Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
9440 W. 37th Place
December 6, 2D21 RE: CERTIFICATION LETTER rya PropeceJW#80211502 Protect Address: Tucker Reskence 2923 Ames St Wheat Ridge, CO W214 AHJ Wheat Ridge SC Office Parker Design Criteria: -Applicable Cotler = Stmdure: 2018 EBC; PV: N18 IBC, ASCE 7-16, and 2018 NDS - Risk Category= II - WIN Speed =135 mph @s Oust- Vu0). Exposure Category C. Partially/Fully Enclosed McMotl -GrcuM Snow Loa] = W plif - MP1: Roof DL=10.5 pa( Roof LUSL = 30 par (Noi Raaf LUSL= 22.1 psi (PV) - MP2: Roof DL=10.5 pat. Rod LUSL = 30 psf (NoRPV), Red WSL= 22.1 part (PV) -MP3: Roof oL=10.5 net, page-LL=30 par(Non-PVt, Roof WSL=25.1 par (Pat - MP4: Rod DL =10.5 psf. Roof LUSL = 30 psf (NoRPV). Roof WSL= 25.1 psf (PV) Nota'. Per IBC 1613.1; Senate check Is not reaulred because Ss= 0.208< 04g and Second Design Category(SDC)=6<D To Whom N May Concent, A structural evaluation of leading was conducted for the above address based an the design criteria listed above. Based on this evaluation, I certify that Me alteration to Me extsting structure M Inatallatlon ofMe PV system meets the prescriptive compliance requirements of Me applicable existing Wilting aMlor new Wilding provisions adeptedlreferenced above. Additionally, I comply that the PV module assembly including all standoffs supporting It have base reviesed M be in accordance will Me manufacturers specifications and to meet anchor exceed all requirements set forth by the referenced codes for loading. mew assembly hardware modifications are contained In the plansldocs submitted for approval. Iretaller shall verify existing mor framing is In suitable condition and does net exhibit any signs of emanated damage which may diminish the capacity of its members or connections prior to commencement of PV Installation. Installer verification of the mounting panes acted above is required because some or all of the framing was rid observed prior to the structural evaluation performed for MIs report. Paul gopher, P.E. DIGITALLY SEALED Varslen#aa0-1 NAS December 6, 2D21 RE: CERTIFICATION LETTER rya PropeceJW#80211502 Protect Address: Tucker Reskence 2923 Ames St Wheat Ridge, CO W214 AHJ Wheat Ridge SC Office Parker Design Criteria: -Applicable Cotler = Stmdure: 2018 EBC; PV: N18 IBC, ASCE 7-16, and 2018 NDS - Risk Category= II - WIN Speed =135 mph @s Oust- Vu0). Exposure Category C. Partially/Fully Enclosed McMotl -GrcuM Snow Loa] = W plif - MP1: Roof DL=10.5 pa( Roof LUSL = 30 par (Noi Raaf LUSL= 22.1 psi (PV) - MP2: Roof DL=10.5 pat. Rod LUSL = 30 psf (NoRPV), Red WSL= 22.1 part (PV) -MP3: Roof oL=10.5 net, page-LL=30 par(Non-PVt, Roof WSL=25.1 par (Pat - MP4: Rod DL =10.5 psf. Roof LUSL = 30 psf (NoRPV). Roof WSL= 25.1 psf (PV) Nota'. Per IBC 1613.1; Senate check Is not reaulred because Ss= 0.208< 04g and Second Design Category(SDC)=6<D To Whom N May Concent, A structural evaluation of leading was conducted for the above address based an the design criteria listed above. Based on this evaluation, I certify that Me alteration to Me extsting structure M Inatallatlon ofMe PV system meets the prescriptive compliance requirements of Me applicable existing Wilting aMlor new Wilding provisions adeptedlreferenced above. Additionally, I comply that the PV module assembly including all standoffs supporting It have base reviesed M be in accordance will Me manufacturers specifications and to meet anchor exceed all requirements set forth by the referenced codes for loading. mew assembly hardware modifications are contained In the plansldocs submitted for approval. Iretaller shall verify existing mor framing is In suitable condition and does net exhibit any signs of emanated damage which may diminish the capacity of its members or connections prior to commencement of PV Installation. Installer verification of the mounting panes acted above is required because some or all of the framing was rid observed prior to the structural evaluation performed for MIs report. Paul gopher, P.E. DIGITALLY SEALED Professional Engineer T: 916.961.3960 x101p00 llC E-mail paW®pzAccom Sy J,tiENNEiry ef�O P 45677 axv >oiavw as J � O eSSONAL Paul Zachercas � , ,,.�,m 12/08/2021 TegoIrs T E. 5 L n - Version Petri -1 NAS HARDWARE DESIGN AND STRUCTURAL EVALUATION RESULTS SUMMARY TABLES Landscape ROW Pitch (Degrees) Hardware - Landscape Modules' Standoff Specifications 26. mandware X -X Sigeogin X-)( Cantilever Y -y Spacing Y -y Cantilever Configuration Uplift DCR UPI 77 2,V 41 NA sta ered 935% MIP4 w MP 41- NA A 802% Hardware X-)(Sipacird Y -Y Spacing Y -Y Cantilever Configuration Uplift DCR MPI 320 NA Staggered 83,8% MIK 32- NA Clattered 838% Mounting Plane ROW Pitch (Degrees) Qualification Results Mendeer Evaluation Results MIN 26. Member lmpaGt Check OK MR 26. Member ImpanI Check C+< MR Member Import Ctrock OK MP4 20. Member Impact CheckC+( Teal, Ing T=5Ln '' ABBREVIATIONS I ELECTRICAL NOTES JURISDICTION NOTES C CONIC CONCRETE OC DIRECT CURRENT UIPMENT GROUNDING CONDUCTOR (E) 3 EMT ELECTRICAL METALLIC TUBING FSB T -BACK GALV GALVANIZED GEC GROUNDING )DE CONDUCTOR BIND GROUND HOG HOT GALVANIZED I CURRENT Imp CURRENT AT IWER Isc SHORT CIRCUIT CURRENT kVA T AMPERE kW KILOWATT LBW LOAD WALL MIN MINIMUM (N) NEW NEUT L NTS NOT TO SCALE OC ON CENTER PL TY UNE POI POINT OF INTERCONNECTION TOVOLTAIC SCH SCHEDULE S STAINLESS STC STANDARD TESTING CONDITIONS TYP UPS UNINTERRUPTIBLE POWER SUPPLY V /mp VOLTAGE AT MAX POWER Voc VOLTAGE N CIRCUIT W WATT 3R NEMA 3R, RAINTIGHT PDO 110 qi Wee e %F o T o DIGITALLY SEALED Paul Zachcr LICENSE TYPE EC rY 8041 MODULE GROUNDING METHOD: SEP SOLAR AHJ: Wheat Ridge UTILITY: Xcel Energy (CO) Mal - THE HNmaNssN HOPI ce Nu counsel 91.VL NOT H UM FOR X enEFT OF ANYONE EXCEPT Esu wc.. NaYarmW nso SW1 n et DlsU(40 IN xW£ 0A x ZS Corn PMR V MIRS OLIN E nE eealO?S uiEwttFRN NES4ENDWttTNEssItE B Tedc E E0.PENT. 1100IT THE Rama INAI@A'. MUSssu we oNOF EPowerwall POWER -CONDITIONING INVERTER. 2. A NATIONALLY - RECOGNIZED TESTING LABORATORY SHALL UST ALL EQUIPMENT IN COMPUANCE WITH ART. 110.3. 3. WHERE ALL TERMINALS OF THE DISCONNECTING MEANS MAY BE ENERGIZED IN THE OPEN POSITON, A SIGN WILL BE PROVIDED WARNING OF THE HAZARDS PER ART. 690.17. 4. EACH UNGROUNDED CONDUCTOR OF THE MULT]WRE BRANCH CIRCUIT WILL BE IDENTIFIED BY PHASE AND SYSTEM PER ART. 210.5. 5. CIRCUITS OVER 250V TO GROUND SHALL COMPLY WITH ART. 250.97, 250.92(8). 6. DC CONDUCTORS EITHER DO NOT ENTER BUILDING OR ARE RUN IN METAWC RACEWAYS OR ENCLOSURES TO THE FIRST ACCESSIBLE DC DISCONNECTING MEANS PER ART. 690.31(E). 7. ALL WIRES SHALL BE PROVIDED WITH STRAIN REUEF AT ALL ENTRY INTO BOXES AS REQUIRED BY UL USTING. 8. MODULE FRAMES SHALL BE GROUNDED AT THE UL - LISTED LOCATION PROVIDED BY THE MANUFACTURER USING UL USTED GROUNDING HARDWARE. 9. MODULE FRAMES, RAIL, AND POSTS SHALL BE BONDED WHTH EQUIPMENT GROUND CONDUCTORS. GENERAL NOTES 1. ALL WORK SHALL COMPLY WITH THE 2018 IBC AND 2018 IRC. 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2020 NATIONAL ELECTRIC CODE. THE ROOF ACCESS POINT REWIRING A LADDER SHALL NOT BE LOCATED OVER A WINDOW, DOOR OR LOCATED WHERE IT CONFLICTS WITH OVERHEAD OBSTRUCTIONS SUCH AS TREE UMBS, WIRES, OR SIGHS. 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. APPUCATIONS FOR A PHOTOVOLTAIC SYSTEM PROPOSING A PARTIAL OR COMPLETE RE -ROOF OF THE EXISTNG ROOF SHALL FIRST OBTAIN A SEPARATE BUILDING PERMIT FOR SUCH WORK FROM THE BUILDING DIVISION BY A UCENSED CONTRACTOR AND SHALL PASS A FINAL INSPECTION PRIOR TO INSTALLATION 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 69031 (G)(1) THROUGH (4) Seth Tucker w Flashing—insert 2923 Ames St Wheat Ridge, CO 80214 i425S ei Inc f24OV1 3038683873 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 USTED CLAMPING DEVICE EXISTING ROOF AND PLUMBING VENTS SHALL NOT BE OBSTRUCTED BY ARRAY INSTALLATION. PLUMBING VENTS ARE REWIRED TO BE RE-ROUTED THROUGH ATTIC SPACE AND TERMINATE A MINIMUM OF 6 INCHES ABOVE THE ROOF UNE. VENTS SHALL TERMINATE TO THE OPEN AIR. (2012 IPC SEC 904.3) VICINITY MAP _ C1ry of �MW hea>tMR�dge APPROVED Reviewed kr Code Ca Iiane'e Plans Examiner Dale wm tgepu.m: n.,,,w..a•P.st>swawaw•,w.yr� =�earv�,orov,na„wm.P.rr,wwf .nmroawa.l.ry mvarn wu9me d^'W^9aWeuaWl nM1n pe+wry rog,rr autblN m,a'MamsslrMpmrm, arMfW ,oa. d unr a W,rom. a a. w.Hwx.n x erre A qualified person must be present at the time of a PV electrical inspection 1) Licensed master or journeyman electrician, 2) Residential wireman 3) NABCEPcertified solar installer capable of testing the rapid shut down system. 7.65 KW PV ARRAY 13.5 KWH ENERGY STORAGE SYSTEM INVENME Nikolai Cos SHEET. are DUE 1 12, T=5Ln I INDEX Sheet 1 COVER SHEET Sheet 2 SITE PLAN Sheet 3 STRUCTURAL VIEWS Sheet 4 UPUFT CALCULATIONS Sheet 5 THREE LINE DIAGRAM Sheet 6 THREE LINE DIAGRAM CONT. Cutsheets Attached Nikolai Cos SHEET. are DUE 1 12, T=5Ln I to Mouse ACCESS CONTINENTAL - ME iNFCTYATCW HEREN xe xuwxN. JCS—tSULII 0UL UU CONT.NNED sxuc NOT W NEED FOR THE Seth Tucker HNEM M ANttH ExQPT TSA MI NOR WNANC TF 9WL n BE DiscEOSED IN Ww¢ a x x2S Como V4 w FlasKn -Insert 2923 Ames St PART To NTNws WISH THE TEciPExrs WxWms Wheat Ridge, CO 80214 Mw ZATm. ExWT w uxNECTai m 9 ME sue AND USE OF THE TEEPeCIM 18 Tesla # T425S T9.A E0.P[In. MITNUi THE WRITTEN WVmEe PcRI a rtsu I PowerwalH Tesla Inc 124OV1 3038683873 MPl MP2 7.65 KW PV ARRAY 13.5 KWH ENERGY STORAGE SYSTEM WOOD] U (E) UTILITY METER & WARNING LABEL O INVERTER W/ INTEGRATED OC DISCO SITE PLAN N Scale: 3/32"= 1' w e 10, 01, SP 21' s Y4Ct Nikolal Cox T = 5 L n 9eFT Ift WE 2 12, & WARNING LABELS ® AUTOMATIC RELAY ® DC DISCONNECT & WARNING LABELS ® AC DISCONNECT & WARNING LABELS Q DC JUNCTION/COMBINER BOX & LABELS ENERGY SYSTEM FOR STAND O ALONEOPERATOON 0° DISTRIBUTION PANEL & LABELS 0 LOAD CENTER & WARNING LABELS O DEDICATED PV SYSTEM METER ❑® RAPID SHUTDOWN O STANDOFF LOCATIONS CONDUIT RUN ON EXTERIOR --- CONDUIT RUN ON INTERIOR GATE/FENCE O HEAT PRODUCING VENTS ARE RED 'J INTERIOR EQUIPMENT IS DASHED L- SITE PLAN N Scale: 3/32"= 1' w e 10, 01, SP 21' s Y4Ct Nikolal Cox T = 5 L n 9eFT Ift WE 2 12, (N) PV MODULE S1 (E) MOUNTING PLANE (MP) SV TYPICAL PV SIDE VIEW NTS PV MODULE 5/16°x1.5° BOLT WITH 5/16- FLAT WASHER INSTALLATION ORDER ZEP LEVELING FOOT LOCATE ZEP ARRAY SKIRT (1) LOCATION,, AND DRILLKPILOIT _________ PW22�'.IN' _____ HOLE. ZEP MOUNTING BLOCK (4) ATTACH FLASHING INSERT TO MOUNTING BLOCK AND ATrAcH ZEP FLASHING INSERT (3) (2) TO RAFTER USING LAG SCREW. (E) COMP. SHINGLE (1) . INECT SEALANT INTO FLASHING (E) ROOF DECKING (2) (3) INSSEERTMIPORT, WHIICHH SPPREEAADS SEALT EVENLY OVER THE ROOF PENETRATION. 5/16- DIA STAINLESS LOWEST MODULE UENT ODLES STEEL LAG SCREW INSTALL LEVELING FOOT ON TOP (4) OF MOUNTING BLOCK @ (E) RAFTER STANDOFF SECURELY FASTE S1 N W1TIi BOLT. Scale: 1 1/2" = 1' GRADE COMPACTED BACKFILL _` UNDISTURBED SOIL n TRENCH DETAIL 11 Scale: 3/4"=1'-G" D TRENCH DETAIL 11 Scale: 3/4" = P-0" RED WARNING TAPE W/ TRACE WIRE APPROVED BACKFILL SCHEDULE 40 PVC CONDUIT WMNENSM11N 1fE NEED'A E cusum s O Nm e¢ 7 INC.T= IC. IpP a'INICNE G'LIN NMEMTMI �"� JB -80211502 00 Seth Tucker 7.65 KW PV ARRAY Nikolal Cox 5 L n W.wal459a1! IT �•. NMM M INMEN ZS Coro Vo w Flamm —Insert 2923 Ames St 13.5 KWH ENERGY STORAGE SYSTEM RE INM M O aFu TMc REMENI run ro Wheat Ridge, CO 80214 9 NWE2 ". E �sru r'" Ms EPT ME RR�eceE 16 Tesla T425S h WNW. NIME1 T E N UEN FWWN 0iF9A uC' NE Nowa 3038683873 STRUCTURAL VIEWS s¢l: Si. Wre 3 12/6/2021 MEMBER! Powemoll+ Tena Inc 24DV MP Specific Desgn Information MP Name MP1 Jobsile Specific Design Criteria MP3 MI Roofing Comp Shingle Design Code Comp Shingle ASCE ]-16 Standoff �wY> ZS Comp V4 w Flashing—Insert ZS Comp V4 w Flashing—Insert Risk Category Pilch II Table 1.5-1 20 20 SL/RLL: PV Ultimate Wind Speed V—Ult 135 Fig. 1609A SL/Rt1: Non—PV 30.0 30.0 Exposure Category 30.0 C Sect an 26.7 13 DD D Ground Snow toad D9 30 Table 7-1 Portrait Y—Cantilever ——W Edge Zone Nidth a 4.5 (t Fig. Staggered StaggeregeredX and Y are maximums that are alwaysrelative tothe structure framing that supportsthe oss mftem and V is along rafters. PDO L/CF O yyw+[rx�'1'S�` s o ) �3 A p ea �kQ � as W O SSS/ONAI EAG 12/08/2021 mnmmu-ME �I.aaNI IuaN cwau[n mwE Nor BE own mw ME B 6 INICNE sera E9A INC. IoP wawwew: JB-80211502 00 °w"°` Seth Tucker DWINXIIL 7.65 KW PV ARRAY Nikolai cox T = 5 L n w}waw soaaE 904E a BE o�I•.aE M IN ZS cam Vow Flashing—Invert 2923 Ames St 13.5 KWH ENERGY STORAGE SYSTEM — %Ar m orEes wimE ME NEmlmrs Wheat Ridge, CO 80214 9 w �sxu AND M OF EPT IN RESPECTAE 18 Tesla T425S Msse WNW. whom ME MEMEN IWWN10f TBI MIKE 3038683873 rx2 xwe UPLIFT CALCULATIONS Nim: 4 ww are 12/8/2021 rcmre Powerwall+ Tena Inc 240V MP Specific Desgn Information MP Name MP1 MP2 MP3 MI Roofing Comp Shingle Comp Shingle Comp Shingle Comp Shingle Standoff ZS Comp V4 w Flashng—Insert ZS Comp V4 w Flashing—Insert ZS Comp V4 w Flashing—Insert ZS Comp V4 w Flashing—Insert Pilch 26 26 20 20 SL/RLL: PV 22.0 22.0 30.3-2A to I MP Specific Desgn Information MP Name MP1 MP2 MP3 MI Roofing Comp Shingle Comp Shingle Comp Shingle Comp Shingle Standoff ZS Comp V4 w Flashng—Insert ZS Comp V4 w Flashing—Insert ZS Comp V4 w Flashing—Insert ZS Comp V4 w Flashing—Insert Pilch 26 26 20 20 SL/RLL: PV 22.0 22.0 25.0 25.0 SL/Rt1: Non—PV 30.0 30.0 30.0 30.0 Standoff Spacing and Layout MP Nene MP7 MP2 MI MI Landscape X—Spacing ]2 ]2 46 46 Landscape X—Cantilever 24 24 20 20 Landscape Y—Spacing 41 41 41 41 Landscape Y—Cantilever Portrait X—Spacing 32 32 W W Portrait X—Canlllever 13 13 DD D Portrait Y—Spacing 82 82 W Portrait Y—Cantilever ——W ;DQ Staggered StaggeregeredX and Y are maximums that are alwaysrelative tothe structure framing that supportsthe oss mftem and V is along rafters. MAIN PANEL SPECS I GENERAL NOTES LICENSE Pona Number: Sw3o40B12sto • 7O1PE EC /8041 Meta Nurnaw. 88 753 878 Overhead Service Entrance E 200A MAIN SERWCE PANEL E 200A/21P MAIN GRCIIIT BREAKER MA (N) 20DA INTERNAL (E) W1PoNG BAMUP GATEWAY LOAD CENTER 2 ORA P 50A 2P Approval Notes: ,o we Pow'^a* 1) PN array system to have system installed Part III of N grounding per a -Article 250 per 2020 NEC Article 690.47(A). `w'°r 2) If UFER ground in not available provide or verify supplemental ground rods per 2020 NEC Article 250.53(A)(3). , 3) Cold Water & Natural Gas bonding per 2020 NEC Article 250.101 6 I��+Idgl To 1211/21,, LJ 911MPRINCE flow SORMCE ONA P I Panel Limit feature for Powerwoll unit(a) to L0.+15 to be Contra Field IabN to be at the paint of Interconnection: TCS Controlled Cuaml Setting: 200A AC, Net Metered, Non—Export 2C I(E) 200A The maximum output currwlt from this Saturn towards �Isfeleuroo PANEL Main service panel is end fed, the man panel is contrellel electronically. Refer to 'Instructions - manufacturers far more translation RNA B' 87%1°. caRPe O (3)AN ANI G elnd () (1)AMa P. ANTU. o.m AC Z Ulnae ammo 0(o -n Back-up Army 2a NA for IG Pio 20 () n so '. .....SitlYe... -(1)f1WA�an a�[E0qq°a . . .... ....................................... �akac 2 -PAN 2W Ilwuc —(1) Oakr'eWOA/S!n OpP 11 —(I )PCWP. 63,,/13,88130/340 V. IM2o XM Y (I )Eatm M]2-PVT-KOI EMFNNH y Skp BWlm anfWEXXA - r,E INFCRUAnaN HEROIN 0alnllm mN2 NOT WE Oslp FOR THE a 7 OF ANYONE EXCEPT rxsu Inc., Nm es Xe.n J B-80211502 00 Seth Tucker 7.65 KW IOV ARRAY °Etle Nikolal Cox T 5 L n epmwN srsn snu w lx OlspmSED IN MNas OR IN ZS Cam v4 w Flashing—insert 2923 Ames St 13.5 KWH ENERGY STORAGE SYSTEM Par ro 01 OUTSIDE TME RECIPIENTSORNANIZARC Wheat Ridge, CO 80214 9 uma� THE m ANND EXCEPT OF ITNXE REsaiCTNE 18 Tesla T425S bell EgRMENT. WTNEVT W WTTEN KRWAANN a TOA INC. OAK XaF 3038683873 THREE LINE DIAGRAM NEEM 5 MEM (AX 12/8/2021 nAWFP, PowerwoO+Tesla Inc '24OVI MAIN PANEL SPECS I GENERAL NOTES PRODUCT SPECS MODULE SPECS I LICENSE Panel Number: Neter Number Inv L OC ungrounded 1 -(1)Pow•rtle 1W Iz [3MJf I IGS0.YY-IPB )6 Rw / 1]e RM - 1e Talo 111255 N "I a5w, so PIs, MAN. BMI imma M(XI Eft SP, IIXp 1}PE EC A W41 Vac: 4&65 Vpmom 41.05 3 Ic AND Imp ME SH IN ME DC STRINGS IMNTFER E -STOP Product 1 BUTTON V an A AC DISCONNECT ENERGY STORAGE 4 w MP 1: 1x5 5 oo- MPI 1x5 V oc �.. Oc. 0____ _ _S°<_________________I Ir 2 M MAN PANR u AMU 0IA srau¢ mna2 N °` s w MP 3: 1x4 -- - � --- -' m x MP 4: 14 XT ' TRENCH Ti HMDSCAPE ANO 8' TRENCH Ti SOFTSCAPE -(1)funduil S PW; Sol Ba Visible open & lockable Panel Limit Mature for Powrwall units) to be utilized real label to be Of the paint of interconnection: AC, Net Metered, Non—Export 2C 'PM controlled current Setr g: 200A The maximum Output current from this s)stdn towards the main pond is controlled electronically Refer to mmumeoreis instructions for more information" VocN = MAX VCC AT MIN TEMP Z (I)16244MW(OiF Al v �p RI w NO MAN MIa PW W mm Mumotlm D(� l• -(I) arwENS 50A .2 Y Spix q DttxM�u . snexc nose - bBUX RCR NA; YRI Rai LN ee .0.WI[4D. PV M)Mdw INC, ecce, 1.Y W (I)Edon 1,22-iffn M Em I Stop BNIm -(1)WIIEx-xINKc I M�PNl9 Y AW A M Z Nm O�(1)AM2AM zRW -(I)AM A T MR N T (2)W Kw ANG 10. NUM Va' 2T9744LC Og}(1)AXG Na. stltl Bin C¢pf FGC Vw=201MVLC NO Mae KC m; 20l AX T (4)PV M% AWG 14 9Nd v«'-27&74VCC L¢ -11.24 ACC Of}(1)AN30%MM1 -R Main EM Vmp=NM&25VCC Lrp=1a.Y ACL 01¢[mne6 WA 210Va. xan-!u¢Ide. xExA HHll(I)AW ki - O) CUIIEB-IIIMMER CGIOaNB �N: ,iR A10. r1RR4R 0.mr 1. fji.U4.Par F2 NnP =210 VK MP=22 AK .....tl.(I)CmyL,xR, 3({ dT....... ......... ...... .. ........ ... Q)LaN,'LYig Ox Car .• ........................ ... •. •.• •.• (4)" wq ASC la, rbM Voc'�PBAWC Lsc-1114 MC OounJ/NMITI fia-ma Gmerd aty (CG) ......lUJfpW. ...................................... [� (2)PV IRw AM 1%iM VOP �2ID.74YDC ®p}(I)ANG 0%S lRUe IXyp FGC Wri =2� MC Iss;224e ILC ImIF 2&72 MC O k(1)AMO A10.11MP1/IMNYR ween FLe Min=20S25VCL Irani III .... P.).Cm4RN NR?/.f An ...... _O 0ordwi.t.ug A/A' UP . O]II[fN11PL- ME INIRNAON HERON m1MING) mui NOT er OSm FOR ra .p NYM4k JB -80211502 00 Seth Tucker 7 OF NAME EXCEPT IESu INC., Nm 7.65 KW PV ARRAY T= 5 Lne w NO smnKILL N Ie DSCLOSED INWH%EORIN Zs Com V4 w Flashin —Insert 2923 Ames St 13.5 KWH ENERGY STORAGE SYSTEM PMr OursmE mE RECIPN Wheat Rid e, CO 80214 71,1olallo., umas MIM E MIT THSzEnM) rgr ITHEE �saim wTN 18 Tesla T425S91E4A ERRMENT, Wal TIE xPoI PERNSWaa mulNc. 3038683873 Pw[WIF. THREE LINE DIAGRAM CONTB/2021 PowerwaO+Tesla Inc 240v SOLAR PV SYSTEM EQUIPPED WITH RAPID SHUTDOWN TURN RAPID SHUTDOWN SWITCH TO THE $OFF" POSITION TO SHUT DOWN PV SYSTEM AND REDUCE SHOCK HAZARD IN THE ARRAY - Address: 2923 Ames St ENERGY STORAGE SYSTEM INVERTER RAPID WIB SHUTDOWN SWITCH PV AC DISCONNECT UTILITY SERVICE OPERATING VOLTAGE = 240V 0&80211502-00 LLNMENI— ME 1Nf0P"""""xA°" ccxTnww ssuE xoT as usn rw re xuIIIIm JB -80211502 00 Seth Tucker I!E 0P BENEE1T 7.65 KW PV ARRAY wkaa cox T - 5 L n eZ5 BE )SCWSM�N MID N ZS Comp Com V4 w Flashin —Insert 2923 Ames St 13.5 KWH ENERGY STORAGE SYSTEM PART m 0X$ WRI Ms ssanwrs Wheat Ridge, CO 80214 MI mrnw,:n"a". E"rEPT IN cax"Ec"a WM ra we AND 0ss v ms vwvsc"c 18 Tesla # T425S T Ew,P"mT. wTxsuT TME VIETEN PE"61M'P1i TEb INC rrff xre 3038683873 SITE PLAN PLACARD sm: wm 7 12/8/2021 MIMI Powerwall+ Tena Inc 240v A WARNI AND LOAD SIDES MAY BE ENERGIZED IN THE OFF POSITION Label Location: (C)(CB)(JB) Per Cade: NEC 690.31.G.3 Label Location: (DC)(INV) Per Code: NEC 690.13.8 Label Location: (DC) (INV) Per Cade: NEC 690.53 Label Location: (AC)(POI) Per Code: NEC 690.13.8 Label Location: (AC)(POI) Per Cade: NEC 690.54 Label Location: (AC)POI) Per Code: 690.13.8 THIS EQUIPMENT FED BY MULTIPLE SOURCES. TOTAL RATING OFALL OVER CURRENT DEVICES, EXCLUDING MAIN SUPPLY OVERCURRENT DEVICE, SHALL NOT EXCEED AMPACITY OF BUSBAR, SOLAR PV SYSTEM EQUIPPED WITH RAPID SHUTDOWN DRIll (AC): AC Disconnect S ITIM MIN SINX xL (POI) vR waIII McMartin Nan:S°'�c s ode(INV Per C: Per Code (CB). Combiner Box SHOOKIMIRD 9eCNX.RIaM NEC T05.12.D.2 SHOCK RD NEC 690.35(F) YREMaA. CONNECTION TELECTRIC DC CONDUCTORSOFTHIS Per Code: 690.64 All placards shall be weather resistant permanently etched placards. Handwritten signs will not be acceptable Label Location: (INV) Per Code: NEC 690.56.C.3 Label Location: ABB/Delta Bolivia Invader Per Code: 690.56(C)(1xb) Label Location: pby SolarEdge and,Delta M -Series ani Inverter Per Code: fa ratil' 690.56(C)(1)(a) Label Bel Label Location: Label Local (AC): AC Disconnect (POI) (C). Conduit Per Cade : ode(INV Per C: Per Code (CB). Combiner Box IN NEC T05.12.D.2 SHOCK RD NEC 690.35(F) (D). Distribution Panel CONNECTION TELECTRIC DC CONDUCTORSOFTHIS DC DisconnectRuCon DO NOT RELOCATE PHOTOVOLTAIC SYSTEMARE TO BE USED WHEN HC)(DOI IC :Interior Run Conduit THI$OVERCURRENT UNGROUNOEOANO INVERTER IS DEVICE MAY BE ENERGIZED UNGROUNDED (INV): Inver ter With Integrated DC Disconnect (LC). Load Center (M). Utility Meter (POI): Point of interconnection Label Bel Label Location: Labell-ocation BACKUP LOAD CENTER CAUTION Per Code TRI POWFR SOURQ Per • kle NEC 18 RCF fNF1MIR,MGf SYSTEM TIIRDSDULS NEC 1 Label Location CAUTION m rvor Aoo rvfw mnosPer Code: Label Location: NEC WARNING (MSP) Per •1 THIS EQUIPMENT FED BTNEC Labellion:MULTIPLE SOURCES. TOTAL CAUTION DTEV CES, EXCOLUDRI GUMAW T THIS PANEL HAS SPLICED I ratSUPPLY OVERCURRENT DEVICE, THROUGH CONDURORS. SHALL NOT E%CEEDAMPACITT OF BUSBAR. IDEATION OF DISCONNER AT ENERGY SIORFGE BFCKUP LOAD PANEL ESSVOLTAGE 12074W Lalbe!LocationNOMNAL CAUTION MAXAVAIARLESFiORFPer - Ccde ouALPaWERsouRGEPer ,GRCUR FROM ESS 32A 1. .7(D) label w be marked in field sEmrvo souRGE Is705.12(B)(3)ARC FAULT CLEARING ENERGY STORAGE SYSTEM TIME FROM ESS: �$_ ATF ORION CALCUOLATION: Label Location ENERGY SIOPAGE SYSTEM ON SITE LOG4TED W ITHIN LINE OF SIGHT Per Code: Label Location: ENERGY STORAGE SYSTEM ON SITE LOCATED ON ADJACENT WALL Per Code Label Location ENERGY SIOPAGE SYSTEM ON SITE LOCATED ON OPPOSITE WALL Per Code Label Location: ENERGY SrOMGE SYsiEM ON SITE IDUTEO IxsmE Per Code: Disconnect ROOFING SYSTEM SPECIFICATIONS DESCRIPTION PV mounting solution for composition shingle roofs. Works with all Zap Compatible Modules. Auto bonding UL4isted hardware creates structural and electrical bond. SPECIFICATIONS Designed for pitched mobs. Installs in portrait and landscape orientations. Omen, my .� Engineered for spans up to 72" and cantilevers up to 24". Z$ Comp has a UL 1703 Class "A" Fire Rafinq when installed using modules from any manufacturer certified as "Type 1' or'Tvm T. Attachment method UL listed to UL 2582 for Wind Driven Rain. ZS Comp supports 50 psf (2400 Pa) front and up to 72 psf (3450 Pa) rear side design load rating for Portrait module orientation per UL 2703. Z$ Comp supports 50 psf (2400 Pa) front side and up to 72 paf (3450 Pa) rear side design load rating for Landscape module orientation. Engineered for compliance with ASCE 7,05.7-10, and 7-16 wind load requirements. Zap wire management products listed to UL 1565 for wire positioning devices. ZS Comp grounding products are listed to UL 2703 and UL 467, ZS Comp bonding products are listed to UL 2703. nMOUNTING BLOCK n FLASHING INSERT Umd oUL 270 Lease m UL 2703 and UL 2552 for mind Di Rom Parl"5P1533 Annual n GROUND ZEP 1-1LEVELING FOOT Lebib UL 2703 Leed W UL 2703 Per Awo 1511 Pedsom 13 07 nDC WIRE CLIP n HOME RUN CLIP L'WMW UL 1595 LNMto UL 105 Pa1R50.1500 Pari�1510 em / \ nARRAY SKIRT Lam1m UL2703 P.daea0na0e F-1 END CAP Lined 1, UL 2703 No SLA) end x eoi meho 1-1 SKIRT GRIP F-1 INTERLOCK Level In UL 2703 Loon! buL 270 Rdsvoi panp05P1913 nCAPTURED WASHER LAG ParIH5P101G0aM pe5P10Y0f nHYBRID INTERLOCK Leon 1, UL 2M T 3 5 L R 25 COMP DATASHEET 2 T c 5 L R Tesla Photovoltaic Module T420S, T425S, and T430S Maximum Power The Tesla module is one of the most powerful residential photovoltaic modules available. Our system requires up to 20 percent fewer modules to achieve the same power as a standard system. The module boasts a high conversion efficiency and a half cell architecture that improves shade tolerance. eeaunrul solar Featuring our proprietary Zap Groove design, the all black module connects easily with Tesla ZS components to keep panels close to your roof and close to each other fora bleotletl aesthetic with simple drop-in and precision quarcer-torn connections. Reliability Tesla modules are subject to automotive grade engineering scrutiny and quality assurance. lar exceeding industry standards. Modules are certified to lEC / UL 61730-1. IEC/ UL 61730-2 and lEC 61215. Limited warranty Linear Power warranty Materials and Processing 25 yeah Extra Linear Power Output 25 years it The maximum Pmax degradation is 2% in the t m v at year and 0.54% annually from the god to =• 25th yearIm o I S 10 t ,o „ Module Specifications Electrical Characteristics pent Methed Open Caput eaftere ve (V) that once dualt, G, re Ms. Power VARRA, Of rv) Ms. Pervater current 1. C At close rvi Gas go 144 as X 24) NOCT Mechanical Loading 4 'pre 112 APAR 1400 IM 1551 11 Lloa 11 I roam sma.a mm $120 P, 1128 ib/m nor Sed' not InInd 5190 OR elan .ram sae p„re. we 4080 r-, I as m/m Rely adl Dean had 3460 OR rziare Mechanical Parameters owl 01 144 as X 24) Cable 4 'pre 112 APAR 1400 IM 1551 11 Lloa 11 Generous glass Mi r EV02 Gill, 3 2 IM ARC will Fers, Nek Appears Answers. Allen Rogers 25 3 a 155 B In Dayeaven Operation Parameters opentical nowantur, 40-C up ourver Output Tolerance o/sww / s% in. Rayburn all Do 1000 V a¢uo nP xc 800 cara,m Temperature Rating (STC) Temperature Onefficent of V_ elimplysure Dresden or P... wo fully 1111, Go, 11 Fer, Rating UL neve 1 par 2 Current vi� crude George MoMew Grant a Vanuatu POWERWALL+ Powerwall+is an integrated solar battery system that stores energy from solar production. Its integrated design and streamlined Installation allow for simple connection to any home, and Improved surge power capability brings whole home backup In a smaller package. Smart system controls enable owners to customize system behavior to suit their renewable energy needs. KEY FEATURES Integrated battery. Inverterand system mn:mller for a more compact Install A suite of application modes, Including self -powered, time -based control, and backup motles cri Ethernet, and LTE connectivity with easy over-Me-alr updates CA 2021 11 12 POWERWALL+ PHOTOVOLTAIC (PV) AND BATTERY ENERGY STORAGE SYSTEM (BESS) SPECIFICATIONS MECHANICAL SPECIFICATIONS Fowem'am MMM Number SMar Neembly Model Number 16 3 0 0 0 0.4-y 153800x) Olmemlona To",wegM mm(628 r 297 r 6had 14O to (310 top Narminal ENery Enegy 9.6 kW On sun /1 we mesio` Boursey nual Ile so (261 led NMOnal 6W VOIM¢(Input/OurpuO 120/ Over Sola Anembly 22 big(as to end Volbpe Relge 2113.364 VAC Mounting optbm Floor or wall mount Frequoury Set It PV OC hall Vdtage Rana 155 mm 160 mm Mass 240 VAC 2Wm1dNO Maximum Continuous Power O1 2,6 kW full sun/ 5.8 kW na ¢un` Mmunum continuous enter 00.Gdtl 9.6 kW On sun /1 we mesio` Poak 0teel Power (10 a) 22 kW lull Inn/10 kW no Inn` Maximum Continuous Current Ong3rad 32 A Output ,OM -Grid b� 4Doutput loved Start Capabiliw 118 A LPA PV Maximum Input Voltage boo VOC bar CA Into m,Iemgw Based, ED 55OVDC PV OC hall Vdtage Rana SO -48o VOC 1596 mm all 4 (012 removed stones) mind newable par MR" 1 2 Maximum current w MaV�(Im) A(26 A for wmboes Orme) Maximum Smart cirout Current Per li(Io) 15A Allowable 0i Ratio 1 lowercurrhant protection OaHce 50 A breaker Maximum uppiy Fault Current 10" output Fewer Fai RMln9 r/-09601 T wr 5 L In Round Top Efficieney 90%s ENVIRONMENTAL SPECIFICATIONS SMar Gennallon on ENkbncy 97.5% at 208V 96.G%at 240V OMratlrq TemperMm -20-C 1050-C(-4HF to 122-ce Customer lMetlap Tesla Mobile AppLT Temperature run oasked di to 8608 InternMConmdl,ly as r, Ethernet. Cellular ECAGY Opntln NwudmIDNy(RXl to We consensus by Age do Revenue grade (,/-0.5%) St ne Con ows -20-C 1030-C(F-F to Sai Fr ore IntexamedarclauR Up to 95% at. 11, Comammp interrupterSeCre eotlemogysivi gzapd,l w Rapid 9hmaownM m evil it) wamnty 10 years nVi nm tt Indoor and outdoor rated Enclesure type Tope 3R COMPLIANCE INFORMATIONSolar assembly Insimeas Rating P55 (Wrong Comparcment) p Mq Assembty Inns Rating pers(Wmeg Compartment) WCedMulbm UL Ends, UL 41,Up3741,U SA,UL IP67(Battery &Fewer Elaatmsed eg (US) IEEE uses. IEEE 1547 1 Noise offal@1m IEe tlbW optimal, Ekrdwry a Up 1 Sys, UL 1741, thin 1741 IFUS, UL 1741 SA thin <50 tlb(A)mmimum SygGm contifiut om provided for 21 p]°F), Wd Connection UnttcESGl e0 EAC to barred to AC at beginning of . ulelannamimm, FCC Part 15 Of... B connectiony networkdect to service verall l strength utotal ahaweight does HH or Inelll the rwalb weighs an dowel bracket, when EnwimmentY ROHS Preghe 2011/65/EU additional 9 k9(201 be Snmle AC156. IEEE 693-2005 (high) corrormance maay be do,red at supreme temperatures below Hoc (500F) or greater than vC(10i 7 3 5 L Be No 202 11 12 TeAACOM/mlawy DATASHEETT--yMplRBVP 22--K01- ®[•� Emebrgenrymop/emergency switching off preshbuaor,Wil Tit INC, �_��� 4 blislerpack Powering Business woddmde Pad n4. MUM K01-BVP Catalog N°. 13524 Alternate Catalog hin-PIT-1001-9VP0 No. Delivery program P,41,11191 neat'". On npMn aw ee merged. I,ad,aM,I, . M11,01,mpµamaeuT m Pamaingi r 1 nmummrymemmm MIDFOI Technical data swerral Ammunammung care T Dole e ��Mnania� Design verification as per IEC/Ell 61439 ahead Mwapwpx.. amenlaeP.wmnmpxim. P,N w a ... d eem SmUce.m.Mwmpmm�n.wmn,.e•N Pre W 11"Pd,e w uq "bachnum Orman, in. Y m,"em emrem neve mea T IMEN AIM Moen... Shown MNepp,ine 102 5p oxmemdeb Intl wm mauve, xlne 10 2 11 me McWM ane nsam 01CF11mmmemimr 1032 Wonfi,lien m reuo,a mingle" awaron In Wood find Irtrni.n fl anmmeminwman amenia 1, abnormal heat an roe ought, mon, Saroolm1mmurm 1..4 Mmom,do tra-col lNVlredlAm Nob 10 2 6 ands non...elimen N,inmwm 10 2 stead a 10.IMelamw ftnOMSEMLIEE 10I cape Intl. oft layer Mpm;In4w°we NsrmwMnaeeimlx.w+=m.x 1 12 her materiel 10 0ars e.we rower Was Panne of novel mental mamma materiel ° 10 11 off rating IO.emwmmOnwe mmmiaiin okra°m OWN, xp.em..mire m4M1°aa, e..°aw he Ireland, v e m u eumEaueiy. e tee weal euwm v wrmseiEq dominative.....vinelwxewnce,.a,enaaelune.a E.m.wx . x I,iwwnmalnneMnen. N., e,.Mmaean. m. wxnunmae lm M. m,OMw., max n. N.., ublite.me,p.mfiexi.nsl,me..emp..,max°e Pee.oM lea Ther d lmyo am Wre apps aal the mamwp... aeeimmat i Technical data ETIM 7.0 .. a am..mn wemslEnwnmlEmxneman„wm.nmmpwn°amnlEtlnlAal awl e.°iremn° w / laanw lteawkhleeM1gingeI(penman°10 alarm deem./ rine aroma, W Ieh"m pap-� 11ab, Iana.n00.MN-n X12120 ®1411 M111aft, Rod ummaamm�lm, a ... d prom Its W, e,.r row no ° MNepp,ine m, deeply W prvceni.m nM In? 01CF11mmmemimr all Saroolm1mmurm Nob 6,inMaAa,niaai.nMaA N,inmwm a Mpm;In4w°we :i:xip 6x.p111ue goo aw.. antAkInIngeremoroymm M, A Additional product information )links) ° p W, J? ..m ,..bae..a J?.....„ ,man.mew°COMEmmnOmuvunsmucn°NMn 7l6msa>de10 11 u10.Tw PMm IS N i1w1I60mz6M1.TMnfir9e1 Aman.ne.. roan.mm EUMENNTOmnwuNMUMONvll7l6mlmnA-m.pm Main Me product mod, to I crowded, Parody x apply p N. axe1 eee.Me rn,M1Anr meed, l.are enalmed. Dran eopp 111, Per mew N,We svn.mxen ahaumrma°am M erenmd. amnappN.,EmaM ntiaeull'eM1gnrmammhearaewad. Monaco may lm�imww iffy hateciderame .. go SOLAR SHUTDOWN DEVICE The Tesla Solar Shutdown Device is part of the PV system rapid shutdown (RSD) function -in accordance with Article 690 of the applicable NEC. When paired with POwerwalla solar array shutdown isinitiated by turning the Powerwalla Enable switch off, or by pushing the System Shutdown Switch If one Is present. ELECTRICAL SPECIFICATIONS MEmdria.F- lip C/.� r WdlIrl MECHANICAL SPECIFICATIONS Nominal Input De Cu tRating op) 12A Eltt icai connection: MCA Connector MAXIMUM Input array aroit arwM Dao) 15A Maximum System Voltage 6VUP Nougn9 W Plastic :�.ya�tem•a�aaseamr_necy Presidents eer a ewl"a per sing AmmentTampemwre cumpri Header Law Excitation present Sam, Normally open Makenum rt Po mptl25 350gmonm agr.rally years COMPLIANCE INFORMATION amfkatlam UL 1741 PARSE, JL 3741. PVRSA(Photovolreic Imam RSD bbaem, Method External system shutdown Switch compatible Equipment Sao inevesimbi now Calow ENVIRONMENTAL SPECIFICATIONS AmmentTampemwre 41 to SPC 640-F to 122-9 StmaWTempraNre -30-C to 60-C (-22-F to 14ano E�prime NEMA 4/mov Dim sn ns m,150 z mm 1Solar Shutdown Device per 10 modules Teals (125 Sin 1 Solar Shutdown Device per 3 novelas` waght 350gmonm 15olar Shutdown Device per 3 modules Mountin90pflons 2EP Home Run Glp 1 Solar Shutdown Device Per 3 modules N4 one. m1d) Ma set (5/16.) Net Wood 50 04,crew6sOmm Sn mmM68,,part t .x�.s of Iw— 12s mm 22 mm I UL 3741 PV HAZARD CONTROL (AND PVRSA) COMPATIBILITY reale Solar Roof and Teela2eo 25 Arrays using the foul Moor ee are certified to UL 3241 antl UL 1241 PVRSA when Inefallem with the %wenvaln and year Shutdown DemeeWiesethe feel Installation Manual far detailed instructions and for guidance on Installing Scattered, and Solar Shutdown Devices ith Teals Solar Roof V3 1Solar Shutdown Device per 10 modules Teals Tesla TwS(where kv-W5 to WO W, increments of 5) 1 Solar Shutdown Device per 3 novelas` Towns QPENt DUO S -KGS 15olar Shutdown Device per 3 modules Hanwha O.PEAK DUO SLK bar 1 Solar Shutdown Device Per 3 modules SYSTEM LAYOUTS Pumerwalewth Backup Switch for Whole Home Backup Solar Backup Baitck H—S—Metan— kpaa<enn. Mm..o<k.t p.Pol Bna I J row.M,ale Backup m.e. frownextelP with Backup Gateway 2 for Whole Home Backup :(® Solar N_ --00-- _ © Q -o LwJ<eal Backup Garewai Meterap<I¢tpanel Grid PowerwalP Backup twos Powmwtlp With Backup Safeway 3 for partltl Home Backup solar L— E — S — Backup panel Back J pow.Iwall. Ba[kup loads CIption Turn solar modulesinstalled In locations where the max Voc for three modules at low design temperatures exceeds 165 V shall be limited to two froar between one T an S c M NA 2021 11 12 ThE u.Contro G 7_ S c E Ne[erexNN or Gtle Nm -pec WP Perth estso Han-essenn.l loads PV HAZARD CONTROL SYSTEM I ZS PVHCS UL 3741 REPORT DATE 10-20-21 (APPLICABLE TO ZS COMP, ZS SPAN, ZS RAMP, AND ZS SEAM) PV RAPID SHUTDOWN ARRAY, UL 1741 CATEGORY OUR WARNING: To valued Me risk of injury, react all irulructlons. PV HAZARD CONTROL EQUIPMENT AND COMPONENTS Function Manufacturer all No. Ftrmwer¢Veresns Democrat Standard Freedom ManuraMrer Model No, ate CFeckeums CoalShamiradd PVRSE Mid Circuit Chromosome Intemlpler(MCI) Teta MCI -1 WA UL 1741 PVRSE Tests 7.6 W. 1536000' V4, CEAAFS02 UL 1741 PVRSE Interrupter (MCI) 15503]9' UL 1741, 1996 Inverter or PwrerwalP Testa 36 kW 1534000' V4. FF]BIEE1 PVRSURVRSE Invederor PoxervreM Tesla ]6 Met 1650000' V4, CEA4F602 D'PEAR DUO 31-K-GNSC316320 I'VRSSIFVRSE Hanwbal QCELLS O. PEAK DUO BIM G6HSCSAR45 V4, CEA4F802 UL 1703 PVMMUI¢ Tecta firstfirst box =405 m 4w) WA UL617W W Module Tesla Tecta Tough prv=39510415) WA UL6V30 PVHCS Indent Dedkelal PV system AC broad breaker orAC dkmnnect sella, labeled per NEC 690.12 SR]2T2 N/A (W Invader) requirements. PVHCS Initiator Emergency soup dashes NISDF Usual 'Emergency Slop Button' or Rmergwry Stook UL 501 or UL 60947 Pads (FwrerwaN) Doctor or Tnergsmy Stop Unit. 1. Si and 5-5 ' Applies to ministers, or MIR pan number with Ruff, NWo numbers and one II Nola'. PVHCS installation requirements may reface Ne eflttLve equipment and commnent image babe the inmended equipment ate momonent PVRSE slags in order to achieve PVHCS stork happen duudon requirements. PVHCS INSTALLATION REQUIREMENTS Max System Voltage 600 VDo PVHCS Maximum Circuit Voltage(Nrey Internal Voltage After Actmakin) INS Vrac(coH weather often circuit) Max Series -Connected Modules Between Mi 'Exception. Testa S Same PoxdxS) modules Installed in locations where the max VOC W 3 3 - modules at dew design Momentum exceeds 165V shall be Ilmlted to 2 m ansa batman fall OTHER INSTALLATION INSTRUCTIONS 1. An MCI must he connected to type end of each series string or mounting plane su parray string. 2. Veneered that Mi are installed with 3 or fewer nodules between MCIs shall be Measurement for defended, by voltage measurement logs andlor asbuilt sting layout diagrams. 3. For PV Investor: The PVHCS Initiator (AC breaker or switch) shall be sized and installed in ecmrdance with NEC requirements. The specific pan shall be identified on the as -built system drawirrgs. 4. For PowerwalH: The PVHCS emergency seas initiator shall have the following minimum ratings'. Outdoor (Type 311 or higher), 12V, 1A, ate shall he Installed In accordance with NEC requirements. The speafic pad shall he Handled on the as -built system drawings. Refer to the Powenvi Installaebn manual for ftnher delands. UL' Corrosion Mark of UL on the manual inertia is the only method privMedbyULroalready products manufactures! under his Conitra6an and Fdow-Up Samoa no Coronation Mat for these products includes Me UL symbol. may wands CERTIFIED' and "SAFETY,"Ne geographic morNfiwer, and a Ne number. PV HAZARD CONTROL SYSTEM PVHCS I CERTIFICATION UL 3741 REPORT DATE 8-12-21 PV RAPID SHUTDOWN ARRAY, UL 1741 CATEGORY OUR, REPORT DATE: 2021-06-11 (REV B-10-21) WARNING: To reduce the risk of injury read all instructions, PV HAZARD CONTROL EQUIPMENT AND COMPONENTS ' Applies to variations of Mis pad number with suffix of two numbers and era letter. Note: PVHCS retaliation requirements may reduce the erectWe equipment eM represent rerlys fall Me individual equipment and cortpuvnt PVRSE ragngs in wdx by achieve WHOM short hazed reductor requiremm$ PVHCS INSTALLATION REQUIREMENTS Max System Voltage 600 Von; PVHCS Maximum Chiral Voltage(Amay lntemal Voltage After Actuation) 165 Voc(call weaNeropen armip Max Series -Connoted Parsels belwree r Mi 110 OTHER INSTALLATION INSTRUCTIONS 1. An MCI must be contest to one and of each series strung or mounting plane sub -artery sting. 2. Verification Nal MCI; are installed with 10 or fewer modules betwe¢n kill shall he documented for Inspected, by voltage measurement logs aMIM as built string layout diagrams. 3. For PV Invader: The PVHCS irti0alnr (AC breaker or switch) shall he sized and Installed In mathematical with NEC requirements. The specific pad Mall be Identified on the ao-bullt system drawings. 4. For Powerwallr: The PVHCS emergency stop initiator shall he" Ne following minimum radhown Outdoor (Type 3R or higher), 12V, 1A, and shall be installed in accordance with NEC requirements. The specific pad shall be identified On the asbuiltsystem drawings. Refer l0 the Powerai installation manual for further details. U� Centel Mary ofULonMelnstallationinstructions isMax only method proceed byULtoidentiyproductsmanufacturedunder to Generator and FollwvLp Servos. The Corrosion Mork fa Mese products includes 0e UL syma4. Me words "CERTIFIED -and 'SAFETY-thege graphs identfier(s), and a01e number. Flmmvere Versions Freedom ManuraMrer Model No, CoalShamiradd Chromosome PVRSE MH Circuit MCIP Tests WA UL 1741 PVRSE Interrupter (MCI) 15503]9' Zfi kW: Breaker V4, CEM19802 UL 1741, 1998 Invederor PoxervreM Tesla 3.8 met 15340DP Vol. FF]BE4E1 I'VRSSIFVRSE 7.6 kW: 185001 V4, CEA4F802 SR60U'SR]2T1 W Module Tesla WA UL6V30 SR]2T2 Move Hareem Tesla SRDTH WA UL 9703 (1M applicable W Si SR BR%.SR-BJ3%, PVWIreJumpega) T Ia WA UL 9]03 SR$K%,SR-30i Paas -Through Box hat SRPIB4 WA UL 1741 PVHCS Imitator'. Document PV system AC opsit breaker or AC discounted water labella]Per NEC WA Me/Inverter) 690.12 requkemento PVHOS Imbata Emergency sttq device (Mai Ul'Emergmty Stop Bull or'Emorgency Slop UL 508 or UL 50937 Midwest Devke'or"Ener9enry SLp UnK Pere 1, 5.1 and" ' Applies to variations of Mis pad number with suffix of two numbers and era letter. Note: PVHCS retaliation requirements may reduce the erectWe equipment eM represent rerlys fall Me individual equipment and cortpuvnt PVRSE ragngs in wdx by achieve WHOM short hazed reductor requiremm$ PVHCS INSTALLATION REQUIREMENTS Max System Voltage 600 Von; PVHCS Maximum Chiral Voltage(Amay lntemal Voltage After Actuation) 165 Voc(call weaNeropen armip Max Series -Connoted Parsels belwree r Mi 110 OTHER INSTALLATION INSTRUCTIONS 1. An MCI must be contest to one and of each series strung or mounting plane sub -artery sting. 2. Verification Nal MCI; are installed with 10 or fewer modules betwe¢n kill shall he documented for Inspected, by voltage measurement logs aMIM as built string layout diagrams. 3. For PV Invader: The PVHCS irti0alnr (AC breaker or switch) shall he sized and Installed In mathematical with NEC requirements. The specific pad Mall be Identified on the ao-bullt system drawings. 4. For Powerwallr: The PVHCS emergency stop initiator shall he" Ne following minimum radhown Outdoor (Type 3R or higher), 12V, 1A, and shall be installed in accordance with NEC requirements. The specific pad shall be identified On the asbuiltsystem drawings. Refer l0 the Powerai installation manual for further details. U� Centel Mary ofULonMelnstallationinstructions isMax only method proceed byULtoidentiyproductsmanufacturedunder to Generator and FollwvLp Servos. The Corrosion Mork fa Mese products includes 0e UL syma4. Me words "CERTIFIED -and 'SAFETY-thege graphs identfier(s), and a01e number. GENERAL NOTES • DRAWING OF STANDARD MCI WIRING DETAIL FOR ANY GIVEN STRING LENGTH • IF INITIATED, RAPID SHUTDOWN OCCURS WITHIN 30 SECONDS OF ACTIVATION AND LIMITS VOLTAGE ON THE ROOF TO NO GREATER THAN 165V (690.12.B.2.1) • MID CIRCUIT INTERRUPTER (MCI) IS A UL 1741 PVRSE CERTIFIED RAPID SHUTDOWN DEVICE (RSD) RETROFIT PV MODULES • MCIS ARE LOCATED AT ROOF LEVEL, JUST UNDER THE PV MODULES IN ACCORDANCE 'NTH 690.12 REQUIREMENTS • THE QUANTITY OF MCIS PER STRING IS DETERMINED BY STRING LENGTH — NUMBER OF MODULES BETWEEN MCI UNITS = 0-3 — MAXIMUM NUMBER OF MODULES PER MCI UNIT = 3 — MINIMUM NUMBER MCI UNITS = MODULE COUNT/3 'Exception: Tesla (Longi) modules installed in locations where the max Voc for 3 modules at low design temperature exceeds 165V shall be limited to 2 modules between MCIS. T=5Ln FG D PLEASE REFER TO MCI CUTSHEET AND PVRSA INSERT FOR(2)AWG, a(2)AWG, PV Wire, 600V, Black DC MORE INFORMATION POWERWALL Backup Gateway 2 The Backup Gateway 2 Torturers Powerwall provides energy management and monitoring for solar SPV-Consumption, time basal sorrel, antl backup, The Backup Gateway 2 controls connection to the and, automatically detecting Outages and providing a seamless transition to backup power, When equipped with a main circuit breaker the Backup Gateway 2 can be installed at the service enhance. When the optional Internal nanosecond is Installed the Backup Gateway 2 can also function as a load center. The Backup Gateway 2 communicates directly with Powerwall, allowing you t0 monitor energy use and manage backup energy reserves from any mobile device with the Tesla app. PERFORMANCE SPECIFICATIONS MECHANICAL SPECIFICATIONS all Mumbi 1232100x. -y mmerslma me) mm. all mm. las mm AC Voltage ManlnMl 120/240V (25 In n ran n Gln) Madmum labor from circuit current IOka, Overcunmt Protection Device 1000OOA', Service Entrance Rates Ove"mM eCMegmy Category IV AC Meter Revenue accurate (./-02 Y) Palestine Comm ti Ethernet W, It smmvy Connectivity Cellular (DR, LTE/4G)2 operating Mal Support Or solar sen-consumptnn, perabng fear (RH) mPbasctl contol, and backup neckup Transiontic discourser for overrun, l Enamnment backup Modularityc rts 1 IO AGouplad Reservoirs Optional Internal palglboand over 61/12 cnwl[Eaton BR Circuit Shabbier Warrants 10 years 'When enriched by park J favor Backup Famous 2 is notable for use in a rose valuable of surviving not head than 22k A crournerecal entrance The customer is merged to assay neranot sooner, ber ty son Samum Gateway 2 .. activity poll connectivity subject to Veterans operator pavc, coverage end hool hoverinth COMPLIANCE INFORMATION cerlmonans VL 67. UL a69A,0 1741 PCs CSA 22 20,19, CSA 22.2205 Onlslom FCC Part 15, ICES 003 Mounting options Wall mount Semiflushmount ENVIRONMENTAL SPECIFICATIONS Opened" Temperature -20-C to Gcy (beE to 122rF) perabng fear (RH) Up to 100x, wnrtnamg Molimunk Elevation 3000 DW ft) Enamnment Indoor and Outdoor ated T a 5 L ra Iv 2]v no o Tesumn/Lrvwev T = 5 L n Panel Limits: A NEC 705.13 Compliant Power Control System To whom 0 may concern: This letter is meant to describe and provide listing documentation for Panel Limits - a Powenvall and Powerwall+ integrated Power Control System for busbar protection. Panel Limits Is a busbar protection method listed for use in compliance with 2020 NFPA 70 705.13 and UL1141 PCS. This packet will provide a functional understanding of Panel Limits, demonstration of code compliance, example configurations and listing documentation. Sample configuration: Solar Meter Site Meter Uncontrolledrces) I(t 0 --7G Controlled Source(s) 'virtual Panel" or Busher Key Terms: Controlled sources - Tesla ACPW and Tesla Powerwall+ Uncontrolled sources - external solar inverters or similar power production sources connected to the virtual panel. Virtual Panel - a group of panelboards and conductors that are considered as one single panel with respect to Panel Limits. Tesla Panel Limits Power Control System monitors the amperage flowing into a virtual panel from the grid, controlled and uncontrolled power sources. As the measured current approaches the configured Panel Limit, the site controller will first reduce the power output of the energy storage system and then curtail controlled solar output In accordance with the Powerwall+ UL1741 PCS listing all solar connected to the Powerwall+ solar assembly is classified as a controlled power source. The utilization of Tesla Panel Limits PCS ensures the virtual panel will never see a greater ampacity than its lowest ampacity busbar rating. T = 5 L n Panel Limits: A NEC 705.13 Compliant Power Control System NFPA 70 705.13 (A) -(E) Compliance 705.13(A): Monitoring • Tesla Site Controller receives meter data from Backup Switch or Backup Gateway and or Neurio (W 1IW2) meters. • Tesla site controller receives controlled current data of the AC output of the Powernall+ and Powerwall • The summation of current is continuously monitored and compared with configured Panel Limit ampacity selling. This is true for both grid and on-site power production sources. If communication from any meter is lost all controlled power production sources are curtailed to 0. NEC 705.13(B): Settings • Panel site limit setting is restricted to Tesla personnel. • Configured Panel Limitwill never be greater than the rating of the smallest busbar within the virtual panel. • The default panel limit setting is 100A to align with minimum service requirements for single-family dwellings per NEC 230.79(c). Panel limit amperage value can be configured up to 200A. • Panel Limit amperage value is determined on a site-specific basis, ensuring all busbars and feeder conductors abide by 705.12 provisions either through traditional compliance means or the panel limits amperage setting as allowed by 705.13. NEC 705.13(C): Overourrent Protection • Tesla Site Controller software is UL 1741 PCS certified as a secondary overcumenl device Tesla Site Controller curtails the output of the ESS and solar as measured ampacity approaches the Panel Limit. Once ESS and solar have been curtailed, loads will be fed exclusively from the grid; thus, the main breaker or breaker in the upstream panel still acts as primary OCPD to provide buster protection. NEC 705.13(D) Single Power Source Rating • Each Powerwall is connected to the virtual panel with the required 30A breaker and 50A breaker for each Powerwal I+. o Breaker acts as primary OCPD ensuring ampacity of connected conductors does not exceed conductor ampacity rating. Each unit by design is unable to exceed the busbar rating. NEC 705.13(E) Access to Settings • Panel Limits feature is only adjustable by Tesla personnel. • Non -Tesla personal do not have the permissions needed to change panel limit settings. Changing Panel Limit setting to anything other than the default 100A setting requires contacting Tesla Tier 2 support to request Panel Limit ampacity setting change. T = 5 L n Panel Limits: A NEC 705.13 Compliant Power Control System 705.12 Compliance Per 705.12 the PCS controller configured setting shall be considered the power - source output circuit current in 701 through (E). • If no uncontrolled sources present, then by default panel complies with 705.12(13)(3)(1) le, the 100% rule. • If uncontrolled sources present, such as solar utilizing a traditional stand- alone PV inverter, then 705.12(B)(3)(2) compliance required equal to the sum of uncontrolled sources i.e, 120% rule 705.1E lnadSide Source Connections. glic outpi ul'a t hill connected electric power source shall be permitted to be connected to the load side of the service disconnecting means of the auras suwce(s) at any dlsuibution equipusi on die premises. %here distribution equipment or feeders are Fed imultancoush be a primary sural of electricity and one or more other power cro rre and are capable of supplying nwlti- pie branch circuit or feeders, or brain, the interconnecting equipment shall comply with 705.12(4) duough (E). Where a power control system (PCS) is installed in accordance with 705.13, the setting of the PGS controller shall he considered the poweracuumbe output circuit current in 705.12(A) through (E.). ILL 1741 Power Control Systems Compliance Busher labeling requirements PCS controlled current setting will be indicated on a field applied marking label that will be applied at all panelboards that are pad of the virtual panel. Ampacity to be marked by installer) CT Labeling requirements As required by the UL Standard, the following label appears on the dedicated CT's (if used) for the Panel Limits Power Control System WHIM: THIS SENSOR IS FAST OF Panel CONTROL SYSTFR. 00 NOT RENEE. RFFMGF ONLY 'RTR 6NE ME NO MTINO. T = 5 L n Panel Limits: A NEC 705.13 Compliant Power Control System Example Single Lines showing most common configurations by product type Powerwall+antl Gateway 2 for Whole Home Backup 0 y0 Sola. A BackupWnel Backup Gatual Metereocketrarel Grid Powe�walB 0 Optional Sntem Shutdown switch Powerwall+and Gateway 2 for Partial Home backup Iwir w- .t§ -E]7 D® hall BachirsGatir ii cod roarrawaall. El �twriSystem Sivol nSi T = 5 L n Panel Limits: A NEC 705.13 Compliant Power Control System N1zon Powerwall+and Backup Switch for Whole Home Backup vinuol Panel l Penal "`— serosa nrece e Open nea—® cares cee Pendell ACPW w/ Uncontrolled Solar Inverter and Gateway 2 for -Whole Home Backup v 0n D F Ll 0 ACPW and uncontrolled solar Inverter and Gateway 2 for partial home back up O Ml L TUVRheinlari Conformity Letter Attachment ReNslon: 0 EfkRWedMe: 06/21 Tesla Inc. 23i°June 3500 Deer Creek Road, 2021 Palo Alto, CA 94304 1279 Quarry Lane, Suite A, Pleasanton, CA 94566 USA Tel Inc. Report Number: 32195439.001 Project Number: 234171546 and 234173937 Product(s) tested: Grid Support Utility Interactive Inverter with Gateway 2 or Backup Switch. Ill Powerwall+(1850000-XX-Y) Dear Mr. /Mrs. Jonathan MCCormick/Viraj Andrabadu/Nirja Vakil, Based on the evaluations undertaken, the model(s) of the below product have been found to comply with the requirements of the referenced specifications at the time the tests were carried out. Nationally Recognized TUV Rheinland of North America, Inc. Testing Laboratory (NRTL) NRR Issuing Office Address 1279 Quarry Lane, Suite A, Pleasanton, CA 94566 Applicant Name Tel Inc. ApplicandAddress 3500 Deer Creek Road, Palo Alto, CA 94304, USA Model Numbers Powerl(1850000-XX-Y) with Backup Switch • ACPW (1092170 -XX -Y, 2012170 -XX -Y, 3012170 -XX -Y) • PVI(1538000-XX-Y) • Backup Switch(1624171-XX-Y) Powerwalk (1850000 -XX -Y) with Gateway 2 • ACPW (1092170 -XX -Y, 2012170 -XX -Y, 3012170 -XX -Y) • PVI(1538000-XX-Y) • Gateway 2(1232100 -XX -Y) Software/Firmware Version 8586a41oi9c Standard(s) Tested UL 1741: Standard for Inverters. Converters. Controllers and Interconnection System Equipment for Use with Distributed Energy Resources, April 20, 2010. Edition 2 [(Supplement SA)+R:15Feb20181. Power Control Systems (PCS). Certification Requirement Decision 3/8/2019 nw1ds uV Rn ... 1 4 1279 Q`avure. Sire a v...nm., CA Ww Tel,(925) 2ese1x3 re.:(93) 24x9124 nV Rn ... I Neu Im xomnme,ca xeal TO 9(203)429 One r....r on)426. MIN: 1r,9N""II L TUVRheinland° Conformity Letter Amemoema ReNslon: a Eeearedam: o PCS limits defined by NFPA Compliant and tested on 22ntl June 2021 2020 edition section 705.13 240 VAC Testing period: 04/21/21-05/07/21, 06/22/21 Reference reports: This document should be read together with BESS Continuous Power 32195440.001 and 32195440.002 Powerwallt ratings Nominal Battery Energy 13.5 kWh Nominal Grid Voltage 240 VAC Voltage range 211.2-264 VAC Maximum continuous Power On Grid S kW input/ 7.6 kW output BESS Continuous Power 5 kW input/ 5 kW output Maximum continuous Power Off Grid S kW input/ 9.6kW output Frequenry 60 Hz Phase 240 VAC: 2 wire ♦ neutral ♦ ground Maximum continuous Power On Grid 32 A output BESS Continuous Power 24 A input Maximum continuous Power Off Grid 40A output PV Maximum Input Voltage 600 VDC PV Operating DC Input Voltage range 60-550 VDC PV DC MPPT Voltage range 60-480 VDC Maximum Current per MPPT 13 A Maximum Short Circuit Current per MPPT 15 A Overcurrent Protection Device 50 A Software/Firmware version 8586641049c Enclosure Type Type 3R Rated ambient temperature j°q -20°C to ♦50°C PCS ratings Maximum PCS controlled current 200 A Maximum Open Loop response time 9.09 seconds Average Open Loop response time 5.01 seconds Page 2 ms L TOVRheinland° Conformity Letter ^menmema ReNslon: 0 Er WedM 0 Attachments: 1. System Wbelfor PCS Pa 3N5 0 Wr STWR SYSrfl OSINWXr L J SYYnmSytlem (PF4)(�Vw [nmemn��EW eiI VIM lIlWhr yV Wic(W) ra S+IM'�VI may �(MIS) SpmS "MM CIIAlnunuS "WA "WI 5WA "WI CunIntmnnrld cIn"InIs 'I LaJ o® c.:m.uu. T CSL ' Pa 3N5 L TOVRheinland° Conformity Letter ammment. Revision: a Eff nWedm o Thank you for the opportunity to service your product testing needs. Please do not hesitate to contact our engineering or sales team for any questions you may have. Evaluated dbby: Reviewed b/y�:e/�7 N � V Hiawnshu Vaidya Howard Liu Test Engineer Manager, Power Electronics Segment —Americas Email: hvoidya@us.tuv.com Email: hliu@us.tuv.com Rene 4 ds L TOVRheinland° Conformity Letter Amemoema ReNslon: 0 Er WedM 0 Revision History 6/22/21 — Himanshu Vaidya - Added project number 234173937 — project to test and evaluate Overcurrent limitation feature as per UL 1741 PCS standard Clause 208.1, A with respect to NFPA 70 2020 edition section 705.13. - Added testing period date 6/22/21 - Added row in Description table for above feature mentioned. Page 5 d 5 ntertelik late 3933 US Rahe 11 CMNhon NT 13755 Total Quality. Assured. Telephone : 607 517311 wwx.inlellekk.00rtcom Verification of Conformity On the basis of the evaluations undertaken, the sample(s) of the below product have been found to comply with the requirements of the referenced specifications at the time the tests were carried out. Applicant Name &Address : Tesla Inc. Address 3500 Deer Creek Road, Palo Alto, CA 94304 Product(s) Tested : AC Powerwall -Grid Support Utility Interactive Inverter VerificationlReport Number(s) Gateway Ratings and principal characteristics : See Amendment 1 AC Powerwall Model(s) : 1092170-xx-y, 2012170-xx-y, 3072770-xx-y Gateway Nocella) : 1232100 -followed by two numbers; followed by one letter Brand name/ MD5 checksum : Tesla I b624638a90cf Relevant Standard(s)/Specification(s) : Inverters, Converters, Controllers And Interconnection System Equipment For Use With Distributed Energy Resources [UL 1741:2010 Ed.2(Supplement SA)+R:15Feb2018] Power Control Systems (PCS) Certification Requirement Decision 3/8/2019 NFPA 70: 2020, 705.13 Verification Issuing Office Name & : Intertek, 3933 US Route 11, Contend, NY 13045, USA Address Gateway Date of Testis) : 11/4/2019-12/4!2019, 4/23/2020 to 5/1 312 0 2 0, 6123/2021 VerificationlReport Number(s) : 104267560CRT-001, 103879962CRT-003, 104709967CRT-001 NOTE: This verification is part of the full test report(s) and should be read in conjunction with it. Thu veefimt1 rs tat Me¢11115 edf ItInIk selle,n ands ffobod punw,r rote¢an et M[w rcex and as Obmt eberbee, nslnl4ry oldlbbiAy al mrtedbthe terms andttsebod, of the owderenf. huento doubled he lbdnryta ony, nnlOne, then de, the Clyde, ottM oona ah the oareemebe for any we, eveded or don,oke orrwm,.d by the we of the verptmmn. Onry the ownt he omhotaed to well roprl,e of el:nrommn of the Vl1ddlrdd,seolme lnrerteknomeorone�Rsneatrsfot(he soleatadvercnemerrt of Meteshdmmbm4 ptaeuetatserv¢e mwtfrsf bl operoved In v019 by dhenek IM oboneatons dM boVIllpe<Mresults ults re/enterem d rut verfµvtpn relevant beer be mde rester/Inspected. The <eNroconWlteeyeo<snFlmpermottn<mbrcral, bwort cae,ble.lvasewne«nuiaenonlmmex«mpthe s000donproemm. V V VA Name: Llyuan Liu PosRion: Sr. Project Engineer Date: June 24, 2021 www.intertek.eom GFT OP= 1n;]-MaeA-2017) BACKUP GATEWAY 2 psnao.anar m%wmoc Ib T?SLn A A �71M OM�7�G 14W TO IMP GUBON: Po9t ELEGTLC9Y'CK.NLL1RE WTO SgAQS N fEU SQ TO lFl?IINGTED NI Cl 19lEONG gSCgiNERELCII CIRCIIff96gE ORE 4RVIDNG. ENi GIYH DLIV TSAFELY WARNG HOVSE WNG:SddTE AT Sd1NQ OWAFGVIIIWrtV BEFgE EHIEIiING MS CD W d2TMEM K T?SLn A A CTt] GUBON: Po9t ELEGTLC9Y'CK.NLL1RE WTO SgAQS N fEU SQ TO lFl?IINGTED NI Cl 19lEONG gSCgiNERELCII CIRCIIff96gE ORE 4RVIDNG. ENi GIYH DLIV TSAFELY WARNG HOVSE WNG:SddTE AT Sd1NQ OWAFGVIIIWrtV BEFgE EHIEIiING MS CD W d2TMEM K aisOlE [f l),D[E1ECN3DAE 0.V5ELGS5WRIESDE TENSONM EVGDE2T CMQUEMCJT Off EDIIIMEM.0 CN WRflNEDKp1ES1E rvgvGlp WA I lA DOR EFFFEDVENIp nAINIFHNNWE TRE EF£ECIVFE V1G dl un LFIlSCN1EL W41FlE COMPMIIENi Ni5E1NE PV DISTRIMEUR OAER2CDE d u sq D'nur�rATw EVM I HRh W Olffla9NEARAVPNf D'IXNRIa CECONVAN111FHf W UEIMQ Ih THE NG%MIN dEPGTNG FJ1AlFNi 6 T165K1F}I mniagiln EAccieoxEUEV.REFFA roT� MMUF nnNAruaweK rartecnars rrn avA INFLIAYTE'lL lY'Q1M RCSAYHINLLiIDCLLaA1i sETTFleanaNvs SINen cweusEss�EaAVEe�r IaAsrnveEETeww T?SLn Additional Gateway 2.0 NA PCS ratings Maximum PCS controlled current 200A Average Open loop response 0.96 seconds (60ms added for delay between 19' Elecirnmes/Mirin and 9" ACPW Maximum open loop response 1.76 seconds (bums added for delay between 1r Battery Energy 13.5 kWh and 9" ACPW AC Powerwall Ratings Protective Class Class I Enclosure Type Type 3R Ingress Protection Battery B Power IP 67/IP 56 Elecirnmes/Mirin Operating Temperature Range -20°C to+50°C Derated Temperature Range +43 °C to+50 °C Invarter-ronoloav Isolated Battery Energy 13.5 kWh Battery Type Li.lon Weight 125K AC InPut/ Output Nominal Voltage A.C. 100/120/ 200/2W=0/230/240 Voltage Range 8 Max 90-110 V AC: 25A Continuous Current 114-126 V AC: 24A 180-220 V AC: 25A 198-220 V AC: 24A 198-242 V AC: 25A 207-253 VAC: 25A 22&252 V AC: 24A Frequency Range/Nominal Hz 50.60; 50160 Max Continuous Power (kVA) 100 V AC: 2.5 kVA 120 V AC 2.9 kVA (USA) 200 V AC:5 kVA 208 V AC 5 kVA(USA) 220 V AC: 5.5 kVA 230 V AC: 5.8 kVA 240 VAC: 5.8 kVA USA Power Factor Ran a A.85 to +0.85 Max Oul ut Fauit Current 32AAC 200V/208V/240V; 2W +N +PE; Phase 20; All Other Voltages; 1W +N +PE; 10 Max Supply Fault Cui 10 kA AC www.intertek.com G! T.OP-11e (741amn-201]) ntertek Tmal Quality. Assured. Revision History mieimk 3933 US Rahe 11 CMNnd, NT 13 5 Telephone: W7 7517311 w Jnlertek=rn Date Engineer/Reviewer Description of Change 6/3/2020 Dipesh Patel Changed Model number from "Backup Gateway IDD North America 2.0"to"1232100—followed by two .J numbers; followed by one letter" 11/13/2020 Liyuan Liu Added new AC Powerwall model 3012170 -XX -Y, G104505850CRT Ena which using the alternate battery cell LG Chem IN21700M68F. 6/26/2021 Liyuan Liu Added Relevant Standard(s)/Specification(s) NFPA G104709967CRT his 70:2020,705.13. www.intartek.com GFT -OP -11e (7 -March -2017) From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application Date: Thursday, December 9, 20214:16:08 PM Sewer or Water Line Repair Permit Application This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD 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. Right of Way permits must be applied for with the Public Works Department. Is this application for Yes sewer line or water line repair - in yard only? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 9440 W 37th PI Property Owner Name Amy Taylor-Tuma Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Field not completed. Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Afford -A -Rooter Name Contractor's License 130129 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-296-7972 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email affordarooter99@gmail.com Address Retype Contractor affordarooter99@gmail.com Email Address DESCRIPTION OF WORK Is this a sewer line or sewer Line water line repair? Length of repair 15' Location of repair Front yard (backyard, frontyard, etc) Provide additional Installation of clean outs details including installation of clean- o uts. Project Value (contract 3000 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 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 Robin Fulton Permit Email not displaying correctly? View it in your browser. City of Wheat Ridge Residential Roofing PERMIT - 201703494 PERMIT NO: 201703494 ISSUED: 07/07/2017 JOB ADDRESS: 9440 W 37th PL EXPIRES: 07/07/2018 JOB DESCRIPTION: Reroof with OC Duration storm shingles; asphalt; 34 squares *** CONTACTS *** OWNER (303)421-9131 WEAVER MELVIN D SUB (303)321-7363 Rodney Connolly 170135 Connolly Construction Inc. *** 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: 10,000.00 FEES Total Valuation 0.00 Use Tax 210.00 Permit Fee 204.30 ** TOTAL ** 414.30 *** 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. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201703494 201703494 9440 W 37th Reroof with W ISSUED: 07/07/2017 EXPIRES: 07/07/2018 OC Duration storm shingles; asphalt; 34 squares 1, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building'co3cs, and all applicable tri'-nicipal codes, olfcies and procedures, and that I am tle legal owner or have been authorized by the legal ovynerpfthe property and am auth tzed to obta is` ermit and perform the work described and approved in conjunction with this permit. I farther a est that 1 am legal aut iorized to inplu all entities named within this document as parties to the work to be ,performe d t at a jiwork to bye pperfo ed is disclosed in hi c went and/ 'ts' acclo/mJ/}panyi/n/g approved plans and specifications. Signature of OWNER of CONTRACTOR (Circ one) Date 1. This permit was issued based on the inform atioR providedin 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. Thts.permit shall expire 3b5 days after the date ofissuance 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 Budding 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. 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 required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. g, The issuance or gran>�g f 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 any r 'nance or re ton o�this jurisdiction. Approval of work is subject to field inspection. � h Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Dan Schultz 0 3LM From: no-reply@ci.wheatridge.co.us Sent: Monday, June 26, 2017 9:32 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 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 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 9440 West 37th Place, Wheat ridge, CO 80033 Shirley Weaver 303-421-9131 Property Owner Email Field not completed. 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 Connolly Construction Inc. Contractor's License 170135 Number (for the City of Wheat Ridge) Contractor Phone 303-321-7363 Number Contractor Email Address connremod2@msn.com Retype Contractor Email connremod2@msn.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing O/C Duration Storm Shingles Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 34 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? z TOTAL SQUARES of all roofing material for this proj ect 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) 34 ice and water on all edges at bottom 10000 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 Rodney Connolly Email not displaying correctly? View it in your browser. 3 Conn lly Construction, Inc. PROPOSAL GENERAL CONTRACTORS 737 Jackson Street Denver, CO 80206 NAME'/f!� �'t Lir C ��rf DATE l ADDRESS CITY r ST 4,TE ZIP JOB LOCATION i c�+ W6 L-0 PHONE We hereby submit specifications and estimat s tor: TYPE OF ROOF 1. ✓ Rem ve s Layers Serfrp, Layers Ce hakes 2. ✓/ InSPE ct and replace damaged decking @ YZ�5er sheet. 3. ✓ #30 F elt Ice & Watershield 4. ✓ e -R of/ verlay us rage ___ - Shed/Outbuilding. C) --S - Dim sional 1�L�YZ Qttr3 Maufacturer Warranty r c� Years f 6 Othe ( Maufacturer Warranty Years 5. ✓ Modi ied torch down system Patio ✓ Gar.Pwcl~- 6. ✓ Colo 7. Insta I New 8. `� Insta I New Valley'- Ope<—C-1o"s—e'> Galvanized Metal - Other yo 9. ✓ Meta detail - D-Style_2)� Apron JA Color 10. ✓ Venti ation A l e� w -,IQ 4 Boots/Jack 11. t� Seal around all pipes, and flashings. 12. Clean up and haul away all trash, roll yardwithnail magnet. 13. ✓ Five ear workmanship warranty. 9- � bl4lce 'Q f� tel e is "j f ♦ " 14. Price includes all material, labor, permit and taxes. 15 5" Seamless Gutters Downspouts 40 Year Finish Additional $ } 16. ✓ Soe ial instructions CC -6.46.4 i2 —5-64 kc,-' L3.4,) co-c,-nsE 'SA We propose hereb to furnish mater I and labor—complete in accordance with above specifications, for the sum of: -� dollars ($ 0 } Payment to be made as follows: �} All material is guaranteed to be as specified. U work to be completed Authorized in a workmanlike manner according to standard practices. All Signature A"(— agreements contingent upon strikes, accider is or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Note: This proposal ma withdrawn Workmanship warranty does not cover weather induced damage. by us if not accepted within 3A days. Acceptance of Proposal — This proposal omes a legal and binding We accept Visa/M =scover. contract from the date of acceptance. The above prices, specifications and conditions are satisfactory and are here y accepted. Payment to be rl,; made as outlined above. Reasonable attorne y fees and an additional 5% collection fee may be charged on any acco int past due over 30 days. SignatureLa�'�/ Failure to pay can constitute a Mechanics Lic n files against the property. Date of Acceptance: Mg e 3rol la/ 7 Signature OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 13938 BUILDING INSPECTION LINE - 303-234-5933 Date : 5/30/02 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner: EDWARD VAN HARN Property Address : 9440 W 37TH PL Phone Contractor License No.: 18801 Company : APOLLO ELECTRIC Phone 987 8414 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 compli with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge_o0aigah , for work under this permit. (OWNER)(CONTRACTOR) SIGNED_ DATE~ Construction Value : $1,200.00 Permit Fee : $44.85 Plan Review Fee : $0.00 Use Tax : $14.40 Total: $59.25 Use: Description : UPGRADE ELECTRICAL SERVICE & WIRE AIR CONDITIONING UNIT 1= Electrical License No: 18801 Plumbing License No : Mechanical License No Company :APOLLO ELECTRIC Company : Company Expiration Date : 2/28/03 Approval : OK/KS Expiration Date : Expiration Date : Approval: Approval: (1) This permit was issued in accordance with the provisions set forth. in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (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 changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit (4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem. - (5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before promediing with successive phases of the job. 6) suance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the _ pro si t wilding codes or any other ordinance, law, rule or regulation. Chief Bui ' g Inspector of wheat DEPARTMENT OF PLANNING AND DEVELOPMENT v BUILDING INSPECTION LINE - 303-234-5933 ° CITY OF WHEAT RIDGE u m 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) CO<ORPDO 4313r"P ,y HHUCAd d p,,~'r~pON Building Permit Number: Date: Property Owner: z oluy~"~ (~/~~i - p(~~ Property Address: / 7 Contractor License No.: 19 g a l A n 0 - C n~ c Phone: Phone: %97 qy/y' 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 ofrecord; 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 (U.B.C) and all other applicable Wlrea[ t ge Ordinances, for work under this permit. (OWNER)(CONTRACTOR):SIGNED DATE /a//~"'/~==^~ l-7iC3-!J Description: C6" A i"g r-'k C ja' Construction Value:$ Permit Fee:$ Plan Review Fee:$ Use Iax:$ Total: $ BUILDING DEPARTMENT USE ONLY SIC. Sq.Ft.: ZONING COMMENTS: Approval: Zoning: BUILDING COMMENTS: Approval: PUBLIC WORKS COMMENTS: 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: (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 Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If tlus 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 orabandonment has not exceeded one(]) year. ifchauges have been or if suspension m, abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work cf any manner shall be done that will change the natural flow of water causing a drainage problem. (5) Contractorshall notify the Building Inspectormenty-four(24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of thejob. (6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. Chief Building DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 4060 BUILDING INSPECTION DIVISION - 235-2855 . CITY OF WHEAT RIDGE Date : 10/18/96 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : SAN MIGUEL ADELINE Property Address : 9440 37TH AV Phone : 985-0229 Contractor License No.: 17649 Company : Applewood Quality Builders, Inc. Phone : 237 1423 OWNER/CONTRACTOR SIGNATURE OFUI9DERSTANDING AND AGREEMENT Construction Value : $1,600.00 1 hereby certify that the setback distances proposed by this permit application are accurate, Permit Fee : $156.75 and do not violate applicable ordinances, rules or reglations of the City of Wheat Ridge or u ll ti h d 00 $0 ons ll measurements s own, an a ega covenants, easements or restrictions of record; that a Plan Review Fee : . 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 pliancy with Wheat Ridge Building Use Tax : $19.20 Code (U.B.C.) and all other applicable Wh ordina ork under this permit. Total : $175.95 (OWNER)(CONTRACTOR) SIGNED DATE - Description : FP~ OF TRI~frEE APPLIED - PYERJ T WAS NOT OBTAINED IN A TIMELY FASHION Approval: Zoning Approval : Approval : Occupancy : BUILDING Walls : Roof SIC: Sq. Ft. : Stories : Residential Units : Electrical License No Company : Expiration Date : Approval Plumbing License No Company : Expiration Date Approval s R tec.- 10 Mechanical License No Company : Expiration Date : Approval : (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (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 changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of the ob. (6) The issuance of a permit or the approval Vdmwings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions ofgle building cede~s.pr any oth)q ordinance, law, rule or regulation. Building Inspector ENT USE ONLY THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number: Date : Property Owner : Property Address Contractor License No. Company Phone /T y_ oeZ f ~ Phone: 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 (U.B.C.) and all other applicable Wheat Ridge. ordinancesJm work under this permit. (OWNER)(CONTRACTOR) Description : li Zomng•Gom'ifien-ts~ Approval: Zoning Approval: Approval: Occupancy : Walls BUILDING DEPARTMENT USE ONLY Roof : Stories Construction Value : Permit Fee : Plan Review Fee : Use Tax : Total : SIC : Sq. Ft. : Residential Units : Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date : Approval: P Expiration Date : Approval: in RPlansnRegrjiced Expiration Date : Approval: a W(an;Req~tiretl (1) This permit was issued in ac Regulations and Building Cc (2) This permit shall expire if (A; abandoned for a period of 1: (3) If this permit expires, a new original plans and specifica6 exceeds one (1) year, full fei (4) No work of any manner shat (5) Contractor shall notify the Bi proceediing with successive (6) The issuance of a permit or of the building codes or any In the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Ridge, Colorado or any other applicable ordinances of the City. thonzed is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or ,e acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment aid for a new permit it will change the natural flow of water musing a drainage problem. ,for twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before a job. of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions ice, law, rule or regulation. Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION