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HomeMy WebLinkAbout4485 Wadsworth BoulevardInspected by b6t o Code Consulting LLC I 2MMIM= I Expiration Date: 2/11/2014 Thomas S. Yang 2700 Young field St., Ste 280 Lakewood, CO 80125 City of Wheat Ridge Building Division 7500 W. 291h AVe. Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Your annual el nspection fee of § ::0i no= 91 0 ,23* ; »» ©© Location # 21 Address: 4485 Wadsworth BIVI Elevator ID. 1 10 Fill • j, - . ' sa w Ot", • i - EMEMM MMEEt Expiration Date 2/1/2013 Thomas S. Yang 2700 Youngfield St., Ste 280 Lakewood, CO 80125 Inspected by 636*"O' Code Consulting LLC 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 Governrnents) Elevator/Escalator Inspection Program ceased operations as oaf f December 31 ", 2011. In order to ensure the safe use by the public of the elevators in Wheat Ridge, each elevator is thoroughly inspected for specific safety requirements twice a year. The Elevator/Escalator Safety Inspection Program will now be adininistered by Colorado Code Consulting LLC. State statutes still require all owners of public conveyances to register those conveyances with the state. For infonnation, on registration and other forms and contacts, visit the State of Colorado Division of Oil and Public Safety website. If you have any questions feet free to contact the office at (303)235-2855, amm 3ohn C. Schumacher, 3r., CBO Chief Building Official 7500 W. 29th Avenue Wheat Ridge, Colorado 80033 Office Phone: 303-235-2853 Fax: 303-237-8929 www.ci.wheatridae.co.us ww"wi.wheatridge,co.us City • Wheat Ridge Building Division 7500 W. 29 Ave. Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 To. Thomas S. Yang 2700 Youn i St 0 Lakewood, 9 St. 25 c t 15M. W#FUEM**M'M I FIM 7 M" invoice. U��M rt Mr N Location #* 21 Address: 4485 Wadsworth BIVI Elevator • a # # Building Department a. This is to certify Io at the el V as ihdicatedbn this certificate has been ax Inspected on the ft,' "hown below and W o safe to carry 1000 tbs. a N Inspected by DAW "'"egional Council of GovemmehQDRCOG) ZMEMU= wl�' I ,,T I"= MIMEM M-vp i 1 Expiration Date: 2/l/201E Thomas S. Yang 2700 Youngfield St., Ste 2 wood CO 81 "' City of Wheat Ridge Building Division 7500 W. 29 1h AVe. Wheat Ridge, CO 80033 ! 303-235-2855 :• To Thomas S. Yang ,,, 2700 Youngfi ld St., Std O Lakewood, CC 1 . mot`, Your annual elevator inspection fee of $2101 is d f ,r location # 21 elevator ID: 1 located at 4485 Wadsworth Blvd j in���he �, i, t � �Eh�e• �l Y§ �11�i ri1�3 � Please remit payment q t r than'���r t�, l "i"���1t''� t r �� Please feel free to contact o �' �i�ce if � l ���.� > � } l re L ions regarding your invoice. iY1,Iice. l �in „\ Y 1 ,x *: it 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 21 Address: 4485 Wadsworth Blvd. To: Thomas S. Yang I 2700 Youngfield St., St69280 $210 Lakewood, Your annual elevat inspection fee of $210 is duejfflocati located at 4485 Wadsworth Blvd. inhWhe 4on—p- Please remit pa r thaftruary 1, 211 H . Ang STE 5ME ins # 21 elevator ID: 1 Please feel free to toff act ou�ffice if ygr 7I' regarding your n ttas invoice. = " Thank you, p Please detach and send this stub in with your payment. Location #: 21 Address: 4485 Wadsworth Blvd. Elevator ID: I Amount due: $210 Certificate of Elevator Inspection City of Wheat Ridge 7500 W. 29 Ave. Wheat Ridge, CO 80033 Building Department This is to certify �,�,���t�� the e evator asrdicatpn this certificate has been inspected on the d'athown below and wasound safe to carry 1000 lbs. Inspected by DenV�!Regional Council of Governmenh(DRCOG) Location Number: Building Name: Location: ID Number: Elevator'T HP Safety Inspection Date: 3/12/2010 Elevator Inspection Date: 3/12/2010 Certificate Issue Date: 3/1/2010 Expiration Date: 2/1/2011 Thomas S. Yang 2700 Youngfield St., Ste 280 Lakewood, CO 80125 Certificate of Elevator Inspection City of Wheat Ridge 7500 W. 29 Ave. Wheat Ridge, CO 80033 Building Department U Ait 4 M- - - This is to certify the elevator as iridicatq 46n this certificate has been inspected on the (f.. shown below and w4found safe to carry 1000 lbs. Inspected by D d egional Council of GovernmehY(DRCOG) Location Number: Building Name: Location: ID Number: Elevator Tvr)e: HP Safety Inspection Date: 9126/2008 Elevator Inspection Date: 9/26/2008 Certificate Issue Date: 3/1/2010 Expiration Date: 2/11/2011 Thomas S. Yang 2700 Youngfield St., Ste 280 Lakewood, CO 80125 Certificate of Elevator Inspection City of Wheat Ridge 7500 W. 29 Ave. Wheat Ridge, CO 80033 Bpilding Department This is to certify t the el vator as indicat =n this certificate has been inspected on the hown below and wa ound safe to carry 1000 lbs. Inspected by Den vRegional Council of Governme (DRCOG) Safety Inspection Date: 912612008 Elevator Inspection Date: 9/2612008 Certificate Issue Date: 5/1/2009 Expiration Date: 2/112010 Thomas S. Yang 2700 Youngfield St., Ste 280 Lakewood, CO 80125 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 # 21 elevator ID: 1 Please remit Please feel free to invoice. Thank you, Sur. &5d Z)44e � 1, if y ; ,: Mons regarding your Please detach and send this stub in with your payment. Location M 21 Address: 4485 Wadsworth Blvd. Elevator ID: 1 Amount due: $210 Certificate of Elevator Inspection City of Wheat Ridge 7500 W. 29 Ave. Wheat Ridge, CO 80033 Building Department s: tr This is to certify that the elevator as indicated on this certificate has been inspected on the dhte'shown below and was found safe to carry 1000 Ibs. Inspected by De6 i'Regional Council of Govern meh"QD RCOG) Safety Inspection Date: 101../06 Elevator Inspection Date: 9/1712007 Certificate Issue Date: 2/1/2008 Expiration Date: 2/112009 Thomas S. Yang 2700 Youngfield St., Ste 280 Lakewood, CO 80125 1 * 44 City of "(q�Wheat idge CO MMUNITY DEVELOPMENT July 9, 2008 Thomas S. Yang Attn: Elevator /Escalator Owner or Managing Agent 2700 Youngfield St. Ste. 280 Lakewood, CO 80215 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: / /oil.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: CDLE, 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.stewartCcDstate.co.us Greg Johnson Conveyance Program Manager 303 - 318 -8536 gregjohnsoncbstate.co.us Sincerely, City of Wheat Ridge Building Division 7500 W. 29 Ave. Wheat Ridge, CO 80033 303- 235 -2855 1* � 1 41 City of Wh6atP+.jJd1ge COMMUNITY DEVELOPMENT July 9, 2008 Thomas S. Yang Attn: Elevator /Escalator Owner or Managing Agent 2700 Youngfield St., Ste 280 Lakewood, CO 80125 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: CDLE, 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.iohnson(a2state.co.us Sincerely, City of Wheat Ridge Building Division 7500 W. 29 Ave. Wheat Ridge, CO 80033 303- 235 -2855 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 1000 lbs Inspector : Bill Gardner LOCATION ID NUMBER TYPE SAFETY INSPECTI 4485 Wadsworth Blvd. 1 HP 10/../06 Thomas S. Yang 2700 Youngfield St., Ste 280 Lakewood, CO 80215 -7055 Inspection Issue Expiration Date Date Date 9/9/06 2/1/07 2/1108 Thomas S. Yang 2700 Youngfield St., Ste 280 Lakewood, CO 80215 -7055 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 1000 lbs Inspector : Bill Gardner LOCATION ID NUMBER TYPE SAFETY INSPECTION DATI 4485 Wadsworth Blvd. 1 HP 6/../04 Thomas S. Yang 2700 Youngfield St., Ste 280 Lakewood, CO 80215 -7055 Thomas S. Yang 2700 Youngfield St., Ste 280 Lakewood, CO 8 021 5 -705 5 Inspection Issue Expiration Date Date Date 9/29/05 2/1/06 2/1/07 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 1000 lbs Inspector : Bill Gardner LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 4485, Wadsworth Blvd. _ 1 HP 6/../04 Thomas S. Yang 2700 Youngfield St., Ste 280 Lakewood, CO 8021 5 -705 5 Inspection Issue Expiration Date Date Date 9/8/04 2/1/05 2/1/06 Thomas S. Yang 2700 Youngfield St., Ste 280 Lakewood, CO 80215 -7055 ■ CITY OF WHEAT RIDGE 7500 West 29th Avenue Wheat Ridge, CO 80033 Phone: 303-235-2855 INVOICE November 19, 2004 Thomas S. Yang 2700 Youngfield St., Ste 280 Lakewood, CO 8021 5 -705 5 Elevator ID # 1 Total Cost Due: $132.00 Elevator Inspection For: 4485 Wadsworth Blvd. Property /Elevator Location # 21 Thomas S. Yang 2700 Youngfield St., Ste 280 Lakewood, CO 80215 -7055 ■ N QfYIe i t 4 r 32 t4 t OCr @SS ELEV,47,0 - 8! /!in f i Dave Davt cery: •ci cetye �a -c /ed `-• -,pave .n v. PY "''''QecayoK racu'ved F ' y= Nexv a/a04L aF cirsPec.�4e.r i o_lZ -�i�i �o t - (9y38d I `I � �-7 st -7 o iA n t5' �c�il2rg 4A 11 co 03 + cc �-� ..I - -- ; 4 O l l o 41 `�5 60ISV73 1 'i I Zo'1 is , i i —1 ' '' i BUILDING DEPARTMENT (303) 235 -2855 CITY OF WHEAT RIDGE Correction Notice Job Located at Fs Z'_j'vl t "-<< 1" ` 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: lek 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 W136.22 BUILDING DEPARTMENT (303) 235 -2855 CITY OF WHEAT RIDGE Correction Notice Job Located at 4 % -� ILJcZCA ZiC "4� Isla-rll Sc3—SS( r?27 You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. Date Z_13_ =r 36t j — id- F-26 U ../k Inspector for Building Dept. DO NOT REMOVE THIS TAG FORM WR6 -22 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: BUILDING DEPARTMENT (303) 235 -2855 CITY OF WHEAT RIDGE Correction Notice Job Located at `�� 0 �A/^__.4 r" Il A 1 have this day inspected this structure and these premises and have found the following violations of City and/or State laws gov- erning same: a `-1 /vri V (...� r c pie � -. / /vi c,� /�vGV7. You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. Date -- 7' 6y Inspector for Building Dept. DO NOT REMOVE THIS TAG FORM WRS -22 DEPARTMENT OF COMMUNITY DEVELOPNIENT of — ELEVATOR INSPECTIONS C/ -� vj - „:JDi, E„ 1 ZIP CODE BUILDING DESCRIPTION CITY ZIP CODE PHONE NUMBER .:;UFAGTURE / f /"'.Uti UNIT NUMBER // ( HYD ULIC PAaS ENGcR G I ° h. ?IGHT CABLE ❑PASSENGE JGEARED 'J FR EIGHT �J GEARLESS ESCALATOR ) ) DU%;'l�R LAST 'SAFETY TEST NE .,:,UE UATE CONDITION DATEINSTALLED CAPACITY HECORCED I'JSPECTIONS � -,►,'0��” I 7-1 �rw t CITY OF. DEPARTMENT OF COMMUNITY DEVE ELEVATOR INSPECTIONS 4485 Wadsworth Blvd. Wheat Ridge 80033 BUILDING ADDRESS CITY ZIP COD c/o Building Manager - 4485 Wadsworth OWNER - ADDRESS CITY IP COD n .MANUFACTURE UNIT NUMBER HYDRAULIC CABLE N/A Montgomery I DaPASSENGE ❑FREIG ❑PASSENGER ❑GE E3 FREIGHT ❑GE LAST SAFETY TEST_ _. ......NEXT EDATE CONDITION f.=- Good c!3 nA'�tca.I((.v a A9 C% ` ° 241 " 3 3 CITY OF WA16#7 'i06e BUILDING INSPECTION ELEVATOR INSPECTIONS N ZIP CODE OWNER - ADDRESS CITY ZIP CODE MANUFACT O RE UNIT NUMBER HYDRAULIC CA E � Jq1 PASSENGER ❑PAS NGER ❑ A ❑FREIGHT FREIG ❑ T GEA LAST SAFETY TEST NEXT DUE DATE CO I ON r .. RECORDED INSPECTIONS �i Z3 G 7 1 Z3 7/o2¢/O iPILASS RE RN MIS INVOICE SPUB WtrH 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 ProperWEievator Location # 21 Elevator Address: 4485 Wadsworth Blvd. Total due: $132.00 APPLEWOOD OFFICE PARK � THOMAS S YANG 2700 YOUNGFIELD STREET SUITE 280 LAKEWOOD CO 80215 -7055 � ti City of Wheat Ridge Building Department 7500 W. 29th Ave. tA`7� Wheat Ridge, CO 80033 1 f -� -oK 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 1000 lbs Inspector : Bill Gardner LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 4485 Wadsworth Blvd. 1 HP 2/23/02 Oak Realty Partners, Attn: Inspection Issue Expiration Michael Bushell Date Date Date 1120 Lincoln St., Ste 107 3/7/02 4/11/02 4/11/03 Denver, CO 80202 Oak Realty Partners, Attn: Michael Bushell 1120 Lincoln St., Ste 107 Denver, CO 80202 BUILDING DEPARTMENT (303) 235 -2855 CITY OF WHEAT RIDGE Correction Notice Job Located at have this day inspected this structure and these premises and have found the following violations of City and/or State laws gov- erning same: ir- r9f��dn .n A You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection:, r Date in p ctor for Building Dept. DO NQT REIAO -VE- TH FORM WR6.22 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 1000 lbs Inspector : Bill Gardner LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 4485 Wadsworth Blvd. 1 HP 2/23/02 Oak Realty Partners, Inc. /Attn: Michael Bushell Inspection Issue Expiration 1120 Lincoln St. # 1107 Date Date Date Denver, CO 80203 3113/01 616101 2/1/02 P LEASE RE RN MIS INVOXE STAR Wei` YOUR .RAM me` . Thank You City of Wheat Ridge 7500 W. 29th Ave. Wheat Ridge, CO 80295 (303) 235 -2855 Please call if you have any questions Property /Elevator Location # 21 jn� Elevator Address: 4485 Wadsworth Blvd. 14t, 'I/ I Total due: $ 120.00 New LL c City of Wheat Ridge Building Department 7500 W. 29th Ave. Wheat Ridge, CO 80215 Date: 1/28/00 PROF. BLDG. Christi Nyiri 1750 30th Street #131 Boulder, CO 80301 i Quantity Description Total Cost 1 Elevator inspection for: $120.00 4485 WADSWORTH BLVD PROF. BLD Christi N i i 1750 30th Street #131 Boulder, CO 80301 BLDG. MGR.- PROFESSIONAL BLDG 4485 WADSWORTH BLVD Wheat Ridge, CO 80033 BUILDING DEPARTMENT (303) 235 -2855 CITY OF WHEAT RIDGE Correction Notice A .A. Job Located at q , I have this day inspected tMts strove urn and these premises and have found the following violations of City and/or State laws gov- erning same: 4 You a ereby notified to correct the foregoing violations. When corrections have been made,�call'fo inspection. r Date > lv r f � / for Building Dept. DO NOT_REM9VEfTHIS TAG FORM WR6.22 BUILDING DEPARTMENT (303) 235 -2855 CITY OF WHEAT RIDGE Correction Notice Job Located at /7 r 9' /X4,0-5 w , vn7 -0- r 13Z121 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: F 2 You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. Date /— IL —` In or for Building Dept DO NOT REMOVE THIS TAG FORM WRe -22 Correction Notice Job Located at 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: A l You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. Date ` ✓/� —, f� In or for Building Dept. /, DO NOT REMOVE THIS TAG FORMWR6 -22 BUILDING DEPARTMENT (303) 235 -2855 CITY OF WHEAT RIDGE Correction Notice 5 Job Located at P.t. 1 have this day inspected wss premises and have found the following violations of City and/or State laws gov erning same: /; 1�iY9icAib_ -9X6n — 1,fan..iLS._A.r..m .✓ .raa.b_F�.3�ld/3,t 3 BUILDING DEPARTMENT 237 -6944 Ext. 255 CITY OF WHEAT RIDGE Correction Notice Job Located at . ' ...... <... , :........................... I have this day inspected this structurexa d— these.,.pre.mises and have found the following violations of ity and /or State laws governing same: ........... f ;Y :.u, ^.... €.. ............ .n .. ...:.. f ( . j......... (:...•. ....... ....................... ......... •......... /iedto . ..............................• You are hereby noti correct the foregoing violations. When corrections have been made, call for inspection. ;- Date.. ...................... �: .a, :::....... Inspector for Building Dept. DO NOT REMOVE THIS TAG FORM WR642 You are hereby notifi d to correct the foregoing violations. When corrections have b n made, call for inspection. E i / d ✓ ,. & Date ........ ............................................ �........................ Inspector fob Building Dept. - DO NOT REMOVE THIS TAG FORM WRI -22 Job Located at �f '49 I have this day inspected this struc #tai have founcLthe following vlo1ations of i ernin ant 1.23 You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. 6! Date Inspector for Building Dept. DO-1VaT-M MOVE THIS TAG FORM WRS -22 r ese premises and 'or State laws gov- "�a`. Montgomery KONE 6111. Annual Hydraulic Elevator Safety Test (Section 1005, ANSI A17.1 Requirement) Date t?A /98 Maintenance Contract No. (� 3 Work Order No. Building ?�`[Z\ ��� CY1 v�1�C� ��C�� �UI L 3l IJ�I Address L W /3—A S W o 2 i1 V D (�]E { �' �c /� (g C Elevator Number ` Passenger B' Freight ❑ Manufacturer s C C> Ong. Mfg. No. c — A5;26 Rated Car Speed: Up L Downes Capacity k ocyp Relief Valve: Working Pressure (While running car at rated load at rated speed) V� Release Pressure E- Pressure Relief Setting Sealed: Yes,k No ❑ Piston Diameter Al Cylinder Leakage (No Load Test): �\ Oil Level in Tank Prior to Test (Car at Lowest Landing) TOQ�, Initial Location of Car Location of Car After 15 Minutes (w /Disconnect Open) Total Amount of Variance in Car Position \�_ 1 Oil Level in Tank after Test (Car at Lowest Landing) Oil Level Loss Accountable to Visual Oil Leakage: Yes O Nnja� General Condition of Cylinder Head: General Condition of Jack: Was Test Satisfactory: Yes No ❑ (Explain Correction Necessary) Corrections Necessary: (Over for additional test) ,t Test Performed By: " Q t° Date: 9/ `Form F1657, Rev. 9/96 - Date: 10/5198 BLDG. MGR,- PROFESSIONAL BLDG 4485 WADSWORTH BLVD Wheat Ridge, CO 80033 Quantity Description Elevator inspection for: 4485 WADSWORTH BLVD Total Cost $90.00 BLDG. MGR.- PROFESSIONAL BLDG 4485 WADSWORTH BLVD 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 1000 lbs. Inspector: Randy Pabst LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 4485 WADSWORTH BLVD ONE HP 11/18/97 BLDG. MGR.- PROFESSIONAL BLDG Inspection Issue Expiration 4485 WADSWORTH BLVD Date Date Date Wheat Ridge, CO 80033 3/3/99 3/9199 9/30/99 BLDG. MGR.- PROFESSIONAL BLDG 4485 WADSWORTH BLVD 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 1000 lbs. Inspector: JACK BULTMAN LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 4485 WADSWORTH BLVD HP 11118/97 BLDG. MGR.- PROFESSIONAL BLDG 4485 WADSWORTH BLVD rn Rnn33 Inspection Date Issue Date Expiration Date 9/3/97 9/16/97 9/30/98 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 1000 lbs. Inspector: JACK BULTMAN LOCATION ID NUMBER TYPE SAFETY <, INSPECTION DATE 4485 WADSWORTH BLVD HP 10/4/96 BLDG. MGR.- PROFESSIONAL BLDG 4485 WADSWORTH BLVD Wheat Ridge, CO 80033 Inspection Date Issue Date Expiration Date 9/23/96 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 1000 lbs. Inspector: JACK BULTMAN LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 4485 WADSWORTH BLVD HP 10/4/95 BLDG. MGR.- PROFESSIONAL BLDG Inspection Issue Expiration 4485 WADSWORTH BLVD Date Date Date Wheat Ridge, CO 80033 9/22195 1.0/1 9/30/96 %untifittt #e of (xnsvrr#ill City/ o� Wkeat ��lye5 �lo�i BUILDING DEPARTMENT �' � This is to certify that the' E'le`vator has been inspected on the -date shown below and was found saf < Inspector LOCATION _ ID,'NOMBER 4485 Wadsworth "blvd 4 Bldg, Manager - Profess ©ztal�B14g7 4485 Wadsworth Blvd, Wheat Ridge, CO 80033 f/24J9 "4 "'DATE L OF INSPECTION Tmifirato of errs emit, BuiLDING DEPAkfMENT ' This is to certify that the Elevator as has been inspected on the date shown below ar'i`d "wa "s'faund sat eW Inspector n u LOCATION— — PER 485 Wadsworth Blvd. M ' wilding Manager- Professa,+nd "iBlc (4 4485 Wadsworth. Blvd. g Wheat Ridge, CO 80033 DATE fy 1 OF INSPECTION UP U ff ' h� ✓ ^* � 14Y4 "`w .✓^� +�',. - ..s' vr'fi- + .t^t `✓' y, 4 „n'r C�er#ifirtt #P of ; `, o� Nlheatti. e, Colo�a ' r' BUILDING DEPARTMkNT This into certify that the �Egevator n as has been inspected on th'e =da_te shown below aria was found sat � Inspector Lr t7 r. LOCATION _ tD £NUMBER - 4485 Wadsworth Blvd Fldg, Manager - Prof essiohal 4485 Wadsworth Blvd o d ti S Wheat Ridge, CO 80033 12 92- DATE 1 - Y OF INSPECTION L i n e a (IT Ex�t�tC�P lIi �1TS�JEC�tD City o� d Wl�eat �i�lye, Colour T BUILDING DEPART6YIENT This is to certify that the tor ;, t a§ has been inspected on the =date shown belo nd`Saf Inspecto "� n� U LOCATION ID NUMBER 4485 Wadsworth Blvd.: u Building- Manager 4485 Wadsworth Blvd Wheat Ridge, CO 80033 u DATE OF INSPECTION Cher #ifirat of ;4Jnspertia o� Wei dye, C�ol�i�cu "BUILDING DEPARTM This is to certify that the 1 ' , C as has been inspected on the date" shown below andyyas found safe Inspector s LOCATION 10 NUMBER l A485 ' 4485 I 1 3woi.icL SSlT✓d Urzj- -- r� �af� A48 �i B B DATE L Yeat R- 3 3 t OF INSPECTION 4485 I 1 3woi.icL SSlT✓d Urzj- -- r� �af� �af� %Ur of ;Wnsyerfia - eolouu BUILDING DEPARTMENT z` <a a a This is to certify that the , as a has been inspected on the dare shown below and was found saf �. Q . Inspector )j;wu LOCATION _ Ip NUMBER 14 4z = M _.F f 3to it�7 T12 n e r� A483 4 ,v.e'E Q'" (. Blvd J'u Y Ij , ti+: tE E' i:? <i DATE .� C <:J '*�'r�.:� OF INSPECTION �- MR m 1 9 _- f