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Builder Name: Thrive Nome Builders Rating Company: EnergyLogic
Permit Date/Number: Rater ID (RTIN): 5307972
Home Address: 7819 W 43rd Cir. Wheat Ridge, CO Rating Date: 2421-05-25
80433 Version: 3.0
Thermal Enclosure System
A complete thermal enclosure system that includes
comprehensive air sealing, quality -installed insulation
and high -performing windows to deliver improved
comfort and lower utility bilis.
Air Infiltration Test. 565 CFM60 (2.56 ACH50)
Primary Insulation Levels:
Ceiling: R-50 Floor: R-68
Wail: R-23 Slab: R-5
Primary Window Efficiency:
U -Value: 0.3 SHGC:0.31
Heating, Cooling, and Ventilation
System
A high -efficiency heating, cooling system. and
ventilation system that is designed and installed for
optimal performance.
Water Management System
A comprehensive water management system to
protect roofs, walls, and foundations.
.� tJ Flashing, a drainage plane, and site grading to move
water from the roof to the ground and then away
from the home.
Water-resistant materials on belcw-grade walls and underneath slabs to
reduce the potential for water entering into the home.
Total Duct Leakage: Duct Leakage to Outdoors:
44 CFM arta 25P3 (Rough -In. with 44 CFM @ 25Pa (3.691 100 ft=)
Air Handier)
Primary Heating (System Type • Fuel Type • Efficiency):
Furnace • Natural Gas • 96.5 AFUE
Primary Cooling (System Type • Fuel Type - Efficiency):
Air Conditioner • Electric • 13 SEER
Zero Energy Reference Existing
Home Home Homes
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while providing high -equality performance.
Management of moisture levels in building materials during construction
Energy Efficient Lighting and,
Appliances
Energy efficient products to help reduce utility bilis,
while providing high -equality performance.
ENERGY STAR Qualified Lighting: 100%
ENERGY STAR Qualified Appliances and Fans:
Refrigerators:0 Dishwashers:0
Ceiling Fans: 0 Exhaust Fans: 1
Primary Water Heater (System Type • Fuel Type • Efficiency) -
Water Heater • Natural Gas • 0.96 Energy Factor
This certificate provides a summary of the major e". rgy otiiciancy and other construction
features that Gontrihtafe to this home eaming fie r'JFRGY STAR. including its Ilnrne rnergy
Rating System iHcRSi seoro, as detormincd through indopordert inspoction and serification
performed by a Irainad pra:essiora: The Hama, Energy Rating Sys'pm is a natiohatly-recc jn'zed
uni`orm measurement at thr energy affriency of homes.
Note that a4aen a home contains mi ttale performance levels for a part hilar feature re g.,
Mndow of 6ency w' insulawn louelsi - he r eduminant value is shoon. Alsa., homes may be
ear, fwd. to earn the ENFRGY STAR us ng a s impt hg proknx l whereby one home Is randomly
seeded rrom a set of homes for represertative inspections and testing. In such cases, the
Features found in each holne within the set are iniended to meet at exceed the values presented
on this Can ficate. the actual values tar your home may d: fter, but atter oqu voientor better
perfo:rhance. This ceitif::a^e was prirtled using Ekottoiw- i<`-1— 3.2a.i3ts;
IECC 2012 Performance Compliance
Property
7819 W 43rd Cir
Wheat Ridge, CO 80033
Model: P1 I
Community: Westridge
7819 Ulf 43rd Cir Thrive
Reports
Organization
EnergyLogic
Jesse Marcus
Builder
Thrive Home Builders
Design
Heating
Coaling
Water Heating
SubTotal - Used to determine compliance
Lights & Appliances
Onsite generation
Total
Inspection Status
2021-05-25
Rater ID (RTIN): 5307972
RESNET Registered
(Confirmed)
Annual Energy Cost
IECC 2092 Performance
$213
$42
$154
$409
$396
$0
$805
Requirements
435.3
Performance -used ccrnpl=ance passes t+, 9-70,'.
402.4.1.2
Areakage Testing
402.5
A -ea -weighted ave•age fenes-•ation Sr.:C
402.5
Area -weighted ave -age fenest•-ation E:-Factcr
403.2.2
Duct Testinc
8404.1
i_ &ting- Equ:ipmert Effir-iency
Ft4G15A
f.'echar;cal Venf:la€ o- Efficacy
f.tandatcry Check ist
a, andatwy code requirements that are not
checked 3y Eko:-c{ e must be met,
8405-2
Duct Ir s-- at of
As Designed
$163
$52
$154
$369
$395
$0
$765
Air seal rg :s 2.56 ACH at 54 Pa. ` must not exceed 3.00 Aria at 50 Pa.
MGM
As a 3'd -art} exteisler o' the case }_ �isclictlar. u'llizln-c <hese reports. I certl%w that :his ene,g,, code'' cor ante docurnert t'as been c`eated Br. acct dance Y,ith the iegLrereri-s c`
Chapter 4 of the adopted inttmatiora Ere -gr Ccnse-vaticr Code based or: Climate Zone v. _i -at'na -s Fro iected, I ver: tin mat :he bL `,,ig design cesc;ibed he,ein is consistent k,'h
Me bi -Trig pians. speciFcatcis, a^d olhe- calc€rlatiors sr:^nti teh v.19h the permit apot.va'Ici ratinj is Ccnfirmed, i ce Vi ! that tae address re'erer:.ed above has been
irspected tested and that 'Me mandatcy pro.islons or the IECC `are beep nstaUs is r^ee: r evicee he intent of tie IECC or ll be veri`ed as such t,° ane ier par,.
Name:
Organization:
Jesse Marcus
Signature:
EnergyLogic Digitally signed: 612121 at 7:23 PM
Ekotrope RATER - Vers:cn 3.2.4.2685
IECC 21,12 Rer`o-n-a-ce cc-pliance -esu :s calcLlatea gsrrg Ekot•opa RATER`s enargy and code compl..ance a 3clthrn..
Ekotrope RA; ER is a RES%E7 Accredltsd rERS Radng Tooi. All resp.:s are based on data entered by Ekc'.rope users
E o ope dis air s a .lability far the information shown c t' is report.
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IECC 2412 Label
7879 W 43rd Cir
Model: P1 I
Ekotrope RATER - Version: 3.2.4.2685
HERS@ Index Score: 25
Building Envelope Specs
Ceiling: R-50
Above Grade Walls: R-23
Foundation Walls: NIA
Exposed Floor: R-68
Slab: R-5
Infiltration: 565 CFM50 (2.56 ACH50)
Duct Insulation: Supply: R0, Return: R0
Duct Lkg to Outdoors: 44 CFM @ 25Pa (3.69 i 100
ft2)
Window & Door Specs
U-Value: 0.3, SHGC: 0.31
Door: R-5
Mechanical Equipment Specs
Heating: Furnace • Natural Gas • 96.5 AFUE
Cooling: Air Conditioner • Electric » 13 SEER
Hot Water: Water Heater • Natural Gas • 0.96
Energy Factor
Average Mechanical Ventilation: 34 CFM
Builder or Design Professional
Air Leakage Report
Property Organization Inspection Status
7819 W 43rd Cir EnergyLogic 2021-05-25 lheer.er�gyog=or
Wheat Ridge, CO 80033 Jesse Marcus Rater ID (RTIN): 5307972
Model: P1 I RESNET Registered
Community: Westridge Builder (Confirmed)
Thrive Home Builders
7819 W 43rd Cir Thrive
Reports
General Information
Air Leakage
Measured Infiltration
Conditioned Floor Area [ft2]
1,192.9
2.56
EIA [sq. in.] (Calculated)
Infiltration Volume [ft]
13,234.27
0.850
CFM50 (Calculated)
Number of Bedrooms
2
0.154
Air Leakage
Measured Infiltration
1565 CFM50 (2.56 ACH50)
ACH50 (Calculated)
2.56
EIA [sq. in.] (Calculated)
;31.08
ELA per 100 s.f. Shell Area (Calculated)
0.850
CFM50 (Calculated)
565
CFM501 s.f. Shell Area (Calculated)
0.154
Duct Leakage
Mechanical Ventilation
Rate [CFM]
System 1
Leakage to Outdoors
44 CFM @ 25Pa (3.691 100 ft2)
Total Leakage Test Type
Rough -In, with Air Handler
Total Leakage [CFM @ 25 Pa]
44.0
Total Leakage [CFM251100 s.f.]
3.7
Total Leakage [CFM251 GFA]
0.037
Mechanical Ventilation
Rate [CFM]
34 CFM
Hours per day
24.0
Fan Power
15 Watts
Recovery Efficiency %
0.0
Runs at least once every 3 hrs?
false
Average Rate [CFM]
34.0 CFM
2010 ASHRAE 62.2 Req. Cont. Ventilation
34.4
2013 ASHRAE 62.2 Req. Cont. Ventilation
58.3
Ekotrope RATER - Version 3.2.4.2685
All results are based on data entered by Ekotrape users. Ekotrope disclaims all liability for the informatlon shown on this report_
Property
Organization
7819 W 43rd Cir
EnergyLogic
Wheat Ridge, CO 80033
Jesse Marcus
Model: P1 I
Community: 'Nestridge
Builder
Thrive Home Builders
7819 W 43rd Cir Thrive
Reports
General Building Information
Number Of Bedrooms
2
Number Of Floors
-3-
Conditioned Floor Area [sq ft ]
1.1929
Has Electric Vehicle Ready Space
No
Unconditioned, attached garage?
Yes
Conditioned Volume [cu- ft.]
13,234.27
Total units in Building
3
Residence Type
Townhouse, inside unit
Floor Number
Model
P3 I
Community
Westridge
Climate Zone
5B
Foundation Wall
None Present
Foundation Wall Library List
None Present
Slab
Name Library Type Perimeter Floor Grade
Entry R5 ander fuli 28.1
On Grade
Inspection Status
2021-05-25 thee ne•gy.ogc.co-
Rater ID (RTIN): 5307972
RESNET Registered (Confirmed)
Carpet Exposed SurfaceArea
MasonryArea
1 0 97.4 it' Exposed Exterior Conditioned
Space
Location Enclosing
Slab Library List
Name Wall Construction Slab Completely Underslab Perimeter Perimeter Thermal Break Effective R -value
Type Insulated. Insulation Width [ft] Insulation Depth Uq Insulation R Value
R5 under full Wood Frame:G:her Yes SC 0 0 No 5.00
Framed Floor
Name Library Type Carpet R Floor Grade
Garage Cant- — 16" R68 16"CC BF -- v- 7 - Abme Grade
SurfaceArea Location
501-6ft, -ineoncfioned.a-ached
garage
J
Property
Organization
7819 W 43rd Cir
EnergyLogic
Wheat Ridge, CO 80033
Jesse Marcus
Model: P1 I
Community: Westridge
Builder
Thrive Home Builders
7819 W 43rd Cir Thrive
Reports
Framed Floor Library List
Name
Effective R -value
16" R68 16"OC BF
61 394
Rim Joist
Name
Ambient
Party
Library Type
R 32.0
R 32.0
Rim Joist Library List
Name Effective Insulation R -value
R 32.0 3: Mi
1
Wall
Name Library Type
2X6 2x6 R23 16 OC 897 G1
Garage 2x6 R23 24 OC BIG:. -n F,berwass
Party Wall 2X1 R13 19'0C Cellr: ose
Wali Library List
Name Effective R -value
2x4 R13 16" OC Cellulose 12 174
2x6 R23 16" OC BF GI '8 498
2x6 R23 24" OC Blown Fiberglass 19 16
Inspection Status
2021-05-25
Rater ID (RTIN): 5307972
RESNET Registered (Confirmed)
Surface Color
Medium
Medium
Medium
Surface Area
44.0 ft'
Location
Exposed Erer,Jr
96.0 fl' Conc tioneo Space Adlabat:C'
Surface Area
Location
661.0 fl' Exposed Exterior
183 5 fi' Unconditioned, attached garage
1 47-1.8" Conditioned Space (Adiabatic)
Building Summary
Property
Organization
Inspection Status
7819 W 43rd Cif
EnergyLogic
2021-05-25
theens,^v 'ogccc r
p-
Wheat Ridge, CO 80033
Jesse Marcus
Rater 10 (RTIN): 5307972
Model. P1 I
RESNET Registered (Confirmed)
Community: Westridge
Builder
Thrive Home Builders
7819 W 43rd Cir Thrive
Reports
Glazing
Name Library Type
Wali Foundation
Is Operable
Overhangg Overhang Ft To Overhangg
FY To
Orientation
Surface Area
Assignment Wali
Deptf� Top Sottom
Assignment
Back— —3031
2X6
Yes
0 0
0
East
36.0 its
Back - Copy 2933
2X6
Yes
0 0
fl
East
48.0 ftF
Front 3031
2X6
Yes
0 0
0
West
68.0 TV
Front - Copy 3031
0 0
0
West
24.0 it'
2X6
Yes
Glazing Library List
Name
Shgc
U -factor
2933
3031
0.33
0.290
0.31 0.300
Skylight
None Present
Skylight Library List
None Present
Opaque Door
Name Library Type Wall Assignment Foundation Wail
Assignment
Garage�R 5 Garage Entry Garage
Emittance Solar Surface Color Surface Area
Absorptance
0.9 0.75 Medium
Location
210112 Exposed Exterior
Property Organization Inspection Status
7819 W 43rd Cir EnergyLogic 2021-05-25
Wheat Ridge, CO 80033 Jesse Marcus Rater ID (RTIN); 5307972
Model: P1 I RESNET Registered (Con7irrned)
Community. Westridge Builder
Thrive Home Builders
7819 W 43rd Cir Thrive
Reports
Opaque Door Library List
Name Effective R -value
R 5 Garage Entry--- — 500
Roof Insulation
Name Library Type Attic ExteriorArea (ft'] Clay or Concrete Roof Surface Color
Tiles
Flat Main R-5 B� 24'ec 594 —� No Medium
Roof Insulation Library List
Name Has Radiant Barrier Effective R -value
........ - .... --- — -
R-50 Bt= 24"oc NO 50.614
Whole House Infiltration
Infiltration Measurement Type Shelter Class
565 CFM at 50 Pa Birwer-docr tested 4
t heene'yv.o�q ic.'c orn
SurfaceArea Location
594 0 fF Attic
wi—M a
Mechanical Ventilation
Ventilation Type Ventilation Rate [it' I
Operational hours per day
Fan Watts
Runs once every three Energy Recovery Percent
Minute]
hours
Exhaust Only 34 CF,I
24
— -- - — 15 " latts
No — 0
Lighting
% Interior Fluorescent % Interior LED Lighting
% Exterior Fluorescent
% Exterior LED Lighting
% Garage Fluorescent % Garage LED Lighting
Lighting
Lighting
Lighting
0 100
0
100
0 10"
I
Property
Organization
7819 W 43rd Cir
EnergyLogic
Wheat Ridge. CO 80033
Jesse Marcus
Model: P1 I
Community: +IWestridge
Builder
0%
Thrive Nome Builders
7819 W 43rd Cir Thrive
Reports
0%
Onsite Generation
100%
None Present
Onsite Generation Library
List
None Present
Solar Generation
Index
Track Mode Nameplate Capacity (kWdc)
1
Faced 2.7 kW
Dehumidifier
Dehumidifier Library List
None Present
None Present
Inspection Status
2021-05-25 theena'gv'cy};C.Ccm
Rater ID (RTIN): 5307972
RESNET Registered (Confirmed)
Derate Factor orientation (deg) Tilt (deg)
_81 270° 14`
Conditioning Equipment
Name Library Type Heating Percent Load Cooling Percent Load Hot Water Percent Load
Cooling Equipment 13SEER 24137- ton~ 0% 10c". 0%
Entry Heat Thrive Garage Po.�icer Room
8%
0%
0°0
Heating Equipment. 59SC5130"OE17--12
92%
0%
0%
Water Heater NPE-240-42
0%
0'"
100%
Location
Conclaicned Space
Condtianed Space
Cond1lonea Space
Cond,tieneo Space
5
Property
Organization
7819 W 43rd Cir
EnergyLogic
Wheat Ridge, CO 80033
Jesse Marcus
Model_ P1 I
Motor Type
Community: Westridge
Builder
13 SEER
Thrive Home Builders
7819 W 43rd Cir Thrive
Reports
Equipment Type: 13SEERi24BTU 2 ton
Equipment Type
Air Conditioner
Fuel Type
BeEffic
Distribution Type
Forced Air
Motor Type
ECM (Variable Speed)
Cooling Efficiency
13 SEER
Cooling Capacity [kBturh]
24
Equipment Type: 59SC513040E17-12
Equipment Type
Fuel Type
Distribution Type
Motor Type
Heating Efficiency
Heating Capacity [kBtulh]
Use default EAE
EAE [kWh]
Equipment Type: NPE-24OA2
Equipment Type
Fuel Type
Distribution Type
Hot Water Efficiency
Tankiess'?
Hot Water Capacity [kBtulh]
Recovery Efficiency
Furnace
Natural Gas
Forced Air
RSC (Single Speed)
96.5 AFUE
39
Yes
550.7
Water Heater
Natural Gas
Hydronic Delivery (Radiant)
0.96 Energy Factor
Yes
1999.
0 98
Equipment Type: Thrive Garage Powder Room
Equipment Type Resistance Heater
Fuel Type Electric — —
Distribution Type Radiant
Heating Efficiency 1 Adjusted Efficiency
Heating Capacity [kBtulh] 1 7
Inspection Status
2021-05-25
Rater ID (RTIN). 5307972
RESNET Registered (Confirmed)
thee*`e-g 'og)C,cc^'
on
i ! J
Property
Organization
7819 W 43rd Cir
EnergyLogic
Wheat Ridge, CO 80033
Jesse Marcus
Model: P1 I
1;192.9
Cornmunity: Westridge
Builder
Supply Duct R Value
Thrive Home Builders
7819 W 43rd Cir Thrive
0
Reports
570.267
Distribution System
Distribution Type
Forced Air
Heating Equipment
Ming Equipment
Cooling Equipment
Cooling Equipment
Sq. Feet Served
1;192.9
Return Grilles
2
Supply Duct R Value
0
Return Duct R Value
0
Supply Duct Area [ftp]
570.267
Return Dud Area [ftp}
316.815
Leakage to Outdoors
44 CFM @ 25Pa (3.69 1100 ft2)
Total Leakage
44 CFM25
Total Leakage Duct Test Conditions
Rough -in: with Air Handler
Use Default Flow Rate
Yes
Duct 1
Duct Location
Conditioned Space
Percent Supply Area
100
Percent Return Area
100
Duct 2
Duct Location
Conditioned Space
Percent Supply Area
0
Percent Return Area
0
Duct 3
Duct Location
Conditioned Space
Percent Supply Area
0
Percent Return Area
0
Dud 4
Dud Location
Conditioned Space
Percent Supply Area
0
Percent Return Area
0
Duct 5
Duct Location
Conditioned Space
Percent Supply Area
0
Percent Return Area
0
Duct 6
Duct Location
Conditioned Space
Percent Supply Area
0
Percent Return Area
0
Distribution System
Distribution Type Radiant
Heating Equipment Entry Heat
Is All Equipment In Conditioned Space Yes
Leakage Default HERS Default Leakage
Duct System Efficiency 1
Ceiling Fan
Has Ceiling Fan No
Cfm Per Watt
Inspection Status theere• eg'�,nc^
2021-05-25 gy.
Rater ID (RTIN): 5307972
RESNET Registered (Confirme(j)
7
Property
7819 W Aird Cir
Wheat Ridge, CO 80033
Model: P11 I
Community: Westridge
7819 W 43rd Cir Thrive
Reports
Water Distribution
Water Fixture Type
Use Default Hot Water Pipe Length
Hot Water Pipe Length [ft]
At Least R3 Pipe Insulation?
Hot Water Recirculation System?
Hot Water Branch Length [ft]
Recirculation System Control
Recirculation Pump Power [Watts]
Shared9
Recirculation System Pipe Loop Length (ft]
Drain Water heat Recovery?
Clothes [fryer
Cef
Fuel Type
Field Utilization
Is Outside Conditioned Space
Clothes Dryer Available
Defaults Type
Clothes Washer
Label Energy Rating
Annual Gas Cost
Electric Rate
Gas Rate
Capacity
Imef
Defaults Type
Is Outside Conditioned Space
Clothes Washer Available
Dishwasher
Dishwasher Efficiency
Dishwasher Size
Is Outside Conditioned Space
Appliances and Controls
Organization
EnergyLogic
Jesse Marcus
Builder
Thrive Home Builders
Low -flow
No
38
No
Yes
35
'Presence Sensor Demand Control
50
No
77
No
26173913
Electric
Timer Controts
No
Yes
HERS Reference
Inspection Status
2021-05-25
Rater ID (RTIN)_ 5307972
RESNET Registered (Confirmed)
152 kWhfYear
$12.00 —
$0.121kWh
$1.09,'Therm
42
2.06
ENERGY STAR
No
Yes
270 kWh
e Standard
No
Programmable thermostat? Yes
RangelOven Fuel Natural Gas
Convection Oven? No
Induction Range? No
Range/Oven Outside Conditioned Spaces No
Refrigerator Consumption 673 kWh/Year
Refrigerator Outside Conditioned Space) No
theertergy-,q'c .c c'r,
1.1
Building Summary
Property
7819 W 43Td Cir
Wheat Ridge, CO 80033
Model: P1 I
Community:'Nestridge
7819 W 43rd Cir Thrive
Reports
Notes
Organization
EnergyCogic
Jesse Marcus
Builder
Thrive Home Builders
Inspection Status
2021-05-25 1 i3eenefgyiogic,vorn
Rater ID (RTIN): 5307972
RESNET Registered (Confirmed)
RESNET HOME ENERGY
RATING Standard Disclosure tr,eenr; og;c.rcn
For home(s) located at: 7819 W 43rd Cir, Wheat Ridge, CO
Check the applicable disclosure(s)_
:Cj1. The Rater or the Raters employer is receiving a fee for providing the rating on this home.
,_7,"2. In addition to the rating, the Rater or the Raters employer has also provided the following consulting services
for this home:
!J -A. Mechanical system design
B. Moisture control or indoor air quality consulting
C_ Performance testing and/or commissioning other than required for the rating itself
D. Training for sales or construction personnel
E. Other(specify)
13. The Rater or the Raters employer is:
.i A. The seller of this home or their agent
B. The mortgagor for some portion of the financed payments on this home
[� C. An employee, contractor, or consultant of the electric and/or natural gas utility serving this home
L_;4. The Rater or Raters employer is a supplier or installer of products, which may include:
Products
Installed in this home by
OR is in the business of
HVAC systems
Rater
l__'Employer
?Rater
Employer
Thermal insulation systems
F'Ra#er
I—I'Employer
Rater
Employer
Air sealing of envelope or duct systems
'Rater
L-.
;�iEmployer
;—;Rater
-
Employer
Energy efficient appliances
�_iRaterjjEmployer
"i Rater
Employer
Construction (builder. developer, construction contractor, etc)
[-'Rater
Employer
- _TFtater
iEmployer
Other (specify):— -T
� : Rater
r_1Employer
I Rater
{ T� Employer
15. This home has been verified under the provisions of Chapter 6, Section 603 "Technical Requirements for
Sampling" of the Mortgage Industry National Home Energy Rating Standard as set forth by the Residential Energy
Services Network (RESNET). Rater Certification #: 5307972
Name: Jesse Marcus
Organization: EnergyLogic
Signature:
Digitally signed: 6/2/21 at 7:23 PM
I attest that the above information is true and correct to the best of my knowledge. As a Rater or Rating
Provider I abide by the rating quality control provisions of the Mortgage Industry NationalHome Energy Rating
Standard as set forth by the Residential Energy Services Network(RESNET). The national rating quality
control provisions of the rating standard are contained in Chapter One 102.1.4.6 of the standard and are
posted at
https:/Istandards.resnet.us
The Home Energy Rating Standard Disclosure for this home is available from the rating provider.
RESNET Form 03001-2 -Amended March 20, 2017
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YOUR HOME WAS DESIGNED, ENGINEERED, AND
CONSTRUCTED IN CONFORMANCE TO U.S
DEPARTMENT OF ENERGY (DOE) GUIDELINES
FOR EXTRAORDINARY LEVELS OF EXCELLENCE
AND QUALITY:
ZERO
ENERGY READY HOME
U.S. DEPARTMENT OF ENERGY
Address:
7819 W 43rd Cir, Wheat Ridge, CO 80033
Builder: Thrive Home Builders
Inspector: EnergyLogi-c
Date: 2021-05-25
HERS Score: 25
ZERH Target Score: 58
THIS HOME MEETS OR EXCEEDS 'rHE MINIMUM
CRITERIA FOR THE FOLLOWING:
ENERGY STAR V3
ENERGY STAR V3.1
2012 INTERNATIONAL ENERGY CONSERVATION CODE
More Energy
ISO
Existing 140
Homes 130
120
110
Reference 100
Home
90
80
70
64
so
2
30
- o
Zero Ener —
10 This Home
gy
H.
0
'W- Less Energy
�,2013 RESNE7
SAM RASHKIN, CHIEF ARCHITECT
BUILDING TECHNOLOGIES
U.S. DEPARTMENT OF ENERGY
Ekotrope RATER - Version 32.4.2685
Al: resu:ts are based c-• da'a entered t E%otrope users, €kotrope disda me al' fabi ,ty for the inferma"on show:, on this rep3rt,
45L Tax Credit
Property
7819 W 43rd Cir
Wheat Ridge, CO 80033
Model: P1 I
Community: Westridge
7819 W 43rd Cir Thrive
Reports
Organization
EnergyLogic
Jesse Marcus
Builder
Thrive Home Builders
Inspection Status
2021-05-25
Rater ID (RTIN): 5307972
RESNET Registered
(Confirmed)
RESNET Confirmed Rating
Normalized Modified End -Use Loads (MBtu 1
year)
Category 2006 IECC 50% As Designed
Target
Heating 9.2 7.7
Cooling 1.5 2.8
Total 10.7 10.5
Building Features
theer.e,g± o;a:c cc^-
Envelope Loads (MBtu t year)
Category 2006 IECC As Designed
90% Target
Heating 16.5 9.7
Cooling 2.7 3.8
Total 19.2 13.5
Ceiling U: 0.02 Heating System: Furnace • Natural Gas • 96.5
Wall U: 0.054 AFUE
Framed Floor U: 0.016 Cooling System: Air Conditioner • Electric • 13
Slab R: R-5 SEER
Glazing Properties: U -Value: 0.3, SHGC: 0.31 Duct Leakage to Outside: 44 CFM @ 25Pa (3.691 100
W)
This home meets the requirements for the residential energy efficiency tax credit under section 1332, Credit for
Construction of New Energy Efficient Homes, of the Energy Policy Act of 2005. Builder should verify that the 45L Tax
Credit is available for the year in which this home was built.
The undersigned certifier verifies that:
(1) The dwelling unit has a projected level of annual heating and cooling energy consumption that is at least 50 percent
below the annual level of heating and cooling energy consumption of a reference dwelling unit in the same climate zone;
(2) Building envelope component improvements alone account for a level of annual heating and cooling energy
consumption that is at least 10 percent below the annual level of heating and cooling energy consumption of a reference
dwelling unit in the same climate zone; and
(3) Heating and cooling energy consumption have been calculated in the manner prescribed in section 2.03 of this notice.
(4) Field inspections of the dwelling unit (or of other dwelling units under the ENERGY STARO for Homes Sampling
Protocol Guidelines) performed by the eligible certifier during and after the completion of construction have confirmed that
all features of the home affecting such heating and cooling energy consumption comply with the design specifications
provided to the eligible certifier.
"Under penalties of perjury, I declare that I have examined this certification, including accompanying documents, and to the
best of my knowledge and belief, the facts presented in support of this certification are true, correct, and complete."
Name:
Organization:
Jesse Marcus
EnergyLogic
Signature:
Digitally signed
'00�
612121 at 7:23 PM
Ekotrope RATER - Version 3.2.4.2685
All results are based on data entered by Ekotrope users. Ekotrope disclaims all liability for the information shown on this report.
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: Li wV
Job Address: -7 C/ 1. Ll 3 r d P)
Permit Number: 'Z. 7_-C,L Z 1 C- i
❑ No one available for inspection: Time to - ? c' AM/PM
Re -Inspection required: Yes(x N
When corrections are complete, schedule re -inspection online.
Date:..,, _ I I _I o -7 t Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: M )p
Job Address: %S(q h! q3 J P1
Permit Number: 20 Z®® 7�c
❑ No one available for inspection: Time 10 Zv UPM
Re -Inspection required: Yes fVo
b
When corrections are complete, schedule re -inspection online.
Date: &jd-10'71 Inspector:
DO NOT REMOVE THIS NOTICE
Inspection Type:
Job Address:
Permit Number:
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
'When corrections are complete, schedule re -inspection online.
Date: Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
V, Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:= l 9 L'ls''
_ �-
Permit Number: `� y ;;a 'o Z- ,lad'
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No,.
When corrections are complete, schedule re -inspection online.
Date: 7 �� Inspector:
DO NOT REMOVE THIS NOTICE
218 South Ivanhoe Street, Suite 5
Da ver, CO 80222
Ph ne: (303) 759-8100
FIELD OBSERVATION REPORT Report#: EX -000002
Client:
Project:
TH Yarrow LLC 185526-5R
1875 Lawrence Street, Suite 900 7819 W 43rd PI, Lot 5, Block 3
Denver, CO 80202 Yarrow Gardens
Wheatridge, CO
CAVATION OBSERVATION
Date: 12/02/2020
Knauff, Stephen
requested, an excavation observation was performed on this date for the subject lot. The soils exposed at the current grades during
visit appear generally consistent with those found and logged in the subject soil report. Based on the soils exposed in the
;avation, it is our opinion the bearing pressures provided in the subject soil report can be used for the recommended foundation
stem. If additional cuts and/or fill placement occurs on the subject lot, and/or if weather conditions cause a significant change in soil
editions, please notify this firm so that we may re-evaluate the affected excavation. If you have any questions, please call.
,servations were conducted on a part-time, on-call basis.
12102/2020
Kenneth R. Broseghini, P.E.
Senior Engineer
Observations are conducted on a part-time, on-call basis (unless noted otherwise). Information obtained by our Page 1 of 1
fie!d representative pertain only to the portions of the foundation/construction items observed during our site visit.
Our opinions presented in this report are based on our knowledge of this project, our experience with similar
cotiditions and the standard of care normally practiced by other geotechnical engineers in this area and upon a
re sonable presumption that unobserved conditions were properly constructed.
Residential
2183 South Ivanhoe Street, Suite 5
De ver, CO 80222
Phone: (303) 759-8100
FIELD OBSERVATION REPORT Report #; EF -000002
Client:
Project:
TH Yarrow LLC 185526-5R
1875 Lawrence Street, Suite 900 7819 W 43rd PI, Lot 5, Block 3
Denver, CO 80202 Yarrow Gardens
Wheatridge, CO
CAVATION AND FOOTING FORM OBSERVATIONS
Date: 12/07/2020
nician: Retoff, John
As requested, excavation and footing form observations were performed on this date for the subject lot. The soils exposed at the current
grades during our visit appear generally consistent with those found and logged in the subject soil report. It is our opinion the bearing
pressures provided in the subject soil report can be used for the recommended foundation system. It is also our opinion that the
footing forms, foundation void (if required), and reinforcement (if required) we observed on this date were placed in general
co formance with the project plans provided to us and our recommendations. If you have any questions regarding this information,
please call. Observations were conducted on a part-time, on-call basis.
Id Weather Precautions: We recommend using cold weather concreting techniques.
�- "All
t 1
i
f
12/07/2020
Kenneth R. Broseghini, P.E.
Senior Engineer
;ervations are conducted on a part-time, on-call basis (unless noted otherwise). Information obtained by our Page 1 of 1
1 representative pertain only to the portions of the foundation/construction items observed during our site visit.
opinions presented in this report are based on our knowledge of this project, our experience with similar
ditions and the standard of care normally practiced by other geotechnical engineers in this area and upon a
>onable presumption that unobserved conditions were properly constructed.
111�DIAGW
FIELD OBSERVATION REPORT Report#: STL-000002
Re
idential Client: Project:
218
South Ivanhoe Street, Suite 5
De
ver, CO 80222 TH Yarrow LLC 185526-5R
Phc
ne: (303) 759-8100 1875 Lawrence Street, Suite 900 7819 W 43rd PI, Lot 5, Block 3
Denver, CO 80202 Yarrow Gardens
Wheatridge, CO
FOUNDATION
WALL REINFORCING OBSERVATION
Activity
Date: 12/15/2020
Te
hnician: Baxter, George
As
requested, we arrived on site on this date to observe the reinforcing steel within the foundation wall forms. It is our opinion that the
well
reinforcing steel we observed on this date was in general conformance with the project plans provided to us. It must be
understood
that checking final form positioning is not within our scope of work. If you have any questions regarding this information,
please
call. Observations were conducted on a part-time, on-call basis.
Cc
Id Weather Precautions: We recommend using cold weather concreting techniques.
Te
Concrete Encased Electrode (CEE) was installed on this date at the following location(s):
3
Feet East Of Southwest Garage Corner
32593
12/16/2020
Kenneth R. Broseghini, P.E.
Senior Engineer
Observations
are conducted on a part-time, on-call basis (unless noted otherwise). Information obtained by our Page 1 of
field
representative pertain only to the portions of the foundation/construction items observed during our site visit.
Our
opinions presented in this report are based on our knowledge of this project, our experience with similar
conditions
and the standard of care normally practiced by other geotechnical engineers in this area and upon a
reasonable
presumption that unobserved conditions were properly constructed.
Rei idential
218 South Ivanhoe Street, Suite 5
Der ver, CO 80222
Phc ne: (303) 759-8100
FIELD OBSERVATION REPORT Report VD -000002
Client:
TH Yarrow LLC
1875 Lawrence Street, Suite 900
Denver, CO 80202
F6UNDATION VOID OBSERVATION
Date: 12/16/2020
Knauff, Stephen
Project:
18552&-5R
7819 W 43rd PI, Lot 5, Block 3
Yarrow Gardens
Wheatridge, CO
requested, we arrived on site on this date to observe the in-place foundation void. The purpose of our visit is to observe for concrete
usion within the foundation void forms and that the void material was not crushed; correct placement of the void forms was not
ified at this time. It is our opinion that the portions of the void space below the grade beams that we observed on this date were not
shed and were free of concrete. If you have any questions regarding this information, please call. Observations were conducted on a
t -time, on-call basis.
12/16/2020
Kenneth R. Broseghini, P.E.
Senior Engineer
;ervations are conducted on a part-time, on-call basis (unless noted otherwise). Information obtained by our Page 1 of 1
representative pertain only to the portions of the foundation/construction items observed during our site visit.
opinions presented in this report are based on our knowledge of this project, our experience with similar
ditions and the standard of care normally practiced by other geotechnical engineers in this area and upon a
>onable presumption that unobserved conditions were properly constructed.
�i
218P South Ivanhoe Street, Suite 5
Deriver, CO 80222
Ph ne: (303) 759-8100
FIELD OBSERVATION REPORT Report#: EX -000004
Client:
Project:
TH Yarrow LLC 185526-5R
1875 Lawrence Street, Suite 900 7819 W 43rd PI, Lot 5, Block 3
Denver, CO 80202 Yarrow Gardens
Wheatridge, CO
CAVATION OBSERVATION
e Entrance Grade Beam Repair
Date: 01/26/2021
nician: Knauff, Stephen
As requested, an excavation observation was performed on this date for the subject lot. We understand that the existing grade beams
at he entrance to the garage did not achieve frost depth and that the excavation at this area was required to be dug deeper to allow for
the grade beams to be constructed at a lower elevation. The soils exposed at the current grades during our visit, for this portion of the
ex avation, appear generally consistent with those found and logged in the subject soil report. Based on the soils exposed, it is our
op nion the bearing pressures provided in the subject soil report can be used for the recommended foundation system. If additional
cu:s and/or fill placement occurs on the subject lot, and/or if weather conditions cause a significant change in soil conditions, please
no ify this firm so that we may re-evaluate the affected excavation. If you have any questions, please call. Observations were conducted
onla part-time, on-call basis.
Weather Precautions:
Wo recommend using cold weather precautions to prevent the subgrade from freezing. As your contractor begins to form footings after
ou visit, it is up to your third party footing form observer to observe that the subgrade is prepared for concrete placement (i.e. frozen
so Is are not present). Additionally, it is up to your contractor(s) to mitigate frozen soil and to provide frost protection up until foundation
01/28/2021
Kenneth R. Broseghini, P.E.
Senior Engineer
Ob ervations are conducted on a part-time, on-call basis (unless noted otherwise). Information obtained by our Page 1 of 1
fie!d representative pertain only to the portions of the foundation/construction items observed during our site visit.
Our opinions presented in this report are based on our knowledge of this project, our experience with similar
cor ditions and the standard of care normally practiced by other geotechnical engineers in this area and upon a
reasonable presumption that unobserved conditions were properly constructed.
., N,, :. . '4 toA fv I14,
ReE idential
218 D South Ivanhoe Street, Suite 5
Der ver, CO 80222
Phc ne: (303) 759-8100
FIELD OBSERVATION REPORT Report#: EESTHR-000004
Client:
TH Yarrow LLC
1875 Lawrence Street, Suite 900
Denver, CO 80202
E VIRONMENTAL EXHAUST OBSERVATION
Te hnician: Baxter, George
Project:
185526-5R
7819 W 43rd PI, Lot 5, Block 3
Yarrow Gardens
Wheatridge, CO
As requested, we arrived on the subject site to observe portions of the sub -slab exhaust and/or radon system on the date indicated. It is
ou opinion that the observed portions of the this system were found to be in substantial conformance with the project specifications. If
you have any questions, please call. Observations are conducted on a part-time, on-call basis.
01/13/2021
Kenneth R. Broseghini, P.E.
Senior Engineer
nervations are conducted on a part-time, on-call basis (unless noted otherwise). Information obtained by our Page 1 of 1
f representative pertain only to the portions of the foundation/construction items observed during our site visit.
opinions presented in this report are based on our knowledge of this project, our experience with similar
ditions and the standard of care normally practiced by other geotechnical engineers in this area and upon a
sonable presumption that unobserved conditions were properly constructed.
1* � � i City of Wheat Ridge
�� Residential Solar PERMIT - 202100291
PERMIT NO: 202100291 ISSUED: 02/16/2021
JOB ADDRESS: 7819 W 43rd Pl EXPIRES: 02/16/2022
JOB DESCRIPTION: Yarrow Gardens - Install PV solar system, 2.72 kw, 8 LG panels
*** CONTACTS ***
OWNER (303) 809-3069 WESTRIDGE LLC
SUB (303)447-0300 JEFF DENOVAN 090413 NAMASTE SOLAR ELECTRIC LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2936 / SHARON MANOR / WESTPARK BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 91248.00
FEES
Total Valuation 0.00
Residential Solar 500.00
** TOTAL ** 500.00
*** COMMENTS ***
*** CONDITIONS ***
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.
I, by my signature, do hereby attest that the work to, be performed shall comply with all accompanying approved plans and specifications,
applicae building codes, and all applicable municpal 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 alI entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
02/16/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Kimberly Cook
From:
no-reply@ci.wheatridge.co. us
Sent:
Monday, February 15, 2021 5:00 PM
To:
CommDev Permits
Subject:
Online Form Submittal: Solar PV Installation
Categories: Kim
Solar PV Installation
This application is exclusively for Solar PV Installations
YOU MUST ATTACH A VALID ELECTRONIC PAYMENT ORM 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 Solar Yes
PV Installation?
Property Address 7819 W 43rd Place, Wheat Ridge, CO
Property Owner Name Thrive Home Builders
Property Owner Phone 303-319-4548
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email amarti@thrivehomebuiIders.com
Address
Attach City of Wheat Ridge Electronic Payment Form SSEG.pdf
Electronic Payment Form -
**DO NOT ATTACH A
PICTU RE OF A CREDIT
CARD**
CONTRACTOR INFORMATION
Contractor Business Name Namaste Solar Electric
Wheat Ridge Contractor's 090413
License Number (This is a 5
1
or 6 digit number for the
City of Wheat Ridge)
Contractor Phone Number 303-447-0300
(enter WITH dashes, eg
303-123-4567)
Contractor Email Address
Retype Contractor Email
Address
DESCRIPTION OF WORK
kyle.pegon@namastesolar.com
kyle.pegon@namastesolar.com
Scope of Work Master plan approved, over the counter permit. Installation of a
new 2.72 kw solar array on each individual unit of the
Westridge Yarrow Gardens community by Thrive Home
Builders. Each array will be totally independent of each other,
but will have a shared meter bank. Each solar array will be
grid -tied, have no battery connection, and will utilize enphase
microinverters. We will be installing Hanwha 340 watt solar
panels and utilizing unirac's racking system with the ecofasten
roof attachment system.
KW 2.72
# of Panels 8
Location of Panels 8 on roof
Structural required No
Upload engineer letter or Westridge MPS AHJ stamped.pdf
pages on 8 1/2" x 11" only
Solar Installation Plan Set 11X17 RFC PLOTPLAN WESTRIDGE LOT 5 BLK 3 BLDG
on 11"x17" only. 10 7819 W 43RD PL PLAN P1 I -R OR 4 HW340.pdf
Project Value (contract 9248
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full responsibility Yes
for compliance with
applicable City of Wheat
Ridge codes and ordinances
for work under any permit
issued based on this
application.
N
I understand that work may Yes
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.
Person Applying for Permit Kyle Pegon
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.
January 12, 2021
Thrive Home Builders
1875 Lawrence St
Denver, Colorado 80202
Re: Do More Townhomes
Lot 4-6
Wheat Ridge, Colorado
7819 W 43rd Circle
202002103
It was brought to EVstudio's attention that the foundation walls and footings at the above
mentioned plans were not poured at the depth noted on the structural plans. The plans calls for
BOW to be 95-0" and the contractor poured the BOW at 96'-0". The contractor increased the
depth of the footings in this area from 8" (as noted on plans) to 12". Additionally, the top of wall at
the garage depression was poured higher than as noted on plan. Below is a partial plan outlining
the as -built condition at the garage.
�1D3 HD� 1
_t7 AAV FROM a WING ELEVATIONLOPE —
I_ m 6
-� LOWER FOUNDATIONWALL @ D.H. DOOR
TOW@ 97-7•
1 HD3 EOW @
11" WIDE CONCRETE FOUNDATION WALL DVER
CONCRETE SPREAD gDRAINAGE
POOFOOT—E
sEE TVP. ALL SEOTry POR D
• 3• z.n• za•vDlO� z.n• r
/ u
03 H C�JHDI3
ON a PE AWAYFROM RUROING GRADE RAO1._
� C
LOWE4,11
0. FOUNDATIO WALL@OH. WOR fes_
97'-7-
ND3 BOW@ 96-D" I C,.
1� 71/-
E DEEP CONCRLTC SPR rOOTNG--A I11—DE CONCRETE FUNC�M �I
sa•von -
H. DOOR
97'-7"
96.6" ro3 1;
Upon review the of the updated plot plan dated 01/12/2021, the grade beams at the garage do not
achieve frost depth. Additonally, the top of the depression is too high to accommodate the garage
slab being poured over top. The contractor shall extend the bottom of the footings along the
entirety of the back of the building by 4" minimum. The contractor shall dig below existing footings,
and coordinate with the geotechnical engineer with regard to suitable bearing conditions. The
contractor shall provide a bonding agent between the existing concrete and new concrete.
The contractor shall reference the following detail to cut down the grade beam at garage
depression at Lot 5 and Lot 4. The contractor shall confirm that the top of the depression allows for
a minimum 4" thick garage slab to be poured over top. The contractor shall coordinate this with the
revised plot plan.
GARAGE DEPRESSION
POUR SAW CUT
CONCRETE TO CONCRETETO
THIS HEIGHT THIS HEIGHT
AFTER REBAR PRIOR TO
IS PLACED PLACING REBAR
CUT4"LOWER c
THAN FINAL
DESIRED ELEVATION 6" MIN _ 6" MIN
- .EMBED aEMBED
G DRILL AND EPDXY (2)
. TOP BARS EACH a.
SIDE WI 2 FT LAP
5335 W 481h Ave, Suite 300 303.670.7242 phi design@evstudio.com
Denver. CO 80212 303.679.1862 fax www.evstudio.com
Wstudio 212
If you have any questions, please feel free to contact our office.
Sincerely,
• � O
46537 s •
••ONA_
Kylie Tawney, EIT
Project Engineer
Ross Maxwell, PE
Asst. Director of Structural Engineering
5335 W 481h Ave, Suite 300 303.670.7242 ph. design@evstudio.com
Denver. CO 80212 303.679.1862 fax www.evstudio.com
CITY OF WHEAT RIDGE
Building Inspection Division I.
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:'t�
Permit Number: 2 67_,r2 r2 7— /
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections are complete, schedule re -inspection online.
Date: Inspector:
DO NOT REMOVE THIS NOTICE
FOR OFFICE USE ONLY
Approved by
City of
Wheat1/1 Date
COMMsreye t p�.
1
MUNITY DEVELOP
l dge ENT 1nsP�t%' Date
City ofWheat Ridge Municipal Building 7500 W. 291h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2846 F: 303.235.2857
FOUNDATION SETBACK AND ELEVATION CERTIFICATION
For Commercial and Multi -Family Developments
This form must be fully completed by a Professional Land Surveyor licensed in the State of
Colorado. This form must be accompanied by a Construction Control Plan following the
procedure found on the reverse side of this form.
DATE: 12.21.20
PERMIT# 202002103
ADDRESS: 7819 WEST 43RD CIRCLE
LOT 5 , BLOCK 3 YARROW GARDENS F4
SUBDIVISION
SURVEYOR:
I hereby certify that the elevations and distances shown on the attached sheets and as stated
below for the recently formed or constructed structural foundation for the above property have
been measured by me or directly under my supervision.
The MINIMUM SETBACK DISTANCES from the property lines have been determined to be:
FRONT: 9.0 REAR: 5.0 SIDE: 0.0 SIDE: 0.0'
The foundation corner ELEVATIONS (NAVDSS) have been determined to be:
FRONT: 5420.39 REAR: 5420.39 SIDE: 5420.39 SIDE: 5420.39
All measurements have been determined on the following location:
(Check only one): le Top of proposed foundation wall prior to placement of concrete
Top of foundation wall subsequent to placement of concrete
The setback and elevation measurements
me included on the attached Construction Control Plan.
Signed -
Professional S=eyo
Print Chris Madrid
Date 12.21.20
www.d.wheatndge.co.us
Rev 11/2018
IMPROVEMENT LOCATION CERTIFICATE
FOUNDATION ONLY
Surveying, Inc. PRELIMINARY I L C
Speclallz)nq In Home Builder Services Since 1985.
6841 SOUTH YOSEMITE STREET
CENTENNIAL, CO 80112
T:\Projects\YARROW GARDENS F3\YARROW GARDENS F3.dwg, 12/18/2020 4:26:59 PM, lzmoo
DESCRIPTION OF MONUMENTATION
PO — #5 REBAR, PINK PLASTIC CAP, PLS # 38299
• — DISKS FOUND AT OFFSETS TO LOT CORNER
AS SHOWN BELOW, PLS # 38299
°.,.., . ,
p ° °4' WALK
N00 13'43"W
TRACT C
ON0
0 20 40
SCALE: 1 "=20'
IMPROVEMENT LOCATION CERTIFICATE I HEREBY CERTIFY THIS IMPROVEMENT LOCATION CERTIFICATE WAS PREPARED o¢p,D0
FOR THB WestRidge LLC OF THE PROPERTY DESCRIBED AS:
LOT 5, BLOCK 3, YARROW GARDENS FILING NO. 4, CITY OF WHEATRIDGE, COUNTY OF JEFFERSON, STATE OF COLORADO; ,�fl
ALSO KNOWN AS: 7819 WEST 43RD PLACE.
AND THAT IT IS NOT A LAND SURVEY PLAT OR IMPROVEMENT SURVEY PLAT, AND THAT IT IS NOT TO BE RELIED UPON FOR THE ESTABLISHMENT OF FENCE, BUILDING, OR OTHER FUTURE IMPROVEMENT 382 9
LINES. I FURTHER CERTIFY THAT THE IMPROVEMENTS ON THE ABOVE DESCRIBED PARCEL ON THIS DATE: 11.19.20 EXCEPT UTILITY CONNECTIONS, ARE ENTIRELY WITHIN THE BOUNDARIES OF THE
PARCEL, EXCEPT AS SHOWN, THAT THERE ARE NO ENCROACHMENTS UPON THE DESCRIBED PREMISES BY IMPROVEMENTS ON ANY ADJOINING PREMISES, EXCEPT AS INDICATED, AND THAT THERE IS NO
APPARENT EVIDENCE OR SIGN OF ANY EASEMENTS CROSSING OR BURDENING ANY PART OF SAID PARCEL. EASEMENTS SHOWN HEREON WERE TAKEN FROM THE RECORDED PLAT DESCRIBED ABOVE,jO
AND NO OTHER RESEARCH OF TITLE WAS PERFORMED IN CONNECTION WITH THIS CERTIFICATE. 1 1.19.20 LL
NOTICE: ACCORDING TO COLORADO LAW YOU MUST COMMENCE ANY LEGAL ACTION BASED UPON ANY DEFECT IN THIS SURVEY WITHIN THREE YEARS FROM WHEN YOU FIRST DISCOVER SUCH DEFECT. IN NO EVENT MAY ANY ACTION BE COMMENCED MORE THAN TEN YEARS FROM THE DATE OF DATE OF SURVEY
TRACT E
EDGE OF ALLEY
o
6" CURB
17.9 N00° 13'43"W
B.M. 31.17' 16.50' 22.33'
3
2.3'
0.01O
S o
o
P O
TOP BACK OF C
g
°
11.2' 'n
'n
ori
0.0'
0.0'
OWC INE w
FLOW
3
EoCE of ASPHALT—`Loo
g
5
4
0
o
LU
O
O
1,558 SQFT O
O
825 SQFT O
1,117 SQFT
w
O
O
O
L0
U
J
U7
D7
D7
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LL_w a
#7815 L�.I
#7819 L�.I
#7823
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TOS=5420.39 00
00
TOS=5420.412 3'
(n
TOS=5420.40
°
11.2'
o
o
T:\Projects\YARROW GARDENS F3\YARROW GARDENS F3.dwg, 12/18/2020 4:26:59 PM, lzmoo
DESCRIPTION OF MONUMENTATION
PO — #5 REBAR, PINK PLASTIC CAP, PLS # 38299
• — DISKS FOUND AT OFFSETS TO LOT CORNER
AS SHOWN BELOW, PLS # 38299
°.,.., . ,
p ° °4' WALK
N00 13'43"W
TRACT C
ON0
0 20 40
SCALE: 1 "=20'
IMPROVEMENT LOCATION CERTIFICATE I HEREBY CERTIFY THIS IMPROVEMENT LOCATION CERTIFICATE WAS PREPARED o¢p,D0
FOR THB WestRidge LLC OF THE PROPERTY DESCRIBED AS:
LOT 5, BLOCK 3, YARROW GARDENS FILING NO. 4, CITY OF WHEATRIDGE, COUNTY OF JEFFERSON, STATE OF COLORADO; ,�fl
ALSO KNOWN AS: 7819 WEST 43RD PLACE.
AND THAT IT IS NOT A LAND SURVEY PLAT OR IMPROVEMENT SURVEY PLAT, AND THAT IT IS NOT TO BE RELIED UPON FOR THE ESTABLISHMENT OF FENCE, BUILDING, OR OTHER FUTURE IMPROVEMENT 382 9
LINES. I FURTHER CERTIFY THAT THE IMPROVEMENTS ON THE ABOVE DESCRIBED PARCEL ON THIS DATE: 11.19.20 EXCEPT UTILITY CONNECTIONS, ARE ENTIRELY WITHIN THE BOUNDARIES OF THE
PARCEL, EXCEPT AS SHOWN, THAT THERE ARE NO ENCROACHMENTS UPON THE DESCRIBED PREMISES BY IMPROVEMENTS ON ANY ADJOINING PREMISES, EXCEPT AS INDICATED, AND THAT THERE IS NO
APPARENT EVIDENCE OR SIGN OF ANY EASEMENTS CROSSING OR BURDENING ANY PART OF SAID PARCEL. EASEMENTS SHOWN HEREON WERE TAKEN FROM THE RECORDED PLAT DESCRIBED ABOVE,jO
AND NO OTHER RESEARCH OF TITLE WAS PERFORMED IN CONNECTION WITH THIS CERTIFICATE. 1 1.19.20 LL
NOTICE: ACCORDING TO COLORADO LAW YOU MUST COMMENCE ANY LEGAL ACTION BASED UPON ANY DEFECT IN THIS SURVEY WITHIN THREE YEARS FROM WHEN YOU FIRST DISCOVER SUCH DEFECT. IN NO EVENT MAY ANY ACTION BE COMMENCED MORE THAN TEN YEARS FROM THE DATE OF DATE OF SURVEY
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
1 ��' 1 t11 1 b
Job Address:
Permit Number:
MW V 9 — 10 5
❑ No one available for inspection: Time 1 Z CA�VPM
Re -Inspection required: Yes IVo
When corrections are complete, schedule re -inspection online.
Datej I Z - b', Z + Inspector
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: -'
Job Address:.. C -t �,, T? I
Permit Number: Ai <J 0
c
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes) No
When corrections are complete, schedule re -inspection online.
Date: Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time7-4CD AM/PM
Re -Inspection required: Yes No,11-
*When corrections have been made, sceda for re -inspection online at:
http://www.ci.wheatridge.co.uslinspecfion�
Date Inspector: --.►�
DO NOT REM E THIS NOTICE
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: ' r
Job Address:
Permit Number:
wil al ESI
❑ No one available for inspection: Time(.(_.AM/PM
Re -Inspection required: Yes
When corrections have been made,seed a for re -inspection online at:
http.11www. ci. wheatridge. co. uslinspec ,on
Date- Inspector:
nn AlnT REM E THIS NnTICE
VJAGW
A.G. WASSENAAR, INC.
Residential
2180 South Ivanhoe Street, Suite 5
Denver, CO 80222
Phone: (303) 759-8100
FIELD TICKET -Pending Review Report#: STL-000001
Client:
TH Yarrow LLC
1875 Lawrence Street, Suite 900
Denver, CO 80202
7819 W 43rd PL
#202002103
Project:
185526-5R
7819 W 43rd PI, Lot 5, Block 3
Yarrow Gardens
Wheatridge, CO
FOUNDATION WALL REINFORCING OBSERVATION
Activity Date: 12/15/2020
Technician: Baxter, George
As requested, we arrived on site on this date to observe the reinforcing steel within the foundation wall forms. It is our opinion that the
wall reinforcing steel we observed on this date was in general conformance with the project plans provided to us. It must be
understood that checking final form positioning is not within our scope of work. If you have any questions regarding this information,
please call. Observations were conducted on a part-time, on-call basis.
Cold Weather Precautions: We recommend using cold weather concreting techniques.
The Concrete Encased Electrode (CEE) was installed on this date at the following location(s):
3 Feet East Of Southwest Garage Corner
Observations are conducted on a part-time, on-call basis (unless noted otherwise). This field report should NOT Page 1 of 1
be considered a final report since it must be reviewed by the engineer. Therefore, all information within this report
and attachments (if any) are subject to review.
A i CITY OF WHEAT RIDGE
Building Inspection Division
r (303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at:
httpyAvww.ci. wheatridge. co. uslnspection
Date: ' . -_ c.' i - Inspector:
DO NOT REMOVE THIS NOTICE
F
E
i
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: Z5% of w 41 3,:�
Permit Number: 7 rte ? E? /0 7S
❑ No one available for inspection: Time AM/,PM �
Re-Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at:
http://www. ci. wheatridge. co. uslinspection
Date: Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: ac-
Job Address: �.2 � � �1 -
Permit Number:
❑ No one available for inspection: Time
Re -Inspection required: Yes No r
When corrections have been made, schedule or re -inspection online at:
http://www.ci.wheatridge.co.uslinspection -.....
DatE/ . P _ J sp
I
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
--c
Inspection Type: 1, 0 T__
Job Address:
Permit Number: 7- C2
r.
J No one available for inspection: Time ./C M
Re -inspection required: YesNo
When corrections have been made, schedule for re -inspection online at:
http.-Ilwww. ci, wheatridge.co. us/inspection
Date:—" ? -7 - c.® Inspector:
DO NOT REMOVE THIS NOTICE
VJ-,AGW
Residential
2180 South Ivanhoe Street, Suite 5
Denver, CO 80222
Phone: (303) 759-8100
FIELD OBSERVATION REPORT
Client:
TH Yarrow LLC
1875 Lawrence Street, Suite 900
Denver, CO 80202
Report #: EF -000002
Project:
185526-5R
7819 W 43rd PI, Lot 5, Block 3
Yarrow Gardens
Wheatridge, CO
EXCAVATION AND FOOTING FORM OBSERVATIONS
Activity Date: 12/07/2020
Technician: Retoff, John
As requested, excavation and footing form observations were performed on this date for the subject lot. The soils exposed at the current
grades during our visit appear generally consistent with those found and logged in the subject soil report. It is our opinion the bearing
pressures provided in the subject soil report can be used for the recommended foundation system. It is also our opinion that the
footing forms, foundation void (if required), and reinforcement (if required) we observed on this date were placed in general
conformance with the project plans provided to us and our recommendations. If you have any questions regarding this information,
please call. Observations were conducted on a part-time, on-call basis.
Cold Weather Precautions: We recommend using cold weather concreting techniques.
12/07/2020
Kenneth R. Broseghini, P.E.
Senior Engineer
Observations are conducted on a part-time, on-call basis (unless noted otherwise). Information obtained by our Page 1 of 1
field representative pertain only to the portions of the foundation/construction items observed during our site visit.
Our opinions presented in this report are based on our knowledge of this project, our experience with similar
conditions and the standard of care normally practiced by other geotechnical engineers in this area and upon a
reasonable presumption that unobserved conditions were properly constructed.
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: 2-0 Z 67 0 7-
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes �No
When corrections have been made, call for re -inspection at 303-234-5933
Date:-// ��eInspector: .�
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Single Family New PERMIT - 202002103
PERMIT NO: 202002103 ISSUED: 11/10/2020
JOB ADDRESS: 7819 W 43rd Pl EXPIRES: 11/10/2021
JOB DESCRIPTION: Yarrow Gardens - 3 story townhome with 1 car attached garage - 1,553 sq ft
total (Model PlI )
*** CONTACTS ***
OWNER (303)766-7772
WESTRIDGE LLC
GC (303)707-4422
GENE W. MYERS
180370 THB WESTRIDGE LLC
SUB (720)315-0364
GLENN CARRIZALES
130249 ULTRA ELECTRIC INC.
SUB (303) 761-9276
CHRISTOPHER REISTER
170100 STEEL T HEATING, INC.
SUB (303)978-1051
TODD WOODFORD
070071 C&T PLUMBING LLC
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2936 / SHARON MANOR
/ WESTPARK
BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 191,250.00
FEES
Total Valuation
0.00
Plan Review Fee
120.00
Use Tax
41016.25
Permit Fee
11725.45
Engin. Review Fee
50.00
** TOTAL **
51911.70
*** COMMENTS ***
*** CONDITIONS ***
All roughs to be done at Framing Inspection.
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
Approved per plans and red -line notes on plans. Must comply with 2018 IRC, 2020 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
No C.O. may be issued until public improvements are complete as identified in the
Subdivision Improvement Agreement.
All landscaping shall be installed in accordance with the approved landscape plan
(WSP-20-03) prior to C.O., a landscape escrow agreement with financial guarantee in the
amount of 1250 of the cost of the installation shall be required.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Single Family - New PERMIT - 202002103
202002103 ISSUED: 11/10/2020
7819 W 43rd Pl EXPIRES: 11/10/2021
Yarrow Gardens - 3 story townhome with 1 car attached garage - 1,553 sq ft
total (Model PlI )
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
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.
From: no-reolv(alci.wheatridae.co. us
To: CommDev Farm is
Subject: Online Form Submittal: New Single -Family TOWNHOME UNIT
Date: Wednesday, October 14, 2020 8:45:05 PM
New Single -Family TOWNHOME UNIT
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Has the Master Plan
Yes
been approved for this
project?
Name of Project
3 Plex(Lots 4-6, Blk 3, Filing #4
PROPERTY INFORMATION
Property Address -
7819 W 43rd PI -Lot 5 1311<3 Filing 4
Only enter one unit on
this application
Property Owner Name
THB Westridge LLC
Property Owner Phone
303-766-7772
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
dvonfeldt@thrivehomebuilders.com
Address
PLAN REVIEW CONTACT INFORMATION
What Is your role? Owner, General Contractor
Business Name THB Westridge LLC
Main Contact Name for Deia Vonfeldt
Plan Review
Contact Phone Number
(enter WITH dashes,
eg 303-123-4567)
Contact Email Address
for
Questions/Comments
303-766-7772
dvonfeldt@thrivehomebuilders.com
Retype Contact Email dvonfeldt@thrivehomebuilders.com
Address
DESCRIPTION OF WORK
Detailed Scope of
Work - Example: New
single family townhome
with 2 car garage -
1,525 sq ft total (Bldg
1, B -unit)
Square Footage of
New Construction
Foundation Plans for
Specific Building
Elevations of Building
Site Plan showing Unit
Highlighted
Floor plan of Unit
Construction Plans
scanned on 11'x17" or
larger
New SF TH-3 Story -1 car aft garage(314 sq ft) - P1 I-Elev A- End
Unit -2 Bdrm-2 Full Bath+2 1/2 bath- 1553 sq ft total( includes 280
sq ft unfinished -Do More Space) A/C, Fire Sprinkler, Gas Line to
Range
1553
L4-6 Foundation Plan (7823. 7819. 7815 West 43rd Place)
STAMPED Ddf
Lots 4-6. 131 1<3. Blda Elevation. odf
Lot Specific Arch-BLK 3 LOTS 4-6 20200928 9.odf
Project Value (contract $191,250 Finished: 12 3s x $122.46 = $155,892
value or cost of ALL Garage + Do More: 594sf x $48.30 = $28,690
materials and labor) Total: $184,582
SIGNATURE OF UNDERSTANDING AND AGREEMENT
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.
I understand that work
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything 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 Deia Vonfeldt
Permit
APPROVED
10-19-2020
J. Jefferies, PE
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
Residential Fire Sprinkler PERMIT - 202000259
PERMIT NO: 202000259 ISSUED: 02/05/2020
JOB ADDRESS: 7819 W 43rd Pl EXPIRES: 02/04/2021
JOB DESCRIPTION: Install new NFPA 13D fire sprinkler system
*** CONTACTS ***
OWNER (720)498-7843 THB WESTRIDGE LLC
SUB (303)389-9910 DWON LEWIS 060106 EXTREME FIRE PROTECTION CO.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2936 / SHARON MANOR / WESTPARK BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,750.00
FEES
Total Valuation 0.00
Use Tax 78.75
Permit Fee 109.20
** TOTAL ** 187.95
*** COMMENTS ***
*** CONDITIONS ***
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
I, by m�Si gnaapplicalebuibythe lgal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this ermit. I further attest that I am le ally authorized to include alI entities named within this document as parties to the work to be
performed and tll_t work toerimed is disclosed in this document and/or its` accompanying approved plans and specifications,
- 5 2�Zo
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 maybe subject to a fee equal to one-half of the originalpermit fee.
3 If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official 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 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 codcgiaany ordinanc4gr 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.
City of
h6 t NOge
Building Ili Inspection Services
7500 W. 29' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: Permits@ci.wheatridoe.co.us
FOR OFFICE USE ONLY
®are:
Plan/Perrnif # UO
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: ?U/q we �4
Property Owner (please print):
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Phone: - 707- 443S_
Property Owner Email:
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Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address: 16-7✓ �Al-J 'i►Z-P. -�y Sig s q0C)
City, State, Zip: a,y en- ,dc> 66 ro z
Architect/Engineer: lno d e., -t Cry f'—
Architect/Engineer E-mail: Phone:� '437
Contractor Name:1Ci tt4 1 bJ
City of Wheat Ridge License M l d e Phone: S 916
Contractor Email Address:s� F11q
For Plan Review Questions & Comments (please print):
CONTACT NAIVE (please print): P' i _Phone: _ z>3 ZJ_
CONTACT EMAIL(p/ease print): 50A 1-• 2. e X r4E lAA(= f e o CVM-
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields, if applicable.
❑COMMERCIAL
RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
Sq. FULF
3W 57'14LL_ N e-+-�
BTUs
SPP A /-�D
Gallons
Amps Squares For Solar: KW * of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
OWNEWCONTRACTOR 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.
t IRtLC ONE: (OWNER) (CONTRACT ) or (AUTHOEIa RPPRLSRNTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): DATE:
�' c°�
Printed Name: "5"5N/ � . LZ2 !yy
ZONING COMMMENTS
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE.
Building Division Valuation.
IT-
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: -770 F,0 0 Z,
IJ No one available for inspection: Time AM/PM
Re -inspection required: Yes No
When corrections are complete, schedule re -inspection online.
Date:
Inspector:
DO NOT REMOVE THIS NOTICE