Loading...
HomeMy WebLinkAbout8300 W. 38th Avenue - 2017n m M w N' r P. P.0 W O M rh H" 0 F. a r O 0 x ro a n � M• N 0 n� O a � r N• r Ph n tr' n m m 5 a 0 rr waa ma(D (') 0 N. Er cr m M atl 4. H m N N '=J O H K H rh xHrr P. O Q ,� w n� 0 w ro r LIJ a H � O z �. n x 0 0 K �'dbnO OY'�O�C N C O°3�aC Geo.. CrJ� b °w°�Z p��ad n �• o Y C, �aID�z n (S.. yb CD �O0 d n 00 w O o0 O W xi p V p o d � O y ti OWo O> O 00M 0 CD r� N 00 0 0 w W O O c.n •i �-.D ft O N 5 ra •^�•�• W m m o � 0 �o; CD oT o CM o � �+ .O' G C O aA. CL 5 m �oa m o 4 00 O D M C �b O yCS C O eo p, o a f fD o �eD y E. a A 5 H b o QQ H � .O•r to O eo N f� O Wit• O_ a ems 0 �p •i CER TIFICA TE OF COMPLETION Permit #: 201707552 A 41Cityof Date: 11/07/2018 Wheat�idge COMMUNITY DEVELOPMENT 7500 W 29TH AVE WHEAT RIDGE CO 80033-8001 *Stipulations: Upgrade existing equipment, Chiller, pumps, DA tank, cooling tower, associated piping, electrical and infrastructure This certificate verifies that the building constructed and/or the use proposed of the building and/or premises, under the above permit number and on property described below, does comply with the Wheat Ridge Building Code, Zoning and other related land use and development laws of the City of Wheat Ridge, and may be occupied for the use specified. OWNER: SCL LUTHERAN MEDICAL CENTER ADDRESS: 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 CONTRACTOR/ADDRESS: M.A. Mortenson, Jr 1621 18th St Ste 400, Denver, CO 80202-5905 PROPERTY ADDRESS: 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 PARCEL #: 39-262-00-010 ZONING: N/A OCCUPANCY: I -2H TYPE OF CONST: I -A OCC LOAD: N/A FOR THE FOLLOWING PURPOSE: Commercial Miscellaneous Code Editions: No change shall be made in the Use of this building without scrinklered: 2012 ICC / 2014 NEC prior notice and a new CERTIFICATE OF COMPLETION Yes from the City of Wheat Ridge Chief Building Official i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE _) w - 20/7 Q 1-/2- Sri ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes," When corrections have been made, call for re -inspection at 303-234-5933 Date: r; Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: O «/ Job Address: 'ii 3 00 IAI 3 8' Permit Number: ' O "2 0 (/ 2 f� ❑ No one available for inspection: Time f/1. AM/PM Re -Inspection required: Yes N When corrections have been made, call for re -inspection at-303-234- Date: t303-234-Date: �' ` Inspector: L-1 DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: '�aci Job Address: �S 2�00 W. 31i'+_�A Permit Number: 2017/97252- -2 E 017/97252 -2E R ❑ No one available for inspection: Tig- `.-Z: _ --;'' M/PM Re -Inspection required: Yes No When corrections have been made, call foe'nspection at 303 -234 - Date: Inspect . - �1 DO NOT REMOVE THIS NOTICE L i CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 30q R EC Job Address: 6 g`' ✓� Permit Number: 2z2- I207 511- U No one available for inspectio . Timel ,_ AM/PM Re -Inspection required: YesNo When correct"ons have been made, call for ,�re-in spect"on at 303-234-5933 Date: % ` Inspector: 0 DO NOT REMOVE THIS NOTICE '► i City of Wheat Ridge Commercial Roofing PERMIT - 201709498 PERMIT NO: 201709498 ISSUED: 12/08/2017 JOB ADDRESS: 8300 W 38th AVE EXPIRES: 12/08/2018 JOB DESCRIPTION: Commercial reroof permit remove and install True Definition Duration Storm Asphalt Shingle with Area 72 Valet Shelter 95sgft or lsq Pitch=4/12 Area 79 Blue House 4233sgft or 42.33sq Pitch 4/12-16/12 Area 80 TB Tent 275sgft or 2.75sq Pitch=4/12 Terra Cotta roof replacement Clay roof tiles US Tile by Boral installed in Area 9 and 10 TCU Roof 5006 sqft or 50.06sq Area 26 Chapel Roof 6200sgft or 62sq Pitch = 4/12. Total squares 158.14 squares *** CONTACTS *** OWNER (303)425-8685 SCL LUTHERAN MEDICAL CENTER SUB (303)678-7828 Chris Cain 021770 Roof Check Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 162,450.00 FEES Total Valuation 0.00 Use Tax 3,411.45 a* Permit Fee 1,538.40 mss" ** TOTAL ** 4,949.85 *** COMMENTS *** *** CONDITIONS *** In order to pass a final inspection on commercial elastomeric or similar type roofing, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and Mid -roof inspections may be called in at the same time, 100 percent of the sheathing must be complete and 25-75 percent of the midroof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. City of Wheat Ridge Commercial Roofing PERMIT - 201709498 PERMIT NO: 201709498 ISSUED: 12/08/2017 JOB ADDRESS: 8300 W 38th AVE EXPIRES: 12/08/2018 JOB DESCRIPTION: Commercial reroof permit remove and install True Definition Duration Storm Asphalt Shingle with Area 72 Valet Shelter 95sgft Area 79 Blue House 4233sgft Area 80 TB Tent 275sgft or 2 Terra Cotta roof replacement Total squares=158.14 installed in Area 9 and 10 TCU Roof 5006 Area 26 Chapel Roof 6200sgft Total squares or lsq Pitch=4/12 or 42.33sq Pitch 4/12-16/12 .75sq Pitch=4/12 Clay roof tiles US Tile by Boral. sqft or 50.06sq or 62sq Pitch = 4/12. I by in 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 , the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be ped and that al work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be regired 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, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official K-) Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. r City of Wheat j _dge COMMUNITY DEVELOPMET Building & Inspection Services Division 7500 W. 29`h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm itsCcDci.wheatridge.co.us FOR OFFICE USE ONLY Date: '% -1 Yl Plan/Permit# Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 8300 W 38th Avenue Wheat Ridge, CO 80033 Property Owner (please print): Exempla Inc/ SCL Health Phone: (303) 425-8685 Property Owner Email: N/A Mailing Address: (if different than property address) Address: City, State, Zip: Arc ct/Engineer E-mail: Contractor: Roof Check Inc. Contractors City License #: 021770 Phon Phone: (303) 678-7828 Contractor E-mail Address: Chelsey@roof-check.com/ Ben@roof-check.com Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form [COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Shingle roof replacement on the following areas: Area 72 - Valet Shelter (95 SF) Area 79 - Blue House (4233 SF) Area 80 - TB Tent (275 SF) Terra Cotta roof replacement on the following areas: Area 9 & 10 - TCU Roof (5006 SF) Area 26 - Chapel Roof (6200 SF) Sq. Ft./LF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) t 1 (nG., "I:S'n OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or of (OWNER) CONTRA TOR) Electronic Shmature (first and last name): N 1y1,9yLdG DATE: 11/20/2017 ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ =� ti e _4a— K 6- N06i i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 301 R F -L Job Address: o Ilr e Permit Number:() C t4/11 ❑ No one available for inspection:, Time / ? t-/' AM/PM Re -Inspection required: Yes (No When correc ions ave been made, call for re -inspection at 303-234-5933 Date: Inspector: _71H f / DO NOT REMOVE THIS NOTICE ►�t " �� 7,�gya� ���-Ss6- iyo� i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 30 9 R GL Job Address: 8oo li Permit Number: X10/2 0113 3 ❑ No one available for inspection: Time i Ll AM/PM Re -Inspection required: Yes No, When corre ions have been made, call for re/inspection at 303-234-5933 Date: AY/M Inspector: _ ',/ /[ DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: -30 9 ' f C_ Job Address: 3300.36"' Alf Permit Number: 90/ 7 0 7 5-S a— ❑ No one available for inVe on: Time AM/PM Re -Inspection required:No When corrections have been made, call forre-inspectionat 303-234-5933 Date: % 3 Inspector: /�Tll DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3) _71 Job Address: Permit Number: .;O/7205_3 3: ❑ No one available for inspection:_ Time . 7AMIP" J Re -Inspection required: Yes N' 4, When corrections have been made, call for re -inspection at 303-234-5933 Date: ' �-'U ' %F Inspector: lx/,�-, DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: -317/ AK Job Address: � kj_y- Permit Number: 20/70 7552, ❑ No one available for inspection: Time Re -Inspection required: Yes (No, *When corrections have been made, call for re -inspection at 303 -234 - Date: r ' f 7'M Inspector: I�,/ � % r DO NOT REMOVE THIS NOTICE .9011 ON SIHI 3AOW3H ION 00 H:aolaadsul :aleQ ££6S-b£Z-£0£ le uoijoedsui-aa ao{ ileo `spew uaaq aney suoiloaaaoo uayM. ON saA:, :paainbaa uoilaadsul-aa Nd/NV & /7 0auail :uo 1o0dsui ao} ajgep'AlB auo ON IM 'tp SS Z 0L /o.., :aagwnN Iivaaad O A�l u! /'°i :ssaippd qor :adA1 uoiloadsul 33110N N01103dSNI Xe -4 6268 -ZEE (000) • 0q!JJ0 s39z-90z (C00) awl uoijoadsul S£69-bSZ (£0£) uoisinia uoil3odsul Buiplin8 3!Daw lV3HM =10 A113 "* y I I)in k /y Type 1N C3a RECORD Occupanc INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection ,C AC INSPECTION REQUEST LINE: (303) 234-5933 Inspections will not be performed unless this card is posted on the project site. I**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour. Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric * / 7 laivah 4 Rough Plumbing/Gas Line Rough Mechanical Rough Framing/ Rough Grading Insulation 7 1 Drywall Screw/ Nail � /> j` Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection /Fire Protection Dist. 6,7/ fZeyr Final Electrical Final Plumbing Final Mechanical•/�� Roof Final Window/Doors Final Building 0 r /_?, i NOTE. All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather Occupancy/Type INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric " Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approve y tslanning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather 1-9-If v,q mr 11", 5A.-XxI, &III i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:tir�:?< Job Address: sa) fes' �" f� — C IiC1 Permit Number: %t ff p''17525-0, a a ¢ ❑ No one available for inspection: Time SAM/PM Re -Inspection required: Yes ( No When corrections have been made, call &r -J;6 --inspection at 303-234-5933 ° 7 � Date::% ° t' ' Inspector: DO NOT REMOVE THIS NOTICE N• m M W r a p W 0 FTI M H. n F. a r z O n ro a H � 0 m O H rA p � O a rt H, r Ph 0 O m m � a � Baa m a m n "J' P. H. E rr m m H ci H D] m m H (T 5, Fit Ib q rr a0" N 't] O n� G ro ~ R. M H � H O z �. n w O 0, rr o rn lin r- 0 x m m n m a K M 0 0 0x H c m 0 n O m m aH' a i m 9 m m n n m d n b M 5 m r - m � a F' 0 m w o' E p m m p ry O M M b 0 r - T o m M m e a r• cr R a m 101 n m n b' G m w � m p n IO m E n 0 yO rt m' m "c g n 0 a n E W G R H m tT N a m 0 m n m m 10 rr m O C W O m p, m m w m m m a b w m m C M p r - r r rt w a m m p a m � G O O H H m a N a ts- a Q o a n o rr r - x m m m n m r m a H p w a m m m n a s a m m a a w rr m o m M m O n ro a ri O r- m O ri rm�+ o a rt ~ M 0 ti fD UrN � a � Baa m a m () 0 H. Ert O cr n v C Ea H fm N 0 rar H rt rt 7d tzj W 0 r m cD V n� 0 w 10 ~ H H O z �. rt x O r. rt n x H 0 n n 0 z a M m g m N rrr n � d rmj N R o 5 m r- � n a �t:1(D E O m m p n O M M ro n r' R O m � ro m m � k a r- R ^ a rOh n m O' G m m r• a a r ry a a m E n O y O R ° m cn 5 n m E a ro x n a tr m M m G O m n m CD m 0 o m to m m a m m M H r R m a m p w rr C O N a a m r- tl w o m W o n � ro a n n r - 1Y m m m n m a a R m m n a r x P. m a w C O m m m b Fj R r. rr g O a J m O n 1--1 ^ °m00 \ j N a O N I \ r O I I \ N O r � 00 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 1 �G 6/AP � /e�ajo, Job Address: Permit Number: �(`� 0%C25-2 ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made,,c'all &o ,re -inspection at 303-234-5933 Date: DO NOT REIneE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE ❑ No one available for inspection: Time j. 1 AM/PM Re -Inspection required: :Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE A .' City of Wheat Ridge Commercial Miscellan PERMIT - 201704253 PERMIT NO: 201704253 ISSUED: 07/24/2017 JOB ADDRESS: 8300 W 38th AVE EXPIRES: 07/24/2018 JOB DESCRIPTION: Repair interior finishes damaged by water from roof leaks, various locations as marked drawings; repair to existing conditions; no changes to original design; 18,000 sq ft ** CONTACTS *** OWNER (303)813-5056 SCL LUTHERAN MEDICAL CENTER GC (303)295-2511 M.A. Mortenson, Jr 018817 M. A. Mortenson Company SUB (303)452-8576 Enrique Vera 130246 North/Western Elec. Corp. SUB (303)288-4546 Apollo Mechanical 150125 Apollo Mechanical Contractors SUB (303)288-4546 Apollo Mechanical 150125 Apollo Mechanical Contractors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2, 500, 000. 00 FEES Total Valuation 0.00 Plan Review Fee 8,197.83 Use Tax 52, 500.00 Permit Fee 12,612.05 ** TOTAL ** 73,309.88 *** COMMENTS *** *** CONDITIONS *** Approved per plans and red -line notes on plans. Must comply with 2012 IBC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. **Prior to final inspection approval - As-builts are required before approval of the Building Final Inspection and Certificate of Occupancy can be issued. City of Wheat Ridge Commercial Miscellan PERMIT - 201704253 PERMIT NO: 201704253 ISSUED: 07/24/2017 JOB ADDRESS: 8300 W 38th AVE EXPIRES: 07/24/2018 JOB DESCRIPTION: Repair interior finishes damaged by water from roof leaks, various locations as marked drawings; repair to existing conditions; no changes to original design; 18,000 sq ft 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 authornzed t isby thpe legal owner of the property andamauthorized to obtain this ppermit and perform the work described and approved in conjunction with perform ermstand at all her wo st th o all zed is disclosed ed in thirized to s document and/or entities eitts' accod withinmpanis ying ng pproveocument as d plansarties tand specifications. 1-7 Sig Sig re of OWNER or CONTRACTOR (Circle one) Date 1, his permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Re uests 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 in, 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 andprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit sh, be As ued to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or reMul i indiction. Approval of work is subject to Held 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 Wheatj�idge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits (aD-ci.wheatridge.co. us FOR OFFICE USE ONLY Date: Plan/Permit # O Plan Review Fee: } ('% Building Permit Application ' Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 0 30(03 W 5' '3,,53� a 1\ Property Owner (please print): Std VV_ r_\ ; (k Phone: 3u -S --8't'3 - Z Property Owner Email: o\ c s\ e_ j -b\ 6,�' S c \r\ S r\e�, Mailing Address: (if different than property address) Address: Sc L©cj z V r7 City, State, Zip: Arch itect/Enaineer: Q /N Architect/Engineer E-mail: Contractor: n. i,,\ Phone: Contractors City License #: Phone: S03 c4 Contractor E-mail Address: ii e-- e,., Sub Contractors: Electrical: Plumbing: L4 -c3 Mechanical: ppc>L.L- 0 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 information on BOTH sides of this form COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ['•OTHER (Describe) � �I\� VC fir' S (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.) 5 !'14�2�—� G IJ �ri'a� �� rte► S.� . r—A c.a Sq. Ft.ILF 16 00C' �� Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) I—I 4;G C-1 , 0G Ca OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CTRACTOR or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature first and last name): DATE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ 3 CD W d� = m CA CD o o 19 0 r.. A7 �s O A eD • CD '.3 CCD CD .r N � ' S fo y N � � � � �" N N � "*+ O• CSD � � CD• CD cD C CD � CD CD o n O � CD CD A a' v W O C -D CD CD CD �A7 CD C `� ^� A '.s O (D O O v O CD L3 �,CDCL C CD CD A A CD � O N 'yy C CD G ■! .�.. r0 CD 00 in F- .O O G O O A J W Q N O N 3 ►�CD 00 CD CD CD .Z� E �Q CD p ¢ A eD CD CD M A eD CD CD ice. CAD •�_ CD CD A �. O.. CD O.. rDD C A CD y O � CD 'r CD % CD N A; CD CD fD c a'�o � A •0 0 3 i CITY OF WHEAT RIDGE �(303) Building Inspection-Divisid. -"• (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: � Job Address: nL� N 3F? e Permit Number: ,fz ❑ No one available for inspection: Time ,--2� AMIPM Re -Inspection required: Yes No When corrections have been made, call or re -inspection at/303-234-5933 Date: 9 , Inspector: ('>/ l4 DO NOT REMOVE THIS NOTICE INSPEC' Inspection online form: httj Cancellations must be submitted via the Inspections will not be performed Request an inspection before MIDNIGHT (11: PERMIT: OADDRESS: Foundation Inspections Date InsInt alsor Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval 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 Do 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 305 Insulation 306 Mid -Roof 307 Metal / Lath / 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 PERMIT'_ ADDRESS:(,' A) Z-Tt7AZL,, JOB CODE: Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail r' 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Jam, Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Finai udindow/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*** i / c't.. 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* r418 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. i CITY OF WHEAT RIDGE 1�9 Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: C F Job Address: 3C� (n1 37-I t AVE Permit Number: Q)I j U 3 ❑ No one available for inspection: Time � AM/PM Re -Inspection required: Yes 60) "When corrections have been made, call for re -inspection at 303-234-5933 Date: % ry Inspector: DO NOT REMOVE THIS NOTICE /e- lfq- ' . i CITY OF WHEAT RIDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax V INSPECTION NOTICE Inspection Type: Job Address: 60 d) Permit Number:G'/�� on ❑ No one available for inspection: Time /`t%�e'-=F'`'PM Re -Inspection required: Yes&0 When corrections have been made, call for re -inspection at 303-234-5933 Date: /` Inspector: JOWC<1 �-- DO NOT REMOVE THIS NOTICE ..CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: 9)3W VJ 2361h YA32- Permit Number: Z01707��2, v �:. ❑ No one available for inspection: Tim Re -Inspection required: Yes No When corrections have been made, I Date: I Inspector at 303-234-5933 wvn Idf INSP CTI6N RECORD °ccupancv/T�e INSPECTION REQUEST LINE: (303) 234-5933 Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** 9 , 1 � . 11 Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Final Electrical Concrete Encased Ground (CEG) Final Plumbing Foundation / P.E. Letter Final Mechanical Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Floodplain Inspection (if applicable) Plumbing Final Electrical Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Mid -Roof Final Plumbing Final Mechanical Lath /Wall Tie Roof Final Window/Doors Rough Electric Final Building'D lzd 0 r r/ 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. Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building'D lzd 0 r r/ NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. "For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. For notification of your assigned inspection time window please email insptimerequestLa)ci.wheatridge.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Time windows are assigned based on inspection routing. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3� 7/ `"�� - Job Address: (y,300 0) -3,F* Permit Number: rP®/l__19 2-55A M ❑ No one available for inspection: Time` AM/PM Re -Inspection required: Y< N� When corrections have been made, call for re -inspection lat-303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE /e) /1" i CITY OF WHEAT RIDGE Building Inspection Division �(303) (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE / Inspection Type: / T-f"o 7� Job Address: aro u)3je4 Permit Number: --)0/ 703FL ❑ No one available for inspection: Time -�-{ASM Re -Inspection required: Yes <O -2, When corrections have been made, call for re -inspection at 303 -234 - Date: /1P,.,17* 03-234- Date:/1P'.,1%' 17 Inspector:._ )1 �f— DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Vr Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 2®1 — FC-Ec ICA 6C,6 kz;�DJ IT Job Address: 5? -3'00 W '32'2 A V�' =' Permit Number: ZO 1'1 Q-? 557 ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes o When corrections have been made, call for re -inspection at 303 -234 - Date:— I Z j 2 J) )) Inspector: M3�V DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: `! oLl - INAL ELEC COMM Job Address: 300 w 3-3-M A\lfz-- Permit Number: Zo I100cj I �- ❑ No one available for inspectio : Time V� AM/PM y Re -Inspection required: Yes No When corrections have been made, ca or re -inspection at 303 -234 - Date: I z)2- Ir) Inspector: Ar-� DO NOT REMOVE THIS NOTICE Z 6wv ca..,j 4_7L 41 CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office o (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: V"a Job Address: eFJ 00 Permit Number: � ( ) / 7 Ll No one available for inspection: Timer;)PM Re -Inspection required: Yes No _,) When corrections have been made, call for re -inspection at 303-234-5933 Date:/C� ./ 7 Inspector: AJ1(1��I)�W4_— DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: / My,^.b • a - 0_1'. ?� Job Address: �c70 lcJ Permit Number: a17O�7�1 R!2 Pa - AA -IJ No one available for inspection: Time . �D.. AM/PM Re -Inspection required: Yes -~. ;D When corrections have been made, call for re -inspection at 303-234-5933 Datel Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE ! Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: /T� ��� 6. Job Address:.�� Permit Number: r 0/70 9-�� 0 I-) No one available for inspection: Time Re -Inspection required: Yes /,`No 1--Z17-11, � w. -t` When corrections have been made, calf for re-inspectition/at 303 -234 - Date: / 17 Inspector:�— DO NOT REMOVE THIS NOTICE City of Wheat Ridge Comm. Tenant Finish PERMIT - 201709533 PERMIT NO: 201709533 ISSUED: 12/27/2017 JOB ADDRESS: 8300 W 38th AVE EXPIRES: 12/27/2018 JOB DESCRIPTION: Permit for a T/I 800SF: Includes replacing Interventional Radiology (IR) equipment. Adding in room humidification and new Variable Air Volume (VAV) unistrut support system, LED light fixtures and drop ceiling. Building is sprinklered. *** CONDITIONS *** All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IBC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. **Prior to final inspection approval - As-builts are required before approval of the Building Final Inspection and Certificate of Occupancy can be issued. Note: T/I is in Angio Lab Room S1-195 & control room *** CONTACTS *** OWNER 303-917-7574 EXEMPLA LUTHERAN HOSPITAL GC (303)295-2511 M.A. Mortenson, Jr 018817 M. A. Mortenson Company SUB (303)650-4000 Steve Kugler 021460 MTECH Mechanical SUB (303)286-8000 Diana Lynch - License Holder 018567 Sturgeon Electric Co. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 347,396.00 FEES Total Valuation 0.00 Plan Review Fee 1,775.57 Use Tax 7,295.32 Permit Fee 2,731.65 ** TOTAL ** 11,802.54 *** COMMENTS *** *** CONDITIONS *** All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IBC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. **Prior to final inspection approval - As-builts are required before approval of the Building Final Inspection and Certificate of Occupancy can be issued. City of Wheat Ridge ,m Comm. Tenant Finish PERMIT - 201709533 PERMIT NO: 201709533 ISSUED: 12/27/2017 JOB ADDRESS: 8300 W 38th AVE EXPIRES: 12/27/2018 JOB DESCRIPTION: Permit for a T/I 800SF: Includes replacing Interventional Radiology (IR) equipment. Adding in room humidification and new Variable Air Volume (VAV) unistrut support system, LED light fixtures and drop ceiling. Building is sprinklered. Note: T/I is in Angio Lab Room S1-195 & control room I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications2 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 thispermtt. 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 rformed is disclosed in this document and/or its' accompanying approved plans and specifications. ature of OWNER O CTOR (Circle one) Date 1, This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, anew 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 violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any inspection. Signature of Chief Build' Date REQUESTS MUST BE MA M BARAS D FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of 'W heat Lige COMMUN rry Drvr Lt?PME NT Building & Inspection Services Division 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(@ci.wheatridge.co.us FOR OFFICE USE ONLY Date: I 1 1 I Z CC Plan/Permit # Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 8300 W 38th Ave Wheat Ridge CO 80033 Property Owner (please print): SCL Lutheran Medical Center Phone: 720-951-0783 Property Owner Email: Anne.Lutz@sclhs.net Mailing Address: (if different than property address) Address , State, Zip: Arch itect/Engineer: Treanor H+L Arch itect/Eng1neer E-mail: mhagan@treanorhl.com Contractor: M.A. Mortenson Contractors City License #: 018817 Contractor E-mail Address: jessie.becker@mortenson.com For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Jessie Becker CONTACT EMAIL(p/ease print): jessie.becker@mortenson.com Jv5�ti . TY"C•-c:�C��'�� � � �r.�} .x�- Plumbing: Mechanical: W.R. City License # W.R. City License # Sub Contractors: TBD Electrical: W.R. City License # Other City Licensed Sub: City License # City License # Phone: 303-298-4746 Phone: 303-295-2511 Phone: 303-917-3024 Other City Licensed Sub: Complete all information on BOTH sides of this form ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ® OTHER (Describe) Medical Equipment Replacement (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.) .), ). k 1 A GL GV D " This project replaces the existing IR Equipment with new IR Equipment. In room humidification will be added, along with new VAVs, unistrut support system, LED light fixtures, ceilings, flooring, and paint. i OVI { � P(~/ Sq. Ft./LF Amps -1 I► Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 7,&("7,31` OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CZjNTRACTO or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): x DATE: ' `t DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: 7— 0 2 Reviewer: BUILDING DEP MENT COMMEN y Reviewer: � ` ( Building Division Valuation: $ Jessie Becker From: Ryan May Sent: Monday, December 11, 2017 2:27 PM To: Jessie Becker Subject: Fwd: Permit application accepted - West Metro Fire Protection District Sent from my iPhone Begin forwarded message: From: <NoReply(amobile- eyes. com> Date: December 11, 2017 at 2:23:51 PM MST To: <r any@mortenson.com> Subject: Permit application accepted - West Metro Fire Protection District Your permit request for Lutheran Medical Center at 8300 West 38th Avenue Wheat Ridge, CO 80033 has been accepted. The Job Number is: 171211004 Description: Equipment upgrade to and existing angiography procedure room to newer equipment. Scope specifically includes modifying the existing unistrut supports, adding humidification and finish upgrades. Follow the steps below to upload your plans. 1. All plans shall be in PDF format only. 2. All plans shall be submitted in a fully UNLOCKED and UNSECURED state for plan review. 3. Submissions shall not utilize the color "RED" for the plans, drawings, notations, etc. 4. Send your plans to planreviewkwestmetrofire.org 5. Name the plan you intend to upload using the job number provided above followed by the physical address (street number, street direction, street name, street type) where the work is to take place. 6. You will receive a confirmation email once your plans have been successfully uploaded. 7. No action will be taken on your request for permit until you plans have been received. NOTE: Re -submissions shall only include the pages that are affected and additional pages that may be required for the needed corrections. Re- submission of full sets, unless specifically requested, shall result in the rejection of plans. < of style=" font -size: 14pt;"> Jessie Becker From: Ryan May Sent: Monday, December 11, 2017 2:27 PM To: Jessie Becker Subject: Fwd: Permit application accepted - West Metro Fire Protection District Sent from my iPhone Begin forwarded message: From: <NoReply(amobile- eyes. com> Date: December 11, 2017 at 2:23:51 PM MST To: <r any@mortenson.com> Subject: Permit application accepted - West Metro Fire Protection District Your permit request for Lutheran Medical Center at 8300 West 38th Avenue Wheat Ridge, CO 80033 has been accepted. The Job Number is: 171211004 Description: Equipment upgrade to and existing angiography procedure room to newer equipment. Scope specifically includes modifying the existing unistrut supports, adding humidification and finish upgrades. Follow the steps below to upload your plans. 1. All plans shall be in PDF format only. 2. All plans shall be submitted in a fully UNLOCKED and UNSECURED state for plan review. 3. Submissions shall not utilize the color "RED" for the plans, drawings, notations, etc. 4. Send your plans to planreviewkwestmetrofire.org 5. Name the plan you intend to upload using the job number provided above followed by the physical address (street number, street direction, street name, street type) where the work is to take place. 6. You will receive a confirmation email once your plans have been successfully uploaded. 7. No action will be taken on your request for permit until you plans have been received. NOTE: Re -submissions shall only include the pages that are affected and additional pages that may be required for the needed corrections. Re- submission of full sets, unless specifically requested, shall result in the rejection of plans. < of style=" font -size: 14pt;"> A0, CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office s (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: fla ', i Job Address: JAJ Permit Number: _20Z Zb23 ?!<4 r J. Yv w a. /_57 /7 '(-4 U No one available for inspection: Time A M Re -inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-593 Date: Inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office * (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: _ss L2/ Job Address: Permit Number: /N +CAI Ij No one available for inspection: Time - ?Q AwP4 Re -Inspection required: Yes/,lNo When corrections have been made, call for re -inspection at 303-234-5933 Date:, inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: �f'lc ��i. x w Job Address: 5T366 U13Mi Permit Number: rW7,0132N ❑ No one available for inspection: Time /-~ AM/PM'- Re-Inspection M/PMRe-Inspection required: ,Yes `No When corrections have been made, call for re -inspection at 303-234-5933 Date:_0,/3-/7 Inspector: tL1,</ DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 1 ��lf"�6 Job Address: 360 I Permit Number: 202 Vea -q ❑ No one available for inspection: Time - M Re -Inspection required: Yes (No , When corrections have been made, call for re -inspection at 303-234-5933 Date: /D'/c Inspector: DO NOT REMOVE THIS NOTICE i . , CITY,0VVHEAT'mDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line '(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE r� Inspection Type: /' - _ & ('�� Job Address:e Permit Number: r�;,) C) f ❑ No one available for inspection: Time �%�. AK4/p Re -Inspection required: Yes No I C When corrections have been made, cafffor re -inspection at 303-234-5933 ^i, ��)� Date: Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Commercial Sign PERMIT - 201708655 PERMIT NO: 201708655 ISSUED: 10/27/2017 JOB ADDRESS: 8300 W 38th AVE EXPIRES: 10/27/2018 JOB DESCRIPTION: Permit for sign replacements due to new name: 1) East Elevation wall sign: changing out from Lutheran to "SCL Health, Lutheran" new sign area 114.50SF 2) North Elevation wall sign: Changing out from Lutheran to "SCL Health, Lutheran" new sign area 114.50SF 3) Three (3) monument signs to be refaced (logo panel only), signage to read "SCL Health" no change to sizes of the monument logo panel changeout. *** CONTACTS *** OWNER (303)917-7574 LUTHERAN HOSPITAL/RYAN MAY SUB (303)937-1915 James Kunsman 170658 K Team LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 1 / Commr Vacant BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 48,000.00 FEES Total Valuation 0.00 Plan Review Fee 459.26 Use Tax 1,008.00 Permit Fee 706.55 ** TOTAL ** 2,173.81 *** COMMENTS *** *** CONDITIONS *** Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. A City of Wheat Ridge �d Commercial Sign PERMIT - 201708655 PERMIT NO: 201708655 ISSUED: 10/27/2017 JOB ADDRESS: 8300 W 38th AVE EXPIRES: 10/27/2018 JOB DESCRIPTION: Permit for sign replacements due to new name: 1) East Elevation wall sign: changing out from Lutheran to "SCL Health, Lutheran" new sign area 114.50SF 2) North Elevation wall sign: Changing out from Lutheran to "SCL Health, Lutheran" new sign area 114.50SF 3) Three (3) monument signs to be refaced (logo panel only), signage to read "SCL Health" no change to sizes of the monument logo panel changeout. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perto a and t all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. A14 fe D Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying Flans 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 Offcial and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit, shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of thiisdiction. pproval 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. FOR OFFICE USE ONLY I City of Date: Wheat �e i CMMUNrry DEVELOPMENT Plan/Pennit# Building & Inspection Services Division 7500 W. 29tAve., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Plan Review Fee: Inspection Line: 303-234-5933 Building Permit Application Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. n L_ waJ t h Property Address: 8300 W. 38th Ave. Wheat Ridge, CO 80033 Property Owner (please print): SCL Healthcare (Dave Barron) Phone: 303.425.8002 Property Owner Email: david.m.barron@sclhs.net Mailing Address: (if different than property address) Address: same as property address above City, State, Zip: Architect/Engineer-, Gensler (Harry Spetnagel) Architect/Engineer E-mail: harry_spetnagel@gensler.com Phone: 303.595.8585 main 303.893.7157 direct Contractor: Arapahoe Sign Arts (Jennifer Copeland) Contractors City License #: 060128 Contractor E-mail Address: Jennifer.copeland@arapahoesignarts.com 303.937.1915 mainf303.801.8987 Sub 6ontractors: 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 information on BOTH sides of this form Description of work: (Check all that apply) ® NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE BNEW RESIDENTIAL STRUCTURE g COMMERCIAL ROOFING COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING 8 RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc_) MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ® OTHER (Describe) NEW COMMERCIAL SIGNAGE or 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.) WE ARE RE -BRANDING THE NAME OF THE CARE SITE. NEW COMMERCIAL WALL SIGNAGE ON THE EAST & NORTH ELEVATIONS. REMOVE EXISTING LETTERS READING "LUTHERAN MEDICAL CENTER I SCL HEALTH" AND REPLACING WITH NEW CHANNEL LETTERS READING "SCL HEALTH LUTHERAN" ON A BACKER PANEL FOR BOTH EAST & NORTH ELEVATIONS. WE WILL TIE INTO EXISTING PRIMARY ELECTRICAL IN PLACE. REPLACEMENT TENANT PANELS ON (3) EXISTING D/F MONUMENT SIGNS. WE ARE ONLY REFACING THE TOP PORTIONS OF THE LOGOS ON THE DIRECTIONAL SIGNS AT THE PRIMARY ENTRANCES. EAST ELEV. WALL SIGN 114.50 SQ. FT. Sq. FtJLF NORTH ELEV. SIGN 114.50 SQ. FT, Btu's SIGN C1 8.78 SQ. FT. Amps SIGN C18 8.78 SQ. FT. Squares Gallons Other Project Value: (Contract value or the cost of a{i materials and labor included in the entire project) 48.000.00 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) ECONTRACTOR) or PRI NAME: Jennifer Copeland ZONING Reviewer i�.a^Z r BUILDING DEPARTMENT COMMENTS. Reviewer. PUBUC WORKS COMMENTS: Reviewer. PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District [1 Received n Not Required if TIVE) of (OER) (CONTRACTOR) DEPARTMENT'USE ONLY DATE: 10/23/17 OCCUPANCY CLASSIRCATION: Building Division Valuation: $ 1 Project Address: Wall Sian Calculation Sheet You must complete this sheet and include it in the submittal package for any new wall signs. You will also need to create a site plan and a detail sheet of the signage. 8300 W. 38th Ave Contractor: Arapahoe Sign Arts You are allowed 1 square foot of signage for every 1 linear foot of wail to which you are attaching a sign. All wall signs must be adjacent to a street or major interior drive. Step 1: Measure the length of the wall(s) where you are attaching the sign: It 111 Wal! 1 - feet Wall 2 I feet Wall 3 - feet Step 2: The length of the wall is the allowable square footage for the wall sign. �Wall 1 allowable signage- '_ square feet Wall 2 allowable signage- square feet Wall 3 allowable signage- square feet Site Plan s: Freestanding Sign Calculation Sheet You must complete this sheet and include it in the submittal package for any new freestanding signs. You will also need to create a site pian and a detail sheet of the signage. Contractor: You are allowed 1 freestanding sign for every street right-of-way adjacent to your property. The allowable sign size is related to building size. Step 1: Determine the square footage of the building: Building size (in square feet): (This will be inserted in the formula below) Step 2: Complete the appropriate allowable signage formula: If the building is 0 –1,500 square feet in size, you are allowed a 35 square foot sign. If the building is 1,501 – 5,000 square feet in size, complete the following: - 1,501 = T 50 = + 35 = —� Building size Allowed sign size If the building is 5,001 – 50,000 square feet in size, complete the following: L7 - 5,001 = T 500 = + 100 = Building size Allowed sign size If the building is 50,000 + square feet in size, complete the following: - 50,001 = �- 1,000 = I � + 190 = Building size Allowed sign size The "allowed sign size" may be placed on each side of the freestanding sign. Check here if the sign is existing and you are replacing a cabinet or face with the same size cabinet or face. Continued on back I�— City of Wheat Ridge ,000,04,r Commercial Plumbing PERMIT - 201709384 PERMIT NO: 201709384 ISSUED: 12/05/2017 JOB ADDRESS: 8300 W 38th AVE EXPIRES: 12/05/2018 JOB DESCRIPTION: Permit to repair/replace fire main, all on private property. 244LF. *** CONTACTS *** OWNER (303)813-5056 SCL LUTHERAN MEDICAL CENTER SUB (303)295-2511 M.A. Mortenson, Jr 018817 M. A. Mortenson Company *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 100,000.00 FEES Total Valuation 0.00 Plan Review Fee 735.83 Use Tax 2,100.00 Permit Fee 1,132.05 ** TOTAL ** 3,967.88 *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. Work is subject to field inspections. I, by in 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 t`e legal owner or have been authorized by the le al owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this e t. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perfonne nd that all wofk to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. �l Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued bas d on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit 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 shg fliot proceed or conceal work without written approval of such work from the Building and Inspection Services Division. The issuance or gr qf, prmrt si np °,be a�bnstrued to be a permit for, or an approval of, an violation of any provision of any applicable code or �yd2ncb or regtatiis 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 dge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(cDci.wheatridge.co.us FOR OFFICE USE ONLY I Date: l i , I I Plan/Pe rmit #} j Plan Review Fee: Building Permit Application-'---'---- -"\� - ( D OV43 *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: A�,pZ) i„ lr=!!�TF 2,P5-- ALjr- 10 OF Property Owner (please print): L,0TgEE,"► Me>j(pL (Z_7 � .SCL I} T}}i Phone:_?,o3,-�,1 - Property Owner Email:(t.ESLE: . v«ru lot> (0, SC U6. 1. Mailing Address: (if different than property address) Address: , State, Zip: Arch itect/EIng! neer: M&-CTIt� Architect/Engineer E-mail:�ASCk��'� N AAt ( (_),MWnjt Ohone: ,x5yy -'56E;n •(nM Contractor: MA_ MOT�/_->O1J Contractors City License #: __01 A!& I+- Phone: LjM_q4()-AdjZN. Contractor E-mail Address: NjpFrp -rj)rx)r_ (2 001f:�_ OW. C -AH 'Apo I,W _ -70-11 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 19 COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT JA OTHER (Describe) FM*W (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.) 14—:: -Mous 7ZEa , Zqq, OF Ext5 11J6, i'- °�N�C�tET� Frr-E LINE AT MSrA CAA- GF-0TT-:--F- - DOE �S ►JE '� `TO Ty -0U1 TL DO1J�P,,f,iT �'r0�V AL-, Sq. FULF Btu's Gallons Amps Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER)TOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: i DEPARTMENT USE ONLY ZONING COMMMENTS: Reviewer: BUILDING DEPAE3TMENT COM NTS: V � Reviewer: } OCCUPANCY CLASSIFICATION: Building Division Valuation: $ Ll. o,coo i%/.sem CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax r e INSPECTION NOTICE Inspection Type:f Job Address: � Co Gtr j Permit Number: l7cn q16 ❑ No one available for inspection: Time i�:' AM%PMr Re -Inspection required: Yes (No,;' When corrections have been made, call for re -inspection at 303-234-5933 Date: / e"' 1/1'l Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Commercial Roofing PERMIT - 201709498 PERMIT NO: 201709498 ISSUED: 12/08/2017 JOB ADDRESS: 8300 W 38th AVE EXPIRES: 12/08/2018 JOB DESCRIPTION: Commercial reroof permit remove and install True Definition Duration Storm Asphalt Shingle with Area 72 Valet Shelter 95sgft or 1sq Pitch=4/12 Area 79 Blue House 4233sgft or 42.33sq Pitch 4/12-16/12 Area 80 TB Tent 275sgft or 2.75sq Pitch=4/12 Terra Cotta roof replacement Clay roof tiles US Tile by Boral installed in Area 9 and 10 TCU Roof 5006 sqft or 50.06sq Area 26 Chapel Roof 6200sgft or 62sq Pitch = 4/12. Total squares 158.14 squares *** CONTACTS *** OWNER (303)425-8685 SCL LUTHERAN MEDICAL CENTER SUB (303)678-7828 Chris Cain 021770 Roof Check Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 162,450.00 FEES Total Valuation 0.00 Use Tax 3,411.45 Permit Fee 1,538.40 ** TOTAL ** 4,949.85 *** COMMENTS *** *** CONDITIONS *** In order to pass a final inspection on commercial elastomeric or similar type roofing, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and Mid -roof inspections may be called in at the same time, 100 percent of the sheathing must be complete and 25-75 percent of the midroof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. City of Wheat Ridge Commercial Roofing PERMIT - 201709498 PERMIT NO: 201709498 ISSUED: 12/08/2017 JOB ADDRESS: 8300 w 38th AVE EXPIRES: 12/08/2018 JOB DESCRIPTION: Commercial reroof permit remove and install True Definition Duration Storm Asphalt Shingle with Area 72 Valet Shelter 95sgft or lsq Pitch=4/12 Area 79 Blue House 4233sgft or 42.33sq Pitch 4/12-16/12 Area 80 TB Tent 275sgft or 2.75sq Pitch=4/12 Terra Cotta roof replacement Clay roof tiles US Tile by Boral. Total squares=158.14 installed in Area 9 and 10 TCU Roof 5006 sqft or 50.06sq Area 26 Chapel Roof 6200sgft or 62sq Pitch = 4/12. Total 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 thispermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be petforined and that alLwork to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER orCONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of an manner shall be performed that shall results in a 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 p--j,dge COM�MUNITy DEVELOPMENT Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: �—' i Plan/Permit #O ON C) 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: 8300 W 38th Avenue Wheat Ridge, CO 80033 Property Owner (please print): Exempla Inc/ SCL Health Phone: (303) 425-8685 Property Owner Email: N/A Mailing Address: (if different than property address) Address: City, State, Zip: r E-mail: Contractor: Roof Check Inc. Contractors City License #: 021770 Phone: Phone: (303) 678-7828 Contractor E-mail Address: Chelsey@roof-check.com/ Ben@roof-check.com Sub Contractors: 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 information on BOTH sides of this form [COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE V COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Shingle roof replacement on the following areas: Area 72 - Valet Shelter (95 SF)12 Area 79 - Blue House (4233 SF) .1 Area 80 - TB Tent (275 SF) Terra Cotta roof replacement on the following areas: Area 9 & 10 - TCU Roof (5006 SF) Area 26 - Chapel Roof (6200 SF) Sq. Ft./LF Amps Btu's Gallons Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) Q � 6n 2. , '+I , ' (i OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any pen -nit 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 of (OWNER) VCONTRACTOR) Electronic Signature (first and last name): V yYl9/1 DATE: 11/20/2017 ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ A i CITY OF WHEAT RIDGE' Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3 O FLIE CT COMM Job Address: Permit Number: 121)116 -? No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call e-inspegctiarta_t 303-234-5933 Date: a I Inspecto'i�- DO NOT REMO E THIS NOTICE City of Wheat Ridge Commercial Electric PERMIT - 201707969 PERMIT NO: 201707969 ISSUED: 10/03/2017 JOB ADDRESS: 8300 W 38th AVE EXPIRES: 10/03/2018 JOB DESCRIPTION: Commercial Electric installing temporary electrical service to put in 200 amp, 120/240 volt, single phase temp service. This is for jobsite storage yard and jobsite trailer hookup in storage yard. *** CONTACTS *** OWNER 303-917-7574 EXEMPLA LUTHERAN HOSPITAL SUB (970)330-2410 Randy Pfeiff 170617 R&T Electric LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,000.00 FEES Total Valuation 0.00 Use Tax 147.00 Permit Fee 156.75 ** TOTAL ** 303.75 *** COMMENTS *** *** CONDITIONS *** Work must comply with the 2014 NEC, 2012 IBC and other applicable codes and ordinances. Work is subject to field inspection. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyini 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 bythe legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with thisermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perfprmed and hat 11 work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Sign re of O ER or �einfo�7mation Circle one) Date 1. This permit was issued basprovided in the permit application and accompanying polplans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, icies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Budding Official and maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for or an approval of, any violation of any provision of any applica a or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. o 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 Date: IUZ)h City of Wheat�ge COMMUNITY DEVELOPMENT Plan/Perm" # Building & Inspection Services Division (/\� 7500 W. 291h Ave., Wheat Ridge, CO 80033 Plan Review Fee: Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 �J Email: permits(cDci.wheatridge.co.us Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: ?300 in _ jghnuv,A,,,, ProDertv Owner Property Owner Email: L Mailing Address: (if different than property address) Address: 43-3CO (,) City, State, Zip: UIVai'f i8a C C Arch itect/Engineer: Architect/Engineer E-mail: Phone: Phone: Contractor: �4T-Cle,4 (- c- L L L Contractors City License #: 1 :1 o Phone: ► 0 Z36 2 q10 Contractor E-mail Address: 6 i c e C' nr� Sub Contractors: Electrical: Plumbing: Mechanical: W. R. City License # (7G'(xl -7 W.R. City License # W. R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all information on BOTH sides of this form CD li ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT (I-CrTHER (Describe) -Tc m Ie - f -o e (For ALL projects, please provide aldetailed 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.) TO PLL� I , 20o 4M0, 10o aYO 0007-, s) ,S /Cy`r'r, �'e m A Se .- � cue e. >�v r Soj s fe S d r gSC vG r Q n Sq. Ft./LF Amps Btu's Squares C0 Tre, l CTob s-, kc �otG `l Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 700o OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER �C13NTRACTOR) Electronic Signature (first and last name): V'� DATE: /0-3-0 ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ u OS sawis pal!un a!600E) LLOZOO elep deyq'(anjnS leo!6oloaE) -s-n'agolglel!61a LLOZOO tiabewl deW alb, ocN Ross Dress a, Lt-, ow u" it N i f, t w Biy Lut4 v N `Un ied 5t tes r - .'.del -..♦ 41st.:iy 4�`e���kffi39th Ave MccNbli l� � ' Ftft +nY ,, $ l-Yt is r• o Bank • _> f b a INC ar ti111t *1 Sy� en :,�i. �IPmen16 turY.,Sct{ool . v71i = . F.,e.'�. ,t 1 # ,a . x s '. �r3 1 S/'!. {{•,,� p�,�- '. g" - c I r" ''�i:l' '^ W 381h'Ave *7 $' d3®Itig ve�@ rE E7 f, Irl b Aa' -35[h Ave-+• rw Kr • , � ';�,wainaw=....`R r ., �x ,�,N,3Ca.ej � ,� •r � �r3. a I� J �� � n W �x � � � .m g- � 1 N � ' �i ? � + _ k _ -^.Y•` g ( . J � ? �� sir ly/{ ' R v r Z: W 32nd Ave ... _. ... _ . .>*e.•,.,. ,..,,.—.++...., , W r tJ G66 ogle ; _Now 4 � vV 300-1 ate, T�0 ifJ' IN�PECTI�ON-RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection � INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Occupancy/T- 7 Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof 1 Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. 'For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather INSF C'TIONSRECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79 INSPECTION REQUEST LINE: (303) 234-5933 Occupar_c/Type Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Wi idow/Doors Final Building NOTE. All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather �!,! �..... ..CITY OF WHEAT RIDGE �'(30Building Inspection Division 3) (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 4i) &r-- Job Address: S= ku - '-�SF)IVl Ayy Permit Number: ?-(A 1706 2.-3-23 ❑ No one available for inspection: Time D; AM/PM Re -Inspection required: YesoNo When corrections have been made, call for re -in p ction at 0 4-133 Date: -II L30 Inspector: �t v DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: L toot'._ Job Address: .:,%ovi . -i�z�,A Permit Number: )-C) n®� r ❑ No one available for inspectio • Time(1 U"! A /PM Re -Inspection required: Yes N When corrections have been made, call for re -in p ction at 0 -5 33 Date: (�3� 1 Inspector: l DO NOT REMOVE THIS NOTICE �l7D 7,s"µ: FQRi SEAMAN CORPORATION COMMERCIAL ROOFING WARRANTY Building Name: Lutheran Hospital, Roof 1 Imaging, Roof 2 MRI, Roof 10 Warranty Serial No: 20171033 Building Address: est 38th Ave Wheatridge. CO 80033 Effective Date: 09/19/2017 Building Owner: Exempla Health Care Warranted Roof Area: 12,493 sq. ft. Owner Address: 8300 West 38th Ave Wneatridge, CO 80033 Expiration Date: 0 9/1 9120 3 7 SEAMAN CORPORATION ("Seaman Corp.") warrants to the owner named above ("Owner') of the building described above (the "Building") that, subject to the Terms & Conditions set forth below, for a period of 20 Years commencing with the date of substantial completion of the installation of the roofing membrane, Seaman Corp. will repair leaks originating in the FiberTite Roofing System ("Roofing System") installed on the Building that are attributable to the Roofing System and/or workmanship provided by a roofing applicator authorized by Seaman Corp to install the Roofing System (an "Authorized Applicator"). Terms S Conditions 1. The Roofing System includes only FiberTite® roof membranes, insulation and accessories provided by Seaman Corp installed in accordance with Seaman Corp.'s technical specifications. 2. In order for this warranty to be effective the Roofing System must have been installed by an Authorized Applicator and inspected and approved for warranty by Seaman Corp. 3. Owner shall give Seaman Corp. written notice not more than thirty (30) days after discovery of any leaks in the Roofing System. By giving such notice Owner authorizes Seaman Corp. or its agents to inspect the Roofing System and investigate the cause of the leak. 4. Owner shall give or cause to be granted to Seaman Corp, free access to the roof of the Building during regular business hours to inspect the Roofing System. Owner shall indemnify and hold Seaman Corp harmless for any damages or costs incurred by Seaman Corp. or its agents due to roof access delays as a result of security or other restrictions. Should the Roofing System be concealed with an overburden; i.e., garden roof, paving etc., Owner shall be responsible for all costs necessary to expose the Roofing System for inspection and/or repair. 5. If, after its inspection, Seaman Corp. determines in good faith that the leaks are a result of defects in the Roofing System and/or the workmanship provided by the Authorized Applicator, Seaman Corp. will repair any leaks in the Roofing System at its expense. 6. If, after its inspection, Seaman Corp. determines in good faith that the cause of the leaks are outside of the scope of this warranty. Owner shall pay for Seaman Corp.'s investigation and inspection costs and Seaman Corp. shall advise Owner of the type of repairs necessary to correct the leaks and cause the then existing remaining portion of this warranty to remain effective. This warranty shall automatically terminate if Owner fails to promptly make or cause to be made any such repairs or fails to pay such investigation and inspection costs. 7. In no event shall Owner make any alterations or repairs to the Roofing System or install any structures, fixtures on or through such system without the prior written consent of Seaman Corp. 8. Seaman Corp. shall have no obligation under this warranty unless and until all invoices for or otherwise relating to the Roofing System, including without limitation, materials, installation services, and supplies have been paid in full to the Authorized Applicator and Seaman Corp. 9. This warranty shall not be applicable to nor shall Seaman Corp. be responsible for damage, leaks, or loss caused in whole or in part by: (a) natural disasters, including without limitation, earthquakes, hurricanes, tornadoes, winds in excess of 60 MPH, hail greater than'/. -in. in diameter, and lightning, which damages the Roofing System, or which impairs the Roofing System's ability to resist leaks, (b) acts of war or terrorism, civil disobedience, vandalism, animals, or insects which damage the Roofing System, or which impair the Roofing System's ability to resist leaks, (c) unauthorized alterations of the Roofing System (see Section 7 above) or installation of structures, fixtures, or utilities on or through the Roofing System by Owner, (d) negligence or failure of Owner to properly maintain the Roofing System, including without limitation, failure of Owner to maintain the Roofing System in accordance with Seaman Corp's FiberTite Maintenance Guidelines listed on the reverse side of this warranty, (e) settling, warping, defective condition, deterioration, corrosion, or other failure of the structure or substrata to which the Roofing System is attached or the walls or mortar of the Building; (f) any chemical contaminants injurious to the Roofing System that have not been specifically approved by Seaman Corp. via the Materials Submittal & Warranty Request form, (g) traffic or storage of materials on the Roofing System, (h) infiltration or condensation of moisture in, through, around or above the walls and/or other structure of the Building, (i) acts of negligence or misuse by Owner or any other party other than Seaman Corp. or the Authorized Applicator, 0) failure of any material or component not fumished by Seaman Corp., (k) the construction or design of the Building or its components, (1) a change in the use of the Building, and/or a) loss of integrity of the Building envelope and/or structure. 10. Rights under this warranty may be transferable by Owner to a third party only with the prior written consent of Seaman Corp. and the payment of the then -current transfer fees, inspections services and subsequent repair of the Roofing System, if necessary, by the Owner. 11. Failure by Seaman Corp, to enforce any of the terms or conditions in this warranty shall not be interpreted to be a waiver of any terms and conditions of this warranty. If any portion of this warranty is unenforceable under applicable law, such portion shall be deemed reformed or deleted, but only to the extent necessary to comply with such law, and the remaining provisions shall remain in full force and effect This warranty may be amended only by a writing signed by authorized representatives of both parties. 12. This warranty shall be construed in accordance with, and shall be governed by, the laws of the State of Ohio without reference to its conflict of law principles and Owner agrees to submit to the exclusive jurisdiction of the appropriate slate or federal court within Summit County, Ohio or purpose of resolving any dispute or claim arising in connection with this warranty. EXCEPT AS SET FORTH ABOVE, SEAMAN CORP. MAKES NO REPRESENTATIONS AND WARRANTIES WHATSOEVER AND SPECIFICALLY DISCLAIMS ALL OTHER WARRANTIES OR GUARANTEES, WHETHER WRITTEN OR ORAL, EXPRESS OR IMPLIED, INCLUDING ANY WARRANTY OF MERCHANTABILITY OR OF FITNESS FOR A PARTICULAR PURPOSE. NO EMPLOYEE OR REPRESENTATIVE OF SEAMAN CORP. HAS AUTHORITY TO MAKE ANY REPRESENTATIONS OTHER THAN THOSE STATED IN THIS WARRANTY. IN THE EVENT AN EXPRESS OR IMPLIED WARRANTY IS REQUIRED BY LAW DESPITE THIS DISCLAIMER, THE OWNER AGREES THAT SUCH WARRANTY AND REMEDIES FOR THE BREACH OF SUCH WARRANTY SHALL BE EXPRESSLY LIMITED TO THE TERMS OF THE WARRANTY SET FORTH ABOVE. OWNER AGREES THAT REPAIR UNDER THE TERMS OF THE WARRANTY SET FORTH ABOVE SHALL BE OWNER'S SOLE AND EXCLUSIVE REMEDY FOR ALL LEAKS AND ALL DEFECTS IN MATERIAL AND WORKMANSHIP. SEAMAN CORP. SHALL NOT BE LIABLE TO OWNER OR ANY OTHER PERSON OR ENTITY FOR ANY INCIDENTAL, SPECIAL, EXCEPTIONAL, CONSEQUENTIAL OR OTHER DAMAGES OF ANY KIND, INCLUDING BUT NOT LIMITED TO, DAMAGES TO OTHER COMPONENTS OF THE ROOF,THE BUILDING OR THE CONTENTS OF THE BUILDING, OR LOSS OF PROFITS, UNDER ANY LEGAL THEORY. Seaman Corp. does not take any responsibility for the analysis of the architecture or engineering required to evaluate the type of roof system which is appropriate for the Building. Any Rogfing System used for personal, family or household purposes IS NOT WARRANTED Winij�Signatu " W ✓t3y ,, ��,,�3 Full Sy m _ f7fLoh 3)t 7 Warranty Addendum: fitle: Date' 1000 Venture Blvd., Wooster, OM 44691 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: u I . Permit Number: 101"- 7 j!)&'2,Z23 c.Y)Y=- r� ❑ No one available for inspe�ctioLNo n::Time Re -Inspection required: Y�ti When corrections have been made, call for r 'nspection at 303-234-5933 r Date: 111-21114-- Inspector: DO NOT REMOVE TH NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: joq 205 -- Job Address: e;,-3co V,,) . --3 &+(1 A s. Permit Number: ` C)1-2GlsCa �1`�- ;►�V L1l t1�C.. a� 90W 04 ❑ No one available for inspection: Time Z. 12_ A %PM Re -inspection required: YesNo ,,,)_ When corrections have been made, call for re -in pection at 303-234-59)3-3 Date: I I X19 / 14 inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE - Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 30 Ro f L�eC'T r e_ --0A Job Address: l3_:5w w • _41 lkvf— Permit Number: 'Zo170 I ❑ No one available for inspection: TimeOJ, AM/PM Re -Inspection required: Yes No When corrections have been made, call_for.re4 spection at 303-234-5933 Date: /� ��" Inspector:`'--� DO NOT REMOV THIS NOTICE f� i CITY OF WHEAT'RIDGE Building Inspection, Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: '06- M ' d Job Address:rn 3 0 0 is 72, S Permit Number: a 0 i a o 0 5/ 6, e, o[ n.4n 1-1No one available for inspection: Time I? = Su AMC Re -Inspection required: es No When corrections have been made, call for re -inspection at 303-234-5933 Date: I ► a -7 Inspector: `1 a DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: LfGr/ZAcbe/6aJD Job Address: SCI -D w . h NZ Permit Number: 'Zo( _70_74a z ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, c ll -for r " spection at 303-234-5933 Date: 11/7203— Ins or- DO NOT RifMOlVE THIS NOTICE i CITY OF WHEAT RIDGE_�� _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3� 7/ l 4_C_ ( C//)'/14 - Job Address: Permit Number: ADO 75� o - v _ 4 ❑ No one available for inspection: Time Re -Inspection required: Yes o When corrections have been made, call for re -inspection at 303-234-5933 Date://-)(- 17 Inspector:i-- DO NOT REMOVE THIS NOTICE CM Y 303 Nq i CITY OF WHEAT RIDGE Building Inspection Division !!,"7c (303) 234-5933 Inspection line (303) 235-2855 Office s (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: f /_afh,4w11i 6t . Job Address: Permit Number: �C2/R2 �5 __3 ❑ No one available for inspection: Time �2 AIVUPIV') Re -Inspection required: Ye No When corrections have been made, call for re -inspection at 303-234-5933 Date://' )/I/ % Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: !iA V=0 fu CT. Comm Job Address: awo 1,11.Avc Permit Number: 21wflt ('0 ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for rp ectionat- 345933 Date:- I {L2,1 111 Inspector.,_`_ �. DO NOT REMOVE THIS NOTICE I i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:c-T ce " Job Address: w. �*1 Aw— PermitNumber: 3000091/0 ❑ No one available for inspection: Timeaf AM/PM Re -Inspection required: Yeses` When corrections have been made,_cal or re -inspection at 303 -234 - Date: ( f JI eetor:- DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE c, Zf Z. � y 1�9Building Inspection Division 3�- q?l-1/y9 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: `7, BF -L Job Address: Q Permit Number: ❑ No one available for inspection: Time C. Ae,,� f, AM%PM Re -Inspection required: Yes (No When corrections have been made, call for re -inspection at 303 -234 - Date: //, 5- /7 Inspector:_ �//&e-¢-- DO NOT REMOVE THIS NOTICE i_ CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: LoF Job Address: %1 Permit Number:.(�� ❑ No one available for in . stion: Time AM/0M Re -Inspection required. Yes No When corrections have been made, call for re -ins eption at 03-23 4-533 Dat (: Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Typek0: Job Address: v Permit Number: 20130260ri ❑ No one available for inspection: Time73 CAM/ M Re -Inspection required: `e� No When corrections have been made, call for re-inp pection at 303-284-5 Date: & Inspector: //)44,1— DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: 7� * 1 . /,A I ❑ No one available for inspection: Time Re -Inspection required: Yes �No� When corrections have been made, call for re -inspection at 303-234-5933 Date: ' % Inspector: DO NOT NOT REMOVE THIS NOTICE • ,1 i CITY OF WHEAT RIDGE �(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: JO 7 R L Job Address: 8 3 4D "Y 3 S�"� Permit Number: 90/ 700 -Vic ❑ No one available for inspection: Time /0.30 AM/PM Re -Inspection required: Yes ilio. ,..f When corrections have been made, call for re -inspection at 303-234-033 Date: I % 7 Inspector: t Tff RDO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Typ� Job Address4g7 +% Permit Number: D ell S In 4 0 ❑ No one available for inspection:_Time SAM/PM Re -Inspection required: Yes (!N10 -1j When corrections have been made, call for re-ins4l. i.e at 303-234-5933 Date:/ t; Inspector: L``'✓' City of Wheat Ridge Commercial Miscella n PERMIT - 201707552 PERMIT N0: JOB ADDRESS: 201707552 JOB DESCRIPTION: 8300 W 38th AVE ISSUED: Permit for an EXPIRES: 11/15/2017 coolingupgrade to existing equipment, 11/15/2018 tower, associated piping, electrical Chiller, Pumps DA tank, *** CONTACTS *** and infrastructure. OWNER (303)813-5056 GC (303)295- SCL LUTHERAN MEDICAL CENTER SUB 2511 M.A. Mortenson, Jr (303)286-8000 Diana L SUB (303)650-4000 Steve Lynch - License Holder SUB (303)650-4000 Kugler Steve Kugler *** PARCEL INFO ** ZONE CODE: SUBDIVISIONUA / Unassigned CODE: UA / Unassigned *** FEE SUMMARY *** Total Valuation Plan Review Fee Use Tax Permit Fee ** TOTAL ** *** COMMENTS *** 018817 M. A. Mortenson Compan 018567 Sturgeon Electric Co. Y 021460 MTECH Mechanical 021460 MTECH Mechanical USE: BLOCK/LOT#: UA / Unassigned 0 / ESTIMATED PROJECT VALUATION: FEES 4,709,250.00 0.00 14,087.48 98,894.46 21,673.05 134,654.99 *** CONDITIONS *** Approved per plans applicable Cit tired -line Y of notes on plans. Prior to Ridge MunicipalMust comply with 20 **Prior n final inspection a Codes. Work is 12 IBC, 2014 g Final Codes. - As-builts subject to field ins NEC and all the 2014 NEC, 20n peCtion and Certificate are required before inspections inspection. IBC and other a of Occupancy can be iss approval of the Pplicable codes and ordinances u Work is must Work is ub• comply with Ject to field City of Wheat Ridge Commercial Miscellan PERMIT - 201707552 PERMIT NO: 201707552 JOB ADDRESS: 8300 W 38th AVE ISSUED: 11/15/2017 JOB DESCRIPTION: Permit for an u EXPIRES: 11/15/2018 upgrade to existing equipment, Chiller, pumps, DA tank, cooling tower, associated piping, electrical and infrastructure. I, by my signature, do hereby attest that the work to be performed shall comply with all accom an in a applicable building codes, and all applicable munici al codes policies and procedures, and that I am the legal owner by the legal owner of the roe p P Y approved plans and specifications, P P rtY and am authorized to obtain this permit and perform the work described and approved or an conjunction with this_ppermrt. I further attest hat I am leg�ally authorized to include all entities named within this document as parties to the work to be pertormed,and that a � to be pertormed is disclosed in this document and/or its' accompanying approved plans p and specifications. Signature o O ER or CONTRACTOR (Circle one) Date 1 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Budding Official and may be subject to a fee equal to one-half of the original ermit 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 rocedures for approval of any new permit. Re -issuance or extension of expired permits �s at the sole discretion of the Chief Building Offcial 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 re uir inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. ed 5. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to tield inspection. Signature of ChiefB'T113' g ¢Official REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAYDFOtR INSPECTION THE FOLLOWING BUSINESS DAY. City of 'V`Ihea-tI�id��e COMMUNITY DEVELOPMENT t Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 FOR OFFICE USE ONLY Date: 9 Plan/Permit # Plan Review Fee: Email: permits(a�ci.wheatridge.co.us Q I Building Permit Application r *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 8300 West 38th Avenue, Wheat Ridge, CO 80033 Property Owner (please print): SCL Health Phone: 303-813-5121 Property Owner E-mail: wesley.arnold@sclhs.net Mailing Address: (if different than property address) Address: 500 Eldorado Blvd Building 4 Suite 4300 City, State, Zip: Broomfield, CO 80021 Architect/Engineer: TreanorHL Architect/Engineer E-mail: Testes@treanorHL.com Phone: 303-298-4747 Contractor: M. A. Mortenson Company Contractors City License #: I�� v Phone: 303-917-7574L Contractor E-mail Address: ryan.may@mortenson.com Sub Contractors: �%_ C 4" Electrical: Sturgeon Electric W.R. City License # Other City Licensed Sub: City License # cllZ4 rr� • P/ cels„^ Plumbing: MTECH W.R. City License # (74011607-11610 Mechanical: MTECH W.R. City License # ;I- Pltc n Other City Licensed Sub: City License # I LA 104 ; GL-CL— Complete'atfinformation on BOTH sides of this form ❑x COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑x 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.) Infrastructure Upgrades to the existing central plant specifically including Chiller,Pumps, DA Tank, Cooling Tower, associated piping, electrical and infrastructure. Sq. Ft./LF Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ $4,709,260 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that 1 assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. 1, the applicant for this building permit application, warrant the trutlnfiilness of the informat ion.aro-rided.ou..the.annli cation. CIRCLE ONE: (ObENERr (CONTRACTOR) (AUTHORIZED REPRESENTATIVE) of (OWAIER) (CONTRACTOR) Electronic Signature (first and Last name): ZONING COMMMENTS: Reviewer: (Ert a MoV DEPARTMENT USE ONLY BUILDING DEPARTMENT COMMENTS: Reviewer: Z1 A rT � )a j/f> I ✓u DATE: Vil OCCUPANCY CLASSIFICATION: 4Y CbNsT-t`ffe SFA Building Division Valuation: $ Ryan May From: Plan Review <Plan Review@westmetrofire.org > Sent: Monday, September 18, 2017 8:33 AM To: Ryan May Subject: RE: Drawing Upload Project 170915003 - 8300 West 38th Avenue Your plans and application for review have been received and accepted, and are in the queue. You will be contacted by a plans examiner once the plans have been reviewed. Our turnaround time is approximately 2 weeks. Regards, West Metro Fire Rescue Life Safety Plan Review Desk 1W West Metro Fire Rescue From: Ryan May [mailto: Ryan. May@mortenson.com] Sent: Monday, September 18, 2017 8:16 AM To: Plan Review Cc: Eric Motsch Subject: Drawing Upload Project 170915003 - 8300 West 38th Avenue Please see the attached PDF Drawings for the Infrastructure upgrades project at 8300 West 38th Avenue per the email below. Your permit request for Lutheran Medical Center at 8300 West 38th Avenue Wheat Ridge, CO 80033 has been accepted. The Job Number is: 170915003 Description: Infrastructure upgrades to the existing central plant specifically including Chiller, Pumps, DA Tank, Cooling Tower and associated piping. Follow the steps below to upload your plans. 1. All plans shall be in PDF format only. 2. All plans sh all be submitted in a fully UNLOCKED and UNSECURED state for plan review. 3. Submissions shall not utilize the color "RED" for the plans, drawings, notations, etc. 4. Send your plans to planreview6nbwestmetrofire.org 5. Name the plan you intend to upload using the job number provided above followed by the physical address (street number, street direction, street name, street type) where the work is to take place. 6. You will receive a confirmation email once your plans have been successfully uploaded. 7. No action will be taken on your request for permit until you plans have been received. NOTE: Re -submissions shall only include the pages that are affected and additional pages that may be required for the needed corrections. Re -submission of full sets, unless specifically requested, shall result in the rejection of plans. **** WARNING: This email originated outside of Westmetrofire.org. DO NOT CLICK links or attachments unless you recognize the sender and know the content is safe. **** Ryan May From: NoReply@mobile-eyes.com Sent: Friday, September 15, 2017 7:19 AM To: Ryan May Subject: Permit application accepted - West Metro Fire Protection District Your permit request for Lutheran Medical Center at 8300 West 38th AvenueWheat Ridge, CO 80033 has been accepted. The Job Number is: 170915003 Description: Infrastructure upgrades to the existing central plant specifically including Chiller, Pumps, DA Tank, Cooling Tower and associated piping. Follow the steps below to upload your plans. 1. All plans shall be in PDF format only. 2. All plans sh all be submitted in a fully UNLOCKED and UNSECURED state for plan review. 3. Submissions shall not utilize the color "RED" for the plans, drawings, notations, etc. 4. Send your plans to planreview(a,westmetrofire.org 5. Name the plan you intend to upload using the job number provided above followed by the physical address (street number, street direction, street name, street type) where the work is to take place. 6. You will receive a confirmation email once your plans have been successfully uploaded. 7. No action will be taken on your request for permit until you plans have been received. NOTE: Re -submissions shall only include the pages that are affected and additional pages that may be required for the needed corrections. Re -submission of full sets, unless specifically requested, shall result in the rejection of plans. •panssz aq upo Coupdno30 �o a;poTjT;aaD pup uozgoadsul TPUTE buzpTTng au; ;o TeAOaddp aaojaq paaTnbaa azp s;TTnq-sy - TPAOaddp uoTgDadsuz TPUTJ o-4 aOTTcl** •sTlozgoadsuz pT@T� o; ;oaCgns sz XzOM •sapoD TpdzozunN abpzg gpauM 90 AHTD aTgPDTTddp TTP pup DHN �,TOZ 'DEI ZTOZ uq?M ATdu= ;snyl •supTd uo sagou auzT-pa.z pine supTd jad panozddv uot�oadsul buzuzpja jP auop aq oq sgbnoa TTv •��o-ubrs uoz;oadsuz buzpTTnq TPuT; o; .zoiad pa.aznbaa quaui;apdap ajTj butpzsaad wOa; Tpnozddv SNOILIQNOD * * * SINHWAOD 9 8' 0 Z£' 9 S x 'IFZZO,L �P- SL'T-iO'TT aad gTULTOd L6'TOT'8£ xps asn IV PT' LLT 'L 09,3 Ma-znag upTd 00,0 uozqpnTPA TPgoI, SHH3 0 0 ' 9 L L ' 9 T T ' Z : NOIJVn IVA LDHfOdd CISIVWIS,SH HH,3 / 0 :#107/HD07E paubzsspun / Vn :HQOD NOISInIaHnS paubzsspun / Vn Hsn paubzsspun / vn HQOD HNOZ 03NI IaDuvd DNI 'NOILDHIOEd =d HOHVdVUV 88Z6TO aaTj aoupdp.zy Tpozupuoayl HOSIN 09PTZO IaTbnH anagS •ouI 'Dzz;oaTH azoouH TTZOLO TapazM STTTTM ,CupduzoD uosuegaoN •V *W LT88TO a.0 'uosua;.low V,N 2IH,LNHD 'IVDIQHW NVIHHIM '"IDS i; bs 000'OT 3o uoTgon-Tgsuoo pup ubzsap 3o s�sTsuoo joaCoad DON/DOS/Dv,L 8TOZ/£T/LO SH2IIdX2l aAV T418£ M 00£8 LTOZ/£T/LO :QHIISSI 9T60OLTOZ S06P-99£(£0£) Ens OOOv-OS9(£0£) EMS b£ZT-i,£6(£0£) Ens TTSZ-S6Z(£0£) DJ 9SOS-£T8(£0£) UHNM0 *M* SZDVLNOD *** 9I60OLIOZ - ,LIWH:4d 13POM3-d I1913.latumOD a4m jp,a9m jo sl!D NOIZdIuDSHQ SOP SSH2iQQK EOr ON S,INEad City of Wheat Ridge Commercial Remodel PERMIT - 201700916 PERMIT NO: 201700916 ISSUED: 07/13/2017 JOB ADDRESS: 8300 W 38th AVE EXPIRES: 07/13/2018 JOB DESCRIPTION: TAC/SOC/NOC project consists of design and construction of 10,000 sq ft 1, 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 munici al codes, policies and procedures, and that T am the legal owner or have been authorised by the legal owner of the property and am a o obtain this permit and perform the work described and approved in conjunction with thispermrt. I further attest that I am lea authorized dude a]I entities named within this document as parties to the work to be performed a fo med is disclosed i this document and/or its' accompanying approved plans and specifications. ­-�)- 14- \--) Signature of IEPWIMR—or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. Z. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements. fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The pen -nit 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. 5. The issuance or grg 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' r an ` = nordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. F_01A, 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 �,idge MUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(o)ci.wheatridge.co.us FOR OFFICe USE ONLY Date: ✓ 1 �' l&/ ' Plan/Permit # Plan Review Fee:/o/ Building pp Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 8300 W. 38th Ave. Wheat Ridge, CO 80033 Property Owner SCL Health - Front Range, Inc. dba Lutheran Medical Center Phone: 303-813-5073 Property Owner Email: wes.arnold@sclhs.net Mailing Address: (if different than property address) Address: 500 Eldorado Blvd., Bldg. 4, Suite #4300 City, State, Zip: Broomfield, CO 80021 Architect/Engineer: Treanor Architects Architect/Engineer E-mail: mhagan@treanorhl.com Phone: Contractor: Mortenson Construction Contractors City License #: Contractor E-mail Address: 018817 tom.boyles@mortenson.com 303-298-4700 Phone: 970-219-8565 Sub Contractors: To be determined, selected sub contractors will register with Wheat Ridge upon award. 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 0 COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT N OTHER (Describe) Commercial Renovation (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.) The TAC/SOC/NOC project consists of design and construction of approximately 10,000 SF of remodel area for office functions. The renovated office area will support the data center in an open office space concept with supporting program elements including conference rooms, toilets and break room. The office remodel will be placed in a vacant inpatient area. The existing inpatient area will be demolished including infrastructure and building systems not currently in use. The infrastructure and building systems serving other areas of the hospital will remain in use during the entirety of construction. AJ8 c�FYncli�i�yt 4L> 0''� �w,c �.�vw,�' �Ie�s�e•, Sq. Ft./LF 10,000 SF Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 2,116,776 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume frill 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 informationrovided on thea plication. CIRCLE ONE. (OWNER (CONTRACTOR) o (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) .. ) itagy s,9 -d by Thomas Boyles Electronic Sienature (first and last name): ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: Thomas Boyles Dat 2011) 052322' 03030600 nenf DEPARTMENT USE ONLY DATE: 05.23.2017 OCCUPANCY CLASSIFICATION: Building Division Valuation: $ PLAN REVIEW COMMENTS FOR CITY OF WHEAT RIDGE Project Description: Lutheran Medical Center TAC/SOC/NOC Remodel Project Address: Plan Check No.: 8300 W. 38 th Ave 201700916 Permit App. Date: Use: Residential Occupancy: No. Stories: Permit Valuation: Architect/Engineer: Applicant/Contact: Plan Checker: Jonathan Gilbert CAA Non-structural Engineer email: 1 11 Review: @caaprofessionals.com 2nd Review: F1 Italic comments Const. Type: VB Adjusted Valuation: Phone: Phone: Phone: 949-243- 6214 3'd Review: F]By Appointment The project plans were reviewed for compliance with the following codes and standards: 2012 IBC, 2012 IRC, 2012 IMC, 2012 ECC, 2014 NEC, 2012 IPC, 2009 ANSI/ICC, City of Wheat Ridge Amendments • TO EXPEDITE PROJECT APPROVAL: Please provide a written response indicating how and where each comment was resolved on the plans. • Resubmit all previously reviewed plans, updated plans and supporting documents with each subsequent review. • For clarification of any plan review comment, please call or email the plan checker listed above. Note: Plan checks expire 180 days from date of submittal. CI S ABBOTT ASSOC LATES, INC. r sI , .. 1 N Wk% C N�-tr i OM C(C7ti if ti C i4[ No corrections or comments for non-structural. Thank You, Jonathan Gilbert CAA S,,,BBOT'I'ASSO('IAI'E,,, IN I% 10 Tom Boyles From: Plan Review <PlanReview@westmetrofire.org> Sent: Thursday, May 25, 2017 7:00 AM To: Tom Boyles Subject: LMC TAC/SOC/NOC Your plans have been accepted and are in the queue. You will be contacted once the plans have been reviewed. Our turn around time is approximately 6 weeks. Regards, West Metro Fire Rescue Life Safety Plan Review Desk West Metro Fire Reseue Plan Review Submittal Form Project Information: Type of Plan I Existing Building T.I. v Review* Project Name* Address* C TAC/SOC/NOC Remodel 0 W. 38th Ave. Suite I City* JWheat Ridged Zip Code* 80033 Project Square 10000 Footage* Project Cost* 2116776 Issue the Permit to: Company Name* INIA Mortenson Co Company's 1621 18th St #400 Address* City* Denver State* CO Zip Code* 180202 Company's Phone 303-295-2511 Number* Project's Contact Tom Boyles Person* Contact's Phone 970-219-8565 Number* Contact's email tom.boyles@mortenson.com address* Comments: PDF plans cannot be attached to this form, they must be emailed separately to planreview(a)-westmetrofire.org For WMFPD use only Pre -Submittal Review: 0 Yes 0 No Accurate project address including suite number 0 Yes 0 No Plans are stamped, signed, and dated 0 Yes 0 No Manufacturer's certification documentation for the installer is included if applicable 0 Yes 0 No Code Analysis is accurate 0 Yes 0 No Key plan is included 0 Yes 0 No Written Scope of Work is on the plans 0 Yes 0 No Manufacture's data sheets are included and complete * indicates required fields. Continue o City of Wheat Ridge Vr ® Commercial Remodel PERMIT - 201700833 PERMIT NO: 201700833 ISSUED: 07./13/2017 JOB ADDRESS: 8300 W 38th AVE EXPIRES: 07/13/2018 JOB DESCRIPTION: Renovation of an existing shell storage space to become a retail pharmacy; Pharmacy will include a retail space that is separated by casework and full height glass from the pharmacy work area, will have open shelving storage, work area, receiving, and staff storage areas, approximately 1,040 sq ft; 1,200 CFM RTU 2 HP 3 ton unit modifications to life safety including fire protection and fire alarm - 1,040 sq ft *** CONTACTS *** OWNER (303)813-5056 SCL LUTHERAN MEDICAL CENTER GC (303)295-2511 M.A. Mortenson, Jr 018817 M. A. Mortenson Company SUB (303)934-1234 Willis Wiedel 070211 Encore Electric, Inc. SUB (303)650-4000 Steve Kugler 021460 MTECH Mechanical SUB (303)366-4905 Arapahoe Fire 019288 ARAPAHOE FIRE PROTECTION, INC. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 485,514.00 FEES Total Valuation 0.00 Plan Review Fee 2,354.14 Use Tax 8,739.25 Permit Fee 3,621.75 s ** TOTAL ** 14,715.14 *** COMMENTS *** *** CONDITIONS *** Approval from presiding fire department required prior to final building inspection sign -off. All roughs to be done at Framing Inspection. City of Wheat Ridge Commercial Remodel PERMIT - 201700833 PERMIT NO: 201700833 ISSUED: 07/13%2017 JOB ADDRESS: 8300 W 38th AVE EXPIRES: 07/13/2018 JOB DESCRIPTION: Renovation of an existing shell storage space to become a retail pharmacy; Pharmacy will include a retail space that is separated by casework and full height glass from the pharmacy work area, will have open shelving storage, work area, receiving, and staff storage areas, approximately 1,040 sq ft; 1,200 CFM RTU 2 HP 3 ton unit modifications to life safety including fire protection and fire alarm - 1,040 sq ft 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 a ed to obtain this permit and perform the work described and approved in conjunction with this ermrt. I further attest that I am le authoriz to include all entities named within this document as parties to the work to be performed and thatt]Lw=er�TSbee r rmed is disc sed in this document and/or its' accompanying approved plans and specifications. Signature of O ER or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the pen -nit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Budding Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new pen -nit. Re -issuance or extension of expired pen -nits 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- ginance 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 W heatidge commuNI�iY 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(a)ci.wheatridge.co.us FOR 6FFICE USE ONLY Date: Plan/Permit # Plan Review Feer" Building Permit Application �- f *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 8300 W. 38th Ave. Wheat Ridge, CO 80033 Property Owner SCL Health - Front Range, Inc. dba Lutheran Medical Center Phone: 303-813-5073 Property Owner Email: anne.lutz@sclhs.net Mailing Address: (if different than property address) Address: 500 Eldorado Blvd., Bldg. 4, Suite #4300 City, State, Zip: Broomfield, CO 80021 Architect/Engineer: Treanor Architects Architect/Engineer E-mail: mhagan@treanorhl.com Phone: 303-298-4700 Contractor: Mortenson Construction Contractors City License #: Contractor E-mail Address: 018817 tom.boyles@mortenson.com Phone: 970-219-8565 Sub Contractors: To be determined, selected sub contractors will register with Wheat Ridge upon award. 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 0 COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT N OTHER (Describe) Commercial Renovation (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.) RENOVATION OF AN EXISTING SHELL STORAGE SPACE TO BECOME A RETAIL PHARMACY. THE PHARMACY WILL INCLUDE A RETAIL SPACE THAT IS SEPERATED BY CASEWORK AND FULL HEIGHT GLASS FROM THE PHARMACY WORK AREA. THE PHARMACY WILL HAVE OPEN SHELVING STORAGE, WORK AREA, RECEIVING, AND STAFF STORAGE AREAS. APPROX 1,040 SF. 1,200 CFM RTU 2HP 3 TON UNIT MODIFICATIONS TO LIFE SAFETY INCLUDING FIRE PROTECTION AND FIRE ALARM. Sq. FULF 1,040 SF Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 485,514 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that i am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information Drovided on the a plication. CIRCLE ONE: (OWNER (CONTRACTOR) o- (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Electronic Signature (first and last name): '`S DATE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS. Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ Tom Boyles From: Plan Review <PlanReview@westmetrofire.org> Sent: Wednesday, May 24, 2017 11:51 AM To: Tom Boyles Subject: LMC Retail Pharmacy Your plans have been accepted and are in the queue. You will be contacted once the plans have been reviewed. Our turn around time is approximately 6 weeks. Regards, West Metro Fire Rescue Life Safety Plan Review Desk West Metro Flre Rescue 11 VJL 1�1V L1V 1 11V 11VLVVLI VLl L1J L11V L� �V Plan Review Submittal Form Project Information: Type of Plan I Existing Building T. 1. v Review* Project Name* ILMC Retail Pharmacy Addition Address* 18300 W. 38th Ave. Suite City* JWheat Ridge Zip Code* 80033 Project Square 1040 Footage* Project Cost* 1485514 Issue the Permit to: Company Name* IM A Mortenson Co Company's 11621 18th St #400 Address* Accurate project address including suite number City* IlDenver State* 1CO Zip Code* 180202 Company's Phone 303-295-2511 Number* Project's Contact JTom Boyles Person* Contact's Phone 970-219-8565 Number* Contact's email tom.boyles@mortenson.com address* Comments: PDF plans cannot be attached to this form, they must be emailed separately to planreview(a-westmetrofire.ora For WMFPD use only Pre -Submittal Review: O Yes O No Accurate project address including suite number O Yes O No Plans are stamped, signed, and dated O Yes O No Manufacturer's certification documentation for the installer is included if applicable O Yes O No Code Analysis is accurate O Yes O No Key plan is included O Yes O No Written Scope of Work is on the plans O Yes O No Manufacture's data sheets are included and complete * indicates required fields. Continue 1 -5, 1 V. City of Wheat Ridge O Commercial Roofing PERMIT - 201702509 PERMIT NO: 201702509 ISSUED: 06/26/2017 JOB ADDRESS: 8300 W 38th AVE EXPIRES: 06/26/2018 JOB DESCRIPTION: Remove existing roofing to deck and install esthes full tape or poly ISO in 2 layers of 2.2 in. with cover board; adhere membrane; sections 1 & 2 Imaging and MRI - 100 squares *** CONTACTS *** OWNER (303)813-5056 SUB (303)431-1300 SCL LUTHERAN MEDICAL CENTER Frank Martines 017079 Turner Morris, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 202,765.00 FEES Total Valuation 0.00 AILL Use Tax 4,258.07 Permit Fee 1,796.40 ** TOTAL ** 6,054.47 *** COMMENTS *** *** CONDITIONS *** In order to pass a final inspection on commercial elastomeric or similar type roofing, a letter of inspection and approval from the manufacturer&#39;s technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer&42r's installation instructions, whichever is more stringent. 0 City of Wheat Ridge Commercial Roofing PERMIT - 201702509 PERMIT NO: 201702509 ISSUED: 06/26/2017 JOB ADDRESS: 8300 W 38th AVE EXPIRES: 06/26/2018 JOB DESCRIPTION: Remove existing roofing to deck and install esthes full tape or poly ISO in 2 layers of 2.2 in. with cover board; adhere membrane; sections 1 & 2 Imaging and MRI - 100 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. 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/orits' accompanying approved plans and specifications. ,1 7 Signature,of OWNER or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees andprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a 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 grantl� g o a permit s be ns ued to be a permit for, or an approval of, an violation of any provision of any applicable code or any e ul risdiction. 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. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of Wheatl ,dge 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 FOR OFFICE USE ONLY Date: Plan/Permit # Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Property Owner, Property Owner Email: �� a5 Mailing Address: (if different than property address) Address: City, State, Zip: Arch itect/Enaineer: Z / i Architect/Engineer E-mail: Phone: Contractor: l bP' Phone: .J-03 r ,� 26 Contractors City License #: r2_0% r Phone: 3 ( 3� o Contractor E-mail Address: /_ i' e,1 JyT�� ,�/©t• r/ Sub Contractors: IV114 Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ .ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE •COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.)/ �r►�.�� xr� �%;� oo( Dec.,L & Sq. Ft./LF O,2 Btu's Gallons Amps Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNEWCONTRACTOR 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. CIRCLEONE: (OWNER (CONTRACT R o (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) X, PRINT NAME: � e-1/ ZONING COMMMENTS Reviewer BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: SIGNATURE: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District n Received 171 Not Required DEPARTMENT USE ONLY r DATE: h Z-- 3 OCCUPANCY CLASSIFICATION: Building Division Valuation: $ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 006-11 Ml t ol wl C i16 Job Address: ?do 0 3T77 VfL Permit Number: 2.0/7 �'16- ❑ No one available for inspection: Time L/ AM/PM Re -Inspection required: Yes N When corrections have been made, call for re-insp ti at 303-234-5933 Date: 2c-/,/�, Inspector: lam" N* � A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3 �3 cot) Job Address: _ G �-✓ th Permit Number: kZ70011 ❑ No one available for inspection: Time 1O 30 AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: %0 6T//7 Inspector: #7 DO NOT REMOVE THIS NOTICE I,- 4' CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE i' Inspection Type: �1 A/,4 L <_ 0 Job Address: 3 671c_� V// 3 fS Permit Number: 2 / �7 o ' 2 S .> z_ ❑ No one available for inspections 1me " AM/PM Re -Inspection required: Yes �lo� P When corrections have been made, call for rq�i41 pection at 303-234-5933 Date: I(� — Inspector: i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE i Inspection Type: 3102 T jn YI'► Pf�l I Job Address: 63 06) V $ `' ✓ e Permit Number: w/ 7o 7 9 6 l ❑ No one available for inspect' o Time 0 AM/PM Re -Inspection required: Yes No When corrections hav been made, call for re -inspection at 303-234-5933 Date: 1� 3 1 7 Inspector:% /T DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: E Fr Job Address: �3®D W 3 8 Permit Number: 'j / C5 / C; ❑ No one available for instion: Time li C�M/pm Re -Inspection required: (Y76No When corrections have been made, call for re -inspection at 303-234-5933 Date: _/ Inspector: 1 DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 30 K EC., Job Address: 300 W 3 t4 ✓G Permit Number: 302 R FG ❑ No one available for inspection: Time / AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: loll C 1 7 Inspector: -F# DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTI E ' (— Inspection Type: M _L 4c Job Address: 36-0 W 3K Permit Number: L?G 1 S QQ Fq ❑ No one available for inspection: Time 0 , '--/.:;( AMM Re -Inspection required: Yes' No When corrections have been made, call for re -inspection at 303-234-5933 Date: 5/-/ Inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Scn�li, Inspection Type: )-/Z //,k� _ )),e %���� �✓�s Job Address: 7-1 A V Permit Number: / Cir r \ /� i ///00---7 cl/ s� l L, ❑ No one available for inspection: Time Re -Inspection required: Yes C When corrections have been made, call for re-in, Date! ` Inspector: AM/PM 303-234-5933 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax ,INSPECTION NOTICE Inspection Type: � — 2w C��i �L�C coMM Job Address: T 32C� W 3 Sal V[ Permit Number: -o I (' Vii` - ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes_ No When corrections have been madq, calr1or re -inspection a o3-2444933 Date �t Irs—pe ctoT F �r 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!;: &V41— /lil e C 1-1i41y-%c<1 C Job Address-,\-�G 00 w 3 K7-'-1 4 v,,,�_ Permit Number: 'Z 0 � %'/ Z S '� t ❑ No one available for inspection fTi{ne/ `� / AM/PM Re -Inspection required: Yes( No When corrections have been made, call for re-insRectidn at 303-234-5933 't' r Date: (,�'{ Inspector:l� DO NOT REMOVE THIS NOTICE Il CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 F INSPECTION NOTICE Inspection Type: �!� ca C, r / v,A,'! Job Address: Permit Number: 0,9/' ❑ No one avail ble for inspection: Time AM/PM Re -Inspection required: Ye No When corrections have been made, call for re -inspection' t,36234-5933 Date_ `�Y nspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: E ri Job Address: 2320 W 33-r4 AVE Permit Number: Z'o1,5 c) 1 31-3 PAtti►AL Cvvim+PG,&'-n�- F /u"f" 5,:�- 6 � LGrC_ SQL KA G [.,A LA ��✓J� c ��Pl�cr 5%i IfV� fV4vV7v4�s t„i v 7 A c mt,- - N u Q kv1 hlt -r/p( ❑ No one available for inspection: Time /Z30 AM/0 Re -Inspection required: When corrections have been made, call for re -inspection at 303-234- ,Date:- G /Z7/ / Inspector: GAP DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE f� Building Inspection Division (303) 234-5933 Inspection line - _:�(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: E F- 11 Job Address: R 300 (..4)'9 TH A VC Permit Number: 7,01 ( Q 1 L4 bV P4 (17 1A [ - c e" P1 e 74 - IUoK atm 5- KA s&;QL V' L A 54A 5 kAn L r,7 M&4r.1i f S 69.9 -5 n Q Nu T/cs I'A flGrcr✓/ wl-h G PA,Iel- tit; ❑ No one available for inspection: Time 12 3() A Re -Inspection required Yes (!P When corrections have been made, call for re -inspection at 303-234-5933 Date:_ %1!;7 Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 302 AEC Job Address: 8300 tv 3 8 ✓� Permit Number: ?0/ %(),,.�) 916 ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yesfor When corrections have been made,e-inspection at 303-234-5933 Date: )O y / % Inspector:_ fi?T� DO NOT REMOVE THIS NOTICE s. ( 0 i CITY OF WHEAT RIDGE �� Building Inspection Division u (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: EF 1 Job Address: R3 o AvL Permit Number: 2 0l (9y 1 LS1y I 6 FNG l L: L ❑ No one available for inspection: Time loo /PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234- Date:- 2/V li Inspector: ,� DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: EF Job Address: 9300 (,J 3 Ale Permit Number: 2 v) 5013 13 LN j ❑ No one available for inspection: TimeyU (91/PM Re -Inspection required: YesV9 When corrections have been made, call for re -inspection at 303 -234 - Date: 21 1% 7 Inspector: G DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax Inspection Type: Job Address: Permit Number: INSPECTION NOTICE �d 3 �7 V 2oi`7 ooyi6 G ❑ No one available for inspectio�tjTime% AM/PM Re -Inspection required: Yes No When corrections have been made, call for re-ins%pat 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE �t 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office;!• (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: %-' /-,) Job Address: Z�30��/7 t� \lr� Permit Number: ?Cr /r Oe33 65, ❑ No one available for inspection: Time AM/PM Re -Inspection required: YesNo when corrections have been made, call for re-inspecti n t 30334-5933 r Date: ' Inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division �' (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: E Fi Job Address: a3 4 V Permit Number: Zol 6d / y 6� ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes �No/ When corrections have been made, call for re -inspection at 303-34_Sg33 Date: % %i Inspector: DO NOT REMOVE THIS NOT/CE i CITY OF WHEAT RIDGE 1�9 Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: C F Job Address: 3C� (n1 37-I t AVE Permit Number: Q)I j U 3 ❑ No one available for inspection: Time � AM/PM Re -Inspection required: Yes 60) "When corrections have been made, call for re -inspection at 303-234-5933 Date: % ry Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3o k e C Job Address: BL300 W 3 8G Permit Number: 901706 Cl; % ❑ No one available for inspection: Time 1 AM/PM Re -Inspection required: Yes oNo When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: T/% DO NOT REMOVE THIS NOTICE City of Wheat Ridge Commercial Demolitio PERMIT -201701929 PERMIT NO: 201701929 ISSUED: 06/13/2017 JOB ADDRESS: 8300 W 38th AVE EXPIRES: 06/13/2018 JOB DESCRIPTION: Demolition of 2nd floor labor and delivery department - interior walls & ceilings - 10,000 sq ft *** CONTACTS *** OWNER (303)813-5056 SCL LUTHERAN MEDICAL CENTER GC (303)295-2511 M.A. Mortenson, Jr 018817 M. A. Mortenson Company *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 30,000.00 FEES Total Valuation 0.00 Demolition Fee 50.00 ** TOTAL ** 50.00 *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. 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 permit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be performed pecifications. -/3— Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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 permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ori ce or regulap�ti�jurisdiction. of Approval of work is subject to field inspection. R Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of Wheat jdge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: (f-) r , L.) rz p Gam' Ge:�) Property Owner (please print): SL z_ to nL % ,J Phone: 10 ^> - Property Owner Email: s Mailing Address: (if different than property address) Address: �yy C�a2 I ,C>a d t.J.c L t .5-'. iG c� City, State, Zip: Fa2c,c,r-1�_ > C7 4 Ly 80 U2 \ Architect/Engineer: r-,A'"j V 2- �-N2e-lN Architect/Engineer E-mail: r\\r­= o, _-r,,6� ,=Ohone: ":)6"5- -z- 4 7) GU Contractor: r -A UNS 0 -, Gv-xjS= 2 L., e_N - �N Contractors City License #: C�l�381� Phone: Cz 77 - Z kC-- - 0 s G-5- Contractor E-mail Address: ke'j--% _\rz:, G N \e !::, � , c /- Sub Sub Contractors: Electrical W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) '�> P P -N rz; r–z e- n-) '- – d—c= y- ni C�- S Sq. Ft./LF 101 O d U Btu's Amps Squares L fes. S3 o JZ_ Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) ,a- CZ> E LJ �` 2 l-- G.j n C- e- S OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided onhe application. CIRCLE ONE. (OWNER) (CONTRACTOR or (AUTHORIZED ESENTATIVE) of (OWNER) (CONTRACTOR) Electronic Signature (first and last nam `� / i DATE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: �IZ:X: Job Address: 316 — A gE Permit Number: ZOO( v U ( 6 ❑ No one available for inspection: Time L® Q/ Re -Inspection required: Ye No When corrections have been made, call for re -inspection at 303 -234 - Date: -7//#//Z—Inspector: DO NOT REMOVE THIS NOTICE J i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTIO*N� NOTICE Inspection Type: 406 Job Address: Permit Number: 2,01-7006�� ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No *Whey Date A i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: 30 W 3 rr v Permit Number: I ❑ No one available for inspection: Time c� AM/PM Re -Inspection required: Ye� No When corrections have been made, call for re-inspectionlat 3 -234-5933 Date:_ ( r Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ff1�-= Job Address: ZZLk 1i� Permit Number: Hyp`'(wP ❑ No one available for inspection: Time /0 �AI /PM Re -Inspection required: Ye No When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE J A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: F_ Job Address: K-3 Q V/ _� 8�' Permit Number: -7-0 C 2 S ❑ No one available for inspectionJime� AM/PM Re -Inspection required: Ye�,V NN� When corrections have been made, call for re -inspection at 303-234-5933 Date: -'1 Inspector: DO NOT REMOVE'THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: r' 'S Job Address: 300 v/ V!� Permit Number: 2 O / `i O � 1 t;' .' ❑ No one available for inspection: Time Re -Inspection required: YesNo AM/PM When corrections have been made, call for re -inspect b t 303-234-5933 Date: C / �f . Inspector: vv i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 1) w S Job Address: `& 3 pt V4 3$ A v C Permit Number: � A v 6x, 12 - MM�wM MI>•�sM ❑ No one available for inspection: Time AM/PM Re -Inspection required:es , No <'.,,, A L'/1 When corrections have been made, call for re -inspection at 303-234-5933 Date: ? / f? Inspector:, DO NOT REMOVE THIS NOT/CE i CITY OF WHEAT RIDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: oo h E C.re-j- r( Job Address: Permit Number: 1 ( �c- ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, l for re -inspection at 303 -234 - Date: Inspector DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: F L�cT /C`Ptt,E (-UYIr)U(T- Job Address: - U ) �► Permit Number:�j ❑ No one available for inspection: Time -AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: % Inspector: DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 20t FL �/Yt IT Job Address: Permit Number: ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No when corrections have been made, call for re -inspection at 303-234-5933 Date: .(vh?Inspector: DO NOT REMOVE THIS NOTICE //7 ✓ ection T P bq Ype, emit agrress /V,'hber , rme 4i/ai F Ali S9�p�'�t` 28ss 0 � - �f��e �s ,/VSP SpF�r�o vo i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE /� v / / , Inspection Type: Job Address: Permit Number: C 12 0 v' 03,j i ❑ No one available for inspe : Time ff&AM/PM Re -Inspection required�Yes Ao When corrections have been made, call for re -inspection. t 303-234-5933 Date: / Inspector: tom', DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE -)(,41 /S Inspection Type: /_ Job Address: rf � Q Permit Number: 1_JNo one available for inspection: Timer AM/PM Re -Inspection required: Yes( No_, ) When corrections have been made, call for re-inspe4won at 303-234-5933 Date;'—' Inspector``: f .. DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: E R Job Address: 9,300 w 3 Permit Number: j/ (j G 2/ 16 ❑ No one available for inspection: Time P �_O AM/PM Re -Inspection required: Yes (DO When corrections have been made, calll for re -inspection at 303-234-5933 Date: 3 1 7 Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: w- -'s Job Address: 1z Z� 0 k., '= V Permit Number: a z / -7 () 3 911- r / v9 !A)BT /L�l-�N� ❑ No one available for ins ion: Time0 s AM/PM Re -Inspection required Yes When corrections have been.m_cailrff _ade,.or re -inspection at 303-234-5933 Date: 9- l yil7) _ Inspector: DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax IN PECTION NOTICE Inspection Type: 114 R_f Job Address: 0 k.A,/ 3 Permit Number: 2 Q J C y2 S ❑ No one available for inspection: Time "6 /qAM/PM Re -Inspection required: Yes No When corrections have been made, call for at 303-234-5933 s//// Date: -1 -0—Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE ❑ No one available for inspection: Time R0 ` AM/PM Re -Inspection required: Yes (NO) When corrections have been made, call for re-inspp ecffbn at 303-234-5933 Date: I _�Z -' Inspector:�1`�/ DO NOT REMOVE THIS NOTICE OC W i CITY OF WHEAT RIDGE ,.;02. ,=>-✓ Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ! Q Job Address: `A, -3 8-1777T, !/ Permit Number: Q/% O / :Z77 r L) No one available for inspection: Time 0%10 AM/PM Re -Inspection required: Yes No When corrections have been made, call =Z1 x'03-234-5933 Date: _ �Z �'� / Inspector: DO NOT REMOVE -491S NOTICE Lir � i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax NSPECTION NOTICE Inspection Type. Job Address: PermitNumber: C, CIA -11,51 Ic- ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes UNo *When corrections have been made, call for re-insp9 "tuff at 303-234-5933 -a Date:/ _ �'' Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _�r�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax . INSPECTION NOTICE Inspection Type:' . �� S Job Address: �_ _3 (22 0 Permit Number: _�_ _0 / 7 00//it!!5 Scf /-1 ; tit <� ka A� •'7 ! i ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yesloi When corrections have been made, call for 11-7 Date: '� _ e Inspector: t A i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE 0 ❑ No one available for inspection: Time/ M/PM Re -Inspection required,___Ye"o When corrections have been made, call for re-inspecfio at 303-234-5933 ff Date:��� Inspector: --t'' j DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division �(qO3) (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: M --� Job Address: tS (D 0 %"L/ S -� V_L=_ Permit Number: 0/ 17 0 0 ❑ No one available for inspection-- ime / AM/PM Re -Inspection required: Yes 00 When corrections have been made, call for re-inspec o a 303-234-5933 Date: Inspector:' i ~� COF WNE►T RIDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax i INSPECTION NOTICE Inspection Type:�"l2 Job Address: &-300 y/ 3 8 -- Permit Number: LO/2 00Z/ 6' ❑ No one available for inspection: Time,/ ' ' AM/PM Re -Inspection required: Yes' No When corrections have been made, call for re-ins',ec l —n at 303-234-5933 r/ l i I Date: / Inspector:r•.�.. DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: \�r�%moi `� 2 ❑ No one available for inspection: Time`s-' AM/PM Re -Inspection required: Ye' 1 When corrections have been made, call for re-inspe jctfoY303-234-5933 Date: ^ /ri Inspector* DO NOT REMOVETHIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: f 74/-, V ^)r'T�L� ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date:'; :.-Inspector:����6 DO NOT REMOVE THIS NOTICE C; i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: /M i /? -`— Job Address: -3 t�_ Permit Number: ❑ No one available for inspection: Time t'. AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: Inspector:__ DO NOT REMOVETH%S NOTICE f-. A i CITY OF WHEAT RIDGE _:�9rBuildingInspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ����I`�--' %V( 17L Job Address: Permit Number: S-3 0o V/ 3 K' 0/`) OC-) �-3 a 1)- ❑ No one available for inspection: T%ne0'> AM/PM Re -Inspection required: Yes / No When corrections have been made, call for re-inspe iogat 303-234-5933 Date: G7� Inspector:�� G. DO NOT REMOVE THIS NOTICE i ❑ No one available for inspection: T%ne0'> AM/PM Re -Inspection required: Yes / No When corrections have been made, call for re-inspe iogat 303-234-5933 Date: G7� Inspector:�� G. DO NOT REMOVE THIS NOTICE City of Wheat Ridge Commercial Roofing PERMIT - 201706233 PERMIT NO: 201706233 ISSUED: 08/17/2017 JOB ADDRESS: 8300 W 38th AVE EXPIRES: 08/17/2018 JOB DESCRIPTION: Remove existing roof down to metal deck, install 2.2 in. ISO, tapered insulation, 1/2 in. Dens Deck Prime and adhere 50XT Fleeceback membrane - work being performed on 7th floor Section 10; 35 squares total *** CONTACTS *** OWNER (303)472-7383 EXEMPLA INC SUB (303)431-1300 Frank Martines 017079 Turner Morris, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 1 / Commr Vacant BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 63,122.00 FEES Total Valuation 0.00 Use Tax 1,325.56 Permit Fee 842.25 ** TOTAL ** 2,167.81 *** COMMENTS *** *** CONDITIONS *** In order to pass a final inspection on commercial elastomeric or similar type roofing, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and Mid -roof inspections may be called in at the same time, 100 percent of the sheathing must be complete and 25-75 percent of the midroof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. I, by iny siUnature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable wilding codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and tha�all work to be performed IsdiscIse1n this document and/or its' accompanying approved plans and specifications. Signature oV OWNER or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. perm it 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 ori.ginalpermit 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. 5. The issuance or grantin ermit shall notcon trued to be a pen -nit for, or an approval of, any violation of any provision of any applicable code or any ofdi or rre ula 10 r' diction. 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 'APO -Air Commercial Roofing PERMIT - 201706233 PERMIT NO: 201706233 ISSUED: 08/17/2017 JOB ADDRESS: 8300 W 38th AVE EXPIRES: 08;17/2018 JOB DESCRIPTION: Remove existing roof down to metal deck, install 2.2 in. ISO, tapered insulation, 1/2 in. Dens Deck Prime and adhere 50XT Fleeceback membrane - work being performed on 7th floor Section 10; 35 squares total I, by iny siUnature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable wilding codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and tha�all work to be performed IsdiscIse1n this document and/or its' accompanying approved plans and specifications. Signature oV OWNER or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. perm it 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 ori.ginalpermit 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. 5. The issuance or grantin ermit shall notcon trued to be a pen -nit for, or an approval of, any violation of any provision of any applicable code or any ofdi or rre ula 10 r' diction. 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. FOR OFFICE USE ONLY City of Date: /W heat f? kid '' I , v ''y F), ` 3.fi � d' t E ^ Plan/Permit #1 V Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Plan Review Fee: Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits ci.wheatridge.co.us Building Permit Application I Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. I Property Address: 8300 West 38th Avenue, Wheat Ridge, CO 80033 Property Owner (please print): Exempla Lutheran Hospital Phone: 303-472-7383 Property Owner Email: dwayne.gaeddert@exempla.org *Work being performed on 7th Floor Section 10 Mailing Address: (if different than property address) Address: 8300 West 38th Avenue City, State, Zip: Wheat Ridge, CO 80033 Architect/Engineer: N/A ArchitectlEngineer E-mail: Phone: Contractor: Turner Morris, Inc. Contractors City License #: 017 0 7 9 Contractor E-mail Address Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # frankm@turnermorris.com Plumbing: W.R. City License # Phone: 303-431-1300 Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form [COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE C9 COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Remove existing roof down to metal deck, install 2.2" ISO, tapered insulation, 1/2" Dens Deck Prime than adhere 50XT Fleeceback membrane. Work being performed on 7th Floor Section 10 Sq. FULF 3,500 Amps Btu's Gallons Squares 35 Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 63,122.00 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. 1, 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) D@ -y -d � Aff A— DN C=US. E=jeHa@umermorns.wm, O=Tomer Morr Electronic Signature (first and last name): Jeff yon DATE: 8/16/17 ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ 301ION SIHI 3AOhV3t1 ION OO :aoIaadsul f :a�oa ££6S-ti£Z-£0£ je uoijoadsui-aa ao{ peo `apew uaaq aneq suoijoaaaoo ua4M. ON saA' :paainbaa uoiloodsul-aa Nd/Wb' quail :uoi� dsui aol ajgej!BAU quo ON r L ( O -e. :aagwnN Iivaaad .;,,4f /►d :ssaippd qof -�; :adA1 uoiloadsul 33110N N01133dSNI XOJ 6068-200 (000) • a�r��o ssSz ssz (000) aui/ uoijoadsul SS6S-bSZ (£o£) uoisinia uoiioadsul 6uippa 3Jala 1V3HM =10 A113 Al A CITY --Of WHEAL RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office & (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: _T_ sr A Job AdAddress:./ v, _E_ Permit Number:\ CD C// -7- y U No one available for inspection: Time AM/PM Re -Inspection required: Yes N When corrections have been made, cal er re -inspection tV3-234-5933 Date: ��_Inspector: DO NOT REMOVE TH6810tICE s I i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: E n -Z- Job Address: 93co w Permit Number: 961700 6 16 W ! h. ❑ No one available for inspection: Time /� AM/PM Re -Inspection required: Ced No When corrections have been made, call for re -inspection at 303-234-5933 Date: q % 7 Inspector: 1 ` l / !7" DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: E4 1 Job Address: 12;00 37Y AVC Permit.. Number: Z01'7 WEE ❑ No one available for inspection: Time �' AM/PM Re -Inspection required: Yes When corrections have been made, call for re-inspection at 303-234-5933 Date: -g/"//7 Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: E4-) Job Address: 3s� iso 2)-9� AVE Permit Number: ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes 40? When corrections have been made, call for re -inspection at 303-234-5933 Date: / Inspector: digfl DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE ❑ No one available for inspectio_n.:_Tirne/ " AM/PM Re -Inspection required: Yes' N When corrections hive bgen made, call for re-inspection,at ,103-234-5933 Date: ' Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: IM ! f Job Address: ;007 k1 5 K, x Permit Number: / '; Q 412 _S ❑ No one available for inspection.: Time( C-- AM/PM Re -Inspection required: Yes (N When corrections have been made, call for re -ins tiont 303-234-5933 Dater �� `i Inspector: { i CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: i R Job Address: _ Permit Number: Z 0/2\0 2- 2 S ❑ No-one available for inspectionTime' �� AM/PM Re -Inspection required: Ye$°` No) When corrections have been made, call for re-inspec�ign pf 303-234=5933 Date �` � Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE r Inspection Type: Cie 1 Job Address: 300 W 3-2-M AVF Permit Number: ` ZO 1'1`,00'933 rr, , '7q10-670-067 ' G Q ❑ No one available for inspection: Time 13 V AM/PM Re -Inspection required: es No When corrections have been m�8e, call for re -inspection at 303-234-5933 Date:-?/// f Inspector: DO NOT REMOVE THIS NOTICE ., City of Wheat Ridge Commercial Remodel PERMIT - 201701928 PERMIT NO: 201701928 ISSUED: 07/24/2017 JOB ADDRESS: 8300 W 38th AVE EXPIRES: 07/24/2018 JOB DESCRIPTION: Primary scope in nuclear camera room and processing room; vendor will remove all existing equipment associated with the nuclear medicine camera, and replace with nuclear medicine camera,; existing sheet vinyl flooring will be removed; floor will be leveled and replaced with new vinyl floor; all perimeter walls will receive a new coat of paint; all walls, doors, fire protection, casework and lighting will remain untouched. mechanical will add humidification to the room, electrical will supply power associated for the new equipment with surface mounted raceway conduit - 525 sq ft *** CONTACTS *** OWNER (303)813-5056 SCL LUTHERAN MEDICAL CENTER GC (303)295-2511 M.A. Mortenson, Jr 018817 M. A. Mortenson Company SUB (303)286-8000 Evla Diana Lynch 018567 Sturgeon Electric Co. SUB (303)650-4000 Steve Kugler 021460 MTECH Mechanical *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 144,738.00 FEES Total Valuation 0.00 AUsePlan Review Fee 924.50 y . � Tax 3,039.50 s r r i" Permit Fee 1,422.30 - �---- * * TOTAL * * 5,386.30 - - - -- ---- *** COMMENTS *** ***CONDITIONS *** Approval from presiding fire department required prior to final building inspection sign -off. All roughs to be done at Framing Inspection. City of Wheat Ridge Commercial Remodel PERMIT - 201701928 PERMIT NO: 201701928 ISSUED: 07/24/2017 JOB ADDRESS: 8300 W 38th AVE EXPIRES: 07/24/2018 JOB DESCRIPTION: Primary scope in nuclear camera room and processing room; vendor will remove all existing equipment associated with the nuclear medicine camera, and replace with nuclear medicine camera,; existing sheet vinyl flooring will be removed; floor will be leveled and replaced with new vinyl floor; all perimeter walls will receive a new coat of paint; all walls, doors, fire protection, casework and lighting will remain untouched. mechanical will add humidification to the room, electrical will supply power associated for the new equipment with surface mounted raceway conduit - 525 sq ft 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. r attest that I am legally authorized to include all entities named within this document as parties to the work to be performe nd t all work t erformed is disclosed in this document and/or its' accompanying approved plans and specifications. Z'! - - - - �" 4-1 C f - Si of OWNER or CONTRACTOR (Circle one) Date I. T s permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writingand received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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 re uired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordmanc dy regulation o jurisdiict'jo n. Approval of work is subject to ieId inspection. V 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 �('R MMUNiTy DEVELOPMENT FOR OFFICE USE ONLY Date: % l3 -� Plan/Permit # 0 l Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Plan Review Fee: Office: 303-235-2855 * Fax: 303-237-8929 q���� Inspection Line: 303-234-5933 Email: permits(a)ci.wheatridge.co.us A Ck Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 8300 W. 38th Ave. Wheat Ridge, CO 80033 Property Owner SCL Health - Front Range, Inc. dba Lutheran Medical Center Phone: 303-813-5073 Property Owner Email: anne.lutz@sclhs.net Mailing Address: (if different than property address) Address: 500 Eldorado Blvd., Bldg. 4, Suite #4300 City, State, Zip: Broomfield, CO 80021 Arch itect/Enaineer: Treanor Architects Architect/Engineer E-mail: mhagan@treanorhl.com Phone: 303-298-4700 Contractor: Mortenson Construction Contractors City License #: 018817 Contractor E-mail Address: tom.boylesCa mortenson.com Phone: 970-219-8565 Sub Contractors: To be determined, selected sub contractors will register with Wheat Ridge upon award. Electrical W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT OTHER (Describe) Commercial Renovation (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.) THIS PROJECT WILL HAVE PRIMARY SCOPE IN THE NUCLEAR CAMERA ROOM,AND THE PROCESSING ROOM. THE VENDOR WILL REMOVE ALL EXISTING EQUIPMENT ASSOCIATED WITH THE NUCLEAR MEDICINE CAMERA, AND REPLACE WITH A NEW NUCLEAR MEDICINE CAMERA. THE EXISTING SHEET VINYL FLOORING WILL BE REMOVED, FLOOR WILL BE LEVELED, AND REPLACED WITH A NEW SHEET VINYL FLOOR AND ALL THE PERIMETER WALLS WILL RECEIVE A NEW COAT OF PAINT. ALL WALLS, DOORS, FIRE PROTECTION, CASEWORK AND LIGHTING WILL REMAIN UNTOUCHED. MECHANICAL WILL ADD HUMIDIFICATION TO THE ROOM, AND ELECTRICAL WILL SUPPLY POWER ASSOCIATED FOR THE NEW EQUIPMENT WITH SURFACE MOUNTED RACEWAY CONDUIT. Sq. Ft./LF 525 SF Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 144,738 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 all egations 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 a plication. CIRCLE ONE: (OWNER (CONTRACTOR) o • (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Dg aUN ,gn,d by Th—,B yles Thomas Boyles Re amappmv g n d l.1— . '. Electronic Signature (first and last name): Dal20 ) 06.1306 5846 os 00' ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY DATE: 06.13.2017 OCCUPANCY CLASSIFICATION: Building Division Valuation: $ Tom Boyles From: Plan Review <PlanReview@westmetrofire.org> Sent: Friday, June 09, 2017 1:18 PM To: Tom Boyles Subject: RE: LMC Nuclear Medicine Equipment Replacement Plan Review Submittal Your plans and application for review have been received and accepted, and are in the queue. You will be contacted by a plans examiner once the plans have been reviewed. Our turnaround time is approximately 6 weeks. Regards, West Metro Fire Rescue Life Safety Plan Review Desk 1, West Metro Fire Rescue From: Tom Boyles [maiIto:Tom.Boyles@mortenson.com] Sent: Friday, June 09, 2017 12:22 PM To: Plan Review Subject: LMC Nuclear Medicine Equipment Replacement Plan Review Submittal WMFPD, Please refer to attached plans for the Nuclear Medicine Equipment Replacement at Lutheran Medical Center. The plan review submittal form was submitted this afternoon and is attached for reference. Sincerely, Thomas Boyles — Project Manager Denver Operating Group 8300 W 38th Ave. Wheat Ridge, CO 80033 Mortenson I Building what's next.® direct 720.920.4309 1 mobile 970.219.8565 tom.boyles@mortenson.com www.mortenson.com/denver Mortensonlogas Plan Review Submittal Form Project Information: Type of Plan I Existing Building T.I. u Review* Project Name" ILMC Nuclear Medicine Equipment Replacement Address*8300 W. 38th Ave. Suite City* lWheat Ra� d Zip Code* 80033 Project Square 525 Footage* Project Cost* 144738 Issue the Permit to: Company Name* ;M A Mortenson Co Company's 1621 18th St #400 Address* City* IDenver State* Co - Zip Code* 180202 Company's Phone 303-295-2511 Number* Project's Contact Tom Boyles Person* Contact's Phone 970-219-8565 Number* Contact's email tom.boyles@mortenson.com address* Comments: PDF plans cannot be attached to this form, they must be emailed separately to planreview(abwestmetrofire.org For WMFPD use only Pre -Submittal Review: r Yes i No Accurate project address including suite number 0 Yes 0 No Plans are stamped, signed, and dated 0 Yes 0 No Manufacturer's certification documentation for the installer is included if applicable O Yes 0 No Code Analysis is accurate Q Yes 0 No Key plan is included 0 Yes O No Written Scope of Work is on the plans 0 Yes 0 No Manufacture's data sheets are included and complete * indicates required fields. Continue j TRANSMITTAL PROJECT: LMC Nuc Med Equipment Replacement PROJECT NO.: HC0177.0329.00 SUBJECT: LMC Nuc Med Construction Documents TRANSMITTAL ID: 00001 DATE: 6/9/2017 OWNER: Lutheran Medical Center, Sisters of Charity of Leavenworth Health System PURPOSE: For your use and distribution VIA: Hand To: Name Email Cody Kisler Cody.Kisler@mortenson.com Mortenson Construction From: Name Email Ryan Estes restes@TreanorHL.com TreanorHL, P.A. 1755 Blake Street Suite 400 Denver CO 80202 United States Description: Cody, Attached are 3 sets of drawings for LMC Nuc Med Camera Replacement. Thank you, Ryan Estes AIA NCARB ARC NJ TEM TREANORHL c: 303.298.4700 d 303.298.4747 c 816.868.9076 treanorhl.com Attachments: Phone 303-295-2511 Phone (303) 298-4747 Qty Dated Title Notes 3 6/9/2017 LMC Nuc Med Construction Documents 3 6/9/2017 Vendor Drawings 1 Material Not Dated Physicist Shielding Report treanorhl.com Page 2 TRANSMITTAL ID: 00001 DATE: 6/9/2017 Copies: Tom Boyles, Mortenson Construction Michael Hagan, TreanorHL, P.A. treanorhl.com A X-RAY SHIELDING DESIGN CALCULATIONS AND RECOMMENDATIONS PROJECT: GE Discovery NM530c Lutheran Medical Center Heart Center — Cardiac Camera S3-065 CONTACT: Anne Lutz LMC Facilities Anne.Lutz@sclhs.net April 26, 2017 Nathan Busse, M.S., DABR, QE #238 Date Medical Radiation Physicist All required shielding is identified on attached layout. Calculations and assumptions are outlined in the report. For further information, please call Nathan Busse at (502) 758-1093 or email at busse.nathan@gmail.com cty ai Wheat R d9e RADIOGRAPHIC SHIELDING . -�4n4a These calculations are done according to, and consistent with recommendations contained in the National Council on Radiation Protection and Measurements (NCRP) Report No. 49 entitled, "Structural Shielding Design and Evaluation for Medical Use of X- rays and Gamma Rays of Energies up to 10 MeV" and Report No. 147 "Structural Shielding Design for Medical Imaging Facilities". The calculations herein are based on a design limit of 20 NGy/week to members of the general public and 100 NGy/week to occupationally exposed workers whose dose is monitored. This is consistent with 10 CFR Part 20, State of Colorado Regulations 6 CCR 1007, and with the International Commission on Radiological Protection Publication No. 26 to keep exposures "As Low As Reasonably Achievable" (ALARA). ACILITY ASSUMPTIONS 1. Walls are assumed to include two 5/8 inch gypsum sheets, with a 3 inch interspace. Doors are assumed to be solid core construction. Windows are assumed to be glass or acrylic. Windows are assumed to have zero lead equivalence. 2. This is a multi story building with a floor to floor height of 12'. The floor below has a 12" normal weight concrete slab. The floor above has a 6" normal weight concrete slab. Below are visitor toilets. Above is a nursing work station. Both are assumed to have full occupancy to account for adjoining spaces and potential remodels. 3. The occupancy factor (T) is often assumed to be greater than it actually is. This conservative estimate will allow for the occupancy to be upgraded without the need for shielding modifications. 4. Patient workload on the cardiac camera is assumed to be 30 patients per week with each patient receiving 40 mCi Tc-99m and remaining in the scan room for 30 minutes. This time is assumed to account for both rest and stress imaging. A patient attenuation factor of 50% was used. SHIELDING SPECIFICATIONS No additional shielding is necessary. City of Wheat Ridge 15-2- 8'-3" 2'-5" / 60 63 NUCLEAR EXAM ROOM CA N Shielded Contr of Roint Description Weekly Design Goal (µSv) Occupan cy Factor Source Room Distance (m) Unshielded weekly dose (µSv) Shielded by Barrier # weekly dose (µSv) A Floor Above 20 1 Scan 3.5 21.1 1 0.8 B Floor Below 20 1 Scan 3.3 23.8 2 0.0 C Corridor (E) 20 0.2 Scan 3 5.8 Dummy 5.8 Treadmill D Room (S) 20 1 Scan 6.5 6.1 Dummy 6.1 E Hot Lab (N) 20 0.2 Scan 3 5.8 Dummy 5.8 F Corridor (W) 20 0.2 Scan 5 2.1 Dummy 2.1 Trash Closet G (N) 20 0.1 Scan 3.5 2.1 Dummy 2.1 H Stress Test (W) 20 1 Scan 7.5 4.6 Dummy 4.6 1 Beyond 12 ft 20 1 Scan 4 16.2 Dummy 16.2 Drawing Index Healthcare N ns _ `""`"�--►...,�,,, . t., = Be., r. .. �' " •-''` --keek""e—,00- Or j4 � id uc ear Me n • Site P n n i ng / ' imagination a t work Customer Site Readiness Requirements These sheets are a document set and should not be separated.GE Electrical information and references are contained on all sheets. SITE READINESS C 1 EQUIPMENT LAYOUT Al (Equipment locations, heat loads, component weights, environmental specs) STRUCTURAL LAYOUT S1 (structural support/mounting locations for floor/wall/ceiling, wall support elevations) STRUCTURAL DETAILS S2 (Floor and Ceiling loading information) ELECTRICAL LAYOUT E1 (Contractor supplied wiring, interconnect methods, junction point locations and descriptions) ELECTRICAL SPECIFICATIONS E2 (Maximum wiring run lengths, interconnect diagram, system power specifications) ELECTRICAL DETAILS E3 EQUIPMENT DETAILS D1 These drawings indicate the placement and interconnection of the listed equipment components. These drawings are not construction or site preparation drawings. Customer remains ultimately responsible for preparing the site to accommodate the operation of such equipment in compliance with GE Healthcare's written specifications and all applicable. federal, state, and/or local requirements. • Any deviation from these drawings must be communicated in writing to and reviewed by your local GE Healthcare Installation Project Manager prior to making changes. • Make arrangements for any rigging, special handling, or facility modifications that must be made to deliver the equipment to the installation site. If desired, your local GE Healthcare Installation Project Manager can supply a reference list of rigging contractors. • New construction requires the following; 1. Secure area for equipment, 2. Power for drills and other test equipment, 3. Capability for image analysis, 4. Restrooms. • Provide for refuse removal and disposal (e.g. crates, cartons, packing) • Contact a radiation physicist or consultant to specify radiation containment requirements. , GE Equipment Delivery Requirements The items on the GE Healthcare Site Readiness Checklist are REQUIRED to facilitate equipment delivery to the IS site. Equipment will not be delivered if these requirements are not satisfied. Before using this document ensure ycu have the latest Rev barn hhyWorkshop onDOC1809666 l Global Site Readiness Checklist 1011 001 GDMIN°me FN GONumber. iieN ServirE Nome: Equipment Country I Ory or Coy/State. 11 Check see before 0ervery,Storage it Check site before nstaRat an start Place an Tn either P or column Site Ready Checks at Installation y Ram dmensons, Indudng ceding heiI for of 5omE0,ry.+erJr_--,.;al S Comml'—z Teel: RE ac':ohan;. mandato If no or hl onk * REQUIRED REFERENCE * Discovery N M 5 3 0 c Pre Installation Manual 5 4 5 4 0 9 5 —1 E N A mandatory component of this drawing set is the GE Healthcare Pre Installation manual. Failure to reference the Pre Installation manual will result in incomplete documentation required for site design and preparation. Pre Installation documents for GE Healthcare products can be accessed on the web at: www.gehealthcare.com/siteplanning Ceding res. been ; nLrR:arEa .non E .ae,hEl lea d =.pacma iws been measured mandato ifnoorblank Rde th, twtllcartan egwgment induding stpomg areas li 0pdrtadpae cemT,Clondetrs freere(aulionsnottN ell ¢neap enc mandato ifnoorblonk lame to gr pm mnamrpni edcelrg stalled 11 app ate cefng ales mstdledae "d dlureda. mandato if no or blank Er nh mute A q,deder1"" lmm;ruckt°vol place ernsmllot en MsbeRmade vnwiedlscdrehdkrs,dl ur.ranc Ircr on roc B ocartd anang-m nhv ce made fc CBdd hp ghggrgzlr+ata[fcr dlI il Ilspp .daf W rawry macemer`aq�dd do mandato ifnoorblank 1eyoDu er5OutTug ted,ollb- ro a a readyta u<e Lae aNrogaut. a. am. mandatoryif no or blank tha hien scheduled to b. �nclMx: d.,rngnumarclry pn•er..lAx�:.e,. CEHCPM-onnnned If .,Jed EHGPMroranh ealraEded mandato ifnoorblonk adequotefarm ilmrnimme mstalledandwortang mandotoryifnoorblonk Code wa Cable wallhera per GE ,d awiae umlldb ar s openskludr g, cob sadam Dmedi eenn.b diameter. Cahewq•r°utes per CSF old Ings and m6 occas opedrysa-0s,ntagedaavm d Idminedby CECPM. Surface Icaou¢mn be Installed at of syn. salaten mandOtO If Ho ofb0nk HVACsystems lrntalledmondotofy if no or blank Nenvar<anlets msmlled and ccmpu;erneNiaNam�hde and wadarq mandatory if n0 Or blank °,p;tdn.qa,�NNtycantaaha�heenergagedadidam�a�beEn�d.a„u�ama�emem;aa„„ Regalredi mo°dot° if°°orblank RoaIe�eMestsflamess Is measured a•d wiWr¢demnce. and there are a nable dEfEGa pEFCf`C sDedr¢odant ,aaitren�andthdneEBdIbeendisansedwethcu,:bmedamaacopr.dNEy,.P._N.GEreauemmeresam mandatory if no or blank CL,,omer�tippliedcounte4opswnereGEegld(AnentmllbetnEtneaarerelace mandatofy ifnaorblank twlear°edionesys;ems:,elrzssmecmrememsur+ey mu;tne pica ds d_ aatr>_,1s-. mondatO ifnoorblonk S,erobsl:e5WBmerldrat,d di°°``°°”�Wd°”°_':;'°'I'.=:",',e':,=e;°r`. amuametaYSemmlbrpdod q ora mandato ifnaorblank l :arsand ntlows aaltara.e-arreq�lam,aaprc.cltarmeraa La.2d mandato Ifnaarblank $rPNR OE'NOAA NE ALCaMMENE SYMM CAN BE DELIVERED PMI SgnoWra: SIR READY FOR INSTALLATION iS Sgnawre: U — 'a O a L0 22 I� Z w w w> o bto V ULn roc on C ami w msUE w a 0 o OF Q::� W z w o U Q fc)!� Q CD O Q C) OC _J w Q y = w w J a LLJ Elf ~ W PROJECT REVISION 171635 00 DATE: 1 D.May. 17 DRAWN BY: MKL CHECKED BY. MKL OT. NO:PR6C9121GV5 OT. DT. 21.Apr.17 E P T U EQUI MEN LISTING EQUIPMENT ON ORDER FROM GE HEALTHCARE, INSTALLED BY GE HEALTHCARE, EQUIPMENT CROSS PER QUOTE PR6-C91216V5 DATED 21.Apr.17 REFERENCE CHART P - PRaJPROVAI NOTE: LOCAL CONDITIONS MAY DICTATE THAT ITEMS IDENTIFIED IN THIS CATEGORY SESME C . wcpAlroxS/ BE INSTALLED BY OTHERS. STATUS PENDING APPRWAL S = SPECInCATIGNS EM " OUANTITY ORDERED REFERR T0 SHEET D DRLY NO. NO. STRC ELEC ITEM DESCRIPTION WEIGHT HEAT OUTPUT DETAIL O ( = EXISTING/REINSTALL) APER HOUR) N0 PLAN PLAN C I UPS SYSTEM 33 R4504A - P OI I.TIENT POSITIONING MONITOR ®3 ➢ESC RJPTION. MINIMUM DOOR O nN33 JrJ OPENING rOR EQUIPMENT 8C ]3o6�+mICCORR[DOR2�TDTM' DELJVERY IS CONTINGENT T- ITEMS ARE AVAILABLE FROM I PATIENT POSITIONING CAMERA TECHNOLOGIES. CONTACT YOUR LOCAL GE 881044 - TVC - © 1 01SCOVERY NM c OPERATORS CONSOLE ON CHAT 99 1 B4305D - M - O I DTMERYSUYPNv53— INTEGRATED 11 I 204 b B4305C - IPS - ©I DI„CCCIERRY NM53oc ACQUISITION 33 1 516 b - C - (D SCOVERY NM530c GANTRY 1432 1 2150 - OB DISCOVERY NM53 TABLE 513 1 508 B13ocA- - O9IELEIIS MORRSTATJON 55 1 255 b< 1014 THE FOLLOWING ITEMS, WHICH HAVE BEEN ORDERED FROM GE HEALTHCARE, ARE TO BE INSTALLED BY THE CUSTOMER OR HIS CONTRACTOR, SCALE: 1/4" = 1'-0" This equipment layout Indicates the placement an of these components. It remains the Customer's EQUIPMENT LAYOUT on of the indicated equipment components. There may be for ensuring the site and final equipment placement compl State -Acknowledged X -Ray Shielding Design State -Acknowledged Shielding Design Plan # NA Date: NA by: NA Physicist's name: NATHAN BUSSE, M.S., DABR Design date: 26.APR.1 7 NOTE: GE HEALTHCARE is listing the State -Acknowledged X -Ray Shielding Design Plan above only for customer's convenience. Listing the design does not relieve the customer of any of its obligations under any contract with GE HEALTHCARE. 15'-2" B'_3" -b HOT I LAB 0 62 � 8 i II 0 2'-5"4 4 NUCLEAR 6T EXAM ROOM 2'-9" # 16'-1" EXISTING CEILING HEIGHT = era], state, and/or local requirements that could impact the placement vith all applicable federal, state, and/or local requirements. IMPORTANT CUSTOMER READINESS ALERT: THIS EQUIPMENT INVOLVCS THE USE OF RADIOACTIVE ISOTOPES, INCLUDING THOSE SOURCES NECESSARY FOR EQUIPMENT CALIBRATION. APPROPRIATE REGULATORY COMPLIANCE AND LICENSING MUST BE ARRANGED BY THE CUSTOMER EARLY IN THE PLANNING PROCESS AND THEN DEMONSTRATED/AVAILABLE FOR EQUIPMENT INSTALLATION. xpS�RlKmi1LT�A➢ �J IP JWStMNIIC K till➢ . 0144\1 PpR n< IRs"r`"mw Iw El GAT- TO WHEI • HROAIE epRGTAroNNCppMI SOClfaS M TILE PROPDI _.WS 111 AIPP W, ALL —iii—_ LOW ANp OEPARIMFJJJ NVST / 9Gx pTAGhD IP AWR656 Ewl p P) NOTE THE IDORE556 eEl➢w rpt THE ACW9JpN. LOCAL AN. OtAFNpiF YgR6T� Om • R6TR IO —pip+ Al PZ—— P A—ISSIS Pw u+MTE tpnJremm'. GE Project Monogec NIKE NOWAK 7elephale: 888-470-4853 arsiJn taI uPo (wouAT M OJIJ-Ios-9m PR GENERAL SPECIFICATIONS o THE REQUIRED CEILING HEIGHT INDICATED ON THESE PLANS IS TO ENSURE EQUIPMENT FUNCTION IS NOT INHIBITED. CONSULT WITH YOUR LOCAL GEHC IS SPECIALIST REGARDING ACCEPTABILITY OF OTHER CEILING HEIGHTS. o CHECK ALL DOOR OPENINGS AND HALLWAYS FROM DELIVERY LOCATION TO WHERE EQUIPMENT IS TO BE INSTALLED TO ENSURE THE ROUTE PHYSICALLY AND STRUCTURALLY WILL ACCOMODATE THE EQUIPMENT AS SHIPPED. o RADIATION PROTECTION REQUIREMENTS ARE NOT INDICATED THIS PLAN. WHERE NEEDED PER NATIONAL OR LOCAL CODE THEY SHALL BE SPECIFIED BY A QUALIFIED RADIOLOGICAL PHYSICIST. r o THE DEVELOPMENT OF THE EQUIPMENT LAYOUT, ROOM DIMENSIONS. MECHANICAL AND L ELECTRICAL SUGGESTIONS IS PREDICATED UPON THE BEST INFORMATION OBTAINABLE H FROM THE SITE, COUPLED WITH THE CUSTOMER'S KNOWN DESIRES. ARCHITECTURAL OR ELECTRICAL CHANGES INCLUDING RELOCATION OF EQUIPMENT ILLUSTRATED ON THIS L DRAWING IS ALLOWED ONLY WITH NOTIFICATION, IN WRITING, AND REVIEW BY GEHC SERVICE DEPARTMENT. EQUIPMENT OPERATION, SERVICEABILITY, AND RESTRICTING CABLE LENGTHS, ETC.. MAKE THIS ESSENTIAL FOR A PROPER IS. GEHC RESERVES THE RIGHT TO MAKE ON THE JOB CHANGES BECAUSE OF CUSTOMER REQUIREMENTS AND/OR OBSTACLES IN CONSTRUCTION, ETC.. o ALL WORK TO BE IN COMPLIANCE WITH NATIONAL AND LOCAL BUILDING SAFETY CODES. o DIMENSIONS ARE TO FINISHED SURFACES OF ROOM THIS SHEET IS PMT OF THE DOCUMENT SET LISTED ON SHEET C1 AND L _j z L_LJ 0 0 C) Y J QJ o Q U O J w O L = LLJ w L J o in Q W LLJ 'o —J PROJECT REVISION 171835 1 00 DATE: 10.May.17 DRAWN BY: MIKE CHECKED BY:. MIKE OT. NO:PR6C91216V5 Of. DT: 21.ADr.17 HINI,ILLANT IILII CUSTOMER/CONTRACTOR SUPPLIED AND INSTALLED ITEMS ITEM NO. ITEM DESCRIPTION (• INDICATES EXISTING) ®0 -COUNTER TOP viTM SINK, BASO AND -IL CABJNE TABLE ® POINTDISACONONESMEEREEER`OREDETAiIEDN ®3 ➢ESC RJPTION. MINIMUM DOOR O nN33 JrJ OPENING rOR EQUIPMENT 8C ]3o6�+mICCORR[DOR2�TDTM' DELJVERY IS CONTINGENT THE FOLLOWING ITEMS ARE AVAILABLE FROM GE HEALTHCARE TECHNOLOGIES. CONTACT YOUR LOCAL GE HEALTHCARE SERVICE REPRESENTATIVE FOR PRICING AND AVAILABILITY. ® OPERATORS CI-IA]R GENERAL SPECIFICATIONS o THE REQUIRED CEILING HEIGHT INDICATED ON THESE PLANS IS TO ENSURE EQUIPMENT FUNCTION IS NOT INHIBITED. CONSULT WITH YOUR LOCAL GEHC IS SPECIALIST REGARDING ACCEPTABILITY OF OTHER CEILING HEIGHTS. o CHECK ALL DOOR OPENINGS AND HALLWAYS FROM DELIVERY LOCATION TO WHERE EQUIPMENT IS TO BE INSTALLED TO ENSURE THE ROUTE PHYSICALLY AND STRUCTURALLY WILL ACCOMODATE THE EQUIPMENT AS SHIPPED. o RADIATION PROTECTION REQUIREMENTS ARE NOT INDICATED THIS PLAN. WHERE NEEDED PER NATIONAL OR LOCAL CODE THEY SHALL BE SPECIFIED BY A QUALIFIED RADIOLOGICAL PHYSICIST. r o THE DEVELOPMENT OF THE EQUIPMENT LAYOUT, ROOM DIMENSIONS. MECHANICAL AND L ELECTRICAL SUGGESTIONS IS PREDICATED UPON THE BEST INFORMATION OBTAINABLE H FROM THE SITE, COUPLED WITH THE CUSTOMER'S KNOWN DESIRES. ARCHITECTURAL OR ELECTRICAL CHANGES INCLUDING RELOCATION OF EQUIPMENT ILLUSTRATED ON THIS L DRAWING IS ALLOWED ONLY WITH NOTIFICATION, IN WRITING, AND REVIEW BY GEHC SERVICE DEPARTMENT. EQUIPMENT OPERATION, SERVICEABILITY, AND RESTRICTING CABLE LENGTHS, ETC.. MAKE THIS ESSENTIAL FOR A PROPER IS. GEHC RESERVES THE RIGHT TO MAKE ON THE JOB CHANGES BECAUSE OF CUSTOMER REQUIREMENTS AND/OR OBSTACLES IN CONSTRUCTION, ETC.. o ALL WORK TO BE IN COMPLIANCE WITH NATIONAL AND LOCAL BUILDING SAFETY CODES. o DIMENSIONS ARE TO FINISHED SURFACES OF ROOM THIS SHEET IS PMT OF THE DOCUMENT SET LISTED ON SHEET C1 AND L _j z L_LJ 0 0 C) Y J QJ o Q U O J w O L = LLJ w L J o in Q W LLJ 'o —J PROJECT REVISION 171835 1 00 DATE: 10.May.17 DRAWN BY: MIKE CHECKED BY:. MIKE OT. NO:PR6C91216V5 Of. DT: 21.ADr.17 A TYPICAL WALL SUPPORT ELEVATIONS '�SCALE: 1/4" V-0" STRUCTURAL LAYOUT EXISTING CEILING HEIGHT 8'—l"_" STRUCTURAL SUPPORT METHODS S123 CUSTOMER/CONTRACTOR SUPPLIED AND INSTALLED ITEMS ITEM (FINISHED CEILING) NO ITEM DESCRIPTION INDICATES EXISTING) . . . . . . . . . T . . . 3 1 . [76-1 -1 � C- I Z 1 4 R I—ELN... - 11C "T"'N ' "" " ""' T E Cl - .. — CIN rLOOR F—TIESC 11 T�HE El�� ROO' 1UST I.VE NO OVEMDE601 ITIOISSIGREATER T—N 3116- C5 (FINISHED FLOOR) SUPPORT FOR PATIENT POSITIONING MONITOR BRACKET OWR HOT LAB NUCLEAR EXAM ROOM STRUCTURAL NOTES • ALL UNITS THAT ARE WALL MOUNTED OR WALL SUPPORTED ARE TO BE PROVIDED WITH SUP ORTS WHERE NECESSARY. WALL SUPPORTS ARE TO HE SUPPLIED AND INSTALLED BY 0 THEPCUSTO ER OR HIS CONTRACTORS. SEE PLAN AND DETAIL SHEETS FOR SUGGESTED Z LOCATIONS MIND MOUNTING HOLE LOCATIONS. 2 • FLOOR SLABS ON WHICH EQUIPMENT IS TO BE INSTALLED MUST BE LEVEL TO 2 SPECIFICATIONS, (IF NOT SPECIFIED ELSEWHERE ON THIS SHEET THE FLOOR LEVELNESS In SHOULD BE 1/8 IN. (3 MMI IN 10 FT. [3.05 MI. • DIMENSIONS ARE TO FINISHED SURFACES OF ROOM. • FOR SEISMIC REGIONS ENSURE SUPPORTS SPAN THREE MEMBERS. • CUSTOMERS CONTRACTOR MUST PROVIDE ALL PENETRATIONS IN POST TENSION FLOORS. .t. • CUSTOMERS CONTRACTOR MUST PROVIDE AND INSTALL ANY NON-STANDARD ANCHORING. DOCUMENTS FOR STANDARD ANCHORING METHODS ARE INCLUDED WITH GE EQUIPMENT DRAWINGS FOR GEOGRAPHIC AREAS THAT REQUIRE SUCH DOCUMENTATION. • CUSTOMERS CONTRACTOR MUST PROVIDE AND INSTALL HARDWARE FOR 'TH OUGH THE FLOOR- ANCHORING AND/OR ANY BRACING UNDER ACCESS FLOORS. THIS CONTRACTOR MUST ALSO PROVIDE FLOOR DRILLING THAT CANNOT BE COMPLETED BECAUSE Of AIN AN OBSTRUCTION ENCOUNTERED WHILE DRILLING BY THE GE INSTALLER SUCH AS REBAR ETC. H- • IT IS THE CUSTOMER'S RESPONSI ILITY TO PERFORM ANY FLOOR OR WALL RE NETRATIONS THAT MAY BE REQUIRED. THE CUSTOMER IS ALSO RESPONSIBLE FOR ENSURING THAT NO SUBSURFACE UTILITIES (F.G.. ELECTRICAL OR ANY OTHER FORM OF WIRING. CONDUITS. PIPING, DUCT WORK OR STRUCTURAL SUPPORTS (ILE POST TENSION CABLES OR REEAR)) WILL IN ERFERE OR COME IN CONTACT WITH SUBSURFACE PENETRATION OPERATIONS (E.G. DRILLING AND INSTALLATION OF ANCHORS/SCREWS) PERFORMED DURING THE INSTALLATION PROCESS, TO ENSURE WORKER SAFETY. GE INSTALLERS WILL PERFORM SURFACE PENETRATION OPERATIONS ONLY AFTER THE CUSTOMER'S VALIDATION AND COMPLETION OF THE 'GE SURFACE PENETRATION PERMIT' ME 0 fGE P,.jKt M.;.g...,,.. INSIKE T.J. THIS SHEET IS PART OF THE DOCUMENT SET USTED ON SHEET Cl AND SHOLU��APATED� 24 Co 0 Cu EL) E Lij 0 CL CD L) 0 rl) L0 _j M .< z of LLJ C) > :::) 0 c`f 0 cf) < C) 0 ILL -1 LiJ 0 o _j 0 0 0 <zc LLJ L- LLJ LLT Eo 0 Of Cf) LLJ LJ PROJECT REVISION 171835 1 00 DATE: 10.May.17 DRAWN BY: MKIL CHECKED BY: MKL OT NO PRISC9121 5V5 CD L) 0 rl) L0 _j M .< z of LLJ C) > :::) 0 c`f 0 cf) < C) 0 ILL -1 LiJ 0 o _j 0 0 0 <zc LLJ L- LLJ LLT Eo 0 Of Cf) LLJ LJ PROJECT REVISION 171835 1 00 DATE: 10.May.17 DRAWN BY: MKIL CHECKED BY: MKL OT NO PRISC9121 5V5 SUPPORT DETAIL B3000X LEVELING AND FLATTENING FLOOR AREA DETAIL EV. DATE: 04.Muy.201: LEVEL BUBBLE MAXIMUM FLATNESSDEVIATION SEE 51 PAGE AND PREINSTALLATION MANUAL FLOOR MAXIMUM •MEASUREMENSV AN SN n SEE S1 PAGE AND PREINSTALLATION MANUAL MEASUREMENT DIRECTIONS SURFACE FLATNESS RULER REFERENCE SLOPE OUT OF SILT LEVELING USER POIM ACCEPTABLE LIMIT MAXIMUM SLOPE DEVIATION LIGHT SEE S1 PAGE AND PREINSTALLATION MANUAL ' CONCRETE FLOOR ' SLOPE MEASUREMENTS CUSTOMER/CONTRACTOR IS RESPONSIBLE FOR MEASURING FLOOR LEVELNESS/FLATNESS AND PROVIDING THE RESULTS TO A GEHC REPRESENTATIVE (FE OR PM) BEFORE FINISHED FLOORING IS INSTALLED. SEE S1 PAGE AND SPECIFICATIONS FROM PREINSTALLATION MANUAL FOR MORE INFORMATION. FLOOR THS SHEET IS PART OF THE DOCUMEM SET USTED ON SHEET C1 AND SHOULD NOT BE SEPARATED u w c 0 V) _ J Q U � C,:) a000� LJ to V o6 0 Ua � z ohm W o3iz U > => U 1n Cn C3 P ana J L;,j C�aa.z'a � �giaoL w � _ w _ = J aN (n Q .10 r W I - z W O U Q _ 0 0 J Q o 0 < 0 0 W w ry Cn Q w n _ PJ W J J PROJECT RLMSION 171835 1 00 DATE 10.MoV.17 DRAWN BY: MKL CHECKED BY: MKL OT NO.PR6C91216V5 OT DT 21.Apr.17 S 4 CC 1'-0 FINISHED CEILING _ NM i FINISHED FLOOPI FINISHED CEILING TVC IPS Ac NCO 0 I 1'-0" FINISHED FL00 rel FINISHED CEILING A FINISHED FLOG ELECTRICAL PLAN e RECOULu[N [D &111 1111 N11111 1"l SIll IN - FEDER SI TIE GR LLO BE THE RSAUE RS12E1 ASUHERIOWCa FECOER. e "Ll �HEWFOUIINEM BNORv POW(R SOURCE/uAIN LiO Au0 ALWMS TRAVEL IN THE R SURE CONDUIT WITH THE FEEDERS AND -AL. N SvSTEl UIS RE- TO ELECTRK- DMILS FOR S fEEOEa RUES N N FEET POWER SUPPLY VOLTAGE (BY CONTRACTOR) '0.13! VI 11! (ea W) 2J0 (50 Hz) 1. 11. EYE . FOONS MAR RSER x 12 '3 R 0 ADDITIONAL CONDUIT RUNS NUCLEAR VENTRI/ DISCOVERY NM 530c (BY CONTRACTOR) CONI REQUIRED FOR BASE SYSTEM (CONDUITS ARE LOCATED ABOVE CEILING) j NES M. TONI A ITOI NCO I ONE CND. AS REO'D A TC) POWER I CND AS REQ D REFERR SIZE PER FEEDETABLE NC ITOI NM I ONE 1" CND. REV. DATE: ECAF./08/ JUNCTION HEIGHT = 8 -1 T NOTES D ALL JUNCTION BOXES, CONDUIT. DUCT. DUCT DMDERS, OIITC ES. CIRCUIT BREAKERS, CABLE TRAY, ETC., ARE TO BE SUPPLIED AND INSTALLED BY CUSTOMERS ELECTRICAL CONTRACTOR. o CONDUIT AND DUCT RUNS SHALL HAVE SWEEP RADIUS BENDS o CONDUITS AND DUCT ABOVE CEILING OR BELOW FINISHED FLOOR MUST BE INSTALLED AS NEAR TO CEILING OR FLOOR AS POSSIBLE TO REDUCE RUN LENGTH. o CEILING MOUNTED JUNCTION BOXES ILLUSTRATED ON THIS PLAN MUST BE INSTALLED FLUSH WITH FINISHED CULT, D ALL DUCTWORK MUST MEET THE FOLLOWING REQUIREMENTS: 1. DUCTWORK SHALL BE METAL WITH DIVIDERS AND HAVE REMOVABLE, ACCESSIBLE COVERS. 2. DUCTWORK SHALL BE CERT61ED/RATEO FOR ELECTRICAL POWER PURPOSES. 3. DUCTWORK SHALL BE ELECTRICALLY AND MECHANICALLY BONDED TOGETHER IN AN APPROVED MANNER, 4, PJC AS A SUBSTITUTE MUST BE USED IN ACCORDANCE WITH ALL LOCAL AND NATIONAL CODES. D ALL OPENINGS IN ACCESS FLOORING ARE TO BE CUT OUT AND FINISHED OFF WITH GROMMET MATERIAL BY THE CUSTOMERS CONTRACTOR. I GENERAL CONTRACTOR TO INSERT PULL CORDS FOR ALL CABLE RUN CONDUITS BETWEEN THE EQUIPMENT ROOM AND THE OPERATORS CONTROL ROOM. 0 10 FOOT PIGTAILS AT ALL JUNCTION POINTS. o ALL WIRING MUST BE THHN OR TEEN STRANDED COPPER THERMOPLASTIC 600 VOLT OR EQUIVALENT INSULATION. ALUMINUM OR SOLD WIRES ARE NOT ALLOWED. o GROUNDING IS CRITICAL TO EQUIPMENT FUNCTION AND PATIENT SAFETY. SITE MUST CONFORM TO WIRING SPECIFICATIONS SHOWN ON THIS PLAN_ HOT PS AG LAB Nco vc A I I TVM AMC NUCLEAR A EXAM ROOM Q 7 tLtL.I NIL:AL UU I LG I LLL LNU CUSTOMER/CONRMCTOR SUPPLED AND INSTALLED IID6 NEIONT ABOVE FLOOR DETERMINED BY LOCAL CODES UNLESS OTHERWISE SPECIFIED. ® NITRO IfO�LR ( EEEE'1ERIUL OEIULS ELEC-83 ART E AORM 1ElEC-MERIT ELEC�S>)) IEEE ELECTRIW -E PHISEIMPBOUTIE>T10 DMpWATED ONLO 120-v, i( D 120-1, SINGLE WWRSINGLEGx.LSQE. PORE. WALL WTLO GE Project MDnoger. MIKE NOWAK TekphDlle: 888-470-4853 xn rzExNw Serum wow e µ M ONE IEsoNRa Tlur ux ..e(Rn--OR T ° : ANN JHNCTION POINT �FSCRIPTI�NS POINT O _ THE FOLLOWING MATERIALS ARE TO BE SUPPLIED AND INSTALLED BY THE CUSTOMER'S ELECTRICAL CONTRACTOR QUANTITY, WIRE SIZE/COLOR DESCRIPTION QTY. HARDWARE DETAIL NO., SM. E3 AC AIC IPS NCO ISCONNECT ACQUISITION COMPUTEI ICIDUISITION THOBILE C ART INTEGRATED POWER SUPPLY CAMERA GUTLEGEp_AT pR UMRPLATR AILABL BOO- oo-s 60vEA TI CAMERA1 TI MONITORSINNLE I'S CABINET ANTRv 1 I I T 1 I I NETnA F SN MOUNTED ENCLOSURE, NEUTRn�SUL ATEO GRpUNDA BLE za A nzpiz<ov sPET sN rRpNT ORE CIRCUITU BREAKER. SAFETY IN T.E ORE POSITION, EITI-NILLY CONNECTED EITERNILLY CONNECTED EXTERNAL- CONNECTED A x A x 2 ]N. BOx DUPLEp NOSPITAAL Gp- RESEEPTACLE RECEPTACLE AILATI NND GROUND STU n.ITA OR CAT�v NOOENO0609GExv1 CpvERPLATE 1l2LEDInNGCIB-IA SE NIPPLE L CIANNG ryOS PLE ITI -TERNALLY CONNECTED EXTERNILLY CONNECTED ELEC-1Ts EC -B Ec-a UUIN II\M1, IUM\ -)UF r LILU / INU IIN..J IHLLLV VVIRIINU ELECTRICAL CONTRACTOR SMALL RING OUT, TAG AND TERMINATE ALL WIRES AT BOTH ENDS. WIRE RUN, FROM - TO QUANTITY, WIRE SIZE/COLOR > 1 PHASE > NCO C > TIl L -BLACK. I-WI.ITE, -GREEN <REEER Tp FEEDER TABLE EOR SIZED L-BLACK.M-WHITE, 3 -GREEN t REFER TO DER TABLE FOR SIZE) COAXIAL WITH BCN CONNECTORS OAA IMALS CABLE ILEIGT 2IEE IHI� DHLLI U - OF IHC UUUVNLNI JLI UJILU UN Sllttl 61 ANU bMUUU) NUI BL oQyWo O w 4 C=i ckf Elf LIJ o �oUS U O Lu U ^B __j Ln o�d LJJ 0 _ w Gip Fo: �szaoW _ W - = J nH �Q 0-10 g E1 171835 1 00 DATE: 10.Moy.17 DRAWN BY: MKL CHECKED BY: MKL OT. N0:PR6C91216V5 T OT. DT: 21 07 ION HISTORY. City of I 'fit Rid e 3 r n-a.iinn son g E1 INTERCONNECT DIAGRAM RMC STANDARD: 16.40' [5.OM] LONG: 49.21' [15.OM] GE CAT. NO. H3602KY AC VG O FROM DATA 5.25' 1.6M WORKSTATION IPS � N O � O lfi Lf� UPS1 UPS � M cV O ^\1 TO 1 PHASE POWER --------------- NCO 1 PHASE POWER O 9.75' [2.97M] O VOLTAGE TABLE A ALLOWABLE INPUT VOLTAGES/ CURRENT DEMAND TRANSIENT REGULATION POWER SUPPLY TEST EMERGENCY POWER POWER SPECIFICATIONS 1 VENTRI/DISCOVERY NM530c (REV. GATE 02/DI/09) PRIMARY DEDICATED SINGLE PHASE SOURCE IS REQUIRED FOR ALL INSTALLATIONS, RANGE OF LINE VOLTAGES: NOMINAL LINE VOLTAGE OF 115-V 60 Hz OR 100-V. 200-V. 220-V. 240-V 50 HZ. MAXIRANGESILN OLTAGEABLEA VARIATION MUST FALL WITHIN ONE OF THE NOMINAL VOLTAGE ABSOLUTEMAXIMUM RANGE MOMENTARY AMPS AT NOMINAL VOLTAGE ' MINIMUM STANDARD OVERCURRENT PROTECTION 115 110-125 15 20-A 230 220-253 10 20-A ' CIRCUIT BREAKERS SHOULD HAVE A TIME DELAY OF GREATER THAN ONE SECOND TO WITHSTAND SWITCH -ON SURGE. VOLTAGES MUST BE WITHIN 3 PERCENT OF THE LOWEST VOLTAGE. MAXIMUM ALLOWABLE TRANSIENT VOLTAGE EXCURSIONS ARE 5 PERCENT OF RATED LINE VOLTAGE AT A MAXIMUM DURATION OF 5 CYCLES AND FREQUENCY OF 10 TIMES PER HOUR - VOLTAGE TRANSIENT OR IMPULSE ON THE INCOMING POWER MUST BE HELD TO A MINIMUM. TRANSIENTS CAUSED BY LIGHTNINGy SURGES, LOAD SWITCHING, STATIC ELECTRICITY ETC. CAN EAU JE SCAN ABORTS OR, IN EXTREME INSTANCES, COMPONENT FAILURE IN THE COMPUTER SUBSYSTEM. THE MAXIMUM ALLOWABLE TRANSIENT AMPLITUDE IS 2.5 TIMES THE RMS LINE VOLTAGE. (FILTERS MAY BE REQUIRED IF TRANSIENT LEVEL EXCEEDS THIS VALUE.) POWER SUPPLY REGULATION MUST BE 4 PERCENT OR BETTER. IT IS RECOMMENDED THAT THE POWER SUPPLY BE MONITORED TO ASCERTAIN THE AVERAGE LINE VOLTAGE. SURGES SAGS IMPULSES AND FREQUENCY OF THE SUPPLY VOLTAGE. THS ANALYSIS OF A SIMULATED LOAD USING A POWER SYSTEMS ANALYZER CAPABLE OF THE ABOU/E SPECIFICATIONS, SHOULD BE CARRIED OUT OVER A CONTINUOUS SEVEN DAY PERIOD PRIOR TO INSTALLATION. THE RESULTS OF THIS ANALYSIS SHOULD BE REVIEWED WITH THE LOCAL 5 RVICE REPRESENTATIVE TO EINE RPRIOTECTOR OR FILTERSA AE EF REQUIRED TOA BE I INStALOEWDER TBY THEO COMPURCHASERLTHHEAABOVEPART OF ELLECTRICALR EOU REMEIO 5 WORK, EMERGENCY POWER IS NOT RECOMMENDED FOR THE SYSTEM. SERIOUS DISRUPTION OF EQUIPMENT OPERATION CAN RESULT POWERPSIFRCONTINUOUS BOPERA71ON IS SWITCHING TO AN OfN-LINE S TYPE LIGH INRECOMMENDED. INMTHE ROOM TOR ALLOW SAAFE EVACUATION OF THE PATIENT AND PERSONNEL. I ELECTRICAL NOTES I NOTE 1: ALL WIRES SPECIFIED SHALL BE COPPER STRANDED. FLEXIBLE, THERMO-PLASTIC. COLOR CODED, CUT 10 FOOT LONG AT OUTLET BOXES, DUCT TERMINATION POINTS OR STUBBED CONDUIT ENDS. ALL CONDUCTORS, POWER, SIGNAL AND GROUND, MUST BE RUN IN A CONDUIT OR DUCT SYSTEM. ELECTRICAL CONTRACTOR SHALL RING OUT AND TAG ALL WIRES AT BOTH ENDS, WIRE RUNS MUST BE CONTINUOUS COPPER STRANDED AND FREE FROM SPLICES. ALUMINUM OR SOLID WIRES ARE NOT ALLOWED. NOTE 2: WIRE SIZES GIVEN ARE FOR USE OF EQUIPMENT. LARGER SIZES MAY BE REQUIRED BY LOCAL CODES. NOTE 3: IT IS RECOMMENDED THAT ALL WIRES BE COLOR CODED, AS REQUIRED IN ACCORDANCE WITH NATIONAL AND LOCA ELECTRICAL CODES. NOTE 4: CONDUIT SIZES SHALL BE VERIFIED BY THE ARCHITECT, ELECTRICAL ENGINEER OR CONTRACTOR, IN ACCORDANCE WITH LOCAL OR NATIONAL CODES. NOTE 5: CONVENIENCE OUTLETS ARE NOT ILLUSTRATED. THEIR NUMBER AND LOCATION ARE TO BE SPECIFIED BY OTHERS. LOCATE AT LEAST ONE CONVENIENCE OUTLET CLOSE TO THE SYSTEM CONTROL, THE POWER DISTRITBUTION UNIT AND ONE ON EACH WALL OF THE PROCEDURE ROOM. USE HOSPITAL APPROVED OUTLET OR EQUIVALENT. NOTE 6: GENERAL ROOM ILLUMINATION IS NOT ILLUSTRATED. CAUTION SHOULD BE TAKEN TO AVOID EXCESSIVE HEAT FROM OVERHEAD SPOTLIGHTS DAMAGE CAN OCCUR TO CEILING MOUNTING COMPONENTS AND WIRING IF HIGH WATTAGE BULBS ARE USED. RECOMMEND LOW WATTAGE BULBS NO HIGHER THAN 75 WATTS AND USE DIMMER CONTROLS (EXCEPT MR). DO NOT MOUNT LIGHTS DIRECTLY ABOVE AREAS WHERE CEILING MOUNTED ACCESSORIES WILL BE PARKED. NOTE 7: RDUDNG OF CABLE DUCTWORK, CONDUITS. ETC., MUST RUN DIRECT AS POSSIBLE OTHERWISE MAY RESULT IN THE NEED FOR GREATER THAN STANDARD CABLE LENGTHS (REFER TO THE INTERCONNECTION DIAGRAM FOR MAXIMUM USABLE LENGTHS POINT TO POINT. NOTE B: CONDUIT TURNS TO HAVE LARGE. SWEEPING BENDS WITH MINIMUM RADIUS IN ACCORDANCE WITH NATIONAL AND LOCAL ELECTRICAL CODES. NOTE 9: A SPECIAL GROUNDING SYSTEM IS REQUIRED IN ALL PROCEDURE ROOMS BY SOME NATIONAL AND LOCAL CODES. IT IS RECOMMENDED IN AREAS WHERE PATIENTS MIGHT BE EXAMINED OR TREATED UNDER PRESENT, FUTURE. OR EMERGENCY CONDITIONS. CONSULT THE GOVERNING ELECTRICAL CODE AND CONFER WITH APPROPRIATE CUSTOMER ADMINISTRATIVE PERSONNEL TO DETERMINE THE AREAS REQUIRING THIS TYPE OF GROUNDING SYSTEM. NOTE 10: THE MAXIMUM PONT TO POINT DISTANCES ILLUSTRATED ON THIS DRAWING MUST NOT BE EXCEEDED. NOTE 11: PHYSICAL CONNECTION OF PRIMARY POWER TO GE EQUIPMENT IS TO BE MADE BY CUSTOMERS ELECTRICAL CONTRACTO= WITH THE SUPERVISION OF A GE REPRESENTATN2. THE GE REPRESENTATIVE WOULD BE REQUIRED TO IDENTIFY THE PHYSICAL CONNECTION LOCATION, AND INSURE PROPER HANDLING OF GE EQUIPMENT. NOTE 12: GEHC CONDUCTS POWER AUDITS TO VERIFY QUALITY OF POWER BEING DELIVERED TO THE SYSTEM. THE CUSTOMER'S ELECTRICAL CONTRACTOR IS REQUIRED TO BE AVAILABLE TO SUPPORT THIS ACTIVITY. DIAGRAM KEY - - - - CUSTOMER/CONTRACTOR SUPPLIED WIRING, ROUTE IN ADEQUATE CONDUIT OR RACEWAY, GE FURNISHED CABLE RUNS, ROUTE IN EMPTY CONDUIT OR RACEWAY. 59' [IBM] MAX FrsUN LENGTH BETWEEN JUNCIIDN POINTS. ] 0 18 o MW d Ln z oo=WF� J $zm<` U W (� > S�om3� F— p -LLoi� J co �Jwww W k, x% J W -a moa LJ _ S J nyu In Q w WO U Q 0O J Q J C)QUo J w Q LJ_ = w W U z Q w C):� _ w� PROJECT REVISION 171835 1 00 DATE: 10.Moy.17 DRAWN BY: MKL CHECKED BY: MKL OT. NO:PR6C91216V5 mi a 7' 7 _ 21.APr.17 E 10,7 Vgfieat I 0 on/ E2 ELECTRICAL DETAIL NETWORK CONNECTION (TYPICAL) —LOCAL AREA NETWORK 1/2" CONDUT FROM TO ABOVE FINSHED C TO BE DETERMINED FINISHED FLOOR DETAIL NOT TO SCALE ELECTRICAL DETAIL ELEC-8411 DUPLEX OUTLET COVERPLATE WITH GROUND STUD ELEC-176 REV. DATE: 17.Jun.16 REV, DATE; 24,JUN,11 SINGLE GANG J.B. .� A. 56" 5wd W/z K., DD1s 7/8- 1.812 DETAIL NOT TO SCALE ELECTRICAL DETAIL ELEC-1 INSITE CONNECTION (TYPICAL) REV. DATE: 04/24/02 ONE OF THE FOL DWING TWO SELECTDNS MUST BE INSTALLED AT THE LOCATION SHOWN ON THE ELECTRICAL PLAN (SHEET E1) FOR GE INSIEE CONNECTION BASED UPON SYSTEM CONFIGURATION. A) ONE INIERNEI ACCESSIBLE VIRTUAL PRIVATE NETWORK (VPN) CONNECTION WITH A STATIC IF ADDRESS, AND ONE TELEPHONE LINE - DEDICATED -DIRECT -DIALING, VOICE GRADE, OR B) IWO TELEPHONE LINES - ONE DEDICATED DIRECT -DISTANCE -DIALING, VOICE GRADE AND ONE A DEDICATED DATA LINE. J /I SINGLE GANG J.B. 1' CONDUIT FROM J.B. Jr ---JI TO ABOVE FINSHED CEILING. I El I I I I I E I I T O BE DETERMINED COVERPLATE WITH TWO TELEPHONE RECEPTACLES FINISHED FLOOR OR ONE TELEPHONE RECEPTACLE AND ONE NETWORK RECEPTACLE ACI. ITEMS IIIUSTRATED ARE TO BE iURNISHEO AND INSTALLED BY CUSTOMER OR THEIR CONTRACTOR. DETAIL NOT TO SCALEw r��] Lc) Q _ U 'c2 J Z 4oW� W > �omo U O uwo� J W e�wa Ne EL w x 7 n a a�a C) _ THIS SHEET IS PMT OF THE DOCUMENT SET LISTED ON SHEET Cl AND SHOULD NOT 8E SEPARATED W z w O U a 0O of J Q J o Q U o o w � = W w J o To U z ry Q w n _ W � J PROJECT REVISION 171835 00 DATE: 10.May.17 DRAWN BY: MKL CHECKED BY: MKL DT. NO:PR6C91216V5 EQUIPMENT DETAILI B4305C I IPS CABINET 22,3" [S65mmJ O PLAN VIEW SIDE VIEW 21.fi (SSOmm] 21.5- (545mm] [[ L. FRONT VIEW REAR VIEW DETAIL NOT TO SCALE EQUIPMENT DETAIL B4305B 1 VENTRI/DISCOVERY NM530c GANRTY 1�l Nod OP VIEW ll'- 22 S. (572— SIDE VIEW REAR VIEW EQUIPMENT DETAIL B81044 PATIENT POSITIONING CAMERA REV. DATE: 03/10/10 1.25" [31 75] 19"� [30.22] I: I� Ia I� I� 5' 0" to [ 1524] [35051— DETAIL 3505]— DETAIL NOT TO SCALE 1.19" [30.22] EQUIPMENT DETAIL B4305A I VENTRI/DISCOVERY NM530c TABLE 26.7" [350mm] CI w E x � Z n f � E 6.3" [416mm] FRONT VIEW 1--j RIGHT SIDE VIEW LEFT SIDE VIEW DETAIL NOT TO SCALE EQUIPMENT DETAIL B4305D OPERATORS CONSOLE REV. DATE: 0B.NOV.11 _ J / E E I I u TOP VIEW SIDE VIEWS EQUIPMENT DETAIL M1014AW XELERIS WORKSTATION REV. DATE: 01/24/06 8.30' [210mm] 19.6 [503mm] [46060m— ] 17.07" z0> t449—)}0 " [SIOmm] L [ �[SISmm] COMPUTER 21" COLOR MONITOR —7 TOWER 37.9 LBS/18 KG 68.3 LBS/31 KG 1455 BTU/500 W 369 BTU/135 W N 0 I T.B.D. �[470bid mm]��[17Dmm] � w T.B.D. ou 2 LvJ �I Om7m] J KEYBOARD FLAT PANEL MONITOR Z 3.4 LBS/1.54 KG y DETAIL NOT TO SCALE O THS SHEET IS PARD OF 114E DOCUMENT SET LISTED ON SHEET Cl AND SHOULD NOT BE SEPARATED N a�w _J U Q O a$o� I jr7 Lr) z LL) 0:: L LL) 3r O w¢O 5 �W o C3 v1 oN W W o Gaw -ate; W � _ W S J no V Q ' ¢_r W z W U o = J 0 J 00 Q U O J LL'J D = L1J Lai n, z< Q w w � J PROJECT REVISION 171835 1 00 DATE: 10.Moy.17 DRAWN BY MKL CHECKED BY: MKL OT N0:PR6C91216V5 OT 21.Apr.17