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3400 Lutheran Parkway
From: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION General Date: Wednesday, June 1, 2022 3:02:57 PM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION General This application is exclusively for Scopes of Work that do not already have a specific form. YOU MUST ATTACH AN ELECTRONIC PAYMENT FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Is the property Commercial Residential or Commercial? Property Address 3400 N Lutheran Pkwy Property Owner Name 6111011 Property Owner Phone 303-467-4080 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email trende@myrgroup.com Address Attach City of Wheat Credit Card Ddf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTACT INFORMATION Submitting General Sturgeon Electric Contractor or Architect Contractor's License 018567 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contract Phone 7203576627 Number (enter WITH dashes, eg 303-123- 4567) Contact Email Address trende@myrgroup.com Retype Contact Email trende@myrgroup.com Address Check the appropriate Electrical boxes if the following work is involved in the project. Electrical Contractor Name Electrical Contractor License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Sturgeon Electric 018567 Are there any No ADDITIONAL Sub Contractors associated with this project? DESCRIPTION OF WORK Detailed Scope of Work - Provide a detailed description of work including mechanical, electrical, plumbing work occurring, adding/removing walls, etc. Install new breaker and Load Bank for generator Square footage of 10 scope of work Location of work Basement of hospital (backyard, on roof, etc) Project Value (contract 12,000 value or cost of ALL materials and labor) Upload Engineer letter Field not completed. Upload Asbestos Field not completed. Report if triggler level is met per CDPHE regulation. Upload Drawings Elec Drawinas-sealed.odf Upload Additional ASCO 4100 Load bank Data Sheet ndf Drawings Upload Additional Field not completed. Drawings Upload Additional Field not completed. Drawings SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Kevin Chenoweth Pe rm it Email not displaying correctly? View it in your browser. i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address:' t Permit Number: AWL- rte_ ❑ No one available for inspection: Time '`"-` 'AM/PM x Re -Inspection required: Yes No 4 When corrections are complete, schodD-lere-inspection online. � d f � Dat - Inspect o r%n wNn-e- Mrw,1A-%1ir— -rINIP% A10%-1Pff0%r City of Wheat Ridge Commercial Electric PERMIT - 202000628 PERMIT NO: 202000628 ISSUED: 04/06/2020 JOB ADDRESS: 3400 Lutheran Pkwy EXPIRES: 04/06/2021 JOB DESCRIPTION: Replace existing circuit breaker with new 400 amp breaker with 250 amp trip unit; install new portable generator docking station; replace existing 600 amp with new 400 amp circuit with 250 amp trip unit in main distribution panel; Run feeder and install new ATS; extend 120v power from generator battery charger to tap box accessory power Location: West Pines - Electrical Basement Room *** CONTACTS *** OWNER (303)263-8421 EXEMPLA INC GC (303)295-2511 M.A. MORTENSON, JR 018817 M. A. MORTENSON COMPANY SUB (303)286-8000 DIANA LYNCH - LICENSE HOLDER 018567 STURGEON ELECTRIC CO. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 1 / Commr Vacant BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 96,070.00 FEES Total Valuation 0.00 Plan Review Fee 720.14 Use Tax 2,017.47 Permit Fee 1,107.90 ** TOTAL ** 3,845.51 *** COMMENTS *** *** CONDITIONS *** A printed copy of the permit and city stamped on-site plans must be available on-site for the first inspection. Work must comply with the 2017 NEC, 2012 IBC and other applicable codes and ordinances. Work is subject to field inspection. City of Wheat Ridge Commercial Electric PERMIT - 202000628 PERMIT NO: 202000628 ISSUED: 04/06/2020 JOB ADDRESS: 3400 Lutheran Pkwy EXPIRES: 04/06/2021 JOB DESCRIPTION: Replace existing circuit breaker with new 400 amp breaker with 250 amp trip unit; install new portable generator docking station; replace existing 600 amp with new 400 amp circuit with 250 amp trip unit in main distribution panel; Run feeder and install new ATS; extend 120v power from generator battery charger to tap box accessory power Location: West Pines - Electrical Basement Room I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that Ian legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City Whent 04/O6/2U2O of Ridge D1/O6/2O2O 09:52 CDBA »cplace existinn cir 04022559 AMOUNT 8PSP 34U0 Lutheran Pkwy 25017.47 APPL/PEKMIT N0; 2O200062O Use Tnx Only PAYMENT KECEIVEU AMOUNT PP / 3119 AUTH CUE, 734894?2 2,017.47 TOTAL 2.017.47 09:54 CD8A CDA022560 AMOUNT 8PSP 3400 Lutheran Pkwy 1, 107,90, APPL/PERNlT N0h 202000628 Permit Fn. Only PAYMENT RECEIVED AMOUNT PP / 3119 1,107.9O AUTH CUE: 73489593 TOTAL 1,107.90 ____________________ Online Form Submittal: Commercial Interior Remodel/Tenant....... https://wrmail.ci.wheatridge.co.us/owa/#viewmodel=ReadMessage... Online Form Submittal: Commercial Interior Remodel/Tenant Finish no-reply@ci.wheatridge.co.us Mon 3/30/2020 1:49 PM To:CommDev Permits <Permits@ci.wheatridge.co.us>; Categories: Plan Review Needed; Kim Commercial Interior Remodel/Tenant Finish This application is exclusively for COMMERCIAL TENANT FINISH/INTERIOR REMODEL YOU MUST ATTACH A VALID ELECTRONIC PAYMENT FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address 3400 N Lutheran Pkwy Dan Le 303-946-5795 dan.le@fticonsulting.com Attach Electronic Payment Electronic Payment Form_202003161614204628.pdf Form - **DO NOT ATTACH RANDOM DOCUMENTS** CONTRACTOR INFORMATION Contractor Business Name Mortenson Wheat Ridge Contractor's 018817 License Number (This is a 5 or 6 digit number for the City of 3 04/06/2020,10:02 AM Online Form Submittal: Commercial Interior Remodel/Tenant....... of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address Retype Contractor Email Address DESCRIPTION OF WORK 6786508676 https://wnnail.ci.wheatridge. co.us/owa/#viewmodel=ReadMessage... ola.asonibare@mortenson.com ola.asonibare@mortenson.com Detailed Scope of Work - Replace existing circuit breaker with new 400A breaker with Provide a detailed 250A trip unit. Install new portable generator docking station description of work including and replace existing 600A with new 400A circuit breaker with mechanical, electrical, 250A trip unit in main distribution panel. Install new new ATS to plumbing work occurring, replace old unit and run necessary feeder to power new ATS. adding/removing walls, etc Lastly, extend 120V power from generator battery charger to Tap box accessory power Location of Work West Pines - Electrical Basement Room Square Footage Area of Work Being Performed Proof of Submission to Fire Department Asbestos Report - if applicable Construction Plans scanned on 11 "x1 T' or larger Project Value (contract value or cost of ALL materials and labor) 3000 Approved -Plan Review - Other.msg Field not completed. West Pines Tapbox.pdf $96,070 SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility Yes for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work may Yes not begin on this property 2 of 3 04/06/2020, 10:02 AM Online Form Submittal: Commercial Interior Remodel/Tenant....... until a permit has been issued and posted on the property. I certify that I have been authorized by the legal owner of the property to submit this application and to perform the work described above. Person Applying for Permit I attest that everything stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Yes Ola Asonibare Yes https: //wnnail.ci.wheatridge. co.us/owa/#viewmodel=ReadMessage... Email not displaying correctly? View it in your browser. 3 of 3 04/06/2020,10:02 AM i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION.NOTICE y 1 g- inspection Type: Ll 0 S- �,�r, 0 1 Mee n n, f Job Address: a Li o o L -U- e -n r. � Permit Number: -2 0 1'A 0 2 9 Q -7 AIf .',l_4, d:,k ❑ No one available for inspection: Time 8 = S-17 AM PM Re -Inspection required: es No When corrections have been made, call for re -inspection at 303-234-5933 Date: o Inspector: --rh DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office ® (303) 237-8929 Fax INSPECTTIION rO�ICE 1f I Fc� Inspection Type: ILS- r`na,t Job Address: 3�l DO v Fran Pk w,j Permit Number: 0 a R -SL 7 n a lY1 e A pp ❑ No one available for inspection: Time q = O t PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: —7—:N DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: jo � -` "- 'i1 ? Job Address: 3 'V00 L Permit Number:?/', `4, e ❑ No one available for inspecti Time L33() AM/PM Re -Inspection required: YesNo *When corrections have been made, ca711 r re -inspection at 303-234-5933 Date:_o/n Inspector: F` d DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Z_ t1P6fci/9 Permit Number: / (1 ❑ No one available for inspection: Time )' AM/PM Re -Inspection required: Yes �No// When corrections have been made, call for re -inspection at at 303-234-5933 Date: �� Inspector: /�� T/� b0 NOT REMOVE THIS NOTICE City of Wheat Ridge Commercial Mechanica PERMIT - 201802927 PERMIT INTO: 201802927 ISSUED: 11/16/2018 JOB ADDRESS: 3400 Lutheran Pkwy EXPIRES: 11/16/2019 JOB DESCRIPTION: Mechanical Room -Replacing an existing water heater and boiler. Replacing existing flues with new ones. 600 sq.ft., 2000 M13H/3400GBH(water heater) 3000MBH/21000GBH (boiler) *** CONTACTS *** OWNER (303)263-8421 SCL HEALTH GC (303)295-2511 M.A. Mortenson, Jr 018817 M. A. Mortenson Company SUB (303)286-8000 Diana Lynch - License Holder 018567 Sturgeon Electric Co. SUB (303)288-4546 Apollo Mechanical 150125 Apollo Mechanical Contractors SUB (303)288-4546 Apollo Mechanical 150125 Apollo Mechanical Contractors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 1 / Commr Vacant BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 303,639.00 FEES Total Valuation 0.00 Plan Review Fee 1,591.10 Use Tax 6,376.42 Permit Fee 2,447.85 ** TOTAL ** 10,415.37 *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes, 2017 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. Work is subject to field inspections. City of Wheat Ridge Commercial Mechanica PERMIT - 201802927 PERMIT NO: 201802927 ISSUED: 11/16/2018 JOB ADDRESS: 3400 Lutheran Pkwy EXPIRES: 11/16/2019 JOB DESCRIPTION: Mechanical Room -Replacing an existing water heater and boiler. Replacing existing flues with new ones. 600 sq.ft., 2000 MBH/3400GBH(water heater) 3000MBH/21000GBH (boiler) I by my signature do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Sigh Lure of OWNER o CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po plans and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of an manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or, ordinance oVregulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. " ` City of ]r�"�'WheatP' idge COMMUNin DEVELOPMENT " Building & Inspection Services 7500 W. 291h Ave., Wheat Ridge, CO 80033 rac Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 we Email: permitspci.wheatridge.co.us FOR OFFICEUfSE ONLY Date: ' Plan/Permit #0 �� Plan Review Fee: Building Permit Application Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 3400 N Lutheran Parkway, Wheat Ridge, CO 80033 Property Owner (please print): Travis Burggraf Phone: 303-263-8421 Property Owner Email: Travis.Burggraf@fticonsulting.com Tenant Name (Commercial Projects Only) SCL Health - West Pines Behavioral Health Property Owner Mailing Address: (if different than property address) Address: City, State, Zi Architect/Engineer: Cator Ruma & Associates - Willie Womack Architect/Engineer E-mail: WWomackCcatorruma.com Contractor Name: Mortenson City of Wheat Ridge License #: 018817 Contractor E-mail Address: Josh.Tracy@mortenson.com For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Joshua Tracy CONTACT EMAIL(p/ease print): Josh.Tracy@mortenson.com Phone: 303-232-6200 Phone: 720-548-1446 hone: 720-548-1446 Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Sturgeon Electric NMI Plumbing: Apollo MechaniFal Mechanical: Apollo Mechanical W.R. City License # State: EC.00000003 W.R. City License # 150125 W.R. City License # 150125 Master: ME.0028713 Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields. COMMERCIAL ❑ RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. Replacing an existing water heater and boiler, and replacing existing flues with new. Sq. FULF 600 Heater = 2000 MBH BTUS Bailer = 3000 MBH Heater = 3400 GPH Gallons Boiler = 21000 GPH Amps Squares For Solar: KIN # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: 1-2 Construction Type: _ Occupancy Load: Square Footage: 600 Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 303,639 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any pen -nit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the infonnation provided on the application. CIRCLE ONE. (OWNER)R <E�Dll or (AUTHORIZED EPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): �`` ~l/ DATE: 5 -Nov -2018 Printed Name: Joshua Tracy (/ C ZONING COMMMENTS: Reviewer: BUILDING DEPAR MENT COMM NTS: Reviewer: Anl� 11 li r? PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: 114` City of J' Wh6atps, COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM Project Address: 3 *0 ti • �-u �.rg;l fk,-,y permit #:492IV General Contractor: �►vl+-eKso Electrical Contractor Company Name:_ State License #: EEC . 00oo003 Signature of�prized Agent Phone #: 303-2Y16-1000 Master #: rt . 00'� 1713 Date Plumbing Contractor I Company Name.. o (!o ► l"�n� t State License #:. coo it 36 When e License #: I o (L S Signature of A&horized Agent Phone # : 303- 'i05 - 13 i 1 Master #: M P_ 00179 y;3 Date Mechanical Contractor Company Name: PhnnQ• _401- Hob- SSI Signature of Au #: 1501.)5 Agent Date *This application must be signed by each sub -contractor confirming the same. 0110OZ7 ' rar. x%h Josh Tracy LE—1 From: NoReply@mobile-eyes.com Sent: Thursday, 1 November, 2018 3:43 PM To: Josh Tracy Subject: Permit application accepted - West Metro Fire Protection District Your permit request for West Pines Behavioral Health at 3400 Lutheran Parkway Wheat Ridge, CO 80033 has been accepted. The Job Number is: 181101004 Description: Replacing an existing water heater and boiler, and replacing existing flues with new. Thank you for submitting to West Metro Fire. Our typical review turnaround is approximately 2 weeks. If additional information is required, you'll receive a notice from the reviewer assigned, or a no -reply notice from Mobile Eyes. Please be sure to check your junk folder if you feel you are not receiving the Mobile Eyes notices and select "Not Junk". NOTE: Re -submissions shall only include the pages that are affected and additional pages that may be required for the needed corrections. Re -submission of full sets, unless specifically requested, shall result in the rejection of plans. i CITY OF WHEAT RIDGE y Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPE'cTItol ON NOTICE Inspection Type: t I J( F l -�-a� Job Address: Li o 1_ v �) c r, P k i•-` / Permit Number: (zD.,o ) (::) cl L! "r % ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re-inspection at 303-234-5933 Date: i�� l (- / j inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: .50 (c, t, - Job Address: 3 r .w o L Permit Number: Q_- 0; -:4 r ❑ No one available for inspection: Time A /PM Re -Inspection requi4cYee No When corrections have been made, call for re -inspection at 303-234-5933 Date: ' ) f J /! 6 Inspector: ) a DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division -w (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: � - Job Address: 4 D Q) 1_ u+) , a r ._,� AJC ►�, + j Permit Number: i 3Q9 y ❑ No one available for inspection: Time S A_/PM Re -Inspection required: Ye No When corrections have been made, call for re -inspection at 303-234-5933 Date: J i Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: C) 9y 9`4- ❑ No one available for inspection: Time/�/PM Re -Inspection require QYes No When corrections have been made, call for re -inspection at 303-234-5933 Date: Qt) D'4 i % Inspector AaL- J cLk�,,_ V DO NOT REMOVE THIS NOTICE 'u t3 City of Wheat Ridge -�� Commercial Roofing PERMIT - 201709497 PERMIT NO: 201709497 ISSUED: 12/08/2017 JOB ADDRESS: 3400 Lutheran PKWY EXPIRES: 12/08/2018 JOB DESCRIPTION: Commercial re -roof remove and replace using TruDefinition Duration Storm Asphalt Shingles with 22.5sq. Area 84 West Pines. Corrugated PVC roof replacement Area 85 West Pines with 32 sq Concrete tile roof replacement Area 83 West Pines 736sq (see spec sheets) Total 790.05squares. Pitch=4/12. *** CONTACTS *** OWNER (303)425-8685 EXEMPLA INC SUB (303)678-7828 Chris Cain 021770 Roof Check Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 1 / Commr Vacant BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 620,312.00 FEES Total Valuation 0.00 Use Tax 13,026.55 Permit Fee 4,377.55 ** TOTAL ** 17,404.10 *** COMMENTS *** *** CONDITIONS *** In order to pass a final inspection on commercial elastomeric or similar type roofing, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and Mid -roof inspections may be called in at the same time, 100 percent of the sheathing must be complete and 25-75 percent of the midroof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. City of Wheat Ridge Commercial Roofing PERMIT - 201709497 PERMIT NO: 201709497 ISSUED: 12/08/2017 JOB ADDRESS: 3400 Lutheran PKWY EXPIRES: 12/08/2018 JOB DESCRIPTION: Commercial re -roof remove and replace using TruDefinition Duration Storm Asphalt Shingles with 22.5sq. Area 84 West Pines. Corrugated PVC roof replacement Area 85 West Pines with 32 sq Concrete tile roof replacement Area 83 West Pines 736sq (see spec sheets) Total 790.05squares. Pitch=4/12. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applica le building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermIt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued base on t e m ormation provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original ermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Budding Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official ? Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of � Wheat�i`dge C©MMUN[TY DEVELOPMENT Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(cDci.wheatridge.co.us FOR OFFICE USE ONLY Date: J %- I?/17 Plan/Permit # � ( 7 Plan Review Fee: / Building Permit Application -- *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 3400 Lutheran Parkway Wheat Ridge, CO 80033 Property Owner (please print): Exempla Inc/ SCL Health Phone: (303) 425-8685 Property Owner Email: N/A Mailing Address: (if different than property address) Address: 8300 W 38th Avenue City, State, Zip: Wheat Ridge, CO 80033 Arch itect/Engineer: Architect/Engineer E-mail: Contractor: Roof Check Inc. Contractors City License M 021770 Phone: Phone: (303) 678-7828 Contractor E-mail Address: Chelsey@roof-check.com/ Ben@roof-check.com Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form [COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Shingle roof replacement on the following areas: Area 84 - West Pines (225 SF) Corregated PVC roof replacement on the following areas: Area 85 - West Pines (320 SF) Concrete tile roof replacement on the following areas: 40k ` ' Area 83 - West Pines (73600 SF) Sq. Ft./LF Amps Btu's Gallons Squares l C, -J Other Project V)alluRe: (Conytract value or the cost of all materials and labor included in the entire project) I A rn�, ill OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOOR)� or AUTHORIZED REPRE ENTATIVE) of (OWNER) ONTRA TOR) Electronic Signature (first and last name): (�� 141 d DATE: 11/20/2017 ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ �sL '4qL, VVEST PINE PSYCHIATRIC HOSPITAL A WATER PIPING M A •A WHEAT RIDGE, A � � TESTING omplete PO BOX 27706 a ADJUSTING ec i DENVER, CO. TABB CERTIFIED V# FAX 303-972.7 SYSTEM BALANCING PHONE 303-948-5429 Amu w Anthony 5truble Inc, TASGSUpemw ssesxsxs December 31, 2015 WAGE 11053 TESTING compizm P.O. BOX 27706 ADJUSTING =H"M DENVER, CO. 80227 SYSTEM BALANCING EALANCING, INC. FAX 303-972-7453 TABB CERTIFIED D PHO 303-948-5429 w w s PR ECT WEST PINES PSYCHIATRIC HOSPrrAL-HEATING WATER PIPING REPLACEMENT LOCATION y EAT RIDGE, CO Cr i'. C l MECHANICAL ENGINEER CATOR, RUMA & ASSOCIATES, CO. SHEETMETAL CONTRACTOR HAYNES MECHANICAL BALANCING CREW C. IT A.STRUBLE DATE APRIL 2015 INSTRUMENTS USED FLOW MOOD ALNOR / SHORTRIDGE ANEMOMETER DAVIS TYPE LCA 6000 SPEED INDICATOR BIDDLE TYPE 9915 AMMETER / VOLTMETER AMPROBE TYPE DIGITAL INCLINED DRAFr GAGE DVMR 0- 0.25** -0.50", " MAGNEHELIC GAGE 0-0.50" 0-1.C)" 0-:.0" 0-4.0" 0-8.0" PRESSURE GAGE -341--+30 PSI 0-60 PSI C)- 100 PSI ------- PRESSURE GAGE DIFFERENTIAL CO 9-5C}*" 0-100" 300" 500- 0-100' PYROMETER QR THERMOMETERS FLUKE TYPE 52 -------- MICROMANOMETER ALNOR, TYPE 530 z II++IIII''II�� IIYY ,"u�J,.nwa.tiw.J:,..ww�.Ws� Y" Y � " :. I ie M1." xI PROJECT # FLOW HOOD CORRECT --1 •• R AREA (K FAI • x. STATIC PRESSURE Mi CORRECTION 1M •: RECORDED EM PRESSURE U' READINGS w i .RE MEASURED CORRECTED VEIA)CITY JOB: WEST PINES HEAnNG WA R PIPING P CEME NE OR Q'D OF FUNCTION UNTrNO. MAIN GPM GPM REQD, REMARKSPAGE HOTWrR FCAD ITHRU 10 19.5 18,02 92 ADN41N BIDG 6 HOT VVIR MAD 4 THUR 9 17.9 16.5 92 AMEN BLDG 6 HOTWrR FCG-1 THRU -G 1 34 31.55 93 ADMIN BLDG + HOTWFR FCE 1 THRU 5 26.9 24.613 92 ADAM&EDBLDG HOTWrR FCH 1 THRU 89.1 81,93 92 ADWN&ED BLDG H -G2 THRU FCU 22.6 21.06 93 ADWN&ED BLDG 7 HOTWrR FCB -1 THRU FCB -19 618.3 83 92 SPRUCE BLDG 8 HOTWrR FCA. -1 THRU FCA, -13 6&3 +63.3 93 CEDAR G 348.6 319.99 92 Complete Page 11053-2 MechantcalDate 44 -I4 -I BaLandng, inc. Contrac, Bal :.J.. EQUIPMENT DATA A) PROJECT WEST PINES HEATING WATER. PIPING REPLACEMENT UNIT . HES - PUMP I PLAN LOC. SER.NONONE GIVEN RATING 250 GPM r, RPM DIRECT MAL RPMDIRECT DRIVE 8) MOTOR BALDOR HP. 10 RATED '0 lorninglow .► VOLTS 208 ! 460 INITIAL AMPS 215TRATED AMPS 28.2-26/13 AMPS NONE FDLALAWS THERMAL, DI3B(3) f TING 13,0-15.1 m _, -, __.w._., MP. RATING _.�.THERMALS__ A OTHER .FSA ♦ n IN/OUT.........,.�....... Kla DIST, ..... .. _.. DRIVE CHANGE ELT CHANGE EY FILTERS _ IN I ��..�.. _ IN. OUT IN. DROP IM HEAT COIL IN IN OUT IN. DROP IN, .COOL COIL ININ C; IN. DROP IN. FAN IN IN OUT IN RISE G PUMP I1 I7.Q PSI G Q PSI ITE 43 PSI 9933 DEAD HEAD IN PSI OUT PSI MSE PSI Fr H) REMARKS .............�...�...._._.,...m.�..�. �...........,.,.,,�......e.._..BOT .m PUMPS RUNNING .......«.......«:....-.�..—M_..,...a....,._ .«,.��.�.....�...,w..�..........e.. �..4.m..e......�.,,w_ .-vx»+w-......M..a,.........,«..,.,,..,�......--..�..�......,.,..ray......... AREA= SQ. FTx FINAL: FPM= CFM Complete Page 110-... Mechanical Date 04-14-15 Balancing, Inc. Ccs Balance:J.C. EQUWMENT DATA A) PROJECT PINES HEATiNG WATER PIPING REPLACEMENT UNIT NO. HES-PUMP2 PLAN MAKE OR PUMPS MODEL*,.. IN i YY MOT. ADJ. IN/OUT CL. DIST. DRIVE CHANGE BELT CHANGE IN 10 1 =Volly IN. OUT IN. DROP IN. IN. OUT IN. DROP IN. COOL COIL IN IN. OUT IN. DROP IN. IN OUT IN, RISE S �....,.,.,...m_...�.....,_a.�--,—�..e.,.,...,�.M....§.,'.,�..j�...«.......m__.,.�........ PUMP IN 17.0 PSI OUT 59.0 PSI RISE 42 PSI 97.02 FT DEAD HEAD IN PSI OUT RISE PSI Fr K-REMARKS BOTH PUMPS .! RUNNING AREA=M CFM .,. .dS. FPM= CFM 7WE NONE GIVEN PH. 3 RATED SPEED 1760 *.! SF. 1. 15 RATED« .• INI711ALAMPS 12.8-12.6-12.6 FR. 215T RATED AMPS « • ' • «! •r 12.8-12.6-12.6 GENERAL THERMALS C163B(3) (EXIST) AMP. RATING 13.0-15.1 THERMALS#'D) AMP. RA71NG OTHER IN i YY MOT. ADJ. IN/OUT CL. DIST. DRIVE CHANGE BELT CHANGE IN 10 1 =Volly IN. OUT IN. DROP IN. IN. OUT IN. DROP IN. COOL COIL IN IN. OUT IN. DROP IN. IN OUT IN, RISE S �....,.,.,...m_...�.....,_a.�--,—�..e.,.,...,�.M....§.,'.,�..j�...«.......m__.,.�........ PUMP IN 17.0 PSI OUT 59.0 PSI RISE 42 PSI 97.02 FT DEAD HEAD IN PSI OUT RISE PSI Fr K-REMARKS BOTH PUMPS .! RUNNING AREA=M CFM .,. .dS. FPM= CFM w• l;il 1► PINES HEAIING WATER PIPING « AURORAEPIACEMENT HES - PUMPI. PLAN LOC. MAKE PUMPS NO, !! gToTiTaIlKil Page 11053-4 Date oi�;-15 u PROJECTXW DRIVEMOT. ADJ. IN/OUT CL. DIST, , FILTERS IN IN. OUT IN.. DROP IN. HEAT COIL IN IN. OUT IN. DROP IN. COOL COIL IN IN. OUT IN DROP IN. y � # G) IN 16O PSI OUT 55.0 PSI RISE 39 PSI 90-09 Fr DEAD HEAD IN PSI OUT RISE PSI FT REMARKS ONLY « RUNNING A « • �.:� :111. # �. # R �. # : #.♦ � �. i # DRIVEMOT. ADJ. IN/OUT CL. DIST, , FILTERS IN IN. OUT IN.. DROP IN. HEAT COIL IN IN. OUT IN. DROP IN. COOL COIL IN IN. OUT IN DROP IN. y � # G) IN 16O PSI OUT 55.0 PSI RISE 39 PSI 90-09 Fr DEAD HEAD IN PSI OUT RISE PSI FT REMARKS ONLY « RUNNING A Page ! Date 04-14-15 Inc. EQUIPMENT DATA, A)PROJECT WEST PINES HEATING WATER PIPING REPLACEMENr �l MAKE AURORAPUMPS MODEL , ,. NONE GIVEN RATING iGPM 0 * .* DIRECTI)RIVE MAL RPM DIRECT DRIVE C • R HP. 10 *> <; TYPE NONE GWEN PH. RATED (L/L) 477-477-480 SF. 1. 15 VOLTSMEAS.VOLTS RATED is ! . ,t INITIAL AMPS 14.8-14.3-14.4 FR. 215T RATED AMPS 28.2-26/13 i► 282-283 S F AMPS NONE GIVEN FINAL AMPS 14.8-14.3-14.4 RM THERMALS C 16 ( , RATING 13.0-15.1 THERMALS OTHER • MOT. ADJ. IN/OUT CL,. DI DRIVE CHA,NGE BELT CHANGE E) FILTERS IN IN. O IN. DROP IN, HEAT COIL IN __... ��....INa �..DROP N. _..�... IN. OUT nu PUMP IN 18.0 PSI OUT 56.0 DEAD : r.... PSI OUT • RISE *P.. I IT REMARKS t * ► * Ak. UNNING r � * COMPLETE BALANCING,MECHANICAL x PAGE 11053-6 DATE i3-20-15 IM B; HOT PROJECT WEST PINES LOCA"ON ADMIN BLDG SYSTR WATER __�....FLOW t BY-PASS _ FINAL STATION MMR SIZE PD 1N GPM PI) 11` GPM % Pik IN GPI % FCAD 1 FLOWSET 050H 48.44 2.4 42.00 1.87 94 2 FLOWSET 050H 148.04 3.4 94.00 2.84 93 050H 292.00 4.9 247.00 4.51 92 8 FLOWSET 050H 198.40 4.1 157.40 3.65 89 1000/6 OPEN 14 FLOWSET 05011 91.44 5.5 w.._ .. 81w00 5.19 94 TOTAL 19..5 18.02 92 4 FLOWSET 075H 108.00 6..0 92.00 5 54 92 5 FLOWSET 050H 86.00 2.7 74.04 2.54 93 6 FLOWSET 050H 192.04 4.4 163.00 3.68 92 7 FLOWSET FLOWS 050H 108.00 3.4 92.00 2.77 92 9 FLOWSET 050H WOO 2.2 48.00 2.00 91 1000/6 OPEN 17.9 16.54 92 G-1 FLOWSET 050H 48.00 2.0 43.00 1.89 95 04-2 FLOWSET FLOWS 050H 192.00 4.0 166.44 3.72 93 µ _ . AH-CANF .75H 264.44 9.4 221.04 8.67 92 1 % OPEN Ali-Gl FLOWSET 125 138.00 18.6 119.00 17.27 93 TOTAL_. ._.... ..... _ .. 34.0 t 31.5+5 93 REMARKS COMPLETE ' MECHANICAL old t,C. BALANCING, l�iT�tli ♦ 4 &�! k! � ap PAGE 11053-' DA -13-15 CONT. HAYNES & HOT' PROJECT'ADMIN I LOCATION EDUCATION BLDG SYSTE. WATER—— FLOW REQD RA71NG BY-PASS FINAL REMARKS STATION hWMR SIZE PIS IN CPM PIS? IN GPM 0% PIS IN GPM % E I FLOWSET 1"` 51.00 6.2 44.00 5.76 93 2 FLOWSET 050H 276.00 4.8 235.00.4 3 F" W8 I ft 40.00 5*5 31.00 4.84 88 1000/0 OPEN FLOWSET 050H 276.00 4.8 234.00 4.42 92 5 1'" 42.00 5.6 36.00 5,18 93 26.9 24,63 92 H 1 F`LOWSET 100 48 6.00 43.00 5.68 95 _E FLOWSET 100 305 15.20 238.00 13.43 88 /6 OPEN -DR FLOWSET 125 280 26.30 242.00 24.45 93 _. PC F`i U" sET 150 295 41.60 261 8 9 ` .._ 89.1 ASI -G2 FLOWSET' 125 138.00 18.6 120.00 17.34 93 U FLOWSET 050H 192.00 4.0 166.00 3.72 93 BREEZEWAY TOTAL22.6 21.06 93 COMPLETE MECHANICAL BALANCING, PAGEd • MK DATE CONT. HAYNES BAL. �` i, � is � s. � �' e. •. ': COMPLETE MECHANICAL BALANCING, INC. HCI'r PROJECT WEST PINES A71ON CEDAR BLDG SYSTE, WATER FLOW '1) "1"11 01 BY-PASS /!e."�.'.'.'w�pSIZE RD» IN GPM PDT GPM % PD IN GP % F' A.-1 FLAW ET 050H 69 2.4 56.00 2.16 90 1000/6 OPEN FCA -2 FLOWSEr 050H 139 3.4 119.00 3.1.5 93 A-3 FLOWSFLOWSET 050H 48 2.0 43.00 1..69 95 A-15 FLOWSET 050H 101 2.0 65.00 1.83 92 Fr -A-17 FLOWSET 075H 116 6.3 102-00 5.86 93 FCA -4 FLOWSET 050H 69 2.4 56.00 2.16 90 1 OPEN FCA -5 FLOWSET 050H 139 3.4 121 .00 3.17 93 A-6 FLOWSET 050H 48 2,0 41.00 1.85 92 FCA -16 FLOWSET FLOWS 050H 192 2.0 166.00 1.86 9 FCA -19 FLOWSET 075H 118 6.3 102.00 5.86 93 FCA -7 FLOWSET 0500 69 2.4 55.00 2. 14 89 1000/6 OPEN A- F WS 050H 139 3.4 119.00 3.15 93 PTA -9 FLOWSEr 050H 48 2.0 43.00 1.89 95 FCA -14 �` 050H _.__,.. _..48` _. 2.9 »»». 43.00 _0m... 2.74 95 _ .. . F" C;A-20 FLOW8ET` 0 ' 5 ».... ..._ ..,118 6.3 105..00 5 94 94 `CA -10 FLOWSET 050H 139 3.4 119.00 3 15 9 F'CA- FLOWSET 050H 139 3.4 120.00 3.16 93 A- 12 FLOWSET 050H 48 2.0 42.00 » 1.87 94 A-13 FLOWSET 050H48 4.0 39.00 3.61 1 % OPEN aT FCA- FLOWSET FLOWS 075H 118 6.3 102.00 5.86 93 TOTAL 68.3 63.:30 93 REMARKS City of CommuNrry DE'NELOPMENT Building Permit Application (Complete iff highlighted areas) Property Address: Property Owner (please print) Date: 1 1 -- P ra # "k I u t 0 1 ( , Address- ;�3 oo v F. Ls��012�� Mechanical: City License # City License # City License #lz/0.7 (Fully describe work to be performed - Attach additional sheet If neces... reopLao,44—; $_7a0KW__ Review Fee (due at tifne of submittal)- Squares BTU's Gallons .— Amps Sq Ft, DVjfA*=W kT01 jMA 0 S' C, Transr To: I < t' I I Engineering Solutions Since 1959 . ....... ..... .. Technofoov x Amhas:�cta iint d inhfinn Page of Pages PROJECT PRINTS PROJECT REPRODUCIBLES SPECIFICATIONS j EQUIPMENT INFORMATION ELECTRONIC DATA FOR YOUR USE AS REQUESTED L3 FOR REVIEW AND COMMENT j OTHER Copies Dated Description � Copies to: Cater, Ruma & Associates, Co. 896 Tabor Street - Lakewood, Colorado 804014700 4 #303,23M200 420 W, Uncoinway - Cheyenne, Wvoming 82001 1, 307.274,3830 vvwwcalm runmmm Oct,28, 2014 4:57PM WHEAT RIDGE FIRE PROTECTION No,3086 P, 1 ' 0rWfi6titR@ge CITY OF WHEAT RIME BULDMO AND INSIMMON SUVICES DIVISM 7500 W 29th Ave Wheat Ridge, CO 90033-8001 p 303,235,2855.f 303137.9929 mmm�� ►e 1111� Prqect Ty/Description: E "M 33M= u m Agency Notes: C �=� o Wheat Ridge Sanitation District o Clear Creek Sanitation Distnet • Frultdale Sanitation District o Westddge Sanitation District • Other Oct, 28. 2014 4:58PM WHEAT RIDE FIRE PROTECTION No. 3086 P, Kyle McLear "Projett Engineer Englewood, CO .0 Kyle. McLeer kle lt>ccm Comm Ce 3400 Lutheran Pkwy WRFD FIRE WATCH FORM.p f WRFD FIRE WATCH extra #cog pdf, Pages from 2012 JFC.pdf Brooks Kelly Upham Fire Marshal Ridge, Wheat 80033 Oct,M 2014 4: 57PM WHEAT 2 RIDGE w PROTECTION No-3086 P o r wfiiaw4ge affCFWMkTPJWEBUUDWA)DONMTWSSRWUDIVOM »#»2£ Ave mw»6 : »!:R«Jt:lw >« «<»w©x© \m ..:*.. >w 0 « +<« :! w »- ¥, *» a « « »=# m o WMat Ridge «z :» , / \«»ee SonitaWn District . f \w\!\ \ \/ »vf: o ?v,w $Onbtion Mbid « Other r CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office *,(303) 237 -8929 Fax INSPECTION NOTICE Inspection Type _ RLr Job Address Awy Permit Number 4' Y F 3 ❑ No one available for inspection: Time AM4Mp x` Re- Inspection required: Yes �Vo t when corrections have been made, call for inspection at 303- 234 -5933 Date: Inspector: DO NOT REMOVE THIS NOTICE ~ CITY OF WHEAT RIDGE / Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office ` (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: ; iT7 Z Am< 4 91ool Job Address/Permit Number: 3lz 1~73ffQ~ r r s?oynS ❑ No one available for inspection: Time 7YS AM/PM Re-Inspection required: Yes e= When corrections have been made, call for re-inspection at 303-234-5933 Date: O 2 Inspector: / / e DO NOT REMOVE THIS NOTICE r Coll i~ M M 0 ~o Q7 > ON = O M 0*) CO-) M N N N ^ m a) 06- co b M 00 0 4- 0 tlf C a 3 .C d t r+ C O M .4: 0 a N Lo N t w N m 7E m V cc G m O 3 H C O V CL 0 C N v a n, O w a v 0 c L O rm N U c a U U O a H Z w ~ a Q fNA N a `O o C ca w Q:oa>~L no m5c Uopc U m N O W LU U ~ IO- c z o a < - a) t z z w a U) a o a Q a J 0 J a z a c~ o vi CO D F O A W Z » 0. (1) O Y O E z U L J c N J L Z pp N 0 Z N j m g (4 L z g' ' 3 E q~ ~ + c a m 3 L G~ M y- J 0 0 o a ~ C LL g w ~ O Em 0 C ~ y L G a LM U s c 0 ~ ti w a .Y g t~ w ~ a t m w c7 m r $ r 20 t cit a d m lL ~ C m O h W v co O a 2 D m ~ Q UNJ Q Z C LL c E c 0 U N m m 06 r 'a J .a ~ E E 6 g o = U-2 0~ LL O V LL V J Z W a Z V a V r 01 Lj al V Q V X oC W Q 3 F=- O LL N H W d CERTIFICATE OF COMPLETION City of Wheat Ridge 7500 W 29th Ave Wheat Ridge CO 80033 Permit# 080405 Issued: 10/24/08 Stipulations: Spruce building remodel This certificate verifies that the building constructed and/ or the use proposed of the building and/or premises, under the above permit number and on property described below, does comply with the Wheat Ridge Building Code and development standards of the zone district in which it is located and may be occupied. All other licensing requirements for the City must be met. Site Address: 3400 LUTHERAN PKWY Parcel Number: 39-262-00-021 Owner: Exempla Lutheran Med. Ctr. 8300 W. 38th Ave. Wheat Ridge, CO 80033 Contractor: Exempla Lutheran Medical Cente 8300 W. 38th Ave. Wheat Ridge, CO 80033 For the Following Pu Cc Editions f/ 2003 ICC/2005 NEC _ 2003 ICC/2002 NEC 1997 UBC/2002 NEC Sprinklern5yo'tem rpose: Commercial Remodel NO change shall be made in the USE of this building without prior notice and a new Certificate of Completion from the City of Wheat Ridge. Inspector Zoning Administrator IFICATE MUST BE POSTED BY FRONT DOOR OF COMMERCIAL OCCUPANCIES 10/29/08 08:49:45 City of Wheat Ridge Page 1 bp701-1s PERMIT INFORMATION - 080405 mmackey PERMIT INFORMATION: Permit#: 080405 Permit Type: Commercial Remodel Permit Dt: 04/28/2008 Expires: 10/24/2008 LAND PARCEL INFORMATION: Zone Cd: Unassigned Funct Use Unassigned Subdivision: Unassigned Cent Type: Miscellaneous Legal: Address: 3400 LUTHERAN PKWY Parcel Cd: 39-262-00-021 OWNER: Address: 8300 W. 30th Ave. City/St/Zip: Wheat Ridge, CO 80033 DU: 1 Last Zone Dt: Annex Dt: Lot: Block No 0 SetBacks-Front: 0.0 Left: 0.0 Right: 0.0 Back: 0.0 SOB DESCRIPTION: Remodel - Spuce bldg ® Westpines. FEES QTY DUE PAID: Permit Fee 389,000.00 3,301.31 3,381.31 Plan Review Fee .00 2,199.85 2,197.85 Total Valuation 389,000.00 .00 .00 Use Tax 387,000.00 61966.00 6,966.00 12,545.16 12,545.16 CONTACTS. owner Exempla Lutheran Med. Ctr. 8300 W. 30th Ave. Wheat Ridge, CO 80033 3034258219 go CL1 Exempla Lutheran Medical Cente 6300 W. 38th Ave. Wheat Ridge, CO 80033 3034252103 sub CLA AND ELECTRIC INC. Kevin M. Desloover 6705 SAULSBURY STREET ARVADA, CO 80003 3036905690 sub CL8 Meridian Plumbing & Heating Cc Michael L. Soliday 8858 W. 65th Avenue Arvada, CO 80004 3034315538 PARCEL INFORMATION: 20 Year Built 0 PERMIT CONDITIONS: APPROVALS: REQUIRED INSPECTIONS STATUS: PERMIT NOTES: 04/28/08 CREATED FROM APPL# 08-0105 04/28/08 SS-Approved with red-line notes sublect to field approval/inspection INSPECTION INFORMATION: # TYPE CONTR# CALLED CNCL WHO FRO DT INS IT STATUS 1 pug: Pl umbing Underground 01-8046 07/02/08 no cci 07/03/00 07/03/08 COMPLETE 2 EUG: Electrical Undergrd. 02-1025 07/09/08 no my 07/10/06 09/10/06 COMPLETE 3 fra: Framing Inspection 07/09/08 no Be 09/10/08 07/10/08 PARTIAL 4 eri: Electrical Rough Ins 02-1025 07/23/08 no my 07/24/00 07/24/08 COMPLETE 5 dws: Drywall screw/nail 07/24/08 no kc 07/25/06 07/25/08 PARTIAL 6 fra: Framing Inspection 07/24/08 no kc 07/25/08 07/25/08 COMPLETE 7 rof: ROaf Inspection 07/24/08 yes kc 07/25/00 07/25/08 6 eri: Electrical Rough Ins 07/25/08 no he 07/25/00 07/25/08 COMPLETE 9 pri: Plumbing Rough Insp. 01-8048 07/28/08 no kc 07/29/00 07/29/08 COMPLETE 10 dws: Drywall screw/nail 07/29/08 no kc 07/30/08 07/30/08 COMPLETE 10/27/08 08:47:45 City of Wheat Ridge page 2 bp701-15 PERMIT INFORMATION - 080405 mmackey 11 EFI: Electrical Final Ins 02-1025 10/10/08 no MV 10/10/08 10/10/08 INCOMPLETE 12 EFI: Electrical Final Ins 02-1025 10/13/06 no MV 10/14/08 10/14/08 COMPLETE 13 PFI: EUilding Final Insp 02-0961 10/17/08 no KC 10/20/08 10/20/08 INCOMPLETE 14 pfi: Plumbing Final Insp 10/20/00 no kc 10/20/08 10/20/08 INCOMPLETE 15 HFI: EUilding Final Insp 02-0961 10/23/08 no KC 10/24/08 10/24/08 COMPLETE ♦~~4' ~ CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office ' (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: Furl A.lal z- /3L~5e - Job Address/Permit Number:.3%pv kY.Afrd.a[7~v~ okoYeS Z/ vv telne rz, .ih'ffJrrt/z.~ ,tin `a/ F 4- r/sYr .~fB9'c~A'tF,Q ! d~ SFb,✓£k SAQLys av`r ~i~ S7{,~F,4 SrQ// - .sJa 7~fT d .4?9f~ S6fm+iE~ Elfd771F,C,[/S ,I8o7Fa'raiy-.? 9'r7 - ❑ No one available for inspection: Time ? /a AM/PM Re-Inspection required: C ceis~:) fVo When corrections have been made, call for re-inspection at 303-2345933 Date: o D 61 Inspector DO NOT REMOVE THIS NOTICE ~ CITY OF WHEAT RIDGE ~ Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office ' (303) 235-2857 Fax _ INSPECTION NOTICE Inspection Type: Job Address/Permit Number: 3t~17~ z,// ~i,rJ G' y ❑ No one available for inspection: Re-Inspection required: Yes /IIN When corrections have been made; ca Date: Inspector: _ DO NOT REMOVE AM/PM re-inspection at 303-234-5933 CITY OF WHEAT RIDGE Building Inspection Division l// (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: Job Address/Permit Number: 3 /42 37 _s Z' 9 , ❑ No one available for inspection: Time AM/PM Re-Inspection required: (es ~10 11 `When corrections have beemmdo, call for re-inspection at 303-2345933 Date:- Ay Inspector: i DO NOT REMOVE THIS N TICE 4 .~,4, CITY OF WHEAT RIDGE Building Inspection Division ~ (303) 234-5933 Inspection line (303) 235-2855 Office ` 003) 235-2857 Fax INSPECTION N071CE Inspection Type: ~Y.tyrf. .et.1 . £fLF Job Address/Permit Number: 3yov1"nV.r;,r~ i t ~S.'.RiL - A,F~Ti.4L - ,4lI ~if-7v✓r".~~s/f Lx'C~'t,vT i 1~~1 fG Sr,d~rrhi.l 'i- .~/i~~,DfF Cx.6')7:o:L /~EiLls-✓~ I r 1 I ❑ No one available for inspection: Time li.",,o AM/PM ~ ~ Re-Inspection required: Yes No i ` When corrections have been made, call for re-inspection at 303-234-5933 i i Date: 9 Inspector: DO NOT REMOt/E TH/S NOTlCE ~ z, ~ ~ CITY OF WHEAT RIDGE ~r Building Inspection Division / (303) 234-59331nspection line (303) 235-2855 Office ' (303) 235-2857 Fax INSPECTION NOTICE , Inspection Type: 9/-l' Job Address/PermiR Number: ~V/li,f .16rMA~___/--/7c c~ , i h<r ~s li.l c ~-i - - / c- - C ❑ No one available for inspectio~i:,,Time AM/PM K~ Re-Inspection required: Yes ~lo if Whert corrections have been madali !or re-inspection af 303-234-5933 i Date: Inspector: r ~ DO NOT REMOVEAIS NOTICE ~ CITY OF WHEAT RIDGE Buiiding Inspection Division ~ (303) 234-59331nspection line (303) 235-2855 Ollice ' (303) 235-2857 Fax INSPECTION NOTIGE Inspection Type: _,&,6&F - .~.~~?y-is✓ Job Address/Permit Number: 3YN~V L,~r~~'.ar/~s'(~~~✓ ~ ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No , * When corrections have been made, ca!l lor re-inspection at 303-234-5933 i Date: Inspector: DO NOT REMOVE THIS NOTICE i i CITY OF WHEAT RIDGE i ~ Building Inspection Division 1000 (303) 234-59331nspection line I ! (235-2855 Ollice ' (303) 235-2857 Fax INSPECTION NOTICE 1 Inspection Type: Job Address/Permit Number:3y61J / f~fl7TZ1,o:41 G ~ ~ ❑ No one available for inspecyionL 7h,ne AM/PM Re-Inspection required: Yes No I "When correc[ions have been ma c f yre-inTection at 303-234-5933 Date: Inspector: i i , DO NOT REMOVE TH/ OTICE City of Wheat Ridge / Commercial Remodel PERMIT - 080405 PERMIT NO: 080405 ISSUED: 04/28/2008 JOB ADDRE55: 3400 LUTHERIIN PKWY EXPIRES: DESCRIPTION: Remodel - Spuce bldg ~ Westpines. CONTACTS owner 303/425 -8219 gc 303/425 -2103 sub 303/690 -5690 sub 303/431 5538 PARCEL INFO ZONE CODE: UA SUBDIVISION: UA FEE SUMMARY Permit Fee Plan Review Fee Total Valuation Use Ta:x TOT:AL Exempla Lutheran Med. Ctr. 02-0961 Exempla Lutheran Medical Cente Kevin M. Desloover 02-1025 KMD ELECTRIC INC. Michael L. Soliday 01-8048 Meridian Plumbing & Heating Co USE: UA BLOCK/LOT#: 0/ ESTIMATED PROJECT VALUATION: FEES 3,381.31 2,197.85 ' ~.00 6,966.00 12,545.16 387,000.00 'DHbbr, ~ I hereby certify that the setback dis[ances proposed 5y Chis pexmiG ayplicatijn a__ eccuxate, and do not violate applicable ordinances, rules or regulations of the rity of Wheat Ridge or covenants, easements or restricGions oE record; that all measuremen1ts shown, an3 allegations inade are accurate; that I ha,re read and agree [0 3bide by a11 conditions printed on this applicat'n and that I assume full re p sibility 'or compliance with the Wheat Ridye Building Code ;I B C) >nd all r~[her applica L W at FpdqCrOrdneir ~ ork undez this pPrR.i/y Plmis subject m:ield nspection. l,r J('~'j i7- tra'This p9tmit was issu/d in arrnrdance with the provisions set forth i.n your application an3 is subject to the laws oY the 1'J State nf Colorado and te the Z„ning Regulations and Huilding Codes ot Wheat aidqe, Colerado or any other applicable ordinances of the City 2. This permit she17 espire 18U days from the issue date Requests for an e:;tension vwst be re-eivzd psior to expimtion date An extensien may be grar.tPd ar t}ie 3iscretion of the Building Official 3. If thi:3 permit expires, a new permit nuy be acquired for a fee Qf ooe ha1T the amount normally required, provided no changer have been or will be ivade in the original plans and specificaCione and any suspension or abandonment has not exceeded one il) year If chanpee have Leen or if suspension or aGan3onment exceeds one ~1,, yzar, full fees aha11 be paid for a new permit 4 No worlc oE any manner sha11 be done that will change the nabural flow ef weter rausing a drainage problem. 5- Contractor sha11 nctiEy tLe Bnil9iny Inspector twenty-fous 1291 houxs in ad,iance for all inspec[ions and shail receive written apprwal ou inspection cazd before pxoceedir.g with successive phases of the job. 6 The issuance of a permit or the 3ppxwal of drawinge and speci`icatior..s shnll r;ol be ccnstrued to be a permit fox, nox an approval of, any -inlation of the pro.risiens of the bnilding codes or any eth?r ordinencr, law, rule or regulation. Al1 plan review is sub c to fi?ld inspections Signature of Chi~ng uLLicial date INSPECTION Yd'EQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTu MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLL'JWZNG BUSINESS DAY. F~NEAT,9~ City of Wheat Ridge Building Division Date: 7500 W. 29`h Ave., Wheat Ridge, CO 80033 ,~0 p ~ k' Office: 303-235-2855 * Fax: 303-235-2857 Plan (,i -O/ 0 o Inspection Line: 303-234-5933 Permir#: ~aaa Building Permit Application ProperlyAtldress: Property Owner (please Phone ,_3[`~-3-~?:S Mailing Address: (if di(ferent than property address) Address: City, State, Zip: AJ,[(S>q 7,,,16 ct-:~ contractor: Contractor License Su6 Contractors: Electrical City License #:~'Sa Company:,,e~ Exp. Date: Z1.2,F1L9 Approval: Use of space (description): Description of work: Sq. Ft./L. Ft added: Squares Phone: Plumbing City License Mechanical City License e~lx-rl5 Company Company 4 Exp. Date: Exp. Date: + Approval: Apqcay~ \ Construction Val~/e: S-3~ I (as calculated per th4Building Valuation Dat~t) ~ Plan Review (tlue at time of suDmittal): E,47_i~1 ~ 0 BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby ceAify that the setback distances proposed by this permit application are accurate, antl tlo not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read antl agree to abide by all contlitions printetl on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Cotle (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspectlon. _ CIRLCE ONE:: (OWNER) (CONTRACTOR) or ERSONAL REPRESEN TIVE of (O E`CO I OR) A / _D PRINTNAME:deu4Y.(-' SIGNATURE: ODale: 20NIN6 GOdMENTS: Zoning: ~Reviewer. PUBLIC WORKS COMMEN7S. Reviewer: QEPARTMENT USE ONLY BUILDWGDEPARTMEN7C ~ ~CUPANCY~ Reviewe~='9~~1~` 1~lLElYI~ FIRE-0EPARTMENT:: ❑ ovedw/ comments ❑ disapproved ❑ no review requi~ldg Valuation: $ ~ SPRINKLER SYSTEM PRESSUftE TEST [3 FIRE MAIN PRESSURE TEST L3 HOOD 6 DUCT SUPPRESSION SYSTEM TEST C1 FIRE AT.ARM SYSTEM ACCEPTANCE TEST 13 OTHER LOCAT I ON :..uks % l?,n GS -Cj4" - ICr,*adi (-~5/G7J Aa~fiL~p M~,✓.E.w~ DATE: ,°„!-C9 -3 -Oo REQUESTED BY: CONDUCTED BY: SYSTEM PASSED FAILED Q COMMENTS:~, ,os!cSuh srJ ar ~J 4t/.c. SIGNED:,;~,,o•fi Zf,& ~%~,t~ ~w2r~~~l1 Contractor's Material and Test Certificate for Aboveground Piping PNOCEDUfiE Upon comWetion Of work entl teslS chall ba meAe byihe represeMeW9 anC N'ihieseaA Dy an ovmafs representalrve. AY tlefeCS sheii be end system kn in service beiore convectors GesanW finatly bare ttie joC. A cenificate sliall be lilletl out and signed Ey boM represeMalives. Copies aheil be - tor epprovirq authoritfes; o+rtrera,, erd contractw. I7 is urdaretood Ihe wrnera „ ,'sWe's signanue in ro way Dre1udim5 erry ciaim egeinst wntraclar lor feuMy maleriel. pow workmensNp, or teilure lo compy wM eppoving euMqrilys reQ or lacal orOinances. PROPERTV NAAAE W ES~ P/ N E S vrmreRTVaooAess - -5z 0 0 L u 7`h ER AN P KW Y I ACCEPTEO 8Y APPROVING AUTTIORITIES (NAMES) IADDRESS PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS EWIPMENTUSED ISAPPAOYED IF NO, EXPUIN DEVIATIONS INSTqUCT10NS HAS PERSON IN CHAR6E OF FIRE EWIPMEM BEEN INSTRUCTEDAS TO LOCATION OF CONTROL VALVES AND CARE AND MAIMENANCE OF THIS NEW EOUIPMENT7 IF NO, EXPIAIN I DA,1, Z 1_4yp 0 YES ❑ NO 0 YES 0 NO ❑ YES [:1 NO HAVE COPIES OFTHE FOLIOWING BEEN LEFf ON TME PREMISES? Q YES Q NO 1. SVSTEMCOMPONENTSINSTFUGTIONS ~ YES 0 NO 2. CARE AND MAINTENANCE INSTRUCTIONS O YES ❑ NO 3. NFPA25 ❑ YES F] NO LATION OSYSTEM ISUPPLIES9UIlDINGS EN~/iQ~ DkiLpiN5 SPqINKLEflS MAKE I MODEL I MANUF CTURE ~I~ E I OUANTRY I TEMRPAET NTUPE I I IC'eN'IwdL ISSVH I 1987 I Y1 t I//,S ~ pDDEd 1-ou K k4D7,UNaL J- I IT,ro.oiPive rr,r? s/. ya rype m Fminfls " L, 'y , I AURM DEVICE 1 I I SSP ~4N,4. ac.n7EdLo7'1ERS PIPE AND FITTINGS ALARM VAIVE OH FLOW INDICATOR ~ TVPE ~ MAKE I MODEL I U 4 fv F I~2heaµ4 I w~ H I I I ~ DRY VALVE I MAKE I MODEI ~ SERIALNO. I N/H' I I ORV PIPE TIME TO TRIP OPEHATING TMqOUGH TEST WATER AtR TEST CONNECTIONI PRESSUflE PRESSURE I I MIN I SEC I PSI I PSI I I I I I I I o O.D. ' D I Io i i I I ~ , I IF NO, EXPLAIN MAXIMUM TIME 70 OPERA7E THROVGH TEST CANNECTION MAKE TRIP POINT AIq PRESSUFE PSI ~ MIN I SEC I O- O. D. I MODEL I I I SERIAL NO. TIME WATEF AUitM REACHED OPERATED TEST OUTLET' PROPERLV MIN ~ SEC I ~ ~ YES ~ NO I I i ~ OPERATION O PNEUMA7IC ELECTRIC 0 HVDRAULIC I PIPING SUPERVISED ❑ YES ❑ NO I DEfECTINCa MEDIA SUPERVISED ❑ YES 0 NO DOES VALVE OPERATE FROM TNE MANUAL TRIP, REMOTE. OR BOTM O VES ONO DEIUGE AND STATIONS ppEAc'nON tS'MEiiE 1W ACCESSIBLE FACILRV IN EACH CIRCUIT IF NO, IXPUIN VALVES FOR TESTING 0 VES 0140 OOES EACH CIRCUIt OPERA7E DOES EACH CIRCUR MAXIMUM TIME TO MAK{E MODEL I SUPERVISION LqSSMARM9 I OPERATE VALVE RELEASE~f OPERATE RELEASE N/R I YES I Np I YES I NO I MIN I SEC ~ 8 FLOO~ I MOMAKE& DEL ( SEff1NG I STA71C PRESSURE RESIDUAL PRESSURE I ftOW fiNTE ~ (FLOWING) PRESSURE REDUCINC I nIA I I I V INLETIPSq ~ OUTLEfI~I) INLETfPSI) JOUiLET(PSqI FLOW(GPM) uVE ~ST I ~ ~ ~ I I I I NVDROSTATIC: Hydrostatic tests sheN De mede at not ksa Nan 200 pei (13.8 ban) b 21wun or 50 Psi (3A Ders) sbove atatic pressure in eoccess W 150 Gsi 1102 bers) br 2 Murs. DXkienfiel dry'-PiPe vaM dappars Wietl Oe IeX TEST °P°n du"V tha test b 7reveM dame9a. N ebovegrou^d VTi'q laekage Nmll be atappeA. DESCPoPTION pNEU~: Eeladish 40 Oei (2.7 baB) atr Dressure end meewre Erap. whe Wiell nol aitteed 1Ih P*l (01 baB) in 201auB. Test pras6ure fanka a1 iarmal waler lMl and air pressure arM measure eir prossure dOp, which shaN td,exceed 1'h pst (0.1 Dan) in 24 Mx9. 06L PIPING v~~..n..o •.1TICALLV TESTED AT~YPSI (-BARS) FOR0./~HRS lF N0, STATE HEASOH I~ II' DHY PIPING PNEUMATICALLY 7ESTED✓f*' ❑ VES ❑ NO EOUIPMENT OPERATES PROPERLY lm VES O NO L DOYWCEHTIFYASTHESPRMKLERCOMRACTORTHATADD SANDCORqOSIVECNEMICALS, $ODIUM SILICATE OR DERNATNES OF SODIUM SIUCA IN OTMER wnnwlVE CHEMICALS WERE NOT USED FOR TEStING SYSTEMS OR STOPPI~~~~ d~ o YES o 140 DpAIN READING OF CAUGE IOCATEU NEAN WATER I RESIDWL %iESSURE WRH WLLVE IN TEST ST,$Q~ TEST ISUPPLVTESTCONNECTION:,pSI(_BARS1 CONNECTIONOPENWIOE: _p51(_13ARS) UNDERfiFiOUND MAINS AND LEAD IN CONNEGTIONS TO SVSTEM RISERS FlUSHED BEFOqE ~ CONNECTION IMDE TO SPHINKLER PIPING YERIffED BY CAPY OF THE U FORM NO. 85H OTHERn' ~IN Fl.USHED BY INSTALLER OF UNDER- GROUND SPRINKLER PIPIN6 V~S pp IF POWDER-DRIVEN FASTENERSARE USED IN Q, YE%~NO IF NO, E%PLAIN CpNCRETE, NAS REPRESENTATNE SAMPLE n/ - TESTN6 BEEN SATISFACTORILY COMPIETED? BLANK TESTING NUMBEH U,SED 1 LOCATiONS I NUMBER REMOVEO GASKETS ~ I ~ WELDEDPIPING O YES 0 NO ( 1F YES... DO YOU CERTIfY AS THE SPRINKLER CONfRACTOR THAT WELDING ~rn,..cvJRES COMPiY WfT}4 THE NE(X1IHEMENiS OF AT LEAST O YES ONO AWS D70.9, LEVELAFi-37 WELOINO DO wU CEHTIFV THAT THE WELDING WAS PERFORMED BY WELDERS OWLIFIED IN GOMPLIANCE WRM TNE iiEQU1HEMENTS OF AT LEAS7 Q YES 0 NO AWS D10.9,LEVELM-39 p0 WU CEHTIFY THAT WELDING WAS CMRIED OUT IN COMPLUNCE " WRHApOCUM£NTEDOWLITYCONTROLPROCEWRETOENSUAE O ~ TMATALLDISCSARERETRIEVED,THATOPENINGSINPIPINGARE VES NO $MppTN, T1iAT SLAG AND 07NEH WELDING RESIDUE ME REMOVED, ANDlHATTHE INTERNALDUMETERSOFPIPINOAFENOTPENETMTEDI CUTp(JTg DO YW CER7lFY THAT YOU HAYE A CANTROL FEANRE TO 0 VES ONO (DISCS) ENSURETHATALLCUTOUTS(DISCS)ARERETRIEVED7 r.~..~ o o-~ . MYDRAULIC NAMEpLA'fE pppylDED IF N0, E%PLAIN DATA WWEPUTE ❑ YES ❑ NO I OATELEFTINSERVICEWITHALLGONTROLVALVESOVEN REAURKS NAME OF SPRINKLER CONTRACTOR ~ GuARpNI~.Y FIRF_ PP~pTGLI lON sIGNuTUREs I hsrs wffNessEO ar ~ I Kffl;//ti/, G\~s ' ED) TRLE I FOH SPRINIS~ER (bNTRA~CT{O!R (S NED) ^ TITLE~ nr. Aqprawu ExruwArioN AwoNO17* ~ i c- /J C X ~ f"::l WTE DATE ,A -,23-,q000 ~N 2- 4/G ~ U C7 SPRINKLER SYSTEM PRESSURE TEST [I FIRE MAIN PRESSURE TEST L7 HOOD & DUCT SUPPRESSZON SYSTEM TEST ~ FIRE ALAI2M SYSTEM ACCEPTANCE TEST ~ OTHER LOCATZON: -~y~S~eer~U'~a„rlGVa,r,.,~"~''~te6 ~ _""7 • DATE:_~ REQUESTED BY: CONDUCTED BY.~4,Ljo~~0(',,,1~tpQ, Tt~ (j,~0.`~ I~.ar7~-✓~.cw. SYSTEM PASSED FAILED Q COMMENTS : $lw~{~_~.Pw~...~C SIGNED: • D L,_jZL-_-,. F7LLL.-c,L>p2, rPD . To( Certificate of Completion AND/OR Compliance CITY OF WHEAT RIDGE 7500 W. 29TH AVENUE WHEAT RIDGE, COLORADO 80215 THIS CERTIFICATE VERIFIES THAT TBE PROPERTY DESCRIBED BELOW, DOES COMPLY WITH THE WHEAT RIDGE BUII,DING CODE, ZONING AND OTHER RELATED LAND USE AND DEVELOPMENT LAWS OF THE CITY OF WHEAT RIDGE FOR THE FOLLOWING PURPOSE: 00-10037 Behavioral Health Consolidation - West Pines Cedar Building OWNER: ExemDla Health Care ADDRESS: 3400 Lutheran Parkwav CONTRACTOR: M.A. Mortenson ComDanv_ 1875 Lawrence St. 4600. Denver. CO 80202 PROPERTY ADDRESS: 3400 Lutheran Parkwav DATE ~*71~cw.? CHIEF BUII,DING OFFICIAL / ZONING ADNIINISTRATOR A 1=9 INSPECTIONS WILL NOT BE MADE UNLESS THIS CARD IS POSTED ON THE BUILDING SITE 24 HOURS NOTICE REQUIRED FOR INSPECTIONS WHEAT RIDGE, COLORADO 7500 WEST 29th AVENUE (303) 234-5933 INSPECTION RECORP JOB ADDRESS / ' `u46eR A-41 BUILDING PERMIT N0. Ioo -::krl DATE ISSUED I- ZI' ZL-)00 NPE OCCUPANCY OWNER ~(f Xf rY-) tQIA 6=k/: I -1-,~ CANTRACTOR (lYl 1 ~ rn Xj') l.~ / J SETBACKS FROM PROPERTY L+INiES: NORTH SOUTH EAST WEST I INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB I I INSPECTION I DATE I INSPECTOR I Foundatinns ~ Footings I I I ~ Caissons I ~ I Reinforcing or Monolithic I I ~ Weatherproofing I Concrete Slab Floor: I Electrical (Ground Work) I I I Plumbing (Ground Work) 0L'-1 1/L-4/i.r? I "o,.. I Heating (Ground Work) I ' I L---3 DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED Rough Electrical a~ ~~FFI E~ 21i Ivn " ft I I 7, - z . c ZU Rou h Plumbin ~ 9 9 8 G Air Test Gas Piping I I Rough Heating & Ventilation ~ (above must be signeal prior to iraming inspection) Framing pK- 11-422- Insulation el POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ~ Drywall nailing ~;/,•„rs Z/7 t~ Roofing 1 ~ O Refrigeration Electrical underground P al Electrical ~ Plumbina ~ Heating & Ventilation ~ Frame I R.O.W. & Drainage I Fire Department ~ Parking & Landscaping ~ i`k I 2- 2z._ oa a,ir 1/~zl0a b.lr 1 ~.y~ir± n./~ 2 ~ 253~ir~ a k-, ~/af!-~orJ ~ ~ ~ ~ ~ h g ~ ~ /2 ela~ I Z2 G OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED /Q6 7- PROTECT THIS CARD FROM THE WEATHER f) !C- C 0 72,iu , ; , . a . . . . . , I ~ L . . S : I } ~ i~=~ . ~ ~ ~ . ♦ . ~ = - - - ~ 4/t ~ r•, ww ..,R~ .ow. ~ • i , . ~ --v--,..,~.. ~ ~ ~ , 9 ♦ , ~ t- ..s~ ~ # ~ r c • .1 P ~ • ~ ~r- ~ ! • 4 ~ ; ~ a § i ~ r i \ 0 4 i r 1 • i ~ ~ ~ 4 ~ f a 1; , i• ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ s ~ _ ~ ~ sy _ ~ ~ i r+ ► • ♦ + ♦ ♦ m ♦ • a t o ~s r~ ec cor~s~s e~~~on a~n~ ~a ~n an n~ ~~c~ ~a~ ~~r~~~s a an . . ' 1 ~ex~~ ~n ~m ex ar w~~e ~re o~~mm s~m. t . . ' e e rs w~ e a e o roams fn w~n a e u~ ~n , r~~ e an o ec o ~ c I . . . ~ . . . . "'r~"' emo m~c ~n s wM ~~ns o e~n e cam 4r a ove e en a e+~c ~rrrr t w . ~ room. A/y~ A/~ ~y. ♦ ~y • ~r • ~y ~y A ,/~u • 0 ~r ~y L ~4E VF i IM ~V Y~ ~~~V ~l ~~~V 7iI[ ! f ~i N ~ ~ M/4F~ 1~ ~F 1~ ~ 4F~ ~ne new zone~. . . . vi ces r~~ e re aco e as s own an e r~w~n s. vme ex~s ~n e ~ ~ ♦ i 4 i ♦ i . a~ ~+~na ar~ ra e ar~ s ro e~n w~ e a e o e ex~~ ~ no cco ~on . ~ . a~ance c~rcu~ s a~ s own an e raw~n s, a ~a . • ~ mo u e an ~x ons~vn ower su w~ ~ e o e new zone c a~s _ - _ - _ ~ ~ . ~r+~ o arm an~ o occamm~ a e e new ~n~ ~ n ev~ces. /~y~ f ~f /f~ p M,/I~/~ • /1Iy /I~ y~ }1 y~ /~y~ ~M~r~{~`~(i ~ (~y Y ~Y~ M V M~MY M. M V ~Y 8~ Y l~ M! V ~~M V Y~ MA aM ~ M i ♦ a e ac u ca ac~ . 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A ° i sKS c~~/~s/a~ ~ i At t t s ~ `F i ~~i~i ~w ~ w~r' ~ s~~ ~~~V w V 9 MU N i 3" S2 s or- Zl 5- ann)Lmf go I ~ PROJECT 3114174 4~ 93~4325tJ3 ~ ~ ~ L 577 j 5741 SHFJCT Tt`TlZ: 9 - ~ FLC}OR PLA~ i ~ 4 } TOILET F p t ~ + IG 1 575 1 SHEET M8 ~ OFFICE SIG 2 oo ~ I - ~ ~ N 4 FA-02 of 4 ~ . . ~ .i ~ ~ . . . . . ~ . ~ 4 _ - . ~ J ~f ~ ~ , ~ ~ N~~~~s. ~ _ ~ ~ _ Q~ ~,?~~71~,G; ~ ~ ~ ~ ~ u~u o o a~ ~ _ . _ _ . . . _ . . . . _ _ _ - _ , 1 i ~ ~ ~ 4 1{~ ' ~ . a u, } , ~ ~.r I ~ t t r~ , - ~ ~ R ` . t ~ , ~ L_ t ) ~ ~ ~ ~ . ~J i. _ t i ~ ~ a j [ - < - ~~i Y . ~ ~ S ~ j ~ 4~ ` H- ir~ ' ~ Q ~ y~ .s ~ ~ ~ W CO A _ U ~ C~ ~ O p w ~ r'w'y c~ ( z 4.. i,J f~~ s ~ i.i ( ~ ~ ~ w ~ , 1 1Y/ ~ ~ p' Lii ~ ~ Z L,,, ~ I ~ ~ ~ ~ ~ z t~ d O t z ~ ~ ~ ~ W ~ o ~ QS p Z U ~ ~ N~ t~.. ~L N C7 ~ L ; \ ~ Z V~ t7 C3 C~ C.~ Ca ~ r z ~ ;Z Z ~ U ' _ ~ 1 _ ~ ~ ~ a_~ _ , U U C„~ Z F- ~ Q W X ~ _ ~ LY_ ~ ~ i~- W N ~ 1 r - ~ X d` X W ~ ~ ~ C~ W!.~ N W L~ t~ . . ~ ~ r ~ 1 1 t f LJ ~..~~i" " I I ~ nr+n°r~cv~~ t tv+~ c~nnc~ ~~tn d~ar.~rrD ann~ :,c+~►r~8~~ ec n.~r - _ _ _===r=~r - f~ _ =1 = ~ - • I 4F 1HE NATIONAL F`IRE t. 'R~~'RIATE M~DDE#. BUII.DIIVG N GUIDEL~NES OF TNE a ~ ~ ~ ~ ~ ~ N ~ ~1NNC*1N ~ " D ~ ~+~'t}t'"1 ~NNI'~JNNNNNNN XX?CXXXXXX, ZZ I 1 I I I 1 I I X ~ ~ZZ2'ZZZ~Z~~ZZZZ2 ~ ~~3~~~JN~JNN~ ~ Z C ~ ~ ~ ~ -•i <Ti N £~tt ~*J~*10'~C~iU~U1~P~Pt,~t,~NN ~ ~ t~ 0 ~►DDA~Z~~2; T w ANN I~°1+I+~+I+I+1~1+ ~n Ci Y + I + ~ ~ti ~ ~ ~ • ~ ~ ~ ~ ~ ~ c~ ~ co 0 1 ~ , z - , 0 ~ B~ r x { ; _ ~ ~S3 ~s 0.. _ ~ . ; r r ~ - ~ j t v ~ _ ~ m ~ ~ ~ - I ~ rv ~ r j x x ~ ~ ~ - ~ > + ~ ~t ~ i +I+i1+ ~4QQ~I~Ct3tS~'~Q ~~J~~ t~i?NtVNN.•-.-~.-»~-C~ OU C?U OWC~~UW _ , - ~l 1 ' -}-C~t13U}U)UIU3inU?il1Z~ZZUZ~U~:~`U!-QfY ~ ~U ~ ~ Q ~ ~ u i ~ ~ + I t~ c~ Z _i F-~ 1-- ~ ~ C~ U tL W t,~.~ t~ 4<t i i li ~ d a m~-~ c~ m a, i ~ . ; . .l. 1. . ~ ~ ~ ~ Lt I ~ i ~ U p f - f r" ~ _ _ ; F cn ~C OG ~ F-- U aC t.~ 0 U i 1 f _ • ~ ~ J ~ { f i ~ ~ Z~-- ~ d ~ ~ W~REI~OtD N0. 57445 ~Nf~ GANG B~ . s J ~ Q ~ Y - - _ - - - _ - _ ~ RACD N0, 519 21 4' D~P C~ RACO 6a0 NANDY 1 1 2~ D~' SU ED BY 'fRA~T~ 12D I ~P B X C~ ~ Z ~ C,7 i-- 5U Pt,1~0 BY CONTRACT~R WfTH S~IPI~X St1~FAt~ ~#~lNT AOA~'~2 Pl.A1~ 49t~-9910 ~ ~ ~ ~ X W W 4 -t}426: e ~ i y f t~ . ~ i~. iN K~Y A}~S ~ 'r?~ 1 ~ AND £NS~RES I i ~ ~ ~ ' - ~ 1 ~ ~ a ~ I t I 0 ~ ~ I 1 . ~ ~ 4 t~AXl~lt~i~ R~C~SS f~ ~ Ct1NE~lJIT F~ITRY AT 1't~ O~t ~{?TTO~ ONIY ~ ~ E t 4z r~ 4' I t ~ S TO ~14 AWG ~ I ~ 900-038 FtR 2120 SYSTEMS. N.T.S. • STR#P 1 4" FROM THE ENDS (F AI1. W!RES TNA1 CONNECT TO THE TERMiNAL Bl4CK 0F 1NE STATION. ~O THE EXPOSING MORE 7HAN 1 4w OF 1MRE MAY CAUSE A GR4UND FAULT i Hif.is .~o w . M~ l ~ e... . ~:"~:~'~1'Ir" _ a . a P-s+..TS~ i • . snmT" so EXPOSING LESS TNAN 1 4* Of WI~E MAY RESUE,T IN A FAUE.TY C% ~ ~~OJECT # 3114174 41995032503 , ~ i n s~~i ` TrrLs: PANEL 1IARlNG DETAILS { ~ Y S~"T NUMBRR: 9t ~ ~ N 1 ► FA-03 of 4 r 1 s ~ ~t ~ ~ w' ~ ~ . Q ~ ~ ~ ~ ? ~ 9 . ~ s ~ . e 4~98--9~(}, REM4~ A~.AR~ lNDICATOR PR~V![~S A ~ R~1~~ R~D ~I.A~M LE~ S~'AiUS ~NDI~ATOR h~Q~JN1~D t~N A ~ ~ U!. U~T~U TQ S~ANDAR~ 2fi8 SINt~.E GANG Sl'~N~SS S~EEL P~,A~. ~UL~-~NC1~ON lN~IGATGR I.ED: I~DICAT~S N~~A~. AN~ ALRR~ I~~#4i4S ~ 2 ~ oc~na~~, ~ ~ ~ ~c f . . ~ ~ - P~p~DES D~fiA1L~~l DIA~+JQS1iC !N~'UR~A~1~ ~~R V A~lt~ '~C~ ~ ALU ~ sc~a~ x ~ ~/2 ~T~ ~ ~~N ~G ~ I~~T~F~~S ~iR1Y DET~CTQRS ASSiST1NG V~TH ► i~AIN~~NAf~~ PR1~~ES • F~JNC~I~N~I.. CHA~18~R ~NC~.45~1RE: ~ ~ ~ - LI~V~R~O O~S~GN ~NHANCES S~IO~f~ GAP~IJRE ~ BY OIREG11h~G F1a~l 1`~ CHAI~BER ~NTRANCE AREAS A~t~ M~N~~IAl.LY VIS~~ 1~N~+1 ~ ~IUNG ~f~1NT~0 ~ ~A~+I~~ICALI.Y OP~RAt~ FUNCT~~VAl. t~~T - iNI1~~T£S AI~IRM AND il~RiF~ES P~R~`(~R~AN~~ ~c~ ~~s . 4t~ - i r s ~ IDENTiFIES GENERAI. SEN~#~VITY S~'A~1S ~~~G 2 s~ ~~'tltt ~ ~so~a~.~c~ ( ~ l' _ ~ ~e ~ D~'~CT~R ~ ~s~~ ~ot~c~c s~o~ o~c~t ~ • DETEGTO~' MO~~LS AVAI€~B~ #N fiW~ S~SI~1VllY ~T~NGSr ~ ~ - TANDARD SENSITIV~TY NQ~iINAI. 2.8~ . ~SG~JRA1~~+1 4908 96Q1, S , - 4908-9605 SPEC~AL A~PUCATl4N SEN~~IVlTY Nt~11NA~. 3.5~ , OBSf~1RAl14N _~f t i r~ r + • ~UXIUARY AI.A~~ R~.AY CONTACTS~ i~ ~ 4 - ~o~~ ~n~~ z~ a zawc, ~c~ ~~~~E~~ ~~R~ss~ ~o~~s, - R~.AY CONNECTi4NS COL~i ~aQED 8 AWG LEADS • REMOTE ALARM INDICA~INC l~ OU1PU~' + i~0UN11NG; t~IUNG OR WALI.. ~ ~ C4l.OR s ~R~S~' VtMITE 1 ~ ' s 4 ~ . . . V • VOLTAGE;15 TO 32 VDC ~ 1 . ~ • INPUT RIPPLE VOLTAGE: 25~ MAX. ~ • A RM CURR~IT: 86 mA 0 24 VDC FR(~M 24VDG ~.A . Pt~W~R SOURCE * suRCE cu~~~~vY. ~oo~~ ~ z4 v~c 1 ~ r • STANDBY CURRENT: 1U4uA ~ 24 V4G , • AfR VELOCl~I RANC~; 4-20~ ~'1` IN 0-fi1Q ~1 IN L r ~ • AL.iIiUD~: B,Ot}~ FT. 243~ U~, USTED TEMPERATURE RANGE; 3~F TO 100'~ i_ , ~ ' • OPERATING TEi~PERATURE RANGE: 32'F T~ 124'F F~ ~ HUMIOITY RANGE: 109~ T4 95~ RN - i~ ~ • A: 478"~X178"N DIMENSI~NS WITN NE 0 a ~ Y ~ ~ ► ~ f tir 1 TRUEAl.ARM PHOTQELEGTRIC pETECTORS PR4ViDE MANY 4F TNE PRaVEN TRUEA~.ARM ANAL4G SENSING FEATtIRES ~'~R APPI.lCAT10N5 WN~RE ~ ~x D~TECT4RS ARE CONNECTED TO C~NI(~N114NAL iNITIATiNG OE1~CE CIRCUITS o ~ IDCs . EACH TR~1EAl.ARM DETECTOR HAS AN 4~-BQARD MICROPROCESSOR ~ THAT EVALUATES ITS PNOTQEI.~CTRl~ LIGNT SCATTERIN~ CHAM~ER ~'UR T4 ACIIVITY ANO MAKES AN IN1El.LlGENT ~ECIS1aN BASED (N~1 UGNT O~BSCURATI4N 3 INQh NIST4RY AS t0 WNETHER AN ALARM C~N01714N !S PRESENT, TRUEAI,ARM A IN A PATENTED H4US1N~ 7HAT t~IN~~!{ZES TNE 4 DETECTQRS ARE PACK GED ~'~r SEE V1S181UTY ~F iNE AIR (NTAifE LOUVERS FROM THE ~~RMA~. V#EW1NG ~ LOCATIONS V1MlLE MAINfiAlNING A NIG~ PERFORMANC~ SMflKE a~ CAPTURE AB~I.ITY. ^ ~ . . ~ q o 4098-983fl REMOTE AI.ARM INDICATOR, PROVIDES w REMQTE RED AI.AR~! LED STATUS iN~IGATOR MaUNTED ON A t~ i~ ~ 51NGLE ~ANG STAlNLESS STEEI. PLATE. ~R~ ORG i- - _ ~ - ~ - NE REI.AY PLATE M4llNT~D 209~~9?35 24 VOC END-QF U , R C~RGUIT h~4M PREVI~IS DEiIICE 0 ONE RE~UiREO PER pAN GRN GRN _ _ ~1RE Ai.A~M CONTR(~. E 2098 9739 24 VDC END OF ~lNE RELAY Ef~CAPSULATE~ - , ONE REQUIRED P~R C~RCUIT `"J V!Q NC ' C " GRY N4 ~ 1. ALI. Y~RING T4 C~l~Pi.Y WlTH l.4CAl. C(~E. OF ~~.1. Cf~t}l~~l~S. BI.K BI.K 2 Ct~QUGTQRS ~US~ tEST FREE i 1 - I MARNTAIH CORRECT P~.ARITY ------~-t.._. ~ 3. f~ US`~D 40~6 9834 RE~OTE LED ~S P{~.AR Z~D ~..~~,.,w......~ ~4. ~E~~R TO APPUCA~1aN MANUAt, 574-749 HIND RELAY M~~1LE Mt~.lNTS BE 5. RE~R T~ INSTAIIAi~t~! INSTRUCTIONS 574-1'4fi SMAKE D~TECTOR 8ASE ~N SAM~ 80X. ~ E~AY MQDUI.E M4UNTS BEH~ND ~nv r►yn~rc nr°~rrr~rnc~ cRCr ipi exuc ~nv F _ _ ~ i _ t ~ . - ~ ~ t ~ , ~ ~ ~ ' ■ ~ ~ e s 1 I ~ . * ~~J~~ _ ~ i s MOt~Ni11~G: FLU~ ~ ~ ~ FiNf~. ~R~,fE S~~l~!~.b.S~, ; . ~ . • ALARM CURRENT: 1.2 mA ~ » . • DIMENSIONS 0~ BOX: 2 W X 3 N X 2 0 i ~ ~ . . - ATt3R PROVIDES A 4498 9830 REMUTE A~.AR~! INDIC , M N D ~N M ~ED ALARM LED STATUS IN~ICAT~R OU T~ RE OTE NGLE GANG STAIN~.ESS ~TEE~. QR CNRUME PLATE, A SI . I . * i'0 OCAI. CODE. MINI~iUM 18 AING 4R l. • N S. CONOUCTORS ~1U~T ~S1' FR~ ~ AU. t~t~J D ; * • RI G, Pt~Af~~ED. Q8S~R1~ CQE.4R C~~D ~I N . P R D~~'ECtOR. aN~ INDICA~'~ ~AY 8~ ~NStAI.~D E , e Y IF R OT~ L~D iS US~O. DO NflT t1~ R~lO~E R€~A ~I 1 ~ , L n i l L~- ~ a~ ~ i , ~ _ ~ ; . i ~ 1 ~ # ~ ' L~ I ( 1 ~ I ■ ~ L 1 _ _ _ t" ~ + R~a C~NNN~C~' T~ REl~U'~E AI,ARM I.ED t?UTPUT t~ APPRDPRIATE lNIT~ATING _ , i DEVI~S BUIGK ~ ~ ~ _ ' ~ ~ _ e~ r'~~ snicpt so ~i PROJBCT # 3114174 41995Q325Q3 ~HRET TI'm: PERli'MERAL MRING DETAiLS t f NiTMM: x : ~t N FA-04 of 4 DEPARTMENT OF PLANNIFIG AND DEVELOPMENT Buiiding Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 APPLICATIo N PropertyOwner: ~xCMpj-k tk,,0, 6ufe Property Address : 3yuo ~„~$h¢K.n P^kY Contractor License No. : (l, Company: (o uaRANty F.\a OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit apptication are accurete, and do not violate apAlicable oMlnances, rules or regulations of the City of Wheat Ritlge or wvenants, easements or restrielions of recortl; that all measurements shown, and allegations made are aceurate; that I have read antl agree to abide by all eonditions printed on this application, and that t assume fuii responsibitiry for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this partnit. (OWNER)(CONTRACTOR) SIGNED0-W"?w+`; DATE L/L Phone ; Phone:3o3 7-~p4IjZ)b Construction Value :~300 Permit Fee : Use Tax : Total : Use: Description : TFNensr F~N;s-i1 aS F'4-6 s9r-'hl~1er Sys}eYA ~.~--Re,w,,.ec oS NtiA4eCbNVeir- BUILDING DEPARTMENT USE ONLY 62'n~M&A.Ommelgs'- Approvat: Zoning : Approval: cmmsmzm~mvmm Approval: Occupancy : Walis Electrical License No : Company : Roof Plumbing License No : Company : Expiration Date : Approval: (t) rnis pefmic was iasued in RegulaUOna anC BuiMing (2) This permit ahell expire if aDantlonetl /or a peno0 0 (3) It Mis paimtt expires, a nE (4) No vrork ot any mannar sha (5) Contraetof ahell nafiy the 8 Groceetliing wiUi sutcessive (8) The issuaixe of a permR or ofihe building cotles w any Expiration Date : Approval: Mechanical License No : Company : Expiration Date : Approval: dth the provisions set Mrth in yopur applicatlon antl is su6ject m the laws ot the Stste of Colo2do anE to the Zoning ~t RiCge, Colo2tlo or any oMer epplicable oMinances of the Ciry, uMOnzeE is na[ wiMin siuty (80) Cayt hom iswe tlate or (B) the builtling authonzed is susDentleO or be acquired for a fee of ono-hall the artwunt nortnalry require4 proviEeC no changes have Ceen or will Ce made in the y suapensian or abafMOnment has rWt exce2Ced one (7) year. If clfanges arc rtWEe or if suspension or abantlonment pad for a new permiL iat will change the nawrel flow o( wahr causing a tlreinage problem. •ctor tvrenN-faw (24) hours in anvartce ror aU inspeainns antl shau ieceive wrdtan aPOroval on insPection carE berore the job. J W tlrawings antl s,....,....__.is shall not be mnsWed lo he a peimit (or, nor an appmval ol. any violation of the ptovisions SIC : Sq. Ft. : Stories : Residential Unils : Chief Building Inspector ~..w.._~ - SCOPE O R . T?' . _ E~SITIN FIX LEAK 1N H~,A~~+ ~ _ d awu. ~.a :T 4 ~.a °A~ ~ _ ~ , 4 g ~ ~ ~ ~ ~ ti 4 6 4 1' 1. F„ , ,.R 1 . i-._~ \ 1 ,s i r~ s L.,. ~...z ~ y 6. 4s, ~~a~ b; ~ r , ~,t ~ ~ 'm s A%~y \q f ;:i 5, ~ ~ t ~ ~ ,k 1•. t .t * 'l ~ E A ~ 1~ a.' x` l ~ c W ~rmurnw¢naee9i-eni i~^:+imanvam 'k., - .m . m..... } w _ _ rt. > _ _ . _ ~.p ,...w,..~e ~ ,wnav ..m .mae^mmsesc': Y+«s'~W_~+~n~~ ,Y~ v ~F1 1 ,~'6 M1'F, .s y 0. ~I -1 ~ yenaurnrrxodmv-..[s. RAJ ~ 1 C t. r a_ _ _ ~ _ ~ £ S . , , m., ~ . . . _ u„, `a~ S k .t .,.4~ ~ ''Y r- I ~s:~.~ _ ~~~t..~~t ~l~~.ww Ilwt~~A~~~ 'ice -~ia~ _ _ _ 1 t ~ O au i i. n o ~ ~ P~ ¢ J~ N _ :.0. w ~ n u yp 6 i~utir~ wesa ti - - ~ri~Y'-/a~ g g ~ R__ 1 'Jr- f r ! { b 'n -s.....r{ ~ i Y F V ! 5,..+.aw«.s F e y„+r* 3mi 4raeurt^" . g. t 6.z ~ ,f ~ ~ %j x t ~,-4- ¢ T e ~ i . I i ~ ~ { tl 1 1 - , , I ,g f _ { ~ ~ A f qq, ~ ~ M I 51 w j ~ ~ f .I p q-~ »J " p 8 i i j 9' F ~ ,_I ~ ,a..... y F ,i .6 ~ I ~ ,r x~4~~ f~ f~ ~'.nl~. '~iVl~, ~ r19 jd~~~ Y/' f"5~}~a1J 1~3£"~ +74~ r- R7~~IV r1A`N Vt7~r'!a7 ~lJ GtViJ ~liy~ ("1t-S4W`~.1 ~~J ~ m r-,-~--_-~---- - _ P ...me ~ ~ I, ° ~ 4 u ~..s1~ _ ~ I ~ 1 G~°i.C ~~76~~ ~ ~l7h7Ri~ e7~°it ~17a7 ELC?~A~'~ ~,i~'~ ' j i~f9~?N1 ~ ~ 1'!'~~ 12`-x" gy p) 1 `°Q° ~~SU} 5'°a" (S~l ~ " j 4e~0...rEYYG i~ 9 °_lJ ~ tl t t ~i3~717~ ~~°i.T ~ lw1! ~ 1~°kJ keD~~ 69'V {~7~~ }°V ~3~ ~ 5".-~' (SSP} 1 ~-0" ~SSU} 5~~1" (SS N~?TE: for ~t heads, the end ham on a txanch ltr~ cn ~n arm-over, must be of the type that prevents upwar N~7TE: This table is based upor'► tfi~eadat~e thinwa![ and 2~~Z" and larger pipe is car steel pipe. _ r u I Y t ` B ~ ~ ! g ~~i 0 F ~ i i l~ ~ y ~ f j', ~'r %~r t' ,f~" ~ ~..x. a~ t P k a ~ ~~ar~e+ aF~w ''an di.e ,S, 3 'M1.~~ i r~ F I ,s ~f ~ . r. ` ; r ~ ~1 ~ ~ ~ . ~t ;tix~ t %n, oRT+IiSSfLM PNA~t HNR%'~ y„ 'I I _ e i~ ~ DEPARTMENT OF PLANNING AND DEVELOPMENT Buiiding Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : Z_ Z~j 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 APPLICATIo N Property Owner: PropertyAddress: ?'\~A Contractor License No. : Company : Phone : ,0 Phone ~4 -q( OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value :t I hereby certify that the setback distances proposed by this perm@ application are aceurete, PBfmlt FBB : and do not violate applicable ordinances, rules or regulations of the Ciry of Wheat Ridge or covenants, easements or restrictions of rewrd; that easurements shown, and allegatlons made are accurate; that I have read and ree to ~de y all condkions printed on this Use Tax : application, and that i assume full resp si Ry for ompiance wdh the Wheat Ridge Building Code (U.B.C.) and all other applicable he Rid anees, for work under this pertnit. TOt31 : (OWNER)(CONTRACTOR) SIGNEP DATF N ~ US@ : ~ . Description BUILDING DEPARTMENT USE ONLY Z ;<<.omrndlfllw~ Approval : Zoning : Bii i% " Approval : .a.x rr ° n .n.r Approval : Occupancy : Walls Electricai License No : Company : Expiration Date : Approval : Roof Plumbing License No : Company : Expiration Date : Approval : SIC : Sq. Ft. : Stories : Residential Units : Mechanicai License No Company : -i~ Expiration Date : Approval : 2"as~ (1) This permit was issuetl in aaortlance wiM the provisions sM forih in yopur appliration antl is subjecl ta llm laws ot the State of Cob2tlo an0 to the i.oning Regulations antl BuilCin~ Code ol Wheat Ridge, Cobratlo or any oMer applicable ortlinences of Ue Ciry. (2) This permk shall ezpire d(A) the xrork aWhonzed is not commenced wiNin sixty (80) days (rom issue date or (B) the building authonzetl is suspentlcd or abantlonetl ror a penoE of 120 tlays. (3) If this pemiit expires, a new pertnR may Ee acqulred lor a fee of ono-haR the amount normalry requireC, proviEed no Uanges have been or will Ee metle in Ne onginal plans arW specificaliona anE arry suapsnsiM or e6antlonmmt has not ezceeded one (1) year. If changes are ma0e or if suspension or abendonment exCeetls one (1) year, NII fees shall be {wd fof a naw permiL (4) No work of any manner shall De tlone that vrill ohanpe the naN21 Ilav of water wusing a droinage problem. (5) ConVactor shall no4y the Building Inspeetor M1venly-lour (24) hours in advance br all inspections antl shall receive writlen apOroval on inspeclion cartl Defore proteetliing with sutteasive phases of the 1ob. (e) The isauance o( a pertnit a the apProval of tliavringa anE npecifiwbons shall not be mnsWed ro be a permit for, nor an approval of, any violatlon ot the provisions of the bullOing cotl,s or gny oMer ortlinance, law, rule w regutatlon. Chief Building " 7RN. 24. 200@ 1:34PM MOP.TENSON DENVER owt~ o ftdw~ Talephons, (303) 295-2501 fex: (303) 2962839 M. A. Morknson Prokct IVum6er 088020 N0.461 P.1'4 Exempla Lutheran Medical Center ~ Pine~s - Ce il ing ldation Par"ay Wheat Ridge CO 80033 Office or Field10 1 F I Office or Fieldl OI F I Uniaue Woodworking I I I I I I 1 1 1 lEstherton Masonrv IGreat Northem Drvwall ~ • 1S&W Paintinsa I f I H& L Arcfiitects - Tana Crane 1 IPremier Floors ! I! I I I Colorado Doorvvavs I I(Wheat Ridge Building-Darin Momanl 1( Expert Mechanical I i I fax: (303) 235-2857 E Lipht Electric Services I I I 1 I Midwest Electronics I I IWheat Ridpe Fire-Dave Roberts I1 I MFour Seasons Awning & Patfo I f Ifex: (303) 940-0350 I I~ I 1 I I I I Ezempla John Cook I 7 MAM M. Ool11Gi Exemph Wea Pew I Othm l ~ MAM I Ofher MAM I I FfIE We are sending: ~ ATTACHED * Cover only ~UNDER SEPARATE COVER The foflowing items: ❑ Plans C7 Shop Drawings (]Samples [I Printa ❑ Change order LlSpeciticetions 0 Other literqture ❑ Copy of Letter 1 ea. 1l20100 Copv of pertnit 10037, sht A0.1 camments 1$2 1 ea. ~ 1/24/00 ~ ]Colorado Canvas Awning fax cover sheet ~ 7 ea. ~ 1/0100 ~ I Weplon Coastline Plus orodud Iilerature I Remarks: Dave/Darin. !n resoonse to the oartnft drawing comment(s), reauestina 1o submfl ihe flre retardant information for the canvas canopy, enclosed is the manufacturers nroduct Iiterature. If you reoulre anY add'I. infprmation, and/or have anv comments or auestlons related to this - dease advise. Slgned: . ~~"'''~"y_ MfChael J. Ramsda"re Date; 1/24100 --JRN. 24. 2000 1 : 35PM MORTENS)N DENVER ~ i i ~ ~ ~ 91 ~ N0.461 P.2i4 ~ 4 ~ v e ~ ~ 4 1+'Ir.•l ,Itp ..,i,t•I..: ~ f/V i 1W~~- Icn C r-_t<:' ~ BEHAVI09ZAL HEALTH CONSOLIDATION ~ a +L.~~,~ ~ . z EXEMPLA WEST P8NES ~ N 3400 Luthexan Parkway, Wheat Ridge, CO 80033 I ' 'SRN.24.2000 1:35PM MORTENSON DENVER 30E7774204 N0.461 P.3i4 JAN-24-00 08:37 AM FOUx nnti~~.~ ' t i . , . ' MwNUfACiURCR OF FwtRtC AND MCTA6 PROOUCT3• ' . I 7051 SoutA Ptatts RWer Oriw i • Dertvor. QO 80223 • ~ I I ' oam 1/24/2000 Number of psga including wvcr ahect: 2 . ~ ~ ~ • ~ I , I ~ . 1o: Abrbanson Conetruction E'rom: Perry Iarkin ATTN: Mike Ram9dale I T . • ~ j ~ - • ~ . ' i [ :t rrMc 303a44-sM 1 ; k. ? F'- ~y!wrx: 295-2933 Fu ohoaG 303-7714201 I ~ } . -T.u~heran rioepltal ~ m • ~ ; naej"Rxs: unMa ❑ f,r rour ,eviow ❑ xeply AsAr piu.e Cominant , . Bieaee not9 ertclosed manutactnrezts varranty including flaae retardance documentatian. , i f i . i 'JpN.24.2000-1:36PM MORTENSON DENVER JQN-24-00 08t39 RM F04R . ~ la. . ; WOW* i y . Awning Fabric ; piY lnda Cny ~ ; • 621nches wMe. 15 aawa Ffer ~ 3 ~ square yerd. Cadfomte : Standerd,l ~ • V'mn9 )efiinated M a weft inaartbn ~ strlm base ot Trevits• pofyester • ASTM E84 ~ hom Hoeehet Celanae. RetMg tbu ~ • Top suAec¢ treated wAth • t~aSBed 6 Q~stomsiwn'ard Rnin Ween' lstaratatM i. r k for color retenHan erd prolon* oniy • 8971 i7a7 New K-~ ( ~ ~ . 3 I y . . ~ ( t ~ .1 i 1 ~ ~w f 1 ' , s7ie ro.a a.. 47i9 DrlMwed taMk kfe. • Coofts F • Water end mOdew resktant. Solids. Strf S► . Fxtra strong, wtth merugeable r, U uusi9hi for suparior rwistMCe to cmvwm sag aTx1 slretth. • 5-Yiv WarraMy. s728 r.m...A.q. 2724 a.oNPe 30E1774204 N0.4i1 , {fiAI SIMM ,on 5746 Onm MN n"M...wwrn nwweaTwaww I ~ Fte. ROWWo. eY! r yh Flre Manhd 'i •t eg. F-64. ilA Fleme Spnad ' A 115b lMdaraaftas ' Ine tor FL ftrabll~ u' Is awNa6M in ~ s. ContlrwnW , ~....j eL..a..u. So~Idr. ~ dursef IJIIdIW ~ i 970d Sr Ptlti f703 1Lns Oiwn '272R Oar6rn l70f nYIYR4+r1 ~v. &IMY WlNfone h`Aede N1atl Ot M9Jc1Wpd Yd m wMMn COnunYC4d eolRUpi. DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 297H AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner : Property Atldress: Contractor License No. : Company 3400 LUTHERAN PKWY 18817 M. A. Mortenson Company Building Permit Number : 10037 Date : 1/20/00 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby'certiry that the seWack tlistances proposad by this permit appliwtion are accurate, and do not vrolate appIicaWe ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restridions of record; that all measurements shown, and allegations matle are accurate; that I hava read and agree to abide by all conditions printed on this application, anq that I assume full responsibility for compliance with the 1Mieat Ridge Building Code (U.B.C.) and all other applicable Wheat ftidge ordinances, for work under this pertnit. (QWNER)(CONTRACTOR) SIGNED DATE Description : Behavioral Health Consolidation, West Pines Cedar Building renovation $226,000.00 $1,699.35 $0.00 $3,390.00 $5,089.35 BUlLDlNG DEPARTMENT USE ONLY ' SIC : Sq. Ft. : Approval: Zoning : Approval: DM Approval : Occupancy : Walis Etectrical License No : 20562 Company : E Light Electrical Service Inc. Expiration Date : 2128/01 Approval: (t) (2) (3) (6) (81 in or Okay per comments. Adding Midwest Electronics and Communication for Phone cable installation (low voltage electrical) 2/24100 Roof Staries Plumbing License No :19954 Company : Expert Mechanicai Services Expiration Date : 1/20/01 Approval: antlis Phone: Phone : 295 2511 Construction Value Permit Fee Plan f2eview Fee Use Tax Total Use: Residential Units : Mechanical License No : 20555 Company : Team Heating & Air Conditioning, Inc. Expiration Date : 1112/01 Approval ; laws of the State of Coloratlo anC to Ne Zoning uthonzed is not commenced wNhin sixty (80) days irom issue tlate or (B) the builtling authorized is suspended or be acquireC for a fee of one-helt the emount normally repuired, provitletl no changas have been or will be matle in the y suspension or abantlonment has rrot one (7) year. If changes are matle or tt suspension or ebarWOnment ihe naturel Bax of water ceusing a tl2inage proDlem. ur (24) hours in advance for all inspections antl shall receive wntten apOroval on inspection carq betore mtl specifcations shall not be consWetl Po be a pertnit for, nor an approval of, any violatlon of the provisions orregulaUon. H+L AACHITECTURE LTD AIA 1621 18TH STREET, SUITE 110 DENVER, COLORADO 80202 (303) 295-1792 FAX (303) 295-6437 TRANSMITfAL PROJECT: ELMC: Behavioral Health Consolidation DELIVER T 1875 Lawrence Street Suite 600 Denver Colorado 80202 303/295-251 1 WE ARE SENDING HEREWITH ~~GEIVED BY J AN 12 20~~ M.A. MORTENSON DATE: January 12, 2000 PROJECT NO: 177.135 ❑ PRINTS ❑ FOR YOUR INFO ❑ COPIED AS INDICATED ABOVE ❑ PHOTOSTATS ❑ FOR YOUR RECORDS ❑ FOR YOUR RESPONSE ❑ MAGNEfIC DISKS ❑ FOR YOUR REVIEW ❑ PLEASE REfURN WITH ❑ SUBMITTALS ❑ FOR YOUR SIGNATURE CORRECTIONS & COMMENTS G v,s NOTED BELOW ❑ PER YOUR REQUEST ❑ REVIEWED FOR GENERAL • CONFORMANCE ✓(4) copies of letter to the city of Wheat Ridge ✓(4) Copies of Electrical Drawings , (3) copies of the Project Manual CnI4 P"~r .,(3) copies of the construction Drawings 3 For issuance to the City of Wheat Ridge SI ERELY YOURS, TanawM.~Cran~~~` H+L ARCHITECTURE LTD. AIA ❑ 1 ST CLASS MAIL ❑ MESSENGER ❑ FEDERALEXPRESS ❑ PICK UP U HAND DELNERED H' ARCH ITECTURF January 11, 2000 City of Wheat Ridge Building Department 7500 West 291" Avenue P.O. Box 638 Wheat Ridge CO 80033 1621 18TH STRF.F.T, SUITF 111) DFNVER, «)LORADO 30202 Vnl('.E_ 3052~1i.1?92 F4i=51MILL 303192.6417 EMAIL 'mfnC,hlarrh.cum W!H' www.hlarrh.rom Re: Exempla West Pines Behavioral Health Consolidation H+L Project #177.135 To Whom It May Concern: In response to the attached plan review comments of the above referenced project from Dave Roberts of the Wheat Ridge Fire District and Mike Stoeffler, I have compiled the following responses. PLAN REVIEW CORRECTION LIST: 1. List type of construction at codes analysis. Type III, built per the 1987 City code requirements. 2 Provide wall details for new walls. Refer to Project Manual, Appendix "Partition Schedule." The appendix is located between divisions 12 and 15 in the Project Manual. 3. Submit door and window schedule with plans, Architectural Appendix chapter not included in specification book. Refer to CCD #2 for revised door and frame schedule. The Architectural Appendix is located between divisions 12 and 15 in the Project Manual. 4. How will note 5 on Sheet A1.1 meet I-3 occupancy construction requirements? This partition was built for convenience only, therefore, it does not affect the I-3 occupancy construction requirements. 5 Provide elevation and structural plans including foundation plans for new canopy as shown on Sheet A2.1. See attached drawing. 6 Door at Room 552 will not meet handicap requirements for clear floor space. The door will have double-acting hardware for use when needed. 7 Show all new/proposed exit signage on plans. See attached Electrical Plan. 8 Show proper "fire protection key" symbols, key does not match plan. CCD #1 attached for the revised Fire Protection Key. IEFFkEY A. AMARC )SF. AIA ROB DnVIOSON. Nn I. MICHAEL IACUBY, AIA MICHAEL E ( )titilAN, 41A RICHARD E. Wt1LF6. AIA PATRIIIA A. Y()l'.NG Page 2 City of Wheat Ridge January 6, 2000 9 Show all firelsmoke dampers on sheet M1.2. All dampers are shown. CCD #1 for Mechanical Symbol Legend. 10 Submit framing detail at new washer box location that will meet fire wall penetration requirements. See attachment SC-5 of CCD #1. 11 Show horn/strobe locations on plans. See attached Electrical Plan. 12 Wheat Rigde Fire District: 13 Provide complete plans for fire alarm system revision for affected area. Plans must be approved prior to revision. All spaces must be detected. Simplex, the Contractor for the alarm system, will submit when complete. 14 Provide complete plans for fire sprinkler system revision. Plans must be approved prior to alteration of system. Subcontractor will submit when drawings are complete. 15 All electronic locked doors must fail open on activation of any fire alarm device. Refer to detail note 6 on Sheet E3.1. If you should have any questions or concerns regarding the above comments, or any other issues, please do not hesitate to contact me. Sincerely, H+L ARCHITECTURE C/-Yam~ 0-0-~ Tana M. Crane Enclosures TMC/jlh ( H:\LMC.177\psych.135\Corr\I-pla n rvw.d oc) Construction Change oWNEa 1,r ' ARCHITECT D i re ct i ve CONTRACTOR FIELD AIA Document G714 - oTxER Electronic Format (Ilus dunm. enl + cplnces :l I Onrwncart G713. Consrrucnon Giruige : I uUioi'r_ntmn.) "I'IIIS DOCUMI:N"f IIAS INIPOR'MNT I.EGAL CONSL"QUF.NCFS, CONSUII'ATION WIlII AN ATTORNGY IS LNCOURAGED WITH RHSPCCT "1'O ITS CUNIPLGIION OR NIODIPICATION FlU'IIIEN"PICA'(ION Of THIS 8L8CTRONIGALLY DRAPTCD AIA UOCUMHNT MAY B6 MADE !3Y USING AIA UOCUNIHNT D401. PROJECT: (nnnie, aAdress) Behavioral Health Consolidatipn Exemola West Pines Wheat Ridae. CO 80033 DIRECTNE NO.: 002 DATE: Januarv 10. 2000 ARCHITECT'S PROJECT NO: 177.135 TO CONTRACTOR: CONTRACT DATE: pif~ute. «dr(ress'l M.A. Mortenson CONTRACT FOR: General Construction 1875 Lawrence Street DenverCO 80207 You are hereby directed to make the following change(s) in this Contract: See Door and Frame Schedule and Hardware Schedule far dnor and hardware chanaes PROPOSED ADJUSTMENTS 1. The proposed basis of adjustment [o the Contract Sum or Guaranteed Maximum Price is: [ ] Lump Sum (increase) (decrease) of $ [ ] Unit Price of $ per as provided in Subparagraph 73 6 of AIA Document A201, 1987 edi[ion. [ j as £ollows: 2. The Contrac[ Time is proposed to (be adjusted)(remain unclianged). Tlie proposed adjusfiient, if any, is (an increase of days) (a decrease of days). When signed by the Owner and Architect and received by the Contractor, (his document bewmes effective IMMEDIATLLY as a Construction Change Directive (CCD), and flie Contractor shall proceed with the change(s) described above. Signature by the Contractor indica[es ARCHITECT H+L Architecture OWNER Exemola Lutheran Med Ctr. the Conhac[or's agreemen[ with the Address: 1621 18th Street. Suite 110 Denver CO 80202 BY:~mn~ ~w..~s DATE: I //0/CC Address:8300 West38th Avenue Wheat Ridae. CO 80033 BY: DATE: CONTRACTOR M.A. Mortenson proposed adjustments in Cantract Sum and Contract Time set forth in this Consh-uc[ion Change Directive. Address: 1875 Lawrence Street Denver. CO 80202 BY: DATE: \I:1 DOCUNIGN"f G711 - IONSTRUC"IION ~FIANGL DIRhCTI\'G - 1957 HDII'ION - AI:\ - COPYRIGHT I087 • T146 :U1ERICAN INSTITUTH Of \KCI11'fECTS. I735 \'L\V Y'ORK:\V[NUG N.1V., lVASHINGTON. D.C. 20006-S92 . \NARNING. Unliecnsed photo<opymgriolates U.S. coph'isht lo's and is subiea to Iz-al prosecutlon. Iliis Jocumen[ was elzcu'onmally produced \cith permuvon ot lhz 41A uitd can be repmduced without violation until the dale o; c.~uirution as noted below Elzctronic Fomiat G714 -1937 User pociiment CCD-01DOC 1/10/2000. AIA License Nmvber 131072, whichexpires on 10/31/2000 Page #1 1n100 DOOR AND FRAME SCHEDULE 1:56PM ELMC: BEHAVIORAL HEAL7H CONSOLIDATION G.SEGLMC 177'FSYGM 135GSPECIOOORSCH XLS PRO)ECT NO. 177.135 ISSUE DATE 71/12199 REVISEO 01107/D0 FRAMENO RO(1MNAME NO. WIOIH HEIGHI { THKNESS R DOO TLAPE RAMEiVNE F RAML DETAILS ~R REMARKS I I I I I I ~PE AT I M I IF I ~ I I NG I GRO P1 501 A ]ENTRY I 2 1 EX I EX I EX I EX ~ EX I EX I EX ~ EX I N7A I NIA I IRETROFiT DOOR TO AUTOMATIC WfTH SEN; 503 A IWORKAREA ~ 1 1 3'-0" 1 7'-0" j 1 3/4" 1 F ~ HM I 1 7 ~ HM 1 05806/A3.2 ~ 90MIN ~ 1 I 503 B IWORKAREA ~ 1 1 3'-0" 1 7'-0" 1 1 3/4" 1 N ~ WD I WG I 1 ~ HM I OilA32 ~ ~ 1 1 503 G IWORK AREA ~ 1 1 3,_0" 1 7'-0„ 1 1 3!4" 1 N ~ WD I WG 1 1 ~ HM 1 OS & 061A3.2 ~ 20MIN ~ 1 1 503 D IWORKAREA ~ 1 1 3'_0" 1 7'-0" j 1 3/4" 1 N ~ WD I WG I 1 ~ HM I 01/A32 1 1 503 5 IWORK AREA ~ 1 1 4'-2" ~ 3'-6" 1 114" 1 L 1 6 ~ HM i 067A32 I ~ 1 503 6 IWORK AREA ~ 7 1 2'-4" ~ 3'-6" I 1/4" 1 ~ - ~ L 1 5 ~ HM 1 OS & 061A32 ~ 20MIN ~ ~ 503 7 IWORK AREA ~ 1 I 2'-4" I 3'-6" I 1/4° 1 ~ - ~ L 1 7 I HM ~ 05 & 06/A32 ~ 20MIN I I 503 8 [WORK AREA ~ 71 4'-4" ~ 3'-6" ~ 1/4" 1 - ~ - ~ L 1 5 ~ HM ~ 05 & 061A32 ~ 20MIN I I 503 9 IWORKAREA ~ 1 1 2'-4 ~ 3'-6 1 114" 1 - ~ ~ L y,& 5 ~ HM 1 05806/A32 120MIN I 507 A ITOILET ~ 1 1 3'-0 ~ 7'-0 1 1314 1 F I WD I { y 4~ 1 HM I (32/A32 ~ 20MIN 2'")V,.L\ 508 A ITOILET ~ 7 1 3'_0•, ~ 7'_0" 1 1 3/4" 1 F I WD I I 4 i 1 HM I 02/A3.2 ~ 20MIN ~ 2. 0 510 A ILAUNDRY ~ i I 6'-0" ~ 7'-0" I'-- I '4D I WD I I vY I I v 5 I PELLA WOOD SERIES 358 FOLDWG DOORS 511 A JECT RECOVERY I 1 I 3'-0" ~ 7'-0" 1 1 3/4" 1 F I WD I I i I HM I 071A32 1 ~ 1 1 512 A IGROUP THERAPY I i 1 3'-0" I T-O" I13/4" I F I WD I. 1 I HM I 01lA32 I 20MIN I 1 I . 559 A IHALL ~ 1 1 3' 6" ~ 7' 0•' 1 1 314" I V ~ NM ~ WGf2\,.1 , I HM ~ 0 1IA32 (I.2~MIN~j 1 _I 520 A INOURISHMENT 1 1 1 3'-0" ~ 7'-0" 1 1 3/4" 1 F ~ WD 4 f 1 HM ~ 011A32 ~ 20MINL 521 A IQUIET I 1 1 3'-0" ~ T-0" I 1 3/4" f V ~ HM I WG' 1 ~ HM 1( -d932-,)f -j 7 IFRAMETO BE CUT FOR ELECTRIC STRIKE 522 A IqUIET ~ 7 1 3'-0" ~ 7'-0" I 1 3/4" 1 V ~ HM I WG 1 1 ~ HM J(,, --/A32 7 IFRAME TO BE CUT FOR ELECTRIC STRIKE 523 A ISTORAGE ~ 1 1 3'-0" ~ 7'-0" 1 1 3/4" 1 V HM I WG I 7 ~ HM I 01/A32 ~ ~ 4 1 528 A IMEOICATION { 1 ~ 3'-0" 1 7'-C)" 1 1 3/4"' F ' WD I 1 1 ~ HM ~ 01/A32 I 20MW ~ 4 ~ 528 B IMEDICATION ' 7 I 3'-0" I 3'-D" I 1/4 I ~ I P W EMARK EMAR K I 07/A3.2 145 MW I 6 INISSEN STEEL SLIDING FIRE WINDOW 554 A JQUIET 1 I 3'-0^' J 7'-0" ~ 1 3t~V' I V HM WG 1_ HM I --/A3,2 I I 7 IFRAME TO BE CUT FOR ELECTRIC STRIKE 1 5t2 A15@MI-PRIVATE v ~ 1N'T~'-0" 1 7'-b" 1 1 3/4"1 ~ ~'~ND ( 4 I HM _02/A.2 20 M W J ' 2 ~ • r Schedule H+L ARCHITECTURE LTD. AIA Page t ot 7 ELMC: BEHAVIORAL HEALTH CONSOLIDATION 177.135 HARDWARE SCHEDULE QTYs DESCRIPTION ITEM NUMBER MFG. HW #01 1.5 PR PAIR BUTTS FBB 179 4%z X 4% 1.2 WS US26D ST 1 LOCK CL3455 US26D CR 1 WALLSTOP W1276CCS US32D T 1 SMOKE SEAL S88W-17' WHT P ~ KICKPLATF MISS 12 X 34 WH 1 ~ CLOSER DC 2200 . . , ~ HW #02 1 pR PIVOTS DAP3 4'/ X 4'/ 1.2 WS US26D ST 1 PRIVACY LOCK C13420 US26D CR 1 STOP ES-1 US26D ST 1 STRIKE DLS-1 US26D ST 1 WEATHERSTRIP A371P-17' P 1 KICKPLATE 12 X 34 MISS WHT A H W #03 1 PR PIVOTS DAP3 4'/ X4'/z 1.2 WS US26D ST 1 PRIVACY LOCK CL3420 US26D CR 1 STOP ES-1 US26D ST 1 STRIKE DLS-1 US26D ST 1 WEATHERSTRIP A371P-17' P 1 KICKPLATE 12 X 34 MISS WHT A 1 DEAD BOLT DL3613 (MAX HT. 40") US26D CR HW #04 1.5 PR PAIR BUTTS FBB 179 4 1/2 X 4'/ 1.2 WS US26D ST 1 LOCK CL3457 US26D CR 1 WALL STOP W1276CCS US32D T 1 SMOKE SEAL S88W-17' WHT P 1 KICKPLAIE 12 X 34 MISS WHT A. , 2 1 CLOSER DC2200 CR ~ HW #OS All hardware 6y accordian door manufacturer. H W #06 1 CYINDER 5253 US26D CR tH#07 atch hardware on existing Quiet Rooms in the Spruce Building. . HARDWARE SCHEDULE PAGE 1 1 ) ) ) ~ ~ rElf[StLW R1LU9G / Y91NV M11E~6 / ~ k xyr I 1 ` r ! 3~ 1'%1'Y VY n L 3' Y Y Y Q' ro n~nac v~ - ~z-vr. rwum.n ~ . vi van[ns a xnz ' rxvr rmrs wawc nm ur~vns o~ y u.w.i vmv aw~ax rix+r..w E a pF~M~ E i ~aMt ans nwrt m l b' % 6' x V+' (^CER~ v~ ~-3/Y~ j ~x. m ~H~~ a Y LFLVC NOOti R ]/bO.411M£/d mm umr amrt. ~ f' ¢~e s ra•-~ i ~ u¢sta t I 11 11 1 \ / \ CuNwt pFIT cwvwS ypp dRiPpl pJ[fppl 1t ~ 1 1 I 1 1 1 M oc ~ PT(3~~ycE eE~ 2 81999 P~ O_P R 1_~. Z~_~ ~ FEC•E~VEL` i , LOT~'iRAN MEDICAL CFi`]TER esoo IrEsr ssra. evs. Rmi'Rm Gg, CO O Q I.m¢r. m.oc~w.w.va •wws ~j ruro n.ro ~zaya ~ criro w= ~J noor W mm~rum u.e m.~ m.u v.~ I m r.nn ax~ot m f(V~ I.L I 9Ql~ I V 1 t i Construction Change ~~~~~~R B- ARCHITGCI' D i re ct i ve CON"PRACTOR r-IELll [ ] AIA Document G714 - ori-iER Electronic Format ( l7as dntmnenl rop/nces :I Ll Uuaunent G: /1, Cun.tilrucburi ('dnqgr : l uUiorCa(iun / 'IIiIS DO('IibII:N"I 11.15 IibIPOR"G\N"f I.hGAL CONSI:pUfNCP.S. ('0 N5ULf1'Il(1N lV{'[14 AN Af"CORNFY IS GNCOI!RAGLD WITH RLSPHCI`rO Ill (~QfvIPI.GI'ION OR MUDIPICATIOPJ AU"fIILN"Il<:AIIQN Of ~IlllS GL I:C"fILUMCALLY DI2,4FlGD AU DO( UMI:N"f NIAV' 131- MAUG UY USING AliA UOCUAIBN'f D401 PROJECT «d,nc-+:s) DIRHCTIVE NO.: 001 R Behavioral Health Consolidafion JanUarV 10. 2000 DATL Exemola West Pines . Wheaf Ridoe. CO 80033 ARCHITECT'S PR01L•CT NO: 177.135 TO CONTRACTOR: CONTRACT DATE: /name, rtArfrca'ay nn.a nnorter,son CONTRACT I'OR: General Construction 1A75 Lawrence Street DenverCO 80207 You are hereby directed to make tlie following change(s) in tliis Cmitract: See Attachment'A'. PROPOSED ADJUSTMENTS 1. The proposed Uasis of adjustment to the Contract Sum or Guaranteed Maximum Price is: [ ] Lump Swn (increase) (decrease) of $ [ ] Unit Price of $ per as provided in Subparagrapli 73.6 of AIA Dowment A201, 1987 edition. [ 1 as follotvs: 2. The Contract Time is propused to (be adjusted)(remain uncliunged). The proposed adjustment, if any, is (an increase of days) (a decrease of days). bVlien signed by the Owiier and Arcliitect and received by tlie Contractor, this docmnen[ becomes effective IMMEDIATELY as a Construction Chmiee Directivz (CCD), and dhe Cunn'actor shall proceed with [6e change(5) described above. Signature by the Contracror indicates ARCHITL-.CT H+L Architecture OWNER Exemola Lutheran Med Ctr die Contractor's agreement wich the Address: 1621 18th Street. Suite 110 Address: 8300 West 38th Avenue proposed adjustments in Contract penvec CO 80202 Wheat Ridae. CO 80033 Sum and Conhact Time set forth in 131'- ~y.~ ( f~nn,.11 Bl': this Cunsnvctioi~ Cliange Directive. L ,T T DATL: t/i~ ~nd DATL-: ~ I CON"fRACTOR M.A. Mortenson .Address: 1875 Lawrence Street Denver CO 80202 [3 Y DATL. lA~If.M~ ''-11 - t l:lt':IWI .'ILA~i L I~II~I:CTi\ IL - ;'~~T P:UfI:UV . AI.A - ~'pP1"RIIJ{~ I~~~- • 1'1I17 AAIIiI:IC.W I]'.1!'Ifl l'f ~iF ~ .I.~'I!III.~.I~ _`il)Itl.'.\'I:?I'F. `S_`.\\plll\ulDO\.Ui..'~~nno~_ "uium' l'Seopv;~~hila,,sand e'.:uun Ihi4 a~~c.inii'd nm a's~~ ~ n~a11v niua~.~J :~itl~ p rnisson q ]'c VI.A .:nd ~~u n~~ icniouuc~d onlwul ~iolulinu unul ~ba ~:.te :apirw,n,isnuied 'i•elo'a Eircttoni~ Forinut G;11-1~15- I_.ser Doeument. CC'D-OI R.DpC L 10 : ~ODU.:A[A Liceitse Numbcr I? 1 0-1 Miich rspires un 10 31 2000 Pa"e =1 January 10, 2000 BEHAVIORAL HEALTH CONSOLIDATION CONSTRUCTION CHANGE DIRECTIVE #01R ATTACHMENT 'A' SPECIFICATfONS: H+L ARCHITECTURE LTD. DENVER,CO 80202 PAGE1 ITEM I. Index: The Architectural Appendix is located between Division 12 - Furnishings and Division 15 - Mechanical ARCHITECTURAL DRAWINGS: ITEM II. Sheet A2.1: Cedar New Construction Plan: The room names have changed per Sketch SK-4. ITEM 111. Sheet A2.1 1 Cedar New Construction Plan: The locker room has changed location from room #564 to room #538 per sketch SK-4. - v _ C(iD Aj ITEM IV. Sheet A3.2: Details: Use the detail shown on sketch SK-5 for the washe ox. ITEM V. Sheet A4.1: Reflected Ceilina Plans: The Fire Protection Key has been modified per sketch SK-3. MECHANICAL DRAWINGS: ITEM I. Sheet M1.1: Add the Mechanical Legend as shown in Sketch MX-2. END OF CCD #01 ~ e I , a- LLJ, ~ ~AD . . o~ Cl CD ~ JP~° ° . ~ -J i ~ S. S, PARTIAL CEDAR NEW CONSTRUCTION PLAN sHEET a2.1 ~ BEHAVIORALHEALTHCONSOl1DATI0N Igotle: NEW CONST. PLAN I ¢$ate: dwg: ~ Lu$heP'an Me ~0~~0 ~~~g~~ H 4 L rlRCBiITECTURE LTD. AIA 01 iia/oo sK-a 8300 W.78th Avnue, Wheat Ridge, CO AOOI.3 I1011 19 ~ na otNVU, m emm S1A3 FN[(3W139tND 7 .,NE LAYER OF 5/8" GYPSUM 80AR0 WITH OVERLAPED EDGES. WASHER BOX CABINET . ~ rV2 n ~ ~ DETAIL SHEET sHEET a3.2 ~ BEHAVIORALHEALTHCONSOLIDATION jtat0e: WASHER BOX DETAIL Idage: dwg: H ~ L ARCHo~~~TLIRE «D. AsA SK-5 Lvtheran Med'ucal Center 00o rr.3~h Mw., Mlne a~R, ao 10~1 .n,m4 ,c,m,. mof au ~ os~vo r~tt sw 5/8" G1P, BD. ON 3-5/6° MTL. STUDS TYP, RUN GYP. BD. BY CABINET i, . . . . 1. ( . FIRE PROTECTION KEY C ONE MOUR FIRE WAIL . . . . . . . . . . . . ONE HOUR FIRE k SMOKE SEPARATON TWU HWft FIRE WALI 7W0 HWR FIRE A[ SMOKE SEPARATION RCP LEGEND ~ BEHAVIORAL HEALTH CONSOLIDATION ~ Lutheran Medacal Center w011ftMW1Met AIA00IOmI jgsfle: REFLECTED CEILING PLAN H - L ARC9-90TECqURE LTD. AIA %m'm msj L~s°DS° SHEtT I aaee: dwg: i~iblbo SK-3 MECHANICAL LEGEND ~ FIRE DAMPER ~ SMOKE DAMPER ~ COMBINATION FIRE/SMOKE DAMPER O THERMOSTAT $ FAN SWITCH DIRECTION OF AIR FLOW ~ POINT OF CONNECTION - NEW TO EXISTING ~ SUPPLY AIR DIFFUSER - NEW ~ SUPPLY AIR DIFFUSER - EXISTING a RETURN/EJ(HAUST AIR GRILLE - NEW z RETURN/EXHAUST AIR GRILLE - EXISTING { ~ MANUAL VOLUME DAMPER DUCTWORK AND/OR EOUIPMENT TO BE REMOVED IINE WEIGHT - EXISTING LINE WEIGHT - NEW (E) INOICATES EXISTING CFM pUANITY AIR DEVICE DESIGNATION NECK SIZE BEHAVIORAL HEAITH CONSOIIDATION Exempla We§t Panes 3" Uftw paim.wiw b* co sm ~titla MECHANICAI LEGEND H+L „W..~~ ~ ~ Now ".,O,~ wul..momm ~ ~ date: dwg 12/22/99 MX'2 WHEAT RIDGE*FIRE DISTRICT "Dedicated To Serve Through Excellence" P. O. Box 507 • 3880 Upham St. • Wheat Ridge, CO 80034 • 303-424-7323 • Fax 303-940 0350 December 13, 1999 To: Darin Morgan Codes Administrator City of Wheat Ridge Wheat Ridge, Co. 80033 Subject: Plan Review for Exempla West Pines Behavioral Health Consolidation, -3460-Lvthergn Mkway, Wheat Ridge, Co., 80033. Deaz Darin, After a review of the proposed plans for the interior remodel of Exempla West Pines Behavioral Consolidation, I am requiring the following items concerning this project: Provide complete plans for fire alarm system revision for affected azea. Plans must be approved prior to revision. All spaces must be detected. 2. Provide complete plans for fire sprinkler system revision. Plans must be approved prior to alteration of system. All electronic locked doors must fail open on activation of any fire alazm device. 4. Issues and or items not addressed will be addressed as the need arises. Should the developer/contractor have any questions regazding the above requirements, they can contact the Fire Marshal Office at 303-424-7323, to set an appointment to discuss the issues. R, espectfully, ~ Da Roberts F.M., W.R.F.P.D. cc: file ; DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 A PPLI CAT io N ! PropertyOwner: J~K Pc- ~P. /~G~ Property Address :D3c C- Phone : Contrector License No. CompanY:In, OJ /v10 ,cT, ,.r" .J Phone : -Tc, 3 - 2 5 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value~~2oZ I hereby certrfy that the setbaek distances proposed by this pertnit application are aeeurete, pe~~plt F@B : ~(pCf9•35 and do not violate applicable ordinances, rules or regulations of the Ciry of Wheat Ridge or ~P12F - PpuJ b/L~.i.IcP covenants, easements or restnctions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this Use Tax : appiication, and that 1 assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable eat Ridge ordinances, for work under this pertnit. TOtB) : (OWNER)(CONTRACTOR) SIGNEDLaacJS_L1.72-. DATB02/i `7 USE : ~C Fl" Description: 4✓i,0.c~~ C'c,,, 10.., lN Y S f Q r~..e c~~ ~Lz c l~.~ ~/c~• _~e; r i.:. ~ r u~ r` BUILDING DEPARTMENT IiSE ONYC(~,^~ 14 , i.ommenTsy SIC-` Sq. Ft.: Approvai : ~ Zoning ~ _ s REC~~Vr ~ APProval ve y, O~ ..r... Approval Occupancy : Walls : Roof : Storie$; e. ' nits : 6ctric3fLicfanse'No :aQ j(o,~~,L_ pkIffioinq Licen$QMO) c nical Licen Company IJq h-}- Company : Company Ex Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: (1) This pertnit was issueE in acmrtlance wRh the provisions set forth in yopur appliwtion antl is subject to the laws of the State of Coloratlo anE ro the :.oning Regulations antl Builtling CoCe of Whea[ Ritlge, GOIOraCO or any other applin6le ortlmance5 o(the Ciry. (2) This pertntt shall expire if (A) the work auMOnzetl is not commenceO within sizry (80) days from issue tlate ar (B) Ne building authonzed is suspenEetl or abantloned for a penoC of 120 Oays. (3) If this pertnit expires, a new pertnit may Oe aCquifeC lor a fee of one-half the amount nortnally required, provided no changes have been or will De matle in the anginal plans antl specifiwtlons antl any suepension or abanEOnment has not exceeAeE one (1) year. If Uanges are ma0e or if suspension or abandonment excaeds one (1) year, full fees shall be paiE for a new permit. (4) No work of any manner shall be tlone that will Ulange the natu2111ow of water causing a tl2inage problem. (5) Contractor shall natiy the euiltling Inspettor Mreny-four (24) hours m advance Mr all inspections antl shall receive wntten approval on inspechon wrd bekre (8) The isSUanCe of a or any oMer oNinance, antl specifi[ations 5hall n0t be wnsW etl to Ee a pertnit for, nor an approval o/, any nolation af Me OmvisiOns i or regula6an. Chief Buildi % ngTr*jector 1<q~>\ Reslgootiol mod Csmmereiol FIom Reriew ft Review Carection List n*M- a"rd limmi0i aewin■ I nw Aeftw. 3ue IMUM nM. s1111 w. 3e" ere ate oeamber Ydnft SY29.111.M P/C Telt SlKO 1. List type of construction at codes analysis. 2. Provide wall details for new walls. 3. Submit door and window schedule with plans, Architectural Appendix chapter not included in specification book. 4. How wili note 5 on sheet A1.1 meet I-3 occupancy construction requirements. 5. Provide elevation and structural plans including foundation plans for new canopy as shown on sheet A2.1. 6. Door at room 552 will not meet handicap requirements for clear floor space. 7. Show all new / proposed exit signage on plans. 8. Show proper "fire protection key" symbols, key does not match plan. 9. Show all fire / smoke dampers on sheet M1.2. 10. Submit framing detail at new washer box location that will meet fire wall penetration requirements. 11. Show hom / strobe locations on plans. Plans are NOT Auoroved, re-submittal reauired. " Re-submittals will be have a plan review fee of $50.00 per hour. Additionat plan review fees will be paid when permit is issued. WHEAT RIDGE FIRE DISTRICT "Dedicated To Serve Through Excellence" P. O. Box 507 • 3880 Upham St. • Wheat Ridge, CO 80034 • 303-424-7323 • Fax 303-940-0350 December 13, 1999 To: Darin Morgan Codes Administrator City of Wheat Ridge Wheat Ridge, Co. 80033 Subject: Plan Review for Exempla West Pines Behavioral Health Consolidation, 3400 Lutheran Pazkway, Wheat Ridge, Co., 80033. Deaz Darin, After a review of the proposed plans for the interior remodel of Exempla West Pines Behauioral Consolidation, I am requiring the following items conceming this project: Provide complete plans for fire alarm system revision for affected area. Plans must be approved prior to revision. All spaces must be detected. 2. Provide complete plans for fire sprinkler system revision. Plans must be approved prior to alteration of system. 3. All electronic Iocked doors must fail open on activation of any fire alarm device. 4. Issues and or items not addressed will be addressed as the need arises. Should the developer/contractor have any questions regazding the above requirements, they can contact the Fire Mazshal Office at 303-424-7323, to set an appointment to discuss the issues. R~fully, Dave Rob~~ F.M., W.R.F.P.D. cc:61e INSPECTIONS WILL NOT BE MADE UNLESS THIS CARD IS POSTED ON THE BUILDING SITE 24 HOURS NOTICE REQUIRED FOR INSPECTIONS WHEAT RIDGE, COLORADO 7500 WEST 29th AVENUE (303) 234-5933 I N S P E C T I O N R E C O R D- JOBADDRESS 3400 Lutheran Pkwy BUILDING PERMIT NO. 95-2150 DATE ISSUED 11/3/95 n'PE occuPnNCv OWNER _LK CONTRACTOR T.Mr SETBACKS FROM PR6PERTY LINES: NORTH SOUTH EAST West I INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB I NSPECTION I DATE I I NSPECTOR Foundations FootinAS Caissons Reinforcina or Monolithic ~ Weatherproofina POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED Concrete Slab Floor: Electrical (Ground Work) Plumbina (GroundWork) r/.(.1,~1V I-ei Z`. Heatinq (Ground Work) I I- -7T7 1 Do Nor PouR FLooR~yITIL ABOVE HAS BEEN SIGNED ~ Rouah Electrical ~ Rous7h Plumbin9 r ~ ~ AirTestGasPipinct ~ Rouah Heatina & Ventilation (above must be signed prior to iraffikg inspection) I Framinq vt~' r I I Insulation / I ~ ~ ~ Drywall nailin9 Roofina ~ Refriaeration Electrical underaround Final Electrical Fixtures iI zr lqr 1 ~ PlumbinS] Fixtures 1, ~ Heatina & Ventilation fl ~ LandscaDe & Parkina ~ R.O.W. 8 Drainaae I Fire Department Job Comoleted ) I n k ii I OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 95-2150 BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date :10/31/95 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : LUTHERAN MEDICAL CENTER Property Address : 3400 LUTHERAN PKWY Phone : 425-2103 Contractor License No. : 18018 Company : Lutheran Medical Center Phone : 425 2103 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $35,000.00 I hereby certify that the setback distances proposed by this permit application are accurate, P2fRlit F8B : $372.00 and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations Plan Review Fee : $0.00 made are accurete; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibiliry for wmpliance with the Wheat Ridge Building Use Tax : $525.00 Code (U.B.C.) and all other applicable Wheat ~tid9e ordinanceg;, for wor_k under this permit. Total: $897.00 (0WNER)(C0NTR4CTOR)SIGNE11~DATE Description : INTERIOR REMODEL OF WEST PINES BUILDING DEPARTMENT USE ONLY Approval : Zoning : ~ ELECTRICAL LIC. # 1946 $4,200 Approval : PLUMBING LIC. # 179277 Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: ~(i) This pertnit was issuetl in accortlance with the provisions set forih in yopur application and is sub"ecl to the laws of the State ot Colo2tlo antl to the Zoninp RegulaUons antl Builtlinp Cotle of Wheat Ritlge, Colorstlo or any other applicable ordinances of e Ciry. (2) This pertnit shall Gcpire if (A) ihe woric authorized is not wmmenced within sixty (80) tlays from issue date or (B) the building authonzetl is suspentletl or abandoned for a periotl of 120 tlays. (3) If this permit eupires, a new pertnit may be acquiretl tor a fee o( one-half the amount normally required, pmvitletl no changes have been or will be made in the original plans antl specifica0ons antl any suspension or abantlonment has not exceetletl one (1) year. If changes are matle or it suspension or abantlonment exceetls one ry) year, full fees shall be paid !or a new permit. (4) No work of any manner ahall be done that will change the naNral tlow ot water causing a dreinage problem. (5) ConUactor shall notify the Building Inspector twenty-four (24) hours in atlvance For all inspections and shall receive written approval on inspecYion cartl Defore proceetliing with successive phases otthejob. (e) Tha issuance of a permit or the approval of drawings and specifwUons shall not be construetl to be a permit for, nor an approvel of, any violation ot the provisions of the building es or any other ordinance, law, rule or regulation. / (rl c6 aCs,/! Chiefly'ding Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION ~s~s DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 PropertyOwner: Property Address Phone : C Contractor License No. : %~G18 Company : \~-v'\ 'Q , Phone : OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : I hereby certiy that the setback distances proposetl by this permd application are accurete, PeRTllt Fee : and do not violate applicable orUinances, rules or regulations of the Ciry of Wheat Ridge or covenants, easements or restnctions of recorcl; that all measurements shown. and alleganons matle are accurete; that I have read and agree to abitle by all conditions printed on this USe TaX : applicatian, and that I assume full responsibility for complianca with the Wheat Ridge Building Code (U.B.CJ and all other appliwble 1Nheetititlge ortlinence3,,for work untler this pertnrt. TOtal : (OWNER)(CONTR4CTOR)SIGNEt}T- - DATE Description BUILDING DEPARTMENT USE ONLY Approval : Zaning : Approval : II Approval : Occupancy : Walls Roof : Stories Residential Units : Electncal License No Company Expiration Date : Approval . _j Pfans Rt . qu(red Plumbing License No Company: Expiration Date :l Approval : j P18its Required I Mechanical License No Company Expiration Date : Approval . A i' m1sm (1) This permR was i55u80 m accortlance wRh the provisions set fofih in yopur applitation antl i5 SubjeCt lo the laws of Ihe State Of Coloratlo and to Ne Zoning RegulaGOns and BuilOmg Cotle ot VMeat Ridge. Coloretlo or any other applicable orEinances of the City (2) This permit shall exprte d (A) the work authonzetl is not wmmencea within sixry (60) tlays hom issue dale or (B) Me butlding aulhonietl is suspentletl or abantlonetl for a penatl of 120 days. (3) If this pertnit ezpires, a new permR may De acquired lor a fee of one-half the amowt normally reqmred, provideE no changes have been or will be made m Ihe onginal plans and speafica6ons and any suspension or aDantlonment has not e:ceeEeA one (1) year. I( chan9es are matle or A suspensian or abanEOnment exceetls one (7) year, full fees shall be paitl for a new permrt. (4) No work of any manner snall be tlone that wlll change Ne natural flow o( water causing a tlrainage proDtem (S) C ~Aq actor shall notAy Ne Butltlmg speCtor N/enry-four (24) hours in atlvance for all inspeCUOns and shall receive written appmval on inspeCGOn UrC before o iing with successrve pha of (he )ob. (fi) he issuan of a permR ihe 01 of tlrawings and speclfcatlons snall not be construea to be a pefmit for, nor an approval of. any viola0on of Ne provisions ot e buil mg COtles or y o ortlinance, law. rule or regulation. J Chief Building Inspector For Mayor THIS PERMIT VAIID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION