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HomeMy WebLinkAbout5640 W 28th Avenuei CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: (---- Job Address: 2G %7+-./ Permit Number: ❑ No one available for inspection: Tim /PM Re -Inspection required: Yes(s) When corrections have been made,sc ule for re -inspection online at: httpYAvww.ci.wheatridge.co.u�nspecti n Date: • spector: i CITY OF WHEAT RIDGE Building InspectionDivision (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: V r L, Job Address: ,-E— Permit Number: (=. v L r ❑ No one available for inspection: Tim AMyo M Re -Inspection require< No When corrections have been ma4alorrdo4ction at 303-234-5933 Date: Insp DO NOT REMOVE THIS NOTICE **REVISION: Downsize system to 9 panels; New size is 2.745 kw; no added valuation *** CONTACTS *** OWNER (303)447-4069 RAMARIZ ELISEO AND RUBIO SUB (720)255-7342 MARK MONTOYA 190076 FREEDOM FOREVER COLORADO LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 23,500.00 FEES Total Valuation 0.00 Residential Solar 500.00 ** TOTAL ** 500.00 *** COMMENTS *** *** CONDITIONS *** Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 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 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 ennrt. 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 the permit application and accompanying Flaps 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 any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or„any ordinance or, regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge Residential Solar PERMIT - 201901594 PERMIT NO: 201901594 ISSUED: 08/05/2019 JOB ADDRESS: 5640 W 28th Ave EXPIRES: 08/04/2020 JOB DESCRIPTION: Residential solar, installing 6.100 kW grid tied, roof flush mounted solar PV system. **REVISION: Downsize system to 9 panels; New size is 2.745 kw; no added valuation *** CONTACTS *** OWNER (303)447-4069 RAMARIZ ELISEO AND RUBIO SUB (720)255-7342 MARK MONTOYA 190076 FREEDOM FOREVER COLORADO LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 23,500.00 FEES Total Valuation 0.00 Residential Solar 500.00 ** TOTAL ** 500.00 *** COMMENTS *** *** CONDITIONS *** Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 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 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 ennrt. 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 the permit application and accompanying Flaps 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 any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or„any ordinance or, regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. I FOR OFFICE USE ONLY I = City of Date: W heat ,dge COMMUNITY DEVELOPMENT Add to Permit #�� Building& Inspection Services Division C 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm itsCcDci.wheatridge.co.us Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 5640 W 28th Ave, Lakewood, CO 80214 Property Owner (please print): Ramirez, Eliseo & Rubio, Maria Phone:(720) 447-4069 Property Owner Email: ramelieseo8517@yahoo.com Mailing Address: (if different than property address) Address: City, State, Zip: Submitting Company: Freedom Forever Colorado, LLC. Contact Person: Jeremy Burks Phone: 720-936-9460 Contractor: Freedom Forever Colorado, LLC. Contractors City License #: 190076 Phone: 720-936-9460 Contractor E-mail Address: jburks@freedomforever.com Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: Revisions indicating system downsize to nine panels. New system size is 2.745 kW. Sq. FULF Amps Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) $ No additional project value OWNER/CONTRACTOR SIGNATt'RE OF t'NDERSTANDING AND AGREENIENT 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 l am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) CONTRACTO or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: Jeremy Burks ZONING COMMMENTS Reviewer I ING DEPARTMENT COMMENTS i wer PUBLIC WORKS COMMENTS Reviewer: Digitally s9— by Jeremy Burks SIGNATI. RE: Dale Wig 08 26 12 40 37 -0 W' DATE: 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: $ PHOTOVOLTAIC SYSTEM PV SYSTEM SUMMARY: 2.745 KW CITY NOTES: SITE LOCATION AND HOUSE AERIAL VIEW PV -2 SITE PLAN PV -2A ROOF PLAN WITH MODULES LAYOUT PV -3 ELECTRICAL LINE DIAGRAM SITE LOCATION: ROOF MOUNTING DETAILS, ELEC. CALCULATION & MATERIAL LIST ROOF MOUNT RESIDENTIAL PHOTOVOLTAIC SYSTEM THIS PROJECT COMPLIES WITH THE FOLLOWING: OPTIMIZER CHART SYSTEM SIZE (DC) STC: 9 X 305= 2745W DC 2012 INTERNATIONAL BUILDING CODE 2012 INTERNATIONAL MECHANICAL CODE SYSTEM SIZE (AC) 380OW @ 240VAC 2012 INTERNATIONAL PLUMBING CODE MODULES 9 X HANWHA Q -CELL. Q PEAK -G4.1 305, 305W 2012 INTERNATIONAL ENERGY CONSERVATION CODE 2012 INTERNATIONAL RESIDENTIAL CODE 0 MODULES 2012 INTERNATIONAL FIRE CODE INVERTER SOLAR EDGE SE380OH-US [S11] 2012 INTERNATIONAL FUEL GAS CODE W 281h Ave 2017 NATIONAL ELECTRICAL CODE m 5640 W8 th Avenue ROOF COMPOSITION SHINGLE 2012 INTERNATIONAL PROPERTY MAINTENANCE CODE �- D trio TILT 18° PITCH AS ADOPTED BY CITY OF WHEAT RIDGE AZIMUTH 270° MODULES SHALL BE TESTED, LISTED AND INDENTIFIED WITH FIRE CLASSIFICATION IN ACCORDANCE WITH UL 1703. THE FIRE CLASSIFICATION SHALL COMPLY WITH TABLE RAFTER/TRUSS SIZE 2" X 4" TRUSSES @ 24" O.0 1505.10F THE INTERNATIONAL BUILDING CODE BASED ON THE TYPE OF CONSTRUCTION OF THE BUILDING. IRC SECTION R902.4 Ave lth Ave UNIRAC SUNFRAME MICRORAIL (SFM) ROOF SMOKE AND CARBON MONOXIDE ALARMS ARE REQUIRED PER IRC SECTION R314 AND ATTACHMENT TYPE ATTACHMENTS & SFM MICRORAIL 315 TO BE VERIFIED AND INSPECTED BY INSPECTOR IN THE FIELD. MAIN SERVICE PANEL EXISTING 200 AMPS MSP WITH 150 AMPS MAIN BREAKER ON END FEED INSTALLATION NOTES: SITE LOCATION INTERCONNECTION : PV BREAKER TIED INTO MSP OCPD RATING : 20 AMPS STRINGING 2 STRING WITH 10 MODULES IN SERIES IN EACH STRING THE PV BREAKER SHALL NOT EXCEED 120% OF THE ALLOWABLE BACK FEED OF THE MAIN SERVICE BUSS RATING. PV WIRE SHALL BE USED ON DC RUNS FOR UNGROUNDED/TRANSFORMERLESS INVERTERS. O_ UTILITY : XCEL ENERGY ' INSTALL CREW TO VERIFY ROOF STRUCTURE PRIOR TO COMMENCING WORK. TABLE OF CONTENTS PV -1 SITE LOCATION AND HOUSE AERIAL VIEW PV -2 SITE PLAN PV -2A ROOF PLAN WITH MODULES LAYOUT PV -3 ELECTRICAL LINE DIAGRAM PV -4 ROOF MOUNTING DETAILS, ELEC. CALCULATION & MATERIAL LIST PV -5 LABELS PV -6 OPTIMIZER CHART EMT CONDUITS ARE ATTACHED TO THE ROOF USING PRESSR kWIOD IN CASE OF COMPOSITE ROOF OR COUNDUIT HANGERS IN CASE OF COMMUNtTy Dmwpm 4T APPROVED Reviewed for Code Compliance Plans F 'mar Dat! 6idityofpe'Met 7h.nsuanre ofo prrmitW OpprOVaa ofDlans sprajK.ofialY on J u: °•; ✓runs :half not be o permit fur, or an awrorol of, any violation to onv cl r�r P,'( —,Ons of the balking code or of ony City ordieancm Pennies Presuming to give ourhorlry to viable of Come, Me pnw6jam .1 the lk W.V codes or other ordinonces of the City droll not be valid. HOUSE AERIAL VIEW: I MODULE LOCATION Ei°,1-,10,11-1°'N° CLIENT REVISIONS: TITLE: SHEET: ® freedom C-10#1029644 RAMIREZ, ELISEO & RUBIO, MARIA DESCRIPTION DATE REVISION DATE: 07/26/2019 5640 W 28TH AVE, AHJ CORRECTION 7/30/19 1 DESIGN GREG SITE LOCATION AND FREEDOM FOREVER LLC LAKEWOOD, CO 80214 BY PV -1 (720) 447-4069 HOUSE AERIAL VIEW 43445 Business Park Dr Suite 110, Temecula, CA 92590 Job No.: FS -07-270 Tel: (800) 385-1075 ROOF AREA: 1590.67 SQ FT SNOW LOAD: 30 PSF WIND SPEED: 105 MPH EXPOSURE:C (N) 9 HANWHA Q -CELL. Q PEAK -G4.1 305, 305W MODULES PROPERTY LINE W 28TH AVE 52'-8" 48'-9" — — 52'-8" — — (E) MAIN SERVICE PANEL ROOF LINE ow of whew Ridge vAdi09 Division SITE PLAN 1 SCALE: 1/16"= 1'-0" EI -11-1 C-1 1., No CLIENT: REVISIONS: TITLE: SHEET: C-10#1029644 DATE: 07/26/2019 freedom RAMIREZ, ELISEO & RUBIO, MARIA DESCRIPTION DATE REVISION n 5640 W 28TH AVE, AHJ CORRECTION 7/30/19 1 DESIGN FREEDOM FOREVER LLC LAKEWOOD, CO 80214 BY GREG SITE PLAN PV -2 43445 Business Park Dr Suite 110, Temecula, CA 92590 (720) 447-4069 Tel: (800) 385-1075 JOB NO.: FS -07-270 NOTE: O EMT CONDUIT SUPPORTED BY PIPE HANGERS 12" TO 18" AWAY FROM ROOF EDGE O ATTACH CLAMP AT 25% FROM EDGE AND 50% FROM CENTER OF MODULES 3� JUNCTION BOX MOUNTED TO THE RAIL LEGEND: ® CHIMNEY O PIPE VENT SNOW LOAD: 30 PSF WIND SPEED: 105 MPH EXPOSURE:C (N) 9 HANWHA Q -CELL. Q PEAK -G4.1 305, 305W MODULES FIRE ACCESS PATHWAYS 4 Eie,n,,ai N° CLIENT: C-10#1029644 freedom f O E V E R FREEDOM FOREVER LLC 43445 Business Park Dr Suite 110, Temecula, CA 92590 Tel: (800) 385-1075 RAMIREZ, ELISEO & RUBIO, MARIA 5640 W 28TH AVE, LAKEWOOD, CO 80214 (720) 447-4069 ROOF AREA STATEMENT MOQDTYES ROOF PITCH AZIMUTH ROOF AREA ARRAY AREA 1 9 18° 270° 725.11 SQ FT 163 SQ FT (UNCTION BOX 0 (N) SOLAR EDGE SE380OH-US [S11] INVERTER (N) AC DISCONNECT (N) PRODUCTION METER (N) 3/4" OR LARGER EMTG) CONDUIT (E) MAIN SERVICE PANEL ROOF PLAN WITH MC SCALE: 1/8" = V-0" REVISIONS DESCRIPTION DATE REVISION DATE: 07/26/2019 AHJ CORRECTION 7/30/19 1 DESIGN BY: GREG JOB NO.: FS -07-270 oty 01 WheOt Ridge on mail in9� LES LAYOUT TITLE: ROOF PLAN WITH MODULES LAYOUT SHEET: PV -2A i Max. OCPD: (200A Bus) ' (1.2) = 240A Max Rating (120% of Bus) PV Backfeed (20A) + Main Breaker (150A) = (170A 5 240A) See 705.12 (B)(2)(3)(b) of 2017 NEC TOTAL DC kW: 2.7 kW TOTAL AC kW: 3.8 kW UTILITY INTERACTIVE PV SYSTEM SOLAREDGE P320 POWER OPTIMIZERS 4 - #10 AWG, THWN-2 1 - #8 EGC, THWN-2 IN 3/4" OR LARGER EMT CONDUIT - #6 AWG IN FREE AIR OR #8 AWG MUST BE IN EMT CONDUIT General Notes: JU BOX ----- —----- --- -- )---t�_ — — — _� :fz" (E) 150A / 2P MAIN BREAKER (END FED) (N) STEEL PRODUCTION METER, 1 20/240V 3 -WIRE, IN COMPLIANCE WITH SECTION 4.11 OF THE XCEL ENERGY STANDARD TO OTHER 4.14.4_ XCEL METER LOADS SOCKET IDENTIFICATION PV PROD 5640 3 - #6 AWG, THWN-2 1 - #8 EGC, THWN-2 IN 3/4" OR LARGER EMT I CONDUIT I J NOTES "PHOTOVOLTAIC SYSTEM CONNECTED" YELLOW WITH PV DC SOURCE OR OUTPUT CIRCUITS OF A BLACK LETTERING PLACARD TO BE LOCATED ON MAIN UTILITY -INTERACTIVE LISTED INVERTER CAN RUN INSIDE BILLING METER A BUILDING OR STRUCTURE ONLY WHEN CONTAINED IN METAL RACEWAYS, TYPE MC METAL -CLAD CABLE THAT "PV AC DISCONNECT" YELLOW WITH BLACK LETTERING COMPLIES WITH NEC 250.118(10), OR METAL PLACARD TO BE LOCATED ON AC DISCONNECT ENCLOSURES FROM THE POINT OF PENETRATION OF THE SURFACE OF THE BUILDING TO THE FIRST READILY ACCESSIBLE DISCONNECTING MEANS (NEC 690.31(G)). 1. (9) HANWHA Q -CELL. Q PEAK -G4.1 305, 305W MODULES wired and listed to UL1703 standards 2. SOLAR EDGE SE380OH-US [S11] Inverter with integrated DC Disconnect and Arc Fault Protection. Attached with system electrical specifications and ground fault protected & listed to UL1741 standards. 3. Photovoltaic system ground will be tied into existing ground at main service from DC Disconnect/Inverter as per NEC Sec. 250.166(A). "The Grounding Electrode Conductor shall not be smaller than the neutral conductor and not smaller than 8AWG copper." 4. Equipment operating 150 volts or greater shall only be serviced or replaced by qualified personnel. Field protection may be in the form of conduit, closed cabinet or an enclosure which requires use of tools to open. 5. Solar Photovoltaic System equipment will be installed in accordance with requirements of Art. 690 of the NEC 2017 6.Minimum height of conduit above roof to match temperature derating factor. 7.Photovoltaic DC conductors entering the building shall be installed in metallic raceway and shall be identified every 10 feet -- and within 1 foot above and below penetrations of roof/ceiling assemblies, walls, or barriers -- with minimum 3/8 -inch -high white lettering on red background reading:"WARNING: PHOTOVOLTAIC POWER SOURCE" EI -1 -al comm,,,, No CLIENT: freedom C-10#1029644 ;:-PE;;P FREEDOM FOREVER LLC 43445 Business Park Dr Suite 110, Temecula, CA 92590 Tel: (800) 385-1075 (N) 20A / 2P PV BREAKER PV PRODUCTION METER SHALL BE LOCATED 10 FEET WITHIN THE MAIN BILLING METER - CONNECT TO EXISTING UFER (E) 200A MAIN SERVICE PANEL 1 P, 240V, 60HZ I I I L--------------- -VERIFY COLD WATER BOND (E) UTILITY METER XCEL #58889395 -COLD WATER BOND TO GAS PIPE ON CUSTOMER SIDE OF GAS METER -(2) GROUND RODS, UNLESS CONNECTED TO BUILDING UFER 8. System Grounding Electrode conductor for PV system to be sized to meet the requirements of NEC 2017 table 250.66, not smaller than #8 CU AWG." 9. If the existing main service panel does not have a ground rod or ufer, it is the pv contractors responsibility install one. 10. Smoke alarms and carbon monoxide detectors will meet the necessary requirements per IRC R314, R315 11. UTILITY COMPANY WILL BE NOTIFIED PRIOR TO ACTIVATION OF THE SOLAR PV SYSTEM. 12.Terminals of the disconnecting means may be energized in the open position. 13. A signage labeled "SOLAR LOADS ONLY" is to be installed on dedicated solar sub panel to be used for PV only. CSW of 14. Solaredge inverters are listed to UL1741 and UL1699B standards. 15. Solaredge Optimizers are listed to IEC62109-1 (class II safety) and UL1741 standards. 16. PV system is using continuous grounding method with #6 bare copper wire. RAMIREZ, ELISEO & RUBIO, MARIA 5640 W 28TH AVE, LAKEWOOD, CO 80214 (720) 447-4069 REVISIONS: DATE:I 07/26/2019 DESCRIPTION DATE REVISION AHJ CORRECTION 7/30/19 1 DESIGN BY: I GREG JOB NO..I FS -07-270 w��,pi Ri�9e TITLE: I SHEET: ELECTRICALI PV -3 LINE DIAGRAM (N) INVERTER (N) 30A, LOCKABLE SOLAR EDGE KNIFE BLADE AC SE380OH-US [S11] DISCONNECT RAPID SWITCH WITH STRING -1 ACSHUTDOW VISIBLE OPEN 9 HANWHA Q -CELL. Q PEAK -G4.1 SWITCH NEMA 3R 305, 305W MODULES DC UL LISTED - #6 AWG IN FREE AIR OR #8 AWG MUST BE IN EMT CONDUIT General Notes: JU BOX ----- —----- --- -- )---t�_ — — — _� :fz" (E) 150A / 2P MAIN BREAKER (END FED) (N) STEEL PRODUCTION METER, 1 20/240V 3 -WIRE, IN COMPLIANCE WITH SECTION 4.11 OF THE XCEL ENERGY STANDARD TO OTHER 4.14.4_ XCEL METER LOADS SOCKET IDENTIFICATION PV PROD 5640 3 - #6 AWG, THWN-2 1 - #8 EGC, THWN-2 IN 3/4" OR LARGER EMT I CONDUIT I J NOTES "PHOTOVOLTAIC SYSTEM CONNECTED" YELLOW WITH PV DC SOURCE OR OUTPUT CIRCUITS OF A BLACK LETTERING PLACARD TO BE LOCATED ON MAIN UTILITY -INTERACTIVE LISTED INVERTER CAN RUN INSIDE BILLING METER A BUILDING OR STRUCTURE ONLY WHEN CONTAINED IN METAL RACEWAYS, TYPE MC METAL -CLAD CABLE THAT "PV AC DISCONNECT" YELLOW WITH BLACK LETTERING COMPLIES WITH NEC 250.118(10), OR METAL PLACARD TO BE LOCATED ON AC DISCONNECT ENCLOSURES FROM THE POINT OF PENETRATION OF THE SURFACE OF THE BUILDING TO THE FIRST READILY ACCESSIBLE DISCONNECTING MEANS (NEC 690.31(G)). 1. (9) HANWHA Q -CELL. Q PEAK -G4.1 305, 305W MODULES wired and listed to UL1703 standards 2. SOLAR EDGE SE380OH-US [S11] Inverter with integrated DC Disconnect and Arc Fault Protection. Attached with system electrical specifications and ground fault protected & listed to UL1741 standards. 3. Photovoltaic system ground will be tied into existing ground at main service from DC Disconnect/Inverter as per NEC Sec. 250.166(A). "The Grounding Electrode Conductor shall not be smaller than the neutral conductor and not smaller than 8AWG copper." 4. Equipment operating 150 volts or greater shall only be serviced or replaced by qualified personnel. Field protection may be in the form of conduit, closed cabinet or an enclosure which requires use of tools to open. 5. Solar Photovoltaic System equipment will be installed in accordance with requirements of Art. 690 of the NEC 2017 6.Minimum height of conduit above roof to match temperature derating factor. 7.Photovoltaic DC conductors entering the building shall be installed in metallic raceway and shall be identified every 10 feet -- and within 1 foot above and below penetrations of roof/ceiling assemblies, walls, or barriers -- with minimum 3/8 -inch -high white lettering on red background reading:"WARNING: PHOTOVOLTAIC POWER SOURCE" EI -1 -al comm,,,, No CLIENT: freedom C-10#1029644 ;:-PE;;P FREEDOM FOREVER LLC 43445 Business Park Dr Suite 110, Temecula, CA 92590 Tel: (800) 385-1075 (N) 20A / 2P PV BREAKER PV PRODUCTION METER SHALL BE LOCATED 10 FEET WITHIN THE MAIN BILLING METER - CONNECT TO EXISTING UFER (E) 200A MAIN SERVICE PANEL 1 P, 240V, 60HZ I I I L--------------- -VERIFY COLD WATER BOND (E) UTILITY METER XCEL #58889395 -COLD WATER BOND TO GAS PIPE ON CUSTOMER SIDE OF GAS METER -(2) GROUND RODS, UNLESS CONNECTED TO BUILDING UFER 8. System Grounding Electrode conductor for PV system to be sized to meet the requirements of NEC 2017 table 250.66, not smaller than #8 CU AWG." 9. If the existing main service panel does not have a ground rod or ufer, it is the pv contractors responsibility install one. 10. Smoke alarms and carbon monoxide detectors will meet the necessary requirements per IRC R314, R315 11. UTILITY COMPANY WILL BE NOTIFIED PRIOR TO ACTIVATION OF THE SOLAR PV SYSTEM. 12.Terminals of the disconnecting means may be energized in the open position. 13. A signage labeled "SOLAR LOADS ONLY" is to be installed on dedicated solar sub panel to be used for PV only. CSW of 14. Solaredge inverters are listed to UL1741 and UL1699B standards. 15. Solaredge Optimizers are listed to IEC62109-1 (class II safety) and UL1741 standards. 16. PV system is using continuous grounding method with #6 bare copper wire. RAMIREZ, ELISEO & RUBIO, MARIA 5640 W 28TH AVE, LAKEWOOD, CO 80214 (720) 447-4069 REVISIONS: DATE:I 07/26/2019 DESCRIPTION DATE REVISION AHJ CORRECTION 7/30/19 1 DESIGN BY: I GREG JOB NO..I FS -07-270 w��,pi Ri�9e TITLE: I SHEET: ELECTRICALI PV -3 LINE DIAGRAM Max. OCPD: (200A Bus) * (1.2) = 240A Max Rating (120% of Bus) PV Backfeed (20A) + Main Breaker (150A) = (170A _< 240A) See 705.12 (13)(2)(3)(b) of 2017 NEC TOTAL DC kW: 2.7 kW TOTAL AC kW: 3.8 kW UTILITY INTERACTIVE PV SYSTEM STRING -1 9 HANWHA Q -CELL. Q PEAK -G4.1 305, 305W MODULES JUNCTION BOX 4 - #10 AWG, THWN-2 1 - #8 EGC, THWN-2 IN 3/4" OR LARGER EMT CO (N) INVERTER SOLAR EDGE SE380OH-US [S11] AC s S DC 3 - #6 AWG, (E) 200A MAIN SERVICE PANEL 1 P, 240V, 60HZ (E) 150A / 2P MAIN BREAKER (END FED) (E) UTILITY METER XCEL #58889395 • • (N) STEEL PRODUCTION • 2. SOLAR EDGE SE380OH-US [S11] Inverter with integrated DC Disconnect and Arc Fault Protection. Attached with )UIT system electrical specifications and ground fault protected & listed to UL1741 standards. METER, 1 20/240V 3 -WIRE, 3. Photovoltaic system ground will be tied into existing ground at main service from DC Disconnect/Inverter as per NEC - V V IVVI V -G Sec. 250.166(A). "The Grounding Electrode Conductor shall not be smaller than the neutral conductor and not smaller IN COMPLIANCE WITH 11. UTILITY COMPANY WILL BE NOTIFIED PRIOR TO ACTIVATION OF THE SOLAR PV SYSTEM. • 12.Terminals of the disconnecting means may be energized in the open position. (N) 30A, LOCKABLE SECTION 4.11 OF THE 5. Solar Photovoltaic System equipment will be installed in accordance with requirements of Art. 690 of the NEC 2017. • KNIFE BLADE AC XCEL ENERGY STANDARD TO OTHER •�• PV DISCONNECT 4.14_.4_ XCEL METER LOADS ' 'ID SWITCH WITH SOCKET CLIENT: •�. ITDOWN VISIBLE OPEN IDENTIFICATION TITLE: • TCH NEMA 3R PV PROD 5640 MARIA UL LISTED TES (N) 20A / 2P PV BILLING METER VERIFY COLD WATER BOND i i5640 W 28TH AVE, BREAKER • DESIGN / n BLACK LETTERING PLACARD TO BE LOCATED ON MAIN UTILITY -INTERACTIVE LISTED INVERTER CAN RUN INSIDE IN FREEDOM FOREVER LLC � j/ 0 OJIAIKI BILLING METER • • ') _:�O 1 - #6 AWG IN FREE AIR OR METAL RACEWAYS. TYPE MC METAL -CLAD CABLE THAT (E) UTILITY METER XCEL #58889395 1. (9) HANWHA Q -CELL. Q PEAK -G4.1 305, 305W MODULES wired and listed to UL1703 standards • • • 2. SOLAR EDGE SE380OH-US [S11] Inverter with integrated DC Disconnect and Arc Fault Protection. Attached with • system electrical specifications and ground fault protected & listed to UL1741 standards. 9. If the existing main service panel does not have a ground rod or ufer, it is the pv contractors responsibility install one. 3. Photovoltaic system ground will be tied into existing ground at main service from DC Disconnect/Inverter as per NEC - V V IVVI V -G Sec. 250.166(A). "The Grounding Electrode Conductor shall not be smaller than the neutral conductor and not smaller than 8AWG copper." 11. UTILITY COMPANY WILL BE NOTIFIED PRIOR TO ACTIVATION OF THE SOLAR PV SYSTEM. SOLAREDGE 12.Terminals of the disconnecting means may be energized in the open position. be in the form of conduit, closed cabinet or an enclosure which requires use of tools to open. 13. A signage labeled "SOLAR LOADS ONLY" is to be installed on dedicated solar sub panel to be used for PV only. 5. Solar Photovoltaic System equipment will be installed in accordance with requirements of Art. 690 of the NEC 2017. city of 14. Solaredge inverters are listed to UL1741 and UL1699B standards. IN 3/4" OR LARGER EMT PV 7. Photovoltaic DC conductors entering the building shall be installed in metallic raceway and shall be identified every 10 Division _ P320 POWER 16. PV system is using continuous grounding method with #6 bare copper wire. 1,,d,ng 3/8 -inch -high white lettering on red background reading:"WARNING: PHOTOVOLTAIC POWER SOURCE" CONDUIT CLIENT: SHALLBEBE LOCATED OR REVISIONS: DATE: OPTIMIZERS TITLE: SHEET: DESCRIPTION DATE REVISION C-10#1029644 f recedo, FEET WITHIN THE MAIN MARIA TES BILLING METER VERIFY COLD WATER BOND i i5640 W 28TH AVE, " HOTOVOLTAIC SYSTEM CONNECTED" YELLOW WITH PV DC SOURCE OR OUTPUT CIRCUITS OFA DESIGN GREG 2 - #10 AWG, PV WIRE BLACK LETTERING PLACARD TO BE LOCATED ON MAIN UTILITY -INTERACTIVE LISTED INVERTER CAN RUN INSIDE IN FREEDOM FOREVER LLC -COLD WATER BOND TO GAS PIPE ON BILLING METER A BUILDING OR STRUCTURE ONLY WHEN CONTAINED CUSTOMER SIDE OF GAS METER 1 - #6 AWG IN FREE AIR OR METAL RACEWAYS. TYPE MC METAL -CLAD CABLE THAT FS -07-270 #8 AWG MUST BE IN EMT "PV AC DISCONNECT" YELLOW WITH BLACK LETTERING COMPLIES WITH NEC 250.118(10), OR METAL -(2) GROUND RODS, UNLESS CONDUIT PLACARD TO BE LOCATED ON AC DISCONNECT ENCLOSURES FROM THE POINT OF PENETRATION OF THE SURFACE OF THE BUILDING TO THE FIRST READILY -CONNECT TO EXISTING LIFER CONNECTED TO BUILDING UFER General Notes ACCESSIBLE DISCONNECTING MEANS (NEC 690.31(G)). 1. (9) HANWHA Q -CELL. Q PEAK -G4.1 305, 305W MODULES wired and listed to UL1703 standards 8. System Grounding Electrode conductor for PV system to be sized to meet the requirements of NEC 2017 table 250.66, not smaller than #8 CU AWG." 2. SOLAR EDGE SE380OH-US [S11] Inverter with integrated DC Disconnect and Arc Fault Protection. Attached with system electrical specifications and ground fault protected & listed to UL1741 standards. 9. If the existing main service panel does not have a ground rod or ufer, it is the pv contractors responsibility install one. 3. Photovoltaic system ground will be tied into existing ground at main service from DC Disconnect/Inverter as per NEC 10. Smoke alarms and carbon monoxide detectors will meet the necessary requirements per IRC R314, R315 Sec. 250.166(A). "The Grounding Electrode Conductor shall not be smaller than the neutral conductor and not smaller than 8AWG copper." 11. UTILITY COMPANY WILL BE NOTIFIED PRIOR TO ACTIVATION OF THE SOLAR PV SYSTEM. 4. Equipment operating 150 volts or greater shall only be serviced or replaced by qualified personnel. Field protection may 12.Terminals of the disconnecting means may be energized in the open position. be in the form of conduit, closed cabinet or an enclosure which requires use of tools to open. 13. A signage labeled "SOLAR LOADS ONLY" is to be installed on dedicated solar sub panel to be used for PV only. 5. Solar Photovoltaic System equipment will be installed in accordance with requirements of Art. 690 of the NEC 2017. city of 14. Solaredge inverters are listed to UL1741 and UL1699B standards. 6.Minimum height of conduit above roof to match temperature derating factor. Wheat Ridge 15. Solaredge Optimizers are listed to IEC62109-1 (class II safety) and UL1741 standards. 7. Photovoltaic DC conductors entering the building shall be installed in metallic raceway and shall be identified every 10 Division feet -- and within 1 foot above and below penetrations of roof/ceiling assemblies, walls, or barriers -- with minimum 16. PV system is using continuous grounding method with #6 bare copper wire. 1,,d,ng 3/8 -inch -high white lettering on red background reading:"WARNING: PHOTOVOLTAIC POWER SOURCE" Deomcaicomra=lo'No CLIENT: REVISIONS: DATE: 07/26/2019 TITLE: SHEET: DESCRIPTION DATE REVISION C-10#1029644 f recedo, RAMIREZ, ELISEO & RUBIO, MARIA i i5640 W 28TH AVE, AHJ CORRECTION 7/30/19 1 DESIGN GREG ELECTRICAL PV -3A FREEDOM FOREVER LLC LAKEWOOD, CO 80214 BY: LINE DIAGRAM JOB No.: FS -07-270 (720) 447-4069 43445 Business Park Dr Suite 110, Temecula, CA 92590 Tel: (800) 385-1075 "WARNING" INVERTER OUTPUT CONNECTION DO NOT RELOCATE THIS OVERCURRENT DEVICE (UNLESS BUSBAR IS FULLY RATED) 705.12(D)(2) PHOTOVOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN 690.12 ALL REQUIRED LABELS OR PLACARDS SHALL BE WEATHERPROOF, DURABLE, AND PERMANENTLY (SCREWS OR RIVETS) ATTACHED TO THE METER SOCKET, OR OTHER EQUIPMENT AS NECESSARY. CHECK WITH THE LOCAL AREA ENGINEERING DEPARTMENT FOR ADDITIONAL REQUIREMENTS SUCH AS, SIZING, COLOR SCHEME, AND VERBIAGE. (VL) THE DG DISCONNECT SWITCH SHALL BE LABELED WITH A PLACARD WITH BRIGHT YELLOW BACKGROUND, MADE FROM PLASTIC LAMINATE, MOUNTED WITH PERMANENT ADHESIVE OR RIVETS ON THE DISCONNECT SWITCH COVER OR IMMEDIATELY ADJACENT TO THE DISCONNECT IN A LOCATION CLEARLY VISIBLE. THE PLACARD SHALL MATCH THE SIZE AND LETTERING ILLUSTRATED AS CLOSE AS PRACTICAL. "WARNING" ELECTRIC SHOCK HAZARD. THE DC CONDUCTORS OF THIS PHOTOVOLTAIC SYSTEM ARE UNGROUNDED AND MAY BE ENERGIZED. 690.35(F) 0: NEC 690.31(G)(3) & (4), IRC R324.7 "WARNING" PHOTOVOLTIC POWER SOURCE EVERY 10' ON COUNDUIT AND ENCLOSURES DC U C w NW Li. W z "WARNING" DUAL POWER SOURCES SECOND SOURCE IS PHOTO- VOLTAIC SYSTEM RATED AC OUTPUT CURRENT -16 AMPS AC NORMAL OPERATING VOLTAGE - 240 VOLTS 690.54 PV SYSTEM AC DISCONNECT RATED AC OUTPUT CURRENT -16 AMPS AC NORMAL OPERATING VOLTAGE - 240 VOLTS 690.14, 690.15, 690.54 "WARNING" ELECTRIC SHOCK HAZARD IF A GROUND- FAULT IS INDICATED, NORMALLY GROUNDED CONDUCTORS MAY BE UNGROUNDED AND ENERGIZED. 690.5(C) DIRECT CURRENT PHOTOVOLTAIC POWER SOURCE MAXIMUM VOLTAGE - 240 VDC MAX CIRCUIT CURRENT -16 AMPS "WARNING" ELECTRIC SHOCK HAZARD. DO NOT TOUCH TERMINALS. TERMINALS ON BOTH LINE AND LOAD SIDES MAY BE ENERGIZED IN THE OPEN POSITION. 690.17 PV SYSTEM DC DISCONNECT OPERATING CURRENT: 7.22A OPERATING VOLTAGE: 380.00V SHORT-CIRCUIT CURRENT: 30.00A MAX SYSTEM VOLTAGE: 480.00V 690.14(CO(2)), 690.15, 690.53 NOTES - 1 . OTES: 1. NEC ARTICLES 690 AND 705 AND IRC SECTION R324 MARKINGS SHOWN HEREON 2. ALL MARKING SHALL CONSIST OF THE FOLLOWING: A. UV RESISTANT SING MATERIAL WITH ENGRAVED OR MACHINE PRINTED LETTERS OR ELECTRO -PLATING B. RED BACKGROUND COLOR WHITE TEXT AND LINE WORK C. 2" X 43/4", 36 POINT ARIAL BOLD D. ALL SIGNS SHALL BE SIZED APPROPRIATELY AND PLACED IN THE LOCATIONS SPECIFIED 3. SIGNS SHALL BE ATTACHED TO THE SERVICE EQUIPMENT POP -RIVETS OR SCREWS. CAUTION: POWER TO THIS BUILDING IS ALSO SUPPLIED FROM THE FOLLOWING SOURCES WITH DISCONNECT(S) LOCATED AS SHOWN. DANGEROUS VOLTAGE MAY BE PRESENT AT ALL TIMES W 28TH AVE 6X8" TYP - NEC 705.10 JUNCTION BOX INVERTER EQUIPPED WITH RAPID SHUTDOWN AC DISCONNECT PRODUCTION METER MAIN SERVICE PANEL 9 PV MODULE ow of Whe°t R,d9® ttd�n9 aN,s,�� ElectricalC tactor No CLIENT: REVISIONS: TITLE: SHEET: : • freedomC-10#1029644 RAMIREZ, ELISEO & RUBIO, MARIA DESCRIPTION DATE REVISION DATE07/26/2019 c - E 5640 W 28TH AVE, AHJ CORRECTION 7/30/19 1 DESIGN FREEDOM FOREVER LLC LAKEWOOD, CO 80214 BY GREG LABELS PV -5 43445 Business Park Dr Suite 110, Temecula, CA 92590 (720) 447-4069 Tel: (800) 385-1075 JOB NO.: FS -07-270 1 2 3 0 5 C 7 it 1-10 11-20 21-30 31-40 41-50 51-60 s. _. CLIENT: REVISIONS: TITLE: SHEET. freedo, C-10#1029644 DATE: 07/26/2019 RAMIREZ, ELISEO & RUBIO, MARIA DESCRIPTION DATE REVISION 5640 W 28TH AVE, AHJ CORRECTION 7/30/19 1 DESIGN GREG OPTIMIZER FREEDOM FOREVER LLC LAKEWOOD, CO 80214 BY: PV -6 43445 Business Park Dr Suite 110, Temecula, CA 92590 (720) 447-4069 CHART Tel: (800) 385-1075 JOB NO.: FS -07-270 City of Wheat Ridge Residential Solar PERMIT - 201901594 PERMIT NO: 201901594 ISSUED: 08/05/2019 JOB ADDRESS: 5640 W 28th Ave EXPIRES: 08/04/2020 JOB DESCRIPTION: Residential solar, installing 6.100 kW grid tied, roof flush mounted solar PV system. *** CONTACTS *** OWNER (303)447-4069 RAMARIZ ELISEO AND RUBIO SUB (720)255-7342 MARK MONTOYA 190076 FREEDOM FOREVER COLORADO LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 23,500.00 FEES Total Valuation 0.00 Residential Solar 500.00 ** TOTAL ** 500.00 *** COMMENTS *** *** CONDITIONS *** Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 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 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 authonzed by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perform ani tha+1 work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Sim re of OWNER CONTRACTOR ircle one) Date I . This permit was issued base on t%�o ion provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regula ions, 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 originalpermrt fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code o1s�y ordinance of yegulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building 6fficial Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Pjdge COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: Permits(cDci.wheatridge.co.us FOR OFFICE USE ONLY I Date: 4 9 / 1Z ly- Plan/Permit # lc� 6 / ?(,), / �;-qcx Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 5640 W 28th Ave, Lakewood, CO 80214 Property Owner (please print): Ramirez, Eliseo & Rubio, Maria Phone: (720) 447-4069 Property Owner Email: ramelieseo8517@yahoo.com Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: 5640 W 28th Ave Citv, State, Zip: Lakewood, CO 80214 Architect/Engineer: Architect/Engineer E-mail: Phone: Contractor Name: Freedom Forever Colorado, LLC City of Wheat Ridge License #: 190076 Phone: 720-936-9460 Contractor E-mail Address: jburks@freedomforever.com For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Jeremy Burks Phone: 720-936-9460 CONTACT EMAIL(p/ease print): jburks@freedomforever.com Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields, if applicable. ❑COMMERCIAL F,—/]RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. Install a 6.100 kW grid tied, roof flush mounted solar photovoltaic system Sq. Ft./LF Amps Squares BTUs Gallons For Solar: 6.100 KW 20 # of Panels 1:1 Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: _ Project Value: (Contract value or the cost of all materials and labor included in the entire project) s23,500.00 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND :kGREENIE\T 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 haae read and agree to abide by all conditions printed on this application and that 1 assume full responsibility for compliance with applicable City of Whcat Ridge codes and ordinances for work under anv permit issued based on this application: that I am the legal ovtiner or have been authorized by the legal oxvner of the property to perform the described work and am also authorized by the legal ovener of an} entity included on this application to list that entity on this application. 1. the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLEONE: (OWNER) (CONTRACTOR) or (rt UTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Digi,ally signed by Jeremy Burks Date. 2019.08.02 093536 8/2/19 Signature (first and last name): -0600 DATE.: Printed Name: Jeremy Burks ZONING COMMMENTS: Reviewer: BUILDI DEPARTMENT COMMENTS: Rev we �C4� PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: in t POPLAR CONSULTING ENGINEERS 7/29/2019 E C i- t, ` ' D A06 Q Z J1, Pe,�� FREEDOM FOREVER LLC 43445 Business Park Dr Suite 110, Temecula, CA 92590 Current Engineering 19435 Fortunello Ave Riverside, CA 92508 www.currentrenewableseng.com Subject: Structural Certification for Installation of Residential Solar re: Job RAMIREZ, ELISEO & RUBIO, MARIA: 5640 W 28TH AVE„ LAKEWOOD, CO 80214 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: ROOF 1: Composition Shingle roofing over roof plywood supported by 2x4 Truss @ 24" OC. The roof is sloped at approximately 18 degrees and has a max beam span of 9 ft between supports. Design Criteria: Code: 2012 International Building Code (ASCE 7-10) Ult Wind Speed: 105 mph Ground Snow: 30 psf Exposure Cat: C After review of the field observation report and based on our structural capacity calculations in accordance with applicable building codes, the existing roof framing supporting the proposed solar panel layout has been determined to be: ROOF 1: adequate to support the imposed loads. Therefore, no structural upgrades are required. If you have any questions on the above, please do not hesitate to call. Sincerely, ArashZandieh, P.E., Ph.D. 0�44����CFti Digitally signed a.zandieh@poplareng.com 1 901-692-0431 V ,'p5 Z NO�;��p Poplar Consulting Engineers, Inc. 53832 �� by Arash Zandieh Date: 2019.07.29 /ONA 15:34:24 -06'00' Exp. 10131/2-6t9 cm 0% 0110(0,vocp `%4000- www.poplareng.com 11':8:11111111POPLAR CONSULTING ENGINEERS 7/29/2019 FREEDOM FOREVER LLC 43445 Business Park Dr Suite 110 Temecula, CA 92590 Attn.: To Whom It May Concern Current Engineering 19435 Fortunello Ave Riverside, CA 92508 www.currentrenewableseng.com re: Job RAMIREZ, ELISEO & RUBIO, MARIA: 5640 W 28TH AVE„ LAKEWOOD, CO 80214 The following calculations are for the structural engineering design of the photovoltaic panels and are valid only for the structural info referenced in the stamped plan set. The verification of such info is the responsibility of others. After review, I certify that the roof structure has sufficient structural capacity for the applied PV loads. All PV mounting equipment shall be designed and installed per manufacturer's approved installation specifications. If you have any questions, don't hesitate to contact. �4Pp0L��F"P Digitally signed Sincerely, �o`':p5i ZA"" Arash Zandieh, P.E., Ph.D. q `"ti': by Arash 53832 a.zandieh@poplareng.com 901-692-0431 '.� Zandieh Poplar Consulting Engineers, Inc. Date: 2019.07.29 S/ONA1-; Design Criteria: 15:33:40 -06'00 Code: 2012 International Building Code Exp. 10131/Zdtg ASCE 7-10 Live Load: 20 psf Ult Wind Speed: 105 mph G%"°% Exposure Cat: C w�ea+Q�dge Ground Snow: 30 psf �7s4tEr.� ;n s www.poplareng.com Current Engineering 19435 Fortunello Ave Riverside, CA 92508 www.currentrenewableseng.com Structrure Geometry: Roof Properties: 00!1- °POPLAR CONSULTING ENGINEERS Mean Roof Height, hn = 13 ft Eave Height, he = 8 ft Buiding Length, L = 50 ft Building Width, B = 30 ft Module Area = 18.2 ft2 Roof 1 Roof Pitch (deg) = 18 Roofing Type = Composition Shingle Sheathing Type = 5/8 OSB Sheathing Wood Species = Doug Fir -Larch #2 Wood Fb (psf) = 129600 Wood Fv (psf) = 25920 Wood E (psf) = 230400000 Wood Lag Withdrawal (Ib/in) = 266 Framing Type = 2x4 Truss Framing OC Spacing (in.) = 24 Section Thickness, b (in.) = 1.50 Section Depth, d (in.) = 3.50 Section Modulus, Sx (in .^3) = 3.06 Beam Span (ft) = 9 Pen Trib Width (ft) = 1.65 Rail Span (ft) = 6.00 Co (Wind) = 1.6 CD (Snow) = 1.15 Cis = 1.15 CM = 1.0 Ct = 1.0 CL = 1.0 CF = 1.5 Cf. = 1.0 Ci = 1.0 Cr = 1.15 Mallowable Wind (Ib -ft) = 729 Mallowable snow (lb -ft) = 524 www.poplareng.com Date :7/29/2019 Job Code: RAMIREZ, ELISEO RUBIO, MARIA 2of6 � Current Engineering 19435 Fortunello Ave Riverside, CA 92508 www.currentrenewableseng.com Dead Load: Snow Load: ,1 11 rm POPLAR CONSULTING ENGINEERS Composition Shingle 3.0 S/8 OSB Sheathing 2.0 2x4 Truss @ 24" OC 0.6 Misc (Insulation etc) 1.0 Total Roof 1 DL 6.6 psf PV DL 3.0 psf Roof 1 Roof—Dist—DL = 13 M Roof Dist DL = 85 Def—Roof—Dist—DL = 0.0036 PV uni Dist DL = 6 M PV uni Dist DL = 39 Def PV uni Dist DL = 0.0016 Total uni DL= 18 M Total uni DL = 123 Def Total uni DL = 0.0052 Rail Down DL = 5 Rail M DL = 21 Pens Down DL = 28 Pens Side DL = 9 Ground Snow Load, pg = Snow Importance Factor, Ic = Thermal Factor, Ct = Exposure Factor, Ce = Flat Roof Snow, pf = 30.0 psf 1.0 1.0 1.0 30.0 Roof 1 www.poplareng.com Date :7/29/2019 Job Code: RAMIREZ, ELISEO RUBIO, MARIA 3of6 GW 04 � g4d9e wh 8yd��r94�v��`on Current Engineering 19435 Fortunello Ave 11 �I6iJ�POPLAR Riverside, CA 92508 CONSULTING ENGINEERS www.currentrenewableseng.com Slope Factore, Cs = 0.95 Sloped Roof Snow, ps = 28 uni Dist S = 54 M uni Dist S = 364 Def uni Dist S = 0.0155 Rail Down S = 45 Module Down S = 27 Rail M S = 200 Pens Down S = 267 Pens Side S = 87 Wind Load: Ultimate Wind Speed = 105 mph Directionality Factor, kd = 0.85 Topographic Factor, kzt = 1.0 Velocity Pressure Exposure Factor, kz = 0.85 Velocity Pressure, qz = 20.37 Roof 1 External Pressure Up, GCp_1 = -0.85 External Pressure Up, GCp_2 = -1.55 External Pressure Up, GCp_3 = -2.45 External Pressure Down, GCp = 0.45 Design Pressure Up, p_1 = -17.31 Design Pressure Up, p_2 = -31.57 Design Pressure Up, p_3 = -49.89 Design Pressure Down, p = 16.00 Date :7/29/2019 Job Code: RAMIREZ, ELISEO RUBIO, MARIA 4of6 uni_Dist_W_up = -35 M_uni_Dist_W_up = -234 Def uni Dist W_up = -0.0099 0` uni_Dist _W down= 32 0 M_uni_Dist_W_down = 216 *VP le %5 Def uni Dist W down= 0.0092 .,;��°� , www.poplareng.com Current Engineering 19435 Fortunello Ave Riverside, CA 92508 www.currentrenewableseng.com i//j1 aval POPLAR CONSULTING ENGINEERS Module_Up_W1 = -17 Module_Up_W2 = -32 Module Down W = 16 Rail_Up_W1 = -29 Rail_Up_W2 = -52 Rail Down W = 26 Rail_M_Up_W1 = -129 Rail_M_Up_W2 = -234 Rail M Down W = 119 Pens_Up_W1 = -171 Pens_Up_W2 = -313 Pens Down W = 158 Lag Screw Uplift Check (ASD): Date :7/29/2019 Job Code: RAMIREZ, ELISEO RUBIO, MARIA 5of6 5/16" Lag Screw Withdrawl Value = 266 Ib -ft Lag Screw Penetration = 2.5 in. Roof1 0.6D + 0.6W (Up z1) : 86 Ib -ft < 665 Ib -ft OK Roof10.6D + 0.6W (Up z2) : 171 Ib -ft < 665 Ib -ft OK Framing Check (ASD): Roof1 uni 1.OD + 0.6W: 253 Ib -ft < 729 Ib -ft OK Roof1 uni 1.01D + 0.75*[1.0S + 0.6W] : 494 Ib -ft < 729 Ib -ft OK Roof1 uni 1.OD + 1.OS : 488 Ib -ft < 524 Ib -ft OK Roof1 uni 0.6D + 0.6W (Up z1) : 66 Ib -ft < 729 Ib -ft OK Seismic Check: Wood 5.0 psf ow of Studs @ 16 Gypsum 3.0 psf wheotRtd9A Misc. (Insulation, etc.) 2.0 psf g itdtn9 Total Wall DL = 12 psf www.poplareng.com Current Engineering 19435 Fortunello Ave Riverside, CA 92508 www.currentrenewableseng.com _1 1,POPLAR CONSULTING ENGINEERS Date :7/29/2019 Job Code: RAMIREZ, ELISEO RUBIO, MARIA 6of6 (Total Wall Area = 1280 ft^2 Total Wall W = 15360 lbs Existing Weight Total Roof DL = 7 psf Total Roof Area = 1500 ft^2 Total Roof W = 9902 lbs Existing Weight PV Panel W = 46 lbs Number of Panels = 20 Total PV W = 910 lbs Additional Weight %increase = (Wexisting + Wadditional) / Wexisting = 4% 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 M 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. o*- 0 G'14' �.a0i 0 �C0 <$1 y` www.poplareng.com structural ENGINEERS February 26, 2018 UniRac 1411 Broadway Boulevard NE Albuquerque, New Mexico 87102-1545 TEL: (505) 242-6411 FAX: (505) 242-6412 Attn.: Unirac Engineering Department, Re: Engineering Certification for UniRac's SunFrame MicroRail Design & Engineering Guide PZSE, Inc. -Structural Engineers has reviewed UniRac's "SunFrame Microrail Design & Engineering Guide" and specifically the Analytical Method —ASCE 7-10, and Pressure Tables for Flush Mounted Roof Systems. This certification excludes connections to building structures and the effects on building structure components. All information, data, and analysis contained within the Installation Manual are based on, and comply with the following: 1. International Building Code, 2012 and 2015 Editions, by International Code Council, Inc. 2. ASCE/SEI 7-05 and ASCE/SEI 7-10, Minimum Design Loads for Buildings and other Structures 3. 2010 Aluminum Design Manual, by The Aluminum Association, 2010 4. AC428, Acceptance Criteria for Modular Framing Systems Used to Support Photovoltaic (PV) Panels, effective June 2012 by ICC -ES This letter certifies that the structural calculations contained within UniRac's "SunFrame Microrail Design & Engineering Guide" are in compliance with the above Codes. If you have any questions on the above, do not hesitate to call. Prepared by: PZSE, Inc.—Structural Engineers Roseville, CA 1478 Stone Point Drive, Suite 190, Roseville, CA 95661 916.961.3960 916.961.3965 www.pzse.com PDO /. /c� 45677 CP.10/31/2019- O` FLASHKIT SFM SLIDER COMP DARK See Page SFMCR-A05 Wire Bonding Clip See Page SFMCR-PO4 :: UNI 1411 BROADWAY BLVD, NE ALBUQUERQUE, NM 87102 USA PHONE; 505.242.6411 WWW.UNIRAC.COM SUNFRAME Microrail 9" Attached Splice See Page SFMCR-A03 SUNFRAME Microrail 9" Splice See Page SFMCR-A06 SUNFRAME Microrail 3" Assembly See Page SFMCR-A02 Trimrail Splice See Page SFMCR-P03 Trimrail See Page SFMCR-P02 FLASHKIT SFM TRIM COMP DARK See Page SFMCR-A04 MLPE Mounting Assembly See Page SFMCR-P01 PRODUCT LINE: SFMCR DRAWING TYPE: ASSEMBLY DESCRIPTION: SFM LAYOUT EXAMPLE REVISION DATE: 6/19/2018 Trim Attachment See Page SFMCR-PO4 C'm " I v`5 DRAWING NOT TO SCALE o ALL DIMENSIONS ARE Q NOMINAL U 2: PRODUCT PROTECTED BY ONE OR MORE US PATENTS U— cn LEGAL NOTICE SHEET Certificate Certificate no. US 82160015 07 License Holder: Unirac Inc. 1411 Broadway NE Albuquerque NM 87102 USA Test report no.: USA- 314 4 0 0 2 9 01 Tested to: UL 2703:2015 Manufacturing Plant: Unirac Inc. 1411 Broadway NE Albuquerque NM 87102 USA Client Reference: Tom Young TOV Rheinland PTL Certified Product: Module Rack Mounting System License Fee - Units (continued) 7 Additional Modules Qualified for Electrical Bonding (contd.) Q -Cells Q.PRO BFR YY xxx (YY=G3, G4, G4.1/MAX, G4.1/TAA) Q.PRO YY xxx (YY=L G2.3, G3, L G3, L G3.1, G4, L G4, L G4.1, L G4.2, L G4.2/TAA) Q.PRO YY xxx (YY=L G2), 40mm frame only B.LINE PLUS YY xxx (YY=BFR G4.1, L G4.2) B.LINE PRO YY xxx (YY=BFR G4.1, L G4.1, L G4.2) Silfab SLAxxxYY, SLGxxxYY (YY=M or P) SunPower P -Series Trina Solar DD05 Appendix: 1,1-5 Licensed Test mark: A TUVRheintand uS 7 Date of Issue (day/mo/yr) 02/05/2017 TUV Rheinland PTL, LLC 11,317 N ravmont Drive B nlding a Tempe Antuna 85282 Te, 480? 966-700=ax - 5� 3'4_;458 AL Certificate TUV Rheinland PTL Certificate no. US 82160015 01 License Holder: Unirac Inc. 1411 Broadway NE Albuquerque NM 87102 USA Manufacturing Plant: Unirac Inc. 1411 Broadway NE Albuquerque NM 87102 USA Test report no.: USA- 314 4 0029 005 Client Reference: Tom Young Tested to: UL 2703:2015 Certified Product: Module Rack Mounting System License Fee - Units Model Designation: SolarMount (SM) 7 Max System Voltage of PV Module: 1000 VDC Max Size of PV Module: 20.8 sq.ft. surface area Max Overcurrent Protection Rating of PV Module: 30 A when using the qualified grounding lugs; 20 A when using the Enphase micro inverter EGC. Fire Rating: Class A when installed with Type 1, Type 2, Type3, or Type 10 fire rated modules. (continued) 7 Appendix: 1,1-5 Licensed Test mark: Bate of Issue (day/mo/yr) 27/. 2016 bq y�oo TUVRheinland us TUV Rheinland PTL LLC, 1+0' VV Fairmont Drive Building a Tempe 4naona 85282 Te 4801 966 1-00 Fax _751 314-%,458 Intertek Total Quality. Assured. AUTHORIZATION TO MARK This authorizes the application of the Certification Mark(s) shown below to the models described in the Product(s) Covered section when made in accordance with the conditions set forth in the Certification Agreement and Listing Report. This authorization also applies to multiple listee model(s) identified on the correlation page of the Listing Report. This document is the property of Intertek Testing Services and is not transferable. The certification mark(s) may be applied only at the location of the Party Authorized To Apply Mark. Applicant: Unirac, Inc Manufacturer: 1411 Broadway Blvd NE Address: Albuquerque, NM 87102 Address: Country: USA Country: Klaus Nicolaedis Contact: Tom Young Contact: 505-462-2190 Phone: 505-843-1407 Phone: FAX: NA FAX: klaus.nicolaedis@unirac.com Email: jasonm@unirac.com Email: Party Authorized To Apply Mark: Same as Manufacturer Report Issuing Office: Lake Forest, CA U.S.A. Control Number: 5003705 Authorized by: &Wip ;K- 4Vi9' for Dean Davidson, Certification Manager US I/STeo Intertek This document supersedes all previous Authorizations to Mark for the noted Report Number. This Authorization to Mark is for the exclusive use of Intertek's Client and is provided pursuant to the Certification agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any parry, other than to the Client in accordance with the agreement, for any loss, expense or damage occasioned by the use of this Authorization to Mark. Only the Client is authorized to permit copying or distribution of this Authorization to Mark and then only in its entirety. Use of Intertek's Certification mark is restricted to the conditions laid out in the agreement and in this Authorization to Mark. Any further use of the Intertek name for the sale or advertisement of the tested material, product or service must first be approved in writing by Intertek. Initial Factory Assessments and Follow up Services are for the purpose of assuring appropriate usage of the Certification mark in accordance with the agreement, they are not for the purposes of production quality control and do not relieve the Client of their obligations in this respect. Intertek Testing Services NA Inc. 545 East Algonquin Road, Arlington Heights, IL 60005 Telephone 800-345-3851 or 847-439-5667 Fax 312-283-1672 Standard(s): Mounting Systems, Mounting Devices, Clamping/Retention Devices, and Ground Lugs for Use with Flat - Plate Photovoltaic Modules and Panels [UL 2703: 2015 Ed.1] Photovoltaic Mounting System, Sun Frame Microrail - Installed Using Unirac Installation Guide, Rev Product: PUB05JULl8 with Annex North Row Extension Installation Guide Rev PUBI9JUL18 Giry of Brand Name: Unirac Models: Unirac SFM N,t,Qo ATM for Report 102393982LAX-002 Page 2 of 2 t?iV4Sio' r 9,. ATM Issue : 7 -Aug -2018 ED 16,3 15 (20 -Apr -17) Mandatory Intertek Total Quality. Assured. AUTHORIZATION TO MARK This authorizes the application of the Certification Mark(s) shown below to the models described in the Product(s) Covered section when made in accordance with the conditions set forth in the Certification Agreement and Listing Report. This authorization also applies to multiple listee model(s) identified on the correlation page of the Listing Report. This document is the property of Intertek Testing Services and is not transferable. The certification mark(s) may be applied only at the location of the Party Authorized To Apply Mark. Applicant: Unirac, Inc Manufacturer: 1411 Broadway Blvd NE Address: Albuquerque, NM 87102 Address: Country: USA Country: Contact: Klaus Nicolaedis Contact: Tom Young Phone: 505-462-2190 Phone: 505-843-1407 FAX: NA FAX: Email: klaus.nicolaedis@unirac.com Email: jasonm@unirac.com Party Authorized To Apply Mark: Same as Manufacturer Report Issuing Office: Lake Forest, CA U.S.A. Control Number: 5003278 Authorized by: for Dean Davidson, Certification Manager US usho Intertek This document supersedes all previous Authorizations to Mark for the noted Report Number. This Authorization to Mark is for the exclusive use of Intertek's Client and is provided pursuant to the Certification agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any parry, other than to the Client in accordance with the agreement, for any loss, expense or damage occasioned by the use of this Authorization to Mark. Only the Client is authorized to permit copying or distribution of this Authorization to Mark and then only in its entirety. Use of Intertek's Certification mark is restricted to the conditions laid out in the agreement and in this Authorization to Mark. Any further use of the Intertek name for the sale or advertisement of the tested material, product or service must first be approved in writing by Intertek. Initial Factory Assessments and Follow up Services are for the purpose of assuring appropriate usage of the Certification mark in accordance with the agreement, they are not for the purposes of production quality control and do not relieve the Client of their obligations in this respect. Intertek Testing Services NA Inc. 545 East Algonquin Road, Arlington Heights, IL 60005 Telephone 800-345-3851 or 847-439-5667 Fax 312-283-1672 Mounting Systems, Mounting Devices, Clamping/Retention Devices, and Ground Lugs for Use with Flat- Standard(s): Plate Photovoltaic Modules and Panels [UL 2703: 2015 Ed.11 Photovoltaic Mounting System, Sun Frame Microrail - Installed Using Unirac Installa�.O Uuide�Rev Product: PUB05JUL18 with Annex North Row Extension Installation Guide Rev PUBI9JUL18�� ,Brand Name: Unirac Models: Unirac SFM ATM for Report 102393982LAX-002 Page 1 of 2 ATM Issued: 7 -Aug -2018 ED 16.3.15 (20 -Apr -17) Mandatory Lntertek Total Quality. Assured. Address Intertek 3933 US 11 Cortland NY 13045 Telephone: 607-758-6516 www.intertek.com Subject: ETL Evaluation of SolarEdge Products to NEC 2017 Rapid Shutdown Requirements To, whom it may concern This letter represents the testing results of the below listed products to the requirements contained in the following standards: National Electric Code, 2017, Section 690.12 requirement for rapid shutdown. UL 1741, UL 1741 CRD for rapid shutdown The evaluation was done on the PV Rapid Shutdown System (PVRSS), and covers installations consisting of optimizers and inverters with part numbers listed below. The testing done has verified that controlled conductors are limited to: • Not more than 30 volts and 240 voltamperes within 30 seconds of rapid shutdown initiation outside the array. • Not more than 80 volts and 240 voltamperes within 30 seconds of rapid shutdown initiation inside the array. The rapid shutdown initiation is performed by either disconnecting the AC feed to the inverter, or — if the inverter DC Safety switch is readily accessible — by turning off the DC Safety switch. Applicable products: • Power optimizers: o PB followed by 001 to 350; followed by -AOB or -TFI. OP followed by 001 to 500; followed by -LV, -MV, -IV or -EV. P followed by 001 to 850. SP followed by 001 to 350. *When optimizers are connected to 2 or more modules in series, the max input voltage may exceed 80V. Following the implementation of the NEC 2017 rapid shutdown value of 80V max inside of the array at the beginning of 2019 , modules exceeding this combined input max voltage will be required to use optimizers with parallel inputs. • 1 -ph Inverters: This information is for the exclusive use of Intertek's Client and is provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense, or damage occasioned by the use of this information. Any observations and results in this report are relevant only to the sample evaluated. Only the Client is authorized to copy and distribute this information and only then in its entirety. © 2018 Intertek Version: 8 -September -2016 Page 1 of 3 GFT -OP -10a tntertek Total Quality. hssurcd. Address: Intertek 3933 US 11 Cortland NY 13045 Telephone: 607-758-6516 www.intertek.com SE3000A-US / SE380OA-US / SE5000A-US / SE6000A-US / SE760OA-US / SE1000OA-US / SE1140OA-US / SE3000H-US / SE380OH-US / SE5000H-US / SE6000H-US / SE760OH-US / SE1000OH-US / SE1140OH-US when the following label is labeled on the side of the inverter: HOTOVOLTAIC RAPID HUTDOWN SYSTEM Inverter part number may be followed by a suffix 3 -ph Inverters: o SE9KUS / SEIOKUS / SE14.4KUS / SE20KUS / SE30KUS / SE33.3KUS /SE43.2KUS / SE66.6KUS / SE100KUS ; when the following label is labeled on the side of the inverter: HOTOVOLTAIC RAPID UTDOWN SYSTEM Inverter part number may be followed by a suffix If there are any questions regarding the results contained in this report, or any of the other services offered by Intertek, please do not hesitate to contact the undersigned. This information is for the exclusive use of Intertek's Client and is provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense, or damage occasioned by the use of this information. Any observations and results in this report are relevant only to the sample evaluated. Only the Client is authorized to copy and distribute this information and only then in its entirety. © 2018 Intertek Version: 8 -September -2016 Page 2 of 3 GFT -OP -10a Lntef tek Total Quality. Assured. Address: Intertek 3933 US 11 Cortland NY 13045 Telephone: 607-758-6516 www.intertek.com Please note, this Letter Report does not represent authorization for the use of any Intertek certification marks. Reviewed by: Howard Liu Title: Engineering Team Leader Signature Date: 6/21/2018 This information is for the exclusive use of Intertek's Client and is provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense, or damage occasioned by the use of this information. Any observations and results in this report are relevant only to the sample evaluated. Only the Client is authorized to copy and distribute this information and only then in its entirety. © 2018 Intertek Version: 8 -September -2016 Page 3 of 3 GFT -OP -10a PV SYSTEM SUMMARY: 6.100 KW ROOF MOUNT RESIDENTIAL PHOTOVOLTAIC SYSTEM SYSTEM SIZE (DC) STC: 20 X 305= 610OW DC SYSTEM SIZE (AC) 5000W @ 240VAC MODULES 20 X HANWHA Q -CELL. Q PEAK -134.1 305, 305W MODULES INVERTER SOLAR EDGE SE5000H-US [S11] ROOF COMPOSITION SHINGLE TILT 18° PITCH AZIMUTH : 270° RAFTER/TRUSS SIZE : 2" X4" TRUSSES @ 24" O.0 ATTACHMENT TYPE UNIRAC SUNFRAME MICRORAIL (SFM) ROOF ATTACHMENTS & FLASHKIT SFM SLIDERS MAIN SERVICE PANEL EXISTING 200 AMPS MSP WITH 150 AMPS MAIN BREAKER ON END FEED INTERCONNECTION : PV BREAKER TIED INTO MSP OCPD RATING : 30 AMPS STRINGING 2 STRING WITH 10 MODULES IN SERIES IN EACH STRING UTILITY : XCEL ENERGY TABLE OF CONTENTS PV -1 SITE LOCATION AND HOUSE AERIAL VIEW PV -2 SITE PLAN PV -2A ROOF PLAN WITH MODULES LAYOUT PV -3 ELECTRICAL LINE DIAGRAM PV -4 ROOF MOUNTING DETAILS, ELEC. CALCULATION & MATERIAL LIST PV -5 LABELS PV -6 OPTIMIZER CHART eie< caicomacm N° CLIENT C-10#1029644 freedom F O R E V E R FREEDOM FOREVER LLC 43445 Business Park Dr Suite 110, Temecula, CA 92590 Tel: (800) 385-1075 PHOTOVOLTAIC SYSTEM CITY NOTES.- THIS OTES: THIS PROJECT COMPLIES WITH THE FOLLOWING: 2012 INTERNATIONAL BUILDING CODE 2012 INTERNATIONAL MECHANICAL CODE 2012 INTERNATIONAL PLUMBING CODE 2012 INTERNATIONAL ENERGY CONSERVATION CODE 2012 INTERNATIONAL RESIDENTIAL CODE 2012 INTERNATIONAL FIRE CODE 2012 INTERNATIONAL FUEL GAS CODE 2017 NATIONAL ELECTRICAL CODE 2012 INTERNATIONAL PROPERTY MAINTENANCE CODE AS ADOPTED BY CITY OF LAKEWOOD MODULES SHALL BE TESTED, LISTED AND INDENTIFIED WITH FIRE CLASSIFICATION IN ACCORDANCE WITH UL 1703. THE FIRE CLASSIFICATION SHALL COMPLY WITH TABLE 1505.1 OF THE INTERNATIONAL BUILDING CODE BASED ON THE TYPE OF CONSTRUCTION OF THE BUILDING. IRC SECTION R902.4 SMOKE AND CARBON MONOXIDE ALARMS ARE REQUIRED PER IRC SECTION R314 AND 315 TO BE VERIFIED AND INSPECTED BY INSPECTOR IN THE FIELD. INSTALLATION NOTES: THE PV BREAKER SHALL NOT EXCEED 120% OF THE ALLOWABLE BACK FEED OF THE MAIN SERVICE BUSS RATING. PV WIRE SHALL BE USED ON DC RUNS FOR UNGROUNDED/TRANSFORMERLESS O INVERTERS. INSTALL CREW TO VERIFY ROOF STRUCTURE PRIOR TO COMMENCING WORK. EMT CONDUITS ARE ATTACHED TO THE ROOF USING PRESSURE TREATED WOOD IN CASE OF COMPOSITE ROOF OR COUNDUIT HANGERS IN CASE OF COPJCRETE P rWhe t� CommuNm Dmtomwr APPROVED Reviewed for Code Compliance RAMIREZ, ELISEO & RUBIO, MARIA 5640 W 28TH AVE, LAKEWOOD, CO 80214 (720) 447-4069 3 �e- (CC Warts f:amirw Date Validity of oern* The issuance of o prrmir or approval of pbm specdkahme wad computotions shall not be o permitfor, or an approval a� any violative to any of the provisions of the building code or of any Co ordinances. Ptnegs presurr oV to give oudwro to violate of cancel the provisions of the &&A*" codes or oche+ ordinances of the City shall not be valid. REVISIONS DESCRIPTION DATE I REVISION SITE LOCATION: RECEIVED AUf Pe * W 28th Ave 5640 West 28th Avenue 0 0 Ave I W 27th Ave SITE LOCATION HOUSE AERIAL VIEW: DATE. 07/26/2019 DESIGN BY GREG JOB No., FS -07-270 '--- MODULE LOCATION TITLE: SITE LOCATION AND HOUSE AERIAL VIEW SHEET: PV -1 ROOF AREA: 1590.67 SQ FT SNOW LOAD: 30 PSF WIND SPEED: 105 MPH EXPOSURE:C (N) 20 HANWHA Q -CELL. Q PEAK -G4.1 305, 305W MODULES o -I n.> s PRePERTY LINE r,. " 4 1 Eiea1,caic11111-1"° CLIENT. y. C-10#1029644 freedom F 0 R E V E R FREEDOM FOREVER LLC 43445 Business Park Dr Suite 110, Temecula, CA 92590 Tel: (800) 385-1075 W 28TH AVE 52'-8" 48'-9" — — 52'-8" — — (E) MAIN SERVICE PANEL ROOF LINE REVISIONS RAMIREZ, ELISEO & RUBIO, MARIA DESCRIPTION 5640 W 28TH AVE, LAKEWOOD, CO 80214 (720) 447-4069 SITE PLAN SCALE: 1/16" = V-0" DATE I REVISION 1 DATE 107/26/2019 DESIGN I GREG JOB NO. l FS -07-270 TITLE SITE PLAN I PV -2 NOTE: O EMT CONDUIT SUPPORTED BY PIPE HANGERS 12" TO 18" AWAY FROM ROOF EDGE O ATTACH CLAMP AT 25% FROM EDGE AND 50% FROM CENTER OF MODULES 03 JUNCTION BOX MOUNTED LEGEND: ® CHIMNEY O PIPE VENT SNOW LOAD: 30 PSF WIND SPEED: 105 MPH EXPOSURE: C (N) 20 HANWHA Q -CELL. Q PEAK -G4.1 305, 305W MODULES FIRE ACCESS PATHWAYS ,.—, v , k.,,., ROOF AREA STATEMENT ROOF MOQDULES PITCH AZIMUTH ROOF AREA ARRAY AREA 1 20 18° 270° 725.11 SQ FT 364.17 SQ FT JUNCTION BOX 03 (N) SOLAR EDGE SE5000H-US [S11] INVERTER (N) AC DISCONNECT (N) PRODUCTION METER (N) 3/4" OR LARGER EMTOi CONDUIT (E) MAIN SERVICE PANEL aDOLr�F� Digitally signed by Arash 53832 y Zandieh ........ Date: 2019.07.29 o NAI- Exp- (031/x019 11:43:36 -06'00' t Ridge ry i<<pn ROOF PLAN WITH MODULES LAY 1 SCALE: 1/8" = V-0" Eieomcai eontwto' No CLIENT: REVISIONS: TITLE. SHEET: freedom C-1011029644 RAMIREZ, ELISEO & RUBIO, MARIA DESCRIPTION DATE REVISION DATE: 07/26/2019 F o R f V E R 5640 W 28TH AVE, DESIGN GREG ROOF PLAN WITH PV -2A FREEDOM FOREVER LLC LAKEWOOD, CO 80214 BY 43445 Business Park Dr Suite 110, Temecula, CA 92590 (720) 447-4069 MODULES LAYOUT Tel: (800) 385-1075 JOB No. FS -07-270 x. OCPD: 10A Bus) * (1.2) = 240A Max Rating (120% of Bus) Backfeed (30A) + Main Breaker (150A) = (18OA <_ 240A) e 705.12 (13)(2)(3)(b) of 2017 NEC TAL DC kW: 6.1 kW STRING -1 TAL AC kW: 5.0 kW 10 HANWHA Q -CELL. Q ILITY INTERACTIVE PEAK -G4.1 305, 305W MODULES SYSTEM ;OLAREDGE 320 POWER )PTIMIZERS ;OLAREDGE 320 POWER )PTIMIZERS I I i I I I I I I I I I I f I I QTY EQUIPMENT DESCRIPTION (END FED) OPEN CIRCUIT VOLTAGE (Voc) 40.05V METER, 1 20/240V 3 -WIRE, HANWAQ-CELL MAX POWERVOLTAGE(Vnp) 32.62V 20 Q PEAK -G4.1 305, SHORT CIRCUIT CURRENT (le) 9 84A 4.14.4 XCEL ME_ TER 305W MODULES MAX POAER CURRENT (Imp) 9 36.A IDENTIFICATION PTC RATING 282 1W SOLAR EDGE MAX. DG INPUT VOLTAGE 480V SESOOOH-US [SI 11 MAX AC OUTPUT VOL [AGE RANGE 211-240V 1 WITH POWER AC OUTPUT CURRENT 21A OPTIMIZERS MAX AC POV%ER OUPUT MAX WEIGHTED EFFICIENCY 5000W 99% STRING -2 2 - #10 AWG, PV WIRE 10 HANWHA Q -CELL. Q PEAK -G4.1 305,305W MODULES —t JUNCTION BOX ---------------- ----- i I 2 - #10 AWG, PV WIRE 1 - #6 AWG IN FREE AIR OR #8 AWG MUST BE IN EMT CONDUIT General Notes 4 - #10 AWG, THWN-2 1 - #8 EGC, THWN-2 IN 3/4" OR LARGER EMT CONDUIT (N) INVERTER SOLAR EDGE SE5000H-US [S11] RAPID �cr SHUTDOWN SWITCH I f I I I DC -------------- 3 - #6 AWG, THWN-2 1 - #8 EGC, THWN-2 IN 3/4" OR LARGER EMT CONDUIT NOTES "PHOTOVOLTAIC SYSTEM CONNECTED" YELLOW WITH BLACK LETTERING PLACARD TO BE LOCATED ON MAIN BILLING METER "PV AC DISCONNECT" YELLOW WITH BLACK LETTERING PLACARD TO BE LOCATED ON AC DISCONNECT 1. (20) HANWHA Q -CELL. Q PEAK -G4.1 305, 305W MODULES wired and listed to UL1703 standards 2. SOLAR EDGE SE5000H-US [S11] Inverter with integrated DC Disconnect and Arc Fault Protection. Attached with system electrical specifications and ground fault protected & listed to UL1741 standards. 3. Photovoltaic system ground will be tied into existing ground at main service from DC Disconnect/Inverter as per NEC Sec. 250.166(A). "The Grounding Electrode Conductor shall not be smaller than the neutral conductor and not smaller than 8AWG copper." 4. Equipment operating 150 volts or greater shall only be serviced or replaced by qualified personnel. Field protection may be in the form of conduit, closed cabinet or an enclosure which requires use of tools to open. 5. Solar Photovoltaic System equipment will be installed in accordance with requirements of Art. 690 of the NEC 2017 6.Minimum height of conduit above roof to match temperature derating factor. 7. Photovoltaic DC conductors entering the building shall be installed in metallic raceway and shall be identified every 10 feet -- and within 1 foot above and below penetrations of roof/ceiling assemblies, walls, or barriers -- with minimum 3/8 -inch -high white lettering on red background reading:"WARNING: PHOTOVOLTAIC POWER SOURCE" Dwrica! cortvacmr No CLIENT: C-10#1029644 freedom F O R E V E R FREEDOM FOREVER LLC 43445 Business Park Dr Suite 110, Temecula, CA 92590 Tel: (800) 385-1075 (N) 30A, LOCKABLE KNIFE BLADE AC DISCONNECT SWITCH WITH VISIBLE OPEN NEMA 3R UL LISTED (E) 150A / 2P MAIN BREAKER (END FED) (N) STEEL PRODUCTION METER, 1 20/240V 3 -WIRE, IN COMPLIANCE WITH SECTION 4.11 OF THE XCEL ENERGY STANDARD TO OTHER 4.14.4 XCEL ME_ TER LOADS — SOCKET IDENTIFICATION PV PROD 5640 (N) 30A / PV I 1 r BREAKER __t::Vj --- T PV PRODUCTION METER SHALL BE LOCATED 10 FEET WITHIN THE MAIN BILLING METER FCONNECT TO EXISTING LIFER (E) 200A MAIN SERVICE PANEL 1 P, 240V, 60HZ 201 0 (E) UTILITY METER XCEL #58889395 I ----------------- -VERIFY COLD WATER BOND -COLD WATER BOND TO GAS PIPE ON CUSTOMER SIDE OF GAS METER -(2) GROUND RODS, UNLESS CONNECTED TO BUILDING UFER 8. System Grounding Electrode conductor for PV system to be sized to meet the requirements of NEC 2017 table 250.66, not smaller than #8 CU AWG." 9. If the existing main service panel does not have a ground rod or ufer, it is the pv contractors responsibility install one. 10. Smoke alarms and carbon monoxide detectors will meet the necessary requirements per IRC R314, R315 11. UTILITY COMPANY WILL BE NOTIFIED PRIOR TO ACTIVATION OF THE SOLAR PV SYSTEM. 12.Terminals of the disconnecting means may be energized in the open position. G;�-', a�0 13. A signage labeled "SOLAR LOADS ONLY" is to be installed on dedicated solar sub panel to be used for PV only.�roo �O 14. Solaredge inverters are listed to UL1741 and UL1699B standards. �a`c 15. Solaredge Optimizers are listed to IEC62109-1 (class II safety) and UL1741 standards. 16. PV system is using continuous grounding method with #6 bare copper wire. RAMIREZ, ELISEO & RUBIO, MARIA 5640 W 28TH AVE, LAKEWOOD, CO 80214 (720) 447-4069 REVISIONS. DESCRIPTION I DATE I REVISION TITLE. I SHEET. DATE 107/26/2019 DESIGN GREG ELECTRICAL PV -3 BY LINE DIAGRAM JOB NO..1 FS -07-270 Max. OCPD: (200A Bus) ' (1.2) = 240A Max Rating (120% of Bus) PV Backfeed (30A) + Main Breaker (150A) = (180A:5 240A) See 705.12 (13)(2)(3)(b) of 2017 NEC TOTAL DC kW: 6.1 kW STRING -1 TOTAL AC kW: 5.0 kW 10 HANWHA Q -CELL. Q UTILITY INTERACTIVE PEAK -G4.1 305, 305W MODULES PV SYSTEM SOLAREDGE P320 POWER OPTIMIZERS SOLAREDGE P320 POWER OPTIMIZERS STPINr,-9 10 HANWHA Q -CELL. Q PEAK -G4.1 305, 305W MODULES JUNCTION BOX 2 - #10 AWG, PV WIRE 1 - #6 AWG IN FREE AIR OR #8 AWG MUST BE IN EMT CONDUIT General Notes QTY EQUIPMENT DESCRIPTION OPEN CIRCUIT VOLTAGE (Voc) 40.05V HANWHAQ-CELL MAX POWERVOLTAGE(Vrrp) 32.62V 20 Q P EAK-G4.1 305, SHORT CIRCUIT CURRENT (Isc) 9.84A 305W MODULES MAX POKER CURRENT Qmp) 9.35A • KNIFE BLADE AC PTC RATING 292 1 W •�• SOLAR EDGE MAX. DC INPUT VOLTAGE 480V • SE5000H-US(S111 MAX Al- OUTPUT VOLTAGE RANGE 211-240V 1 WITH POWER MAX. AC OUTPUT CURRENT. 21A OPTIMIZERS MAX AC POKER OUPUT 5000W UL LISTED WEIGHTED EFFICIENCY 99% 2 - #10 AWG. PV WIRE 4 - #10 AWG, THWN-2 1 - #8 EGC, THWN-2 IN 3/4" OR LARGER EMT CONDUIT (N) INVERTER SOLAR EDGE SE5000H-US [Sl1] CVRAPID AC SHUTDOWN D 3 - #6 AWG, THWN-2 1 - #8 EGC, THWN-2 IN 3/4" OR LARGER EMT CONDUIT NOTES "PHOTOVOLTAIC SYSTEM CONNECTED" YELLOW WITH BLACK LETTERING PLACARD TO BE LOCATED ON MAIN BILLING METER "PV AC DISCONNECT" YELLOW WITH BLACK LETTERING PLACARD TO BE LOCATED ON AC DISCONNECT 1. (20) HANWHA Q -CELL. Q PEAK -G4.1 305, 305W MODULES wired and listed to UL1703 standards 2. SOLAR EDGE SE5000H-US [SI 1] Inverter with integrated DC Disconnect and Arc Fault Protection. Attached with system electrical specifications and ground fault protected & listed to UL1741 standards. 3. Photovoltaic system ground will be tied into existing ground at main service from DC Disconnect/Inverter as per NEC Sec. 250.166(A). "The Grounding Electrode Conductor shall not be smaller than the neutral conductor and not smaller than 8AWG copper." 4. Equipment operating 150 volts or greater shall only be serviced or replaced by qualified personnel. Field protection may be in the form of conduit, closed cabinet or an enclosure which requires use of tools to open. 5. Solar Photovoltaic System equipment will be installed in accordance with requirements of Art. 690 of the NEC 2017. 6.Minimum height of conduit above roof to match temperature derating factor. 7. Photovoltaic DC conductors entering the building shall be installed in metallic raceway and shall be identified every 10 feet -- and within 1 foot above and below penetrations of roof/ceiling assemblies, walls, or barriers -- with minimum 3/8 -inch -high white lettering on red background reading:"WARNING: PHOTOVOLTAIC POWER SOURCE" (E) 200A MAIN SERVICE PANEL 1 P, 240V, 60HZ PV PRODUCTION METER SHALL BE LOCATED 10 FEET WITHIN THE MAIN BILLING METER - CONNECT TO EXISTING LIFER • VERIFY COLD WATER BOND �4 (E) UTILITY METER XCEL #58889395 -COLD WATER BOND TO GAS PIPE ON CUSTOMER SIDE OF GAS METER -(2) GROUND RODS. UNLESS CONNECTED TO BUILDING UFER 8. System Grounding Electrode conductor for PV system to be sized to meet the requirements of NEC 2017 table 250.66, not smaller than #8 CU AWG." 9. If the existing main service panel does not have a ground rod or ufer, it is the pv contractors responsibility install one. 10. Smoke alarms and carbon monoxide detectors will meet the necessary requirements per IRC R314, R315 11. UTILITY COMPANY WILL BE NOTIFIED PRIOR TO ACTIVATION OF THE SOLAR PV SYSTEM. 12.Terminals of the disconnecting means may be energized in the open position. 13. A signage labeled "SOLAR LOADS ONLY" is to be installed on dedicated solar sub panel to be used for PV only. 14. Solaredge inverters are listed to UL1741 and UL1699B standards. 15. Solaredge Optimizers are listed to IEC62109-1 (class II safety) and UL1741 standards. 16. PV system is using continuous grounding method with #6 bare copper wire. Q'ctri°aic°"uactwNo CLIENT REVISIONS. TITLE: SHEET .- freedom C-10#1029644 RAMIREZ, ELISEO & RUBIO, MARIA DESCRIPTION DATE REVISION DATE07/26/2019 F O R E V E R 5640 W 28TH AVE, DESIGN GREG ELECTRICAL PV -3A FREEDOM FOREVER LLC LAKEWOOD, CO 80214 BY 43445 Business Park Dr Suite 110, Temecula, CA 92590 (720) 447-4069 LINE DIAGRAM JOB No. FS -07-270 Tel: (800) 385-1075 (E) 150A / 2P MAIN BREAKER (END FED) (N) STEEL PRODUCTION METER, 1 20/240V 3 -WIRE, IN COMPLIANCE WITH (N) 30A, LOCKABLE SECTION 4.11 OF THE • KNIFE BLADE AC XCEL ENERGY STANDARD TO OTHER •�• DISCONNECT 4.14.4 XCEL METER LOADS • SWITCH WITH SOCKET .�• VISIBLE OPEN IDENTIFICATION NEMA 3R PV PROD 5640 UL LISTED (N) 30A / 2P PV BREAKER 0 i I O • PV PRODUCTION METER SHALL BE LOCATED 10 FEET WITHIN THE MAIN BILLING METER - CONNECT TO EXISTING LIFER • VERIFY COLD WATER BOND �4 (E) UTILITY METER XCEL #58889395 -COLD WATER BOND TO GAS PIPE ON CUSTOMER SIDE OF GAS METER -(2) GROUND RODS. UNLESS CONNECTED TO BUILDING UFER 8. System Grounding Electrode conductor for PV system to be sized to meet the requirements of NEC 2017 table 250.66, not smaller than #8 CU AWG." 9. If the existing main service panel does not have a ground rod or ufer, it is the pv contractors responsibility install one. 10. Smoke alarms and carbon monoxide detectors will meet the necessary requirements per IRC R314, R315 11. UTILITY COMPANY WILL BE NOTIFIED PRIOR TO ACTIVATION OF THE SOLAR PV SYSTEM. 12.Terminals of the disconnecting means may be energized in the open position. 13. A signage labeled "SOLAR LOADS ONLY" is to be installed on dedicated solar sub panel to be used for PV only. 14. Solaredge inverters are listed to UL1741 and UL1699B standards. 15. Solaredge Optimizers are listed to IEC62109-1 (class II safety) and UL1741 standards. 16. PV system is using continuous grounding method with #6 bare copper wire. Q'ctri°aic°"uactwNo CLIENT REVISIONS. TITLE: SHEET .- freedom C-10#1029644 RAMIREZ, ELISEO & RUBIO, MARIA DESCRIPTION DATE REVISION DATE07/26/2019 F O R E V E R 5640 W 28TH AVE, DESIGN GREG ELECTRICAL PV -3A FREEDOM FOREVER LLC LAKEWOOD, CO 80214 BY 43445 Business Park Dr Suite 110, Temecula, CA 92590 (720) 447-4069 LINE DIAGRAM JOB No. FS -07-270 Tel: (800) 385-1075 Elemcal Contractor No CLIENT C-10#1029644 freedom FREEDOM FOREVER LLC 43445 Business Park Dr Suite 110, Temecula, CA 92590 Tel: (800) 385-1075 ELECTRICAL CALCULATIONS BACKFEED BREAKER SIZING MAX. CONTINUOUS OUTPUT 21A @ 240V 21 X 1.25 = 26.25AMPS 30A BREAKER - OK 2017 NEC (B) (2) (3) (b) 200 X 1.20 = 240 240 - 150 = 90A ALLOWABLE BACKFEED DE -RATED AMPACITY OF 6 AWG CONDUCTOR @ 0.96 TEMPERATURE CORRECTION 75 X 0.96 = 72.00 AMPS - OK RAMIREZ, ELISEO & RUBIO, MARIA 5640 W 28TH AVE, LAKEWOOD, CO 80214 (720) 447-4069 REVISIONS. DESCRIPTION MATERIAL LIST QTY EQUIPMENT DESCRIPTION 2309322 OPEN CIRCUIT VOLTAGE (Voc) : 40.05V HANWHA Q -CELL. MAX. POWER VOLTAGE (Vmp) : 32.62V 20 Q PEAK -G4.1 305, SHORT CIRCUIT CURRENT (Isc) : 9.84A 008009P 305W MODULES MAX. POWER CURRENT (Imp) : 9.35A Plashing FLASHKIT SSM SLIDER COMP PTC RATING. 282.1 W DARK SOLAR EDGE MAX. DC INPUT VOLTAGE: 480V 008114M SE5000H-US [S11] MAX. AC OUTPUT VOLTAGE RANGE: 211-240V 1 MAX. AC OUTPUT CURRENT: 21A WITH POWER MAX. AC POWER OUPUT : 5000W OPTIMIZERS WEIGHTED EFFICIENCY: 99% 1 JUNCTION BOX 60OVDC, NEMA 3R, UL LISTED 1 AC DISCONNECT 240VAC, 30A, NEMA 3R, UL LISTED 1 PRODUCTION 240VAC, NEMA 3R, UL LISTED METER 1 PV BREAKER 2 POLE, 240V, 30A 70' CONDUIT 3/4" OR LARGER EMT CONDUIT BILL OF MATERIALS PART NUMBER PART TYPE DESCRIPTION _3b3� crM MICRO RAIL � j,%1V 2309322 SPM ATT GPLICE 9 32MM 2301 3/R S FM SPICE ° 32MM 0041000 Roof Attachment FLASHKI' SW TRIM COMP DAPh 240332R Tnm SEM TR,MRA4 bb 32MM DRK 008009P Grounding Lug ILSCO LAY IN LUG IGBL4DBT1 004070D Plashing FLASHKIT SSM SLIDER COMP 0- DARK 00801 5S N-SW"eChp WIRE BND CLIP 008114M Reim og CI,p MLPE MOUNT ASSY DATE I REVISION 1 DATE 107/26/2019 BYSIGN GREG JOB NO. FS -07-270 L EGFN D ■ Base Sy;Tem Pa, • ■ Accessory SUGGESTED UNITPRICE TOTAL LIST PRICE QUANTITY QUANTITY (USD) (USD) TITLE. 4-.^ 2598 182'_, - 15 -4 10738 •- 11390 10 _ 14 45 144 50 7 27b 22 ._;_ 575 0- 3U 3.. 30450 �+��'0'S J�.0 c 20 20 > OC SHEET: ELEC. CALCULATION & MATERIAL LIST PV -4 j Ar LEGEND o�p,p0Q.- ZA,y��s�no Ccj& Module p5N Q y (Roof Zones) 538032 332 3 Zone 1 .3 �' "� Q Zone 2 .; SroNA�&' Zone 3 Exp. 10131/Z01,9 SFM Components Digitally signed 0111 3" Microrail by A ra s h =1 9" SFM Splice ID 9" Attached Za n d i e h Splice C SFM Trim Date: 2019.07.29 Attachment 11:43:15 -06'00' SFM Trim Univ Clip Full Trim Section Cut Trim Section "rM TRIM RAIL MODULE H SLIDER AND TRIMRAIL OF ATTACHMENT ASHING ROOF DECK / MEMBRANE UNIRAC SLIDERS i" STAINLESS STEEL LAG BOLT OR RUCTURAL SCREW NITH 2-1/2" MIN. 3EDMENT AND FLAT WASHER BUILDING STRUCTURE ALL SUN FRAME MICRORAIL EQUIPMENT AND COMPONENTS HAVE INTEGRATED GROUND BONDING PV MODULE ROOF/DECK MEMBRANE FLASHING MICRORAIL ATTACHMENTS UNIRAC SUNFRAME MICRORAIL FLASHING Photovoltaic Panel Mounting Detail Scale: NTS Wheat Ridge Elelncal Con"adcr No CLIENT: REVISIONS. TITLE SHEET: freedom C-10#1029644 RAMIREZ, ELISEO & RUBIO, MARIA DESCRIPTION DATE REVIIDESIGN 07/26/2019 F o R E v r R 5640 W 28TH AVE, ROOF MOUNTING FREEDOM FOREVER LLC LAKEWOOD, CO 80214 GREG PV -4A 43445 Business Park Dr Suite 110, Temecula, CA 92590 (720) 447-4069 DETAILS Tel: (800) 385-1075 FS -07-270 "WARNING" NVERTER OUTPUT CONNECTION DO NOT RELOCATE THIS OVERCURRENT DEVICE (UNLESS BUSBAR IS FULLY RATED) 705.12(D)(2) Ml PHOTOVOLTAIC SYSTEM, QUIPPED WITH RAPID SHUTDOWN A 690.12 C "WARNING" ELECTRIC SHOCK HAZARD. THE DC ;ONDUCTORS OF THIS PHOTOVOLTAIC SYSTEM ARE UNGROUNDED AND MAY BE ENERGIZED. 690.35(F) ARRAY J/B NEC 690.31(G)(3) & (4), IRC R324.7 "WARNING" PHOTOVOLTIC POWER SOURCE =VERY 1YON COUNDUIT AND ENCLOSURES DC w W H w Z eien,i arca lana o CLIENT C-10#1029644 freedom FREEDOM FOREVER RLLC 43445 Business Park Dr Suite 110, Temecula, CA 92590 Tel: (800) 385-1075 "WARNING" DUAL POWER SOURCES SECOND SOURCE IS PHOTO- VOLTAIC SYSTEM RATED AC OUTPUT CURRENT - 21 AMPS AC NORMAL OPERATING VOLTAGE - 240 VOLTS 690.54 PV SYSTEM AC DISCONNECT RATED AC OUTPUT CURRENT - 21 AMPS AC NORMAL OPERATING VOLTAGE - 240 VOLTS 690.14, 690.15, 690.54 "WARNING" ELECTRIC SHOCK HAZARD IF A GROUND- FAULT IS INDICATED, NORMALLY GROUNDED CONDUCTORS MAY BE UNGROUNDED AND ENERGIZED. 690.5(C) DIRECT CURRENT PHOTOVOLTAIC POWER SOURCE MAXIMUM VOLTAGE - 240 VDC MAX CIRCUIT CURRENT- 21 AMPS "WARNING" ELECTRIC SHOCK HAZARD. DO NOT TOUCH TERMINALS. TERMINALS ON BOTH LINE AND LOAD SIDES MAY BE ENERGIZED IN THE OPEN POSITION. 690.17 PV SYSTEM DC DISCONNECT OPERATING CURRENT: 16.05A OPERATING VOLTAGE: 380.00V SHORT-CIRCUIT CURRENT: 30.00A MAX SYSTEM VOLTAGE: 480.00V 690.14(CO(2)), 690.15, 690.53 RAMIREZ, ELISEO & RUBIO, MARIA 5640 W 28TH AVE, LAKEWOOD, CO 80214 (720) 447-4069 IZ[611�3 REVISIONS: 1. NEC ARTICLES 690 AND 705 AND IRC SECTION R324 MARKINGS SHOWN HEREON 2. ALL MARKING SHALL CONSIST OF THE FOLLOWING: A. UV RESISTANT SING MATERIAL WITH ENGRAVED OR MACHINE PRINTED LETTERS OR ELECTRO -PLATING B. RED BACKGROUND COLOR WHITE TEXT AND LINE WORK C. 2" X 43/4", 36 POINT ARIAL BOLD D. ALL SIGNS SHALL BE SIZED APPROPRIATELY AND PLACED IN THE LOCATIONS SPECIFIED 3. SIGNS SHALL BE ATTACHED TO THE SERVICE EQUIPMENT POP -RIVETS OR SCREWS. CAUTION: POWER TO THIS BUILDING IS ALSO SUPPLIED FROM THE FOLLOWING SOURCES WITH DISCONNECT(S) LOCATED AS SHOWN. DANGEROUS VOLTAGE MAY BE PRESENT AT ALL TIMES W 28TH AVE RYA" TVD _ nlGr 7nr 1 n DESCRIPTION I DATE I REVISION DATE 107/26/2019 DESIGN BY I GREG JOB NO. I FS -07-270 JUNCTION BOX INVERTER EQUIPPED WITH RAPID SHUTDOWN AC DISCONNECT PRODUCTION METER MAIN SERVICE PANEL 20 PV MODULE 0. m Gll 0c O` 5 4:;�� > eco TITLE: I SHEET LABELS I PV -5 _r 1 PAI 01 Cl 5 Con 7 0 10 1-10 11-20 21-30 31-40 41-50 51-60 11-1,-1 N° CLIENT. REVISIONS, TITLE: SHEET C-10#1029644 DATE 07/26/2019 freedom RAMIREZ, ELISEO & RUBIO, MARIA DESCRIPTION DATE REVISION F o e E V E R 5640 W 28TH AVE, DESIGN GREG OPTIMIZER PV -6 FREEDOM FOREVER LLC LAKEWOOD, CO 80214 BY (720) 447-4069 CHART 43445 Business Park Dr Suite 110, Temecula, CA 92590 JOB NO. FS -07-270 Tel: (800) 385-1075 The new high-performance module is the ideal solution for all applications thanks to its innovative cell technology The world -record cell design was developed to achieve the best perfor- mance under real conditions - even with low radiation intensity and on clear, hot summer days. �J LOW ELECTRICITY GENERATION COSTS Higher yield per surface area and lower BOS costs thanks to Quality TestedaCELLS higher power classes and an efficiency rate of up to 18.6%. a., polycrystalline INNOVATIVE ALL-WEATHER TECHNOLOGY module 2014 o.vaoeams Optimal yields, whatever the weather with excellent low -light and temperature behavior. iLong-term ENDURING HIGH PERFORMANCE yield security with Anti -PID Technology', Hot -Spot -Protect and Traceable Quality Tra.QTM. A_ EXTREME WEATHER RATING 1 High-tech aluminum alloy frame, certified for high snow (5400 Pa) and wind loads (4000 Pa) regarding IEC. MAXIMUM COST REDUCTIONS Up to 10% lower logistics costs due to higher module capacity per box. A RELIABLE INVESTMENT O Inclusive 12 -year product warranty and 25 -year linear performance guarantee'. THE IDEAL SOLUTION FOR: IM Rooftop arrays on residential buildings Engineered in Germany i O CEllS YIELD SEpIRRY TOP BRAND PV ANTI PID TECHNOLOGY 2056 '�HOT-SPOT PILDEECIP TRAC OLE QUALITY APT test conditions: Cells at -1500V against grounded, with conductive me- tal foil covered module surface, 25°C, 1681, 2 See data sheet or rear for further information. OCELLS MECHANICAL SPECIFICATION Format 65.7 in x 39.4 in x 1.26 IF (including frame) _ _ AN I (1670mm x 1000mm x 32mm) Weight 41.45 lb (18.8 kg) Front Cover 0.13in (3.2 mm) thermally pre -stressed glass with anti -reflection technology Back Cover Composite film Frame Black anodised aluminum Cell 6 x 10 monocrystalllne Q.ANTUM solar cells Junction box 2-60-3,03 in x 4.37-3.54 in x 0.59-0.75 in (66-77mm x 111-90 mm x 15-19 mm), Protection class IP67, with bypass diodes Cable 4 mm- Sala, adle (a)>39.3/ r (100.,--). ,>39.o7�r (1000-) -i Connector Multi -Contact MC4 or MC4 mtermateable, IP68 l ~ „ >:mm ate,„,,.,,IED Tats ns -i POWER CLASS 295 300 MINIMUM PERFORMANCE AT STANDARD TESTING CONDITIONS, STC (POWER TOLERANCE +5 W / -OW) Power at MPP' PMPe IWl 295 300 305 Short Circuit Current* Ise [A] 9.70 9.77 9.84 E Open Circuit Voltage* Vor [V] 39.48 39.76 40.05 Current at MPP* I- [A] 9.17 9.26 9.35 Voltage at MPP* V.PP [V] 32.19 32.41 32.62 Efficiency' 9 [%] ? 17.7 = 18.0 : 18.3 MINIMUM PERFORMANCE AT NORMAL OPERATING CONDITIONS, NOC' Power at MPP2 PMP, [W] 218.1 221.8 225.5 E Short Circuit Current* Ise [A] 7.82 7.88 7.94 E Open Circuit Voltage* VDc IV] 36.92 37.19 37.46 Current at MPP* Ivre [A] 7.20 7.27 7.35 Voltage at MPP* V„Pre [V] 30.30 30.49 30.67 1000 W/m2, 25 °C, spectrum AM 1 5G Measurement tolerances STC -3 %; NOC x5 % '800 W/m2, NOCT, spectrum AM 1 513 -typical values, actual values may differ Q CELLS PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE `- - A least 97 i° W --f power cul rg' •st yea'. - - Thereafter max. 0.6% degradation per year. 3 " A' least °. %. c' nominal power up to '0 years. aA- leasr 83 i, c' -,-l power up l0 25 years LL£ All data within measurement tolerances. - W - -- Full warranties in accordance with the warranty - terms of the Q CELLS sales organization of your ¢ respective country. m - zaa wo sin em ,om ` - RRAIPANLE wr,- x Typical module performance under low irradiance eondtions in -s" comparison to STC conditions (25 °C, 1000 W/m'). TEMPERATURE COEFFICIENTS Temperature Coefficient of Ise a [%/Kl +0.04 Temperature Coefficient of Vae p [%/Kl -0.28 Temperature Coefficient of PMP, y [%/Kl -0.39 Normal Operating Cell Temperature NOCT [°Fl 113 s 5.4 (45 + 3 °C) PROPERTIES1' SYSTEM DESIGN Maximum System Voltage Vs,s IV] 1000 (IEC) / 1000 (UL) Safety Class Maximum Series Fuse Rating [A DC] 20 Fire Rating C (IEC) /TYPE 1 (UL) Design load, push (UL)2 [Ibs/ff'I 75 (3600 Pa) Permitted module temperature -40°F up to +185'F on continuous duty (-40 °C up to +85 °C) tt Design load, pull (UL)2 [lbs/ft'l 55.6 (2666 Pa) 2 see Installation manual 0 QUALIFICATIONS AND CERTIFICATES PACKAGING INFORMATION UL 1703; VDE Quality Tested; CE -compliant; Number of Modules per Pallet 32 _ IEC 61215 (Ed.2); IEC 61730 (Ed. 1) application class A Number of Pallets per 53' Container 32 C e Number of Pallets per 40' Container Zb wE c us Pallet Dimensions ( L x W as H ) 68.7 m x 45.3 in x J6.1 in Y (1745 x 1150 ,11 mm) J am, Pallet Weight 143as (651 kg190 m NOTE: Installation Instructions must be followed. See the installation and operating manual or contact our technical service department for further Information on approved nstallatiora W uuse of this product. r� 100 Hanwha O CELLS America Inc. -.4 300S Plectrum Center Drive, Suite 1250, Irvine, CA 92618, USA I TEL +1 949 748 59 96 I EMAIL inquiry®us.q-cells.com I WEB www.q-cells.us �g V Phntnn Quality TestedaCELLS ^e •P`ao+� a., polycrystalline ON' OPO"°atO"solar «rve module 2014 o.vaoeams a-« ID 40032587 APT test conditions: Cells at -1500V against grounded, with conductive me- tal foil covered module surface, 25°C, 1681, 2 See data sheet or rear for further information. OCELLS MECHANICAL SPECIFICATION Format 65.7 in x 39.4 in x 1.26 IF (including frame) _ _ AN I (1670mm x 1000mm x 32mm) Weight 41.45 lb (18.8 kg) Front Cover 0.13in (3.2 mm) thermally pre -stressed glass with anti -reflection technology Back Cover Composite film Frame Black anodised aluminum Cell 6 x 10 monocrystalllne Q.ANTUM solar cells Junction box 2-60-3,03 in x 4.37-3.54 in x 0.59-0.75 in (66-77mm x 111-90 mm x 15-19 mm), Protection class IP67, with bypass diodes Cable 4 mm- Sala, adle (a)>39.3/ r (100.,--). ,>39.o7�r (1000-) -i Connector Multi -Contact MC4 or MC4 mtermateable, IP68 l ~ „ >:mm ate,„,,.,,IED Tats ns -i POWER CLASS 295 300 MINIMUM PERFORMANCE AT STANDARD TESTING CONDITIONS, STC (POWER TOLERANCE +5 W / -OW) Power at MPP' PMPe IWl 295 300 305 Short Circuit Current* Ise [A] 9.70 9.77 9.84 E Open Circuit Voltage* Vor [V] 39.48 39.76 40.05 Current at MPP* I- [A] 9.17 9.26 9.35 Voltage at MPP* V.PP [V] 32.19 32.41 32.62 Efficiency' 9 [%] ? 17.7 = 18.0 : 18.3 MINIMUM PERFORMANCE AT NORMAL OPERATING CONDITIONS, NOC' Power at MPP2 PMP, [W] 218.1 221.8 225.5 E Short Circuit Current* Ise [A] 7.82 7.88 7.94 E Open Circuit Voltage* VDc IV] 36.92 37.19 37.46 Current at MPP* Ivre [A] 7.20 7.27 7.35 Voltage at MPP* V„Pre [V] 30.30 30.49 30.67 1000 W/m2, 25 °C, spectrum AM 1 5G Measurement tolerances STC -3 %; NOC x5 % '800 W/m2, NOCT, spectrum AM 1 513 -typical values, actual values may differ Q CELLS PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE `- - A least 97 i° W --f power cul rg' •st yea'. - - Thereafter max. 0.6% degradation per year. 3 " A' least °. %. c' nominal power up to '0 years. aA- leasr 83 i, c' -,-l power up l0 25 years LL£ All data within measurement tolerances. - W - -- Full warranties in accordance with the warranty - terms of the Q CELLS sales organization of your ¢ respective country. m - zaa wo sin em ,om ` - RRAIPANLE wr,- x Typical module performance under low irradiance eondtions in -s" comparison to STC conditions (25 °C, 1000 W/m'). TEMPERATURE COEFFICIENTS Temperature Coefficient of Ise a [%/Kl +0.04 Temperature Coefficient of Vae p [%/Kl -0.28 Temperature Coefficient of PMP, y [%/Kl -0.39 Normal Operating Cell Temperature NOCT [°Fl 113 s 5.4 (45 + 3 °C) PROPERTIES1' SYSTEM DESIGN Maximum System Voltage Vs,s IV] 1000 (IEC) / 1000 (UL) Safety Class Maximum Series Fuse Rating [A DC] 20 Fire Rating C (IEC) /TYPE 1 (UL) Design load, push (UL)2 [Ibs/ff'I 75 (3600 Pa) Permitted module temperature -40°F up to +185'F on continuous duty (-40 °C up to +85 °C) tt Design load, pull (UL)2 [lbs/ft'l 55.6 (2666 Pa) 2 see Installation manual 0 QUALIFICATIONS AND CERTIFICATES PACKAGING INFORMATION UL 1703; VDE Quality Tested; CE -compliant; Number of Modules per Pallet 32 _ IEC 61215 (Ed.2); IEC 61730 (Ed. 1) application class A Number of Pallets per 53' Container 32 C e Number of Pallets per 40' Container Zb wE c us Pallet Dimensions ( L x W as H ) 68.7 m x 45.3 in x J6.1 in Y (1745 x 1150 ,11 mm) J am, Pallet Weight 143as (651 kg190 m NOTE: Installation Instructions must be followed. See the installation and operating manual or contact our technical service department for further Information on approved nstallatiora W uuse of this product. r� 100 Hanwha O CELLS America Inc. -.4 300S Plectrum Center Drive, Suite 1250, Irvine, CA 92618, USA I TEL +1 949 748 59 96 I EMAIL inquiry®us.q-cells.com I WEB www.q-cells.us �g V Single Phase Inverter Z with HID -Wave Technology m for North America X SE3000H-US / SE380OH-US / SE5000H-US / SE600OH-US / SE760OH-US / SE1000OH-US / SE1140OH-US ri r„T,I' iYEAR WARRANTY Un 0 solar- a a . ,.lei.—, � 0000 !!�• 0 0 f L 0 Optimized installation with HD -Wave technology Specifically designed to work with I Extremely small power optimizers Record-breaking efficiency I Built-in module -level monitoring Fixed voltage inverter for longer strings I Outdoor and indoor installation Integrated arc fault protection and rapid shutdown for / Optional: Revenue grade data, ANSI C12.20 NEC 2014 and 2017, per article 690.11 and 690.12 Class 0.5 (0.5% accuracy) UL1741 SA certified, for CPUC Rule 21 grid compliance solaredge.com solar. • -' / Single Phase Inverter with HD -Wave Tec nology for North America SE3000H-US / SE380OH-US / SE5000H-US / SE6000H-US/ SE760OH-US / SE1000OH-US / SE1140OH-US OUTPUT Ratec AC,'oner Output 3000 3800 @ 240V 6000 @ 240V 5000 7600 0000 11400 @ 240V VA 7750 AWG Range 3300 @ 208V 5000 @ 208V W Transformer -less, Ungrounded 10000 @ 208V Yes Max mum AC Power Output 3000 3800 @ 240V 5000 6000 @ 240V 7600 10000 11400 @ 240V VA Cooling Natural Convection 380 400 3300 @ 208V 5000 @ 208V Maximum Input Current @240V 8.5 10.5 10000 @ 208V 13.5 AC Output Voltage Min. -Nom. -Max. 30.5 Adc Maximum Input Current @208V' 9 13.5 Vac (211 - 240 - 264)11 Max Input Short Circuit Current ' Fa Power de -raving info•manon refer to: haps,.//www.solaredge.com/sites/default/files/se-temperature-derating-note-na.pdf 45 Adc Reverse-Poarty Protection AC Output Voltage Min. -Nom. -Max. Ro N S other trademarks mentioned herein are trademarks of their respective owners. Date: 12/2018/VO1/ENG NAM. Subject to change without notice. Ground -Fault Isolation Detection 6004e Sensitivity (183 - 208 - 229) 99.2 (, CEC Weighted Efficiency Vac AC Frequency (Nominal) 59.3 - 60 - 60.50% Hz Maximum Continuous Output 12.5 16 21 25 32 42 47.5 A Current @240V Supported -municauon Interfaces RS485, Ethernet, ZigBee (optional), Cellular (optional) Maximum Continuous Output 16 24 201769012 1id own -NEC 2014 and 48.5 A Current @208V _ STANDARD COMPLIANCE Safety GFDI Threshold 1 A Utility Monitoring, Islanding Grid Connection Standards Protection, Country Configurable Yes 1 hresholds FCC Part 15 Class 8 INPUT Max mum DC Power @240V 4650 5900 7750 9300 11800 l 15500 17650 W Maximum DC Power @208V 5100 3/4' minimum / 1 StYjngs / 14-6 AWG 7750 AWG Range I 15500 W Transformer -less, Ungrounded n / Yes Min Maximum Input Voltage 38.8 / 17. i��5 480 Noise < 25 Vdc Nominal DC Input Vcltaae Cooling Natural Convection 380 400 Vdc Maximum Input Current @240V 8.5 10.5 Protection Rating NEMA 4X (Inverter with Safety Switch) 13.5 16.5 20 27 30.5 Adc Maximum Input Current @208V' 9 13.5 27 Adc Max Input Short Circuit Current ' Fa Power de -raving info•manon refer to: haps,.//www.solaredge.com/sites/default/files/se-temperature-derating-note-na.pdf 45 Adc Reverse-Poarty Protection Yes Ro N S other trademarks mentioned herein are trademarks of their respective owners. Date: 12/2018/VO1/ENG NAM. Subject to change without notice. Ground -Fault Isolation Detection 6004e Sensitivity Maximum Inverter Eflbency 99 99.2 (, CEC Weighted Efficiency gg 99 @ 240V 98.5 @ 208V % N chttirne Power Con5umoncr < 2.5 W ADDITIONAL FEATURES Supported -municauon Interfaces RS485, Ethernet, ZigBee (optional), Cellular (optional) Revenue Grace Data, ANSI C12.20 Optionalf! 201769012 1id own -NEC 2014 and Automatic Rapid Shutdown upon AC Grid Disconnect STANDARD COMPLIANCE Safety UL1741, UL1741 SA, UL1699B, CSA C22.2, Canadian AFCI according to T.I.L. M-07 Grid Connection Standards IEEE1547, Rule 21, Rule 14 (HI) Emissions FCC Part 15 Class 8 INSTALLATION SPECIFICATIONS AC Output Conduit Size / AWG Range 3/4' minimum / 14-6 AWG 3/4' minimum /14-4 AWG DC Input Conduit Size / # of Strings / 3/4` minimum / 1-2 firings / 14 6 AWG 3/4' minimum / 1 StYjngs / 14-6 AWG AWG Range I Di, WxD) rs with Safety Switch 17.7 x 14.6 x 6.8 / 450 x 370 x 174 21.3 x 14.6 x 7.3 / �V/0 x 185 n / Min Weight ,with Safety Switch 22110 25.1/11.4 26.2/11.9 38.8 / 17. i��5 Ib / kg Noise < 25 <50 10, dBA Cooling Natural Convection Operating Temperature Range -40 to +140 / -25 to +60111 (407 / -40°C option)lst 7 /'C Protection Rating NEMA 4X (Inverter with Safety Switch) For other regional settirgs please contact Solarlidge support A higher current source may be used; the inverter will limit its input current to the values stated ' Revenue grade inverter P/N'. SExxxxH-USOOONNC2 ' Fa Power de -raving info•manon refer to: haps,.//www.solaredge.com/sites/default/files/se-temperature-derating-note-na.pdf ' -40 version P/N: SExxxxH-US000NNU4 C- SolarEdge Technologies, Inc. All rights reserved SOLAREDGE, the SolarEdge logo, OPTIMIZED BY SOLAREDGE are trademarks or registered trademarks of SolarEdge Technologies, Inc All Ro N S other trademarks mentioned herein are trademarks of their respective owners. Date: 12/2018/VO1/ENG NAM. Subject to change without notice. Power Optimizer For North America P320 / P340 / P370 / P400 / P405 / P505 25 YEAR WARRANTY PV power optimization at the module -level / Specifically designed to work with SolarEdge inverters / Up to 25% more energy / Superior efficiency (99.5%) / Mitigates all types of module mismatch losses, from manufacturing tolerance to partial shading / Flexible system design for maximum space utilization solaredge.com / Fast installation with a single bolt Next generation maintenance with module - level monitoring / Meets NEC requirements for arc fault protection (AFCI) and Photovoltaic Rapid Shutdown System (PVRSS) / Module -level voltage shutdown for installer and firefighter safety solara @ -. 1 Power Optimizer For North America P320 / P340 / P370 / P400 / P405 / P505 INPUT 400 405 a in DC Power" 320 340 0 SOS W Ae Mutriocuput aximum Input Nottage 48 1 60 80 125n" 83' Vdc IVrr_ at lowesttemperature) 1 N'FPT Operating Range 8-48 B-60 _ 8 - 80 12.5-105 Vdc Vax-Imum Short Circuit Current 11 101 14 I Adc Vaximum DC Input Current 13.75 12.63 11.5 Adc Vaximum Effi-iency 99.5 ! % VYelghtedEfficlency 98.8 98.6 % uvervo6-age Category II OUTPUT DURING OPERATION (POWER OPTIMIZER CONNECTED TO OPERATING SOLAREDGE INVERTER) V ax.rym :) tut Current 15 Adc Vaxlmum CLIC ut Voltage 60 85 ) Vdc OUTPUT DURING STANDBY (POWER OPTIMIZER DISCONNECTED FROM SOLAREDGE INVERTER OR SOLAREDGE INVERTER OFF) -tet, O,.tput Voltage per 1 t 0.1 Vdc Powe Opt mize STANDARD COMPLIANCE FMC FCC Pai Class 8, IEC61000-6-2, IEC61000-6 3 Safety JEC62109-1 (class II safety), UL1741 RoHS Yes INSTALLATION SPECIFICATIONS Vaximurr. Allowed System 1000 Vdc Voltage Compat ble Inverters All SolarEdge Single Phase and Three Phase inverters Dimensions AN x L x H) 129x -53x 27.5/ 5.1x6x1.1 - 129x153x33.5/ 129x159x49.5/ 129x162x59! mm/in 5.1x6x1.3 5?x6.3x1.9 5.1x6.4x2.3 ',height (including cables) 630/1.4 1 7SO / 1.7 845 / ?.9 106-4/2.3 ! gr/ Ib Input Connector M C 4' -- i Output Wire Type / Connector Double Insulated; MC4 Output W,re Length 0.95/3.0 1.2 / 3.9 m /ft Input Wire Length 0.16/0.52 m / ft Operating Temperature Range -40 - 4 85 / -40 - -185 -C / `F pct ,ton Rat,') P68 / NEMA6P Relative Hum city 0 - 100 % .. - of the noddle Vvoule of up to -5% power tolerance allowed rs Inax input vuitage be nut morethan 50V tyres please contaa. SeiarEage PV System Design Using Single Phase Single phase Three Phase 208V Three Phase 480V HD -Wave P37u, P340, P370, _ ,8 P400 �ipi rs) P405/ PSOS 6 --- -- 6 ,4 Vax!mur-: String Length 25 25 50i` (Powe Opt m zers) Maximum rower per String SE7600 US) SE?1 n 2 -- - 1 --- -- -- '3 - ;A i 5700 (6000 wit p g 400 s2so - -6000 1275- G w ��a°j r ,t _ ;o Paral�e Stnog<- of Different Lengths Yese' or Orientations r� i - - g song informatioe refer to. ht,p,/,' • .w:aredge.-uri/sites/dePdulVhles/string-sung-na.pdf `C�l to mix P-""05/1`505 with P320/P340/P370,P400 it one stncg A n;ri n,c e than. 30 optmizers does not meet NEC -apid shutdown ecluirements; safety voltage will be above the 30V reouirernent Q> F 1 E'441, ; y43 2KLJS It is allowed to instalup to 6.500W per sl when 3 strings are connected tc t"e Inverter (3 strings per unit fo, SE43.2KU5) and when ^Ian power difference between the strings is up tc 1,GOOW .Foy SE 3(`K_n. yE 33.3KU5/SE66.SKJS,/SE100KUS It is al'.ewed tc rostai.i up to 15,000W per string when 3 strings are connecma to the inverter (3 strings per unit for SE66.6KUS/SP00KUS; a r7 xhe• tat n.3xlnnurn power aifference between the strings is up to Z,OOOW C SolarEdge Technolegie, Ltd. All rights reserved SOLAREDGE, the SolarEdge logo, OPTIMIZED By SOLAREDGE are trademarks or registered trademarks of SolarEdge Techrwlogies, trio f RoHS All other trademarks rxmfoneo herein are trademarks of their respective owners Date: 12/2018ry011ENG NAM Subject to change wbhout notice tntertek Total Quality. Assured. Address: Intertek 3933 US 11 Cortland NY 13045 Telephone: 607-758-6516 www.interiek.com Subject: ETL Evaluation of SolarEdge Products to NEC 2017 Rapid Shutdown Requirements To, whom it may concern This letter represents the testing results of the below listed products to the requirements contained in the following standards: National Electric Code, 2017, Section 690.12 requirement for rapid shutdown. UL 1741, UL 1741 CRD for rapid shutdown The evaluation was done on the PV Rapid Shutdown System (PVRSS), and covers installations consisting of optimizers and inverters with part numbers listed below. The testing done has verified that controlled conductors are limited to: • Not more than 30 volts and 240 voltamperes within 30 seconds of rapid shutdown initiation outside the array. • Not more than 80 volts and 240 voltamperes within 30 seconds of rapid shutdown initiation inside the array. The rapid shutdown initiation is performed by either disconnecting the AC feed to the inverter, or — if the inverter DC Safety switch is readily accessible — by turning off the DC Safety switch. Applicable products: • Power optimizers: o PB followed by 001 to 350; followed by -AOB or -TFI. OP followed by 001 to 500; followed by -LV, -MV, -IV or -EV. P followed by 001 to 850. SP followed by 001 to 350. *When optimizers are connected to 2 or more modules in series, the max input voltage may exceed 80V. Following the implementation of the NEC 2017 rapid shutdown value of 80V max inside of the array at the beginning of 2019 , modules exceeding this combined input max voltage will be required to use optimizers with parallel inputs. • 1 -ph Inverters: This information is for the exclusive use of Intertek's Client and is provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense, or damage occasioned by the use of this information. Any observations and results in this report are relevant only to the sample evaluated. Only the Client is authorized to copy and distribute this information and only then in its entirety. © 2018 Intertek Version: 8 -September -2016 Pagel of 3 GFT -OP -10a Intertek Tutal Quahty. Assured. Address: Intertek 3933 US 11 Cortland NY 13045 Telephone: 607-758-6516 www.intertek.com o SE3000A-US / SE380OA-US / SE5000A-US / SE6000A-US / SE760OA-US / SE1000OA-US / SE1140OA-US / SE3000H-US / SE380OH-US / SE5000H-US / SE6000H-US / SE760OH-US / SE1000OH-US / SE1140OH-US when the following label is labeled on the side of the inverter: HOTOVOLTAIC RAPID UTDOWN SYSTEM Inverter part number may be followed by a suffix • 3 -ph Inverters: o SE9KUS / SEIOKUS / SE14.4KUS / SE20KUS / SE30KUS / SE33.3KUS /SE43.2KUS / SE66.61KUS / SE100KUS : when the followine label is labeled on the side of the inverter: OTOVOLTAIC RAPID UTDOWN SYSTEM Inverter part number may be followed by a suffix If there are any questions regarding the results contained in this report, or any of the other services offered by Intertek, please do not hesitate to contact the undersigned. This information is for the exclusive use of Intertek's Client and is provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense, or damage occasioned by the use of this information. Any observations and results in this report are relevant only to the sample evaluated. Only the Client is authorized to copy and distribute this information and only then in its entirety. © 2018 Intertek Version: 8 -September -2016 Page 2 of 3 GFT -OP -10a tntertek Total Quality. Assured. Address: Intertek 3933 US 11 Cortland NY 13045 Telephone: 607-758-6516 www.intertek.com Please note, this Letter Report does not represent authorization for the use of any Intertek certification marks. Reviewed by: Howard Liu Title: Engineering Team Leader Signature Date: 6/21/2018 This information is for the exclusive use of Intertek's Client and is provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense, or damage occasioned by the use of this information. Any observations and results in this report are relevant only to the sample evaluated. Only the Client is authorized to copy and distribute this information and only then in its entirety. © 2018 Intertek Version: 8 -September -2016 Page 3 of 3 GFT -OP -10a SUNFRAMEMICRORAIL :e UNIRAC SUNFRAME MICRORAILT (SFM) is a hybrid racking system including a structural front Trimraillm for fastest array alignment and superior aesthetics. Minimize total labor with pre -assembled parts, integrated bonding hardware and one tool installation. Compact packaging with few SKUs lowers logistics costs from the warehouse to the roof. Patented mounting components provide post -install height adjustment and allow for removal of individual panels for maintenance. INDUSTRY LEADING FEATURES STRUCTURAL FRONT TRIMRAII POST -INSTALL HEIGHT ADJUSTMENT SINGLE MODULE ACCESS SINGLE TOOL INSTALLATION QUICK & EASY ARRAY ALIGNMENT TRIMRAILWITH SEAMLESS MODULE MOUNTING MIXED ARRAYS - PORTRAIT & LANDSCAPE ORIENTATION AVAII ARI F MI PF MOI INT WITH CABI F MANAOFMFNT rCKAGING )UTTOOL LESS RAIL,MORE PERFORMANCE SUNFRAMEMICRORAIL :e UNIRAC LESS RAIL, MORE PERFORMANCE SOLAR SHOULD BE SIMPLE No unique module type or frame required for installation Accommodates the most common frame heights-32rnni,35mm.40mm &46mm Design around the roof, not the racking; Portrait, Landscape or Mixed module orientation Maxim,ze ooweron the root, install up to 25% more with modules in landscape orientation UL2703 Listed. Accommodate the most stringent AHJ requirements Stagger roof attachments &use attached splice for extra strength and flexibility Lose All the Copper and Lugs. Bonding and grounding thru Enphase M215&M250 Microinverters Full wire management solution allows pre -management of wires before module installation Engage Wire Management Clip. MLPE Mount &Heyco Dual PVwire trunk cable clips Small components. Compact packaging & Pre -assembled parts A third less volume than traditional racking f'Iseveral jobs worth ofracking onasingle truck COLLABORATION WITH INDUSTRY LEADING INSTALLERS - FIELD TESTED & VERIFIED WORLD CLASS U -BUILDER FOR QUICK & EFFICIENT DESIGN / LAYOUT WITHIN MINUTES City of V'Rat Ridge FAST AND EASY PERMIT APPROVAL ,,g pivisian PRODUCT TRAINING WITH PROJECT MANAGEMENT SERVICES TO MINIMIZE INSTALLATION LEARNING CURVE INSPECTION RECORD Inspection online for , http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via ec i Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business dray PERMIT:fyl"�� 7 lI ADDRESS: �`��'� JOB CODE: �t Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation �V I.OL r-vur concrete mor 10 Hpprovai Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground D A4- Stucco o Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 306 Mid -Roof ! t16117 A4- Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS Rough Inspection (continued) Date Inspector CommentsInitials 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Fina in ow/Door Final Inspections Date Inspector CommentsInitials 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential ing Commercial 409 Final Roof C� Fina in ow/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. �.4' CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE 4 Inspection Type: 4 be, Job Address: E2 -64,o . -2 Permit Number: LL -M eG � I (2a-Af:-� ❑ No one -available for inspection: Time A / M Re -Inspection required: Ye No When corrections have been made, call for re -in ection at 303-234-5933 Date: /V/Inspector: _MW DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE _��9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ID Job Address: f b Permit Number: l%0M2j��� ❑ No one available for inspectio . ' e c9 id AM/ Re -Inspection required: Yes o When corrections have been made, call for re -ins ection at 303-2 -59 3 Date: Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge f Homeowner Roof PERMIT - 201708799 PERMIT NO: 201708799 ISSUED: 11/02/2017 JOB ADDRESS: 5640 W 28th AVE EXPIRES: 11/02/2018 JOB DESCRIPTION: Permit for a Homeowner reroof: remove existing materials and reroof with Comp shingle. 25 squares. *** CONTACTS *** OWNER ELISEO RUBIO ROMIREZ *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,425.00 FEES Total Valuation 0.00 Use Tax 134.93 Permit Fee 156.75 ** TOTAL ** 291.68 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. 6 nails per shingle is required. Ice dam membrane is required from eave edge to 2&#39; inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re -inspection fee will be assessed. Subject to field inspection. City of Wheat Ridge Homeowner Roof PERMIT - 201708799 PERMIT NO: 201708799 ISSUED: 11/02/2017 JOB ADDRESS: 5640 W 28th AVE EXPIRES: 11/02/2018 JOB DESCRIPTION: Permit for a Homeowner reroof: remove existing materials and reroof with,. Comp shingle. 25 squares. 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. 1 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 perf"ormed is disclosed in this document and/or its' accompanying approved plans and specifications. r J s Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. Thts.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in'Aritin_1 and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chicf Buildiw_� Official and may be subject to a fee equal to one-half of the original permit fee. ` 3, If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and_procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4 No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an g violation of any provision ofanv applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to fyeld inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat -Midge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(cDci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # -0 n 0 Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: L4-/ , '�-" /" (-,/ Propertv Owner Property Owner Email Mailing Address: (if different than property address) Address , State, Zip: Architect/Engineer: Architect/Engineer E-mail: 0 Contractor: Contractors City License #: d Phone: Contractor E-mail Address: Sub Contractors: Electrical W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ LECTRICAL SERVICE UPGRADE ElNEW RESIDENTIAL STRUCTURE OMMERCIAL ROOFING F1COMMERCIAL ADDITION RESIDENTIAL ROOFING ElRESDENTIAL ADDITION WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) X0, , J,ksti)it Sq. Ft./LF Amps Btu's Squares r -e C,as-)- Y 19s Gallons Other (Contract value or the cost of all materials and labor included in the entire project) $ Fa, saw° ON�NER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): C // S ��j (( O EU 7 /7 j DATE: — / 17 DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: = �`� -✓ ` ( E��C� C—� �� Reviewer: Building Division Valuation: $ y 1449L[J+ City of heatl�e e COMMUNITY DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property., �y Property Owner(s): e Yc b /g - `�Z_"l Z Project Property: 1 c( Gu da4)P C P\JC;L Notarized signature of Applicant State of Colorado } County of e,r> 01 } ss The foregoing instrument was acknowleded by me this 3 day of r 2017 by J ARA D ODEANTARY PUBLICE OF COLORADORY ID 20164015481ON EXPIRES APRIL 22, 2020 My Commission Expires A / Z 2120 Z� Notary Public - DEPARTMENT OF PLANNING AND DEVELOPMENT - BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number : 8045 Date : 10/27/98 Property Owner : Property Address : 5640 W 28TH AVE Phone : Contractor License No. : 19457 Company : Habitat for Humanity of Metro Denver phone : 534 2929 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 wnditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Use: Description : Chain link fence around property Electrical License No : Company : Plumbing License No : Company: Mechanical License No : Company: Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: (t) 7his permit was Issuetl in accortlance with the provisions set forlh in yopur application antl is subject to the laws of the State of Coloratlo antl lo the 2oning Regulations and Buildin~ Cotle of Wheat Ridge, Colora0o or any other applicable ortlinances of the City. (2) This pemit shall expire R(A) the work authorizetl is not commenced within siMy (80) days trom issue date or (B) the building authorized is suspended or aUantloned kr a period of 120 days. (3) If this pemit ezpires, a new permtt may be acquired for a fee of one-half the amounf normally requiretl, provitletl no changes have been or will be made in the oiiginal plans antl specificaUOns and any suspension or abantlonment has not exceeded one (1) year. If changes are made or if suspension or abantlonment e:meeds one (1) year, tull fees shall be paid for a new permit. (4) No work of any manner shall be done ihat will change the natural flow of waffir causing a drainage problem. (5) Cont2ctor shall notlry ihe Builtling Inspector twenry-four (24) hours in aavance for all inspections and shall receive written approval on inspection carG Defore piroceediing with successrve phases of the job. (6) Tl~e issuance ot e pemit or the approval of tlrawings and specifiwtions shall not be construed to 6e a pemit for, nor an approval ot, any violation of the provisions "e building codes or any other orGinance, law, rule or regulaUOn. Construction Value : $800.00 Permit Fee : $30.25 Plan Review Fee : $0.00 Use Tax : $0.00 Total: $30.25 Chief Building Ins~ctor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: ~j Property Address : St; ~p I~t1 7~ Contractor License No. : j,3-4_57 - CompaRy- ~,~.'~-l,l ~-~-R- ~'~^'~'a•~ Building Permit Number : Date : 11• L7 - f b OWNER/CONTR.4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby eertifY that the setback distances proposed by this permil application are accurate, and do not violate appliwble ordinanees, rules or regulations of the City of YVheal Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree lo abide by all conditions printed on this applicalion, and that 1 assume full responsibilAy fot compliance wilh the Wheal Ridge Building Code (U.B.C.) and all other applicable Whe-51 Rid9e ordin nces, tor work under this permil. (OWNER)(CONTRACTOR) SIGNED DATE 0` Description: Approval: Zoning : 8tllfd Approval : P_061C~aFR3~'i_a_1~P_P~. F~ Approval: Occupancy : Walls Electrical License No : Company : Expiration Date : Approval : Phone: Phone: Construction Value : Permit Fee : Use Tax: Total: $0.00. Use: BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft : Roof : Stories : Residential Units : Plumbing License No : Mechanical License No : Company: Company: Expiretion Date : Expiration Date : Approval: Approvai: (1) This pertnit was issued in acmrtlance with Ne pioNSians set IoM In yoWrt appliraian anC is suE'ect to Vhe laws ol Ne State of Calorado arW to the Zo~n+9 Regulauons anG Buildi~ Cade of Wheat Rid9e, ColoraEO w any oNer applicaDle atlhuMes of the GN. (2) This pertmt sAail exDire d(A) Ux work auftwnze.d is nol m^"^a^ed `•'v"^ sury (60) Cays Irom issue Eate a(8) the Wildinp aulhoriz~d is suspenE<d or a0andoned la a peAad at 120 Cays. (3) Iorig nal plaru ear~id spedfi~atiocei~s nd elry auspension u abarWOnmm'ttus not e~cee7ed on'e (1j ye~a~r.• Ipt changes are rt~ude a i wspension ababandwnme t exceeds ax (1) year, (ull lees shall be paid for a new pertnil. (4) No vrork of any manner shall ba done Ihat vrill Uunge the nalural flow of water causing a d2inage pm0lem. (5) ConVactor shall rwGry ihe Builtlin9 Insp~{ or hvenry-lour (24) hours in atlvance.lor all inspecUons anC shall receive writlen apporal on inspectia~ card bdae proCeednng will~ Successive phaxs o( Ue ab. (e) The issuance o/ a pe~mit a ihe approval o~tlraMngs and speaGraGons snall rot De conswM to be a pemul la. nor an aDCrovai o( any Nolalion of the 0mislona . of the W ildirp cotles a any oMer pdinance. Ww, iule w requlauon. Building Inspector For Mayor THIS PERMIT VALID OALLw 345933 24 HOURS PR OIR TO~IN PIE TION ECTOR AND MAYOR IENT OE PLANNING AND DEVELOPMENT Building Permit Number {NG INSPECTION DIVISION - 235-2855 CFTy pF WHEAT RfDGE Date 7500 WEST 29TH AVENUE WHEAT RtDGE, CO 80215 6082 10/21/97 Properly Owner : Property Address : 5610 28TH AV rtractor License No. : 19457 Company : Hatirtat for Humanity of Metro Denver TRACTQR SIGNATURE OF UNOERSTANDING AND AGREEMENT thstNMse4backdistancea ProPosedby thia pertnk aPPtiwion are accurate, Ae applicahle ordkranCes, nules w reguiatrons of the City of Wheat Ridge or 9ments~w resVldkns of record; that all measurements shown, and allegetions . ata; that {have roa4 and ree to abide by all corMRWns printed nn Mis . ~at I nssurix typ respr~ne for comGtiance with tM Wheat Ridge Bmiding pemgt. ind ail ottmr appifcabieNWfleiO~irnanees, fw work under this EL „ . 8' X 8' SHED BUIIDiNG DEPARTMENT USE ONLY Phone : 534-2929 Phone : 534 2929 ConsWction Value : $650.00 Permft Fee : $27.50 Plan Review Fee : $0:00 US@ Tax : $7.80 Total: $35.30 SIC : Sq. Ft. : Approval: ' Zoning : Approval: Walls : Roof : Stories : Residential Units : ;ense No : Piumbing License No : Mechan~cal License No : Company : Company : iete ; Expiretion Date : ExpireUon Date : Approval : APProval : mdt wma Iseuad in accatlence wXh the DroNeiont aet MM in YWw ePWMStlon aM Is auW ro me lmws am suft a cowmeo Ow m me zor+ne 6rna antlBWId Coda of WI»ateY Ridge Cabredo w anY otlrer aPWc" mtlhrences d the Ciry. umNehaM.axpke W Ipe worlc vwnzetl b nrot commerroed wNhin slxlY (M EeYe kom haue dale or (B) the bWldhq aulhaiiee is wePendeO ar Onea ror a pertod a r1o S. mmit exPkea, a new txnNt maY De aWWretl for a fea d anshaR the amount'affreM! reQWrad, PmvWWno cheuqasASVe baen or will0a mede in the I pknsand eDodkedons owd anY iu e~ or abanCOnment hae not exceedad ane (t) Yesr. If ehanges are matle ar R suspensbn orebantlonrtrenl le one (t) Y„r, NN faes alail bo I~eM a new permtt. . k d sny mpnner ghdl be done Net w1A tlianpe tM naturei flow of wMer ceuaifp a dreinape poMem. dor ahan rouN tl+e ewwina i o~or tweoH-four (24) I~rs in adva~e tor all InaP~s atW sheM receive written eVpra'al on insDec,tiun cerE bekre dtinp wHh wcceesNeph + werwe w■ pxmic «tl~eiii~0otdme'iwngs a'w svecilMauone snen noc na conavuea ro oe e vemit fa', nor an avarowA a, anr viasnon or me wmiswns bWldinO codea a B otllx Ord~nana, lew, Nk a reGUlatbn. . . 1,ct.~[~~, ~ 41 CHIEF PERMIT VALID CONLY ALL W234-5 3324 HOURS PRIOR TO I~N3PE TION~CTOR AND AAAYOR THE DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 f";~« F Z_ l- 7 G Property Owner : llmP,'~n 4 T,. ,7-/vMmr f y Property Address : SG- yv __~z a'" P h o n e :,5"3</ -;z q 2 j Contractor License No. : ) q 5• `7 Company : y~,~a fpg~„ Phone : 5 OWNER/CONTR,4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : d~;' I hereby certify that the setback distances proposed by this permit appliwtion are accurate, and do not violate appliw6le ordinances, rules or regulations of the City of Wheat Ridge or Pefrtlit F8B : covenants, easements or restrictions of record; ihat all measurements shown, and allegations Plan Review Fee : made are acwrate; Ihat I have read and agree to abide by all wnditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Use Tax : Code (U.B.C.) and all other applicable Wheat Rj ge ordnces, for work under this pertnit. (OWNER)(CONTRACTOR)SIGNED:- DATE TOfel: _ Description BUILDING DEPARTMENT USE ONLY Zoinr~Ca~s~{ SIC : Sq. Ft. :&f~ / Approval : Zoning : Bulfd Approval: P,Utii c_ . ~ -.m- Approval: Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company: Expiration Date : Approval: le FPI3Ti3~dqIIlYSti~ (1) TTis pertnil was luuetl In ai Regulalions aM BuilEing Ci (2) TTis permd snall e:pire d(A aoandone0lor a periotl of t (J) If Inis pertnil eapires, a new Onginal plans arW specifcal ezcee0s one (t) year, lull fe (a) No woM Of any mannef Sha (5) Contnaor shan noiiry the B (6) 1Te issuance of a pertnit or of l0a EuilElnq Codes or any Plumbing License No : Company : Expiration Date : Approval: 0 Mechanicai License No : Company: Expiretion Date : Approval: ~ ~~SRSCOiFgtl~ rtlance with the provisions set forth in yopur appliration and Is suCI'M to the laws of the SWte a/ Cobrado antl to the Zoning . of Wheat RiEge, Colorada or any olher aOPliw7le adinances o! the Ciry. ro wwk autnonze0 is rwt commenced within sixry (60) days hom issue tlale or (B) the Ouilding aulliorizetl is suspeMed or Eays. rmil rtuy Ce acquired for a fee ol onahalf the amount rqrmalty require0, proviEed no changea have Deen or will he made in the s and any suspension or aDantlaument lus not esceeEed one (1) year. 11 Manges are maEe w if suspension or aEanEOnmenl shall Oe paiG for a new permit. ! tlone thal will Uange the naWrol fbw of waler wusing a drainage proElem. ling Ins~tor twenry-four (24) houn in aEVance fa ail inspecfbns and shall receive wntlen apprwai on inspecGan card before ~ases o Ue 1ob. apProval or d2winga and specific:ations shall nol Ue mnsWed lo De a pertnil for, nar an approval 0/, arry vialatian al the Drovisions ier ortlinance, law, rule or regulation. Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION - T - - - 'vi+aT~p f•1it v-1. 281 ih ti'Vt. 5. GV J ~ i ~ • T ~ f ; . ~ 71,~, ~ i i ~ ~ - i~i C!? 1-~ y ~ ~~r ~ 1 _ ? ;i~•n^ C~ ~ ~ x ~ + ~ I I 217 1l" ~ I ~ Ci i i ! a 1 Ci" f i i I j I cm, I Z _ ! x p~ i I I ~l I HI II~4+.fU) 3V i'if.lic'I~ i:i{-_i'a'•dril F'Ri,NCE-D F'ESUEuiViSluf•i OF BLOK'v t; At1G 12 0 Y LriF.tS iUt fiJ-`5F` i UY IH c IS =f[j i H [A 'JT 0 L; HR i EI[ OF ISELT10Pd 25, i i]%r,'NSNiF" SCIITH Fr';PIGE 69 ''rleST OF THE rT't-t F.ii. t•JHEiiTRIDUE, jEFFEF"SON I.UUiYI 1', S! r51 t I_it LULUI[AUU , 5'rlATERMAIN- GAS MAIN--------- !K,. a. 0. ~ ~ , ~ ~ ~ 29' 0" ~ ~ ~ ~ , _ ;.s-w, ~ S' 9'- ~ ~ ' 12 ; , , ; ~ 2 ST~RY RLrG (?QYaF.O~ ~ ~ ~ ; ~ I ' ~ ~ ~ . ~ ~ ~ ~ 42 ~ ~ 'ASPHALT iPARKINO ' LOT ~ i ~ ~ ~ ~ ~ PLOT PLAN - '=,IfJGI.E FAP11LY RESIDE(JCE HaHITAT fi]R HUMANITY UF ME1-k0 UENVER 30'0" i ~ ~ i ~ ~ ~ ~ ~ ~ ~ W. 28th AVE. ( 60' ) 2 48' 0" 0 Q I W 140' 0' ~ I a x a ~ a / 4 5 i ~ fi ~ - 53'' 0" J' PRINCE'S RESUBDIVISION OF BLOKS 11 AfJU 1< Of LAKESIDE PART OF THE SOUTHEAST QUARTER OF SECTION 25, TOWNSHIP 3 SOUTH RANGE 69 WEST OF THE 6TH P.M. WHEATRIDGE, JEFFERSOfJ COUNTY, STATE OF COLORADO ~ ~ 10 C) i d; l y to ~ W ui k < ~ Le) ~ ~ R 00 N Q * ~ O CY1 ` Lo N W = O 7 M N O ` ; Q M ~ ,K N W i M o ~ C d C u ~ 0 i ~o J - 9 'r N N 9 £ M ~ W ~ , p J Gl O R d C a r > t- ~ ~ n C a o W E C ~ c o ~ d Q 1 o ~ = F- ~ N w 2 ~ N o 11A ~ ~ ~ ~ O E W d ~ N =a F od O 4 c> ~ Z ~ c Q ~ o " V ~ ' i Y ~ 3 o ~ s F W G Q W ~ Z - G ~ ~ ~ 11A Q Ln li °a ~ W N ' M ~ cC+~ LI" Q F U ~1. ~ ~ ~ V ~ ' ~ 0 W i O ~ 3 m d cc 0 0 J a 0 M13 9 7 {CO O> ~ w N ~ acc N t ~ ~ C 'C C 1p m j!. d U r "y O N W ~ O d ~ ~ c a3 0 C ~ ~ L 2 Y ~ -0 E ~ ; W ~ j w OI 'C > C - t d tl! C O M ~ O > c o O ~ OI d w L N ~ Y w L ~ L ~ V W Y E .o c d d w4) o > c ~ L C ~ q L O V d d L L ~ O = U } y t 3 li ~ ~ e 9 m Q ~ ~ a ~ c ~ y w > W ~ ~ 0 Z 0 a 1 V ~ ~ r ~ a ¢ C LL Z ~ ~ d W 0 V z 3 J ~ ~ m ~ ~ ~ w 0 s " N Q M = N ~ oLL v Q r U ~ x V ~ ~ Z O ~ V ~ L 0 V N tL NOV-07-97 FRI IT'35 A G WASSENAAR, INC FAX N0. 303 756 2920 P,02 . . l~~J~~~", ~ ✓^9 p A. G. WASSENAAR, INC. GEOTECHNICAL CONSUITANTS D~ q10NE 303/7598100 FA%' 303/756-2920` 2180 S. NANHOE, SWTE 5 OENVER COIDRADO 80M Aiovember 7, 1997 Habitat for Humanity 1500 West 12th Avenue Denver, Colorado 80204 Attcntion: Mr. Lynn Robiason Subject: Site Observations West Retaining Wall ~~40 56}0, West 28th Avenue Wheatridge, Colorado Project Number 35339 Gentlemen: As requested, we visited the subjea site on November ;i, 1997. The purpasc of our visit was to observe the residence toundation and site retaining wall at the southwest corner of the existing residence. Our observations indicate the location of 1he retaining wall will not have rin adverse effect pn the perfbrmflnce of the foundation nor chould the foundation be any more susceptible ro frost heave because of the retaining wall. If you havc any questions concerning this letter, or if we cxn be of further serviee, please do not hesi[ate to call our officc. Sincerely, A. G. WASSENA?.R, INC. htRC/DLT/lia Statement of Services Michael R. Conner, P.E. Staff Engineer pERMRNUMlEN 97-5022 f r 3 S a o ~ ~ m 3 ~ m m m ~c D c o a i 3 n S a'o ~ m w ~ o ~ O m o o ~ w m m o w O m ~ Q c m a ~ m ~ a ~ m o n 3 ~ ~m m ~ 00 m o ~ w m Q w ~ ~ a mm m F O ~ a 0 'o a ~ n w ~ m £ T O ~ ~ S m 0 r ~ Z ~ t c 9 O N m N 7 ~ N ~ ~ a m ~ fl (D r v .n O > m Om I 9 O ~ O 9 O N Z N s a A ~ ~ N W rr S a < m 7 c (D 8 z D 1 O 9 0 ~ z m D D v O ~ N N ~0 1 ~ ~ ~ 'm ~ mm3u mmqo 9y~j a g- ~ mmcti m m ~ m ~ ~ m m a-..m m ~ m c ao m m m ~ o ~ ~ m o'm m v ~ Nm S m~3Q m~n ~ o m o ~ m m ~ ~ w p.. m m ~ c n y» ~ » jmn o c a m ~ m ~ dmm m nv <Qo 9ow 3f$ ~o°p- m mm3 E o m 0 O Q o3E mfo n omo ~ m ~ f O T m :E A ~ m ^ Dgo m ~ c n~S m > ~ m ° c 9 ~m v ~ m m m Z 0 < (D B Q (D Z N ~ r ~ ko V ~ ~ F~1 l I ~ l J O O lJ1 `--1 ~ z ~ ~ DATE: TO: PUBLIC WORKS DEPARTMENT FROM: Building Depar.tment RE: C U The property at has been signed off by the Building Department and is ready for a CO inspection. Once the inspection has been completed, please inform the building department as to the status. Thank you. PUBLIC WORKS APPROVAL Remarks: Prr -r►w r )0hpE&rto,l DATE: / J LI - 1 1 A CERTIFZCATE OF OCCUPANCY HAS BEEN RE( OL,4 PURPOSE OF STRUCTURE: G O ~ IL) ~ Suilding Dept. Approval: Remarks: /Uv-(' APP ~1Kv+µ 6~~fi Zoning Approval: Remarks: ~ <<fzn1,9w INSPECTIONS WILL NOT BE MADE UNLESS THIS CARD IS POSTED ON THE BUILDING SITE 4 HOURS NOTICE REQUIRED FOR INSPECTIONS WHEAT RIDGE, COLORADO 7500 WEST 29th AVENUE -4 (303) 234-5933 INSPECTION RECORD JOBADDRESS`J v7-[J w BUILDING PE MIT N0. 9 7- ~ owWR Ti'f CONTRACTOH SETBACKS FROM PROPERTY LINES: NORTH SOUTH EAST WEST INCPF(:TnR Mi I.RT GIr.N Al l SPACES PERTAINING TO THIS JOB INSPECTION DATE INSPECTOR Foundations Footings Caissons Reinforcing or Monolithic Weatherproofing 2 't 7 TIL ABOVE HAS BEEN SIGNED POUR NO (jONCRETE a Electrical (Ground Worl Plumbing (Ground Wor Heating (Ground Work) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEf~✓SIGNED Rough Electrical z Rough Plumbing .L v J~ Air Test Gas Piping ix /1 -7 6: Rough Heating 8 Ventilation (above must be signed prior to iraming inspection) Framing ~ Insulation D all nailing . l ~ _ Roofing Refrigeretion - - ~ Electrical underground Final S Electrical Plumbin Heatin & Ventilation 17 Frame R.O.W. & Drainage Fire Department Parking & Landscaping OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER .l ISSUED V~~ PE OCCUPANCY i N ~ ~/TC/ CITY OF WHEAT RIDGE - MEMORANDUM ro Accounting Department F'o`" Aynes Thoma Su6ject RefUnd Date Mav 91 1QQ7 Approved Date Please refund S367.55 to Habitat for Humarity of Metro Denver, 1500 W. 12th Avenue, Denver, CO 80204. They were char!ied foi° a plan check fee and the decision was made to errniFar this charitabh-~ - ~ri:_ai.ion from the plai~ ~,.hecl fee. A copy of the building permit is attached. Thanks. DM A. G. WASSENAAR, INC. GEOTECHNIGIL CANSUl7ANTS %iONE 303/759$100 FAX: 303/7562920 Habitat for Humanity 1500 West 12th Avenue Denver, CO 80204 Attention: Ms Lynn Brown Subject: Soil and Foundation Study ed Residence est 28th Avenue Wheat Ridge, Colorado Project Number 35339 2180 S. NANHOF- SUITE 5 DENVEtt. CALARA00 80222 February 6, 1997 As requested, we performed a soil and foundation study 3uoject site. The purpose of our study was to observe subsoil conditions encountered and to recommend foundation design criteria for the proposed residence. The field exploration included drilling two 4-inch diameter auger borings at the approacimate diagonal comers of the proposed residence to depths of 20.0 to 25.0 feet. Samples were taken for laboratory testing to evaluate swell potential of the soils. The soils encountered consisted of: Boring 1 (southwest corner) 0.0' to 1.5' Fill (man-made), clay, compact, silty, sandy, moist, brown to dark brown 1.5, to 20.0, Clay, stiff to very stiff, silty, sandy to very sandy, calcareous, moist, brown Boring 2 (northeast comer) 0.0, to 5.01 Fill (man-made), clay, compact, silty, sandy, moist, brown to dazk brown 5.0, to 25.0, Clay, stiff to very stiff, silty, sandy to very sandy, calcazeous, moist, brown Date of drilling: January 31, 1997 Depth to water: Boring i- Dry at the tune of drilling and 6 days after drilling Boring 2- Dry at the time of drilling and 6 days after drilling Habitat for Humanity Project No. 35339 February 6, 1997 Page 2 The laboratory tests on this lot or adjacent lots indicate low potential for expansion (0.7% at a depth of 4 feet and 1.701o at a depth of 9 feet in Boring 1 and 0.5% at a depth of 9 feet and 0.9% at a depth of 14 feet in Boring 2) upon an increase in moisture content under a load of 1,000 psf. Based on the results of the borings drilled on this lot and the laboratory test results, the proposed residence should be founded with spread footines bearine on the natural undisturbed soils or controlled structural fill. The footings should be designed for a soIl pressure of 2,500 psf. Footing dimensions should be determined by a structural engineer. Continuous foundation walls should be reinforced top and bottom with at least two No. 5 reinforcing bars. We recommend a Type II cement for all foundation concrete or concrete within 6 inches of soil. Soils loosened by machine excavation should be removed from the excavation prior to placing footing concrete. Occasionally, pockets of loose soiis are encountered in foundation excavations. If this condirion occurs, the footings should extend to firm soils. Exterior footings should be at least 3 feet below exterior grade for frost protection. The soils beneath footings should be protected from freezing during construction. All footing excavations should be observed prior to placement of concrete so that the footings are bearing on natural, undisturbed materials or controlled fili. The foundation walls should be designed for an equivalent fluid pressure of 50 pcf. The subsoils at this site are expansive. There is usually risk of slabs heaving when slabs-on-D ade are constructed on expansive soils. Provided the Owner is willing to assume the risk of slab movement, slabs may be supported by the expansive soils. The following criteria should be observed for slab-on-grade construction: 1. We recommend limiting slab-on-grade construction to unfinished basements and garages. 2. Slabs should be separated from exterior walls and interior beazing members with a joint which allows free vertical movement of the slab. 3. Slab bearing partitions should be consuucted with a one-inch slip joint. In the event of slab heave, the movement should not be uansmitted directly through the parritions to the remainder of the residence. 4. Plumbing and utilities should be isolated from the slab. Habitat for Humanity Project No. 35339 February 6, 1997 Page 3 5. Where a forced-air heating system is used and the fumace is located on the slab, we recommend provision of at least a one-inch collapsible connection beriveen the fumace and the duct work. 6. Provide frequent control joints in the slab. The above recommendations will not prevent movement of slabs-on-gade in the event the subsoils become wetted. We recommend providing a subdrain around all below grade azeas (basements). The purpose of the drain is to collect water which flows through relatively loose backffll and becomes trapped on the surface of the basement excavation. This results in a perched water table and "water in the basement" problems after construction. The drain should be constructed similar to the detail on Figure 1 and should be uniformly sloped to a positive grauity discharge or sump. The following recommendations should be observed during construction and maintained after the residence is completed: i. Excessive wetting or drying of the open foundation excavation should be auoided as much as possible during construction. 2. The ground surface surrounding the exterior of the residence should be sloped to drain away from the residence. We recommend a m;n;mum fall away from the residence of 6 inches in the first 5 feet. This slope should be maintained away from the residence as faz as practical. 3. Backfill around foundation wa11s should be moistened and compacted. 4. Watering adjacent to the residence should be minimized as much as practical. All drainage swales should be maintained a m;n;mum of 5 feet away from the residences on side yards and 15 feet away from the residences on back and front yards. 5. Roof downspouts and drains should discharge well beyond the limits of backfill. Habitat for Humanity Project No. 35339 February 6, 1997 Page 4 6. Landscaping which requires excessive watering and lawn sprinkler heads should be located at least 5 feet from the foundation walls of the residence. 7. Plastic membranes should not be used to cover the ground surface immediately surrounding the residence. These membranes tend to uap moisrare and prevent normal evaporation from occur•ing. The professional judgments expressed in this report meet the standard care of our profession. The test borings drilled for this study were located to obtain a reasonably accurate picture of subsurface conditions for design purposes. Variations in subsoii conditions not indicated by the borings are possible. If unexpected subsoii conditions aze observed during construction, we should be called to review our recommendations. The completed excavations and placement and compaction of fill should also be observed by a Soil Engineer. If we can be of further service in discussing the contents o calle our officenalYsis of proposed structure from the soil and foundation viewpoint, please Sincerely, A. G. WASSENAAR, INC. G• All en G. Was , FW.i Q - President AGW/pg NM. Attachment Statement of Services GITY OF WHEAT ro Accounting Department subject Refund Approved - MEMQRANDUM FfOf" Agnes Thoma Date Date Please refund $361.55 to Habitat for Humanity of Metro Denvei, 1500 W. 12th Avenue, Denver, CO 80204. They ~aere char9ed for a plan check fee and the decision wr:, nr.;dt_to exempC ihi,~ cliaritable organization fi°oni the plan check fee. A cop~of the building permit is attached. Thanks. RlDGE , , ~ . , , . . . . . . . . . . . : [1EPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 5022 ' BUILDING INSPECTION DNtS10N - 235-2855 CITY OF WHEAT RIDGE Date : 5/1/97 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : ` Property Adtlress : 491Q 28TH AV Phone : 534-2929 Contrector License No. : 19457 Company : Habitat for Humaniry of Metro Denver Phone : 534 2929 OWNER/CON7RACTOR SIGNATURE QF UNDERSTANDING AND AGREEMENT Construction Value': $40,000.00 I hereby certify that thesetbabfc disWnces proposad by this permitapplicaGon are accurate, and do, nat vioWte. applicable ordinances; rules or regulations of the Ciry of Wheat Ridge or wvenants, easements orrestrictfons of record; that all measurertrents shown, end allegations made 8re accurate; that I have read and agree to abide by all conditions printed on this application, and that 1 assume Polt responsibN'iiv for compiiance with the Wheat Ridge Building Code (U.B.C.) snd all other appliCabYe Wheat FtWge ordmences, for work under this partnH. A (OWNER)(CONTRACTOR) Description : single family residence ~ Approva(: SM 4116197 Zoning : R-3 i PROPERTY. THERE NEEDS TO Total' $1,328.55 Ft. : SEE P.W. REVIEW SHEET COMMENTS Roof : Stories : Residential Units : Electrical License No : Piumbing License No : Mechanical License No : Company : Company : Company : Expiration Date : Approval : ~ (7) (Z) ; (3) I ~5) ; (e) Expiration Dafe : Approval : Expiration Date : Approval : provisiona set foM in yopur applica6on aiM Is subiect W tlie laws of the Sta[e of Coloratlo anC to the Zoning 3, Colorado or arry oNer applicable ortlioa~es of the Ciry. etl is rrot commenced within aizry (80) days Irom Issue date or (B) Me bufltlinp au"zetl is suapended or uired for a fee of one-hatt the amount normalty required, ptovided no changes have been or will Ee me0e in the msbn or aDandonment has rrot exceedeC one (1) year. If changes are matle or rf suspension or abantlonment a new pertriit :hange the natural Ilow of weter causing a tlreinape problem. renty-lour (24) houB in advance for ell inspecliona arM ahalt recNVe wrNten approval on inspection card befare mipgs and spBdficetions shall nM be consWed tobe a pertnit kr, iror an approval of, airy viola6on M Me provisions IW, NIB OI f9QU18fi011. . Chief Building Inspector THIS PERMIT VALtD ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND AAAYOR CALL• 234-5933 24 HOURS PRIOR TO tN3PECTION Correction notice 5640 W 28th Avenue ' N01133dSNl Ol 210RId S21nOH YG ££69-4£Z M\/3 ~ ?lOAVW QNV 210133dSN1 JNIA'i1f18 d31HO 3Hl A8 U3NJIS N3HM A'INO UIItlA 1IW213d SI ~ joAew joj jopadsul 6uipjin 0 iy 1I . . . . . 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IWla J° aBp!a ieey/y~ ~o /~y~ eyl;o suoijejn6e~ io sa~ru `seoueu~pio a~qp~~dde eye~oin ,ou op pue `OO-L84$ . ~I . . d 'ai~n~e e~e uo~yeni~dde uuuad si43 ~9 Pasodad. aesuelslP ~peQles 84i 1e41 ~}!l~~ Aq2+a4 I 00'000,Ob$ ~ aRIE/\ Uopnl;SUOo 1N3W332iE)V dN`d'JNION'd1SLl30Nft j0 321fIlYN'JIS 2i013V211N03/2i3NM0 I I 6Z6Z b£5 ~OU04d 19nu9p oJ3ayy;o lqiuewnH io{ 3e;!qeH :Auedwoo i j L5U6 'oN asua3il JoIoeJluoO 6Z6Z-v£5 : au04d "H18Z M9-: SSaPPV f4jadoJd WlS : jautinp e4jadad , s G6! W9 : a;eQ # ZZQS : jaRtunN;iwlad Buippg 9LZ08 Oo`3JQIa 1Ft3HN1. 3fIN3AV H16Z 1S3M 005L 30012! 11'I3HM dO AllO , • 998Z-S£Z - NO(SIAIa N01133dSN1 J#Mia'Itl'1~ `T 1N3Wd0-9Am ON1/ JNiNN1f"Id :10 1Fi3W12F'1f500 . . l DEPARTMEtvT OF PLANNING AND DEVELOPMENT Building Permit Number : BUI!_DING INSPECTION DIVISION - 235-2855 Date : ' CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 ~ Properry Owner q 6'4 QF-_vr f-t u~^ an;~ y~r~tn, i o A7.N. Property Address : 54h'O W•?A14" 6UC Phone : 53','' 2 92 9 Contractor License No. : Company : yn 6,'fa+ / O: NG M,N Phone : 5 3 y-a 9~ Y OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value :'~i~0, cr~O I hereby certify that the setback distances proposed by this pertnit application are accurate, POf~'11t F22 .~~and do not violate appiicable ordinances, mles or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations Plan Review Fee : r~/. ~ made are accurate; ihat I have read and agree fo abide by all conditions printed on this USe T8X L-7 . application, and lhat I assume full responsibiliry for compliance with the Wheat Ridge Building ^ ~ Code (U.B.CJ and all other applicable Whea Ridge ordinance or work under this permit. TOt81 (OWNER)(CONTRACTOR) SIGNED t &"hzjDATE_Jy Description: 1_1'o ;v5 y hurf 5;'NSlP F&r^''/y BUILDING DEPARTMENT USE ONLY SIC : Sq. FL : f 152 ~ Zonirig`CointriQ~i~s~ ~ • Approval :G~ ~~riFl-~ P(W Pe-vLt'7 Zonin9 L;-c)% Building Commen~ts~ t-y~~.}r FYu+('~-f~7 r APProval: P..libli, c~yb7K5~6 ~J(E~ y(~ ~~c^'tGN1T l Approval Occupancy: a y~j ls,: Roof : Stories : Residential Units : Plumbin9 License No : Mechanical License No : Electrical License No : Company : Company : Company : ExPiration Date : Expiration Date : Expiration Date : Approval : Approval Approval : ~ ~fr€tl~ ~ m?lal3~'Ro[1i[~d_-- l 9 ~~l im Ola~~ (t) This permd was issuetl in accor0ance wit0 the provisions set lorth in yopur apDliralion and I5 subjecl to the laws ol the Stale of Colorado and lo the Zoning RegWauons antl Builtling Code of wheat Ridge. Cclomdo or any otner appliwble ordinances of lne Ciry. (2) This permit shall expire It (A) lne wnrk authonzed Is not commenced wiNin sizry (60) days from issue date or (B) the building amhoraed is sus0endetl or abandoned kr a penod of 720 days. a da oa 1 sospen^,~on~lobabandcn (3) lriginal pans and speciflcation anE any suscpension o~ abantlonn eNhae not e xceeded lne (t) 9yea ~r R changes a e ina ment o exceeds one (1) year, lull fees shall be paiE for a new Oermit. (4) No work of any manner shall De Oone lhaf will Uange lhe naWral Oow of water causing a drainage pmblem. (5) Conl2cior shall noliy lhe Buiiding Inspector hvenry-lour (24) hour in atlvance (or all inspections and shail receive written approvat on inspeclion wrd before roceed'g with successive phases of the Iob. «se otlregul atlon tions shall notbe construed to'~e a permit for, nor an approval ot, any violation ol the O~ovisions For Mayor THIS PERMIT VALID O ALL W234 5933 24 HOURS PRIOIR TO~IN P'E TION ECTOR AND MAYOR vv. zazn Hvt. (6U') ° ` ;rY SASPHAL'T J ~ 4' WA'LK. ' . . E £ POWER Pp~g r~~ '51.00' . . FND PIN . lS 7124 & CAP p . „ r N ~ 1 GRATE = 97 INVa 96.70 V ' . 2.3' \17420 51D.FT. i 1 OJ A(xtfS :4 • r' ; ' ~ I l- LJ ~ 1 ' x \ i Pr1:'aK. A • , \ \ / I ~ririri us ~i~ ..LJ7U25TORY i CONDp BLOG 'POWER POLE 800K 9, PACE 33 (30' x 60') n / ' rl . _ ; I ~ a. r II _ . i 1~~ r--- W . ~ • r : i I Y~ `rl •'PYi~ •a . ."y y~ n~ 3 . ~ k ''F~.`, YY I . . • ' `.~1 p. ~f ' ^ . ~ ~ _ . . 1 ~ ~A r W ':a, • 1 1 ~ " a i ' k ~ ~ I 1 . ' ASPHALj~ ' a PRRKING ~ ~I I ~ ~ ~ ~ ~ ' . . , LOT, . ~ a ; ~'7 \-_~-1 ~ . ~ 1 \ y o ~ a•, 1'. _ - . . a . . I ~ ~ 2B' 33.00' W FY 20' N10E (DIRT) I FND No. 5 Rebor f i R' PUBLIC WORKS REVIEW FEE STRUCTURE FOR BUILDING PERMIT APPLICATIONS PLEASE PRINT CLEARLY AND FILL OUT FORM COMPLETELY Building Permit Number Date 4 I'z i I4t7 ApplicantNQO~T~T fee JL'^qMAddress15b,p ~-4• YLT~ A%u. City State G0. Zip °0°204 Phone 53~L -z.1z 9 Location of Construction (address) 'S LSFo a. Z 8Tr P~ • Purpose of Construction Building Permit Value $ 90O0 0 Commercial _ Residential X DEVELOPMENT REVIEW FEES (this section to be completed by City) ~e Base Development Review Processing Fee: $50.00 minimum $ SO • ZS. 00 Single Family Residential: .003 x(value of improvement) $25 minimum fee $ [includes review of construction drawings for improvements in public right-of-way] Multi-Family/Commercial: .0050 x(value of improvement) $50 minimum fee (includes review of construction drawings for improvements in public right-of-way, review of preliminary/final drainage study and erosion control plan(s) if required] Site Plan: $50.00 (Not applicable for single family residential) $ Right-of -Way/Easement: $40.00 + $5.00/page recording fee $ Developmenf Agreement Residential =$50.00 Commercial =$100.00 $ State Highway Access Pertnit $75.00 application fee $ Traffic impact Review & Report: $100.00 processing fee $ Flood Plain Variance: Class I= $75.00 Class II =$150.00 $ ~S,oo TOTAI REVIEW FEES: (due at time of building permit issuance) $ The above fees include one follow up review to verify that initial deficiencies noted are corrected. Additional review and/or processing past the follow up review and/or processing will be charged against the building permit applicant at the above fee schedule. Please note that additional fees will be assessed for those pertnits related to construction of public improvements. If you have any questions, please feel free to contact the Development Review office at 235-2868. Signature of Applicant Date c~"~' The City of 7500 WEST 29TH AVENUE • WHEAT RIDGE, COLORADO 80215 GWheat GRidge SINGLE FAMILY MINOR EXCAVATION AND FILL PERMIT NAME OF APPLICANT: ~jQOtT" po2 ADDRESS OF EXCAVATION/FILL: APPLICANT ADDRESS: i So o~~/, DATE OF APPLICATION: A 2l 11, All permits shall be applied for tluough the Public Works Department. An approved permit is effective for a period of one (1) yeaz from the date of issuance, and may be renewed. All fees shall be in accordance with those fees established by the Uniform Building Code (UBC), or by other applicable City adopted Resolution or Ordinances. Grading Plan Review Fees* ?1++o akTa P`0'^' 5"B^^IT«'a `Selfl`oLf. pea'-,.T -T~ o~'L^"`'k lu2Ao.-A. t-ut%, rE6 CrFhtcV6o AJQeT i-o C_c+ti ~E vE~Enn~vU .re n ft-A,renz OF y 0 to 100 cubic yards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . rl--9b 101 to 1,00 cubic yards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $22.50 1.001 to 10,000 cubic yards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $30.00 ] 0,001 to 20,000 cubic yards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $45.00 SUB-TOTAL: Grading Permit Fees*: 0 to 50 cubic yazds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $I5.0 51 to 100 cubic yazds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50 101 to 1000 cubic yards $22.50 for the first 100 cubic yazds, plus $10.50 for each additional 100 cubic yazds or fraction thereof: C. Y. Amount Due: $ 1,001 to 10,000 cubic yards $117.00 for the first 1,000 cubic yards, plus $9.00 for each additional 1,000 cubic yazds or fraction thereof: C. Y. Amount Due: $ 10,001 to 20,000 cubic yards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $238.50 e TOTAL FEES DUE: $ ~o • (303) 234-5900 • ADMINISTRATION FAX: 234-5924 • POLICE DEPARTMENT FAX: 235-2949 Building sites whose total excavation and fi11 exceeds 20,000 cubic yards must be processed under the provisions of Section 26-33 of the Wheat Ridge City Code. Upon conformance with Section 26-33 of t&e City Code, grading plan review fees and grading permit fees shall be established in conformance with Section 3310, Table A-33-A, and Table A-33-B respectively of the Uniform Building Code. * Uniform Building Code, Section 3310 I HEREBY ACKNOWLEDGE THAT THIS APPLICATION IS CORRECT, AND UNDERSTAND THAT THE REQUESTED WORK CAN NOT BEGIN UNTIL THIS APPLICATION IS APPROVED BY THE CITY OF WHEAT RIDGE. I AGREE TO COMPLY WITH THE LAWS OF THE STATE OF COLORADO, WITH ZONING REGULATIONS AND WITH THE BUILDING CODE OF THE CITY OF WHEAT RIDGE. ANY VIOLATION WILL BE CAUSE FOR IMMEDIATE REVOCATION OF THIS PERMIT, AND COMMENCEMENT OF ENFORCEMENT PROCEEDINGS BY THE CITY OF WHEAT RIDGE. THIS APPROVED PERMIT WILL BE KEPT IN MY POSSES5ION, OR PERMANENTLY ON THE JOB SITE. APPLICANT: CITY OF WHEAT RIDGE: 4Appl _anYs ignature City Engineer Owner's Signature (if different than above) Approval Date mexfillp.frm 5" WATER MAIN- f AS MAIN 4' 1r~ALK - s• o- , ~ , , ; , 29. o.. i ~ ~ i i ~ ~ ~ ~ i ~ 2 STbRY RIrG [~n}SF.O) ~ ~ ~ i ~ . 1 ~ , . , , ~ ~ 42 ~ ~ ~ ~ 'ASFH AI. T :P ARK INO ~ LQT ~ ~ ~ ~ ~ I I2 30'O" ~ . , , ~ ~ ~ i i W. 28th AVE. ( 60' ) 2 48' 0" 0 } ~ a r- a x N 4 140' 0" PLOT PLAN • '=,INGl_E FdPiILY RESIDE(JCE EIAnITAT f0R HUMANITY OF METRO UENVER , , , . , , 43 ~ 44 ~ ~ ~ ~ i ~ ~ ~ i ~ ~ 53' 0" 4 5 fi PRINCE'S RESUBDIVISION OF BLOKS 1 1 AFdC! 1.,! OF LAKESIDE PART OF ThE SOUTHEAST QUARTER OF SECTION 25, TOWNSHIP 3 SOUTH RANGE 69 WEST OF THE 6TH P.M. bJHEATRiDGE, JEfFER5i7fd COUNTY, STATE Of COLORADO -Yfa111.[" >YI-Y>Y.auuu- Colorado Compensation Insurance Authority 720 S. Colo.8lvd. Suite 100-N, Denver, Colorado 80222 (303) 782-4000 C Risk ID NO. 050582272 HABITAT FOR HUMANITY OF MEfRO DENVER pOLICY N0. 1821730 1331 E 31ST AVE BROKER OF RECORD: DENVER CO 80205 BOULDER INSURANCE ASSOCIATES 1601 28TH STREET BOULDER CO 80301 (303) 444-4443 J In accordance with the provisions of the policy to which this endorsement is attached, and as a result of the application of the experience rating plan approved by Colorado's Commissioner of Insurance, the premium, as mentioned in Item 4 of the Declarations (classifications of operations), or in any audit statement or quarterly adjustment statement forming a part of said policy, shall be adjusted by the experience modification set forth, and paid in accordance with the provisions of the said policy. HABITAT FOR HUMANITY OF METRO EXPERIENCE PREMIUM MODIFICATION Experience Modification Factor of 0.85 or 015 Percent CREDIT 028958 Nothing herein contained shall be held to vary, waive, alter or extend any of the provisions or conditions of said policy except as above stated. EFFECTIVE DATE: OCTOBER 1, 1996 TO OCTOBER 1, 1997 THE COLORADO COMPENSATION INSURANCE AUTHORITY OF COLORADO HAS CAUSED THIS ENDORSEMENT TO BE SIGNED BY ITS PRESIDENT THIS 31ST DAY OF MAY, 1996„ WC 05 04 32 REV. 1/91 "LBADERS9IP IN COLORADO i✓ORRERS' COMPENSATION SERVICES 1)v2 p , President 1915" Colorado Compensation Insurance Authority 720 S. Colo.Blvd. Suite 100-N, Denver, Colorado 80222 (303) 782-4000 POLICY N0. 1821730 BROKER Of RECORD: HABITAT FOR HUMANITY OF METRO DENVER gOULDER INSURANCE ASSOCIATES 1331 E 31ST AVE 1601 28TH STREET DENVER CO 80205 . BOULDER CO 80301 (303) 444-4443 THIS ENDORSEMENT SHALL BE ATTACHED TO AND WILL FORM A PART OF POLICY NUMBER 1821730 , ISSUED BY THE COLORADO COMPENSATION INSURANCE AUTHORITY. Item 1 of the policy, is amended to RESCIND BOULDER INSURANCE ASSOCIATES 1601 28TH STREET BOULDER CO 80301 EFFECTIVE DATE: SEPTEMBER 30, 1996 Broker of Record: THE COLORADO COMPENSATION INSURANCE AUTHORITY OF COLORADO HAS CAUSED THIS ENDORSEMENT TO BE SIGNED BY ITS PRESlDENT THIS 26TH DAY OF AUGUST, 1W. WC 05 03 32 rev 6/92 "LEADERSBIP IN COLORADO WORRERS' COMP8NSd770N SERVICES 028958 1%2 President 1915,r Uf{ORH IRUlI/YCYSOiii/i/802 Auc z s 1996 Co/orado Compensation Insurance Authority 720 S. Colo.Blvd. Suite 100-N, Denver, Co/orado 80222 (303) 782-4000 POLICY NO. 1821730 028958 l Item 1 of the policy, is amended to SHOW Broker of Record: J LOCKTON COMPANIES OF COLORADO, INC. 4500 CHERRY CREEK DR. SO. STE 400 DENVER CO 80222 EFFECTIVE DATE.• OCTOBER 1, 1996 J THE COLORADO COMPENSATION /NSURANCE AUTHORITY OF COLORADO NAS CAUSED THIS ENDORSEMENT TO BE S/GNED BY ITS PRES/DENT THIS 26TH DAY Of AUGUST, 1996. WC OS 03 32 rev 6/92 "LEADERSBIP IN COLORdDO WORRERS' COMPENSATION SERVICES . I)Z2 President 1915" snno m~ezvsoixcasossznno~ Co/orado Compensation Insurance Authority 720 S. Colo.Blvd. Suite 100-N, Denver, Colorado 80222 (303) 782-4000 4 POLICY NO. 1821730 l HABITAT FOR HUMANITY OF MEfRO DENVER BROKER OF RECORD: 1500 W 12TH AVE LOCKTON COMPANIES OF COLORADO, INC. G26111 4500 CHERRY CREEK DR. SO. DENVER CO 80204 STE 400 DENVER CO 80222 (303) 753-2000 Item 1 of the policy is amended changing, the address to: HABITAT FOR HUMANITY OF METRO DENVER 1500 W 12TH AVE DENVER CO 80204 J EFFECTIVE DATE: OCTOBER 16, 1996 THE COLORADO COMPENSATION INSURANCE AUTHORITY OF COLORADO HAS CAUSED THIS ENDORSEMENT TO BE SIGNED BY lTS PRESIDENT THIS 16TH DAY OF OCTOBER. 1296_ WC 05 03 32 rev 1/91 "LEADEASIlIP IN COLORADO WORRERS' COMPENSATION SERVICES I)z2 President 1915" ' dear ye one anothei s uuraens and B~I BROTHERHOODMUTUAL solullillthalawotChrist." Ga162 . ► INSURANCE COMPANY A G R E E M E N T Page 1 of 1 3/1.} In return for the payment o/ the premlum and subject to all the terms of the polley, we agree to provide the ~ insurance atated in the poNey. COMBINATION LINES POLICY DECLARATIONS INSURED NAME AND ADORESS Policy Number: 05M7A0221300 HABITAT FOR HUMANITY OF METRO DENVER Amended Effective: 12/06/96 1500 W 12TH AVE BUILDER'S RISK COVERAGE ADDED DENVER CO 80204 LIABILITY COVERAGE AMENDED POLICY 1 YEAR(S) FROM 11/03/96 TO 11/03/97 12:01 A.M. AT DECLARED PREMISES PERIOD DESCRIPTION OF OPERATION : Industrial This policy consists o/ the /ollo COVERAGE SCOPE OF Common Policy conaitions POLICY Intro-Table of Contents General Conditions Prop Commercial Liab Coverage OLICY CL182 7-87 RMS LOC/BLDG SCHEDULE 0101 OF 0401 PREMISE 0801 LOCATIONS 0901 2601 3201 3301 3401 3501 3601 wing coverage parts for which a form number is indicated. FORM NO. COVERAGE FORM NO. CL100 10-84 Commercial Crime.Coverage CR100 7-88 CP1 1-86 - Inland Marine Coverage IM100 6-84 CP100 1-86 GL100 1-87 - - - DECLARED PREMISES 1953-55 AKRON 536 SOUTH PATTON COURT 3710 HIGH STREET 3117 LAFAYETTE . 3595 ELM STREET 2920 LEYDEN OCCUPANCY 1500 W 12TH AVENSlE 364 MEADE 1520 NEWPORT 1235 WEST CUSTER PL AIfRORA CO 2 FAMILY DWELLING DENVER CO 1 FAMILY DWELLING DENVER CO 1 FAMILY DWELLING DENVER CO 1 FAMILY DWELLING DENVER CO 1 FAMILY DWELLING DENVER CO OFFICE . DENVER CO 1 FAMILY DWELLING D°NVER CO 1 °AMILY DW°LLING DENVER CO 1 FAMILY DWELLING DENVER CO 1 FAMILY DWELLING ANNUAL PREMIUM: $ 6,736 PAYMENT PLAN: QUARTERLY A $95 additional premium applies from 12/06/96 to 05/03/97. This premium is not sub jeet to adiustment due to subsequent rate revision. This premium is subject to adjustment due to premium audit provision. IUNTER SIGNED ~ , AUTHOAIZED EP ESENT~ DATE AGENCY/AGENT NO. MENNO GAEDDERT #0575 GOLDEN CO 60403 303-642-3686 csv 10 (+ae) The Home Ottice Addresa oT Brotherhood Mutual Insuranee Co. is P.O. Box 2227, Fort Wayne, IN., 46801-2227 970211 "Bear ye one another's Durdens and B~' BROTHERHOOD MUTUAL solullillthelawo/Christ" Gal 62 , h, INSURANCE COMPANY ~ COMMERCIAL PROPERTY DECLARATIONS Page 1 of 1 ~ We provide the CommerGal Property eoverage at the declared premise(s) tor eoverage and limlta indieated. Policy Number: 05M7A0221300 Property Deductible: $1, 000 (Excl. EQ and Opt. Coverages - See Below) Glass Deductible: $1,000 SCHEOULE OF BUILDINGS AND PERSONAL PROPERTY PROi LOC 8 LIMIT OF EO INSURANCE COINSURANCE DED REPL AUTO COST INCR PERIL fORM SAFE GUARD BLD6 0101 TYPE OF PHOPERTY 2 FAMILY DWELLING BLDG 70,000 80% N/A YES 0% CP83 1-86 7 0401 1 FAMILY DWELLING BLDG 40,000 809s N/A YES 0% CP83 1-86 7 0801 1 FAMILY DWELLING BLDG 50,00080's N/A YES 0% CP83 1-86 7 0901 1 FAMILY DWELLING BLDG 55,000 100% N/A YES 0% CP83 1-86.-= 7 2601 1 FAMILY DWELLING BLDG 60,000 100% N/A NO 0% CP83 1-86 7 NO 3201 OFFICE PERS PROP 11000 90% N/A YES 0% CP85 1-86 3301 1 FAMILY DWELLING BLDG 50,000 100% N/A YES 0% CP83 1-86 7 3401 1 FAMILY DWELLING BLDG 60,000 1008 N/A YES 0% CP85 1-86 7 3501 . 1 FAMILY DWELLING BLDG. 60,000 100% N/A YES 0% CP85 1-86 7 3601 1 FAMILY DWELLING SLDG 60,000 100% N/A YES 0'k CP85 1-86 7 / Prot Seh Guntl CoNc (1) 5mob Alnm In Eaeh Apt (2) 5mob M.m in E.h Bwfd~M'Reom (1) 5mob ANrm in Eaeh Slwpnp Room (Q Bvr9lar Alom S{nMm a. PioMCtM bY Aufomafic FLe Ertin9. SpMm (6) Aufomafic Rn PiOMCfion 5mok, Alarm in Emh AarfN Owdiinq _ S tl m R . u mc oo (S) al CooMn9 (1) 8ur9br Alarm 5{a. uW Avto. Fin Prof. (9) All Cootlnq Sur/aco ProNCNtl by Auro Fiii Esflnp. SyHem aiM SmoM Alxm in E~eh Fosi~l (A) All Cooklny Sur/nw ProbelM bY AuforMie Fin Eatlnp. SNbo^ and BurpM Narm S1aMm SCHEDULE OF OP710NAL COVERAGES - LIMIT OF DEDUCTIBLE LOC d BLpG DESCRI?TiON OFCOVEnAGE INSUHANCE AMOUNi FORM NUMBER IM694 8-85 ALL IM Micro Fltr - 12,138 $500 $500 IM694 8-85 ALL IM Micro Data 900 000 25 $500 CR308 7-88 , ALL Empl Dishnsty MORTGAGEES / ADDITIONAL INTERESTS AFFILIATED NATIONAL AFFILIATED NATIONAL - BANK LITTLETON BANK LITTLETON 5734 SOUTH PRINCE 5734 SOUTH PRINCE JLETON CO 80120 LITTLETON CO 80120 _ PROPERTY FORMS BCP132 1-88 BCP15 1-88 BCP41 1-88 CP12 1-83 CP151 10-86 CP30 1-86 9702/1 CSP 11 (1-N) 'tlear ye one arwthers Durtlens and BA%L%I BROTHERHOOD MUTUAL solulli0thelawofChrist." caL sz INSURANCECOMPANY COMMERCIAL LIABILITY DECLARATIONS page 1 of 2 We pravlde the Commercial Ltability coverage !or the 1(rqits and eoverage / classiflcations !ndleated. ~ LIABILITY LIMITS PolicyNumber: 05M7A0221300 Each Oceurrence Llmit Coverage L $ 1,000,000 Medlcal Payments Llmtt General Aggregate LimlEother than Producfs/Completed Work Aggregate Llmlt•Products/Completed Work Fire Legal Lia6ility The fOfm 010rganizatiOn iS: CORPORATION ADDITIONALINSURED Coverage M $ 5, 000 /per person $ 3,000,000 CoverageN $ 3,000,000 Coveroge O $ 50, 000 /per oceurrenee / NOTE: The following schedule diseloses all insurable exposures known to exist at policy inception date unless stated. NOTE: Declared premises are all owned, occupied by or rented to you. SCHEDULE OF UABILITY CLASSIFICATIONS CLASSIFICATION/ CODE/ FATINGBA515 NEiRATES COVERAGE FOAM CODE QUANTITY BI - PD MEDICAL DWELLINGS - ONE-FAMILY - LESSORS RISK 01003 d 8 25.594 13.108 364 MEADE DED?"ER . CO 536 SOIITH PATTON COURT DENVER CO ,3117 LAFAYETTE DENVER CO . 3710 HIGH STREET DENVER CO 3595 ELM STREET DENVER CO DWELLINGS - TWO-FAMILY - LESSORS RISK 01007 d 1 44.022 19.849 1953-55 AKRON AURORA CO OFFICES - NOC 04504 a 7,300 4.502 .974 1500 W 12TH AVENUE DENVER CO REAL ESTATE DEVELOPMENT PROPERTY 30370 1 1 12.086 1.950 REAL ESTATE DEVELOPMENT PROPERTY 30370 i 1 12.086 1.950 1522 EAST 26TH AVENUE DENVER CO REAL ESTATE DEVELOPMENT PROPERTY 30370 i 1 12.086 1.950 90TH & YORK DENVER CO . LIABILITY FORMS GL28 1.0 BGL29A 1.0 EXCL59 GL107 2.0 GL890 1.0 Rating Besis Code: (a) Area, (b) Payroll, (e) Gross Sales-Receipte, (d) Each, (e) Pupils, (f) Teachare, (g) Passora, (h) Frontage (i) Flat, Q) Camper Days, (k) Cost, (I) Other CSP /2 (Uee) 970271 B~' B ROTHERHOOD MUTUAL °Bear ye one another's burdens ana so fulfill the law of Christ" Gai. e2 , INSURANCE COMPANY COMMERCIAL LIABILITY DECLARATIONS Page z of 2 We provlde the Commercial Uability coverege for the limits and coveraga / clasai/icaHons indlcated. ~ LIABILITYLIMITS PolicyNumber: 05M7A0221300 Each Oocurrenee Limit Coverage L $ Medlcal Payments Llmit Coverage M $ /per peraon General Aggregate LimiROther than Products/Completed Work $ Aggregate LImiEProduds/Completed Work Coveroge N $ F!re Legal Liablllry Coverage O $ /par oeeurrenee The form o/ organization is: ADDITlONAL INSURED- l NOTE: The lollowing schedule discloses ali insurabie exposures known to exist at policy inception date unless stated. NOTE: Deelared premises are all owned, occupied by or rented to youi. SCHEDULE QF LIABIUTY CLASSIFICATIONS CLASSIFICATION/ CODE/ RATING BASIS NET RATES COVERAGE FORM CODE- QUANTIfl- BI - PD MEDICAL REAL.ESTATE DEVELOPMENT PR6PERTY - 30370 i 1 12.086 1.950 3700 GILPIN DENVEA CO REAL ESTATE DEVELOPMENT PROPERTY . 30370 i 1 12.086 1.950 12TH &.AKRON- - AURORA. ' CO OFFICES.- NOC . 04504 a 10,000 4.502 .974 1500 W 12TH AVE DENVEA CO - CARPENTRY - CONSTRUCTION OE DWELLING3 52300 b 52,498 .906 .029 NOT.EXCEEDING THREE STORIES CONSTRUCTIONOPERATIONS - CONTRACTOR 37801 k 1,125,725 .037 CARPENTRY _ 67100 c 1,178,223 1.043 NON-OWNED-HIRED AUTO . BGL46 1-88 3 - - HGL47 1-88 - ~lD l ~ic~t•rk.,~€~ uaeIurr FoRMs ~ S Rating Besis Coda: (a) Area, (b) Payroll, (c) Gross Seles-Receipte, (d) Each, (e) Pupils, (n Teaehers, (g) Pastors, (h) Frontage (i) Flat, Q) Camper Dayc, (k) Coet, (I) Other CSP tt (1-66) 970271 A. G. WASSENAAR, INC. GEOTECHNICAL CANSULTANTS PHONE 303/7598100 FAX: 303/756-2920 2180 S. NANHOE, SUfTE 5 February 6, 1997 Habitat for Humanity 1500 West 12th Avenue Denver, CO 80204 Attention: Ms Lynn Brown Subject: Soil and Foundation Study Proposed Residence 5640 West 28th Avenue Wheat Ridge, Colorado Project Number 35339 DFNVFR. CALARADO 80222 As requested, we performed a soil and foundation study at the subject site. The purpose of our study was to observe subsoil condidons encountered and to recommend foundation design criteria for the proposed residence. The field exploration included drilling two 4-inch diameter auger borings at the approximate diagonal comers of the proposed residence to depths of 20.0 to 25.0 feet. Samples were taken for laboratory testing to evaluate swell potential of the soils. The soils encountered consisted of: Boring 1 (southwest corner) 0.0, to 1.5' Fill (man-made), clay, compact, silty, sandy, moist, brown to dazk brown 1.5' to 20.0' Clay, stiff to very stiff, silty, sandy to very sandy, calcareous, moist, brown Boring 2 (northeast corner) 0.0, to 5.0' Fill (man-made), clay, compact, silty, sandy, moist, brown to dark brown 5.0, to 25.01 Clay, stiff to very stiff, silty, sandy to very sandy, calcazeous, moist, brown Date of drilling: January 31, 1997 Depth to water: Boring 1- Dry at the time of drilling and 6 days after drilling Boring 2- Dry at the time of drilling and 6 days after drilling Habitat for Humanity Project No. 35339 February 6, 1997 Page 2 The laboratory tests on this lot or adjacent lots indicate low potential for expansion (0.7% at a depth of 4 feet and 1.7% at a depth of 9 feet in Boring 1 and 0.5% at a depth of 9 feet and 0.9% at a depth of 14 feet in Boring 2) upon an increase in moisture content under a ]oad of 1,000 psf. Based on the results of the borings drilled on this lot and the laboratory test results, the proposed residence should be founded with spread footings bearing on the natural undisturbed soils or controlled structural fill. The footings should be designed for a soil pressure of 2,500 psf. Footing dimensions should be determined by a structural engineer. Continuous foundation wa11s should be reinforced top and bottom with at least two No. S reinforcing bars. We recommend a Type II cement for all foundation concrete or concrete within 6 inches of soil. Soils loosened by machine excavation should be removed from the excavation prior to placing footing concrete. Occasionally, pockets of loose soils are encountered in foundation excavations. If this condition occurs, the footings should extend to firm soils. Exterior footings should be at least 3 feet below exterior grade for frost protection. The soils beneath footings should be protected from freezing during construction. All footing excavations should be observed prior to placement of concrete so that the footings are bearing on natural, undisturbed materials or controlled fill. The foundation walls should be designed for an equivalent fluid pressure of 50 pcf. The subsoils at this site are eacpansive. There is usually risk of slabs heauing when slabs-on-grade are constructed on expansive soils. Provided the Owner is willing to assume the risk of slab movement, slabs may be supported by the expansive soils. The following criteria should be observed for slab-on-grade construction: 1. We recommend limiting slab-on-grade construction to unfinished basements and garages. 2. Slabs should be separated from exterior walls and interior bearing members with a joint which allows free vertical movement of the slab. 3. Slab bearing partitions should be constructed with a one-inch slip joint. In the event of slab heave, the movement should not be transmitted directly through the partitions to the remainder of the residence. 4. Plumbing and utilities should be isolated from the slab. Habitat for Humanity Project No. 35339 February 6, 1997 Page 3 5. Where a forced-air heating system is used and the furnace is located on the slab, we recommend provision of at least a one-inch collapsible connection between the furnace and the duct work. 6. Provide frequent control joints in the slab. The above recommendations will not prevent movement of slabs-on-grade in the event the subsoils become wetted. We recommend providing a subdrain around all below grade areas (basements). The purpose of the drain is to collect water which flows through relatively loose backfill and becomes trapped on the surface of the basement excauation. This results in a perched water table and "water in the basemenY" problems after construction. The drain should be constructed similar to the detail on Figure 1 and should be uniformly sloped to a posidve gravity discharge or sump. The following recommendations should be observed during construcuon and maintained after the residence is completed: 1. Excessive wetting or drying of the open foundation excavation should be avoided as much as possible during construction. 2. The ground surface surrounding the exterior of the residence should be sloped to drain away from the residence. We recommend a minimum fall away from the residence of 6 inches in the first 5 feet. This slope should be maintained away from the residence as far as practical. 3. Backfill around foundation walls should be moistened and compacted. 4. Watering adjacent to the residence should be minimized as much as practical. All drainage swales should be maintained a minimum of 5 feet away from the residences on side yards and 15 feet away from the residences on back and front yards. 5. Roof downspouts and drains should discharge well beyond the limits of backfill. Habitat for Humanity Project No. 35339 February 6, 1997 Page 4 6. Landscaping which requires excessive watering and lawn sprinkler heads should be located at least 5 feet from the foundation walls of the residence. 7. Plastic membranes should not be used to cover the ground surface immediately surrounding the residence. These membranes tend to trap moisture and prevent normal evaporation from occurring. T'he professional judgments expressed in this report meet the standard care of our profession. The test borings drilled for this study were located to obtain a reasonably accurate picture of subsurface conditions for design purposes. Variations in subsoil conditions not indicated by the borings are possible. If unexpected subsoil conditions are observed during construction, we should be called to review our recommendations. The completed excavations and placement and compaction of fill should also be observed by a Soil Engineer. If we can be of further service in discussing the contents of this letter or in analysis of proposed structure from the soil and foundation viewpoint, please call our office. Sincerely, A. G. WASSENAAR, INC. G Allen G. Wassenaar, 1.ff; Q 9526 President =-o:_ AGW/pg °/"i~ry~/QNIA Attachment Statement of Services V& A. G. WASSENAAR, INC. GEOIECHNICAL CONSULTANTS 1 10 NOTES: 1. DRAIN MUST LEAD TO POSRNE GRAVT' OUTLEf OR TO SUMP WHERE WATER CAN BE REMOVED BV PUMPING. BACKfILL 2. GMVEL SPECIFICA710N: 100% PASSING 2- INCH STANDARD SIEVE MAXIMUM 00°/. PASSING 04 SIEVE MAXIMUM 5%PASSING #200 SIEVE CLEAN GRAVEL - (SEE NOTE 2) ~ ~ e ~ .a o'- ` D e o • /p/, 12'MINIMUM 4- INCH DU1MElER RIGID PERFOMTED PLAS7IC e' PIPESLOPED1T02XTODMINTOSUMP FOOTING FOUNDATION TYPICAL INTERIOR DRAIN DETAIL FIGURE 1 DEBARTMENT -0F PLANNING & DEVELUPMEt:'1' AEQUEST FOR PQHLZC WORKS REVIEw pat@':' - 5 r 1 ) ol 2". Case/BUilding Permit No. r+ooati;ow S(•r+e P1sSR ;eVi6w the 4tta;9}le,d materials submitted in application Por approval o: a~ , and indicate your decision on those items check below, and please add,::any;other comments which you may have under number 18. Soun_da#'y :C:losure:.X oK _ Not oK; refer to Scipulations a. ~ 5. ~ I~T!ea : ACres Square Fcuc Urairiage . a. Drairiage plan (and report) needed ~ b. Dralnage plan not needed c. Drainaqe provisions have been ieviewed and are found to be: _ OIC _ Not OK; refer to stipulations NPDES Permit Required Y ON I,egal Description: X oK Not ox; refer to stipulations IY iiot okay, please explain: 6. _ Public Improvements: a. Street paving needed Y b. Curb & Gutter needed Y QN c. &idewalk needed Y d. Streec Lights needed Y e. StoY'm Sewer needed Y f. Escrow required Y~ It Escrow Yequired, for what improvements? In what amount? 7. ~ Development Agreement required ~ N If Ysa, for 8.-~- All nece86ary documents have been initiated by Public Works and are attached hereto: Ncme 9.'_ --Is a trafEic impact analysis and report requ_red? Y O 10. Zs a State Highway Access Permit needed? 1/N l./ 11. ~ New roadway or alley R.O.W. dedication is recom.mended: 14a IP yes, what is recommended: 12. All sxisting dedicated roadways and alleys meet the standards of the City: IY no, ~i ch do not and what ia requested: 13. All eXiBting and proposed dedications have been reviewed and found tc be: X ot OK; refer to nuinbers 11 & 12. lC. ✓J Apyr val• ;ePublic Works Department has reviewed this request anc ha= Y g app,Yoval, subject to the above and/oz attachec Z77 Date/- 15. 16. The Public Works Department has reviewed this request and does no+ approve !or the reasons stated: Siqnature Stipulations attached: Yes 17. DEADLINE DATE FOR PUBLIC 18. ~ Summary : f~, naJ k4' 9l Gate ON PARTMENT kEPLY: Ai\rr.atrcDav.atua (aoxxs)