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Home My WebLink About6270 W. 38th AvenueCITY OF WHEAT RIDGE er 0 Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: % F l Job Address: Permit Number: ❑ No one available for inspection: Time 1,m'r W/PM Re -Inspection required: Yes 'No When corrections have been made, schedule for re -inspection online at: httpJ/www.ci. wheatridge. co. us4nspection Date: Inspector: _, Z ��a DO NOT REMOVE THIS NOTICE s CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: / F/ Job Address: z 70 CS 4- ,/$ v� Permit Number: ❑ No one available for inspection: Ti eM'M Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http✓/www. cL wheatridge. co. uslinspection Date: 1� o,G Inspector: —S DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office 117 C ION -NOTICE Inspection Type: -i Job Address: � Permit Number:C4 a C-1 czzj-4- ❑ No one available for inspection: TimeM/PM Re -Inspection require Ye~' No When corrections have been made, schedule for re -inspection online at: http✓/www.ci.wheatridge.co.uslins ect► I,sr� pec._.-' i CITY OF WHEAT RIDGE Building Inspection Division r40001"o, (303) 235-2855 Office INSPECTION NOTICE Inspection Type: /All Fl f � f Job Address: 6 P-% "'y �� zye Permit Number: Of? fes` // Ad Pr6tr;, r r, VeP i < a t LJNo one available for inspection: Time -�z4ce? M1PM Re -Inspection required: Yes 1-I4o) When corrections have been made, schedule for re -inspection online at. h ttp://www. ci. wheatridge. co. uslinspection Date: 41 1,7Xw2,,r2 Inspector: P DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: GLZ _* P% Job Address: Permit Number:x ' 5 ❑ No one available for inspection: Re -Inspection required/'Yes,,' No When corrections have beeq ade�s a http✓/www.ci.wheatridge.co.ueinspe4ii i � T� Time M for re -inspection online at: A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: LA), 7 VV-, Permit Number: 11 C,44-�, ee-, ❑ No one available for inspection: Time 1110 5(9/"- M ow Re -Inspection required es When corrections have been made, schedule for re -inspection online at: http://www.ci. wheatridge.co. us4nspection Date:`? .x.-2570 Inspector: C)—,_ DO NOT REMOVE THIS NOTICE f A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: UC� ZeMN- Permit Number: ❑ No one available for inspect�pn: 'PM Re -Inspection required: Yes c No When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. uslinspection t Date. Inspector, - City of Wheat Ridge Commercial Remodel PERMIT - 201901511 PERMIT NO: 201901511 ISSUED: 11/20/2019 JOB ADDRESS: 6270 W 38th Ave EXPIRES: 11/19/2020 JOB DESCRIPTION: SWO Interior remodel to include all flooring, paint and texture all walls, change out all lighting, new handrails, new coffee room wall and door, convert sliding glass door into window, new wall by dining room, new desk and cabinets in lobby, new cabinets by two nursing stations, new tile and electrical by fireplace, new counter by dining room *** CONTACTS *** OWNER (303)238-3838 COLORADO LESSOR CONIFER INC GC (720)308-0062 SENAD CAUSEVIC 170187 EUROSTYLE SUB (303)842-7930 Steve Johnson 170029 JCC Electric SUB (303)677-4737 JESSICA WACHTMAN 190261 MR. PIPER PLUMBING & DRAINS SUB (303)725-2640 CARL OSS 190311 CARL OSS LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 160 / Skilling Nursing BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 250,000.00 FEES Total Valuation 0.00 Plan Review Fee 1,364.71 Use Tax 5,250.00 Permit Fee 2,099.55 Investigative Fees 2,099.55 ** TOTAL ** 10,813.81 *** COMMENTS *** *** CONDITIONS *** Approval from presiding fire department required prior to final building inspection sign -off. All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IBC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. **Prior to final inspection approval - As-builts are required before approval of the Building Final Inspection and Certificate of Occupancy can be issued. City of Wheat Ridge Commercial Remodel PERMIT - 201901511 PERMIT NO: 201901511 ISSUED: 11/20/2019 JOB ADDRESS: 6270 W 38th Ave EXPIRES: 11/19/2020 JOB DESCRIPTION: SWO Interior remodel to include all flooring, paint and texture all walls, change out all lighting, new handrails, new coffee room wall and door, convert sliding glass door into window, new wall by dining room, new desk and cabinets in lobby, new cabinets by two nursing stations, new tile and electrical by fireplace, new counter by dining room I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applic a municippal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal own of the propert am au orized to obtain this permit and perform the work described and approved in conjunction with this permit. I fort er attest tha am legally authorized to include all entities named within this document as partes to the work to be per and t at all work be performed is disclosed in this document and/or its' accompanying approved plans and specifications. lif 2� /9 Signat e of OWNER 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 Budding 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 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 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 gonting of a per#iV shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable cod , or y qrdinancgfgt regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City Oi �Wheat I jdg� MUNiT-Y DEVELOPMENT Building & Inspection Services 7500 W. 29"' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(cDci.wheatridge.co.us I FOR OFFICE USE ONLY Date: /,I C>( Plan/Permit #'�) 6 I Plan Review Fee Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. ***- Property Address: Prooertv Owner (please print): �"� i IX Property Owner Email:�� Tenant Name (Commercial Projects Only) ^ ri br Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: ✓, G it , V 1 I Pc, 0 fe Phone: Arch itect/Eng 1 neer E-mail: ILC),t1e,,kc Phone: �U 7� �6 u o Contractor Name: City of Wheat Ridge License #: Ho � ,_y -;I-- Phone: 72,E Contractor E-mail Address: For Plan Review Questions & Comments (please print): CONTACT NAME (please print): CONTACT EMAIL(p/ease print): ` )3c( one: J/ �y S W �?-qV Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: d/1 1/`n �� p Other City Licensed Sub: City License # - City License # n CCC.I�)�� Complete all highlighted fields, if applicable. COMMERCIAL ❑ RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. P411 Tla�1l�i A-11 t"'�I/S ( ft/ -E--,( -t- A(l u94t� C�6kr (141d, d �14/.s v -K 1'�'6y +� �d14 I tC, l el� (AZ 44 Q -� Sq. FULF Amps Squares BTUs NJet,) w,A L( f �rctj7 12 � Mews NP w (u�1'e6Pew %UPJ (Neer �07 t� d aA , Gallons For Solar: KW # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) 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) (CONTRAC OR)o THORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): rr DATE: 2 ZJ Printed Name: jL11(Z)G `y— ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS. Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: > a)IF-- tv•°3u•%G 6 - Building Division Valuation: D'�-b , OQC) H w om a LZI Z W r. O a- 4-1 cd u L _(n 0 0 U O O LL r. ,O A u U f15 (15 O J N � U) O N X O �-+ L1_) Q LL 0 N m i (z N U Y) Q3 .-. M 0 L cd (o O O Q O E O ^'� CL O 4- O U O M U) LOL L- o cz N 0�.�5. `V O � � Q� cd U N p cz Q o 0 ��o�C15 •> O O 4-1 � }J Q— O (D Q co O M IQ QQ'S Q)QO 00 N D N O O c Q j) � +,XU .—OQ OQ N O U CC5 OolO .Q — czE O U p &; c o E �_ OC: V. — o U a E QD 00 c- cz czczQC-m0_m�o�o¢�� N p ��Q•-Qt»� .a (n `o -�o Q UCD U c$ i c -,i wcv i U +-� sa Q O O s� Q U — CO p > Q U E Q LL� 41� z Qiz ary �Q) CL ' Q N i O N N O 4— . E CD N (n (d E Q Q 0 cn t s�,m�,�z+� °- ,� �. a,.. � asP� a � u:� a e �. -- .,� e -_ a � r �� .,a-. ra�».a��•u� �.� � r� Y) Q3 0 L cd (o O Q O E O ^'� CL O 4- O O .a U) LOL V o cz N 0�.�5. `V O � � Q� cd U N p cz Q 0 ��o�C15 •> O O 4-1 � }J Q— O � UO=Q Q co O M IQ QQ'S J D O O Q3 L cd (o O O E O O O U) LOL V (D cz 0�.�5. `V � J -cz QQ 0 ��o�C15 U � }J Q— O � UO=Q Q O M IQ QQ'S O O Q j) � +,XU .—OQ OQ V)l O U CC5 OolO .Q — czE o U p E c o E �_ OC: o C� — o U a E QD O c- cz czczQC-m0_m�o�o¢�� p ��Q•-Qt»� `o -�o Q UCD U c$ i c -,i wcv i U +-� sa Q O O s� Q O o CO p > Q U E <1 LL LL� 41� z Qiz ary m D .. Please see plan review comments below: 1. Please provide the following Code Analysis on plans; a. Total building area b. Type of Construction c. Occupancy type d. Sprinklered —Yes or No 2. Provide an existing floor plan/demo plan. If more than 160 sf of materials are disturbed, an asbestos test will be required to be submitted. 3. Submit COMCheck documents for new lighting installed. 4. Provide a door/window schedule for all new doors/windows. Specify door hardware. 5. Provide an electrical lighting plan for all new lighting. 6. Provide a mechanical plan for all new mechanical work. 7. Provide a plumbing plan for new plumbing work. 8. Provide details for new walls. 9. Clarify locations of new handrails on floor plan as indicated in scope of work on application. 10. For new offices and restrooms, show how the spaces will be provided with required ventilation and exhaust per mechanical code. 11. Show details of new restroom. Restroom must be accessible comply with section 604 ICC -117.1 — 2009. Specify clearances and mounting heights of fixtures, grab bars, etc. 12. Show elevation details for new front desk. Height must comply with section 904 ICC -117.1- 2009. 13. Show elevation of counter in dining room. Height shall comply with section 902 ICC -117.1- 2009. 14. Show compliance with 2012 IBC section 3411.7 for accessibility for existing buildings. 15. Architect is required to stamp drawings. Plans are insufficient and lacking details. More comments may follow upon resubmission. City of W heat Midge COMMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29`x' Ave. 10/08/2019 Colorado Lessor Conifer Inc. 303 International Cir 200 Hunt Valley, MD 21030 Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 On 06/27/2019 the City of Wheat Ridge Building Division posted a Stop Work Notice or Notice of Violation on your property at 6270 W. 38" Ave for a remodel without a permit. As of this date, no permits have been issued to clear the Stop Work Notice or Notice of Violation. You must contact the Building Division at 303-235-2855 and take necessary action to correct the violation by 10/18/2019 (10 business days of this notice). No permits, licenses, or other entitlements may be issued by any City Department until this violation has been cleared. Please contact the Building Division at 303-235-2855. This letter also serves as notice that the Building Division intends to invoke certain administrative procedures as granted by Chapter 5 of the Municipal Code of laws of the City of Wheat Ridge. These possible procedures include, but are not limited to, the following: 1. The Recording of a Notice of City of Wheat Ridge Code Violation on your property with the County Recorder. 2. The issuance of a citation. 3. Formal enforcement action. 4. Administrative fees associated with the investigation and processing of the violation(s). In order to abate the violation, you must obtain a permit, pay any associated fees and have the permit finaled. Sincerely, 4 -- Randy Slusser, CBO Chief Building Official By: Brandon Fresquez, Building Inspector 7500 W. 29th Avenue Wheat Ridge, Colorado 80033 Office Phone: 303-235-2882 Fax: 303-237-8929 www.ci.wheatrid eg co.us City of W heat�idge COMMUNITY DEVELOPMENT www.ci.wheatridge.co.us A) A r\ n i INS ECTION RECORD F INSPECTION REQUEST LINE: (303) 234-5933 O��ii an°,:T,� Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. 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 "" .vur r"KIN rel ). aL..+.Y r..r)r .ra Vrlrlrrlv9. ..T . AD VAA\ID .Ml�Mw Ai.www Underground/Slab Inspections Date Inspector Comments Initials Electrical Landscaping & Parking / Planning Dept. Sewer Service 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. Plumbing vv r.%J vVVVI v11uC1rciunu Vr OLlvWhrl-alae vvorK Prior to Approval Ut The Above Inspections Rough Inspections Date Inspector Comments Initials 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 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. *c— rw ..1._ _:._ mi_ -- -__- - ding Division. **For Inspection Time Window — Please email insptimerequest@Ci.Wheatridge.co.US by 8:00 A.M. the morning of the inspection with the property address in the subject line of the email. Time window is based on the inspector's route. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather PERMIT NO: JOB ADDRESS: JOB DESCRIPTION Commercial Rooting PERMIT - 201700856 201700856 6270 W 38th AVE Reroof 300 sqs GAF HD ISSUED: 05/25/2017 EXPIRES: 05/25/2018 *** CONTACTS *** OWNER (303)238-3838 VINTAGE SENIOR LIVING SUB (720)420-0850 Daniel Odenthal 160153 Guarantee Constr. Group LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 160 / Skilling Nursing BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 77,100.00 FEES Total Valuation 0.00 Use Tax 1,387.80 Permit Fee 954.95 ** TOTAL ** 2,342.75 *** 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's 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 whe 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to be fastened to the roo 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 manufacturera€ms installation instructions, whichever is more stringent. Property Address Permit Number Permit Issued Date Owner Information Property Owner Information Property Owner Address Inspection Company Inspector Name Inspector Contact info. The City of Wheat Ridge Third Party Form Check List ,, v �(> 2 -a / Co�t-- Inspector Statement and Acknowledgement * I hearby acknowledge the roof I am inspecting is 6/12 or over all roofs that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept. * I hearby acknowledge the roofing system for the referenced building has been inspected and found to be in compliance with the minimum requirements of the 2012 IRC and 2012 IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's recommerr Inspector: !tions. /Z � Date: / *1 hearby acknowledge that I am the owner of the building referenced above and I give my consent for the listed third -party inspection company to perform my roof inspection in lieu of the City of Wheat Ri Dlvi ' inspection. Propery Owner/ Agent, This original document as41114 the roofing check list, must be submitted to the Chief Building Offical within seven days of the final inspection. Drop off in person Submit via Email Permit counter 2nd floor !cocs`i•°h¢'icos 7500 W. 29th Ave Wheat Ridge CO 80033 Drafted Date: 7/26117 Please add note to reverse side ❑ N/A ❑ N/A ❑ N/A ❑ N/A �N/A N/A N/A ❑ N/A ❑ N/A ❑ N/A ❑ N/A ❑ N/A ❑ N/A ❑ N/A ❑ N/A ❑ N/A ❑ N/A ❑ N/A y( N/A N/A The City of Wheat Ridge Inspection Check List Notes Final Roof Roof Inspection Pass ❑ Fail Structural roof components Pass [3Fail Verify that no more than 2 layers of shingles exist Pass ❑ Fail Flashing for roof and walls Pass ❑ Fail Structural roof components ❑ Pass ❑ Fail If new sheathing is installed verify that it is listed in the I t' must be adjusted) N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less than 3:12 N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min. of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with the sections overlapping a min. of 4" Tile Roof Requirements N/A ❑ Pass ❑ Fail Clay and concrete the shall have a min. 2-1/2:12 slope N/A ❑ Pass ❑ Fail Slopes 4:12 and under require double underlayment CBC Wheat Ridge Roof Inspection Packet Page 4 of 5 permit description (Va ua ion Verify sheathing nail pattern (See Policy and Procedures) ❑ Pass ❑ Fail Fail Crickets and saddles where needed ❑ Pass Pass ❑ ❑ Fail Verify B vent must have boot same gaugevnA as pipe Pass ❑ Fail Verify vent caps Verify no flashings are damaged or rusted Pass Pass ❑ ❑ Fail Fail Step flashing shall be min. of 4x4 piece per shingle Pass ❑ Fail Verify scuppers allow for proper drainage Fail Ice and water shield 2' in heated wall spaces Pass ❑ Fail Underlayments must follow 2012 IRC/2012 IBC Pass ❑ Fail Verify roof slope for proper drainage Pass Pass ❑ ❑ Fail Dripedge shall have min. 2" of overlap Fail Dripedge should extend down min. 2" past roof deck Pass ❑ Fail Dripedge shall be mechanically fastened 12" OC Pass ❑ Fail 90 LB roll roofing shall not be applied to roof slopes less than ❑ Pass ❑ 2:12 slope: Exception, detached garages, patios, carports, open on three sides with min. slope of 1:12 Fail Modified Bitumen, EPDM, TPO min. slope 1/4:12 slope must be ❑ Pass ❑ installed in accordance with the manufacturer's letter of warranty with the address on the letter for final inspection Metal Roof Shingles Requirements N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less than 3:12 N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min. of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with the sections overlapping a min. of 4" Tile Roof Requirements N/A ❑ Pass ❑ Fail Clay and concrete the shall have a min. 2-1/2:12 slope N/A ❑ Pass ❑ Fail Slopes 4:12 and under require double underlayment CBC Wheat Ridge Roof Inspection Packet Page 4 of 5 The City of Wheat Ridge Inspection Check List Notes Final Roof Notes Company Name: =ffio:nsul nts Inspector Signature: Date of inspection: Z7Z'— ,L /25> CBC Wheat Ridge Roof Inspection Packet Page 5 of 5 M 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: 7 - a ,, a Job Address: 7C ty ':> 8 '�" iv -e Permit Number: O I -7 d o q_S_ i_-ee-L o -F SII Awa,7,n rDc5%-C- n o ,L c 44ae-, lam_ j -" rrn c-orj P) e G �4 0, e- A d 5 P ©, / !tie c, d o 0-9, X111 -e o L ❑ No one available for inspection: Time = 3 &PM Re -Inspection required: es No When corrections have been made, call for re -inspection at 303-234-5933 Date: 1,9 /1 '6 1-7 Inspector: DO NOT REMOVE THIS NOTICE ❑ No one available�fors Re-Inspection re pection: Time required: YesLC ' CA4�M "When corrections No have been datemade, call for re -inspection : a Inspector: at30 234-59 3 ..� Op NOTREMOVE T H/S IVpT/CE CITY OF WHEAT 'BuildingRIDGE (303) 234-1 nspection Division (303) 235-28555933 /nspection iine Office .0(303)23 7-8929 Fax I Inspection NOTICE Type:NSPECTION Job Addre y ` ss Permit Numbe r:: LU r— 0 0 6 - ❑ No one available�fors Re-Inspection re pection: Time required: YesLC ' CA4�M "When corrections No have been datemade, call for re -inspection : a Inspector: at30 234-59 3 ..� Op NOTREMOVE T H/S IVpT/CE 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: (P a -2c i,v 3 ca'!' A, -c Permit Number: -J v 1-7 0 o -7 0 ❑ No one available for inspection: Time 10 = 39 gMDPM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303 -234 - Date: Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office * (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: =� `vt4 L 13 UT Job Address: % D v./ 3 AV� Permit Number: 2.C/ 00 % ❑ No one available for inspection: Time AM/PM Re -Inspection required Yes o When corrections have been made, call for re-inspe ion at 303-234-5933 Dater 'InspectorZ( ,Z DO NOT REMOVE HIS NOTICE _ 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:y 1 7 0 G . tm ❑ No one available for inspection: Time z ` ®� AM/PM Re -Inspection required: Yes No *When corrections have been made, call for "ns ction at 303-234-5933 Date: Inspector: DO NOT REMOVE HIS NOTICE i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office * (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: =� `vt4 L 13 UT Job Address: % D v./ 3 AV� Permit Number: 2.C/ 00 % ❑ No one available for inspection: Time AM/PM Re -Inspection required Yes o When corrections have been made, call for re-inspe ion at 303-234-5933 Dater 'InspectorZ( ,Z DO NOT REMOVE HIS NOTICE N* i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: LC S Job Address: o w Z A d Permit Number: 1-? D D i% 0 __aa P'.Ptgs 'N st,j d _LN SP c t'o i�j Ajpy c. 4 P) , ❑ No one available for inspection: Time K ' �, /PM Re -Inspection required: Yes No When corrections have been made, call for re -ins ectioq at 303-234-5933 Date: -7 - % '/7 Inspector: 1 0 DO NOT REMOVE THIS NOTICE r 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: I �� 'I _ Job Address: -AV Permit Number: 0 / -7 D Q v7 r ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: 7'/;?'- %_7 Inspector: /�� J�� DO NOT REMOVE THIS NOTICE := = CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: D w Job Address: ( -3 -70 w 3 44y Permit Number: - b 1 7 bL-) f)r !' P rz o V, '1-0 0�. kil ❑ No one available for inspection: Time Al AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: ' /-7 -Inspector-A,-,-,,/ - DO NOT REMOVE THIS NOTICE PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Commercial Miscellan PERMIT - 201700780 2.01700780 ISSUED: 06/09/2017 6270 W 38th AVE EXPIRES: 06/09/2018 Repair exterior wall due to vehicle impact *** CONTACTS *** OWNER (303)421-2272 COLORADO LESSOR CONIFER INC SUB (720)308-0062 Senad Causevic 170187 Eurostyle *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 160 / Skilling Nursing BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,000.00 FEES Total Valuation 0.00 Plan Review Fee 81.28 Use Tax 90.00 Permit Fee 125.05 ** TOTAL ** 296.33 *** COMMENTS *** *** CONDITIONS *** Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. I, by m signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all appcable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the prope�per;nneisdisc0ed anam authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that mlallyauthorized to include all entities named within this document as parties to the work to be perormed and that all work to,d lin 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 originalermit 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 andprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 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 -any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. ujov,lot .. 9 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. FOR OFFICE USE ONLY I ¢ City of Date: � WheatR COMMUNrry DEVELOPMENT —' j Plan/Permit # �1 0 V 7, V Building & Inspection Services Division l 7500 W. 291h Ave., Wheat Ridge, CO 80033 Plan Review Fee: Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a)_ci.wheatridge.co.us BuildingPermit Application ppllcatlonC 0- - c Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. Property Address: Ujyp"} � Jx(�3 l�3 Owner er �u(t 1��N��(1�� Phone: '4 Property Owner Email: �(U V lk L 0 �j � �(k Mailing Address: (if different than property address) Address City, State, Zip: 0�-X33-3Y38 Architect/Engineer: 6 � 6C,- A"%��1,4� L /Aic Architect/Engineer E-mail:966c � °cphone: 3 4512- ,�2$C' Contractor: Contractors City License #: o 1 Phone:_ -1 LC ` o 3006 - Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form e [COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ ESIDENTIAL 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 SYST M/APPLIANCE REPAIR or REPLACEMENT Q' OTHER (Describe) � e E- 60,0 W,,,I/ (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. FULF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ l W (-)) 0 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Electronic Signature (first and last name): (Rvt DATE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ Kimberly Cook From: David Sauer <dsauer@vivage.com> Sent: Thursday, May 25, 2017 3:24 PM To: Kimberly Cook Subject: Attachments: Fwd: Christopher HOuse ATT00001.htm; 17035 2017-06-17 LT - Russell Ely.pdf; Christopher House -Room 30 (2).pdf, ATT00002.htm �0-ow �?t" 4r, David Sauer Vivage Senior Living Maintenance Manager 303-591-5794 Begin forwarded message: From: Plan Review<PlanReview(a@westmetrofire.org> To: "dsauer@vivage.com" <dsauer@vivage.com> Subject: Christopher HOuse No permit is required from WMFR. See attached stamped plans. Regards, West Metro Fire Rescue Life Safety Plan Review Desk CONFIDENTIALITY NOTICE: The information contained in this email is confidential and may be proprietary information to be viewed only by the individual or entity for whom it is intended. If the reader of this message is not the intended recipient, you are hereby notified that any viewing, dissemination, distribution, disclosure, copy or use of the information contained in this email message is strictly prohibited. If you have received and/or are viewing this email in error, please immediately notify the sender by reply email and delete it from your system without reading, forwarding, copying or saving in any manner. Thank you. me ral inc. Structural Engineering Studio May 16, 2017 Ely Architecture 1615 California Street, Suite 203 Denver, CO 80202 Project: Christopher House Investigation 6270 West 38'h Avenue Wheat Ridge, CO 80033 Integral #17035 Attention: Russell Ely letter This letter is sent as a follow-up to a visit I made to the above-mentioned site on 2027-05-16, to review damage where a vehicle had hit the side of the building. The building is constructed of pre-engineered roof trusses with 2x4 exterior, load-bearing walls. There is brick veneer on the outside of the stud wall. The foundation type is unknown, but the walls appear to bear on an 8" foundation wall. No drawings of the existing structure are available. The damage was to the west exterior wall of the east leg of the U-shaped building. The majority of the damage occurred to the studs beneath an existing window and to the typical stud framing a few feet north of the window. There is a large diagonal crack or check in the interior ply of the existing (2) 2x10 header. The trim stud at the south end of the window opening was also compromised. The most practical solution to fixing the wall is to re -frame it the way that it was originally framed. This will entail first shoring the existing roof trusses before any remedial work can begin. The typical wall framing that was damaged north of the window opening had already been replaced by the time I had arrived at the site and appeared satisfactory. This area was re -framed with 2x4 studs at 16" on -center. The interior ply of the (2) 2x10 header will need to be replaced with a new 2x10 ply. The south 2x4 trim stud that had been compromised will also need to be replaced with a new, full -height 2x4 trim stud. Additionally, the north and south ends of the existing window opening currently only have (1) 2x4 king stud. This no longer meets the current 2012 International Building Code requirements. Two new king studs (for a total of three king studs) will need to be added to each end. All new lumber shall be either Hem -Fir or Douglas Fir -Larch Stud Grade material. If you would like a more detailed description of the remedial work described or any other questions, please do not hesitate to contact me. Signed�� R�ND1O1`zr��ib% 90"000.0 CA, o� GRq�.,�% v ns� Np's 'S' 'r �` ds(1z(�-7`fi4U �q -T) 0 37 13 a B Maty F. G�('fddy�gft+s�%', LEED AP Principal 2590 31^1 Street Boulder Colorado 80301 303 495 5206 v 303 495 5276 f ww"v.i2structural.com 22 MAY 2017 / REPAIRS TO RESIDENT ROOM #30 ()F COIOwit p� U GOO SZ211-1 RUSSELL G. ELY 046 7 ASF ARG` Ely Architecture, Inc. 1615 California Street, Ste. 203 Denver. CO 80202 303 818 8586 ROOM 1ROOM 3 ROOM 5 R.R. ►e� TOILET 1 ity or COMMUNITY DEVELOPMENT APPROVED Rev;: wea for Code Compliance L& J_'_4 Wars Ewrniner DMS Validmvodae-A: alobn ra[c�ir ei.0 maoanweorions slog mot be operm*fn, or go gvnrovdae&V• iso amr of r vK+s+s7a+s oJrhe 0ugdimp codr gal av' �' aAimanoes. 0% is Ob aresU" to pyx oudwr¢y to vkdate of aon ft movdsA ms ofow Sloft cmVs or oder orfinaoces of dee City sW matin raft ROOM 7 11 ROOM 9 "V 11 ROOM 11 LOCA 111=20' RM 68 SHOWER TION MAP c � ROOM 13 ' ROOM 15 1 rti5 L ROOM 17 II ROOM 19 JL=_q, ROOM 21 Sheet 1 of 2 CHRISTOPHER HOUSE 6270 W. 38th Avenue Wheat Ridge, CO 80033 TOIL TIQILET 33 TOILET 7 TOILET39 TOILET 43 ■ RM 48 RM 47 ROOM 25 ROOM 27 ROOM 29 ROOM 31 ROOM 33 ROOM 35 -OFFICE -SHOWER ROOM 37 ROOM 39 ROOM 41 ROOM 43 ROOM 45 TOIL ■ 5 RM 46-H.K. SE CORRIDOR PATIO — LOUNGE � N.E. CORRIDOR ■ RM 51 NURS - RM 49 -LAUNDRY EAST -MEDS. ROOM 26 ROOM 28 ROOM 32 ROOM 34 ROOM 36 OM 40 ROOM 38 V4� ROOM 42 ROOM 44 R.R. 5 ■ TOILET 28 1 T32 T ILET 34 TOILET TOI TOILET 44 ACTIVITY — MOO ROOM 54 ROOM 53 EAST COURTYARD ,WA010-YOlw"r'°'° EA OF MECH. R.R a ""1°WROVEMENTSRM ■ SOUTH 4001 fileea�m►MD �+ STAIRS DRY i AW �,� �I q,�,waas�,org.nf mmop -ad pYpMf, a1{d R5I RM SS - STORAGE yeplafOdP�o�wAo x ESTIBULE -OO FFICE SALON COVERED Ari"M3 mid PORCH WALK-IN alea DINING ROOM REFRIG. ROOM 57 ■ RM 58 -OFFICE KITCHEN LOBBY EXPANSION RM 60 RM 59 -OFFICE -OFFICE 'v�j �{ { moi! Ci OR ►JJnOQ U JA STAI R.R. 1N3Wd0i3A3Q XLIN(1WWOJ CONFERENCE RM 61 WEST COURTYARD ROOM 62 -LOUNGE TOILET 2 TOILET6 TOILET 1 RM 63 R. 12 TOILET 16 TOILET 18 ROOM 2 ROOM 4 ROOM 6 ROOM 8 ROOM 10 -LAUNDRY R. NURSE - FAMILY ROOM ROOM 16 ROOM 18 ROOM 20 WEST RM 66 TOILET OILET -MEDS. TOILET N.W. CORRIDOR S.W. CORRIDOR THERAPY/ TREATMENT SPACE r\ ()F COIOwit p� U GOO SZ211-1 RUSSELL G. ELY 046 7 ASF ARG` Ely Architecture, Inc. 1615 California Street, Ste. 203 Denver. CO 80202 303 818 8586 ROOM 1ROOM 3 ROOM 5 R.R. ►e� TOILET 1 ity or COMMUNITY DEVELOPMENT APPROVED Rev;: wea for Code Compliance L& J_'_4 Wars Ewrniner DMS Validmvodae-A: alobn ra[c�ir ei.0 maoanweorions slog mot be operm*fn, or go gvnrovdae&V• iso amr of r vK+s+s7a+s oJrhe 0ugdimp codr gal av' �' aAimanoes. 0% is Ob aresU" to pyx oudwr¢y to vkdate of aon ft movdsA ms ofow Sloft cmVs or oder orfinaoces of dee City sW matin raft ROOM 7 11 ROOM 9 "V 11 ROOM 11 LOCA 111=20' RM 68 SHOWER TION MAP c � ROOM 13 ' ROOM 15 1 rti5 L ROOM 17 II ROOM 19 JL=_q, ROOM 21 Sheet 1 of 2 CHRISTOPHER HOUSE 6270 W. 38th Avenue Wheat Ridge, CO 80033 22 MAY 2017 / REPAIRS TO RESIDENT ROOM #30 N.E. CORRIDOR REPLACE WINDOWS TO MATCH EXISTING. WINDOW(S) - WITHIN 24" OF DOOR GLASS MUST BE TEMPERED— RE-FRAME DAMAGED WALL PER ENGINEER LETTER DATED 5/16/17 ROOM 30 FLOOR PLAN "'A 3/8" = 1'-0" _ Ely Arc�ture, Inc. 1615 California Street, Ste. 203 Denver, CO 80202 303 818 8586 ROOM 32 REPAIR/REPLACE BRICK VENEER, SIDING & SOFFIT TO MATCH EXISTING — — — — — — — — — — — — — — — LINE OF EAVE ABOVE Sheet 2 of 2 CHRISTOPHER HOUSE 6270 W. 38th Avenue Wheat Ridge, CO 80033 PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Commercial Roofing PERMIT - 201700856 201700856 6270 W 38th AVE Reroof 300 sqs GAF HD *** CONTACTS *** OWNER (303)238-3838 VINTAGE SENIOR LIVING SUB (720)420-0850 Daniel Odenthal *** PARCEL INFO *** ZONE CODE: UA / Unassigned SUBDIVISION CODE: 160 / Skilling Nursing ISSUED: 05/25/2017 EXPIRES: 05/25/2018 160153 Guarantee Constr. Group LLC USE: UA / Unassigned BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 77,100.00 FEES Total Valuation 0.00 ,={ Use Tax 1,387.80 �. Permit Fee 954.95 G�D1�1�1�r� ** TOTAL ** 2,342.75 *** 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's 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) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding A/2 -inch exists. 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 manufacturera€ms installation instructions, whichever is more stringent. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Commercial Roofing PERMIT - 201700856 201700856 6270 W 38th AVE Reroof 300 sqs GAF HD ISSUED: 05/25/2017 EXPIRES: 05/25/2018 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be per0rmeis 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 original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 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. MAU Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of Wheatde COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-23778929 Inspection Line: 303-234-5933 Email: permits0ki.wheatridge.co.us I FOR OFFICE USE ONLY I Date: J Plan/Permit # 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: 0� ?(3� l`Z. Owner (please print): V (s AC0 5�" , ur Z ( U ; A Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: �Ctrw ,� _ CQ ENO) Architect/Engineer E-mail: Contractor: 61 lelGirCtVV k_'_ 00 Phone: Phone: Contractors City License #: 16C2422 Phone: 303 Contractor E-mail Address: cx vtDej c a ; 'r , (e -u,. 67 0 Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE � COMMERCIAL ROOFING El 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 REPLAC19MENT ❑ OTHER (Describe) n v,.151 ek- kcsw,e. T bpcs- (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.) 00 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) $-- 060, d0d"a 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 applicati that entity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: 9c"le-k Qj e G. ( SIGNATURE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received Water District ❑ Received Sanitation District ❑ Received ❑ Not Required ❑ Not Required ❑ Not Required DEPARTMENT USE ONLY DATE: 5 % OCCUPANCY CLASSIFICATION: TYPE OF CONSTRUCTION: SPRINKLERED: OCCUPANT LOAD: Building Division Valuation: $ Permit#:20111504 Issued: 06/20/2012 Stipulations: Phase II - Interior Remodels This certificate verifies that the building constructed and/or the use proposed of the building and/or premises, under the above permit number and on property described below, does comply with the Wheat Ridge Building Code and development standards of the zone district in which it is located and may be occupied. All other licensing requirements for the City must be met. EMMEOMMAM Owner: Stacey Love, Admin 6270 W 38TH AVE WHEAT RIDGE CO 80033-5056 Contractor: Thomas Trepasso 6840 LOWELL BLVD UNIT I DENVER CO 80221-2608 A If V , , City of �(jWh6atj d c c( COMMUNiTy DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W, 9`"' Ave. Wheat Ridge, CO 80033-8001 P. 303.235.2846 P. 303.2351857 DATE: May 30, 2012 TO: Accounting DepartmejM FROM: Meredith Reckert, Senior Planner SUBJECT: ESCROW REFUND/RELEASE U L, i 'flie Landscape improvements have been completed to the City of Wheat Ridge's satisfaction. Now SEND TO: 6840 Lowell #1 Denver, CO 80221 N 1 1 1 11110MMMINt tit UITIIIIIN 11AIIIII III lit R414 Em wwwA.wheatridge.coms 72/22/12 08802.47 City of Wheat Ridge Page ,p701 -is PERMIT INFORMATION -- 110959 armackey ?ERMIT INFORMATION;. permit#1 110959 Permit Type: Commercial Addition Permit D 08/!2/20!1 Expjres. 08/ii/2012 AND PARCEL INFORMATION: Zone Cd¢ Residential Multi Funct Use Unassigned Subdivision: Unassigned Cont Type: Miscellaneous Legal� Address: 6270 W 3 87H AV`E Parcel, Cd: 39-252-00-007 OWNERr STACEY LOVE, ADMIN. Address� City/St/zip: DU I Last Zone Dt: Annex Dt� Lot Block No 0 SetBacks -Fronts 0.0 Lefty 0.0 Right : 0 0 Mack: 0,(7 T,0 DESCRIPTIONl Phase I- East and West wing additions 1,759 sq ft ?EES QTY DUE PAILS: ?ennit Fee 300,000,00 2,422 05 2,422,05 aIan Review Fee '00 1,574,33 1,574,33 rotal Valuation 300,000.00 so CG Jae Tax 300,000.00 5,400,00 5,400.00 9,396,38 9,396,38 ONTACTS: NINER STACEY LOVE, ADMIN. 3038869982 3C CI,2 Avondale Construction Inc, Thomas Trepasso 6840 Lowell Blvd,, Suite #1 Denver, CO 80221 3033358400 ,u b CLS Absolutely OK Plumbing Brice Koons 3,110 W. Chenango Avenue Englewood, C) 80110 3039419286 rab CL9 L.J. Enterprise Michael David Jones '7799 Jared Way Littleton, CO 80125 3039333361 5ub CLA CrestView Electric, Inc, Michael /Julia. Doak 6691 King St, Denver, CO 80221 3034879791 >ARCEL INF()RMATI()N� 10 Structure Type 504 20 Year Built 1961.00 30 Property Type COMMA ?ER11 CONDITIONS� Three northern street trees most be a minimum of 21 caliper. All lighting shall be in conformance wift Section 26-503 of the Zoning and Development Code with fixtures fully shielded so that the source of the illumination is riot, visible from adjacent properties and streets, Note: Owner/Contractor is responsible for locating Property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information, Site signage will require separate pertnits. Approved per plans and red-line notes on plans, Must comply with 2006 IBC, IMC, IPC, IECC, lFGC, and 2005 NBC and all applicable City of Wheat Ridge Municipal Codes, Subject to field inspections, Drainage certification and 0 Cl M plan must be provided prior to issuance of Certificate of Occupancy. kPPROVALS: X02/22/12 08;02z47 City of Wheat Rid e Page 2 >p701 -Is PERMIT INFORMATICA4 - 110959 inmackey Sail Apprv Date Approver Note MReckert 02/21/12 M.Reckart Landscaping installed with exception of ground cover, Escrow in the amount of $1800 executed , no funds taken. PW 02/15/12 EDE Drainage Cert rec project approved for C O Zoning 11/18/11 MR Parking improvements only are approved by Planning. ZEQ13IRED INSPECTIONS STATUS� IERMIT NOTES )2/211 Escrow for landscaping executed with Tony from Avondale Constr. Okay by planning for C.O ,2/16/12 Recieved another call. from arch asking for state's forms. Planninq has been signed off wiaitinq to be picked up. )2/16/12 Outstanding landscape amount is $1800, Escrow completed and ready to go. Can sign C 0. when escrou is executed, )2/15112 Drainage Certification w/lLC has been received, project is hereby approved for C.0, by PW, )2/15/12 REcieved call from Jay Vicilrositz regarding landscape escrow. Agreement prepared - they will call back with monetary. estimate, )2/08/12 Signed off on state zoning form. Informed architect that I still need an escrow for LS before I can sign C,O, )2/01/12 Russell Ely called re, post construction *LC, I think lie was referring to the drainage certification and transferre to DB. Landscaping is being installed, t,1/17/11 Contractor requested parking inspection, Told him i would prefer to do it all at the same time inciviling LS. But sa I'd drive by Friday and take a look, )8/121/11 Photometric plan provided by email, Appr by planning for issuance. )8/12/11 Ind review of the Drainage Letter & Civil Plans Both have been approved; PW has signed-off on Pervii't Application. )8/12/11 CREATED FROM APPL# 11-0159 )8/09/11 Architect dropped off 1,andscaping and civil plans, Still need Photometric, )8/09/11, Landscape plan approved. )8/08/11 Rose Ely coming in tomorrow with civil and landscape plans, )8/oi/Il )8/01 , �11 Architect, emailed as he will be submitting the civil and landscape plans this week. Russ Ely provided an alternate parking design with 90 degree, compact spaces, It appeares to meet our standards. I advised him to show Kelly Brooks for fire accessibility. )7/11/11 Dave E. spoke. to Russell Ely on Friday 7/8/11 regarding the engineering submittal requirements, The reqld documents will be submitted upon their completion, )7/08/13. Russell with Ely Architect called to ask about status of review and when he would receive comments. Forwarded mess to JS, MR and DFB, )7/08/11 Spoke with Mr.Ely this morning about planning and Plq comments, He indicated that lie hadn't heard from building yet, Transferred him to Melissa to respond, )6/24/11 Pw and planning comunents emailed to architect. Copy provided to building. )6/24/11 Discussions on-going with WRFPD re, access in Tnal drive. )6/23/11 The let Review showed no civil design plans were included in the BEA plans. A comment letter was generated and San the architect along with Meredith's. )6/23112 06/22/11 FDA received from Kirk C. for review. )6/23/11 plans are waiting for additional sulbmittals in drawer #4, 02 , /2.2/ 1 ),2 08 02:47 City of Wheat Ridge Page 3 ', PERMIT INFORMATION - 110959 mmackey )6/22/11 PC approved, Gave plans back to public works (DFB) for approval before issuance, )6/20/11 Zoned R-3. must include landscape schedule for new plant materials. Comment letter prepared. 16 Given to MR for review, CPS SPEcrioN INFORMATION/ # TYPE CANTR# CALLED CNCL WHO PRO DT INS DT STKrUS 3 COUrCourtesy 1-0123 09/21/11 no my 09/22/11 09/22/11 CUMPLETE 4 COU, Courtesy 09/22/11 no PC 09/22/11 09/22/11 COMPLETE 5 SHE Sheathinq/Shwer Insp 11-0123 09/28/11 no KC 09/29/11 09/29/11 PARTIAL 7 PRI:Plumbirig Rough Insp. 08-0275 09/28/17 no KC 09/29/11 09/29/11 PARTIAL 8 ERIzElectrical Rough ins 091 110 PC 09/29/11 09/29/11 PARTIAL 9 DWS:Drywall screw/nail 11-0123 09129/11 no KC 09/30111 10 PRIiPlumbing Rough Insp. 08-0275 09/29/11 no PC 09/30/11 09/30/11 PARTIAL 13 FRI:Frarning Rough Insp, 09/29/ii no KC 09/29/11 09/29/11 PARTIAL 12 MRI.Mechanical Rough Ins 091`29/11 TIC) KC 09/29/11 09/29/11 PARTIAL 13 PRI.Framing Rough Insp, 09/30/11 no KC 09/30/11 09/30/11 PARTIAL 14 ERIsElectrical Rough Ins 10/04/11 110 NO 10/05/12, 10/05/1.1 PARTIAL 15 PRI.Pluibing Rough Insp, 08-0275 10/04/11 no KC 10/05/11 10/05/11 PARTIAL I 1A %TRI�Mevhanical Rough ins 08-0043 10/04/31 no PC io/ 05/11 17 FRI:Framing Rough Insp, 11-0123 10/04/11 no KC 10/05/11 10/05/11 INCOMPLETE 18 EFIaElectrical Final ins 1'0/05/11' no my lo/06/il 10/06/11 PARTIAL 19 SHE: Sheathi ng/ Sheer Insp 11. -0123 7.W1/05/11 no KC 10/06/11 10/06/11 INCOMPLETE 20 ERI:Electrrcal. Rough Ins 10/06/11 no my 10107111, 10/07/11 PARTIAL 21 PRI.Plumbing Rough Insp. 08-0275 30/06 no PC 10/07/11 10/07/11 COMPLETE 22 MRI:Mechanicai Rough Ins 08•0043 10106/11 no KC 10/07/1.1 1,0/07/11 PARTIAL 23 FRI»Framing Rough Insp, 1 10/061 no KC 10/07/11 10/07/11 PARTIAL •4 PRI•Privninq Rough Insp, 10/06/ii no KC 10/06 10/06/ii PARTIAL 25 INS:Insulation 10/07/11 no KC 10/07/11 10/07/11 PARTIAL 26 DWA.Drywall r screw/nail U-0123 10 1 no mv io/11/11, 10/21/11 PAT TI AL 27 INS:Insulation 1 1-0123 10/11/11, no mv 10/11/11 10/11/11 PARTIAL 28 FRIsFraminq Rough Insp, 11-0123 10/11/11 no PC 10/22/11 10/11/02 INCO14PLETE 29 MRI:Mechanical Rough iris 08-0043 10/11/11 no KC 10/12/11, 10/12111 INCOMPLETE 30 PRI:Plurrbing Rough Insp. 08-0275 3o/11/11 no PC 10/12/21 10/12/11 PARTIAL 31 ERI Eleotrical Rough ins 11-0123 10/11/11 no PC 10/12/11 10/12/11 PARTIAL 32 DWS:Drywall screw/nail 10/13 no AC 10/138 3.0/13/11 PARTIAL 33 FRI.Framing Rough Insp, 10/13/11 so AC 10/13/11 10/13/11 PARTIAL 34 ING;Insulation 1 10/14/11 no AC 1.0/17/11 10/3.4/1.1 PARTIAL 35 FRI;Framinq Rough Insp, 11-0123 10/17/11 no KC 10/18/11 10/18111 PARTIAL 36 PRI Plumbing Rough insp. 08-0275 10/17/2,1 no PC 10/18/11 10/is/11 PARTIAL 37 ERI Electrical Rough Ins 10/17/1 r10 'mV 10/18/11 10/18/11 PARTIAL 38 DWSsDrywall screw/nail, 11-0123 10/17/11 no PC 10/18/11 10/1,8/11 PARTIAL 39 PRI Plinnbing Rough Insp, 08-0275 10/18/11 no PC 20/19111 20/19/11 PARTIAL 40 MRI:Mechanical Rough Ins 08-0043 10/l,8/11 no KC 10219/3.i 10/19/i2 PARTIAL 41 FRI:Framing Roiigh Insp. 11-0123 10/18/17. no KC 10/19/11 10/19/11 PARTIAL 42 DWS.Dryaiall screw"nail 11-0123 101'18/11 yes KC 10/19/11 10/19/11 INCOMPLETE 43 ERIElectrical Rough Ins 10/16/12 no mv 10/19/11 10/19/11 PARTIAL 44 EFIzElectrical Final Ins 10/19/11 no my 10/19/13. 10/19/11 PARTIAL 45 DWS.Drywall screw/nail 11-0123 1.0/23./11 110 BCSI 10/24/11 10/24/11 PARTIAL 46 PRI:Plumbing Rough Insp, 08-0275 10/21/11 no SCSI 10/25/11 10/25111 INCOMPLETE 47 MRI:Mechanical Rough Ins 08-0043 10/21/11 no BCS! 10/25/11, 10/25/11 INCOMPLETE 48 FRI:Franiing Rough Insp. 11-0123 10/21/12, no SCSI 10/25/11 10/25/11 INCOMPLETE 49 PRI:Plurnbing Rough Insp. 10/27/11 no so 10/27111 10/27/11 PARTIAL 50 MRI:Mechanical Rough Ins 10/27/11 no AC 10/27/11 10/27/11 PARTIAL 51 ERI.Electrical Rough iris 10/27/11 110 BCSI 10/27/11 10/27/11 PARTIAL 5 2 ERI Electrical Rough ins 11-0123 10/27/11 no BCS1 10/28/11 10/28/11 PARTIAL 02/22/12 08:02s47 City of Wheat Ridge Page 4 )p701-ls PE1441T INFORMATION . 110959 mmackey 53 EUG,Electrical Unde:rgrd, 02-1367 11/01/11 no PC 11/02/11 11/02/11, COMPLETE 54 ERI:Electrical Rough ins 02-1367 11/04/11 no Kc 112'07/11, 11/07/11 PARTIAL 55 PRI:Plurnbing Rough Insp, 08-0275 11/04/11 1110 Kr- 11/07/11 11/07/11 PARTIAL 56 MRI�Mechanical Rough ins 08-0043 21/04/11 no PC 11/07/11 11/07/11 PARTIAL 57 FRI Framng ROUgh Insp, 111 •0123 11/04111 at KC 11/077'11 11/07/11 PARTIAL 58 EFI:Electrical Final Ins 11/16111 110 My 11/ 1.1/17ill PARTIAL 59 PFI:Plurnbing Final Irurp 11/16/11. no mv 11/17/11 11/17/11 PARTIAL 60 MFI:Mechanical Final 11/16/11 110 my 11/17✓11 11/17/11 PAJPrIAL 62 ZONE:Zoning Final Inspect. 11/17/11 no m1r 11117/11 11/18/11 COMPLETE 63 F'RI:Framiing Rough Insp. 11-0123 11/18/11 no AC 11/21/11 11/2i/ll PARTIAL 64 PRI;Pluvibing Rough insp, 08-0275 11/i8111 no KC 11/21/11, 11/21/11 PARTIAL 65 ERI.Electrical Rough Iris 02-1367 116 no MNI 11/21/11, 11/21/11 PARTIAL 66 MRI:Mechanical Rough Ins 08-0043 11/16/ii no KC 11/21/31 11/21/11 PARTIAL, 67 MRI.Mechanical. Rough Iris 11/21/1 no At 11/21/11 PARTIAL 68 PRI:Plumbing Rough Insp. 11/21/11 to AC 11/21/11 PARTIAL 69 PRJ:Plumbing Rough insp, 08-0275 12/07/11 no AC 12/08/11 12/08/11 PARTIAL 70 FRA:Framing Inspection 11-0123 12/07/12 no AC 12/08/1,1 12/08/13, PARTIAL, 71 ERI Electrical Rough ins 02-1367 12/08/11 no KC 12/09/11 12/09/11 PAWNAL 72 DWS:Drywali screw/nail 11-0123 12/12/11 110 AC 12/13/11 12/13/11 PARTIAL 73 FRA:Framing Inspection 11-0123 12/12/11 uo AC 12/13/13, 12/13/11 PARTIAL 74 1.217. Coortesy 11-0123 12 ' /13/11. no PC 12/14/1 1 12 /14/11 COMPLTE E 75 BFI�Building Final Insp 11-0123 12/15/11 no PC 12/19/11 122`19/11 PARTIAL 76 FRI' . Bui ldi ng Final insp 11-0123 12/16/11 no KC 22/19/11 12/16/11 INCCAMPLETS 77 EFI Electrical Final Ins 12/19/11 no PC 12/16/11 12/16/11 INCOMPLETE 78 PFI Plumbing Final Insp 12/19/11 no KC 12/16111 12/16/11, COMPLETE 79 MFI.Mechanicai Final 12/19/11 no KC 12/16/11 12/16/11 COMPLETE 80 EFI.Electrical Final, ins 12/19/11 no PC 12/19/11 12/1,9/13, COMPLETE 81 BFI:Buildinq Final Insp 11-0123 02/06/12 110 PC 02/07' 1 12 02/07/12 INCOMPLETE 82 SFI,Building Final, Insp 11-0123 02/22/12 no KC 02/22/12 02/22/12 COMPLETE Written evidence of compliance with local building codes must be obtainedprior to aftnal on-site Life Safety Code inspection. Contact the city or county department in your area and have the director or designee sign below. Theoriginal signedform must be returned to the attention of Life Safety Code Plan Reviewtntake at the address listed above. ONO 41 PURPOSE OF APPLICATION: Initial Licensed Facility (Check Al-I that apply) Change in Secured Beds Change of Ownership [ ] Change in Licensed Beds IMMEMMMMEMM From: To: (On Fy an option for or ETC facilities) From: To: I To: Scope of Project: M. EMS= RIM The above namen the requirements ot Me ty aving ju indicated in Section A (If "no" please *RpAkin on a sepanyte at6cbment.) ES NO RLMIMMUSM51 MMUMM 0 ZMEM N A 41 , V City of Escrow/Letter of Credit ]�qrWh6atP coml " �jjge Transmittal Sheet COMMUNrry DEVELOPMEW A letter of credit has been submitted for the property located at 6270 W. 38' Avenue, The escrow is in the amount of One thousand ei2ht hundred The above amount is to be held in escrow for: El Other: The escrow shall be held by the City as reimbursement to offset, cost to City for installation of outstanding landscaping improvements. Name Date C' Ity of W h6 _j -��COMMUNrry DEVELOPMENT Lands0aiLtillm,provement Escrow AgMe t "M 6270 W. 38 Avenue In the event that landscaping in accordance with the approved landscape plan is not installed by April 30, 2012, the City of Wheat Ridge or its designee shall have the right to enter upon said property to construct and/or install such improvements or do other such work to accomplish that purpose as may be necessary, provided that the City of Wheat Midge shall first give notice in writing to the property owner of its intent to do so. Approved and Agreed: Proi)ertv Owner Cily of Wheat Ridge, Colorado By: Date: 4- Print Name Business Address / Phl� Date Titte a CO 80221 Attmflon Tony Trepasso Total amount due: $18,926.16 Terms- Not 30 Days Thank you, Joe Arguello W. 4e Ave idge, CO 80033 4BER 720-690- C;p vv�� January * ,2012 ARGUELLO MAINTENANCE S . ee St. Zry 1,ak ewood, CO 80232 � 2 A. (West & East Courtyw�d) Install w drip baffier, wood mulch (westem red cedar) and is to be determined by designer. Terms- Net .30 Days Tbank you Joe Arguello cl c a LO i i wwp 1 iu ,fit B I LO I 1 iu JIVZ ArqtWIo aid 11/18/2011 Date Type oe is- rd Payment 10131r2 SRI lnv#3,94,002 4,40115 � � i ° nt 4,401.15 I i Is It x1 , ME 00'09Z 00 , 09V9 U 901-0 0 junowV)1094 ' I junoosia ana aoueleg is ZLOZ19M GOWUMuleW `W O, Z fiew d9v to L I or w 0 ct I I LO Ct ct a p 0 H ct ct ct I 0 n (n tu ftl H r*l M CI U, ct ct m rt p ct M ct ro 0 0. H (D P� 0 w LQ ID -01 ct 0 tr LO p fi. w r) D) 0 ct a rt I m , t ct f4j tu ftl H r*l LIFE SAFETY CODE Wriften evidence of compliance with local zoning codes must be obtainedprior to ofinal on-site Life Safety Code inspection. Contact the city or countv department inyour area and have the director or designee sign below. The origin signedform must be returned to the attention of Life Safety Code Plan Review Intake at the address listed above. Name of Facility: Christopher House Facility Type: (Hospital, Long-Term Care, etc.) _ j 6 t ....... Address: - 2 IV tk), 5,5� - `Ai , �- e Inlkzl— stree� City County Name of Contact Person: Stacey Love PURPOSE OF APPLICATION. Initial Licensed Facility (Check &LI that apply) Change in Secured Beds 303 421-2272 Phone: Fax: From: To: (On[jTan option fear ALR or - LXfac - ififies) f I Change of Ownership [ ] Change of Facility Location Addition/Renovation From: Tea; EM To: Scope of ProjectLYz bed d e • (: i t o I-,i ezit ,f a IN DrVELOPSAUNT Property Address 6 V Z Contractor: kA>&- .. r ii a� LLJ U) UJ CL CL. L .,.r/ U " V f y 0 U- t C w L 0 A U c 1 0 1 (... ca Q L LL ui 1: (p°.+',., CL o� _ 04 y "tit Y] 0 � .q u v0 yry t { � a pp� w wd' , t tt cc t4 ul ss L ko ui gg E 0 � u U7 4^- Eta _I E3 LLJ U) UJ CL CL. L .,.r/ V f y 0 0 U FILL 60L" IAV GONGRETE 13ELON T,O, PEDE5TAL Effigglas= I - T WE Wl TOP 4 50TTOM TD LFD(5E m PROJECT NAM& CHRISTOPHER HOUSE ntegral, inc. ADDITION -11 11 5 WHEAT RIDGE, COLORADO Structural Engineering Studio T 37, 2,590 31W Streal cmklei Coto a dc 803W 4 3 13 PROJECT*: 11025 SHEET #: K 49,55206v 303 9��5276� 3 4 DATE: 01/06/12 .n' �',t"�'T �. ,.�kh,�.v<.4i 6 }.,.o C.r kil..".xat?"1 . w,• m� SDW' DRAWN BY. MFG CHEED CK BY: TJW r� ti El m a "0 "C? 0 _._._ 0 Q CD m 0 W CD c 05 0 0 CD 0 W CD c 05 CL M s 0 0 0 m c 05 s iph 303,q93 4W !A m .gge — ,*Agm,2Lm Immmmulm, LamtwApe and Site Renovations im�oatt-e!t-- IXIWJI ORNAMENTAL TREE Soo DECIOUOUS SHI" FIERENWALS EVERGREEN SHRUB ORNAMENTAL GAkSS NAIWE SEF-0 2006 IBC. IMC, IPC, IPMC, IECC, IFC, IFGC; 2005 NEC, NFPA 99 wid ICC/ANS I A 1 IT 1 - 2003 building codes or other ordinancess of the City shag nd be vaK 0 v2o �ljx , 'VO -:Oov�"00'01 NORTH 3 CALEI'=20' 0 v2o �ljx , 'VO -:Oov�"00'01 3S" r 2" N 2" MIN. r_.... V BRICK r — j Ae 2X ATTAG TO V 6 141 W II4" TI Li l NEW 13R HIL KWIK CON II+ a F WAI%60T 24 "0 I" EMBEDMENT VEPTI m$ WW RI N BEAR NE5 NALL 5TUD TO 0MU CONNECT ,� t t 4, PROJECT NAME: CHRI STOPHER HOUSE Mntegral, \ ,0 9,N ADDITION • C)" WHEAT MIDGE, COLO Structural scirtrrec 5tuciic� z, 25 90 31st Street " X3 0 ° �" PROJECT : 11025 SHEET #: Boulder Colorado 80301 03 495 5206 v 303 495 5 6 t � Jt� �� ' � � � � DATE � � � � � DRAWN EY: MFG IS b X. c ti � �� LA S g ,. T1 DRILLED PAD ✓' w "' > B no City Of W beat 1� dge .,,MUN I V NA"LLORMLKI Property Address, :, iProperty Owner (please print): Phonw MMM3�� Address: City, State, Zip: Contractors City Licenso M Phone* MMUE= W M., M= MMUMM Emus= Squares _ BTUs _ Gallons _ Amps _ Sq Ft, __j P IN T NAME:/q/_'C�_4� gip, SIGNATURE: Contract Value- Review Fee (due at time of submittal): $ MM32��i M 11 Bldg Valuation: $_ 11 '" Contractom C 4' ALL, ity Li #: Phone Sub Contractors: Electricat Plumbing: Mechanical: rules or regulations of the City of Wheat Ridge or covenants, mernents or restrictions of record; that a�ll easurements shown and ♦ ZMEMEMEMEW SIGNATURE, VER) (CONTRACTOR) DATE: 1 1 Bldg Valuation: $_— ij F 4 1 •- CITY OF WHEAT RIDGE Building Inspection DIVIsion (303) 234 -5933 Inspection line (303) 235-2855 Office * (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type LF 1 Job Address is L -+ -J v'` t -, Permit Number I I Oi f Date: t I : [' Inspector: 1 DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIE Building Inspection Di (303) 234-5933 1nsDectj 1KiQD5=PT1nM A E ion line '929 Fax PIAI-/ M for inspection: Time red: Yes No,/ ve been made, call for Inspector: Jr 7� 'O REMOVE THIS 1Y MCE (ZO • CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office ' (303) 237 -8929 Fax INSPECTION NOTICE Inspection Typ Job Address to27G /IV< Permit Number / lG� r K U/ V . Jiti 7 ) 4 � n 1 r - Inspection required: Yes No t ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933. inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE / Inspection Type: �! k f Job Address: Permit Number: V u r ` ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes N "When corrections h ve been made, caff for re- Inspection at 303 - 234 -5933 Date: i Inspector: DO NOT REMOVE THIS NOTICE A;�.. -. • CITY OF WHEAT. RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office * (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type 14Ll F I Job Address 7, 1tt ?Y�r 1�l .Ins Permit Number Tj 6 ❑ No one available for inspection: Time %L)U Af�%� Re- Inspection required: Yes ;�I *When corrections have been made, call for re- inspection at 303 - 2345933 Date: 11)1!2 Inspector: , DO NOT REMO E THIS NOTICE r. CITY OF WHEAT RIDGE Building Inspection Division. 303) 234-5933 Inspectio kfe (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type E � Job Address 6.:2 70 Pr Permit Number SUB-CONTRACTOR AUTHORIZATION FORM Project Address:__6 General Contractor 1 #:_jJ Electrical Contractor Company Name , C Phone #: cz S s State License 9.. Master ----------- ly—l v:LO- ��_ Signature of Agent Date I Plumbing Contractor I Company Name: # Wheat Ridge License Signatur Agent Date I Mechanical Contractor Company Name: ------ Wheat Ridge License #: 'Qn Of Authorized Agent Phone: � - `CJ %j' Date *This application must be signed by each sub-coutractor confirming the same. G Li Inspection Type Job Address 070 W, 2S"' Permit Number n f r , E " r ❑ No one available for inspection: Time j�: "t_� AM %PM,✓' Re- Inspection required: ryes No When corrections have been made, call or re -inspe h Y 303- 234 -5933 p ()' r� a�a- r Ins e Date: ctor: $ r DO NOT REMOVE THIS NOTICE inspection Type C fG 3vrJ, fl 0" AOtIgP, Job Address 7f) trO, , � >q,14 Permit Number PO4"£ i 'r: �` ♦��:4' +' CITY OF WHEAT R1 Building Inspection D J (303) 234 -5933 /nsnect (303) 235 1MQ Inspection Type PKGl,l�l� >P'��1,: Job Address 62 %01 .' Permit Number q 4 la �} a{� Y x /76' i ;) 1 ❑ No one available for inspection: Time d/: < AMP M i . Re- Inspection required: Yes � No , When corrections have been made, call for re -ins J r' Date: lei /%111 Inspector: DO NOT REMOVE THIS Ni .. . 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 4,Z-10 i4a, 3Y - . Permit Number ,r f �zt X 14 1 r CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office - (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type Job Address Permit Number a "iYYler d Jl 5 iw .rf -1 ,- r ❑ No one available for inspection: Time AM M ;' Re- Inspection required: Yes When corrections have been made, call for re- inspection at 303 - 234 -5933 �€ t 7 Date: 10Zl f r`0 Inspector: f ! f _ DO NOT REMOVE THIS NOTICE 3 V �! • Y �! I 1 ❑ No one available for inspection: Time AM /PM I Re- Inspection required: Yes Nj r ) IncnPrtnr•f� if DO NOT REMOVE THIS ., t. .. r CITY OF WHEAT RIDGE Building Inspection Division r (303) 234 -5933 Inspection line (303) 235 -2855 Office * (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type° Job Address , e le, 3F Permit Number 3 V �! • Y �! I 1 ❑ No one available for inspection: Time AM /PM I Re- Inspection required: Yes Nj r ) IncnPrtnr•f� if DO NOT REMOVE THIS y �. • CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 office - (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type W6 ( avnr'rr `i441) Job Address 7C Permit Number ❑ No one available for inspection: Time f %f A 09 Re- Inspection required: Yes No *When corrections have been made, call for re- inspection at 303- 234 -5933 Date: /07& Inspector:: A f,, DO NOT REMOVE THIS NOTICE r CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 office ' (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type mow: F0 6Aar7�a -�- Job Address (9_71) � f t/t Sly L ii4tf f.ia.r Permit Number l r (t,�t QQ fA l ❑ No one available for inspection: Time Il;�O AMM Re- Inspection required`. Yes No When corrections have been made, call for re-inspection at 303- 234 -5933 Date. /h .ru ;i Inspecto U ' DO NOT REMOVE THIS NOTICE F . r' 'r h j i�.No one available for inspection: Tir r, Re- Inspection required:(_�ye�s No *When corrections have been made, call fo JJ ; Date: Inspector:, DO NOT REMOVE Tf �. ♦114, CITY OF�IHE RIDGE Building Insp,�cm Division (303) 234 -5933 Inspection line (303) 235 -2855 Office (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type Job Address - 7� Permit Number 1 A/74 , / i / l At 4f f','9 J' F . r' 'r h j i�.No one available for inspection: Tir r, Re- Inspection required:(_�ye�s No *When corrections have been made, call fo JJ ; Date: Inspector:, DO NOT REMOVE Tf i i 57 13uIZZi - A 4 ❑ No one available for inspectio ! Tim AM /PM Re- Inspection required: Yes No When corrections have been mad , all fbr,ro;'nspection at 303- 234 -5933 ` 1 4 -4, * CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office;' (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type PIC.i 11 Fk� Job Address 6:27,0 ( '"y ) Permit Number NY- ell- JxjT1zrrr)nE ❑ No one available for inspection: Time AM/ � • 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 , 3 o?� Permit Number 112�a yam^ - o No one available for inspection: Tige AM /PM Re- Inspection required: Yes( No e: Inspector: I DO NOT REMO ; HIS NOTICE .. • CITY OF WHEAT RIDGE 0000 Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office * (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type Job Address Permit Number �2• j - ❑ No one available for inspection', Timer AM/P;I� Re- Inspection required: :Yes No ,1 *When corrections have been made, call for re- inspection at 303 - 2345933 Date: fr i r Inspector: � x `' f` DO NOT REMOVE THIS NOTICE a pp ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yep Noy .. CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office * (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type G_ Job Address ° Permit Number j pp ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yep Noy X 11 1 ia► _ CITY OF WHEAT RIDGE (sus) za4 -5yss mspecrion tine (303) 235 -2855 Office ` (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type Job Addres '��c;f /,r Permit Number vt f ia. / ", 477 44 6 ✓ ✓ R f 7 i >I•Cd?�%'ri % !'3_� !!-� ❑ No one availablb4or inspection: Time A� F: Re- Inspection required: Yes No When corrections have been,made, calf for re- inspection at 303 -234 -5933 t Date: I Inspector DO NOT REMO- THIS NOTICE t 1 (303) 235 -2855 Office * (303) 23; INSPECTION NOTI Inspection Type Job Address /�217Ci All W A Permit Number _1ZI 'op i) rl �" -r "r) kf4 g. ❑ No one available for inspection: Time A M Re- Inspection required• Yes No "When corrections have been made, call fpr re- inspection at 303 -234 -5933 Date: Inspector: 616_,'�� DO NOT REMO V THIS NOTICE Im a No one available for insp 2e- Inspection required: N ,� `/ inspector:/ ® d DO NOT REM VE AM M � f.4 r: CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office * (303) 237 -8929 Fax INSPECTION NOTICE Via? Inspection Type 0 isVS °- l-IStQLA22. Job Address .79 , ✓ Permit Number 1162c) T �. V E".• " = r�k o sy+d g' — mi l' ❑ No one available for inspection: Time A PM ' Re- Inspection required: Yes No When corrections have been made, call for re-inspection at 303 - 234 - 5933 Dater » Inspector: r z'. DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 2855 Office ' (303) 237 -8929 Fax AI$WECTION NOTICE Inspection Type > ®a AaPA ..5 Job Address Permit Number j s3rr+ P " 'fkwpm , DO NOT REMOVE THIS NOTICE Inspection Type e— Job Address - 7E3_ Permit Number 3'7_5°` Tame e v�6YI 9Y^f �✓^a �.W f Ip'� ZZ £t puJe i q L c i d a d i ❑ No one available for inspection: Time AM /PM Re- Inspection required " Yes N o *When corrections have been made, call for re- inspection at 303- 234 -5933 Date:" g' '�±� Inspector: DO NOT REMOVE THIS NOTICE f r CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235 -2855 Office - (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type - Le' °��"� �` Y? Job Address 4 , 2';ca'� Permit Number 110M F o No A f �. City of SUB - CONTRACTOR AUTHORIZATION FORM Project Address: (02-� O w - 39� L Aue Permit #: f 16 l ,5 q• General Contractor: Electric Cont Company Name: State License #: Signature of Authorized Agent Date Plumbing Contractor Company Name: A6sa(,��c ��, ��u � Phone #: 3 52S -74e3 I State License #: L)9 Master #: 1 1 v3 - ?3y Weak Ridgq License #:. '()� Agent Phone #: Master #: Date Mech a n ical Contractor Company Name: Phone: Wheat Ridge License #: ----\ Ql, ized Agent must be signed by each sub - contractor confirming the same. ell City of WheatWidge PUBLIC WORKS Memorandum TO: Meredith Reckert, Senior Planner John Schumacher, Chief Building Official FROM: Dave Brossman, Development Review Engineer At10 DATE: August 12, 2011 SUBJECT: SUP -11 -02 /Christopher House I have completed the second review of the Drainage Letter and Drainage & Erosion Control Plan related to a Special Use Permit request for an expansion of a nursing home received on August 9, 2011 and August 12, 2011 for the property located at 6270 West 38 Avenue and I have the following comments: 1. They will need to contact the Department of Public Works at 303.235.2861 to schedule an inspection a minimum of 24 hours prior to the construction of the porous landscape detention areas. 2. All other previous comments have been adequately addressed; the Drainage Letter and Drainage & Erosion Control Plan are hereby approved for construction. Upon project completion, the following items must be submitted for review and approval prior to the issuance of the Certificate of Occupancy: 1. Drainage Certification Required Prior to C.O. Upon completion of the drainage improvements and prior to Final Acceptance of said improvements by the City of Wheat Ridge, the Engineer -of- Record Mr. Kenneth J. Clifford, P.E., shall provide to the City of Wheat Ridge a written, signed and sealed Drainage Certification Letter stating that the site grading was completed per the approved Civil Construction Plans, all drainage facilities were constructed and shall function as defined in the approved Final Drainage Report/Plan, and that the site has been accurately surveyed to confirm that the grading and construction of all drainage facilities was completed in accordance with these documents. The Drainage Certification Letter shall be submitted to the City for review and approval and accompanied by "As- Built' Plans for all constructed drainage facilities prior to issuance of a Certificate of Occupancy (or Certificate of Completion). Two (2) copies of the "As- Built' Plans shall be submitted as follows: a. 1 copy is to be on full -size 24" X 36 "bond paper, signed and sealed, and b. 1 copy is to be on electronic media (DVD or CD -ROM) and shall be in AutoCAD 2007 .dwe format only. Chnstopher Home 6270 W38th - approval.k.doex Public Works Engineering August 12, 2011 Page 2 2. Stormwater Maintenance Agreement and O & M Manual Required All post - construction Best Management Practices (BMP's) for water quality must be maintained and inspected by the property owner(s) per Section 20 -34 of the City of Wheat Ridge Municipal Code of Laws. For the stormwater quality facilities including, but not limited to, above - ground or underground detention facilities, porous landscape detention areas, porous pavement, centrifuge type devices such as a Rinker Stormcepter®, or for a hydrodynamic separation system such as a Contech Vortechs ®, a Operations and Maintenance (O & M) Manual accompanied by a Stormwater Maintenance Agreement will be required prior to issuance of the Certificate of Occupancy or Com lep tion The O & M Manual must be kept current and will be inspected on a regular basis by City staff to ensure compliance with City of Wheat Ridge requirements. Please contact Bill LaRow, Stormwater Quality Program Manager at 303.235.2871 for further information. The O & M Schedule/Log is typically assembled by the Engineer -of- Record, must be kept current by the property owner, and will be inspected on a regular basis by City staff to ensure compliance with City of Wheat Ridge Municipal Code requirements. The O & M is typically compiled by the Engineer -of- Record for submission to the City for review and approval. Christopher House 6270 W38[h - approval.1t.doex City of Wheat Ridge Commercial Addition PERMIT - 110959 PERMIT NO: 110959 ISSUED: 08/12/2011 JOB ADDRESS: 6270 W 38TH AVE EXPIRES: 08/11/2012 DESCRIPTION: 1,960 SF BUILDING ADDITIONS & INTERIOR FINISH REMODEL * ** CONTACTS * ** OWNER 303/886 -9982 STACEY LOVE, ADMIN. GC 303/335 -8400 Thomas Trepasso 11 -0123 Avondale Construction Inc. ** PARCEL INFO ** ZONE CODE: R -3 USE: UA SUBDIVISION: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** Permit Fee Plan Review Fee Total Valuation Use Tax ** TOTAL ** 300,000.00 j' 1 Conditions: Three northern street trees must be a minimum of 2 caliper. All lighting shall be in conformance wiht Section 26 -503 of the Zoning and Development Code with fixtures fully shielded so that the source of the illumination is not visible from adjacent properties and streets. Note: Owner /Contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. Site signage will require separate permits. Approved per plans and red -line notes on plans. Must comply with 2006 IBC, IMC, IPC, IECC, IFGC, and 2005 NEC and all applicable City of Wheat Ridge Municipal Codes. Subject to field inspections. Drainage certification and O & M plan must be provided prior to issuance of Certificate of Occupancy. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this docupynt and /or its' accompanying approved plans and specifications. of OWNER (Circle one)) Date 9 p 1. Ulty of Wheat Ridge - Commercial Addition PERMIT - 110959 PERMIT NO: 110959 ISSUED: 08/12/2011 SOB ADDRESS: 6270 W 38TH AVE EXPIRES: DESCRIPTION: 1,960 SF BUILDING ADDITIONS & INTERIOR FINISH REMODEL 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 original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 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 1 p n. Signatur of of Building Offical Date INSP TION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. A City of Wheat —Ri -, COMMUNITY DFw- LOPMGNT Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Property Address; Property Owner (please l vYF Mailing Address: (if different than property address) Address: 03 98c7 - 4 7q$ Z City, State, Zip: Contractor,: r¢VON1]fiLE GON^�?ft!/G7%�/�/ Contractors City License #: Phone: *&4!5Z 5;0,57. Sib 0 a'ctiaScri Plumbing: City License # City License # Descrvptlon o� work=':+ �, � �a SG f� rr��r>iN�i � poi fiiays ANrJ 11v`72 7A 16 1 < ,�r�visN RED -/oo�L Squares BTU's Gallons _Amps Sq Ft. Mechanical: City License # $ ontract Value: : L50Q Review Fee (due at time of submittal): o $ 4, 57. OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE (OWNER) (CONTRACTOR) or PRINT NAME: 9(ISSEGG 0GY of (OWNER) (CONTRACTOR) DATE: II & ;-Iq "`� Date: Plan # Permit # Building Permit Application D W• 2 iQj 77/ Bldg Valuation: City of Wheat Ridge Building Permit Submittal List The folffting items are required for the single- Or two family building permit submittal for the property located at . If any of the required items are not included in the submittal, the submittal will be considered incomplete and returned !in he � tely without review. This sheet must be sub " ed with the building permit application. Please initial beside each required item, signifying that it has been included. Review Required by: ❑ Building fanning ❑ Public Works SUBMITTAL DOCUMENTS: Plans: ❑ Three (3) full -sized (24" x 36 ") plans (Contents of plans detailed in the Single- and two- family handou yellow heading ❑ Three (3) stamped sets of foundation plans. ❑ Three (3) copies of a grading and erosion control plan. ❑ One (1) copy of a soils report. DOCUMENTATION: ❑ One (1) completed building permit application. ❑ One (1) property deed. ❑ One (1) certified survey or Improvement Location Certificate. ❑ Proof of utility availability (form provided by city). ❑ One (1) building permit submittal list. ❑ One Grade /Fill permit. The followin items are required for the commercial Or multi-family building permit submittal for the property located at �p � 7 y If any of the required items are not included in the submittal, the submittal will be considered incomplete and returned immediately wi out review. If you had a pre - application meeting with Staff, you must submit the checklist you received. Otherwise, this sheet must be submitted with the building permit application. Please initial beside each required item, signifying that it has been included. Review Required by: ❑ Building ISa Planning Public Works SUBMITTAL DOCUMENTS: j Plans: f9 Four (4) full -sized (24" x 36 ") plans (Contents of plans detailed in the Commercial & Multi - family handout) — pink heading ❑ Two (2) copies of a final drainage report and plan OR Two (2) copies of a drainage letter and plan ❑ Two (2) copies of a grading and erosion control plan ❑ Two (2) copies of a traffic impact study OR Two (2) copies of a trip generation study DOCUMENTATION: I/ One (1) completed building permit application. ❑ One (1) property deed. ❑ One (1) certified survey or Improvement Location Certificate. ❑ Proof of utility availability (form provided by city). V One (1) building permit submittal list. ❑ One Grade /Fill permit. A'! City of WheatRidge PUBLIC WORKS Memorandum TO: Meredith Reckert, Senior Planner John Schumacher, Chief Building Official FROM: Dave Brossman, Development Review Engineer DATE: August 12, 2011 SUBJECT: SUP -11 -02 /Christopher House I have completed the second review of the Drainage Letter and Drainage & Erosion Control Plan related to a Special Use Permit request for an expansion of a nursing home received on August 9, 2011 and August 12, 2011 for the property located at 6270 West 38 Avenue and I have the following comments: 1. They will need to contact the Department of Public Works at 303.235.2861 to schedule an inspection a minimum of 24 hours prior to the construction of the porous landscape detention areas. 2. All other previous comments have been adequately addressed; the Drainage Letter and Drainage & Erosion Control Plan are hereby approved for construction. Upon project completion, the following items must be submitted for review and approval prior to the issuance of the Certificate of Occupancy: 1. Drainage Certification Required Prior to C.O. Upon completion of the drainage improvements and prior to Final Acceptance of said improvements by the City of Wheat Ridge, the Engineer -of- Record Mr. Kenneth J. Clifford, P.E., shall provide to the City of Wheat Ridge a written, signed and sealed Drainage Certification Letter stating that the site grading was completed per the approved Civil Construction Plans, all drainage facilities were constructed and shall function as defined in the approved Final Drainage Report/Plan, and that the site has been accurately surveyed to confirm that the grading and construction of all drainage facilities was completed in accordance with these documents. The Drainage Certification Letter shall be submitted to the City for review and approval and accompanied by "As- Built" Plans for all constructed drainage facilities prior to issuance of a Certificate of Occupancy (or Certificate of Completion). Two (2) copies of the "As- Built" Plans shall be submitted as follows: a. 1 copy is to be on full -size 24" X 36 " bond paper, signed and sealed, and b. 1 copy is to be on electronic media (DVD or CD -ROM) and shall be in AutoCAD 2007 .dwg format only. Christopher Home 6270 W38th - approval.ltr.docx Public Works Engineering August 12, 2011 Page 2 2. Stormwater Maintenance Agreement and O & M Manual Required All post - construction Best Management Practices (BMP's) for water quality must be maintained and inspected by the property owner(s) per Section 20 -34 of the City of Wheat Ridge Municipal Code of Laws. For the stormwater quality facilities including, but not limited to, above - ground or underground detention facilities, porous landscape detention areas, porous pavement, centrifuge type devices such as a Rinker Stormcepter®, or for a hydrodynamic separation system such as a Contech Vortechs ®, a Operations and Maintenance (O & M) Manual accompanied by a Stormwater Maintenance Agreement will be required prior to issuance of the Certificate of Occupancy or Completion The O & M Manual must be kept current and will be inspected on a regular basis by City staff to ensure compliance with City of Wheat Ridge requirements. Please contact Bill LaRow, Stormwater Quality Program Manager at 303.235.2871 for further information. The O & M Schedule /Log is typically assembled by the Engineer -of- Record, must be kept current by the property owner, and will be inspected on a regular basis by City staff to ensure compliance with City of Wheat Ridge Municipal Code requirements. The O & M is typically compiled by the Engineer -of- Record for submission to the City for review and approval. Christopher Home 6270 W38th - approval.ltr.docx August 2, 2011 David F. Brossman, PLS City of Wheat Ridge, Public Works 7500 West 29th Avenue Wheat Ridge, CO 80033 -8001 RE: Christopher House, 6270 W. 38th Ave, Final Grading and Drainage Letter(FSI No. 100,413) Dear Mr. Brossman, This drainage letter is prepared for the building addition at the Christopher House located at 6270 West 38th Avenue, Wheat Ridge, CO 80033. The purpose of this letter is to demonstrate that the proposed improvements and grading associated with the building addition do not significantly alter or increase, the storm runoff from the property. Please refer to the Drainage and Erosion Control Plan for further information. I have included our drainage calculations for the project. The total site is 67,486 sq. ft in size and has an existing 21,765 sq. ft. single story building and 33,892 sq. ft. of paved area. The existing impervious value of the site is 82.5 %. Storm surface runoff from the site is routed by the existing curb and gutters and ultimately discharged to the north into W. 38th Avenue. No existing detention or water quality features exist on the site. The proposed development includes two separate building additions to each wing totaling 2,183 sq. ft. and repaving(changes to the existing parking lot. The parking lot entrance will be widened to revise the parking layout, but landscaped islands will be added for a net reduction in paved areas to 33,337 sq. ft. (555 sq. ft. less). The total impervious area of the site increases by 2.5% to a total of 85.0 %. Based on the minor increase in impervious value, the increase in storm runoff from the site compared to historic runoff is insignificant. In an effort to increase the water quality features of the site, the three proposed landscape islands along the east 'side of the parking lot will be designed as porous landscape detention (PLD) per the USDCM. The three islands add approximately 640 sq. ft. of PLD to the site with a average depth of 12 ". The islands will be designed to capture storm runoff, and in the event of a larger storm, overflow will be directed via curb cuts along the same historic paths. The ultimate discharge of storm will match historic patterns. Please feel free to contact me with any additional comments or questions. Thank You, Kenneth J. Clifford, PE Engineering Project Director' For and on Behalf of Flatirons, Inc. CITY OF WHEAT RIDGE PUBLIC WORKS RECEIVED orl,59/y/ Sr Svlj rvrTr.� LJPPRovEa ash! / /� /��-�S Designer: K Clifford Company: Flatiron, I= Date: August 2i 2011 Project: Christopher Nome Expansion Location: 6270 West 38th Avenue, Wheat "a, CO 1. Basin storage volume (1, =100%if all payed and roofed areas uls of PLD) I,= 85.00 % A) Tributary Area's Imperviousness Ratio (I = I,/ 100 ) I = 8) Contributing Watershed Area Including the PLO (Area) Area = 67,486 square feet C) Water Quality Capture Volume (WQCV) WOCV = ,,....,,s,8, g;;k,<, + watershed inches (WQCV= 0.8•(0.91�•i'- 1.19'1` +0.78'D) - D) Design Volume: Vol" = (WQCV / 12) • Area Vol- _ 1,S 9,p i cubic feet 2. PLD Surface Area (A and Average Depth (d.,.) Aae = 040 square feet I (d..:= (Vol /Ap ). Min=0.6, Max=1.0) d„ = ; 2,65 ":', ", feet NOTE: Average depth In call 024 should fall between 0:5 and 1.0 check taientry. 3. Sand /Peat Mix and Gravel Subbase (Sea Rgure PLD-1) A) 67% Sand / 33% Peat Mix with 8" ASSHTO #67 Coarse X 18" minimum depth sand/peat mix with Aggregate subbase underdreln unless In sandy soils (no underdrain req.) B) 67% Sand 133% Peat Mix with no aggregate subbase 3G' adnimum depth sand/peat mix for NRCS Type D soils where underdrein Is not possible C) Other Other. 3. Draining of PLO (Check A, or B, or C. answer D) i m �., ;U Infiltration to Subgrade with Permeable Based on answers to SA through 6D, check the appropriate method Membrane: 5(C) checked and 5(0) =no A) Check box if subgrade Is or expansive day n :- <a Underdmin with Impermeable 8) Check box If subgrade is silty or dayey sands Membrane: 5(A) checked or S(D) =yes C) Check box If subgrade is well -draining soils X �a Underdrelnwith Permeable Membrane: D) Does tributary catchment contain brnd uses that may have 5(8) checked and 5(D) =no petroleum products, greases, a other chemicals present, such as gas station, yy88 no eIX < .,:24 Underdmin with Impermeable Membrane: hardware core, restaurant, etc.? 3(B) checked - Evapotranspiration only Other: 100413 -USDCM Vol 3 BMP Design Forms v2.05 (20050912):xls, PLC) 8/212011, 314 PM 0 O a w 4 x ro 3 0 N b GRAPHIC SCALE ire =ma i �xx c ymi�' V J �c ° a C = mmn4: y M O N Z pJ 2 0 5 NOv o oho S a z 0 Q <i 0 =w z =¢3 0 oz E oZ; w NZ w ¢<m a TXM _ Uw3 0 a n N b DRAWING G -1 SHEET t OFi Page 1 of 1 Meredith Reckert From: Kelly Brooks [kbrooks @wrfire.org] Sent: Thursday, July 21, 2011 3:26 PM To: Russell Ely Cc: Meredith Reckert Subject: RE: Christopher House - Parking Hi Russell- The revised site plan looks acceptable and addresses my concerns regarding fire department access. Thank you for your efforts! Kelly Brooks Fire Marshal Wheat Ridge Fire Protection District From: Russell Ely [ mailto :russell @elyarchitecture.com] Sent: Tuesday, July 19, 20117:01 AM To: Kelly Brooks Cc: mreckert @ci.wheatridge.co.us Subject: Christopher House - Parking Hello Kelly, Attached you will find a revised parking layout with a 24 foot wide drive aisle. Please review and let me know your thoughts. Thank you, Russell Ely, AIA ELY architecture, Inc. 2525 Outlook Trail Broomfield, CO 80020 Tel: 303. 860. 7883 CC.h, I ENTiALITY LACTIC : his e -ria:I .,c -,:, tas ',hr ran t+_ a: cr snFity rarned above, if you ale net fl e .ntendec re„ iperY. 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Tilt X Y Z 1 A -91.0 57.0 25.0 25.0 0.0 0.0 -91.0 58.3 0.0 2 A -91.0 115.0 25.0 25.0 180.0 0.0 -91.0 113.8 0.0 3 A 45.0 4.0 25.0 25.0 0.0 0.0 45.0 5.3 0.0 V MC WVCE MKIEL n9.9@IL M IX � VKL n 748 m n r ouvn evrc fFi9�R •4l• IX TREES ETEYnu Iq 83 1•LP( Ua mofem mnsa9L N M 0Aft9E nnni9 aW Plan View Stale V= 40' C ®e M TREES 3NX M A P�'� nn9e O e•Ilti l y enn ell 0 u �E»e"9ii GO r.a eET•1 F4 EIENAA N 3 y m O 0 4 L. O vi T 3 C � o y.� O w y o A O n1 N P..b p 7 N a) - ,` L W o v y y> d b W E STATISTICS Description Symbol Avg Max Min Max/Min Avg /Min Calc Zone #1 0.2 fc 2.8 fe 0.0 fc N/A N / A NOTES 1.. file = visual- filesaug20ll- christopherhouse3.vsI 0.0 L X 0.0 + + 1 . .25 a a + ++24 . . 2 1 1 cull + 0.0 '0.0 `0 1 14 2.2 + 1. 2 2.2 n4•S a a 1 1.3 + + to + + + + 09' 1 0.0 . .0 + 0. + + 0.0 0 0.0 + + 0.0 ' 0.0 + 0.0 ' ' 1.7 t-'l.4 ' 1.3 + + 0.9 + + 09 + . .0 " M ' + 1.5 + + 1.5 + + .6 1 1+ 9. + n•c® ' 0.0 + 0. + + 0.0 0 0.0 + nATI 1 1 ] ) n nJASE T 0.0 + 0.0 + 0.0 F ]L + I 1 1.6 1 + ) 0.251 + + 0.1 + 09 1 0. + + 0.0 + 0. ` `0.0 0 0.0 + *A 'W.%.0 '0.0 + + .1 . .2 + + 6 + + .3 1.3 2 2 + +2. + +1 + 6 5 5 2 2.0 1 1.2 ' '1. 0 0 ' ' . .2 + .0 + 0 5 + 0.0 'o.o 'o.o + + + + + + + + E + + + + + f E + k E f + + f41Gte 5 + r 0.0 -+ 0.0 + 0.0 + 0.0 + 0.0 0.0 '0.0 + 0.0 + 0.0 '0.0 + 0.0 + o.0 + 0.0 '0.0 + 0.0 '0.0 0.0 0.0 0.0 + 0.0 `o.o +6.0 '0.0 +0.0 WITenETI `0.0 '0.0 + + 0.0 0.0 ' ' 0.0 0. 0 W Wd + 0.0 0.0 ' .0 0.0 '0.0 .1 0.0 + 0.0 '0.0 0.1 + na> . 1] 0.2 0.0 '0.0 '0.0 e + .50. 00.25 '0.1 + 0.0 '0.0 N9i - + .0 1. % 6 + 0.1 + 0.0 + 0.0 ELW4e + 2.8 1.4 1.2 .2 + 0.1 + 0.0 + 0.0 nABf] W9111+ + + 0 0 - 1 0.1 + 0.0 0.0 .3 0.3 0.2 ' 0.1 + 0.0 + 0.0 + 0.0 0.0 '0.0 +0.0 +0.0 '0.0 +0.0 0.0 0.o +0.0 +0.0 +0.0 +0.0 +0.0 +0.0+0.0 '0.0 '0.0 + 0.0 + 0.0 + 0.0 + 0.0 + 0.0 + 0.0 + 0.0 LUMINAIRE SCHEDULE Symbol Label Qty Catalog Number Description Lamp File Lumens LLF Watts A 3 KSF1 175M R3 HS Specification Area ONE 175 -WATT CLEAR o (PULSE START) Luminaire, 175W Metal BT -28 METAL HALIDE, KSF1_175M_R 14400 0.72 208 Halide, R3 Reflector with HORIZONTAL POSITION. 3_HS_(PULSE houseside shield, Full _START).ies Cutoff MEETS THE NIGHTTIME FRIENDLY' CRITERIA ■ B KSF1 175M R3 Specification Area ONE 175 -WATT CLEAR e (PULSE START) Luminaire, 175W Metal BT -28 METAL HALIDE, KSF1_175M_R 14400 0.72 208 Halide, R3 Reflector, Full HORIZONTAL POSITION. 3_(PULSE_ST Cutoff MEETS THE ART)Jes 'NIGHTTIME FRIENDLY' CRITERIA LUMINAIRE LOCATIONS Location Aim No. Label X Y Z MH Orientation. Tilt X Y Z 1 A -91.0 57.0 25.0 25.0 0.0 0.0 -91.0 58.3 0.0 2 A -91.0 115.0 25.0 25.0 180.0 0.0 -91.0 113.8 0.0 3 A 45.0 4.0 25.0 25.0 0.0 0.0 45.0 5.3 0.0 V MC WVCE MKIEL n9.9@IL M IX � VKL n 748 m n r ouvn evrc fFi9�R •4l• IX TREES ETEYnu Iq 83 1•LP( Ua mofem mnsa9L N M 0Aft9E nnni9 aW Plan View Stale V= 40' C ®e M TREES 3NX M A P�'� nn9e O e•Ilti l y enn ell 0 u �E»e"9ii GO r.a eET•1 F4 EIENAA N 3 y m O 0 4 L. O vi T 3 C � o y.� O w y o A O n1 N P..b p 7 N a) - ,` L W o v y y> d b W E STATISTICS Description Symbol Avg Max Min Max/Min Avg /Min Calc Zone #1 0.2 fc 2.8 fe 0.0 fc N/A N / A NOTES 1.. file = visual- filesaug20ll- christopherhouse3.vsI LUMINAIRE SCHEDULE Symbol Label Qty Catalog Number Description Lamp File Lumens LLF Watts A 3 KSF1 175M R3 HS Specification Area ONE 175 -WATT CLEAR o (PULSE START) Luminaire, 175W Metal BT -28 METAL HALIDE, KSF1_175M_R 14400 0.72 208 Halide, R3 Reflector with HORIZONTAL POSITION. 3_HS_(PULSE houseside shield, Full _START).ies Cutoff MEETS THE NIGHTTIME FRIENDLY' CRITERIA ■ B KSF1 175M R3 Specification Area ONE 175 -WATT CLEAR e (PULSE START) Luminaire, 175W Metal BT -28 METAL HALIDE, KSF1_175M_R 14400 0.72 208 Halide, R3 Reflector, Full HORIZONTAL POSITION. 3_(PULSE_ST Cutoff MEETS THE ART)Jes 'NIGHTTIME FRIENDLY' CRITERIA LUMINAIRE LOCATIONS Location Aim No. Label X Y Z MH Orientation. Tilt X Y Z 1 A -91.0 57.0 25.0 25.0 0.0 0.0 -91.0 58.3 0.0 2 A -91.0 115.0 25.0 25.0 180.0 0.0 -91.0 113.8 0.0 3 A 45.0 4.0 25.0 25.0 0.0 0.0 45.0 5.3 0.0 V MC WVCE MKIEL n9.9@IL M IX � VKL n 748 m n r ouvn evrc fFi9�R •4l• IX TREES ETEYnu Iq 83 1•LP( Ua mofem mnsa9L N M 0Aft9E nnni9 aW Plan View Stale V= 40' C ®e M TREES 3NX M A P�'� nn9e O e•Ilti l y enn ell 0 u �E»e"9ii GO r.a eET•1 F4 EIENAA N 3 y m O 0 4 L. O vi T 3 C � o y.� O w y o A O n1 N P..b p 7 N a) - ,` L W o v y y> d b W E STATISTICS Description Symbol Avg Max Min Max/Min Avg /Min Calc Zone #1 0.2 fc 2.8 fe 0.0 fc N/A N / A NOTES 1.. file = visual- filesaug20ll- christopherhouse3.vsI LUMINAIRE LOCATIONS Location Aim No. Label X Y Z MH Orientation. Tilt X Y Z 1 A -91.0 57.0 25.0 25.0 0.0 0.0 -91.0 58.3 0.0 2 A -91.0 115.0 25.0 25.0 180.0 0.0 -91.0 113.8 0.0 3 A 45.0 4.0 25.0 25.0 0.0 0.0 45.0 5.3 0.0 V MC WVCE MKIEL n9.9@IL M IX � VKL n 748 m n r ouvn evrc fFi9�R •4l• IX TREES ETEYnu Iq 83 1•LP( Ua mofem mnsa9L N M 0Aft9E nnni9 aW Plan View Stale V= 40' C ®e M TREES 3NX M A P�'� nn9e O e•Ilti l y enn ell 0 u �E»e"9ii GO r.a eET•1 F4 EIENAA N 3 y m O 0 4 L. O vi T 3 C � o y.� O w y o A O n1 N P..b p 7 N a) - ,` L W o v y y> d b W E STATISTICS Description Symbol Avg Max Min Max/Min Avg /Min Calc Zone #1 0.2 fc 2.8 fe 0.0 fc N/A N / A NOTES 1.. file = visual- filesaug20ll- christopherhouse3.vsI V MC WVCE MKIEL n9.9@IL M IX � VKL n 748 m n r ouvn evrc fFi9�R •4l• IX TREES ETEYnu Iq 83 1•LP( Ua mofem mnsa9L N M 0Aft9E nnni9 aW Plan View Stale V= 40' C ®e M TREES 3NX M A P�'� nn9e O e•Ilti l y enn ell 0 u �E»e"9ii GO r.a eET•1 F4 EIENAA N 3 y m O 0 4 L. O vi T 3 C � o y.� O w y o A O n1 N P..b p 7 N a) - ,` L W o v y y> d b W E STATISTICS Description Symbol Avg Max Min Max/Min Avg /Min Calc Zone #1 0.2 fc 2.8 fe 0.0 fc N/A N / A NOTES 1.. file = visual- filesaug20ll- christopherhouse3.vsI N 3 y m O 0 4 L. O vi T 3 C � o y.� O w y o A O n1 N P..b p 7 N a) - ,` L W o v y y> d b W E STATISTICS Description Symbol Avg Max Min Max/Min Avg /Min Calc Zone #1 0.2 fc 2.8 fe 0.0 fc N/A N / A NOTES 1.. file = visual- filesaug20ll- christopherhouse3.vsI STATISTICS Description Symbol Avg Max Min Max/Min Avg /Min Calc Zone #1 0.2 fc 2.8 fe 0.0 fc N/A N / A NOTES 1.. file = visual- filesaug20ll- christopherhouse3.vsI NOTES 1.. file = visual- filesaug20ll- christopherhouse3.vsI FEATURES & SPECIFICATIONS INTENDED USE — Ideal for car lot street lighting or parking areas CONSTRUCTION — Rugged.063` t hick, alminum recfilinear housing formed for weather -tight seal and integrity. Naturally anodized, extruded aluminum door frame with mitered corners, is retained - •ad two .188" diameter hinge pins and secured with one quarter turn, quick release fastener. Weatherproof seal between housing and door frame is accomplished with an integrally designed conceded silicone gasket that snaps into the door frame, and another gasket applied to the housing. finish: Standard finish is dark homes (008), polyester powder finish with inhorarchitectural colors available OPTICS raccoons are tumbled and segmented for supenor uniformity and control. Rebates altazh with rcolless fasteners and are rotatable and interchangeable Hurt cutoff distributions available'. iype II (tea deft Type HI kdymmetricl, Type It( No veard Throw,, sharp cutoff), tens is 125' do(kimpct- resistant tempered glass with thermally applied silk - screened shield. ELECTRICAL— Ballast: High pressure sodium 70 150W is high - reactance, high power factor, Constant wattage aumtransformer Car 2G0 -Mkili Metal halide: ID0 150W is high reactance, high power factor and standard with pulse start igniter technology. "SCWA" no[ required. Constant swelage aulotransformer for 175 -25OW. Super CWA (pulse start ballast), 88% efficient and TEA legislation compliant, is required for 151 -20OW (SCWA option) for US, shipments only. CSA or HILL required for probe start shipments active the U.S. Pulse -start ballast (SCWA) required for 200M. Ballasts are 1009E factory tested. Socket is porcelain, horizontally mownetl medium base socket for 70 -150W and poslimlaccrued mogul base socketfor 17SWand above, with copper alloy, nickel plated snvesti g and centermntact. ULlisted 1500 600V INSTALLATION — Extruded aluminum arm for pale or wall mounting isscured in fixtme when - Optimal mowttings availahle. LISTING — UL listed for wetmcations. Listed and III to comply with Cathcart standards (seeDpliods Noce: SpecihotionssubJen to change wheat ocular (atalao Number i ype Specifications EPA 15 ft" (14 m ) (includes arm) Le til21 -1/4 (54.0( Width: 15 - 1592 (393) Depth: 7 -114 (18.4) Arm: 4110.21 'Weight: 351hs (15.9 kg) "Weight as configured in example helms. All iielledons ae Impes (<ettimetenj waess orbenso. grxified. Area Lighting METAL HALIDE: 100 -25OW HIGH PRESSURE SODIUM: 70 -20OW 15'to 25' Mounting I I 0 Farm -4 n -I Momentum option Drilling template St RPxx, DA 12P S of DAI2M 6 WINrx 7 r. ' n ' GA"(3 a - I *a For shortest lead opera, configure product using holded options. I Nat ayailablewatc S69A. Example: KSE1150S R3TBSPO4LP1 - Tbesrn- auagesdtmtmnrplyenO Glifcmaii(L =Pa re9nla(nns_ 11 Maximum allowable wouch elampattacked_ 3 scruntemeedwith5(47" II vaili imhtrel "me aailabieum y with 1505. I Tex war7a spin the Ear acn 10 tx match far shemmts uw -3 race beori asanaaeaary tofftoov' hrlldeE< ompuivs3Si�tP .[G(ISStaredaNen3VNxVr714 KSF1 ,,V Prefixru, K5Fl Wren orderna_1, an acessa".. i5 A.avere with by and N3 droomims on.,. 6 : lla0l GY A „ cosvxnv .Ii4,u ;4xawzrdxdoolaadfi5cnalo rnptlaru i tun t yl Gf a peCfy it far use an Ci (fr Series Wattage DiSlYibotion ' 347V In cznadel. Ba11as4.' �. Maunhng . 19 May are RP09ar RI'.i2. - rylT ?a..5 Metal halide 100M' DSM' 200AT R2 Type 11 Voltage, 120 347 208' 480' block) Magnetic CWI Content war ttage facts led Type SP Square pole Arm ten tll y r ' Shipped separately DAl2P Degree arm, pole KS F1 _ reads 04 4 and 150M 250M' r3 type 111 740' TB" -'°� Pu(seSt"t O r Be Round pole 06 6'arm DAl2WB Degree arm, wall Ceramic metal halide arynunetric 277 23050HZ" SCWA Super C'WA pulse -start WB Wall bracket 09 9 "atm KMA Mastarm RISC Type IV for bacti 150MHC ward throw, ballast VIA— 'Ndodpoleor 12 12" adapter High pressure h sharp cvmff NOTE Forshipmems to 05. territories, vall bracket arm KTMB Twin mounting 50NA onot be specified to mmple with bar 70S' loos 2005` EISA. 1509 _ '., _titre`s .._,_ _ ... __ __ ,:., _.... .-_... ... _ .x.. a._.. Shippedinstalledtobnore EC Emergencycinuit" Shipped separately (blank) Dark bronze CR Corrosion LPI Lamp PER NEMAtv✓ist -lock receptacle CSA (SA Certified PEI NEMA twist -lock Pp (120,208,241 OWN White resistant finish included only (no phommntrM% NOM NOM Certified- PE3 BEAT, tv7isn -lock PE(347V) DBL Black CRT Non -stick ULP Less lamp SP Sin Single fuse (720, 277, 347V? g INTL Available for MH probe -start PE4 NEMA twist deck PE - DMB Medimr protective coating'• Na TB shipping outside the U.S. PE7 NEMA twist -lock PE (277V) bronze DF Double fuse (208, 240,480 16x1 KiluAlcial 120V control re lay" SC Shortie ca for PER opt ion DNA Natural pia T6 KVv4 Killian' 2771' control relay" aluminum wc�TrtMe' l alevoi s HIS House sideshield (R2, R3on QRS Quartz restrike system'' REGCI California title 20 effective an a guar ° QRSTU QRS time delay ° X7 ;2010 - 2- 3/3 .20190 120 260 `29 7;0 179 320 Tea 390 T20 -490 7 7.'a'; 31 125 -190 125 28a n5 -'90 125 320 T25 390 T25 -090 4, f T35 -190 T35280 ii5 -290 T3S32D T35390 T35490 DS) Notes 1 ^. Gse9"mm moretvminaires are mieiAetl I Nat ayailablewatc S69A. an a 90' drill ing pattern. - Tbesrn- auagesdtmtmnrplyenO Glifcmaii(L =Pa re9nla(nns_ 11 Maximum allowable wouch elampattacked_ 3 scruntemeedwith5(47" II vaili imhtrel "me aailabieum y with 1505. I Tex war7a spin the Ear acn 10 tx match far shemmts uw -3 race beori asanaaeaary tofftoov' hrlldeE< ompuivs3Si�tP .[G(ISStaredaNen3VNxVr714 5 ?lotaailaite enn iTY ,,V Prefixru, K5Fl Wren orderna_1, an acessa".. i5 A.avere with by and N3 droomims on.,. 6 : lla0l GY A „ cosvxnv .Ii4,u ;4xawzrdxdoolaadfi5cnalo rnptlaru i tun t yl Gf a peCfy it far use an Ci (fr 1 7 Ifialk fishml, 8 Criticlrwld-tap ballast LLA), 208, 24g 2771 ipo P7, 347V In cznadel. ':8 brute"adead. Catea- boary her availabiewccrees. . 19 May are RP09ar RI'.i2. rylT ?a..5 KSF1 Arm - Mounted Rectilinear Cutoff Lighting Coefficient of Utilization Initial Footcandles — KSF1 250M R2 TEST NO: 1194090701P ISOILLUMINANCE PLOT (Footcandle) 025 2 x 0 1 z 15 25 Z 5 7 �n ki 1 2= Z 3? 0 1 2 3 4 5 6 25OW pulse earl metal halide lamp. rated 22500 m s Fem candle values based on 20' unfng hai9ht. Classification: Type 11, shelf Full Culoff KSF1 250.'.1 R3 TEST NO 1194080302P ISOILLUMINANCE PLOT (Footcandle) z -2. t Z IF C 1 2 Z 3? 0 i 2 3 4 5 5 250W u Wse start natal Fonda lamp. ,,led 22500 rm . s- Fameondle rare, based on 2e' u nion, Clash SnaAon'. ')We III. Shut FUNCute& KSF1 250M R4SC TEST NO 1194080901P ISOILLUMINANCE PLOT (Footcandle) -2 t� i Gz C 1Z 2 U 3? vi ot 4 0 1 2 3 4 5 E 250W pulse start anal hall de lamp. r=ated 225CO ur.. s. Featcandle values based an 2e' Cl n sr, heioht assificatlort Untla,afrad(Type IV, Very Strait Full Cutoff KSF1 150S R2 Test No. TEST NO. 1194090802 KSF1 150S R3 Test No, TEST N0.1194081603 KSF1 150S R4SC Test No. TEST NO. 1194981502 COEFFICIENT OF UTILIZATION COEFFICIENT OF NIILILAIION COEFFICIENT OF UTILIZATION 0 I 2 3 4 5 6 150W bight id thrive sodium lamp, 20000 rated lumens. Footcandle total based on 35' maunling height, Distribution 16 TO cutoff. o 2 � s 1 0 1 i 5 1 5 6 150yN high pressure sodium lamp. 16000 rated l(mens. Footcandle :clues based on 35' mounting height Diisreuhon ill, full cuter. NOTES: i Photometric data for other distributions can be accessed hart the Lithure Lighting wet its. he ivvelithoulluct ai 2 Forelectrical characteristics, cansult.nomortechnical data specification sheets on www.Lithomitunom. 3 Tested to cutrentlES and NEMA standards under sta bi .'zed laboratoryconditons. - Various operating factors can cause differences Talisman laboratory and actual field measurements. Dimensions and specifications are based on the masl cumsl arailehle data and are subject to change. 3 d i50:M high pressure sodium lamp. IMEN rated Iumeas. Fbolcandle values based or. 35' mounting height. Distre,tor. l`1, full cutoff. 0 2 0 3 I Mounting Height Correction Factor (Multiply the fie level by the correction feet.,) 35 moo nr'ng he'aht 20' mount rc height 15 IT .= 5.4 15 ft: 1.78 30 ft. 1.36 30 R.= 0.45 40 h. 0.77 40 ft.= 0.25 E_xistin, Mounting Height 2_ Correction factor get Ott l > a '_i tt , .. _... O N O d w o > r a W H U m W M 3 0 n � 30 9 L V�j � ° uai >. ~� a wo�' v. �=' o �n�IH O v PQ .y,�'an zj C "� w.1 M 0 0 m z W2o CO) 0o J Otp = Z O = W Z W _ n., -� Oz W F- 2a y Co r , m a = V z Uw3 0 0 n N Fov � �tl €tea GRAPHIC SCALE Iwmsr) DRAWING G -1 SHEET Of 1 �e 3` Meredith Reckert From: Kelly Brooks [kbrooks @wrfire.org] Sent: Thursday, July 21, 2011 3:26 PM To: Russell Ely Cc: Meredith Reckert Subject: RE: Christopher House - Parking Hi Russell- The revised site plan looks acceptable and addresses my concerns regarding fire department access. Thank you for your efforts! Kelly Brooks Fire Marshal Wheat Ridge Fire Protection District From: Russell Ely [ mailto :russell @elyarchitecture.com] Sent: Tuesday, July 19, 20117:01 AM To: Kelly Brooks Cc: mreckert @ci.wheatridge.co.us Subject: Christopher House - Parking Hello Kelly, Attached you will find a revised parking layout with a 24 foot wide drive aisle. Please review and let me know your thoughts. Thank you, Russell Ely, AIA ELY architecture, Inc. 2525 Outlook Trail Broomfield, CO 80020 Tel: 303. 860. 7883 Rig /9011 L' IS R! lUl1 i ❑ iS p .i r =. e r. ,� . t U ) _ f 2i - �. N• , -_ n , ti ^. Essag( , 81'G f idete 1I1G c "I "al .L.. Jti� ,.. d w"a , ,lt Rig /9011 City of � -� Wheatj�idge COMMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29' Ave. Wheat Ridge, CO 80033 -8001 P: 303.235.2846 F: 303.235.2857 June 23, 2011 Stacey Love, Administrator Christopher House 6270 West 38 Avenue Wheat Ridge, CO 80033 Dear Ms. Love This correspondence is in regard to your request for building permit for a building addition for property located at 6270 West 38 Avenue in the City of Wheat Ridge. I have reviewed your first submittal and have the following comments: PAGE Al 1. Identify all plant materials as being existing or proposed. For the new plant materials installed with this project, include a landscape schedule that includes species, quantities and size. Designate the location of the new materials to be planted. 2. The accessible parking spaces should be identified with both pavement marking and freestanding signs. 3. Identify the materials for the dumpster enclosure. 4. Designate the material for the proposed paving improvements. 5. Designate the circulation route on the drive areas. OTHERITEMS 1. A separate permit will be required for the refurbished sign at the northeast corner of the property. 2. If there are proposed exterior site lighting improvements, please provide a photometric plan with cut sheets for the proposed fixtures. Please submit three copies of the revised drawing(s) for review and incorporation into the other plan sets. If you have any questions, feel free to contact me at 303 - 235 -2848. Sincerely, Meredith Reckert, AICP Senior Planner www.ci.w heatri dge.co.0 s City of Wheat i dge PUBLIC WORKS City of Wheat Ridge Municipal Building 7500 W. 29" Ave. Wheat Ridge, CO 80033 -8001 P: 303.235.2861 F: 303.235.2857 June 23, 2011 Ms. Stacey Love, Administrator Christopher House 6270 W. 38 "' Avenue Wheat Ridge, CO 80033 303.738.0283 Dear Ms. Love, This correspondence is in regards to your Building Permit Application for the building addition to Christopher House located at 6270 W. 38 "' Avenue. I have completed the first review of the first submittal of the building plan set received by me on June 22, 2011, and I have the following comments: 1. As stated in the information I provided to you during the Pre - Application Meeting held on March 3, 2011, the following must be submitted for review and approval prior to approval of the Building Permit Application by Public Works: a. Drainage Letter and Plan: Water quality measures are required for all commercial redevelopments. Therefore, a Drainage Letter shall be required stating how the area of proposed asphalt will be placed without impacting adjacent properties and specifying what water quality items will be constructed (i.e., infiltration basin) to meet the City Site Drainage Requirements (please see attached sheets). The Drainage Letter shall be accompanied by a Drainage Plan showing the including existing percent grades and drainage direction, water quality features, and release point(s). Both drainage documents are to be signed and sealed by a Professional Engineer licensed in the State of Colorado. b. Erosion Control Plan: An Erosion Control Plan (signed and sealed by a Professional Engineer) which includes details for all utilized BMP's both during and subsequent to the proposed construction will be required. c. Construction Plans: Civil Construction Plans (signed and sealed by a CO licensed Professional Engineer) for all water quality and drainage- related items such as drain pans, curbing, infiltration basin, porous landscaping, etc. Include any applicable City of Wheat Ridge standard details for all proposed constructed items. 2. Due to the size and scope of this project, the Construction, Drainage, and Erosion Control Plans may be combined into a single "Drainage & Erosion Control Plan." 3. Subsequent to review and approval of the above documents Public Works will be able to sign -off on the Building Permit Application. The above comments are as of the date reviewed and may not reflect all comments from other departments or reviewing agencies. If you have any questions, please contact me at 303.235.2864. Sincerely, David F. Brossman, P.L.S. City Surveyor /Development Review Engineer CC: Steve Nguyen, Engineering Manager _ John Schumacher, Chief Building Official File w- wwxLwhesnadgexo.us HEALTH FACILITIES AND EMERGENCY �oeco� MEDICAL SERVICES DIVISION �?�, 4300 Cherry Creek Drive South ,! �, Denver, CO 80246 LIFE SAFETY CODE �� X 18 6 Voice: 303- 692 -2800 Fax: 303- 753 -6214 www .cdphe.state.co.us/hf/hfd.asp Colorado Department of Public Health and Environment BUILDING DEPARTMENT Sign off for Local Authorities Written evidence of compliance with local fire codes must be obtained prior to a final on -site Life Safety Code inspection. Contact the city or county department in your area and have the director or designee sign below. The original signed form must be returned to Health Facilities and Emergency Medical Services Division (HFEMSD) at the address below - ATTN.• Life Safety Code Plan Review Intake 13T - 1 HE APPLICAIN1 PURPOSE OF APPLICATION: [ ] Initial (Check all that apply) [ ] Change of Ownership [ ] New Secured Unit [ ] Increase in Beds From: To: [ ] Change of Location From: To: [ W enovation Scope of Project: h?% e Name of Facility: li'N I ) 4o Facility Type: (Hospital, Long -Term Care, Address: lad 70 ( ,) , 3R /we Street M Wl e cer i,`d City Does this project involve a new secured unit or change to a secured unit? [ ] YES [ LJ Does this project involve a change to the current number of Licensed Beds for the facility? [ ] YES If yes, what will be the new number of licensed beds requested? County [ Tf" o Name of Contact Person: :5*c e„4 1—o ✓R-- Phone: ( 303 �4 ax: ( b ) y�j - 1 S `a Building Department having Jurisdiction: y o=i CUn <E.4 TQ /t�G c` i The above -named facility meets the requirements of the local Authority Having Junsdicti (AHJ) for the building based on work indicated in Section A: [ AYES [ ] NO (If "no" please explain on a separate attachment.) Signature:_ // Date: /��j Name of Person to Contact: 15 Phone: (30 )a35 -,2850 Fax: (j .;tf7 - gg1 c 1 33 RETURN FORM TO: Colorado Department of Public Health and Environment Health Facilities and Emergency Medical Services Division ATTN: Life Safety Code Plan Review Intake 4300 Cherry Creek Drive South Denver CO 80246 HEALTH FACILITIES AND EMERGENCY R k , oF Q �q MEDICAL SERVICES DIVISION N 4300 Cherry Creek Drive South c Denver, CO 80246 LIFE SAFETY CODE• � 18'16 Voice: 303- 692 -2800 Fax: 303- 753 -6214 w .cdphe.state.co.us/hf/hfd.asp Colorado Department of Public Health and Environment ZONING DEPARTMENT Sign off for Local Authorities Written evidence of compliance with local fire codes must be obtained prior to a final on -site Life Safety Code inspection. Contact the city or county department in your area and have the director or designee sign below. The original signed form must be returned to Health Facilities and Emergency Medical Services Division (HFEMSD) at the address below - ATTN. Life Safety Code Plan Review Intake BY 1HI PURPOSE OF APPLICATION: [ (Check all that apply) [ [ [ [ To: To. [ L�enovation Scope of Project: t; ..S �ln(1 S 1 f}CLiJ ] Initial ] Change of Ownership ] New Secured Unit ] Increase in Beds From: ] Change of Location From: SECTION B: TO BE COMPLETED Name of Facility: /r 1 Facility Type: (Hospital, Long -Term Care, Street City Does this project involve a new secured unit or change to a secured unit? [ ] YES [ "1_'NO Does this project involve a change to the current number of Licensed Beds for the facility? [ ] YES If yes, what will be the new number of licensed �� beds requested? Name of Contact Person: Lz'z Phone: County [ - 1&O - /sv/ SECTION C: U191 Zoning Department having Jurisdiction: 6�'KQ r.N rI NM OX&I The above -named facility meets the requirements of the local Authority Having Jurisdiction (AH.i) for zoning based on work indicated in Section A: [ ] YES [ ] NO (If "no" pleasF explain on a separate attachment.) Name of Person to Contact: /mil z cry: -fj�j PP, kv, f- Phono: (3 ?C -ZQS f ax: Address: Date: - Z- — /! �bo 33 RETURN FORM TO: Colorado Department of Public Health and Environment Health Facilities and Emergency Medical Services Division ATTN: Carol Sutherland 4300 Cherry Creek Drive South Denver CO 80246 {EFT Rip WHEAT RIDGE FIRE PROTECTION DISTRICT DOING THE RIGHT THINGS AT THE RIGHT TIMES FOR THE RIGHT REASONS 3880 Upham Street Wheat Ridge, Colorado 80033 e ph.303.403.5900 a www.wrfire.org DIVISION OF FIRE PREVENTION Fire Suppression System Test Report Date: Permit No: 4 D ' 022J 2 - IN Acceptance Test ❑ Follow -up Test PROJECT INFORMATION Facility Name: l =F{ y' ts} o ��•t a j Address: [02 70 w ?,cs1 to Ain, Installing Contractor: %/v -r1 h ��Test Representative:: --z EL ❑ Permit obtained from Building Department YES Q NO Permit obtained from Division of Fire Prevention []'YES ❑ NO Fire Prevention Rough Inspection Complete B YES ❑ NO SYSTEM INFORMATION El Wet Bury ❑ Antifreeze ❑ Combination' Density: o b Code Year: y1�iF,A --I�� FIRE DEPARTMENT CONNECTIONX'j w� Y N n/a ❑ ❑ ly Ball drip draining FDC has been provided. W(E] ❑ FDC connections spin freely. ❑ ❑ FDC checked for visible obstructions. C7 ❑ ❑ FDC threads are National Standard Threads and checked with WRFD hose coupling. pt] [[]] FDC is properly identified with as approved wall placard. ❑ Z O FDC is installed at a minimum height of not less than 36 inches above finish grade. ❑ ❑ p FDC obstructions are noted: ❑ ❑ FDC is located within 150 ft. of a new or existing fire hydrant. If not, explain: 1 X ttnn p ❑ ❑ . FDC has been installed above the control— ❑ JJQ [yam If not, is the sprinkler system provided with multiple risers? p'❑ ❑ An outside horn and strobe is installed at or above the FDC. 900 The outside horn and strobe activates upon sprinkler flow only. IZ / BACK FLOW PREVENTION h C7 " `)F_r -V'CCV, 4)ns & rpyt— I I _ ?j, 10 Y N n/a p "❑ ❑ Back flow prevention is installed. Type: ❑ Double check ❑ Reduced pressure ❑ ❑ I' Manufacturer of Back Flow Prevention: R//O ❑ Backflow prevention has been tested by an independent tester. L ❑ ❑ Control valves are installed on each side of the back flow prevention device. Wheat Ridge Fire Protection District Division of Fire Prevention Fire Suppression System Test Report E SPRINKLER SYSTEM RISER Y N n/a d❑ ❑ Sprinkler system riser is properly supported. ❑ p' ❑ Sprinkler riser is identified, if required. p'❑ ❑ Pressure gauge is installed at the base of the riser. f�p [I Pressure gauge(s) are installed on the riser(s). B ❑ ❑ Hydraulic calculation card(s) are installed and legible. Id❑ ❑ Control valve, drains, tests, anti - freeze loops are all identified with proper signage. 5 0 ❑ Spare head cabinet(s) is properly located next to the sprinkler riser. p ❑ �J77 Spare head cabinet(s) contains proper heads, number of heads, and sprinkler wrench. 11 G� ❑ The doors to the sprinkler riser room(s) are labeled with appropriate signage. ❑ MAIN DRAIN TEST Riser 1 Pressure at base of riser: " 1 Riser 4 Pressure at base of riser: Main Drain open pressure: Main Drain open pressure: Required pressure at base: Required pressure at base: Riser 2 Pressure at base of riser: Riser 5 Pressure at base of riser: Main Drain open pressure: Main Drain open pressure: Required pressure at base: Required pressure at base: Riser 3 Pressure at base of riser: Main Drain open pressure: Required pressure at base: ❑ ❑ ❑ Main drain pressures appear to be within calculation post on hydraulic calculation cards. [SPRINKLER HEADS Type of heads installed: ID Standard Coverage Sprinkler Heads ❑ Extended Coverage Sprinkler Heads ❑ ESFR Sprinkler Heads ❑ Residential Quick Response Sprinkler Heads Y N n/a pip ❑ Sprinkler head locations appear to be proper and in accordance with the approved plans d❑ ❑ Are all portions of the building protected by sprinklers? If not, note areas and reason: p ❑ ❑ Temperature ratings of sprinkler heads appear to be proper and in accordance with approved plans? If not, explain: 63 ❑ The type of sprinkler heads installed appear to be in accordance with the specifications submitted and approved? If not, explain: ❑�p Are any sprinkler heads painted? 0 ❑ ❑ Are all sprinkler heads provided with escutcheons? Wheat Ridge Fire Protection Distdct Division of Fire Prevention Fire Suppression System Test Report ©' INSPECTORS TEST Y N nya < LS 0 0 C'-fl L_ r F- S V� Lg'❑ ❑ Inspector's tests are labeled LOCATION TIME OF FLOW TO ALARM Riser 1: Riser 2: Riser 3: Riser 4: Riser 5: p PIPE SPRINKLER SYSTEM Y N Na p ❑ Is a dry pipe sprinkler system installed? Manufacturer. 1jL6 c 74 t ' p'❑ ❑ Dry pipe valve(s) are as specified and are installed in accordance with the approved plans. p ❑ Dry pipes are installed in accordance with the approved plans. EI'El ❑ Are pressure gauges installed at following locations: EJ'Water side and air side of the dry pipe valve. p�At the air pump supplying the air receiver where one is provided. p1n each independent pipe from air supply to dry pipe system. p ❑ ❑ Are quick opening or exhausters or accelerators installed? p ❑ ❑ Are pressure gauges installed at exhausters or accelerators? Imp ❑ Is an indicating valve installed in the connection between a dry pipe sprinkler riser and a quick / opening device? Is the valve supervised? © Yes B No ❑ ❑ Lg Is a listed anti - flooding device installed in the connection between the dry pipe sprinkler and the quick opening device? [9 ❑ The air compressor for the dry pipe system is listed and approved. P ' p The air compressor is on a separate circuit device to prevent it from being disabled. ❑ Is the air compressor automatically used to maintain the air pressure? CSI❑ ❑ The low air signal is monitored at the fire alarm panel p'❑ ❑ Connection pipes from the air supply to the dry pipe valve is not less than '/z inc in diameter and enters the system above the priming water level of the dry pipe. �❑ ❑ A check valve is installed in the air filling connected a listed or approved shutoff of either renewable disc or ball valve type. C�❑ ❑ An approved relief valve is provided between the air supply and the shutoff valve and set to relieve pressure no less than 10 psi in excess of system air pressure and not exceeding the manufacturer's limitations. 0 ❑ Control valves for dry pipe system are monitored [3 ❑ ❑ Activation of tamper switches sends a distinctly different supervisory signal to the monitoring company. �p ❑ Pressure noted on dry pipe valves: If psi d❑ ❑ Is the air pressure maintained in accordance with the instruction sheet furnished with the dry pipe valve or shall be 20psi in excess of the calculated pressure on the dry pipe valve, based upon the highest normal water pressure on the system supply. L/❑ ❑ Pressure noted on dry pipe valves: psi p ❑ Time of flow for alarm: [21 ❑ ❑ Time of flow for water visible at exterior of building: FJP. p'❑ ❑ Is time within the permitted time limits for water delivery? V 0 El' All drum drips and drains are identified. ck a E> ❑ System has been drained and returned to service. Wheat Ridge Fire Protection District Division of Fire Prevention Fire Suppression System Test Report ❑ ANTI- FREEZE SYSTEM Y N nla ❑ ❑ ❑ An anti - freeze system installed. ❑ ❑ ❑ A reduced pressure back flow prevention device is installed. ❑ ❑ ❑ A UL or FM listed expansion tank installed. ❑ ❑ ❑ Glycerin is installed in CPVC anti - freeze systems. ❑ ❑ ❑ The anti - freeze was tested and checked to: ❑ PRE - ACTION SPRINKLER SYSTEM Y N n/a ❑ ❑ ❑ A pre- action sprinkler is installed The pre- action sprinkler is: • A single interlock system which permits water to sprinkler piping upon operation of detection devices or automatic sprinklers. • A non - interlock system which admits water to sprinkler piping upon operation of both detection and automatic sprinklers. • A double interlock system which admits water to the sprinkler piping upon operation of the detection devices and automatic sprinklers. ❑ ❑ ❑ No more than 1,000 automatic sprinklers are controlled by pre- action valve. ❑ ❑ ❑ Time for system activation and water delivery is within 60 seconds. Time: ❑ ❑ ❑ Supervision electrical or mechanical is provided. Devices provided: ❑ ❑ ❑ Were all devices tested? ❑ STANDPIPE SYSTEM Y N We ❑ ❑ ❑ Standpipes are installed within building. Type of standpipes installed: ❑ ❑ ❑ Standpipes have been installed in accordance with approved plans. ❑ ❑ ❑ 1 -1/2 and /or 2 -1/2 connections have been checked with WRFD house coupling. ❑ ❑ ❑ Standpipe connections if installed within a cabinet allow for hose to be installed and tightened. ❑ ❑ ❑ Standpipe cabinets are identified. ❑ ❑ ❑ Standpipe cabinets are not blocked or obscured from view. ❑ ❑ ❑ Standpipe cabinets are not locked. ❑ ❑ ❑ Control valves are installed on all standpipe connections. ❑ ❑ ❑ Standpipes are located so that all portions of the building are within 30 feet of a nozzle attached to 100 ft of hose. SPRINKLER SYSTEM SUPERVISION Y N n/a p ❑ Sprinkler system in excess of 20 heads are supervised by a central, remote or proprietary monitoring station . [�❑ ❑ Sprinkler systems less than 20 heads have the control valve locked in the open position L�J'❑ ❑ Name of monitoring agency: C-,F-n1 p v1y d❑ ❑ Monitoring agency phone number: - o -, • 1?�' zr, — cS t S p'❑ ❑ Control valves send a distinctly different supervisory signal to the monitoring agency. ❑ ❑ Low air signal is monitored by the monitoring agency. p ❑ ❑ Water flow activates an exterior horn and strobe. [�❑ ❑ Alarm monitoring company receives all signals. Wheat Ridge Fire Protection District 4 Division of Fire Prevention Fire Suppression System Test Report ❑ FIRE ALARM SYSTEM Y N n/a 000 Audible and visual fire alarm signaling devices are installed within the building. ❑ ❑ ❑ Audibility tests performed. Average ambient noise level: db Average noise level in alarm: db 000 Is a minimum of 1 5D provided above the average ambient noise level? ❑ RESIDENTIAL MINI -HORNS Y N n/a ❑ ❑ ❑ Mini -horns are installed within the building. 000 Audibility tests performed. Average ambient noise level: db Average noise level in alarm: db 000 Is a minimum of 15Db provided above the average ambient noise level? ❑ FIRE ALARM PANEL Y N n/a ❑ ❑ ❑ Fire alarm system is provided with a separate 120 volt circuit. ❑ ❑ ❑ The circuit breaker for the fire alarm panel is identified in red and labeled. ❑ ❑ ❑ The breaker is identified for the alarm panel. Locked? ❑ Yes ❑ No ❑ ❑ ❑ Fire alarm panel has been checked for loss of power. ❑ ❑ ❑ Fire alarm panel without power is noted to send a trouble signal. ❑ ❑ ❑ A manual pull station is located at the fire alarm panel. ❑ ❑ ❑ A manual pull station is checked for proper operation. ❑ ❑ ❑ A smoke detector is installed in the fire alarm panel. ❑ ❑ ❑ The smoke detector at the panel was checked for proper operation. ❑ ❑ ❑ Two telephone lines provided for system monitoring: ❑ One dedicated ❑ Two dedicated ❑ ❑ ❑ Telephone lines checked for monitoring: ❑ Primary ❑ Secondary ❑ ❑ ❑ A DSSL line is provided for monitoring. ❑ ❑ ❑ Radio transmission of signals to monitoring agency. ❑ ❑ ❑ Telephone lines were re- connected to the alarm panel. ❑ ❑ ❑ Panel indicates trouble condition when 120 volt power is disconnected. ❑ ❑ ❑ Fire alarm tested and sent signal to monitoring company on battery power only. OTHER Y N n/a p'❑ ❑ All test papers have been provided and signed. [5'0 ❑ Copies of test papers have been provided to the Division of Fire Prevention. 129�0 ❑ A Knox Box is present and has been installed appropriately. p'❑ ❑ All required or necessary keys have been provided and placed within the Knox Box. ❑ Y ❑ Do as -built drawings need to be submitted? ❑ Imo❑ Maximum height four inch red stripe is installed at the designated height for sprinkler design and installed and noted as "NO STORAGE ABOVE THIS LINE ". Wheat Ridge Fire Protection District Division of Fire Prevention Fire Suppression System Test Report FINAL APPROVAL p�SYSTEM PASSED ❑ SYSTEM FAILED CORRECTIONS REQUIRED t-Vk. � 6 U l^ {�� :� 1�> t ✓-� C7 S V7 S' {"E vim, fib 1 C�6 L-r� `f" � I -r' , GY LL't') ✓�VVe'�ow., S1C�yl� CyL �Qr� �I>?� Waw Pp,� e d'j�, fi nr s 1-o fi3 E �>;�t %;� • . u l t N--rm S C,) 2 tAn2 Signature and title of the Division of Fire Prevention Representative who witnessed the test: 0 Wheat Ridge Fire Protection District Division of Fire Prevention Fire Suppression System Test Report TEST LOG TEST NOTIFICATION TYPE PASS FAIL Primary telephone line Secondary telephone line Circuit breaker off Battery backup disconnect - vK- IoW ` V d Wheat Ridge Fire Protection District Division of Fire Prevention Fire Suppression System Test Report DIVISION OF FIRE PREVENTION Fire Suppression System Inspection Report Date: I 2,-2-1-10 Permit No: 10 � 0' 'Z- Inspector: ;v, i�f�� p�- PROJECT INFORMATION Facility Name: r- 44t tVt6 Address: Co �- C) V ./ 3 Installing Contractor: 11✓F15+ —v 1 51 - INSPECTION TYPE: 5 Test L I SYSTEM INFORMATION: ®.Rough Inspection ❑ Wet ® Hydrostatic Test ® Dry ❑ Acceptance Test ❑ Antifreeze ❑ Follow -up Test ❑ Combination COMMENTS: C otn wfi /hl w = 'fS Cof-,)t . W PASS ❑ FAIL Title: Date: 1 2 `2 ^1 0 Wheat Ridge Fire Protection District Dhision of Fire Prevention Fire Suppression System Inspection Report DIVISION OF FIRE PREVENTION Fire Suppression System Inspection Report HYDROSTATIC TEST LOG All piping and appurtenances subjected to system working pressure shall be tested at 200 psi and shall maintain that pressure without loss for two (2) hours. Portions of systems normally subjected to system working pressures in excess of 150 psi shall be tested at a pressure of 50 psi in excess of system working pressure. DATE: l0 LOCATION: DATE: TIME: CS'. p PRESSURE: 2a psi LOCATION: TIME: psi PRESSURE: psi TIME: PRESSURE: psi psi CHANGE: 0 6 psi 0 psi DATE: LOCATION: TTIME: PRESSURE: psi psi psi DATE: DATE: LOCATION: LOCATION: TIME: PRESSURE: psi TIME: PRESSURE: psi psi psi CHANGE: psi CHANGE: psi DATE: LOCATION: TIME: PRESSURE: psi psi CHANGE: psi DATE: LOCATION: TIME: PRESSURE: psi psi CHANGE: psi Title: F. M Date: 1 Z �` Wheat Ridge Fire Protection District Division of Fire Prevention Fire Suppression System Inspection Report CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be corrected and system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and contractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving authority's requirements or local ordinances. PROPERTY NAME I Gk}(L.IS Tco ii ADDRESS 6270 w 39T1t cwF �J lit k�T Zt�� rr� 4�oc, z MEASURED FROM TIME INSPECTOR'S TEST CONNECTION OPENED (OVER) ACCEPTED BY APPROVING AUTHORITY(S) NAMES ADDRESS: PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS EQUIPMENT USED IS APPROVED IF NO, EXPLAIN DEVIATIONS: ® YES 21 YES ❑ NO ❑ NO HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO, EXPLAIN : ® YES ❑ NO INSTRUCTIONS HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: t. SYSTEM COMPONENTS INSTRUCTIONS 2. CARE AND MAINTENANCE INSTRUCTIONS 3. NFPA 25 ® YES ® YES ® YES ❑ NO ❑ NO ❑ NO LOCATION OFSYSTEM SUPPLIES BUILDING: /5. f{' /G * � F /oore MAKE MODEL YEAR OF MANUFACTURE ORIFICE SIZE QUANTITY TEMPERATURE RATING e rq 2 — Drt 20 y0 2 Z/S 'Z00 c r —! S Z.0 /0 l 2 e SPRINKLERS t r 6yr S S Zo /o Z 2C� 2 0 0 L 5 Zv r z 200 PIPE AND FITTINGS Type of Pipe: S c A /o r S 4 0 Type of Fittings: 5 C rc w4 d G as /rc.. i L— ,—«,ter c/ . ALARM DEVICE MAXIMUM TIME TO OPERATE THRU TEST CONNECTION ALARM VALVE TYPE MAKE A10DEL MIN. SEC. OR FLOW tN e'r INDICATOR DRY VALVE Q.O.D. MAKE MODEL SERIAL NO. MAKE A10DEL SERAL NO. DRY PIPE TIME TO TRIP THRU TEST CONNECTION WATER PRESSURE AIR PRESSURE TRIP POINT AIR PRESSURE TIME WATER REACHED TEST OUTLET' ALARM OPERATED PROPERLY MIN. SEC. PSI PSI PSI MIN. SEC. YES NO OPERATING TEST Withoul O.O.D. V, l aw ❑ With Q.Q.D. I ?L7 00 r�,� 7,v I _ VV 7 SO ❑ IF NO, EXPLAIN' MEASURED FROM TIME INSPECTOR'S TEST CONNECTION OPENED (OVER) J� v y ADDITIONAL EXPLANATION AND NOTES �/ a � IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING IF NO, EXPLAIN DELUGE& ❑YES O NO PREACTION VALUES UITOPERATE MAXIMUM TIMET DOES EACH CIRCUIT OPERATE DOES VALVE RELEASE? OPERATE RELEASE AR MAKE MODEL SUPERVISION LOSS ALARM? VLVE RE NO MIN. SEC. YES NO YES be made at not less than 200 Psi (13.8 bars) for two hours a 50 psi (3.4 bO) above static pressure In excess or 150 psi HYDROSTATIC Hydrostatic tests shall Differential dry-pipe valve clappers shall be left open during lest to prevent damage. All aboveground piping leakage shall be stopped TEST (10.2 bars) for two hours. DESCRIPTION PNEUMATIC Establish 40 psi (2.7 bars) air pressure and measure drop which shall nol exceed 1 -12 psi (0.1 bars) in 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop which shall not exceed 1 -12 psi (0.1 bars) in 24 hours. ALL PIPING HYDROSTATICALLY TESTED AT PSI FOR _2_ HRS. IF N0, STATE REASON: DRY PIPING PNEUMATICALLY TESTED AYES ❑ NO EQUIPMENT OPERATES PR OPERLY IVES C) NO SODIUM SILICATE NATIVES OF RE NOT USED OR EST NG SYSTEMS OR STOPPING O EAKS SODIUM SILICATE, BRINE, OR OTHER CORROSIVE HEMICA S TESTS ❑ YES ❑ NO WIDE H VAL INPS DRAIN READING OF GAGF�L D NEAR WATER SUPPLY TEST CONNECTION OPEN TES CONNECTION: SI TO SYSTEM RISERS FLUSHED BEFORE C N MADE TO SPRINKL NG EXPLPII UNDERGROUND MAIN AND LEAD IN CONNECTIONS O ER TION VERIFIED BY COPY OF THE U FORM NO 858 W YES ❑ NO FLUSHED BY INSTALLER OF UNDER- A) YES C3 NO l GROUND SPRINKLER PIPING NUMBER REMOVED BLANK NUMBER USED LOCATIONS: TESTING GASKETS WELDED PIPING IN YES U NO IF YES... DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY (g YES ❑ NO WITH THE REQUIREMENTS OF AT LEAST AWS D10.9, LEVEL AR -37 DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN ® YES ❑ NO COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS D70.9, LEVEL AR -37 WELDING DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS QUALITY IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT ® YES ❑ NO THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? CUTOUTS 7OU CONTROL FEATURE TO ENSURE THAT ALL ®YES ❑ NO DISCS CUTOUTS (DISCS) ARE RETRIEVED? HYDRAULIC NAME PLATE PROVIDED IF NO, EXPLAIN: DATA ® YES ❑ NO NAMEPLATE DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: REMARKS SOLUTION HAS BEEN TESTED AND IS RATED FOR USE TO A MINIMUM TEMPERATURE OF DEGREES FARENHEIGHT. ANTI FREEZE THE ANTI FREEZE DATE: TYPE OF ANTI - FREEZE: � Western States Fire Protection Comp NAME OF SPRINKLER CON TRACTOR: ° TESTS WITNESSED BY FOR PROPERTY OWNER (SIGNED) TITLE DATE SIGNATURES FOR SPRINKLER CON RACTO N DAT TITLE ,. •3® „ 0 FOR LOCAL FIR S ( IG E TI E DATE FOR RESPONSIBLE MAN f3 EMPLOYEE (SIGNED) TITLE DATE J� v y ADDITIONAL EXPLANATION AND NOTES �/ a � W heat Ridge Fire Protection Distric P.O. Box 507 ® 3880 Upham Street ® Wheat Ridge, Colorado 80034 -0507 303 - 403 -5900 ® 303 - 940 -0350 Fax ® www.wrfire.org , Iication Date: - i�) - 1 0 � Information �/ Name: ( A V -rZ Agent: J "thin (z- Address: Phone: - a' C) .- "I � `2 •- (_) () 1 attest the above information to be accurate. I have received and the property of the Wheat Ridge Fire Protection District and,is condition including failure of clearance of any permit payment, thh upon demand to a representative of the Whmd{ hidge Fire Protecti Signature of Applicant: NOTICE: It construction is started _.._. ..... O - 3 Permit No. Site Information Address: �1 Y�f • Business. TYPE OF PERMIT FORMULA see fee schedule sheet FEES Contact: Tank Inspection No. of Tanks= Phone: Review Alarm S stem System Value= !d the Inspection Compliance and the Fee Schedule. This permit is subject to conditions contained herein. Upon any failure or any is subject to immediate revocation and the permit must be returned let. of a permit, THREE (3) times the normal fee will be assessed. INSPECTION BY FIRE PROTECTION DISTRICT REQUIRED? ,,YES ❑ NO Post this permit in a conspicuous place. Request required inspections a minimum of three days in advance at 303- 403 -5902. Date Paid TYPE OF PERMIT FORMULA see fee schedule sheet FEES Tank Inspection No. of Tanks= Review Alarm S stem System Value= Review Sprinkler System Plans System Value= -' Review Misc. System Plans System Value= Review Building Plans Valuation= Special Handling or Use Plans Valuation= Miscellaneous Inspection Fees No. of Misc. Inspections= HOT WORK PERMIT No. of Occurrences= Demolition Permit No. of Occurrences= Ex edited Plan Reviews Valuation= TOTAL FEES DUE Date Paid Amt. Paid Method- �(:. -' ❑ New 1 9 a Panial ❑ Other: Field Inspections and Dates: `1 11�- I !) Hydrostatic Tests and Dates: _ I tf Comments �L (� (,o r`r n -� F ti ..(, x A q - Y - i FIRE PROTECTION DISTRICT APPROVAL IS REQUIRED PRIOR TO THE ISSUANCE OF THIS PERMIT. ❑ APPROVALAS SUBMITTED CON O fNp'{ L D (See Comments.) { I BY 1 Y 1 E'�I C�(/ !�.�a .- TITLE I�('2 � .. (�'d.'A(.. DATE TYPE OF PERMIT Site Assessment (Re-Sub Plan Revision (Re- Inspect After Hours Insoection AP PROVA L RO BY .iL1 No. of Hours TOTAL FEES DUE FINAL TITLE DATE Date Paid Amt. Paid Method Initials , PEW it M S Wheat Ridge Fire Protection District P.O. Box 507 • 3880 Upham Street • Wheat Ridge, Colorado 80034 -0507 303 -403 -5900 • 303 -940 -0350 Fax - www.wrtire.org I ftlication Date: Contractor Information Site Information i Name: i I Address: Agent: M Address: Business: Contact: Phone: ''' Phone: I attest the above information to be accurate. I have received and reviewed the Inspection Compliance and the Fee Schedule. This permit is the property of the Wheat Ridge Fire Protection District and is issued subject to conditions contained herein. Upon any failure or any condition including failure of clearance of any permit payment, this permit is subject to immediate revocation Upon demand to a representative of the Wheat Ridge Fire Protection District. and the permit must be returned Signature of Applicant: NOTICE: If construction is started prior to the issuance of a permit, THREE (3) times the normal fee will be assessed. INSPECTION BY FIRE PROTECTION DISTRICT REQUIRED? ' UyES 11 NO Post this permit in a conspicuous place. Request required inspections a minimum of three days in advance at 303- 403 -5902. TYPE OF PERMIT FORMULA see fee schedule sheet FEES FT ank Inspection No of Tanks I to ��G, o seem runs S stem Value= c , • - +- r � _ Review Misc. System Plans Svslom v�u �,._ or No. of Misc. No. of Occu No. of Occu W id id od DUE ❑ Total Bldg. ❑Alteration TOTAL FEES I ` � Initials ❑ New .3�padial ❑ Other: Field Inspections and Dates: Hydrostatic Tests and Dates: Comments: FIRE PROTECTION DISTRICT APPROVAL IS REQUIRED PRIOR TO THE ISSUANCE OF THIS PERMIT. ❑ APPROVALAS SUBMITTED MCONDITIONALI APPROVED (See Comments.) BY - --'. TITLE } If DATE .r OF � R r+ssessmem rte - Submittal No. of Plaevision Re -Ins ecl No. of h I IAfler Hours Inspection 12 Hour= AL APPROVAL 7 n i ROUGH IN {- {-- � }�� I BY i JHMULA (see fee schedule sheeq I FEES ites _ Date Paid ours Amt. Paid + No. of Hours Method TOTAL FEES DUE Initials FINAL TITLE f MArJ1,A � DATE a �r i U) M 1 3 T N rP`' PEYMYM WHEAT RIDGE FIRE PROTECTION DISTRICT DOING THE RIGHT THINGS AT THE RIGHT TIMES FOR THE RIGHT REASONS 3880 Upham Street Wheat Ridge, Colorado 80033 • ph.303.403.S900 • www.wrfire.org DATE: PERMIT NO. PERMIT TYPE: REVIEWER: PROJECT INFORMATION CONTACT INFORMATION STATUS: APPLICABLE CODES: ® 2003 IFC ® NFPA 13 ❑ NFPA 13R ❑ NFPA 14D DIVISION OF FIRE PREVENTION Fire Suppression System Plan Review Report 08/20/10 10032 Sprinkler System Kelly M. Brooks Christopher House 5385 W. 38 Ave Wheat Ridge, CO 80033 Western States Fire Protection Lei Tang 303 - 792 -0022 ❑ PLANS ARE APPROVED AS SUBMITTED ® PLANS ARE CONDITIONALLY APPROVED, SEE COMMENTS ❑ PLANS ARE REJECTED SYSTEM TYPE: ❑ Wet ® Dry ❑ Antifreeze ❑ Combination SYSTEM DENSITY: ® Light Hazard ❑ Ordinary Group 1 ❑ Ordinary Group 2 ❑ Extra Hazard Group 1 ❑ Extra Hazard Group 2 ❑ Special Occupancy The following requirements are made under the 2003 International Fire Code adopted by the Board of Directors for the Wheat Ridge Fire Protection District and the City Council for the City of Wheat Ridge, Colorado. PLAN COMMENTS 1. Product data for F3CR pendant sprinkler requires 15' -0" maximum spacing. The south corridor appears to have 17' -0" spacing throughout. Please verify spacing requirements and conformance. 2. Product data for BB attic heads indicates a minimum of 4' -0" spacing. The center east gable has two heads spaced at 3' -0 ". Please verify spacing requirements and conformance. 3. Verify minimum sprinkler spacing for upright attic heads and BB heads and verify conformance where indicated on the plans on sheet FP -02 GENERAL COMMENTS 1. A rough inspection of the sprinkler system installation is required before any work is concealed. If corrections are noted, a re- inspection shall be required. 2. The sprinkler valve room will need to be identified as SPRINKLER VALVE ROOM or similar wording with a minimum of one (1) inch letters ion a contrasting background. 3. All valves, tests and drains shall be identified. Kelly Brooks 8/212010 1 Reviewed By: Date: Page: DIVISION OF FIRE PREVENTION Fire Suppression System Plan Review Report 4. Final acceptance testing shall be witnessed by the Division of Fire Prevention and shall include the testing of all flow and tamper switches. 5. A two hour/ Two Hundred P.S.I. hydrostatic test conforming to NFPA standards shall be scheduled and witnessed by the Division of Fire Prevention. 6. Sprinkler systems in excess of twenty (20) heads shall be supervised by a center, remote, or proprietary service. 7. Tamper switches for control valves shall be installed throughout the building that will activate upon sprinkler system activation. 8. The outside horn and strobe above the Fire Department Connection will need to activate on sprinkler system flow only. 9. The system shall be fully tested prior to contact the Fire District for a final acceptance test. 10. A minimum of Forty Eight (48) hours notice is required for all inspection and tests. 11. Please call the Division of Fire Prevention at 303 - 403 -5915 to schedule inspections and tests. During Construction 1. Permits and approved plans shall remain onsite during all phases of construction. 2. A required box for spare sprinklers/wrench for replacement shall be in the area of the sprinkler valve room. 3. The system shall be fully tested prior to contacting the Fire District for a final acceptance test. 4. A fire extinguisher with a minimum rating of 2A -40BC shall be within 10 feet of all "HOT WORK OPERATIONS'. 5. The Fire District permit and the City Building Permit shall be posted at the front of the home during all phases of construction. 6. Any changes to the approved plans shall be submitted to the Fire District for approval. 7. All Fire Alarms shall remain in- service while work is being performed. The Fire District shall be notified if any existing detection or suppression systems will be off line for more than 4 hours. 8. Any code requirements arising during construction shall be addressed with the Division of Fire Prevention. Kelly Brooks 8/2/2010 2 Reviewed By: Date: Page: HEALTH FACILITIES AND EMERGENCY MEDICAL SERVICES DIVISION 4300 Cherry Creek Drive South Denver, CO 80246 Voice: 303-692-2800 Fax: 303. 753 -6214 w xdphe.state.co.us/hf,Vd.asp State Licensure Program LONG -TERM CARE BUILDING DEPARTMENT Sign off for Local Authorities Colorado Department of Public Health and Environment Written evidence of compliance with local building codes must be obtained prior to issuance of a state license for operation of a health facility. Contact the city or county department in your area and have the director or designee sign below. The original signed form must be returned to Health Facilities and Emergency Medical Services Division (HFEMSD) as part of your application packet. PURPOSE OF APPLICATION: I I Initial IXI Change of Ownership New Secured Unit I I Increase in Beds: From I I Change of Location: To SECTION B: TO BE COMPLETED BY THE APPLICANT Name of Facility: Christopher House Rehabilitation and Care Center Address: 6270 W. 38 Avenue Wheat Ridee Jefferson City County No. of Licensed Beds Requested: 72 Name of Person to Contact: John Brammeier Phone: (303) 987 -3088 Fax: (303) 987 -0434 SECTION C: TO BE COMPLETED BY THE CITY /COUNTY BUILDING DEPARTMENT Building Department having Jurisdiction: � Y ®/= 8ui�t7r:v/s The above -named facility meets the requirements for zoning approval: [X] YES [ ] NO (If "no" please explain on separate attachment.) Name of Person to Contact: t%; tAI De?TE Phone: ax: C7o R3S - !r.T7 /-/- /O& 3s HEALTH FACILITIES AND EMERGENCY MEDICAL SERVICES DIVISION 4300 Cherry Creek Drive South Denver, CO 80246 Voice: 303-692-2800 Fax: 303-753-6214 v s .cdphe.state.co.us/hf/hfd.asp State Licensure Program LONG -TERM CARE ZONING DEPARTMENT Sign off for Local Authorities Written evidence of compliance with local zoning codes must be obtained prior to issuance of a state license for operation of a health facility. Contact the city or county department in your area and have the director or designee sign below. The original signed form must be returned to Health Facilities and Emergency Medical Services Division (HFEMSD) as part ofyour application packet. PURPOSE OF APPLICATION: I I Initial IX] Change of Ownership I I New Secured Unit I ] Increase in Beds: From I I Change of Location: To SECTION B: TO BE COMPLETED BY THE APPLICAN'1 Current Name of Facility: Christopher House Proposed Name of Facility (if applicable): Christopher House Rehabilitation and Care Community Address: 6270 W. 38` Avenue Wheat Ridee Jefferson City County No. of Licensed Beds Requested: 72 Name of Person to Contact: John Brammeier Phone: (303) 987 -3088 Fax: (303)987 -0434 M icI IWIJ l Ij Wr lcv ouIMaui Zoning Department having Jurisdiction: C 14 H 0 f:- V✓h ea -l- 21 �0 -G The above -named facility meets the requirements for zoning approval: [N'] YES [ ] NO (If "no" please explain on separate attachment.) 1 -18 -11 Name of Person to Contact: ewj i ft� P Ce'fCe-•-1 — Phone: (36 a'L 3r Z8`fBF ("30a)7_3 S Z$ S9 Address tA)- 2 -9 ELI & d-2 ,r Cy F2 03� Initial Notification to Zoning Department by Effective Date Final Notification to Zoning Department by on (Date) on (Date) Q City of Wheat Ridge Building Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-237-8929 Inspection Line: 303-234-5933 Building Permit Application Property Address bZ 7b ~t L~ g I~ Property owner (please print): e -7b3 e)2 I n S - Mailing Address: (if different than property address) Address: Zip: Contractor: Contractor License Sub'Contractors: Electrical City License Company: Exp. Date: Phone: 3d3 - `-D-?LO Plumbing City License Company L 12y~ Y~=c I c/d. Exp. Date: Date: Plan Permit ~ 0 I Phone: 7SC) C, ~3s 2/- 277Z Mechanical City License Company:~~ Lt11)~~-Q L Exp. Date: Use of space (description): 1 45 Construction Value: $ 701. DCSCrIPtiOn of work, (as calculated per the Buitdm_ Valuation -Data sheet) 2t jt_LCc 32~oov z3`+cJ Plan Review (due at time of submittal): $ 3ZSaoo Sq. Ft./L.Ft added: Squares BTU's Gallons l~ Amps [allegations NERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT eby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, or regulations of the City of Wheat Ridge or covenants, easements or restd 'ons of record; that all measurements shown, and made are accurate; that 1 have read and agree to. abide by all conditio sprinted on this application and that I assume full onsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all ther applicable Wheat Ridge Ordinances, for work r this permit. Plans subject to field inspection. CE ONE:: NER)(CONTRACTOR) or PERSONAL REPRESEN TI E of (OW ER) ONTR T NAME: l~r~clT( LbQ„1" SIGNATURE: Date: ©EPARTMENTfljSE ONLI' ZONING COMMENTS: Zoning:-, ' s ' -Remetr,~er PUBLIC WORI OOIfMENTS z ;Revreweu - ~ ' ' e` ' 2 R y t 4 ; 5 5 BUILOlNGAEPAi33~ivtEN'r COM x MENTS ' ~'dCCUPA~ ICY 7Zemexler ~ a t = ; ~ t ~ r )JREDEPPRTf1ENT C%approvedly/eomrrleTits T3disappro ed T~nar~wewvecLu[ext. Bldg Valuation $ COMMUNITY DEYELOPMENT DEPARTMENT Builtling Permit Number : 18324 BUILDING INSPECTION LINE -(303-234-5933) Date : 2/3/2005 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 -(303 235-2855) Property Owner. CHRISTOPHER HOUSE Property Address: 6270 W 38TH AVE Phone : 421 2272 Contractor License No. : 21816 Company : Samsons Dectection Phone : 273-9080 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Valuation : $10,000.00 I hereby certiy that the setback distances proposed by this permit application are accurate, and Permit Fee :.$235.70 ' do not violate applicatile ordinances;rules o[ regulations of the: Cily ofWBeat Ridge or covenants;~.easements or restrictions.of record; that all measurements shown, and allegations ` :USB T8X $180.00 : made are ~accurate; thaH have read and agree to:abide by Iconditions printed on this . application; and that I assume full respo ibility for com ' ce:with the Wheat Ridge Building TOfel :-$415.70 Code (U.B.CJ and all other applicable ea i ge or ces, for work untler this permit. ' . (OWNER)(CONTRACTOR) SIGNED~ 45/ USB : DATEdZ V? . Description : !FIRE ALARM SYSTEM ~~rgg3~ - BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Approval : Zoning : ~ir • Gd e ,ts OK W/ NOTES AND SUBJECT TO ONSITE INSPECTION BY FIRE ' Approval : CR DEPARTMENT'AND BLDG. DEPARTMENT " kffi WQwmm? rffi Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical LicenseNo : Compapy : `Company; Company : ~j J =4 Expiration Date : Expiration Date : Expiration Date : ` Approval : Approval Approval : (7) Tfiis permit was issued in accordance wrth the:pmvisions set forth in yopurapplicaUon and is.sub7ect to theiaws of the State of Colorado and to the Zoning 'Regulatwns and Butlding Coda of Wheat Ridge, Colorado or any other applicable ordinahces of the Cdy. . 0 . . #Y( ) Y. . 9 P Ttiis ertnit shail exP rte if A the work authorized is not commencetl vnthin si 60 da s from issue date.or O the bwidin authorized is sus ended or. (2) P ~ ( ) ;i ztiandoned fora period of 160tlays. ' (3) Jf this pertnd expires, a new peimit may be acquired for a fee of one half the amount normalty reqmred, provided no changes have been orwtll be made in the original plans and specifcahonsand any suspension oratiantlonment has not exceeded one (i) year-- If cFanges are made or dsuspension or atiandonment >ezceeds one:(1) year, full fees shall 6e paidfor a new permit.i. 21 (4) ' No work of any manner shalltie done ihat will change1fie natural flow of water causing adrainage pmblem:~ > (5) ;Aontrector shall noti(ythe euilding Inspector lwenty-foui(24) hours m advance for alfinspections and shall7ecerve wntten zpproval on inspechon card tiefore procee' dh~succ ' p. ihe~ob. ro al of an violation of the ti ll t b t d t b it f f d i d if h ' b v , y no e cons rue o e a perm or, nor an app raW ngs an spec ca ons s a (e) i rite o ermit or the a C L b~1~Egc anyother ordinance.law ruleorregulation. r; Ghief Building Inspector Please sign Terms and Conditions on reverse side of page. :i COMMUNITY OEVELOPMENT DEPARTMENT Building Permit Number: o~ W"E"T,~ BUILDING INSPECTION L1NE - 303-234-5933- - Date: ~ o CITY OF WHEAT RIDGE ~ 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) ~~LOFP~ APPLICATION ProperryOwner.Lhf-Sro1~kE~z tt,oJsE Property Address: ~O Phone:3fl Contractor License To.: ~ 1,5 t (P Company:S,4-Ms0^J5 pbone:3D3-~ 73-~a~p OWNERICONTRACTOR SIGNANRE OF UNDERSTA#1DINGlWD AGREEMENT 1 hereby certfy that the setback disiances proposed by this permit appliwtion are acw2te, and do not violate appiipble ordinances, rules or regulations of the Ciry ot W heat Ridge or covenanis, easemenis q restrictions of recoN; ihat ali measuremenis sM1Own, and ailegalions made are accurate; ihal I have read and agree to abide by all condilions printed on Mis applica6on and that I assume tull responsibiliy for compliance wiM the Wheat Rid e Building Cotle (U.B.C) antl ail other applipble Wheal Ridqe Ordinance5, for wcrk under thi5 perymL (OWNEBNCONTRACioR): Descript+on: Sq. ft. added 5h^~~"~'~l <SZO ^Ic l Value:5 /0, poO• Permit Fee:$ Plan Review Fee:$ i Tee T3x•~ Total:$ usE onTY sic: COMMENTS: Approval: Zoning: G COMMEN75: ~ ~ v ~ Approval: ~ Aa6 WORKS CAMMENTS: Approval: iancy: ~j/~ Walls: ~ ElecVical License No: Company. Q Roof: Stories: Residential Units: Plumbing License No: Company. Mechanical license No: Company: Expiration Date: Expiration Date: Expiration Date: provai: ApProval: ApProvai: (1) 'fhis pertnit was issued in accordance wiM the provisions se1 foM in your application and is subjed W the laws of the State ot Coiprado anC to the Zoning Regulations arW BuilOinp Codes of Wheat Ritlge, Colorado w any other aDW~~bte ordi^ances oi the City. (2) This permit shall er.pire it (A) the work aulhorized is rwt commented w+fNin sixfy (60) days 1rom iswe date or (B) the building auNorized is suspanded w aDandoned tor a period of 120 daya. (3) lf ihis pertnit expires. a new pertnit may be ac0uired for a fee oT one-half the amount normally reQuired. Provided rro changes have ygeri or wi11 De made in the original plans and speu6qEOns arb any suspension or aDanOOnmeM has rwt ezceeded one S11 Yew. If dianB@5 have bemi a it suspension w abandonmeM exceeds am (t ) year, full fees shaU be Oaid tor a new permiL (4) No work of any manner shall be doneUwt wili change the naWral flow ot water causinp a Oreinage problem. (5) Contradw shatl notify the Buildinp lnsDecwr twe^h4°ur (24) hours in a0vance for all inspeUions and shalf receive writlen appoval on inspecGOn card before Proceeding with waessive Ohases of the joE. (6) The issuance of a parmit a the approval oi drawinps an0 spedfHations sfWl ^ot bc construed b be a permit for, nor an apqoval ot, any virdation of the provi ' - f the buil0ing codes a any oNer ordinance, law, ruie w re9ulation. Chief Bup' g Offiaal COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 76451 BUILDING INSPECTION LINE -(303-234-5933) Date : 11/12/2003 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner. CHRISTOPHER HOUSE PropertyAddress : 6270 W 38TH AVE Phone : 421-2272 Contractor License No. : 21816 Company : Samsons Dectection Phone : 273-9080 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 restrictlons of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all condifions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE - Construction Value : $33,500.00 Permit Fee : $626.87 Plan Review Fee : $0.00 Use Tax : $402.00 Total: $1,028.87 Use: Description : INSTALL FIRE ALAMR DEVICES TO EXISTING FIRE PANEL (RETRO FIT) BUILDING DEPARTMENT USE ONLY Loning ~G"o°~. m~e.: Approval : y Zoning ~,iJ, ir~a~@pmmer~ts~ Approval: ie o ks°o`;hi~i~„iaYA Approval: Occupancy : Walls : Roof Electrical License No : Company: Expiration Date : Approvai: Plumbing License No : Company : Expiration Date : Approval: SIC : Sq. Ft. : Stories : Residential Units : Mechanical License No : Company : Expiration Date : Approval: (1) This pertnit was issued in accordance with ihe provisions set forfh in yopur application and is subject lo the laws of the State of Colorado and to the Zoning Regulations and Buildin9 Code of Wheat Ridge, Coloredo or any other applicable ordinances of the City. (2) This pertnit shall ezpire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new pertnit may be acquired for a fee of one-half ihe amount normally required, provided no changes have been or will be made in the original plans and specifcations and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (7) year, full fees shall be paid for a new pertnit (4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem. (5) ConUactor shall notifythe Building Inspec[orriventy-four (24) hours in advance for all inspections and shall receive written approval on inspeclion card before pr eediing with successive phases of the job. (6 e ssua ce opertnit or the approval of drawings and specifcations shall not be construed to be a pertnit for, nor an approval of, any violation of the pr isi uilding codes or anyother ordinance, law, rule or regulation. 0 Chief Build ng Inspector Please sign Terms and Conditions on reverse side of page. 0' V Z ~ m -44 0 1 Z m 0~o~ ~ c) -0 c m In 0D m ~ Z ~ vn~ o cn ° ~-C C/) mC r m aC) m m ~ m ~ m O ~ ~ 37 ~ T 2 (D '0 C m p m p JJ (D, 7J O 0 5 Ti p ]7 O D ~ 7[7 O 37 O 'T ~ ~ ~ ~ ~ w. .n n 3 U i ~i = w n-r ~i ~ c~D 5 ~2 m C ~ 3 5 c w Q0 c w w w c° z ~ 'o ~ ~ v m ~ ~ p~ < ? C Q o w n ~ ~ 6 n ~ Q J J (D . ~ (c a) ~ m '0 m 3 o c < N 3 ~ - w 0 ~ q a W ~ u ~ qzs ~ l 0 0 z 0 ~ 0 C: :0 -n 0 a ~ C z ~ r W 0 < m ~ ~ m m Z C/) 5 z m 0 _ -0 m (D C (D 13) 0 3 0 O ~ 6 M. n co 9 CD CD O ~ O 6 ~ CL O * C 0 ~ o 0 ° -n p T w ~ N o 3 ~ C O 0 (D 8 1 a -0 3 " w O ~ O p j N (Q ~ z 0 U) ~ o m z o ~ z m 0 ~ ~ cm U) U) ~ z D r r Cl) o m m co -a m a D Z z ~ O ~ _ U' z Cf) ~ v W m n ~ Q ~ m n 0 ~ 0 ~ ~ ~ 0 ~ m ~ < Z m ~n Z 0 ~ 0 ~ D ~ m ~ n 0 z D ~ O ~ ~ c F~ m o ~ z c~ ~ m ~ ~ ~ Z °n m ~ ~ ~ m 0 `o n ~ 0 ]J m ~ \ z cn ~rn ~ n O Z m rn 0 C37 CD 0 m~ U) T N i ~m =r D ~ m~ z~ m ° v m %M ~ { m CA) ~ o , v N ~ CA) D { ~ W W ` / 0 r O ~ D v O N ~ C m cn 0 n m C rn v 0 m z U) 00 n 0 N ~ Z N C/) n m D n v ~o z U) 0 cf) ~ rn r~ vZ z° ~ W = m m E cv ~ m vc Z r ~ cn N . m ~ Building Permit Number : 16451 Address: 6270 W 38TH AVE Description: INSTALL FIRE ALARM DEVICES TO EXISTING FIRE PANEL (RETRO FIT) Inspection List Number T e Date proval Remarks 42420 RE-FIRE ALARM PART 944-5; 1/5/2004 ok/cci rooms onl 42659 FE 1126/2004 oWcci final bld ~FIND t;` COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 76400 BUILDING INSPECTION LINE -(308-234-5933) Date : 10/30/2003 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) PropertyOwner: CHRISTOPHERHOUSE Property Address : 6270 W 38TH AVE Phone : 421-2272 Contractor License No. : 21807 Company : RB Construction Phone : 295-7621 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this. application, and that I assume full responsibility for compliance with the W heat Ridge Building Code (U.B.C.) and all other applicabl heat Ridge ordina s, for work under this permit. (OWNER)(CONTRACTOR) SIGNED ~E1 ~ DATE ~D , 1 LL3 Description : INTERIOR REMODEL- WALL DEMO Construction Value : $1,687.00 Permit Fee : $78•19 Plan Review Fee : $50.82 Use Tax : $2024 Total: $149.25 Use : BUILDING DEPARTMENT USE ONLY 94nina C~mWents:~ SIC : Sq. Ft. : Approval : Zoning : ,!-oirmq sc iu Idi_„g, b OK. 10/21/03 Approval: DM ~ bJ~e~W,,,orks~e :om Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : 21809 Plumbing License No : Mechanical License No : Company : Dutchman Electric Company : Company : Services & Contracting Expiration Date : 2/28/2005 Expiration Date : Expiration Date : Approval: OK/KS Approval: Approval: (1) This permit was issued in accordance with Ihe pmvisions set forth in yopur appliration and is subject to ihe laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ritlge, Colorado or any other applicable ordinances of the City. (2) 7his permit shall expire if (A) the work authorized is not commenced within sinty (60) days from issue date or (B) the building authonzed is suspentletl or abandoned for a penod of 720 days. (3) If this pertnit expires, a new permii may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (7) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new pertnit - (4) No work of any manner shall 6e done that will change the natural Flow of water causing a drainage problem. (5) Contractor shall notify ihe Buiiding Inspector twenry-four (24) hours in advance for all inspections and shall receive writlen approval on inspection card 6efore proceediingw' successrve hases of the job. (6) The issua o a pe ' e approval of d2wings and specifcations shall not be construed to be a permit for, nor an appmval of, any violation of the . provisl of ll bu n des ofr r.a1y other,ordinance, law, rule or regulation. ~ Chief Building Insp ctor Please sign Terms and Conditions on reverse side of page. CLIENT: PINON MANAGEMENT ATTN: MR. TIM JEWETT JOB NAME: CHRISTOPHER HOUSE JOB NUMBER: 03-569 21 OCTOBER 2003 DEPARTMENT Unit Cost Quan. UM Sub-TOtal TOTAL DEMOLITION INTERIOR PARTITION FLOORING V. BASE PROTECTION $255.00 DRWYALI. / FINISHES SCAR PATCHES A. CEILING REPAIRS $442.00 PAINT INTERIOR OF ROOM 12 L.F. 41 S.YD. 1 PER 1 PER 2 EA 1 PER 90 L.F. ELECTRICAL RELOCATE DUPLEX O[7TLETS $200.00 2 EA FLOOR COVERING NEW V.C.T. $790.00 416 S.FT $255_00 $442.00 $200_00 $790_00 TOTAL SINCERELY YOURS, RB CONSTRUCTION, INC. Page - 1 COMMIiNITY DEVELOPMENT DEPARTMEN'f of wHFqr P BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) C~C ORPDO y APP; $y5,y~rS,y~~h L31.P3 4 4 ~94 V Property Owner: (WtAt) ~1~'~''/ ~IG'LP ~ -ProperEy-Address: ~tfon c-~ toi L'rcense Company: Cc`l~ Building Permit Number: Date: Phone: Phone: ONTER/CON7RAC?OR SIGNATORE OF UNDERS7APiDING AIMD AGREEMENT I hereby certify [hat the setback distances proposed by [his permit application are accurate~ and do no[ violate applicable ordinances, rules or regulations of the City of N'heat Ridge or covenanU, easements ortestrictions ofrecord; Ihat all meazurements shown, and allegations made are acwrate; [hal 1 have read and agee m abide by all condi[ions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C) and all other applicable Whea[ Ridge Ordinances, (or work under [his permi[. . (OWNER)(COMRACTO[i):SIGNED~~~ I)~A~ DATEIU'O~O'0J (OWNERxCONTRACfOR):PRINTED YC eCi DATE Plan Review Fee:$~~ ~ 6' Use Tax:$ TOt21:$ DESCRIPTION: BUILDING DEPARTMENT USE ONLY 20NING COMMENTS: Approval: Zoning: BUILDINGCOMMENTS:rt~I~ 9-4 ld3 Approval: ~ PUBLIC WORKS COMMENTS: Approval: SIC: 00 r . Jy~ 03 Sq.Ft.: Occupancy: Walls: Roof: Stories: Residential Uniu: -Electdcal License No: Plumbing License No: Mechanical License No: Company: Company: Expirarion Date: Expiration Date: Expuarion Date: Approval: Approval: Approval: (1) This pennit was issued in accordmce witL the provisions set forth in yow application and is subject ro ihe laws of the Sfam ofColondo md m iLe Zoning Aeguiaoons md Building Codes of W6eat itidge, Coloado or any afier apylicable ordinancw of ihe Ciry. (2) This yermit shall expire if (A) the work authorized is not commenced within sixry (60) days from issue dare or (B) the building authorized is suspended or abandoned for a period af 120 days. (3) If ihis pttmit enp'ves, a new permit may be acquired for a ftt of one-half tLe amount normally requ'urA, provided no changes 6ave been or will be made ' in the originai plans md specifications md any suspension or abandonmrnt has not exceeded one (1) year. If changes have been or if suspmsion m abandonmmt exceeds ove (1) year, full few shall be paid for a new permiL (4) No work otaoy manntt shall be don< iLat will change tM1c naNal 0ow of water <ausing a dnivage pmblem. (5) Conhacwr shail norify the Building lnspecmr nventy-four (24) hours in advance for all inspecfions and shall receive writtrn approval on inspection card before proceeding with succusve phases otth<job. (6) The issuance of a permil or the approval of drawings md specificationsafiall not be conswed m be a permit for, nor an ayproval of, any violarion of the provisions of the building codes or any otLer ordinance, Uw, rule or regulafioa Chief Building Inspector ~ d ~ t ~ o m V o ~ o a w ~ • > c ~ d Oa M m ' O d LL rn ~ = t-2 r -i h ? u ~ - tu X L ~ w a ~LL'°~- tu u o~~ ~z o aLL~Q o ~LLE z aZ oLU o ~ 3 LU U(~ 4 q ~ Q 3 $w ~ Y ~ > >a[ fl- oLLIE fpt r 0 X z wu~i z Qz Q ~ w~- t~i! ~fl.~' O z II mm w Up a m wv z Up n n - IIa: n ~W m mp n0 a`-i n ~uiQ m O pa n a~ipO w m m mQ flL W wQ wd ~ w ir~ w fY ~F R wII w w w wQ Ei 0 0 El EN 9 0 9 Q Q Q Q Q 0 Q Q xd a O Z ~ < K !.L Q fj ~ O IIY - U ~ ~z- ~ ~x O {IA Ly Y m 3 1'1'J' ~ z ~ `u ~ 11 LLI ~ Cn ~ r 4u O ~ ~ L~Z Vaq teg ttt z~ m ~ ELL x O LLlt~ ju (r Z w= w -A tL- ~ ~ n cz LLt 'Q ~ b/£ 397d 'aI 'W02t3 B0'EI EO-4I-100 M M O C) taD Ul z Q ~ z ~ ~ u Lzi.t ~ LL- 1~- ~ ~ 0 ~ O LLJ Z Q a w ~ " gy Y~ V ) ~ V ~ o ~ o o z ~ v LLJ t1i M - 4LIJ ~ aL O ~ Vv) ~ ~ ~ LLJ ■ ' V *4D ~ s N 10 iE ~ d ~ ~ b/b 39Hd 'aI 'W0213 00•EI EO-LI-100 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - (303-234-5933) CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) 76457 11/12/2003 Property Owner: CHRISTOPHER HOUSE Property Address : 6270 W 38TH AVE Contractor License No. : 21816 Company : Samsons Dectection Phone : 273-9080 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiTy that the setback distances proposed by this permit applicatlon are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restridions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abid by all conditions printed on this application, and that I assume full responsibili for pliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Whea id dinances, for work under this pe (OWNER)(CONTRACTOR) SIGNED _DATE Description : INSTALL FIRE ALAMR DEVICES TO EXISTING FIRE PANEL (RETRO FIT) % BUILDING DEPARTMENT USE ONLY J1 g ~ om SIC : Sq. Ft. : Fon~,r~e`n Approval: Zoning : Building Permit Number Date Phone : 421-2272 Construction Value : $33,500.00 Permit Fee : $626.87 Plan Review Fee : $0.00 Use Tax : $402.00 Total: $1,028.87 Use : Approval : ~ b I~ c W~ r~ c' sKC Q" m~.~', s". 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: (1) This pemit was issued in accoNance with the provisions set forth in yopur application and is su6ject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applica6le ordinances of the City. (2) This pemit shall expire if (A) the work authorized is not commenced within sixly (80) days from issue date or (B) the building authorized is suspended or abandoned for a penod of 120 days. (3) If this pertnit expires, a new pemit may be acquired fora fee of one-halfthe amount nortnally required, provided no changes have been orwill be made in the onginal plans and specifications and any suspension or abandonment has not exceeded one (1) year. If chan9es are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for anew pertnit (4) No work of any manner shall be done that will change the natural flow of water causing a dreinage problem. (5) Contrac[or shall notify the Building Inspectorhventy-four (24) hours in advance forall inspec[ions antl shall receive written approval on inspection card before ppreOLilng with sessive phases of the job. (6) ertnit or the approval of drewings and specifications shall not be construetl to be a permit for, nor an approval of, any violation of the n f e ' ny other ordinance, law, rule or regulation. v Chief Building Inspector Please sign Terms and Conditions on reverse side of page. COMMUA'ITY DEVELOPMENT DEPARTMENT WNf4 , 04 ' a BUILDDiG INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE V m 7500 WEST 29TH AVEnUE WIIEAT RIDGE, CO 80033 - (303-235-2855) CaC OR P00 ,y~r ~li~P,~yy~4~ d 35~jO~j 4 Y D r~- Property Ownerr 5-7-0 ~Q~59~ Property Address: (eZ'-) Contrac[or License No.: Z( S((p OWT£R/CON'1'RACfOR S1GNATUAE OF UNDERSTANDING hND AGREEM£NT I hereby cettify [ha[ the setbacA distances proposed by this pertnii appliwtion are accunte, and do not violate applicable ordinancu, ruta orregulauons of [he Ciryof Wheat Ridge or covenanu, eazemenu orrestnctions of record; [hat all measuremenB shown, and allegations made are accurzte; that 1 have read and agree to abide by all condi[ions printcd on this application and that I assume full respon iry r c~omp¢l~ianyre with the Wheat Ridge Bwlding Code (U.B.C) and all other ap ¢able Wh/% dinanws, for work under tnispemnt. / . (O W I:ERxCOrTAACIOR): DESCRIPTION: I dUS~LL /IJ~~CI I Building Permit Number: Date: Phone : -~303 `f2"'~( aa'7Z ~,"~,Zz~P6 q-rtt~L" Dc !C Phone: Construction Value:$ :5~> Permit Fee:$ Pian Review Fee:$ Use Tax:$ Total:$ es- BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: ZONING COMMENT3: Approval: Zoning: BUILDING COMMENTS: Approval: ' PUBLIC WORKS COMMENTS. Approval: Occupancy: Walls: Roof: Stories: Resideniial Units: Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date: Expuation Date: Expirafion Date: Approval: Approval: Approval: (7) This permit wu issued in accordance wiih tM1e provisions set forth in your appGcarion and is subjat m N< laws of the Sute of Cobndo and w the Zoning Reyvlauons and Building Codu of Wheat Ridge, Coloado or any otAer applinble ordinances of the Ciry. TLis yertnit shall enpirt if(A) xhe woik authorized is not commrnced wiYhin 5ixty (60) days Gom issue datc or (8) the buiiding amhorized is suspended or abandond for a penod ot 720 days. (3) If this pmnii expires, a new yermit may be acquiad for a fee o(one-hilt die vnount normally m7wrc4 p*mided no changes have bttn or will be made in die original plans and specificarions and any surycnsion or ebandonmrni hu not exceeded one (1) year. If changes hsv< becn or it suryension or abandonmmt exceeds one (1) }ear, fu11 far shail M yaid for a new yermit (4) No work uf any manntt shall be done that will change the oanual ibw of watcr causing n drainage pmblem. (5) Contractor shali norify the BuiWing Inspector twrnry-four (24) hours in advantt for all inspecrions and shall rec<ire unnen approval on inspecuon card bcfort Proceeding wi0 successive phases of the job. (fi) T he issuence of a permit or the approvel of dawingv and specifinuons shail not be conswed W be a permit for, nor en appmval o(, any violation of the provisions of tM1e bufMing coda or any otha ordinancc, law, rule or ttguUOOn. Chief Building Inspector APPliwtiortDate: Permit No. Wheat Ftidge Fire Protection District ~ P.O. Box 507 • 3880 Upham Street • Wheat Ridge, Colorado 80034-0507 = 303-403-5900 Office • 303-940-0350 fax • www.wrfire.org nf :a G`ontractor Information Site Information ~ ~ Name:~i~/t S fri~lt:? -~.~V'J....~.,t.1r. . Address: 4Dr~~7'!} ~t)_~~ Agent a.I4.tr~ tE.~rYT Address: !J~ ..'°'"y"'~ ~s1s' fiAlll S" Business: rs 2 C3V~+t Contacti ~y ' Phone:~'~; ~bSa+b Phoner 'sT- 0 I attest Me above information to be accurate. I have receivetl andleviewed the Inspection Compliance and the Fee~Schedule. This.permit is the ~ property oftheWheat Ndge Pire Protection Dfstrict and is.issued. sgbj'ect to cronditions coMained herein. Upon.any failure of any condition including m failure of dearance ofany permR paymenp !Zn it is i immediate revoratian and the permit must beretvmed upon demand to a fepresentativeoftheWheatRidgeFirePro7Dic ;Signature of Appliwnt *4 NOTiCE: If construction is started prior to the issuance of a permit, THREE (3) times the narmal fee wili be assessed. ; p Pos7thrspermftma.cnnsprcvousp/ace. kequest, - TYPE OF PERMIT TankInSpecdon ' Ni Review Alarm System Plans S) Revie.w SprinWer System Plans S) Review MiSC. 5ystem Plans S) , e::.u._., nt..~..: . . -t- , equimdinspecUbnsa minimum. ofthree days.in, r FORMULA(seetee:schedulesheec)<- i. ofTanks= M m value= y;C?~.,,'°5~'tAt~ m Vaiue= stem Value= (luation= ni~ IF-1,sF Date Paid 4~ i;~ 63 Amt. Paid r,p,3 MePhod I~itiais s ; : CHRISTOPHER HOUSE Fire Alarm Specification Sheets (BFireliTeraLarms www.firelite.com September 7, 2001 DF-521 MS-9600 Intelligent Addressable Fire Alarm Control Panel Section: Addressable GENERAL The Fire•Lite MS-9600 is a compact, cost-effective, intelli- gent addressable fre alarm control panel with a capacity of 636 addressable Fire•Lite devices on rivo loops (2 :loop optional). A single Signaling Line Circuit (SLC) loop sup- ports up to 159 smoke detectors and 159 control or monitor modules. The panel uses surface-mount technology and is designed for ease of installation and programming. It fea- tures the latest in advanced fire protection technology, in- cluding maintenance alert and automatic detector test. FEATURES SLC Loop • SLC can be configured for NFPA Style 4, 6, or 7 operation. • Optional module for adding a second SLC loop (Part # SLG2). • SLC supports up to 318 addressable devices (159 detec- tors and 159 monitor, control, orrelay modules), including the new addressable heat detector, duct detector and dual monitor module. • SLC loop maximum length 10,000 ft. (3,048 m) @ 12AWG (325 mm'). Needs twisted, shielded wire. (3,000 ft. untwisted, unshieldedwire.) Notification Appliance Circuits (NAC's) • Two onboard NAC's with additional NAC capability using output control modules (CMF-300). • Silence Inhibit and Auto Silence timer options. • Continuous, March Time, Temporal or Califomia code for main circuit board NAC's with two-stage capability. • Selectable strobe synchronization per NAC. • 6.0 amps total NAC power/72 amps total system power. Pragramming and Software • Auto-program (learn mode) reduces installation time. • Fully programmabte from local keypad, local PS-2 key- board or PC via PK-9600UD Windows@ utility. • Two-level user programmable passwords. • Custom English labels per point may be manually entered or selected from an internal library file. • Two programmable Form-C relay outputs. • 99 software zones. Userlnterface • RemoteAcknowledge,Silence,ResetandDrillviaaddres- sablemonitormodules, ACS-seriesannunciatorsorLCD- SOF Remote annunciator. • EIA-232 printedPC interface (variable baud rate) on main circuit board. UL ULC FM S624 CS68 MEA 7765-0075:191 72 iE ~ .O° s xv~~E a a a 'o 0 • Integral 80-character LCD display with backlighting. • Real-time clock/calendarwith automatic daylight savings time control. • History file with 1,000-event capacity. • EIA-485 supporting up to 32 ACS-series annunciators. • EIA-485 supporting up to 32 LCD-SOF annunciators. Advanced Fire Technology • Sensitivity testing with printabte results. • Automaticdrjftcompensation. • Maintenancealert wams when smoke detector dust accu- mulation is excessive. • Automatic device type-code verification. • One person audible or silent walk test with walk test log and printout. • Pointtroubleidentifcation. This document is not intended to be used for installaGon purposes. We Vy to ~SO 9001 keep our product information up-to-date and accurate. We cannot cover all spe- cific applications or anticipate all requirements. All specifcations are subject to change without notice. For more information, contact Fire•lite Alarms, One Fire- VTT Lite Place, Northford, Connecticut 06472. Phone: (800) 6273473, Toll Free 9Y61tEE91NI6MAN0FACNAIN6 FAX: (877) 699-4105, FAX Back:(888) 388-3299 Made in the U.S.A. '-52103 - Pa9e 1 of < SYSTEM PERIPHERALS AND WIRING 24 V\DC 1 m Gi evOOO - EIA-4851ntertace built inlo ihe molherboard (4 wires) LCO-BOF Up to 6,000 ft. (1,825.em) behveen eaCh LCD$OF in Ihe EIAA851oop 24 V\DC ■ ~ EIA-485 in ACS y ~ ANNUNCIATORS ~ AFM-LEO ~ ~ ACS/ACM ~ E ~ LDM Mode (2 wires) e Optional Form-C 5 Amp Relays (arder ACM-8RF) 24 VDC ~ a , uu 11iiuo m ~h ~o~~0 ! OI _ 0 000 ❑oooo 00000 oaooo ❑0000 00 0 -o WIRING REQUIREMENTS ~ ~ Optional Reverse PolarBy/CRy Box Output (p/n 4XTMF) The SLC requires use of a specific wire type to ensure proper circuit operation. It is recom- mended that all SLC wiring be twisted-pair shielded to minimize the effects of electrical interference. Wire size should be no smaller than 18 AWG (0.75 mm') and no larger than 12 AWG (3.25 mm') wire. The wire size depends on the length of the SLC circuit. Use the table below to determine the specific wiring requirements for the SLC. Wire Reauirements Twisted-pair shielded Unhvisted, unshielded Distance in Feet (meters 10,000 (3,048) 8,000 (2,438) 4,875 (1,486) 3,225 (983) 3,000 (915) Tvoical Wire Tvoe' 12 AWG - Belden 9583, Genesis 4410, Signal 98230, WPW D999 14 AWG - Belden 9581, Genesis 4408, Sign91 98430, WPW 0995 16 AWG - Belden 9575, Genesis 4406, & 4606, Signal 98630, WPW D991 18 AWG - Belden.9574, Genesis 4402, & 4602, Signal 98300, WPW D975 12 - 18 AWG 7. AWG wire size conversion to metric size: 72 AWG = 3.25mm'; 14 AWG = 2.00mm2; 16 AWG = 1.30mm'; 18 AWG = 0.75mm' NACS (NOtttication Appliance Circuits); Bells, signals, slrobes EIA-2321ntertace bullt into ihe motherboard ~"EEEP SMOKEDETECTORS SD350 SD350T CP350 HEATDETECTOR H350 DUCTDETECTORS D350P D350RP MONITORS MMF-300 MMF-302 CMF-300 CRF-300 1300 MINI MONITOR MMF301 PULL STATION BGi2-lX DF 52103tlt.wm( Page2o(4 - OF-52103 • Local Piezo sounder. • Waterflow (nonsilenceable) selection per monitor point. • System alarm verification selection per detector point. • PAS (Positive Alarm Sequence) and presignal delay per point (NFPA 72 compliant). • Optional4XTMFmodule(conventionalreversepolarity/city box transmitter). CONTROLS AND INDICATORS LED INDICATORS • 1. AC POWER (green). 2. FIRE ALARM (red). . 3. SUPERVISORY (yellow). 4. ALARM Silenced (yellow). 5. SYSTEM TROUBLE (yellow). 6. MAINTENACE/PRESIGNAL(yellow) 7. DISABLED (yellow) 8. BATTERY FAULT (yellow) 9. GROUND FAULT (yellow) MEMBRANE SWITCH CONTROLS 1. ACKNOWLEDGE/STEP 2. ALARM SILENCE 3. DRILL 4. SYSTEM RESET (lamp test) 5- 16. 12-key pad with full alphabet 17 - 20. 4 cursor keys 21. ENTER COMPATIBLE ADDRESSABLE DEVICES All feature a polling LED and rotary switches for ad- dressing. CP350 Addressable low-profile ionization smoke detector. SD350 Addressable low-profile photoelectric smoke detector. SD350(T) Addressable low-profile photoelectric smoke detecrorwith thermalsensor. H350(R) Fast response low-profile heat detector (R=with Rate of Rise option). D350P(RP) Photoelectric ductsmoke detector (R=with relay option). MMF300 Addressable Monitor Module for one zone of normally-open dry-contact initiating devices. Mounts in standard 4" (10.16 cm) box. Includes plastic cover plate and end-of-line resistor. Module may be configured-for either a Style B (Class B) or Style D(Class A) IDC. MDF-300 DualMonitorModule.SameasMMF300except it provides two Style B(Class B) only IDC's. MMF-301 Miniature version of MMF-300. Excludes LED and Style D option. Connects with wire pigtails. May mount in device backbox. MMF302 Similar to MMF300, but may monitor up to 20 conventional two-wire detectors. Requires resettable 24 VDC power. Consult factory for compatible smoke detectors. CMF-300 Addressable Control Module for one Style Y/Z (Class B/A) zone of supervised polarized Notification Appliances. Mounts directlyto a 4" (10.16cm)electrical box. NotificationAppliance Circuit option requires externa124 VDC to power notification appliances. CRF300 Addressablerelaymodulecontainingtwoisolated sets of Form-C contacts, which operate as a DPDTswitch. Mounts directly to a 4"(10.16 cm) box, surface mount using the SMB500. BG-12LX Addressable manual pull station with interface module mounted inside. 1300 This module isolates the SLC loop from short circuit conditions (required forStyle 7 operation). SM8500 UsedtomountallmodulesexcepttheMMF-301 and M301. Compatible with legacy Ffre•Lite 300 Series devices. Please consult factory for further information on all the 300 series devices: CP300, SD300, SD300(T), M300, M301, M302, C304, and BG-10LX. NOTES: 1) A" suffx should be included only when order- ing ULC listed units (e.g. SD350A, MMF-300A). 2) For more detailed information on Compatlble Addressable De- vices for use with the MS-9600, please see the following data sheets (document numbers): SD350/SD350T (DF- 52149), CP350 (DF-52158), MMF300 Series/MDF300 Addressab/e Monitor Modules (DF-52121) and BG-12LX (DF52013). COMPATIBLE ANNUNCIATORS EIA-485 Interface: Built-in to the motherboard. AFM-LED Zone Series: LED-type fire annunciators ca- pable of providing up to 99 software zones of annunciation. Available in increments of 16 or 32 with expandable (AFM-X Series) and non-expandable (AFM Series) configurations to meet a variety of applications. ACS/ACM Annunciator Series: Allow annunciation of Loop 1 and Loop 2 modules and detectors. LDM Graphic Series: Lamp Driver Module series for use with custom graphic annunciators. LCD•80F (Liquid Crystal Display) point annuncia- tor: 80-character, backlit LCD-type fire annunciators ca- pable of displaying English-language text. Up to 32 LCD- 80F annunciators may be connected to the EIA-485 termi- nal mode serial interface on the MS-9600 motherboard. NOTE: For more detailed information on Compatible An- nuncTators tor use with the MS-9600, see the LCD-80F annunciatorsection ofthe Fire•Lite Product Catalog. FIELD-PROGRAMMING FEATURES Off-Line Programming: Create entire program in your office using a WindowsN}based software package (order programming kit PK-9600UD separately). Upload/Download system programming locally to the MS-9600 in less than one minute. Auto-Programming: Command the MS-9600 to program itself (takes less than 30 seconds). In the Auto-Program mode, the MS-9600 scans for all possible devices at all addresses, stores the device types, and addresses found, and then loads default values for all options (General Alarm). It also checks for two or more devices set to the same address. On-Line Edit: While.still providing fire protection, the MS- 9600 may be programmed from the front panel. Simple menu trees displayed on the LCD allow the trained user to perform all functions without referring back to the program- ming manual. English Label Library:. Quickly select Iabeis from a standard library of more than 50 adjectives/nouns, such as DF-52103 - Page 3 of 4 "FLR 3 HALLWAY," or enter custom labels letter-by-letter. Use recall function to repeat previously used label. Program Check: Automatically catch common errors, such as control modules not linked to any zone or input point. MAINTENANCE ALERT The MS-9600 continuously monitors each smoke detector and is capable of reporting maintenance conditions. This reduces the risk of false alarms due to dust accumulation. Refer to the control panel installation manual for more infor. mation. AUTOMATIC TEST OPERATION The MS-9600 performs an automatic test of each detector every rivo hours. Failure to meet the test limits causes an AUTO TEST FAIL trouble type. System Reset clears this trouble. NFPA STANDARDS The MS-9600 complies with the following NFPA 72 Fire Alarm Systems requirements: • LOCAL (Automatic, Manual, Waterflow and Sprinkler Su- pervisory). • AUXILIARY (Automatic, Manual and Waterflow) (requires 4XTM-F). • REMOTE STATION (AUtomatic, Manual and Waterflow) (requires 4XTMF or UDACT-F). • PROPRIE7ARY (Automatic, Manual and Waterflow). • CENTRAL STATION (Automatic, Manual and Waterflow, and Sprinkler Supervised) (requires UDACT-F). SPECIFICATIONS AC Power - T61: 120 VAC3 60 Hz, 32 amps. Wire size: minimum 14 AWG (2.00 mm ) with 600 V insulation. Battery (Lead Acid Oniy) • TBZ: Maximum Charging Cir- cuit: Normal flat charge - 27.6 VDC @ 1.00 amp. Maximum Battery Charger Capacity: 25 amp hour (MS-9600 cabinet holds maximum of two 18 amp hour batteries. For 25 - 120 amp hour batteries, use the CHG-120F Battery Charger and BB-55F Battery Box. NOTE: Jumper JP3, on the FACP main circuit board, must be cut to disab/e the FACP battery charger when using the CHG-120F. Communication Loop - (Standard) T88 and (Optional SLC Expander Module) J3: 24 VDC nominal, 27.6 VDC maximum. Maximum length is 10,000 ft. (3,000 m) total twisted, shielded pair length. Maximum loop current is 400mA (short circuit) or t00mA (normal). Maximum loop resistance is 40 ohms. Supervised and power-limited. Notification Appliance Circuits - TB4:Power-limited cir- cuitry. Maximum voltage drop in wiring: 2.0 VDC. Nominal operating voltage: 24 VDC. Current limit: fuseless, electroninc, power-limited circuitry. Maximum signaling cur- rent percircuit: 3.00 amps. End-of-Line Resistor:4.7 k OHM, 1/2 watt (P/N 71252 UL listed) for NAC's. Referto Fire•Lite Device Compatibility Document for listed compatible de- vices. Programmable and Trouble Output Relays - TBS: Con- tact rating: 2.0 amps @ 30 VDC (resistive), 0.5 amps @ 30 VAC (resistive). Form-C relays. 4-Wire Resettable Smoke Detector Power (24 VDC nomi• nal) -TB3, Terminals 1(+) 8 2(-): Maximum ripple voltage: 10 mVRMS. Up to 3.0 amps for powering 4-wire smoke detectors. Power-limited circuit. Refer to Fire•Lite Device Compatibility Document for listed compatible devices. Page 4 of 4- DF-52103 Nonresettable Power#1 (24 VDC Nominal) -T63, Terml- nals 3(+) & 4(-): Maximum ripple voltage: 10 mVRMS. Up to 3.00 amps total DC current available from each output. Power-limited circuit. Nonresettable Power #2 (24 VDC Nominal) • T63, Termi- nals 5(+) g, 6(-): Maximum ripple voltage: 10 mVRMS. Up to 3.00 amps total DC current available from each output. Power-limited circuit. NOTE: 6 amps is the total amount of cument that can be d2wn lrom the following circuits: Resettable Power (TB3, 1- 2), Nonresettable Power #1 and #2 (T83, 3-4 & 5-6) and NAC #1 and #2 (T84, 1-4 & 5-8). EIA-485 (ACS) - T66: ACS annunciator connector, Termi- nal 1(+) and Terminal 2(-). EIA-485 (TERM) • TB7: Terminal mode annunciator con- nector, Terminal 5 (In 6 (In 7 (Out g (Out EIA-232 (ACS) - T67: PC/Printer connector, Terminal 1 (Transmit), 2 (Receive), 3 (DTR). 4 (Ground). CABINET SPECIFICATIONS Door: 18.67" (47.43 cm) high x 15.78" (40.08 cm) wide x 1.08" (2.74 cm) deep. Backbox: 18.5" (47.0 cm) high x 15.5" (39.37 cm) wide x 4.37" (11.1 cm) deep. Trim Ring (part # FC•TR): 21.620" (54.92 cm) high x 18.620" (47.3 cm) wide. PRODUCT LINE INFORMATION MS-9600 A 636-point addressable Fire Alarm Control Panel. Includes 80-character LCD display, single printed circuit board, cabinet and dress panel. ACM-SRF Optional plug-in relay module provides 8 Form- C 5.0 amp relays. DP-9600 Full-length internal dress panelincluded in panel. UDACT•F Digital Alarm CommunicatorTransmitter. PK-9600UD Programming softwareforWindowsG-based PC computer (cable not included). FC-TR Trim Ring for semi-flush mounting. BB•55F Batterybox, requiredto housetwo (2) PS-12250 batteries and one (1) CHG-120F battery charger. For6atteriesgreaferthan25AH, consultfactory for housing/mounting arrangements. CHG-120F Remote battery charging system. Required for charging greater than 25 AH batteries. PS-1270 Battery, 12 volt, 7.0 AH, (two required). PS-12120 Battery, 12 volt, 12.0 AH, (rivo required). PS-12180 Battery, 12 volt, 18.0 AH, (two required). PS-12250 Battery, 12 volt, 25 AH, (two required; requires CHG-120F). PS-12550 Battery, 12 volt, 55 AH, (two required; requires CHG-120F). FCPS-24F Remote Power Supply expands NACoutputs by 4 circuits (supported by 6 amps) or can provide 4 amps continuous. PRT/PK-CABLE Cable printer/personal computerinterface cable. SLC-2 Optional second Signaling Line Circuit (SLC). SuppoRs 159 detectors and 159 control, relay and monitor modules. ~ BRKT-9600 BracketusedtoinstalltheUDAC7-ForACM-SR inside the MS-9600 cabinet. Windows@ is a registered trademark of Microsoft Corporation. (aFit"e•LITP.rALat'C71S www.firelite.com March 21, 2001 DF-51294 A3-500 UDACT-F Universal Digital Alarm Communicator Transmitter Section: Control/Communirators GENERAL The Fire•Ute UDACT-F Universal Digital Alarm Commu- nicator Transmitter may be used on the MicroScan-9200, MicroScan-9600 and Sensiscan 2000 fire alarm corttrol panels. The UDACT-F transmits system status to UL listed Central Station Receivers via the public switched telephone network. The UDACT-F is compact in size and may be mounted inside the host control panel or may mount externally in a separate cabinet. EIA-485 annunciator communications bus and regulated 24-volt connections are required. The UDACT-F transmits 198 points or 56 zones when con- nected to the MS-9200, up to 636 points or 99 zones when connected to the MS-9600 and 56 zones when connected to the Sensiscan 2000. FEATURES • Dual phone lines per UL and NFPA requirements. • Dual telephone line voltage detect. • Dialer runaway prevention. • Compact in size: 6.75" x 425". • Built-in programmer. • Built-in four-character, red, seven-segment LED dis- play. • Manual Test RepoR function. • Manual Transmission Clear function. • Mounts either inside the control panel or in a separate enclosure. • Communicates vital system status including: - Independent zone/point alarm (see Type Mode). - Independent zonelpoint trouble. - Independent zone/point supervisory. - AC (mains) Power Loss (programmable). - Low Battery and Earth Fault. - System Off Normal. - 12- or 24-hour Test Signal. - Abnormal Test Signal per new UL requirements. - EIA485 Communication Bus Failure. • Annunciation of UDACT-F Troubles includes: loss of phone lines, comrtiunication failure with either Central Station, total communications failure. • Troubleshoot Mode converts keypad to DTMF touchpad for testing of phone lines and RJ31X jack. • Individual LEDs for: Power, EIA-485 loss, Manual Test, Kissoff, Comm Fail, Primary Line Seize, Secondary Line Seize and Modem Communications. • Open Collector relay driver for total communications failure, phone line fault and UDACT-F troubles. California State U L 7n 300 O'075:174 ssza cs635 INDUSTRY CANADA F M M EA 2132 6030 A 1 ZOA4.AY 328-94-E FGG 1 W6USA- 20723-AL-E UDACT-F • Real-time clock. • Extensive trensient protection. • Simpie EIA-485 interface to host panel. ELECTRICAI: SPECIPICATIONS Standby current: 40 mA. Currentwhile communicating: 75 mA. Maximum current while communicating and with open collector output activated: 100 mA. Voltage: Regulated, non-resettable 24 volts. Range: 212 to 28.2 volts. 7his document is not intended to be used for installation purposes. We try lo keep'~O ~oOJ our product information up-to-date and accurate. We cannot cover all specifc ~ applications or anticipate all requirements. All specifcations are subject to change ~ without notice. For more information, contact Fire•Ute Alarms, One Fire-Lite Place, North(ord, Connecticut 06472. Phone: (800) 6273473, Toll Free FAX: (877) 699- ER61NEf&IN6 & hW1UFACNAIN6 4105, FAX Back: 888 388-3299. Made in theU.S.A. ur-o'11a4 - rage 1 01 [ I NSTALLATI O N MS-9600: Mounts to cabinet with option bracket BRKT-9600. MS-9200: Mounts to main circuit board with supplied hardware. Sensiscan 2000: Mounts to CHS-4 chassis with supplied hardware. Optionally, externai mounting using the ABS-8RF or UBS-1 F enclosures allows locating the UDACT-F up to 6,000 feet from host panel. COMMUNICATION FORMATS • 3+1 Standard • 4+1 Standard • 4+1 and 4+2 Ademco Express • 4+2 Standard • Adernco Contact ID ~ NOTE Ademco Contact ID must be used for independent zone/point reporting. See chart for compatible receivers. PRODUCT LINE INFORMATION • ouct oetector UDACT-F Includes operating instructions, programming instructions and mounting hardware. • Flame Sensor MCBL-7 DACT phone cord, seven feet long (two required). • Smoke Zone ABS-811F Metal enclosure for external mounting up to 6,000 feet from host FACP. UBS-1F Metal enclosure, with viewing window and relay mounting capability. Mounts up to 6,000 feet from host FACP. MR-101/CR Single SPDT Form-C relay with LED, mounted in plastic enclosure with metal backplate. Contacts rated for 10A @ 115 VAC. Connects to open collector relay driver. MR-2011CR Single DPDT Form-C relay with LED, mounted in plastic enclosure with metal backplate. Contacts rated for 10A @ 115 VAC. Connects to open collector relay driver. FBD-1 Ferrite bead kit. Required for remote mounting only. BRKT•9600 Bracket used to install the UDACT-F to the MS-9600. O ~ ~ f ' o 0 0 0 0 O e Page 2 of 2- DF-57294 Format#(Addressesl6 &42) Aaemco 8B5(1) sibK Moh 9000 m CS4040 (3) PBI CP320F8 °sbon° twRmen MoEab ~aoncs ~500 (5) s.:. 300011 (T) s.c,ane Mut-Z (8) 0 4+1 pdemco byress ✓ ✓ ✓ 1 . 4+2 Ademco E)qress ✓ ✓ (e) ✓ 2 3+1/Standerd/18002300 ✓ ✓(2) ✓ ✓ (4) ✓ ✓(5,6) ✓ ✓ 3 (NOTUSED) 4 3+1/Standerd/790011400 ✓ ✓(2) ✓(4) ✓ ✓ ✓ 5 (NOTUSED) 6 4+1/SiantlaN/10002300 ✓ ✓ (2) ✓ ✓ (4) ✓ ✓ (5) ✓ ✓ 7 (NOTUSED) B 4+1/Sfandart1H90011400 ✓ ✓(2) ✓(4) ✓ ✓ ✓ 9 (NOTUSED) A 02/Standard/79002300 ✓ ✓(2) ✓ ✓(4) - ✓ ✓(5) ✓ ✓ B (NOTUSED) c a+ystsndawiaaonaoo ✓ ✓(2) ✓(a) ✓ r r D (NOTUSED) E AdemwContaMlD ✓ ✓ ✓ ✓ F (NOTUSED) (t) With 685-8 Line Card with Rev. 4.4d sofhvare. (2) With 9002 Line Card Rev. 9035 software or 9032 Line Card with 9326A sofhvare. (3) Rev. 4.0 soflware. (4) FBI CP220F8 Rec-11 Line Card with Rev. 2.6 software and a memory card with Rev. 3.8 software. (5) Model 6500 with Rev. 600 software. (6) Model 6000 with Rev. 204 software. _ (7) With Rev. B control card at Rev. 1.4 sofrivare and Rev. CJine card at Rev. 1.5 software. (6) Model 2 only. (9) Version 1.62 sofhvare. . TYPE MODE FEATURE (Ademco Contact ~ format only) Use Type Modeto identify reports to Central Station as: • Fire Alarm • Supervisory • Pullstation • Heat Detector • Waterflow UBS-1 F (a FireliTe~aLarms www.firelite.com 25,2001 LCD-80r DF-52185 B-150 80-Character Liquid Crystai Display Remote Fire Annunciator for use with the MS-9600 GENERAL The LCD-80F is a compact, cost-effective, 80-charac- ter, backlit LCD remote Fire Annunciator for use with the Fire•Lite MS-9600 FACP (Fire Alarm Control Pariel). The LCD-80F displays complete system point status information and includes control switches for remote control of critical system functions. Up to 32 LCD-80F's may be connected onto the EIA- 485 terminal port (TB7) of each MS-9600 control panei. The LCD-80F requires no programming, which saves time during system commissioning. FEATURES • 80-character Liquid Crystal Display. • Mimics all display information from the host panel. • Control switches for System Acknowledge, Signai Silence, Drill and Reset with enable key. • System status LED's for Power, Alarm, Trouble, Supervisory and Alarm Silenced. • No programming necessary - LCD-SOF connects to the terminal port (TB7) on the MS-9600. • Displays device type identifiers, individual pointalarm, trouble or supervisory, zone and custom alpha la- bels. • Time and date display field. • Aesthetically pleasing design. • May be powered by 24 VDC from the host FACP or by remote power supplies (requires 24 VDC). • Up to 32 LCD-80F annunciators per FACP. • Plug-in terminal blocks for ease of instailation and service. • Can be remotely located up to 6,000 feet (1828.8 m) from the MS-9600. • Local piezo sounderwith alarm and trouble resound. • Semi-flush mounts to 23/16" (55.56 mm) minimum deep, three-gang electrical box (Fire•Lite P/N 10103) or three-gangable electrical switchbox. • Surface-mountstoFire•LiteSB6-3surfacebackbox. OPERATION The LCD-80F annunciator provides the FACP with point annunciation with full display text on an 80-char- acter LCD display. The LCD-80F also provides an arrary of LED's to indicate system status, and includes control switches for remote control of critical system functions. The LCD-80F provides the FACP with up to 32 remote ~ v `s"" California L • ~ State Fire Or Marshall ~ aSEAVIGE: S2424 7120-0075:190 ~L~ F M CS635 LCD-80F w a LL O 0 J serially connected annunciators. All field-wiring termi- nations on the LCD-80F use removable, compression- type terminal blocks for ease of wiring and circuit test- ing. Communication between the FACP and the annuncia- tors is accomplished over an EIA-485 serial intertace, which greatly reduces wire and installation cost over traditional systems. Six wires total are required: four for the EIA-485 communications (two in and two re- turn); and two for the 24 VDC regulated power. Dip switches controi local functions such as: piezo disable, control switches/key-switch disable, transmiUreceive mode. This document is nol intended [o be used for installation purposes. We Iry to keep our' O ~ o o~ product information up-to-date and accurate. We cannot cover all specifc applica- tions or anticipate all requirements. All specifcations are subject to change without notice. For more intormation, contact Fire•Lite Alarms, One Fire-Lite Place, Northford, V Connecticut 06472 Phone: (800) 627-3473, Toll Free FAX: (877) 699-4105, FAX EN6INEEOINC 8 MANOFACflAIN6 Back: 888 388-3299. Made in the U.S.A. DF-52785 - Page 1 of 2 INSTALLATION The LCD-SOF can be semi-flush mounted to a 2-3/16" (55.56 mm) minimum deep, three-gang electrical box (Fire•Lite P/N 10103) orthree-gangable electrical switchboxes. Alternately, an SBB3 surface backbox is available for surface-mount appiications. PRODUCT LINE INFORMATION LCD-80F 80-character, backlit, LCD FireAnnunciator with contral switches for remote control of system functions, and key-switch lock. 10103 Three-gang electrical box, minimum 2-3/ 16" (55.56 mm) deep, for semi-flush mount applications. SBB-3 Three-gang surtace backbox for surface- mount applications. LCD-80P TERNiINAL MODE WIRING EXAMPLE Up to 6,000 ft. (7828.8 m) between EACH DEVICE in the EIA-4851oop Terminal Mode Ir LCD-80F ~ LC EIA-485 (2-wires) 24 LCD-SOP E 3 ~ N ~ N n Up to 6,000 ft. (1828.8 m) back from last device ~to end of EIA-485 loop Terminal Mode EIA-485 return (2-wires) Noter. 1) EIA-485:Maximumof6,000feet(1828.8m)cablelengthfromFACPtoLCD-80Fannunciators,6,000feetcablelength behveen each LCD-80F and 6,000 feet from the last LCD-SOF back to the FACP. Circuit is power-limited. 2) Up to 32 LCD-80F annunciators may be used on the EIA-484 circuit. When multiple LCD-80F's are used, the MS-9600 will require additional power supplies (refer to panel documentation). 3) Between each LCD-80F annunciator are fourwires: a twisted-shielded pairfor data communications and a pairfor 24 VDC power. The return circuit only requires two wires (lwisted) for data communication supervision, wired from the last LCD-SOF annunciator on the loop. MOUNTING TO BACKBOX(ES) The LCD-80F annunciators can be semi-flush mounted in a three-gang electrical box with a minimum depth of 2-3116" (55.56 mm) (Fire•Lite P/N 10103). The LCD-80F annunciators can be mounted in three- gangable electrical switchboxes connected together. NOTE: Alternately, LCD-80F annunciators can be mounted to the SBB3 surface backbox for surface- mount applications. Electrical lnstaller's Note: This annunciatormaynof fit easily inlo a standard 3-gang electrical box if lock- ing clamps are used to secure wiring entering the rear or side knockouts. Only use the TOP or BOTTOM knockouts to bring wiring into a standard 3-gang elec- trical box. 5-13116° (147.6375 mm) wide x 4" (101.6 mm) high x minimum 2-3116"(55.5625 mm) deep, three-gang electrical box (Fire•Llte P/N 10103, shown at right). Mounting Holes LCD-80Fflange (4J 0 0 FIgE ALAf{pp ANNUVARIR_ FIRE-LITE ALARMS, INC. SYSTEMS ALL NORMAL 11:06A 032001 - Page2of2-DF52185 Addressable Fire Alarm Control Panel P.pril 11, 2003 DF-52384 • E-160 ~ Flf @•LIT@maLarms SD355(A)/SD355T(A) Addressable Phofoelectric Defecfors www.Flrelife.com Section: Addressable Devices GENERAL The SD355 and SD355T addressable, low-profile plug-in photcelectric detectors use a state-of-the-art photoeleclric sensing chamberwith communications to provide open area protection and are used exclusively with Fire•Lite's MS- 9200, MS-9200UD, and MS-9600 Addressable Fire Alarm Control Panels (FACPs). The SD355T adds thermal sen- sors that will alarm at a fixed temperature of 135°F (57°C). Since these detectors are addressable, they will help emer- gency personnel quickly locate a fre during its early stages, potentially saving precious rescue time while also reduo- ing property damage. Two LEDS on each sensor light to provide a local, visible sensor indication. Remote LED an- nunciator capability is available as an optional accessory (P/N RA400Z). FEATURES SLC /oop: • Two-wire loop connection. • Unit uses base for wiring. Addressing: • Addressable by device. • Direct Decade 01 - 99 (MS-9200, MS-9200UD) and 01 - 159 (MS-9600) entry of address. Archltecture: • Unique single-source, dual-chamber design to respond quickly and dependably toa broad range of fires. • Sleek, low-profle design. • Integral communications and built-in type identification. California S[ate Fire ~ Marshal 7272-0075:194 LISTED M oFA F M APPROVED eessMnl.7w -1 SD355T with 8350LP base Buitt-in tamper-resistant feature. • Removable cover and insect-resistant screen for simple field cleaning. Operatlon: • Withstands airvelocities upto 1,500feet-per-minute(7.6 m/sec.) without triggering a false alarm. Mechanlcals: Other system features: • Factory preset at 1.5% nominal sensitivity for panel alartn threshold level. • Visible LED °blinks° when the unit is addressed (com- municating with the fire panel) and latches on in alarm. • Fully coated circuit boards and superior RF/transient pro- tection. • 94-VO plastic flammability rating. • Low standby current. OpSons: • Remote LED output connection (P/N RA400Z). APPLICATIONS Sealed against back pressure. • Dired surtace mounting or electrical box mounting. • Mounts to: single-gang box, 3.5" (8.89 cm) or 4.0" (10.16 cm) octagonal box, or 4.0" (10.16 cm) square electrical box (using a plaster ring - included). Use photoelectric detectors in life-safety applications to pro- vide a broad range of fire-sensing capabiliTy, especially where smoldering fires are anticipated. lonization detec- tors are often better than photoelectric detectors at sens- ing fast, flaming fires. . This document is not intended to be used for insfallation purposes. We iry to keep our produd 'wvo7woo~ , infortnation upto-date and accurate. We cannot cover all specifc applications or anticipate all 'requirements. All specifcations are subject to change without noUCe. For more infortnation, confacl Fire~Lite Alartns, One Fire-Lite Place, Northford, Connecticut 06472. i~~~~ Phone: (800) 627-3473, Toll-Free FAX: (877) 699-0105. oF-523e4 • 0411 vus - rage 1 or z 8350LP 6ase CONSTRUCTION These detectors are constructed of off-white LEXAND. SD355(T) plug-in, low-profile smoke detectors are designed to commercial standards and offer an attractive appear- ance. LEXAMD is a registeretl trademark of GE Plastics, a subsidiary of General Electric Company. INSTALLATION SD350(T) plug-in detectors use a detachable mounting base to simplify installation, service and maintenance. Mount base on boz which is at leas[ 1.5 inches (3.81 cm) deep. Suitable boxes include: • 4.0" (10.16 cm) square box with plaster ring. • 4.0" (10.16 cm) octagonal box. • 3.5" (8.89 cm) octagonal box. • Single-gang box. NOTE: Because of tAe inM1erent supervision provided by the SLC loop, end-of-line resistors are not required. wnng "T-faps" or branches are pernitted for Style 4(Class B) wiring. OPERATION Each SD355(T) uses one of 99 possible addresses on the MS-9200 and MS-9200UD Signaling Line Circuit (SLC), or up to 318 (159 on each loop) on the MS-9600 SIC. It re- sponds to regular polls from the system and reports its type and status. The SD355(T) addressable photoelectric sensor's unique unipolar chamber responds quickly and uniformly to a broad range of smoke conditions and can withstand wind gusts up to 1,500 feet-per-minute (7.6 m/sec.) without sending an alarm level signal. Because of its unipolar chamber, the SD355(T) is approximatelyrivo times more responsive than most photoelectric sensors. This makes it a more stable detector. DETECTOR SENSITIVITY TEST Each detedor can have their sensitivity tested (required per NFPA 72, Chapter 7 on Inspection, Tesfing and Main- tenance) when installed/connected to an MS-9200, MS- 9200UD, or MS-9600 addressable fire alarm control panel. The results of the sensitivity test can be printed off the MS- 9200, MS-9200UD, or MS-9600 for record keeping. SPECIFICATIONS Voltage range: 15 - 32 VDC (peak). Standby current: 300 pA @ 24 VDC. LED current: 6.5 mA @ 24 VDC (latched "ON"). Air velocity: 1,500 R./min. (7.6 m/sec.) maximum. Diameter: 6.1" (15.5 cm) installed in 6350LP base. Height: 2.1" (5.33 cm) installed in 6350LP base. Weight: 3.6 oz. (102 g). Operating temperature renge: for SD355: 0°C to 49°C (32°F to 120°F) SD350; for SD355T: 0°C to 38°C (32°F to 100°F). Temperature: 0°C - 49°C (32°F - 120°F). Relative humidity: 10%- 93%, non-condensing. PRODUCT LINE INFORMATION NOTE: A° suyx indicates ULCdisted model. Addressable photoelectric detector (8350LP base included). SD355A Same as SD355 with ULC Listing (8350LPA base included). SD355T Same as SD355 but with thermal element (8350LP base induded). SD355TA Same as SD355T with UlC Listing (8350LPA base included). RA400Z(A) Remote LED. Mounts to a single-gang box. B350LP(A) Plug-in detector base (included). Dimen- sions: 6.1" (15.5 cm). Mounting: 4.0" (10.16 cm) square box with or wiihout plastic ring, 4.0" (10.16 cm) odagonal box, 3.5" (8.89 cm) octagonal box, or single-gang box. All mount- ing boxes have a minimum depth of 1.5" (3.81 cm). B224R8(A) Plug-in System Sensor relay detector base. Diameter: 62" (15.75 cm). Mounting: 4.0" (10.16 cm) square box with or without plastic ring, 4.0" (10.16 cm) octagonal box, or 3.5" (8.89.cm) octagonal box. All mounting boxes have a minimum depth of 1.5" (3.81 cm). B5016H(A) Plug-in System Sensor sounder detector base. Dfameter: 6.0" (15.24 cm). Mounting: 4.0" (10.16 cm) square box with or without plastic ring. Mounting box has a minimum depth of 1.5" (3.81 cm). Page 2 of 2- OF-52384 • 04111/03 April 23, 2001 (RFireli-reraLarms www.firelite.com DF-52121 MMF-300 Series/MDF-300 Addressable Monitor Modules Section: Addressable Devices GEhtERAL Four different monitor modules are available for Fire•Lite Alarm's MS-9200 and MS-9600 intelligent fire alarm control panels to suit a variety of applications. Monitor modules are used to supervise a circuit of dry-contact input devices, such as con- ventional heat detectors and pull stations, or monitor and power a circuit of two-wire smoke detectors (MMF-302). MMF-300 (Replaces M300) -The MMF-300 Moni- tor Module is a standard-sized module (typically mounts to a 4" [101.6 mm] square box) that supervises either a Class A (Style D) or Class B(Style B) circuit of dry-contact input de- vices. MMF-301 (Replaces M301) -The MMF-301 is a Min- iature Monitor Module (a mere 1.3" (33.02 mm) H x 2.75" (69.85 mm) W x 0.5" (12.70 mm) D) used to supervise a Class B(Style B) circuit. Its compact design allows the MMF- 307 to be mounted in a singie•gang box behind the device it is monitoring. MMF302 (Replaces M302) - The MMF-302 Inter- face Module is a standard-sized module used to monitor and supervise compatible two-wire, 24 volt, smoke detectors on a Class A(Sryle D) or Class B(Style B) circuit. MDF-300 (New) - The MDF300 Dual Monitor Module is a standard-sized module (typically mounts to a 4" [101.6 mm] square box) that supervises two Class B(Style 8) cir- cuits ot dry-contact input devices. MMF-300 MONITOR MODULE • Built-in type identification automatically identifies this de- vice as a monitor module to the control panel. • Powered directly by two-wire SLC loop. No additional power required. • High noise (EMF/RFI) immunity. • SEMS screws with clamping plates for ease of wiring. • Direct Decade 07 - 99 (MS-9200) and 01-159 (MS-9600) entry of address. . • LED flashes green during normal operation and latches on steady red to indicate alarm. The MMF-300 Monitor Module is intended for use in intelli- gent, hvo-wire systems, where the Individual address of each module is selected using the built-in rotary switches. It pro- vides either a two-wire or four-wire Class A or Class B fault- tolerant Initiating Device Circuit (IDC) for normally-open-con- tact fire alarm and supervisory devices. The module has a panel-controlled LED indicator. The MMF-300 can be used to replace M300 modules in existing systems. MMF-300 Applications - Use to monitor a zone of four-wire smoke detectors, manual fire alarm pull stations, watertlow devices, or other normally-open dry-contact alarm activation devices. May also be used to monitor normally- open supervisory devices with special supervisory indica- tion at the control panel. Monitored circuit may he wired as an NFPA Style B(Class B) or Style D(Class D) Initiating Device Circuit. A 47K ohm End-of-Line Resistor (provided) F N9 ~ L SEflVILE 7300-0075:185 terminates the Style 8 circuit. No resistor is required for su- pervision of the Style 0 circuit. Maximum IDC resistance is 1,500 ohms. MMF300 Operation - Each MMF-300 uses one of 99 (MS-9200) or 159 (MS-9600) available module addresses on an SLC loop. It responds to regular polls irom the control panel and reports its type and the status (open/normal/short) of iis Initiating Device Circuit (IDC). A flashing LED indicates that the module is in communication with the control panel. The LED latches steady on alarm (subject to current limita- tions on the loop). MMF-300 Specifications Nominal operating voltage: 15 to 32 VDC. Maximum current draw: 5.1 mA (LED on). Average operating current: 400 NA (LED fiashing). EOL resistance: 47K ohms. Temperature range: 32°F to 120"F (0°C to 49°C). Humidity range: 10%to 93% noncondensing. Dimensions: 4.5" (114.3 mm) high x 4" (101.6 mm) wide x 1.25" (31.75 mm) deep. Mounts to a 4" (107.6 mm) square x 2.125" (53.975 mm) deep box. 7his document is not intended to be used for installation purposes. We try to keep our ~ 0 9001 product in(ormation up-to-date and accurate. We cannot cover ail specific applica- tions or anticipate all requirements. All specifications are subiect to change without notice. For more information, contact Fire•Lite Alarms, One Fire-Lite Place, NoAhtord, Connecticut 06472. Phone: (800) 6273473, Toll Free FAX: (877) 699-4705, FAX EN6INEERIN6 &MANIIFACNAIN6 Back: 888 388-3299. Made in the U.S.A. DF-52121 - Pa9e 1 of E MMF-300, MMF302 and MDF300 • Built-in type identification automatically identifies this de- vice as a monitor module to the MS-9200. • Powered directly by two-wire SLC Loop. No addi[ional power required. • High noise (EMF/RFI) immunity. • Tinned, stripped leads for ease of wiring. • Direct-dial entry of address (01-99). The MMF-301 Mini Monitor Module can be installed in a single-gang junction directly behind the monitored unit. Its small size and light weight allow i[ ro be installed without rigid mounting. The MMF-301 is intended for use in intelligent, two-wire systems where the individual address of each mod- ule is selected using rotary switches. It provides a two-wire initiating device circuit for normaily-open-contact fire alarm and security devices. The MMF-301 can be used [o replace M301 module in ezisting systems. 14 15 0 1 ADDRE 0 ~ 13 2 2 0 4 4 8~ LOOP 8O~6 10 9 6 9 5 ~ 5 TENS ONES MMF-301 Applications- Use to monitor a single de- vice or a zone of four-wire smoke detectors, manual fire alarm pull stations, watertlow devices, or other normally-open dry-contact devices. May also be used to monitor normaily open supervisory devices with special supervisory indica- tion at the confrol panel. Monitored circuiVdevice is wired as an NFPA Style B(Class B) Initiating Device Circuit A 47K ohm End-of-Line Resistor (provided) terminates the circuit. MMF301 Operation - Each MMF-301 uses one of 159 (MS-9600 only) available module addresses on an SLC loop. It responds to regular polls from the control panel and reports its type and the status (open/normal/short) of its Ini- tiating Device Circuit (IDC). MMF-301 Specifications Nominal operating voltage: 75 to 32 VDC. Average operating current: 375 uA maximum. EOL resistance: 47K ohms. Temperature range: 32°F to 120°F (0°C to 49°C). Humidity renge: 10% to 93% noncondensing. Dimensions: 1.3" (33.02 mm) high x 2.75" (69.85 mm) wide x 0.5" (12.70 mm) deep. Wire length: 6" (152.4 mm) minimum. MMF-302 INTERFACE MODULE • Supports compatible two-wire smoke detectors. • Supervises IDC wiring and connection of external power source (resettable). • High noise (EMF/RFI) immunity. • SEMS screws with clamping plates for ease of wiring. • Direct-dial entry of address (01-99). • LED fiashes during normal operation (this is a program- mable option). • LED latches steady to indicate alarm on command from control panei. The MMF302 Interface Module is intended for use in intel- ligent, addressable systems, where the individual address of each module is selected using built-in rotary switches. This moduie allows intelligent panels to interface and monitor two- wire conventional smoke detectors. It transmits the status (normal, open, or alarm) of one full zone of conventional de- tectors back to the control panel. All two-wire detectors be- ing monitored must be UL compatible with the moduie. MMF-302 Applications - Use the MMF-302 to moni- tor a zone of two-wire smoke detectors. The monitored cir- cuit may be wired as an NFPA Style B(Class B) or Style D (Class A) Initiating Device Circuit. A 3.9 K ohm End-of-Line Resistor (provided) terminates the end of the Style B or D (class B or A) circuit (maximum IDC loop resistance is 25 ohms). Install ELR across terminals 8 and 9 for Style D ap- plication. MMF302 Operation - Each MMF-302 uses one of 159 (MS-9600 only) available module addresses on an SLC loop. It responds to regular polls from the con[rol panel and reports its type and the status (open/normai/short) of its ini- tiating Device Circuit (IDC). A ilashing LED indicates that the module is in communication with the control panel. The LED latches steady on alarm (subject to current limitations on the loop). MMF-302 Specifications Nominal operating voltage: 15 to 32 VDC. Maximum current draw: 5.1 mA (LED on). Average operating current: 270 NA (LED flashing). EOL resistance: 3.91K ohms. External supply voltage (between Terminals T3 and T4): DC voltage: 18 to 28 volts power limited. Ripple voltage: 0.1 VaMS mazimum. Current: 90 mA per module maximum. Temperature renge: 32°F to 120°F (0°C to 49°C). Humidity range: 10% to 93% noncondensing. Dimensions: 4.5" (114.3 mm) high x 4" (101.6 mm) wide x 1.25" (31.75 mm) deep. Mounts to a 4" (101.6 mm) square x 2.125" (53.975 mm) deep box. MDF-300 DUAL MONITOR MODULE • Buii[-in type identification automatically identifies this de- vice as two monitor modules to the control panel. • Powered directly by the two-wire SLC loop. No additional power required. • High noise (EMF/RFI) immunity. • SEMS screws with clamping plates for ease of wiring. • Direct-dial entry of address 01 - 159 on the MS-9600. • LED flashes green during normal operation and latches on steady red to indicate alarm. The MDF300 Dual Monitor Module is intended for use in intelligent, two-wire systems, where the individual address of each module is selected using the built-in rotary switches. It provides two independant two-wire fault-tolerant Initiating Device Circuits (IDCs) at two separate, consecutive ad- Page 2 of 3- DF-52121 dresses. It is capable of monitoring normally open-contact fire alarm and supervisory devices, or either normally open or normally closed security devices. The module has a single panel-controlled red LED indicator. MDF-300 Applications - Use to monitor a zone of four- wire smoke detec[ors, manual fire alarm pull stations, watertiow devices, or other normally-open dry-contact alarm activation devices. May also be used to monitor normally- open supervisory devices with special supervisory indica- tion at the control panel. Monitored circuit may be wired as an NFPA Style B(Class B) Initiating Device Circuit. She 47K ohm End-of-Line Resistors (provided) terminate the Style B circuit. Maximum IDC resistance is 1,500 ohms. MDF300 Operation - Each MDF-300 uses two of 99 (MS-9200) or 159 (MS-9600) available module addresses on an SLC loop. It responds to regular polls from the control panel and reports its type and the status (open/normal/short) of its Initiating Device Circuit (IDC). A flashing LED indicates that the module is in communication with the control panel. The LED latches steady on alarm (subject to current limita- tions on the loop). MDF-300 Specifications Nominal operating voltage: 15 to 32 VDC. Maximum current draw: 5.1 mA (LED on). Average operating current: 750 pA (LED flashing). EOL resistance: 47K ohms. Maximum IDC wire resistance: 1,500 Ohms. Temperature range: 320F to 120°F (0°C to 49°C). Humidity range: 10% to 93%noncondensing. Dimensions: 4.5" (114.3 mm) high x 4" (101.6 mm) wide x 1.25" (31.75 mm) deep. Mounts to a 4" (101.6 mm) square x 2.125" (53.975 mm) deep box. Accessories: SMB500 electrical box. INSTALLATION MMF300, MMF-302 and MOF300 modules mount directly to a standard 4" (101.6 mm) square, 2.125" (53.975 mm) deep, electrical box. They may also be mounied to the SMB500 surface-mount box. Mounting hardware and instal- lation instructions are provided with each module. All wiring must conform to applicable local codes, ordinances, and regu- lations. These modules are intended for power-limited wir- ing only. The MMF301 module is intended to be wired and mounted without rigid connections inside a standard electrical box. All wiring must conform to applicable local codes, ordinances, and regulations. ARCHITECTS'/ENGINEERS' SPECIFICATIONS Specifications of these and all Fire•Lite Alarms products are available from Fire•Lite Alarms. PRODUCT LINE INFORMATION MMF-300 Monitor Module. MMF-301 Mini Monitor Module. MMF-302 Two-Wire Detector Monitor Module. MDF-300 Dual Monitor Module. SMB500 Optional Surface-Mount Backbox. ME3UPETIIVG DIAGRAMS for sfandard-sized modules 44 DF-52121 - Page 3 of 3 February 15, 2001 DF-52730 E-350 CMF and CRP Series (a Fire-LITe'aLarms Addressable Control and Relay Modules www.flrelite.com Section: Atldressable Devices GENERAL CMF-300 Control Module (Replaces C304) The CMF-300 Addressable Control Module provides Fire•Lite Alarm's MS-9200 and MS-9600 intelligent control panels a supervised Class B(Style Y) or Class A(Style Z) circuit for Notification Appliances (horns, strobes, etc.). Addressability allows the CMF to be activated, either manu- ally or through panel programming, on a select (zone or areaof coverage) basia . CRF-300 Relay Module (Replaces C304 configured as a relay) The CRF-300 Addressable Relay Module provides the MS-9200 and MS-9600 systems with two isolated sets of Form-C dry-contact outputs for activating a variety of auxil- iary devices, such as fans, dampers, door holders, con- trol equipment, etc. Addressability allows the dry contact to be activated, either manually or through panel program- ming, on a select basis. FEATURES • Built-in fype identitication automatically identifies these devices to the control panel. • Internal circuitry and relay powered directly by two-wire SLC loop. The CMF module requires power (for homs, strobes, etc.). • Integral LED "blinks" green each time a communication is received from the conirol panel and turns on in steady red when activated. • High noise immunity (EMF/RFI). • The CMF inay be used fo switch 24-volt NAC power. • Wide viewing angle of LED. • SEMS screws with clamping plates for wiring ease. • Direct Decade 01-99 (MS-9200) and 01-159 (MS-9600) entry of address. APPLICATIONS The CMF is used to switch 24 VDC audible/visual power. The CRF inay be programmed to operate dry contacts for door holders, Air Handling Unit shutdown, etc., and to re- set four-wire smoke detector power. CONSTRUCTION together. • uL FM The face plate is made of off-white Noryl@. Controls include two rotary switches for direct-dial entry of address (01•99 on the MS-9200 and 01-159 on the MS-9600). The CMF is configured for a single Class B(Style Y) or Class A(Style Z) Notification Appliance Circuit. The CRF provides two Form-C dry contacts that switch LISTED APProved OPERATION Each CMF or CRF uses one of 99 (MS-9200) or 159 (MS- 9600) possible module addresses on a SLC loop. It re- sponds to regular polls irom the control panel and reports its type and status, including the open/normal/short sta- tus of its Notification Appliance Circuit (NAC). The LED blinks with each poll received. On command, it activates its Internal relay. The CMF supervises Class B(Style Y) or Class A(Style Z) notification or control circuits. Upon code command from the panel, the CMF will discon- neci the supervision and connect the external power sup- ply in the proper polarity across the load device. The dis- connection ot the supervision provides a positive indica- tion to the panel that the control relay actually tumed ON. The external power supply is always relay isolated from the communication loop so that a trouble condition on the extemal power supply will never inteAere with ihe rest of the system. NorylO is a registered trademark of GE Plastics, a subsidiary of General Electric Company. This tlocument is not intended to be used for installation purposes. We Iry to keep1S0 ~oOJ our protluct information updo-daie and ecwrate. We cannot cover all specific ~ applications or anticipate all requlrements. All speclfications are subject to change wi[hout notice. For more information, contact Fire•Lite Alartns, One Fire-Lite Place, 0-T Northford, Connecticut 06472. Phone: (800) 627-3473, Toll Free FAX: (877) 699- ENLINEf$INC f MANOFACTIBINC 4105, FAX Back: 888 388-3299. Made in the U.S.A. DF-52130 • 07113/00 - Pa9e 7 of 2 CMF-300 and CRF-300 Module Rotary switches set a unique address for each module. The address may be set before or after mounting. The built-in TYPE CODE (not settable) will identify the module to the control panel, so as to differentiate between a mod- ule and a sensor address. SPECIPICATIONS FOR CMF Normal operating voltage: 15 to 32 VDC. Maximum current drew: 5.1 mA (LED on). Average operating current: 390 NA (LED flashing). ~ External supply voltage (between Termina/s T3 and r4): maximum 80 volts (RMS or DC). Drain on external supply: 2 mA maximum (using internal EOL relay). EOL resistance: 47K ohms. Temperature range: 320F to 120°F (0°C to 49°C). Humidity range: 10% to 93 % non-condensing. Dimenslons: 4.5' (114.3 mm) high x 4" (101.6 mm) wide z 7.25' (31.75 mm) deep. Mounts to a 4" (101.6 mm) square x 2.725' (53.975 mm) deep box. SPECIFICATIONS FOR CRF Normai operating voltage: 15 to 32 VDC. Maximum current draw: 5.1 mA (LED on). Average operating current: 270 UA (LED flashing). EOL res(stance: not used. Temperature range: 32°F to 120°F (0°C to 49°C). Humidity range: 10% to 93% non-condensing. Dimensfons: 4.5` (114.3 mm) high x 4" (101.6 mm) wide x 7 25' (31.75 mm) deep. Mounts to a 4' (101.6 mm) square x 2.125' (53.975 mm) deep box. PRODUCT LINE INFORMATION CMF300 Intelligent Addressable Control Module. CRF-300 Inteiligent Addressable Relay Module. SMB500 Optional Surface-MOUnt Backbox. CB500 Control Module Barrier - required by UL tor separating power-limited and non-power lim- ited wiring in the same junction box as CMF-300. \ E E ~ CJ RELAY CONTACT RATINGS for bofh CMF and CRP models Load Description Application Maximum Voltage Current Rating Resistive Non•Coded 30 VDC 3.0 A Resistive Coded 30 VDC 2.0 A Resistive Non-Coded 110 VDC 0.9 A Resistive Non-Coded 125 VAC 0.9 A Inductive (UR = 5 ms) Coded 30 VDC 0.5 A Inductive (UR = 2 ms) Coded 30 VDC 1.0 A Inductive (PF = 0.35) Non-Coded 125 VAC 0.5 A srsar:(e.wi MOUNTING DIAGRAMS Note CB500 Module Barrier, which creates isolated quadrai QUADRANT 4' (101.6 mm) square x 2.125' (53.975 mm) deep box Page 2 012 - OF-52730 • 07/13/00 20, 2001 (RFirelireraLarms www.firelite.com DF-52004 F-050 BG-12 Series Manuai Fire Alarm Pull Stations Section: Conventional Initiating Devices GENERAL The Fire•Lite BG-12 Series is a cost-effective, feature- packed, non-coded series of manual fire alarm pull sta- tions. Ii was designed to meet multiple applications with the installer and end-user in mind. The BG-12 Series fea- tures a variety of models including single- and dual-action versions. The BG-12 Series provides Fire•Lite Fire Alarm Control Panels (FACPs), as well as other manufacturers' controls, with a manual alarm initiating input signal. Its innova[ive design, durable construction, and multiple mounting op- tions make the BG-12 Series simple to install, maintain, and operate. FEATURES • Aesthetically pleasing, highly visible design/color. • Attractive contoured shape with light textured finish. • Meets ADA 5 Ib. maximum pull-force. • Meets UL 38, Standard for Manually Actuated Signaling Boxes. • Easily operated (single- or dual-action), yet designed to prevent false alarms when bumped, shaken, or jarred. • PUSH IN/PULL DOWN handle latches in the down po- sition to clearly indicate the station has been operated. • The word "ACTIVATED" appears on the top of the handle in bright yellow, further indicating operation of the sta- tion. • Operation handle features white arrows showing basic operation direction, for non-English-speaking persons. • Braille text included in finger-hold area of operation handle and across top of handle. • Multiple hex- and key-lock models available. • U.S. patent-pending hex-lock needs only a quarter-turn to lock/unlock. • Station can be opened for inspection and maintenance without initiating an alarm. • Product ID label viewable by simply opening the cover; label is made of a durable long-life material. • The words "NORMAL" and "ACTIVATED" are molded into the plastic adjacent to the alarm switch (located in- side). • Four-position terminal strip molded into backplate. • Terminal strip includes Phillips combination-head cap- tive 8/32 screws for easy connection to Initiating Device Circuit (IDC). • Terminal screws backed-out at factory and shipped ready to accept field wiring (up to 12 AWG/325 mm2). • Terminal numbers are molded into the backpiate, elimi- nating the need for labels. ~ California US State Fire C Q ~ Marshal LISTED 'O7150-0075:184 SEHVIGF 5711 FM (except BGd2LPS and BG-12LPSP) • Switch contacts are normally open. • Can be surface (with SB-10) or semi-flush mounted. Semi-flush mount to a standard single-gang, double- -gang, or 4" (10.16 cm) square electrical box. • Backplate is large enough to overlap a single-gang backbox butout by up to 1/2" (12.7 mm). • Optional trim ring (BG-TR). • Spanish version (FUEGO) available (BG-12LSP). • Designed to replace the popular BG-10 Series. • Models packaged in attractive, clear plastic (PVC), clamshell-style, Point-of-Purchase packages. Packag- ing includes a cutaway dusVpaint cover in shape of pull station. This document is not intended to be used for installation purposes. We try to keep our' ~ O ~ o o~ product information up-to-date and accurate. We cannot cover all specific applications or anticipate all requiremenis. All specilications are subjec[ to change withoul notice. For more information, contact Fire•Lite Alarms, One Fire-Lite Place, Notlhford, Connectiwt to-T-W=711731=11 06472. Phone: (800) 627-3473, Toll Free FAX: (877) 699-4105, FAX Back:(888) 388- EN6INEFRIN6 8 MANIIfACNRIN6 3299 Made in ihe U.S.A. CONSTRUCTION • Cover, backplate and operation handle are all molded of durable polycarbonate material. • Cover features white lettering and trim. • Red color matches System Sensor's popular SpectrAlertT"' horn/strobe series. OPERATION The BG-12 manual pull stations provide a textured finger- hold area that includes Braille text. In addition to PUSH IN and PULL DOWN text, there are arrows indicating how to operate the station, provided for non-English-speaking persons. Pushing in and then pulling down on the handle activates the normally-open alarm switch. Once latched in the down position, the word "ACTIVATED" appears at the top in bright yellow, with a portion of the handle protruding at the bottom as a visible flag. Resetting the station is simple: insert the key or hex (model dependent), twist one quar- ter-turn, then open the station's front cover, causing the spring-loaded operation handle to return to its original position. The alarm switch can then be reset to its normal (non-alarm) position manually (by hand) or by closing the station's front cover, which automatically resets the switch. SPECIFICATIONS Physical Specifications: BG-12 58-10 WP•10 WBB 5.5 inches 5.5 inches 6.0 inches 425 inches Height: (73.97 cm) (13.97 cm) (15.24 cm) (7079 cm) Width: 4.121 inches 4.121inches 4.69inches 425inches (70.47 cm) (10.47 cm) (17.91 cm) (10.79 cm) 1.39 inches 1.375 inches 2.0 inches 7.75 inches Depth: (3.53 cm) (3.49 cm) (5.08 cm) (4.445 cm) 5200d0.lbl Electrical Specifications: Switch contact ratings: -gold-plated; rating 0.25 A@ 30 VAC or VDC. ENGINEERS' & ARCHITECTS' SPECIFICATIONS Manual Fire Alarm Stations shall be non-code, with a key- orhex-operatedresellockin order that they may betested, and so designed that after actual Emergency Operation, they cannot be restored to normal except by use of a key or hex. An operated station shall automatically condition it- self so as to be visually detected as activated. Manual stations shall be constructed of red colored LEXANOO (or polycarbonate equivalent) with clearly visible operating in- structions provided on the cover. The word FIRE shall ap- pear on the front of the stations in white letters, 1.00 inches (25.4 mm) or larger.' Stations shall be suitable for sur- face mounting on matching backbox SB-10; or semi-flush mounting on a standard single-gang, double-gang, or 4" (10.16 cm) square electrical box, and shall be installed within the limits defined by the Americans with Disabili- ties Act (ADA) or per national/local requirements. Manual Stations shall be Underwriters Laboratories listed. `NOTE: Thewords"FIRE/FUEGO"ontheBG-12LSPshallap- pearon the front olthe station in white letters, approximately 3/ 4"high. RRdE3UCT LINE INFORMAYfON Model Description BG-12S Single-action pull station with pigtail connec- tions, hex lock. BG-12SL Same as BG-12S with key lock. BG-12 Dual-action pull station with SPST N/O switch, screw terminal connections, hex lock. BG-12L Same as BG-12 with key lock. BG-12LSP Same as BG-12L with English/Spanish (FIRE/FUEGO) labeling. BG-12L06 Same as BG-12L with "outdoor use" listing. Includes WBB outdoor backbox, and sealing gasket. BG-12L0 Same as BG-12L with "outdoor use" listing. Does not include backbox. BG-12LA Same as BG-12L with auxiliary contacts. BG-12LPS Same as BG-12L with presignal feature. BG-12LPSP Same as BG-12LPS with English/Spanish (F/RE/FUEGO) labeling. SB-10 Indoor use backbox. WP-10 Outdoor use backbox. WBB Outdoor use backbox. 1.390" (35.306) Wire Length Stnp Gauge 1.000" (25.40) ~ 0.750" (19.05) 5.500° (139.70) (mm) Page 2 of 2- DF-52004 Effective: July 26, 1999 (replaces: March 15, 1998) Features • Same low current draw on DC or FWR • Units available with 15175, 30175, 60175, 75 or 110 candela strobes • Synchronized or non-synchronized strobes • Selectable: steady horn, temporal horn, vibrating bell, hi-lo,chime, siren, slow-whoop and single stroke bell • Strobes meet ADA guidelines • Single gang or universal mount • UL 1971 & UL 464 listed for both wall and ceiling mount. CSFM listed, ULC and MEA approvals, FM pending • Screw terminals accept 12 awg wire • Strobe synchronization requires 5406 Sync Control Module • Made in U.S.A., ISO 9001 quality crafted Description Maximum dB output, very low inrush current and the lowest operating current DC or FWR are characteristics of Faraday devices. The 288x models provide maximum reliability and low current drain for every application. The 8-Tone horn operates on a current of 20 to 40 mA @ 24 Vdc, depending on tone selected. The audio portion of the signal provides a 91 to 97 db output. The 2880 mounts on a single gang box, while the 2881 and 2884 models have a universal mounting plate which mount to a 1 gang, 2 gang or 4" square box. Faraday notification devices are designed with the installer in mind. The 288x devices are constructed with all the electronics in the housing and not in the box. This design helps eliminate possible ground faults from crowded electrical boxes. FA/S-74 Model 2884 Horn Stobe The 2884 construction consist of a Xenon flashtube with solid state circuitry for maximum reliability and efficiency. The full range of strobes has a rounded dome shape made of clear polycarbonate. "FIRE" letters are visible on the strobe housing. Strobe units require the 5406 Sync Control Unit for synchronization. Engineering Specifications Notifcation device shall be a Faraday models 2880, 2881 & 2884 listed to standards UL 464 & UL 1971 for the Hearing Impaired and shall be approved for fire protective service. Strobe shall be wired as a Primary Signaling Notification Appliance. Strobe shall also comply with the Americans with Disabilities Act (ADA) requirements for visible signaling appliances. Strobe shall operate on 24 Vdc from a regulated DC supply or fuli-wave rectifed, unfiltered supply without change in current draw. The signaling strobe shall be powered from a non-coded power suppiy when powered with the horn or powered independently. FARADAY Audio and audio-signaling devices shall to be installed per plans and specifications. The strobe light shall consist of a xenon flash tube and associated lens with flash system. Models 2881 & 2884 shall have a universal mounting plate capable of mounting to a standard 1,2 Gang or 4" Square box, in either a wall mount or ceiling mount with separate universal mounting plate. The horns shall have at least 8 tones. The tones shall be selectable steady, temporal, slow whoop, siren, vibrating bell, single stroke bell, chime or hi-low. Page t Fasaa Model 2881 Horn Models 2880 & 2881 DC 8-Tone Horns and 2884 Horn Strobes Specifications 'nvironmental 321F to 120°F (0°C to 49°C) with 85 % humidiry Primary Input Voltage 20-31 Vdc/FWR Mounting 2880: mounts to a 7 gang box 2881 & 28848: have a univ. mounting plate for 7, 2 gang or 4" square boz Typical Horn Ratings at 10 FeeY' Vibrating Bell - 97 db @ 20 mA Hi•Lo - 96 db @ 25 mA Chime - 93 db @ 28 mA Single stroke bell - 93 db @ 26 mA Steady Horn - 97 db @ 23 mA Temporal Horn - 97 db @ 23 mA Siren - 96 db @ 40 mA Slow whoop - 96 db @ 40 mA Shipping Weight 2880: 5 oz. approx. 2881: 8 oz. approx. 2884: 12 oz. approx. Ordering Information DC S-Tone Horns and Horn Strobes Physical Dimensions 4-: I-4-3/4"-7 2-1/2"1 -1/2" F CR 4-~ ~ 2880B-0-(`)-24-DC n/a n/a see above 2881 B'0'(')'24-DC n/a n/a see above 2884B-E-(')-24-DC 15175 Cd Strobe 59 mA see above 2884B-M-(')-24-DC 15/75 Cd Sync Strobe....... 59 mA see above 28846-G-(')-24-DC... 30/75 Cd Strobe 88 mA see above 28848-R-(')-24-DC 30175 Cd Sync Strobe 88 mA see above 28848-J-(')-24-DC.... 60175 Cd Strobe 154 mA see above 28848-T-(')-24-DC 60175 Cd Sync Strobe...... 754 mA see above 2864B-K-(')-24-DC 75 Cd Strobe 170 mA see above 2884B-Y-(')44-DC 75 Cd Sync Strobe 170 mA see above 28848-L-(')-24-DC 110 Cd Strobe 249 mA see above 2884B-Z-(')-24-DC 110 Cd Sync Strobe 249 mA see above • For ceiling mount, add "A" after candela letter (e.g. 2884B-EA-(')-24 DC) " Color. (14) red & (21) oH-white. - " Minimum UL measurements are 82dB. Typical readings are frontal sound readings taken with a dB meter with signal mounted on wall. Accessories I ^i-3/4" I --I-1/2" 54068-0-(')-24-DC Sync control unit 30468-0-(') 1.7"D Flush or surtace boxfor horn strobe 3047B-0-(") 2.7"D Flush or surtace boxfor horn strobe 30486 2.7"D Flush box for horn strobe Page 2 Models 2880 & 2881 DC 8-Tone Horns and 2884 Horn Strobes Wiring Alarm Polarity shown fmm Contrc Panel or previous device Notification Appliance ckt. 1, 2 or 4 Square Mounting Notes ll or (Back box by others) To next device or E.O.L. (Style W/Y- Class "B" ckts.) •or ;tum to F.A.C.P. (Style X/Z-Class "A" ckts.) Notification Appliance ckt 2884 Horn Strobe (Strobe & Horn on separate circuits) Alarm Polarity shown from Control Panel or previous device Strobe Notification Appliance ctk. Audible Notification Appliance ckt. 2880, 2881, 2884 devices must be connected to compatible non-pulsing signal circuits when temporal tone is chosen. Steady current output and appropriate voltage required. When audible signal and strobe are connected ro same notification appliance circuit, curcent rating is combination of audible signal and strobe current. OO 1999 Faraday LLC, all rights reserved 2800 8-Tone Select i To next device or E.O.L. Cutjumpers to power audible signal and stmbe from separate cimuits ~ To next device or E.O.L. (Style W/Y-Ciass "B" ckts.) or retum to F.A.C.P. (Sryle X/ Z-Class "A" cktsJ Page 3 2884 Horn Strobe (Strobe & Horn on same circuits) Effective: June 1, 2001 (replaces March 1, 2001) Features ■ The Adapter" feature offers four field selectable candela strobe values - 15/75, 30/75, 75 or 110 for wall & ceiling mount ■ Operates in either sync or non-sync modes ■ Low current draw ■ Integral universal mounting - single gang, doubie gang or 4" square box ■ Colors - red or off-white ■ ADA/NFPA/ANSI compliant ■ UL 1971 listed for both wall and ceiling mount- CSFM and ULC pending ■ Made in USA, ISO 9001 certifed ■ A 5406 Sync Control Module is only required to activate the Instant Sync feature, nothing to set or change at the strobe unit Description FAS-88 The 2700 and 2701 strobes combine state of the art The 2700 & 2701 use a Xenon flashtube with solid electronics to provide reliability and low current draw to state circuitry for maximum reliability and efficiency. meet visual Iife safety applications. The Adapter Strobes have a rounded dome shape made of clear feature offers four feld selectable candela settings - polycarbonate. 15/75, 30175, 75 or 110. ,s °~o Detail - Adapter selector switch sL The integral universal mounting plate provides for easy installation with single gang, double gang or 4" square box mounting. The lens construction provides high candela output with low current consumption while meeting UL and ADA standards. The 2701 provides the same strobe choices and is constructed of inetal for mounting bell or chime devices to the plate. FARADAY The 2700 uses a terminal block which will accept 12 awg wire for easy installation and the 2701 uses a pigtail (4 wire) connection. Typical Applications Signals for hearing impaired High noise areas where audible signals are ineffective • Add strobes to existing bell installations where replacing the audible signal is not practical Page 1 FAS-88 Models 2700 Stand-Alone Strobe & 2701 Strobe Plate (Adapter Series) FAS-88 Engineering Specifications The visual notification appliances shall be Faraday Adapter Series 2700 or 2701 field selectable candela strobe appliance, or approved equal. They shall be listed to UL1971 (Standard for Safety Signaling Devices for the Hearing Impaired) for indoor applications, and shall be ADA/NFPA/ANSI compliant. The strobe shall produce a flash rate of one (1) flash per second over the Operating Voltage Range limits of 16 to 33Vdc. The strobe light shall consist of a Xenon flash tube enclosed in a rugged, clear polycarbonate lens. Inputs shall be compatible with standard reverse polarity circuit supervision by an FACP. The Strobe shall be of low current design, and shall provide a minimum of four (4 ) field selectable strobe intensity settings, 15/75, 30/75, 75 and 110 candela. All settings shall be UL 1971 listed for both wall and ceiling mount applications. The selector switch shall be tamper- resistant. It shall not be necessary to remove the strobe from the mounting surface to select the strobe intensity. When synchronization is required, the strobe shall be compatible with the Faraday 5406 Sync Module, or other source of Faraday Sync Protocol, and shall not drift out of synchronization. The Series 2700 Stand-Alone Strobe shall have an integral universal mounting plate that shall allow mounting to single- gang, two-gang, and 4" square backboxes, as well as Faraday 3046 and 3047 Surtace Boxes. A cover trim plate shall be included to enhance appearance. There shall be no mounting holes or screw heads visible. The Series 2701 Strobe Plate shall facilitate the addition of a strobe to a bell installation. The Strobe Plate shall mount to a 4" square backbox for flush mounting. ~ Environmental 321F to 120°F (0°C to 49°C) at 85% RH Operating Voltage Range Limits 16-33 Vdc or VFWR Mounting Integral universal mounting plate mounts to single gang, double gang or 4" square box. Screw terminals accept 12 awg wire Shipping Weight 9 oz.approx. 2700 Ordering Information Selector Switch Stand-Alone Strobes Accessories Part No. Voltage Candela Strobe Current Part No. Description 2700B-(")-24 ..........................1633 Vdc 15/75 63 mA 3017B-0-(') Flush or surface box, (field selectable candela) 30/75 84 mA 1-9/16" (D) 75 143 mA 3018B-0-(') Semi-Flush adapter 110 178 mA Plate 301913-0-(") Concealed conduit ' Color (14) red (21) off-white plate PM-6933 Bidirectional housing, wall or ceiling, red 30466-0-(`) Surtace box, 2" (D) 3047B-0-(') Surface box, 23/4" (D) 3048B-0-(') Flush box, 2-3/4" (D) 5406B-0-(')-24-DC Sync control module 2700 Physical Dimensions Page 2 Models 2700 Stand-Alone Strobe & 2701 Strobe Plate (Adapter Series) FAS-88 2701 Specifications Environmental 32°F to 120°F (0°C to 49°C) at 85°/a RH Operating Voltage Range Limits 16-33 Vdc regulated or VFWR Mounting 4" square box. Pigtail connection Shipping Weight t Ib. approx. 2701 Physical Dimensions 2701 Ordering Information Selector W n s ac Signal Strobe Plates Part No. Voltage Candela Strobe Current 27016-(')-24 1633 Vdc 15/75 63 mA (feld selectable candela) 30/75 84 mA 75 143 mA 110 178 mA ' Color (14) red & (21) ofl-white. Typical Wiring 2-5/8"1 Accessories I Part No: Description ~ 30176-0-(') Flush or surface box, 1-9/16" (D) 5406B-0-(')-24-DC Sync control module + Red Red + Red R For Class"A" Shown in Alarm To next appliance from control panel notification circuit Strobe - Strobe trobe * or FACP For Class "6" or from 5406 Sync - To ne# appliance Module or end of line - Blk Blk - Bik -B B device Page3 Features ■ The AdapterT"' feature offers four field selectable candela values - 15/75, 30175, 75 or 110 for wall & ceiling mount ■ Automatic sync or non-sync operation ■ Sync strobes and sync temporal horns, with horn • silence on 2 wires in sync mode ■ Temporal or steadytone in non-sync mode ■ Internal volume control ■ Low current draw ■ Single gang and universal mount configurations ■ UL 464 & 1971 listed for both wall and ceiling mount - all other listings pending ■ ADA/NFPA/ANSI compliant ■ Screw terminals accept 12 awg wire ■ Synchronization requires 5406 Sync Control Module or RSE-300 ■ Made in USA, ISO 9001 quality crafted Description Faraday's 2830 & 2831 Electronic Horns and 2834 Horn Strobes provide synchronous or non-synchronous operation. The 2830 mounts to a single gang box, the 2831 and 2834 have a universal mounting plate for 1 gang, 2 gang or 4" square box mounting. Faraday notification devices are designed with the installer in mind. They are constructed with the elec- tronics in the housing and not in the box. This design eliminates possible ground faults from crowded electri- cal boxes. The Adapter feature offers four field select- able candela settings - 15/75, 30/75, 75 or 110. An internal volume control provides adjustment of dBA output levels. See detail on page 2. The 283x devices automatically detect if the circuit they are connected to is synchronizing or non-synchronizing. The 283xs may be connected to conventional NACs whose output is steady (non-pulsing) or to a NAC whose output is the Faraday sync protocol. The 283xs wiil automatically determine what kind of circuit it is connected to. When connected to a NAC with the Faraday protocol, the 283x devices will be synchro- nized and silenceable while the strobes remain flashing. FARADAY . . . continuetl Page 1 Modi H obe In the non-synchronized mode the 2830 audible section can be field selectable to sound a continious horn tone or a non-synchronized temporal horn pattern. Engineering Specifications The audible/visual notification appliances shall be Faraday Series 2834 Selectable Candela Strobe-Horns, or approved equal. The audible appliances shall be Faraday Series 2830 or 2831 Horns, or approved equal. The Series 2834, 2830 and 2831 Horns shall be UL listed under Standard 464 (Fire Protective Signaling).The visual segment of the Series 2834 shall be the Adapter Selectable Candela Strobe and shall be listed to UL1971 (Standard for Safety Signaling Devices for the Hearing Impaired). The appliances shail be listed for indoor applications and shall be ADA/NFPA/ ANSI compliant. The strobe segment of the Series 2834 shall produce a flash rate of one (1) flash per second over the Operating Voltage Range Limits. FAS-98 Models 2830 & 2831 Sync/Non-Sync Temporal Horns and 2834 Horn Strobes FAS-98 The strobe shall consist of a xenon flash tube enclosed in a rugged clear polycarbonate lens. The strobe shall be of a low current design, and shall provide a minimum of four (4) field selectable strobe intensity settings, 15/ 75, 30/75, 75, and 110 candela. All settings shall be UL1971 listed for both wall and ceiling mount applica- tions. The selector switch shall be tamper resistant. It shall not be necessary to remove the appliance from the mounting surface to select the strobe intensity. In non-synchronous operation with steady power applied, the horn shall produce a temporal pattern or a steady horn tone. A two pin jumper shall be provided to select the temporal or steady tone pattern. In synchronous operation the Series 2834 Horn seg- ment, and the Series 2830, and 2831 Horns shall produce a temporal pattern audible output, and shall have an internal volume control providing adjustment of dBA output levels. The appliances shall be designed for 24 VDC, 2 wire synchronous operation. The appli- ances shall be used on notification appliance circuits equipped with the compatible Faraday Series 5406 Sync Module, or other source of Faraday Sync Protocol and shall provide synchronization of both the strobe flash rate and the temporal audible output pattern. The strobe and audible signals shall not drift out of synchro- nization. The appliances shall also be designed so that the audible signal may be silenced while the strobes . continue to operate, all on 2 wires. Inputs shall be compatible with standard reverse polarity circuit super- vision by an FACP. The Series 2834 Horn-Strobe, and the Series 2831 Horn shall include a Universal Mounting Plate that shall allow mounting to single-gang, two-gang, and 4" square backboxes, as well as Faraday 3046 and 3047 Surtace Boxes. The Series 2830 Horn shall be designed specifically for mounting to a single-gang backbox. Specifications Physical Dimensions Environmental 2-3/4"~{ ~ ~-7-3/4" ~-13/4" 32°F to 120°F (0°C to 49°C) with 85% ~ ~ 1 i2• ~ 1/2° humidiry Primary Input Voltage: Horn: 20-31 Vdc or VFWR 4_1/2^ 4-3/4" EmEEF Strobe: Operating voltage range limits ~ ~ 16-33 Vdc or VFVJR Mounting 2830B, mounts to a 1 gang box 2831 B 8 28348, have a universal Model 2830 Model 2831 mounting plate fot i gang, 2 gang or 4" square box " 2 3 ~ ~ 2-1/2~ 1/2„ O Typical Horn Ratings at 10 FeeN with 4 3/4" 24 Vdc Supplied ~ Temporal Horn - 1 4 Max. Volume Mazimum Vol.: 83.6 db @ 25 mA Minimum Vol.: 79.3 db @ 17 mA Detail - Volume adjustment Sieadytone- 4-3i4^ Mauimum Vol.: 87.8 db @ 25 mA (factory set at max. volume) Minimum Vol.: 83.3 d8 @ 17 mA L ' Typical dBA ratings are frontal sound o is readings taken with a dB meter with Selector ~o Detail - Adapter signal mounted on wall. Switch sc selector switch Shipping weight Model 2834 2830: 8 oz. approx. 2837: 8 oz. approx. 2834: 72 oz. approx. Page 2 Models 2830 & 2831 Sync/Non-Sync Temporal Horns and 2834 Horn Strobes FAS-98 Ordering Information Part Number Candela Strobe Current Horn Current @ 24 Vdc (Max. Volume) 2830B-(*)-24 283 - ' -24 , n/a n/a 15/75 Cd Strobe 30175 Cd Strobe 75 Cd Strobe 110 Cd Strobe * (14) red or (21) off-white Accessories Part No. Description n/a 25 mA n/a 25 mA 63 mA 25 mA 84 mA 25 mA 143 mA 25 mA 178 mA 25 mA 3017B-0-(') Flush or surface box, 1-9/16"(D) 3046B-0-(') Surface box, 2" (D) 30476-0-(*) Surface box, 2-3/4" (D) 3048B Flush box, 2-3/4" (D) 5406-0-(')-24-DC Sync control module 15073 RSE-300 expander panel ' (14) red or (21) off-white Typical Wiring See instruction sheet 545779, available on the Faraday web page (www.faradayllc.com). Page 3 466 City of Wh eat Ridge Commercial Demolitio PERMIT - 060110 PERMIT N0: 060110 ISSUED: 03/17/2006 JOB ADDRESS: 6270 38TH AV . EXPIRES: . 09/17/2007 DESCRIPTION: Remove two partiation walls. (Approx. 15-20 ft.) CONTACTS gc303/426-4221 Larry Ebehart 06-0015 Hondo Ent. owner 303/421-2272 Hrenda Hancock Christopher House. PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION: UA BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 500.00 FEES Permit Fee 50.00 . Total Valuation '00 c2 I . TOTAL 50.00 n Comments : CR: Ok w/ notes on plans. Subject to field inspection. 3/15/06. 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 cwenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable wheat Ridge Ordinances, £or work under this permit. Plans•subject to field inspection. of contractor/owner date 1. This permit was issued in accordance with the provisions set forth in yourapplication and issubject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wrieat Ridge, Colorado or any other applicable ordinances of the City. . 2. This permit sha11 expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 180 days. 3. IE this permit expires, a new pesmit may be acqvired for a fee of one-half the amount normally required, provided no changes have been or will be made in trie original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new pezmit. 4. No work of any mannei shall be done that will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of trie job. 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review is subject Q field inspections. Sig~atur ~trildi~ : date INSPECTIONREQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. COMMUNITY DEVELOPMENT DEPARTMENT ~ ~f WHEqpq BUILDWG INSPECTION LINE - 303-234-5933 ~ ~ . CITY OF WHEATRIDGE ° 7500 WEST 29TH AUENUE . WHEAT RIDGE, CO 80033 - (303-235-2855) .c~CORP~~ . QFFIJ[,.H Property Owner: 16 2-7t Property Address: Contractor License No.: Company: CK - w "3sTt, " Gr~llldvl Phon aa ? Phone:3 d ela 2.1 OWNER/CONTRACTOR SIGNA7URE OF UNDERS7ANDING 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 Cityof W heat Ridgeor.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 compiiance with the Wheat Ridge Building Code (I.B.C) and all otherapplicable Wheat Ridge Ordinances, for work undeqNs permit. Plans subject to field inspection. ValuationFigure: $ S_df7a Value:$ Permit Fee:$ Plan Review Fee:$ Se T3X: TOt31:$ Use of Space (description): r Description of work: r~ ~ 2~w~Qv t Twd ~ax~; rs:l W~LG Sq. Pt. added BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: COMMENTS ^ Approval: ! Q Zoning: ~(~01 GCOMMENTS: Approvai: 3~Wip WORKS COMMENTS: Approval: DEPARTMENT COMMENTS: Approval: - Electrical License No: Company: Plumbing License No: Company: Mechanical License No: Company: Expiration Date: Expiration Date: Expiration Date: Approval' Approval: Approval: (1) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulafions and Building Codes of Wheat Ridge, Cobrado or any other applicabie ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (90) days from issue date or (B) the building authorized is suspended or abandoned for aperiod of 180 days. (3) if this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been orwill be made in the onginal plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, fuli fees shali be paid fora new permit. (4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem. (5) Contractor shail notify the Building Inspector hventy-four (24) hours in advance for all inspections and.shall receive written approval on inspection card before proceeding wiih successive phases of the job. (6) The issuance of a permit or the approval of drawings and specif cations shall not be construed to be a permit for, nor an aProvalof n violationofthe vis t ofthebuildingcodesoranyotherordinance,law,ruleorregulation.Allplanreview is to fi Id i pec ' Chief Building Official Walls: Roof: Stories: Residential Units: Building Permit Number: Date: 1 M9~~ 1l1,T6v \1 '6a7o u~.3A ~ ' .r4~ i . . . . ~ ~ ~ il . . Qr RmLR~Iu n 1'8 v' " ~ ' (~b ~ •a ~ Xi2 ~ wr i i . . . . . . ~ - . - --t=-: I`%~~.=:.~' , • '~I. ~ . COMMUNITY DEVELOPMENT DEPT. Inspection Services Division (303) 235-2855 Correction Notice Job Address: ~2~a -70 L, 3 & ~ When corrections have been made, call for re-inspection at 303-234-5933. DO NOT REMOVE THIS NOTICE COMMUNITY DEVELOPMENT DEPT. Inspection Services Division (303) 235-2855 Nofice Job Address: (D L o ' e When corrections have been made, call for re-inspection at DO NOT REMOVE THIS NOTICE COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 16183 BUILDING INSPECTION LINE -(303-234-5933) Date : 9/10/2003 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: HIGHLAND SOUTH APARTMENTS Property Address : 6350-70 W 38TH AVE Phone : Contractor License No. : 21761 Company : Centennial Builders and Siding Phone : 692-0993 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $350,000.00 I hereby certiy that the setback distances proposed by this permit application are accurate, and permit Fee : $3,111.95 do not violate applirable ordinances, rules or regulations of the City of Wheat Rid9e or 00 $0 covenants, easements or restrictions of record; that all measurements shown, and allegations . PIBn RevleW Fee : made are accurate; that I have read and agree to abide by all conditions printed on this ' Use Tax : $4,200.00 ance with t Wheat Ridge Building application, and that I assume full respo sibility for com rk under this permit. Code (U.B.C.) and all other applicable at Rid r'nances, Total : $7,311.95 L (OWNER)(CONTRACTOR)SIGNE~f~ DATE/ +7 Use : ~15 Fb . Description : REMOVE EXISTING VINYL AND WOOD SIDING FROM 3 BUILDINGS. REMOVE EXISTING WINDOWS. INSTALL OSB BOARD, KRAFT PAPER AND TWO SYSTEM STUCCO. INSTALL NEW VINYL WINDOWS. TP~-~j'h 9c."^~' Zo ing Corr~m,,ents;, Approval : Zoning : Blii tl n~ Com_„nts: Approval: DM ~Yu,b1~Works ~omments• Approval : Occupancy: Walls Electrical License No : Company : Expiration Date : Approval : BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : OK PER INSPECTION AFTER 1ST BLDG IS STRIPPED. 9110103. Roof Plumbing License No : Company : Stories : Residential Units : Mechanical License No : Company: Expiration Date : Approval : Expiration Date : Approval : •(1) This permit was issued in accortlance with the provisions set foAh in yopur appliration and is subject to Ihe laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixAy (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount nortnally required, provided no changes have been orwili be made in the onginal plans and specifcations and any suspension or abandonment has not exceeded one (7) yeac If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done thatwill change the natural Flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector twenry-four (24) hours in advance for all inspections and shall receive wntten approval on inspection caN before proceediing with successive phases of the job. (6) The is5weQ ce of a pe d or the approval of drawings and specifcations shall not be construed fo be a pertnit for, nor an approval of, anyviolation of the ~g codes or any other ordinance, law, ruie or regulation . ~J'~` I/'~•'Y^~ Chief Building spector Please sign Terms and Conditions on reverse side of page. wH_4 COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number: ~ BUILDING INSPECTION LINE - 303-234-5933 Date: o~ nc~ ~ - - ) APPLIC,4 TIflN ProperryO~ner: ~~Y&GdN So~y~ P~v v~ey 5 PropercyAddress: ~'3 5-0 0 --70 Wes~ 3 S4gA"< Phone : 30; =CITY OF VVHEAT RIDGE ' ~ 7500 WEST 29TH AVENLE lu VVHEAT RIDGE CO 80215 -(303 235 2855 ~ Contractor License A'o.: 1 Company:G~h7P~htti~'A~~GtI~~Pi!'S et ONNER/C0ITRACTOR SIGNAii:RE OF GSDERSTANDIIG AND ACREEDfE1T 1 hereby certify that the setback disunces proposed by this pertnit application are accurate, and do not violate applicable ordinances, rules or regulations of the Cip• of N'hcai Ridge or co.enanLS, easemenis or restriciions ofrecord; that all meuurements showm, and allegations made are accurzte; that 1 hare read and agree to abide by all conditions printed on this application and that 1 assume full ruponsibilip- for compliance with the RTeai Ridge 6uflding Code (U.B.C) and all other applicable Whey-~idge OrdinantRS, for work under thispermit. (OW":ER)(CO?.'TRACIOR): d"o i DESCRIPTION: RFiwIO!-e ey,'S~in,f~ Ny~dh ~P~U~e 2ki5~i~r,f/fillti~or.~5r f- 03 Phone: 720- 910-710% Construction Value:$ 35Z>,00-0 Permit Fee:$ 3i t i --`l1G Plan Review FeeS UseTax:$ T0121:$ 144 3 ' ,~s an i/~ 05/~ 6U ~YLY~ GCyCF~~7~/y~~Y (//L./ ow -761) 12 DEPARTMENT USE ONLY Walls: Roof: ors l~ Plumbing License No: Company: Mechanical License No: Company: Eapuation Date: Expua4on Date: Expiration Date: Approval: Approval: APProval: (1) 7Lis yermit was issutd in accordance wfth dhe provisions sa fonh in wur application and is subject m the Uws of Ihe Sbte of Colo2do and lo Ilm Zoning R<gulauons and Building Codes of 0.Teat Ridge, Colondo or any otAer applicable ordinanres of the Ciry. Thispermitshall<zpimi((A)4¢workauthonzedismt comm<ncedwithinsixq'(60)daysGomiuucdaieor(B)dhcbuildingauthorizedissuspcndedor abandoned tor a period of 120 days. (3) !f Ihis pemiit ezpircs. a ncu' yermit may be acquirtd for a ftt of ono-hal(lhe amoum nortnally rcquired, pmvided no thang6 have been or will be mad< in zhe original plans and syttificalion5 and any suspension or abandonment haz not exceeded one (1) yeac If changes have been or if suspension or abandonmrnt exceeds one ( 7) year, full fees shall bc paid for a new pennit. (4) No wmk otany manner slull be done that wiil change the m[unl flow of wamr causing a Minage problem. (5) Contranor shall notify `he Building ]nspecmr mrnry-four (24) hours in advanc< for all inspecuons and sloll reteive wriimn ayproral on inspection card beforc praeeding with successive phaus of the job. (6) The issuantt o(a permit or the approval of draxings and specifications shali not be conswed lo be a peemit for, nor m aDDrovaI of, any violation of We provisions of Ne buiW or any o er ordiiunc<, Ux, rule or mgulation. Chief Building Inspect SIC: z'~ft' 8 a ~ Stories: Residential Uniu: `fes Centennial Builders and Siding Supply, inc. Un~ ~ ~ y4Ry 33~2y6% 4~ iy IS ~7 s~/ 6 v eC/ q 2 ~ 3 ~i6 % '4 ni ~ n o 3/~ 12 ~ $ r~ j M 2 ~ I `r ~~v iL/`'IJ ~7 I;U . ;G~ Mp P C~ y ~ 5650 East Evans, Suite 107 • Denvey CO 80222 •(303) 682-0983 • Fax (303) 692-0971 The Home Depot # 1517 7125 W 88TH AVE, WESTMINSTER, CO 80021 (303) 420-2498 Mon Jul 28 16:31:19 2003 KEN ALLEN GARAGE PACKAGE 61131 The materials in this garage will cost $2079.39 This Price does not include any Special Order Items. Drawing: 3-Dimensional View ~ej~j D~ ` t-f-~ 6c ~n ~ ~.1~ - -J 0 ~F-~~~, , ~tc1e -Fv- o wk- 1%mL% ► U ~-v-o~ • (~6UY'' an 9' uack `y I The Home Depot # 1517 7125 W 88TH AVE, WESTMINSTER, CO 80021 (303) 420-2498 Mon Jul 28 1631:19 2003 KEN ALLEN GARAGE PACKAGE 61131 Right Side ~ I ' The Home Depot # 1517 7125 W 88TH AVE, WESTMINSTER, CO 80021 (303) 420-2498 Mon Ju12S 1637:19 2003 KEN ALLEN GARAGE PACKAGE 61131 Front Side o~ The Home Depot # 1517 7125 W 88TH AVE, WESTMINSTER, CO 80021 (303) 420-2498 Mon Jul 28 16:31:19 2003 KEN ALLEN GARAGE PACKAGE 61131 Back Side ~ The Home Depot # 1517 7125 W 88TH AVE, WESTMINSTER, CO 80021 (303) 420-2498 Mon Jul 28 16:31:19 2003 KEN ALLEN GARAGE PACKAGE 61131 Left Side o~ The Home Depot # 1517 7125 W 88TH AVE, WESTMINSTER, CO 80021 (303) 420-2498 Mon Jul 28 16:31:19 2003 KEN ALLEN GARAGE PACKAGE 61131 Drawing: Plan View ~ N 20' 7500 West 29t1i Avenue Wheat Ridge, Colorado 80033 303/235-2855 Fax:303/235-2857 September 8, 2003 Frank & Geraldine Barta 6985 W 38~' Avenue Wheat Ridge, CO 80033 Re: 6975 W 38th Ave - Rentai Inspection Deaz Mr. ar Mrs. Barta, Gertified Article Number ' 7160 901 9844 2844 4015 SENDERS RECORD - It has come to our attention there may be some habitability concems at rental units located at the above referenced address. Please contact our office no later than Sentember 15. 2003 to schedule an inspection of the above referenced address. If contact is not made by this date we will inspect the property at the tenants authorization. Should you have any questions or comments, please contact me at 303-235-2853. Sincerely, ~ Darin M , CBO Codes A ministrator Cc address file ✓ 2, Article Number P. C. X 77,60 3901 9644 2844 4015 0 1.YNfttE AtlORSSeaio.- Wheat Ridge, CO 80033 by (Please Pdnt Gieeny) . DA9e ❑ aaa y adtlress diHereM from Itam 1? ❑ Yes ntertlellverYatldres%below: ❑No 722003 "P l'CvbS ~ Domestic ~ . . . PS: Porm 3811, July 2001 Hetum Receipt The City of Wheat Rldge Y1% ~3 ' yLs ^ ~,(7 ~ w~~J~ . ,uz ,~"'1 Vs~ P r i~ d6 l IvX4 i ~ Property appraisal system http://ww4.co.jefferson.co.us/ats/displaygeneral.do?sch=023701 &offs... Previous 2 OF 465 Next Priuter Friendlv Pat?e Sch:023701 Parcel ID39-234-10-001 Status:Active Property Type:Mixed 'roperty Address P6985 W 38TH AVE WHEAT RIDGE CO 80033 4965 SAME ADDRESS AS Name_ A FRANK D- yZ y-- 5"/// A GERAI,DINE EVA iale , Sale Amount :Deed Date Location Map/Additioual Infoi7nation Send mail to ausessor~~co.icflerson.co.us with questions or comments about [his Website. Copyright @ 2003, Jefferson County, Colorado. All rights reserved. AMap of [ Iow to Get ta Our Office Website information current through: 1 of 1 9/2/2003 10:17 AM ; ~ , Home G encral ~ ~ F ~ . ~ f~roperty Records ~ lcaforrn~tiati ~ _ ^ Property appraisal system http://ww4. co. j efferson. co.us/ats/commercialinventory. do?sch=023701 Previous 2 OF 465 Next Send mail to assessor&co.iefferson.co.us with questions or comments about this Website. Copyright @ 2003, Jefferson CounTy, Colorado. N] rights reserved. A Map of I-Iow to Get to Our Office Website information current through: 1 of 1 9/2/2003 10:17 AM Noma CriqscncrCial ' nv Praperty Raaards • • ~ Ie~etu.•y~ COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 16795 BUILDING INSPECTION LINE -(303-234-5933) Date : 9/12/2003 CITY OF WHEAT RIDGE ' 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: JERRY BARTA Property Address : 6985 W 38TH AVE Contractor License No. : 19620 Company : Larry Merkl Coatings Phone : 853-0978 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby cediTy that the setback distances pmposed 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 respon ' i ty for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable t Ridge ordinances, fo o un is permit. (OWNER)(CONTRACTOR) SIG Description : REROOF POLYURETHANE FOAM & COATING. 3000 SQ. ~15fq+ BUILDING DEPARTMENT USE ONLY Zo``Z n n9,Cor[i ~ ntsa SIC : Sq. Ft. : Approval : Zoning : Phone : 237-1810 Construction Value : $6,000.00 Permit Fee : $162.90 Plan Review Fee : $0.00 Use Tax : $72.00 Total: $234.90 Use: Approval: Pu b1 ic~Works~omments:~ Approval: Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company : Expiration Date : Approval: Expiration Date : Approval: Expiration Date : Approval : (1) This permit was issued in accordance with the provisions set foAh in yopur.application and is subject to the laws of ihe State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authonzed is not commenced within siMy (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this pertnit expires, a new pertnit may be acquired for a fee of one-half the amount normally required, provided no changes have been orwill 6e made in the original plans and specifications and any suspension or abandonment has not exceeded one (7) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new pertnit. (4) No work of any manner shall be done that will change the natural flow ofwater causing a dreinage problem. (5) Contractor shall notifythe Building Inspectorhventy-four (24) hours in advance for all inspeclions and shall receive wririen appmval on inspection card before pmceediing with successive phases of thejob. (6) The issu e f a permit o ihe approval of drewings and specifications shall not be construed to be a pertnit for, nor an approvzl of, any violation of ihe proVis' of e.L potles or any other ordinance, law, rule or regulation. i~ . ~ Chief Building In ector Please sign Terms and Conditions on reverse side of page. COMMiJNITY DEVELOPMENT DEPARTMENT Building Permit Number: oF wHEAr y BUILDING INSPECTION LINE - 303-234-5933 Date: CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) ~j cOLORp00 y~y ys~s~y~ gil"PLI1/f~ 3 ~1~4 V Property Owner: Property Address: Phone : 30,~-0~,~ rI'•I C? Contractor License No.: Company: Phone: OWNER/CON'IRAC70R SIGNATORE OF UNDERSTANDING /vND AGREEMENT I hereby certify that the setback distances proposed by this pertnit application are accura[e, and do no[ violate applicable ordinances, mlu or regula[ions of the Ciry o( Wheat Ridge or covenanis, easements or restrictions ofrecord; tha[ alI measurements shown, and allegations made are accurate; Iha[ 1 have read and agree [o abide by all condi[ions prin[ed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C) and all o[her applicable Wheat Ridge Ordinances, (or work under [his permit. „ A Construction Value:$ 6i06) Permit Fee:$ Plan Review Fee:$ Use Tas:$ Total:$ (ON'NER)(CON'IRACTOR):PRINTEO~ ~QPEVLCs~j J2KLDATE9•~2•O2 ,6~ Op'~~Gt2X~1 ~C6t/91DOO ~ DESCRIPTION: *jzU BUILDING DEPARTMENT USE ONLY SIC: Sq.FtJpAD ZONING COMMENTS: ApprovaL Zoning: BUILDING COMMENTS: Approval: PUBLIC WORKS COMMENTS: Approval: Occupancy: Walls: Roof: Stories: Residential Uniu: Electrical License No: Plumbing License No: Mechanica] License No: Company: Company: Company: Expuation Date: Expirarion Date: Expiration Date: Approval: Approval: Approval: (I) This permit was issued in accordance wiUi the provisions set forth in your applicauon and is subjea lo the laws ofthe Srate of Coloado and to the Zoning Regulafions and euilding Codes of Wheat Ridge, Colorzdo or any other applicablc ordinances o(Ihe Ciry. (2) Thispermitshallexpireif(A)theworkauthonzedisnotcommencedwithinsixry(60)daysfromissuedmeor(B)thebuildingaufiorizedismspendedor abandoned for a penod of 120 days. (3) Ifthis pemiit expires, a new pemiit may be acquired for a fee ofone-hal(the amount normally required, provided no changes havebecn or will be made in the original plans and specificarions and any suspension or abandonment hu not exceedcd one (1) year. If changes have been or if suspension or abandonmem exceeds one (1) ywq full fees sha➢ be paid for a nex• permit (4) No work of any manner shall be done ihat will change the namral Flow of wamr causing a drzinage problem. (5) Contracmr shall norify iM1e Building Inspector twenTy-four (24) hours in advance tor all inspecfions and shall receive written approval on inspection card beforeproceedingwilhsuccessivephuesoFthejob. - (b) 7fie issuance of a permit or the approval of dawings and specificatioiss shall not be construed to be a permit for, mr an ayproval of, any violarion of the provisions o2'the building <oda or any other ordinance, law, mle or regulation. Chief Building Inspector COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - (303-234-5933) CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Building Permit Number Date 76318 10/7/2003 Property Owner: BRUCE BUCKLER Property Address : 7200 W 38TH AVE Contractor License No. : Company: Phone : 421-8400 Phone : OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit applicafion 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 areaccurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for wmpliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable V~eat~Ridge~~inance , f r work under thi e't. (OWNER)(CONTRACTOR) SIGNED %7L DATE~ o~ Construction Value : $10.00 Permit Fee : $15.00 Plan Review Fee : $0.00 Use Tax : $0.20 Total: $15.20 Use: Description : A-FRAME. WHITE W/ RED LETTERS. 24" X 36" mo BUILDING DEPARTMENT USE ONLY F. : ~ng~Ynents~ SIC : Sq. Ft. : Approval : TRC OK. 3 OCT 03. SIGN MUST BE SET BACK A MINIMUM OF TWO FEET Zoning : C-1 FROM PROPERTY LINE & A MAXIMUM OF 36" HIGH. . ^a. J3~. r'. 1 E y u~Idtng~~oCn;:etl nro,cr;y OK. SECT. 26-702 Owner / contractor is Approval : DM )ines and cons[ructmg t° tj 'b - or.s~Co' ent. . approved plan acid reqLired develoPment tar.d.:~ds. The City is not tesponsible ior inaccurate infomia:ion Approval : submitted within the plan set and any construction errors resulting from inaccura!e information. 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 : (i) This permit was issued in accordance with the provisions set forth in yopur application and is subjec[ to the laws of ihe State of Colorado and to the Zoning . Regulations and Building Code of Wheat Ridge, Colorado or anyother appticable ordinances of the City. (2) This pertnit shall expire if (A) the work aufhonzed is not commenced within sixty (80) days finm issue date or (B) the building authorized is suspended or abandoned for a period of 720 days. (3) If this pertnit expires, a new permit may be acquired for a fee of one-half the amount nortnally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (i) year. If changes are made or if suspension or abandonment ezceeds one (1) year, full fees shall be paid for a new pertnit (4) No work of any manner shall be done that will change the natural flow of vrater causing a drainage problem. (5) Contracto shall nofiythe Building Inspector hventy-four (24) hours in advance for all inspections and shall receive written appmval on inspection caM before wit e Ive phases of the job. (6) The c orihe approval of drawings and specifcations shall not be construed to be a permit for, nor an approval of, anyviolation of the nyotheroNinance,law,ruleorregulation. oPC p f ¢sbra Chief Building Inspector Please sign Terms and Conditions on reverse side of page. COMMIJNITY DEVELOPMENT DEPARTMENT Building Permit A'umber: oF W~:q, ~Z 9/D ~ , P BUILDING INSPECTION LINE - 303-234-5933 Date: ~ CITY OF WHEAT RIDGE 7500 WEST 29TH AVEnUE WAEAT RIDGE, CO 80033 - (303-235-2855) ~aC OR P00 y ?3PPLy~vg 11.~i TIy~ 17N Proper[yOwmer: j3rJce gUCk Ps- il Property Address: 7~()0 W 38f~ fiv6~ Phone ::?U 3 y Z1. ?t/~V 7 Contractor License No.: CompanY C Utll ACA E J Cie~ !L r G tM i,4y~~l IIP Phone: ON\TER/CONTRACTOA SIGNATURE OF UNDERSTAIMDING ARD ACREEMENT 1 hereby certify that the setback distances proposed by this pertnii application are accurate, and do not violace appiicable ordinances, rulu or regula[ions of the Ciry of Wheat Ridge or covenanis, eazemenls or restnctions ofrecord; that all measurements shown, and allegations made are accurate; that 1 have read and agree to abide by all conditions prinud on this apptiwtion and that I assume full responsibiliry (or compliance with the Wheat Ridge Building Code (U.B.C) and alI other applicablc Wheat Ridge Ordinances, for work under Construction Value:$ /0 " Permit Fee:$ Plan Review Fee:$ Use Tax:$ ~ Total:$ 5 BUILDIn'G DEPARTMENT USE ONLY SIC: Sq.Ft.: ZONINGCOMMENTS: LT ~ Approval: ~ G S}~~h m~.S} b2 vv,,,✓ilw-~rv, Zoning: F7roeXa' BUILDINGCOMMEN75: o\ 3(p~~ Z~--70 Z Approval~~ , PUBLIG WORKS COMMEMS: Approval: Occupancy: Walls: Roof: Stories: Residential Uniu: Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Coapany: Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval: (1) This permit was issued in aaordance aiih the provisians set fortL in your applicauon and is subject to the laws of Ne Sate of Colondo and m the Zoning Regularions and BuiMing Coda of Wheat Ridge, Colorzdo ar any other applicable ordinancu of the Ciry. lliis yamit shall czpirt if(A) the xork amhorized a not commenccd within suty (60) days from issue dau or (8) the building au8iorized is susprndeA or abandoned for a pcriod of 120 days. ' (3) If this permk expirts, a new permit may be acquirtd for a tee of one-halt the amowt nortnally rcqwred, providcd no cfianga have bccn or will be made in the original plans and ryecifica[ions end any suspension ar ebandonmrnt hss not <xcttded one ( 7) ycar. If changa have bttn or if suspension or abandonmem cnceeds ane (q yeaq full kes shail be ptid for a n<w permil. (4) No work of any manner s1ull be done Nal will change the natwal tlow of waler causing a dniwge pmblem. (5) Contracmr shall nodfy the BuiWfng Inspeclw twrnry-four (24) hours in advance for ell insyecoons and shall rtteir< written appmval on in5palion card befort proceeding witL successive phaus ofdwjob. (6) The issuance of a permit or Ihe appmval of drzwings md speci(cations shall not be conswed W be a yermit foq nor an approval of, any vioWfion of the provisions of the building <oda or any other ordinanc<, hw, rvle or eeguleuon. C ief Buil Lector DESCRIPTION: I Qmoe uvtith ~PA !p#t4s 2L(~3 fo WAiZNIN6 NOTICa Department of Community Development Zoning Enforcement Division Gity of Wheat Ridge, Golorado 7500 W. 29th Avenue 80033 PLEASE TAKE NOTICE that the Department of Planning and Development, Gity of Wheat Ridge, Colorado, hae determined that the property described below is in violation of the Wheat Ridge Code of Laws: 7200 WEST 38TMAVENUE 9PECIFICALLY, violations exi5t on such property becauee of the following conditions and use Section 26-705 (A) 510n permit required. 5ection 26-7004: Each day such a violation 00ntinue5 shalt con6titute a 5eparate offense. THIS PERTAINS TO CUTTIN6 EDGE FRAMING AND 6ALLERY AND IT'S ALL 6001) GOFFEE HOUSE. BOTH HAVE PEDESTAL 51GN5 IN THE RI6HT-OF-WAY. NEITHER HAVE APPLIED FOR A SIGN PERMI7. PLEASE CON5I0ER THIS DUE NOTIGE TO DE515T AND ABATE THE ABOVE DESCRIBED VIOLATION WITHIN SEVEN (7) DAYS OR A SUMMONS AND GOMPLAINT WILL BE FILED WITH THE WHEAT RIDGE MUNIGIPAL COURT. FUR7HERMORE: Any person, firm, corporation or any officer or employee thereof who violate5 or fails to comply with the provisions of the Wheat Ridge Code of Lawe may be Subjected to the penalties preecribed therein. Each and every day that violation5 exi5t may be considered a separate offen5e subject to separate penalties. In appropriate caee5, you may have a right to protest the allegation5 of thie notice pureuant to Wheat Ridge. Golorado, Code 5ubeection 15-7 (1988). When the violation i5 abated within the warning notice period, this notice will be 61i5mis5ed and no further action taken. Thie notice is iz5ued purruant to Wheat Ridge, Colorado, Gode 5ubeectian 2-34, 15-5(7988). If you need more information, feel free to contact my office at 235-2847. DATED thi5 day of 5~~.2003 ZONI S~ NFORCEMENT OFFICER Cindy Hagerman I • 7500 West 29th Avenue The City of 03.235. 846 Fax~3 3 2350 857 Wheat Rldge 2 October 2003 Bruce Buckler 7200 W. 38`" Avenue Wheat Ridge, Colorado 80033 RE: Cutting Edge Framing & Gallery/7200 W. 38`h Ave. Dear Mr. Buckler: I have completed my initial review of the sign permit submitted for the above-listed address, and I have the following comments: 1. The submitted permit details an "A-Frame" sign 32" x 40", or a total of 8.8 square feet in area. Pursuant to the Code of Laws, as: "A-Frame" sign may not exceed six (6) square feet in size. 2. Additionally, an "A-Frame" sign must be set back a minimum of two feet (2') from the property line if the sign height is 36" or less, or a minimum of ten feet (10') from the property line if the sign is over 36" in height. 3. Upon the next submittal, please include a site plan detailing the location of the proposed sign in relation to your property line. I have included a copy of a recent survey that was found in your address file. Please include this survey, complete with sign location, with your next submittaL Please make all the required corrections prior to your next submittal. If you have any further questions, feel free to give me a call. I can be reached at 303.235.2849. Thank you, DFI~2_ Travis R. Crane Planner ~ ~ 0.7'CONCRETE CURB WITH FENCE ON TOP ALOG PROPERTY LINE V 4 N V A b'L ~~D wmio u O~ w-< W y pmm ~zm mZ ci z X~p u0 C), w°m ~n< w ~ m Oy qN~ 00' N A ~ A ~ m 36.2 -EXCEPTION p N ~ N N I .5 A 60.0' x ~ oo - w ~ n o m m ef ° v i . ~oc = IA rnn 10' om-i Z I I A p D oc0 n N - ~ RI Z W N . n prA W N Z I . m I m j o' " ~ i m cw z ° o ti . t~ o o I ° " n z rn 0D A ~ I V D ~ m 0 N ~ v ~ D > m o ~o I Q 43.5' , . J I I 0 ~ I o I N 0 I w I N . ~ I . m -i I ~l1 co ~ I 2 D ' < I m z , m . C I 30' ~ I ~ I~ ~ P 65.32' TELLER STREET REC. N0. 92163291 m z 0 T . ~ Z Z ^UCLC \ U~' E Dave Roberts From: Kevin Peters [kpeters@mpheatthlaw.com] Sent: Monday, September 15, 2003 3:14 PM To: tlroberts@wrFre.org Cc: BHancock@pinonmgt.com; JBrammeier@pinonmgt.com Subject: Christopher House am (~~7a w.-5b CopY Roberts91503.pdf Attached is a letter confirming the status of the bids fox repair and replacement of the fire alarm system @ Christopher House. The City of Wheat Ridge pseviously extended the time to repair or replace the fire alarm system to September 15, but additional time is needed. The facility zetained the services of a fire consultant, Rolf Jensen and Associates to assist in preparing a plan to repair or ieplace the fire alarm system.and we met with you to obtain approval prior to soliciting bidsfrom vendors. The attached letter will provide an update with respect to that pxocess. Kevin D. Peters Miles & Peteis, P.C. 1430 Larimer Square, Suite 400 Denver, Colorado 80202 kpeters@mphealthlaw.com voice 303.892.9900 fax 303.892.6699 The foregoing is not intended to be a legally binding electzonic siqnature. The information attached to, and contained in, this communication is intended only for the personal and confidential use o£ the designated recipient(s) referenced above. This com¢nunication may be an attosney-client coic¢nunication and, as such, is confidential and privileged from disclosure. If the readex of this communication is not the intended zecipient oz an agent responsible for delivezing it to theintended recipient, you are hereby notified that you have received this communication in error and that any review, dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us iimnediately by telephone and destioy the original communication. pmd)vr" 3:eviq D. 5~ctixs rM, j,silea t:mai A.2.fan;.:ulY<3 . . . S~i¢ru:t C~tuiset Sepianbcr 15, 2003 L~~ EM Al t {arn .~.ti€Axz. 1 Dave RAtaris Firs Tviatsi3ail wrenv,age Fire rrotocuen Dissrkt 388f1 i.ipiam stmot Wheatridg4~', CO &X34 sts3Ax+a-9m :*3-R92.6699 tr.'AXJ x-.eeimghezkA}aw:o zrei RC: C.,_,,,hTial,__t~,,_n,_tfer I~sN,tt-fi97AVy'.382±lvm o e. whcalris3-lxe, ("n~33 Dear Dnvc: This iettrr will confinn aitt telcp3wne cn»vcruuun oPMandsp, Segtembee 35> dnrn,g wh:r.H we d"iseus:ed:hc smtus nf r:se bids fix repair and repiacr%nent of the tim alaens sy52em su Christaphyr iiause. Three separatc rrarnpanies havs svbmitted' bi6s Iwt one of a}sc aarnpnies TLft38Cij YU 3iGI11ZE li$ bFd BTKd Yj1EfL'I67SC Ylilinat be considCresf. The bicls hsvc ieen rcriewed by Stese Rur.cl'siieUi at finlf Jenscn & Assooiartos und wcrc mcumcd ac tlse bidders wi?h iasstn:: cicrns bmuse tlzcbids did »W tomply with the epprored piar_ Tbc Ihoility has sincc receivcd r,~w reYised bici »nd is waiting £aa the ailut in lx restiseti. The facilify will select cm Cf the L+ids amcl proeced with tlte 3vpair arn€ rep3acement nfthe rtre alerm sysmrn. i£you have anv qutr,dons wiz13 tsspect m 016 mazter, please giue me uCall. ua, tmly ybu"> ~971~s~, P,c. "kev:.n D. rttm xDr:mgm C: Jam z~~moi« srLAde Hauca6, raHA uL:tfmat(3!bd3{py~, .y;tepf3refoxk4tv~ati'art~Sdt1A+SRuRaA9t583.a~9d JUN. 24. 2003 1:27PM MII.ES, MCLAREN, PETERS'3038926699 FRED MILES NHVIN D. PETERS JAMES h. MILES CAROL A. MANTF:UFFOL NANCY P TISDALL SPfCIA1.COUNSG4 BONNIE 1. MMREN RFTiHtD MTLES McLAREN' V PETERS June 24, 2003 N0, 5533 P. 2 MILES, McLAREN & PkTEFS, P.C ATTORNEVS AT LAW 1430 LARIMER SQIiARE SuRE 400 DENVEH, COLORADO 80IU2 TL• LEPMONE 303-99I-9900 ppGSIMILE 303-1192-6699 e-mall. mmmcendp mm VIA FACSTMII.~' (303-940-03501 AND U.S. MAIY• paue Roberts Fire Mazshall Wheatridge Fire Pxotection District 3880 Upham Street Wheatridge, CO 80034 Re: Christo herHou e 6 370:=Wi48'''.A enue` Wheatr'dee Colorado 80033 Dear Dave: Putsuant to our convetsarion o£Monday, 7une 23, Ctuistopher House is requesting additional time through and including August 31, 2003, within which to submit plans to upgrade ' the fire alarm system, to receive building depariment approval, and to be issued a building permit. Construction would be completed by September 15, 2003. We appreciate your conrinued cooperation with respect to this matter: Very tmly yours, KDP,mam c; 7effJerebker Brenda Hancock, NHA MILES>MoLARE PETERS> P.C. evin D. Peters 1/S_\CNriSwphaHouse-2710WireCoda Vialutions-6U4tterVLObeits62403.wpd Recieved Time Jun.24• 1:06PM JUN. 20 ' . . ..y~ n , ^n , ^mm"S•3038926699 N0. 5488 P. 2 ~,r~.v5.✓~Mt.. w ( /~r-c -G-LT-°3 . Mii FS, McLAREN CvPETTRS, P.C. I7 t,ES ATTORNEYS nT LAW Cl¢^/~~ _ Anr-N It30LARIMEIlSaUAR6 SUITE 40D , • - nA / ~,9'„~..~, & oeNVFa. cowrsnoo eoios T[LEPHONE:O:,b71-9000 FACSIMIL6 303-M92-G499 ~ TERS amafl. 0mmcandp.mm L0, 2003 VIA FA_CSIMTLE (303-940-0350) A.ND U S MA.1L Dave Roberts Fire Marshall Wheatridge Fixe Protection District 3880 Upham Street Wheatridge, CO 80034 Deaz Dave: Re: Christopher tTouse - 6270 W. 381" Avenue, Wheatridee Colorado 80033 As you know, ChrSstopher House retained the services of Stephen C. itondinelli with Ro1PJensen & Associates to inspect and assess the current condition of the fire alarm at the facility and to address the alleged violations of the Wheatridge Fire Safety Code. Mr. Rondinelli has concluded that substantial upgrades need to be completed on the system. FIowever, he has not had adequate time to complete a report to ihe facility io advise them what needs to be done. klarther Mr. Ronditnelli is on vacation through June 30, which will futthei delay his repoR. Because of these delays, Christopher House is requesting additional time through and including July 31, 2003 within which to submit plans to upgrade the fire alarm system, to obtain bids for completion of the project and to receive billing department approval, and to be issued a building pemiit. We ran into some problems in trying to obtain documentation £tom FAS concerning the fire alazm system. I am conccmed that perliaps this docucnentation was never comp]eted. We would appreciate yow considerarion of the extension. KDP:mam Very truly yours, MILES, McLARE & PETERS, P.C. znem*~- c: Jeff Jerebker Brenda Haocock, NHA 11$;\ChrisWphu Housc-2710\Firo Codo volatiom-6U.ettex\RObeirts6200].wpd Recieved Time Jun•20• 4:34PM Dave Roberts From: Dave Roberts [droberts@wrflre.org] Sent: Friday, May 23, 2003 2:09 PM ~py To: KPETERS@MMCANDP.COM Subject: Deax Kevin, Thank.you £or the prompt request for the 30 day extension for Christopher House regarding the corrective action needed with.the alarm system. Italked to Darin & we are both in agreement as to approval of the extension.I look foiwazd to wozking withSteve Rondinelli &I`m sure. we cansolve the problems. Thanks agaiII, Dave. FM-WRFPD Co~Y i ~6 ,gv,- ~ 3 I WdtiE:ti 'Il'AeW awil pan81388 •ssaooid styjut9aq ol ,ilaoa.tip no,C aoe;voo ol !(Iawpuog 'ryq 30011p MM aAX -apoo f4a3es aig at{3 ylpm a-3ueildwoo uielqo ol no,S ql?M guc~liom oa p-iehvo3 xooC am •02puaeaqM;o ,S»o acp c{JVm 0su301( s,ioaos4aoo io; 2[[Uldde ss ttons `ajqeocjdde aq 3ou ,Cew sauaviaimbai aq;;o auios lay3 puslslapun a,r x.tom ,(mssaoau ay1 8utop aq 1ou ,Cem SV-4 aoutg •siuauraimbal asaqi ap1dwoo 01 qialM ut EZ AeW uto$ S,(eP OE lEVOilippe ue slsanbai asnoH laqdoasuq0 `amn siqi ie iaw aq iou ,cjleap ue:) £Z ,Ceys lo aailptnP aAi aauts •sanssi asayl ssaipps oj,Cj»astp no,( i'Je4u03 wly aneq lliM am pue vota=dsuc sTq pawidtuoo Illau!puo'd -lw 'apoD ~Cta;es a.n3 aSprcisayjA aq13o saopetoin p080[1e ssaappe 03 pUe aqa ie maasAs uuelz aag aya;o uoi;!puoo luauno aql ssasse pus 132dsai ol •ouI `sa;epossy V aasuaf ;Iog 41tn+ t11ampaog •D uaqdmg 3o saoi,vas ayi pauimaj sey asnog jatidois?iqo `passnosip am sy -xaom aouammoo 'S puz `.iiwwd 8utpltnq e panssi aq pita Ienoidde laotu7iedap 2aiplirtq anIaoa21 'q `.asuaoij s,io3o2.qao:) 23praleaqM3o 14p io; 6iddy `.3turjad loi.rasrp alg e panssiaq pne;ouasip alg wo.g jsnoidde anra-3ag 'Z `.sueld uuep, an3 aaaldmoo 3?taxqnS .1 :s.no[loj se aJarA saoil3e asayy '£OOZ `£Z AgW `AEPu3 vzql Ia3ai ou palaldmoo aq asaui suouoe a3eiedas Sieqx [Lajuels 'jW pasinpe peq noX ieq; pauuguoo a$puteayM ;o 43 aql io; lo3e.qsivttupy sapoc)aql`ueSiowuu¢(I`(„Str3») '3uI `smals,Cg wiely 3n3 IE AaIue3s ~CaJO~ o; passaippe £OOZ `£Z I?ldy;o ~a~la~ .Cq `,Ci~e~~~aads asnog ~aqdo~suy~ xe uia~s,is ui~eis aig ayl9utu.ia3uoo1z Aeys `,iepsaupaAk,jo uouesiariuooauotldalal.cno wac;uoo ilimsIyy :aneQ JeaQ ££008 opeio[oTa pixieayM a u ny 41$£ '4A OLZ9 - 5snoH.T59 °ls?n1~ :a2[ bE008 00 `a5pu4eayM 4004S TuE9dI1088E iowsIQ u0130aaoid ang 02pi.q¢ayM ~teqstey~ an,3 suaqog anea e1IV11I'S'il (INt+ OS£0-017- 0£ 31Ii4[IS3Vrl dIA £OOZ `iZ Alaw wordpuowwp7 -pew J 6699'L6-pf3'71WISJVd . 0066-i6R-05 9NOHd3931 i0i0BO4W090Y83AN3(3 ° oor ayms anvnos aawiavl oc71 . Mbl ltl SA3NNOlLtl d ~~3J3d~ ~~~3)q'5nM sitaiaa I ~ Na2IH"PTN SlIIw aaaiiaa K2ariDw'13110402 ~yrvll(n'IVMd5 TiW511'd A~NVN '13,L4f191NVW Y'10`JYJ sgvw l s3wv! Sa313J'U NIAM S31IW 4311.i Z 'd M9 'ON . 6699Z68M,58a,19d `N3aV1DW 'SE1INi Wd69 1 £Q Z 'k'M MAY ?(,2 03 4:54PM MILES,MCIAREN,PETERS'3038926699 , Letter to Dave Roberts May 21, 2003 Page 2 NQ 5024 P. 3 Very huly yours, MILBS, McLAREN & AETERS, P.C. s' `5 Kevin D. Pecers KDP:mam c: 7effJerebker Brenda Hancock, NFiA 1/S:\Chri:mpher Tfouse-27107irc Cade V ioletiais-60.ctttr\Robcrts-wpd Recieved Time Mav•21• 4:34PM ~ MAY. 21. 2003 4:54PM ■ ■ ■ MILES,MCLAREN,PETERS*3038926699 MllL65, MCJ.AREN & PET&RS, P.C. ATI'ORNL-Y5' AT T.AW SUSSEX BUILDING 1430 I.ARXMER SQUnI:L-, SLiI'I'E 400 DErrvEQ, CoLO".ADo W202 PxorrE: 303-592-9900 F'.vX: 303-892-6699 FACSIMILE N0.5024 P. 1 ICEvIN D. PE'rFxs, EsQ. KPETER5OMM CANDP.COM C ■ , iU To: Dave Roberts, Fire Marshall Wheatridge Fire Protection District Re: Christopher House, 6270 W. 38th Avenue Fax No.; 303-940-0350 Clfent No.: 2710.6 Date: May 21, 2003 No. of Pages, Induding Cover: 3 The information attached to, and conWined in, this communication is intended oniy for the personal and confidential use of the designated recipient(S) teterenced above. If lhe reader of this wmmunication is not the intended recipienl or an agent responsible for detivering it to the intended recipient, you are hereby notified lhal you have recelved this communication in error and -that any review, dissemination, dlsVibutlon, or copying of ihis communica[ion iS Strietly prohibited. If you have received this communicalion in error, please notify us immediacely by telephone and retum the odginal communicaHOn to us by maiL Please review the attached letter from Kevin Peters. S:\Chrislapher Aouse-2710\Fre Codt Viollcions-6\FazViobcrtp-wp0 Recieved Time Mav.21• 4:34PM ~ May 16 03 01:32p ■ ■ Fire Alarm J rnc- FRSI A 3034668820 p.l FiPC AL• rnt Scrvicea, lnc. P.O- Box 741145 Yhone (303) 466-$300 Arvada, C080006 Fax (303) 406-8820 i JF:AX COVER SHEET~ 6Z ~ Naznc: ~vc ~ber'~-s Date: _ S - ( b •O~ Company: From: o~c ccvC Re: Message: Tulnl Pages -Z Recieved Time Mav•16• 1:lOPM May 16 03 01:32p m 4r-'I e AlarmJ '~tiERVICi•:S, INt:- May 16, 2003 FflSI 1"vre Alarro Savices. Inc. I' O. 130c 741 I dS ArvuA;j. CO BWOfi Dive Robe.cFs Wheat Ridge Fire Distrii.t 3880 Upham $t. Wheat Pidge, CO 80013 Pe: Cluis[opl,er House Pire Alaiw 5ys[em De:+r bavc; p.z PIIUm (303)15(.9900 FA (303)464-RS20 As of today Fire AlarmServices, lnc, have inade continuing effoxts [o please the written dirsctive issued to us on April 23, 2003, we have cun,Pleted t11e [ullowing. We received our cona~actors lil.ense for fl~e City of Wheat Pidge. Completed drawings indicating dte exieting devices and proposed new devices, whicl, we [eel will meet the current requirement for Christopher ho„se. We l,avo submitted pric;ng to 1'inion Management to complete flie work, however we have nol received approval to complete the work as suggested. We wish to cooperate wlth thc City of Wheac P.idge and chc Fire Departmenl ui resolving fliis issuc, however we obviously nced their aNproval prior l'o startuig aziy work. Please call me at (303) 466-8800 at yuur convenience with any questions ox comments. Sincercly, FiP.E ALAP.M SERVICFS, INC. Corey laniey 3034668820 Recieved Time Mav.16• 1:1OPM MAY, 6, 2003 5; 21PM MIIES, MCLAREN, PETERS 3038926699 FRCD MILES KEV1N D. PET8R5 MII.ES WILLIAM A. RICHARDSON r A n z~T V M JAMPSEMiLES CL<1^!'1 CAFOLAMAM'EUFFEL c tJ µAN[YP.715DALL seL T~~n1~r 7 r sPecw,cour+ , BONNIE 1. MCLAREN . p,ETIBfD May 6, 2003 'tVIA F CMILE - (303) 235-2857 Darin Morgan, Codes Administtator City o£ Wheat Ridge 6274 W. 38th Avenue Wheat Ridge, Coloxado 80033 N0.4868 P. 2/3 MILES, McLARkN ER PETERS, P.C ATTOttNEYS AT tAW I 430IARIMER SOUARE SUITE 400 DENVER. CALORAPO 40202 TELEPHONE 301-897-9900 FACSIMILE 303491-6699 E.ma+ @mmcendp.com Re: Christo her Hou - 62 W. 8th Aven e Wheat Rid e Colorad2 near Mr. Morgan: pur fum represents Conifer Care Communiries-C, LLC ("Conifer'l, the opecator of Christopher House nursing Home (the "Facility"), which began leasing the Facility just over a yeaz ago. We have been advised that the Facility has a fire code compliance pmblem with its fue alarm system that was repaired last yeaz by Fire Alazms Systems, Tnc. ("FA5"). We received a copy of your letter of Apri123"1 to FAS requiring certain matters to be completed no later than Fziday, May 23, 2003, and requiring repairs to the Facility's fire alarm system to be completely operational anii inspected within 45 days of the issuance of the permit. Conifer has teceived two separate proposals from fiAS to repair the fire alarm system that were purportedly based upon the City's concems. But the estimated costs of the two bids vary substantially. I understand that FAS in the past and FAS neglected to pull a building permit when they completed their repairs to the Facility last yeaz and that the fire panel may not have been installed correctly. Further, from your letter of Apri123' it appears that FAS does not have the requisite contractot'S license to provide services witlun the City of Wheat Ridge. Becausa of these problems, we would like to work directly with the City to assure that the Facility obtains fit11 compliance with the Uniform Fire Code as adopted by the City of Wheat Ridge. To assist in this raspect, please advise us directly as to the City's concems with the Facility and, if possible, ldndly provide ari itemized list of issues with its fire alarm system that need W be repaired or repiaced. Upon receipt of this documentation, Conifer intends to address this matter immediately, However, depending upon the estimated cost of the repairs ar replacements> Conifer may need to request additional time to oompiete them. MAY, 6, 2003 5: 22PM . MI1ES, MCIAREN, PETERS 3038926699 N0, 4868 P. 3/3 Letter to Darin Morgan May 6, 2003 Page 2 My client looks fonvard to workittg With the City to bring the Facility back into compliance. Very truly yours, MILES, McLAREN & ET~RS, P.C. Kevin D. Peters KDP:ajl cc: Jeff 7erebker - (303) 987-0434 Brenda Hancock (303) 987-0434 5:\ClvistopherHousd27t0Tire Code Violalions-6\LeueAblorgan 050603.wpd MAY. 6.2003 5:21PM MIIES,MCIAREN,PETERS 3038926699 MILr,6, MCLARFN fd AE1TR8, P.C. ATTORNEY5 AT LA'C7 SUSSEX BUII:UING 1430 LnRIMER SQUARE, SUrfE 400 DFNVnx, CoLORnno 80202 PHOrnE: 303-892-9900 FAx:3o3-892-6699 FACSIMILE To: Darin Re: House, 6270 W. 38th Avenue Fax No.: 303-235-2857 Client No.: 2710.6 Date: May 6, 2003 N0.4868 P. 1/3 KFVTND, PETERS, ESQ. KPET13R8(@_MA1OM No. of Pages, Inciuding Cover: 3 The iMormation attached to. 8nd conffiIned In, this communlcation is lntended only for the personal and conFidenGal use Of the deslpnatCd reciplent(s) referenced above. If the reader of this communication is not the intended recipient or an agent responsible Tor delivering it to the intended reciplenC you are hereby no nie ~~is you have recelved this communiration in error and that any review, dissemination, distrlbution, or wpyi g commonication is stricUy prohibited. H you have recetved this cammunicaGon in error, please noUy us immediately hv teleohone end retum ihe original communicafion to us by mail. Attached is our letter regarding the above-referenced matter. S:\Chrisropher Nouse•27101im Code violeaons-61F~Worgant.wpd 7500 West 29th Avenue Wheat Ridge, Colorado 80033 3031235-2855 Fax: 3031235-2857 The City of Wheat Ridge May 7, 2003 Miles, McLaren & Peters, P.C. C/o Kevin Peters 1430 Lazuner Street, Suite 400 Denver, CO 80202 Re: 6270 W 38tn Avenue, Wheat Ridge, CO 80033 - Fire Alarm Svstem Dear Mr. Peters, This is in response to your fax dated May 6, 2003. Find attached docuxnentation from the Wheat Ridge Fire District regarding the above referenced address. The existing fire alarxn system was to be replaced with a new fully addressable system. The currently installed fire alarm control panel is a"Fire-Lite MS-9600". Everything associated with this panel must meet the specification of this system. Portions of the old system in this building will not meet these requirements and will need to be replaced. . Any proposed bids should be to replace the fire alarm system per the "Fire-Lite MS-9600" system installation requirements. Should you have any further questions regazding specific documentation needing to be submitted for review and approval, please contact Dave Roberts, Fire Mazshal, Wheat Ridge Fire District. Sincerely, ~ Dazin M Codes A ' 'strator Cc address file Dave Roberts, Wheat Ridge Fire District 3880 UXham St Wheat Ridge, CO 80033 Brenda Hancock, Christopher House 6270 W 38 Ave Wheat Ridge, CO 80033 Shannon Smith 10759 Yukon St Westminster, CO 80021 Fire Alann Services, Inc, C/o Corey Stanley P.O. Box 741145 Arvada, CO 80006 Bob Gaspaz, Building Inspector . . ~ . . . s+{',-'-~',^ . . . . . . . . - - . . ~ . . ~ ' . . . . . . . ~ . . . . _.y_ - . . ~ ~ WHEAT RIDGE FIRE DISTRICT "Dedicated To Serve Through Excellence° P. O. Box 507 • 3880 Upham St: • Wheat Ridge, CO 80034 • 303-424-7323 + fax 303-940-0350 FIRE ALARM FOLLOWLTP INVESTIGATION 4-16-03 CHRISTOPHER HOUSE ' 6270 W. 38 AVE. WHEAT RIDGE, CO., 80033 On 4-16-03, I conducted a fire alarm follow-up investigation with Darin Morgan, Chief Building Official; City of Wheat Ridge, at Christopher House, 6270 W 38 Ave., Wheat Ridge, ; Co., 80033; concerning the fire alarm system that has been installed at this location. On 4-14-03, Wheat Ridge Fire Department responded to a report of a fire alazm at Christopher House at 14:15(2:15 P.M.). Approximately five,(5) minutes into the alarm; I received a phone call at my office from firefighter pon Jeskewitz, who was in command of the scene. He , stated that the system would not reset; and that upon arrival; no horns or strobes were on, however the system was in alarm stating west wing pull starion. I advised him to haue management contact the Alann Company responsible for maintenance; and to have management : institute a fire watch within;the buiiding until the system was repaired, since it appeared to be malfunctioning. : Whemfirefighte; Jeskewitz returned to the station, fie brought the fire alarm report sheet to my office and stated that he had advised management personnel to contact the Alaim Company for maurtenance and had;also required the fire watch untillhe system was futed. He also stated _ that he had told the maintenance man to call the Fire Marshals Office and tell him when the system was repaired and back on line. I advised Don that I wouid foliow-up on the alarm on 4-15- 03 to insure the system was back in proper working condition at the location: On 4-15-03, I arrived at the ofHce and found that I had a message waiting on my phone: I listened to the message from Fred Kaster, maintenance man for Christopher House, who stated that the alarm system had been fixed and was back in service. The time on the phone indicated that the message had been left at_5:30 P`.M.-on 4-14-03. I went to Christopher House to insure that the system had been repaired and was back in'service as required. Upon arrival; I met with Brenda Hancock, Manager; and was immediately told that the system had been fixed: I told her that I needed to look at the panei to insure that it appeared to be operating properly. We then proceeded to the West End of the hallway where the fire alarm panel ' is located. Upon arrival at the fire alarm panel, I was surprised to find a different panel in place. It is a MS-9600 Fire Lite Addressable Fue Alann Panel; that showed all systems normal. We were _ then met by Fred Kaster, Maintenance Man, who immediately advised me that the Alarm ' Company had responded the previous afternoan and fixed the problem: I asked him what the ' problem was that had been corrected. He stated that they (the Alazm Company) had replaced the pull station on the west wall and had connected the horn/strobe circuit that had apparently never been connected when the panel was replaced. I asked Brenda what date the panel had been replaced and she stated that it had been after the last rash of incidents in 2002 approximately in , 7uly, but she didn't have the exact date. She stated that the panel had been replaced and the , system rewired by the company whos' name was on the front of the panel. The company in ' question is Fire Alarm Systems Inc., also known as F.A.S., P.O. Box 741145; Broomfield, Co., : 80006, telephone # 303-466-8800. It also appeared that a new Silent Knight Communicator box , had been added to the system I opened what I knew to be the old fire indicator panel and ' discovered that the face of the panel had been blanked out, and all the wiring was now going , throngh this panel. Items lrnown as MNIX devices were in place with numbers inked on them to identify zones for the fire alarm'system. Observation of the detectors located on the ceilings indicated that the detectors were the old style zone detectors that are not designed or capable of being addressable. It appeared that the wiring that had been in place for the old zone system, was ' simply reused and atfached to a MIVIX device that allows for addressable identification of the , zones only, not a specific detector. Observation of additional wiring in the panel did not appear to ; be fire alarm type wiring, and there was a mix of colored wire that I was not able to detemune where it wenY once it went out of the panel: Brenda asked if it, meaning the system; was ok I stated that there was a problem that would need to be addressed with the City Building Department. I told her that I have not approved any plans for the system replaeement, and I , needed to check with the Gity to see if a permit had been issued for this replacement: I advised her that I would meetwith Darin Morgan, Chief Building Official, and advise him of the situation and ; see what aetions need to be taken. I then proceeded to the City of Wheat Ridge Building ; Deparhnent where I met with Darin and advised him of the situation. We agreed to meet at i Christopher House, 6270 W 38 Ave., om4-16-03 at 09:00 to investigate the issue and determine I what needs to be done to conect the issues. The apparent issues at hand are; 1`- no issuance of a pemut by the Gity for replacement of the system or any part of the system. 2- no submission of plans for replacement of the system or any part of the system: 3- No approvals for any I replacement of the system or parts of the system. 4- No acceptance test of the system as required by code. . : On 04-16-03, I met with Darin at Christopher House to invesrigate the Sre alarm system now inplace at this location. We opened the old panel and observed the wiring. Both of us took pictures of the, panei and the interior wiring. We opened the access hatches on both the north and ~ : soath wings of the West Side and obseryed the wiriug in the attic on both sides of the firewall. A , piece of wire was retrieved from the south side of the firewall over the panel area in the attic. It I appeazs thaf the old disc heat detectorsmounted across the top beam of the attic space may still be connected to the system, however, there was no way to verify the connection. ~ ; i i II These issues will be handled by the building department with assistance as needed for the CO PY: august as, zooi Brenda Hancock Director Christopher House Wheat Ridge Colorado 80033 Subject: Fire Alazm System Deaz Brenda, This letter is a result of our conversation regazding the current fire alarm system installed at your faciliry, Christopher House, and the condition of reliability of the system as it currently eaiists. The following is a list of alarms eactending back to 1999 that the fire department responded to: 1999 01-07-99 Fire Drill and Check of System by alann company. Failed to notify dispatch and take system off line, result was a false alazm response. 04-17-99 System operation as a result of candles on a birthday cake. Detector was replaced. 04-23-99 Alarm from west wing, system reset prior to arrival, unable to detettnine type of alarm or why. 04-25-99 West wing alann, apparent electrical short in system. Board for west wing replaced by Alarm Company. 08-31-99 Lightning strike activated west wing of system. Mulriple pieces in alann panel replaced by Alarm Company. 12-28-99 Loss of power produced fire alann on general alann for entire building. 2000 09-08-0 Activation of west wing basement pull station due to loose condition of pull station. Pull station rightened and fixed. 09-08-0 Lightning strike activated entire alarm system. Alarxn Company repaired the system again. 09-08-0 Alarm being tested resulted in false alarm response by fire department. 2001 07-24-01 Alarm system malfunction involving tobby smoke detector. While these alarms do not appear to be significant, the reliability of the system is becoming quesrionable as to its' reliability with detectors alarming due to their age and life expectancy. There is no way to monitor the system status on an old zone system that will tell you when a potential problem is starting to eacist. The only notification is when the detector goes into the alarm mode, usually resulting in a faise alarm. I had talked with Brad Miller after the incident with the second lightning strike that caused the damage to the main panel and advised him at that time that there was a need to start the process to repface and upgrade the fire alarm system to cunent standazds. The standard involved is NFPA- 72, National Fire Alarm Code, 1999 edition. This standard covers the installation and operation of the fire alarm system. The type of system that needs to be installed is what is known as an addressabie system. This type of system allows every device to be identified as to its location and type of device. It eliminates looking for a detector in alarm because the panel visual display will tell you what and where the alarm is. As of this time, I am strongly suggesting that management start the process of repiacing the current system with a new addressable system in the immediate future, not to eacceed 120 days ( 4 months) from this date, August 23, 2001. Should management have any questions or concerns regarding this issue, I can be contacted at 303403-5902. Thank you for your attenrion with this issue. Respectfully, Dave Roberts, Fire Marshal, WRFPD 7500 West 29th Avenue Wheat Ridge, Colorado 80033 303/ 235-2855 Fax: 3031235-2857 The City of Wheat Rldge Apri123, 2003 Fire Alarm Services, Inc, . C/o Corey Stanley P.O. Box 741145 Arvada, CO 80006 Re: 6270 W 38th Avenue Wheat Ridge, Colorado - Fire Alarm System Dear Mr. Stanley, This letter is to follow up our onsite visit with Dave Roberts, Wheat Ridge Fire District regarding the fire alann system installed at the above referenced address. Per our conversation you were informed the following would be required within 30-days or no later than Friday, May 23, 2003, ~ Submit complete fire alann plans. ~ Receive approval from Fire District and be issued a fire district pernut. ~ Apply for City of Wheat Ridge contractors license. ~ Receive Building Department approval and be issued building permit. ~ Commence work The city will require the fire alarm system be completed, inspected and approved within forty-five (45) days of permit issuance. Should you have any questions please feei free to contact me at 303-235-2853. Sincemly, Darm MqS Codes ~ Cc address filev Dave Roberts, Wheat Ridge Fire District 3880 UX ham St Wheat Ridge, CO 80033 Brenda Hancock, Christopher House 6270 W 38 Ave Wheat Ridge, CO 80033 Shannon Smith 10759 Yukon St Westminster, CO 80021 Bob Gaspaz, Building Inspector FROM THE OFFICE OF PLANNING & DEVELOPMENT: O Planning: 303-235-2846 O Zoning: 303-235-2851 O Building: 303-235-2855 Co ~daa ~ A'n ~ ~ L ~ ' ~x v , /D 2r ~i~, ~ 70z)- r , venue • Wheat Ridge, Colorado 57 • Web Site: www.ci.wheatridc ~ ~ ee, i ~ 021 ~ e co.us September7, 2001 DF-52703 Ai-200 MS-9600 (a FII'@•LIT@rAL3Yf'1'S IntelligentAddressable Fire Alarm Control Panel www.firelke.eom Section: Adtlressable GENERAL The Fre-Lite MS-9600 is a compact, cost-effec[ive, intelli- gent addressable fire alartn control panel with a capaciry of 636 addressable Fre•Lite devices on two loops (2^" loop optional). A single Signaling Line Circuit (SLC) loop sup- ports up to 159 smoke detectors and 159 control or monitor modules. The panel uses surface-mount technology and is designed for ease of installation and programming. It fea- tures the latest in advanced fire protecrion technology, in- cluding mantenance alert and automatic detector test. FEATURES SLC Loop • SLC can be configured for NFPA Style 4,6, or7operation. • Optional module for adding a second SLC loop (Part # SLC-2). • SLC supports up to 318 addressable devices (159 detec- tors and 159 monitor, coMrol,orrelaymodules),including the new addressable heat detector, duct detector and dual monitor module. • SLCloopmaximumlength10,000R.(3,048m)@ 12AWG (325 mm'). Needs twisied, shielded wire. (3,000 ft. unhvisted, unshielded wire.) Notification Appliance Circuits (NAC's) • Two onboard NAC's with additional NAC capability using output control modules (CMF-300). • Silence Inhibit and Auto Silence timer options. • Continuous, March Time, Temporal or California code for main circuit board NACs with two-stage capability. • Selectable strobe synchronization per NAC. • 6.0 amps total NAC powed72 amps total system power. Programming and Software • Auto-program (leam mode) reduces installation time. • Fully programmable from local keypad, local PS-2 key- board or PC via PK-9600UD Windows@ utility. • Two-level user programmable passwords. • Custom English labels perpoint may be manually entered or selected from an intemal library file. • Two programmable Form-C relay ou[puts. • 99 soitware zones. Userlntertace • RemoteAcknowledge,Silence,ResetandDrillviaaddres- sablemonitormodules, ACS-seriesannunciators orLCD- SOF Remote annunciaror. • EIA-232 printer/PC interface (va(able baud rate) on main circuit boarcJ. . U` ULC FM ssza cssa =...e 7165-0075:791 MEA 72-01-E ' v~c g • Integral SO-character LCD display with badclighting. • Real-timeclocWcalendarwithautomaticdaylightsavings time control. • History file with 1,000-event capacity. • EIA-485 supporting up to 32 ACS-series annunciators. • EIA-485 suppor6ng up to 32 LCD-SOF annundators. Advanced Fire Technology • Sensitivity testing with priMable results. • Automatic drift compensation. • Maintenancealertwamswhensmokedetectordustaccu- muiation is excessive. • Automatic device type-code verification. • One person audible or silent walk tes[ with walk test log and printout. • PoiM trou6le ideMification. his document is not intended to be used for installation purposes. We try to ~SO 9001 keep our produd information up-to-date and accurete. We cannot cover all spe- c"rfic applications or anticipate all requirements. All specifications are subject to change without notice. For more information, coniact Fire•Lite Alarms, One Fre- 11111:121111=1`13111M.1 Lfte Place, NortMord, Connecticut 06472. Phone: (800) 6273473, Toli Free ;MLqffAME FAX: (877) 699-410.5, FAX Back:(888) 3883299 ~ Made in the U.S.A. 15F-52103 - Page 1 af 4 SYSTEM PERIPHERALS AND WIRING 24 VOC EIA-485 Intedece built into the moiherboerd (4 wires) Upm6,000ft.(1.8259m) 6eMeen each LCDAOF in ihe EIAd85 bap 24 VOC ~ ~ ANNUNCIAT ~ j AFM-LED ■ ■ ACS/ACM ~ • LDM • • ~ ■ ■ ■ EIA-485 in ACS Mode (2 wires) 8 Optionel Fortn-C 5 Amp Helays (order ACM-BRF) 24 V\DC y O _ ~ O~O 00000 ❑oooo dOOO13❑ o Q 'QOOOOO o NACS (NO1Hication Appliance Circuils); Bells, signels, sVObes EIA-232 Interlece built into ihe motherboerd ~ Optional F¢verse Polerirylciry Box Output (p!n 4%TMP) WIRING REQUIREMENiS The SLC requires use of a specific wire type to ensure proper circuit operation. It is recom- mended that all SLC wiring be iwisted-pair shielded to minimize the effects of elec[rical interterence. Wire size should be no smaller than 18 AWG (0.75 mma) and no larger than 72 AWG (325 mma) wire. The wire size depends on the lengih of the SLC circuit. Use the table below to detertnine the specific wiring requirements for the SLC. Wire Requiremenis Distance in Feet (meters) Tvoical Wire Type' Twisted-pair shieltletl 10.000 (3,048) 12 AWG - Belden 9593, Genesis 4410, Signal 98230, WPW D999 8,000(2,438) 14 AWG - Belden 9581, Genesis 4408, Signal 98430, WPW D995 4,875(1,486) 76AWG-Beltlen9575,Genesis4406, & 4606, Si9nal 98630, WPW D997 3225 (983) 18 AWG - Belden 9574, Genesis 4402, & 4602, Signal 98300, WPW D975 Untwisted, unshieltled 3,000 (915) 12 - 18 AWG 1. AWG wire size conversion to metric size: 12 AWG = 325mrt~; 14 AWG = 2.00mm'; 16 AWG = 7.30mnW; 78 AWG = 075mm' SMOKEDETECTOFS SD350 SD35oT CP350 . HEAT DETECTOfl H350 DUCTDETECTORS D350P D350RP MONITOflS M MF-300 M Mf-3o2 CMF-30o CPF 300 1300 MINI MONITOR M M F-301 PUtL STATION BG12-LX DF_52103tl1.wml Page 2 of 4- DF-52103 • Local Piezo sounder. • Waterflow (nonsilenceable) selection per monitor point. • System alarm verification selection per detector point. • PAS (Positive Alarm Sequence) and presignal delay per point (NFPA 72 compliant). • Optional 4XTMF module (conventional reverse polarity/city box transmltter). CONTROLS AND INDICATORS LED INDICATORS 7. AC POWER (green). 2. FIRE ALARM (red). 3. SUPERVISORY (yellow). 4. ALARM Silenced (yellow). 5. SYSTEM TROUBLE (yellow). 6. MAINTENACE/PRESIGNAL (yellow) 7. DISABLED (yellow) 8. BATTERY FAULT (yellow) 9. GROUND FAULT (yellow) MEMBRANE SWITCH CONTROLS 1. ACKNOWLEDGE/STEP 2. AIARM SILENCE 3. DRILL 4. SYSTEM RESET (lamp test) 5- 16. 12-key pad wi[h full alphabet 17 - 20. 4 cursor keys 21. ENTER COMPATIBLE ADDRESSABLE DEVICES Ali feature a polling LED and rotary switches for ad- dressing. CP350 Addressable low-profile ionization smoke detector. SD350 Addressable low-profile photoelectric smoke detector. SD350(T) Addressable low-profile photoelectric smoke detector with thermal sensor. H350(R) Fast response low-profile heat detector (R=with Rate of Rise option). D350P(RP) Photoelectricductsmokedetector (R=with relay option). MMF-300 Addressable Monitor Module for one zone of normally-open dry-contact initiating devices. Mounts in standard 4°(10.16 cm) box. Includes plastic cover plate and end•of-line resiffior. Module may be configured for either a Style B (Class B) or Style D(Class A) IDC. MDF300 DualMonitorModule.SameasMMF300except it provides two Style B(Class B) only IDC's. MMF307 Miniature version of MMF-300. Excludes LED and Style D option. Connects with wire pig[ails. May mount in device backbox. MMF-302 Similar to MMF-300, but may monitor up to 20 conveniional two-wire detectors. Requires resettable 24 VDC powec Consult factory for compatible smoke detectors. CMF300 Addressabie Controi Module for one Sryle Y2 (Class B/A) zone of supervised polarized NotificationAppliances. Mounts directly to a 4" (10.16cm)electricalbox. NotrficationAppliance Circuit option requires eMernal24 VDC to power notification appliances. CRP300 Addressablerelaymodulecontainingiwoisolated sets of Form-C contacts, which operate as a DPDTswitch. Mountsdirectlytoa4"(10.16cm) box, surface mount using the SMB500. BG-12LX Addressable manual pull station with intertace module mounted inside. 1300 This module isolates the SLC loop from short circuHCOnd'Rions (requiredforSryle7operation). SMB500 UsedtomountallmodulesexceptiheMMF-301 and M301. Compatible with legacy Fire•Lite 300 Series devices. Please consul[ factory for further information on all the 300 series devices: CP300, SD300, SD300(T), M300, M301, M302, C304, and BG-10LX. NOTES: 7) A'suflix should be included only when order- ing lJLC listed units (e.g. SD350A, MMF300A). 2) For more detailed information on Compati6/e Addressabfe De- viees for use with the MS-9600, please see the fvllowing data sheets (document numbers): SD3501SD350T (DF- 52149). CP350 (DF52158), MMF300 Series/MDF300 Addressable Monitor Modu/es (DF52121) and BG-72LX (DF52013). COMPATIBLE ANNUNCIATORS EIA-485 Intertace: Built-in to the moiherboard. AFM-LED Zone Series: LED-type fire annunciators ca- pable of providing up to 99 software zones of annunciation. Available in increments of 16 or 32 with expandable (AFM-X Series) and non-expandable (AFM Series) configurations to meet a variety of applications. ACSIACM Annuncialor Series: Allow annunciation of Loop t and Loop 2 modules and detectors. LDM Graphic Series: Lamp Driver Module series for use with custom graphic annunciators. LCD-SOF (Liquid Crystal Display) point annuneia- tor: 80-charac[er, backlit LCD-type fire annunciators ca- pable of displaying English-language teM. Up to 32 LCD- 80F annunciators may be connected to the EIA-485 termi- nal mode serial interface on the MS-9600 motherboard. NOTE: For more detailed iniormation on Compatible An- nunclators for use with the MS-9600, see the LCD-80F annunciatorseciion of the Fire-Lite Produci Catalog. FIELD-PROGRAMMING FEATURES Off-Line P►ogramming: Create entire program in your office using a Windows(ID-based soflware package (order programming kit PK-9600UD separately). Upload/Download system programming locally to the MS-9600 in less than one minute. AutaProgramming: Command the MS-9600 to program itself (takes less than 30 seconds). In the Auto-Progrem mode, the MS-9600 scans for all possible devices at all addresses, stores the device types, and addresses found, and then loads defauk values for all options (General Alarm). It also checks for two or more devices set to the same address. On-Line Etlit: While still providing fire protection, the MS- 9600 may be programmed from the front panel. Simple menu trees displayed on the LCD allow the trained user to perform all functions without referring back to the program- ming manual. English Label Librery: Quickly select labels from a standard library of more than 50 adjectives/nouns, such as DF-52103 - Pa9e 3 of 4 "FLR 3 HALLWAY," or enter custom labels letter-by-letter. Use recall function to repeat previously used label. Program Checlc Automaticalty catch common errors, such as control modules not linked to any zone or input point MAINTENANCE ALERT The MS-9600 continuously monitors each smoke detector and is capable of reporting maintenance conditions. This reduces the risk of false alarms due to dust awumulation. Refer to the control panel installation manual for more infor- mation. AUTOMATIC TEST OPERAiION The MS-9600 pertorms an automatic test of each detector every iwo hours.' Failure to meet the test limits causes an AUTO TEST FAIL trouble type. System Reset clears this trouble. ~ NFPA STANDARDS The MS-9600 complies with the following NFPA 72 Fire Alarm Systems requirements: • LOCAL (Automatic, Manual, Waterflow and Sprinkler Su- pervisory). • AUXILIARY (Automatic, Manual and Waterflow) (requires 4XTM-F). • REMOTE STAiION (Automatic, Manual and Waterflow) (requires 4XTMF or UDACT-F). • PROPRIETARY (Automatic, Manual and Waterflow). • CENTRAL STATION (Automatic, Manual and Watertlow, and Sprinkler Supervised) (requires UDACT-F). SPECIFICATIONS AC Power - TB1: 120 VAC 60 Hz, 32 amps. Wire size: minimum 14 AWG (2.00 mm3) with 600 V insulation. Battery (Lead Acid Only) - T82: Maximum Charging Cir- cuit: Normal flat charge - 27.6 VDC @ 1.00 amp. Mapmum Battery Charger Capacity: 25 amp hour (MS-9600 cabinet holds maximum of two 18 amp hour batteries. For 25 - 120 amp hour batteries, use the CHG-120F Battery Charger and BB-55F Battery Box. NOTE: Jumper JP3, on ihe FACP main circuit boarcl, must be cut to disable the FACP battery charger when using the CHG-120F. Communication Loop - (Standard) TB8 and (Optional SLC 6cpander Module) J3: 24 VDC nominal, 27.6 VDC mauimum. Maximum length is 10,000 ft. (3,000 m) total twisted, shiefded pair length. Maximum loop current is 400mA (short circuit) or 100mA (normal). Maximum loop resistance is 40 ohms. Supervised and power-limited. Notification Appiiance Circuits - T64: Power-limited cir- cuitry. Maximum voltage drop in wiring: 2.0 VDC. Nominal operating voltage: 24 VDC. Curren[ limit: fuseless, electroninc, power-limited circuitry. Maximum signaling cur- rent percircui[: 3.00 amps. End-of-Line Resistor: 4.7 k OHM, 1/2 watt (P/N 71252 UL listed) for NAC's. Refer to Fire-Lite Device Compatibility Document for listed compatible de- vices. Programmable and Trouble Output Relays - TB5: Con- tact rating: 2.0 amps @ 30 VDC (resistive), 0.5 amps @ 30 VAC (resistive). Form-C relays. 4Wire Resettable Smoke Detector Power (24 VDC nomi- /pa 1 nal)-TB3, Terminals 1(+) & 2(-): Maximum ripple voltage: 10 mVRMS. Up to 3.0 amps for powering 4-wire smoke detectors. Power-limited circuit. Refer to Fire-Lite Device Compatibility Document for listed compatible devices. Page 4 of 4- DF-52703 Nonresettable Power #t (24 VDC Nominal) - T63, Termi- nals 3(+) & 4(-): Maximum ripple voltage: 10 mVRMS. Up to 3.00 amps total DC current available from each ou[put. Power-limited circuit. Nonresettabie Power #2 (24 VDC Nominal) - TB3, Termi- nals 5(+) & 6(-): Maximum ripple voltage: 10 mVRMS. Up to 3.00 amps total DC current available from each output. Power-limited circuit. NOTE: 6 amps is the total amouni of current thai can be drawn from the toilowingcircuits: Resettable Power(TB3, 1- 2), Nonresettable Power #1 and /i2 (T83, 3-4 & 5-6) and NAC I!7 and #2 (TB4, 1-4 & 5-8). EIA-085 (ACS) - TB6: ACS annunciator connector, Termi- nal 1(+) and Terminal 2(-). EIA-485 (TERM) - TB7: Terminal mode annunciator con- nector, Terminal 5 (In 6 (In 7 (Out 8 (Out EIA-232 (ACS) - T67: PC/Printer connector, Terminal t (Transmit), 2 (Receive), 3 (DTR). 4 (Ground). CABINET SPECIFICATIONS Door: 18.67" (47.43 cm) high x 15.78" (40.08 cm) wide x 1.08" (2.74 cm) deep. Backbox: 18.5" (47.0 cm) high x 15.5" (39.37 cm) wide x 4.37" (11.1 cm) deep. Trim Ring (part # PC-TR): 21.620' (54.92 cm) high x 18.62(r (47.3 cm) wide. PRODUCT LINE INFORMATION MS-9600 A 636-point addressable Fire Alarm Control Panel. Includes 80-character LCDdisplay, single printed circuit board, cabinet and dress panel. ACM-SRF Optional plug-in relay module provides 8 Form- C 5.0 amp relays. DP-9600 Full-length internal dress panel included in panel. UDACT-F Digital Alarm Communicator Transmitter. PK-9600UD Programming soTlware for Windows8-based PC computer (cable not included). FC-TR Trim Ring for semi-flush mounting. BB-55F Batterybox,requiredtohousetwo(2)PS-12250 batteries and one (t ) CHG-120F batterycharger. Forbatteriesgreaterthan25AH, consulttactory for housing/mounting arrangements. CHG-120F Remote battery charging system. Required for charging greater than 25 AH baiteries. - PS-1270 Battery, 12 volt, 7.0 AH, (iwo required). PS-12720 Battery, 12 volt, 12.0 AH, (M1VO required). PS-12180 Battery, 12 volt, 18.0 AH, (two required). PS-12250 Battery, 12 volt, 25 AH, (hvo requked,requires CHG-720F). PS-72550 Battery, 12 volt, 55 AH, (iwo required; requires CHGd20F). FCPS-24F Remote Power Supply expands NAC outputs by 4 circuits (supported by 6 amps) or can provide 4 amps continuous. PRT/PK-CABLE Cable printer/personal computer interface cable. SLC-2 Optional second Signaling Line Circuit (SLC). Supports 159 detectors and 159 control, relay and monitor modules. BRKTa9600 BracketusedtoinstalltheUDACT-FOrACM-8R inside the MS-9600 cabinet. Windows@ is a registered trademark of Microsoft Corporation. s;. ~,r , ~FIRE t D EM$ sranoH: yyHEAT' _ GE FIRE DEPARTMENT YL INCIDa .REPORT ❑ Revised Report INCIDENT NO. MONTH DAY YEAR DA OF THE WEEK ' ALARM TIME ARRIVALTIME TIME IN SERV. TYPE OF SITUATI FOUN TYPE OF ACTIO TAKEN MUTUAL AID (Y/ N) ~ f M N RECD 2 GNEN FIXED PROPERTY USE r ~ ^ IGNITION FACTOR RSON USE ONL1) E] CODE 2 HESPONSE J r N u r 44 . ~r. CORRECTADDRESS r ZIP CODE 7o . (47c2 OCC U'PANTlPATIEN T NAME (LAST,FIRS T,M I) TELEPHONE ROOM OR APT. # / } ' ( 1.., ~'1 C 15 ~ ib Ko w,t Q- ( ' ' l t~t/ QS t w OWNER NAME (LAST, RST, MI) ADDRESS TELEPHONE I ) - MEfHOD OF ALARM FROM PUBLIC DISTRICT -T+ NO. ALARMS I NO. OF FIRE SERV. PERSONNEL RESP. ~ NO. OF ENGINES RESPONDED NO. AERIALAPPAR TUS RESPONDED NO. OTHER VEHI~LES RESPONDED p ~ ( D NUMBER OF FIRE INJURIES NO. OF ATALITIES / / FIRE SERVICE: OTHER: F E SERVICE: OTHER: PROPERTY LOSS ESTI KNOX BOX USE NO. OF REAMS / BLDG. CONT. ❑YES ❑NO 11/2" 1 364 21/2" FANS S A BOTTLES LADDERS OFHOSE 11/2" 13/4" 21/2" SUPPLV DA ED EQUIPMENT PUM IME HYD TS EXTI UISHERS ~ COND. O. TYPE: POLICE UNITS OTHER UNITS REPORTBY: NAME h O I COMMAND NAME ) ~ zSICC H T4 E6 B8 MTC C1 C3 NO. .Z 3 NO. + F2 TS E7 B9 85 C2 POV SUPPLEMENTREPORT: ❑ EMERGENCY ALARM INSPECTION ❑ OTHER FI84NV. _ i 1! ~{Q~ ~ ~I /2 11~~2f4~21~ i ~\.!'-0 1A)B\7:L.. MAIAnGPIMOr✓i~ IfTn~iAJr}~~ r,.~Y f~'i/lYC~~~ L1 ._iN_e... ENGINEER : Et 1 T4 T5 E6 PROB LEMS _ _ _ _ - - E7 _ 88_ B9 _ B5 _ MTC _ C S C S C S C S C S C S C S C S ❑ 005 ❑ ❑ 092 ❑ ❑ 166 ❑ ❑ 204 ❑ ❑ 223 ❑ D 242 ❑ ❑ 261 ❑ ❑ 280 ❑ ❑ 006 ❑ ❑ 094 ❑ ❑ 167 ❑ ❑ 205 ❑ ❑ 224 ❑ ❑ 243 ❑ ❑ 262 ❑ ❑ 281 ❑ ❑ 010 ❑ ❑ 102 ❑ ❑ 168 ❑ ❑ 206 ❑ ❑ 225 ❑ ❑ 244 ❑ ❑ 263 ❑ ❑ 282 ❑ ❑ 011 ❑ ❑ 108 ❑ p 175 ❑ 8 207 ❑ ❑ 226 ❑ ❑ 245 ❑ ❑ 264 ❑ ❑ 283 ❑ ❑ 013 ❑ 4 112 ❑ ❑ 176 ❑ ❑ 208 ❑ ❑ 227 ❑ ❑ 246 ❑ ❑ 265 ❑ ❑ 284 ❑ ❑ 020 ❑ 125 ❑ ❑ 177 ❑ ❑ 209 ❑ 728 ❑ ❑ 247 ❑ ❑ 266 ❑ ❑ 285 ❑ ❑ 021 ❑ ❑ 132 ❑ ❑ 179 ❑ ❑ 210 ❑ ❑ 229 ❑ ❑ 248 ❑ ❑ 267 ❑ ❑ 286 ❑ ❑ 031 ❑ ❑ 136 ❑ ❑ 183 ❑ ❑ 211 ❑ ❑ 230 ❑ ❑ 249 ❑ ❑ 268 ❑ ❑ 287 ❑ ❑ 033 ❑ ❑ 139 ❑ ❑ 184 ❑ ❑ 212 ❑ ❑ 231 0 ❑ 250 ❑ ❑ 269 ❑ ❑ 288 ❑ ❑ 034 ❑ ❑ 147 ❑ ❑ 193 ❑ ❑ 213 ❑ ❑ 232 ❑ ❑ 251 ❑ ❑ 270 ❑ ❑ 289 ❑ ❑ 044 ❑ ❑ 144 ❑ ❑ 194 ❑ ❑ 214 ❑ ❑ 233 ❑ ❑ 252 ❑ ❑ 277 ❑ ❑ 290 ❑ ❑ 049 ❑ ❑ 145 ❑ ❑ 196 ❑ ❑ 215 ❑ ❑ 234 ❑ ❑ 253 ❑ . ❑ 272 ❑ ❑ _ ❑ ❑ 053 ❑ ❑ 148 ❑ ❑ 197 ❑ ❑ 216 ❑ ❑ 235 a ❑ 254 ❑ ❑ 273 ❑ ❑ _ ❑ ❑ 060 ❑ ❑ 151 ❑ ❑ 196 ❑ ❑ 217 ❑ ❑ 236 ❑ ❑ 255 ❑ ❑ 274 ❑ ❑ - ❑ ❑ 067 ❑ ❑ 753 ❑ ❑ 199 ❑ ❑ 218 ❑ ❑ 237 ❑ ❑ 256 ❑ ❑ 275 ❑ ❑ - ❑ ❑ OM ❑ ❑ 158 ❑ 0 200 ❑ ❑ 279 ❑ ❑ 238 ❑ ❑ 257 ❑ ❑ 276 ❑ . ❑ - ❑ ❑ 073 ❑ ❑ 161 ❑ ❑ 207 ❑ ❑ 220 ❑ ❑ 239 ❑ 258 ❑ ❑ 277 ❑ ❑ - ❑ ❑ 086 ❑ ❑ 162 ❑ ❑ 202 ❑ ❑ 221 ❑ ❑ 240 ❑ ❑ 259 ❑ ❑ 278 ❑ ❑ - ❑ ❑ 091 11 ❑ 165 ❑ ❑ 203 ❑ ❑ 222 ❑ ❑ 241 ❑ ❑ 260 ❑ ❑ 279 ❑ ❑ - ❑ WHEAT RIDGE FIRE PROTECTION DISTRICT FIRE ALARM REPORT 'q" ON ~Z, 4I ~ AT iK t~ HOURS, INCIDENT N0. 147 THE WHEAT RIDGE FIRE DEPARTMENT RESPONDED TO AN ALARM AT: Location /Address Busineu/Occupant Teleptione No. ~27c~ Ld ~,S~k I~9- L~,•'s,-oP4P.- b~~~Cz 3o~i Yzt Z~ AS A RESULT OF THIS ALARM, THE RESPONDER DETERMINED THAT: CATEGORY I: zONE LOCATED ^T: C O PY p MISUSE: M alartn caused by a malicious or mischievous action. ~ HUMAN INVOLVEMENT: M aaidental alarm was oused by a guest or by circumstances beyond the contrpl of management or ownership. ❑ WEATHER RELA7ED: A false alarTn was caused due to weather or acts of nature (such as lightning). ❑ POWER RUCIUATION: Alartn activated by a change of power (failureJsurge). p MONITORING ERROR: A false alarTn was activated by an agent/contracror not related to the premises, wch as a telepFane mmpany, or by an action not induced by the managemenqowner wherein the premises is unaware of the alartn un61 departrnent artival. ❑ SMOKE CONDIfIONS: There were actual smoke or fire wnditbns ihat activated tlie alarTn system (otlier than cigar, dgarette, or pipe smoke, camera flash ebc.). ❑ WATER ROW: The water fbw aWrm was activa[ed by a ran-fire related circumslance beyond tlie contrd of management or ownershqp. CATEGORY II: z°"E L°a`TEO aT: i p, . 2 S wSw e4i' [1W\ UNDETERMINED: A smoke/heat detecror ar zone was in alarm mode. No cause found. ~~O o HUMAN ERROR: The act or omissan of an agent, gnployee, a contractor of the managernent caused an ~ unnecessary alarm. ❑ PROVIDER ERROR: The act or omission of an alartn sefvice provider caused an unnecessary alarm. L ❑ SMOKEJHEAT DETECTOR: A smokeJheat detector was activated by cigar, cigare[e, pipe smoke camera ~ flash, steam, fumes eUC. RESEf: Alarm reset by managemerrt or designce prior to the fire departrnerrt arrival, ❑ NEGLIGENCE: Building owner or responsible party failed/refused to respond to buiWing upon fire deparhnent request. Fire alarm systems are designed to detect possible dangerous situations and to notify the occupants of the building and the Fire Department immediately and automatically. CATEGORY I: False alarms that are activated by circumstances beyond the prevention of management or ownership that are not chargeable. CATEGORY II: Unnecessary false alarms that are preventable by management/owner and will be charged a fee* at the rate of $250.00 per alarm over the allowed annuai limit of SDC (6) for buildings having less than 30 devices and TEN (30) for burfdings having more than 30 devices. *Fees biiled by the Wheat Ridge Fre Ro[ection Distriu. Contact the District office a[ 303-403590D for billiry questions. DeJinquent bilis cfiarged at 1.5%per mordh (18% per annum) on arry unpaid balances. \ ~ i~ ~ Department Responder (white copy) Building presentati e(yellow copy) REMARKS: t~l~;•µ.~iy5dc~ PrJh(cxi, •4~-;,54 <o S,C- civsTa~ j'g"k ; f, ! V r1 tate charge of $5.(?0 or 1-1r'2°% per month RiIt be charged Lf paid over, 30.days fram date of invoice. Feb 17 03 03:36p ,~6 ~ FRSI 3034668820 General Terxns and Conditions 1.) VALIDIZ1 PEI:IOD: 11vs Quotaeioil is valid f~ar 30 days, but ca»celable in the event u( causes beyond the cuntrol uf Fire AL-irm Services, Inc. dba FA5 Mechanical, Inc, hcreinaftez referred to 3s c(intractoi. 2.) AGREEML•NT TERMS: This proposal Ueeumes a bindinglgieemeni UetiNeen conhactor ana custorxier upnn sigmature of contractor's represenEa[ive and cuseomer's ageAit. This agreement states all cenns and conditions in lheir entirety, and no person ha5 any 1uthoriry to make any claim, pmnvse or condition on behalf of the contzactor ur custotner wltic}z is not included in writtr.it fvnn to this ngrccinent- 3.) RENk:WAL TERMS: Ttus 1grezment will automal'icllly renew ycar to year unless contractor or customer gives written notice of their ultenaon tu c~,cel, re-negutiate or alter this agreetnent. This n6tice must be submitted Uy L~ither parLy thirty (30) days pijor ro citty ckiange in service, schPdnting or iiilling. 4.) 1'AXMENT `CEP.MS: PaymLnt Terms are nel• 30 days from date of Invoice where Sttti.sfactory open accoiuit cj:ed.ir is esFnUlishc3. Contractor reservns the right to revoke or modify any credil at its sole aiscretion. Purchziser agrees to pay eath utvoice when due. In the evene that t'uichaser de(aults on its obligatzon to pay each invoice when due, then, in add'ztipn to a11 other rights and cemedies available to it, contractor sliall 1-iave the option tu withliold any further shipments of nlaterinl and/oz the provision of any service, unlil Purchasar's accotuzt is (ully paid• Fttrfher, zzi the event payment is nut received E1CCOidiilg to Terms, contractor znay, at ies discreiion, assess interest af flie zate of 1-1/20/6 pLl nlonth or the maximuin rate allowed Uy law. Purchaser also agrees to pay rcasunable legal fee5 oz agcncy comnZissions su5tauned Uy contracLor 'vt pi-ixsuil of pa3rilent whirh is past aue. Fire Alarni Servzces, Tnc. FAS Mech~tnical, Tnc. TURi NAML•: (PrtnF) I IVAC OeeraPions TITLE llAT[ TITLE s ~ i>2 ° ~rs p.2 `.COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 15155 BUILDWG INSPECTION LINE - 303-234-5933 Date : 2/21/03 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner: CHRISTOPHER HOUSE Property Address : 6270 W. 38TH AVE Phone : 303-421-2272 Contractor License No. : 21543 Company : FAS Mechanical Phone : 303-466-8800 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 W heat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are acwrate; that I have read and agree to abide by all conditions printedon this application, and that I assame full responsibility for compliance with the W heat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED `DATE Construction Value : $3,200.00 Permit Fee : $291.75 Plan Review Fee : $0.00 Use Tax : $38.40 Total: $330.15 ' Use : Description : EMERGENCY REPLACEMENT OF COMMERCIAL WATER HEATER. BUILDING DEPARTMENT USE ONLY ~~ea~s a Zomna G'~' omr_~ SIC : Sq. Ft. : Approval : Zoning : Approval: pKIMLC ~Q~~ ~ Public WorkC mmen"Y Approval : Roof : Stories : Residential Units : Plumbing License No : Mechanical License No : Company: Company: CSiY OF 41HEAE FS7GE I Expiration Date : Expiration Date : 0 2r2443 10;4~i afl ~it ' Approval : Approval : . Y f3`_+ heChBiilCdl the provisions sel foAh in yopur appiication and is subject to the laws of the State ot Coloredo and to the Zoning tidge, Cobrado or any other applicable ordinances of the Ciry. ionzed is not commenced within siuty (60) days from issue date or (B) the buildin9 aulhorized is suspended or ~i t~C~;GG14L-5~ t+~~UNI F'ECE ~ rN~,y) j;~ ~TI ~~Ti,~(j FEF,~I'fT~ L291 , ry acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the I~spension or abandonment has not exceeded one (7) year. If changes are made or if suspension or abandonment bP i for a new permil Fn•=n BuzLD?raG Ii5c { H}`, :8. 9C NiII change the naturai flow of water causing a drainage problem, - t }r hvenTy-four (24) hours in advance for ail inspedions and shall receive wriden approval on inspection cartl before b ii ob. ~drewings and specifcations shall not be constmed to he a permit for, nor an appmval of, any violation of the F'.~iYt~EN? fiECETI~EU ~3n~1lt.~i `r ordinance, law, rule or regulation. JJO.ZJ I TUTr,L 330.15 ~ COMMUHITY DEVELOPMENT DEPARTMENT Building Permit Number: ~f W HEqp P BUII,DING INSPECTION LINE - 303-234-5933 . Date: - > m CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) C~CORA~~ . y jO7~~ 4 V 4~ ,yPPU4~~d ~ . . PropertyOwner: 0-,h0-S*Crp1Y 10~ PropertyAddress: (0Z70 CU.3$44~ A~ +2l -2Z~Z Phone. : 3(5-3 ' Contractor License No.: CompanY: FA'S MtE.11oW'»cwJ Phone: 303 - 44~e -~~O SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certSy that the setback distances proposed by tiils permit applicaaon are accurate, md do not violate applicable ordinances, tul"es orregularions of the City of Wheat Ridge or covenants, easements orrestrictions ofrecord; that allmeasurements shown, md allegations made aze accurate; that I have read md agree to abide by al] conditions printed on this application md that I assume full responsibility for compliance with the Wheat Ridge Buifding Code (U.B.C) md all other applicable V✓heat Ridge Ordinaaces, for work under rlils pem,ic -,7 1 _ 1 / . Construction Value:$ ' -)aM Permit Fee:$ aq~ -jc~. Plan Review Fee:$ Use Tax:$ Total:$ DESCRIPTTON: V z_. J V CK''P~'.w"[ C7Q °W vv~.vr.zXGC,I cti.~ ~'~o'~- c.ua-r1X_ ~A~3J~. BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: ZONING COMMENTS: ' Approval: Zoning: BUIIGING COMMENTS: Approval: PUBLIC WORKS COMMENTS: Approval: Occupancy: Walls: Roo£ Stories: Residential Units: Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date: Expirarion Date: Expiration Date: Approval: Approval: Approval: (1) This pttmit was issued in accordance with the pmvisions set forth in your application md is subject to the laws of the Smte of Colomdo md W the Zoning Regula¢ons aadBw7ding Codes of WheatRidgy Colomdo or any other applicabie ordinauca ofihe City. (2) This peimit shalt expsse if (A) fhe wark authorized is not commenced witLin sizTy (60) days from issue date or (B) ihe build'mg authonzed'u.suspended or (3) Ifttispexmi[<xp'uu,a Se acquued£or a fee of one-half ihe cha¢ges have been or will be made in exceeds one (1) yeaz, full fees shall be paid for a newpumit (4) No work ofaay manaer shall be done fhat will cLange the aaNrzi flow of watu causing a dremageproblem (5) ContractorsLall notifytheBuild'wgInspectortweaTy-four(24)Lom i¢advanceforallinspecGOnsandshallreceivevrsittenapprovaloninspectioncardbefore pmceeding with succasive pLases ofthe job. (6) The issuance of a pelmit or tLe approval of drawings and speci5cafions shall no[ be conshued to he a pemlit for, nor an approval of, any violation of iLe provisions of the buildiag codes or any othtt ord'wancq law, tule or regulation. Chief Building Inspector . • , -~.,"''l~ , 4 ~ • . ' ' i:Jt~;C. •!i,. ",~f~f;:i.;'~;~:'.~~~,4'~~r;: , Christopher. hlouse Nursing I 6270 West 38ih Avenue Whecit Ridge, Colorada 80033 303.421.2272 Phone Number 303.421.1941 Fux Number Fax Cover Sheefi Ta. From-~~u~~ c~h~Sy.✓ Re ~ . , , . Dote: Total Number of Pages Including Caver Sheet:~ Message: , . Plense cnll if there are arry probiems with thfs transmiftal. ThpnkiYflyi: .n. iHM ~xvz wa 9e ai 1EA Eo-iz-sag °~•.~3b 17 ~3 03:86p FflSI 90345S89-2F0 F p. 1 FAS Mechanical, 6u. ' = - '?lJnc (9U7) 3(ib•8d00 P.O. Bvx 74I145 nrvacl2.Cp80006 Czax<703i4664820 ,i MECHANZCAL QU4TE ' . TO: Pinon Managctxwnl, lnc. Date: February 17, MY.~ 12135 W. Bay.iud Avr. Pagc Z OI2 Lakewood, CO 80228 ATTN: `l'im J¢wctk PII: 303-987-5088 FAX: 301-967-0434 PS.'OJGC'Cr Cltris%topher House - Watei Hearer t2eplacemcnt ~i. . . ,.:,;,.a-~.......«-..-- IhIKlUL51'AY'INNApiUANYKIAIII.IING1:C7Nl(iM1C.-151L11.L01itiNNIS:1't'(77'IIC0T:IAL\I.1'U4UM1SnnRaA~IpIYYpNSM'~j'll'd(%{1'I'AfiY. OUR PRnI'OSA~ INCLUDLS: ' Labrn• vui malerfil ro: , 'r. Prr,videand install (1) 70 gallon ASML• rated commerci.al wiimr heater.. 1 InstalI (1) 120 gallon ASME r:4led hot water smragc tank, • ➢ Install (1) brottze body circu[ation pump. )6~ AA CelaLed piping. NOTE: ` FIoI• waten ceater is in stock and c.an be insiall on 1.8/O:i Total Z DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF 1NHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number : 11775 Date : 2/12/2001 Property Owner : Property Address : 6270 W. 38TH AVE Contractor License No. : 20893 Phone: 3036558356 Company : JNC FIRE PROTECTION LLC Phone : 303-655-8356 r 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 theWheat Ridge Building Code (U.B.C.) and all other applicable W eat Ridge ordina s, for work under this permit. (OWNER)(CONTRACTOR)SIGNE s9~^~'~ ~ DATE9~/-_-'/~ Construction Value : $325.00 Permit Fee : $23.50 Plan Review Fee : $0.00 Use Tax : $4.$$ Total: $28.38 Use: Description : REMOVE & PLUG SPRINKLER HEADS IN BOILER ROOM AND ADD INSPECTORS TEST VALVE. Electrical License No : Company: Expiration Date : Approval: Plumbing License No : Company: Expiration Da4e : Approval: Mechanical License No : Company : Expiration Date : Approval`. (7) This permitwas issued in accordance with the provisions se[ forth in yopur application antl is subject to the laws of the State of Coloredo and to the Zoning Regulations and Building Cotle of Wheat Ritlge, Colorado or any other.applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a periotl of 720 days. (3) If this permi[ expires, a new permit may be acquiretl for a fee of one-half thelamowt normally required, provided no changes have been or will be made in the original plans and specifcations and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (7) year, full fees shall be paid for a new permit (4) No work of any manner shall 6e tlone that will change the na[urel flow of wa[er causing a drainage problem. (5) Contractor shall notify the Builtling Inspectortwenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing wiFh successive phases of the 7"ob. (6) The issuan f a pertnit the approval of drawin9s and specifcations shall not be consVUed to be a permi[ for, nor an approval of, any violation of the provisions of the bui nod other ordinance, law, rule or regulation. . . . ~ DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner Property Address Contractor License No. Company /76cr1e 7 6 cJ i~ bi c Buiiding Permit Number : Date : 0i--93 JNC Phone: Phone : 7 0.3 6 S'~ ~'3s ~ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : ~^2 I hereby certify that the setback distances proposed by this permit application are accurete, Lermit F@e : 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 Use Tax : application, and that I assume full responsibiliry for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable at Ridge ordin nces, for work under this permit. Total : (OWNER)(CONTRACTOR) SIGNED I G~ DATE,;z '/'Z-al USO: Description : / / O/1 -ra~s J3p,1i.- ✓~vo<,.- 4nd ~d Q rmovt ~F1/oy S~r,.n/cie't' f1 T-~ s? 1/e /vt ~ .174v< 0<°0 6e,- fs fi~~ 4c / Wj~wfrY, dyc /%qe, lf/1J' Electrical License No : Company : Expiration Date : Approvai : Plumbing License No : Company: Expiration Date : Approval: Mechanical License No : Company : Expiration Date : Approval: (t) This pertnitwas issued in acaNance with the provisions set forth in yopur applira6on and is subjec[ ro the laws of the Shate of Colorado and to the Zoning Regula6ons and Building Code of UVheat Ridge, Coloredo or any other applicable ordinances of the Ciry. (2) Tliis permit shall expire if (A) the work authonzed is not commenced within sixty (60) days finm issue tla[e or (B) the building authorized is suspended or abantloned for a penod of 720 days. (3) If this permit expires, a new pertnit may be acquiretl tor a fee of one-half the amount normally required, provided no changes have been or will be made in the onginal plans antl specifiwtions and any suspension or abantlonment has not exceeded one (1) year. If changes are matle or if suspension or abantlonment exceeds one (1) year, full fees shall be paitl for a new pertnit (4) NO work of any manner shall be done that will change the naNrel tlow of wa[er causing a d2inage problem. (5) Con[ractor shall notify the Builtling Inspectorhventy-four (24) hours in advance for all inspecbons and shall receive wntten approval on ins ection card before prowetliin9 with su ive phases of Ne jo6. (6) The issuance Xa rm or al of tlrawings antl specifca8ons shall not be consWed to be a permit for, nor an approval of any violalion of iTeprovisions o! the builo an o inance, law, rule or regulaHoa Chief Building Inspector" R ~ J DEPARTMENT OF PLANNING AND DEVELOPMENT B l 1 u k ui dmg Permit N 707 x s: 1 mber BUILDING INSPECTION LINE - 303-234 5933 ~ CITY OF WHEAT RIDGE D ate~ 7500 WEST29TH AVENUE ~ WHEAT RIDGE CO 80215 - (303-235-2855) , . . . . . , h ~ . ~ 4 , Property Owner. , i Property Address : 6270 W. 38TH AVE Phone :43034212272 . Contractor License No. : 20893 Company : JNC FIRE PROTECTION LLC Phone 303-G55-8356 . _ i OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value $3,195 00 ~ I hereby certity that the setback distances proposed bythis pertnit application are accurate, : ''$97 25 PBff1l1Y FOB and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or ' . covenants, easements or restrictions of record; that all measurementsshown, and allegations. ~ ' Plafl ReVIeW F8e : $0.00 , . made are accurete; that I have read and agree to abide by all conditions printed on this - - i application, and that I assume full responsibddy for compliance with the Wheat Ridge Bwldmg !.$47.93 - US2 T8X ? Code (U.B.C.) and all other applicable eat Ridge ordi ces, for work under this pertnft. r- . " (OWNER)(CONTRACTOR) SIGN ~ YDATE TOtBI : $145.17 . . S ~ . ~ Use: ~ . : i ' . Description : Install 3" double check back flow device . . ~ E ! `BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. ; APProval Zoning : ~ . ~ oj~~ ~j i ~ r es ~ . . f " j~ • ~ f q l r'` ` r ~ y ~s~ r 5 Y (@rt ¢ ova pp 2 £ sJ ~ . Approval : S Electrical License No : Company : Expiration Date : Approval : Expiration Date : t? Expira4ion Date Approyai Approval : (i) This pertnit was issued in accordance with the provisions set forth in yopur applicatlon and is sub7'ect to ihe Regulations and Buildiny Code of Wheat Ritlge, Colorado or any ofher applicahle ordinances ofthe City. -S- (2) This pertnR shall expire if (A) ihe work authorized is not commenced within sixtj (60) days from issue tlate , abantloned for a periotl of 120 days. ' (3) If ihis permit expires, a new permit may be acquired for a fee of one-half the amount normally required, proi original plans and specifications and any suspension or a6andonment has no[exceetled one (1) year.__.if.cl ea~ceeds one (1) year, PoII fees shall be paid for a new pertnit ` (4) Noworkotanymannershallbedonethatwillchan9ethenaturalfiowofwatercausingadramageproblem (5) ConUactor shall nofiry Ne Buildin9 Inspector tweniy-four (24) hours in advance for all inspectlons and shall proceediing with successrve phases of the ob. - ? (6) The issuan pertn~i~t or/tob6¢~ appmval o~tl2wings antl speaficaGOns shall nof be consWed to be a pem of the /~p' E. er ordinance, law, rule or re9ulallon s ~ State ( no changes have beenprwill ACKFLOW DEV(CE TEST REP(3RT x oisT: ",-4 ra-' uS"- (303) 986-4601 Na 26788 BACKPLOW TECH, INC. 469S. DUULEY 8T. LAKEWOOD, COLO. 60226 !uNC noo: , - • - 11 ;TITLE: PHONE JTACT: a I Ad~ / pC pyg SVB DETEC. - CONTAINMENT 0 ISOLATION DOMESTIC FIRERXI IRRIGATION PROCE55 V MODEL. /A / 5¢E: SERIAL OTf9 ~ ~ G: 1~n NEW 10 EXISTINO U DATE INSTALLED• LAST TEST: ,E PRESSURE:~ 1 ~ c~~ , r.. ,.1 L., LO„n 107-z : 1) 4.~ G J . V <.`a ' •~u u ' ' :ATION: RE-TEST INITULL TEST REPAIRS - / TIGYiT j_} Wn FM A: 7t 4 TIGN ~ TIGMLj PSfD PSID i0:#2 TIGHIRO ~rvnLvE ~F R uff anc.~ vsw :e BUFFER Psro 'UFFER PSID . NR INL.i'C PSU) AR RiIET +HUT OFF VALVE # 2 TIGHT Q~ DIRECTION OF FLOW • HORIZONTA UP j1 DOWN [1 ~ . 'STDATE: ~~~_D THETECH~ ST PASS: Or ] FAILED: [I TEST KIT: RTS HAS BEEN TESTED IN ACCORDNHCE WITH PROCEDURES: ASSE 5000 fLIII) ` L~ RE-0ALIB DATE: Ald % Cfy (,I k'+L~ BY W HOM : ARM GOI PIRE DEPT NOTIFlED: A L e y+ ME TURN OFF: A)6 QruA2~ TIME TURNED ON: CONTACT: =STER: _ ~~~f ~ CERT NO: 7 / RT ExPIRE3: ~ ~ . . CCEPTEQ BY: TE57ER: - St#ATURE 5l4NATURE • 5.'. . • SICNING THIS REPOR7 VERIFIFS THAT THE ISOIATI N VALVES ARE IN THE OPEN PO51'fiON AND THE FIRE AIARN~ IN FURICTIONING. YOU A6REE TO PAY 1.5 % ~R A MINIMUM QF $6.00 PER MONTH AETER TXIRN (30) DAYS. - . WHITE COPY: OWNER YELLOW: TESTER PINK: VYTR DIST. HARD: TESTIN6 CO. BACKF/LOW DEVECE TEST REPORT YYfR DIST: r/(303) 986-4601 No. 26788 BACKFLOW TECH, INC. 468 S. DLIDLEY ST. LAKEWOOD, COLO. 80226 / a / O 7 u~n /1 //j V~ - SERVICE ADO: MAILING ADO: r Aeli - ~ / PHONE:I~ QI ~ ~ ' U? 1 ~KD CANTACT: ✓ !/L~Ci P,~.% _TITLE: N 4, /o/+ 1 ✓J' Rp L_j pC Wg I SVB DETEC. [-j CONTAINMENT gJ ISOLATION L] DOMESTIC FI ~ IRRIGATION [j PROCE55 ~ ~ MOOEL, SIZE:SERIAL#: G~/~ ~y O s f C~ / MFG: l LINE PRESSURE: DATE INSTALLED: ~ _ ~ST TEST:~ NEW ~ EXISTINO _J ,.A . ,d s„A < . Ct._,.~ . _,r.nI. cn~"A kav~.. LOCpTION: ' 6 ~ L • v v ~ - - - - - - INITIAL TEST REPAIRS R6TE5T . NO: # 1 TIGkIT l PStD Tr.KT L-} P§In NO: # 2 TIGH~ `7 PSID TIGHT Ps~ RELIEF VALVE POP REIIEF VpLVE P516 BUFFER PSID BUFFER PSID AIR UlLET PSID AIR INI.GTPSID SNUTOPFVALVE#2TIGHT Q~ OIRECTIONOFFLOW- HORIZONTAUP(_1 1 DOWNL] TEST DATE: THE TECW TEST PA35: PNLED: L_j TEST KIT: PARTS REPLACED: CERTIFIES THIS ASSEMBLY HAS BEEN TESTED IN ACCORDANCE WITH PROCEDURES: ASSE SOOO,D~IS` A'I.S/L_. 4~~~ RE-CALIB DATE: AWRM CAl FIRE OEPT NOTIFIED: TIME TURN OFF: A)) 6 Qu^dl. TESTER: v ~ ACCEP7ED.BY: \f a u . SIGNMO THIS REPORT VERIFIES THAT' WHITE CAPY: OWNER J/+1"f~•l~~ICIJri11AlJ BYWHOM: l ~L41 I fIMETURNEDON: CONTACT: Yj/JCY CERT NO: RT ExPIRE3: 1 TESTER: i URE Sl6NATURE . i )LATIN VAlVES ARE IN THE OPEN POSITION AND THE FIRE AIARM IN FUNCTIONIN6. YOU AGREE TO PAV 1.5 % OR A ~ F1INIMUM QF $6.00 PER MONTX AFTER TXIRTY (30) DAV6. YELLOW: TESTER PINK: WTR DIST. FWRD: TESTING CO. . . DEPARTMENT OF PLANNING AND DEVELOPMENT Buiiding Permit Number : 11707 BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE Date : 1/22/2001 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner : Property Address : 6270 W. 38TH AVE Contractor License No. : 20893 Phone: 3034212272 Company : JNC FIRE PROTECTION LLC Phone : 303-655-8356 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiry that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the Ciry of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable eat Ridge ordy~" ances, for work under this permit. (OWNER)(CONTRACTOR) SIGNE DATE/-02<Description : Install 3" double check back flow device Construction Value : $3,195.00 Permit Fee : $97.25 Plan Review Fee : $0.00 Use Tax : $47.93 Total: $145.17 Use: BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : , 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 : (1) This permitwas issued in accordance with the provisions set forth in yopur application antl is subject to the laws of the State of Colorado and to the Zoning Regulations antl euilding Code of Wheat Ridge, Coloredo or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorizetl is not commenced within sixly (60) days fmm issue date or (e) the builtling authorized is suspended or abandoned for a period of 120 days (3) If this permit expires, a new permit may be acquired for a fee of one-half the amoun[ normally required, pmvided no changes have been or will be matle in the original plans and specifications antl any suspension or abandonment has not exceedetl one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit ' (4) No work of any manner shall be tlone thatwill change the naturel flow of water rausing a tlrainage pmblem. (5) Contractor shall notify the Building Inspectorhventy-four (24) hours in advance for all inspections and shall receive written approval on inspec[ion card before proceediing with successive phases of the job. (6) The issuance of ~p it or the roval of drawings and specifcations shall not be cons[rued to be a permit for, nor an approval of, any violation of the provisions of the builtlin . e or a rtlinance, law, rule or regula[ioa Chief Building Inspect6f A! DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT R1DGE, CO 80215 - (303-235-2855) Property Owner: CJ„-, S f /;46A Apl, SC Property Address : b 2 70 w- D b-~+ ~vt w~cc f,d9l Phone: Jo,~ Contractor license No. d9~ij Company: J/V C~ Fl-l.e- fe-cflvI Phone:,?0.? ds'"r€J-1G OWNER/CONTR,qCTOR SIGNATURE OF UNOERSTANDING AND AGREEMENT I hereby certify that the seNack distanees proposeC by this pertnit application are accurate, and do not violate applica6le ordinances, mles or regulations af the City of Wheat Ritlge or covenants, easements or resttictions of record; Ihat all measurements shown, and allegations made are accurate; Ihat I have read and aqree to ahitle by all conditions Orinted on Ihis _ application, and tha[ 1 assume full responsibility for compliance with the Wheat RiCge Building Code (U.B.C.) and all other applicable Wj)eat RiCge ardinances, for work under this pertnit. (OWNER)(CONTRACTOR) BUIIDING DEPARTMENT USE ONLY Description : 27, ST'e /1 ~ t5,0k ol/c C /r e c/- Approval : Zoning : (1) This pmni[ was issuM in xmdance wiCi the Orwi: (Z~ Th~uWtlons and BuiiSmg Cops af Wneat Rkge, CaM P~t fhall exPWe i( (A) IMwrnk auttwicea u aeaMOned for a penoE o( 120 Eryy if Mis Pemut exPires. a newOm.it mev Oe amu'vea Approval : ~9 Expiration Date: Approval : qp Approval : Occupancy: Walls : Electrical License No : p Company : c (a) (5j ~8) the V" ConsVuction Value : yr - Permit Fee : Use Tax : Total : Use , cal License No : I: i Date : vrmeCiry. 0, me State of Colara0a ana W Ne Zoning ~ ....Fgn sary (80) Oaya from iswe tlate or (8) pb builCing auCiorize0 u suspmeeC or ftt a tee of one-hal( the artaunt mmwly required, prpviEed np cftanyu have Ceen or vnq Ee maae in the ~ or aOaMOnment has not exceetleC one (t) year. It cnanges are matle or if suspension ar aOarWanment v pmNt e the naNral flow W water puaing a Eninaqe pro6lem bur (24) nours in aCvance Por all iiupettlons and ahall receive wnCen appiowl on inspecGOn care Oefora anC speall[a8ats 3hall not be cormWeC tp pe a pemut (or, nor an app'pval ot, arty violatlon of the pmvisions e«regWa6on. i. , DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number : 11411 Date : 10/30/2000 Property Owner : Property Address : 6270 W. 38th Ave. Phone : Contractor License No. : 20821 Company : All Roofing & Paving Phone : 288-6922 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiry that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR)SIGNED~Z- -,9o1/.~~r7"-' DATEZOa0 2ac0 Description : SOFFET REPAIR, VENTILATION RIDGE CAPS Construction Value : $6,300.00 Permit Fee : $139.25 Plan Review Fee : $0.00 Use Tax : $94.50 Total: $233.75 Use: BUILDING DEPARTMENT USE ONLY _ Approval: Zoning : Approval : Approval : Occupancy : Walls : Roof : Stories SIC : Sq. Ft. : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Company : ' Expiration Date : Expiration Date : Expiration Date : ~ Approval : Approval : Approval : (7) This permi[ was issued in accordance wifh the provisions setforth in yopur application and is sub7"ectto the laws of ihe State of Coloredo antl to the Zoning Regulations antl euilding Code of Wheat Ridge, Coloretlo or any other applicable ordinances of the City. „ (2) This permit shall expire if (A) the work authorized is not commenced within sizty (60) days from issue date or (B) [he building authorized is suspended or ' abandoned for a period of 120 days. sr,I. (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been orwill be made in the original plans and specifications and any suspension or abandonment has not exceedetl one (i) year. If changes are made or if suspension or abandonment . i' ezceeds one (7) year, full fees shall be paitl for a new permit (4) No work of any manner shall he done thatwill change the naturel flow of water causing a drainage problem. ConVactor shall notiry the Builtling Inspeciorhventy-four (24) hours in advance for all inspections antl shall receive written approval on inspection card before proceediingwith successrvephasesofihejob. (6) The issuance of a permit or the approval of drawings antl specificatlons shall not be consVUed to be a permit for, nor an approval of, any violation of the provisions of th~ilding codesdoreny other ordinance, law, rule or re9ulation. . . DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) APPLicA-r%oN Proo=mi Own=r : PrcperyAddress: C9a--to W 2iE'I- A~ Contractor License No. : Company : m~ OWNER/CONTRACTOR SIGNATURE OF 4 AND Pricr.e : Phone : Z 9~5- (oq a -I hereby certity that the setback distances proposed by this pertnit application are acwrate, and tlo not violate applicable ortlinanees, rules or regulations of the City of Whea[ Ritlge or covenants, easements or restnctions of reeord: that all measurements shown, and allegations made are accurete: that I have read and agree to a6ide by all conditions pnnted on this acplication, and that I assume full res0onsibiliry for complfance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ritlge ortlinances, forwork untler Nis pertnit. (OWNER)(CONTRACTOR) SIGNED DATE Buil-~ ing P?- h ,77 2 Da:e Construction Value: p0 Permit Fee : Use Tax' Total : use: Description BUILDING DEPARTMENT USE ONLY ZoTiing_4ommenSIC : Sq. Ft. : Approval: Zoning Bui(dmg~ ommen st~c Approval: Pu c~ o m en Approval : Occupancy : Walis : Roof : Stories : Residential Units : lw1 ucense rvo : Plumbing License No : Mechanical License No : Company: Company: Company: Expiration Date : Expiretion Date : Expiretion Date : Approval : Approval : Approval: (1) This permrt was i55ueC in aaordance wM the provisions aet lorth in yopur applimtlan and is suDjeR te the laws o( Ine Slate of CobraGO and ro the Zomng Z Thegulations and Builtling CaEe o! Wheat RiEg4 Cobnpo or any oNer appliCaDle ortlinances o/ Ne Ciry. . Pertnit snall expire i( (A) Ne wark auNanieO ig not.tommenceE wi}nin sixty (60) Oays hom issue Cate or (8) Ne EuilCinq auNOnzeO rs suspentletl or a0antlonetl for a penoe of 120 tlays. (3) If Ni5 pertnrt expims. a new pertnR may be eCquueE (pt a fee cf one.half Me amount nortnally reQuirctl, proviEeO no Uanges have been or will be ma0e in tlhe ex9c.enetl5 ane j°tl spepfimpons and any Suspension al abantlonment has not e~cceetleC One (1) yeac If thange5 are matle or d suspension or abanOOnmenl f<) No work c( any ~nneruslha4 Ce pplne~Nativnl~rUaiange p~y a(ury flm o/ waler wusing a tlninage pro0lem. . (5) Contncter snall no6y the BuiWing Inspeator Nrcnry-WUr (24) hours in aEVance tor all inspectlons and shall receive wntlen approval on inspecYion caM belore (61 The ssaanae ot a p~~ore Ne pprpval of jCE2winys and speafippons 5ha11 not Ce ConsWetl to be a permit for, nor an approval of. any violation of Ne provisions 01 Ne putltling COpe3 0r any pp1e1 attlin2n2. ITV, ryl! Ol2yulabOn. . Chief Building Inspector ' DEPARTMENT OF PLANNING AND DEVELOPMENT , BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number Date 9839 11 /29/99 Property Owner : Properry Address : 6270 W 38TH AVE Contractor License No. : 18553 Phone : 421-2272 Company : Heatac, Inc. Phone : 344 4405 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 restridions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTR4CTOR) ConstructionValue: $1,195.00 Permit Fee : $44.85 Plan Review Fee : $0.00 Use Tax : $17.93 Total: $62.78 Use: Description : Install gas line and gas logs into existing wood burning fireplace. Hargrove model WP5-24 Radco 1220 Electrical License No : Company: Expiration Date : Approval: Plumbing License No : Company : Expiration Date : Approval: Mechanical License No : Company : Expiration Date : Approval: (1) This pertnitwas issued in accordance with the provisions set forih in yopur application and is subjectto the laws of the STate of Colorado antl to the Zoning Regula6ons and Building Code of Wheat Ritlge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue dafe or (B) the builtling au[horized is suspentled or abantlonetl for a period of 120 tlays. (3) If this pertnit expires, a new permit may be acquired for a fee oF one-half the amount nortnally required, provided no changes have heen or will be made in the ori9inal plans antl specifcations antl any suspension or abantlonment has not exceetletl one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) N. work of any manner shall be done thatwill change the na[ural flow ofwater causing a drainage problem. (5) Contractor shall notify theBuilding Inspectorhventy-four (24) hours in advance for all inspections and shall receive written approval on inspection card before (6) The iss' uzgeey~f a permit or the approval of drawings and specifcations shall not be construed to be a permit For, nor an approval of, any violation of the provisions of I]4S7L~~nqcod~agr.4 other ordinance, law, rule or regulation. DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DNISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 r Property Owner : C Property Address :(p a 10 w. 38*~' a~ Phone : 4.711- a, 7,1 1 Contractor License No. : I g,Ss3 Company Phone : 3 49,_ 44 19~s ~ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Q5, 90 Construction Value : 11 I hereby certify that the setback distances proposed by this permit application are accurate, A Permit Fe2 and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenanis, 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 Plan ReVieW Fee : application, and that I assume full responsibility for compliance with the Wheat Ridge Building Use Tax : i Code (U.B.C.) and all other applicable idg ordinanc for work under this permit. / DATE I 3 (OWNER)(CONTRACTOR) SIGNED ~ ~ Total: a, I.S Description ~ PS-~4 Rdca 1 hn.~.~.1 -.1v BUILDING DEPARTMENT USE ONLY Commen s~ Zomng'~„_ SIC : Sq. Ft. : r Approval: o ! Zoning : Buifd~ng C_omm'e'~s~ Approval : _P..,u"lil~c;~[ks~G"o nT`imenfs~ Approval: Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : ~ ,Plans Re.g~i~eeil ~ ~PIaF~s~Re,q~t~ ~ l~.tans~Re_~it_iSed~ (1) This pertnit was issuetl in acwrdance with the provisions set forth in yopur appliwtion and is subject to the laws of the State of Colorado and to the 2oning Regulations and Building Code of Wheat Ritlge, Colo2do or any other appliwble ordinances of the Ciry. (2) This permit shall expire if (A) the work authonzed is not commenced within sixty (60) days from issue dale or (8) the builtling auNOrized is suspended ar abandoned for a penoA of 120 days. (3) If this pertnit expires, a new pertnit may be acquired for a fee of one-halt the amount normally required, provitled no changes have been or will be matle in the original plans and spxifications and any suspension or abandonment has not exceedetl one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, lull fees shall be paid tor a new permit. (4) No work of any manner shall be done that will change the natural8ow otwater causing a drainage pro6lem. (5) ContreIXOr shall noti(y the Builtling Inspector Rvenry-four (24) hours in atlvance tor all inspections antl shall receive wririen approval on inspection card 6e(ore proceetliing with successive phases ot Ne~ob. (6) The issuance of a pefmit or the approval o tlrawings and specifcations shall not be construed ro be a permit for, nor an approval oF, any violation of the provisions of the building cotles or any other ortlinance, law, rule or regulation. Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION PERMIT NO. ME93#5187 237-6944 EXT. 255 P.O. BOX 636 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW. / C_PP (CATION FOR MISCELLANEOUS PERMIT JOB ADDRESS fOr)- C'J 9e ~OWNER I CONTRACTOR tA..rI,1 0 !",f"f-''-1 ADDRESS ~Tl'Vr'C.I<'_ - - r q ADDRESS /9 R C h 1. 1. I. N~?A~3z'ra ~`Hi PHONE ZIP CODE CITY_ 1..t2.A L'~(t9 ZIP CODE eta- -5- CONTRACT PRICE $ LICENSE NO. 1. TYPE Ground❑ Woll❑ Proiecting❑ Other Sor D Face 2. MATERIAL Total Square Feet SIGNS 3. ILLUMINATION Yea❑ No❑ Type Elect. Permit No. 4. SET BACK FROM PROPERTY LINE N_ S_ E_ W, _ n n n 9 I. TYPE SolidLJ More Than 80% OpenLJ Lees T FENCES 2. MATERIAL 3. SET BACK FROM PROPERTY LINE N_ S_ E_ W. (SDecifv which is front) ❑ ❑ ❑ I. OTHER 13. DRAW SKETCH OR SHOW BELOW, THE FENCE, SIGN, OR OTHER STRUCTURE, Gh (SETBACKS OR PROJECTIONS INCLUDED) STREET NAME SHOW DISTANCES FROM THE MAIN BUILDING TO-ADJOINING HOUSES, STREETS,( DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICI THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORt PERMIT WILL EXPIRE 60 DAYS FROM DATE OF ISSUANCE IF I ELECTRICAL PERMIT STATE LICENSE N0. (I (d--, ALUMINUM WIRE UNDER SIZE 8 ILLEGAL PLUMBING PER.:--- - - STATE LICENSE NO. FLOOR BSM IST 2ND 3RD 4TH a ,.,v..z r=nr•r.-r - - NO. FUEL.-Cirde One Go OIIPropane Cod Elsc Solar NO_ r i y ~fb n .-I J•t f WATER CLOSET FORCED AIR - BTU TEMPORARY METER WASH BOWL HOT WATER - BTU NEW SERVICE AMPS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LIGHTING SINK OTHER HEATING POWER SUB-CIRCUITS GARBAGE DISP. WATER HEATER REFRIGERATION SYSTEM Refrigerant Group UTILITY (RANGE, DISPOSER, ETC.) AUTO.WASHER Pounds Charge FIXTURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS B CONTROLS FLOOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS B RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES 1 hereby acknowledge that this applica- PERMIT FEE tion is correct and understand that I USE TAX cannot start this project until this appli- cation is approved. I shall comply with TOTAL FEE the lows of the State of Colorado and to the Zoning Regulations and Building APPROVED Code of the City of Wheat Ridge. Any violation of the above terms will cause CHIEF BUILDIN SPECTOR, City of Wheat Ridge immediate revocation of this permit. ~Q, a/ I Oa Xn ,Zhil Date Issued Applicant. signatur INSPECTION TICKET JOB ADDRESS look -2d W s 5k DATE: -°Z BLDG. ERM T# _'5_137 PERrMIT# IXan-rx--J BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. INSPECTION MADE REMARKS W.R. FORM 6-19 NOT VALID UNLESS RECEIPTE CALL 237-6944 EXT. 255 24 HOURS IN ADVANCE FOR INSPECTIONS ~ DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION PERMIT NO. MM93#4162 237-8944 EXT. 255 P.O. BOX 838 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW. JOB ADDRESS N Fit-C~?2~ CONTRACTOR 2 1A ADDRESS 416 S' N~iu An?'>1' /tI1/ _ CITY ~ F02I-e2 ZIP CODE Sr0 Z 2. 4 PHONE S2 I l5?-5 LICENSE NO. 1637 G 1. TYPE Ground ❑ Wo11U PraiectingU Other S or D Face 2. MATERIAL Total Square Feet SIGNS 3. ILLUMINATION Yes[] No❑ Type Elect. Permit No. 4 SET BACK FROM PROPERTY LINE N_ S_ E_ W _ Zone_ Approved, Zone Inspector 1. TYPE SolidU More Than 80% 4. MATERIAL FENCES 3 SET BACK FROM PROPERTY LINE N_ (Specify which is front) ❑ i. OTHER 13. DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN, OR OTHER STRUCTURE, GIVING DISTANCES FROM PROPERTY LINES. (SETBACKS OR PROJECTIONS INCLUDED) APPLICATION FOR MISCELLANEOUS PERMIT OWNER ADDRESS PHONE ZIP CODE CONTRACT PRICE $ 1,5500-0-. Less Than 80% Open Height -W- Zone_ Approved,Zons Inspector ❑ Disapproved r T SPECIFY NORTH CT~ 41ol- STREET NAME -3p SHOW DISTANCES FROM THE MAIN BUILDING TP ADJOINING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR LOTS, SHOW LEAST DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION. PERMIT Wit I EXPIRE GO DAYS FROM DATE OF ISSUANCE !F WORK IS NOT STARTED WITHIN THAT TIME. ELECTRICAL PERMIT STATE LICENSE NO. PLUMBING PERMIT STATE LICENSE NO. MECHANICAL PERMIT ALUMINUM WIRE UNDER SIZE BILLEGAL FLOOR BSM IST 2ND 3RD 4TH NO. FUEL;CirdOOae Gas011Propone Cod Elec Solor NO. TEMPORARY METER NEW SERVICE AMPS WATER CLOSET WASH BOWL BATH TUB FORCED AIR - BTU HOT WATER - BTU STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LIGHTING SINK OTHER HEATING GARBAGE DISP REFRIGERATION SYSTEM POWER SUB-CIRCUITS UTILITY (RANGE, DISPOSER, ETC.) FIXTURES WATER HEATER AUTO. WASHER DISH WASHER Refrigerant Group Pounds Charge AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS a CONTROLS FLOOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS B RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES vt,i I hereby acknowledge that this applica- tion is correct and understand that I cannot start this project until this appli- cation is approved. I shall comply with the laws of the $tote of Colorado and to 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. PERMIT FEE USE TAX TOTAL FEE APPROVE( CHIEF BUILD g,Z NOT VALID UNtL,ES(SS RECEIPTED Applicants signature ,City of Wheat Ridge Date Issued CALL 237-8944 EXT. 255 24 HOURS IN ADVANCE FOR INSPECTIONS P.O. BOX 638 TELEPHONE: 303/237-6944 The City Of 7500 WEST 29TH AVENUE . WHEAT RIDGE, COLORADO 80034 cWheat GRidge March 19, 1992 Hill Bellis 6270 W. 38th Avenue Wheat Ridge, CO 80033 To Whom it May Concern: On July 26, 1991, a courtesy inspection was compieted at 6220 W. 38th Avenue. Upon investigating the facts with Public Service and B B Electric, it was determined that the existing service was undersize £or the existing load. There£ore, it was suggested that either load reduction or a service upgrade was required. Sincerely, John W. Eckert Huilding Inspector memobellis "The Carnation City" )T L: 9i-9 vo z/ INSPECTION TICKET JOB ' ADDRESS C~ ~ 7L9 6~~ 3 - DATE: Z BLDG. PERMIT# PERMIT# BLDG. CONTR. ~ 6 /e - - INSPECTION TICKET JOB ADDRESS _(,7 rm tFc/ I DATE: BLDG. PERMIT# 9 *iY-S' PERM ITq BLDG. CONTR. /M,6 / I . SUBCONTflACTOR DATE INSP. REQ. 9` a? TYPE OF INSP. ---Y-~ INSPECTION MADE REMARKS k- INSPECTION TICKET ' Joe ~ a5 -7G ~.i ~ ADDflESS DATE: BLDG. PERMIT# PERM IT# BLDG. CONTR. ~~Z'e SUBCONTRACTOR_ . vvi DATE INSP. REQ. ~ / l4l TYPE OF INSP. - INSPECTION MADE REMARKS 7 7 7~9 7 F ' ~GClti {'h4~ 4 r~ v" W.R. FORM 619 ^ . v YJ V O~ ~ SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. g v~i /I `E? lP ~ INSPECTION REMARKS C>`~/1 r u W.R. FORM 6-19 / . V //,f DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION PERMIT NO. ME91#4821 237-6944 EXT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW. / JJJ ,~PLCATION FOR MISC JOB ADDRESS ELLANEOUS PE•~yk•A•IT OWNER rdltit~ t A -`-'fry vF- CONTRACTOR c ADDRESS 6a (7 Q ADDRESS SO. vl!adC ~ n e PHONE y^~C J~Z ZIP CODE CITY 122ou-e ie- Q _ ZIP CODE PHONE LICENSE NO. CONTRACT PRICE $ 45 . DATE J 1. TYPE Ground❑ Wall❑ Proiecting❑ Other Sor D Face 2. MATERIAL Total Square Feet SIGNS 3. ILLUMINATION Yes[] No❑ Type Elect. Permit No. 4 SET BACK FROM PROPERTY LINE N_ S_ E_ W Zone_ Approved,Zone Inspector (Specify which is front) ❑ ❑ ❑ ❑ Disapproved 1. TYPE Solid❑ More Than 80% Open❑ Lose Than 80% Open ? MATERIAL Height FENCES 3. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zone_ Approved,Zone Inspector (Specify which is front) ❑ ❑ ❑ ❑ Disapproved L OTHER 2. 3. DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN, OR OTHER STRUCTURE, GIVING DISTANCES FROM PROPERTY LINES. (SETBACKS OR PROJECTIONS INCLUDED) -1- SPECIFY NORTH STREET NAME SHOW DISTANCES FROM THE MAIN BUILDING TO-ADJOINING HOUSES, STREETS, AND PROPERTY LINES;ON IRREGULAR. LOTS, SHOW LEAST DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION. PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME. ELECTRICAL PERMIT STATE LICENSE NO. PLUMBING PERMIT STATE LICENSE NO. MECHANICAL PERMIT ALUMINUM WIRE UNDER SIZE 8 ILLEGAL FLOOR BSM I ST 2 ND 3RD 4TH NO. FUEL+Circle One Goy OII Propene Cod Elec Solar NO. WATER CLOSET FORCED AIR - BTU TEMPORARY METER WASH BOWL HOT WATER - BTU NEW SERVICE - AMPS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LIGHTING SINK OTHER HEATING GARBAGE DISP REFRIGERATION SYSTEM POWER SUB-CIRCUITS WATER HEATER Refrigerant Group UTILITY (RANGE, DISPOSER, ETC.) AUTO. WASHER Pounds Charge FIXTURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS 9 CONTROLS FLOOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS a RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES I hereby acknowledge that this applica- PERMIT FEE Pion is correct and understand that I USE TAX cannot start this project until this appli- cation is approved. I shall comply with TOTAL FEE I s 6A-el s of the State of Colorado and to the la w the Zoning Regulations and Building APPROVED Code of the City of Wheat Ridge. Any DISAPPROVED violation of the above terms will cause CHIEF BUILDIN I P CTOR,City of Wheat Ridge immediate revocation of this permit Pate Issued --$V// CALL 237-6944 EXT. 255 24 HOURS IN ADVANCE FOR INSPECTIONS