County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building...

200
County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360 Fax: (804) 501-4984 Building Location Owner / Agent Periodic Inspection Due Category I, III and V Periodic Test Due Key Location: Alarm Status: Equipment #: (804) 484-8157 ELV2001-00200 NONE GUARD DSK-CALL MAIN (804) 484-8696 The ________________________________________________________ performed (Attach additional sheets as needed.) Equipment Information Elevator ID #: 1 Code In Effect: ATTN: All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500. ALTRIA HEADQUARTERS 6601 W. BROAD STREET RICHMOND VA 23230 PHONE: FAX: ALTRIA HEADQUARTERS 6601 W BROAD ST RICHMOND VA 23230 2010 Equipment Type: Elevator Inspection Agency: _______________________________ Inspector Name (Print): ____________________________ Inspector Signature: ______________________________ Building Representative Contacted (Print): ________________________________________________ SCOTT GIBSON on ______________________________ of this equipment has revealed the following conditions: EMAIL: [email protected] June June / December

Transcript of County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building...

Page 1: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 484-8157

ELV2001-00200

NONE

GUARD DSK-CALL MAINT

(804) 484-8696

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

ALTRIA HEADQUARTERS6601 W. BROAD STREETRICHMOND VA 23230

PHONE:FAX:

ALTRIA HEADQUARTERS6601 W BROAD STRICHMOND VA 23230

2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

SCOTT GIBSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 2: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 484-8157

ELV2001-00200

NONE

GUARD DSK-CALL MAINT

(804) 484-8696

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

ALTRIA HEADQUARTERS6601 W. BROAD STREETRICHMOND VA 23230

PHONE:FAX:

ALTRIA HEADQUARTERS6601 W BROAD STRICHMOND VA 23230

2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

SCOTT GIBSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 3: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 484-8157

ELV2001-00200

NONE

GUARD DSK-CALL MAINT

(804) 484-8696

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

3

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

ALTRIA HEADQUARTERS6601 W. BROAD STREETRICHMOND VA 23230

PHONE:FAX:

ALTRIA HEADQUARTERS6601 W BROAD STRICHMOND VA 23230

2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

SCOTT GIBSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 4: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 484-8157

ELV2001-00200

NONE

GUARD DSK-CALL MAINT

(804) 484-8696

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

4

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

ALTRIA HEADQUARTERS6601 W. BROAD STREETRICHMOND VA 23230

PHONE:FAX:

ALTRIA HEADQUARTERS6601 W BROAD STRICHMOND VA 23230

2008

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

SCOTT GIBSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 5: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 484-8157

ELV2001-00200

NONE

GUARD DSK-CALL MAINT

(804) 484-8696

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

5

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

ALTRIA HEADQUARTERS6601 W. BROAD STREETRICHMOND VA 23230

PHONE:FAX:

ALTRIA HEADQUARTERS6601 W BROAD STRICHMOND VA 23230

2008

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

SCOTT GIBSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 6: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 484-8157

ELV2001-00200

NONE

GUARD DSK-CALL MAINT

(804) 484-8696

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

6

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

ALTRIA HEADQUARTERS6601 W. BROAD STREETRICHMOND VA 23230

PHONE:FAX:

ALTRIA HEADQUARTERS6601 W BROAD STRICHMOND VA 23230

2008

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

SCOTT GIBSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 7: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 484-8157

ELV2001-00200

NONE

GUARD DSK-CALL MAINT

(804) 484-8696

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

7

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

ALTRIA HEADQUARTERS6601 W. BROAD STREETRICHMOND VA 23230

PHONE:FAX:

ALTRIA HEADQUARTERS6601 W BROAD STRICHMOND VA 23230

2008

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

SCOTT GIBSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 8: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 484-8157

ELV2001-00200

NONE

GUARD DSK-CALL MAINT

(804) 484-8696

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

8

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

ALTRIA HEADQUARTERS6601 W. BROAD STREETRICHMOND VA 23230

PHONE:FAX:

ALTRIA HEADQUARTERS6601 W BROAD STRICHMOND VA 23230

2008

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

SCOTT GIBSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 9: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 484-8157

ELV2001-00200

NONE

GUARD DSK-CALL MAINT

(804) 484-8696

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

9

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

ALTRIA HEADQUARTERS6601 W. BROAD STREETRICHMOND VA 23230

PHONE:FAX:

ALTRIA HEADQUARTERS6601 W BROAD STRICHMOND VA 23230

2008

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

SCOTT GIBSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 10: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 484-8157

ELV2001-00201

NONE

GUARD DSK-CALL MAINT

(804) 484-8696

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

ALTRIA HEADQUARTERS6601 W BROAD STRICHMOND VA 23230

PHONE:FAX:

ALTRIA HEADQUARTERS ANNEX6603 W BROAD STRICHMOND VA 23230

2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

SCOTT GIBSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 11: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 484-8157

ELV2001-00201

NONE

GUARD DSK-CALL MAINT

(804) 484-8696

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

ALTRIA HEADQUARTERS6601 W BROAD STRICHMOND VA 23230

PHONE:FAX:

ALTRIA HEADQUARTERS ANNEX6603 W BROAD STRICHMOND VA 23230

2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

SCOTT GIBSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 12: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 484-8157

ELV2001-00201

NONE

GUARD DSK-CALL MAINT

(804) 484-8696

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

3

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

ALTRIA HEADQUARTERS6601 W BROAD STRICHMOND VA 23230

PHONE:FAX:

ALTRIA HEADQUARTERS ANNEX6603 W BROAD STRICHMOND VA 23230

2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

SCOTT GIBSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 13: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 484-8157

ELV2001-00201

NONE

GUARD DSK-CALL MAINT

(804) 484-8696

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

4

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

ALTRIA HEADQUARTERS6601 W BROAD STRICHMOND VA 23230

PHONE:FAX:

ALTRIA HEADQUARTERS ANNEX6603 W BROAD STRICHMOND VA 23230

2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

SCOTT GIBSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 14: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 484-8157

ELV2001-00201

NONE

GUARD DSK-CALL MAINT

(804) 484-8696

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

5

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

ALTRIA HEADQUARTERS6601 W BROAD STRICHMOND VA 23230

PHONE:FAX:

ALTRIA HEADQUARTERS ANNEX6603 W BROAD STRICHMOND VA 23230

2004

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

SCOTT GIBSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 15: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 484-8157

ELV2001-00201

NONE

GUARD DSK-CALL MAINT

(804) 484-8696

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

6

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

ALTRIA HEADQUARTERS6601 W BROAD STRICHMOND VA 23230

PHONE:FAX:

ALTRIA HEADQUARTERS ANNEX6603 W BROAD STRICHMOND VA 23230

2004

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

SCOTT GIBSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 16: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

ELV2001-00213

NONE

MAINT. DEPT.

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

SN HOLDINGS6627 W BROAD STRICHMOND VA 23230

PHONE:FAX:

HOTEL I646531 W BROAD STRICHMOND VA 23230

1971

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

DecemberJune / December

Page 17: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

ELV2001-00213

NONE

MAINT. DEPT.

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

SN HOLDINGS6627 W BROAD STRICHMOND VA 23230

PHONE:FAX:

HOTEL I646531 W BROAD STRICHMOND VA 23230

1971

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

DecemberJune / December

Page 18: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

ELV2001-00213

NONE

MAINT. DEPT.

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

4

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

SN HOLDINGS6627 W BROAD STRICHMOND VA 23230

PHONE:FAX:

HOTEL I646531 W BROAD STRICHMOND VA 23230

1971

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

DecemberJune / December

Page 19: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

ELV2001-00213

NONE

MAINT. DEPT.

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

5

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

SN HOLDINGS6627 W BROAD STRICHMOND VA 23230

PHONE:FAX:

HOTEL I646531 W BROAD STRICHMOND VA 23230

1971

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

DecemberJune / December

Page 20: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 267-3636

ELV2001-00214

NONE

NOT LOCKED

(804) 323-9819

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

REYNOLDS DEVELOPMENT LLC6641 W BROAD ST, SUITE 100RICHMOND VA 23230

PHONE:FAX:

BILLY G. REYNOLDS BUILDING6605 W BROAD STRICHMOND VA 23230

2000

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

LISA HARRIS

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 21: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 267-3636

ELV2001-00214

NONE

NOT LOCKED

(804) 323-9819

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

REYNOLDS DEVELOPMENT LLC6641 W BROAD ST, SUITE 100RICHMOND VA 23230

PHONE:FAX:

BILLY G. REYNOLDS BUILDING6605 W BROAD STRICHMOND VA 23230

1965

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

LISA HARRIS

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 22: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 697-3494

ELV2001-00217

NONE

LOWER LOBBY

(804) 697-3565

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

BROOKFIELD PLACE C/O THALHIMERP.O. BOX 5160GLEN ALLEN, VA. 23058

PHONE:FAX:

BROOKFIELD PLACE6606 W BROAD STRICHMOND VA 23230

1971/2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

FRANCINE RIVERA

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 23: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 697-3494

ELV2001-00217

NONE

LOWER LOBBY

(804) 697-3565

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

BROOKFIELD PLACE C/O THALHIMERP.O. BOX 5160GLEN ALLEN, VA. 23058

PHONE:FAX:

BROOKFIELD PLACE6606 W BROAD STRICHMOND VA 23230

1971/2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

FRANCINE RIVERA

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 24: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 697-3494

ELV2001-00217

NONE

LOWER LOBBY

(804) 697-3565

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

3

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

BROOKFIELD PLACE C/O THALHIMERP.O. BOX 5160GLEN ALLEN, VA. 23058

PHONE:FAX:

BROOKFIELD PLACE6606 W BROAD STRICHMOND VA 23230

1971/2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

FRANCINE RIVERA

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 25: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 697-3494

ELV2001-00217

NONE

LOWER LOBBY

(804) 697-3565

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

4

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

BROOKFIELD PLACE C/O THALHIMERP.O. BOX 5160GLEN ALLEN, VA. 23058

PHONE:FAX:

BROOKFIELD PLACE6606 W BROAD STRICHMOND VA 23230

1971/2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

FRANCINE RIVERA

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 26: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 697-3494

ELV2001-00217

NONE

LOWER LOBBY

(804) 697-3565

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

5

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

BROOKFIELD PLACE C/O THALHIMERP.O. BOX 5160GLEN ALLEN, VA. 23058

PHONE:FAX:

BROOKFIELD PLACE6606 W BROAD STRICHMOND VA 23230

1971

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

FRANCINE RIVERA

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 27: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 255-2428

ELV2001-00226

NONE

LOBBY

(804) 672-2051

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

BAPTIST GENERAL ASSOC.OF VA.2828 EMERYWOOD PKWYHENRICO VA 23294

PHONE:FAX:

VIRGINIA BAPTIST BUILDING2828 EMERYWOOD PKWYHENRICO VA 23294

1978

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

SARAH JEAN RUSSELL

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 28: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 255-2428

ELV2001-00226

NONE

LOBBY

(804) 672-2051

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

BAPTIST GENERAL ASSOC.OF VA.2828 EMERYWOOD PKWYHENRICO VA 23294

PHONE:FAX:

VIRGINIA BAPTIST BUILDING2828 EMERYWOOD PKWYHENRICO VA 23294

1978

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

SARAH JEAN RUSSELL

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 29: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 477-3136

ELV2001-00230

NONE

KEYBOX @ M.R. DOOR

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

AFFINITY FUNERAL SERVICE2720 ENTERPRISE PKWYHENRICO VA 23294

PHONE:FAX:

AFFINITY FUNERAL SERVICE2720 ENTERPRISE PKWYHENRICO VA 23294

2010

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

KIMBERLY MULLINS STEIN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 30: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 968-7280

ELV2001-00340

NONE

1ST.FL. - FIRE BOX

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

NEWMARK,GRUBB,KNIGHT,FRANK151 FARMINGTON AVEHARTFORD CT 06156

PHONE:FAX:

AETNA9881 MAYLAND DRRICHMOND VA 23233

1987

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

JANINE LEVESQUE

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 31: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(240) 630-4000 Ext: 66

ELV2001-00366

NONE

SECURITY DESK

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

PREMIER TECH CENTER LLC7910 WOODMONT AVE. #1405BETHEDSA MD 20814

PHONE:FAX:

2810 BUILDING2810 PARHAM RDRICHMOND VA 23294

1981

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

CASSANDRA DRINNON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 32: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(240) 630-4000 Ext: 66

ELV2001-00366

NONE

SECURITY DESK

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

PREMIER TECH CENTER LLC7910 WOODMONT AVE. #1405BETHEDSA MD 20814

PHONE:FAX:

2810 BUILDING2810 PARHAM RDRICHMOND VA 23294

1981

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

CASSANDRA DRINNON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 33: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(240) 630-4000 Ext: 66

ELV2001-00366

NONE

SECURITY DESK

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

3

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

PREMIER TECH CENTER LLC7910 WOODMONT AVE. #1405BETHEDSA MD 20814

PHONE:FAX:

2810 BUILDING2810 PARHAM RDRICHMOND VA 23294

1981

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

CASSANDRA DRINNON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 34: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(240) 630-4000 Ext: 66

ELV2001-00366

NONE

SECURITY DESK

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

4

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

PREMIER TECH CENTER LLC7910 WOODMONT AVE. #1405BETHEDSA MD 20814

PHONE:FAX:

2810 BUILDING2810 PARHAM RDRICHMOND VA 23294

1981

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

CASSANDRA DRINNON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 35: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

ELV2001-00383

NONE

GUARD DESK

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

VCU HEALTH SYSTEMSC/O OFF OF GEN CONSUL-MCV CAMPUS1010 E. MARSHALL ST.RICHMOND VA 23219

PHONE:FAX:

SUN TRUST BANK7818 PARHAM RDHENRICO VA 23294

1972

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

JuneJune / December

Page 36: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

ELV2001-00383

NONE

GUARD DESK

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

VCU HEALTH SYSTEMSC/O OFF OF GEN CONSUL-MCV CAMPUS1010 E. MARSHALL ST.RICHMOND VA 23219

PHONE:FAX:

SUN TRUST BANK7818 PARHAM RDHENRICO VA 23294

1972

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

JuneJune / December

Page 37: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

ELV2001-00383

NONE

GUARD DESK

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

3

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

VCU HEALTH SYSTEMSC/O OFF OF GEN CONSUL-MCV CAMPUS1010 E. MARSHALL ST.RICHMOND VA 23219

PHONE:FAX:

SUN TRUST BANK7818 PARHAM RDHENRICO VA 23294

1972

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

JuneJune / December

Page 38: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

ELV2001-00383

NONE

GUARD DESK

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

4

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

VCU HEALTH SYSTEMSC/O OFF OF GEN CONSUL-MCV CAMPUS1010 E. MARSHALL ST.RICHMOND VA 23219

PHONE:FAX:

SUN TRUST BANK7818 PARHAM RDHENRICO VA 23294

1972

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

JuneJune / December

Page 39: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

ELV2001-00383

NONE

GUARD DESK

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

5

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

VCU HEALTH SYSTEMSC/O OFF OF GEN CONSUL-MCV CAMPUS1010 E. MARSHALL ST.RICHMOND VA 23219

PHONE:FAX:

SUN TRUST BANK7818 PARHAM RDHENRICO VA 23294

1972

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

JuneJune / December

Page 40: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 320-5500

ELV2001-00407

NONE

RECP.DESK 1ST/FL.

(804) 320-3905

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

HOLLAND ASSOCIATES LLCPO BOX 36010RICHMOND VA 23235

PHONE:FAX:

VA ENDOSCOPY CENTER2369 STAPLES MILL RDRICHMOND VA 23228

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

TERRI REYNOLDS

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 41: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 237-1001

ELV2001-00411

!!!!!!ALARMED!!!!!!!

RECPT DESK

(804) 287-8404

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

VIRGINIA FOOD SERVICE GROUP,LLC7420 RANCO RD.HENRICO VA 23228

PHONE:FAX:

VIRGINIA FOODSERVICE GROUP , LLC7420 RANCO RDHENRICO VA 23228

1993/2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

GEORGE KOSKO

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 42: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 502-3673

ELV2001-00416

NONE

BEAUTY SHOP

(804) 364-6124

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

FEMIDA PROPERTIES LLC11612 OLD COVINGTON WAYGLEN ALLEN VA 23059

PHONE:FAX:

GLENSIDE GREEN OFFICE BLDG3991 GLENSIDE DRHENRICO VA 23228

1987

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

MR. VIRANI

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 43: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 266-7016

ELV2001-00607

NONE

OFFICE

(804) 266-7183

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

LAKESIDE UNITED METHODIST CH2333 HILLIARD RDHENRICO VA 23228

PHONE:FAX:

LAKESIDE UNITED METHODIST CH2333 HILLIARD RDHENRICO VA 23228

1981

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

DINA GIESE/DEBORAH SMILEY

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 44: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00612

NONE

AIRPORT SECURITY

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND AIRPORT PARKING5707 HUNTSMAN RDHENRICO VA 23250

1993

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 45: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00612

NONE

AIRPORT SECURITY

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND AIRPORT PARKING5707 HUNTSMAN RDHENRICO VA 23250

1993

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 46: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00612

NONE

AIRPORT SECURITY

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

3

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND AIRPORT PARKING5707 HUNTSMAN RDHENRICO VA 23250

1993

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 47: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00613

NONE

AIRPORT SECURITY

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND AIRPORT PARKING DECK1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 48: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00613

NONE

AIRPORT SECURITY

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND AIRPORT PARKING DECK1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 49: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00613

NONE

AIRPORT SECURITY

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

3

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND AIRPORT PARKING DECK1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 50: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00613

NONE

AIRPORT SECURITY

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

4

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND AIRPORT PARKING DECK1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 51: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00613

NONE

AIRPORT SECURITY

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

5

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND AIRPORT PARKING DECK1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 52: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00613

NONE

AIRPORT SECURITY

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

6

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND AIRPORT PARKING DECK1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

2004

Equipment Type: Elevator - Traction

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 53: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00613

NONE

AIRPORT SECURITY

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

7

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND AIRPORT PARKING DECK1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

2004

Equipment Type: Elevator - Traction

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 54: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00620

NONE

BUILDING 11

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND INTERNATIONAL AIRPORTAIRPORT DRHENRICO VA 23231

1960

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 55: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00620

NONE

BUILDING 11

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND INTERNATIONAL AIRPORTAIRPORT DRHENRICO VA 23231

1984

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 56: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00620

NONE

BUILDING 11

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

3

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND INTERNATIONAL AIRPORTAIRPORT DRHENRICO VA 23231

1984/2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 57: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00620

NONE

BUILDING 11

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

4

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND INTERNATIONAL AIRPORTAIRPORT DRHENRICO VA 23231

1984

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 58: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00620

NONE

BUILDING 11

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

5

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND INTERNATIONAL AIRPORTAIRPORT DRHENRICO VA 23231

1984

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 59: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00620

NONE

BUILDING 11

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

6

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND INTERNATIONAL AIRPORTAIRPORT DRHENRICO VA 23231

1984

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 60: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00620

NONE

BUILDING 11

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

7

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND INTERNATIONAL AIRPORTAIRPORT DRHENRICO VA 23231

1984

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 61: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00620

NONE

BUILDING 11

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

8

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND INTERNATIONAL AIRPORTAIRPORT DRHENRICO VA 23231

1984

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 62: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00620

NONE

BUILDING 11

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

9

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND INTERNATIONAL AIRPORTAIRPORT DRHENRICO VA 23231

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 63: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00620

NONE

BUILDING 11

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

10

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND INTERNATIONAL AIRPORTAIRPORT DRHENRICO VA 23231

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 64: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00620

NONE

BUILDING 11

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

11

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND INTERNATIONAL AIRPORTAIRPORT DRHENRICO VA 23231

1993

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 65: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00620

NONE

BUILDING 11

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

12

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND INTERNATIONAL AIRPORTAIRPORT DRHENRICO VA 23231

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 66: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00620

NONE

BUILDING 11

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

13

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND INTERNATIONAL AIRPORTAIRPORT DRHENRICO VA 23231

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 67: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00620

NONE

BUILDING 11

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

14

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND INTERNATIONAL AIRPORTAIRPORT DRHENRICO VA 23231

1993

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 68: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00620

NONE

BUILDING 11

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

15

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND INTERNATIONAL AIRPORTAIRPORT DRHENRICO VA 23231

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 69: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00620

NONE

BUILDING 11

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

16

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND INTERNATIONAL AIRPORTAIRPORT DRHENRICO VA 23231

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 70: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00620

NONE

BUILDING 11

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

17

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND INTERNATIONAL AIRPORTAIRPORT DRHENRICO VA 23231

1993

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 71: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00620

NONE

BUILDING 11

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

18

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND INTERNATIONAL AIRPORTAIRPORT DRHENRICO VA 23231

1993

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 72: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00620

NONE

BUILDING 11

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

19

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RICHMOND INTERNATIONAL AIRPORTAIRPORT DRHENRICO VA 23231

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 73: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 226-8504

ELV2001-00621

NONE

AIRPORT SECURITY

(804) 226-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

RIC AIRPORT - IVOR MASSEY BLD.5707 HUNTSMAN RDSANDSTON VA 23105

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: RPEADEN@FLY RICHMOND.COM

JuneJune / December

Page 74: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 228-7560

ELV2001-00622

NONE

OFFICE

(804) 228-7549

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVERICHMOND VA 23222

PHONE:FAX:

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVRICHMOND VA 23222

2006

Equipment Type: Elevator - Traction

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

LINWOOD BURROW

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 75: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 228-7560

ELV2001-00622

NONE

OFFICE

(804) 228-7549

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVERICHMOND VA 23222

PHONE:FAX:

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVRICHMOND VA 23222

2006

Equipment Type: Elevator - Traction

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

LINWOOD BURROW

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 76: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 228-7560

ELV2001-00622

NONE

OFFICE

(804) 228-7549

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

3

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVERICHMOND VA 23222

PHONE:FAX:

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVRICHMOND VA 23222

2006

Equipment Type: Elevator - Traction

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

LINWOOD BURROW

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 77: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 228-7560

ELV2001-00622

NONE

OFFICE

(804) 228-7549

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

4

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVERICHMOND VA 23222

PHONE:FAX:

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVRICHMOND VA 23222

1993

Equipment Type: Elevator - Traction

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

LINWOOD BURROW

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 78: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 228-7560

ELV2001-00622

NONE

OFFICE

(804) 228-7549

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

5

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVERICHMOND VA 23222

PHONE:FAX:

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVRICHMOND VA 23222

1993

Equipment Type: Dumbwaiter

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

LINWOOD BURROW

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 79: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 228-7560

ELV2001-00622

NONE

OFFICE

(804) 228-7549

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

6

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVERICHMOND VA 23222

PHONE:FAX:

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVRICHMOND VA 23222

2004

Equipment Type: Elevator - Traction

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

LINWOOD BURROW

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 80: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 228-7560

ELV2001-00622

NONE

OFFICE

(804) 228-7549

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

7

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVERICHMOND VA 23222

PHONE:FAX:

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVRICHMOND VA 23222

2004

Equipment Type: Elevator - Traction

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

LINWOOD BURROW

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 81: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 228-7560

ELV2001-00622

NONE

OFFICE

(804) 228-7549

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

8

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVERICHMOND VA 23222

PHONE:FAX:

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVRICHMOND VA 23222

2004

Equipment Type: Elevator - Traction

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

LINWOOD BURROW

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 82: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 228-7560

ELV2001-00622

NONE

OFFICE

(804) 228-7549

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

9

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVERICHMOND VA 23222

PHONE:FAX:

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVRICHMOND VA 23222

2000

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

LINWOOD BURROW

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 83: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 228-7560

ELV2001-00622

NONE

OFFICE

(804) 228-7549

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

10

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVERICHMOND VA 23222

PHONE:FAX:

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVRICHMOND VA 23222

2000

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

LINWOOD BURROW

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 84: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 228-7560

ELV2001-00622

NONE

OFFICE

(804) 228-7549

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

11

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVERICHMOND VA 23222

PHONE:FAX:

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVRICHMOND VA 23222

2000

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

LINWOOD BURROW

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 85: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 228-7560

ELV2001-00622

NONE

OFFICE

(804) 228-7549

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

12

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVERICHMOND VA 23222

PHONE:FAX:

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVRICHMOND VA 23222

2000

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

LINWOOD BURROW

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 86: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 228-7560

ELV2001-00622

NONE

OFFICE

(804) 228-7549

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

13

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVERICHMOND VA 23222

PHONE:FAX:

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVRICHMOND VA 23222

2000

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

LINWOOD BURROW

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 87: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 228-7560

ELV2001-00622

NONE

OFFICE

(804) 228-7549

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

14

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVERICHMOND VA 23222

PHONE:FAX:

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVRICHMOND VA 23222

2000

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

LINWOOD BURROW

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 88: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 228-7560

ELV2001-00622

NONE

OFFICE

(804) 228-7549

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

21

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVERICHMOND VA 23222

PHONE:FAX:

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVRICHMOND VA 23222

2007

Equipment Type: Elevator - Traction

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

LINWOOD BURROW

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 89: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 228-7560

ELV2001-00622

NONE

OFFICE

(804) 228-7549

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

101

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVERICHMOND VA 23222

PHONE:FAX:

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVRICHMOND VA 23222

2010

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

LINWOOD BURROW

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 90: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 228-7560

ELV2001-00622

NONE

OFFICE

(804) 228-7549

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

102

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVERICHMOND VA 23222

PHONE:FAX:

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVRICHMOND VA 23222

2010

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

LINWOOD BURROW

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 91: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 228-7560

ELV2001-00629

NONE

ADMIN. BLDG.

(804) 228-7549

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVERICHMOND VA 23227

PHONE:FAX:

RICHMOND INTERNATIONAL RACEWAY602 E LABURNUM AVRICHMOND VA 23227

1987

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

LINWOOD BURROW

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 92: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 228-7560

ELV2001-00629

NONE

ADMIN. BLDG.

(804) 228-7549

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

RICHMOND INTERNATIONAL RACEWAY600 E LABURNUM AVERICHMOND VA 23227

PHONE:FAX:

RICHMOND INTERNATIONAL RACEWAY602 E LABURNUM AVRICHMOND VA 23227

1987

Equipment Type: Dumbwaiter

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

LINWOOD BURROW

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 93: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 222-1499

ELV2001-00634

NONE

FRONT DESK

(804) 222-1498

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

SHAMIN HOTELS491 INTERNATIONAL CENTRE DRSANDSTON VA 23150

PHONE:FAX:

HOLIDAY INN EXPRESS491 INTERNATIONAL CENTRE DRSANDSTON VA 23150

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

DEVANG THAKAR

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 94: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 222-1499

ELV2001-00634

NONE

FRONT DESK

(804) 222-1498

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

SHAMIN HOTELS491 INTERNATIONAL CENTRE DRSANDSTON VA 23150

PHONE:FAX:

HOLIDAY INN EXPRESS491 INTERNATIONAL CENTRE DRSANDSTON VA 23150

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

DEVANG THAKAR

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 95: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 544-1230

ELV2001-00653

NONE

FRT.DSK.@ REAR DOOR

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

DEGRATIA DEVELOPMENT LLC7300 HANOVER GREEN DRMECHANICSVILLE VA 23111

PHONE:FAX:

DEGRATIA DEVELOPMENT LLC5711 CHAMBERLAYNE RDRICHMOND VA 23227

1960

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

DAVID DAGENHART

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 96: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 288-1555

ELV2001-00702

NONE

BOX AT LOBBY

(804) 288-1055

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

COLLIERS7201 GLEN FOREST DR. SUITE 202RICHMOND VA 23226

PHONE:FAX:

BAYBERRY BUILDING1700 BAYBERRY CTRICHMOND VA 23226

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

CHRIS BAKER

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 97: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 288-1555

ELV2001-00702

NONE

BOX AT LOBBY

(804) 288-1055

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

COLLIERS7201 GLEN FOREST DR. SUITE 202RICHMOND VA 23226

PHONE:FAX:

BAYBERRY BUILDING1700 BAYBERRY CTRICHMOND VA 23226

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

CHRIS BAKER

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 98: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 288-1555

ELV2001-00725

NONE

MAINT.

(804) 288-1055

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

COLLIERS7201 GLEN FOREST DR SUITE 202RICHMOND VA 23226

PHONE:FAX:

MERIDIAN BUILDING1800 BAYBERRY CTRICHMOND VA 23226

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

CHRIS BAKER

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 99: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 288-1555

ELV2001-00725

NONE

MAINT.

(804) 288-1055

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

COLLIERS7201 GLEN FOREST DR SUITE 202RICHMOND VA 23226

PHONE:FAX:

MERIDIAN BUILDING1800 BAYBERRY CTRICHMOND VA 23226

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

CHRIS BAKER

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 100: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 288-1555

ELV2001-00735

NONE

KEYBOX AT LOBBY

(804) 288-1055

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

COLLIERS7201 GLEN FOREST DR SUITE 202RICHMOND VA 23226

PHONE:FAX:

FOREST PLAZA I7201 GLEN FOREST DRRICHMOND VA 23226

1981

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

CHRIS BAKER

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 101: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 288-1555

ELV2001-00735

NONE

KEYBOX AT LOBBY

(804) 288-1055

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

COLLIERS7201 GLEN FOREST DR SUITE 202RICHMOND VA 23226

PHONE:FAX:

FOREST PLAZA I7201 GLEN FOREST DRRICHMOND VA 23226

1981

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

CHRIS BAKER

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 102: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 658-6138

ELV2001-00782

NONE

BREAK GLASS KEYBOX

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

FOREST OFFICE PARK INVESTOR LLC1602 SANTA ROSA RD. SUITE 211RICHMOND VA 23229

PHONE:FAX:

LEE BUILDING8004 FRANKLIN FARMS DRRICHMOND VA 23229

1971 / 2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

KAREN MITCHELL

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 103: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 289-8600

ELV2001-00791

NONE

PHYSICAL PLANT

(804) 321-8414

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

UNIVERSITY OF RICHMONDUNIVERSITY OF RICHMOND DRRICHMOND VA 23173

PHONE:FAX:

UNIVERSITY OF RICH-SPEC PROG BLDGUNIVERSITY OF RICHMOND DRRICHMOND VA 23173

1984

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

GEORGE SOULERET-PHYS.PLANT

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 104: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 288-6056

ELV2001-00795

NONE

OFFICE

(804) 282-3368

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

TRINITY METHODIST CHURCH903 FOREST AVEHENRICO VA 23229

PHONE:FAX:

TRINITY METHODIST CHURCH903 FOREST AVHENRICO VA 23229

1987/2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

PROPERTY MANAGER

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

DecemberJune / December

Page 105: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 288-6056

ELV2001-00795

NONE

OFFICE

(804) 282-3368

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

TRINITY METHODIST CHURCH903 FOREST AVEHENRICO VA 23229

PHONE:FAX:

TRINITY METHODIST CHURCH903 FOREST AVHENRICO VA 23229

2004

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

PROPERTY MANAGER

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

DecemberJune / December

Page 106: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 288-6056

ELV2001-00795

NONE

OFFICE

(804) 282-3368

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

3

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

TRINITY METHODIST CHURCH903 FOREST AVEHENRICO VA 23229

PHONE:FAX:

TRINITY METHODIST CHURCH903 FOREST AVHENRICO VA 23229

2004

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

PROPERTY MANAGER

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

DecemberJune / December

Page 107: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 282-6640

ELV2001-00809

N\A

IN OFFICE # 103

(804) 282-6644

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

EXTRA ATTIC MINI STORAGE7113 THREE CHOPT RD, SUITE 209HENRICO VA 23226-3644

PHONE:FAX:

TRIANGLE OFFICE BUILDING7113 THREE CHOPT RDHENRICO VA 23226-3644

1984

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

DIANE MC NAMEE

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 108: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 288-1131

ELV2001-00810

NOT ALARMED

OFFICE

(804) 282-9172

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

RIVER ROAD BAPTIST CHURCH8000 RIVER RDHENRICO VA 23229

PHONE:FAX:

RIVER ROAD BAPTIST CHURCH8000 RIVER RDHENRICO VA 23229

1978/2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

DANIEL INGRAM

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: DANIELINGRAM@RRBC

DecemberJune / December

Page 109: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 288-1131

ELV2001-00810

NOT ALARMED

OFFICE

(804) 282-9172

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

RIVER ROAD BAPTIST CHURCH8000 RIVER RDHENRICO VA 23229

PHONE:FAX:

RIVER ROAD BAPTIST CHURCH8000 RIVER RDHENRICO VA 23229

1978/2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

DANIEL INGRAM

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: DANIELINGRAM@RRBC

DecemberJune / December

Page 110: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 288-5805

ELV2001-00835

NONE

CHURCH OFFICE

(804) 288-5432

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

RIDGE BAPTIST CHURCH1515 EASTRIDGE RD.HENRICO VA 23229

PHONE:FAX:

RIDGE BAPTIST CHURCH1515 EASTRIDGE RD.HENRICO VA 23229

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

LOUISE CROOKS

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 111: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 346-4578

ELV2001-00845

NONE

RECPT DESK

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

LINDY HARVELLP.O. BOX 860GLEN ALLEN, VA 23060

PHONE:FAX:

PARHAM MEDICAL VILLAGE2103 PARHAM RDHENRICO VA 23228

1978

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

LINDY HARVELL

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 112: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 968-7120 Ext: 2220

ELV2001-00849

NONE

MAINT.

(804) 965-5559

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

MARRIOTT HOTEL4240 DOMINION BLVDGLEN ALLEN VA 23060

PHONE:FAX:

MARRIOTT HOTEL4240 DOMINION BLVDGLEN ALLEN VA 23060

1993/2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

PATRICK BULSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 113: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 968-7120 Ext: 2220

ELV2001-00849

NONE

MAINT.

(804) 965-5559

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

MARRIOTT HOTEL4240 DOMINION BLVDGLEN ALLEN VA 23060

PHONE:FAX:

MARRIOTT HOTEL4240 DOMINION BLVDGLEN ALLEN VA 23060

1993/2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

PATRICK BULSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 114: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 968-7120 Ext: 2220

ELV2001-00849

NONE

MAINT.

(804) 965-5559

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

3

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

MARRIOTT HOTEL4240 DOMINION BLVDGLEN ALLEN VA 23060

PHONE:FAX:

MARRIOTT HOTEL4240 DOMINION BLVDGLEN ALLEN VA 23060

1993/2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

PATRICK BULSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 115: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 968-7120 Ext: 2220

ELV2001-00849

NONE

MAINT.

(804) 965-5559

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

4

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

MARRIOTT HOTEL4240 DOMINION BLVDGLEN ALLEN VA 23060

PHONE:FAX:

MARRIOTT HOTEL4240 DOMINION BLVDGLEN ALLEN VA 23060

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

PATRICK BULSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 116: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 262-8000 Ext: 102

ELV2001-00851

NONE

RM 100 WOODY HOGG

(804) 262-8088

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

MARK A. DANKOS1360 E PARHAM RDHENRICO VA 23228

PHONE:FAX:

DANKOS OFFICE PARK1360 E PARHAM RDHENRICO VA 23228

1990

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

M.DANKOS

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 117: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 264-5033

ELV2001-00859

NONE

RECPT. DESK

(804) 262-0497

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

VIRGINIA ASSOC OF REALTORS10231 TELEGRAPH RDGLEN ALEN VA 23060

PHONE:FAX:

VIRGINIA ASSOC OF REALTORS10231 TELEGRAPH RDGLEN ALLEN VA 23060

1990

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

DAWN FREEMAN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 118: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 747-7800

ELV2001-00911

NONE

RECPT.DSK\CALL MAINT

(804) 965-0164

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

HIGHWOODS PROPERTIES4501 HIGHWOODS PKWY SUITE 400GLEN ALLEN VA 23060

PHONE:FAX:

HAMILTON BEACH/PROCTOR-SILEX4421 WATERFRONT DRGLEN ALLEN VA 23060

1978

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

TERRY NERO

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 119: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 747-7800

ELV2001-00911

NONE

RECPT.DSK\CALL MAINT

(804) 965-0164

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

HIGHWOODS PROPERTIES4501 HIGHWOODS PKWY SUITE 400GLEN ALLEN VA 23060

PHONE:FAX:

HAMILTON BEACH/PROCTOR-SILEX4421 WATERFRONT DRGLEN ALLEN VA 23060

1978

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

TERRY NERO

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 120: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 965-1229

ELV2001-00913

NONE

MAINT.

(804) 965-0475

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

VIRGINIA HOSPITAL & HEALTHCARE ASSOCP.O. BOX 31394HENRICO VA 23294

PHONE:FAX:

VA CENTER FOR HEALTH AFFAIRS4200 INNSLAKE DRGLEN ALLEN VA 23060

1984

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

JAY ANDREWS

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 121: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 965-1229

ELV2001-00913

NONE

MAINT.

(804) 965-0475

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

VIRGINIA HOSPITAL & HEALTHCARE ASSOCP.O. BOX 31394HENRICO VA 23294

PHONE:FAX:

VA CENTER FOR HEALTH AFFAIRS4200 INNSLAKE DRGLEN ALLEN VA 23060

1984

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

JAY ANDREWS

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 122: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 921-4215

ELV2001-00919

NOTIFY SECURITY!!!!!

GUARD DSK.CALL MAINT

(804) 273-2559

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

DOMINION VIRGINIA POWER -CORP.DISPP.O. BOX 25459RICHMOND VA 23260

PHONE:FAX:

VIRGINIA POWER COMPANY5000 DOMINION BLVDGLEN ALLEN VA 23060

1978/2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

TIM ANDERSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

DecemberJune / December

Page 123: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 921-4215

ELV2001-00919

NOTIFY SECURITY!!!!!

GUARD DSK.CALL MAINT

(804) 273-2559

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

DOMINION VIRGINIA POWER -CORP.DISPP.O. BOX 25459RICHMOND VA 23260

PHONE:FAX:

VIRGINIA POWER COMPANY5000 DOMINION BLVDGLEN ALLEN VA 23060

1978/2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

TIM ANDERSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

DecemberJune / December

Page 124: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 921-4215

ELV2001-00919

NOTIFY SECURITY!!!!!

GUARD DSK.CALL MAINT

(804) 273-2559

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

3

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

DOMINION VIRGINIA POWER -CORP.DISPP.O. BOX 25459RICHMOND VA 23260

PHONE:FAX:

VIRGINIA POWER COMPANY5000 DOMINION BLVDGLEN ALLEN VA 23060

1978/2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

TIM ANDERSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

DecemberJune / December

Page 125: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 921-4215

ELV2001-00919

NOTIFY SECURITY!!!!!

GUARD DSK.CALL MAINT

(804) 273-2559

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

4

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

DOMINION VIRGINIA POWER -CORP.DISPP.O. BOX 25459RICHMOND VA 23260

PHONE:FAX:

VIRGINIA POWER COMPANY5000 DOMINION BLVDGLEN ALLEN VA 23060

1978/2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

TIM ANDERSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

DecemberJune / December

Page 126: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 921-4215

ELV2001-00919

NOTIFY SECURITY!!!!!

GUARD DSK.CALL MAINT

(804) 273-2559

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

5

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

DOMINION VIRGINIA POWER -CORP.DISPP.O. BOX 25459RICHMOND VA 23260

PHONE:FAX:

VIRGINIA POWER COMPANY5000 DOMINION BLVDGLEN ALLEN VA 23060

1978/2010

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

TIM ANDERSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

DecemberJune / December

Page 127: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 921-4215

ELV2001-00919

NOTIFY SECURITY!!!!!

GUARD DSK.CALL MAINT

(804) 273-2559

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

6

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

DOMINION VIRGINIA POWER -CORP.DISPP.O. BOX 25459RICHMOND VA 23260

PHONE:FAX:

VIRGINIA POWER COMPANY5000 DOMINION BLVDGLEN ALLEN VA 23060

1978

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

TIM ANDERSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

DecemberJune / December

Page 128: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 921-4215

ELV2001-00919

NOTIFY SECURITY!!!!!

GUARD DSK.CALL MAINT

(804) 273-2559

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

7

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

DOMINION VIRGINIA POWER -CORP.DISPP.O. BOX 25459RICHMOND VA 23260

PHONE:FAX:

VIRGINIA POWER COMPANY5000 DOMINION BLVDGLEN ALLEN VA 23060

1978

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

TIM ANDERSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

DecemberJune / December

Page 129: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 921-4215

ELV2001-00919

NOTIFY SECURITY!!!!!

GUARD DSK.CALL MAINT

(804) 273-2559

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

8

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

DOMINION VIRGINIA POWER -CORP.DISPP.O. BOX 25459RICHMOND VA 23260

PHONE:FAX:

VIRGINIA POWER COMPANY5000 DOMINION BLVDGLEN ALLEN VA 23060

1978

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

TIM ANDERSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

DecemberJune / December

Page 130: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 921-4215

ELV2001-00919

NOTIFY SECURITY!!!!!

GUARD DSK.CALL MAINT

(804) 273-2559

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

9

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

DOMINION VIRGINIA POWER -CORP.DISPP.O. BOX 25459RICHMOND VA 23260

PHONE:FAX:

VIRGINIA POWER COMPANY5000 DOMINION BLVDGLEN ALLEN VA 23060

1978

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

TIM ANDERSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

DecemberJune / December

Page 131: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 921-4215

ELV2001-00919

NOTIFY SECURITY!!!!!

GUARD DSK.CALL MAINT

(804) 273-2559

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

10

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

DOMINION VIRGINIA POWER -CORP.DISPP.O. BOX 25459RICHMOND VA 23260

PHONE:FAX:

VIRGINIA POWER COMPANY5000 DOMINION BLVDGLEN ALLEN VA 23060

1978

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

TIM ANDERSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

DecemberJune / December

Page 132: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 747-7800

ELV2001-00934

NONE

1ST\FL.MAINT.OFFICE

(804) 965-0164

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

HIGHWOODS PROPERTIES4501 HIGHWOODS PKWYGLEN ALLEN VA 23060

PHONE:FAX:

MARKEL PLAZA4600 COX RDGLEN ALLEN VA 23058

1984

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

SUZANNE ROSS

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 133: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 747-7800

ELV2001-00934

NONE

1ST\FL.MAINT.OFFICE

(804) 965-0164

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

HIGHWOODS PROPERTIES4501 HIGHWOODS PKWYGLEN ALLEN VA 23060

PHONE:FAX:

MARKEL PLAZA4600 COX RDGLEN ALLEN VA 23058

1984

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

SUZANNE ROSS

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 134: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 747-9644

ELV2001-00935

NONE

FRT.DSK.CALL MAINT.

(804) 346-9320

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

HYATT PLACE RICHMOND4100 COX RD.GLEN ALLEN VA 23060

PHONE:FAX:

HYATT PLACE4100 COX RDGLEN ALLEN VA 23060

1990/2009

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

CHRIS CASTELLANO

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 135: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 747-9644

ELV2001-00935

NONE

FRT.DSK.CALL MAINT.

(804) 346-9320

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

HYATT PLACE RICHMOND4100 COX RD.GLEN ALLEN VA 23060

PHONE:FAX:

HYATT PLACE4100 COX RDGLEN ALLEN VA 23060

1990/2009

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

CHRIS CASTELLANO

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 136: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 747-7800

ELV2001-00938

NONE

MAINT. OFFICE

(804) 965-0164

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

HIGHWOODS REALTY LP3100 SMOKETREE CT, STE 600RALEIGH NC 27604

PHONE:FAX:

ESSEX PLAZA4521 HIGHWOODS PKWYGLEN ALLEN VA 23250

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

SUZANNE ROSS

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 137: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 747-7800

ELV2001-00938

NONE

MAINT. OFFICE

(804) 965-0164

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

HIGHWOODS REALTY LP3100 SMOKETREE CT, STE 600RALEIGH NC 27604

PHONE:FAX:

ESSEX PLAZA4521 HIGHWOODS PKWYGLEN ALLEN VA 23250

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

SUZANNE ROSS

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 138: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 747-7800

ELV2001-00938

NONE

MAINT. OFFICE

(804) 965-0164

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

3

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

HIGHWOODS REALTY LP3100 SMOKETREE CT, STE 600RALEIGH NC 27604

PHONE:FAX:

ESSEX PLAZA4521 HIGHWOODS PKWYGLEN ALLEN VA 23250

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

SUZANNE ROSS

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 139: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

ELV2001-00945

NONE

CALL MAINT.

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

11100 W BROAD ST LCPO BOX 5160GLEN ALLEN VA 23058

PHONE:FAX:

THALHIMER11100 W BROAD STGLEN ALLEN VA 23060

1984

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

MELISSA BECKLEY

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 140: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 819-4749

ELV2001-00957

NONE

LOCK BOX

(804) 783-1920

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

VIRGINIA BANKERS ASSOCIATION4490 COX RDGLEN ALLEN VA 23060

PHONE:FAX:

VIRGINIA BANKERS ASSOCIATION4490 COX RDGLEN ALLEN VA 23060

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

MELISSA MCLEOD

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 141: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(303) 795-7956

ELV2001-00966

NONE

FRONT DESK

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

ESAMGMT - C/O LERCHBATES9780 S. MERIDIAN BLVD, SUITE 450ENGLEWOOD CO 80112

PHONE:FAX:

EXTENDED STAY AMERICA10060 W BROAD STGLEN ALLEN VA 23060

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

LERCH BATES

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 142: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 308-2971

ELV2001-00967

NONE

MAINT DEPT

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

THE RMR GROUP9954 MAYLAND DR SUITE 5400HENRICO VA 23233

PHONE:FAX:

DEEP RUN III9954 MAYLAND DRHENRICO VA 23233

1990/2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

CARLA SMITH

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 143: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 308-2971

ELV2001-00967

NONE

MAINT DEPT

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

THE RMR GROUP9954 MAYLAND DR SUITE 5400HENRICO VA 23233

PHONE:FAX:

DEEP RUN III9954 MAYLAND DRHENRICO VA 23233

1990/2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

CARLA SMITH

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 144: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 308-2971

ELV2001-00967

NONE

MAINT DEPT

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

3

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

THE RMR GROUP9954 MAYLAND DR SUITE 5400HENRICO VA 23233

PHONE:FAX:

DEEP RUN III9954 MAYLAND DRHENRICO VA 23233

1990/2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

CARLA SMITH

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 145: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 308-2971

ELV2001-00967

NONE

MAINT DEPT

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

4

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

THE RMR GROUP9954 MAYLAND DR SUITE 5400HENRICO VA 23233

PHONE:FAX:

DEEP RUN III9954 MAYLAND DRHENRICO VA 23233

/2010/2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

CARLA SMITH

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 146: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 308-2971

ELV2001-00967

NONE

MAINT DEPT

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

5

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

THE RMR GROUP9954 MAYLAND DR SUITE 5400HENRICO VA 23233

PHONE:FAX:

DEEP RUN III9954 MAYLAND DRHENRICO VA 23233

1990/2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

CARLA SMITH

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 147: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 308-2971

ELV2001-00967

NONE

MAINT DEPT

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

6

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

THE RMR GROUP9954 MAYLAND DR SUITE 5400HENRICO VA 23233

PHONE:FAX:

DEEP RUN III9954 MAYLAND DRHENRICO VA 23233

/2010/2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

CARLA SMITH

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 148: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 308-2971

ELV2001-00967

NONE

MAINT DEPT

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

7

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

THE RMR GROUP9954 MAYLAND DR SUITE 5400HENRICO VA 23233

PHONE:FAX:

DEEP RUN III9954 MAYLAND DRHENRICO VA 23233

1990

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

CARLA SMITH

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 149: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 217-8000

ELV2001-00974

NONE

FRONT DESK

(804) 747-1498

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

HOMEWOOD SUITES4100 INNSLAKE DRGLEN ALLEN VA 23060

PHONE:FAX:

HOMEWOOD SUITES4100 INNSLAKE DRGLEN ALLEN VA 23060

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

CRYSTAL CHARLONE

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 150: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 217-8000

ELV2001-00974

NONE

FRONT DESK

(804) 747-1498

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

HOMEWOOD SUITES4100 INNSLAKE DRGLEN ALLEN VA 23060

PHONE:FAX:

HOMEWOOD SUITES4100 INNSLAKE DRGLEN ALLEN VA 23060

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

CRYSTAL CHARLONE

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 151: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 747-1551

ELV2001-00983

NONE

GUARD DESK

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

WESTDALE ASSET MANAGEMENT LP11551 NUCKOLS RD - SUITE OGLEN ALLEN VA 23059

PHONE:FAX:

EAST SHORE OFFICE BLDG. II120 EASTSHORE DRGLEN ALLEN VA 23059

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

SEAN DAVIS

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 152: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 747-1551

ELV2001-00983

NONE

GUARD DESK

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

WESTDALE ASSET MANAGEMENT LP11551 NUCKOLS RD - SUITE OGLEN ALLEN VA 23059

PHONE:FAX:

EAST SHORE OFFICE BLDG. II120 EASTSHORE DRGLEN ALLEN VA 23059

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

SEAN DAVIS

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 153: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 320-5500

ELV2001-00987

NONE

GUARD DESK

(804) 320-4839

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

COLLIERS INTERNATIONAL6641 W.BROAD ST.RICHMOND, VA. 23230

PHONE:FAX:

FRANKLIN COMMONS5620 COX RDGLEN ALLEN VA 23060

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

GREG NACHMAN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 154: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 282-5391

ELV2002-01031

NONE

FRONT DESK / MAINT.

(804) 282-5397

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

HEALTHCARE REALTY SERVICES INC.5875 BREMO RD.RICHMOND VA 23226

PHONE:FAX:

ST MARYS WEST MEDICAL OFFICE BUILDING5899 BREMO RDRICHMOND VA 23229

1993

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

JEFF MERKLE

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 155: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(303) 723-7963

ELV2003-01105

NONE

FRONT DESK

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

EXTENDED STAY AMERICA - C/O LERCHBATES9780 S. MERDIAN BLVD SUITE 450ENGLEWOOD, CO 80112

PHONE:FAX:

EXTENDED STAY AMERICA #4106811 PARAGON PLRICHMOND VA 23230

1993/2010

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

AHNA BROWN - VELEZ

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 156: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 270-3866

ELV2004-01130

NONE

FRONT DESK

(804) 270-0478

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

SHADY GROVE YMCA11255 NUCKOLS RD.GLEN ALLEN VA 23059

PHONE:FAX:

SHADY GROVE YMCA11255 NUCKOLS RDRICHMOND VA 23060

1993

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

PETE OLSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 157: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 346-4200

ELV2004-01137

NOT ALARMED

FRONT DESK

(804) 346-4903

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

NISSAN OF RICHMOND11401 W BROAD STHENRICO VA 23233

PHONE:FAX:

NISSAN OF RICHMOND11401 W BROAD STHENRICO VA 23233

1996

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

TIFFANY DABNEY

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: TIFFANYD@NISSANRICHMOND

DecemberJune / December

Page 158: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 261-2266

ELV2004-01144

NONE

FRONT DESK

(804) 261-2544

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

HAMPTON INN1101 TECHNOLOGY PARK DRGLEN ALLEN VA 23059

PHONE:FAX:

HAMPTON INN1101 TECHNOLOGY PARK DRGLEN ALLEN VA 23059

1993

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

AL PATEL

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 159: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 261-2266

ELV2004-01144

NONE

FRONT DESK

(804) 261-2544

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

HAMPTON INN1101 TECHNOLOGY PARK DRGLEN ALLEN VA 23059

PHONE:FAX:

HAMPTON INN1101 TECHNOLOGY PARK DRGLEN ALLEN VA 23059

1993

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

AL PATEL

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 160: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(540) 428-7830

ELV2005-01170

NONE

MGR. OFFICE - 0514

(540) 428-7831

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

SANDSTON SENIOR RETIREMENT600 E WILLIAMSBURG RDSANDSTON VA 23150

PHONE:FAX:

SANDSTON PLATEAU RETIREMENT600 E. WILLIAMSBURG RDSANDSTON VA 23150

1996

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

L. ROBINSON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 161: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 270-1305

ELV2005-01182

NONE

RECPT.

(804) 527-6908

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

ORTHO VIRGINIA7858 SHRADER RD.RICHMOND VA 23294

PHONE:FAX:

ORTHO VIRGINIA7858 SHRADER RDHENRICO VA 23294

1996

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

BECKY HINES

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 162: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 270-1305

ELV2005-01182

NONE

RECPT.

(804) 527-6908

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

ORTHO VIRGINIA7858 SHRADER RD.RICHMOND VA 23294

PHONE:FAX:

ORTHO VIRGINIA7858 SHRADER RDHENRICO VA 23294

1996

Equipment Type: Dumbwaiter

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

BECKY HINES

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 163: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 649-8481

ELV2005-01183

ALARMED

RECPT. DESK

(804) 355-0932

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

COMMONWEALTH AUTISM4108 E. PARHAM ROADHENRICO VA 23228

PHONE:FAX:

COMMONWEALTH AUTISM4108 E PARHAM RDHENRICO VA 23228

1996

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

PAMELA WATERMAN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 164: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 649-8481

ELV2005-01183

ALARMED

RECPT. DESK

(804) 355-0932

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

COMMONWEALTH AUTISM4108 E. PARHAM ROADHENRICO VA 23228

PHONE:FAX:

COMMONWEALTH AUTISM4108 E PARHAM RDHENRICO VA 23228

1996

Equipment Type: Dumbwaiter

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

PAMELA WATERMAN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 165: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 364-0394

ELV2005-01188

ALARMED

EQUIP. ROOM

(804) 364-0396

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CHRIST CHURCH EPISCOPAL5000 POUNCEY TRACT RDGLEN ALLEN VA 23059

PHONE:FAX:

CHRIST CHURCH EPISCOPAL5000 POUNCEY TRACT RDGLEN ALLEN VA 23059

1996

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

DAVID ELLIS

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: D.ELLIS#CCERVA.ORG

DecemberJune / December

Page 166: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 527-0718

ELV2006-01199

NONE

1 S/T FL. DESK

(804) 527-0794

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

SNH INDEPENDENCE PARK LLC9900 INDEPENDENCE PARK DR. - SUITE 120HENRICO VA 23233

PHONE:FAX:

INDEPENDENCE PARK BLDG 3 - HCA9930 INDEPENDENCE PARK DRHENRICO VA 23233

1993

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

WENDY WALTON - SMITH

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 167: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 330-3900

ELV2006-01211

NONE

MAINT SHOP LOCK BOX

(804) 330-4450

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

BRANDYWINE REALTY300 ARBORETUM PL, SUITE 300RICHMOND VA 23236

PHONE:FAX:

THREE PARAGON PLACE6806 PARAGON PLACERICHMOND VA 23230

1996

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

HEATHER HAMLON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 168: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 330-3900

ELV2006-01211

NONE

MAINT SHOP LOCK BOX

(804) 330-4450

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

BRANDYWINE REALTY300 ARBORETUM PL, SUITE 300RICHMOND VA 23236

PHONE:FAX:

THREE PARAGON PLACE6806 PARAGON PLACERICHMOND VA 23230

1996

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

HEATHER HAMLON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 169: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(303) 795-7956

ELV2006-01224

NONE

SECURITY

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

LERCH BATES9780S MERIDIAN BLVD STE 450ENGLEWOOD, CO 80112

PHONE:FAX:

WAL-MART # 38691504 N PARHAM RDHENRICO VA 23229

2004

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

WALMART ELEVATORS

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 170: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 747-7800

ELV2006-01233

NONE

KEYBOX - M.R. DOOR

(804) 965-0164

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

HRLP LLC3100 SMOKETREE CT, SUITE 600RALEIGH NC 27604

PHONE:FAX:

NORTH SHORE COMMONS BLDG B4991 LAKE BROOK DRGLEN ALLEN VA 23060

1996

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

TERRY NERO

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 171: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 747-7800

ELV2006-01233

NONE

KEYBOX - M.R. DOOR

(804) 965-0164

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

HRLP LLC3100 SMOKETREE CT, SUITE 600RALEIGH NC 27604

PHONE:FAX:

NORTH SHORE COMMONS BLDG B4991 LAKE BROOK DRGLEN ALLEN VA 23060

1996

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

TERRY NERO

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 172: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 270-4626

ELV2007-01292

(804) 747-5113

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

TRINITY LUTHERAN CHURCH2315 N PARHAM RDHENRICO VA 23229

PHONE:FAX:

TRINITY LUTHERAN CHURCH2315 N PARHAM RDHENRICO VA 23229

2000

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

DAVID CONRAD

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

JuneJune / December

Page 173: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 727-3601

ELV2007-01308

(804) 346-8640

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

MONUMENT SQUARE CONDO ASSOCC/O ASSOCIA COMMUNITY GROUP3901 WESTERRE PKY. SUITE 100HENRICO VA 23233

PHONE:FAX:

MONUMENT SQUARE MANSION CONDO BLDG.-111231 BYRD AVERICHMOND VA 23226

2000

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

DENEZ STABLER

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 174: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 321-6761

ELV2008-01321

(804) 754-6777

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

TRINITY CHURCH2811 FENDALL AVERICHMOND VA 23222

PHONE:FAX:

TRINITY FAMILY LIFE CTR.3601 DILL RDRICHMOND VA 23222

2000

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

CHAD MORRIS

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 175: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 727-3601

ELV2008-01322

(804) 346-8640

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

MONUMENT SQUARE CONDO ASSOCIATIONC/O COMMUNITY GROUP3910 WESTERRE PKWY, SUITE 100HENRICO VA 23233

PHONE:FAX:

MONUMENT SQUARE BLDG 55233 MONUMENT AVERICHMOND VA 23226-1426

2000

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

DENEZ STABLER

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 176: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 727-3601

ELV2008-01323

NONE

KEY BOX

(804) 346-8640

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

MONUMENT SQUARE CONDO ASSOCIATIONC/O COMMUNITY GROUP3901 WESTERRE PKWY, SUITE 100HENRICO VA 23233

PHONE:FAX:

MONUMENT SQUARE CONDO BLDG 65241 MONUMENT AVERICHMOND VA 23226-1427

2000

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

DENEZ STABLER

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 177: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 433-1888

ELV2008-01360

NONE

MAINT,

(804) 433-1889

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

W B HOTELS3939 DUCKLING DRGLEN ALLEN VA 23060

PHONE:FAX:

ALOFT HOTEL3939 DUCKLING DRGLEN ALLEN VA 23060

2000

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

BRIAN HANSEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: ALOFTRICHMOND.COM

DecemberJune / December

Page 178: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 433-1888

ELV2008-01360

NONE

MAINT,

(804) 433-1889

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

W B HOTELS3939 DUCKLING DRGLEN ALLEN VA 23060

PHONE:FAX:

ALOFT HOTEL3939 DUCKLING DRGLEN ALLEN VA 23060

2000

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

BRIAN HANSEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: ALOFTRICHMOND.COM

DecemberJune / December

Page 179: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 433-1888

ELV2008-01360

NONE

MAINT,

(804) 433-1889

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

3

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

W B HOTELS3939 DUCKLING DRGLEN ALLEN VA 23060

PHONE:FAX:

ALOFT HOTEL3939 DUCKLING DRGLEN ALLEN VA 23060

2000

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

BRIAN HANSEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: ALOFTRICHMOND.COM

DecemberJune / December

Page 180: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 433-1888

ELV2008-01360

NONE

MAINT,

(804) 433-1889

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

4

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

W B HOTELS3939 DUCKLING DRGLEN ALLEN VA 23060

PHONE:FAX:

ALOFT HOTEL3939 DUCKLING DRGLEN ALLEN VA 23060

2000

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

BRIAN HANSEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: ALOFTRICHMOND.COM

DecemberJune / December

Page 181: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 652-1888

ELV2008-01371

NONE

DESK

(804) 652-1899

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

AUDUBON HOSPITALITY LLC5400 AUDUBON DRRICHMOND VA 23231

PHONE:FAX:

CANDLEWOOD SUITES5400 AUDUBON DRRICHMOND VA 23231

2000

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

KENT WILLINGHAM

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 182: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 515-5700

ELV2009-01407

NONE

RECPT.

(804) 515-5700

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

COBB TECHNOLOGIES1000 TECHNOLOGY PARK DR.GLEN ALLEN VA 23059

PHONE:FAX:

COBB TECHNOLOGIES8827 STAPLES MILL RDHENRICO VA 23228

2004

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

TONI GORVEATT

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 183: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(213) 741-5108

ELV2009-01428

NONE

CUST. SERV.

(213) 741-5105

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

FOREVER 21 C/O SOLUCORE515 S. FLOWER ST. 36TH FL.LOS ANGELES CA 90071

PHONE:FAX:

FOREVER 211404 N. PARHAM RD.HENRICO VA 23229

2005

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RAY ELIED

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 184: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(213) 741-5108

ELV2009-01428

NONE

CUST. SERV.

(213) 741-5105

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

FOREVER 21 C/O SOLUCORE515 S. FLOWER ST. 36TH FL.LOS ANGELES CA 90071

PHONE:FAX:

FOREVER 211404 N. PARHAM RD.HENRICO VA 23229

2005

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RAY ELIED

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 185: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(213) 741-5108

ELV2009-01428

NONE

CUST. SERV.

(213) 741-5105

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

3

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

FOREVER 21 C/O SOLUCORE515 S. FLOWER ST. 36TH FL.LOS ANGELES CA 90071

PHONE:FAX:

FOREVER 211404 N. PARHAM RD.HENRICO VA 23229

2005

Equipment Type: Escalator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RAY ELIED

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 186: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

ELV2010-01481

ALARMED!!!!!!!!!!!

BLDG. ENGR.

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAE REAL ESTATE LLC.7858 SHRADER RD.HENRICO, VA. 23294

PHONE:FAX:

ORTHO VIRGINIA7900 SHRADER RDHENRICO VA 23294

2004/2005

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

FELECIA WASHINGTON

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

JuneJune / December

Page 187: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 741-9733

ELV2011-01524

(804) 741-0856

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

COLLEGIATE SCHOOL103 N MOORELAND RDHENRICO VA 23229

PHONE:FAX:

COLLEGIATE SCHOOL - LUCK HALL103 N MOORELAND RDHENRICO VA 23229

2005

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

CARROLL CAMPBELL - MAINT.

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 188: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 464-0990 Ext: C-398-0233

ELV2012-01575

NONE

FRONT DECK

(804) 464-0991

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

ACAC SHORT PUMP LLC2201 OLD BRICK RDGLEN ALLEN VA 23060

PHONE:FAX:

ACAC2201 OLD BRICK RDGLEN ALLEN VA 23060

2004

Equipment Type: Elevator

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

ERIC KIRKPATRICK

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 189: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 727-3601

ELV2013-01609

(804) 346-8640

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

MONUMENT SQUARE CONDO ASSOCIATIONC/O COMMUNITY GROUP3901 WESTERRE PKWY, SUITE 100HENRICO VA 23233

PHONE:FAX:

MONUMENT SQUARE BLDG 45225 MONUMENT AVERICHMOND VA 23226

2007

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

DENEZ STABLER

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 190: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 387-4184

ELV2014-01673

() -

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

ARTCRAFT MANAGEMENT4447 COX RDGLEN ALLEN VA 23060

PHONE:FAX:

FAISON RESIDENCE5215 W BROAD STRICHMOND VA 23230

2007

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

JENNIFER MCCORMICK

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 191: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 266-8504

ELV2015-01737

!!!! ALARMED !!!!!!

MAINT. SHOP

(804) 266-8510

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CAPITAL REGION AIRPORT COMMISSION1 RICHARD E BYRD TERMINAL DRHENRICO VA 23250

PHONE:FAX:

HANGER 34693649 THUNDERCHIEF DRHENRICO VA 23250

2010

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

RUSS PEADEN

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

JuneJune / December

Page 192: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 527-1037

ELV2017-01817

-------ALARMED------

CHURCH OFFICE

(804) 527-1039

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

ST. MICHAELS CHURCH4495 SPRINGFIELD RDGLEN ALLEN VA 23060

PHONE:FAX:

ST. MICHAELS CHURCH4495 SPRINGFIELD RDGLEN ALLEN VA 23060

2010

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

SCOTT GUY

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 193: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 338-5294

ELV2017-01832

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

ARNB LLC.6115 STAPLES MILL RDHENRICO VA 23228

PHONE:FAX:

ARCO IRIS LATINO MART6115 STAPLES MILL RDHENRICO VA 23228

2010

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

ARCO IRIS LATINO MART

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 194: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

(804) 737-4837

ELV2018-01923

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

CORINTH UNITED METHODIST CHURCH23 W WILLIAMSBURG RDSANDSTON VA 23150-2009

PHONE:FAX:

CORINTH UNITED METHODIST CHURCH23 W WILLIAMSBURG RDSANDSTON VA 23150-2009

2010

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

SUE BUCK

on ______________________________ of this equipment has revealed the following conditions:

EMAIL: [email protected]

DecemberJune / December

Page 195: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

ELV2018-01930

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

BPMS CARRIAGE HILL HOLDINGS LLC104 HUME AVEALEXANDRIA VA 22301-1015

PHONE:FAX:

CARRIAGE HILL APARTMENTS5020 SULKY DRHENRICO VA 23228

2010

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

JuneJune / December

Page 196: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

ELV2018-01930

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

BPMS CARRIAGE HILL HOLDINGS LLC104 HUME AVEALEXANDRIA VA 22301-1015

PHONE:FAX:

CARRIAGE HILL APARTMENTS5020 SULKY DRHENRICO VA 23228

2010

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

JuneJune / December

Page 197: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

ELV2018-01930

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

3

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

BPMS CARRIAGE HILL HOLDINGS LLC104 HUME AVEALEXANDRIA VA 22301-1015

PHONE:FAX:

CARRIAGE HILL APARTMENTS5020 SULKY DRHENRICO VA 23228

2010

Equipment Type: Elevator - Hydraulic

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

JuneJune / December

Page 198: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

ELV2018-01975

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

1

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

DRURY DEVELOPMENT CORPORATION721 EMERSON RDSUITE 200ST LOUIS MO 63141

PHONE:FAX:

DRURY PLAZA HOTEL11049 W BROAD STGLEN ALLEN VA 23060-5937

2010

Equipment Type: Elevator - Traction

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

DecemberJune / December

Page 199: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

ELV2018-01975

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

2

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

DRURY DEVELOPMENT CORPORATION721 EMERSON RDSUITE 200ST LOUIS MO 63141

PHONE:FAX:

DRURY PLAZA HOTEL11049 W BROAD STGLEN ALLEN VA 23060-5937

2010

Equipment Type: Elevator - Traction

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

DecemberJune / December

Page 200: County of Henrico P.O. Box 90775 Department of …...County of Henrico Department of Building Construction and Inspections P.O. Box 90775 Henrico, VA 23273-0775 Phone: (804) 501-4360

County of HenricoDepartment of Building Construction and Inspections

P.O. Box 90775Henrico, VA 23273-0775Phone: (804) 501-4360Fax: (804) 501-4984

Building Location

Owner / Agent

Periodic Inspection DueCategory I, III and V Periodic Test Due

Key Location:

Alarm Status:

Equipment #:

ELV2018-01975

The ________________________________________________________ performed

(Attach additional sheets as needed.)

Equipment Information

Elevator ID #:

3

Code In Effect:

ATTN:

All Acceptance, Alteration and Periodic Inspections / Tests shall be performed in accordance with the requirements of the VA USBC/VCC and VA USBC/VMC, and the A17.1 code in affect at the time of installation / alteration as referenced in the VA USBC. Approved Acceptance / Alteration inspection and test reports shall be received by Henrico County before the equipment is put into service and/or a Certificate of Occupancy will be issued. All approved Periodic Inspection / Test reports shall be received by Henrico County on or before the last day of the inspection month. If the Inspection / Test reveal any code violations, they shall be corrected, re-tested, re-inspected and approved by the Inspector before the equipment is returned to service. All data plates, test tags, seals, etc. shall be installed at the time of inspection. Operating equipment without proper certification is a violation of the VA USBC/VCC and VA USBC/VMC. Failure to abate a code violation of the VA USBC may be punished, upon conviction, by a fine of $2,500.

DRURY DEVELOPMENT CORPORATION721 EMERSON RDSUITE 200ST LOUIS MO 63141

PHONE:FAX:

DRURY PLAZA HOTEL11049 W BROAD STGLEN ALLEN VA 23060-5937

2010

Equipment Type: Elevator - Traction

Inspection Agency: _______________________________

Inspector Name (Print): ____________________________

Inspector Signature: ______________________________

Building Representative Contacted (Print):

________________________________________________

on ______________________________ of this equipment has revealed the following conditions:

EMAIL:

DecemberJune / December