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5149 Tabor Street (Hance Ranch)
j�7 The City of Wheat Ridge -� °� /-� �j Inspection Check List notes Final Roof �y � PROPERTY ADDRESS: ,✓�+f 5tj .1'4 Roof Inspection ❑ N/A ❑ Pass ❑ Fail ❑ N/A Pass ❑ Fail Structural roof components ❑ N/A Pass ❑ Fail Verify that no more than 2 layers of shingles exist ❑ N/A Q Pass ❑ Fail Flashing for roof and walls ❑ Pass ❑ Fail If new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) ❑ N/A ❑ Pass ❑ Fail Verify sheathing nail pattern (See Policy & Procedures) N/A ❑ Pass ❑ Fail Crickets and saddles where needed ® N/A ❑ Pass ❑ Fail Verify B vent must have boot same gauge as pipe ❑ N/A Pass ❑ Fail Verify vent caps ❑ N/A Pass ❑ Fail Verify no flashings are damaged or rusted ❑ N/A] Pass ❑ Fail Step flashing shall be min. of 4x4 piece per shingle ❑ N/A ❑ Pass ❑ Fail Verify scuppers allow for proper drainage ❑ N/A ❑ Pass ❑ Fail Ice and water shield 2' in heated wall spaces ❑ N/A ❑ Pass ❑ Fail Underlayments must follow 2012 IRC / 2012 IBC ❑ N/A [X Pass ❑ Fail Verify roof slope for proper drainage ❑ N/A ER Pass ❑ Fail Dripedge shall have min of 2" overlap ❑ N/A Pass ❑ Fail Dripedge should extend down min 2" past roof deck ❑ N/A [ Pass ❑ Fail Dripedge shall be mechanicaly fastened 12" OC ❑ N/A ❑ Pass ❑ Fail 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope; Exception: detached garages, patios, carports, open on three sides with min. slope of 1:12 ❑ N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope ❑ N/A ❑ Pass ❑ Fail Above roof insulation R-25 ❑ N/A ❑ Pass ❑ Fail Below roof residential R-38 ❑ N/A ❑ Pass ❑ Fail Below roof commercial R-32 ❑ N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope must be installed in accordance with the manufacturer's specifications - Must have manufacturer's letter of warranty with the address on the letter for final inspection Metal Roof Shingles Requirements ❑ N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less 3:12 ❑ N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof ❑ N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4" Tile Roofs Requirements ❑ N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope Slopes 4:12 and under require double underlayment i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office _1�9r INSPECTION NOTICE Inspection Type: P f' ' Job Address: -y,7hr Permit Number: '2(-7!,0c3 1 ' ; III tr ' f — �t:=!�`-'_ ;;i�e�t),� 'tom c�Y4c_ T a; ❑ 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: (-7 Job Address: Ile Permit Number: �;� CD ! ti..f t-7 AZ:�_t ❑ No one available for inspection: TimgM�M Re -Inspection required: Yes to When corrections are complete, schedule re -in pection e. Dam_ ! Irispecto -�-- DD NnT RF 1/= rUIC ninrl^� UES Originally Issued: 03/21/2014 Revised: 03/20/2020 "I Valid Through: 03/31/2021 NO -BURN° PRODUCT APPLICATION CERTIFICATE .1 u LOCATION OFF BUILDING: / Sri cJ �ar S/ 401j, -r— CO 00 Address Lot # City State Zip DESCRIPTION AND USE OF BUILDING: A r 1. Certified Applicator Name U. N J S-1- Company yCompany Certified Applicator Number Moisture Size of Meter Reading (Ma % Temp Reading Describe Area Treated Area Treated (sarrau Area Product Applied Substrate (Noted in Tatem Mkt rdm Date Applied Noted in rF) SgFt or 4 orJ thickness) Ta Footprint Sq / SIP �6 U/iA! Y r D ft. IV j U; t Certified Applicator Signature Figure 2 Page 9 of 9 Date of Service i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: �J Job Address: Permit Number: r�UU CSU c�a F A ❑ No one available for inspection: Time ` AM/PM Re -Inspection required: Yes No When corrections are complete, schedule re -inspection online. C1 Date: Inspector:b_ DO NOT REMOVE THIS NOTICE A CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: —I No one available for inspection: Time AM/PM Re -Inspection required: Yes No 'When corrections are complete, schedule re -inspection online. Date: Inspector: 00 NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE I Inspection Type: Job Address: ,I �') ! ;n o r Permit Number: Z-aZ-oo 6 IL a, ❑ No one available for inspection: Time AM/PM N, Re -Inspection required: Yes No When corrections are complete, schedule re -inspection online. Date: Inspector: DO NOT REMOVE THIS NOTICE N* i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: t ` } Permit Number: 7T 77 ' ice► �'f III ❑ No one available for inspection: Ti e.` 1 CAM/PM Re -Inspection required: Yes When corrections have been made, sc edule for re -inspection online at; http://www.ci.wheatridge.co.usfinspect" Date: Ins r%^ Al^'T ACA /A1^"t `C c i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE s Inspection Type: Job Address: 1 Permit Number: , ❑ No one available for inspection: Ti e' 1 /PM Re -Inspection required: Yes Siff When corrections have been made, sc edule for re -inspection online at: httpJ/www.ci.i.`wheatridge.co.ushnspect" Date:/ �` � /X)/ Ins __ SES Originally Issued: 03/21/2014 Revised: 03/20/2020 No -Burn®, Inc. 5149 Tabor St 1392 High Street 202000123 Wadsworth, Ohio 44281 (800) 989-8577 www.noburn.com ATO, -BURN® PLUS , I�—WOQD CSI Division: 09 00 00 FINISHES CSI Section: 09 96 46 Intumescent Paints 09 96 43 Fire -Retardant Coatings 1.0 SCOPE OF EVALUATION 1.1 Compliance to the following codes & regulations: 2018, 2015, 2012, 2009 and 2006 International Building Code® (IBC) 2018, 2015, 2012, 2009 and 2006 International Residential Code® (IRC) 2018, 2015, 2012, 2009 and 2006 International Existing Building Code® (IEBC) 1.2 Evaluated in accordance with: IAPMO UES ECO 17, Evaluation Criteria for Field - Applied Fire Protective Coatings ICC -ES AC377, Acceptance Criteria for Spray - Applied Foam Plastic Insulation ICC -ES AC456 Acceptance Criteria for Fire - Protective Coatings Applied to Spray -Applied Foam Plastic Insulation Installed Without a Code - Prescribed Thermal Barrier 1.3 Properties assessed: • Surface burning characteristics • Interior finishes • Alternative thermal barrier assemblies • Alternative ignition barrier assemblies • Fire resistance 2.0 PRODUCT USE No -Burn® coatings comply with the IBC®, IRC® and IEBC® for use in new and existing buildings. Applied to the substrates listed in Tables 1 through 5 of this report, No - Burn® coatings provide the following attributes: 1. Surface burning characteristics and interior finish in accordance with Section 3.2 of this report. 2. Alternative thermal barrier assemblies in accordance with Section 3.3 of this report. 3. Alternative ignition barrier assemblies in accordance with Section 3.4 of this report. 4. Fire resistance performance in accordance with Section 3.5 and 3.6 of this report. 305 Valid Through: 03/31/2021 3.0 PRODUCT DESCRIPTION 3.1 Product information 3.1.1 No -Burn® Original, No -Burn® Original Mih, No- Burn® Wood Gard and No -Burn® Wood Gard Mih are transparent, water-based liquids, packaged in 5 -gallon (18.9 L) pails and 55 -gallon (208 L) drums. The coatings have a shelf life of two years when stored in unopened containers between 40°F and 90°F (4.4°C and 32.2°C). No -Burn® Original, No -Bum® Original Mih, No -Burn® Wood Gard and No -Burn® Wood Gard Mih shall be mixed with a power mixing wand or equivalent at or between 500-900 RPM for a mixing time of 5 minutes per container. 3.1.2.NuJaurn® Plus No -Burn® Plus ThB, No -Burn® Plus XD, and No -Budin Plus Mih are white, water-based latex liquids, which exhibit intumescent properties when exposed to elevated temperatures and flame, packaged in 5 -gallon (18.9 L) pails and 55 -gallon (208 L) drums. No -Bum' Plus, No -Burn® Plus XD, and No -Burn® Plus Mih have a shelf life of two years when stored in unopened containers between 40°F and 90°F (4.4°C and 32.20C). No-Bum®Plus ThB has a shelf life of 18 months when stored in unopened containers between 40°F and 90°F (4.4°C and 32.2°C). No -Burn® Plus, No -Burn® Plus ThB, No -Burn® Plus XD, and No -Burn® Plus Mih shall be mixed with a power mixing wand or equivalent at or between 500-1500 RPM for a mixing time of 5 minutes per container. 3.2 Surface Burning Characteristics: As shown in Table 1 of this report, No -Burn® Plus, No -Burn® Plus ThB, No -Burn® Plus Mih, No -Burn® Original, No -Burn® Original Mih, No - Burn® Wood Gard and No -Burn® Wood Gard Mih provide Class A interior finish when applied to the specified substrates. When tested in accordance with ASTM E84 or UL 723, the listed coatings provide flame spread indices complying with ranges set forth for interior finishes in IBC® Section 803.1 of the 2018, 2015, 2012, 2009, and 2006IBC®, Section R302.9 of the 2018, 2015, 2012 and 2009 IRC®, and Section R315.1 of the 2006 IRC®. 3.3 Alternative Thermal Barrier Assemblies: No -Burn® Plus ThB when applied to spray -applied polyurethane foam insulation listed in Table 2 of this report may be installed without a prescriptive 15 -minute thermal barrier in accordance with Section 2603.9 of the 2018 and 2015 IBC®, Section 2603.10 of the 2012 IBC®, Section 2603.4 of the 2009 and 2006 IBC®, Section R316.6 of the 2018, 2015 and 2012 IRC®, Section R316.4 of the 2009 IRC® and Section R314.4 of the 2006 IRC®. As shown in Table 2 of this report, No - Burn® Plus provides an alternative thermal barrier assembly for walls and ceilings when applied to Structural Insulated Panels (SIPS) with a maximum combined thickness of 12 3/s inches (314 mm), consisting of a composite of nominal 11 '/2 inches (292 mm) thick expanded polystyrene foam plastic core, (1.0 pcf [16 kg/m3], density) sandwiched between two x/16-inch- thick(11 mm) oriented strand board (OSB) sheets in mmo The product described in this Uniform Evaluation Service (UES) Report has been evaluated as an alternative material, design or method of construction in order to satisfy and comply with the intent of the provision of the code, as noted in this report, and for at least equivalence to that prescribed in the code in quality, strength, effectiveness, fire resistance, durability and safety, as applicable, in accordance with IBC Section 104.11. This document shall only be reproduced in its entirety. Copyright © 2020 by International Association of Plumbing and Mechanical Officials. All rights reserved. Printed in the United States. Ph: 1-877-41ESRPT • Fax: 909.472.4171 web: www uniform-es.org • 4755 East Philadelphia Street, Ontario, California 91761-2816— USA ISO= 1705 qVE8 0 Originally Issued: 03/21/2014 Revised: 03/20/2020 accordance with Section 2603.9 of the 2018 and 2015 IBC®, Section 2603.10 of the 2012 IBC®, Section 2603.4 of the 2009 and 2006 IBC® and Section R316.6 of the 2018, 2015 and 2012 IRC®, Section R316.4 of the 2009 IRC® and R314.4 of the 2006 IRC®. 3.4 Alternative Ignition Barrier Assemblies: No -Burn® Plus, No -Burn® Plus XD and No -Burn® Plus ThB when applied to the spray applied polyurethane foam insulations listed in Table 3 of this report may be installed in an attic or crawl space without a prescriptive ignition barrier in accordance with Sections 2603.4.1.6 of the 2018, 2015, 2012, 2009 and 2006 IBC® and Sections R316.5.3 and R316.5.4 of the 2018, 2015, 2012, and 2009 IRC® and Section R314.5.3 and R314.5.4 of the 2006 IRC®. As shown in Table 3 of this report, No -Bum® Plus XD and ZIP System® R -Sheathing may be installed in an attic or crawl space without a prescriptive ignition barrier. ZIP System® R -Sheathing (Insulating Sheathing), consists of /16 -inch -thick (11 mm) ZIP System Wall Sheathing with a layer of maximum 1 inch thick (25.4 mm) rigid polyisocyanurate foam plastic board laminated to its interior face using PVA adhesive. The ZIP System® Wall Sheathing is OSB complying with U.S. DOC PS 2 for wood structural panels as Exposure 1 with a 24/0, 24/16, or Wall 24 span rating and is overlaid on the exterior side with a Grade D water - resistive barrier. The foam plastic insulation boards have a nominal density of 2.0 pcf (32 kg/m3), compressive strengths of 22 psi (152 kPa) and 20 psi (138 kPa), respectively, vapor permeance of less than 1.1 perm, flame -spread indices of 75 or less and smoke- developed indices of 450 or less. The ZIP System® R- Sheathing panels are nominally 4 feet (1219 mm) wide by 8, 9, 10, 11 or 12 feet (2438, 2743, 3048, 3353, or 3658 mm) long and have square -finished -edge or machined - edge profile. No -Burn® Plus, No -Burn® Plus XD and No -Bum® Plus ThB may be installed in an attic or crawl space without a prescriptive ignition barrier when all of the following conditions are met: • Entry to the attic or crawl space is only to repair, maintain, and service utilities and no storage are permitted. • There are no interconnected attic or crawl space areas. • Air in the attic or crawl space is not circulated to other parts of the building. • Attic ventilation is provided when required by Section 1202.2 of the 2018 IBC® and 1203.2 of the 2015, 2012, 2009 and 2006 IBC® or Section R806 of the 2018, 2015, 2012, 2009 and 2006 IRC®, except when air impermeable insulation is permitted in unvented attics in accordance with Section R806.5 of the 2018, 2015 and 2012 IRC®, Section R806.4 of the 2009 and 2006 IRC®, Under -floor (crawl space) ventilation is provided, when required, by Section 1202.4 of the 2018 IBC® and 1203.4 of the 2015 IBC®, Section 1203.3 of the 2012, 2009 and 2006 IBC® or Section R408.1 of the 2018, 2015, 2012, 2009 and 2006 IRC®, as applicable. 305 Valid Through: 03/31/2021 The foam plastic insulation is limited to the maximum thickness and density tested, shown in Table 3 of this report. Combustion air is provided in accordance with Section 701 of the 2018, 2015, 2012 and 2009 IMC®, or Section 701 and 703 of the 2006 IMC®. 3.5 Fire Resistance (Table 4): As shown in Table 4 of this report, No -Bum® Plus provides fire resistance to engineered wood framing members or components when applied to both sides of the web and top and bottom flanges and the interior facing side of the subfloor, once the components are installed, as an alternative to the 2 -by -10 dimension lumber prescribed in Section R302.13, Exception 4 of the 2018 and 2015 IRC® and Section R501.3, Exception 4 of the 2012 IRC®. At a minimum, the assembly shall be constructed with the framing members or components in accordance with Table 4 of this report affixed to the rim board with 16d common or 10d box nails or fasteners in accordance with Table R602.3 (1) of the 2018 and 2015 IRC® or 8d nails or fasteners in accordance with the 2012, 2009 and 2006 IRC®, 23/32" tongue and groove oriented strand board subfloor affixed with 8d common nails or fasteners in accordance with Table R602.3 M. 3.6 Fire Resistance (Table 5): As shown in Table 5 of this report, No -Burn® Plus provides fire resistance to engineered wood framing members or components when applied to both sides of the web and top and bottom flanges, once the components are installed, as an alternative to the 2 -by -10 dimension lumber prescribed in Section R302.13, Exception 4 of the 2018 and 2015 IRC® and Section R501.3, Exception 4 of the 2012 IRC®. 4.0 DESIGN AND INSTALLATION 4.1 General: The coatings shall be field -applied to substrates in accordance with this report and the No -Bum®, Inc. published instructions. When coatings are applied in accordance with Section 3.5 or Section 3.6 for Fire Resistance, the applicator shall be qualified by No -Burn®, Inc. Copies of this report and the No -Burn®, Inc. instructions shall be available at the jobsite. Where conflicts occur, the more restrictive shall govern. Before and during coating application, substrate surfaces shall be dry, clean and free from loose debris, dirt, grease, oil and all prior coating materials such as paint, stains and sealers. The substrate shall not have, nor have been exposed to, treatments, chemicals, coatings, etc. Visual observation of the applied coatings varies. Opaque coatings will result in a distinctive white color. Transparent coatings may result in a distinctive color dye on the substrate. For verification of the wet applied thickness, a standard painter's thickness gauge shall be used during the application. The finished dry mil thickness will be 0.40-0.70 times the wet mil thickness. When verification of transparent coatings is required by the code official, field testing shall be conducted as follows: flame from a propane- fueled torch shall be applied to the coated area and to a sample of uncoated substrate for a minimum of 10 seconds. The presence of the coating shall be observable through the comparison of the Page 2 of 9 UES 0 Originally Issued: 03/21/2014 Revised: 03/20/2020 305 Valid Through: 03/31/2021 TABLE 4 - FIRE RESISTANCE (See Section 3.5 MINIMUM DESIGN NO -BURN® PRODUCT' MAX SUBSTRATE MOISTURE Minimum Web Flange Depth Moment EI x 106 Vertical Shear (Ibs) Plus CONTENT Depth (in) Thickness (in) x Width (in) (ft -lbs) (in2-lbs) -joist: solid sawn flange 16% 9'/ 3/8 1.5 x 2 2725 170 1475 15 milswet(9milsdry) 107 sq. ft. per gallon I -joist: structural 16% 9'/z 3/8 1.125x2 2725 170 1475 15milswet(9milsdry) composite lumber flange 107 sq. ft. per gallon I-joist:structural 16% 11 718 3/8 1.125x1.75 3025 260 1625 15milswet(9milsdry) composite lumber flange 107 sq. ft. per gallon ror JI: 1 mll = u.uZb4 mm, l mcn = Zb.4 mm, 1 gal = 3." L, I lb = 0.45 kg 'No -Bum® Plus may be overcoated with latex paint with a pH of 7 to 8 TABLE 5 - FIRE RESISTANCE (See Section 3.6) MINIMUM DESIGN NO-BURNa PRODUCT' MAX SUBSTRATE MOISTURE Minimum Web Flange Depth Moment EI x 106 Vertical Shear (lbs) Plus CONTENT Depth (in) Thickness (in) x Width (in) (ft -lbs) (in2-lbs) -joist: solid sawn flange 16% 9'% 3/8 1.5 x 2.5 2800 198 1185 23 milswet(14milsdry) 70 sq. ft. per gallon -joist: structural 16% 11 7/8 3/8 1.125 x 1.75 3025 260 1625 23milswet(14milsdry) composite lumber flange 70 sq. ft. per gallon ror SI: 1 mll = U.UZb4 mm, 1 mcn = Zb.4 mm, 1 gal = 3.19 L, I Ib = 0.45 kg 'No -Burn® Plus may be overcoated with latex paint with a pH of 7 to 8 Page 8 of 9 RR7 Inspection scheduled timely i NOTES: Ei Companies - RAS Field Manager unavailable to walk after inspection I NOTES: NOTES: BUILDER: Remington Hames BUILDING#: 5 LOT #: 8 PLAN TYPE: 108 COMMUNITY: Hance Ra nch Taw n he res ADDRESS: 5149Taborstreet CITY: Wheat Ridge STAGES OBSERVED: RM 10 Ei OBSERVER: Joshua Wienken STATE: Colorado DATE: IMfD/YY) 12/11/20 EMAIL: jwlenken@eicempanles.cem PHONE: 303-824-9258 Observation Status - Pass SCORE: 100 Items listed below have been identified as being non-compliant with plan, manufacturer specification, building code ormeasure standard. Measures are written in the positive form and represent the standard to be met. Measure SIGN -OFF ITEM# STAGE ID# MEASURE RISK LEVEL LOCATION/NOTES Mult. DATE SIGNATURE RM10- NoRM10- Intumescent Paint Deficiencies Identified Obsuersation Location A - Crawl Space - South -14ml-No 1 Intumescent IPO 0 deficiencies noted at this time 0 12/11/20 Joshua Wienken RM10- NoRM10- Intumescent Paint Deficiencies Identified Obsuersation Location B - Crawl Space - Central -14ml- 2 Intumescent IPO 0 No deficiencies noted at this time 0 12/11/20 Joshua Wienken RM10- NoRM10- Intumescent Paint Deficiencies Identified Obsuersation Location C - Crawl Space - North -14ml-No 3 Intumescent IPO 0 deficiencies noted at this time 0 12/11/20 Joshua Wienken RR7 Inspection scheduled timely i NOTES: RAS Field Manager unavailable to walk after inspection I NOTES: NOTES: 5149 Tabor St 202000123 Submit to: DRM signoffs: EiRMsignoff@eicompanies.com ABCO Project Item Closure Photos: ABCOcloseout@eicompanies.com EiRM Fieid Report.v.4.1.1 Page 1 of 1 5149 Tabor St 202000123 A Key Element in your Energy Efficient Design ENERGYINSPECTORS To: City of Wheat Ridge, ENERGY INSPECTORS" tardant Coating Inspection Denver. CO Joshua Marken C: (303) 824-9258 Jwienken@eicompanies.com www.eicompanies.com Energy Inspectors conducted a No Burn fire coating inspection for Remington Homes/Hance Ranch Townhomes at the address 5149 Tabor St in Wheat Ridge, CO on 12/11/2020. EI observed the overall application of the fire -retardant that is applied to exposed wooden joists and subfloor in the basement of the home. EI also tested the thickness of the coating in three areas where it is applied, to ensure it meets the manufacturer's specifications set forth by the company No -Burn INC. These Standards are for the dry thickness of the coating applied to be at least 9 mils' thick for I joists, and 5-7 mil's thick for OSB. The average thickness of the No -burn coating applied in the home, was tested to be 14 mil's thick and is in substantial contact with the wood that meets the manufacturers specifications and requirements. Thank You, Joshua Wienken O fZ Field Operations �•• •• 40 O jr Joseph KMA v McCabe t o Energy Inspectors® 38314 i Mobile: (303) 824-9258 E-mail: Jwienken@eicompanies.com Website: www.eicompanies.com J �('••�" `� •••• G� NAL 4.10.2019 4.10.2019 14 LE PARTNER OF THE YEAR Sustained Excellence 1 WaterSense .".".d".,F,: /�� 1 —: LEER i —� riovior• 20107-2016 2011a2014-20ls zoiiazois-zo16 '� ENERGY INSPECTORSTM Denver, CO Telephone (720) 251-0009 Inspection Type: Job Address: Permit Number: CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE J 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 1 CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: S Permit Number ❑ 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 CITY OF WHEAT RIDGE 7 Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: - ZO 770 670 IZ— IJ No one available for inspection: Time A_-' ,M,/ P M Re -inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http://Www.ci.wheatridge.co.ushnspection 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: Time AMfPM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at; http✓/www. cL wheatridge. co, usrinspection Date:/e -- `-?�,�'Inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: T_7�1 Job Address: -!;/ 19 -72i /2y t— -S,?'- Permit Number: Vc) J No one available for inspection: Time Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http://Www. cL wheatridge.co. uslinspection, Date: 12- -/e9Inspector:_ DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 14 - Job Address: ` Permit Number: ( Z; S F) 1 ❑ No one available for inspection: Timms F __1' IUPM Re -Inspection required: Yes ` N When corrections have been made, s, edule for re -inspection online at: http✓/www.cLwheatridge.co.usdnspectio n .. ,- --•_ � Dat. .Ins ect C-7-7 The City of Wheat Ridge Inspection Check Ust notes Mid -Roof Notes Company dame: Inspector signature: Date of Inspection: 112- d024_2 i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: _5 / 41 1-2:7f 4�. e— Permit Number: —2,fV ;�� ,-) % 7Z ❑ 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.11www. ci. wheatridge. co. uslinspection Date: s' ` ' 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 have been made, schedule for re -inspection online at: http://www. ci. wheatridge. co. us/inspection Date: l Zc"?(T Inspector: DO NOT REMOVE THIS NOTICE 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: #WVIVO /_1/_f Job Address: -9/'-/ 7_e --f- J Permit Number: r-720 70 IJ 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. usfinspection Date:"', Inspector: DO NOT REMOVE THIS NOTICE "� �'4' J CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: -�14 4C Job Address: 41v,pr S,14- Permit SfPermit Number: F -©e0 00 / 7- 7 ❑ No one available for inspection: Time - _ wM Re -Inspection required: Yes When corrections have been made, schedule for re -inspection online at: http✓/www.ci.wheatridge.co.us inspection Date: Ir, Z02!0 Inspector: _5 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: 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: °` ''rr"?rlhspector: .._5 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: Tim _/PM Re -Inspection required: Yes(No When corrections have been made, sched f .nspection online at: http✓/www.ci.wheatridge.co.uslinspectigA ) >_%Z � Dated i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: D Al? Job Address: S 1141 TCI- ®.1— %L Permit Number: 21® 2O e7o / zz ❑ No one available for inspection: Time tl r- AM Re -Inspection required: Yes(No When corrections have been made, schedule for re -inspection online at: httpYA,vww.ci.wheatridge.co.us inspection Date: 5'// /01.0 Inspector: -� DO NOT REMOVE THIS NOTICE Gerard Enterprises, Inc. 6355 Ward Road, Suite 308 ZvZ® 67 /Z3 Remington Homes, Inc. 9468 West 58th Avenue Arvada, Colorado 80002 Attention: Subject: Address: Date of Observation: Mr. Horn: Structural Engineers Arvada, CO 80004 Mr. Jim Horn (303) 940-0996 E-mail: office@ geistructural.com Job No.: 200157C Date: 9/4/20 Foundation Footing Observation 5149 Tabor Street, Lot 8 Block 5 Hance Ranch Subdivision, Wheat Ridge, Colorado September 2, 2020 An observation of the foundation footing was conducted at the subject location on the date indicated. This observation is limited to the visible void condition. The visible void conditions were in general compliance to the foundation plan prepared by Gerard Enterprises, Inc., for the subject site. The suitability of the soil within the footing forms must be observed and approved by the geotechnical engineer of record. Please contact us if you have any questions concerning this observation or when we can be of further assistance. Gerard Enterprises, Inc. e eitz taff Inspector Rp0 REGIn �\� Q ••N••• OTS; y ��s�;;.9 'logo26108 • �,� Gerard Project Engineer Gerard Enterprises, Inc. 6355 Ward Road, Suite 308 Remington Homes, Inc. 9468 West 58"' Avenue Arvada, Colorado 80002 Attention: Subject: Address: Date of Observation: Mr. Horn: Structural Engineers Arvada, CO 80004 Mr. Jim Horn (303) 940-0996 E-mail: office@geistructural.com Job No.: 200157C Date: 9/4/20 Foundation Reinforcing Observation 5149 Tabor Street, Lot 8, Block 5 Hance Ranch Subdivision, Wheat Ridge, Colorado September 2, 2020 An observation of the foundation wall reinforcing bars was conducted at the subject location on the date indicated. The foundation wall reinforcing bars were placed in general compliance to the foundation plan prepared by Gerard Enterprises, Inc., for the subject site. Please contact us if you have any questions concerning this observation or when we can be of further assistance. Gerard Enterprises, Inc. eieitzef taff Inspector � �\l�\i1111I tI11i1111J1j i <�'��0 A. 26108 Proj ect •• Y ? , City Of W heat f COMMUNI-1Y D[VEf_OPx,%FN I FOR OFFICE USE ONLY Approved by Inspector Date City of Wheat Ridge Municipal Building 7500 W. 29`' Ave. 'Kheat Ridge, CO 80033-8001 P: 303.235.2846 F: 303.235.2857 FOUNDATION SETBACK AND ELEVATION CERTIFICATION For Single Family Developments This form, including the Exhibit on the reverse side, must be fully completed by a Professional Land Surveyor licensed in the State of Colorado. This Certification must be submitted for review and approval prior to proceeding with any further construction. DATE: 09/03/2020 PERMIT# 2,0 Z O 00 12--5 ADDRESS: 5149 TABOR STREET LOT 8 ,BLOCK 5 , HANCE'S REPLAT NO. 2 SUBDIVISION I hereby certify that the elevation and location of the recently constructed structural foundation for the above property described above has been measured by me or directly under my supervision. For the recently formed or constructed building foundation corners, the setback distances have been found by me to be in compliance with City of Wheat Ridge required limits and the elevations as stated herein have been found by me to be in compliance with the Building Permit construction plans as approved by the City of Wheat Ridge. The MINIMUM SETBACK DISTANCES from the property lines have been determined to be: FRONT: 0 REAR: 0 SIDE: 0 SIDE: 0 If in the floodplain, the MINIMUM ELEVATION is determined to be: 69.2 (NAVD88). The above measurements have been determined on the following location: (Check only one): `' Top of proposed foundation prior to placement of concrete Top of foundation subsequent to placement of concrete The setback and elevation measurement locations are identified on the attachad-6xhibit. Signed Print Q�apO L/C�, :a�RiAKIO .n Date Professional Sur v Vv;' P /Std1 .Z Z: cc 43 .• v, s%Ni ci.tivheatridge.coms Rev 11/18 I ,* D o 42.0' 5.0 Z N SDN N V A 7 N CN I I m V C N N D O O Q��' m � 1.0'N�m� o 7� Ila IC\ � Z N 3 41.0' O 5' UE 1 15.0' b Z N (� � cn C �k c O 1.0'O) o w N�� W x °D r OG 0--1 A� O O — — — — — — — — — — — — — — — 0 0 _ U� C Ut Cn 4 N N 6 L M < > D o r*m m Q D M m 2' DU D p W rM r- O CD O C7 0 0 C) 0-4 A W o 42.0' 5.0 Z N SDN N V A 7 N CN I I o o V C N N D O O Q��' m � 1.0'N�m� p IC\ � Z 21.0' 3 41.0' no 5' UE 1 15.0' b Z Ip (� � cn C �k c 1.0'O) o w N�� W 21.0' 3 R o z 1-1 o . 0 41.0' co 5.0 v N Z D N �''an N I N .0' II 59 z 5.0' p Cmc or! w P o m W O 42.0' o� N �N W 6 L M < > D o r*m m Q D M m 2' DU D p W rM r- O CD O C7 0 0 C) 0-4 A W 21.0' N sol LO O! Owl N SDN N V A 7 N CN I I o o V C N N D O O Q��' m � I. 5.0 p IC\ A 21.0' 3 >N N �;Uo N I •� IN 1 15.0' DD m;0 p5.0 Ip (� b 21.0' 3 3 : O N 5.0 N D N �''an N I q p Cmc or! I 6 L M < > D o r*m m Q D M m 2' DU D p W rM r- O CD O C7 0 0 C) 0-4 A W vcDcn- - aory n ' CC CA,D0�1 Nc rr�fv � rim II '1,O tmAC�C�rtA II A j�Dj Ori nn��DtDJ1A OL.<""��CmAM rn ��' DA�mmZw N�CmO AmArAi 7AC� R'ZD�Ommz iz m J A D C m Z m m m D m D Z-44Z� C�c v Z ;a m O D to opt �r sol LO O! Owl V C N N D r 1r IC\ A _ 1 N (� O I I TI M Oz C z o �r O D z i O O Z Z C) n D rnrn� m vcDcn- - aory n ' CC CA,D0�1 Nc rr�fv � rim II '1,O tmAC�C�rtA II A j�Dj Ori nn��DtDJ1A OL.<""��CmAM rn ��' DA�mmZw N�CmO AmArAi 7AC� R'ZD�Ommz iz m J A D C m Z m m m D m D Z-44Z� C�c v Z ;a m i CITY OF WHEAT RIDGE 91 Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 1�-V,4G L Job Address:-s%� `� % �i �/' S IL Permit Number: 74:1:�) 2_ov ley (!52 / �- fe 7�P r-' ❑ No one available for inspection: Time 2 � 2S AMi Re -Inspection required: Yes �A1Vo , When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge.co. usrnspection Date: z me nspector: S DO NOT REMOVE THIS NOTICE Gerard Enterprises, Inc. 6355 Ward Road, Suite 308 Remington Homes, Inc. 9468 West 58th Avenue Arvada, Colorado 80002 Attention: Subject: Address: Date of Observation: Mr. Horn: Structural Engineers Arvada, CO 80004 Mr. James Horn (303) 940-0996 E-mail: office@geistructural.com Job No.: 200145 Date: 8-26-20 Floor Footing Void Observation 5149 Tabor Street — Lot 8, Block 5 Hance Ranch, Wheat Ridge, CO 8-26-20 An observation of the floor footing void was conducted at the subject location on the date indicated. This observation is limited to the size of the footings. The floor footing voids were sized in general compliance to the foundation plan prepared by Gerard Enterprises, Inc., for the subject site. The suitability of the soil within the footing forms must be observed and approved by the geotechnical engineer of record. Please contact us if you have any questions concerning this observation or when we can be of further assistance. o�xo'�� o REG'''% 0��•�PR� A• tilFi. Fes''; 400:0.t"� YGerard Enterprises, Inc. 108 .Pzz Lynne Weitzel Staff Inspector Gerard A. Meiser, P.E. Project Engineer Excavation/Footing Observation CLIENT: FIELD REPRESENTATIVE: DATE OF OBSERVATION: `, _ %��(Zo TIME: WEATHER CONDITIONS: Recommended Foundation System SOILS REPORT BY: C_77 PROJECT NO: 2 DATED: ❑ SPREAD FOOTINGS MAXIMUM SOIL PRESSURE OF MINIMUM WIDTH g FOOTINGS WITH MINIMUM DEADLOAD PSF. INCHES MAXIMUM SOIL PRESSURE OF 3a?v© PSF. MINIMUM DEADLOAD PRESSURE OF I C r pgF PROVIDE A "7 INCH VOID BENEATH GRADE BEAMS MINIMUM WIDTH-/ I�f:�CT�S •' //i s(� INCHES Foundation Plan BY.- PLAN Y: PLAN NO: DATED: WALL FOOTING WIDTH PER PLAN ❑ YES ❑ NO COLUMN PAD PER PLAN ❑YES []NO REINFORCEMENT AS PER PLAN: DYES E] NO ❑ NONE REQUIRED ❑AT SITE ❑ INSTALLED Soil Conditions At Footing Level UPPER LEVEL LOWER LEVEL Ground Water Conditions ®NONE IN EXCAVATION ❑ NONE ENCOUNTERED IN BORING NO. TO FEET ® ENCOUNTERED AT Z FEET IN BORING NO. Remarks IrCTL I THOMPSON Fl,,-' MIMMRMMMM-71�, PROJECTNO: :—ci�{�e7� SUBDIVISION: 14a"'C,C IC r "A" FILING: ADDRESS: cr, (Ct%ur- LOT O BLOCK: Four-'—'- .A INDICATES APPROXIMATE DEPTH/WIDTH MEASUREMENT LOCATION Summary Of Observations ❑ FOOTING IN GENERAL CONFORMANCE WITH PLAN ❑ FOOTING REJECTED; ADDITIONAL OBSERVATION REQUIRED >] CONDITIONS IN EXCAVATION AS ANTICIPATED ❑ CONDITIONS IN EXCAVATION NOT AS ANTICIPATED, CONTACT GEOTECHNICAL ENGINEER; ADDITIONAL OBSERVATION REQUIRED 00 -LI t.r0" 9 i2 0, 51829 z CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: F-00 T Job Address: _ 5L Z�Z �1 =�L S Permit Number: Zr�, -,--,C2 c'2r f 2 ❑ No one available for inspection: Time A1PM Re -Inspection required: Yes N6-) When corrections have been made, schedule for re -inspection online at: http✓/vww.ci. wheatridge. co. us!►nspection Date: Z 2 712'0 nspector: S/0 DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: S C',, G & Job Address: ..51 `l c� %^� 4o r— -S- 7" Permit Number: ?_ J Z c� p ❑ No one available for inspection: Time 2 .'20 A 451 Re -Inspection required: No.r�v When corrections have been made, schedule for re -inspection online at: httpYlwww.ci. wheatridge.co. usfinspection Date: 0-2 l' ®Inspector: _S%0 DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: S C',, G & Job Address: ..51 `l c� %^� 4o r— -S- 7" Permit Number: ?_ J Z c� p ❑ No one available for inspection: Time 2 .'20 A 451 Re -Inspection required: No.r�v When corrections have been made, schedule for re -inspection online at: httpYlwww.ci. wheatridge.co. usfinspection Date: 0-2 l' ®Inspector: _S%0 DO NOT REMOVE THIS NOTICE 1* � 4 i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: tit Job Address: .S /7' 2 Permit Number: W er2 Z_ Ll No one available for inspection: Time'•�%� PM Re -Inspection required: Yes/1) F When corrections have been made, schedule for re -inspection online at: httpYAvww. ci. wheatridge.co. usfnspection Date: A-nspector: Sr DO NOT REMOVE THIS NOTICE City of Wheat Ridge Single Family - New PERMIT - 202000123 PERMIT NO: 202000123 ISSUED: 07/01/2020 JOB ADDRESS: 5149 Tabor St EXPIRES: 07/01/2021 JOB DESCRIPTION: Hance Ranch - 2 story townhome, 3 bedroom, 2.5 bath - 1,828 sq ft (Plan 108, Lot 8 Block 5) *** CONTACTS *** OWNER (303)420-2899 HANCE RANCH STATION LLC GC (303)420-2899 MEGAN SPARKS 160075 REMINGTON HOMES OF COLORADO SUB (303)598-8617 MICHAEL J LIND 170368 RED ROCK ELECTRIC SUB (303)421-4506 BEN MILLWOOD 019354 MILLWOOD PLUMBING & HEATING SUB (303)668-4487 EUGENE WILLIS 170665 SMITH AND WILLIS HVAC LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2320 / APPLERIDGE ESTATES, STANDLEY H BLOCK/LOT#: / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 211,869.56 FEES Total Valuation 0.00 Plan Review Fee 120.00 Use Tax 4,449.26 Permit Fee 1,854.45 Engin. Review Fee 100.00 ** TOTAL ** 6,523.71 *** COMMENTS *** *** CONDITIONS *** All roughs to be done at Framing Inspection. 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. 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 (Case No. WSP-17-04) prior to C.O. and pursuant to the phasing identified in the Subdivision Improvement Agreement. Per the SIA, installation of landscaping, street trees, and irrigation is not required prior to Certificate of Occupancy if issuance of the C.O. occurs outside of the planting season, generally October to June. lv'� 1 4 City of Wheat Ridge Single Family - New PERMIT - 202000123 PERMIT NO: 202000123 ISSUED: 07/01/2020 JOB ADDRESS: 5149 Tabor St EXPIRES: 07/01/2021 JOB DESCRIPTION: Hance Ranch - 2 story townhome, 3 bedroom, 2.5 bath - 1,828 sq ft (Plan 108, Lot 8 Block 5) 1, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include 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 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 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 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 iss or granting a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applic 1 ode r any o ce r regulation of this jurisdiction. Approval of work is subject to field inspection. d Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of ���Wh6atl?,�dgc COIv MUNlTy DEVELOPMENT" Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5033 I FOR OFFICE USE ONLY ®ate: .� Plan/Permit # v J � � •� 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: lQV)c,�7A, Property Owner Email: (Nailing Address: (if different than property address) Address:i�r�}� City, State, Zip:C1lQ�a i CL �W-. Arch itect/Engineer: c.r �t�cl, - - r� �� : J-nc , Architect/Engineer E-mail: -n9gCfl Contractor: n Contractors City License #: P Phone: Contractor E-mail Address:( Sub Contractors: Electrical: Plumbing: Mechanical: S(nA !:�Qc, w i I45 W.R. City License # { -j W.R. City License # W.R. City License # 1-_7Q(k5 ti0 Other City Licensed Sub: City License # Other City Licensed Sub: City License # Complete all information on BOTH sides of this form Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ® NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESIDENTIAL 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.) o� JI-uN t%�Q`(111c ((1Sl_t :5, 1y-4oGGrn, r, ,- b4h , Sq. Ft./LF Btu's Gallons Amps Squares 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. CIRCLE ONE: (OWNER) (CONTRACTOR) or Af (OWNER)ONTRACTO PRINT NAME: ZONING COMMMENTS: PW *J l�jh><vy Reviewer 1 t/- t(u BUILDING DEPARTMENT COMMENTS: Rev'7;4 �" J iztl� PUBLIC WORKS COMMENTS: Reviewer:, (� 17 I j 20 Aff.12- PROOF OF SUBMISSION FORMS SIGNATURE: L� 1 ' C=i ( DATE: /15L(, Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION:_ Permit may be ISSUED Public Works takes no exception with the Building Permit application for the above address and hereby approves the application. Prior to ssuance of the last C 0 for the building, a Grading Certification Letter shall be ,epuired from the Engineer of Record certifying that the final grading has been completed and is in general conformance with the approved Grading Plan, and that ,he drainage shall function per the approved Final Drainage Report/Plan IBuilding Division Valuation: $ ) ) I U foC/ I City of COMMERCIALIMULTI-FAMILY ge Co mum DmLopmE`,,T BUILDING PERMIT APPLICA TION RE VIE W Date: 21 - rtA/y _O Location: 5 14- G d i3olZ 7 ATTENTION: BUILDING DEPARTMENT I have reviewed the submitted application documents to construct a N L 1/V %O WA, CAAE—::' —5 —F3 located at the above referenced address. Please note the comments checked below. 1. ✓ Site Survey: ✓ OK _ Not OK; refer to stipulations. 2. ✓ Drainage: a. Final Drainage Report and Plan required ✓ Yes _ No b. Drainage Letter and Plan required ✓ Yes _ No C. Site drainage/grading have been reviewed and are: ✓ OK _ Not OK; see stipulations 3. ✓ CDPS Permit & SWMP Approved: ✓ Yes _ No _ N/A 4. ✓ Public Improvements to be completed: a. street paving/patching: ✓ Yes _ No b. curb & gutter/drivecut: ✓ Yes _ No C. sidewalk: ✓ Yes _ No d. standard street lights: ✓ Yes _ No e. pedestrian lights: ✓ Yes _ No f storm sewer: ✓ Yes _ No g. Letter of Credit (LOC) required: ✓ Yes _ No h. Funds in lieu of construction: Yes ✓ No If an LOC or funds in lieu of are required, for what improvements? SEE ABOVE Amount of the LOC or funds: $ -377 b3-5 , Go 5. ✓ SIATIA required: ✓ Yes No 6. ✓ Traffic impact analysis required & approved: ✓ Yes No 7. ✓ If yes, was it approved by the Director of Public Works? ✓ Yes _ No 8. ✓ Does all existing roadway/alley R.O.W. meet the standards of the City: ✓ Yes _ No If not, what is required: N/A If R.O.W. is required, has the deed been received? ✓ Yes _ No (See Note below) NOTE: All deeds must be reviewed and approved prior to issuance of the Certificate of Occupancy. 9. ✓ APPROVED: The Public Works Department has reviewed the submitted material and hereby approves this Permit Application, subjecttothe stated or attached stipulations. V I rL . 21 --),A A], 2o` o Signature Mark Van Nattan Date 10._N Stipulations: IL 11. ✓ NOTE: Any damage to the existing Public Improvements resulting from this construction shall be repaired to City standards prior to the issuance of the Certificate of Occupancy (C.O.). A Drainage/Grading Certification Letter with by As -Built plans or updated CCP shall be required prior to the issuance of the Certificate of Occupancy. Rev 06/2013 t f , City of ��Wh6atR.Jdge BLIC WORKS City of Wheat Ridge Municipal Building 7500 W. 29`h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2861 F: 303.235.2857 NOTIFICATION FOR PUBLIC IMPROVEMENTS RESTORATION DATED: 21 :2ADDRESS: ,5/49 'TdBn,2 o-11 Dear Contractor: In conjunction with the approval of the building permit application for the above referenced address, this letter is to inform you that all existing public improvements located along the frontage of said address shall be restored, (if damaged from related construction) to an acceptable condition, as determined by City of Wheat Ridge Public Works Department, and prior to the issuance of a Certificate of Occupancy. Prior to any construction commencing, the City's representative will conduct an onsite inspection to determine the existing condition(s) of the public improvements at this address. If you have any questions, please contact me at 303.235.2864 Sincerely, David F. Brossman, P.L.S. Development Review Engineer CC: File www.ei.wheatridge. co.us Rev 2/08 City of PUBLIC • City of Wheat Ridge Municipal Building 7500 W. 29`' Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2861 F: 303.235.2857 PUBLIC WORKS DEVELOPMENT REVIEW FEES Date: _2 i Location of Construction:/ !� cj l L� L�UIZ Ste', Purpose of Construction: NEE Uf 'ToWlWO&F_:� Single Family Commercial Multi -Family Development Review Processing Fee: ................................................ $100.00 $ %0c, ©O (Required of all projects for document processing) Single Family Residence/Duplex Review Fee: ..................................... $50.00 $ Commercial/Multi-Family Review Fees: (Fees include reviews of the l 5c and 2nd submittals) • Review of existing or minimal technical documents: ........................ $200.00 $ • Initial review' of technical civil engineering documents: ................ $600.00 $ • Traffic Impact Study Review Fee: ............... .................................... $600.00 $ • Trip Generation Study Review Fee: .................................................. $200.00 $ • Stormwater Management Plan (SWMP) Review Fee: ....................... $200.00 $ • O & M Schedule Review & SMA Recording Fee ............................. $100.00 $ • Construction Control Plan................................................................. $100.00 $ 'Each Application will be reviewed by staff once and returned for changes. If after review of the second submittal changes requested by staff have not been fully made to the civil/stormwater/traffic documents, further reviews will be subject to the following Resubmittal Fees: • Resubmittal Fees: 31d submittal ('/2 initial review fee): .................................................... $300.00 $ 4' submittal (full initial review fee): ................................................. $600.00 $ All subsequent submittals: ................................................................. $600.00 X = $ (Full initial review fee) TOTAL REVIEW FEES (due at time of Building Permit issuance): $ DD PLEASE NOTE THAT IN ADDITION TO THE ABOVE FEES, THERE WILL BE LICENSING AND PERMITTING FEES REQUIRED TO CONSTRUCT IMPROVEMENTS AND UTILITIES WITHIN THE PUBLIC RIGHT-OF-WAY. ww,A .ci.w hestridge.co.us Rev 05/19