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HomeMy WebLinkAboutCOMA2012-2892� Z'6'F�l DATE OF ISSUANCE: /4.LIG 2 3 2012 y 1 11 PERMIT #: 1 0'*\ - 2�_ 9 -I BUILDAG PERMIT APPLICATION PLEASF PRINT JOB ADDRESS: 3801 �,,�,11,�., p � � SUITE .l- LOT: BLOCK: SUBDIVISION: BUILDING CONTRACTOR (company name): j( �-(` �-� J C� jr�® l(� �(�� ` � r CURRENT MAILING ADDRESS: L -5 hdLA5 CITY /STATE /ZIP: /gjj;So'_) '7gc 75-oo( PH:# 412-�W -4Z22 Fax #--977- -44811-6_77_7 PROPERTY OWNER: --r-r_& P-e.,Q J�� ycnn CURRENT MAILING /ADDRESS: %jp$ 01 Ai i So �J K�X 4' wo CITY /STATE /ZIP: PHONE NUMBER: 409- e 8 od go PROJECT VALUE: $ FIRE SPRINKLERED? YES / NO DESCRIPTION OF WORK TO BE DONE: �srio cLS Imo , Q4C ,/,,.c.AjJ USE OF BUILDING OR STRUCTURE: ©Fri C.0 SQ,q('& NAME OF BUSINESS: l_ :5T_ -ElLe &xpa -Ap P n * *Total Square Footage under roof: Square �ootage of alteration/addition: _ —'�j % o l 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) ❑ I hereby certify that plans have been submitted to the Texas Department of Licensing and Regulation for Accessibility Review. Control Number: DO (Not required for 1 & 2 family dwellings) V 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 FR THE APPROPRIATE STATE AND OR FEDERAL AGENCY(S). PRINT NAME: _A6 +I,,,. (1e SIGNATURE " PH #: 611 FAX #: 6p?c29 EMAIL: CHECK BOX IF PREFERRED TO BE CONTACTED BY E -MAIL. a iir- 1P"1 "VVLIN%- 1J 1U bt, UUMME FED BY THE BUILDING INSPECTION DEPARTMENT Construction Type: ff, Permit Valuation: $ 4, cev Setbacks to Issue Occupancy Group: —Approval Front: Electrical F_.3 Division: Building Width: Left: Plumbing Zoning: C_!— Building Depth: Right: Mechanical � Rear: Plan Review Approval: Date: rZ Water Availability Rate: Site Plan Approval Date: Sewer Availability Rate: Fire Department: Date: Building Permit Fee: d O a a Public Works Department: Date: Plan Review Fee: 2�_ L101 °� C� Health Department: Date: Lot Drainage Fee: Approved for Permit: Date: Total Fees: �� , 5 Lot Drainage Submitted: nn nnv i- r euv.— T.. 11_ _.-........._ Approved: Total Amount Due: CITY OF GRAPEVINE . 6 A , MECHANICAL ELECTRICAL PLUMBING O PERMIT A PLICATION (PLEASE PRINT) FUEL GAS PERMIT # / _ BLDG. PERMIT # _ DATE:F 2 SEP ® 4 JOB ADDRESS: � � �- ,� � L� SUITE # � DESCRIPTION OF WORK: PROPERTY OWNER: CON TING C MP NY: i ADDRESS: ADDRESS: , t CITY /STATE /ZIP: CITY /STATE /ZIP: No/t, / C--.. PHONE NUMBER: PHONE NUMBER: TYPE OF OCCUPANCY BUILDING AREA (SQ 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 II. A, E, I, R -1 1 - 500 $ 37.00 HOTELS, APARTMENTS, 501 - 100,000 $ 17.50 +.035 PER DRINKING /DINING, 100,001 - 500,000 $ 3,500.00 +.03 SQUARE EDUCATIONAL, ASSEMBLY, 500,001 + $15,000.00 +.02 FOOT $ INSTITUTIONAL EACH TRADE III. B, F, H, M, S, U 1- 500 $ 37.00 OFFICE, RETAIL, WHOLESALE, 501- 50,000 $ 32.00+.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 $ 72.00 CONTRACT VALUATION OF WORK: 5,001- 50,000 $ 27.00+.009 50,001- 100,000 $ 127.00+ .007 PER TVALUATION $j 100,001- 500,000 500,001+ $ 327.00+ .005 DOLLAR $ 1,327.00 +.003 $ 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 $ OAFORMSIDS APPLICATIONS - FEES \MEP APPLICATION 4- 11.doc 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 (1/2 HOUR MINIMUM) .. ....................$42.00 /HOUR • 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 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 VERIFICATION OF ENERGY CODE COMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (OR HOMEOWNER FOR HOMEOWNERS PERMITS) PHONE #: PRINTED NAME EMAIL: *OR THE TOTAL HOURLY COST TO THE JURISDICTION WHICHEVER IS GREATER. * *ACTUAL COSTS INCLUDE ADMINISTRATIVE AND OVERHEAD COSTS. CITY OF GRAPEVINE. BUILDING INSPECTIONS, P. O. BOX 95104, GRAPEVINE, TX 76099 6121/01 REVISED: 10/01, 5/06, 2/07, 7/07, 8/09, 11109, 4/11 O: \FORMS \DS APPLICATIONS - FEES \MEP APPLICATION 4- 11.doc 0 -31 FROM :G. D. PLUMBING, INC. FAIR; NO. :2149519359 SEP. 13 -012 03:21PM Pl CITY OF GRAPEVINE IkPl MECHANICAL— ELECTRICAL PLUMBINGZ FUEL GAS PERMIT APPLICATION (PLEASE PRINT) k6d. PERMIT # /'% 6ATE! a-f-AL'-1 A --en JOB ADDRESS: Uft # *50 w iI I I i arn-al"T I Orn-al %, . A PROPERTY OWNER- '-�'bNTRA c T 2 f PICNI ..... ....... .... .. . t!Q-_Q ADDRESS: -0-f-A I A .Lj* IF 501- 50,000 GARAGES, FACTORIES, ADDRE88: paa Ty Cl IST P P46NE NUMBER: CONTRACT PHONE M TYPE OF OCCUP NCY Waujir'LORG'A RE (50 FT) PERMIT F FlNisl-I-OLITS, SHELL COMPLETIONS, EACH TRADE I. R-3 501- 1,500 STAND ALONE PERMITS 1,501- 3,000 1. 749 $ 33.25 SINGLE FAMILY, DUPLEX 750- 1,199 $ 49.88 TOWNHOUSE, 1,200- 1,500 $ 63.16 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-rOOT UNDER 2,251- 3,000 $ 96,43 ROOF 3,001 - 3,500 $ 103,08 3,501 - 4,000 $ 109.73 .... ......... 4,001+ $ 120,37 5 �77 A AMOUNT DUE 11, A, E. 1, R-1 I 1 - 500 $ 37.00 HOTELS, APARTMENTS, 501 -, 100,000 $ 17.60+.035 PER DRINKING/DINING, 100,001 - 500,000 $ 3,500,00+-03 8QUAPF- EDUCATIONAL, ASSEMBLY, 500,001+ $15,000.00+.02 1 FOOT INSTITUTIONAL B, F, H, M, 8, U OFFICE, RETAIL, WHOLESALE, 501- 50,000 GARAGES, FACTORIES, 50,001- 100,000 WORKSHOPS, SERVICE 100,001+ STATIONS, WAREHOUSE CONTRACT IV. ANY OCCUPANCY GROUP VALUATION OF WQ. 13 ( FlNisl-I-OLITS, SHELL COMPLETIONS, 0- 600 ALTERATIONS OR 501- 1,500 STAND ALONE PERMITS 1,501- 3,000 3,001- 6,000 CONTRACT VALUATION OF WORK: 5,001- 50,000 50,001 - 100,000 100,001- 600,000 500,001t V. MISGELLANEOUS IRRIGATION SYSTEMS MOBILE HOME SERVICE TEMPORARY POLE SERVICE SWIMMING POOLS SIGN el-ECTRIC MFORM1W)l APPI ICATInNS. FFFMMFF APFlJCAll0N4- I l.d- $ 37,00 $ 32.00+,01 PER $ 182.00+.007 � SQUARE $ 582-00+ .003 FOOT $ ----------- EAQUIRADE $ 31.00 $ 45.00 $ 57.00 $ 72,00 $ 27,00+.009 $ 127.00+ .007 PER $ 327.00+ .005 DOLLAR oz� $ 1.327.00+.003 IVALUATION . . ...... EACH TRADE $ 37.00 $ 37-00 $ 37.00 $ 37,00 $ 37.00 FROM : G. D. PLUMBING, INC. FA:.' NO. :2149519359 Sep. 13 2 012 03:21PM P2 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* REINSPECTIONFEES ................................................................................... ............................... $42.00 PERMITS FOR WHICH NO FEE IS SPECIFICALLY INDICATED. ... ............... —.— ............. — ... ............ $37.00 • INSPECTIONS FOR WHICH NO FEE IS SPECIFICALLY INDICATED (112 HOUR MINIMUM ) ......................$42.00 /HOUR • ADDITIONAL PLAN REVIEW REQUIRED BY CHANGES, ADDITIONS, OR REVISIONS TO APPIROVEO PLANS ................................................. ............................... .......................... ..$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 HERE =BY 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 OIL 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 VERIFICATION OF ENERGY CODE COMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST. 000 00 SIGNATX- (OR OF CONTRACTOR O AUTHORIZED AGENT HO NER FOR HOMEOW E�R8 PERMITS) PHONE #:. Q, --- - - - - -- PRINTED NAME E=MAIL� *"ACTUAL COSTS INCLUDE ADMINISTRATIVE AND OVERHEAD COSTS. CITY OF 6RAPEVIN6, 1UILDING INSPECTIONS, P. 0, BOX 95104, GRAPEVINE, 7X 76099 ($1 8121101 REVISED! 10101, 6108, 2107,7/07.8109,11109,4111 0AFORM305 APPLICATIONS • FEESIMEP APPLIcA NON 4 -1 Moo 2012 —�- CITY OF GRAPEVINE vv MECHANICAL ELECTRICAL PLUMBING FUEL GAS PERMIT APPLICATION (PLEASE PRINT) PERMIT # 12, -3(+o BLDG. PERMIT # i .2-agc DATE: SSEr '01 4 x � JOB ADDRESS:.s , A I j F SUITE # t� V V ) �� ` 1 t ` DESCRIPTION OF WORK, EL PROPERTY OWNER:, 1, ,+ Pe i-- CONTRACTING COMP Y. �� n r ADDRESS: + -7 1 ADDRESS: t ?2 CITY / -MTE /ZIP' J CITY /STATE /ZIP: )) ® 1 �4 PHONE NUMBER: r PHONE NUMBER: TYPE OF OCCUPANCY BUILDING AREA (SQ 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 II. A, E, 1, R-1 1 - 500 $ 37.00 HOTELS, APARTMENTS, 501 - 100,000 $ 17.50 +.035 PER DRINKING /DINING, 100,001 - 500,000 $ 3,500.00 +.03 SQUARE EDUCATIONAL, ASSEMBLY, 500,001 + $15,000.00 +.02 FOOT $ INSTITUTIONAL EACH TRADE III. B, F, H, M, S, U 1- 500 $ 37.00 OFFICE, RETAIL, WHOLESALE, 501- 50,000 $ 32.00+.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 $ 72.00 CONTRACT VALUATION OF WORK: 5,001- 50,000 $ 27.00+.009 50,001- 100,000 $ 127.00+ .007 PER TVALUATION `� $ /a O'J . li-y 100,001- 500,000 500,001+ $ 327.00+ .005 DOLLAR $ 1,327.00+.003 $ 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 $ O: \FORMS \DS APPLICATIONS - FEES \MEP APPLICATION 4- 11.doc 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 (1/2 HOUR MINIMUM) .. ....................$42.00 /HOUR • 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 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 - GY CONSERVATION WILL BE PERFORMED IN ACCORDANCE WITH THOSE LAWS, AND VERIFICATION F NERGY CODE COMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT PRINTED NAME (OR HOMEOWNER FOR HOMEOWNERS PERMITS) PHONE #: q V , 272- - O-:�Z C, EMAII - *OR THE TOTAL HOURLY COST TO THE JURISDICTION WHICHEVER IS GREATER. * *ACTUAL COSTS INCLUDE ADMINISTRATIVE AND OVERHEAD COSTS. CITY OF GRAPEVINE, BUILDING INSPECTIONS, P. O. BOX 95104, GRAPEVINE, TX 76099 (817) 410 -3165 6/21101 REVISED: 10101, 5/06,2/07,7/07,8/09.11/09,4/11 O: \FORMS \DS APPLICATIONS - FEES \MEP APPLICATION 4- 11.doc 3 16 0 � W i l < <a YYA u W--e •-tar i or, 141-�.t'c -,c o n AUG 15 2012 I \ ` L. S Z "T-i+t r. AQarc —( 11 NOTES BY SYMBOL:4 APPROXIMATE LOCATION OF 1 EXISTING VTR, CONNECT NEW 2' VENT TO EXISTING 2 3'W TO 24V IN WALL 3 APPROXIMATE LOCATION OF EXISTING SS CONNECT NEW 3' SS TO 4 EXISTING, FIELD VERIFY EXACT LOCATION PLUMBING CONTRACTOR TO FIELD VERIFY LOCATION OF EXISTING H AND CW,EXTEND 5 CONCEALED IN WALL INSULATED 1 /2'HW TO NEW LAV 1 /2 "CW TO NEW LAV AND WC n 0 2 PLUMBING RISER SCALE: NONE 2 "V 3"W BUILDING ELECTI}ICAL ROOM I F 01 PARTIAL FLOOR PLAN - PLUMBING SCALE: 1/8" = 1' -0" ROBERT D.ANDERSON .....44987.....' R*DmA Robert D . A n d e r s o n INCORPORATED " " " " " " " " " "' ENGINEERING & DESIGN CONSULTANTS HVAC -PLUMBING • ILLUMNATION -POWER DISTRIBUTION •CONTROL5 VOICE :972- 669 -0915 FAX: 972 - 669 -0917 E -MAIL: ROBERT .D.ANDERSON@SSBCGLOBAL.NET `�n�a��"� N��� oz z mNo.F_� Firm No. F -5324 PRO ECT: 121 S Business Parkwa y, Gra evine Texas DRAWN BY: rda DATE: 08 -01 -12 CHECKED BY: RDA p SCALE: 1/8 =11-01, REVISION: NOTES: Toilet addition 0101 RDA TC)R NTTMRT;R• 17(117 W Ii v• 1 , 00" k V) I t am © c- A Or_-,.ccc�- i o n Accessibility, Health, & Safety Consulting Plan Reviews ■ TAS Inspections ■ Asbestos Inspections HUB and D/M/WBE Certified 4514 TRAVIS STREET SUITE 350 ASBESTOS SURVEY Pursuant to your request, Accessibility and Health & Safety Consulting (AHSC), performed an asbestos survey of Suite 350, at 4514 Travis Street, Dallas, Texas, to identify building materials containing or possibly containing asbestos. The survey was conducted on July 10, 2012, by Mr. Dean Shinault. The structure is a two story office building constructed in 1986. The floor plan for Suite 350 consists of office spaces. The interior of the building is finished with conventional architectural materials. The walls are textured and painted. The floors are concrete covered with carpet. The primary focus of the survey was to identify building materials within the construction areas of Suite 350, at 4514 Travis Street that contain or may contain asbestos. A walk - through inspection was conducted during which samples were collected of all accessible building materials suspected to contain asbestos. These materials included wallboard, wall texture, joint compound, cove base, cove base mastic, 2'X4' ceiling tile, and carpet mastic. AHSC applied EPA/AHERA criteria to group suspected asbestos - containing building materials (ACBM) into the following four major descriptive categories: 1. SURFACING MATERIALS - materials that are sprayed -on, troweled -on or otherwise applied to surfaces, such as acoustical or decorative plaster on ceilings or fireproofing materials on structural members. 2. THERMAL SYSTEM INSULATION - materials applied to pipes, fittings, boilers, tanks, ductwork, or other interior structural components to prevent heat loss or gain, water condensation, or for other purposes. 3. MISCELLANEOUS MATERIALS — interior building members, structural components, or fixtures such as floor and ceiling tiles. 4. OTHER MATERIALS - items such as asbestos gloves, blankets, brake shoes, or curtains that are incidental to building occupancy /activities and not a building material. (AHSC) 5435 North Garland Avenue, Suite 140 - 121 Office 214 - 497 -0926 Fax 972 - 272 -0167 Email dshinault6lahsc.us Web ahsc.us This report includes the description of all known or suspected ACBM. The classification of "homogeneous areas" will be based on EPA/AHERA criteria for grouping materials within a specific building, which are uniform in color, construction or application date, texture, and general appearance. OSHA categorizes the removal or disturbance of asbestos - containing materials (ACM) into Class I, II, III, IV, which are defined as follows: Class I Asbestos Work: activities involving the removal of TSI (thermal system insulation and surfacing ACM) and presumed asbestos - containing material (PACM). Class II Asbestos Work: activities involving the removal of ACM, which is not TSI or surfacing ACM. Class III Asbestos Work: repair and maintenance operations where ACM, including TSI, surfacing ACM, and PACM may be disturbed. Class IV Asbestos Work: maintenance and custodial activities, during which employees contact but do not disturb ACM and PACM, and activities to clean up dust, waste, and debris resulting from Class I, Il, and III activities. Various building materials/homogeneous areas were identified. Fifteen samples were collected of suspect material from random sampling of Suite 350, at 4514 Travis Street, Dallas, Texas. All samples were analyzed by Steve Moody Micro Services, Inc. (TDH Asbestos Laboratory License # 30 -0084). SAMPLE # 350 -01 HOMOGENEOUS AREA WALLBOARD & TEXTURE ASBESTOS % TYPE NAD - WALLBOARD & TEXTURE 350 -02 WALLBOARD & TEXTURE NAD - WALLBOARD & TEXTURE 350 -03 WALLBOARD & TEXTURE NAD - WALLBOARD & TEXTURE 350 -04 JOINT COMPOUND NAD - JOINT COMPOUND 350 -05 JOINT COMPOUND NAD - JOINT COMPOUND 350 -06 JOINT COMPOUND NAD - JOINT COMPOUND 350 -07 COVE BASE & MASTIC _ NAD - COVE BASE & MASTIC 350 -08 COVE BASE & MASTIC NAD - COVE BASE & MASTIC 350 -09 COVE BASE & MASTIC NAD - COVE BASE & MASTIC 350 -10 CEILING TILE NAD - 2'X4' CEILING TILE 350 -11 _2'X4' 2'X4' CEILING TILE NAD - 2'X4' CEILING TILE 350 -12 2'X4' CEILING TILE NAD - 2'X4' CEILING TILE 350 -13 CARPET MASTIC NAD - CARPET MASTIC 350 -14 CARPET MASTIC NAD - CARPET MASTIC 350 -15 CARPET MASTIC NAD - CARPET MASTIC Note: NAD = No asbestos detected (AHSC) 5435 North Garland Avenue, Suite 140 - 121 Office 214 - 497 -0926 Fax 972 - 272 -0167 Email dshinault@ahsc.us Web ahsc.us ASBESTOS SURVEY SUMMARY Laboratory results indicate that no asbestos was detected in the samples collected from Suite 350, at 4514 Travis Street, Dallas, Texas. REGULATORY SUMMARY This asbestos inspection meets the requirements set by the National Emissions Standard for Hazardous Air Pollutants ( NESHAP). The NESHAP rule recognizes friable and non - friable ACBM. Friable asbestos - containing materials are materials, which can be pulverized by hand pressure and are required to be removed prior to renovation or demolition. The U.S. Environmental Protection Agency (EPA) regulates asbestos at concentrations of greater than 1 %. The EPA has issued guidance regarding the analysis of samples, which recommends point counting be conducted if the analysis of asbestos utilizing visual estimation yields an asbestos concentration of less than 10 %. If after re- analysis of the sample utilizing the point counting method, the concentration of asbestos is determined to contain less than 1% asbestos, then that building material is not subject to the NESHAP asbestos regulations. If the concentration of asbestos is determined to be greater than 1 % asbestos, then that building material is subject to the NESHAP asbestos regulations. 1619RIOXI 61L1 No asbestos was identified in any of the samples collected. RECOMMENDATIONS Based upon the conclusion of this survey, no further investigations are recommended at this time. LIMITATIONS The conclusions and recommendations contained in this report are based upon the information developed by AHSC and other information made available to us. We reserve the right to revise our opinions and recommendations should new information or facts be brought to our attention. Submitted by: Dean Shinault, Licensed Asbestos Management Planner, #205556 Accessibility and Health & Safety Consulting (AHSC) 5435 North Garland Avenue, Suite 140 - 121 Office 214 - 497 -0926 Fax 972 - 272 -0167 Email dshinauAfthsc.us Web ahsc.us PUNI Summary Report Sfere Moody Micro Services. LLC NV LAP Lab No. 10-'W6 2051 Valley View Lam, TDSHS Licewr -%4x XJ4010&4 Farmers Branch, TX 75234 Mine: (972) 241-8460 Client: AHSC Lab Job No.: 12M8292 Project: 4514 Travis Street. Suite 350, Dallas, Texas Report Date: 07/1{1!2(11'_ Project # - Not Provided Sample Date: 07/10/2012 Identification. Asbestos, Bulk Sample Analysis Test Method : Polarized Light Microscopy I Dispersion Staining (PLM[DS) EPA Method 6001 R-93 / 116 Page I of 2 On 7/10i20f 2. fifteen 115; batk may ,rjal samples were submitted by Dean Shinault of A149C for asbestos analysis by PLnDS, The PLMMW1Reponis attached: addamw information may tv found that in. The results, are summarized below. Sample number Sample Description Location Asbestos Content 350-01 Wallboard and Texture None Detected - Dry wall Material None Detected - Texture 350-02 Wallboard and Texture None Detected - Drywall Material None Detected - Textured Paint 350-03 Wallboard and Texture one Detected - Drywall Material None Detected - Textured Paint 350-04 Joint Compound None Detected - Drywall Material None Detected - Joint Compound 350-05 Joint Compound None Detected - Joint Compound 350-06 Joint Compound None Detected - Joint Compound 350-07 Cove Base and Mastic None Detected - Cove Base None Detected - Yellow Mastic 350-08 Cove Base and Mastic None Detected - Cove Base None Detected - Yellow Mastic 350-09 Cove Base and Mastic None Detected - Cove Base None Detected - Yellow Mastic 350-10 '-"x 4! Ceiling Tile None Detected - Acoustic Tile 350-11 2'x 4' Ceiling Tile I None Detected - Acoustic Tile 350-12 2'x T Ceiling Tile None Detected - Acoustic Tile 350-13 Carpet Mastic None Detected- Yellow Mastic 350-14 Carpet Mastic None Detected - Yellow Mastic 350-15 Carpet Mastic None Detected - Yellow Mastic (AHSQ 5435 North Garland Avenue, Suite 140 - 121 Office 214-497-0926 Fax 972-272-0167 Email dshdnault@ahsc.0 Web ahsc.us PLM Summary Report Steve Mood} Micro Ser0ces, LLC NV LAP Lab tio. i0 --,0- #s 2051 Valley View Lane TDSHS License No. 30 -4084 Farmers Branch, TX 752.34 Phone: (972) 241 -8460 Client: AHSC Lab Job No.: 12B -08292 Project: 4514 Travis Street, Suite 350. Dallas, Texas Report Date: 07110r-012 Project # : Not Provided Sample Date: 97/1012012 Identification: AsNestos, Bulls Sample Analysis Test Method: Polarized Light Microscopy / Dispersion Staining (PLXVDS) EPA Method 600 / R -93 / 116 page 2 of 2 On 7!tf M12 fifteen its }hurtle material santptesweze submitted by Dean Shinautt of AHSC for aslimos amdysis by PLNII) The PI M Deetail it: port is attached: additional information may be found therein. The results are summarized below: Sample Number Client Sample Description /Location Asbestos Content Thes- samples were analyzed by layers. Quantification. unless otherwise toted. is performed by calibrated visual E( _ estimate Results may not be reproduced except in fuit. This test report relates only to the. samples tested. These \J IEI`'[7C #frt=� test results do not imply endorsement by NVLAP or any agency of the U.S. Government. Accredited by the � National Voluntary Laboratory Accreditation Program for Hulk Ast>f.,stos Fiber Analysis under Lab Code 14205(1 LAB 142Q5fi Analysts }: Isirsten Tye Lab Manager: Bruce Crabb Approved Signatory Lab Director: Steve Moody Approved Signatory : — — — — — — — — — — — Thank you for choosing Steve Moody Micro Services — — — —— (AHSC) 5435 North Garland Avenue, Suite 140 - 121 Office 214 - 497 -0925 Fax 972 -272 -0167 Email dshinault0ahscm Web ahsc.us Accessibility and Health & Safety Consulting INVOICE Invoice Date: July 13, 2012 Invoice Number: A07131201 Due Date: Upon Receipt Page Number: 1 of 1 Services Provided For: Crocker & Reynolds c/o Mr. Michael Pratt Payable to: AHSC 5435 North Garland Avenue Suite 140 -121 Garland, TX 75040 Tax ID #05- 0571949 Services Provided: Asbestos Inspection of 4514 Travis Street, Dallas, TX. P.O. NO.31011 Per Hour Of Hours Description of Service Fee Amount N/A Collected fifteen bulk samples of materials N/A $450.00 suspected to contain asbestos, for analysis. Provided report of lab results. Please reference the invoice number on all receipts Prepared by: Amount To Pay $450.00 (AHSC) 5436 North Garland Avenue, Suite 140 - 121 Office 214 - 497 -0926 Fax 972 - 272 -0167 Email dshinault6lahsc.us Web ahsc.us AB Project Reprint Confirmation Page Page 1 of 1 EABPRJB2816257 Texas Department of Licensing and Regulation Architectural Barriers Project Registration Confirmation Page Thursday, July 12, 2012 EABPRJB2816257 PERSON FILING FORM Name: Jenny Barclay Phone: 972 - 385 -3991 Person Address: 5080 Spectrum DriveSuite 115E, Addison, TX 75001 Ras Number: 0232 Project Name: United Capital Project Address: 125 East John Carpenter 125 East John Carpenter FrwySuite 1200 Irving, TX 75062 County: Dallas TENANT Contact Name: Brandon Moss Phone: 214 - 520 -1200 Contact Address: BUILDING /FACILITY Name: 125 East John Carpenter FACILITY Owner: GE Phone: 972 - 447 -3100 Owner Address: 14951 Dallas Parkway, #600, Dallas, TX 75254 Contact Name: Scot Florshiem Phone: Contact Address: Contact Email: DESIGN FIRM Name: Interprise Design Phone: 972 - 385 -3991 Firm Address: 5080 Spectrum Dr, #115E, Addison, TX 75001 Designer Name: Tammie Hargrove Emai: Type of License: Interior Designer License Number: 325 PROJECT DESCRIPTION Start Date: 07/2012 Completion date: 09/2012 Estimated Cost: $300,000.00 Type of Work: Renovation /Alteration Type of Funds: This project is privately funded, on private land for private use. Are the private funds provided by a tenant? Yes State Lease No. : Scope of Work: tenant interior finish out of approx 14,500 square feet of office space. Does this building(s) have more than one level? Yes Are there any elevators, escalators, or platform lifts in this building? Yes Are there any boiler in this building? Unknown This AB Project registration Confirmation Page, construction documents, and applicable fees must be submitted in accordance with the Texas Administrative Code Chapter 68, Rule 68.51. If TDLR will be performing the review or inspection services, see Rule 68.80. If a RAS will be performing the review or inspection services, please contact the RAS as they set and collect their own fees, see Rule 68.75. In accordance with Rule 68.52, the owner of a building or facility must also obtain an inspection from the department or a registered accessibility specialist not later than the first anniversary of the completion of construction. Request for inspection shall be made by completing the Request for Inspection form and submitting it no later than 30 calendar days after the completion of construction. hops:/ /www.license.state.tx.us /ABProj ectRegistrationOnline /ABProj eetPrintConfirmation.... 7/12/2012 CITY OF GRAPEVINE PWS i®## 2200013 WATER CUSTOMER SERVICE INSPECTION CERTIFICATION DATE: �` Z�- �� BUILDING SWIMMING POOL ADDRESS:A -V '°-b� - IRRIGATION PERMIT #: 12 — & L `- PLUMBING I hereby certify that I have inspected the water supply system at the above referenced address. To the best of my knowledge, the materials and methods used in the installation of this system comply with the plumbing code adopted by the City of Grapevine. Plumbing code is located in Chapter 7, Article VIII, (Ordinance number 92 -17), and Chapter 7, Article V, (Ordinance number 01 -93). In addition, to the ,�apst of my knowledge, no cross connection exists at this address at the time of inspection. SIGNATURE—e)- ECTOR TITLE DATE OAforms \waterservinsp, 0501 08/03 _; �941 LI SE NUMB ' //' u INSPECTOR