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Home My WebLink About3005 Xenon Streeti CITY OF WHEAT RIDGE �Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: '310- e �eare Job Address: 3 o O 6— Permit Permit Number: 'a 0) 9 0 0 4 $' (4 ❑ No one available for inspection: Time UAM/PM Re -Inspection required: Yes k No_ -� When corrections have been made, fca' _ or re -inspection at 303-234-5933 Dat` ` Inspect' DO NOT REMOVE THIS NOTICE ff 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: V03 F E / •5 % 0 1 Job Address: 3 40 ,1r& rl Gn f" Permit Number: �)-Olq0G yP� ❑ No one available for inspection: TimeAM/PM Re -Inspection required:f es No When corrections have been made, call for re -inspection at 303-234-5933 J Dater / Inspector: It DO NOT REMOVE THIS NOTICE City of Wheat Ridge E -Res. Electrical Service Upgr PERMIT - 201900484 JOY r4 PERMIT NO: 201900484 ISSUED: 03/22/2019 JOB ADDRESS: 3005 Xenon St EXPIRES: 03/21/2020 JOB DESCRIPTION: Electrical service change - 200 amps *** CONTACTS *** OWNER (720)290-9706 CULLUMBER DOUG SUB (720)341-7648 LEE SCHUESSLER 130109 VISION ELECTRICAL SERVICES LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,250.00 FEES Total Valuation 0.00 Use Tax 47.25 Permit Fee 93.35 ** TOTAL ** 140.60 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 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. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications= applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by �Ze eal owner ofthepropertyand am authorizedtootain thisin conjunction with thieit.Ifurtherattestthat Iamlegally authorized toinclude all entities named within this document as parties to the work to be perd and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpenmt fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Kimberly Cook From: no-reply@ci.wheatridge.co.us Sent: Thursday, March 21, 2019 4:27 PM To: CommDev Permits Subject: Online Form Submittal: Residential Electrical Service Change/Upgrade Permit Application Categories: Kim Residential Electrical Service Change/Upgrade Permit Application This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE OR UPGRADE (200 amps or less). YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes electrical service change or upgrade - 200 amps or less? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Attach Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS 3005 Xenon Street Doug Cullumber 720-290-9706 Credit Card Authorization Form.pdf CONTRACTOR INFORMATION Contractor Business Vision Electrical Services LLC. Name Contractor's License 130109 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-341-7648 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address visionelectricalservices@gmail.com Retype Contractor Email Address DESCRIPTION OF WORK Is this an electrical service upgrade or change? Number of Amps Location of upgrade/change (garage, house, etc) visionelectricalservices@gmail.com Change 200 House Provide additional details, N/A if needed. Project Value (contract 1500.00 value or cost of ALL c� CA J� materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. 2 I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Lee Schuessler Permit Email not displaying correctly? View it in your browser. INSPECTION RECORD Oc c upa n cy/Type INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection �( INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site. "Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Insnectinrnc Underground/Slab Inspections Date Inspector Initials -r- Comments Electrical Comments Sewer Service Plumbing uo Not cover Underground or Below/In-Slab Work Prior To Approval Of The Ahnvp Incnat-finnc Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof 1 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 Roof e 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 City of Wheat Ridge Homeowner Roof PERMIT - 201707105 PERMIT NO: 201707105 ISSUED: 09/11/2017 JOB ADDRESS: 3005 Xenon ST EXPIRES: 09/11/2018 JOB DESCRIPTION: homeowner reroof replacing with owens corning asphalt shingle 40yr, with 33sq pitch 4/12 *** CONTACTS *** OWNER (303)432-0489 CULLUMBER DOUG AND ADIELA *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,962.00 FEES Total Valuation 0.00 Use Tax 209.20 Permit Fee 204.30 ** TOTAL ** 413.50 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present.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 -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. City of Wheat Ridge �y Homeowner Roof PERMIT - 201707105 PERMIT NO: 201707105 ISSUED: 09/11/2017 JOB ADDRESS: 3005 Xenon ST EXPIRES: 09/11/2018 JOB DESCRIPTION: homeowner reroof replacing with owens corning asphalt shingle 40yr, with 33sq pitch 4/12 I by my signature do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes d all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the gal ow of th pr erty and am authorized to obtain this permit and perform the work described and approved in conjunction with this it. I f era st th I leggally authorized to include all entities named within this document as parties to the work to be per an t or k t erformed " isclosed in this document nd/ r its' accompanying approved plans and specifications. Signature OWNER r CONTRACTOR (Circle one) Date 1. This p ued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original 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 Offcial 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 re uired inspections and1gr l not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. , The issu ce rmingof a p its not bdonstrued to be a permit for, or an approval of, an violation of any provision of any a Lica c de rdinan, e ulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Buildingic1MF4 , Date REQUESTS MUST BE MADE BY 11-59PM MqY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat 1�idge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(c)_ci.wheatridge.co.us J FOR OFFICE USE ONLY Date: Plan/Permit #�O M 7 �y 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: ✓ )bko `1 � (� p Y Property Owner (please print): i �� Cl�,� Y (� Phone:-{'�,�y Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor: Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phone: Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ OMMERCIAL ROOFING El COMMERCIAL ADDITION El 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.) Sq. Ft./LF Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 4q & uo I 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 thi tion to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of th reformation provided on the application. CIRCLE ON . (OWNE fC NT&A�TOR o (AUTHO IZED R SENTATIVE) of (OWNER)jj (CONTRACTOR) Signature (first and last name).//ikk DATE:4/) 6 I ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ City of Wheat idl COMMUNITY DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s): Project Prope Notarized signature of Applica State of Colorado ) County of �4 tr_sor� ) ss Thing instrument was acknowledged by me this day of 20J- Uflforeg'by �� n� �eT TAMARA D ODEAN NOTARY PUBLIC ,TATE OF COLORADO NOTARY ID 20164015481 MY COMMISSION EXPIRES APRIL 22, 2020 �— n f^_ My Commission Expires q / zz X20 Zd Notary Public City of Wheat Ridge Homeowner Roof PERMIT - 201707105 PERMIT NO: 201707105 ISSUED: 09/11/2017 JOB ADDRESS: 3005 Xenon ST EXPIRES: 09/11/2018 JOB DESCRIPTION: homeowner reroof replacing with owens corning asphalt shingle 40yr, with 33sq pitch 4/12 *** CONTACTS *** OWNER (303)432-0489 CULLUMBER DOUG AND ADIELA *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,962.00 FEES Total Valuation 0.00 Use Tax 209.20 Permit Fee 204.30 ** TOTAL ** 413.50 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present.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 -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. City of Wheat Ridge �y Homeowner Roof PERMIT - 201707105 PERMIT NO: 201707105 ISSUED: 09/11/2017 JOB ADDRESS: 3005 Xenon ST EXPIRES: 09/11/2018 JOB DESCRIPTION: homeowner reroof replacing with owens corning asphalt shingle 40yr, with 33sq pitch 4/12 I by my signature do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes d all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the gal ow of th pr erty and am authorized to obtain this permit and perform the work described and approved in conjunction with this it. I f era st th I leggally authorized to include all entities named within this document as parties to the work to be per an t or k t erformed " isclosed in this document nd/ r its' accompanying approved plans and specifications. Signature OWNER r CONTRACTOR (Circle one) Date 1. This p ued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original 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 Offcial 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 re uired inspections and1gr l not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. , The issu ce rmingof a p its not bdonstrued to be a permit for, or an approval of, an violation of any provision of any a Lica c de rdinan, e ulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Buildingic1MF4 , Date REQUESTS MUST BE MADE BY 11-59PM MqY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat 1�idge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(c)_ci.wheatridge.co.us J FOR OFFICE USE ONLY Date: Plan/Permit #�O M 7 �y 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: ✓ )bko `1 � (� p Y Property Owner (please print): i �� Cl�,� Y (� Phone:-{'�,�y Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor: Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phone: Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ OMMERCIAL ROOFING El COMMERCIAL ADDITION El 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.) Sq. Ft./LF Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 4q & uo I 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 thi tion to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of th reformation provided on the application. CIRCLE ON . (OWNE fC NT&A�TOR o (AUTHO IZED R SENTATIVE) of (OWNER)jj (CONTRACTOR) Signature (first and last name).//ikk DATE:4/) 6 I ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ City of Wheat idl COMMUNITY DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s): Project Prope Notarized signature of Applica State of Colorado ) County of �4 tr_sor� ) ss Thing instrument was acknowledged by me this day of 20J- Uflforeg'by �� n� �eT TAMARA D ODEAN NOTARY PUBLIC ,TATE OF COLORADO NOTARY ID 20164015481 MY COMMISSION EXPIRES APRIL 22, 2020 �— n f^_ My Commission Expires q / zz X20 Zd Notary Public i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Time �" AM/PM Re -Inspection required: Yes duo' When corrections have been made, call for re -inspection at 303 -234 - Date: /' -j Inspector: DO NOT REMOVE THIS NOTICE . t J ❑ No one available for inspection: Time �" AM/PM Re -Inspection required: Yes duo' When corrections have been made, call for re -inspection at 303 -234 - Date: /' -j Inspector: DO NOT REMOVE THIS NOTICE I i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION �OTICE Inspection Type: A-1 Job Address: Permit Number: ❑ No one available for inspection: Time J AM/PM,/ Re -Inspection required: Yes NN�o When corrections have been made, call for re -inspection at 303-234-5933 Date:( --4,1 Inspector:C . I t;�� DO NOT REMOVE THIS NOTICE 2 ■�lc�c/+T�w®■ amb rw.wWE%w inspections will not be made unless this card is posted on the building site << Call by 3:00 PM to receive inspection the following business day. A u' INSPECTOR MUST SIGN ALL SPACES; PERTAINING To THIS JOB I FOUNDATION INSPECTIONS DATE =: INSPECTOR . ..INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof/ French Drain Sewer Service Lines: Water Service Lines -YOUR NO UONCRETE UNTIL ABOVE HAS BEEN SIGNED p i ncal (Undergroung. (Underground) 'Heating (Underground) Rough Electric OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦ 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: T= Job Address: 3c�95 Permit Number: 14-:0;29Y ❑ No one available for inspection: Time .� AM Re- Inspection required: Yes (E�_. * When corrections have been made, call for re inspection at 303 - 234 - 5933 Date: "D Inspector: DO NOT REMOVE THIS NOTICE ♦ s CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Yr' i O Job Address: ran ?t =;~,~:n Permit Number: ❑ No one available for inspection: Time 16J A PM Re-Inspection required: Yes No *When corrections have been made, calf for re-inspection at 303-234-5933 Date -,5 f ~ ff) Inspector: Gam' DO NOT REMOVE THIS NOTICE ~~oF w"E"T ~o City of Wheat Ridge Building Division m 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 00<ORA~O Inspection Line: 303-234-5933 Building Permit Application Property Address; .3005- n P,iA r')/.4 SX, Property Owner (please print): Mailing Address: (if different than property address) Address: Date: Plan A Permit#: Co N!~A l-~ Phone: State, Contractor: L~el Contractor License Sub Contractors: Electrical City License Company: Phone: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $ Descrlptlon oY Wofk (as calculated per the Building Vafuatfon Data sheet) n ie Plan Review (due at time of submittal): $ Sq. Ft../LLFttaaddded: Squares BTU's Gallons Amps OWNER/CONTRAC'OR 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 1 have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: ((CONTRACTOR) or PERSONAL REPRES TATIVE of (OWN CONT ATOR) PRINT NAME: n20 SIGNATURE: Date r 6 0 a a 3 ~ ~ D n s m 3 N °m 0 z 0 m ~ s d 3 n m 00 c m N N ~ N o ? Q s c N d O~ 05f 0 3s ~ m n ,y o S~ ~ o ~ ~ ' m m F O ~ ~ m 0 m 0 ~ x m m O rr- OS S Z ~ ~ C 'D O cn m r m D r O m cn n ~ ~ ~ ZD Z ~ 0 v m ~ D 0 O m N U) ~ m° s m 4 n N ~ ~ ¢a ~ c m ~ ~ P ~ F < m c - m nwy W V o si ~ p O ma~ m ~ c D s n ~ m fO 5 0 a3N 2 °a m Wn o n ~ o c N ~ Nc° ~0 0 0 0 g~-n a lp G ~ N C y 0 I~ lp m s o m ° y D v d <-I n n p~ c w '~"1D O no y o ~ ao m m A J N a- a~ m ~ ~ n m ~ o g v ~ m °i m ~ ° _ < m m Ea N N O ~ C R 03 ~m co y N N j N C) p o CD d ~ N l 1 ~ ~ y J I~ ~ l J O Q l~ y1 V ~ z^ l 1 ~ Date• '2'~~~,-4- A Certificate of Occupancy or Completion has been requested for: ADDRESS: ~Ty- PURPOSE OF cSTRUCTURE: Building Department Approv Remarks: Zoning Approval: Remarks: Public Works Approval:_ Remarks: Fire Marshall Approval:_ (If Applicable) Remarks: Sanitation District Approval: (If Applicable) Remarks: Water Disuict Approval:_ (If Applicable) Remarks: INSPECTIONS WILL JOT BE MADE UNLESS THIS CARD IS POSTED ON THE BUILDING SITE HOURS NOTICE REQUIRED FOR INSPECTIONS WHEAT RIDGE, COLORADO 7500 WEST 29th AVENUE (303) 234-5933 INSPECTION RECORD JOB ADDRESS 72Dp S ITYI -5±• ~ r ` `C-k-I &C~ BUILDINGPEIR.M,LTNOr. 13'~tfl DATEISSUED TYPE OCCUPANCY OWNER I~t)L t l lC2 ✓V1 I 7 lx r CANTRACTOR SEfBACKS FROM PROPERTY LINES: NORTH SOUTH EAST WEST INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB I NS PECTION DATE I NS P ECTOR Foundations Footings Caissons Reinforcing or Monolithic Weatherproofing POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED Concrete Slab Floor: Electrical (Ground Work) Plumbing (Ground Work) Heating (Ground Work) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED Rough Electrical Rough Plumbing Air Test Gas Piping Rough Heating & Ventilation (above must be signed prior to /raming inspection) Framing C !7. O 4 e6 Insulation Drywallnaiting o.k. ~ z /0i 4&lr Roofing 2. Refrigeration Electrical underground Final Electrical Plumbin Heatin & Ventilation Frame Q,k. G R.O.W. & Drainage Fire Department Parking & Landscaping OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number J'?7n0 BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE Date : 4/15/02 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner: WILLIAM CULLUMBER Property Address : 3005 XENON ST Phone : 432-0489 Contractor License No. : Company : Phone . OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume fWl responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Whe0t7ji(Ige"ordi0rjl fot work under thispermit. Construction Value : $4,300.00 Permit Fee : $111.25 Plan Review Fee : $0.00 Use Tax : $56.00 Total : $19725 ( WNER)(CONTRACTOR) SIGNED DATE~ Description : CARPORT/GARAGE Ilcc j°>i~BSC NO iC: Ownerleontractor is respensi}'!c G,r I,.°~~0:-g rrrpcrt~; lines and Constructing imptov,:men:s ac:::,r:iin;; to tl apptoved plan and required developmenc star.dards. The City is not responsible for inaccurate infomiation BUILDING DEPARTMENT USE &M}sYresuldng from inaccura[e informatiun. W SIC : Sq. Ft. 483 Approval : MLC SIDEYARD SETBACKS MUST TOTAL 15'. LOT COVERAGE WILL BE Zoning : R-2 30%• OK- NO ELECT./PLUMBING, MECH PART OF PERMIT. 4/12/02 Approval: DM Approval . Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company : Expiration Date : Approval: Plumbing License No : Company : Expiration Date Approval : Mechanical License No : Company: Expiration Date . Approval (t) This permit was issuetl in accortlance wilh the provisions set forth in yopur application antl is subject to me laws of the State of Coloratlo and to me [onmg Re9ulations antl Building Code of Wheat Ridge, Colorada or any other applicable ordinances of the Ciry. (2) This permit shall expire if (A) the work aulhorized is not commenced within sixry (60) days from issue date or (B) the building authorizetl is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquiretl for a fee of one-half the amount normally required, provitletl no changes have been or will be made in the original plans and specifcations and any suspension or abandonment has not exceeded one (1) yeac If changes are made or if suspension or abantlonment exceeds one (1) year, tull fees shall be paid for a new permit. (4) No work of any manner shall be done lhat will change the natural flow ot water causing a drainage problem. (5) Contractor shall notify the Builtling Inspector lwenry-four (24) hours in atlvance for all inspections antl shall receive writlen approval on inspection cartl berore proceediing with successive phases of the job. (6) issu ce permit or the approval of drawings antl specifcations shall not be consVUetl to be a permit for, nor an approval of, any violation ot the pr id~buildin9 wdes or anY other ordinal law, mle or regulation. ~ Chief Bui ing Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: oF wHEq r P gUILDING INSPECTION LINE - 303-234-5933 Da[e: ~ CTTY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) C~C OR A00 AH i"PU5~~d iFON Property Owner: Lj I k{ryi (n f iQ Property Address: ~yD jl1 GJ~ , Phone 30 3•{~3~`.d~/"~~ Contractor License No.: Qkki ComPaIlY: Phone: 7aG ` acfc 4t .eT.ea d9 OWNER/CONTRACTORSIGNATUREOFUNDERSTANDINCANDAGREEMENT I hereby cer[ify that the setback distances proposed by this permit application are accurate, and do no[viola[e applicable ordinances, rules or regulations of the CiTy of Wlieat Ridge or covenanis, easements orrestrictions ofrecord; [hat all measurements showq and zllegations made aze acwrate; that I have read mid agree to abide by all conditions prin[ed on this application and that I azsume fiill responsibiliry for compliance with the Wheat Ridse Building Code (U.B.C) and aIl other applicable Wheat Ridge Ordinances, for work under this permit. (OWNER)(COM'RACTOR): SIGIVED 4"`~FJ A"" " wAT~..L ~2i Description: 1 /11/~ l~(.~{j'(~/ L~Zj,1L(,9~J - Construction Value:$ Permit Fee:$ Plan Review Fee:$'~cs Use lax:$ Total:$ BUILDING DEPARTMENT USE yO,N~LY ~ `-J1o"@& ~Q~C~C~S C11U5~- l~tC&SISq. ZONING COMMENTS: ^,,r~ I ~ Approval: 1`ix~ ,~J e L(~ CD~~~.IA~L~-~)c_ 3C'~ c• Zoning: IR, ~ p 5-3--L•:. txc,. BUILDING COMMENTS: Cq~, - T(O Approval: . ~ ~ ~ PUBLIC WORKS COMMENTS: Approval: A~ ' Occupancy: Walls: Roof: Stories: Reside ~ Units: r 'y - Electrical License No: Plumbing License No: Mechanical Lice Company: Company: Company: Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approvai: (l) T7tis permit was issned in accordance wiUi tlie provisions set forth in yonr applicatlon and is snbject ro the laws of the State of Colorado and m the Zoning Regulatlons and Building Codw of Wheat Ridge, Colorado or any other applicable ordinances of the Ciry. (2) 17tis pecmit s6aI1 expire if (A) the work xvthorized is not commenced wiNin sixty (60) days from issue date or (H) the building anthorized is suspended or abandoned for a pedod of 120 days. (3) If Nis prnvi[ ezpires, a uew penuit may be acqnired for a fee of one-half the mnount no1mally required, proviAeA no changes have been or will be made in the original plans and specifications and any snspension or abandonmenHtas not esceeded one (1) year . If chanees have 6een or if suspensinn nrnhnndnnmrnt exceeds one (1) year, full fees e6a11 be paid for a new pemit. (4) No work of any manner shall be done that will change the nanual Flow of water causing a drainage pro6lan. (5) ContractorshallnotitytheBvildiuglnspector[wenty-four(24)honrsinadvanceforallinspecrionsandshallrecervewrircenappmvaloninspectioncnrdbef'ore proceeding wiN su<cessive phues of the job. (6) The issusuc a pamit or the approval of dravrings and specificafions shell wt 6e construed to be a permit for, nor an approval of, any vioiation of ihe orovisio of byi%g codes or any other mdinance, law, rule or regulation. Chief Buil ' g Inspector City of Wheat Ridge, Colorado ~ Building Division Plan Review Correction Notice Address: 3005 XENON ST. Owner: CULLUMBER Projecr DET. GARAGE Occupancy: R-2 Valuation: $3.6d'fT Date: APRIL 3, 2002 1✓. / NEED A COPY OF THE DEED. 2~ SHOW WING WALL WIDTH. 3~ GIVE MANUFACTURER SPECIFICATIONS ON TRUSSES. 4. WEST WALL MOST BE FIRE RATED (1 HOUR) TO A 5 F DISTANCE FROM / DWELLING. ' 5✓/ WILL THERE BE ELECTRICAL WIRING? 6.~/ SPECIFICATION SHEET DOES NOT MATCH PLOT PLAN FOR GARAGE SIZE. 7~ SERVICE DOOR AND LIGHT WILL BE REQUIRED IF THERE IS A GARAGE DOOR OPENER INSTALLED. 8. VALUATION DOES NOT MEET SQUARE FOOT PRICE FOR CONSTROCTION IN THIS AREA. SHOULD BE $9717.00. Please make these additions or corrections to the submittal and resubmit for review, if you have any questions please contact me at 303-235-2850. Thank You, Bob Gaspar Building Inspector , t ,,r~ r ~ /,~!A...e..~::k=~~~~'..sc' ~vjj~ C ~ , ' ' .,7 ~ ~ ~ ' ~ ~ I , ; f . ~ ~ . C ' ~ i i ,21 e2 ~ k . ~ _ h ~ . ~ , l '±1 J ~ ~ ° ~ ~ ~ i~ 0 ce. ` ~ 0 . . ~ ~ ~ O : m » $ M., ~ f~ U - ~I.:I 'LL:M =x ~ I M t~ wy, ' :,7 k~! ~ ~ k)R ~ I ~ rtaxro i ~ ~ • .y~.~ww~ i i p_ ~ ~ JJ LE: ~/.7 X36, >6KOAED BA: w !t X 13 bHIN1ED ON ND' 10001 CrEVNbulm 'l~3 3 U►, - ` K i I /VeO DHVMIAC Nf WBE1S r 01 BEA12ED DUVMV ex 6/97 6/9 t (example: 2 x 10 Ratters Spac024' O.(;.) Minimum lx_ridge board (ezemple: 1 x 72) Provide solid 2x blocking between rafters or trusses Note: Pre-engineered roof trusses wftruss clips and hardened nails may be used in lieu of roof structure shown. Diagonal wind bracing or plywood shear panels @ corners and each 25' of wall. A .n.• Foundatlon DMell A Fountlation'Detatl 8 (see page 4) This handoutwas devebped bythe Colorado Chapier of the Intemational Conference ot Building OHicials as a basic plan submipal under the 1994 Uniform Codes. It is not intended to cover all circumstances. Check with your Building Department for additional requirements. Roof 3 fab ~ 'J2x!ceflng~oists~_O.C. / J (example: 2 z B@ 24' O.C.) / Double 2x top plate (examp :2x4) Ceiling height.9 " (exemple: H) $1Ci1Tl (exampl . lap orT-7 t7) Wal1 SYUCIS @~ O.C. K12x /example:2x4B24'O.CJ Cont. 2x sill p1aYe (exEm e:Px4) ~ Footing size x ~ ~ (example:8'xi6') NOTE: Roof not to exceed 24 foot span 2x r ers snaced " O.C. [Sheathi ~ 6,50 lgec&-e-" ~ . ~ £0'd WH Z1:80 ZOOZ-Zi-Bdd 6 6t ~ ~ 4 4 A~ L4 N ya", ~eo•a we z1:80 Jzooz-zi-aad of Bwrowe'f cawo~eY WQ Waaomn ueder LL" Samit7 T~ m0 qs Noe. M WY psprc. l~. Y onAdKetlm a da AeOt aa dr wn Eada aeeled. im+a:Wf V+w d ooaver a tM Trorse, le aort, wW o[py, iy tou..r~ a.n,;eea propmywcraa in Jefferwn ~FEET. :i 3. E ~~T~EFFE ON.BSATE30F ~LEM~VE VIILAGE, BLOCKS 2 10. o Mti ' i~tliwa3005 XENON STREET ~ tanl. Caado 80215 a"v a+l ("AOpwiy AaMw•): L I Nr771 atl M ivprw'~mb mv m EoetlM aaKd m We p~apnq, md YI a~rm. . ..wk~e~or ad Nmnf noe a hltatlle[ A 9+n o( Wa WcPMt9. NI MpYamoNM nd adAYbY IWiI WO 6t mvad by thb Secarity Iootrumeot. ALL o[ ihe faeVDiAgi aimW m in MY Sxariq6maemmt a iEe ,Prapaty • Bonoa'u uodMff~ Yd iWea~ 1Wt I~AS A" aolY ftl tltle m fie luewmt R+osd b1 Bmoaewe ID Ihw Saw(tY burtnumarrat; bu. 'ff nmtruY W aoql7 wuA In ar outlm. MBRS. (Y souioa !Or IAtlef rod LeoGC"s wwaunt od rYr). 4r me ftk; to ureire a4' w dl d thae iolsb. WludiN. bot mt dmYd to, be ew ro 6omdm ad'etl tYe Peapety; ieA ro Ws =y ac4ao m"nvd of ladv ieeloahej, wt mt limlkd m, mkmiiq or noNm{ Wo Secwity haams[. . 84iOWER COVIIiAN[S We Hatarer Y 1aw'h➢Y SMaM d M Naoe hWW9 oonwfcC ad kr tlr ekk a x. r. ~ cppA Oe IL'y~ny d t4t ihe Popety i onecam0arec apept bt eotamD`aoe~ aP xadd. B,num MII i~i ~rdlY me tllle m We Peapaty 86Nll tlddo 04 dme6. Mbjm ao Mry' ~ ~ ~r~-~t~+ee1• : TTO 3mcUnlY twRUmBmf aambim odtam aorrom lar rlml aM ot mmmlloon onveanu vM► tleYd v~ir{ar b kA~ ~ aeanhr ~ milam WY , .smiy faY piaNny. Boenrx ad I.eoAa oo.mm and apac r Tdlow: . UMPOR!( COYHNANI'9. i. Ehymmiall af RYdPy Llarat tr0 IMe (buf Bmvw[ N6 V4 ahm ds th1 WWW ot, wd ioreiau m, the delt aYldiotsd M tlr tieee md Ire c3cM4r mft 6e HaM. 2. WMW PUUW d 1'm. Iwmre md Olher Or'/r. Botmw tlM irlude ia mrh moeWy pameat. ~o{aAv whh me pfoclpd red laanx r rt tonh lu me Mm a/ rp lre chqu. a aer, (or (d treas mA *.....m a;.a a a be k.ka ~ the R~t,. ro) r..aow N,ao~n or ~a ,mm o. ra i. ~ Ywres b himeramar: dk&SKMWY ot ~ ~ qnr /.~6 in~~ 4mdr ~ Y wfa YdYe~d~e~ ea ~ fa We wAud mn~t~e { imwcMa pwdeo k c~mt~ etl mo~E~Y P9~ Pdd 67 t.~K o me seaafy. ~ w(w ■ mmbh ~ mroa or. mm~yoe wm.oe p~m u mr sowla r~ua~oc r uetl q oe smix.r. .020 in arwmAble unw m 6c detnndnd bY the 9eaeutY. &Cql tar de qaeO7 C*KM M Ae SUan9. mrs ircmi ue allkd'BRtow IYm' fd IEC 1ware pYd W I.Wde[ m OYbd'6ra0M PrAa.' uftdu maY, Y•Y timme. colba d hoYd sooan Eoe PMar Iam is o ypyre OWM aal b eaaM it maximm momt AC mq b teqWned br BonmmeR ertow aooa0t isdr 16e Lyi BMMe SoWer Pnm4rw Act of 1974. 12 U.S.C. 9cAton 26111 a wq. s0 iooplaoedloj mplrlos, b{ CFR Prt 31W, r 0cy aq ie mmdcd 5an timt q time ('RBSPA*), e.np ths ibe apAioa er nlave /amYrA E9IBSPA ta' smatlolpWd dYh~vaMmq Ado~e die Bamr0ue1S pymealt Ya rwi~lle in IEt `ea0aet m16' eol De hred e AK or ms nvtpoe iwwaoce prtmiice. - I q' WWk I ,I' ~ ~Iiy3I• i ~ GII ~~.1 Lr I= . zo•a ua lt:ao zooa-zi-aae - 1 ZM650ET~7REEiK~T~A~EITC1t~RPORATION CLEARYIATERMIF` ~~SSU i [ov 9 py.e. u.. ~er rr nc rr++y o.y Shus n cLu~ie ae ia9au DEED OF TRUST os2-1~-7a3 L 4109443 Mu+ 1000169-0004109443-5 ' Teb pMD or nUSr ('s.cmlry lraumex') 4 mWe oe June 8. 2001 amoo6deet7nmor,DOUG CUILUMBER and AOIELA CULUI6ER ...('Mnave').rer.Ylo7t.MwafJeffersofl anmtr(`T~uMw•).ramEmKoMT. ~;.N~70A[iB ffi9L71toNtC 1BGL4'lRAipM SYSRM3, ¢iC.. C~T), wikh Y ais aWT M amiroe far is~7e (r e~rtlailw def+o~A) ad L.advY aroeaon ~ed awi~r, mm Y awwhe10d amtlq dw be ian ot Ddnwe, ad hr r tlemti .m tdrpEooe msba W PA. lez 7026. Ptio. M! 4E5042D76. Y. (RN) 6T%MBY3. . MARKET STREET MptTCAGE CORPqWTION ('TeoAec") b apNma rA adWa uoea Ue 4m ot $TATE OF MICHI6AN . ed er o rwm or P.O. BOX 22128. TAMPA, FL 33622 . enno..r owaa Lnder Oe ploapY um ot OnR Hundred Thirty Seven Thousand Twenty Five and ro/100 DMIm N.3, S 137.025. 00 TkiY drYt Is aldMad b! Yonowa's mte mmd the nme dw r db SWa* IunmM ('Nou"). w6Y3 f;; - l., pe~Naa 0r.remb expmcmo...kb se nrln aft u me pre aa~c. es w eo&W m July 1. 2031 . 7W Seemft Idorommi ~ w Idv: (i) tlr epqmst ot ds d*t WYONd by 0e Nau, uft laaett. nd W rmerW, aemrian roG modUkadar of ine Tlae: (b) to p~7m of dt adkW VAM, wi0 iolaea, eMnaY oader prtpvE 7 ro paY.ct oe mtily d Pob Saarly ]rrnnmy od (C) tlr Pe'b~ !AA GYxY OW MiaM wrllOt. N{ .NOWIM M1y~~M~ IIMYYQ ~Y. VW MMT401~Me~.~ool~i~.)a~ im,slisr io a ue 01:e0 aooa-zi-aae I~ i 1 i ~r ~i i `7/ j 4~ E - v~ f. .».h.m...so....r,,,,.~.,~~., ,...,,,.._..:..,...~,.,b.~,~:...a...,,~..,.....m.u .,..:.N.~....~.~..~...m.~:..wow,....,..,,,,~x.~,W,.,,~..s,._~..w« ~ i s ~ ~ 3t ,fir r . s , VVV ` j '~^B.. t f' 1 ~ i ~ c~ s K ~ ~ r 0 E3 \ ~ 1 ~ WARRANTY DEED i THISDEED,Madeon June e, 2001 betwean Rhoda Carol Wagler Vidal otuoand saidcouniyof Jefferson and Slate of COZOT'd(30 granlor, nnd Doug Cullumber and Adiela Cullumber whose legal addrass is 3005 Xenon Lakewood, CO 80215 oflhe gdid County of J@ff@T'SOn and State of COlOi'ado ,gtanlees: WITIVHSS, 'Ihat the grantor, for anA in consideration of the sum of ($2 55 , 000. 00 ) Two hundred fifty five thousand dollars and no cents DOLLARS, the receipt and sufficiency of which i.v hereby acknowledged, has granted, bargained, solA and comeyed, and by these presenis Joes grant, bazgaiq sell, wnvey and confirtn unlo llie granlees, their heirs and xssigns furever, nol in lenancy in common but in joint lenancy, all the reai propeAy, togelher wilh improvements, if any, siluate, lying and being in the Said County of Sef ferson and State of Colorado, described as follows: LOT 3, EXCEPT THE NORTH 4 FEET, BLOCK 3, MAPLE GROVE VILLAGE, BLOCKS 2 THROUGH 10, COUNTY OF JEFFERSON, STATE OF COLORADO. as luiown 6y straet xnd number as: 3005 X21lOR Street Lakewood, CO TOGETHER wilh all and singular the hereditamen4 nnd appurtenances lhereunW belonging, or in enywise appertaining and the reversion and reversions, remainder and mmainders, renls, issues and proli4v thereof, and all the eslale, right, title, interesl, ciaim and demand whaLVOever oFthe greotor, eilher in law or equity, of, in and to the above bargained premises, with the hemdilamenLS and appurtenxnces. TO I1e1VE AND TO ilOLD the said premises above bargained and describeA, with the appurtenances, unto the grantees, their heirs znd assigns forever. MA the grnntor, for himself, his heirs, and persunal represenlalives, does covenant, grant, bazgaiq and agree to and with the granlees, their heirs and assigns, thal xl the lime of the ensealing and delivery of Ihese presents, he is well seized of the premises above conveyed, had good. sure, perfecf, absolule and indefensible eslffie ol' inheritance, in law, in fee simplq and has good right, Tull power and lawful nulhortty to ganl, bargain, sell and comey the smne im manner and fortn aforesaid, and thal the same are Cree and clear Gom all fotmer and othet granls, bxrgains, sales, liens, taxes, assessmenlv, encumbrances nnd reslrictions of whalever kind ot nature soevey excepl . taxes for the current year and subsequent years, and except easements, restrictions, reservations, right of way and covenants of record, if any. "lhe grantor shall and will WARRAN'C AND FOREVCR DEFCND the above-bxrgnined premises in the quiel and peaceable possession oCthe granlees, their heirs nnd xssigns, againsl all nnd every person or pwsons lawfully clfliming the whole or any parl lhereof. 71w singulsr number shall include the pWrai, the plural the singulxr, and the use of any gender shall ba applicable to all genders. IN WITNESS WIiEREOF, the grantor has execuled this deed on the date set forth above. Rhoda Carol Wagler Vidal By: Dennis Jacobson as her attorney in fact srn'[E oFCOlorado said courtyoe Jefferson } ss. Iha furagoing insimmenl was ecknowledged before me lhis 8 th day of June brDennis Jacobson as attorney in fact for Rhoda Carol Wagler Vidal Wilness my hand and ofTicial seal. My commission expires JUly 9, 2001 01 Notary Public MaTy S. BeCk CLOSING INSTRUCTIONS THIS IS A LEGAL INSTRUMBNT. IF NOT UNllERSTOOD, LEGAL. TAX OR OTFIER COUNSHL SHOULD BE CONSULTEll BEFORB SIGNING. TO: Title Services ' RE: 90000 1 Rhoda Carol Wagler Vidal Doug Cullumber and Adiela Cullumber [SELLER] and [PURCHASER] engage TITLE SERVICES, INC. [CLOSING AGENT], who agrees to provide closing and settlement services in wnnection wiUi the closing of the following described real estate in the Connty of Jefferson Colorado, to wit: also known as: 3 0 0 5 2. Closing Agent is authorized to obtain infonnation, and agrees to prepare, obtain, deliver and record all documents, excluding preparation of legal documents, necessary to carry out die terms and conditions of the contract to buy and sell real estate, dated January 15, 2001 with ALL amendments and counterproposals atfached [ConVact], and made part of [his document. 3. Legal documents will bepreparedby Title Services, Inc. at the ezpense of and at the direction oF 4. Closing Agent will receive a fee not to exceed 400. 00 for providing tliese closing aiid settlement services to be dhe expense of Seller 5. Closing Agent is authorized to receive funds and to disburse funds when all funds received are either: available for immediate wiNidrawal as a matter of right from the fituncial institution in which the funds have been depositeJ or are available for inmediate witlidrawal as a consequence of an agreement of a financial instiCUtion in which the funds are to be deposited or a fittancial itutitution upon which the funds are to be drawn ["Good Funds"]. 6. Closing Agent is not authorized to release any documents or things of value prior to receipt and disbursement of Good Funds, except as provided in patagraphs 12 and 13. 7. Closing Agent shall disburse all funds except those funds as may be separately disclosed in writiug ro PurcLaser and Seller by Closiiig Agent or PurcLaser's lender on or before cbsing. All parties agree that no one other dhan the Final disbursing party can assure Wat payoff of loaas and other disbursements wilt actua(ly be made. 8. Seller will receive the net proceeds of closing as indicated: &I Closing Agent's Trust Account Check. ❑ Casliier's Check at Seller's expeiue. ❑ Pmids electroiucally transferred [wire transfer] [o an account specified by t6e Seller, at Seller's ezpense. 9. Purehaser and Seller will furnish any additional information and documents required by Closing agent which will be necessary to complete this transaction, and Purchaser and Seller furUier agree ro sign aud complete all and customary required documents a[ closiiig to fulfill the Contract. 10. Closing Agent will prepare and deliver an accurate, complete and detailed closing statemen[ to Purchaser and Seller at time of closing. 11. If requested by Closing Agent, eamest money deposit will be delivered to Closing Agent in sufficient time before closing to disburse Good Funds. 12. If dosing does not occur, Closing Agent, except as provided herein, is authorized and agrees to remrn all documents, moives, and things of value ro the depositing party and Closing Agent will be relieved from any further duty, responsibility or liability in connection with these insfructions. ln addition, auy promissory note, deed of trust, or other evidence of indebtedness signed by Purchaser, sUall be voided by Closing Agent, with the origitial(s) returned to Purchaser and a copy to Purchaser's lenJer. 13. If any conflicting demands are made on the Closing Agent, at its sole discre[ion Closing Agent may Lold any monies, documents, and things of value received from any party except Purchaser's lendec Closing Agent shall relain such items until (1) receipt of nm[uxl written insttuction from Purcliaser and Seller, or (2) until a civi] action between Purchaser and Selier sliall have been tinally concluded in a Court of competent jurisdiclion; or (3) in the alternative, Closing Agent may, in its sole discretion, conunence a civil action to interplead, or, intecplead in any existing civil action, any documents, monies or other things of value received by Closing Agent. Such deposit with the Court shall relieve Closing Agent of all further ]iability and responsibility and Closiiig Agent shall be entitled to all court costs and reasonable attorneys' fees. 14. These closing insttuctions may only be amended or terminated by writ[en insWcuons signed by Purchaser, Seller and Closing Agent. 15. Speciallnstructions: APPROVED AND ACCEPTED TITLE SERVICES, Date Seller Date Purdiaser Date Purchaser (TO BE COMPLETED ONLY BY BROKER AND CLOSING AGENT) ~ [Broker] eugages Closing Agenf as Broker's Scrivener to comple[e, for a fee not to exceed at the sole expeivse of Broker, the following legal documents: 29 Deed [N Bill of Sale ❑ Colorado Real Estate Commission Approved Promissory Note and O Colorado Real Estate Commission Approved Deed of Trust ❑ ❑ The documents stated above shall be subject to Broker's review and approval and Broker acknowledges that Broker is responsible for the accuracy of the above documents. Closing Agent shall pay Real Estate Commissioiu a[ disbursemen[ as follows: Listing Company, $ Selling Company, $ APPROVED AND ACCEPTED Broker by Closing Agent by Date Mary S. Beck-Watts Date 03-06!02 WEU 15:42 PAS 2COLao7. FINK i 1-6-0 S.I. = 13 ~ 7 dx5 = 9 7 8 SAO 11 6 10 5 ~ 11 •8•0 H 13 14 ta . 5x5 = 23-0•0 LOADINO (P9p TCI.L 30.0 TWL 10.0 BCLL 0.0 BCDL 10.0 IUMBEq TOF CHORD 2%63PFryo.1 BOT CHORD 2 X 4 6PF No.2 OTMERS 2 X C SPF Slutl PLATES mnza Wel0111:881C BRACINp TOP LMORO SM1ealhetl w60.0 p~ pyNlnc. 80TCNORD WpyNilinptli~e[Ityappipdar10-0OocMeGnp. GR1P is7/iaa ~ REACTIONS (16/GZa) 1=9423-0-0. 21=-1/2b0•0, 7fi=%I23A•0, 23egg23•0-0, 2G•10723-0-0, 25•107/2&0-0, 28-7pg(!g-0.p, p7_~ ~~ng,0A,19=fi7/77-0-0, 29Y22512r0-0. 22=10723-0-0, f 20.10e1 te,10523-0-0 ,18=117n3-0-0,17=5723-0-0.10=225/23-0-0 ! MeX HaR 1=19Ca9tl ca9e 6) I ~ Max IJ011=40(load caso 3)„1=0(load es3e 7), 75.d3Qoa~ ceee 5), 24=440oeE ceee q). 25=-63(laetl rase 5), 26--59(IOaL tase 4), 27=44(load case 4), 28=•37110ed ca6e 5), 29--1290080 C89e 4), 72=iNlOBO Cbbi 2D=63(Ip,d Giie 6), 19=.Sgoatl caSP 5], 18=44(lpptl WSe 3), 17=41004111 CBeB 5), 76-423(betl tlse 3) I i Mez Grax1=9111oatl case 1), 17=91(fpad GisC 1), 20=99(bad eale i), 24-109(IeaO Wu B). 25e1070oad case B), 28=1060vad MU 1), E7=117(:oBE CeBe 9), 2B-57Q080 C89e 11, 28-2251e cose 9). 22=110(Imd eeeT), 20-10e00stl raRe 7G 19=105(loed rase U, 18=117(oetl cesa 7), 77=57(IaeG ceee 7y 18+2250oetl wy~ 7) I ~ FORCES 116). Fni Load Gsa O.ly ~ i TOP CHORD 1.2.39, 2-9e.47, 34e14, 4-5-90, 5-6-11, 6-7=11, 7-8=11, &9=30, 9.10=•30. 10-71=30, 11-12=-30. 12-13=-27, t3-14~7, 11-7e•50 BOT CHORD 1-29=D.2B-29=8.27-9. 29-27=9.2l-28=9, 71.R5=9, I3~Pq-B.22-29.8 .2122e9.20-27=8. 7B-2U=B. 1B.1~B. 17.18=9. 1G17=9. iS16c9 I i WEBS 8-73=99, 7-d4=dD7.6-25=-107, 5.ye=1ae.4.27=-7t4, 3-26-aa, 2-28•-200, e-22--107, 7o-2C-qo7. t7-19,.109. 12-78=.t1I,13.17=a0, ~ tA= 6=-4a0 ~ ! NOTE,S i i q This wsa has boan checkatl fa unbala(xetl Ipapln0 CenEiUUns. i 1 2) Thi91NS3 Yms EMt tlesipned fet the winL 10805 pellBlaletl Gy 100 mGn WInOs at N h aPO'p gloyno 181 'JSing 10.0 Dbl IoC choM tleetl loetl BnC 10.0 p9f I eapowre C ASCE 7a. 1 0o ml fran humcene aceanllne, an an ocawancy wkeon t, condlGan I emclvsed 6uilding, of dim,nsivns 45 h by 24 R wlm ~ 93 oer UeC97/AN5195 IF cnd vedic014 a eanulevers exlyl. lney ere eapoeee Io wNC. Ir porcnes er1yL lney are nel eapyted Io wind. The lumher DOL Nerease is 1.39, and Ihe plaie pdp InereSee la 1.39 i a) Truee tleelpnM for vnn[ ioaea in ine plane or lne huzs only, faraWds e+eosed lo wlndlnennal (o Ihe fatt). sco MI7ek'SiandarG Ge61a EnG Deletr ~ d!M piaba are LSz7 MII20 unlese olhenwso indwletl. 5) eaeN requiru eenlinueus halmm ePend boarlnp. ' 6) GsEle aWtls soeceE el 1-4-0 oa IPIVIaemechBnleBltaneWan(~yaVNererafWemEeerlinaa~amcaw6loo(w~hsfi,nd~o20emuP~,qe,,tljpwr ijbjbul~1eloinltl, 9muolmatlolm15, 6416 uplifl alminl24 631h udlM1 atJdnt 25, 9 Ib upiiX al joinl29.04 Ib upllrt alJoml27, 31 io upiln e110lnt 29, 7231e udin at jeini 29, 43lh udin 11 ioinl22, 63 io uonn ayomt zo, se ie upun np;ni ia, ea in upnn et Imnt ie, 31 Ib uatlfl at)vint 17 and 123 i6 uplifl ai Ioinc iR, I I 9) 7hls Wsc hYp bBen PYBIOnBtl wllll ANSVTPi 1-0995 Cniana. i 9PACIN6 PI91Bb ltlCr9dsU 2-0-0 7,15 C5( TC 0 10 OFFL In (loC) VtleA Lumbcrhpeaze I 1d5 I , BC 0 07 ~~S ' Na Rep3lreeeMCr YES . WB OA4 Ven(TL7 Ho2(fU Na - 0 00 15 Na CoGe UBCB9/ANS1% (MStNx) . isI LC LL Min VtleA . 7B0 n/a LOAO GASE(S) Slaiyard 03!06/02 WED 15:32 FAX R003?004 CULLUMBR FINK 1•9-0 B-0.74 _j11•e•0 1 7-8.0 6-0-14 6-6-3 io jI 4.101 &R1s s-s2 4,5 4 aaao 6-0.14 ~ 7-10-10 --I----..._-+s-1-s za-o-a { 7.117.10 7-:+Aa 1-0•0 SGSIe = OADMG (per) I SPACING 2-0-0 CSI OER in (loc) Udd PL4TE5 fCLL 80.0 Plaleslncrpai* 1.15 TC 0.45 Yert(LL) -0.11 E-10 ~099 M120 rCOL 10A ; Lymberlnne04! 1.15 9C 0.85 Jert(TL) -n23 2-10 aGGO 3CL: OL ' Rep3[reaslncr VES w8 0.20 NoaM) C.O7 6 nH . 3COL 10.9 ~ CodB U800,'0.NSI95 (N911iK) 1iL LC LL Min VtleA e 300 WBIGI:t: Tg'p .UMB': q 6R4CINu 'OP GHORO 2 X i SPF N0,2 TOP CNORD SYenTec or3•E.e p~ putl'ns, 30T CHORO 2 X 4 SPF No.1 80T CHORO R:qW celllnp Clrecllyappietl a 10.0•0 oc 64cin9. NE9$ ? N. A SVF 50.^ iEiCTIDN3 (16i5izv) 2=175,n;p-3-2 9.I:o0,CA•6 Af ex Mo^Y-23;[utl cn:e 5; Max UP!o't2x.2EinonC cas. 5). Ln.<9dtl:xiE c5°t S:'. ~oRCES (In) • Firs; Loaa Casc Cr;; 'OP CHORO 1.P=50. 2-0_.2731. 9.d=dBAd. E'.m16W. 5-9~-2231, 6-7_50 ~6T CtiOrio 2-10=1115e, e-ic~ia<2, e-a~iaaz e-9=15R19 vEBS 3•10=•421,4-10=022,4-0=02 ,3.c=•421 i07E5 ) Tnk tnise na: Oaen enaakoa mr unbalaneec ~wtlLno eonE:W m:. ) This !rvu has >oan dasipnad far tha wlnd Iwds panpraled by 100 mpll wlnCS a[ 25 h a0ove orour.C IevN, uelnp 70.0 p9f lap eMePo tleid lead and 10.0 psf CalGm enare eew Imd. 100 mt hom nu~ne oceanime, on an ocwuanev calepon 1, candiuon I enclosed eullaina, oi dimeneime 45 n oy 24 tt wttn eKposure C A9CE 7.93 per 118C97/AN31951f Bntl mrlM0i3 or canti;eveh enirs4 tliGy ene exptrlGd IEwiMd. If parthes uial Iheyarc nol axpopo lowlntl. Tno lunbor ppL mr.rease Is 1,31, and Ihe vlate gnp Incl.s. s 1,53 ) ThIS Vuis hae been desisned far a 10.0 psf baiom ehwC ilve loetl nonconcurronl wilh any olhetliva batls Ger TaGle No, I6-B. U6C-97. ) PmNEe mecheniul cannecAOn (by oNare) af Wss lo baerlnp pb:e capocle alwilhflindina 2861b uWrti oljoinl2 ano 2db b uplA aiJalnt 6, ) Thia trws hes baen declGned wllh ANSVrPI 1-1995 cdieria. ORIP 197/144 pAO CA$E(&) slands,d aM. = 3k9 = 3.4 = . A(AR INTERNATIONAL w~ Concrete Contractors 303-347-8805 Mobile 720-363-2611 Pager303-240-3647 INVOICE/PROPOSAL 'D" 3 00$' p~viu-n -210 - aqo - 9 Zo6 INVOICE NO. 0 cyo DA E ~t t - ACCOUNT NO. YOUR P.O. NO. TERMS SALESMAN R1C WHITE - CUSTOMER YELLOW - SUPERINTENDANT PINK - OFFICE pp r--------- N ~ N; i ~ in~ i i ~ ~ I ~ N I ~I i ~ N I ' i 0 .I = O ~ O I ~ 0 I E I z 1 ~ N I a', 'e I i v I ~ I a ` N C7 I ~ ~ A ~ Q P ~ O N N J ~a m ~ O ~ N L: ~ c y ~ m aA G7 ~ 0 0 W a Q N ~wN Qu'~ IwZO i ~ y w ~co 0 d Z N ~ p frr% f ~ 2 w ~ a W ❑ 0 b co 7 aI z O W 0 dlQO°,I~°vl$I~I~IQI$I~~~INIo~~ 0 W ~ I mImINI nlLOI NImINIyIMILoI0I~~~I+filH 1 }I'I}I}I}I}I>I>f}I}I>I~I}I>~> } ` ntiA: ~ LlJ a ~ ct iQi:k: J 1 r ~ C) ~ 4. Q '~S":;'' 7~ ~ H LC O a r. ui ni cy7~ o S2 Cm p Vl M ~ ~ C W ~ O Q~~ ~ W U~ C7 W O I- -i Z w C a ;:';Ma x m 3 Y c3 o a a d¢ a a~ o c c 0 a ° m pLmC ¢ H N T 7 t7 < Q S N w~W d,:; ^ G r z H`~ ~ 3 F N W ~~yr qW::`. p y Z H q~ ~ iy ~'7 X F, W V7 V1 W ~ F LL r' W W p,~p~~ W ~ d' 00 4 C~ LL O 2 F F- k a ~m 3 N o X N Q{Ll ~ LL7 in W w W J~ a e~ Q Q d 0 W ~ 9r::,.;~ O 4 O O O o 4 O o o LO ::?~J.:i a: so o~0 1p o 0 o O o ~ o 0 o c 0 u p i ti'- N ui tl' u7 ~'ch ev Lu,; p u7 ip eF ':G.;: H:;'u•` ~ M o eo m 7~ : a•: g~'^.'' m n~ ca u~ n i.~-, c~n ° r m co ca cn ; W'. 2 1t1 to Io N W m en ry ~p ~ ~ O M O l0 _.y,:.. M1 rD 1` ~G f0 h CO W 00 fD ~D tC fD tD Wu' . 1!7 M u~7 N :x:,' LL lL P. 5 a K 4' !W d55-d d0O/100'd 99Z-1 880l889EOE+ 5051 i0d3Q 3YYOH-6Y08d tn EZ:EI ZOOZ-Il-BdY N~ Q ~ ~ ts! Lo ~ 0 Z N O N ~ 4 W ~ 1 J V E ~ ^ N F O M m ~ N y g }I I}I IW ~ ~ tii + C 4ii~:i C N a ~a S; ~ O J to H ~ W P ~ O ~ ~ N ~ ~ y W y J W a q ~ y ~ S Y ` W m g Q e w x 0 F y •c w e y o ~ ~ ~ `w~ 9a, a3 ¢ :a!:;''.: C l~L L F+ i~'.Ffc N ~ ; N o • m ~ ` d Q z fA Go ~y u, ao m po a ~ LL W cc N = yd m m O w 01 N U ~ C i Y I~ ' , , 1• ' .i: yy r:~~: Q vu^> ~ A>vr, Lo C G W S 5.; C O Z W o^;•;;`; x ~ ; . w ~ W: . u7 W a5 m N Lff N S 'i'~' ~p a:!iy?a m o m :e? O 4 , c a o Z59-d S00/E00'd 99d-1 8801889E0E+ ~ N Y/ O ~ ~ Ln Lf) ~ O Z N ~ N OJ 9Z~El ZOOZ-ll-Bdtl 5051 1Od30 M0H-HOad 03/08?02 WED 15:32 FA% 10D02/004' A10240 B. 106th qvenue, Briehtonco eo6o ~RPhone [ISS 300 288-3009 FRX (303) 268.3554 Date: OZ Quote ~U07'ATION / P RSNq5_ E_ n Q Quoce to: ~~(.C C. c:r'i .l.;,- _ ~!4 z.-0 Sh1p ws Prtces effecuve unttl: L `t-- Pfan No.• Salesman: FOB: Estimated pelivery Date: /0 f/D 1.2 61,07 T7 dLt q-~ c. 6 S - O;~-t:tr a ,L. ~ ~ 4S TERM1 ADID COHDR'10NS OF QUO7'E AHD PLIRCHASE pRpgq, me Gmeral Temu / and Condltlone of rhls Quovdon and Purrharr Order are on the reverx r1Ee hq.~of md are QUO't'E to ~ s~ J'a Lm wvc yJSwuLualka Ja Jiv JuL~u~l~j~~J W nv yuvwlu Yuu1u6 dic d1s hVeIS2 S~QC he1lOP N k+~lu m~u cunu~uwYs on C ~ C115C0I11Pr'c ~lanot~~.e.