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Home My WebLink About4085 Dudley Streeti CITY OF WHEAT RIDGE, Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: L PAS "�—-- Job Address: 1 Permit Number:..C > 6 ❑ No one available for inspection: Time'-AM/PM Re -Inspection required: Yes (No When corrections have been mad, ca r. owe -inspection at 303-234-5933 �Z Dat r" �" Inspe o DO NOT REMOVE THIS NOTICE 1* i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax ( C=> G= R, INSPECTION NOTICE Inspection Type: 44 Job Address: Permit Number: �%C$-71 �' L-•-�'? 1 ❑ No one available for inspection: Re -Inspection required C>) No When corrections have been made, call f Date:,,n ""r — TimeAM/PM at303-234-5933 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: `"t JobAddress: 1 �- Permit Number: n- " i r) ❑ No one available for inspection: Tide-" �-_?AM/PM Re -Inspection required: ;/--DNo When corrections have been ma#e;-ca for re -inspection at 303 -234 - Date Insp1 -# DO NOT REMOVE THIS NOTICE City of Wheat Ridge *per Residential Solar PERMIT - 201900362 PERMIT NO: 201900362 ISSUED: 03/06/2019 JOB ADDRESS: 4085 Dudley St EXPIRES: 03/05/2020 JOB DESCRIPTION: Residential solar, roof mount, flush mount, grid tied 5.28, kW Solar PV. *** CONTACTS *** OWNER (303)519-3404 TOLL DAVID B SUB (303)577-9628 Andy Nyman 070159 Sunrun Installation Srvs. Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,873.00 FEES Total Valuation 0.00 Residential Solar 500.00 ** TOTAL ** 500.00 *** COMMENTS *** *** CONDITIONS *** Approval from presiding fire department required prior to final building inspection sign -off. Approved per plans 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. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this_permrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be pe for ed and that all work to be performed is disclosed in this docu t and/or its' accompanying approved plans and specifications. 7 [ LtC v�/l.GcrS ill . ;6r p Xigna'ure of406VVNEIR or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the 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 Offcial 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-L'&suance or grag of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any appliqAle node or attordinance or regulation of this jurisdiction. ADDroval of work is suhiect to field incnertinn Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY i k 4 City of W heat Pidcyc COM,MUNLII' DLVLLOI'MLNT 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 _ci.wheatridge.co.us FOR OFFICE USE ONLY Date: 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: 4085 Dudley St Wheat Ridge CO 80033 Property Owner (please print): David Toll Phone: 303-519-3404 Property Owner Email: Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer• Architect/Engineer E-mail: Contractor Name: Sunrun Installation Services City of Wheat Ridge License #: 070159 Phone: Phone: 303-577-9628 Contractor E-mail Address: colorado.permitting@sunrunhome.com For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Thomas M. Brook Phone: 720-537-0235 CONTACT EMAIL(p/ease print): thomas.brook@sunrun.com Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields. ❑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. Roof -mount, flush mount, grid -tied 5.28 kW Solar PV Sq. FULF BTUs Gallons Amps Squares For Solar: 5.28 Kw 16 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) s 9873 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRAC R) or (AU��ED REPRESENTAT/VE) of (OWNER) (CONTRACTOR) Signature (fast and last name): DATE: 03/05/2019 Printed Name: Thomas M. Brook DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING PARTMENT COMMENTS: Revie r: PUBLIC WORKS COMMENTS: Reviewer: CONSTRUCTION TYPE: Building Division Valuation: LG LG330N1C-A5 Mechanical Properties Cells 6 x 10 Electrical Properties (STC *j Module LG33ON1C-AS Cell Vendor LG Maximum Power (Pmax) 330 Cell Type Monocrystalline / N -type MPP Voltage (Vmpp) 33.7 Cell Dimensions 161.7 x 161.7 mm / 6 inches MPP Current (Impp) 9.8 e of Busbar 12 (Multi Wire Busbar) Open Circuit Voltage (Voc) 40.9 Dimensions (L x W x H) 1686 x 1016 x 40 mm Start Circuit Current (Isc) 10.45 66.38 x 40 x 1.57 inch Module Efficiency 19.3 Front Load 600013a Operating Temperature -40-+90 Rear Load 5400Pa Maximum System Voltage 1,000 Weight 18 kg Maximum Series Fuse Rating 20 Connector Type MC4 Power Tolerance (%) 0-+3 Junction BOX IP68 with 3 Bypass Diodes • STC (Standard Test Condition): Irradiance 1,000 W/mP, Ambient Temperature 25 orAM 1.5 Cables 1000 mm x 2 ea The nameplate power output is measured and determined by LG Electronics at its sole and absolute discretion Glass High Transmission Tempered Glass • The Typical change in module efficiency at 200W/m' in relation to 1000W/m2 is -20%. Frame Anodized Aluminium Electrical Properties (NOCT*) Certifications and Warranty Module LG33ON1 C -A5 Certifications IEC 61215, IEC 61730-1/-2 Maximum Power (Pmax) 243 UL 1703 MPP Voltage (Vmpp) 31.2 IEC 61701 (Salt mist corrosion test) MPP Current (Impp) 7.81 IEC 62716 (Ammonia corrosion test) Open Circuit Voltage (Voc) 38.1 ISO 9001 Short Circuit Current (Isc) 8A1 Module Fire Performance (USA) Type 1 `NOCT(Nominal Operating Cell Temperature) Irradiance 800W/rr', ambient temperature 20 •C, wind speed tm/s Fire Rating (CANADA) Class C (ULC / ORD C1703) Product Warranty 12 years Output Warranty of Pmax Linear warranty** Dimensions (carotin) "1)lstyear: 98%, 2)After2ndyear 0.55%wrivaldegradatlon, 3)25yeam:B4.8% Temperature Characteristics NOR 45:t 3 eC Pmpp-0.37%rC Voc -0.27%/°C Isc 0.03 %/°C Characteristic Curves a io � e U 6 4 2 LG Life's Good North America Solar Business Team LG Electronics USA Inc 1000 Sylvan Ave, Englewood ClifFs, N107632 Contact: lg.solar@Ige.com www.Igsolarusa.com Wo eiem — Temperature (°C) 00 Product specifications are subject to change without notice. Copyright O 2017 LG Electronics. All rights reserved. 01/01/2017 iu Innovation for a Better Life 'C a. - IF LC Life's G LGNZ■ LG330N7 C -A5 LG's new module, LG NeONI 2, adopts Cello technology. Cello technology replaces 3 busbars with 12 thin wires �� ry-N. �PRovEo�oouR to enhance power output and reliability. LG NeON m 2 pVE �lC 1 Y/ g CE �+ demonstrates LG's efforts to increase customer's values �"� 60 cell beyond efficiency. It features enhanced warranty, durability, Intertek performance under real environment, and aesthetic design suitable for roofs. Enhanced Performance Warranty •� High Power Output LG NeONI 2 has an enhanced performance warranty. Compared with previous models, the LG NeONTM' 2 The annual degradation has fallen from-0.6%/yr to has been designed to significantly enhance its output -0.5594o/yr. Even after 25 years, the cell guarantees 1.2%p efficiency, thereby making it efficient even in limited space. more output than the previous LG NeONI 2 modules. Aesthetic Roof ® Outstanding Durability LG NeONTM 2 has been designed with aesthetics in mind; With its newly reinforced frame design, LG has extended thinner wires that appear all black at a distance. the warranty of the LG Ne0NTM' 2 for an additional The product may help increase the value of 2 years. Additionally, LG NeONTM 2 can endure a front a property with its modern design. load up to 6000 Pa, and a rear load up to 5400 Pa. • Better Performance on a Sunny Day Double -Sided Cell Structure LG Ne0NT"° 2 now performs better on sunny days thanks19 The rear of the cell used in LG NeONTM 2 will contribute to to its improved temperature coefficiency. generation, just like the front; the light beam reflected from the rear of the module is reabsorbed to generate a great amount of additional power. About LG Electronics LG Electronics is a global player who has been committed to expanding its capacity, based on solar energy business as its future growth engine. We embarked on a solar energy source research program in 1985, supported by LG Group's rich experience in semi -conductor, LCD, chemistry, and materials industry. We successfully released the first Mono X® series to the market in 2010, which were exported to 32 countries in the following 2 years, thereafter. In 2013, LG NeON^- (previously known as Mono X® NeON) won "Intersolar Award'; which proved LG is the leader of innovation in the industry. solar=@e Single Phase Inverters for North America SE3000H-US / SE380OH-US / SE500OH-US / SE600OH-US/ SE760OH-US SE10000H-US / SE1 140OH-US Supported Communication 3/4" minimum/ 20-4 AWG - IH -US - I SE600OH-US I SE760OH-US -- -1 I SE1000OH-US F��H-14-00HUS .............. ........ I ............................................. I .............................. ........... 9j)I990P, OUTPUT . Rapid Shutdown -NEC 2014 and ......................................... ......... I ..................................... - ..... ........... 2017690.12 Automatic Rapid Shutdown upon AC Grid Disconnect ...... STANDARD COMPLIANCE Safety ................ Rated AC Power Output 3000 3800@240V 5000 6000 7600 10000 11400 VA ....................................... ..... I ........... . 3300 . QZQ?Y . ....... — ...... .. ... I .... I .... ... ............ ...................... ................ Weight Switch ................................... . ................ ... ........... 26.2./11.9 Max. AC Power Output 3000 3800 @240V 5000 6000 7600 ................. 10000 ................. 11400 ....... VA .. . . ...... ..... .......................... — .. ...... — ............. dBA Cooling Natural Convection t. in.. o kbutpuVoltage M- Nm. ... * ... * ... .......... .................... ..................................................................... .. ................. ................. ..... Max, (183 208 229)............ ............. ....... ............. _�91F/ ...................... .......... ... 01Vac ............ Protection Rating ......... ......... —.1 .......... ......................... with Safet ........ .... .y.�y�itN ...................................... ......... AC Output Voltage Min. -Nom: . .............. ................ .... — .......... ................. ........... .Max -1.2.11.- 2.40.- 2.64) .............. f .............................. 01 ................ V, .1 11 ✓ Vac ..Aq ............ ............... .... 59.3 - 6.0 - 60.54) Hz Maximum Continuous Output ................****"* ........ ...... ............... * . ................. **'*'*** AW 16 24 A ..qRrrAqt ....................... Maximum Continuous Output ..... I ....... .............. .. ........... .............. ................ .......... ...... ................. ........... ..�Wlkqt A4PM ....................... 12.5 16 21 25 32 42 47.5 A GFDI T�Mq ..................... .................................. ... ........ I .............. ....... I ........ ....... i ....... ................ ....... * ......... ....... —* ...... .... Utility Monitoring, Islanding — ........... .................................. I ................... .................... ........... Protection, Country Configurable Yes Thresholds INPUT .... ...... . .. ..Maximu.m. RC.Pom�� ............... ...... ...... 5900 7750 9300 11800 15500 17670 W nsformer.4-less, Uunded ............... – n �..ro............ ................................... Ye .Maximum 19PA yqmv ............ ... ......................... ................ I .............. .......... ......... ............................ 480 ...... ........... .................. ........... Vdc DC Input380 ...........�qpinal Vdc Maximum Input Current 208V ..... . ........ .. ...... ................................. Adc ... qy!!�R� 240V ..... ................ ..I ...... ... ...... I ...... .........MxImumInput Adc Max_ Input Short Circuit Current ............ ....................... .................................................................................................. ...... ............ 45 Adc'* ... Reverse Polarity Protection................................................................... Yes ........... Ground -Fault Iso.lation. Detection ... . .. ........ .. .. . ..... .. ....... ....... ..................... I ......... ........ ..................... 600.k.a Sensitivity ....... ......................... .................... ....... ........... Maximum Inverter Efficiency ....... 4� ................. ................................................. 99.2 CECWeighted Efficiency..... ......... ....................... ............ ...... ?� Nigit ie*Power Co'nsumption I .......... < 2.5 ................................................ ..... W Supported Communication 3/4" minimum/ 20-4 AWG Interfaces ........................... RS485, Ethernet, ZIgBee (optional), Cellular (optional) ..Rang? ............................... Revenue Grade PP!M5! ql?:?R .............. ........ I ............................................. I .............................. ........... 9j)I990P, . . Rapid Shutdown -NEC 2014 and ......................................... ......... I ..................................... - ..... ........... 2017690.12 Automatic Rapid Shutdown upon AC Grid Disconnect ...... STANDARD COMPLIANCE Safety ................ ... — UL1741, UL1741 SA UL36998 CSA C22.2, Canadian AFCI accordin to T.I.L. M-07 ....... �A-.q AWG 2:1.3 � .Grid .Corinectlo.n.Sl�ani6s ..... . ........ IEEE154 ...... ............. ...................... Emissions FCC Part 15 Class B 1 �i-.�-X 14.6 INSTALLATION SPECIFICATIONS Mt. VULVUL W1 IUUIL a1ze / MvvU 3/4" minimum/ 20-4 AWG ..Rang? ............................... ...... I ...... I .................. DC Input Conduit Size / # of Strings I ................................ ........ ........... .. 3/4" minimum / 1-2 strings / 14-6 AWG Ve .................. .......... minimum/ 1-3 strings/ ...... /AWG Rang? ........ I ..............14-6 ............. ......................................... ....... I ............ ............ �A-.q AWG 2:1.3 Dimensions with Safety Switch x 14.6 1 �i-.�-X 14.6 (HxWxD) 17- .7 x 14.6 x 6.8 450 x 370 x 174 x7.7/540x x7.3/540x in/mm ...................... ................ Weight Switch ................................... . ................ ... ........... 26.2./11.9 ........ .with .Safety ... ...... .... ...... ....... .... ....... ....... ............... *'..'.'.'.... ..IJ4 I. k g .. Noise ............................ ..... .......................... <. 25 ................................ <50 dBA Cooling Natural Convection .... ................ Natural convection a ........... internal fan (user ... * ... * ... .......... .................... ..................................................................... replaceable)..'',*''t*'................. ..... .............. ....... ............. _�91F/ ...................... ........... Protection Rating ......... ......... —.1 .......... ......................... with Safet ........ .... .y.�y�itN ...................................... ......... 11) For other regional settings please contactSolarEdge support 2) Revenue grade inverter P/N: 5Ex)=H-US000NNC2 lel For power de -rating information refer to: https://w .wiamdge.rom/sites/default/Ries/se-temperatum-demting-note-na.pdf -40 version P/N: SEm H-USOOONNI.14 solar =@@ SolarEdge Single Phase for North America SE3000H-US / SE380OH-US / SE5000H-U SE760OH-US / SE1000OH-US / SE11400H- o solar rj!_ ce.0"! • �r 0 0 0 0 a Fro Optimized installation with HD -Wave technology Specifically designed to work with power optimizers Record-breaking efficiency Fixed voltage inverter for longer strings Integrated arc fault protection and rapid shutdown for NEC 2014 and 2017, per article 690.11 and 690.12 UL1741 SA certified, for CPUC Rule 21 grid compliance Extremely small High reliability without any electrolytic capacitors .• Built-in module -level monitoring — Outdoor and indoor installation wave — Optional: Revenue grade data, ANSI C12.20 Class 0.5 (0.5% accuracy) — Simple configuration and commissioning with smartphone app and built in Wi-Fi (SE10000H-US, SE11400H-US) USA -CANADA -GERMANY -UK -ITALY -THE NETHERLANDS -JAPAN -CHINA -AUSTRALIA -ISRAEL -PRANCE -BELGIUM -TURKEY -INDIA -BULGARIA -ROMANIA -HUNGARY -SWEDEN- www.solaredge.us SOUTH AFRICA -POLAND -CZECH REPUBLIC Solar=@9 SolarEdge Power Optimizer Module Add -On for North America P300 / P320 / P370 / P400 / P405 --T--P-405, 370 P300 P320 P400 higher (for 60 -cell mod- (for high-power (for -power 60 and 72 -cell (for 72 & 96 cell (for thin film ules) 60 -cell modules) modules) modules) modules) INPUT Rated Input DC Powerltl30 ............. ...... 320 ......... 1.9 ......... ........ ......... ��q �pq Absolute Maximum Input Voltage ......... ......... ....... . ..... ... ..... ...... at lowest temperature) 48 60 80 125 ..... ...................... ...................... MPPT Operating Range ......*........ .......I.......... 8-48 8-6 0 12.5 105 .c(Voc ...V.d. Vdc.......... Short Circuit Current (I... ...................... 10 10.1 ...... ............*....... ...Maximum Adc D .......... ................II. ............................... ......Maxlmum 13.75 ....... Adc Maximum Effici Ry ...........................s..c..............................................................................................._.... .............. ........................... .................... . ?R % Weighted Efficiency ................. I ...... ........I........... ........I.................. ... ....... ............. ...... .......... .......... .......I...... .......... vi�rvoltage Category I ........................................... OUTPUT DURING OPERATION (POWER OPTIMIZER CONNECTED TO OPERATING SOLAREDGE INVERTER) .,Max - !mum Output Current .................. ........... ............. .................. ...... ............. ..................... Adc � u-� Maxi..... 6-0 1- ......... 8 .... 5 ..... Vdc ........ .. OUTPUT DURING STANDBY (POWER OPTIMIZER DISCONNECTED FROM SOLAREDGE INVERTER OR SOLAREDGE INVERTER OFF) Safety Output Voltage per Power Optimizer Vdc STANDARD COMPLIANCE EMC....................................... ........ _ .................... FCC!)art15 Class B, IEC61000-6-2, IEC61000-6-3 ................................................. .......... Safety ...... ................ ....... ............ IEC6 109-1 (class 11 safe ........... .......... I ................. ...... I ............ Me po741 ...................... ......... _RoHS ....... Yes .............. INSTALLATION SPECIFICATIONS ..Maximum Allowed System Voltage ...... 1000................................ R Vdc Compatible inverters .... ............... ......... I ... All. SolairEdge.Singi.e. Phaseand Three Phaseinverters ................................. ..... ............ ....... Dimensions (W x L x H) 128 x 152 x 27.5 / 5 x 5.97 x 1.08 128 x 152 x 35 128 x 152 x 50 mm/in ........................................... .................... ............... ..................... Sx5.97x1.37 5 x 5.97 x 1.96 Weight (including cables) ............... I ......... .............. .. ...................... ...................... /1.4 750/1.7 ...... ......................630............ ...................... ...................... ......845 / 1.9 ......... ... I .......... gr��.Ib Input Connector ................................ I ............... MC4 Compatible MC4 / MC4 Compatible ......... ............ ................ ...Arnpt�eqpl.AHZI ....... ............. I ............................. . Double Insulated; .............. Output Wire Type /Connector Double Insulated; MC4 Compatible MC4/ Double Insulated; MC4 Compatible ............... I ... I .... ... ............. ......... ........... Arnp"qpl.AH41 .............. ..Output WIfle. Length ................. ...... .... ............ P.95/.3...0 - ......... ........ ...... ................... ...... Operating Temperature Range -40 - +85 / -40 - +185 ........... ................ "Cl. Protection R ............ ... I P68 / NEMAS P ................I................... ........................... Relative Humidity ................. .. ....... I ................ I ............... I. ...... .. 0-100 ... I ......... ............................... .................................... .............. o Ill Rated STC power of the module. Module of up to +5% power ......................... tolerance allowed. ........... PV SYSTEM DESIGN USING SINGLE PHASE A SOLAREDGE INVERTERUX11 HD -WAVE SINGLE PHASE THREE PHASE 208V THREE PHASE 480V Minimum String Length 8 Jl!?�YerPPPT4ersl ...... ............ .... ...... ...................... I ........................... .. Maximum String Length 25 JI!R,YerPPPTizers) ......... ...... .................. 5700 (6000 with I Maximum Power per String 5250 ................................ ............... ....... ............................ .. Parallel Strings of Different Lengthsor Orientations Yes I ............... ............ . ........ ............ ................. .......... For detailed string sizing information referto., httpl/wwwmiamdge.mm/skWdefault/files/string-sizing-na.pdt (31 It is not allowed to mix P405 with P300/P370/P400/P600/P700 in one string. 10 18 .... I .... ....... ........ I ...... ............ ..... 25 so ................. . .......................... ..... I ........ 6000 12750 W � ... I ... I., ... .......................... .. ...... solar =@s -. SolarEdge Power Optimizer Module Add -On For North America P300 / P320 / P370 / P400 / P405 PV power optimization at the module -level r,, p a • power 0 G m� F rL5.�eacs wana(�4 3 �d• iaznw4 < — Up to 25% more energy Superior efficiency (99.5%x) — Mitigates all types of module mismatch losses, from manufacturing tolerance to partial shading Flexible system design for maximum space utilization — Fast installation with a single bolt — Next generation maintenance with module -level monitoring — Module -level voltage shutdown for installer and firefighter safety USA - CANADA - GERMANY - ITALY - FRANCE - JAPAN - CHINA - AUSTRALIA - THE NETHERLANDS- UK - ISRAEL - TURKEY - SOUTH AFRICA- BULGARIA- INDIA www.solaredge.us DocuSign Envelope ID: E6E28962-8DC0-4402-84EE-04F6375AF439 a,sunrun March 05, 2019 Subject: Structural Certification for Proposed Residential Solar Installation. Job Number: 501R-085TOLL; Plan Set: Rev A, 3/5/2019 Client: David Toll Address: 4085 Dudley St, Wheat Ridge, CO, 80033 Attn: To Whom It May Concern A field observation was performed to document the existing framing of the above mentioned address. From the field observation, the existing roof structure was observed as Composition Shingle roofing over roof plywood supported by 2x6 Rafter @ 24" OC. The roof is sloped at approximately 20 degrees and has a max rafter span of 12'0" between supports. Design Criteria: • 2012 International Building Code • Basic Wind Speed Vult = 135 mph (Vasd = 105 mph), Exposure C 0 Ground Snow Load = 30 psf After review of the field observation report, the existing roof framing supporting the proposed solar panel layout has been determined to not meet loading requirements based on our structural capacity calculations in accordance with applicable building codes. Therefore, structural upgrades are required. These upgrades shall include new purlin upgrades at array number. If you have any further questions on the above for mentioned, please do not hesitate to call. Sincerely, Jason Brown, P. Civil Engineer Sunrun, Inc OocuSigned by: 16CA9954A69944F... 133 Technology Dr., Suite 100, Irvine, CA 92618 1 P 949.393.0993 DocuSign Envelope ID: E6E28962-8DC0-4402-84EE-04F6375AF439 a,sunrun Structural Calculations for the David Toll Residence PV Installation Date: Job Address: Job Number: Scope of Work 3/5/2019 4085 Dudley St Wheat Ridge, CO, 80033 501R-085TOLL These calculations are for the existing roof framing which supports the new PV modules as well as the attachment of the PV system to existing roof framing. All PV mounting equipment shall be designed and installed per manufacturer's approved installation specifications. Calculation Index Sheet Description 2 Structural Geometry, Live Load, Snow Load, Wind Load, & Dead Load 3 Roof (1) Framing Check 4 Roof Attachment Check, Seismic Check, & Scope of Work Engineering Calculations Summary Code: 2012 International Building Code ASCE 7-10 Snow Load: S = 30 psf Live Load: LL = 20 psf Wind: Wind Speed Ult. (V) = 135 mph Exp. = C PV Dead Load: DPV = 3.0 psf Sincerely, Jason Brown, P. Civil Engineer Sunrun, Inc -Doeuftned by: �ti J.—g54A69g44F... 133 Technology Dr., Suite 100, Irvine, CA 92618 1 P 949.383.0993 DocuSign Envelope ID: E6E28962-8DC0-4402-84EE-04F6375AF439 Engineer: JRB TM Date: 3/4/2019 Job: 501R-085TOLL Address: 4085 Dudley St Wheat Ridge, CO, 80033 2 of 4 Structrure Geometrv: Mean Roof Height, hn = 13 ft Eave Height, he = 8 ft Buiding Length, L = 71 ft Building Width, B = 62 ft Module Area = 20 ft' Roof Pitch, 0 = 20 degrees Live Load: 0.91 Roof Live Load, Lr = 20.00 psf Equation 4.8-1 Snow Load: Ground Snow Load, pg = 30 psf Fig. 7-1 Snow Importance Factor, k = 1 Table 1.5-1 Thermal Factor, Cc = 1.1 Table 7-3 Exposure Factor, Ce = 0.9 Table 7-2 Roof Slope Factor, Cs = 0.91 Figure 7-2c Flat Snow Load, Pf = 20.8 psf Equation 7.3-1 Sloped Roof Snow Loads, Ps = 18.9 psf Equation 7.4-1 Is the width of the roof > 20ft? Yes _Zone 3 (psf) Drift Height, hd = 1.90 ft Figure 7-9 Roof slope for a rise of one, S 2.75 -16.99 Unbalanced Width = 8.39 ft Fig 7-5 y = 18 pcf Equation 7.7-1 Unbalanced Snow Load = 39.43 psf Fig 7-5 Wind Load: P30.4 =.6 x qh x GCPzone = 9.60 Basic Wind Speed (3s -gust), V = 135.0 mph Figure 26.5-1A Building Occupancy Category = 2 Walls - Exterior Table 1.5-1 Exposure Category = C Brick Sec 26.7.3 Topographic Factor, Kzr = 1.00 2x4 Studs @ 16" Equation 26.8-1 Velocity Pressure, qh = 33.71 Gypsum Equation 30.4-1 Edge Zone, a = 3.20 ft Figure 30.5-1 Uplift (0.6W) Zone 1(Psf) Zone 2 (psf) _Zone 3 (psf) GCp = -0.84 -1.55 -2.43 Table 30.4-2 P30.4 =.6 x qh x GCPzone = -16.99 -31.35 -49.05 Equation 30.4-1 Downward (0.6W) GCp = 0.43 0.43 0.43 Table 30.4-2 P30.4 =.6 x qh x GCPzone = 9.60 9.60 9.60 Equation 30.4-1 Dead Load: Roof (1): Roof Walls - Exterior Composition Shingle 3.0 psf Brick 39.0 psf 5/8 OSB Sheathing 2.0 2x4 Studs @ 16" 2.0 2x6 Rafter @ 24" OC 1.0 Gypsum 3.0 Misc. (Ceiling, Insulation, etc.) 1.0 Misc. (Insulation, etc.) 2.0 PV System, Ppv 3.0 Total Roof DL= 10.0 psf Total Wall DL= 46.0 psf 133 Technology Dr., Suite 100, Irvine, CA 92618 1 P 949.393.0993 DocuSign Envelope ID: E6E28962-8DC0-4402-84EE-04F6375AF439 Engineer: JRB "" Date: 3/4/2019 Job: 501R-085TOLL Address: 4085 Dudley St Wheat Ridge, CO, 80033 3 of 4 Roof (1) Framine Check: Roof Framing = 2x6 Rafter @ 24" OC Timber Species = Doug Fir -Larch #2 Max Beam Span = 12.00 ft b = 1.5 in Purlin Support to be Added d = 5.50 in Moment of Inertia, Ix = 20.80 in Section Modulus, Sx = 7.56 in Bending Stress, Fb = 900 psi Elastic Modulus, Emin = 580000 psi Wood Adjustment Factors: PV Tributary Width, Wpv = PV Tributary Length, Lpv = PV Tributary Area, At = PV Dead Point Load, PD = Ppvx At = Roof Distributed Load, wDL = Load Case: 0.6DL + 0.6W (CD = 1.6) Roof Zone = Pup = Pnet x At + 0.6 x PD x cos(0) = Mb(wind_up) = Fb' (wind) = Fb XCD XCLS XCM XCt XCL XCF XCfu XCi xCr = Mallowable = Sx x Fb' (wind) = Load Case: DL + 0.6W (CD =1.6) Pdown = Pnet X At + PD X LOS(e) = Mb(wind_down) = Fb' (wind) = Fb XCD XCLS XCM XCt XCL XCF XCfu XCi XCr = Mallowable = Sx X Fb' (wind) = Load Case: DL + 0.75(0.6W) + 0.755 (CD = 1.6 Roof Snow Distributed Load, wSL = Psnow = Ps X At = Mb(wind_snow) = Fb' (wind) = Fb XCD XCLS XCM XCt XCL XCF XCfu XCi XCr = Mallowable = Sx X Fb' (snow) = CD (Wind) CD (Snow) CLS CM Ct 1.60 1.15 1.15 1.00 1.00 CL CF Cfu Ci Cr 1.00 1.30 1.00 1.00 1.15 5.50 ft 2.0 ft 11.0 ft2 31 Ib 13 plf 1 168 Ib 409 Ib -ft 2476 psi 1560 lb -ft > 409 OK 137 Ib 684 Ib -ft 2476 psi 1560 lb -ft > 684 OK 42 plf 196 Ib 1078 Ib -ft 2476 psi 1560 lb -ft > 1078 OK Load Case: DL + S (CD = 1.15) Roof Snow Distributed Load, wSL = 42 plf Psnow = Ps x At = 196 Ib Mb(snow) = 979 lb -ft Fb' (snow) = Fb XCD XCLS XCM XCt XCL XCF XCfu XCi XCr = 1779 psi Mallowable = Sx x Fb' (snow) = 1121 Ib -ft > 979 133 Technology Dr., Suite 100, Irvine, CA 92618 1 P 949.393.0993 OK DocuSign Envelope ID: E6E28962-8DCO-4402-84EE-04F6375AF439 Engineer: JRB TM Date: 3/4/2019 Job: 501R-085TOLL Address: 4085 Dudley St Wheat Ridge, CO, 80033 4of4 Rafter Attachments: 0.6D+0.6W (Zone 2) Puplift = At x Pnet = 326 Ib Connector Uplift Capcity per SnapNRack Test Results = 600 Ib 5/16" Lag Screw Withdrawl Value = 266 Ib/in Lag Screw Penetration = 2.5 in Allowable Capacity with CD = 1064 Ib Seismic Check: > 326 OK Table 11.2A - NDS > 326 OK �Yolncrease = (Wtotal + Warray) / Wtotal = 129531 *100%-100% = 0.64% ** 128702 **The increase in weight as a result of the solar system is less than 10% of the existing structure and therefore no further seismic analysis is required. Limits of Scope of Work and Liability We have based our structural capacity determination on applicable building codes, professional engineering inspection and design experience, opinions and judgments. The calculations produced for this dwelling's assessment are only for the proposed solar panel installation referenced in the stamped plan set and were made according to generally recognized structural anlaysis standards and procedures. 133 Technology Dr., Suite 100, Irvine, CA 92618 1 P 949.393.0993 Existing Dead Load: Solar Dead Load: Arodexisting = 4402 ft2 Wpanel = 42 lb Wrodexisting = 30814 Ib NUmpanel = 16 Awallexisting = 2128 ft2 Wpanel_tot = 672 Ib Wwallexisting = 97888 lb Wbos = 157 lb Wtotal = 128702 lb Warray = 8291b �Yolncrease = (Wtotal + Warray) / Wtotal = 129531 *100%-100% = 0.64% ** 128702 **The increase in weight as a result of the solar system is less than 10% of the existing structure and therefore no further seismic analysis is required. Limits of Scope of Work and Liability We have based our structural capacity determination on applicable building codes, professional engineering inspection and design experience, opinions and judgments. The calculations produced for this dwelling's assessment are only for the proposed solar panel installation referenced in the stamped plan set and were made according to generally recognized structural anlaysis standards and procedures. 133 Technology Dr., Suite 100, Irvine, CA 92618 1 P 949.393.0993 SCOPE OF WORK GENERAL NOTES LEGEND AND ABBREVIATIONS TABLE OF CONTENTS PAGE # DESCRIPTION • SYSTEM SIZE: 528OW DC, 5000W AC • MODULES: (16) LG ELECTRONICS: LG330N1C-A5 • INVERTER(S): (1) SOLAREDGE TECHNOLOGIES: SE5000H-US WITH REVENUE GRADE METERING • RACKING: SNAPNRACK RL; FLASHTRACK COMP. SEE DETAIL SD-00708 `fV E D • • o • • • • • • ALL WORK SHALL COMPLY WITH NEC 2017, IBC 2012, MUNICIPAL CODE, AND ALL MANUFACTURERS' LISTINGS AND INSTALLATION INSTRUCTIONS. PHOTOVOLTAIC SYSTEM WILL COMPLY WITH NEC 2017. ELECTRICAL SYSTEM GROUNDING WILL COMPLY WITH NEC 2017. PHOTOVOLTAIC SYSTEM IS UNGROUNDED. NO CONDUCTORS ARE SOLIDLYMP GROUNDED IN THE INVERTER. MODULES CONFORM TO AND ARE LISTED UNDER UL 1703. INVERTER CONFORMS TO AND IS LISTED UNDER UL 1741. RACKING CONFORMS TO AND IS LISTED UNDER UL 2703. SNAPNRACK RACKING SYSTEMS, IN COMBINATION WITH TYPE I, OR TYPE II MODULES, ARE CLASS A FIRE RATED. RAPID SHUTDOWN REQUIREMENTS MET WHEN INVERTERS AND ALL SE SP LC SOLAR MODULES SERVICE ENTRANCE MAIN PANEL SNR B MOUNT SUB-PANEL - SNR A MOUNT PV LOAD CENTER CHIMNEY PV-1.0 COVER SHEET PV-2.0 SITE PLAN PV-3.0 LAYOUT PV-3.1 STRUC. UPGRADES PV-4.0 ELECTRICAL PV-5.0 SIGNAGE i_. • • • • CONDUCTORS ARE WITHIN ARRAY BOUNDARIES PER NEC 690.12(1). CONSTRUCTION FOREMAN TO PLACE CONDUIT RUN PER 690.31(G).SM ARRAY DC CONDUCTORS ARE SIZED FOR DERATED CURRENT. 10.45 AMPS MODULE SHORT CIRCUIT CURRENT. 16.32 AMPS DERATED SHORT CIRCUIT CURRENT [690.8 (a) & 690.8 (b)]. PM C ATTIC VENT SUNRUN METER FLUSH ATTIC VENT DEDICATED PV METER • PV INSTALLATION COMPLIES WITH THE NEC 2017 ARTICLE 690.12(B)(2). CONTROLLED CONDUCTORS LOCATED INSIDE THE ARRAY BOUNDARY ARE LIMITED TO 80 VOLTS WITHIN 30 SECONDS OF A RAPID SHUTDOWN INITIATION. INV o PVC PIPE VENT INVERTER(S) WITH INTEGRATED DC ® METAL PIPE VENT AC DISCONNECT AND AFCI � T-VENT AC DISCONNECT(S) T SATELLITE DISH DC DC DISCONNECT(S) FIRE SETBACKS FA �r COMBINER BOX HARDSCAPE F -1 INTERIOR EQUIPMENT — PL— PROPERTY LINE LE a SHOWN AS DASHED SCALE: NTS sunr&l A AMPERE AC ALTERNATING CURRENT AFCI ARC FAULT CIRCUIT INTERRUPTER VICINITY MAP 044 Wheat City of vV heatRidLye CoMwvNmrpevEiorur AZIM AZIMUTH COMP COMPOSITION DC DIRECT CURRENT (E) EXISTING ELECT IIC#7080, MASTER CONTRACTORAL 4(.)85 Oudley Street APPROVED Reviewed for Code Compliance t EXT FRM INT LBW MAG MSP EXTERIOR FRAMING INTERIOR LOAD BEARING WALL MAGNETIC NEW NEW PANEL 6040 WEST 91ST AVENUE, WESTMINSTER, CO 80031 PHONE 303.577.6527 FAX 303.577.9629 CUSTOMER RESIDENCE: DAVID TOLL 4085 DUDLEY ST, WHEAT RIDGE, CO, 80033 g t#�+ ry -'i;-�� i [, {«! I Center EL1IRE Plans EKaminerDate vawic.��ce.-a The •nsc°m°°t°t; SWSOfnebwi&NCQ f°, o,onyCmy °l°� � ft.t,,ts �s°I thr W°v+sions °Jthe 6uildirp codr or M°^l° G+Y wdin°ncrs. hweits °`oq;Y`ngnce ofOw°'° shop bemWjo"n"'°J"'r v cpm a other o.daaM« of nK ary shax,wr be rorid. NTS NOT TO SCALE OC ON CENTER Gihl 01 PRE-FAB PRE-FABRICATED PSF POUNDS PER SQUARE FOOT wheat Rtd9e PV PHOTOVOLTAIC T L TRANSFORMERLESS ptv'ts9G4 Tguildtn9 YP TYPICAL V VOLTS W WATTS TEL. (303) 519-3404 APN #: 024641 PROJECT NUMBER: 501 R-085TOLL DESIGNER: (480) 308-8756 ANISH PATEL SHEET REV NAME DATE COMMENTS c ` * %e +" COVER SHEET REV: A 3/5/2019 PAGE PV-1.0 SITE PLAN - SCALE = 1/16" = V-0" ARRAY TRUE MAG PV AREA PITCH AZIM AZIM (SQFT) ® AR-01 20° 180° 171 ° 221.3 AR-02 20° 270° 261' 73.8 (E) GATE (E) RESIDENCE PL PL PL PL PL PL J a v f r a �o sunrun AC AC INV PM SE d'. e cn a e a d. a Cn 4A a ELECTRICAL CONTRACTOR ® i ° e ROOF PATHWAYS LICENSE: #7080, MASTER S d cd (3' TYP) PHONE303.577.6527 VUE, WESTMINSTER, CO 80031 n e 0_ FAX 303.577.9629 a e d CUSTOMER RESIDENCE: DAVID TOLL I 4085 DUDLEY ST, WHEAT RIDGE, CO, 80033 TEL. (303) 519-3404 PL PL P PL PL PL TEL. #: 024641 (N) ARRAY AR-02 City of PROJECT NUMBER.- (E) UMBER:(E) GATE (N) ARRAY AR-01 501 R-085TOLL Wheat Ridge DESIGNER: (480) 308-8756 Building ANISH PATEL -SREET SITE PLAN REV: A 3/5/2019 PAGE PV-2.0 DocuSion Envelope ID E6E28962-8DC0-44n2-84FF-n4FR375AF43Q ROOF TYPE MOUNTING DETAIL ROOF HEIGHT ROOF FRAME FRAME TYPE FRAME MAX FRAME OC ROOF EDGE MAX PEN MAX MOD. DESIGN CRITERIA EXPOSURE MATERIAL SIZE SPAN SPACING ZONE SPACING OVERHANG AR -01 COMP SHINGLE FLASHTRACK COMP. SEE DETAIL SD -00708 1 STORY ATTIC WOOD RAFTER 2 X 6 12'- 0" 24" 3.2' 2'- 0" 1' - 4" MODULES: LG ELECTRONICS: LG330N1 C -A5 AR -02 COMP SHINGLE FLASHTRACK COMP. SEE DETAIL SD -00708 1 STORY ATTIC WOOD RAFTER 2 X 6 T - 11" 24" 3.2' 2' - 0" 1' - 4" MODULE DIMS: 66.38" x 40" x 1.57" (40mm) D1 - AR -01 - SCALE: 1/8" = V-0" MODULE CLAMPS: PITCH: 20° --- — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — --- Portrait: 5.9"-15.7,. AZIM: 180° 10'-2" —6-10"— I Landscape: 0" - 4.7" 13'-7" MAX DISTRIBUTED LOAD: 3 PSF SNOW LOAD: 30 PSF WIND SPEED: 105 MPH 3 -SEC GUST. I I LAG SCREWS: I I 5/16"x4.0": 2.5" MIN EMBEDMENT o 0 I 1 ADD (N) 2X6 PURLIN REINFORCEMENT PER NOTE: INSTALLERS TO VERIFY RAFTER SIZE, SPACING AND SLOPED I - DETAIL ON PV -3.1 SPANS, AND NOTIFY E.O.R. OF I I ANY DISCREPANCIES BEFORE PROCEEDING. 2' TYP I 5'-6" I PENETRATION SPACING: FULLY STAGGERED ROW SPACING: 1.00" BETWEEN ROWS COLUMN SPACING: �-------------------------------------------- 13'-11" ��- I 0.75" BETWEEN COLUMNS 30'-7" D2 - AR -02 - SCALE: 3/16" = 1'-0" PITCH: 20° AZIM: 270° ------------ ----------- I I - I I sunrun ELECTRICAL CONTRACTOR LICENSE: #7080, MASTER 6040 WEST 91ST AVENUE, WESTMINSTER, CO 80031 PHONE 303.577 . 6527 FAX 303.577.9629 CUSTOMER RESIDENCE: ADD (N) 2X6 PURLIN DAVID TOLL 0 0 0___ -0- I 1 REINFORCEMENT PER 4085 DUDLEY ST, WHEAT 12' TYP - DETAIL ON PV -3.1 RIDGE, CO, 80033 I I 5'-6" I w�e�R1�� TEL. (303) 519-3404 I I APN #: 024641 I _ gin" PROJECT NUMBER: O OO O 0___0 0 i 501 R-085TOLL D tli;C DESIGNER: (480) 308-8756 ®�' •'ga�}`"•d ANISH PATEL SHEET •�� LAYOUT l 13'-6" 10'-8" I q� t -- — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — -- — — — — — f nedb : /'e .;.. a•+ati ��V/OF�A�. REV:A 3/5/2019 C�DO�C�Si �PAGE SEE SITE PLAN FOR NORTH ARROW PV -3.0 CA9954A69944F._ UTILITY GRID 120/240 VAC SINGLE PHASE SERVICE METER #: XCEL 35832448 SUPPLY SIDE TAP CONDUIT SCHEDULE # CONDUIT u NEUTRAL GROUND 1 NONE (2) 10 AWG PV WIRE NONE (1) 6 AWG BARE COPPER 2 (N) LOCKABLE (2) 10 AWG THHN/THWN-2 SOLAREDGE TECHNOLOGIES: (1) 10 AWG THHN/THWN-2 3 3/4" EMT OR EQUIV. (2) 10 AWG THHN/THWN-2 (1) 10 AWG THHN/THWN-2 MAIN LUG BLADE TYPE (N) LOCKABLE SE5000H-US WITH REVENUE (1) 6 AWG THHN/THWN-2 (1) 8 AWG THHN/THWN-2 EGC/GEC ONLY FUSED AC (N) DEDICATED BLADE TYPE GRADE= METERING DISCONNECT PV KWH METER AC DISCONNECT 5000 WATT INVERTER JUNCTION BOX PV MODULES 4 4 3 OR EQUIVA LENT 1 LG ELECTRONICS: LG330N1C-A5 EXISTING T HOT /150A !! (16) MODULES �� BUS MAIN � 'V' �� v + OPTIMIZERS WIRED IN: FACILITY —' `— PANEL (1) SERIES OF (16) OPTIMIZERS LOADS 30A FUSES FACILITY GROUND SQUARE D 240V METER SOCKET SQUARE D LOAD RATED DC DISCONNECT D222NRB 200A CONTINUOUS DU221RB WITH AFCI, RAPID SHUTDOWN SOLAREDGE POWER OPTIMIZERS 3R, 60A WITH LEVER BYPASS 3R, 30A,2P COMPLIANT P370 120/240VAC [MAX 10' FROM 120/240VAC UTILITY METER] [MAX 10' FROM UTILITY METER] [READILY ACCESSIBLE MEANS FOR RAPID SHUT DOWN] CONDUIT SCHEDULE # CONDUIT CONDUCTOR NEUTRAL GROUND 1 NONE (2) 10 AWG PV WIRE NONE (1) 6 AWG BARE COPPER 2 3/4" EMT OR EQUIV. (2) 10 AWG THHN/THWN-2 NONE (1) 10 AWG THHN/THWN-2 3 3/4" EMT OR EQUIV. (2) 10 AWG THHN/THWN-2 (1) 10 AWG THHN/THWN-2 (1) 8 AWG THHN/THWN-2 EGC/GEC 4 3/4" EMT OR EQUIV. (2) 6 AWG THHN/THWN-2 (1) 6 AWG THHN/THWN-2 (1) 8 AWG THHN/THWN-2 EGC/GEC MODULE CHARACTERISTICS 5280 W P370 OPTIMIZER CHARACTERISTICS: LG ELECTRONICS: LG330NlC-A5: 330 W MIN INPUT VOLTAGE: 8 VDC OPEN CIRCUIT VOLTAGE: 40.9 V MAX INPUT VOLTAGE: 60 VDC MAX POWER VOLTAGE: 33.7 V MAX INPUT ISC: 11 ADC SHORT CIRCUIT CURRENT: 10.45 A MAX OUTPUT CURRENT: 15 ADC SYSTEM CHARACTERISTICS - INVERTER 1 SYSTEM SIZE: 5280 W SYSTEM OPEN CIRCUIT VOLTAGE: 16 V SYSTEM OPERATING VOLTAGE: 380 V MAX ALLOWABLE DC VOLTAGE: 480 V SYSTEM OPERATING CURRENT: 13.89 A SYSTEM SHORT CIRCUIT CURRENT: 15 A NOTES TO INSTALLER: 1. 16 VDC EXPECTED OPEN CIRCUIT STRING VOLTAGE. 2. CONNECT SYSTEM VIA INSULATION PIERCING ON SUPPLY SIDE OF MAIN BREAKER IN MAIN PANEL ENCLOSURE. CONDUCTORS ARE FIELD INSTALLED. 3. FIELD SPLICE WIRE TO APPROPRIATE SIZE FOR MANUFACTURE TERMINATION SPECIFICATIONS WHEN NEEDED. *neot Rid9A gviiding D QWARNING ELECTRICAL SHOCK HAZARD TERMINALS ON LINE AND LOAD SIDES MAY BE ENERGIZED IN THE OPEN POSITION LABEL LOCATION: INVERTER(S), AC DISCONNECT(S), AC COMBINER PANEL (IF APPLICABLE). PER CODE(S): NEC 2017: 690.17(E), NEC 2014: 690.17(E), NEC 2011: 690.17(4) WARNING DUAL POWER SUPPLY SOURCES: UTILITY GRID AND PV SOLAR ELECTRIC SYSTEM RNING ELECTRICAL SHOCK HAZARD IF GROUND FAULT IS INDICATED ALL NORMALLY GROUNDED CONDUCTORS MAY BE UNGROUNDED AND ENERGIZED LABEL LOCATION: INVERTER(S), ENPHASE ENVOY ENCLOSURE (IF APPLICABLE). PER CODE(S): NEC 2017:690.5(C), NEC 2014: 690.5(C), NEC 2011: 690.5(C) QWARNING PHOTOVOLTAIC SYSTEM COMBINER PANEL DO NOT ADD LOADS LABEL LOCATION: LABEL LOCATION: PHOTOVOLTAIC AC COMBINER (IF UTILITY SERVICE METER AND MAIN APPLICABLE). SERVICE PANEL. PER CODE(S): NEC 2017: 705.12(13)(2)(3)(b), PER CODE(S): NEC 2017: 705.12(B)(2)(3)(b), NEC 2014: 705.12(D)(2)(3)(c), NEC 2011: NEC 2014: 705.12(D)(3), NEC 2011: 705.12(D)(4) 705.12(D)(4) ZEWARNING INVERTER OUTPUT CONNECTION DO NOT RELOCATE THIS OVERCURRENT DEVICE LABEL LOCATION: ADJACENT TO PV BREAKER (IF APPLICABLE). PER CODE(S): NEC 2017: 705.12(B)(2)(3)(b), NEC 2014: 705.12(D)(2)(3)(b), NEC 2011: 705.12(D)(7) INVERTER 1 LABEL LOCATION: INVERTER(S), DC DISCONNECT(S). PER CODE(S): NEC 2017: 690.53, NEC 2014: 690.53, NEC 2011: 690.53 LABEL LOCATION: UTILITY SERVICE ENTRANCE/METER, INVERTER/DC DISCONNECT IF REQUIRED BY LOCAL AHJ, OR OTHER LOCATIONS AS REQUIRED BY LOCAL AHJ. PER CODE(S): NEC 2017: 690.12, NEC 2014: 690.12, NEC 690.56, IFC 2012: 605.11.1 LABEL LOCATION: INTERIOR AND EXTERIOR DC CONDUIT EVERY 10 FT, AT EACH TURN, ABOVE AND BELOW PENETRATIONS, ON EVERY JB/PULL BOX CONTAINING DC CIRCUITS. PER CODE(S): NEC 2017: 690.31(G)(3), 690.31(G)(4), NEC 2014: 690.31(G)(3), 690.31(G)(4), NEC 2011: 690.31(E)(3), 690.31(E)(4), IFC 2012: 605.11.1.4 LABEL LOCATION: AC DISCONNECT(S), PHOTOVOLTAIC SYSTEM POINT OF INTERCONNECTION, PER CODE(S): NEC 2017: 690.54, NEC 2014: 690.54, NEC 2011: 690.54 CAUTION POWER TO THIS BUILDING IS ALSO SUPPLIED FROM THE FOLLOWING SOURCES WITH DISCONNECTS AS SHOWN NOTES AND SPECIFICATIONS: • SIGNS AND LABELS SHALL MEET THE REQUIREMENTS OF THE NEC 2017 ARTICLE 110.21(B), UNLESS SPECIFIC INSTRUCTIONS ARE REQUIRED BY SECTION 690, OR IF REQUESTED BY THE LOCAL AHJ. • SIGNS AND LABELS SHALL ADEQUATELY WARN OF HAZARDS USING EFFECTIVE WORDS, COLORS AND SYMBOLS. • LABELS SHALL BE PERMANENTLY AFFIXED TO THE EQUIPMENT OR WIRING METHOD AND SHALL NOT BE HAND WRITTEN. • LABEL SHALL BE OF SUFFICIENT DURABILITY TO WITHSTAND THE ENVIRONMENT INVOLVED. • SIGNS AND LABELS SHALL COMPLY WITH ANSI Z535.4-2011, PRODUCT SAFETY SIGNS AND LABELS, UNLESS OTHERWISE SPECIFIED. • DO NOT COVER EXISTING MANUFACTURER LABELS. SOLAR PANELS ON ROOF INVERTER (EXT) -JJ L SERVICE ENTRANCE RAPID SHUTDOWN AND PV BREAKER PV PRODUTION METER DISCONNECT RAPID SHUTDOWN 4085 DUDLEY ST, WHEAT RIDGE, CO, 80033 c:tw of Wh.eRid9® gydd�n9 SNAPNRACK RL FLASHTRACK COMP MOUNTING 5/16" UMBRELLA LAG SCREW MUST EMBED 2-1/2" INTO THE ROOF STRUCTURAL MEMBER/RAFTER 5/16" UMBRELLA LAG SCRE1 5/16" STAINLESS STEEL UMBRELLA LAG SCREW 2-1/2" MINIMUM EMBEDMENT FLASHTRACK COMP COMP FLASHING (HATCHED) COMP FLASHING SLIP FLASHING UNDER SHINGLE ABOVE ROOF RAFTER (TYP.) ROOF ATTACHMENTS SHALL ROOF SHEATHING, UNDERLAYMENT, ALWAYS BE EMBEDDED INTO AND ROOFING MATERIAL (TYP.) ROOF RAFTERS OR OTHER STRUCTURAL MEMBERS SnapNmck- Sunrun South LLC DESIGNER: G.McPheeters 595 MARKET STREET. 29TH FLOOR • SAN FRANCISCO, CA 94105 USA PHONE(415)580-690D• FAX (415) 580-6902 DRAFTER: G.VISCUsO THE INFORMATION IN THIS DRAWING IS CONFIDENTIAL AND PROPRIETARY. ANY REPRODUCTION, DISCLOSURE, OR USE THEREOF IS PROHIBITED WITHOUT THE APPROVED BY: G.MCPheeterS WRITTEN CONSENT OF SUNRUN SOUTH LLC. DETAIL A HTRACK COMP NBRELLA GASKET HADED GRAY) )OF SHEATHING FLASHING SHOULD EXTEND TO END OF SHINGLE COURSE FLASHTRACK COMP REVISION: A 6/19/2017 NEW ITEM G1V COMPLETED INSTALLATION SECTION VIEW FLASH TRACK SHOULD BE ORIENTED NO MORE THAN 3 DEGREES FROM PARALLEL TO RAFTER r3nnE!!TAI/" RAATCTITAI ROOF DECKING 2-1/2" MIN. EMBEDMENT ty of INTO STRUCTURAL MEMBER �� Wheat Ridge COMPLETED INSTALLATION SCALE: NTS PART NUMBER: DESCRIPTION: DATE: 6/19/2017 SD -00708 PENETRATION DETAIL, FLASHTRACK COMP REV 12 INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Occupanc/Type 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 Comments Initials Pier Sewer Service Concrete Encased Ground (CEG) Plumbing 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 Comments 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 Wall Sheathing Mid -Roof 7/2- / Lath /Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing 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 Final Window/Doors Final Building 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 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 i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax t INSPECTION NOTICE Inspection Type: Mxt Job Address: J` Permit Number: O/ 70 0-7 ❑ No one available for inspection: Time �L/ ["' AM/PM Re -Inspection required: Ye� No When corrections have been made, call for re -inspection at 303-234- Date:—)' 03-234-Date:—)' �� i% Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE j 9r(303) Building Inspection Division (303) 234-5933 Inspection line_:� 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: / /�T -C) Job Address: Li'l 4 Dvd ley Permit Number: Q ► ry-% 0 �* ❑ No one available for inspection: Time Re -Inspection required: Yes (No) When corrections have been made, call for re -i pection at 303-234-5933 L/ Date: /�7- Inspector. 7 !� DO NOT REMOVE THIS NOTICE ❑ No one available for inspection: Time ~' ' r.A/PM Re -Inspection required: Yes Na, When correctipns have been made, call for re -inspection at 303-234-5933 Date: '' ' "' Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:' Job Address:'' Permit Number: ❑ No one available for inspection: Time ~' ' r.A/PM Re -Inspection required: Yes Na, When correctipns have been made, call for re -inspection at 303-234-5933 Date: '' ' "' Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201704074 PERMIT NO: 201704074 ISSUED: 07/15/2017 JOB ADDRESS: 4085 Dudley ST EXPIRES: 07/15/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles - 35 sq *** CONTACTS *** OWNER (303)519-3404 TOLL DAVID B SUB (720)449-2662 Joel Lucius 170281 Colorado Construction & Restor *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,995.00 FEES PAID Total Valuation 0.00 Use Tax 188.90 - Permit Fee 188.45 _ J ** TOTAL ** 377.35 *** 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. A 41 City of Wheat Ridge Residential Roofing PERMIT - 201704074 PERMIT NO: 201704074 ISSUED: 07/15/2017 JOB ADDRESS: 4085 Dudley ST EXPIRES: 07/15/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles - 35 sq I, byy ucc do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, ap�rmt.fIfurhe ding codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized byner of h� property and am authorized to obtain this permit and perform the work described and approved in conjunction with thirpe-that a1lZvork performed is disclosed in this document and/omits' accompanying approved plans and specifications. Sign'ature'of OWNER or Z'Oi<iTRACTOR (Circle one) Date - I. This permit was issued based on the information provided in the permit application and accompanying pplans 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 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. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett © 1704/ l From: no-reply@ci.wheatridge.co.us Sent: Thursday, July 6, 2017 5:19 PM To: Permits CommDev <-- Subject: Subject: Online Form Submittal: Residential Roofing Permit Application W Residential Roofing Permit Application q THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 4085 Dudley St David Toll 3035193404 Field not completed. This application is exclusively for new permits for residential roofs and for licensedf 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 (1 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? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 4085 Dudley St David Toll 3035193404 Field not completed. 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 Colorado Construction & Restoration Contractor's License 170281 Number (for the City of Wheat Ridge) Contractor Phone 3039060221 Number Contractor Email Address ericka@coloconstruction.com Retype Contractor Email ericka@coloconstruction.com Address DESCRIPTION OF WORK Are you re -decking the No / roof? Description of Roofing OC Duration Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 35 material selected above? r 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 all 35 roofing material for this project Provide additional detail 4/12 Roof Pitch here on the description of z work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract .��5o-- value or cost of ALL qq materials and labor) V 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 Joel Lucius Email not displaying correctly? View it in your browser. 3 COLORADO C8 RESTR6RAT710iQ�IN 6535 S. Dayton St. Ste. 1500 Greenwood Village, CO 80111 720.449.2662 Office 720.836.3349 Fax www.ColoConstruction.com RESIDENTIAL AGREEMENT THIS AGREEMENT IS SUBJECT TO INSURANCE COMPANY APPROVAL MilitaryVeteran Name: R vrG( �6 �f Date: ��o2�/�Zf7/ 7 YES—NO— Address: �`OB� c1�od 1 S� CityJZip: i96,eafJ�rol' e X33 Rank @EAS Phone: SO 3 - 519 — 32 02 Email: d674oyZ/-WV . Go,,, Branch --b SCOPE OF WORK PAYMENT SCHEDULE Total Contract Price:* Down Payment Paid Date: _ /_ /_ CK# @ $ Balance Due Upon Completion Paid Date: _ /_ /_ CK# @ $ �)*Contract Price equals the Replacement Cost Value (RCV] plus supplements & O&P, approved by Insurance Company for work rendered by Colorado Construction & Restoration, LLC. ROOF SPECIFICATIONS Manufacturer: 4wsns (own r'a Style of Shingle: Color of Shingle:) Ridge Material: ® k h Valley: Valley Metal Vents / #: Replace / Plumbing Stacks / #: lReplace , / Metal Edging*Color: es No * ens (�_) Tear Off / # Layers: es No / Underlayment: j2 # of Stories: T Pitch / Pitch < 2 / 12 / 12 / Yes No Remove Trash From Roof, Gutters, & Yard Protect landscaping Where Applicable Roll Yard With Magnetic Roller Furnish Permit �)*Homeowner acknowledges that contract price will change based on supplements approved by insurance company; and homeowner agrees to furnish a copy of updated insurance paperwork to Colorado Construction & Restoration, LLC upon request. TERMS: This agreement DOES NOT OBLIGATE THE HOMEOWNER or Colorado Construction & Restoration, LLC in any manor unless it is approved by the insurance company and accepted by Colorado Construction & Restoration, LLC and the homeowner. By signing this agreement the homeowner authorizes Colorado Construction & Restoration, LLC to pursue the homeowners' best interest for a roof replacement or repair and/or exterior restoration at a "price agreeable" to the insurance company and Colorado Construction & Restoration, LLC with no additional costs to the homeowner with the exception of their insurance deductible. CONTRACTOR CANNOT PAY, WAIVE, OR REBATE INSURANCE DEDUCTIBLE pursuant to Colorado State Law C.S.R. 6-22-105 (1) and Part 1 of Article 4 of Title 10, C.S.R. and Paragraph 4 & 5 as declared in the terms and conditions of this agreement, if applicable. COLORADO CONSTRUCTION AND RESTORATION, LLC SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL CONTRACTOR HAS DELIVERED ROOFING MATERIALS TO THE JOBSITE OR HAS PERFORMED A MAJORITY OF THE WORK ON THE PROPERTY. General Liability Insurance is provided through Walker -Dilworth insurance— Denver, CO. (303) 370-0930 Accepted by Insured on: Date: / ) By: Insurance Company: 4 -AA Claim#: 100,7 - 0-7 g6 q 7 Date of Loss: e20 fi Project Manager: —74 4 Approximate Date Start/Completion: Management Approval: Proud Supporter of VETERAN OWNED COLORADO PROUD wouxseo wAa on t+ MtxlT Jim Black Constr. Jim Black Construction, Inc 12279 PENNSYLVANIA ST THORNTON CO 80241-3113 Dear Licensed Contractor, 03/06/17 P -AID License #: 020245 Our records indicate that the license(s) listed below with the City of Wheat Ridge are due to expire. If the license(s) are not renewed within 60 days of the date of expiration, they shall become null and void. To renew an expired license, all requirements for new license issuance, including a new application and appropriate license class testing, if applicable, shall be required. The City of Wheat Ridge requires that licensed contractors provide a current certificate of insurance for General Liability and Worker's Compensation coverage to the City, with the City of Wheat Ridge listed as the Certificate Holder. Please include this document with your renewal or have your insurance carrier forward this to the City. The information shown at the top of this letter is the information currently associated with your license. Please review this information for completeness and accuracy and make any necessary changes on this form. Please return this form with any changes, attach additional page(s) for a list of up-to-date person(s) able to pull permits under this license, along with the indicated fee amount and required insurance documents to: City of Wheat Ridge Building and Inspection Services Division 7500 W. 29th Avenue Wheat Ridge, CO 80033 Phone (303) 235-2855 Fax (303) 237-8929 (BESTWAY) Class Description Type Expires Renewal ------------------------------------------------------------ --- ----- CL2 Limited Const. CONTRACTOR LICENSE 03/31/17 125.00 Licenses can now be renewed online. You can email all documentati'aff requested above to contractors@ci.wheatridge.co.us. You can also find the credit card authorization forms on our website www.ci.wheatridge.co.us, under Building & Inspection Services, Payments tab. * Note FOR Plumbing AND Electrical Contractors - Please include a copy of your current State Contractor and Master License with the other required documents. Thank you for doing business with the City of Wheat Ridge, Respectfully, Wheat Ridge Building and Inspection Services Division A� " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 09/28/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER OC32187 OG98518 1-661-266-9390 DRISCOLL & DRISCOLL INSURANCE AGENCY, INC.ONE CONTACT NAME: 661-266-9390 'AIC,AXPNo 661-266-9391 /C N Ext : -MAILADDRESS: certs@driscollanddriscoll.com E-MAIL-ADDRESS: 41235 11TH ST WEST, STE A INSURERS AFFORDING COVERAGE NAIC # PALMDALE, CA 93551 INSURERA: Crum & Forster Specialty Insurance Co. INSURED INSURERB: West Amercian Insurance Company INSURER C Jim Black Construction, Inc INSURERD: 12279 Pennsylvania Street INSURER E: Thornton, CO 60241 DAMAGE TO RENTED 100, 000 PREMISES Ea occurrence $ MED EXP (Any one person) $ 5,000 INSURER F rnVERAGES CERTIFICATE NUMBER: 48088345 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR I TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYY POLICY EXP MM/DDIYYYY LIMITS A GENERAL LIABILITY EPK-114285 10/01/1 ,10/01/17 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 100, 000 PREMISES Ea occurrence $ MED EXP (Any one person) $ 5,000 CLAIMS -MADE [K] OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2,000,000 $ X POLICY PRO LOC B AUTOMOBILE LIABILITY BAW (17) 56 88 63 88 10/01/1 10/01/17OM cNEDtSINGLELIMIT $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ X ALL OWNED SCHEDULED AUTOS AUTOS , XX NON -OWNED HIRED AUTOS AUTOS PerOa cdent DAMAGE $ A UMBRELLA LIAB X OCCUR EFX-106131 10/01/1 10/01/17 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE WC STATU- OTH- T R LIMI R E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? ❑ (Mandatory In NH) N / A E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below A Contr Pollution Liability EPK-114285 10 0 1 10 O1 17 Per Occurrence 11000,000 A Contr Pollution Liability EPK-114285 10/01/1 10/01/17 Per Aggregate 2,000,000 A Professional Liability EPK-114285 10/01/1 10/01/17 Claims Made 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) ** For Informational Purposes Only** rCoTirrrATO Unl nGc CANCELLATION ACORD 25 (2010/05) Dmccourt 48088345 © 1988-2010 ACORD CORPORATION. All ngnts reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Wheatridge Delia THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7500 W. 29th Avenue AUTHORIZED REPRESENTATIVE Wheatridge, CO 80215` - USA ACORD 25 (2010/05) Dmccourt 48088345 © 1988-2010 ACORD CORPORATION. All ngnts reserved. The ACORD name and logo are registered marks of ACORD ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 6!9!2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Network Insurance Services,LLC 5261 S. Quebec St. Suite 100 Greenwood Village CO 80111 CONTACT NAME: Greg Harmon PHONE AIC No:M-708-0202 Ex - - E-MAILo ADDRESS. r h hin ni m INSURERS AFFORDING COVERAGE NAIC # INSURER A:Pinnacol Assurance of CO 41190 INSURED JIMBL31 Jim Black Construction, Inc. 12279 Pennsylvania St Thornton CO 80214 INSURER B : INSURERC: EACH OCCURRENCE $ INSURER D: MED EXP (Any one person) $ INSURER E NISURER F: GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO JECT LOC rn\/COA/^CQ r'FRTIFICATF NIIMRFR' 00f)7A9'Z197 KtVIJRJIV IVUIVI6CK: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCEADDLSUBR INSR WVD POLICY NUMBER POLICY EFF MM/DDNYYYl 'POLICY EXP fMM/DDfYYYYl LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FI OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO JECT LOC PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOSAUTOS F GO BIN717STRUM= Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident $ UMBRELLA LAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVEF—] OFFICER/MEMBER EXCLUDED? (Mandatory in NH) Ifes, describe under DESCRIPTION OF OPERATIONS below NIA 4132000 7/1/2017 7/1/2018 X TT RYTA ITTU- OER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE- POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Uam[_11 A1Ir Im l5/-15oo-AVIV Al•VRU 1-UM-UKM I IWIY. M1111911W ICDGIvuu. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Wheatridge THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 7500 West 29th Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Wheatridge CO 80033 AUTHORIZED REE,P/RESSEENTATI/VE/' g- l5/-15oo-AVIV Al•VRU 1-UM-UKM I IWIY. M1111911W ICDGIvuu. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD DOW* Plat) Permit m F I 36N3) AddreSS: city, state I 0 M=hanical 04Y Uicense Company: 10OW "Y z0f*&OW s; I ■ �■ � o I� llr+ -r ■. J� RECORD ■ 0 V r G%& ■ ■ INSPECTION LIME: (303) 234 -5933 Occupancy /Type ? Inspections will not be made unless this card is posted on the building site Call by 1 3:00 PM to receive inspection the following business day. Lath /Wall tie Mid -Roof 'i INSPEC OR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS ;COMMENTS: Footings/Caissons . Rough Electric„, Stemwall / (CEG);Concrete Encased Ground Rough Plumbing Reinforcing or Monolithic Gas Piping Weatherproof/ French Drain Rough Mechanical Sewer Service Lines ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING' Water Service Lines POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Drywall Screw Plumbing (Underground) FINALS Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Lath /Wall tie Mid -Roof 'i Electrical Service - Rough Electric„, Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING' Framing i Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof ': y/� >/? Building : Final Fire Department R.O W &'Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping " * 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. PROTECT THIS CARD FROM THE WEATHER ♦ e CITY OF WHEAT RIDGE Building Inspection Division (' (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: _ 1i yAZ eec'w1= Job Address: Vor ?5 Permit Number: _ 16zL O (1 ❑ No one available for inspection: Time c O AM/+ I � I Re- Inspection required: Yes * When corrections have been made, calf for re inspection at 303 - 234 - 5933 Date: 6 Inspector: y 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: lwlpazny"F Job Address: X205 a7ua�F� ST° Permit Number: 165e V; ❑ No one available for inspection: Time AMR Re- Inspection required: Yes When corrections have been made, call for re inspection at 303 - 234 - 5933 Date: V11211 Inspecto r DO NOT REMOVE THIS NOTICE Y City of 4_1.r' W heat j~id~e Date: UNITY DEVELOPMENT Plan # Building &Inspection Services Division Permit# 7500 W. 29t Ave., Wheat Ridge, CO 80033 L ~0 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building Permit Application Property_Add►.ess ~T lA)>`Il(~f '211~(~ Property owner (please print): TDL L Phone: 303 y 6 7-317 Mailing Address: (if different than property address) Address: Mp-' SKIM) ACS b~Y~U1= City, State, Zip: Cor tractor: THD k7 I (C)YtnF__ ~ a/ t C S Contractors City License 07 DISC Phone: Z7- C- j -~,°(~S(~ Sub,Contractors Electrical: Plumbing: Mechanical: City License # City License # City License # Descrlp#tonof work? -12~, ~R ~QU~ie.I<S ~.~HF}LT S{{lNG((~ S Contract Value- $ 1 Uz3 Review Fee (due at time of submittal): Squares BTU's Gallons Amps Sq Ft: $ 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) ar<(AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRA/) PRINT NAME: U L-G Z LAND L J SIGNATURE: DATE: Z( : ItIvL D . `d1 y- u ✓;%'tiF ~a n. r 'a' r a D .v'r ' a ;/ut' is i /s r /a i^ a w v1^ r .i u~._~~ ~ try Fl RE oEPARTn4EN7 ❑ approved w/reomtr~ntsN U sapp7oved p riote~iew req} fired Bldg Valuation $ i r- I COMMUNITY DEVELOPMENT DEPARTMENT Building Inspection Division (303) 234-5933 Inspection line (303) 235.2855 Office' (303) 235-2857 Fax INSPECTION NO~ Inspection Type: N. bt>Y Job AddresslPermit Number: ~~ ;:;iir [Yl/.$6? IP~;/ l{ovt;J) ft-r{O {tut?U78 o No one available for inspection: Time AM/PM Re-Inspection required: Yes(~ ::;;::j; ..~ :::,U" ~J:r" =.,,..,,, DO NOT REMOVE THIS NOTICE r COMMUNITY DEVELOPMENT DEPARTMENT Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office' (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: /V/J:} RLWF Job Address/Permit Number: ftJ?5 Duolly 1".571 ~.,;;? I~ ~~ 5'~~JfS TO B~' A;h~'<9 J ,~~o ,Q, ;7.5'% ;". ""'-f)'/ nr .t:a:>f 7Z;' sF or"; ,'" HO/V'" il"",F o No one available for inspection: Time 9:Vf AM/PM _/~~-~\ Re-Inspection required: ,(f~' No 'When corrections have been made, call for re-inspection at 303-234-5933 Date: ,J/y,/,?'" . /~ Inspector: //;;...-.z. / DO NOT REMOVE THIS NOTICE COMMUNITY DEVELOPMENT DEPARTMENT Building Inspection Division (303) 234-5933 Inspection line (303) 235.2855 Office * (303) 235.2857 Fax INSPECTION NOTICE Inspection Type: 4Q/,>,;"in'JF Job Address/Permit Number: '~O<?5 Don! .-)/ .,r, CJ'7/3.;'9' AA/T' /i?,C.4DY' r o No one available for inspection: Time ;l: 30 AM/PM Re-Inspection required: cY.e~/ No 'When corrections have been made, call for re-inspection at 303-234-5933 Date: pl///:; -' Inspector>?:':~ DO NOT REMOVE THIS NOTICE , 'u City of Wheat Ridge Residential Roofing PERMIT -071369 PERMIT NO, JOB ADDRESS, DESCRIPTION, 071369 4085 DUDLEY ST reroof +/- 34 squares asphalt ISSUED, EXPIRES, shingles (full T/O) 12/20/2007 06/17/2008 *** CONTACTS *** owner 303/467-3174 gc 770/779-1423 David Toll David Smith 07-0156 THD At-Home Services, Ine ** PARCEL INFO ZONE CODE, SUBDIVISION, ** UA 0287 USE, BLOCK/LOT#, r-3 0/ ** FEE SUMMARY ** Permit Fee Total Valuation Use Tax ** TOTAL ** ESTIMATED PROJECT VALUATION, FEES 308.50 .00 241.61 550.11 13,423.00 Conditions: 6 nail installation and mid-roof inspection required. 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 (r.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. signature of contractor/owner date l. 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 J:he zoning Regulations and Building Codes of Wheat Ridge, .::olorado 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 date. 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 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 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 yviolation of the provisions of the building codes or any other ordinance, law, rule or regulation. All pI r is subject to field inspections. date INSPEC ION 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. \ ~~"'." '", i i / "~~7J.I,~!I.~_..,~;;.,",;".; ,""'l!',,,,,,,.,,,,,,,!,..,.~,,_,,JI.,!J;;,.!,,,,,,~,,,,!,?,,,~..~.,;l,,,,,,,,,,,,":\I!,~"""R"e!.~..,,,,,,,,,....J"'~1"!"J~,.~~~,~!,,,,"!,,!II.,w""""",,'!' f/ zjffi r ~,.. "" .:. , ~ C:i' '1n '~.. City of Wheat Ridge Residential Roofing PERMIT - 071369 PERHIT NO: JOB ADDRllSS: DESCRIPT:CON: 071369 4085 DUDLEY ST reroof +/- 34 squares asphalt ISSUED: EXPIRES: shingles (full T/O) 12/20/2007 06/17/2008 *** CONTACTS *** own,.r 303/467-3174 gc 770/779-1423. David Toll David Smith 07-0156 THO At-Home Services, Inc - .. PARCEl, INFO ZON];: COOll: SUBI)!VIS:CON: .. UA 0287 USE: BLOCK/LOT#: r-3 0/ Pe:rrilit Fee Total Valuation US'I:! Tax ** TOTAJ~ ** ESTIMATED FEES 308.50 .00 241. 61 550.11 PROJECT VALUATION: 13,423..00 .. :?EE SUMMARY" we~ Conditions: 6 nail installation and mid-roof inspection required. 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 mea/!:urements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this app:ticatioI'J, and that I assume 'full responsibility for compliance with the Wheat Ridge Building Code (LB.C) and all other ac;!g ~e Ordinancee, for work under thi;:;rm~8Ians subject to field inspection. Sig,l' ture c,f contractor/owner date 1. ~['his pelmit 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. '['his pe:t:mit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. )In 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 j:~xceeded. one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for anew-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 8uildingInspector 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. ~['he iss\:.ance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor im apprc1val of, any viol n of the provisions of the building codes or any other ordinance, law, rule or regulation. 1~.llplar.. review i to field inspections. date Signature of Chief INS:i?BC'l'I()N RB REQUESTS MUST (303) 234 -5933 BUILDING OFFICE: (303) 235-2855 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ~~ ~~% OLORp..\') City of Wheat Ridge Building Division 7500 W 291h Ave., Wheat Ridge, CO 80033 Office 303-235-2855 * Fax: 303-235-2857 Inspection Line: 303-234.5933 Date: Plan #: Permit #: Building Permit Application Property Address: Lfo6~ PvOt..-&>;' qJ , f3CX)'?::, S Phone ~/<4.b 7- ~ l71 , Property Owner (please print): ~v 10 \OLc- Mailing Address: (if different than property address) Address: S""~ City, State, lip: Contractor: \i.\~ K( i-\r>'^^l"- "'-l<- R. vtc_E:<"" Contractor License #: 2. \4 h'l Phone: ~!-zc, '173 b ~ Sub Contractors: Electrical City License #: Company: Plumbing City License #: Company Mechanical City License #: Company: Exp. Date: Approval: Exp. Date: Approval: Exp. Date: Approval: Construction Value: $ I-:!> . '1~ (as calculated per the Building Valuatton Data sheet) Plan Review (due at time of submittal): $ Use of space (description): 121i"'};::"I~T\F\- L D~Ption of work: ~-v2-0c:>r / -y~ 3'-1 sG.u....~~." A.~~fr<.--i ?1-hH&zLiOS. Sq. FUL.Ft added: Squares BTU's Gallons Amps 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 W'heat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (cnNTRAr:Tml') or EBL!:!I NAME: .J v"",,,s. L..\lO \ ':,. PERSONAL REPRESENTATIVE of (OWNER) (CQ~ITR^TQg) SIGNATURE: r- ~ Dale: 12-'20-07 DEPARTMENT USE ONLY ZONING COMMENTS: Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer. FIRE DEPARTMENT:: 0 approved wI comments 0 disapproved 0 no review required I Bldg Valuation: $ OCCUPANCY .,.......,...,.c.~---,~,.------c,O=:"-- COMMUNITY DEVELOPMENT DEPARTMENT Building Inspection Division (303) 234-5933 Inspection line (303) 235.2855 Office' (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: W'~/;./. I=:_~i Job Address/Permit Number: 'Yl?g<;, o'-'l7b;/ ST//?(//)/'i? o No one available for inspection: Time //7.'117 AM/PM , Re-Inspection required: Yes ~2-/) 'When corrections have been made, call for re-inspection at 303-234-5933 , I Date: ///,1/)7 I , Inspector: /.::c / DO NOT REMOVE THIS NOTICE I l~.__ '''l,.'''''''' -j',-" "'"'~.., ,.'t,-".,' -.;,';"'^'" \/D::11;..~,t .Qge': ". ~.. ')i",~"D~ ':'., ". ,; " "': 1.. d", :' :':-' ~ ,', ';1i.~.IAI ~.~i P~B1\.IT W'J...:a..., . ,;,~/,~~_,,'",*iI,'~", ...,. ':,-, " _....,' _C:', ~ ~~,.. -, ~; ,,,;,;~"r~~~~$~_~'~;~'~/f''< " :" ISSUED: EXPIRES: j '.::;;~~' ~ 09t-20/.200~i, . 03/U!20011:' . ' 'j'" ,',," " "< 'c:~i~:fTf::!;.. go owneor .ff". ":aU -U74 01-7835 Blue S'lt~' ltl;~~it:~' 'v' 1;ltivid Toll , , ,-,.;,: **. :~ .:O:t.87 USE: tJA BLOCJ</LOT#: 0/ , lSriMArtID pROJECT VALUATION I FItES .58.34 .00 21. 60 79.94 ** FSS:' Permitg~-:., , . Total vd~t,~= . ~:e~~~'~~f . Com,Mirt;!ii i<'; ~ . Subjec~t~~~i_);i ~tion I hl~reJ:)y';:'~t ord:Ln.n~<. meall~~' app11aaU'ii app11e' , , . ~ '''~,::.i~1.tance8' pr~ 'by :t~i8 permit application are aceUX'at~; ,'~ -<10 ;,~" ~. "t;i~-'~~.-~~ City- of Wheat ~e 'or. covenants. easements, or, ~.tr.t~~':~/ l,:a~:l. , " - ~de are accurate, t~t I have' rQ:d a.n9 agree t;o '~ide 'by ~ ;~ '-"~PRi'u'ibility: rei: CQlilPliance with -the Wheat Ridge 'BW::ld*,,~(,~ t14 k \Ul4er th{.'_pe~i~. Plan~ 8,ubject to field 1ns~t~~; ,',' ' '(X" ~~ 1 .date ',<,-,-. "~.f-',:_,-" ,';,-,: i ~ ;'i l' "-, " :.~" "". 6. " l ,:" ,',' , ; , -"," : ' , ,'_ \-. :- ," '.'", ",\. ", '" " :, ", '-' ~- ",,'" ,:~l:..~"in :--=~Ci. w1t;;n tbe prQYi_:L-ot:a8 set fo~th in your appl;tcatlon ~ :~,,_,,~~~:;.~_:~,;~~',~~~;~.:~ ',f',-- : "to.- tbft,.@Ontt;ag ~ation.'~ ~nding Codes of Wheat Ri~e. ,~6ri!14O:_~::-~'~_~:,""11d~e:;>:':. :i___"" ",~._,:~ '_;" ,',~' :':' _'" " ':,:~: ,:': :_,_', ,:h:;:;>:,- -,,' - , , ""', ,,-~c" :",:L~: ~iW-:';-~ya t~ t1le hlue -,~e_~ Requests fo:r; an ext~sion must };)e' r~~i.c(~l~:)~ }'.::.:;' , ;,~',:~~~~~'_&t -the 4iscret,ion~; 'the Building Official. , ,:, _C, '.-: >'..:";>~<!t",;,: ):f~Il!'# _ ~;-:~~-t _y be' a~ired: ~or a fee of on."half the amount no~t;;y ~~:;r~,,': 'i;,~w.\ll, ~'~'",m the!' ,orig1U1:_p,t,m",and specifications ,and any 8t;a,l!lPf!l~!,~,:~,.:;"",__:__:' _:._, : r~t:.; '-;n::~',have been or it inill!P8n.ion or abandotunent exc~ed. ,'one' (l-j :~'.-'~l:~'- <, ~-: :"<~;:"f. l',:~:~t,:;,':,:;:'::>';' ' , .: ,:, ' " ' .., '::"":~',:,i<~l;,;~~:"<{,:",-,:' :'C~.> ~','''''::!:;J';'<:;'''' 8ha~~W~~:~~;,:::rty~,:~~~1 = ~~ :~:,,:a~~;l~ :=-":":T~l>lU~.i;,~' 1 ~ il~:dt;~~:~, ~f~ p~~~~\fith succeU1ve',phaSE!. of the jol).",_ i, ..-: :,::,;",,'::'<'~-> ~,':"<;:f:::: :>~' ,:::<::',L ,~'~ : ~r," ' ,"i~~'; ~:t,,~~, ,. ':,' , al. :':Of, d;:aw.trtg:$, li!ld .pecificat1ons shall not be c:onet~4;,F1):,.,;::~;)~t::'~C>*~<-9~-'/}:~i ,"t';; ~~(~;~~' ',' provisions af,~"bui1ding c.odes or any,otfu!ir or-4i~.,: 14..:,~~,,~it.,~~,c;-'~'~ ;<"0 ,1io tlilh;l <1 i_tio"". . ,.',' .: ;'. /:, ,', , '..h',' ," ,{ -"<':'!f;~',ii - 1. 2, ), 4. 5. .lll'PClirllil date /':~!,I'l" ", :f: ':" ,: _' , ,,_ , -'''; ;"" ' '4 ~ lI!.I!!!Rlk(103U34.5931 BUILDING OFFICE: (3031 231l-:211'S: .i"':' .........'~ .~t'tiI ANY BUSI!lSsS MY FOR INSPECTION THIll ~.......%NB$S _. ,,' ',-h'''' 1 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION UNE - 303.,u4-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, co 80033 - (303-23~55) MINOR APPUC4T10N PropeJty Owner: Da.l,li d 1'0/1 PropeJty AdQress: 4 og '5 ?Wl~ S>>-. Contractor LiceDl!e No.: \ 1-'& a. 5 company:"Sh.U. S~ PI~i~ .~t1S ~HM ~ :t !i 11;\ >'cl("".09 Building Perm~ Numbllr: Date: I PLAN # Phone: c.~o~) l( <.D '+- -?> 1"7- If Phooe; (300) 4'd-\ -"d-l ~ ( l;?QO Q( ( OWNERICON'I1W'TOR SIGNATURE Of UNI)ERSTANIlING AND AliRESBlT I BuildinG DllIlt Valuation Figure; $ I ~.T8by oorIlly that th. 9etbock dl9ta"""s proposod by \I1lS permit II'I'Ilcation ore accurate, ancl do not violate opp_ ordinances, I\IIOS or regulall_ of tho. city 01 WI1eal RI<Iga or """""anta, ....menta or realrlctlono of reoonI: lI\at 011 rrHIlIlll.II'ements ollown. and .lIegatlons mo<le an! ..curot.; lI1at I h.... rea<! ond agne to .bIde by all condlllo"" prlrrtod on IIlIs oppl_ and tl10ll ..sume lUll responslbillly l<lroompllonco wltn tho WI'1eat Ridge 8ufldlng Cod. (I.B,C) .nd an - appUcablo WIleal Rlr!go O.<IIna_., lor work under this permft. PIon. subJ.ct to fi@Id in.pectI~on. L ___I~~ ~ (OW>ER)(CoNTRACT<ll<):."NTlID '. r LJ-/q:t DATE 2-0(0,. Use of Space (description): f(' 9 Ao M1' Cl - Description of work: ~ep\o.(~"Boi'/..a..y'" ==-8"0 aw Value:$ Permit Fee:$ Plan Review Fee: $ HRe Tax'S Tota1:$ Sq. Ft. added BUILDING DEPARTMENT USE. ONLY SIC: Sq,Fl.: ZONING COMMENTS: Approwl: Zoning: BUI~ING COMMENTS: Approval: PUaLIO WOflKS COMMENTS: Appro'/lll: IRe p""ARTMeNT COMMENTS: AF'I'roval: ,.'~II.. OM" c,,_~_~. , ,._~. Electrioal License NQ: Company; Plumbing License No: Company: Mechanical License No: Company: Expiration Date: Elq:llration Date: Expiration Date: Approval: Approval: Approval: (1) ilIls permR was !sOIled in .""orcIan<>a wiU1 tile p_ns oet fortl1ln your appl- onclls aubjo<:t to tho lows of tM stole of c_o and 10 tho Zoning Reg"latlons and 8ullding CodeG 01 Whtlal Rlclga. Colora<lo 0, any otnar appuoabie ordinances olth. Cily. .. . ... . .... ..... ...... ... . . . ... .. ..... . .... (2) This p"'m~ _II ""Pi.. 1 BO dayS from lh.lsGu. dolo. R.qIH,elaforan ..,'....01011 mLlOt. b..!i>cel\lodprlorlo oXpirillion dote. An OX\~lon~J:!<lg""""a.lh.d~.of.1M~",I!l.lng()t!lclal. . . (3) IflN. parmlt eo<pl.... a new permit may be aCq\lired lor a foo of ono-i1alfthe amount normally required, provIdod no chon;os have been or will be made In Ill. original plll10 end .paolncali,.,aond any.uoponoion or abondonmont~.. not _dod on. (1)}'lI01, If oIIanges hava boon or Ileuspens/on or obonCIonmont_cItlono (1) year. full fl!e9 nil be pair! for. now permit. (4) No work 01 any mann'" sholl be don. that w~ oIIong. tile _ flow of water oeuoIRg' drolnogo problom. (5) Contractor oholl nollfyll1. Building Inspector twenty.IOll. (24) IIOIlrs in acIvllll(lO lor an Inspoct1ono ancl ohaIl reooIv<>vmtten Ip!:IllIIOI on Inspection carel _ro proooedlng witl1 $UCOOSOI... phaoeo of tha Jab. (8) Tl\<llsluonca of a ponnlt 0.111. .p"""",1 ~ drawings and apooIfIcalion..nal' not b@construodlobe . penna for, noran appro'Iai 01, .ny violation of 1110 provision. ofll1o bulldll19 cod.. or any oIller ordInanc., loW, r\IIe or regulatlon- All plan review I. subject to fieI<Ilnspectlon.. Chief BUIlding OffIcial