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HomeMy WebLinkAbout4675 Independence Street� ► 44" City of Wheat Ridge '/� Comm. Tenant Finish PERMIT - 202001934 PERMIT NO: 202001934 ISSUED: 10/21/2020 JOB ADDRESS: 4765 Independence St EXPIRES: 10/21/2021 JOB DESCRIPTION: Tenant finish to accommodate two tenant finishes; convert office space to larger rooms; build out of seven new offices and cubicles; upgrades to lighting and electrical systems - 7,200 sq ft total Tenant: Ramos Law & Fit MD *** CONTACTS *** OWNER (303)733-6353 10075 W COLFAX LLC GC (303)653-4815 MIKE ARDWIN 160120 VAN GO RENOVATIONS LLC SUB (303)688-2460 MICHAEL LLOYD 170420 CONDITIONED AIR CORP. SUB (303)842-4505 FELIX H. KEIL 170256 TESLA ELECTRIC COMPANY SUB (720)837-5105 RUSSELL WALSH 160138 RUSSELL WALSH PLUMBING *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 440 / R&D/Flex BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 391,896.00 FEES Total Valuation 0.00 Plan Review Fee 11960.04 Use Tax 81229.82 Permit Fee 31015.45 ** TOTAL ** 13,205.31 *** 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 IBC, 2020 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. **Prior to final inspection approval - As-builts are required before approval of the Building Final Inspection and Certificate of Occupancy can be issued. � ► 44" City of Wheat Ridge '/� Comm. Tenant Finish PERMIT - 202001934 PERMIT NO: 202001934 ISSUED: 10/21/2020 JOB ADDRESS: 4765 Independence St EXPIRES: 10/21/2021 JOB DESCRIPTION: Tenant finish to accommodate two tenant finishes; convert office space to larger rooms; build out of seven new offices and cubicles; upgrades to lighting and electrical systems - 7,200 sq ft total Tenant: Ramos Law & Fit MD I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Farm is Subject: Online Form Submittal: Commercial Interior Remodel/Tenant Finish Date: Friday, September 25, 2020 3:29:30 PM Commercial Interior Remodel/Tenant Finish Application for Commercial Remodel/Tenant Finish This application is for Commercial Remodels and Tenant Finishes. Do not being work until the permit has been issued to the General Contractor. Required to Submit Proof of Submission to Fire Department Proof of Submission to Arvada Fire submittal for 4765 Indeoendence.Dna Fire Department Begin Application PROPERTY INFORMATION Property Address 4765 Independence Property Owner Name 10075 W. Colfax LLC Property Owner Phone 303-733-6353 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email daniel@ramoslaw.com Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" 2020.09.25 - Electronic Payment Form.odf APPLICANT INFORMATION Contact Name of Person Submitting Application Michael Thomas Ardwin What is your role in the General Contractor project? Wheat Ridge Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contact Phone Number (enter WITH dashes, eg 303-123-4567) Contact Email Address for Plan Review Questions 160120 303-653-4815 VanGoRenovationsLLC@Gmail.com Retype Contact Email VanGoRenovationsLLC@Gmail.com Address DESCRIPTION OF WORK Is this for a new Yes tenant? Business Name of Ramos Law / Fit MD Tenant Detailed Scope of Work - Provide a detailed description of work including mechanical, electrical, plumbing work occurring, adding/removing walls, etc Iii .M . STMO 7: Square Footage Area of Work Being Performed Asbestos Report - if applicable Construction Plans scanned on 11 "x17" or larger Interior remodel to accomodate two tenant finishes. floor plan changes to existing offices to accomodate larger rooms, build out of seven new offices and cubicles. upgrades to lighting and electrical systems. lower level of existing building 7200 473698-1 asbestos report.pdf 2020-09-25 - 4675 Independence Permit Set.pdf Project Value (contract 130000 7200sf x $54.43 = $391,896 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Michael Thomas Ardwin Permit Email not displaying correctly? View it in your browser. l3MobiieEyes Contractor Permit Portal rHeed He ENABLING A SAFER WORLD User Options Welcome back Mike Ardwin (Van Go Renovations LLC) Log Off Update Account Tyler Privacy Pof y Help Videos 1115ingle Portal Account Overview IHow to Find Your Active Jobs 1How to Request an Inspection IHow to Request Multiple n_spections How to Cancel an Inspection city/Dept.:l Arvada Fire Protection District Address: Street: Status: DAII OUnsubmitted OSubmitted ORetumed Blue Sky Plumbing and Heating Tenant 4765 Independence Street Finish/Remodel Wheal Ridge, CO 80033 Applications StartNewA lication 0 Just My Jobs O Ail Jobs for my company Submitted 9/25/2020 4:40:00 PM Occupant: Job type: I Tenant Finish/Remodel Search Clear Fillers Reservoirs Environmental, Inc Effective April 02, 2018 Reservoirs Environmental QA Manual Q:\QAQC\Lab\Reservoirs Environmental QA Manual.doc REI LAB Reservoirs Environmental, lnc_ September 21, 2020 Angel Garcia Ramos Law 4765 Independence St. Wheat Ridge CO 80033 Dear Angel, Subcontractor Number: Laboratory Report: Project #/P.O. #: Project Description RES 473698-1 None Given Independence No ACM found per report. R Slusser Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code 101896-0 for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the American Industrial Hygiene Association (AIHA), Lab ID 101533 - Accreditation Certificate #480 for Phase Contrast Microscopy (PCM) analysis. This laboratory is currently proficient in both Proficiency Testing and PAT programs respectively. Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request. The analysis has been completed in general accordance with the appropriate methodology as stated in the attached analysis table. The results have been submitted to your office. RES 473698-1 is the job number assigned to this study. This report is considered highly confidential and the sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with personnel other than those of the client. The results described in this report only apply to the samples analyzed. This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the U.S. Government. This report shall not be reproduced except in full, without written approval from Reservoirs Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested. If you have any questions about this report, please feel free to call 303-964-1986. Sincerely, by Ryan Shilling Jeanne Spencer President (303) 9641986 5801 Logan St, Suite 100, Denver, CO 80216 wwvo.reilab.com (866) RESI-ENV clients.reilab.com Reservoirs Environmental, Inc. Reservoirs Environmental GAManual iso: N!ZAT161IZilanWI :IQ 011LVA ia0111Mai01Lei NVLAP Lab Code 101896-0 TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: RES 473698-1 Client: Ramos Law Client Project Number/ P.O.: None Given Client Project Description: Independence Date Samples Received: September 18, 2020 Effective Apol 2, 2018 Q AQAQC1Af3\Reservoirs Environmental GA Manual doc Method: EPA 6001R-931116 - Short Report, Bulk ND=None Detected Turnaround: Priority TR=Trace, <1% Visual Estimate Trem/Act=Tremolite/Actinolite Date Samples Analyzed: September 21, 2020 Client L Asbestos Conteril Non Non - Sample A Sub Asbestos Fibrous Number Y Physical Part Mineral Visual Fibrous Components E Description Estimate Components R N M (%) (%) Main A Cream tape 4 ND 95 5 B White texture w/ bluish -gray paint 7 ND 0 100 C Off white joint compound 8 ND 0 100 D Light pink/tan drywall 81 ND 15 85 NE A Cream tape 4 ND 95 5 B White texture w/ bluish -gray paint 6 ND 0 100 C Off white joint compound 8 ND 0 100 D Light pink/tan drywall 82 ND 20 80 SE A Cream tape 4 ND 95 5 B White texture w/ bluish -gray paint 7 ND 0 100 C Off white joint compound 8 ND 0 100 D Light pink/tan drywall 81 ND 20 80 TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%. Ryan Shilling Analyst / Data QA P'. 303-964-1986 5801 Logan Street, Suite 100, Denver, CO 80216 1-866-RESI{NV F. 303-477-4275 wwwreilab. com Page 1 of 1 Reservoirs Environmental, Inc Reservoirs Environmental QAManual REI LAB Reservoirs En vironmen to/, /nc. Effective April 02, 2018 Q:\QAQC\Lab\Reservoirs Environmental QA Manual.doc RES Job #: 473698 SUBMITTED BY INVOICE TO CONTACT INFORMATION SERIES Company: Ramos Law .................................................................................................................................................................................................................................................. Company: CASH SALE Contact: Angel Garcia ......................................................................................................................... -1 PLM Priority Address: 4765 Independence St. .................................................................................................................................................................................................................................................. Address: 5801 Logan St Phone: (720) 618-6864 ......................................................................................................................... .................................................................................................................................................................................................................................................. Fax: ......................................................................................................................... Bulk = B Wheat Ridge, CO 80033 Denver, CO 80216 Cell: € € € € s 61 i e i e i . . . . . E € o 2 z a M S Project Number and/or P.O. #: None Given I Final Data Deliverable Email Address: .................................................................................................................................................................................................................................................... Project Description/Location: Independence angel@unitedstatescontractor.com Dust Paint Surface ASBESTOS LABORATORY HOURS: Weekdays: 7am - 7pm & Sat. 8am - 5pm REQUESTED ANALYSIS VALID MATRIX CODES LAB NOTES PLM / PCM / TEM DTL RUSH 1PRIORITY STANDARD a Air = A Bulk = B Paid Cash #: 5449761 € € € € s 61 i e i e i . . . . . E € o 2 z a M S ° a o ............................................ ................................................................................ Dust Paint Surface ................................... = D _ = P = SU Food = F .......... Soil = S _ Swab SW CHEMISTRY LABORATORY HOURS: Weekdays: 8am - 5pm Dust RUSH PRIORITY STANDARD ._ COO . i =_ d ` ° ° ` m = �' v v `o J Tape .. .. = T Wipe = W *PRIORNOTICEREQUIREDFORSAMEDAYTAT _ o; E w �' U) } Q N Metals RUSH PRIORITY STANDARD m € € c� € ' - -o_ 1 o Drinking Water = DW Q N Q i i i U `_ :9 .s ° Waste Water = WW Organics" SAME DAY RUSH PRIORITY STANDARD M € + w + € € a € LL 0 Em o o c Q0} N rL fn U) U5a Lu co 2 -2 o 5 d U - U � o **ASTM E1792 o a a approved wipe media only** MICROBIOLOGY LABORATORY HOURS: Weekdays: 8am - 5pm Viable Analysis"" PRIORITY STANDARD **TAT DEPENDENT ON SPEED OF MICROBIAL GROWTH Q a �E ori i? o o = 5 0 m o o E a U ._ o -a 3 °- Medical Device Analysis RUSH STANDARD ` `� Y i a E 'EO 2 m C' Zai i _ - _° 0 �_VU J Q : m i oN E? m w o Mold Analysis RUSH PRIORITY STANDARD o_ : ; C �: ?'• a'w: Q a' �oco o _ o Lo v m? a w o ""Turnaround times establish a laboratory priority, subject to laboratory volume and are not guaranteed. Additional fees apply for afterhours, weekends and holidays." • U) t O' �aa ' N a€ , , - a o W E a, U T'•' U Laboratory Analysis Special Instructions: a i � Viables co J v(OHos o Instructions Client Sample ID Number (Sample ID's must be unique) ASBESTOS L CHEMISTRY MICROBIOLOGY 1 Main . . . . . . X .............. ¢...... ¢...... ¢......................... ¢........................... X ....... .............. ¢...... ¢...... ¢.................. ...... ¢........................... X . . ¢...... ¢ ...... ¢...... ¢ ...... ........... ........... . ¢........... ¢........... . . B ¢.............. ........... B ¢.............. ........... B . . . ¢....................... ¢ ¢........................ ¢ .................................................... .................................................... 2 NE 3 SE REI will analyze incoming samples based on information received and will not be responsible for errors or omissions in calculations resulting from the inaccuracy of original data. By signing, client/company representative agrees that submission of the following samples for requested analysis as indicated on this Chain of Custody shall consitute analytical services agreement with payment terms of Cash or Check. Failure to comply with payment terms may result in a 1.5% monthly interest surcharge. relinquished By: ��� Angel Garcia Date/Time: 09/18/2020 13:31:23 Sample Condition: Acceptable received By: AnneMarie Kieffer Date/Time: 09/18/2020 13:31:54 Carrier: Hand (303) 964-1986 5801 Logan St, Suite 100, Denver, C080216 vwvw.reilab.com (866) RESI-ENV Page 1 of 1 clients. reilab.com --i City of WheatRidge 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: 4765 Independence Street, Wheat Ridge CO 80033 General Contractor: Vango Renovations- Mike Ardwin Company Name: Condi tinned Air Cornoratino Contact Phone#: 303688-2460 Wheat Ridge Contractor License #: 170420 Michael Lloyd Printed Name of Authorized Agent Sigliature OfAho�ed Agent field) 10/9/2020 Date Wh6atPN c COMMUNITY DEVELOPMENT SUBCONTRACTOR AUTHORIZATION FORM I Electrical Subcontractor This form must be completed & signed by the ELECTRICAL SUBCONTRACTOR performing electrical work on site. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: General Contractor:, -0 FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION Company Name: !9—CC,,kZ11dXkt1VContact Phone #: '' ))3 "S'/ �� L Wheat Ridge Contractor License #: 6 (required field) State License #: C--(-, D 10017`1 Master License #:A F . (7 6 00 -Ju _ P nted Name of Authorized Agent AO Signature f Authorized Agent Date N City of Wheat id e COMMUNITY DEVELOPMENT SUBCONTRACTOR AUTHORIZATION FORM Plumbing Subcontractor This form must be completed & signed by the PLUMBING SUBCONTRACTOR performing plumbing work on site. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: LA/ 65 1 ti 0 E, P E ti U t K/ C F ST General Contractor: VA N &(2 PCrl6 VtA I :O(L S 1 l rte, FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION Company Nam e:l Contact Phone #: r y Wheat Ridge Contractor License State License #: Master License #: 0&01 W;Nls ted Name of AuthorizYd of /fid9375)Ds required field) /b-j3-)O:o