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HomeMy WebLinkAboutDEMO2007-01496 110 DOMINIK DR DEMO PERMITS of Custody pp,M-Bull€ ❑ Rush-1 day ♦�No ,=2 day # ❑ Extended PCM-Air: ❑ Rwh�ame day • ❑ 1-2 day ❑ ANALYZE ALL ;kPOSTTTVE STOP TEMBuWW[pe/Wa E) 24 hr 0 0 49 hr • ❑ 72 hr **Pka:e can in advance for after -hour do weekend mesh analyeia" TEM-74o2JMomed:❑ 24 hr • ❑ 48 hr * ❑ 72 hr Company Name and City: Austin Environmental, Inc. Page of Lab Job# _ Lab Job# Lab Job# Submitter's Name: Brent Plant amp a e. w — P.O. No: Project No: f % �— Project: ar• Contact Informatlon: Name: Brent Plant E-mail: (address):ren�i�t ahoo.com, pdehlingerQyahoo.com Hard copy. (address): P.O. Box 3725, Bryan, Texas 77805 Invoice Address (if different): -.--s_-__r-. j-&—...j6—urr.. eo l.i_ Unromfoked/L.omIrb oechwedarnrOusr exatsrlve rdwhrsrrtiW rf"cr&aroy incur addidpiulf6m *** Phone #: 979.778.2699 Mobile #: 979.229A385 Fax * 979.778.2730 •' * Pkw wrier paP Sample No. (AA jv+ 0 14PA Sample Description Vol. f Area Location ! dotes 4z - C.� n . , e, o, r -J �lr•0 1 ("Ac / ..J t - _f4a, rya a rw� 'ct1' r Notes: Steve Moody Micro Services. Inc. - 2051 Valley View LR - Farmers Branch, TX 75234 - (972) 241-8460 / FAX (972) 241-8461 NYLAP Lab #102056 TX DM IS License 9 30-0084 [COC 200 ) PLM REPORT Steve Moody Micro Services, Inc. NVLAP Lab No. 102056 2051 Valley View Lane TDH License No. 30-0084 Farmers Branch, TX 75234 (972) 241-8460 PAT ID # 102577 Client : Austin Environmental, Inc. Lab Job No.: x713-04238 Project : Vacant Building, 110 Dominik Drive, College Station TX Report Date: 05/11/2007 Project # : AE07- Sample Date : 05/10/2007 Identification : Asbestos, Bulk Sample Analysis Test Method : Polarized Light Microscopy / Dispersion Staining (PLM/DS) EPA Method 600 / R-93 / 116 Page 1 of 2 On 05/11/2007, nine (9) bulk material samples were submitted by Brent Plant of Austin Environmental, Inc for asbestos analysis by PLM/DS Copies of the lab data sheets are attached, additional information may be found therein. The results are summarized below Sample Number Client Sample Description / Location Asbestos Content OlA Lay -In Ceiling Tile, None Detected - Acoustic Tile Dining Area, West Side at Dividing Wall O113 Lay -In Ceiling Tile, None Detected - Acoustic Tile Counter, Middle at Grid (Upper) 01C Lay -In Ceiling Tile, None Detected - Acoustic Tile Hallway, outside Restroom A 02A Drywall Texture, None Detected - Drywall Material Dining Room, West Side, at Counter Dividing Wall None Detected - Joint Compound None Detected - Texture 02B Drywall Texture, None Detected - Drywall Material Counter, at Wall under Window None Detected - Joint Compound None Detected - Texture 02C Drywall Texture, None Detected - Drywall Material Wall, above Dry Food Storage Doorway None Detected - Texture 03A Drywall Texture Ceiling, None Detected - Drywall Material Dry Floor Storage, at Light above Electrical Panels 2% Chrysotile - Old Texture None Detected - New Texture 03B Drywall Texture Ceiling, Not Analyzed - Positive Stop Kitchen, Middle next to Light 03C Drywall Texture Ceiling, Not Analyzed - Positive Stop Kitchen, next to Ceiling access Panel PLM REPORT Steve Moody Micro Services, Inc. NVLAP Lab No. 102056 2051 Valley View Lane TDH License No. 30-0084 Farmers Branch, TX 75234 (972) 241-8460 PAT ID # 102577 Client: Austin Environmental, Inc. Lab Job No.: x713-04238 Project : Vacant Building, 110 Dominik Drive, College Station TX Report Date: 05/11 /2007 Project # : AE07- Sample Date : 05/10/2007 Identification : Asbestos, Bulk Sample Analysis Test Method : Polarized Light Microscopy / Dispersion Staining (PLM/DS) EPA Method 600 / R-93 / 116 Page 2 of 2 On 05/ 11 /2007, nine (9) bulk material samples were submitted by Brent Plant of Austin Environmental, Inc. for asbestos analysis by PLM/DS Copies of the lab data sheets are attached-, additional information may be found therein The results are summarized below Sample Number Client Sample Description / Location Asbestos Content These samples were analyzed by layers Quantification, unless otherwise noted, is performed by calibrated visual estimate Results may not be reproduced except in fill I This test report relates only to the samples tested. These 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 Bulk Asbestos Fiber Analysis under Lab Code 102056 ^ ^ W AA Analyst: Jessica Scott Lab Director: Steve Moody Approved Signatory : Thank you for choosing Steve Moody Micro Services ---- ------------------------ ----------------------------------- ------" ---------- Steve Moody Micro Services, Inc. Bulk Asbestos Analysis Sheet TDH License No 30-0084 EPA Method 600 / R-93 / 116 NVLAP Lab No 102056 Client : Austin Environmental, Inc. Project : Vacant Building, 110 Dominik Drive, College Station TX Project # : AE07- Lab Job# : x7B-04238 Sample # : 01A Client Sample Description: Lay -In Ceiling Tile, Page 1 of 1 Dining Area, West Side at Dividing Wall Layer 1 Acoustic Tile Stereoscopic Exam Color Texture Homogeneous' %Fibrous % Asbestos % of Sar Light Grey I Fibrous YES 80 I D 100 PL i nxammauon Corn nents % +/- Morphology Color / Pleochrorsm Parallel Ref Index Perpendicular Ref Index Brref Extmctron An le Srgn of Elon atron ellulose Fibers 50 ribbons high ineral Wool Fibers 30 Rods 0 Perlite 20 lass Foam 0 Prep/treatment mechanical Is I Comments: Asbestos Content. None Detected Analyst: Jessica Scott Date Analyzed: 05/11 /2007 Lab Job# : x7B-04238 Sample # :01A Steve Moody Micro Services, Inc. Bulk Asbestos Analysis Sheet TDH License No 30-0084 EPA Method 600 / R-93 / 116 NVLAP Lab No 102056 Client : Austin Environmental, Inc. Project : Vacant Building, 110 Dominik Drive, College Station TX Project # : AE07- Lab Job# : x7B-04238 Sample # : 01 B Client Sample Description: Lay -In Ceiling Tile, Page 1 of 1 Counter, Middle at Grid (Upper) Layer 1 Acoustic Tile Stereoscopic Exam Color Texture Homogeneous' %Fibrous %Asbestos %ofSaniple Light Grey Fibrous YES 1 80 1 ND I 100 PLM Examination Color Parallel Perpendicular Extinction Sign of Components % +/- / Pleochroism Ref. Index Ref. Index Biref Angle Elongation Cellulose Fibers 5C -Morphology ribbons high Mineral Wool Fibers 3 Rods 0 erlite 2C Glass Foam 0 Prep/treatment mechanical separation I Comments : Asbestos Content None Detected Analyst: Jessica Scott Date Analyzed: 05/11/2007 Lab Job# : x7B-04238 Sample # :01 B Steve Moody Micro Services, Inc. Bulk Asbestos Analysis Sheet TDH License No 30-0084 EPA Method 600 / R-93 / 116 NVLAP Lab No 102056 Client : Austin Environmental, Inc. Project : Vacant Building, 110 Dominik Drive, College Station TX Project # : AE07- Lab Job# : x7B-04238 Sample # : 01C Client Sample Description: Lay -In Ceiling Tile, Page 1 of 1 Hallway, outside Restroom A Layer 1 Acoustic Tile Stereoscopic Exam. Color Texture Homogeneous9 % Fibrous % Asbestos % of Sar Light Grey Fibrous YES 80 1 ND 100 PLM Examination Color Parallel Perpendicular Extinction Sign of Components % +/- Morphology / Pleochroism Ref Index Ref Index Biref An le Elongation Cellulose Fibers 5C ribbons high Mineral Wool Fibers 3 Rods 0 Perlite 2C Glass Foam 0 Prep/treatment mechanical separation Comments : Asbestos Content: None Detected Analyst: Jessica Scott Date Analyzed: 05/11/2007 Lab Job# : x7B-04238 Sample # :01 C Steve Moody Micro Services, Inc. Bulk Asbestos Analysis Sheet TDH License No. 30-0084 EPA Method 600 / R-93 / 116 NVLAP Lab No 102056 Client: Austin Environmental, Inc. Project : Vacant Building, 110 Dominik Drive, College Station TX Project # : AE07- Lab Job# : x7B-04238 Sample # : 02A Client Sample Description: Drywall Texture, Page 1 of 1 Dining Room, West Side, at Counter Dividing Wall Layer 1 Drywall Material Stereoscopic Exam Color Texture Homogeneous % Fibrous I % Asbestos % of Sample White Blocky YES 3 ND 5 PT M Fvain —f—n Components % +/- Morphology Color / Pleochroism Parallel Ref Index Perpendicular Ref Index Biref Extinction Angle Sign of Elongation Cellulose Fibers ribbons high Gypsum / Binders 9 Non -fibrous Prep/treatment mechanical separation Layer 2 DW Paper / Tape Stereoscopic Exam Color Tan / White PT.M Fxaminatinn Asbestos Content None Detected Texture Homogeneous % Fibrous % Asbestos % of Sa Fibrous YES 1 100 ND 1 25 Components �ellulose % +/- Morphology Color / Pleochroism Parallel Ref Index Perpendicular Ref. Index Biref Extinction Angle Sign of Elongation Fibers 1 100 1 ribbons I I high Prep/treatment : mechanical separation Layer 3 Joint Compound PI .M F.xa m matinn Asbestos Content. None Detected Stereoscopic Exam . Color Texture Homogeneous % Fibrous % Asbestos % of Sample White Blocky YES I ND I ND 1 5 Components �alclte % +/- Morphology Color / Pleochroism Parallel Ref Index Perpendicular Ref Index Biref Extinction Angle Sign of Elongation I Talc I Binders 1 100 1 Non -Fibrous Prep/treatment . mechanical separation Layer 4 Texture PI .M F.xaminatinn Asbestos Content None Detected Stereoscopic Exam : Color Texture I Homogeneous % Fibrous % Asbestos % of Sample White Blocky I YES I ND I ND 1 65 Components �alclte % +/- Morphology Color / Pleochroism Parallel Ref Index Perpendicular Ref Index Beef Extinction Angle Sign of Elongation I Talc / Binders 1 100 1 Non -Fibrous Prep/treatment mechanical separation Comments : Asbestos Content None Detected Analyst: Jessica Scott Date Analyzed: 05/11 /2007 Lab Job# : x7B-04238 Sample # :02A Steve Moody Micro Services, Inc. Bulk Asbestos Analysis Sheet TDH License No 30-0084 EPA Method 600 / R-93 / 116 NVLAP Lab No 102056 Client : Austin Environmental, Inc. Project : Vacant Building, 110 Dominik Drive, College Station TX Project # : AE07- Lab Job# : x7B-04238 Sample # : 02B Client Sample Description: Drywall Texture, Page 1 of 1 Counter, at Wall under Window Layer I Drywall Material Stereoscopic Exam: Color Texture Homogeneous % Fibrous % Asbestos % of Sample White Blocky YES 3 ND 1 PT M Fxam inatinn Components % +/- Morphology Color / Pleochroism Parallel Ref Index Perpendicular Ref Index Biref Extinction Angle Sign of Elongation Cellulose Fibers ribbons high Gypsum / Binders 90 Non -fibrous Prep/treatment : mechanical separation Layer 2 DW Paper Facing Stereoscopic Exam . Color Tan PLM Examination Asbestos Content - None Detected Texture Homogeneous % Fibrous % Asbestos % of S, Fibrous YES 1 100 1 ND 1 3 Components �ellulose % +/- Mo holo Color / Pleochroism Parallel Ref Index Perpendicular Ref Index Biref Extinction Angle Sign of Elongation Fibers 1100 1ribbons I I high Prep/treatment mechanical separation Layer 3 Joint Compound PLM Examination Asbestos Content None Detected Stereoscopic Exam . Color Texture Homogeneous %Fibrous I %Asbestos %of Sample White Blocky YES I ND ND 10 Components �alcite % +/- Morphology Color / Pleochroism Parallel Ref Index Perpendicular Ref Index Biref Extinction Angle Sign of Elongation / Talc / Binders 1 100 1 Non -Fibrous Prep/treatment mechanical separation Asbestos Content. None Detected Layer 4 Texture Stereoscopic Exam Color Texture Homogeneous' % Fibrous I % Asbestos % of Sample White Blocky YES ND I ND 86 PLM Examination Components % +/- Morphology Color / Pleochroism Parallel Ref Index Perpendicular Ref Index Biref Extinction Angle Sign of Elongation alcite / Talc / Binders 1 100 1 Non -Fibrous Prep/treatment mechanical separation Comments : Asbestos Content None Detected Analyst: Jessica Scott Date Analyzed: 05/11 /2007 Lab Job# : x7B-04238 Sample # :02B Steve Moody Micro Services, Inc. Bulk Asbestos Analysis Sheet TDH License No 30-0084 EPA Method 600 / R-93 / 116 Client : Austin Environmental, Inc. Project : Vacant Building, 110 Dominik Drive, College Station TX Project # : AE07- Lab Job# : x7B-04238 Sample # : 02C Client Sample Description : Drywall Texture, Wall, above Dry Food Storage Doorway Layer 1 Drywall Material Stereoscopic Exam. Color Texture White Blocky PLM Fxaminahnn NVLAP Lab No 102056 Page 1 of 1 ogeneous9 l % Fibrous 1 % Asbestos I% of Sa YES 1 3 1 ND 1 75 Components % +/- Morphology Color / Pleochroism Parallel Ref Index Perpendicular Ref Index Biref Extinction Angle Sign of Elongation Cellulose Fibers ribbons high Gypsum / Binders 4-1 Non -fibrous Prep/treatment. mechanical separation Layer 2 DW Paper Facing PLM Fxnmimtinn Asbestos Content: None Detected Stereoscopic Exam Color Texture I Homogeneous % Fibrous I% Asbestos % of Sample Tan Fibrous I YES 1 100 1 ND 1 20 Components % +/- Morphology o holo Color / Pleochroism Parallel Ref Index Perpendicular Ref. Index Biref Extinction Angle Sign of Elon ation ellulose Fibers 111011 1ribbons I I Ihigh Prep/treatment mechanical separation Layer 3 Texture PLM Fxammatinn Asbestos Content: None Detected Stereoscopic Exam . Color I Texture Homogeneous % Fibrous % Asbestos % of Sample White I Blocky YES I ND I ND I5 Components �alclte % +/- Mo holo Color / Pleochroism Parallel Ref. Index Perpendicular Ref Index Biref Extinction Angle Sign of Elongation / Talc / Binders I 10q I Non -Fibrous Prep/treatment mechanical separation Comments: Asbestos Content None Detected Analyst: Jessica Scott Date Analyzed: 05/11/2007 Lab Job# : x70-W38 Sample # :02C Steve Moody Micro Services, Inc. Bulk Asbestos Analysis Sheet TDH License No 30-0084 EPA Method 600 / R-93 / 116 NVLAP Lab No 102056 Client : Austin Environmental, Inc. Project : Vacant Building, 110 Dominik Drive, College Station TX Project # : AE07- Lab Job# : x7B-04238 Sample # : 03A Client Sample Description: Drywall Texture Ceiling, Page 1 of 1 Dry Floor Storage, at Light above Electrical Panels Layer 1 Drywall Material Stereoscopic Exam Color Texture Homogeneous' % Fibrous I % Asbestos % of Sample Pink Blocky YES 2 NO 63 Pf M Fvami—f— Components % +/- Morphology Color / Pleochroism Parallel Ref Index Perpendicular Ref Index Buef Extinction An le Sign of Elongation Glass Wool Fibers 2 Rods 0 Cellulose Fibers 1 ribbons high Gypsum / Binders 97 Non -fibrous Prep/treatment mechanical separation Layer 2 DW Paper Facing PT M Fr —t—n Asbestos Content None Detected Stereoscopic Exam Color Texture Homogeneous' % Fibrous % Asbestos % of Sample Tan Fibrous YES 1 100 1 NO 1 30 Components �ellulose % +/- Morphology Color / Pleochroism Parallel Ref Index Perpendicular Ref Index Buef Extinction Angle Sign of Elongation Fibers I 10q I ribbons I high 11 Prep/treatment mechanical separation Layer 3 Old Texture Stereoscopic Exam Color Off -White PT M Pv ­t­ Asbestos Content. None Detected Texture I Homogeneous' l % Fibrous I % Asbestos 1% of Si Blockv I YES I NO I NO 1 2 Components % +/- Morphology Color / Pleochroism Parallel Ref Index Perpendicular Ref Index Buef Extinction Angle Sign of Elongation hrysotile 1 silky / wavy None 1.556 1.548 low 0 + Calcite / Talc I Binders 9 Non -Fibrous Prep/treatment mechanical separation Layer 4 New Texture Stereoscopic Exam Color White PLM F.xam matinn Asbestos Content 2% Chrysotile Texture I Homogeneous % Fibrous % Asbestos % of S-' Blockv I YES I NO NO 5 Components % +/- Morphology Color /Pleochroism Parallel Ref Index Perpendicular Ref Index I Biref Extinction Angle Sign of Elongation alcite / Talc / Binders 100 1 Non -Fibrous Prep/treatment mechanical separation Comments : Asbestos Content None Detected Analyst: Jessica Scott Date Analyzed: 05111 /2007 Lab Job# : x7B-04238 Sample # :03A CITY OF COLLEGE STATION BUILDING INSPECTION DEPARTMENT REVIEWED FOR COMPLIANCE PER NOTES ON PERMIT NO COMMENTS Y RFR NOTES HIV PLANS/SH 65 VI 1 Y %Jr .r ■ ff, V .-. Building Inspection Department Received Reviewed ts &N. sQf �l� DEMOLITION PERMIT CITY OF COLLEGE STATION 1101 'TEXAS IAVE COLLEGE STATION, TX 77840 PHONE: (979)764-3570 FAX: (979)764-3496 ---------------------------------------------------------------------------- Application Number . . . . . Application pin number . . . Property Address . . . . . . Property ID: R #: Tenant nbr, name . . . . . . Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . 07-00001496 118480 110 DOMINIK DR 213500-0002-0070 R25423 Date 5/25/07 REMOVE INTERIOR WALL DEMOLITION, COMMERCIAL CULPEPPER PLAZA GENERAL COMMERCIAL 500 Owner Contractor ------------------------ ------------------------ FAI ZULLAH , GULAMAL I S & OWNER `Th�J e_ f HABIBAH 3219 CATERINA LN COLLEGE STATION TX 778456308 --- Structure Information 000 000 DEMO PERMIT Construction Type . . . . . COMBUSTIBLE (UNPROTECTED) Occupancy Type . . . . . . ASSEMBLY (IBC) Other struct info . . . . . IMPACT/PRORATA FEES PAID NA HEATED AREA 1.00 INTERIOR WALL TYPE NA TAZ 279.00 ---------------------------------------------------------------------------- Permit . . . . . . DEMOLITION PERMIT Additional desc . . KW Permit pin number . 504902 Permit Fee . . . . 25.00 Plan Check Fee .00 Issue Date . . . . 5/25/07 Valuation . . . . 500 Expiration Date . . 11/21/07 Qty Unit Charge Per Extension BASE FEE 25.00 ---------------------------------------------------------------------------- Special Notes and Comments ELECTRICAL SHALL BE INSTALLED PER 2005 National Electrical Code & LOCAL AMENDMENTS CONSTRUCTION ACTIVITY BETWEEN THE HOURS OF 10:00 PM AND 7:00 AM MUST COMPLY WITH THE NOISE ORDINANCE (MAX. 55 DBA) ANY CHANGES OR ALTERATIONS TO SUBMITTED PLANS MUST BE RESUBMITTED AND APPROVED BEFORE WORK IS DONE IN ORDER TO ASSURE CODE COMPLIANCE POST PERMIT CARD ON JOB SITE ------------------------------ --------- - - ------------ BUILDING DEPT REPRESENTATIVE: APPLICANT: //'�w DEMOLITION PERMIT CITY OF COLLEGE STATION 1101 TEXAS'AVE COLLEGE STATION, TX 77840 PHONE: (979)764-3570 FAX: (979)764-3496 ---------------------------------------------------------------------------- Page 2 Application Number . . . . . 07-00001496 Date 5/25/07 Application pin number . . . 118480 ---------------------------------------------------------------------------- Special Notes and Comments ALL PLUMBING, ELECTRICAL, AND HVAC (mechanical) WORK MUST BE PERFORMED BY LICENSED CONTRACTORS. CONTACT BUILDING DEPARTMENT FOR INSPECTIONS PRIOR TO COVERING ANY WORK ---------------------------------------------------------------------------- Fee summary Charged ---------- Paid Credited Due ------------------------------ ----------------- Permit Fee Total 25.00 25.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 25.00 25.00 .00 .00 a ---------------------------------------------- ------ BUILDING DEPT REPRESENTATIVE: '/l. , -/1 APPLICANT: APPLICATION FOR BUILDING PERMIT 1101 TEXAS AVENUE COLLEGE STATION, TX 77840 (979) 764-3570 (979) 764-3496 FAX CITY OF COLLEGE STATION WWW.CSTX.GOV Plan_' d Deo bhment Seevirrs ADDRESS/LOCATION: �)I rD LOT �_ BLOCK SUBDIVISION (ma , ( For Office Use Only DATE: `'y Iiq vITRCC REG APPLICATION # TEMP POLE # SEC/PH BUSINESS/OWNER NAME: JVlic_oN 1-LL PHONE: CONTRACTOR/HOMEOWNER: CONTRACTOR ADDRESS: ELECTRICIAN: HVAC: PHONE: PLUMBER: _ GOOD CENTS (Residential only): CLASS OF WORK ACCESSORY/STORAGE LOCATION RE -ROOF ,ADDITION MOVING SHELL ONLY DEMOLITION (Asbestos Survey) NFW CONSTRUCTION ` SLAB ONLY DUPLEX (Landscape Plans) FMODEL/RENOVATION' SWIMMING POOL TENT/CANOPY DESCRIPTION OF WORK: kysy;'�Mc_ A t5zCQ,. PROPOSED USE: �w►o o v► f� rr�%� ONfy 7?e /d�•^fo HOMEOWNER ASSOCIATION/ARCHITECTUAL OR DESIGN REVIEW COMMITTEE APPROVAL: TEXAS ACCESSIBILITY STANDARD (TAS) PROJECT REGISTRATION# EABPRJ VALUATION: $ S ")a 03 TOTAL AREA: HEATED AREA: aLA, s� FI- (Cost of Labor and Materials) PUBLIC SEWER SEPTIC/TREATMENT SYSTEM SEWER TAP: WATER TAP: OTHER TAP: TEMP POLE GARAGE TYPE: JIZE SIZE SIZE SINGLE EJ ATTACHED NUMBER OF BEDROOMS: NUMBER OF BATHROOMS: INTERIOR WALL TYPE: L-\j- EXTERIOR WALL TYPE: Avt� - 4% FOUNDATION TYPE: ROOF TYPE: DOUBLE 0 TRIPLE 3* DETACHED = CARPORT SIGNATURE OF APPLICANT: *If proposed work involves new co ercial construction or facade improvements/renovations to an existing commercial property, building elevations are required. ♦����p�����������������������������������������++++��������♦ Official Use Only Plans Examiner Zoning Official Fire Marshall C ts: ESN Vt.-) Energy Code Compliance Information % Glazing of exterior walls Insulation R value of exterior walls Insulation R value of ceiling 1 (flat areas) Insulation R value of ceiling 2 (vaulted areas/no attic) Glazing SHGC Glazing U-Factor R value of ductwork A/C SEER Rating C 4 fi� ♦ �e � y^. ; .�it• ,,, tarry^� � ` t� S Ca 1 ti •�� c� Sic: ; � 't