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HomeMy WebLinkAbout3650 Vance StreetA o CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: qC) i) fp I— Job Address: 301SO 11o/ tO5 f Permit Number: '?Oj a ❑ No one available for inspection: Time i y3 0 AM/PM Re -Inspection required: Yes (:! No When corrections hive been made, ca for re -inspection at 303-234-5933 Date: f i Inspector: 11� TY DO NOT REMOVE THIS NOTICE City of Wheat Ridge Commercial Mechanica PERMIT - 201802442 PERMIT NO: 201802442 ISSUED: 09/05/2018 JOB ADDRESS: 3650 Vance St EXPIRES: 09/05/2019 JOB DESCRIPTION: Replace boiler plant with new Lochinvar 720K BTUs condensing boilers and 2 side arm 119 gallon water tanks *** CONTACTS *** OWNER (303)887-4754 ANTHONY FICCO SUB (303)598-4641 Daryl Moore 110042 Jeffco Mechanical *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 105 / BLOCK/LOT#: / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 18,000.00 FEES Total Valuation 0.00 Use Tax 378.00 Permit Fee 331.10 ** TOTAL ** 709.10 *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes, 2017 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. Work is subject to field inspections. I, byy 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 leal`owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with Phis permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all worktto be pertorme l J.�dis� losed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER car, CONTRACTOR (Circle one) Date - I. This permit was issued ba d on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit tee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit sbajl not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or qtly 'rd* or r lation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat ,,gie COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: � / Plan/Permit # 0�u /1 l� Plan Review Fee: v Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: c (4�0. Property Owner (please print): �� C -T) �Q �5 Phone 0.3 -�-�-7'" Property Owner Email: /00 P+ c < < Q�Da 0 3/vI Tenant (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer E-mail: Contractor Name: City of Wheat Ridge License M C Contractor E-mail Address: I C7 1 For Plan Review Questions & Comments (please print): Phone: Phone: `��y - 7Y -,;F -- CONTACT NAME (please print): U� r$,A I A©p r -C- Phone: _7Z Q" 2-72- 7V-� CONTACT EMAIL(please print): l b l Sub Contractors (Must provide Wheat Ridge License No.): Electrical: Plumbing: W.R. City License # W.R. City License # ak100 , e-0-� Other City Licensed Sub: Other City Licensed Sub: City License # City License # Mechanical: W.R. City License # 12�COMMERCIAL ❑ RESIDENTIAL Description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition//, appliance size and efficiency, type and amount of materials to be used, etc. ci c�c % IA-) ✓� Z 1- f C,, f- IV� WCA4­ 4,1t) 0Q,ti40A s/�tJ� a ^� 6' 5 47 -' � e f\,e 0 (� CZ4 Sq. FULF Amps d W)KC,S M Pr % lc -w 6c>, 13TUs(2 72 0 ©'�-O b +J Gallon 2 611 a ( YV Squares Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ / K, WD OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances. rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record: that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OW%�F&}—(CONTRACTOR or (AUTHORIZED REPRESENTATIVE) of (OWNER (C NTRACTOR) Signature (fi"t�and is t name): A C� \ — DATE: Printed Name: I J � r" / c� rP ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: 3 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: 1-129 Job Address:S�- Permit Number: off' o raz 3 L 10, 3 t, 3,a) a&s-v isnc� S�- ❑ No one available for inspection: Time 10 = O,; PM Re -Inspection required: Yes 0 When corrections have been made, call for re -inspection at 303-234-5933 Date: a-1 i 8 Inspector: i—f3 DO NOT REMOVE THIS NOTICE FIRESTONE WARRANTY GENERAL TERMS, CONDITIONS AND LIMITATIONS Warranty No: 700335038 Project No: 2888898 Start Date: 01/31/2018 Building Identification: 3610, 3630 & 3650 Vance St Building Address: 3630 Vance St., Wheat Ridge, CO 80033 Building Owner: 3610, 3630 &amp; 3650 Vance St Roofing Contractor: THE BAUEN CORPORATION, 40000145 Subject to the terms, conditions, and limitations set forth herein, Firestone Building Products Company, LLC ("Firestone"), an Indiana limited liability company, provides the Building Owner ("Owner") named above with this Limited Warranty for the Firestone provided System(s) or Material(s) set forth herein. This Warranty consists of multiple pages, all of which comprise the express terms and conditions of the warranty herein. Additional requirements, terms, conditions, exceptions, and limitations are defined in subsequent pages. In the event that any inconsistencies exist between the General Terms, Conditions and Limitations listed below and the Terms, Conditions and Limitations in subsequent pages, the subsequent pages will prevail. GENERAL TERMS, CONDITIONS AND LIMITATIONS Payment Required. Firestone shall have no obligation under this Limited Warranty unless and until Firestone and the licensed applicator have been paid in full for all materials, supplies, services, approved written change orders, warranty costs and other costs which are included in, or incidental to, the System or Materials. In the event that repairs not covered by this Limited Warranty are necessary in the future, Firestone reserves the right to suspend this Limited Warranty until such repairs have been completed and the licensed applicator and/or Firestone has been paid in full for such repairs. Exclusions. Firestone shall have no obligation under this Limited Warranty, or any other liability, now or in the future if a claim or damage is caused by: Natural forces, disasters, or acts of God including, but not limited to, fires, hurricanes, tornadoes, wind-blown debris, lightning, earthquakes, volcanic activity, atomic radiation, insects or animals; Act(s), conduct or omission(s) by any person, or act(s) of war, terrorism or vandalism, which damage the System or Material or which impair the System or Material's ability to perform properly; Failure by the Owner to use reasonable care in maintaining the System or Material, said maintenance to include, but not be limited to, those items listed in the current version of the Firestone Owner's Manual available at http://firestonebpco.com/ in the Building Owner's Toolbox; Deterioration, defects or failure of building components, including, but not limited to, the substrates, structural elements, walls, mortar, HVAC units, skylights, foundation settlement, etc.; Construction generated moisture, condensation or infiltration of moisture in, from, through, or around the walls, copings, rooftop hardware or equipment, skylights, building structure or underlying or surrounding materials; Acid, oil, harmful chemicals, or the reaction between them; Alterations or repairs to the System or Materials that are not completed in accordance with Firestone's published specifications, not completed by a Firestone licensed applicator, and/or completed without proper notice to Firestone; The design of the system: Firestone does not undertake any analysis of the architecture or engineering required to evaluate what type of System, Installation or Material is appropriate for a building and makes no warranty express or implied as to the suitability of its Products for any particular structure; such a determination is the responsibility of the architect, engineer or design professional; Improper selection of materials for the assembly or the failure to accurately calculate wind uplift and/or applicable design loads; Deterioration to metal materials and accessories caused by marine salt water, atmosphere, or by regular spray of either salt or fresh water; Failure of any non -Firestone brand materials used in the Firestone System or Installation not specifically accepted in writing by Firestone to be included in coverage; Change in building use or purpose; Failure by the Firestone licensed applicator or any additional contractor or subcontractor to follow Firestone's recommended installation instructions or approved specifications or drawings for the layout, design, and installation of the System or Materials. It shall be the Firestone licensed applicator's sole and exclusive responsibility to strictly follow Firestone's recommended installation instructions or approved specifications or drawings for the layout, design, and installation of the System or Materials; or Failure to correct all installation deficiencies listed in any Firestone inspection report. Overburden. Owner shall be responsible for the costs associated with the removal and replacement, as well as any damage caused by the removal and replacement, of any overburden, superstrata or overlays, either permanent or temporary, which include but are not limited to: structures or assemblies added after installation, fixtures or utilities on or through the System or Material, support platforms or bases for Photovoltaic (PV) Arrays (aka - Solar Panels), Garden Roofs, Decks, Patios or any other obstacles that impede access, clear observation, investigation, and repair of the System or Materials, excluding ballast or pavers accepted by Firestone or overburden specifically included in subsequent pages of this Warranty. Term. The term of this Limited Warranty shall be for the period set forth above and in subsequent pages of this document and shall not be extended under any circumstances without Firestone approval. Access. During the term of this Limited Warranty, Firestone's designated representative or employees shall have free access to the Installation location for inspection, audit, or repair purposes during regular business hours. In the event that access is limited due to security or other restrictions, Owner shall reimburse Firestone for all reasonable cost incurred during inspection and/or repair of the System or Material that are due to delays associated with said restrictions. Waiver. Firestone's failure to enforce any of the terms or conditions stated herein shall not be construed as a waiver of such provision or of any other terms and conditions of this Limited Warranty. Disputes. Any dispute, controversy or claim between the Owner and Firestone concerning this Limited Warranty or relating to any material supplied or specifically required by Firestone shall be settled by mediation. The Owner hereby releases Firestone from all liability to Owner's insurance carrier or to anyone claiming under or through Owner by reason of subrogation or otherwise. In the event that the Owner and Firestone do not resolve the dispute, controversy or claim in mediation, the Owner and Firestone agree that neither party will commence or prosecute any suit, proceeding, or claim other than in the courts of Hamilton County in the state of Indiana or the United States District Court, Southern District of Indiana, Indianapolis Division. Each party irrevocably consents to the jurisdiction and venue of the above -identified courts. Governing Law. This Limited Warranty shall be governed by and construed in accordance with the laws of the State of Indiana without regard to its rules on conflict of laws. Severability. If any portion of this Limited Warranty is held by a court of competent jurisdiction to be invalid, void or unenforceable, the remaining provisions shall nevertheless continue in full force. FIRESTONE DOES NOT WARRANT PRODUCTS INCORPORATED OR UTILIZED IN THIS INSTALLATION THAT WERE NOT FURNISHED BY FIRESTONE. FIRESTONE SPECIFICALLY DISCLAIMS LIABILITY UNDER ANY THEORY OF LAW ARISING OUT OF THE INSTALLATION OF, PERFORMANCE OF, OR DAMAGES SUSTAINED BY OR CAUSED BY, PRODUCTS NOT FURNISHED BY FIRESTONE. THIS LIMITED WARRANTY SUPERSEDES AND IS IN LIEU OF ALL OTHER WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE, AND FIRESTONE HEREBY DISCLAIMS ALL SUCH WARRANTIES. THIS LIMITED WARRANTY SHALL BE THE OWNER'S SOLE AND EXCLUSIVE REMEDY AGAINST FIRESTONE, AND FIRESTONE SHALL NOT BE LIABLE FOR ANY CONSEQUENTIAL, SPECIAL, INCIDENTAL OR OTHER DAMAGES INCLUDING, BUT NOT LIMITED TO, LOSS OF PROFITS OR DAMAGES TO THE BUILDING OR ITS CONTENTS, SUBSTRATES OR THE ROOF DECK. THIS LIMITED WARRANTY CANNOT BE AMENDED, ALTERED OR MODIFIED IN ANY WAY EXCEPT IN WRITING SIGNED BY AN AUTHORIZED OFFICER OF FIRESTONE. NO OTHER PERSON HAS ANY AUTHORITY TO BIND FIRESTONE WITH ANY REPRESENTATION OR WARRANTY WHETHER ORAL OR WRITTEN. THIS WARRANTY INSTRUMENT CONSISTS OF MULTIPLE PAGES, ALL OF WHICH ARE PART OF THIS DOCUMENT. ADDITIONAL REQUIREMENTS ARE DEFINED ON SUBSEQUENT PAGES. 200 4th Avenue South, Nashville, TN 37201 1-800-428-4442 7t re sto n e www.firestonebpco.com BUILDING PRODUCTS Page 2 of 3 NOBODY COVERS YOU BETTER." 1001.001.2015 FIRESTONE RED SHIELD ROOF SYSTEM LIMITED WARRANTY Warranty No: 700335038 Project No: 2888898 Start Date: 01/31/2018 Building Identification: 3610, 3630 & 3650 Vance St Building Address: 3630 Vance St., Wheat Ridge, CO 80033 Building Owner: 3610, 3630 &amp; 3650 Vance St Roofing Contractor: THE BAUEN CORPORATION, 40000145 ROOF-TPO Firestone Red Shield - TPO - 20 Year - 55 mph Firestone Red Shield - TPO - 20 Year - 55 mph Firestone Red Shield - TPO - 20 Year - 55 mph Square Footage: 31,075 Square Footage: 31,075 Square Footage: 10,200 For the warranty period indicated above, Firestone Building Products Company, LLC ("Firestone"), an Indiana limited liability company, warrants to the Building Owner ("Owner") named above that Firestone will, subject to the Terms, Conditions and Limitations set forth below, provide labor and material to repair any leak in the Firestone Roofing System ("System") caused by deterioration in the Firestone brand material due to normal weathering or any manufacturing or workmanship defect in the membrane within the scope of this warranty during the period specified above. TERMS, CONDITIONS AND LIMITATIONS Products Covered. The System shall mean only the Firestone brand roofing membranes, Firestone brand roofing insulations, Firestone brand roofing metal, and other Firestone brand roofing accessories when installed in accordance with Firestone technical specifications by a Firestone -licensed applicator. Any materials not manufactured or supplied by Firestone are not covered under this warranty. Notice. In the event any leak should occur in the System, the Owner must give notice in writing or by telephone to Firestone within thirty (30) days of any occurrence of a leak. By so notifying Firestone, the Owner authorizes Firestone or its designee to investigate the cause of the leak at its option. Investigation. Should the investigation reveal that the leak is excluded under the Terms, Conditions and Limitations, the Owner shall be responsible for payment of the investigation costs. Failure by Owner to pay for these costs shall render this Limited Warranty null and void. The Owner is responsible for completing repairs not covered by the Limited Warranty to be made at the Owner's expense that will permit this Limited Warranty to remain in effect for the un -expired portion of its term. Failure by the Owner to properly make these repairs in a reasonable manner using a Firestone -licensed applicator and within 60 days shall render this Limited Warranty null and void. No Dollar Limit (NDL). If upon investigation, Firestone determines that the leak is not excluded under the Terms, Conditions and Limitations set forth in this Limited Warranty, the Owner's sole and exclusive remedy and Firestone's total liability shall be limited to the repair of the leak. There is no dollar limit placed on warranted leak repairs to the extent such repairs are covered by this Limited Warranty. Exclusions. Firestone shall have no obligation under this Limited Warranty, or any other liability, now or in the future if a claim or damage is caused by: Hail Winds of peak gust speed at or in excess of 55 mph calculated at ten(10) meters above ground using available meteorological data: (All associated building components, including but not limited to the deck substrate, joists, columns and foundation, must also meet wind speed design requirements); Roof traffic or storage of materials or equipment on the roof not specifically accepted in writing by Firestone. Damage to the roof incurred during breach, rupture or failure of any building envelope component during a flood or wind event not covered under warranty; or, Failure to give proper notice as set forth in paragraph above. Transfer. This Limited Warranty shall be transferable and assignable subject to Owner's payment of the current transfer fee set by Firestone. Alterat on. Owner shall obtain Firestone's written approval before making any alterations to the roof system or installing any structures, fixtures, or utilities on or through the roof. This includes modification of the Firestone roof system to serve as a support platform for Photovoltaic (PV) Arrays (aka - Solar Panels), Garden Roofs, Decks, Patios, and areas intended for public access. Roof modification approval typically requires owner sponsored enhancement of the roof system to meet additional performance requirements to ensure service life following the proposed modification. Firestone is the sole judge of whether or not enhancements to the roof system are required. Failure to obtain Firestone approval for a roof modification will result in invalidation of this warranty. FIRESTONE BUILDING PRODUCTS COMPANY, LLC By: Ben George Authorized p Signature: ✓__ Title: Manager, Technical Building Solutions THIS WARRANTY INSTRUMENT CONSISTS OF MULTIPLE PAGES, ALL OF WHICH ARE PART OF THIS DOCUMENT. ADDITIONAL REQUIREMENTS ARE DEFINED ON SUBSEQUENT PAGES. 'Firestone BUILDING PRODUCTS NOBODY COVERS YOU BETTER." Page 3 of 3 1003.001.2015 . 5*�J* CT10 REC IS 9D INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection r6n11, Cps L" INSPECTION REQUEST LINE: (303) 234-5933 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 Wall Sheathing Concrete Encased Ground (CEG) Foundation / P.E. Letter Mid -Roof Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections 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 -71///7 Roof 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. "For low voltage 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 Fr City of Wheat Ridge Commercial Mechanica PERMIT - 201601995 PERMIT NO: 201601995 ISSUED: 12/15/2016 JOB ADDRESS: 3650 Vance ST #323 EXPIRES: 12/15/2017 JOB DESCRIPTION: Replace 3 Burnham cast iron boilers with 6 new intellihot comination boilers (250,000 btu each). *** CONTACTS *** OWNER (303)887-4754 ANTHONY M FICCO SUB (303)598-4641 Daryl Moore 110042 Jeffco Mechanical SUB (303)797-6576 Rod Quinn 018637 Wizards of Watts *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 107 / BLOCK/LOT#: / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 44,000.00 FEES Total Valuation 0.00 Use Tax 792.00 Permit Fee 660.55 Investigative Fees 660.55 Misc. Fee 10.00 ** TOTAL ** 2,123.10 *** COMMENTS *** *** CONDITIONS *** **Permit fees doubled for work without permit.** 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 every level of the structure. r City of Wheat Ridge <. r Commercial Roofing PERMIT - 201709351 PERMIT NO: 201709351 ISSUED: 11/30/2017 JOB ADDRESS: 3650 Vance ST EXPIRES: 11/30/2018 JOB DESCRIPTION: Commercial re -roof with GAF Timberline asphalt shingles. One building and four garages. Pitch is 4/12 and 8/12. Squares: 236 *** CONTACTS *** OWNER (303)887-4754 ANTHONY FICCO SUB (303)466-7386 Bob Bellitt 018626 Arapahoe Roofing & SIM *** PARCEL INFO *** ZONE CODE: UA / Unassigned SUBDIVISION CODE: 105 / USE: UA / Unassigned BLOCK/LOT#: / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 77,880.00 FEES Total Valuation 0.00 Use Tax 1,635.48 Permit Fee 954.95 ** TOTAL ** 2,590.43 *** COMMENTS *** *** CONDITIONS *** In order to pass a final inspection on commercial elastomeric or similar type roofing, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and Mid -roof inspections may be called in at the same time, 100 percent of the sheathing must be complete and 25-75 percent of the midroof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. City of Wheat Ridge Commercial Roofing PERMIT - 201709351 PERMIT NO: 201709351 ISSUED: JOB ADDRESS: 3650 Vance ST EXPIRES: JOB DESCRIPTION: Commercial re -roof with GAF Timberline asphalt four garages. Pitch is 4/12 and 8/12. Squares: 11/30/2017 11/30/2018 shingles. One building and 236 I, by my signature, do her attest that the work to be performed shall comply with all accompanying approved plans and specifications, applica le building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attes{ that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its: accompanying approved plans and specifications. Signature of OMUER or CONTR TOR (Circle one) Date I. This permit was issued based on the ihbrmation 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 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 an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable pqy s xdirianc6 r re ; lati, n 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 Midge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: lC /3v/ a Plan/Permit # (:W '7- 0 ? 9 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: 3 6 S v Uc4 o ce- St. Property Owner (please print): r� L C_y Phone: 3 v 3 - 4 -`(dry Property Owner Email: 1 0 L-) J_t C_C-0 Ae of p Mailing Address: (if different than property address) Address: 3 .i; �—U WG -t (X_ S - - , �v ( --t City, State, Zip: L) � e c. -E Architect/Engineer: Architect/Engineer E-mail: Contractor: At- G Phone: ' V Contractors City License #: O l � (o � L) Phone: 3 3' Contractor E-mail Address: 'i o Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # r/Gt,Jc,� Lt o'C L 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 N COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ® COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) tt N -e- el, s t t -X C, --� (� S �► S S �—�,I I tlu c,. G 4 (= 6L Sq. FULF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ -q ---;- ' s- G () . LIJ 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 1 assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) CLCONTRACTOR�r (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: (( J r DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: Building Division Valuation: $ City of Wheat Ridge g Commercial Roofing PERMIT - 201705078 PERMIT NO: 201705078 ISSUED: 07/31/2017 JOB ADDRESS: 3650 Vance ST #323 EXPIRES: 07/31/2018 JOB DESCRIPTION: Permit for Commercial reroof: overlay of existing modified roof, mechanically attach a firestone 60 mil white TPO membrane using ISO gard #D cover board. Provide 20 year labor & materials warranty from Firestone. Approx 723 squares. Reuse cap flashing/FMI-90 Rated wind/Class A roof system. *** CONTACTS *** OWNER (303)887-4754 ANTHONY M FICCO SUB (303)297-3311 Brett Sowers 019342 Bauen Corporation, The *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 105 / BLOCK/LOT#: / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 72,350.00 FEES Total Valuation 0.00 Use Tax 1,51.35 Permit Fee 9144.70 ** TOTAL ** 2,434.05 PAID *** COMMENTS *** *** CONDITIONS *** In order to pass a final inspection on commercial elastomeric or similar type roofing, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and Mid -roof inspections may be called in at the same time, 100 percent of the sheathing must be complete and 25-75 percent of the midroof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. City of Wheat Ridge Commercial Roofing PERMIT - 201705078 PERMIT NO: 201705078 ISSUED: 07/31/2017 JOB ADDRESS: 3650 Vance ST #323 EXPIRES: 07/31/2018 JOB DESCRIPTION: Permit for Commercial reroof: overlay of existing modified roof, mechanically attach a firestone 60 mil white TPO membrane using ISO gard #D cover board. Provide 20 year labor & materials warranty from Firestone. Approx 723 squares. Reuse cap flashing/FMI-90 Rated wind/Class A roof system. I, by rn signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that al r to e performed is disclosed in this document and/or its' accompanying approved plans and specifications. � 3i l7 Signature of OWNER or CONTRACTOR (Circle one) ate 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Off-ccial and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature offfic1a Date REQUESTS MU Z �E A.10-11: 59PM ANY BVINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat�dge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: PermitsQci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # SII(.5©-� 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: Property Owner (please print): Fi c c o 6 +44 e r S Property Owner Email: & YA Mailing Address: (if different than property address) Address: 36.5o �jUy►C2 S -free City, State, Zip: vv� Ca.fr � d� e t G O $ GO 33 Arch itectlEIng ineer: /A/! A ArchitectlEngineer E-mail: Contractor: `-ke- 661uek' Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # cig34Z Phone: 303'LfZ1- 1cj%1 Phone: Phone: 3,,3--Z9-7 -3311 bSOwerS cdp baueH 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 R COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE 2 -COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) pvtclay e)t;5t-evta� (yloolt-1:.ej ('uo�. vvc-a,— i� St�N�`>,� �ecG;Cce�/7rafi'{ cG��`ee Sfo»e bo W1 yNcm6ranc— ujlv,�" S�(�a►d HP ecv<r' g©a,d, ?revtdc 2� y«.r Lab— I Ma-krial/4?qt�-723 g,00tM _!5 SQuaek-S. LAS c cap $t,G',/�- R04 14SS A f „ovF SY StC/N S Sq. Ft./LF Amps 2'' � 50 Btu's Gallons Squares y�' -72-5 Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) a 2-53,310, Ob OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AU ORIZED REPRESENTATIVE) of (OWNER (CONTRACTOR) Electronic Signature (first and last name): DATE: -7 Z$/ %� 7 ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION - Building Division Valuation: $ A 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: k► F) Job Address: .3( 56) VA, -'t -t' 5 5Z 3 Permit Number: Z U) (v j 5 5 g ❑ No one available for inspection: Time / 000 /PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: 71//// & Inspector: 6 A DO NOT REMOVE THIS NOTICE FOR OFFICEUSE ONLY City of � . COMMUNiTy D vu<3 s rt T PlantPorrrrrt # 0w Building & Inspection Services Division 7500 W1 "' Ave.,Wheat Ridge, CO 80033 Plan Review Fee: Office: 303-235-2855 * x: 303-237-8929 Inspection Line. 393-234-59:33 Building er it Application Address.- < Owner (please print): Phone: ner r all: Mailing dress: (if different than property address) Address. City, Mate, Zi Ar -ch O'ginear: rch a rtg n - all. Phone - Contractor Al Contractors City Lkense #.- Phone. Contractor E-mail Address: Sub contractors.- Electrical: art tElectrical: Plumbing: Mechanical: I W.R. City License # WR. City License W,R. City License Other City Licensed Sub; Other City Licensed Sub: City License # City License # Complete all information on BOTH sides of this farm M. - amount of materials to be used, etc. v � UA Sq. Ft. LF Btu's Gallons Amps Squares other T „aT F ~7-:--_- /a-~ ~3~~ _PNi ti i pOGE r ~0-~ -~1~~ ~jBA(RLI (,ALI~ LJi'qENYOU~ i AiNA I~~'.~~VASW URGENTL~.I L Lnw oet'Ices or BAYER & CAREY, P.C. JAMES T. DAYER I660 DOWNMG STRHHT OF COUNSEL DCNVBR, COIDRADO 80218 (303)830-8911 FAX (303) 830-8917 GARY L. PALUMBO IAURA A. TIGHE TYRRY L. WTTS PEIER M.SPIES56ACH SPENCER T. MOORE .IOSHUA P. GOESCHEL October 14, 2008 City of Wheat Ridge Building Division 7500 W 29`h Ave, 2"d Floor 303-235-2855 Fax 303-235-2857 Re: Mulqueen v. Ficco & Sons, LLC Date of Loss: 12-25-07 Our Client Number: ALL-30-1 ] OP To whom it may concern: CAAS. W.SHELDON,IR. 19U8-1980 RAYMOND G. CARLY,IR. 1944-1992 Enclosed please find a check in the amount of $35.50 for the copies of the file referencing 3650 Vance St. Thank you for your assistance. Best regards, YER & CAREY, P.C. p~ / ~(cic ~ enna L. Mazzucca Clerk to Gary L. Palumbo /jlm isw oHFicrs or BAYER & CAREY, P.C. IAMES T. BAYER 1660 DOWNING STRCET . OF COUNSGL DHNVER, COI.ORADO 80218 (303) 830-8911 FAX 13031 930-8917 GARY L. PALUM60 LAURA A. TIGHfl T[RRY L. LUT7S PCTER M.SPIESSUACH SPENCER T. MOORE JOSHUAP.GOESCHEL City of Wheat Ridge Building Division 7500 W 29`h Ave, 2"d Floor 303-235-2855 Fax 303-235-2857 September 29, 2008 0 Re: Mulqueen v. Ficco & Sons, Date of L,oss: 12-25-07 Our Client Number: ALL30-110P To whom it may concern: CHAS. W. SHGIDON,IR. 1908-1980 RAYMOND G. CAREY,IR. 1944-1992 We are requesting copies of the complete file for the structure and property located at 3650 Vance St., Wheat Ridge, CO 80033. We understand that we maybe charged research fees in addition to copying charges. Please call the above number for payment or include an invoice with the copies which can be mailed to the above address. Thank you for your assistance. Best regards, BAYER & CAREY, P.C. enna L. Mazzucca Clerk to Gary L. Palumbo /jlm /D 1 APPL/CAT/ON FOR M/NOR DUMP/NG/LANDF/LL PERM/T APPLICANTS NAME: APPLICANT'S ADDRESS: Z"'C_-c y/ / NHEq //47 ~ ~CCRP~m ' Unclude City, ADDRESS OF FILL: -f~~e~A'Z~~ f( et, Cl- f DATE OF APPLICATION: ~ 02 e-,7 d All permits shall be applied for through the Public Works Department. An approved permit is effective for a period of one (1) year from date of issue and may be renewed. All fees shail be in accordance with those fees established by the Uniform Building Code or other applicable City adopted Resolutions or Ordinances. Note: A// pub/ic improvements, when constiucted, sha// be maintarned /by the respective individua/(s) and/or company iesponsib/e for the construction of that pub/ic and/or private improvemenf in the respective deve%pmentJ on a dai/y basis, or as needed, such that they are fiee of mud and other constiuciion debiis tiacking from the site. Fai/ure to comp/y with Lhis requiremenf wiU resu/t in the enforcemeni of ARicle Specified Nuisances, Section 15-21 (3) of the City of Wheai Ridge Code of Laws. MINOR EXCAVATION AND FILL PERMITS 1. 1-50 Cubic Yards: No permit is required for dumping or excavation of earth aterials, which do not exceed 50 cubic yards, provided, however, that any fill deposited is on natural terrain of less than three ~3) horizontal to one (1) vertical slope, or such fill is less than three (3) feet in depth and is not intended to support permanent structures, and in addition, such fill or excavation does not obstruct or otherwise adversely atfect any drainageway. Should any of the above standards be exceeded, or a drainage way be affected, a permit shall be required under the guidelines for No. 2. 2. 51-500 Cubic Yards: Dumping or excavation of earth materials not exceeding 500 cubic yards may be allowed with a permit approved by the City Engineer. All applications are to be submitted on the appropriate completed application form and shall be accompanied by the appropriate fee and sketch plan indicating the following information before the permit will be issued. A Location and dimensions of all property boundaries and structures on the site. B Location and extent of areas to be filled and/or excavated. C. Location of existing and proposed drainageways, irrigation ditches, etc., and indication of how and where historic run-off will be maintained on and through the site. D. Cross section area to be filled and/or excavated indicating original slope, new slope and depth of fill. E. Statement which indicates the proposed use or purpose for said fill or ezcavation. F. Relative elevation of adjacent properties. G. Erosion control plan showing placement of control devices such as hay bales, etc.. Files on Enginent\Form\Fill PertniLwpd I Rcv. UJ%OU 3. 501-20,000 Cubic Yards: Operations in which earth material fill or excavation exceeds 500 cubic yards but does not exceed 20,000 cubic yards may be allowed by a permit issued by the City Engfneer after review of an application and supporting information. The following information shall be submitted with the required application form: A. A site plan, prepared and signed by a Colorado registered professional engineer, at a scale of no less than 1 inch to twenty feet j1:20) which illustrates the following: 1. Location an dimensions of all property boundaries and structures on the site. 2. Location and extent of areas to be filled and/or excavated. 3. Location of existing waterways and drainage courses indicating any changes. (for a site containing an established irrigation ditch, a letter of approval from the appropriate ditch company shall be required). 4. Location of existing and proposed points of ingress. 5. Location and extent of existing vegetation, proposed changes in such vegetation and methods of rehabilitation on site vegetation after earthwork operations are complete. 6. Erosion control plan. 7. Grading plan with existing (dashed lines) and proposed (solid lines) ground contours with contour intervals of 2 feet and spot elevations. 8. At least two cross sections (east to west and north to south) through the site showing depth of fill and/or excavation. 9. A drainage report may be required if site runoff characteristics are changed. 10. Relative elevations of adjaceni properties and structures. 11. Statement of purpose of intended fill and/or excavation. 4. Performance Standards: The following provisions shall apply to all Minor Excavation and Fill Permits: A. Rehabilitation: Within thirty(30) days after cessation of filling and/or excavation, rehabilitation for the site shali have been completed in accordance with the approved plans. Rehabilitation shall consist of Ieveling, grading, landscaping or any combination thereof to minimize potential erosion and be acceptable to the City Engineer. B. Debris: Debris and/or contaminants shall not be used except with the approval of the City Engineer. "For the purpose of this Section, the term debris shall have the same meaning as the terms "garbage, trash or junk" as defined in the Wheat Ridge Code of Laws, Section 20- 21.,, In no case shall debris or contaminates Identified or classified as hazardous waste by local, state or federal agencies be used as fill in any till areas within the City of Wheat Ridge. Files on Enginent\Form\Fill PcrmiLwpJ ? Rev. 03100 C. Excavation and/or fill areas shall be graded to facilitate weed control until final grades are set and site rehabilitation and use occur (must be leveled with side slopes not to exceed 3 to 1). 5. Permit Fees" 50 cubic yards or less 51 to 100 cubic yards 101 to 1000 cubic yards for the first 100 cy plus for each additional 100 cy or fraction thereof 1001 to 10,000 cubic yards for the first 1000 cubic yards plus, for each additional 1000 cy or fraction thereof 10,000 cubic yards or over "Wheat Ridge Code of Laws Section 5-76. $10.00 $15.00 $15.00-'" ~ $5.00_1' ~ S 60.00 / $4.45 $100.00 TOTAL $ 60 co ` ~41- All permits shall be applied for prior to fill deposition or excavation operations begin. Any permit applied for after cutting or filling operations on site are in progress shall be subject to a double fee and other penalties as prescribed by Wheat Ridge Code of Laws, Appendix A, Section 24.6. Any fill requested under this permit within the 100, year flood zone MUST COMPLY WITH WHEAT RIDGE CODE OF LAWS, SECTION 26-207, FLOOD PLAIN ZONING ORDINANCE. I HEREBY ACKNOWLEDGE THAT THIS APPLICATION IS CORRECT AND UNDERSTAND THAT 1 CANNOT START THIS PROJEC7 UNTIL THIS APPLICATION IS APPROVED. I SHALI COMPIY WITH THE LAWS OF THE STATE OF COLORADO AND WITH THE ZONING REGULATIONS AND BUILDING CODE OF THE CITY OF WHEAT RIDGE. ANY VIOLATION OF THE ABOVE TERMS WILL CAUSE IMMEDIATE REVOCATION OF THIS PERMIT AND COMMENCEMENT OF ENFORCEMENT PROCEEDINGS BY THE CITY OF WHEAT RIDGE. THIS APPROVED PERMIT WILL BE KEPT IN MY POSSESSION OR PERMIiMENTLY ON THE JOB SITE. APPLICANT: \ ~ Applicant's Signature Owner's Signature Iif different than above) OF WHEAT RIDGE: ~ Appr al Date Files on Enginen[\Form\Fill PertniLwpd 3 Rtv. 03100 ;=;f(:rron Cnaeiy pssessor's Deparhnent Todays date:12/22/1999 http: //b uffy. co.j efferson.co. us/cgi-bin/mis/ats/test3.cgi?049074 JEFFERSON COUNTY ASSESSOR PROPERTY DETAIL IScheduleNumbe 0940 7r 4 ParcellD:39-282-OS-026' ctive:Active Property Type:Apartment I Owner Name: FICCO LOUIS J FICCO ANTHONY M ProperryAddress:11250W 38TH AVE,WHEAT MailingAddress: ~650 VANCE ST 1,WHEAT RIDGE ,CO 80033 RIDGE,CO 80033 Legal Description (Subdivision Name: ]BROOKSIDE I Block' Lot) Key Sectiom Township Range, Quarter section Land Sg.ft.' 012 , OOA 28 F 3- 69 61,215 Total Acres: 1.4050 Value Information 12-01-1978 $ 80,000 ; CONVEROl ` ~ ~ ~ lyj ~0 DBA or Misc:VILLA VICTORIA TOWNHOMES Gj/ ~ Sales Information l ~ Sa[es Date Sales Amount Deed Type eception 11-30-1982 $150,000 82084677 1998 Payable 1999 11999 Payable 2000 Actual Value Actual Value $ 252,000 $ 29Q600 $ 1,008,000 $ 1,162,600 $ 1,26Q000 $ 1,453,200 Assessed Value Assessed Value IMP $ 98,180 $ 113,240 TOTAL $ 122,730 $ 141,540 Taac Dist 3141 3141 Mill Levy 92.7590 N/A ~ ~p C'-/ k . ` 1 ~J v I of 2 12/22/99 8:57 AM Jcfferson Ccwrty Assessor's Depariment ate assessed 4-15-1999 ITax District 3141 i Mill levy for 1998 payable in 19991 COiJNTY ' 25.9780 SCHOOL 51.3310 WHEAT RIDGE 2.4430 REGIONAL TRANSPORTATION DIST. 000 URBAN DRAINAGE&FLOOD CONT DIST~ 0.7560 WHEATRIDGE FIRE DIST. ~ 4.2230 IWESTRIDGE SAN. DIST. ~ 8.0280 TOTAL MILL LEVY 92.7590 STRUCTURALINVENTORY ! RETLJRN TO SEARCH PAGE TREASURER INFORMATION http://buffy.co.jeffersou. w.us/cgi-bSn/mie/ats/test3. cgi?049074 2 of 2 I2/22/99 8:57 AM f 0 ~ ~ 0 o s ~ M m o' o n ~ ~ 3 n S a r O L 2 m O ~ F g) Z Z y 0 G) -u ~ c ~o O m m N ° m m o= ~g ~ v ~ m io S 3 = ~ o m ~ n °m ~ o O m c 9 a s= mm 0 ~ v 0 0 m m J m E nenrR Hursen B92#i4702 r v s m O D 9 O ~ m Z N O 2 O ~ c Z > D ~ n O v -1 ~ ~ ~ s P. " m m3° c, . N a^ ~ n m T co y9m my m m ~ nn ~ rt ' m O 7 0 a _ < ° ~ F~1 J l w 3 - ~ M p ~ ,n o 4 N n O C N mTr m°=3m F~1 nm ^ =~m^ H ~m~ m m ° M n° c m m m m p O m o a 00 ~ ° w a m 1 0 o ~ mm= mo ~ a n m nQm N m 9° ~ 0 gD ol ~o vl `0° o °w ~ M 0 3 F & m a y ° W fD fepQ ~ ~ ~o ~ a O o a ~ n=M C N ~ 0~ 0 H t-+ W W Vt N ~ b W I K. . 7500 WEST 29TH AVENUE P.O. BOX 638 The City of WHEAT RIDGE CO 80034-0638 (303) 234-5900 cWheat City Admin. Fax # 234-5924 Police Dept. Fax # 235-2949 GRidge DATE: -0ctober 15, 1993 TO: Treasury Department FROM: Director of Pla:uiing & Development SUBJECT: ESCROW REFUNfl Reimbursement requested for escrow funds being held for: Completion of Landscaping The Landscaping has been completed to the City's satisfaction. RELEASE TO: Ficco Brothers 3650 Vance Street Wheat Ridge, CO 80033 LOCATION: AMOUNT: $15,000.00 Glen Gidley' Director of P1 Development DATE: August 24, 1993 A CERTIFICATE OF OCCUPANCY HAS BEEN REQUESTED FOR: 3650 Vance Street PURPOSE OF STRUCTURE Building Dept. Approval: Remarks: Zoning Approval• UL4, - vlt Remarks: J~~C-L-" I g ,q3 ~U' (YI j~ JOB INSPECTION TICKET ~-7 ADDRESS J~ 6 Sa (/1617--u-c2- ~YG ~ q GY% 5 7 DATE: BLDG. PERMIT# Il~-~3 ~ PERMIT# BLDG. CONTR. SUBCONTRACTOR / - DATE INSP. REO. TYPE OF INSP. INSPECTION MADE 7-~ REMARKS 601 ~i~ tvvita iM~ liGLJ ~ W.R. FORM &19 INSPECTION TICKET JOB ADDRESS Q! ~0 I/~~ ,t.+ DATE: r-16 BLDG. PERMITMl $ 337 PERMIT# BLDG. CONTR.F( G U SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. INSPECTION MADE REMARKS - W.R.FORM &19 ~ INSPECTION TICKET JOB r ADDRESS 1"e L 6 DATE: BLDG. PERMIT# PERMITM BLDG. CONTR. 'd SUBCONTRACTOR - - DATE INSP. REQ. 7 TYPE OF INSR zL, INSPECTION MADE REMARKS ( 2' c,~c ~ A6L- W.R. FORM 619 n . . INSPECTION TICKET , JOB 5 ADORESS ~j G,2% ~/Z , DATE: BLDG. PERMITM 1333 PERM ITX BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. INSPECTION MADE 1/7-/,9 Z- REMARKS 40-~k&VL-a 4, ~,urlcP,? o,(oa,(~ Ae, . W.R.PORM 618 ~ ~ INSPECTION TICKET JOB ADDRESS ~ ~ ~ " ~ DATE: ~ - ) BLDG. PERMIT# 19 3 3 3 PERMIT# G JOB INSPECTION TICKET ADDRESS ~ f S G ( i C~ DATE: BLDG. PERMIT# PERMIT# BLDG. CONTR. ~ SUBCONTRACTOR ~ DATE INSP. REG. TYPE OF INSP. ~ INSPECTION MADE ~ Z v REMARKSO/~ ~OO o • ~ BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. - ~ U ~ TYPE OF INSP.--~^-e, INSPECTION MADE REMARKS l i INSPECTION TICKET INSPECTION TICKET JOB ADDRESS J~ L SZ JOB ADDRESS !0> > Z DATE: ~ S BLDG. PERMIT# /&33 PERMIT# BLDG. CONTR. -4~~C-0 SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. INSPECTION MADE REMARKS W.R.FORM 619 [ht93 DATE: BLDG. PERMIT# PERMIT# BLDG. CONTR. SUBCONTRACTOR IL'~ DATE INSP. REQ. ~-CAj. TYPE OF INSP. INSPECTION MADE ! D/ Z/-? Z REMARKS / W.Fl. FORM 619 Ll/ ~ ~ INSPECTION TICKET JOB ADDRESS J S DATE: 3-/~ ~~333 BIDG. PERMIT# PERMIT# BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. j~ TYPE OF INSR INSPECTION MADE REMARKS ~ W INSPECTION tICKET JOB Q ~ ADDRESS 3 DATE: BLDG. PE MITB 1-332 PERMIT# BLDG. CONTR. SUBCONTRACTOR - DATE INSP. REQ. TYPE OF INSP. INSPECTION MADE REMARKS INSPECTION TICKET ~ dos ADDRESS DATE: 7 J BLDG. PERMIT# lo'f PERMIT# BLDG. CONTR. SUBCONTRACTOR 1 `7 DATE INSP. REQ. TYPE OF INSP. ~INSPECTION MADE ~ REMARKS INSPECTION TICKET JOB 1 ADDRESS J l~ U -,Q- DATE: ~ - / 0 BLDG. PERMIT# 18 '~--3 ) Oa. PERMIT# BLDG. CONTR. 4'`t- 't) SUBCONTRACTOR DATE INSP. REQ. ~ TYPE OF INSP. INSPECTION MADE D Z REMARKS ~~le JF ('%S ~/U.l~!/( ,(//~li✓La► U W.R. FORM &19 W.R. FORM 619 ~ ~ Vvl P~ I b'-,~ 7 ~ I INSPECTION TICKET JOB ADDRESS 21C~"~- yL/ i Z DATE: BLDG. PERMIT# / P3 PERMIT# INSPECTION TICKET JOB -I ADDRESS ~ v -1N2 2- DATE: BLDG. PERMIT# 1 PERMIT# BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. INSPECTION MADE REMARKS O/~ KA/"S G~<'- ~ 07 n I . A . 0 INSPECTION TICKET JOB ADDRESS ~ 6 DATE: 9-/ u BLDG. PERMIT# 1,~3 PERMIT# BLDG. CONTR. SUBCONTRACTOR C ~ DATE INSP. REQ.~) TYPE OF R INSPECTIO REMARKS W.R. FORM 618 BLDG. CONTR. SUBCONTRACTOR - DATE INSP. REQ. ~ a- TYPE OF INSP. INSPECTION MADE L ~ REMARKS INSPECTION TICKET JOB ADDRESS 360 ~ ~ DATE: O-/,3 BLDG. PERMIT# IS 3 33 BLDG. CONTR. PERMIT# SUBCONTRACTOR DATE IN6P. REQ. TYPE OF INSP. INSPECTION MADEp~? E-' REMARKS / W.R. FORM 6-18 < / - ~S INSPECTION TICKET JOB -7( ADDRESS ~ Sa [DATE: /0 -S BLDG. PERMITk ~ 3 3 PERMIT# BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. ~d- (to' TYPE OF INSP. aJ-}s / INSPECTION MADE ! / ~ i~ REMARKS ~ ~ ~ . Lq INSPECTION TICKET JOB ADDRESS 7 ~ s-3 / ?'We 9 a DATE: ~v-~, BLDG. PERMIT# PERMIT# BLDG. CONTR. ~ SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. INSPECTION MADE ¢_~~~~L~~ / 7 Z~ REMARKS G~C/-/-✓J~ ~ ~ //!/o4e-d- W.R.FORM 619 J INSPECTION TICKET JoB 36 s'd .-u- ADDRESS ' DATE: O BLDG. PERMIT# PERMIT# BLDG. CONTF SUBCONTRACTOR ' y'p0 AM DATE INSP. REa. ~ TYPE OF INSP. INSPECTION MADE 7 t? 2~ REMARKS ~a A INSPECTION 71CKET ~ JOB DORESS S Z DATE: I BLDG. PERMITN ~ 53 3 PERMIT# BLDG. CONTR. SUBCONTRACTOfi DATE INSP. RE0. la ~ ~ TYPE OF INSP. INSPECTION MADE/p REMARKS Uf ~ W.R. FORM 619 6 c'2- ff u-7 aa- ? t.1 n INSPECTION TICKET ( y,~ ✓ JOB ADDRESS 3 ~ ~ ~J ~~--e-~ ~ ~~29a DATE: ~ BLDG. ERMITM 18 .33 ~ PERMIT# BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. ck- w TYPE OF INSP. INSPECTION MADE REMARKS Q/( ~ INSPECTION TICKET ~ JOB -7~ ADDRESS 3 C~ i V 0~1 p Z DATE: I O`c3( BLDG. PERMIT# _ PERMIT# BLDG. CONTR. SUBCONTRACTOR - DATE INSP. REQ. 1,6 6L TYPE OF INSP.-Y- ~ ' ~ G/. L1'.~~. INSPECTION MADE ~ / REMARKj W.R. FORM G19 V INSPECTION TICKET (c JOB ADDRESS JV DATE: d ~ BLDG. PERMIT# PERMIT# BLDG. CONTR. ! SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. INSPECTION MADE REMARKS /L.- N/ ~ - - ~ INSPECTION TICKET ~ JOB ADDRESS DqTE: I C~ 5J U BLDG. P RM TA --2G Z PERMIT# BLDG. CONTR. SUBCONTRACTOR DqTE INSP. REQ. I d-30 rYPE OF INSP. ' C~, INSPECTION MADE REMARKS CS/~ W.R. FORM 6-79 / INSPECTION TICKET JOB / / ADDRESS~lS DATE: / 41~ BLDG. PERMIT# PERMIT# BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. ~ L?'ri►L 1l~ l~v(~ INSPECTION MADE REMARKS ~ Zci 1"°6 INSPECTION TICKET J°a ADDRESS 3cs-p J . A"G cEGt/~q j342 DATE: ~ yl BLDG. PERMIT# V70Z~- PERMITM BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. ~~9 3 PM TYPE OF INSP. N 4' INSPECTION MADE REMARKS W.R.FORM &19 V'- S INSPECTION TICKET 1 JOB ADDRESS 3~~!~ 3.,0; DATE: BLDG. PERMITX PERMIT# BLDG. CONTR. SUBCONTRACTOR DATE INSP. REG. 1/zZ193 TYPE OF INSP. ~ • - INSPECTION MADE~ REMARKS _ INSPECTIOET Jos ADDRESS /541 DATE: BLDG. PERMIT# PERMIT# ~ ~ 12 BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. PM TYPE OF INSP. ~ INSPECTION MADE REMARKS ~ W.H. FORM 6-19 z INSPECTION TICKET l(jg214 d76°2 ADDRESS S-~ v G., , I (,_L (7a DATE: BLDG. PERMIT# G Z PERMITB BLDG. CONTR._ -V~.-(J SUBCONTRACTOR CL I~t . DATE INSP. REQ. TYPE OF I INSPECTIO REMARKS INSPECTION TICKET Joe 8 (L S7l 7) ADDRESS V DATE: I I' GI BLDG. PERMITN ~ BLDG. CONTR. PERMIT# INSPECTION TICKET JOB ~f ADDRESS C9-N-'-k-- c 1 DATE: BLDG. PERMITB - -/G ~ BLDG. CONTR PERMITN ~C sL-d SUBCONTRACTOR DATE INSP. REQ. rYPE OF INSP. INSPECTION MADE / / 21 INSPECTION TICKET JOB ADDRESS ~U V ~h G 4 'S ~ DATE: BLDG. PERMIT# 4) 7U'L / PERMITM BLDG. CONTR. r-rc- 0 SUBCONTRACTOR DATE INSP. REO TYPE OF INSP. W.R. FORM 6-19 / 7YPE OF INSP. INSPECTION MADE REMARKS W.R. FORM &19 SUBCONTRACTOR DATE INSP. RE a7oD INSPECTION TICKET JOB ADDRESS 1-32a- DATE: BLDG. PE4?MITB q76- ~--PERMITM BLDG. CONTR._ l SUBCONTRACTOR DATE INSP. REQ. ~-02 S TYPE OF INSP. ---Y- CL•c.~ INSPECTION MADE t 7-~-r REMARKS ~ " INSPECTION 71CKET Joe ADDRESS 3G..5'I i Z DATE: p 3 BLDG. P RMITX DZ- PERMITM BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ._ f/z ~193 /D/f+7Q TYPE OF INSP.,~9~Gp!~~~ INSPECTION MADE_11~~7/9 3 REMARKS W.R.FORM &19 :Ar- v~ 1 INSPECTION tICKET JOB ADDRESS DqTE: Z p 3 gLDG. PERMIT# PERMIT# BLDG. CONTR._ SUBCONTRACTOR DATE INSP. REQ. //z TYPE OF INSP. ~ INSPECTION MADE / ~ REMARKS - - INSPECTION TICKET JOB ADDRESS_ DqTE: ~BLDG. PERMIT# PERMIT# BLDG. CONTR. 4~C.p SUBCONTRACTOR DqTE INSP. REp, i ~ rYPE OF INSP. _ 14 3 r! INSPECTION MqDE REMqRKS _L~ Ir- 2 R07~' [ 1 W.R. FORM &ig ~ O~ ;,U l # V70 INSPECTION TICKET JOB ADDRESS_ 3 17 INSPECTION TICKET JOB ADDRESS ~i ~n Oa ' c, J DATE: ~ J BLDO PERMITN _~~0 Z PERMITM BLDG. CONTR. Cz-)/--, ~ C60~XiI SUBCONTRACTOR DATE INSP. REQ. 0 - TYPE OF INSP. INSPECTION MADE REMARKS_ INSPECTION TICKET JOB ADDRESS 3 G r DATE: BLDG. PERM TM 4~- PERMITM BLDG. CONTR. /-F ( CU SUBCONTRACTOR DATE INSP. REQ. 2 J 7 TYPE OF INSP. INSPECTION REMARKS DATE:_ 1;1 S _gLDG. PERMIT# L47Q-2 PERMITX BLDG. CONTR.1.r SUBCONTRACTOR DATEc' INSP. REQ. Z 3 TYPE INS - t.~4- INSPECTION MADE T~~ 3 REMARKS /~//l. /~-y[ W.R. FOF]TA E79 INSPECTfON TICKET JOB ADDRESS ~ ~ DATE: a ~ BLDG. PERMIT# G~ PERMIT# BLDCa. CONTR. A" SUBCONTRACTOR DATE INSP. REQ. a-~ G i7t TYPE OF INSP. I~ INSPECTION MADE REMARKS W.R. FOflM 619 W.R. FORM &19 ~ ~7o a 9 INSPECTION TICKET JOB ? L/ I ADDRESS J~~ DATE: Z J BLDG. PERMIT# PERMIT# BLDG. CONTR. DATE INSP. REQ.Z - ~~3 / ''400 TYPE OF INSP INSPECTION MADE ~I~~9~ REMARKS "oX olof~- ZR~A _ INSPECTION TICKET dos S~ ADDRESS /J_~r.Li a DATE: gLDG. PERMIT# PERMIT# BLDG. CONTR. FL~ _.rp SUBCONTRACTOR DATE INSP. REO. Z a/3;7 3 TYPE OF INSP. , INSPECTION MADEiQ f3 v~ • REMARKS~L~ g J~- -,-6' v/ W.R. FOflM &18 ~ INSPECTION TICKET ~ JOB 7 ~ ADDRESS DATE: ' - I a . I~~ a ---~BLDG. PERMITM 4-70 ~ PERMIT# BLDG. CONTR. ~c. ~ 'C~j SUBCONTqqCTOR DATE INSP. REQ. Cf - I D TYPE OF INSP. U~-U~~ INSPECTION MADE REMARKS O(>54 41 W.R. FORM 619 INSPECTION TICKET JOB r ADDRESS ~ ~O DATE: a~ ~=BLDG. PERMIT# LI ~ G-d- PERMIT# BLDG. CONTR. SUBCONTRqCTOR DATE INSP. REQ. ~L TYPE OF INSP. _ I~~ INSPECTION MADE 3- ~ REMARKS I~/ S W.R. FOHM G7g ✓ ~ 9,~') A~ 4,79 a INSPECTION TICKET I e. s JOB ADDRESS ~.INSPECTION TICKET JOB ADDRES3 S G S~ ~ i ~ DATE: c - a a ~ BLDG. PERMIT# -(-70,)L PERMIT# BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. 6c-G~ D„ TYPE OF INSP. _e,un~ d_,tij_4 4 INSPECTI=MAJ_~~~ Y3 REMARKS~ INSPECTION tICKET JOB ADDRESS 3 C~ S~ ~~(A DATE: 5 BLDG. PERMIT# (~'70,4 PERMIT# BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ,2 -33 TYPE OF INSP. INSPECTION MADE REMARKS W.R. FORM &19 ! /`J` l e7 DATE: BLDG. PERMITM PERM ITM BLDG. CONTR. :A:L~ SUBCONTRACTOR ~ />J DATE INSP. REQ. TYPE OF INSR INSPECTION MRDE REMARKS ~ INSPECTION TICKET ADDRESS 3 ~ ' U _~.70 ~ DATE: C9 q BLDG. PERMIT# PERMIT# BLDG. CONTR. C L`-~ ~ SUBCONTRACTOR DATE INSP. REQ. C;~ TYPE OF INSR INSPECTION MADE REMARKS _ W.A. FORM 619 ✓ INSPECTION TICKET JOB ADORES~`~'~~ ~ y DATE: BLDG. PERMITM ` PERMITM eLoG. coNrR. gUILDING DEPARTMENT ~ SUBCONTRACTOR , 237•6844 E%1.255 DATE INSP. REQ. ~ CITY OF WHEAT RIDGE TYPE OF INSP. * * INSPECTION MADE - ~ ~ ~j~ REMARKS Correction Notice olz ~ ~ Job Located at .........:.i:.:..✓.'.':.:................... INSPECTION TICKET doe / I have this day inspected this structure and these premises and ADDRESS SU II /4k% G C- have found the foliowing violations of City and/or State laws governing same: gyL DATE: 'J?3 BLDG. PERMIT# PERMITfl BLDG. CONTR. SUBCONTRACTOR DATE INSP. TYPE OF INSP.60 'Liw5 a c- INSPECTION MADE y-l7 y` 3 REMARKS W.R. FORM &19 You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. r D a t e Inspector for Building Depi. DO NOT REMOVE THIS TAG I. FOMM WN6-2i i ~ . ~ JOB ADDRESS INSPECTION TICKET 3 >7 -11L DATE: v - ~ BLDG. PERMIT# 7G °~PEflMITN BLDG. CONTR. SU BCONTRACTOR DATE INSP. REQ. TYPE OF INSP.QJG"`~ INSPECTION MADE REMARKS 2 INSPECTION TICKET JOB ADDRESS 7 J DATE: ~ ~ BLDG. PERMIT# BLDG. CONTR _ PERMIT# SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. G-~✓vW'~'Lt/J INSPECTION MADE REMARKS ~ INSPECTION TICKET JOB ADDRESS ~ G~-e-L . DATE: 2, BLOG. PERMIT# 7 3 PERMIT# BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. 3 -q~ TYPE OF INSP. INSPECTION 1 INSPECTION TICKET JOB ~ ( _ ~ `7~ ~y_~_Lfl ADDRESS DATE: BLDG. PERMIT# .A-1 L- PERMITM BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. INSPECTION MADE ..~...D~.cA/~ L✓L ..I W.Fl. FORM 619 ~ W.R. FORM 6-19 ~ r~ INSPECTION TICKET Joa ADDRESS DATE: _BLDG. PERMIT# PERMIT# BLDG. CONTR. SUBCONTRACTOR DATE INSP. REG. '7- Z0 TYPE OF INSP. 1!%~ rL~'+-SLlj~! v x/ INSPECTION REMARKS INSPECTION TICKET JOB ~ ADDRESS DATE: 4 BLDG. P(RMITM 0 2- PERMITS BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. INSPECTION MADE ~ L REMARKS ; 1/ ~ i INSPECTION TICKET JOB ADDRESS DATE: Z BLDG. PERMIT# PERMIT# BLDG. CONTR. SUBCONTRACTOR~i~1vG`L~ DATE INSP. REO. 7YPE OF INSP. INSPECTION INSPECTION TICKET 0 JOB ADDRESS'y~1~b.LVQ~ DqTE: kA - ~ ---~BLDG. PERMIT# PERMIT# BLDG. CONTR. CC 3UBCONTRqCTOR DqTE INSP. REQ, TYPE OF INSP. a7I~3 IN ECTI N MADE W. REMARKS W.R.FORM 619 L W.R. FORM g-19 V 7Ct~l INSPECTION TICKET INSPECTION TICKET JOB V ~nntti ~-j ~ JOB sj ADDRESS ADDRESS 3L DATE: BLDG. PE MITN 4101 DATE: gLDG PERMITM . PERMITk PERMITM CONTR BLDG ~ . . BLDG. CONTR. l SUBCONTRACTOR SUBCONTRACTOR DATE INSP. REQ. Yv '7 - DATE INSP R . EQ. TYPE OF INSP. INSPECTION MADE_}~L W.R. FORM 619 TYPE OF INSP. - L ' INSPECTION MADE 3 REMARKS ~ >4io G(/~ W.R.FORM 619 --z 7 -~7-5 /2S 2i3, ziy~ 3 2 o v l 3 cro 3 / ILf 7- ~i . `~4 / ;'.~-_61 q 70,~) INSPECTION TICKET JOB ADDRESS ~ ~ ~ , - DATE: BLDG. PERMITN PERMIT# BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. ~-uJ. / INSPECTION MADE .J REMARKSPIL IkV INSPECTION TICKET JoB ADDRESS DATE: J BLDG. PERMIT# PERMIT# ~BLDG. CONTR. SUBCONTRACTOR ~ k 41 DATE INSP. REQ. TYPE OF INSP.'~ INSPECTION MADE REMARKS W.R. FORM &79 REMARKS ~ - -^zcj INSPECTION TICKET JOB ADDRESS //jCj '2 DATE: BLDG. fsERMITM ~U PERMIT# BLDG. CONTR. ~ SUBCONTRACTOR DATE INSP. TYPE OF INSP. INSPECTION MADE REMApKS W.R. FORM &19 INSPECTION TICKET JOB ? G ADDRESS ~q2 `I702 ~ DATE: BLDG. PERMIT# 1 PERMITM I ~ BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. _ INSPECTION MADE l /z` (0 ` a- » s INSPECTION TICKET ~ JOB ADDRESS J`t Z DATE: BLDG. PERMITM -1 aZ- / T PERMITN BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. S~ TYPE OF INSP. INSPECTION MADE REMARKS 'r ~ey 7 INSPECTION TICKET JOB ADDRESS .,~'~9a- DATE: ~ BLDG. PERMITM PERMITM BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. INSPECTION MADE /j REMARKS f~. f 5/44- 7' COPL W.R. FOfiM &19 DAYS "m' ,,****,*ALLWEEK s~ ac [ 6 a6c rc-,k,.p C L E G. 1.j IU2 7~~7 2vl 72~2 V - ~S,r3 C- N 9a ?bl q 70 a. INSPECTION tICKET JOB ADDRESS ~ ~0~~ ~ ~ CAnn-dA_ DATE: 1-' 3 BLDG. PERMI M r7~"ZPERMITfl 7 BLDG. CONTR.s ~--(J (C)Y"d~ SUBCONTRACTOR i- NA.(fo'll ~ AL. DATE INSP. flEQ c TYPE OF INSP. INSPECTION MADEI 7-2- 09~ REMARKS W.R. FORM &19 7500 wESr 29tn AvENUE DEPARTMENT OF COMMUNITY DEVELOPMENT 237-6944 Exr. 255 P.O. eox 638 BUILDING INSPECTION OIVISION ~ CITY OF WHEAT RIDGE,,COLO. PERMIT N0. B92#4702 TWS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND THE MAYOR - CALL 24 MOURS PRIOR TO INSPECTION OF BUILDING PLANS AND TWO PLO? PLANS MUST AGwMVnnY v JIXIA~ BUSINESS NAME Fl C G O 660 ADDRESS / ~1 COPY OF DEED AND IMPROVEMENT SURVEY REQUIRED FR(1NT PROPERTY LINE ~ SPECIFY NORTH (CIRCLE FRONT) N E 5 W STREET NAME SHOW DISTANCES FROM THE MAIN BUILDING TO ADJOINING HOUSES, STREETS, AND PROPERTY LINES ON ABOVE SKETCH; SHOW LEAST DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. LEGAL DESCRIPTION OWNERS NAME U~ ~ G i G C CONTR ADDRES~]gT~ S ~I~ N0. pMETES DDRESS D BOUND~ESCR~PT10^N~TT~ACH~ 111V ZIP CODE aO -LOT NO. BLOCK NO. LOT WIDTH DEPTH AREA I SUBDIVISION REAR PROPERTY LINE w Z ~ i J Y ~ w a ¢ ~ a a w w ~ o N N APPLICATION INDICATE THOSE OF THE FOLLOWING OFF-SITE IMPROVEMENTS NOW EXISTING: Curb9Cwtter_SheefPovinQ-Wuter_Sewer-S1ormDrainaqe- HAVE ARRANGEMENTS BEEN MADE TO PROVIDE FOR THOSE NOT NOW ExISTING: YES_NO- ARE THERE ANY SPECIAL ASSESSMENTS AGAINST TNIS PROPERTY: YES-NO- EXTERIOR MATERIALS: WALLS -l c) STORIES - L-urvilb OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT IT FEE '-7~J' -~(9 O I hereby certity ihat ihe above setback distances shown on this permit applicoiion are acwrate, and do not violate f - TAX `~j ~7 S'/ ~ ro opplicable ordinonces, rules or iegulations of ihe City of Wheat Rijqe oi covenants, eosemenis or reshicfions o all abide b t d L FEE a 7$~/ ~ y agree o and alleqations made are accurote; ihat I have read an ments shown ll ! y , measure cord; thot a me full rosponsibility for compliance wiih fhe Wheat Ridpe t I U E TED NO assu conditions printed on this application, and iha Buildi ng Code N.BC) and all other apD~~~able Wheat idge or inances for wo/k under ihis permit. ~ ~ / Y-g`~ ~ (OWNER) (CONTRACTOR) SIGNED DATE BUILDING DEPARTMENT USE ONLY ~ SQ.FT COST i/~~,L,~~/ ~ QT OCATED C F _ ~ THE PROPERTY L B ENT- OUGH IS PRESENTLY ZONED3 ~T S J1,~ EO )(-ISNOT) ALLAWED UNDER THE ZONI G ORDINANCE. FLOOR THE PROPOSED SE , GROUND " Z~ y3O ~ a C-OTMM NTS' SEGOND FLOOR ' / y / GARAGE --r~-I ~V ~•LSc~~ DTHER 2 J !L~ ZS/y BUILDING COST $ } OTHER MECHANICAL PERMIT BING PERMIT UM L ELECTRICAL PERMIT P ' y q ~ STATE 271- ~ CITY N0. I STQTE NO.~ CRY N0. CITY N0. PLQN$ REVIEWED (-OK) (-NOT OK) PLANS REVIEWED (-OK) (-NOT OK) PLANS REVIEWED-(-OK)(-NOT OK) NO PLANS NEEDED NO PLANS NEEDED NO PLANS NEEDED PLANS NEEDED PRIOR TO ISSUANCE OF PLANS NEEDED PRIOR TO ISSUANCE OF PLANS NEEDED PRIOR TO ISSUANCE OF ELECTRICAL PERMIT PLUMBING PERMIT MECHANICAL PERMIT PERMIT ISSUED TO L, L" PERMIT ISSUED TO D- C/fPA/t .NeC/f le~`MIT ISSUED TO PER REQUEST AS PER PLANS NO PER REQUEST AS PER PLANS N0. PER REQUEST AS PER PLANS N0, AS APPROVED AND ON FILE IN MY OFFICE AS APPROVED AND ON FILE IN MY OFFICE AS APPROVED AND ON FILE IN MYOFFICE DO NOT ISSUE PERMIT UNTIL CLEARED BY DO NOT ISSUE PERMIT UNTIL CLEARED BY DO NOT ISSUE PERMIT UNTIL CLEARED 8Y CHIEF BUILDING INSPECTOR CHIEF BUILDING INSPECTOR CHIEF BUILDING INSPECTOR DATE CLEARED BY DATE CLEARED BY DATE CLEARED BY 6 IEF DING I SPECTO CHIEF BUILDING INSPECTOR CHI ILDIN INSPECTOR ~ BY BY ~ DATE z DATE DA i CON I S . WAS LAWS PROV WITK THE ACCORDA THE (1) ANID TPERMIT TM£ ZONING REGULAT ONS ANND B ILDING CODE OF WHEATTRIDGE GIOLOHADO OH IANY'OTHER APPLIGABLE ORDINANCES OF THE C TypTE OF COLOflAUO (2) THIS PERMIT SMALL EXPIRE IF (A) TME WORK AUTHORIZED IS NOT GOMMENCED WITHIN SIXTY (60) DAVS FROM ISSUE DFTE OR (B) THE BUILDING AUTMOPIZED IS SIISPENDEU ON ABANDONED FOR A PERIOD OF 120 OAYS. ERMiT CHANGES HAVE NORM AMOUNT ONE RED BEEN (3) BETMADEHIS LPLiNSPPND SPEG F GATIONSIAND ANY SUSPENSION OR ABANDONMENT HAS NOTAE%CEEDED ONEP(I)YEpR.NF CHPNGES G E MADE ORYIF L SUSVENSION OR PBANDONMENT E%GEEDS ONE (I)YEAR, FULL FEES SHALL BE PAID FOH A NEW PEHMIT. (4) NO WORK OF ANY MANNER SHl LL BE DONE THNT WILL OBSTRUGT THE NATUHAL FLOW OF WATER CAUSING A DNPINAGE GROBLEM. (5) CONTRPCT R SNALL NOTIFY THE BUILDING WSGECTOR TWENTY-FOUR (24 WS IN GDVANCE FO ~PLL PECTIONS AND SHALI NECEIVE WRITTEN PPPRGVAI ON INSP ION ARD BEFOFE PNG WITH SUCGESSrvE FN45E5 pF TH JOB~ pppROVED CHIEF BUILDING INSPECTOR FOR MAYOR sea<~.~,- 1P,EC5 S~{VFqi • ,~ei;'.CS °ACIi , i. I I , ~ I ~ ~ ~ J , O ~ ~ ~ ~ N_tt - 5455 ~ ~460 I ~ 3 l ~ -i L ~ . ? ~ ~ ~ ~ I D O RjTl~~ N•G lflCONTRACTOR'S MATERIAL & TEST CERTIFICATE PARTS A& C- SPRINKLER & WATEP SPRAY ABOVEGROUND PIPING (Fill Out Separete Certificate For Esch Riser) PROCEDURE UPON COMPLETION OF WORK, INSPECTION ANO TE5T5 SHALL BE MADE BY THE CONTpACTOR'S REPRESENTATIVE AND WITNESSEO BV AN OWNEH'S REPRESENTATIVE. ALL DEFECTS SHALI BE CORRECTED AND SVSTEM LEFT IN SERVICE BEFORE CONTNACTOR'S MEN rINALLY LEAVE THE JOB. A CERTIFICATE SHAIL BE FILLED OUT AND SIGNED BV BOTH REPRESENTATIVES. COPIES SHALL BE PREVARED FOR APPROVING AUTHORITIES, OWNERS AND CONTRACTOR. IT IS UNDERSTOOD THE OWNER'S REP0.ESENTATIVE'S SIGNATURE IN NO WAV PREJ- UDICES ANV CLAIM AGAINST CONTRACTOR FOR FAULTV MATERIAL, POOP WORKMANSHIP, OR FAILURE TO COMPIV WITH AP- PqOVING AUTHORITV'S REQVIPEMENTS OH IOCAL ORDINANCES. PROPERTV NAME DATE ~ i ~ ~c~12~ _ PROPERTV AODRE55 ' ^ J L f A CEPTEO BY AP ROVING A H RITY('S) NAMES . \ ADDRE55 " PLANS } INSTALLATION CONF RMS TO ACCE EO VLANS: YES NO ❑ NO O V ES EOUIPMENT USED IS APPROVED IF NO,STNTE DEVIATIONS HAS PERSON IN CNARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL VAlVES AND CARE OF THIS NEW EOVIPMENT? YES NO ❑ IF NO, EXPLAIN INSTRUG TIONS NAS A COPV OF INSTRVCTION ANO MAINTENANCE CNA0.T BEEN N ❑ O LEFT AT PIANT? rE5 IF NO, EXPLAIN . HYDROSTATIC: HytlrosLHC ints shall be maGe at not iess Inan 200 P51 (13.6 ban) tor two houn or 50 P51 (3.4 bars) a ove s a c pwssure In excess o/ 150 P51 (10.2 bars). Oif/erantlal Gry-piPS wlre clapPOS Sball bO bft opm Gurinq bat to TEST Yrorent Gama9a. All abovagrouna oiPin9 le+w9a shall De sloOPeC. DESCRIP- TION PNEUMATIC: EStaDllsh 40 P51 (2.7 bars) alr preSSUre antl measure dtop whlch fhill not ezCeatl 1'k PSI (0.1 Can) In 24 ourfiesT-pressure tanks al normal water level anG air Pressure antl measura alr Cressuta GroP whlch shall nol eaceaG 1'h V51 (0.1 Dars) In 26 hOU/f. HVDROSTATIC: ALL PIPING. TESTS PNEUMATIC: DRV PIPING DRAIN REQUIRED EQUIPMENT OPERATION: ALL, SERVES BLDGS: ' LOCATION ~ - r MAKE M EL SIZE QUANTITV TEMPERATURE RATING ~D SPR I N KlERS OR SPHAV NOZZLES MATERIAI AND KIND CONFORMS TO STANDARD PIPE ANO IF NONE, EXPLAIN FITTINGS A L A R M O E V I C E MAXIMUM TIME TO OPERATE THROVGM TEST PIVE ALARM VALVE TrPE MAKE MOOEL MIN. SEC. OR FLOW ` , I INDICATOR r - FORM 85 AC. FEVISEO APRII. 1979 r`tmM. irv v.a.r. rvn rv'a r r........~.. o~^ OPERATI NG TEST RESULTS: _ TIME TO TRIP TIP TIME WATER RM TNqOUGN TEST PIPE WATER AIR pOINT REACH OPERATED ~jqy MAKE MODEI SER. ND WITHOUT WiTH VRE55. PFE55. AIR TLET ~ . PROPERIV O. O. D. Q_O_D. pRE55. PIPE - MIN. SFC. MIN. $EC. P.5.1. P.5.1 MIN. SEC. ~'ES NO VALVES IF NO,EXPLAIN OPERATION PNEUMA EIECTRIG ❑ MVDRAUIIC ❑ YES ❑ OETECTING MEDIA SVPERVISEO: YES ❑ NO ❑ PIPING SUPERVISED: DOESVAIVEOPERAT OMTNEMANVALTRIFAND/00. TECONTROLSTATIONS! YES ❑ N~ ~ DEIUGE - YES ❑ NO ❑ IS THERE A CCESSIBLE FAGiIITY IN EACH CIRCUIT FOR TESTING & IF NO, LAIN PREACTION VALVES ooes Eacn clrcWt ooerate Does each Circuit Opere[e aximum Time To MODEL SUp2fvi5ion 1055 Alarm? Valve Release? e Relea52: MAKE - _ YES NO YES NO MIN. qLL PIPING HVDROSTATICALLV TESTED AT ----PSI FOA HOUR$ ❑ ORV PIVING PNEUMHTICALLY TESTED: YES 0 NO Ll NO ❑ vE S EQUIPMENT OPERATES PROPERLY: If NO, STATE REASON TESTS RESIDUAL PRESSURE WITN VALVE IN DRAIN TEST: READiNG OF GAGE LOCATED TEST PIPE OPEN WIDE NEAR WATER SUPVLV TEST PIVE: PSI STATIC GRESSURE P51 BLANK 7ESTING NUMBER VSED LOCATIUNS NUMBER ftEMOVED ~ ~ GASKETS - vE5 0 NO 13 WELDED PIPING IF VES... RE TH THE R THAT WELDING PROCEDURES COMPLY Q DO YOV CERTIFV AS TFIE SPRINKLEP CONTRACTO NO O O MENTS OF AWS 010.9, LEVEI Aft-3? HE ITH ANCE W ESP wA5 PERFORMED BV WELOE0.5 QUALIFIED IN ING NO ❑ 00 ~'OU CERTIFV THHT THE VdELUING a v WELD REQUIREMENTS OF AWS 010.9. LEVEL NR-3? CARRIEO OUT IN COM7LIANCE `A'ITH A DOCVMENTED QUALITY CON- DO YOV CERTIFY THAT WELDING WFS THAT OPENINGS IN PIPING ARE SMOOTH, TRIEVED , TROL PROCEDURE TO INSURE THAT ALL DISCS ARE RE OF RS E DIAME T THE INTERNAL ❑ ~ O ES O THAT SLAG AND OTHER WELDING RESIOUE AHE REMOVED, ANO THA PIPING HRE NOT PENETRATED' DATE LEFT IN SERVICE WITH ALL CONTROI VALVES OPEN: R EMAR KS NAME OF SPRINKLER CONTRACTOR . FOR PROPERTV OWNER (SIGNED~ TITIE SIGNATURES ~ r FOR SV INKLER CONT ACT (SIGNED) ~r ~ TITLE`-(/1~- DATE ~ % ~ . STS ITNESSEDBY ADDITIONAL EXPLANATIONS AND NOTES lfl CONTRACTOR'S MATERIAL & TEST CERTIFICATE Z f/ PARTS A b C- SPRINKLEP & WATER SPRAV ABOVEGROUND PIPING (Fill Out Separate Cartificate For Eech Riser) PPOCEDURE- UPON COMPLETION OF WORK, INSPECTION AND TE5T5 SHALL BE MADE BV THE CONTRACTOR'S REPRESENTATIVE AND WITNESSED BY AN OWNER'S REPRESENTATIVE. AlL DEFECTS SHALL BE CORRECTED ANO SYSTEM LEFT IN SERVICE BEFORE CONTRACTOR'S MEN fINAILY LEAVE THE JOB. A CERTIFICATE SHALL BE FILLED OUT AND SIGNEO 8Y BOTH REVRESENTATIVES. COPIES SHALL 8E PREPARED FOR APPROVING AUTNORITIES, OWNERS AND CONTRACTOR. IT IS UNDER5T000 TFIE OWNER'S REPRESENTATIVE'S SIGNATURE IN NO WAV PREJ- UOICES ANV CLAIM AGAINST CONTRAGTOq FOR FAULTV MATERIAL, POOP WORKMANSHIP, OH FAILURE TO COMPLV WITH AP- PROVING AUTHORITV'S fiEQU1REMENTS OR LOCAL ORDINANCES. ~ PqOPERTY NAME i OATE ~_5 / (1 &hx P(tOVERTV AOD E55 ~ P ACCEPT D BV APPR VAN UTN RITV('S) N MES ~ . ~ ADDRES PLANS f~ INSTAIIATION CONFO MS TO AC EPTED PLANS: VES NO ❑ EQUIPMENT USEO IS APPROVED VES NO ❑ IF NO, STATE DEVIATIONS MAS PER50N IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION 1~ OF CONTROI VALVES AND CARE OF THIS NEW EQUIPMENT7 YES lY NO ❑ IF NO, E%PLAIN INSTRUC- TIONS HAS A COPV OF INSTRVCTION ANO MAINTENANCE CHART BEEN LEFT AT PLANTt VES ~ NO ❑ IF NO, EXPLAIN HVDROSTATIC: Hytlrostatlc lxts shall ba matla at not less lhan 200 V51 (13.6 bars) tor two houn or SO P51 (3.6 bars) ' ~ — a ove l s aT[F pressura In eMCess of 150 P5i (10.2 bars). Diflerentlal tlry-plpa valvs clappan shall be la/t o0sn Uurlnq tpt la IsTEST pravent Oamaga. All abovegrouna oioin9 iaakaya snall ba stoppetl. DESCRIP- TION PNEUMATIC- Establlsh 40 P51 (2.7 bars) air pressure antl measura tlro0 v+hi<h ihall not axceetl 11h P51 (0.1 bars) In 26 our~l7pressure tanks at normal watar laval anE alr pressure antl measure alr pressufe Grop whlch shall not ezceaE 1N P51 (0.1 bars) in 24 hours. TESTS NVOROSTATIC: ALL PIPING. PNEUMATIC: DRY PIPING DRAIN FEQUIFED EQUIPMENT OPERATION: ALL, SERVES BLOGS: , LOCATION y< C MAKE M EL SIZE GIUANTITV TEMPERATURE RATINC SPRINKLERS OR SPRAV N022LES MATERIAL AND KIND CONFORMS TO STANDARD PIPE AND IF NONE. EXPLAIN FITTINGS A L A R M D E V I C E MA%IMUM TIME TO OPERATE THqOVGM TEST PIVE ALAHM VALVE TYPE MAKE MODEL MIN. SEC. OR FLOW INDICATOR ~ A runm ea q(4, nGVISGU nvRIL 19/9 PRINTED IN V.S.A. FOR NAS i FGA. ING., P.O. BOX 739, MT. KISCO, N.Y. OPERATI NC.TEST RESULTS: MAKE MODEL SER. TIME TO TRIG THROUGH TEST PIPE _ TIP \YATER AIR pO1NT TIME WATER REACMED AI.AR OVER ED . DRY NO WITHOVT WITH pqE55. PRE55. AIR PRE55 TEST OUTLET p pERLY . Q. O. D. O_O_D. . PIPE MIN. SFC. MIN. SEC. - - - P.S.I. P.S.I P.S.I. MIN. 5 ~ ~'ES NO V A W ES IF NO, EXPLAIN OPERATION PNEV O E IC ❑ MYDRAULIC ❑ VES ❑ DETECTINC+ MEDIA SUVERVISED: YES ❑ NO ❑ PIPING SUPERVISED: DOES VALVE OPERATE FROM TME M NL TRIP AND REMOTE CONTROL STATIONS? YES ❑ NO ❑ OEWGE - D Cl 0 N IS THERE AN ACCESSIB ACII.ITV IN EACH CIRGUIT FOR TES G? rES & IF NO.EXPLAIN PREACTION VA W ES - Does Eacn cbcwt Oaerate Does each Circuit rate Maximum Time To htooEL Supervision Losz Alarm? Valve Release? O erate Release: MAKE _ vE5 NO YES NO SEC. FORC\2 MOVRS ALL VIPING HVDROSTATICALLI' TESTED AT -P+i ❑ DRV PIPING PNEUMATICNLLY TESTED: VES ❑ NO ❑ EQUIPMENT OPEHATES PROPE0.LY: YES ❑ NO IF NO, STATE REASON TESTS READING OF GAGE LOGATEO RESIOVAI PRESSVRE WITH VALVE IN TEST : DRAIN TEST PIPE OPEN WIDE NEAR WFTER SVFGIY TEST PIPE: P51 STATIC PRESSUftE P5I LOC/iTIONS NUMBER REMOVEO NUMBER VSED BLANK TESTING I ~ GASKETS ` - - _ V ES ❑ NO ❑ WELDED PIVING IF VES... VIRE- R EQ TH THE ER CONTRACTOR THAT WELOINC PROGEDURES COMPLY K O ❑ r L DO YOV GERTIFV AS THE SPRIN O MENTS OF AWS D70.9, LEVEL AR-3? . G WAS PERFORMED BY wELDERS QUAlIF1ED IN COMiLIANCE WITH THE WELDING 00 YOU CERTIFY THAT THE WELOIN VES ❑ NO ❑ REQUIREMENTS OF AWS 030.9. I.EVEL AR-3! WAS CARRIED OUT IN COM7LIANCE WITH A DOCUMENTED QUALITV CON- DO YOV CERTIFY THAT WELDING TROL PROCEOURE TO INSU(3E THAT ALL OISCS ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, F THAT SLAG ANO OTHER WEIOING RESIDVE ARE REMOVED, AND THAT THE INTERNNL DIAMETERS O YES ❑ NO ❑ PIPING AFE NOT PENETRATED? OATE LEFT IN SERVICE VdITH ALL CONTROL VALVES OPEN: REMARKS NAME OF SPRINKI.ER CONTRACTOR FOR PROPERTV OWNE0. (SIGNED) TITLE SIGNATURE$ - r FOR SPRINKLER CONT CTOR (SIGNED) TITLEC~ . - DATE( I~ TESTS WITNESSED BV ADDITIONAL EXPLANAT NS AND NOTES (OPTION D or E) ESCROW AGREEMENT LANDSCAPING TO: City of Wheat Ridge P.O. Hox 638 Wheat Ridge, Colorado 80034 The sum of FIFTEEN THOUSAND AND NO-- DOLLARS ~S15,000.00 ) to be held in escrow with City of Wheat Ridge (City of Wheat Ridge, Option D) (Bank, Option E) until landscaping is completed at 3650 Vance Street (Description) Wheat Ridge, Colorado by Ficco Brothers (Contractor/Developer/Owner) The City of Wheat Ridge shall have the absolute right to withdraw the Escrow £unds for the purpose of completing the landscaping of 3650 Vance Street ShOUld Ficco BrothPrc (Contractor/Developer/Owner) faii to complete or provide said landscaping prior to the date of December 28, 1993 The only requirement to withdraw the Escrow funds in behalf of the City of wheat Ridge shall be a letter from the Planning & Development Department of the City, executed by the Director of said Department and witnessed by the Mayor of the City of Wheat Ridge. Said letter shali state that the landscaping, as above set forth, have not been completed or provided by Ficco Brothers (COntractor/Developer/Owner) and that the date of has expired. December 28, 1993 (over) (OPTION D or E) ESCROW AGREEMENT LANDSCAPING -Z- ACCEPTED: (Director of Planning & - City of Wheat Ridge) (Bank - Option E) Address (Contractor/Developer/OwxSer) Address Date ~ ~ -.Z3 Phone Number f F~O-g3 a v Phone Number Temporary Certificates of Occupancy for structures covered by this agreement may be issued by the Mayor of the City of Wheat Ridge for a time period not to exceed six (6) months upon acceptance of this agreement by the City. lfl CONTRACTOR'S MATERIAL & TFST CERTIFICATE PARTS A 8 C- SPiiINKLER & WATEF SPRA V A B O V E GROUND PIPING (Fill Out Separete Certiticate For Each Rifer) PROCEDURE UPON AN OWNERPS EREPRESENTAT VENS ALL TDEFECTS SHAIL BE CORREC ED AND 5~'STEMpLEFT INSSERVICEEBEFORE CON~TRI~ICTON55 MEN FINALLY LEAVE THE JOB. A CERTIFICATE SHALL BE FILLED OUT ANO SIGNED BV BOTH REPRESENTATIVES. COP~ES SMALL BE PREPARED FOR APPiiOVING AUTHORITIES. OWNERS ANO CONTRACTOR. IT IS UNDER5T000 THE OWNER'S REPRESENTATIVE'S SIGNATURE IN NO WAV PREJ~ UOICES ANY CIAiM AGNINST CONTRACTOR FOR FAULTV MATERIAL, POOP WORKMANSHIP, OR FAIIURE TO COMPLV WITH AP~ Pw[]VING AUTHORITV'S REQUIREMENTS OH IOCAI OHDINANCES. PROPERTV NAME -7_ n a`~' ~ FDAT PROPERTV AOORE55 ~ ~ ACCEPTED By APP VIN A THORITVI'S) NAMES - ~ ADDRE55 PLANS INSTALIATION CONfORM TO ACC PT D PLANS: VES NO ❑ VES NO ❑ EQUIPMENT USEO IS APPROVED IF NO, STATE DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO IOCATION ❑ YES~ NO OF CONTROI Vql.VES AND CARE OF THIS NEW EQUIPMENTt IF NO,EXPLAIN INSTRUC- HAS A COPV Of INSTRUCTION AND MAINTENANCE CHART BEEN NO ❑ TIONS yES LEFT AT PLANT7 IF NO, EXPLAIN . MVDROSTATIC: HyErostaHC tasts sM1all ba matle at not less lhan 200 V51 (33.6 bars) for two houn or SO P51 (3.4 bars) a clapPers Shall bo le/t open Ourln9 test lo l l Pa va v a ove s a c prsssure In axeess o/ 150 V51 (30.2 bars). Dlllerentlal Gry-p Crsvent tlamaqs. All abovegrountl p10in9 leakaga sha11 be stoDPeC. TEST DESCH IP- TION PNEUMATIC: Establlsh 40 P51 (2.7 bars) air pressurs anA measure CraO v+hlch ihall nat excea0 l% P51 10.1 bars) In 24 nE maasure alr pressura Orop whlch shall not etceaE 1'h s a ours. ei Pressure tanks al normal water lavel antl alr pressur P9 (0.1 bars) in 24 nours. HYDROSTATIC: ALL PIPING. TESTS PNEVMATIC: DRV FIPING ORAIN REQUIREO EQVIPMENT OPERATION: ALL, IOCATION SERVES Sr I ~r rL() 0 '2-. . ` MAKE MOOEL SIZE QUANTITV TEMPEPATURE RATING SPRINKLERS OR SPRAV NOZZLES MATEPIAL AND KIND CONFORMS TO STANDARD PIPE AND IF NONE, EXPLAIN FITTINGS MA%IMUM TIME TO OVERATE THROUGH TEST PIoE A L A R M D E V I G E flM VALVE TYPE MAKE MODEL MIN. SEC. ALA OR fLOW ' 1 1 INDICATOR crn wc.. oo_ aOX 719. MT. KISCO, N.Y. - FORM 85 AC, REVISED APiiIL 1979 OVERATINC TEST RE5ULT5: " TIME TO TRIP TIP TIME WATE ARM MAKE MODEL SER. TNROUGH TEST CIPE \YATER AIR pOINT RE OPERATED DRV NO WITHOVT WITH pRE55. PRE55. AIR EST ppOVERLV Q. O. D. O. O. D. PR OUT6ET PIPE MIN. C. MIN. SEC. P.5.1. P.5.1 P.S.P. MIN. SEC. ~'ES NO VALVES IF NO,EXPIAIN OPERATION PNEUM ELECT RIC ❑ HVORAULIC ❑ PIVING SVPERVISED: YES NO O OETECTING MEDIA SVPERVISED: VES ❑ NO ❑ FREMOT ROMTHEMANUAITRIPAI DOESVALVEOPERA EGONTROLSTATIONSt VES ❑ NO ❑ DELUGE _ _ g~ IS THERE ACCESSIBLE FACILITY IN EACN CIRCUIT FOR ING7 VES ❑ NO ❑ IF NO PLAIN PREACTION VAWES Ooes Each Cvcwt Ooerala Does each Cirwi rete Mazimum Time To MAKE MOOEL Sup¢rvision Lost Alarm? Valve Release? O erote Release: _ VES NO VES NO MI . SEC. ALL PIPING HVOROSTATICALLY ED A PSI FOR HOURS DRV PIPING PNEUMATICAILV T STEO: YES ❑ NO ❑ EQUIPMENT OPEFATES PROPERLV: YES ❑ NO ❑ TESTS IF NO, STATE REASON ORAIN TEST: READING OF GAGE LOCATEO RESIDUAL PRESSVRE WITH VALVE IN NEAR WATER SVPPIV TEST PIPE: TEST VIPE OPEN WIOE SrATIC PRESSURE P51 P5I BLANK TESTING NUMBER VSED IOCATIVNS NUMBER REMOVED GASKETS WELDED PIPING YES O NO ❑ IF VES... DO VOU CERTIFV AS THE SPRINKLER CONTRACT00. THAT WELDING PROCEDVRES COMPLY WITH THE REQUIRE- MENTS OF AWS 010.9, LEVE6 AR-37 YES ❑ NO ❑ WELDING 00 VOV CERTIFV THAT THE WELDING wA5 PERFORMED 8Y W ELDERS QUALIFIED IN COMVLIANCE WITH THE REQU1ftEMENTS OF AWS 0I0.9, LEVEL AR-3? YES ❑ NO ❑ DO YOU CERTIFY THAT WELOING WAS CARRIEO OUT IN COMP LIANCE WITH A DOCUMENTED OVAIITV CON- TROL PROCEDURE TO INSURE THAT AlL DISCS ARE RETiiIEVED, THAT OPENINGS IN PIVING ARE SMOOTH, THHT SLAG AND OTHEP WEIDING RESIDVE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED7 VES ❑ NO ❑ DATE LEFT IN SERVICE WITH HLL CONTROL VALVES OPEN: R EMAR KS NAME OF SPRINKLER CONTRACTOR FOR Pf30PERTV OWNER ISIGNED) TITLE SIGNATURES r~ FOR SPHINKLER CONTRACTOR IG I v E~~-~ ( DATE T TE5T5 WiTNE55ED 8Y ITI. AODITIONAL EXPLANATIONS AND NOTES I' . . MO11IItS1II StAte9 ~/'e~ Pl'OTtC~Ct10IIq, I~IIC. L'1{NIiNA1.INfbRMKI70ry VOIO. JJl(~.. #QGV 13-II CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR u NDERGROUNU PIPING rnoceoune - UPOn <on,Vlnllnn ot work. Inspecllon entl tnIb tlhell bn nutle hY thn enn Vact or'. rtprefenlmlva eM wltnOuW bY OnbwMr" nPI'Nnllllva. All tlelncu 'hnll Ll cmncud urd ryftem Isll in 1e1IF110 Iwloia controctuYI pOiIonnel IinsIIY lun Ilu job. A earllllemn flall he IIIIM out ond fl9nnel bY bnth renreeanutirof. CM~Iaelhell bn r npnrnd lor ampravin~ mlhodUe5, omien ~nM emnrncm.. 11 b wWnqopd Ihe owner i ml+~~+nnullvn i ~I9nel~n i L~ no weY U,ej oilie<s nnY cla mapaimt eonlnetor or huhY motaiel, poor woikmomhlu. or hilm. lo eomPlY wiUI ePPmvinP ~mlimlry.. .eqW.unmb ot locel oidinsncu. PIIOPF N j y NAME _ ~ PLqNS ~ INSTqLLI1TION CONPppMS "10 / FOUIPMF ~ NT USFp IS API+ROVEO ~ IF NO, SIATE OE V IATIONS IN11 I_.IYES (_jNU UYES LJNU ES UtJO . PIPECDNfp11MlTO 91ANUNIp . - VNDEOOpOUND r n'ilNUSCONnORr.niU ST/1NUHRO [_)YES [ )NU PIPES Ir NO,E%PLqlN uYES [JNU AND JOIN IS ' JUIN15 NEEUINO qNCilUi1AOE CLAMPEU , Sf11qPPFU, Op 9LOCHEt] IN nCCOqO(~NCF. WI1H ' t 1uVE$ ufJU IF NO. lXPLAtN 51 NNOARp i;i)aiiirvG. iiuwibo I p~1uiinJinleunillrv mrtI isclenr:iiiudlvoicJLy nueollue tlonollwci9nuinb i~liuLininpbansnl tl uneu~u.~~i~~ li~d~miiv miJ Idowalls. flush ul lluw5 oml les Uian q110 GPM (ISIG I.Lnin) lui 4-Inch piun.4W fiPld 172/7 1./ininl lm 5,ineLI !~0 f7PM 19839 Lhnlnl loi liinch niPa IUW GPM 17/N'v l.pniN I.r 8 incL PIP,. I6UU GI'M 156]0 Lhninl lur 10 iucli 17PM (1570 Umin) lor 17.Inch nipa. YVhen wnnly cennet pmduce uioulxied (low me~, obtein rueainmrn TEST e le, 1 V fi SIAI'IC. NYtlroslniic tnsts shell bemede el nol 1I v.IleL OESCIIIP~ION p~ps+~na in ~ipo anJ 3UUU lhan 700 pil (13.8 bnq tor Iwo hovn or fiOD~~ I3A bon) obove Iatic aes~ o~ 160 p~i IIOA bnn~ lm ~wo hm us. ry.h, plne Inld whh rubbar ne,MS1aC Joinif ~hell, II Vhe workmemhly 11 utld~c1orv, h-ve Ilulo or no leeko9e ~I L - ~bn ~olnis, T ie~in I ol lenkngn ol O h s ~nlnu Ihnll no1 owcned 7 q is. nolhr. 1 L09 L/1~1 per I OU joinb Innpncliva ol pipe tliom.ter, Tbe Ir,ikapn ShNI Le diibibuted ovar all Ininp, 11 1uch ~eOkn,p occuu Bt e IOw Juinlf Ih, iiutallm,on 1hail Le cmuiJared uiuutislnc Wiy uud nuc. !ISFrY miiemalu.l'LOamounl ol allownLlo Icnkaqn+V~•cilieJ ebovc moy be innunsed Ly I II ne yei i~ vnlvn dimneicr pr~ huw 19UmUjhmnipi) lor each mnlnl r~a1nJ vnlvv. Ilulaiing Tbe ta~t sr«inn. II Jry Lanol Lydrenu ere Intetl wilh rho inpin velvo open, so Ihr hytlrenb ere under pFefsun, en WJitionnl 6 oz Par minvte 1150 mUminI IvakeBe is pennillotl lor each byJ,ant ' NEW UNUEPGROUNp pI01NC FLUSMEO qCCOlIOING TO OV,(COMPANV) 51"qNllt~q❑ uyES uNU IRNO,ElfPLAIN ' 'FLUSIIINO . LUUUC WATEfI ❑TANK OA AESERVOI fl Lf iIf1E PUMP ' IQIIyDf1ANT OUTT V VDppEN PIPE TESTF LFAI)-INSFILUSIIEDACC011UIN4 fU - srnnunrm L_Jves j_ ~iau nv~conu•nnv ir p, Exi~Ln)~ I ~ INSTRUCTIONS nnvccoriFSo IIEI N LFI" 1 pN IIF E%PLAIN LOCq f IUN . 1'UfILIC WA1Ef1 u TANY, pll fifS[fiVOlfl ( -ifIf1E PUMP 1_1 Y CUI,IN lU FLANCE a 51 ICUII )UPfN I II L P IN EU IN USH (WEH~ (wmlrnvlor'e hiaicrial k Tosl CcniGcnie 4or Undergromd Piping ~ 13-12 ' srrtiNKLFRSVS•reMs HYDROS P51 FOR ~~MOURS ~ _ TOTHL AMOUNT OF LEAKAQE MEASUREO GALS. HOURS LEAKAGE TEST ALLOWABLELEAKAGE GALS. HOURS ALL OPEHATE YiTISFACTO RIL V ' NUMBERINSTALLEO TYPEAND MAKE ~VE$ ~NO HYORANTS ~VE$ UNO WqTERCONTROLVAWESLEFTWIOEUFEPo IFNO~STATEREASON CONTnOL VAWE$ ~~~OSE THRE/~DSOF FIfiF DEPAnTMENT CONNF.CTIONS AND HYDRANTS INTERCMAfJQEFBLE N RM DYES E3NO aqLA WITHTH~SEOFFIREOEPARTMENTANSWERI REMAflKS SICNATURES e5e ancK . . y. Coninclur 'S Ma,ial & 7'est Cerlificalc for Undergrowkd Pipivg . Cliapter 2 Wacer Suppliee 2-10 General Provisions. L:very automatic sprinkltr system shall havc at least one automatic water eupply. 2-2' Water Supply Requirewrnte for Sprinkler Sya-' lems. 2-2.1 Water Supply Requirement TaUles. 2-2.1.1• Water Supply Roquirement Tables shall be uscd in dclermining lhe minimum water supply require- menis fnr light, ordinary and rxtra hazard occupancies. Uccupancy classilication shall be determined from Section 1-7. (a) '1'able 2-2.1(A) is used tn delermine the minimum voluroc of watcr and pressure uonnally requircd lor a pipc sc6edule sprinkler sysiem. 7'FII: '1'AIiL.L' IS '1'0 ISG USED ONLY Wl'I'11 L'XPER1L•NCGll JUDG- M L' N'f. (b) Table 2-2.1(f3) is uscd to dctermine t6e minimum volume o( water and pressure normally requircd for a hydraulically designed sprinkler system. 2-2.1.2 'I'he following shall be used in applying Table 2-2.1(U): 2-2.1.2.1 The water supply reyuirement for sprinklers only shall be calculatcd from ihe densiry wrvcs in Table 2-2.1(B). System piping shall be catculated to satisfy a single point on t6e appropriate design curve. ll is not necessary to mmt all points on the selected curve. 2-2.1.2.2 When inside hose stations are planned or are required by other standards, a waler allowance of 50 gpm (189 L/mm) for a one huse station installation 1100 gpm (378 L/min) [or a two or more atation installaiionj sliall be added to Uht sprinkler requiremcnt at the point of conneclion to the system at the residual pressure requircd by Lhe sprinkler system design. • 2-2.1.2.3 Water supply demands Cor eeiling sprinklers' and in rack s xinklers for rack storagc systcros shall be com6ined an hydraulically balanced at llie common supply point. 2-2.13.4 Water allowance for outside liose shall be added to the sprinkler and inside hose requiranent at tlm conncction to the city water main, or at a yard hydrant, whichever is closer to the system riser. 2-2.1.2.5 The lower duration figurt is ordinarily accept- able whero remote slation water llow alarm servicc ur eyuivalent is provided. lfl CONTRACTOR'S MATERIAL & TEST CERTIFICATE PARTS A 8 C- SPRINKLER & W.4TER SPFAY ABOVEGROUND PIPING (Fill Out Sepante Certificate For Eech Riser) VROCEOUFE UPON COMGLETION OF WORK, INSPECTION AND TESTS SHALL BE MADE By THE CONTRACTOR'S REPRESENTATIVE AND WITNESSED BY AN OWNER'S REPRESENTATIVE. ALL OEFECTS SHALL BE CORRECTED AND 5YSTEM LEFT IN SERVICE BEFORE CONTRACT00.'S MEN fINALLY LEAVE THE JOB. A CE(3TIFICATE SHALL BE FILLED OUT AND SIGNEO BV BOTH REP0.ESENTATIVES. COPIES SHALL BE PREPARED FOR qFPNOVING AUTHORITIES. OWNERS AND CONTRACTOi7. IT IS UNDE0.5T000 THE OWNER'S REPRESENTATIVE'S SIGNATURE IN NO WAV PREJ- VDICES ANV CIAIM AGAINST CONTRACTOq FOR FAULTV MATERIAL, POOP WORKMANSHIP, OR FAILVRE TO COMPLY WITH AV- VqOVING AUTHORITV'S REQUIqEMENTS OR LOCAL OROINANCES. GROPERTY NAME L'~n ~ r1 / , ",I ^ n ~ . S --ff) OATE Vf30PERTV ADDRE55 ^ S , ` ACCEPTED BV AVP VING A THORITV('S) NAMES ^ - PLANS ADDRE55 INSTALLATION CONFORM TO ACC PT D PLANS: YES NO ❑ EQUIPMENT USED IS AVPROVED YES NO ❑ IF NO, STATE DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRVCTEO AS TO IOCATION OF CONTROL VALVES AND CARE OF THIS NEW EQVIPMENT? ~'ESA.I NO ❑ ~ IF NO, EXPLAIfJ ~ INSTRUC TIONS HAS A GOPV OF INSTRUCTION AND MAINTENANCE CHART BEEN LEFT AT VLANT? YES NO ❑ IF NO, EXPLAIN HVDROSTATIC: HyErosbtle Hsts shall ba mstle at not Isfs than 200 P51 (13.6 bari) for two houn or SO P51 (3.4 bars) a ove f a c Prqfw~ In e.enf O/ 150 P51 (30.2 bars). DIl/ersntlal Gry-Vlpe wWe <bPPe/f shall be N/t oOen Curin9 teft to TEST preve^t damil9e• '0'll aboveqrountl Ciping Ipkaqe shall ba sto7PSG. DESCRIP. TION PNEUMATIQ Establiih 40 P51 (2J bari) air orsisure antl measurs EroP wnlch shall not aKCSeO 1iA C51 (0.1 Dan) In 26 ourr s,es`pressuro Lnks at nOrmal water Nval antl alr Orosiura anE measura ab orsssure Urop whl<b shall oot eacuE Uh P51 (0.1 Cars) In 24 hOUrs. HYDROSTATIC: ALL PIPING. TESTS CNEUMATIC: ORY VIPING ORAIN REQUIHED EQUIPMENT OPERATION: ALL, SERVES 5: , LOCATION ` d ` . J MAKE MOOEL SIZE OUANTITV TEMPEHATURE RATING I SPRINKLEPS ' Y2 OR SPRA V N02ZLES MATERIAL AND KIND CONFORMS TO STANDARD PIPE AND IF NONE, EXPLAIN FITTINGS A L A R M D E V I C E MAKIMUM TIME TO OPE0.ATE THROVGH TEST PIPE ALARM VALVE 7vvE MAKE MODEL MIN. SEC. OR PLOW INDICATOR FOfiM 85 AC. REVISEO AGRIL 1979 vNimeu m~r.a.n. rain nna . 11n. 11.1.. r.v. cvn i~ , -1. . DRV PIPE VALVES DELUGE & PREACTION VALVES OPERATING TEST RESULTS: TIME TO TRIP TIP TIME WATE 'ACARM MAKE MODEL SER. THROUGN TEST PIPE WHTER AIR pO1NT RE pPERAtED NO. W~THOUT WITH PRE55. 7RE55. A~R EST PR0pE0.L~' 1 Q. O. D. O. O. D. PR OUTLET I MIN.TSFC MIN.~SEC P.S.I. P.S.IyP.5.1. MIN. SEC. YEST NO IF NO, E%PLAIN ~ OPERATION PNEUM ELECTPIC ❑ HVD 0.AULIC ❑ PIVING SUPERVISED: YES NO O OETECTING MEDIA SUPERVISED: YES ❑ NO ❑ DOESVALVEOPERN ROMTMEMANUALTRIPA RREMOTEGONTROLSTATIONS! VES ❑ NO ❑ IS THERE ACCESSIBIE FACILITV IN EACN CIRCUIT f00. ING? YES ❑ NO ❑ IF NO VIAIN 1 ooes Eacn Circuu oae1ate Does eaM CircuTB rate Maximum Time To MAKE MODEL _ Sup¢rvisiOn LOSS Aldrm7 Valve Release7 Operare Release: VES ~ NO yES r NO MI . SEC. ALl PIP1NG N`/DROSTATICALLY TESTED AT -PSI FON 'Z;K HOURS ~ 7 ~ YE$ ❑ NO ❑ ORV PIPING PNEUMqTICAILY TESTED: 7 EQUIPMENT OPERATES PROPERLY: VES ❑ NO ❑ TESTS IF NO, STATE REHSON i DRAIN TEST: AEADING OF GAGE LOCATED AESIDVAI PRESSU0.E WITM VALVE IN NEAP WATER SUPVLY TEST PIVE: TEST PIPE OoEN WIOE STATIC PRESSURE P51 P51 BLANK TESTING NVMBER USED LOCATIUNS L ~ NVMBEP REMOVED GASKETS _ WEIDED PIVING YES ❑ NO O IF vES.. RE TH TME DO YOV CERTIFV AS THE SPRINKLER CONTRHCTOF THAT WELDING PROCEDURES COMPLY a ❑ NO O MEf~1T5 OF AWS 030.9, LEVEI AR-3' DO YOV CERTIFV THAT THE wELDING WAS PERFORMEO By WELDERS QUALIFIED IN COMil1ANCE WITH TME WELDING REQUIftEMENTS OF AWS 010.9, LEVEL Aq-37 YES ❑ NO ❑ DO `/OU CERTIFV THAT WEIDING WAS CARRIEO OVT IN COMGLIANCE WITH A OOCVMENTED QVAIITV CON- TROL PROCEDURE TO INSVRE THAT ALL DISCS ARE RETRIEVED, TMAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AIVO OTMER WEI.OING FESIDVE ARE REMOVED, AND THAT THE INTERNAL OIAMETEfiS OF ❑ VIPING 1113E NOT PENETRNTED! YES ❑ NO DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OOEN: REMARKS SIGNATUHES ~ NAME OF SPRINKLER CONTRACTOR FOR PqOVERTY OWNER (SIGNED) TITI.E FOR SPAINKLER CONTRATOH (SIGNED) - TESTS WITNESSED B`/ TITLE 6- ADDITIONAI EXPIANATIONS AND NOTES TRACTOR'S MATERIAL & TEST CERTIFICATE lfl CON PAHTS A& C- SPRINKLER & WATER SPRAV ABOVEGFOUND PIPING IFill Out Separste Certifica[e For Es<h Hisar) PROCEDUF7E UGON COMPLETION OF WORK, INSPECTION ANO TE5T5 SHALL BE MADE 8Y THE CONTRACTOR'S REPRESENTATIVE AND WITNESSED B1' AN OWNER'S REPRESENTATIVE. AlL DEFECTS SHALL BE CORRECTED AND 5YSTEM I.EFT IN SERVICE BEF00.E CONTRACTOR'S MEN fINALLY LEAVE THE JOB. A CERTIFICATE SHAIL BE FIILED OVT AND SIGNED BV BOTH REPRESENTATIVES. COPIES SHALL BE PREPAqED FOR APVROVING AUTHOR1TIE5, OWNERS ANO CONTRACTOR. IT IS UNDERSTOOD THE OWNER'S REVRESENTATIVE'S SIGNATURE IN NO WAV VqEJ- UDICES ANY CLAIM AGAINST CONTRACTOR FpR FAULTY MATERIAL, POOP WORKMANSHIP, OR FAILURE TO COMPLV WITH AP- FROVING AUTHORITV'S REQUI0.EMENTS Op LOCAL OfiDINANCES. VROPERTV NAME OATE PROPERTV AODRE55 - 2,1 WA- \ ACCEP?ED BV APP VING A THORITV('S) NAMES t T~ ~ PLANS ADOFESS INSTALLATION CONFORM TO ACC PT O PLANS: VES NO ❑ EOUIPMENT USED IS AVVROVED VES NO O IF NO, STATE DEVIATIONS HAS PERSON IN CNARGE OF FIRE EQUIPMENT BEEN INSTqUCTED AS TO IOCATION OF CON?ROl VAWES AND CAHE OF TMIS PoEW EQUIPMENTT VES ~J NO O IF NO, E%PLAIN INSTRUC- TIONS HAS A COPV OF INSTRVCTION AND MAINTENANCE CMART BEEN IEFT AT PLANT? YES NO ❑ IF NO, EXPLAIN . HYDROSTATIC: HytlrosUtlc bsts shall De maCe at not isss tnan 200 P51 (13.6 bars) for two houn or SO G51 (3.4 bars) a avesra[c Presfure lo Ixtesi o/ 150 PSI (301 Earf). Dllferentlal Gry-OiPe valve elapperf sball be INt open durlnq tut to TEST Drevant Eamaye, AII abowqrountl pIPin9 W+W9e iball W stoDVeO. DESCR I P• TION PNEUMATIQ Esbblhh 40 P51 (2J bars) alr proisure anC measun tlrop which tt+all not azCaeG IN P51 (01 0a/f) In 26 ours, es prefsur! bOks al nOrmil watlr IGwl anG alr pressura anC maasura alr pnssun tlrOp wbltn lhall nOt exCOE 34, VSI (0.1 bars) In 24 hours. TESTS MYDROSTATIC: ALL PIPING. PNEUMATIC: ORY PIPING DRAIN REQUIRED EOUIPMENT OPERATION: ALI, .J SERVES 5: LOCATION ~ • ' _ - . + ~ , . MAKE MODEL SIZE QUANTITV TEMPERATURE HATINC f I( SVRINKLERS OR SPRAV NOZZLES MATERIAL ANO KINO CONFORMS TO STANDARD PIPE AND IF NONE. EXPLAIN f I TTI NGS A L A R M D E V I C E MAXIMVM TIME TO OPERATE TMROVGH TEST OIPE ALAPM VALVE TVPE MAKE MODEL MIN. SEC. OH FLOW r- INDICATOR r L_ f ~ F01iM 05 AC, REVISED APRII 1979 GRiNTED IN U.S.A. FOR NAS 6 FCA, INC., P.O. BOX 719, MT. KISCO, n. v. OPERATINQ TEST RE5ULT5: TIME TO TRIP TIP TIME WATE 'ALARM MAKE MODEL SER. THqOUGH TEST FIPE__ _ ~v/~TER T /iIR pp~ryT qE OPERATED IJRV ry0, WITHOVT ~'~'~TM VRE55. PRE55. AIR EST T ET pqOPERIv O. O. n. O. O. D. oR OV I - _ PIPE MIN. $F.C. M1N. SEC. MIN. $EC. I YES NO VAWES J IF NO, EXPLAIN ~ OCERATION PNEUM ELECTRIC ❑ MVDRAUIIC ❑ PIPING SVPERVISED: VES NO ❑ DETECTING MEDIA SUPEPVISED: YE$ ❑ NO O DOES VALVE OPEHA ROM TME MANVAI TRIP A 0. REMOTE CONT0.0L STATIONS! YES O NO O DEWGE - & IS TMERE AGCESSIBLE FACII.ITV IN EACM CIRCUIT FOA ING? YES ❑ NO O IF NO PLAIN PREACTION VAW ES Ooes Eacn Cvcwt Operata Ooes eaU Cirow rarc Maximum Time To pervision LossAlarm7 Su Valve Release7 Operate fielease'. MAKE MOOEL , _ VES NO _ ~'ES NO MI . SEC. ~ ALL CIPING HVDROSTATICALLY TESTED AT -P51 FOR lz~ HOURS DRV PIPING PNEUMATICl1LlV TESTEO: YE$ O NO O EQUIPMEIVT OPERATES PROPERLV: VES ❑ NO ❑ IF NO,STATE REASON TESTS 6Rii1N TEST: pEADING OF GAGE LOCATED RESIOVAI PRESSURE WITH VALVE IN NEAR WATER SUPPLY TEST PIPE: TEST PIGE OPEN WIOE STATIC PRF.SSURE P51 P51 BLANK TESTING NUMBER USED LOCnT1UN5 NUMBEF REMOVEO GASKETS VES ❑ NO ❑ WELDEDPIVING IF VES... CERTIFV AS TME SPRINKLER CONTRAGTOR THAT WELDING PROCEDURE$ COMVLV WfTH TME 0.EQVI0.E- YO V 00 1 YES ❑ NO ❑ MENTS OF Aw5 010.9, IEVEI AR-3 DO YOU CERTIFV THAT THE WELDING WAS PERFORMED 8Y WELDERS QUALIFIED IN COMGLIANGE WITN THE WELDING REQUIREMENTS OF Aw5 010.9, LEVEL AR-3? YES ❑ NO ❑ DO vOU CERTIFY TMAT WELOING WAS CA0.RIED OUT IN COMVLIANCE WITH A DOCUMENTED QUALITY CON- TROI PROCEDVRE TO INSURE THFT ALL DISCS ARE RETf31EVED, THAT OPENING$ IN PIOING FRE SMOOTH, THAT SLAG AND OTNER WELDING RESIDUE ARE REMOVeD, AND THAT TME INTERNAL DIAMETERS OF ❑ VIPING ARE NOT PENETRATED? YES ❑ NO DATE LEFT IN SERVICE WITH ALL CONTROI VALVES OOEN: R EMAfi KS NAME OF SPRINKLER CONT0.ACTOR FOR P0.0PERTV OWNER (SIGNED) TITLE SIGNATURES r ~TOR ~SIGNED) , FOR SVRINKLER CONTR A ~ OATE J ~ 4 TITLE V TESTS WITNESSED By ADDiTlO NAl EXPLANATIONS ANO NOTES CONTRACTOR'S MATERIAL & TEST CERTIFICATE ~n~ PARTS A& C- SPRINKLER & WATER SPFAV ABOVEGROUND PIPING (Fill Out Separete Certificata For Eech Rieer) PROCEDURE UPON COMPLETION OF WOFlK, INSPECTiON AND TESTS SHALL BE MAOE BY THE CONTHACTOR'S REPRESENTATIVE AND WITNESSEO BY AN OWNER'S REPRESENTATIVE. ALL DEFECTS SMALI BE CORRECTED AND 5YSTEM LEFT IN SERVICE BEFORE CONTRACTOR'S MEN rINALLV LEAVE THE JOB. A CERTIFICATE SHALL BE FILLED OUT AND SIGNED BV BOTH REPRESENTATIVES. COPIES SHALL BE PREFARED FOR APPROVING AVTHORITIES, OWNERS AND CONTRACTOR. IT IS UNDERSTOOD TNE OWNER'S f2EPRE5ENTATIVE'S SIGNATURE IN NO WAV PREJ- UOICES ANV CLAIM A6AIN5T CONTRACTOR FOR FAULTV MATERIAI, POOP WOiiKMANSMIP, OR FAILURE TO COMPLV WITH AP- P0.0VIIVG AVTHORITY'S REQUIREMENTS OR LOCAL ORDINANGES. PqOPERTV NAME 10 DATE PROVERTV ADDRE55 • ACCEPTED By APPROVING A THORITV('S) NAMES ~ ADDRESS PLANS INSTAI.LATION CONFOR 5 O ACCEPTE VI.ANS: VES NO ❑ EQVIPMENT USEO IS AVPROVED YES NO ❑ IF NO, STATE DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTFUCTED AS TO IOCATION OF CONTROI VALVES AND CARE OF THIS NEW EQVIPMENTT YES l~l NO ❑ IF NO, EXPLAIN INSTRUC- TIONS HAS A COPV OF INSTRUCTION AND MAINTENANCE CHqRT BEEN I.EFT AT PLANT? YES NO ❑ IF NO, EXPLAIN . HYDROSTATIC: HytlrostaHe les[s shall bs matla at not lass Inan 200 P51 (13.6 bars) lor two hours or SO V51 (3.4 Oars) a ove s a c prossura In sxcess of 150 P51 (30.2 bars). DI/Nrsntlal Gry-pips valvs clappm shall be INt open Curlnq test to TEST Orevent damage. AIi abovegrountl piping IeaW9e shall De stoDGaG. DESCH IP- TION PNEUMATIC: Establish 40 P51 (2.7 Ears) air pressura anC maasura eroo whlch shall not ezceetl lih PSI (0.1 bars) In 24 ourF s.asrpressure lanks at normal water laval antl air Dressura anC measure alr Dressun tlro0 whlch sOall not azceaE 14i P51 (0.1 Dars) in 20 hours. ITYDNOSTATIC: All GIPING. TESTS PNEUMATIC: DRV PIPING ORAIN HEQUIRED EQUIPMENT OPERATION: ALL, SERVES BLOGS: LOCATION ~ 1/ T ~~OD MAKE ODEL SIZE GUANTITV TEMPERATURE RATING PHINK ERS S L OR $PRAY N022LES MATERIAL AND KIND CONFORMS TO STANDARO PIPE AND IF NONE, EXPIAIN FITTINGS A L A R M D E V I C E MAXIMUM TIME TO OPENATE THNOUGM TEST PIPE ALARM VALVE TYPE MAKE MODEL MIN. SEC. Ofi FLOW INDICATOR ~ FORM 85 AC, REVISED APRiL 1979 PRIrvTEO Irv U.S.A. FOR rvns b rcn, mc., r.u. avn iaa, mi, OPERATINC.TEST RESULTS: ' TIME TO TftIP 7Ip TIME WATER AL ORY MAKE MODEL SER. THqOUGH TEST 71PE WATEH AIR pOINT 0.EACMED q AT NO WITHOUT WITH O. O. D. Q. _ pRE55. VFE55. AIR PRE55. T OUEST PROPERLV PIPE MIN. SFC. MIN. SEC. P.S.I. - P.S.I. P.5.1. SEC. VES NO VAWES IF NO, EXPLAIN OPERATION P qTIC ❑ ELECTRIC ❑ MVORAUIIC ❑ PIPING SVPERVISED: V NO ❑ DETECTING MEDIA SUPERVISEO: YES ❑ NO ❑ DELUGE DOES VALVE OPERATE FRO _ MANVAL T AND/OR REMOTE CONTROL STATIONS! YES ❑ NO ❑ & IS TNERE AN A 518LE FACII.ITV IN EACH CIRCUI R TESTING7 YES ❑ NO ❑ IF NO~ EXP N PREACTION - VA W ES Ooes Each Circult Operata Does Circuit Operate Maximum Tima To MAKE MOOEL _ SujlervKion Lo53 Alarm? VaIV eaie~ OpBr2le Rele23e: YES NO _ YES MIN. SEC. - ~ ALL PIPING HVDROSTATICALLY TESTED AT f~1 _ 1<LL-P51 FOF~HOUR$ DRY PIPING PNEUMATICALLY TESTED: YES ❑ NO ❑ EqUIPMENT OPERATESPFOPERLV: YES ❑ NO ❑ TEST$ IF NO,STATE REASON ORAIN TEST! READING OF GAGE LOCATED RESIDVAL PRESSURE WITM VALVE IN NEAR WATER SVPPIY TEST PIPE: TEST CIPE OPEN WIDE STATIC PRESSURE P51 P51 BLANK TESTING NUMBER VSED LOCATIUNS NUMBER REMOVEO GASKETS WELDEDPIPING YES ❑ NO ❑ IF YES... DO VOV CERTIFV AS THE SCRINKLER CONTRACTOR THAT WELDING PROCEDURE$ COMPLY WITH THE REQVIRE. MENTS OF AWS 010.9, IEVEL AR-3? YES ❑ NO ❑ WELOING DO VOV CERTIFY THAT THE WELUING WAS PERFORMED BY WELDERS QVALIFIED IN COMVLIANCE WITH THE REQUIREMENTS OF AWS D10.9, LEVEL HR-3' YES O NO ❑ DO VOU CERTIFV TFIAT WELDING WA$ CARRIEO OUT IN COMPLIANCE WITH A OOCUMENTED QUALITV CON. TROL PROCEOURE TO INSURE TNAT All. DISCS ARE RETRIEVED, THAT OPENINGS IN PIPiNG AiiE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE A{7E REMOVED, AND THAT TME INTERNAL DIAMETERS OF VIVING ARE N07 PENETRATED? YES ❑ NO ❑ DATE LEFT IN SE(3VICE WITH qLL COIVTROL VAWES OPEN: R EMAfi KS NAME OF SPRINKLER CONTRACT00. FOR PROVERTV OWNE0. (SIGNEO) TITLE SIGNATURES , . ~ FOR SPRINKI.ER CONTRACT R (SIGNEO) 2 / / ~ C ~ - /O f7 TESTS WITNESSED . ]O/~ "'L TITLE - DATE ADOITIONAL EXVLANATIONS AND NOTES ~ 5 DATE: July 20, 1993 , TO: P(THLIC WORKS DEPARTMENT FROM: Building Department RE: Temporary Certificate of Occupancy ~ The property at 3650 Vance Street has been qigned off by the Building Department and is ready for a CO , inspection. Once the inspection has been completed, please inform the building department as to the status. Thank you. I ~B ¢1.0Vto~ V ~S Ff 1^~ I-I _ ~ md, ~ out c~. '~nwna.xs~u,'` (re-~ta_se. S~ruc.~ret I ~ ~4 ' Ccv,-rw~tl~ vsin~ bo~ls c,s ~ro~.-f ~e(eQSa ~-fw~~K.s m 1 tI 1r !J cPX"`c~cVL 1-e-VrC.v ~IIO.-✓~ y{$ 6 ~ N k yq/~ L ~qJ( t q r ~ ~ r ( ( `~j Ccsti 1J-Ptr?"'l.Rt2y„l ~cl, 11 Ii C) • ~ ~-°u ~ ( CCc . ~ '~,..°i Q ~V- V hC: C, r~UYC?P'-L atiP't_ 1 _{e✓`C~ L w lU1 ~ . p ~ ~ yF , -Qi- ~ (X9C, C'c,..-. ~e -tu...m.V.,c ~ ~ (5 ~L 4, V- q~ 0 cs c~ << ~ Q DATE: July 20, 1993 A CERTIFICATE OF OCCUPANCY HAS BEEN REQUESTED FOR: Street PURPOSE OF STRUCTURE retirement community Building Dept. Approval: ~~x- xemarks: F-<? v --ej 3 Zoning Approval: Remarks: renrrtHUrsen B92#4702 ;e T ~ $ 0 0 ~ = m 3 3 ~ m a 0 y c ° a O m fO o ~ o ~ Z ~ o _ e m ~ m ° m o ~ om 0 m 0 m 3 ~ m M n m o~ 3 ~ 3m m c 0m ~ o ~ m c y a n = m m m F ~ 0 c 0 ~ o / m ~ m m F 0 a ~ x m O ~ ~ 2 O v c a ~ m C M w r ~ a r 0 N a ~ O Z v 0 v m 7 O ~ S N N 0 z ~ 1 O S '+7 O O ee ot 0 N x ~ K N N A A N N N a 2 z a M I K ~ D ~ O ~ O . y yt y W N N 00 r ci a 0 ~ az o O co 0 A OD O O A O N am 6 f ~~o? o mm3m c 9 a ~ 3 m an- ~ mro c n mm~y mmm ^ tt ~ n- < til m o hrl ~a m~ m~g ~v y 0mm~ m n p CN0 ~ z G J ° ° ~ m H om~_ a l/ n ~osm n my~~~~y,.~ mm~m a25T~ M I tn a- a~ ' o~ cH 13 m m p c m io-r 0 ^o ~ O CI~= $maa m o~az1-11 10 om ~°mn D p nm 1'~ ~~Q °m~r019 m~ m ~_c mVl aa, n ~ ~ m v < a O M ~ \I ~ 3f$ a O • ~ K o n m ~ 3 ~om c y 3 E t~o m ~ D 9 p C C 0 ' p q G F o W i v p pm A A F+ 1--~ tD tD W A venrrtNUrsEa B92114702 F 3 $ O O j ' T ~ m m o a ~ a a l > > m O a m O p m j o 9 s 9 n O O O ? a 9 0 Z m 7° 0 n m 3a° m m o a f ~ o Z = 2 N ~ 0 ~ maoCq m 0 ao C n O y m =y mmm 0 ~ ::r ; < ~ m~ 9 Q' W ~ 3n~m o m od m o 0 7rt, N gw S°O~ y 0- t17 W H « c~i m m» 'O I~I ~ m t~n n y ~Nm ~ Z ~ m ~ m r+ rn N a p - m m~ 3 p 1--1 ? m t cn a Q z ~ ti 3m QQ ; o o ~ y m~ ~ c 0 ~ ° 04 s 13 fT o rt (D h~+. cmim o^ ° m ~=H 0 1O , ~ 0 w m z = 0 - o O ~ rt K a' ff1 DZ ~ M+~I1.v mv G om ~ a D g J 19 Da o ~ N rt az ~9o O ' m H 0 a N ~ C m c q5~~m Or Y I= f ~ . ` t O w m ro ~ Z G) F mC o ~ n r m ~ 'aQw cn t l ~ 0 (4 N tyii a co ~ ~ v OD O G] N ~ o m m y SI - 0 O O A - o o 'U Z ' w c) R, c~r, F 3 $ c) > W 0 (D K ? o° m m (aD ~ - mo - O m l l n ~ O~ d'oc 0 m 1 '1 1 m ~ f o 0o to g¢ n o o a n£ ~ N m o cn m 7' n n> o o m ° ~ . ~ r cc co m ~ io r* to w ID ~ w w ~ 0 ~ 0 o ~j p m x a m O T T ^ 0 l/ O Z ;v O O ~ N ^ ~l/ r O m n r Z z ~ ~ _ m 111 p D ~ o m L z : °PO • ~ u Z o g; ~ L, o ~ a m ~ N N ~ Ln ~ O~ 0 ~ -a 133 W ~ ~ ~ 1 ~ I5 ~ f 4 S ~ ' y $ y O i0 : y F. 0 r 0 ' o f,, CTI 9 fn ~ INSPECTIONS WILL NOT BE MADE UNLESS THIS CARD IS POSTED ON THE BUILDING SITE 24 HOURS NOTICE REQUIRED FOR INSPECTIONS ~ WHEAT RIDGE, COLORADO 7500 WEST 29th AVENUE ~ (303) 234-5933 ~a ~ ~ ~ INSPECTION RECORD . 3 & 50 FAR wcsT 13t-i> G- IOBADDRESS 3650 Vance Street; BUILDING PERMIT N0. 892#4702 DATE ISSUED 9/9/92 n'PE oCCUPANCY OWNER Ficco Brothers, 2445 YounQfield Street, Golden, CO 80401 CONTRACTOR Ficco Brothers. 2445 Young { ld Street - Go7den, ('0 R0401 SETBACKS FROM PROPERTY LINES: NORTH SOUTH EAS7 West INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB INSPECTION DATE INSPECTOR Foundations Footin s Caissons Reinforcin or Monolithic Weather roofin POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED Concrete Slab Floor: Electrical Ground Work Plumbin Ground Work Heatin Ground Work , DO N9T POUR FLOOR UNTIL ABOVE HAS BEEN SIGN&D~,~ ~p Rou h Electrical ;t)fq cr I V\ Rou h Plumbin AirTest Gas Pi in K Rou h Heatin & Ventilation J ~ 3 (above must be signed prior to fiaminq inspection) . I. I/ I ~ ~ ~1 " Framin C)ll Insulation v s= . r- Dr wall nailin ! i>r ' C'"',; y~=~' l Roofin ' Refri eration Electrical under round Final Electrical Fixtures Plumbin Fixtures 2'Zv 3 Heatin &Ventilation 2 20 cf 7 Landsca e & Parkin R.O.W. R Draina e Fire De artment £/n ~ -s=2 y 25"-93 / OCCUPAN~Y NOT PERMITTED UNTIL CERTIFICATE OF ' OCCUPANCY IS ISSUED ~~"~'/~c~&k5 p OTECT THIS CAF~D FROM THE WEATHEt DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 wEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. M93# 18607 237-6944 EXT. 255 P.O. eox sse CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLV WHEN SIGNED BY THE CHIEF BUILDING INSPELTOR AND RECEIPTED BELOW. APPUCATION FOR MISCE IOBADDRESS zzance MorninQaide Retire. LLANEOUS PERMIT OWNER $R7fFFidX]d3F3bxM m Ficco Brothers :ONTRACTOR Dover Elevator Companv 4DDRESS 6374 S. Racine Circle ADDRESS 2445 Youngfield, #350 PHONE 234-0063 21P CODE 80401 CITY En¢lewood ZIP CODE 80111 PHONE 790-8566 LICENSE NO. 1$986 .ONTRACT PRICE $ 26, 108.00 7VPE Ground❑ Wall❑ Proiectinq❑ Othor SaDFOOe 1 SIGNS . 2. MATERIAL Tofai Sauon Fnt Permit No s Etoet ❑ T ILLUMINATION Y ❑ N 3 . . . yp es o . 4. SET BACK FROM PROPERTY LINE N- 5_ E_ W Zons_ ApDrmb,ZOna inspetlor (SDecif which is front ) ❑ ❑ ❑ ❑ Disapprowd 1. TYPE SolidO More Tlron 80% OpanO Letf Thon 80% Open MATERIAL Meipht FENCES 3. SET BACK FROM PROPERTY LINE N_ S_ E_ W 2om_ Approved,Zom Inspetta (SOecity wMieh is front) ❑ ❑ ❑ ❑ DisoDOrovsd I . Z OTHER ' 3 . DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIVihu DISTANCES FROM PROPERTV LINES. (SETBACKS OR PROJECTIONS INCLUDEA) J Y g SPECIFY NORTH x 05 STREET NAME SF10W OISTANCES FROM THE MAIN BUIIDING TPAWOINING MOUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR LATS, SMOW LEAST DISTANCE TO PROPERTV IINES, NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMIT TO PERFORM TNE INDICATED WORN ONLY UPON VALIDATION BV THE BUIIDING INSPECTION DIVISION. PFRMIT WILL EXPIRE 60 DAYS FROM DATE OF ISSUANGE !F WORK IS NOT STARTED WITHIN THAT TI&E. ELECTRICAL PERMIT STATE LICENSE N0. PLUMBING PERMIT STATE LICENSE N0. MECHANICAL PERMIT I ALUMINUMWIREUNDERSIZEBILLEGAL FLOOR BSM IST 2ND 3RD 4TN NQ Ft£LCiUeOnsGo{011Propaa ElxSolar p~p, TEMPORARY METER NEW SERVICE AMPS WATER CLASET WASH BOWL BATH TU8 FORCED AIR - 8TU HOT WATEH - BTU STEAM - 8TU CNANGE SERVICE-AMPS SHOWER AIR CANDITIONING-BTU LIGHTING SINK OTHER HEATING GARBAGE DISP REFRIGERATION SYSTEM POWER SUB-CIRCUITS UTILITY (RANGE, DISPOSER, ETC) FIXTURES WATER HEATER AUTO. WASHER DISH WASHER Refri srant Group PowMt Char s AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS 9 CONTROLS FLOOR DRAIN ELEVATOR X SIGNS URINAI. TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES REMamcs Furnish and install one (1) hvdraulic nassenQer elevator lica- a t ihi h PERMIT FEE 265.00 pp s o 1 hareby ocknowlsdqe t tion it corrett ond understond that I - USE TAX 31 ' eonnof atort fAie project until thia appli cation ie oDDroved. I 0all comDlY with TOTAL FEE $ 578.09 fhe lawa of the State of Colorado and fo ihe Zoninq Requlofions and Buildinq Ap PROV ED Code of the City of W~} Ridpe. Any ~ ~ omtion of tne obov,e terme win couse CHIEF BUILDI NSPECTOR,CiTyof Wheot Ridqe 4mediate revocotion of inie permit. oare Issuee 1 ~15 l -3 40V eanb 9iyna~m~ - NOT VALID UNLESS RECEIPTED / -aa ,-~r CAIL 237-8944 EXT. 255 24 HOURS IN ADVANCE FORINSPECTIONS