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