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11833 W 51st Avenue
i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: /.,A L� S Job Address: M)33 v\/ 51st Ave, Permit Number: X01® 0 11l 9) ❑ No one available for inspection: Time 10:D-0 a/PM P Re -Inspection required: Yes o When corrections are complete, schedule re -inspection online. Date: 3- S-`?-�`� 1 Inspector: zl_�- DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: G CtA 6rc, /Vi_K Job Address: t €` ? 1 /- 1 `s vr. Permit Number: K `J� ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at. httpJ/www. ci. wheatridge. co. usVinspection Date: .f€ Inspector: DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: f Job Address: _ (( S 7Z �.. Permit Number: ❑ No one available for inspection: Tim AM/PM Re -Inspection required: Yes' f When corrections are complete, schedule re -inspection online. s Date -V( Z InspE uEq /.51 Originally Issued: 03/21/2014 Revised: 03/20/2020 Valid Through: 03/31/2021 NO -BURN" PRODUCT APPLICATION CERTIFICATE LOCATION OF BUILDING: 1 93 cues-� sJ S-/ ALI0- dj� co g"2 Address Lot # City State Zip //DESCRIPTION AND t1SF OF BUILDING: V 06,6�4,"d 14¢rI4167Z ko 3 /L/ 2o7 -6A) zgs s Certified Applicator Name Company Certified Applicator Number Moisture Sae of Meter Reading Imax% Temp Reading Describe Area Treated Area Treated (Surface yya Product Applied "ed Tables oty- (watAlm Date Applied NOW to Tables CF) SgFt or a or, thicimess) a or ¢) Forint �6F � 1>{ {ldov a.e�-d�'a�w�t�', t 1 I 5 ,> ( yid Jp� s� �M� s� ror�✓ t L > 7 , -V a Pax -ZAQA Certified Applicator Signature Figure 2 Page 9 of 9 Date of Service Z/ i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: j Permit Number: F e ❑ No one available for inspection: Tim M/PM Y Re -Inspection required X ' No When corrections are complete, sch@wle re-inspectiA online. r Dat Inpectdr:. i' A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: S�r"1 f� S V" Job Address: k) Permit Number: ❑ No one available for inspection: Time ' AM/PM Re -Inspection required: Yes No When corrections are complete, schedule re -inspection online. Dater Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type:J Job Address: 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 6355 Ward Road, Suite 308 February 4, 2021 Mr. Jim Horn Remington Homes 5740 Olde Wadsworth Blvd. Arvada, CO 80002 iI3� k'4 51��- V1Vt- Structural Engineers Arvada, CO 80004 (303) 940-0996 E-mail: off ice @ geistructural.com Subject: Partial Framing Observation Plan 107 11833 & 11831 W. 51" Avenue — Lots 10 and 11, Block 4 Hance Ranch Townhomes Wheat Ridge, Colorado GEI Job No. 210028 & 210029 Dear .Tim: We visited the subject site on February 1, 2021. The purpose for our visit was to review the visible conditions where the blocking between second floor joists were in question. Following are our observations. During our visit, we noted that the duplex was framed and faces west with the detached garages to the east. There were several small areas in the upper floor framing where blocking was located over shear wall panels. In a couple of locations holes were cut for plumbing and electrical lines. The holes were limited to the area required for the penetrations. In a couple of joist bays the blocking joist was mostly removed. It is our opinion that most of the blocking sections will be structurally adequate as observed during our visit. In locations where the blocking joist was removed, we recommend that 2x4 blocks be installed between the upper and lower joist flanges over the shear walls. If there are any questions or if we may be of further service, please call. Jft erard Enterprises, Inc. 6355 Ward Road, Suite 308 February 4, 2021 Mr. Jim Horn Remington Homes 5740 Olde Wadsworth Blvd. Arvada, CO 80002 Structural Engineers Arvada, CO 80004 (303) 940-0996 E-mail: office @ geistructurai.com Subject: Partial Framing Observation Plan 107 11833 & 11831 W. 51' Avenue — Lots 10 and 11, Block 4 Hance Ranch Townhomes Wheat Ridge, Colorado GEI Job No. 210028 & 210029 Dear Jim: We visited the subject site on February 1, 2021. The purpose for our visit was to review the visible conditions where the blocking between second floor joists were in question. Following are our observations. During our visit, we noted that the duplex was framed and faces west with the detached garages to the east. There were several small areas in the upper floor framing where blocking was located over shear wall panels. In a couple of locations holes were cut for plumbing and electrical lines. The holes were limited to the area required for the penetrations. In a couple of joist bays the blocking joist was mostly removed. It is our opinion that most of the blocking sections will be structurally adequate as observed during our visit. In locations where the blocking joist was removed, we recommend that 2x4 blocks be installed between the upper and lower joist flanges over the shear walls. If there are any questions or if we may be of further service, please call. Sincerely, ses, lnc x®,6,.4,' 26108 Gerard A. Meiser; P.E. ► CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: v Job Address: t Permit Number: Q� I r. c_ . � cY� t '•'l [ ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections are complete, schedule re -inspection online. Date: Y +� Inspector: — - - P DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: t Job Address: 1 �a �� `� '� ►- ,. Permit Number: C CAN i c r Cir ondl C SI -t r.AP Ll No one available for inspection: Time`(i , AM/PM Re -Inspection required: Yes No When corrections are complete, schedule re -inspection online. Date: Inspector: t� DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: 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 i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: t r Job Address:' Permit Number: ab f" u F l C P E sa ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections are complete, schedule re -inspection online, 4 Date: i G �' Inspector: DO NOT REMOVE THIS NOTICE The City of Wheat Ridge 11833 W 51 st Ave Inspection Check List notes 202001318 Mid -Roof PROPERTY ADDRESS 1163 j �' //933 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 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 Q 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 Q 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 Q Fail Underlayments must follow 2012 IRC / 2012 IBC [� N/A Pass ❑ Fail Verify roof slope for proper drainage R N/A Pass ❑ Fail Dripedge shall have min of 2" overlap ❑ N/A ® Pass ❑ Fail Dripedge should extend down min 2" past roof deck ❑ N/A ® Pass Q 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 114:12 slope ❑ N/A ❑ Pass Q 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 114:12 slope must be installed in accordance with the manufacturers specifications- Must have manufactures letter of warranty with the address on the letter for final inspection Metal Roof Shingles Requirements ❑ 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 Q Fail Metal valley flashing shall extend a min of 8" from the centerline with a min. of 314 " high splash diverter rib built-in at the flow line with sections overlapping a a min, of 4" Tile Roofs Requirements F-] 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 6Vln (., et The City of Wheat Ridge Inspection Check List notes Mid-Roof ll g 31 ,�c 11833 o, Notes a �l�L��ytr rLo�) ue nfIlt4 moron Company Name: Inspector signature: Date of Inspection: RR7 Inspection scheduled timely i NOTES: Ei Companies - RAS Field Manager unavailable to walk after inspection I NOTES: NOTES: BUILDER: Remington Hames BUILDING#: 4 LOT #: 10 PLAN TYPE: 107 COMMUNITY: Ho nce Ra nch Taw n he res ADDRESS: 11833 W. 51st avenue 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 -13ml-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 -13ml-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: 11833 w 51st ave 202001318 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 SES Originally Issued: 03/21/2014 Revised: 03/20/2020 No -Burn®, Inc. 11833 w 51 st ave 1392 High Street Wadsworth, Ohio 44281 202001 31 8 (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 11833 w 51st ave 202001319 ENERGY INSPECTORS" A Key Element in your Energy Efficient Design ENERGYINSPECTORS tardant Coating Inspection To: City of Wheat Ridge, 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 11833 W 51" Ave 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 13 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� S/ANAL 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 i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type:> Job Address: Permit Number: WO ❑ No one available for inspection: Time _14NM %— Re-Inspection required: Yes.<"No f When corrections have been made, schedule for re -inspection online at: http✓/www.ci.wheatridge.co.us inspection Date: ' t, ` Inspector:` DO NOT REMOVE THIS NOTICE 4 i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: J I- <# Job Address: 11"1 2 5{ A vr, Permit Number: '),jCC/' . t ? ❑ 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.ueinspection Date: ' t - Y, i f Inspector: J DO NOT REMOVE THIS NOTICE 4' CITY OF WHEAT RIDGE 11 -/ Building Inspection Division (303) 234-5933 inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: A/V_SH C Job Address: 7`x -=� l'��f ' Permit Number: �7 ❑ No one available for inspection: Time Re -Inspection required'` Yes,,' No *When corrections have been made, call for re -inspection at 303-234-5933 Date: = Inspector: DO NOT REMOVE THIS NOTICE Uerard 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. Jim Horn (303) 940-0996 E-mail: office@geistructural.com Job No.: 200169A Date: 9/16/20 Foundation Footing Observation 11833 West 51St Avenue, Lot 10, Block 4 Hance Ranch Subdivision, Arvada, Colorado September 15. 2020 An observation of the foundation footing was conducted at the subject location on the date indicated. This observation is limited to the size of the footings. The foundation footings 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. Gerard Enterprises, Inc. eitzel aff Inspector Project ttiE3iIIIiiif/ yQ REG 1i1 A. 4; O; Gerard Enterprises, Inc. Structural Engineers 6355 Ward Road, Suite 308 Arvada, CO 80004 OBSERVATION REPORT Builder Site Address l\ u 2. Lot f L , Block Subdivision Hu-vL(-e- 1/11_�C-VL6,% City/County V) C_ TYPE OF OBSERVATION d C,plbC'A (303) 940-0996 Fax (303) 940-1718 Date q - / S .,)- v Time 0 Temp. `-3'3 Wall Reinf. Other v U0J d FOUNDATION/FOOTING REINF. PLACEMENT Steel -grade Size " Void in place below wall/ftg. Add'I Bar per Detail (See Attached) - Located in Tied or Chaired " Cir. To reinf. COMMENTS/CORRECTIONS REWIRED wall. Need to place haunch steel. Need to place brickledge steel. Need window steel per section sheet. * on diagram Thermally protect due to weather conditions. Approved;.--- Appr 1 12610 Date ngineer _* For Residential Construction Observation Only. `°its �....... ,dA/ ... t I i t Approved;.--- Appr 1 12610 Date ngineer _* For Residential Construction Observation Only. `°its �....... ,dA/ ... t CLIENT: FIELD REPRESENTATIVE: M 1 Cw-1 OA DATE OF OBSERVATION: TIME: 1.L. WEATHER CONDITIONS: Recommended Foundation System SOILS REPORT BY:_ C71__ PROJECT NO: S'c�0 .3{2 DATED: -71 �` ( 9 ❑ SPREAD FOOTINGS MAXIMUM SOIL PRESSURE OF MINIMUM WIDTH rs FOOTINGS WITH MINIMUM DEADLOAD PSF. INCHES MAXIMUM SOIL PRESSURE OF �` oc) 0 PSF MINIMUM DEADLOAD PRESSURE OF /'Oo i PSF Gf PROVIDE A INCH VOID BENEATH GRADE BEAMS MINIMUM WIDTH_ 1 `�, r'1G� i�� INCHES Foundation Plan BY: PLAN NO: DATED: WALL FOOTING WIDTH PER PLAN ❑ YES ❑ NO COLUMN PAD PER PLAN E] YES ONO REINFORCEMENT AS PER PLAN: OYES ❑NO ❑ NONE REQUIRED ❑ATSITE ❑INSTALLED Soil Conditions At Footing Level UPPER LEVEL _ J LOWERLEVEL.,,( Ground Water Conditions NONE IN EXCAVATION ❑ NONE ENCOUNTERED IN BORING NO. TO FEET El ENCOUNTERED AT ( ZFEET IN BORING NO. Remarks I IN R E D PROJECT NO: D N S-0 c t 7. 90,-) % S (f�" SUBDIVISION: E`i'14 CQ, t FILING: - ADDRESS: I?' 3 S w ``, I � AV,-P-Lj LOT: 1 O BLOCK: f Foundation Layout 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 REVIEWED BY -L I I� I �_J -L. _L .L - -1- I-� - - --� I I _ _ I4 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 REVIEWED BY i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: z, Job Address: S Permit Number: A .T: ❑ No one available for inspection: Time M/PM Re -Inspection required: Yes Ao When corrections have been ma e, hedgle for- -Inspection online at: httpYAvww.ci.wheatridge.co.uslinvect, n Da�� n�pect A 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: 47 Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE ❑ No one available for inspection: Time "" AM/PM Re -Inspection required:. YesNo When corrections have been made, schedule for re -inspection online at: http://www. ci. wheatridge. co. uslinspection Date:` ,�'Lf1 rV Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division - (303) 235-2855 Office INSPECTION NOTICE -) Inspection Type: Job Address: Zz FE __!;_S GCS Permit Number: i7ae>_0 / 1:7 w ❑ No one available for inspection: Time ' "ed AMC Re -Inspection required: Yes Noy When corrections have been made, schedule for re -inspection online at: h ttp✓/www. ci. wheatridge. co. uslinspection Date: A9 Inspector: DO NOT REMOVE THIS NOTICE Gerard Enterprises, Inc. 6355 Ward Road, Suite 308 Remington Homes, Inc. 9468 West 58`h Avenue Arvada, Colorado 80002 Attention: Subject: Address: Date of Observation: Mr. Horn: Structural Engineers Arvada, CO 80004 (303) 940-0996 E-mail: office@goistructural.com Job No.: 200169A Date: 9/30/20 Mr. Jim Horn Foundation Footing Observation 11833 West 51" Avenue, Lot 10, Block 4 Hance Ranch Subdivision, Wheat Ridge, Colorado September 22, 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. Weitzel Inspector Project Engineer l�� 3 3 i,✓ S l %� �-� Lith' CA W heat j q9C COMMUNITY DEVELOPMENT FOR OFFICE USE ONLY Approved by: I � Inspector Date City of Wheat Ridge Municipal Building 7500 W. 29`h Ave. Wheat 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: 09/24/2020 PERMIT# ADDRESS: 11833, 11831 WEST 51 ST AVENUE LOT 10, 11, BLOCK 4 , 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: 5' REAR: 5' SIDE: 5' SIDE: 5' If in the floodplain, the MINIMUM ELEVATION is determined to be: (NAVD88). The above measurements have been determined on the following location: (Check only one): 68.4 Top of proposed foundation prior to placement of concrete 68.4 Top of foundation subsequent to placement of concrete The setback and elevation measurement locations are identified-onffhe attached exhibit. Signed Print 1 ff %W'f'y_.F� �,�`p'1� Date Professional�— www.ci.wheatridge.co.us Rev 11118 eL Lange IMPROVEMENT LOCATION CERTIFICATE L S� SuLand rveys (FOUNDATION ONLY) 55 11 west 56TH AVENUE, su11E zao ARVADA. CO 80002 P:(720) 242-9732 F:(720) 242-9554 TRACT A PRIVATE DRIVE 30'WE /_2DU LEGEND R=PRDPERTY UNE E=FLOW LINE EDC=EDGE OF CONCRETE TF -TOP OF FOUNDATION WE=WATER EASEMENT DU=DRY UTILITY TBM=TEMPORARY BENCHMARK =CONCRETE =FOUND /5 REBAR WITH PLASTIC CAP PLS NO. 38285 =RETAINING WALL W =WATER SERVICE S SANITARY SEWER SERVICE LEGAL DESCRIPTION l LOTS 10 AND 11, BLOCK 4, / HANCE'S SUBDIVISION REPLAT NO. 2, CITY OF OF JE RIDGE, COUNTY OF .JEFFERSON, .� STATE OF COLORADO. 1. 1 HEREBY CERTIFY THAT THIS IMPROVEMENT LOCATION CERTIFICATE WAS PREPARED FOR '0 10110 -20 REMINGTON HOMES, THAT IT IS NOT A LAND SURVEY PLAT OR IMPROVEMENT SURVEY PLAT, L� AND THAT IT IS NOT TO BE RELIED UPON FOR THE ESTABLISHMENT OF FENCE, BUILDING, OR OTHER FUTURE IMPROVEMENT LINES. THIS CERTIFICATE 15 VAUD FOR USE ONLY BY SCALE: 1"=20' REMINGTON HOMES. AND DESCRIBES THE PARCEL'S APPEARANCE ON SEPTEMBER 22, 2020. 2. I FURTHER CERTIFY THAT THE IMPROVEMENTS ON THE ABOVE DESCRIBED PARCEL ON THIS JONATHAN R. LANGE DATE, SEPTEMBER 22, 2020, EXCEPT UTILITY CONNECTIONS, ARE ENTIRELY WITHIN THE COLORADO REGISTERED BOUNDARIES OF THIS PARCEL. EXCEPT AS SHOWN. THAT THERE ARE NO ENCROACHMENTS PLS If 37908, FOR AND DRAWN UPON THE DESCRIBED PREMISES BY IMPROVEMENTS ON ANY ADJOINING PREMISES, EXCEPT ON BEHALF OF LANGE ASINDICATED, AND THAT THERE IS NO APPARENT EVIDENCE OR SIGN OF ANY EASEMENT LAND SURYEYS, LLC DRAWN CROS G OR BURDENING ANY PART OF SAID PARCEL, EXCEPT AS NOTED. JOB NUMBER: 1211-16271 DRAWN O m EOC _ o R/EOC 7.8 _ vi 5 M o _ M S L6 _ TBM 22.0 22.0 2 CAR J 0.0' 2 CAR 5.0' o GARAGE GARAGE o 5.0' N TF=70.0 TF=69.0 N 22.0 22'0 TRACT C DU I I 500'15'J4"E 54.25' LOT 92Z25' 27.00' BLOCK 4 22.0 22.0' 0.0' w LOT 10 LOT 11 BLOCK 4 BLOCK 4 #11833 #11831 C� N (UNDER (UNDER CONSTRUCTION) CONSTRUCTION) TF -6&4 TF=69.0 p O O ad 06 DO QD p o 2 Lu 41 — 0 n 5' UE 0 O LOT 10 co BLOCK 4 LOT 11 BLOCK 4 �r v Do Do DO DO 2 2 TRACT B TRACT C 27.25' 27.00' NOO'16'34 "W 54.25' LEGAL DESCRIPTION l LOTS 10 AND 11, BLOCK 4, / HANCE'S SUBDIVISION REPLAT NO. 2, CITY OF OF JE RIDGE, COUNTY OF .JEFFERSON, .� STATE OF COLORADO. 1. 1 HEREBY CERTIFY THAT THIS IMPROVEMENT LOCATION CERTIFICATE WAS PREPARED FOR '0 10110 -20 REMINGTON HOMES, THAT IT IS NOT A LAND SURVEY PLAT OR IMPROVEMENT SURVEY PLAT, L� AND THAT IT IS NOT TO BE RELIED UPON FOR THE ESTABLISHMENT OF FENCE, BUILDING, OR OTHER FUTURE IMPROVEMENT LINES. THIS CERTIFICATE 15 VAUD FOR USE ONLY BY SCALE: 1"=20' REMINGTON HOMES. AND DESCRIBES THE PARCEL'S APPEARANCE ON SEPTEMBER 22, 2020. 2. I FURTHER CERTIFY THAT THE IMPROVEMENTS ON THE ABOVE DESCRIBED PARCEL ON THIS JONATHAN R. LANGE DATE, SEPTEMBER 22, 2020, EXCEPT UTILITY CONNECTIONS, ARE ENTIRELY WITHIN THE COLORADO REGISTERED BOUNDARIES OF THIS PARCEL. EXCEPT AS SHOWN. THAT THERE ARE NO ENCROACHMENTS PLS If 37908, FOR AND DRAWN UPON THE DESCRIBED PREMISES BY IMPROVEMENTS ON ANY ADJOINING PREMISES, EXCEPT ON BEHALF OF LANGE ASINDICATED, AND THAT THERE IS NO APPARENT EVIDENCE OR SIGN OF ANY EASEMENT LAND SURYEYS, LLC DRAWN CROS G OR BURDENING ANY PART OF SAID PARCEL, EXCEPT AS NOTED. JOB NUMBER: 1211-16271 DRAWN O m i CITY OF WHEAT RIDGE `t v Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: iii / A e, Job Address: l ( F ? _�; 4 -Ll ;s/ AI -e, Permit Number: -2-0 Z�O C-_�2.j -7/g/ ❑ No one available for inspection: Time tj_ AN PM Re -Inspection required: Yes /No When corrections have been made, schedule for re -inspection online at. http✓/www.ci. wheatridge.co. uarinspection Date: 11 72 Z27Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Foo T Job Address: /1 61 S =/1 t� Permit Number: ZZ72_t� 0 11 ❑ No one available for inspection: Time Aw' pM Re-Inspection required: Yes ;Efil0 When corrections have been made, schedule for re -inspection online at: httpYlwww. ci. wheatridge.co. uslinspection Date: 9111,01MZ,0 Inspector:�� DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: 1 � 3 I-V -5/ Permit Number: -Z� ❑ No one available for inspection: Time M Re -Inspection required: Yes 'No When corrections have been made, schedule for re -inspection online at: hffpYAvww.ci, wheatridge.co.usrinspection Date: 2 /`& Inspector: S� DO NOT REMOVE THIS NOTICE City of W* h6atI COMMUNiTy DEVELOPMENT SUBCONTRACTOR AUTHORIZATION FORM Mechanical Subcontractor This form must be completed & signed by the MECHANICAL SUBCONTRACTOR performing mechanical work on site. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: General Contractor: FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION Company Name: - do r Season S 4Contact Phone #: 3c) - C/a 3 -aSq r► e. Wheat Ridge Contractor License #: 1 1 1C1 0 (required field) rn LnvL\^bn Printed Name of Authorized Agent Signature of Authorized Agent oa-z.s-20z O Date 4 r. d 4 City of Wheat Ridge Y Single Family - New PERMIT - 202001318 PERMIT NO: 202001318 ISSUED: 08/27/2020 JOB ADDRESS: 11833 W 51st Ave EXPIRES: 08/27/2021 JOB DESCRIPTION: Bance Ranch - New single family townhome - 2 -story, 3 bedroom, 2.5 bath - 1,818 sq ft total (Plan 107, Lot 10 Block 4) *** CONTACTS *** OWNER (303)901-9748 GC (303)420-2899 SUB (303)421-4506 SUB (303)598-8617 SUB (303)42.3--1982 HANCE RANCH STATION LLC MEGAN SPARKS BEN MILLWOOD MICIIAEL J" LIND BERNIE ALGARD *** PARCEL INFO *** ZONE CODE: UA / Unassigned SUBDIVISION CODE: 2927 / PARK. MEADOWS 160075 REMI"NGTON HOMES OF COLORADO 019354 MILLWOOD PLUMBING & HEATING 170368 RED ROCK ELECTRIC 017790 FOUR SEASONS HEATING, INC. USE: UA / Unassigned BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 248,578.00 FEES Total Valuation 0.00 Plan Review Fee 1,360.52 Use Tax 5,220.14 Permit Fee 2,093.10 Engin. Review Fee 100.00 ** TOTAL ** 8,773.76 *** 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, 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 r..-.-.-_.-.e�_...a T -_-......--.a --- aI,-. LETT _F -1 }'react. .-A City of Wheat Ridge Single Family - New PERMIT - 202001318 PERMIT NO: 202001318 ISSUED: 08/27/2020 JOB ADDRESS: 11833 W 51st Ave EXPIRES: 08/27/2021 JOB DESCRIPTION: Hance Ranch - New single family townhome - 2 --story, 3 bedroom, 2.5 bath - 1,818 sq ft total (Plan 107, Lot 10 Block 4) 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 roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attes that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies andprocedures. 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 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 change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any 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.