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11710 W. 46th Avenue
� ► � i City of Wheat Ridge Residential Sunroom PERMIT - 202002145 PERMIT NO: 202002145 ISSUED: 01/22/2021 JOB ADDRESS: 11710 W 46th Ave EXPIRES: 01/22/2022 JOB DESCRIPTION: Convert garage to living space; demo existing patio and rebuild as a sunroom - 190 sq ft total *** CONTACTS *** OWNER ( 510) 325 -2655 FAKE MARY ANN 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: 60,000.00 FEES Total Valuation 0.00 Plan Review Fee 526.53 Use Tax 11260.00 Permit Fee 810.05 ** TOTAL ** 21596.58 *** COMMENTS *** *** CONDITIONS *** A printed copy of the permit and city stamped on-site plans must be available on-site for the first inspection. Approved per plans and red -line notes on plans. Must comply with 2018 IRC, 2020 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. 1* ► � i City of Wheat Ridge '/� Residential Sunroom PERMIT - 202002145 PERMIT NO: 202002145 ISSUED: 01/22/2021 JOB ADDRESS: 11710 W 46th Ave EXPIRES: 01/22/2022 JOB DESCRIPTION: Convert garage to living space; demo existing patio and rebuild as a sunroom - 190 sq ft total I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any �pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 01/22/2021 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: Monday, October 19, 2020 3:17:12 PM 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 Water District Upload Proof of FSD - 11710 W 46th Avenue -Availability Letter.odf Submission to Sanitation Department Upload Proof of WaterLetter_11700 W 46th Avenue 07-28-2020 Ddf Submission to Water Department PROPERTY INFORMATION Property Address 11710 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 Payment Form 11710 W 46th iDo 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 Architect project? Contact Phone Number 303-284-1276 (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 smason@646arch.com smason@646arch.com Remodel of garage to living space and demo existing patio and rebuild as a sun room. Location of Work Garage and rear patio Square Footage of Addition Asbestos Report Engineering Letters, Energy Calcs and Other Letter Size Attachments 190 11710 W 46th Ave ManJSD 100820.odf Construction Plans Arch Struct 11710 W 46th Avenue CDs _10-19-20 ndf scanned on 11'x17" or larger Provide Passcode for Field not completed. Plans if locked Project Value (contract 60,000 v $60,000 Valuation is value or cost of ALL materials and labor) OK 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. City of Pr WheatR,0ge CITY OF WH/AT 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 work is to finish off a portion of the existing garage, demo and rebuild the covered patio in the same location and create a sun room Signature of Firm Representative or Individual: Steve Mason, Senior Designer DO NOT WRITE BELOW THIS POINT - FOR AGENCY USE ONLY William P. Willis * , 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) Agency Notes: Applicant must meet all District requirements and Standards, including the attached availability letter. It is understood that no modification to water meter size or to the sanitary reported to the Distr c ediately Signature: ,— service is anticipated. Anv chance is to be 07-31-2020 * Fruitdale Sanitation District Consulting Engineer 0 Wheat Ridge Sanitation District o Wheat Ridge Water District 0 Clear Creek Sanitation District 0 Consolidated Mutual Water District x Fruitdale Sanitation District 0 Valley Water District 0 Westridge Sanitation District 0 Denver Water Other 0 Agency Notes: Applicant must meet all District requirements and Standards, including the attached availability letter. It is understood that no modification to water meter size or to the sanitary reported to the Distr c ediately Signature: ,— service is anticipated. Anv chance is to be 07-31-2020 * Fruitdale Sanitation District Consulting Engineer ./�AMAULT MARTIN/MARTIN 00000"CONSULTING CONSULTING ENGINEERS July 31, 2020 Emily Mason Studio 646 Architecture, LLC 15940 S Golden Rd Golden, CO 80401 303-284-1276 Email: emason@646arch.com Re: Wheat Ridge Sanitation District— 11700 W 46th Avenue—Availability Letter Martin/Martin, Inc Project No.: 13.0053 Dear Ms. Mason, On behalf of the Fruitdale Sanitation District (FSD), Martin/Martin Inc., acting as the District's Consulting Engineer, offers the following in response to the plans received July 31, 2020 concerning a garage and covered porch addition at the referenced address above. The Fruitdale Sanitation District has no objections with the proposed request conditional on the items identified herein are fully addressed. The following are general requirements for sanitary sewer service. Rules, Regulations and Standards of the District must be complied with at all times. The subject lot is entirely within the service and boundary area of the Fruitdale Sanitation District. Treatment of sewage generated within the Fruitdale Sanitation District is provided by Metro Wastewater Reclamation District. Existing District Sanitary Sewer Mainline(s) Fruitdale Sanitation District has the following sanitary sewer mains in vicinity of the proposed property: • 8 -inch mainline running east to west, north of the referenced property within W. 46`h Ave. Per the referral, it appears that no modifications or additions are planned to the existing structure, and no proposed additional buildings. If there are any planned new buildings or buildings improvements with plumbing modifications or additions, the District will need to review and approve plans prior to construction. Proposed Addition If the proposed addition requires a water meter upsizing, the District will need to review and approve plans prior to construction. If a water meter size increase takes place, the District must be informed immediately, and appropriate sanitary tap fees must be paid prior to acceptance. In addition, the District will require review to determine if an additional service connection and associated tap fee is required. Any questions regarding this document, please contact us at (303) 431-6100. Sincerely, Bill Willis, PE Cc: GaryCharbonnier— FruitdaleSanitationDistrict MARTIN/MARTIN, INC. 12499 WEST COLFAX AVENUE LAKEWOOD, COLORADO 80215 MAIN 303.431.6100 MARTINMARTIN.COM 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'� City of '� Wheatjdge 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: 11710 W 46th Avenue Wheat Ridge CO 80033 General Contractor: Natural Construction Company Name: MRS ProSarviras I I (- Contact Phone#: (845) 464-5947 Wheat Ridge Contractor License #: 180152 (required field) State License #: PC 0003650 Master License#: MP00600522 Samuel R. Albertson Printed Name of Authorized Agent �p1M 1/12/2021 Nrighature of Aufhorized Agent Date 4'� City of '� Wheatjdge 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: 11710 w.46th ave. General Contractor: SEAN ILNICKI Company Name: 5280 Electrical Contact Phone #: 303-827-5021 Wheat Ridge Contractor License #:1880070 (required field) State License #: EC.01000896 Master License #: M E.0600715 Keaton Eggleston Printed Name A thorized Agent Printed 1/1420 Signature of Ohorized Agent Date -' City of Wheat idge 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 Contract FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION Company Name /YD ��ontact Phone #: 72-o iez Z— 7fo' Wheat Ridge Contractor License #: _412/ 9�5'6 (required field) Mae, Printed Name fAutho Agent Signature of Authorized Agent /Z/ & 4a Date COLORADO ASBESTOS INSPECTIONS I�rd���1ai Limited Asbestos Inspection Report 11710 W 46th Ave Wheat Ridge, CO 80003 Report Date: 1/5/20 Preparetl For: Natural Construction Sean Illnicki sean @n atu ral con structi on.n et 303-901-0977 Preparetl by. Coloratlo Asbestos Inspections 303 S Broatlway, Unit 200-209 Denver, CO 80209 info@coa sbestest. com 303-246-4587 City of Wheat Ridge Building Division 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 City of Wheat Ridge Building Division Section 1 1.1 Project summary Location/ Textured walls in the garage and back addition (room behind the garage). components Material inspected: Quantity Client: Natural Construction Inspector: James Durgee Consulting Firm # 19102 Inspector Cert # 16040 Inspection Date: 1/5/20 Scope: Partial renovation Building Single family residence Description: Blue smooth texture, drywall Date(s) of 1968 Laboratory: Reservoirs Environmental construction: Composite drywall Joint compound areas -back addition 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 White smooth texture, drywall Garage walls 600 3 2 M Composite drywall Joint compound areas -garage 60 2 3 S Blue smooth texture, drywall Back addition walls (behind garage) 300 3 4 M Composite drywall Joint compound areas -back addition 40 2 1.3 Photo Log of ACM and/or Trace Materials (if identified) w"9 Joint compound in the garage contains up to 0.60% chrysotile (composited). Joint compound with less than 1 % asbestos in the total of the composite is 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 at the state level, a state certified asbestos abatement contractor may be considered to do the work. City of Wheat Ridge Building Division 1.4 Summary of Asbestos Samples Bulk Sample and Locations Table Group Sample ID Sample Locations Condition Friable Result 1 SMW 1-1 Garage E wall, 3' S of N end G NF 2 None detected 1 SMW 1-2 Garage E wall, 8' S of N end G NF 2 None detected 1 SMW 1-3 Garage E wall, middle of wall G NF 2 None detected 2 CDW 1-1 Garage E wall, 5' S of N end at compound seam G NF 1 0.45% Chrysotile (composited) 2 CDW 1-2 Garage E wall, 10' S of N end at compound seam G NF 1 0.60% Chrysotile (composited) 3 SMW 2-1 Back addition E wall, N end G NF 2 None detected 3 SMW 2-2 Back addition E wall, middle of wall G NF 2 None detected 3 SMW 2-3 Back addition E wall, W end G NF 2 None detected 4 CDW 2-1 Back addition NE corner G NF 1 None detected 4 CDW 2-2 Back addition SE corner G NF 1 None detected Condition: SD= Significantly Damaged, D= Damaged, G=Good Friable: NF1= Category 1 Non -Friable, NF2= Category2 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: Composite drywall -Joint compound areas -garage Joint compound below 1 % (composite drywall samples): Joint compound with less than 1 % asbestos in the total of the composite is 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 at the state level, a state certified asbestos abatement contractor may be considered to do the work. 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 City of Wheat Ridge Building Division 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. 42 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. City of Wheat Ridge Building Division 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 i nfoacoasbestest. com City of Wheat Ridge Building Division Appendix A: Drawing CDW 1-2 SMW 1-3 7 City of Wheat Ridge Building Division Appendix B: Certifications Issued: November 19, 2020 I �s::, Naplres: December 07, 2021 '' r rrlr,vnt/Irvne lx �allJnnQxlrh lhel�ex e,.,lon nJn y amid Oldl Vl rx�llrel I x n'v rrnl� II n In the d4All/ I Iflgl eM1 AulhMea� Ca HnDn.enlnHv. SUL ' lii:�feAL,lw�I� tfWfsJAfitJiii�lt��Al(tE �.✓ `ti.--✓ � I i�, / i 1 ��,: Vit! � l t t+�i � i � 1,4}��1 i.,' CERTIFICATE OF COMPLETION lust sx aw: l oo.— eraralESTMT James Durgee sueee:vuur wssvrw v.a-,a.. �.:. �. esersmscousy a� ewa^c mw..w snn.M mq,w„,nlr-. oexraws. Iw. j�4 �� City of Wheat Ridge Building Division Colorado Department % of Public Health and Environment b ASBESTOS CERTIFICATION* s: This certifies that - James D. Durgee sea Certification No.: 16040 s' has met the requirements of 25.7-507, C.R.S. and Air Quality Control Commission Regulation No. 8, Part A, and is hereby certified by the _ state of Colorado in the following discipline: s Building Inspector* nis y L ` Issued: November 19, 2020 I �s::, Naplres: December 07, 2021 '' r rrlr,vnt/Irvne lx �allJnnQxlrh lhel�ex e,.,lon nJn y amid Oldl Vl rx�llrel I x n'v rrnl� II n In the d4All/ I Iflgl eM1 AulhMea� Ca HnDn.enlnHv. SUL ' lii:�feAL,lw�I� tfWfsJAfitJiii�lt��Al(tE �.✓ `ti.--✓ � I i�, / i 1 ��,: Vit! � l t t+�i � i � 1,4}��1 i.,' CERTIFICATE OF COMPLETION lust sx aw: l oo.— eraralESTMT James Durgee sueee:vuur wssvrw v.a-,a.. �.:. �. esersmscousy a� ewa^c mw..w snn.M mq,w„,nlr-. oexraws. Iw. j�4 �� City of Wheat Ridge Building Division Appendix C: Laboratory Report and Chain of Custody Form City of Wheat Ridge Building Division Reservoirs Environmental, Inc Effective October 09, 2020 Reservoirs Environmental QA Manual Q:\QAQC\Lab\Reservoirs Environmental QA Manual.pdf REI LAB Reservoirs Environmental, lnc_ January 06, 2021 Jim Durgee Colorado Asbestos Inspections 303 S. Broadway Suite 200-209 Denver CO 80209 Dear Jim, Subcontractor Number: Laboratory Report: Project #/P.O. #: Project Description RES 482082-1 210105-2 11710 W 46th Ave Wheat Ridge CO 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 482082-1 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, by William Spells Jeanne Spencer President (303) 9641986 5801 Logan St, Suite 100, Denver, CO 80216 (866) RESI-ENV City of Wheat Ridge Building Division -.reilab.com http s://clients.reilab.com Reservoirs Environmental, Inc. Reservoirs Environmental GAManual iso: N!ZAT1•1i:ilanWi :IQ 011LVA ia0111Mai01Lei NVLAP Lab Code 101896-0 TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: RES 482082-1 Client: Colorado Asbestos Inspections Client Project Number/ P.O.: 210105-2 Client Project Description: 11710 W 46th Ave Wheat Ridge CO Date Samples Received: January 05, 2021 Effective October9, 2020 Q AGAGCALabAReservoirs Environmental GA Manual.. eat Method: EPA 6001R-931116 - Short Report, Bulk ND=None Detected Turnaround: Priority TR=Trace, <1% Visual Estimate Trem/Act=Tremolite/Actinolite Date Samples Analyzed: January 06, 2021 Client L Asbestos Conteril Non Non - Sample A Sub Asbestos Fibrous Number Y Physical Part Mineral Visual Fibrous Components E Description Estimate Components R (%) M (%) (%) SMW 1-1 A White/tan drywall w/ white paint 100 ND 0 100 SMW 1-2 A White/tan drywall w/ white paint 100 ND 10 90 SMW 1-3 A White/tan drywall w/ white paint 100 ND 10 90 CDW 1-1 A White tape w/ white paint 4 ND 70 30 B White joint compound 15 Chrysotile 3 0 97 C White/tan drywall 81 ND 10 90 Composite 0.45 CDW 1-2 A White tape w/ white paint 4 ND 70 30 B White joint compound 20 Chrysotile 3 0 97 C White/tan drywall 76 ND 10 90 Composite 0.60 SMW 2-1 A White/tan drywall w/ gray/white paint 100 ND 10 90 SMW 2-2 A White/tan drywall w/ gray/white paint 100 ND 10 90 SMW 2-3 A White/tan drywall w/ gray/white paint 100 ND 10 90 TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1 %. Only compound, tape and wallboard layers are used in the calculation of a composite result. City of Wheat Ridge Building Division P'. 303-964-1986 5801 Logan Street, Suite 100, Denver, CO 80216 1-866-RESI{NV F. 303-477-4275 wwwreilab. com Pagel of2 Reservoirs Environmental, Inc. Reservoirs Environmental GAManual iso: N!ZAT1•1i:ilanWi :IQ 011LVA ia0111Mai01Lei NVLAP Lab Code 101896-0 TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: RES 482082-1 Client: Colorado Asbestos Inspections Client Project Number/ P.O.: 210105-2 Client Project Description: 11710 W 46th Ave Wheat Ridge CO Date Samples Received: January 05. 2021 Effective October9, 2020 Q AGAGCALabAReservoirs Environmental GA Manual.. eat Method: EPA 6001R-931116 - Short Report, Bulk ND=None Detected Turnaround: Priority TR=Trace, <1% Visual Estimate Trem/Act=Tremolite/Actinolite Date Samples Analyzed: January 06, 2021 Client L Asbestos Conteril Non Non - Sample A Sub Asbestos Fibrous Number Y Physical Part Mineral Visual Fibrous Components E Description Estimate Components R (%) M (%) (%) CDW 2-1 A White tape 2 ND 90 10 B White joint compound 3 ND 0 100 C White compound w/ gray/white paint 15 ND 0 100 D White/tan drywall 80 ND 10 90 CDW 2-2 A White tape 2 ND 90 10 B White joint compound 3 ND 0 100 C White compound w/ gray paint 20 ND 0 100 D White/tan drywall 75 ND 10 90 TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1 %. Only compound, tape and wallboard layers are used in the calculation of a composite result. Landon Spells Analyst / Data QA City of Wheat Ridge Building Division P'. 303-964-1986 5801 Logan Street, Suite 100, Denver, CO 80216 1-866-RESI{NV F. 303-477-4275 wwwreilab. com Page 2 of Reservoirs Environmental, Inc Reservoirs Environmental QAManual REI LAB Reservoirs En virornmen to/, /nc. Effective October 09, 2020 Q:\QAQC\Lab\Reservoirs Environmental QA Manual.pdf RES Job #: 482082 SUBMITTED BY INVOICE TO CONTACT INFORMATION SERIES Company: Colorado Asbestos Inspections .................................................................................................................................................................................................................................................. Company: Colorado Asbestos Inspections Contact: Jim Durgee ......................................................................................................................... -1 PLM Priority Address: 303 S. Broadway Suite 200-209 .................................................................................................................................................................................................................................................. Address: 303 S. Broadway Suite 200-209 Phone: (303) 246-4587 ......................................................................................................................... .................................................................................................................................................................................................................................................. Fax: ......................................................................................................................... Bulk = B Denver, CO 80209 Denver, CO 80209 Cell: s............................................ 61 i e i C € O 2'• z° 1062, • Project Number and/or P.O. #: 210105-2 1 Final Data Deliverable Email Address: .................................................................................................................................................................................................................................................... Project Description/Location: 11710 W 46th Ave Wheat Ridge CO durgeejim@gmail.com Dust Paint Surface_ ASBESTOS LABORATORY HOURS: Weekdays: 7am - 7pm & Sat. 8am - 5pm REQUESTED ANALYSIS VALID MATRIX CODES LAB NOTES PLM / PCM / TEM DTL RUSH 1PRIORITY STANDARD a Air = A Bulk = B s............................................ 61 i e i C € O 2'• z° 1062, • a o z °N Dust Paint Surface_ = D = P SU ¢Swab Food = F Soil = S = SW CHEMISTRY LABORATORY HOURS: Weekdays: 8am - 5pm Dust RUSH PRIORITY STANDARD : r ._ J FZ _ � i N C . Y .� ........................................ Tape ............................... = T ......MN: Wipe = W *PRIOR NOTICE REQUIRED FOR SAME DAY TAT — e : ° w E .2 o 0 } ' a """""""""" Metals RUSH PRIORITY STANDARD m € € € _ € N J o Drinking Water = DW N N Q N Q E E E N N O Q 00 ... - `_ .s - ............................................................................... Waste Water = WW Organics" SAME DAY RUSH PRIORITY STANDARD M Q € 2 V_ > cu m o o cu � a) � - f = a a S O N � o ° o 0uj LS **ASTM E1792 o a approved wipe media only** MICROBIOLOGY LABORATORY HOURS: Weekdays: 8am - 5pm Viable Analysis"" PRIORITY STANDARD —TAT DEPENDENT ON SPEED OF MICROBIAL GROWTH ° E a ori ?? COLCO � _ � , 5 m E a ._ o � a °- Medical Device Analysis RUSH STANDARD 'CZ` Y ' a j° E 10 _ _° ° o ` 00 CL E p m N 2O m w 0° E m C N: r Mold Analysis RUSH PRIORITY STANDARD O N_ T N co o € Q o a o �, : O _ ocu M s o a a ""Turnaround times establish a laboratory priority, subject to laboratory volume and are not guaranteed. Additional fees apply for afterhours, weekends and holidays " a a € € �, �': z € Q ; M N a W L , c ; , w .o o a `� u; a z° 3 W' o E a o o o o Laboratory Analysis Special Instructions: a F c) c a O c� �0 H c O Viables �: Q L J x v 2 o Instructions Client Sample ID Number (Sample ID's must be unique) ASBESTOS CHEMISTRY MICROBIOLOGY 1 SMW 1-1 . . . . . . X .............. ¢...... ¢...... ¢......................... ¢........................... . . . . . . X ..................... ¢...... ¢...... ¢.................. ...... ¢........................... . . . . . . X .............. ¢...... ¢...... ¢......................... ¢........................... . . . . . . X .............. ¢...... ¢...... ¢........................................................... . . . . . . X .............. ¢......¢......¢........................¢...........................¢......¢...... . . . . . . X .............. ¢...... ¢...... ¢........................................................... . . . . . . X ..............¢.............¢....................................................¢......¢...... . . . . . . X ..................... ¢......¢......¢........................¢...........................¢......¢...... X .............. ¢......¢......¢........................¢...........................¢......¢...... 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B B B . . . ¢....................... ¢.................................................... . . . ¢........................ .................................................... ¢ . . . ¢....................... ¢.................................................... . . . .................................................... ¢ . . . ¢...........¢.................................................... . . . ¢........... ¢ ........... ¢ .................................................... . . . . . . ¢...........¢.................................................... ¢...........¢.................................................... CMP CMP CMP CMP 2 SMW 1-2 3 SMW 1-3 4 CDW 1-1 5 CDW 1-2 6 SMW 2-1 7 SMW 2-2 8 SMW 2-3 9 CDW 2-1 10 CDW 2-2 REI will analyze incoming samples based on information received and will not be responsible for errors or omissions in calculations resulting from the inaccuracy of original data. By signing, client/company representative agrees that submission of the following samples for requested analysis as indicated on this Chain of Custody shall consitute analytical services agreement with payment terms of NET 30 days. Failure to comply with payment terms may result in a 1.5% monthly interest surcharge. Cow of relinquished By: Jim Durgee Date/Time: 01/05/2021 13:53:02 Sample Condition: Acceptable Wheat Ridge n g received By: Sophia Ingram Date/Time: 01/05/2021 13:53:44 Carrier: Hand Building Divisiol (303) 964-1986 5801 Logan St, Suite 100, Denver, CO 80216 vwvw.reilab.com (866) RESI-ENV Page 1 of 1 https:Hclients.reilab.com City of 'V, Ilea t Ii. f t;, Residential Electric PERMIT - 201704760 PERMIT NO: 201704760 ISSUED: 07/25/2017 JOB ADDRESS: 11710 W 46th AVE EXPIRES: 07/25/2018 JOB DESCRIPTION: Electrical service upgrade - 200 amp *** 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�permrt. I further attest that I am legally authorized to include al I entities named within this document as parties to the work to be performed and that all work to be performed rs 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 andprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or grantin of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any applicable code or yo inance or regulation of this jurisdiction. Approval of work is subject to field inspection. J' Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. i 50 1--T� r) WXOYY4'q`�V, INSPEcyv. I RECORD INSPECTION ONLINE FORM: httr A.wheatridge.co.us/inspection ,. INSPECTION [_...,jF'-T LINE: (303) 234-5933 nspections 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 Sewer Service Mid -Roof Concrete Encased Ground (CEG) Fire Inspection / Fire Protection Dist. Lath / Wall Tie Foundation / P.E. Letter Final Plumbing Rough Electric' Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical 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. Sewer Service Mid -Roof Plumbing Fire Inspection / Fire Protection Dist. 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. ROW & Drainage / Public Works Dept. Mid -Roof Fire Inspection / Fire Protection Dist. Lath / Wall Tie Final Plumbing Rough Electric' Final Mechanical Rough Plumbing/Gas Line Roof Rough Mechanical Final Building Rough Framing 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. Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For 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 City of Wheat Ridge Residential Electric PERMIT - 201704760 PERMIT NO: 201704760 ISSUED: 07/25/2017 JOB ADDRESS: 11710 W 46th AVE EXPIRES: 07/25/2018 JOB DESCRIPTION: Electrical service upgrade - 200 amp *** 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 Cuilding 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 perfo d and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. 1 7/ Signa ure of OWNS or TRACT R (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, po plans 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 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 shaltify the Building and Inspection Services Division in accordance with established policy of all required mspectjons and shall n oceed or conceal work without written approval of such work from the Building and Inspection Services Division. " 6. The issuance or grant x shah t be con trued to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regu i jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat jdge 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(a-)_ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # 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: -Wj(6 (6 W l 6", q u e - Property Owner (please print): 70� V1 q-) ( V7 Vl Phone: 720- 2 Q _ N W1' Property Owner Email: q (9 Co wt Cit 5ke `Y/ P Mailing Address: (if different than property address) Address: '5e=G"40-._ City, State, Zip: Arch itect/Eng1neer: Architect/Engineer E-mail: Contractor: c rq k/l Fi-S -Ef e_C 4 Y i N Contractors City License #: Contractor E-mail Address Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # -� cq U4 1'5 e- f e c Yr, Z Plumbing: W.R. City License # Phone: Phone: --3c) S -- (q *2� -7 — f Z- V�AQ I /. (0 i Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Sq. FULF 200 0uq S-QUv(ztf- U�q rode Btu's Gallons Amps 7 © E)' Squares 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) 114, Signature (first and last name): DATE: r 1 7 ZONING COMMMENTS Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY 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: / %/� %G Permit Number: 2- 0 � � ©�✓'� G 1 .- ❑ No one available for inspection: Time/) AM/PM Re -Inspection required: &ei No When corrections have been made, call for re -inspection -41t 303-234-5933 Date: ,, � � j` Inspector: ,�} ✓✓�� , DO NOT REMOVE T141S NOTICE No one available for inspection: Time Re-Inspection required: Yes No * When corrections have been made, cafi for re-inspection at 303-234-5933 Date: Inspector: . r f#W#TfTWA-qmT#- « "4 , c . Sq Ft./LF Btu's 0 0 Gallons Amps Squares Other 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, easentents 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 aj pficable 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 any also authorized by the legal owner of any entity included on this application to list that entity on this applicati CIRCLEONE (OWNER) (CONTRACTOR) vV) - I j I I OATV: INSPECTION RECORD INSPECTION REQUEST LINE: (303) 234 -5933 Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 3:00 p.m. to receive an inspection the following business day. Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Monolithic Slab Reinforcement Caissons Concrete Encased Ground (CEG) Footing /Stemwall P.E. Letter Do Not Pour Concrete Prior Tn Annrnval Of Thp Ahnvp Immnarfinnc Underground /Slab Inspections Date Inspector Comments omments Electrical (Underground) Sewer Service (Underground) Water Service (Underground) Plumbing (Below/ In -slab) Date Inspector Comments omments Heating (Below/ In -slab) Do Not hover unnerarounri or mp-IOW/In -SIAh Wnrk Prior Tn Annrnrinl rlf Thp Ahn..n Ir.c r.ent:�nc. Rough Inspections Date Inspector Comments omments Wall Sheathing Roof Sheathing Lath / Wall Tie Rough Electric Date Inspector Comments omments Rough Plumbing Rough Mechanical Q it Gas Piping �I�7 \[�liJ[�Z.TaT:ii ��1�(li iiTi7\i i! r \ °TiTiril�F.lt�f i! \.TirT�:l.71T.'17 RLT.T3S .. Rough Framing Insulation Drywall Screw /Nail Final Inspections Date Inspector Comments omments Final Electrical Final Plumbing Q it Final Mechanical Roof Final Building / Frame Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303 - 235 -2846. For ROW and drainage inspections call 303 - 235 - 2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Fire Inspection/ Fire Protection Dist. "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. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather 4( �P CITY OF Building In ran�� e�n_a // 7/. ua ye nl A P . Z/jt/�'> o No one available for inspection: Time u Re- Inspection required: Yes 7 *When corrections: have been made, call for r City of Wheat Ridge Residential Plumbing PERMIT - 110972 PERMIT NO: 110972 ISSUED: 08/16/2011 JOB ADDRESS: 11710 W. 46th Ave. EXPIRES: 08/15/2012 DESCRIPTION: Install 40 gallon gas hot water heater * ** CONTACTS * ** owner 303/420 -5104 Kim Stewart sub 303/343 -0032 Jeff Metz 02 -1428 DONE SERVICE GROUP, INC ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0081 USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 875.00 FEES Permit Fee 40.00 ' Total Valuation .00 Use Tax 15.75 ** TOTAL ** 55.75 Conditions: Work shall comply with 2006 IRC & 2005 NEC. Per IRC Sec. R313, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. Carbon Monoxide detectors are required to be installed within fifteen(15) feet outside the entrance to each sleeping room. 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 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 docume d/o accompanying approved plans and specificatio / / _'> or - CONTRACTOR- (Circle one) 1. 2. 3. 4. 5. This permit as issued based on the information provided in the permit application and accompanying plans and speci icati no and is subject to the compliance with those documents, and all applicable statutes, ordinances, regular ns, policies and procedures. This permit shall expire.. 365 days .. after the date .. of._ issuance - regardless -of. activity. Requests for extension.. must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any appl ife3�'}e code/ any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. / Date 8: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. 08/16/2011 TUE 12:43 % FAX 3033430039 DONE SERVICE GROUP City of Wheat Ridge Building Division 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 235 -2857 Inspection Line: 303 -234 -5933 Building Permit Application 0001 /001 Date: Plan #: Permit #., Property Address: k\ ll� �c�(Q - I �1�4�oF t l *f C 0 1-4360;z-3 Property Owner (please print): ��t� A �y� Phone: Az!j— LO Okc` Mailing Address: (if different than property address) Address: City, State, Zip: Contratto.r; Contractor License #: CaH Phone: Sub Contractors, Electrical City License #: Plumbing City License #: Mechanical City License #: Company: Company Company: Exp. Date: Exp. Date: Exp, Date: Approval: Approval: Approval: Use of space (description): Construction value: $ Description of work: . (as calculated per the Building Valuation Data sheet) 'k� n 0 `((��- F " a��` 40 O (^ �J Plan Review (due at time of submittaO: $ b00kA - [ v s 4cx Sq. Ft. /L. Ft added: Squares BTU's \l.= Gallons L 40 Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that t assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) CONTR J NERATO PRINT NAME: ��c0. �� -5 SIGNATURE: ,���'1. l /��']yC -'° r Date: �� 'I 4HE y of Wheat Ridge Cit 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 . Tota1 Valuation .00 Use Tax 72.00 TOTAL . 198.50 - Comments: must meet 2003 2 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, xules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and alle9ations 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 Che Wneat Ridge Building Code (I.B.C) and all other applicable wheat Aidge Ordinances, for work under this permit. Plans subject to field inspection. ~ f ~ • Z-Z ' ~ Signat e ofontrac r/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. A. extension may be granted at the discretion of the Building Official. 3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. n. No work of any manner shall be done that will charige the natural flow of water causing a drainage problem. 5. Contractor shall notify the Huilding Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the rovisions of the building codes or any other ordinance, law, rule or regulation. All plan review is subject to fi d pections. Signature of Chief Building Off ial date INSPECTION REQUEST L2(303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINE55 DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. oew"EAr,~ City of Wheat Ridge Building Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ` Fax: 303-235-2857 c o Inspection Line: 303-234-5933 ~CORP~ Building Permit Application Property Address: ~ iri ) n kJ 46 A ~C Property Owner (please print): Mailing Address: (if different than property address) Date: Plan Permit 3 -,qzo -,Sl Address 3q"£ A3J RBNE City State Zip' Wk6C.10A ~~ApR Contractor: C-OkAcY1 1'C wOhl Contractor License Phone: cl ~ 12- _ Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description):-&~ `'la6et Construction Value: $ ~J,0DO•0'ol DescriptlOn Of Wol'k: (as calculated per the Building Valuatlon Data sheet) Plan Review (due at time of submiftal): $ Sq. Ft./L.Ft added: Squares BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do nol violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenanfs, easements or restrictions of record; that all measurements shown, and allegafions made are accurate; that I have read and agree to abide by all conditions printed on fhis application and that I assume full responsibiliry for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wneat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCEON (OWNER) ONTRACTOR) or PERSONALREPRESENT TIVEOf(OWNER) (C/ONTRATOR) PRINT NAME: SIGNAT~~R~- 1~ Date:1 ~ZZ ~ 0 DEPARTMENT USE ONLY ZONING COMMENTS: Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewec BUILDING DEPARTMENT COMMENTS: . OCCUPANCY: _ Reviewen FIRE DEPARTMENT:: 0 approved wl comments ❑ disapproved ❑ no reviewrequired Bldg Valuation: $ M,rn"ndnf Page# of pages ,~JL V~J~l,ira~ Proposal Submitted To: ~ Job Name . (Q Job # Address Job Location ~ u r, ~ Ch. V✓`- . Date Date of Plans i-aa -o~ 0.-~R ~al Fooa3 1,3 f,& - Fax # Architect We hereby submit specifications and estimates for: . ~_~"-~e.---c^''_r_'~ _5_~~-~'-r-~-°-~-~~.~c~-~~~•-.L~~~/_s+.! , ( { . ~ ~ fI We propose hereby to furnish material and labor - complete in accordance with the above specifications for the sum of: with payments to be made as follows: Any alteration or deviation from above specifcations invoNing ezfra costs will be executed only upon wriflen order, and will become an enlra charge over and ahove lhe estimafe. All agreements contingent upon strikes, acciden4s, or delays beyond our control. Dollars RespecHully J..r submitted ~O Note - this proposal may be withdrawn by us if not accepted within days. acceptance of 3Prupuga[ The above prices, specifications and conditions are satisfactory and are Si9f18tUr0, hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Date of Acceptance V-- 22 -.09 Signature DEPARTMENT 0F COMMUNI i Y DEVELOPMENT 7500 WES7 294n AvENUE BUILDING INSPECTION DIVISION PERMIT N0. M93#18611 237-6944 ExT. 255 P.O. eox 638 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILOING INSPECTOR AND RECEIPTED BELOW. APPLICATION FOR MISCELLANEOUS PERMIT JOB ADDRESS OWNER CONTRACTOR ADDRESS CI7YI PHONE ZIP CODE /S ~ ell3 IICENSE NO. PHONE ZIP CODE 1596 13 CONTRACT PRICE $ 1. TYPE Ground❑ Wal[❑ ProieofinOU OMer SorDFaes- 2. MATERIAL 7ora1 Squora Feet SIGNS 3. ILWMINATION Yas❑ No❑ TYDe Eieet. Parmit No. 4. SET BACK FROM PROPERTY IINE N_ S_ E_ W_ Zons_ ApDroved, 2one Inspaotor I, TYPE SolidE] More Thon 80% OpenO Less Thon BO% Opan MATERIAL Hsipht FENCES 3 SET BACK FROM PROPER7Y LINE N_ 5_ E_ W Zons_ Apprwed,Zoro Inspeota (Specify which ie }ront) ❑ ❑ ❑ ❑ Disapproved I. OTHER ~ INSPECTION TICKET INSPECTION TICKET 2STRUCTURE,GI\ f` JOB J i I Q W.~ v/ pg OPERTY LINE ADDRESS I I~ ADDRESS I I ~I ~ o tk~ DATE: ~ BLDG. PER(MITq PERMITN BLDG. CONTR. SUBCONTRACTOR ROPERTY LINE '-Uk --ALle DATE INSP. REQ. USES,STREETS, A TYPE OF INSP. ZE DISTANCE. NG; ELECTRICA INSPECTION MADE :INDICATED WORK T OF ISSUANCE !F N REMARKS >LUMBING PERP CENSE N0. PERMIT FEE ~ BSM I5T 1 or T W.R. FORM E19 W.R. FORM 619 ~ ~ - ,p - REFRIGERATI6N-SPSTEM- SUB-GIFicUlis - waien'ncxrcR -POWER Fjetri eronf Group UTILITY(RANGE,DISPOSER,ETC.) FIXTURES WIRING MOTORS 6 CONTROLS SIGNS AUTO.WASHER DISH WASHER FLOOR DRAIN URINAL Pounds CMr e AUTOMATIC SPRINKLER SYSTEM ELEVATOR TRANSFORMERS 0 RECTFIERS . SEWERS ADDITION TO OLD WORK MOTORS OVER I HP OTHER TOTAL FIXTURES I hereby acknowledQe tho} this applica- tion is wrrect and understand fhot I Connot Etarf fhis project until this oppli- eation ia apDroved. I shall comply with ths laws of the State of Colorodo and lo }he Zonin9 Repulations ond Buildinq Code of the Cify o4 Wheot Ridqe. Any violotion oi the above terms will cause immediafe revoeotion of ihis permit. USE TAX ~'Ma~ j ~C DATE: ~BLDG. PERMITR ,~.7!" PERMITN BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. 10-~ TYPE OF INSP. INSPECTION MADE ~e7~ REMARKS T 3 TOTAL FEE „ I$ J~. 3•~ I CHIEF BUILDING City of Wheat Ridge Date Issued 1 _r 3 /,cS CAL1237-6944 EXT.255 24 HOURS IN ADVANCE FORINSPECTIONS bdiM sionamra , ni ovZTN )6 / sI~'~ 'IiOC ~ -LN.E`~--wo~~_ n~1_o7HG'aS ~X~sr~N \ . f_-" --~t contcRr-'fr~ 41oo'IZ a' ~ SY~v N~ ~j !STi +ioust_ S. 11 Joycrz. Mp,~ C-oV-T S?uQ 1' o 1t71u w. 4G' nvF _`^J1-1 Ed't R60lrF _ Co. 4 ` 1 1 CEf'ARTMEiJT OF COPAMUfVi I Y DEVELOPMEPJT 7500 WE5T 29th AVENUE BUILDING INSPECTION DIVISION PERMIT N0. ME9305190 237-6944 ExT. 255 P.O. BoX 638 CITY OF WHEAT RIDGE, COLO. THtS PERMIT VALIO ONLV WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW. APPLICATION FOR MISGELLANEOUS PERMIT JOB ADDRESS 1171n W_ dFith vo OWNER ig`1=^^ n ,z €.gZ'+ CONTRACTOR 4RT F1 artri r _ ADDRESS 1 71 iq7,., Aor", ADDRESS -+A60 TaV Ci- TTnit A PHONE 42.051nd ZIPCODE CITY Arvada ZIPCODE 80001 CoNTRACTPRICE$ PHONE 421 88 5 9 LICENSENO. 2891 DATE 1. TYPE Ground❑ Wall❑ Proiectin0❑ Other SwDFate 2. MATERIAL Total Squara Feet ~ SIGNS ILWMINATION Yes No❑ 3 Type ' . ~ 4 SET BACK FROM PROPERTY LINE N _ 5- E _ W- (speeirywnianietront) ❑ ❑ ❑ C INSPECTION TICKET 1. 7YPE Solido More 7han 80% Open❑ Lasc Thoi MATERIAL ~~B FENCES ADDRESS 3. SET BACK FROM PROPERTY LINE N _ S_ E ^ W_ (Soecifv which ie troni) ❑ ❑ ❑ C IBLDG. `T' OTHER DATE: aPERMIT# I 3. PERMIT# DRAW SKETCH OR SHOW BELOW,THE FENCE, SIGN, OR OTHER STRUCTURE,GIVIhI (SETBACKS OR PROJECTIONS INCIUDED) BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. INSPECTION MADE REMARKS STREET NAME SHOW DISTANCES FROM THE MAIN BUILDING TQADJOINING HOUSES, STREETS, AND W.F. FORM 6-19 DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE D15TlnNCE. APPLICATION FOR PLUMBING; ELECTRICAL THISAPPLICATION WIIL BECOMEA PERMIT TO PERFORM THE INDICATED WORK ON PERMIT WILL EXPIRE 180 DAYS FFOM THE OATE OF ISSUANCE IF ELECTRICAL PERMIT STATE LICENSE N0. A g 91 PLUMBING PERMIT STATE LICENSE N0. MECHANICAL PERMIT ALUMINUM4VIREUNDERSIZEBILIEGAL FLOOR BSM IST 2ND 3RD 4TH N0. Flffl~Circ4eOneGo50IIProponeCOdElxSolar ryp, WATEF CLOSET FORCED AIR - BTU TEMPORARY METER WASH 80WL HOT WATER - BTU NEW SERVICE - AMPS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONMG-BTU LIGHTING SINK OTHER HEATING GARBAGE DISP REFRIGERATION SYSTEM POWER SUB-CIFCUITS WATER HEATER Refri eront Group UTILITY(RANGE,DISPoSER,ETCJ AUTO. WASHER Pounda Char a FI%TURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM WIRIN6 MO7CR5 B CONTROLS FIS10R DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS d RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES ihat tnis applica- l d k PERMIT FEE now a qa I hereby oc tion in correct and understand ihai I USE TAX li- cannot atort tAis project until this opp cotion ia approved. I snoll comply with TOTAL FEE the lawe of fhe Stote of Coior ond to - ihe Zonin Qulat~ons and I np ~ APPROVEI ~ A I n a. coae of~ e cuy or wneo+ violatio of tne a ve ror w~ I cau e CHIEF BUILD immed~ to revoc i is ermi . d )T,VAI~ID UNLESS RECEIPTEI 6.ad INSPECTOR,City6f Whea4 Ridge Dote Issued a -_5 y~ CAL1237-8944 EXT.255 24 HOURS IN ADVANCE FOR IPISPECTIONS