HomeMy WebLinkAbout4330 Jellison StreetFeel o.Aci.hdmdug a us
Tice Ocomwasa
Sell Online Fmm suMnittal REMIT APMUT10N Water lkzta Replacement
all Wednesday, Ml 9:11:n AM
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PERMIT APPLICATION Water Heater Replacement
This application is exclusively for RESIDENTIAL REPLACEMENT WATER
HEATERS - LIKE FOR LIKE ONLY.
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.
Do Not use this form if the Water Heater is changing locations or if this is a
conversion to a Tankless Water Heater. Please use the General Perm't
Application for a more comprehensive review.
Is this application for a Yes
replacement water
heater like for like?
PROPERTY INFORMATION
Property Address 4330 Jellison St Wheat Ridge, CO 80033
Property Owner Name Tyler Parker
Property Owner Phone 3344148193
Number (enter WITH
dashes, all 303-123-
4567)
Property Owner Email yler.parke158@gmail.com
Address (Leave blank ff
not known)
Attach City of Wheat t'e'�aae Payment Form 2022 pill
Ridge Electronic
Payment Form - **DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business
Blue Sky Plumbing & Heamg
Name
Contractor's License
017835
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303407-7567
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
randyp@blueskyplumbing.mm
Address
Retype Contractor
randyp@blueskyplumbing.cpm
Email Address
DESCRIPTION OF WORK
Number of gallons
50
Is the water heater
GAS
GAS or ELECTRIC?
If GAS, enter # of
40,000
BTUs. If electric, enter
nla
Where is the water
basement
heater located (for
example, basement,
crawlspace, etc)?
Project Value (contract
3773.00
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 Yam
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.
I attest that everything vOS
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Applying for Randy Palato
Permit
Email nal displaying mme0y4 Vinw it in your hmwsar.
City of Wheat Ridge
Residential Roofing PERMIT - 201703427
PERMIT NO: 201703427 ISSUED: 07/07/2017
JOB ADDRESS: 4330 Jellison ST EXPIRES: 07/07/2018
JOB DESCRIPTION: Residential Re -roof to install Tru Def laminated/dimensional composition
shingles asphalt shingles with 25 sq
*** CONTACTS ***
OWNER (334)414-2185 PARKER DAVID
SUB (970)776-3322 John Barclay 170332 Barclay Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,651.04
FEES
Total Valuation 0.00
Use Tax 244.67
Permit Fee 236.00
** TOTAL ** 480.67
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet ahove
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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date
Inspector
Initials
Comments
Pier
Sewer Service
Concrete Encased Ground (CEG)
Mid -Roof
Plumbing
Foundation / P.E. Letter
CPj,& i (�►J Ftp ,�
Lath / Wall Tie
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date
Inspector
Initials
Comments
Electrical
Wall Sheathing
Sewer Service
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
Mid -Roof
Plumbing
TP,��
CPj,& i (�►J Ftp ,�
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
Mid -Roof
104 /1
TP,��
CPj,& i (�►J Ftp ,�
Lath / Wall Tie
Fire Inspection / Fire Protection Dist.
Rough Electric'
Final Electrical
Rough Plumbing/Gas Line
Final Plumbing
Rough Mechanical
Final Mechanical
Rough Framing
Roof
Ib 14
Rough Grading
Final Window/Doors
Insulation
Final Building
Drywall Screw / Nail
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Ib 14
gir O
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
"For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
The City of Wheat Ridge
Third Party Form Check List
Property Address 4330 Jellison St, Wheat Ridge
Permit Number 201703427
Permit Issued Date 7/7/17
Owner Information
Property Owner Information David Parker
Property Owner Address 4330 Jellison St, Wheat Ridge, 80033
Inspector Information
Inspection Company Certified Building Consultants
Inspector Name Kraig Stanforth;Travis Stanforth
Inspector Contact info. 720-940-1180 TStanforthCBCP_gmail.com
Inspector Statement of Acknowledgement
*1 hereby acknowledge the roof I am inspecting is 6/12 or over. All roofs that are under
6/12 must be inspected by the City of Wheat Ridge Building Department.
*1 hereby acknowledge the roofing system for the referenced building has been
inspected and found to b in compliance with the minimum requirements of the 2012
IRC and 2012 IBC as Vas the City of Wheat Ridge Policies and Procedures and
manufacture ' ndations and specifications.
Inspector;
Date:
Property Owhbr Statement of Acknowledgement
*1 hereby acknowledge that I am the owner of the building referenced above and I give
my consent for the listed third -party inspection company to perform my roof inspection
in lieu of the City of Wheat Ridge Building Division inspection.
Property Owner/aaryRoofing Company Date: 9/29/17
This original documenA, the roofing checklist, must be submitted to the Chief
Building Official within seven days of the final inspection.
Drop off in person
Permit Counter 2"d Floor
7500 W. 291h Ave
Wheat Ridge, CO 80033
Submit via Email
Kcook(@,ci.wheatridge.co.us
CBC Wheat Ridge Roof Inspection Packet Page 2 of 6
The City of Wheat Ridge
Inspection Check List Notes
Mid -Roof
Roof Inspection
❑
N/A
Pass
❑
Fail
Structural roof components
❑
N/A
Pass
❑
Fail
Verify that no more than 2 layers of shingles exist
❑
N/A
Pass
❑
Fail
Flashing for roof and walls
3RI"
N/A
❑ Pass
❑
Fail
If new sheathing is installed, verify that it is listed in the permit
description (Valuation must be adjusted)
N/A
❑ Pass
❑
Fail
Verify sheathing nail pattern (see Policy and Procedures)
_`'N/A
❑ Pass
❑
Fail
Crickets and saddles where needed
❑
N/A
A Pass
❑
Fail
Verify vent must have boot same gauge as pipe
❑
N/A
Pass
❑
Fail
Verify vent caps
❑
N/A,
Pass
❑
Fail
Verify no flashings are damaged or rusted
❑
N/A
Pass
❑
Fail
Step flashing shall be min. of 44 piece per shingle
❑
N/A
j;�, Pass
❑
Fail
Verify scuppers allow for proper drainage
❑
N/A
Pass
❑
Fail
Ice and water shield 2' in heated wall spaces
❑
N/A
Pass
❑
Fail
Underlayments must follow 2012 IRC/2012 IBC
❑
N/A
Pass
❑
Fail
Verify roof slope for proper damage
❑
N/A
Pass
❑
Fail
Dripedge shall have min. of 2" overlap
❑
N/A
Pass
❑
Fail
Dripedge should extend down min. 2" past roof deck
❑
N/A?
Pass
❑
Fail
Dripedge shall be mechanically fastened 12" OC
N/A
❑ Pass
❑
Fail
90 LB roof roofing shall not be applied to roof slopes less than
2:12 slope. Exception, detached garages, patios, carports, open
on three sides with min. slope of 1:12
❑
N/A
Pass
❑
Fail
Above roof insulation R-25
❑
N/A
Pass
❑
Fail
Below roof residential R-38
❑
N/A
Pass
❑
Fail
Below roof commercial R-32
N/A
❑ Pass
❑
Fail
Modified Bitumen, EPDM, TPO min. slope 1/4:12 slope must be
installed in accordance with the manufacturer's specifications.
Must have manufacturer's letter of warranty with the address
on the letter for final inspection
Metal Roof Shingles
Requirements
N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less than 3:12
N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof
N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min. of 8" from the
centerline with a min. of 3/4 " high splash diverter rib built-in at
the flow line with the sections overlapping a min. of 4"
Tile Roof Requirements
N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope
'f N/A ❑ Pass ❑ Fail Slopes 4:12 and under require double underlayment
CBC Wheat Ridge Roof Inspection Packet Page 3 of 6
Company Name:
Inspector Signature:
Date of Inspection:
The City of Wheat Ridge
Inspection Check List Notes
Mid -Roof
Notes
CBC Wheat Ridge Roof Inspection Packet Page 4 of 6
The City of Wheat Ridge
Inspection Check List Notes
Final Roof
Roof Inspection
❑ N/A Pass ❑ Fail Structural roof components
❑ N/A Pass ❑ Fail Verify that no more than 2 layers of shingles exist
❑ N/A / Pass ❑ Fail Flashing for roof and walls
❑ N/A ` Pass ❑ Fail Structural roof components
�! N/A ❑ Pass ❑ Fail If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
N/A ❑ Pass ❑ Fail Verify sheathing nail pattern (See Policy and Procedures)
N/A ❑ Pass ❑ Fail Crickets and saddles where needed
❑ N/A Pass ❑ Fail Verify B vent must have boot same gauge as pipe
❑ N/A Pass ❑ Fail Verify vent caps
❑ N/A Pass ❑ Fail Verify no flashings are damaged or rusted
❑ N/A Pass ❑ Fail Step flashing shall be min. of 44 piece per shingle
❑ N/A Pass ❑ Fail Verify scuppers allow for proper drainage
❑ N/A Pass ❑ Fail Ice and water shield 2' in heated wall spaces
❑ N/A Pass ❑ Fail Underlayments must follow 2012 IRC/2012 IBC
❑ N/A Pass ❑ Fail Verify roof slope for proper drainage
❑ N/A JjK Pass ❑ Fail Dripedge shall have min. 2" of overlap
❑ N/A �e Pass ❑ Fail Dripedge should extend down min. 2" past roof deck
❑ N/A Pass ❑ Fail Dripedge shall be mechanically fastened 12" OC
t' N/A ❑ Pass ❑ Fail 90 LB roll roofing shall not be applied to roof slopes less than
J 2:12 slope: Exception, detached garages, patios, carports, open
on three sides with min. slope of 1:12
N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min. slope 1/4:12 slope must be
installed in accordance with the manufacturer's letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles Requirements
N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less than 3:12
N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof
N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min. of 8" from the
centerline with a min. of 3/4 " high splash diverter rib built-in at
the flow line with the sections overlapping a min. of 4"
Tile Roof Requirements
N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope
N/A ❑ Pass ❑ Fail Slopes 4:12 and under require double underlayment
CBC Wheat Ridge Roof Inspection Packet Page 5 of 6
Company Name:
Inspector Signature:
Date of Inspection:
The City of Wheat Ridge
Inspection Check List Notes
Final Roof
Notes
CBC Wheat Ridge Roof Inspection Packet Page 6 of 6
s City of Wheat Ridge
Residential Roofing PERMIT - 201703427
PERMIT NO: 201703427 ISSUED: 07/07/2017
JOB ADDRESS: 4330 Jellison ST EXPIRES: 07/07/2018
JOB DESCRIPTION: Residential Re -roof to install Tru Def laminated/dimensional composition
shingles asphalt shingles with 25 sq
*** CONTACTS ***
OWNER (334)414-2185 PARKER DAVID
SUB (970)776-3322 John Barclay 170332 Barclay Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,651.04
FEES
Total Valuation 0.00
Use Tax 244.67
Permit Fee 236.00
** TOTAL ** 480.67
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. 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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT - 201703427
PERMIT NO: 201703427 ISSUED: 07/07/2017
JOB ADDRESS: 4330 Jellison ST EXPIRES: 07/07/2018
JOB DESCRIPTION: Residential Re -roof to install Tru Def laminated/dimensional composition
shingles asphalt shingles with 25 sq
I, by my siggnature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable bII%- cod ,and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the,leal ownf erty and axn authorized to obtain this permit and perform the work described and approved in conjunction with
this erm�t. I furt att th I am le ally authorized to include all entities named within this document as parties to the work to be
peormed and,tt all k t be permed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature.of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subaect 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 required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
DlvlSion.
6. The issuance or granting of a permit sly rued to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation r 'urisdiction. Approval of work is subject to field inspection.
3T'M of Building Official -t Date
MUST BE MADE BY 11:59PM ANY -BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
in time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Dan Schultz o/_U( / UQ�)
From:
no-reply@ci.wheatridge.co.us
Sent:
Monday, June 26, 2017 10:45 AM
To:
Permits CommDev
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. 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. Permits are currently being
processed within 5 business days, subject to change based on volume.
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
Property Owner Phone
Number
4330 Jellison St.
David Parker
334-414-2185
Property Owner Email
Field not completed.
Address
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Barclay Roofing
Contractor's License
170332
Number (for the City of
Wheat Ridge)
Contractor Phone
9707763322
Number
Contractor Email Address
chelsea@bdrfw.com
Retype Contractor Email
chelsea@bdrfw.com
Address
DESCRIPTION OF WORK
Are you re -decking the
No
roof?
Description of Roofing
Tru Def shingles
Material
Select Type of Material:
Other (specify below)
If "Other" is selected
laminated/dimensional composition shingles
above, describe here:
How many squares of the
25
material selected above?
Does any portion of the
No
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
z
TOTAL SQUARES of all 25
roofing material for this
project
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
/J
This is for a house and two detached sheds
11651.04 -✓
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
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Chelsea Bassett
Email not displaying correctly? View it in your browser.
K
BARCLAY ROOFING
Phone: (970) 776-3322/ Fax: (970) 336-8835/ 1108 8th Ave. Greeley, CO 80631
Work Authorization
David Parker ("Owner") hereby authorizes Barclay Roofing
("Barclay") to mobilize and complete the necessary work to restore, rebuild, clean, and/or deodorize the building structure and/or contents and to
provide emergency services as authorized by Owner, insurance company, and/or Barclay relating to the loss or project ("Work") described below. The
person signing below represents they have the authority to do so on Owner's behalf.
Work Name
Parker
Loss Date 5/22/2017
Work Location 4330 Jellison St. Wheat Ridge, CO 9W33 Work # 334-414-2185
Hail repair per approved USAA estimate.
Work Description
SHINGLE COLON: Driftwood GUTTER COLOR:
Owner agrees to pay Barclay for all labor, materials, and equipment utilized to mobilize, demobilize, and perform the Project described above in
accordance with Barclay's Rate Schedule or on a Lump Sum basis. Barclay's Rate Schedule does not include any applicable taxes or fees which will be
itemized and charged to Owner and insurance carrier by Barclay. Our Rate Schedule has been pre -approved by most insurance carriers.
XBarclay's Time and Material Rate Schedule, in accordance with insurance industry pricing.
Lump Sum Amount of: $
- per Estimate or Proposal dated
Price will be determined at a later date, to be market pricing and insurance agreed.
—A Owner agrees to make payment directly to Barclay for the Work and for any deductible, depreciation, or amounts not
covered by insurance for this Work.
Owner requests that all payments pertaining to Barclay's work be paid directly to Barclay by Owner's insurance provider,
or to add Barclay as additional payee on all claim payments.
Owner to remove cash, jewelry, firearms, collectibles, or any valuable items prior to Work start.
Owner acknowledges understanding and agreement to all terms and conditions on reverse side.
Barclay Representative: - Homeowner:
Signed: G Signed:
Name: �� �f}Qs Name: David Parker
corporate office: 6DR Fire & Water Restoration, LLC Date 6/-5-//' -2 Phone 334-414-2185
1108 8th Avenue, Greeley, CO. 80631 Mailing 4330 Jellison St.
Insurance Company:
Claim Representative:
Phone:
USAA
0
0
Wheat Ridge, CO 80033 0 0
Email:
Deductible: $
0
TERMS and CONDITIONS
%accomplis
Wvrba
itional Work: Barclay agrees to perform scope of Work referenced on page 1. Owner agrees that any supplements or additions to Work may be
r with supplement. Supplemental work includes betterment; Owner selected changes; and/or enforcement of code or ordinance by city.
Lump Sum Contract & Pricing: An estimate will be written to define the scope and pricing, if not based on time & materials. The estimated value for each line item multiplied by
40% for the replacement only will equal the material cost of that item. If Owner reduces the overall scope of Work, profit and overhead of 10% each will still apply to the overall price.
Barclay at its option may utilize value engineering to complete the same Work in a more efficient manner or in order to achieve a savings to Barclay.
Work Quality: All work involving restoration and/or repairs is for the damaged.Work only and for like kind & quality craftsmanship and does not cover unaffected areas and does not
cover modifying existing deficiencies. Estimate presumes original walls, floors and framing are plumb, square, and straight. Construction does not result in "Perfect Finishes" such as is
found in manufacturing in a controlled environment Barclay's work will conform to existing qualities and will be governed by references published by the National Association of
Home Builders, "Residential Construction Performance Guidelines". All construction debris will be removed from project and areas left in a broomed and/or shop vac quality cleaned
condition.
Contract Time: Time is of the essence to this agreement and contractor will diligently pursue a substantial completion of the Work, but will not be held liable for delays due to
deliveries, weather, Owner or insurance carrier, or any other conditions beyond contractor's control. Owner agrees to hold harmless contractor for any additional delays to Work.
Owrier further agrees not to cause delays to project for any reason and to provide clear and continuous access to the Work site from 7:00 a.m. to 5:30 p.m., Barclay may at their
option, place a "LOCK BOX" at the property and assume no responsibility for unauthorized entry. Owner agrees to provide electricity, heat, water, local telephone, and sanitary
facilities. Substantial completion is the date when the property can be occupied for its intended use, not when the Work is 100% complete.
Invoice & Payment Method: Owner agrees to make payment directly to Barclay for the Work, whether or not such work is covered by insurance. Barclay may invoice Owner for parts
of Work completed. Owner shall pay Barclay the amount of each invoice no later than ten (10) days following Owner's receipt of the invoice. Interest shall accrue on payments not
received within such time at the lesser of (i) the maximum lawful interest rate or (ii) one and one-half percent (1.5 %) per month. Any remaining balance of the Contract Price after the
above payments are made shall be paid no later than ten (10) days following completion of the Work. At the completion of Final Walk Through, Owner must pay Barclay for all sums
less correction items on list. Items addressed after Final Walk Through will be placed on a warranty list and will not be subject to subtractions from final payments subject to limited
warranty below.
Limited Warranty: Conditioned upon payment in full of all amounts due Barclay, Barclay warrants that the Work will be free from defects for a period of one year from the first day
the Work is occupied or is ready to be occupied (whichever occurs first) by Owner and shall assign to Owner all applicable warranties of manufactures, supplies or others. Barclay's
warranty is limited to repair or replacement, at Barclay's option, of the defective Work and specifically excludes any equipment or materials covered byrmanufacturer's, supplier's or
others' warranties, and also specifically excludes incidental or consequential damages. This warranty specifically excludes cracking, etc. of any concrete, drywall, plaster, caulking,
sealant, tile, or any other product subject to movement of any kind. This warranty also excludes any loss caused by or consisting of any mold or microbial growth whether or not
caused by Barclay or their subcontractors or suppliers. Except as provided herein, there are no other expressed or implied warranties.
Certain Owner Obligations: Owner shall make customer selections within Barclay deadlines or pay additional overhead fees to Barclay and agrees to utilize the design center of
contractor's choice to do so. If Owner fails to make timely selections, Barclay can make selections on behalf of Owner with standard items. Owner agrees to sign the Substantial
Completion Form if work is substantially complete. Owner agrees to sign the Final Walk -Through Form upon presentation. Owner assigns to Barclay any insurance proceeds or
payment for Work performed by Barday that Owner may receive or otherwise be entitled to receive. Owner agrees to allow Barclay to communicate with insurance company in order
to facilitate the processing and payment of the claim. Owner agrees to quickly facilitate the signing of any proof of loss and/or mortgage company inspections and/or endorsements to
claim payments. Owner waives any right of recovery or subrogation against Barclay to the extent of Owner's insurance coverage. Owner shall provide and maintain Property, Building,
Personal Property, Builders Risk, "All Risk" and Premises Liability Insurance covering the Work, including all materials and supplies on site but not yet installed. Owner agrees to make
claim for defects in construction pursuant to the Colorado Construction Defect Claims Act.
Hazardous or Other Conditions: Barclay may halt the Work upon any finding of hazardous substances or unsafe conditions. Barclay will notify Owner upon the discovery of any such
items. Owner must notify Barclay of any known hazardous items at the site including asbestos, chemicals, lead, or other, and Owner shall indemnify and hold harmless Barclay from
and against any and all claims arising from or related to the conditions, and Barclay shall be entitled to payment from Owner for all costs, expenses and damages, including reasonable
attorneys' fees and expenses, it incurs as a result of the conditions. If conditions cause delay to project for more than 1 week, Barclay may terminate this agreement.
Default: If Owner defaults in any of its obligations hereunder, Barclay may, at its option, in addition to other remedies provided in this Contract or pursuant to applicable law or
principles of equity, pursue one or more of the following remedies: suspend some or all of the Work until all defaults have been cured, upon three (3) days written notice to Owner;
terminate some or all of Barclay's obligations under this Contract, and/or recover all amounts due under this Contract plus all expenses and reasonable attorneys' fees and expenses
incurred by Barclay as a result of Owner's breach or Barclay's enforcement of this contract. In the event this Contract or Barclay's obligations are terminated by Barclay pursuant to the
terms of this Contract, Barclay shall be paid for all work performed throdgh the date of termination in an amount that will compensate Barclay for all costs incurred, plus thirty percent
of these costs. Barclay retains the right to file a Mechanics Lien for services rendered and hereby notifies Owner that Barclay will file said liens to protect Barclay's interest in the
subject property. In such event, owner shall pay all interest charges and filing fees for the lien. Owner shall also pay Barclay's liquidated damages of $100.00 for Owner's delays.
Dispute Resolution: Any Controversy or claim arising out of or relating to this Contract shall be resolved by arbitration in accordance with the Construction Industry Arbitration Rules
of the American Arbitration Association, and judgment upon the award may be entered in any court having jurisdiction. Prevailing party shall be entitled to all reasonable attorneys'
fees and other legal associated costs. Limitation, Waiver, and Venue: Owner and Barclay agree that venue for any legal proceedings shall be Weld County, Colorado, and that Colorado
law shall govern all disputes relating to this agreement. Arbitration may be utilized per the above or the Better Business Bureau at contractor's option. Owner agrees not to libel or
slander contractor for any reason whatsoever and that in doing so to any source, agrees to indemnify contractor an amount equal to $5,000.00 unless it can be proven that such libel
and slander did not cause any damages. Owner further waives their right to trial by jury and any claims for consequential or punitive damages against contractor.
Entire Agreement: This Contract, including the Attachments hereto, comprises the complete agreement of the parties and no representations or agreements have been made by
either party except as expressly stated in this Contract. All modifications to this Contract shall be in writing and signed by both parties hereto. If any provision of this Contract becomes
or is determined to be illegal or unenforceable for any reason, the remainder of the Contract shall remain in full force and effect.
� 1
=�41 CITY OF WHEAT RIDGE ::: . ...Vr
..... .
_1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 1
Job Address:
Permit Number: 7) h _ "7 —3 V D, 7
❑ No one available for inspection: Time -� ` AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: W'- T% Inspector: `
DO NOT REMOVE THIS NOTICE
♦ ♦ CITY OF WHEAT RIDGE
~p Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: v 01) ti)A I_..
Job Address: 47-0 j ~rFz -L-d 5 (,,'/A
S T
Permit Number: 04~
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Ye No
"When corrections have been ma call re-insp ction at 303-234-5933
Date: d Inspector: t
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INAPKTION NOTICE
Inspection Type:
Job Address: f J r r
.n r
Permit Number: ` _ '"
n
Pov
I
fG
❑ No one available for inspection: Time l,. AM /P/
s r
Re- Inspection required: Yes�No
PP
When corrections have been made, call fo ins ativ .. a J 30
Date: 3 {�34f933 ,
€ G i l
� f - i.. % ' � ��P.�
j � Inspector. �
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
f � Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: MI A rtmr
Job Address: f1 1 SrwA <,
Permit Number: f ?
R
❑ No one available for inspection: Time f'• A !PM
Re- Inspection required: Yes No
* When corrections have been made, calf for re- Inspection at 303- 234 -5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
" 1 City of Wheat Ridge
Residential Roofing PERMIT - 091355
PERMIT NO: 091355 ISSUED; 08./17/2009
JOB ADDRESS: .4330 JELLISON ST EXPIRES: 012/13/2010
DESCRIPTION: Reroof 19 sqs
CONTACTS
owner Eugene/Tracy Moore
subs 3.03/870-8613 Jason Savage 08-0245 Savage Construction
* * PARCEL INFO * *
ZONE CODE: UA `USE: UA
SUBDIVISION:. 0270 BLOCK/LOT#:. 0/
FEE `SUMMARY ESTIMATED PROJECT VALUATION: `5,500.00
FEES
Permit Fee 162.90
-
Total Valuation .00
Use. Tax 99.00 ~~Ctf
TOTAL 261.90
Conditions:
6 nail installation &.mid-roof inspection required. Board sheathing spaced more
than 'a:1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield required .from eave edge to 2' inside exterior walls.
Subject to field inspections.
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 allegati s made are accurate; that I have read and agree to abide by all conditions printed on this
application and that assum ull responsibility for compliance with the Wheat Ridge Building Code (I.B.C).and all other
applicable Wheat R' g or cea, for work under thi permit. Plans subject to field inspection.
- p
Signature of c c r/ .'date
l.. This permit a iss ed in accordance with the provisions set forth in your application. and is subject to the. laws of the
State 'of Colo ado and to the zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
'ordinances of the City. -
2. This permit shall expire 180 days from the issue date.. Requests for an extension must be received. prior to expiration
- date. An extension may be granted at the discretion of the Building Official.
3. If this permit expires, a new permit may be acquired for afee 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.
- 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 apermit or the approval of drawings and specifications., shall not be construed to. be a permit for, nor
an approval of,. any violation. of the provisions of the. building codes or any other. ordinance„ law, rule or regulation.
All planreview iA subject to field inspections.
n &r
Signature off uilding Official date -
INSPECT N, EQUEST LINE: (303)234-5933 BUILDING OFFICE: (903).235-2855
2EQUES MUST BE MADE BY 3PM. ANY BUSINESS 'DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
~OF WFiEgT~~O City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ' Fax: 303-237-8929
C~rORPO~ ~ Inspection Line: 303-234-5933
Building Permit Application
Date: ~J
Plan
Permit
Property Address: 4l 3 3 0
Property Owner (please print): M, Phone
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: SnL-9 ~ 15, }r,-,~ _
Contractor License Phone: 3G-3 - 5Q? f -V (r f ?
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $ S5-5-00
Description of Work- (as calculated per the Building Valuation Data sheet)
IrLt / Plan Review (due at time of submittal): $
„te- Go J-
Sq. Ft./L.Ft added: Squares 4- BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE.: (OWNER) (CONTRACTOR) or PERSONAL REPRESE T TIV`of OWNER) (CONTRATOR)
PRINT NAME: .~QSG >1 JGf/q q SIGNATURE: Date:
Bldg Valuation: $
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
~r (303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: r) hj R L D ~V_
Job Address: 4?37~70 J t t I S D.~J S T
Permit Number: Coq to
CGE~~I!~ U0G'j i`{601 7-010 -10
13G Tl~
FI-A T ~ G No:: ACC
❑ No one available for inspection: Time AM/PM
Re-Inspection required: es No
*When corrections have been made, call for inspection at 303-2345933
n
Date: / G - ;~°-_3-~'cInspector:
DO NOT REMOVE THIS NOTICE
► i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: r')(? & I.1- r__V i m
Job Address: 7' ~>3 0 j_e LL- t 5 C;Al S 7-
Permit Number: (no (-j tol~
a
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
When corrections have been made, call for re-inspection at 303-2345933
Date:& - DO _ C q inspector: U
a
DO NOT REMOVE THIS NOTICE
1 I _ _ _
~oFW"EgTR,o City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
o Inspection Line: 303-234-5933
O<ORP~
Building Permit Application
Property Address: 4&SO JP-LUSON '!Jr
Property Owner (please print):
Mailing Address: (if different than property address)
. a
Date: `~6 / /110-T
Plan q'_~ f~-
Permit Q 9V~D
Phone: 303- -6*G-7 17
Address: 433b J ELQ,<Atl ~7
City, State, Zip: W9EA-i. ZtpLE Co
*'Contractor:
Contractor License
Sub Contractors:
Electrical City License
Company:
Phone:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
o
Use of space (description): Construction Value: s 25,b00- m--
Description of work: / rX I / as calculated per the Building Valuation Data sheet)
A~ D A, a~uc ~20~ D OOI..K Z X4 P Plan Review (due at time of submittal):
Sq. Ft L.Ft added: 3Za Squares BTU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER), (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: 1P-0EZAte E. M66RE SIGNATURE: FAAA,.Ml ff. r"wD't~ Dates ~b
J a C'.0 0
y1 ! iF > ~r k , s
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Rce~ A->+~~ ~>k df®'~a~/dS, Aa>ax. r~°-n~r2 c'~6iRi~F.o~g
AS v?" (o',2.a-o€ ro d~~,vr e,~ /3A>P2rER, oP~,w.~vGS i,ti
J~~22~ER ~~X , Y'°' ,4i✓r~ fIS2~Yv~vT.oL ~yiEml~c°~S m
fJ 9 R2/ge 7-0 89 72PWACD5 n?~ ~oaL /fN GA rbS S11AI
OPgN 6~ ulsfKD.SiF4[/ &,F fcLF-'NCoS»J~ *-av Ss6F
14-re-111,V61, ikre-# orma aE .5rFT aer, g" as
✓srrtE .JD C>P BNfIkl65 v&Fbu_ 'WIV >4 Y " WI 7-/f,.,7
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Work shall comply with the
following codes: 2003 IRC, 2003
IECC & 2005 NEC.
IFR1 ~tk @PiE7tL`d
l t FI! •:a ~iI~4
191 i t4i:
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WHE4T,Pi
°otoRpo
Wheat Ridge Buil g Department
A are d
/S //3 av
BUILDI OFFICIAL DATE
tfalid)ty of permit: The issuance of a permit or approval of plans, specifications,
slid Computations shall not be a permit for, or an approval of, any violation to
any of the provisions of the building code or of any City ordinances.
J%tmb presuming to give authority to violate or cancel the provisions of the
Building codes or other ordinances of the City shag not be vim.
APPROVED
Subject to Field Inspecfions
Wheat Ridge Building Dept
Date.. r
Signed.. Plan Checker
~
New or existing ¢
Open guardrails and open handrails on decks and stairways more than 30 inches
light required
above grade or a floor below shall have members spaced so that a 4 inch diameter
sphere cannot pass through.
Guardrail
Stairway Notes:
1. Stairways shall be not less than 36" in width.
2. Stairway rises shall be not greater than 7 3/4".
3. Stairway treads shall have a minimum run of 10".
4. The length of Run and the height of Riser shall not vary more
36"
min. than 3/8" in the entire run of the stair.
height 5. Stairs are required to be illuminated.
"
6. Open risers permitted if opening is less than 4
.
7. Minimum 3/4" nosing
H drail (see de i I )
ROVED
Subject to Field Inspections
Deck
34-38" above
Less than
Wheat Ridge Building Dept.
i
nos
ngs
6" dia.
Date. -`/!Mf f
Guardrail required if
"
more than 30"
10
min. run
Signed. . . . ...Plan Checker
Open risers less than 4" Landing
Not less than
4 inch min. - 7 3/4" max. rise width of stairway Finished grade
Handrail Notes:
1. Handrails shall be continuous on at least one side of stairs with 2 or more risers.
2. Handrails shall be placed not less than 34 inches nor more than 38 inches above stair nosings
3. The handgrip portion of handrails shall be not less than 1-1/4 inches nor more than 21/4 inches in circular cross section.
4. Handrails shall be placed not less than 1-1/2 inches from any wall or other surface.
Per2001 Supplement
1 114" - 2114" max.
11/a'-2"Gi
.Wall or other
11/2' min.
This handout was developed by the Colorado Chapter of the
International Code Council as a basic plan submittal under
the 2000 International Residential Code. It is not intended
to cover all circumstances. Check with your Department of
Building Safety for additional requirements.
Existing building
Approved flashing required
Attach to joists with non-corrosive fasteners
Attach ledger to existing bldg.
With non-corrosive lag bolts
spaced min. 16" apart. Locate
bolts to penetrate rim joist or
wall studs.
Non corrosive metal joist hanger
40gpAtions:such.as attachment to,cantilevers or
veneers may require Engineer's approval j
ecure balusters to beam
Non-corrosive metal
post/beam connector
1/2" (min.) diameter anchor bolt embedded
7" min. into concrete pier or the equivalent
Non-corrosive
metal joist
hanger
Full depth 2x solid blocking .
24" max.
Secure balusters to beam
Non-corrosive metal
post/beam connector
Secure
balusters to
beam
Non-corrosive metal
post/beam connector
i Non-corrosive metal post anchor
8" min. If less than 8", post must be decay resistive .
c
E
8" (min.) diameter pier
This handout was developed by the Colorado Chapter of the
International Code Council as a basic plan submittal under
the 2000 International Residential Code. It is not intended
to cover all circumstances. Check with your Department of
Building Safety for additional requirements.
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31