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3250 Hillside Drive
Sep 10,2019 2:44 PM City of WheatRiclge Building & Inspection Services Division 7500 W. 291' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits &ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Add to Permit # 20190► 3`q Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 1 a 5 O Property Owner (please print): 114 y- { � �� r , , i, Phone: Jo 3-8 &2 -2237 Property Owner Email: `I'l--,-a r Mailing Address: (►f different than property address) Address. City, State, Zip: (�O v vt-,U \ IL - Contact Person: M a%�'2) e -t Ku"4 Phone: Contractor: �'�: �,,, ,,1 t -k -q- &,-e "V4- S"s Contractors City License #: © (0 0 l a. S Phone: -;O) 80's Contractor E-mail Address: rv,gur u na .r-,M"(Q 1 --t-dd I se-vyl Z ��� S s f -6-O 5 .'7,.Cc Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). 112 Sep 10,2019 2:44 PM Description of revisedlamended work: 12�movl� 6) kcj-t toff— PLVF/- CONI Scoot D>L wzie c - Sq. Ft./LF Amps Btu's Squares Gallons Other Additlmal Protect Value: (Must Include all general and subcontracted work to be performed related to revisions/amendments described above) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that i am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (�I THOR&ED . - AZ& of (OWNER) (CONTRACTOR) 11Rt:I NA%lE: n urvY► A ML) -4 SIGNATi'RE: ZONING COMMMENTS: Reviewer. BUILDING DEPARTMENT COMM_NIS: Reviewer -►dunsl00V "y4&vIO PU6LIC' N RKS CrJi.ttV7 t�Tv' Reviewer. PROOF OF SUBMISSION FORMS r -ire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not RequiresW, Sanitation District ❑ Received ❑ Not Required DATE: lD L ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: 2/2 Sep 9,2019 1:23 PM 9 FOX ENGINEERING LTD. Structural Engineering Consulting 4705 Lincoln St_, Denver CO 80216 - 720-666-8888 RE: Installation Observation 3250 Hillside Dr. Wheat Ridge, CO 80033 On July 10th 2019 at approximately 4:00 pm a site visit was conducted for the purposes of observing the installed helical piers by Complete Basement Systems. The visit was conducted by Dillon Fox, P.E. The (7) installed helical piers were observed to be in compliance with the design before backfilling activities began. (1) pier was not installed as the homeowner could not afford it. This pier was recommended. Vertical movement should be monitored, and if it continues additional piers may be required. Please provide this letter as proof of the on-site observation by the design engineer. With Respect, Dillon Fox, P.E. 720-666-8888 dillon@foxstructural.com Dillon Fox 1/4 Digitally signed o is TN+j' I ' a.� • t�` by Dillon Fox Date: 2019.07.12 12:36:52 -06'00' 55125 _ EXP. 10-31-19 1/4 M 6/Z D�A -Im •m Dm-I!S ggg 8>WrDnp jos >JDg a�l• 000 mDZm 9�-1 °$ "',;smr�li"� �a anvil!"72 <-n 8 z 00''20 A<m a�rt=I '� JIBNAA s �$ xo ps a,; ol:�{$� g p�_x 7o7 0m°7 n��Dfl)ma ZVD nm ]1�p�v y3 b-ilo�m o FrDpGymSSR.omZo-- 2O Q xm 5Z �Ra �/� 3 9 A g° z-0i'f;nmAAU 'x _t" O I= � I1 Sy u7 , m�0 D OT m0 OQ' mZO �y,~'.j Z�49z�1 oao nDDDg •cl iiia 7p m v?CAe o—za =v �m� �m m° q0 m 7c A °vinS o _p is i"n8ap �Lo Z; q qpp dm i g >Zm 10 9"'i yog Om °ym9 �n Gm ?;a,; FA OVZ+ O; wr g•' do 2o n mq5 A op o z p4 00 m D AA- m i mA OT S �m o smb -Aim mm o r� m g�gD ?AZ m0c9Sm mcAm*m O n m° rDbz��C0Wg A 012 6" O m o o v m9 oDy mOp� pm 9 a=o T 0 AOm ZZ m Ilio < mo Z �D 00 q a m m IIMTI= -lm um a mi mim pZZm0 z Dan. p 9 F O= g uci - c0 yo O0 OD _N mA m� O m 02 �m A Mml�tl z 9 =_ q$D Iy-m T m Ogj 0 3�I08 A Om om 91�S amid 9� z° Io 60 D 66 gggg m1420 0 °v ca myyz mm v mm -� vI�I0 Ap ?I21 M- �D 30 z m3rpm 2 O 0 me m Zmzg mO z�YY Z $� C rn -z ZO m m (yC] m9 m� s (jd�� D -MZ D O -I 112 �+9 Z m9 p9 D mm a v wy m �> Dp 3C O yap�1 yy m N D �SFn 0 0 v o OWE n i m m Om AO o O o 9 O X 0. auoNc,} Z JJ' � �;O co co 0 rn � C) co00 ffp� N Q V S1 PROJECT: G) FOUNDATION FOX ENGINEERING LTD. GENERAL NOTES TO BE STABILIZATION AT 3250 0. STRU nRALElVGME WCONSUL77A i REFERENCED HILLSIDE DR., WHEAT RIDG eN+ ,M UNt LKDEWERCO DURINGINSTALLATION CO 80033 sun �D sm H A� m x m z m CA A D ti 2C w 0 0 Iz z D O Z (A O 3 S5 n P3 a m r 0 1 N — N Wd £Z=1 616Z`6 daS IuoslAjo Dui na a6M 3e QAA O ;o Arj w vg� a, m v_ .4aoa�c a`O0 c m x m o M K i �`L�nOHcyOyf y •4ad c„ a:oLr�� m� rm—I o r cn or ' '' O o 0 N 0 99 rn FOX ENGINEERING LTD. as O w 7f SMUCIua.¢SWIAEMNGCCHsuLTM tms UNCow. Mgm 32 PLAN VIEW OF INSTALLATION LOCATIONS PROJECT: FOUNDATION STABILIZATION AT 3250 HILLSIDE DR., WHEAT RIDGE, CO 80033 iqa £Z=1 610Z16 d*S HOME lO��f �a�Aw FLOOR JOIST BASEMENT FOUNDATION WALL BASEMENT SLAB FOOTING �r NOTCHED i FOR J1 BRACKET 30• EXTERNAL SLEEVE HP288 — SHAFT V/* Vi a d A .. STONE VENEER EXTERIOR GRADE GRADE (FIELD VERIFY) FOOTING (ASSUMED, FIELD VERIFY) SUPPORTWORKS LOWPROFILE RETROFIT BRACKET - SHAFT COUPLER 5'I 10" BLADE MIN., �~ SPACING AND NUMBERPER MANUFACTURER 5' Q ea m FOX ENGINEERING LTD. O SnWFURAL EWIASE iNO COAM477W QOl LINCOLK DENWRCO Buis SECTION 1 pQ pDo t n :i 51. 55125 �z EXP. 10-31-19 X O. 25' MIN SUPPORTWORKS HELICAL PIER DETAIL w D fl O �D O X �. C5 DOo �� CL Cr Wd £Z:1 610Z`6 daS M n PROJECT: o` it m FOUNDATION STABILIZATION AT 3230 W HILLSIDE DR., WHEAT i RIDGE, CO 80033 a Wd £Z:1 610Z`6 daS i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: FF I Job Address: -3?-.50 H I i. _ ny_- be Permit Number: 2019 U) -3 Lf '1 ❑ No one available for inspection: Time 12-: Re -Inspection required: YesNo When corrections have been made, call for re -inspection at 303-234-5933 � Date: � It (q Inspector: 1,/' DO NOT REMOVE THIS NOTICE 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office o (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: f, ( (. Job Address: 5 0 Permit Number: pa\4 U o V n_ n<,- - U No one available for inspec�on: Time AM/PM Re -Inspection required: 6Ye� No When corrections have been made, call for re -inspection at 303-234-5933 Date:— �'\ �, \ � Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Foundation Repair PERMIT - 201901347 PERMIT NO: 201901347 ISSUED: 07/09/2019 JOB ADDRESS: 3250 Hillside Dr EXPIRES: 07/08/2020 JOB DESCRIPTION: Residential foundation repair 8 helical piers. *** CONTACTS *** OWNER (303)862-2239 PANIO ALEX M JR SUB (303)805-8751 Rodney Martin 060125 Complete Basement Systems *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,000.00 FEES Total Valuation 0.00 Plan Review Fee 132.80 Use Tax 210.00 Permit Fee 204.30 ** TOTAL ** 547.10 *** COMMENTS *** *** CONDITIONS *** Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. 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 permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performe nd t all work to be performed is disclosed in this document and/or its' accompan ing approved plans and specifications. r6C �- Signature of OWN R or CONTRACTOR (Circle o Date 1. This permit was issued based on the information provided in the permit application and accomranying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, re_ ions, 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 Offial 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 is a e o graa�n in a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any appli co or y finance 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. City of aE W heat IjgcTt- COMMUNITY DEVELOPMEW-r Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(c).ci.wheatridge.co.us FOR OFFICE USE ONLY Date: �/zg11q Plan/Permit # Plan Revieleeb : Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 3250 HILLSIDE DR Property Owner (please print): MARC PAN IO Phone: 303-862-2239 Property Owner Email: MARCPANIO(a-GMAIL.COM Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: FOX ENGINEERING LTD. Arch itectlEngineer E-mail: dillon(a),foxstructural.com Phone: 720-666-8888 Contractor: Rod Martin's Complete Basement Systems Contractors City License #: 60125 Phone: 303-805-8751 Contractor E-mail Address: sara. hasse(a)-completebasementsystems.net For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Sara Hasse Phone: 303-805-8751 CONTACT EMAIL(p/ease print): Sara. hasse(cD_completebasementsystems.net Sub Contractors: Electrical W.R. City License # Other City Licensed Sub: City License # City License # Plumbing: W.R. City License # Other City Licensed Sub: Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL J? RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT 4ROTHER (Describe) Foundation Stabilization (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Sq. FULF Amps Is XHELICAL PIERS Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 9,765 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name):DATE: 06/21/2019 DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: --�� Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: 6/4 Building Division Valuation: $_ f RE: Foundation Observation 3250 Hillside Dr. Wheat Ridge, CO 80033 9A FOX ENGINEERING LTD. Structural Engineering Consulting 4705 Lincoln St., Denver CO 80216 - 720-666-8888 As requested by Rod Martin's Complete Basement Systems, a site visit for the purpose of observing the structure for foundation movement was performed at 3250 Hillside Dr., Wheat Ridge, CO 80033 on June 12th, 2019 at approximately 1:00 PM. The visit was performed by Dillon Fox, P.E. The structure is a residential home with a basement. The foundation is made of poured concrete. The structure appears to be constructed of wood with a stone veneer. There were no structural or architectural plans available at the time of the observation. The focus of the site visit was on the northwest and northeast sides of the home due to visible cracking in the drywall, sloping in the floor system and slab, and because of proposed work by Rod Martin's Complete Basement Systems. The home is assumed to face northwest based on satellite images. The inspection was visual as well as elevations measured with a Ziplevel 2000 high precision altimiter. Observations 1. Cracking in the drywall in the northernmost corner of the home 2. Sloping of the floor system in northernmost corner of the home 3. Cracking in exterior brick veneer 4. Vertical movement of the northernmost corner of the home 5. Vertical movement in the southwest corner of the home Recommendations The cracking in the drywall and sloping of the floors is likely due to vertical movement of the foundation. Typically vertical movement can be due to expansion and contraction of the soil as the moisture content fluctuates, or due to construction on a soil without sufficient bearing capacity for the foundation design. The solution is to ensure proper drainage away from the foundation and prevent any water from infiltrating the soil around the foundation. The following is a list of recommended repairs: 1. Install (8) helical piers as shown on the design drawings 2. Install additional helical piers along the rest of the northwest and southwest foundation walls as finances allow 3. Monitor vertical movement 4. If movement continues, additional helical piers may be required The northernmost corner of the home had the largest measurable differential vertical movem(VvVhne therefore the repair will focus on stabilizing this section of the home. Additional piers are hi City of recommended along the remainder of the northwest foundation wall as well as the southwes at Ridge foundation wall as budgeting and finances of the owner allows, as differential movement was recorded along these foundation walls. The layout of these piers are to be designed by a licensed engineer. Site Drainage The site appears to have some drainage established, which should be maintained and improved further if possible. Several new downspout extensions appear to have been added recently and the owner should maintain these and keep them connected to the downspouts to help move water away from the foundation. Water infiltration around a foundation is a primary cause of many foundation issues. There is visible cracking in the foundation near where the downspout is located. It is recommended to the owner to establish as much drainage away from the structure as possible. Figure 1. Crack in interior drywall City of Figure 2. Significant cracking in interior drywall 1 Wheat Ridge DIvi8o Figure 3. Step cracking in masonry veneer Figure 4. Masonry veneer separation City of Wheat i sidre Divison Existing Foundation The existing foundation was unable to be observed completely as it was not excavated. Without complete observation, some assumptions have been required to be made regarding the composition, quality, and strength. These assumptions may not be verifiable without the client spending addition money to excavate or destroying and replacing the full existing foundation in its entirety. The Client agrees that, except in cases of extreme negligence of the Engineer, to hold the Engineer harmless and will defend the Engineer from any and all claims for the services we have provided. Please feel free to contact me with an additional observations, developments, or questions. With Respect, Dillon Fox, P.E. 720-666-8888 dillon a foxstructural.com Li���V p� 9A Tip. 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CS 6 30Vd to voloC7 0 a Z w00 m m M O G ~ O Z 2 ^ � YI C .r z "v 6 WL �/9 :31da Z Z C o nCDW �mzo c x O m x -0 D mmzZ _ Cl) C oNW a O -0 nmDZ m O cn m n M D_ 0 Cl) z rm C) �u () 0 00 r_ Z --I — n CA) Z r 1 6 WL �/9 :31da Z Z C o nCDW �mzo c x O m x -0 D mmzZ _ Cl) oNW -n -0 nmDZ O oo=!o m � C) �u () 0 00 " Z --I — cn CA) Z WDN 1 O K �CA W T cn c 0 6 WL �/9 :31da Z Z C o nCDW �mzo c x O m x -0 D mmzZ m � z m mm A S O E m co D m � co D m cn 1 O K W T cn c m z U) X O O coW D T C/) IE _ m X < D w ciT0� m O m z Oz r 0 'Dn00 m r0 -1�CJ0 a• O c O r cn 00 e ' ° gyp°co x cn m O c TRYn n m°o° a C) n� 0 m O C: A ( „G) m m m m 22 mmDO Cl) -n x 2? r 0 O T O C K x m 0 O m m � z m mm A S O E m PERMIT:26/�/)ZffADDRESS INSPECTION RECORD JOB CODE: Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int.rF`V 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning Inspections from these entities shall be requested one week in advance. For landscaping and parking inspections please call 303-235-2846 For ROW and drainage inspections please call 303-235-2861 For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works 413 Flood plain Inspection 414 Fire Insp. / Fire Protection 415 Public Works Final 416 Storm Water Mgmt. 417 Zoning Final Inspection 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. i CITY OF WHEAT RIDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTIC Inspection Type: ,, 1 /?t (,',kA 1? Sri Job Address: 3 _�;_C, ), /-z Cc Sr�y Permit Number: Z 0 /,-� ® qs-S 9 F L,l ❑ No one available for inspection.: Time/, "0 AM/PM Re -Inspection required: Yes /f No' When corrections have been made, call for re-inspectipn at 303-234-5933 Date: Inspector:L-���"' DO NOT REMOVEf THIS NOTICE City of Wheat Ridge Residential Plumbing PERMIT - 201707559 PERMIT NO: 201707559 ISSUED: 09/21/2017 JOB ADDRESS: 3250 Hillside DR EXPIRES: 09/21/2018 JOB DESCRIPTION: Residential Plumbing sewer line repair 6ft side yard *** CONTACTS *** OWNER (303)238-1231 SUB (303)215-1348 PANIO MARK Brian Wilkie 060162 Apex Plumbing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,700.00 FEES Total Valuation 0.00 Use Tax 35.70 Permit Fee 67.30 ** TOTAL ** 103.00 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.* City of Wheat Ridge l Residential Plumbing PERMIT - 201707559 PERMIT NO: 201707559 ISSUED: 09/21/2017 JOB ADDRESS: 3250 Hillside DR EXPIRES: 09/21/2018 JOB DESCRIPTION: Residential Plumbing sewer line repair 6ft side yard 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 permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be per and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or &%!TRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying dans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po plans and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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, an 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 %V Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of �W heat�i M�,c M Building & Inspection Services Division 7500 W. 29"' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(@ci.wheatridge.co.us FOR OFFICE li USE PNLY Date: Plan/Permit # X jl Ill 1 � Plan Review Fee: / 1 Ez2z, Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: I`i i Lbs) AF c � 2 - Property Owner (please print): ONeu L �0- rN- i C Phone: 17 ao) Property Owner Email: Mailing Address: (if different than property address) Address City, State, Zip: Arch itect/Engineer: Architect/Engineer E-mail: Contractor: �\ l-V-Y,(V)b i (-" 6R Phone: Contractors City License #:' L l �/��� Phone:_ ()x' Contractor E-mail Address: Sub Contractors: Electrical W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL *RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑-PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. 1!w— `VI A C/C) C ` ,' Sq. FULF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) T. 1 r s f, " S OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name):11.-1 V2�� DATE: t DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION. _ Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: Building Division Valuation: $ i NS (Z�-I Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB INSPECTOR ' FOUNDATION INSPECTIONS DATE .INITIALS COMMENTS: - Footings /Caissons - - Stemwall / (CEG) Concrete - - Encased Ground - Reinforcing or Monolithic Weatherproof/ French Drain Sewer Service Lines Water Service Lines - POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED [Electrical ONCRETE SLAB FLOOR (Underground) Plumbing (Underground) meaun tunaergrouna) DO NOT POUR FLOOR UNTIL ABOVE HAS BEE ROUGHS Sheathing Lath/ Wall tie Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING NS (Z�-I Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB INSPECTOR ' FOUNDATION INSPECTIONS DATE .INITIALS COMMENTS: - Footings /Caissons - - Stemwall / (CEG) Concrete - - Encased Ground - Reinforcing or Monolithic Weatherproof/ French Drain Sewer Service Lines Water Service Lines - POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED [Electrical ONCRETE SLAB FLOOR (Underground) Plumbing (Underground) meaun tunaergrouna) DO NOT POUR FLOOR UNTIL ABOVE HAS BEE ROUGHS Sheathing Lath/ Wall tie Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing - Insulation -- Drywall Screw FINALS Electrical_' Plumbing Mechanical r .Roof Building Final - Fire Department R.O:W & Drainage Parking & Landscaping * NOTE: ALL ITEMS MUST 'CERTIFICATE OF OCCUPA� (1nrlIMAKIr= } - INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS - " "'!?ULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. -�VG AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A �,UILDING DIvISION.DOES NOT CONSTITUTE AUTHORIZA TION R MISSION FOR OCCUPANCY. - -- --.. -- - - - - RECORD Occupancv 03) 234 -5933 CORD Occuoancv lTyp G -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST S IGN ALL SPACES PERTAINING TO THIS J OB FOUNDATION INSPECTIONS DATE INSPECTOR COMMENTS: INITIALS Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof / French Drain Sewer Service Lines Water Service Lines CONCRETE SLAB FLOOR Electrical (Underground) CEEN OIGNED Heating:(Underg ROUGHS Sheathing Lath / Wall tie Mid -Roof ;� Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical Framing Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof ,7 Building Final Fite Department R.O.W & Drainage Par k i ng & L -- NOTE: ALL ITEMS MUST BE COMPLETED AND APPRG' CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSP: OF A CERTIFICATE OF OC' INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS ° ?nULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A `'ING DIVISION DOES NOT CONSTITUTE AUTHORIZA TION i SSION FOR OCCUPANCY. BE SIGNED PRIOR TO PROCEEDING ♦ i CITY OF WHEAT RIDGE ' Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ELD Job Address: 3 6) ) t Permit Number: y a6 ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No When corrections have been made, call for re-inspection at 303-234-5933 Date: S f~ ' i 4nspector: tT_„I it DO NOT REMOVE THIS NOTICE f S !�� -INSPECTI O N � 5 � f � t f � � , Y mc � Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. Sr/la INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Electrical Service Weatherproof/ French Drain Sewer Service Lines Water Service Lines CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) Iln Alnr Rnn C nnc I Inl�'I Avn„c 41ne RccAI Cl/_Alcn ROUGHS Sheathing Lath / Wall tie Mid -Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation - Drywall Screw FINALS Electr Plumbing Mechanical Roof Building Final Fire Department R.O.W & Drainage Parking & Landsca INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A 1MFMftUNNN NOT CONSTITUTE AUTHORIZATION • • f y , S , i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: (7 / Job Address: l/e-,rt o ✓ >r Permit Number: ~Cl y~ 11 e;- ❑ No one available for inspection: Time ' f a (A~/PM Re-Inspection required: Yes No When corrections have been made, call for re-inspection at 303-234-5933 Date: Inspector: .k 17,E -,t/' DO NOT REMOVE THIS NOTICE a i CITY OF WHEAT RIDGE Bung Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office; • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: y~ioi= f~earrS£ Job Address: 2; F/rrrs ~~~t n ~ . Permit Number: o17 V375' ❑ No one available for inspection: Time r S AM/ Re-Inspection required: Yes "When corrections have been made, call ~~forrr/re-inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: /79JG+.~F - lMaSi Job Address: .V5'0 17111IXioF 0/2 . Permit Number: 617Y,;;75 G"'G3zd 7:2/7e~."Z~~L. YC~ G''.f- A ~ JM~Sd~~GTi e.ra> L.l}Lf'e~ t C ❑ No one available for inspection: Time 9~ AMA M__ r Re-Inspection required: ($Ej~ No 'When corrections have been made, call for re-inspection at 303-2345933 Date: 114.11.0 Inspector: m DO NOT REMOVE THIS NOTICE " 1 City of Wheat Ridge roooor Residential Roofing PERMIT - 094375 PERMIT NO: 094375? ISSUED: 12/09/2009 JOB 'ADDRESS:' 3250 HILLSIDE DR EXPIRES: 06/07/2010 DESCRIPTION:.. Reroof 38 sqs with CertainteedPresidential shingles CONTACTS owner 303/238-1231 AFIC sub 303/296-8551 01-9898 AVI, Inc. PARCEL INFO ZONE 4CODE: UA :`.USE: UA SUBDIVISION: UA .'.BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 12,601.00. FEES Permit Fee 290.30 `y •"~..r } Total Valuation • 00Tr 4, is' g Use 'Tax 226.82 'TOTAL 517.12 Conditions: 6 nail installation & mid roof inspection required. Board sheathing spaced more than a 1/2 of an inch apart 'requires plywood overlay on entire roof. Ice and water shield required from save edge to 2' inside exterior walls. : ***Contractor/Property owner shall provideladder(s) secured in place for inpsections.:. Subject to field inspection. I hereby X:Mhoartr.pA hthe setback distances proposed by this permit application are accurate, and do not violate applicable ordman s, ations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all meur m s , a allegations made are accurate; thati have read and agree to abide by all conditions printed on this ap' a on at ~ume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other CG: lSVSI`L}b-LLSb b.` TION THE FOLLOWING BUSINESS Dec. 9. 2009 11:43AM No. 7672 P. 1 of W City of Wheat Ridge Building Division Date, 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Plan =P` .o Inspection Line: 303-234-5933 Permit Building Permit Application Property Address: 3 SU N, I k;Me Yr 5 1(~ Q } 1 5Q Property Owner (please print): 2a T-LC Phone: 3• a 38° PR3 1 Mailing Address: (if different than property address) Address: ' ~ 9 I S I (I' P City, State, Zip: f yhQ (t, d ~~C~~3 Contractor:_ Contractor License 9 Phone; - aC] ~Q ~'j S S Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date; Exp. Date: Exp. Date: Approval; Approval: Approval: Use of space (description): Construction Value: $~(x 6 Description of work: R c ~ 04 1 ' ~ti (as calculated per theBuIldinaValuatronData sheet) .~e - Plan RavleW (due at time of SUbmitfel): $ Sq. FUL•F1 added: Squares BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and aggree to abide bqq all Conditions printed on this application and that I assume full responslblllty for compliance with the Wheat Ridge Building Code (1. B.C) and all other applicable Wheat Ridge Ordinances, forwork under this permit. Plans subject to field inspaetlon, C/RLCEONE:: '(OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) ONTRA ) PRINT, NAME; K M6=Ca,t ,._d SIGNATURE: ki~ Date: /,;L• `j • 10 ZONING COMMENTS: Zoning: Reviewer; PUBLIC WORKS COMMENTS: Reviewer. DEPARTMENT USE ONLY BUILDING DEPARTMENT COMMENTS: OCCUPANCY: Reviewer: FIRE DEPARTMENT.: 0 approved w/ comments Cl dleapproved ❑ no review required Bldg Valuation: $ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 1"Izp ,*gi - OARAI Job Address: 3.25® ffii/S~iaE 0-P Permit Number: 09 Y376 ❑ No one available for inspection: Time / YS AM/PM ~ Re-Inspection required: Yes (TiD_ When corrections have been made, call for re-inspection at 303-234-5933 Date: /i///0 Inspector: t DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Bung Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 0j11Z;% 49I= ° 13Ar?nl Job Address: ~FASo la~erf5toF_ oR, Permit Number: 07an Fl~:rr~'~'~~rlZ rv ,~dlU✓ir~~. S.c~°-tarn -F-~~~cv/`c xd7z Fc'Ta6L r'l f dty/~F_~a J u1<rj /~'E'Jhr • t~G./c6 ,~r~e llt~- 9D Iv''Y'~✓ !dz/.s~e~..~L'.✓ se7.v~ ❑ No one available for inspection: Time AM/WD Re-Inspection required: es No *When corrections have been made, call for re-Inspection of 303-234-5933 Date: !/4(- //0 Inspector: DO NOT REMOVE THIS NOTICE s City of Wheat Ridge PERMIT NO: 09437 JOB ADDRESS:'. 3250.: DESCRIPTION:-Reroo ~s R 12/09/2009 0.6/07/2010 or Barn ONLY FEES K; Permit Fee 108.30 Total Valuation .00 Use Tax 50.62 TOTAL I 158.92 9 QR MITT T, I if c u./ LUATION: 2,812.00 hc~thi n'r4: '.c~i~rcri.`.mnro 03)235-2855 HE FOLLOWING BUSINESS DAY. - Dec, 9. 2009 11:44AM No.7672 P. 2 oP "Et' City of Wheat Ridge Building Division Date: 7,500 W. 2glh Ave., Wheat Ridge, CO 80033 Office: 303235-2855 x Fax: 303-235-2857 Plan coDoa vo Inspection line: 303-234-5933 Permit Building Permit Application Property Address: = ? l d If PY" `h t C t:.L CtX(' ) Property Owner (please prfno- ALECI Phone: 3 ~3 g i 3 ) Mailing Address: (if different than property address) Address: 3 a SO e l ~Y City'state, zip: l,OItieALL 2.-i Jqf~ (_D 812033 Contractor: All , Ch L _ Contractor License 9 VC1 Q Phone: o2C1CP'J OSSI Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company. Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Pe - Vv Construction Value: f 4 t Description ofwork: t~(Itr t ,GV>✓ 1 C7 c+ ~~S (as calculated per theBu(ldfngVafuaaonDatasheet) Ll t ruc, Plan Review (due at time ofsubmlttal): $ TcLw~.l<r~ ~jt~ yr. V Sq.Fi.(l..Ftadded: Squares BTU's Gallons Amps OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT T I hereby certify that the setback dlatances proposed by this permit application are accurate, and do hot violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and aggree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Sullding Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work un erthis permit. Plans subject to field inspectlon, C)RLCE ONE: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) T/RATO PRINT NAME: k,Jrh & tiL.tLG_Cd SIGNATURE: cf Date: I-L- x•67 ZONING COMMENTS: Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewer. DEPARTMENT USE ONLY BUILDING DEPARTMENT COMMENTS: OCCUPANCY: Reviewer: FIRE DEPARTMENT;: 0 approved wt comments ❑ disapproved 0 no review required Bldg Valuation: OEPART~NT OF PLANNING ANI) DEVELOPMENT Building Pe it Number: 2905 BUILOING<tN$PeCTION DIVISION - 235-2855 , CITY OF WHEAT RIDGE Date: 4/11/96 750q WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: DIGBY CAROL A Property Addres& : 3250 HillSIDE DR Contractor license No.: 17988 Company: National Guardian Security, Inc. OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify thet the ~c;k distances proposed by this permR appHcation are accurata, and do not viOtateappliCable OI\III1ancas, rules or l$glllations of the CRy of Whaat RIdge or covenanta, 8BBlIIlleIlla or ~ of record; that aU measurements shown, and allegations tnade are llCCUrate;thelI have. noadand ag..... to abide by all conditions p~nted on this appllcallon, and that I a..UII1e full responsibility for compliance with the Wheat RIdge Building Code (U.B.C.) and all other appt.,..,,, Wheat Rldga ordinances, for work under this permR. (OWNER)(CONTRACTOR) SIGNED~f.SlYf/ , DATE t../. ~-r" Description: AUTOMATIC FIRE ALARM - lOW VOLTAGE BUilDING DEPARTMENT USE ONLY Approval: Occupancy : Roof: Stories: Walls: Electrical license No : Company: Plumbing License No : Company: Expiration Date : Approval: . Expiration Date: Approval: . Phone: 238-1231 Phone: 922 5276 'on Value: $7,690.00 ermit Fee: $99.00 Plan view Fee: $0.00 Use Tax: $115.35 Total: $214.35 Mecha lcal License No : Com y: . (1) This ponnit _l$SUed.inaccxwdsnce witl1 the provisions sat forth in yopur applicallon snd Is subleclto the laws of the tale of C_ and to the Zoning RegU!a1lOns and 1lUi_ COde of _ RId!Ie, Colorado or any other appl_ ordinances of tho City. (2) ThiS ponnit _ ""'*- tr (A) !he ""'" a_o<I Is not commenced witl11n sixty (80) dayS from Issue date or (8) the Iding au1hortzed is suspended or (3) ~~~'::::~ri,ay be ocquinld for alee of one-haWthe amount normally required, provided no haW been or will be mode in the OIigi.,.pIans ai1d a~U:;;;';;';' any.- or abendonment has not exceeded ono (1) year. tI changes are or If au&pension or abandonment oxceed*one (1)yeer, fl.dlteea.hlIIIbe j)aldforanewpermil . (45l No wort of any manner IhIll be done that will change the natural flow ofwater causing a drainage problem. ( ~ nolltY!he ~ Ina~ ~.Iour (24) hOUflIln advance for aU InspedlonO and ahall receive . approval on Inapection canl before (6) of . or J:" ':;''''1J'801:.iwinga and apadfioationo ohell not bI oonstJUad to be a panni! for, nor 0 approval of, ony violl1lon of the provillons of the or any other OrdInance, law, rule or regulation. r2-L/ uildJOg I.r\spector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDIN CALL: 234-6933 24 HOURS PRIOR TO INSPECTION INSPECTOR ~21) DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building P rmit Number: Date: Property Owner: Property Address: Contractor License No. : Company: /JdO/OU'J/ ?'''''/7 jJe..jJI, ck /--1: 11<;,,;/<- j)m ~ }/-.50 /7 -if? L 'j, /Ct!f/v1.-o 7 Phone: .;(~6.. I:l- 'S I ~::'{L ;:"''''"> c2",<-o'/IIl'-;; Phone: '7 L Z;>Z7& OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Const ction Value: - /'000 Permit Fee: 0,<; oC:> Use Tax: II f). 35 I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown. and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and aU other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED ~/~3 ~ DATE ..... Description: ,4..{",...#,> f,'r-< C:{ if,.,.,;.., 1." 'I - t 4#'",...., 'L..J;...J Va IT Totai: )Y. 3~ ), /1-% IF'6D77 BUILDING DEPARTMENT USE ONLY ~ ')Jlli.f.!*i?,1.~""i ( ),1 ~ 1': Approval: Zoning: 1!Il1@lnC'....""'iiiMiIiP.l Approval: ~!!l!Iic;W~:!lmttttttts~ Approval: Occupancy: Walls: Roof: Stories: R sidential Units: Electrical License No: /113'6 Company: Se.""',"",I,;", 0"" /-I......!!-.,-:f,...... Expiration Date: Approval: .:il c PlansR!i1u!ted;i;'2'j Plumbing License No : Company: Mec mcal License No : Com any: Expiration Date: Approval: ~ . PII'nsRequired .-I Expir tion Date: Appr val: !IIP~.' .1, (4) (5) (6) This permit was issued in accordance with the provisions sel forth in yopur application and IS subject to the laws of I e Slale of Colorado and 10 the Zoning Regulations and BUilding Code of \Nheat Ridge, Colorado or any other applicable ordinances of the City. ThiS permit shall expire if (A) the work authonzed is not commenced Within SIXty (60) days from Issue date or (B) the building aulhorized is suspended or abandoned lor a period of 120 days. If thiS permit expIres, a new permit may be acquired for a fee of one-half the amount normally required, provided no hanges have been or will be made in the anginal plans and Specifications and any suspension or abandonment has not exceeded one (') year. If changes a e made or if suspenSion or abandonment exceeds one (1) year, full fees shall be paid for a new permit. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. Contractor shaH notify the Building Inspector twenty-four (24) hours In advance for all inspectIons and shaH receive ritten approval on inspection card before proceedllng With successive phases of the lob. The issuance of a permit or the appro.val of drawings and specifications shall not be constrUe<3 to be a permit for, no an approval of, any violation of the proviSIons of the bUilding codes or any other ordmance. law, rule or regulation (1) (2) (3) Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INS ECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION W~ffH RIDGf flRf PRDlfClIOn OISlRlCI P.O. Box 507 3880 Upham Street Wheat Ridge. Colorado 80034 (303) 424.7323 DATE: 4-4-96 Adolescent Family Health Care Fire Alarm Installatio Plan approval Review/ Comment Sheet 1. Ok for installation 2. NotifY Fire Marshal 24 hours in advance for required tests. 3. System must be on line with monitoring agency at time of request fo tests. 4. Telephone 424-7323 to request scheduled time for test. 5. Final approval subject to all required tests, and field inspection 6. Issues not addressed at this time will be addressed as the need arises. 7. Contact Wheat Ridge Fire Marshal Office at 424-7323 regarding an questions. Respectfully, ~ Dave Roberts Fire Marshal WRFPD W~8n RIDGE fiRE PROTEClIOn D1SmICl P.O. Box 507 3880 Upham Street Wheat Ridge, Colorado 80034 (303) 424-7323 DATE:4-4-96 Adolescent Family Health Care Fire Alarm Installation Plan approval Review/ Comment Sheet 1. Ok for installation 2. NotifY Fire Marshal 24 hours in advance for required tests. 3. System must be on line with monitoring agency at time of request for tests. 4. Telephone 424-7323 to request scheduled time for test 5. Final approval subject to all required tests, and field inspection. 6. Issues not addressed at this time will be addressed as the need arises. 7. Contact Wheat Ridge Fire Marshal Office at 424-7323 regarding any questions Respectfully, ~ Dave Roberts Fire Marshal WR.FPD !3e>iJ., S7~"""''' WII! k ,l??Dn;'-/. ,.e/ 177 if"V' fA L-- ~ '7 kA / u~('ny ~h~ 7rl.-~~ntmr u...eat"'_t:::-..... . 0" " J;o~Sl!.- /MfJ ~<- hI 'II , ...." mull" rnc ..,..tectlOn Istnct Plens Review - I Vale: if ~'" -'I &. tleviewed by David M, RobertS ~ lIniform fire CQll9 Certification *63275 ~ 8 _'Id: he) (/'J:t ( b<- Colorado State, .Fire Suppression System ~ ~ /' 'lhspecUlr qertit~liol1 #92.173 ""'- 5e..~...,v.. ~ rn? 1t'Ojn,mell~ ' {J)sa;>#,.<.+~.P~; o-.::f C- >~e.MI_1<.. Mare.. 5. .4 "~l-( .7 r'" I{ri'''\ ,(v .,' ~ 7(7 ~( .i? ., I nt:., I , ~ J,/v-re ~OI,t'7e.-- j) ,4vc.. Kos.'i.tZ-r5> ;::;orn ~ (J [)o L e,/ ~~,., -I F,r,.,., i ) '7 loft: 'A l.ft, Go....e. IN ~ /J....'^~ ~ ~ I 'r.::e .4 rn 'r1J {.o'7 ~ 1- "ZDn<- - FA-C.p - 2- Z-<>n~ ~4 ";:!../7 '- rtM.e. ~ 1"'<-/0 rlL/ec.-s ~e. /lfAI/t hfRA.}~ (I"''') L $.:I" ~L"",r '4 ~(.,,-<<. ,?>J ~ IIV (j/Jr-,-., t?<- <..fI,e.. ----0-€)- ;;. M pM<.N <1#- AI~~l' L~ 2o...$E.) :z...c r'\E L.. (3<\'-1) Zu.....2 :5 Zc,1'\E: 4 zo...,e l -z... V\ -e... L. f)/}o LG9..61{ 3>~$O ;..1tI1 >/P,: /tvhe'i/~,tl9c.. c ~ C~ '&g' -2 ~ .:t" ~~ ~'" ~V5 N . -~ ~o 03= ..!!i!.g x U~ ~ ~ ~ ~ C3~tO~v ~8[;j~~ <lJ .U')..--"<;f" t="'C' , , Q)ggj:i8~ E:3:CJ:JNr- -al--- ",,"018:58 ",,--C<:<:)COM ..--LU___ ~...... "~l""I -~ " ~ t,::J \At ~ ~ o G .~ \j C o ~ . ,~I l r '1" i i '.. G G @ ,'B ~,r/~~ - .....-- .... ...~_.,~ ".,,,,...,,...,,~:- G ,/\/'.. @ 17?f __..I" "'\r- I'niU; Ne-A'/~~ ~ r,'ve..... roon. .-----.-........--... -'--'.. o o "' .,. ,,,,,..,..... " ~ ~ ~. G) Mike Arrington Sales Manager 114 Inverness Circle East Englewood, Colorado 80112 (303) 922-5276 (800) 288-1393 (303) 799-4304 Fax fl~/~ucn"; f';9,..}/'J.., tklr/t 611'-e.. ~~1f70 ;..)//( >/ 'de /tV hu. -I n'(~ J.-- tfJ .~_..,*..~'~.,.....~. .-'- . o CB -...-.....-....-..-.- E) 00\1 . -:B(.\('CiHl:;t~ > ~8 . '.. .^-...~..~-~,~......., (0 -;;] l..I c II: 7 ;w, @ c.o..(..(lt- ,J ,,~. /, , rlY.e,. Yoo~3 ........ If Ii~ - ,-"-;,-:'- I: -. ....~ iii. National - 'I~ Guardian c !' I -,-'3 1 \3' t CUSTOMER Piii,,\e.'Ce\'\+- FI'\-jN1:,\~ I-\<..fJ"~, W.O. NO. LOCATION PAGE '@ , c_ C~ g.~ .~ ~ <:a ~~ ~-" :i~ 1 , , , Nole avallablhlv 0124 'hr power supply oullets Presenlly mstalled -€> r:z'\l To be mstalled by sub l..3;LJ Show all pomts 01 prolecllon - Use penc,1 - Indlca.te all dImenSIons - Show s ace protechon Caller age LEGEND C - Conlact V - Vibrator. F - FOIl FIC - FOIl & Contact P - Panel (fotllLace) PIC - Panel & Contact T - Trap S - Screen IS - Inllrloa Sensor GG - Glass Gard IR - Inlrared j$how Di,) HU FR P-E TR OT lID IQ La 5H PX 55 - Hold-Up Bullon - Hold-Up RaIl - Pholo Elecltlc -+ - Transcelller (Show DIn - Omnl Transducer - Bell - Control - Lasl Dalla, Clip - Shunl - PrO_lmlly - Sound Syslem OF N -- ~o .:;loo ~.g x e~ ~ uE(D("')"<t ~8~~~ al .L()..-"<t EiSNc:Ocn aloNo:Im ~3-CJ)N""" -~MSM "<T =000 .......cMCOM ....u..J___ --i 11 1,-\ .. i 1 i I I . . I_i i .)11.. i.l! !iAriJ,! IIN'I' ~ ..-11 Illi 'il 1:ldl i iil ... ..111 i 11 @ WFWETI61N @ PULL STATION @ BOILER SUPERVISION @ WF DRYI6 IN @ SMOKE DETECTOR . PIV G TANK ~ @-z.- AIR PRESSURE 0 STAT FIXED TEMP .....0.- OS&Y @ tNSP TEST @" ROOM TEMP 0 STAT RATE OR RIS ~ HORN ,-;- @ FIRE PUMP ~ CONTROLS @" JOCKEY PUMP / .-;- OHO ~ PERSONNEL DOOR OVERH AD 000 WINOOW BATTERY CALCULATIONS House Standby .053 .012 .013 2 ZDM (smokes) 12 x .00005 = .0005 .0885 x 24 2.12 (smokes) 12 x .055 = (horn strobes) 3 x .120 = 114 Inverness Circle East Englewood. Colorado 80112 (303) 922-5276 (303) 799-4304 Fax larm .370 .325 .073 .78 .350 .909 5 .545 2.544 .324 2.858 (2.12 x 1.2) (9.545 x .034 Required Amph ur Capacity Barn Standby larm .053 .370 2 x .00005 .0001 (smokes) .0531 2 x .055 .13 x 24 (horn strobes) 1. 5144 3 x .120 .240 .74 K 5 3.7 1. 817 (1. 5144 K 1.2 .125 (3.7 K .034) 1. 942 Required Amph ur Capacity --.. - , .. .......... ~ . Suitable fo~ Rei . Inhe~ent1y Powe . Rngged Rella . Plug-In Modules . Simple Field E allsion · Fidd Progra ble Conftcuntlon · Unlimited Zone pAcity per UL . ''Walk Test" Ca bility (option) . Alarm Verific:a . n by System or Zone (option) . Versatile Peri . Factory Assemb eel (Optional) . Factory Tested 269 GROVE ST. NEWION, MA 02166-2295 USA TEL: (617) 96S-20IO TIlLBX: 9 212 FAX: (617) 96S-0659 C:BB'38t1d TIll FIRE CONTROL INSTRUMENTS DESCRIPTION The FC-72 Series Fire Alarm Control panel is a proven, verntile, modular control which meets the requirements of NFPA Slandmd 72 for Central Sta- tion. Protected Ptcmi>cs. Auxiliary, Remo.., iIIld Pm. prietary Supervising Stalion Fire Alarm Systems. It Is Listed to UL Standard 864. inherently power lim- ited, meers. all t.JL transient immunity requirements, and is suitable for n:lca.c:ing device service. The control;" housed in . heavy duty 16 gauge sreel .oclosure finished in t."tun=d beige or optional red with back lighted panel. displaying lbe statu. of vital functions. Th~ sunace mounted enclosurel with ils .lim appearance (4-inch depth) is designed to blend with AUY environment.. The many features of the Fe- 72 ,erie. eontJ'o.1 provide a cost effective appl'Ollch to .ystems design. and allow a great degree of flexibility in one enclo- sure. Many of these fcabJres include full supervision, Class B, Style B, Class A. Style D initialing circuits. wilh Cla.. B, Style Y and C1os. A, Style Z notifiCll' lion appliance eircuita. The modular concept offen; lOW freedom of .ys- '0llIS configuratinn, ea", of expansion, and complete inl=hangeability of.n slandard modules. Field ex- pansion of an Cltisting system i. accompUshed by the addition of plug.;n modules for initiating circul.., 200e codin~. "walk ...ot", time limit cutoff. sy.rem or ?one verification. teleDing and additioonl noLiliCl!.- tion appliance circuit.. UL Listed lone capacity i. wilimited. Supe<Vlslon ofviw components, plue-in modules. functiona1.wltchea and standby batteries is provided. In additiOll, Iupcrvloed outputs _ .vllilable for l.ED or incandescent remote :iliu:m annunciation and su- pervised remOle system lrouble anllunciation. The FC.72 coolml i. ill. Us.ed for modular con- struction or expan.ion In tb.c field, or i. available faetory llSsembled and tested. APPROVALS U.L. (SId 864) S 1869 FM lKOAS.AY CARM. 716S-0694:001 NYCBS&A 960-81-SA CIty or~ 2057E OPERATJNG CHARACTERISTICS OperatIng temperalun 32 - 1200 F (0 .490 C) Rclatlw humidIty 85% (non--condmsing) "'nn~ '^lI"~"T.~n:l I:l" BS:C:l 96. 1 ~dtI BULLE @ 72-100104-95 Fe-, FIRE SERIES CONTROL PANI !t 12 9020.0002 ,g, tt: Cl 96/l0/~O <"nn J7tl m0'30l1:Jd lS:2:1 96. 1 fIOT1I::DftAWINl3IiN'll:HOT'T'Os.c...i. .. /1 . -' / 1 i 1 I I I i ,....... I I 1-H2QNI. I CIIII'IoCItY ~ ... I ~ I ..-,.., I -""'" ~~~ I I m ~ I~ I I ~ 1 ~ I _ !r4.00 1 I 1 I I 1 ----- -~4.00 .--- 1-~4.CIlI .,.1----- ~ >-1S.00---r _ ~1.00- ___ 21.00-- - 80.00-"'" Cabinet Size. MODULE DESCRIPTION SUPV. AL. RM BUU.ET1N CURRENT CU RENT -- FC-72-1 1. Zone Control Panel 111 ,~A. .97 A. 72.100 ADAM-s.l Auxlllarv D.C. Actuation Module .013 A. .07 A. 72-265 ADAM.s-2 Auxlllarv D.C. Actuatlon modultl .ll2eA. .13 A. 72-265 APS-6 Auxlliarv Power S""olv. 24 VOC/4A. .020 A. - - 72-'.1 AVM Alarm Veriflcation Modula .012A. .03 A. 72-3'po BOM.6 Notilleatlon Aoollance Circuit Modvle f2\ f2\ 72-~1 BMC-6 Master Coder Module (2\ 12\ 72~1 BMFC-6 Basic Master FIre Card (1\ 11' n-120 CCM-6 Common Coder Module /2'1 12 72-221 DMM Olode Matrix Module - - 721l5O PNIS ;!:on", Coder Module .012A. .1 tlA. 72-230 1"$-6 Power $' ..",Iv "4 VDC/4A - - - 72-140 RB-s Auxillarv Relav Module - .m OA.f4' 7:1.805 RDF Releaslno Device Interface .0Q2A. .0< 7A. 72.240 RRT Remola Reset CaoabllllV 13\ 13' 72-120 RTI Remole Trouble Indicator .ooH. .0d2 A. 72.500 RZA Remote Zone Annunciator (LEO\ - - - 12-500 SAM Subseouent Alarm Module - 72-250 SRl'l-6 Suoo>rvlsed Auldlla.v Relav Module .019A. .cr. 9 A. (41 72~~ SSM $Drinkler Module .027 A. .0 II A. 14\ ----;2.200 TBZ Trouble BY Zone Module 003A. .0 1 An.on" ?,-820 TDS-438 11me Delav Switch .0 I1A. 72-700 VZM Verifocation Zone Module .01DA. .1 'l5A. '7!i!-190 WTM Walk.Tast Module - .0 lOA. "-"OS ZDM ~one Detector Modu~ each additional Zone .ooeA. .1 13 A. 72-180 ZDM.O Dulll-Denaitv Zone Detector Mod~le .01SA. .2 IS A. 141 72-182 ZMc-8 Zone Mother Card - - - 72-180 NOTES; (1) A Basic FC-7211ystem conteins one (1) aacl1 otlhe BMFC.&, PS-e. 20M. an one (1) eaoh or Ihe BCM-6. BMC-6. or COM-e. (2) Included In BMFC-8 IIndlor ADAM-8 power requirements ahawn. (3) Consult factory. (4) With both oIrcuits In alarm. (5) Add 4. to height and width for mm dimensions of n~$h mounllld enclosures. s, - - .."~forlt'llDJmlllon~Iftd""DIIIWd.DI-.l1cNInIr,",~_II---W""-=-- --..... S"'lt<IlO___ 2of2 9021).0002 . ^lm~ . ,l~n:l l~'{ A gt:n 96110/ ~d1:J ..--, ~ ....-.... ........., -- to 03/27/1996 14:47 6174610216 . Da:S Technologies, Inc. D&S TECHNOLOGIES PAGE 01 TA Series Modular LED Annunciators DescrIption T A S.ri.. Modular LEO Annunolalors provlda a ooot elfllCl1lw ahernatlva 10 lIandard allk-acraaned or press-on kmer type annunciators. T A Sa~GI Annunclatora art ..sily Installed, rellabla and can ba easily uaar.modUlod as condhlons and/or locations changa. Savan standard modals In thl'1la slzas, as well a. cU!l10m unfts are availabla to handll most f~e, aecurfty Or general annunciation appll~ion.. providing immediate Idtntltlc..tion of all alarm. troubll or oft-normal conditions. Features . TA Series Annunciators co!l1 from 10.25% lass than custom, silk.scraened, Incanda!!Cently.l~ aMunelalOrs and are much lass costly to Install. Opequa, matked, typlabla plastlo leglnd !l1rlps are ault,l usor-mOdllied as condhlons or locations changl. Insan. acalmmodste up to 20 typed charactera or 20 Ilght-polnt transfer lotters par zone. LEO Indlcalors are vlslbll through lagend only whsn Ih. Laglnd. sra insened bahlnd plastic fecaplata for additional plOtactlon from allmlnts, tamp Iring and vandalism. . Anodil:ed aluminum laceplale i. rugged, attractlvl and molsturl and corrosion reolslant. TA Series Annunciators palform equaly well when mounted Insidl or outside (whh WP.X exterior mounting option). Avallabll in Red, Sllllnless steel and Brass. . Hlgh.impact plaatlc faceplate and lagend holdl.. ara durable and scralch rlslstant, requiring no maintenancl. High-Intenslly red and yellow LED's In ",ed lor ollar, Iong- Ilfa Zone Idlntlfication and are rated at 100,000 hoU", IlIe. . Each T A Sarles Annunciator comaS completely uSlmbled and rlady for auy Installation In standard gang electrical boxes. Standard units oplrate from 12 or 24 VDC (po.hlvl or negative common) and other YORage options arl ava/labia. . ~ @ TA Slrfas annuncJalorw IratI wRh tha control panel. of meet major manufecturers Unha may bt surface or II sh mountad, SpeclflclItlons' .. ......... ..... ..... M_ """" TrooAol, CinM1I TA.s . M_ -- ~ 8urf~ FMII. ~ 57...401 f WPI YA.M . x x X 57....2 I TA-to to 51'".2 I WP. TA-1M to x x X 17.....' > 'fA-II " 6744-3 > WP' fA-1M " X X X 17.... 4 TA.ao .. 5744-'- 4 WP4 TA.IOA. .. X . X 17..0-. . ...".25 21 17..0-1 . WPI TA Saris. AMunclal1lnla.. a 1. All .pacifications subJoctlD r:I1 2. Wirarnolcfl" gr "",lvaIllnl 0 3. Number 01 Raoo ~tg'" at lqu go without notio9. box.... alent gangobla aloctrical bo.... Availability and Prlcl g AD olandard TA Slrf.. Modul LED Annunoiatora ars avail- able for Immediate dlllvory. ustom TA SO~.$ Annunciators requ~. separate quotes. For rlclng and additional Information, contact; O&S Tochnologlas, Inc., 200 IRon Straot, Oedharn, MA02028.(617)4 f-0171 :~~ ~~ MAR '27 '96 12:50 61746 0216 PAGE. 001 '00 SERIES DIRECT-WIRE DETECTORS Model Cu"ent Consumption U.SJCanada Ion Photo Thennal 2-Wlre 4-Wire Voltage DC Standby (Max.' Alarm (Max.J . ur 100 Series low-profile detectors are also offered in a direct-wire configuration with a plug-in terminal block. These units have the same low profile as our plug-in models, and are offered in a variety of combinations to meet your detection needs. Choose ionization, photoelectron ie, or photoelectronic with thermal. Determining if maintenance is needed is easy thanks to a visible signal that indicates when a unit is outside of its listed UL sensitivity range. . 1.66" profile is lowest in industry . Self-diagnostic maintenance feature . Built-in test capability . Plug-in terminal block for easy installation and maintenance . Ceiling white color . 12 or 24 VDC operation . Removable cover and insect screen for easy cleaning 7100 x x \ 'fA '~'~&~;./_" ' '+w,r" " . Field sensitivity etering to meet NFPA 72 requirements . Sealed against d rt, insects, and back pressure . Tamper-resistant mounting bracket . Electronic therm I option on photo detectors includ sa 1350F fixed alarm point 12f24 50"" . x x 12f24 50"" _:~N~';_~1]~~~rX?iR&iP?'rrx1[\~1J"~':':~}'f~h'':.#qJfi,,~tj2i~~)i.:.;g,:-;;::'~{t ~t~~5~TI~:j~r~~:';'~~~1fI;:J1l;g~~ ~:i"'i~i".1;,\'" ,. 72124 50pA 65mA .-'''"-,",,",,''. '~""""'''$'r<<: AR l~1.~~~(~'!J'J,;;,'~'i:~i~" ~OpA:~~;.5:~"\*:i:.;;l<: _~'!i~f':, 6Srn _ " - .-. - 12f24 45.5jJA 95mA x 2112f24TSR.... x x "GENTEX /-. New UL 1971, Constant Flash Rate, Low Current D GX-90 D GXS Remote Visual Signal with Universal Mounting Plate Meets Code Requirements for Supervised Systems The GX Series are high quality remote faceplates permit attractive flush signaling devices that offer both audible mounting. alarms, visual alarms, or a combination of The GX Series with the 1575 and both. 11 0-1 cd models meet or exceed the The GX Series are available in Fire requirements of 4.28.3 of the ADA. All Alarm Red or Beige faceplates with a models are listed for both filtered and textured grain finish. These plastic unfiltered power. Remote Audible Signal AVAILABLE MODELS "-- Combined Rated Combined Rated Current Current Light Oraw@ Draw @ Max Peak Nominal Intensity Nominal Operating Flash db@ Model # Voltage In Candela Voltage Voltage Rate/Min. 10ft. GX90-2 12VDC 12mA 12mA 9Q_ GX90-4 24VDC 15mA 18mA 90 'c .. . GXS-2-15 12VDC 15 115mA 115mA 40 - GXS-2.1575 12VDC 15 (UL 1971) 209mA 240mA 60 75 (UL 1638) GXS-4-15-1 24VDC 15 78mA 69mA 60 - GXS.4-1575-W 24VDC 15 (UL 1971) 105mA 87mA 60 75 (U~ 1638) GXS-4.1575-C 24VDC 15 (UL 1971) 120mA 100mA 60 75 (UL 1_638) GXS.4-110-1 24VDC 110 220mA 179mA 60 GXS-120-177 120VAC 177 400mA 60 ..... GX90S-2-15 12VDC 15 139mA 40 90 GX90S-2-1575 12VDC 15 (UL 1971) 233mA 60 90 75 (UL 1638) GX90S-4-15-1 24VDC 15 108mA 105mA 60 90 GX90S-4-1575-W 24VDC 15 (UL 1971) 120mA 105mA 60 90 75 (UL 1638) GX90S-4-1575.C 24VDC 15 (UL 1971) 135mA 110mA 60 90 75 (UL 1638) GX90S-4-110-1 24VDC 110 250mA 215mA 60 90 WHEN PLACING AN ORDER: add the following to the end of the model number: (For strobe orders only) (All orders) "W" = Wall mount and "R" = Red faceplate "P" = Plain (no lettering) "B" = Beige laceplate "C" = Ceiling mount (1575 models only) Optional1/3H2 available. SERIES D GX-90S Re ote AudibleNisual Si nal T e GXS Series and GX90S Series, at 24V C have minimal peak operating curre t and only a momentary start-up curre t, while the 1 Hz flash rate appli nces have a minimal peak operating curre t normally less than a 17 percent incre sa from nominal operating current and inimal start-up current. Notes: AII2 VDC models operate from 21-30 VDC -2 + 10% AliI VDC models operate from 10-16 VDC -2 t 10% 24 V C models have the following start.up current: - 15ed 114mA 1 flash per see - 1575ed 130mA (wall) - 1575ed 140mA (ceiling) - 110ed 250mA 1 flash per see 12 V C models have the following start-up current: - 15ed 188mA - 1575ed 324mA 24 V C models have the following peak operating curr nt: - 15ed 84mA 1 tlash per see - 1575ed 11 OmA (wall) - 1575ed 125mA (ceiling) - 11 Oed 240mA 1 flash per see Approvals AD BF BS A1MEA #2B5-91-E CS M 'Listing 7135-569:113 "Listing 7120-569:114 UL 64, UL 1971, UL 1638 UL ~ ......r;JE IN THE U.S,A, This symbol on the product's nameplele means~jsUstedby UNDERWRITERS LABORATORIES. INC .ur duct detectors have been designed to incorporate the same advanced technology as our 400 Series smoke detectors. When used in conjunction with a building's HVAC system, these duct detectors can shut down fans, blowers, and change-over air handling to ~ 4t stop fS'N . ) tOXIC smoke from spreading throughout the facility. I, 0) RA400Z . Streamlined housing with clear cover . Field interchangeable detector heads . Mount easily to round or rectangular ducts from 1'-10' wide . Air velocity rating from 500 to 4000 FPM . Powered outputs for remote LED . Two form-C contacts DH400ACDC only) . Remote test capabili . UL 268A listed DUCT SMOKE DETECTORS Model Standby Currellts U.S./Canada Ion Photo 2.Wire 4. Wire 12124VDC 20.29VDC 24VAC J20VAC 2201240VAC x x X 120}/A- 720pA"" DH400llDH400A DH400P DH400ACDCIIDH400ACDCA X X ACCESSORIES Model U.S.lCanada Description X X 25mA.... 3SmA RMSt 20mA RMSt 2S . 3S A RMSt 20 RMSt 20mA RM5t 20 AR SI 1451DHn451A fon Replacement Head l1:r!fi.124'$tABmW!&~i~~A!J!!~I~'~Yf!~~~":fI~~"~2~tili:Jj'lr,~f;E~k[b'~;:l~l(iES~;(~~H::\::::;t(t;WiliSibltm~!.~~R/' ~1~ '~~P.r1.~~J!r1t. 5T.7.5 Meta/Sampling Tube for duct widths 1'-}' rt"j1l1"~'~"..'~1\!f;.~~!!I,i!.)':I%'~$W'''-'~~''''<''''I~''''-''{''"'~"'w;-,.""",:,>'.''''',~'M;'''-:'':;:,';O''''''''';":,:<"",~"""",.",.,, ~:',;';""-'--;'''''','''' "",""'-':""',:"'''r~'~'''''',1:1'':;\w'1?~P'''~'';'''''tV~'j\r,~&,i'i.f\';~:" "'B'-i'''~ffil'!t~fl':ftl:''',.;rl~llR.'\~:_. till~:,),/~3~1~~%,,"{W*"..~;&\/;l~IYi1i!1:!.~~~a..Tp!!..1,9lr~P!~~~!-~.!!5~.~I,~r.~~~~~~~ii1;jLik;J;:):~~~l;':\~:~t:,;;.;::,~:Wlt,:'.'L'{Y!jl:,;!~:F' ";:#~~J:" '~ ,~, ' rl'D;<i\~,.~:/~~il':~:i1o'$i~1::-t,m:,.~~9~ ST-5 Metal Sampling Tube for duct widths 4'-8' ~)t!M1"~'" "":'J"'~I;''''~'fl~~~~~>:--'lt~~",:,,",,,,,,;j;'I''''"''i~';,;''-':I'I"'''''''~'' """""':':':;''''''':J:::j-:'''''''''''''''od''''''h' "."::'8"'" :,:,,'" ";''':,--::''',':;".l ;-,:"" ":'--"":t'rJ";"F'\';:t!Y".":~'''.'''"'''''''r,?!(t':'~~'~;~""'i, "".",;,.1~i{~','t-'~(ltm~;'~"'I'--'t'~~1i~,'~~~ri''''''~i':!l cJ:\;t.,:~".~'O.;/-iiJ%1;;:iJ.ti.I~1i!;:2~~~ij1.>G:~tJ\lfeta,i~~2~Zl!!!,~~~::..~:!.~!"~~.~", :7' ~;.:,:,;,;:~l~i, 'L-;::,~>r~:r )tl'>:';';"\'{;1~(.t!.i:~::\\~;fj:~,:~i~.t:i'~1:;:'+\1~,:;~ {:~,~~!;)iio'ti:\'i)i:\i;I::f!ti:';':W(I1:'~~~f'\W,J~'ii~;{t~ APA451 Annunciator with Piezo Alarm .R'A'f06i(R'!'~;~~~,1."(~'aiki"i&!:p;;nli;'{;"3i1rr5t)'\i!~~W; i~"!l'i;' RTS451KEY Remote Test Station with key for test and reset .~~~~..g~.t;'iI3lil"o,,("U"m'~Ofiii~j$~ti, . Alarm current must be limited to lOOmA or less by the control panel. -UMaxlmum , Typical 14 FIRE ALARM INITIATING DEVICES - 9340 SERIES . FEATURES . Low Silhouette-Projects 1-3/0" . One Circuit or Two Circuits . White Finish . UL Listed . Easy installation . Rate of Rise-Fixed Temperature 50 x 50 ft. . Fixed Temperature Only-25 x 25 ft. . Visual Indication-Fixed Temperature . Operational Testing-Rate of Rise . BSA Listed-Calendar #6-07-SA . CSFM Listed-File #7270-061:5 . NFPA 72E . FM Approved GENERAL INFORMATION The Thermostat is heat operated on both rate of rise and fixed temperature principles. Available with one or two sets of normally open contacts. When using the two contact unit both sets operate simultaneously controlling two independently powered circuits. It is a sturdy, well designed, automatic fire detector of extreme sensitivity and dependabilily. OPERATION Rate of Rise Principle: Subject to normal temperature rise the air in the chamber expands, leaking through the special moisture-proof vent. Exposure to a rapid temperature increase of 15 degrees F. per minute or more creates greater expansion of air in the chamber than can be relieved by the vent, thereby deflecting the diaphragm and closing the contacts. When operating from the rate of rise principle, the thermostat automatically restores itself after the heat is removed. Where unusually violent ambient temperature fluctuations exist, the fixed.temperature.only type should be used. Fixed Temperature Principle: Entirely independent of the rate of rise unit, the fixed temperature element uses fusible alloy unsurpassed for long term stability and reliability-in a new more efficient way. lt features an external heat collector that drops away when the alloy fuses, providing unmistakeable indication that the element has operated. Available for 135 degrees or 200 degrees, one circuit or two circuit, rate of rise and fixed temperature or fixed temperature only. <) SPECIFICATIONS Construction: All parts are mounted on" a durable molded bake lite base with no exposed metal parts carrying current. The electrical contacts are of pure silver, ample size, and are normally open. Large line terminals and wire ways are provided in the base for easy and efficient installation in either open wiring or conduit work. Operating temperature of the thermostat cannot be altered at will and is not subject to change resulting from an extended period in service. The detector attaches to the mounting plate with a simple push-and-twist motion without the use of special tools. Electrial Rating: 6-125 volts AC 6-28 volts DC 125 volts DC 250 volts DC 3.0 amps 1.0 amps 0.3 amps 0.1 amps " )) CJ LI - C C CJ CJ LI C. C. c I: - II: C (j r: c .. ( IJ .. IJ I: .. iC ~ ~ t L . , L C C ~ C C 9340 SERI S HEAT DETECfORS Application: May be sed on standard open circuit, supervised Fire Alar Systems. Mounting: All of the a ove detector units are furnished with a mounting ring fo a four inch octagon box, a 3V." octagon box or plaster ring. The detector units can be mounted directly to th ceiling where exposed wiring is acceptable by reve sing the mounting plate. INSTALLATION Each detector include a patented reversible mounting plate. In one position, it easily attaches to 4" junction box, 3%" octagon bo or plaster ring. In reverse, the plate ca be used for open wiring without a junction box. A V..' space between detector and mounting surface all ws for wire connections. All mounting screws are oncealed. The detector simply a aches to the mounting plate with a push and twist moron. No tools required. Mounting plate is mo ded of white self-extinguishing thermoplastic rated a 105oe. The plate is extremely strong yel adapts to neven mounting surfaces. TESTING MET ODS Rate of Rise models an be tested by the application of quick heat from an convenient source. A portable hair dryer is recomme ded. However, do not apply heat that exceeds the fixed emperature rating of the detector. Fixed Temperature m dels cannot be tested. However, the fusible alloy ele ent is generally considered so reliable that testing i not necessary. important Note: He t detectors should be used for property protection. eliance should not be placed solely on heat detecto s for life safety. Where life safety is involved, smoke d tectors must also be used. Battery Back-up: Heat detectors should be electronically supervised with batt ry back-up at the panel. The rate-of-rise mech nism may be subject to reduced sensitivity over lime. nnual testing of the rate-of-rise operation is recomm nded. Refer to NFPA S andard 72E for application requirements. - , . . . . I I 11/89-5PI-7936 ~ @COPYRlGHT'9 9 FARADAY INC. FA/I-25 :n .u - % :) :n :n :.u tJ ~ :I: C 2 =l :n a: o t; W I- W c ti w x en w - IX w en o ~ M en ~ C cr IX cr u. FIRE.ALARM INITIATING DEVICES 5~,," JUNCTION BOX MOUNTING .1 1-318" lzt" CEILING SURFACE MOUNTING .. SQUARE IlOX AFVERSIBIFMnllNTlNliBASE ....AClXUOUNTlNG ""MOUNTlNGBASE '-------/ _AEVl:RSIIl~E MOUNTING PLATE RlJRF~I't.tnlJNTlNG ~-MOUN1INGB.lSE CUT FOR RURFACE MOUNTING REVEAS'IlU MOUNllNG PlATE n _'32 ROUNDHEAO 8 SCREWS ~.,o.. DETECTOR AND MOUNTING BASE INSTALLATION ORDERING INFORMATION 1-CIRCUIT 9341. 9342 MODEL 2-CIRCUIT 9345 9346 MODEL DESCRIPTION Rate-of-Rise and Fixed Temperature, 1350 F. Where temperature fluctuations are normal, and ceiling temperatures do not exceed 1000 F. Rate-of-Rise and Fixed Temperature, 2000 F. Where temperature fluctuations are normal, and ceilin9 temperatures exceed 1000 but do not exceed 1500 F. USE 9343 9347 Fixed Temperature Only, 1350 F. - Dual Cir uil Deleclor (used 10 aencllwo pendenI signals) CIRCUlTIIO,' r~:D=~ OR ENOOF UIlIE !::~" "'.....,.,. M"""" WlM CONNECTEO _TDN[)(lOmCTOl'l OR EHOOI' LINE FlESlSTOI'l NOTE: n dulllcircuilmodelSCOI'I'\8wi1h two (2) orm8lty open dry conl8C1s $tandar Single Circuit Oeteclor ~::~~~ PREVIOUSDETECTOA o I o _ CONNECTED 10ND'TDETttTM ~:I~~UNE NOTE: II Single tircurt modelS cem, WIlh one (1) normally open dtycol'llacl 9344 9348 Fixed Temperature Only, 200<> F. ..'0"';, :-.,1 Where temperature fluctuations may be unusually violent, and ceiling temperatures do not exceed 1000 F. Where temperature fluctuations may be unusually violent, and ceiling temperatures exceed 1000 but do not exceed 1500 F. IDENTIFICATION ON HEAT COLLECTOR None Gray Ring UL MAXIMUM SPACING ALLOWANCE 50 x50 ft. 50 x 50 ft. . Gray Spot 25 x 25 ft. Gray Spot & Ring 25x25ft. d These instructions do not purport to cover all the details or variations in Ihe equipment described, nor do I ey provide for every possible contingency 10 be mel in connection with installation, operation and maintenance. All specifications subj ct to change without notice. Should further information be desired or should particular problems arise, which are not covered sufficiently or the purchaser's purposes, the matter should be referred 10 FARADAY INC., Tecumseh. Michigan. ~ I 805 South Maumee Street I Tecumseh, Mlchlga 4928B I 517-423-2111 FAX 517-423-2320 BG-10LX / Addressable Manual Pull Station GENERAL The BG-IOLX is an addressable manual pull station with a key-lock reset feature. It provides the MS-9200 with one addressable alarm initiating input. FEATURES Highly visible. Easily operated (Dual-Action). Attractive shape and textured finish. Semi-flush, mounts to a standard single-gang (2.125" min. depth), double-gang, or 4" square electrical box. . Operates with or without a crush tube. Handle latches in the down position to clearly indicate the station has been operated. Key reset. Screw terminals for easy connection to SLC Loop Chan- nel. Optional trim ring. CONSTRUCTION Shell, door, and handle are molded of durable LEXANO with a textured finish. 16 gauge steel back plate. OPERATION Pulling the handle down causes it to latch in the down position. The handle is restored manually by using a me- chanical key which allows the top of the case to pivot forward and the spring-loaded handle to return to its nonnal position. The case can then be pivoted back to its Donnal position and secured with the key. Each manual station, on command from the control panel, sends data to the panel representing the state of the manual switch. A pair of rotary decimal switches allows two digit address-selling. PRODUCT LINE INFORMATION Ml!llrl DescriotioD BG-TR ..............Optional trim ring. 6 1{2" High, 5 118" Wide, 5/32" Deep. 8B-I0 ................. Surface back box. ~Flre.L1Te. ALarmS eJ U1corPOraTeo 12 Clintonville Road Northford, CT 06472 Phone: (203) 484-7161 FAX: (203) 484-7118 @ S711 I California 4J>; State Fire ~ Marshal 7150-0075;103 he BG-IOLX Addressab e Manual Pull Station ISQ-9001 Engineering and Manula ring Quality System Certifie to International Standard IS 9001 ~ DF.51366 Pagelof2 Ju~6, 1994 INSTALLATION The BG.lOLX will mount semi-flush into a single-gang, double- gang. or standard 4" square electrical outlet box, or will surface moun' into the Model SB-1O surface backbox. If the BG.lOLX is being semi-flush mounted, then the optional trim ring (TR-BGlO) may be used. The TR-BGlO is usually needed for semi-flush mount with 4" or double-gang boxes (not with single-gang boxes). ELECTRICAL SPECIFICATIONS Nonna} operating voltage 24 VDC Maximum SLC Loop voltage 28.0 VDC Maximum SLC Loop current 230 pA. ARCHITECTURAUENGINEERING SPECIFICATIONS Manual Fire Alarm Stations shall be addressable, fiber break-tube (or non.fiber break-tube) type. equipment with a key operalcd test- reset lock in order that they may be tested, and so designed that after emergency operation. they cannot be restored to normal except by using a key. An operated station shall automatically condition itself so as to be visually detected, as operated. at a minimum distance of onc hundred feet, front or side. Manual Stations shall connect with two wires to one of the control panel SLC loops. The Manual Station shall, on command from the control panel. send data to the panel representing the state of the manual switch. Manual stations shall provide two digit address- setting by use of rotary decimal switches. Manual Stations shall be constructed of LEXAN@ with clearly visible operating instructions provided on the cover. The word FIRE shall appear on the front of the stations in raised letters, 1.75 inches or larger. Stations shall be suitable for surface mounting on matching back-box, or semi-flush mounting on a standard single~ gang. double-gang box. or 4 inch square box, and shall be installed not less. than 4.5 feet, nor more than 6 feet. above the finished floor. Manual Stations shall be Underwriters Laboratories Inc. Listed. Lexan is a registered trade mark of General Electric. 4-1/2=----' 00 0 0 o ----1-1I8~ o 1.112" . o 8-3/16" 1.3/8" Deep o o . .000. SB-IO SBA-lO , . . , o .~ :. ~~~ :II 0 or , ~ ) ... j l? n 3" !!!. ~ c; :r- ID CO (-) to) The SLC Loop Ch nnel , - - - The BG-1DU< (b ck view) Top View 4-1/8.. ) ,w~ Optional surlace back-box. Side View ~ We try to keep our product Information up-to-date and accurate. We cannot cover speciflc applications r anticipate all requirements. All specifications are subject to change without notice. For more Information, contact F re'L1Te" DF-51366