HomeMy WebLinkAbout4590 Saulsbury StreetGENERAL STRUCTURAL NOTES
All work shall conform to the 2018 edition of the IRC as adopted by Wheat Ridge, CO.
DESIGN LOADS:
• Roof Dead Load
15 psf
• Roof Snow Load
30 psf
• Ground Snow Load
30 psf
• Floor Dead Load
15 psf
• Floor Live Load
40 psf
• Wind speed (Vuur)
135 mph, Exposure C
• Seismic
Category B
ADDITIONS AND REMODELS OF EXISTING CONSTRUCTION
• Field verify (F. V.) all existing (EX) construction and dimensions noted on plans prior to construction, and notify Level Engineering and Architect of any
discrepancies in writing.
• All shoring of existing construction is the responsibility of the contractor. Any shoring shown on the plans is conceptual only.
• Observations of foundation reinforcing or framing required by the Owner, lender, insurer, building department or any other party will be accomplished by
the engineer at the Owner's expense. At least 43 hours advance notice is requested.
STRUCTURAL STEEL:
• Steel material shall be as follows unless specifically noted otherwise:
* Angles, mise: ASTM A36
• All structural steel shall be fabricated and erected per the current edition of AISC Steel Construction Manual.
LOOSE LINTELS:
• Minimum lintels shall be as follows unless noted otherwise. Provide one angle for each 4" of wall thickness with 6" minimum bearing length each end:
Openings to 4'-0: L 3-1/2 x 3-1/2 x 1/4
T-0 to 5'-4: L 5 x 3-1/2 x 1/4
* 5'-5 to 6-6: L 6 x 3-1/2 x 5/16
* Over 6'-6: See plans
WOOD FRAIINUNG:
• All framing and details not specifically specified shall comply with the prescriptive (non -engineered) requirements of the International Residential Code.
• Sawn Lumber and Timbers:
* Nominal 2x, 3x, and 4x dimension lumber shall be Hem -Fir, Grade No. 2 except as noted below:
* 2x4 and 2x6 studs < 9'-0 in length may be Hem -Fir Stud Grade
* At contractor's option, Douglas Fir may be substituted for Hem -Fir.
* Sill plates and ledgers in contact with concrete or masonry shall be Hem Fir, preservative treated with zinc -borate or Southern Yellow Pine 'V
Outdoor" lumber, or "Strandguard" LSL. ACQ treatment is NOT acceptable.
• Preservative treated ("TRTD") lumber shall be framing material of the specified species which has been pressure treated with a decay and insect
resistant solution, meeting all current standards for wood in contact with concrete or earth. Acceptable treatment mediums for wood exterior
applications include ACQ (Alkaline Copper Quaternary) and copper azole. Note that fasteners and connectors shall meet the recommendations of the
pressure treated wood manufacturer.
• Plywood and OSB Sheathing:
* All plywood and oriented strand board (OSB) sheathing shall be engineered grades with APA grade stamp indicating appropriate maximum
spacing of supports.
* Floor sheathing: nominal 3/4", APA Sturd-i-floor �a1 24 inch o.c. tongue & groove glued and nailed.
* Roof sheathing: minimum 15/32" CDX plywood, OSB, APA 32/16, nailed.
* Exterior Wall sheathing: 15/32" CDX plywood or 7/16" OSB, APA 24/16, all edges blocked and nailed.
* Minimum nailing shall comply with IBC Table 2304.9.1 or IRC Table R602.3(1) except where more or larger nailing shown on drawings.
Alternate attachments size and spacing shall comply with IRC Table R602.3(2)
• Wall, Floor, and Roof Framing:
* All roof rafters, joists, trusses, and beams shall be anchored to supports with metal framing anchors.
* All wall studs shall be continuous from floor to floor or from floor to roof.
* All beams shall be braced against rotation at points of bearing. Dry -pack grout all beam pockets in concrete full after beams are sot.
* At built-up stud columns, nail all laminations with 16d (dl 12" full height, staggered.
* All columns must have a continuous load path to foundation. See plans for post sizes. Header sizes shown are the minimum required. Headers
may be standardized at largest size at Contractor's option. Install one trimmer and one king stud per 4'-0 of width at each side of openings in stud
walls unless noted otherwise.
* At dropped wood beams bearing on built-up studs, bear beams on stud end grain. Form a pocket by extending king studs to the wall top plate on
each side of the beam. Nail king studs to beam with at least (6) 16d nails each side unless noted otherwise.
WOOD FRAMING: HARDWARE, CONNECTORS, AND FASTENERS:
• All screws, nails and bolts shall match material and coating of hangers and other connectors. DO NOT mix stainless with galvanized products.
• Lead holes for lag screws shall be 60% to 70% of lag shank diameter in compliance with AITC criteria.
• FASTENERS:
* Nails in roof, wall, and floor sheathing, as well as nails designated as "8d" nails on plan, shall be 8d ring shank gun nails (0.113" diameter x 2 1'z"
long) unless noted otherwise. Nail all sheathing with 8d ta: 6"/12" minimum unless noted otherwise.
* Framing nails in 2x lumber shall be 12d common nails (0.131" diameter x 3 1'4" long) unless noted otherwise. These nails are commonly referred
to as "short sixteens" or "16d gum nails". Nails called out. as "16d" on plan shall be 12d common nails except as noted below or on plan:
• SDS SCREWS -1/4" screws with length indicated, per SIIVIPSON STRONG TIE. NO SUBSTITUIONS.
• TIN113ERLOK or LEDGERLOK Screws — per Fastenmaster, pre -drilling w/ 1/8" bit is acceptable if required. Substituting SDS screws of same length is
acceptable.
PLAN NORTH
VICINITY MAP
NOT TO SCALE
Digitally signed by Christopher
Johnson, P.E.
Date: 2021.04.08 11:49:32 -06'00'
Vo••��'� AHF ,• Fp
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57033 Z?
Notes
PRIOR TO THE COMMENCEMENT OF ANY
WORKS, THE BUILDER IS TO CHECK
AND/ORDETERMINE ALL CONSTRUCTION
DETAILS, INCLUDING CHECKING EXISTING
SITE LEVELSAND DIMENSIONS. THE
DRAWING IS TO BE READ IN
CONJUNCTION WITH ALL OTHERPROJECT
DRAWINGS, CONSTRUCTION NOTES
AND/OR PROJECT SPECIFICATION.
ALLDISCREPANCIES SHOULD BE
REPORTED IMMEDIATELY.
INo. (Date I Revisions
ENGINGERINGAND IV�TI
Client
KATHRYN MILLS
I LEVEL Job # 8789 1
Job Title
NEW HEADER
4590 SAULSBURY STREET
WHEAT RIDGE CO 80033
Drawing Title
Scale
Date 4/8/2021 Drawn by CDJ
Drawing No.S10 Revision
.
HATCH IND/CATES /NF/LL EXIS
FRAM/NG IN/ NEW. 2x4 ® 11
NEIN STL ANGLE LINTEL FOR E
kENEER L3 %2 x 3 %2 x %¢"
6" BRO ATEA END. MAX OF
FT.
EXISTING FRAME WALL W/ BRI,
kENEER.
EXISTING CMU W/ BRICK RENEE
PLAN NORTH
'' BeatyC!+
?MAI110m, L't -morkttm,
,APPROVED
Mike Theisen 04/21/2021
Pans Exams w
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.tea Mr avoo* r*004i
PARTIAL ROOF FRAMING PLAN
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v, 57033 Z
Digitally signed by Christopher
Johnson, P.E.
Date: 2021.04.08 11:49:24 -06'00'
Notes
PRIOR TO THE COMMENCEMENT OF ANY
WORKS, THE BUILDER IS TO CHECK
AND/ORDETERMINE ALL CONSTRUCTION
DETAILS, INCLUDING CHECKING EXISTING
SITE LEVELSAND DIMENSIONS. THE
DRAWING IS TO BE READ IN
CONJUNCTION WITH ALL OTHERPROJECT
DRAWINGS, CONSTRUCTION NOTES
AND/OR PROJECT SPECIFICATION.
ALLDISCREPANCIES SHOULD BE
REPORTED IMMEDIATELY.
o \,V heat
No. Date IRevisions
'r F L'
ENGINEERING AND INSPECTION
Client
KATHRYN MILLS
I LEVEL Job # 8789 1
Job Title
NEW HEADER
4590 SAULSBURY STREET
WHEAT RIDGE CO 80033
Drawing Title
Scale
Date 4/8/2021 Drawn by CDJ
Drawing No. S1.1 Revision
EX15T ROOF DECK,—
RAFTER5, AND CL 6
JOISTS TO REMAIN
UNDISTURBED.
?-I/ /VL I'/ ////YUV/I' VrL/V//YV,
• INSTALL NEW 2-2X8 HEADER W/ 1-2X4
TRIM f 1 106 ATEA END. MAX NEW
OPG = 4FT.
• INFILL EXISTING OPG W/ 2X4 9 16 FRMG
AT NEW INFILL FRAMING, INSTALL NEW TRT22 2X4 PL W/ %2'�f X 10"
ALL —THREAD/EPDXY ANCHOR ® 32" SPACING TO EX15T. FON BELOW
• Oft Z -/4 " HOLE W/ MIN DEPTH 67
• CLEAN HOLE W/ 9RU511 AND COMPRESSED AIR PRIOR TO
APPLICATION OF EPDXY.
• USE 51MP50N SET—XP EPDXY (OR ENG/NEER APPROVED
EOUIVALENT), PER MFG INSTRUCTIONS.
EX15T FON TO
DETA/L ' 1 2"1 -0
S21
NEW L3:'?x,3W " L005E LINTEL OVER
NEW WINDOW OPG W/ MIN 6" BRO AT EA
END.
WINDOW/DOOR, TRIM, &
WEATNERPROOFINO PER CODE,
BY OTHERS.
INFILL NEW BRICK !/£NEER A5
RE00 PER CODE
v�: Q��R OANFv J't0
N 57033 Z
Digitally signed by Christopher
Johnson, P.E.
Date: 2021.04.08 11:49:04 -06'00'
Notes
PRIOR TO THE COMMENCEMENT OF ANY
WORKS, THE BUILDER IS TO CHECK
AND/ORDETERMINE ALL CONSTRUCTION
DETAILS, INCLUDING CHECKING EXISTING
SITE LEVELSAND DIMENSIONS. THE
DRAWING IS TO BE READ IN
CONJUNCTION WITH ALL OTHERPROJECT
DRAWINGS, CONSTRUCTION NOTES
AND/OR PROJECT SPECIFICATION.
ALLDISCREPANCIES SHOULD BE
REPORTED IMMEDIATELY.
No. Date IRevisions
'A0 r"
ENGINEERING AND INSPECTION
Client
KATHRYN MILLS
I LEVEL Job # 8789 1
Job Title
NEW HEADER
4590 SAULSBURY STREET
WHEAT RIDGE CO 80033
Drawing Title
Scale
Date 4/8/2021 Drawn by CDJ
Drawing No. S2.1 Revision
"Backsplash Window)
New Kitchen
APPROVED
8,".,.d,o.cmeca,o,■tned
-Construction must meet the following codes
2018 IRC and 2020 NEC
Mike Theisen 04/21/2021
Pians E"Mww. Date
- Interconnected smoke/co detectors must be
WwFi�,4 �i mr. wes.A7e..n.v.a ,yn..�Msw. wxA.s'•.
installed to code in new and existing areas of
home
of W heat
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WEECYCLE ENVIRONMENTAL CONSULTING, INC.
1208 Commerce Court, Suite 5B
Lafayette, Colorado 80026
(303) 413-0452 Fax (303) 413-0710
April 19, 2021
Kathryn Mills
4590 Saulsbury St
Wheat Ridge CO 80033
Re: PLM analysis for 4590 Saulsbury St. Wheat Ridge, CO 80033 (the property) — Limited Survey
Dear Ms. Mills:
On April 6, 2021, Chris Schiechl #15586, a Building Inspector, certified and accredited bythe
Colorado Department of Public Health and Environment (CDPHE), collected and submitted for
analysis three (3) samples of suspected asbestos -containing material (ACM) from the property.
The Asbestos Inspector visually inspected the area to identify all suspected ACM and asbestos
containing building materials (ACBM). All building materials were touched to determine friability.
The results of this Asbestos Containing Building Materials Survey determined that Asbestos
Containing Building Materials are not present in the area tested. The Homogenous Areas with
corresponding Analytical Results are located on Table 1.
ANALYTICAL PROCEDURES
The bulk samples collected of suspect asbestos containing materials were delivered to Eurofins CEI
Labs, a National Voluntary Laboratory Accreditation Program (NVLAP) asbestos laboratory, located
in Cary, North Carolina for analysis. All bulk samples are archived for six months, unless otherwise
stipulated by the client.
According to the laboratory, the bulk samples were analyzed in accordance with EPA Method
600/R-93/116. Small portions of the sample were placed in Series: E High Dispersion Refractive
Index Liquid on a microscope slide. The prepared samples were observed at 100X (power) under
polarized light using a McCrone Dispersion Staining Objective. The characteristics of the fibers were
compared to the known properties of asbestos fibers for dispersion, color, polarity, extinction and
general morphology. Sample content (percentage) was made by visual estimates comparing of
asbestos fibers to total sample material.
If the laboratory detects asbestos in a sample of a particular homogeneous material, the remaining
samples in that batch are not analyzed and are assumed to contain asbestos. Samples returning
Trace Asbestos (TR) results were resubmitted for Point Count analysis. Samples with Point Count
results of less than one percent (1 %) are not considered to be ACM.
All three (3) samples obtained from the Property were analyzed.
Kathryn Mills
4590 Saulsbury St Wheat Ridge CO 80033 — Asbestos Report
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RECOMMENDATIONS AND SUMMARY
None of the building materials that were submitted for analysis were determined to be asbestos
containing. No further action is required.
Suspect materials are sometimes located behind walls and above ceilings and were considered
inaccessible during the onsite survey. Therefore, all materials that contain asbestos may not
have been observed or sampled. If additional suspect asbestos containing materials are
identified during periods of disturbances, all activities must stop until these materials are
sampled. Work shall not resume until the results are reported and removal by a licensed
asbestos abatement contractor.
Weecycle has assigned Job #21-17960 and Eurofins CEI Labs Report #13213544 to this study.
Weecycle Environmental Consulting, Inc. appreciates the opportunity to assist you with your
asbestos sampling needs. If you have questions regarding this report, please contact Lauren
York at (303) 413-0452
This is not a complete AHERA Asbestos Survey for renovation or demolition.
The laboratory report is enclosed.
Submitted By:
Lauren York
State of Colorado Asbestos Inspector #3748
Kathryn Mills
4590 Saulsbury St Wheat Ridge CO 80033 — Asbestos Report
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Project Address: 4590 Saulsbury St. Wheatridge,CO. 80033
Project Number: 4-6-21
Inspector: Chris Schiechl
WALLS & CEILING
of W heat
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Date: 4-6-21 `
f e 11/1 oc
Mag
ID
(i.e. "A")
Material Description
Room Location
P1
PLASTER
14 FT. KITCHEN SOUTH WALL, KITCHEN EAST WEST NORTH WALLS
NOTE
DRYWALL UNDER PLASTER UNFINSHED
Inspector Signature: 6� - Date: 4-6-21
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eurofins CEI As
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April 12 2021
1208 Commerce Court 5B
Lanayefte CO 80026
CLIENT PROJECT 4590 Saulsbury St Wheat Ridge CO 80033 4 &21
CEI LAB CODE B213544
apes erecants roes for
April
eM) p rthe EPA aoo Method re analyzed ror asbastos using poiarainq light microscopy
ls
(AGMs) per EPA regulatory requirements mt
The notation limit tortbe EPA eoo Method Sample results containing >1% asbestos are considered asbestoWontaiding ase<tam
asbestos by weight as determined by visual eattrevauon
anode Bar PhD Clud
analogy Director
NITSTING
VLA�
{.k eurofins I CEI
ASBESTOS ANALYTICAL REPORT
By: Polarized Light Microscopy
Weecycle Environmental Consulting, Inc
—AB CODE B213544
EST METHOD EPA 600 f R93 f 116 and EPA 600 f M4 82 f 020
REPORT DATE 04�12C1
Asbestos SgW eurofinS UGHT tw
c[i NR
PROJECT: 4590 Sausbure St Whezat
Ridge CO
LAB CODE: B213544
80033 4 &21
AS B OS
Cherat ID
Lear
real
Color
Sample Description
Per
Pi 1
raker 1
BMS52
Mae
Parker Skim Peak
Plane Deal
lool
BMS52
bgra Pink
Parker Base Cook
Plane Deal
Pl 2
raker 1
BMS53
Mae
Parker Skim Peak
Plane Deal
lool
BMS53
bgra Pink
Parker Base Cask
Plane Deal
Pi 3
raker 1
BMCM
Mae
Parker Skim Peak
Plane Deal
lool
BMCM
bgra Pink
Parker Base Cask
Plane Deal
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ASBESTOS BULK ANALYS
eurofins CEI IS yon
By: POLARIZING LIGHT MICROSCNI
Client: Weecycle Environmental Consulting, Inc Lab Code: B213544
1208 Commerce Court, 5B Date Received: 04-07-21
Lafayette, CO 80026 Date Analyzed: 04-12-21
Date Reported: 04-12-21
Project: 4590 Saulsbury St., Wheat Ridge, CO. 80033, 4-6-21
ASBESTOS BULK PLM, EPA 600 METHOD
Client ID Lab Lab NON -ASBESTOS COMPONENTS ASBESTOS
Lab ID Description Attributes Fibrous Non -Fibrous %
P 1-1
Plaster Skim Coat Heterogeneous 2% Cellulose
3%
Paint None Detected
Layer
White
95%
Binder
B54052
Fibrous
Bound
------------------------------------------------------------------
Layer 2
Plaster Base Coat Homogeneous <1% Cellulose
60%
Binder None Detected
B54052
Light Pink <1% Hair
40%
Silicates
Fibrous
Bound
P 1-2
Plaster Skim Coat Heterogeneous 2% Cellulose
3%
Paint None Detected
Layer
White
95%
Binder
B54053
Fibrous
Bound
------------------------------------------------------------------
Layer 2
Plaster Base Coat Homogeneous <1% Cellulose
60%
Binder None Detected
B54053
Light Pink <1% Hair
40%
Silicates
Fibrous
Bound
P 1-3
Plaster Skim Coat Heterogeneous 2% Cellulose
3%
Paint None Detected
Layer
White
95%
Binder
B54054
Fibrous
Bound
-------
Layer 2
---------------------------------
Plaster Base Coat Homogeneous <1% Cellulose
----
60%
----------------------
Binder None Detected
B54054
Light Pink <1% Hair
40%
Silicates
Fibrous
Bound
Page 1 of 2
vinyl door tiles yen be dinclut to analysis via deduced Light microscopy FPLM) EPA recommendsthid
all NOBst analysed by PLM and Found not to contain asbestos be further analysed by Transmission
Election recroscopy, JEM) Please note thyd PLM endives of duck and per samples Ex asbestos is
feel
This repcom relates onlyto the samples tested or analysed and may not be reproduced except in Pull
Schout when appri by Fri CEI Fri CEI makes no warrarty representation regarding
the accuracy of clent submitted information in preparing and presenting analytical results
Interpretation ofthe analytical results is the belde responsibility ofthe bent Samples was reversed in
acceptable condition unless otherpre noted This report may not be used by the clent to claim
linformation provided by customer includes customer sample ID and sample Adsorption
ANALYST APPEALED By /
cOPRYLIFLadebar
Laboratory Director
NTENTW Ones D con
ING
VLA�E
4
W eurofins
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ONE omor"
CEI
LEGEND
Ni -NALACcessfiroff AnthophylIfte
CacCad - calcium carbonate
REPORTING
LINT: A% by feel esfirsation
REPORTING
LINT FOR POINT COUNTS: 0 25% bi Ponsor 0 1% by 1 000 Points
vinyl door tiles yen be dinclut to analysis via deduced Light microscopy FPLM) EPA recommendsthid
all NOBst analysed by PLM and Found not to contain asbestos be further analysed by Transmission
Election recroscopy, JEM) Please note thyd PLM endives of duck and per samples Ex asbestos is
feel
This repcom relates onlyto the samples tested or analysed and may not be reproduced except in Pull
Schout when appri by Fri CEI Fri CEI makes no warrarty representation regarding
the accuracy of clent submitted information in preparing and presenting analytical results
Interpretation ofthe analytical results is the belde responsibility ofthe bent Samples was reversed in
acceptable condition unless otherpre noted This report may not be used by the clent to claim
linformation provided by customer includes customer sample ID and sample Adsorption
ANALYST APPEALED By /
cOPRYLIFLadebar
Laboratory Director
NTENTW Ones D con
ING
VLA�E
of W heat
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tiA o
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- . LAB USE ONLY.
730 SE Maynard Road, Cary, NC 27511 CEI Lab Code. - f
Tel: 866-481-1412; Fax: 919-481-1442 CEI Lab I.D. Range:
COMPANY INFORMATION
PROJECT: INFORMATION
CEI CLIENT #:
Job Contact:
411&3 S
Company: ee
Email I Tel:
p
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Address:
Project Name:
S IiA99vS7
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Project ID#:
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Email: e e C ( L ' • e�, (/,
PO #:
PLM POINT COUNT (400)
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Tel: O i L Fax: C� I 1 -0� d
STATE SAMPLE `COLLECTED IN: ` C()
IF TAT IS NOT MARKED STANDARD 3 DAY TAT APPLIES.
ASBESTOS ,`��.';,
METHOD
Relinquished By:
- -
TURN AROUND TIME
`Daterrime
-
4 HR 8 HR 1 DAY ',2 DAY 3 DAY
5 DAY
PLM BULK
EPA 600
❑
❑
❑
❑
PLM POINT COUNT (400)
EPA 600
❑
❑
❑
❑
❑
❑
PLM POINT COUNT 1000
EPA 600
❑
❑
❑
❑
❑
❑
PLM GRAV wPOINT COUNT
EPA 600
❑
❑
❑
❑
❑
PLM BULK
CARB 435
1
❑
❑
❑
❑
❑
PCM AIR
NIOSH 7400
❑
❑
❑
❑
❑
❑
TEM AIR
EPA AHERA
❑
❑
❑
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❑
❑
-TEM AIR _
NIOSH 7402 -_
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- ❑- ,.
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❑
TEM AIR (PCME)
ISO 10312
❑
❑
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❑
❑
❑
TEM AIR
ASTM 6281-15
.❑
❑
❑
❑
❑
❑
TEM BULK
CHATFIELD
❑
❑
❑
❑
❑
—TEMDUST WIPE _
--ASTMD6480115_(2010)
-
TEM DUST MICROVAC
ASTM D5755-09 (2014)
❑
❑
❑
❑
❑
❑
TEM SOIL -
ASTM D7521-16
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TEM VERMICULITE CINCINNATI METHOD
❑ ❑ ❑
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TEMQUALITTATIVE
IN-HOUSE METHOD
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❑
❑
❑
❑
❑
OTHER:
❑
❑
❑
❑
❑
❑
REMARKS / SPECIAL INSTRUCTIONS:
Accept Samples
Reject Samples
Relinquished By:
Date/Time°
Received B
`Daterrime
E !dd
J.0
Samples will be disposed of 30 days after analysis 11
Page i of
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Version: CCOC.O .18.1/2.LD
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Page Z of
Version: CCOC: 1.182/2.LD
Reservoirs Environmental, Inc Effective October 09, 2020
Reservoirs Environmental QA Manual Q:\QAQC\Lab\Reservoirs Environmental QA Manual.pdf
REI LAB Reservoirs Environmental, lnc_
January 14, 2021
Kathryn Mills
4590 Saulsbury Street
Wheat Ridge CO 80033
Dear Customer,
Subcontractor Number:
Laboratory Report:
Project #/P.O. #:
Project Description
RES 482838-1
None Given
4590 Saulsbury Street, Wheat Ridge,
CO 80033
Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and
Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code
101896-0 for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the
American Industrial Hygiene Association (AIHA), Lab ID 101533 - Accreditation Certificate #480 for Phase
Contrast Microscopy (PCM) analysis. This laboratory is currently proficient in both Proficiency Testing and PAT
programs respectively.
Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request.
The analysis has been completed in general accordance with the appropriate methodology as stated in the
attached analysis table. The results have been submitted to your office.
RES 482838-1 is the job number assigned to this study. This report is considered highly confidential and the
sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with
personnel other than those of the client. The results described in this report only apply to the samples analyzed.
This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of
the U.S. Government. This report shall not be reproduced except in full, without written approval from
Reservoirs Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested.
If you have any questions about this report, please feel free to call 303-964-1986.
Sincerely,
by Josh Baker
Jeanne Spencer
President
(303) 9641986 5801 Logan St, Suite 100, Denver, CO 80216 -.reilab.com
(866) RESI-ENV https://clients.reilab.com
Reservoirs Environmental, Inc.
Reservoirs Environmental GAManLot
iso: N!ZAT161IZilanWI :IQ 011LVA ia0111Mai01Lei
NVLAP Lab Code 101896-0
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
RES Job Number:
RES 482838-1
Client:
Kathryn Mills
Client Project Number/ P.O.:
None Given
Client Project Description:
4590 Saulsbury Street, Wheat Ridge, CO 80033
Date Samples Received:
January 14, 2021
Effective October9, 2020
Q AGAGCALabAReservoirs Environmental GA Manual.. eat
Method: EPA 6001R-931116 - Short Report, Bulk
ND=None Detected
Turnaround: Priority
TR=Trace, <1% Visual Estimate
Trem/Act=Tremolite/Actinolite
Date Samples Analyzed: January 14, 2021
Client
L
Asbestos Conteril
Non
Non -
Sample
A Sub
Asbestos
Fibrous
Number
Y Physical Part
Mineral Visual
Fibrous
Components
E Description
Estimate
Components
R N
M
N
N
1
A White/tan drywall debris 2
ND
55
45
B White plaster w/ off white/multi-colored paint 48
ND
0
100
C Beige granular plaster 50
ND
2
98
2
A White plaster w/ off White paint 35
ND
0
100
B Beige granular plaster 65
ND
2
98
3
A White plaster w/ off white/multi-colored paint 35
ND
0
100
B Beige granular plaster 65
NDI
21
98
TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%.
Josh. Baker
Analyst / Data QA
P'. 303-964-1986 5801 Logan Street, Suite 100, Denver, CO 80216 1-866-RESI{NV
F. 303-411-4275 wwwreilab. com
Page 1 of 1
Reservoirs Environmental, Inc
Reservoirs Environmental QAManual
REI LAB Reservoirs En vironmen to/, /nc.
Effective October 09, 2020
Q:\QAQC\Lab\Reservoirs Environmental QA Manual.pdf
RES Job #: 482838
SUBMITTED BY
INVOICE TO CONTACT INFORMATION
SERIES
Company: Kathryn Mills
..................................................................................................................................................................................................................................................
Company: CASH SALE Contact: Kathryn Mills
.........................................................................................................................
-1 PLM Priority
Address: 4590 Saulsbury Street
..................................................................................................................................................................................................................................................
Address: 5801 Logan St Phone: (720) 417-6321
.........................................................................................................................
..................................................................................................................................................................................................................................................
Fax:
.........................................................................................................................
Bulk = B
Wheat Ridge, CO 80033
Denver, CO 80216 Cell:
s............................................
61 1
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1062, •
Project Number and/or P.O. #: None Given Final Data Deliverable Email Address:
....................................................................................................................................................................................................................................................
Project Description/Location: 4590 Saulsbury Street, Wheat Ridge, CO 80033 kpmills85@gmail.com
Dust
Paint
Surface_
ASBESTOS LABORATORY HOURS: Weekdays: 7am - 7pm & Sat. 8am - 5pm
REQUESTED ANALYSIS
VALID MATRIX CODES
LAB NOTES
PLM / PCM / TEM DTL RUSH 1PRIORITY STANDARD
a
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A
Bulk = B
Paid Cash
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Dust
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= D
= P
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CHEMISTRY LABORATORY HOURS: Weekdays: 8am - 5pm
Dust RUSH PRIORITY STANDARD
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MICROBIOLOGY LABORATORY HOURS: Weekdays: 8am - 5pm
Viable Analysis"" PRIORITY STANDARD
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guaranteed. Additional fees apply for afterhours, weekends and holidays "
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Special Instructions:
a F c) c a O c� �0 H c O
Viables �:
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Instructions
Client Sample ID Number (Sample ID's must be unique)
ASBESTOS CHEMISTRY MICROBIOLOGY
1 1
. . . . . .
X
.............. ¢...... ¢...... ¢......................... ¢...........................
X
....... .............. ¢...... ¢...... ¢.................. ...... ¢...........................
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REI will analyze incoming samples based on information received and will not be responsible for errors or omissions in calculations resulting from the inaccuracy of original data. By signing, client/company representative agrees that submission of the following samples for requested analysis as indicated on this Chain of Custody shall consitute
analytical services agreement with payment terms of Cash or Check. Failure to comply with payment terms may result in a 1.5% monthly interest surcharge.
relinquished By: I�'\'1`5 Kathryn Mills Date/Time: 01/12/2021 9:25:26 Sample Condition: Acceptable
received By: River Pehrson-Alley Date/Time: 01/14/2021 11:04:15 Carrier: Hand
(303) 964-1986 5801 Logan St, Suite 100, Denver, CO 80216 vwvw.reilab.com
(866) RESI-ENV Page 1 of 1 https:Hclients.reilab.com
From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Residential Interior Remodel
Date: Monday, February 22, 20219:55:11 AM
Residential Interior Remodel
This application is exclusively for Residential Interior Remodels and other scopes
of work which do not have a specific form already available.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Property Address 4590 Saulsbury Street
Property Owner Name Kathryn Mills
Property Owner Phone 720-417-6321
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email kpmills85@gmail.com
Address
Attach City of Wheat Electronic Payment Form
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
APPLICANT INFORMATION
Applicant Name Kathryn Mills
What is your role in the Property Owner
project?
Are you performing the Yes, NO
work yourself, live in
the home and will be
living in the home 1
year after completion?
Attach Notarized
Field not completed.
Homeowner
(but otherwise same electric). Removing 2 non load bearing
Authorization Form
walls. Filling in Doorway and 1 window with brick. Replacing
Contact Phone Number
720-417-6321
(enter WITH dashes,
Moving location of oven and stove top.
eg 303-123-4567)
Contact Email Address
kpmills85@gmail.com
for Plan Review
Comments
Retype Contractor
kpmills85@gmail.com
Email Address
0]:R161ZI191[*]0N]&TO(O]N21
Detailed Scope of
Kitchen Remodel. Same Plumbing. Adding necessary outlets
Work - In the space
(but otherwise same electric). Removing 2 non load bearing
below (not as an
walls. Filling in Doorway and 1 window with brick. Replacing
attachment), Provide a
"backsplash" window with a single window above the sink.
detailed description of
Moving location of oven and stove top.
work including
mechanical, electrical,
plumbing work
occurring,
adding/removing walls,
etc
I, the applicant,
I have entered a detailed scope of work.
understand my
application will be
rejected if I do not
include a Detailed
Scope of Work.
Location of Work
Kitchen
Square Footage Area
182
of Work Being
Performed
Asbestos Report
482838-1.odf
Upload letter size Sketch of Current Kitchen.odf
documents here
Construction Plans
scanned on 11'x17" or
larger
Project Value (contract
value or cost of ALL
materials and labor)
Futu re_Kitchen_Render.j pg
35,000 Increase Valuation to $37,100
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
Person Applying for Kathryn Mills
Permit
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Email not displaying correctly? View it in your browser.
� ► � i City of Wheat Ridge
Homeowner Interior Remodel PERMIT - 202100332
PERMIT NO: 202100332 ISSUED: 05/10/2021
JOB ADDRESS: 4590 Saulsbury St EXPIRES: 05/10/2022
JOB DESCRIPTION: Kitchen Remodel to include adding electrical outlets, removing 2 non load
bearing walls, filling in Doorway and l window with brick, replacing
"backsplash" window with a single window above the sink, relocate oven and
stove top - 182 sq ft total
*** CONTACTS ***
OWNER (720)417-6321
MILLS
KATHRYN
SUB (303)234-1235
STEVE
SULLIVAN
018768 CARRY THE LIGHT ELECTRIC
GC (720)503-3548
KEITH
SIMMONS
210105 HIGH TERRAIN CONSTRUCTION LLC
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2405 /
BARTHS,
COULEHAN GRANGE,
WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 37,100.00
FEES
Total Valuation
0.00
Plan Review Fee
384.51
Use Tax
779.10
Permit Fee
591.55
** TOTAL **
11755.16
*** COMMENTS ***
*** CONDITIONS ***
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. If professionals are hired, those contractors are licensed with the
City of Wheat Ridge and are listed on the permit.
NOTE: Consultations and inspections will only be performed with the homeowner of record
present.
All roughs to be done at Framing Inspection.
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
Approved per plans and red -line notes on plans. Must comply with 2018 IRC, 2020 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
City of Wheat Ridge
Homeowner Interior Remodel PERMIT - 202100332
PERMIT NO: 202100332
JOB ADDRESS: 4590 Saulsbury St
JOB DESCRIPTION: Kitchen Remodel to include adding
bearing walls, filling in Doorway
"backsplash" window with a single
stove top - 182 sq ft total
ISSUED: 05/10/2021
EXPIRES: 05/10/2022
electrical outlets, removing 2 non load
and l window with brick, replacing
window above the sink, relocate oven and
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
05/10/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
✓_ CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Ll e 3 '
j -3c e S
Job Address:
_`-1 S� 0
S4
Permit Number:
20 i -7 0 5-S
-7 -7
❑ No one available for inspection: Time (050 AM/PM
Re -Inspection required: Yes
When corrections have been made, falkfor re -inspection at 303-234-593
t
D66 K--:) Inspector
DO NOT REMOVE THIS NOTICE
M
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
a
Inspection Type: `2 ° -7- �� a 1 ) � ►r, t;
Job Address: y Sc� o S a I s v ►-u
Permit Number: � 0 17 o -7 7
i J-1110)
❑ No one available for inspection: Time /O -- S zm-�OM
Re -Inspection required: YesNo:
When corrections have been made, call for re -inspection at 303 -234 -
Date: (o 12 ) 1),85 Inspector: -I—,N
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:S�-
Permit Number: o ! '7 o q 3 -7
U No one available for inspection: Time /0 :'S-1 AM/ M
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: (o a J Inspector: TiD
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
HO Exterior Remodel PERMIT - 201709376
PERMIT NO: 201709376 ISSUED: 12/01/2017
JOB ADDRESS: 4590 Saulsbury ST EXPIRES: 12/01/2018
JOB DESCRIPTION: Permit to install 5 new windows with new. All windows will be the same
size with no changes to the size. 3 bedroom windows, 2 livingroom windows.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications;
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or- CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalppermit 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, an violation of any provision of any
applicable code or any 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.
t-iiy cn
Wh6atR,.dge
COMMUNITY DEVELOPMENT
Official Certification of Property Owner for Non -Trade Specific Permit
THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently own the project
property. I attest I am personally performing all work, without the assistance of hired or professional workers,
or, if hiring sub -contractors, have the contractors doing the work listed on the permit. Consultations and
inspections will only be performed with the homeowner of record present at the project property.
-2I am the owner and live in the project property.
Property Owner(s):
Project Property
Project Type: e S i (.Q. oJ) 6tl
Notarized signature of Applicant
State of Colorado )
County of s7Te'j� kcS&-\ ) ss
The (oregoingynstrument was acknowledged by me this s�day of Qcen-tLf20f by
Notary Public
TAMARA D ODEAN
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20164015481
MY COMMISSION EXPIRES APRIL 22, 2020
My Commission Expires _�J Z Z /20?6
City cif
W heatklge-
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permitsgci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit #
-7 11to
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: _ `-� G9 D �� (rlJl/U cat UU Ila k- j4v
Property Owner (pleas
Property Owner Email
01
Mailing Address: (if different than property address)
Address: 15k_r l
State. Zi
hx baAt i/ Phone: J ?,0-LP2A_- SDS'Z
K e u lk- k a- e c) -w I
Architect/Engineer: r4 G r- ,-
Architect/Engineer E-mail: Phone:
Contractor: (t6'11�C %bV►�Q bl� Yl °'")
Contractors City License #: Phone:
Contractor E-mail Address:
Sub Contractors: gvt—L.
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 K 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.)
Cpl�" � )1-`1 , k �� m -ew-s
C�.lyw > t
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)
1 1tv
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 (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Signature (first and last name):
ZONING COMMMENTS:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
DATE: l Z i' I 1 /
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
- City of Wheat Ridge
HO Exterior Remodel PERMIT - 201709376
PERMIT NO: 201709376 ISSUED: 12/01/2017
JOB ADDRESS: 4590 Saulsbury ST EXPIRES: 12/01/2018
JOB DESCRIPTION: Permit to install 5 new windows with new. All windows will be the same
size with no changes to the size. 3 bedroom windows, 2 livingroom windows.
*** CONTACTS ***
OWNER (720)625-0068 SCHABACKER PAUL C
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,900.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 39.90
** TOTAL ** 89.90
*** 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.
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. Consultations and inspections will only be performed with the
homeowner of record present.
}
i
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: 1''� ►
Job Address: L/ 9 G L;"j n, y
Permit Number: 0 1 -) o
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for resin a titin at 303-234-5933
Date: �n Inspector:
DO NOT REMOVE HIS NOTICE
A i CITY OF WHEAT RIDGE
_1�9�Building Inspection Division i
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: I? D F
Job Address: g S 9-D -< fl o l s 4 3
Permit Number: b / -? (, / 7
❑ No one available for inspection: Time % / � 0 AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
'.Date:- Inspector. � r -
DO NOT REMOVE THIS NOTICE
1* � 4 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: M-r/D
Job Address: e/ _S /i 01 5UA-Y S 7`
Permit Number: ® / d' ?
❑ No one available for inspbctio : Time/ -> `:� AM/PM
Re -Inspection required Yes No
* When corrections have been made, call for re -inspection at 303-234-5933
Date: % Inspector:
DO NOT REMOVE CHIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201701678
PERMIT NO: 201701678 ISSUED: 06/07/2017
JOB ADDRESS: 4590 Saulsbury ST EXPIRES: 06/07/2018
JOB DESCRIPTION: Redeck and reroof 26.66 squares asphalt shingles roof
*** CONTACTS ***
OWNER (720)625-0068 SCHABACKER PAUL C
SUB (720)389-8371 Brant Langdim 100285 Great Roofing & Restoration
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,331.00
FEES
Total Valuation 0.00
Use Tax 195.95
Permit Fee 204.30
** TOTAL ** 400.25
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€rms 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's 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 - 201701678
201701678 ISSUED: 06/07/2017
4590 Saulsbury ST EXPIRES: 06/07/2018
Redeck and reroof 26.66 squares asphalt shingles roof
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applica le 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 thisye�
mitand perform the work describedand approved in conjunctionwith
thispermtrther attest that Iame ally authorized to include aetitiesnamed within this documentaspartiestothe work tobeperformed end that all work to be performed is disclosed in this doment and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made -be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees andprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a 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 an required
inspections and shajl_ngt proceed or conceal work without written approval of such work from the Building and Inspection Services
Division. >;
6. The issuance or grant' g-��ff' a p ni `sl o c strued to be a permit for, or an approval of, any violation of any provision of any
applicable code or any otitt e or reg 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.
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
CWheat j�idge
MMUNITy DEVELOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm itsaci.wheatridge.co.us
I FOR OFFICE USE ONLY I
Date:
Plan/Permit #
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be
processed. ***
Property Address:
Property Owner (please print): (,{ j_-%�I�,�� �( ��j,2 Phone: _7,-)&-(pJ1�;--G0tij`
Property Owner Email:
Mailing Address: (if different than property address)
Address
City, State, Zip:
Arch itectlEngineer: N% A
Architect/Engineer E-mail:
Phone:
� '� 1\(' - Contractor: C
Contractors City License #: / z)j S"s Phone:
Contractor E-mail Address: 0a)rrk)c:�
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL ❑ RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION H 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.)
A-sPA-Ac-�-
Sq. Ft./LF J(p -( L-1 Btu's
Amps
/gyp i2cp(-Ac�
Squares
4 psj(v�- b
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.
CIRCLEONE. (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Signature (first and last name): )/2&./� ` DATE:
J
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
Z
i CITY OF WHEAT RIDGE
Building Inspection Division
�9r(303)
(303) 234-5933 Inspection line_:
235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
L- S
Inspection Type: �ep w
Job Address: (/ f v L jV w
Permit Number: -) C
A -Th V 6 0 t,, 4 r J' b & 2'/r a IVYV,n S fly
4 A P ON 1,49' i*7 t- 0+ /_S & A w C /I
r-
17 R F pn u -pn t-+�)
b c--1 S- Q e 4D n n (j f --,Z)
❑ No one available for ins ection: Time 7V AM/PM
Re -Inspection required. Yes _o
When corrections have been made, call for re -inspection at 303-234-5933
Date:- � .` f $> Inspector:
DO NOT REMOVE THIS NOTICE
I
City of Wheat Ridge
HO Interior Remodel PERMIT - 201705877
PERMIT NO: 201705877 ISSUED: 08/10/2017
JOB ADDRESS: 4590 Saulsbury ST EXPIRES: 08/10/2018
JOB DESCRIPTION: Bathroom remodel - replace lighting, flooring, moisture barrier, new
toilet, replace cabinet and sink, new paint, tile and door - 45 sq ft
*** CONTACTS ***
OWNER (720)625-0068 SCHABACKER PAUL C
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,636.72
FEES
Total Valuation 0.00
Plan Review Fee 70.98
Use Tax 76.37
Permit Fee 109.20
** TOTAL ** 256.55
*** COMMENTS ***
*** CONDITIONS ***
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. Consultations and inspections will only be performed with the
homeowner of record present.
All roughs to be done at Framing Inspection.
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.
City of Wheat Ridge
HO Interior Remodel PERMIT - 201705877
PERMIT NO: 201705877 ISSUED: 08/10/2017
JOB ADDRESS: 4590 Saulsbury ST EXPIRES: 08/10/2018
JOB DESCRIPTION: Bathroom remodel - replace lighting, flooring, moisture barrier, new
toilet, replace cabinet and sink, new paint, tile and door - 45 sq ft
I, by in 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 awner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this ermit. I further attest that I am legally authorized to include alt entities named within this document as pames to the work to be
performed and that all ork to be performed is disclosed in this document andlor 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 pen -nit 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.pennit 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 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 and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4 No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
5. 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 ordifianc or regulatio his j ris iction. 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.
FOR OFFICE USE ONLY
ote: 4 10/n
i� "1
plan Review Fee.
Building Permit Application
Please complete all hi9blighted areas on both sides of this form. Incomplete applicationsmay not be pr000ssed.
Property Address: . . ........ _T;q0 3
Property Owner (please print): Phone, 2,61
Property Owner Emall:—
Address:
C4, State, Zi2:
hj° IOt- l�-- — — — — — — — — — — — — — — — — —
ffm
Contractor: W ez\� "v --
Phone:
City Li;censo #: Phone: M
Contractor E-mail Address,
Electrical:
W.P. City License #
Other City Licensed Sub:
City License #
Plumbing:
W,R, City License #
Other City Licensed Sub:
City License #
Mechanical:
WA, 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 SYSTEMIAPPLIANCE REPAIR or REPLACEMENT
PLUMBING SYSTEMIAPPLIANCE REPAIR or REPLACIv1I;=NT
ELECTRICAL SYSTEMIAPPLIANCE REPAIR or REPLACEMENT
OTHER
(Fear ALL projects, please provide a Opoilg>�3�,„Wdescription 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.)
Li �-kvu(311 r ►i c^, IrV1G� S'il� :'P_j�� Yl P v' f'. -'
cab yu
iavR
Sq. FOLlm _ Btu's Gallons
Amps �._ �_..__........_ Squares Other
Project Value, (Contract value or the crest sof all materials anti labor includes in the entire project)
$ 1 !GM ,6D
OWNER,,'CO r t'RAC TCR SICi iAI RE OF l NDERSTATtitJNG AND ACi R i<MENT
l hereby certify that the setback distances, propo xd by this perm�it application are accurate and do not ��iolate applicable ordinances, rales or
rugulations cif` the City of Wheat Ridge or covenants. easements or restrictions of record; that all rne;asurerrients shown and allegations mad arc
accurate; that 1 have read and agree to abide by all amditions printed on this application and that I assume full responsibility for Compliance
with applicable City of Wheat Ridge codes and t-,rdinances fbi, work under any perriiit issiwd based on this appiicatuin; that l am the legal owner
Or have been authorized by the legal tvtivner oi'the property to perfor-in the deseri'bed work and ant also aerthorized by the legal owner Lit any
entity included on this application to list that entity on this application.
CIRCLE0,,,VE. (C"OA7RAC"TOR) or (.AI%7I��RLe�d73 h'i �'�£;5:�`A'T;fTJi��� v�' (SIT#'.i';�it) (CONTRACTOR)
PIRINNAME: _...._5041AYAt,,-,___-S1GNA,�uRe:... ....._.......-� � —.._._..__DATE:, A�1f�.1._-Z._.
�. .
DEPARTMENT USE ONLY
ZONING COMMM ENTS. OCCUPANCY CLASSIFICATION
Reviewer
TYPE OF CONSTRUCTION
SPRiNKL£RED:— —_.._
BUILDIN ARTMENT COMMENTS CICCUPANT LOAD
Retie .:
SCCitiENTS �
PUBLIC WORKS M 101, / "
iI O 1
Reviewer V a
PROOF F §U§MISSION FORMS
Fire Department ❑ Receiveed ❑ Not Required
Water District i,.,i R eiYrwd ❑ Not Required
Sanitation District ❑ Received ❑ Not Requires!
q rin q0q.
ov It
Building Division Valuation: � 1r
i "
77.
,\
m
its
>
p
0
3z
�
O
s �� g�
cc
77.
,\
m
-sot, Occupancy/Type
NSPECTION RECORD
INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections
Date
Inspector Comments
Initials
Pier
Mid -Roof
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To ADDroval Of The Above Insnections
Underground/Slab Inspections
Date
Inspector Comments
Initials
Electrical
Wall Sheathing
Sewer Service
Mid -Roof
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
C7
Lath / Wall Tie
Rough Electric'
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits - Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
"For Inspection Time Window - Please email insptirnerequest@ci.wheatridge.co.US by 8:00 A.M. the morning of the
inspection with the property address in the subject line of the email. Time window is based on the inspector's route.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
* , City of Wheat Ridge
Residential Roofing PERMIT - 201701678
Jf
PERMIT NO: 201701678 ISSUED: 06/07/2017
JOB ADDRESS: 4590 Saulsbury ST EXPIRES: 06/07/2018
JOB DESCRIPTION: Redeck and reroof 26.66 squares asphalt shingles roof
*** CONTACTS ***
DWNER (720)625-0068 SCHABACKER PAUL C
SUB (720)389-8371 Brant Langdim 100285 Great Roofing & Restoration
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,331.00
FEES
Total Valuation 0.00
Use Tax 195.95
Permit Fee 204.30
** TOTAL ** 400.25
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding jN-inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€—s 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's 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.
M, P (�, L & �/ 4)-7 t----