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2920 Fenton Street
i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: �- Job Address: � r �rv� Permit Number: �� 0,\C 1 0 -D �_\" , ❑ No one available for inspection: Time ii i AM/PM Re -Inspection required: Yes ,Na (_,,r When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge. co. us4nspection Date: C k Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Commercial Remodel PERMIT - 201902495 PERMIT NO: 201902495 ISSUED: 12/23/2019 JOB ADDRESS: 2920 Fenton St EXPIRES: 12/22/2020 JOB DESCRIPTION: Built in nurse station with new granite countertop; open up doorway height 2 in.; 30 sq ft total *** CONTACTS *** OWNER (303)238-0481 WHEATRIDGE NURSING HOME INC GC (720)308-0062 SENAD CAUSEVIC 170187 EUROSTYLE *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 160 / Skilling Nursing BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,914.76 FEES Total Valuation 0.00 Plan Review Fee 70.98 Use Tax 82.21 Permit Fee 109.20 ** TOTAL ** 262.39 *** COMMENTS *** *** CONDITIONS *** Approval from presiding fire department required prior to final building inspection sign -off. All roughs to be done at Framing Inspection. Approved per pians and red -line notes on plans. Must comply with 2012 IBC, 2017 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. A City of Wheat Ridge ._660r Commercial Remodel PERMIT - 201902495 Ir PERMIT NO: 201902495 ISSUED: 12/23/2019 JOB ADDRESS: 2920 Fenton St EXPIRES: 12/22/2020 JOB DESCRIPTION: Built in nurse station with new granite countertop; open up doorway height 2 in.; 30 sq ft total 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 own f the roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I f r est t�iat I am leggally authorized to include all entities named within this document as parties to the work to be performed a t t a 1 work to be pertbrmed is disclosed in this document and/or its,' accomp�riying approved plans and specifications. SigAldre of LQ VNER or CONTRACTOR (Circle one) Date I ' 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 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a changeof 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. T ssuance or gr ing of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any p1 abl code or y ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ,� City of -Z Wh6at � Jjd Ct7ly MUMTY DEvuoPMENT g Building & Inspection Services 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: Permits(cDci.wheatridge.co.us FOR OFFICE USE ONLY Date: / I Plan/Permit# Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 6e- ", f Z' CJ �-W 3 3 Property Owner (please print): V ��� kf',V1 , U r G- (ti'i l °I Phone:? Property Owner Email: z 1llV C",i e . (a --\ Tenant Name (Commercial Projects Only) .11�Cc, 4 ��k� V-\',-1/_ C o~ e C fJ Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: R'JSSc- ( i C, 1 q Architect/Engineer E-mail: V usse 11 (,L(T_kJ ef, Phone: 30� Contractor Name: c�'J (CCU 5C✓i SfV City of Wheat Ridge License #: Phone: 2v _ 32,i C -U62 - Contractor E-mail Address: 11/_NNCJCC.U,Sq_VI4 (c)M C. G.S f , For Plan Review Questions & Comments (please print): ' CONTACT NAME (please print): 'I �0_0_f_r Phone: CONTACT EMAIL(please print): er (`) Vli1&a,(_. ( 0vi Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing:Mechanical: W.R. City License # W.R. City License f�A W.R. City License # AV4-- Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields, if applicable. COMMERCIAL ❑ RESIDENTIAL Provide description of work: For ALL projects, 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. V)u f Se S ��e 1p Sq. FULF % t BTUs a a d) V) -e w fav►�}e fo Wf &Q 11 Gallons (dL�4f,�(- - p �eu) s pqc f - �Ue Amps Squares For Solar: Kw # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) 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) (CONT CTO or THORIZED REPRESENTATIVE of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: l 23 119 Printed Name: ZONING COMMMENTS Reviewer: BUILDING DEPARTMENT COMMENTS: � Reviewer: � t t PUBLIC WORKS COMMENTS: Reviewer: D'E PA T E T USE ONLY bh1 Y OCCUPANCY CLASSIFICATION: -I-?- CONSTRUCTION TYPE: I-? CONSTRUCTION'TYPE: V b Building Division Valuation: City of `Wheat�idge COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: 2C, Z.C) re zti Permit #: General Contractor: F� 12l5 ({� ao l -- Electrical Sub -Contractor U14- I Company Name: State License #: Wheat Ridge License #: Signature of Authorized Agent Phone #: Master #• (required field) Date Plumbing Sub -Contractor Azl?� Company Name: State License #: Phone #: Master #: Wheat Ridge License #: (required field) Signature of Authorized Agent Mechanical Contractor Company Name: Wheat Ridge License #: Signature of Authorized Agent Date Phone: (required field) Date Kimberly Cook From: David Sauer <dsauer@vivage.com> Sent: Monday, December 2, 2019 8:17 AM To: CommDev Permits Subject: Fwd: Permit application accepted - West Metro Fire Protection District All the best, David Sauer Regional Maintenance Manager Vivage Senior Living 303-591-5794 Dsauer@vivage.com Begin forwarded message: From: NoReply@mobile-eyes.com Date: November 25, 2019 at 11:29:30 AM MST To: Dsauer@vivage.com Subject: Permit application accepted - West Metro Fire Protection District Your permit request for Wheat Ridge Manor Care Center at 2920 Fenton Street Wheat Ridge, CO 80033 has been accepted. The Job Number is: 191125005 Description: redid nurse station- built in with new granite counter. refinished door opening to 80" head space due to life safety tag Thank you for submitting to West Metro Fire. Our typical review turnaround is approximately 4 - 5 weeks. You can now view where your plan review is at in the queue! Please click the link below: http://www.westmetrofire.org/1013/Plan-Review-Status If additional information is required, you'll receive a notice from the reviewer assigned, or a no -reply notice from Mobile Eyes. Please be sure to check your junk folder if you feel you are not receiving the Mobile Eyes notices and select "Not Junk". If you check the status of your review through your Mobile Eyes Contractor Portal you may see a note that says "zoning checks not passed". This is not checked until a permit has been issue d and fees have been paid. This is an internal way for us to keep inspections from being requested until the above has been completed. NOTE: Re -submissions shall only include the pages that are affected and additional pages that may be required for the needed corrections. Re- submission of full sets, unless specifically requested, shall result in the rejection of plans. CONFIDENTIALITY NOTICE: The information contained in this email is confidential and may be proprietary information to be viewed only by the individual or entityfor whom it is intended. If the reader of this message is not the intended recipient you are hereby notified that any viewing, dissemination, distribution, disclosure, copy or use of the information contained in this email message is strictly prohibited. If you have received and/or are viewing this email in error, please immediately notify the sender by reply email and delete it from your system without reading, forwarding, copying or saving in any manner. Thank you. i CITY OFVHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: e_1 V S- r r„ e c Job Address: 'a e n Permit Number: a ) `70 G, 3 ❑ No one available for inspection: Time - 19 A /PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: q 1-9 S" / q Inspector: -77h 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: `105_- `I—sriaL ec Job Address: 'P 9 -d d i7 e n 4n S4- Permit Number: "a o) 7 Q& 3 g 3 ❑ No one available for inspection: Time 11 ? q_(D/PM Re -Inspection required: es) No When corrections have been made, call for re -inspection at 303 -234 - Date : 03 -234 -Date: y d q11 I Inspector: -T-.b DO NOT REMOVE THIS NOTICE City (A W heat P-,,dgc COMMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29'h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Permit Extension Request Form Permits 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 may 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. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. Please complete this form in its entirety and submit to the Building Division at permits(26.wheatridge.co.us or fax to 303-237-8929. Party requesting permit extension: Permit # i �)//(1 P � jproperty Address: ;I- � 11 -el,- c 7? ff Phone #��CG��AJ...3Email Address: ',��� Ile ��'e �.J/� �j ��,l�C�S'�, 1t'07' Number of days requested: Printed Name: Jvvv cS C: E' Signature: 07 For office use only This request has been�-? i pprov/d LIDenied Extended until:—do— 31,(f Approved by: www.ci.wheatridge.coms 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: Job Address: h Permit Number:.. �- g s 0c t, tom-. ❑ No one available for inspection: Time -;i J f A�Pj M Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 i Date: i ', Inspector: I DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE V, -.A Building Inspection Division (303) 234-5933 Inspection line '(303) 235-2855 Office * (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: r -)IL C Uc)�= Job Address: 1 Permit Number: 6_)Oil C)<c)"'30 !A- J No one available for inspection: Time AM/PV Re -inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-593 Date: I f Inspector: DO NOT REMOVE THIS NOTICE City of �Wheat l�i("gC COMMMUNiTy DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 291h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Permit Extension Request Form Permits 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 may 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. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. Please complete this form in its entirety and submit to the Building Division at permits(cr�,ci.wheatrid eg co.us or fax to 303-237-8929. Party requesting permit extension: Permit #2q7 C)5�,u Property Address: ,9( Phone # Email Address: Reason for extension request: n Number of days requested: LM e reft �. Printed Name: vl, 6 �CL Signature: Date: v / AY For office use only This request has Approved by: Denied www.cLwheatridge.co.us Extended until: Date: 10 �l• // j M i CITY OF WHEAT RIDGE Building Inspection"Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237(-88929 Fax L/07 il�. 0q- 1 n" f ©oT INSPECTION NOTICE Inspection Type: Job Address: -9 a 0 u -e n 4 on S� Permit Number: 'a d/ -7 o 3 g 3 �y 3n r1 1Alo4 ro v -e ❑`No one available for inspection: Time lS-(D/PM Re -Inspection required:Yes No when corrections have been made, call for re -inspection at 303-234-5933 Date: A95- 18 Inspector: 7_6 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 S Inspection Type: /v_3 F- F_ Job Address: 6 9 C FP li ,1 S Permit Number: 20170 39 3 ❑ No one available for inspection: Time > AM/PM Re -Inspection required: (Ye� No When corrections have been made, call for re -inspection at 303-234-5933 Date: q / Inspector: M H DO NOT REMOVE THIS NOTICE ' City of Wheat Ridge Commercial Roofing PERMIT - 201705430 PERMIT NO: 201705430 ISSUED: 08/04/2017 JOB ADDRESS: 2920 Fenton ST EXPIRES: 08/04/2018 JOB DESCRIPTION: Commercial Reroofing -complete roof replacement, we will be tearing off existing built up roof and installing ISO insulation, densdeck, and 60 mil fully adhered EPDM. 214 SQ PITCHES -3/12,* 2/12 PREDOMINANT PITCH* *** CONTACTS *** OWNER (303)238-3838 VIVAGE SENIOR LIVING SUB (720)420-0850 Daniel Odenthal 160153 Guarantee Constr. Group LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 160 / Skilling Nursing BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 139,100.00 FEES PAID Total Valuation 0.00 Use Tax 2,921.10 Permit Fee 1,390.05 ** TOTAL ** 4,311.15 -� *** COMMENTS *** *** CONDITIONS *** In order to pass a final inspection on commercial elastomeric or similar type roofing, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and Mid -roof inspections may be called in at the same time, 100 percent of the sheathing must be complete and 25-75 percent of the midroof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. City of Wheat Ridge Commercial Roofing PERMIT - 201705430 PERMIT NO: 201705430 ISSUED: 08/04/2017 JOB ADDRESS: 2920 Fenton ST EXPIRES: 08/04/2018 JOB DESCRIPTION: Commercial Reroofing -complete roof replacement, we will be tearing off existing built up roof and installing ISO insulation, densdeck, and 60 mil fully adhered EPDM. 214 SQ PITCHES -3/12,* 2/12 PREDOMINANT PITCH* I, by my signm ature, do hereby attest that the work to be perfored 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 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 CONTRACTPR (Circle ore) 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 tha'tshall 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, T ance or granIftr �-r all not be construed to be a permit for, or an approval of an violation of any provision of any a pl' 1 cod _ �e or angulation of this jurisdiction. Approval of work is subject to fIeId 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 Wheat j�idge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(cDci.wheatridae.co.us I FOR OFFICE USE ONLY Date: �/ q // Plan/Permit # p t � '6 54, Plan Review Fee: D ` Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Property Owner (please print): (/; U Property Owner Email: �t' lcr Mailing Address: (if different than property address) Address: , State, Zi Architect/Engineer: Architect/Engineer E-mail: Contractor: f'C"V.\ ' y , nC_J Phone: Nl 3f5-�5 Phone: ( � Contractors City License #: � J ,� Phone:: Contractor E-mail Address: Ccz V-\ Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Rw.1P_ FI'Cq= C 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 JR 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 sizeandefficiency, type and amount of materials to be used, etc.) C �� �c�c cic Ea'T" eafl, VL O //,-? / P Sq. FULF Amps Btu's Gallons Squares (P-) ( �� Other Project Value: (Contract value or the cost of all materials anndd� labor included in the entire project) $ OWNEWCONTRACTOR 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): DATE: /1--/ 7 ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ r C' Customer: U,',1 C Billing Address: Home Phone: Ernail: Job Address:. Project Manager, - ESTIMATE OF COST AND/OR CONTRACT Type ofroof: Manufacturer:--V-E3C-1LC Color: Wooddeck: --., ........ ....... ....... ----------- mov e,,,--- Lay -p 05) of roofing Type of ridge: Felt/Undedyment: Vent pipe .......... Attic vents: Valley: Size of edoe i-netal. Details Details included in this contract: Liability irSLtrance Workers compensation Buiidirt�j permit Clean up & haul -off ror,,fir,,1 debris Magnetic nail sweeper Yard sign X ec We propose to furnish material and labor, in an accordance with above specifications for the sum of ...... o ars, with payment to be made by check to Guarantee Construction Group upon completion of the roofing. All work to be completed in a substantial workmanlike manner according to specifications submitted and per standard industry practices. Any deviation from the above specifications will become an addition., -)l charge. All agreements, are contingent upon delays beyond our control Owner must carry fire, tornado, extended perils, and other necessary insurance, Guarantee Construction Group, will not be held liable for any structural movement, settling, cracks in drywall, driveway, or damage to siding due to the roofing or loading processus. Finance charge of 1.5% per r-l'Und, will be added to any unpaid balance. In the event of collection and/or legal action taken, Guarantee Construction Group, is entitled to and the costumer agrees to pay these attompy Cees and costs. 'rl is proposal 1-nq be withJrawn by Guarantee Construction Group if not accepi, vyithin --- av,. Re,.;p,--.tftjlly subtrnitted by l - -- ---0-A ' , Project Manager for (it i ar an tee Cosnt rk I ction ACCEPTANCE OF THIS PROPO U — Accepted by owner (signature) - Date: Accepted by owner (signatureY. Date: 6610 N Broadway // SuitcA Dcmver, CC 80223 - Dirco (720) X120 0850 Fax (720) 5830695 -vi,,vw.qcgamQrica.com City of Wheat Ridge Commercial Mechanica PERMIT - 201706383 I PERMIT NO: 201706383 ISSUED: 08/22/2017 JOB ADDRESS: 2920 Fenton ST EXPIRES: 08/22/2018 JOB DESCRIPTION: commercial mechanical repair -replace (7) evaporative coolers, replace 3 RTUs(roof top units) -3 ton units 13 SEER replace (6) upblast fans, all hail damage repairs. *** CONTACTS *** OWNER (303)238-0481 VIVAGE SENIOR LIVING SUB (720)296-7938 James E. Hegge Jr. 080145 C&H Heating and Cooling LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 160 / Skilling Nursing BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 28,000.00 FEES Total Valuation 0.00 Use Tax 588.00 Permit Fee 476.55 ** TOTAL ** 1,064.55 *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. 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 , 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 perfrmed and that +all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. e' a',') — Si ature of OWNER or ON TOR (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 changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for or an approval of, any violation of any provision of any appl' code ��or,,, any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 1�".ftACLL Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat _"jge COMMUNITY DEVELOPMENT 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: � / Plan/Permit # Plan Review Fee: l /1►� is Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: J Property Owner (please print): Phone: e)3 ;,2) LLe Property Owner Emai Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Arch itect/E ng 1 neer E-mail: Contractor: Phone: �/, � ) / ✓ , Contractors City License #: C 2 & � ) � Phone: �� ���� 1% J (S Contractor E-mail Address: I __ Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Meehanical:Lo-//*Zl�z W.R. City License # J Complete all information on BOTH sides of this form L'I 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.) ❑ ESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) Q 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 mater' Is to be used, etc.) C3 eye_ All, Sq. FULF Btu's Gallons Amps Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNEWCONTRACTOR 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 perfonn 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 pen -nit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER)(CONTRACT or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): ' !4fv�2 DATE: 2� _! 12i ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ i_ CITY OF WHEAT RIDGE Building Inspection Division r' (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: `y Job Address 91 G' �f -iii 10 Permit Number: 7.,®/ ;—�S a ❑ No one available for inspection: -Time L> ' `-� AM/PM Re -Inspection required: Yes(__N9.1_1 When corrections have been made, call for re -inspection at 303-234-5933 Date: 'l Inspector: f' DO NOT REMOVE THIS NOTICE F OR OFFICEL ONLY icy of date: .',CWM NI'T�° DEE'L("N"MENT� Planmermit # L . Building & Inspection ction Services Division 7500 W. 29`x" Ave., Wheat Ridge, CO 80033 flan Review Fee: Office: 303-235-2355 * Fax: 303-237-3929 Inspection tine. 303-234-5933 (please a a Address; +► tr 1111 ♦ M Iiii� Complete all information on BOTH sides of this form NEW<e COMMERCIAL STRUCTURE @ ELECTRICAL -GRAD» NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFIN COMMERCIAL ADDITION $ RESIDENTIAL \fee.» RESDENTIAL +s,?Ie» $ WINDOWREPLACEMENT 2» COMMERCIAL ACCESSORY STR(Garage,shed, deck,/2) RESIDENTIAL ACCESSORY RUCTURE (Garag\shed,\>,c§/ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT «2ING SYSTEM/APPLIANCE REPAIR or REPLACMENT ELECTRICAL SYSTEM/APPLIANCE R:-wf or REPLACEMENT OTHER .,-»:© \ < 2 ? Sq. F!%F .. . .. . Ku . .Gallons A . . Squares Other NEW RISER ELEVATION W -'l 12a !i`"•ixtommaM1M wf r SCOPE OF Ik INSTALL A NEW REDUCED PRESSURE BACKELow ON THE EXISTING PIPE SCHEDULE SYSTEM FIRE PROTECTION (ORIGINALLY INSTALLED BY OTHERS) PER MINIMUM NFPA 13 REQUIREMENTS, I. THIS CONTRACT INCLUDES THE MODIFICATION OF THE EXISTING PIPE SHEDULE FIRE SPRINKLER SYSTEM TO ACCOMODATE NEW TENANT FINISH OF THE AREAS INDENTIFIED ON THE PIAN. THE EXISTING SYSTEM WAS DESIGNED AND INSTALLED BY OTHERS. 2, THE FIRE PROTECTION CONTRACTOR SHALL NOT BE HELD RESPONSIBLE FOR ANY LEAKS IN AREAS OUTSIDE OF THIS CONTRACT SPACE'. NOTICED WHILE. CONDUCTING HYDROSTATIC TESTING. 3e ALL MATERIALS, DEVICES, AND HANGERS USED ON THIS PROJECT SHALL BE UL LISTED AND/OR FM GLOBAL APPROVED.. 4. PIPE HANGERS TO BE INSTALLED IN ACCORDANCE WITH NEPA 13, & THE OWNER/TENANT IS RESPONSIBLE TO MAINTAIN A 40*F TEMPERATURE WHERE WET FIRE SPRINKLER PIPING IS SHOWN. D; SWI e • GREY - EXISTING RISER MiCOMPONENTS 4 1 M DATE'... SEPTEMBER 10, 2016 DRAWN BY: RJD CHECKED $Y: RJD RFMS —," EXISTING 2 JRISER ELEVATION VIEW Vb V� 0.7't Q5 4" PIPING TO PICC SPARE HEAD BOX Cii 4°" PIPING TO SYSEM 4 1 M DATE'... SEPTEMBER 10, 2016 DRAWN BY: RJD CHECKED $Y: RJD RFMS —," EXISTING 2 JRISER ELEVATION VIEW Project: Wheat RidgeManor 2920 Authority Having Jurisdiction City of Wheat Ridg Building Departmen 7500 W. 29th.A] PWA-01� MI EA&113 IFIR Features * Extremely Compact Design * 70% Lighter than Traditional Designs * 304 (Schedule 40) Stainless Steel Housing & Sleeve * Groove Fittings Allow Integral Pipeline Adjustment * Patented Link Check Provides Lowest Pressure Loss * Unmatched Ease of Serviceability * Available with Grooved Butterfly Valve Shutoffs * May be Used for Horizontal or N Pattern Installations * Replaceable Check Disc Rubber *The wetted surface of this product �140 gm magro-110101 lulvel-7411111 7 The Colt C400, C400N, C40OZ Reduced Pressure Zone Assemblies provide protection to the potable water system from contamination in accordance with national plumbing codes, The Colt C400, C400N, C40OZ are normally used in health hazard applications for protection against backsiphonage, backpressure and the fouling of either check valve. The Colt C400, C400N, C40OZ features Lead Free* construction to comply with Lead Free* installation requirements. Specifications The Colt C400, C400N, C40OZ Reduced Pressure Zone Assemblies shall consist of two independent Link Check modules, a differential pressure relief valve located between and below the two modules, two drip tight shutoff valves, and required test cocks. Link Check modules and relief valve shall be contained within a sleeve accessible single housing constructed from 304 (Schedule 40) stainless steel pipe with - roove end co• I :LNOTICE I The information contained heroin is not intended to replace the full product installation and safety information available or the experience of a trained product installer. You are required to thoroughly read all installation instructions and product safety inforl-nation before beginning the installation of this product. Inquire with governing authorities for local installation requirements Job Name Contractor Job Location Approval --_ Engineer Contractor's RO, No. Approval Representative___ Ames Fire & Waterworks product specifications in U.S. customary units and metric are approximate and are provided for reference only. For precise measurements, please contact Renes Fire & Waterworks Technical service. Ames Fire & Waterworks reserves the right to change or modify product design, construction, specifications, or materials without prior notice and without incurring any obligation to make such changes and modifications on Ames Fire & Waterworks products previously of subsequently said. Configurations * Horizontal * "Z" pattern horizontal * "N" pattern horizontal Materials • Housing & Sleeve: 304 (Schedule 40) Stainless Steel • Elastomers: EPDM, Silicone and Buna 'N' • Link Checks: NorylO, Stainless Steel • Check Discs: Reversible Silicone or EPDIVI • Test Cocks: Bronze Body Nickel Plated • Pins & Fasteners: 300 Series Stainless Steel • Springs: Stainless Steel NoryV,', is a registered trademark of SABIC Innovative PlastiCST", Approvals Approved by the Foundation for Cross -Connection Control and Hydraulic Research at The University of Southern California (FCCCHR-USC) horizontal, 21/2' — 8" N and Z pattern) O1,11 I i6w iwo I at -7211L --..—!w wuq_ A Ao� (01, CCUS is U Q, JL FM Approved �NSF) 1013 B64.4 (-BFG & OSY Only) 11-4 Dimensions — Weights Pressure — Temperature Temperature Range: 330F — 140OF (05'C — 60'C) Maximum Working Pressure: 175psi (12.1 bar) Note. When installing a drain line on Series C400 backfiow information. Available Models Suffix: NRS - non -rising stem resilient seated gate valves OSY - UUFM outside stem and yoke resilient seated gate valves BFG - UUFM grooved gear operated butterfly valves with tamper switch *OSY FxG - Flanged inlet gate connection and grooved outlet gate connection *OSY GxF - Grooved inlet gate connection and flanged outlet gate connection *OSY GxG - Grooved inlet gate connection and grooved outlet gate connection Available with grooved NRS gate valves - consult factory* Post indicator plate and operating nut available - consult factory* *Consult factory for dimensions C400 C40ON NRS OSY k9S, W k9s, Dimensions Weights 4 * 1 E 001Nj psi G Rated How *UL Rated Flow H r i M 20 P C40W C400Z in. Rim 11 i. iiPtfiR I mm 11 i, nim in, MM 3tp, nim in, MM ft, kgs, 'f2 65 23 —24610— 584 23 584 1516 394 9V2 241 191,44 502 11a31e 3010 67 30 3 —4—1 80 100 200 30101 400 500 600 24 610 1651e 414 10"68 256 11/4 540 121!8 308 70 3 '6—1 00 2f^ 648 25' 648 17Jie 437 1O'fie 279 23 53? 121/8 321 T-39 50 35'la 895 351l4 895 20i'/z 521 13 34327 fa 692 15 382 164) 7 Capacity - C400 FC " 1 ) DIMENSIONS WORT psi 16 14 12__ 10 6 4 2 ..............__ 0 0 200 400 600 800 1000 1200 1400 1600pm 0 760 1520 2280 3040 3800 4560 5300 6060 Ism 7.5 12 fps 6" (1 mm) Service Pow Rated How, "UL Rated Rev psi semce now Rated How *UL Rated Flow 25 20 ' 15 10 5 0 0 100 200 30101 400 500 600 7001 8OO9prn 0 380 760 1140 1520 1900 2280 2680 3O4O1pm 7.5 13 fps psi 16 14 12__ 10 6 4 2 ..............__ 0 0 200 400 600 800 1000 1200 1400 1600pm 0 760 1520 2280 3040 3800 4560 5300 6060 Ism 7.5 12 fps 6" (1 mm) Service Pow Rated How, "UL Rated Rev Capacity UUFM Certified Flow Characteristics *.A- 95= Ak A M E 5 FIRE&WATFIRWORKS ES-A-C40Q-C400N_C400Z 1529 based upon rated water velocity up to 25fps • Service Flow is typically determined by a rated velocity of 7.5fps based upon schedule 40 pipe. • Rated Flow identifies maximum continuous duty performance determined by AWWA. • UL Flow Rate is 150% of Rated Flow and is not recommended for continuous duty. • AWWA Manual M22 [Appendix q recommends that the maximum water velocity in services be not more than 10fps, PSI 18 SorAts Row Rated flow 'Ut Rated Flow psi 16 *Ut Rated Row z 14 22 N N 12 10 H 9! 10 T- 14 8 0 111�- 7 6 r 6 0 50 100 150 200 250 300 350 gpm 0 100 0 190 380 570 760 950 1140 1330 Ipm 760 1140 1520 1900 2280 2660 3040 Ipm 15 fps fps fps 3" (80MM) 8- (2WMM) psi 16 WON flow, Rated Row TL Rated Flow 14 7- Z 16 N 5 12 Z I 12 10 H t 10 8 6 8 JLJ 0 500 6 1500 2000 2500 gpm 0 1900 0 100 200 300 400 500 gpm 0 380 760 1140 1520 1900 ipip Cl" 7.5 15 fps Ak A M E 5 FIRE&WATFIRWORKS ES-A-C40Q-C400N_C400Z 1529 based upon rated water velocity up to 25fps • Service Flow is typically determined by a rated velocity of 7.5fps based upon schedule 40 pipe. • Rated Flow identifies maximum continuous duty performance determined by AWWA. • UL Flow Rate is 150% of Rated Flow and is not recommended for continuous duty. • AWWA Manual M22 [Appendix q recommends that the maximum water velocity in services be not more than 10fps, psi 18 Wake now Rated Flow Rated flow 16 psi Retake Real Rated ROW *Ut Rated Row 26 z 22 N 10 H 18 T- 14 0 111�- 7 r 6 6 0 300 600 0 100 200 300 400 500 600 700 800 9PM 0 1140 0 380 760 1140 1520 1900 2280 2660 3040 Ipm 7,5 13 fps Ak A M E 5 FIRE&WATFIRWORKS ES-A-C40Q-C400N_C400Z 1529 based upon rated water velocity up to 25fps • Service Flow is typically determined by a rated velocity of 7.5fps based upon schedule 40 pipe. • Rated Flow identifies maximum continuous duty performance determined by AWWA. • UL Flow Rate is 150% of Rated Flow and is not recommended for continuous duty. • AWWA Manual M22 [Appendix q recommends that the maximum water velocity in services be not more than 10fps, "WWI requirements USA- Backflow Tcl: (97 8) 689-6066 * Fax: (978) 975-83,90 # Arte sRreWlalencorn USA: Control Valves Tel: (713) 943-0688 - Fax: (713,944-94,15 - AmesRreWater.com Canada- Tei; (9M 332-4090 - Fax: (905) 332-7068 - ArnesRqAvater.ca Latin America: lei: (52) 81-1001-8600 * Fav (52r 81-8000-709 i - Ain esFireftter,com (D 2015 Arnes Fire 3 Waterworks psi 18 Wake now Rated Flow Rated flow 16 Z N 14 H 12 Oe 10 T- 8 6 0 300 600 900 1200 1500 gpm 0 1140 2280 3420 4560 5700 !pm 7.5 12 fps 8- (2WMM) psi se"ke, Flow Rated Raw *UL Rated flow 18 7- Z 16 N 14 E 12 10 t 8 6 JLJ 0 500 1000 1500 2000 2500 gpm 0 1900 3800 5700 7600 9500 ipm 7,5 10 fps Cl" (250MM) psi 16 sanded Flow Rated Row *K Rated Flow Z a 14 N 15 12 H 10 8 . . . . . . . . . . 6 4 0 500 1000 1500 2000 2500 3000 3500 gpm 0 1900 3800 5700 7600 9500 11400 13300 Ipm 7.5 10 fps "WWI requirements USA- Backflow Tcl: (97 8) 689-6066 * Fax: (978) 975-83,90 # Arte sRreWlalencorn USA: Control Valves Tel: (713) 943-0688 - Fax: (713,944-94,15 - AmesRreWater.com Canada- Tei; (9M 332-4090 - Fax: (905) 332-7068 - ArnesRqAvater.ca Latin America: lei: (52) 81-1001-8600 * Fav (52r 81-8000-709 i - Ain esFireftter,com (D 2015 Arnes Fire 3 Waterworks AVIA Grooved Submittal Ferryr V% tLc) <R> APPROVED AWWA M E M 8 E R MATERIAL SPECTICATIONS: 71 Material: Ductile Iron per ASTM A536 Grade 64-45-12, • Interior lining: Cement lined per ANSI/AWWA C 104/A21A and asphaltic seal coated. • Exterior coating: Rust inhibitor prime coat, .11 11 1111111 Mill; Tnemec Series 37-77 Tnemec series 90-97 Tnemec series 20 Tnemec Series 104 Tnemec Series 66 Tnemec Series 135 Tnemec Series 69 Tnemec Series 140 Tnemec Series 160 Tnemec Series 161 Coal Tar Epoxy Other please cc;� IF, �—t�—ta-r P—ip,t—, Pro, —ducts I or a —vailob—ifity— ,NSgXX,d CoG6nq Og ,, ptions Ore.non--onC00,Ue an,� nry, E] Unlined SP2000 Cement Lined Fusion Bonded Epoxy Glass Lined Other please contact Stor Pipe Products for, ovailabUity ,4 op,wme non-(.anc.Ooble Ono non,fWfundoble) STA' PiK PRODUCIS 28 Page I TECHNICAL INFORMATION X LI, r A A. J SA #s'���t�7C)pY'79.1`Y(>7t,C IX2 i3(d7f"� fk':"Cl t7P'G. tdi Ft7{"�r7+g ¢rk`Ct j>f F6'}7x'7"L" df74�{t':dfti"l'�, .e,:.,+�+tt{Q'if.ti !a,�5 ,a. t<,tY'?8'tf F3Ya't°lAsf .ktta7P �tA'P'f' tde4 xta f73d�t. #34 .it1 �'.+ t,� . ii6}43'd' fY, te,�Fe. . SFAt PIPE P7RK"3f?i}C':ES raC.3.t3SiC7N CCt�i",C±tcRTE. e?�R,��EE E �, V"74—,�fr 4„SAX ,�J .;.,�yCk°K:?, t4tt dimensions in blacA Reit rare in inches ocept tvfaew arrelicated.. r . t r ,, ?p fila, r,'UMNl,V ra" M thiit.a€r"A", cw, ho +rrdh'41" d. �f itSRCWN tiRPCDBATE, r;;3 4A�(-F .ie"?'3v? "iG1.�4 rAX 28 i ,56,6-9',Xr, Y Cunlcact Star I'ipe i'roductt jbr DetwIN (Con't)o t411 ditPSL°IYSiC7r7,S i73 �'`i�4id teTi an, in inches 6",A"4`i'pl where iP dic,-aYed, '� W di Fivrm,mf m him xE'1'3" flwhmC IICdi,edf O aR..,: ¢'D, IP iffiFtdt"d@`P's vw"I'l Pt h"',e :,Mht'W'cd, 0 RE ST RED TRADEMARK OF VAR NNE f kf DU 4 �• MR NPP PRO D t'. k , C ontart'stel, faille Praduc fiv Detaaets `".411 tirrrrrrasraarRs in black reet e7itr in rrrcfrer„ except where rarrfrccrterd *z71f aarrato- =,:€,>r" w 1,11e( rz.xf ,I4L ;r ra;r r,ht r t 'N", trr rrtar'larara3irt t , owx^,nt i ,rd rp° art,iitare, r3" �, ficsr�r,;u�uta vr: "s,tza�rs _A A A A *A// cdinmensrarns in bluck wit are to inches except Wheninclicaai Ed " ll drr gen,l,m, i" Nue rcv , " e l"', vraam r r , za v m rera,'timetr , , r wc p, "'= , r" md,4, stlod kt?..,�.iC"��, CO&POk#TE rCSF�el2tF � E£Ct1,'3't?.iCs'w..�`AYg2s1t 5a9�k wsas�.,^.�, axe Taa,trc�a"z , €tcir� 1 Contact Star Pike Produces, fin, Details err#11 efftrrensions in black leve my, arz rni'lles except t whetre fndicaled 1, W d ,3crabum,, arr bl ac,=e° I d', h,r raaanobvl r w" aar fr,t}hmcicl ";aa rf ho", amb, err, s:. NC>tlCs�„g ! CC,iRPCJRXTf �.;�wC7C�, tiE�- 3 N(j43,4g4 3'L}4M!�,'�%,`ah94tt7�ti - Contact Ship, Ili re Pmducts.-fiv Detaih *All dimensions in blacA, few ano in inch^ except w1wre indicaled. "A dwrvvwom� m, blu" lev't elwhm nlfmbo-,an, in nullim"le, ,x, c"'t "hew imh� 'm J "Reduchq,,siele outlet 9(f elbows. tees and crosses are available. Contact Star Pipe hiodurts,16rdetails, STAR" NNE PRODUCS 2V SUA 90W AE -1 IC AT -4C AE -12C AT -5C 900 BASE ELBOW BASE TEE 900 LONG RADIUS BASE ELBOW REDUCING BASE TEE Ma I . Bases of these fittings are intended for support in compression and are not to be used for anchors or supports in tension or shear, 2. Bases are faced and drilied. Dimension "R" is finished dimension. 3. Bases 3" - 24" meet the dimensions of AS 1E B16.1 and B16. . � Conlaclkar Pipe Products jor Details *All dimeavions in blark rew an, in inchav except where indicalvd, P'i dunovrat) n,, in Fro ,Et wl k Owlwmoiwbcr) aw w pm,"llps"lo , ev ept who v wdu alej VAR' NPE. PROPUCTS METHOD OF DESIGNATING OUTLETS OF REDUCING FOR SPECIFICATIONS b b b b C c !:1 C c —D-- a Reducing on Reducing on Reducing on Reducing on Both Outlet One Run One Run and Outlet Rune (Bull dead) Reducing Crosses b b b b Od c Od c On c Dd a a a Reducing on Reducing on Reducing on Reducing on One Run One Outlet Both Outlets One Run and Outlet and Both Outlets Reducing on Reducing on Reducing on True Y Branch One Run One Run and Branch Side Outlet Tee Double Branch ride Cutlet 90 deg. Elbow b b Elbow 3 d : C c d a b c b b c a a c a a The largest opening establishes the basic size of a reducing fitting. The largest opening is named first, except for bull head tees which are reducing can bath runs and double branch elbows where bath branches are reducing, the outlet is the largest opening and named least in bath cases. In designating the openings of reducing fittings, they should be read in the order indicated by the sequence of the letters, "a," "b.", "c" and "d." In designating the outlets of side outlet reducing fittings, the side outlet is named last; and in the case of the side outlet crass, which is not shown, the side outlet is designated by the letter "e." 01 VAV PME PvOW< S rtt? ;ST." st Ct}RPC>kAiE cia rvU Hv� -9 9-3i'A°Y FAX tar 4 k 9crI.d Fv ;A '.v'R4MV.5 i.lfx,) i) ) i36'#6. 4 C:fJtY1 Page pp t 0 A f H R e Y C' S Y Y� WM F T T 90 d". Elbow 90 d". Elbow Tee Cross straight siae straight size Straight Size rx V V R Y Yis H R L S S C- F/ T 7 N 14-4 RMW 'F N K �v Vi V1, R H R N' 1 �14 Y S Y X K T 4 Front View Side View Front View Side View E 'il R K F N fflaa fGE K M F N T R T R F Double Branch Elbow E, Y Y Vi Y G, R S T True Y 11 U4 dog,, 22 112 dog, and 45 dog. Elbow Coneenvic Reducer Eccentric Reducer The above illustrations show two views of the same fitting and represent fittings with symmetrical shapes, with the exception of the side outlet elbow and the side outlet tee (straight sizes). If fitting wall thickness is insufficient for the required tap size or angle of tap, a boss will be required. ,,!Ak' NPN PPWUCI� E . L. t , When rigid radius groove is used, the pipe or fitting ends are drawn together in contact as the coupling is tightened whereas when flexible radius groove is used it allows for moderate conditions of pipe movement or deflection clue to thermal, seismic or settling activities. . Gasket seat "A" must be free from scores, seams, loose paint, scale, dirt, grease and rust to assure a leak tight seal. 3. Pipe end squareness (ends must be square cut) maximum allowable tolerance from square cut ends is 0.0303" for " size, 0.045" for sizes 4" and 6", 0.060" for sizes 3" through 36"°, 4. Groove diameter roust have uniform depth for entire circumference. 5, Pipe out of roundness - difference between maximum 0D, and rninimurn O.D, measured at 9011 must not exceed total 0,D. tolerance listed. VAR" PIP PIP, E: PRODUCTS HC7GS��aMi CiJRRf9RA7E C.i.,ritrE 4 8, .. R�d9�$i.R�v FAY,2� ..n 44kk;;.. / City of Wheat Ridge Commercial Remodel PERMIT - 060369 PERMIT NO: JOB ADDRESS: DESCRIPTION: 060369 2920 FENTON ST cut out wall/expand room ISSUED: EXPIRES: 05/15/2006 11/15/2007 ... CONTACTS ... 303/425-3247 303/238-0481 George Jessop Wheat Ridge Manor 01-8368 G & L Remodel gc owner ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: UA USE: BLOCK/LOT#: UA 0/ Permit Fee Plan Review Fee Total valuation Use Tax ** TOTAL ** ESTIMATED FEES 126.50 82,23 .00 72.00 280,73 PROJECT VALUATION: 4,000.00 ** FEE SUMMARY ** <;>-\,1 ~). Comments: CR: OK w/ notes. Subject to field inspections. KS: See fire department comments. 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 (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. date Signature of contractor/owner 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 180 days. 3. If this permit expires. a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall recelve written approval on inspection card before proceeding with successive phases of the job. 6. The issua~ce of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an appro~any ~ lon he ,provisions of the building codes or any other ordinance, law, rule or regulation. A~/~eot to wspeotians Signature of Chief Buildlng Offical date INSPECTION REQUEST LINE, (303) 234-5933 BUILDING OFFICE: (303) 235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. lrf~Ji ~lii~:g'J , ~i;';1.,1!'f'~~'i;1 City of Wheat Ridge Building Permit Number: (Job '3 b q Community Development Department Date: ~71r:::J 01.0 COMMERCIAL & MULTI-FAMILY' BUILDING PERMIT APPUCATION Property Owner: Property Address: Contractor License No.: Company: Wh€o..-l-,,:d-se '??'!Ci.Nt?>V-l, A/t<.JP.s,v>.']II",>>>e.... fJ..9'9.D FEN-f<r>N 01$ :'5&8 &+ L P.'Zm,,~I-e.., Phone: '5"'"3 5-~1 ""If'$>/ Phone:~3 :;l3~~'i'5'/ OWN~R1CONTRACTOR SIGNATUR~ OF UND~RSTANDING AND AGR~~M~NT BuildlnCl Dept. Valuation Figure: $ 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 compllancewllh the Wheat Ridge B g Code (I.B,C) and all other applicable Wheat Ridge Ordinances, for work under is ermit. P ns subject to field Inspection. .' OATES'- ".o-~ Value:$ '1000 ~ Permit Fee:$ /;;It..,SD Plan Review Fee:$ 1'/2-.2-? Use Tax:$ 72. "" Total:$ ;)'130,73 (OWNER)(CONTRACTOR): SIGNED (OWNER)(CONTRACTOR):PRINTED DATE UseofSpace(description):'Lt.d-' lAJC\.LL ("i..A.+ f,X:Fhv>h f2.c;0i'Y'> ' Description of work: Sq, Ft. added BUILDING DEPARTMENT USE ONLY SIC: Sq,Ft.: ONING COMMENTS: Approval: Zoning: BUILDING COMMENTS: J w;//. 144165 . Approval: /-tP lfelellh'~lkd' ~ UBLlC WORKS COMMENTS: t:J Approval: IRE DEPARTMENT COMMENTS: APproval: ccupancy: Wails: Roof: Stories: Residential Units: Electrical license No: Company: Piumbing License No: Company: Mechanical License No: Company: Expiration Date: Approval: Expiration Date: Approval: Expiration Date: Approvai: (1) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City, This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or abandoned for a period of 180 days. If this permit expires. a new permit may be acquired for a fee of one~ha!f the amount normally required, provided no changes have been orwill be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, fuii 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 shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. The issuance of a per .t or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any. on of the provisklns of the building codes or any other ordinance, law, rule or regulation. All plan review . t tp- ectlons. ./ (2) (3) (4) (5) (6) . -' ,_, \ V~/I~<::" :~' \\..i","""A " ~-~,~:~~,' ...H),'".~ . .i?otWl1l5WI\.<. '- ~&-P 'r~~" fI) ~;re'I\,"'1'~''U\) {' '~P(~-CA.llioo..'.'. lL "V'/?..~flDO~ "::~4i,,;"..~:..:_.~.:,=r-"~-=.-~':-::~'. '\. ' ---r' .. 'I .~V \ '(Le:: ...S1='lIr-4?~~b.u j,N ~i..1". "J .. " . .' ,," ,:,~. . ',' ("t" 0t1 't w M".I..J . -- ...~~ .:. i J..-,fw,..I;'>r.i (!.:..r' ewv.;lI'\!f .~MbW~p 1:&\ ,~ '<~ '.Il'- ~,,~ ".L...... . . ,.' . ,. . ,. , 'C7'l "J' ,.<...", ",\ ..Q;2",'::\(,-o.........G',h j;J, IJ.Q().C}J '<I J:,p,'e:~ "f'\ Q..,..'. ~ ,\-'I~ Il ~J''''~ ~ Q U "'-'0.;;:';...... 0:. .\> ii'/ $ "r't:.. iJ,c:'f _ \)IJ."';:; i'('.,Q."''''I~ 'oJl ,,,'elf' 4"""1"1i/;.C.~"'.t'..',~ ,..) fh..,,,- "",,\ ~ A~ or. '1> , ~ ~. . ' .4,. 'Z.~ GJ4-Se:: ~ JAooE Sf,flV\ld.ef. ~~ 1(:. <<1Wfl.(S ~~ b C1GCP~ N&J lPt.fD, '1 M.O, Miller P,E, P.T, Ud. 29156 Summit Ranch DrIve Golden, CO 80401 303-526-9207 '-----r".~....,..-- ~ w........ . \jJ 1+ ~l:\"-'r .' ~j:l D ee: .~ ~O It.. ld '\.1'... ~& l W ,,,.fho'M-G' ;),'-1."2...c> .. ~~~ I,) ~"rif..e'~' W ttei\4" ~t'l:it...e <tOc.~ 0 pO;Q:"'2,;.~~, ,'j;;;;""dI . . Rte PO.')B'-:b .KJ.Jiklfl-S. ~.'S~ j QJ f-t.~ C,f1l ji)~) ~ II ~ 11.-1t"J. /" ((:",< r."<~I.' :;? ,) Id; 'Cool? . IL I ., (~;;, ",'\~ -', v,.\! ~.t..G' ~(."S IUI ?ll$l.aL ~1e. \ f v>/~'fht..r.:,t)e.4. AD'", /'. /'floVi;;):.t!O(. :~~ =- 3-- ~:,w';'?( , , """ 00 "-'1 '~':<;:\,'Cl.~ ...i3"PMi!.~"a) L, (2,.~'lI1! , . IN ~l.... \I.;" . ..' 'J"'''-- ~'.' ' ./~ ( 'I'<tIW.l\:VfF. '-- IhM 01" v*",-y t:oMoVe:Wth. .... , : ~,S',,'+~~'i C!' '. " , ,.;. . ,. ""~'"". . .' ',;,;' e f\',jo'T <;, ",H:J -1 ~ "_ _';":~""'~~;~"""~~~"',' , _'_" .' 47'{" &;,(..,:~~g-~ "-J,~D/)",) , _ . .i' ".... :j::\ rur"~....~ "'l.J'li,..,wl\-" t:E ./.;O'i).c),.I!., .,,~r '-, ' . " /J IV e;'s,<.,. .f> <::J" I S 'r"'b. l.\.~"r .~ _ \).oJ,tl,;:: I' c..,Ol.A."fr~'~" IN' r,,'t.~ 1.<."""~-c.I<.,;&-.~~ ,..... . "':;~. ..<.,I ~A-f"r 'llo ,t:. 6'. 'I" (..tIt Ii.: w k,i.J , '4. z: G A-S e: M.D, MOler P.E. P.T. Ltd. 29156 Summit Ranch Drive Golden, CO 80401 303'526-9207 .,--------~_..,._,.__...._.... ~ Mh W~c.... W 'fIrr:::"A~T ; ~:d~eg '~f\-U Ot.... 'f-J \J~l2..& I jJ ,.,"t~ ME"' : '),a "'.'" '."!:"'.' ).:J;..'U.............. '." ,<';;,'T-. .""."'''''''- ,~ .'1:'-U ;. -...... .-\J,'_\.J'''''''' ......., a.;:,..-QVt V,J t~;~-t- .€Ibc..e" .j6t~ 0 7:;f)o-7",,1.If:(;iq.JN . , H:.6 PO'!>g'.'hk1(~e-'S'f'1'\J>r' I ~,'1-1' A-.t, t:) t T1t:l.Q ;:;. f,-;a, h..l:ZJ.. , '", M,D,MILLER, P.E" P.T" Ltd. 29156 Summit Ranch Drive Golden, Colorado 80401 303-526-9207, Fax 303-526-2706 April 21, 2006 Wheat Ridge Manor 2920 Fenton Street Wheat Ridge, Colorado 80214 SCOPE OF WORK, Proposed nurse station addition. 1. Remove laundry chute door and move 90 degrees to hallway side. Remove west wall of chute and move it 16 inches east 2, Remove 8 feet of 4"CMU wall, north side, west end. 3. Place fire rated knee-wall each side of door and blocked window on west wall. Leave upper part of door and window in place, 4, Add counter from north wall. to laundry chute with walk-thru on north end. 5. Remove 42" door and replace with fire rated door re-establishing fire area. 6. Remove single door in hall.way and replace with fire-rated double door. Reply to ERIC THOMPSON 06/08/2006 14:08 3032743400 QLM LLC PAGE 02/07 WHEAT RIDGE FIRE PROTECTION DISTRICT PO Box 507 . 3880 UPHAM STREET' WHEAT RIDGE. COL.ORADO 800340S07 303403-5900 . FAX 303-9400350 . -.WRFIRE.ORG G & L Remoble 65 I 8 Eaton Street Arvada, Colorado 80003 May 23, 2006 Re: Remodel demolition, 2920 Fenton Street, Wheat Ridge Manor Nursing. The foHowing requirements are made under the 2003 International Fire Code adopted by the Fire Board of the Wheat Ridge Fire Protection District and the City Council of the City of Wheat Ridge, Colorado. I. Any use of trash dumpsters shall be greater than 20 feet to any structure. 2. All exit paths shall remain clear of construction materials. 3. Fire Lanes shall remain clear at all times of construction. This includes but not limited to the alley behind this structure. 4. An emergency phone shall be on site during all construction. (Cell phone will substitute for land line.) 5. Emergency contact numbers will be posted on the front door during construction. 6. Required keys will be given to the Fire District for access to the tenant space. Said keys will be placed in the Knox Box located at the site, 7. A Fire Extinguisher with a minimum rating of 2A-40BC shall be within 10 feet of all "HOT WORK" operations. 8. The electrical box and the gas meter servicing this tenant shall be clearly marked with the unit number. 9. Addition to any of the structural membranes shall be approved by a licensed engineer, (This is in reference to the dry cleaning clothing grid system.) 1O.Any and all construction shall be submitted to the city and the Fire District for pennitting. II.AIl electrical shall be shut down to all devices that are to be moved at the electrical paneL 12. Construction requirements: · The Fire alarm shall be on line at all times during construction. ( If the area of work can be isolated then approval from the Fire Marshal shall be obtained prior to isolation of the zone.) If ~ CfJveS+ -;;; 21-1 eNd pp",yn,y: -# (!) ~6 3 b 9 ~ 2'UkeC+r>rJ)p_ /'?lcriV0/J.' IV~V~S/Y'~ Z12-0 f?~t1 St. - JJ~)r> '€'~ /;', dJ j(,~.J~ !/~~~/., o , 3ClJ 'S-g) J-o'f6') IED\\fIEO MAY / /' '."0 ' ,ij 7 ----.K.5 --- LS---- ) / -C,/ j<iD ~ ~Ib/e1tJ1M ~1Ci~ {;Kfi~S 6Y1 II /Joftq- Building Permit CITY OF WHEAT RIDGE 7500 West 29TII Avenue Wheatridge, CO 80033 303-235-2855 Permit Number 18956 7/1112005 Inspection Line 303-234-5933 Commercial Electric PROPERTY 2920 fen ton st OWNER: Wheat ridge manor Unit: (303) 238-0481 Description Relocate 120 volt panel power IFEES IFees IUse Tax ]Permit Fee [Total Fees 1 ICONTRACTORS IName Ip.D. Electric I ]Paid 1$5.40 1$30.55 1$35.95 I I IPhone 1000681-3809 I ]Due 1$5.40 1$30.55 1$35.95 I I ILicense # ]19420 \ Units: Occupancy: Walls: Roof: Stories: Sq Feet: o I hereby certii"y tliat the setback distances proposed by tllis permUappiiciltion art' accunite, llnd do not Violate applicll.bleomin'ances, rules orregulationsoftheCity of Wheat Ridge or oveDan! ,'easements or . tHet rB'Ofi'tconl; that ilI:;measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions p . led 0 q~is application and at assume'full ~es orisibility for compJillI1ce :with the Wheat Ridge Building Code (V.B.C.)and all olherapplicable ~heatRidgeilr na es!forw.orkunderttrs r it. .1 I .. . ...--- I ''---_ ! I ~c7::;' (0 SIGNED DATE This permit was issued in accordance with the provisions set forth in your application and is subject to the laws oHhe Stale. of Colorado and to the Zoning Regulations audBuilding Code of Wheat Ridge, Colorado or any olherapplicable ordinances. of the City. 2 This permit shall expire if(A) the work authorized is not commenced within siXty (60) days from issue date or-(B) the bulIilingauthoriied is suspended or ~bandonedforaperiodof120days. . Ifthispenuit expires, a new permit may be aequ,iredforafee of one-half the amount nOnually required, providednochanges have beenor will be made in the original plaits and specifications andany suspension or abandonment hasuot exceeded one (1) yeaT.If changes are made orifsuspension orahandonment exceeds one (1) year,fullfeesshallbepaid fora newJlermit. 4 No work ohny manner sbaUbe done that will chauge the natural f10w ofwat~ri:ausinga drainage problem. 5 Contractor shall notify tbe BuildingInspector twenty-four (24) honrs.in advance for aU inspections and shall receive written approval on inspection card before procecdiugwith successive phases of the job. -a:lfuot he construed to be a perinit for, nor an approval of, any violationoHhe eorregulation. 6 Theissnance ..........~noft ~gln~".. M07y-(f, 2005 SIGNED DATE Pagel of 1 Building Permit CITY OF WHEAT.RIDGE 7500 West 29TII Avenue Wheatridge, CO 80033 303-235-2855 Commercial Electric PermitNumber 18956 7/1112005 Inspection Line 303-234-5933 PROPERTY 2920 fen ton st OWNER: Wheat ridge manor Unit: (303) 238-0481 Description Relocate 120 volt panel power AuthoriZEld By Building Approval Authorized On ok Monday, July 11, 2005 Zoning 7/11/2005 Approved By croot Page lofl City of Wheat Ridge Community Development Department SUBJECT: Refund for Permit Memorandum FROM: Accounting Department , CJ Kristy Shutto, Building DiViSiOW TO: DATE: July 9. 2005 Reason: Reimburse Plan Review charged, Please refund: 100% permit fee: 100% plan review 100% use tax: $ $117.72 $ (acct 01-510-00-516) (acct 01-550-05-551 ) (acct 01-500-02-505) Total: $117,72 TO: API Systems Group, Inc, 7020 S, Tucson Wy, Ste. B Centennial, CO 80112 Thank You! ~~ M. $1uJiG Bldg. Dept Secretary Building Permit CITY OF WHEAT RIDGE 7500 West 29TII Avenue Wheatridge. CO 8oo33 303-235,2855 '''' t.\\ .~.~ .--- =--~-. -- CltydWhtjlRidge ....i Commercial Fire Alarm Permit Number 18914 6/30/2005 Inspection Line 3D3-234-5933 PROPERTY 2920 Fenton st OWNER: Wheat Ridge Manor Unit: (303) 238-0481 Description New Fire System to be put in under the 2002 NEe. All low Voltage wiring shall be supported from ceiling [ffES _=;-~-:---=-=--~~:-~ ,. =c=--=__ ,-=-r~=:=J IFees ~~__~,___ ,______J!'aid, I -..----r:;;:-.-.---.--.----------..--~-----. ~~aL,~$134.64 ._,. i$134,64.--J ,I o{1U 1~lan ReviewFee - c:j$117 ,72 -.., _> ~ 117, 7~ ~ ()JI'" f'~mitFee 1$181.10 1$181,1 , ~taIFeeL-=-----~3MEl~--~ 1$433.46 :J C--- ---'~_L._:===__==-=_:~____L~_~J 'CONTRACTORS .. I--~---- ----'I--~-i I_-----._-_..-----'--_..---_.-----_.-.__...__.,-_._~--------.----' i~ame ==--==__.Jbif~~~-=-=--===~---=JP)1clr1L-.----J ~---,~----'--'~-------'-' [ll-PII dba: Western States Fire 11780!L-,~___~__,_~__jQQQL92-0022 - i Units: Occupancy: I Walls: Roof: Stories: I hereby anify dI..t the aetb.eIi, dlstaPCa propNtd by thil penait .ppliudoa _ KCurate, lad do 1101 violate .ppUc:abk anti Wheal Rldp or eove,.lau., euelllenu orrut:ricdolU ofr<<erd; that .n_nlll.uthowa, llld aUq:atloRI ..de are "rura .D c:ollld1dollS priIlted OR thiI.pplk.d9, .nd Ih.11 __ full respoRdbWty for c:o...plluee with the Wheat Rid,e B"IkIia& I Whut Rid&e ordI..PCtS, for work under lIals pennll. ------.-.-..--.-- (OWNER}{CONTRACTOR) Thli ptnIIlt wulstued m auordallce with tbe provblom ...t forth In your .pplic.tion and Is .ubjedlo Ibe Iawl of the Rquladou .lId Build!DI Code ofW,,"ul JUdie, Colorado or .ny other applicabk ordbl.aces of 1M City. Thill pe.-it sh.n upift If(A) die work .ulhorized is 1101 nmmall:ed wllhin mty (60) d.y. fro.. bsooe d.te or (B) lbe .b.ndoned for. period of 120 d.ys. If dlls peralit expires. a new per..lt ....y be acq..ind for a fee of oae-lIIalltllle _lIDI .0....11)' requlnd. provided.o oritblal piau .nd Ipedfkatlolll and ..Y luspeuklD or ab..dolltllftlc has not uc:eeded one (I) year. If chan,n an aI. uCft>ds _ (1) )'Uf, fuD rea shaH be pakl fOI"l Ae-w ptl'llllL .. No work of .ny ....'""'r shaD be d..ne thai will challle the ft.luralllDw ofw.ter <:a.mn,. dram.le problem. S Co.uractor sh.llo..dr,. the s..ildlollAspec1or Iweoly-four (1") HUn Ia adv.nce ror.1i hllpertl..... .Dd sh.n ~ve' P..-diDl willi SU<<aRW pbUD of Ibe Job. 6 Ttoe isla.."" of. penDlt or tile .pproval of drawlap.1td spedfkaUou IhaIlaot be construed 10 be. pel'llllt for. nor plllvblo., of the bulldilll coda or .D,. othff' ordiD..ee.Ia.... ruk 01" rqUIalMlo'" Chief BIIUdla, lalpet:tor Saturday, July 09, 2005 CITY OF WHEAT RIDGE 07/15/05 11:12 AM (db API Systems Group RECEIPT NO:COI9750 FMSD BUILDING PERMIT5 ~D R.i';';;::s. Plan Revi. '7' rf FMSD BUILDING USE TAX but PAYMENT RECEIVED CK 2314 TOTAl ) AMOUNT 181.10 117_9 134.64 AMOUNT 433.4-6 433.46 Building Permit CITY OF WHEAT RIDGE 7500 West 29m Avenue Wheatridge, CO 80033 303-235-2855 Permit Number 18914 6/30/2005 Inspection Line 303-234-5933 Commercial Fire Alarm PROPERTY 2920 Fenton st OWNER: Wheat Ridge Manor Unit: (303) 238-0481 Description New Fire System to he put in under the 2002 NEC. All low Voltage wiring shall he supported from ceiling I IPaid 1$134.64 1$181.10 1$315.74 1 1 IPhone 1000 792-0022 I ]Due 1$134.64 1$181.10 1$315,74 I 1 ILicense # 117809 IFEES IFees IUse Tax IPermit Fee ITotal Fees I ]CONTRACTORS IName IAPII dba: Western States Fire Ifil1[~ Units: Occupancy: I Stories: o Walls: Roof: Sq Feet: I hereby certi.fythatthesetbackdIstaii~ proposed by this permit application are'accueate;a!lddo not violate applicable ordinances, rules or regulatiolL'lofthe City of Wheat Ridge or covenants, easements or restrictions ofrecord;_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 IlISSUffiC full respoDslbllitJ.: for compliance with the Wheat Ridge Building Code (V.B.C.) and aU other applicable Wheat Ridge ordinances; for work nnder this permit. (OWNER)(CONTRACTOR) SIGNED DATE Thlspermlt was issued in accordance with the prllvisions setfllrthin Yllur applicatillnand is subject to the laws llfthe State llfClllllradoand totheZoning RegUlations and Bulldiug Code of Wheat Ridge, Coloradll.or any other applicable llrdinancesofthe City. 2 This pemlit shaD expire if(A) the work authorized is nllt commenced.withiri sixty (60) da)'s from isSue date llr (B) the building authorized is suspended or abandoJledfor.a period llfI20 days. 3 If this penriite:rpires, a new permit mal' be acquired fora fee of ime-halfthe amount nonnally required, prllvided no changes have been or will be made in the original plans and spccilieatillns and any suspensilln llr abandllnment has not e:rceeded one (1) year. If changes are made or ifsuspensiou or abandonment e:rcccds line. (1) year, fnll fees shaD be paid fllr a new permit. 4 No work llfany manner shall be dllne that will change the naturalllllw i1fwater causing a draiuage problem. S Contractor-shaD notify the Building Inspectortwentycfour (24) hllUI'll in advance for allinspectillns and shall receive written approval on inspection card befllre proceeding with successive phasesofthejob. 6 Ch Saturday; July 09, 2005 SIGNED DATE Page 1 of 1 Building Permit CITY OF WHEAT RIDGE 7500 West 29TH Avenue Wheatridge, CO 80033 303-235-2855 Permit Number \, ",,-!\ ~.'~ _ ' ,k_ .--- .-+.;---<~ ~ Cily otWhea Ridge . ',,- i 18914 6/30/2005 Inspection Line 3D3-234-5833 Commercial Fire Alarm PROPERTY 2920 Fenton st OWNER: Wheat Ridge Manor Unit: (303) 238-0481 Description New Fire System to be put iu under the 2002 NEe. All low Voltage wiring shall be supported from ceiling Authorized By Building Approval Authorized On Zoning 6/30/2005 Approved By croot subject to field inspection Saturday, July 09, 2005 Page 1 of I COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION UNE . 303.234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 . (303-235.2855) APPLICATION Property Owner: w)l-1 .",-t.,-;cl.~" v'Vl"-vlOr Property Address: ;;iq;;O Y:e"".lcoV\ 5+ Contractor License No,: I 7 'lOr Company: ,4P I "5ys+ e,\A,s GfO';'P ~' ""'.'.. .:- -0 - '" v ~ C'olQR,.tB Building Permit Number: Date: zen k 'TMoMflSoo'\ Phone: :,03..;J 3 "if -04'( I Phone: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Buildino Deal Valuation Figure: $ 1 hereby certify thai the setback distances proposed by this permit application are accurate. and do not violate applicab&e ordinances. rules or regulations of the City of Wheat Ridge or covenants, _ts or restriction. 01 record; thatal ~ shown. and ahgations made are accurate; that I have read and agree 10 atMde by all conditionS printed on ttUs appltcation and that I assume full responsibility tor compliance wrth the Wheat Ridge Building Code (I.B.C) and 81_ applicable Wheal R'dge Ord,nances, for worl< unde< /?/';~. Plan. .u~ to field Inspection jOWNEAWCQNTAACTOA) SIGNED ~ A U/l- OATE /.YO-05 (OWNEA)(CONTAACTOR)PRIHTEO Cc,/hv:S toe v> DATE 0 JiJ-05 r Value:$ 7; L/ 60 Permit Fee:$ Plan Review Fee:$ Use Tax-S Total:$ hve A-/MrVI 5vs+eW\. 3 Use of Space (description): AJevJ Description of work: ---.JIf Sq, Fl. added SIC: Sq,Ft. : BUILDING DEPARTMENT USE ONLY ~OtONG COMMENTS: Approval: Zoning: ~lL01NG COMMENTS: Approval: >utlUCW~COMMENTS: Approvat: .Of OEP_NT COMMENTS: Approval: pccupancy: Walls: Roof: Stories: Electrical license No: Company: Plumbing License No: Company: Expiration Date: Approval: Expiration Date: Approval: Thio permit was _ in acconlanOO wrth lhe provisions set fOflh in your application and is subjed III lhe taws of lhe Stale of CoIo<adO and III lhe Zoning Regu1ations and Buikling Codeo aI Wheal Ridge, Colorado or any _ applicable onIinar1ces of lheClIy. This permit _ expire H (A) lhe worl< aulhorized is not oommenood wilIlin sixty (90) days from issue dale 0< (B) the build;"g auIIloriZed is ~ 0< __ for a period of 180 days, If this permit expinlO, a _ permit may be acquired for a fee aI one-haIflhe amount normaJIy required, provided no changes have _ or wiI be _ in lhe original plana and spedlicalions and any suspenaion or _ "'" not exceeded one (1)_. If ~ have _orH suspenaion 0< _.do..monI_one (1) year, fuI f_ - be pa;d for. -- permit No_ oI_manner _ be done Il1al wiI change lhe _ - 01_ cauoing a ~~. (;onlracD' _ nalify lhe a.-.g "'"-"" ~ (24) holn in _ for" ............. and _ receiVe written ~ on ~_____, '*" __ .._'II wllh WI '.. phMM oIlhe job, The __ 01 a permit or ... appRJYOI 01 ~ and spedf\catioI.. - not be consIrued III be a permit for, nor an a~ 01, __ ollhep<Ollisiona oflhe ~ cocIosor any_ o.dillanoe, law, Nle 0< __. All p1an'- is sub)ed to tIekI map I ctlo..... (1) (2) (3) (4) (5) (6) Chief Building Official Residential Units: Mechanical License No: Company: Expiration Date: Approval: API Systems Group 7020-8 South Tucson Way Centennial, Colorado 80112 (303) 799-9189 I (303) 792-2965 Wheatridge Manor Nursing Home 2920 Fenton Street Wheatridge, Colorado 80214 NFW-100 BAT-12180 FDU-80 NOT-BG12LX STI-1130 NOT-BG12LX NP-100 B710LP NH-100 B710LP NC-100R 4451HT NMM-100P NDM-100 CH2475 CH2415 S24110 S2475 S2415 P24110K Fire Alarm System Cut Sheets June 16, 2005 Fire alarm control panel, Intelligent 18 amp / hour battery Remote LCD annunciator Manual pull station, intelligent Protective guard for a pull station w/ horn, surface mount Manual pull station, intelligent Photoelectric smoke detector, intelligent Detector mounting base, intelligent Heat detector 135 degree, intelligent Detector mounting base, intelligent Relay module, intelligent Heat detector, 195 degree, conventional Monitor module, intelligent Dual monitor module, intelligent Chimefstrobe, 24 VDC, red, 75 cd Chime/strobe, 24 VDC, red, 15 cd Sync strobe, 110 cd, red Sync strobe, 75 cd, red Sync strobe, 15 cd, red Sync hornlstrobe, 110 cd, weather proof, red ~NOTIFIER@ by Honeywell GENERAL The NOTIFIER FireWarden-100 (NFW-100) is a compact, cost-effective, intelligent addressable fire alarm control panel with a capacity of 198 addressable NOTIFIER de- vices on one Signaling Line Circuit (SLC) and a built-In 14.4K Baud modem for remote site upload/download or remote monitoring. The Signaling Line Circuit (SLC) loop supports up to 99 addressable detectors including photoelectric, photoelectric with heat, ionization, photoelectric duct, fixed heat, and fixed heat with rate-ot-rise detectors. It also supports up to 99 addressable modules including monitor (two-wire detac. tor, nonnally open devices), conventional two-wire smoke monitor (supervise compatible two-wire smoke detectors), and relay (two Form-C) modules. The panel uses surface- mount technology and is designed for ease of installation, programming, and maintenance. It features the latest in advanced fire protection technology, including mainte- nance alert and automatic detector test functions. SPECIAL FEA TURES: . Built-In 14.4K Baud modem, . Selectable strobe synchronization per NAC. . Remote site upload/download, . Four Class B or two Class A HAC circuits. FEATURES SLC Loop: , SLC can be configured for NFPA Style 4, 6, or 7 operation. , SLC supports up to 198 addressable devices (99 de- tectors and 99 monitor, control, or relay modules), in~ eluding addressable smoke detectors, heat detectors, and duct detector. , SLC loop maximum length 10,000 ft (3,048 m) @ 12 AWG (3,1 mm2). Requires twisted, shielded wire (3,000 ftJ914.4 m untwisted, unshielded wire). Notification Appliance CIrcuits (NACs): , Four onboard NACs with additional NAC capabiiity us' jng output control modules (NC-100). Silence Inhibit and Auto Silence timer options. Continuous, March Time, Temporal or California code for main circuit board NACs with two-stage capability. . Selectable strobe synchronization per NAC. 5.0 amps total NAC power with XRM-24. Advanced Fire Technology: . Sensitivity testing with printable results, onsite or offsite. . Automatic drift compensation. Programming and Software: . Autoprogram (learn mode) reduces installation time. Fully programmable from locai keypad, local PS-2 key- board or PC via VFWARDEN-CD WindowS@ utility. May 9, 2005 DN-7005' Al-l00 FireWarden-l00 Intelligent Addressable FACP (NFW-l00) with Built-In 14.4K Baud Modem Section: Addressable @ LISTED S635 rii ~ California State Fire Marshal 7165-0028:235 MEA 341-03-E Vol.IlI ~ I . Remote site upload/download capability. . Two-level user.programmable passwords. . Custom English labels (per point) may be manually en- tered or selected from an internal library file. . Two programmable Form-C relay outputs. . 99 software zones. User Interface: . Built-in 14.4K Baud modem (DACT). . Remote Acknowledge, Silence, Reset and Drill via addres. sable monitor modules, ACS Series annunciators or FDU-80 remote annunciator. . EIA-232 printerlPC interface (variable baud rate) on main circuit board. . Integral 80-character LCD display wiih backlighting. Real-time clock/calendar with automatic daylight savings adjustments. . History file with 1,OOO-event capacity. . EIA-485 supporting up to 32 ACS Series annunciators. , EIA-485 supporting up to 32 FDU-80 annunciators. Maintenance alert warns when smoke detector dust ac- cumulation is excessive. . Automatic device type-code verification. cont'd pg. 3 This document is not Intended 10 be used for Installation purposes. We try to keep our product infonnation up-1o--date and accura1e. We cannot cover all specific applications or anticipate alt requirements. All specifications are subject 10 change without notice. For more information. contact NOTIFIER. Phone: (203) 484-7161 FAX: (203) 484-7118 ~NOTIFIER' by Honeywell 12 Clintonvitle Road, NorIhford, Connecticut 06472 ISO 9001 ~ CEATII=IFD ~I~I- QIlLln sysnls MadelntheU.$.A. DN-7005 . 05I09l05 - Page 1 of 4 24 VDC ElA-485 INTERFACE (D1M-485) buiU into the motherboard (four wires) FDU-80 Up to 6,000 fl. (1825,8 m) between each FDU-80 in the EIA-485 loop, and between each FDU-SO and the FAC? 24 VDC ! ! ! ! ! ! ! ! I I!" .1 I EIA-485 In ACS mode (two wires) 8 FORM-C, 5-AMP RELAYS (optional, order ACM-BR) II NACs (Notification Appliance Circuits) BEllS, SIGNAlS, STROBES ANNUNCIATORS AFM,LED, LDM, ACS/ACM EIA,232 INTERFACE (PIM,24) buin into the motherboard PRINTER NOTE: System can use either the printer OR the FDU-80. They cannot be used simultaneously. WIRING REQUIREMENTS The Sle requires use of a specific wire type to ensure proper circuit operation. It is recommended that all Sle wiring be twisted-pair shielded to minimize the effects of electrical interference. Wire size should be no smaller than t8 AWG (0,78 mm') and no larger than 12 AWG (3.1 mm'). The wire size depends on the length of the SLC circuit. Use the table below to determine the specific wiring requirements for the Sle. FIreWarden-100 Fire Alarm Contrail Communicator Optional REVERSE POLARITYI CITY BOX OUTPUT (4XTM) Wire Distance Typical Wire Size Requirements In Feet (m) Twisted-pair, shielded 10,000 teet 12 AWG (3,1 mm'): Belden 9583, Geresis 4410, (3,048 m) Signal 98230, WPW D999. Twisted-pair, shielded 8,000 feet 14 AWG (2.00 mm2): Belden 9581, Genesis 4408. (2,438 m) Si9nal 98430, WPW D995, Twisted-pair, shielded 4,875 feet 16 AWG (1.3 mfJl2): Belden 9575, Genesis 4406 (1,486m) and 4606, Signal 98630, WPW D991 , Twisted-pair, shielded 3,22Steet 18 AWG (0.78 mm2): Belden 9574, Genesis 4402 (983m) and 4602, Signal 98300, WPW D975, Unwisted, lI'lShielded 3,000 teet 12-18AWG (3.1 -0,78 mm'). (915m) " Page 2 of 4 - ON-700S. as/a910S "", '" \L.J.....J.....-' SMOKE DETECTORS NP-l00, NP-l00T, NI-l00 , -~ HEAT DETECTORS NH-100, NH-100R [~] DUCT DETECTOR ND-100, NO-l00R MONITOR I CONTROL NMM,100, NZM-100, NDM-100, N1DO-ISQ, NC,100, NC-l00R " MINI MONITOR NMM-100P I PULL STATION NQT-BG12LX 7005dl.wmf One person eudible or silent walk test with walk-test log and printout. . Point trouble identification. . Local piezo sounder. . Watertlow (nonsilenceable) selection per monijor point. . System alann verification selection per detector point. , PAS (Positive Alann Sequence) and presignal delay per point (NFPA 72 compliant). , Optional4XTM module (conventional reverse polarity/cily box transmitter). CONTROLS AND INDICATORS LED INDICATORS 1. AC POWEA (green) 2. FIAE ALARM (red) 3. SUPERVISORY (yellow) 4. ALARM StLENCED (yellow) S. SYSTEM TROUBLE (yellow) 6, MAINTENANCE (yellow) 7. DtSABLED (yellow) 8. BATTERY FAULT (yellow) g, GROUND FAULT (yellow) MEMBRANE SWITCH CONTROLS 1. ACKNOWLEDGE/STEP 2. ALARM SILENCE 3, DRILL 4. SYSTEM RESET (lamp test) 5 - 16. 12.key pad with full alphabet 17 - 20. 4 cursor keys 21. ENTEA FIELD.PROGRAMMING FEATURES OFFLINE PROGRAMMING: Create the entire program in your office using a Windows@-based software package (or- der programming kit VFWARDEN-CD separately). Up, load/download system programming locally to the FireWarden-100 in less than one minute. AUTOPROGRAMMING: Command the FireWarden-100 to program itself (takes less than 30 seconds). In the Auto- Program mode, the FireWarden-100 scans for all possible devices at all addresses, stores the device types, and ad- dresses found, and then loads default values for all op- tions (General Alarm). It also checks for two or more de~ vices set to the same address. ONLINE EDIT: While still providing fire protection, the FireWarden-100 may be programmed from the front panel. Simple menu trees displayed on the LCD allow the trained user to perform all functions without referring back to the programming manual. ENGLISH LABEL LIBRARY: Quickly select labels from a standard library of more than 50 adjectives/nouns, such as "FLR 3 HALLWAY," or enter custom labels letter-by-Ietter. Use recall function to repeat previously used label. PROGRAM CHECK: Automatically catch common errors, such as control modules not linked to any zone or input point. MAINTENANCE ALERT The FireWarden-100 continuously monitors each smoke detector and is capable of reporting maintenance condi- tions. This reduces the risk of false alarms due to dust accumulation. Refer to the control panel installation manual for more information. AUTOMATIC TEST OPERATION The FireWarden-100 performs an automatic test of each detector every two hours. Failure to meet the test limits causes a TESTF trouble type. System Reset clears this trouble. NFPA STANDARDS The FireWarden-100 complies wijh the following NFPA 72 Fire Alarm Systems requirements: LOCAL (Automatic, Manual, Watertlow and Sprinkler Su- pervisory). . AUXILIARY (Automatic, Manual and Watertlow) (requires 4XTM). REMOTE STATION (Automatic, Manual and Watertlow) (requires 4XTM). . PROPRIETARY (Automatic, Manual and Watertlow). CENTRAL STATION (Automatic, Manual and Watertlow, and Sprinkler Supervised), SPECIFICATIONS AC Power - TB1: 120 V AC, 60 Hz, 3,0 A. Wire size: mini- mum 14 AWG (2,0 mm') with 600 V insulation. Battery (lead acid only) - TB2: Maximum charging circuit: - Nonnal flat charge 27.6 VDC @ 0.80 A, Maximum battery .... charger capacity: 18 AH. FireWarden-100 cabinet he Ids maximum of two 18 AH batteries, For 25 - 120 AH batter- ies, use the CHG,120 or CHG-75 Battery Charger and BB- 55 Battery Box. NOTE: Jumper JP3, on the FACP main circuit board, must be cut 10 disable the FACP battery charger when using the CHG-120. Remote Synchronization Output - TB2: A 24 VDC, 40 mA signal that mimics the sync signal of NAG 1 and can be utilized by remote power supplies such as the FCPS-24S6/ -2488. This allows NAG devices attached to the power supply to synchronize with the devices connected to NAG 1 of the FACP. Communication Loop - (standard) TB8: 24 VDC nomi- nal, 27.6 VDC maximum, Maximum length: 10,000 fl. (3048 m) total twisted, shielded pair length. Maximum Joop cur- rent 400 mA (short circuit) or 100 mA (nonnal). Maximum Joop resistance: 40 ohms. Supervised and power-limited. Notification Appliance Circuits - TB4: Power,limijed cir- cuitry. Maximum voltage drop in wiring: 2.0 VDC. Nominal operating voltage: 24 VDG. Current limit:fuseless, electronic, power-limited circuitry. Maximum signaling current per cir- cuit: 2,50 A. End-ot-Line Resistor. 4.7K ohm, 1/2 watt (PIN 71252, UL Listed) for NACs. Aefer to NOTIFIER Device Compatibility Document for listed compatible devices. Programmable and Trouble Output Relays - lB5, TB6, TB7: Contaclrating:2.0A@ 30 VDC (resistive), 0,5 A@ 30 VAC (resistive), Form-C relays. Four-Wire Resettable Smoke Detector Power (24 VDC nominal) - TB1, Terminals 3 (+) & 4 (-): Maximum ripple voJtage: 10 mVRMs. Up to 0.5 A for powering four-wire smoke detectors. Power-limited circuit. Refer to NOTIFIER Device Compatibility Document for listed compatible de- vices. NonreS8ttable Power #1 (24 VDC Nominal) - TB1, Termi- nals 3 (+) & 4 (-): Maximum ripple voltage: 10 mVRMS. Up to 0.5 A total DG current available from each output. Power- limited circuit. TB1, Terminals 1 (+) & 2 H can be config- ured as resettable 24 V or non-resettable via JP4. NOTE: Jf using optionaJ XRM-24, totaJ NAG and auxiliary cur- rent draw cannot exceed 6.0 amps. EIA-485 (ACS) - TB6: AGS annunciator connector, Termi- nal1 (+) and Tenninal 2 (-). EIA-485 (TERM) - TB7: T enninal mode annunciator con- nector, Tenninal1 (Out +), 2 (In +), 3 (Out -), 4 (In -). EIA-232 - TB8: PC/printer connector, Tennlnal 1 (Trans- mtl), 2 (Receive), 3 (DTR), 4 (Ground), ON-70as . 05109105 - Page 3 of 4 ;, CABINET SPECIFICATIONS Door; 18,67' (47,43 cm) high x 15.78' (40,08 cm) wide x 1.08' (2,74 cm) deep, Backbox: 18.50" (47.0 cm) high x 15.50' (39.37 cm) wide x 4.37' (11,1 cm) deep. Trim Ring (NFW-TR): 21.62" (54.92 cm) high x 18.62" (47.3 cm) wide, PRODUCT LINE INFORMATION NFW-l00: 198-point addressable Fire Alarm Controi Panei. Includes SO-character LCD display, single printed circuit board. and cabinet. ACM-8R: Optional plug-in relay module provides 8 Form-C 5.0 A relays. VFWARDEN-CD: Contains panel programming software tor Windows@-based PC computer (cable not included), DP-FW-loo: Dress panel for FireWarden-l00. NFW- TR: Trim Ring for semHlush mounting. BB-55: Battery box, required to house two BAT-12260 batteries and one CHG-120 battery charger. For batteries greater than 26 AH, consult factory for housinglmounting arrangements. BB-6: Batterybackbox, holds uptotwo BAT-12260 batteries, CHG-120: Remote battery charging system for lead-acid batteries with a rating of 25 to 120 AH. CHG-/2D or CHG- 75 required for charging greater than 25 AH batteries. CHG.75: Battery charger for lead-acid batteries with a rating of 25 to 75 AH, CHG-12D or CHG-75 required for charging greater than 25 AH batteries, BAT-12180: Battery, 12 voll, 18,0 AH, (two required). BAT-12260: Battery, 12 volt, 26 AH, (two required: requires CHG-75). BAT-12550: Battery, 12 volt, 55 AH, (two required: requires CHG-75). PRTIPK-CABLE: Cable printer/personal computer interface cable. For use with printer or VFWARDEN-CO. Window. is a registered trademark of Microsoft Corporation. COMPATIBLE ADDRESSABLE DEVICES All feature a polling LED and rotary switches for addressing, NI-100: Addressable low-profile ionization smoke detector. NP-l00: Addressable low-profile photoelectric smoke detector. NP-l00T: Addressable low-profile photoelectric smoke detector with thermal sensor. NH-100: Fast-response, low-profile heat detector. NH,100R: Fast-response, low-profiie heat detector with rate-af-rlse. NO-lOG: Photoelectric duct smoke detector. ND-100R: Photoelectric duct smoke detector with relay. NMM-100: Addressable Monitor Module for one zone of normally-open dry-contact initiating devices. Mounts in standard 4.0. (10.16 cm) box. Includes plastic cover plate and end-at-line resistor. Module may be configured for either a Style B (Class B) or Style D (Class A) IDC. NMM-looP: Miniature version of NMM-l00, Excludes LED and Style 0 option. Connects with wire pigtails. May mount in device backbox. NZM-loo: Similar to NMM-l00, but may monitor up to 20 conventional two-wire detectors. Requires resettable 24 VDC power. Consult factory for compatible detectors. NDM-l00: Dual Monitor Module. Same as NMM-l 00 except it provides two Style Y (Class B) only IDCs. Page 4 of 4 - ON.7005. 05109/05 NC-l00: Addressable Control Moduie for one Style YIZ (Class B/A) zone of supervised polarized Notification Appliances. Mounts directly to a 4.0" (10,16 cm) electrical box. Notification Appliance Circuit option requires external 24 VDC to power notification appliances. NC-l OOR: Addressabie relay module containing two isolated sets of Form'C contacts, which operate as a DPDT switch, Mounts directly to a 4.0a (10.16 em) box, surface mount using the 5MB500. NOT -BG12LX: Addressable manual pull station with interface module mounted inside. Nl0D-ISO: Faull Isolator Module, 5MB500: Used to mount all modules except the NMM- lOOP, NOTE: For more information on Compatible Addressable De- vices for use with the FireWarden-100, see the following data sheets (document numbers): N1CJO-1S0 (DN-6994), NP-1D01NP- lOOT (DN-6995), Nl-1oo (DN-6996), NH-1D01NH-looR (DN- 6997), ND-1D01NlJ-1ooR (DN-7006), NMM-1001NMM-fOOP/ NDM-1D01NZM'loo (DN-6999), NC-1001NC-l00R (DN-7DOO), and NOT-BGI2LX (DN-700/). COMPATIBLE ANNUNCIATORS EIA-485 interface: Built into the motherboard. AFM-LED Zone Series: LED-type fire annunciators capable of providing up to 99 software zones of annunciation. Avail- abie in increments of 16 or 32 with expandable (AFM-X Se- ries) and non-expandable (AFM Series) configurations to meet a variety of applications. ACSlACM Annunciator Series: Allows annunciation of loop modules and detectors. LOM Graphic Series: Lamp Driver Module series for use with custom graphiC annunciators. FDU-aO (Liquid Crystal Display) point annunciator: 80- character, backlit LCD-type fire annunciators capable of displaying English-language text. Up to 32 FDU-aO annun, ciators may be connected to the EIA-485 terminal mode serial interface on the FireWarden-100 motherboard. NOTE: For more information on Compatible Annunciators for use with the RreWarden-100, see the following data sheets (document numbers) AFWAFM-X Series (DN-D056), ACM-BR (DN-3558), ACSIACM Series (DN-D524), FDU-BO (DN-682D), LDM Series (DN-D55t). ~ AGENCY LISTINGS AND APPROVALS See the first page of this data sheet for listing agencies and file numbers. These listings and approvals apply to the basic FireWarden-100 control panel. In some cases, certain modules may not be listed by certain approval agen- cies, or listing may be in process. Consult factory for latest listing status. ~ @j)NOTIFIER@ GENERAL The FDU-80 is a compact, cost-effective, 80 character, backlit LCD Fire Annunciator for use with the NOTIFIER AFP-300, AFP- 400, AFC-600, and NFS-640 FireAlann Control Panels (FACPs), The FDIJ-BO mimics the display of the control panel and dis- piays complete system point status inlonnation. Up to 32 FDU- 80s may be connected onto the EIA-485 Tenninal Mode port of each control panel. The FDU-80 requires no programming, which saves time during system commissioning. NOTES: 1) The FDU-BO Is compatible with the NOTlFIER AFP-3OO1 400 Rev. 3.62 or higher. AFC-600 (all rev/slons), and NFS- 640 Rev, 2,01 or higher. 2) The FDU.so can be used on the same data loop as the LCD..801LCD-80TM annunciators revision 1.6 software or higher. FEATURES 80-<;haracter Liquid Crystal Display, Mimics all display information from the host panel. Control switches for System Acknowledge, Signal Silence, Drili and Reset with enabie key. System status LEOs for Power, Alarm, Trouble, Supervi- sory, and Alarm Silenced. No programming necessary - FDU-80 connects to the .~ terminal mode port. i Displays device type identifiers, individual point alann, :8 trouble or supervisory, zone and custom alpha labels. Time and date display tield. Aesthetically pleasing design. May be powered by 24 VDC from the host FACP or by remote power supplies {requires 24 VDC}. Up to 32 FDU-80 annunciators per FACP. Plug-in terminal blocks for ease of installation and service. Can be remotely located up to 6,000 feet (1828,8 m) from host control panel. Local piezo sounder with alarm and trouble resound. Semi-flush-mounts to 2.188"/5.556 em {minimum} deep, three-gang electrical box (NOTIFIER PIN 10103) or three- gangable electrical switch box. Surface-mounts to NOTIFIER SBB-3 surface backbox. OPERATION The FDU-BO annunciator provides the FACP with point an- nunciation with full display text on an BO-character LCD dis- play. The FDU-BO also provides an array of LEDs to indicate system status, and also includes control switches for remote control of cntical system functions. July 20, 2004 DN-8820. D-123 FDU-80 aO-Character Uquld Crystal Display Fire Annunciator Section: Annunciators @ LISTED 5635 @ I California State Fire ~ Marshal 7120-0028:209 CS100 MEA 245-00,E FDU-80 Annunciator The FDU-80 provides the FACP with up to 32 remote serially connected annunciators. All field-wiring terminations on the FDU-80 use removable, compression-type terminal blocks for ease of wiring and circuit testing. Communication between the FACP and the annunciators is accomplished over an EIA-485 serial interface, which greatly reduces wire and installation cost over traditional systems. Six wires total are required: four for the EIA-485 communica- tions {two in and two return}; and two for the 24 VDC regu- lated power. Dip switches control local functions such as: piezo disable, control switcheslkey switch disable, transmit! receive mode. INSTALLATION The FDU-80 can be semi-nush mounted to a 2.188'15.556 em (minimum) deep, three-gang etectrical box (NOTIFIER PIN 10103) or three-gangable electrical switchboxes. Alter- nately, an SBB-3 surface backbox is available for surlace~ mount applications. NOTIFIER@isa Honeywell company. This document is not intended to be used for installation purposes. We try to keep our product Information up-to-date and accurate. We cannot cover all specific applications or anticipate all requirements. All specifications are subject to change without notice. For more information, contact NOTIFIER. Phone: (203) 484-7161 FAX: (203) 484-7118 ~ NOTI FI ER~ 12 ClIntonvltle Road, Northford, Connecticut 06472 !~!t!'lW ~ ~'II__I'- . ,llln, SYSTEMS Made In the U.S.A. DN-6820. 07/20/04 - Page 1 of 2 ORDERING INFORMATION . .",,- FDU.80 - 10103 SBB-3 80 character, backlit. LCD Fire Annunciator with control switches for remote control of system functions, and key-switch lock. Three-gang electrical box, minimum 2.188" (5.556 em) deep, for semi-flush-mount applications. Thre~ang surface backbox for surface-mount applications. FDU.80 TERMINAL MODE WIRING EXAMPLE Up to 6,000 It (1828.8 m) / back from last device to end of EIA-485 loop AFP-400 FDU-BO Tanninal Mode EIA~485 return (2-wires) 1:1.., .......""... ..S"-:;;,;;:;. :; \'J;;l.l.;;.C~ Notes: 1} EIA-485: Maximum of 6,000 feet (1828.8 m) cable length from FACP to FDU-80 annunciators and back to FACP (6,000 feet [1828.8 m] total). Circuit is power-limited. 2) Up to 32 FDU-80 annunciators may be used on the EIA-485 circuit. When multiple FDU-BOs are used, certain panels will require additional power supplies (refer to panel documentation). 3) Between each FDU-BO annunciator are four wires: a twisted-shielded pair for data communications and a pair for 24 VDC power. The return circuit only requires two wires for data communication supervision, wired from the last FDU-80 annunciator on the loop. 4) On the AFP-300/400, software revision 3.62 or higher is required. MOUNTING TO BACKBOX(ES) The FDU-80 annunciators can be semi-flush-mounted in a three-gang electrical box with a minimum depth of 2,188" (5,556 cm) (NOTlFIER PIN 10103), Mounting Holes (4) The FDU-80 annunciators can be mounted in three gangable electrical switch boxes connected together. NOTE: Alternately, FDU-80 annunciators can be mounted to the SBB-3 surface back box for surlace--mount applications. 5.813" (14.764 cm) wide x 4" (10.16 cm) high x minimum 2.188" (5.556 cm) deep, three-gang electrical box (NOTlFIER PIN 10103, shown at right). Page 2 of 2 - ON-6820. 07120/04 FDU-80 flange ~ @>NOTIFIER@ GENERAL The NOTIFIER NOT-BG12LX is a state-of-the-art, dual-ac- tion (I.e.. requires two motions to activate the station) pull station that includes an addressable interface (mounted in- side) for NOTIFIER's addressabie FireWarden-100fire alann control panel. Because the NOT-BG12LX is addressable, the control panel can display the exact location of the acti- vated manual pull station. This leads fire seNiea personnel quickly to the location of the alarm. FEATURES Aesthetically pleasing, highly visible, dual-action design. Meets ADA Sib, maximum pull force. Easily operated (dual-action). Attractive shape and textured finish. Mounts, semi-flush, to a standard single-gang (2.125" [5.398 cm] minimum depth), double-gang, or 4,0. (10.16 em) square electrical box. When the handle latches in down position, the word "AC- TIVATED. appears at the top of the handle in bright yellow to clearly indicate the station has been operated. Key/lock reset; needs only a 1/4-tum to lock/unlock. Includes Braille text on station handle. Captive screw terminals wire-ready for easy connection to SLC loop (accepts up to 12 AWG/3,1 mm' wire). Optional trim ring (BG-TR). Meets UL 38, Standard for Manually Actuated Signaling Boxes. Maintenance personnel can open station (for inspection and testing) without causing an alarm condition. Built-in bicolor LED. which is visible through the handle of the station, flashes red in normal operation and latches on steady red when in alarm. ENGINEERING SPECIFICATIONS Manual Fire Alarm Stations shall be non-code. with a key- operated reset lock in order that they may be tested, and so designed that after actual Emergency Operation, they can- not be restored to nonnal except by use of a key. An oper- ated station shall automatically condition itself so as to be visually detected as activated. Manual stations shall be con~ structed of red-colored LEXAN@ (or polycarbonate equiva- lent) with cleariy visible operating instructions provided on the cover. The word FIRE shall appear on the front of the stations in white letters, 1.00 inches (2.54 cm) or larger. Sta- tions shall be suitable for surface mounting on matching backbox 56-10 or 58-110; or semi-flush mounting on a stan- dard single-gang, double-gang, or 4.0. (10.16 cm) square electrical box. and shall be installed within the limits defined LEXAN@ is a registered trademark of GE Plastics, a subsidiary of General Electric Company. September 16, 2004 DN-7001 . A1-380 NOT-BG12LX Addressable Manual Pull Station for FlreWarden-l00 Section: Addressable Patented, U.S. Patent No. 0428,351; 6,380,846 U.S. Patent Pand/ng: 09/686,286 @ LISTED S692 The NOT-BG12LX Addressable Manual Pull Station by the Americans with Disabilities Act (ADA) or per nationalJ local requirements. Manual Stations shall be Underwriters Laboratories listed. Manual stations shall connect with two wires to one of the control panel SLC loops. The manual station shall, on com- mand from the control panel, send data to the panel repre- senting the state of the manual switch. Manual stations shall provide address setting by use of rotary decimal switches. ELECTRICAL SPECIFICATIONS Normal operating voltage: 24 VDC. Maximum SLC loop voltage: 28,0 VDC, .-..." Maximum SLC loop current: 230 ~A, t/IiL" ISO 9001 NOTlFIERl@)is a Honeywell company. This document IS not Intended to be used for Installation purposes. We try to keep our product Information up-to-date and accurate. We cannot cover all specific applications or anticipate all requirements. All specificatlons are subject to change without notice. For more Information, contact NOTIFIER. Phone: (203) 484-7161 FAX: (203) 484-7118 ~ NOTI FI ...& 12 ClIntonvllle Road, Northford, Connecticut 06472 CERTIFIED 1IEIIIIIIlI..All_.__ .lIl1lY SUHU DN_7001.09/16104 - Page 1 of 2 INSTALLATION The NOT-BG12LX can be semi-flush mounted into a single- gang, double-gang, or standard 4.0" (10.16 cm) square elec- trical outlet box, or surface mounted to the Model SB-10 or SB-I/O surface backbox. If the NOT-BG12LX is semi-flush mounted, then the optional trim ring (BG- TR) mey be used. The BG-TR is usually needed for semi-flush mounting with 4,0" (10,16 cm) or double-gang boxes (not with single-gang boxes). CONSTRUCTION Shell, door, and handle are molded of durable LEXAN@ (or polycarbonate equivalent) with a textured finish. .... TERMINAL CONNECTIONS 1 SLC (-) 2 SLC (+) Back of station without door. OPERATION PUShing in, then pulling down on the handle causes it to latch in the down/activated position. Once latched, the word "ACTIVATED" (in brtght yellow) appears at the top of the handle, while a portion of the handle protrudes from the bot- tom of the station. To reset the station, simply unlock the station with the key and pull the door open. This action re- sets the handle; closing the door automatically resets the switch. Manual stations connect with two wires to one of the control panel SLC loops. Each manual station. on command from the control panel, sends data to the panel representing the state of the pull station switch. Two rotary decimal switches allow address settings (01-99). PRODUCT LINE INFORMATION NOT-BG12LX 5B-10 5B-1I0 BG-TR Dual-action addressable pull station, Includes key lock/reset feature, Surface backbox, Surface indoorloutdoor backbox, Optional trim ring. l:~ 9876 '-;;;[X1RESS '"l 0 1 1,-..........-....-.'......-:1 .................2 i' t ';:.: I.L09P 1 .5 :A:! 987 L_~__' o o 1 1II1111l1l'l I IIIWOClI JJII'l (I II (1)~ I JOIJC ~~ 0 \ , ~ CG Cover open to show easy access to miniature monitor module, rotary switch, and UL label. Page 2 of 2 - DN-7001o 09116/04 ROTARY DECIMAL SWITCHES ~ ~~NOTI FI E R' . ~ FIRE SYSTEMS GENERAL The STI Stopper II cover for manual pull stations helps deter unwanted activation and is also an effective guard against physical damage. It has been proven by use in thousands of installations throughout the wor1d, including schools, hospitals, hotels and stores. The Stopper II has also been tested and approved by fire prevention and test- ing authorities. FUTURES Window made of clear and durable LEXAN@. Optional wamlng hom powered by 9 VDC battery. Provides weatherproofing for outdoor pull stations when equipped with optional gasket (Weather Stopper II). Fits pull stations from 5-1/2" to 6-314". Unconditional lifetime guarantee against cover breakage and damage. APPLICATIONS The Stopper II can be used in almost any pull station en- vironment. SPACER INSTALLATION (Surface Mount Models ONLY) The spacer is used for surface-mounted or oversized manual stations. Longer screws are provided for use with tap-in anchors. Remove knock-out at top or bottom of spacer as necessary. GASKET INSTALLATION (Weather Stopper II Models ONLY) Installing neoprene gaskets behind the spacer and/or Stop- per II frame will provide additional weatherproofing. A conduit gasket may be used to seal the top or bottom of the spacer. UnERY REPLACEMENT Battery should be replaced once a year or after alarm ac- tivation. Use Duracell 1604 or equivalent. -JIIIf To access the battery, remove lock-out screw. Slide acti- vation switch towards center. Remove screw at top of cover and remove horn bracket inside. Unclip battery and re- place. Reactivate alarm and replace screws. LEXAN@ is a registered trademark of GE Plastics. a subsidiary of General Electric Company. May 6, 1996 DN-3459 . K-200 STI Stopper II and Weather Stopper II Covers for Manual Pull Stations Section: Miscellaneous @~- OG6A2.AY BSA 947-81-SA S49G2 13959C l IN CASE OF FIRE - LIFT COVER I PULL FIRE ALARM g g, I I , I 01 10 I i gl~~~~Jg ~.... LIFT HERE / / PRODUCT LINE INFORMATION STl1100 Stopper II, flush mount, with horn. STI1130 Stopper II, surface mount, wijh horn. STI1200 Stopper 11, flush mount, without horn, STl1230 Stopper II, surface mount, without horn. STI1250 Weather Stopper II, flush mount. STI3150 Weather Stopper II, surface mount. This document is not intended to be used for installation purposes. We try to keep our product infonnation up-.tCH.'late and accurate. We cannot cover all specific applications or anticipate all requirements. All specifications are subject to change without notlce. For more infonnation, contact NOTIFIER. Phone: (203) 484-7161 FAX: (203) 484-7118 @) . OTI FI E R- 12 Cllntonvllle Road. Northford, Connecticut 06472 ISO 9001 CERTIFIED -....-1..- _I.... DN~3459 . 05/06/96 - Page 1 of 2 518" 2- (1.59 em) (5.08 em) H I 2-314" (6.99 em) E T E' 0 0 m ~ w ~ ~ ~ ~ "- "' --- ""= I SPACER OPTIONAL J:'art No. 3100 IT 7" (7.78cm) I r 5-31~' (14.60 em) CASEOf'fUIE_LllTCOYEII ~~~ ----~- E o w m & '" un HERE I r I I E ~ 0 w ., m oi ~ ~ ~ '" b SIZE OF PULL STATION ACCOMODATED The Stopper II and Weather Stopper II can be installed over a flush-mounted station up to S-1/2' wide and 6-3/4" high. How- ever, the pull station's maximum dimen- sions will decrease as its depth (distance from the wall) increases, Le,: a 3/4" deep pull station may be 5-1/2' wide x 6" high; a 1-5/8' deep pull station may be 5" wide x 6" high; a 2-318' deep pull station may be 4" wide x 5-314* high; a 2-314" deep pull station may be 3" wide x S-112" high. See sections on SPACER and GASKET IN- ST ALLA nON on reverse side, NEOPRENE MANUAL CONDUIT GASKET PULL STATION to weatherproof around Conduit \ REMOVABLE INSERT part no. 3000. :~~=t.CondU~ ~ 1r=m' . ~// uO ' z..<;; "- III!}. , , NEOPRENE ~ GASKET used to weatherproof Stopper II. ---------~~~ SPACER (Red lEXANlHl) used only when manual Fire Alarm Station is surtace-moumed (order seoarateM. INSTALLATION INSTRUCTIONS 1) Separate cover from frame. Disable horn (if installed) by sliding activation switch towards center. 2) Center frame around pull station. Mark four holes for an- chors. 3) Drill four 1/4" holes. 4) Attach frame to wall with tap- in anchors. 5) Slide activation switch to- wards outside to activate alarm. Screw in lock-out screw to pre- vent unauthorized deactivation. 6) Align pads, slots, and guide pinson coveroverframe. Close cover. Page 2 of 2 - DN-3459 . 05106196 /* / NEOPRENE GASKET (part no. 3002). -~--- SPACER (red Polycarbonate) used only when manual Fire Alarm Station is surface-mounted (part no. 31 DO). MANUAL PULL STATION j:. '- STOPPER II COVER Clear LEXA~ ultraviolet stabilized. ~ STOPPER II (a. left) FRAME (Red lEXANOll) WEATHER STOPPER II (below) T Screws and Anchors .............. provided with Spacer. ~/ PLASTIC NEOPRENE INSERT / CONDUIT GASKET \ ~ <>C WEATHER STOPPER II COVER clear molded PoIycarbonate (ultraviolet stabilized). used to seal around Conduit to weatherproof (part no. 3003). . RETAINING CABLE - 400 lb. breaking strength. FRAME (Polycarbonate) \ NEOPRENE GASKET (part no. 3(02). / Screws and Anchors ~. provided with Spacer. ~NOTIFIER@ by Honeywell GENERAL The NP-100 and NP-100T addressable, low-profile plug- in photoelectric detectors use a state-of-the-art photoelec- tric sensing chamber with communications to provide open area protection and are used exclusively with NOTI FIER's F1reWarden-1 00 Addressable Fire Alarm Con- trol Panel (FACP). The NP-100T adds thermal sensors that will alarm at a fixed temperature of 135"F (57"C), Since these detectors are addressable, they will help emergency personnel quickly locate a fire during its early stages, po- tentially saving precious rescue time while also reducing property damage. Two lEDs on each sensor light to pro- vide a local, visible sensor indication. Remote LED an- nunciator capability is available as an optional accessory (PIN RA400Z). FEATURES SLC loop: . Two-wire loop connection. . Unit uses base for wiring. Addressing: . Addressable by device. , Direct Decade 01 - 99 (FireWarden-100) entry of ad- dress. Architecture: . Unique single-source, dual-chamber design to respond quickly and dependably to a broad range of fires. , Sleek, low-profile design. . Integral communications and built-in type identification. . 8uilt~in tamper-resistant feature. . Removable cover and insect-resistant screen for simple field cleaning. Operation: . Withstands air velocities up to 4,000 feet-per-minute (20 m1sec.) without triggering a false alarm. . Factory preset at 1.5% nominal sensitivity for panel alarm threshold level. , Visible lED "blinks" when the unit is addressed (com- municating with the fire panel) and latches on in alarm. Mechanicsls: . Sealed against back pressure. . Direct surface mounting or electrical box mounting. , Mounts to: singie'gang box, 3,5' (8,89 em) or 4,0" (10,16 em) octagonal box, or 4.0" (10,16 em) square electrical box (using a plaster ring - included). Other system features: . Fully coated circuit boards and superior RFftransient protection. May 9, 2005 DN-6995 , A1,310 NP-l00 and NP-l00T Addressable Photoelectric Detectors Section: Addressable @ LISTED S1115 I California ~ State Fire t~ Marshal 7272-0028:231 MARYLAND State Fire Marshal Permit # 2173 NP-100 with B710LP base NP-100Twith B710LPbase , 94-VO plastic fiammabillty rating, . Low standby current. Options: . Remote lED output connection (PIN RA400Z). SPECIFICAnONS Voltage range: 15 - 32 VDC (peak). .J Standby current: 300 ~A @ 24 VDC, ", LED current: 6,5 mA @ 24 VDC (latched "ON"). Air velocity: 4,000 ft.lmin. (20 m1sec.) maximum, Diameter: 6.1' (1S,S em) installed in B710lP base. Height: 2.1" (5.33 em) installed in B710lP base. Weight: 3,6 oz. (102 g), Operating temperature range: for NP-100: O"C to 49"C (32"F to 120"F); for NP-100T: O"C to 38"C (32"F to 100"F). Temperature: O"C - 490C (32"F - 120"F). Relative humidity: 10% - 93%, non-condensing. This document Is not intended to be used for Installation purposes. We try to keep our product InformatIOn up-to-date and accurate. We cannot cover all specific appllcatlons or anticipate all requirements. All specifications are subject to change without notice. For more InformatiOn, contact NOTIFIER. Phone: (203) 484--7161 FAX: (203) 464-7118 ~NOTI"IER' by Honeywell 12 Clintonville Road, Northford, Connecticut 06472 ISO 9001 CERTIFIED u.IRIIllIl...I.... QIILln sysnu ON-6995 . 05109/05 - Page 1 of 2 APPLICATIONS Use photoelectric detectors in life-safety applications to provide a broad range of fire-sensing capability, espe- cially where smoldering fires are anticipated. Ionization detectors are often better than photoelectric detectors at sensing fast, flaming fires. CONSTRUCTION These detectors are constructed of off-white lEXAN@, NP-100(T) plug-in, low-profile smoke detectors are de- signed to commercial standards and offer an attractive appearance. LEXANQi) Is a registered trademark of GE Plastics. a subsidiary of General Electric Company. INSTALLATION NP-100(T) plug,in detectors use a detachable mounting base to simplify installation, service and maintenance. Mount base on box which is at least1.S inches (3.81 em) deep. Suitable boxes include: , 4.0" (10.16 cm) square box with plaster ring, , 4.0" (10.16 em) octagonal box. , 3,S" (8,89 em) octagonal box, , Single-gang box. NOTE: Because of the inherent supervision provided by the SLC loop, end-of-lIne resistors are not required. Wiring "T- taps" or branches are permitted for Style 4 (Class B) wiring. OPERATION Each NP-100(T) uses one of 99 possible addresses on the FireWarden'100 Signaling Line Circuit (SlC). It re- sponds to regular polls from the system and reports its type and status. The NP-100(T) addressable photoelectric sensor's unique unipolar chamber responds quickly and uniformly to a broad range of smoke conditions and can withstand wind gusts up to 4,000 feet-per-minute (20 mlsec,) with- out sending an alarm level signal. Because of its unipolar chamber, the NP-100(T) is approximately two times more responsive than most photoelectric sensors. This makes it a more stable detector. DETECTOR SENSITIVITY' TEST Each detector can have its sensitivity tested (required per NFPA 72, Chapter 7 on Inspection, Testing and Mainte- nance) when installed/connected to a FireWarden-100 ad. dressable fire alarm control panel. The results of the sensitivity test ean be printed off the FireWarden-100 for record keeping. Page :2 of 2 - DN-6995. 05109/05 PRODUCT LINE INFORMATION Np-100 NP-l00T RA400Z B710lP " B224RB B224BI B501 BH Addressable photoelectric detector; B71 OlP base included: Same as NP-100 but with thermal eiement; B710lP base inciuded: Remote lED. Mounts to a single-gang box. Plug'in detector base, DimensIons: 6, l' (15,5 em). MountIng: 4.0" (10,16 cm) square box wnh or without plaster ring, 4,0' (10.16 em) octagonal box, 3.5" (8.89 cm) octagonal box, or single-gang box. All mounting boxes have a minimum depth of 1.5" (3.81 em). Plug-in System Sensor relay detector base. Diameter: 6.2' (15.75 em), Mounting: 4.0" (10.16 cm) square box with or without plaster ring, 4.0' (10,16 em) octagonal box, or 3.S" (8.89 cm) octagonal box, AU mounting boxes have a minimum depth of 1.S' (3,81 em). Plug~in System Sensor isolator detector base. Maximum 25 devices between isolator bases (see DN-6994). DIameter: 6,2" (1S,75 cm), Mounting: 4.0' (10.16 cm) square box with or without plaster ring, 4.0' (10.16 cm) octagonal box, or 3.5' (8.89 em) octagonal box. All mounting boxes have a minimum depth of loS' (3,81 em). Plug~in System Sensor sounder detector base, Diameter: 6.0' (15.24 em). Mounting: 4.0' (10,16 em) square box with or without plaster ring. Mounting box has a minimum depth of 1.5" (3.81 cm). .Prior to 03/28105, the B710LP base was sold separately. @)NOTIFIER@ by Honeywell GENERAL The NOTIFIER NH-100 Series thermal detectors are ad- dressable sensors that use a state-of-the-art thermistor sensing circuit for fast response. These sensors are de- signed to provide open-area protection and are intended for use with the FlreWarden-1oo Fire Alarm Control Panel (FACP). Both the NH-1oo and NH-1ooR sensors provide fixed tem- perature alarm detection at 135'F/57'C, The NH-1ooR sensor responds to rate-of~rise conditions of greater than 15'F/8.3.C per minute, These thermal detectors provide cost effective, addressable property protection in a variety of applications. Two LEOs on each sensor light to provide a local, visible sensor indication. Remote LED annunciator capability is available as an optional accessory (PIN RA400Z). FEATURES SLC loop: . Two-wire SLC loop connection. . Unit uses base for wiring. Addressing: , Addressable by device. , Direct Decade 01 - 99 (FireWarden-100) entry of ad- dress. Architecture: . Sleek, low-profile, stylish design, , State-of-the-art thermistor technology for fast response. . Integral communications and built-in device-type iden- tification. . Built-in tamper resistant feature. . Built-in functional test switch activated by external mag~ net. Operation: , Factory preset at 135'F (57'C). , Rate-of-rise model (NH-100R), 15'F (8.3'C) per minute, . 360o-field viewing angle of the visual alarm indicators (two bicolor LEOs). LEOs blink green in Normal condi- tion and tum on steady red in Alarm. , Visible LEOs "blink" every time the unit is addressed. Mechanlcats: . Sealed against back pressure. SEMS screws for wiring of the separate base. Designed for direct-surtace or electrical-box mounting. . Plugs into separate base for ease of installation and maintenance. May 9, 200S DN-6997 ' A 1,320 NH-l00 Series Intelligent Addressable Thermal (Heat) Detectors for FireWarden-l00 Section: Addressable @ LISTED S747 MEA 387,02,E Vol. II I California State Fire ~ Marshal 7270-0028:234 NH-100 with B710LPbase . Separate base allows interchange of photoelectric, ion- ization and thermal sensors. Otllsr system features: . Remote test feature from the panel. . Walk test with address display. . Low standby current. , 94-5V plastic flammability rating, OptIons: . Remote LED output connection to optional RA400Z re~ mote LED annunciator. . Recessed (RMK400) or surface (SMK4oo) base mount- ing ktls, ThiS document is not intended to be used for installation purposes. We try to keep our product information up-to-date and accurate. We cannot cover all specific applications or anticipate all requirements. All specifications are subject to change without notice. For more information, contact NOTIFIER. Phone: (203) 484-7161 FAX: (203) 484-7118 ~NOTlFIIiR' by Honeywell 12 Cllntonville Road, Northford, Connecticut 06472 ISO 9001 CERTIFIED _1--' QIIUn SnTEU DN-6997 . 05J09I05 - Page 1 of 2 ~ ,;' SPECIFICATIONS Diameter: 6, I' (IS.S em) installed in 6710LP, Height: 2.1' (S,33 em). Weight: 4,8 oz, (137 g), Installation temperature: -4 OF to 1000F (-200C to 380C). Humidity range: 10% to 93% relative humidity (noncon- densing). Voltage range: 1S to 32 VDC peak. Standby current: 300 ~A @ 24 VDC (one communication every five seconds wnh LED blink enabled). LED current: 6,S mA @ 24 VDC. Mounting: 6710LP flanged base, sold separately. Fixed-temperature setpoint: 13soF (S70C), Rate-ol.rise detection: responds to greater than 1soFI 8.30C per minute. INSTALLATION NH-100 Series plug-in intelligent thermal detectors use a detachable base to simplify installation, service and main- tenance. Installation instructions are shipped with each detector, Mount base (all base types) on box that is at least 1,S' (3,81 em) deep, Suitable boxes include: , 4,0" (10.16 em) square box, , 3.S' (8,89 em) or 4.0" (10.16 em) octagonal box. . Single-gang box (except reiay or isolator base), NOTE: Because of the inherent supervision provided by the SLC loop, end.of./ine resistors are not required. Wiring "T-taps" or branches are permitted ror Style 4 (Class "Bj wiring only. APPLICATIONS Use thermal detectors for protection of property. CONSTRUCTION These detectors are constructed of off-white 6ayblencl@. The NH-100 Series plug-in intelligent thermal detectors are designed to commercial standards and offer an at- tractive appearance. BayblendClD is a registered trademark of Bayer Corporation. OPERATION Each NH,1 00 Series detector uses one of 99 (FireWarden- 1 00) possible addresses on a control panel SLC loop, It respondS to regular polls from the control panel and re- ports its type and the status, If it receives a test command from the panel (or a local magnet test), it stimulates its electronics and reports an alarm. It blinks its LEOs when polled and turns the LEOs on when commanded by the panel, The NH-1 00 Series offers features and performance that represent the latest in thermal detector technology, Page 2 of 2 - DN-6997. 05109105 PRODUCT LINE INFORMATION NH.100 Intelligent thermal sensor, 6710LP base in- cluded,. NH-100R Same as NH-100 with rate-of-rlse feature; 6710LP base included.' Remote LED. Mounts to a single-gang box. Plug-in detector base, DImensIons: 6.1" (15.5 em). Mounting: 4,0" (10,16 em) square box with or without plaster ring, 4.0" (10,16 cm) octagonal box, 3.5" (8,89 em) octagonal box, or single-gang box. All mounting boxes have a minimum depth of I,S" (3,81 em), M02-04-00 Test magnet. B224RB Plug-in System Sensor re/sy detector base. Dlameler: 6,2' (15.7S em). Mounting: 4,0" (10.16 em) square box with or without plaster ring, 4,0" (10,16 em) octagonal box, or 3.S" (8,89 em) octagonal box, All mounting boxes have a minimum depth of 1.5" (3,81 em). Plug-in System Sensor Isolator detector base. Maximum 25 devices between isolator bases (see DN-6994), Dlame/er: 6,2" (15.75 em). Mounting: 4.0' (10,16 em) square box with or without plaster ring, 4.0' (10.16 em) octagonal box, or 3.S' (8.89 em) octagonal box. All mounting boxes have a minimum depth of 1.S' (3,81 em). 85016H Plug-in System Sensor sounder detector base. DIameter: 6,0" (1S.24 em), Mounting: 4,0' (10,16 em) square box with or without plaster ring. Mounting box has a minimum depth of 1,S' (3.81 em). RA400Z B710LP t B224BI .Prior to 03/28/05. the 871QLP base was sold separately. ~ NOTIFIER@ GENERAL The NC,100 Addressable Control Module provides NOTIFIER's FlreWarden-100 intelligent control panels a su- pervised Class B (Style Y) or Class A (Style Z) circuit for Noti- fication Appliances (horns, strobes, etc.). Addressability al- lows the NG-100 to be activated, either manually or through panel programming, on a select (zone or area of coverage) basis. The NC-100R Addressable Relay Module provides the FireWarden-100 system with two isolated sets of Form-C dry-contact outputs for activating a variety of auxiliary de- vices, such as fans, dampers. door holders, control equip- ment, etc. Addressability allows the dry contact to be acti- vated, either manually or through panel programming, on a select basis. FEATURES Built-in type identification automatically identifies these devices to the control panel. Internal circuitry and relay powered directly by two-wire SLC loop. The NC-100 module requires power (for horns, strobes, etc.). Integral LED "blinks" green each time a communication is received from the control panel and turns on steady when activated. High noise immunity (EMF/RFI). The NC-100 may be used to switch 24-volt NAG power. Wide viewing angle of LED. SEMS screws with clamping plates for wiring ease. Direct Decade 01-99 (FireWarden-100) entry of address, APPLICATIONS The NC~1 00 is used to switch 24 VDC audible/visual power. The NC-100R may be programmed to operate dry contacts for door holders, Air Handling Unit shutdown, etc. CONSTRUCTION The face plate is made of off-white Naryl@. Controls include two rotary switches for direct-dial entry of address (01-99 on the FireWarden-100), The NC-100 is configured for a singie Class B (Style Y) or Class A (Style Z) Notification Appliance Circuit. The NC-100R provides two Form-C dry contacts that switch together. OPERATION Each NG-100 or NC-100R uses one of 99 (FireWarden- 100) possible module addresses on a SLC loop. It re- sponds to regular polls from the control panel and reports its type and status, including the open/normal/short sta- tus of its Notification Appliance Circuit (NAC). The LED blinks with each poll received. On command, it activates October 25, 2004 ON-70OD . A1-360 NC-l00 and NC-l00R Control and Relay Modules for the FireWarCIen-100 Section: Addressable @ LISTED S635 I California , State Fire ~~ Marshal 7300-0028:230 NC-100 and NC-100R module its internal relay, The NC-100 supervises Class B (Style Y) or Class A (Style Z) notification or control circuits. Upon code command from the panel, the NC-100 will dis- connect the supervision and connect the external power supply in the proper polarity across the load device. The disconnection of the supervision provides a positive indi- cation to the panel that the control relay actualiy turned ON, The external power supply is always relay isolated from the communication loop so that a trouble condition on the external power supply will never interfere with the rest of the system. Rotary switches set a unique address for each module. The address may be set before or after mounting. The built-in TYPE CODE (not setlable) will identify the moduie to the control panel, so as to differentiate between a mod- ule and a sensor address. Noryl@ is a registered trademark of GE Plastics, a subsidiary of General Electric Company. NOTIFIERaD Is a Honeywell company. This document is not intended to be used for Installation purposes. We try to keep our product Information up-to-date and accurate. We cannot cover all speciflc applications or anticipate all requirements. All speclflcatlons are sublect to change without notice. For more information, contad NOTIFIER. Phone: (203) 484~7161 FAX: (203) 484-7118 ~ NOT. F. Ella 12 Cllntonville Road, Northford, ConnectlC1.lt 06472 ISO 9001 ClEATIIFI~D ..EI...-J.I_ ...LITY sysnlS DN-7000. 10(25/04 - Page 1 of 2 SPECIFICATIONS FOil NC.ltHI Normal operating voltage: 15 to 32 VDC. ~ Maximum current draw: 5,1 mA (LED on). ~ Average operating current: 390 iJA (LED flashin9), ~ External supply VOltage (between Terminels T3 and T4): ;tI"'. maximum 80 volts (RMS or DC). Drain on external supply: 2 mA maximum (using internal EOL relay). EOl resistance: 47K ohms. Temperature range: 320F to 1200F (OOC to 490C). Humidity range: 10% to 93% noncondensing. Dimensions: 4,5' (11.43 em) high x 4,0" (10.16 em) wide x 1.25' (3.175 em) deep. Mounts to a 4.0' (10.16 cm) squere x 2.125' (5.398 em) deep box. ..--, SPECIFICATIONS FOil NC. ItHllI Normal operating voltage: 15 to 32 VDC. Maximum current draw: 5.1 mA (LED on). Average operating current: 270 iJA (LED flashing). EOL resistance: not used. Temperature range: 320F to 1200F (OOC to 490C). Humidity range: 10% to 93% noncondensing. Dimensions: 4.5" (11.43 em) high x 4.0" (10.16 cm) wide x 1.25" (3,175 em) deep. Mounts to a 4.0" (10,16 em) square x 2.125' (5.398 em) deep box, PRODUCT LINE INFORMATION NC-100 Intelligent addressable control module. NC,100R Intelligent addressable relay module. 5MB500 Optional surface-mount backbox. cason Control module barrier - required by UL for separating power-limited and non-power lim- ited wiring in the same junction box as NC-100. RELAY CONTACT RATINGS for both confrol and relay mod_ Load Description Application Maximum Current Voltage Rating Resistlw NonCoded 30 VDC 3,OA Resistiw COOed 30 VDC 2.0A Resistive Non-Coded 110VDC 0.9A Resistive Non-Coded 125 VAC 0,9 A In:jLCtiW (UR - S ms) Coded 30 VDC O,SA In:jLCtiw (UR = 2 ms) Coded 30 VDC 1.0A In:jLCtiw (PF - 0.35) NonCoded 12S VAC O,5A 6724rvte.lbl i i MOUNTING DIAGRAMS Note CBSaO Module Barrier. which creates isolated quadrant. ISOLATED QUADRANT Page 2 of 2 - DN-7000. 10/25/04 ~NOTIFIER@ by Honeywell GENERAL Four different monitor modules are available for NOTIFIER's FlreWarden-100 intelligent tire alarm control panels to suit a variety of applications. Monitor modules are used to supervise a circuit of dry-contact input de~ vices, such as conventional heat detectors and pull sta- tions, or monitor and power a circuit of two-wire smoke detectors (NZM-100). NMM-100 - The NMM-100 Monnor Module is a standard- sized module (typically mounts to a 4.0' [10,16 em] square box) that supervises either a Class A (Style D) or Class B (Style B) circuit of dry-contact input devices. NMM-1 OOP - The NMM-1 OOP is a Miniature Monitor Mad- ule (a mere 1,3' (3,302 em) H x 2.75" (6.985 em) W x 0.5' (1.270 em) D) used to supervise a Class B (Style B) cir- cuit. Its compact design allows the NMM-l00P to be mounted in a single-gang box behind the device it is moni- toring. NZM-100 - The NZM-100 tnterface Moduie is a stan- dard-sized module used to monitor and supervise com- patible two-wire, 24 volt, smoke detectors on a Class A (Style D) or Class B (Style B) circuit. NDM-100 - The NDM-100 Dual Monitor Module is a stan- dard-sized module (typically mounts to a 4,0' [10.16 em] square box) that supervises two Class B (Style B) circuits of dry-contact input devices. NMM.'OO MONITOR MODULE . Built-in type identification automatically Identifies this de- vice as a monitor module to the control panel. . Powered directly by two-wire SLC loop. No additional power required. High noise (EMF/RFI) immunity. . SEMS screws with clamping plates for ease of wiring. . Direct Decade 01 - 99 (FireWarden-100) entry of ad. dress. LED flashes red during normal operation and latches on steady to indicate alarm. The NMM-100 Monitor Module is intended for use in intel- ligent, two~wire systems, where the individual address of each module is selected using the built-in rotary switches. It provides either a two-wire or four-wire Class A or Class B fault-tolerant Initiating Device Circuit (IDC) for normally- open-contact fire alann and supervisory devices. NMM.100 Applications - Use to monitor a zone of four-wire smoke detectors, manual fire alarm pull stations, waterflow devices, or other normally-open dry.contact alarm activation devices. May also be used to monitor nonnally-open superviSOry devices with special supervi- sory indication at the control panel. Monitored circuit may be wired as an NFPA Style B (Class B) or Style 0 (Class D) Initiating Device Circuit. A 47K ohm End-of-Line Resistor (prOVided) tenninates the Style B circuit. No resistor is re- May 9, 2005 ON-6999 . A 1,350 Addressable Monitor Module. for the FlreWarden-l00: NMM.1 00, NMM-100~ NZM-100, NDM-1 00 Section: Addressable @ LISTED S635 I California State Fire Marshal 7300-0028:230 (except NOM-IOO) MEA 72-01-E Vol. II (except NOM-IOO) cJo \:) ~ o ~ o ~ LOOP ~~ () o NMM,100 and NZM-100 quired for supervision of the Style D circuit. Maximum IDC resistance is 1,500 ohms. NMM.100 Operation - Each NMM-1oo uses one of 99 (FireWarden-100) available module addresses on an SlC loop. It responds to regular polls from the control panel and reports its type and the status (open/normalf short) of ns Initiating Device Circuit (IDC). A flashing LED indicates that the module is in communication with the con- trol panel. The LED latches steady on alarm (subject to current limitations on the loop). NMM-100 Specifications Nominal operating voltage: 15 to 32 VDC, Maximum currant draw: S.1 mA (LED on). Average operating current: 400 ~A (LED flashing). EOL realstance: 47K ohms. Temperature range: 320F to 1200F (OOC to 490C), Humidity range: 10% to 93% noncondensing. DImensions: 4.5' (11,43 em) high x 4.0' (10.16 em) wide x 1.25" (3,175 em) deep. Mounts to a 4.00 (10.16 em) square x 2,125' (5.398 em) deep box. This document is not intended to be used for installation purposes. We try to keep our product information up-to-date and accurate. We cannot cover all specific applications or anticipate all requirements. All specifications are subject to change without notice. For more information, contact NOTlFIER. Phone: (203) 484-7161 FAX: (203) 484-7118 ~NOTIFIER' by Honeywell 12 Clintonville Road, Northford, Connecticut 06472 ISO 1001 CERTIFIED _1111__ Qlllln SYSTEMS DN-6999 . as/09tOS - Page 1 of 3 NMM.I00P MINI MONITOR MODUU . Built-in type identification automatically identifies this de- vice as a monitor module to the FireWarden-100. . Powered directly by two-wire SlC Loop. No additional power required. , High noise (EMF/RFI) immunity. . Tinned, stripped leads for ease of wiring. Direct-dial entry of address (01-99 for FireWarden-100). The NMM-l00P Mini Monitor Module can be instailed in a singlewgang junction directly behind the monitored unit. Its small size and light weight allow it to be installed without rigid mounting. The NMM-100P is intended for use in in- telligent, two-wire systems where the individual address of each module is selected using rotary switches. It pro. vides a two-wire initiating device circuit for normally-open- contact fire alann and security devices. 1~'4'5 0 '21 ADDRESS I ~O, 21 12 ,.//, 3 LOOP ,.//, 31 11(//4D '</74 10 5 5 E 9876 9676 :I:; TENS ONES o , " . S: o --.l --.l ~ f- lU i5 s ~ t5 :5 III NMM.100P Applications - Use to monitor a single device or a zone of four-wire smoke detectors, manual fire alarm pull stations, watertlow devices, or other normally- open dry-contact devices. May also be used to monitor nor- mally-open supervisory devices with special supervisory indication at the control panel. Monitored circuit/device is wired as an NFPA Style B (Class B) Initiating Device Cir- cuit. A 47K ohm End-of-Line Resistor (provided) tenninates the circuit. "!S NMM-100P Operation - Each NMM-100P uses one ~ of 99 (FireWarden-100) available module addresses on an SLC loop. It responds to regular polls from the control panel and reports its type and the status (open/normal! short) of its Initiating Device Circuit (IDC). NMM-100P Specifications Nominal oparattng vottaga: 15 to 32 VDC, __ Average operating current: 375 ~A maximum. EOl resistance: 47K ohms. Temparature range: 320F to 1200F (OOC to 490C). Humidity range: 10% to 93% noncondensing. Dimensions: 1,3' (3,302 cm) high x 2.75' (6.985 cm) wide x 0.5' (1.270 cm) deep. Wire length: 6.0Q (15.24 em) minimum. Page 2 of 3 - DN-6999 . 05109/05 NZM-100 INTERFACE MODUU . Supports compatible two-wire smoke detectors. Supervises JOe wiring and connection of external power source (resettable). High noise (EMF/RFI) immunity. . SEMS screws with clamping plates for ease of wiring. Direct-<lial entry of address (01-99 for FireWarden-100). LED flashes during normal operation. . LED latches steady to indicate alann on command from control panel. The NZM-l00 Intarface Module is intended for use in in- telligent, addressable systems, where the individual ad- dress of each module is selected using built-in rotary switches. This module allows intelligent panels to inter- face and monitor two-wire conventional smoke detectors. It transmits the status (nannal, open, or alarm) of one full zone of conventional detectors back to the control panel. All two-wire detectors being monitored must be Ul-com- patible with the module. NZM-100 Applications - Use the NZM-100 to moni- tor a zone of two-wire smoke detectors. The monitored cir- cuit may be wired as an NFPA Styie B (Class B) or Style D (Class A) Initiating Device Circuit. A 3.9 K ohm End-of-Line Resistor (provided) terminates the end of the Styie B or D (class B or A) circuit (maximum IDC loop resistance is 25 ohms). Install ELR across terminals 8 and 9 for Style D application. NZM-100 Operation - Each NZM-100 uses one of 99 (FireWarden-100) available module addresses on an SLC loop. It responds to regular polls from the control panel and reports its type and the status (open/normail short) of its Initiating Device Circuit (IDC). A flashing LED indicates that the module is in communication with the con- trol panei. The LED latches steady on alarm (subject to current limitations on the loop). NZM-100 Specifications Nominal operating voltage: 15 to 32 VDC. Maximum current draw: 5.1 mA (LED on). Averaga operating current: 270 ~A (LED flashing), EOL resistance: 3_9K ohms. Extarnal supply voltage (between Terminals T3 and T4): DC voltage: 18 to 28 votts power limited, Ripple voltage: 0.1 VRMS maximum. Current: 90 mA per module maximum. Requires regulated. resettable 24 VDC power. Tamperature range: 320F to 1200F (OOC to 490C). Humidity range: 10% to 93% noncondensing. Dimensions: 4,5' (11.43 cm) high x 4,0" (10.16 cm) wide x 1,25' (3,175 cm) deep, Mounts to a 4.0" (10.16 cm) square x 2.125' (5,398 em) deep box, , NDM.100 DUAL MONITOR MODULE . Built-in type identification automatically identifies this de- vice as two monitor modules to the control panel. Powered directly by the two-wire SLC loop. No additional power required. High noise (EMF/RFI) immunity. . SEMS screws with clamping plates for ease of wiring. . Direct-dial entry of address 01 - 99 (FireWarden-100) uses two addresses per module. . LED flashes red during normal operation and latches on steady red to indicate alann. The NDM-100 Dual Monitor Module is intended for use in intelligent, two-wire systems, where the individual address of each module is selected using the built-in rotary switches. It provides two independent two-wire fault-toler- ant Initiating Device Circuits (lOGs) at two separate, con- secutive addresses. It is capable of monitoring normally open~contact fire alarm and supelVisory devices, or either normally open or normally closed devices for non-fire ap- plications. NDM-100 Applications - Use to monitor a zone of four-wire smoke detectors, manual fire alarm pull sta- tions, waterflow devices, or other normally-open dry-con- tact alarm activation devices. May also be used to monitor normally~open supelVisory devices with special supervi- sory indication at the control panel. Monitored circuit may be wired as an NFPA Style B (Class B) Initiating Device Circuit. The 47K ohm End-of-Line Resistors (provided) terminate the Style B circuit. Maximum IDC resistance is 1,500 ohms. NDM.100 Operation - Each NDM-100 uses two of 99 (FireWarden-100) available module addresses on an SLC loop. It responds to regular polls from the control panel and reports its type and the status (open/normalf short) of ~s Initiating Device Circu~ (IDC). A flashing LED indicates that the module is in communication with the control panel. The LED latches steady on alarm (subject to current limitations on the loop). NDM.100 Specifications ....,': '".a Nominal operating voltage: 15 to 32 VDC. ,,' Maximum current draw: 5.1 mA (LED on). -fiI' Average operating current: 750 ~A (LED flashing). EOL resistance: 47K ohms. Maximum IDC wire resistance: 1,500 ohms. Temperature renge: 320F to 1200F (OOC to 490C). Humidity range: 10% to 93% noncondensing. Dimensions: 4.5' (11.43 em) high x 4.0" (10.16 em) wide x 1.25" (3.175 em) deep. Mounts to a 4.0" (10.16 em) square x 2.125" (5.398 em) deep box. Accessories: 5MB500 electrical box. INSTALLATION NMM-IOO, NZM-IOO, and NDM-IOO modules mount di- rectly to a standard 4.0" (10.16 em) square, 2.125' (5.398 cm) deep, electrical box. They may also be mounted to the 5MB500 sur1ace-mount box. Mounting hardware and in- stallation instructions are provided with each module. All wiring must confonn to applicable local codes, ordinances, and regulations. These modules are intended for power- limited wiring only. The NM&f-100P module is intended to be wired and mounted without rigid connections inside a standard electrical box. All wiring must confonn to applicable local codes, ordinances and regulations. ARCHITECTS' /ENGINEERS' SPECIFICATIONS Specifications of these and all NOTIFIER products are available from NOTIFIER. PRODUCT LINE INFORMATION NMM-100 Monitor module. ~~< NMM-l00P Mini monitor module. NZM-l00 Two-wire detector monitor module. NOM-lOa Dual monitor mOdule.-.f::-- 5MB500 Optional surface-mount backbox. I MOUNTING DIAGRAMS 10, .,."itI.nI-MMH# "../",- DN-6999 . 05109/05 - Page 3 of 3 @)NOTIFIER@ GENERAL System Sensor's SpectrAlert@ wall-mount electronic chimes and chime/strobes offer sixteen different field-selectable chime tones, each with three volume settings. Intended for private- mode applications, the SpectrAlert@chime meets UL 464 and the chime/strobe meets UL 1971. FlexibilitJI. SpeclrAlerl@produclsoffertheflexibilityto meet a broad range of requirements. SpedrAlert@chimesand chime! strobes feature sixteen field-selectable electronic tones, with three different volume levels for each. Chime/strobe models are available in 15, 15175, 75, and 110 candela configurations. Installation. SpectrAlert@ chimes and chime/strobes of- fer DIP switch tone selections to simplify field configuration. In addition, each device mounts tostandard-depth backboxes for greater installation flexibility. Small-footprint or surface-mount accessory mounting plates are available for the chime. Aesthetics_ SpectrAlert@ chimes and chimelstrobes in- corporate the same stylish, low-profile design of other SpectrAlert@wall-mountproducts,andareavailablein red and white to meet specific installation requirements. SpectrAlert@ and Sync-ClrcultlWl are trademarks of System Sensor. FEATURES Chime meets UL 464 requirements for private mode. Strobe meets UL 1971 requirements. Field-selectable tones: _ Repeating 1-sec9nd chime. _ Repeating 1/4-second chime. - Temporal 3 chime. - Single-stroke chime. _ Continuous 13kHz. _ Continuous I 500 Hz. _ Temporal 3/3 kHz. - Temporal 3/ 500 kHz. Three volume options. Mount to standard backboxes. Models available in red or white. SPECIFICATIONS Input terminals: 12 to 18 AWG (3.25 mm' to 0.51 mm'). Dimensions: Chime with mounting plate: 5.00" (12.7 em) high x 5.625" (14.288 em) wide x 2.25" (5.715 em) deep. Chime with small-footprint plate: 3.375" (8.573 em) wide x 5.625" (14.288 em) high x 2.938" (7.461 em) deep. Chime/strobe: 5.00" (12.7 em) high x 6.938" (17.621 em) wide x 2.438" (6.191 em) deep. Mounting: Chime: single-gang or 4" x4" (10.16 x 10.16 em) baekbox. Chime/strobe: 4" x 4" (10.16 x 10.16 em) baekbox. Weight: Chime: 0.5Ib. (226.89). Chime/strobe: 1.5Ib. (680.4 g). Operating temperature, Indoor: 320F to 1200F (OOC to 490C). Maximum humidity: 93% (::t 20/0) RH. August 26, 2003 DN-6945 " J-85 SpectrAle.... Chi..... and Chime/Strobes NOTlFIERil!l is a ......qwell company. This document is not intended to be used for installation purposes. We try to keep our product information up-w..date and accurate. We cannot cover all specific applications or anticipate all requirements. All specifications are subject to change without notice. For more infonnation, contact NOTIFIER. Phone: (203) 484-7161 FAX: (203) 484~7118 <Gj) NOT' F' ~ RD 12 ClIntonville Road, Northford, Connecticut 06472 @ LISTED S4011 CH241575 6945ph02.jpg Section: AudioMsual Devices MEA 291-01-E 397 -OO-E (CH1224(W)) I Califomia Slate Fire Marshal 7135-1209:216 7135-1209:206 (CH1224(W)) Voltages, nominal: Chime: 12 or 24 VOC and FWR unfiltered.. Chime/strobe: 24 VDC and FWR unfiltered.. Operating voltage range;. Chime: 8 - 33 V. Chime/strobe: 16- 33 V. *Must be powered with a non-coded power supply. Sound output, UL reverberant, factory defaulls: At 12 VDC: 54 dBA. At 24 VDC: 60 dBA. Factory delauft settings are 1.0K repeating 1-second chime at high volume. Refer to table on page 2 for fevels for each tone selection. Strobe current draw: see table on page 2. Chime current draw: 8 - 33 VDC, 10 - 61 mA. Average cur- rent draw varies with tones selected and voltage, see table on page 2. Current ratings per System Sensor testing at 12 VDC and 24 VDC. Add current values when connecting in parallel. U.S. Patent Numbers: 5,593,569. 5,914,665. 5,850,178. 5,598,139. 6,049,446. 6,127,935. ISO 9001 CERTIFIED __I~ GIILllY sysnlS DN-6945 . 08126/03 - Page 1 of 2 ENGINEERING SPECIFICATIONS Electronic chime and chime/strobe shall be a System Sensor SpeclrAlert@model _" The chime shall be listed to UL 464 for fire protective signaling sys- tems and shall perform in accordance with private mode emergency and gen- eral utility signaling. The strobe shall be listed to UL 1971 and shall be approved for fire protective signaling. The strobe shall comply with the Americans with Disabilities Act requirements for visible signaling appliances. flashing at 1 Hz over the strobe's operating voltage range. The strobe light shall consist of a xenon flash tube and associated lens/reflector system. The chime shall have sixteen field-selectable tone options, each with three volume settings. These options shall be activated through the appropriate settings on a DIP switch lo- cated on the rear of the unit. The chime shall be capable of mounting to a stan- dard 4" x 4" (10.16 x 10.16 em) x 1.5" (3.81 em) backbox, or a single-9ang 2" (5.08 cm) x 4" (10.16 em) x 1.875" (4.763 em) beekbox. The chime/strobe shall be capable of mounting to a standard 4" x4" (10.16 x 10.16 em) x 1.5" (3.81 em) backbox. The chime shall operate at 12 or 24 volts and the chime/strobe shall operate at 24 volts. Both chime and chime/strobe shall be powered from a non- coded power supply and shall be capable of operating from either a regulated DC or full~wave rectified, unfiltered power supply. Chime and chime/strobe shall have an operating temperature range of 32"F to 120"F (DOC to 49"C). STROBE CURRENT DRAW Sound Output Note: Factory default setting is 1.0 K Repeating 1 ~Second eMma set at High volume. AVG CURRENT DRAW (mAl' STROBE ONLY AT 24 VOLTS Candela 20V 24V 30V DC FWR DC FWR DC FWR 15 50 61 43 60 38 60 15/75 56 65 49 64 44 62 75 145 170 123 159 102 141 110 169 220 140 191 115 174 PEAK CURRENT DRAW (mAl' STROBE ONLY 16 135 204 135 208 135 185 15/75 150 199 150 207 150 198 75 360 440 340 460 330 480 110 460 560 450 570 420 620 INRUSH CURRENT DRAW (mAl' STROBE ONLY 15 97 129 116 152 147 198 15/75 97 135 116 164 147 211 75 190 240 230 280 290 360 110 190 230 220 290 290 370 fi945sUl.IbI SOUND OUTPUT dBA@8VOLTS dBA@12VOLTS dBA@24VOLTS dBA@33VOLTS TONE LOW MED HIGH LOW MED HIGH LOW MED HIGH LOW MED HIGH 1.2 K Repeating 1-Second CNme 51 52 55 53 64 56 57 61 52 59 61 64 1.0 K Repeating 1-Second CNme 48 50 64 51 52 64 64 57 60 57 60 62 0.8 K Repeating 1-Second CNme 47 47 63 49 51 52 53 55 58 55 58 60 1.2 K Repeating 114-Second Chime 53 54 58 55 57 59 59 61 64 61 63 66 1.0 K Repeating 1/4-Second Chime 49 50 54 51 53 54 55 57 60 57 59 62 0.8 K Repeating 114-Second CNme 48 50 53 50 52 53 64 56 59 56 58 61 1.2 K Temporal 3 Chime 51 52 56 52 64 55 55 57 61 58 60 63 1.0 K Temporal 3 Chime 48 49 64 49 51 51 53 55 58 55 57 60 0.8 K Temporal 3 Chime 46 47 51 48 50 51 52 54 57 64 56 59 1.2 K Sirgle-5troke Chime 52 53 58 52 64 56 56 58 62 56 60 64 1.0 K Single-Stroke Chime 47 48 53 50 51 59 53 55 58 56 58 62 0.8 K Single-Stroke Chime 47 48 53 49 50 52 64 56 60 56 59 61 3.0 K Cortinuous Eledromechanical 56 57 61 59 60 67 65 68 70 68 70 74 3.0 K Temporal Electromechanical 51 52 56 53 64 61 56 59 62 58 60 64 0.5 K Cortinuous Electromechanical 48 49 53 51 52 56 64 57 60 56 55 61 0.5 K Temporal Electromechanical 45 47 51 47 49 53 51 52 58 52 54 60 6945snd.tb1 ORDERING INFORMATION 6945Ordr.1bI Part Description RED Model WHITE Model cd V Chime/Strobe CH2415 CH2415W 15 24 Chime/Strobe CH241575 CH241575W 15/75 24 CNme/Strobe CH2475 CH2475W 75 24 Chime/Strobe CH24110 CH24110W 110 24 8urface-Mount Backbox 8ldrt for ChimeJStrobe BBS.cHSR BBS.cHSW NA NA Chime CH1224 CH1224W NA NA Smal-Footprint Mounti~ Plate for Chime S-MP S-MPW NA NA Suiace-Momt Backbox Skirt for Chime BBS BBSW NA NA Universal Mountirg Plate (replacemert) D-MP D-MPW NA NA Page 2 of 2 - ON-6945. 08126103 SpectrAlert Ordering Information Horn/Strobes Strobes and Horns Model P1224MC P1224MCW P1224MCP P1224MCPW P1224MCK P1224MCSP S1224MC Description Selectable Output Hom/Strobe, 12/24 ",ft, red Selectable Output Hom/Strobe, 12/24 ",ft, white Selectable Output Horn/Strobe, 12/24 ",It, red, plain housing Selectable Output Hom/Strobe, 12/24 ",ft, whfte, plain housing Selectable Output Hom/Strobe, 12/24 ",It, red, weatherproof Selectable Output Hom/Strobe, 12/24 ",it, red, "FUEGO" housing Selectable Output Strobe, 12/24 ",It, red Model MDL MDLW MDIJ\ MDLWA S-MP S-MPW BBS S1224MCW Selectable Output Strobe, 12/24 ",It, white BBSW Selectable Output Strobe, 12/24 ",It, red, plain S1224MCP housing D-MP Selectable Output Strobe, 12/24 ",It, white, plain S1224MCPW housing D-MPW Selectabie Output Strobe, 12/24 ",ft, red, S1224MCK weatherproof WBB Seiectable Output Strobe, 12/24 "'ft, red, S1224MCSP "FUEGO" housing H12/24 Horn, 12/24 ",it, red Horn, 12/24 wit, white Accessories Description Sync'Cirouft Moduie, red Sync-Circuit Module, white Sync'Cirouft Module, red, Canadian modei Sync-Circuit Module, white, Canadian model Small Footprint Mounting Plate, red, for single-gang back box Small Footprint Mounting Plate, white, for singlegang back box Surface Mount Back Box Skirt, red Surface Mount Back Box Skirt, white Uniwrsal Mounting Plate (replacement), red Unilersal Mounting Plate (replacement), white Weatherproof Back Box H12/24W Notes Agency Listings-Indoor models: UL, ULe, FM, CSFM, MEA. Weatherproof models: UL, CSFM (strobe only), MEA, ULe. All of these SpectrAlert products are designed for wall mount only. All weatherproof models must use weatherproof back box model WBB. Installation of less than 75 candela strobes may be permissible under the equivalent facilitation clause oftheADAAG (Sec. 2.2). However, it is the responsibility of the person or entity designing the fire alann system to determine the acceptability of less than 75 candela strobes. All 15nS candela strobes or horn! strobes are recommended for 20' x 20' rooms or less. 1'Jt*rJf'~."~f............... .- ..... -.. rWIIII t .......... illMTlBIII ~ 'l;M~ Gl!\l;~i/ll ~Jk.I>q~ ~~ ~.~ lOOOJk.~ >>.tn1 I f l\71l!~. Gl!M:~~ ;JroOKtmM~ HItt,~ ~~tl't ~Ht m~nmf* ...........- '- """" rJrt. at DP&t ~f,=-f "*" -=:J -- -=:J ....... f_ ~ g," ... I !r' I I J(. ! -'~~ !-- DN.6941 .06/15104 - Page 3 of 3 Building Permit CITY OF WHEAT RIDGE 7500 West 29m Avenue Wheatridge, CO 80033 303-235-2855 Commercial Fire Alar PROPERTY 2920 Fenton st OWNER: Wheat Ridge Manor Description New Fire System to be put in under the 2002 NEC. All low Voltage wiring shall FEES Fees Use Tax Permit Fee Total Fees CONTRACTORS Name License # API J dba: Western States Fire 17809 Units: Walls: Occupancy: Roof: Storie- - I hereby certify thaUne setbackdistimces prop used by thispennit appJjcation Ilrellccui"abe, and do not \Tioblt -applicable OJ Wheat Ridge or.covenants, easements or restrictlOl1s of record; that all measurements sho~n, Il{ld allegations made areaccu aU conditions printed on this application, and that I assume full reSponsibility for compliance with the Wheat Ridge Buildin, Wheat Ridge ordinances, Cor work under this permit. This permit was issued In accordance with the prllvisions set forth in your application llnd Is subject 10 the laws orlht Regulations Ilnd Building Code oCWhcllt Ridge,Colorado or any other applicable ordinances oflhe City. This pennit shall expire if(A) the work authorized is not commenced within sixty (60) da}'s from issue date or (B) the I abandoned for a periodof120 days. Ifthis pennitexpires, a new permit may be acquired f(lr a fee ofone-.halfthe amount nOnnaUy required, provided no c, original plans and specifications and any suspension or aband(lnment has not exceeded one (1) year. If ebanges are Dla[ e;1[cceds one (1) year, fnll feesshaU be paid f(lr a new permit. ~o ,,!,ork of any manner shall be done thatwill change the natural tI(lW of water causing a drainage problem. C(lntrlict(lr shall n(ltify tbe Building Inspector twent}..f(lur (24) hours in advance f(lr all inspecti(lns and shan receive wrl proeeedlngwitbsuccessivepbases(lftbejob. (OWNER)(CONTRACTOR) 3 4 5 eliY Of WHEAT RIDGE 11,12 AM [db \I{ API Systems Group 0". -', AI'\OUH! ' 18QO ,., . -.,,~ n'7l::{\ r'r-'~E'I'F'T Hn~I.I.!l.i\--'_' ~t~~i!i:BU1.I..DiNG PEH1ilTS \)n li7.72 "'1 f Do,,'ie r\,...; r,-.'u"'ur.se r a I 1'.__' ~ r,o;;:..., , >=nSD BUILDING USE 'Ti~" 134.&4 Saturday, July 09,'2005 i', ',IT. F'p\ntr.fj HECEIl)ED AMOUHT 433~46 433.46 Cy Z}1.4 TOTAL ------ ----------------------------------- ..L""'.o. ."- ....... .> Building Permit CITY OF WHEAT RIDGE 7500 West 29TH Avenue Wheatridge, CO 80033 303-235-2855 Permit Number '~'\ ''''~\\' . t. xI ~'~"""''''.I __ - ',' .1._ ~...- ------ Cil)'otWh/!jlRidge \ I 18914 6/30/2005 Inspection Line 303-234-5833 Commercial Fire Alarm PROPERTY 2920 Fenton st OWNER: Wheat Ridge Manor Unit: (303) 238-0481 Description New Fire System to be put in under the 2002 NEe. All low Voltage wiring shall be supported from ceiling Authorized By Building Approvai Authorized On Zoning 6/30/2005 Approved By croot subject to field inspection Saturday, July 09, 2005 Page 1 of 1 '.\i; Building Permit CITY OF WHEAT RIDGE 7500 West 29m Avenue Wheatridge,CO 80033 303-235-2855 Permit Number 18914 6/30/2005 Inspection Line 303-234-5933 Commercial Fire Alarm PROPERTY 2920 Fenton st OWNER: Wheat Ridge Manor Unit: (303) 238-0481 Description New Fire System to be put in under the 2002 NEe. All low Voltage wiring shall I IDue 1$134.64 1$181.10 1$315.74 1 I ILicense # 117809 IFEES IFees IUse Tax IPermit Fee ITotal Fees I ICONTRACTORS IName IAPI! dba:Western States. Fire Units: Qc.cllpancy:;<I, Roof: Stories: Sq Feet: o Walls: ::::",:'"-,,,--- ",,;',,',-;,'," ] he.:ebycertirythat'ihesetbackdistancesproposed by this (Iemiit appliclition a:re accurate,; and donotvloLate~pplicable't)~in~n:i:es, rules or regl1latlonsj}f the City of Wbeat.Ridgeorcovenants, ea'lementsorrestrictionsofrecordjfhat an measurementsshow,n,aIld allegations made are ac<:uratej that I have read and~gree to abide ,gy_ 'all conditions printed onthi!;' application, and that I assumefull responsibility for compliance with the Wheat Ridgc Bllilding Co~e (V.B.C.) and an othe,rapplicable Wheat Ridge ordinances',for work under this permit; . (OWNER)(CONTRACTOR) SIGNED DATE ;",.-.-.-,...." , ' : ' ',.' " , ".., ." ,', '.',', , ,', ", ""'. ,<-'", ,- ,';: ,',' ,'"",' ,", '-,' This permit was issued in accordallce ~ith the provisions set forthln your application and is subjecttothe laws of the State of Colorado and to the"Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. This:pennit shall expire If(A) thelvork authoriiedis notcommenceiJ within sixty (60) days fromissued,ate or (8) the buildlnganthorized is isuspended or : abandoned fora period of 120 days. t"th~ permit e~pires,a~ewperriu~ ~a; be acquiredf(lr a -fee of~n'~halj-the~~lllltnol"lllany re9~lred, P~ovid~~ n~'C~a~geshavebeli~orwihb,em~deUi 'th~ original plans and specificationsandanysuspensiono~ flbandonment hasIlo~'exceededone (1) year, Ifchanges'are made or if suspension or ab_and.onment ' exceeds,one (1) year, full fees shall be paid for a new permil. No\Vor~~fanymanne~sbaUbedonethatwmchangethenaturillflowofwatercauiling a_drainage problcm; . ... ._. -/i. ': ....' - Contractor shall notify theBuilding'Inspector twenty-four,(24)hoursln advance fGrall inspections and shall~eceivewrittenapProva.lon lnspectioneard before proccedingwithsuccessivephasesofthejob. - nd specil1catlons smin not be consinied to be a permit for, nor an approval of, any violation of the w,ruleorregulation. SIGNED DATE Page lofl Saturday, July 09, 2005 Building Permit CITY OF WHEAT RIDGE 7500 West 29TH Avenue Wheatridge, CO 80033 303-235-2855 Permit Number , "l. '~" <k -~::", ~\,I .~'-- ~ .--~ -~.yr- Cil)'otWheMRi::lge ... i 18914 6/30/2005 Inspection Line 303-234-5833 Commercial Fire Alarm PROPERTY 2920 Fenton st OWNER: Wheat Ridge Manor Unit: (303) 238-0481 Description New Fire System to be put in under the 2002 NEe. All low Voltage wiring shall be supported from ceiling Authorized By Building Approval Authorized On Zoning 6/30/2005 Approved By croot subject to field inspection Saturday, July 09,2005 Page 1 of 1 07/28/05 THO 09:57 FAX 3037922965 APi SYSTEMS GROUP 1aJ002 AppliCation Daile: It?~I(lr OS ~of3 { ( Wheat Ridge Fire Protection District P.O, Box 507 . 3880 Upham Street . Wheat Ridge, Colorado 80034-0507 303-403;5900 Office . 303-940-0350 Fax . www.wrfire.org Contractor Infonnatlon l' ::~~~~~~~ . ~~. Address: ';h~", ~-<J S>'~ ....uc;...."... 4./")1 C''''''''''''_o..v c.., ?n/Q Phone: 3qt - ~/"/ - 0, \"""J 7 " SIlIe Infonnation : Ad~ress: ~~"~~e ~ Co. Busmess: ~C.~Af;c'" ~..._,.. Contact: ~c- ~""'~' Phone: ;:) 'F"' - I Penn~ No. :E % m :.- -f ~~'7 ~ 1o?i 0 1'-..../- IItteIt the above InformItIon to be 1ICCUme. I hne rec:eIvec:I and reviewed the InspectIon Complllnce and It'll Fee SChedule. Tbfs permit I..the '" property of the Whellt RIdge Fire P_on DfstrId: and Is _d subject to conditions CIlIltlIlned herein, Upon any "'llure of any condition Including m falllure of dunnce of any pennlt payment, this permit .. IUbject to Immediate revocation and the permit must be returned upon demand to . re__ofllla_Rldge Fire _on Dlstdd:. '(- Slgnllture Of Applicant: ..#/;/. .ft. NOTICE: If conStruction Is started prior to the Issuance of a pennlt, THREE (3) times the nonna. fee will be a5lell ed. ." 1o?i INSPECTlON BY FIRE PROTECTJON DISTRICT REQUIRED? 0 YES 0 NO Pt!St this pen11k1n. ct11I5p/aJOIJs p;.a,. __required /nspedion$. mifllmum "'_ doys In _01: 303-103-591J2. TYPE OF PERMIT FORMULA (see fl:o schedule sheet) FEES Tank I on No. ofTanks= RevIew Alarm S Plans m Value= RevIew S nkler S Plans Value= Review Mise. m Plans System Value= Review Bulldln Plans Valuation~ Special Handlin or Use Plans Valuation- ~ m TOTAL FEES DUE Dall! Paid Amt. Paid Method Initials " ~ o -f m n -f 1o?i o Z --- o Total Bldg. o New Reid Inspectlons and Dates: o Alteration o Partial o Other: Hydrostatic Tests and Dates: o 1o?i (II -f ~ 1o?i n -f Comments: FIRE PROTECTIDN DISTRICf APPROVAL IS REQUIRED PRIOR TO THE ISSUANCE OF THIS PERMIT. o APPROVED AS SUBMITTED o CONDmONAU Y APPROVED (See Comments,) BY TITlE DATE TYPE OF PERMIT FORMULA (see fl:o schedule sheet) FEES Site Assessment (Re-Submittal) No. of Sites Date Paid Plan RevIsion Re-Ins ct) No. of Hours Amt Paid After hours Ins on 2 HOurs + No, of Hours Method . TOTAL FEES DUE Initials '--' FINAL APPROVAL BY TITlE DATE " m ~ :J: 1o?i -f 07/28/05 THU 09:58 FAX 3037922965 APi SYSTEMS GROUP 1i!I003 r WHEAT RIDGE FIRE PROTECTION DISTRICT PO Box 507 . 3880 UPHAM STREET. WHEAT RIDGE, COLORADO 800340507 30340305900. FAX303094OC350. WWW.wRFIRE.ORG' v " SYSTEM INSPECTION REQUIREMENTS A'ITENTION ALL CONTRACTORS Prior To Your Request For A Final Inspection The Following Conditions Must Be Met! 1. All of the ~ paper work and permits are present and on-site. 2. You must have the "VV1UJ!rlate tools and devices to acpvate the \larious circuits of the systeIIi. 3. You must have IlUfficient personnel and equi~m the permit holder company) to perfOmi the desired tests (~omeone to test the devices and some one to reset the S)'Stet\l), Ifradios are needlrl they to must be provided by the pennit holder. ' 4. You p:lust notifY all: appropriate personnel and other occupants of the building as, to when the fire alarm system will be tested. Consider posting sip giving information regardiJ!g ~. 5. All devices (strobes, horns, annunciators c:tc...) must be tested prior to your request for final inspection. ' o . , ' 6.. The fireaIarm communicator must be cOnnected to tWo (2) active phone lines and the detection system is on.line With the monitoring station. '7. The pennit bolder is responsible for the proper lnstaIIation and operation of the alann sYstem for the area permitted.' 8. The Knox Box (if applicable) must be on order or installed at the time of the inspection. The acceptance of the detection or sPrinkler system is based upon' field verification. It is the responsibility of the permit holder to insure that all of the permit requirements are met. Failure to meet the pennit requirements will result in a denial of inspection and a re-inspection fee will be assessed. I understand that by signing this form, I agree to meet the listed conditions for the System Inspection Requirements. I also agree to perform a 1000/0 functionality test on the entire alami or sprinkler system and correct any problem~ that are found to insure that the system meets all of the requirements of this permit. I understand that failure to comply with any of these conditions or if any other discrepancies are found at the time of testing by the testing Fire Marshal or his designee, will result in ,a RE-INSPECTION FEE OF $100.00 PER SITE. . Signature: .&/t~ PrlntName: m-/-<e L~fIt)" Date:~ /(; I ~~- 'J PermitNumber: 05 0 \.f.3 07/28/05 THU 09:59 FAX 3037922965 APi SYSTEMS GROUP 1i!I004 < '-./ WHEAT RIDGE FIRE PROTECTION DISTRICT PO Box 507 . 3880 UPHAM STREET' WHEAT RIDGE, COLORADO 800340507 303-403-5900 . FAX 303-940.0350 . WWW.WRFIRE.ORG A.P.I. Systems Group Mike Lakos 7020-B South Tucson Way Centennial, Colorado 80112 June 28, 2005 Re: Fire Alarm System, 2920 Fenton Street, upgrade. The following requirements are made under the 2003 International Fire Code adopted by the Fire Board of the Wheat ridge Fire Protection District and the City Council of the City of Wheat Ridge, Colorado. 1. Addition detection will be required for the following areas; . Physical therapy office (smoke) . Shower room off of room # 32 (Heat) . Dietary storage (smoke) . Operations storage (smoke) . Break room in the basement (smoke) '-.J . Operations office in the basement ( smoke) . Office by the Laundry room basement (smoke) . Nurse's storage and store room in the basement (smokes) i. See approved plans for highlighted areas. 2. Graphic maps shall be updated to new changes. 3. The fire alarm shall remain in service during all phases of construction. 4. If the alarm is out of service for any time period a fire watch shall be initiated and logged every hour. 5. With the addition of the above units the battery calculations shall be adjusted and extra power planned for the system. 6. All devices shall be numbered and addressable. 7. A rough in inspection shall be scheduled with the Fire District as well as the City building inspector. 8. A complete test of the entire system shall be performed prior to calling fora final inspection. 9, All means of egress shall remain clear during all phases of construction. '-..../ 07/28/05 THU 10:00 FAX 3037922965 APi SYSTEMS GROUP 1i!I005 .,. .. '-...../ IO.AlI Fire Lanes shall remain clear of all construction vehicles and supplies. II.Any changes to the approved plans shall be submitted to the Fire District for approval. Any questions regarding these requirements please contact me at the Fire district. ~~4 Douglas J. Saba Fire Marshal \~ .~. Building Permit Number: 18381 Date: 2/18/2005 COMMUNITY DEVELOPMENT DEPARTMENT BUILblNc; INSPECTION LINE -(303-234-5933) CITY OF WHEAT RIDGE 7500WEST29TH AVENUE WHEAT RIDGE, GO 80033..(303-235-2855) Property Owner: WHEAT RIDGE MANOR Property Address: 2920 FENTON $T CO.l1tractor License No. : 19281 Gompany. Santa Fe Fire Protection phone: 421-3490 Phone: 421-3490 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances. proposed by this permit application are accurate,and db not violate applicable ordinances, rules or regulations ofthe City of Wheat Ridge or covenants, easements or restrictions of record; thatall measurements shown, and allegations made are accurate; that I have read and agree t()abide hy all conditions printed on this application, and that I assume full responsibility for compliance. with the WJleat Ridge Building Code (U.B.C.) and all other applicable Wheat Ra;:ances; forwork.under this permit. . (OWNER)(CONTRACTOR) SIGNEo--;1J1' ~ . . DATE;~';< ~J - ~ ... ..... ....... .. Use: ADD 2 SPRINKLER'S IN COOLER'S Valuation: Permit Fee: Plan Review Fee: Use Tax: Total: $795.00 $42.46 $0.00 . $14.31 $56.77 Description: BUILDING D.EPARTMENT USE ONLY ~ei~ Approval: Zoning: Im'"~ Approval: CR ~ Approval: Occupancy: to OK WrF.D. wi NOTES. OKWrBLDG, DEPT. MUST MEET ALL CODES. Roof: Electrical License No : Company: Expiration Date. Approval: Expiration Date: Approval: SIC: Sq. Ft.. Residential Units: T_hispern,lt:wasiSSqed in accortian~e with theprovisionsseffonh in'yopur application and is subjecUo theiawsof the State ofColqradoand to the Zoning Regulations and Building Code of Wheat Ridge, Cal_orado or any other applicable ordinances of the City. This permit shall expire if (A) thew()rkauthorized is nc:>t_~om~€lnced,wjthin sixty (Sp>daysfrorrlissuEld,ateqr (~)thebuilding:~uthorized: is suspended Or abandoned fora peri?d of180 days. , , :- '.-- , -'..' '''. '-'-,' ,., _:><. " --", "',',,' - " If this permit expires, a new permit may be acquired ,foJ: a-fEleofone-:halftheamount llClll11ally required,providEl,dno changes:have_bee~ or will be (llade in the original plans and specifications and any sllspension orabandonmenthas notexceeded one (1 )year. . .If chcmges are made or if sus~en~ion orabandonmert exceedsone(1)year,fullfeesshallbepaidforane""permit .' ...,,'., ....' Nowork of a~y manner shall bedonethahviUchangethe natural flow of wateccausing a drainage problem. ..,: --'. ,,': .... '_-.' ":' .... .', _g~mtract()r shaH notify theBui1di~g Inspec~()r_~enty~f?ur (24) hours in adva-nce foraH ,inspections and shall receive written, approval on inspection card before pro-ceedTIng-Wlf~successlvepfias-es-onnerob;-__---:- ---------------.----~-- --- -- '----,---- ------ - -,:-- The issuance ermit or . mwal--olQrawin_gs~ndspecifications s;hall not be construed.tobea pel1l1it for, nor an approvalof,anyviol:9tiOn of the proviso 'buil' codes or any otherlltdinance; law, rule or. regulation. (1) (2) (3) (4) (5) (6) Expiration Date: Approval: Chief Building Inspector please signTerms and Conditions on reverse side of page. Building Permit Number: Date: COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 . (303.235-2855) APPLICATION Property Owner: ~ H ['~, tl C C In /-f"fP Or./.. Property Address: CJ9;'0 j- ",,-/1.-- /"r? ~ S /- Contractor License No.: Company: S;;1/t-~?f: ;=One"" ?/~o /"', Phone:50 3' 7" 2/ 3' ~ ~ ~W.j.c-, PhOl;e(1);21?-LI r?'1 OWNERfCONTRACTOR 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 RKtge Of 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 Suil' Code (U.B.C) and all other applicable Wheat Ridge Ordinances. for work . ~/.?./ (OWNER'C<lI<TR^CTORl SIGNED ~ DAT;?;ff -{J) Value:$ '77 5 Permit Fee:$ Plan Review Fee:$ Use Tax'" Total:$ DATE (OWNER){CONTRACTOR):PRINTEO Description: ,/liJO d- S P,62 j jt/ .If /ep's / /v- cCd kp' S Sq. Ft. adeled BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: ONING COMMENTS: Approval: Zoning: BUILDING COMMENTS: Approval: ok w;tl.. (c/ / 'Prt t.~, ,~ . ~ ,J()!-s . oJ~ w, ~t.... F':=t /O"'f~ M('vt~ fI.''' W M.e~f, ...If t()t::J~_, (!, rtt&L PUBLIC WORKS CO....ENTS: Approval: pccupancy: Residential Units: Walls: Roof: Stories: Electrical License No: Company: Plumbing License No: Company: Mechanical License No: Company: Expiration Date: Approval: (1) Expiration Date: Approval: Expiration Date: Approval: (2) (3) This permit was issued in accoroance with the provistons set forth in your application and is subted to the laws of the State of CokM'ado and to the Zoning Regulaoons and Buikting Codes of Wheat Ridge, Cokwado or any other apphca~ ordinances of the City. This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building aulhorized is suspended 0< abandoned lor a period of 120 days. If this permit expires, a ~ permit may be acquired lor . fee of one-haK the amount nonnaity required, pnMded no changeS have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (t) year. If changeS have been 0< W suspension 0< abandonment exceeds one (t) year, full fees shaI be paid lor a ~ permit. No -" of any manner _ be done thaI will change !he nalutalllow of walef causing . d,,",,- problem. Contractor shall notify the Buikiing Inspector twenty-tour (24) hours in advance for alt inspections and shall receive wrinen approval 0<1 inspection con:l before proceeding wi1h successive phases of the job. The issuance of 8 penn;t or the f drawings and specifications shall not be construed to be a permit for. nor an approval of. any vk>Iation of the s of the buikling codes or any other ordinance, law. n.lle or regulation. .".....-. /~ ," '" (4) (5) (6) ...." .' SANTA FE FIRE PROTECTION 12322 W. 64th Annue. Arvada, Colorado 80004 (303) 421-3490 . Fu (303) 421-9035 /v'JlFHT-RJ{)~C rn,..,.vc~ ;.C;~O F~,vTD.v Sr I<vH!"ijTRICCii CO'. /"I{) 7' 6 If'] J/r 1'1 0"" ent nd\n9 Departm Oed . A/ Xffh.l'7.J ~~/7"'(}? ~ o~ ~ Y..hl \.., pem:ilC1 ~ol ~~~\of\lll . pennit The--=:~Iol~C1l111 r,;;ilyC1di~~ \of\5 snail ~ . tle ~ CrIf;tJ ""r~i~~ 7': ::. .... 01 \h8 I"(l\I\sicM 01 oiJI~orilV 10,.;d , CiW sMII n;\ \-III;lIII. ..., ua"I\ng\ogNe"f ,~'r.~l'Y".c'<; ."11 ~p. ~llNllleSO!o\M . eX/Sri/VI:. /'):>D ) Trl-/:>I*ll?~ jZCs, COO t.. jJ!< 0 f) RY J~_p/;f,yr R~/IO ~/~ /D'O .. - -~ 1ST ~.',. ,., I :, vO f~. ,e I (j)J I./ST11llltrJO,(/ pITiZ. NFI~l"J 13 7/C H!Jf I \ '" \'f'.lo ~l.'" J..,J.. .~ ... .... .... - "" ~ t, " " " ;1/ o H~V~~~ i C Jo-fl }; IfrR /l \rjhea' R,"'~:' -"~. ":; :;:1 Ulsrnct Plan r€,leW€Z; h;' ': e : 'c. . .".Oougias J. Sab'}? ~ SIi I'n ;fAir c ~o /~ ~ Internatlonai rire Code-Fire Inspector State Certified Fire Suppression IrISpEldOr . E Date: 1-ij~ Commen1s: See ~_ .-,,;; s:,G..,.U' LJ~-/~ sc ~LE= }4;/'o .\/ PerlIdt .. WHEAT RIDGE FIRE PROTECTION DISTRICT PO Box 507 . 3880 UPHAM STREET. WHEAT RIDGE, COLORADO 80034-0507 303-403-5900. FAX 303-94C><l350 . WWW.WRFIRE.ORG Santa Fe Fire Protection Inc. 12322 West 64th Ave. Arvada, Colorado 80004 February 14,2005 Re: 2~0 Fenton Street, Wheat Ridge Manor Nursing Home. Note: Review performed under plans submitted which were not to scale. The following requirements are made under the 2003 International Fire Code adopted by the Fire Board of the wheat Ridge Fire Protection District and the City Council of the City of Wheat Ridge, Colorado, 1. The Fire Sprinkler shall be tested after all worked is completed. ( Contact the Fire Marshal for requirements.) 2, Test form shall be forwarded to the State Division of Fire Safety. 3, The required sprinkler cabinet shall have all replacement heads and a wrench in the cabinet as required by the Fire Code. 4. All hangers shall be anchored to structure. 5. A required 2A-40BC shall be within 20 feet of all "Hot Work" operations during construction, 6. All Fire Lanes and means of egress shall remain clear of all construction vehicles and equipment. 7. The Fire Alarm system shall be placed out-of-service only during times of construction. W.R. Manor staff shall be notified every time the Fire Alarm System is down. 8. Any changes to approved drawings shall be submitted to the Fire District. ~~f~ed, Doug as . Saba Fire Marshal City of Wheat Ridge Community Development Department Memorandum TO: Accounting Department FROM: Kristy Shutto, Building Division SUBJECT: Refund for Permit DATE: February 25,2004 Reason: Adjustment of Construction Valuation. Refund difference of permit, plan review and use tax for permit #16729 at 2920 Fenton St. Please refund: 100% permit fee: 100% plan review 100% use tax: $72.80 (acct 01-510-00-516)- $44.32 (acct 01-550-05-551). $53.05 (acct 01-500-02-505), Total: $170.17 TO: Wheat Ridge Manor Attn: Eric Thompson 2920 Fenton St. Wheat Ridge, CO 80214 ';' -"--ir:c;wr:,~"" ;: i i\(~C: j;il,,;:::-'- 1='-; M"'r',,-,;' ... "cTI,': \ Thank You! r :::r'=-"-"~"- ,-.,-,i'-: ,':"" -',-,:'" "d,'" -- T'.jI: ;:;:'~'r.;"'~;: --'c ~.-_ 'Kristy Sfiutto '-, ",~L;,; ::r:;::'k-rT7': M':-'::' ":'t;,_:"'f.j(';' U 'Jr-; ;::'C-,":: Kristv M. Shutto Bldg. Dept. Secretary -"--!f,-T>,j,,~ ;::! ,~fJ ~'C':T,.1 c- r_.,.,_;,~: : Ie;:: T:,' j.".J- ". ;,-~ -','., :' ',,:, ~ ',- T,-"..' ,- , ~'__~.-.,,_,.... -- '-',,]~, ' -';::,.}:;:: :,"",C:!". ;:--,:- ;::":CT ",1';<-, :,,_!~' C:\Building Department\Word Perfect\Forms\Refund Total Permit ,wpd '.',. ,.,. .. COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE. (303-234-5933) CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033. (303-235-2855) Building Permit Number: 16729 Date: 2/17/2004 Property Owner: WHEAT RIDGE MANOR Property Address: 2920 FENTON ST Contractor license No. : 20538 Company: D&O Development Phone: Phone: (720) 299-7663 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT (OWNER)(CONTRACTOR) SiGNED DATE Total: $5,079.00 $162.90 $108.89 $60.95 $332.74 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 r 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 all other applicable Wheat Ridge ordinances. for work under this permit. Construction Value: Permit Fee: Plan Review Fee: Use Tax: Use: Description : MECHANICAL HOOD SYSTEM CLASS II OVER TYPE I ~ BUILDING DEPARTMENT USE ONLY .1-.hi\ltfC')nlilTX;Ji }' SIC: Sq. Ft.: Approval: Zoning: :1jH(dl;10[ ~1'1l!lllt :!ll OK, 2/5/04 Approval: OM ~d.I.)!l' ':j'!.)~'''-' ~'.fllh'd )IF~ Approval: Occupancy: Walls: Roof: Stories: Residential Units : Electrical License No : 20982 Company :New Horizons Electric, Inc. Expiration Date: 2/28/2005 Approval: OKlKS Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: Expiration Date: Approval : (1) This permit was issued in accordance with the provisions set forth in yopur applk:ation and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required. provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full tees shall be paid for a new permit (4) No WOf'k of any manner shall be done that will change the natural flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector twenty.four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with SUCC88Sfve phases of the job. (6) The iss of a permit or the approval of drawings and specifications shalt not be construed to be a permit for, nor an approval of, any violation of the p the u' codes or any other ordinance, law, rule or regulation. pector Please sign Terms and Conditions on reverse side of page. Feb 24 04 11:06a Feb 20 04 04:33p QU81it~ Life Hana,ement p.3 303-274-0994 p.l l3;J!'(:Ji( Inv.oice ! Date . -~;;e-#-.--; f/;:-Z!} t?! . . .~_. ..,~~ MifiIf!.Dr:L*ltSr.' . . . ...-..... - ~.:rD ,_~~__ --1 C__ereo City. CO 800ZZ I,' l(}/ItflIf --:l;!/tJ.e /t'I!I.ddY ~IS'M; Ittl1l! CustOID Kitchen InsLulation .. Au c" If ' () . IUUl Fabricsiloa I ;~;~{/ :'" . ~~~~:.;;:~;:::~ .;.-- lU:kA1 R,,~e, K03~B.....p,'18L > 3p3-6I9-050r or- ~07 "-I'A I W3 - ;;. 'Y!; - 3775: .-:Jb' 'J17~Go3k, , ,~.;::i~:4:;t"y ~ ~~ ;tTtE7~1.~ ~~ " '~t~~X)4~/:~i _, __ 'w_d /I 8 --;::;/ler5 :' 6,.-C't"5"<!' CvP i~~ I (-C"t \---Dr~'~;:2"S-~-~l:-~(r11;1 _ ---.-,-..' -G<</' 1- [-+ ~xAus/~; .. uf75/4if{ U55V) ~IIuM ].N5t411/f~j~.:U d-i/ccIL if;e f1a:?o/ : fir!,J)'hl1'f1/ rAt/' ;'.' , _ ! 11101/ t;b-ed ~~..t. , " ' I e/e~/fICA-1 or -r::.e I f~kc-+-',# i paJt5 IY"/l~ t},:f5#A"" _ ! __ L_ -L ........- -.-.. 'II!' j~ S:' , ,. . : Total ", _ ._.. u_ ..__J - ...---- " ~ C/O ~Zl5lJ..--, ~" '...., <,/, ..ct" "",.", ......... , .'- i "'.to. F@b 24 04 11:068 New Horizons Electric. Inc. 14 In,'enle.. Drin Ea.t, Suite G-112 Enlllewood, CO 80112 Phone (303) 841-1200 Fax (303) 841-1202 Bl\.L TO Wheat Ridge Manor Nursing Home 2920 Fenton St. Wheat Ridge, Co. 80214 P.O. NO. DESCRIPTION I L'IS1lI!Iation of eledricaJwiring and controls lOr new kilch:n hood, I including fire alum It)'Stem connection. ,112 EMf 1112 EMf CONN- SS CAST 112 EMTCOUP-SSCAST 112 EMf STRAPS-I HOLE 112' EMf MINI STRAP 4SQ X DEEP COMBO 4SQ BLANK COVER 12 TIlHN CU SOLID RED WIRE NlITS H12 WlRETERM. 20A COMM GFl 20A COMM. SP SW S.G. SWITCH IND. COVER S.G. GFI RECEPTACLE IND COVER GROUNDING PIGTAIL PLASTIC ANCHORS AND SCREWS 16' X 6" X 24" SCREW COVER GUlTER SPOT 120V RELAYS PERMIT SALES TAX J.\V. ELECTRlC1AN API'. ELECTRIC,^,'1 The following is the lost time due to the pcnnit and l\'ork not ccmpleted in. order for IJ:5 10 proceed with the clecbical instal1ation u per our diSCUSSlon J.W_ Electrician-.. HIS App. Elecbician. 04 Hrs !Thank you foryoUl' buslnes$, Invoice DATE T INVOICE H , 2121'2004 1 971238 TERMS PROJECT NOTES: Net JO "'\chen Hood Repla... aIY RATE AMOUNT 80 0.18 14.40 14 0.30 4.20 5 0.24 1.20 7 0.24 1.68 2 0.52 1.04 5 2.54 12.70 4 0.4\ 1.64 300 0.058 11.40 21 0.1i 2.31 18 0.60 10.80 I 17.50 17.Xl t 2.95 2.95 t 2.05 2.05 I 2.90 2.90 6 0.30 1.80 24 0.15 3.60 1 45.00 45.00 J 48.00 144.00 I 146.00 \46.00 1 21.23 21.23 24 50.00 1,200.00 27 25.00 675.00 , I Total $2,329.40 ' p.4 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - (303-234-5933) CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033. (303-235-2855) Building Permit Number: 16729 Date: 2/17/2004 Property Owner: WHEAT RIDGE MANOR Property Address: 2920 FENTON ST Contractor License No. : 20538 Company: 0&0 Development Phone: Phone: (720) 299-7663 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT (OWNER)(CONTRACTOR) SIGNED DATE Total: $5,079.00 $162.90 $108.89 $60.95 $332.74 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 all other applicable Wheat Ridge ordinances, for work under this permit. Construction Value: Permit Fee: Plan Review Fee: Use Tax: Use: Description: MECHANICAL HOOD SYSTEM CLASS II OVER TYPE I ()V'\ \ ~'5 @ BUILDING DEPARTMENT USE ONLY ~~Qnt$'~ SIC: Sq. Ft. : Approval: Zoning: ~~i_nt. OK, 2/5/04 Approval: DM 1il1l~1'~.,6. Approval: Occu pancy : Walls: Roof: Stories: Residential Units: Electrical License No : 20982 Company: New Horizons Electric, Inc. Expiration Date: 2/28/2005 Approval: OKlKS Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: Expiration Date: Approval: (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of the job. (6) The iss of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the p s the u'd' codes or any other ordinance, law, rule or regulation. pector Please sign Terms and Conditions on reverse side of page. City of Wheat Ridge Community Development Department Memorandum TO: Accounting Department FROM: Kristy Shutto, Building Division SUBJECT: Refund for Permit DATE: February 25,2004 Reason: Adjustment of Construction Valuation. Refund difference of permit, plan review and use tax for permit #16729 at 2920 Fenton St. Please refund: 100% permit fee: 100% plan review 100% use tax: $72.80 (acct 01-510-00-516) $44.32 (acct 01-550-05-551) $53.05 (acct 01-500-02-505) Total: $170.17 TO: Wheat Ridge Manor Attn: Eric Thompson 2920 Fenton St. Wheat Ridge, CO 80214 Thank You! '1(nsty Sfiutto -""-.",--- ) Kristv M. Shutto Bldg, Dept. Secretary C:\Building Department\Word Perfect\Fonns\R fi e und Total Permit .wpd - Fep 24 04 11:06a .Feb 20 04 04:33p QU81it~ Life Management p.3 303-274-0994 p.l .bIJL()~ Invoice ( ------ l Date . -~lJOice # ; f1;:-~-=~ C & ~.~ZU8SS' . ., --.-.- I n__ . ... --.-. . :1880 E 58th ..... UDit B ~ To i c_~ elt)'. CO IJOO2Z I,' tJ/IflIl ~i4;-/41d:w. ,irs/Pc ;1';~ CustOID Kitchen Iasttilllltion . ; () . ADd FabricaliDn I /filA/' /!R./C ;., (..:.. ...~._. _. "".Ja"7> . ! a9;(.iJ fWh-t/ ;. <;Bsper Rosllnbaell ~ l~~AI Rt:fcp-e, ~03&B.:.-..-p!lBL > 303-61~05OI or- !>07 :rAI '&)3 -e;.3~-"377S: Tei:'. j. li}.~~~t .4)' \~D__.<; ...' , _____.____r_ILL-~7:t:::___~.D1v ",. 11L;L/~~ L Ra . I ,Amount ~ ;:'7; -f:;, ~fflt:}r ;W-1yf.~ . ~4't ;7-X :>f'i//CVi<: H _.lwJi II. 8 7-/lIe,r5 J' r5r"c"eS"c? CvP ~~~~ I-r" I-D"-;;;:;;;irt'"~rrn;f .-----flMY" I. 1- (-1 N Ausl -r;; - up 75/45'it U55v ) . .. : &JJ.,; ~stt!.U)j~~ d-U i-';;e f'1a{.;7 : RfJleJ )h~/-II-J r,4/1/ ';~' . ) ,.\' INtJld'/2J~d -r-vdJe; I c/et!-/fiu/ or r::.e ~dleC-+-''oU I II' I . F4It5_ I Y'?Aj::+57LA~_.-l__: .., . - -.-" ., ~:' .'t ! To~1 -I-. 7 5lf'~ __ ____ ._..,......__J. .. ...____ ",...,.2. . .....0 ., " ...' . ":,-"'.,.-:- ~._{~., , ~ ; . I <:<-'./ ~,~ , . ",-... ." F@p 24 04 11:0Ga New Horizons Electric. Inc. 14 Inverness Drin East, Snite G-llZ Englewood. CO 8011Z Phone (303) 841-lZ00 Fax (303) 841-120Z BILL TO Wheat Ridge Manor Nursing Home 2920 Fenton St. Wheat Ridge, Co. 80214 p.4 Invoice DATE INVOICE # 2/2312004 971238 P.O. NO. TERMS PROJECT NOTES: Net 30 Kl<chen Hood Replll... DESCRIPTION QTY RATE I AMOUNT i [nstallation of electrical wiring and controls for new kitchen hood, I including fire alum system cormecDon. , 1/2 E~IT 80 0.18 14.4C 11/2 EIIfT CONN- SS CAST 14 0.30 ,.W 112 EIIfT COUP.SS CAST 5 0.24 1.20 112 EMT STRAPS-I HOLE , 0.24 1.68 112' EMT MINI STRAP 2 0.52 1.04 4SQ X DEEP COMBO 5 2.5" 12.70 4SQ BLANK COVER , 0.41 1.64 t2 TIlHN CU SOLID 300 0.058 17.4C RED WIRE NUTS 21 O.li 2.31 nl2 WIRE TERM. 18 0.60 10.80 20A COMM GFI 1 17..50 17.5<l 20A COMM. SP SW t 2.95 2.95 S.G. SWITCH IND. COVER I 2.05 2.05 S.G. OFI RECEPTACLE IND COVER 1 2.90 2.90 GROUl'lDING PIGT AlL 6 0.30 1.80 PLASTIC ANCHORS AND SCREWS 24 0.15 3.60 16" X 6" X 2,' SCREW COVER GUITER I 45.00 45.00 ISPDT 120V REl..AYS I 3 48.00 144.00 PERMIT I 146.00 146.00 SALES TAX I 21.23 21.23 I.W. ELECTRlCIAN 24 50.00 1,200.00 APP. ELEcrRlCIA.'1 2, 25.00 675.00 The following is the lost time due to the permit and work nol completed in order for us to proceed with the electrical instaIIation as per our dis cusslon l.W. Electrician- 4 Hrs App. Elecbician- 4 HIs , I I Thank you for your business. I Total $2,329.40 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - (303-234-5933) CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Building Permit Number: 16729 Date: 2/17/2004 Property Owner: WHEAT RIDGE MANOR Property Address: 2920 FENTON ST Contractor license No. : 20538 Company: 0&0 Development Phone: Phone: (720) 299-7663 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDiNG AND AGREEMENT (OWNER)(CONTRACTOR) SIGNED Total: $9,500.00 $235.70 $153.21 $114.00 $502.91 (00,00 COlt 1 " ,"02 ,'1J 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 ag~ to abide by all conditions printed on this application, and that I assume full respon . i/ity for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Ridge 0 inances, for work under this permit. Construction Value: Permit Fee: Plan Review Fee: Use Tax: Use: Description: MECHANICAL HOOD SYSTEM CLASS II OVER TYPE I BUILDING DEPARTMENT USE ONLY roh.Coiftfttlthtl: Approval: Zoning: ~u_g AMMm,otc Approval: DM pu_WOJaom"ts: Approval: Occupancy: SIC: Sq. Ft.: OK. 2/5/04 Walls: Roof: Stories: Residential Units: Electrical License No : 20982 Company :New Horizons Electric, Inc. Expiration Date: 2/28/2005 Approval: OK/KS Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: Expiration Date: Approval: (1) (2) (3) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or abandoned for 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 changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are 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 shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before procee '.ng with successive phases of the job. The. su nc~a p. it or the approval of drawings and specifications shall n.ot be construed to be a permit for, nor an approval of, any violation of the pr isio s 0 6~ing codes or any other ordinance, law, rule or regulation ,/ !;;~_. Chief BUildinglinspector Please sign Terms and Conditions on reverse side of page. (4) (5) (6) Building Permii Number: Dale: APPLlCA TION Property CNmer: U,/JrcfU r If (~~ Ifte tv oK Property Address J. q:J-v re )f/ (0 IVS ~ Contractor License No : I ~' Company fj 0 PC o)e lof M <? E'7rfqve i.)(7' Je~ U Phone: / -'K('~''-f- ~ L-!3+IF7 13 Phone: 7;/,) Yr;' 6/ '7 {, ,{, 3> I hereby certify lhal1he selbadc. distances proposed by Ihis permij application are ao:::urate, and do nol violate applicat>>e ordinances, rules Of regulations of the City of Wheal Ridge or covenants, easements or restrictions of record; that al measurements shown, and allegations made are accurate; thai I nave read and agree to abide by all conditions printed on this application and !hat I assume full responsibility for COmpf13fiCe with the Wheat Ridge Building Code IU8,C) and aI oIIlef ~:'r"",~~~e 0roinances, lorwOl1< under lh~ pelTnlt (OWNERIlCONTRACTORj SIGHEO ' .i,t~ f:z13 DATE/~V , '-- IOWNERIICONTRACTORj PRon're' DATE DESCRIPTION:I1fec;;c:Jff-o({~G ( }/rJ()'! 51S;/eM C !r5r; 'if Of/ee... --(7!.L :r . J 9;i 00, OD OWNERlCONTRACTOR SKiNATURE OF UNOERST AHOtNG ANO AGREEMeNT Construction Value: $ A?'P' PennitFee: ~ Plan Review Fe~ Use Tax: $ Total Fee: $ ~ (' "' BUILDING DEPARTMENT USE ONLY SiC ZONWG COMMENTS: Approval: Zoning: BuLOlHG COMMElfTS: Approval: c3? #fT 7j>Jf Puauc WORKS COUMEHTS: Approval: IC'u:cea;;Ci Electrical License No: Company: (h- tf/,H'ftl?r 8J.e.J.. '{,'clii:;i ,;1," ,_,~ c:: i"\8.:.;Ut.'I.l,;ii Lf,:S Plumbing License No: Company: Mechanical License No: Company: Expiration Date: Approval: Expiration Date: Approval: Expiration Date: Approval: (1) Thll ,.,ntwni-*... aceonIIftuwO thtpnMsiDa.HI kwOl'" JOW ~ and" subjed:totM.... of Itle Sbt, ofCokndo Melto dl'ZoMlg R.WtionI Md....... Codes of..... Ridge, Cotorado or"""1lppicIbIe ordinanca of the CIty. <21 Thb penNI'" upn II (A) the..... IIIIIhoru.d I. not CCNM'Itfttecl wIlhIII sb:ty (II) days Inlm "sue dIIle 01 (8) 1M buDlIni Mldtcwtzed" ...,...,.. 01 aNndotMcI for II ........,"...... (3) . tbb ptf1IlI:...... . ... ptnnIlI'MIJ' be ..... lor. "'" of OftH".t ImOVnI nonNIy ~. providtd 1M) c:hMI" h...1 belli or wtI be made in die origin" plM..... r C.... -.. _ WIt...,...... or ...........Iln Mt uCMCMod OM (1).,... . ~ tine tM>. or' ....,... or abandonrnelrt uCMCk OM (1) ,............ be '* tor. ...1*1III- (of) No work of ..,........ shaI be done that ... chMp1he MbnI now ofw.. CMt&iftt.... ~ (5) ConncIor MIl aotIIy Iht ..... ....-c:tor ...,..... p") houri .. altYMc. tor .. tnlpectioftl atd thai 1'Kth. __ lppfOWaI OIl ~Il ani bef<n .....-. - .......... _..... 1M- (I) The inuuce of...... or 1M lIPP"OVaI of...... Md apedfk;ationt ..... not be c:onstrued to be II pennIt '01, nor III lppRJVaI of, any Yio6don 01 th, prowistoJtl 01 the codnor.y"'ordnIR""Yw.fUttOf'~. < I I~ D D --,..,~_._.,--,._---_.__._-~ --,--~_.,.- l t:J or z I ^ ro - >-> 0 r -0 . "_J) r f'l z W (J\ 00 c (J\ ;0 :z . to C ]> - x ;0 z r z Cl f\) f'l ~ ,_J -l>o f'l . ;0 -0 0 0 r Vl c: Cl >-> I r f'l r ""T] - r -.J t:J . ru x c Cl t:l - n f\) ro -I -l>o ;0 . . ..... X t:J ~__J f\) t:l , I' w r L . f'l ...~ -0 _I r c Cl I r~ap ~i8P i\1a.P' :i!ao;' ! i~l~ I c ~i~~ ~J~ ~!i ~- .... (/)--0 I I -<0 i"~~i~ :lI;;;a~ ;i~~ z (/)1 ~I 0 -i -I' W ~ i!1l ill)>~~ . e~~ r'l ~ n ZUl I~ Co'l e -.-.---- f'lW 0 ~i ~ ~i~~ 0 C::li 3::0 _iii~!:{ ic: cC: l!!!f~ 0 ~al<Ul lili- .F liiii~ l"~S- .. .."'-- f .. ~ I " ".- SENTRY FIRE L SAFETY lNG, 'WHEAT RIDGE MANOR Ii JI' Fa .......... .........,. NURSING HOME 1l!94 $, INCA STREET l!920 FENTON STREET ~!>pi ~8~~~ ~~ DENVER. CD 80223 "'HEAT RIDGE, CD 80214 888~ ill LDU GAEVAY oo-~ oo-~ ~ PHIJNE) (303) 294-0708 ... I I FAXI (303) !tJ4-DnG ~ ~ i~ PRE-ENGINEERED PYRD CHEM \JET CHEMICAL ... 000 riA!: SIJPPRESSlIIH SYSTEM, 11III _ IftTDl 00 ' .. I' 0 8gg!! Pyro-Chem Kitchen Knight II PCL-300/460/600 Nozzle Coverage Summary Sheet KITCHEN KNIGHl: II ~. Width Length Min. Max. Nozzle Flow (In) (In) Height Height Appliance Type Points Max. Side Area Sq. In (in) (in) Deep Fat Fryer - Vat 2H 24 48 2 191/2 19 in. Deep Fat Fryer (Low Proximity) - Vat 2L 13 24 Deep Fat Fryer - Drip Pan (Vat 18" x 18" max.) 2H 24 48 2 27 314 500 Sq. in. Deep Fat Fryer (Low Proximity) - Drip Pan (Vat 18" x 18" max.) 2L 13 24 Deep Fat Fryer- Drip Pan (Vet 191/2 x 19" max.) 2H 24 48 2 25 318 495 Sq. In. Deep Fat Fryer (Low Proximity) - Drip Pan (Vat 19 1/2" x 19' max.) 2L 13 24 Two Bumer Range lH 40 50 1 12 28 In. Two Burner Range (Low Proximity) lL 13 24 Four Burner Range 2L 2 28 28 In. 34 48 Small Wok lH 24 48 1 24M dia. 8' depth Small Wok (Low Proximily) lL 13 24 Large Wok 2H 24 48 2 3O"dis. 8" depth Large Wok (Low Proximity) 2L 13 24 Small Griddle lH 24 48 1 36 lOBO Sq. In. Small Griddle (Low Proximity) lL 10 24 Large Griddle 2H 24 48 2 48 1440 Sq. in. Large Griddie (Low Proximity) 2L 10 48 Gas Radiant Char-Broiler lH 24 48 1 26 624 Sq. in. Gas Radiant Char-Broiler (Low Proximity) lL 13 24 Large Gas Radiant Char-Broiler 2H 36 48 2 36 864 Sq. In. Large Gas Radiant Char-B">!ar (Low Proximity) 2L 13 36 Lava Rock Char-Broiler 2L 2 26 624 Sq. in. 15 35 Natural Charcoei Char-Broiler (max. fuel depth 6") lH 24 48 1 24 480 Sq. In. Natural Charcoal Char-Broiler (Low Proximity) lL 15 24 Mesquite Char-Brmler (max. fuel depth 6") lH 24 35 1 24 480 Sq. In. Mesquite Char-Broiler (Low Proximity) lL 15 24 UprighVSalamander Broiler 1L 1 36W 28 D Front edge; above the grate Chain Broiler (Internal Chamber) lL 1 27W 3BD Front edge; 1-3" above the chain Tilt SkiUeVBraislng Pan Coverage limi!ations are based on fryer sizes including the drip boards. Exception: Tilt Skillets and Braising Pans may exceed maximum of 6 sq. ft. Nozzle Flow Width Length Nozzle Placement (See Plenum Type Points (ft) (ft) manual for more detail) Single BankIV Bank 1H 1 4 10 0" - 6" from end of plenum . Nozzle Flow Max. Side Perimeter Diameter Length Duct Type Points (In) (In) (In) (in) Rectangle/Circular 2D 2 34 100 317/8 Unlimited Rectangle/Circular (2)2D 4 51 150 471/2 Unlimited PC2001189(1) New Horizons Electric, Inc. 14 Inverness Drive East, Suite G-112 Englewood, CO 80112 (303) 841-1200 Fax (303) 841-1202 Wheatridge Fire Department 1/12/04 Page I ofl Attn: Dave Roberts Subject: Wheatridge Manor Kitchen Hood Replacement Sir: As per our telephone conversation, please review the attached "Sequence of Operation" for the new kitchen hood at Wheatridge Manor. Sincerely, t (p c- Dennis D. Rosette, Pres. Web Site: newhorizonselectric.com EMail: drosette@newhorizonselectric.com Wheatridge Manor Kitchen Hood- Sequence of Operation Date: 1/12/04 Page 1 of 1 Operation Make-Up Exhaust Fan Converiion Oven Fire Alarm System Air Under Hood Activation Activation of Hood X X X Switch Activation of Hood Ansul System OFF X OFF X Normal Operation As the table above shows the kitchen hood is controled via a wall mounted switch for normal operation. During normal operation, activation of the wall switch activates the make-up air unit, hood exhaust fan and the electrical items located under the kitchen hood are operational. Ansul System Activation As the table above shows, upon activation of the ansul system the make-up air unit is turned off, the exhaust fan is activated and the electrical items located under the kitchen hood are turned off. The existing fire alarm detection system is also activated. Application Date: ~I z~/c'1 I)-V to , Permit No. Wheat Ridge Fire Protection District P,O. Box 507 . 3880 Upham Street . Wheat Ridge, Colorado 80034-0507 303-403-5900 Office. 303-940-0350 Fax. www,wrfire,org Jlil3:AlS 1?(fi{Jn(.A:! /~ 't:;AJ<II.$ ,(;;,:.,n:mf.. /</ /#lILttAltf,.s PKI v..t. It, <571/ Z. t!,>l<ft-r't..-.,.,j, ~" '!{oil~ ! Phone: 3D;; ~ fiJ,<Jf - 'I'Zce> l attest tile above information to be accurate. 1 have ~ of the Wheat Ridge Ftnl Pnlb!ction tIislrict fall...... of deil_ of any permit poyment. this ........- of the _ RIdge Ftnl Protection D I Name: A Agent: AddresS: Address: .1'1'<:_"/ , Business: A U '>1.41 :"",</_j( Contact: ~ J't,1C!.- ' Phone: S"lfll)lltul'll Of Applicant: NOTICE: If construction is started prior to the issuance of a permit, THREE (3) times the normal fee win be assessed. INSPECT10N BY FIRE PROTECT10N DI5TRICT REQUIRED? l'l( YES 0 NO Post thi5permlt in a consp/aJous place. Request required inspections iJ minimum of three dqs in iKlvanre i1t 3OJ-403~5902. FEES FORMUlA. (see fee schedule sheet) No. ofTanks- S em Value- System Value- System Value Valuation.., Valuation- TYPE OF PERMIT Tank Inspection Review Alarm SYstem Plans Review Sprinkler System Plans Review Mise. S Plans Review BuIlding Plans Spedal Handling or Use Plans " TOTAL FEES DUE . u;. Initials C k~frl;.../ kr ~/"W p,.".f', o Total Bldg, JIONew Field Inspections and Dates: o Alteration o Partial o Other: Hydrostatic Tests and Dates: Comments: RItE .PROTECfION DI5TRICT APPROVAL IS REQUIRED PRIOR TO THE ISSUANCE OF THIS PERMIT. . APPROVED /JS SUBMITTED tl CONDITIONAlLY APPROVED (See Comments.) BY ~ I""" i?..I."d,1s f TITLE ;;,LE /l1t1lrflAJ. DATE 1-2/..-v'/ FEES TYPE OF PERMIT Site Assessment (Re-Submittal) Plan Revision (Re-Inspect AfW hours inspectioll FINAtAPPROVAL FORMUlA. (see fee schedule sheet) No. of Sites No, of Hours 2 Hours + No. of Hours TOTAL FEES DUE Date Paid Amt. Paid Method . Initials BY TITLE DATE -" =e ,:t m ~ -I jQ .... o ." .... jQ m "a jQ o ..~ ,.m n -I .... o z o tot VI -I jQ tot n -I "a m jQ 3_ ".,... .... .1 I I 1 I ~ I I fJ -..0 ~ \Ii '" R -S> ~ .(\\ ~ ~ ~3~ cr; . ." ,",,\-\n i"'" oarin ,nO.., d "njj;t c~o'c9' ."! / (':\ " ,.;.: -C ~">:. r "'- \"'~ .;/' . . I~I L-l . ., ~ ... .j ~ \ \ \ \ \S"l. ~~ ."L '1{ .1 ~\ PJ I I r~ ~,~ ~~ <;}-- ~- '\ ~ d~ ,~- ~ <0':,... ~~.. _2- ~ ~ ~ \~ (,.t~ " ~ .... , vY ~10 ~ ~ \ )...~. ~ ~~ ~ ' -f' ~~ (~ ~, cl " \~ ~ .. ~0~ "\ ('J + cJ\rb 0f (\) ~ a't f j __1>-0 ) _. ""'0 %. t1 cR~ I , 1:;. r:~ ~\ ~ 'v"l'~W """~~~ 3::.~ :b., ~s--~~ ~......\""i 1 A \ \ 'I I I .. ___. 1 g'/ " 'Spite, \f (-- , ' -~ ~( ~rr h '0 4/( , ..,~ ?; ".. ~ 0 -;:::c::. \ S:. ~~ ~IJ\ ~ - ~~ ~ ~ ~~~I-J c/\ ~ ~ _ ~~' 1_1~~~--,J~ _ c:-'~ V\ ~ ..:,'\' 1 ,,::h Ii f\ ~~- ~ ~ ~ t)' '" ~ ><- t-"" ~ 1:: '" &'-~. I . ~ ~ ~~ ~~, ~ ~~~ \1\ 1> ,-~ ~ t;';:::: l[ J\ --=--:- .~ '~ ? \;i1 ~ ~P0l <; '<8 :J>-:::' ~B~ J jO ~ . " .' W~,,,. ~ 0, ~. ., !i' ~ ,,>l ~-- W Y-'() ~ . Ql ,t,\\> .~ (J\'.~~'-~' ,/ i:-\ ~ ~'>"'; ~,;;' . I . . .- ..J...,....r,.,.e. .:' ,:' ',i.:~,:~... '?~..~:/,v~. ~ -- ~ - -4 (. ~~ ~' 6' ~7 . I " ~ . 1 -. -'\ ., . /U';/-'I..i . ---.- '. 71\ .{,' -'--.,-- ,,--~~ - -~----_. ":'.ff ,j_.. _.0--_--". , l " \, :'",' ,'- ~' ~ ~ *! ~. - - l ~ ~bJ. d tvl > +-. ;::. :0 : , l~~ct 't,t S-. ,~ .~ ~ ~ ~" , IV ~ .r::: ..~~ ~ ~ ~ L ~ :':i".; .:b r- . 1'--- 3M ;s[!5zf' f'rj Fire Barrier Duct Wrap 15A Commerical Kitchen Grease Duct Fire Protection System Product Data and Installation Instructions tejOA "0,+ o~.. ~ .. "'0 ,lit OItA'fO" .' NFPA 96 Compl.ance 1998 Edllion Complieswilh International Mechanical Code Complieswilh Standard Mechanical Code Compl'M<e Re",",'2n2 1. Product Description 3M'" Fire Barrier Duct Wrap 15A is a fire resistant wrap consisting of a patented inorganic blanket encapsuiated with a scrim-reinforced foil. It is used to fire rate commercial kitchen grease ducts and is a proven alternative to 1 or 2 hour fire resistant rated shaft enclosures. This non-asbestos wrap contains a safer fiber construction' and installs easily because of its high flexibility and strength. 3M Fire Barrier Duct Wrap 15A is the thinnest standard, single layer fire resistant wrap that has passed the UL 1978 test which simulates a grease duct fire. With its excellent insulating capabilities, it is an ideal choice for tight spaces because it protects combustible consiructions at zero ciearance to the overlap or collar. 3M Fire Barrier 1000 N/S, 1003 S/L and 2000+ Silicone Sealants used in combination 3M Fire Barrier Duct Wrap 15A provide an effective firestop when the duct penetrates fire rated walls and floors. Features Thinnest, standard one layer wrap for grease ducts rated as a shaft alternative per UL 1978 Zero clearance to the overiap or collar for congested spaces . High flexibility for installation ease . Foil encapsulated with unique center overlap seam for blanket protection, less dust, and high wrap strength . Safer fiber construction' *Has been demonstrated to be soluble in the lungs according to EU guidelines 67/548fEWG, Note Q for bio persistence. 2. Applications 3M Fire Barrier Duct Wrap 15A is an ideal fire resistive enclosure for commercial kitchen grease ducts. It is a proven performance aiternative to a 1 or 2 hour fire resistant rated shaft enclosures and provides zero clearance to combustible construction at overlap or collar. 3M Fire Barrier 1000 N/S, 1003 S/L or 2000+ Silicone Sealant is used in combination with 3M Fire Barrier Duct Wrap 15A to firestop the duct when the duct penetrates fire rated floors and walls. 3, Availability Product Unit Size Units! WI./ cln. ctn. 3M Fire Barrier Roll 1.5in.x24in.x20ft 1 53lb,,' DuctWran 15A 38mm ~ GO,gem x 609 em) 24 k 3M Fire Barrier Roll 1.5 in. x 48 in. x 20 11. 1 1061bs. DuctWraD 15A (38mm x 121 em x609cm) 48 ka 4. Typical Physical Properties Blanket Color: gray/green Weight: 1.38 Ibs./sq. ft. (6.73 kg/sq. m) Page 2 5. Performance 3M Fire Barrier Duct Wrap 15A has been tesled in accordance with the following: ASTM C 411 ASTM C 51 ASTM E 84 ASTM E 119 ASTM E 136 ASTM E 814 UL 1978 (Sections 12 & 13) Surface Burning Characteristics (ASTM E 84) Foil Encapsulated Blanket: Flame Spread: 0 Smoke Developed: 0 Blanket: Flame Spread: 0 Smoke Developed: 0 Thermal Conductivity Temperature OF (oC) 500 (260) 1000 (537) 1500 (815) 1800 (982) btu-in./fhr.-ft2-F\ 0417 0.922 1.69 2.27 For technical data and properties of 3M Fire Barrier 1000 N/S, 1003 S/L and 2000+ Siiicone Sealants see separate product data sheets availabie from your 3M representative G D tL't' rease uc IS !nas Fire Enclosure System Orne a Point lab. DeSIon Nos. Resistive Ducl System Through- Rating Penetration System 1 or 2 hours 1 layer of 3M Fire Barrier GO 532 F FS557W Duct Wrap 15A , 3 in. FS 558 F (76mm) perimeter and FS 559 W longitudinal overlaps FS 560 F FS 561 F FS562W FS563W Code Compliance 3M Fire Barrier Duct Wrap 15A complies with requirements of the following codes: NFPA 96, 1998 Edition Standard Mechanical Code International Mechanical Code Standard Building Code SBCCi Compliance Report 2132 This is only a partial iist of code compliance. For the latest code and approval information go to www.3m.com/firestop or speak to your authorized 3M distributor or sales representative at (800) 328-1687. 6. Installation Techniques 3M Fire Barrier Duct Wrap 15A system should be installed in accordance with the following installation instructions. Material and Equipment . 3M Fire Barrier Duct Wrap 15A blanket, 1-1/2 in. (38 mm) thick, 24 in. (60 cm) or 48 in. (121 cm) wide, 20 ft. (609 cm) standard length. The 48 in. (121 cm) wide blanket helps to minimize waste. Aluminum foil tape. Minimum 3/4 in. (19 mm) wide filament tape. Carbon steel or stainless steel banding material, minimum 1/2 in. (12,7 mm) wide, minimum 0.015 in. (0,38 mm) thick, with steei banding clips. Hand banding tensioner, crimping tool, and banding cutter. Minimum 12 gauge copper-coated steel insulation pins: galvanized steel speed clips, minimum 1-112 in. (38 mm) square or 1-112 in. (38 mm) dia. round, or equivalent sized insulated cup-head pins; capacitor discharge stud gun. Access door hardware: four gaivanized steel thread rods, 1/4 in. (6 mm) diameter by 4-1/2 in. to 5 in. iong (114 mm to 127 mm) with 1/4 in. (6 mm) wing nuts and 1/4 in. (6 mm) washers: 4 in. (102 mm) long steel hollow tubing to fit threaded rods. Minimum 4.0 lb. (1,8 kg) density mineral wool or scrap pieces of 3M Fire Barrier Duct Wrap 15A blanket . 3M Fire Barrier 1000 N/S, 1003 S/L or 2000+ Silicone Sealant. Storage The 3M Fire Barrier Duct Wrap 15A and 3M Fire Barrier 1000 N/S, 1003 S/L and 2000+ Silicone Sealants must be stored in a dry warehouse environment. Pallets should not be stacked. Preparatory Work: 3M Fire Barrier Duct Wrap 15A is installed with common tools, such as knives, banders and capacitor discharge guns for appiying insulation pins. In order to install the duct firestop system, the surfaces of all the openings and penetr8ting items need to be clean, dry, frost free and frcG of dust. Method: To minimize waste, 3M Fire Barrier Duct Wrap 15A material shouid be rolled oul iautly before measuring. General instructions for inslalling the 3M Fire Barrier Duct Wrap 15A include a one-layer wrap construction applied directly to the dwl. The 3M Fire Barrier Duct Wrap 15A blanket is wra;::I'Gd around the perimeter of the duct and is cut to a Ip'-~ih to overlap itself not less than 3 in. (76 mm). The overlap made by adjacent blankets forms the "Iongi'udinal" overlap. Aluminum foil tape is used to seal all cui edges of the blanket and any tears in the foii scrim. There are three (3) approved instal' lion techniques for installing the 3M Fir- Sarrier Duct Wrap 15A (See Figures 1A-1D and -',:ures 2A-2D): 1. Telescoping 3 in. (76 mm) Overlap Wrap With the telescoping overlap wrap method, each blanket overlaps one adjacent blanket, and each blanket has one edge exposed and one edge covered by the next blanket as shown in Figure 1A and 1 B. The visibie edges of the perimeter overiaps all point in the same direction. 2. Checkerboard 3 in. (76 mm) Overlap Wrap With the 3 ie. (76 mm) checkerboard overlap wrap method, blankets with both edges exposed alternate with blankets with covered edges, as shown in Figure 1 C. The visibie edges of the perimeter overlaps alternate their directions and appear on every other blanket. 3. Butt Joint With Collar With the butt joint and collar method, adjacent blankets are butted tightly together and 6 in. (152 mm) wide collar of 3M Fire Barrier Duct Wrap is cen- tered over the joint, overlapping each blanket by 3 in. (76 mm) minimum as shown in Figure 10. In all three overlap techniques the perimeter overlap can occur at any location on the duct. The bianket is mechanically attached to the duct by steel banding or by welded insulation pins and clips for all three iostallation methods listed above. For Banding Only (See Figures 1A to 1 D) Filament tape can be used to temporarily hold the blanket in pi ace until the banding is applied. The steel banding is applied around the duct 1-1/2 in. (38 mm) from each edge of the blanket, and maximum 10-112 in. (26,7 cm) centers. The banding is piaced around the material and tightened so as to sufficiently hold the 3M Fire Barrier Duct Wrap 15A in place against the duct, compressing the foil but not cutting the foil. Additional Pinning to Prevent Sagging of the Wrap: For Ducts 24 in. (60 cm) and larger in width, additional pins are needed to support the blanket on the bottom horizontai surface and on the outside face of a vertical duct run. Space pins a maximum of 10-1/2 in. (26,7 cm) apart in the direction of the blanket width, and a maximum of 12 in. (30 cm) apart in the direction of the bianket length. Refer to paragraph below for more information on Mechanicai Fastening with Pins. For Mechanical Fastening with Pins Only (See Figure 2A to 2D) Insulation pins are welded to the duct in the centers of the overlaps a minimum of 1-112 in. (38 mm) from each edge of the blanket, and spaced a maximum of 10-1/2 in. (26,7 cm) on center aiong perimeter overlap, and a maximum of 10-1/2 in. (26,7 mm) on center along longitudinal overlaps. The blanket is Page 3 impaled over the pins and heid in place by galvanized speed clips. Insulation pins that extend be~'ond the blanket wrap shall be turned down to elimi, "te sharp points. Insulated cup-head pins can be usccl at ihe same spacing requirements of the insulatioll pins. NOTE: Support hangar systems do not need to be wrapped provided the hangar rods are at least a minimum of 3/8 in. (9,53 mm) diameter and spaced a maximum of 60 in. (152 cm) on center alol', the length of the duct. Use a minimum 2 in. x ;1. x 1/4 in. (50 mm x 50 mm x 6,35 mm) steelule steel support channel or SMACNA equivalent Sll ,'ort system. Access Door Installation (See Figure 3) Four galvanized steel threaded rods, 1/4 in. diameter (6,35 mm) by 4-1/2 in. to 5 in. iong (114 nn 10 127 mm) are welded to the duct at the cor :; of the door opening. Four steel tubes, each 3 in ') 111m) long, are piaced over the rods to act as pr r~;on for the 3M Fire Barrier Duct Wrap 15A when 1,;;,lening the door. Four insulation pins are welded to the door panel for installation of the blanket. One l:eyer of 3M Fire Barrier Duct Wrap 15A is cut approxin'"lcly the same size as the access panel and impair I I'\fer the insulation pins on the panel. It is essentio t this layer fit tightly against the wrap surroundi! access door opening with no through ope! A second layer of 3M Fire Barrier Duct Wrap \ is cut so as to overlap the first layer by a minimu '1 cf 1 in, (25.4 mm), The second layer is impaled C' ",c tile pins and both iayers are locked in place with g, I '-"ized speed clips, Pins that extend beyond the 'r layer of 3M Fire Barrier Duct Wrap 15A shali be ed down to avoid sharp points on the door. The insulated door panel is placed over th rods and held in place with washers and w The details are shown in Figure 3. '-aded , IlutS. Penetrations (See Figures 4A to 4D) When the duct penetrates a fire rated wal' floor, an approved firestop system must b, Figures 4A to 40 illustrate typical conditiol 'ing or ',Ioyed, Page 4 To firestop the wrapped duct, follow the installation parameters detailed in the following Omega Point Laboratories, Inc, systems: FS 557 W, FS 558 F, FS 559 W, FS 560 F, FS 561 F, FS 562 W, FS 563 W. Other Applications Refer to Figures 5, 6, 7, 8 and 9 for additional typical conditions. 7, Maintenance No maintenance is required when installed in accor- dance with the 3M Installation Instructions, Once installed, if any section of the 3M Fire Barrier Duct Wrap 15A is damaged so that the blanket is dam- aged, the following procedures will apply: . The damaged section should be removed by cutting the steel banding or removing the clips holding it in place, A new section of the same dimension should be cut from a roll of 3M Fire Barrier Duct Wrap 15A, either 24 in, (60,9 cm) or 48 in, (121 cm) wide. The new section should be placed and fitted ensuring the same overlap that existed previously, The steel banding shouid be placed around the material and tensioned so as to sufficientiy hold the 3M Fire Barrier Duct Wrap 15A in place, If the blanket has not been damaged but the foil has ripped, seal the rips with aiuminum foil tape. 8, Purchase Information 3M Fire Barrier products are available through a network of nationwide distributors, For information on where to buy, go to www.3m.com/firestop. 9. Safe Handling Information Consult Material Safety Data Sheet prior to handling and disposing of 3M Fire Barrier Duct Wrap 15A. Figure 1A 3M Fire Barrier Duct Wrap 15A Commercial Kitchen Grease Duct Systems 1 or 2 Hour Shaft Alternative Zero Clearance to Combustibles Telescoping Wrap Technique With Banding For Ducts 24 inches (60,9 cm) or Less ~ 11' i,1 ",,,,1 (51 j' i,11 ",,,,) (l5 1. One Layer 3M Fire Barrier Duct Wrap 15A 2. Steel Banding 1/2 in. (13 mm) Wide Min. Typical 3. 3 in. (76 mm) Min. Longitudinal Overlap 4. 3 in. (76 mm) Min. Perimeter Overlap System integrity is limited by quality of installation. 11' 1'1 ","') <,l Page 5 Figure 1B Telescoping Overlap Wrap Option Cross Sectional View 3" (76 mm) 1-1/'" (38 m~ 3" (76 mm) 0J-I~F'/'" (38 mm) 21" (53,3 cm) Typ. .1 Figure 1C Chcr.kcrboard Overlap Wrap Option C, cs Sectional View 3" (76 mm) I_I 1-1/2" (38 mm) - 1 3" (76 mm) ~ 111-1/2" (38 mm) ~D- 21" (53,3 em) Typ, .1 Figure 10 r..'t Joint With Collar Option C ~ :>ectional View 6" (152 mm) 3" (76 mm) 1-1/2" (38 r" ~~'> - - ~1/2" (38 mm) 1. One Layer 3M Fire Barrier Duct Wrap , ,\ 2. Steel Banding 1/2 in. (13 mm) Wide Min. Typical 3. 3 in. (76 mm) Min. Longitudinal Overlap 4. 3 in. (76 mm) Min. Perimeter Overlap 5. 6 in. (152 mm) Wide Collar Made From :0'.1 Fire Barrier Duct Wrap 15A Alternate Collar: Prefabricated 3M Fire Rocc;er 20A Collar 6. Firmly Butted Joint System integrity is limited by quality of installation. Page 6 Figure 2A 3M F;re Barrier Duct Wrap 15A Commerc':1 Kitchen Grease Duct Systems 1 or 2 Hour Shaft A:'}rnative Zero Clearance to Combustibles Telescoping ':,rap Technique With Weld Pins Only ~ . ) <b. ..... . .., <$> .....\'" c..~ .....~~')@ <$> @ @ @ @ @ @ . @ I'';~''') ()8 j' 1,1/",,,, (18 p' 1,1 ",'" (58 1 , One Layer 3M Fire Barrier Duct' 'J 15A 2, 1-1/2 in, Square (38 mm) or 1-1/2 L 1, (38 mm) Galvanized Speed Clips 3, 3 in, (76 mm) Min, Longitudinal Overlap 4, 3 in, (76 mm) Min, Perimeter Overl,'p System integrity is limited by quality of installalioll Page 7 Figure 28 Tel. , ~oping Overlap Wrap Option Cr ~ 5 Sectional View 3" (76 m:;I_ 1-1/2" (38 m~ I. 3" (76 mm) ~ ~-1-1/2" (38 mm) ~- 21' (53,3 em) Typ, .1 Figure 2C Chc' ~rboard Overlap Wrap Option (, ; Sectional View 3" (76 mm) 1-1/2" (38 mm) 3" (76 mm) ~ 1--- 1-1/2" (38 mm) wt=- 2 (53,3 cm) Typ, .1 Figure 2D' '. Joint Will; Collar Option ( , Sectional View 1. One Layer 3M Fire Barrier Duct Wral_ 2. 1-1/2 in. Square (38 mm) or 1-1/2 Dia. mm) Galvanized Speed Clips 3. 3 in. (76 mm) Min. Longitudinal Overl" 4. 3 in. (76 mm) Min. Perimeter Overlap 5. 6 in. (152 mm) Wide Collar Made Fro, .1 Fire Barrier Duct Wrap 15A Alternate Collar: Prefabricated 3M Fire ";er 20A Collcr 6. Firmly Butted Joint System integrity is limited by quality of installation. Page 8 3" (76 n' 1-1/2" (38 mn ~ )" (152 mm) lt~ -I r:J_k1/2" (38 I I~ mm) Figure 3 3M rire Barrier Duct Wrap 15A Commerc; ,I Kitchen Grease Duct Systems 1 or 2 Hour Access Door System ~f f~ evV f , ~ ~ , ~, 1. Access Hole 2. 1/4 in. (6 mm) Dia. Ail Threaded Rods 3. Access Cover - 16 Gauge 4. Insulation Pins - Welded 5. First Layer 3M Fire Barrier Duct Wrap 15A Cut Some Size As Cover 6. Second Layer 3M Fire Barrier Duct Wrap 15A with 1 in. (25mm) Overlap On Ail Sides 7. Speed Clips 8. Aluminum Tape Covering All Exposec' , (I~'es 9. Spool Pieces For Threaded Rods 10. 1/4 in. (6mm) Diameter Wing Nuts System integrity IS limited by quality of installation. Page 9 Figure 4A 3M Fire Borrier Duct Wrap 15A Commercial Kitc:lCn Grease Duct Systems 1 or 2 Hour Thrcugh Penetration Systems 4.1/2 inch (11,4 em) Concrete Floor or Wall j ~ 3" (76 mm) . . -- , " , . '. I 3" (76 mm) 1. Floor/Ceiling or Wall Assembly 2. Duct 3A. One Layer 3M Fire Barrier Duct Wrap 15A 3B Banding or Pinning 3C. Packing Material 3D. 3M Fire Barrier 1000 N/S, 1003 S/L or 2000+ ,;;icone Sealant For Wail Assembly Apply Sealant To Both Si ; of Wall System integrity is limited by quality of installation. Page 10 Omega Point Laboratories, Inc. Through Penetration Systems FS 560 F FS 562 W Figure 48 3M Fire Barrier Duct Wrap 15A Commercial Kitchen Grease Duct Systems 1 or 2 Hour Through Penetration Systems Fire.Rated Gypsum Wallboard ------- .------ ------ U 3" (76 mm) J 3" (76 mm) 1A. Studs 1B. Gypsum Wallboard 2. Duct 3A. One Layer 3M Fire Barrier Duct Wrap 15A 3B. Banding or Pinning 3C. Packing Material 3D. 3M Fire Barrier 1000 N/S or 2000+ Silicone Sealant Omega Point Laboratories, Inc. Through Penetration Systems FS 557 W FS 559 W System integrity is limited by quality of installation. Page 11 Figure 4C 3M Fire Barrier Duct Wrap 15A Commercial Kitchen Grease Duct Systems 1 or 2 Hour Through Penetration Systems 4-1/2 inch (11,4 cm) Concrete Floor or Wall =r 3" (76 mm) ~~ . t::::: . . . . '. . I-o~~ . c~~ ~~ ~~ I 3" (76 mm) 1. Floor/Ceiling or Wall Assembly 2. Duct 3A One Layer 3M Fire Barrier Duct Wrap 15A - Terminated on Each Side of Floor or Wall Penetration. 3B Banding or Pinning 3C. Packing Material 3D. 3M Fire Barrier 1000 N/S, 1003 S/L or 2000+ Silicone Sealant For Wall Assembly Apply Sealant To Both Sides of Wall System integrity is limited by quality of installation. Page 12 Omega Point Laboratories, Inc. Through Penetration Systems FS 561 F FS 563 W Figure 4D 3M Fire Barrier Duct Wrap 15A Commercial Kitchen Grease Duct Systems 1 Hour Through Penetration Systems Fire-Rated Wood/Gypsum - Floor/Ceiling Assembly ~ 3" (76 mm) 3" (76 mm) 1. Fire-rated Floor/Ceiling Assembly 2. Duct 3A. One Layer 3M Fire Barrier Duct Wrap 15A 3B Banding or Pinning 3C. Packing Material 3D. 3M Fire Barrier 1000 N/S, 1003 S/L or 2000+ Silicone Seaiant System integrity is limited by quality of installation. Omega Point Laboratories, Inc. Through Penetration Systems FS 558 F Page 13 Figure 5 3M Fire Barrier Duct Wrap 15A Commercial Kitchen Grease Duct Systems Suggested 1 or 2 Hour Three Sided Wrap 3" (76 mm) ~ Ll Ll Ll <J ,d ~ 1. Concrete Slab 2. One Layer 3M Fire Barrier Duct Wrap 15A 3. Concrete Fasteners - Minimum 1/4 in. (6 mm) Dia. Steel Concrete Anchors 4. 1/8 in. (3mm) Thick x 2 in.-3in. (50mm - 76mm) Wide Bar Stock Perforated 12 in. (30 em) O.C 5. Duet 6. Banding 7. Banding Clips Page 14 Ll <J Figure 6 3M Fire Barrier Duct Wrap 15A Commercial Kitchen Grease Duct Systems Suggested 1 or 2 Two Hour Two Sided Wrap 3" (76 mm) <J 4j <J Ll Ll <J Ll<J IN : ..--... '-l m :3 Ll :3 '--" 1. Concrete Slab 2. One Layer 3M Fire Barrier Duct Wrap 15A 3. Concrete Fasteners - Minimum 1/4 in. (6 mm) Dia. Steel Concrete Anchors 4. 1/8 in. (3 mm) Thick x 2 in.-3 in. (50 mm - 76 mm) Wide Bar Stock Perforated 12 in. (30 cm) O.C. 5. Duct 6. Banding 7. Banding Clips System integrity is limited by quality of installation. Page 15 Figure 7 3M Fire Barrier Duct Wrap 15A Commercial Kitchen Grease Duct Systems 1 or 2 Hour Shaft Alternative Zero Clearance to Combustibles Suggested Exhaust Hood 2 1. Hood 2. One Layer 3M Fire Barrier Duct Wrap 15A 3. 6 in. (152 mm) Minimum Overlap 4. Banding Page 16 Figure 8 3M Fire Barrier Duct Wrap 15A Commercial Kitchen Grease Duct Systems 1 or 2 Hour Shaft Alternative Zero Clearance to Combustibles Suggested Roof Vent c -0 2 ..-.. E E 4 4 N 4 . " L[) . 4 ~ . '-' ~ cv/ ill 1. Duct 2. Roof Assembiy 3. Roof Flashing 4. Vent Flashing 5. One Layer 3M Fire Barrier Duct Wrap 15A 6. Firestopping System for Rated Roof Assemblies Only Page 17 , :gure 9 3M Fire B:. , . '?r Duct Wrap 15A Commercial Kite' .,n Grease Duct Systems 1 or 2 Hour Shaft Alternat:':e Zero Clearance to Combustibles Suggestc ,I Vertical Support 4 3" (76 mm) MIN. TYP. 21 . <1 . . 4 <1 . . <1 . 1. One Layer 3M Fire Barrier Duct Wrap 15A 2. One Layer 3M Fire Barrier Duct Wrap 15A ( 3. Mechanical Fasteners and Washers 4. Duct 5. Rated Floor/Ceiiing 6. Firestopping System 7. Banding 8. Support Channel .?riapped At Base Page 18 Warranty and Limited Remedy, This product will b~ free from defects in material and manufacture for a peri- od of ninety (90) days from date of purchase. 3M r',\KES NO OTHER WARRANTIES INCLUDING, BUT NOT LIMITED TO, ANY IMPLIED WARRANTY OR MEi ,CHANTIBILlTY OR FITNESS FOR A PARTICULAR PURPOSE. User is responsible for determining w~."ther the 3M product ie fit for a particular purpose and suitable for user's method of application. If this 3M product is proved to be defective within the warranty period stated above, your exclusive remedy and 3M's soie obligation shall be, at 3M's option, to replace or repair the 3M product or refund the purchase price of the prec!uc!. Limitation of Liability. Except where prohibito-' ' arising from the use of this 3M product, whe' regardless of the legal theory asserted, inch' .. "w, 3M will not be liable for any loss or damages . 'cel, indirect, special, incidental or consequential, ,,,ranty, contract, negligence or strict liability, 3M Specified Construction Products Department 3M Center 223-2N-21 51. Paui, MN 55i44-iOOO (800) 328-i687 Printed in USA @3M 2001 98-0400-5054-8 (July 2001) _. COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - (303-234-5933) CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Building Permit Number: 16721 Date: 2/9/2004 Property Owner: WHEAT RIDGE MANOR NURSING HOME Property Address: 2920 FENTON ST Contractor License No.: 18071 Company: Sentry Fire & Safety OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Phone: 238-0481 Phone: 294 0708 Totai: $2,000.00 $90.10 $0.00 $24.00 $114.10 iSo.co ".Il( H,;JGo4 \0 I hereby certify that the setback distances proposed by this permit application are accurate. and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full re~~ibilitY fo~ compliance with the Wheat Ridge Building Code (U.B.C.) and all other a . b1~~e e ordi es, for work under ~mit. . (OWNER)(CONTRACTOR .. DAT (50;y Construction Value: Permit Fee: Plan Review Fee: Use Tax: Use: Description REPLACEMENT OF KITCHEN HOOD FIRE SYSTEM ~1"1 - ) (.0 I ~1/'1~< I .. ...., BUILDING DEPARTMENT USE ONLY _nlrimmAmm.""imi:, SIC Sq. Ft. Approval Zoning 1m1l~III$oOBD; Approval i~bllawbrk~gg)m_ Approval Occupancy: Walls Roof: Stories Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: Expiration Date: Approval: Expiration Date: Approval: (1) (2) (3) This pennit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. This permit shall expire if (A) the work authorized is not commenced within sixty (BO) days from issue date or (B) the building authorized is suspended or abandoned for 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 changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are 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 shall notify the Building Inspector twenty.four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of the job. The iS1fjua f a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the proviso of e .. es or any other ordinance, law, rule or regulation. I ., ,; , (4) (5) (6) ector Please sign Terms and Conditions on reverse side of page, Building Permit Number: Dale: APPLlCA nON Property Owner: 0'/C4Pfi\IJJ'7~ A/jIM)O"-- NUI1.JI~) Jh,n< ~ Property Address: p. 9,)0 FCOA..-'r-o ~ r- Contractor License No.: / J'b 7/ Company: S~~r"'7rl;:i. d-J,-frEr71"~ <- Phone :.305 -.z?!P-CJ;IdP/ Phone:5 oJ' ~'7'1' -O?Q F OWNER/CONTRACTOR SKiMATURE Of UHDERSTAHDfHG AND AGREEMENT 1 hereby certify tl1at the setlJ.ack distances proposed by this permil application are accurate, and do I'lOt I/iolate applicat>>e ordinances, rules Of regulations ollhe City of Wheat Ridge or covenants, easements or restrictions 01 record; thaI aa measurements shown, and allegations made are accurate: that I have read and agree to abide by an conditions printed on this application and that I assume lull responsibility for compliance with the Wheal Ridge Bu;~iog Code (U.B.C) and aU O~:heal RKlge Ordinances. ' lor work under this permit (OWNERKCONTRACTOR)S~ ,~~_ ~d/ DATE#V, (OWNERKCONTRACTOR): PRINTED ;{ /)u/ r rL c..~~c-~f.;1' OAT~-,h' V ( . / Construction Value: S Permit Fee: $ Plan Review Fee: $ Use Tax: $ ,;zQtJD~ Total Fee: $ DESCRIPTION: f!5.r'L#Cv~u.n/T' 01' ;::./ rc./!,,<4..j Nbov 1"1.c6 -;/'JIen;! BUILDING DEPARTMENT USE ONLY SIC SqH: ZQHtfrtG COMMENTS: Approval: Zoning: BUIlOIHG COMMons: Approval: Pusuc WeAKS COMIIEHTS: Approval: I CGccpr,cy Electrical License No: Company: W2.\ls ~,::.,Jf f"'l_ :025 ReSldentii1] Uni\s: Plumbing License No: Company: Mechanical License No: Company: Expiration Date: Approval: Expiration Date: Approval: Expiration Date: Approval: (1) lb. pennII wn mu.d In: accordance wtlb tbt proYItion. ut bUt irl your IPPI~ and b subted to the .... of the $tal. of ~ and to tIl. loninll RtVUlaUonl MCI BulJclnI Codes 01 WhNt Ridge, Cokndo 01 any" appkabIt oninanctl oIltM CIty. (2) Nt pennI...1I upn II (A) 1ft. wor\ IUIhoftzed II not COlM*t(ed wiIhin IIxty (ie) dlys from Itsue dat. 01 (B)1bt buiWlnIj MIlhorUed is ..J*Idtd 01 abandoned tw II ........,21"- (3) . thk pennI aplt'n, . ... pennI may be ~ tor 11 f.. 01 on"'. ttlt amount normdy ~Ind, provided no d1_... blve bMft or wiI be mack in lb. original pUn. aM r - U I and .",..,.,.siOft 01 abandcltNMnt has not uCMded OM (1) y..... 'cNnpt hne bMft <<. suepen.ton Of ~ extMds on. (1) .,.., fuI.... .. be pi'" for II... pwmIt. (4) No WOf\ of.y mann.- ..... be'" that wtI chMge Ute nlbnl now of..... caumll '''-ee probMm. (5) Conb"ador "'11 IKltJfy 1M 8uM6t1 MSptetor tMnty-btr (24) houri ill advlflU for .. htlp4lCtion. and Ib.. ~. wriUM lippt'O\'aI on lnspectkln urcI before protMdiItsj wMIlOCCeS.... ph.... of the)ob. (i) lbt l$su1ftCt of II ptnnI 01 the approval of...... .... ~ft. shal not be tonstrutd to be II p<<mIt '01.1'10I' an approval of, any violation oIlt1. provision. 01 the buIcllng cod.. or"''1 oIhw ordnance, ltw,l'\Ih or f1ogulalion. Chiel Building Inspector C I 8lt8st the above information to be accurate. 1 have received ilnd reviewed the Inspection Compliance and the Fee Schedule. This permit II the ~ ~; property fit the Wheat Ridge fire Protection District and is issued subject to conditions contained herein. Upon .ny failure or any condition including m {',> fiIiIuIJI of clearance of any permit payment, this .permit is subject to immediate revocation and the pennit must be retumed upon demand to a repreIIIenI:ati of the Wheat Ridge Fire Protectio~Distrid:. .. I \ Signature of Applicant: "f. /11::y-;1 ,./ '''''',' { -' NonCE: If construction is started prior to the issuance of a permit, THREE (3) times the normal fee will be asses.ee1. Application Date: Permit No. I JO"3 Wheat Ridge Fire Protection District P.O. Box 507 . 3880 Upham Street . Wheat Ridge, Colorado 80034-0507 303-403-5900 Office . 303-940-0350 Fax. www,wrfire,org Name: Agent: Address: , \ Contractor Information ;(f.::'i~';f-:lF-j"j ',,\/,~ Site Information Address: ~ ; '/\';,{' . l, r; ';, ';'1) /' Business: Contact: Phone: ;:"i,J ~. i.{. t";' ,,~ ;:~(., ;'': (4 " . "i'" ., 'I "'>0'" I ~ 0" ~ ' , Phone: , ., ,; I ~) ,'i , INSPECfIONBY ARE PROTECTION DISTRICT REQUIRED? ~ YES 0 NO Past this permit in a conspiCuouS place. Request required Inspections a minimum of three days in advance at 303-40).5902. ;'" ,;' TYPE OF PERMIT FORMULA (see fee schedule sheet) FEES Tank Inspection No, ofTanks Review Alarm System Plans System Value- X Review Sprinkler System Plans System Value- ::7/r,!C {.7,U Review Misc. System Plans System Value- Review Building Plans Valuation - Special Handlina or Use Plans Valuation- t' ! .f,(,/f7~i-rl y,....k,' ~ C"!.;.~' (t" I TOTAL FEES DUE t.-'1. ).C' j t. '':''\, , .c. , Date Paid Amt. Paid MethM ~r::.."'" .-,,, ... Initials "I)P j' ~,}: f. 1::'. ~ , ~" t~: {' t~: o Alteration'" ,\, o Partial o Total B1dg, ~New ~ ,..,' t'.. .t F'''' t: Field Inspections and Dates: ~: ~, i*.:, ~< Hydrostatic Tests and Dates: i' nls: ~" " .+ ,J _,.q , '" ,,,.<' , ~{ ...:. _ON D."'"'' ............. _""D ..... ro n........".. "'" "....., o APPROVED AS SUllMmED ~ CONDffiONALLY APPROVED (See Comments.) BY~..I Uifit, lu.cb o Other: ;( .; t);;;!p<;'I'~ ... '7n, ".. '7 -.-~t.~ f '" ~' TITl.E 1~,""II.,,.j11J HHL 1- Zt.. ."y DATE , TYPE OF PERMIT Site Assessment (Re-Submittal) Plan Revision (Re-Insped:) After hours inspection FORMULA (see fee scheduie sheet) No,ofSlt:es No, of Hours 2 Hours + No. of Hours TOTAL FEES DUE FEES Date Paid Amt. Paid Method Initials FlNAL APPROVAL DATE BY TITLE -~ ::J: m :I> -I ;:u 1'04 '"II 1'04 ;:u m 'a ;:u o -I m n -I 1'04 o Z C 1'04 (I) -I ;:u 1'04 n -I ........"~' "#' 'a m ;:u 3: tool -I W(J\ (J\ . to ;;U J> X e Z ;;UQ ruZfT! -l'-fT! . ;;U ruQ -l'-;;U . ...... x ~ ru~ Wr . fT! Ir~- ~ 1--- " \ /'- /\ I 1 / \ I ...... ir -j r li r ! ~~ 'v,-J I i~~1 i L \ (' . \, I ~ ~_ _..l i '~)' 'I I \ / I i ,y\:.,y! I ~ I i 0, (~"\ I Ir ~ ~I i \ . ) \ ) I l ,<-~y '<--_J ~ I I I I ! I j I , I , - r I , i 1-0 'r ie !C1 i I I I i i Illl~ap ~t:8!'> ~jl!" ~ao;' ~~~~ ~!i~ ~~~ ~:I~ ",~i~ill ;"d~ oi;j ;t:!:Il~ z . Q 0 ~\J::I m !;~o;lllii: 0 ll"~~ ill>g~ ;1 n,-~;;1 ~~~~ ~~~~ ~~ g~i ~ 8 ~o;~~ ~c c~ ~!i!~ l"d:<Ul li!i- 0 <>o;fl C I w o o - r Vl I fT! r " - r :-0 ir ,e ,Q i i I I I I ~_____"._~_.___~____...__._~_______._-----L NN-..... z ::I: ::I:r 0 = .. I \ \ I i !-u Ir Ie jG1 L- II SENTRY FIRE a. SAFETY lNG, ~ ~ ".. I'IU!U:!lIlN ........,. 12'34 S, INCA STREET DENVER, CD 90223 ~ i ~ I UIJ rRE.\lAV PI-IN) (303) n4~7DB FAXI (303) ~~7111 PRE-ENGINEEREIl PYRC CHEM 'JET CHEMICAl.. F1IlE SU'I'IlESSlIJI SYSTEM. :<::I ! 10 1 to 0 i J> ~ I Z I l ^ CD : -0 ~ :r ifT! lz ie :2 i ] , ! ru ~ i ; ~ I ..... n I 00 -l I . I i I I I .....-----~_..--.l i i i I j I ! i i i I I I i I , i - I (l')U -<0 (1')1 -II f'lW 3:0 o ~HEAT RIDGE MANOR NURSING HOME 2920 FENTON STREET ~HEAT RIDGE:, CD 90214 fL[ .... .....cAT MIlE IWIIU'Io'G ..,...-m .... FWE IftI'DI 1 Pyro-Chem Kitchen Knight II PCL-30014601600 Nozzle Coverage Summary Sheet KITCHEN KNIGHl: II ~. Width length Min. Max. Nozzle Flow (In) (In) Height Height Appliance Type Points Max. Slda Araa Sq. In (In) (In) Deep Fat Fryer - Vat 2H 24 48 2 191/2 191n. Deep Fat FlYer (Low Proximfty) - Val 2L 13 24 Deep Fat Fryer - Drip Pan (Vat 18" x 18" max.) 2H 24 48 2 27 314 500 Sq. In. Deep Fat FlYer (Low Proximity) . Drip Pan (Vat 18" x 18" max.) 2L 13 24 Deep Fat FlYer - Drip Pan (Vat 191/2 x 19' max.) 2H 24 48 2 25 318 495 Sq. in. Deep Fat FlYer (Low Proximity). Drip Pan (Val 19 1/2" x 19' max.) 2L 13 24 Two Burner Range lH 40 50 1 12 28 In. Two Burner Range (Low Proximity) lL 13 24 Four Burner Range 2L 2 28 28 In. 34 48 Smail Wok lH 24 48 1 24" dia. 6' depth Small Wok (Low Proximity) 1L 13 24 Large Wok 2H 24 48 2 30" dia. 8" deplh Large Wok (Low Proximity) 2L 13 24 Smail Griddle lH 24 48 1 36 1080 Sq. in. Smail Grkld1e (Low Proximfty) lL 10 24 Large Griddle 2H 24 48 2 48 1440 Sq. in. Large Griddle (Low Proximfty) 2L 10 48 Gas Radiant Char-Broiler 1H 24 48 1 26 624 Sq. in. Gas Radiant Char-Broiler (Low Proximity) lL 13 24 Large Gas Radiant Char-Broiler 2H 36 48 2 36 B64 Sq. in. Large Gas Radiant Char-Broiler (Low Proximity) 2L 13 36 Lava Rock Char-Broiler 2L 2 26 624 Sq. in. 15 35 Natural Charcoal Char-Broiler (max. fuel depth 6") lH 24 48 1 24 480 Sq. In. Natural Charcoal Char-Broiler (Low Proximity) lL 15 24 Mesquite Char-8roiier (max. fuel depth 6") lH 24 35 1 24 480 Sq. In. Mesquite Char-Broiler (Low Proximity) lL 15 24 UprighVSalamander Broiler lL 1 36W 280 Front edge; above the grate Chain Broiler (Intemal Chamber) lL 1 27W 380 Front edge; 1.3~ above the chain TIit SkllletIBralsing Pan Coverage limitations are based on fryer sizes including the drip boards. Excepllon: TIit Skillets and Braising Pans may exceed maximum of 6 sq. ft. Nozzle Flow Width Langth Nozzle Placement (See Plenum Type Point. (ft) (ft) manual10r more detail) Single BankiV Bank lH 1 4 10 0'-6"irom end of plenum Nozzle Row Max. Side Perimeter Diameter Longth Duct Type Points (In) (in) (in) (in) RectangielCirculer 20 2 34 100 317/8 Unijmitecl Rectangle/Circular (2) 20 4 51 150 471/2 Unlimited PC2001189(1) ~ .~ ~. .. " ~ .. .. ~ ~ :t- o ~ ..$' Fire Marshal Roberts Wheat Ridge Fire Department r~~\) ~~~~., '1~v,'" ~ ~~ ~ .~ ~J ,""~ q; '...\,,~'I) ,) "" \~,. "'~~ ~<(<\ ...;\,1:". ,;.. ~ . 4'\. l'~" :(''-' (\'" ~~ ('\. c~ January 28, 2004 HAND DELIVERED RE: UL 300 Suppression System and UL Type I Hood Dear Dave, Wheatridge Manor Nursing Home is still in the process of coordinating the contractors that are going to install the hood, As you are aware this has been a trying process for us. Unfortunately, I do not believe the contractors will be able to get everything in place; i.e. pennits, drawings etc. approved and complete the job by the end of January. We are continuing to follow your instructions by having two 10 pound K extinguishers within 8 feet of the stove. I am requesting an extension of the current deadline to be extended to February 27,2004. Extending the deadline will allow the contractors to have time to get everything in place. ~ Eric Thompson Plant Operation Supervisor 11'!; tI/~p:" i\ ~lpr~ fJ \/ Thank you for your consideration in this matter, Whutridge Manor Nursing Holllt-292IH'tIltm Street. Wheat Ridge, Colorado 80214.303/238.0481. patitntphone 303/232.9819.fax 303/233-3775 C I attest the above information to be accurate. I have ived and reviewed the Inspection Compliance and the Fee Schedule. This permit Is the ~ property of the Wheat Ridge Fire Protection District a d is i ued subject ndition ntalned herein. Upon any failure of any condition induding m failure of clearance of any permit payment, this p it I subject to i me ate r cation and the permit must be returned upon demand to a rep~ntative of the Wheat Ridge Fire Protection Oi riet. .".-" .,.... .'-' 'i ,\, , :; Application Date: / JU/oj Permit No. I J-O to Wheat Ridge Fire Protection District P.O. Box 507 . 3BBO Upham Street. Wheat Ridge, Colorado 80034-0507 303-403-5900 Office . 303-940-0350 Fax . www,wrfire,org Name: Agent: Address: ~~In~rm~ A. '/t1axJ5 t/fa-rIUc!., / .Ale. AWI.s . 5.1[;1"!1f:.' 1</IP.IRrt..v-tSS p/'Zlv-t..L, G;I/Z- /'E,;KtA"t..JOc>d.. &" <goll c:.... :> o:s - 'f5<J /- 'rea::> Site Information Address: ~qlO ~n-o..J 't./. Jttf. If..! Go . Business: A V~/AI ~o..." It Contact: !f,ufl- ' Phone: Phone: Signature of Applicant: ~ NOTICE: If construction is started prior to the issuance of a permit, THREE (3) times the normal fee will be assessed. INSPECTION BY FIRE PROTECTION DISTRICT REQUIRED? jl{f YES 0 NO Post this permit in i1 conspicuous place. Request required inspectjons a minimum of three days in advance at 303~03~5902. TYPE OF PERMIT Tank Inspection Review Alarm System Plans R,eview Sprinkler System Plans Review Misc. System Plans Review Building Pians Spedal Handling or Use Plans FORMULA (see fee schedule sheet) No, ofTanks- System 'Jiltue= System Value- System Value Valuation- Valuation- FEES ~ ~ Date Paid Amt. Paid Method," vJ, Initials (l TOTAL FEES DUE .~ o Totai Bldg, jKJ New Field Inspections and Dates: o Alteration , . /7 o Partial 0 Other: c/-af>-'~ fer pew f#P<V, ~.....?....... '-5,...LJ,r:-~~ ;;;/- '=-n./~ Hydrostatic Tests and Dates: . Comments: FIRE PROTECfION DISTRICT APPROVAL IS REQUIRED PRIOR TO THE ISSUANCE OF THIS PERMIT. l8l APPROVED AS SUBMITTED o CONDmONALL Y APPROVED (See Comments.) BY ~ ,...... j(nl"'''L7s TrrLE ht..E /11t1tlfjlt1L DATE /-a.-o,-/ TYPE OF PERMIT FORMULA (see fee schedule sheet) FEES Site Assessment (Re-Submittal) No. of Sites Plan Revision (Re-Inspect) No. of Hours After hours inspection 2 Hours + No. of Hours I TOTAL FEES DUE Date Paid Amt. Paid Method Initiais FINAL APPROVAL ~~. J1~Ltz mLE;i&~Jl DATE C?~;tl--c4 ...... .:e ::c j m > ~ ;a .... ." .... ;a m " ;a o w J":rI m n ~ .... o z c .... (I) ~ ;a .... n ~ " m ;a ~ k.... ~ o I attest the above Information to be accurate. I have received and reviewed the Inspection Compliance and the Fee Schedule. 111ls permit is the ~ property of the Wheat Ridge Fire Protection District and is issued subject to conditions contained herein. Upon any failure of any condition- including m failure of clearance of, an'l permit payment;. this permit is subject to immediate revocation and the permit must be returned upon demand to a representative of the Wheat Ridge Fire Protection Distrig.. .~""JC;~?-,""':'6;--:-"'''7,-''''-~~'~''"'~-~~-'--'_.. '~"-~""""~---".--~'~"':'7-"--'-':'":~--~--'.'~~- Application Date: . rbJ;jof /rJ05 I Wheat Ridge Fire Protection District P,O, Box 507 . 3880 Upham Street . Wheat Ridge, Colorado 80034-0507 303-403-5900 Office . 303-940-0350 Fax . www,wrfire,org Permit No. Name: Agent: Address: "\ Contractor Information "fp!-u ! kveL 'Y ul.e.kt TP, _d Address: Site Information 2qZ-P ~n,AJ fr lut-A-L),,,, ~11.D'" " , /" ~ @.'-f I G' PI> A-b e 'D.e;1';~ CP. arh'Z-"'I . '7 7"()- ~q '1- ?b~ 1" Business: Contact: Phone: Phone: Signature of Applicant: .;/ :e ::c m :I> ... ;Ia 1-1 ." 1-1 NonCE: If construction is started prior to the issuance of a permit, THREE (3) times the normal fee wilt be assessed. ;Ia INSPECTION BY FIRE PROTECTION DISTRICT REQUIRED? ~rvES 0 NO m Post this permit in a conspicuous place. Request required inspections a minimum of three days in advance at 303-40]~S902. TYPE OF PERMIT FORMULA (see fee schedule sheet) FEES Tank Inspection No. of Tanks- Review Alarm System Plans System Value- Review Sprinkler System Plans System Value- )/( !Review Mise, System Plans System Value-'" .J.D~, 0(> Review Building Plans Valuation- Special Handling or Use Pians Valuation- I TOTAL FEES DUE .}.0f6, IJ.{I o Total Bldg. ~New Field Inspections and Dates: Date Paid Amt. Paid Method 1v?OL 0 Initials Cb o Alteration o Partial 0 Other: I)jew 't:,.kI~e.1-' l-/oo.Q, ~~~Jf--P.A(f/<f-91~?n-c;</ ~ Hydrostatic Tests and Dates: Comments: }..J .~;6 h~: :J.~?t' ~ " ~':~j'~:5- t"~~<j~':~ ~t$1 ~ ~~iYt 3~~-:::-~~ 7'C"'~P.-' ;to;,f. ~J /'J/,. z.P. t' eJ}.J ~I h - J e ~ It 'A-Y'~ J '"plait ;.I ( ":' ~J'; Lu IU J"p'.v,IJ't", ";FJM L.~ FIRE PROTEcnON DISTRICT APPROVAL IS REQUIRED PRIOR TO THE ISSUANCE OF THIS PERMIT. o APPROVED AS SUBMITTED ~ .CONDmONALLY APPROVED (See Comments.) BY).:tu5 Itnbuir TITLE F,(zE/I1tr~lh4l_ DATE /-21.. -aj TYPE OF PERMIT FORMULA (see fee schedule sheet) FEES Site Assessment (Re-Submittai) No, of Sites Plan Revision (Re-Inspect) No. of Hours After hours inspection 2 Hours + No. of Hours I TOTAL FEES DUE Date Paid Artlt. Paid Method Initials FINAL APPROVAL B~'~/Ud;- TffiEk~ DATE ,:1...-ZO..oi 'tI ;Ia o ... m n ... 1-1 o z c 1-1 (n ... ;Ia 1-1 n ... 'tI m ;Ia 3: 1-1 ... c , I attest the above Information to be accurate. I have received and reviewed the Inspection Compliance and the Fee Schedule. This permit Is the ti) proPerty of the Wheat Ridge Fire Protection District and is Issued subject to conditions contained herein. Upon any failure of any condition including m ~.' falhJ're of. dearance of any permit payment, this permit is subject to immediate revocation and the permit must be returned upon demand to is representa~ of the Wheat Ridge Fire ~rotection District.. "" .l ;,-._ . Signature of Applicant: 'f. ~j, j ~,/7~, "NOTICE: If construction .is started prior to the{ssuance of a permit, THREE (3) times the normal fee will be assessed. Application Date: Id03 Wheat Ridge Fire Protection District P,O. Box 507 . 3880 Upham Street . Wheat Ridge, Colorado 80034-0507 303-403-5900 Office. 303-940-0350 Fax. www,wrfire,org Name: Agent: Address: .~ ,~ Contractor Information senTI- '/ F'I Co .. 5c..~",7-1 1Y'< Address: Site Information wJ.,,~o..7l.d{;~ rY1a.1"ol J if'''' F-eY\7"" 6/ kff' fo~ ? '?R'. oi./tr( ,'} '1'1 {" ., "La , 1 O,i'lli<l ("<I 50717 '1"- J.9,( o7.ii' Business: Contact: Phone: Phone: Permit No. '".A';-' /....."1 I/~Jl"( :e :z: m :I> -I iIl3 J-I ." J-I INSPECTION BY FIRE PROTECTION DISTRICT REQUIRED? J81 YES 0 NO Post this permit in a conspicuous place. Request required inspect/onsa minimum of three days In advance at 303-403M5902. iIl3 m " TYPE OF PERMIT FORMULA (see fee scheduie sheet) FEES Tank Inspection No, ofTanks- Review Alafm System Plans System Value= X Review Sprinkler System Plans System Value- ::Ut'Jt'1 14'1,"-' If Review Mise, System Plans System Value- ~ Review Building Plans Valuation- . Spedal Handling or Use Plans Valuation- hI P... i~~t<d fY""~~<'f:i;-'/;,':A:;;;; I. . I TOTAL FEES DUE (.,.'1.~a o TO~I Bldg, ~New Field Inspections and Dates: o Alteratio~ o Partial ,1"/(1"', o Other: ,,-, -d Hydrof;tatic Tests and Dates: "\ 'Comments: ^f .-- .r- 04 . '0 - f) ~ f ....1 s , B Date Paid Amt. Paid Method 1Il.f50" Initials "tI iIl3 o t. a--j '.;'j m n -I J-I o z C J-I U) -I iIl3 J-I ,.- , FI~E PROTECTION DISTRICT APPROVAL IS REQUIRED PRIOR TO THE ISSUANCE OF THIS PERMIT, o APPROVED AS SUBMmED ~ CONDmONALLY APPROVED (See Comments.) BY~4'h; 1(,il'''':A.-A TITLE ,:::;",,:-a1J'fil.JWIlL DATE I-ZI..-oy TYPE OF PERMIT FORMULA (see fee schedule sheet) FEES Site ASsessment (Re-Submittal) No. of Sites Plan Revision (Re'Inspect) No. of Hours After hours inspection 2 Hours + No. of Hours I TOTAL FEES DUE FIf1~OVAL BY.' ~~ TITLE Fi~ DATE ;2-'ZD-ctf Date Paid Amt. Paid Method Initials "tI m ;a 3: J-I -I L-J S??~~N~' ."7?.. S~ST-;"1{ P:2SS~?2 :::::::5:::: II .::" j.:"":: v~_IN P?2SSTI"?2 T:::ST ! I ::::OOC) '" DCCT S;.,;==?2S~=CN S-':~=E:l~ :::::::S~ tp:j EI?2 ~7.~~~ S~SI3~ ACC~?T~~C~ T~ST ! I O'.;.',::,,=;?, LOG.:::'C:@: wh.e.>>ic4~ fLI~,nt. JJUJ~/:5 ./..k..-e-, D"_'::=:: : j 2. - /1 -17 ?3Qu-:::ST::::::; =--: s.2;,,;:;~ -x CC01-:J\JC:::':::c) 3:: fiJlb-e 1l)1u~ d~0I0 Fu...-nJ..J ~I , C..--="7"--=-~1.' ..... -~---- ? .?-.3 S::::J fz1 I I -- ---- .=. _....;._~.:......;=-:...J c-::cc=:~,'::s: 4 ~~-L- sf: ~r&be- l...Uds c;)jpJ~ ~ f?{7S/~ '-}C..."J-=>f?1 ~,... , ~+J.[ p..4f(g)), A.J.., fermj nujJdJ, rrr,.-~ ~ /717---rr- ,::-..:=-",::,,-,: ~/~ ~."~"",, ''1~7"'''''''~'''''''''''''''_'''''''''''''''''''"''!''''"''''"''''V''.4.,~,,,,.,",,i''!.''"",~"",~",,,,,,,,,,,,,,!,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,-,!~,,,,!!,,.,,,,,,?.,,,~","., I.'. ~A~TM~NT PfPLANNINQ Af!lQ DEV$LOPMENT Building Permit Number: 5359 .. "' ", . Eil1UILDING IttSPE;C1'IONPlVtSION . 235-2855 CIFl Of WMEAT RIDGE Date: 6/30/97 7~OWI!ST2'THAVENUE WMEAT>RfDGE,CO $0215 Property Owner: Properly Address: 2920 FENTON ST Contractor License No. : 19550 COmpany: Colorado Seamless Gutters, Inc. Phone: 238-0481 Phone: 4471555 Construction Value : I'ennit Fee: Plan Review Fee : UseTax: Total: $2;220,00 $75,50 $0,00 $26.84 , $102,14 OWNERlCoNtAAcrQ~ SIGNAl"U8E OF UNDERSTANDING AND AG8EEMENT ~er:~~~t~~~~~r~~:=~:~~' CX)'il.n""IS, ,$&8m8n\S.Qr ~ of record; that au meesuremenlS shown, and allegations =~~~~=fr~*mvlt~~~~"=s~~';:~lldjng ~=~::~:::~:=:tt:i~::th;rk7' Description: REPLACE GUTTERS BUILDING DEPARTMENT USE ONLY SIC: Sq, Ft : . " . . , Approval: Occupancy : Walls: Roof: Stories: Residential Units : Electrical Licerlse No : Company: Plumbing License No : Company: MechaniclilLicense No : Company: Expiration Date : Approval: . Expiration Date : Approval : . Expiration Date : Approval: (1)==~===~~CO:':::~~"llf'J.~~lJI:ctthe_oItheS1l>WOtCokndO"""ll)theZonlng (2) ==.~ =~~= al1lholiZsd is notcommonced within sixty (80) dSyo frOm Issue daIS or (B) the buIIdlnq authorized is ~ or (3) ~ this J>O(lT1It '"""""". """' may" aoqulJod fOr alee of one-l1alf the smount normllIly required, orovIded no ....llflOJbave _ '" wiU be mode in \he Qljginal pIMa.-.l~" ond any i_lion '" abandonment has not excIOded one (1) year. If cbang...,. mode or W IUIIIOllIiOrl Dr_ _.... (1) _,lUll"" _.. paid for e new permit. (461 NDWllI1<oI any""""""'~oIt.._thatwlltchange the _ _ ofwatSr oaUSlna a dralrooge probIant ( F~.~==~~iol>.-.ty-tour(24) hourIinadvanoefOrall!i1spadlon8 and shaH _wrl\len-'oninapectJOf1oardbelora (6) ~ oIapsrmlt or t!>a ~ ofdnlwlnga and specIIIcatIons shaH not.. construed to" a parmIt for, nor.. approval of, any violation of th8 provllionl tha lng<:D<le&or __IOw,ridaDrl8llulstlon. flit auilding ltU;pector THIS PERMIT VALID ONLY .WHEN SIGNED BY THE CHIEF BUILDING INSPl!CTOR AND IlIA YOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: \,Jh~~tdJ~ lY\o,vtDr i\)\A(Siryr \+om. e. Property Address: Z- '12-0 P<UI +0 ('\ Phone: ~ - oq 8' I Contractor License No. : Company: Coloy-Gtd -0 SeJ..r<\ less: G;.....-I\ef"l;, D\<:. Phone: 4Cf 7-( ~:::, OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: 2-2-20 Permit Fee: Plan Review Fee: Use Tax: I hereby certify that the setback distances proposed by this pennit 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 ail olher apPlicabl"fleat Ridge O'dinanceVrl< under this ~A 7 (OWNER)(CONTRACTOR) SIGNED L~P-/Jlf1r. DATE 0, 1 Total: Description: t<c: Z6f11!W&.~ Approval: Zoning: Bmlalif9'~Commen~ Approval: p.,nJjI~KS"..!,>_oml)1~J)~-:;] Approval: Occupancy: Walls: SIC: Sq. Ft,: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: IZI ~!!I!~~f@._ Expiration Date: Approval: II JP.!lilfI!ij!1fl!l~" Expiration Date: Approval: . ~~OOI__ I') 5) 16) This permit was Issued In accordance with the provisions set forth in yopyr application and Is subject to the laws of the Stale of Colorado and to the Zoning Regu[ahons and Buildin9. Code of lNtleat Ridge. Colorado or any other applicable ordinances of the City. This pemllt shall expire If <AI the work aulhonzed is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or abandoned, for a period of 120 da)"s. If this permit expires. a new permit may be acquired for a fee of one.half the amount nonnally required. provided no Changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If Changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit No wor1< of any manner shall be done that will change the natural now of water causing a drainage problem. Contractor shall notify the Building Inspedor twenty-four (24) hours in advance for all inspections and shat! receive written approval on inspection card before proceediing with successive phases ot the/"Ob. The issuance of a permit or the approval 0 drawings and specifications shall not be construed to be a permit for. nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. (I) (2) (3) Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION '~t~.~.L~i'~'dn(~~~'W~4~,I~.J'~i_.,t~~~'11;'N'"~i,~:]~~)F~~:'~~~ifH~~~'~~~~~!~I~'f;~~~~,~~~I~~1:~JJ!!;~,:.t~-;~:tOr1~~~~r;~9~~:~"~j~~~~.~"f , DF,pARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 4803 t'. . BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 3/31/97 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: Property Address: 2920 FENTON ST Contractor License No. : Company: Phone: 238-0481 Phone : 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 the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge or<hn , fo ork under this permit. (OWNER)(CONTRAC1<n't~; L '- DATE 7-7/.f7 Total: $0.00 $10.00 $0.00 $0.00 $10.00 Construction Value: Permit Fee : Plan Review Fee: Use Tax: Description: DEMO RAM BUILDING DEPARTMENT USE ONLY SIC: Sq. Ft. : Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: . Expiration Date: Approval: . Expiration Date : Approval : . Expiration Date: Approval: (1) (2) (3) This pennlt was issued in accordance with the provisions set forth In yopur application and is subject to the taws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. This permit shall expire if (A) the work authorlzed is not commenced within sixty (60) days from Issue date or (B) the building authorized Is suspended or abandoned for a period of 120 days. If this pennlt expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, fuO 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 shall notify the Building Inspector twenty-four (24) hours In advance for all inspections and shall receive written approval on Inspection card before proceediing with successive phases of the job. The issuance of a pennlt or the approval of drawings and specifications shall not be construed to be a pennit for, nor an approval of, any violation of the provisions ofth ild! codes or yother 0 inance, law, rule or regulation. (4) (5) (6) uilding Inspector HIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: J71'f mt:JskiHl/-}.Z Property Address: 2'1eO HI'l/orl Phone: 'Z~8-o<18 / Contractor License No. : Company: WJfFJI(r /!IOMF ;#;(NoJ2 Phone: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: s2I Permit Fee: Plan Review Fee: Use Tax: 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 wi eat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinanc or WQ under this permit. (OWNER)(CONTRAC"""J ~IGNED .f:::::. --:::: Total: DATE ~ .JI-"}7 Description: TbfAZ .eo"""" "'1/- BUILDING DEPARTMENT USE ONLY ?:ofllllllmommentfl Approval: Zoning: aOOl(lllllm:oommentS':l Approval: SIC: Sq. Fl.: . . ,,0.~_ ~illIill ~ Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: . ,. 'Ill: _,-{J.: L'U "l,f Expiration Date: Approval: . Expiration Date: Approval: Expiration Date: Approval: ." it'," 'Wid,) . " tlll""{'l.:i.'.liu.;' (1) (2) (3) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Buildina Code of Wheat 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 (8) the building authorized is suspended or abandoned for 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 changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or If suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. No wor1< of any manner shall be done that will change the natural flow of water causin~ a drainage problem. Contractor shall notify the Building Inspector twenty~four (24) hours in advance for all Inspections and shall receive written approval on inspection card before proceediing with successive phases of thel.ob. The issuance of a permit or the approval 0 drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. (4) (5) (6) Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BYTHE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION PEPARTMENT OF PLANNING AND DEVELOPMENT . BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number: 95-1828 Date: 9/11/95 JL:2] Property Owner: Property Address: 2820 FENTON ST Contractor License No.: 18183 Company: C & M Construction & Roofing Phone : 657-0647 Phone : 456-4649 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permft applicetion are accurete, and do not violate appliceble ordinances, rules or regulations of the CRy 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 all other applicable Wheat Ridge ordinances, for wort< under this permit. (OWNER)(CONTRACTOR) SIGNED ~~ DAT , Description: RE-ROOFING,3-TAB Total: $1,800.00 $41.00 $0.00 $27.00 $68.00 Construction Value : Permit Fee: Plan Review Fee: Use Tax: BUILDING DEPARTMENT USE ONLY Approval: Occupancy: Walls: Roof: Stories: Residential Units : Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: . Expiration Date : Approval : . Expiration Date : Approval: . Expiration Date: Approval: (1) This permit was Issued In accordance with the provisions set forth in yopur application and is subiecl: to the laws of the State of Colorado and to the Zoning Regulations and Building Code of VVheat Rid$l8, Colorado or any other ~pliC8ble ordinances of the City. (2) This permit shall expire If (A) the work authonzed is not commenced withm sixty (eO) days from issue date or (8) the building authorized is suspended or abandoned for a period of 120 day's. (3) If this permit expires. a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and speciftcatlons and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. 145) No worK of any manner shall be done that will change the natural now of water causing a drainage problem. ) Contracto shall notify the Building Inspector twenty-four (24) hours in advance for all inspedions and shall receive written approval on Inspection card before pro< . 9 with lYe phases of the I loob. (6) The I u of ~.~it or ~ the ap~ I 0 drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of b d g es~ .orregulation. C . f Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner :(I1P //.c-t7~!1' Property Address: "2 't; 20 ,r-<",pf7;1/ Phone: Contractor license No.: I g t g 3 Company Cl/-moY.-?>TpL~ Phone: ~S-7-C90y? OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: -/ yoc> Permit Fee: Use Tax: 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 restridions 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 all other applicable Wheat Ridge ordinances, for worX under this permit. (OWNER)(CONTRACTOR) SIGNED~/ ~.......,/ DAT~//-9..5 Description: J-it-,.." ",-,11.-, $ -r~j BUILDING DEPARTMENT USE ONLY Total: Approval : Zoning: Approval: .!E1 j.. h1:R~....)llwl J ~ Approval: Occupancy: Walls: Roof: Stories: Residentiai Units: Electrical License No : Company. Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: .~ p.fIn . sRe ul.....-. .....1 -. q.._~" Expiration Date: Approval: J!I PllIns Required I Expiration Date: Approval: :..I :. f'''l1sc~lW~'.1l (1) (2) (3) ThiS permit was issued in accordance With the provIsions set forth in yopur application and IS subject to the laws of the State of Colorado and to the Zoning Regulations and BUIlding Code of Wheat Ridge, Colorado or any other applicable ordmances of the City. This permit shall expire if (A) the work aulhOnzed is not commenced within SIXty (60) days from issue date or (B) the building authorized is suspended or abandoned for a penod 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 changes have been or WIll be made in the original plans and Specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or If suspension or abandonment exceeds one (1) year, full fees shail 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 shalt notify the Building Inspector twenty-four (24) hours In advance for all inspectIons and shall receive written approval on Inspection card before proceediing with successive phases of the Job The issuance of a permit or the approval of draWings and specifi,cations shall not be construed to be a permit for, nor an approval of. any Violation of the provisions of the bUlldmg codes or any other ordmance. law, rule or regulation (4) (5) 16) Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION ~\~~I~I!IliI"~~'''''''''''''''''r,,",,~,,1lll,!~. \...c"""","".!I"~,,,,~lt';"'''71,,/,w.l!n~\J1!ll\IIl!'~llll!,Il) ~,,,,,,,,,.",,,,,,~,,l,lJI,~,\!i,,~,~,,,it, ~)),N "';> DEPARTMENT OF PLANNING AND DEVELOPMENT .' BUILDi'NGINSPEC110N DIVISION - 235.2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT R1DGE, CO 80215 Building Permit Number: 95- 1573 Date: 8/3/95 Property Owner: WHEATRIDGE NURSING HOME INC Property Address: 2920 FENTON ST Contractor License No,: 17258 Company: Drury Bros, Roofing Phone: 238-0481 Phone: 722 2213 OWNeR/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : Permit Fee : Plan Review Fee : Use Tax : Total: $2,500,00 $54,00 $0,00 $37,50 $91,50 I herwby certify.. thlthat u.. ~ Illatances praposlld by lhls pemlft 8pp1ication 8I'll accunate, 8nd do 1)0\ vkI_.8IlIlllc:8ble ordln811C1l8, _ or ~18Ilon8 ofu.. CIty 01 Wheat Ridge or ___. ._ntaor ~ of record; that 811_uremen18 ShoWn, and 8118g8lions made 8I'll ac;curate; that I h8Ve read and ~ to 8blde by 811 conditions Drintecl on thle appl~n, _ that I_urns fUll res~.lIIIllty for com.pllanc:e With the Wheat Ridge Building Code (U,B,C,) 8nd all other 8ppficable L RIdge ~m8n7 for,WOrk under this pennft, (OWNER)(CONTRACTOR) SIGNED , 1~' ~~TE%".3-qS Description: REROOF BUILDING DEPARTMENT USE ONLY Approval: Occupancy : Walls: Roof: Stories: Residential Units : EIeclricaI Ucense No : Company: Plumbing Ucense No : Company: Mechanical License No : Company: Expiration Date : Approval: . Expiration Date : Approval: . Expiration Date : Approval: . (1) Thio poonnItWllWo"",,,1n _wllhthe ~ __In ycp\lf ~1Ion8lld Is IUbIecl II> the _ of the Stale ofCClorado 8Ild II>tIlo ZcnIng ~8Ild~.~ofw.t_, Coiorad<>oranyolh..~onI_of1he CIty, . (2) ThIs poonnIt _ 8XPIreD (A11he WOI1<.uthatiHd Is not commenced _,n oIxIy (80) days from I8IUe _ or (8) the building ._Is I~ or (3) ~~~ :.z=,;,.y be ocqulAId for. "'" of ono-hoWtlle .mount normally required, _ no chongu hlWebeen or wID be __ in 1he ortginoI pIm18 ili1d ~.nd any _Ion or _ment hol not _.... (1) yeIIr. lfchongu...'- or WBUBlJOl1Olon or obondonment ex""""'_(1J_, 1uII__be paid for. """'_ (4) NoWOl1< of any _ i!hdbe _ """ wID chllngo "'" __ of_ caullng e drlIInoge problem, (5) ~ -nolIft lhlllluli!llnll_ twenly'four (24). howB In adv_ for 8IIlnspecllonl and IhllII.....w written appIOYlII on In8pection ""'" before P!QCOOdIIIlQ wItIl........... _ 01 the ]ob, (6) The _ of."..,.,k or tho appIOYlII of dnlwInga 8Ild BflOCI_I shall not be construed II> be. pOFn1It for, nor en opplOVlll of, 8ITf _n of the pIOVIslona of building or.ov. _ onllnenc8, 1lIw, rultl or regul8tion, rcJ iefEluilding Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-6933 24 HOURS PRIOR TO INSPECTION rr~~~ DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: Property Address: Contractor License No. : Company: L0 ~~ p I\) \..Vv~'V\ C\ ~ C~ 8CJ~D F...vrv~ ~4- J Phone: ?38-DLi8J f / Q ~-,/ ~~ ~ ~l/Y)5 Phone: 7;};J-):J)3 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: do 5' Permit Fee: Use Tax: . l'rO 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 all other applicable Wheat Ridge ordinances, for work under this permit. Total: (OWNER)(CONTRACTOR) SIGNED DATE Description: 3 -r- /\ D.. - ~ J j , I IIU , "JO. 3--3 SOl,cCL.-uL,o 1...Q.Q:v1 ~ BUILDING DEPARTMENT USE ONLY 3 L ./J gpJlii!mgmn:m~lWi] Approval: Zoning: mgld~mJfrM.miI1 Approval: !Wl!fdiWif[~~.g!rrnm.rilS:! Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical license No : Company: Plumbing license No : Company: Mechanical License No : Company: Expiration Date: Approval: ill k Pllins R~qulred:: : Expiration Date: Approval: ;1jlmtriS.Rllquired Expiration Date: Approval: mil "Pfiln.:R!iquirlfd~ (1) (2) (3) This permit was issued in accordance With the prOVisions set forth in yopur application and is sUbject to the laws of the State of Colorado and to the Zoning Regulations and Bulldin9 Code of \!\/heal Ridge. Colorado or any other appllc::able ordinances of the City. This permit shall expire If (A) the WOrk aulhonzed IS not commenced Within SIXty (60) days from Issue date or (B) the building authorized is suspended or abandoned for 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 changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one {1} year. If changes are 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 shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive wntten approval on inspection card before proceedlmg With successIVe phases of the job. _ _. . . The Issuance of a permit or the approval of drawings and speCifications shall not be construed to be a permit for. nor an approval of. any VIolation of the provisions of the building codes or any other ordmance, law, rule or regulation. (4) (5) (6) Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION 'W'""~~'~""~U~'~"""'"~"'~._I'~,'''''''''''''''''W''''''''''''~'F'M'"~'' ,',~'r'''''''''"7'''''~-' .",,,,~,,JI.I"_"'!"'Wfc'm"l!,,,,,,,L+.~,~. ,,,,"".l!"" , t~lLlil_',., '. :rOF D':".L~NT Building Permit Number: 3383 ., '.,. __ I 238-2_ ". " . . .' . E Date: 718196 ; ~802~' . Pn:lp$rty, 0WtIer: WHEA"flltIDGE NURSING HOME INC property Address: mOFelllTON ST ContractOr license No, : Comp\iny : Phone: 238-0481 Phone: ie':' :";""'''':'';'':<< "',r.'<,;........ ;", ':',":' ,',-,.,:"','-,;,." .....<,-".', '" .' ' ~l'RAeToR SIGNAl1JRE OF UNDERSTANDING AND AGREEMENT ~ cOIlIIruCtion VllIue : Permit Fee: PlanR..,. Fee : Use Tax : ToI8I : $1,000,00 $0.00 $0.00 $0,00 $0.00 bf""~E=~ IlIIhe 'or , .,. ....' "'8..1 ~ conClIIlont tlIlIIled on'thli . WIllI tIMi WhMI Rlf!llt 8alIdIng a, for WOlk under thli parmIl, DATE D8$1I1~.: .. '. < .....-.,......" " , TRASH INCL. ,.........:.,.,'.....:; ;i:' .",:..-: "':'-;".:.,0.,:,,:<",:>,':.1:.::' , '~ ~ BUILDING DEPARTMeNT USE ONLY SIC: Sq, Ft.: ~. .- .. --; .~. . ~ .. . " ,..:....:.. ,-,"'.;.'::-" WalIlr : ROOf: Stories: RtlI!deotiaIUn118 : '<,.:"I"',':':::-:',.:k''',.:''',:',:',,'',.. ,- etediical~ No: . Company : PllIIllbIlI9 LIcense No : company: Ellpirat/onDaIe: Approval: . .":','",;"., MeChanllllal UCenIe -No :'. COrnjllIny : ExplratiO,n D8Ie : AppRlvaI : ., '_fl!lf/i~llIdla=i6"'_<II"'SI.l.llfC __"lOlhaZrilcJ ~~,,:,-ilIdY ~_Aar(l\)"'.iINIIllI.....I>*I'_odwIar laralool<ll_...OlI1QllI1t___,-IlO____:.,wIII,lliI_"'... or ...........4hao nolellCoOdlld o/li (1) ye, 11-...... _ ",W .."pt , or __4 -.=-.....<II.....:I:=-...... lMl,-"ln_larlll 1lId.....-..........lIIlIlhWII....h~canl_ lIIIIll -~O''' _ not 1Io_101lo0,,","*far, nor........-oI, My....... <II'" """'""'"" ,:.wi 'laJlfQl.datlon. . · IMI*'Or . . 'PERMIT' VAUD=Y.....-am D.~ Y 'tHE. CHW1 BUll UIIII" QlNrsc GlL.PI CTORANDJM "tOR . . , ''"'in24HPRIOR O' , , ,',',," ' " '," ,'i'.",', ' '-,' .-. ,','" I'"~ '" " ".".-' . . m", .-, """ -- " ',_ DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: l\J!+frlT f':1QG,.~ /I1.ANOe..!TrlY mo:s/:::iWI/Z- Property Address: Z"lW fel\J+ON Contractor License No. : Company : WH~J\oT (<JOGS #1JtIJO~ .N'~iN~ IMmc Phone :z3~'o181 V:5IZ Phone: ;:s~ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Description: DATE ;z.X-1& Construction Value. /000. ~ Permit Fee: Plan Review Fee: Use Tax: Total .t'/()OO,OO 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 com liance with the Wheat Ridge Building Code (U.B.C.) and all other applicable . n , for w rk under this permit. (OWNER)(CONTRACT BUILDING DEPARTMENT USE ONLY ~gfi~m~;:~~~~( ~ ~!;;#(:f~sqFt. B!!llCl!olf!qqmme.!!.t!I;) Approval: P!l~I~&QJ'!mentii-::] Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: If! ~.e!~~~!,f...~ Expiration Date: Approval: II 1.e"!liIIli~Be:Cll!!~d_ Expiration Date: Approval: III ~E'-'ii.tfs:,ij~!{e~ (4) (5) (6) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Re,gulations and Building Code of \Nheat Ridge, Colorado or any other applicable ordinances of the City. This permit shall expire if (A) the work authorized is not commenced within Sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for 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 changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or If suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. No war!< of any manner shall be done that will change the natural flow of water causing a drainage problem. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive wrinen approval on inspection card before proceediing with successive phases of the/"Ob, The issuance of a permit or the approval 0 drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. <'1 (21 (3) Chief Building Inspector For Mayor THIS PERMITVAUD ONLY WHEN SIGNED BYTHE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION 1'l!lY 5CJ3~d5C:;:Jg51 .H[,? COMMUNITY DEVELOPMENT DEPARTME1J Y Building Permit Number: ~/ BUILDING INSPECTION LINE - (303.234.5933) Dale: " CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 . (303.235.2855) APPLlCA TION iJp~\(LJ:t4tL }1IJW.oL r:htroAJ ~,-: Phone: AA Phone: so.') - e::t /-J WCJ "3:::>3 - ~J- /'2lJ?- Property Owner: Property Address: -z--ez /0 Contractor License No.: Company: ..,....~ f\J.#1.W 1l1:teAt(. ~fl1t! I /11/ ~ , OWHERlCOHTRACTOR S)GNATURE Of UHOERST AHDftrtG AND AGREEMENT 1 hereby certify that the setback distances proposed by this permrt application are acx::urate. and do not viola~ applica~ oroinances. nJles or regulations of the City of Wheal Rdge or co....enants, easements OJ restrictions of recool; that an measurements shOwn, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that 1 assume fun responsibility for compliance with the Wheat Ridge Building Code (U.B.C) and all olhef apphcat>>e W~t Ridge Ordinances, lor work under this permit Construction Value: $ :7 ~:'..). Permit Fee: $ Plan Review Fee: $ Use Tax: $ e.("~ "'I ...:~ IOWNER)lCQNTRACTOR) SIGNED IOWNERXCONTRACTOR) PRINITO ~ATE DATE Total Fee: $ DES~PTION: t r:F7{lAOf;.WI~-r cD~ ~K 1ST I Me" Jt:rtC++tf).) tkoa' No rJM.J ~IL~ v ,-rs D/5 (!/'W,/hi::1 II BUILDING DEPARTMENT USE ONLY SIC SqH: ZOHIMG COMMEHTS: Approval: Zoning: BullDlHG COMMENTS: Approval: M OCL-( , 'Pc: nYv\ -~ ? F.e:J,df'I~\,<il :"';n::s ----r \ €.. > t. iI\ , \/-) I Pueuc WORKS COMMENTS: Approval: ( h GO (I" 'PC V'tlA' -t vlv~ ye)' t-:'51 uA \. 12'CCCi:a"C) Electrical License No: Company: ~,dlJ:;' Mechanical License No: Company: Expiration Date: Approval: Expiration Date: Approval: (1) T1lb penqIt........... acconIIItce..1IM pnMtklIi. Nt tol1tl Ira yovtlpple.aion and b subttd to the .... of ,,, State of CokwacIo lAd lo tht z...~ RtguWion. ......CodIs of Wh... Ridge, Ca6orMo <<..,.. fIIflPIc:abM ~ 01 the CIy. (2) TNe,........ upnl (A).. wortt..thorlHd..!tOt u...1l4 1 ~td...... *lJ' (Ie) dayllTom "WI at, Of" (B) Ute building MlllKwtztd It suspencMd or ~ for . ..... .. 121 ..... (3) I tWI ,.... ....... . n.. ..... ...,. be ..... tor . .. of on..... thl .-ouIIt1Mlf1ftlly,....ncl. providtCI ftO d1..... b.... bMIt or wiI be made Ira the ottginll ,...... ~ I'. .. . Md .., ....... or ......... hn HI uCHded OM (1) yew. 'chMgM hbe beM 01' ....,...... or Ib~ aCMdl one (1) yMf,........... be paW tor....,.... (4) No wort; 01.., __... be....... c:hMge" nlllunllftow of w.. ~ ..... proW.m. (5) Conhdor ... MtIy the ..... IItIpIdor ....,.... p.) Nun In ~ few II .sptC.tbI. ...d... ~. __ approy. 011 iupKtiotI carcI Mien ----_.....jM. (61 The inaauee of . pwmI Of 1M ............... IfMI spedI'ation. thai not be conltNtcl to be I pennI: 'or, nor III ippI'CWII of. any vtoIltion of thl prtrIb,\on1 01 the buIcfing cod.. or Illy 0Chw ...MCe,....,. or~, Chief Building Inspector to co / 'fX4X';i' SET 2.' I}/ 6~OUAJ,O. 0.1/ 8./t,:J CO^/CMTe 8' ~\l V'1t1 leJ-. \ PKi(T5' iNi:! (bt J )/'i "'0 \ ) N '. ~ ~~ I -~ __-~ 3~lY.4. "/.1 ~jl .-/ ----4 _._~1 ALL( Y CI4"'11 ()ePi}J~..,.~ o,-~("v,.. TI115 Ij THE Plr,fJ fOil &-~(D~Ii,j(~ r-~tl..'!.j.I PVf::.Tfk.. AT ZQ7-D rE'IJ10IJ ~^. rv,,<(~G --;:1<"