HomeMy WebLinkAbout4710 Newland StreetDEMOLITION NOTES
TRIM NOTES
REFERENCE A2 & A4 FOR SPECIFICATIONS�
�
X1 *REFERENCE AS -BUILT/ DEMO PLAN
X6 EXISTING HARDWOOD FLOORING TO
X2 * ASBESTOS TESTING & ABATEMENT
REMAIN
J
T1 *STAIN GRADE BASEBOARD: HEIGHT
BY HOMEOWNER; ADB REQUIRES
MAY CHANGE TO COVER FLOATING
DOCUMENTATION PRIOR TO START
FRAMING
DATE
T2 *STAIN GRADE DOOR CASING
00
X3 *LEAD TESTING & REMEDIATION BY
HOMEOWNER; ADB REQUIRES
T3 (1) WINDOWS: 3 -SIDED DRYWALL
DOCUMENTATION PRIOR TO START
WRAP WITH STAIN GRADE SILL &
W
DATE
APRON
*AFTER
X4 DEMO, THE CONDITION OF
T4 (8) FIXED STORAGE SHELVES AT
THE SPACE WILL BE ASSESSED & ANY
PANTRY: PAINTED MDF, 12" & 18" D,
'^
Q
UNFORESEEN ISSUES WILL BE
EVENLY SPACED; 1ST SHELF AT 24"
ADDRESSED VIA CHANGE ORDER
AFF
J($ CO: ALL DEMO TO BE COMPLETED BYUj
HOMEOWNER UNLESS OTHERWISE
NOTED
CONSTRUCTION NOTES
* *
REFERENCE A2 FOR
SPECIFICATIONS
0000
_j
Cl *ALL WORK SHALL MEET OR EXCEED
J
REQUIREMENTS OF APPLICABLE
Q
J
BUILDING CODES
w
C2 *ALL DIMENSIONS ON PLANS &
rW
00
DRAWINGS ARE FINISHED UNLESS
v
OTHERWISE NOTED; REFERENCE
Q
-)
CABINETRY NOTES
PAGES A2 & A3 FOR DETAILS
(,'2
U-)
^ VJ
7 (n
C3 *SEE ELEVATIONS ON PAGE A2 FOR
CRITICAL MEASUREMENTS
O
304OLS
*
REFERENCE A2 & A4 FOR SPECIFICATIONS
O
Lo
LQ U-) CO
C4 EXISTING FRAMED WALLS TO REMAIN
7 J
TC1 KITCHEN CABINETS
TC5*DESIGNER TO VERIFY ALL CABINET
TC2 *CABINETS PROVIDED BY
MEASUREMENTS AT FRAME WALK
^
0-
Z w
C5 FRAME FOR NEW POCKET DOOR; SEE
HOMEOWNER & INSTALLED BY ADBTRIM
*
R F R
DOORS NOTES FOR
R DETAILS
TC6 CARPENTER RESPONSIBLE FOR
Q
�
- - - - - - - - - - - -
TC3 CABINET HARDWARE PROVIDED BY
MODIFYING CABINETRY FOR
CO '
C6 FRAME NEW 2x4 WALL AT PANTRY
APPLIANCE INSTALL
z
HOMEOWNER, INSTALLED BY
1 I O
LLI
C7 2x4 KNEE WALL WITH DOUBLE TOP
PLATE AT PANTRY TO HIDE STAIR
E15
F3
HOMEOWNER
TC7 *ADB NOT RESPONSIBLE FOR DELAYS
Q CV W
RAKE IF NEEDED: 11-17" H ROUGH
nl REF.
OPEN
TC4 FLOATING SHELVES PROVIDED BY
IN PROJECT SCHEDULE DUE TO
MISSING CABINETS OR PARTS
Q
z
B
O
CABINET COMPANY, INSTALLED BY
ADB
W
\
/—
Z
30
SQ
CD
~ �
I
w
—
() w
DOOR SCHEDULE
—
— — — — —
* *
W
Q
REFERENCE A4 FOR SPECIFICATIONS
DH1*DOOR HARDWARE AT ALL NEW
F2
Q
t r
—
DOORS
D1 2068 POCKET DOOR AT PANTRY
TEXTRO EXTERIOR
E3
C3
304OLS
_j
--_ _ _ �
L LE15
O
_j P4
F3
J M
OPEN
oM
r
M
B O
3osQ
w
OM PS
i- -_ -_ -_ -_ E2
KITCHEN
136 SQ FT
L
DEmo DEM
CO
U CO CO
ELECTRICAL NOTES
GLASS/GLAZING &WINDOW NOTES
*ELECTRICAL
E1 PANEL ASSUMES TO BE
SUFFICIENT FOR REMODEL WORK, IF
E9
*CHANGES MADE DURING
ELECTRICAL WALK TO BE
— —
IF
H2 L�
UDEmo� LJ C71
* REFERENCE A4 FOR SPECIFICATIONS *
Q
A SUB PANEL OR SERVICE UPGRADE
IS NEEDED, ADDITIONAL COSTS WILL
DOCUMENTED SEPARATELY VIA
yy��
f.:!
REF. w — —
I
0 o
z U
G1 (2) EXISTING WINDOWS TO REMAIN
BE HANDLE VIA CHANGE ORDER
-
E10
CHANGE ORDER
_
ii it KITCHEN
--
ILL
F1
P
..
E2 *RELOCATION OF SECURITY PANEL &
(1) REPLACE EXISTING CEILING WITH
HOMEOWNER PROVIDED LIGHT AT
_� 136 SQ FT
1 i __
— —
I��
W
ALARM SENSORS NOT IN ADB'S
KITCHEN CENTER
( )
��_
9
Q
SQ T
Z
SCOPE OF WORK: HOMEOWNER
I
T
� �
RESPONSIBLE FOR RELOCATION AND
PROTECTION OF ALL SECURITY PRIORE12
Ell
(1) NEW CEILING LIGHT AT KITCHEN
SINKCO:
I
n
E
C4 E
tce
T4
Q6 T
START
° L Tr-
-TFSREXISTIN'M°
r
L f2-
E15
���
TO DATE
E3 *HOMEOWNER RESPONSIBLE FOR
O
(1) NEW DISK LIGHT AT PANTRY
a
m --
r �,____F
`-'� =
NI CH
E H 9 SQ IF
�t
~ `v
FINAL CONNECTION ETHERNET/
*(3) SWITCHES
E
APPLIANCES
—
E13
EXISTING TOGGLE TO
Ti I
TELEPHONE, SATELLITE AND CABLE
REMAIN; NEW COVERS
3
* REFERENCE A4 FOR SPECIFICATIONS
(DONE BY HOMEOWNER'S PHONE AND
3
r
Al *ALL APPLIANCES ARE PROVIDED &
A4 DISHWASHER
CABLE/SATELLITE COMPANY)
E14 *NEW SWITCHES PLACE PER CODE
TOGGLE WHITE:
v
E4 *NETWORK JACK TO BE CONNECTED
TO THE LOW VOLT PANEL, IF ANY RE-
(2) SINGLE
INSTALLED BY ADB
A5 GAS RANGE
5
A2 *HOMEOWNER TO HAVE SPEC
G
WORK IS NEEDED BASED ON THE
E15
(3) RELOCATE EXITING OUTLETS
AS–BUILT / DEMO PLAN
Q
PROPOSED PLAN
SHEETS UPLOADED TO
A6 BUILT-IN MICROWAVE WITH
RECIRCULATING VENTING
EXISTING NETWORK CONFIGURATION,
PLACED PER CODE, WHITE
1
BUILDERTREND FOR ALL APPLIANCES
ADDITIONAL COSTS WILL BE
HANDLED AS A CHANGE ORDER
E16
*(5) DEDICATED, ARC FAULT CIRCUIT
Al
1/4" = 1'-0"
Al
1/2" = 1'-0"
BY JOB START
E5 *ALL OUTLETS AND SWITCHES AT
GFCI OUTLET FOR APPLIANCES
REFRIGERATOR, MICROWAVE,
A3 FULL -HEIGHT REFRIGERATOR WITH
BACKSPLASH TO BE MOUNTED 45"
DISHWASHER, RANGE, GARBAGE
w
z
O w
_ w
E-
F -
AFF TO CENTER, PLACE VERTICAL
DISPOSAL
Z
= F T w
~ = = 7
~
O
COUNTERTOP NOTES
O g
__ O 0
O
U
E6 *ANY OUTLET LOCATIONS ON PLANS
E17
C.O. (1) QUAD OUTLET AT COFFEE
* REFERENCE A4 FOR SPECIFICATIONS *
o a J
71
o Cn W o ° ; °
z
ARE APPROXIMATE & WILL BE
CODE
BAR
*(1)
= Z p
Q O Z H
Q
CT1 QUARTZ AT KITCHEN PERIMETER
CT3 *ALL QUARTZ TO BE THE SAME
PLACED PER
El8
RELOCATE EXISTING SWITCH AT
DOORWAY
CT2 QUARTZ AT KITCHEN COFFEE BAR
COLOR, IF ADDITIONAL COLORS ARE
_
fy F � � m w E-
Q U OJ
0
E7 *ADDITIONAL OR UPGRADED SMOKE
SELECTED, ADDITIONAL SLABS WILL
Lu U L)
w Q Ln Lu w
w
DETECTORS AND/OR CARBON
"�
NEED TO BE PURCHASED AND COSTS
D ' F
= � Z Z O Q = Q
~ O 7 >
O
MONOXIDE DERE T R WILL AI
INSTALLED PER CODE IN UPSTAIRS
Cqt �(
v,,,���,,,��� I -ORDER
/�`L� '`heat" -Oe
WILL BE HANDLED VIA CHANGE
Q O U
w 0
07
w L) =
cE p z= x
w
SPACE ORDER
0 J fr
o S w
Q ~
w
�
Nl1ltATY Q?LVtI[�PMtI'MM1
Q a
0 Z F- O >
2 z z O Z U O
_
E -
IFVREQUIR D BYING
INSPECTOR SPECITOR
APPROVED
J Z
U p=
Lw
p
w DO � 2~ EE Z a
Z
�w
E8 *HOMEOWNER PROVIDED LIGHT
p ~
z w H O U DO w
= O
�
FIXTURES AND BULBS ARE 110V.
FIXTURESMusR BE ON SITE BY JOB
Ri"6i�Nitll id►'C8lli GBiPf hiKi,
U 0 E_
E-
H Z Q ' LU T }
0
FLOORING &TILE NOTES
ArRUREs
Mike Theisen 03/02/2021
* REFERENCE A2 & A4 FOR SPECIFICATIONS *
Z a
a
a Ln = F DO m W
o Ln DO z T
W z
-
Plirtf E'�m Dole,
�
U ' Q
z W Do
Lw—L O = Q U U _
>'
F1 TILE FLOOR AT PANTRY
Id1 714 �wrerAar .a +..iv1'iwK+aa�iF.�t+e
w 07 O
7
U z E_ Z C7 LU
- Ef
U
F2 TILE BACKSPLASH AT KITCHEN
v7j
o
a Q O < = a
L�
w
DO Z w Z a O
U
aw.iiMM Ar
wsrrw.+�+wwss
F3 SAND, STAIN & REFINISH EXISTING
LEI
71 Q Q
Do p cn w w U
L_ O
a
PLUMBING NOTES
� Pr.�s,
HARDWOOD FLOOR AT KITCHEN,
CL
a 2 z
u _ ¢ of
U fr fy Z m w U
DO
H
* REFERENCE A4 FOR SPECIFICATIONS *
BACK ENTRY LANDING, & STEP
D w Q
DO
w CE Q N a
� w 7 J
O
z
All work must meet 2018 ICC codes and 2020 NEC
Of L:DoO
z LL 0 LU
fFz DO OD
CE �_ z Of LU z J
o
P1 *IF MOVING OR INSTALLING WATER
P6 *EXISTING GAS RANGE/COOKTOP
LINES NEAR EXTERIOR WALLS,
LOCATION TO REMAIN
d
Ow a
= 2 p Q
0 0 O
PROVIDE THERMAL BREAK BETWEEN
CONCRETE & FRAMING
::)
F f2 LUL
LL (7 JO
}
Z
O
0 w
Q
P2 *PLUMBING FIXTURES ARE ADB
PROVIDED & INSTALLED UNLESS
OTHERWISE NOTED
P3 *VERIFY LOCATION OF PLUMBING AT
FINISH REVIEW
- - - - - - - - - - - - - - -
P4 (1) KITCHEN SINK & FAUCET; EXISTING
ACTIVE DESIGN AND BUILD IS NOT RESPONSIBLE FOR SUPPLYING OR INSTALLING ANY ITEMS,
FIXTURES, OR FEATURES THAT ARE NOT SPECIFIED ON THE NOTED PLAN. ALL CONSTRUCTION DETAILS
SUPPORT COLUMN •
FURN
FURNACE ��
CRAWL SPACE VENT CS
SINGLE POLE SWITCH
AC LINE
FINISHED CEILING HEIGHT: 7'-10"
YEAR HOUSE WAS BUILT: 1953
�
WALL FINISH
NOTES
DATE:
1/25/2021
W1 *USE 12' DRYWALL SHEETS AS
W6 WINDOWS: 3 -SIDED, SQUARE,
LOCATION
P5 (1) NEW DISPOSAL & AIR SWITCH
WILL BE BUILT TO INDUSTRY STANDARDS, UNLESS SPECIFIED DIFFERENTLY. THE UNDERSIGNED
ACKNOWLEDGE THAT ANY SUBSEQUENT CHANGES, ALTERATIONS OR MODIFICATIONS SHALL BE
SUBJECT TO A CHANGE ORDER AND BILLED ACCORDINGLY. THE UNDERSIGNED FURTHER
EXIST. FOUNDATION
KNEE WALL ®
FURNACE FLUE 1 F
�/
RADON OUT TAKE
FIRE SPRINKLER
DIMMER SWITCH
3 -WAY SWITCH
D
3
GAS LINE C GAS
V V
DEMO
SPACES TO BE REMODELED: KITCHEN
IRC CODE YEAR: 2018
ALLOWED BY ACCESS
W2 *VERIFY BASE TRIM HEIGHT, APPLY
DRYWALL WRAP WITH SILL &APRON
W7 *PAINT COLOR: 2 -COLORS: 1 -COLOR
SCALE:
P4 *EXISTING WATER LINE & DRAIN LINE
UNDERSTAND THAT THE NOTED PLAN SHALL BE REGARDED AS THE DEFINITIVE PLANS FOR CONTRACT
DRYWALL ACCORDINGLY
FOR WALLS & SOFFITS, 1- COLOR FOR
FOR DISHWASHER; HOOK-UP &
INSTALLATION INCLUDED
PURPOSES AND THAT NO RELIANCE MAY BE MADE UPON ANY PREVIOUS VERBAL STATEMENTS MADE
BY THE EMPLOYEES, TRADE PARTNERS, SUPPLIERS OR AGENTS OF ACTIVE DESIGN AND BUILD UNLESS
EXISTING WALL
WATER HEATER WH
SUB PANEL T=:F
3 -WAY DIMMER SWITCH
3D
BEAM [ _
W3 *DRYWALL FINISH LEVEL 3 WHEN
CEILINGS AT REMODELED AREAS
W8 ONLY
SEE
D RAW I N G
P5 *ADD WATER LINE FOR
OTHERWISE SPECIFIED, ALL OUTLET, LIGHTING AND SWITCH LOCATIONS ARE APPROXIMATE BUT AREINTERIOR
PLACED TO CODE. ACTIVE DESIGN AND BUILD IS NOT RESPONSIBLE FOR THE LEVELNESS OR
WALL D
CABLE PANEL D
4 -WAY SWITCH
a
KNOCKDOWN OR ORANGE PEEL
TEXTURES ARE APPLIED;
W9 *STAIN FOR TRIM & POCKET DOOR
LABELS
REFRIGERATOR
CONDITION OF THE EXISTING FLOOR AND EXISTING WALLS, INCLUDING BUT NOT LIMITED TO
SQUEAKING SUB FLOORS OR STAIRS. THE MOVING OF OR REMOVAL OF ALL IN-HOME FIRE SPRINKLER,
AND SECURITY ITEMS ARE THE HOMEOWNER'S EXPENSE AND SCHEDULING RESPONSIBILITY.
EXTERIOR WALL ®
`
WATER SOFTENER WS
�.
ALARM PANEL
MOTION SENSOR SWITCH
oc�
WATER LINE C
_
DRAIN LINE
*DRYWALL FINISH LEVEL 4 WHEN SKIP
TROWEL, PULL TROWEL, OR CUSTOM
TEXTURES AREAPPLIED;
W10 DRYWALL PATCH: MATCH EXISTING
TEXTURE SMOOTH
HVAC NOTES INSULATION NOTES
ESTIMATE SUBJECT TO CHANGE UPON SELECTION OF LIGHTING AND FIXTURES. WORKING DAYS TO BE
DETERMINED BY PROJECT MANAGER AT PRE -CONSTRUCTION WALK.
FURRING WALL
EXISTING SUPPLY ®
TOILET ROUGH O
SHOWER ROUGH ®
ALARM SENSOR
sD
O
110V OUTLET
220V OUTLET
HVAC [
:1
*DRYWALL FINISH LEVEL 5 WHEN
LEVEL
SMOOTH TEXTURE IS APPLIED
- - - - - - - - - - - - - - -
H1 *EXISTING SYSTEM: FORCED AIR
H2 (1) RELOCATE EXISTING SUPPLY
CHANGE ORDERS MUST BE SIGNED BY HOMEOWNER BEFORE WORK BEGINS. FAILURE OF SIGNATURE
SMOKE DETECTOR
_
*SMOOTH &
� W heal
O �QZ
Al
REGISTER AT PANTRY
WITHIN 48 HOURS CAN COMPROMISE PROJECT SCHEDULE AND INCUR ADDITIONAL COSTS.
CLEAN OUT c c "
GFCI OUTLET
FULL BAY
W4 TEXTURE FOR WALLS
NEW SUPPLY D
CO/SMOKE DETECTOR
L' - -.`:
J
CEILING
-A ,4 1
U
H3 *VERIFY APPLIANCE SPECS BEFORE
VENTING
HOMEOWNER SIGNATURE: DATE:
EXISTING RETURN
FLOOR CLEAN OUT
EXHAUST FAN
CAT6/TV JACK
cEc
FLOOR DIRECTION
W5 *WALL CORNERS: SQUARE
m
NEW RETURN
FLOOR DRAIN ®
KEYLESS FIXTURE ®
CEILING OUTLET
sr
JOIST DIRECTION
Oc
GiXa/O9
KITCHEN
REMODEL
HOMEOWNER SIGNATURE: DATE:
WATER MAIN
-
HUMIDIFIER
RECESSED CAN
EXISTING
w
NOTED
PLAN
NOTES INDICATED WITH AN ASTERISK (*) ARE GENERAL AND
ADB REPRESENTATIVE: DATE:
SUMP PIT 3P
WILL NOT BE TAGGED ON THE PLAN
DEMOLITION NOTES
TRIM NOTES
REFERENCE A2 A4 FORSPECIFICATIONSUJ
X1 *REFERENCE AS -BUILT/ DEMO PLAN
X6 EXISTING HARDWOOD FLOORING TO
X2 *ASBESTOS TESTING & ABATEMENT
REMAIN
J
T1 *STAIN GRADE BASEBOARD: HEIGHT
BY HOMEOWNER; ADB REQUIRES
MAY CHANGE TO COVER FLOATING
DOCUMENTATION PRIOR TO START
FRAMING
DATE
T2 *STAIN GRADE DOOR CASING
X3 *LEAD TESTING & REMEDIATION BY
HOMEOWNER; ADB REQUIRES
T3 (1) WINDOWS: 3 -SIDED DRYWALL
STAIN GRADE SILL &
DOCUMENTATION PRIOR TO START
WRAP WITH
W
DATE
APRON
F
*AFTER
J
X4 DEMO, THE CONDITION OF
T4 (8) FIXED STORAGE SHELVES AT
�^
THE SPACE WILL BE ASSESSED & ANY
PANTRY: PAINTED MDF, 12" & 18" D,
UNFORESEEN ISSUES WILL BE
EVENLY SPACED; 1ST SHELF AT 24"
ADDRESSED VIA CHANGE ORDER
AFF
LA
J($ CO: ALL DEMO TO BE COMPLETED BYLLJ
HOMEOWNER UNLESS OTHERWISE
NOTED
CONSTRUCTION NOTES
* *
REFERENCE A2 FOR
SPECIFICATIONS
0000
Cl *ALL WORK SHALL MEET OR EXCEED
J
REQUIREMENTS OF APPLICABLE
Q
J
BUILDING CODES
W
w
C2 *ALL DIMENSIONS ON PLANS &
r
c
DRAWINGS ARE FINISHED UNLESS
v
OTHERWISE NOTED; REFERENCE
Q
-)
CABINETRY NOTES
PAGES A2 & A3 FOR DETAILS
(,'2
U-)
7 (n
^ VJ
C3 *SEE ELEVATIONS ON PAGE A2 FOR
CRITICAL MEASUREMENTS
O
304OLS
*
REFERENCE A2 & A4 FOR SPECIFICATIONS
O�
Lo
LQ co
C4 EXISTING FRAMED WALLS TO REMAIN
L^.L
�U-)
W
Z
TC1 KITCHEN CABINETS
TC5*DESIGNER TO VERIFY ALL CABINET
TC2 *CABINETS PROVIDED BY
MEASUREMENTS AT FRAME WALK
0-
wC
CS FRAME FOR NEW POCKET DOOR; SEE
HOMEOWNER & INSTALLED BY ADB
*
DOORS NOTES FOR DETAILS
TC6 TRIM CARPENTER RESPONSIBLE FOR
Q
G
- - - - - - - - - - - - - - -
TC3 CABINET HARDWARE PROVIDED BY
MODIFYING CABINETRY FOR
co '
C6 FRAME NEW 2x4 WALL AT PANTRY
APPLIANCE INSTALL
z
HOMEOWNER, INSTALLED BY
1 I O of
LLI
C7 2x4 KNEE WALL WITH DOUBLE TOP
PLATE AT PANTRY TO HIDE STAIR
E15
F3
HOMEOWNER
TC7 *ADB NOT RESPONSIBLE FOR DELAYS
Q CV W
RAKE IF NEEDED: 11-17" H ROUGH
Dl
REF.
OPEN
-7
TC4 FLOATING SHELVES PROVIDED BY
IN PROJECT SCHEDULE DUE TO
MISSING CABINETS OR PARTS
Q
z
B
O
CABINET COMPANY, INSTALLED BY
ADB
W
LLJ
\
/-
Z
30
SQ
C�
~ CO
W
—
(� w
DOOR SCHEDULE
—
— — — — —
* *
W
Q
REFERENCE A4 FOR SPECIFICATIONS
DH1 *DOOR HARDWARE AT ALL NEW
F2 u— ( 1
Q
t r
— — —
DOORS
D1 2068 POCKET DOOR AT PANTRY
�,, I w
TO EXTER oR
E3
C3
304OLS
--_
_ _ �
L E15
Lu
O
P4
F3
J M
OPEN
co
r
M
p 6
30 SO
w
Oim M 1
�- -_
P5
-_ -_ -_ E2
KITCHEN
136 SQ FT
L
oFmo
_
U co co
ELECTRICAL NOTES
GLASS/GLAZING &WINDOW NOTES
*ELECTRICAL
E1 PANEL ASSUMES TO BE
SUFFICIENT FOR REMODEL WORK, IF
E9
*CHANGES MADE DURING
ELECTRICAL WALK TO BE
— —
F
H2 U
UoFmo� LJ C7
* REFERENCE A4 FOR SPECIFICATIONS*
Q
A SUB PANEL OR SERVICE UPGRADE
NEEDED, ADDITIONAL COSTS WILL
DOCUMENTED SEPARATELY VIA
7KH
0 o
zIS
G1 (2) EXISTING WINDOWS TO REMAIN
HANDLE VIA CHANGE ORDER
-
CHANGE ORDER-�
_REF.
it
--
L___BE _ _ _
_ _ _E10
PE2
*RELOCATION OF SECURITY PANEL &
(1) REPLACE EXISTING CEILING WITH
HOMEOWNER PROVIDED LIGHT AT
_�
1 i -`ALARM
--F1
SENSORS NOT IN ADB'SKITCHEN
CENTER
( )
��
SQ T
QSCOPE
Z
OF WORK: HOMEOWNER
I
T
� ��
RESPONSIBLE FOR RELOCATION AND
PROTECTION OF ALL SECURITY PRIO
E11
(1) NEW CEILING LIGHT AT KITCHEN
SINK
14H
n
E
E
C4
tceE12
Q�
START
L
��r
�
L
f2-
E15
��iT4
TO DATE
E3 *HOMEOWNER RESPONSIBLE FOR
CO: (1) NEW DISK LIGHT AT PANTRYN„
.____r __.H
m �� o
9 S FT
E Q
L�I
w
FINAL CONNECTION OF ETHERNET/
*(3) SWITCHES
f
APPLIANCES
E13
EXISTING TOGGLE TO
TELEPHONE, MLOW SATELLITE AND CABLE
(DONE BY HOMEOWNER'S PHONE AND
REMAIN; NEW COVERS
3
3
3 L
* REFERENCE A4 FOR SPECIFICATIONS
Al *ALL APPLIANCES ARE PROVIDED &
A4 DISHWASHER
CABLE/SATELLITE COMPANY)
E14 *NEW SWITCHES PLACE PER CODE
TOGGLE WHITE:
E4 *NETWORK JACK TO BE CONNECTED
TO THE LOW VOLT PANEL, IF ANY RE-
(2) SINGLE
INSTALLED BY ADB
A5 GAS RANGE
5
A2 *HOMEOWNER TO HAVE SPEC
G
WORK IS NEEDED BASED ON THE
E15
(3) RELOCATE EXITING OUTLETS
AS -BUILT / DEMO PLAN
Q
PROPOSED PLAN
SHEETS UPLOADED TO
A6 BUILT-IN MICROWAVE WITH
RECIRCULATING VENTING
EXISTING NETWORK CONFIGURATION,
PLACED PER CODE, WHITE
1
BUILDERTREND FOR ALL APPLIANCES
ADDITIONAL COSTS WILL BE
HANDLED AS A CHANGE ORDER
E16
*(5) DEDICATED, ARC FAULT CIRCUIT
Al
1/4" = 1'-0"
Al
1/2" = 1'-0"
BY JOB START
E5 *ALL OUTLETS AND SWITCHES AT
GFCI OUTLET FOR APPLIANCES
REFRIGERATOR, MICROWAVE,
A3 FULL -HEIGHT REFRIGERATOR WITH
BACKSPLASH TO BE MOUNTED 45"
DISHWASHER, RANGE, GARBAGE
w
z
O w
_ w
Q
F -
AFF TO CENTER, PLACE VERTICAL
DISPOSAL
Z
= F T w
~ = = 7
~
O
COUNTERTOP NOTES
O g
__ O 0
O
U
E6 *ANY OUTLET LOCATIONS ON PLANS
E17
C.O. (1) QUAD OUTLET AT COFFEE
* REFERENCE A4 FOR SPECIFICATIONS *
o a J
71
o Do W o ° ; °
z
ARE APPROXIMATE & WILL BE
CODE
BAR
*(1)
= Z p
Q O Z H
Q
CT1 QUARTZ AT KITCHEN PERIMETER
CT3 *ALL QUARTZ TO BE THE SAME
PLACED PER
E18
RELOCATE EXISTING SWITCH AT
DOORWAY
CT2 QUARTZ AT KITCHEN COFFEE BAR
COLOR, IF ADDITIONAL COLORS ARE
_
fy F � � m w E-
Q U OJ
0
E7 *ADDITIONAL OR UPGRADED SMOKE
SELECTED, ADDITIONAL SLABS WILL
Lu U C)
w Q Ln Lu w
w
DETECTORS AND/OR CARBON
NEED TO BE PURCHASED AND COSTS
p ' F
= � Z Z O Q = Q
z O� m > U
O
z
MONOXIDE DETECTORS WILL BE
WILL BE HANDLED VIA CHANGE
} O U
Lu
a
U Z w
0p
INSTALLED PER CODE IN UPSTAIRS
ORDER
s
w O
p
O z w w w F-
a v z= x w
vi
w
SPACE GE ORDER
Z d
Z Q
Q O
F
IFVING
REQUIR D BY INSPECTOR SPECITOR
z O O
E8 *HOMEOWNER PROVIDED LIGHT
D O H
w p
Ly Do W H d z Q
H O U L, w
O p
w w
D a o
o o a
Cn W fy F m DO
F o
FLOORING & TILE NOTES
FIXTURES MUST BE ON SITE BY JOB
>z
wZ
START
k k
REFERENCE A2 & A4 FOR SPECIFICATIONS
E_
a p
<LnTE_0 On
p DO U Do Ln DO E-=
p -
cn Lu Z
LL OU F< __(ifU =
�'
Q
F1 TILE FLOOR AT PANTRY
F2 TILE BACKSPLASH AT KITCHEN
Lu 0
W p
0 �� ZC7
CL Z OW Q� �= DO
Q
U
F3 SAND, STAIN & REFINISH EXISTING
p
71 Q Q
d
z a o 1-
Do p F= Q 0
uj U
U
CL
PLUMBING NOTES
HARDWOOD FLOOR AT KITCHEN,
2 z
Lu Z m w p
H
* REFERENCE A4 FOR SPECIFICATIONS *
BACK ENTRY LANDING, & STEP
D w Q
DO
w a Q N a
LU
o f a m
O
W
0 Du
fy a Lu o a
Y
*IF
P1 MOVING OR INSTALLING WATER
P6
*EXISTING GAS RANGE/COOKTOP
Z u-
a J w C�7 Q D
O
LINES NEAR EXTERIOR WALLS,
LOCATION TO REMAIN
3 d
a
Dop Q
p 0 OLpL
PROVIDE THERMAL BREAK BETWEEN
& FRAMING
::)
F
LL (7 JO
>_CONCRETE
Z
O
o w
Q
P2 *PLUMBING FIXTURES ARE ADB
PROVIDED & INSTALLED UNLESS
OTHERWISE NOTED
P3 *VERIFY LOCATION OF PLUMBING AT
FINISH REVIEW
- - - - - - - - - - - - - - -
P4 (1) KITCHEN SINK & FAUCET; EXISTING
ACTIVE DESIGN AND BUILD IS NOT RESPONSIBLE FOR SUPPLYING OR INSTALLING ANY ITEMS,
FIXTURES, OR FEATURES THAT ARE NOT SPECIFIED ON THE NOTED PLAN. ALL CONSTRUCTION DETAILS
SUPPORT COLUMN •
FURN
FURNACE ��
CRAWL SPACE VENT CS
SINGLE POLE SWITCH
AC LINE
FINISHED CEILING HEIGHT: 7'-10"
YEAR HOUSE WAS BUILT: 1953
�
WALL FINISH
NOTES
DATE:
1/25/2021
W1 *USE 12' DRYWALL SHEETS AS
W6 WINDOWS: 3 -SIDED, SQUARE,
LOCATION
P5 (1) NEW DISPOSAL & AIR SWITCH
WILL BE BUILT TO INDUSTRY STANDARDS, UNLESS SPECIFIED DIFFERENTLY. THE UNDERSIGNED
ACKNOWLEDGE THAT ANY SUBSEQUENT CHANGES, ALTERATIONS OR MODIFICATIONS SHALL BE
SUBJECT TO A CHANGE ORDER AND BILLED ACCORDINGLY. THE UNDERSIGNED FURTHER
EXIST. FOUNDATION
KNEE WALL ®
FURNACE FLUE 1 F
�/
RADON OUT TAKE
FIRE SPRINKLER
DIMMER SWITCH
3 -WAY SWITCH
o
3
GAS LINE C GAS
V V
DEMO
SPACES TO BE REMODELED: KITCHEN
IRC CODE YEAR: 2018
ALLOWED BY ACCESS
W2 *VERIFY BASE TRIM HEIGHT, APPLY
DRYWALL WRAP WITH SILL &APRON
W7 *PAINT COLOR: 2 -COLORS:
SCALE:
P4 *EXISTING WATER LINE & DRAIN LINE
UNDERSTAND THAT THE NOTED PLAN SHALL BE REGARDED AS THE DEFINITIVE PLANS FOR CONTRACT
DRYWALL ACCORDINGLY
OCOLOR
FOR WALLS &SOFFITS, 1 -COLOR FOR
FOR DISHWASHER; HOOK-UP &
INSTALLATION INCLUDED
PURPOSES AND THAT NO RELIANCE MAY BE MADE UPON ANY PREVIOUS VERBAL STATEMENTS MADE
BY THE EMPLOYEES, TRADE PARTNERS, SUPPLIERS OR AGENTS OF ACTIVE DESIGN AND BUILD UNLESS
EXISTING WALL
WATER HEATER WH
SUB PANEL �
3 -WAY DIMMER SWITCH
3o
BEAM [ _
W3 *DRYWALL FINISH LEVEL 3 WHEN
CEILINGS AT REMODELED AREAS
W8 ONLY
SEE
D RAW I N G
P5 *ADD WATER LINE FOR
OTHERWISE SPECIFIED, ALL OUTLET, LIGHTING AND SWITCH LOCATIONS ARE APPROXIMATE BUT AREINTERIOR
PLACED TO CODE. ACTIVE DESIGN AND BUILD IS NOT RESPONSIBLE FOR THE LEVELNESS OR
WALL D
CABLE PANEL D
4 -WAY SWITCH
4
WATER LINE C
KNOCKDOWN OR ORANGE PEEL
TEXTURES ARE APPLIED;
W9 *STAIN FOR TRIM & POCKET DOOR
LABELS
REFRIGERATOR
CONDITION OF THE EXISTING FLOOR AND EXISTING WALLS, INCLUDING BUT NOT LIMITED TO
SQUEAKING SUB FLOORS OR STAIRS. THE MOVING OF OR REMOVAL OF ALL IN-HOME FIRE SPRINKLER,
AND SECURITY ITEMS ARE THE HOMEOWNER'S EXPENSE AND SCHEDULING RESPONSIBILITY.
EXTERIOR WALL ®
`
WATER SOFTENER WS
�.
ALARM PANEL
MOTION SENSOR SWITCH
oc
_
DRAIN LINE
*DRYWALL FINISH LEVEL 4 WHEN SKIP
TROWEL, PULL TROWEL, OR CUSTOM
TEXTURES ARE APPLIED;
W10 DRYWALL PATCH: MATCH EXISTING
TEXTURE SMOOTH
HVAC NOTES INSULATION NOTES
ESTIMATE SUBJECT TO CHANGE UPON SELECTION OF LIGHTING AND FIXTURES. WORKING DAYS TO BE
DETERMINED BY PROJECT MANAGER AT PRE -CONSTRUCTION WALK.
� FURRING WALL
EXISTING SUPPLY ®
TOILET ROUGH O
SHOWER ROUGH
ALARM SENSOR �k, �a
so
11 UV OUTLET
220V OUTLET
HVAC
*DRYWALL FINISH LEVEL 5 WHEN
SMOOTH TEXTURE IS APPLIED
H1 *EXISTING SYSTEM: FORCED AIR
H2 (1) RELOCATE EXISTING SUPPLY
CHANGE ORDERS MUST BE SIGNED BY HOMEOWNER BEFORE WORK BEGINS. FAILURE OF SIGNATURE
SMOKE DETECTOR
r
*SMOOTH
Al
REGISTER AT PANTRY
WITHIN 48 HOURS CAN COMPROMISE PROJECT SCHEDULE AND INCUR ADDITIONAL COSTS.
CLEAN OUT � (yCO/SMOKE
FULL BAY
W4 TEXTURE FOR WALLS &
NEW SUPPLY 0
DETECTOR �
GFCI OUTLET
L - - -
J
CEILING
H3 *VERIFY APPLIANCE SPECS BEFORE
VENTING
HOMEOWNER SIGNATURE: DATE:
EXISTING RETURN
FLOOR CLEAN OUT
EXHAUST FAN
CAT6/TV JACK
GFc
FLOOR DIRECTION
W5 *WALL CORNERS: SQUARE
NEW RETURN
FLOOR DRAIN ®
KEYLESS FIXTURE ®
CEILING OUTLET
c
JOIST DIRECTION ��
KITCHEN
REMODEL
HOMEOWNER SIGNATURE: DATE:
WATER MAIN
HUMIDIFIER
RECESSED CAN
EXISTING
w
NOTED
PLAN
NOTES INDICATED WITH AN ASTERISK (*) ARE GENERAL AND
ADB REPRESENTATIVE: DATE:
SUMP PIT SP
WILL NOT BE TAGGED ON THE PLAN
City of
W heatj�idge
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: y—� \c) 1 �1�2�..� `2��
General Contractor: ie-- —t?J
FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION
Company Name CQALX� \L*.0 , Contact Phone #: 303 • Bait- \43So
Wheat Ridge Contractor License #: (required field)
State License #:
Master License #: 1.000 \ co' 0
SAP -'I i s (2u r --V S
Printed Name of Authorized Agent
5� -
Signature of &h9j1zed Agent
a/\ I /a)
Date
,*LA41
City of
f'Ce
Wheat Psjidd'
SUBCONTRACTOR
��UN�TY DEVELOPMENT _
V� FACTOR AUTHORIZATION FORM
Mechanical Subcontractor
This form must be completed & signed b the MECHANICAL SUBCONTRACTOR
� y
Subcontractor's insurance Performing work on
ndicense must be up to date prior to permit issuance.
Project Address: �Zo
General Contractor: ,,46 f , v
1/1
FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION
Company Name: ���r� e t G�ontact Phone #: 1d� �� 3
P Y
Wheat Ridge Contractor License 41 a l (-7 (required field)
ited Name
Agent
tore o uthorized Agent
Eds 1A - pm—�
PRE -RENOVATION
ASBESTOSINSPECTION
4710 NEWLAND STREET
WHEATRIDGE, COLORADO
80033
(Kitchen)
PREPARED FOR:
Brian &Marpre[Schuke
4710 Newland Street
Whemtdtl , Colorado
50033
PROJECT. SEI20 P207
PREPARED. Decanba 28ra 2020
Sunrise Envirwrnenfel, Inc
371 CCAView Drive-POBox429
Black Hawk, Colwado 80422
Phone 720209-5282
Appendices
Appendix A -Analytical Data
Appendix B- Certifications
2
TABLE OF CONTENTS
SECTION
DESCRIPTION
PAGE
CERTIFICATION OF RESULTS
3
1.0
EXECUTIVE SUMMARY
4
2.0
SCOPE AND FACILITY INFORMATION
5
2.1 Inspection Objectives and Scope
5
2.2 Review of Existing Information
5
3.0
METHODS AND TECHNIQUES
6
3.1 Inspection
6
3.2 Bulk Sampling
6
3.3 Sample Analysis
7
4.0
ASBESTOS -CONTAINING MATERIAL DESCRIPTIONS
AND RECOMMENDATIONS
8
5.0
PRESUMED ASBESTOS CONTAINING MATERIAL
DESCRIPTIONS AND RECOMMENDATIONS
8
6.0
NON -ASBESTOS CONTAINING MATERIAL DESCRIPTIONS
8
7.0
INSPECTOR COMMENTS
9
8.0
CONCLUSIONS AND RECOMMENDATIONS
9
9.0
LIMITATIONS
9
Appendices
Appendix A -Analytical Data
Appendix B- Certifications
2
Pre -Renovation Asbestos Inspection
4710 Newland Street, Wheat Ridge, Colorado 80033
CERTIFICATION OF RESULTS
This Pre -Renovation Asbestos Inspection was performed on behalf of Brian & Margaret
Schulte (hereafter referred to as "Client"), subsidiaries, partners, directors and officers, and
all successors and assigns, solely for use in evaluation of the presence of asbestos -
containing building materials sampled at 4710 Newland Street, Wheat Ridge, Colorado
80033 (hereafter referred to as the "Site"). The information herein is only for the specific
use of Brian & Margaret Schulte and Sunrise Environmental, Inc. Use by any other parties
is unauthorized. Sunrise Environmental, Inc. accepts no responsibility for the use,
interpretation, or reliance by other parties on the information contained herein, unless
written authorization is obtained by Sunrise Environmental, Inc. This report is respectfully
submitted this 28a' day of December, 2020.
Sunrise Environmental, Inc.
Digitally signed by
Scott D Sanders
Date: 2020.12.28
16:19:12 -07'00'
Scott D. Sanders
President
CDPHE Building Inspector Certificate #633
3
Pre -Renovation Asbestos Inspection
4710 Newland Street, Wheat Ridge, Colorado 80033
1.0 EXECUTIVE SUMMARY
Sunrise Environmental, Inc. has completed a Pre -Renovation Asbestos Inspection at 4710
Newland Street, Wheat Ridge, Colorado 80033. The inspection was limited to the kitchen.
The inspection was performed by Mr. Scott D. Sanders of Sunrise Environmental, Inc.
December 15"', 2020. After identifying Homogeneous Areas of suspect Asbestos
Containing Building Materials (ACBM), the inspector collected bulk samples from each
Homogeneous Area. The bulk samples were submitted to an independent laboratory and
were analyzed by Polarized Light Microscopy.
None (0) of the three (3) Homogeneous Areas identified and sampled by Sunrise
Environmental, Inc. were found to contain greater than 1% asbestos. Sunrise
Environmental, Inc. did not presume any additional building materials to contain greater
than 1% asbestos.
In
Pre -Renovation Asbestos Inspection
4710 Newland Street, Wheat Ridge, Colorado 80033
2.0 SCOPE AND FACILITY INFORMATION
2.1 Inspection Objectives and Scope
Brian & Margaret Schulte requested Sunrise Environmental, Inc. to inspect the kitchen at
4710 Newland Street, Wheat Ridge, Colorado 80033 for the presence of asbestos
containing building materials (ACBM). Sunrise Environmental, Inc. performed a Pre -
Renovation Asbestos Inspection in accordance with the requirements of 40 CFR 61,
National Standards for Hazardous Air Pollutants (NESHAP), and Colorado Department of
Public Health and Environment Air Quality Control Commission (CDPHE-AQCC)
Regulation 8, which require that a building be thoroughly inspected for the presence of
asbestos -containing building materials prior to renovation.
Our scope of services included the following:
• Identify suspect asbestos -containing building materials (ACBM) in the kitchen.
• Collect bulk samples of all identified suspect materials in accordance with 40
CFR 763.86 and CDPHE-AQCC Regulation # 8.
• Submit the bulk samples to a NVLAP accredited asbestos laboratory for
analysis;
• Specify the condition of the suspect ACBM;
• Compile a final report of findings.
Sunrise Environmental, Inc. made reasonable efforts to locate and identify Asbestos
Containing Building Materials (ACBM) within the kitchen. Sunrise Environmental, Inc.
performed some destructive access to inspect inaccessible areas, however, should
unidentified suspect materials be encountered, additional bulk material samples should be
collected to determine potential asbestos content. The inspection was conducted by
CDPHE Certified Asbestos Building Inspector Scott D. Sanders.
2.2 Review of Existing Information
No previous asbestos inspection data regarding asbestos containing building materials was
provided for review.
5
Pre -Renovation Asbestos Inspection
4710 Newland Street, Wheat Ridge, Colorado 80033
3.0 METHODS AND TECHNIQUES
3.1 Inspection
Sunrise Environmental, Inc. inspected the kitchen to locate and identify friable and non -
friable asbestos containing building materials. Mr. Scott D. Sanders of Sunrise
Environmental, Inc. performed the inspection December 15"', 2020. Mr. Sanders is a
Colorado Department of Public Health and Environment (CDPHE) certified asbestos
building inspector. The inspector visually inspected accessible portions of the renovation
areas to locate and identify suspect ACBM, touched suspect ACBM to determine friability,
and determined the extent of homogeneous areas of friable and non -friable suspect ACBM.
3.2 Bulk Sampling
Random bulk samples, representative of the suspect asbestos -containing building materials
of each homogeneous area, were collected according to guidelines published as
Environmental Protection Agency (EPA) Final Rule: Title II of the Toxic Substances
Control Act (TSCA), 15 USC, Sections 2641 through 2654 and in compliance with 40
CFR, Part 763 and Colorado Department of Public Health and Environment (CDPHE),
Regulation Number 8. Representative sampling is based on the following criteria:
1. The distribution of the suspect material throughout the homogeneous area.
2. The suspect materials physical characteristics and application.
3. Random sampling patterns determined for each homogeneous area
Suspect materials sampled and analyzed should be considered representative of materials
in each homogeneous area if:
1. They exhibit similar physical characteristics.
2. The application of the sampled material can be correlated to the application of
un -sampled material.
Suspect materials similar in appearance and application were sampled as homogeneous
areas. Suspect materials were divided into three classifications and sampled according to
applicable regulations based on classification of each homogeneous material and the
quantity of each homogeneous material as listed below:
Surfacing Materials - Troweled on or sprayed on material
• 1,000 square feet requires a minimum of three (3) samples
• Greater than 1,000 square feet but less than or equal to 5,000 square feet
requires a minimum of five (5) samples
• Greater than 5,000 square feet requires a minimum of seven (7) samples
2. Thermal System Insulation
0 Each system requires three (3) samples
Pre -Renovation Asbestos Inspection
4710 Newland Street, Wheat Ridge, Colorado 80033
3. Miscellaneous - other suspect materials not classified in the above categories
• Sufficient samples to adequately characterize the materials with a minimum
of two (2) samples
A material can either be friable or non -friable. A friable material is one that, when dry,
can be pulverized or reduced to powder by hand pressure. A non -friable material cannot
be reduced to a powder by hand pressure. A non -friable material may become friable if its
condition has deteriorated or has been impacted by forces that have rendered it friable.
After identifying homogeneous areas of suspect ACBM, representative samples from each
homogeneous area were collected. The inspector randomly selected the sample locations
and collected samples in a manner to minimize the release of fibers into the air. The
inspector collected a small bulk sample of the material using an appropriate tool (e.g, clean
knife or chisel), and placed each bulk sample into an unused, uniquely labeled, sealable
bag. The inspector documented each homogeneous area, sample location, sample number
and other pertinent information at the time of the inspection. A total of nine (9) bulk
samples were collected for analysis from three (3) separate Homogeneous Areas. Samples
were analyzed with a 5 -day turnaround.
3.3 Sample Analysis
Bulk samples collected were submitted for analysis at FRS Geotech, Ina located at 1441
West 46a' Avenue, Suite 14, Denver, Colorado 80211. Bulk samples were analyzed by
Polarized Light Microscopy (PLM) to determine asbestos content. FRS Geotech, Inc. is
accredited by the National Institute of Standards and Technology (NIST) under the
National Voluntary Laboratory Accreditation Program (NVLAP). PLM was performed
in compliance with guidelines established by the USEPA (EPA 600 Method).
A building material of a given homogeneous area is considered to be ACBM based on a
finding that at least one sample collected from the material showed asbestos present in an
amount greater than one percent (1.0%). A building material is not to be considered ACBM
only if the results of all samples collected from the material showed asbestos content to be
equal to or less than one percent (1.0%).
The CDPHE-AQCC require point count analysis for friable materials greater than 0% but
equal to or less than 1.0% to disprove false negative results analyzed by visual estimation.
EPA-NESHAP recommends point count analysis for visual estimations from greater than
1% to 10% to disprove false positive results or consider the material to be asbestos -
containing. SEI recommends point count analysis up to 2% based on experience and
quality of analysis. None of the samples collected were submitted for point count analysis.
The Polarized light Microscopy analysis of the bulk samples was performed on December
22°d, 2020 as listed in the Analytical Data Section of this report (See Appendix A).
Condition assessments were performed by the accredited inspector at the time of
inspection.
7
Pre -Renovation Asbestos Inspection
4710 Newland Street, Wheat Ridge, Colorado 80033
4.0 Asbestos Containing Building Material Descriptions and Recommendations
No asbestos was detected in any of the bulk samples collected.
5.0 Presumed Asbestos Containing Building Materials
Sunrise Environmental, Inc. did not presume any additional building materials to contain
greater than 1% asbestos.
6.0 Non -Asbestos Containing Building Materials
The following building materials were sampled and found to contain 1% or less asbestos:
Sample
Homogeneous Area
Sample
Number:
& Material Description:
Location:
1-1
Homogeneous Area 1: (-500 sq. ft.)
Kitchen,
Smooth plaster
East soffit,
(Surfacing Material Friable Good Condition
South end
1-2
Homogeneous Area 1: (-500 sq. ft.)
Kitchen,
Smooth plaster
East wall center
(Surfacing Material Friable Good Condition
Beneath shelves
1-3
Homogeneous Area 1: (-500 sq. ft.)
Kitchen,
Smooth plaster
North wall,
(Surfacing Material Friable Good Condition
West end
2-1
Homogeneous Area 2: (-45 sq. ft.)
Kitchen,
Thin drywall texture
West soffit,
(Surfacing Material Friable Good Condition
Center
2-1
Homogeneous Area 2: (-45 sq. ft.)
Kitchen,
Thin drywall texture
South soffit,
(Surfacing Material Friable Good Condition
Center
2-3
Homogeneous Area 2: (-45 sq. ft.)
Kitchen,
Thin drywall texture
West soffit,
(Surfacing Material Friable Good Condition
South end
3-1
Homogeneous Area 3: (-45 sq. ft.)
Kitchen,
Drywall & joint compound
West soffit,
Miscellaneous Material Friable Good Condition
Northwest corner
3-2
Homogeneous Area 3: (-45 sq. ft.)
Kitchen,
Drywall & joint compound
West soffit,
Miscellaneous Material Friable Good Condition
Southwest corner
3-3
Homogeneous Area 3: (-45 sq. ft.)
Kitchen,
Drywall & joint compound
South soffit,
Miscellaneous Material Friable Good Condition
Southeast corner
Pre -Renovation Asbestos Inspection
4710 Newland Street, Wheat Ridge, Colorado 80033
7.0 Inspector Comments
Sunrise Environmental, Inc. identified and sampled a total of three (3) Homogeneous
Areas, none (0) of which were found to contain greater than 1% asbestos. Bulk samples
were collected December 15th, 2020. Sunrise Environmental, Inc. did not presume any
additional building materials to contain greater than 1% asbestos. The CDPHE-AQCC
requires the removal of friable and non -friable asbestos containing materials prior to
renovation activities if the materials will be impacted by the renovation.
This asbestos inspection was performed for the purpose of renovation and was limited to
the kitchen at the client's request.
Sunrise Environmental, Inc. made reasonable efforts to locate and identify Asbestos
Containing Building Materials (ACBM) and performed some destructive access to access
inaccessible areas. If unidentified materials are encountered, additional bulk material
samples should be collected to determine potential asbestos content. Inspector's
certifications are located in Appendix B of this report.
8.0 Conclusions and Recommendations
No asbestos was detected in any of the bulk samples collected.
9.0 Limitations
The findings set forth in this report are strictly limited in time and scope to the date of the
evaluation(s). The conclusions presented in the Report are based solely on the services
described therein, and not on scientific tasks or procedures beyond the scope of agreed
upon services.
Because of the hidden nature of many building components, it may be impossible to
determine if all building components have been located and subsequently tested.
Destructive testing in some instances is not a viable option. Sunrise Environmental, Inc.
does not, therefore, guarantee that all potential ACM has been located. If unidentified
materials are encountered, additional bulk material samples should be collected to
determine potential asbestos content. For the same reasons, estimates of quantities are
subject to readily apparent situations. We do warrant however that the investigations and
methodology reflect Sunrise Environmental, hic.'s best efforts based upon prevailing
standard of care and due diligence in the environmental field.
The purpose of this report was to assess the physical characteristics of the subject Site with
respect to the presence of asbestos -containing materials. No specific attempt was made to
check on the compliance of present or past owners or operators or of the Site with federal,
state or local laws and regulations, environmental or otherwise.
9
APPENDIX A
ANALYTICAL DATA
FRS Geotech, Inc.
1441 W. 46th Ave, Ste. 14
Denver, CO 80211-2338
December 22, 2020
Mr. Scott Sanders
Sunrise Environmental, Inc.
P.O. Box 429
Black Hawk, CO 80422
Re: Project: 4710 Newland Street, Wheat Ridge, CO 80033
FRS Lab Number 125856
Dear Mr. Scott Sanders:
Phone: (303) 477-2559
(800) 386-3136
FAX: (303) 477-2580
e-mail: frsgeo@ix.netcom.com
The bulk samples submitted to FRS Geotech, Inc. have been analyzed by polarized light microscopy (PLM),
the EPA -recommended method for determination of fibrous constituents in building materials. The percent of
asbestos contained in the samples is a visual estimation based upon comparisons with published charts. The
results of these analyses are summarized in the enclosed table. This report relates only to the items received
and tested by our laboratory. According to requirements set by the National Institute of Standards and
Technology/NVLAP, this report must not be used by the client to claim certification, approval, or
endorsement by NVLAP, NIST, or any agency of the Federal Government. Also, NVLAP guidelines specify
that this report should not be reproduced, except in full, without the written approval of FRS.
A copy of your Chain of Custody is attached for your convenience. This report is considered highly
confidential. Results will not be discussed with any person not associated with you.
Please call if you have any questions about this work.
Sincerely,
'i011
David A. Schroeder, Ph.D.
Data Controller
Enclosures
NVLAP Accredited Lab 4102078-0
FRS GEOTECH, INC. Phone: (303) 477-2559
RESULTS OF BULK ASBESTOS SAMPLE ANALYSIS (800) 386-3136
1441 W. 46th Avenue, Ste. 14 Fax: (303) 477-2580
Denver, CO 80211-2338 BY POLARIZED LIGHT MICROSCOPY (PLM) EPA -600/R-93/116 e-mail: frsgeo@ix.neteom.eom
Client: Sunrise Environmental, Inc.
Lab No.: 125856
Project: 4710 Newland Street, Wheat Ridge, CO 80033
Page 1 of 2
Sample No. [layer] Sample
Nonasbestos
Asbestos
Description Volume (%) Date
Fibrous Material (%)
Minerals (%)
Summary (%)
1-1 100% 12/15/20
Fiberglass
Cellulose 10
Amosite
Anthophyllite
Total Asbestos. None Detected
Plaster [white sandy plaster, white finish plaster, multiple colors of paints,
Synthetics Trace <1 %
Chrysotile
Other Fibrous Material 11
off-white texture and tan wallpaper]
Hair. Trace <1 %
Crocidolite
Trem./Act.
Nonfibrous Material 89
1-2 100% 12/15/20
Fiberglass
Cellulose 10
Amosite
Anthophyllite
Total Asbestos. None Detected
Plaster [off-white sandy plaster, white finish plaster, multiple colors of
Synthetics
Chrysotile
Other Fibrous Material 11
paints and tan wallpaper]
Hair. Trace <1 %
Crocidolite
Trem./Act.
Nonfibrous Material 89
1-3 100% 12/15/20
Fiberglass
Cellulose 10
Amosite
Anthophyllite
Total Asbestos. None Detected
Plaster [off-white sandy plaster, white finish plaster, multi -colored paints,
Synthetics
Chrysotile
Other Fibrous Material 10
off-white & white textures & tan wallpaper]
Others .
Crocidolite
Trem./Act.
Nonfibrous Material 90
2-1 100% 12/15/20
Fiberglass
Cellulose
Amosite
Anthophyllite
Total Asbestos. None Detected
Texture [white with multiple colors of paints]
Synthetics
Chrysotile
Other Fibrous Material
Others .
Crocidolite
Trem./Act.
Nonfibrous Material 100
2-2 100% 12/15/20
Fiberglass
Cellulose
Amosite
Anthophyllite
Total Asbestos. None Detected
Texture [white with multiple colors of paints]
Synthetics
Chrysotile
Other Fibrous Material
Others .
Crocidolite
Trem./Act.
Nonfibrous Material 100
2-3 100% 12/15/20
Fiberglass
Cellulose
Amosite
Anthophyllite
Total Asbestos. None Detected
Texture [white with multiple colors of paints]
Synthetics
Chrysotile
Other Fibrous Material
Others .
Crocidolite
Trem./Act.
Nonfibrous Material 100
* Composite analysis (multilayered sample, see individual layer analyses).
Analyst(s): �/'ral`'r"�'"` \
David A. Schroeder
Completed: 12/22/2020
FRS GEOTECH, INC. Phone: (303) 477-2559
RESULTS OF BULK ASBESTOS SAMPLE ANALYSIS (800) 386-3136
1441 W. 46th Avenue, Ste. 14 Fax: (303) 477-2580
Denver, CO 80211-2338 BY POLARIZED LIGHT MICROSCOPY (PLM) EPA -600/R-93/116 e-mail: frsgeo@ix.neteom.eom
Client: Sunrise Environmental, Inc.
Lab No.: 125856
Project: 4710 Newland Street, Wheat Ridge, CO 80033
Page 2 of 2
Sample No. [layer]
Sample
Nonasbestos
Asbestos
Description Volume (%)
Date
Fibrous Material (%)
Minerals (%)
Summary (%)
3-1 100%
12/15/20
Fiberglass
Cellulose 10
Amosite
Anthophyllite
Total Asbestos. None Detected
Drywall & joint compound [white & white]
Synthetics
Chrysotile
Other Fibrous Material 10
Others .
Crocidolite
Trem./Act.
Nonfibrous Material 90
3-2 100%
12/15/20
Fiberglass
Cellulose 10
Amosite
Anthophyllite
Total Asbestos. None Detected
Drywall & joint compound [white & white]
Synthetics
Chrysotile
Other Fibrous Material 10
Others .
Crocidolite
Trem./Act.
Nonfibrous Material 90
3-3 100%
12/15/20
Fiberglass
Cellulose 10
Amosite
Anthophyllite
Total Asbestos. None Detected
Drywall & joint compound [white drywall (no joint compound noted)]
Synthetics
Chrysotile
Other Fibrous Material 10
Others .
Crocidolite
Trem./Act.
Nonfibrous Material 90
* Composite analysis (multilayered sample, see individual layer analyses).
Analyst(s): J�'``'�"` �
David A. Schroeder
Completed: 12/22/2020
CliehP. une%5e .m/ 1"VDtnM1?.+►'M'Y FRS GEOTECH, INC.
Address: Bulk Chain of Custody
11WA `11
City: 1441 W. 46'h Ave., Suite 14
State:_ Zip: Denver, CO 80211-2338
Telephone:(_ (303)477-2559 or (800)386-3136
FAX*:(_)
Person to Contact:
Alternate Phone(
Accept/ Sample Sample
Reject Number Date
2.
FAX: (30377-2580
Mold
FRS Lab No.:
P.O.
Turnaround time ed:
Rush_ 1 aday 5 -da Other:
Return E
*NOTE: Specifying a FAX number
authorizes FRS Geotech, Inc. to FAX
codential reports to that number.
Sample Description
and Location
2.
Send White and Yellow copies with samples (Yellow copy returned with Report). Keep Pink copy for Client Records.
APPENDIX B
CERTIFICATIONS
O I Aeelaim Environmenul Service; Ina
In„eram.strategies I enema., sewtions
CERMES THAT
SCOTTD.SANDERS
Has eueeeemf IV onnaraua
TM EPA-APProaW AHEM Annual RerfreaM1er Counter lor
INSPECTOR
Tlis course a EPA¢galovN unMr Sri 205 W Ne Tom Corbal AC (TSCA)
and moods Ne m a eman6 of CdomUo gdrylelian No. 8
greaseless 07mmm
Catalog, N, At?"drWstR44
Experrearn Law,
do CATIOLis
a
eR_.l
Sys
C
9
did
5i5
�J, .r
f,
on
R
z
§
r-
Z
O I Aeelaim Environmenul Service; Ina
In„eram.strategies I enema., sewtions
CERMES THAT
SCOTTD.SANDERS
Has eueeeemf IV onnaraua
TM EPA-APProaW AHEM Annual RerfreaM1er Counter lor
INSPECTOR
Tlis course a EPA¢galovN unMr Sri 205 W Ne Tom Corbal AC (TSCA)
and moods Ne m a eman6 of CdomUo gdrylelian No. 8
greaseless 07mmm
Catalog, N, At?"drWstR44
Experrearn Law,
do CATIOLis
Colorado Department
of Public Health
and Environment
ASBESTOS CONSULTING FIRM
This certifies that
Sunrise Environmental, Inc.
Registration No.: ACF - 14909
has met the registration requirements of 25-7-507, C.R.S. and the Air Quality Control
Commission Regulation No. 8, Part B, and is hereby authorized to perform asbestos consulting
activities as required under Regulation No 8, Part B, in the state of Colorado.
Issued: January 09, 2020
Expires: January 30, 2021
Authorized APCD Representative
SEAL.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Residential Interior Remodel
Date: Monday, February 1, 202110:15:55 AM
Residential Interior Remodel
This application is exclusively for Residential Interior Remodels and other scopes
of work which do not have a specific form already available.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Property Address 4710 NEWLAND ST
Property Owner Name MAGGIE & BRIAN SCHULTE
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
320-583-5984
maggiebradley345@gmail.com
Electronic Payment Form Schulte.odf
APPLICANT INFORMATION
Applicant Name Active Design & Build
What is your role in the
project?
Wheat Ridge
Contractor's License
Number (This is a 5 or
6 digit number for the
General Contractor
123456
City of Wheat Ridge)
Contact Phone Number
(enter WITH dashes,
eg 303-123-4567)
Contact Email Address
for Plan Review
Comments
Retype Contractor
Email Address
DESCRIPTION OF WORK
Detailed Scope of
Work - In the space
below (not as an
attachment), Provide a
detailed description of
work including
mechanical, electrical,
plumbing work
occurring,
adding/removing walls,
etc
I, the applicant,
understand my
application will be
rejected if I do not
include a Detailed
Scope of Work.
7209008677
permits@activedesignandbuiId.com
permits@activedesignandbuiId.com
kitchen remodel with new cabinets, electrical upgraded to code,
hvac venting, plumbing for appliances
I have entered a detailed scope of work.
Location of Work kitchen
Square Footage Area
of Work Being
Performed
Asbestos Report
Upload letter size
documents here
Construction Plans
scanned on 11'x17" or
larger
150
Field not completed.
Field not completed.
Project Value (contract 7474 Valuation Increase to $15,410
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
Person Applying for Briana Noonan
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.
� ► � i City of Wheat Ridge
Residential Remodel PERMIT - 202100200
PERMIT NO: 202100200 ISSUED: 03/26/2021
JOB ADDRESS: 4710 Newland St EXPIRES: 03/26/2022
JOB DESCRIPTION: Kitchen remodel - replace cabinets, bring electrical up to code, install
HVAC venting and new plumbing for appliances - 150 sq ft total
*** CONTACTS ***
OWNER (320) 583-5984
SCHULTE MAGGIE &
BRIAN
GC (720)900-8677
DUSTIN KRUEGER
210022 ACTIVE DESIGN AND BUILD
SUB (303)875-3319
Calvin & Katrina
Pacheco
160195 Kycor Mechanical
SUB (303)829-1850
RONALD D. CURTIS
JR.
100193 HOME CONNECTIONS, INC.
SUB (303) 472-7074
NATHAN STICKLEY
150262 STICKLEY PLUMBING
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2405 / BARTHS, COULEHAN GRANGE,
WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 15,410.00
FEES
Total Valuation
0.00
Plan Review Fee
194.61
Use Tax
323.61
Permit Fee
299.40
** TOTAL **
817.62
*** COMMENTS ***
*** CONDITIONS ***
All roughs to be done at Framing Inspection.
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
Approved per plans and red -line notes on plans. Must comply with 2018 IRC, 2020 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
1* � � i City of Wheat Ridge
�� Residential Remodel PERMIT - 202100200
PERMIT NO: 202100200 ISSUED: 03/26/2021
JOB ADDRESS: 4710 Newland St EXPIRES: 03/26/2022
JOB DESCRIPTION: Kitchen remodel - replace cabinets, bring electrical up to code, install
HVAC venting and new plumbing for appliances - 150 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 thispermit and perform the work described and approved in conjunction with
this,permrt. I further attest that I am leg ally authorized to include alI entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
03/26/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
A
1�
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: ill
Job Address: 'e -'l 71f 7
Permit Number: ZO C-' 0
❑ No one available for inspection: Time `71SAM/PM
e �
Re -Inspection required: Yes
f
When corrections have been made, schedule for re -inspection online at.
http:Uwww. ci. whea tridge. co. usfinspection
Date: Inspector:_ c__,;10
DO NOT REMOVE THIS NOTICE
A
1�
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: ill
Job Address: 'e -'l 71f 7
Permit Number: ZO C-' 0
❑ No one available for inspection: Time `71SAM/PM
e �
Re -Inspection required: Yes
f
When corrections have been made, schedule for re -inspection online at.
http:Uwww. ci. whea tridge. co. usfinspection
Date: Inspector:_ c__,;10
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD
Inspection online form: http:// .ci. trid e.
Cancellations must be submitted via the online orm a ore Is a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to rece've aninspection the following business day
PERMIT: ADDRESS: "7 �� JOB CODE: .-
5
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
aQ—��
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
;J6Lnsulation
06 Mi -
aQ—��
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMIT:C�0)V) %6 A D D R E S S: `l(e / v�P.eC�.�,Yt'Jr JOB CODE: U F
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
of _
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
of _
410 Final Window/Door
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
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 by the Fire District and
Electrical low voltage by the Building Division.
r�
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 2345933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: L-1 c 9 - t - %r, 1
Job Address: `'� -7 e w hi „ S4 -
Permit Number: "� o I -7 a 7 S -3 !�
P -O V10 d
❑ No one available for inspection: Time
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date:12 a4 17 Inspector: 'J
DO NOT REMOVE THIS NOTICE
A 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: ii
Job Address:`
Permit Number: j Z2 (.p
J1 Poo -P AOc�m&,eJ
❑ No one available for inspection: Time i = AMI
Re -Inspection required: Yes No_
When corrections have been made, call r -inspection at 303-234-5933
Date: Z ,1 Inspector:r`
DO NOT REMOVE THIS NOTICE 1`t
City of Wheat Ridge
Residential Roofing PERMIT - 201709536
PERMIT NO: 201709536 ISSUED: 12/12/2017
JOB ADDRESS: 4710 Newland ST EXPIRES: 12/12/2018
JOB DESCRIPTION: Residential reroof remove and install Tamko Heritage Asphalt Shingles with
20sq pitch=5/12.
House and garage.
*** CONTACTS ***
OWNER (720)771-6012 YOUNG DEREK DAVID
SUB (303)988-1912 Julie Comstock 019468 L. F. Comstock, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,200.00
FEES
Total Valuation 0.00
Use Tax 214.20
Permit Fee 220.15
** TOTAL ** 434.35
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201709536
PERMIT NO: 201709536 ISSUED: 12/12/2017
JOB ADDRESS: 4710 Newland ST EXPIRES: 12/12/2018
JOB DESCRIPTION: Residential reroof remove and install Tamko Heritage Asphalt Shingles with
20sq pitch=5/12.
House and garage.
1, 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 nd that all work to be performed is d' losed in this document and/or its' accompanying approved plans and specifications.
2-
S gn ure of OWNER or CONTRACTOR (Circle one) Date
1. his 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 originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Off-cial and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applic de or any ordinance or regulation of this jurisdiction. Approval of work is subject to Held inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
nia Reimer
n r-�
6�lu
From: no-reply@ci.wheatridge.co.us
Sent: Monday, December 11, 2017 5:31 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
4710 Newland St
Derek Young
Property Owner Phone 720-771-6012
Number (enter WITH A.
dashes, eg 303-123-4567) �I�
Property Owner Email ddyoung99@gmail.com
Address
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed Voung quote signed.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business LF Comstock, Inc
Name
Contractor's License 019468
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-988-1912
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 14237 W. Iliff AVe Lakewood CO 80228
(Primary address of your
business)
Contractor Email Address
comstock66@aol.com
Retype Contractor Email
comstock66@aol.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
20
the entire scope of work:
Project Value (contract
10200.00
value or cost of ALL (
_
materials and labor)
Are you re -decking the (
No
roof?
Is the permit for a flat
Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
2
both? (check all that
apply)
What is the specific pit -h-5/12�
of the PITCHED roo
How many squares are all
part of the PITCHED
roof?
Describe the roofing Tamko Heritage
materials for the
PITCHED roof:
Type of material for th ' Asphalt
PITCHED roof:
Provide any additional house and garage
detail here on the
description of work. (Is
this for a house or
garage? Etc)
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 this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
C
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Julie Comstock
Email not displaying correctly? View it in your browser.
Dater
lob Name
Customer_ /-�(
Addresss -f� 110
Crty. nG01- E G tate-C (-' Zip 3
Phone AC- �7! ZDlelr
Email_n 0 tj`(� if-uq GGr ✓Yl�ti /Y1
J
� anufacturers Limited Liability Warranty
Dc Comstock INC. Limited Liability Warranty
,,��Cll'ean Up and Haul Off Roofing Debris
r_1Run Magnetic Nail Rake Through Yard
�tectLandscape
L�ncludes Building Permit, taxes, Dump Fee
ClIstarl New Gutters
01�ien Waiver Provided Upon Final Payment (-A ni D)Qh 6v-\
fro,1 0 � ME: ray e
R -O -C3 -F -i -N -G
303.988:1512 sss
142371. lfiff Ave Lakewood, CO 80228
NOTES / SPECIAL INSTRUCTIONS_
i FJMS.-
LF Comstock INC. proposes to Furnish material and labor in accordance with the above specifications for the sum of
S I I aq ( - 36 . Ail work to be completed in a substantial workman like manner in accodance with industry practices_ LF
Comstock INC. will not be held liable for any structural movement settling, cracks in drywall, drive my, or damage to siding during the
loading process. All interior damage to buildings is excluded 45 days after completion date of project. Any damage to the interior of
the building or its contents will be the responsibility of the owner and the insurance company. Finance charge of 15% per month will
be added to any unpaid balance over 30 days. Failure to pay may result in a mechanics lien being filed against the property. In the
event that legal or collection actions are taken LF Comstock INC is entitled to reasonable attorney's fees and costs. All refunds will be
made available 10 days after written requests have been received. Prices are good for)X days from the date of the bid. Approximate
start date 1 1 S�-)_7___ Approximate finish date
You, the buyer, may rescind this contract and receive a refund of your deposit anytime within 72 hours after execution of this contract.
LF Comstock INC. shall hold in trust any payments until the roofing contractor has delivered materials to the job site or has performed
a majority of the work. LF Comstock IW maintains workers comprehensive and
_
liabilitits agent-
LF
genC
LF Comstock rNCPepresenta CS
te ustomersignaturefF
L
FE a0 i
w'n
JOB DESCRIPTION:
g ianufacturer j Gf
L
K c>_�
2ype of Roof
,1 ( J
dolor of Shingle ��
r (' ( es e pi
wear Off
Dlodge Type i� t
�,�%6•�
❑'Valley Type
(�
f'-ff-Metal Edge; Cotor_
LVents t Color
nstall Six Nails Per Shingle
Ripe Flashings
alce and Water Shield.
L V
�t Underlayment
� anufacturers Limited Liability Warranty
Dc Comstock INC. Limited Liability Warranty
,,��Cll'ean Up and Haul Off Roofing Debris
r_1Run Magnetic Nail Rake Through Yard
�tectLandscape
L�ncludes Building Permit, taxes, Dump Fee
ClIstarl New Gutters
01�ien Waiver Provided Upon Final Payment (-A ni D)Qh 6v-\
fro,1 0 � ME: ray e
R -O -C3 -F -i -N -G
303.988:1512 sss
142371. lfiff Ave Lakewood, CO 80228
NOTES / SPECIAL INSTRUCTIONS_
i FJMS.-
LF Comstock INC. proposes to Furnish material and labor in accordance with the above specifications for the sum of
S I I aq ( - 36 . Ail work to be completed in a substantial workman like manner in accodance with industry practices_ LF
Comstock INC. will not be held liable for any structural movement settling, cracks in drywall, drive my, or damage to siding during the
loading process. All interior damage to buildings is excluded 45 days after completion date of project. Any damage to the interior of
the building or its contents will be the responsibility of the owner and the insurance company. Finance charge of 15% per month will
be added to any unpaid balance over 30 days. Failure to pay may result in a mechanics lien being filed against the property. In the
event that legal or collection actions are taken LF Comstock INC is entitled to reasonable attorney's fees and costs. All refunds will be
made available 10 days after written requests have been received. Prices are good for)X days from the date of the bid. Approximate
start date 1 1 S�-)_7___ Approximate finish date
You, the buyer, may rescind this contract and receive a refund of your deposit anytime within 72 hours after execution of this contract.
LF Comstock INC. shall hold in trust any payments until the roofing contractor has delivered materials to the job site or has performed
a majority of the work. LF Comstock IW maintains workers comprehensive and
_
liabilitits agent-
LF
genC
LF Comstock rNCPepresenta CS
te ustomersignaturefF
L
FE a0 i
w'n
i CITY OF WHEAT RIDGE I
_1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:7lr- s�U -t-
Permit Number: c�)0/70 (p/ 7(p
r o�sc_ 1 '1-1 : (�
_/13 ,
❑ No one available for inspection: Time AM/PM
Re -Inspection required-A'es `)qo
When corrections have been made, call for re -inspection at 303303-2
Date: %'Mt 17 Inspector: `, _Az
DO NOT REMOVE THIS NOTICE
FOR -OFFICE USE ONLY
of Date:
City of
jqr'Wh6atP
UNi DEVELOPMENT j�jgie
f Add to Pennit #
Building &�Inspe tion Services Division
500 .29 Ave., wheat Ridge, CO 80033
Office 303-235-2355 * Fax: 303-237-5929
Inspection Line.- 303-234-5933 PAID
Email:
WD"k—
Building Permit Revision/Amendment Application
Please complete all highlighted sr on both sides of this form, Incomplete applications may not be processed.
/1-11 I'll ) c I e- L I )'I 7-). r'° is w_ i— -
Property Address*.
Property Owner Email.x,� . yo
Mailing dress* (if different than property ,address)
Address:
City, State, ZIP:
"►lam El ' ' �� ° -� - ---- `.` �" � . � _ - -- -
Contact Person: rlrOvl� 41 -AL Phone: 123,-41/0
Contractor: M3�M T)RA 7)eAc, his.-z4or- '�efvlcv�
.. , ..NMI
Includ6d in the original permit
If revisions or amendments increase the original valuation, additional fees will be due at the time of
approval. Depending n the scope of work, additional playa review fees may be due upon n approval
($60.00 an hour – 2 hour minimum),
4r Cell kr
k', y .. �KIt U, - ftity `� ry nj
r.
COC'i t -' )1,11
Sq. FULF Stu's Gallons
Amps Squares tither
Air
a
I
-
------ - -------
0
0
AO
41
a
I
-
------ - -------
0
0
J,
cp
'
C'.
0
C -S!
L
OL o
tLZ
m
I
At
m
�Mll
item
I
I
I
I
.9 J 1 -.6SI
I
E
MI
HMO
"9"
.9 �,c
.9 J 1 -.6SI
I
E
MI
HMO
Delta Disaster Services
_v0AWM6ta��Wk-W4
Arvada, CO 80002
(303) 933-4888
(303) 429-0840 fax
5/31/2016
Insured: YOUNG, SSGT DEREK
Property: 4710 Newland St
Wheat Ridge, CO 80033
Flome: 4710 NEWLAND ST
WHEAT RIDGE, CO 80033
Claim Rep.: 000-000
Estimator: Travis Stephens
Business: 5535 W. 56th Avenue, #104
Arvada, CO 80002
Member Number: 020426333 Policy Number: 020426333/90A
Type of Loss: WTR-PLB Cause of Loss: Other
Coverage
Dwelling
Contents
Other Structures
Loss of Use
Loss of Use - Code Upgrade
Code Requirement
Date Contacted:
Date of Loss,
Date Inspected:
Date Est, Completed.
10/10/2015 5:18 PM
10/30/2015
1 1 /2/201 5 5:18 PM
5/12/2016 3:30 PM
Price List: CODE7X—OCT15
Restoration/Service/Remodel
Line Item Total
Material Sales Tax
a
Cell: (720) 771-6012
E-mail: derckyoung143ftotmail.com
Business: (303) 933-4888
LIR Number: 009
Deductible
Policy Limit
WOO
$196,000.00
$0.00
$147,000.00
50.00
$19,600,00
WOO
WOO
$0.00
$9,800.00
50.00
$9,800.00
Date Received: 10/30/2015
Date Entered: 11/3/2015 5:17 PM
Summary for Dwelling
M
Replacement Cost Value $21,993.90
$21,993.90
Net Claim
Delta Disaster Services
YOUNG, SSGT DEREK 5/31/2016 Page: 2
Travis Stephens
Construction Supervisor
Delta Disaster Services
YOUNG, SSGT DEREK 5/31/2016 Page. 3
Insured: YOUNG, SSGT DEREK
Property: 4710 Newland St
Wheat Ridge, CO 80033
Home: 4710 NNE .SND ST
WHEAT RIDGE, CO 80033
Estimator: Travis Stephens
Business: 5535 W. 56th Avenue, #104
Arvada, CO 80002
Member Number: 020426333 Policy Number: 020426333/90A
Type of Loss: WTR-P1B Cause of Loss: Other
Coverage
Dwelling
Contents
Other Structures
Loss of Use
Loss of Use - Code Upgrade
Code Requirement
Date Contacted:
10/30/2015 5:18 PM
Date of Loss.-
10/30/2015
Date Inspected:
11/2/201.5 5:18 PM
Date Est, Completed:
5/12/2016 3:30 PM
Price List: CODE7X_0CT15
Restoration/Service/Remodel
Line Item Total
Replacement Cost Value
Net Claim
Cell: (720) 771-6012
E-mail-, derekyoungl43@hotmaflxom
Business: (303) 933-4888
L/R Number: 009
Deductible
Policy Limit
$0.00
$196,000-00
$0.00
$147,000-00
$0.090
$19,600.00
WOO
WOO
$0,00
$9'800.00
$0.00
$9,800m
Date Received: 10/30/2015
Date Entered: 11/3/2015 5:17 PM
Summary for Contents
Travis Stephens
Construction Supervisor
0.00
$0.00
$0.00
YOUNG, SSGT DEREK Delta Disaster Services
5/31/2016 Page: 4
Hill oil a Itsul
YOUNG, SSGT DEREK Delta Disaster Services 5/31/2016 Page: 5
Insured: YOUNG, SSGT DEREK
Property: 4710 Newland St
Wheat Ridge, CO 80033
Home: 4710 NEWLAND ST
WHEAT RIDGE, CO 80033
Claim Rep.: 000-000
Estimator: Travis Stephens
Business: 5535 W. 56th Avenue, #104
Arvada, CO 80002
Member Number: 020426333 Policy Number: 020426333/90A
Type of Loss: WTR-PLB, Cause of Loss: Other
Coverage
Dwelling
Contents
Other Structures
Loss of Use
Loss of Use - Code Upgrade
Code Requirement
Date Contacted:
10/30/2015 5:18 PM
Date of Loss:
10/30/2015
Date Inspected:
11/2/2015 5:18 PM
Date Est. Completed:
5/12/2016 3:30 PM
Price List: COD E7X—OCT15
Restoration/Service/Remodel
Line Item Total
Replacement Cost Value
Net Claim
Cell: (720) 771-6012
E-mail: derekyoungl43@hotmail.com
Business: (303) 933-4888
Deductible
Policy Limit
$0.00
$196,000.00
$0.00
$147,000-00
$0,00
$19,600.00
$0.00
$0.00
WOO
$9,800.00
$0.00
$9,800m
Date Received: 10/30/2015
Date Entered: 1 1/3/201 5 5:17 RM
Summary for Other Structures
Travis Stephens
Construction Supervisor
0.00
$0.00
YOUNG, SSGT DEREK Delta Disaster Services 5/31/2016 Page: 6
YOUNG, SSGT DEREK Delta Disaster Services 5/31/2016 Page. 7
Insured: YOUNG, SSGT DEREK
Property: 4710 Newland St
Wheat Ridge, CO 80033
Home: 47 10 NEWLAND ST
WHEAT RIDGIE, CO 8
Claim Rep.: 000-000
Estimator: Travis Stephens
Business. 5535 W. 56th Avenue, #104
Arvada, CO 80002
Member Number: 020426333 Policy Number: 020426333/90A
Type of Loss: WTR-P[,B Cause of Loss: Other
Coverage
Dwelling
Contents
Other Structures
Loss of Use
Loss of Use - Code Upgrade
Code Requirement
Date Contacted:
10/30/2015 5:18 PM
Date of Loss:
10/30/2015
Date Inspected:
11!:2/2015 5:18 PM
Date Est. Completed:
5/12/2016 130 PM
Price List: CODE7X_QCT 15
Restoration/Service/Remodel
Line Iternrotal
Replacement Cost Value
Net Claim
Cell: (720) 771-6012
E-mail: derekyoung1430ahotmailxom
Business: (303) 933-4888
L/R Number: 009
Deductible
Policy Limit
$0.00
$196,000-00
$0.00
$147,000.00
WOO
$19,600-00
WOO
$0.00
$0,00
$9,800.00
WOO
$9,800.00
Date Received: 10/30/2015
Date Entered: 11 /3/2015 5:17 PM
Summary for Loss of Use
Travis Stephens
Construction Supervisor
0.00
$0.00
$0.00
YOUNG, SSGI'DEREK Delta Disaster Serices
v 5/31/2016 Page: 8
i NO 11 11 1111111
Delta Disaster Services
YOUNG, SSGT DEREK 5/31/2016 Page: 9
Insured: YOUNG, SSGT DEREK
Property: 4710 Newland St
Wheat Ridge, CO 80033
Home: 4710 NEWLAND ST
WHEAT RIDGE, CO 80033
Claim Rep,: 000-000
Estimator: Travis Stephens
Business.- 5535 W. 56th Avenue, #104
Arvada, CO 80002
Member Number: 020426333 Policy Number: 020426333/90A
Type of Loss: TR- 'LB Cause of Loss: Other
CoveKa.ge......
Dwelling
Contents
Other Structures
Loss of Use
Loss of Use - Code Upgrade
Code Requirement
Date Contacted:
1 0/30/201 5 5:18 PM
Date of Loss:
10/30/2015
Date Inspected-.
11!2/2015 5:18 PM
Date Est. Completed:
5/12/2016 3:30 PM
Price List: CODE 7X_OCT 15
Restoration/Service/Remodel
Line Item Total
Replacement Cost Value
Net Claim
Cell: (720) 771-6012
E-mail: dere ycin ngl43Co)hotrnail.com
Business: (303) 933-4888
L/R Number: 009
Deductible
Policy Limit
$0.00
$196,000.00
$0.00
$147,000.00
$0.00
$19,600 00
$0,00
$0.00
$0.00
$9'800.00
$0,00
$9'800.00
Date Received: 10/30/2015
Date Entered: 11/3/2015 5:17 PM
Summary for Loss of Use - Code Upgrade
Travis Stephens
Construction Supervisor
0,00
$0.00
$0.00
YOUNG, SSGT DEREK Delta Disaster Services 5/31/2016 Page: 10
•
YOUNG, SSGT DEREK Delta Disaster Services 5/3112016 Page: 11
Insured: YOUNG, SSGT DEREK
Property: 4710 Newland St
Wheat Ridge, CO 80033
Home: 4710 NEWLAND ST
WHEAT RIDGE, CO 80033
Claim Rep.: 000 -
Estimator: Travis Stephens
Business: 5535 W. 56th Avenue, #104
Arvada, CO 80002
Member Number. 020426333 Policy Number. 020426333/90A
Tvne of Loss: WTR-PLB Cause of Loss: Other
Coverage
Dwelling
Contents
Other Structures
Loss of Use
Loss of Use ® Code Upgrade
Code Requirement
Date Contacted:
10/30/2015 5:18 PM,
Date of Loss:
10/30/2015
Date Inspected:
11 /2/2015.5:18 PM
Date Est. Completed:
5/12/2016 3:30 I'M
Pricer List: CODE7X—OCT15
Restoration/Service/Remodel
Line Item Total
Replacement Cost Value
Net Claim
Cell: (7220) 771-6012
F -mail: derekyoung143@hotmailxom
Business: (303) 933-4888
LIR Number: 009
Deductible
Policy Limit
50.00
$196,000-00
50.043
$147,000.00
WOO
$19,600-00
$0.00
$0.00
WOO
$9,800,00
WOO
$9,800.00
Date Received: 10/30/2015
Date Entered: 11/3/2015 5:17 PM
Summary for Code Requirement
Travis Stephens
Construction Supervisor
0,00
$0.00
$0.00
YOUNG, SSGT DEREK Delta Disaster Services 5/31/2016 Page: 12
Delta Disaster Services
YOUNG, SSGT DEREK 5/31/2016 Page. 1.3
Recap of Taxes, Overhead and Profit
Overhead (10%) Profit (10%) Material Sales Tax Manut. Home Tax
(7.5%) (7.5%)
Storage Rental Tax Local Food Tax
(7.5%) (4.6%)
Line Items 1,83183 1,83183 165.91 0,00 obo obo
Tatul
1,832.83 1,832.83 165.91 0.00 0.00 0.00
YOUNG, SSGT DEREK
[EM
Delta Disaster Services
YOUNG -DEREK -CODE
Basement
381.94 SF Walls
531,14 SF Walls & Ceiling
16.58 SY Flooring
5174 LF Ce 1. Perimeter
21611 X 6181*
Subroom: Closet (1)
119.52 SF Walls
136.25 SF Walls& Ceiling
1,86 SY Flooring
n.
19.94 LY Ceil. Perimeter
M�
149.20 SF Ceiling
149.201 SF Floor
46.74 LF Floor Perimeter
Opens into FAMILY --ROOM
M�
16.74 SF Ceiling
16,74 SF Floor
13,94 LF Floor Perimeter
Door
60 X 6% 8"
opens into ROOM -4
CAT
SEL
DESCRIPTION
CALC
QTY UNIT PRICE
RCV
DEPREC.
ACV
85. FRM
2 4
2" x 4" lumber - treated (.667 BF per LF)
26.08
26.08 LF 2.15
61.29
(0.00)
61.29
86. FRIM
4LF
Stud wall - 2" x 4" x 8'- 16" oe
11'1"+12'10''+2'2
st
26.08 LF 14.71
383.64
(0.00)
383.64
87. FRM
SH3/4
Sheadring - plywood - 3/4" CUA
32
32.00 SF 2.09
66.88
(0.00)
66.88
88. INS
BTF4++
Batt insulation - 4" - R 15 - paper faced
216.3
216.30 SF 1.14
246.58
(0.00)
246.58
89. DRY
I/21'F
1/2" drywall - hung & fire, taped only
W
501.45 SF 1.29
646.87
(0.00)
646.87
Totals: Room 4
1,405.26
0.00
1,405.26
L=
Bathroom 2 Height: 7'6"
191.37 SF Walls 4231 SF Ceiling
234.08 SF Walls& Ceiling 4182 SF Floor
4.76 SY Flooring 29.16 LF Floor Perimeter
29.16 LF Cel. Perimeter
T 61# X 6# 8" Opens into FAMILY -ROOM
YOUNG, SSGT DEREK
CAT SEL
CALC
Delta Disaster Services
DESCRIPTION
QTY UNIT PRICE
5/31/2016 Page: 15
RCV DEP C. ACV
93, DRY
1/2-
1/2" drywall - hung, taped, ready for texture
(0.00)
339.42
13'1"+11'1"
WC
234.08 SF 1.45
339.42
(0.00)
142. FRM
98. T11,
SWRPM
Waterproof membrane - the underlayment
56.80
166.60
24.17 LF 2.35 56.80
35
35.00 SF 4.76
166.60
(0.00)
Sheathing - plywood - 3/4" CDX
121, FRM
4LF
Stud wall - 2" x 4" x 8'- 16" oc
32
(0.00)
107.82
4t3l'+3'Iff
7.33 LF 14.71
107.82
(0-00)
226.61
121 FRM
2X4T
2" x 4" lumber - treated (.667 BF per LF)
17.23
1/2-
7.33
7.33 LF 2.35
17.23
(0.00)
WC
1,23. INS
BIF4++
Batt insulation - 4" - R1.5 - paper faced
1,551.83
68.4060
1,551.83
Totals: Room
60.00 SF 1.14
68.40
(0.00)
124, FRM
LAB
Carpenter - General Framer - per hour
11112
2*1
2.00 HR 56.06
11112
(0.()0),
Totals: Bathroom 2
M
SEL
FRMM
4311.42 SF Walls
58145 SF Walls & Ceiling
17.00 SY Flooring
53.80 LF Ced. Perimeter
DESCRIPTION
QT111 UNIT PRICE
811.59 0.00 811.59
ME=
153.03 SF Ceiling
153.113 SF Floor
53,80 LF Floor Perimeter
Opens into FAMILY -ROOM
RCV DEPREC. ACV
141. FRM
41,17
Stud wall - 2" x 4" x 8'- 16" oc
(0.00)
355.54
13'1"+11'1"
24.17 LF 14.71 355.54
142. FRM
2X4T
2" x 4" lumber - treated (.667 BF per LF)
56.80
24.17
24.17 LF 2.35 56.80
(0.00)
143. FRM
Sl- 3/4
Sheathing - plywood - 3/4" CDX
(0.00)
66.88
32
32.00 SF 2.09 66.88
144. INS
BTF4++
Batt insulation - 4" - R15 - paper faced
(0-00)
226.61
198.78
198.78 SF 1.14 226.61
185, DRY
1/2-
1/2" drywall - hung, taped, ready for texture,
846.00
WC
583.45 SF 1.45 $46.00
(0-00)
1,551.83
0.00
1,551.83
Totals: Room
3
YOUNG, SSGT DEREK Delta Disaster Services
5/31/22016 Page: 16
1�raasffg j
Door
Door
Door
Missing Wall - Goes to Floor
CAT SEL
CALL
161, FRM 4LF
11*11"+12'4"
162. FRM 2 4
24.25
161 FRM SH3/4
32
164.1 S BTF-4++
196.65
619,58 SF Walls
943.52 SF Malls <4r Ceiling
36M SY Flooring
88.56 LF Ceil, Perimeter
MMM
32194 SF Ceiling
324.00 SF Floor
75.23 LF Floor Perimeter
2" 6" X 6* 8"
opens into ROOM -3
216" X 6" 81'
Opens into BATHROOM -2
2$ 61% X 61 8"
opens into ROOMA
13f 4" X 6" 811
Opens into UTILITY -ROOM
DESCRIPTION
QTV UNIT PRICE
RCV DEPREC.
ACV
Stud wall - 2" x, 4" x 8'- 16" oc
24.25 LF 14.71
356.72 (0.00)
356.72
2" x 4" lumber - treated (.667 BF per LF)
24.25 LF 2.35
56.99 (0.00)
56.99
Sheathing - plywood - 3/4" CI X
32.00 SF 2.09
66-88 (0.00)
66.88
Batt insulation - 4" - R 15 - paper faced
224.18
196.65 SF 1.14
224.18 (0.00)
186, DRY 1/2- 112"° drywall hung, taped, ready tor texture MAO) 913.88
WS49.SF+WS70. 630.26 SF 1.45 913.88
SF+WS47.
SF+WS72.
SF+WS36.
SF+WS44.
SF+WS32.
SF+WS24.
SF+WS40.
SF+WS29.
SF+WS30.
SF+WS43.
SF+WS38.
SF+45 -
Totals: Family Room 1,618.65 0100 1,618.65
Total: Basement 5,387.33 0.00 5,387.33
General Items
CAT SEL DESCRIPTION
CALC QTY UNIT PRICE RCV DE PREC. ACV
IX ELE BIDITM Electrical (Bid Item) (0.00) 6,000.00
1 1.00 EA 6,000-00 6,000-00
Delta Disaster Services
YOUNG, SSGT DEREK 5/31/2016 Page: 17
CONTINUED - General Items
CAT SEI. DESCRIPTION
CALL QTV UNIT PRICE CrRV DEPREC. ACV
RE: All work is to be performed in the Basement
1) Provide and Install the following for the Basement Bathroom:
2 - 4" can lights
I - 4" shower can light
2 - single pole switches
2 - GFI outlets
11) Provide and Install the following for Bedroom #1 and Bedroom #2 - light fixtures are to be
supplied by ether:
I - single pole switch for each Bedroom
I - light fixture (installation only) for each Bedroom
6 - receptacles for each Bedroom
I - combo smoke detector for Each Bedroom
111) Provide and Install for Laundry Room: One (1) 30 amp Dryer receptacle and one (1) 20 amp
Washer receptacle.
IV) Provide and install the following for the Rec Room - Fans/ light fixtures are to be provided
by others:
2 - Fan/ lighting fixtures - Installation only
10 - receptacles
2 - single -pole switches
I -smoke detector
Price includes all material and labor performed.
171. ELE BIDITM Electrical (Bid Item) (0.00) 4,875.00
1 1.00 EA 4,875.00 4,875.00
171 PLM BIDITM Plumbing (Bid Item) (0.00) 1,900.00
1 1.00 EA 1,900.00 1,900.()0
PROPOSAL SUBMITTED FOR: Delta DATE: 03/04/16
JOB ADDRESS: 4710 Newland St. Wheatridge, CO 80033
Basement Bath
Sink Rough & Trim $750.00
Shower Valve Rough & Trim $400.00
Toilet Trim $150-00
Upstairs Bath
Toliet Trim $150.00
Pedestal Trim $200.00
Hosebib Leak $250.00
Permit Cost added at time
Totals: General Items
12,775.00
0A0
12,775.00
Line Item Totals: YOUNG—DERE, ._CODE
18,162.33
0.00
18,162.33
YOUNG, SSGT DEREK
Grand Total Areas:
5,072,97
SF Walls
1,760.10
SFFJoor
OM
SF Long all
1,760.10
Floor Area
2,294.05
Exterior Wall Area
0.00 Surface Area
0.00 Total Ridge Length
Delta Disaster Services
1,776.70 SF Ceiling
195.57
SY Flooring
OM
SF Short Wall
1,921.66
Total Area
255.34
Exterior Perimeter of
Walls
0.00
Number of Squares
0.00
Total flip Length
6,849.67
SF Walls and Ceiling
627,14
LF Floor Perimeter
695,98
LF Cell. Perimeter
4,764,02
Interior Wall Area
0.00 Total Perimeter Length
MM
Delta Disaster Services
YOUNG, SSGT DEREK 5/31/2016 Page: 19
Estimate: YOUNG-JDEREK_CODE
VMTMtffM=
Room 4
Bathroom 2
Room 3
Family Room
Area Subtotal: Basement
General Items
Subtotal of Areas
1,405.26
7.74%
811.59
4.47%
1,551.83
8.54%
1,618.65
8.91%
5,387.33
29.66%
12,775.00
70.34%
18,16233 100.00%
Total 18,162.33 100.00%
YOUNG, SSGT DEREK Delta Disaster Services 5/31/2016 Page: 20
MMIMMU=
DRYWALL
ELECTRICAL
FRAMING & ROUGH CARPENTRY
INSULATION
PLUMBING
TILE
O&P Items Subtotal
Material Sales Tax
Overhead
Profit
"M
Total %
2,746.17
1249%
10,875.00
49.45%
1,708.79
7.77%
765.77
3.48%
1,900.00
8.64%
166.60
0.76%
18,162.33
82.58%
165.91
0.75%
1,832.83
8.33%
1,832.83
8.33%
21,993.90 100.00%
FOR
OFFICE
• 1 � i „+ a
• ,..,
a' ° a r m • '.m a a 1 «
_.
erent then property address)
(ff diff
Address.
City, State, Zi
Complete all information o BOTH sides of this form
- �777 0 "�
NEW COMMERCIAL
1 + x
4
ELECTRICAL ,
DE
COMMtRCfACk6&ING
RESIDENTIAL
WINDOW REPLACEMENT
2rage, shed, deck,
wage, shed, .-
amount of materials to be used, etc.)
. FULF Stu'sGallons
Amps Squares Other
Z
Srnoke alarm s shall be required in Carbon monoxide detector(s) shall :3 0
each sleeping rocnn and outside each comply with Section R315 of the
I=
siceping area per 2012 IRC,Sectk'n'i 2102 IRC & not more than 10' firoin
313, flic entrance of any sleeping room. :2,
417 �Z C.
6 A I
E
0
S Ay,�iz-
7--
9C
L OR
94�'
t R' Building DePal b II r1t
proved,
era
ATE
4 F, Ifty Viabb"ID,
, C rdk"NM
aut to violate Owr P WSIM of the
0' t
SuNing codes or Othef OW1030ces Ofca
the Sh 1 Iw V*t
E
I
,a
9
j7Z
Delta Disaster Services
55jk-"V--5&
h-Axmxw,J1xA-JL!)4
Arvada, CO 80002
(303) 933-4888
(303) 429-0840 fax
4/6/201,6
Insured: YOUNG, SSCP 1' DEREK
Property: 4710 Newland St
Wheat Ridge, CO 80033
Home: 47101 NEWLAND ST
WHEAT RIDGE, CO 80033
Claim Rep.: 000-000
Estimator: Kristian Fackenthall
Business: 5535 W 56th Ave, Suirte 104
Arvada, CO 80002
Mernber Number: 020426333 Policy Number: 020426333/90A
'type of Loss: WTR-PLB Cause of Loss. Other
Coverage
Dwelling
Contents
Other Structures
Loss ol'Use
Loss of Use - Code Upgrade
Date Contacted:
Date of Loss:
Date Inspected:
Date Est. Completed:
10/30/2015 5:18 PM
10/30/2015
11/2/2015 5:18 PM
3/23/2016 11:16 AM
Price List: CODE7X--OCT15
Restoration/Service/Retnodel
Line Itern'rotal
Material Sales Tax
Subtotal
Overhead
Profit
Replacentent Cost Value
Less Deductible
0M
Cell: (720) 771-6012
E-rnail: dcrekyoLingl43C�1iotitiaii.coni
Business: (720) 880-5893
t./R Number: 009
DeductiblePolicy
Limit
$1,000,00
$196,000-00
$0.00
$147,0ftO8
$0.00
$19,600.00
$0.00
WOO
W00
$9,800.00
Date Received: 10/3012015
Date Entered: 11/3/2015 5:17 PM
Summary for Dwelling
14,116.01
1,411.61
1,411.61
$16,939.23
(I „80}8.88)
$15,9-39.23
Delta Disaster Services
YOUNG, SSCT DEREK 4/0/2016 Page: 2
Kristian Fackenthall
"IT IS UNLAWFUL TO KNOWINGLY PROVIDE FALSE, INCOMPLETE, OR MISLEADING FACTS
OR INFORMATION TO AN INSURANCE COMPANY FOR THE PURPOSE OF DEFRAUDING OR
ATTEMPTING TO DEFRAUD THE COMPANY. PENALTIES MAY INCLUDE IMPRISONMENT,
FINES, DENIAL OF INSURANCE AND CIVIL DAMAGES. ANY INSURANCE COMPANY OR
AGENT OF AN INSURANCE COMPANY WHO KNOWINGLY PROVIDES FALSE, INCOMPLETE,
OR MISLEADING FACTS OR INFORMATION TO A POLICYHOLDER OR CLAIMANT FOR THE
PURPOSE OF DEFRAUDING OR ATTEMPTING TO DEFRAUD THE POLICYHOLDER OR
CLAIMANT WITH REGARD TO A SETTLEMENT OR AWARD PAYABLE FROM INSURANCE
PROCEEDS SHALL BE REPORTED TO THE COLORADO DIVISION OF INSURANCE WITHIN
THE DEPARTMENTOF REGULATORY AGENCIES."
CO STAT. § 10- 1 - 128
Please contact our adjuster if you befievea supplement to this estimate is needed, Before we will consider a supplcment to this
estimate, we must have the opportunity to re -inspect the raga es prior to the supplemental work being done.
Delta Disaster Services
YOUNG, SSGT DEREK 4/6/2016 Page: 3
Insured: YOUNG, SSGTDEREK
Property: 4710 Newland St
Wheat Ridge, CO 80033
Home: 471 t1 NEWLAND ST
WHEAT RIDGE, CO 80033
Claim Rep,: 000-000
Estimator: Kristian Fackenthall
Business: 5535 W 56th Ave, Suirte 104
Arvada, CO 80002
Member Number: 020426333 Policy Number: 020426333/90A
Type of Loss: W'I'R-PI,B Cause of Loss: Other
Coverage
Dwelling
Contents
Other StrUCLUreS
Loss of Use
Loss ol'Use - Code Upgrade
Date Contacted:
1 0130/201 5 5:18 PM
Date of Loss:
10/30/20 15
Date Inspected:
I I /."/'_')o 15 5:18 PM
Date Est. Completed:
3/23/2016 11:16 AM
Price List: CODE71C--OCT 15
Restoration/Service/Remodel
Line Item Total
Replacement Cost Value
Net Clahn
Cell: (720) 771-6012
E-mail: derekyoutigl43C,tio(iiiiii.coni
Business: (720) 880-5893
L/R Number: 009
Deductible
Policy Limit
$1,000.00
$196,000.00
WOO
$147,000.00
$(Y00
$ 19'(i )C}.Clti
$0.00
$0D0
W00
$9,800.00
Date Recce ived:10/30/2015
Date Entered: 1 1/3/201 5 5:17 PM
Summary for Contents
Kristian Fackenthall
0.00
$0.00
$0.00
Delta Disaster Services
YOUNG, SSG,r DEREK 4/6/2016 Page: 4
"IT IS UNLAWFUL TO KNOWINGLY PROVIDE FALSE, INCOMPLETE, OR MISLEADING FACTS
OR INFORMATION TO AN INSURANCE COMPANY FOR, THE PURPOSE OF DEFRAUDING OR
ATTEMPTING TO DEFRAUD THE COMPANY. PENALTIES MAY INCLUDE IMPRISONMENT,
FINES, DENIAL OF INSURANCE AND CIVIL DAMAGES. ANY INSURANCE COMPANY OR
AGENT OF AN INSURANCE COMPANY WHO KNOWINGLY PROVIDES FALSE, INCOMPLETE,
OR MISLEADING FACTS OR INFORMATION TO A POLICYHOLDER, OR CLAIMANT FOR THE
PURPOSE OF DEFRAUDING OR ATTEMPTING TO DEFRAUD THE POLICYHOLDER OR
CLAIMANT WITH REGARD TO A SETTLEMENT OR AWARD PAYABLE FROM INSURANCE
PROCEEDS SHALL BE REPORTED TO THE COLORADO DIVISION OF INSURANCE WITHIN
T14E DEPARTMENT OF REGULATORY AGENCIES."
CO STAT. § 1(I-1-12
Please contact our adjuster if y( -,)u believe as supplement to this estimate is needed. Before we will consider a supplement to this
estimate, we must have the opportunity to re -inspect the damages prior to the supplemental work being done.
Delta Disaster Services
YOUNG. SSGT DEREK 4/6/2016 Page: 5
Insured: YOUNG, SSGT DEREK
Property', x710 Newland St
Wheat Ridge, CO 80033
Home: 4710 NEWI,.AND ST
HE 'r RIDGE, CO 80033
Claim Rep.: 000-000
Estimator: Kristian Fackenthall
Business: 5535 W 56th Ave, Suirte, 104
Arvada, CO 80002
Member Number: 020426333 Policy Number: 020426333/90A
Tvne of Loss: WTR-PI,B Cause of Loss: Other
Coverage
Dwelling
Contents
Other Structures
Loss of Use
boss of Use - Code Upgrade
Date Contacted:
10/30/2015 5:18 PM
Date of f,oss:
10/30/2015
Date Inspected:
11/2/2015 5:18 PM
Date Est, Completed:
3/23/2016 11:16 AM
Price List: CODE7X—OCT15
Restoration/Service/Remodel
Litre. Item 'Foral
Replacement Cost Value
Net Claim
Cell: (720) 771-6012
E-rnail: det-e,kyotingl43(?;,hotii-tail-coilI
Business. (720) 880-5893
1JR Number: 009
Deductible
Policy Limit
$ J'000X)()
$196,000 00
$0.00
$147,000.00
$0.00
$19,600.00
$0,00
$0.00
$0.00
$9.800.00
Date Received: 10/30/2015
Date Entered: 1 1/3/201 5 5:17 PM
Summary for Other Structures
Kristian Fackendrall
0,00
$0.00
$0.00
Delta Disaster Services
YOUNG, SSGT DEREK 4/6/2016 Pa -e: 6
Pa-
e:
IS 'UNLAWFUL TO KNOWINGLY PROVIDE FALSE, INCOMPLETE, OR MISLEADING FACTS
OR INFORMATION TO AN INSURANCE COMPANY FOR THE PURPOSE OF DEFRAUDING OR
ATTEMPTING TO DEFRAUD THE COMPANY. PENALTIES MAY INCLUDE IMPRISONMENT,
FINES, DENIAL OF INSURANCE AND CIVIL DAMAGES. ANY INSURANCE COMPANY OR
AGENT OF AN INSURANCE COMPANY WHO KNOWINGLY PROVIDES FALSE, INCOMPLETE,
OR MISLEADING FACTS OR INFORMATION TO A POLICYHOLDER OR CLAIMANT FOR THE
PURPOSE OF DEFRAUDING OR ATTEMPTING TO DEFRAUD THE POLICYHOLDER OR
CLAIMANT WITH REGARD TO A SET'T'LEMENT OR AWARD PAYABLE FROM INSURANCE
PROCEEDS SHALL BE REPORTED TO THE COLORADO DIVISION OF INSURANCE WITHIN
THE DEPARTMENT OF REGULATORY AGENCIES."
CO STAT, § 10- 1- 128
Please contact our adjuster if you believe a supplement to this estimate is needed. Before we will consider a supplement to this
estimate, we must have the opportunity to re -inspect the damages prior to the supplemental work being done.
Delta Disaster Services
YOUNG, SSG'F DEREK 4/6/2016 Page: 7
Insured: YOUNG, SSGT DEREK
Property: X171() Newland St
Wheat Ridge, CO 80033
Hoine: 4710 NEIATAN D ST
WHEATRIDGE, CO 80033
Clairn Rep.: 000-000
Estimator: Kristian Fackenthall
Business: 5535 W 56th Ave, Suirte 104
Arvada, CO 80002
Member Number: 020426333 Policy Number: 020426333/90A
Tvne of Loss: w,rR-Pl,,B Cause of Loss: Other
Coverage
Dwelling
Contents
Other Structures
Loss of" Use
Loss of 1,.Jse - Code Upgrade
Date Contacted:
10/30/2015 5:18 PM
Date of JLoss:
10/30/2015
Date Inspected-.
11/2/2015 5:18 Piet
Date Est. Completed:
3/23/2016 11:16 AM
Price List: CODE7X—OCTI 5
Restoration/Service/Remodel
Line Item Total
Replacement Cost Value
Net Claim
Cell: (720) 771-6012
E-mail: der ekyoungl43( hounail,coin
Business: (720) 880-5893
LIR Number: 009
Deductible
Policy Limit
$1,000.00
$196,000.00
$0,00
$147,0W00
W00
$19,600D1)
$0,00
WOO
$0,N)
$9,800,00
Date Received: 10/30/2015
Date Entered: 1 1/3/201 5 5:17 PM
Summary for Loss of Use
Kristian Fackenthall
0 00
$0.00
$0.00
Delta Disaster Services
YOUNG, SSGT DEREK 4/6/2016 Page: 8
"IT IS UNLAWFUL TO KNOWINGLY PROVIDE FALSE, INCOMPLETE, OR MISLEADING FACTS
OR INFORMATION TO AN INSURANCE COMPANY FOR. THE PURPOSE OF DEFRAUDING OR
ATTEMPTING TO DEFRAUD T14E COMPANY. PENALTIES MAY INCLUDE IMPRISONMENT,
FINES, DENIAL OF INSURANCE AND CIVIL DAMAGES, ANY INSURANCE COMPANY OR
AGENT OF AN INSURANCE COMPANY WHO KNOWINGLY PROVIDES FALSE, INCOMPLETE,
OR MISLEADING FACTS OR INFORMATION TO A POLICYHOLDER OR CLAIMANT FOR THE
PURPOSE OF DEFRAUDING OR ATTEMPTING TO DEFRAUD THE POLICYHOLDER OR
CLAIMANTWITH REGARD TO A SETTLEMENT OR AWARD PAYABLE FROM INSURANCE
PROCEE DS SHALL BE REPORTED TO THE COLORADO DIVISION OF INSURANCE WITHIN
THE DEPARTMENT OF REGULATORY AGENCIES."
CO STAT, § ICI -1-125
Please contact our adjuster if you believe a supplement to this estimate is needed, Before�e will consider a supplement to this
estimate, we must have the opportunity to re -inspect the damages prior to the supplemental work, being done.
Delta Disaster Services
YOUNG, SSGT DEREK 4/6/2016 Page: 9
Insirred: YOUNG, SSGT DEREK
Property: 47 10 Newland St
Wheat Ridge, CO 80033
Home: 4710 NEWLAND ST
WHEAT RIDGE, CO 80033
Claim Rep.: 000-000
Estimator: Kristian Fackenthall
Business: 5535 W 56th Ave, Suirte 104
Arvada, CO 80002
Member Number: 020426333 Policy Number: 020426333/90A
'I'y pe of Loss: W'T'R-PLL Cause of Loss: Other
Coverage
Dwelfirig
Contents
Other StrLietures
Loss of Use
Loss of Use - Code Upgrade
Date Cmitacted:
Date of Loss -
Date Inspected:
Date Est. Completed:
10/30/2015 5:18 PM
10/30/2015
11[2/2015 5:18 PM
3/23/2016 11:16 AM
Price List: CODE71C_OCT 15
Restot-tt,tioii/Service/Reiiiodet
Line Item Total
Replacement Cost Value
Net Claim
Line Item Total
Overhead
Profit
Replacement Cost Value
Total Paid When Incurred
Cell: (720) 771-6012
E-mail: dei-ekyoutigl43(4)liotiviaii.corii
Business: (720) 880-5893
L/R Number: 009
Deductible
Policy Limit
1'000 00
$196,000.00
$0,00
$147,000.00
$0.00
$19.600.00
$0.00
$0,00
$OX)o
$9,800.00
Date Received: 10/30/2015
Date Entered: It /3/2015 5:17 PM
Summary for Loss of Use - Code Upgrade
Loss of Use - Code Upgrade Paid When Incurred
0.00
$0.00
$0.00
3.000,00
300.00
300,00
$3,600.00
$3,600.00
Delta Disaster Services
YOUNG, SSGT DEREK 416/2016 Page: 10
Description
Loss of Use - Code Upgrade
Loss of Use - Additional Coverage Limit Recap
Single Item Limit Aggregate Lina t RC's` Overage
$9,800M $9,800,00 $3,60(t,00 $0.00
$3,600M S(Yoo
Kristian Fackenthall
"IT IS UNLAWFULTO KNOWINGLY PROVIDE FALSE, INCOMPLETE, OR MISLEADING FACTS
OR INFORMATION TO AN INSURANCE COMPANY FOR THE PURPOSE OF DEFRAUDING OR
ATTEMPTING TO DEFRAUD THE COMPANY. PENALTIES MAY INCLUDE IMPRISONMENT,
FINES, DENIAL OF INSURANCE AND CIVIL DAMAGES, ANY INSURANCE COMPANY OR
AGENT OF AN INSURANCE COMPANY WHO KNOWINGLY PROVIDES FALSE, INCOMPLETE,
OR MISLEADING FACTS OR INFORMATION TO A POLICYHOLDER OR CLAIMANT FOR THE
PURPOSE OF DEFRAUDING OR ATTEMPTING TO DEFRAUD THE POLICYHOLDER OR
CLAIMANT WITH REGARD TO A SETTLEMENT OR AWARD PAYABLE FROM INSURANCE
PROCEEDS SHALL BE REPORTED TO THE COLORADO DIVISION OF INSURANCE WITHIN
THE DEPARTMENT OF REGULATORY AGENCIES."
CO STAT. § 10- 1- 128
Please contact our aqjuster if you believe a supplement to this estimate is needed. Before we will consider a supplement to this
estimate, we must have the opportunity to re -inspect the darn ages prior to the supplemental work being done.
Delta Disaster Services
YOUNG, SSGT DEREK 4/6/2016 Page. I I
mmmmm3E=
Recap of Taxes, Overhead and Profit
Pro (10%) Material Sales Tax Manuf. Home Tax Storage Rental Tax Local Food Tax
(7.5%) (7.5%) (73%) (4.6%)
Line Itents
1,411.01 1,411.61 147.44 obo 0.00 0A11)
Total
1,411.61 1,41 L61 147.44 0.00 0.00 0.00
Delta Disaster Services
YOUNG, SSGT DEREK 4/6/2016 Page: 12
Missing Wall -Coes to Floor
CA,r SEL
CALC
YOUNG-.IDEREK-PERMIT
Main Level
380D11 SF Walls
521,01 SF Walls& Ceilina
11.99 SY Flooring
47,50 LF Ceil. perimeter
3f X 6f 8"
DESCRIPTION
QTY UNIT PRICE
mom
141.01 SFCciling
107.93 SF Floor
4T50 LT Floor Perimeter
Opens into LIVING -ROOM
RCV DEPREC. ACV
34, APP RGGRS Range - gas - Remove & reset
1 1.00 EA C 130.33 130.33 (().Ot) 110.33
35, APP DWRS Dishwasher - Detach & reset (0.00) 221.70
1 1.00 EA 221.70 221.70
Totals: Kitchen 352.03 0.00 352.03
Total: Main Level 352.03 0.00 352.03
19137 SF Walls
234,08 SF Walls& Ceiling
4.76 SY Flooring
29.16 LF Ceil, Perimeter
Door 21 6f# X 61 8"
CAT SEL DESCRIPTION
CALC QTY UNIT PRICE
Heiglit: 7'6"
4171 SF Ceiling
42,82 SF Floor
29.16 LF Floor Perimeter
Opens into FAMILY -_ROOM
RCV DEPREC. ACV
67. FRM FUR "2 Furring strip - 2" x 2" - applied to concrete,
WS19.SF 32.10 SF 1.84 59.06 (0.00) 59.06
Due to damaged plaster and old style installation, we will fur out this wall and install new sheetrock and cement board.
6& FRM 2X4 R&R 2" x 4" lumber (.667 BF per LF)
72 72.00 LF 2.33 167.76 (0.00) 167.76
Please note: Lumber in toilet area is rotten at base and will need to be replaced, also to build half shower wall that was
removed, as well as missing framing in back wall of shower.
69. TIL, BCF Ml/2 1/2" Cement board 804.56
127.8+W/2 223.49 SF 3.60 804.56 (0.00)
Please note: Shower walls, lower half of bath walls, and shower ceiling.
Delta Disaster Services
YOUNG, SSGT DEREK 4/6/2016 Pa -
%M
CALC
SEL
CONTINUED - Bathroom 2
DESCRIPTION
QTY UNIT PRICE
RCAF DEPREC. ACV
70. DRY 1/2- 1,/2" drywall -hung, taped, ready for texture
(W/2)+(C-15) 123.39 SF 1.45 178.92 (0.00) 178.92
74. TIL, SWRPMD R&R Shower drain - for use witli waterproof membrane
1 1.00 EA 182.25 182.25 (0.(10) 18125
75.1'11- SWRPM Waterproof membrane - the underlayment
35 35.00 SF 4.76 166.60 (0.(10) 166.60
Totals: Bathroom 2 1,559.15 0.00 1,559.15
lard7um
430,42 SF Walls
58145 SF Walls& Ceiling
I7.00 SY Floorine
"I
5180 LF Ceil. Perimeter
Door 21 6" X 6# 8"
CAT SEL DESCRIPTION
CALC QTY UNIT PRICE
9MM
153.03 SF Ceiling
15103 SF Floor
53.80 LF Floor perimeter
Opens into FAMILY -ROOM
RCAF DEPREC. ACV
10L FARM FURC2 Furring strip - 2" x 2" - applied to concrete
WS25.SF+WS9. 191.45 SF 1.84 355.95 (0.00) 355.95
SF
Please note: Size and spacing of existing fur strips are not adequate for reinstall of drywall.
103. DRY 1/2- 1/2" drywall - hung, taped, ready for texture
WC 583.45 SF 1.45 846.00 (0.00) 846.00
Totals: Bedroom 3 1,201.95 0.00 1,201.95
YOUNG, SSGT DEREK
lamr7mm
Delta Disaster Services
351,1)4 SF Walls
531.14 SF Walls & Ceiling
16.58 SY Flooring
5174 LF Cell. Perimeter
216*1 X 6181*
Subroom: Closet (1)
11 9.52 SF Walls
136,25 SF Falls & Ceiling
1.86 SY Flooring
19,94 LF Ceil. Perimeter
MIMM
149.20 SFCeilina
149 20 SF Floor
4634 LF Floor Perimeter
Opens into FAMILY -ROOM
mum
16.74 SF Ceilim,
16.74 SF Floor
13.94 LF Floor Perimeter-
Doerr
erimeter
Door 6' X 6* 8" Opens into BEDROOM -4
CAT SET, DESCRIPTION
CALC QTV UNIT RICE RC V DEPRECACV
118. FRM FURC2 Furring strip - 2" x 2" - applied to concrete
WSI.SF+WS2. 208.30 SF 1.84 383.27 (0100) 383.27
SF+WSII.SF
Please note: Several furring strips came loose when removing basement drywall. We will re -fur the exterior walls in this
room.
119. DRY 1/2- 1/2" drywall - hung, taped, ready for texture,
WC 667.39 SF 1.45 967.72 (0.00) 967.72
Totals: Bedroorn 4 1,350.99 0.00 1,350.99
Door
Door
Door
Missing Wall -Coes to Floor
CAT SET"
CALC
ummq=
619.58 SF Walls
94152 SF Walls & Ceiling
36.00 SY Flooring
88.56 LF Ce 1. Perimeter
T 6#1 X 618"
216#1 X 6* 811
T 6" X 6* 8"
13# 4" X 618"
DESCRIPTION
QTY UNIT PRICE
ME=
323.94 SF Ceiling
324.00 SF Floor
75.23 LF Floor Perimeter
Opens into BEDROOM --3
Opens into BATHROOM -2
Opens into BEDROOM -4
Opens into UTILITY-YOOM
RC V IPREC. ACV
Delta Disaster Services
YOUNG, SSGT DEREK 4/6/2016 Page: 15
CONTINUED - Family Room
CAT SEL
DESCRIPTION
CALL
QTY UNIT PRICE RCV
DEPREC-
ACV
138. FFM FtJRC2
Furring strip - 2" x 2" - applied to concrete
WS72.SF
95.46 SF 1.84 175.65
(0.00)
175.65
141, DRY 1/2-
1/2" drywall - hung, taped, ready for texture
WS49.SF+WS70.
630.26 SF 1.45 913.88
(0.00))
913.88
SF+WS47.
F+ 72.
SF+WS36.
SF+WS44.
SF+WS32.
SF+WS24.
SF+WS40.
SF+S29.
SF+WWS30.
SF+WS43.
SF+WS38.
SF+45
Totals: Family Room
1,089.53
0.00
1,089.53
Total: Basement 5,201.62 0.00 5,201.62
General Items
CAT SEL DESCRIPTION
CALL QTY UNIT PRICE RCV DEPREC. ACV
154. ELE BIDITNI Electrical (Bid Item)
1 1.00 EA 6,000.00 6,00.00 (0.00) 6,000.00
Delta Disaster Services
YOUNG, SSGT DEREK 4/6/2016 Page: 16
CONTINUED - General Items
CAT SEL DESCRIPTION
CALC QTY UNIT PRICE RC V DEPREC. ACV
RE: All work, is to be performed in the Basement
1) Provide and Install the following for the Basement Bathroom:
2 - 4" can lights
I - 4" shower can light
2 - single pole switches
2 - GFI outlets
11) Provide and Install (lie following for Bedroom #1 and Bedroom #2 - light fixtures are to be
supplied by other:
I - single pole switch for each Bedroorn
I - light fixture (installation only) for each Bedroom
6 - receptacles for each Bedroom
I - combo smoke detector for Each Bedroom
111) Provide and Install for Laundry poor:: One (1) 30 arnp Dryer receptacle and one (1) 20 amp
Washer receptacle,
IV) Provide and install the following for the Rec Room - Fans/ light fixtures are to be provided
by others:
2 - Fan/ lighting fixtures - Installation only
10 - receptacles
2 - single -pole switches
I - smoke detector
Price includes all material and labor performed.
414f [IffHki
I. -HM F' -Ilk -
This item did not previously exist or expands the scope of repairs, but is required by current building codes. The code upgrade cost is
payable when incurred, subject to limits.
RE: New Electrical panel and meter
1) Provide and install a new 200 amp panel and meter on the back of the house as a code
upgrade. This is necessary for the new ARC fault breakers for the Basement repairs.
NOTE: No permit fees are included in bids due to unknown fees,
Price includes all material and labor to be performed.
156, PLM BIDITM Plumbing (Bid Item)
1 1.00 EA 1,91 .00 1,900.00 (0.00) 1,900.00
PROPOSAL SUBMITTEM FOR: Delta DATE: 03/04/16
JOB ADDRESS: 4710 Newland St, Wheatridge, CO 80033
Basement Bath
Sink Rough &Tritn $750.00
Shower Valve Rough & Trint $400,00
Toilet Trim $150.00
Upstairs Bath
Toliet Trim $150M
Pedestal Trim $200.00
Hosebili Leak $250.00
Permit Cost added at tarns:.
Delta. Disaster Services
YOUNG, SSCi`l` T.3L?ICI'K 4/0/2016 Page; 17
CONTINUED - General Items
CAT SEL DESCRIPTION
C .1 LC; QTY UNIT PRICE RC V DEP EC. ACV
167. TMP TL'T" 'T'emporary toilet (per niontla)
3.00 MO 1.71.64 514,92 ({).ilei) 514.92
16& FEE TIFF Taxes, insurance, permits & fee.; (Bid item)
Please note: Added when in erred.
Totals: General Items 8,414.92 el.eltl 8,414.92
Line Item Totals: YOUNG—DEREK—PERMIT 13,96&57 0.00 13,968.57
Grand Total Areas:
5,072.97 SF Walls
1,760.10 SFFloor
0,00 SF' Long Wall
1,760.10 FloorArea
2,294.05 Exterior Wall Area
0,00 Surface Area
0.00 Total Ridne Lenor.th
1,776,70 SF' Ce iling
195.57 SY Floorim,
0,00 SF Short Wall
1,921.66 Total Area
255,34 Exterior Perimeter of
Walls
0,00 Number of Squares
0.00 Total Hip Length
6,849.67 SF Walls and Ceiling
627.14 LF Flora Perimeter
695.98 LF C:.eil. Perimeter
4,764,02 Interior Wall Area
0.00 'Total Perimeterl:. n ilr
Coverage
_.
Item Total
%
ACV 'Dotal
%
Dwelling
1:3,01513.57
100,00%
16,939 23
10 0(t,00(X,
Contents
0.00
0.00%
0.0£)
(t.00%
Other Structures
0.00
0.00%
0,e)0
0.007r
Loss of` Use
0.00
0.00%
0,00
0.00%
Lass of` Lyse _ Cade Upgrade
0.00
,_
0.00%
0.00
0,00%
Total
13,961,57
100.00%
16,939,23
100.00%
Delta Disaster Services
YOUNG, SSGI'DERE K 4/0/2016 Page: 18
Estimate: YOUNG—DEREK—PERMIT
Area: Main Level
Kitchen
Coverage: Dwelling
Area Subtotal: Main Level
Coverage: Dwelling
ammenag=
Bathroom 2
Covet -age: Dwelling
Bedroom 3
Coverage: Dwelling
Bedroom 4
Coverage: Dwelling
Family Rown
Coveraae: Dwelling
C�
Area Subtotal: Basement
Coverage: Dwelling
General Items
Coverage: Dwelling
Subtotal of Art -as
Coverage: Dwelling
Total
Recap by Room
352.03 152%
100,00% = 352,03
352.03 2.521
1W00% = 352.03
13,968.57 100.00%
100,001, = 13,965.57
11,968.57 100.00%
1,559.15
11.16%
100.00 c =
1,559.15
1,201.95
&60%
lW00% =
1,201 .95
1,350.99
9.67%
100,00% =
1,350.99
1,08%53
7.80%
100.005'r =
1,089,53
5,201.62
37.24%
I00.00% =
5,201 .62
8,414.92
60.24%
100.001 =
8,414.92
13,968.57 100.00%
100,001, = 13,965.57
11,968.57 100.00%
Delta Disaster Services
YOUNG, SSGI'DEREK 4/6/2016 Page: 19
Recap by Category
O&P Items
%
352.03
APPLIANCES
352.03
Coverage: Dwelling
(01,
100.11{),/(, =
DRYWALL
6,�)00.00
ISA2%
Coverage: Dwelling
100J)0r, =
ELECTRICAL
1,14469
Coverage: Dwelling
11.22%
lKoock =
FRAMING & ROUGH CARPENTRY
1,153.41
6.81%
Coverage: Dwelling
(0
100.00%, =
PLUMBING
514.92
Coverage: Dwelling
(0
I00.001,"1, =
TILE
147,44
Coverage: Dwelling
8.33%
100,00% =
TEMPORARY REPAIRS
1,411.61
8.33%
Coverage: Dwelling
100.00% =
O&P Items, Subtotal
Material Sales Tax
Coverage: Dwelling
Cd,
100.00% =
Overhead
Coverage: Dwelling
@
1ft00% =
Profit
Coverage: Dwelling
(0)
100.00% =
Total
Total
%
352.03
108%
352.03
2,906.52
17.16%
2,906,52
6,�)00.00
ISA2%
6,000,00
1,141.69
6.74%
1,14469
1,900.00
11.22%
1,900.00
1,153.41
6.81%
1, 15141
514.92
3.04%
514.92
13,968.57
82.46%
147.44
0.87%
147,44
1,411.61
8.33%
1,411.61
1,411.61
8.33%
1,411.61
16,939.23
100.00%
Building Permit Application
Pl ease p10% all highlighted a ,00 bath sid es o f this form. ' Inwnplete aptlestions May not be prooessed. �
IM
" . (please r
Phone: x. ? 7 &
Complete all information on BOTH sides of this form
Sq. FULF Btu's Gallant
Amps Square Other
r'
INSPECTION RECORD OCCUDaDCV/TVDe
INSPECTION LINE: (303) 234-5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB`
FOUNDATION INSPECTIONS DATE INSPECTOR `COMMENTS:'
INITIALS
t
Footings/Caissons
Stemwall / (CEG) Concrete
Encased Ground
' Reinforcing or Monolithic
Weatherproof/ French Drain
r
Sewer Service Lines
s•'
Water Service Lines
POUR NO. CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
F^ d.Do NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
a
ROUGHS
Sheathing
Lath / Wall itie
Mid-Roof '
Electrical Service
Rough Electric
~i `Rough Plumbing
qk 'Gas Piping;
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
;insulation
r Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof z p~
Ile-Building Final
Fire Department
eT 'R.O.W & Drainage .INSPECTIONS FOR PLANNING & ZONING, FIRE AND:PUBLICE WORKS
Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
**NOTE: ALL ITEMS MUST BE COMPLETED: AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY YS ISSUED. FINAL INSPECTION By THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OFA CERTIFICATE OF OCCUPANCY -NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
A PROTECT THIS CARD FROM THE WEATHER
CITY OF WHEAT RIDGE
(,Building Inspection Division
03) 234-5933 Inspection line
(303) 235-2855 Office ' (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: Job Address/Permit Number:
❑ No one available for inspection: Time j ; ,3 t AM/PM
Re-Inspection required: Yes f~
When corrections have been made, call for re-inspection at 303-234-5933
Date:
Inspector:
DO NOT REMOVE THIS NOTICE
I. A41
CITY OF WHEAT RIDGE
]~~(303) Building Inspection Division
(303) 234-5933 Inspection line
235-2855 Office (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type:
Job Address/Permit Number: 97/y ~vlaz r y ra~13
d' .iJ.tl~S ,~''~~!/il'1s'~e!>d[/ ~ 6'~7"`-e.'l.•t/
_ f~~ L7,-"✓ -~sT~ r~/7.~~ ~.~4.~3Gf~ _SF7"`"i ~P ,s~`~ra
®iJ Ar`t~~2f< ~fsrTfL~
w
P ❑ No one available for inspection: Time S~ AM/I?M~
P
f° Re-Inspection required: 'Yes _ No
-When. corrections have been made, call for re-inspection at 303-234-5933
Date: Inspecto
f
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
, Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office ' (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: 7 1&Qlc
Job Address/Permit Number: tL>G2/fil~ss~LGir~/JST. 3~0
Idyl
49_;W C'612 71P / ~y~f .silo<7 i vJ
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No e
When corrections have been made, call for re-inspection at 303-234-5933
Date: Inspectors
DO NOT REMOVE THIS NOTICE
" ' City of Wheat Ridge
/ Residential Roofing PERMIT - 081430
PERMIT NO: 081430
ISSUED:
12/12/2008
JOB ADDRESS: 4710 NEWLAND ST
EXPIRES:
06/10/2009
DESCRIPTION: Remove and replace
21 squares of
asphalt shingles
~
CONTACTS
1 `
GC 303/763-9114 Lorin Hanson
01-9938
Interstate Roofing Incorporate
PARCEL INFO
`ZONE CODE: UA
USE:
UA
SUBDIVISION: 0368
BLOCK/LOT#:
0/
FEE SUMMARY
ESTIMATED
PROJECT VALUATION: 3,717.00
`
FEES
Permit Fee
126.
50
4 Total Valuation
.
00
~,,..,Use Tax
66.
91
7~'t9'OfDZ~
TOTAL * *
193.
41
editions:
nail installation & mid-roof inspection required. Board sheeting spaced more
.en a 1/4 of an inch apart requires plywood overlay on entire roof
hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable
dinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all
asurements shown, and al egations made are accurate; that I have read and agree to abide by all conditions printed on this
plication and that I sume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
plicable Wheat~i Ordinances, for work under this permit. Plans subject to field inspection.
of contractor/owner date
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.
This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for a new permit.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
The issuance of a permit or th approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of, any vi a n the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan review is szj field inspections.
'e of Chief Builpng official date
JTION REQUEST LINE; (303)234-5933 BUILDING OFFICE: (303)235-2855
3TS MUST BE -MADEBY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Of WHEgTP
City of Wheat Ridge '
Building Permit Number:
o
m Community Development Department
Date:
MINOR
O
OOL ORPO
~j
1 F
F
G PERMAT APPLICATIO]~
BUILDBj
Property Owner: Leo~r~ eyer-
7371
3/`iZ;L
Property Address: q710 Nevr/lanol, .st
Phone:.
Contractor License No.: 01"_3g
'
Company: s
frrf~afc Roof
Phone:3/7/~3'9~/N
n
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
ggag ng Dept. Valuation Figure: $
are
li
ti
ca
on
I hereby certify that the setback distances proposed by this permit app
do not violate applicable ordinances, rules or regulations of the City of
Value:$ 5~-17'V
accurate and
Wheat Ridge or covenants, easements or restrictions of record; that all measurements
that I have read and agree to abide by all
tions made are accurate
ll
d
Permit Fee:$
,
ega
a
shown, an
conditions printed on this application and that I assume full responsibility for
compliance with the Wheat Ridge ilding Code(I.B.C) and all other applicable Wheat
Fee:$
Plan . Review
F
e:
Ridge Ordinances, for work and t is permit. plagis subject to field Inspection.
$
e
Use
.
.
D DATE
I
N
Total:$
G
E
(OWNER)(CONTRACTOR) S
RINTED" DATE
(OWNER)(CONTRACTOR):P
Use of Space (description): 4; /r- /{es:da~e R
o,F
zf c.t Ta a~ 3oy~ O .des
r
Description of work: .r2y. o ~o OweK
//A.S:ooeys-f Sir :n~/c5 .
added it
Ft
S
_
.
q.
BUILDING DEPARTMENT USE ONLY SIC: Sq Ft.:
ONING COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS:
Approval
PUBLIC WORKS COMMENTS
Approval:
IRE DEPARTMENT COMMENTS:
Approval:
Occupancy: Walls: Roof: Stories:'
Residential Units:
Electrical License No: Plumbing License No:
Mechanical License No:
Company. Company:
Company:
Expiration Date: Expiration Date:'
Expiration Date:
Approval Approval:
Approval:
(1) This permit was issued in accordance with the provisions set forth in your appl
ication 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.
if rat thi wnhc authorized is not commenced within sixty (60) days from issue date or (B) the building,
City of Wheat Ridge`
Building Permit Submittal List
The following items are required for the minor building permit submittal for the property
located at . If any of the required items are not included in
the submittal, the submittal will be considered incomplete and returned immediately
without review.
Minor•permit is defined as: fence installation, signage, decks or covered patios,
concrete work in excess of 500 square feet, sheds, garages and over the counter
permits.
You do not need to submit a site plan with over the counter permits.
This sheet must be submitted with the building permit application. Please initial beside
each required item,. signifying that it has been included.
Review Required by: ❑ Building ❑ Planning ❑ Public Works
SUBMITTAL. DOCUMENTS:
PLANS:
One (1) site plan Contents of plans detailed in the minorpermits handout
One (1) Elevations/details page
DOCUMENTATION:
One (1) completed building permit application
One (1) property deed
One (1) building permit submittal list
Call the inspection line before 3 o.m for a next workina-dav insoection
City of Wheat Ridge Community Development Department
7500 W'! 29' Avenue . WheatRidge,'CO 80033 .
Building Division -,303.235.2855 Planning Division - 303.235.2846`
Inspecti6nfne-301234.5933 www.cimheatndae;co.us
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: ss~1
Job A&Iress/Permit Number: 4171041AwlAYv 37-, 0?/?90
f
❑ No one available for inspection: Time,,,a gro AM/PM
Re-Inspection required: es No
`When corrections have been made, call for re-inspection at 303-234-5933
Date: 1,AZ ,q inspector: .i/~
r
DO NOT REMOVE THIS NOTICE
♦6~I
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office ' (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: /01G>aWl-
Job Address/Permit Number: V710 04-139b
/1cr>F'
❑ No one available for inspection: Time x•141 AM/PM
Re-Inspection require 'Ye No a
"When corrections have been made, call for re-inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
A City of Wheat Ridge
Residential Roofing PERMIT - 081380
PERMIT NO: 081380 ISSUED: 11/26/2008
JOB ADDRESS; 4710 NEWLAND ST EXPIRES: 05/25/2009
DESCRIPTION: Tear off and replace.21 squares
CONTACTS
GC 303/763-9114 Lorin Hanson 01-9938 Interstate Roofing Incorporate
PARCEL INFO
ZONE CODE: UA USE: UA
SUBDIVISION: 0368 BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 3,717.00
FEES
Permit Fee 126.50
Total Valuation .00
Use Tax 66.91
TOTAL 193.41
Conditions:
6 nail installation & mid-roof inspection required. Board sheeting spaced more
then a 1/4 of an inch apart requires plywood overlay on entire roof
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 ass e full responsibility for compliance with the wheat Ridge Building Code (I.B.C) and all other
applicable Wheat; inances, for work under this permit. Plans subject to field inspection.
ee rte`-- _zz. 2 • dc)
Signature of contractor/owner date
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. This permit shall expire 180 days from the issue date. Requests for an extension must he received prior to expiration
date. An 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.
4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
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 viola i~/p~ of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan review is s field inspections.
Signature of Chief Bui ing ificial date
INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY
E WHEgT
O .p
P
m Cl
HOC ORP00
Property Owner:
Property Address:
Contractor License No.: 1
Company:;
OWNERiCONTRACTOR SIGK
I hereby certify that the sett
accurate and do. not violate ';1
Wheat Ridge orcovenants, e
shown, and allegations mad(
conditions printed on this
compliance with the Wheat "n
Ridge ordinances, for work;
(OWNER)(CONTRACTOR): SIGNEC
(0 W NER) (CONTRACTOR).PRINTi
Use of Space (descrip
Description of work:
Sq.. Ft. added.
Ible ordinances, rules or regulations of the city of V atue:Y
mts or restrictions of record; that all measurements
ccurate; that I have read and agree to abide by all Permit Fee:$
ation and that I assume full responsibility for Plan Review Fee:$
uildingCode (I.B.C)andallother applicable Wheat,
his permit. plans subject to field Inspection. Use
Tax•$
~C~CyiS't3~7~DATE 1 I'r-6 Total:$
)h-17') 0 M1~SOd DATE 1-L~z-`S
RE DEPARTMENT COMMENTS:
Approval:
XAI-11~• annf Stories': Residential; Units: