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HomeMy WebLinkAbout2645 Pierce StreetA 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: #fid 1=��%�P..iG,!"rli� Job Address: L( Permit Number: ."o1 20013 1vi a/ 44/� r il"I &/", �rl, i r /e ❑ No one available for inspection: Time ` q`wPM Re -Inspection required: Yes /No,,)' When When corrections have been made, call for re -inspection at 303 -234 - Date: ��� L / ? Inspector: 5ie.lov&, 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 fkoMIV InspeefloWilype¢ Job Address: r"5tSjC4!Et (7-- Perrnft-Nunn w- e r�?y� V .C_ 1 ❑ No one available for inspection: Time mum PM Re -Inspection required: Yes --No,,,' When corrections have been made, cal rr re -inspection at 303-234-5933 Dat T7_qlnspe DO NOT REMOVE THIS NOTICE City of Wheat Ridge .,� E -Res. Furnace Replacement PERMIT - 201900383 PERMIT NO: 201900383 ISSUED: 03/07/2019 JOB ADDRESS: 2645 Pierce St EXPIRES: 03/06/2020 JOB DESCRIPTION: Residential gas furnace replacement, 60 BTUs, 96% efficiency, replacing A/C, 2 tons and 17 seers with electrical hook-up. *** CONTACTS *** OWNER (520)404-2225 WORCESTER PHILIP L SUB (303)975-8809 Gary & Kimberly Neal 070008 Elkhorn Htg. & Air Conditionin SUB (303)327-8333 Kimberly Neal 100310 Elkhorn Electric, 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: 12,271.00 FEES A/C Replacement 60.00 Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 257.69 ** TOTAL ** 357.69 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. City of Wheat Ridge y¢w �"# E -Res. Furnace Replacement PERMIT - 201900383 �msm PERMIT NO: 201900383 ISSUED: 03/07/2019 JOB ADDRESS: 2645 Pierce St EXPIRES: 03/06/2020 JOB DESCRIPTION: Residential gas furnace replacement, 60 BTUs, 96% efficiency, replacing A/C, 2 tons and 17 seers with electrical hook-up. 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 alt 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 alI entities named within this document as parties to the work to be perfo" rmed 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, po licies and procedures. 2. This, permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original ermit fee. 3, If this permit expires, anew permit maybe required to be obtained. Issuance of anew permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of ff the Chief Building Off and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The�,�ance or gran ii�g of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any aP1hd11lli le Bode ora ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dina Kemp �Jol9b0 �g3 From: no-reply@ci.wheatridge.co.us Sent: Thursday, March 7, 2019 10:33 AM To: CommDev Permits IJ59 "4 Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application Categories: Dina Residential Furnace/Boiler Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - 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. Is this application for a Yes replacement residential furnace or boiler like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach Credit Card Authorization Form - **DO NOT ATTACHED RANDOM FORMS** 2645 Pierce St Phil Worcester 520-404-2225 Field not completed. Wheat Ridge Credit Card Authorization Form.pdf CONTRACTOR INFORMATION Contractor Business Elkhorn Heating & Air Conditioning, Inc. Name Contractor's License 70008 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-975-8809 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address kimberly@elkhvac.com Retype Contractor Email kimberly@elkhvac.com Address DESCRIPTION OF WORK What type of unit is being Furnace installed? Number of BTUs 60 What is the efficiency 96 (%) of the unit? Is the unit GAS or Gas ELECTRIC? Where is the furnace or crawlspace boiler located (for example, basement, crawlspace, etc)? Project Value (contract 5771 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 N has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Kimberly Neal Permit Email not displaying correctly? View it in Voor browser. From: no-reply@ci.wheatridge.co.us Sent: Thursday, March 7, 2019 10:37 AM To: CommDev Permits Subject: Online Form Submittal: Residential Replacement Air Conditioner/Evaporative Cooler Permit Application Categories: Kim, Dina Residential Replacement Air Conditioner/Evaporative Cooler Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT AIR CONDITIONER OR EVAPORATIVE COOLER - 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. Is this application for a Yes residential replacement AC or Evaporative Cooler like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS** 2645 Pierce St Phil Worcester 520-404-2225 Field not completed. Wheat Ridge Credit Card Authorization Form.pdf CONTRACTOR INFORMATION I Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Elkhorn Heating & Air Conditioning, Inc. 70008 303-975-8809 Contractor Email Address kimberly@elkhvac.com Retype Contractor Email Address DESCRIPTION OF WORK What type of replacement unit are you installing? How many tons is the unit? For AC - what is the SEER? For Evaporative Coolers, what is the CFMs? Where is the unit located (for example, rooftop, backyard on ground etc)? kimberly@elkhvac.com Replacement Air Conditioner I% 17 backyard ground Is electrical needed for re- Yes hook? If electrical work is being Elkhorn Electric License #100310 Run new dedicated furnace performed, you must and AC circuit -existing circuits not up to code provide electrical contractor's Wheat Ridge license no. and scope of work. Project Value (contract 6500 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT 2 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 been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Kimberly Neal Permit Email not displaying correctly? View it in your browser. X46 5-- INS�ECTIQN RECORD INSPECTION ONLINE FORM: http://wwvv.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Tvue 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 Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie - r Rough Electric Rough Plumbing/Gas Line 17; Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing -/ Z -/ f i.✓ Final Mechanical /L Roof Final Window/Doors �•' Fir. -al Building NOTE: All items must be completed and approv by Planning, Public Works, Fire and Building before a Certificate ofccupancy 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 INSPECTION RECORD Inspection online for . http://www.ci.wheatrid e.co.us/inspection Cancellations must be submitted G%na., ZFn Inspections will not be performed unless, is card'is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT:' ADDRESS: ZAA 5 JOB CODE: (Foundation InspectionsI Date I Inspector I Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation I I Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections 1201 Electrical / Cable/ Conduit 1202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. DateI Inspector Initials Comments 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections SEE OVER FOR ADDITIONAL INSPECTIONS .11/ , PERMIT:,- a. ; `�1== ( ADDRESS: ��`I Sl �'` t'e' ��"T JOB CODE: Final Inspections 402 Gas Meter Release Date Inspector Initials Comments tough Inspection (continued) AU. lNgpe-c-,nolvC (bIryl AX?ra 403 Final Electrical Residential 416 Rough Mechanical Residential 417 Rough Mechanical Commercial 318 Boiler / Furnace qq09 405 Final Mechanical Residential 319 Hot water tank 407 Final Plumbing Residential 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 323 Miscellaneous Final Inspections 402 Gas Meter Release Date Inspector Initials Comments AU. lNgpe-c-,nolvC (bIryl AX?ra 403 Final Electrical Residential 404 Final Electrical Commercial qq09 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 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. The City of Wheat Ridge Third Party Form Check List Property Address —J ri Permit Number Permit Issued Date /' Owner Information Property Owner Information- Property Owner Address( Inspector Information Inspection Company Certified Building Consultants Inspector Name Kraig Stanforth Inspector Contact info. 720-940-1180 KStanforthCBCCa_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 be in compliance with the minimum requirements of the 2012 IRC and 2012 IBC a ell as the City of Wheat Ridge Policies and Procedures and manufacturer's me dations and specifications. Inspec Date: In roe Owner', tatemer t of Acknowledaement *1 hereby acknowledge that I am a owner of the building referenced above and I give my consent for the listed third -p y 'nspection company to perform my ro f inspection in lieu of the City of Wheat;Ri B ilding Division inspection. 1 Property Owner/Agent: Date: This original document, as Jas the roofing checklist, must be submitted to the Chief Building Official within seven days of the final inspection. Drop off in person Permit Counter 2nd Floor 7500 W. 291h Ave Wheat Ridge, CO 80033 CBC Wheat Ridge Roof Inspection Packet Submit via Email Kcook ci.wheatridge co us Page 1 of The City of Wheat Ridge Inspection Check List notes Mid -Roof Roof Inspection a N/A a Pass 0 Fail Pass c Fall Structural roof components 7 N/A Q Fail Verify that no more than 2 layers of shingles exist a N/A Pass 0 Fail Flashing for roof and walls a N/A pass 0 If new sheathing is installed verify that it is listed in the Pass Fail ZA permit description (Valuation must be adjusted) :2 N/A ass 0 Fail Verify sheathing nail pattern ( See policy & Proceedures) C3 Pass 0 Fail Crickets and saddles where needed 9 N/A M N/A SS a Fail Verify B vent must have boot same gauge as pipe to N/A Pass 0 Fail Verify vent caps 0 N/A j4 Pass R Fall Verify no flashings are damaged or rusted is N/A Pass o Fail Step flashing shall be min. of 4x4 piece per shingle Pass 0 Fail Verify scuppers allow for proper drainage * N/A Pass 0 Fall Ice and water shield 2' in heated wall spaces * N/A a Pass 0 rail Underlayments must follow 2012 IRC 12012 IBC N/A 0 Fail Verify roof slope for proper drainage * N/A Pass * j�Pass 13 Fail Dripedge shall have min of 2" overlap N/A a Fail Dripedge should extend down min 2" past roof deck N/A Pass * N/A /ass c Fail Dripedge shall be mechanicaly fastened 12" CC 90 LB roll roofing shall not be applied to roof slopes �'NA 17 Pass i1 Fail less than 2:12 slope: Exception, detached garages, patios, carports, open on three sides with min. slope of 1:12 is Fail Modified Bitumen, EPDM, TPa min slope 1/4:12 slope N/A c Pass 0 Fail Above roof insulation R-25 'NIA a Pass a Pass D Fall Below roof residential R-38 N/A a Fall Below roof commercial R-32 N/A a Pass N/A 0 Pass a Fall Modified Bitumen, EPDM, TPO min slope 1/4:12 slope must be installed in accordance with the manufacturers specifications- Must have manufactures letter of warranty with the address on the letter for final inspection Metal Roof Shingles Requirements Metal roof shingles shall not be installed on slope less N/A Q Pass c Fail 3:12 Metal valley flashing shall be the same material as roof N/A c Pass U Pail Metal valley flashing shall extend a min of 8" from the N/A c Pass a Fail centerline with a min. of 3/4 " high splash diverter rift built-in at the flow litre with sections overlapping a a min. of 4" Tile Roofs Reguiremenis Clay and concrete file shall have a min. 2-112;12 slope )(N/A Q Pass Q Fail Slopes 4:12 and under require double underlayment The City of Wheat Ridge Inspection Check List notes Mid -Roof Notes Company Name:��_..� Inspector signature: Date of Inspection: 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/Aass ❑ Fail Verify sheathing nail pattern (See Policy and Procedures) N/A ass ❑ 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 ❑ NIA Pass ❑ Fail Verify no flashings are damaged or rusted ❑ N/A "`_ Pass ❑ Fail Step flashing shall be min. of 4x4 piece per shingle ❑ N/A / Pass ❑ Fail Verify scuppers allow for proper drainage ❑ N/A NPass ❑ Fail Ice and water shield 2' in heated wall spaces ❑ N/A ass ❑ Fail Underlayments must follow 2012 IRC/2012 IBC ❑ N/A Pass ❑ Fail Verify roof slope for proper drainage ❑ N/A Pass ❑ Fail Dripedge shall have min. 2" of overlap ❑ N/A )gC Pass ❑ Fail Dripedge should extend down min. 2" past roof deck ❑ N/A _vr Pass ❑ Fail Dripedge shall be mechanically fastened 12" OC '-f} N/A ❑ Pass ❑ Fail 90 LB roll 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 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 The City of Wheat Ridge Inspection Check List notes Final Roof Notes Company Name: Inspector signature: Date of Inspection: City of Wheat Ridge I Residential Roofing PERMIT - 201708566 PERMIT NO: 201708566 ISSUED: 10/24/2017 JOB ADDRESS: 2645 Pierce ST EXPIRES: 10/24/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 23 sq Pitch = 5/12 *** CONTACTS *** OWNER (303)332-3798 GEBHART KAREN SUB (303)520-1300 Bradley Shalz 170152 Shalz Construction *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,911.00 FEES Total Valuation 0.00 Use Tax 124.13 Permit Fee 140.90 ** TOTAL ** 265.03 *** 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. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201708566 201708566 ISSUED: 10/24/2017 2645 Pierce ST EXPIRES: 10/24/2018 Residential Re -roof to install asphalt shingles - 23 sq Pitch = 5/12 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications. applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction \ ith this ermit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be per and that all wor e e is disclosed in this document and/or its' accompanying approved plans and specifications. L,19--26- 7 Signature. O 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 andprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all e uired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any inspection. ID Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett From: no-reply@ci.wheatridge.co.us Sent: Monday, October 23, 2017 1:13 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed 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 C014STITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes f �/ V 17 residential roof? riS. 6(/W17 How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION t Property Address 2645 Pierce St. Property Owner Name Karen Gebhart Property Owner Phone 303-332-3798 Number (enter WITH dashes, eg 303-123-4567) 61 Property Owner Email teamgebhart19@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 2645 Pierce st Roof.pdf Contract CONTRACTOR INFORMATION Contractor Business Shalz Construction, LLC Name Contractor's License 170152 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-520-1300 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 2333 Paint Pony Circle (Primary address of your business) Contractor Email Address shalz@comcast.net Retype Contractor Email shalz@comcast.net Address DESCRIPTION OF WORK TOTAL SQUARES of 23 f the entire scope of work: Project Value (contract 5500 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 62 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 Shalz Construction LLC Brad Shalz Email not displaying correctly? View it in your browser. 64 both? (check all that apply) What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: Type of material for the PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 23 i asphalt shingles 30 yr tamko Asphalt house 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 63 Shatz Construction LLC 2333 Paint Pony Cir. Proposal/Contract HALZ S Castle Rock, CO 80108 CONSTRUCTION -halt 303-520-1300 - E-mail: Shalz@QmMst,rt'P_t Contract Submitted To: Karen Gebhart 10-20-17 Add.,= 2645.-Pierce St Wheatridge s,;,,,.:CO zio'80214 Home., mobile. (303-32-3798 E-mail: PITCHED ROOF MIMS Siting le Girade:Tamlko 30 vear I inear feet of gofers: Linear fee, o` downs: Color. ThundeTstor .,,,,25 color- 5irich e 6inch Felt: (rolls) Synt>aeti 54 30# Aluminum 1 Galvanized I Screens I Cov—_, lnjsu�wance Mdge Material: fbunffles) (linear Im-eq 25 teat 13 tab reQU'ling color, This contract is contingent upon P-7r approval by Customer's ensurer Starter Strip: (bundle,) (.1mr-mr feet) Contract Total will be derived from insurarice scope of to---, phis, ?100 FM 7 bL­K*_-) deductible. No workwill start until approved by insurer. i......... Nail C041: (boxes) Plastic Caps: {boxes) 1 box - 20 sqtaw.) l 1 t-ax = 20 square-.) Customer's Initials:— 2-- Tube­LIP! Match: Stop Flash: J;near feet) Insurance Company- 0 tube - 20 r,-giros�j Adjuster: Claim 9: r%dge 'Dent: Box )rent** Ice tWatcr Shield: (rolls) (linear feet) _t60 feet = 1 roirl -Ir & Insurance Phone: Vaeys: *(linear feet] 90 lbs. {roil) pineaf ff-_,t). lr=rance e mail: Paint Color­ Shatz Construction reserves the right tofile for supplementii Chimney Flashing /I rim Goil- (rolls) Color Insurance If Customers issuer uses snamect measurements. or it price increase is applicable, at no cosi to Customer_ i1 roll x 5C fiIi" sinoottv 2- Per Customer's insurer. overhead and profit may be invoiced to Custorn—_'s insurance c0mWywith a base estimate prepare by Pipe Boots; UniveisaL Other Svae: Shatz Gonstruction. 2. This =tract authorizms Sttalz Construction to make adjustments and Onp Edge. (linear feet) Stye: (inch) Color, assist in seeping Customers claim for Insurance covcrage. 4. It work to be completed is to be paid through an insurance c1a;m. FLAT ROOF Shatz Construction cannot pay. waive or rebate the homeowners insurance deductible it, part or in whole. Rolled Roof. Color: Squares: Rats: Notes SP0621 Instructions Ppel and Stick: Ye, No Torch Down: Color: Square­;: Rolls: Torch Ommin Base: (rolls) ;N4 Drip Edge: (piece--) (linear feet) Estimated Budd Cate:_ cj c'! The Customer is responsiWe for his or her deductz-ble at the amount of $ Cstmate Total Contract Submitted by:: Cate: Permits: S Supplement Total: S Customer Signature-.. k,, T=1. -T void er mp 4W $ ISII-rp4Aft P o�s te ANY PaY.-THIn! ­4 be held -n trust until maty rU has bein d6tvt�red and a mamoray rpt work is DO-Am Payment: S zPaning. Cunorr*ragrcxns �the Tenw. and Cmd:Wres on ttxNr,%�w nzieof fir, dec4ment.Salanco: S Any payrnent virill be held in bust LMI the materials are delivered to the job Site or a mjbstantaj amount of the work is complete. Term and Conditions of Contract This Contract and any subsequent amendment hereto is between Shalz Construction, hereinafter referred to as the "Company," and the Customer/ Property Owner named herein. This Contract shall be subject to the laws, regulations, and ordinances of the state of Colorado, as well as the following terms and conditions. Shalz Construction maintains General Liability insurance with Western Heritage SCP0934381, 720-496-1679. LIMITED WARRANTY. in addition to any manufacturer warranty for materials, the Company warrants Customer's roof and/or gutter system against any defects arising from installation by the Company, for 5 years starting from the date this Contract is signed by Company and Customer. This limited warranty is non -transferable, and does not cover damage arising from ice clams, excess snow, winds over 50 miles per hour, hail, or damage resulting from negligent snow or ice removal. This limited warranty shall be voided by any subsequent roof or gutter replacement or repair made by Customer or any third party. This Contract is comprised of these Terms & Conditions, the material terms set forth on the opposite side of these Terms & Conditions, materials incorporated by reference, and any written, signed amendments; together constituting the entire agreement of the Company and Customer. Any representations, statements, or other communications shall be immaterial and non-binding. Company and Customer understand and agree that neither party shall rely upon any such representations, statements or communications as a modification or amendment of this Contract. The Company may terminate this Contract at any time, without notice. 2. All agreements or amendments to this Contract are subject to signed written approval by the Company and Customer. 9 -The company is not responsible for damage to Customer's roof or gutter caused by anyone other than the Company or its agents or employees. 10. Customer may cancel this Contract at any time within 72 hours of customer's signature on the opposite page. If Customer cancels at any time thereafter, but before Company has secured materials or begun work, Customer shall pay $1,000 as liquidated damages, not as a penalty. Company agrees to accept such payment as just and reasonable compensation for said cancellation. If Company is required to return materials and/or cancel material orders as a result of Customer's cancellation after the initial 72 hour cancellation period, Customer shall be responsible for any restocking and cancellation fees charged to the Company as a result of the cancellation. 3. Customer grants the Company, its agents and employees full access to 11 the entire premises of Customer's property for staging and execution of work. Customer warrants that any structure improved or repaired under this Contract shall be insured. 4. Customer agrees that Company shall not be responsible for slight scratching or denting of gutters, oil droplets or hairline fractures on or in concrete, or incidental damage to plants or landscaping. 5. Roofing will expand and contract with changing weather conditions, and in some cases may cause visible ripples or waves that will not affect roof performance. These effects are beyond the control of the Company. The Company does not guarantee absolute flatness or smoothness of roofs. Cosmetic deformities caused by weather are not covered by the warranty above. 6. The underlying structure of a roof may be irregular. Accordingly the Company does not guarantee straight roof or gutter lines, symmetrical angles, consistent pitch, or any other characteristic determined by underlying construction. 7. The Company shall not be liable for failure to perform any duties under this Contract where such failure arises as a result of strikes, fires, weather, shortage of materials, or any other factor beyond the reasonable control of the Company. 8. While Customer may rely on insurance to make payments to the Company, this Contract is between Customer and the Company. The Company may file a lien against Customer's real property in the event Customer fails to make payment in full, pursuant to the terms of this Contract. In the event Customer defaults on any payment obligation arising under this Contract, charges shall be added at a rate of one and one half percent (1.5%) per month (18% per year) with a minimum charge of $10.00 per month. Customer shall be in default if any balance shall be due more than 30 days after the date all work under this Contract shall be completed. If Customer shall be in default greater than 60 days, Customer agrees that the Company may place its accounts with a collection attorney or collections agency. If Company elects to place an account in collections, Customer shall be responsible for legal fees and filing fees arising from the collections process and procedures. INSURANCE CLALMS 12. Down payment shall be due upon insurance provider approval. Fifty percent (50%) of the Contract Total shall be due upon delivery of materials to worksite, provided that Customer shall have received funds from its insurer. Balance shall be due in full upon completion of all work under this Contract. 13. All direct cost overhead and profit paid to Customer by its insurer are included in the Contract Total with the insurance provider and/or due to the Company in accordance with the payment schedule set forth herein. Any settlement approved by Customer's insurer for additional work or cost increase will become part of this Contract. Any upgrades or additional work requested by Customer shall be Customer's sole financial responsibility under this Contract. At its discretion, Company may request payment in advance for any upgrade or additional work not covered by Customer's insurer. LIMITATIONS OF COMPANY LIABILITY IN NO EVENT WILL COMPANY BE RESPONSIBLE FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES, INCLUDING, BUT NOT LIMITED TO, LOSS OF INCOME OR PROFITS, INJURIES TO PERSONS, LOSS OF USE, OR DAMAGE TO FIXTURES OR REAL OR PERSONAL PROPERTY. CUSTOMER AGREES THAT COMPANY'S LIABILITY SHALL IN NO EVENT EXCEED THE CONTRACT TOTAL PAID TO COMPANY UNDER THE PRESENT CONTRACT. i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line \ (303)235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: &/I) L L uA . Cil S_ 0/70o�� )A, // ❑ No one available for inspection:1 Re -Inspection required: Yes No When corrections have been made, call for Date: �� f Inspector:_ S 7— AM/PM City of Wheat Ridge Residential Remodel PERMIT - 201700897 PERMIT NO: 201700897 ISSUED: 07/17/2017 JOB ADDRESS: 2645 Pierce ST EXPIRES: 07/17/2018 JOB DESCRIPTION: Residential remodel: move existing powder room wall 3 ft 6 in. over/framing wall with 2x4s; hanging drywall dimensions 7 ft 6 in x 7 ft; Installing new cabinets kit, specs provided; Install new sinks; install new electrica circuit panel; replace all switches and receptacles to temper resistant; intall arc fault breakers; move water heater 2 ft over; replace windows u -value .32; replace interior doors **REVISION**Master bath - plumbing; moving toilet location back to the original as -built location; moving sink back to the original as -built location; installing performed quarter round shower in NW corner of bathroom; Added valuation: $1,000.00 *** CONTACTS *** OWNER (720)498-1399 GEBHART CHRIS GC (303)761-8945 Rick Beaver 080206 Beaver Builders, LLC SUB (303)619-2404 Dacre Cary 170096 DC Home Solutions SUB (720)331-9691 Josef Heck 070174 Josef Heck 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: 11,000.00 FEES Total Valuation 0.00 Plan Review Fee 275.89 Use Tax 231.00 Permit Fee 220.15 Investigative Fees 204.30 ** TOTAL ** 931.34 *** COMMENTS *** *** CONDITIONS *** Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. All roughs to be done at Framing Inspection. City of Wheat Ridge Residential Remodel PERMIT - 201700897 PERMIT NO: 201700897 ISSUED: 07/17/2017 JOB ADDRESS: 2645 Pierce ST EXPIRES: 07/17/2018 JOB DESCRIPTION: Residential remodel: move existing powder room wall 3 ft 6 in. over/framing wall with 2x4s; hanging drywall dimensions 7 ft 6 in x 7 ft; Installing new cabinets kit, specs provided; Install new sinks; install new electrica circuit panel; replace all switches and receptacles to temper resistant; intall arc fault breakers; move water heater 2 ft over; replace windows u -value .32; replace interior doors **REVISION**Master bath - plumbing; moving toilet location back to the original as -built location; moving sink back to the original as -built location; installing performed quarter round shower in NW corner of bathroom; Added valuation: $1,000.00 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications. applicabble building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by �rmit. elegalownerofthepropertyand am authorzed toobtainthisin conjunction with thiseIfurtherattestthat Iam legallyauthorizd toincludeall entities named within this document as partes to the work to be perr ed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanyingpians 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 Budding Official and may be subject to a fee equal to one-half of the oribinal permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any . rdmance or regulation of thi jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat Midge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(cD_ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Add to Permit # Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: ��) :E� C2�>7 Property Owner (please print): X-.Q�' N C �5 G { ,Q -T Phone:Mj 3555. Property Owner Email: Mailing Address: (if different than property address) Address: '1( I& VL)5K S -- City, State, Zip: ` �.`I-'T l."TQ(�(� C-0 80n5 Submitting Company: Contact Person: V_1� Phone:�72,�; Contractor: Bemec T2U \ 1=yE,9_5 Contractors City License #: Contractor E-mail Address: L_ G �' Phone: -90 3 `-Y l q., 5 _� �2 Z Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour - 2 hour minimum). Description of revised/amended work: �Mzcj-e,r -B a1 h —,-Pt Ck \ yj1 e�VIUl Jl ,C C►'� L�C�CiLe- '-U cavi o SA12 - b?�Ck +C tt Asp- I � I vc,5k-�oln ., Sq. Ft./LF Amps i n N W co rr\eK C,�- Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) $ 4. -,�IQ(p co -,P*400' 06 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this lication to list that entity on this application. CIRCLE ONE: %(OW)E) (CONTRACTOR) or(AUTHORIZE�D�yRTE�P�RESEN�TATIVVE) not (OWNER) (CONTRACTOR) i PRINT NAME: I`1(_,1t�C CSIGNATtiRE:• s�l�,y 1(�� k./• �1S1J�/�� l'>�AT£: J ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ r 1 _Te Com att-.�1 ;l i>P: k U.�I'hsrNT APPROVED RCl JISON Reviewed for Code Compliance pov_11 Date Validity u, permit rh. .... nnn, c of o permit or opprwal of plops speeif ofions ons' cup :.,gum ,� nji not be e perm¢ for, or on approval of, any viotalion to v l t,,,1- ­,ons of the building code or of ary City ordinances. Permits prewming to gme cuthority to violate of cancel the provisions of the Building codes or other ordinances of the City shall not be valid. O AS -BUILT M 31 "- 1 152" 152" O N ti 00 T_ 65" 32"1 33" 24" 38" 65" City of Wheat Ridge d Residential Remodel PERMIT - 201700897 PERMIT NO: 201700897 ISSUED: 07/17/2017 JOB ADDRESS: 2645 Pierce ST EXPIRES: 07/17/2018 JOB DESCRIPTION: Residential remodel: move existing powder room wall 3 ft 6 in. over/framing wall with 2x4s; hanging drywall dimensions 7 ft 6 in x 7 ft; Installing new cabinets kit, specs provided; Install new sinks; install new electrica circuit panel; replace all switches and receptacles to temper resistant; intall arc fault breakers; move water heater 2 ft over; replace windows u -value .32; replace interior doors *** CONTACTS *** OWNER (720)498-1399 GEBHART CHRIS GC (303)761-8945 Rick Beaver 080206 Beaver Builders, LLC SUB (303)619-2404 Dacre Cary 170096 DC Home Solutions SUB (720)331-9691 Josef Heck 070174 Josef Heck Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED FEES Total Valuation 0.00 Plan Review Fee 132.80 Use Tax 180.00 Permit Fee 204.30 Investigative Fees 204.30 ** TOTAL ** 721.40 PROJECT VALUATION: 10,000.00 MU *** COMMENTS *** On-site plans were misplaced by Building Department, okay to do inspections without the on-site plans. *** CONDITIONS *** Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. All roughs to be done at Framing Inspection. City of Wheat Ridge �® Residential Remodel PERMIT - 201700897 PERMIT NO: 201700897 ISSUED: 07/17/2017 JOB ADDRESS: 2645 Pierce ST EXPIRES: 07/17/2018 JOB DESCRIPTION: Residential remodel: move existing powder room wall 3 ft 6 in. over/framing wall with 2x4s; hanging drywall dimensions 7 ft 6 in x 7 ft; Installing new cabinets kit, specs provided; Install new sinks; install new electrica circuit panel; replace all switches and receptacles to temper resistant; intall arc fault breakers; move water heater 2 ft over; replace windows u -value .32; replace interior doors I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be per rmed is disclosed in this document and/or its' accompanying approved plans and specifications. 77 Signatur WNER 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 andprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Budding Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any inspection. Signature of Chief Building` ' _ IDe REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY City of Wheat Midge COMMUNiTy DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a)_ci.wheatridge.co.us FOR OFFICE USE ONLY Date: ,+ % PIanlPermit # Plan Review Fe l Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: /? & ct + t% "�'L" - w4t�rp Property Owner (please print): .� j 1 S �-� t�',tphone: Property Owner Email: C Mailing Address: (if different than property address) Address: City, State, Zip: L , Ce:" Architect/Engineer: Architect/Engineer E-mail: Phone: Contractor: �CAVE/Z- 1 1 L 0 L 5, t -L C_ Contractors City License #: Phone: '5t 3 57 )� 2 -- Contractor E-mail Address:+ -vim'- �''f toyA Sub Contractors: DL syn SSM! U�i on� Electrical: ,Ncpel Plumbing: 1� qll 'qj" � Mechanical: W.R. City License # /-?00 C/ W.R. City License # / W.R. City License # Other City Licensed Sub: City License # Other City Licensed Sub: City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) �ln z Sw ygG> i,JCi.^ k C& �j 5 `1, moue.�cx;S -'r /� W:4 -r., ✓`t9=w1 Wail 3 over,-/ t-eiltwr;ku, � :If -1 7, 1;1 it -ew t4 5 fih j�c? I fidij t'q ,./, irCv/ pl n4 / Sq. FULF Btu's Amps Squares s ?r t✓04-4,1 I.edee Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Electronic Signature (first and last name): -""'�`�— ✓�'� DATE: L DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: Building Division Valuation: $ City of �Wheat�dge C(0_)MMIUNny DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29" Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Review is limited to the contents of the plans submitted and any errors or omissions contained herein shall not be construed as permission to allow any conditions to exist in violation of the codes of the City of Wheat Ridge 3 Burial depth requirements: Electrical - direct burial conductors shall be a minimum of 24 -inches deep, non-metallic conduit 18 -inches deep or 24 - inches under driveways. (IRC Table E3803.1) Water Lines - shall be a minimum of 36 -inches deep. (IRC P2603.6) Gas Service Piping - installed a minimum of 12 -inches below grade or 8 -inches below grade where serving individual outside appliances. An 18 AWG yellow insulated tracer wire must be installed adjacent to underground nonmetallic gas piping and terminate above grade at each end. (IRC G2415.1.2 and G2415.17.3) 4 Underground plumbing pipe shall have a solid and continuous load-bearing support. Piping cannot bear on rocks. Pipes passing under a footing or through foundation wall shall be provided with a relieving arch or a sleeve. Trenches parallel to footing shall not extend below the 45° plane of the edge of the footing. Water piping must be buried a minimum 36 - inches deep. Water service pipe may be installed in the same trench as the building sewer provided the sewer pipe material is listed for underground use within the building or the water service pipe is separated from the sewer by a minimum distance of 5 -feet horizontally or elevated at least 12 -inches above and to one side of the sewer line. 5 Frost depth to the bottom of the foundation footings must be as noted on the engineered plans. If not noted, the frost depth to the bottom of the footings must be a minimum of 30 -inches below finished grade. (IRC TableR301.2.1) 6 Caisson and helical pier foundations will not be inspected by Boulder County. A qualified, Colorado -licensed engineer must perform the placement, drilling, and reinforcement of drilled piers. A signed, sealed and dated inspection report must be provided to Building Inspection Services prior to the rough inspections R110.5.2.3) 7 A perimeter drain system that discharges to an approved drainage system is required around all foundations that enclose usable spaces below grade. Foundations that retain earth and enclose interior spaces below grade must be damp proofed. (IRC R405.1, R406.1, BC Amendment R401.2.14) 8 Slabs below grade must maintain a minimum of 6 -inches above the design water table. The interior finished crawl space grade must be a minimum of 36 -inches above the design water table. (BC Amendment R401.2.1.3and R401.2.1.5) 9 Garage floor surfaces must be approved noncombustible materials. Floors must be sloped to facilitate the movement of liquids to a drain or toward the main vehicle entry doorway. (IRC R309.1) 10 Foundation plates and sills must be bolted to the foundation wall as prescribed on the engineered plans. If not noted, bolts shall have a minimum diameter of %2 -inch, embedded at least 7 -inches and spaced not more than 6 -feet apart. A minimum of 2 bolts are required per plate section, with one bolt located within 12 -inches of each end of each_alate,1111C R403.1.6) www.ci.wheatridge.co.us ' City of Wheat Ridge Rough Framing and Wood Requirements I I The complete rough inspection is to be made after the rough framing, rough electric, rough plumbing, and rough heat and ventilation are complete. The building should be fully enclosed with the roof covering and siding in place. 12 Protection from decay shall be provided in the following locations by the use of naturally durable wood or wood that is preservative treated in accordance with AWPA U1: (IRC R317) 13 Lumber, plywood, fiberboard, structural logs, and glued laminated timber must be identified by a grade mark or certificate of inspection issued by an approved agency. (IRC R502.1, R602.1, and R802.1) A. Wood joists closer than 18 -inches and wood girders closer than 12 -inches to grade located within foundation periphery.B. Wood framing members that rest on concrete or masonry foundation walls and are less than 8 -inches from the exposed ground. C. Sills and sleepers on a concrete or masonry slab that is in direct contact with the ground. D. Wood girders entering concrete or masonry walls with a clearance less than %:-inch. E. Wood siding, sheathing, and wall framing less than 6 -inches above the ground. F. Wood members supporting moisture -permeable floors or roofs that are exposed to the weather. G. Wood furring strips or wood members attached directly to the interior of below grade exterior masonry or concrete walls. H. Wood in contact with the ground, embedded in concrete in direct contact with the ground or embedded in concrete exposed to the weather that supports permanent structures intended for human occupancy shall be approved pressure - preservative -treated wood. t 3 Accessible under -floor areas shall be provided with a minimum 18 -inches x 24 -inches opening through the floor or 16 - inches x 24 -inches opening through the perimeter wall. When the access is through a below -grade wall an areaway of not less than 16 -inches x 24 -inches must be provided. Where equipment is located beneath the floor, the access opening must be within 20 -feet of the equipment and allow the removal of the largest piece of equipment. (IRC R408.4 and M1305.1.4) 14 Basements greater than 200 square feet and every sleeping room shall have at least one operable emergency and rescue opening or a door to the exterior. 3 5 Emergency escape and rescue openings shall meet the following requirements: A minimum clear width of 20 -inches, a minimum clear height of 24 -inches, with a total net clear opening of 5 square feet for grade level windows and 5.7 square feet for all others. A sill height of not more than 44 inches measured from the finished floor to the bottom of the clear opening. Window wells for emergency escape and rescue shall provide a minimum net area of 9 square feet with minimum horizontal projection and width of 36 -inches. The area of the widow well shall allow the emergency escape and rescue opening to fully open. (IRC R310) 16 Columns must be restrained to prevent lateral displacement at the bottom end to insure against uplift. tAC R30�,r -1, R407.3) Wheat Ridge 1 7 Fire blocking shall be installed to cut off all concealed draft openings in the following locations: (IRC 302.11),A, It�FS0,7 , concealed spaces of stud walls and partitions, including furred spaces, vertically at the ceiling and floor levels; and at 10 feet horizontal intervals.B. At interconnections between concealed vertical and horizontal spaces such as occur at soffits, ,drop ceilings, and cove ceilings. C. In openings around vents, pipes, ducts, cable, wires, chimneys, fireplaces, and similar openings that afford apassage for fire at ceiling and floor levels. D. In concealed spaces between stair stringers at the top and bottom of the run, and between studs in line with the run of the stairs at unfinished walls. 18 At least one egress door shall be provided for each dwelling unit. The egress door shall be side -hinged, and shall provide a minimum clear width of 32 -inches (813 -mm) when measured between the face of the door and the stop, with the door open 90 degrees (1.57 rad). The minimum clear height of the door opening shall not be less than 78 -inches (1981 -mm) in height measured from the top of the threshold to the bottom of the stop. Other doors shall not be required to comply with these minimum dimensions. Egress doors shall be readily openable from inside the dwelling without the use of a key or special knowledge or effort. (IRC R311, R311.2) 19 There shall be a floor or landing on each side of each exterior door, except where a stairway with 2 or fewer risers located on the exterior side of the door, other than the required exit door, a landing is not required for the exterior side of the door. The landing must be no lower than 73/ -inches below the top of the threshold of the door provided the door does not swing over the landing. (IRC R311) 20 Stairways must be at least 36 -inches in width. Handrails shall not project more than 4% -inches. The maximum rise may not exceed 7% -inches. The minimum tread depth may not be less than 10 -inches. Minimum headroom is 6 -feet, 8 - inches. For stairways with solid risers a nosing of %-inch to 1% -inches shall be provided. When open risers are used the opening between the treads shall not allow the passage of a 4 -inch sphere. Landings must be provided at the top and bottom of the stairway that is the width of the stairway measuring at least 36 -inches in the direction of travel. Handrails shall be provided on at least one side of stairways with 4 or more risers and ramps with a slope exceeding 1:12. Handrails shall be mounted 34 -inches to 38 -inches above the nosing of the treads. Handrails must be continuous for the entire length of the stairs and provided with a minimum space of 1% -inch between the wall and the handrail. Ends shall be returned or terminate in newel posts or safety terminals. See the requirements and more information. (IRC R311.7.8) 21 Handrail Grip Size Shall Be:A. Circular Handrails: 1Y4 -inch to 2 -inches perimeter. B. Non -Circular: 4 -inches to 6Y4 -inches perimeter with a maximum cross section of 2% -inches. C Perimeter Dimension Greater than 6% -inches: shall have a finger recess on both sides. 22 Guards must be provided for porches, screened porches, balconies, fixed seating and raised floor surfaces more than 30 -inches above the floor or grade below. Guards must have a minimum height of 36 -inches. Open sides of stairs with a total rise of more than 30 -inches above the floor or grade below shall have guards not less than 34 -inches high. Intermediate rails shall not allow the passage of a 4 -inch sphere. (11312) Window fall protection must be provided for window openings less than 24 inches above the finished floor and more than 72 inches above grade or surface below. (R312.2) 23 Ceiling heights for habitable rooms, hallways, bathrooms, toilet rooms, laundry rooms, and basements shall be a minimum of 7 -feet measured from the finished floor to the lowest projection of the ceiling. Non -habitable basements may have a ceiling height of 6 -feet, 8 -inches with clearance below beams and ducts of 6 -feet, 4 -inches. Bathroom may have a ceiling height of 6 -feet, 8 -inches at the fixture front clearance area and over the fixture. (IRC R305.1) 4 Attic access must be provided for attics that exceed 30 square feet and that have a vertical height of 30 -inches a greater. The access must be located in a hall or readily accessible location with a minimum 22 -inches x 3 nchee#ess opening. The access must provide a minimum of 30 -inches headroom. (IRC R807) 4 Form: B/24 • Rev. Wheat Ridge 25 Enclosed attic and rafter spaces must have cross ventilation for each space through screened opening the tot�ll �e free ventilating area shall not be less than 1 to 150 of the area of the space ventilated. The area may be reduce, to 300 if 50-80% is provided by ventilators located in the upper portion of the space or if a vapor barrier not exceeding 1 perm is installed on the warm side of the ceiling. At least a 1 -inch space is required between the roof sheathing and the insulation at the location of the vent. (IRC R806) 26 Rafters must be framed to a minimum 1 -inch nominal ridge board that is not less than the depth of the cut end of the rafter or to each other using a gusset plate. Hip, and valley rafters shall be a minimum of 2 -inches and not less in depth than the cut end of the rafter. Hip and valley rafter shall be supported at the ridge by a brace to a bearing partition or be designed. (IRC R802.3) 22 Rafters and ceiling joists having a depth -to -thickness ratio exceeding 5:1 shall be provided with lateral support at points of bearing to prevent rotation. Rafters and ceiling joists having a depth -to -thickness ration exceeding 6:1 shall be supported laterally by solid blocking, diagonal bridging or a continuous 1 -inch by 3 -inch wood strip nailed across the rafters. (IRC R802.8) Roof trusses or rafters must be attached to supporting walls with approved hurricane clips. Trusses must be braced to prevent rotation and to provide lateral stability in accordance with the construction documents and the individual truss design drawings. (IRC R502.11.2, R802.11) 28 Trusses must be designed and fabricated in accordance with ANSI/TPI 1. A licensed professional shall prepare the truss design. Trusses must be legibly marked within 2 -feet of the center to identify the manufacturer, the design load, and the spacing. Truss engineering and layout must be provided at the site at the rough framing inspection. (IRC R502.11 and R802.10) 29 Roofing material installed in the mountain areas is limited to Class -"A" roof coverings. Wood roofs in the plain areas are limited to minimum Class "B" roof coverings. Shingle installation shall meet the manufacturer's high -wind installation procedures in areas where wind load is greater than 105 mph (V3S). Chapter 9, R301.2.1, R325, and manufacturer's listing 30 All habitable rooms shall be provided with aggregate glazing area for natural light of not less than 8% of the floor area of such rooms. The glazed areas need not be installed in rooms where section M1507 is satisfied and artificial light is provided at an average of 6 foot candles at a height of 30 inches. 31 Safety glazing shall be installed in the following hazardous locations and be permanently labeled as safety or tempered glazing: glazing panels in doors; glazing enclosing spas, bathtubs or showers; glazing panels adjacent and within 24 -inches of the edge of a door; glazing panels greater than 9 square feet within 18 -inches of the floor; glazing used for railings; glazing used for barriers for swimming pools and spas; and glazing enclosing stairways, landings, and ramps within 36 -inches horizontally of a walking surface. See the Boulder County Land (IRC R308) 32 Roofs decks and enclosed roofed areas must be provided with roof drains installed at the low point of each roof. Where roof drains are installed, overflow drains or scuppers are required. (IRC R903.4) 33 Exterior finish materials must conform to the conditions of your Site Plan Review to include: roof covering, siding, color requirements, conforming light fixtures which comply with the approved lighting plan. Glazing and Window Requirements 32 Skylights must be: (IRC R308.6 Table N1102.1) A. laminated glass (with restrictions). City of B. fully tempered glass (with retaining screen). (Building eat Ridge C. heat -strengthened glass (with retaining screen). Divison, D. wired glass (with retaining screen in multiple glazing condition only). E. approved rigid plastic. F. Skylight U -factor required U-0.45. Skylights installed on roofs flatter than 3 units vertical to 12 units horizontal must be mounted on a curb 4 -inches above the roof. Heating and Ventilation Requirements 33 Crawl spaces shall be provided with conditioned air in compliance with Section N1102.2.9. Crawl space walls shall be insulated in accordance with Table N1102.1 or Table N 1102.1.2. Crawl space wall insulation shall be permanently fastened to the wall and extend downward from the floor to the finish grade level and then vertically and/or horizontally for a least an additional 24 -inches. Exposed earth in unvented crawl space foundations shall be covered with a continuous Class I vapor retarder with a minimum thickness of 10 -mil. All joints of the vapor retarder shall overlap by 6 -inches and be sealed and taped. The edges of the vapor retarder shall extend at least 6 -inches up the stem wall and shall be attached to the stem wall. N1102.2.9.2.2 Ventilated crawlspaces. Ventilated crawlspaces shall be provided with insulation in accordance with Table N1102.1. 34 A Habitable rooms must be provided with outdoor openings for ventilation equal to at least 4% of the floor area and shall have heating facilities capable of maintaining 68° at 3 -feet above the floor and 2 -feet from exterior walls. B. The windows need not be openable in a room where an opening is not required to be an egress window and a mechanical ventilation system is capable of producing 0.35 air change per hour in that room, or a whole house mechanical ventilation system provides 15 cubic feet of outdoor air per minute. 35 Bathroom exhaust fans shall exhaust directly to the exterior and must be provided in bathrooms where windows of at least 3 square feet are not provided. The mechanical ventilation must be capable of providing an exhaust capacity of 50 cfm intermittent or 20 cfm continuous exhaust. (IRC R303.3, M1507.4) 36 Dryer vents must be rigid metallic, independent of all other systems, shall terminate outside the building, be equipped with a back draft damper, and sized and terminated per the manufacturer. The maximum length of the exhaust duct shall be 35 -feet (Unless approved under the manufacturer's listing) from the connection to the transition duct from the dryer to the outlet terminal. Where fittings are used, the maximum length of the exhaust duct shall be reduced in accordance with (IRC Table M1502.4.4.1) Flexible transition ducts are limited to 8 -feet, shall not be concealed within construction, and shall be listed and listed per UL 2158A. (IRC M1502) 37 Appliances and equipment shall be installed in accordance with the conditions of their listing. Manufacturer's installation instructions must be available at the time of the inspection. (IRC G2408.1, M1307.1, M1401.1,(M1902.2) 38 Appliances shall be accessible for inspection, service, repair and replacement without removing permanent construction. 30 -inches of working depth and width shall be provided in front of the control side of an appliance. (IRC M1305.1) 39 Gas and solid fuel appliances located in a garage and hazardous locations shall be elevated so the source of ignition is at least 18 -inches above the floor. Rooms and spaces that are communicate directly with the garage and are not part of the living space shall be considered as part of the garage. Appliances located in garages must be installed at tfeet above the floor or protected from motor vehicle impact. (IRC G2408.2, G2408.3) city of 40 Combustion air is required for all liquid fuel, solid fuel and gas appliances. (IRC M1701.1, G2407) t Wheat Ridge 41 Gas burning appliances may not be located in or obtain combustion air from: a sleeping room, bathroom, toilet room, or storage closet unless it is a direct vent appliance or installed in an enclosure that opens only into a bedroom or bathroom in and such enclosure is provided with a solid weather-stripped door, a self-closing device and all combustion air is taken from the outdoors. (IRC G2406.2) 42 Gas logs installed in solid fuel burning fireplaces shall be tested in accordance with ANSI Z21.60 and installed per the manufacturers installation instructions. Gas logs installed in bedrooms must be direct vent or provided with an approved source of outside combustion air. The approved gas log set must be installed in the Solid -fuel burning appliances at the final inspection. (IRC G2406, G2432, and G2434) 43 B, BW, and L vents and factory -built chimneys must be provided with a clearance to combustibles per them a manufacturer's listing. Where vents pass through insulated assemblies, they must be provided with an insulation shield. A clearance of 9 -inches is required between single wall vent connectors and combustibles. Gas vents must penetrate through the roof flashing, jack or thimble and terminate in a Chimneys listed cap or per the manufacturers listing. Decorative shrouds installed at terminations shall be listed and installed per the manufacturer. (IRC G2425, G2426, G2427) Electrical Requirements 44 All electrodes present at each structure shall be bonded together to form one grounding electrode system to include: Concrete Encased Electrodes (UFER), water piping, ground rings, grounding rods, and plate electrodes. Bonding shall ensure electrical continuity. The electrode conductor must be connected in an approved manner and inspected prior to concealing. (IRC E3607, E3608, E3609, E3610, E3611) 45 All hot, neutral, and grounding conductors in electrical boxes shall be tied together with a mechanical connection at the time of rough inspection. 4ft Recessed lighting fixtures must either be IC -rated or installed in a sealed box in which the insulation is at least 3 -inches from the light fixture. All recessed lights must be tightly sealed or gasketed to prevent air leakage through the fixture into the ceiling cavity. (IRC N1102.4.5) 47 Tamper -resistant Receptacle outlets are required in every kitchen, family room, dining room, living room, parlor, library, den, sunroom, bedroom, recreation room or similar dwelling areas spaced so that no point along the wall line exceeds 6 -feet from an outlet. (IRC E3901, E3902, and 4002.1-4002.14)A Counters 12 -inches in width or wider shall have receptacles placed no more than 20 -inches above the counter top and spaced so no point exceeds 24 -inches from an outlet. B Island and peninsula counters with a length at least 24 -inches and a width of 12 -inches or greater must be equipped with at least one outlet. C. At least one receptacle shall be installed in a bathroom within 36 -inches of each basin. F). A least one receptacle outlet must be installed in each laundry, basement, attached garage and detached garage with power. E. At least one receptacle outlet that is accessible while standing at grade level and located not more than6- feet, 6 -inches (1981 -mm) above grade, shall be installed outdoors at the front and back of each dwelling unit having direct access to grade. Balconies, decks, and porches that are accessible from inside of the dwelling unit and that have a usable area of 20 square feet. F. Attics or crawlspaces containing equipment must be provided with at leas e receptacle outlet within25-feet of the equipment. G. Hallways 10 -feet or more in length. city of Wheat Ridge 48 Two 20 -amp rated branch circuits shall serve receptacles in the kitchen, pantry, breakfast area, and 11ining area. At least one 20 -amp branch circuit shall supply bathroom receptacles and at least one 20 -amp branch circuitr­�itatPwwfo; laundry. (IRC E3703.2, E3703.3, E3901) .50 Ground fault protection shall be provided on all 125 -volt, single phase, 15 and 20 -amp receptacles in the following locations: bathrooms, garages, unfinished grade level accessory buildings, at exterior locations, crawlspaces, unfinished basements, kitchen counters, within 6ft. of laundry, utility and wet bar sinks, boathouses, hydro massage, spa and hot tub locations. Receptacles must be in a readily accessible location. (IRCE3902, E3902.11) 51 Combination type arc -fault circuit interrupters must be installed on all 120 -volt 15 and 20 -amp branch circuit outlets in Receptacle outlets are required in every family room, dining room, living room, parlor, library, den, sunroom, bedroom, recreation room, hallway, closets, and similar dwelling areas. (IRC 3902.12) 52 At least one wall switch -controlled lighting outlet shall be installed in every habitable room, bathroom, hallway, (10ft) stairway, attached garage, detached garage with electric power, and at the exterior side of each outdoor egress door having grade level access. Attics, under floor spaces, utility rooms and basements containing equipment or used for storage must be provided with a switch 53 Smoke alarms shall comply with UL 217. Smoke alarms are to be powered by the building's wiring operated light. (IRC E3903)with battery backup and shall be interconnected so the actuation of one alarm will activate all alarms in the dwelling unit. Smoke alarms shall be installed in the following locations: (IRC R314) A. In each sleeping room; B Outside each sleeping area in the immediate vicinity of the bedrooms; and COne on each additional story including basements. 54 Carbon Monoxide alarms are required in a single-family dwelling that has fuel -fired appliance(s), or a fireplace, or an attached garage. The alarm must be installed within 15 -feet of the entrance to each sleeping room. Must be listed by a nationally recognized, independent lab. Plugs into a dwelling's electrical outlet and has a battery backup. They may be combined with a smoke -detecting device if the combined device complies with applicable law. (IRC R315) 55 Clothes closet lighting shall be limited to surface -mounted or recessed incandescent fixtures with completely enclosed lamps, and surface -mounted or recessed fluorescent fixtures.Surface mounted fixtures shall be installed on the wall above the door or on the ceiling with the following clearances between the fixture and the nearest point of a storage space: (IRC E4003.12)A. Incandescent fixtures or LED shall have a minimum 12 -inch clearance. B. Fluorescent fixtures shall have minimum 6 -inch clearance. Recessed fixtures shall be installed in the wall or ceiling with the following clearances: A Recessed incandescent fixtures shall have a minimum 6 -inch clearance to the nearest point of storage. B. Recessed fluorescent fixtures shall have a minimum 6 -inch clearance to the nearest point of storage. 56 Working space must be provided around energized equipment for servicing and maintenance. The minimum dimensions shall not be less than 36 -inches in depth and 30 -inches in width in front of the equipment. Working space shall extend to at least 6 -feet, 6 -inches above the floor. (IRC E3405.2) 57 Electrical fixtures installed in wet or damp locations shall be installed so that water cannot enter or accumulate n wiring compartments or other electrical parts. Fixtures installed in wet locations must be labeled "suitable for wet locations". Fixtures installed in damp locations must be labeled "suitable for damp locations" or "suitable for wet locations". Switches or circuit breakers located in wet locations or outdoors must be enclosed in a weatherproof enclosure. Outdoor receptacles must have a weatherproof enclosure and an in -use cover. Cord -connected fixtures, hanging fixtures, track lighting, pendants, and ceiling fans shall not be located within3-feet horizontally and 8 -feet vertically from the top of a tub or shower rim. (IRC E4003.9, E4002.8, E4002.9,E4002.10, E4003.9, E4003.10,E4003 11 Plumbing Requirements City of Wheat Ridge 513 DWV systems shall be tested on compellation of the rough piping installation by water or for)iQing s other than plastic by air with no evidence of leakage. Either test shall be applied to the drainage system in its entirety or in sections after rough piping has been installed . I) Water test 10 fiect above the highest fitting connection or to the highest point of the completed system. The system shall prove leak free for 15 minutes. 2) Air test shall maintain 51bs of pressure for 15 minutes. 59 Piping must be inspected and tested prior to concealing. It shall be protected against physical damage and it must be approved for use and bear the identification of the manufacturer. (IRC P2503, P2603, P2608.1) 60 Bathtubs, walls above bathtubs with shower heads, shower floors, and shower compartments shall be finished with a non-absorbent surface which extends to a height not less than 6' above the floor. Showers must have a minimum 900 square inches of interior area and a minimum dimension in each direction of 30 -inches. Shower valves must be pressure balance/thermostatic mixing valves. Shower receptors shall have a curb threshold not less than 1 -inch below the sides and back of the receptor. The curb shall measure a minimum of 2 -inches to a maximum of 9 -inches above the top of the drain. (IRC R307, P2708, P2709) 61 The centerline of toilets or bidets shall not be less than 15 -inches from adjacent walls or tub. Toilets, bidets, and lavatories must have a minimum clear space of 21 -inches in front of the fixture. Lavatories require a 4 -inch clearance to wall or to a toilet. (IRC P2705) 67 Showers and tub/shower combinations shall have control valves of the pressure balance, thermostatic mixing or combination pressure balance/thermostatic mixing valve types with high limit stop per ASSE 1016 or CSA13125.1. Tubs shall also have a control valve as listed for a shower or a water -temperature -limiting device that conforms to ASSE 1070. The high limit stop for a device shall be set to a maximum of 120°. (IRC P2708.3,P2713.3) 63 Shower doors shall have safety glazing; hinged show door shall open outward. (R308.4.5, P2708.1) 64 Backflow prevention must be provided to prevent contamination of potable water. This includes but is not limited to: hose connections, irrigation systems, boilers, solar systems, fire sprinklers, and dishwashers. (IRCP2902.2, Table P2902.3, P2717) Insulation 65 R-20 Walls R-49 Ceiling R-19 Crawlspace Window U -Factor .32 Floor R-30 66 Supply Ducts in attics shall be insulated to a minimum of R-8. All other ducts shall be insulated to minimum R-6. ( N 1103.2. 1) 6> Combustible insulation shall be separated a minimum of 3 -inches from fan motors and heat -producing devices. Insulation shields must be provided where vents pass thorough insulated assemblies and must terminate at least 2 -inches above attic insulation materials. Can lights must be airtight if located in the building envelope. (G2426.4) Class I or II vapor retarders are required on the interior side of the insulation in framed walls, floors and rool`/ceilings ON !v 'C the building's thermal envelope. The vapor barrier is not required in construction where moisture or freezing will riot damage the materials, or where the framed cavity (or space) is ventilated to allow moisture to escape. A uapdrr_etafdel is not recommended on a concrete basement foundation wall or in a shower /bath compartment (IRC 702.7;%A0.,7AJ, Wallboard Requirements 68 The garage shall be separated from the residence and its attic by materials of not less than %-inch gypsum board applied to the garage side. Garages beneath habitable rooms shall be separated from all habitable rooms above by not less than 5 8 -inch Type X gypsum board. Where the separation is a floor -ceiling assembly, the structure supporting the separation shall also be protected by not less than %-inch gypsum board. (IRC R302.6) Openings between the garage and residence shall be equipped with solid wood doors not less than 1 -inch in thickness, solid or honeycomb core steel doors not less than 1 -inch thick, or 20 -minute fire -rated doors. Openings are prohibited between garages and rooms used for sleeping. (11302.5.1 )Doors between attached garages and living space shall be weather stripped to the degree necessary to make them airtight and shall be self-closing and self -latching. 69 Enclosed accessible space under stairs shall have walls, under stair surface and any soffits protected on the enclosed side with %-inch gypsum board (IRC R302.7). 70 Cement, fiber -cement, glass mat gypsum backer and fiber reinforced gypsum in compliance with ASTM C 1288, C 1325, C 1178, or C 1178 and installed in accordance with manufacturer recommendations shall be used as backers for wall tile in tub and shower areas and wall panels in shower areas. (IRC R702.4.2) 71 Nail spacing for gypsum board % gypum board Ceiling 16oc, 7", nails 12", Type S screws '/2 wall spacing 24"OC, 8" nailspacing. 12"OCscrews. 5/8 ceiling board 16"OC, 7"nails I 2"spacing, screws 240C 8". 72 Water-resistant gypsum backing board used as the base or backer for adhesive application of ceramic tile or other required nonabsorbent finish material shall conform to ASTM C1396, C1178 or C1278. It is permitted on ceilings where framing spacing does not exceed 12 -inches o.c. for %-inch thick or 16 -inches o.c. for 5 8 -inch thick gypsum board. Water- resistant gypsum board shall not be installed over a vapor retarder in a shower or tub compartment and may not be used where there will be direct exposure to water, or in areas of continuous high humidity. All cut and exposed edges shall be sealed. (IRC R702.3.8) 73 Floor assemblies, not required elsewhere in this code to be fire resistance rated, shall be provided with a % inch gypsum wall board membrane, 5/8 inch wood structural panel membrane, or equivalent on the underside of the floor framing member.(IRC 501.3) Final Inspection Requirements 74 Buildings shall have approved address numbers, building numbers or approved building identification placed in a position that is plainly legible and visible from the street or road fronting the property. (IRC 319) 75 All dwellings shall have a controlled method of water dispersal from roofs that will collect and discharge all roof drainage at least 5 -feet from the foundation. Gutters, downspouts, downspout extensions shall be deemed adequate to meet these requirements. Surface drainage shall be diverted to a storm sewer conveyance or other approved point of collection so as to not create a hazard. Lots shall be graded so as to drain surface water away from foundation walls. The grade away from foundation walls shall fall a minimum of 6 -inches within the first 10 -feet. (IRC R401.3 and R801.3) Swimming pools, fountains, hot tubs, spas, and hydro -massage "Jacuzzi" tubs and similar installations shall comply with all provisions of the IRC for the approval of bonding equipment and lighting. All 15 and 20 amp, single-phase 125 -volt receptacles located within 20 -feet of the inside walls of pools, outdoor spas and hot tubs shall be protected by a GFCI. Motors and equipment must be accessible without damaging the building structure or building finish. (IRC E42 203, EE4204, E4205, E4206) city of The reinforcing shell of the pool shell, metal forming shells, coping stones, deck, brackets of niche fixtulesuvnactalfti and electrical equipment, located less than 5 -feet horizontally and less than 12 -feet above maximum water level of R„ 7idifg IVISo swimming pools and built in place hot tubs shall be bonded together. The parts specified above shall be co►%�iecte9to equipotential bonding grid. (IRC E4204.2)'&"°"rte SCOPE OF WORK 2645 PIERCE ST., WHEATRIDGE, CO KITCHEN Demo entire kitchen including soffit. Remove the flooring, light fixtures, outlets and switches. Replace window. Frame and drywall door to small bedroom. Increase opening to dining and living rooms. Move location of range and refrigerator. Add plumbing for dishwasher and refrigerator. Install new kitchen cabinets. Install hardwood flooring to match original. Sand, stain, and seal throughout the entire kitchen. Install backsplash tile. Install new sink with faucet and garbage disposal. Install 4 recessed lights. Install island and sink pendant lights. Paint according to the color scheme and replace switches and outlets. MASTER BATH Demo the entire powder room. Remove light fixtures, flooring, outlets and switches. Frame and drywall new walls. Install pre -hung door. Install new plumbing for all new fixture locations. Install new pedestal sink and faucet. Install new elongated toilet bowl. Install new shower. Install tile surround (horizontal subway style) and grout accordingly. Construct 12" X 36" niche cut out (see Crescent REI for location) and install accent tile inside it. Install a regular shower head on the control wall. Install new shower valve and custom shower trim kit on control wall. Install tile flooring throughout the entire bathroom (subway style) and grout accordingly. Hang new mirror above the sink and install bathroom accessory kit. Paint according to the color scheme and replace switches and outlets. MASTER BEDROOM Remove carpet and freestanding fireplace. Replace window. Install closet doors. Build step into master bath. Install new carpet on floor and steps. Install ceiling fan. Install new interior door and hardware. Build two steps. Replace switches and outlets. Paint walls, door, and trim per color scheme. HALL BATH Demo pony wall between toilet and vanity. Install new vanity with countertop, under mount sink, and faucet. Install recessed light trim above tub. Replace bathroom floor the and tub/shower surround with accent tile. Hang mirror. Replace vanity lighting. Paint the entire 2nd bath according to color scheme. Bedroom 1, 2, and 3 Install new interior door and hardware. Replace windows. Remove carpet in Bedroom three. Sand, stain, and seal original hardwood floors. Replace switches and outlets. Replace ceiling fans with flush mount lighting. Paint walls, door, and trim per color scheme. LIVINGROOM Demo entry pony wall. Demo Carpet. Replace window. Replace front door. Patch hardwood under pony wall. Sand, stain, and seal original hardwood floors. Replace ceiling fan with chandelier. Replace switches and outlets. Paint per color scheme. EXTERIOR AND LANDSCAPING Paint entire house trim, fence, and shed per color scheme. Replace wood as needed. Re-inforce 301f of fence. Install new exterior lighting. Build box to cover metal post on porch. Repair roof from chimney vent. Install new front entry door and hardware. Install shutters. Install small patio with landscaping material. Move mail box next to driveway. Plant colorful drought plants in front yard. LAUNDRY Demo carpet. Replace window and door. Tile floor. Relocate hot water heater and washer/dryer. Paint according to the color scheme and replace switches and outlets rrity of Wheat Ridge 04 P ORIGINAL LINEN PONY WALL � ! -CLOS C7Z HALL BATH' N BEDROOM 2&3 DOOR AT ANGLES, DOORS 30"WIDE. i B2 CLOSET SFS A?TRCNF/� 1 S1a��T 1 -SINGLE SWITCH 4 -OUTLET ALL MEASUREMENTS AR SMOKE AND CO DETECTOR �-EXTERIOR LIGHT 2 -DOUBLE SWITCH 5 -ELECTRICAL APPROXIMATE AND ARE LOCATIONS TBD. WILL COMPLY\"dd11 REPLACEMENT PANAL - WILL REPRESENTATIVE OF THE W/ WHEATRIDGE REQUIREMENT 3 -TRIPLE SWITCH SPACE. _ 131'," ----- z 6 LIS p I o0f.�C_ s7- • f&Vlo Dc'c SEE ,i-r74e�fo s�r� H 16f- P Ll A7f d SF- CnoNS 9914 U__ AfftAl --m 'T-1 IS AoJ IEC ' 4 X24 I- 154: LOCATION r— -84;"—i j --mss•— { ALC, WaieK S WAU_LIU 'lom ",y W rnq Zo1 Z )Rc 2oIL( NF -C Crt" AM"nMIO T- k ;^ y II� III I O '4i TT t k' BEDROOM 2&3 DOOR AT ANGLES, DOORS 30"WIDE. i B2 CLOSET SFS A?TRCNF/� 1 S1a��T 1 -SINGLE SWITCH 4 -OUTLET ALL MEASUREMENTS AR SMOKE AND CO DETECTOR �-EXTERIOR LIGHT 2 -DOUBLE SWITCH 5 -ELECTRICAL APPROXIMATE AND ARE LOCATIONS TBD. WILL COMPLY\"dd11 REPLACEMENT PANAL - WILL REPRESENTATIVE OF THE W/ WHEATRIDGE REQUIREMENT 3 -TRIPLE SWITCH SPACE. _ 131'," ----- z 6 LIS p I o0f.�C_ s7- • f&Vlo Dc'c SEE ,i-r74e�fo s�r� H 16f- P Ll A7f d SF- CnoNS 9914 U__ AfftAl --m 'T-1 IS AoJ IEC ' 4 X24 I- 154: LOCATION r— -84;"—i j --mss•— { ALC, WaieK S WAU_LIU 'lom ",y W rnq Zo1 Z )Rc 2oIL( NF -C Crt" AM"nMIO T- ,SF 15512 " 54-LS1-" 4 2 1 t-1 2" 36" 3 " 15" 30" ull Pa try and Refrigera abine 1" from Wall W3618X24 64D15 3 AY SF396 34FP2596 UR01290X24L 0 1 -Recessed Light -- --------- 2 -Pendant Light 3 -Refrigerator and Range swap locatj ons 4 -Add Dishwasher and H2O supply to Refrigerator 90" Ceiling Height EG BS 30 !rnMI1111 c/) II 1 11 1 cn ©ec 00 -n w w 0 0 O 1 1f FOO CA) 0 rn C io 3 cw�,JJ-J�je M "6L�,� Fv zy 8 . G- I A w E4::� ITC N EPJ ' city of Wheat Ridge -ten /w VJ FBC 6 Elw w cn ©ec 00 -n w w 0 0 O 1 1f FOO CA) 0 rn C io 3 cw�,JJ-J�je M "6L�,� Fv zy 8 . G- I A w E4::� ITC N EPJ ' city of Wheat Ridge 1552" 54 4.. 1 51 11 49 4" � IN — T— ICV M M 48 3 G61� 4 � 511 16 16 City of Wheat Ridge AS -BUILT 1 -Remove Separat Shower 2 -Add Closet Door 3 -Remove Pony Wall 4 -Increase Vanity Width to 48' 0 J O m U J Q 0 NEW LAYOUT SEC - 5$, sq, 60, b i I b L S1�EE7' O .p OD H,4LL, 94-M 67 F(-1 w l1q I !J ---1 3' or- 51N)e �/ City of heat R'd ,;,9e 2 N AS -BUILT �31 "-� 000 W 1 1 -Adding Shower N 2 -Moving Toilet Location 3 -Move Sink Location 4 -Moving W/D co Location 5 -Moving H2O Heater Location N NEW LAYOUT 1" 1 ii 101 48" W SIR et}T� SEE A-r-rAC, ) &- 58,5q, G -o161, 6 -L City of Wheat Ridge uilding 1 If>. i CITY 41HEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax Inspection Type: Job Address: Permit Number: NSPECTION NOTICE 0/700 C/-' ❑ No one available for inspection: Time/ tJ—' '`AM/PM Re -Inspection required: Yes` No When corrections have been made, call for re -ins, 't o at 303-234-5933 Date,°`` Inspector: �L- DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division 1 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: �J Job Address: C S S i Permit Number: 2- D 17 ❑ No one available for inspection: Time ; F- �� AM/PM Re -Inspection required:; Yes ry�o�j.. When corrections have bee made, call for re -inspection at 303-2_ 34-5933 Date: Inspector: DO NOT REMOVE THIS !NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: F, U_ Job Address: Permit Number: ❑ No one available for inspection: Time "f AM/PM Re -Inspection required,: Yes ) No When corrections have been made, call for re -inspect" n at 303-234-5933 f Date: Inspector: DO NOT REMOVE THIS NOTICE i CIl`Y OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: IF r -L Fl _,_ Job Address: Permit Number: U No one available for inspection: Time AM/PM C- Re -Inspection required: Yes ` No - When corrections have been made, call for re -inspection at --303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Demoliti PERMIT - 201700883 PERMIT NO: 201700883 ISSUED: 05/25/2017 JOB ADDRESS: 2645 Pierce ST EXPIRES: 05/25/2018 JOB DESCRIPTION: Asbestos abatement - major spill response - 150 sq ft; texture drywall was removed; Che Inc will perform asbestos abatement; entire single family residential home will be final cleaned and ready for a final air clearance required by law to complete/teardown; we will remove window/frames into containment *** CONTACTS *** OWNER (720)577-4246 GEBHART CHRIS SUB (720)435-4516 Che Ramirez 170213 Colorado Hazardous Environ. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,500.00 FEES Total Valuation 0.00 Investigative Fees 50.00 Demolition Fee 50.00 ** TOTAL ** 100.00 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. **WINDOW INSTALL AND REMODEL PERMITS WILL NEED TO BE SUBMITTED TO THE BUILDING DEPARTMENT BEFORE ANY FURTHER WORK CAN BE PERFORMED; THIS PERMIT AUTHORIZES ASBESTOS ABATEMENT AND WINDOW REMOVAL ONLY** City of Wheat Ridge Residential Demoliti PERMIT - 201700883 PERMIT NO: 201700883 ISSUED: 05/25/2017 JOB ADDRESS: 2645 Pierce ST EXPIRES: 05/25/2018 JOB DESCRIPTION: Asbestos abatement - major spill response - 150 sq ft; texture drywall was removed; Che Inc will perform asbestos abatement; entire single family residential home will be final cleaned and ready for a final air clearance required by law to complete/teardown; we will remove window/frames into containment I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with thispermit. I further attest that 1 am legally authorized to include all entities named within this document as parties to the work to be performed and tha or� to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. 2/2-/1 nature OWNER or'Q,ON'TRACTOR (Circle one) Date 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. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made -be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees andprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. The issuance or gr of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code o an rdinance ordation of this jurisdiction. Approval of work is subject to field inspection. f Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of `V`Theat j,!jge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(oci.wheatridge.co.us I FOR OFFICE USE ONLY I Date: Plan/Permit # a0i�� �1 Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 2_(e+5_ 5_ Pt ERC E � 1 W1-i>`,,VrRI p&F— 0-0 80214 Property Owner (please print): COIR I.S G E& t-PA KT Phone: 720 S-f:� `fZ#(o Property Owner Email: Chi r % 5 Ca G re. s den 4 r e, 1. Co m Mailing Address: (if different than property address) Address: , 2 6 q 5�_ ,=,Z OLE 'ST W tf R, 0G CZ) $ o Z/ C4 City, State, Zip: W t{ EA4'17RI D&E CO O 2-1 Arch itect/Engineer: 1� if+ Architect/Engineer E-mail: Phone: Contractor: CO Lo Rn Dp Contractors City License #: Phone: 72-0 L'35- 45'1 (P Contractor E-mail Address: C&DC Y"A, Cky4 Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL 1KRESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT THER (Describe),453, i�5 4q�T17,HeN'T— (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) J() Si�iCL i?�s p�r� s l✓ 9 �U l k� r�E 2Ny w&-tL - 00- IN C UJI LL R vl2ltit 45r3tsa7Z)s 4-(3, 7-f-tq" I- F/V'r-1 l'- srnrCLe f=7-1�VrLY Nat. A ((z � L.E6-9-Avu G� f� u i 41--- Lr� tn� 7-0 C� Int pZP��C�i� � t� �c! �+ tj�; wL.L RE*40\1ZE- W 1/vD6uJ F -P -++RES M7Z Sq. FULF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZ;FENTATIVE) of (OWNS (CONTRACTOR) Electronic SiEnature (first and last name):(�LDATE: 17-ql ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ Colorado Department of Public Health and Environment Air Pollution Control Division — Indoor Environment Program — Asbestos/IAQ Unit 4300 Cherry Creek Drive South, APCD-IE-B1 Denver, Colorado 80246-1530 Phone: 303-692-3100— Fax: 303-782-0278 E-mail: asbestos@state.co.us ASBESTOS ABATEMENT PERMIT This permit is granted subject to Colorado Air Quality Control Commission Regulation No. 8, Part B, adopted December 21, 2007, and effective January 30, 2008, the Colorado Air Pollution Prevention and Control Act (25-7-101 or 25-7-501 et seq., C.R.S.) and the following provisions. It is only for the purpose of allowing asbestos abatement. ADDITIONAL PERMIT PROVISIONS: By performing work under this permit the abatement contractor agrees that the Division may revoke or suspend this permit should the Division find that the contractor: • has violated or has aided and abetted in the violation of 25-7-101 or 25-7-501 et seq., C.R.S. or Regulation No. 8, Part B, or an order of the Division or Commission, • has failed to meet any permit and notification requirement or failed to correct any violations cited by the Division during any inspection within a reasonable period of time, as may be determined by the Division, • has used misrepresentation or fraud in obtaining this permit, or, • has committed any act or omission which does not meet generally accepted standards of the practice of asbestos abatement. As a contractor, you may be subject to other licenses and permits, depending on the requirements of the county and municipality in which the work is being performed. The Colorado Department of Public Health and Environment, Air Pollution Control Division strongly suggests that you check with county and municipal authorities in order to determine any other local building/permitting requirements that must be met. THE ORIGINAL PERMIT MUST BE POSTED ON SITE AT ALL TIMES. Immediately notify the Asbestos/IAQ Unit of project modifications by fax (number above) or e-mail (address above) and the appropriate county health department by fax. Project modifications include changes in the scope of work or the scheduled work dates, etc. This asbestos abatement permit is valid beginning 5/12/2017 through 11:59 PM on 6/10/2017. The actual scheduled work dates are from 5/12/2017 through 5/17/2017. Approval issued on: 5/17/2017 Record number: 127491 Notice Number: 17DE2844A-01 Variance: None Comments: None For the location specified below: SFRD Dumpster 2645 Pierce St. Wheatridge Denver County This permit has been issued to: Colorado Hazardous Environmental P.O. Box 8901 Denver, CO 80201 Fee paid: Check number: Project Supervisor: Jonathan Weissling Cerification No.: 21403 Project AMS: David Sinkbeil Cerification No.: 13015 Project Manager: Issued by: SM Colorado Department of Public Health and Environment Air Pollution Control Division — Indoor Environment Program — Asbestos/IAQ Unit 4300 Cherry Creek Drive South, APCD-IE-B1 Denver, Colorado 80246-1530 Phone: 303-692-3100— Fax: 303-782-0278 E-mail: asbestos@state.co.us ASBESTOS ABATEMENT PERMIT This permit is granted subject to Colorado Air Quality Control Commission Regulation No. 8, Part B, adopted December 21, 2007, and effective January 30, 2008, the Colorado Air Pollution Prevention and Control Act (25-7-101 or 25-7-501 et seq., C.R.S.) and the following provisions. It is only for the purpose of allowing asbestos abatement. ADDITIONAL PERMIT PROVISIONS: By performing work under this permit the abatement contractor agrees that the Division may revoke or suspend this permit should the Division find that the contractor: • has violated or has aided and abetted in the violation of 25-7-101 or 25-7-501 et seq., C.R.S. or Regulation No. 8, Part B, or an order of the Division or Commission, • has failed to meet any permit and notification requirement or failed to correct any violations cited by the Division during any inspection within a reasonable period of time, as may be determined by the Division, • has used misrepresentation or fraud in obtaining this permit, or, • has committed any act or omission which does not meet generally accepted standards of the practice of asbestos abatement. As a contractor, you may be subject to other licenses and permits, depending on the requirements of the county and municipality in which the work is being performed. The Colorado Department of Public Health and Environment, Air Pollution Control Division strongly suggests that you check with county and municipal authorities in order to determine any other local building/permitting requirements that must be met. THE ORIGINAL PERMIT MUST BE POSTED ON SITE AT ALL TIMES. Immediately notify the Asbestos/IAQ Unit of project modifications by fax (number above) or e-mail (address above) and the appropriate county health department by fax. Project modifications include changes in the scope of work or the scheduled work dates, etc. This asbestos abatement permit is valid beginning 5/12/2017 through 11:59 PM on 6/10/2017. The actual scheduled work dates are from 5/25/2017 through 5/30/2017. Approval issued on: 5/17/2017 Record number: 127492 Notice Number: 17DE2844A-02 Variance: None Comments: Major spill Cleanup For the location specified below: SFRD Entire home 2645 Pierce St. Wheatridge Denver County This permit has been issued to: Colorado Hazardous Environmental P.O. Box 8901 Denver, CO 80201 Fee paid: Check number: Project Supervisor: Jonathan Weissling Cerification No.: 21403 Project AMS: David Sinkbeil Cerification No.: 13015 Project Manager: Issued by: SM L&K Environmental Inc 1 ASBESTOS INSPECTION AND BULK SAMPLING REPORT Project Name: Chris Gebhart 2645 Pierce St. Wheatridge CO, 80214 Prepared By: Kevin Mackey L&K Environmental Inc. Building Inspector# 13984 Purpose of Inspection: On (4-27-17) L&K Environmental has been contracted to perform a limited asbestos inspection and bulk sampling for suspect asbestos containing building material (ACBM). Prior to disturbing possible ACBM >32sq. ft. a licensed building inspector must perform this inspection. The purpose is to identify possible ACBM that is to be disturbed, determine the condition of suspect materials, and determine homogeneous areas where suspect materials are being tested. Once samples have been collected they must be submitted for analysis. Exclusions: 1. A certified building inspector shall not be required to perform an inspection if based on prior records there has been sampling done and determined no ACM is present. 2. An architect or project engineer who was responsible for the construction of the building signs a statement stating that no ACM was used in any known building material. Laboratory Protocol: All bulk samples will be submitted to an independent NIST accredited NVLAP laboratory. Phase Light Microscopy will be used to analyze samples. All samples <1% will be point counted to determine exact asbestos composition. For each homogenous area samples containing <1% asbestos is considered not to contain asbestos if all samples collected show asbestos in this amount. If any samples within a homogeneous area are found to contain >1% the whole homogeneous area must be treated as asbestos containing. LAB SUMMARY HA # Sample ID Material Description Sample Location Material Affected Asbestos Classification HA in SF Content 1 SM 1-1- Paint, Texture, Living Room, Surfacing 400 3% SM 1-3 Plaster Bedroom HA # Sample ID Material Description Sample Location Material Affected Asbestos Classification HA in SF Content 2 SM 2-1- Paint, Texture, Kitchen Surfacing 150 2% SM 2-3 Plaster Walls/Ceiling HA # Sample ID Material Description Sample Location Material Affected Asbestos Classification HA in SF Content 3 SM 3-1- Paint, Texture, Rear Entry Surfacing 100 3% SM 3-3 Plaster Walls/Ceiling HA # Sample ID Material Description Sample Location Material Affected Asbestos Classification HA in SF Content 4 SM 4-1- Paint, Texture, Bathroom Surfacing 75 3% SM 4-3 Plaster Walls/Ceiling HA # Sample ID Material Description Sample Location Material Affected Asbestos Classification HA in SF Content 5 SM S-1- Paint, Texture, Garage Walls- Surfacing 200 3% SM 5-3 Drywall Top Layer HA # Sample ID Material Description Sample Location Material Affected Asbestos Classification HA in SF Content 6 SM 6-1- Paint, Texture, Garage Walls, Surfacing 200 3% SM 6-3 Plaster 2"d Layer HA # Sample ID Material Description Sample Location Material Affected Asbestos Classification HA in SF Content 7 MM 1-1 Insulation Attic Misc. 300 ND HA # Sample ID Material Description Sample Location Material Affected Asbestos Classification HA in SF Content S MM 2-1 Cove Base Kitchen Misc. 20 ND HA # Sample ID Material Description Sample Location Material Affected Asbestos Classification HA in SF Content 9 MM 3-1 Cove Base Bathroom Misc. 15 ND Recommendations: The areas sampled on (4-27-17) contained >1% asbestos in all walls and ceiling sampled. Removal of all suspect materials must be done by a licensed abatement contractor. Due to the amount of material disturbed during the renovation process this is considered a major spill. According to the CDPHE Reg. 8 Part B there must be an emergency spill response. This includes but is not limited to restricting access to the area and warning signs posted. The HVAC or other air handling units must be shut off to prevent the distribution of asbestos fibers. Establishing negative pressure through polyethylene sheeting and negative air machines. Contacting the CDPHE air pollution division and submit notification. HEPA vacuum and wet wipe all surfaces. All contaminated clothes must be HEPA vacuumed and laundered or discarded. All asbestos containing building material must be disposed of in accordance with the division. ;STC ANALYTICAL REPORT Prepared for: L&K Environmental 9851 Castle Ridge Circle Highlands Ranch, CO 80129 Project: 2645 Pierce Order No.: 0023509 Report Date: 04/27/2017 ATC Group Services LLC 8985 E. Nichols Avenue, Suite 350, Centennial, CO 80112 Ph: 303-799-6100 These samples were analyzed by layers. Specific layer or component asbestos content is indicated when relevant. The EPA considers a material to be asbestos containing only if it contains more than one percent asbestos by Calibrated Visual Area Estimation (CVAE). EPA regulations also indicate that Regulated Asbestos Containing Materials (RACM) -- materials which are friable or may become friable -- be further analyzed by point counting when the results indicate less than ten percent asbestos by CVAE. Our laboratory utilizes CVAE on a routine basis and does not include point counting unless specifically requested. The results may not be reproduced except in full, and should not be used as a scope of work for abatement without consulting with ATC. 8985 E. Nichols Avenue, Suite 350 Centennial, CO 80112 . kTc Phone +1 303 799 6100 Fax +1303 799 3441 sw www.atcgroupservices.com PLM REPORT SUMMARY NVLALab Code 102031 Customer: L AIHA Lab Code 10153636 Kevin Mackey ATC Job No.: Z035000140 L&K Environmental Batch No.: 0023509 9851 Castle Ridge Circle Report Date: 04/27/2017 Highlands Ranch CO 80129 Sample Date: 04/27/2017 Project: 2645 Pierce Date Analyzed: 04/27/2017 Customer Project No.: Identification: N/A Test Method: EPA Method 600/M4-82-020; 600/R-93/116 Page 1 of 4 Client No. Lab No. Sample Description / Location Asbestos Content SM1-1 0023509-001 LAYER 1 None Detected Paint/Skim Coat, Gray/ White, 23°C W. Wall Living SM1-1 0023509-001 LAYER 2 Chrysotile 3% Plaster, Beige W. Wall Living SM1-2 0023509-002 Skim Coat/Plaster, White/ Beige Note: Sample Not Analyzed S. Wall Bedroom SM1-3 0023509-003 Skim Coat/Plaster, White/ Beige Note: Sample Not Analyzed E. Wall Living SM2-1 0023509-004 LAYER 1 None Detected Paint/Skim Coat, Tan/ White, 23°C E. Wall Kitchen SM2-1 0023509-004 LAYER 2 Chrysotile 2% Plaster, Beige/ Off White E. Wall Kitchen SM2-2 0023509-005 Skim Coat/Plaster, White/ Beige Note: Sample Not Analyzed E. Wall Kitchen SM2-3 0023509-006 Skim Coat/Plaster, White/ Beige Note: Sample Not Analyzed E. Wall Kitchen These samples were analyzed by layers. Specific layer or component asbestos content is indicated when relevant. The EPA considers a material to be asbestos containing only if it contains more than one percent asbestos by Calibrated Visual Area Estimation (CVAE). EPA regulations also indicate that Regulated Asbestos Containing Materials (RACM) -- materials which are friable or may become friable -- be further analyzed by point counting when the results indicate less than ten percent asbestos by CVAE. Our laboratory utilizes CVAE on a routine basis and does not include point counting unless specifically requested. The results may not be reproduced except in full, and should not be used as a scope of work for abatement without consulting with ATC. SM4-2 0023509-011 LAYER 2 Plaster, Beige Bathroom Walls Chrysotile 3% These samples were analyzed by layers. Specific layer or component asbestos content is indicated when relevant. The EPA considers a material to be asbestos containing only if it contains more than one percent asbestos by Calibrated Visual Area Estimation (CVAE). EPA regulations also indicate that Regulated Asbestos Containing Materials (RACM) -- materials which are friable or may become friable -- be further analyzed by point counting when the results indicate less than ten percent asbestos by CVAE. Our laboratory utilizes CVAE on a routine basis and does not include point counting unless specifically requested. The results may not be reproduced except in full, and should not be used as a scope of work for abatement without consulting with ATC. 8985 E. Nichols Avenue, Suite 350 Centennial, CO 80112 Ar C kT Phone +1 303 799 6100 NA Fax +1303 799 3441 www.atcgroupservices.com PLM REPORT SUMMARY NVLALab Code 102031 Customer: L AIHA Lab Code 10153636 Kevin Mackey ATC Job No.: Z035000140 L&K Environmental Batch No.: 0023509 9851 Castle Ridge Circle Report Date: 04/27/2017 Highlands Ranch CO 80129 Sample Date: 04/27/2017 Project: 2645 Pierce Date Analyzed: 04/27/2017 Customer Project No.: Identification: N/A Test Method: EPA Method 600/M4-82-020; 600/R-93/116 Page 2 of 4 Client No. Lab No. Sample Description / Location Asbestos Content SM3-1 0023509-007 LAYER 1 None Detected Paint/Skim Coat, White Rear Entry Walls SM3-1 0023509-007 LAYER 2 Chrysotile 3% Plaster, Beige Rear Entry Walls SM3-2 0023509-008 Skim Coat/Plaster, White/ Beige Note: Sample Not Analyzed Rear Entry Walls SM3-3 0023509-009 Skim Coat/Plaster, White/ Beige Note: Sample Not Analyzed Rear Entry Walls SM4-1 0023509-010 LAYER 1 None Detected Paint/Skim Coat, White Bathroom Walls SM4-1 0023509-010 LAYER 2 Chrysotile <1% Plaster, Beige Bathroom Walls SM4-2 0023509-011 LAYER 1 None Detected Paint/Skim Coat, White, 23°C Bathroom Walls SM4-2 0023509-011 LAYER 2 Plaster, Beige Bathroom Walls Chrysotile 3% These samples were analyzed by layers. Specific layer or component asbestos content is indicated when relevant. The EPA considers a material to be asbestos containing only if it contains more than one percent asbestos by Calibrated Visual Area Estimation (CVAE). EPA regulations also indicate that Regulated Asbestos Containing Materials (RACM) -- materials which are friable or may become friable -- be further analyzed by point counting when the results indicate less than ten percent asbestos by CVAE. Our laboratory utilizes CVAE on a routine basis and does not include point counting unless specifically requested. The results may not be reproduced except in full, and should not be used as a scope of work for abatement without consulting with ATC. These samples were analyzed by layers. Specific layer or component asbestos content is indicated when relevant. The EPA considers a material to be asbestos containing only if it contains more than one percent asbestos by Calibrated Visual Area Estimation (CVAE). EPA regulations also indicate that Regulated Asbestos Containing Materials (RACM) — materials which are friable or may become friable -- be further analyzed by point counting when the results indicate less than ten percent asbestos by CVAE. Our laboratory utilizes CVAE on a routine basis and does not include point counting unless specifically requested. The results may not be reproduced except in full, and should not be used as a scope of work for abatement without consulting with ATC. 8985 E. Nichols Avenue, Suite 350 Centennial, CO 80112 .; Phone +1 303 799 6100 Fax +1303 799 3441 www.atcgroupservices.com PLM REPORT SUMMARY NVLAP Lab Code 102031 Customer: AIHA Lab Code 10153636 Kevin Mackey ATC Job No.: Z035000140 L&K Environmental Batch No.: 0023509 9851 Castle Ridge Circle Report Date: 04/27/2017 Highlands Ranch CO 80129 Sample Date: 04/27/2017 Project: 2645 Pierce Date Analyzed: 04/27/2017 Customer Project No.: Identification: N/A Test Method: EPA Method 600/M4-82-020; 600/R-93/116 Page 3 of 4 Client No. Lab No. Sample Description / Location Asbestos Content SM4-3 0023509-012 Skim Coat/Plaster, White/ Beige Note: Sample Not Analyzed Bathroom Walls SM5-1 0023509-013 LAYER 1 Chrysotile 5% Paint/Texture, Lt. Green/ White, 23°C Garage Walls SM5-1 0023509-013 LAYER 2 None Detected Drywall, Off White/ Brown Garage Walls SM5-1 0023509-013 LAYER 3 Chrysotile 2% Plaster, Beige Garage Walls SM5-2 0023509-014 Paint/Texture/Drywall/Plaster, Lt. Green/ White/ Brown Note: Sample Not Analyzed Garage Walls SM5-3 0023509-015 Paint/Texture/Drywall/Plaster, Lt. Green/ White/ Brown Note: Sample Not Analyzed Garage Walls SM6-1 0023509-016 LAYER 1 Chrysotile 3% Skim Coat, White Garage 2nd Layer These samples were analyzed by layers. Specific layer or component asbestos content is indicated when relevant. The EPA considers a material to be asbestos containing only if it contains more than one percent asbestos by Calibrated Visual Area Estimation (CVAE). EPA regulations also indicate that Regulated Asbestos Containing Materials (RACM) — materials which are friable or may become friable -- be further analyzed by point counting when the results indicate less than ten percent asbestos by CVAE. Our laboratory utilizes CVAE on a routine basis and does not include point counting unless specifically requested. The results may not be reproduced except in full, and should not be used as a scope of work for abatement without consulting with ATC. These samples were analyzed by layers. Specific layer or component asbestos content is indicated when relevant. The EPA considers a material to be asbestos containing only if it contains more than one percent asbestos by Calibrated Visual Area Estimation (CVAE). EPA regulations also indicate that Regulated Asbestos Containing Materials (RACM) -- materials which are friable or may become friable -- be further analyzed by point counting when the results indicate less than ten percent asbestos by CVAE. Our laboratory utilizes CVAE on a routine basis and does not include point counting unless specifically requested. The results may not be reproduced except in full, and should not be used as a scope of work for abatement without consulting with ATC. 8985 E. Nichols Avenue, Suite 350 Centennial, CO 80112 Tkc Phone +1303 799 6100 ■Fax +1303 799 3441 www.atcgroupservices.com PLM REPORT SUMMARY NVLAP Lab Code 102031 Customer: AIHA Lab Code 101536 Kevin Mackey ATC Job No.: Z035000140 L&K Environmental Batch No.: 0023509 9851 Castle Ridge Circle Report Date: 04/27/2017 Highlands Ranch CO 80129 Sample Date: 04/27/2017 Project: 2645 Pierce Date Analyzed: 04/27/2017 Customer Project No.: Identification: N/A Test Method: EPA Method 600/M4-82-020; 600/R-93/116 Page 4 of 4 Client No. Lab No. Sample Description / Location Asbestos Content SM6-1 0023509-016 LAYER 2 Chrysotile 3% Plaster, Beige Garage 2nd Layer SM6-2 0023509-017 Skim Coat/Plaster, White/ Beige Note: Sample Not Analyzed Garage 2nd Layer SM6-3 0023509-018 Skim Coat/Plaster, White/ Beige Note: Sample Not Analyzed Garage 2nd Layer MM1-1 0023509-019 Insulation, Beige/ Yellow None Detected Attic MM2-1 0023509-020 LAYER 1 None Detected Cove Base, Black, 23°C Kitchen MM2-1 0023509-020 LAYER 2 None Detected Cove Base Mastic, Yellow Kitchen MM3-1 0023509-021 LAYER 1 None Detected Cove Base, White, 23°C Bath MM3-1 0023509-021 LAYER 2 None Detected Cove Base Mastic, Yellow Bath These samples were analyzed by layers. Specific layer or component asbestos content is indicated when relevant. The EPA considers a material to be asbestos containing only if it contains more than one percent asbestos by Calibrated Visual Area Estimation (CVAE). EPA regulations also indicate that Regulated Asbestos Containing Materials (RACM) -- materials which are friable or may become friable -- be further analyzed by point counting when the results indicate less than ten percent asbestos by CVAE. Our laboratory utilizes CVAE on a routine basis and does not include point counting unless specifically requested. The results may not be reproduced except in full, and should not be used as a scope of work for abatement without consulting with ATC. Customer: PLM REPORT SUMMARY Kevin Mackey ATC Job No.: Z035000140 L&K Environmental Batch No.: 0023509 9851 Castle Ridge Circle Report Date: 04/27/2017 Highlands Ranch CO 80129 Sample Date: 04/27/2017 Project: 2645 Pierce Date Analyzed: 04/27/2017 Customer Project No.: Identification: N/A Test Method: EPA Method 600/M4-82-020; 600/R-93/116 8985 E. Nichols Avenue, Suite 350 Centennial, CO 80112 Phone +1303 799 6100 Fax +1303 799 3441 www.atcgroupservices.com NVLAP Lab Code 102031 AIHA Lab Code 101536 Page 1 of 1 PLM Analysis Methodology PLM samples were analyzed utilizing the Environmental Protection Agency's Test Method: Method for the Determination of Asbestos in Building Materials (EPA 600/R-93/116. July, 1993). Reporting Limit <1 % Asbestos. Additional treatment and tests may be required to accurately define composition (i.e. ashing, extractions, acetone treatment, andTEM). Unused portions of samples are archived for one year unless client requests special handling. Asbestos content of mastic/adhesive is separated from total percent asbestos and other materials. Laboratory Equipment Laboratory analysis was accomplished utilizing an Olympus BH -2 polarized light microscope. The microscope is equipped with dispersion staining lenses. Quality Control ATC Group Services is accredited by NVLAP Bulk Asbestos Sample Quality Assurance Program (Lab Code 102031). ATC participates in the NVLAP Bulk Asbestos Sample Quality Assurance Program and maintains an in-house QC/QA program for bulk samples whereby 10% of all submitted samples are reanalyzed and documented in a Quality Control Manual. ATC also participates in a quarterly round robin QC/QA program for bulk samples with several accredited laboratories throughout the United States. Current and past QC/QA program results are available in the laboratory for inspection. Laboratory Personnel Samples were analyzed by Jeff Lomme, Laboratory Director. Mr. Lomme is a professional geologist who has successfully completed the McCrone Institutes's "Advanced Asbestos Identification" Course. Approved Signatory eff Lomme t- 2031-0 NVLAP LAB CODE 10 The non -detection of asbestos fibers in floor tile by PLM is of itself inconclusive. Confirmation by Transmission Electron Microscope (TEM) is recommended for negative floor tile samples. This report must not be used by the client to claim product endorsements by NVLAP or an agency of the U.S. government. This test reports only to the items stated. A C AW%T ENVIRONMENTAL - GEOTECHNICAL BUILBING SCIENCES - MATERIALS TESTING PROJECT INFORMATION Turnaround: I" ��D Qa" 24 hour 3-5 day 8985 East Nichols Avenue, Suite 350 Centennial, Colorado 80112 TEL: 303.799.6100 PAX: 303.799.3441 Company/Customer: Pro' ect Name: t &tc Address: Collection Date: <j_ _ j Address: Customer Number/P.O.: Phone/Fax: Collection Address: Customer Contact: 3 Special Instructions:- 16sA wt, Email: Sample Sample Number Sample Material Sample Location 1 ' •� !� C Iii 11 2 ,� /W1`- 3 4 a' 5 �- 6 a.3 7 �S 8 -� 9 10 11 4- 3 12 -3 13 5-1 clm& lnW Is 14 5.'� 15 $ 16 Lu 17 18 (� - 19 20 Ovc -dc.vt 21 131 22 23 24 25 .._._. M-- Sample collector is responsible for ensuring that all samples have been preserved and prepared to the appropriate and applicable methodology. If package has sustained damage during transit, notify collector and shipper. Turnaround time begins upon receipt of sample (s) by laboratory. ATC will not be responsible for errors or omissions in calculations from inaccuracy of prigipal data. CHAIN OF CUSTODY Date: I Time: ec3ce " 1M N Date: Time: Ar Kevin Mackey L&K Environmental 9851 Castle Ridge Circle Highlands Ranch CO 80129 Collected: 04/27/2017 Collected By: Kevin Mackey Collection Address: 2645 Pierce Lab ID Sample Location / Sample # Sample Description BATCH NO. 0023509 NVLAP Lab Code 102031 AIHA Lab Code 101536 Customer Project No.: Description: 2645 Pierce Date Received: 04/27/2017 Date Analyzed: 04/27/2017 Date Reported: 04/27/2017 Comments: OBSERVATION SET#1: Asbestos Non -Asbestos Constituents Constituents N N 0023509-001 W. Wall Living None Detected SM1-1 LAYER 1 15% Paint/Skim Coat, Gray/ White, 23°C 70% Cellulose Fiber (Incom) Chrysotile 3% LAYER 2 OBSERVATION SET#1: Plaster, Beige Wavy Fibers Sign of Elongation (+) Parallel Extinction Non -Pleochroic @ 40x Birefringence (Low) Color: Clear Oil 1.68 Becke Line Used Initial Characterization: Chrysotile OS#1: Para.=1.556, Perp.=1.550 0023509-002 S. Wall Bedroom SM1-2 Skim Coat/Plaster, White/ Beige Note: Sample Not Analyzed 0023509-003 E. Wall Living SM1-3 Skim Coat/Plaster, White/ Beige Note: Sample Not Analyzed Analyzed by: 6�x— Reviewed by: Cellulose Fiber (Incom) <1% Aggregate 15% Perlite 15% Binder/Filler 70% Cellulose Fiber (Incom) 2% Aggregate 60% Binder/Filler 35% Page 1 of 7 ;STC Kevin Mackey 2645 Pierce L&K Environmental 9851 Castle Ridge Circle Highlands Ranch CO 80129 Collected: 04/27/2017 Collected By: Kevin Mackey Collection Address: 2645 Pierce Lab ID Sample Location / Sample # Sample Description 0023509-004 E. Wall Kitchen SM2-1 LAYER 1 Paint/Skim Coat, Tan/ White, 23°C LAYER 2 Plaster, Beige/ Off White 0023509-005 E. Wall Kitchen SM2-2 Skim Coat/Plaster, White/ Beige Note: Sample Not Analyzed 0023509-006 E. Wall Kitchen SM2-3 Skim Coat/Plaster, White/ Beige Note: Sample Not Analyzed Customer Project No.: Description: 2645 Pierce Date Received: 04/27/2017 Date Analyzed: 04/27/2017 Date Reported: 04/27/2017 Comments: 35% Asbestos Constituents N None Detected Chrysotile 2% OBSERVATION SET#1: Wavy Fibers Sign of Elongation (+) Parallel Extinction Non -Pleochroic @ 40x Birefringence (Low) Color: Clear Oil 1.68 Becke Line Used Initial Characterization: Chrysotile OS#1: Para.=1.556, Perp.=1.550 Analyzed by: Reviewed by: BATCH NO. 0023509 NVLAP Lab Code 102031 AIHA Lab Code 101536 Non -Asbestos Constituents (%1 Cellulose Fiber (Incom) 5% Aggregate 20% Binder/Filler 75% Cellulose Fiber (Incom) 3% Aggregate 60% Binder/Filler 35% Page 2 of 7 BATCH NO. 0023509 NVLAP Lab Code 102031 AIHA Lab Code 101536 Kevin Mackey Customer Project No.: L&K Environmental Description: 2645 Pierce 9851 Castle Ridge Circle Date Received: 04/27/2017 Highlands Ranch CO 80129 Date Analyzed: 04/27/2017 Collected: 04/27/2017 Date Reported: 04/27/2017 Collected By: Kevin Mackey Comments: Collection Address: 2645 Pierce Asbestos Non -Asbestos Lab ID Sample Location / Constituents Constituents Sample # Sample Description N 0023509-007 Rear Entry Walls None Detected Cellulose Fiber (Incom) <1% SM3-1 LAYER 1 Aggregate 15% Paint/Skim Coat, White Perlite 15% Binder/Filler 70% Chrysotile 3% Cellulose Fiber (Incom) 5% LAYER 2 OBSERVATION SET#1: Aggregate 55% Plaster, Beige Wavy Fibers Binder/Filler 37% Sign of Elongation (+) Parallel Extinction Non -Pleochroic @ 40x Birefringence (Low) Color: Clear Oil 1.68 Becke Line Used Initial Characterization: Chrysotile OS#1: Para.=1.556, Perp.=1.550 0023509-008 Rear Entry Walls SM3-2 Skim Coat/Plaster, White/ Beige Note: Sample Not Analyzed 0023509-009 Rear Entry Walls SM3-3 Skim Coat/Plaster, White/ Beige Note: Sample Not Analyzed Analyzed by: Reviewed by: IqL Page 3 of 7 BATCH NO. 0023509 NVLAP Lab Code 102031 AIHA Lab Code 101536 Kevin Mackey Customer Project No.: L&K Environmental Description: 2645 Pierce 9851 Castle Ridge Circle Date Received: 04/27/2017 Highlands Ranch CO 80129 Date Analyzed: 04/27/2017 Collected: 04/27/2017 Date Reported: 04/27/2017 Collected By: Kevin Mackey Comments: Collection Address: 2645 Pierce Asbestos Non -Asbestos Lab ID Sample Location / Constituents Constituents Sample # Sample Description 0023509-010 Bathroom Walls None Detected Cellulose Fiber (Incom) <1% SM4-1 LAYER 1 Aggregate 15% Paint/Skim Coat, White Perlite 15% Binder/Filler 70% Chrysotile <1% Cellulose Fiber (Incom) 5% LAYER 2 OBSERVATION SET#1: Aggregate 60% Plaster, Beige Wavy Fibers Binder/Filler 35% Sign of Elongation (+) Parallel Extinction Non -Pleochroic @ 40x Birefringence (Low) Color: Clear Oil 1.68 Becke Line Used Initial Characterization: Chrysotile OS#1: Para.=1.556, Perp.=1.550 0023509-011 Bathroom Walls None Detected Cellulose Fiber (Incom) <1% SM4-2 LAYER 1 Aggregate 15% Paint/Skim Coat, White, 23°C Perlite 15% Binder/Filler 70% Chrysotile 3% Cellulose Fiber (Incom) 2% LAYER 2 OBSERVATION SET#1: Aggregate 60% Plaster, Beige Wavy Fibers Binder/Filler 35% Sign of Elongation (+) Parallel Extinction Non -Pleochroic @ 40x Birefringence (Low) Color: Clear Oil 1.68 Becke Line Used Initial Characterization: Chrysotile OS#1: Para.=1.556, Perp.=1.550 Analyzed by: Reviewed by: Page 4 of 7 ;STC Kevin Mackey L&K Environmental 9851 Castle Ridge Circle Highlands Ranch CO 80129 Collected: 04/27/2017 Collected By: Kevin Mackey Collection Address: 2645 Pierce Customer Project No.: Description: 2645 Pierce Date Received: 04/27/2017 Date Analyzed: 04/27/2017 Date Reported: 04/27/2017 Comments: BATCH NO. 0023509 NVLAP Lab Code 102031 AIHA Lab Code 101536 Asbestos Non -Asbestos Lab ID Sample Location / Constituents Constituents Sample # Sample Description N N 0023509-012 Bathroom Walls SM4-3 Skim Coat/Plaster, White/ Beige Note: Sample Not Analyzed 0023509-013 Garage Walls SM5-1 LAYER 1 Paint/Texture, Lt. Green/ White, 23°C LAYER 2 Drywall, Off White/ Brown Chrysotile 5% OBSERVATION SET#1: Wavy Fibers Sign of Elongation (+) Parallel Extinction Non -Pleochroic @ 40x Birefringence (Low) Color: Clear Oil 1.68 Becke Line Used Initial Characterization: Chrysotile OS#1: Para.=1.558, Perp.=1.550 None Detected Chrysotile 2% LAYER 3 OBSERVATION SET#1: Plaster, Beige Wavy Fibers Sign of Elongation (+) Parallel Extinction Non -Pleochroic @ 40x Birefringence (Low) Color: Clear Oil 1.68 Becke Line Used Initial Characterization: Chrysotile OS#1: Para.=1.554, Perp.=1.547 Analyzed by: Reviewed by: 14� Cellulose Fiber (Incom) Aggregate Carbonates Binder/Filler Cellulose Fiber (Incom) Fibrous Glass (ISO) Gypsum Cellulose Fiber (Incom) Aggregate Binder/Filler 10% 10% 15% 60% 25% <1 75% 5% 60% 33% Page 5 of 7 ;STC Kevin Mackey L&K Environmental 9851 Castle Ridge Circle Highlands Ranch CO 80129 Collected: 04/27/2017 Collected By: Kevin Mackey Collection Address: 2645 Pierce Customer Project No.: Description: 2645 Pierce Date Received: 04/27/2017 Date Analyzed: 04/27/2017 Date Reported: 04/27/2017 Comments: Paint/Texture/Drywall/Plaster, Lt. Green/ BATCH NO. 0023509 NVLAP Lab Code 102031 AIHA Lab Code 101536 0023509-016 Garage 2nd Layer Asbestos Non -Asbestos Lab ID Sample Location / Constituents Constituents Sample # Sample Description N N 0023509-014 Garage Walls SM5-2 Paint/Texture/Drywall/Plaster, Lt. Green/ Carbonates White/ Brown Note: Sample Not Analyzed 0023509-015 Garage Walls SM5-3 Paint/Texture/Drywall/Plaster, Lt. Green/ White/ Brown Note: Sample Not Analyzed 0023509-016 Garage 2nd Layer Chrysotile 3% Cellulose Fiber (Incom) <1% SM6-1 LAYER 1 OBSERVATION SET#1: Aggregate 25% Skim Coat, White Wavy Fibers Carbonates 25% Sign of Elongation (+) Binder/Filler 47% Parallel Extinction Non -Pleochroic @ 40x Birefringence (Low) Color: Clear Oil 1.68 Becke Line Used Initial Characterization: Chrysotile OS#1: Para.=1.558, Perp.=1.550 Chrysotile 3% Cellulose Fiber (Incom) 2% LAYER 2 OBSERVATION SET#1: Aggregate 60% Plaster, Beige Wavy Fibers Binder/Filler 35% Sign of Elongation (+) Parallel Extinction Non -Pleochroic @ 40x Birefringence (Low) Color: Clear Oil 1.68 Becke Line Used Initial Characterization: Chrysotile OS#1: Para.=1.554, Perp.=1.547 Analyzed by: 6�,— Reviewed by: Page 6 of 7 Kevin Mackey L&K Environmental 9851 Castle Ridge Circle Highlands Ranch CO 80129 Collected: 04/27/2017 Collected By: Kevin Mackey Collection Address: 2645 Pierce Asbestos Sample Location / Constituents Sample Description N Garage 2nd Layer Skim Coat/Plaster, White/ Beige Note: Sample Not Analyzed Customer Project No.: Description: 2645 Pierce Date Received: 04/27/2017 Date Analyzed: 04/27/2017 Date Reported: 04/27/2017 Comments: Lab ID Sample # 0023509-017 SM6-2 BATCH NO. 0023509 NVLAP Lab Code 102031 AIHA Lab Code 101536 Non -Asbestos Constituents N 0023509-018 Garage 2nd Layer SM6-3 Skim Coat/Plaster, White/ Beige Note: Sample Not Analyzed 0023509-019 Attic None Detected Cellulose Fiber (Incom) 40% Fibrous Glass (ISO) 45% MM1-1 Insulation, Beige/ Yellow Organic Matrix 10% Non -Fibrous Material 5% 0023509-020 Kitchen None Detected MM2 -1 LAYER 1 Carbonates 25% Cove Base, Black, 23°C Non -Fibrous Material 75% None Detected Cellulose Fiber (Incom) 5% LAYER 2 Binder/Filler 95% Cove Base Mastic, Yellow 0023509-021 Bath None Detected MM3 -1 LAYER 1 Carbonates 25% Cove Base, White, 23°C Non -Fibrous Material 75% None Detected Cellulose Fiber (Incom) 5% LAYER 2 Binder/Filler 95% Cove Base Mastic, Yellow Analyzed by: 6�x_ Reviewed by: +� Page 7 of 7 0 s t9 V. C y � O�. • CO� f,, - 1876ac L Colorado Department - of Public Health and Environment ASBESTOS f o CERTIFICATION* 4 Y "~ fi This certifies that F Devin Mackey Certification No.: 13984 has met the requirements of 25-7-507, C.R.S. and Air Quality Control Commission Regulation No. 8, Part B, and is hereby certified by the r� state of Colorado in the following discipline: - Building Inspector* Issued: June 29, 2015 Expires: June 29, 2017 This certificate is valid only with the possession ofa J current Division -approved training course certijlcadon -- `� y in the discipline specified above a f A orized l�epresenta.ive = i� +� SEAL i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: Wit` ``1 ( �? 5.1? a ❑ No one available for inspection: Time/S 0AM/PM Re -Inspection required: Yes No When corrections have been made, call for re-inspection.at 3.63-234-5933 Date: ��'` �� Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line \ (303)235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: &/I) L L uA . Cil S_ 0/70o�� )A, // ❑ No one available for inspection:1 Re -Inspection required: Yes No When corrections have been made, call for Date: �� f Inspector:_ S 7— AM/PM 4, CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office * (303) 237-8929 Fax INSPECTION NOTICE Inspection Ty, e: _T IM -e S Job Addre�s: 6 Permit Number: A Ll No one available for inspection: Time %AM/PM Re -Inspection required: Yes N� When corrections have been made, call for re -inspection at,303-234- Date: Inspector: DO NOT REMOVE THIS NOTICE FOR OFFICE USE ONLY City of tare: at -ggle COMMUNiTy DEVELOPAR Plawpetmit#0 t, Building & Inspection Services Division 7500 W.29�h Ave., Wheat Ridge, CO 80033 Plan Re view Foe. Office: 303-235-2855 * Fax: 303-237-8929 -8929 Inspection Line: 303-234-5933 Building it Application Pt all hightlow a $ et of this form. I"000010*401106flons may not be ptoftsood. Property Address.* Propeq Owner (please print): � Phone: w Property Owner Emalk Ilk Mailing Address: it different than property address) Address: 191 17011 -ell bLL i"1110 i CLty' i ArchilactitEnginw E-mail,* Phone.* Contractor: Contractors City License Phone. 0;_3 u Contractor - 11 dross: ontr ct . Electrical: Plumbing:Mechanical: Wdk City License # W,R City License ## KR. City License !# Other City Licensed Sub: Other City LicensedSub: City License # City License Complete all Information on BOTH sides of this form NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING COMMERCIAL ADDITION ESIDENTiAL ROOFING RESDENTIAL ADDITION WINDOW REPLACEMENT Fv� COMMERCIAL ACCESSORY .M STRUCTURE M shed, deck, a (Garage, RESIDENTIAL # #.M STRUCTURE MECHANICAL # X MM.X REPAIR M i• REPLACEMENT # PLUMBING SYSTEM/APPLIANCE . X#MA REPAIR M#M^: M !# CMENT ELECTRICAL SYSTEM/APPLIANCE MMy # M#M REPLACEMENT . M A OTHER t.'. Amps Squares Other