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HomeMy WebLinkAbout6340 W. 38th AvenueRMT Inspected by o Code Consuiting LLC MEMMM= 11 mmmzm mmmzm Expiration Date: 2/112014 Highland 2W® Apts. Attn: Gary Borkowski 6340 W. 38th Ave. Wheat Ridge, CO 80033 r#71 P2 "*TA T1 7A 7-T, TJ URN' mf- Inspected by C6k o Code Consulting LLC mmz •� INUUME 14 NEU&M Expiration Date 2/11/2014 Highland West Apts. Attn: Gary Borkowski 6340 W. 38th Ave. City • Wheat Ridge Building Division 7500 W. 29 Ave. Wheat Ridge, CO 80033 Office: 303-236-2855 * Fax: 303-237-8929 To Highland West Apts. A - * Cary irkowski 6340 W. 38th ve, Wheat Ridge 0033 io( 19 , ease invoice. UM �F =�� I =,# 0 U , 23w� Location M 25 Address: 6340 W. 38th Ave. Elevator mm City of Wheat Ridge Building Division 7500 W. 29thAVe. Wheat Ridge, CO 80033 Office: 303-235-2855 Fax: 303-237-8929 invoice. Ummm H UPE Location M 25 Address: 6340 W. 38th Ave. Elevator ID: 3 Im m am Lom ff m M-0 3MM Inspected by 616*0 Code Consulting LLC MEESE= 9 NER9 mm@�� Expiration Date: 2/1/2013 Highland West Apts. Attn: Gary Borkowski 6340 W. 38th Ave. Iftymna= 3MM IM MORKY U#N- MEWEMM Expiration Date: 211/2013 Highland West Apts. Attn: Gary Borkowski 6340 W. 38th Ave. Wheat Ridge, CO 80033 In cted y 6 o o Code Consulting LLC spe b8", If you bave any questions feel free to contact the office at (303)235-2855 Cordially, www.d.wheatridge.coms Ew� City of Wheat Ridge Building Division 7500 W. 29 Ave. Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Im MZTTF invoice. k1m3m if 9 , A 111111illill lirl Ill 111111illlimilimpl�pl Location M 25 Address: 6340 W. 38th Ave. Elevator ID: I City of Wheat Ridge Building Division 7500 W. 29 Ave. Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 To: Highland West Apts. A Ga ry rkowski 6340 W. 3 t 8 ve, i" Wheat Rid 0033 ^ , . • • • , ' a A . 11 , 0 . 0 , , . # go I ' 1 rIMMOR OPONT. 1#1 0 ME Please feel free to COSEWN invoice. am= re 1111111lim ll 111111� IIIIIII: Im! I 1111pliiiii • Location M 25 Address: 6340 W. 38th Ave, Elevator 4� V City of -1 co"m City of Wheat Ridge Municipal Building 7500 W. ` Ave. Wheat Ridge, CO 80033-8001 P: 303,235.2846 F: 303.235.2857 February 2", 2011 Highland West Apartments 6340 W. 38 Ave.. Wheat Ridge, CO 80033 Re: Deficient 201 Elevator Certification Fees at 6340 W. 38 Ave. To Whom It May Concern: This will be the final notice sent. A review of City of Wheat Ridge records indicates that your 2011 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, 2010. To receive the required elevator certification, payment of the past due amount must be received by Alarch 1st, 2011. The amount due is $420.00 ($630.00 was paid on 0 1/24/1 1 for locations 26, 27, & 28). Please remit payment immediately to the City of Wheat Ridge., atin: 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. Si , cerely 'Y' 0 n S humacher, Jr., ( ("�h 'n ChieflBlu `igg �(0 7500 W 29th Avenue Wheat Ridge, Colorado 800' )3 Office Phone. 303-235-2853 Fax: 303-234-2857 City of Wh6 44d e _jhtN )INI TINIEN"'T www.ci,wtie�ttrifige,co,t,i,�,, 0 . • 9m, AW Bpilding Department This is to certify e el dVator as ihdicat h "" _1 n this certificate has been p inspected on the hown below and wind safe to carry 2000 lbs. MOZOM MEMEM Expiration Date: 2/1/2012 Highland West Apts. Attn: Gary Borkowski 6340 W. 38th Ave. Wheat Ridge, CO 80033 Inspected by DdhV"egional Council of Governme"it'(DRCOG) 0 1 . . 0 0 0 Building Dppartment 2 1 This is to certify "ttlat the of for as'i an this certificate has been Inspected on the d9bPshown below and w' und safe to carry 2000 Ibs. Safety Inspection Date: 7/6/2010 Elevator Inspection Date: 7/6/2010 Expiration Date: 2/1/2015 Highland West Apts. Aftn* Gary Borkowski 6340 W. 38th Ave. Wheat Ridge, CO 80033 .... .. .... . " Inspected by D4 1 WRegional Council of GovemmADRCOG) City of Wheat Ridge Building Division 7500 W. 29 th Ave. Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 To. Highland West Apts. 6340 W. 38th Ave. Wheat Ridge, A )033 3ary Sbrkowski A I IONIC I I I 1 11 111 0 Mo. U9 # t i t 11" zwmw i ME Location #* 25 Address: 6340 W. 38th Ave. Elevator ID I 0 MEMMOM City • Wheat Ridge Building Division 7500 W. 29 th Ave. Wheat Ridge, CO $0033 Office: 303-235-2855 * Fax: 303-237-8929 To: Highland West Apts. Alt Gary l rkowski 6340 W. 38th ,Ave. Wheat Ridge, U-80033 7 WON M..' 90, m I Please feel free to co invoice. 0 ra Location Address: 6340 W. 38th Ave. Elevator am 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: Highland West Apts. A6-.: Gary Abrkowski 6340 W. 38tlttAve. Wheat Ridge, m QQ= 80033 Your annual elevator inspection fee of $210 is due fQr location # 25 elevator ID: 1 located at 6340 W. 38th Ave. in Wheat Ridge OO _ Please remit payment t o later than February 1, NICK Please feel free to contact ogr frice if youahave�questions regarding your um invoice. " „ .. ~" >;.. Thank you, 90"&f Divi¢Co4c Please detach and send this stub in with your payment, Location #: 25 Address: 6340 W. 38th Ave. Elevator ID: 1 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: 12/4/2009 To: Highland West Apts. Min; GaryTorkowski 6340 W. 38th- -,A.° Wheat Ridge, ft"0033 AAW I'mm, Your annual elevaf inspection fee of $210 is d_ue .r location# 25 eleval located at 6340 W. 38th Ave. in W _heat R4ig! A M = - M Please remit payment A., - Mter than -Mb 6 -Ftiary 1, 20.1 - 001W ROW MM Please feel free to contact o - ti ns regarding your "M 11 invoice. AMY Thank you, Please detach and send this stub in with your payment. Location M 25 Address: 6340 W. 38th Ave. Elevator ID: 2 Amount due: $210 llwj Certificate of Elevator Inspection City of Wheat Ridge 7500 W. 29 Ave. Wheat Ridge, CO 80033 Building Department This is to certify t t the ell fl ator Aindicatedlon this certificate has been inspected on the shown below and wasound safe to carry 2000 lbs. Safety Inspection Date: 7/612010 Elevator Inspection Date: 71612010 Certificate Issue Date: 3/1/2010 Expiration Date: 2/1/2011 Highland West Apts. Attn: Gary Borkowski 6340 W. 38th Ave. Wheat Ridge, CO 80033 Inspected by Detiv�2egional Council of Governme(DRCOG) Certificate of Elevator Inspection City of Wheat Ridge 7500 W. 29� Ave. Wheat Ridge, CO 80033 Building Department A This is to certifythat the ell ator as indicate-d-1 this certificate has been inspected on the 4-shown below and wA safe to carry 2000 lbs. Inspected by De Regional Council of Governme DRCOG) Location Number: Building Name: Location: ID Number: ElevatorTvoe: CP Safety Inspection Date: 7/6/2010 Elevator Inspection Date: 7/6/2010 Certificate Issue Date: 3/112010 Expiration Date: 2/1/2011 Highland West Apts. Attn: Gary Borkowski 6340 W. 38th Ave. Wheat Ridge, CO 80033 Certificate of Elevator Inspection City of Wheat Ridge 7500 W. 29 Ave. Wheat Ridge, CO 80033 By, ilding qepartment Af This is to certify�lbat the el'ev tor s indicateq this certificate has been inspected on the 8ii"hown below and was und safe to carry 2000 Ibs. I T7 Inspected by D 6 10 10 — � Council of Governmeff (DRCOG) Location Number: Building Name: Location: ID Number: Elevator CIP Safety Inspection Date: 1/6/2010 Elevator Inspection Date: 1/6/2010 Certificate Issue Date: 3/11/2010 Expiration Date: 211/2011 Highland West Apts. Attn: Gary Borkowski 6340 W. 38th Ave. 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 certify1bpt the er vator as s n this certificate has been inspected on the d below and w"und safe to carry 2000 lbs. a e Inspected by DeKf gional Council of Governrne DRCOG) Safety Inspection Date: 1/6/2010 Elevator Inspection Date: 1/6/2010 Certificate Issue Date: 3/11/2010 Expiration Date: 2/11/2011 Highland West Apts. Attn: Gary Borkowski 6340 W. 38th Ave. 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 t the elevator A k idica t _ = n this certificate has been inspected on the shown below and wa aund safe to carry 2000 lbs. Inspected by De egional Council of Govern me , V (DRCOG) Location Number: Building Name: Location: ID Number: Elevator Voe: CP Safety Inspection Date: 711612007 Elevator Inspection Date: 7/16/2007 Certificate Issue Date: 5/112009 Expiration Date: 2/112010 Highland West Apts. Attn: Gary Borkowski 6340 W. 38th Ave. 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 a t the a evator as indicat this certificate has been inspected on the d shown below and wa ound safe to carry 2000 lbs. Inspected by De egional Council of Govern me (DRCOG) Location Number: Building Name: Fh Location: ID Number: ElevatorTvpe: CID Safety Inspection Date: 7116/2007 Elevator Inspection Date: 7/16/2007 Certificate Issue Date: 5/1/2009 Expiration Date: 2/1/2010 Highland West Apts. Attn: Gary Borkowski 6340 W. 38th Ave. Wheat Ridge, CO 80033 I* � I A( City of `� Wh6at idge COMMUNITY DEVELOPMENT July 9, 2008 Krystal Monroe Highland West Apts Attn: Elevator /Escalator Owner or Managing Agent 6340 W. 38th Ave. 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: / /oi1.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 oreg.iohnson(astate.co.us Sincerely, City of Wheat Ridge Building Division 7500 W. 29' Ave. Wheat Ridge, CO 80033 303 - 235 -2855 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 To: Krystal Monroe Highla --West A - 6340 W. 38th Wheat Ridge, 0033 # 25 elevator ID: 1 Please feel free to invoice. Thank you, vwyd u' y 94fz iavc dm# if a regarding your Please detach and send this stub in with your payment. Location #: 25 Address: 6340 W. 38th Ave. Elevator ID: 1 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 Your annual elevato inspection fee of $210 is located at 6340 W. 38th Ave. in W v - nRii Please remit Please feel free to coact Vice if invoice. Thank you, Please detach and send this stub in with your payment. Location #: 25 Address: 6340 W. 38th Ave. Elevator ID: 1 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 To: Krystal Monroe Highla est 6340 W. 38tH ve. , Wheat Ridge, 0033 Your annual elevat inspection fee of $210 is located at 6340 W. 38th Ave. in W Ri �. Please remit Please feel free to co act o ; ice if invoice. Thank you, 1, or location # 25 regarding your ID: 2 Please detach and send this stub in with your payment. Location #: 25 Address: 6340 W. 38th Ave. Elevator ID: 2 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 indicatedon this certificate has been inspected on the date shown below and was found safe to carry 2000 lbs. Inspected by DehverRegional Council of Government (DRCOG) Location Number: Building Name: Location: ID Number: ElevatorTvr)e: CP Safety Inspection Date: 12/..106 Elevator Inspection Date: 7/16/2007 Certificate Issue Date: 2/1/2008 Expiration Date: 2/1/2009 Krystal Monroe Highland West Apts 6340 W. 38th Ave. Wheat Ridge, CO 80033 Certificate of Elevator Inspection City of Wheat Ridge 7500 W. 29 Ave. Wheat Ridge, CO 80033 Building Department O 4 �kj1l b j�4 This is to certify that the elevator as indicated," n this certificate has been inspected on the date shown below and was =found safe to carry 2000 lbs. Inspected by Denver' Regional Council of Government (DRCOG) lI E f Location Number: Building Name: Location: ID Number: 1��' Elevator CP Safety Inspection Date: 12/../06 Elevator Inspection Date: 7/1612007 Certificate Issue Date: 2/1/2008 Expiration Date: 21112009 Krystal Monroe Highland West Apts 6340 W. 38th Ave. 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 that the elevator as indicated on this certificate has been inspected on the d'a`.t'e'shown below and was fbund safe to carry 2000 lbs. Inspected by Denve(Regional Council of GovernmeW DRCOG) Location Number: Building Name: Location: ID Number: Elevator Tvpe: CP Safety Inspection Date: 3/../06 Elevator Inspection Date: 7116/2007 Certificate Issue Date: 21112008 Expiration Date: 211/2009 Krystal Monroe Highland West Apts 6340 W. 38th Ave. Wheat Ridge, CO 80033 ��-�.� � f�. 1Qp NQJY/B- MI M a l � $ �� Z m+.wY3� ° - v.r✓w��i,�y � / /in9 1 ,Dale .DnXe eerYi <icar.✓f �� �+R -r- /ed ^- ;Dn.Ve PY^+� � k °Rec�yoK received � � Nexti daXt of �i�s e��4o-.- 1 �� �✓ ] �(0 =`tom � _ -�' ���� . 5 -(o —I 9 � if -S '7 � s CK d - -D& Z -27 -S� i Co oJ Z.'7 -06 0 I' C t ( I (o o 41410 (/3o/03 c7 6 1i i' ThyssenKrupp Elevator DEC SAFETY AND GOVERNOR TEST REPORT (FILL OUT SEPARATE REPORT FOR EACH ELEVATOR) ANNUAL ICJI 5 YEAR TEST NEW ELEVATOR NAME OF BUILDING ELEVATOR SERIAL NO. (IF NONE, USE MOTOR 01 BUILDING ELEVATOR NO. 0 L LOCATION . l"o CITY & STATE IHYSSENKRUPP SERVICE CONTRACT N0. CUSTOMER P.O. NO, JOB NO. MAKE OF ELEV)O RATE C R SPEED d F.P.M. RATED CQPAF� �d061 LBS. SAFETY MFG. A GOVERNOR MFG. �Y TYPE OF GOVER OR: F Y 8 L FLYWEIGHT TYPE G�JP�IAWS: STEEL _ s BRONZE _ GOVERNOR ROPE: IRON STEEL _ X9X 6X1 SIZE (DIA.) 0 RATED ULTIMATE STR GTH _ CONDITION OF ROPE b� CONDITION OPJAWS (r_ IAi TYPE OF SAFTEY: INSTANT p WEDGE CLAM N FLEX. GUIDE 0 OTHER (TYPE) CONDITION A!J CONTACT ON: GOVERNOR X RELEASING CA If 0 SAFETY$ RATED P OF SAFETY IV # CONDITION OF SAFETY DKUM ROPE SIZE " ANNUAL TEST - - -- OMIT ITEM (3- 4- 6- 18 -19) INSTRUCTIONS: 5 -YEAR TEST---- COMPLETE ALL ITEMS To Comply with ANSI /ASME A17.1 Code Section 205, 206, 207, 208, 209, 1002, & 1003. (1) Governor &.safety free of excessive lubrication, lint and dirt: YeskNo 0 (2) Hand test made of safety & governor to insure all bearing a_��rJ0bing surfaces, including rope grip -jaws operate freely as intended (3) Force required to pull rope through governor jaws. , (Must be less than 20 of Rated Ultimate Strength.) (4) 'Force required to pull governor rope from the release carrier. (Can be no more than 60% of pull- through force.) (5) Car Safety operated by tripping governor by hand wi car operating at slowest possible speed in down direction, no Ioadk (6) Safety checked and tested with rated rap. DO lbs. ev nl is Ibuted over platform area, (Gov. s ty switch made inoperative) rope grip -jaws tripped by n at rated speed or over speed Switch trip spd. F.P.M. Jaw spd. F.P.M. (7) Did the car stop level: Yes�o How much out f �yel _�� u D.B.G. Max. 3/8" per ft.) (8) Length of cable pulled off the drum Number of turns of cable left on the drum (9) Governor and safety reset, Safety jaw learance (10) Indicate the length of the mark on the guide rails made by th safety jaws in inches: Left rail —Z inches. Right rail inches. (11) Rails inspected and filed where necessary: Yes INo 0 (12) Was it necessary to readjust the governor? Yes 0 No Qj (13) Condition of governor rope after test 1 DB (14) Governor adjustments seale and tagged and Release Carrier tagged: Yes- No 0 Was the test satisfactory: No If not, explain. (15) Normal and Final Terminal stopping devices tested (16) Standby (Emergency) Power Operations toSted (with 125% of at d Load on Acceptance and 5 Year Tests) DIV14- (17) Power Door System tested: Torque # Kinetic �ft. # (18) Brake tested with 125% of Rated Load Rule 207.8 shall lower, stop and hold the car at it's lowest terminal with 125% of Rated Load. (19) Emergency Terminal Speed Limiting Devices tested 0 :he Insurances Company, qty or State Inspector or Owner, present at test: Yes 0 NoA (Indicate name and title) / - MECHANIC'S SIGNATURE t/i(/OCC /,�j�_ SUPT. SIGNATURE Copy of this report given to customer: Yes 0 No p MASGTRO301 ThyssenKrupp Elevator OW tl 2 2006 ANNUAL TEST 5 YEAR TEST NEW ELEVATOR NAME OF BUILDING'JfZ ELEVATOR SERIAL NO. (IF NONE, USE MOTOR OR BUILDING ELEVATOR NO. SAFETY AND GOVERNOR TEST REPORT (FILL OUT SEPARATE REPORT FOR EACH ELEVATOR) CUSTOMER P.O. NO. DA LOCATION -A CITY & STATE CONTRACT NO. 0 MAKE OF ELEVAT RATE CAR SPEED 7, BG F.P.M. RATED AP TTY 2aoa LBS. SAFETY MFG. a r YOB 41' O'A//Yr/ G OVERNOR MFG. TYPE OF GOVER, R: FLY ALL FLYWEIGI T_ TYPE I JAWS: STEEL BRONZE GOVERNOR ROPE: IRON STEEL 8X9/ 6X19 0 SIZE (DIA.) p RATED UL IM E STRENGTH CONDITION OF ROPE CONDITION 0 AWS �B TYPE OF SAFTEY: INSTANT 0 WEDGE LAMP FLEX. GUIDE 0 OT ER (TYPE) CONDITION CONTACT ON: GOVERNOR RELEASING CAR E SAFETY RATED C AFETY # CONDITION OF SAFETY DRUM ROPE IZE ANNUAL TEST - - -- OMIT ITEM (3- 4- 6- 18 -19) INSTRUCTIONS: 5 -YEAR TEST---- COMPLETE ALL ITEMS To Comply with ANSI /ASME A17.1 Code Section 205, 206, 207, 208, 209, 1002, & 1003. (1) Governor & safety free of excessive lubrication, lint and dirt: YesXNo 0 (2) Hand test made of safety & governor to insure all bearing nd rubbing surfaces, including rope grip -jaws operate freely as intended,L (3) Force required to pull rope through governor jaws. yo (Must be less than 20% of Rated Ultimate Strength.) (4) Force required to pull governor rope from the release carrier. (Can be no more than 60% of pull-through force.) (5) Car Safety operated by tripping governor by hand with car operating at slowest possible speed in down direction, no loadg (6) Safety checked and tested with rated cap. °e oQ lbs. ev tributed over platform area, (Gyv. &safety switch njade inoperative) rope grip -jaws tripped byhaAd at rated speed 7 ,0O or over speed G' O Switch trip spd. Y 2 D F.P.M. Jawy ip spd. F.P.M (7) Did the car stop level: YesX' No How much t f level /✓�ff D.B.G. e M. M . 3/8" p F.P.M (8) Length of cable pulled off the drum Number of turns of cable lft on the drum (9) Governor and safety reset, n (/P s Safety jaw clearance (10) Indicate the length of the mark on the guide rails made by themes fety jaws in inches: Left rail inches. Right r d inches. (11) Rails inspected and filed where necessary: Yes2K No 0 (12) Was it necessary to readjust the governor? Yes 0 NOX (13) Condition of governor rope after test .&e el (14) Governor adjustments sealed and tagged and Release Carrier tagged: Yes* No 0 Was the test satisfactory:9 No If not, explain. (15) Normal and Final Terminal stopping devices tested (16) Standby (Emergency) Power Operations tested (with 125°/% of Rated Load on Acceptance and 5 Year Tests) /V (17) Power Door System tested: Torque # Kinetic ft.# (18) Brake tested with 125% of Rated Load Rule 207.8 shall I er, stop and hold the car at it's lowest terminal with 125% of Rated Load. (19) Emergency Terminal Speed Limiting Devices tested 0 AIW of the Insurance Compa�, City or State Inspector or Owner, present at test: Yes 0 NO e (Indicate name and title) MECHANIC'S SIGNATURE l/! &,44 a l, & � UPT. SIGNATURE Copy of this report given to customer: Yes 0 No 0 MASGTR0301 OVI SIHI 3AOW38 ION Oa •ldap 6uwplme io; joloadsul ZZ•9um WtlOu E a3ea •uoiloadsuf aol peo `spew uaaq aney suoiloanoo uayM •suoileIom 6UIO6aJOl ay; IOOJJ03 of pagg Agaaay aae noA �r3 °IL :awes 6ulwa -nob smeI alelS ao/pue Alta to suoileIwn 6uimopol ay; punol aney pue sesiwajd asayl pue ainlonils siyl poloodsui Rep siyl aney � 4 e '� o � L le paleaol qof k * )' aOiIoN UOIEIDGJJ 30alli IV3HM =10 AIIO sm-S£Z (£o£) 1N3W1UVd3a JN1a ine I ZZ•9um Mod DVI SIHI 3A0W3a ION Oa 'idea 6 u l p llne jo; joyoadsul �Z, aa� —sn •uoi;oadsui .lo; lleo `opew uaaq aney suoi;oaaaoo uayM •suoi;eJOIA 6 UI06aJ0; ay; ;oa.laoo o; pai;i;ou Agaaay aae noA i -;!< W -70 -14Or� J. `/ .j �4 3f / f 1 n�f Lle :awes 6uluia -nob seneJ a ;e ;S ao/pue /(;io ;o su011e101n 6uinnollo; ay; puno; aney pue sesiwaid esay; pue ein;ona ;s siy; pa;oodsui Aep siy; aney I ,fin SAO ;e pa ;eool qof 03I1ON UOI130JJ 3001a IV3HM 30 AIIO SSBZ-S£Z (£0£) 1N3WlaVd3a DNicimn8 q51 °� CITY OF WHEATRIDGE ELEVATOR INSPECTION BUILDING ADDRESS CITY ZIP CODE BUILDING NAME Ldp1 OWNER ADDRESS CITY ZIP CODE PHONE NUMBER G zt "h(V,\ dx� MANUFACTURE UNIT NUMBER / ULIC I I FRT CABLE PASS FRT ESCALATOR �� DUMBWAITER I ✓ LAST SAFETY TEST NEXT DUE DATE MATERIAL LIFT lift DATE INSTALLED CAPACITY wheel air as RECORDED INSPECTIONS 1.. `� ' ^ J �.. Q 2 7-/6- 0 a -17 -0-0 - - (4�oc� l ��- Aa �� '2 / 0 p2I1��o G �� ST 7 z - [41 9 C� � - J - O ( Gsµ g '7-1,07 ELEVATOR INSPECTIONS BUILDING AOORESS CITY ZIP CODE MANUFACTURE UNIT NUMBER HYDRAULIC Cl BL C viI J PASSENGER L�PASSENGER ❑ GEAP ,0 / ❑FRLIGHT ❑FREI ❑GEAP LAST SAFETY TEST��//^ EXT DU IF OATS .. CONDITION �... / N $� r 2 1 rycZ 9 1 1 , 6 1 93 P r 6r '/-z _ 3 I' l CITY OF Ws/EATXI,66E BUILDING INSPECTION ELEVATOR INSPECTIONS ZIP I OWNER - ADDRESS CITY ZIP CODE A"2 � O MANUFACTURE .4 /�•-�L UNIT NUMBER / HYDRAULIC �A, 13 PASSENGER ❑FREIGHT CABLE LVPASSENGER W GEA ❑FREIGHT ❑GEA LAST SAFETY TEST NEXT DUE DATE CONDITION / J / /3 A /� !`.9f I �CG CCC PECORDED INSPECTIONS c47, Zb,6,5 13 1 /31 1� 75�zC) I CITY OF WHEATRIDGE ELEVATOR INSPECTION BUILDING ADDRESS CITY ZIP CODE �3 io w ?s OWNER ADDRESS CITY ZIP CODE . MANUFACTURE UNIT NUMBER - HYDRAULIC CABLE . PASS FRT PASS 1 1 ] L ,A3 SAFETY TEST NEXT DUE DATE �. MATERIAL LIFP wheelchair lift RECORDED INSPECTIONS 17 —/ — Qv a 1 9 k- 7-14 I �.zs v3 � 2-4-C ,- Zo—e MANUFAC URE I UNITNUMBER HYORAUUC ❑PASSENGER C�A 07P =ENGER ❑GEARI lJU ❑FREIGHT ❑FREIGHT ❑GEARI LAST TEST I NEXT DUE: DATE CONDITION p . / SAFETY FiECE S zz C) 9 r i i i 20 9 CITY OF WWE- #rA'1d6E BUILDING INSPECTION ELEVATOR INSPECTIONS /I it , 4 Y ZIP CODE MANUFACTURE UNIT NUMBER HYDRAULIC �4 ❑ PASSENGER CABLE GE/ PASSENGER & GE/ &V Z ❑FREIGHT ❑FREIGHT ❑GEI LAST SAFETY TEST NEXT DUE DATE CONDITION RECORDED . �INSPECTIONS �j IV / OV B, Z46, 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 2000 lbs Inspector: Bill Gardner LOCATION ID NUMBER 6340 W. 38th Ave. 1 TYPE SAFETY 11 CP 121../06 Krystal Monroe Highland West Apts 6340 W. 38th Ave. Wheat Ridge, CO 80033 Inspection Issue Expiration Date Date Date 1116107 2/1/07 2/1/08 Krystal Monroe Highland West Apts 6340 W. 38th 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 2000 lbs Inspector : Bill Gardner LOCATION ID NUMBER TYPE SAFETY W. 38th Ave. 2 CID 31../06 Krystal Monroe Highland West Apts 6340 W. 38th Ave. Wheat Ridge, CO 80033 Inspection Date Issue Date Expiration Date 1/16/07 2/1/07 2/1/08 Krystal Monroe Highland West Apts 6340 W. 38th 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 2000 lbs Inspector : Bill Gardner LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 6340 W. 38th Ave. 2 CP 3/12/01 Krystal Monroe Highland West Apts Inspection Issue Expiration 6340 W. 38th Ave. Date Date Date Wheat Ridge, CO 80033 1/23/05 2/1/06 2/1/07 Krystal Monroe Highland West Apts 6340 W. 38th Ave. Wheat Ridge, CO 80033 ,p 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 2000 lbs Inspector : Bill Gardner LOCATION ID NUMBER TYPE SAFETY INSPECTION 6340 W. 38th Ave. 1 CP 12/../01 Krystal Monroe Highland West Apts Inspection Issue Expiration 6340 W. 38th Ave. Date Date Date Wheat Ridge, CO 80033 1/23/06 2/1/06 2/1/07 Krystal Monroe Highland West Apts 6340 W. 38th 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 2000 lbs Inspector : Bill Gardner LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 6340 W. 38th Ave. 1 CP 12/../01 Krystal Monroe Highland West Apts Inspection Issue Expiration 6340 W. 38th Ave. Date Date Date Wheat Ridge, CO 80033 1/7/05 2/1/05 2/1/06 Krystal Monroe Highland West Apts 6340 W. 38th 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 2000 lbs Inspector; Bill Gardner LOCATION ID NUMBER TYPE SAFETY INSPECTION 6340 W. 38th Ave. 2 CP 12/../01 Krystal Monroe Highland West Apts Inspection Issue Expiration 6340 W. 38th Ave. Date Date Date Wheat Ridge, CO 80033 1/7/05 2/1/05 2/1/06 Krystal Monroe Highland West Apts 6340 W. 38th Ave. Wheat Ridge, CO 80033 CITY OF WHEAT RIDGE 7500 West 29th Avenue Wheat Ridge, CO 80033 Phone: 303-235-2855 INVOICE November 19, 2004 Krystal Monroe Highland West Apts 6340 W. 38th Ave. Wheat Ridge, CO 80033 Elevator ID # 1 Total Cost Due: $132.00 Elevator Inspection For: 6340 W. 38th Ave. Property /Elevator Location # 25 Krystal Monroe Highland West Apts 6340 W. 38th Ave. Wheat Ridge, CO 80033 II CITY OF WHEAT RIDGE 7500 West 29th Avenue Wheat Ridge, CO 80033 Phone: 303-235-2855 INVOICE November 19, 2004 Krystal Monroe Highland West Apts 6340 W. 38th Ave. Wheat Ridge, CO 80033 Elevator ID # 2 Total Cost Due: $132.00 Elevator Inspection For: 6340 W. 38th Ave. Property /Elevator Location # 25 Krystal. Mon roe Highland West Apts 6340 W. 38th 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 2000 lbs Inspector : Bill Gardner LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 6340 W. 38th Ave. 1 CP 12/../01 Krystal Monroe Highland West Apts Inspection Issue Expiration 6340 W. 38th Ave. Date Date Date Wheat Ridge, CO 80033 7/25/03 2/1/04 2/1/05 Krystal Monroe Highland West Apts 6340 W. 38th 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 2000 lbs Inspector : Bill Gardner LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 6340 W. 38th Ave. 2 CP 12/../01 Krystal Monroe Highland West Apts Inspection Issue Expiration 6340 W. 38th Ave. Date Date Date Wheat Ridge, CO 80033 7/25/03 2/1/04 2/1/05 Krystal Monroe Highland West Apts 6340 W. 38th 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 2000 lbs Inspector : Bill Gardner LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 6340 W. 38th Ave. 1 CP 3/../01 Krystal Monroe Highland West Inspection Issue Expiration App Date Date Date 6340 W. 38th Ave. 7/2101 1/15/02 1115/03 Wheat Ridge, CO 80033 I I Krystal Monroe Highland West Apts 6340 W. 38th 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 2000 lbs l Inspector : Bill Gardner Krystal Monroe Highland West Inspection Issue Expiration Apts Date Date Date 6340 W. 38th Ave. 712/01 1/15/02 1/15/03 Wheat Ridge, CO 80033 Krystal Monroe Highland West Apts 6340 W. 38th 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 2000 lbs Inspector : Bill Gardner LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 6340 W. 38th Ave. 1 CP 3/../01 Krystal Monroe Highland West Apts Inspection Issue Expiration 6340 W. 38th Ave. Date Date Date Wheat Ridge, CO 80033 2/13/01 4/25/01 2/1102 6 3Y° IA/ 7Y "� " /4- l J address date recheck req d_ elevator type/no- — t' running pressure 4 g overnor trip 4 ropes a~ capacity = relief pressure L3 _ L . g overnor wrap speed pressure switch " rail marks undedravel overtrave! 6 �j15N✓�G InynJ �' r „.l door pressure rJ��(A 7 d� r ,_ door open time MACHINE ROOM of smoke detector nyt heat detectorwishunt trip — - enclosure vent door closer /self locking MC GFCi outlet dedicated car lightllockable disconnect i battery back -up ! elevator _OX emergency power/transfer switch d+� lighting PIT CK bottom limit �d - it switch nght/switch /GFI outlet it ladder — sump /sump cover — sump pump to separator HCIST'✓VAY aK too limit Ole counterweights. _ 4 inspection station /stop switch car top lighVGFCI outlet top escape panel /latching? eiiocks /aux. closers �Er door restrictor hall door retainers smoke detector-lobby smoke detector -top of hoistway heat detector -top of hoistway hoistway vent hoistway enclosure �`` pit can floor numbers I - plates communication device p hase I fire warning signs CAR alarm /illuminated alarm button )} emergency light ire instruction signs finished floor handrail chase II / r' NOTES I ✓ J ce d hVl f f� address (� `t d r' � � date Le / recheck req d_ elevator typeino. running pressure - ov morfip _ropes Z G 6 capacity relief pressure ovemorsw. ' / wrap 20 o speed pressure switch rail marks'�� i undertravel ��Q overtrave! � door pressure / f door open time IL 71 7- 1� l MACHINE ROOM s moke detector _ OK heat detector wishunt trip 6A vent Cit enclosure oh door closer /self locking --w 15K GFCI outlet battery back -up - dedicated car lightilockable disconnect J1�elevator # Y emergency powerltransfer switch O/ lighting PIT bottom limit it switch light/switch /GFI outlet it ladder sump /sump cover sump pump to separator HOISTVVAY top limit CIL counterweights inspection station /stop switch car top light/GFCI outlet car top escape panel /latchin 9 intertockslaux. closers 0 car door restrictor oK hall door retainers O smoke detector -lobby OA moke detector -top of hoistway I heat detector -bp of hoistway � hoistway vent hoistway enclosure pit can °floor numbers iamb plates communication device phase I fire warning signs CAR 0/L alarm /illuminated alarm button — VA - emergency light OC fire instruction signs 0,N, finished floor �!Y_ handrail a hase 11 NOTES 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 2000 lbs Inspector : Bill Gardner LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 6340 W. 38th Ave. 2 CP 3/../01 Krystal Monroe Highland West Apts < Inspection Issue Expiration 6340 W. 38th Ave. Date Date Date Wheat Ridge, CO 80033 2/13/01 4125101 2/1/02 City of Wheat Ridge Building Department 7500 W. 29th Ave. Wheat Ridge, CO 80215 AMSE m wRiv 7wAs l vO" sms wnw YOm YmENr 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 # 25' a Elevator Address: - 3 6340 W. 38th Ave. f Total due: $120.00 City of Wheat Ridge Building Department 7500 W. 29th Ave. Wheat Ridge, CO 80215 City of Wheat Ridge Building Department 7500 W. 29th Ave. Wheat Ridge, CO 80215 PLEASE REMRII( MIS I1VVOXE SMO WrM YOUR PAMENT Thank You City of Wheat Ridge 7500 W. 29th Ave. Wheat Ridge, CO 80215 (303) 235 -2855 Please call if you have any questions Property /Elevator Location # 25 \ 1 Elevator Address: 6340 -W. 38th Ave. Total due $120.00 City of Wheat Ridge Building Department 7500 W. 29th Ave. Wheat Ridge, CO 80215 BUILDING DEPARTMENT (303) 235 -2855 CITY OF WHEAT RIDGE Correction Notice Job Located at have this day inspected this structureand -these - premises and ` have found the following violations of City and/or State laws gov- erning same: You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. Date U!GA wt ` Inspector for Building Dept. DO NOT REMOVE THIS TAG FORM WR6 -22 J 71 cb u s1� zJ L C� � r J Correction Notice Job Located at U t I have this day inspected this- struett�� y ' p —drnd°#hese premises and have found the following violations of City and/or State laws gov- erning same: You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. Date for Building Dept. I DO NOT REMOVE THIS TAG .FORM WR6.22 BUILDING DEPARTMENT (303) 235 -2855 CITY OF WHEAT RIDGE Correction Notice Job Located at o CX g s have this day inspected this structure and these premises and have found the following violations of City and/or State laws gov- erning same:n 1 4 Jc)cl 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 WRO -22 . Correction Notice Job Located at 41346 t4�" a� r., 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: e ' You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. Date In for Building Dept. ' DO NOT REMOV6THIS TAG FORM WR6 -22 BUILDING DEPARTMENT (303) 135 -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 You are hereby notified to, correct the foregoing violations. When corrections have been made, call for inspection. DO NOT REI OVE 'FORM WR6.22 THIS TAG for Building Dept. 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 2000 lbs. Inspector: Randy Pabst LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 6340 W. 38th Avenue ONE CID 4/7/1999 Krystal Monroe Highland West Ap Inspection Issue Expiration 6340 W. 38th Avenue Date Date Date Wheat Ridge, CO 80033 2/17/00 2/28/00 2/28/01 Krystal Monroe Highland West A p 6340 W. 38th Avenue 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 2000 lbs. Inspector: Randy Pabst LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 6340 W. 38th Avenue TWO CID 4/711999 Krystal Monroe Highland West Inspection Issue Expiration 6340 W. 38th Avenue Date Date Date Wheat Ridge, CO 80033 2/16/00 2/28/00 2/28/01 Krystal Monroe Highland West 6340 W. 38th Avenue Wheat Ridge, CO 80033 25 I I i 2 ELEVATORS -I DOVER ELEVATOR CO {{ ❑ ANNUAL TEST 1 5 YEAR TEST SAFETY AND GOVERNOR TEST REPORT DATE ❑ NEW ELEVATOR (FILL OUT SEPARATE REPORT FOR EACH ELEVATOR) OFFICE n,.3 NAME OF BUILDING - F LOCATION � � &.3 y� ✓ - ,Y ELEVATOR SERIAL NO. G ..Z •7 El y CITY & STATE PY/7� (IF NONE, USE MOTOR OR CONTROL SERIAL NO.) DOVER SERVICE CONTRACT NO. BUILDING ELEVATOR NO. CUSTOMER P. O. NO. JOB NO. MAKE OF ELEVATOR 9 RATED CAR SPEED 21 a F.P.M. RATED CAPACITY LBS. SAFETY MFG. . 0_5 GOVERNOR MFG. z7 - -, g TYPE OF GOVERNOR: FLY BALL FLYWEIGHT TYPE GRIP JAWS: STEEL X BRONZE GOVERNOR ROPE: IRON STEEL 8 x 19 Q 6 x 19 ❑ SIZE (DIA.) ❑ RATED ULTIMAT' STRENGTH CONDITION OF ROPE F✓f i /% CONDITION OF JAWS TYPE OF SAFETY: INSTANT. ❑ WEDGE CLAMPO FLEX. GUIDE ❑ OTHER (TYPE) CONDITION 1z)= CONTACT ON: GOVERNOR 19 RELEASING CARRIER 5d SAFET ❑ RATED CAP. OF SAFETY /'(aL�W # CONDITION OF SAFETY DRUM ROPE SIZE INSTRUCTIONS: *ANNUAL TEST — OMIT ITEM (3- 4- 6- 18- 19 -20) * *5 YEAR TEST —COMPLETE ALL ITEMS EXCEPT 20 To Comply with ANSI /ASME A17.1 Code Section 205, 206, 207, 208, 209, 1002, & 1003. ,(1) Governor & safety free of excessive lubrication, lint and dirt Yes gl No ❑ (2) Hand test made of safety & governor to insure all bearing and rubbing surfaces, including rope grip -jaws operate freely as intended (3) Force required to pull rope through governor jaws. 1 (Must be less than 20% of Rated Ultimate Strength.) (4) Force required to pull governor rope from the release carrier. (Can be no more than 60% of pull- through force.) (5) Car safety operated by tripping governor by hand with car operating at Slowest possible speed in down direction, no load 9 *(6) Safety checked and tested with rated cap. /2 lbs. evenly distributed over platform area, (Gov. & safety switch made inoperative) rope grip -jaws tripped by hand at rated speed 2 � d or over speed Switch trip spd. 2 g F.P.M. Ja w t rip spd :7,,-Pd _ F.P.M' (7) Did the car stop level: Yes Rr No ❑ How much out of level D.B.G. ,S (Max. 3/8" per ft.) (8) Length of cable pulled off the drum -V y . Number of turns of cable left on the drum E (9) Governor and safety reset safety drum rewound evenly: )Z __Y Safety jaw clearance (10) Indicate the length of the mark on the guide rails made by the safety jaws in inches: Left rail �_� inches. Right rail -, inches. (11) Rails inspected and filed where necessary. Yes ® No ❑ (12) Was it necessary to readjust the governor. Yes ❑ No 9 ! (13) Condition of governor rope after test =�-�° (14) Governor adjustments sealed and tagged and Release Carrier tagged: Yes rg No ❑ Was the test satisfactory: Yes � No ❑ If not explain. (15) Normal and Final Terminal stopping devices tested 0. (16) Standby (Emergency) Power Operations tested (with 125% of Rated Load on Acceptance and 5 Year Tests) W1 (17) Power Door System tested: Torque -2 9' _# Kinetic _� ft.# *(18) Brake tested with 125% of Rated Load Z 5-i7a *(19) Emergency Terminal Speed Limiting Devices tested R1 * *(20) (Acceptance Test Only) Rule 207 shall lower, stop and hold the car at it's lowest terminal with 125% of Rated Loa 1. /(/ 7 4 F/Ic SF>Z/i•Gr /1�. Representatives of t Insurance Com�y; City or State Inspector or Owner, present at test MECHANIC'S SIGNATURE l SUPT. SIGNATURE Copy of this report given to customer: Yes ❑ No ❑ CUSTOMER'S SIGNATURE ELEVATORS !' DOVER ELEVATOR COMPANY '❑ ANNUALTEST - 91 5 YEAR TEST SAFETY AND GOVERNOR TEST REPORT ❑ NEW ELEVATOR (FILL OUT SEPARATE REPORT FOR EACH ELEVATOR) DATE 1 ,2 y OFFICE 1 ,P3y NAME OF BUILDING Hiy /� LOCATION ELEVATOR SERIAL NO. G — Z <5 5 CITY &STATE h (IF NONE, USE MOTOR OR CONTROL SERIAL NO.) DOVER SERVICE CONTRACT NO. B 3'Y /^ BUILDING ELEVATOR NO. Z CUSTOMER P. O. NO. JOB NO. MAKE OF ELEVATOR ///I RATED CAR SPEED _ A 67e F.P.M. RATED CAPACITY LBS. SAFETY MFG. Del k�,r .E 2 GOVERNOR MFG. OO Y'F�c TYPE OF GOVERNOR: FLY BALL FLYWEIGH TYPE GRIP JAWS: STEEL _ X BRONZE GOVERNOR ROPE: IRON � STEEL _ 8 x 19 El 6 x 19 El SIZE (DIA.) k.' ❑ RATED ULTIMATE STRENGTH CONDITION OF ROPE �� /� CONDITION OF JAWS _ Cyr 7 /�� TYPE OF SAFETY: INSTANT. ❑ WEDGE CLAMP W FLEX. GUIDE ❑ OTHER (TYPE) CONDITION _ Gr O.O — CONTACT ON: GOVERNOR CY RELEASING CARRIER V SAFETY ❑ RATED CAP. OF SAFETY $� # CONDITION OF SAFETY DRUM ROPE 4:62 SIZE INSTRUCTIONS: *ANNUAL TEST — OMIT ITEM (3- 4- 6- 18- 19 -20) * 5 YEAR TEST —COMPLETE ALL ITEMS EXCEPT 20 To Comply with ANSI /ASME A17.1 Code Section 205, 206, 207, 208, 209, 1002, & 1003. (1) Governor & safety free of excessive lubrication, lint and dirt Yes IN No ❑ (2) Hand test made of safety & governor to insure all bearing and rubbingg surfaces, including rope grip -jaws operate freely as intended (3) Force required to pull rope through governor jaws. �64'.�` (Must be less than 20% of Rated Ultimate Strength) (4) Force required to pull governor rope from the release carrier. -43e5 (Can be no more than 60% of pull- through force.) (5) Car safety operated by tripping governor by hand with car operating at slowest possible speed in down direction, no load '(6) Safety checked and tested with rated cap. lbs. evenly distributed over platform area, (Gov. & safety switch made inoperative) rope grip -jaws tripped by hand at mted s eed 2 /J� or over speed ---�- , Switch trip spd 3 � F.P.M. Jaw trip sK F.P.M. (7) Did the car stop level: Yes ❑ No 9 How much out of level %y D.B.G. S (Max. 3/8" per ft.) (8) Length of cable pulled off the drum tw /� . Number of turns of cable left on the drum (9) Governor and safety reset, safety drum rewound evenly: Td1 Safety jaw clearance (10) Indicate the length of the mark on the guide rails made by the safety jaws in inches: Left rail ? a inches. Right rail /4 inches. It 1) Rails inspected and filed where necessary. Yes K No ❑ (12) Was it necessary to readjust the governor. Yes ❑ No El (13) Condition of governor rope after test Fil i ",C (14) Governor adjustments sealed and tagged and Release Carrier tagged: Yes IN No ❑ Was the test satisfactory:. Yes gr No ❑ If not explain. (15) Normal and Final Terminal stopping devices tested IN (16) Standby (Emergency) Power Operations tested (with 125% of Rated Load on Acceptance and 5 Year Tests) (17) Power Door System tested: Torque .3 !P # Kinetic �_ # *(18) Brake tested with 125% of Rated Load i ��� *(19) Emergency Terminal Speed Limiting Devices tested 9 * *(2 (Acceptance Test Only) Rule 207 shall lower, stop and hold the car at it's lowest terminal with 125% of Rated Load./{ Reprmpan y, City or State Inspector or Owner, present at test: l esefilatives of the Insurance Co v MECHANIC'S SIGNATURE SUPT. Copy of this report givto customer. Yes ❑ No ❑ CUSTOMER'S SIGNATURE ELEVATORS DOVER ELEVATOR COMPANY p ANNUAL TEST SAFETY AND GOVERNOR TEST REPORT / b 5 YEAR TEST DATE ❑ NEW ELEVATOR (FILL OUT SEPARATE REPORT FOR EACH ELEVATOR) OFFICE t NAME OF BUILDING �h s LOCATION , 0 La � � A ✓� ELEVATOR SERIAL NO. -- / aO 4! CITY & STATE jp a - (� 4 e, (IF NONE, USE MOTOR OR CONTROL SERIAL NO.) DOVER SERVICE CONTRACT NO. � 1 -f (� R 7/1 BUILDING ELEVATOR NO. - / CUSTOMER P. O. N0. JOB NO. MAKE OF ELEVAT R� (f�} �I N.h RATED CAR SPEED OU F.P.M. RATED C PACITY LBS. SAFETYMFG. +EKi / � - � GOVERNORMFG. D1ze./ TYPE OF GOVERNOR: FLY BALL FLYWEIGHT TYPE GRIP JAWS: STEEL BRONZE GOVERNOR ROPE: IRON TEEL 8 x 19 �6 x 19 El SIZE (DIN El RATE'D I LTIMATE STRENGTH CONDITION OF ROPE �� /7 CONDITION O JAWS 4 erg TYPE OF SAFETY: INSTANT. ❑ WEDGE CLAMP [�/ FLEX. GUIDE ❑ OTHER (TYPE) CON TION r_ d./ CONTACT ON: GOVERNOR❑" RELEASING CARRIER SAFETY El RATED CAP. OF SAFETY If CONDITION OF SAFETY DRUM ROPE C- . SIZE INSTRUCTIONS: *ANNUAL TEST — OMIT ITEM (3- 4- 6- 18- 19 -20) * *5 YEAR TEST —COMPLETE ALL ITEMS EXCEPT 20 To Comply with ANSI /ASME A17.1 Code Section 205, 206, 207, 208, 209, 1002, & 1003. (1) Governor & safety free of excessive lubrication, lint and dirt Yes YV No ❑ (2) Hand test made of safety & governor to insure all bearing and robing surfaces, including rope grip -jaws operate freely as intended ©'� (3) Force required to pull rope through governor jaws. (Must be less than 20% of Rated Ultimate Strength) (4) Force required to pull governor rope from the release carrier. Al (Can be no more than 60% of pull - through force.) (5) Car safety operated by tripping governor by hand with car operating at slowest possible speed in down direction, no load O *(6) Safety checked and tested with rated cap. ZZA _ Ibs evenly distributed over platform area, (Gov. & safptyy switch made inoperative) rope grip -jaws tripped by hand a rated speed / or over s Switch trip spd. F.P.M. Jaw hip ,A� F.P.M. (7) Did the car stop level: Yes No El How much out of level . 4� D.B.G. 4 (Max. 3/8" per ft.) (8) Length of cable pulled off the drum _9 // . Number of turns of cable left on the drum (9) Governor and safety reset, safety drum rewound evenly: L 1° Safety jaw clearance (10) Indicate the length of the mark on the guide rails made by the safe - ry jaws in inches: Left rail Al A inches. Right ail" Finches. (11) Rails inspected and filed where necessary Yes Lw No El (12) Was it necessary to readjust the governor. Yes ❑ / No L0' - (13) Condition of governor rope after test � .d l (14) Governor adjustments sealed and gigged and Release Carrier tagged: Yes No El Was the test satisfactory: Yes fJ' No ❑ If not, explain. (15) Normal and Final Terminal stopping devices tested ET (16) Standby (Emergency) Power Operations' tested (with 125°/% of Rated Load on Acceptance and 5 Year Tests) ❑ (17) Power Door System tested: Torque Kinetic -) ft. # *(18) Brake tested with 125% of Rated Load *(19) Emergency Terminal Speed Limiting Devices tested ❑ * *(20) (Acceptance Test Only) Rule 207 shall lower, stop and hold the car at it's lowest terminal with 125% of Rated Load. Representatives of the Insurance Company, City or State Inspector or Owner, present at test: MECHANIC'S SIGNATURE '°%/ %O lI/ , a -4.4 / , ///� S{J'pT. SIGNATURE Copy of this report given to customer: Yes ❑ No ❑ CUSTOMER'S SIGNATURE DG -as -GS ELEVATORS DOVER ELEVATOR COMPANY 0 ANNUAL TEST SAFETY AND GOVERNOR TEST REPORT 'El 5 YEAR TEST DATET ❑ NEW ELEVATOR (FILL OUT SEPARATE REPORT FOR EACH ELEVATOR) OFFICE NAME OF BUILDING LOCATION eAU YTJ Lv NO r:ITV ELEVATOR SERIAL (IF NONE, USE MOTOR OR CONTROL SERIAL NO.) DOVER SERVICE CONTRACT fI� 9_ f BUILDING ELEVATOR NO.. r CUSTOMER P. O. NO. JOB NO. "MAKE OF ELEVATO L,�!) / _ RATED CAR SPEED e 2 F.P.M. RATED CAPACITY 1026 LBS, SAFETY MFG. g l GOVERNOR MFG. TYPE OF GOVERNOR: FLY BALL FLYWEIGHT TYPE GRIP JAr: STEEL •f' 1 - - ' BRONZE GOVERNOR ROPE: IRON STEEL 8 x 19p 6 x 19 ❑ SIZE (DIA.) _1- 11 ED LTIMATE STRENGTH CONDITION OF ROPE CONDITION OF JAWS �i4 TYPE OF SAFETY: INSTANT. El CLAMP E GUIDE ❑ OTHER (TYPE) CONDITION :/ CONTACT ON: GOVERNOR RELEASING CARRIER E3 $AFETY ❑ RATED CAP. OF SAFETY # CONDITION OF SAFETY DRUM ROPE — f> 4 SIZE INSTRUCTIONS: *ANNUAL TEST — OMIT ITEM (3- 4- 6- 18- 19 -20) * *5 YEAR TEST -- COMPLETE ALL ITEMS EXCEPT 20 To Comply with ANSI /ASME A771 Code Section 205, 206, 207, 208, 209, 1002, & 1003. (1) Governor & safety free of excessive lubrication, lint and dirt Yes fir No ❑ (2) Hand test made of safety & governor to insure all bearing and rubbing surfaces, including rope grip -jaws operate freely as intended ®'" (3) Force required to pull rope through governor jaws. 14 (Must be less than 20% of Rated Ultimate Strength) , ., (4) Force required to pull governor rope from the release carrier. (Can be no more than 60% of pull-through force.) (5) Car safety operated by tripping governor by hand with car operating at Slowest possible speed in down direction, no load ED *(6) Safety checked and tested with rated cap. Al — lbs. evenly distributed over platform area (Gov. & safety switch made inoperative) rope grip -jaws tripped by hand at rated speed 4� 4 or over speed 414 Switch trip spd. .-, < A , f F.P.M. aaw trip spd �/,2;� ERM. (7) Did the car stop level: Yes u No ❑ H much out of level D.B.G. � (Max. 3/8" per ft) (8) Length of cable pulled off the drum �� D r Number of turns of cable left on the drum (9) Governor and safety reset, safety drum rewound evenly: Safety jaw clearance !� (10) Indicate the length of the mark on the guide rails ma; by t e safety jaws in inches: Left rail Inches. Right rail inches (11) Rails inspected and filed where necessary. Yes ® No ❑ (12) Was it necessary to readjust the governor. Yes ❑ No Q (13) Condition of governor rope after test 14 Governor adjustments sealed and g t 1Y No ❑ I ( ) t9 j [� ged and Release Carrier tagged: Yes , Was the test satisfactory: Yes No ❑ If not explain. (15) Normal and Final Terminal stopping devices tested [3 (16) Standby (Emergency) Power Operations tested (with 125% of Rated Load on Acceptance and 5 Year Tests) ❑ (17) Power Door System tested: Torqu Kinetic —� ft # *(18) Brake tested with 125% of Rated Load �� *(19) Emergency Terminal Speed Limiting Devices tested ❑ - * *(20) (Acceptance Test Only) Rule 207 shall lower, stop and hold the car at it's lowest terminal with 125% of Rated Load. Representatives of the Insurance Company, City or State Inspector or Owner, present at test: MECHANIC'S SIGNATURE " e n / f / 'ry UPT SIGNATURE Copy of this report given to customer: Yes ❑ No ❑ CUSTOMER'S SIGNATURE Ire hereby notified to correct the foregoing violations. rrections have been made, call for inspection. V Inspector for Building Dept. DO NOT REMOVE THIS TAG ORM WRO -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 2000 lbs. Inspector: Randy Pabst LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 6340 W. 38th Avenue ONE CID 417/99 Krystal Monroe Highland West Ap 6340 W. 38th Avenue Wheat Ridge, CO 80033 Inspection Date Issue Date Expiration Date 2/4/99 318199 1131/2000 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 2000 lbs. Inspector: Randy Pabst SAFETY LOCATION ID NUMBER TYPE INSPECTION DATE 6340 W. 38th Avenue TWO CP 4/7199 Krystal Monroe Highland West 6340 W. 38th Avenue Wheat Ridge, CO 80033 Inspection Issue Expiration Date Date Date 2/4/99 318/99 1/31/2000 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 carry2000 lbs. Inspector: Jack Bultman LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 6340 W. 38th Avenue ONE CP 4/7/99 Krystal Monroe Highland West Ap Inspection Issue Expiration 6340 W. 38thAvenue ......._._ Date Date Date Wheat Ridge, CO 80033 1/30/98 219/98 1/28/99 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 2000lbs. Inspector: Jack Bultman LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 6340 W. 38th Avenue TWO CID 4/7/99 Krystal Monroe Highland West Inspection Issue Expiration 6340 W. 38th Avenue Date Date Date Wheat Ridge, CO 80033 1/30/98 2/9/98 1/28/99 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 2000 lbs. Inspector: Jack Bultman LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 6340 W. 38th Avenue ONE CID 417/99 Jerry Monroe - Highlands West Apt Inspection Issue Expiration 6340 W. 38th Avenue Date Date Date Wheat Ridge, CO 80033 1/28/97 3114/97 1/28/98 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 2000 lbs. Inspector: Jack Bultman LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 6340 W. 38th Avenue TWO CID 4/7/99 Jerry Monroe - Highland West Apts Inspection Issue Expiration 6340 W. 38th Avenue Date Date Date Wheat Ridge, CO 80033 1/28/97 3/14/97 1/31/98 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 2000 lbs. Inspector: Jack Bultman LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE 6340 W. 38th Avenue ONE CID 4/7/99 Jerry Monroe - Highlands West Apt 6340 W. 38th Avenue Wheat Ridge, CO 80033 Inspection Date Issue Date Expiration "+ Date 3/26/96 3/28/96 3/31/97 21 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 2000 lbs. Inspector: Jack Bultman LOCATION ID NUMBER TYPE SAFETY INSPECTION DATE ' 6340 W. 38th Avenue TWO CID 4/7/99 Jerry Monroe - Highland West Apts Inspection Issue Expiration 6340 W. 38th Avenue Date Date Date Wheat Ridge, CO 80033 3/26/96 3/28/96 3/31/97 (gertifirate of a nover 4 wkd Vie, eob BUILDING DEPARTMEN This is to certify that the Elevator has been inspected on the date shown below and was founc InspeMOr L.DGATIDN ID NUMI 3 0 W. 38th Avenue #1 [— Highland .West Apartments c/o Jerry Monroe 3/20/95 6340 W. 38th Avenue DATE Wheat Ridge, CO 80033 OF INSPECTION Ter#ificate of � Jnspa 4 wkAt Vie BUILDING DEPARTMEh This is to certify that the Elevator has been inspected on the date shown below and was fount 'Inspector LOCATION ID NUM — 6340 W. 38th Avenue #2 I Highland West Apartments c/o Jerry Monroe 3/20/95 6340 W. 38th Avenue DATE L Wheat Ridge, CO 80033 of INSPECTION ` %Le r#i f irate of ns PC#io ' „136L6ING DEPARTMENT:` This is to certify that the Elevator as has been inspected on the`date shown below and was`f6und'sa1 t� Inspector LOCATION ID, 6340 W. 38th Avenue i€1 Highland West Apartments 6340'W. 38th Avenue �� 3Jl'6 %9ft� Wheat Ridge, 'CO 80033 DATE OF INSPECTION "'"'a '^'.`" "awl nN.s`. '"" ° 'Mw .mm '"uaIX - �a.'o �ilav''" "' "A'b X4'0`' '�w mm. +Ga• c" OEM Cller#ifirate of 4 nspiertwi Citq o� TGllceat � dye, Cole 6 IWING DEPARTMENT This is to certify that the { - gevat °r * as has been inspected on they- -date shown below and was fquncl sal . s Inspector I.00AT10Rf ID�NLQNQER 6340 W. 38th Avenue F Monroe-Highland St Rgts 6340 11. 38th Avenue Wheat Ridge, 00 80033 3/16f94 DATE '! l OF INSPECTION %Tatifivaztr of ;4JUSPrrho �p xx/ / /�/� � /G� r Y v�VIY W.�'41M BUILDING DEPARTMENT —t This is to certify that the `.,41evator \ L x 1 11 has been inspected on th , t'dake shown below ' �f an was s Inspector I�OCATIdN — - 4[f �NilM ER p 6340 Vd. 38tH Ae Hue C,rat i - i " F 3 F West Apartmests y 7T c/o Jerry Monroe �; 3, /2£ 6340 W. 38th avenue Wheat Ridge, CO 80033 ' F�` �. OF INSSPECTION I / f i �9 3 0 I G' F I� ( of ( �nspettio "B&1 =CUING DEPARTMENT, ". :, r This is to certify that the '&3evatoi as has been inspected on the«d�te shown below arir�'YV`as fpund "saf Inspector x Highlands Nest Apartme C/O Jerry Monroe 6340 W. 38th AVenue DdrE L Wheat Ridge, C0 80033 OF INSPECTION LOCATION- _ = fD 6340 W. 38th Avenue . U>'t 2 y Highlands Nest Apartme C/O Jerry Monroe 6340 W. 38th AVenue DdrE L Wheat Ridge, C0 80033 OF INSPECTION gat irate of ; Jnspatia Cit.�j ©� l�lheat �idye, �ri�OUu "BUILDING DEPARTMENT,, This is to certify that the ` 1 ," A. OR 1 as has been inspected on the, date shown below and was'found saf Inspector z- tt;r Aior =°oe ID'NUNISER 16340 W. 38 �Lvvarme . 6340 W, 38th A allue lih !U'd 80033 DATE L OF INSPECTION LOCATION ID'NUNISER 16340 W. 38 �Lvvarme �3 W,, tT - Ave , Le AT E GATE L OF INSPECTION LOCATION vIrdifira a of ;lInsprdiv .Jp NUMBER 6.940 W. '���� o Wheat midge, Colo�ac BUILDING DEPARTMENT .w This is to certify that the " - /h�, as }�' has been inspected on the date shown below and was found "safi - ` s . l G� _ /, ,- � l d q" � �3 W,, tT - Ave , Le AT E GATE L OF INSPECTION LOCATION - - .Jp NUMBER 6.940 W. 38th Avenue, Urtit �3 W,, tT - Ave , Le AT E GATE L OF INSPECTION %urdifirate of IJusyrditi City o�° G�lhea� 'ridge, Colouu ,"BUILDING DEPARTMENT This is to certify that the a 'vUrr.� as' has been inspected on the Aate� shown below and was found saf Inspector n � W. 38 -Ii v Ule k2 ad$: Ridg CO 80033 DATE L OF INSPECTION F LOCATION ,, ID NUMBER (11rdifirate of ;Irce-per#ia o� �Ikeat "C�ilo�cu BUILDING DEPARTMENT This is to certify that the U V as has been inspected on the date shown below and was found safi Inspector %a cur F - LOCATION - ' ID NUMBER L 63401. 33Lt t i,•h , . Z(_ US'k.:: =Iu, H ighland :,rest App t en 5 6340 W. 38tT? Avenu C ! Mea t Ridge, CO 80033 � C3 ,p DATE L . OF INSPECTION ,. _• _ "_ (�er#if i�tt #r of �In��ec#i� 'M ' DEPARTMENT This is to certify that the fir, 'r, = `as' has been inspected on the'date shown below and was found:saf Inspector rJ;J' % LOCATION ID NVNIBER . ghl a-1' e5 w h al. ftea� x a CC; i'f :i_�"3 ' DATE ' OF INSPECTION Q- 1m ifictt #e of �lnsJs>'c#io Gray o� ��lye, Colo BUILDING DEPARTMENT`' This is to certify that the ,.` CL 3A XYR' ,as has been inspected on the date shown below and was fAUncl saf inspector t ,. 4 LOCATION ID NUY1gER . E = 3Yd . L2s�.. »L p twee i t t. 63 s7 38th C u Esc 9 ' b,..e_al x z !r._� uJ g 00 ' ' DATE OF INSPECTION cg. � J 'K —_