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COMA2013-0953
e JOB ADDRESS: Wi DATE OF ISSUANCE pR QA " 2ol-"4 PERMIT #: 13 - 62 5.3 BLOCK: SUBDIVISION: BUILDING CONTRACTOR (company name): MEDCO Construction CURRENT MAILING ADDRESS: 4005 Crutcher Street, Suite 200 CITY /STATE /ZIP: alias, TX 75246 PH: #234.820.2492 Fax #214.820.4289 I hereby certify that plans have been reviewed and the building will be inspected by a certified energy code inspector in accordance with State Law. Plan review and inspection documentation shall be made available to the Building Department (required for new buildings, alterations and additions) X I hereby certify that plars have beer. submitted to the Texas Department of Licensing and Regulation for Accessibility Review. Control Number: EABPRJB3808398 (Not required for 1 & 2 family dwellings) I hereby certify that an asbestos survey has been conducted for this structure in accordance with the regulatory requirements of the Texas Department of Health. (REQUIRED FOR DEMOLITIONS, ADDITIONS AND OR ALTERATION TO COMMERCIAL AND PUBLIC BUILDINGS) I hereby certify that the foregoing is correct to the best of my knowledge and all work will be performed according to the documents approved by the Building Department and in compliance with the City Of Grapevine Ordinance regulating construction. It is understood that the issuance of this permit does not grant or authorize any violation of any code or ordinance of the City Of Grapevine. I FURTHERMORE UNDERSTAND THAT PLANS AND SPECIFICATIONS ARE NOT REVIEWED FOR HANDICAPPED ACCESSIBILITY BY THE CITY, AND THAT THE DESIGN PROFESSIONAL /OWNER IS RESPONSIBLE FOR OBTAINING SUCH APPROVAL FROM THE APPROPRIATE STATE AND OR FEDERAL AGENCY(S). PRINT NAME: Courtney Tyree SIGNATURE mvffl��.:1. FAX #: 817.42 .4837 EMAIL: c ® ed CHECK BOX IF PREFERRED TO BE CONTACTED BY E -MAIL THE FOLLOWING IS TO BE COMPLETED BY THE BUILDING INSPECTION DEPARTMENT Construction Type.= Permit Valuation: $ Setbacks Approval to Issue Occupancy Group. 2 Fire Sprinkler: YES L, "NO Front: Electrical Division: Building Depth: Left: Plumbing Zoning: Building Width: Rear: Mechanical Occupancy Load: 22.1 — Right:-' Plan Review Approval: Date:, Building Permit Fee: Site Plan Approval: Date: Plan Review Fee: Fire Department: Date: 2Z Lot Drainage Fee: L Public Works Department: Date: Sewer Availability Rate: Health Department: Date: Water Availability Rate: Approved for Permit: Date• Z,' t Total Fees:. Lot Drainage Submitted: Approved: Total Amount Due: l V,0 7, P.O. BOX 95104. GRAPEVINE. TX 76099 (8 1 7) 410 -3165 O:FORMa,DSPERMMITAPPLICATIONS 1:02 -Rev. 11/04.5/06.2/07.11109.4.'11 of 06/03/2013 MON 13:24 FAX CITY OF GRAPEVINE MECHANICAL ELECTRICAL V' PLUMBING FUEL GAS PERMIT APPLICATION (PLEASE PRINT I ij 'X,' 0002/004 PERMIT #t- f SLOG. PERMIT # DATE: / in) JOB ADDRESS: � wp C) 6t, QQ 6k-1 SUITE # I hD p DESCRIPTION OF WORK: 1-1 C NTRAGTIN NY' I 2-CkS6L ADDRESS: ADDS SS: CITYISTATE/ZIP: TATEIZIP: PHONE NUMBER: PHONE NUMBER: TYPE OF OCCUPANCY BUILDING AREA (SOFT)_ PERMIT FEES AMOUNT DUE EACH TRADE 1. R-3 1- 749 $ 33.25 SINGLE FAMILY, DUPLEX 750- 1,199 $ 49.88 TOWNHOUSE, 1,200- 1,500 $ 63.18 NEW CONSTRUCTION & 1,501- 1,750 $ 76,48 ADDITIONS (PER UNIT) 1,751- 2,000 $ 83.13 2,001- 2,250 $ 89.78 TOTAL SQ.FOOT UNDER 2,261- 3,000 $ 96.43 ROOF 3,001- 3,500 $ 103.08 3,501- 4,000 $ 109.73 $ 4,001+ $ 120.37 EACH TRADE 11. A, E, 1, R-1 1- 500 $ 37.00 HOTELS, APARTMENTS, 501 - 100,000 $ 17.50+.035 PER 1 DRINKING/DINING, 100,001 - 500,000 $ 3,500.00+.03 SQUARE EDUCATIONAL, ASSEMBLY, 500,001+ $15,000.00+.02 FOOT INSTITUTIONAL EACH TRADE Ill. B, F, H, M, S, U I - 500 $ 37.00 OFFICE, RETAIL, WHOLESALE, 501- 50,000 $ 3100+.01 PER 1 GARAGES, FACTORIES, 50,001- 100,000 $ 182,00+ .007 SQUARE WORKSHOPS, SERVICE 100,001+ $ 582,00+.003 FOOT STATIONS, WAREHOUSE CONTRACT EACH TRADE IV. ANY OCCUPANCY GROUP VALUATION OF WORK FINISH-OUTS, SHELL COMPLETIONS, 0- 500 $ 37.00 ALTERATIONS OR 501- 1,500 $ 45.00 STAND ALONE PERMITS 1,501- 3,000 $ 57.00 3,001- 5,000 $ 7100 CONTRACT VALUATION OF WORK: 6,001- 50,000 50,001- 100,000 $ 27,00+,009 $ 127,00+ 007 ER $ 100,001- 500,000 500,001+ $ 327.00+ .005 DOLLAR $ 1,327.00+.003 TVALUATION EACH TRADE V. MISCELLANEOUS IRRIGATION SYSTEMS $ 37.00 MOBILE HOME SERVICE $ 37.00 TEMPORARY POLE SERVICE $ 37,00 SWIMMING POOLS $ 37,00 SIGN ELECTRIC $ 37,00 WFORMSWS APPLICATIONS - FEESWEP APPLICATION 4-1 I.doo m 06/03/2013 MON 13:25 FAX PLAN SUBMITTAL: 000,3/004 WHEN PLANS ARE REQUIRED BY CODES, ORDINANCES, OR AS DETERMINED BY THE BUILDING OFFICIAL, THREE (3) SETS OF PLANS SHALL BE SUBMITTED IN HARD COPY FORMAT, ENGINEER SEALED PLANS AND CALCULATIONS SHALL BE SUBMITTED AS REQUIRED BY CODES, ORDINANCES OR WHERE OTHERWISE REQUIRED BY STATE LAW. OTHER INSPECTIONS AND FEES: • INSPECTIONS OUTSIDE NORMAL BUSINESS HOURS (2HR MINIMUM ) ........................ ...............$42.00 /HOUR* • REINSPECTION FEES ................................................................................... ............................... $42,00 • PERMITS FOR WHICH NO FEE IS SPECIFICALLY INDICATED ............................ ............................... $37.00 • INSPECTIONS FOR WHICH NO FEE IS SPECIFICALLY INDICATED (112 HOUR MINIMUM) ...... ............ ....$42.001HOUR • ADDITIONAL PLAN REVIEW REQUIRED BY CHANGES, ADDITIONS, OR REVISIONS TO APPROVEDPLANS.- .................................. ................................ ......... - . .. ....................$42.001HOUR • BUILDING PERMIT FEES FOR THE GRAPEVINE- COLLEYVILLE INDEPENDENT SCHOOL DISTRICT SHALL BE 25% OF THE FEES ESTABLISHED IN THIS TABLE • FOR USE OF OUTSIDE CONSULTANTS FOR PLAN CHECKING AND INSPECTIONS, OR BOTH......... ACTUAL COSTS ** I HEREBY CERTIFY THAT THE FOREGOING 1S CORRECT TO THE BEST OF MY KNOWLEDGE AND ALL WORK WILL BE PERFORMED ACCORDING TO THE DOCUMENTS APPROVED BY THE BUILDING DEPARTMENT AND IN COMPLIANCE WITH THE CITY OF GRAPEVINE CODES REGULATING CONSTRUCTION. IT IS UNDERSTOOD THAT THE ISSUANCE OF THIS PERMIT DOES NOT GRANT OR AUTHORIZE ANY VIOLATION OF ANY CODE. OR ORDINANCE OF THE CITY OF GRAPEVINE. I FURTHER CERTIFY THAT ALL WORK THAT IS REQUIRED TO COMPLY WITH ANY FEDERAL, STATE, AND I OR LOCAL LAW REGARDING ENERGY CONSERVATION WILL BE PERFORMED IN ACCORDANCE WITH THOSE LAWS, AND THAT VE ATION OF RRERGY CODE COMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST. SIGNATURE OF CONTRACTOR OR ' HORIZED AGENT PRINTED NAME (OR HOMEOWNER FOR HOMEOWNER ERMITS) PHONE #: D4— �} °-� EMAIL ( py}' *OR THE TOTAL HOURLY COST TO THE JURISDICTION WHICHEVER IS GREATER. 'ACTUAL COSTS INCLUDE ADMINISTRATIVE AND OVERHEAD COSTS. CITY OF GRAPEVINE, BUILDING INSPECTIONS, P. 0. BOX 85104, GRAPEVINE, TX 6/21101 REVISED: 10101. 5106. P107. 71M AMA 91 rna .191 O:IFORMSlD$ APPLICATIONS, FEESiMEP APPLICATION 4.11.doc From: 972 446 0140 05113/2013 10:10 #545 P.013/014 CITY OF GRAPEVINE MECHANICAL ELECTRICAL PLUMBING FUEL GAS lvv X PERMIT APPLICATION (PLEASE PRINT) PERMIT # -1 0. !LD?IPER -- - DATE. MAY 16-201-- JOB ADDRESS: 60 f 1 Cl SUITE # DESCRIPTION OF WORK: M.. - =Tmwr�a I PROPERTY OWNER: 0 At rn? CONTRACTING 0 MIPANY ADDRESS. ADDRESS' 10 CITYISTATEIZIP: /i CITY/STATE/ZIP,., ;l-CAIIIN PHONE NUMBER: PHONE NUMBEPj� TYPE OF OCCUPANCY BUILDING AREA (SO FT) PERMIT FEES AMOUNT DUE EACH TRADE I. R-3 1- 749 $ 33-25 SINGLE FAMILY, DUPLEX 750- 1,199 $ 49,88 TOWNHOUSE, 1,200- 1,500 $ 63.18 NEW CONSTRUCTION & 1,501- 1,750 $ 76.48 ADDITIONS (PER UNIT) 1,751- 2,000 $ 83.13 2,001- 2,250 $ 89.78 TOTAL SQ,FOOT UNDER 2,251- 3,000 $ 96.43 ROOF 3,001- 3,500 $ 103.08 3,501- 4,000 $ 109.73 4,001+ $ 120.37 EACH TRADE 11. A, E, 1, R-1 HOTELS, APARTMENTS, 1- 500 $01- 100,000 $ 37.00 $ 17.50+.035 PER DRINKING/DINING, 100,001- 5001000 $ 3.500.00+43 SQUARE EDUCATIONAL, ASSEMBLY, 500,001+ $15,000.00 +.02 FOOT INSTITUTIONAL EACH TRADE Ill. B, F, H, M, S, U 1- 500 $ 37.00 OFFICE, RETAIL, WHOLESALE, 501- 50,000 $ 32.00+.01 PER f GARAGES, FACTORIES, 501001- 100,000 $ 182.00+ .007 SQUARE WORKSHOPS, SERVICE 100,001+ $ 582.00+.003 FOOT STATIONS, WAREHOUSE CONTRACT EACH TRADE IV. ANY OCCUPANCY GROUP M&U-A-TION OF WORK FINISH-OUTS, SHELL COMP ETIONS, 0- 500 $ 37.00 r-AL-TERATfONSbR 501- 1,500 $ 45.00 STAND ALONE PERMITS 1,501- 3,000 $ 67.00 — 3,001- 5,000 $ 72.00 CONTRACT VALUATION OF WORK: 51001- 60,000 $ 27.00+ 1009 el f 60,001-100,000 100,001-500,000 $ 127.00+ .007 PER $ 327.00+.005 DOLLAR $ 500-1001+ 1 $ 1,327.00+.003 VALUATION V. MISCELLANEOUS EACH TRADE IRRIGATION SYSTEMS $ 37.00 MOBILE HOME SERVICE $ 37.00 TEMPORARY POLE SERVICE $ 37,00 SWIMMING POOLS $ 37.00 SIGN ELECTRIC $ 37.00 $ OAPORMSIDS APPLICATIONS - FEESWEP APPLICATION 4.1 1,doc From: 972 446 0140 0511312013 10:11 #545 P. 0141014 PLAN SUBMITTAL: WHEN PLANS ARE REQUIRED BY CODES, ORDINANCES, OR AS DETERMINED BY THE BUILDING OFFICIAL, THREE (3) SETS OF PLANS SHALL BE SUBMITTED IN HARD COPY FORMAT. ENGINEER SEALED PLANS AND CALCULATIONS SHALL BE SUBMITTED AS REQUIRED BY CODES, ORDINANCES OR WHERE OTHERWISE REQUIRED BY STATE LAW. OTHER INSPECTIONS AND FEES: • INSPECTIONS OUTSIDE NORMAL BUSINESS HOURS (2HR MINIMUM) ................ .... -- .......... ......... ....$42.00 /HOUR* • REINSPECTION FEES ................... ......................................................... ,......,..... - .,.... $42.00 ....... ............ • PERMITS FOR WHICH NO FEE IS SPECIFICALLY INDICATED .................. ... $37.00 • INSPECTIONS FOR WHICH NO FEE IS SPECIFICALLY INDICATED (112 HOUR MINIMUM) ....... ........... $42.pOMOUR • ADDITIONAL PLAN REVIEW REQUIRED BY CHANGES, ADDITIONS, OR REVISIONS TO APPROVEDPLANS ............................................................................. ............................... .......$42.00 /HOUR • BUILDING PERMIT FEES FOR THE GRAPEVINE - COLLEYVILLE INDEPENDENT SCHOOL DISTRICT SHALL BE 26 % OF THE FEES ESTABLISHED IN THIS TABLE • FOR USE OF OUTSIDE CONSULTANTS FOR PLAN CHECKING AND INSPECTIONS, OR BOTH......... ACTUAL COSTS'* I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND ALL WORK WILL BE PERFORMED ACCORDING TO THE DOCUMENTS APPROVED BY THE BUILDING DEPARTMENT AND IN COMPLIANCE WITH THE CITY OF GRAPEVINE CODES REGULATING CONSTRUCTION. IT IS UNDERSTOOD THAT THE ISSUANCE OF THIS PERMIT DOES NOT GRANT OR AUTHORIZE ANY VIOLATION OF ANY CODE OR ORDINANCE OF THE CITY OF GRAPEVINE, I FURTHER CERTIFY THAT ALL WORK THAT IS REQUIRED TO COMPLY WITH ANY FEDERAL, STATE, AND / OR LOCAL LAW REGARDING ENERGY CONSERVATION WILL BE PERFORMED IN ACCORDANCE WITH THOSE LAWS, AND THAT VERIF ATION OF EN GY CODE COMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST. SIGNATURE F CONTRACTOR OR AUTHORIZED AGENT PRINTED NA (OR HOME WNER FOR HOMEOWNERS PERMITS) PHONE *A-1 e7- Go EMA1041 -� *OR THE TOTAL HOURLY COST TO THE JURISDICTION WHICHEVER IS GREATER. 6121101 REVISED. 10t01, 5146, 2/67,7/07, W9,11100,4111 O:\FORM&DS APPLICATIONS - FEESMEP APPLICATION 4- 11.doc ul BLDG. PER 13ATE: JOB ADDRESS: SUITE # MAY 2 DESCRIPTION OF WORK, vt!L� c" CITYISTWZIP, ze 147-c-I ILI/ J 37.00 32,00+,01 UH)p WORK GARAGES, FACTORIES, CITY/STA3:FJZIP, PHONtNIDUBER: PH, PHONE NumseR� 182.00+.007 SQUARE 1 (2 TYPE OF OCCUPANCY BUILDING AREA DING AREA so 582.00+.003 P,, PERMIT FEES AMOUNT DUE 1. R-3 P EACH TRADE $ 57.00 1- 749 $ 33.25 SINGLE FAMILY, DUPLEX 750-1,199 $ 49,88 TOWNHOUSE, 1,200- 1,500 $ 63.18 NEW CONSTRUCTION & 1,501- 1,760 $ 76.48 ADDITIONS (PER UNIT) 1,751- 2,000 $ 83.13 1.327.00+.003 2,001- 2,250 $ 89.78 TOTAL SO-FOOT UNDER 2,251- 3,000 $ 96.43 ROOF 3,001- 3,500 $ 103.08 $ 37.00 3,601- 4,000 $ 109.73 $ 37.00 4,001+ $ 120.37 11. A, E, 1, R-1 1 - 500 $ 37.00 HOTELS, APARTMENTS, 501 - 100,000 $ 17.50+.036 PER DRINKINGIDINING, 100,001- 500,000 $ 3,500.00+.03 SQUARE EDUCATIONAL, ASSEMBLY, 500,001+ $15,000.00+.02 1 FOOT INSTITUTIONAL Ill. B, F, H, M, S, U OFFICE, RETAIL, WHOLESALE, 1 - 500 501- 50,000 $ $ 37.00 32,00+,01 PER WORK GARAGES, FACTORIES, 50,001. 100,000 $ 1 182.00+.007 SQUARE 1 WORKSHOPS, SERVICE 100,001+ $ 582.00+.003 FOOT - 501 1,500 STATIONS. WARF14nl IRP P 11501- 3,000 $ 57.00 IV. ANY OCCUPANCY GROUP VALUATION OF WORK FINISH-OUTS, TIONS, 0- 500 $ 37.00 ALTERATIONS R ON� 42�LE FERMITS - 501 1,500 $ 45.00 P 11501- 3,000 $ 57.00 3.001- 5,000 $ 72.00 CONTRACT VALUATION OF WORK: 51001- 50,000 $ 27.00+.009 50,001-100,000 100,001-500,000 $ 127.00+ .007 PER $ 327.00+.005 JVALUATION DOL --- 500.001+ 1.327.00+.003 V. MISCELLANEOUS EACH TRADE IRRIGATION SYSTEMS $ 37.00 MOBILE HOME SERVICE $ 37.00 TEMPORARY POLE SERVICE $ 37.00 SWIMMING POOLS $ 37.00 SIGN ELECTRIC $ 37.00 OAFORMSMSAPPUCATIONS - FEESWEP APPLICAMN 4-11.doo From: 972 446 0140 0511312013 10:06 #545 P.007/014 PLAN SUBMITTAL: WHEN FLANS ARE REQUIRED BY CODES, ORDINANCES, OR AS DETERMINED BY THE BUILDING OFFICIAL, THREE (3) SETS OF PLANS SHALL BE SUBMITTED IN HARD COPY FORMAT. ENGINEER SEALED PLANS AND CALCULATIONS SHALL BE SUBMITTED AS REQUIRED BY CODES, ORDINANCES OR WHERE OTHERWISE REQUIRED BY STATE LAW. OTHER INSPECTIONS AND FEES: • INSPECTIONS OUTSIDE NORMAL BUSINESS HOURS (2HR MINIMUM ) ............................. $42.00 /HOUR* • REINSPECTION FEES .............................................. .....................:......... . $42.00 • PERMITS FOR WHICH NO FEE IS SPECIFICALLY INDICATED ........................................................... ..... ............................... $37.00 INSPECTIOND rOR WI 1I01 1 NO rCC 13 3PECIPICALLY INDICATEp (,1/2 HQUK MINIMUM) ..... ........ ......... $42,001HOUR • ADDITIONAL PLAN REVIEW REQUIRED BY CHANGES, ADDITIONS, OR REVISIONS TO APPROVEDPLANS.... .............. ..................... ................................... - ..... $42.00/HOUR BUILDING PERMIT FEES FOR THE GRAPEVINE- COLLEYVILLE INDEPENDENT SCHOOL DISTRICT • SHALL BE 25 % OF THE FEES ESTABLISHED IN THIS TABLE • FOR USE OF OUTSIDE CONSULTANTS FOR PLAN CHECKING AND INSPECTIONS, OR BOTH......... ACTUAL COSTS" I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND ALL WORK WILL BE PERFORMED ACCORDING TO THE DOCUMENTS APPROVED BY THE BUILDING DEPARTMENT AND IN COMPLIANCE WITH THE CITY OF GRAPEVINE CODES REGULATING CONSTRUCTION. IT IS UNDERSTOOD THA GRAPEVINE. T THE ISSUANCE. OF THIS PERMIT DOES NOT GRANT OR AUTHORIZE ANY VIOL ATION OF ANY CODE OR ORDINANCE OF THE CITY OF I FURTHER CERTIFY THAT ALL WORK THAT IS REQUIRED TO COMPLY WITH ANY FEDERAL, STATE, AND ! OR LOCAL LAW REG ING ENERGY CONSERVATION WILL BE PERFORMED IN ACCORDANCE WITH THOSE LAWS, AND THAT V TION Of ENERGY CODE COMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST. ,�- SIGNA URE OF O OR AUTHORIZED AGENT PRINTED NAME (OR HOMEOWNER FOR HOMEOWNERS PERMITS) mcyloas *OR THE TOTAL HOURLY COST TO THE JURISDICTION WHICHEVER IS GREATER. %011 1 yr %XmRrcvlNt, tUILDING INSPECTIONS, P. O. BOX 95104, 6!21104 REVISED. 10101, 5106, 2107, 7107.6/08. II=. 4111 O:IFORMSkQS APPLICATIONS - FEESIMEP APPLICATION 4 -7 f.dac am�- -FA) COMcheck Software Version 3.9.1 Interior Li ' ghting Compliancl r a, i Section 1: Project Information Project Type: Alteration Project Title: RETAIL PHARMACY Construction Site: Owner /Agent: (p 00 WEST COLLEGE ST, BAYLOR GRAPEVINE, TX 76051 Section 2: Interior Lighting and Power Calculation A Area Category Designer /Contractor: B C D Floor Area Allowed Allowed Watts (ft2) Watts / ft2 (B x C) Retail Pharmacy (Healthcare - Clinic): Exempt Total Allowed Wafts = NIA Area Category Exemption Qualifications Total Wattage Total Pre -Alt. # Fixtures Activity Area Pre -Alt. Post -Alt. Fixtures Repl. /Added Retail Pharmacy ( Healthcare- Clinic 2353 sq.ft.): Exemption: 4202 2132 - -- Replacement of bulbs and ballasts only. Section 3: Interior Lighting Fixture Schedule A B C D E Fixture ID : Description / Lamp /Wattage Per Lamp I Ballast Lamps/ # of Fixture (C X D) Fixture Fixtures Watt. Retail Pharmacy ( Healthcare - Clinic 2353 sq.ft.): Exempt Total Proposed Watts = N/A Section 4: Requirements Checklist Lighting Wattage: n 1. Total proposed watts must be less than or equal to total allowed watts. Allowed Watts Proposed Wafts Complies NIA NIA Passes Controls, Switching, and Wiring: ❑ 2. Daylight zones under skylights more than 15 feet from the perimeter have lighting controls separate from daylight zones adjacent to vertical fenestration. ❑ 3. Daylight zones have individual lighting controls independent from that of the general area lighting. Exceptions: ❑ Contiguous daylight zones spanning no more than two orientations are allowed to be controlled by a single controlling device. ❑ Daylight spaces enclosed by walls or ceiling height partitions and containing two or fewer light fixtures are not required to have a ❑ 4. Independent controls for each space (switch /occupancy sensor). Exceptions. ❑ Areas designated as security or emergency areas that must be continuously illuminated. ❑ Lighting in stairways or corridors that are elements of the means of egress. ❑ 5. Master switch at entry to hotel /motel guest room. ❑ 6. Individual dwelling units separately metered. ❑ 7. Medical task lighting or art/history display lighting claimed to be exempt from compliance has a control device independent of the control of the nonexempt lighting. ❑ 8. Each space required to have a manual control also allows for reducing the connected lighting load by at least 50 percent by either controlling all luminaires, dual switching of alternate rows of luminaires, alternate luminaires, or alternate lamps, switching the middle lamp luminaires Independently of other lamps, or switching each luminaire or each lamp. Exceptions: ❑ Only one luminaire in space. ❑ An occupant - sensing device controls the area. ❑ The area is a corridor, storeroom, restroom, public lobby or sleeping unit. ❑ Areas that use less than 0.6 Watts /sq.ft. ❑ 9. Automatic lighting shutoff control in buildings larger than 5,000 sq.ft. Exceptions: ❑ Sleeping units, patient care areas; and spaces where automatic shutoff would endanger safety or security. ❑ 10. Photocell /astronomical time switch on exterior lights. Exceptions: ❑ Lighting intended for 24 hour use. ❑ 11.Tandem wired one -tamp and three -lamp ballasted luminaires (No single -lamp ballasts). Exceptions: ❑ Electronic high - frequency ballasts; Luminaires on emergency circuits or with no available pair. Section 5: Compliance Statement Compliance Statement: The proposed lighting alteration project represented in this document is consistent with the building plans, specifications and other calculations submitted with this permit application. The proposed lighting alteration project has been designed to meet the 2009 IECC, Chapter 8, requirements in COMcheck Version 3.9.1 and to comply with the mandatory requirements in the Requirements Checklist, vw�"'Av S4_t_vfA"0V"C F5 M OZA? f Name - Title Signature C�✓�� Date Project Title: RETAIL PHARMACY Report date: 03/25/13 Data filename: Untitied.cck Page 2 of 2 Kurl"All +Z Project Type: Alteration Project Title : Grapevine POB Construction Site: 1650 West College Street Suite 110 Grapevine, TX 76051 Owner /Agent: Baylor Health Care System 1650 West College Street -Suite 110 Grapevine, TX 76051 Section 2: General Information Building Location (for weather data): Dallas, Texas Climate Zone: 3a Section 3: Mechanical Systems List Quantity. System T pe_& Description 1 AHU (Multiple -Zone w/ Perimeter System) : Heating: 1 each - Hydronic or Steam Coil, Hot Water, Capacity = 300 kBtulh Cooling: 1 each - Hydronic Coil, Capacity = 250 kBtu /h, Air Economizer Section : Requirements Checklist Requirements Specific To: AHU : ❑ 1. Minimum one temperature control device per zone Exception(s): Designer /Contractor: Smith, Seckman, Reid, Inc 3100 McKinnon Suite 550 Dallas, TX 75201 ❑ System is an independent perimeter system and must have at least one temperature control per building exposure over 50 lineal ft and facing one orientation ❑ 2. Balancing and pressure test connections on all hydronic terminal devices ❑ 3. Integrated economizer is required for this location and system. ❑ 4. Cooling system provides a means to relieve excess outdoor air during economizer operation. ❑ 5. Systems serving more than one zone must be VAV systems ❑ 6. Single -duct VAV terminals reduce primary air before reheating ❑ 7. Fan motor demand 50% design kW at 50% design flow - calculations required 8. Separate hot and cold water supply and returns ❑ 9. Multiple boilers must have automatic controls that sequence operation with load ❑ 10. Single boiler >500 kBtu /h input capacity must have a multistaged or modulating burner ❑ 11.Two -pipe changeover heating /cooling controls must have: a) 15 degrees F deadband where boiler and chiller can not operate, b) allow operation in either heating or cooling for at least 4 hrs, and c) prevent difference between heating and cooling set points greater than 30 degrees F Exception(s): O Air /evap condenser and extensive outside -air filtration ❑ 12. Controls capable of resetting supply air temp (SAT) by 25% of SAT -room temp difference Exception(s): ❑ Systems that prevent reheating, recooling or mixing of heated and cooled supply air ❑ Seventy five percent of the energy for reheating is from site - recovered or site solar energy sources. Project Title: Grapevine POB Report date: 03/25/13 Data filename: T:\Team28\2012\ 12280510 \Comchecks \Mechanicai.cck Page 1 of 3 AP kll 41 4:4 ❑ Zones with peak supply air quantities of 300 cfm (142 Us) or less. ❑ 13. Total VAV fan nameplate motor horsepower <= 1.5 hp /1000 cfm ❑ 14. For each fan, the selected fan motor is be no larger than the first available motor size greater than the brake hp. The fan brake hp must be indicated on the design documents to allow for compliance verification by the code official. Exception(s): ❑ For fans less than 6 brake hp, where the first available motor larger than the brake hp has a nameplate rating within 50% of the brake hp, the next larger nameplate motor size may be selected. ❑ For fans 6 brake hp and larger, where the first available motor larger than the brake hp has a nameplate rating with 30% of the brake hp, the next larger nameplate motor size may be, selected. ❑ 15.VAV fans with static pressure sensors are placed in a position such that the controller setpoint is no greater than one -third the total design fan static pressure. If placement results in the sensor being located downstream of major duct splits, multiple sensors are installed in each major branch. Exception(s): ❑ Systems with DDC of individual zone boxes reporting to the central control panel and reset of static pressure setpoint based on the zone requiring the most pressure. ❑ 16. Systems with DDC of individual zone boxes reporting to the central control panel has static pressure setpoint reset based on the zone requiring the most pressure. ❑ 17. Meets the condenser heat recovery requirement for service water heating Exception(s): ❑ Facilities that employ condenser heat recovery for space heating with a heat recovery design exceeding 30% of the peak water - cooled condenser load at design conditions. ❑ Facilities that provide 60% of their service water heating from site solar or site recovered energy or from other sources. ❑ 18.Chilled water pumping systems with multiple chillers must automatically reduce chilled water flow rates proportionately when chillers are not operating ❑ 19. Hot water pumping systems with multiple boilers automatically reduce hot water flow rates proportionately when boilers are not operating Generic Requirements: Must be met by all systems to which the requirement is applicable: ❑ 1. Plant equipment and system capacity no greater than needed to meet loads Exception(s): ❑ Standby equipment automatically off when primary system is operating ❑ Multiple units controlled to sequence operation as a function of load ❑ 2. Minimum one temperature control device per system ❑ 3. Minimum one humidity control device per installed humidification /dehumidification system ❑ 4. Load calculations per ASHRAE /ACCA Standard 183. ❑ 5. Automatic Controls: Setback to 55 °F (heat) and 85 °F (cool); 7 -day clock, 2 -hour occupant override, 10 -hour backup Exception(s): ❑ Continuously operating zones ❑ 2 kW demand or less, submit calculations ❑ 6. Outside -air source for ventilation; system capable of reducing OSA to required minimum ❑ 7, R -5 supply and return air duct insulation in unconditioned spaces R -8 supply and return air duct insulation outside the building R -8 insulation between ducts and the building exterior when ducts are part of a building assembly Exception(s): ❑ Ducts located within equipment ❑ Ducts with interior and exterior temperature difference not exceeding 15 °F. ❑ 8. Mechanical fasteners and sealants used to connect ducts and air distribution equipment ❑ 9. Ducts sealed - longitudinal seams on rigid ducts; transverse seams on all ducts; UL 181A or 181 B tapes and mastics Exception(s): ❑ Continuously welded and locking -type longitudinal joints and seams on ducts operating at static pressures less than 2 Inches w.g. pressure classification ❑ 10. Hot water pipe insulation: 1.5 in. for pipes < =1.5 in. and 2 in. for pipes >1.5 in. Chilled water /refrigerant/brine pipe insulation: 1.5 in. for pipes < =1.5 In. and 1.5 in. for pipes >1.5 in. Steam pipe insulation: 1.5 in. for pipes <=1.5 in. and 3 in. for pipes >1.5 in. Exceptton(s): ❑ Piping within HVAC equipment. ❑ Fluid temperatures between 55 and 105 °F. ❑ Fluid not heated or cooled with renewable energy. ❑ Piping within room fan -coil (with AHR1440 rating) and unit ventilators (with AHRI840 rating), ❑ Runouts <4 ft in length. Project Title: Grapevine POB Report date: 03/25113 Data filename: T: \Team28\ 2012\ 12280510 \Comchecks \Mechanical,cck Page 2 of 3 ❑ 11.Operation and maintenance manual provided to building owner ❑ 12.Thermostatic controls have 5°F deadband Exception(s): ❑ Thermostats requiring manual changeover between heating and cooling ❑ Special occupancy or special applications where wide temperature ranges are not acceptable and are approved by the authority having jurisdiction. ❑ 11 Balancing devices provided in accordance with IMC (2006) 603.17 14. Demand control ventilation (DCV) present for high design occupancy areas ( >40 person11000 112 in spaces >500 ft2) and served by systems with any one of 1) an air -side economizer, 2) automatic modulating control of the outdoor air damper, or 3) a design outdoor airflow greater than 3000 cfm. Exception(s): ❑ Systems with heat recovery. ❑ Multiple -zone systems without DDC of individual zones communicating with a central control panel. ❑ Systems with a design outdoor airflow less than 1200 cfm. ❑ Spaces where the supply airflow rate minus any makeup or outgoing transfer air requirement is less than 1200 cfm. ❑ 15. Motorized, automatic shutoff dampers required on exhaust and outdoor air supply openings Exceptions): ❑ Gravity dampers acceptable in buildings <3 stories ❑ Gravity dampers acceptable in systems with outside or exhaust air flow rates less than 300 cfm where dampers are interlocked with fan ❑ 16.Automatic controls for freeze protection systems present ❑ 17.Three -pipe systems not used ❑ 18. Exhaust air heat recovery included for systems 5,000 cfm or greater with more than 70% outside air fraction or specifically exempted Exception(s): ❑ Hazardous exhaust systems, commercial kitchen and clothes dryer exhaust systems that the International Mechanical Code prohibits the use of energy recovery systems. ❑ Systems serving spaces that are heated and not cooled to less than 60 °F. ❑ Where more than 60 percent of the outdoor heating energy is provided from site - recovered or site solar energy. ❑ Heating systems in climates with less than 3600 HDD. ❑ Cooling systems in climates with a 1 percent cooling design wet -bulb temperature less than 64 °F. ❑ Systems requiring dehumidification that employ energy recovery in series with the cooling coil. ❑ Laboratory fume hood exhaust systems that have either a variable air volume system capable of reducing exhaust and makeup air volume to 50 percent or less of design values or, a separate make up air supply meeting the following makeup air requirements: a) at least 75 percent of exhaust flow rate, b) heated to no more than 2 °F below room setpoint temperature, c) cooled to no lower than 3 °F above room setpoint temperature, d) no humidification added, e) no simultaneous heating and cooling. Section 5: Compliance Statement Comptiance Statement: The proposed mechanical alteration project represented in this document is consistent with the building plans, specifications and-other calculations submitted with this permit application. The proposed mechanical alteration project has been designed to meet the 2009 IECC, Chapter 8, requirements in COMcheck Version 3.9.1 and to co m ly w'th the mandatory requirements in the Requirements Checklist. Name - Title �- gnature Date Section 6: Post Construction Compliance Statement ❑ HVAC record drawings of the actual installation, system capacities, calibration information, and performance data for each equipment provided to the owner. ❑ HVAC O &M documents for all mechanical equipment and system provided to the owner by the mechanical contractor. ❑ Written HVAC balancing and operations report provided to the owner. The above post construction requirements have been completed. Principal Mechanical Designer -Name Signature Date Project Title: Grapevine POB Report date: 03/25113 Data filename: T:\Team28\ 2012\ 12280510 \Comchecks \Mechanical.cck Page 3 of 3 LIMITED ASBESTOS SURVEY For the A Prepared for CB RICHARD ELLIS 4005 CRUTCHER STREET, SUITE 320 DALLAS, TEXAS 75246 Prepared by Arkose Environmental, Inc. P.O. Box 560975 The Colony, Texas 75056 Telephone (214) 682-4582 February 22, 2013 l3iVkkume-,-*`P.G., CESCO D,I,H,q Individual Asbestos Consultant License No. 10566 Michael Couture, R.E.M, P.G. DSHS Individual Management Planner License No. 20-5235 APR 4 nil � 4-2 oi�4't lyta cvz-.� SURVEY SUMMARY ............. -- ...... ..................... ..................... - ................... -- 1 SCOPE OF SERVICES.........— ...................................................... ................................. — 2 INTRODUCTION................ ......................................................... -- ........................... ... 3 FINDINGS AND RECOMMENDATIONS ........................................ -- ............................ —. 4 METHODOLOGY........................................ ............................. -- ............................ .... 5 Appendices: A. ANALYTICAL RESULTS B. SAMPLE LOCATION FIGURE C. CERTIFICATES & LICENSES D. PHOTOGRAPHS E. GLOSSARY OF TERMS SECTION I SURVEY SUMMARY ACM SURVEY RESULTS Arkose Environmental, Inc. (AEI) was retained by C13 Richard Ellis to conduct a limited asbestos survey for suite 110 of the Professional Office Building at Baylor Regional Medical Center in Grapevine, Texas. Ms. Lui Barkkume, a Texas Department of State Health Services (DSHS) licensed Individual Asbestos Consultant, conducted the limited asbestos survey on February 21, 2013. AEI understands that portions of suite 110 of the Professional Office Building are currently scheduled for renovation. This survey was conducted in accordance with AHERA guidelines. On February 21, 2013, suspect materials sampled within suite 110 of the Professional Office Building at Baylor Regional Medical Center at Grapevine included ceiling tile, carpet mastic, fire proofing, drywall, and wall texture/joint compound. These materials are located within the areas of potential disturbance during scheduled renovation activities. A total of 12 samples were collected and submitted for laboratory analysis by Polarized Light Microscopy (PLM). Results from the findings are discussed below. No asbestos containing materials were identified in the samples collected and submitted for PLM analysis. BRMCG Professional Office Building, Suite 110 AEI Project Number: 12-127 SECTION 2 SCOPE OF SERVICES Authorization to perform this assessment was given by Mr. Brad Shipman with CB Richard Ellis on February 13, 2013. AEI was to conduct a visual inspection for asbestos- containing building materials (ACBMs) within the areas of potential disturbance related to scheduled renovations within suite 110 of the Professional Office Building at Baylor Regional Medical Center at Grapevine. The inspection included collection of bulk samples of the suspect ACBMs and transmittal of the collected samples to a NVLAP accredited and DSHS licensed asbestos laboratory for analysis. 2 BRMCG Professional Office Building, Suite 110 AEI Project Number: 12 -127 The purpose of the asbestos assessment study is to determine the presence and current condition of exposed and /or accessible materials that commonly contain asbestos within the areas of potential disturbance related to scheduled renovations. The Texas Asbestos Health Protection Rules (TAHPR) require that an asbestos survey be performed prior to issuance of a city construction permit (Senate Bill 509) and prior to any renovation within or demolition of a building. EPA regulation 40 CFR 61, Subpart M, National Emission Standards for Hazardous Air Pollutants ( NESHAP), prohibits the release of asbestos fibers to the atmosphere during renovation or demolition activities. The asbestos NESHAP requires that potentially regulated asbestos - containing building materials be identified, classified and quantified prior to planned disturbances or demolition activities. WARRANTY AEI warrants that the findings contained herein have been promulgated in general accordance with accepted professional practices at the time of its preparation as applied by professionals in the community. Changes in the state of the art or in applicable regulations cannot be anticipated and have not been addressed in this report. The field and laboratory results reported herein are considered sufficient in detail and scope to determine the presence, condition and hazard potential of accessible and /or exposed suspect ACBMs in the facility at the time of inspection. Test results are valid only for the material tested. There is a possibility that conditions may exist which could not be identified within the scope of the survey or which were not apparent during the site visit. This inspection covered only those areas, which were exposed and /or physically accessible to the inspector as outlined by the scope of work. The study is also limited to the information available from the client at the time it was conducted. This report is not a bidding document. Contractors or consultants reviewing this report must draw their own conclusions regarding further investigation or remediation deemed necessary. No other warranties are implied or expressed. USE BY THIRD PARTIES This report was prepared pursuant to the contract AEI has with CB Richard Ellis, That contractual relationship included an exchange of information about the property that was unique and between AEI and its client and serves as the basis upon which this report was prepared. Because of the importance of the communication between AEI and its client, reliance or any use of this report by anyone other than CB Richard Ellis and its subsidiaries, affiliates and successors, for whom it was prepared, is prohibited and therefore not foreseeable to AEI. 3 BRMCG Professional Office Building, Suite 110 AEI Project Number: 12 -127 Reliance or use by any such third party without explicit authorization in the report does not make said third party a third party beneficiary to AEI's contract with CB Richard Ellis. Any such unauthorized reliance on or use of this report, including any of its information or conclusions, will be at the third party's risk. For the same reasons, no warranties or representations, expressed or implied in this report, are made to any such third party. Third party reliance letters may be issued on request and upon payment of the, then current fee for such letters. All third parties relying on AEI's reports, by such reliance, agree to be bound by the proposal and AEI's General Conditions. No reliance by any party is permitted without such agreement, regardless of the content of the reliance letter itself. 4 BRMCG Professional Office Building, Suite 110 AEI Project Number: 12 -127 SECTIOR I W&NIAlimpW , • . �. GENERAL OBSERVATIONS This assessment was performed within the areas of potential disturbance related to the scheduled renovation of suite 110 of the Professional Office Building. The inspection was conducted as a pre - renovation /demolition survey and included the assessment of suspect friable and non - friable ACBMs. Asbestos Survey Findings AEI was retained by CB Richard Ellis to conduct an asbestos survey within the area of potential disturbance related to the scheduled renovation of suite 110 of the Professional Office Building at Baylor Regional Medical Center in Grapevine, Texas. Ms. Lui Barkkume conducted the asbestos survey on February 21, 2013. The survey was conducted in accordance with AHERA guidelines. A material is considered by the DSHS and EPA to be asbestos containing if at least one sample collected from the homogeneous area shows asbestos present in an amount greater than one (1) percent. No asbestos containing materials were identified in the samples collected and submitted for PLM analysis. Complete lists of samples collected and analyzed are located in Appendix A. Recommendations A limited asbestos assessment was made to identify accessible, friable and non - friable, suspect ACM in those areas of the subject building that were identified by the client representative at the time of the assessment as being scheduled for renovation. Should additional suspect ACM be identified in areas not screened, those areas should be treated as asbestos containing until further evaluation and analysis can be performed during maintenance renovation, demolition or other activities. AEI performed this limited survey only on materials in readily accessible and visible areas. Hidden materials such as inside walls, inaccessible attics, crawl spaces, inside duct work, etc., were not evaluated. No asbestos containing materials were identified in the samples collected and submitted for PLM analysis; therefore, no further action is recommended at this time. BRMCG Professional Office Building, Suite 110 AEI Project Number: 12 -127 SECTION • '� • � ASSESSMENT METHODOLOGY GENERAL REFERENCES Inspection, sampling, and assessment procedures were performed in accordance with EPA and Texas DSHS protocol. ASSESSMENT STUDY GENERAL ORGANIZATION Prior to beginning the actual inspection, the inspector spoke with Mr. Brad Shipman with CB Richard Ellis to discuss the facility inspection and gain access. Inspection Procedures Access was obtained from Mr. Shipman. Ms. Lui Barkkume, a State of Texas licensed Individual Asbestos Consultant, performed the asbestos survey (Texas DSHS Licenses are presented in Appendix C). An initial walkthrough was conducted to determine the presence of suspect materials, which were accessible and /or exposed in the areas currently scheduled for renovation. Materials, which were similar in general appearance, were grouped into homogeneous sampling areas. Homogeneous Material Classifications A preliminary walkthrough of the test area was conducted to determine areas of materials, which were visually similar in color, texture, general appearance, and which appeared to have been installed at the same time. Such materials are termed "homogeneous materials" by the EPA. During this walkthrough, the approximate locations of these homogeneous materials were also noted. Only materials, which were visible and /or exposed, suspected to contain asbestos, and identified by Mr. Shipman as potentially being disturbed during the scheduled renovation activities, were sampled. Following the EPA and DSHS protocol, each identified suspect homogeneous material may be placed in one of the following EPA classifications: Surfacing Materials (spray or trowel applied materials) Thermal System Insulation (materials applied to various mechanical systems) Miscellaneous Materials (any material which do not fit either of the above categories, such as vinyl floor tiles, etc.) BRMCG Professional Office Building, Suite 110 AEI Project Number: 12 -127 Sampling Procedures EPA and DSHS guidelines were used to determine the sampling protocol. Sampling locations were chosen to be representative of the homogeneous sampling area. While an effort was made to collect samples randomly, samples were taken from components scheduled for maintenance, renovation and /or demolition and preferentially from damaged areas or areas that were the least visible to minimize disturbance of the material. X-11-t-14AZIN Method of Analysis Using the bulk sample for visual observation and slide preparation(s) for microscopic examination and identification performed analysis. The samples were mounted on slides and then analyzed for asbestos (chrysotile, amosite, crocidolite, anthophyllite, and actinolite /tremolite), fibrous non - asbestos constituents (mineral wool, paper, etc.) and non - fibrous constituents. Refractive indices, morphology, color, pleochroism, birefringence, extinction characteristics, and signs of elongation are used to identify asbestos. The same characteristics were used to identify the non - asbestos constituents. The microscopist visually estimated relative amounts of each constituent by determining the volume of each constituent in proportion to the total volume of the sample, using a stereoscope. QUEST MicroAnalytics, Inc., a DSHS Licensed and NVLAP accredited laboratory, maintains an in -house quality control program, which consists of blind reanalysis of ten percent of all samples. There is also voluntary quality control reanalysis and mandatory source material dependent quality control reanalysis for sample types that are particularly difficult to analyze. .O_ The field data and the laboratory results were analyzed using the AEI management program. Since the results are oriented to data only, a short explanation of each element contained therein is given below. It explains the content of each data column and its relationship with other items on the page. PLM Report - This is the reporting method utilized in analysis of the submitted samples. Laboratory ID Number - This column represents the assigned laboratory number (if used) Sample Number: This number is the field sample number. Sample Description /Location: This column provides the general location of the suspect material and the suspect material that was sampled. Asbestos Content: This column provide the specific type of asbestos found in each sample and the total quantity of asbestos present in the sample, if asbestos is detected. 7 BRMCG Professional Office Building, Suite 110 AEI Project Number: 12 -127 /_1 » *kl II] I_1 5 Gray Fireproofing 170% Fiberglass INone Detected 6 Gray Fireproofing 70% Fiberglass None Detected 7 Yellow Carpet Mastic INone None Detected 8 Yellow Carpet Mastic None None Detected 9 "Yellow Carpet Mastic INone INone Detected 10 Wall System: Beige Paint (A), White Wall C) 98% Cellulose A) None Detected Texture /Joint Compound (B), Tan Paper (C D) 40% Gypsum B) None Detected and Pink Drywall (D) 10% Fiberglass C) None Detected D) None Detected 11 Wall System: Beige Paint (A), White Wall C) 98% Cellulose A) None Detected Texture /Joint Compound (B), Tan Paper (C D) 40% Gypsum B) None Detected and Pink Drywall (D) 10 % Fiberglass C) None Detected D) None Detected 12 Wall System: Beige Paint (A), White Wall C) 98% Cellulose A) None Detected Texture /Joint Compound (B), Tan Paper (C D) 40% Gypsum B) None Detected ) and Pink Drywall (D) 10% Fiberglass C) None Detected Page 1 of 2 Lab Request No 22841 D) None Detected The EPA test method for bulk analysis (EPA/600 /R- 93(116) states in paragraph 2.2.2. that "the detection limit for visual estimation is a function of the quantity of the sample analyzed, the nature of matrix interference, sample preparation, and fiber size and distribution. Asbestos may be detected in concentrations of less than one percent by area if sufficient material is analyzed. Samples may contain fibers too small to be resolved by PLM (<0.25 micrometers in diameter) so detection of those fibers by this method may not be possible." Samples are analyzed by layers, and percentages estimated visually during microscopic examination. Individual analysis sheets available upon request. Results may not be reproduced except in full. This test report relates only to the samples tested, and results must not be used to claim product endorsement by NVLAP or any agency of the U.S. GovemmenL Materials containing >1% asbestos are considered by the EPA to be asbestos containing materials, and must be handled as such. Analyst: Jennifer Jaber Lab Director: Jennifer D. Jaber 1 a t r Approved Signatory ' ' $ ��" ° "YIL Page 2 of 2 Lab Request No 22841 a �'' 1 i � • r1 No Iln IIII NI H IIII l! ,� II \ \N\ 1 \ N � I I ri II IL � II J I f If \e ,�-d I �l f III ir-- - - --tr � III II 1 II {I i J t_L� J i I I �4--j II M FF� a w m 0 1-- z W CL C) O W ai l � � ` • Y TEXAS DEPARTMENT,"OF STAZTE `lTEALT 1 SERVICES ARKOSE ENVIRONMENTAL INC r r ten -jie t" to per r na as a Asbestos Consultant Agency in the Stare rrf kras within Meparvienw crjTexwr Oc capations Code, chapter 1954, so long as this license is not stopended or revoked arses' es renewed according to the rale:,r adopred In, the Texas Board cv'llewlth. DAB IVI LAI EN%n, D. COMVISSIONER OF IR -A1, 4 License Nurnbara 1t? 404 rCxpiration Da c Control Number: 9X 4} (Void After is pir riu ti Date) V010 fF AE TEREi NON•TRANSFERAKE i Texas Department of Texas Department of State Health Services Mate Health Services Asbestos Individual Consultant Asbestos Individual Management Planner MICHAEL A COUTURE LUI M i3ARKKUME y,� License No. 205235 License No. 105665 Control No. 95876 Control No. 96174 Expiration Date: 9/20/2014 . x Expiration Date: 9/2912013 n �» c rA x ar }a x VrI "C I Ld LLJ c ,a tj United States Department of Commerce National Institute of Standards and Technology NvIQ� Certificate of Accreditation to -lf ISO /IEC NVLAP LAB CODE: 200249 -0 Quest MicroAnalyties Dallas, 'TX 17025:2005 is accredited by the National Voluntary Laboratory Accreditation Program for specific services, listed on the Scope of Accraditabdn, for BULK ASBESTOS FIBER ANALYSIS This laboratory is accredited in accordance with the recognized international Standard 1S0 11EC 77025:2005. This accreditation demonstrates technical competence for a defined scope and the operation of a laboratory quality management system (refer to%int ISO.ILAC -!AF Communique dated January 2009). 2012 -07 -01 tExmu a.QQ gh 2013 -06 -30 Effective dates ¢�o` For the National Institute of Standards and Technology %re, of IRFV NH" 13 2m Q�0T Co +b my� © National Voluntary 4 % IJtif is '%� Laboratory Accreditation Program srarES Of r SCOPE OF ACCREDITATION TO ISO /IEC 17025:2005 Quest MicreAnalytics 2530 Electronic Lane, Suite 712 Dallas, TIC 75220 -1229 Ms. Jennifer Jaber Phone: 214 -351 -4441 Fax: E -Mail: questmicro @gmail.com BULK ASBESTOS FIBER ANALYSIS (PLAI) NVLAP LAB CODE 200249 -0 NV1,4PCo(1e Designation/Description 18/A01 EPA- 600/M4 -82 -020- Interim Method for the Determination of Asbestos in Bulk Insulation Samples 2012 -07 -01 through 2013 -06 -30 Effective dates L'- `4 For the National Institute of Standards and Technology Page I of i NVLAP -01$ (REV. 2005- 05 -19) F-11 7:j =4kiIQ Lyt 7 1. Baylor Regional Medical Center Professional Office 2. Baylor Regional Medical Center Professional Office Building Suite 110 3. Fire proofing located above ceiling in suite 110 5. Carpet mastic sample 4. Ceiling tile samples in suite 110 SITE PHOTOGRAPHS Professional Office Building, Suite 110 Baylor Regional Medical Center at Grapevine 1600 W. College Street, Grapevine, Texas Project No: 12 -127 Environmental, Izic. 7. View above ceiling of fiberglass duct insulation and fiberglass pipe insulation with paper wrap 8. View above ceiling of fiberglass pipe insulation with paper wrap and spray -on fire proofing Professional Office Building, Suite 110 Baylor Regional Medical Center at Grapevine 1600 W. College Street, Grapevine, Texas Project No: 12 -127 ^A�/ Environmental, Inc.. GLOSSARY OF TERMS Accredited Person — A person who has attended and passed, within the last year, the appropriate asbestos course offered by an asbestos training provider Licensed by the department or one that has been approved by another state, that has the authority from the U.S. EPA to approve courses, or that has been approved directly by the U.S. EPA. Abatement — Procedures to control fiber release from asbestos - containing materials. Includes removal, encapsulation, enclosure, repair, demolition, and renovation activities. ACGIN — American Conference of Governmental Industrial Hygienists, 6500 Glenway Avenue, Building D -5, Cincinnati, OH 45211. Act — The Texas Asbestos Health Protection Act, Texas Civil Statutes, Article 4477 -3a, as amended. Adequately we — Sufficiently mixed or penetrated with liquid clear through with no dry material to prevent the release of particulate. If visible emissions are observed coming from asbestos - containing material, then that material has not been adequately wetted. However, the absence of visible emissions is not sufficient evidence of being adequately wet. AHERA — Asbestos Hazard Emergency Response Act of 1986, Public Law 99 -519. The act amends the Federal Toxic Substances Control Act, 18 United States Code, *2641, et seq., by requiring an inspection of all school buildings (Grades K -12), all school administrations to develop plans for controlling asbestos in or removing asbestos from school buildings, and providing penalties for non - compliance. AIHA — American Industrial Hygiene Association, 4676 Columbia Parkway (R -8) Cincinnati, OH 45226. Airlock — A system for permitting ingress and egress with minimum air movement between a contaminated area and an uncontaminated area, typically consisting of two curtained doorways separated by distance of at least 3 feet such that one passes through one doorway into the airlock, allowing the doorway sheeting to overlap and close off the opening before proceeding through the second doorway, thereby preventing flow- through contamination. Air Monitoring — The process of measuring the fiber content of a known volume of air collected during a specific period of time. The procedure normally utilized for asbestos follows the NIOSH 582 Standard Analytical Method for Asbestos in Air P &CAM 239 or Method 7400. For clearance air monitoring, transmission electron microscopy (TEM) methods may be utilized for higher detection and specific fiber identification. Amended Water — Water to which a surfactant has been added. ANSI —American National Standards Institute, 1430 Broadway, New York, N.Y. 1006. Asbestos — The asbestiform varieties of chrysotile, amosite, crocidolite, anthrophyllite, actinolite, and tremolite and all materials containing one percent or more of any of those substances. Asbestos Abatement — The removal, the encapsulation or the enclosure of asbestos for the purpose of, that has the effect of, reducing or eliminating airborne concentrations of asbestos fibers or amounts of ACM. Asbestos Abatement Activity — Asbestos abatement, any on -site preparations or clean up related to the abatement. Asbestos Abatement Contractor — A person who undertakes to perform asbestos removal, enclosure, or encapsulation for others under Contract or other agreement, or who bids to undertake asbestos activities. GLOSSARY OF PERMS Asbestos Abatement Supervisor — An individual who is in the direct and responsible charge of the personnel, practices, and procedures of an asbestos abatement operation or project. Asbestos Consulting Activities — Consulting activities in public buildings include: the designing of asbestos abatement projects; the inspection for asbestos - containing materials (ACM); the evaluation and selection of appropriate asbestos abatement methods and project layout; the preparation of plans, specifications and contract documents; the review of environmental controls, abatement procedures for personal protection employed during the project; the design of area and clearance air monitoring of the project; any inspection management planning, air monitoring, or project management performed by or for the consultant or consulting agency; consultation regarding compliance with various regulations and standards; recommending abatement options; and representing the consultant agency or consultant in obtaining consulting work. Asbestos - Containing Building Material (ACBM) — Surfacing ACM, thermal system insulation ACM, or miscellaneous ACM that is found in or on interior structural members or other parts of a public or commercial building. Asbestos - Containing Material (ACM) — Materials or products that contain more than one percent (1 %) of any kind or combination of asbestos, as determined by the Environmental Protection Agency (EPA) recommended methods as listed in EPA /600 /R- 93/116, July 1993 "Method for the Determination of Asbestos in Bulk Building Materials ". This means any one material component of a structure or any layer of a material sample. Composite sample analysis is not allowed. Asbestos - Containing Waste Material — Includes mill tailings or any waste that contains commercial asbestos and is generated by a source subject to the provisions of 40 CFR Part 61, Subpart M. This term includes filters from control devices, friable asbestos waste material, and bags or other similar packaging contaminated with asbestos. As applied to demolition and renovation operations, this term also includes regulated asbestos - containing materials, and materials contaminated with asbestos including disposable equipment and clothing. Asbestos Exposure — Airborne asbestos fiber concentrations resulting from disturbance or deterioration of asbestos or ACM. Asbestos Proiect Design — Asbestos abatement project design includes the inspection of public buildings for ACM, the evaluation and selection of appropriate asbestos abatement methods, project layout, the preparation of plans, specifications and contract documents, and the review of environmental controls, abatement procedures and personal protection equipment employed during the project. Asbestos - Related Activity — The disturbance (whether intentional or unintentional), removal, encapsulation, or enclosure of asbestos, including preparations or final clearance, the performance of asbestos surveys, the development of management plans and response actions, asbestos project design, the collection or analysis of asbestos samples, monitoring for airborne asbestos, bidding for a contract for any of these activities, or any other activity required to be Licensed under the Texas Asbestos Health Protection Act. Asbestos Removal — Any action that dislodges, strips, or otherwise takes away ACM. Asbestos Reporting Unit (ARU) — An asbestos reporting unit is 160 square feet or 260 linear feet or 35 cubic feet of ACBM in public buildings or RACM in facilities, as defined under NESHAP. Asbestos Survey — An inspection of a building or facility to determine the location, quantity, and condition of ACM therein by taking samples for analysis or by visual inspection. ASTM —American Society for Testing and Materials, 1916 Race Street, Philadelphia, PA 19103. f i Authorized Person — The Owner (and any designated representatives) and any representative of a regulatory or other agency having jurisdiction over the project. Board — The Texas Board of Health. Building Owner — The Owner of record of any public building or any person, such as a property manager, who exercises control over such building to the extent that said person Contracts for or permits renovation to or demolition of said building. A General Contractor hired by the building owner for the purpose of performing a renovation or demolition cannot act as the building owner. CFR — The Code of Federal Regulations. Certified Industrial Hygienist (CIH) - An industrial hygienist certified in Comprehensive Practice by the American Board of Industrial Hygiene. Clean Room — An uncontaminated area or room that is a part of the worker decontamination enclosure system with provisions for storage of worker's street clothes and clean protective equipment. Commercial Building — The interior space of any industrial or federal government owned building. Interior space includes exterior hallways connecting buildings, porticos, and mechanical systems used to condition interior space. Competent Person — The individual designated as the competent person as required by the United States Occupational and Health Administration regulations in 29 CFR, *1926.1101. Containment — A portion of the regulated area that has been sealed and placed under negative air pressure with high efficiency particulate air - filter (HEPA) filtered negative air machines. Contractor — A person under contract to perform a service with wage or income reporting and tax responsibility. Critical Barrier — One or more layers of plastic sealed over all openings into a Work Area or any other similarly placed physical barrier sufficient to prevent airborne asbestos in a Work Area from migrating to an adjacent area. Decontamination Enclosure System — A series of connected rooms, separated from the Work Area and from each other by air locks, for the decontamination of workers and equipment. Demolition — The wrecking or removal of any load- supporting structural member of a public building or facility or any related asbestos removal, stripping, or handling operations together with any related operations or the intentional burning of any public building or facility. Department — The Texas Department of State Health Services. Designated Person — The individual designated under AHERA to oversee all asbestos activities to include compliance with all laws, regulations, and rules. Employee — A person who is paid a salary, wage, or remuneration by an entity for services performed and has a relationship with the entity that would result in the entity being liable for that person's acts or judgements. Encapsulation — A method of control of asbestos fibers in which the surface of ACM is penetrated by or covered with a liquid coating prepared for that purpose. G ZY ALOIS 1:4;4 11 Enclosure — The construction of an airtight, impermeable, semi - permanent barrier surrounding asbestos to prevent the release of asbestos fibers into the air. EPA — U.S. Environmental Protection Agency, 401 M. Street SW, Washington, D.C. 20460. Equipment Room — A contaminated area or room that is part of the worker decontamination enclosure system with provisions for storage of contaminated clothing and equipment. Facilit — Any institutional, commercial, public, industrial, or residential structure, installation or building (including any structure, installation, or building containing condominiums or individual dwelling units operated as a residential cooperative, but excluding residential buildings having four or fewer dwelling units); any ship; and any active or inactive disposal site. Any structure, installation or building that was previously subject to 40 CFR *61.141, Subpart M is not excluded, regardless of its current use or function. Facility Owner — The owner of record of any facility or public building or any person who exercises control over a facility or public building to the extent that said person contracts for or permits renovation to or demolition of said facility or public building. Friable Material — Materials that when dry can be crumbled, pulverized, or reduced to powder by hand pressure, and includes previously non - friable material after such previously non - friable material becomes damaged to the extent that, when dry, it may be crumbled, pulverized, or reduced to powder by hand pressure. HEPA — A high- efficiency particulate air - filter, capable of trapping and retaining 99.97% of mono - dispersed airborne particles 0.3 micron or larger in diameter. HVAC — Heating, ventilation, and air conditioning systems. Independent Third -Party Air Monitor — A person retained to collect area air samples to be analyzed by and for the owner of the building or facility being abated. The person must not be employed by the abatement contractor to analyze any area samples collected during the abatement projects being monitored or the clearance samples. Individual —A single person acting of and for him or herself. Intact — The ACM has not crumbled, been pulverized, or otherwise deteriorated so that the asbestos is no longer likely to be bound with its matrix. Negative Initial Exposure Assessment — A demonstration by the employer, which complies with the OSHA criteria in paragraph (f) (2) (iii), that employee exposure during an operation is expected to be consistently below the PEL. NESHAP — The United States Environmental Protection Agency National Emissions Standards for Hazardous Pollutants, as described in Title 40, CFR, Part 61. NIOSH — The National Institute of Occupational Safety and Health. Non - Friable Material — Material which, when dry, may not be crumbled, pulverized, or reduced to powder by hand pressure. NVLAP — The National Voluntary Laboratory Accreditation Program. OSHA — The Occupational Safety and Health Administration of the United States Department of Labor • • Owner — Any person who owns, leases, operates, controls, or supervises the facility being demolished or renovated or any person who own, leases, operates, controls, or supervises the demolition or renovation operation or both. Outside Air — The air outside buildings and structures. PACM — Presumed Asbestos- Containing Material. PCM — Phase - Contrast Microscopy, a method of analysis for overall fiber counts using an optical microscope. PEL — Permissible Exposure Limit as defined by OSHA regulations (29 CFR *1926.1101). Plans and Specifications — Site specific asbestos abatement description which includes drawings, floor plans or equivalent of sufficient size and detail, that display the location of asbestos abatement activities, the location of regulated area(s), and a clear and understandable written description of the work to be performed. PLM — Polarized -light microscopy, a method of analysis for detection of the presence and type of asbestos. Proiect Manager (PM) — The person or entity designated by the Owner to provide Project Management services during the performance of the abatement work. These services will include area air monitoring, inspections of the abatement areas, and the authority to shut down abatement operations as the Owner's representative. The PM is authorized by the Owner to monitor and inspect the abatement work. A representative from the PM will be on -site during all asbestos removal. Public Building — The interior space of a building used or to be used for purposes that provide for public access or occupancy, including prisons and similar buildings. Interior space includes exterior hallways connecting buildings, porticos, and mechanical systems used to condition interior space. The term includes any building during a period of vacancy, including the period during preparations prior to actual demolition. Regulated Area — The demarcated area in which asbestos abatement activity takes place, and in which the possibility of exceeding the PEL for the concentrations of airborne asbestos exists. Renovation — Additions to or alterations of the building for purposes of restoration by removal, repairing, and rebuilding. Shower room — A room between the clean room and the equipment room in the worker decontamination enclosure with hot and cold or warm running water controllable at the tap and suitably arranged for complete showering during decontamination. Staging Area — Either the holding area or some area near the waste transfer airlock where containerized asbestos waste has been placed prior to removal from the Work Area. Structural Member — Any load- supporting member of a facility, such as beams and load- supporting walls or any non -load- supporting walls or any non -load supporting member, such as ceilings and non -load- supporting walls. Surfactant — A chemical wetting agent added to water to improve penetration. Thermal System Insulation (TSI) — ACM applied to pipes, fittings, boilers, breaching, tanks, ducts, or other structural components to prevent heat loss or gain. C tI X 61-s"T_ T YK 0I 3 N S 1 T I M Visible Emissions — Any emissions containing particulate asbestos material that are visually detectable without the aid of instruments. This does not include condensed uncombined water vapor. Waste Transfer Airlock — A decontamination system utilized for transferring containerized waste from inside to outside of the Work Area. Wet Cleaning — The process of eliminating asbestos contamination from building surfaces and objects by using cloths, mops or other cleaning utensils which have been dampened with water and afterwards thoroughly decontaminated or disposed of as asbestos contaminated waste. Work Area — Designated rooms, spaces or areas of the project in which asbestos abatement actions are to be undertaken or which may become contaminated as a result of such abatement actions. A contained Work Area is a Work Area which ahs been sealed, plasticized, and equipped with a decontamination enclosure system. A non - contained Work Area is an isolated or controlled- access Work Area, which has not been plasticized or equipped with a decontamination enclosure system. SUSPECT BUILDING MATERIALS Provided below are types of asbestos - containing materials Acoustical Ceiling Plaster - Acoustical ceiling plaster is generally considered to be friable and could present a potential health hazard if disturbed. Acoustical ceiling plaster usually has a rough (popcorn like) finish and can be soft or hard to the touch. It is usually spray - applied, however, trowel - applied material is also observed. It is not possible by sight or by touch to determine if the acoustical ceiling materials are asbestos - containing. Acoustical ceiling materials are considered to be friable as it may be crumbled to powder by hand pressure. Trowel On Plaster - Asbestos- containing trowel on plaster (TP) is generally considered to be friable and present a potential health hazard if it is disturbed. TP is often applied to interior ceilings and walls and over irregularities, such as nail penetrations, to provide a textured, acoustically absorbent finish to the ceiling. It can be rough or smooth to the touch. It is not possible by sight or by touch to determine if TP is asbestos- containing. TP is considered to be friable as it may be crumbled to powder by hand pressure. Spray - Applied Fireproofing - Asbestos - containing spray - applied fireproofing is generally considered to be friable and present a potential health hazard if it is disturbed. Fireproofing is often applied to steel structural members, and to the interior of elevator shafts. Spry- applied fireproofing is generally rough in appearance, and can be "cotton- candy" like or firm and somewhat cementitious in texture. it is not possible by sight or by touch to determine if TP is asbestos- containing. Fireproofing is considered to be friable as it may be crumbled to powder by hand pressure. Resilient Floor Tiles, and Resilient Sheet Flooring - Resilient floor tiles are generally considered to be non - friable and present a limited health hazard provided they remain undisturbed on floor surfaces. Tiles are usually 9" x 9" or 12" x 12" in dimension; 7" x 7 ", 8" x 8 ", and 18" x 18" infrequently are observed. It is not possible by sight or by touch to determine if floor coverings are asbestos- containing. Resilient sheet flooring is considered to be non - friable, as it remains adhered to the floor surface. Sheet flooring is usually composed of two layers; a top protective layer that is asbestos -free, and a bottom paper -like insulating layer, which is asbestos - containing and friable. Some resilient sheet flooring is made of a single layer that is asbestos - containing throughout. The mastic that adheres floor the or sheet flooring to the substrate often contains asbestos, and must be handled accordingly. Drywall Joint Compound - Asbestos - containing joint compound (ACJC) is generally considered to be friable and present a potential health hazard if it is disturbed. ACJC is applied to interior drywall seams and over irregularities, such as nail penetrations, to provide a smooth finish to the wall system prior to painting. GLOSSARY OF TERMS Thermal System Insulation - Asbestos- containing Thermal System Insulation (TSI) is commonly applied to heating vessels such as boilers, hot water tanks, and the associated piping. TSI is generally considered to be friable, although it is commonly enclosed in a canvas jacket. It is very important the jacket material remain free from tears or rips that can expose the underlying ACM. Other types of TSI in use include a papery-type insulation. Boiler insulation (Thermal System Insulation) - Asbestos - containing boiler insulation is considered a thermal system insulation (TSI) and is commonly applied to heating vessels such as boilers, hot water tanks, expansion tanks, and the associated piping. TSI is generally considered to be friable, although it is commonly enclosed in a canvas jacket. It is very important the jacket material remain free from tears or rips that can expose the underlying ACM. Boiler insulation is often composed of a mixture of magnesium or calcium silicate, and chrysotile or amosite asbestos. It is usually white and chalky in appearance. Stucco - Asbestos - containing stucco is commonly used as an exterior finish. Stucco is generally considered to be friable. Transite Pipe —N Asbestos - containing transite vent pipes are commonly used as exhaust flues for heaters, water heaters, and boilers. Transite Panels - Asbestos - containing transite panels are commonly used for exterior siding. Transite refers to a brand name Johns- Mansville product that is a mixture of chrysotile asbestos and portland cement. Black Roof Seal /Mastic - Asbestos - containing roof seal /mastics are common. The material is considered to be non - friable and the fibers are unlikely to be released from the matrix of the seal.