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Home My WebLink About9890 W. 34th DriveCity of Wheat Ridge E -Res. A/C Replacement PERMIT - 202001311 PERMIT NO: 202001311 ISSUED: 07/15/2020 JOB ADDRESS: 9890 W 34th Dr EXPIRES: 07/15/2021 JOB DESCRIPTION: Replacing 2.5 gallon, 13 seers A/C in basement. CONTACTS OWNER (303) 726-4184 MASHBURN DAVID SUB (303)466-4209 ROSALIE COOPER 018111 COOPER HEATING & COOLING PARCEL INFO ZONE CODE: UA Unassigned USE: UA Unassigned SUBDIVISION CODE: 2406 BEL AIRE, HILLCREST HElG11TS, ME BLOCK/LOT#: FEE SM41ARY ESTIMATED PFOJECT VPLUA110N1: 3,926,00 FEES A/C Revlacement 60.00 Total Valuation 0.00 Use Tax $2.45 ** TOTAL 142.45 C014MENTS CONDITIONS Both the front and back of this permit ere required Lo be posted on the job site at a3i times. If the complete permit Is not present, J11SPeCtions WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. Smoke alarms shall comply with 2012 IRC Section 134. INTERIOR ALTERATIONS, REPAIRS, FUEL -FIRED APPLIANCE REPr,A(7FMF-NTS, OR ADDITIONS, ANY OF WHICH REQUIRE A BUILDING PEWqf, OCCURS OR WHERE ONE OR MORE ROOMS LAWFULLY USED FOR SLEEPING PURPOSES ARE ADDED SHALL HAVE AN OPERATIONAL CARBON MONOXIDE ALARM INSTALLED WITHIN FIFTEEN FEET OF THE ENTRANCE TO EACH ROOM I -AWFULLY USED FOR SLEEPING PURPOSES City of Wheat Ridge E -lies. A/C Replacement PERMIT - 202001311. PERVIT NO: 202001311 TSSiiED: 07 J013 ADDRRSS: 9890 W 34th Dr /15/2024 JOB DESCRIPTION: 12e lacin 2.5 EXPIRES: 07/15/2021 A 9 gallon, 13 deers A/c in basement. 1, b % my sitnature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications applicable wilding codes, and all applicable municipal codes, policies and procedures, and that I ani the legs; 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. further attest that I am Igally authorized to include all entities named within this document as parties to the work to be per%rme d th Il work to be a ortned is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWI\1ER or CONTRACTO Circle onD� I, This permit was issue ormation providedate in thepermit application and accompanying plans and specifications and is subject W the compliance with those documents, and all applicable received prior to the date of expiration. An extension of no more than ISO da 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 s made be gra Official and may be subject to a fee equal to one-half of the original permit fee. nted at the discretion of the Chief Building 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 wont of any manner shall be pertbrmed 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 alt 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 gr ting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any a able code or ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQVESTS MUST 89 MADE BY 11:59PM AWY BUSINESS DAY FOR INSPRCTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge Community Development Department Memorandum TO: Accounting Department FROM: Dina Kemp Building Divison SUBJECT: Refund for Permit DATE: August 13, 2020 Reason: Contractor requested refund after customer cancelled. Please refund: Contractors License$ (acct 01-510-00-513) 80% permit fee: $ 48.00 (acct 01-510-00-516) 100% plan review $ (acct 01-550-05-551) 100% use tax: $ 82.45 (acct 01-500-02-505) Total Refund Due: $130.45 TO: Cooper Heating 11780 Colmaus Way Broomfield, CO 80020 Thank You! Dina Kemp Permit Technician C7D g0Z3033 City- of c baa a 33 Wheat kiid�c-� 11-11, k-OMMI)Nil-y DFVFI_0PMFNT 7 too City of Wheat Ridge Municipal Building 7500 W. 29`h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Refund Application Complete this application in its entirety, attach all copies of permits, permit cards (if issued) and receipts that were received at the time of permit issuance. Requests for more than 80 percent of the amount paid will not be approved without prior approval from the Building Official. The refund application must be received by the Wheat Ridge Building Division no later than 180 days after permit issuance. Applications received after 180 days of permit issuance will not be approved. You can mail or hand -deliver all required documents to: Citof Wheat Ridge, Attn: Building Division, 7500 W. 29 Ave., Wheat Ridge, CO 80033. y Company Nam—e/Name (to whom check should be made out to): Address:_ City:r— rYl'L1 State: Phontr-��1�ax: - 'f 5� -d Permit #: ao0c) b, Permit Address. Yi J Reason for request:_ �u _ m t % fit+ re-, 7"Z 8 - -0c) - For office use only This request has been Approved by: Approved _- Denied »ks w.ci.ssheat ridge.coms Date: Date:T-2-9-02D Refund Amount: $ PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge E -Res. A/C Replacement PERMIT - 202001413 202001413 ISSUED: 07/28/2020 9890 W 34th Dr EXPIRES: 07/28/2021 New install of 2.5 ton, 13 seer A/C on ground. *** CONTACTS *** OWNER (303)726-4184 MASHBURN DAVID SUB (720)870-1580 DEAN PETERSON 022447 SUMMIT HEATING & A/C INC. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,000.00 FEES Total Valuation 0.00 Use Tax 63.00 Permit Fee 93.35 ** TOTAL ** 156.35 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section 134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of which require a building permit, occurs or where one or more rooms lawfully used for sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. City uf Wheat Kid�e 107/3O/282O Of,/1? CDBB �Uu� ur�Y 9O90 W 34th Dr 156.35 �PPL/PERMlT NO/ 2O2OO1413 PAYMENT RECE{VE0 156 35 4UTH CO8E/ 7886335O ^ TOT�i City of Wheat Ridge E -Res. A/C Replacement PERMIT - 202001413 PERMIT NO: 202001413 ISSUED: JOB ADDRESS: 9890 W 34th Dr EXPIRES: JOB DESCRIPTION: New install of 2.5 ton, 13 seer A/C on ground. 07/28/2020 07/28/2021 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 performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. Th ance or gra g of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any ap i le de or ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dina Kemp From: no-reply@ci.wheatridge.co.us Sent: Tuesday, July 28, 2020 10:17 AM To: CommDev Permits Subject: Online Form Submittal: Air Conditioner/Evaporative Cooler Permit Application Categories: Need Insurance, Dina Air Conditioner/Evaporative Cooler Permit Application This application is exclusively for AIR CONDITIONER OR EVAPORATIVE COOLER. YOU MUST ATTACH THE ELECTRONIC PAYMENT FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Is this a new install or replacement for an existing AC unit? Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - **DO NOT ATTACH A PICTURE OF A CREDIT CARD** New Unit Installation 9890 W 34th Dr. Mariri Mashburn 303-726-4184 mash9890@comcast.net Wheatridge Electronic Payment form.pdf CONTRACTOR INFORMATION Contractor Business Summit Heating and AC Name I Contractor's License 022447 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-870-1580 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address permits@summitheatingco.com Retype Contractor Email permits@summitheatingco.com Address DESCRIPTION OF WORK What type of replacement Air Conditioner unit are you installing? How many tons is the 2.5 unit? For AC - what is the 13 SEER? For Evaporative Coolers, what is the CFMs? Where is the unit located ground (for example, rooftop, backyard on ground etc)? Is electrical needed for re- Yes hook? Provide Electrical 170676 Contractor's Wheat Ridge License No. Project Value (contract 3000 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Dean Peterson Permit Email not displaying correctly? View it in your browser. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge E -Res. A/C Replacement PERMIT - 202001311 202001311 ISSUED: 07/15/2020 9890 W 34th Dr EXPIRES: 07/15/2021 Replacing 2.5 gallon, 13 seers A/C in basement. *** CONTACTS *** OWNER (303)726-4184 MASHBURN DAVID SUB (303)466-4209 ROSALIE COOPER 018111 COOPER HEATING & COOLING *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,926.00 FEES A/C Replacement 60.00 Total Valuation 0.00 Use Tax 82.45 ** TOTAL ** 142.45 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. Smoke alarms shall comply with 2012 IRC Section 134. INTERIOR ALTERATIONS, REPAIRS, FUEL -FIRED APPLIANCE REPLACEMENTS, OR ADDITIONS, ANY OF WHICH REQUIRE A BUILDING PERMIT, OCCURS OR WHERE ONE OR MORE ROOMS LAWFULLY USED FOR SLEEPING PURPOSES ARE ADDED SHALL HAVE AN OPERATIONAL CARBON MONOXIDE ALARM INSTALLED WITHIN FIFTEEN FEET OF THE ENTRANCE TO EACH ROOM LAWFULLY USED FOR SLEEPING PURPOSES City of Wheat Ridge 91 '- E -Res. A/C Replacement PERMIT - 202001311 PERMIT NO: 202001311 ISSUED: 07/15/2020 JOB ADDRESS: 9890 W 34th Dr EXPIRES: 07/15/2021 JOB DESCRIPTION: Replacing 2.5 gallon, 13 seers A/C in basement. 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 le ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po Flans and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or gra ting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any appkiqable code or in,f ordinance or regulation of this jurisdiction. Approval of work is subject to f any inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City P.., -.-!t Ridge 07/15/202O O8:22 CUBA CN02033 AMOUNT BPSP 98Y0 W 34th 0r 142.45 APPL/PERMD NO/ 202001311 PAYH[NT R[CEIV[U AMOUNT PP / 2697 142.45 AUTH CODE; 78U6O616 T9TAL 142.45 �c �l i - Dina Kemp0'4 From: no-reply@ci.wheat ridge.co.us Sent: Tuesday, July 14, 2020 1:54 PM To: CommDev Permits Subject: Online Form Submittal: Air Conditioner/Evaporative Cooler Permit Application Categories: Dina Air Conditioner/Evaporative Cooler Permit Application This application is exclusively for AIR CONDITIONER OR EVAPORATIVE COOLER. YOU MUST ATTACH THE ELECTRONIC PAYMENT FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Is this a new install or replacement for an existing AC unit? Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - **DO NOT ATTACH A PICTURE OF A CREDIT CARD** Replacement of Existing Unit 9890 W 34th Dr. Mairi Mashburn 303-726-4184 kdaniels@coopergreenteam.com Mashburn cc auth form.pdf CONTRACTOR INFORMATION Contractor Business Cooper Heating and Cooling Name Contractor's License 018111 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-465-4477 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address kdaniels@coopergreenteam.com Retype Contractor Email kdaniels@coopergreenteam.com Address DESCRIPTION OF WORK What type of replacement Air Conditioner unit are you installing? How many tons is the 2.5 unit? For AC - what is the 13 SEER? For Evaporative Coolers, what is the CFMs? Where is the unit located basement (for example, rooftop, backyard on ground etc)? Is electrical needed for re- Yes hook? Provide Electrical 018111 Contractor's Wheat Ridge License No. Project Value (contract 3926 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit 2 issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Kathi Daniels Permit Email not displaying correctly? View it in your browser. City of Wheat Ridge v Residential Roofing PERMIT - 201705354 PERMIT NO: 201705354 ISSUED: 08/03/2017 JOB ADDRESS: 9890 W 34th DR EXPIRES: 08/03/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 26 sq *** CONTACTS *** OWNER (720)839-4570 MASHBURN DAVID SUB (720)898-0272 Ernest Martinez 022046 REPAIRS UNLIMITED, INC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,479.00 FEES Total Valuation 0.00 Use Tax 220.06 Permit Fee 220.15 ** TOTAL ** 440.21 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge 1 Residential Roofing PERMIT - 201705354 PERMIT NO: 201705354 ISSUED: JOB ADDRESS: 9890 W 34th DR EXPIRES: JOB DESCRIPTION: Residential Re -roof to install asphalt shingles 08/03/2017 08/03/2018 - 26 sq 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 leggally authorized to include all entities named within this document as parties to the work to be performed and that alltwork to be performed�� Jec� inncument and/or its' accompanying approved plans and specifications. Signature of OWNER o CONTRACTOR (Circle one) Date 1. This permit was issued bas he-i�rf tion 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 andprocedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalpermitfee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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 issuanlie ranting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable apn�y�ordmaregu do ' 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. WORK AUTHORIZATION FOR REPAIRS AND DIRECTION OF PAYMENT DATE: 7/19/17 CLAIM #: 5003082914-1-1 DATE OF LOSS: 5/8/17 INSURED: David Mashburn ADDRESS: 9890 W 34th Dr, Wheat Ridge CO 80033 Your Insurance Carrier Farmers submitted a request to CCA Global Partners, Inc. and its affiliate Lionsbridge Contracting Group to refer one of their vendors to provide the following services: ❑ Perform the necessary services to mitigate further damages to the address listed above. ❑ Provide a reconstruction estimate. 0 Perform repairs as indicated on Your Insurance Carrier's estimate. • This does not constitute a contract for reconstruction services. I/We • Authorize Your Insurance Carrier to issue payment, less any remaining deductible, for mitigation and reconstruction services to CCA Global Partners, Inc. on my behalf. • Understand that Your Insurance Carrier will pay for repairs of damages covered by the policy. • Understand that Your Insurance Carrier will provide me/us with a copy of the approved estimate. • Will sign a Certificate of Satisfaction once all services are completed so that payment may be made by CCA Global Partners, Inc. to their assigned vendor for services completed. • Understand that the deductible, and/or any non-recoverable depreciation, is my/our responsibility. • Understand that any materials upgrades that I/we request, additional work, and/or services that are not covered by Your Insurance Carrier, and are agreed to with a separate change order are my/our responsibility, and are not subject to the five year warranty that is backed by Lionsbridge. Digitally signed by Mashburn, David - DIA Mashburn, David DIA DN: do=corn, dc=flydenver, do=ad, ou=Domain Users, ou=Employees, cn=Mashburn, David - DIA, email=David.Mashburn@flydenver.com Date: 2017.07.20 11:23:59 -06'00' Insured/or Authorized Representative Date Insured/or Authorized Representative Date Vendor Representative Date To be completed by program contractor — coordinated repairs under this claim may include: Structural Repairs Mitigation Flooring Roofing Textiles/Clothing Other Repair State Date: / / Time: am pm Estimated Completion Date: / / the CCA 0 fi(f f. . 1, CARPET! Floo • co—antes LIONSBRIDGE CCA Global Partners America ncdeCONT rLOOR s NAME Dan Schultz 20110 5-� 5 From: no-reply@ci.wheatridge.co.us Sent: Thursday, July 27, 2017 4:46 PM To: CommDev Permits (11ZZ�l Subject: Online Form Submittal: Residential Roofing Permit Application _7 Categories: Dane Residential Roofing Permit Application C This application is exclusively for new permits for residential roofs and for licensed_ contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 9890 W 34th Dr PL . David Mashburn 7208394570 Field not completed. Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. Attach Copy of Contact Mashburn CSAA Work Signed.pdf CONTRACTOR INFORMATION Contractor Business Repairs Unlimited, Inc Name Contractor's License 022046 Number (for the City of Wheat Ridge) Contractor Phone 7208980272 Number Contractor Email Address michelleh@repairs-unlimited.com Retype Contractor Email michelleh@repairs-unlimited.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing architecture/dimensional Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 26 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES 26�` (pitched + flat) of all z roofing material for this project Provide additional detail 4112 here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 10479 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Michelle Hall Email not displaying correctly? View it in your browser. 3 City of Wheat Ridge Ird Residential Solar PERMIT - 201704305 PERMIT NO: 201704305 ISSUED: 07/28/2017 JOB ADDRESS: 9890 W 34th DR EXPIRES: 07/28/2018 JOB DESCRIPTION: Residential solar PV system, grid -tied 4.35 KW solar *** CONTACTS *** OWNER (303)284-1695 MASHBURN DAVID SUB (303)577-9628 Andy Nyman 070159 Sunrun Installation Srvs. Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,874.00 FEES Total Valuation 0.00 Residential Solar 500.00 ** TOTAL ** 500.00 r 1 D * * * 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 my signature, do hereby attest that the work to be performed shall comply with all accompanyingg 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 ermrt. 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 document and/or its' accompanying approved plans and specifications. Signature of ER or CONTRACTOR (Circle one) Date I . 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 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 grantin 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 ord' . nnce� mor reguWirreof t 's j isdiction. Approval of work is subject to field inspection. Jam" a^ Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Tide COMMUN�rry DEVELOPMENT 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 / -La I D Building Permit Application L *** Please complete all highlighted areas on both sides of this form. Incomplete applications may no a proce e . *** FOR OFFICE USE ONLY Date: 1 Plan/Permit# Plan Review Fee: Property Address: 12?n2 [ ).S �� - �� 1„2 A r p oc,� "-_-[) 9�D_� Property Owner (please print): DA()(_0 / AQ4 3cJR_/t,[ Phone: _3�2jZ 2 9q-1 '?_ Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Arch itectlEngineer: Architect/Engineer E-mail: I Contractor: Contractors City License #: Phone:(��?=�f�z�-' Contractor E-mail Address:I��'c 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 Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REP R gr REPLACEMENT OTHER (Describe) SUZVL iP'v` (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.) �2- P lii Sq. Ft./LF Amps Btu's Squares Gallons Other 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 eutly on this application. CIRCLE ONE: (OWNERt ONTRACTOR) or) (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: ��'/tib f�t/�%� SIGNATURE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE'ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ _y28[1.11 910 [35.81 ¢,y 382.5 [5.05] ❑ 900 [moo i" 0 1130.2 q 10.43 30.8] 20.530.5 10.78 30.08] ��00 1471 i 4sn51 Meawremenisin mmlin] _,,, _!38 [151 1 Nominal Power -PMpp(Wp) 275 280 285 290 295 Watt Class Sorting -(W) 0/+5 0/+5 0/+5 0/f5 0/+5 Nominal Power Voltage -VMPP(V) 31.5 31.7 31.9 32.1 32.3 Nominal Power Current-IMpp(A) 8.74 8.84 8.95 9.05 9.14 Open Circuit Voltage -Voc(V) 38.2 38.4 38.6 38.8 39.0 Short Circuit Current-15C(A) 9.30 9.39 9.49 9.58 9.65 Panel Efficiency(%) 16.5 16.8 17.1 17.4 17.7 Values at standard test conditions STC (airmass AM 1.5, irradiance 1000 W/m", cell temperature 25°C). At low irradiance of 200 W/m2 (AM 1.5 and cell temperature 25"C) at least 94%of the STC module efficiencywill be achieved. "Where xxx indicates the nominal power class (P_) at STC indicated above, and can be followed by the suffix BLKfor black framed modules. Nominal Power-PMpp(Wp) 206 210 214 218 223 Nominal Power Voltage -VMPP(V) 29.2 29.4 29.6 29.8 30.0 Nominal Power Current -IMpp(A) 7.07 7.15 7.24 7.32 7.43 Open Circuit Voltage- Voc(V) 35.4 35.6 35.8 36.0 36.2 Short Circuit Current- I5C(A) 7.52 7.59 7.68 7.75 7.85 Nominal operating cell temperature NOCT (800 W/m2, AM 1.5, windspeed 1 m/s, ambient temperature 20°C). *Where loot indicates the nominal power class (P_) at STC indicated above, and can be followed by the suffix BLKfor black framed modules. EFFICIENCY YEAR PRODUCT WARRANTY YEAR LINEAR POWER OUTPUT WARRANTY QTY� US IMPORT DUTY FREE TEMPERATURE 120 REC HC multicrystalline RATINGS Nominal operating cell temperature (NOCT) 44.6°C (+2°C) Temperature coefficient of P, -0.39%/°C Temperature coefficient ofVoc -0.31%/°C Temperature coefficient of I;c 0.045 %/°C Celltype: 120 REC HC multicrystalline 6 strings of 20 cells Glass: 0.13'(3.2 mm) solar glass with anti -reflective surface treatment Backsheet: Highly resistant polyester polyolefin construction Frame: Anodized aluminum (Available in silver or black) Junction box: IP67 rated, 3-partwith3 bypass diodes 12 AWG (4 mm2) PVwire, 35"+47" (0.9 m+1.2m) Connectors: Staubli MC4 PV-KBT4/PV-KST4 12 AWG (4 mm2) Operational temperature: Maximum system voltage: Design Loads: Maxseriesfuse rating: Max reverse current: -40...+185°F(-40 +85°C) 1000V (+) 75.2 lbs/ft2 (3600 Pa) (-) 33.4lbs/ft2 (1600 Pa) Refe r to installation manual 20A 20A C/ UVE10 year product warranty Dimensions: 65.9 x 39.25 x 1.5 (1675 x 997 x 38 mm) C 25 year linear poweroutputwarranty Area 1798ft2(1.67m2) c�� u5 r....., a ------ :....:--- _�__T ---- -c n �w -- __" d UL1703, Fire classification Type 2;IEC 61215,IEC 61730, after thefirstyear) Weight: 40.8 lbs (18.5 kg) IEC61701(SaltMist-severity level 6), IEC62804(PID Free), See warranty conditions for further details. IEC 62716 (Ammonia Resistance), 15011925-2 ignitability Class 1), UNI 8457/9174 (Class A), ISO 90012015,15014001, OHSAS18001 Note! Specifications subject to change without notice. Founded in Norway in 1996, REC is a leading vertically integrated solar energy company. Through integrated manufacturing from n silicon to wafers, cells, high-quality panels and extending to solar solutions, REC provides the world with a reliable source of clean I energy. REC's renowned product quality is supported by the lowest warranty claims rate in the industry. REC is a Bluestar Elkem company with headquarters in Norway and operational headquarters in Singapore. REC employs more than 2,000 people worldwide, producing 1.4 GW of solar panels annually. www.recgroup.com City 01 Wheat Ridge tiding 1- AN SERIES PREMIUM SOLAR PANELS WITH SUPERIOR PERFORMANCE REC TwinPeak Z Series solar panels feature an innovative design with high panel efficiency and power output, enabling customers to get the most out of the space used for the installation. Combined with industry-leading product quality and the reliability of a strong and established European brand, REC TwinPea, Z panels are ideal for residential and commercial rooftops worldwide. IMPROVEDPERFORMANCE IN SHADED CONDITIONS REDUCESBALANCEOF SYSTEM COSTS solar=@eSingle 3J4" minimum / 16-6 AWG Phase Inverter$ for North America DC input conduit size / # of strings / 3/4" minimum / 1-2 strings / 16-6 AWG 3/4 minimum / 1 3 strings / AWG -rang?,. ....... .......... SE3000A-US / SE380OA-US / SE5000A-US / SE6000A-US / Dimensions with Safety Switch ........ 30.5 x 12.5 x 7.2 / 775 x 315 x 184 .. ., .14-6 ....,.. 30.5 x 12.5 x 10.5 / ................................................................ SE760OA-US / SE10000A-US / SE11400A-US 775.x 315 x 260 Weight with Safety Switch 51.2/23.2 54.7/24.7 88.4/40.1 SE300OA-US _ 'SE380OA-US SESOOOA-US SE600OA-US S 607E OA -US _ SES0000A-US SE1140DA-US OUTPUT - Nominal AC Power Output 3000 3800 5000 6000 7600 9980 @ 208V 11400 VA ................. .... . . 10000 240V ...... ........... Max. AC Power Output 3300 4150 5400 @ 208V 6000 8350 10800 @ 208V 12000 VA 10950 AC Output Voltage Min. -Nom: Max.ill 183 - 208 - 229 Vac AC Output Voltage Min: Nom: Max.(l) 211- 240 - 264 Vac ............................................ AC Frequency Min. -Nom: Max.1i1 ..........<,.,..,.,,.,.,.,_._...;......,.......,.. ..........,..,...,,....,.,...,.. 59.3 - 60 - 60.5 ....,....,.,..,-,.s.,.,..........,,.. ...,,,...,. Hz Max. Continuous Output Current 12.5 24 @ 208V 16 25 32 48 @ 208V 47.5 A 21-�1a 240V..................!..................,42-�240V...,.........-....... ...,....... GFDI Threshold 1 A Utility Monitoring, Islanding Protection, Country Configurable Thresholds Yes Yes WPUT Maximum DC Power(STC) 4050 5100 6750 8100 10250 13500 15350 W Transformer -less, Ungrounded Yes Max. InputVolta$e................................................. 500 Vdc Nom. DC Input Voltage 325 @ 208V /350 @ 240V Vdc Max. Input Current(" 9.5 13 16.5 @ 208V 18 23 33 @ 208V 34.5 Adc ...............15:5. °�.240V..., ... 30-5,0) 240V . ...........,..... ..,......,. Max. Input Short Circuit Current 45 ............. _..... _.............. Adc Reverse -Polarity Protection ......................................... <..............................,........................_.,..............,........,......................._........................ Yes _....... ........... Ground -Fault Isolation Detection 600ku Sensitivity Maximum Inverter Efficiency 97.7 98 2 98.3 98 3 98 98 98 CEC Weighted Efficiency 97.5 97 @ 20EIV 98 97.5 97.5 97 @ 208V 97.5 % . ............. ................ ..... 98 Qa 240V.- ...... ,......i............,.....97 5 @ 240V; Nighttime Power Consumption < 2.5 < 4 W ADDITIONAL FEATURES Supported Communication Interfaces ........................... ................. ...................................................... R5485, RS232, Ethernet, ZigBee (optional) ............ .............................. .......�,................ ........... Revenue Grade Data, ANSI C12.1 ..............................................<......<.,............................, Optional.................................................. Rapid Shutdown —NEC 2014 690.12 Yes ........... STANDARD COMPLIANCE Safety ..................................................................<............ UL1741, UL1699B, UI -1998, CSA 22.2 .......,.....................,.............. _..............,.......................... Grid Connection Standards IEEE1547 .........,. Emissions FCC part15 class B - ....... INSTALLATION SPECIFICATIONS AC outQut conduit size / AWG range 3J4" minimum / 16-6 AWG 3/4" minimum / 8:3 AWG DC input conduit size / # of strings / 3/4" minimum / 1-2 strings / 16-6 AWG 3/4 minimum / 1 3 strings / AWG -rang?,. ....... .......... AW6.... Dimensions with Safety Switch ........ 30.5 x 12.5 x 7.2 / 775 x 315 x 184 .. ., .14-6 ....,.. 30.5 x 12.5 x 10.5 / ................................................................ ..................................................1.......... 775.x 315 x 260 Weight with Safety Switch 51.2/23.2 54.7/24.7 88.4/40.1 Natural convection Cooling Natural Convection and internal fan (user .,,,,,,,,, ,replaceable) Noise < 25 ...................................................................................................................................... Min. -Max. Operating Temperature -13 to +140 / -25 to +60 (-40 to +60 version available(°)) Range, Protection Rating NEMA 3R Irl For other regional settings please contact SolarEdge support. (3) A higher current source may be used; the inverter will limit its input current to the values stated. P) Revenue grade inverter P/N: SWA-USOODNNR2(for 7600W Inverter:5E7600A-U5002NNR2). W-40 version P/N: SExxxxA-USOOONNU4 (for 7600W Inverter:SE760OA-US002NNU4). Fans (user replaceable) <50 dBA 'F /'C solar =@@ SolarEdge Single Phasi For North America SE30OOA-US / SE3800A-US / SE5000A SE7600A-US / SE10000A-US / SE11400 �wertej 12.25 c WaiiantY t= V The best choice for SolarEdge enabled systems Integrated arc fault protection for NEC 2011 690.11 compliance Rapid shutdown for NEC 2014 690.12 ® Superior efficiency (98%) Small, lightweight and easy to install on provided bracket ® Built-in module -level monitoring ® Internet connection through Ethernet or Wireless Outdoor and indoor installation ® Fixed voltage inverter, DC/AC conversion only Pre -assembled Safety Switch for faster installation Optional — revenue grade data, ANSI C12.1 USA -GERMANY -ITALY -FRANCE -JAPAN -CHINA -AUSTRALIA -THE NETHERLANDS -UK -IS RAE L www. soIared ge.us So I a r" • • Z SolarEdge Power Optimizer Module Add -On for North America P300 / P350 / P400 / P405 P300 i P350 P400 P405 _ (for 60 -cell modules) (for 72 -cell modules) ( if., 96-ce11 modules) i (for thin film modules) INPUT Rated Input DC Power<z) 300 350 400 405 W Absolute Maximum Input Voltage 48 60 80 125 Vdc (Voc at lowest temperature) MPPT Operating Range 8-48 8-60 8-80 12.5 -105 Vdc Maximum Short Circuit Current (Isc) 10 Adc _...................................................................................................................................... ........... Maximum DC Input Current 12.5 Adc Maximum Efficiency 99.5 % ..................................................................................................................................... ............ Weighted Efficiency 98.8 ..............._--._,,.......,..................,,,.--.,..,...,,........,..,..............................,.......,,....,.,,.,..............,,............ ............ Overvoltage Category II OUTPUT DURING OPERATION (POWER OPTIMIZER CONNECTED TO OPERATING INVERTER) Maximum Output Current - 15 Adc Maximum Output Voltage 60 85 Vdc OUTPUT DURING STANDBY (POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF) Safety Output Voltage per Power Optimizer 1==== Vdc STANDARD COMPLIANCE EMC FCC Part15 Class B, IEC61000-6-2, IEC61000-6-3 ........... - .................. _....-......,.,,....,...,...,. ,.,........, Safety ............. IEC62109-1 (class II safety), UL1741 ............................................. RoHS Yes INSTALLATION SPECIFICATIONS Maximum Allowed System Voltage ..........................................:....................................................................................................... 1000 Dimensions (W x L x H) _. _... - -.................................... 141 x 212 x 40.5 / 5.55 x 8.34 x 1.59 _.-.......................................................,...,.. Weight (including cables) ........................................................................... 950 / 2.1 Input Connector .......... ............... MC4 / Amphenol / Tyco MC4 Output Wire Type J Connector ..... ... _...... Double Insulated; AmPhenol ...... Output Wire Length 0.95/3.0 _................................ ......... — ....... ...,.,, 1.2/3.9 :..........................,.,.,,.,..-...............,...............,..,,.,,. Operating Temperature Range -40 -+85 / -40 - +185 Protection RatingIP65 ..........................................................................................................................0 / NEMA4 Relative Humidity ............. -100 ..l.Rated......STC...........mod....u.le...Module......of up......to.+5%......Rower.......toleranceaallowllow...'.ed. ..........................................--.........----.................................... li power..of the Vdc m.miin.. gr lb . . m/ft 'C/ 'F PV SYSTEM DESIGN USING SINGLE PHASE THREE PHASE 208V THREE PHASE 480V A SOLAREDGE INVERTERI2) Minimum String Length g 10 18 (Power Optimizers) Maximum String Length (Power Optimizers) 25 25 50 Maximum Power per String 5250 6000 12750 W _ ...-...._ ......._._........................................................... ............ ....................................................... ........... Parallel Strings of Different Lengths Yes or Orientations h' It is not allowed to mix P405 with P300/P350/P400/P600/P700 in one string. Bonding Adjustable X - End Clamp Top Bonding Adjustable X - End Clamp Bottom 401, SnapNrack Bonding Adjustable X -End Clamp Bonding Standoff Clamp Rubber— Rain ubberRain Collar Mill Finish Standoff Mill Finish Standoff Base (1 Hole Base Shown) m SnapNrack Bonding Standoff Assembly Bonding Mid Clamp Bonding Channel Nut SnapNrack Bonding Mid Clamp Ob Bonding Channel Nut t L Foot L Foot Flashing SnapNrack Bonding L Foot Base with Flashing Bondging Splice Insert Splice Base SnapNrack Bonding Standard Rail Splice Bonding Channel Nut L Foot Metal Roof Base SnapNrack Metal Roof Base with Bonding L Foot Bonding Universal End Clamp (UEC) Wave UEC Pull Strap UEC Wedge SnapNrack Bonding Universal End Clamp SnapNrack•• UL TechnicalData Patent Periding Materials - 6000 Series aluminum • Stainless steel • Galvanized Steel Flashing Material Finish • Clear and black anodized aluminum • Mill Finish on select components Installation • Quick and efficient mounting • Adjustable hardware to ensure clean and level finish -All components bonded to ground with integrated bonding features Calcs. & Certifications • LIL 2703 Certification • Stamped Structural Engineering Reports for all 50 States Grounding • SnapNrack Grounding Lug Warranty • 10 Year material and worksmanship (download full details at snapnrack.com) Snap rack- City of Wheat Ridge (877) 732-2860 www.SnapNrack.com Building DI'dlson Printed on recycled paper using soy based inks. e `< 2014 by SnapNrack PV Mounting System. All rights reserved. ,,,...�j°o The SnapNrack line of solar mounting systems is designed to reduce total installation costs. The system features technical innovations proven on more than 30OMW of solar projects to simplify the installation and reduce costs. Pitched Roof Arrays Simplified The SnapNrack Series 100 UL Roof Mount System is an efficient, visually appealing, photovoltaic (PV) module installation system. Series 100 UL is listed to the UL 2703 Standard for Bonding, meaning that all system components have been certified by UL for electrical continuity, eliminating the need for additional grounding hardware. The System's components provide an adequate bonding path which has eliminated the need for grounding lugs and washers at each module, and bonding jumpers between splices. The UL 2703 Certification ensures that SnapNrack partners can provide the best in class installations in quality, safety, and efficiency • All bonding hardware is fully integrated into the components • No grounding lugs required for modules • Rail splices bond rails together, no rail jumpers required • Proprietary SnapNrack grounding lug snaps in the rail channel, no drilling of rail or reaching for other tools required Patent Pending Roof System in 4 Simple Steps: 1) Go to the online Series 100 Configuration Tool (configure.snapnrack.com) and select "Yes" for UL 2703 Listed 2) Identify Site Conditions (Array Tilt, Building Height, Roof Type, Wind and Snow Loads) 3) Build array in the online Configuration Tool and automatically generate a Bill of Materials. 4) Place order with your distributor. Purchase material for a single project or order in bulk for additional savings - Rail & Module Clamps - Roof Attachments - Array Accessories UL LISTED PV Mounting System 2703 `�sunrun IK July 17, 2017 Subject: Structural Certification for Proposed Residential Solar Installation. Job Number: 501R-890MASH; Plan Set: Rev A, Dated 6/13/17 Client: David Mashburn Address: 9890 W 34th Dr, Wheat Ridge, CO, 80033 Attn: To Whom It May Concern A field observation was performed to document the existing framing of the above mentioned address. From the field observation, the existing roof structure was observed as Composition Shingle roofing over roof plywood supported by 48 Rafter @ 48" OC. The roof is sloped at approximately 11 degrees and has a max rafter span of 17' 0" between supports. Design Criteria: • 2012 International Building Code 0 Basic Wind Speed Vult = 135 mph (Vasd = 105 mph), Exposure C • Ground Snow Load = 30 psf After review of the field observation report, the existing roof framing supporting the proposed solar panel layout has been determined to meet or exceed the requirements based on our structural capacity calculations in accordance with applicable building codes. Therefore, no structural upgrades are required. If you have any further questions on the above for mentioned, please do not hesitate to call. Sincerely, Sage Lopez, P. 4A- 51 9 Civil Engineer o Sunrun, Inc S�aNAL ECG city or Exp. 10-31-2017 C Wheat Rime Dwi 133 Technology Dr., Suite 100, Irvine, CA 92618 1 P 949.393.0993 `�sunrun' Structural Calculations for the David Mashburn Residence PV Installation Date: 7/17/2017 Job Address: 9890 W 34th Dr Wheat Ridge, CO, 80033 Job Number: 501R-890MASH Scope of Work These calculations are for the existing roof framing which supports the new PV modules as well as the attachment of the PV system to existing roof framing. All PV mounting equipment shall be designed and installed per manufacturer's approved installation specifications. Calculation Index Sheet Description 2 Structural Geometry, Live Load, Snow Load, Wind Load, & Dead Load 3 Roof (1) Framing Check 4 Roof Attachment Check, Seismic Check, & Scope of Work Eneineerine Calculations Summar Code: 2012 International Building Code ASCE 7-10 Snow Load: S = 30 psf Live Load: LL = 20 psf Wind: Wind Speed Ult. (V) = 135 mph PV Dead Load: DPV = 3.0 psf Sincerely, Sage Lopez, Pei.--. Civil Engineer 9 Sunrun, Inc NAL Exp. 10-31-2017 133 Technology Dr., Suite 100, Irvine, CA 92618 Exp. = C I P 949.383.0993 City of Wheat Ridge )iviso TM Structrure Geometr Engineer: SVL Date:7/17/2017 Job: 501R-890MASH Address: 9890 W 34th Dr Wheat Ridge, CO, 80033 2 of 4 Mean Roof Height, hn = 23 ft Eave Height, he = 18 ft Buiding Length, L = 40 ft Building Width, B = 25 ft Module Area = 20 ftz Roof Pitch, B = 11 degrees Live Load: = 1.00 Roof Live Load, Lr = 20.00 psf Equation 4.8-1 Snow Load Ground Snow Load, pg = 30 psf Fig. 7-1 Snow Importance Factor, Is = 1 Table 1.5-1 Thermal Factor, Ct = 1.1 Table 7-3 Exposure Factor, Ce = 0.9 Table 7-2 Roof Slope Factor, Cs = 1.00 Figure 7-2c Flat Snow Load, Pf = Sloped Roof Equation 7.3-1 Sloped Roof Snow Loads, Ps = 20.79 psf Equation 7.4-1 Is the width of the roof > 20ft? Yes Uplift (0.6W) Drift Height, hd = 1.44 ft Figure 7-9 Roof slope for a rise of one, S 5.14 -29.20 Unbalanced Width = 8.68 ft Fig 7-5 V = 18 pcf Equation 7.7-1 Unbalanced Snow Load = 32.12 psf Fig 7-5 Wind Load: Zone 2 (psf) Zone 3 (psf) Basic Wind Speed (3s -gust), V = 135.0 mph Figure 26.5-1A Building Occupancy Category = 2 Walls - Exterior Table 1.5-1 Composition Shingle Exposure Category = C 5.0 psf Sec 26.7.3 4.6 Topographic Factor, KZT = 1.00 4x8 Rafter @ 48" OC Equation 26.8-1 Adjustment Factor, A = 1.35 Misc. (Ceiling, Insulation, etc.) Figure 30.5-1 Misc. (Insulation, etc.) Edge Zone, a = 3.00 ft Figure 30.5-1 Uplift (0.6W) Zone 1 (psf) Zone 2 (psf) Zone 3 (psf) 12.0 psf Pnet30 = -29.20 -48.15 -72.35 Figure 30.5-1 Pnet = 0.6 x A x KZT x Pnet30) _ -23.65 -39.00 -58.60 Equation 30.5-1 Downward (0.6W) Zone 1(psf) Zone 2 (psf) Zone 3 (psf) Pnet30 = 17.25 17.25 17.25 Figure 30.5-1 Pnet = 0.6 x A x KZT x Pnet30 = 13.97 13.97 13.97 Equation 30.5-1 Dead Load: Roof (1): Roof Walls - Exterior Composition Shingle 3.0 psf Wood 5.0 psf 2x6 T&G 4.6 2x4 Studs @ 16" 2.0 4x8 Rafter @ 48" OC 2.0 Gypsum 3.0 Misc. (Ceiling, Insulation, etc.) 1.0 Misc. (Insulation, etc.) 2.0 PV System, Ppv 3.0 Total Roof DL= 13.6 psf Total Wall DL= 12.0 psf 133 Technology Dr., Suite 100, Irvine, CA 92618 1 P 949.393.0993 Roof (1) FraminE Check Engineer: SVL Date: 7/17/2017 Job: 501R-890MASH Address: 9890 W 34th Dr Wheat Ridge, CO, 80033 3 of 4 Roof Framing = 4x8 Rafter @ 48" OC Timber Species = Doug Fir -Larch #2 Max Beam Span = 17.00 ft b = 3.5 in d = 7.25 in Moment of Inertia, Ix = 111.15 in' Section Modulus, Sx = 30.66 in' Bending Stress, Fb = 900 psi Elastic Modulus, Ennin = 580000 psi Wood Adjustment Factors: PV Tributary Width, Wpv = PV Tributary Length, Lp� = PV Tributary Area, At = PV Dead Point Load, PD = Ppv x At = Roof Distributed Load, wDL = Load Case: 0.6DL + 0.6W (CD = 1.6) Roof Zone = Pup = Pnet x At + 0.6 x PD x cos(0) = Mb(wind_up) = Fb' (wind) = Fb XCD XCLS XCM XCt XCL XCF XCfu XG XCr = Mallowable = Sx X Fb' (wind) = Load Case: DL + 0.6W (CD =1.6) Pdown = Pnet x At + PD x cos(0) = Mb(wind_down) = Fb' (wind) = Fb XCD XCLS XCM XCt XCL XCF XCfu XCi XCr = Mallowable = Sx x Fb' (wind) = Load Case: DL + 0.75(0.6W) + 0.755 (CD = 1.6) Roof Snow Distributed Load, wSL = Psnow = Ps At = Mb(wind_snow) = Fb' (wind) = Fb XCD XCLS XCM XCt XCL XCF XCfu XCi XCr = Mallowable = Sx X Fb' (snow) = CD (Wind) CD (Snow) CLS CM Ct 1.60 1.15 1.20 1.00 1.00 CL CF Cfu Ci Cr 1.00 1.30 1.00 1.00 1.00 2.75 ft 3.3 ft 9.1 ft2 27 Ib 42 plf 1 199 Ib -513 Ib -ft 2246 psi 5740 lb -ft > -513 OK 154 Ib 2597 Ib -ft 2246 psi 5740 lb -ft > 2597 OK 83 plf 185 Ib 3361 Ib -ft 2246 psi 5740 lb -ft > 3361 OK Load Case: DL + 5 (CD = 1.15) Roof Snow Distributed Load, wSL = 83 plf Psnow = Ps x At = 185 Ib Mb(snow) = 3014 lb -ft Fb' (snow) = Fb XCD XCLS XCM XCt XCL XCF XCfu XCi XCr = 1615 psi Mallowable = Sx x Fb' (snow) = 4125 Ib -ft > 3014 133 Technology Dr., Suite 100, Irvine, CA 92618 1 P 949.393.0993 OK City ofi Whey; ridge �a, ildmq Pwlsor Rafter Attachments: 0.6D+0.6W (Zone 21 Puplift = At x Pnet = 338 Ib Connector Uplift Capcity per SnapNRack Test Results = 4 3 r 4. , Lag Screw Penetration = 2.5 in Allowable Capacity with CD = Rafter Attachments: 0.6D+0.6W (Zone 21 Puplift = At x Pnet = 338 Ib Connector Uplift Capcity per SnapNRack Test Results = 500 Ib 5/16" Lag Screw Withdrawl Value = 266 Ib/in Lag Screw Penetration = 2.5 in Allowable Capacity with CD = 1064 Ib Seismic Check: Engineer: SVL Date: 7/17/2017 Job: 501R-890MASH Address: 9890 W 34th Dr Wheat Ridge, CO, 80033 4of4 > 338 OK Table 11.2A - NDS > 338 OK i"Increase = (Wtotal + Warray) Wtotal = 39457 *100%-100% = 2.01% ** 38680 **The increase in weight as a result of the solar system is less than 10% of the existing structure and therefore no further seismic analysis is required. Limits of Scope of Work and Liability We have based our structural capacity determination on applicable building codes, professional engineering inspection and design experience, opinions and judgments. The calculations produced for this dwelling's assessment are only for the proposed solar panel installation referenced in the stamped plan set and were made according to generally recognized structural anlaysis standards and procedures. 133 Technology Dr., Suite 100, Irvine, CA 92618 City of heat Ridge P 949.393.0993 �B7uilding Divison, Existing Dead Load: Solar Dead Load: Aroofexisting = 1000 ft2 Wpanel = 42 lb Wroofexisting = 10600 lb NUmpanel = 15 Awallexisting = 2340 ftz Wpanel_tot = 630 Ib Wwallexisting = 28080 Ib Wbos = 147 lb Wtotal = 38680 lb Warray = 777 lb i"Increase = (Wtotal + Warray) Wtotal = 39457 *100%-100% = 2.01% ** 38680 **The increase in weight as a result of the solar system is less than 10% of the existing structure and therefore no further seismic analysis is required. Limits of Scope of Work and Liability We have based our structural capacity determination on applicable building codes, professional engineering inspection and design experience, opinions and judgments. The calculations produced for this dwelling's assessment are only for the proposed solar panel installation referenced in the stamped plan set and were made according to generally recognized structural anlaysis standards and procedures. 133 Technology Dr., Suite 100, Irvine, CA 92618 City of heat Ridge P 949.393.0993 �B7uilding Divison, SCOPE OF WORK GENERAL NOTES LEGEND AND ABBREVIATIONS TABLE OF CONTENTS PAGE # DESCRIPTION • SYSTEM SIZE: 435OW DC, 380OW AC • 1�IL I RC ALL WORK SHALL COMPLY WITH 2014 NEC, 2012 IBC, MUNICIPAL CODE, AND SE SOLAR MODULES SERVICE ENTRANCE PV-1.0 COVER SHEET PV-2.0 SITE PLAN • MODULES: (15) REC SOLAR: REC290TP2 BLK ALL MANUFACTURERS' LISTINGS AND INSTALLATION INSTRUCTIONS. RAIL • INVERTER(S): a PHOTOVOLTAIC SYSTEM WILL COMPLY WITH 2014 NEC. (1) SOLAREDGE TECHNOLOGIES: SE3800 (240V) W/ -ER-US . ELECTRICAL SYSTEM GROUNDING WILL COMPLY WITH 2014 NEC. MP MAIN PANEL a a PV 3.0 LAYOUT PV-4.0 ELECTRICAL OR A-US • PHOTOVOLTAIC SYSTEM IS UNGROUNDED. NO CONDUCTORS ARE SOLIDLY 0 • RACKING: SNAPNRACK SERIES 100 UL; FLASHED L FOOT. GROUNDED IN THE INVERTER. SYSTEM COMPLIES WITH 690.35. -- SEE PEN D01. • MODULES CONFORM TO AND ARE LISTED UNDER UL 1703. SP SUB PANEL STANDOFFS & PV 5.0 SIGNAGE • • INVERTER CONFORMS TO AND IS LISTED UNDER UL 1741. RACKING CONFORMS TO AND IS LISTED UNDER UL 2703. FOOTINGS CHIMNEY • CONSTRUCTION FOREMAN TO PLACE CONDUIT RUN PEP. 690.31(G). LC PV LOAD CENTER City at • ARRAY DC CONDUCTORS ARE SIZED FOR DERATED CURRENT. • 9.58 AMPS MODULE SHORT CIRCUIT CURRENT. ATTIC VENT Whe8t , 3e 14.96 AMPS DERATED SHORT CIRCUIT CURRENT (690.8 (a) & 690.8 (b)). F81 SUNRUN METER � FLUSH ATTIC VENT guildin9 ptvison PM DEDICATED PV METER o PVC PIPE VENT �644, City INVERTER(S) WITH METAL PIPE VENT ,/,/ ��]� j� W INV INTEGRATED DC ccw �umwcrau rmll a— DISCONNECT AND AFCI z T-VENT AC APPROVED AC DISCONNECT(S) SATELLITE DISH Reviewed for Code Con N DC 0 DC DISCONNECT(S) FIRE SETBACKS 712111-7 CB COMBINER BOX HARDSCAPE GAPwa eol°vff—°"W1111°'"°'6►0+""R'""" INTERIOR EQUIPMENT — PL— PROPERTY LINE pldmwpddwns OWN 1W be Q Chn1f JO/ Oran qp1•Ntl � •ttY r,;a,,Yf0lMiete. to ow oforpo,fineh d"c,aeorGlo cd yom»a�•�./e+�rs L[ a SHOWN AS DASHED SCALE: NTS sunrun prestwrtiq w ye •uthorMY w viobteoJs�wctl PAe P d the �ttlWp codes or other W&MM" of the Co shote not be m6d. A AMPERE AC ALTERNATING CURRENT AFCI ARC FAULT CIRCUIT INTERRUPTER ELECTRICAL CONTRACTOR AZIM AZIMUTH VICINITYMAP COMP COMPOSITION 6040 WEST 91ST AVENUE, WESTMINSTER, CO 80031 DC (E) DIRECT CURRENT EXISTING PHONE 303.577.6527 FAX 303 577.9629 Van Ribber Open Space CUSTOMER RESIDENCE: EXT EXTERIOR FIRM FRAMING DAVID MASHBURN g _ INT INTERIOR 9890 W 34TH DR, WHEAT ' LBW LOAD BEARING WALL RIDGE, CO, 80033 h4tOtivetcemetery Q MAG MAGNETIC W441h-Ave z=;a Lakesq MSP MAIN SERVICE PANEL TEL (303)284-1695APN#:3927215017 mou1vi (N) NEW "'°` NTS NOT TO SCALE PROJECT NUMBER: $► Aft�� '� OC ON CENTER 501 R 890MASH ' ApplehoodSottCourse ~ WnealRidge 9890 Wast 34th Driva PRE-FAB PRE-FABRICATED DESIGNER: 720.475.7991 PSF POUNDS PER SQUARE FOOT Olinger Cre?wnHtll11'. PV PHOTOVOLTAIC LUKE PUMA DRAFTER: M�r;1 w $ CEIlIDte y � TL TRANSFORMERLESS ,Y;�;r1� ,��,A.� W2s:navt Edgewater TYP TYPICAL V VOLTS LUKE PUMA SHEET APPLEWOOD Ntl %I A,, 'R206Axn WL'➢thR,a W WATTS REV NAME DATE COMMENTS COVER SHEET , A REV: A 6/13/2017 .. _ OColoraCoMil Is �- ""' -- PAGE PV-1.0— Easr Flea, 't a ,� V rav+ SITE PLAN - SCALE = 1/32" = 1'-0" "NOTE (N) ARRAY AR -01 (E) GATE \N 3-�N ID? - FIRE SETBACKS (3' TYP) City of Wheat Ridge ROOF TYPE ATTACHMENT ROOF HEIGHT ROOF EXPOSURE FRAME MATERIAL FRAME TYPE FRAME SIZE MAX FRAME SPAN OC SPACING ROOF EDGE ZONE MAX RAIL SPAN MAX RAIL OVERHANG DESIGN CRITERIA MODULES: AR -01 COMP SHINGLE FLASHED L FOOT. SEE PEN D01. TWO STORY EXPOSED WOOD RAFTER 4 X 8 17'- 0" 48" N/A 4' - 0" 2' - 1" REC SOLAR: REC290TP2 BLK MODULE DIMS: D1 - AR -01 - SCALE: 1/4" = 1'-0" PITCH: 11' AZIM: 321' 65.94" x 39.25" x 1.5" MODULE CLAMPS: Portrait: 8.2" - 16.4" Landscape: 4.9" - 9.8" MAX DISTRIBUTED LOAD: 3 PSF ® 10'-5" 26'-6" 8,_7, SNOW LOAD: 30 PSF WIND SPEED: 105 MPH 3 -SEC GUST. LAG SCREWS: 5/16"x4.0": 2.5" MIN EMBEDMENT NOTE: INSTALLERS TO VERIFY RAFTER SIZE, SPACING AND SLOPED SPANS, AND NOTIFY E.O.R. OF ANY DISCREPANCIES BEFORE PROCEEDING. 3 0 0 - sunrun 16-7" 0 0 O 0 ELECTRICAL CONTRACTOR 6040 WEST 91ST AVENUE, WESTMINSTER, CO 80031 PHONE 303 577 6527 FAX 303.577 9629 0 Q CUSTOMER RESIDENCE: 4' DAVID MASHBURN 9890 W 34TH DR, WHEAT Q Q __ __ _ 0- Q RIDGE, CO, 80033 TEL (303) 284-1695 APN #: 3927215017 PROJECT NUMBER: 501 R-890MASH 2'-4" �e DESIGNER: 720.475.7991 LUKE PUMA �y of C pivison �u�bin9 :SQA ti� ;�~ 51 9 11S/,O VAL EAG DRAFTER. LUKE PUMA SHEET LAYOUT REV: A 6/13/2017 Exp. 10-31-2017 PAGE PV -3.0 CONDUIT SCHEDULE 120/240 VAC CONDUIT CONDUCTOR NEUTRAL GROUND 0 NONE SINGLE PHASE NONE (1) 6 AWG BARE COPPER 1 NONE (2) 10 AWG PV WIRE NONE SERVICE 2 3/4" EMT OR EQUIV. (2) 10 AWG THHN/THWN-2 NONE (1) 10 AWG THHN/THWN-2 3 3/4" EMT OR EQUIV. METER (1) 10 AWG THHN/THWN-2 (1) 8 AWG THHN/THWN-2 EGC/GEC 4 3/4" EMT OR EQUIV. j (2) 6 AWG THHN/THWN-2 (1) 6 AWG THHN/THWN-2 M O XCEL D2066419 UTILITY GRID 1 EXISTING 200A MAIN C i BREAKER EXISTING SOLAREDGE 200A SE3800 �� MAIN (N) LOCKABLETECHNOLOGIES: (N) SUN RUN (240V) W/ -ER-US OR A-US FACILITY PANEL (N) DEDICATED BLADE TYPE PV KWH METER AC DISCONNECT E4G M METER R 3800 WATT INVERTER JUNCTION BOX PV MODULES LOADS 2 OR EQUIVALENT 1 REC SOLAR: REC290TP2 BILK 4 4 3 3 /(15) // MODULES OPTIMIZERS WIRED IN (1) SERIES OF (15) OPTIMIZERS FACILITY 20A PV GROUND 240V METER SOCKET SQUARE D 250V METER SOCKET LOAD RATED DC SOLAREDGE POWER OPTIMIZER BREAKER AT 200A CONTINUOUS DU221 RB 125A CONTINUOUS & DISCONNECT WITH RAPID OPPOSITE END WITH LEVER BYPASS 3R, 30A,2P 240V METER SHUTDOWN & AFCI P300 OF BUSBAR [MAX 10' FROM 120/240VAC 200A, FORM 2S ARRAY GROUND UTILITY METER] [MAX 10' FROM UTILITY METER] [READILY ACCESSIBLE MEANS FOR RAPID SHUT DOWN] CONDUIT SCHEDULE # CONDUIT CONDUCTOR NEUTRAL GROUND 0 NONE NONE NONE (1) 6 AWG BARE COPPER 1 NONE (2) 10 AWG PV WIRE NONE (1) 6 AWG BARE COPPER 2 3/4" EMT OR EQUIV. (2) 10 AWG THHN/THWN-2 NONE (1) 10 AWG THHN/THWN-2 3 3/4" EMT OR EQUIV. (2) 10 AWG THHN/THWN-2 (1) 10 AWG THHN/THWN-2 (1) 8 AWG THHN/THWN-2 EGC/GEC 4 3/4" EMT OR EQUIV. j (2) 6 AWG THHN/THWN-2 (1) 6 AWG THHN/THWN-2 (1) 8 AWG THHN/THWN-2 EGC/GEC MODULE CHARACTERISTICS REC SOLAR: REC290TP2 BLK: 290 W OPEN CIRCUIT VOLTAGE: 38.8 V MAX POWER VOLTAGE: 32.1 V SHORT CIRCUIT CURRENT: 9.58 A P300 OPTIMIZER CHARACTERISTICS: MIN INPUT VOLTAGE: 8 VDC MAX INPUT VOLTAGE: 48 VDC MAX INPUT ISC: 10 ADC MAX OUTPUT CURRENT: 15 ADC SYSTEM CHARACTERISTICS - INVERTER 1 SYSTEM SIZE: 4350 W SYSTEM OPEN CIRCUIT VOLTAGE: 15 V SYSTEM OPERATING VOLTAGE: 350 V MAX ALLOWABLE DC VOLTAGE: 500 V SYSTEM OPERATING CURRENT: 12.4 A SYSTEM SHORT CIRCUIT CURRENT: 15 A NOTES TO INSTALLER: 1. 15 VDC EXPECTED OPEN CIRCUIT STRING VOLTAGE. 2. ADD 20 AMP PV BREAKER TO MAIN PANEL. City of Wheat Ridge ZtWARNING ELECTRICAL SHOCK HAZARD DO NOT TOUCH TERMINALS. TERMINALS ON LINE AND LOAD SIDES MAY BE ENERGIZED IN THE OPEN POSITION LABEL LOCATION: INVERTER(S), AC DISCONNECT(S), AC COMBINER PANEL (IF APPLICABLE). PER CODE(S): CEC 2016: 690.17(E), NEC 2014: 690.17(E), NEC 2011: 690.17(4) WARNING ELECTRICAL SHOCK HAZARD LABEL LOCATION: INTERIOR AND EXTERIOR DC CONDUIT EVERY 10 FT, AT EACH TURN, ABOVE AND BELOW PENETRATIONS, ON EVERY JB/PULL BOX CONTAINING DC CIRCUITS. PER CODE(S): CEC 2016:690.31(G)(3), 690.31(G)(4), NEC 2014: 690.31(G)(3), 690.31(G)(4), NEC 2011: 690.31(E)(3), 690.31(E)(4), IFC 2012: 605.11.1.4 LABEL LOCATION: UTILITY SERVICE ENTRANCE/METER, OR AS REQUIRED BY LOCAL AHJ. PER CODE(S): CEC 2016: 690.12, NEC 690.56, NEC 2014:690.12, NEC 690.56, IFC 2012: 605.11 -1 IF GROUND FAULT IS INDICATED ALL NORMALLY GROUNDEDPHOTOVOLTAICDISCONNECT CONDUCTORS MAY BE MAXIMUM AC OPERATING NOMINAL OPERATING AC VOLTAGE: 240 VAC UNGROUNDED AND ENERGIZED LABEL LOCATION: LABEL LOCATION: AC DISCONNECT(S), PHOTOVOLTAIC SYSTEM POINT OF INVERTER(S), ENPHASE ENVOY ENCLOSURE (IF INTERCONNECTION. APPLICABLE). PER CODE(S): CEC 2016: 690.54, NEC 2014: 690.54, NEC PER CODE(S): CEC 2016: 690.5(C), NEC 2014: 690.5(C), 2011: 690.54 NEC 2011: 690.5(C) &WARNING ELECTRICAL SHOCK HAZARD THE DC CONDUCTORS OF THIS PHOTOVOLTAIC SYSTEM ARE UNGROUNDED AND MAY BE ENERGIZED LABEL LOCATION: INVERTER(S), DC DISCONNECTS. PER CODE(S): CEC 2016:690.35(F), NEC 2014: 690.35(F), NEC 2011: 690.35(F) 11 &WARNING INVERTER OUTPUT CONNECTION DO NOT RELOCATE THIS OVERCURRENT DEVICE LABEL LOCATION: ADJACENT TO PV BREAKER (IF APPLICABLE). PER CODE(S): CEC 2016: 705.12(D)(2)(3)(b), NEC 2014: 705.12(D)(2)(3)(b), NEC 2011: 705.12(D)(7) aWARNING DUAL POWER SUPPLY SOURCES: UTILITY GRID AND PV SOLAR ELECTRIC SYSTEM LABEL LOCATION: UTILITY SERVICE METER AND MAIN SERVICE PANEL. PER CODE(S): CEC 2016: 705.12(D)(3), NEC 2014: 705.12(D)(3), NEC 2011: 705.12(D)(4) &WARNING PHOTOVOLTAIC SYSTEM COMBINER PANEL DO NOT ADD LOADS LABEL LOCATION: PHOTOVOLTAIC AC COMBINER (IF APPLICABLE). PER CODE(S): CEC 2016: 705.12(D)(2)(3)(c), NEC 2014: 705.12(D)(2)(3)(C), NEC 2011: 705.12(D)(4) INVERTER 1 LABEL LOCATION: INVERTER(S), DC DISCONNECT(S). FER CODE(S): CEC 2016:690.53, NEC 2014:690.53, NEC 2011: 690.53 NOTES AND SPECIFICATIONS: • SIGNS AND LABELS SHALL MEET THE REQUIREMENTS OF THE CEC 2016 AND NEC 2014 ARTICLE 110.21 (6), UNLESS SPECIFIC INSTRUCTIONS ARE REQUIRED BY SECTION 690, OR IF REQUESTED BY THE LOCAL AHJ. • SIGNS AND LABELS SHALL ADEQUATELY WARN OF HAZARDS USING EFFECTIVE WORDS, COLORS AND SYMBOLS. • LABELS SHALL BE PERMANENTLY AFFIXED TO THE EQUIPMENT OR WIRING METHOD AND SHALL NOT BE HAND WRITTEN. • LABEL SHALL BE OF SUFFICIENT DURABILITY TO WITHSTAND THE ENVIRONMENT INVOLVED. • SIGNS AND LABELS SHALL COMPLY WITH ANSI Z535.4-2011, PRODUCT SAFETY SIGNS AND LABELS, UNLESS OTHERWISE SPECIFIED. • DO NOT COVER EXISTING MANUFACTURER LABELS. CAUTION POWER TO THIS BUILDING IS ALSO SUPPLIED FROM THE FOLLOWING SOURCES WITH DISCONNECTS AS SHOWN NELS ON ROOF %V RTER LOCATION SUNRUN METER �.APID SHUTDOWN SERVICE ENTRANCE AND PV BREAKER DISCONNECT city,{ 9890 W 34TH DR WHEAT RIDGE CO, 8003?WheatR sunrun ELECTRICAL CONTRACTOR 6040 WEST 91ST AVENUE, WESTMINSTER, CO 80031 PHONE 303.577.6527 FAX 303.577.9629 CUSTOMER RESIDENCE: DAVID MASHBURN 9890 W 34TH DR, WHEAT RIDGE, CO, 80033 TEL. (303) 284-1695 APN #: 3927215017 PROJECT NUMBER: 501 R-890MASH DESIGNER: 720.475.7991 LUKE PUMA DRAFTER: LUKE PUMA SHEET I SIGNAGE Divison, REV: A 6/13/2017 PAGE PV -5.0 SNAPNRACK C❑MP❑SITI❑N L FOOT SNAPNRACK STANDARD RAIL SNAPNRACK C❑MP❑SI ROOF FLAS a' S,S, LAG SCREW ' 2.5' MINIMUM EMBEI SNAPNRACK L FOOT BASE SEAL PENETRA UNDER BF APPROPRIATE ROOF RAFTER TYP. FLASHED L FOOT MOUNTING POINT FOR USE ON COMPOSITION ROOF SURFACES WITH LOW TO MODERATE TILT RAILS CAN BE LEVELED UP TO 3' USING UP TO TWO LEVELING SPACERS AS SHOWN IN 'SERIES 100 RAIL LEVELING' S.S. BOLT AND WASHER �. FLANGE NUT REVISION: NOTES: - 5/16' LAG BOLTS MUST EMBED 2.5' INTO ROOF STRUCTURAL MEMBERS/RAFTERS - TORQUE ALL 5/16' HARDWARE TO THE FOLLOWING: - SILVER S,S, 10-16 FT -LBS - BLACK S.S, 7-9 FT -LBS - RAILS CAN MOUNT TO EITHER SIDE OF L FOOT (UPSLOPE VS DOWNSLOPE) STEP 3: PLACE L FOOT ON TOP OF FLASHING AND TIGHTEN NUT STEP 21 SLIP rl A( l ITklr uER ASE :P l:BOLT L F❑OT ;E TO ROOF WITH i BOLT TYP. THIS INFORMATION 15 CONFIDENTIAL AND PROPRIETARY. ANY REPRODUCTION, DESIGNER G. McPHEETERS SCALE DNS PART # p E N DETAIL 01 FLASHED L FOOT REV DISCLOSURE, OR USE THEREOF IS EXPRESSLY -.� PROHIBITED WITHOUT THE WRITTEN PERMISSION DRAFTER G. McPHEETERS DATE 120111 PEN-DOI E OF MAINSTREAM ENERGY CORPORATION. A 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: - Job Address: Q52) W i3gjYI Permit Number: 2LO c'� 3 n `5 ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call Date: S Inspector: 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: 4ggg2 tg_� t�-t iz- Job Address: f!7c( O W Z? Permit Number: ? y I L; --3 Com, ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call f` r re -inspection at 303-234-5933 Date: S Inspector:; ' 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: CIl �/� �•� S `fir; Permit Number: j `/ ¢ Y ❑ No one available for inspection: Time '> ,:`r AM/PMT Re -Inspection required: Yes Q When corrections have been made, call for re -inspection at 303-234-5933 Date:°,J; f "� f T' Inspector: I` f DO NOT REMOVE THIS NOTICE Certificate Of Conpletion Building Division 7500 W 29TH AVE WHEAT RIDGE CO 80033-8001 Permit#:201500720 Issued: 10/30/2015 Stipulations: Remove existing materials in bathroom. Move non -load bearing wall 6 inches. Install new materials all plumbing fixtures to stay in same location. 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. 3#1 Owner: MASHBURN DAVID 9890 W 34TH DR WHEAT RIDGE CO 80033-5766 Contractor: Gerard/James Nealon 6770 W 38TH AVE WHEAT RIDGE CO 80033-4908 : o C 11 Editions ��2012 ICC/2014 2006 ICC 2011 2006 ICC/2005 Other NO change shall be made in the USE of NEC this building without prior notice NEC and a new Certificate Of Completion NEC from the City of Wheat Ridge. COMMERCIAL OCCUPANCIES INAMPIEcarlooLft luc mift +�m�INM O*INSPECTION UNEO (303) 234-933 ♦ +s i.a on g w • w T_�ni�w�plN�� 3 llr*717777-7117,,+ 0 IM di M1,1771 A s To� Page 2 of 2 2015-05-15 1&34�52 (GMT) 13034240495 From: Jesse Lanyon City Of ;date: �. �, , �43 �Vh6atRidige Ctwy.l-�Y—DEVCLOPMEN'r ult d ng Division 7,500 , 2011,AVe., pat Ridge, CO 80033 303-135-285 * '; 3,03,237-8929 InspecilonUrie. 303434-6933 VV ,bong;, « Mailing a k *.. PrOPOO" d 4 city, S x^ x .xx x •. xrc a sx °x.:. a x s x W x x �d VMkNf DEPARTMENTO k, c zk ; III i� x ■ z xwN.MMEEMOMW K3 C FOR OFFICE USE ONLY 4 " mate r .- City of m wheato +C MM 1i 1`b rry E LO PPE PIanJPernr t# Building & Inspection Services Division 7,500 W, 291" Ave,,Wheat Ridge, CO 80033 Plan Review Fee: Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building er 1t Application * Please comploto all highlighted ar ; s on both sidesof this form. incomplete applications may not be tai r . • • a st- rs Address: W.R. City License # Plsimbing: Gjl M T N . ' is `s '.. W,R. City License Mechanical: W.R. City License # Complete, to all information on I3C)TH sides of'this form RESDENTIAL ADDITION 0- WINDOW REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) RESIDENTIAL ACCESSORY MECHANICAL y .. '. a REPAIR REPLACEMENT ... SYSTEM/APPLIANCE SYSTEM/APPLIANCEREPAIR t REPLACMENT ELECTRICAL ,..: a .,,. or REPLACEMENT „� °4s ' tt ..rtC Na Sq, FtJLF Stu`s Gallons Amps Squares Other NEW FLOOR PLAN a SQTLEG230R 2 3 ------- 37 ........ . . Work shall coir)plyvvitis the following codm 2012 IRC, 2012 IECC & 2014 NEC, Since .. Cress www.CressKitchenBthcorn kitchen & bath FAX (303) 423-3827 6770 W. 36th AVE. Cabinets Vinyl Floors - Carpet, Ceramic - Counter Tops , plumbing Fixtures s�CO80033 Prepared for, .;.t r- + ' v • :i! (H) (303) 726-4184 (g') M (0) P R 0 P 0 SAL Job Number: 46497 Quote Date: 51912015 HALL BATH REMODEL - FOR PERMIT Good Until: 61812015 Job Site: MAII & DAVID MASHBURN 9890 W.34TH DRIVE WHEAT RIDGE, CO 80033 H) (303) 726-4184 (F) Owl 10) Style name Color name Uri it a Pri.ce Estimate LABOR REMOVAL 1.00 0,00 0.00 REMOVE ALL OF THE EXISTING MATERIALS IN THE BATHROOM, DISPOSE OF THE OLD MATERIALS. 2X4 9.00 8.89 80.01 USE TO FRAME. IN A NEW SHOWER WALL, MOVE THE NON LOAD BEARING WALL BACK 6", AS PER DRAWING. BOR ELECTRICAL 1.00 639.00 639.00 * * * ESTIMATE ONLY, JOBSITE VISIT BY ELECTRICIAN REQUIRED FOR FINAL PRICING * * * MOVE THE ROUGH IN LOCATIONS FOR THE VANITY LIGHTS, ROUGH IN FOR TWO CAN LIGHTS IN THE MAIN CEILING AND ONE CAN LIGHT/EXHAUST FAN IN THE SHOWER CEILING, REPLACE THE EXISTING SWITCHES, OUTLETS AND COVERS, ELECTRICAL. SUPPLIES 1.00 150.00 150.00 ALLOWANCE FOR ELECT SUPPLIES.. EXHAUST FAN WITH A RECESS WHITE. 1.00 219.95 219.95 CAN LIGHT/EXHAUST FAN, LIGHT FIXTURE 3.00 0,00 0.00 CUSTOMER TO PROVIDE THREE SCONCE LIGHTS TO BE INSTALLED AS PER DRAWING. RECESSED CAN LIGHT WIRING THERMO PROTECTED, RIC 2.00 49.95 99,90 RECESSED CAN LIGHTS, TO BE INSTALLED IN THE CEILING, SEE DRAWING, LABOR PLUMBING 1.00 1,278.00 1,278.00 * * * ESTIMATE ONLY, JOBSITE VISIT BY PLUMBER REQUIRED FOR FINAL PRICING * * * ROUGH IN THE SUPPLIES AND WASTE FOR THE LAV, SHOWER, TUB AND TOILET. TRIM OUT AFTER WALLS AND FLOORS ARE FINISHED, MISC, PLUMBING MATERIALS 1.00 150,00 150.00 KERDI SHOWER -LS, WALL SLOP 55" X 55" 1.00 329.00 329.00 SHOWER PAN. KERDI SHOWER SC CURB 1.00 61.42 61.42 KERDI BONDING FLANGE STAINLESS STEEL 1.00 359.00 359,00 LINE DRAIN 30" INSTALL DRAIN ON THE LEFT END OF THE SHOWER. Job Number: 46497 Quote Date: 50912015 Stylie name Color name Units Price Estimate KERDI TILEABLE GRATE ASSEM STAINLESS STEEL 1.00 184.95 184.95 LINE DRAIN TILEABLE COVER 30" KERDI WATER PROOFING MEMB 54 SQ FT. 1.00 129.95 129.95 KERDI MEMBRANE, TO BE INSTALLED ON THE SHOWER FLOOR AND SEAT. WRAP UP THE WALLS, CEBU 12X24 SILVER MATTE 18,00 3.99 71.82 SHOWER FLOOR TILE. ARDEX X-5 MODIFIED THIN SET GREY 1.00 35.95 35.95 USE THIS NON -MODIFIED MORTAR TO SET THE KERDI LINER IN THE SHOWER BASE AND TO INSTALL THE TILE ONTO THE LINER, GROUT 1.00 25,95 25.95 SHOWER FLOOR GROUT, ALSO USE FOR THE MAIN FLOOR, DELTA VALVE BODY SCREWDRI Not Applicable 1.00 70.45 70.45 ROUGH IN FOR A SHOWER VALVE. ARA DUAL FUNCTION PRESSUR CHROME 1.00 202.00 202.00 SHOWER VALVE TRIM. HARDI BACKER 112" 3X5 SHEET 9.00 19.49 175.41 INSTALL TO THE CEILING AROUND THE SHOWER AREA. LABOR DRYWALL 1.00 539.00 539.00 REPAIR THE WALLS AND CEILING AS NEEDED. BLEND WITH THE EXISTING TEXTURE. CUSTOMER TO PAINT. DRYWALL 3.00 21.95 55.85 CABINETS, MEDALLION 1.00 1,369.00 1,369.00 VANITY CABINETS. TO BE MAPLE, HAZELNUT. MARBLE COUNTER TOP 1.00 1,883.00 1,883.00 FABRICATE AND INSTALL A PIEDRAFINA COUNTERTOP. COLOR - CARRERA, W14" SPLASH, PREP FOR TWO UNDERMOUNT LAVS, EASED EDGE, ALSO INCLUDES A CURB COVER, ARCHER UNDERCOUNTER LAVA WHITE 2.00 157.60 315.20 ARA WIDESPREAD LAV FAUCET CHROME 2.00 332.30 664.60 LAV FAUCETS. FIBRA 12X24 LINEN 108.50 3.99 432.92 TILE FOR SHOWER WALLS, TO THE CEILING. FIBRA 3 X 12 BULLNOSE SPECIFY COLOR 30.00 3.49 104.70 ARDEX X-5 MODIFIED THIN SET GREW 2.00 35.95 71.90 USE THIS MORTAR TO SET THE WALL TILE. GROUT 1.00 25.95 25.95 WALL GROUT COLOR CEBU 12X24 SILVER MATTE 40.00 3.99 159.60 TILE FOR THE FLOOR. USE THE LEFT OVER MORTAR AND GROUT FROM THE SHOWER FLOOR * * * S Job Number: 46497 Quote Date: 51972015 Style name Color name �Jnits Price Estimate CEBU 3X12 BULLNOSE SPECIFY COLOR 28.00 4.49 125,72 COLOR - SILVER MATTE INSTALL AS BASE, TOILET 1.09 0.00 0.00 RE -INSTALL THE EXISTING TOILET AND SEAT, Delta Ar o: Robe Hook Chrome 1.00 40.15 40.15 CHECK WITH CUSTOMER FOR PLACEMENT. ARA TOWEL RING Chrome 1.00 75.19 75.10 TO BE INSTALLED IN THE VANITY AREA, BETWEEN THE MEDICINE CABINETS. ARA PAPER HOLIER Chrome 1.00 52.95 62,95 318" HEAVY GLASS SNR, DOOR 1.00 2,369.00 2,389,00 HEAVY GLASS HINGED SHOWER DOOR WITH AN INLINE PANEL, 80" NIMH, CLEAR GLASS, CHROME METAL. WITH AN 8" STRAIGHT CONCERTO HANDLE AND A 24" CONCERTO TOWEL BAR ON THE FIXED PANEL. LABOR 1.00 4„800.75 4,800.75 INSTALL ALL OF THE ABOVE MATERIALS, UNLESS OTHERWISE NOTED, Product 10,131.40 Sales Tax 0.00 Labor 7,356.75 Total 17,488.95 Payments Received 0.00 ,Balance Due 17,488.15 Any changes from the above involving extra cost of material and/or labor will become an extra charge over the above sum. If the Contract is not paid within 30 days of invoice date customer agrees to pay all collection casts and attorney fees to secure payment, and carrying charges of 1.5% of the unpaid balance per month, which is 18% per annum. Payment terms: 163 deposit„ 163 at start date, 1/3 upon completion. Permits are not included in this Contract unless otherwise specified, It is further agreed that The Firm Shall not be liable for any delays occasioned by elements, strikes, fire, inclemency of weather„ acts of commission of any persons, or other causes beyond the control of The Firm. Accepted by: ♦ i CITY OF WHEAT RIDGE Bung Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE tf~ ~ Inspection Type:' C~ t A i aG~` f~)i Job Address: Permit Number: Ci lt497 ❑ No one available for inspection: Time Re-Inspection required: Yes No *When corrections have been made, call for re-inspection at 303-234-5933 Date: ( Inspector: L(N j DO NOT REMOVE THISi NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: RC) Job Address: aigoc 1 Permit Number: Cq IM 7 ❑ No one available for inspection: Time's AM/PM Re-Inspection required: 6 No *When corrections have been made, call for re-inspection at 303-234-5933 Date: Inspector: ll 'erg DO NOT REMOVE THIS NOTICE ♦ 1~ 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: 6(' 40-T Job Address: ~0 0-) _3 1 0./ Permit Number: G St ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No *When corrections have been made, call for re-inspeection at 303-234-5933 Date /0 f?q Inspector i DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Bung Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOT CE Inspection Type: Job Address: S~ -,z Permit Number: r> ~~TSt p ❑ 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 A Date Inspector: d Gu`___. l i DO NOT REMOVE THIS NOTICE ` INSPECTION NOTICE Inspection Type: ;l'~~ a Fri Job Address:' ,7l r ~J' `,fT Permit Number: 4) I 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 / e ~'nspector: % X . . DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 4 r tvN- Job Address: c iR i 6 Permit Number: C>C1 t l'? f \ 4 No one available for inspection: Tim ' S A /PM le-Inspection required. Yes No When corrections have been made, call for re-inspection at 303-2345933 Date: Inspector: 1 DO NOT REMOVETHIS N TICE " ' City of Wheat Ridge _r- Residential Roofing PERMIT - 093487 PERMIT NO: -..093487.. ' ISSUED:: 10/20/2009 JOB ADDRESS.:: 9890 W.34TH DR SEXPIRES: 04/18/2010 DESCRIPTION: Reroof 16 sqs and replace 4 sqs of siding CONTACTS owner 720./839-4570 David Mashburn sub 303/789-4258 Terry Shadwick 02-2325 B1uSky Restoration **:PARCEL 'INFO ZONE CODE: UA °USE: UA SUBDIVISION:" 0740 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 6,370.07 FEES Permit Fee 181. 10 7,4 12 a Total Valuation 1 .00 Use Tax 114.66 U~ rf~J i TOTAL 295.76r Conditions: 6 nail installation & mid-roof inspection required. Board sheathing spaced more thanes 1/2 of an inch apart requires plywood overlay on entire roof. Ice and water shield required from save edge to 2'.inside :exterior `walls. k**Contractor/Property owner shall provideladder(s) secured in place for'. inpsections..' Subject to field inspection. I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate. applicable ordinances, rules. or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record;`. that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat 'Ridge: Building Code ((I.B C)and'all other applicable Wheat Ridge Ord' ance for work under this permit. Plans subject to field inspection. /o a / o Signatu of contractor/owner dat This permit was issued in accordance with the provisions :set forth in your application and is subject to the laws of the. State of Colorado and to the Zoning? Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the city. This permit shall expire 180 days from the issue date. Reouests for an exreneion mnar n.,'. o..e,,,va . ding Official date ST LINE: (303)234-5933 BUILDING: OFFICE: :(303)235 2855 MADE 13Y 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING I: BUSINESS DAY. From: 10/1912009 16:05 #728 P.0021002 of City of Wheat Ridge Building Division Date. `Q 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855. * Fax: 303-235-2857 Plan #r o oo . Inspection Line: 303-234-5933 Permit M. Building Permit Application Property a ldr SS. ; 11310 W. 3q-9, Or- t jd.e,c,- -'Jy , tJ v Y. 33 Property owner {pleaseprint): ifly,-J /t7o,A&,,,-,.,, Phone: -2:10 -8,3q- 4/970 Mailing Address: (if different than property address) Address: City, State, Zip: C;dmactor: d S7kj KeS~~cohU~t Contractor License#: Q'aa3c1-S Phone: 3~~"~~'~' ya ct3 0011Ga fiat t'g Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Re -40-crl° 40 tk,'~. Construction Value: $ 63')0.07 DBSCpttOf111(DEf C (as calculated per the Building Valuation Data shest) Rum - Oznw-h anc l lu ~k .n M m~ . j"'~ f ' Plan Review (due at time of submittal): $ Jafi - ivs r~ I6 •T*._k pcw... mor<, p,•~ ti• ~i: id ~,I Sq. Ft/LFtadded: Squares BTU's Gallons Amps 1)s clc rcd1/`'~ iCTOR SIGNATURE OF UNDERSTANDH at the setback distances proposed by this s of the City of Wheat Ridge or covenant are accurate; that I have read and agree t _ompliance with the Wheat Ridge Building CIRLCE ONE: (OWNER) C,O/NTRACTOR or PERSONAL REF PRINT NAME: MaAo-n iicAs SIGNATURE: tion aie accurate, and do not violate applicable ordinances or restrictions of record; that all measurements shown, aml conditions printed on this application and that I assume full and all other applicable Wheat Ridge Ordinances, for work tol9D 'r CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office ` (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: 054.2 s2wP>r'' Job Address/Permit Number: 707V ~ Te/7w 9A, ❑ No one available for inspection: Time AM/PM Re-Inspection required: "Yes(!~'>_ When corrections have been made, call for re-inspection at 303-234-5933 Date: 5P Inspector DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE r Building Inspection Division (303) 234-5933 Inspection line (303).235-2855 Office - (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: nn c Job Address/Permit Number Gv'' P~ h ❑ No one available for inspection: Time lR°r(t") AM PM Re-Inspection required: Yes No When corrections have been made, call fore-i spection at 303- . 4-5933 :t4 rv ~ 9 ~ .a Date: 9-t~ ?~'t Inspector. DO NOT REMOVE THIS NOTICE 1 City of Wheat Ridge Building Division Date. Q` ACC C °m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Plan ~O oena° Inspection Line: 303-234-5933 permit#. Building Permit Application PrirpertyAllre_s,',s q8q D` [v 3"1 Property Owner (p/ease print): 6 A U l b )M A S M 8 0 k ti Phone: 3 0 3 •y SS - (o t T2- Mailing Address: (if different than property address) Address: Cj 9 y W 3 y City, State, Zip: 0 14. k Qc L, G, 8 O O; 7 Contractor: d CtlYVY~.n T Contractor License 0 2' - 0 3 '1 Phone: d a 3- y G Z- 37 y r ig C fi Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $ to Soo (as calculated per the Building Valuation Data sheet) °`eSCrlptf0ll~f~e' e ~YArw~ j d D L A434. Plan Review (due at time of submittal): $ tam, a e.t, .1 .X C.t! I ° t Sq. Ft./L. Ft added: Squares BTU's Gallons Amps I OWNERMONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINTNAME: /-AX6V FAJJVJ4 AJN SIGNATURE: Ja" AC4,;.4O.t.P Date: S•5-09 ~ i r,~~ r`lf~~ y' ~~fv' ' r r~Gli'~ J f ~ C ` ~ _ And / Or ~ ~~omplia nucx- City of Wheat Ridge 7500 W. 29`h Avenue Wheat RidBe, Coloresdo 80033 THIS CERTIFICATE VERIFIES THAT THE PROPERTY DESCRIBED BELOW, DOES COMPLY WITH THE WI-IF-AT RIDGE BUILDING CODE, ZONING AND OTHER RELATED I.AND USE AND DEVELOPMENT LAWS OF THE CITY OF WHEAT IZIDGE FOR THE FOLLOWING PURPOSE. PERMIT #17449 Resiclential Reynodel - Beclroom Date: 4IZQ120(14 Ownez^: T)avid Mcachhr.trn Otnnev'Address: 9890 W.34'~ 1)rirory Wha_ .at Ridae, (',n 80033 ProjiertyAdctress: Crymv Contractor: Homemarner A, ContrcutorAddress: Same ~ ChiefBuilcling Of~'icicsk Zoning Administrator. l~ i ~ ~ ~ ~ M O M ~ o C:)~ (L) ~ N U-) Q p~ M ~ 0 0 N UN a ~ a) M 0) o J O ~ Co ~ _ W ~ ~ ~ ~ to ~ ~ C : Z ~ +d+ U 'y _ c m 0 ~ d ~ ~ O ~ ~ ti .a N o ~ a U) N •L (D U) y L ~ co m 'a o y i d d c ~ 3 Y O R ` ~ ~ o ~ ~ NI .3 y O c Zt 0 e+ . V y Q ~ O- O N 'o c c C QC: a 00 mOU m ~ O W U) U ~ O ~ (D o Z ~ m Z a ¢ ~ ? Z LL W a Q Cl) Q d EL a O J Q J z Q C~ o (/3 a r a a U) D ~ W a ~ O o W a ~ z c ~ o (n O U ~ C Z F- U .t-. L ~ - W O C U ~ C 0 LL Z h ` U) Z O !P ca p 0) p o ~ a N m tn Z ~ o E - C (6 a) LL Li tn ~ 3: ~ i' ~ ~ ~ 0 LL m LLI w ~ p~ G `0 W ~ O C z O ~ q> E > m U W a S ~ i m U > U) m V U w p~ ~ E a C 'E- a m (6 U m U ~ ` m L m 'o L ~ 'o ~ ~ L m 'o w T I W Q ix . ~ N C ~ o ~ ~ . C ~ (p ' 0 c ~ V m d ti ui O U ~ z 0 W Z r z " i O ' - - 0 0 0 W h ~ . ~ ' ~ C LL o ~ ~ q C ~ V N v ~ * lII ~ C ad ~ Q ~ J z ~ N 4 ~ Lc ~ u= ' a ~ aN LL 0 a LL ~ W U LLj J CO) F- - Z y 0 U w Z F" Q a ~ V ap O z Z 'a U U O w W _ W w ~ m LL ~ U ~ H w ~L COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 17449 BUILDING INSPECTION LINE -(303-234-5933) Date : 7/29/2004 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: DAVID MASHBURN Property Address : 9890 W 34TH DR Contractor License No. : Phone : 455-6182 Company : ' Phone : OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applirable 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 acwrate; 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 ordina for work under this permit. (OWNER)(CONTRACTOR)SIGNED ~ ~ DATE~~1~ ~ Construction Value : $3,000.00 Permit Fee : $108.30 Plan Review Fee : $0.00 Use Tax : $60.00 Total: $168.30 Use: M Description : DEMO SECOND KIT. / REMODEL AS BEDROOM. UPGRADE ELECTRICAL BUILDING DEPARTMENT USE ONLY ~ : „nmg~Gom,ments: SIC: Sq. Ft. Approval : Zoning : Approval : @up: _i~l~s~~inents Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : 18709 Plumbing License No : Mechanical License No : Company :Applied Electric, Inc. Company : Company : Expiration Date : 2/28/2005 Approval : OK/KS Expiration Date : Expiration Date : Approval : Approval : (1) This pertnit was issued in accordance with the provisions sel foAh in yopur application and is subject to the laws of the State of Colorado and to ihe Zoning Regulations and Building Code of Whea[ Ridge, Colo2do or any other applicable ordinances of the Ciry. (2) This pertnit shall expire if (A) the work authorized is not commenced within sixry (80) days from issue date or (e) the building authonzed is suspended or abandoned for a period of 120 days. (3) If this permil expires, a new permit may be acquired for a fee of one-half ihe amount nortnally 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 (t) 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 drainage problem. (5) Coniractor shall notifythe Building Inspectorhventy-four (24) hours in advance for all inspections and shall receive written approval on inspeclion card before proceediing with successive phases of ihe job. (6) The issuance of a permit or the approval of drewings and specifications shall not be construed to be a pertnit for, nor an approval of, any violation of the provisions ildino codes~oran er oMinance, law, rule or regulatioa r ~ Chief ding I p r Please sign Terms and Conditions on reverse side of page. COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number. oF w"E9r ~ BUILDING INSPECTION LINE • 303-234-5933 Date: _ a CITY OF WHEAT RIDGE " ^ 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) c~~ORP~~ APPLICATION PropertyOwner: I~AWD MAS*VR-VJ PropertyAddress: 0115q0 yV,Sqti,`Hft, Phone: Contractor License No.: ConVany: NiA Phone:u'W OWNER/CON7RACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiTy that the setback distances proposed by this permit appiicaGOn 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 a9ree to abide by all conditlons printed on this applicatlon and that I assume full responsibility for compliance wifh the Wheat Ridge Building Code (U.B.C) and all other applirable Wheat Ridge Ordinances, forwork under this perrr~d. (owNER)(coNrRncroa7: )nstruction Value:$ -A073 Permit Fee:$ Plan Review Fee:$ TTe . Tax'P+ Total:$ Description: DE►Itio 5EG0WD Il-IT, I (LEWIODGL- Q6 BFDr+OO(M 1500. UP4RAn~ ~-E~'l'z6U~- CSErLV~~L. ~500. Sq.Ft.added 0 Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval: (1) This permitwas issued in accordance witti the provisions set forth in yuur appliption and is subject to the laws of the State of Colomdo and to the Zoning Regulations and Building Codes of Wheat Ridge, Colowdo or any other applicable ordinances of the Ciry. (2) This pertnit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue dale or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this permft expires, a new pertnit may be acquired for a fee of one-haif the amount normaliy required. provided no changes have been orwill be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) yeau If changes have been or if suspension or abantlonment exceeds one (1) year, tull fees shall be paid for a new permit (4) No work of any manner shail be done lliat will change the natural flow of water causing a drainage problem. (5) Contrac[or shall notify ttie Bailding Inspector iwenty-four (24) hours in advance tor all inspections and shall receive written approval on inspection card betore proceeding with succeuive phases of the 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 approvai of, any viola6on of the provisions of the building codes or any other ordinance, law, rule or regula6on. Chief Building Official Electrical License No: Plumbing license No: Mechanical License No: Company:RPr,Io GL~mIG Company: Company: a P :g~r-,m, q ~ ~ ~ ~C) $Q ~ O y 77- ~ m ~ Q ~ m C a ~y 42 v ~ d 3 A w ~ ~ ~ ~I A n; . 3•.q* 6•.p• 4.1. N V= N Z ~ r • I ~ v I ° Ap 3 ~ I s ~o 00 6 ❑ REF ~ ~ C oC-1 DF ~ o wo m ; p ~ ~ m G' ~ 0 Z c T 3'-0' Z -4 9 fq9; F i2 my y 0 C~; W m 0 ~OI N ~ < n \ k { ~ > ~ '.I COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 17774 BUILDING INSPECTION LINE -(303-234-5933) Date : 6/3/2004 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: BECKY WEIBE Property Address : 9890 34TH DR. Contractor License No. : 21170 Phone : Company : Bear Brothers Roofing Phone : 422-2725 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 agreeto abide by all conditions printed on this application, and that I assume full responsibilily for compliance with the Wheat Ridge Buildin9 Code (U.B.C.) and all other applicable W heat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNE5Ia,r.N 2~~DATE 6"3 °7 Construction Value : $2,700.00 Permit Fee : $108.30 Plan Review Fee : $0.00 Use Tax : $32.40 Total: $140.70 Use : Description : TEAR OFF 2 LAYERS ROOFING, REPLACE NEW MODIFIED ROOFING BUILDING DEPARTMENT USE ONLY Zoning Gommgnts~ SIC : Sq. Ft. : Approval : Zoning t Su' clin Comm n :k Approval : ubiic Work Comments~- ~ Approval: Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : (1) This pertnitwas 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 Ciry. (2) This permit shall expire if (A) the work authorized is not commenced within siuty (60) days from issue date or (B) ihe 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 amouni normally required, provided no changes have been or will be made in lhe 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, fuli fees shall be paid for a new permit (4) No work of any manner shall be done that will change the natural Flow of water causing a drainage pmblem. . (5) Contrector shall notify the Building Inspector rivenry-four (24) hours in advance for ail inspections and shall receive written approval on inspection card before proceediingvt essive eesc 'ob. (6) . The is ua~i er the approval of ings and specifcations shall not be construed to be a pertnit for, nor an approval of, anyviolation of the . . pr s g~o r ordinance, law, rule or regulation. _ Chief Building Inspector Please sign Terms and Conditions on reverse side of page. CITY OF WHEAT RIDGE, COLORADO COMMUNITY DEVELOPMENT DEPARTMENT BUILDWG INSPECTION DIVISI9N 7500 W. 29TH'AVE., 80033 -(303) 235 2855 Contractor's License Company: Bear Brothers Roofing CityLic: 21170 Address: 1528 TELLER STREET Phone:422-2725 City: LAKEWOOD State: CO Zip: 80214 Type of License: Building Contractor - specialized Note: Fax . 274-2151 Date Issued : 6/3/2004 Expiration Date : 6/3/2005 CHIEF BUILDING INSPECTOR (BearBrotkers gZpofing 1528 TEGGEI2,S`r12,`EE`I LAXEZVOOD, CO 80214 e m ~ e ~ APPLICATION FOR BUILDING CONTRACTORS LICENSE City of Wheat Ridge 7500 W 29th Avenue Wheat Ridge, CO 80033 License # Expires: The undersigned affirms that he/she is familiar with the ordinances and regulations of the City of Wheat Ridge relative to buiiding & construction within the City and shall at all times perform in compliance with same as a contractor under the class of license hereby applied for: Lic. Class/Description Fee Lic. Class/Description Fee Class 1- Unlimited $150.00 Class 6- Structure Moving $ 75.00 Class 2- Limited $125.00 Class 7- Demolition $ 75.00 ( ) Class 3 - Residential $100.00 ( ) Class 8 - Plumbing $100.00 ( ) Class 4 - $ 75.00 ( ) Class 9 - Mechanical $100.00 Non-habitable buildings and structures Carport Class 10 - Electrical Signal Private detached garage (systems less than 48-volts) $ 75.00 Storage shed Swimming pools O Class 11 - Sign $ 75.00 Fences Siding O Class 12- Fire Protection $ 75.00 Fascia Soffit O Class 13 - Lawn Sprinkler $ 75.00 Patio covers Glazing / Windows (installation and replacement) Class 14 - Roofing $ 75.00 Framing Drywall Masonry (none structural veneer only) Elevator systems ( ) Class 5 - Homeowner $ 75.00 BUSINESSNAME OWNERSNAMEGACZ!4 IhEe:~-O-vtc ADDRESS 15_2-8 Te lle2 CITY L~~ ewao o STATE J-f) ZIP ga 2 cq PHONE 7~3- L(22-Z')ZS~ FAX 30.3 ZIS/ REFERENCES (3 other Municipal/County Licenses): FIV_95 PE,1At1'_' 't~f~l6.UA ( Lic ((vqDb "Please provide copies of licenses. ID CnV u P 2 Lic 2 31 y0 b 'Please provide a copv of Insurance. rl~' o I d e.,.i Lic 1~n 3 9 BY Chief Building Official Insurance Requirements: Comprehensive General Liability Insurance, occurrence based policy, with a limit of not less than $1 miliion per occurrence /$2 million aggregate combined single limit bodily injury/property damage (including products and completed coverage). The City of Wheat Ridge must be listed as the Certificate holder. (Please provide a copy at time of license submittal.) License Ciassification. (a) The various classes of licenses issued under this article and the work authorized to be perFormed by the holder of the license are as follows: (1) Building Contrector - Class 1, shall be authorized to perform the following: unlimited building, altering, adding to the structural portions of any building, structure or portion thereof of any type, including all concrete, structural steel and iron, and the demolition of all or any part of a building or structure on a site on which he will build new construction, remodel, alter or repair an existing building or structure. (2) Building Contractor - Class 2, shall be limited to Type III, IV or V buildings not exceeding three (3) stories and not used for Educational, Institutional or Hazardous occupancies as defined by the building code. (3) Residential 8uilding Contractor - Class B, shall be limited to one and two family dwellings and multiple single-family (townhouse) residential structures not exceeding three (3) stories. (4) Building Contractor - Class 4, shall be authorized to perform the following, Non-habitable buildings and structures Carport Private detached garage Storage shed Swimming pools Roofing Fences Siding Fascia Soffit Patio covers Glazing / Windows (installation, replacement and repair) Framing Drywall Masonry (none structural veneer only) Elevator systems (5) Home Owner Building Contractor - Class 5, shall be issued to an individual who desires to perform work involving construction, alterations or additions inciuding plumbing, electricai and mechanical alterations of a single-family dwelling owned and resided in by that individual. , PIKES PEAK REGIONAL BUILDING DEPARTMENT THIS IS TO CEFTIFY 7HAT gEAR BROTHERS ROOFING, LLC. (16406) IS A LICENSED BVILDING D 1 ROOFING Examinee: Gary Theriaque Expires: 30-nov-2004 aaFSENTEDWh€KAPPLVING~H A~"~IT HI ~+RQ ~NSL iT ~ . n . Jun 03 04 08:27a Hear Brothers Roofing 303 274 2151 p.l ACORD CERTIF~CATE OF Ll ~BtL ITY iNSt1RA~I~ :E `"°L°°N"'~ ' , ^wOMW+ (739) 593-0647 HU( (719) 543-Q657 s osrza/z ooa 7Hl6 CERTIFlCn7E IS [ssi1ED As A tw.TTER oF INFOrtkipTlON Co Mest Insurance GrcuA ONLYANDGONFERSNORIGHTgUPONTHECERiiF1CATE Cotlest nf SoceThera G;.7orada HOLDER TNIS CERTIFICATE qOE6 NOTAMEHD, EXTENOOR - 213 AL7ER 7HE COVER.4GE AFFOROEU 6Y THE Pd.ICtES BEL6W. 0 Vitkers Dr, Colorado Springs, CO 80918 INSURcRSAFFORwrtG COvERAGE ryq1C4 I~o 9ear t ers oo ng insuRRta: Nigh Cauntry insurance lqgrs_ 1528 Te17er Street t k C wmamsp~nrtaco7 Assarance ;fiw a ewood, O 80214 WSunffillc. u.suaLv o: - ltBVqERE ^ n~aw M~E ua'1ED eE40NMAVE BEEN 155UED 707HE IN6URE0 NNh1ED ABOVE FOR tffE PQLICY PERIOp INDICATEO NDPMTHSTANDNC ANYR . EQIHREMENT.TF17M170R COMRCN OFANY CONTRAGT OR OfHER OOCUMENT WRH FgBPECTTG wHiCi 7}il5 GERrIFICq7E NAY BE 16 5uFn OR MAYP ERTNPI THE 3NSURANCE AFFOROEO HY iHE ppl(qESDESCR18E0 HEREIN I$ 3UBJEGTTO ALLiHC TERINS EXCLIISIONSANO CANDRIONS OF SUCM POLIG ES AGGREGATE LpAIiSSHOWNMqY HAVE BEEN REDUCEO BY PND CI,AIMS. , IN! T/PEOrNlWtLNGE POLICYNUMBFR POtlG'/LTrECINE YEXP.~^ 4Yi'S 4/YY. °E"~U~ITM 18954 10/13/2004 10/13/<JOS. e~ occunrsE.,~ s i,ooo O0o JC GwAYERCIAlGENHtAlLN&LT' ONMCETOP iM 3 SO OOO 4ANWMaDE m OC0.x MEDExPfMrvnTw^1 S EMClud! A amsx~a~snovwJUa+' f 1,000.00 ae+etn~.wcr~on~ s ~ 000 aeen~rureLosr.waL~svEa: . eaon~crs-ca.w~onscc s 2,ppp ~c Jr lOC AV TCRWBC! LIAB6RV . CJNd'N MSIYGLELM9i' MIYAlRD I~+ ~q wLLQVNEDAVi99 SCMEOI1tFpAU1CS BOOILYINIURY rywpemn) s MWEDAUIOb . BOqlY?iulVliY ' S NON-0WNZD.W10.5 lP.rm- danU Zpvy J~~ ~ t tlm[ afci eawe ueeunv AUfOIXiLY-EAACCqENi 5 ANTAIRD . EAACG OriIER nwN S AUTOONLY: AGO S EXCFdSNMBR61p[Y8LLlTV ERRFUCQ10.0.B1CE I S OGCUR ~ CWMSNqOE GG A RECATE S S omuCflBtE I j REIFNIIaN S = wnnK USCWeautaxans . 400980 06/Ol/2004 061011200e n. on~. aevt orms•uarrv g uwx OFIC rorraE+owv~wrnex~,vrne QL E A °L.EACN~CC~D=NT s 100,00 M 516E IXCLUOED9 E.iugnsE•NFRw1DY 5 10.00 9aH.~ hLaRD4mGG➢alox Eld5EA5E- POLiLYIB.IR S S~ O Dilil! CCSCRIPTION W OPERAfIGN6110CATIW:SiYEMClE9/OIGWNONSADDEU 8T E6DCRSCtlENT (SPECIAL PROYISqxs SI0ItlO6YY Cf iN! AB~~E6.^.~TIlmPOLItlE3 eE CANCELLED OEiORCTME Glf%RASION DATE TKEREpF.TME143111N0INSUREP W6L ENpCM1V.^.RN YpL IO ppyyWR~7Q~,ypnC~TOTHECERrtPCATEMA.ORNAEtr~TOMELEFT. BUTFMVRE 20AN11~SYGtI NOTICE~YY.L 6@OSE HOOOLM4TOX Oq t111B147Y Nanad Iesured's Fi]e ACOR02E (2009106) 61ACORD CORPORATION 1988 r 6- 3- 0 COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number: of wneqTP gUILDING INSPECTION LINE - 303-234-5933 Date: ~ o CITY OF WHEAT RIDGE " 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) ~°~°Rp°° APPLICATION Property Owner: i jUj [C- g E PropertyAddress: OZg<jp lu.3ZFI'A t)7- G+•~2- Phone: Contractor License No.: Z 117 0 Company: ~ Phone: 3og- y 2Z- ZZ Z S- ~Et~z3u_o~~~zs OWNER/CONTR4CTOR SIGNATURE OF UNDERSTANOING 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 resUic6ons of record; that all measurements shown, and alle9ations 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 wilh the Wheat Ridge Building Code (U.B.C) and all other applicable W heat Ridge Ordinances, for work under this permit. Construction Value:$ z -7o 0 Permit Fee:$ Plan Review Fee:$ ilse Tax•S TOt81:$ (OWNER)(CONTRACTOR):PRINTED CJA i.( ~R~AC~l4.E Oescription: 2LA y1eP-S oc i'ha ~ c~« d nt~w M 0e d ,I,C~ 0A-s?p e-Zx_ Sq.Ft.added RcPfAce $ Expiration Date: Expiration Date: Expiration Date: Approval: Approvai: Approval: (1) This permii was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or anyother applicable ordinances of the Ciry. (2) This pertnit shall ezpire if (A) the work authorized is not commenced wiNin si>ty (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 orwill be made in the oriqinal plans and specifications and any suspension or abandonment has not exceeded one (1)year. If changes have been or if suspension or abandonment ezceeds one (1) year, full fees shall be paid fora new pertnit. (4) No work of any manner shall be done fhat will change the naNral flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector hventy-four (24) hours in advance for ail inspections and shali receive written approval on inspec6on card before proceeding with successive phases of the job. (6) The issuance of a permit or the approval of drawings and specificalions shall not be consWed to be a permit for, nor an approval of, any vioiation of the provisions of the building codes or any other ordinance, law, rule or re9ulation. Chief Building Official Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: