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HomeMy WebLinkAbout10101 W. I-70 Frontage Road South?1 I . 11MOT-T -. I 0 t . , = Iffruffim ,: 2� « Mw Location: 1010<: �<!?<=®f�� RXERM MOT MENEUMM Expiration Date: 211/2014 ?M : � RIM 274.1- a :4 re r*=O,*M,m I A 10� MOTTITAWT-TrY. M#- M [AUN a a MMMUM MEEMUM IgH= 1 12 AW i rz 17.1 a V rs W M Inspected by C 616iid o Code Consulting LLC City of Wheat Ridge Building Division 7500 W. 201h AVe. Wheat Ridge, CO $0033 Office: 303-235-2855 * Fax: 303-237-8929 mflw# To'. Holiday Inn Express 10101 S. 1-7? rontage Wheat Ridge, 0033 invoice. mom= at Location Address: 10101 S. 1-70 Frontage Rd. Elevator (south) City of Wheat Ridge Building Division 7500 W. 29 Ave. Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 I jqjlj��1111111 RM I Urt� III! Location Address: 10101 S. 1-70 Frontage Rd. Elevator 113 2 (north) ;41 -A' 0 0 1 A Smacum MEMO= Expiration Date: 2/11/2013 OTTIA ii` &NA. " ISM Inspected by o e Code Consulting LLCM V, 40 • Inspected by 6"ONVO6 Code Consulting LLC fflm « . • MMERMUM F �Z . I - 0 mmucam MEMUM Mi!Mm I 111110111MISIP MAIN*- • LTITH"T M a V • + - - 0 RE: Elevator/Escalator Registration Dear Elevator/Escalator Owner or Managing Agent: As you may or may not be aware, DRCOG's (Denver Regional Council of Governments) Elevator/Escalator Inspection Pro rare ceased operations as of December 3 1 ", 2011. In order to ensure the safe use by the public of the elevators in Wheat Ridge, each elevator is thoroughly If you have any questions feel free to contact the office at (303)235-2855. EMMM wwwxi.wheatridgexoms City of Wheat Ridge Building Division 7500 W. 2S�h Ave. Wheat Ridge, CO $0033 Office: 303-235-2855 * Fax: 303-237-8929 ME U�s F 1 1 9 1 1111 1 1 1 1 lil��;���l��11111:���l��ll�l� III Location Address: 10101 S. 1-70 Frontage Rd. Elevator ID: I (south) City • Wheat Ridge Building Division 7500 W. 29 Ave. Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 To: Holiday Inn Express 10101 S. 1-70irontage Wheat Ridge, 0033 Im Please feet free to co invoice. IMMMUMM��r. • •� U�• Location #: 31 Address: 10101 S. 1-70 Frontage Rd. Elevator ID: 2 (north) 0 ' t - . , 0W Et" I Am 111 - Building D ppartment n o, This is to certify`that the elevator as ifidicated,, n this certificate has been �Z',,,,f inspected on the date shown below and w and safe to carry 2500 lbs. Expiration Date: 2/1/201U jurflummff a#im Inspected by Ddh Ye li e gionai Council of Governmeiff (DRCOG) till) Izw LT ��w kit j vt, inspected on the Inspected by Deh Regional Council of Governme "'(DRCOG) mms # w � m o mmumm SNUUMM Expiration Date* 2/1/201U Ilp 11#111#1111M "MMAIRLO - MY110M. City of Wheat Ridge Building Division 7500 W. 29 Ave. Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 To: Holiday Inn Express 10101 S. I-M, Frontage 0033 Wheat Ridge,'41,11" 7 i YS Your annual eleva& inspection fee of $210 is d,,ue,,.,,f ,or location # 31 elevator ID: I (south) located at 10101 S. 1-70 Fr,,Q,,,nt6g l A t e n 11 a er J " Please remit payrn t thadi 1 M l "MOO MR . Please feel free to co ct ons regarding your invoice. U�• p��!Iqrll�jglip 11111 M3•.� Location Address: 10101 S. 1-70 Frontage Rd. Elevator ID. 1 (south) City of Wheat Ridge Building Division 7500 W. 29 Ave. Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 To. Holiday Inn Express 10101 S. 1-70,,trontage� "A' Wheat Ridge �,"Q&80033 ' pr Your annual elevaO inspection fee of ",far, location # 31 elevator ID: 2 ow "'N' (north) located at 10101 S. 1-70 Front ' am AP Please remit payment ter th ary 9 HEM= I � I gg 1�1 I g � 11��11111y� III • Location Address 10101 S. 1-70 Frontage Rd. Elevator ID: 2 (north) Certificate of Elevator Inspection City of Wheat Ridge 7500 W. 29 Ave. Wheat Ridge, CO 80033 Building Department This is to certify'th -at the elevator as ndicated '�n this certificate has been inspected on the rig below and Al%und safe to carry 2500 lbs. Inspected by De Regional Council of Governmei (DRCOG) Location Number: Building Name: Location: 10101 1 -7-0pe Rd. ID Number: ElevatorTvoe: HP Safety Inspection Date: 8/5/2010 Elevator Inspection Date: 8/5/2010 Certificate Issue Date: 311/2010 Expiration Date: 2/1/2011 Holiday Inn Express 10101 S. 1 -70 Frontage Rd Wheat Ridge, CO 80033 Certificate of Elevator Inspection City of Wheat Ridge 7500 W. 29 Ave. Wheat Ridge, CO 80033 Building Department This is to certify'tW the efe ator as indicatepri this certificate has been inspected on the dafi ashown below and waound safe to carry 2500 lbs. Inspected by Denv��Regional Council of Governme- WQDRCOG) Location Number: Building Name: Location: 1010VS. I -70 d-OMte Rd. ID Number: Elevator - Type: HP Safety Inspection Date: 8/5/2010 Elevator Inspection Date: 8/5/2010 Certificate Issue Date: 31112010 Expiration Date: 2/1/2011 Holiday Inn Express 10101 S. 1 -70 Frontage Rd. Wheat Ridge, CO 80033 Certificate of Elevator Inspection City of Wheat Ridge 7500 W. 29 Ave. Wheat Ridge, CO 80033 Building Department This is to certifythpt the elevator as indicatpolon this certificate has been inspected on the ro -shown below and wa`s, ound safe to carry 2500 lbs. Safety Inspection Date: 2/5/2010 Elevator Inspection Date: 2/5/2010 Certificate Issue Date: 3/112010 Expiration Date: 2/1/2011 Holiday Inn Express 10101 S. 1 -70 Frontage Rd. Wheat Ridge, CO 80033 Inspected by Dean `Regional Council of GovernmeN (DRCOG) Certificate of Elevator Inspection City of Wheat Ridge 7500 W. 29 Ave. Wheat Ridge, CO 80033 Building Department All t This is to certify that the el tor as ndicated on this certificate has been inspected on the d Oshown below and wa§O safe to carry 2500 lbs. Inspected by DertrerYRegional Council of Governmen (DRCOG) Location Number: Building Name: Holiday�i Express Location: 1014_ r " §. I- Zantage Y Rd. J 3i'P '� r. ID Number. 2,(n ( fil M.- Safety Inspection Date: 2/5/2010 Elevator Inspection Date: 21512010 Certificate Issue Date: 3/1/2010 Expiration pate: 2/1/2011 Holiday Inn Express 10101 S. 1 -70 Frontage Rd. Wheat Ridge, CO 80033 INVOICE City of Wheat Ridge Building Division 7500 W. 29 Ave. Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Date: 12/4/2009 To: Holiday Inn Express Q M I Ado 10101 S. 1-70ifrontage P4. Wheat Ridge, C-OaB0033 Your annual elevatdf inspection fee of $210 is d" (south) located at 10101 S. 1-70 ag o Fr_n j , Q-A M. A v A -F Please remit payment titer t h a nMib ary 1, Please feel free to contact c� Ice if you J-jq e invoice. Thank you, iRTF or location # 31 elevator ID: 1 regarding your 90 Z Please detach and send this stub in with your payment. Location #: 31 Address: 10101 S. 1-70 Frontage Rd. Elevator ID: I (south) Amount due: $21 INVOICE City of Wheat Ridge Building Division 7500 W. 29 Ave. Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Date: 12/4/2009 To: Holiday Inn Express Elk 10101 S. 1-70 --NM Wheat Ridge, b—MuNN.80033 "'My Your annual elevato inspection fee of $210 is duejor-location # 31 eleval (north) located at 10101 S. 1-70 Frontage .R.42 -.h,e wo r �ZRNm A 'OT .6 AMM A& Please remit payment"er tha&�M ry 1, 201 N A—MMUNIF M Please feel free to corK act our if yo-tiffi . gr estions regarding your invoice. ­-­ Thank you, Please detach and send this stub in with your payment. Location #: 31 Address: 10101 S. 1-70 Frontage Rd. Elevator ID: 2 (north) Amount due: $21 ID: 2 Certificate of Elevator Inspection City of Wheat Ridge 7500 W. 29 Ave. Wheat Ridge, CO 80033 Location Number: IF Building Name: f ida Expr Location: 161 . 1- a Rd. ID Number: 1 Is: . CIS Safety Inspection Date: 21212009 Elevator Inspection Date: 2/212009 Certificate Issue Date: 5/1/2009 Expiration Date: 2/112010 Holiday Inn Express 10101 S. 1 -70 Frontage Rd. Wheat Ridge, CO 80033 Certificate of Elevator Inspection City of Wheat Ridge 7500 W. 29� Ave, Wheat Ridge, CO 80033 Location Number. Building Name: lida Expr Location: 1011- , a Rd. ID Number: Elevator ype: HI' Safety Inspection Date: 212/2009 Elevator Inspection Date: 2/2/2009 Certificate Issue Date: 511/2009 Expiration Date: 211/2010 Holiday Inn Express 10101 S.1 -70 Frontage Rd. Wheat Ridge, CO 80033 p A 4 City of Wheat�idge City of Wheat Ridge Municipal Building 7500 W. 29" Ave. Wheat Ridge, CO 80033 -8001 P: 303.235.2846 F:303.235.2857 FAX COVER SHEET COMMUNITY DEVELOPMENT & PUBLIC WORKS DEPARTMENTS ECONOMIC DEVELOPMENT p.720- 898 -4706 f.303- 235 -2857 PLANNING & ZONING p. 303- 235 -2846 f. 303 - 235 -2857 BUILDING INSPECTION p. 303 - 235 -2855 f. 303 - 235 -2857 ENGINEERING p.303- 235 -2861 f.303- 235 -2857 TO: y(J � � COMPANY: A l 1C h N , PHONE #: FAX #: 6-as . 'g q / 7 FROM: cto % PHONE #: �6�3 - � 95(�q DATE: # OF PAGES: I f (including cover) COMMENTS: V0 mn I)C([ AT Ica tig pleaw lil 1pe Owk-) . 74 Confidentiality Notice This facsimile transmission and any accompanying documents may contain information belonging to the sender which may be confidential and legally privileged. This information is intended only for the use of the individual or entity to whom this facsimile transmission was sent. If you are not the intended recipient, any disclosure, copying, distribution, or action taken in reliance on the contents of the information contained in this facsimile transmission is strictly prohibited. www.ci.wheatridge.co.us . r I INVOICE City of Wheat Ridge Building Division 7500 W. 29 Ave. Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 235 -2857 n # 31 elevator ID: 2 Please feel free to invoice. if regarding your Thank you, ii r i.411 Please detach and send this stub in with your payment. Location #: 31 Address: 10101 S. 1 -70 Frontage Rd. Elevator ID: 2 (north) Amount due: $210 INVOICE CITY OF AEA R DGE City of Wheat Ridge Buildinc 101/13/W ails AN cdba 7500 W. 29 Ave. Wheat Ridge, T'Pi S �! Mete! 'rievelo 7 Office: 303-235-2855 * Fax: 303 RECEIPT RNISD ELEVATOR ANR'PECT';;-:1 Date: 12/15/2008 EL IN PAYMEM RECEIVED GTAL Please feel free to co act o ice if y tions regarding your invoice. w Thank you, :'U' ga"Wu V446¢lac� Trisimo Motel Development Co. ACct# To: City Of Wheat Ridge 6550207 Invoice Number Date Voucher Number 121508 12/15/2008 51520 Check Number: 65004402 Date: 01/09/2009 Amount Discount $210.00 $.00 Paid Amount $210.00 TOTALS: $210100 $-00 $210.00 INVOICE City of Wheat Ridge Building Division 7500 W. 29 Ave. Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 235 -2857 Date: 12/15/2008 n # 31 elevator ID: 1 Please feel free to invoice. Thank you, Please detach and send this stub in with your payment. Location #: 31 Address: 10101 S. 1 -70 Frontage Rd. Elevator ID: 1 (south) if yqM : stions regarding your Amount due: $210 INVOICE City of Wheat Ridge Building Division 7500 W. 29 Ave. Wheat Ridge, CO 80033 Office: 303 - 235 - 2855 * Fax: 303 - 235 -2857 Date: 12/15/2008 3 To: Super 8 Motel 10101 S. I- 70Trontagen °. �. Wheat Ridge, X80033_ Your annual elevat inspection fee of $210 is d location # 31 elevator ID: 2 (north) located at 10101 S. 1 -70 Fr age a ea id Please remit payment. ter tha ary 1, 2 9 Please feel free to coact o ice if invoice. 4 Thank you, regarding your Please detach and send this stub in with your payment. Location #: 31 Address: 10101 S. 1 -70 Frontage Rd. Elevator ID: 2 (north) Amount due: $210 City of : - Wheat Ridge City of Wheat Ridge Municipal Building 7500 W. 29" Ave. Wheat Ridge, CO 80033 -8001 P: 303.235.2846 F:303.235.2857 FAX COVER SHEET COMMUNITY DEVELOPMENT & PUBLIC WORKS DEPARTMENTS ECONOMIC DEVELOPMENT p. 720- 898 -4706 f. 303 - 235 -2857 PLANNING & ZONING p. 303 - 235 -2846 f. 303 - 235 -2857 BUILDING INSPECTION p. 303-235-2855 f 303-235-2857 ENGINEERING p.303- 235 -2861 f.303- 235 -2857 TO: - V I [11 0� COMPANY: b I da- I l PHONE #: FAX #: ( �-j • FROM: � � / 1 � � i ��� PHONE #: 30? - 236' DATE: 'm # OF PAGES: '�)- . (including cover) COMMENTS: Confidentiality Notice This facsimile transmission and any accompanying documents may contain information belonging to the sender which may be confidential and legally privileged. This information is intended only for the use of the individual or entity to whom this,facsimile transmission was sent. If you are not the intended recipient, any disclosure, copying, distribution, or action taken in reliance on the contents of the information contained in this facsimile transmission is strictly prohibited. - www.ci.wheatridee.co.us INVOICE City of Wheat Ridge Building Division 7500 W. 29 Ave. Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 235 -2857 # 31 elevator ID: 1 Please feel free to coact o t ice if yq jillijIffifttions regarding your Please detach and send this stub in with your payment. Location #: 31 Address: 10101 S. 1 -70 Frontage Rd. Elevator ID: 1 (south) Amount due: $210 City of " j Wheat�id e COMMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29" Ave. Wheat Ridge, CO 80033 -8001 P: 303.235.2846 F: 303.235.2857 March 12, 2009 Super 8 Motel 10101 W. I -70 Fr Rd South Wheat Ridge CO 80033 Re: Deficient 2009 Elevator Certification Fees at 10101 W. I -70 Fr Rd South. To Whom It May Concern: This will be the final notice sent. A review of City of Wheat Ridge records indicates that your 2009 Elevator Inspection Fees have not been received. You may be unaware that as a result of this deficiency the required elevator certification for this location expired as of February 1, 2009. To receive the required elevator certification, payment of the past due amount must be received by March 27" , 2009. The amount due is $210.00. Please remit payment immediately to the City of Wheat Ridge, atm: Building Division, You are in violation of State and Municipal laws by not having a current elevator certification and risk order by the City to cease use of the elevator. Upon receipt of the payment, the City will provide you with an updated elevator certificate. Thank you in advance for your immediate response. Wher, ' rely Jr., CBO l Wheat Ridge, Colorado 80033 Office Phone: 303- 235 -2853 Fax: 303- 234 -2857 www.ci.wheatridge.co.us I City of Wheat�idge COMMUNITY DEVELOPMENT www.ei.wheatridge.co.us �* � 4 4( City of Wh6atPod:Age COMMUNITY DEVELOPMENT July 9, 2008 Super 8 Motel Attn: Elevator /Escalator Owner or Managing Agent 10101 S. 1 -70 Frontage Rd. Wheat Ridge, CO 80033 Re: Elevator and Escalator Registration Dear Elevator /Escalator Owner or Managing Agent: The Division of Oil and Public Safety (OPS) is the implementing agency for The Elevator and Escalator Certification Act (Title 9, Article 5.5, Sections 101 through 120 Colorado Revised Statutes [CRS]) ( "the Act "). Pursuant to this Act ( §9 -5.5 -111 (1) CRS), all existing and newly installed conveyances must be registered with the OPS by August 1, 2008. Conveyances that are regulated by the Act include any commercial conveyance, accessible to the public, that is an elevator, escalator, moving walk, dumbwaiter, platform lift, personnel hoist, or stairway chair lift, and excluding those listed under §9 -5.5 -104 (2) CRS. The OPS is requesting that you complete this one -time registration for regulated conveyances located in Colorado that you own or operate by one of the following methods: 1) Access the website at http: / /oii.cdle.state.co.us and select the Conveyance Section link, then the Conveyance Registration Procedures link. Follow the instructions provided to register the conveyance. Submit the completed registration form and registration fee payment ($200.00 per conveyance, payable to CDLE, Division of Oil and Public Safety) to the address listed below: COLE, Division of Oil and Public Safety Conveyance Section 633 Street, Suite 500 Denver, CO 80202 -3660 2) If you do not have internet access, contact Michael Stewart or Greg Johnson with OPS. A Registration Notice form will be faxed or mailed to you. The completed form and registration fee payment must be submitted to the address in 1) above. The OPS conveyance identification number or the facility address must be included on the fee payment check. The City of Wheat Ridge appreciates your cooperation in registering your conveyances. Please address correspondence to the OPS Conveyance Section contacts listed below. Michael Stewart Conveyance Technical Specialist 303 - 318 -8530 michael.stewart(a)state.co.us Greg Johnson Conveyance Program Manager 303 - 318 -8536 greg.]ohnson state.co.us Sincerely, City of Wheat Ridge Building Division 7500 W. 29 Ave. Wheat Ridge, CO 80033 303- 235 -2855 Certificate of Elevator Inspection City of Wheat Ridge 7500 W. 29` Ave. Wheat Ridge, CO 80033 Building Department This is to certify that the elevator as indicated on this certificate has been inspected on the d 'shown below and was Mound safe to carry 2500 lbs. Inspected by Denver Regional Council of Governmeri't (DRCOG) Location Number: Building Name: Location: 1010"1 S 17U;jjs, =�Fontage Rd. - 15 ID Number: Elevator Tvr)e: HP Safety Inspection Date: 2/..105 Elevator Inspection Date: 8/11/2008 Certificate Issue Date: 2/1/2008 Expiration Date: 2/1/2009 Super 8 Motel 10101 S. 1 -70 Frontage Rd. Wheat Ridge, CO 80033 Certificate of Elevator Inspection City of Wheat Ridge 7500 W. 29 th Ave. Wheat Ridge, CO 80033 Building Department This is to certify that the elevator as indicated`on this certificate has been inspected on the date shown below and was found safe to carry 2500 lbs. Inspected by Denver Regional Council of Government'(DRCOG) Location Number: Building Name: Location: 10101 FS. 1- 70?Fr6ntaae Rd. ID Number: Safety Inspection Date: 2/../05 Elevator Inspection Date: 8/12/2008 Certificate Issue Date: 211/2008 Expiration Date: 2/112009 Super 8 Motel 10101 S. 1 -70 Frontage Rd. Wheat Ridge, CO 80033 �f o baS COAAs --- a i 1 l o Go! 8�� J ��ja o �-ess 8i / /in9 DwrQ 'D*Ye inns; /ed p 4 1 :pY " le .ice, ved � F z Ale If d4. C OOC [ins ac.�ca.- SAO 0 -5- 00 CAL I CA lS -- ii r &0 15Dl ��1�7�rt1 `l�h4oi (01091% �f o baS COAAs --- a i 1 l o Go! 8�� J ��ja o BUILDING DEPARTMENT (303) 235 -2855 CITY OF WHEAT RIDGE Correction Notice Job Located at IdIdl S'. _ P .r) ` Z-,( I have this day inspected this structure and these premises and have found the following violations of City and/or State laws gov- erning same: Z o � You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. Date Inspector for Building Dept. DO NOT REMOVE THIS TAG FORM WR6 -22 COMMUNITY DEVELOPMENT DEPARTMENT Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office ' (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: Job Address /Permit Number: 7 0 / 0 / ) q 2 6 ytl ✓% - , 2y T ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes NoJ When corrections have been made, call forre- inspec ' n at 303 - 234 -5933 Date: Inspector: DO NOT REMOVE THIS NOTICE BUILDING ADDRESS CITY ZIP CODE BUILDING NF OWNER ADDRESS CITY ZIP CODE PHONE NUl MANUFACTURE UNIT NUMBER RAULIC 'SL �� � 6� /V ✓ -f � [ PASS (] FRT [) XXSS _ � I 1 FR RECORDED INSPECTIONS LAST SAFE TEST NEXT DUE DATE - (] MATE. Lk Lr. i DA TE IN STALLD wlchair Luc � �� OT b �-- 3— , ) � al BUILDING ADDRESS OWNER ADDRESS ELEVATOR I?iSPECTION CITY" ZIP CODE CITY ZIP CODE D7" c Zen BUILDING NAMI PHONE 21 L.%-Iq UFA CTU RE UNTI NUMBER HYDRAULIC C ==! = (] PASS (] FRT (] P ? -S5 [) FR: ESC:L!'ToR o6mF I [ ] LAST SAFE Y TEST NEXT DUE DATE (] MATERiAl. LIr 7 whccichair Liic DATE LNS T.LLLrD C%+ RECORDED INSPECTIONS " ( I I � I i BUILDING ADDRESS CITY ZIP CODE BUILDING Nf . OWNER ADDRESS CITY ZIP CODE PHONE NUl MANUFACTURE l ov.e . � UNIT NUMBEF ! ✓J,fL LAST SAFETY TEST. NE: (] MATERIAL LT, wheelchair list 4 > 6" RECORDED INSPECTIONS - I 3 - a-k Ll- BAULK C'SLE ESCALATOR I ( PASS [ ] FRT [ ] PA "] FRT�( ]!- �'J 11 � DUE DATE - ] MTc'R LI? DATE INSTALLED w lchair Iiit ELEVATOR INSPECTION BUILDING ADDRESS CITY" ZIP CODE BUILDING NAMI OWNER ADDRESS CITY ZIP CODE PHONE NUMB:; ItANUFAC UMT NUMBER H1'D RAUUC ct— E ] ] PASS (J FRT (J PASS I J FRT ESCALATOR I (J DUMP I LAST SAFETY TEST NEXT DUE DATE (] MATERIAL LT, wheelchair list DATE LNSTALLED RECORDED INSPECTIONS I //a /o/ S BUILDING ADDRESS CITY OF DEPARTMENT OF COMMUNITY DEVEL ELEVATOR INSPECTIONS -7p F Ad WIT 1 L GUUt i "AULIC CABL .f LOrASSENGER ❑ SSE ER ❑GEA UEC' I I ❑FREIGHT FREIGHT 0 GEA S r CITY OF WmChr '166E BUILDING INSPECTION ELEVATOR INSPECTIONS c�'72� ILe MANUFACTURE UNIT NUMBER AIC /I � eve' l / W �v " LAST SAFETY TEST Z y3 gyp` CITY W PASSENGER ❑F REIGHT NEXT DUE DATE .Z,�2R ,'✓'/ CODE CABLE 171A ❑PASSENGER ❑GEP ❑FREIGHT ❑GEA CONDITION ^ CITY OF DEPARTMENT OF COMMUNITY DEVEL ELEVATOR INSPECTIONS - 70 c�EQ'viC G ADDRESS CITY - ZIP CODE ........._ -_�.. .C._.._.LAULIC CABL 15- jj// IrPASSENGER Cl PASSENGER ❑GEA 4 � ❑FREIGHT ❑FREIGHT ❑GEA LAST SAFETY TEST NEXT DUE DATE CONDITION 1 � n CITY OF W",CAr&106E BUILDING INSPECTION ELEVATOR INSPECTIONS T-70 ZIP CODE /7/.3 /ehea -v lean e MANUFACTURE UNIT NUMBER LIC CABLE NfJ ,,,H...yyy,,,Y���DRAU yq�PASSENGER nFREIGHT ❑PASSENGER GE< ❑FREIG ❑GEF LAST SAFETY TEST NEXT DUE DATE CONDAITION Certificate of Inspection City of Wheat Ridge, Colorado BUILDING DEPARTMENT This is to certify that the elevator as indicated on this certificate has been inspected on the date shown below and was found safe to carry 2500 lbs Inspector : Bill Gardner .00ATION ID NUMBER TYPE SAFETY INSPECTIOI 0101 S. 1 -70 Frontage Rd. 1 (south) HP 2 /.. 105 Super 8 Motel 10101 S. 1 -70 Frontage Rd. Wheat Ridge, CO 80033 Super 8 Motel 10101 S. 1 -70 Frontage Rd. Wheat Ridge, CO 80033 Inspection Issue Expiration Date Date Date 8/12/04 2/1/05 2/1/06 Certificate of Inspection City of Wheat Ridge, Colorado BUILDING DEPARTMENT This is to certify that the elevator as indicated on this certificate has been inspected on the date shown below and was found safe to carry 2500 lbs Inspector : Bill Gardner LOCATION ID NUMBER TYPE SAFETY INSPECTION 10101 S. 1 -70 Frontage Rd. 2 (north) HP Super 8 Motel 10101 S. 1 -70 Frontage Rd. Wheat Ridge, CO 80033 Super 8 Motel 10101 S. 1 -70 Frontage Rd. Wheat Ridge, CO 80033 2/../05 II Inspection Issue Expiration Date Date Date 8/9/05 2/1/06 2/1/07 3 �" Certificate of Inspection City of Wheat Ridge, Colorado BUILDING DEPARTMENT This is to certify that the elevator as indicated on this certificate has been inspected on the date shown below and was found safe to carry 2500 lbs Inspector: Bill Gardner .00ATION ID NUMBER TYPE SAFETY INSPECTIOI 0101 S. 1 -70 Frontage Rd. 2 (north) HP 2/../05 Super 8 Motel 10101 S. 1 -70 Frontage Rd. Wheat Ridge, CO 80033 Inspection Issue Expiration Date Date Date 819105 211/06 211107 Super 8 Motel 10101 S. 1 -70 Frontage Rd. Wheat Ridge, CO 80033 Certificate of Inspection City of Wheat Ridge, Colorado BUILDING DEPARTMENT This is to certify that the elevator as indicated on this certificate has been inspected on the date shown below and was found safe to carry 2500 lbs Inspector : Bill Gardner Super 8 Motel 10101 S. 1 -70 Frontage Rd. Wheat Ridge, CO 80033 Super 8 Motel 10101 S. 1 -70 Frontage Rd. Wheat Ridge, CO 80033 Inspection Issue Expiration Date Date Date 8/12/04 2/1/05 2/1/06 ( Certificate of Inspection City of Wheat Ridge, Colorado BUILDING DEPARTMENT This is to certify that the elevator as indicated on this certificate has been inspected on the date shown below and was found safe to carry 2500 lbs Inspector : Bill Gardner LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 10101 S. 1 -70 Frontage Rd. 1 (south) HP 2/../05 Super 8 Motel Inspection Issue Expiration 10101 S. 1 -70 Frontage Rd. Date Date Date Wheat Ridge, CO 80033 8/12/04 2/1/05 2/1/06 Certificate of Inspection City of Wheat Ridge, Colorado BUILDING DEPARTMENT This is to certify that the elevator as indicated on this certificate has been inspected on the date shown below and was found safe to carry 2500 lbs Inspector : Bill Gardner LOCATION ID NUMBER TYPE SAFETY INSPECTION 10101 S. 1 -70 Frontage Rd. 2 (north) HP 2/../05 Super 8 Motel 10101 S. 1 -70 Frontage Rd. Wheat Ridge, CO 80033 Super 8 Motel 10101 S. 1 -70 Frontage Rd. Wheat Ridge, CO 80033 Inspection Issue Expiration Date Date Date 8/12/04 2/1/05 2/1/06 CITY OF WHEAT RIDGE 7500 West 29th Avenue Wheat Ridge, CO 80033 Phone: 303- 235 -2855 INVOICE November 19, 2004 Super 8 Motel 10101 S. 1 -70 Frontage Rd. Wheat Ridge, CO 80033 Elevator ID # 1 (south) Total Cost Due: $132.00 Elevator Inspection For: 10101 S. 1 -70 Frontage Rd. Property /Elevator Location # 31 Super 8 Motel 10101 S. I -70 Frontage Rd. Wheat Ridge, CO 80033 CITY OF WHEAT RIDGE 7500 West 29th Avenue Wheat Ridge, CO 80033 Phone: 303-235-2855 INVOICE November 19, 2004 Super 8 Motel 10101 S. 1 -70 Frontage Rd. Wheat Ridge, CO 80033 Elevator ID # 2 (north) Total Cost Due: $132.00 Elevator Inspection For: 10101 S. 1 -70 Frontage Rd. Property /Elevator Location # 31 Super 8 Motel 10101 S. 1 -70 Frontage Rd. Wheat Ridge, CO 80033 PITASP R , FTtM N THIS INVOKE E STV R WIM YOUR PAYMENT Thank You City of Wheat Ridge 7500 W. 29th Ave. Wheat Ridge, CO 80033 (303) 235 -2855 Please call if you have any questions Property /Elevator Location # 31 Elevator Address: E �D 10101 S. 1 -70 Frontage Rd. Total due: $132.00 my City of Wheat Ridge Building Department 7500 W. 29th Ave. Wheat Ridge, CO 80033 PLEASE ,RETURN THIS INVOICE SrVR MM YOVR PAYMENT Thank You City of Wheat Ridge 7500 W. 29th Ave. Wheat Ridge, CO 80033 (303) 235 -2855 Please call if you have any questions Property /Elevator Location # 31 Elevator Address: 10101 S. 1 -70 Frontage Rd. L Total due: $132.00 M "JI .) City of Wheat Ridge Building Department 7500 W. 29th Ave. Wheat Ridge, CO 80033 Certificate of Inspection City of Wheat Ridge, Colorado BUILDING DEPARTMENT This is to certify that the elevator as indicated on this certificate has been inspected on the date shown below and was found safe to carry 2500 lbs Inspector : Bill Gardner Super 8 Motel 10101 S. 1 -70 Frontage Rd. Wheat Ridge, CO 80033 Inspection Issue Expiration Date Date Date 8/18/00 8/28/00 8/31/01 Super 8 Motel 10101 S. 1 -70 Frontage Rd. Wheat Ridge, CO 80033 Certificate of Inspection City of Wheat Ridge, Colorado BUILDING DEPARTMENT This is to certify that the elevator as indicated on this certificate has been inspected on the date shown below and was found safe to carry 2500 lbs I Inspector : Bill Gardner LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 10101 S. 1 -70 Frontage Rd. 2 (north) HP 3/22/01 Super 8 Motel Inspection Issue Expiration 10101 S. 1 -70 Frontage Rd. Date Date Date Wheat Ridge, CO 80033 8118100 8/28/00 8/31/01 Super 8 Motel 10101 S. 1 -70 Frontage Rd. Wheat Ridge, CO 80033 Certificate of Inspection City of Wheat Ridge, Colorado BUILDING DEPARTMENT This is to certify that the elevator as indicated on this certificate has been inspected on the date shown below and was found safe to carry 2500 lbs Inspector : Bill Gardner LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 10101 S. 1 -70 Frontage' Rd. 1 (south) HP 3/22101 Super 8 Motel 10101 S. 1 -70 Frontage Rd. Inspection Issue Expiration Wheat Ridge, CO 80033 Date Date Date 3/1/01 4112/01 211/02 Certificate of Inspection City of Wheat Ridge, Colorado BUILDING DEPARTMENT This is to certify that the elevator as indicated on this certificate has been inspected on the date shown below and was found safe to carry 2500 lbs Inspector : Bill Gardner LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 10101 S. 1 -70 Frontage Rd. 2 (north) HP 3/22101 Super 8 Motel 10101 S. 1 -70 Frontage Rd. Inspection Issue Expiration Wheat Ridge, CO 80033 Date Date Date 3/3/01 4112/01 211/02 PLEASE MMRAI MIS INVOICE MO W R Thank You City of Wheat Ridge 7500 W. 29th Ave, Wheat Ridge, CO 80215 (303) 235 -2855 Please call if you have any questi Property /Elevator Location 31 E PLEASE RMRN THIS INVOICE S $ Wn' Thank You City of Wheat Ridge 7500 W 29th Ave. Wheat Ridge, CO 80295 (303) 235 -2855 Please ca/ / if you have any questi Property /Elevator Location A 31 Certificate of Inspection City of Wheat Ridge, Colorado This is to certify that the elevator as indicated on this certificate has been inspected on the date shown below and was found safe to carry 2500 lbs. BUILDING DEPARTMENT Inspector : Randy Pabst LOCATION ID NUMBER TYPE SAFETY 10101 S. 1 -70 Service Rd North HP 3/22/01 Super 8 Motel 10101 S. 1 -70 Service Rd. Inspection Issue Expiration Wheat Ridge, CO 80033 Date Date Date 8/18/00 8/28/00 8/31/01 Certificate of Inspection City of Wheat Ridge, Colorado BUILDING DEPARTMENT This is to certify that the elevator as indicated on this certificate has been inspected on the date shown below and was found safe to carry 2500 lbs. Inspector: Randy Pabst LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 10101 SO. I -70 FRONTAGE RD NO. HP 111811999 SUPER 8 MOTEL Inspection Issue Expiration 10101 SO. 1 -70 FRONTAGE RD. Date Date Date Wheat Ridge, CO 80033 11/4/1999 1/5/00 8/31/00 Certificate of Inspection City of Wheat Ridge, Colorado BUILDING DEPARTMENT This is to certify that the elevator as indicated on this certificate has been inspected on the date shown below and was found safe to carry 2500 lbs. Inspector: Randy Pabst LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 10101 SO. 1 -70 FRONTAGE RD SO. HP 1/18/1999 SUPER 8 MOTEL 10101 SO 1 -70 FRONTAGE RD Wheat Ridge, CO 80033 Inspection Issue Expiration Date Date Date 11/4/1999 1/5/00 8/31/00 ELEVATORS DOVER ELEVATOR COMPANY �I ANNUAL TEST HYDRAULIC INSPECTION & TEST DATE ❑ ACCEPTANCE TEST (FILL OUT SEPARATE REPORT FOR EACH ELEVATOR) OFFICE G 3 NAME OF BUILDING eAl W, UP 0' LOCATION QfO/ ELEVATOR SERIAL N - 1-41 CITY &STATE t 'DC Ze (IF NONE, USE MOTOR OR CONTROL SERIAL NO.) DOVER SERVICE CONTRACT BUILDING ELEVATOR N FA S i CUSTOMER P. O. NO. JOB NO. MAKE OF ELEVATOR 0 6'62— RATED CAR SPEED IC2 S F.P.M. RATED CAPACITY U(9 LBS. TYPE OF ELEVATOR PAI S RATED CAPACITY TEST TO COMPLY WITH AMERICAN NATIONALSAFETY CODE ANSI A17 .1 RULE 303 AND RULES 1005& 1006. FLEX HOSE REPLACEMENT REQUIRED NOT MORE THAN 6 YEAR INTERVAL Flex Hose and Fittings Tested at Relief Pressure For 30 Sec. Hose Replacement Date Hose Tagged With Replacement Date & SAE Type Condition of Reservoir Oil rk� Physical Dimensions of Reservoir Make (3) Round Trips Before Setting Relief Valve r Test the relief valve setting by first inching the empty car up to engage the plunger stop ring, and then by applying additional pump pressure as required to check the setting. The maximum setting must be no greater than 125% of working pressure to comply with the American National Safety Code ANSI At 7.1 Rule 1 5 303. Relief Valve Setting � P.S.I. (Should Be 125% of Heavy Load Up Working Pressure) Corrected Relief Valve Setting P.S.I. (If Required) No Load Working Pressure: Up /j< b P.S.I. No Load Car Speed: Up 9 i { /,.2 O uD S F.P.M. Down F.P.M. ® ELEVATORS D ELEV C 0 ANNUAL TEST HYDRAULIC INSPECTION & TEST ❑ ACCEPTANCE TEST (FILL OUT SEPARATE REPORT FOR EACH ELEVATOR) NAME OF BUILDING _ ELEVATOR SERIAL NO. CITY & (IF NONE, USE MOTOR OR CONTR SERIAL NO.) DOVER SERVICE CONTRACT NO. fV7(Aa ,;z Yf BUILDING ELEVATOR N0. BLS r CUSTOMER P. 0. NO. JOB N DATE — S q OFFICE n? MAKE OF ELEVATOR L' ' RATED CAR SPEED F.P.M. RATED CAPACITY , 2 - �d LBS. TYPE OF ELEVATOR RATED CAPACITY TEST TO COMPLY WITH AMERICAN NATIONAL SAFETY CODE ANSI A17.1 RULE 303 AND RULES 1005 & 1006. FLEX HOSE REPLACEMENT REQUIRED NOT MORE THAN 6 YEAR INTERVAL Flex Hose and Fittings Tested at Relief Pressure For 30 Sec. r ^ Hose Replacement Date Hose Tagged With Replacement Date & SAE Type Condition of Reservoir Oil DZ?' Physical Dimensions of Reservoir Make (3) Round Trips Before Setting Relief Valve [a Test the relief valve setting by first inching the empty car up to engage the plunger stop ring, and then by applying additional pump pressure as required to check the setting. The maximum setting must be no greater than 125% of working pressure to comply with the American National Safety Code ANSI A17.1 Rule 100 9a�o3. - Relief Valve Setting 3 3 P.S.I. (Should Be 125% of Heavy Load Up Working Pressure) Corrected Relief Valve Setting P.S.I. (If Required) No Load Working Pressure: Up P.S.I. ) nn No Load Car Speed: _ _ Uo F P. M flnwn [fie' FPM BUILDING DEPARTMENT 237.6944 Ext. 255 CITY OF WHEAT RIDGE Correction Notice Job Located at ............ I ................. I ..................... - j ......................... I have this day inspected and have found the following violation of City and/or State laws governing same: ......................... ........................ ............... 0 0 ............ ... T­ I I I I . . . I I I I . . . . . . . . ............ .. .................. I I I I I I . . I I I . I..... I . I I I I I I I I I I I I I I I I BUILDING DEPARTMENT 237.6944 Ext. 255 CITY OF WHEAT RIDGE i Correction Notice Job Located at .;7 �,) ...... .. ......... ......... ......f...... 1 I I have this day inspected �is structure and these premises and have found the following kiolations of City and /or State laws governing / same: ... �✓ ... / Ar ..... ......[i... .... .............: .. .. . / 1 ,'¢ .. j�, ....:.. ......,�....................... v .... :.......1... — '. F:.4"M.'.... ... 9.jai.'.n!%�:r :°.°?.:'fP! ... ......�� ......... ....... ....... .....:... - BUILDING DEPARTMENT 237.6944 Ext.255 CITY OF WHEAT RIDGE Correction Notice Job Located at. %...._.`....._....f :'....:..'s.:f.` ".. .:;..: .4 ......... I have this day inspected this s _ucture Rd--these-premises and have found the following violaVons of City and /or State laws governing same: 0 ...... ..............' .. .... ............................... s` Certificate of Inspection City of Wheat Ridge, Colorado BUILDING DEPARTMENT This is to certify that the elevator as indicated on this certificate has been inspected on the date shown below and was found safe to carryz50o lbs. Inspector: JACK BULTMAN LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 10101 SO. 1 -70 FRONTAGE RD NO. HP 11/26/97 SUPER 8 MOTEL 10101 SO. 1 -70 FRONTAGE RD Wheat Ridge, CO 80033 Inspection Issue Expiration Date Date Date 8/20/98 8/20/98 8/31/99 Certificate of Inspection City of Wheat Ridge, Colorado BUILDING DEPARTMENT This is to certify that the elevator as indicated on this certificate has been inspected on the date shown below and was found safe to carry 2500 lbs. Inspector: JACK BULTMAN LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 10101 SO. 1 -70 FRONTAGE RD SO. HP 11/26/97 SUPER 8 MOTEL 10101 SO 1 -70 FRONTAGE RD Wheat Ridge, CO 80033 Inspection Issue Expiration Date Date Date 8/20/98 8120/98 8/31/99 MUM 00 /8Z /8 00/81/8 a;uQ a;u(t a;u(I 0 : ) , ££008 O a8plb numm uol;uaidxa anssi uoi;aodsui 'Pb 83 1Aa 8 S OL-1 I W tO t 1a3ot4 8 aadnS d H g3noS pb 93IAJ OL-1 I t 0 t O t 31VG N011:)3dSN1 A131VS UAL Mwm al N011V :)Ol isged APueld : ao pedsul 'sql OOSZ JLuLv3 oa ages punoi sem pue molaq umogs aaep eqa uo paaaadsul uaaq seg aleaUl3.m slg; uo pa ;ealpul se aoaenala aq3 aeq; �(;l7aaa o� sl slgl 1N3W1NVd3a JNId'11119 opeio/OD '96p yJsGgM 10 Ajiq uoil:)adsul jo Certificate of Inspection City of Wheat Ridge, Colorado BUILDING DEPARTMENT This is to certify that the elevator as indicated on this certificate has been inspected on the date shown below and was found safe to carry 2500 lbs. Inspector: Randy Pabst LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 10101 S. 1 -70 Service Rd North HP 3122101 Super 8 Motel 10101 S. 1 -70 Service Rd. Inspection Issue Expiration Wheat Ridge, CO 80033 Date Date Date 8/18/00 8/28/00 8/31/01 Certificate of Inspection City of Wheat Ridge, Colorado BUILDING DEPARTMENT This is to certify that the elevator as indicated on this certificate has been inspected on the date shown below and was found safe to carry 2500 lbs. Inspector: Randy Pabst LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 10101 SO. 1 -70 FRONTAGE RD NO. HP 1/18/1999 SUPER 8 MOTEL Inspection Issue Expiration 10101 SO. 1 -70 FRONTAGE RD. Date Date Date Wheat Ridge, CO 80033 11/4/1999 1/5/00 8131/00 SUPER 8 MOTEL 10101 SO. 1 -70 FRONTAGE RD. Wheat Ridge, CO 80033 Certificate of Inspection City of Wheat Ridge, Colorado BUILDING DEPARTMENT This is to certify that the elevator as indicated on this certificate has been inspected on the date shown below and was found safe to carry 2500 lbs. Inspector: Randy Pabst LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 10101 SO. I -70 FRONTAGE RD sO. HP 1/18/1999 SUPER 8 MOTEL Inspection Issue Expiration 10101 SO 1 -70 FRONTAGE RD Date Date Date Wheat Ridge, CO 80033 11/4/1999 1/5/00 8/31100 SUPER 8 MOTEL 10101 SO 1 -70 FRONTAGE RD Wheat Ridge, CO 80033 o ELEVATORS DOVER ELEVATOR COMPANY $I ANNUAL TEST HYDRAULIC INSPECTION & TEST DATE "��" ❑ ACCEPTANCE TEST (FILL OUT SEPARATE REPORT FOR EACH ELEVATOR) OFFICE G NAME OF BUILDING L l!e W • SU/ ✓ /Ltcy(-e( LOCATION Laf0 7Q /L r ELEVATOR SERIAL N _ E - � (��J CITY & STATE G✓ � l tP (IF NONE, USE MOTOR OR CONTROL SERIAL NO.) DOVER SERVICE CONTRACT BUILDING ELEVATOR NO. _ r S i CUSTOMER P. O NO. JOB NO. MAKE OF ELEVATOR _0�b'& RATED CAR SPEED F.P.M. RATED CAPACITY UQ LBS. TYP O F EL EVATOR RATED CAPACITY TEST TO COMPLY WITH AMERICAN NATIONAL SAFETY CODE ANSI A17.1 RULE 303 AND RULES 1005 & 1006. FLEX HOSE REPLACEMENT REQUIRED NOT MORE THAN 6 YEAR INTERVAL Flex Hose and Fittings Tested at Relief Pressure For 30 Sec. Hose Replacement Date Hose Tagged With Replacement Date & SAE Type Condition of Reservoir Oil t Physical Dimensions of Reservoir Make (3) Round Trips Before Setting Relief Valve C Test the relief valve setting by first inching the empty car up to engage the plunger stop ring, and then by applying additional pump pressure as required to check the setting. The maximum setting must be no greater than 125%of working pressure to comply with the American National Safety Code ANSI At 7.1 Rule 1 5 303. Relief Valve Setting P.S.I. (Should Be 125% of Heavy Load Up Working Pressure) Corrected Relief Valve Setting P.S.I. (If Required) No Load Working Pressure: Up /i< _ P.S.I. No Load Car Speed Up q F.P.M. Down O F.P.M. ,/ Relief Valve Sealed: :� S NOTE: Code Requires Relief Valve Setting Be Sealed. See Rule 1005 and locate car at any convenient level. Open the disconnect switch and locate the elevation of the platform with respect to a convenient reference. Do not shut off any valves in the line. Provide adequate timbers or pipe as well as safety slings to support car and load if entering the pit. yr Tank Oil Level At Start of Standing Test - :7 Tank Oil Temperature At Start of Standing Test 4' a After a minimum of 15 minutes, note the position of the platform with respect to the chosen reference. Length of Time Car Standing-Em /N /� 9 Pty r✓ - - Amount Car Settled During Standing Period Oil Temperature At End of Standing Period x /004 Tank Oil Level At End of Standing Period �7 n Amount of Leakage At Packing During Test A -10 1 ' Condition of Piston Packing nM NOTE: A CHANGE IN CAR POSITION WHICH CANNOT BE ACCOUNTED FOR BY VISIBLE OIL LEAKAGE OR TEMPERATURE CHANGE OF THE OIL INDICATES A LEAK IN THE CYLINDER OR IN THE UNDERGROUND PIPING, AND NEED FOR FURTHER INSPECTION TESTS OR REPAIRS. Pres. Switch Rule 306.14 Tested *Heavy Load Working Pressure: Up P.S.I. *Heavy Load Car Speed: Up F.P M. Down � F.P.M. Normal and Final Terminal Stopping Devices Tested Standby (Emergency Battery Lowering) Power Aeration Tested Power Door System Tested: Torque ---5, - # Kinetic 7 Ft # Emergency Terminal Speed Unnitin Device Tested Was The Test Satisfactory: Yes F. No ❑ If not, explain. Representatives of the Insurance Company, City or State Inspector or Owner, Present at test MECHANIC'S SIGNATURE Copy of this Report Given to Customer. Yes •Acceptance Test Only Dc -so -GS WHITE - BRANCH COPY SUPT. SIGNATURE No ❑ CUSTOMER'S SIGNATURE YELLOW - CUSTOMER COPY PINK-ZONE 4 J ' ® ELEVATORS D OV E R EL EVATOR COMPANY 0 ANNUAL TEST HYDRAULIC INSPECTION &TEST DATE ❑ ACCEPTANCE TEST (FILL OUT SEPARATE REPORT FOR EACH ELEVATOR) OFFICE n � NAME OF BUILDING e f % LOCATIO ELEVATOR SERIAL NO. i✓_ yI qy CITY & STATE V11 eAri V (IF NONE, USE MOTOR OR CONTROL SERIAL NO.) DOVER SERVICE CONTRACT NO. 0* a B9N B U I LDING ELEVATOR NO. CUSTOMER P. O. NO. JOB NO. MAKE OF ELEVATOR UP� ' RATED CAR SPEED __L ___ F.P.M. RATED CAPACITY 2 - Q LBS. TYPE OF ELEVATOR RATED CAPACITY TEST TO COMPLYWITH AMERICAN NATIONAL SAFETY CODE ANSI Al 7.1 RULE 303 AND RULES 1005& 1006. FLEX HOSE REPLACEMENT REQUIRED NOT MORE THAN 6 YEAR INTERVAL Flex Hose and Fittings Tested at Relief Pressure For 30 Sec. Hose Replacement Date Hose Tagged With Replacement Date & SAE Type Condition of Reservoir Oil eG' Physical Dimensions of Reservoir Make (3) Round Trips Before Setting Relief Valve 91 Test the relief valve setting by first inching the empty car up to engage the plunger stop ring, and then by applying additional pump pressure as required to check the setting. The maximum setting mustbe no greater than 125%of working pressure to comply with the American National Safety Code ANSI A17.1 Rule 1_Q05& 03. . Relief Valve Setting f P.S.I. (Should Be 125% of Heavy Load Up Working Pressure) Corrected Relief Valve Setting P.S.I. (If Required) No Load Working Pressure: Up P.S.I. No Load Car Speed: Up F.P.M. Down --- F.P.M. Relief Valve Sealed: , NOTE: Code Requires Relief Valve Setting Be Sealed. See Rule 1005 and locate car at any convenient level. Open the disconnect switch and locate the elevation of the platform with respect to a convenient reference. Do not shut off any valves in the line. Provide adequate timbers or pipe as well as safety slings to support car and load if entering the pit. Tank Oil Level At Start of Standing Test 7 Tank Oil Temperature At Start of Standing Test After a minimum of 15 minutes, note the position of the p atform with respect to the chosen reference. Length of Time Car Standing -Empty / Amount Car Settled During Standing Period 6 Oil Temperature At End of Standing Period %00 Tank Oil Level At End of Standing Period P Amount of Leakage At Packing During Test xfjQNf Condition of Piston Packing nZ NOTE: A CHANGE IN CAR POSITION WHICH CANNOT BE ACCOUNTED FOR BY VISIBLE OIL LEAKAGE OR TEMPERATURE CHANGE OF THE OIL INDICATES A LEAK IN THE CYLINDER OR IN THE UNDERGROUND PIPING, AND NEED FOR FURTHER INSPECTION TESTS OR REPAIRS. Pres. Switch Rule 306.14 Tested — *Heavy Load Working Pressure: Up P.S.I. *Heavy Load Car Speed: Up — F.P.M. Down F Normal and Final Terminal Stopping Devices Tested y. Standby (Emergency Battery Lowering) Power peration Tested Power Door System Tested: Torque If Kinetic Ft. # Emergency Terminal Speed Limiting Device Tested Was The Test Satisfactory w. Yes No ❑ If not explain. Representatives of the Insurance Company, City or State Inspector or Owner, Present at test MECHANIC'S SIGNATURE SUPT. SIGNATURE Copy of this Report Given to Customer: Ye4 No ❑ CUSTOMER'S SIG `Acceptance Test Only DC-60-GS .WHITE - BRANCH COPY YELLOW- CUSTOMER COPY PINK - ZONE COPY BUILDING DEPARTMENT 237-6944 Ext. 255 CITY OF WHEAT RIDGE Correction Notice Job Located at .: .......................... ................ ....................................... I have this day inspected th... -d-- and have found the following violation of City and/or State laws governing same: ......... ............. c:5 ............................ - .... . . . ....... .............. ; ........ . . . . . . . . . . . . . . . . . . . . t . . . . . . . . . . . . . . . . . . . ........... I ....................... ............... ...... ......... . ................ .......... ....... ........... /..........I........ .......... I ....... ........... . .......... .... ... ................... .............. .................................................................................................... You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. j 0 5 Date..;',... ............. . ... .. . ...... ........... Inspector for Building Dept. FORM WRG-22 DO NOT REMOVE THIS TAG r> BUILDING DEPARTMENT 237.6944 Ext. 255 E CITY OF WHEAT RIDGE j Correction Notice Job Located at > lolz)/ .,T ............ ..................... . ..... ....... I have this day inspected txs structure and these premises and have found the following `iolations of City and /or State laws governing same: .......l1'n . Z.. ..... ... f ............ .. ...... ................. r v .� -e .. . . 3 `.. i ... ..... ........ ........ s You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. E . r �.. Date.. ........................................... . . x-....: =- s"'.:`.�,� ".... J nspector for Building Dept DO NOT REMOVE THIS TAG FORM WRS-22 BUILDING DEPARTMENT 237.6944 Ext 255 CITY OF WHEAT RIDGE Correction NOitice Job Located at .. < °cJ' ! i v y r r ............... ............................... � f 1 have this day inspected this s..ucture- and- ihese`p7errrr§6s and have found the following viola ons of City and /or State laws governing same .j n< c... , .. "-G..� ,F , h r .n .. { , r ........... ............................. / ..................................... ..................,,. ...... ............................... ....... ............................... ..........6.......6...........6 You are hereby notified to correct the foregoing violations. When corrections FVave been made, call for inspection. u !' Date...:_? : .............. - 1 - -^ f..v J u.,,::: L .: .::.:....... !` ....".'••......"'....... Inspector for Building Dept. DO NOT REMOVE THIS TAG FORM W.R 6-Z$ Certificate of Inspection City of Wheat Ridge, Colorado BUILDING DEPARTMENT This is to certify that the elevator as indicated on this certificate has been inspected on the date shown below and was found safe to carry 7-500 lbs. Inspector: JACK BULTMAN LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 10101 SO. 1 -70 FRONTAGE RD NO. HP 11/26197 SUPER 8 MOTEL Inspection Issue Expiration 10101 SO. 1 -70 FRONTAGE RD. Date Date Date Wheat Ridge, CO 80033 8/20/98 8/20/98 8/31199 I SUPER 8 MOTEL 10101 SO. 1 -70 FRONTAGE RD. Wheat Ridge, CO 80033 Certificate of Inspection City of Wheat Ridge, Colorado BUILDING DEPARTMENT This is to certify that the elevator as indicated on this certificate has been inspected on the date shown below and was found safe to carry 2500 lbs. Inspector: JACK BULTMAN LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 10101 SO. 1 -70 FRONTAGE RD SO. HP 11/26/97 SUPER 8 MOTEL 10101 SO 1 -70 FRONTAGE RD Wheat Ridge, CO 80033 Inspection Issue Expiration Date Date Date 8/20/98 8/20/98 8/31/99 SUPER 8 MOTEL 10101 SO 1 -70 FRONTAGE RD Wheat Ridge, CO 80033 Certificate of Inspection City of Wheat Ridge, Colorado BUILDING DEPARTMENT �I This is to certify thatthe elevator as indicated on this certificate has been inspected on the date shown below and was found safe to carry 2500 lbs. Inspector: JACK BULTMAN SAFETY LOCATION ID NUMBER TYPE INSPECTION DATE 10101 SO. 1 -70 FRONTAGE RD NO. HP 11126/97 SUPER 8 MOTEL Inspection Issue Expiration 10101 SO. 1 -70 FRONTAGE RD. Date Date Date Wheat Ridge, CO 80033 8/11/97 8/12/97 8/31198 Certificate of Inspection City of Wheat Ridge, Colorado BUILDING DEPARTMENT This is to certify thatthe elevator as indicated on this certificate has been inspected on the date shown below and was found safe to carry 2500 lbs. Inspector: JACK BULTMAN SAFETY LOCATION ID NUMBER TYPE INSPECTION DATE 10101 SO. 1 -70 FRONTAGE RD SO. HP 11/26/97 SUPER 8 MOTEL Inspection Issue Expiration 10101 SO 1 -70 FRONTAGE RD Date Date Date Wheat Ridge, CO 80033 8/11/97 8/12/97 8/31/98 Certificate of Inspection City of Wheat Ridge, Colorado BUILDING DEPARTMENT This is to certify thatthe elevator as indicated on this certificate has been inspected on the date shown below and was found safe to carry 2500 lbs. Inspector: JACK BULTMAN LOCATION 10101 SO. 1 -70 FRONTAGE RD SUPER 8 MOTEL 10101 SO. 1 -70 FRONTAGE RD. Wheat Ridge, CO 80033 Certificate of Inspection City of Wheat Ridge, Colorado BUILDING DEPARTMENT This is to certify thatthe elevator as indicated on this certificate has been inspected on the date shown below and was found safe to carry 2500 lbs. Inspector: JACK BULTMAN SAFETY LOCATION ID NUMBER TYPE INSPECTION DATE 10101 SO. 1 -70 FRONTAGE RD SO. HP 11/21/96 SUPER 8 MOTEL 10101 SO 1 -70 FRONTAGE RD Wheat Ridge, CO 80033 Inspection Issue ID NUMBER TYPE SAFETY INSPECTION DATE NO. HP 11/21196 9/11/96 Inspection Issue Expiration Date Date Date 9/11/96 10/8/96 9/30/97 Certificate of Inspection City of Wheat Ridge, Colorado BUILDING DEPARTMENT This is to certify thatthe elevator as indicated on this certificate has been inspected on the date shown below and was found safe to carry 2500 lbs. Inspector: JACK BULTMAN SAFETY LOCATION ID NUMBER TYPE INSPECTION DATE 10101 SO. 1 -70 FRONTAGE RD SO. HP 11/21/96 SUPER 8 MOTEL 10101 SO 1 -70 FRONTAGE RD Wheat Ridge, CO 80033 Inspection Issue Expiration Date Date Date 9/11/96 1018/96 9/30/97 Certificate of Inspection City of Wheat Ridge, Colorado BUILDING DEPARTMENT This is to certify thatthe elevator as indicated on this certificate has been inspected on the date shown below and was found safe to carry 2500 lbs. Inspector: JACK BULTMAN SAFETY LOCATION ID NUMBER TYPE INSPECTION DATE 10101 SO. 1 -70 FRONTAGE RD NO. HP 11/2/95 SUPER 8 MOTEL 10101 SO. 1 -70 FRONTAGE RD. Wheat Ridge, CO 80033 Inspection Issue Expiration Date Date Date 9/14/95 10/25/95 9/30/96 mler#if of �Jttsyet# y PAW BUILDING DEPARTMENT This is to certify that the Elevator has been ins ected on the date shown below and was found 'Inspector YJ LOCATION - ID NUMBE 10101 W. I -70 Frontage Rd. So. South Super 8 Motel 10101 W. I70 Frontage Rd. So. �� &rttfirate of ; City of Allred Tv4e., 664 BUILDING DEPARTMENT This is to certify that the Elevator has been ins pe d on the date shown below and was found s Inspector pp aa � P) L 10101 S. I -70 Super 8 Motel nl /.1 11 T I- -_- ,TION ID NUMBEF ,tage Rd. INort h _ r-- r k 7 _. gerftf rata o of ;lInspertiv k� � W n BUILDING D WWII m T This istocertify that the EPevator a as 14 I has been inspected on the date shown below and uvas',found'sal (¢ a' h Inspector �u k k i.00ATi6N ; ;.; AD NUMBER Poa01 s e I -70 Frontage a 4-, N ND r� i f f Super 8 Motel o� Nlt - cdgee �Olo2sc BUILDING DEPARTMI� NT This is to certify that the Elevator' has been inspected on the date shown below and w,as fAund� sal Inspector - VACATION ` {D NUM6ER 10101 S. I -70 Vrontage Road ;Soutki Super 8 Motel ��v,` ' —�" r— .,rte �c wam , '` ''�' m q, ,�'''�' .w+p """s x tea* <:a•. el ENS MR (nPr#ifzraft of 1n ec#io BUILDING DEPAR�MENF`� su , This is to certify that they ` Siwator k` `F , � �,� � w y . 'A has been inspected on the' e shown below an °d y6 was ound sat p Inspector .ep 40CATI ©N �=:ID�NUMB,ER 10101 Se I -70 Service` Stoat r� Super 8 Motel , 77 c 41 4 %urd i firate of lnspec#ia This is to certify that has -been inspected on Inspecto BUILDING DEPARTMENT . 1 a Elevator~ r ate shown below and was found `"saf �! VuP eT 8 Motet 9nin9 C T_7n.Qom. -- DA �``"� x ,I LOCATION = lP NUMBER 10101 5. I -76 Front VuP eT 8 Motet 9nin9 C T_7n.Qom. -- DA �``"� x ,I C (Gr#ificax # e of ;lIttsper#io 3 � o Wkeat e, (silo's BUILDING DEP'ART' ElSill This Is to certify that the ,Erevat or ,`as has, been inspected on he dat shown below and was,found�saf inspector _ o l a Ik LOCATIONID:NUMBER L ' 2101 s. 1- TO'; sCYC73CG .RL'1. j A + f - A 1 0101 S. 1- 7® « - SerVaiCe Rd. wrtiftratr of 'no] W j}}} dr ° �'ty o� l�lkeat �cW; BOILbiNG DEPART M This is to certify that the E`];evator`� � M has beeq inspected on thexdate shown below and' Wa' tc Inspectors \'ou \,3 4 E Kj 3 as LOCATIOT7 = ?ID.NUMBER 1 0101 S. 1- 7® « - SerVaiCe Rd. A'< I { ,rrfifirate of ;Wusper iu (5)y 01 WOW � cdge, Colouu `BUILDING DEPARTMENT. This is to certify that the.' E 3 , E! VATC)R as has been inspected on the dlte shown below and I was found safe Inspector LOCATION iID NUMBER ( IT Urrfifirate of ;f1resperhur, �1:0� wkeat �idye, COlouu BUILDING DEPARTMENT. This is to certify that the w as has been inspected on tWclate shown below arid'was found safi Inspector ` 0101 S_ _— 0 _zon' c ..o-ad 7 LOCATION 'ID NUMBER 0101 S_ _— 0 _zon' c ..o-ad 7 ( IT urdifirate of ;lnspec#iu �1 �� wk�t �id9e, �ilo�ac BUILpING DEPARTMENT, This is to certify that the r - R ,T R �A's has been inspected on the date shown below and,'' <wa§ found 'saf, Inspector x l LOCATIONID NUMBER R l y (ITatifiratr of ;4jnsprdia City o� Wkeat �ulye,� Colour �i BUILDING DEPARTMENT,'° 1 gu This is to certify that the me " iu.� �' ,as, i7Ts has been inspected on the date shown below and found safe � "Inspector A Call LOCATION 'ID NUMBER ° °,� J L caG .sw Call