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Home My WebLink AboutDEMO2008-02194WF1113889 / 001 City of College Station PAGE 1 REQ. DATE: 12/05/08 12/05/08 16:53:30 LOCATION: 404 SECOND ST LOC ID: 115232 REQUESTOR: FREESE CONSTRUCTION ORIGIN: CUSTOMER -WALK IN REQ USER: GLSOUTH AUTH USER:GLSOUTH WRK TYPE: TEMP POLE PASSED ******************************************************************************** TASK: SET UP NEW UTILITY ACCT SET READY SCHED START: 12/05/08 SCHED COMPLETION: 12/05/08 ******************************************************************************** JOB ORDER RESULT COMMENTS Cq DEMOLITION PERMIT CITY OF COLLEGE STATION 1101 TEXAS AVE COLLEGE STATION, TX 77840 PHONE: (979)764-3570 FAX: (979)764-3496 ---------------------------------------------------------------------------- Application Number . . . . . Application pin number . . . Property Address . . . . . . Property ID: R #• Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . 08-00002194 094232 404 SECOND ST 144500-0005-0030 R18542 DEMOLITION, RESIDENTIAL 2 UNITS BOYETT RESIDENTIAL UNKNOWN 2500 Date 7/23/08 Owner Contractor ------------------------ ------------------------ CS SECOND STREET APARTMENTS ARC ABATEMENT LLC 2525 MCKINNON STE 330 6630 ROXBOURGH DR DALLAS TX 75201 STE 120 HOUSTON TX 77041 (713) 849-7738 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . COMBUSTIBLE (UNPROTECTED) Occupancy Type . . . . . . RESIDENTIAL-SFR/DUPLEX Other struct info . . . . . TRAFFIC IMPACT ANAL (TAZ) 450.00 ---------------------------------------------------------------------------- Permit . . . . . . DEMOLITION PERMIT Additional desc . . CC Permit pin number . 589028 Permit Fee . . . . 25.00 Plan Check Fee .00 Issue Date . . . . 7/23/08 Valuation . . . . 2500 Expiration Date . . 1/19/09 Qty Unit Charge Per Extension BASE FEE 25.00 ---------------------------------------------------------------------------- Special Notes and Comments *ALL UTILITIES MUST BE DISCONNECTED BEFORE DEMOLITION BEGINS. PLUMBING SEWER LINES MUST BE CAPPED TO AVOID STORM WATER FLOWING INTO LINES. MAINTAIN SAFE JOB SITE AND REMOVE ALL DEBRI PROMPTLY. *POST PERMIT CARD ON JOB SITE TO BE VISIBLE FROM ROAD *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. 0 .00 .00 ----------- -------------,.----------- ----------------------------- --- BUILDING -- BUILDING DEPT REP y N APPLICANT: 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 . . . . . 08-00002194 Date 7/23/08 Application pin number . . . 094232 Plan Check Total .00 .00 .00 .00 Grand Total 25.00 25.00 .00 .00 BUILDING DE APPLICANT: 07/15/2008 11:37 5129866565 JAYDAVLIN PAGE 02 1L�1, F4; tF�7jr' - rS� kw APPLICATION FOR BUILDING PERMIT CITY OF COLLEGE STATION 1101 TEXAS AVENUE COLLEGE STATION, TX 77840 I ION (979) 764-3570 (979) 764-3496NEffbr ,NWVl,.CSTX.GM� 3 ' 0 A.DDRESS/LOCAITON: R U `7 , [ G Y b ' a od DATE,,F:4 — 7tWtr ORF ., I APPLICATION 0 TEMP POLE Ir 7 71/pv REG-1T SUBDIVISION SEC/PH �� 58INESS19r ME: !J Y7r� � PHONE: . .� , ti. f �p q CONTRACTOR/HOMEOWNER: fjL2,,9 vvjLj`7 PHONE: :1 3 - R CONTACT PERSON FOR REVIEW COMMENTS: ►4 (1_ A V� (r'✓1 .. PHONE: I - I (a S - -7 X' FAX: Jam/ if" r i l _�-, � _.5 EMAIL: r� /C (.° � L o+rw a i' Gv ► ELECTRICIAN: HVAC: ACCESSORY/STORAGE ADDITION DEMOLITION (ASBESTOS SURVEY) e DUPLEX (LANDSCAPE PLANS REQUIRED) LOCATION RETAINING WALL DESCRIPTION OF WORK: PROPOSED USE: STRUCTURE USE' r PLUMBER: GOOD CENTS (Residential only): MOVING RE-r,'�nF NEW CONSTRUCTION" SHE!! ONLY PORTABLE STORAGE (RESIDENTIAL) SLAF ONLY PORTABLE STORAGE (NON-RESIDENTIAL) S%VM.'•AlNG POOL REMODEL/RENOVATION TENT '0r� 7(AO HOMEOWNER ASSOCIATIOWARCHITECTUAL OR DESIGN REVI' QWCOMMITTEE APPROVAL: !r /'/J _ TEXAS ACCESS191LITY STANDARD AS) PROJECT REGISTRATION NO. EASPRJ- VALUATION: $ TOTAL AREA: HEATED AREA: (Cost of La F and Materials) PUBLIC SEWER SEPTIC/TREATMENT SYSTEM SEINER TAP: WATER TAP: OTHER TAP: TEMP POLE GARAGE TYPE: sqr, SaE Size SINGLE a ATTACHED NUMBER OF BEDROOMS: NUMBER OF BATHROOMS: INTERIOR WALL TYPE: EXTERIOR WALL. TYPE: FOUNDATION TYPE: ROOF TYPE: DOUBLE DETD ill _ I TRIPLE a CARPORT SIGNATURE OF APPLICANT: _ If proposed work involves new commerciaftbrIstruction or facade improvements/renovations to a^ „., sting commercial property, building elevations are required. Oftial Use Only , (`nmrrnr�- 07/15/2006 11:37 5129866565 JAYDAVLIN PAGE 04 TEXAS Department of State Health Services TYPE OF NOTIFICATION: (Select one andfill in the requested information) ❑ ORIGINAL ® AMENDMENT No. 3 ❑ CANCELLATION ❑ EMERGENCY •Was emergency request made to the Regional Office or Environmental Health Notifications Group (EHNG) by phone? ❑Yes ®No elf yes, the DSHS reference #:N/A and name of the Regional or EHNG representative with whom you spoke? Date: NIA/ Time: N/A ❑a.m. ❑p.m. *Describe the reason for Emergency: N/A INWA ❑ ORDERED: (For structurally unsound faeifities, attach copy of demolition order and Identify Governmental Official) Name: N/A Registration No. N/ Title: N/A Date of order (MM/DD/YY): N/A/ Date order to begin (MM/DD/YY): Nam_ (x) �I AYou mot reaWde the entireform and mark the appropriate check "es) along the lef -hand side of dds form to Below if iarQrnte amended laloraHrAton Amended TYPE OF WORK ® Asbestos Abatement ❑ Demolition ❑ Annual Consolidated O&M ❑ Abatement/Demolition Is this a phased project? ❑ Yes ❑ No FACILITY INFORMATION 1. Facility Location El ....... Description or facility Name: 3 Duplexes W229A El ....... Physical Address: 404, 406, and 408 2 Street El ....... County: Brews City: College Station Zip: 774800 El ....... Facility Contact: Tom Herbelin Phone #: (214) 265-868b 2. Type of Facility (Select one) ® Public ❑ Federal ❑ Industrial/Manufacturing ❑ NESHAP-Only ❑ Public School K-12 3. Facility Retails ❑...... Description of Area/Room Number: 3 Duplexes ❑...... Age of Building: 30+ Size: ¢,0W sf Number of Floors_ I ❑. Is this building occupied? ❑ Yes ED No ❑...... Prior Use ousin ❑...... Future Use: Demo El ...... Date of Asbestos Survey/NESHAP Inspection: 01/03/08 ❑ -- - - - - DSHS Inspector License #: 60-2369 El ------ Analytical Method: ® PLM ❑ TEM ❑ Assumed Asbestos ❑ No Suspect Material ❑...... DSHS Laboratory License #: 30-0273 WORK SCHIEDULE/ASBESTOS AMOUNTS (Note: (fthe staff date(s) entered bdoro cannot be md, the Wms Regional or Local Program office ►nut be "lifted prior to the scheduled start date- Fadurc io do so is a vrolmon of TAHPA SeiWan 795 61.) 1. Asbestos Abatement Work Schedule: ®...... Start date. 06/24/08 and End date: 47704/08 ®...... Work days: ®Mon. ®rues. ®Wed. ®Thurs- ®Fri. ❑Sat. ❑Sun. ------ Working hours: 7:00 ® a.m. ❑ p.m- to 5.30 [Jam. ®p.m. 2. Demolition Work Schedule: ❑...... Start date: 07/07/08 and End date: 07/31/00 ❑...... Work days: ®Man. ®Tues. ®Wed. ®Tours. ®Fri. ❑Sat. ❑Sun- ® ...... Working hours: 7�00 ® am. ❑ p.m. to 5:30 ❑a.m. ®p.m. FORM APB 05, REV 5/07 07/15/2008 11:37 5129866565 JAYDAVLIN PAGE 05 l=l Below if Amended C. ASBESTOS AMOUNTS ❑... ... Is Asbestos Present? ❑ Yes ❑ No (Complete the table below if asbestos is present) Asbestos -Containing Building Material Type Approximate amount of Asbestos *Only mark the boxes below on this chart if they are being amended Pipes Ln Ft Ln M Surface Area SQ Ft SQ M Cu Ft RACM to be removed 6000 RACM left in place during demolition Interior Cat o I non -friable removed Exterior Category I non -friable removed ❑ Category I non -friable left in place during demolition ❑ 2500 ❑ interior Category H non -friable removed Exterior Category 11 non -friable removed 1 ❑ Ll 1 1000 ❑ LJCategory II non -friable left in place during demolition RACM Off -Facility Component jyfiim, a:..a, v «p DESCRIPTION OF WORK PRACTICES AND PROCEDURES El ...... 1. Description of procedures to be followed in the event that unexpected asbestos is found or previously not* -friable asbestos material becomes crumbled, pulverized, or reduced to powder: Wet material shut doyvn HVAC. seal the area install ne ative air equiRment. c d t area sampling. and notift authorites. ❑...... 2. Description of planned demolition or abatement work, type of material, and method(s) to be used: Negative pressure enclosure. RFCT methods and exterior NESHAP removal El ....... 3. Description of work practices and engineering controls to be used to prevent emissions of asbestos at the demolition site. e a vacuum & negative air, Asbestos debrisJebris will be doible bagged labeled & trap ported in an enclosedtrailer. PROJECT INFORMATION ❑... ... A. FACILITY OWNER Facility Owner Name: Stoneleieh Capital Partners. LLC Phone #: (214) 265-8b86 Attention. Tom Herbelin Mailing Address: 2525 McKinnon. Suite 330 City: Dallas State: TX Zip: 75201 ®... ... B. ASBESTOS ABATEMENT CONTRACTOR #1 DSHS Asbestos Contractor License #: 80-0443 Contractor Name: ARC Abatement. Inc. Address: 6630 Roxbu uite 120 City: Houston State: TX zip: 77041 Office Phone #: 7j 13) $49-7738 Job -Site Phone #. (N/A) ❑... ... C. ASBESTOS ABATEMENT CONTRACTOR #R2 (Only if there is more than one Contractor) DSHS Asbestos Contractor License #: NIA Contractor Name: Address: _ City: State: Zip: Office Phone #: ( ) - Job -Site Phone D. ASBESTOS SUPERVISOR ❑... ,.. DSHS Supervisor license #: SeeList Site Supervisor: Please See Attached List ❑... ... DSHS Supervisor License #: See Lis Site Supervisor: Please See Attached List FORM APB #5, REV 5107 07/15/2008 11:37 5129866565 JAYDAVLIN PAGE 06 (x) Mow if Amended- E. NESHAP TRAINED INDIVIDUAL �...... NESHAP Trained Individual: N/A Certification Date: / / ®...... F. DEMOLITION CONTRACTOR Demolition Contractor: ARC Abatement. Inc. Address: 600 Roxburgh Dr. Suite 120 City: Houston State. TX Zip: 77041 Phone #: (713) 849-7738 ❑...... G. PROJECT CONSULTANT OR OPERATOR DSHS License No.: 10-0157 Project Consultant or Operator: Terracon Consultants, Inc. Address: 1 555 Clay Road 00 City: Houston State: TX Zip: 7704,3 Phone #: (71316904989 ®.....- H. Waste Transporter DSHS Waste Transporter License #: 40-0105 Waste Transporter: ARC Abatement. Inc. Address: .00PRoxburgh Drive Suite 120 City: Houston State: IX Zip: 77041 Contact Person: Jeff YoungPhane #: (713) 849-7738 ®...... L Waste Disposal Site TCEQ Permit #: HT 1721 Waste Disposal Site: Coastal Plains Landfill Address: 000 E. Highway 6 City: Alvin State: TX Zip: 77511 Phone #: f2$1) 3$$ 1708 CERTIFICATION STATEMENT I hereby declare that I have examined this notification and, to the best of my knowledge and belief, all information provided is complete, true, and correct. I affirm that I am the owner, operator, or delegated agent and that I am responsible for the fee associated with this notification_ I also understand that the owner, operator, or delegated agent is responsible for notification to the department. (Signature of Owner, Operator or Delegated Agent) CCi vista Allman. Office Manager, ARC Abatement Icn. (Printed Name & Title) E-mail Address: christa man(Rarcabatement eom Phone #' (713) 849-7738 IMPORTANT INFORMATION Date: 06/2 /08 NOTIFICATION TIMELINESS REQ>( MMENI": Your Asbestos/Demolition Notification form must be postmarked no less than ten working days (not calendar days) prior to the start of any asbestos abatement or demolition. FILING FEE: An invoice will be mailed to the facility owner upon completion of the project. CALL FOR ASSISTANCE: (512) 834-6747 or (888) 778-9440 (toll free in Texas) MAIL FORM TO: ENVIRONMENTAL HEALTH NOTIFICATIONS GROUP TEXAS DEPARTMENT OF STATE HEALTH SERVICES PO BOX 143538 AUSTIN, TX 78714-3538 FORM APB #5, UV 5/07