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B15-0198
. �..�._��..��.._,�. �. . ... .. _ ____ �.._� �..�,�.�,. �� �� ^ l �,. ' .� � 10-29-2015 Inspection Request Re orting Page 5 4:16 qm Vail,s'O - Citv O� Requested Inspect Date: Friday,October 30 2015 Site Address: 5166 BLACK GOR�DR VAIL #B A/P/D Information Activity: 615-0198 Type: COMBO Sub Type: ADUP Status: ISSUED Const Type: Occupancy: Use: R-3 Insp Area: Owner: BLACKGORE LLC Contractor: WLM BUILDING AND HOME SERVICES Phone: 817-239-3126 Description: Repair and replace deck with composite,railing and landings at,t�p and bottom of stairs. Requested Insaection(s) ' Item: 542 PLAN-FINAL Requested Time: 08:15 AM Requestor: Phone: Comments: 817-239-3126 �t'`^�:',.,_. Assigned To: GRUTHER ..�, t,•�..,,- Entered By: MHAEBERLE K Action: Time Exp: _� �;� � Item: 90 BLDG-Final �� Requested Time: 02:30 PM Requestor: � � �Y; � Phone: Comments: 517-239-3126 � �`;, Assigned To: JMONDRAGON `. i � Entered By: MHAEBERLE K Action: Tirrle Ex� �_ Item: 420 Special Inspect-final rept '; Requested Time: 03:30 PM Requestor: Phone: Comments: 817-239-3126 Assigned To: JMONDRAGON � Entered By: MHAEBERLE K Action: Time Exp: �:, � ` '�. / / � ° _...-.-°'"- ,'�. �.-''r�:� i s � 4 Inspection Historv '' Item: 90 BLDG-Final Item: 542 PLAN-FINAL Item: 420 Special Insp ect-final rept `F ` Item: 10 BLDG-FOOTING Approved" �' 08/05/15 Inspector: sgremmer Action: AP APPROVED Comment: 09/10/15 Inspector: sgremmer Action: AP APPROVED Comment: 10/12/15 Inspector: Martin Action: AP APPROVED Comment: Item: 20 BLDG-Foundation/Steel "Approved*' 08/05/15 Inspector: sgremmer Action: AP APPROVED Comment: 08/24/15 Inspector: sgremmer Action: PI PARTIAL INSPECTION Comment: repair 2 columns 09/10/15 Inspector: sgremmer Action: AP APPROVED Comment: Item: 30 BLDG-Framing "Approved" 09/10/15 Inspector: sgremmer Action: AP APPROVED Comment: REPT131 Run Id: 14668 NOTE: THIS PERMIT MUST BE POSTED ON JOBS/TE AT ALL T/MES ,. �w�ro�u�, . Town of Vail, Community Development, 75 South Frontage Road, Vail, Colorado 81657 p. 970.479.2139, f. 970.479.2452, inpsections 970.479.2149 COMBINATION BLDG PERMIT Permit #: B15-0198 Project #: PRJ14-0436 Job Address: 5166 BLACK GORE DR VAIL Applied.....: 06/10/2015 Location......: #B Issued. . . : 08/04/2015 Parcel No....: 209918212013 OWNER BLACKGORE LLC 06/10/2015 411 W 46TH TER 1003 KANSAS CITY, MO 641121437 APPLICANT WLM BUILDING AND HOME SERVIC 06/10/2015 Phone: 817-239-3126 W. LINDSAY MEAD 2052 WEST 2ND ST RIFLE CO 81650 License: C000003938 CONTRACTOR WLM BUILDING AND HOME SERVIC 06/10/2015 Phone: 817-239-3126 W. LINDSAY MEAD 2052 WEST 2ND ST RIFLE CO 81650 License: C000003938 Description: Repair and replace deck with composite, railing and landings at top and bottom of stairs. Occupancy: R-3 Type Construction: VB Valuation: $11,000.00 ............................................................+.......,.._...,.,,.<.. FEE SUMMARY ,.......,...,..............,.......x,,......,....._........_,,...,,.......,....... Building Permit-----------> $472.05 Bldg Plan Check----------> $306.83 Use Tax Fee-----------------------> $20.00 Electrical Permit---------> $0.00 Elec Plan Check-----------> $0.00 Restuarant Plan Review--------> $0.00 Mechanical Permit------> $0.00 Mech Plan Check---------> $0.00 Additional Fees--------------------> $440.00 Plumbing Permit--------> $0.00 Plmb Plan Check---------> $0.00 Recreation Fee--------------------> $0.00 Investigation-----------------------> $0.00 Will Call------------------------------> $10 00 TOTAL PERMIT FEES--------------> $1,468.88 Payments-----°------------------------> $1,468.88 BALANCE DUE------------------------> $0.00 ..............................................................................................,,...,,,.._...,..__...,,,...,......,........,.,.....,.....,,,.............._.........._,. DECLARATIONS I agree to comply with the information and plot plan, to comply with all Town ordinances and state laws, and to build this structure according to the town's zoning and subdivision codes, design review approved, International Building and Residential Codes and other ordinances of the Town applicable thereto. REQUESTS FOR INSPECTION SHALL BE MADE TWENTY-FOUR HOURS IN ADVANCE BY TELEPHONE AT 970.479.2149 OR AT OUR OFFICE FROM 8:00 AM -4:00 PM. � combination permit_012811 , � � iV1lil �i �� 1 •��w.++...����..�x.+�+xx+.....�w�xw+,exs.�rxw.�.rrx�r�wwxeev.s.��:xwx...,rwr�s,+w�x.+rr+��xr,r+x.+,e+e�s.��x....w+..xs.wx:rx:rwwv.��,r.�xwx.:rw.v.v.+�xx�.x:r,r.www����xrxrxxx�,eaewwv.v.�v.x+.r���w�xx,e:wwv.v.v.• CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF Permit#: B15-0198 Address: 5166 BLACK GORE DR VAIL Owner: BLACKGORE LLC Location: #B •trtfY'fYe44f`fftrRtril'4LAf�M1'4Ye�k4f(fttlrYrY'irtfrftr�kt#f�k4RfrttrtrfYnFk�1'M4tri1'i1'�RirRRfrflrn4YrYrA1`4f:�trtrtrrtrt4ff(frwtMFftrMYri(i(ffff�R#4Ye�kf(�ttlrYr4YrY`i(i(ff(RxtrfiYffhilktfl�Rtr�kw�k�kir/rfrffxtrt V hhfiY`�RLI�RLwRletr4rt�kitY'�kt`4LLfftfNil'fiF4itfii(f combination permit_012811 I I Y t 1 V 1�U!� IL'3tL t **„«*«�********«**«***�„*********,.**********„«*«******„***********„********«««.**********«*��*********«****..��********��**�*«,.*****«**�*,.*******.«*� REQUIRED INSPECTIONS AND STATUSES Permit#: B15-0198 Address: 5166 BLACK GORE DR VAIL Owner: BLACKGORE LLC Location: #B �*******,.***.,*****.***„****.,,.,***«*****�************«*****************„*«*******««**�**********�******«**********„**************,******.*******,.**«** Item: 00090 BLDG-Final Item: 00542 PLAN-FINAL Item: 00010 BLDG-FOOTING Item: 00020 BLDG-Foundation/Steel Item: 00030 BLDG-Framing Item: 00050 BLDG-Insulation Item: 00060 BLDG-Sheetrock Nail Item: 00070 BLDG-Misc. combination permit_012811 i i � �'' - Department of Community Development 75 South Frontage Road �-��� �� �r���`%:;: Vail, CO 81857 Tei: 970.479.2128 www.vailgov.com Development Review Coordinator TRANSM ITTAL FORM Use this form when submitting additional information for planning applications or building permits. This form is also used for requesting a revision to building permits. A two hour minimum building review fee of$110 will be charged upon reissuance of the permit. _.. ___ _........ __ _ _ . . _...... . _...... _ ...._ . _.. ..... _........... ;App(ication/Permit#(s) information applies 'to: Attention: ,�Revisions �Response to Correction Letter ��'7 — ���1� ����,:�►►J(r ��P �aftached copy of correction letter �Deferred Submittal € p�.J �� � �`t"�j�P f�Other _....._..........................................___............... ._.................................... ..._...................................................................................._._........_...._................._.._................_........................._......................................_............ _. _..._ - __._. . ..._.... _ _. _.......... Project Street Address: '6��119 Q� dLkC.IL C-3e v2.�: h►� �i ;(Number) (Street) (Suite#) .................................................................................................................................... ; Building/Complex Name: ��-4<-� (�{i(ZL l�C < Description of TransmittaU List of Changes, Items Attached: ___ � REP�it'ZS � ��A�.-=c� 3t+kw�5 , ��-�►v�w?5 Applicant Information - o�! D Gc1[:_ sCe�rc rv vc.s _ A pp � �t�Z t�=�2 (architect,contractor,owner/owner's rep) W�,uv� ����.9►n�6- � !; �-1 G 1 r�l�c Z1 tiKr: Q�,t-�P.4i�L 5 'To P��,�2 5. 'Contact Name: �„ Ll� V���.�r'7 'Address: P�• P��>c i Zc��j � ;'' Uo c.�.A rJ�-�.5 -,-o �.sv a` .q�t,a�A,�cr City ��E State: G� Zip: $�b3 1 �J��+�� ��un� w,A--���4-lS '� ��C sch+:.r�C� !Contact Name: L�� IVI�� �se additional sheet if necessary) >. . ..... ::: . ., _ _ ;Contact Phone: $1`j,- "2,�3`�-"3�Z(o Building Permits: ':Revised ADDITIONAL Valuations (Labor& Materials) ;Contact E-Mail: f�nvvtead�. FI G�v+.a��_ cso,v� (DO NOT include original vaivation) ': I hereby acknowledge that I have read this application,filled out ' Building: $ 22��� in full the information required,completed an accurafe plot plan, ' and state that all the information as required is correct. I agree to :;Plumbing: $�/.a. comply with the information and plot plan, to comply with all Town : ordinanc s te laws, and to build this structure according ;:Electrical: $ n//q to the t n's o i and subdivision codes, design review ap- ! pro ed I er ti uilding and Residential Codes and other ;Mechanical: $ ►-�/o- k ordin applicable thereto. —� ;X 'Total: $� 2��4 ;Own r! ne�' Representative Signature(Required) '; ...__....................... .. ....................................._............................_............................................................_......; ...... ...............................................................................................................................................: Date Received: I � � I� 0 V L� D For Office IIse Onh�: ��� � `� �O�� Fee Paid: Received From: Towrv oF va��. Cash Check# CC: Visa/MC Last 4 CC# exp.date: Authorization# EDGE OF EXISTING DECK TO REMAIN � � � � � d � U1 ;;;�:� 1 � 2015 OF VAIL � EX. GL 5 1/8 x 13 1/2 TO REMAIN z � w � O H � r- I � / Z � I W II N � w 0 ~ II• EX.z -zx12 � TO REMAIN � ;�� � IIX � � IJ i� � Z I. � � �� �c�r�n of V'ail ���;; � ,`�;��`� � ��� EXISTING FASCIA TO REMAIN PERIMETER OF EXISTING BUILDING TO REMAIN EXISTING 2 x 12 @ 12"o.c� TO REMAIN EXISTING GL 5 1/8 x 13 1/2 TO REMAIN C A B S2 S1 S2 EXISTING GL 5 1/8 x 13 1/2 TO REMAIN EXISTING HANGERS TO REMAIN — NEW TREX DECKING AS SELECTED BY OWNER EXISTING TREATED SLEEPERS @ 12"o.c.TO REMAIN- REPLACE WHERE REQUIRED DUE TO DEMO DAMAGE. EXISTING MEMBRANE TO REMAIN EXISTING PLYWOOD TO REMAIN EXISTING 2x12 @ 12"o.c. TO REMAIN EXISTING CEDAR TO PCIIAAIAI A D ETAI L A S� 3/4"= 1'-0" EXISTING 2 x 12 @ 12"o.c,�.�TO REMAIN EXISTING GL 5 1/8 x 13 1/2 TO REMAII� — — — J� — � A EX.GL5'1/8x131/2 S� TO�2�MAIN �+� B \������.��Q. C � SZ ��'o��P� S2 �� P� � o���� �/ 3��� � �,��+ � �,���1!`��9�. �h/ . ; �_.. � �� � ��� �S 1 �� / V� / .°—°---°-_ _ � EDGE OF EXISTING L/` DECK TO REMAIN UPPER LEVEL DECK FRAMING PLAN 1/4" = 1'-0" �_ — � �' - — • � U .� Q v a� a� � � �E N s � N N� �� Q a ° r� N O n° c°� �� d> �: ��,� ,� „?7 `id � ��A ,.. ,y .y` ^ 1 j. l .. "t. ,A Y �q, 4, :y 1°�.�y"ry . .�, ' :',k .. . .—. L1J � � � O W � d O � W � O � Y J �/ U � Wi � J 00 ¢ 0 � � � � I � O N � � I N � i � � � �� ,� �I � I I _ ___ _ S 1 oF 2 ' � - - -- ;',�"'' STRUCTURAL SPECIFICATIONS i) Rep3acement cic:�kin�ct,h�:T'[tt==�,a,se#ts:ted by��.�n�r sc�g�pectt-ct at t?„c�s� ce�ttcr and mnne4ted in x4ccrrd:anc.���ith rtx�r�uf:�<tc�re:r's star�d�r�i dc;ta�#w�nd s�eci�catii,ns itl�}�ec€s1e�:p�.r�ai timc�f�izrskoiitic�+1,r4plaee�.4 rec�uire+�wish c treatrd t4t{�erc�i sle�pers:u 1�"�}���nter�tac�d aho���cistia��j�ist�.. e 2? I.�r.:lc�ac�:;usctl it��r des'sgn- '�.Lliif.a�(}�}',�I...�t7L:1i'. -F�Ic,izr-���?sFre��c�c'ntiat. -f�ck-1{�)�a,f. -t��'�nd-�)(J ni�h�3�c�:c�rsd�st3,�x�nsuri:#3. -C�ar[l�quak�:-li�n�C'-#f�C. $? 1El Curss�rca�:iics��t��u�-t Gnan�l����¢t�the 2t3I3£z�ierttz�cic�nal E3uii�3izZ��."ec{c,as a�ic��ted by the'Tatiin�rf VttiI i3t�ilciin=Utpar€tnen#3�ad the"t.ienerat C'�nsi'sticrns��et tfa�(�cs�itract[;ar Cc�n��rueiic�n"irti;'1 t�at'tm�eni�t?f)i), ;ttf cc�tt�t�'tt�tion mt��1� cnnaplefed witt�in kl�s�tolcrcirrn�s d�c:ribs:ci in t�e t�esid�ntia}Cacr�:t�ucti�a:� ['erfc}rzr��nce Ciuit3�:linLS"as prc}:�areci hy t#�e'�.AI IC}'•.v,AL..�5S�C;3.a'ftC��t�F �c��t�:�t�t�.t���xfi. �) t1f!struciural rt��nrl�rrs ar�slio�un i;n their fit�!pc?:�itioz�s prop�rl}�braci�unti s���aRxans„ci;dur'sn�e�n4tru�ti�7n it maw=be�ecessarv to tetn�crr�trily :,Jrnre�c�zii�ns c�i`t}�z structur��i�•hzte uthc:r�cjnsnns are besng co��stnaLtcd. Ccaatact th�c�sz�inc�-r fcrr cansu.tattun as rer�uire�#: �"� trancraf Cvntrast�.?r i�re;�scrosi�ile for aii nc�n�+eei��d canne�tif>atis.�:ur�t�ct ��naanc.er fc�r�czait��ts re�uir�:ci. Tt�c;srs�ins.�er is tf�approvc.�t{i;truc:tuzal substrt�ztS,vns. �j L'ienerax C'.c�ntracice ia to�:�mrdina,e af�t�s��l�ca��;y�cnetrati��sss{i�.,eE�imn�;}�s, piambin�.se.aers,ctc.}Et�rr����h flot�r�_u�lis:r�ufs and faun��ti���tiu��9s�1°ith .r��rt��ari�t�su�-ccsntr3�ts��; Cicn�rat Cot�zt�tor is r��p4n��bie€or the meai�s. i��,tbc�ds,Ee�lratiqaes ,cc�+�enc.e�,pec����c3u�cs,tvorkrt7asTSht�_scast>rt�f seh�dutiri�; a�Yd jat�-site�afety a,5o�i�Ced with this�rojec:t. 'i h�(iGkler�sl t��tstr�c:For is tc� vc:rffv�ii dinZensiizn::and ciev�nvns Lvish tia�;architectural drawin�;s. :���cify cf�rineer af aIf cc�nfliets an�#c�miss�c.�n+hf;twei�n�•ariat3�eiements t+f�t��tivurkirt� .-ltawings�nd th�zxistin;ecsn�titinns�ri�rr tn ursanrz��ncing witl�ihaz�carti�an c�f the �rc�j�ct, isen�z�at l'i�sttra4t�r is 1ca ins�ci rcm�dzE ptt�jrct�attt3 i�erif}+�ri�r tt��and �ico��r�[i�prs:cal�rFc.;�i.±tip�r�tat;riai�{i.e.,as�iestc�s,ctc:.?�rcc�uircd hv�ar1e, 7� �t4!m�teriats Ls{a��sea t�extcrii}r su.ci�r maisture tan�titic�ns yhatf b�;tre�it�fr�r t���,��c�zsc3at�c�n3(i.e..c�ren`+ical trcattn�nt,stain�u�>i�aintin�,c�aatprvcstin�, n�rnhrat34s>E]ashin�,ete.}a�requirui bp£�e�Se, i�ti matc;riais to�c trrate�f�r fir� resistance as t�yuin;d b�cc�d�. � � t N e\-� - � I � � � I \ � EXISTING DF#1 8x8 COLUMN TO REMAI N i� �i � i � i� z%z° m � EXISTING GL 5 1/8 x 13 1/2 BEYOND EXISTING � GL51/8x131/2 TO REMAIN � D ETAI L C SZ 1 1/2"= 1'-0" EXISTING GL 5 1/8 x 13 1/2 TO REMAIN � ; �_ ,�I � N ! I N co 2�2" 2�`�8� \ � �\ � 8� / h EXISTING DF# 1 8x8 i COLUMN w/EXISTING 2 1/2"x 2 1/2" NOTCH FOR BEAM BEARING 2-3/4" DIA. LAG BOLTS 12"LONG w/ MIN. EMBEDMENT OF 5" INTO EXISTING 8x8 COLUMN TO REMAIN EXISTING GL 5 1/8 x 13 1/2 TO REMAIN B DETAIL B SZ 1 1/2" = 1'-0" ���l��v�i. ��r.: r_ , � /' ��t�- e �y: �- � ��=� S� U .� ,�+ V � � � � � .� N N N� �� a a � N� L U � � �� II� � � � �i i W � � O N Q � Q) N W i � 0 W Q � Y � m m co ca � � ¢ � � Q � ��IIIIII� � S2 oF 2 . ' ��''�°` \ g � Department of Community Development / 75 South Frontage Road TOWN QF VAIL � � ' va�i, CO 81657 Tel: 970-479-2139 www.vailgov.com BUILDING PERMIT APPLICATION (Separate applications are required for alarm & sprinkler) Project Street Address:� �.� ����.�___ ____._.__.___---.- Project#: `f �� � �'f' �� (� �.-���j �jl�l� ��� ��A�-�L C�o,,2d" �K � '(Number) (Street) (Suite#) DRB#: LK8� I�� 3�Gt �� S• Building/Complex Name: Building Permit#: � ��� `U �� Contractor Information Lot#: Block# Subdivision: Business Name: (,l��.V�11, Q3�;tl,Dl►.l(s � 4�V��.: Sc�21�. --____�_ __�.__.__._---- -------.- ------ -----___ .._.._, Business Address: f �� �'.X;�c f 7��j ��{7 ti�ALtv�b1�.�9�ork Class: New( ) Addition ( ) Alteration(�) ' City���; State:��Zip: �I(�� ( Type of Building: j Single-Family( ) Duplex(.� Multi-Family( ) � Contact Name: �� tf��1�-� ' Commercial ( ) Other( ) ____ _..__ __-- --__ __ ___ __ _ ,Contact Phone: i� - Z 3`'i- 31 L(o --- --- ---- -- --- --- --— --- Contact E-MaiL- Li i�v�cU��( �, (`p�.4�.1 l,� c,Otv� ,Work Type: Interior O Exterior(� Both O I hereby acknowledge that I have read this application,filled out Valuation of in fuil the information required,completed an accurate plot plan, Work Included Plans Included Work and state that all the information as required is correct. I agree to �Electrical ( )Yes (x)No ( )Yes (;x)No comply with the information and plot plan,to comply with all Town ordinances and state laws, and to build this structure according to Mechanical OYes (X)No OYes (�No the town's zoning and subdivision codes, design review ap- proved International Building and Residential Codes and other Plumbing OYes (�C)No ( }Yes (u)No ordin f e Town applicable thereto. g �X� ( ) (.X) ( ) � Buildin Yes No Yes No �OD ' X I Value of all work being performed: $ ��1�00� ? Own r Own 's Representative Signature(Required) (value based on IBC Section 109.3&IRC Section 108.3� � ' Electrical Square Footage -- --- -- -- Applicant Information ^ Detailed Scope and Location of Work: ��A�� "7� �'-'�1C.� . � \ .Applicant Name: ���� � \�.t11���c �O�,i� �n;Od�� �::c,l:t �VP�Y�.�- ApPlicant Phone: � �4,.►d� ?ir _ j�����c.� �rM�°�5 i��' ;��'�<< A licant E-Mail: ' �;,r ��`� � PP R F 1�C t . 1�1� C:o�si�,K.Y►.�� 3 iZ�iP.at i K. — Project Information � �� ����� ������`��� �� Owner Name: RI,,P+;,,� 6-c�w� l,l,E�. .— (.OkOtnf�- U F S.i�a,fc�s,� c7acw�acW) ,— c � Parcel#: Z�Qi� - l�Z- \z�� - � �5� �mca�-� 4r`�=�� (For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit �-�� www.eag lecou nty.us/patie) (use additio ' For Of�ce Use Only: _ � _ � v � v � _ Fee Paid: � �� `� Date Rece Received From: JU� � �) 20�� Cash Check# CC: Visa/MC Last 4 CC# exp date: TOWN dF VA,IL Auth # 2014-0901 M � ��� !�' • FINAL REPORT OF SPECIAL INSPECTIONS Project: RYm€�� D�ck R�pa�r PermitNumber: ��-��0�`�� � i�roject Locat►on: ��66 �:��.�1� G;o�'� Dx'�.v� G �� � �G t�� Qwner ���c� �or� �,�,C /�ddress 411 W 4 6 t h T�R. 7.0 0 3 City: KC, MQ Zip: 6�1�2 T].4�'7 Special Inspecti�ons Ag�ncy �sig�R�f$�sie�4l�r-�I�g�GROUND Enq�,rie�x'��q Cpnsult�n�s, �nc Addrer,s: �'0 �ogc �64 City: �,.y���� St�te: CO Zip; 81637 phone: (970) 524-0720 IF�: ((�"7�CQ�T,� ���=�71�� �iit: �ie��.��t�t�¢�r��n��r.�mn ���e�.�n��n����¢����o������� T�th� be�t of my information, knowledge, and belief, the speclal inspectfons and/or testing required for this p�oJect, hava been complet�d fn accordance with the contract documents. Il�rii►�n rts�,e��►+��ri,�1t����itnr�ll��if�i�i I�ii�fi�nn a i�ii�fie�r,,���,I� ¢�idl�r�dl�nn iimt��l�t oiF tdhi�f�in�tll rt�It A►im�y di�r��n�ii�1dh�tt�renr�iim�III iin�ri�nn� have b�en carr�cted. ***����s� ��e �e�a��s 15-6570 .epoxy. 150619&150825 .SS.p�t*** Prep�red b�: ,,,.�:a� ,��U(�Rh(;�� . ��.r� Henderson, P.�. �'"c��'�'d��'��;,;� � :3 � � r3 T or Print N e ui� 388iS?_, ����caai %� .�� '�r Sig ature �U��� 1Q-'�-201.� _ ____ _ ..___._ __ _ __. _ � _ _ Preparer s Seal and Signeture Required o � � !� � ��n � n ,� �va� (� � 2015 ;,!T� :�,� � TOWN OF VAIL � ���_ , ���� � Cli�n� Mr.Lin M�ad WI.M Building and Hom�Servic�s PO Box 1708 �����������r �I��'�°�+'������`_� �agle.CQ81631 Rymer Deck Repair R�pbrt C7ate:A4�i���.�Q111$ Job hlumber:'h�,7ri� General ContraGtor: W�M Rufldinp�nd kl�mm S�rvic�� Rep.IVbtified: �fn Me�d Subcontractor: N/A Rep:Notified: N/A � Documents Usetl:Ip� ��� 1111r► ��Yftlr4: 1..)�r�dl�l�i�d,$�tlA�&�f4�lA�Q�1WJd��Q�e�A�i�@if 3AJW�In�k12�t1l� 2.) 3,) 4.) t�rientatt�r;(v��ti�l/���z�r�t��}� 1.) 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