HomeMy WebLinkAbout3219 Sheridan Boulevard®� A . City of Wheat Ridge
Residential Roofing PERMIT - 201707158
PERMIT NO: 201707158 ISSUED: 09/12/2017
JOB ADDRESS: 3219 Sheridan BLVD EXPIRES: 09/12/2018
JOB DESCRIPTION: Residential Re -roof to install laminated asphalt shingles with ROOF DECKING
- 18 sq Pitch = 5/12
*** CONTACTS ***
OWNER (720)254-6818 WEI HUI
SUB (877)784-7663 Pat Nussbeck 170136 Aspen Contracting
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,503.00
FEES
Total Valuation 0.00
Use Tax 220.56 --
Permit Fee 220.15 —
** TOTAL ** 440.71
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be
required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped
off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the
Homeowner.
w City of Wheat Ridge
"~ Residential Roofing PERMIT - 201707158
PERMIT NO: 201707158 ISSUED: 09/12/2017
JOB ADDRESS: 3219 Sheridan BLVD EXPIRES: 09/12/2018
JOB DESCRIPTION: Residential Re -roof to install laminated asphalt shingles with ROOF DECKING
- 18 sq Pitch = 5/12
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 municipal codes, policies and procedures, and that I am the legal owner or haue 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 ermi I further attest that I am legally authorized to include all entities named within this document as partes to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date . �
1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original_ permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuanee oranting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicableilD ordin regulation of this jurisdiction. Approval of work is subject to field inspection.
eL m ,J
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
From:
Sent:
To:
no-reply@ci.wheatridge.co.us
Thursday, September 7, 2017 2:26 PM
CommDev Permits
Subject: Online Form Submittal: Residential Roo�fin�g_ Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 3219 Sheridan Blvd
Property Owner Name Hui Wei
Property Owner Phone 720-254-6818
Number (enter WITH
dashes, eg 303-123-4567)
65
L
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Field not completed.
Yes
Attach Copy of Executed scan.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Aspen Contracting Inc
170136
785-829-3685
Contractor Address 7777 W 38th Ave, Wheat Ridge CO 80033
(Primary address of your
business)
Contractor Email Address gburns@roofsbyaspen.com
Retype Contractor Email gburns@roofsbyaspen.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 18
the entire scope of work:
Project Value (contract ; 10503.00`,
value or cost of ALL
materials and labor)
Are you re -decking the Yes
roof?
66
Does the scope of the No
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the Yes
project include a pitched
roof (2:12 or greater
pitch)?
What is the pitch? 5
How many squares are 18
part of the pitched roof?
Describe the roofing laminate
materials for the pitched
roof:
Type of material for the Asphalt
pitched roof:
Provide any additional house roof
detail here on the
description of work. (Is
this for a house or
garage? Etc)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
67
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Gregg Burns
Email not displaying correctly? View it in your browser.
68
AGREEMENT
303-719-0916 m,L
1560 Broadway, Suite 2090, Denver, CO 80202 M Y�� LF
S P � � T PRO.it:GT C NSULTANT
1 j v LIC # 245288gg6` A+
core rltncpI ltic INSURED AND BONDED _1 « - q 4,d `r C
W PHONE
� ` DATE EMAIL ADDRESS
TREE CELL.P_kiONE hoc, �OMEPHONE
QTY C STAT 1I
( f C ZIP
Furnish All Materials, Labor and Permits
Protect Property as Needed Daily
ROOF SPECS
S' Tear Off Existing Roof Type— "S C-4,
M/Inspect All Sheathing for Nailable Surface
M" Install Ice/Water Shield Around All Penetrations and to Code
O' Underlayment _ t'A-r-4 L� }
O Metal Edge Color -;l
0 Install New Roofwithlr�,c (�
❑ Color to be�� Sr>�. ] \ C%-•-) Customer Initial
C3 Appropriate Nails C} v 1C..A
®`=galley O Closed ❑ Open "
C9 Hip and Ridge to Cap Off Roof
171- ' ,'entilation 6 Box ❑ Ridge ❑ Other �+.��
n -'Pipe Flashings
M( Seal Around All Vents, Pipes and Flashings
tClean All Gutter/Downspout Debris
i". Haul Away All Debris
Q" Roll Magnetic Roller Around to Protect Area
MISC SPECS
IF INSURANCE CLAIM IS INVOLVED
SIDING SPECS
6' Tear Off Existing Siding Type
❑ Inspect All Sheathing for Nailable Surface
❑ Install Q House Wrap ❑ Insulation Board
❑ Install New Siding with
Size Profile Color
❑ Ventilation
❑ Seal Around All Trim and Openings
❑ Haul Away All Debris
❑ Roll Magnetic Roller Around to Protect Area
GUTTER SPECS
❑ Tear Off Existing Gutters Type ysAAC'4 S
Q Inspect All Fascia Boards
11,.InstallNew Prefinish Seamless Gutters
Fr 5" O 6" Q Other
LLT"Color to be \( •'-tom Customer Initial UV
d�'1Hidden Hanger Attachment with Screws
9" Install New Prefinish Downspouts
0 2x3 ❑ 3x4 ❑ Other
❑ GtjttiAr Prntontinn
Lifetime
' SPEN Warranty
Aspen to meet insurance company onsite for scope of work to be completed. This Agreement is contingent upon insurance company price and
approval. This does not obligate the Customer or Company in any way unless it is approved by Customer's insurance company and accepted by
Company. In situations where supplements for additional work are necessary outside of the original s
mismeasurements), Company will seek approval from insurance comcope of work (ex. additional layers or
p
exceed deductible plus upgrades for non -insurance related claim items.any and payment from owner. Customer's out of
Payment Method: Payment Upon Completion Of Each Trade. Zero money down. Pocket expense not to
Insurance Company Q��,`��
O ' ',�- k C�
--- Date of Loss Claim #
Roofing Estimate ', Replacement �
O Repair
Siding Estimate Q Replacement
Gutter Estimate Q Replacement $
Misc Estimate for: -
Additional Upgrades or Non -insurance Related Items $
Overhead &Profit for the Complexity of Multiple Trades $
Total Cost . � $
Accepted by Owner By: �tv,t
C:' Date: �! � /z 0
co 01.16
C �
Aspen Representative Signature:
Date:
i CITY OF WHEAT RIDGE LI
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: y F 9 - r' , �_ " I
Job Address: 3 a 1 g S LV_ (_, dG I v d
Permit Number: 'D D 1 � a -7 s- g
7-1
GO 014� c l
❑ No one available for inspection: Time �'= S`1 AM/PM
Re -Inspection required: Yes 90)
When corrections have been made, call for re -inspection at 303-234-
Date:- g a a ) -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: -324% 0 1,
Job Address: a19 A„ i %4 Cl
Permit Number: 0 C7 o 7/ S' 8
G
❑ No one available for inspection: Time t 3 AA&D
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-
Date:- f /�c Inspector: T'�
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
-A_:�
- Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE J
Inspection Type: 3 E 313 c, & - n 1- 5L
Job Address: 19 '; 4e r , d ez r, R kd
Permit Number: a ® / > a ->
-4— n
1 /
00 (y7, S trlS�iC. rCn dc, tic 3�s
CG )r 1 sncr1. �� ,-E c: ,,id( 4, �Y
e ---
jyb , c 1 Cc,; L
❑ No one available for inspection: Time > t- - DD AM PM
Re -Inspection required: Q No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 9 / / g Inspector: Tib
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201705722
PERMIT NO: 201705722 ISSUED: 08/09/2017
JOB ADDRESS: 3219 Sheridan BLVD EXPIRES: 08/09/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 18 sq
*** CONTACTS ***
OWNER (303)761-7663 WEI HUI
SUB (303)761-7663 Paul Cicero 140239 Performance Construction
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,000.00
FEES
Total Valuation 0.00
Use Tax 126.00 w
Permit Fee 140.90
** TOTAL ** 266.90
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
A City of Wheat Ridge
Residential Roofing PERMIT - 201705722
PERMIT NO: 201705722 ISSUED: 08/09/2017
JOB ADDRESS: 3219 Sheridan BLVD EXPIRES: 08/09/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 18 sq
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the pro erty and am authorized to obtain this permit and perform the work described and approved in conjunction with
thi&I/J__
rther attes a I am legally authorized to include all entities named within this document as parties to the work to be
pethat all rk be performed is disclosed in this document and/or its' ccompanying approved plans and specifications.
<?//� /7
Signature of OWNER r NrCTOR (Circle one) Date1. This permit was issue base 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 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, 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.
Dane Lovett 70 /0 �7 ZZ
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, August 2, 2017 6:07 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing. permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 3219" heridan Blvd
Property Owner Name Hui Wei
Property Owner Phone 303-761-7663
Number
Property Owner Email performancepermits@gmail.com
Address
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
Attached Copy of 17209Contract.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business Performance Construction
Name
Contractor's License 140239
Number (for the City of
Wheat Ridge)
Contractor Phone 303-761-7663
Number
Contractor Email Address performancepermits@gmail.com
Retype Contractor Email performancepermits@gmail.com
Address
DESCRIPTION OF WORK
Are you re-decking the No
roof? f
Description of Roofing Remove and replace 18 sq ft of asphalt shingles
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 18
material selected above?
Does any portion of the No
property include a flat
roof?
If yes, how many squares Field not completed.
on the flat roof?
TOTAL SQUARES 18
(pitched + flat) of all
i
roofing material for this
proj ect
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
This is for the house. Pitch is 6/12
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Sean Amos
Email not displaying correctly? View it in your browser.
3
IgI?Oq
OtO
'!' 11)1% lmol "af rlt ry Ul' ..,thrit,n°irl by i'elt`rrrrn altar
Construction 11;10F accepted wvrtho 30
drays from ihct proposal date
Performance
Construction
Name:--kh-1
�-
.lob Address III; �X '
City. State. Zip:
Mailing Address. t, -. j_
(If Different)
Entail Address
Best way to contact
ear Off J Layer(s) of
and eaves are open or closed
✓[inspect Decking: Deteriorated existing decking
replaced at cost of $ ri per sq. ft. Homeowner
be notified if any damaged wood is found during tear off
stall ice shield oea
__ Ives'and inti vales)
nstall drip edge
-mains It underiayment
recover roof with��"
✓''� . year manufacturer warranty.
Color.
mail every shingle
_�,-install ridge style
-. Anstall pipe jacks Reflash swamp cooler
Step flash sidewalls.step flash chimneyrstep flash Skylight
ti. Performance Construction will provide general
liability insurance of at least $2,000.000 and Workers
Compensation of at least S1.000.000
'Glean up and haul off roofing debris(can out gutters
111Aagnetic sweep of surrounding area !Clean out landscaping
XAll required permits furnished by Performance Construction
to be reimbursed by Insurance Company
(Performance Construction '.:� year warranty on labor
_/Current Ventalilation
Recommended -=� Y }
Decline recommendation on ventilation
2331 W Hanlp(len Ave 11134
Sheridan, CO 80110
Phone: 303-761-7663
Fax 888-958-2077
yf
Proposal Date:
Services Provided
Project Manage! �......_._s�J-r.
Cell Phone
E111,111
insurance f,oialpany a_
Adjustor information_
Policy Number
Claim Number
periorinanceconstruction co
>k �i r l -ill cwt. r`
(nlperformanceconstruction co
. !utters'.
Color. _ _ _ Outlet
ti
Extra work
y
Special Instructions cCsr t
Performance Construction shall hold in trust,
any payrllent received from you until Performance has
delivered roofing materials at the site or has performed
a majority of the soling work on your property.
, ( c) , deductible to be collected
at time of material delivery.
S P/. r!' j 1/,-1, initial total claim amount
as of ' ,] / / 120 12 his
price is subject to supplementsfadjustments_
Roof work to be completed within 2.1 days of final
insurance approval and mortgage endorsement'
7/1
nor` or f ptanCi"
l'
Performance Construction Repr sent (IVF �
L 3 t Wraef 3 slsih attlie
Property Owner rS ,`'� lis not intendinci
to timke t) lynwnt from the pfaceeds €7f a property and
casualty insurance policy.
If =,o, nFust rear( and Sign below.
6iy.�.t.` aClk. io !!'11:11 �f Tf4r`hh�nRE {, (31'.trUCtJZS i,f},`itFa.2(, t23 : it71'H f?r- 'f -;l'
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Ib.l�, _t�•-�=�.�1:`i.•(: •, ,, �aa�,Tir^lilt'IF;f , _ ,- � ,
Upon the insul'MCC! WT It.'! ,Iqr evr!.evi 4a33Lh The Cclritr'IEtw .1.I'd Vt v J...
().ilii -' ' tr.- €£ ri .b ,•, tl,• a.+ll it i.ill 17" ICT1: , ii ..- d s.iy` 1,', lift .1 ,it!! 4t l :V'.f `1St =7Ut t1.14i+.
Checks Shall be mode payable to Performance Construction
in the event that th L''nsuranc ca'rrler fat s vo n"quliiAl! to ,h f. ata ?411
"l.i 'n pv,� r, . 1. -.., '�.S 1, tJ•' r, , , atf'=•.. rl �" ills! _Iti'+„^nae�£1t .r i..1^'v.'lsi;
ln'illr4'(1 out of Pot kel f;'X Perm-wJ1 not r'yr Ved the m.,Sir, Ill 1pu''-t;)l')."fi
po;,C } . .rift .°-#14f' 1tJt Sllt^ s. t - e !! iltl+ln (J,"4Ya`t'II StN. ="SS SA.'.blhi .' ;:..h1 Y1t't .t 13(� .lYJ• iUt7f reF(Et}r ()7P
rth;Ured 3SSO:herrc�s'071 `€'31+:Or.,;l ll%: >i.ar`f G --^•ti .StE tht,7'„lty`-'tPu- ..--1t'r.>
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