HomeMy WebLinkAbout1009 S BROADWAY ST_09-0040___________1009 S. BROADWAY
HURRICANE REPAIRS
Y ..
';. <^ • s N� d- IV.
4`A
City of La. Porte
604 W. Fairmont P}_
La Porte, Tx 775,_
(2.81)470-5073 ""' INSPECTION LINE: (281)470-5130
****ZONING PERMIT****
---------------------------------
Application Number . . . .
Property Address . . . . .
HCAD Number . . . . . . . .
Application type description
Subdivision Name . . . . .
Property Use . . . . . . .
Property Zoning . . . . . .
Property owner . . . . . .
Owner address . . . . . . .
-------------------------------
97-00000132 Date
+�1009 S BROAD,WAY_ST__j
�--U2_4-0 018-0001
ZONING PERMIT
LA PORTE
COMM - GENERAL
UB ADDRESS
1/08/09
LA PORTE TX 77571
--- Structure Information 000 OOO�—RETAIL SALES OF QUILTS AND FABRIC
Other struct info . . . . SIC CODE (ZONING P.ERMITS.)—X
L
----------------------------------------------------------------------------
Permit . . . . ZONING PERMIT
Additional des c SIC_#.5.3.9.2.4RETAIL_SALES
Permit Fee . . . . .00
Issue Date . . . . 4/04/97 Valuation . . . . 0=
Expiration Date . . 10/01/97
----------------------------------------------------------------------------
Special Notes and Comments
11/16/05: PER TOMMY CARPENTER NO
INSPECTION DONE BY CITY. CLOSE FILE.
RYC
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total .00 .00 .00 .00
Grand Total .00 .00 .00 .00
r
o-j' _
� a
----------------------------------------------------------------------------
THIS PERMIT BECOMES INVALID WITH ANY CHANGE OF USE,
OCCUPANCY, TENANCY OR OWNERSHIP OF THIS BUILDING OR LEASE
SPACE.
OWNER OR AGENT _DATE
ZONING ADMINISTRATOR DATE
CITY OF LA PORTE
r 604 W FAIRMONT PARKWAY r
LA PORTE, TEXAS
LA PORTE TX 77571
C E R T I F I C A T E O F O C C U P A N C Y
Issue Date . . .
Parcel Number . .
Property Address
Subdivision Name
Legal Description
Property Zoning
Owner . . . . .
Contractor
Application number
Description of Work
Construction type .
Occupancy type . .
Flood Zone . . . .
P E R M A N E N T
2/05/09
024-035-018-0001
1009 S BROADWAY ST
LA PORTE TX 77571
LA PORTE
LTS 1 THRU 31 BLK 318 & ADJ
30 FT STREET
LA PORTE
COMM - GENERAL
BAYOU PROPERTIES CO
INTERBUILD CONST
713 201-0501
09-00000040 000 000
REMODEL, OFFICE
NON COMBUSTIBLE (TY.I,II)
BUSINESS
Approved . . . . . . . ia �r^v�
Building Official V.
L_
VOID UNLESS SIGNED BY BUILDING OFFICIAL
CL
— 7
COMMERCIAL W&S WORK ORDER# c,
DATES /
NEW ADDI ION_
CONTRACTOR PH#
DATE
ADDRESS REQUEST
C.
ZONING CLASSIFICATION
x
FLOOD ZONE
N Q ` 0811
BLDG PLANS SUBMITTED
BLDG PLANS REVIEWED
FEES PAID
WATER FRONT FT FEES
SEWER FRONT FT FEES
WATER TAP
SEWER TAP
FLOOD ZONE PERMIT (required if AE or VE zone)
BUILDING PERMIT
PLAN REVIEW FEE
DRIVEWAY TIE IN FEE
PARK LAND FEE - ZONE
ELECTRICAL PERMIT
TEMPORARY POWER POLE
PLUMBING PERMIT • '
MECHANICAL PERMIT
SACPSha \lnspectlon%F=DENTTAL INSP SIEE1MY 06AOC
PERMIT #
v —Ll(-)
N/A
I
g
A1.
M
WSRCUTOM
sm 'ms�x�z M
MT&
N,
:"
"2
X7
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FAXED:
T POLE
CONST ELEV CERT,:
recv'd if in AEIVE zone)
FORM SURVEY
If applicable)
%r
GROUND PLUMBING
PIERS
SLAB/FOUNDATION
WATER SERVICE LINE
SEWER
ELEC UNDERGROUND
(if applicable)
COVER-UP
LEAD TEST
BRICK TIE
DRIVEWAY
SIDEWALKS
FINAL
DRAINAGE/GRADING
FINAL ELEV CERTIFICATE RECEIVED:
ELEVATION SHOWN FOR TOP OF FINISHED FLOOR IS: REQUIRED BFE:
IS THE ELEVATION SHOWN 12" OR MORE ABOVE BFE: (YES) OR (NO)
FAXED:
GAS FINAL
FAXED:
ELECTRIC FINAL
OTHER (patio, lawn
sprinklers, etc.)
FINAL
110�
S:\CPSHARE\INSPECTIONSDIVISION/INSPECTIONS\RES-COML INSP SHEETOCMYLS
City of La Porte
604 W Fairmont Pkwy ;
La Porte, Tx 77571
(281)470-5073 INSPECTION LIN:(281)
470-5130
****BUILDING PERMIT****
----------------------------------------------------------------------------
Application Number . . . . . 09-00000040
Date 1/15/09
Property Address . . . . . . 1009 S BROADWAY ST
HCAD Number . . . . . . . . . 024-035-018-0001
Application type description REMODEL, OFFICE
Subdivision Name . . . . . . LA PORTE
Property Use . . . . . . . .
Property Zoning . . . . . . . COMM - GENERAL
Application valuation . . . . 19000
Owner. Contractor
------------------------ ------------------------
BAYOU PROPERTIES CO INTERBUILD CONST
6002 OSBORN ST 835 WYCLIFFE
HOUSTON TX 770331016 HOUSTON
TX 77079
(713) 201-0501
--- Structure Information 000 000 HURRICANE.REPAIR
Construction Type . . . . . NON COMBUSTIBLE (TY.I,II)
Occupancy Type . . . . . . BUSINESS
Other struct info . . . . . FLOOD ZONE
X
----------------------------------------------------------------------------
Permit . . . . . . BLDG PERMIT -COMMERCIAL REMODEL
/
Additional desc . . HURRICANE REPAIR
Permit Fee . . . . .00 Plan Check Fee
.00
Issue Date . . . . 1/15/09 Valuation . .
. . 19000
Expiration Date . . 7/14/09
----------------------------------------------------------------------------
Special Notes and Comments
(1) $19,000 PER CONTRACTOR'S WRITTEN
ESTIMATE (2) ALL WORK MUST COMPLY WITH
2006 INTERNATIONAL BUILDING CODE (3)
CALL FOR INSPECTION PRIOR TO COVER UP
(4) CALL FOR FINAL INSPECTION WHEN
COMPLETE (5) REMOVE ALL CONSTRUCTION
DEBRIS (6) ELECTRICAL, PLUMBING, &
MECHANICAL WORK REQUIRES SEPARATE
PERMIT/INSPECTIONS (7) PERMIT IS FOR
LIMITED SCOPE OF WORK (ITEMS 1-6 AS PER
INTERBUILD, LP) NO ADDITIONAL WORK IS
BEING PERMITTED AT THIS TIME
BE REPLACED. A SEPARATE PLUMBING
PERMIT IS REQUIRED FOR WATER HEATER
REPLACEMENT.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited
------------------------------
Due
----------
-----------------
Permit Fee Total .00 .00 .00
.00
Plan Check Total .00 .00 .00
.00
Grand Total .00 .00 .00
.00
City of La Porte
604 W Fairmont Pkwy
La Porte, Tx 77571
(281)470-5073 INSPECTION LINE:(281)
****BUILDING PERMIT****
-----------------------------------------------------------
Application Number
(S
09-00000040
470-5130
----------------
Page 2
Date 1/15/09
M
•---------------------------------------------------------
OF CONTRACTOR OR AUTHORIZED AGENT) DATE
(APPROVED BY BUILDING OFFICIAL OR AUTHORIZED AGE 15i
DATE
Noy% 17 08 03:22p
Interbuild Construction /
PERM API
City of La Porte
281-470-5073
3-9848701 p.14
Mwbanical *EL--trl1
*(See back of for
Established 1892
*Phtmbm¢
Subdivision y° Bloch 3/ x f A d 3 a Pr s %A�
Owner's Name: )6*W 4/drP/1747 Pmoe: 713 6 Y1 65?_1
d iiiirrer % 2 Au l% - %ac;.s
-!�i 1-41tX C.•,
fiu✓ , w
zip
i3 Zoio
7 76 'A/
Sant City zip
Contractor Email
7zI�
TRCC registration 4 on all new Single Family DwtUingg or L over S10,000.TRCC ;y
Buikling Use:
Vabrarion: � �9 4QC1.
"`^^'Y�"'•J '7N' un,u wuc r L.ta15 w W1C aq. r2
Construction Typ,—Usezone_C-r_c� 8 Sorties Parl®g Rut_---
Last use ofDate use ceased -
Commercial Bmldmgs Plans QWy--Fits Marstial Approval Dare o t�
Cbxka&Approved fbr Lm nce By. ��. Date l�— �O —C7d
CE W6 ial Conditions: ono
axe; HCAD 0 3 q - m 3 S- O l e - b o [l l
Resi lemid driveway tie-in fee:
�►9 �� P d(New Res. QWY)/"/ Zone '1 Fee:
Permit No. Permit Fee Plan Check Fee:
Rttt / lri+`rl/u.�aKC— . "C o� ~:,,*v,yrrwt owaA=
Nov' 17 08 03:22p Interbuild Construction 713-984-8701 p.15
INTERBUILD CONSTRUCTION, L.P.
City of LaPorte .. ,
604 W. Fairmont Parkway
LaPorte, Texas 77556
Attn: Mrs. Vickie Lawrence
OO 7
Re: Scope of work for 1 Q815 S. Broadway
Mrs. Lawrence,
Stated below is the scope of work for the above listed address.
1.) Demolition: Flooring, sheetrock and ceiling tile
2.) Drywall: Install sheetrock on existing metal studs
11/17/08
3.) Doors, frames and hardware: Remove and re -install existing doors, add new blocking.
4.) Wall finishes: Paint entire suite
5.) Acoustical: Install ceiling tile and insulation
6.) Flooring: Install flooring thorough out lease
M�0 Ff API'RU�C
re o n
THE , l ry S V"' SVBM TT,1 C
CHANGE c"El) tjp
PRIOR
Should you have any questions I can be contacted at 713 201-0501 or email at
sbannon@interbuildtx.com
Shannon Day CO ?*Y
10942 Britoak Lane Houston, Texas77079
Office: 713 677.0718 Phone: 713 201-0501 Fax: 713 984-8701 Email: shannon@IMerbuildbc.com
mr.URRICANE ME PERARTS
19,660 T ER 8DE CONTRACTOR'S
A Tlnn A TO A T
/^ (3CIN
3. CALL FOR INSPECTION PRIOR TO COVER UP._
r 4. CALL FOR FINAL INSPECTION WHEN COMPLETE. _ _—
_� ��Tim 1 �m TnV A (TnT A A'TT.TT�TT !1V n, ,
•MMITA
•' . ■ Y _
_,r
CALL FOR COVER INSPECTION
********BEFORE*********
INSTALLING SHEET ROCK
INSPECTION LINE # 281-470-5130
IF THE A PpR�
To HE cEU. A NEW S� qNS qRE
B
TUTHEC ANG IRFJ)pRI l
e �� RR/Nq R
C0Mivj_ZRCl1AL PLAN REVIEW NG x r S
1, Minimum six-inch (6") stud walls shall be required where drain, waste, & veht (DW \'-
horizontal and/or vertical) plumbing is installed. The use of 2 x 6 studood or metal)
4.
shall be required for new construction and additions (additions of squar ge) for
both residential and non-residential construction where DWV plumbing is installed.
2. Call for City inspections - 281-470-5130.
3. Unload and keep materials on private property, not City right of way.
4. If a fence is proposed, verify with City regarding maximum height limitations.
5. Call for utility line locates at 1-800-669-8344 and also City of La Porte at 281-471-9650
6 Fire Marshal will need to review/ inspect prior to opening business.
7. Must obtain zoning permit prior to occupancy of lease space/building.
8. Separate permit required for all signage.
9. Sanitation facilities required on -site prior to first inspection and must remain available
until completion of sanitation facilities within the lease space and/or building.
10. Silt fencing required for duration of project.
11. See notes (red lined) on contractor copy of construction drawings.
12. Fill dirt permits are required prior to placement of fill dirt.
13. Grading/drainage must be maintained throughout entire project to ensure eligibility for
inspections and utility release.
14. Provide energy code compliance certification from "certified" energy code provider, prior
to issuance of the Certificate of Occupancy.
15. Any changes to the project after building permit is issued, must be submitted in writing
and approved by the City prior to changes being made
16. Provide Sample Well in accordance with "Sample Well Detail" handout. (Available upon
request)
17. Effective March 10, 2007, all electrical devices (including but not limited to outlets and
switches) shall be installed with the screw -wrap or approved screw clamp installation.
Back or quick stab installation is prohibited.
18. Building operations shall be limited to 7:00am- 1 0:00pm and shall not exceed maximum,
permitted sound levels as described in Chapter 34 of the Code of Ordinances.
19. Commercial projects with detention pond requirements must be inspected and approved
by city Engineer and Inspection personnel prior to final inspection request. Contact
City Engineer at 281-470-5060.
20. Contractor/owner shall be responsible for ensuring all construction materials/debris
remains on the construction site. Failure to do so shall result in stoppage of inspections
and/or code enforcement action.
21. Owner/developer of commercial driveways in concrete shall be constructed 12" from the
adjacent asphalt street. The contractor shall clean the area between the driveway and
the street to a depth of at least 6". It is the responsibility of the CITY
owner/developer/contractor to install the asphalt transition. Copy
SACPSh=\INSPECTION DIVISION\Inspections\COMMERCIAL PLAN REVIEW NOTES 8/08doc
IV.
APPLICABLE CODES
Adopted November 17 2007• Effective January 01, 2008:
2006 INTERNATIONAL BUILDING CODE (IBC)
2006 INTERNATIONAL PLUMBING CODE (IPC)
2006 INTERNATIONAL MECHANICAL CODE (IMC)
2006 INTERNATIONAL FUEL GAS CODE (IFGC)
2006 INTERNATIONAL RESIDENTIAL CODE (IRC)
2006 INTERNATIONAL ENERGY CONSERVATION
CODE (IECC)
Adopted March 24 2008• Effective April 8, 2008:
2008 NATIONAL ELECTRICAL CODE (NEC)
WITH LOCAL AMENDMENTS
(COMMERCIAL & RESIDENTIAL)
2003 INTERNATIONAL FIRE CODE (IFC)
WITH ADOPTED AMENDMENTS TO FIRE CODE
S:\CPShue\INSPECTIONDIVISION\Inspections\Residential Construction Packet\APPLiCABLE CODES.doo Rev. 3-08
FROM :,
FAX NO. ln. 07 2009 09:02PM P2
ASBESTOS INSPECTION
REPORT
DRYWALL
LAPORTE, TEXAS
DECEMBER 2008.
DEAL ENTERPRISES YNC.
P.O. BOX 3065
LAKE JACKSON, TEXAS
979-848-1965
ECEIVE
JAN 8 - 2009
BY:
FROM FRX NO. an. 07 2009 09:02PM P3
DEAL ENTERPRISES INC.
asbestoslenvisonanental consulting
Dec. 24, 2009
Mr. Joe Chatham
interbuild Construction, L.P.
10942 Britoak Lane
Houston., Tx 77079
Dear Mr. Chatham:
P.O. sox 306E
Lake laekson, TX 21566
I am pleased to submit this asbestos inspection report for the drywall in the lease space at
1009 S. Broadway in Laporte, 'texas. Samples were taken of the older drywall on the
upper part of the wall and the newly replaced drywall on the bottom two feet. The
samples were sent to a licensed asbestos laboratory for analysis. A copy of the lab report
is attached. No asbestos was found in the samples. No further precautions are necessary.
If you have any questions, please let me know. Thank you for this opportunity to serve
you.
Respectfully,
Albert O. Mayo Jr. VV
President
ECEIVE
JAN 8 - 2009
BY:
FROM FAX NO. an. 07 2009 09:02PM P4
✓ C.
Crisp Analytical laboratories, L.L.C. CA Labs, L.L.C.
'�•/A 2081 Hutton Dr„ Suite 301 12232 Industriplex, Suite 32
Corrollton, TX 75006 Baton Rouge, LA 70809
PH: (972) 488-1414 PH: (225) 751-5632
I Fax: (972) 488-8006 Fax: (225) 751-5634
Materials Characterization - Bulk Asbestos Analysis
Laboratory Analysis Report - Polarized Light
Deal Enterprises Attn: Alberto Mayo
P.O. Box 3065
Lake Jackson, TX 77566 Reference Number:08128623 JF
Analysis and Mothod
Summary of polarizing light microscopy (PLM / Stereomicroscopy bulk asbestos analysis) using the methods described in 40CFR Part 763
Appendix E to Subpart E (Interim and EPA 6001 R-931116 (Improved). The sample is first viewed with the aid of stereomicroscopy. Numerous
liquid slide preparations are created for analysis under the polarized microscope where identifications and quantifications are preformed.
Calibrated liquid refractive oils are used as liquid mouting medium. These oils are used rot identification (dispersion staining). A calibrated visual
estimation is reported, should any asbestifonn mineral be present. Other techniques such as acid washing are used in conjugation with refractive
oils for detection of smaller quantities of asbestos. All asbestos percentages are based on calibrated visual estimation traceable to NIST
standards for regulated of asbestos. Traceability to measurement and calibration is achieved by using known amounts and types of asbestos
from standards where analyst and laboratory accuracy are measured. As little as 0.001% asbestos can be detected In favorable samples, while
detection in unfavorable samples may approach the detection
limit of 0.50% (slightly above the laboratory definition of trace),
)Discussion
Vermiculite containing samples may have trace amounts of actinolile-tremolite. where not found be PLM should be analyzed using TEM
methods and / or water separation techniques. Suspected aclinolite/vermiculite presence will be indicated through the sample comment section
of this report.
Fibrous talc containing samples may even contain a related asbestos fiber known as anlhophyllite. Under certain conditions the same fiber may
actually contain both talc and anthophyllite (a phenomenon called intergrowth), Again. TEM detection methods are recommended. Again. CA Labs
PLM report comments will denote undetectable amounts of asbesliform anthophyllile, whore further analysis is recommended.
Some samples (floor tiles, surfacings, etc.) may contain fibers too small to be delectable by PLM analysis and should be analyzed by TEM bulk
protocols.
A "trace asbestos" will be reported if the analyst observes far less than 1% asbestos. CA Labs defines "trace asbestos" as a few fibers detected
by the analyst in several preparations and will as such under these circumstances,
Quantification of 41%will actually be reported as t=1 % (allowable variance close to 1% is high). Such results are ideal for point counting. and
the technique is mandatory for friable samples (NESHAP. Nov. last) and clarification letter 8 May 1991) under 1% percent asbestos and the
"trace asbestos". In order to make all initial PLM reports issued from CA Labs NESHAP compliant, all <1% asbestos results (except floor
tiles) will be point counted at no additional charge.
Qualifications
CA Labs is accredited by NVLAP for selected test methods for bulk asbestos fiber analysis (PLM) and airborne fiber analysis (TEM). All
analysts have a college degree in a natural science (geology, biology, or environmental science) or are recognized by a slate professional board in
one these disciplines .Extensive in-house training programs are used to augment education background of the analyst The group leader of
polarized light has received supplemental McCrone Research training for asbestos identification. This report is not covered by the scope of AIHA
accreditation. Analysis performed at Crisp Analytical Labs, LLC 2081 Hutton Or,. Suite 301 Carrollton, TX 76006
Dallas NVLAP Lab Code 200349-0 TEM/PLM EPA H2O TX 01402 TOH 30-0235 E C E I V E
AIHA Fungi Accreditation 102929 JAN 8 - 2009
FROM : ' FAX NO. : n. 07 2009 09:03PM P5
C . Crisp Analytical Laboratories, L.L.C.
A
/ 2081 Hutton Dr., Suite 301
Carrollton, TX 75006
PH: (972) 488-1414
I Fax: (972) 488-8006
CA Labs, L.L.C.
12232 Industriplex, Suite 32
Baton Rouge, LA 70809
PH: (225) 751-5632
Fax: (225) 751-5634
Polarized Light Asbestiform Materials Characterization
Customer Info: Attn: Alberto Mayo
Deal Enterprises
P.O. Box 3055
Lake Jackson, TX 77566
Phone # 979.848.1965
Fax # 979-848.1965
ayer Analysts Phys
.# Description of
Subsample
Customer Project: CA Labs Project #:
08128623JF
Harris County Health
08-84 Date: 12I22108 JF
Turnaround Time: 3 Day Samples Received: 12/18/08 1:30PM
#:
geneou visual estimato percent type / percent percent
s (Y/N)
HCH121508-
01 1 white compound y None Detected 100°10 mi,bi,ca
01 2 white drywall with paper n None Detected to% ce 90% qu.gy
HCH121508-
02 1 white compound y None Detoctod 100% ml,bl.ca
02 2 white drywall with paper n None Detected 10% ce 90% gtl,gy
HCH 121508-
03 1 white compound y None Detected 100% ml.bl ca
03 2 white drywall with paper n None Detected 10% ce 90% qu.gy
HCH121508- white surfaced while
04 1 compound n None Detected 100% mi,bi,ca
Annlysis Moted: Imndm (40CFR Pan 781 Appendix F to Subpen D)/ Improved (CPAb001 Molls)
Preparation MBNod: HCL add warning for catbonale based fell aorniol mourflon to, orgnnicnlly bound componoms, oil immersion for
Idomif4 tian of arbenoa lyper by dispmaion annining 1 Mcae line monad
Christopher Williams
Analyst
1. F,R Damage slgnifnanl floor damage• leponed pncalmgyrated uweared
liibere
2. Fite Damage na significant fiber damage: eBCcfng Fo,ev* peresmagw
3. Aebnallle in emaciation wish Vormieulilc
a. Layor nor ally®a • agectled to preVious passive layer and eonlannabor,
auapatmd
Approved Signatories:
QAC
Leslie Crisp, P.O
5 Net enough aempto to nmlyto
a Mvnophynho in ,,,ondon Viln Flowtu Tale
7 Canlamiwbon cvpoclod from other, bWlding
malonam
Technical I r
Chad y
ECEIVE
JAN 8 - 2009
FROM : ' IFAX ND. : in. 07 2009 09:03PM P6
Crisp Analytical Laboratories, L.L.C. CA Labs, L.L.C.
/A 2081 Hutton Dr„ Suite 301 12232 Industriplex, Suite 32
� >_Labs Carrollton, TX 75006 Baton Rouge, LA 70809
r I PH: (972) 488-1414 PH: (225) 751-5632
Fax; (972)488-8006 Fax: (225) 751-5634
Polarized Light Asbestiform Materials Characterization
Customer Into: Attn: Alberto Mayo Customer Project: CA Labs Project #:
Deal Enterprises 08128623 JF
P.O. Box 3065 Harris County Health
Lake Jackson, TX 77566 08.84 Date; 1212ZI08 JF
Turnaround Time: 3 Day Samples Received: 12/15/08 1:30PM
Phone # 979-848-1965
Fax# 979-848-1965 Purchase order#:
Sample # Com Layer Analysts Physical Homo- Asbestos type I calibrated Non -asbestos fiber Non -fibrous type I
ment # Description of geneou visual estimate percent type / percent percent
Subsample s (YIN)
white compound
04 2 (beneath tape) Y None Detected 100% mi,bi,ca
04 3 white drywall with paper n None Detected 100% ce 90% qu,gy
HCH121508-
white surfaced white
05
1
compound n
None Detected 10%ce
90%qu.gy
white compound
05
2
(beneath tape) y
None Detected
100ek mi,bi,ca
HCH121508-
white surfaced while
06
1
compound n
None Detected
100°%mi.bl,ca
white compound
06
2
(beneath tape) y
None Detected
100% mi,bLea
Analysis Method: Interim (dOCFR Pad 783 Appendix E to Subpsd E) I ImplOved (EPA400 / R-e311151
Preparation McBtod: HCL acid washing for carbonate based senno 6.elenrcalteducton for olaaniontly bound Wrponenls. oil Immersion(or
idomlOoation of asbestos types by dispersion analmni; I beeku line mellmd.
Approved Signatories:
FROM
FAX NO. :
-!an. 07 2009 09:04PM P7
Ll:buralurius. L.L..0 !'hone: 972.(80.1414
2(i8; Iluuon.S:!:Ie:i:;! F;ix:772-488.8006
7500-6 Mohae:214•564.8366
CA Labs
... ._ .
Chain o!' C;us(udv
Client Name: fjL '�,1J CtZ�2tS£S CA Labs]ob# CAL -
...
Client Address:y�[ Killing Address:
3��' __..
(if different)
Phone number:
Fax number:
Ismail:
# Samples
Total #
JAN 8 - 2009
P.U. #
Project Name:
Project Number:
Reports Results
VIA: EMAIL FAX VERBAL
to be Analyzed: Material Matrix:
C Air XrUA / Water —_
Asbestos: please call ahead for availability of all rush and/or aftor hours
GIrC1aWNytkwltl TAlmp
-- _
C1rC1e M)41ySUeMTA 11W
2hour
.1•Uw1: 1V Mold-r'iuu
LYULU APY.
AHERA
4 hour
tt!proved
4 hour
Allergen Particle:
24 hoar
EPA Level II
8 hoar
Interim
8 hour
tape/bulk/swab
2 days
Drinking Water
16 hour
16 hour
Cyclex-d cassettes
3 days
Wipe
24 hour
AI•IERA
24 hour
Air-o-cell cassettes
5.10 days
Micro -vac
2 days
I
2 days
Anderson cultures
Sperify
NIOSH 7402
3 days
Point Count -
3 days
Bulls/swab cultures
Mold or
Chatfield Bulk
5 days
(NESHArS)
5 days
Bacteria cultures
bacteria
Please indicate
appropriate turn around time.
(minimumtnrnaround -24 hrs for Lead TOLPalld water)
_,,q
Matrix: Paint Chips Soil Air Wipes 4Vastewater
TA Time; —8 hour I 1 day 2 days 3 days I 5 days 6-10 days
Camnln Inrnrmnlinn•
Sample Number:
Sample Location:
Sample Date/Tilne:
Sample Volume (L)
Custody Information:
Samples relinquished: 4 G' 17it5lf t Samples receiver':
— Signdtur4V Date / Tune
Samples relinq uished: Samples received:
Signa4rre / 1.)ate r Time
COMMERCIAL
PLAN REVIEW COVER SHEL I
ADDRE
OWNEF
PROSE(
HCAD#.
FLOOD ZONE: 'X
Y/N SUB /DATE RETURNED
ZONE?
SITE VI AGE)
ZO E
T _SITE_PLAN APP
rASBESTOS SURVEY RECEIVED—
`T S (ADA) PROOF OF SUBNVIIT-PL
FILL DIRT
NEEDED?
(Applicable.on Demo, Addn, or Remodel)
(Applicable to Comm. Or Ind.)
(If yes, permit cannot be issued.)
(If yes, permit cannot be issued.)
--(If yes, figure fees. If no, use w/s form to
explain why they are not.)
1`AXES UP TO DATE?: a k
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