Loading...
HomeMy WebLinkAbout3940 Allison StreetFrom: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Air Conditioner/Evaporative Cooler Permit Application Date: Wednesday, August 18, 20218:03:58 AM Air Conditioner/Evaporative Cooler Permit Application This application is exclusively for AIR CONDITIONER OR EVAPORATIVE COOLER. YOU MUST ATTACH THE 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 Is this a new install or Replacement of Existing Unit replacement for an existing AC unit? Is this Residential or Residential Commercial? Property Address 3940 Allison Street Wheat Ridge, CO 80033 Property Owner Name Drew Willliamson Property Owner Phone 3039083919 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email dgwilliamson81@gmail.com Address Attach City of Wheat Electronic Payment Form M.odf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Summit Heating and A/C Name 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 Eric Webb Permit Email not displaying correctly? View it in your browser. Contractor's License 170676 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 9705450990 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email ewericwebb@gmail.com Address Retype Contractor ewericwebb@gmail.com Email Address DESCRIPTION OF WORK Scope of Work A/C Hook UP Location of work House (garage, house, etc) Provide additional Backyard details, if needed. Project Value (contract 600 value or cost of ALL materials and labor) 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 From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Electrical Service Change/Upgrade/Electrical Work Permit Application Date: Wednesday, August 18, 20218:19:01 AM Electrical Service Change/Upgrade/Electrical Work Permit Application This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE OR UPGRADE (200 amps or less). YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION 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. Is this application for No electrical service change or upgrade - 200 amps or less? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 3940 Allison Street Wheat Ridge, CO 80033 Property Owner Name Drew Willliamson Property Owner Phone 3039083919 Number (enter WITH dashes, eg 303-123- 4567) Attach City of Wheat Electronic payment form E Ddf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Webb Electric Name 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 Dean Petersen Permit Email not displaying correctly? View it in your browser. Contractor's License 022447 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 7208701580 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email permits@summitheatingco.com Address Retype Contractor permits@summitheatingco.com Email Address DESCRIPTION OF WORK What type of Air Conditioner replacement unit are you installing? How many tons is the 4 unit? For AC - what is the 14 SEER? For Evaporative Coolers, what is the CFMs? Where is the unit Backyard located (for example, rooftop, backyard on ground etc)? Is electrical needed for Yes re -hook? Provide Electrical EC -0100626 Contractor's Wheat Ridge License No. Project Value (contract 5627 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT s< City of Wheat Ridge Residential Solar PERMIT - 201802146 PERMIT NO: 201802146 ISSUED: 08/24/2018 JOB ADDRESS: 3940 Allison St EXPIRES: 08/24/2019 JOB DESCRIPTION: Residential solar: Install a 8.775 KW roof -mounted grid -tied solar PV system. *** CONTACTS *** OWNER (720)280-3847 TAYLOR, DANIEL SUB (888)765-2489 Jared A Miller 110035 Tesla Energy *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,934.00 FEES Total Valuation 0.00 Residential Solar 500.00 ** TOTAL ** 500.00 *** COMMENTS *** *** CONDITIONS *** Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. 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 p rled-acrd t tall work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. ure of OWNER or CONTR�ORrcle one) Date 1. This permit was issued b n 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 Flans 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 maybe subject to a fee equal to one-half of the originalpennit fee. 3. If this permit expires, anew permit maybe 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 pe it shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable cod�yny ordinancl it 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 W heat Pidge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building Pdrm- if ' plication RECEIVED AUG 0 1 'r ? Pe FOR OFFICE USE ONLY Date: Plan/Permit # Plan Review Fe I Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. I Property Address: 3940 Allison St, Wheat Ridge, CO 80033 Property Owner (please print): Daniel Taylor Phone: 720-280-3847 Property Owner Email: dantdirect@gmail.com Mailing Address: (if different than property address) Address: Same as above City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor: Solar City Contractors City License #: 110035 Contractor E-mail Address: tward@ Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # les ", , c` ll-� Plumbing: W.R. City License # Phone: Phone: 253-720-4461 Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form 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 8 ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT x OTHER (Describe) Solar PV (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.) Install a 8.775 kW roof -mounted grid -tied solar PV system Sq. FtJLF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) _11934 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. �—� CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)[2] PRINT NAME: Daniel Licciardello ZONING COMMMENTS: RcV;cV.,Cr: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Digltlly vgmd by Daniel Daniel Licciardello D�ba o SIGNATURE: Dab 27160727 Mn4s-0600 DATE: 7/27/2018 Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ May 3, 2018 RE: Project/Job # 80011545 Project Address: AHJ SC Office Design Criteria: CERTIFICATION LETTER Taylor Residence 3940 Allison St Wheat Ridge, CO 80033 Wheat Ridge Denver RECEIVED AUr Pe 4L- - Applicable Codes = 2012 IEBC/IBC 2012 IRC, ASCE 7-10, and 2012 NDS - Risk Category = II - Wind Speed = 135 mph, Exposure Category C, Partially/Fully Enclosed Method - Ground Snow Load = 30 psf - MP1: Roof DL = 10 psf, Roof LUSL = 21 psf (Non -PV), Roof LUSL = 21 psf (PV) - MP5: Roof DL = 10 psf, Roof LUSL = 21 psf (Non -PV), Roof LUSL = 21 psf (PV) Version #72.1 -1 o � H v UO 'p i9+ 50889 Chris Kim Digitally signed by Chris Kim Date: 2018.05.03 15:48:49 -04'00' Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.23116 < 0.4g and Seismic Design Category (SDC) = B < D To Whom It May Concern, A jobsite survey of the existing framing system of the address indicated above was performed by a site survey team from Tesla. Structural evaluation was based on site observations and the design criteria listed above. Based on this evaluation, I certify that the alteration to the existing structure by installation of the PV system meets the requirements of the applicable existing building and/or new building provisions adopted/referenced above. Additionally, I certify that the PV module assembly including all standoffs supporting it have been reviewed to be in accordance with the manufacturer's specifications and to meet and/or exceed all requirements set forth by the referenced codes for loading. The PV assembly hardware specifications are contained in the plans/docs submitted for approval. T _ s � � �ZDI$02/'/G Tesla, Inc. 3055 Clearview Nay. San Mateo, CA 94402 p 650 638 1028 f 650 638 1029 Version #72.1 - 1 HARDWARE DESIGN AND STRUCTURAL ANALYSIS RESULTS SUMMARY TABLES Landscape Hardware X -X Spacing Hardware - Landscapme Modules' Standoff Specifications X -X Cantilever Y -Y Spacing Y -Y Cantilever Configuration Uplift DCR MP1 72" 24" 41" NA Staggered 59.8% MP5 72" 24" 41" NA Staggered 59.8% Portrait Hardware Hardware - Portrait Modules' Standoff Specifications X -X Spacirni X -X Cantilever Y -Y Spacing Y -Y Cantilever Configuration Uplift DCR MP1 48" 19" 62" NA Staggered 60.3% MP5 48" 19" 62" NA Staggered 60.3% Mounting Plane Roof Pitch Qualification Results (Degrees) Member Evaluation Results MP1 20° Member Analysis OK MP5 20° Member Analysis OK Refer to the submitted drawings for details of information collected during a site survey. All member analysis and/or evaluation is based on framing information gathered on site. The emsting gravity and lateral load carrying members were evaluated in accordance with the I EBC and the I BC. Tesla, Inc. T = 5 L n - ABBREVIATIONS I ELECTRICAL NOTES � JURISDICTION NOTES A AMPERE AC ALTERNATING CURRENT BLDG BUILDING CONIC CONCRETE DC DIRECT CURRENT EGC EQUIPMENT GROUNDING CONDUCTOR (E) EXISTING EMT ELECTRICAL METALLIC TUBING FSB FIRE SET—BACK GALV GALVANIZED GEC GROUNDING ELECTRODE CONDUCTOR GND GROUND HDG HOT DIPPED GALVANIZED I CURRENT Imp CURRENT AT MAX POWER Isc SHORT CIRCUIT CURRENT kVA KILOVOLT AMPERE kW KILOWATT LBW LOAD BEARING WALL MIN MINIMUM (N) NEW NEUT NEUTRAL NTS NOT TO SCALE OC ON CENTER PL PROPERTY LINE POI POINT OF INTERCONNECTION PV PHOTOVOLTAIC SCH SCHEDULE S STAINLESS STEEL STC STANDARD TESTING CONDITIONS TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V VOLT Vmp VOLTAGE AT MAX POWER Voc VOLTAGE AT OPEN CIRCUIT W WATT 3R NEMA 3R, RAINTIGHT LICENSE TYPE EC # 8041 MODULE GROUNDING METHOD: ZEP SOLAR I AHJ: Wheat Ridge UTILITY: Xcel Energy (CO) CONFIDENTIAL — THE INFORMATION HEREIN CONTAINED SHALL NOT BE USED FOR THE BENEFIT OF ANYONE EXCEPT TESLA INC., NOR SHALL IT BE DISCLOSED IN WHOLE OR IN PART TO OTHERS OUTSIDE THE RECIPIENT'S ORGANIZATION, EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE TESLA EQUIPMENT, WITHOUT THE WRITTEN PERMISSION Of TESLA INC. 1. THIS SYSTEM IS GRID—INTERTIED VIA A UL—LISTED POWER—CONDITIONING INVERTER. 2. THIS SYSTEM HAS NO BATTERIES, NO UPS. 3. A NATIONALLY—RECOGNIZED TESTING LABORATORY SHALL LIST ALL EQUIPMENT IN COMPLIANCE WITH ART. 110.3. 4. WHERE ALL TERMINALS OF THE DISCONNECTING MEANS MAY BE ENERGIZED IN THE OPEN POSITION, A SIGN WILL BE PROVIDED WARNING OF THE HAZARDS PER ART. 690.17. 5. EACH UNGROUNDED CONDUCTOR OF THE MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY PHASE AND SYSTEM PER ART. 210.5. 6. CIRCUITS OVER 250V TO GROUND SHALL COMPLY WITH ART. 250.97, 250.92(B). 7. DC CONDUCTORS EITHER DO NOT ENTER BUILDING OR ARE RUN IN METALLIC RACEWAYS OR ENCLOSURES TO THE FIRST ACCESSIBLE DC DISCONNECTING MEANS PER ART. 690.31(E). 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY UL LISTING. 9. MODULE FRAMES SHALL BE GROUNDED AT THE UL—LISTED LOCATION PROVIDED BY THE MANUFACTURER USING UL LISTED GROUNDING HARDWARE. 10. MODULE FRAMES, RAIL, AND POSTS SHALL BE BONDED WITH EQUIPMENT GROUND CONDUCTORS. GENERAL NOTES 1. ALL WORK SHALL COMPLY WITH THE 2012 IBC AND 2012 IRC. 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2017 NATIONAL ELECTRIC CODE. .IOB NUMBER: JB -80011545 00 MOUNTING SYSTEM: ZS Comp V4 w Flashina—Insert (27) SC SC325 INVERTER: Delta # Solivia 5.2 TL THE ROOF ACCESS POINT REQUIRING A LADDER SHALL NOT BE LOCATED OVER A WINDOW, DOOR OR LOCATED WHERE IT CONFLICTS WITH OVERHEAD OBSTRUCTIONS SUCH AS TREE LIMBS, WIRES, OR SIGNS. IFC 605.11.3.1 AN OSHA APPROVED LADDER SHALL BE PROVIDED AND SECURED TO THE STRUCTURE AT THE APPROVED ROOF ACCESS POINT PER NOTE ABOVE WITH AN OSHA APPROVED DEVICE DURING ALL INSPECTIONS. APPLICATIONS FOR A PHOTOVOLTAIC SYSTEM PROPOSING A PARTIAL OR COMPLETE RE—ROOF OF THE EXISTING ROOF SHALL FIRST OBTAIN A SEPARATE BUILDING PERMIT FOR SUCH WORK FROM THE BUILDING DIVISION BY A LICENSED CONTRACTOR AND SHALL PASS A FINAL INSPECTION PRIOR TO INSTALLA11ON OF THE PHOTOVOLTAIC MOUNTING AND/OR RAIL SYSTEM DIRECT—CURRENT PHOTOVOLTAIC SOURCE AND DIRECT—CURRENT OUTPUT CIRCUITS ON OR INSIDE A BUILDING SHALL BE CONTAINED IN A METAL RACEWAY. THE WIRING METHODS SHALL COMPLY WITH THE ADDITIONAL INSTALLATION REQUIREMENTS OF NEC 690.31 (G)(1) THROUGH (4) DAN AND ALEX TAYLOR 3940 ALLISON ST WHEAT RIDGE, CO 80033 WHERE A UFER CANNOT BE VERIFIED OR IS NOT PRESENT ONE SUPPLEMENTARY GROUND ELECTRODE SHALL BE INSTALLED AND EMBEDDED A MINIMUM OF 8 FEET INTO THE GROUND AND FITTED WITH A LISTED CLAMPING DEVICE. EXISTING ROOF AND PLUMBING VENTS SHALL NOT BE OBSTRUCTED BY ARRAY INSTALLATION. PLUMBING VENTS ARE REQUIRED TO BE RE—ROUTED THROUGH ATTIC SPACE AND TERMINATE A MINIMUM OF 6 INCHES ABOVE THE ROOF LINE. VENTS SHALL TERMINATE TO THE OPEN AIR. (2012 IPC SEC 904.3) VICINITY MAP 0 City of �% W heat I�dge COMMUNITY DEVELOPMENT APPROVED ljdidily of odimit. The issuance of o perma w approval of plonT specifications and computations shall not be a permrf for, or on approval of, any violation to any of the provisions of the buildup code or of any City ordinances. Permits presumbV to give outhorry to violate of cancel the provisions of the Building codes or other ordaronces of the City shall not be .olid. 8.775 KW PV ARRAY PAGE NA*: COVER SHEET 121 RECEIVED AUG 0 Pe (::� -_ 0" o\ �vdd�n9014kilpo INDEX - 4 Sheet 1 COVER SHEET 6 Sheet 2 SITE PLAN Sheet 3 STRUCTURAL VIEWS Sheet 4 UPLIFT CALCULATIONS Sheet 5 THREE LINE DIAGRAM Cutsheets Attached REVHBYDATE COMMENTS REV A DATE COMMENTS SYA x x x Ix Ricardo Torrero SHEET: REV: DATE: 1 5/3/2018 TE- SLn S 3 M N Z£ .9T .TO .T = .AT/T:aleDs ,Mt,0- 90:6 -VS L NVId 31IS 03HSVO SI 1N3Wd1n03 dOld31N1 03H MV S1N3A 9NiomOdd 1V3H 33N33/31V9 dOld31N1 NO Nnd iinaNOO dOld31X3 NO Nnd 11f10NOO SNOLLVOO] 3300NV1S MSO'8LOZ :ale(] WIN SINN AqI Jq D r. -� aubis A elI6IQ L J AIUO DABMpJPH JOJ NMO(1f1HS 01dVd 8loZ/U5 Z 31V0 AM333H5 Nd]d 311S �1VN 3IYd Moe 00 `3001d 1b3HM 1S NOSI��b 0t6� JVMV Ad M5LL•8 dO-RVI X31V 0NV Nb0 wnu.4Dmv XW,CM' 11 Z•S OIA110S # D1190 �� 1f1'0NI Y1S31 30 NOISSIYW3d NUIPA 3H1 0H11M '1N3NdlnO3 YM31 W103638 311 3O 3sD ONY 31VS 3H1 S.1N31d038 311IM 030 nO S9M0 01 AN1 Id30)(3 Yd NI a0 3101M NI OMO10S10 38 11 T1VHS I aONN1 M31 �8HSa3IUMS H861 An ION rnNVVINNOO N13S3H NDLLYYMJNI 3H1 — lYLLN3auNo0 SZ2OS OS (LZ) s3lrwon S138V1 V 13NVd N011(18RLLSIO — V S ��asul-6wysD13 M �A dw00 SZ alsAs DNUNno Oaaa.01 OPaDDId vmrn 00 qtq l M09-8 r :U1N U S 3 M N Z£ .9T .TO .T = .AT/T:aleDs ,Mt,0- 90:6 -VS L NVId 31IS 03HSVO SI 1N3Wd1n03 dOld31N1 03H MV S1N3A 9NiomOdd 1V3H 33N33/31V9 dOld31N1 NO Nnd iinaNOO dOld31X3 NO Nnd 11f10NOO SNOLLVOO] 3300NV1S MSO'8LOZ :ale(] WIN SINN AqI Jq D r. -� aubis A elI6IQ L J AIUO DABMpJPH JOJ NMO(1f1HS 01dVd asa N313W W31S),S Ad 031V31030 O S130V1 9NINHVM V d31N33 OVOI 01 S138V1 V 13NVd N011(18RLLSIO S138V1 V X08 d3N18WO3/NOLL3Nn OO O S138V1 9NINdVM ?R 103NNOOSIO OV S138V1 ONINdVM �R 103NNOOSIO 00 DO I S138V1 9NINM V OO a31V893iN1 /M d3lN3AN1 FSoOSIO 138V1 9NINNVM N d3131N ,11I1L n (3) 10 dNDJ31 /JOTS T :,Idols albulyS awOO :1V1831VW TLT :HinY4lZV ),VddV TLT :H1f1WIZV SdW OZ:HOild kVddV OZ :H311d T :,Idols albulgs aw0O :1v1d31Vh T8:H1f1WIZV ),vddV T8:H1f1WIZV TdW OZ:HOlId AVdHV OZ :H011d 6880S 61 a Yo.0 iS wS!IIN OKC asnOH 10 WOJ j (N) P\ PV MODULE 5/16"x1.5" BOLT WI1 5/16" FLAT WASHE ZEP LEVELING F00• 001 T;7:\'iy:IG1 ZEP MOUNTING BLOCS ZEP FLASHING INSER (E) COMP. SHINGLI (E) ROOF DECKIN( 5/16" DIA STAINLESS STEEL LAG SCREW (2-1/2" EMBED, MIN) CcV I i t'1l.HL I''V J1VC V1CVV J NT$ (E) RAFTER CONFIDENTIAL - THE INFORMATION HEREIN CONTAINED SHALL NOT BE USED FOR THE BENEFIT OF ANYONE EXCEPT TESLA INC., NOR SHALL IT BE DISCLOSED IN WHOLE OR IN PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE TESLA EQUIPMENT, WITHOUT THE WRITTEN PERMISSION OF TESLA INC. JOB NUMBER: JB -80011545 00 MOUNTING SYSTEM: ZS Comp V4 w Flashing—Insert (27) SC SC325 INVERTER: Delta # Solivio 5.2 TL INSTALLATION ORDER LOCATE RAFTER, MARK HOLE (1) LOCATION, AND DRILL PILOT HOLE. ATTACH FLASHING INSERT TO (2) MOUNTING BLOCK AND ATTACH TO RAFTER USING LAG SCREW. INJECT SEALANT INTO FLASHING (3) INSERT PORT, WHICH SPREADS SEALANT EVENLY OVER THE ROOF PENETRATION. C(4) INSTALL LEVELING FOOT ON TOP OF MOUNTING BLOCK & SECURELY FASTEN WITH BOLT. DAN AND ALEX TAYLOR 3940 ALLISON ST WHEAT RIDGE, CO 80033 e �f �51-11%p' V T, 50889 For Hardware Only Jo`5`�.O salt �o s6P�� ,O F0 8.775 KW PV ARRAY Ricardo Torrero T � JC L n PAGE NAME: SHEET. REV'. DATE:- STRUCTURAL ATESTRUCTURAL VIEWS 3 5/3/2018 g `Oz/�/g 31V0 A311 L13HS SNUivi l0id0 ldl�dA JM 3OVd H009 00 30ald 1`dIHM 1S NOSI��b' Oti6� , Vy d`d Ad Mil 5LL'8 d01/Wl X314 GNd Md4 anu aonc�n ;u�wiicm ll Z -S DIAI10S # DliaAa1G �MNM 'ONI VlS3L JO NOISSIMSM N3LI 3HL InOH1M1 '1N3KdlM3 V1S31 3%03638 3H1 JO 3So ONV 31VS 3H1 HIM NDLLO3NNOO NI 1d3OX3 'NOLLVZINVJMO SLN3ldlO3N 3W 3a&nO SOM0 01121Vd NI 210 310M NI D3SO13SI0 3e lI IIVHS �N3HLNHai An 38 I] YIS31 ON�TIAd� 03N1IVVINOO NOMH NOUVMWOIII 3H1 - IVLLN3(ILiNOD sms os W) -'STV 0R — sOJaJJOJ }Jasu�-6ulysD�� M �n dL1J00 SZ NrO" OPJDDI� �s,r�n IVMW 00 9tq � 6008-8 r :BBMnN BX 'stage uole sI A pue sJ94eJ ssaae sI X 'Ad ayl slioddns leul ulwe-4amlaMs aLp of angelaj s PM12 aJe le L4 swnwlxew aye A pue X Palabbms para 7S Vwxel VN VN JanalRueO-A „ Z9 ,.Z9 fiuuedS-A 0 „6L ,.6L �analpueO-X „Bb At 6woedS-X VN VN Janal!iueO-A „Lb Ml fiuloedS-A 'a JZ „bZ Janal!lueO-X w o ,ZL 2L fiwoedS-X 9dW LM GWEN dW Ino e-1 pue uiae s�opuens ;sd 0'6Z bsd 0"LZ Ad-uoN -71HnS p ;sd 0'LZ pd 0'LZ Ad :31dqS ,OZ vOZ 4o3ld ANS lunoyy dwo0 AAS iunogy dwoo "opuels T pad dwoO ;oyJ d-3 fiuWMjJ c 9dW WW aWEN dW uogeulvo;ul u isaQ aLuaa S dW L -L a14e130SV L -9Z u04-- S v609L -6LJ lsd 0 0£ 0 Udw 9£L o L OL -L 3OSb' 6d w -A I peon mouS punoig ko6aleo amsodx3 paedS pumalewgln joloej aouelJoduq apo u6lsaa eualu� u6isap agjaads aMsgor 999LLOos#4ar 4Z1# uolsJaA 860Z'£0'90 AsvwwnS N!JIS3a GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO TWO (N) GROUND Panel Number:NoLobel Inv 1: DC Ungrounded —(1)inverterr,520OW, 5.2 TL Delta I —(27)SC SC325 TYPE EC 8041 # RODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number: 35984320 Inv 2: DC Ungrounded 9 97.5X,LAZ bee, PLC 9 PV Module; 325W, 306.5 PTC, 40 ]INV2 Underground Service Entrance Tie—In: Supply Side Connection —(1)Delto iSolivia 5.2 TL LABEL: B Inverter;520OW, 24OV, 97.5X, Zigbee, PLC Voc: 69.6 Vpmax: 57.6 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER E 100A MAIN SERVICE PANEL Delta E 10OA/2P MAIN CIRCUIT BREAKER Inverter 1 IND (E) WIRING CUTLER—HAMMER BRYANT Disconnect MILBANK CUTLER—HAMMER (N) 125A Load Center 6 a 1 13 Meter Socket Disconnect 12 10 Delta DC, D 60A LA G Solivia 5.2 TL Dc- MP5: 1x4 I E F 30A/2P Ll F17 ———— — — — — ——————— — — — — —— —EGC ———————————— — ----J, 10OA/2P E ~ N DC - I I (1) DC- I 5 2 } + (E) LOADS C -ND (E) _ GNG – – – – 'G'NC – – – – EGC/ --- GEC ---DC+ T N Dc- DC - c- MPT: 1x5 � • I GND-- Ems– – – – – – – – ––– –—–––––– – – – – –—––––– – – – – –— Gi ––– –– ––––––– – – – – – T (1 )Conduit Kit; 3/4' EMT Delta I I Inverter 2 IND Branch Socket N I 9 C 3 I Qx I 11 Delta DC+ Solivia 5.2 TL Dc- MP5: 1x4 30A 2P / EGc GEC Lt aov r---------- —--——— — — — — __ ___ __ _-- --------------------1 7 4 --- DG j DC+ TO 120/240V I I I N DC- g c - SINGLE PHASE I I L–,—' EGcI DC+ _ _ _ C+ MP1: 2X7 UTILITY SERVICE I I – – – – –GEC _ _ _ T N Dc- C- i I II GND _ _ EGC— — — — — — — — — — — — — — — — — — — — — — — — — — GC — — — — — — — — — — — — — — — — — I I I 1 I I (1 )Conduit Kit; 3/4' EMT \ TO (E) DISTRIBUTION �D�° FEDERAL PACIFIC PANEL 00 VN? IF Voc* = MAX VOC AT MIN TEMP ro�.1d Roo P O1 (2)C50/8' 5 8 x 8, er D (I CUTLER–HAMMER / DG222NRB /f►� Disconnect; 60A, 240Voc, Fusible, NEMA 3R A B (2)Delta Solivia Smart RSS Rapid Shutdown, 60OV, 20A, NEMA 4X, MC4 A 0)'32.0019 MULTI–CONTACT PV–AZ84 D� Branch Socket; MC4 U–Joint Connector, Female Female Male – (2)ILSCO IPC 4 0–/6 Insulation Piercing Connector; Main 4/0-4, Tap 6-14 – (1)CUTLER–HAMMER DG10ONB Ground/Neutral Kit; 60-100A, General Duty (DG) C p (3)Delta p Solivio – (1)#32.0018 MULTI–CONTACT # PV–AZS4 Branch Plug; MC4 U–Joint Connector, Male Male Female G (I)BRYANT I BR48L125RP –(1)CUTLER–HAMMER #DS16FK Smari RSS Rapid Shutdown, 60OV, 20A, NEMA 4X, MC4 Load Center; 125A, 120/240V, NEMA 3R –(2)CBreFR–HAMMER Class R Fuse Kit – (2)FERRAZ SHAWMUT III TR60R PV BACKFEED OCP , Spaces Breaker, 30A/2P, 2 Spaces Fuse; 60A, 25OV, Class RK5 SUPPLY SIDE CONNECTION. DISCONNECTING MEANS SHALL BE SUITABLE S AS SERVICE EQUIPMENT AND SHALL BE RATED PER NEC.– C (1 ) MILBANK / U4801–XL-5T9 L Meter Socket; 200A, #6-350, Ringless (3) MILBANK Y K4977–INT (2)AWG /10, PV tire, 600V, Black (1) AWG X10, THWN-2, Green EGC � Voc* = 396.82VDC Vmp = 288 VDC Isc = 6.03 ADC Imp= 5.65 ADC Load–Side Top Connector, 100A, /12 – 1/0 AWG 1 Conduit Kit; 3/4' EMT I� (1)AWG i6, THWN-2, Black IoF (1) AWG 16, THWNI Red –HAMMER DG Disconnect; 60A, 240Vac, Non–Fusible, NEMA 3R © (2) AWG j10, PV Wire, 60OV, Black (1 ) AWG /10, THWN-2, Green EGC Voc* = 317.45 VDC Vmp = 230.4 VDC Isc = 6.03 ADC Imp= 5.65 ADC O (2) AWG /10, PV Wire, 60OV, Black (1) AWG f10, THWN-2, Green EGC Voc* = 317.45 VDC Isc = 6.03 ADC Vmp = 230.4 VDC Imp= 5.65 ADC IL LL – (1) CUTLER–HAMMER # DG1 OONB (1) AWG #6, THWN-2, White NEUTRAL Vmp =240 VAC Imp= 43.2 AAC Ground/Neutral it; 60-100A, General Duty (DG) (1) Conduit Kit; 3/4' EMT (1 ) Conduit Kit; 3/4' EMT – (1)AWG #8, THWN-2, Green EGC/GEC – (1)Conduit Kit; 3/4' .EMT (1) AWG #6, THWN-2, Block (1 ) AWG #10, THWN-2, Black (1) AWG #10, THWN-2, Red ®L O (4) AWG /10, PV Wire, 60OV, Black (1) AWG #10, THWIN-2, Green EGC Voc* = 555.54 VDC Vmp = 403.2 VDC Isc = 12.06 ADC jj��jj'' (2) AWG #10, PV Wire, 60OV, Black Imp= 11.3 ADC O lu (1) AWG /10, THWN-2, Green EGC Voc* = 396.82 VDC Isc = 6.03 ADC Vmp =288 VDC Imp= 5.65 ADC (1 )AWG 16, THWN-2, Red ©� L 1–L (1 )ANG #10, THWN-2, White NEUTRAL Vmp =240 VAC Imp= 21.6 AAC (1 )Conduit Kit; 3/4' EMT I5F (1 )Conduit Kit; 3/4' EMT LLL���LLL (1) AWG /6, THWN-2, White NEUTRAL Vmp = 240 VAC Imp= 43.2 AAC – (1 )AWG – /6, Solid Bore Copper GEC (1) Conduit Kit; 3/4' EMT – (1) AWG /8, THWN-2, Green EGC/GEC - (1) Conduit Kit; 3/4' EMT (1) AWG 110, THWN-2, Block ®� (2) ANG /10, PV Wire, 60OV, Black u (1) AWG /10, THWN-2, Green EGC Voc* = 555.54VDC Vmp =403.2 VDC Isc = 12.06 ADC r�r (2) AWG 110, PV Wire, 60OV, Black Imp= 11.3 ADC O lob (1) AWG j10, THWN-2, Green EGC Voc* = 317.45 VDC Isc = 6.03 ADC Vmp = 230.4 VDC Imp= 5.65 ADC (1) AWG j110, THWN-2, Red (1 ) Conduit Kit; 3/4' EMT L�=LL (1 ) Conduit Kit; 3/4' EMT IIIA (1)AWG /10, THWN-2, White NEUTRAL Vmp =240 VAC Imp=21.6 AAC – (1) ANG j18, THWN-2, Green EGC/GEC - (1 ) Conduit Kit; 3/4' EMT a (2)AWG J10, PV Wire, 60OV, Black (1 ) AWG #10, THWIN-2, Green EGC Voc* =317.45 VDC Vmp = 230.4 VDC Isc =6.03 ADC (4)AWG /10, PV Wire, 60OV, Black Imp= 5.65 ADC ® (1 ) AWG /10, THWN-2, Green EGC Voc*=555.54VDC Isc =6.03 ADC Vmp = 403.2 VDC Imp= 5.65 ADC CONFIDENTIAL –THE INFORMATION HEREIN Job NUMBER: JB -80011545 00 CUSTOMER: DESCRIPTION: DESIGN: CONTTAINEDAINED SHALL NOT BE USED FOR THE BENEFIT OF ANYONE EXCEPT TESLA INC., NOR DAN AND ALEX TAYLOR 8.775 KW PV ARRAY Ricardo Torrero T 5 L MOUNTING SYSTEM: SHALL IT BE DISCLOSED IN WHOLE OR IN 3940 ALLISON ST n ZS Comp V4 w Floshing—Insert PART TO OTHERS OUTSIDE THE RECIPIENTS WHEAT RIDGE, D G E CO 80033 MODULES ORGANIZATION, EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE (27) SC SC325 , SHEET: REV: DATE: TESLA EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME INVERTER: PERMISSION OF TESLA INC. Delta # Solivia 5.2 TL THREE LINE DIAGRAM 5 5/3/2018 v 0 2 r9 fl a v m 0. z 0 00-St,S T T OOS-8 C AOt,Z = 3Jbll0n JNLLV'd3d0 L 1'069 03N 83d 103NN03SIO 0/V NV SI I3NVd IV3RLL0313 NIVIh NI 213WM IIMH13 (133—AJV9 3IVIMA010Hd r- - - - - - - - - - - - - - - - - - - - - - - - - - 1 (S)J,VM ' _0lM0A010Hd _dVIOS I 103NNOOSIO 00 /0Nd d31d3AN1 133NNODSI4 odl ONtl 2131?J3ANI 301nd3S ,,1n11n 103NNOOSIO Od i33NNOOSl0 ov TS UOS111V 0. 6H :SSGJPPV - :NMOHS SV 431VD01 S1.D3NNODSI4 H1IM S3Dwos JNIM0llO3 3H1 WO2i3 43Ilddns OSl`d SI JNI(lIne SIHI O12i3MOd N oi nv:) 2[OZAA g AV0 W18 333HS GdVDVld NVId 311S -MVN 39Vd N008 00 `30014 ld3HM 1S NOS113`d 0t6� Wddb Ad Mil 5LL'8 d0�),Vi X334 ONV NVa :NOI1dRM30 3 r4oisD ll Z'S DIA110S # Dlla3AaNl :MSN3LIP 'DNI YM31 J0 NOISSIVROd M 3H1 InOHIIM '1N311dlW3 YE31 W103638 3HL JO 3sn ONV 3IVS 3HL Si ldD3NN3HI 30 NOD N1 nO S9MO 01 AU NI W 310HM NI a380IDSI0 39 lI TIVHS aoN HDN] A 31 1438X3 N TIVH !0 1Li3N39 3H1 MOJ O35f1 38 ION IIVHS O3NMINOD N083H NOILVYWJNI 3F11 - IVI1N30L3NOD gms DS (ZZ) 311 — 5 � � �Jasu�-6uiysD�� M �n dLUO� SZ Z o"u"o0" OJ2JJ0 0 JDDI 1 P d m153H 1►� (�( OO gtg l 1009—Q I : 1mm Wr v 0 2 r9 fl a v m 0. z 0 00-St,S T T OOS-8 C AOt,Z = 3Jbll0n JNLLV'd3d0 L 1'069 03N 83d 103NN03SIO 0/V NV SI I3NVd IV3RLL0313 NIVIh NI 213WM IIMH13 (133—AJV9 3IVIMA010Hd r- - - - - - - - - - - - - - - - - - - - - - - - - - 1 (S)J,VM ' _0lM0A010Hd _dVIOS I 103NNOOSIO 00 /0Nd d31d3AN1 133NNODSI4 odl ONtl 2131?J3ANI 301nd3S ,,1n11n 103NNOOSIO Od i33NNOOSl0 ov TS UOS111V 0. 6H :SSGJPPV - :NMOHS SV 431VD01 S1.D3NNODSI4 H1IM S3Dwos JNIM0llO3 3H1 WO2i3 43Ilddns OSl`d SI JNI(lIne SIHI O12i3MOd N oi nv:) A WARNING ELECTRIC SHOCK HAZARD DO NOT TOUCH TERMINALS TERMINALS ON BOTH LINE AND LOAD SIDES MAY BE ENERGIZED IN THE OFF POSITION A WARNING INVERTER OUTPUT CONNECTION DO NOT RELOCATE THIS OVERCURRENT DEVICE Label Location: (C)(CB)(JB) Per Code: NEC 690.31.G.3 Label Location: (DC)(INV) Per Code: NEC 690.13.13 Label Location: (DC) (INV) Per Code: NEC 690.53 Label Location: (AC)(POI) Per Code: NEC 690.13.B Label Location: (AC) (POI) Per Code: NEC 690.54 Label Location: (AC)(POI) Per Code: NEC 690.17.E Label Location: (POI) Per Code: NEC 705.12.D.2 Label Set AWARNING THIS EQUIPMENT FED BY MULTIPLE SOURCES. TOTAL RATING OF ALL OVER CURRENT DEVICES, EXCLUDING MAIN SUPPLY OVERCURRENT DEVICE, SHALL NOT EXCEED AMPACITY OFBUSBAR. AWARNING ELECTRIC SHOCK HAZARD THE DC CONDUCTORS OF THIS PHOTOVOLTAIC SYSTEM ARE UNGROUNDED AND MAY BE ENERGIZED Per Code: 690.64 Label Location: (INV) Per Code: CEC 690.56(C) Label Location: (DC) (INV) Per Code: NEC 690.35(F) TO BE USED WHEN INVERTER IS UNGROUNDED (AC): AC Disconnect (C): Conduit (CB): Combiner Box (D): Distribution Panel (DC): DC Disconnect (IC): Interior Run Conduit (INV): Inverter With Integrated DC Disconnect (LC): Load Center (M): Utility Meter (POI): Point of Interconnection sJ8lJ9nulJe1os/wo0'se0u9we-ell9p'nnMM (s6ep110H wwl cede) 1Sd wdg of weL wwl Repul of RepuoW 61,09-69£-9Z9-1,+ :('llul) poddnS Z£9V-Z17t7-LL9-L+ :aullloH uoddnS LZ09-69£-9Z9-L+ Jo L999-0Vt�-LL9-L+ :aullloH sales woo- djoo-ellap@uoddnS'JaIJanul :llew3 >JoddnS woo-djoo-ell9pc7osaleS-J9ll8nul :Ilew3 sales 9£9ti6 VO 'luowaJ3 'PAIS luow9J3 LOL917 -oul `uol;ejodjo3 slonpold eNaa Z1,'069 aloUJV 4LOZ DEIN ZL'069 9104N VLOZ 03N L -LO L ZZZ VSD ' LhLL In L -LO L Z -ZZ vso ' L ttL L In X17VW3N X1,VW3N aouelldwo3 piepuelS stee), OL siert OL lana] eas anoge w000Z lanai eas anoge w000Z %00L-0 %004-0 (0.58 - 01,-) - e.qa - ot- (0099 - 0t-) A.981 - 06- (DoOL - 04-) 3.85E - 04- (O.OL - Ot-) 3o89L - W "oolE lewuual MatoS X04 --u00 Ad W I-Ndu'V Jo J0loauu00 Ad V -M Jcl--uuo'J Ad VH lou-WwV 10 Jq-uuOO Ad t -ON sol --00 Ad W I-NdLuv- jol.—uoo Ad i m (6310-£) sgl9-9 (6M£' L) 59!982 (99 X 99Z X 9L£) 9LZ X 170'0L X Y4'ZL (£5 X 091, X OOZ ) 607 X 1,69 X L9'L DMV YL-t'Z V/N A009 VM -!M IeuS!S A5 Ieu61S Old (Sam ON4) q/£ VM DMV 9-ZL DMV 0L V9Z V9Z V0Z V0Z Z L V9L VM VOL V0Z 4 L Dd A009 Da A009 WNDIS AS t ! 6u1J!M 0e i01 or M3NV3M8 1!npuoo auo -AdDa -------- alao ov . Ad oa ov Ln - .. Wim..+, ' ... mrz---------- CD ---- g ... 0 {1. Ad d0.0L NIHIIM BOOM NO 't We NMOalnHs a1dVM V1130 _ _ _ _ _ _ _ _ _ -. _ _ _ _ — _ _ _ _ _ _ -. 0 e4ea lejeuag s6uliea Ind1no s6uyeM lndul suol;eo}loadS lealuyoal i r s Vadwa, a :we.j6el(3 uoipeuuo3 Z -V 009 -SSM lepoW woo seo jawe-eljap'MMM sn ,,.,., o ((duo L -L 009-SSa IapoA) uolleownwwoo old ZL 069 81011Ae bLOZ 03N U1IM luelldwoo . sJ010euu03 Ad LOW l0auu0:D Ise --J . uollellelsul lunoW pey . IgI5iaMlLI6ll pue loedwoo . u0408101d XV VIN3N S321f11V3d Aam sJauanul leguaplsal aseyd-al6ws s,ellaa Ul!M apledwoo sl 11 ZL 069 alollJe t7LOZ 03N 10 sluawannbei umopinLIS pldeH ayl 41IM luelldwoo AlInj wals,ts (ejje Ad pouawwoo pews jo lelluaplsaj 0QA009 10 loauuooslp oilewolne ue apinoad S@01Aa0 umoplrnlS plde�j s,ellap saa4JanuI 11 q -/"0-E: aDinaa unnopinys I e}baa ao4 pideb sawcrty 1 Solar Inverters Transformerless jl-): 3.8 kW, 5.2 kW, 6.6 kW, 7.6 kW Wide Operating Voltage Range: 85 - 550V Wide Operating Temperature Range: -13 - 158°F (-25 - 70°C) High CEC Efficiency: 97.5% Integrated AFCI (Arc Fault Circuit Interruption) NEMA 4X plus Salt Mist Corrosion Protection Natural Convection Cooling Dual MPPT (5.2kW / 6.6kW / 7.6kW) Compact and Lightweight 4u Sol rcity 191 UL 1741 / IEEE 1547 / IEEE 1547.1 / CEC r Listed /UL 1699B(Type 1) / NEC 690.11 C '• Us c' c J Delta Solar Inverters Datasheet for SolarCity OrcQ INPUT (DC) 600 v 380 V 85 - 550 V 200 - 500 V UsiBTe CWftt 18.0 A 20.0 A 20.0 A per MPP tracker .SIIr3t(d 25.0 A per MPP tracker 4200 W 5000 W 5600 W 1.5 Internal Delta Products Corporation, Inc. 46101 Fremont BNd, Fremont, CA 94538 Sales Email: inverter.sales@deltaww.com Support Email: inverter.support@deRa .com Sales Hotline. +1-877-440-5851 or +1-626-369-8021 Support Hotli- 1-877-4424832 Support (Inti .):+1826-389-8019 Monday to Fnday from 7 am to 5 pm PST (apart from Holidays) 1 2 2 4 OUTPUT (AC) �., 3000 W 3800 W 5200 W 6600 W 7600 W 3000 W @ 208 V / 3300 W @ 208 V / 5200 W @ 208 V / 6600 W @ 208 V / 6600 W @ 208 V / 3000 W @ 240 V 3800 W @ 240 V 5200 W @ 240 V 6600 W @ 240 V 7600 W @ 240 V rfge 183-228V@208V/211-264V@240V 14AA@208V/ 15.8A@208V/ 24.0A@208V/ 31.7A@208V/ 31.7A@208V/ 12.5A@240V 15SA@240V 21.6A@240V 27.5A@240V 31.7 A@240V - - _- 60 Hz 59.3 - 60.5 Hz _ 57.0-63.0 Hz <15W 0.11111 HK"3r a l 10 Not1� Po+� < 3% F�l.i,- > 0.99 0.85i - 0.85c -50 db(A) @ Im GENERAL SPECIFICATION 98% 97.5% @ 208V / 9T5% @ 240V -13 - 158`F (-25-70°C) I derating above 122°F (50°C) -40 - 185°F (-40 - 85°C) 0-100% 2000m above sea level MECHANICAL DESIGN 19.5x 158x 8-5 in (495 x 401 x 216 mm) 26.8 x 15.8 x 8.5 in (680 x 401 x 216 mm) 43.0 lbs (19.5 kg) 65.0 lbs (29.5 kg) Natural Convection Spring terminals in connection box AWG 12 -AWG 6 Copper ( According to NEC 310.15 ) 2 pairs of spring terminals in connection box 4 pairs of spring terminals in connection box AWG 12 - AWG 6 Copper (According to NEC 690,S) ZigBee 3 LEDs, 4 -Line LCD Dierast Aluminum STANDARDS / DIRECTIVES NEMA 4X, IEC 60068-2-11 Salt mist UL 1741 Second Edition, CSA C22.2 No. 107.1-01 UL 1998 NEC 690.35, UL 1741 CRD IEEE 1547, IEEE 1547.1 FCC part 15 Class B UL 16998 (Type 1), NEC 690.11 UL 1741 CRD PVRSS, NEC 690.12 (with SMART RSS) _ ANSI C12.1 (meet 1% Accuracy) California Rule 21, HECO Compliant, IEEE1547 WARRANTY Smod 10 years Delta Products Corporation, Inc. 46101 Fremont BNd, Fremont, CA 94538 Sales Email: inverter.sales@deltaww.com Support Email: inverter.support@deRa .com Sales Hotline. +1-877-440-5851 or +1-626-369-8021 Support Hotli- 1-877-4424832 Support (Inti .):+1826-389-8019 Monday to Fnday from 7 am to 5 pm PST (apart from Holidays) t9 s g a M M n 1 0 WV ZZ:II 9loZ'6Z Judy :pauodxa lsel aled 0 na2r 10o -6£8L-009 # ivawnoo4 woo sledsz sddy pue slualed eogou lnoglim 96ump of loafgns we suogeogtoadg 'asn Uoea jol spnpwd s jelogdeZ to Flgigelms ayl 6uullu9n Jo; algisuodsai Alelos si jewolsm ayl Yqueuem pnpwd ayl w of pawalai suogeogpeds egos aql salnlgsum spnpwd slelog daz ylim paddlys uogeluawmop jesn-pue ayl Zonpwd yoea jol Mueuem pnpwd uepwe aql w pewelum si /yuejjem slos s,jelog daZ seowas io slonpwd sp lnoge io jejog daZ nq 6lmiam ssejdxe Aue sleejo lou scop luewnoop siyl 999L In of Palsn 609 L-099 ON 1red dllo ajlM o(i EOLZ In PUL L9k In 01 Pelsll ME -098 'ON Ped ZA daZ punojE) ZM-098 JO 889 L-098 (1d) 09b L-099 JO 999E-098 (l) 'ON lRd deo pu3 rof £OLZ In 01 Pals!I 2K-09810 909 E-098 'oN lred dljE) £OLZ In 01 Palm ME E-099 'ON Pud ;ood 6u118na-1 voo-L£9L-098 E00-Le91-098 Zoo-LE9L-098 M-LM-098'ON PE!d 6e -I aayseM pam;deo EOLZ In 01 Pals!I LZ9 E-098 'ON 12d pasul 6uiyseld EOLZ In of palsn £oLZ In of palm £OLZ In of Palsn ML-0981088£L-098'ONPed £LLO-009JO809L-098'ON Ued EM-098'ON Ued )looljalul mms (env Moo18 6ullunoW 0 0olouyoal 6uilunoW Ad 19na-1-;xaN woo,Jelosdez slueuodwoo WV Zz:LI 9loZ '6Z ludy :peuodxa lsel aled d nab 100-6£81-008 # luawnood woo'sledsz sddV pue slualed aogou lnoy8m 96ump of pafgns aje suogeognedg 'asn yoea jol slonpoid suelogdaZ to RBllgmins ayl 6udyuan Jol epsuodsaj ,galos sl jawolsm ayl 'quewem pnpwd ayl ui of pau9jej suogeognads alos ayl sainlgsuoo spnpwd spelog daZ yllm paddlys uogeluewmop jasn-pue ayl'lonpoid goes iol Aluejjem pnpwd uellum eql w paweluoo si 6lueuem alos s,ielog deZ 'saoimes jo spnpwd sli lnoge jo ielos dez Rq /yueuem sseidxe Rue eleen lou seop luawnoop siyl aejoSdaZ Ajj:pejos,, Ai5ojouyoal 6ullunow Ad lana]-lxaN ® '^ slow al6wtas uoi;isodwoo lob . dwo:) SZ AeloSd Z Al!:)jeloS•,t- woo relosdaz saolnap 6uluoipsod anon Jol 999 L In of pals!l slonpoid luawa6euew aJlm daZ „yZ of do sJana!!lueo pue ,ZL of do sueds Jol POJ99ulbu3 £OLZ In of Palsil In aie slonpoid 6uipuoq dwoo Sz L917 In PUL £OLZ In of Pals!I In aJe slonpoid 6wpunoJ6 dwoo SZ sPJepuels 0 L -L PUL 90-L 30SV of podai lauunl pu!M £OLZ In Jad lsd 09 of sainssaid peol mous pue 4!ldn pulm alnpow slJoddns dwoo SZ suogeluauo adeospuel pue 3!eJlJod w sllelsul slooi pagolld Jo; pau6lsaa suol;eol;loadg 031Sll@ .Z adAj. Jo . L edAj,„ se pagpeo JaJnloelnuew (ue wwl salnpow 6ulsn Papelsul uaflm 6ugeb aJ!d y„ 98810 £OLL In a seq dwoo SZ puoq leouloale pue leinlonJls seleaJo aiempJeq pals i -In 6ulpuoq olny dw00 salnpon alglledwoo daZ lie 4l!m s>IJoM m0 °ter slooi 916ulys uoll!sodwoo rol uopnlos 6wlunow Ad uol dl�ose 3 D oa �1 bdW00 aejoSdaZ Ajj:pejos,, Ai5ojouyoal 6ullunow Ad lana]-lxaN ® '^ slow al6wtas uoi;isodwoo lob . dwo:) SZ AeloSd Z Al!:)jeloS•,t- 5C32.` SolarCity More power, less panels. With a sunlight to electricity More power per panel 0— ,rcuit ,It,g,(Voc' [V] Our 325W panel generates 20% more power than a standard conversion efficiency of over 19.4% 270W panel. the panel ranks amongst the More energy every year Power tolerance [%]' More yearly energy (kWh) compared to other panels as they perform highest in the industry. That means better m the heat. our panels can harvest more Outstanding durability energy from the sun, which means With more than 20 additional tests performed beyond what is 'Workma —;, currently mandated, these panels far exceed Industry standards. it takes fewer of our panels to 5inc1, photovoltaic cells 100 Glass material More layers, more power power your home. Plus, they Manufactured by Panasonic for SolarCity, the panel uses ..onr.ectors tyce Heterolunctlon cell technology, which adds a layer of thin film silicon generate more power output on top of high efficiency cyrstalline silicon. during the hottest times of the day, Leading warranty Our panels rank among the best in warranty coverage, even in warmer climates. with workmanship that extends to 15 years. R HS ��. I C E a.lar�ity� m pl ,�, - ELECTRICAL AND MECHANICAL CHARACTERISTICS ELECTRICAL DATA MECHANICAL DATA `!ax. power --) [IA'] 325 I B Mex. power voltage (Vmp) [V] 57.6 I B -ax, owe current CImP) [A] 5.65 0— ,rcuit ,It,g,(Voc' [V] 69.6 S �o i occult current (Ise) [A] 6.03 current Taring LA] t5 Power tolerance [%]' 5/-0 Max. system voltage [V] 600 I Solar Panel efficiency [%] 194 j Note: standard Test Condit—, A, moss 1 s. Irradiance = 1000W/m .cell temp 25°C mpx�mum power at delivery Ftl, I�mrtetl wprrpnty conmt:onz. please (neck sur IImdW warrentY dutl�inelit TEMPERATURE CHARACTERISTICS emperature (NOCT) L'C] 44.0 Tempcoefficient of Pmax [%/°C] -0.29 Temp. coeffcient of Voc [%/'C ] 0.25 -[ of lac [%/'C] 0.03 AT NOCT (NORMAL OPERATING CONDITIONS) )[W] 2460 ,ax Power ;.—age (V.mP) LV] 54.2 x. Power cur—t (Imp) [.A] -- 4.54 Open ci .cult voltage (Voc) [V] 66.0 Short cr—. —n— ;Isc) [A] 4.85 rvote. 1— op=ra CO T.—. A., "a, -'s Irrmlanee = aoow/m. n, .zmoe. a..,e zo _ w.. sP r, T✓s AT LOW IRRADIANCE (20%) []ro 42.9916s ;"4 1.1/1.151 conneaa MC4 Frame Cele, Black wmd and snow 'pad 50 lbs/fts (2400 PA) Fl,e Type UL 1703 Type 2 7 iI �ILI I Sion A -A' 9I i I Section B -B' Max, .Ower (I—) [ W ] 62.0 Max. power voltage (Vmp) [V] 55.7 Max. power current (IMP) JAI 111 DEPENDENCE ON IRRADIANCE Open circuit voltage (Voc) [V] 65.1 ShIlt ClIcUr Current (Isc) [A] 1.21 No[e'. Low nratllanee Air mass t 5, Irradiance = 20OW/m . cell temp. = 25=Cvv "0 �w/M LIMITED ..We, onto 1 1.0 10 years (90% of Pmin) WARRANTY 25 years (80% of Pmin) 'Workma —;, 15 years MATERIALS Cell material 5inc1, photovoltaic cells 100 Glass material AR coated tempered glass -came Ina.e•Ik'. oow Black anodized aluminium ax ..onr.ectors tyce MC4 o o to a0 to CAUTION! Please read the installation manual carefully before using the products. SolarCity solaretty.eom e a e., c e oanols. r i CITY OF WHEAT RIDGE _��9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 1 Job Address: 3 9 Y0 A01 s 6r-- Permit Number: t3T rn. ❑ No one available for inspection: Time, Z . AM/PM Re -Inspection required Ye No r,fl// &c ,k , When corrections have been made, call for re -inspection at 303-234-5933 Date: _ 1 ? Inspector: DO NOT REMOVE THIS NOTICE PERMIT:f B CODE: elw_ �;,DDRESS: 90 INSPECTION RECORD Inspection online form: http:/www.cl.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation Inspections Date Inspector; Initial Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing i304 Sheer inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS 3)V6 xrI/��..rf Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail % 7 Mi4-2 321 Moisture board / shower walls : pji/t&z r 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 40.3 Final Flactrlcal Residential 404 Final Electrical Commercial 405 Final Mechanical ResidentialS" 406 Final Mechanical Commercial % 7 Mi4-2 407 Final Plumbing Residential : pji/t&z r 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning Inspections from these entities shall be requested one week in advance. For landscaping and parking inspections please call 303-235-2846 For ROW and drainage inspections please call 303-235-2861 For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works 413 Flood plain Inspection 414 Fire Insp. / Fire Protection 415 Public Works Final 416 Storm Water Mgmt. 417 Zoning Final Inspection 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. a I�iR 5_�_ CP/11at INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Occupanc Y /T vpe Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Annroval Of The Ahnvp In znarrfinna Underground/Slab Inspections Date Inspector Comments Comments Initials Electrical Sewer Service Plumbing Lath / Wall Tie Uo [Noy Lover underground or Below/In-Slab work Prinr Tn Annrnval Of Tho Ah.,..e �.,�.,.,..�:,...�. Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric' Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roofd Final Window/Doors Final Building NOTE. All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *F or ow vo tage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather 0 City of Wheat Ridge r Residential Roofing PERMIT - 201703461 PERMIT NO: 201703461 ISSUED: 07/07/2017 JOB ADDRESS: 3940 Allison ST EXPIRES: 07/07/2018 JOB DESCRIPTION: Residential Re -roof to install O/C Duration asphalt shingles with 36SQ ** CONTACTS *** OWNER (720)251-0518 SIZER LAUREN K UB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,252.00 FEES Total Valuation 0.00 Use Tax 194.29 Permit Fee 204.30 ** TOTAL ** 398.59 *** COMMENTS *** *** CONDITIONS *** 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) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. 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. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (prnect 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. ' City of Wheat Ridge Vr Residential Mechanic PERMIT - 201707322 r� PERMIT NO: 201707322 ISSUED: 09/15/2017 JOB ADDRESS: 3940 Allison ST EXPIRES: 09/15/2018 JOB DESCRIPTION: Residential replacement water heater 40gallon 40,000BTUs, like for like and venting *** CONTACTS *** OWNER (720)251-0518 JEREMY BAUMAN SUB (303)421-2161 Stephen Lanyon 017835 Blue Sky Plumbing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,509.00 FEES Hot Water Heater 40.00 Total Valuation 0.00 Use Tax 52.69 ** TOTAL ** 92.69 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on ever, level of the structure. 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 thispermtt. I further attest hat I am legally authorized to include all entities named within this document as parties to the work to be performed and that all rk�to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signatu of R or CONTRACTOR (Circle one) Date 1. Th' 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 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 and procedures 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 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 re uired 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 cQd�zor any ordinance or regulation of this jurisdiction. Approval of work is subject to f any 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 ]��Wh6atR CONidge MMET Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits ci.wheatridge.co.us FOR OFFICE USE ONLY Date: i /7 Plan/Permit #l_/ l/ �1✓v21 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: q AtVlSoyi Property Owner (please print): Te re– Property eProperty Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Phone: Contractor: i 11 Phone: Contractors City License #: — !CV Phone: Contractor E-mail Address: ���_1n l 90 �C,C.cl� �►Vl�l f� �SY1n 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 MBI ❑ COMMERCIAL I]J4ESIDENTIAL 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.) W,IMECHANICAL 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.) QQ I ylo gCA Il cwl Y has Alf �'-nfi n Sq. FULF Btu's '/V 000 Gallons V Amps Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 091-- -- OWNER/CONTRACTOR 1-- 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. CIRCLEONE: (OWNER) ( NTRAC)R) o (AUTHORIZED REPRESE ATIVE of (OWNER) (CONTRACTOR) Electronic Signature (first and last name): ` DATE: / ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ d City of Wheat Ridge Residential Roofing PERMIT - 201703461 PERMIT NO: 201703461 ISSUED: 07/07/2017 JOB ADDRESS: 3940 Allison ST EXPIRES: 07/07/2018 JOB DESCRIPTION: Residential Re -roof to install 0/C Duration asphalt shingles with 36SQ *** CONTACTS *** OWNER (720)251-0518 SILER LAUREN K SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,252.00 FEES Total Valuation 0.00 Use Tax 194.29 Permit Fee 204.30 ( - ** TOTAL ** 398.59 L *** COMMENTS *** *** CONDITIONS *** 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) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. 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. In order to pass a final inspection of elastomeric or similar type roof coverings, 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201703461 PERMIT NO: 201703461 ISSUED: 07/07/2017 JOB ADDRESS: 3940 Allison ST EXPIRES: 07/07/2018 JOB DESCRIPTION: Residential Re -roof to install O/C Duration asphalt shingles with 36SQ 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 and and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attesf that I am le ally authorized to include all entities named within this document as parties to the work to be perfrne and that all work to b er rmed disclosed in this document and/or its' accompanying approved plans and specifications. 0 --7-)) - F7 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 receivedpnor 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 permit fee. 3. if this permit expires, a new permit may be required to be obtained. Isuance of a new permit shall be subject to the standard requirements, fees and procedures 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 a etion Services Division in accordance with established policy of all required inspections and shall not proceed or conceal wAb te�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 le applic 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. flection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us een 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Dan Schultz o{U From: no- reply@ci.wheat ridge.co.us Sent: Monday, June 26, 2017 10:35 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come 6 to City Hall to submit an application in person. Permits are processed and issued in the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your (J5 contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being processed within 5 business days, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number 3940 Allison St Lauren Siler 720-251-0518 Property Owner Email jwiles@interstateroof.com Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Interstate Roofing Contractor's License Denver Number (for the City of Wheat Ridge) Contractor Phone 3037639114 Number Contractor Email Address jwiles@interstateroof.com Retype Contractor Email jwiles@interstateroof.com Address DESCRIPTION OF WORK Are you re-decking the No roof? Description of Roofing O/C Duration Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 36 / material selected above? Does any portion of the No property include a flat / roof? If yes, how many squares Field not completed. on the flat roof? 2 TOTAL SQUARES of all 36 roofing material for this project Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) house, 4:12 pitch –— q ZS-)- . 'Do 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 this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. 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 been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant John Quante Email not displaying correctly? View it in your browser. K INTERSTATE s$s refs= com RooFrN� Date Submitted ToPhond c7� 2� tit B Alt. Phone Email \p`-- - -- (% `j('11 City�� �`` `� State t'i - Zip street S1 'A Q t- t1 w ni 32 7 B 0 C im# 1�a���1 � Policy# �-------, insurance Company v � Aft e of work recommended by interstate Scope of Work and Materials to be Provided. The scope of work and materials identified below are the scop Rooting Inc.; however, interstate Rooting is not obligated to perform any part of the scope of work that is not approved by the insurance company unless you authorize the work and agree to pay rt Irt Lin ie Manuraciut­ -- - i ( ® Tear off one layer of wood shingles Tear off �.1LL-- layers of composition shingles { install Decking (7/16" 0SBA1, Install new feltGray t i /t�� Install pre -painted eave metal to code - Color Brown Charcoal Tan E]Va! Valleys will �be open Valley(s) will be closed Ridge(s) to be color -coordinated Ridge(s) will be "High Profile Ridge" color -coordinated shingles �J Install new pipejacks Replace Vents as needed ch-med and if possible (stucco or siding may be a deterrent) a Re -flash and all wall abutment as need p install N A in. ft. of series A//A. ridge vent install�,in. ft. of ice & water shield to code Install nails per shingle Clean out gutters 5 year workmanship warranty interstate Roofing, Inc. will provide general liability insurance coverage of $2,000,000, general aggregate 151 Make a magnetic sweep of driveway and yard far removal of any nails & Remove all debris resulting from above workt L'C � � 14wl' _ Vf �sJh t_+� — --� Special Instructions +ti, j c��+ r^ y ce rt I 1 rr# tom' rz d d The approximate costs of the services based on damages known at the time this contract is entered is —'—� TI interstate Roofing, Inc., however, will perform the scope of work approved by the insurance company for the amount of the ins ranee approved in proceeds, with no additional costs to you except for your deductible. The final scop and ortce e. You agreedwiln between ns the to pay fop any upgrades or company and pi interstate Roofing, Inc. shall become the final contract price for the insurance app p In additional work authorized by you that the insurance company determines Is not covered within the scope of coverage provided by your insurance ac policy. Supplemental claims billed by Interstate Roofing, Inc. that are approved by the insurance company for additional work or Increases in costs PC become apart of this contract. be Approximate Dates of Service: 2 j These dates of service are subject to change due to unusual delays in Al transportation of materials, ordinary we ther d lays, or by any other causes beyond the reasonable control of Contractor ire Notice: Nt If the property owner pians to use the proceeds of a property and causualty insurance policy issued pursuant to part 1 of article 4 of title 10, C -R - S- to if t pay for the roofing work, pursuant to section 6-22-105, the roofing contractor cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part pa of any insurance deductible applicable to the insurance claim for payment for work on the covered residential property. of, Terms: Te i (We) hereby authorize & Instruct the insurance company &alt lien holders to include the nam© of interstate Roofing, Inc. as co -payee on any I (y subsequent loss drafts or checks after today's date as indicated above. sut I (We) also authorize any legal representative and/or agent of interstate Roofing, Inc. to obtain information necessary to complete any funding I (V process relative to the claim number referenced above. pro I (we) further authorize interstate Roofing, Inc. to pick up in person any loss drafts or checks on my/our behalf and behalf of Interstate Roofing. 1(w :�Deposit Amount: Date: / R tial C Interstate Rooting shaft h Id in trust any payment from the p party o er until Interstate Roofing has delivered roofing In materials at the residential property site or has preformed a majority o the roofing work on the properly. m i (We) agree, by signing below, to all the contract conditions, both front & back of thisreemertt / i - Client Signatures V/ 3 / en Date of Acceptance ; --7f-" 4 Da: Representative t ; . a,:�=� p �t 1(1r Y C• t Z 1 1,\i Rei Corporate Headquarters Springs Office Fort Collins Office P. 970.482.7722 F, 970.682.1018 Cheyenne office Black Ins. Agency 1010 S Greeley Highway 96W E Arapahoe Rd #2r 2161 N. Academy Blvd. 2161 C 1000 W. 47th Ave. Tall Free 877.898.8144 Denver CO 802•,1 Colorado Springs, CO 80909 www.Interstateroot,com Cheyenne, WY 80211 Englewood, Co 80112.3; P. 307.834.2553(303) 397-7820 P. 303,763.9114 R 303.789.3790 P. 719.471.9752 F. 719.597.4444 info @interStateroof.0 2Z 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: AO Job Address: 3i`�b 'S��` Permit Number: ❑ No one available for inspection: Time C_ 1 41/PM Re -Inspection required: Yes fNo When corrections have been made, call for re -inspection at 303 -234 - Date: 20// Inspector: ' `W DO NOT REMOVE THIS NOTICE 444' 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:( tl7f� moi/ i ❑ No one available for inspection: Time 6M/PM Re -Inspection required: Yes No) When corrections have been made, call for re -inspection at 303-234- �/ � 5933 i _X Date: t � Inspector: ,' l DO NOT REMOVE THIS NOTICE � 51 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: - 7 i"/tea I Ila Wn �1,1151 Job Address: &SO Sf— Permit Number: ��'/�Q7Z21-Z ❑ No one available for inspection: -Ti .e 1 AM/PIS' Re -Inspection required: Yeses No When corrections have been made, call for re -inspection at 303-234-5933 e Date:Inspector:���� �' r DO NOT REMOVE THIS NOTICE Zz "� 4 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: A D Job Address: 3)Vo 'Ai ij," Permit Number: i u17,03* ❑ No one available for inspection: Time Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: 7/d//7 Inspector: ' `��- DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _��9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ( J`7'01�5 / r r-- ❑ No one available for inspection: Time y (ASI I/PM Re -Inspection required: Yes -No When corrections have been made, call for re -inspection at 303-234-5933 Date: ---,7/f / 0 ( ^ Inspector: DO NOT REMOVE THIS NOTICE FOR OFFICE USE ONLY (Aty of' Date: COMNAUNny DEVEA.017MEN-l' PlanlPermit # Building & Inspection Services Division 7500 W. 29"' Ave., Wheat Ridge, CO 80033 Plan Review Fee: Office: 303-235-2855 * Fax., 303-237-8929 Inspection Line: 303-234-5933 Building Permit Application Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed, Address, City, State, Zip: Phon Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # . I A : Im c 7= Lifetime Widows and Siding 2330 $ro;adway Unit #110 Denver, CO 80205 www.hailproofsiding.com 170 MOMMMO mylrull�mmlm Time Required "40 INSPECTION RECORD Occupancy/Type 'INSPECTION LINE: (303)234 -5933 I Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. IT--/ 17 L/ t-\ I I t X n if tr it u !(A , �I .n 1 1 >- a_i „1 — L'4�✓ lF ) INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR COMMENTS: INITIALS Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof / French Drain Sewer Service Lines Water Service Lines 1lXJ �CLIV JIla1VLU CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) ROUGHS Lath /Wall tie �( Mid -Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical BE SIGNED Framing Insulation I Drywall Screw FINALS Electrical Plumbing Mechanical Roof uilding Final B Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. VL;UUPANGY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED j PDl1TC!`T TLnC OADII CDl1M TLJC IA /CATLJCD ♦ i CITY OF WHEAT RIDGE r Building Inspection Division I (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: oc r Job Address: 11 l� /r 50 M Permit Number: n Pi)P ❑ No one available for inspection Time 1'50 A /PM Re- Inspection required: Yes �;) * When corrections have been made, call for a 3 re-ins ctio 03 - 234 -5933 '_ p - `I , Inspector: DO NOT REMOVE THIS NOTICE 3OIION SIHI 3AOIN3H ION 00 S aoloadsul i ;a�eQ CC69:W. --EO8 le ugljoedsul -ej joi Ueo `epees ueeq eney suglloeJJoo uegM ON aA :paambaa uolloadsul -aa (QjWy ql:f 7` owll :uolpadsul aol algellene auo ON as wn � q N 3lwaad f� sif/ oh ,�, :ssaippV 4or > Z - 'n :odAl uolloodsul 331ION NO1103dSNl Xed 606£-LEe (£OE) • eq /90 990 -5EZ (606) oull ugijoedsut GG6q -tea (Coe) uolslnlp uol;oodsul 6ulppng 30MU 1V3HM d0 AJL10 i t ♦ i CITY OF WHEAT RIDGE f Building Inspection Division r (303) 234-5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: _/ ���L �1cvx Job Address: ,39'ya A�ZLi sd„i s 7 Permit Number: _42 7 2 ;77.? A2,971 0,c ss7 —via 3 St�viz �Ar�7J�ft �Q i.n/S.QE�?7s✓ sz� IQ 151 rOF Al.o.e rr�) rvExT is�s�f cr�r� ❑ No one available for inspection: Time 5 AMlQ Re- Inspection required: es _ No When corrections have been made, call for re -- inspection at 303 Date: 9/�12/1 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: r/rf Job Address: C~ 6 tf t , pry z d Permit Number: ❑ 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: ',G „ lipector: 1' ~l i DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE r Building Inspection Division 1 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929. Fax INSPECTION NOTICE Inspection Type: Job Address: ~ 40 PH l isov\ S Permit Number: ~33,ba ij 1 7-0 cts 61n,1 ("W ! 7 1 ❑ No one available for inspection: Time e~ A P, Re-Inspection required: Yes No *When corrections have been made, tali for re-inspection at 303-234-5933 Date: 1 Inspector: DO NOT REMOVE THI NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line ]!?;1r(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Gi S C1 > t Permit Number: ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No When corrections have been made, call for re-inspection at 303-2345933 d Date: D f.~~lnspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 093625 PERMIT NO: ".093625 ISSUED:. 10/23/2009 JOB ADDRESS: 3940 ALLISON ST .'.EXPIRES: 04/21/2010 DESCRIPTION:.. Reroof 39.33 sqs CONTACTS owner 303/431-7343 Kenneth Siler sub : 303/816-1888 Derek Lindsay 02-2377 Infinity Restoration PARCEL INFO ZONE `CODE: UA USE: UA SUBDIVISION:: 0328. :BLOCK/LOT#: 0/: FEE SUMMARY ESTIMATED PROJECT VALUATION: 28,500.00 FEES Permit Fee 561.22 i Total Valuation .00~~1(~/~, s Use :Tax .513.00 TOTAL 1,.074.22 Conditions:. 6 nail installation & mid roof inspection required. Board sheathing spaced more than la 1/2 of an inch apart requires plywood overlay on entire roof. Ice and water shield required fromreave edge to 2' inside exterior walls... ***Contractor/Property owner shall provide -ladder(s) secured in place for inpsections.` Subject to field inspection. 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 the Wheat Ridge Building Code r(I.B.C) and all other applic 1 Wh t Ridge Ord_ina~nces, for work under this permit. Plans subject to field inspection f (if/ ole / 10/73A20,2i Signature of contractor/owder date 1. This permit was issued in accordance with the.; provisions set forth in your application and is subject to the laws of the State of Colorado and to'. the zoning Regulations and Building Codesl of Wheat Ridge, Colorado or any other applicable ordinances ofthe City. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted'.: at the discretion of the Building Official'. 3. If this permit expires, "a new permit may be acquired for a fee of ,one half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changeshave been or if suspension or abandonment.' exceeds one (1) year;full fees shall be paid for alnew permit.. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage :problem. the approval of :drawings: and specifications shall not be construed to be a permit for,nor m of the provisions of the building codes or any Zother ordinance, law, rule or regulation. o field inspections. cial r+date (303)234-5933 BUILDING OFFICE:: (303)235-2855 . Y 3PMANY BUSINESS DAY FOR :INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge Building Division m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 CO~ORA00 Inspection Line: 303-234-5933 Property Address: 314(0 MISCIA Property Owner (please print): Mailing Address: (if different than property address) Address: State, Zip: Building Permit Application Date. Plan A / / Permit #:(19(~ Contractor: D\V-z l~N 9J2-S--0(-0AipeA Contractor License 0951377 Phone: 303 - OU, -10130 Sub Contractors: Electrical City License Company: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): 5CD Construction Value: $ , rrk~ Description of work: (as calculated per the Buildfna t/aluation Data sheet) Qe.- Qoo~- 1,3133 SQ i &Ar r511:`l~ plan Review (due at time of submittal): $ LT, 5AII Sq. Ft./L.Ft added: Squares 38.33 BTU's Gallons Amps 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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CHRLCE ONE:: //(OWNER) (CONTRACTOR) PERSONAL REPREST//ggg99//I~mf,IV of ) (CONTRATOR) PRINT NAME: l.4 1 SIGNATURE: ~,yW1M~ bate: 9 28 DEPARTMENT USE ONLY ZONING COMMENTS: - Zoning: Reviewer. PUBLIC WORKS COMMENTS: Reviewer BUILDING DEPARTMENT COMMENTS: OCCUPANCY: Reviewer. FIRE. DEPARTMENT:: '0 approved w/ comments ❑ disapproved. 0, no review required Bldg Valuation- $