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HomeMy WebLinkAbout4340 Lamar StreetFrom: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application Date: Tuesday, December 28, 202112:41:23 PM Sewer or Water Line Repair Permit Application This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Right of Way permits must be applied for with the Public Works Department. Is this application for Yes sewer line or water line repair - in yard only? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 4340 North Lamar Street Wheat Ridge, CO 80033 Property Owner Name Heather Byron Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) (720) 273-5298 Property Owner Email hlbyronl@gmail.com Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Payless Rooter Name Contractor's License 000572 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-591-8931 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email excav.dept@paylessrooterdenver.com Address Retype Contractor excav.dept@paylessrooterdenver.com Email Address DESCRIPTION OF WORK Is this a sewer line or sewer Line water line repair? Length of repair loft Location of repair front yard (backyard, frontyard, etc) Provide additional Clean outs details including installation of clean- o uts. Project Value (contract 3000 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Andrea Turner Permit Email not displaying correctly? View it in your browser. r . City of Wheat Ridge Residential Roofing PERMIT - 201703880 PERMIT NO: 201703880 ISSUED: 07/13/2017 JOB ADDRESS: 4340 Lamar ST EXPIRES: 07/13/2018 JOB DESCRIPTION: Residential Re -roof to install TAMKO HERITAGE asphalt shingles with ROOF DECKING 26 SQ House & Garage- 4/12 pitch * * * CONTACTS * * * OWNER (720)273-5298 BYRON HEATHER L SUB (303)738-1032 Guy Mumford 090166 Kudu Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,670.00 FEES Total Valuation 0.00 _ Use Tax 203.07 Permit Fee 204.30 ** TOTAL ** 407.37 *** COMMENTS *** *** CONDITIONS *** 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) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. 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. In order to pass a final inspection of elastomeric or similar type roof coverings, 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. ZZ26Wq INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Tyne Inspections will not be performed unless this card is posted on the project site. "Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Comments Pier 4M Sheathing i �� Concrete Encased Ground (CEG) ROW & Drainage / Public Works Dept. Foundation / P.E. Letter Mid -Roof Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments 4M Sheathing i �� rte /' ROW & Drainage / Public Works Dept. Mid -Roof Fire Inspection / Fire Protection Dist. Lath /Wall Tie Final Plumbing Rough Electric' Final Mechanical Rough Plumbing/Gas Line Roof ry" Rough Mechanical Final Building Rough Framing NOTE:.4111 items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof ry" Final Window/Doors Final Building NOTE:.4111 items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. "For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather *** CONTACTS *** City of Wheat Ridge Residential Electric PERMIT - 201709717 BYRON HEATHER L SUB (888)765-2489 Jared A Miller PERMIT NO: 201709717 ISSUED: 12/28/2017 JOB ADDRESS: 4340 Lamar ST EXPIRES: 12/28/2018 JOB DESCRIPTION: Install a 125 amp subpanel in garage with a 100 amp, 2 pole main breaker and branch circuits UA / Unassigned SUBDIVISION CODE: *** CONTACTS *** OWNER (720)273-5298 BYRON HEATHER L SUB (888)765-2489 Jared A Miller 110035 SolarCity Corporation t** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,500.00 FEES Total Valuation 0.00 Use Tax 31.50 Permit Fee 60.50 ** TOTAL ** 92.00 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection. I, by m signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with thisppermrt. I further atter{ that I am legally authorized to include all entities named within this document as parties to the work to be periorme& nd that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or 'CONTRACTOR 4Circle one) Date 1. This permit was issued based on the information provided in thepermit 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 originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code,o� any ordmanpe_9X_ 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 oroe Wheat�id_ge 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 I FOR OFFICE USE ONLY I Date: ) -1 adV ! I Plan/Permit # 1 70 _� l 7 Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *"* Property Address: 4340 Lamar St, Wheat Ridge, CO 80033 Property Owner (please print): Heather Byron Phone: (720) 273-5298 Property Owner Email: hlbyron1@gmaii.com Mailing Address: (if different than property address) Address: Same as above City, State, Architect/Engineer: Architect/Engineer E-mail: Contractor: Solar City Contractors City License #: 110035 Contractor E-mail Address: tward@solarcity.com Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phone: 253-720-4461 Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT 8 ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT x OTHER (Describe) Sub Panel Install (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) ►DDA 1 0'j-�Pa_ 1� 125 Ar EW (I AST. ckc U0r A A W, / ? N -c MAIN PIWAW4 Sq. FULF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR2 PRINT NAME: Jeremy Burks ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: Jeremy BurkS Dateelly 2017122Bned Jeremy Burks Date. 2017.12.28 07 34:37 SIGNATURE: -071 DATE: 12/28/2017 PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ r zZC-+ KI PERMIT:s�ADDRESS: 1711 C'aYYId(-2� JOB CODE: INSPECTION RECORD Inspection online form: http://www.cl.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS DLU Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial ` - 7`T- 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential ` - 7`T- 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning Inspections from these entities shall be requested one week in advance. For landscaping and parking inspections please call 303-235-2846 For ROW and drainage inspections please call 303-235-2861 For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works 413 Flood plain Inspection 414 Fire Insp. / Fire Protection 415 Public Works Final 416 Storm Water Mgmt. 417 Zoning Final Inspection 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT: f ADDRESS, JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT: gkU I � I � ADDRESS:���� [�M(A J0 B CODE:90k�SI Rough Inspection continued g p Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial IL 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential IL 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Land scape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection' 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION I?PCE �o 3 Fit -A, ��: S Inspection Type: Job Address:PermitNumber: 2,0I i02M4P ❑ No one available for inspection: Time ®_ 't LICAM/PM Re -Inspection required: Yes No When corrections have been made, call for re-ingpection at 303-234-5933 Date: �2 29 Inspector: -� 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: f-1 m • Job Address: 6 A,ih2 ST. Permit Number: -261-769 � 12 ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been mad , call Mr -inspection at 303-234-5933 h � _Z-_ Date: Inspecto 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 NDO:74 E G Inspection Type: -310 r E_A Job Address: 113gol qm ql- Sr Permit Number: 2-0%%O l el I ❑ No one available for ins ction: Time 7 AM/PM Re -Inspection required: Y No When corrections have been made, call for re ---inns-p-ection at 303 -234 - Date:— 4 1 17 Inspector: r �! DO NOT REMOVE THIS NOTICE A I� PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Solar PERMIT - 201708126 201708126 ISSUED: 4340 Lamar ST EXPIRES Permit for a roof mounted PV system with 6 KW inverter. *** CONTACTS *** OWNER (720)273-5298 BYRON HEATHER L SUB (888)765-2489 Jared A Miller 10/16/2017 10/16/2018 Grid tied. 20 panels, 1 110035 SolarCity Corporation *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,160.00 FEES Total Valuation 0.00 Residential Solar 500.00 ** TOTAL ** 500.00 *** COMMENTS *** *** CONDITIONS *** Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. I, by my si�Q,nature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I fu st that I am le ally authorized to include all entities named within this document as parties to the work to be performed at all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. SignaTure of OWNER or/,/on-CONTRACT (Circle one) Date 1. This permit was issued bas�d.-e 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 originalermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicablcoaede or any ordinance or real ion 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 �Wheat�gie MUNITY DEVELOPMENT (lp 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 FOR OFFICE USE ONLY Date: Plan/Permit # Plan Review Fee: Building Permit Application � � C____ *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. Property Address: 4340 Lamar St, Wheat Ridge, CO 80033 Property Owner (please print): Heather Byron Phone: (720) 273-5298 Property Owner Email: hibyron1@gmail.com Mailing Address: (if different than property address) Address: Same as above City, State, Zip: Arch itect/Engineer• Architect/Engineer E-mail: Contractor: Solar City Contractors City License #: 110035 Contractor E-mail Address: tward@solarcity.com Sub Contractors: Electrical W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phon&,253-720-4461 Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESIDENTIAL 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 x OTHER (Describe) Solar PV (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Install a 6 kW roof -mounted grid -tied solar PV system Sq. Ft./LF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $8160 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHO PRINT NAME: Chris Luther SIGNATURE: ZONING COMMMENTS: Reviewer: (CONTRACTOR)W DATE: `'BEQARTMENT USE ONLY —" OCCUPANCY CLASSIFICATION. BUILDING DEPARTMENT COMMENTS: Reviewer: Z �- PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required Building Division Valuation: $ �1 �0 August 7, 2017 RE: CERTIFICATION LETTER Project/Job # 80010940 Project Address: Byron Residence 4340 Lamar St Wheat Ridge, CO 80033 AHJ Wheat Ridge SC Office Denver Design Criteria: - Applicable Codes = IRC 2012 / IBC 2012, ASCE 7-10, and 2012 NDS - Risk Category = II - Wind Speed = 135 mph, Exposure Category C, Partially/Fully Enclosed Method - Ground/Roof Snow Load = 30 psf (Unreduced) - MP1 & MP2: 2x8 @ 24" OC, Roof DL = 10 psf, Roof LL/SL = Y15sf City of Wheat Ridge uifding Diviso Version #69.4 - TBD Q a4 g_l :Fo0 E. a} ro.; Nit c5 f illi a ........ Nit f,�T'C s ` b' A6 Da1,dc=Solalily, 0V=oImCiry oDeVera Users, ou=Hawthorne, m�Abelard0 De Vera DeVera Date 2017.09.0712 007'00 Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.23116 < 0.4g and Seismic Design Category (SDC) = B < D To Whom It May Concern, Ajobsite survey of the existing framing system of the address indicated above was performed by a site survey team from Tesla. Structural evaluation was based on site observations and the design criteria listed above. Based on this evaluation, I certify that the existing structure directly supporting the PV system is adequate to withstand all loading indicated in the design criteria above based on the requirements of the applicable existing building and/or new building provisions adopted/referenced above. Additionally, I certify that the PV module assembly including all standoffs supporting it have been reviewed to be in accordance with the manufacturer's specifications and to meet and/or exceed all requirements set forth by the referenced codes for loading. The PV assembly hardware specifications are contained in the plans/docs submitted for approval. Sincerely Abe De Vera, PE, SE Structural Engineer Phone: 888.765.2489, x57526 Email: adevera@tesla.com Tesla, Inc. T = 5 L n - D Version #69.4 - TBD HARDWARE DESIGN AND STRUCTURAL ANALYSIS RESULTS SUMMARY TABLES Landscape Hardware Hardware - Landscape Modules' Standoff Specifications X -X Spacing X -X Cantilever Y -Y Spacing TY- Cantilever Configuration Uplift DCR MPI & MP2 72" 24" 41" NA Staggered 59.7% Portrait Hardware Hardware - Portrait Modules' Standoff Specifications X -X Spacing X -X Cantilever Y -Y Spacing Y -Y Cantilever Configuration Uplift DCR MP1 & MP2 48" 19" 62" NA Staggered 60.2% Structure MO nting Plane Framing Qualification Results Type Spacing Pitch Member Evaluation Results MP1 & MP2 Stick Frame 24" O.C. 18° Member Analysis OK Refer to the submitted drawings for details of information collected during a site survey. All member analysis and/or evaluation is based on framing information gathered on site. The existing gravity and lateral load carrying members were evaluated in accordance with the I BC and the I EBC. Tesla, Inc. T J55 -- earview ,Nay San Mateo CA 94402 p 650 638 1028 f 650 638 1029 STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK - MP1 & MP2 Notes: 1. ps = Cs`pf; Cs -roof, Cs -pv per ASCE 7 [Figure 7-2] 2. pf = 0.7 (Ce) (Ct) (IS) pg; C,=0.9, Ct=1.1, I5=1.0 Member Analysis Results Summary Governing Analysis Max Moment @ Location Capacity DCR Result (+) Bending Stress (psi) 840.8 5.3 ft 1,428.3 59% Pass Member Properties Summary MPI & MP2 4112 Horizontal Member Spans Overhang 0.66 ft Rafter Properties Actual W 1.50" Roof System Properties PV Areas Span 1 9.25 ft Actual D 7.25" Number of Spans (w/o Overhang) 1 Span 2 Nominal Yes Roofing Material Comp Roof Span 3 A (in"2) 10.88 Re -Roof No Span 4 Sx (in .^3) 13.14 Plywood Sheathing Yes San 5 Ix in^4 47.63 Board Sheathing None Total Rake Span 10.42 ft TL Defl'n Limit 120 Vaulted Ceiling No PV 1 Start 1.25 ft Wood Species DF Ceiling Finish 1/2" Gypsum Board PV 1 End 8.33 ft Wood Grade #2 Rafter Slope 18° PV 2 Start Fb (psi) 900 Rafter Spacing 24" O.C. PV 2 End I Fv (psi) 180 Top Lat Bracing Full PV 3 Start E (psi) 1,600,000 Bot Lat Bracing At Supports PV 3 End E -min (psi) 1 580,000 Notes: 1. ps = Cs`pf; Cs -roof, Cs -pv per ASCE 7 [Figure 7-2] 2. pf = 0.7 (Ce) (Ct) (IS) pg; C,=0.9, Ct=1.1, I5=1.0 Member Analysis Results Summary Governing Analysis Max Moment @ Location Capacity DCR Result (+) Bending Stress (psi) 840.8 5.3 ft 1,428.3 59% Pass Member Loading Summary Roof Pitch 4112 Initial Pitch Adjust Non -PV Areas PV Areas Roof Dead Load DL 10.0 psf x 1.05 10.5 psf 10.5 psf PV Dead Load PV -DL 3.0 psf x 1.05 3.2 psf Roof Live Load RLL 20.0 psf x 1.00 20.0 psf Live/Snow Load LL/SL1,2 30.0 psf X1 I x 1 30.0 psf 30.0 psf Total Load (Governing LC) TL 1 1 40.5 psf 43.7 psf Notes: 1. ps = Cs`pf; Cs -roof, Cs -pv per ASCE 7 [Figure 7-2] 2. pf = 0.7 (Ce) (Ct) (IS) pg; C,=0.9, Ct=1.1, I5=1.0 Member Analysis Results Summary Governing Analysis Max Moment @ Location Capacity DCR Result (+) Bending Stress (psi) 840.8 5.3 ft 1,428.3 59% Pass ZEP HARDWARE DESIGN CALCULATIONS - MP1 & MP2 Mounting Plane Information Roofing Material IBC 2012 Comp Roof Table 30.3-1 Roof Slope Rafter Spacing K�t 18° 24" O.C. Section 26.8 Framing Type / Direction PV System Type Zep System Type Standoff (Attachment Hardware) V-Ult Y -Y Rafters SolarCity SleekMountTM ZS Comp Comp Mount SRV Fig. 1609A Spanning Vents I No Section 26.7 Roof Style Wind Design Criteria Design Code IBC 2012 ASCE 7-10 Table 30.3-1 Wind Design Method K�t Partially/Fully Enclosed Method Section 26.8 Ultimate Wind Speed V-Ult 135 mph Fig. 1609A Exposure Category I C Section 26.7 Roof Style qh Gable Roof Fig. 30.4-2A/B/C-5A/B Mean Roof Height I h 1 15 ft Section 26.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.85 Table 30.3-1 Topographic Factor K�t 1.00 Section 26.8 Wind Directionality Factor Kd 0.85 Section 26.6-1 Importance Factor I NA Trib Velocity Pressure qh qh = 0.00256 (Kz) (Kzt) (Kd) (V"2) Eq nation 30.3-1 3.0 psf 33.7 psf T -actual Wind Pressure Ext. Pressure Coefficient (Up) GCp (Up) -0.88 Fig. 30.4-2A/B/C-5A/B Ext. Pressure Coefficient (Down) GCp (Down) 0.45 Fig. 30.4-2A/B/C-5A/B Design Wind Pressure p p = qh (GCp) Equation 30.4-1 Wind Pressure Up p„ -29.5 psf Wind Pressure Down p down 16.0 psf ALLOWABLE STANDOFF SPACINGS X -Direction Y -Direction Max Allowable Standoff Spacing Landscape 72" 41" Max Allowable Cantilever Landscape 24" NA Standoff Configuration Landscape Staggered Max Standoff Tributary Area Trib 21 sf PV Assembly Dead Load W -PV 3.0 psf Net Wind Uplift at Standoff T -actual -327 lbs Uplift Capacity of Standoff T -allow 548 lbs Standoff Demand/Capacity DCR 59.7% X -Di rection Y -Di rection Max Allowable Standoff Spacing Portrait 48" 62" Max Allowable Cantilever Portrait 19" NA Standoff Configuration Portrait Staggered Max Standoff Tributary Area Trib 21 sf PV Assembly Dead Load W -PV 3.0 psf Net Wind Uplift at Standoff T -actual -330 lbs Uplift Capacity of Standoff T -allow 548 lbs Standoff Demand/Capacity Demand/Capacity DCR 1 60.2% ABBREVIATIONS ELECTRICAL NOTES JURISDICTION NOTES A AMPERE AC ALTERNATING CURRENT BLDG BUILDING CONC CONCRETE DC DIRECT CURRENT EGC EQUIPMENT GROUNDING CONDUCTOR (E) EXISTING EMT ELECTRICAL METALLIC TUBING FSB FIRE SET—BACK GALV GALVANIZED GEC GROUNDING ELECTRODE CONDUCTOR GND GROUND HDG HOT DIPPED GALVANIZED I CURRENT Imp CURRENT AT MAX POWER Isc SHORT CIRCUIT CURRENT kVA KILOVOLT AMPERE kW KILOWATT LBW LOAD BEARING WALL MIN MINIMUM (N) NEW NEUT NEUTRAL NTS NOT TO SCALE OC ON CENTER PL PROPERTY LINE POI POINT OF INTERCONNECTION PV PHOTOVOLTAIC SCH SCHEDULE S STAINLESS STEEL STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V VOLT Vmp VOLTAGE AT MAX POWER Voc VOLTAGE AT OPEN CIRCUIT W WATT 3R NEMA 3R, RAINIIGHT 1. THIS SYSTEM IS GRID—INTERTIED VIA A UL—LISTED POWER—CONDITIONING INVERTER. 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. 3. A NATIONALLY—RECOGNIZED TESTING LABORATORY SHALL LIST ALL EQUIPMENT IN COMPLIANCE WITH ART. 110.3. 4. WHERE ALL TERMINALS OF THE DISCONNECTING MEANS MAY BE ENERGIZED IN THE OPEN POSITION, A SIGN WILL BE PROVIDED WARNING OF THE HAZARDS PER ART. 690.17. 5. EACH UNGROUNDED CONDUCTOR OF THE MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY PHASE AND SYSTEM PER ART. 210.5. 6. CIRCUITS OVER 250V TO GROUND SHALL COMPLY WITH ART. 250.97, 250.92(B). 7. DC CONDUCTORS EITHER DO NOT ENTER BUILDING OR ARE RUN IN METALLIC RACEWAYS OR ENCLOSURES TO THE FIRST ACCESSIBLE DC DISCONNECTING MEANS PER ART. 690.31(E). 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY UL LISTING. 9. MODULE FRAMES SHALL BE GROUNDED AT THE UL—LISTED LOCATION PROVIDED BY THE MANUFACTURER USING UL LISTED GROUNDING HARDWARE. 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE BONDED WITH EQUIPMENT GROUND CONDUCTORS. LICENSE GENERAL NOTES 58 TYPE EC # 8041 1. ALL WORK SHALL COMPLY WITH THE 2012 IBC AND 2012 IRC. 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE m'�NATIONAL ELECTRIC CODE. MODULE GROUNDING METHOD: ZEP SOLAR I AHJ: Wheat Ridge UTILITY: XCEL Energy (CO) •�f i CONFIDENTIAL - THE INFORMATION HEREIN CONTAINED SHALL NOT BE USED FOR THE BENEFIT OF ANYONE EXCEPT TESLA INC., NOR SHALL IT BE DISCLOSED IN WHOLE OR IN PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE TESLA EQUIPMENT, WITHOUT THE WRITTEN PERMISSION OF TESLA INC. JOB NUMBER: JB -80010940 00 MOUNTING SYSTEM: ZS Comp V4 w Flashinq—Insert (20) TRINA SOLAR # TSM-30ODD05A.1 INVERTER: ABB#PVI-4.2—OUTD—S—US—Z—A-4.2—OUTD—S—US—Z—A PREMISE OWNER: HEATHER BYRON 4340 LAMAR ST WHEAT RIDGE, CO 80033 0A �rCity C4 RR +COMM FVE DIDIAREM APPROVED rc�el..�.i fnr ('nde COWTt�C1fnr !C6q CO�TI�C0 (o 4� Plans E zaminer Date ,ons Vim- tperti{ ait me The asoance of a PPrn r w approvot o/ Cons speci(Kat and computotions shod not be a permit for, or an approval of, any violoticn to oM of the provisions of the building code or of ony Gry ordinances. Pe+m¢s presuming to give outhorW to v*We oJconcel the provisions of the fs Vmv codes or other ordinonces of the City sholt not be va id. VICINITY MAP Heather Byron RESIDENCE 6 KW PV ARRAY PAGE NAME-- COVER AMECOVER SHEET Cil,Of Ria9e INDEX PV1 COVER SHEET PV2 SITE PLAN PV3 STRUCTURAL VIEWS PV4 UPLIFT CALCULATIONS PV5 THREE LINE DIAGRAM Cutsheets Attached REV BY DATE COMMENTS REV A NAME DATE COMMENTS * * * * * * * * * * * * * * * Ce Ji SHEET: REV. DATE:- PV ATEPV 1 b 9/15/2017 TSSLn L[OZ/91/6 q Z Ad 31VO ;n3M IMHS —1 5 = I S .TZ .OT .T 0 3 M T = ..Z£/£ :aleDs N N` Id ITIS a3HS`da SI 1N34dIno3 d01d3I NI L ='J OIN 3dV S1N3A ONIOnaodd 1d]H 0 3ON33 IVO d0101Nl NO Nnd 11naN0O d01d31X3 NO Nnd 11naN0O SNOI1dO0l d30aMd1S NMOa1nHS aldVd — d313W W3LSJlS Ad 03 VOla3a O SI30V/ ONINddM ?R d31N30 adOI DI SI30VI �R I3Mdd NOI1n81d1SIa O SI30VI N X08 d3N18W03/NOIi3Nnf OO S13OVI ONINNVM �? lO3NNOOSla OV S138VI ONINHVM V l33NNOOSla Oa rffEd I ma SI38dI ONINdbM N 03SIa Oa MiV` O31Nl /M d31H3ANl ��I I38VI ONINd`dM V d313M J.11llln (3) O GNIDTI ,00 d0-£FLG£LSC60YL N j1: ed ejDA as woD'Rlp: e!os�.ie:anape=!!e wa 'elan ap opie!aW=uD 'awogwe!-!=no's:asn 64!yeloS=no ',(1!y e l a s— p' l ego!=i a4 opielagv Aqp Y� a Y 7 G� C*:�) �10J 7-o �~ A -101S T :�,dOJS albulgs awo0 :I`dld3l` V4 09£:H1nv4izv ,l` av 09£:H1nWIZb ZdW 8T:H3lld Jlddd`d 8T :H011d �JOTS T :,ldOlS a16ulyS dwo0 :lVld31Vh 08T :H1nMZ`d ,l' MV 08T :Hinmizv TdW 8T:HOlId AVddV 8T :H011d W ao Nyld HIS 3MVN 3DVd Adddb Ad Mei 9 30NKIS3d u0JA8 aau}oaH v 6wpl! a6p!.f 1891AM ;o Amo AINo inn1.Dmis 2iOd GINJIS aMd aldWVIS H008 00 `39QId 1b3HM 1S dvnbl OtD NOd),G d3HIV3H `d—z—sn—s—olno—Z't—IAd # 88d :S3 SnNl VV900aOX—WSl # d`dIOS `dNldl (OZ) 'S3 OOM }.Iasul-6ul4Sold M *A dwoO SZ :11 IW ONILMON 00 N601009 -9r :838NnN Wr AVnn3nlaa (a) asnoH JO TuOJ:J 'DNI V1S31 30 NOISSIVIM3d N3111MM 3H1 Inmm '1N3MdU103 V1S31 3^LL0363M 3H1 30 3Sn 0NV 31VS 3H1 HLMI NOILD3NNO3 NI ld3DX3 'NOLLVZINVONO S,1N31dID38 3H1 301SInO S83H10 Ol IMVd NI MO 310HM NI 03SOMSIO 38 lI IIVHS MON ''DNI V1S31 ld33X3 3NOANV d0 IIJ3N38 3HL M03 035n 38 ION I1VHS 03NIVINOD N13M3H NOLLVMIMOJNI 3H1 — IVLLN30lJNOD 41 C4 41 0 r 0 3 0 N n © n Dv L� a Td osa IrP2 v 6wpl! a6p!.f 1891AM ;o Amo AINo inn1.Dmis 2iOd GINJIS aMd aldWVIS H008 00 `39QId 1b3HM 1S dvnbl OtD NOd),G d3HIV3H `d—z—sn—s—olno—Z't—IAd # 88d :S3 SnNl VV900aOX—WSl # d`dIOS `dNldl (OZ) 'S3 OOM }.Iasul-6ul4Sold M *A dwoO SZ :11 IW ONILMON 00 N601009 -9r :838NnN Wr AVnn3nlaa (a) asnoH JO TuOJ:J 'DNI V1S31 30 NOISSIVIM3d N3111MM 3H1 Inmm '1N3MdU103 V1S31 3^LL0363M 3H1 30 3Sn 0NV 31VS 3H1 HLMI NOILD3NNO3 NI ld3DX3 'NOLLVZINVONO S,1N31dID38 3H1 301SInO S83H10 Ol IMVd NI MO 310HM NI 03SOMSIO 38 lI IIVHS MON ''DNI V1S31 ld33X3 3NOANV d0 IIJ3N38 3HL M03 035n 38 ION I1VHS 03NIVINOD N13M3H NOLLVMIMOJNI 3H1 — IVLLN30lJNOD 41 C4 41 0 r 0 3 0 N CA SIDE VIEW OF MPI NTS MPI I X -SPACING X -CANTILEVER Y -SPACING Y -CANTILEVER NOTES LANDSCAPE 72" 24" 39" 64" 0" STAGGERED 0" PORTRAIT 48" 19" RAFTER C.J. 2X8 @ 24" OC 2x6 @48" OC ROOF AZI ARRAY AZI 180 PITCH 18 180 PITCH 18 STORIES: 1 Comp Shingle X AND Y ARE ALWAYS RELATIVE TO THE STRUCTURE FRAMING THAT SUPPORTS THE PV. X IS ACROSS RAFTERS AND Y IS ALONG RAFTERS. SIDE VIEW OF MP2 k D NTS MP2 X -SPACING X -CANTILEVER Y -SPACING Y -CANTILEVER NOTES LANDSCAPE 72" 24" 39"0" 64" 1 STAGGERED 0" PORTRAIT 48" 19" RAFTER C.J. 2X8 @ 24" OC 2x6 @48" OC ROOF AZI ARRAY AZI 360 PrTCH 18 360 PITCH 18 STORIES: 1 Comp Shingle X AND Y ARE ALWAYS RELATIVE TO THE STRUCTURE FRAMING THAT SUPPORTS THE PV. X IS ACROSS RAFTERS AND Y IS ALONG RAFTERS. PV MODULE 5/16"x1.5" BOLT WITH 5/16" FLAT WASHER ZEP LEVELING FOOT ZEP ARRAY SKIRT ZEP MOUNTING BLOCK ZEP FLASHING INSERT (E) COMP. SHINGLE (E) ROOF DECKING 5/16" DIA STAINLESS STEEL LAG SCREW (2-1/2" EMBED, MIN) (E) RAFTER Vera A b e I a rdoDigitally signed by DN: dc=llo al, dc=SolarC tyo De ou=SolarCity Users, ou=Hawthorne, De Vera cn a=ardo De Vera, email=adevem@solarcity.com Iadevera@solarciry.mm Date: 2017.09.15 13:18:02 -07'00' City Of S 1 STAN DOFF INSTALLATION ORDER LOCATE RAFTER, MARK HOLE (1) LOCATION, AND DRILL PILOT HOLE. ATTACH FLASHING INSERT TO (2) MOUNTING BLOCK AND ATTACH TO RAFTER USING LAG SCREW. INJECT SEALANT INTO FLASHING (3) INSERT PORT, WHICH SPREADS SEALANT EVENLY OVER THE ROOF PENETRATION. CINSTALL LEVELING FOOT ON TOP (4) OF MOUNTING BLOCK & SECURELY FASTEN WITH BOLT. CONFIDENTIAL - THE INFORMATION HEREIN JOB NUMBER: JB -80010940 00 PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE EXCEPTBENEFIT OF ANYONE NOR HEATHER BYRON Heather Byron RESIDENCE Ce Ji T 5 L MOUNTING SYSTEM: SHALL IT BE DISCLOSED IN WHOLE OR IN ZS Comp V4 wFlashing—Insert 4340 LA M A R ST 6 KW PV ARRA Y n PART TO OTHERS OUTSIDE THE RECIPIENTS WHEAT RIDGE, CO 80033 MODULES: ORGANIZATION, EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE (20) TRINA SOLAR # TSM-30ODD05A.18(II) TESLA EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME SHEET: REV: DATE: INVERTER: PERMISSION OF TESLA INC. ABB # PVI-4.2—OUTD—S—US—Z—A STRUCTURAL VIEWS PV 3 b 9/15/2017 r LIOZ/Sl/6 q t Ad 31V0 MN 'IBHS - I Li "I s = J. W ao :MSM SN011bgf10id0 lJlldfl 311VN 39Vd rr ��11 NON 008 00 `3041 iV] HM I �/\I\I�/ ^ J MV Is \IVI^'vl 0t2t IONJOIS3/�\ VuaOJAG/\JO)g4D@H NOd,18/1d3HiV]H /�a :NOI1dRDS30 :MWO3SIN3ad e—z—sn—s—alno—z*v—end aad :2UMNI 'ONI VIs31 -40 NOISSIY483d NMIN 3H1 InORLVA '1N3YIdlnO3 VIS31 3AI133dS38 3H1 30 3sn ONV 3IVS 3H1 80 S LN31dp3N 3H10 30600 SOH10 01 INI ld3O)C3 SVd NI NO TIOW NI O3SO10SIO 3811 IIVHS ANY -40 IiJ3N38 �N3HLN?J03 03Sn 38 ONNIIVH5 03NIV1NOO NI383H NOILVV480JNI 3H1 - IVLLN30UNDO (u)9L-vsoaaow-wsl # 8VIOS VNR11 (OZ ) }aasu�-6uiyS��� M �n dlUOo SZ o SZ r,3L 9NUN�orr OO 01601008-8r 'SBNON W GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO (N) GROUND ROD Panel Number: NoMotch Inv 1: DC Ungrounded INV 1 — ( 1) ABB # PVI-4.2—OUTD—S—US—Z—A LABEL: A — (20) TRINA SOLAR## TSM-30ODD05A.18 II TYPE EC # 8041 AT PANEL WITH IRREVERSIBLE CRIMP Meter Number: 54693866 FCI Inverter; Zigbee 420OW, 240V, 96% PV Module; 30&,270.6W PTC,40MMWk Frome,MC4,ZEP,1000V,Wht BckSht INV 2 Overhead Service Entrance Voc: 39.9 Vpmox: 32.6 INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER (E) 125A MAIN SERVICE PANEL (E) 125A Distribution PanelABB E 125A/2P MAIN CIRCUIT BREAKER ADJUST MIN. ACTIVATION VOLTAGES! RSD Kit (E) WIRING g (E) LOADS MILBANK CUTLER—HAMMER Inverter 1 IND 4 1 125A/2P i Meter Socket Disconnect 5 ABB DC, Vstart = 200V PVI-4.2—OU TD—S—US—ZXDC') Dc- MP 2: 1x10 (E) LOADS25A/2P C D — — ------------ — — — — — — ——--——— — — — — —— — EGC—— —-------� ——————— �� JA Ll L2 — — —NEUT t00A/2P --- — -- GND -- ---- GNU ------------- N EGG --- --- GEC Tt Dc- 3 2 DC, c- vStdrt = 200V MP 1: 1x10 GND EGC—ti)c GC I ——————————————— —— — — — — ——------------ -----------------J I OfIDUIT KIT i 111x 10' EMT Conduit N i i EGC/GEC — o— —— — —— Z CD GEC TO 120/240V SINGLE PHASE UTILITY SERVICE I i I i 77-7 City of Wheat Ridge Building Divison Voc* = MAX VOC AT MIN TEMP POI (1 )Gro ,Ld R. 5 8 x 8, Copper (1 )GE # THQL2125 PV BACKFEED BREAKER Breaker; 25A/2P, 2 Spaces AC (2)ABB g RSI—IPN6—MC4 3P029960000A RSD Kit; ZEP, MC4, NO Power Supply DC C (1)MILBANK k U4801—XL-5T9 Meter Socket; 200A, /6-350, Ringless —(3) ppK49d—Side ZConnector; LoaTop 100A, #12 — 1/0 AWG (1)CUTHAMMER DG221UR8 Disconnect; 30A, 240Vac, Non—Fusible, NEMA 3R L 1 — (1)CUTLER —{iAMMER N DG03ONB Ground/Neutral it; 30A, General Duty (DG) i O6 (1 )Existing wires INI— (1) Conduit Kit; 3/4" EMT O (1 AWG #10, THWN-2, Black lol (1) AWG #10, THWN-2, Red (2)AWG /10, PV Wre, 60OV, Black Voc* = 462.64VDC Isc = 9.64 O (1 ) AWG J10, Solid Bare Copper EGC Vmp = 326 VDC Imp= 9.19 ADC j (2)AWG /10, PV Wire, 60OV, Blad( ADC O ( 1 ) AWG g10, THHN/THWN-2, Green Voc* = 462.64VDC Isc = 9.64 ADC EGC Vmp = 326 VDC Imp= 9.19 ADC ILJJ Vmp = 240 VAC Imp= N/A AAC II��LL (1) AWG /10, THVIi White NEUTRAL Vmp = 240 VAC Imp= 20 AAC (1) AWG /18, 2 conductor SIGNAL — (1 ) Conduit Kit; 3/4" EMT (1 ) Conduit Kit; 3/4" EMT — (1) AWG ;y8,, THWN-2,. Green EGC/GEC — (1) Conduit Kit; 3/4" EMT )AWG #10, PV Wire, BOON, Black Voc* = 462.64VDC Isc = 9.64 ® (1 )AWG 110, Solid Bare Copper EGC Vmp = 326 VDC Imp= 9.19 ADC (2)AWG #10, PV Wire, 60OV, Black ADC O (1 )AWG #10, THHN/THWN-2, Green Voc* = 462.64VDC Isc = 9.64 ADC EGC Vmp = 326 VDC Imp= 9.19 ADC �iF(2 (1 )Conduit Kit; 3/4' EMT (1 )Conduit Kit; 3/4" EMT CONFIDENTIAL — THE INFORMATION HEREIN JOB NUMBER: J B-80010940 00 PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED SHALL NOT BE USED FOR THE BENEFIT OF ANYONE EXCEPT TESLA INC., NOR HEATHER H Y N Heather Byron RESIDENCE Ce Ji �_ o T 5 L MOUNTING SYSTEM: SHALL IT BE DISCLOSED IN WHOLE OR IN ZS Comp V4 w Flashing—Insert 4340 LAMAR ST 6 KW PV ARRAY = n PART TO OTHERS OUTSIDE THE RECIPIENTS WHEAT RIDGE CO 80033 MODULES ORGANIZATION, EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE (20) TRINA SOLAR # TSM-30ODD05A.18(II) TESLA EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME SHEET: REV: DATE: INVERTER: PERMISSION OF TESLA INC. ABB PVI-4.2—OUTD—S—US—Z—A THREE LINE DIAGRAM 9/15/2017 201715 PV 5 b 9 L[OZ/91/6 q g Ad 31V0 -,A3a 133HS V- I S = L !P 90 :NOIS30 addOV]d Ndgd ITIS 3WVN 39Vd N008 00 `10M 1d3HM �4 ddV ^d MV is \IvI^I\�I 0�t/�t IONIOIS]d uOJAO aauloaH Wd.1,g1 ]H1VJH :NOUdWS30 'N3NM0 3SIW3ad d-z-sn-s-alno-z'�-Ind # 88d i13LN3ANl 'ONI V1S31 30 NOISSIW213d N311RLM 3H1 IMH1M '1N3Wdin03 VIS31 3AIl0363d 3H1 30 3sn ONV 31VS 3H1 RUM NOLL03NN00 NI 1d30X3 'NOLIVZINVONO S,1N3Id3M 3H1 30ISInO SdMO Ol 1dHd NI 80 POW NI 03SOIDS10 3811 IIVHS aON3H1"NO a3sn39l VIS31 XONNTIVHS03NIVINOD N13d3H NOUVW60JNI 3H1 - IVLLN30UNOD (11)8l'vsmaox—WS1 # dVd OS dNldl (OZ) SMOOW }aasul-6uiysold M �n dIUO� SZ W31SAS9NlLNf10W 00 0 601009-9P :NOBVMN BOf 00-MOT008-9C AOtZ = ]EM -10n JNLLV'dldO L 1'069 33N dad 103NNOOSIa 0/V NV SI 13NVd IV3Id13313 NIVA NI d3"G 1WHID a33—MV8 3IV1lOA010Hd IL (S)XV66 31Vi]0n010Hd �VIOS aajaua uopnpoid Ad 4nn 103NNOOSIa Oa ONd d31d3AN1 I I I as;aW bu!II!8 lao l0INNOOSia Ob DiIAdn d313W N0110na0dd Ad aNV d313W ON11118 NI` H N33M130 13 SZ J,�31VVQOdddV 4S Jewel 0-�£-� :ssaappv - NMOHS SV 431` D01 SIDINNODSI4 HJ -IM siad 1OS JNIMOIIOd ]H1 WO2id a]Ilddns OSIb SI EMmino SIH1 01 2i3MOd NoiinvD A WARNING ELECTRIC SHOCK HAZARD DO NOT TOUCH TERMINALS TERMINALS ON BOTH LINE AND LOAD SIDES MAY BE ENERGIZED IN THE OFF POSITION A WARNING INVERTER OUTPUT CONNECTION DO NOT RELOCATE THIS OVERCURRENT DEVICE Label Location: (C)(CB)(JB) Per Code: NEC 690.31.G.3 Label Location: (DC)(INV) Per Code: NEC 690.13.13 Label Location.- (DC) ocation:(DC) (INV) Per Code: NEC 690.53 Label Location: (AC)(POI) Per Code: NEC 690.13.8 Label Location: (AC) (POI) Per Code.- NEC ode:NEC 690.54 Label Location: (AC)(POI) Per Code: NEC 690.17.E Label Location: (POI) Per Code: NEC 705.12.D.2 Label Set AWARNING THIS EQUIPMENT FED BY MULTIPLE SOURCES. TOTAL RATING OF ALL OVER CURRENT DEVICES, EXCLUDING MAIN SUPPLY OVERCURRENT DEVICE, SHALL NOT EXCEED AMPACITY OF BUSBAR. A WARNING ELECTRIC SHOCK HAZARD THE DC CONDUCTORS OF THIS PHOTOVOLTAIC SYSTEM ARE UNGROUNDED AND MAY BE ENERGIZED Per Code: 690.64 Label Location: (INV) Per Code: CEC 690.56(C) Label Location: (DC) (INV) Per Code.- NEC ode:NEC 690.35(F) TO BE USED WHEN INVERTER IS UNGROUNDED City of Wheat Ridge udding (AC): AC Disconnect (C): Conduit (CB): Combiner Box (D): Distribution Panel (DC): DC Disconnect (IC): Interior Run Conduit (INV): Inverter With Integrated DC Disconnect (LC): Load Center (M): Utility Meter (POI): Point of Interconnection w Lo (V) gp Og > ;uapuoo Ha %004 0 )10.017-) d 9L 4+ old Ob a�OP WAN (6 66 61 ').SZ-) A.017 L+ of -4oE L Olno-il-Z'b/9'E/9'£/0'E-Ind jol ja/Il lonpad I SJallenUI Delos B9V Z apepene jamod 0a luaipigfls qPm pue a6e110n OV leulwou {e popeue Aplgedeo L 6ugejap lno(4llm apnl!lle buijaAado wnw!xeW me lue!gwV . .......... 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CONiN. N aDUND � pP 'X KPRM N.0 No ' co—arcurt E L----------------------------------------------------------------------------- * Remote control function not available on -A version PVI-4.2-OUTD-US PVI-4.2-OUTD-US 97 X N 94 —340 Vtt � 4BDV� 91 OR 1016 m196 3696 40% 56% 66% 7616 OQIL 9BN 160K %dIWd Paw Technical data and types Type code PVI-3.0-OUTD-US PVI-3.6-OUTD-US PVI-3.8-OUTD-US PVI-4.2-OUTD-US .......... ................. ......... __... Natural convection H x W x D 33.8 x 12.8 x 8.7in (859 x 325 x 222mm)z ........... <47.31b (21 31<9)2 .... ..._........... iqht < 601b (2TOkq)2 (both sides) and 1 th inch conduit (DC side only) Conduit connections Sides: (2) pre -drilled opening for 3K inch conduits with concentric markings for 1 inch (both sides) and 11h inch conduit (DC side only) Back: (21 concentric markinas for 3/4 inch and 1 inch conduits Isolation levelTransformerless (floating array Safety and EM.D741 C standard i U741, UL1SA (draft), IEE E1547, IEEE1547.1, CSA -C, 16998. FCC Part 15 Class B Available motels With DC switch, wiring box, arc fault detector and PVI-3.0-OUTD-S- PVI-3.6-OUTD-S- PVI-3.8-OUTD-S- i PVI-4.2-OUTD-9- nterruoter US -A US -A US -A US -A 2. When equipped with optional DC switch and wiring box All data is subject to change without notice Product flyer for PVI-3.0/3.6/3.8/4.2-TL-OUTD I ABB solar inverters 3 Support and service For more information please contact © Copyright 2015 ABB. All rights ABB supports its customers with a r % reserved. Specifications subject to dedicated, global service organization Technical data and types Type code PVI-3.0-OUTD-US PVI-3.6-OUTD-US PVI-3.8-OUTD-US PVI-4.2-OUTD-US .......... ................. ......... __... Natural convection H x W x D 33.8 x 12.8 x 8.7in (859 x 325 x 222mm)z ........... <47.31b (21 31<9)2 .... ..._........... iqht < 601b (2TOkq)2 (both sides) and 1 th inch conduit (DC side only) Conduit connections Sides: (2) pre -drilled opening for 3K inch conduits with concentric markings for 1 inch (both sides) and 11h inch conduit (DC side only) Back: (21 concentric markinas for 3/4 inch and 1 inch conduits Isolation levelTransformerless (floating array Safety and EM.D741 C standard i U741, UL1SA (draft), IEE E1547, IEEE1547.1, CSA -C, 16998. FCC Part 15 Class B Available motels With DC switch, wiring box, arc fault detector and PVI-3.0-OUTD-S- PVI-3.6-OUTD-S- PVI-3.8-OUTD-S- i PVI-4.2-OUTD-9- nterruoter US -A US -A US -A US -A 2. When equipped with optional DC switch and wiring box All data is subject to change without notice Product flyer for PVI-3.0/3.6/3.8/4.2-TL-OUTD I ABB solar inverters 3 Support and service For more information please contact © Copyright 2015 ABB. All rights ABB supports its customers with a your local ABB representative or visit: reserved. Specifications subject to dedicated, global service organization change without notice. in more than 60 countries, with strong regional and national technical partner www•abb.com/solarinverters networks providing a complete range of www.abb.com Rat life cycle services. TUVR�nd s t us C U S This inverter is marked with one of the two certification marks shown here (TuV or CSA). 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This product provides a fail-safe solution for emergency responders to eliminate voltage at the PV array in compliance with NEC 2014 Rapid Shutdown code requirements. The ABB Rapid Shutdown system requires no extra conduit; minimizing additional material cost and associated labor. Shutdown occurs at the rooftop box when utility power is lost or when the PV system's AC disconnect switch is opened. The Rapid Shutdown box can mount directly to the PV mounting rail or PV module and lay parallel to the roofing surface. The NEMA 4X design permits installation angles from 0-90° while maintaining its water -tight seal from mounted snow and driven rain. Two models are available to cover all system configurations; including a single input/output version and a two-input/two-output version. The unique features of each box can be used to maintain the specific configuration of the PV system. Dual outputs in the box maintain the benefits of ABB's dual MPPT inverter channels, while the single output box is perfect for small PV arrays utilizing one MPPT channel or systems requiring two rapid shutdown boxes. To further reduce system cost, the input channels are rated up to 25A allowing paralleled strings on one input. Highlights: - Meets NEC 690.12 while avoiding the cost of additional conduit making this solution the most cost-effective rapid shutdown product available - NEMA 4X enclosure provides added protection from the harshest rooftop conditions - The 25A rated inputs allow for paralleled strings to provide additional savings by reducing the number of DC conductors to the inverter - New low -profile, behind the module design improves the look of the overall system by keeping wire management behind the array Power and productivity „ 11 Oil for abetter world "' P PIP Rapid shutdown wiring diagram: 2 -RSD system The inputs of both rapid shutdown boxes are rated for 25A which allows for single or paralleled string to be connected to one input. On a 2 rooftop system either version of the Rapid Shutdown box, or both, may be used. Technical data and types Type code Double .. ...._2L. SAima/LSArsc............ ...... Information in this document is subject to change without notice Support and service ABB supports its customers with a dedicated, global service organization in more than 60 countries, with strong regional and national technical partner networks providing a complete range of life cycle services. For more information please contact your local ABB representative or visit: www.abb.com/solarinverters www.abb.com 2 ABB solar inverters I Product flyer for RSD with Zep bracket for 600V applications © Copyright 2016 ABB. All rights reserved. Specifications subject to change without notice. This device is shipped with the certification mark shown here. F N uQZ W amftPl +TJ String 1--, ABB �utdcmn shutdd ��r ISI :::::P i{Y UUW MPM - LD PV String 2 --a - -------------, - I- -_-_ --- ESBBrapid i +24VR9Spuwe-- .- pVppIEM -- Shin PJ String3- shutdavnOL �•_ I mat Rfouq�t H'Pr2 The inputs of both rapid shutdown boxes are rated for 25A which allows for single or paralleled string to be connected to one input. On a 2 rooftop system either version of the Rapid Shutdown box, or both, may be used. Technical data and types Type code Double .. ...._2L. SAima/LSArsc............ ...... Information in this document is subject to change without notice Support and service ABB supports its customers with a dedicated, global service organization in more than 60 countries, with strong regional and national technical partner networks providing a complete range of life cycle services. For more information please contact your local ABB representative or visit: www.abb.com/solarinverters www.abb.com 2 ABB solar inverters I Product flyer for RSD with Zep bracket for 600V applications © Copyright 2016 ABB. All rights reserved. Specifications subject to change without notice. This device is shipped with the certification mark shown here. F N uQZ W wm'deloseuu;'MMM V ILOZ N3 WSi:lagwnuuoluaA ae1OSeu1a1 'a3Ilou anoyllm a6ueLID of pafgns ale laayselep mll u1 papnpul suo0eaquadS'paMOSaJ s1y611 IIV'Pal IWII I? 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papunod 3DNVIJ3101 a3MOd 3nIlISOd MS+ -O ,kDN31D1333 wnwixdw %9*8 39NVH lndln0 H3MOd MSOF-SLZ 31naow 3N111d1SAMNow 113D 09 ju now eul JL suollnloS illnW ouow 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: S fl F Job Address: L4 q6 I �,rZ, rr S -/- Permit /-Permit Number: 2 u/ r v T �/ ) ❑ No one available for inspection: Time 7�7 AM/P Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-2 34- 933 Date: -7J? 0 /% Inspector: DO NOT REMOVE THIS NOTICE I 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: g3q(1 Vvwt9r Permit Number: '707 u3 w,, p 6r -vim° ❑ No one available for inspection: Time 1 L AM/PSN) Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: �i ?,�' //�Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: I'h l to Job Address: J 7 - Permit Permit Number: b I ® C) G' S t' r c ,' v >J a ,*� m -+ rM- R i) GN Si r- ❑ No one available for inspection: Time qn, PM Re -Inspection required:Yes o } When corrections have been(M e, call for re -inspection at 303-234-5933 Date:7 Inspector: k�tK_ I DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: rn t In Job Address: (4 3 V a L*\ ^ A J -r Permit Number: -) 6 / 10 -Z) � � C1 ro M + c�rfi� �� cN 5; _7 41-I cell6ye0 P, P ❑ No one available for inspection: Time 61K_)4PM Re -Inspection required: Yes o When corrections have been m e, call for re -inspection at 303-234-5933 Date:_7 _ t 9 ' Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _:�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: 7 LlNo one available for inspection: Time &/PM Re -Inspection required: Yes I4 - When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: /X DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201703880 PERMIT NO: 201703880 ISSUED: 07/13/2017 JOB ADDRESS: 4340 Lamar ST EXPIRES: 07/13/2018 JOB DESCRIPTION: Residential Re -roof to install TAMKO HERITAGE asphalt shingles with ROOF DECKING 26 SQ House & Garage- 4/12 pitch *** CONTACTS *** OWNER (720)273-5298 BYRON HEATHER L SUB (303)738-1032 Guy Mumford 090166 Kudu Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,670.00 FEES Total Valuation 0.00 Use Tax 203.07 PAID' Permit Fee 204.30 ** TOTAL ** 407.37 *** COMMENTS *** *** CONDITIONS *** 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) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. 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. In order to pass a final inspection of elastomeric or similar type roof coverings, 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201703880 PERMIT NO: 201703880 ISSUED: 07/13/2017 JOB ADDRESS: 4340 Lamar ST EXPIRES: 07/13/2018 JOB DESCRIPTION: Residential Re -roof to install TAMKO HERITAGE asphalt shingles with ROOF DECKING 26 SQ House & Garage- 4/12 pitch 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 1 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 perfcmnedtiand that al qwrk to be -med is disclosed in this document)and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) D to 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 pennit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuanc anting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable God apn�y_ �ordina se eguI tip f 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. Dane Lovett zot --� o �gQ From: no-reply@ci.wheat ridge.co.us Sent: Friday, June 30, 2017 12:01 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? 74/7 How many dwelling units Single Family Home are on the property? Cd e, PROPERTY INFORMATION f Property Address 4340 Lamar Street Property Owner Name Property Owner Phone Number Property Owner Email Address Heather Byron 720 273 5298 / hlbyron1 @gmail.com Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Kudu Roofing LLC Contractor's License 090166 Number (for the City of Wheat Ridge) Contractor Phone 303 901 7548 Number Contractor Email Address guymumford@kuduroofing.com Retype Contractor Email guymumford@kuduroofing.com Address DESCRIPTION OF WORK Are you re -decking the Yes roof? Description of Roofing Tamko Heritage shingles Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 26 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of al 26 roofing material for this project Provide additional detail House & Garage - 4/12 pitch here on the description of i work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 9670.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Guy Mumford Email not displaying correctly? View it in your browser. 3 K -u Du KOO N N G, LLC Residential, Commercial and Gutter Sen ices 2709 W. Belleview Ave., Suite B Littleton, CO 80123 Tel: 303-738-1032 Fax: 303-738-1036 www. Kudu Roof i ni € i 1 Homeowner: Address: L 3ttQ City, State, Zip Code: lj�"ZA cr'- Gc _Zama—" Phone (home): _L — Phone (dell): gf+,,7, I-mail:�-- Owner(s) authorizes Kudu Roofing to discuss, negotiate and exchange communication with insurance carrier to discuss property damages, storm related or otherwise. Any upgrades in materials or JLLVsSOrieS will be addressed in the additional work section of the contract and will require owner(s) initials for approved increase of price if applicable. Agreed upon price will become final contract price and Kudu Roofing will receive all insurance proceeds for work completed by Kudu Roofing. Owner(s) further understand and agree to pay any supplements approved by insurance company arising during construction or not initially known or covered by insurance company at initial inspection. Owner(s) agree to pay deductible per Part 1 Article 4 of title pursuant to section 6-22 105 and warrants Kudu Roofing has not offered to pay, waive, or rebate any portion of the deductible applicable to claim. Any insurance proceeds authorized for work not completed by Kudu Roofing will be retained by owner(s). If insurance company denies coverage for any reason, this contract will terminate and neither Kudu Roofing nor owners) will be obligated to one another. Initials f Manufacturer: Tear off 1 layer(s) of Decking replacement (if needed)\S 0 Underlayment: Synthetic/Felt 0 Leak Barrier: Eaves/Vallefys/Penetrations (if neddei) Drip Edge,/Gable metal: MReflash wall/chimney transitions Product: Ha:14- Replace/paint roof vents ® Replace/paint plum ing pipe lacks Valleys: Closed Open 117-71 ri 5 year Workmanship Warranty IDClean out gutters Magnetic sweep of nails/metal debris Color: 13)1r1_ LJ1)r1in MRemove all debris from site F1Pull & clear city/county permit Noted leaks: _ Interior _ Driveway cracks t %O May we place a yard sign? Gutters r Gutters: L It Downspouts: -1 If Color: Special Instructions/Notes: 1 Add'I Work: Paint / Siding / Windows / Deck / Fence / Misc Owner and/or agent represents and warrants that any defect or weakness in the premises, structure, sub -structure, super -structure or points of attachment that might affect performance by contractor has been specifically and fully disclosed to contractor. Kudu Roofing, LLC only guarantees work provided by it, Insurance Claim Estimate (RCV): $ Insurance company: ;]Z:(r•C: I+) upgrades: Claim Number: J Z., (+/-) Other: <-::D<-::D!' Policy Deductible: } 1 �. Deposit/initial Payment (ACV): 5 `T'�,----Z)iJ Approximate start Dater Estimated final Payment (Supplements/ Permit): $o:atas+ C•7completion Date: r Z Contrac r ains all supplemental and &P costs on trades completion I f Owner Signature: XyKudu Roofing: Date: 'f� f!' t Date; I Contractor will hold in trust any payment from property owner until materials have been delivered. As with any construction work, it is impossible to estimate everything that may be damaged, especially in areas we cannot see before beginning work. If anywhere along our progress unforeseen work needs to be done, we will communicate up front and wait for your approval before continuing work. You have the right to rescind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. It you plan to use the proceeds from a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving written notice from your insurance carrier that your claim has been denied in whole or in part. However, Kudu Roofing is entitled to retain payments or deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing practices. ®I %5V ® 1 OccupancylT~Pe INSPECTION LINE: (303) 234-5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS - DATE INSPECTOR INITIALS COMMENTS: - Footings/Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic. Weatherproof/ French Drain Sewer Service Lines Water Service Lines CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) UNTIL HBUVI, NAJ ABOVE ROUGHS Sheathing Lath /Wall tie Mid-Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical Framing Insulation Drywall Screw ABOVE INSPECTIONS FINALS Electrical Plumbing Mechanical Roof Building Final Fire Department - R.O W & Drainage ALL ROUTING ONE WEEK PRIOR TO FINAL INSPECTIONS ST Parking & Landscaping . ART "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER . A4' CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office ' (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: -41_ a,; , Job Address/Permit Number: tf3t/!~ ~ ~L,~ s7, _,-)9,13'11, Ai',Pk fjJ rS ❑ No one available for inspection: Time,, a AM/PM Re-Inspection required: Yes 'When corrections have been made, call for re-inspection at 303-234-5933 k F Dater Inspector: r: DO NOT REMOVE THIS NOTICE ~ CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office ' (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: Vii,. V11v/ Y19gl l- Job Address/Permit Number: Me) / a~a~a2 c? _S . c7S3/3 ralr ~~t~ S SIF~~! P~f /~~r~:v7~0 r~ ,c? /A sr/ cs Oise 0 ❑ No one available for inspection: Time ~t S AM/PM Re-Inspection required: No 4 When corrections have been made, call for/re-inspection at 303-234-5933 Date: 4212VIW Inspector: DO NOT REMOVE THIS NOTICE `1141 ~ CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line ~JJ (303) 235-2855 Office ' (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: Job Address/Permit Number: t! S'D f ter? i ~5' 1 `~f ,2 _i S/'l ,7 i>u/r 37~ ,'r s`/. Lf' 1) A? fir` 2 'k,L 1 )ZFj€ "T-u2r_C25 (AL" /5 ❑ No one available for inspection: Time so /o AM/PM Re-Inspection required: es No When corrections have been made, call for re-inspection at 303-234-5933 Date: i ° ,71 ` Inspector: 7.!~% DO NOT REMOVE THIS NOTICE ♦~~4' CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office ` (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: c>.Al c Job Address/Permit Number: ~ur~ LG e r ❑ No one available for inspection: Time AM/PM Re-Inspection required: Y No When corrections have been made, call for re-inspection at 303-234-5933 Date: z ~ Inspector: DO NOT REMOVE THIS NOTICE ~ CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office ` (303) 235-2857 Fax _ INSPECTION NOTICE ❑ No one available for inspection: Time AM/PM Re-Inspection required: es No When corrections have been made, call for re-inspection at 303-234-5933 Date: ! D Inspector&.r DO NOT REMOVE THIS NOTICE Inspection Type: Job Address/Permit Number: ~3Ya !_sftLQ ~S?> 3 YG ' A City of Wheat Ridge 01'r, r400 Res. Add Structure PERMIT - 081346 PERMIT NO: 081 346 ISSUED: 11/17/2008 JOB ADDRESS: 434 0 LAMAR ST EXPIRES: 05/16/2009 DESCRIPTION: 20' x 30' detached garage CONTACTS owner 303/748-1699 Theodore Byron gc 303/757-1800 Mamie Ritter 01-7729 Budget Garages & Construction, PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION: 0397 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 13,500.00 FEES Permit Fee 308.50 Plan Review Fee 200.53 Total Valuation .00 Use Tax - - 243.00 TOTAL 752.03 Conditions: Subject to field inspections. Approved as submitted 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 appl* tion and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other appri able wheat Ridg€ ordinances/, for work under this permit. Plans subject to field inspection. /'Signature /f Contractor/owner I date 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 180 days from the issue date. Requests for an extension must be received prior to expiration data. An extension may be granted at the discretion of the Building Official. 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 it 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 proceeding with successive phases of the job. 6. 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, anWlt* of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review is field inspections. Signature of Chief Bu din fficial date INSPECTION REQ EST LIKE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY. FOR INSPECTION THE FOLLOWING BUSINESS DAY. 9 City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Inspection Line: 303-234-5933 Building Permit Application Date: t - l' l -o &T~ Plan Permit Property Address: '1-?J0 L AN? A& 67, Property Owner (please print): I I 3v20 /v Phone: 30,3 - y~- / Mailing Address: (if different than property address) Address: Citv. State, Zip: Contractor: 8(9 1b. lob T G AA6E S ( A) C Contractor License ( / ~ Z q Phone: 3 0.3 - 'S 7 1 49O O Sub Contractors: Electrical City License Company: Exp. Date: Plumbing City License Company Exp. Date: Use of space (description): Description of work: '201 x3J ` -0 P- Gtf 84446 Sq. Ft./L.Ft added: Squares BTU's Mechanical City License Company: Exp. Date: Approval:6 Construction Value: $'C (as calculated per the Building Valuatf Plan Review (due at time of submittal): Gallons Amps r Data sheet) 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 (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subje inspection. CIRLCE ONE:: (OWNER) ()CONTRACTOR or PERSONAL REPRE ENTATIVE of ,OWNER) ( ONTRATOR) PRINT NAME: ~DUfr- / 06111 -Q N SIGNATURE: Date: DEPARTMENT USE ONLY ZONING COMMENTS: Zoning:e_2 Reviewer: ,10 Jli Cafe '40 ld//F' ~6-1 PUBLIC WORKS COMMENTS: Reviewer / BUILDING DEPARTMENT O S: TrrU/'~'°(' ' OCCUPANCY: Reviewe fi~ /=-jz Vein r v / F Bld Valuation: $ FIRE DEPARTMENT:: El roved w/ Comments El disapproved ❑ no review required 9 ) C LEJKW L A N D 5 U R V E Y I N G 5460 WARD ROAD • SUITE 160 ARVADA, COLORADO 80002 (303) 4204788 IMPROVEMENT LOCATION CERTIFICATE Attn: THEO N Scale: 1"-20' i i I 31.0- 0 r inc h O Conc. Drive i I ~ I I ~ I i DATE 09/19/2008 FEE 150.00 jOB# 87-9016 CLIENT CITY OF WHEAT RIDGE ADDRESS 4340 LAMAR STREET NAME THEODORE BYRON LEGAL DESCRI ON V ~T 9, DOUGS SUBDIVISION, COUNTY OF JEFFERSC STATE OF COLORADO Note: Certificate is Based on Existing Fence An Improvement Survey Plat is Recon for Precise Location of Improvements. LOT 10 0 1d One Story , Frame C4 QQq CJ ~ V N 2.0 133.06 11 2, gFa L) O ag~ao O~J. $ I~"2222 7.2'x 9,9' Frame Shed ~J LOT9 7.0RopoSti C i '2.ox30 _o 25.9 'N. -ra4GH%t- I l b~t2.~6~ Conc. Drive ~n LOT8 0 n Note: For roofs with slopes less than 4:12, follow manufacturer's instructions for low slope application of roofing material. " I Sheathin / `11 S 0 Truss or 2xrafters spaced" O.C. rexample: Put checlenarkh bw -2x 10 Rafters Specs 24'O.CJ (ex: ple:Ii exleaorplywoo) board Slab Roof rih Provide roof tie downs Solid 2x bloc In, between rafters that are 2x12 or greater ACS r(tprylN(ryylkm$F_RS ' 9ftvv~,& ts7-O/1 \~t~rtia - - 10'yrl, Al2 ovF Note: Pre-engineered roof trusses wrtruss clips may be used in lieu of roof structure shown. Diagonal wind bracing or corners and each 25'( i ~ \ e RF,~eI s^oeoe°4~~ Concrete Encased Ground required for new service idation Detail A dation Detail B (see page 4) F g Insulation A 4L-] (1(healed•exam0 R4 2x fo Islab.C. I (example: 2 x 6 0 24.04..) Double 2x,(Qtop plate ` (exempla 2 x 6) Span 7_0 ' l (example: Ceiling height l !example: B9 Siding 1 - 11 I (example: lop or T-111) Wall 2_x stubs @_&~ O.C. Cont. d',~.;: ' Wall Insulation A7 A WHO LIP.- 1 'qk~' I (If heated - example: R-19 Fioertflass Bans) Footing size x (exempla: S' x 16•) This handout was developed by the Colorado Chapter of the _3q 0 L 14 f"IbVIEW, International Code Council as a basic plan submittal under t id ( eCtlOriS the 2006 International Residential Code. It is not intended kA? l~ ~,4L*jpq 1';~7 1 ( p to cover all circumstances. Check with your Department of .rte Building Safety for additional requirements. Wheat Ridge l3u11arQj~ . Plan checker 131 2118M7 Directions Fill in the blanks on pages 2 and 3 with dimensions y L 4 of S and materials which will be used to build the structure. Please print legibly. W i+~ A Q i~ 6 I n 'B 00 3 2. Indicate in the check boxes on page 3 which detail from page 4 will be used. Note: Heated garages may require special provisions. Dimension 7-0' Locate and Indicate rafter or detail bracing truss direction ❑ Garage Is heated w~ o gWarage is not heated WINbOws Show door and window header sizes and location 2X6" and size of landing in front of door 1+~ av~R s Floor t~ 1 p imension 3o, 3 /i minimum concrete slab. 0 u►ii. vD1 Z"x 12 "header CZ~ . (example: (2) 2x 10 Note: I 3 06 S If root trusses or rafters bear on header, special header design may be required b 10 0A Double 2x4 or 2x6 trimmers each end of overhead door header Garage door opening width AL:- ---J I bo L. ic..s L Dimension' r} * See Braced Wall Panel Detail on page 4 to Dimension' L r comply with section R602.10.6.2 (IRC) - This handout was developed by the Colorado Chapter of the APPROVED International Code Council as a basic plan submittal under Subject to Field Inspections the 2006 International Residential Code. It is not Intended to cover all circumstances. Check with your Department of Building Safety for additional requirements. Wheat Midge Building Dept. 121 Plan checker G"r7 emttiT W v'~d IbRuaMA5 ~~l-91VNU 1/2" x 10" steel anchor bolts 6'-0" P siding over '/I,"x 10'steel anchor bol '-0' n max. O.C. m e la ~n O.C. max., r min. penetration max. undabon a from each from m r 12" from corner and 12" from each m um of 1" end of plate (mi per plate). end of plate (min. 2 bolts per plate). Bottom p shall be min. 8" Lap siding over Bottom plate shall be min. 8' above e, or be treated woo dewy resistive wood foundation a above grade, or be treated 6' mi r minimum of 1". wood or dewy resistive wood Finished 3 Vz Minimum grade concrete slab " ~t _ - 3 1/2" Minimum Fiberboard expansion joint min. 6 Concrete Slab Finished { grade rovide #4 rebar vert. @ 4'-0" - 18" min 36"min. ' insert rebar into concrete . , #4 rebar min. " Note: Check too or key way 3 cont. top & with local Note: Check with local bottom with 18" laps building department #4 rebar mi . tinuous top of - " building department for 8" swelling laps wall &at With 18 swelling soils. Caissons Cais may ` . may be required. be fired. ~'o - O . Double portal frame (two braced wall Extent of header Single portal frame (one braced wall panel) 61 to 18' 1,000 lb. strap oppos Fasten top plate to of 16D sinker nails a' Fasten sheathing to galvanized box nails 3" O.C. in all framing Min width = 16" for o Min width = 24" for use Min. 2x4 framing sheathing 1,000 Ib. stra ler with two rows '*QC. typ. rder with,8D comryofi or 3" grid palTernaS shown and 318" min:`thickness wood 2x4 post strycfural panel sheathing Min. 4,200 lb. He-down device (embedded into concrete and nailed into framing Typical portal frame construction For a panel splice (if needed), panel edges shall be blocked, and occur within 24' of mid-height. One row of typ. sheathing-to- framing nailing is required. If 2x4 blocking is used, the 2x4's must be nailed together with 3 16D sinkers lb. Section R602.10.6.2 This handout was developed by the Colorado Chapter of the International Code Council as a basic plan submittal under the 2006 International Residential Code. It is not intended to cover all circumstances. Check with your Department of Building Safety for additional requirements. to 3 u LWhdaVJbdgKE)%lding 9WP - Plan checker 4 City of Wheat Ridge Residential Plumbing PERMIT - 060797 PERMIT NO: JOB ADDRESS: DESCRIPTION: 060797 4340 LAMAR ST excavate/repair sewer line - ISSUED: EXPIRES: install clean outs 08/30/2006 02/29/2008 only *** CONTACTS *** gc 303/418-6000 owner 720/301-0428 01-8701 ARS Rescue Rooter (Plumb) Amy Vogt ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: UA USE: BLOCK/LOT#: UA 0/ Permit Fee Total Valuation Use Tax ** TOTAL ** ESTIMATED FEES 70.25 .00 27.00 97.25 PROJECT VALUATION: 1,500.00 ** FEE SUMMARY ** ~;E~ Comments: contractor must renew license (payment already received) . subject to field inspection 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 applicabl w at Ri rdinances, for work under this permit. Plans subject to field inspection. c-> 'ZjC date 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 (8) 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 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 ordinance, law, rule or regulation. All plan re~ sub' inspections. ./~~ ,," .,,", -'"' Signatu cal 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. "'~' '''''4r 1'/ ~ " - " '-' ~ C'OLORp..\}O BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) ItPPU04TlON . Date' Property Owner: Property Address: Contractor License No.: Company: ~v t- L\'34c5 ~ s+- l"DIOl ~ Iffi fX' >>J. ~-Iv Phone: ~ Jv 1"1 <V '/;)0 - 3DI-v-r c7' Cl Phone 20'8 -Yl % -idJ?fc, OWNERJCONTRAcrOR SIGNA TIJRE OF UNDERSTANDING AND AGREEJ\1ENT I hereby certify that thesetback 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 orrestrictions 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 fOf compliance with the Wheat Ridge Building Code (U.B.C).and all other applicable Wheat Ridge Ordinances, for work under :=:ON1RAcroR)SI~ Q DATE ~/;) 1-0 6 ' jj, Description: ~(Y()..UoJt C!J'ld. ~ ~ J2uu - LYlS~ aP.aJ/1~ Construction Value:$ Permit Fee:$ Plan Review Fee:$ Use Tax:$ TDtal:$ I "St5V, BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: ZONING COMMENTS: Approval: Zoning: BUILDING COMMENTS: Approval: PUBLIC WORKS COMMENTS: 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 your application and is subject to the laws of the State of Colorado and to the ZOlling Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) TIlis pennit 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 pennit expires, a new permit may be acquired for a fee of one-half the amount nonnally reqtlired, provided no changes have been Of will be lTI~de in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have heen or if ~u~pen~i('ln nf nhnnonnlnent 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) hams in advance for all inspections and shall receive written approval on inspection card before proceeding with 5Uccessive phases of the job. (6) TIle issuance of a permit or the approval of drawings and specifications shall not be constmed 10 be a permit for, nor an approval of, any violation ofthe provisions of the building codes or any other ordinance, law, mle or regulation. Chief Building Inspector