRIPTION: bathroom remodel per attached - no structural changes CONTACTS gc. 303/425-9612 Tim Gietl 06-0235 Golden Remodel owner 303/882- 7461 Kim Stewart PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION: 0081 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 4,000.00 FEES Permit Fee 126.50 Total Valuation .00 Use Tax 72.00 TOTAL 198.50 Comments: must meet 2003 I codes subject to field inspections contractor must renew license before work commences 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 o£ Wheat Aidge or cwenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Huilding Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. ' Signature of contractor/owner date 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. . 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration . date. An extension may be granted at the discretion oE the Building Official. 3. If this permit expires, a new permit may be acquired £or a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new peimit. a. No work of anymanner shall be done that wi11 change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and sha11 receive writtenapproval on inspection before proceeding with successive phases of the job. 6. The issuance of a permi o approval o£ drawings and specifications shall not be construed to be a pezmit £or, nor an approval of, any vio f the provisions oE the building codes or any other ordinance, law, rule or regulation. All plan review is subj¢~ field inspections. Signature of Chie£ Building Official date INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MFaDE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. OccupancvlTvuG ~INSPECTIotv LwE: (303) 234-5933 Inspections will not be made unless this card is posted on the building site Call by3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings/Caissons Stemwall /(CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof / French Drain Sewer Service Lines Water Service Lines CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Lath / W all tie Mid-Roof Electrical Service . Rough Electric Rough Plumbing Gas Piping Rough Mechanical Aauve lrvarecuvna iv oc aiv Framing Insulation Drywall Screw FINAlS Electrical Plumbing J 3i~aS F41- Mechanical Roof Building Final Fire Department R.O.W & Dfainage START AlL ROUTING ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping - *`NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVEO BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BYTHE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL I:ERTIFIGAI t vr UVLurHrvt, T 10 iaoulzLj PftOTECT THIS CARD FROM THE WEATHER COMMUNITY DEVELOPMENT DEPARTMENT Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office ' (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: Job Address/Permit Number: P-Z701 ,g,,~,C 6 ScbS3 S</e9usE.R ~I :a ~f r 1 .~.~..:il~.. ~ . i J, m :3 . ~ ❑ No one available for inspection: Time AM/PM ' Re-Inspection required: Yes <90~) ~ *When corrections have been made, call for re-inspection at 303-234-5933 ~ Date: //,28t~09 Inspector: DO NOT REMOVE THIS NOTICE COMMUNITY DEVELOPMENT DEPARTMENT Building Inspection Division (303) 234-5933 Inspection line ~ (303) 235-2855 Office ' (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: 01,7,11142w• Job Address/Permit Number: e17&7o -~1714, 9t7se,kvt' o9an f3 A-h?i.°avi,q ❑ No one available for inspection: Time t:SD AM/PM Re-Inspection required: Yes No y *When corrections have been made, cal/ for re-inspection at 303-234-5933 - DEPARTMENT 0F COFAMUNITY DEVELOPMENT 7500 wEST 29tn AvENUE BUILDING INSPECTION DIVISION 237-6944 ExT. 255 P.O. eox 63e CITY OF WHEAT RIDGE, COLO. PERMIT N0. M91{/16854 THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW. A L1CATION FOR MISCELLANEOUS PER T JOB ADDRESS 111200 ~yW- A~E' OWNER ~Oy~ ~~~'~~/2U CONTRACTOR TI7~C`, A///P7141lYI GO,. ADORESS I/2~0(/j" ypU &6~ - ADDRESS e VS C?ST' _ PHONE 44,3`31crdv ZIPCODE 023 CITY_. &II '"0-1 ZIP CODE VL'70 CONTRACT PRICE $ _a,o70 PHONE yAll-13~2 LICENSE NO. I4133I 1. TYPE 6round❑ Woll❑ ProieofinQ❑ Ofher SorDFaee - 2. MATERIAL Totcl Squaro Feet SI6NS 3. ILI.UMINATION Yea❑ No❑ TYDe Elaef Permit No. . 4. SET BACK FROM PROPERTY LINE N_ 5_ E_ W Zons_ Approved,Zone Inspeetor (SpeCify which ia front) ❑ ❑ ❑ ❑ DiaapDrwed 1. TYPE Solidr] More Thon 80% OpsnO Leee Than 80% Opan 2 ' MATERIAL Heipht FENCES 3. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zone_ Apprwed,Zone Inepeetor (Specify whieh itfront) ❑ ❑ ❑ ❑ Disapproved -T' D e.6901~ ,,PA,o,te2 c.9 i . Z 2ap 1 S'~ 5'EAnI<~~S AL~!/h. GU'TTE~t'-' OTHER a . DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN, OR OTHER STRUCTURE, GIV1hv DISTANCES FROM PROPERTY LINES. (SETBACKS OR PROJECTIONS INCLUDEA) ~ SPECIFY NORTM STREET NAME SHOW DISTANCES FROM THE MAIN BUILDING TOADJOINING HOUSES, STREETS, AND PROPERTY UNES; ON IRREGULAR tATS, SHOW LEA57 DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PIUMBING; EIECTRiCAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION. PERMIT WILL EXPIRE 60 DAYS FROM DATE OF ISSUANCE !F WORK IS NOT STARTED WITHlN THAT TIfNE ELECTRICAL PERMIT STATE LICENSE N0. ALUMINUM WIRE UNDER SIZE 6 ILLEGAL PLUMBING PERMIT STATE LICENSE N0. FLOOR BSM 15T 2ND 3RD 4TH MECHANICAL PERMIT NQ Fl£L;CIrcJeOne Ga5 al Propone Coot Elx Solar N0. WATER CLASET FORCED AIR - BTU TEMPORARY METER WASH BOWL HOT WATER - BTU NEW SERVICE AMPS BATH TUB STEAM - 8TU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU UGHTING SINK OTHER HEATIPJG GARBAGE DISP REFRiGERATION SYSTEM POWER SUB-CIRCUITS WATER HEATER Refri eranf G.oup UTILITY (RANGE, DISPOSER, ETC.) AUTO. WASHER Poundi Char e FIRTURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS B CONTROLS FtDOR DRAIN EIEVATOR SIGNS URINAL TRANSFORMERS 9 RECTFIERS . SEWERS ADDITION TO Ol0 WORK OTHER MOTORS OVER I HP TOTAL FIXTURES i nereby acknowiedqe tnot rhis appiico- PERMIT FEE fion is earreet ond understand that I nfil ihis a li- f thi t d USE TAX pp u ar s proje oonnot a . eation ie approved. I shall comply with TOTAL FEE nd t d f C l ora o o o o fhe lawe of the Sfote o the Zonina Requlations ond Buildinq APPROVED Code of ihe City of Wheot RidQe. Any BtSRPPft6VEB vioiation ot the obove terma will couse CHIEF BUILDIN NSPECTOR,Cityof Wheat Ridge immediate revocation o} this permit. Date Issued 3- 4ovli<anls sianalura NO VAIID UNLESS RECEIPTED 'S/l6o3' CALL 237-6944 EXT. 255 24 HOURS IN ADVANCE FORINSPECTIONS