HomeMy WebLinkAbout6055 W 46th AvenueCity of Wheat Ridge
Commercial Sewer Repair PERMIT - 202000599
PERMIT NO: 202000599 ISSUED: 03/23/2020
JOB ADDRESS: 6055 W 46th Ave Ste A EXPIRES: 03/23/2021
JOB DESCRIPTION: Sewer line repair - 8 ft; install cleanouts
*** CONTACTS ***
OWNER (303)868-6872 LYNK & CO LLC
SUB (303)287-9009 BRAD WAKEHAM 130022 TRENCH RIGHT LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 550 / Medical Office BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,800.00
FEES
Total Valuation 0.00
Use Tax 142.80
Permit Fee 156.75
** TOTAL ** 299.55
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
City of Wheat Ridge
�"_ O Commercial Sewer Repair PERMIT - 202000599
PERMIT NO: 202000599 ISSUED: 03/23/2020
JOB ADDRESS: 6055 W 46th Ave Ste A EXPIRES: 03/23/2021
JOB DESCRIPTION: Sewer line repair - 8 ft; install cleanouts
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 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
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 ermit 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 p rmit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable cotes any ordinanlyor regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PN ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reply@ci.wheatridge.co.us
Sent: Monday, March 23, 2020 11:20 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Sewer or Water Line Repair Permit Application
Categories:
Kim
Residential Sewer or Water Line Repair Permit Application
This application is exclusively for RESIDENTIAL SEWER OR WATER LINE
REPAIR - IN YARD ONLY - NO RIGHT OF WAY WORK.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
residential sewer line or
water line repair - in yard
only?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS
6055 w 46th ave suite a
LAKESIDE PEDIATRICS
916-300-7534
OFFICE@TRENCHRIGHT.COM
WHEAT RIDGE CREDIT CARD FORM03232020.pdf
CONTRACTOR INFORMATION
Contractor Business TRENCH RIGHT
Name
Contractor's License 000508
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-287-9009
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address OFFICE@TRENCHRIGHT.COM
Retype Contractor Email
Address
DESCRIPTION OF WORK
Is this a sewer line or
water line repair?
Length of repair
Location of repair
(backyard, frontyard, etc)
Provide additional details
including installation of
clean -outs.
OFFICE@TRENCHRIGHT.COM
Sewer Line
I.3
FRONT OF LOT
INSTALL CLEANOLITS
Project Value (contract 6800
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
2
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.
Person Applying for JASON LAMB
Permit
Email not displaying correctly? View it in your browser.
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: 5 l-`�-
Permit Number:�`� �n
❑ No one available for inspection: Time AM/AbM
Re -Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at;
http //www.ci.wheatridge.co.us inspection
Inspector:.. r
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Commercial Roofing PERMIT - 201703783
PERMIT NO: 201703783 ISSUED: 07/12/2017
JOB ADDRESS: 6055 W 46th AVE STE A EXPIRES: 07/12/2018
JOB DESCRIPTION: Full roof and and gutter replacement; atlas storm shake; 26.93 squares
*** CONTACTS ***
OWNER (303)868-6872 LYNK & CO LLC
SUB (303)660-5133 Chris Horning&Christopher Teem 140211 Priority Restoration Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 550 / Medical Office BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,897.37
FEES
Total Valuation 0.00
Use Tax 354.84
Permit Fee 315.25
** TOTAL ** 670.09
* * * COMMENTS * * *
*** CONDITIONS ***
In order to pass a final inspection on commercial elastomeric or similar type roofing, 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. Effective December 1, 2014, asphalt shingle
installations require an approved midroof inspection, conducted when 25-75 percent of the
roof covering is installed, prior to final approval. Installation of roof sheathing (new or
overlay) requires an approved inspection prior to installation of ANY roof coverings and is
require on the entire roof when spaced or board sheathing with ANY gap exceeding one half
inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum
of 6 nails per shingle. 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.
N RECORD Oc�u�an�, Type
1 NSPE T O %
-�
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection ul�
I/C,4rINSPECTION REQUEST LINE: (303) 234-5933
Inspections ill 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.** 7
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
Comments
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
tR
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
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: All r/0_
Job Address: o S kA/ `%6 V
Permit Number:
&-o
1/5
❑ No one available for inspection: Time AM/PM
Re -Inspection required: es No
,n corrections have been made, call for
Date: �L f '?— � Inspector: V"
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Commercial Roofing PERMIT - 201703783
PERMIT NO: 201703783 ISSUED: 07/12/2017
JOB ADDRESS: 6055 W 46th AVE STE A EXPIRES: 07/12/2018
JOB DESCRIPTION: Full roof and and gutter replacement; atlas storm shake; 26.93 squares
*** CONTACTS ***
OWNER (303)868-6872 LYNK & CO LLC
SUB (303)660-5133 Chris Horning&Christopher Teem 140211 Priority Restoration Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 550 / Medical Office BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,897.37
FEES
Total Valuation 0.00
Use Tax 354.84
Permit Fee 315.25
** TOTAL ** 670.09
*** COMMENTS ***
*** CONDITIONS ***
In order to pass a final inspection on commercial elastomeric or similar type roofing, 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. Effective December 1, 2014, asphalt shingle
installations require an approved midroof inspection, conducted when 25-75 percent of the
roof covering is installed, prior to final approval. Installation of roof sheathing (new or
overlay) requires an approved inspection prior to installation of ANY roof coverings and is
require on the entire roof when spaced or board sheathing with ANY gap exceeding one half
inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum
of 6 nails per shingle. 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.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Commercial Roofing PERMIT - 201703783
201703783 ISSUED: 07/12/2017
6055 W 46th AVE STE A EXPIRES: 07/12/2018
Full roof and and gutter replacement; atlas storm shake; 26.93 squares
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 tteSt that I am legally authorized to include all entities named within this document as parties to the work to be
performed and th all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of 07VNER or CONTRAO-T-OR (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 ISO 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 ermit 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 change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any rdinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official v--b)ate
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
�Wheat e
COMMIUNiTy 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(D_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. ***
-- II
Property Address: USS W . , (y V
,,tN kPI),j �_j 4 (d SyG�3�
Property Owner (please print): C -e &"'5A Phone:
Property Owner Email: ('_Y,�c�t
Mailing Address: (if different than property address)
Address
, State,
Arch itect/EIng 1neer:
Architect/Engineer E-mail:
Contractor: -�-t'�o
Phone:
Contractors City License #: D Phone: _?OU
Contractor E-mail Address: �j ivy All -
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
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 ❑ E TRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE OMMERCIAL 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. Ft./LF
Amps
NSl
Gallons
Squares '7 (' 7 3 Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ ��, 997-3,-+
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.
CIRCLEONE: (OWNS) (CONTRACTOR_ AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last nam —7
DATE: { 'I Z" i 7 -
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
CUSTOMER AGREEMENT
as 7340 South Alton Way 11-J, Centennial, CO 80112
,4 zn_ Phone` 303-160"5133I Fax: 303-660-5148
Email: Info@Prionty-Restoration com
-Restoration,com
Web� wwwRrfortly,
PRIORIT� an
RA511110% d ..
,... rora tion Licensed & Insured - Locally Owned & Operated
AC4FIDITIMED
BUSINESS
10 Na Deposit Required 20 Year Roof Labor Warranty Gen. Liabili tyfWorkers, Comp. 10 OSHA Certified
21
Estimated Estimated Milli Full partial Repair
91 _+ Completion Date �� �/'*) 23 Partial
air
Start Dateaui Damage: Yes Type.
Full Partial Repair
Yes
WOOD OTHER:
Roof
tl= PATIO SHED SHED2 STUC9r
t HOUSE GARAGE
TypeVA6
Drip Edge Color:
2 Inspect Deciding
R1 Inspect Flashings
0 Clean Up & Remove Trash
[0 Permit
Style: Color:
6i j_�3Full Partial Repair -
_ u' Steel
5: =-Res 6"- COMM. _I Lj r
Lf.* Color, M
Work to be completed according to the above specifications ngin the amount of:
ggMdM-v09S)
$
{not to ind9ft-Jr"Ces Qalernerns
0 Balance due upon completion 0 CASH SALE
eowner authorizes priority estoration, Inc. to represent their best interest in
D4< -URANCE AGREEMENT. The hom 's insurance and allows Priority
s costs for damages believed to be cocredonder, homeowner
pursuit of full replacement any regarding this claim. This contract does not obligate the
Restoration. Inc. to deal directly with the insurance c0rAR the insurance company, and accepted by Priority
homeowner or Priority Restoration, Inc. until the claim is approved by
on, Inc. Will complete.311 specified work at a pricefagreeabJe to
Restoration, Inc. Upon approval of claim, Priority Restorati additional cost to the homeowner except for the
the insurance company (RCV only) and Priority Restoration, Ino, with no
become the final contract price, regardless of estimated contract price above, and
deductible. Final agreed upon price will rity Restoration, Inc, wilt hold In
we request that all payments also be made payable to Priority Restoration, Inc. "PrIO the jobsite or have performed
trust any payment from Property owner until we have delivered roofing Materials to
a maji0rity of the roofing work has been performed,"
oact conditions on both front and back, of this 0[groeme,
I We) agree, by signing below, to all the con
o
T
Date of Accepa
nce
:
Homewner s S.g 12 V Representative Sigma
Horneowner's Signature:
i CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
❑ No one available for inspection: Time / 6 AM/PM
Re -Inspection required: Yes CN`
When corrections have been made, call for re-inspection,,4t 303-234-5933
�i
Date: � � �/� - � Inspector:
DO NOT REMOVE T ' S NOTICE
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: �O
Job Address: 6 C) \A1
Permit Number: LO/ 0 3
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
❑ No one available for inspection: Time%T AM/PM
Re -Inspection required: Yes N
When corrections have been made, call for re-inspection,at 303-234-5933
Date: �/ lr � �, _Inspector: J ( /
DO NOT REMOVE THIS NOTICE
.I
dlr
C14 ca 42
4)
V
C
•
0)
C
c
E o
N
•
0 0•
It=
c
CO Cc) 0
> oZo
I11 F
uj �20
•
C, 0
Q
i.LD
to
co E
z 0 2•
0) "a k
C*4 toMIF
0 �s
0 0:.
.e M
(.) >*"D
UD c
•
E
u_j z 0
z 1620
-0 m
0
c < v -0 -M
C)
•
0
A 2 0
Lk YI 42 —
0 (D
o 0
C *0 0):e 0
ui 0 r -.s b 0
4)
=$"o
0.0 0
M 0 -
E
0 016 0•
—
a: Z=
4
w c E
>�,v o a
m S 0
V
0 —
0 C
Co
NF
kki
0(D &C
- -4
m
9
WHEAT RIDGE FIRE PROTECTION DISTRICT
M
Ridge,+'
INSPECTION REPORT
Alt Extinguishing System
Underground Piping
Claer
Hydrostatic pest
Underground
Visual Inspection
Systema Plash
'Final Acceptance
Other
Materiel and Test Certificate
cumulated Permit
Otherm��,,.
COMMENTS," • and DEFICIENCIES
e
Von, or contrat
LOGBOOK
fees., inspections scheduled at the contractor's request before or after nomial
FEE y� inspection
DUE:on the Division of Fire Prevention at 303-403-5.900 to schedule ons.
,
REV11/2014 WHITE: Inspection YELLOW. Re -Inspection INK: Pile
ul
U2
i-IVANEL
Pi
2'
-ST Rl P
TRIM AS SELECTED
TYPE
120
1
'VO, LTAG E
208
2"
ST RIP
M:TG
:RECESSED
P�HASE
1:20
111,
18W LED
2890 LUMENS" OCCUPANCY SENSO'R IN
AIC
I 09 000:
208
WIRES
3
LARGESTWOTOR
120
2500
VA
SELF DIAGN0STICS
RATING
100 A
COOPER SURE-LrrES.
120/27T
NA
MAIN
LUG
APx7G
120
1
LETTERS
SURE -UTE
CKT DESCRIPTION
WR
GKT
A
LPXH: 70GV\/H:
:B
CKT
B,KR
CK.,'' DESC ]PTION
' T R
Cu- 1
................ ....... ......... ........ ....... ...... ......... ...... .... ..
40A2P
.........
1
2496
2#l.2AWG + 1 #,1.2AV\G G ND- 1/2:lticl
GWH-1.
12,0
1
2
30A
15A I P
[2#12AWG- +1#12AVVG GND'1/2+$tCj
...
2
. .. ............................ ...
... ....... .................... ......... I .........................
SPACE
..................... ...........
3
2496
7,00
4
..........
1 5A 1 P
............. .......... ....... ...............
REFRIGERATOR
S PA -C E
................... ...... .................. .. ........ ......
........ ......
—1,80,
6
.
20Al, P
.......... -------------- .......... .............. ............. ......
GFI: KITCHE 'N
SPARE
20A1 P
7
8
..
SPACE
�^.mss
:
MAINTENANCE RECEPT
15A.1 P
9
180
750
10
20A1 P
REFRtGERATOR
SPACE
.................. -------- ......... --------------- .......... .
------------- .........
750
12
........... ........... ....
2 0,A1, P
....... --------- ..................... ..... . .........
REFRI.GERATOR
SPA r -,,.E
14
14
SPACE
EXAM4,15 OFFICE RECE�PT
15A.11 P
15
—
----------------
90'0
—
---
750
'16
20-Anl'... P
REFRIGERATOR
BREAK ROOM RECEPT
................... .......
1 5A1 P
.........
1 7
9:00
--
1800
...... .........
20Al-.,P
....... ..... ............. ......... ......... ...... I ........ ..................
2 EXAM3 RECEPT
_—EXAMI
20
SPACE
SPACE
........... ........ .' . . .... I ...............
21
22
...............
....... ...... ......
SPACE
F-11 GWH-1
15AIP
23
500
24
20ATP
EXAM1 OFFICE RECEPT
Ll G HTS
15AIP
25
900
900
26
20A.l! �p
W-AtTING RECEP T
SPACE
..............
7
--
- --------- - ------
28
..............
....... ................ ....... .......... .......... ........
SPAC;E
SPACE
29
720
30
20A, 1 P
'
�RECEPTION
TV RECEPTION
1 5A1 P
.... . ........
31
500
360
-3,2
20AI P
...............
BREAK R00M GFI
SPARE
5A1 P
:33
34
'TOTAL 'lV-0,,,LT--ANlPS:
6330
8396
TO TAL CON'N:E
: CTED LOAD.
14 7:2 :
6
Xv
'A.
41
AM, P S
TOTAL DEMAND:,
LOAD
DF
DEMAND
(1) LIGHTING:
9 00
1. 25
1125
(2):RECEPTACLIES.
846.30
1: OK+.�5
86o0!
(3) MO*TORS'
7:692
-1,25+1
83 71
(4):Kl*TC.HEN
0
0,65
0
TOTALS.
1:6322
16947
j
-4 7
MA P S
M1,10- M�
NEW BREAKER AND CIRCUIT.
NEW CIRCUIT ON EXISTING BREAKER.
LUM�IN.Al:ll.E SCHEDULE
P�AN:D VOLTAGE NO, OF LAMP REMARKS
R
LAN MOUNTI.NG MANUFA
CTURE
............... ... ....... .......... ........... .......... ..... ......... ........ .....................
............ . ..... ...... . -------- ......
Nl:PS TYPE
MARK CATALOG N:�UMBER
A---''--- ;S,URf,A-CE _6_" DO���.1u.li.,,T1:20 1 15W LED 1200 LUM.ENS
B
O
SURFACE
2'
-ST Rl P
TRIM AS SELECTED
METALUX
120
1
21'W.L.ED
_-----------------------------------
SURFACE --------------------
2"
ST RIP
02 EM1 PER �PLAN
xi PER ,PLAN
EMERGENCY
SLD6 1 28830WId
VOLT
PHASE
TRIM AS SELECTED
METALUX
120
1
21'W.L.ED
2300 LUM ENS
.... ....... ... . .
2SN:LED-LE)4-22SL.-L.C-UN\/�l _u
L.835-CD1.
...... ... .....
SA,.F,E
FAI L--nw
1:20
111,
18W LED
2890 LUMENS" OCCUPANCY SENSO'R IN
HVSL8-2-LD4-2--STD-30-UfW- (,,D -EDC l -OSE2
208
1
F',IX7URE
C00:PER
.............. ........ ...... -------------
120
[4-"A,
LED
SELF DIAGN0STICS
APEL .............
COOPER SURE-LrrES.
120/27T
NA
LED
EX,,lT SIGN'WITH BATTERY BACKU:P G�REEN�
APx7G
120
1
LETTERS
SURE -UTE
1201277
�,VA
LED
EXIT SIGN� WTH BATTERY BACKUP, GREEN�
LPXH: 70GV\/H:
LETTERS, BATTERY FOR.R,E�MO -TE
PER PLAN,
REMOTE HEAD COOPER 1201277 N/A LED DUA L E"[ i_3 LED'OEATHERPR00F, REMOTE
APWR2 F0 R X2
DESCRIPTION
.............. .........................
VOLT
PHASE
KVV' .... .....
HP '14T l:p
DIS.C. &7-1:
O.C.. PROTEGTION
F Eful E R
E
.......
........ ........... ........ ....... .........
11.1 ... I ...... ............... ......
CB SIZE
...... ....... ....... ....... ...... -111.11-711,11''....'', ....... ......... ........ ........... .........
F-11CU-1
208
1
2.,�_-4
60A
35A 2P
t2#8AING + 1#1 0AW G G ND 314'--C]
EF -1:
I
30A,
15A I P
[2#:1,2AWG +1#12AV\G,GND 1/2"cl
EF -2
120
1
3-0-A
15A I P
[2#12AWG +1#1.2AvVJG, GND 1/2
X �fcl
EF -3
3o.A
15A I P
2#l.2AWG + 1 #,1.2AV\G G ND- 1/2:lticl
GWH-1.
12,0
1
2
30A
15A I P
[2#12AWG- +1#12AVVG GND'1/2+$tCj
� n°3,d � ,5?
AD
P R 0 V
4,0 "ie:-:!�
J
E.
..............
N City of �
Wh6atK
gle
Building & Inspection Services Division
7500 W. 29"' Ave., Wheat midge, CO 80033 Plan Review Fee. -
Office: 303•235-2855 * ex: 303-237-8929 �
Inspection Line; 303-234-5933
Building it Application
Property Address:
Property T {`please Drint): , ,, ",n , . kv � 1"
Property Owner Email:
Mailing Address: (if different than property address) C0
Address: Sr, -4t 2,2,,i
� , - of - 74.3
fi r„ a '-01"N
k a y
Sub Contr for :
WR. City License ## '7t,70
lqfirjxrguml�
Plumbing: l F, M / ) .
W.I. City License T
sidesComplete all information on BOTH
Mechanical:
W.R. City License ## It .�
NEW COMMERCIAL ,SERVICE UPGRADE
NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING
COMMERCIAL ADDITION AROOFING
RESDENTIAL ADDITION
COMMERCIAL ACCESSORY STRUCTURE
ACCESSORYRESIDENTIAL STRUCTURE .s-
, shed, deck, etc.)
SYSTEM/APPLIANCE REPAIR REPLACEMENT
PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
4THER(Describe)
m
(AvAN�
5.
b
Sq, . LF
;00
Stu's
Gallons
Amps
Squares
Other
m
city or
`
CITY GE WHEAT RIDGE BUILDING AND IMSMC ION ERVJCk DIVISION
7500 W 29th Ave Wheat fudge, CO0 33- tit 1 p, 303.235.2855.E 303.237.9929
type and be attached to the Building Permit Apprication at the ti of submission. Applications presented for
submission Without a completed Proof of Submission form from a required agency will not be accepted or
processed.
Date: 1`
Project Address: ' "� C`
Name of Firm/individual submitting documents: izPrt4,, # etA-10XV11--
t
4ie pr -
Project Type/Description:
Signature of FirmRepresentative or Individual-,
am
the OfcJ66t indicated above.
Vlbeat Ridge Fire Protection
Arvada protection
Ridge* Wheat District
Consolidated
* Valley Water District
DenvorWater
Agency Notes:
, , ;
- . - « • iA •
woliff
•• « ,. •
o Wheat Ridge
o Clear Creek Sanitation District
o ._ District
Sanitation District
o Other
Best
Environmental
Services
8005
Charlie Reichert
6240 E 122nd DR
Brighton CO 80602
RE: Final Air Clearance Monitoring
6056 w 46t AV, Wheat Ridge, Colorado
1903 South Greeley Hwy
Cheyenne, WY 82007
303-549-7118 307 -214 -
rl'Arn.n. n2, w- zywivwt
on October 31st thru November Tfl, 2015, following the abatement activities in the
residence located at 6055 W 461h AV, Wheat Ridge, Colorado.
G o I d :t" t F
6240 E 122nd DR
Brighton CO 80602
9MZN
0 # d1
October 31, November 2, and 7th, 201
Project# OCT31 I 5se i
Best 1903 South Greeley Hwy
Environmental Cheyenne, WY 82007
Services 303-549-7118 307-214-8005
Testing
A final visual inspection(s) and final air clearance(s) were performed at 6055 W 461fi AV,
Wheat Ridge, Colorado by Susan Bailey, a Colorado licensed Air Monitoring Specialist
and Building Inspector (CDPHE #13996) on October 261h, through November 71h,
2015. Golden Environmental responded to an asbestos spill at 6055 W 461hAV, Wheat
Ridge, Colorado.
Visual inspections were performed to confirm the completeness of asbestos removal
and cleanup. The visual inspections were performed in accordance with the "American
supervisor was present for all final inspections and any residual dust or debris was
-2ddressed before the aggressive air clearance.
Best Environmental Services Testing was present only for final inspections and final air
clearances and not the actual removal activities. Removal of 2500 sq feet of wall texture
and drywall was removed as part of the spill ' A bulk sample for approximately 15 sq
feet was taken to confirm ACM in the blue sheet vinyl flooring. The SVF will remain and
be covered with new floor covering. The drywall and texture from the walls and ceiling in
the southwest toilet room, center storage area, north side bathroom and entryway was
removed in a full containments. Final air clearances for these areas was done on
nd
October 31f,', November 2 , and November Th, 2015. A separate clearance was
conducted in each area.
Ift] I 10IT171111#1r. I Will
Services were performed with the level of skill and care that conforms to standard
industry practice. Best Environmental Services Testing is not responsible for any
hazards or risks other than those included in this report. The objective of this project
was to identify the level of airborne fibers under the regulatory standards during
abatement activities and final aggressive air clearance. This report is only for use at the
location sampled.
11 1 111 11 1 � I I! I!
lippill P1111p, �� I
11119111M.
a=
Susan Bailey,
Owner/Senior Consultant
AMS BI
Best Environmental Services Testing
303.549.7118.
Attachments: Lab sample results
Air data sheets
Final visual clearances
Asbestos Post Visual Inspection
t -6055 W 40 Ave Wheat p< m_ n_ mcmusetw. --GoMen nvi res t l _ __. �._._ __ �_.�. �.,.
per Vi : part I of multi phase pr ct, Dumpster contained In fsadd containment, all debris bagged, labeled (generator) and
removed Debris disposed of as acres waste, inside and outside of durrspster wet wiped and cleaned, also area around dump ter,
deaned, no debris
tlalhsi.a lr,..w w M _�_. n hmodeadal
xp
Stan in
Yes nntst_ .
sheet
a dad
-w
ORIGMat hG s
W
F
at : prinsure tow, netar peah419
x "at.
j
3 S litter
x
Type of contain rent
FOO
7
....,, ,_,.,.,..,. .w. ,..,gym.^-.. ... :�....o. ...�,»,..., m...
yt
�;e Ylk1f� i ad'4d 4^t? 4�raPtHrj
d hi �
S -1 C W d'i
� gcatan C1@X'%YC
f 2k
�i#A?€tllht8�#frlt and rnatariatrs�d
.q � � �
Cat—al hamar ng
it
.,„
dust
? Residual dustfbu"d
t x $
{
Ndhr;
php
i
IQA i
{ V
{ st
Air clearance conducted type
x
TEM resvve F]a cmenes used tl,Sm"
�& m All final air deararta r star <0 .01 flcc
In ras
G!t
¢ a
+�t58P� ERy Susan da6ley
------------
other Won" ittn exam part 2 Saturday!
DATE:
m
Y
,:v N camettft u
POST VISUAL INSPECTION: ° °. (circle one)
(Type yiO l 01594 $TY k�lt3 OESr keevrt' on"tai %svk" Testw* 2015
I
I
I
I
Asbestos Post Visual Inspection
Y01 � ft i
Sheol
area DMG S*" asp
ST WS IN ON: P y (Circle orae)
c w
rrvm
twal €s s'r r s Teaft 2015
a
m
I
E
az
Asbestos os Visual Inspection
I
MMENIM
City of
#
A'"AN WA'A'AINXU kJk.7JL�O kYA,qXa A
Building Permit Application
C
033
PrOp4" AddrOM
Kv, t,, vj\e- v phone.
�Owner (please prino.
Address:
M
Arobitecliftinw E-mail: phone*
Emma=
�211111111111111
PlumWng:
WR CLty License #
I
Complete all information on BOTH sides of this form
I - -t i it t
NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADJa
NEW RESIDENTIAL STRUCTURE H OMMERCIAL ROOFING
COMMERCIAL ADDITION #,RRESIDENTIAL 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
qS
os
r,,v0jv\
'3q* 6-
SqKAY -_; S
Btu's
Gallons
Amps Squares O#w
✓ DEPARTMENT OF COMMUNITY DEVELAPMENT
7500 wEST 29tn AVENUE BUILDING INSPECTION DIVISION
237-6944 EXT. 255 P.O. eox 638 CITY OF WHEAT RIDGE, COLO.
~ PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
JOB ADDRESS ~ OWNER ` R'
CONTRACTOR ADORESS--/i`RS1-
2
ADDRESS iLFZLa PHONE ` 2-
CITY p, ZIP CODE ~G,"~'~~ E,~ ~l ~ ~ p_ r%ONTRACT PRICE $
PHONE <<°3`~' IICENSE NO.~L~ 7/ D/-,
PERMIT N0. M91#16448
itow-
7
ZIP CODE
-v1
A❑
TYPE G
Woll❑
Proicefinp❑
Ofher
SaDFeee
roun
1.
2. MATERIAL
Tolal Squon Feat
IGNS
❑
❑
T
Elkt
Permif No
S
No
3, ILLUMINATION Yss
YGe
.
.
4. SET BACK FROM PROPERTY IINE N
(SOecifY whieh is front)
-
❑
5_ E
❑
_ W
❑ ❑
Zorn_
ADDrwed,Zona lnspetlor
Disapprovad
1. TYPE SolidO More Thon 80% OD~n[:]
Leu Thon BO% Open
MATERIAL
?
HeiOht
FENCES
.
3. SET BACK FROM PROPERTV LINE N
(Spscify wAieA is front)
_
❑
S_ E
❑
_ W
❑ ❑
Zm!_
ApprOVed,Zone Inspeeta
Disapproved
oP' / Ea s
OTHER
3
.
DRAW SKETCH OR SHOW BELOW,THE FENCE, SIGN, OR OTHER STRUCTURE,
(SETBAGKS OR PROJECTIONS INCLUDED)
WASH BOWL
PERMITX
Z INSPECTION TICKET
JoB
ADDRESS 405s c-v CrG
!vl'3 /
DATE: 2~ -l BLDG. PERMITN / G 4114D
BLDG. CONTR. A C/yyy,)[~ /Lc~rr7~
STREET NAME SUBCONTRACTOR
SHOW DISTANCES FROM THE MAIN BUILDING TQADJOINING HOUSES, STREET
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. DATE INSP. REQ.
APPLICATION FOR PLUMBING; ELECTR TYPE OF INSP.
THIS APPLICATION WILL BECOME A PERMfT TO PERFORM THE INDICATED WI N.
PERMIT WILL EXPIRE 60 DAYS FROM DATE OF ISSUANCE INSPECTION MADE ~
ELECTRICAL PERMIT PLUMBING PI
STATE LICENSE NO. STATE LICENSE N0. REMARKS
TEMPORARY
DISH WASHER
Id CONTROLS
PLUOR DRAIN
URINAL
i d RECTFIERS
SEWERS
.D WORK
OTHER
I HP
TOTAL FIXTU
1 hareby acknowladqe thot ihis oDPllco-
fion is eorrect and understond fhat I
tonnot atart lhis projett until thia aDPli-
cotion is opproveE. I sholl comply wiih
fha law, of the Sfate of Colorado ond to
the Zoninq ReQulations and Buildinq
Code of the City of Wheat Ridpe. Any
violation of the above terms will cause
immediate revocation of ihie permit
plieanl~ 9i0nal~r~
W.R.FORM G19
PERMIT FEE Sy ~ /N)OT VAIID UNLESS REGEIPTE
USE TAX
~
TOTAL FEE $ 86, yp , ~-62^~l- Z/
' I...T.`T..
n. _ r_.t
CHIEF BUILDING IfSSPECTOR,Cityof Wheat Ridge
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FOR INSPECTIONS
Date Issued
C-
DEPARTMENT OF COMMUNITY DEVELOPMENT h¢493#4251
7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0.
237-6944 Ex7. 255 P.O. Box sse CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONI.Y WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR ANC RECEIPTED BELOW.
APPLICATION FOR MISCELLANEOUS PERMIT
JOB ADDRESS I~4 J 5 S WL~ I,, ~ lyJ ~ OWNER CLt~{ VU' I N O~- V"Kn A-~sl .+~'~J✓+t
CONTRACTOR 6t- ADDRESS 5 tA 0 W " 1',)«1~, 0\ l^- G i C-ri
ADDRESS -J 3,22 E• I f A'U'"( PHONE ZIP CODE
Y N,\ 6A ZIP CODE A L U 12 ~ CONTRACT PRICE $ ~ 3 J) 'tJ O0
CITY 4
PHONE LICENSE NO. DATE
SIGNS
FENCES
1. TvPE Ground ❑ WoIIU ProleclinpU O1Mr S a D Fou
2. MATERIAL Tolal Squon FNt
3. ILLUMINATION Yes❑ No❑ TYVs
4. SET BACK FROM PROPERTY LME N_ 5_ E_ W.
(soeciiv wnicn ia tiont) ❑ ❑ ❑ INSPECTION TICKET
1. TYPE SolidEl Mora Than 80% ODen❑ Lns T Jpg ~ 1
MATERIAL ADDRESS O0-~ ~ CK/ - 6
3. SET BACK FROM PROPERTY LINE N_ S__ E_ W.
(Specify whieh ie tront) ❑ ❑ ❑
i.
OTHER Z
3.
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GN
(SETBACKS OR PROJECTIONS INCLUDED)
3
SUBCONTRACTOR
c i
DATE INSP. REQ. j
TYPE OF INSP.
/
INSPECTION MADE-"Il'
REMARKS '~K ` Z Z 3
~Z
STREET NAME
W.R. FORM 618
SHOW DI57ANCE5 FROM THE MAIN BUILDING TUADJ0INING HOUSES, STREETS, A
DISTANCE TO PROPERTY LINES,NOT MAXIMUM OR pVERAGE DISTANCE.
✓ _
APPLICATION FOR PLUMBING; ELECTRICi
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK - -----PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STANO.
PLUMBING PERMIT
STATE UCENSE N0.
MECHANICAL PERMIT
ALUMINUM WIRE UNDERSIZE B ILLEGAL
fL00R
BSM
IST
2ND
3RD
4TH
N0.
FUEL:C'vtNOtr Gof 011 E Sdor
"
WATER CIASET
FORCED AIR - BTU
9. `'0
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE - AMPS
BATM TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BN
LIGHTING
SINK
OTHER
HEATING
GARBACE DISP
REFRIGERATION SYSTEM
POWER SUB-CIFCUI7S
WATER HEATER
Refri eronf Grap
UTILITY(RANGE, DISPOSER, ETC )
AUTO. WASHER
Poundt Chor e
FIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS 6 CONTROLS
FLIXOR DRAM
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL fl%TURES
REMARKS
lico-
thi
PERMIT FEE
e apD
I herlby OtknawledQe that
tian ia torrect ond understand tnat I
li-
USE TAX
tonnot ftart fhis projbct unlil this oDD
catian is ap0rovee. I snou complY with
TOTAL FEE
the lows ai the State of Colorodo and 10
the Zoninp Repulahons and Bwldinp
APPROVE
sPTrn~
r
Lode of the City of Wheai Ridqe. Any
o
.
e above termn will couee
violotion of M
GHIEF BUILD
I
immediate reyocqiion of this Dermi1
i
C~ `ZTGI/F~
DATE: BLDG.PERMIT# Y2,S/
PERMITM
BLDG. CONTR.
$
INSPECTOR,City of Wheat Ridqe
Date Issu d
s t_i3
.rt a84'j
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS