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4891 Independence Street
1 :4 a T1 tfw.T - • 0 . • I OffaMism i 002EM M Expiration Date: 2/112014 Gary Stahara C/o Pinnacle Properties Ltd 4891 Independence St. #160 Wheat Ridge, CO 80033 Inspected by C616ii4o Code consulting LLC City of Wheat Ridge Building Division 75 00 W 2W Ave Wheat Ridge CO 1 O 1 !" T©: Gary Stsh r C/o Pinn Prop "es Ltd 481 Endepe ensue S. C Wheat Rids e, 0033 inv • L ocatio n Address: 489 Independ Eleva D • s � ' 1 5 • veil MENEMM t Expiration Date: 2/1/2013 I -,* M . . • Inspected by C61i*66 Code Consulting LLC V of W City h6at fk c ,j COMMUNiTy DEvFLopmENT Wheat Ridge, CO 80033-8001 P: 303,235.2855 F: 303.237M29 RE: Elevator/Escalator Registration Dear Elevator/Escalator Owner or Managing Agent: If you have any questions feel free to contact the office at (303)235-2855. Emm John 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 www.O.wheatridge.coms To: Gary Stahara C/o Pinn St i� e Prop ies Ltd p 4891 Inde Or ence 0 '� V Wheat Ridge , 0033 M* zm invoice. Z��� 123�� Location #- 9 Address: 4891 Independence St Elevator • ♦ Eff "I, • MFFJMM� Inspected by DdVO(Regional Council of Gov ernme'i DRCOG) . .... .. WOM"19 MMOTIMM, I an Ce a ro] jN M I I • Expiration Date: 211/2012 Gary Stahara C/o Pinnacle Properties L 4891 Independence St. #160 Wheat Ridge, CO 80033 1 4t To; Cary Stahara C/o Prop 5 lies Ltd 4891 Indep endence t 1 a „ Wheat Midge, 0 *6 0033 "g t a1 Your annual elevator Inspection fee of $210 is due Hof location # 9 elevator ID: },l, . located at 4891 Independence St io,� c�,a §� affi Please remit payment Vt than 1 , 1 1� ,1�` Please feel free to contact o " If yo �� � dons regardlnc your invoice, it 4 CITY OF WHEAT RI -A Building Ins pe c tion Divisio ]� 235-2855 Office - (303) 03) 234-SM Inspectio 237- Fax Ins pection Ty Job Add ress Pe rmit Number Al Inspecti6n Type J ob Addre .. Permit Number No one M AMIPM When corrections have been made, cafi for re-Inspecdon at 303-234-5,933 inspector: D O hLOT N 4 CITY OF WHEAT f:}»: : » # : < ■, .. . I nspec t ion T J ob Addr Per N Date 4� to No one avai f or , wpe T •« -» Re- inspection required: Yes No When o orreotfons have been made call f or .z :p_ on at 3 03-234-59 33 Certificate of Elevator Inspection City of Wheat Ridge 7500 W. 29 Ave. Wheat Ridge, CO 80033 Building Department =` This is to certify th t the elevator as mdicat d%n this certificate has been inspected on the#95hown below and waound safe to carry 3000 lbs. Safety Inspection Date: 8/5/2010 Elevator Inspection Date: 8/5/2010 Certificate Issue Date: 3/1/2010 Expiration Date: 2/1/2011 Gary Stahara C/o Pinnacle Properties Ltd 4891 Independence St. #160 Wheat Ridge, CO 80033 Inspected by 68 4 n%yRegional Council of GovernmeV(DRCOG) Certificate of Elevator Inspection City of Wheat Ridge 7500 W. 29 Ave. Wheat Ridge, CO 80033 B911ding Department 41 ti A MCI This is to certify that the el`66tor as Indicate n this certificate has been inspected on the d#&Tshown below Nfo safe to carry 3000 lbs. Inspected by De ORegional Council of Governm FI(DRCOG) w Location Number 9 MN M U AB Mw i Building Name: I O - WqA E x eAME v e Location: 4$9j; ID Number: Elevator Type: HP � Safety Inspection Date: 2/5/2010 Elevator Inspection Date: 2/5/2010 Certificate Issue Date: 3/11/20110 Expiration Date: 2/1/2011 Gary Stahara C/o Pinnacle Properties Ltd 4891 Independence St. #160 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 =5 To: Gary Stahara C/o PinndbLe Propfffiies Ltd 48911ndepend pence St.Vli60 Wheat Ridge, 00g.,80033 1 1V Your annual elevator inspection fee of $210 is located at 4891 Independence StjrW' hq�a ; A M A p- -41 P re rn it payrn e nt M r than 2 010 1'-6,. Please feel free to invoice. # 9 elevator ID: I if y 6§tions regarding your Thank you, M 11 1 AM M" W1 ' Please detach and send this stub in with your payment. Location #: 9 Address: 4891 Independence St Elevator ID: I Amount d ue: $21 N Certificate of Elevator Inspection City of Wheat Ridge 7500 W. 29� Ave. Wheat Ridge, CO 80033 Safety Inspection Date: 21312009 Elevator Inspection Date: 213/2009 Certificate Issue Date: 51112009 Expiration Date: 2/1/2010 Gary Stahara C/o Pinnacle Properties Ltd 4891 Independence St. #160 Wheat Ridge, CO 80033 Inspected by De - Regional Council of Governme (DRCOG) INVOICE City of Wheat Ridge Building Division 7500 W. 29 Ave. Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 ID: 1 Please feel free to invoice. Thank you, . . if regarding your Please detach and send this stub in with your payment. Location M 9 Address: 4891 Independence St Elevator ID: 1 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 that the elevator as indicateO'bn this certificate has been inspected on the d'aYeshown below and was,ound safe to carry 3000 lbs. Safety Inspection Date: 10/../04 Elevator Inspection Date: 9/9/2008 Certificate Issue Date: 2/1/2008 Expiration Date: 211/2009 Gary Stahara C/o Pinnacle Properties Ltd 4891 Independence St. #160 Wheat Ridge, CO 80033 Y+ Inspected by Denver Regional Council of Government (DRCOG) 1* s I , City of heatl J COMMUNITY DEVELOPMENT July 9, 2008 Gary Stahara C/o Pinnacle Properties Ltd Attn: Elevator /Escalator Owner or Managing Agent 4891 Independence St. #160 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 htto: / /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.stewartcostate.co.us Greg Johnson Conveyance Program Manager 303 - 318 -8536 greg.iohnson(aDstate.co.us Sincerely, City of Wheat Ridge Building Division 7500 W. 29 "' Ave. Wheat Ridge, CO 80033 303 - 235 -2855 A14 n ¢: F dress: ; •. ECE VATO �} 8i / /in9 Daye cerY: F: ca.Ye .Da.Ve py� V . �eece"10 NexK dnXe ef.. ee cu vQ d F tnlPe a %6ze 4; V" - i v _��_ q i 3 7 ` . 6- C�gS7CP !a r 3Lf3 ii a (tA('5 05 C, &1 1, fir L c: ,-,� 1t ri - - - - -- - - - -- -- - - r . — - - -- -- BUI ADDRESS •...a a.rvaav �, CITY ZIP CODE U WNER ADDRESS M UNIT NUMBER LA!'T SAFETY TEST NE} RECORDED INSPECIYONS I ZIP CODE BUILDING NF HYDRAULIC +BLE ' ` 7 ES` \ [ WASS (� FRT [ ] D r DUE DATE (� bf c IFT DATE LNSTALLED zj' ( airlift -G' 7 I ELEVATOR INSPECTION BUILDING ADDRESS CITY ZIP CODE BUILDING NAMF OWNER ADDRESS CITY ZIP CODE PHONE NUMB: MANUFACTUR UNIT' NUMBER HYDRAULIC I ESCALATOR DUMB [ [ PASS [ ] FRT ( ] PASS (] FR [ ] LAST SAFETY TEST NEXT DUE DATE f ] 1 [. / / MATERIAL LIr �� DATE LHSTALLED / wheelchair lit / / RECORDED iN52ECT10NS I i I I I I I I i [ - ;t" R' AI 4l )�D1 t[ / C: % I. P CODE _V7�.G�P 'IAIIUFAC IULiI UINI I MU'JIJER II IIAULLC (A11LE '-� A PASS LAST SA I I'l.. TEST ST 111 `! l LUF DATE ((AIDI'I'[ON - 2-6.1 96- t 3.. %G /.. '�' 99 dg �• r u y O ELEVA'T'OR VISPECTIOU 3UHMING ;A ` L i e? MANk9FAC kl E q U IT NUMBER G zv ZT a A,eA CITY OF - DEPARTMENT OF COMMUNITY DEVI co/ 2, goo 33 9Gd ` G ELEVATOR INSPECTIONS 5/�9/ �nde�er�enc / �Giea- ��ii.� "ge BU I LDING ADDA>" COC __Z_Ii T OWNER - RESSJ Z P E P_ T l O �.... �TT I CITY J T �O (� a 2 3/ _ e? MANk9FAC kl E q U IT NUMBER 'YDRAULIC PASSENGER ❑FREIGHT %ABLE' A114 ❑PASSENGER ❑GI ❑FREIGHT. ❑GI LAST SAFETY TEST _. .. NEXT DUE TE CONDITION CITY OF WHE- #rXioFE BUILDING INSPECTION ELEVATOR INSPECTIONS w A ZIP CODE CU r 17 MA UFACTURE U.IT NUMBER HYDRAULIC CA N om/ PASSENGER ❑GEF 'l{l�,C�' ❑FRE�6H. T --'" ❑FREIGHT ❑GE< L SAFETY TESTA NEXT DUE CONDITION / J RECORDED INSPECTIONS �l ZL 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 3000 lbs Inspector : Bill Gardner LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 4891 Independence St, 1 HP 10/../04 Gary Stahara c/o Pinnacle Properties Inspection Issue Expiration Ltd. Date Date Date 4891 Independence St. #160 8/9/05 2/1/06 2/1/07 Wheat Ridge, CO 80033 Gary Stahara c/o Pinnacle Properties Ltd. 4891 Independence St. #160 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 3000 lbs Inspector : Bill Gardner LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 4891 Independence St. 1 HP 10/../04 Gary Stahara c/o Pinnacle Properties Inspection Issue Expiration Ltd. Date Date Date 4891 Independence St. #160 8/26/04 2/1/05 2/1/06 Wheat Ridge, CO 80033 Gary 8tahara c/o Pinnacle Properties Ltd. 4891 Independence St. #160 Wheat Ridge, CO 80033 CITY OF WHEAT RIDGE 7500 West 29th Avenue Wheat Ridge, CO 80033 Phone: 303-235-2855 INVOICE November 19, 2004 Gary Stahara c/o Pinnacle Properties Ltd. 4891 Independence St. #160 Wheat Ridge, CO 80033 Elevator ID # 1 Elevator Inspection For: 4891 Independence St. Total Cost Due: $132.00 Property /Elevator Location # 9 Gary Stahara c/o Pinnacle Properties Ltd. 4891 Independence St. #160 Wheat Ridge, CO 80033 MY- PLEASE ftUMN MIS INMICT STUD MM YOVR FAME T Thank You City of Wheat Ridge 7500 W. 29th Ave. Wheat Ridge, CO 80033 (303) 235 -2855 Please call it you have any questions Property /Elevator Location # 9 Elevator Address: 4891 Independence St. Total due: $132.00 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 3000 lbs Inspector Bill Gardner LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 4891 Independence St. 1 HP 8/21/02 Gary Stahara c/o Pinnacle Inspection Issue Expiration Properties Ltd. Date Date Date 4891 Independence St. #160 2/4/03 2/1/03 2/1/04 Wheat Ridge, CO 80033 Gary Stahara c/o Pinnacle Properties Ltd. 4891 Independence St. #160 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 3000 lbs Inspector : Bill Gardner Gary Stahara c/o Pinnacle Inspection Issue Expiration Properties Ltd. Date Date Date 4891 Independence St. #160 8/6/01 1/15/02 1/15/03 Wheat Ridge, CO 80033 Gary Stahara c/o Pinnacle Properties Ltd. 4891 Independence St. #160 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 3000 lbs Inspector : Bill Gardner LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 4891 Independence St. 1 HP 8/21 /01 Gary Stahara c/o Pinnacle Properties Ltd. Inspection Issue Expiration 4891 Independence St. #160 Date Date Date Wheat Ridge, CO 80033 3/1/01 4/16/01 211/02 PEASE REMM M/S INVOICE STCa Wfm Thank You City of Wheat Ridg / 7500 W. 29th Avet Wheat Ridge, CO 80'4 (303) 235-2855 Please call if you have any qu Property /Elevator Location 9 Elevator Address: 4891 Independence St. Total due• $120.00 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 3000 lbs. Inspector: Randy Pabst LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 4891 Independence St. 1 HP 8127/01 Gary Stahara 4891 Independence St. # 160 Inspection Issue Expiration Wheat Ridge, CO 80033 Date Date Date 10/30/00 10/31/00 8/31/01 9 CENTRIC ELEVATOR CORPORATION HYDRAULIC TEST REPORT (Fill out separate report for each elevator) ANNUAL X OTHER DATE: 08/21/00 BUILDING 70 EXECUTIVE CENTER LOCATION 4891 INDEPENDENCE STREET ELEVATOR SER. NO. EG5075 CITY, STATE LITTLETON, CO (If none, use motor or control SN) BLDG. ELEV. NO. 1 CONTRACT NO. 135000 JOB NO. TYPE OF ELEVATOR DOVER CAPACITY 3,000 LBS. SPEED 100 OWNER /MANAGEMENT: PINNACLE PROPERTIES 4891 INDEPENDENCE #160 WHEATRIDGE CO 80033 ANNUAL HYDRAULIC INSPECTION & TEST AS REQUIRED BY ANSI A17.1 - 1994 RULE 1005.2A, 1005.28, 1005.2C, 1005.2D, 1005.2E 1. Relief valve Test - Test the relief valve by either running the empty car at slow speed on to the plunger stop ring, or close the main shutoff valve in the to- and -from pipe, and then apply pressure form the pump. The relief valve shall be preset to open at a pressure not greater than 1251 of the working pressure. 2. Cylinder Static Test - Cylinders that cannot be inspected visually shall be tested in the following manner with no load in the car. Locate and mark the location of the car at any convenient position. Open the disconnect switch for 15 minutes. Note the position of the car platform with respect to the reference mark. A change in car position which cannot be accounted for by visible oil leakage or temperature change of oil indicates a leak in the cylinder or underground piping and a need for further inspections, tests or repairs. 3. Additional Inspection and Tests: OK Normal and terminal stopping devices (Section 209, Div. 116) N/A Fire Emergency service (Rule 211.3, Div. 117) _ N/A Stand -by (emergency) power operation (Rule 211.2, Div. 119) OK Power operation of door systems (Section 112, Div. 119) open 4.0 sec. close 4.0 sec. torque 18 ft. lbs. door size 42" In -car stop switch OK Cartop stop switch OK Pit switch OK Jack size 5 7/16" Car Gate Switch OK Door Locks OK Flex Hose Dt N/A Pressure Switch _2 A Relief Valve Setting 400 PSI Corrected Relief Valve Setting PSI (if required) No load working pressure: Up 180 PSI Down PSI No load car speed: Up FPM Down FPM Relief valve tagged: Yes X No If not, explain: Was test satisfactory? YES If not satisfactory, what corrective work is needed: Representatives of the insurance company, city or state inspector, or owner present at test: Indicate name and title): Comments: CEC -134 (9/98) Date: 10/31/2000 GARY STAHARA 4891 INDEPENDENCE ST #160 Wheat Ridge, CO 80033 Quantity Description Total Cost 1 Elevator inspection for: $120.00 4891 INDEPENDENCE ST GARY STAHARA 4891 INDEPENDENCE ST #160 Wheat Ridge, CO 80033 I BUILDING DEPARTMENT CITY OF WHEAT RIDGE Correction Notice Job Located at C I have this day inspected this-stfuetuire-and4hese-pr-emises and have found the following violations of City and/or State laws gov- erning same: E rl � D eA - ) - 1 � 1 k f! � kq "a, You are herebV notified to correct the foregoing violations. "W When corrections have been made, call for inspection. Date &Lk:0 inspector for Building De Pt- DO NOT REMOVE THIS TAG FORM WRG-22 f ,/ � r 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 WRe -22 Correction Noti Job Located at........' .....::...... 14 1 have this day inspected this strucxu, and these— Premises and have found the following violations f City and /or State laws governing same: / rn ................. ....C:...... r.2!;. ..Y �.....rti :C _...1.', - . - .a; �... �,Y.l. t 'j ................................................ ... ........:... ..... ..................................... .i ........... .. '�...:��✓ T A....:.:. t .�.... t'.'...... n1 ....................................... ............... Jf ...................... f / .......... .:5�. {,. f`. 'i 1 .............. r ......:.: .. K .................. ............. L� You are hereby otified to correct the foregoing violations. When corrections h ve been made, call for inspection. a �> �e Date.. �. .. .. ........ t i .............. Inspector for Building Dept. DO NOT REMOVE THIS TAG 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 3000 lbs. Inspector : Randy Pabst LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 4891 INDEPENDENCE ST HP 8/411999 GARY STAHARA Inspection Issue Expiration 4891 INDEPENDENCE ST #160 Date Date Date Wheat Ridge, CO 80033 11/4/1999 1/5/00 8131/00 GARY STAHARA 4891 INDEPENDENCE ST #160 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 00 lbs. Inspector: JACK BULTMAN LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 4891 INDEPENDENCE ST HP 8/7/98 GARY STAHARA Inspection Issue Expiration 4891 INDEPENDENCE ST #160 Date Date Date Wheat Ridge, CO 80033 8/20/98 8/20/98 8/31/99 GARY STAHARA 4891 INDEPENDENCE ST #160 Wheat Ridge, CO 80033 a CENTRIC ELEVATOR CORPORATION FYDRA T r .,,.0 TEST REPORT (Fill out separate .report for each el.?va_tn_r) ANNUAL X v QTHER DATE: 8/4i9° _ BUILDING 70 EXECUTIVE CENTER I LOCATION 4891 INDEPENDENCE STREET ELEVATOR SER. NO. E65075 CITY, STATE WHEATRIDGE, CO (If none, use motor or control SN) BLDG. ELEV. NO. 1 CONTRACT NO. 135000 JOB NO. TYPE OF ELEVATOR DOVER CAPACITY 3,000 LBS. SPEED 100 OWNER /MANAGEMENT: PINNACLE PROPERTIES LTD., 4891 INDEPENDENCE #160, WHEATRIDGE, CO 80033 BROOMFIELD, CO 80020 ANNUAL HYDRAULIC INSPECTION & TEST AS REQUIRED BY ANSI A17.1 - 1994 RULE 1005.2A, 1005.2B, 1005.2C, 1005.2D, 1005.2E 1. Relief valve Test - Test the relief valve by either running the empty car at slow speed on to the plunger stop ring, or close the main shutoff valve in the to- and -from pipe, and then apply pressure form the pump. The relief valve shall be preset to open at a pressure . not greater than 125 of the working pressure. 2. Cylinder Static Test - Cylinders that cannot be inspected visually shall be tested in the following manner with no load in the car. Locate and mark the location of the car at any convenient position. Open the disconnect switch for 15 minutes. Note the position of the car platform with respect to the reference mark. A change in car position which cannot be accounted for by visible oil leakage or temperature change of oil indicates a leak in the cylinder or underground piping and a need for further inspections, tests or repairs. 3. Additional Inspection and Tests: OK Normal and terminal stopping devices (Section 209, Div. 116) N/A Fire Emergency service (Rule 211.3, Div. 117) N/A Stand -by (emergency) power operation (Rule 211.2, Div. 119) OK Power operation of door systems (Section 112, Div. 119) open 2.0 sec. close 3.0 sec. torque 17 ft. lbs. door size 42" In -car stop switch OK Cartop stop switch OK Pit switch OK Jack size 5 7/16" Car Gate Switch OK Door Locks OK Flex Hose Dt N/A Pressure Switch Relief Valve Setting 390 PSI Corrected Relief Valve Setting PSI (if required) No load working pressure: Up 170 PSI Down PSI No load car speed: Up FPM Down FPM Relief valve tagged:. Yes X No If not, explain: Was test satisfactory? YES If not satisfactory, what corrective work is needed: Representatives of the insurance company, city or state inspector, or owner present at test: Indicate name and title): Comments CEC -134 (9/98) 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 00 lbs. Inspector: JACK BULTMAN LOCATION 4851 INDEPENDENCE ST LUTHERAN MEDICAL CENTER 8300 W 38TH AVENUE Wheat Ridge, CO 80033 ID NUMBER TYPE SAFETY INSPECTION DATE HP 4/1/98 Inspection Issue Expiration Date Date Date 7/23/98 7/31/98 7/31/99 LUTHERAN MEDICAL CENTER 8300 W 38TH AVENUE 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 3000 lbs. Inspector: JACK BULTMAN LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 4891 INDEPENDENCE ST GARY STAHARA 4891 INDEPENDENCE ST #160 Wheat Ridge, CO 80033 HP 8/7/98 Inspection Issue Expiration Date Date Date 8/ 11/97 8/12/ 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 3000 lbs. Inspector: JACK BULTMAN SAFETY LOCATION ID NUMBER TYPE INSPECTION DATE 4891 INDEPENDENCE ST HP 8/7/97 GARY STAHARA Inspection Issue Expiration 4891 INDEPENDENCE ST #160 Date Date Date Wheat Ridge, CO 80033 9/11/96 10/8196 9130/97 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 3000 lbs. Inspector: JACK BULTMAN SAFETY LOCATION ID NUMBER TYPE INSPECTION DATE` 4891 INDEPENDENCE ST GARY STAHARA 4891 INDEPENDENCE ST #160 Wheat Ridge, CO 80033 HP 8/11/96 Inspection Date Issue Date Expiration Date, . 9/22/95 10/16195 9/30/96 '�An aa �'gFnr%w#���,�$ • ^"`f "waw'.o��"�" 'arxw T, � f^3�F'q .ti�'f' +^ ^`^.% Cnerfifirafr of g ins ,, G�ity o� dye, 64% a $UILDING DEPARTMENTS"` This is to certify that the "'Elevator €; - , as has been inspected on the" date shown below and was found `saf Inspector g LOCATION ID NUMBER ° G)r p s n� 4891 Independence Street ` a A [ Strahara��� 4891 Independence Street 41-04� Wheat Ridge, C0 80033 9 28/9 4 DATE OF. INSPECTION r Felt -�`m ^ .., "�•' , a � ��e.. Ter#ifua tr of ;lIxc ertio BUILDING DEPAkTMEN -T,' Elevator �. Thls is to certify that the ;- �y .�, as has been Ins ected on the date shown below and was fqund Fsa1 Inspector' LOCATION - - ' NUMBER ({� 4891 In epen enee treet Gary Stahara a <, 4891 Independence Streetl4 1b0 Wheat Ridge, CO 80033 DATE l � � OF INSPECTION \� L k MUM MM i. -dun C 'gym ,�' � - �an�a� � � `.'ww*✓.G `fin � � fm � ^�xn .��^' ^�m'/� ^ �n..mc* '�""`' w> ,m* `a Al kk M me".«' � `� "�'L^a ✓„ �. ti 3j"r'+x .� ✓. \S'r� """t� .nt2ti C�erfifirufr of ns ec#io 77�7, j DEPARTMENT, This is to certify that the." E &evator as }_ A l has been inspected on the.date shown below and was fgund sad (} Inspector " L. Y Y L''OCAT16N C CIA 46 UMBER 4891 Independence St - iget- = Step S c Jtcut8.r2 M 4891 Independenct; Street qq Wheat Ridge, CO 8nn33 ,.. OF INSPECTION N�G�.^'^� \ ,/a'' 1 � �,c_+ � ✓ s } ',..F '" " < -.! cam. CnPr #ifictt #P of ;Ijngylert o ,f -y BU11DING DEPARTMENT "` This is to certify that the E.DeVator as b has been inspected on the shown below anc� °was found saf / �a 1nspector ��ti2,'Xi.`a. .Stephen S Staharaa rx 10432 Neel Avenue � uw Cupertino, {CA 9 O14 DATE OF.INSPECnON F LOCATION IDxNON18ER 4'591 independence "�eree-t - _ .Stephen S Staharaa rx 10432 Neel Avenue � uw Cupertino, {CA 9 O14 DATE OF.INSPECnON F %Uerfifiratr of Insperfia o� w �u1ge,T a Colo� I BUILDING DEPARTMENT This is to certify that the, ^as ? has been inspected on the date shown below an was found.saf i Inspector �-.��,. c-; _•- { %, v�zrt r � do �c.wrs:�:',� T 1 vi a �- reeiz. '-it, DATE L OF INSPECTION LOCF:SION - , ID ,NUMBER Zvi £ j C'tei,L x crtce - J rv�_£ t „ T 1 vi a �- reeiz. '-it, DATE L OF INSPECTION , Tatif ratr of �4juspr #ia o� W�ieat .�dge�; Calou� BUILDING DEPART-IUENT," ", This is to certify that the vT "rU [4�c' R " as has been inspected on- the date 'shown below and was found safe Inspector LOCATION - 413 NUMBER }kn }kn / Vii 0 17th .maat, SI„v Yl' ,(,1 L. .3•J 6� , �Z en :ve_, CO 80265 OF INSPECTION S P SPECTION Cy;m' . '' GY '.W /^ t ^/' "�, ieu!96,,�k.'��.,�"`,,3m"�ys