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Home My WebLink About13155 West 40th AvenueCity of Wheat Rj COMMUNITY DEVELOPMENT �jgc City of Wheat Ridge Municipal Building 7500 W. 29th Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2846 F: 303.235.2857 July 26, 2024 OFFICIAL ADDRESS CHANGE NOTIFICATION is hereby given that the following address has been assigned to the property/properties as indicated below: NEW ADDRESS: 12911 West 40"' Avenue, Wheat Rifte CO 80401 CURRENT ADDRESS: 13155 West 40" Avenue • Clear Creek Crossing Subdivision Filing No 3, Lot 1, Section 19, Parcel #: 39-203-01-018 NOTES: This is an official notification. 7/26/24 DATE: AUTHORIZED BY: DISTRIBUTION: 1. Property Owner 2. Addressingpieffco.us Jefferson County Assessor: Data Control, Lacey Baker; Jefferson County Elections: Holly Roth; Jeffco IT Services (Mapping): Steve Mitchel 3. Jeffco Public Schools, ATTN: Communication Services, 1829 Denver West Dr., Bldg. 27, Golden, CO 80401 4. U.S. Post Office, 1100 Johnson Rd., 80401 5. Email to kent.j.christiansengusps. oovv; mariann.szaszgusps.gov; cannen.s.suarezgusps. ov; theresa.a.kraftgusps.gov; Jennifer.m.sanchez(a)usps.gov 6. Xcel Energy, Pary.d.motsingergxcelenergy.com 7. Century Link, elvis.molinaIgcenturylink.com 8. Comcast, scott moore(&cable.comcast.com 9. Consolidated Mutual Water Company: engineeringgcmwc.net 10. Applewood Sanitation District: ASDAMplewoodsan.org 11. Jeffcom: cadupdates jeffcom9l Lorg 12. Fire Dept: planreviewgwestmetrofire.org 13. Wheat Ridge Planning Division 14. Wheat Ridge Building Division 15. GIS Specialist 16. Log File NOTE: Please notify all other parties concerned. ADDRESS MAP UPDATED BY: DATE: www.ci.wheatridge.co. us .� ►; : , -__ cur Clear Creep: Dr. Vicinity Map - AW N. VFPMR OIL, L IIA I L New Address: 12911 W. 40th Ave. 4 Current Address: 13155 W. 40th Ave .�. 40th Ave. i 2024000390 1/2/2024 2:24 PM PGS 7 $43.00 DF $0.00 Electronically Recorded Jefferson County, CO Amanda M Gonzalez, Clerk and Recorder TD1000 N TRAIL MAINTENANCE AGREEMENT THIS AGREEMENT is made this 1 lt" day of Dec• ' 2023, by and between the City of Wheat Ridge, Colorado, (the "City") and whose address is 7500 W. 29s' Avenue, Wheat Ridge, CO 80033, Wheat Ridge, CO 800331 and SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., a Kansas non-profit corporation ("SCL HEALTH') with an address of 500 Eldorado Blvd., Suite 4300, Broomfield, Colorado 80021, collectively referred to herein as the parties. WITNESSETH WHEREAS, SCL HEALTH has agreed to construct a recreational trail (the "Trail") in connection with the Clear Creek Crossing development located within the City; and WHEREAS, the Trail Location is depicted on Exhibit 1, attached hereto; and WHEREAS, the City is willing and able to assume responsibility for routine and preventative maintenance of the Trail; and WHEREAS, the parties wish to memorialize their respective obligations in this Agreement. NOW, THEREFORE in consideration of the mutual promises and agreements contained herein, the receipt and sufficiency of which are acknowledged and confessed, the parties agree as follows: 1. Trail Construction. SCL HEALTH agrees to construct the Trail to the standards set forth in Exhibit 2. 2. Trail Maintenance. The City agrees to provide routine and preventative maintenance of the entire Trail commencing on the date of completion of the Trail. For the purposes of this Agreement, routine and preventative maintenance of the Trail shall include, at a minimum, the following: a. routine and preventive maintenance of stabilized crushed granite fines b. snowplowing, sweeping, and clearing c. spraying for weeds twice annually d. maintenance of directional signs 3. City to Bud, --et Funds. The City shall annually include within its budget funding sufficient to perform its maintenance obligations under this Agreement. Provided, however, the City's obligations hereunder are subject to annual appropriation and are not a multi -year fiscal obligation. 4. Repairs. SCL HEALTH shall be responsible for all repair and resurfacing of the Trail. Repairs shall mean any repairs beyond routine and preventive maintenance as outlined in Paragraph 2. 4- 5. Relocation. SCL HEALTH agrees that in the event the Trail is required to be relocated, it shall be reconstructed within the easement presently provided within SCL HEALTH's property (the "SCL HEALTH Alternate Easement"), recorded at Reception Number 2021109666. In the event of such relocation, the cost of relocation and reconstruction of the Trail, to the standards in Exhibit 2 shall be borne by SCL HEALTH. 6. Indemnification. Within the limitations of the Colorado Constitution and statutes, the parties agree to defend, release, indemnify and save harmless each other, their officers, agents and employees from any and all claims or damages, including but not limited to, death, personal injury, property loss or damage occurring as a result of the actions of their respective officers, agents or employees, it being their intent that each party shall be responsible for its own negligent acts and omissions. The parties acknowledge that provisions of this Paragraph are not intended to waive any of the rights and defenses afforded the City or CDOT under the Colorado Governmental Immunity Act (Section 24-10-101, et. Seq., C.R.S.). In addition, the parties acknowledge that all such liabilities, claims and demands made by third parties shall be subject to any notice requirements, defenses, immunities, and limitations of liability that the City and CDOT and their officers, agents and employees may have under the Colorado Governmental Immunity Act and under any other law. 7. Notices. Any notice required or permitted under this Agreement shall be delivered to the parties, by U.S. Mail or facsimile, and in addition by e-mail, at the addresses below: To the City: Karen O'Donnell Director of Parks & Recreation City of Wheat Ridge 4005 Kipling Street Wheat Ridge, CO 80033 To SCL HEALTH: Attn: Legal Depo. 500 Eldorado Blvd., Suite 4300 Broomfield, Colorado 80021 8. Default & Remedies. In the event any party believes another party has failed to perform its obligations hereunder, such party must give notice to the alleged defaulting party and a reasonable opportunity to cure the alleged default. The parties agree the only remedies for default shall be termination or specific performance. Monetary damages of any form shall not be claimed or granted. 9. Term; Termination. The term of this Agreement shall be perpetual. This Agreement may be terminated only for an uncured default under Paragraph 8. 10. Governing Law,• Successors. This Agreement shall be construed pursuant to the laws of the state of Colorado. Jurisdiction and venue for any litigation arising under this Agreement shall be proper and exclusive in the District Court for Jefferson County, Colorado. This Agreement shall be binding upon and run to the benefit of the successors and assigns of the parties. -2- IN WITNESS WHEREOF, the parties have executed this document to be effective as of the date set forth above. ATTEST: Stephen Kirkpatrick, City Clerk CITY OF WHEAT RIDGE, COLORADO Bud Starker, Mayor -3- SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. A KANSAS NON-PROFIT CORPORATION By: Mark Korth Region President ATTEST: Pri> ted Name: P y 5> VN Title: i-°,-u t— STATE OF COLORADO ) ((�� COUNTY OF &00(4 ) ss.) �_ T The foregoing Agreement was acknowledged before me this 6 day of d�eCXwtb_P< 2023, by Mark Korth, as Region President of Sisters of Charity of Leavenworth Health System, Inc. ADO NOTARY ID 19974012094 MY COMMISSION EXPIRES 07/09/2025 Public commission expires: -4- 1,� nda,. W1 • l�t� EXHIBIT 1 Diagram of Trail Oil aMv PIKE AbCFM& unutr . JLAMMIM i 1:. I , I an.e.Ww Sol w�csas1ors rrau®EMEROME me"awto'rEE orrnvxaer� t =-- °erg ` - - y.: r • ar4CFs - - . . I AM ME �Ir I -- I OCK;i LOTZ,QEnR 'r _ ' lal'1 ar/�>• • I .haArGINCC BLI I • � I• � ' I rcu o o.tcx I .•rr 1 I W �FRINJFNI- �:- I �A rrNr � • I F ....-,ia.trr.� •. WBEnNCJc kk fool �wo�%oeEa co ly �♦ F}r 5r .T3 _ I LyMipy_ i I i .,o \♦ \eua � I I : <b i � if K-T CA �. �� . �°'f .ate � � • � �. � ;iorn� - - � a ="- - - -- = t _ 1 - - ti idL LIU /j f - rerun .wnwle ,- _``f--= l maw wlat tot .nau xc °•� + �• ` _ - Ma r.tar'S'mw Trail -5- EXHIBIT 2 Trail Construction Standards • Concrete • 10 feet wide 0 6 inches thick • 4500 PSI • Saw cut joints • 2 feet minimum on both sides of concrete using stabilized crushed granite fines -6- STATEMENT OF AUTHORITY Sections 38-30-108.5 and 38-30-172, C.R.S. This Statement of Authority relates to an entity named Sisters of Charity of Leavenworth Health System, Inc., a Kansas Non -Profit Corporation 2. The type of entity is a non-profit corporation. 3. The entity is formed under the laws of Kansas. 4. The mailing address for the entity is 500 Eldorado Blvd., Suite 4300, Broomfield, Colorado 80021. 5. The name and/or position of each person authorized to execute instruments conveying, encumbering, or otherwise affecting title to real property on behalf of the entity is Mark Korth, Executive Vice President 6. The authority of the foregoing person to bind the entity is not limited. 7. Other matters concerning how the entity deals with interests in real property: None. 8. This Statement of Authority is executed on behalf of the entity pursuant to the provisions of Sections 38- 30-108.5 and 38-30-172, C.R.S. This Statement of Authority amends and supersedes in all respects any prior Statement of Authority executed on behalf of the entity. p - Executed this t�L day of C 2 nA 20 33 Sisters of Charity of Leavenworth Health System, Inc., a Kansas non-profit corporation By: Name: Mark Korth Its: Executive Vice President. STATE OF COLORADO County of ✓+�L� } The foregoing instrument was acknowledged before me this 16 day of 201A by Mark Korth, as Executive Vice President of Sisters of Charity of Leavenworth Health System, Inc., a Kansas non-profit corporation. WITNESS my hand and official sea). My commission expires: 0 i; O'I I a0J t S •s wi/ (f r n� ; I (SEAL) -'n' STATE CU` f'R+.Y C0.r1lv.sSv..i4.-'!`8 E!`_s CPEi•.F 07d.s✓ From: no-reolv(alci.wheatridae.co. us To: CommDev Perm is Subject: Online Form Submittal: New Commercial Construction Date: Tuesday, November 30, 20219:52:36 PM New Commercial Construction Items Needed to Submit THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Do you have the Signed Proof of Submission Form to Water District, Signed Proof following ready to of Submission Form to Sanitation District, Signed Proof of attach to this Submission Form to Fire District application? These forms are required to submit for plan review. Upload Proof of Proof of Submission Form Water.odf Submission to Water District Upload Proof of Proof of Submission for Permittina sanitarv.odf Submission to Sanitation District Upload Proof of Proof of Submission Form (Fire) SCL Lutheran.odf Submission to Fire District Step 2 PROPERTY INFORMATION Property Address 13155 W. 40th Ave Property Owner Name Bruce Fong Property Owner Phone 303-880-7239 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email bruce.fong@sclhealth.org Address APPLICANT INFORMATION Applicant Name Andrew Schwabe What is your role in the Architect project? Contact Name for Plan Andrew Schwabe Review Comments Contact Phone Number 303-764-1580 (enter WITH dashes, eg 303-123-4567) Contact Email Address andrew.schwabe@hdrinc.com for Plan Review Comments Plan Review Contact andrew.schwabe@hdrinc.com Email DESCRIPTION OF WORK Detailed Scope of SCL Lutheran Medical Center's New Replacement Hospital - Work - Example: New Foundation Pkg REV5 addendum Commercial Building for Roger's Grocery Market Square Footage of 661,939 New Construction Engineering Letters SCL Link tofiles.docx and Other Letter Size Attachments Energy Calcs SCL Linktofiles 1.docx Structural Calcs SCL J ink to files2 docx Construction Plans SCL Link tofiles 3. docx Additional Drawings SCL Jinktofiles 4docx Additional Drawings SCL Link tofiles 5. docx Additional Drawings SCL Jinktofiles 6docx Project Value (contract $400,000,000.00 value or cost of ALL materials and labor) PLAN REVIEW FEE IS REQUIRED AT TIME OF SUBMITTAL Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" 61 lei uG\ Lei :».]011110101AMarGa01.lnLei Ga01.IF-mel »:1r�d:10r1 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 Andrew Schwabe Permit Email not displaying correctly? View it in your browser. � ► 44" City of Wheat Ridge '/� Commercial New Structure PERMIT - 202101006 PERMIT NO: 202101006 ISSUED: 07/26/2021 JOB ADDRESS: 13155 W 40th Ave EXPIRES: 07/26/2022 JOB DESCRIPTION: Hosp-F&F - Structural Design Criteria, Statement of Special Inspections, Foundation Plans, Foundation Details, Calculation Package, Geotechnical Report, Drainage, Under Slab Utilities; expanded to include medium voltage power and low voltage site distribution that extends out past the ring road to the MOB and various parking lots. *Life Safety Plans, *Elevations, *Framing (all levels), *Slab types, *Slab on grade 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 municpal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this�permrt. I further attest that I am leg ally authorized to include 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 �pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 07/26/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. � ► 44" City of Wheat Ridge '/� Commercial New Structure PERMIT - 202101006 PERMIT NO: 202101006 ISSUED: 07/26/2021 JOB ADDRESS: 13155 W 40th Ave EXPIRES: 07/26/2022 JOB DESCRIPTION: Hosp-F&F - Structural Design Criteria, Statement of Special Inspections, Foundation Plans, Foundation Details, Calculation Package, Geotechnical Report, Drainage, Under Slab Utilities; expanded to include medium voltage power and low voltage site distribution that extends out past the ring road to the MOB and various parking lots. *Life Safety Plans, *Elevations, *Framing (all levels), *Slab types, *Slab on grade *** CONTACTS *** OWNER SISTERS OF CHARITY OF LEAVENWO *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION:29,622,334.00 FEES Total Valuation 0.00 Plan Review Fee 80,480.63 Use Tax 622,069.01 Permit Fee 123,816.35 Engin. Review Fee 0.00 ** TOTAL ** 826,365.99 *** COMMENTS *** *** CONDITIONS *** Approval from presiding fire department required prior to final building inspection sign -off. 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. Permit shall comply with the approved Development Agreement. No subsequent permit shall be issued until requirements of the Development Agreement have been met. Approval of this permit does not constitute approval of improvements beyond that which is identified in this scope of work per the approved Development Agreement. 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 Submitting Jason Becker Revision Email not displaying correctly? View it in your browser. adding/removing walls, etc Engineer Letter (if Field not completed. applicable) Additional Documents Field not completed. on Letter Size Are plans or No plans needed documents locked for editing? Construction Plans scanned on 11'x17" or larger Additional Project Value Only add what the revised scope of work is valued at. Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" Field not completed. HE Electronic Payment Form - Jason Becker.odf 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 From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Revision to Permit Application Date: Thursday, July 22, 20211:37:42 PM Revision to Permit Application Permit Number 202101009 assigned to project PROPERTY INFORMATION Permit Number 202101009 Property Address 13155.51D W. 40th Ave., Wheat Ridge, CO 80033 Property Owner Name Sisters of Charity of Leavenworth Health System, Inc. Property Owner Phone 303-813-5130 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email bruce.fong@sclhealth.org Address Contact Name Jason Becker Contact Phone Number 303-591-6466 (enter WITH dashes, eg 303-123-4567) Contact Email Address jason.becker@encoreelectric.com Retype Contact Email jason.becker@encoreelectric.com Address DESCRIPTION OF WORK Detailed Revised Temporary Construction Power for the SCL West Hospital Scope of Work - Project trailer yard. The (900A) Service will feed the construction Provide a detailed trailers and laydown yard on the south side of the site. description of the change in scope of work including mechanical, electrical, plumbing work occurring, � ► 44" City of Wheat Ridge '/� Commercial Electric PERMIT - 202101009 PERMIT NO: 202101009 ISSUED: 07/23/2021 JOB ADDRESS: 13155.5D W 40th Ave EXPIRES: 07/23/2022 JOB DESCRIPTION: Hosp - Temporary Construction Power for the SCL West Hospital Project. There will be two services on site. The first service (900A) will feed the construction trailers and laydown yard on the south side of the site. 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 �pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 07/23/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. � ► 44" City of Wheat Ridge '/� Commercial Electric PERMIT - 202101009 PERMIT NO: 202101009 ISSUED: 07/23/2021 JOB ADDRESS: 13155.5D W 40th Ave EXPIRES: 07/23/2022 JOB DESCRIPTION: Hosp - Temporary Construction Power for the SCL West Hospital Project. There will be two services on site. The first service (900A) will feed the construction trailers and laydown yard on the south side of the site. *** CONTACTS *** OWNER SISTERS OF CHARITY OF LEAVENWO SUB (303)934-1234 WILLIS WIEDEL 070211 ENCORE ELECTRIC, INC. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 458,056.00 FEES Total Valuation 0.00 Plan Review Fee 21240.94 Use Tax 91619.18 Permit Fee 31447.60 ** TOTAL ** 15,307.72 *** COMMENTS *** *** CONDITIONS *** Approval from presiding fire department required prior to final building inspection sign -off. 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 _A� Commercial New Structure PERMIT - 202101005 PERMIT NO: 202101005 ISSUED: 07/06/2021 JOB ADDRESS: 13155 W 40th Ave EXPIRES: 07/06/2022 JOB DESCRIPTION: Hosp-Site Work -New Hospital and Parking Garage *** CONTACTS *** OWNER SISTERS OF CHARITY OF LEAVENWO *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION:9,241,623.00 FEES Total Valuation 0.00 Plan Review Fee 26,165.26 Use Tax 194,074.08 Permit Fee 40,254.25 Engin. Review Fee 11500.00 ** TOTAL ** 261, 993.59 *** COMMENTS *** *** CONDITIONS *** Approval from presiding fire department required prior to final building inspection sign -off. 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. Site work shall comply with the approved Development Agreement. No subsequent permit shall be issued until requirements of the Development Agreement have been met. Approval of this site work permit does not constitute approval of improvements beyond that which is identified in this scope of work per the approved Development Agreement. 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Commercial New Structure PERMIT - 202101005 202101005 13155 W 40th Ave ISSUED: 07/06/2021 EXPIRES: 07/06/2022 Hosp-Site Work -New Hospital and Parking Garage 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 pplicab e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 07/06/2021 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 Pets Subject: Online Form Submittal: General Permit Application Date: Monday, July 12, 20216:40:02 AM General Permit Application This application is exclusively for Scopes of Work that do not already have a specific form. YOU MUST ATTACH AN ELECTRONIC PAYMENT FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Is the property Commercial Residential or Commercial? Property Address 13155 W. 40th Ave., Wheat Ridge, CO 80033 Property Owner Name Sisters of Charity of Leavenworth Health System, Inc. Property Owner Phone 303-813-5130 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTACT INFORMATION bruce.fong@sclhealth.org Submitting General Encore Electric Inc. Contractor or Architect Contractor's License 070211 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contract Phone 303-934-1234 Number (enter WITH dashes, eg 303-123- 4567) Contact Email Address jason.becker@encoreelectric.com Retype Contact Email jason.becker@encoreelectric.com Address DESCRIPTION OF WORK Detailed Scope of Temporary Construction Power for the SCL West Hospital Work - Provide a Project. There will be two services on site. The first service detailed description of (900A) will feed the construction trailers and laydown yard on the work Including south side of the site. The second service (2000A) will be located mechanical, electrical, on the north side of the project and feed the construction needs plumbing work of the building. occurring, adding/removing walls, etc. Square footage of 680,000 scope of work Location of work Jobsite (backyard, on roof, etc) Project Value (contract $1,145,139 value or cost of ALL materials and labor) Upload Engineer letter SCL Temp 03-08-21 Stamped Signed calculations Ddf Upload Asbestos Field not completed. Report if triggler level is met per CDPHE regulation. Upload Drawings SCL Temp 03-08-21 Stamped Sianed Drawing Ddf Upload Additional Field not completed. Drawings Upload Additional Field not completed. Drawings Upload Additional Field not completed. Drawings 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 Jason Becker Permit Email not displaying correctly? View it in your browser. ♦��4_ ��Wh6atf d� e MUNITY DEVELOPMENT " City of Wheat Ridge Municipal Building 7500 W. 29th Ave. Wheat Ridge, CO 80033-8001 P:303.235.2846 F:303.235.2857 May 20, 2021 OFFICIAL ADDRESS CHANGE NOTIFICATION is hereby given that the following address has been assigned to the property/properties as indicated below: NEW ADDRESS: 13155 West 40t'—' Avenue CURRENT ADDRESS: 12881 West 40t' Avenue • Clear Creek Crossing Subdivision Filing No. 3, Lot 1, Section 19, Parcel 4: 39-203-01-018 NOTES: This is a courtesynotification. IAUTHORIZED BY: , DATE: DISTRIBUTION: 5/24/21 1. Property Owner 2. Addressing(Ljeffco.us Jefferson County Assessor: Data Control, Lacey Baker; Jefferson County Elections: Holly Roth; Jeffco IT Services (Mapping): Steve Mitchel 3. Jeffco Public Schools, ATTN: Communication Services, 1829 Denver West Dr., Bldg. 27, Golden, CO 80401 4. U.S. Post Office, 1100 Johnson Rd., Golden, CO 80401 5. Email to arlene.a.vickreykusps. og_v; man* arm. carmen.s.suarezkusps. og_v; there sa.a.kraftkusps.gov; Jennifer.m.sanchezkusps. og_v 6. Xcel Energy, jacob.van.laerekxcelenerg_y com 7. Century Link, elvis.molinalkcenturylink.com 8. Comcast, scott moorekcable.comcast.com 9. WR Water District: Consolidated Mutual Water Company: engineeringkcmwc.net 10. WR Sanitation District: Applewood Sanitation District: ASDkgPplewoodsan.org 11. Fire Dept: planreviewkwestmetrofire.org 12. Wheat Ridge Planning Division 13. Wheat Ridge Building Division 14. GIS Specialist 15. Log File NOTE: Please notify all other parties concerned. ADDRESS MAP UPDATED BY: DATE: www.ci.wheatridge.co.us Y l��l � k: -�� xe ;� - B � � �-�� . F