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Home My WebLink About1018 S HWY. 146 JACK IN THE BOX_10-1390___________Final Inspection Check Sh-A 7- 2 ,' �'O Commercial Date: Project Contractor File Review Ws 1-9 men Field Review Ws 10-17 =f4ti1L *'as u' 0 (�%� U" A T ♦1 : F" i WWI 7n da r _ —19 l)/o C .O. Mecc.SSar — j VS�—/ ON Inspector Agnature f Date -Fj0V' dq C S:\CPShare\IIJSPECTION DIVISIOMInspections\Final Inspection Check SheetComlDec08.doc o� M!$ 7 Z7_.,o .9 47 1 t ywP . 9 S � (3\ . - - fir.-.:�f-Yt txlYr. te•Ylcr„iixleLe�.av�ticew, _ _ �wilYl��>1�gyMf��lL10f��160)OnbYllt�fMAi'Y�w1..vOe� tlttLR1l0.6[]F.1l�lmwMllSM�Y1Y yppt�.,iwa63A i-�a'.'�t�awrwwaa�rn�nw�s+sueaw•.xw;�rar:.ay�,�,�� .oev�vsp�w uwna�aa>raca wwwrm. YII�» �zf+n �cac..�aatanw.Ywa nwewv�r�s�wwew..cas.-eat mnaaar�easratwe��w.e� .n+�ocv a a�+so�,s �A,ssce moayscrs�atareamaYc.w�+�ear �s�o�+�T`°°�+�rcoeraeraae.+cwvsY...•um wrwaaY� \Y` L1 1 TEMPORARY 30 DAY CERTIFICATE OF OCCUPANCY DATE COMPLETED: SEPTEMBER 20, 2010 THE CITY OF LA PORTE This ertifiCate issued pursuant to the requirements of the International Building Code certifyI that at the time of issuance this structure was in compliance with the various ordinanc of the Jurisdiction regulating building construction or use. Project: 10-139 Proposed Use: \RES Occupancy Type: A-2 Property Owner: Address: City: State: Project Address Construction Type: V-B JAC THE BOX 4 3693 1111 N TH LOOP WEST STE 600 TX Zip:N 1018 S. HWY LA PORTE, T 77571 EXPIRATION DATE: ********POST IN A CONSPICUOUS 20, 2010 9/20/2010 Date Flood Zone: X 0 Lawrence, Vickie From: Wise, Sandra Sent: Monday, September 20, 2010 3:14 PM To: Jennings, Sherry; Lawrence, Vickie; Capstin, Krystle; Menager, Dwayne; Huber, Mark; Wilmore, Debbie Subject: 1018 S. Hwy 146 1018 S. Hwy 146 passed for FMO Final Bldg inspection on 9/20/10 Thank you, Sawdaa U06 9r w Ill Ua d'o Odiu 120 S. &d St za Puite. ?X 77571 47-P67-4603 64z 47-867-4629 16 �Qs City ®f La Porte �► Established 1892 TEXAS Name of PWS City of La Porte Customer Service Inspection Certificate PWS I.D. # 1010018 Location of Service Reason for Inspection: New construction.................................................................................... ❑ Existing service where contaminant hazards are expected......... ❑ Major renovation or expansion of distribution facilities ................ [� upon inspection of the private water distribution facilities connected to the aforementioned public water supply do hereby certify that to the best of my knowledge: (1.) No direct connection between the public drinking water supply and a potential source of Compliance Non -Compliance Contamination exists. Potential sources of contamination are Isolated from the public water 0 System by an air gap or an appropriate backflow prevention assembly in accordance with Commission regulations. (2.) No cross -connection between the public drinking water supply and a private water system Exists. Where an actual air gap is not maintained between the private water supply and a 0 Private water supply, an approved reduced pressure backflow prevention assembly is Properly Installed and a service agreement exists for annual inspection and testing bya / . certifled backflow prevention assembly tester. / Id" 0 (3.) No connection exists which would allow the return of water used for condensing, cooling Or Industrial processes back to the public water supply. / (4.) No pipe or pipe fitting which contains more than 8.0 % lead exists in private water JnQ/ G distribution facilities installed on or after July 1, 1988. (5.) No solder or flux which contains more than 0.2% lead exists In private water distribution facilities 0 Installed on or after July 1, 1988 I further certify the following materials were used in the installation of the private water distribution facilities: Service lines Lead 0 Copper 0 PVC ❑,/ Other 0 0 Solder Lead 0 . Lead Free 0 Solvent Weld -t7 Other I recognize that this document shall become a permanent record of the aforementioned Public Water System and that I am legally responsible for the validity of the Information I have provide. Title Plumbing inspector Registration Number 1 603 DateType of Registration Plumbing Inspection License FIRE MARSHAL INSPECTION TO: SANDY WISE DEPARTMENT: FIRE MARSHAL FAX: 281-867-4629 FROM: VICKIE LAWRENCE DEPARTMENT: INSPECTIONS BUSINESS NAME: JACK IN THE BOX ADDRESS: 1018 SO HWY 146 CONTACT: DAN PHONE NUMBER: 281-513-6371 CITY INSPECTION DATE: 9-20-2010 WHAT KIND OF INSP. FINAL • P. 01 I TRANSACTION REPORT SEP-20-2010 MON 12:14 PM I< DATE START RECEIVER TX TIME(L)PAGES TYPE NOTE M# DP x SEP-20 12:14 PM 92818674629 21"(1) 1 SEND OK 964 x Y � at � TOTAL 21S PAGES: 1 YYY�I;1;1;XX�YXXXYYXI;XX�lK1;XxXXzI;�YYXYXXI<YYXXXI<#I;XX�YXXr<YXX�YX<lKX�1;XX:KI;XXYYYYX�XXXX��XYYXXYXX:KXYx1;X�YXXXX F1RE MARSHAL INSPECTION TO: SANDY WISE. DEPARTMENT: FIRE. MARSHAL FAX: 281-8674629 FROM: VICKIE. LAWRENCE DEPARTMENT: INSPECTIONS BUSINESS NAME,: JACK 1N TIIE BOX ADDRESS: 1018 SO IIWY 146 CONTACT: DAN P.FIONE NUMBER: 281-513-6371 CITY INSPECTION DATE.: 9-20-2010 WHAT KIND OF INSP. FINAL 604 W Fairmont Pkwy • La Porte, Tx 77571 (281)470-5073 INSPECTION LIN•E: (281)470-5130 ****ZONING PERMIT**** - - - - - ------ Application.Number . . . . Property Address . . . . . HCAD Number: Alternate Search Method: Application type description Subdivision Name . . . . . Property Use . . . . . . . Property Zoning . . . . . . Property owner . . . . . . Owner address . . . . . . . Other struct info . . -------------------------- Permit . . . . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . Qty Unit Charge ---------------- 10-00001391 1018 S HWY 146 118-986-000-0005 Date 9/09/10 ZONING PERMIT KROGER-FAIRMONT PARKWAY CENTER COMM - GENERAL NET LEASE FUNDING 2005 LP 450 S ORANGE AVE ORLANDO FL 328013383 . . . SIC CODE (ZONING PERMITS) X -------------------------------------------------- ZONING PERMIT SIC 5812 JACK IN THE BOX 50.00 9/09/10 Valuation . . . . 0 3/08/11 Per BASE FEE --------------------------------------------- Special Notes and Comments September 9, 2010 9:54:57 AM lapovfl. 1. SIC 5812 RESTAURANT (JACK IN THE BOX). 2. ANY CHANGE OF TENANT, USE, OR OWNERSHIP REQUIRES A NEW ZONING PERMIT. 3. SITE PLAN #96-8216 --------------------------- ----------- Fee summary Charged ----------------- ---------- --- Permit Fee Total 50.00 Grand Total 50.00 k Extension 50.00 ------------------------------------- Paid Credited Due ------------------------- 50.00 .00 .00 50.00 .00 .00 ----------------- --------------------------- THIS PERMIT BECOMES INVALID WITH ANY CHANGE OF USE, OCCUPANCY,. TEN CY OR RSHIP OF THIS BUILDING OR LEASE SPACE. CV_ , OWNER OR AGENT _DATE ZONING ADMINISTRATOR DATE City of l-a' Porte ADDITIONS or CORRECTIONS DO NOT REMOVE C INSPECTION TYPE: THIS JOB HAS EEN COMPLETED The following additions or corrections shall be made F cu— before the iob will be acceoted It is unlawful for any Carpenter, Contractor, Builder, or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been made, call281-470-5130 For additional information call 281-470-5073. PRESS HARD - USE BALL POINT PEN COMMERCLAL W&S WORK ORDER# DATE Q - 9 —1 U NEW ADDTTION_Aemn ADDRESS LEGAL OWNER 4rF 1 lie CONTRACTOR DATE ADDRESS REQUEST ZONING CLASSIFICATION x -t-lte-\o 4-8-to WATER FRONT FT FEES SEWER FRONT FT FEES WATER TAP SEWER TAP PH# 3o5-a51-yala FLOOD ZONE BLDGPLANS SUBMITTED BLDG PLANS REVIEWED FEES PAID FLOOD ZONE PERMIT (regmred if AE or VE zone) PERMIT # t 2a YLg--� BUILDING PERMIT T . - 9 PLAN REVIEW FEE DRIVEWAY TIE IN FEE PARK LAND FEE - ZONE ELECTRICAL PERMIT TEMPORARY�POWERPOLE l PLUMBING PERMIT p 90 If N/A 50.00 305•00 a .s0 t MECHANICAL -PERMIT S..\CPShm Unspeetluns\R=MMAL INMP SEX91�asr 06.doc :a J:J.: ..ham ` ::J> >' •:id:S«Y".::E.` • :,.*Y,':'s.,�t^o.3•vny> ,�.►�[5'.":3,;.R<J'„n'.'. ai"� � « :....: � .:,.:. .. .. y.>�.$Ti ^.t��;` �'.x)`YpT�.,.., w` Y:�:; M"J �.� O. �. ,O�x'i�. rs ?i C`f? .'eyip`:v �xj�3} : �".,�.,. > .: �..w, �.•:.a:•".C'^''��:"r� .Mt'.�ii'?'^;i: �# ��'(eJS �{C�Q .' ��S �';�, � � RSA ��.,.✓c §if%b�ff:�'ns v6:8i<:.'c"�Cw�i`„:r''0":%=?o3R.::,n�.c$e"arf>•'i;:.5:$s: K'w")`>:bxw,.;mmaa:v...w�'W. �";.�, R...h. ,::. v:^::`.ita�..a�,J.:�>:):,J.�..;:».o..M.....R:;<,,,wa......:i:.`�.�`.�..:e>x:��.x..�J..>�i, ;?:xu�...x:1,�.>..:::8', FAXED: T POLE CONST ELEV CERT recv'd if in AEIVE zone FORM SURVEY If applicable) a ,aD - yam, - w�2 GROUND PLUMBING I PIERS i t. ), i SLAB/FOUNDATION WATER SERVICE LINE SEWER ELEC UNDERGROUND (if applicable) r3 COVER-UP LEAD TEST BRICK TIE DRIVEWAY SIDEWALKS FINAL DRAINAGEIGRADING { FINAL ELEV CERTIFICATE.RECEIVED: ELEVATION SHOWN FOR TOP OF FINISHED FLOOR I5:.. 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 V ✓ 9 -I Y _ I u y 4-n-1 f V .- - c.%rDQUAoainicoorTInAlcnl%/IRInN/INSPFQTlnM-S\RES-COML INSP SHEEToct05.)0_S City of La Porte 604 W Fairmont Pkwy La Porte, Tx 77571 (281)470-5073 INSPECTION LINE:(281) 470-5130 ****PLUMBING PERMIT**** ---------------------------------------------------------------------------- Application Number . . . . . 10-00001390 Date 9/10/10 Property Address . . . . . . 1018 S HWY 146 HCAD Number: 118-986-000-0005 Alternate Search Method: Application type description REMODEL, RETAIL STORE/CUSTOMER SERVICE Subdivision Name . . . . . . KROGER-FAIRMONT PARKWAY CENTER Property Use . . . . . . . . Property Zoning . . . . . . . COMM - GENERAL Owner Contractor ------------------------ ------------------------ NET LEASE FUNDING 2005 LP TREK II CONSTRUCTION CORP 450 S ORANGE AVE 12207 SW 133 COURT ORLANDO FL 328013383 MIAMI FL 33186 (305) 251-4212 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . PULL FIXTURES AND RESET Permit Fee . . . . 37.50 Issue Date . . . . 9/10/10 Valuation . . . . 0 Expiration Date . . 3/09/11 Qty Unit Charge Per Extension BASE FEE 15.00 6.00 3.7500 EA PL - FIXTURES/DRAINS/TRAPS 22.50 ---------------------------------------------------------------------------- Special Notes and Comments September 9, 2010 9:50:38 AM lapovfl. 1. CALL FOR INSPECTIONS. 2. CONSTRUCT AS PER APPROVED DRAWINGS AND SCOPE OF WORK. 3. CHECK WITH CITY INSPECTOR FOR POSSIBLE PERMIT REQUIREMENT FOR ANY ADDITIONAL WORK NOT INCLUDED IN ORIGINAL SCOPE OF WORK. 4. ELECTRICAL PERMIT REQUIRED. 5. PRIOR TO FINAL INSPECTION REQUEST, PROVIDE INSPECTOR WITH FINAL ENERGY CODE COMPLIANCE CERTIFICATE FROM APPROVED THIRD PARTY PROVIDER. 6. IF NOT ALREADY EXISTING, ADDRESS OF RESTAURANT MUST BE POSTED AND VISIBLE FROM STREET. 7. COMPLY WITH FIRE MARSHAL PLAN REVIEW COMMENTS ATTACHED. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 37.50 37.50 .00 .00 Grand Total 37.50 37.50 .00 .00 0 0 PERMIT APPLICATION City of La Porte 281-470-5073 Mechanical *Electrical *(See back of for Owner's Name: LJ L�� I h f3,m Phone: Established 1892 *Plumbing L� w Street City Zap Contractor. - c� Phone: c �o Address: Co a� street city zip Contactor Email addressDw,JSoL I eo6: rj u- c 5 d -1 g 3 a— contact person Jbkal_ Sq. Footage: # Stories Dcscribeworlcpid F)kfvres Occupancy Type Flood zone class work Sq. Ft Construction Type Use Zone . # Stories Par mg Req Last use of Builder Dafr use omsed: Commercial Buildings Plans Only -Fire Marshal Approval DLt, Checked/Approved for Issuance By,. Date— M Special Taxes HCJ'D Residoatial.driveway tie=in fee:. Paiidand(New Res. Only): ): Zone # Fee: Pecmit Fee J7 a50 . Plan Check Fee: p a• :� • • • • � sl• 1 PERMIT ISSUE FEE $7S0 $7.50 Outlets, Fixhaes, Lights & Switches (1 ` 5 — Flat fee) $ 3.00 Above Items (All Others) $ 0.60 each Clothes Washer/ Dryer $ 2.00 each Range Receptacle $ 3.00 each Cook Top or Oven $ 1.50 each A/C, Window Unit Receptacle $ 3.00 each Water Heater $ 3.75 each Dishwasher/Garbage Disposal $ 1 SO each Meter Loop & Service (includes Temporay cut -in) $15.00 each Temporary Saw Pole (T Pole) $15.00 each Reconnection of Service $15.00 each Remspection Fee $35.00 each Up to bid not including Y2 hp 1/ hp and less than 10 hp 10hp&upw50hp 50 hp and up $ 1.50 each $ 250 each $ 3S0•each $-4.50 each Total Fee COMTL= TEOIS SECTION FOR PLUMBING PERAM NOTE:11 11 • ON PERMIT(S) IS S201 i Descriplion Charges Quantity Fees PERMIT ISSUE FEE $15.00 S15.00 FhftuW/Drains/Traps $ 3.75 each Sewer (New, Reps orRepLwement) $ 7.50 each Septic Tank/Seepage Pit/Drain Field $15.00 each Water Heater $ 3.75 each Gas Piping System (1-4 outlets, f ca fee) $ 750 Gas Piping System (over 4 ou det -each) $ 1.50 each Installation, Alteration or Repair of water Piping and/or Water Treating Equipment $ 7.50 each Repair/Alteaation—Drain or Vent $ 7.50 each Each Vacu m . BreakwSacUow Protection Each One (7-5) $ 3.75 each Each One (Over 5) S 225 each Total S'6h'Pt=n&wck04drSP13LT101•SDIV00Ra pab039%14gP=D9AWLdw City of La Porte 604 W Fairmont Pkwy La Porte, Tx 77571 (281)470-5073 INSPECTION LINE:(281) 470-5130 ****ELECTRICAL PERMIT**** ---------------------------------------------------------------------------- Application Number . . . . . 10-00001390 Date 9/09/10 Property Address . . . . . . 1018 S HWY 146 HCAD Number: 118-986-000-0005 Alternate Search Method: Application type description REMODEL, RETAIL STORE/CUSTOMER SERVICE Subdivision Name . . . . . . KROGER-FAIRMONT PARKWAY CENTER Property Use . . . . . . . . Property Zoning . . . . . . . COMM - GENERAL Owner Contractor ------------------------ ------------------------ NET LEASE FUNDING 2005 LP TREK II CONSTRUCTION CORP 450 S ORANGE AVE 12207 SW 133 COURT ORLANDO FL 328013383 MIAMI FL 33186 (305) 251-4212 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . ELEC FOR REMODEL Permit Fee . . . . 25.50 Issue Date . . . . 9/09/10 Valuation . . . . 0 Expiration Date . . 3/08/11 Qty Unit Charge Per Extension BASE FEE 7.50 1.00 3.0000 EA EL - OUTLETS,SWITCHES (1ST 5) 3.00 25.00 .6000 EA EL - OUTLETS, SWITCHES (OTHER) 15.00 ---------------------------------------------------------------------------- Special Notes and Comments September 9, 2010 9:50:38 AM lapovfl. 1. CALL FOR INSPECTIONS. 2. CONSTRUCT AS PER APPROVED DRAWINGS AND SCOPE OF WORK. 3. CHECK WITH CITY INSPECTOR FOR POSSIBLE PERMIT REQUIREMENT FOR ANY ADDITIONAL WORK NOT INCLUDED IN ORIGINAL SCOPE OF WORK. 4. ELECTRICAL PERMIT REQUIRED. 5. PRIOR TO FINAL INSPECTION REQUEST, PROVIDE INSPECTOR WITH FINAL ENERGY CODE COMPLIANCE CERTIFICATE FROM APPROVED THIRD PARTY PROVIDER. 6. IF NOT ALREADY EXISTING, ADDRESS OF RESTAURANT MUST BE POSTED AND VISIBLE FROM STREET. 7. COMPLY WITH FIRE MARSHAL PLAN REVIEW COMMENTS ATTACHED. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited --------------------------------------------------------- Due City of La Porte 604 W Fairmont Pkwy • La Porte, Tx 77571 (281)470-5073 INSPECTION LINE:(281) 470-5130 ****ELECTRICAL PERMIT**** Page 2 Application Number . . . . . 10-00001390 Date 9/09/10 Permit Fee Total 25.50 25.50 .00 .00 Grand Total 25.50 25.50 .00 .00 ------------------ - UYL Q-------------------------------fir! la Signatufre of Contractor or Authoriz Agent Date ?-9-'( Approved by Building Official or Authorized Agent Date CITY OF LP RTE, TX WCEIPT • *** CUSTOMER *** Batch ID: LAPOKAG 9/09/10 70 Receipt no: 142271 Type SvcCd Description Amount 2010 1390 BP PERMITS Qty 1.00 $25.50 1018 S HWY 146 Trans number: 2124380 VM VISA/MASTER CONV FEES Qty 1.00 $3.00 DAVID HARDIN Trans number: 2124381 SERVICES & CHARGES 00161465155006 POOLED CASH / POOLE 00100001010100 Tender detail VM Ref#: 57105001 $28.50 Total tendered: $28.50 Total payment: $28.50 Trans date: 9/09/10 Time: 15:47:59 THANK YOU FOR YOUR PROMPT PAYMENT Sep 09 10 10:55a B D Electric �8�z -0:" S-6 281-25M886 p.2 _ PERMIT APPLICATION City of La Porte Established 1892 281-470-5073 ;2 Building Mechanical 'Electrical *Plumbing n '(See back of form) Project Address: 10 IIRVY � (.t/ , 7 7S of Subdivision: Block: Owner's Name: —Ta.tt ur *,E 62:1G Pbone: Street City Zap Street City Zip Contractor Email address: "Lob-' Fax: Contact Parson: Di V& f �P�� Valuation: Sq. Footage: # Stories Describe Work: R941eozw Occupancy Type Flood Zone Class Work Sq. Ft. Construction Type Use Zone # Stories Parking Req Last use of Building Date use used: Commercial Buildings Plans Only -Fire Marshal Approval Date CheckedJApproved for Issuance By: Date CE Special Conditions: Taxes HCAD . Residential driveway tie-in fee:_ Parkland(New Res. QaW: Zone Permit Permit Fee Check Fee: Sep 09 10 10:55a B D Electric 281-259-6886 COMPLETE THIS SECTION FOR ELECTRICAL PERMITS:: NOTE: MINIMUM CHARGE ON PERNUT(S) IS $20.00 Description Charges Quantity Fees PERMIT ISSUE FEE $7.50 $7.50 Cutlets, Fixtures, Lights & Switches (10 5-Flat fee) $ 3.00 Above Items (All Others) $ 0.60 each 1 S Clothes Washer/ Dryer S 2.00 each Range Receptacle S 3.00 each Cook Top or Oven S 1.50 each AiC, Window Unit Receptacle S 3.00 each Water Heater S 3.75 each Dishwasher/Garbage Disposal S 1.50 each Meta Loop & Service (hxl4sTempormycut-in) $15.00 each Temporary Saw Pole (T Pole) $15.00 each Reconnection of Service S 15.00 each Reinspection Fee $35.00 each MOTORS: Up to but not including %, hp $ 1.50 each %: hp and less than 10 hp S 150 each 10 hp & up to 50 hp $ 3.50 each 50 hp and up $ 4.50 each Total Fee d S o'D COMPLETE THIS SECTION FOR PLUMBING PERMITS NOTE: MINIlKUM CHARGE ON PERMITS) IS S20.00 Description Charges Quantity Fees PERMIT ISSUE FEE $15.00 Fixhaes/Drainsrrmps $ 3.75 each Sewer (New, Repair, or Replacement) $ 7.50 each Septic Tank/Seepage Pit/Drain Field $15.00 each Water Heater $ 3.75 each Gas Piping System (1-4 outlets, flat fee) $ 7.50 Gas Piping System (over 4 outlets -each) $ 1.50 each Installation, Alteration or Repair of Water Piping and/or Water Treating Equipment $ 7.50 each Repair/Alteration- Drain or Vent $ 7.50 each Each Vacuum Breaker/Backflow Protection Each One (1-5) $ 3.75 each Each One (Over 5) $ 2.25 each Reinspection Fee S35.00 each Total S:sCm Pbming Shvag0.M4PECnOfS DnV1smrrvWp0d0aca1dg PcmL;c AppLd 15.00 p.3 Lawrence, Vickie From: City of La Porte WebStore [mis@laportetx.gov] Sent: Thursday, September 09, 2010 3:05 PM To: Permits Subject: City of La Porte WebOrder; Placed 9/9/2010 3:03:43 PM City of La Porte WebOrder, Process Immediately! ORDER ID: 57105001 Submitted On: 9/9/2010 3:03:43 PM This customer order may include other items that are not designated to be reported to you, in which case the order Summary Sub -Total will be larger than the total of the prices shown below. Items Qty SKU Item Cost Price ------------------------------------------------------------------------------ 1 BP-PermitFee Permit Fee $25.50 $25.50 Permit Type: Electrical For: Hardin, David 30340 Dobbin Huffsmith Magnolia, Tx 77354 281-356-2925 bdelectricinc(dvahoo.com Comment: 1018 Highway 146 South, LaPorte, Tx 77571 permit # 10- 1391 ------------------------------------------------------------------------------ Sub-Total: $25.50 Convenience Fee: $3.00 Order Total: $28.50 view this order directly: https://secure.revtrak.net/laporte/chkord.asp?OrderID=57105001 1 City of La Porte •604 W Fairmont Pkwy • La Porte, Tx 77571 (281)470-5073 INSPECTION LINE:(281) 470-5130 ****BUILDING PERMIT**** ----------------------------------------------------------------------- Application Number . . . . . 10-00001390 Date 9/09/10 Property Address . . . . . . 1018 S HWY 146 HCAD Number: 118-986-000-0005 Application type description REMODEL, RETAIL STORE/CUSTOMER SERVICE Subdivision Name . . . . . . KROGER-FAIRMONT PARKWAY CENTER Property Use . . . . . . . . Property Zoning . . . . . . . COMM - GENERAL Application valuation . . . . 38947 Owner Contractor ------------------------ ------------------------ NET LEASE FUNDING 2005 LP TREK II CONSTRUCTION CORP 450 S ORANGE AVE 12207 SW 133 COURT ORLANDO FL 328013383 MIAMI FL 33186 (305) 251-4212 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . WOOD'FRAME (TYPE V) Occupancy Type . . . . . . ASSEMBLY Other struct info . . . . . FLOOD ZONE X ---------------------------------------------------------------------------- Permit . . . . . BLDG PERMIT -COMMERCIAL REMODEL Additional desc . . DINING & RESTROOM REMODEL Permit Fee . . . . 305.00 Plan Check Fee 152.50 Issue Date . . . . 9/09/10 Valuation . . . . 38947 Expiration Date . . 3/08/11 Qty Unit Charge Per Extension BASE FEE 20.00 38.00 7.5000 THOU BLDG - 1,001 - 50,000 285.00 Special Notes and Comments September 9, 2010 9:50:38 AM lapovfl. 1. CALL FOR INSPECTIONS. 2. CONSTRUCT AS PER APPROVED DRAWINGS AND SCOPE OF WORK. 3. CHECK WITH CITY INSPECTOR FOR POSSIBLE PERMIT REQUIREMENT FOR ANY ADDITIONAL WORK NOT INCLUDED IN ORIGINAL SCOPE OF WORK. 4. ELECTRICAL PERMIT REQUIRED. 5. PRIOR TO FINAL INSPECTION REQUEST, PROVIDE INSPECTOR WITH FINAL ENERGY CODE COMPLIANCE CERTIFICATE FROM APPROVED THIRD PARTY PROVIDER. 6. IF NOT ALREADY EXISTING, ADDRESS OF RESTAURANT MUST BE POSTED AND VISIBLE FROM STREET. 7. COMPLY WITH FIRE MARSHAL PLAN REVIEW COMMENTS ATTACHED. City of La Porte •604 W Fairmont Pkwy • La Porte, Tx 77571 (281)470-5073 INSPECTION LINE:(281) 470-5130 ****BUILDING PERMIT**** ---------------------------------------------------------------------------- Page 2 Application Number . . . . . 10-00001390 Date 9/09/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 305.00 305.00 .00 .00 Plan Check Total 152.50 152.50 .00 .00 Grand Total 457.50 457.50 .00 .00 ------------- (SIGNATURE VF CONTRACTOR OR AUTHORIZED AGENT) DATE O/y� (APPROVED BY BUILDING OFFICIAL OR AUT ORILED ,GENT) DATE PERMIT APPLICATION pf w �ity of La Porte" Established 1892 a 281-470-5073 /ylh� 7-a l -lo Building�� Mechanical *Electrical *Plumbing _ji. /n / S7 d:; IA. . , 1 C( % *(See back of form) Pjoject Owner's Street City Zip Street Contractor Email City Building Use: 4010� _ /00�� Valuation:-9.�Y / aip RpN GOOD PersoiC Sq. Footage: 49y�# Stories Describe For City Use Only Occupancy Type f — Z Flood Zone_ Class Work�i_ � f Sq. Ft. 02 .2 Construction Type M7 " 4 Use Zone (31 L # Stories I Parking Req_e CNtr3 SPr/wk/e� �{ Last use of Building Date use ceased: Commercial Buildings Plans Qnly-Fire Marshal Approval / r � t MU Date / Checked/Approved for Issuance By:�/%n"W A/{1�.Y�—.� Date 11� SneciaLConditionsp CF.C"aQll 'k, ` 3 V .v ow+- .S Q Taxes HCAD I - - Residential driveway tie-in fee: Parkland(New Res. Only): Zone # .t7 Fee: 6VII Permit No. i b - l %9 Permit Fee �i Plan Check Fee:_ / Z Q _r* Nof Ajreadyy ex�s+�N�� AMM5s of f-es}0.vC0 ri- P°^� must be eOS8e APA vtvts�61e (�1/ro�� ,. mNI MerJ�..Q, f-r, J1RN.�ru- C,F�wa..Ae-_t � I Huber, Mark From: Lane, Janet (PHES) Ulane@hcphes.org] Sent: Wednesday, September 08, 2010 1:02 PM To: Huber, Mark Cc: jaime.marrs@jacobs.com; Lynch, Terri (PHES); Strickland, Dee (PHES) Subject: Jack -in -the -Box #3693 Mr. Huber, In reference to your concerns regarding Jack -in -the -Box # 3693, 1018 Highway 146 South, LaPorte, I have been informed by Ms; Jaime Marrs, Jacobs Architectural Group, that a restroom will remain open and meet all regulatory retail food requirements during the establishment's remodeling/refinishing. Since the establishment will remain open for drive - through business, Harris County will continue to conduct food inspections according to the routine frequency schedule and will confirm that the facility and operations are in compliance with the Texas Food Establishment Rules. Ifyou have any questions or concerns regarding this matter, please feel free to contact me. Sincerely, Janet Lane, R.S., M.P.H. EPH Surveillance Administrator Environmental Public Health Division Harris County Public Health & Environmental Services (713 ) 439-6267 (713) 439-6316 (fax) jlane(c�hcphes.org www.hcphes.ore 1 0 P Huber, Mark From: Huber, Mark Sent: Tuesday, September 07, 2010 1:32 PM To: 'Marrs, Jaime' Cc: Huber, Mark; Menager, Dwayne Subject: RE: Jack In The Box #3693 r ne R.S. @ the Harris County Health Dept. I spoke with her this morning. You ach her by phone @ 713-439-6267. I will need something in writing from HC Health Dept. that approves the sed plan. Ms. Lane is aware that I will need something in writing from her office before permit release. Regards, Mark W. Huber Deputy Building Official City of La Porte Office: (281) 470-5067 Fax: (281) 470-5005 hubermhuberm@laportetxgov From: Marrs, Jaime [mailto:Jaime.Marrs@jacobs.com) Sent: Tuesday, September 07, 2010 1:04 PM To: Huber, Mark Subject: RE: Jack In The Box #3693 Mark, As a follow up to our earlier conversation, I spoke with the Jack In The Box construction manager and he stated that they will be keeping one of the restrooms operable at all times for employees. Also, in regards to the Health department, Harris County is aware of this as Jack In The Box is currently doing other remodels within their jurisdiction. Do you simply need a letter stating that or will this email suffice. Please let me know so I can get you the remaining documents you need in order to issue the permit as they would like to start construction on Thursday. Thanks again for all your help. Thanksl Jaime From: Marrs, Jaime Sent: Tuesday, September 07, 2010 9:12 AM To: 'Huber, Mark' Subject: Jack In The Box #3693 Mark, W M 64- �. Z� 1? r 7 Attached is the Harris County Health a pproval. I wi!l forward you the information temporary restrooms once I have spoken with the construction manager. Thanks! Jaime Marrs I :IADOBS 5985 Rogerdale Road I Houston, TX 77072 281.776.2551 Direct 281.776.2501 Fax iaime.mansnn iacobs.com NOTICE - This communication may contain confidential and privileged information that is for the sole use of the intended recipient. Any viewing, copying or distribution of, or reliance on this message by unintended recipients is strictly prohibited. If you have received this message in error, please notify us immediately by replying to the message and deleting it from your computer. e1 s Hcrminia Palacio, M.D., M.P.H. Mccutive Director 2223 West Loop South Houston. Texas 77027 Date: Proposed Business Name: Proposed Business Site: 1 Name (Owner/Responsible P Mailing Address: City: Harris County Igemil CIPHES Public Health R Environmental Services ENVIRONMENTAL PUBLIC HEALTH DIVISION PLAN REVIEW INFORMATION FORM Michael Schaffer. MBA Division Director Environmental Public Health Division 2223 Wart Loop South Houston, Texas 77027 Tele: (713) 439-6270 FAX: (713) 439-6316 Est. # Zip Code: Telephone: Z/A / lowvJiiiv State: /ir Zip Code: Please allow at least 3-5 business days to schedule a preopening Inspection (FOR OFFICE USE ONLY) District: Inc. City: —� �— Est. Type: `Key Map: I iell/Public Fee Paid: Meth V : t � Receipt No: / 1 Il L The following plans have been provided: y'3 S is ❑ Scaled Drawings Floor plan ❑ Site ❑ Room Finish Schedule ❑ Water ❑ Wastewater ,r (TO BE COMIPLETED BY A PRE -OPENING INVESTIGATOR) Status ❑ Plans Approved ❑ Plans returned for corrections ❑ Plans resubmitted The following information is needed: ,2"'Preopening check list ter utility letter ❑ Building Permit ❑ Fire Marshall Inspection Comments: Date 2k J Ins . N tuber r Remodeling permit ( f5'jypr/l. L, ❑ Septic letter ❑ Well approval ❑ Call for inspection (Please allow at least 3-5 business days to schedule a preopening Inspection) I EPH Houston Office: 2223 West Loop South, Houston, Texas 77027 Phone: 713439.6270 FAX:713-6316 www.hcphes.org 3-0e EAG While Copy — Files; Yetlow copy — OwnenEstablishmenl Representative; Pink Copy — Administrative Office TACK-Y�- tke - goK CONIMRCIAL PLA14 REVIEW COVER SHF:.�.. FZe rJd ti� (WTERNAL USE) ADDRESS: /8 s • 6 OWNER'S NAME: SftCr- Ae- 130x PROJECT TYPE: „ If. AzT o le NEW: ADDN: HCAD#: 86 — cx=, C> —tea' HTE LOC#: FLOOD ZONE: X C— Y/N SUB /DATE RETURNED i; ASBB9iP96,8URVEY RFCF.VviEH(Applicable on Demo, Addn, or Remodel) TAS-04ORVPPROOF OF SUBhO@wAil. G.S (Applicable to Comm. Or Ind.) F 101 (If yes, permit cannot be issued.) FZ16 OQ 093tFSfl (If yes, permit cannot be issued) -.F-ILL DIRT APPLIPERMI T jvnm� 'r r ,E ARING PERMIT NEEDED? 4$991)PFRMrr1*EEDFD?• —� o*4" WES APPIACk4$LE?: (If yes, figure fees. If no, use w1s form to explain why they are not) O 1L % n ITEMS NEEDED FOR ISSUANCE OF PERMIT: a� vL 7/2 file /u.c,e(. OWNER OR CONTRACTOR NOTIFICATION DATE TIME NAME OF PERSON CONTACTED A I//o y ;1011 J-i';� I7AN%,A-- _ Vi/l 2VI — 776-Z ss/ 712(-110 @ Y Z It^ �f 9►r~~ - a.,,.VLCam- S. 3 8 S:mCPSLme ptCn IVISIo ans`COMLPKNREVIEWCOVERSHEETAo /Ra.MAR08 '# H Inspections Division Building Permit Checklist Page 2 - 9,�2 7/ (City Ord 106-142) Yes Yes or or No No • Asbestos Survey (if applicable) " Energy Code Analysis (if applicable) rod (State Law) (State Law) Yes Yes or or No No _ y�,46w(ADA) Proof of Submittal, (State Law) Yes or No _ r, �, ne _lution applicable ..�„ (CLP Resolution) Yes or No 0 Resolution applicablwt (CLP Resolution) Yes or No O'CfffiC�tionTQ(CDRT`C(Citq�rdI444 41 Yes or No �&�1,. &%4WRuest Nee�dl@190 ••�41) Yes or No &..Culvert Request Neede+t@N } ' 41) s No & .,llarris County Drivsw y0Q"iver-� or No ,,peat received? �+Ye unty Health Dept. (RestauraW4 ap9mved "Plans Review Information-R-e received from Harris County?Y r No .. 9jt��eamit (if applicable) (ClA) s or No r Permit (if applicable) - Yes or No i,Flood Plain Development Permit apoibuilding is in "AE" or WE" flood zest (City Ord 194-63) Yes or No anniUaw & Sewer Fees -Applicable (Ord 759-F) Yes or No &=Completed PetttiaffM# M - Existing Water��+ (Ord 759-F) Yes or No %.Sample Well Proposed*`✓ (City Ord 74-121(c) Yes or No ..Current Certificate"04HYM " (City Ord 82-35) Yes or No „� •. Construction Drawi& '^*1' � ' Seal (if applicable) (State Law) Yes or No ••- Foundation Plans (State Law) Yes or No :t..uaeturalFraming23al. (State Law) Yes or No ❖�Ietetinr Elevation Flnsm%. (State Law) Yes or No (State Law) Yes or No ., In (State Law) Yes or No ;. (State Law) Yes or No 4. (State Law) Yes or No (State Law) Yes or No SACPShmeUNSPEMON DIVISIOI\InspeetionslBldg P Checklist ComlMWO&doc LA FORTE FIRE MARSHAL'S 'OFFICE "FLAN REVIEW" Date 07/25/2010 Business Name Jack in the Box Address 1018 South 146 T pe of Review Remodel Contractor=glif nstruction Reviewed bin , Fire Marshal A roval The Applicant shall be osibl ensure the design specifications and plans an complete and in compliance with the requirements set forth in the 2003Interoa I Fire Code (rFC) as well as the applicable referenced Standards listed in Chapter 45 of the 2003 IFC. This plan review is not intended to be fully inclusive as other requirements may be imposed as warranted by the Fire Marshal or as deemed necessary during on -site inspections by the Fire Marshal's Once. The following items are identified by the Fire Marshal's Office during the plan review: 1) All Exit doors shall have Fire/Panic hardware installed prior to final inspection. 2) Ensure all exit doors and egress path have proper Exit/Emergency lights per the 2003 International Fire Code. Exit/Emergency lights shall be installed prior to the Fire Marshal's final inspection. CITY Cop' AALP 40, 120 South 2"d Street, La Porte, TX 77571 Office: 281-867-4603 Fax:281-867-4629 TRANSACTION REPORT • P 01 JUL-27-2010 TUE 04:52 PM DATE START RECEIVER TX TIME M PAGES TYPE NOTE M# DP t JUL-27 04:51 PM 92817762501 V 27"(1) 2 SEND OK 733 TOTAL 1M 27S PAGES: 2 x � �x��xzYx�xxxXYY�YYxxxx�x�lK�:t��YXY�CIKM�YX�X��zXxXY�xXXXYxffiXXYxYXXx�Y��X#�KX�XZY�XXxxxXYXX��XXX�IK�� INSPECTION SERVICES DIVISION 604 WEST FAIRMONT PARKWAY, LA PORTE, TX 77571 PRONE: (281) 470-5073 FAX (281) 470-5005 FAX COVERSHEET 0 TO: INSPECTION SERVICES DIVISION 604 WEST FAIRMONT PARKWAY, LA PORTE, TX 77571 PHONE: (281) 470-5073 FAX (281) 470-5005 FAX COVERSHEET ck COMPANY: p I-P^rcz 6s FAX: O I 1 1 In .2SC) I PAGES. (W/COVER):_ DATE: /ca 7 //o TIME: y. SOoei►'` REMARKS/COMMENTS 1 you do not receive all the pages, please contact us as soon as possible at 281-470-5073 sACPSka \jYsrEC-nON DrMIONUu3 cdowWAX COVER SHEET REVS-05.doc ... .. .... ..... . C1 Huber, Mark From: Marrs, Jaime [Jaime. Marrs@jacobs.com] Sent: Monday, July 26, 2010 9:00 AM To: Huber, Mark Subject: Jack In The Box #3963 Attachments: JIB 3693_Zoning PermitApp.PDF; CERTIFICATE.pdf Mark, Attached are the zoning permit application and contractor's certificate of insurance as you requested for the above referenced Jack In The Box. Plans will be taken to Harris County Health for review this morning. Thanks! Jaime Marrs I JAOOSS 5985 Rogerdale Road I Houston, TX 77072 281.776.2551 Direct 281.776.2501 Fax iaime.marrsrr�i iacobs.com '14 gk*A-�f C 3:a�L0� NOTICE - This communication may contain confidential and privileged information that is for the sole use of the intended recipient. Any viewing, copying or distribution of, or reliance on this message by unintended recipients is strictly prohibited. If you have received this message in error, please notify us immediately by replying to the message and deleting it from your computer. 0 IJACOBS 5985 Rogerdale Road Houston, Texas 77072 U.S.A. 281.776.2551 Fax 281.776.2501 Date Attention July 19 2010 Building Permits Firm or City of La Porte Agency 604 W. Fairmont Pkwy. La Porte, TX 77571 Ph: 281.470.5020 Transmittal From Jaime Marrs Project Jack In The Box Reimage #3693 No. 1018 Hwy 146 S LaPorte, TX C3X44203 3993-90 Copies to THE FOLLOWING IS TRANSMITTED ® Herewith ❑ Under Separate Cover COPIES DATE DESCRIPTION 2 07.19.10 JIB 3693 — Permit Drawings 2 07.19.10 JIB 3693 — Asbestos Report 1 07.19.10 JIB 3693 — Permit Application 2 07.19.10 JIB 3693 — Energy Comcheck Remarks: Please find attached documents for the above reference Jack In The Box location for review/permit. This is an existing Jack In The Box location to receive interior finish updates. There is no site/civil, exterior building, structural, signage, HVAC or plumbing involved in the scope. Construction costs are under $50,000 so TDLR registration is not required. Please review and comment as necessary. Please contact me upon issuance of permit or acknowledgment that permit is not needed. Feel free to contact me should you need additional information. Thanks! Jaime Marrs 281.776.2551 Jaime.marrs@4acobs.com Enclosures/Attachments Action Requested Letter Sam le Resubmit ForYourApproyal Contract Documents Clarification Drawin s Request for information Reply ASAP Sketch ® Print LJ Information Only For Your Signature Modification Drawin s ❑ Shop Drawings Your Information and File Z Other Permit Report Other Please Comment 1 JUL 2 0 2LIi7 E]Environmental Solutions, Inc. July 9, 2010 Mr. Gene Lacouture Jack In The Box Inc. 1111 N. Loop West, Suite 580 Houston, Texas 77008-1778 Sent via e-mail: gene.lacouture@jackinthebox.com Copy to: Mr. Paul Deneka, JIB (paul.deneka@jackinthebox.com) Re: Asbestos Survey JIB #3693 1018 Highway 146 South, La Porte, Texas ESI Project No. JI810.33 Dear Mr. Lacouture: Environmental Solutions, Inc. (ESI) is pleased to present the results of the asbestos survey of JIB #3693 located at 1018 Highway 146 South in La Porte, Texas. The purpose of this survey was to identify suspect Asbestos -Containing Materials (AGMs), and report locations, conditions and quantity estimates of confirmed ACMs. Observations The building located at 1018 Highway 146 South consists of a single -story restaurant building, encompassing approximately 2,400 square feet. This building is constructed of structural steel and wood frame on a concrete slab -on -grade, with a plaster exterior, and a rubber membrane roof and a composition shingle overhang. The interior is built utilizing sheetrock, suspended ceiling panels; with ceramic flooring. ESI understands that areas of the interior are scheduled for renovation. Sampling The asbestos survey included the collection of 19 bulk samples of suspect ACMs. Mr. Christopher Cox (Texas Department of State Health Services license # 600005) performed the field survey and collection of bulk samples of suspect ACMs on June 29, 2010. I, JUL 2 0 2013 d 13201 Northwest Freeway, Suite 503, Houston, Texas 77040 Phone: 713-934-9944 Fax: 713-934-9942 www.esi-texas.com E]Environmental • Solutions, Inc. Mr. Gene Lacouture, Jack In The Box Inc. JIB #3693, 1018 Highway 146 South, La Porte, Texas Suspect materials: Suspect materials, which are alike in appearance and application, were sampled as a homogeneous area. Suspect materials sampled and analyzed were considered homogeneous when they exhibited similar physical characteristics, and the time of application can be correlated to various areas of -suspect material. Representative sampling of the suspect materials were based on the distribution of each homogeneous area. Friable/Non-Friable Materials: A Friable Asbestos -Containing Material (ACM) is a material that when dry, may be crumbled, pulverized, or reduced to powder by hand pressure, and includes non -friable material after such material becomes damaged to the extent that when dry it may be crumbled, pulverized, or reduced to powder by hand pressure (40 CFR 763.83). Analytical Procedures Bulk samples were analyzed by Environmental Analytical Services, LLC (EAS) in Houston, Texas, utilizing the Environmental Protection Agency's Polarized Light Microscopy (PLM) Method for the Detection of Asbestos in Bulk Insulation Samples, (EPA 6001R-931116), and the McCrone Research Institute's The Asbestos Particle Atlas as method references. EAS is accredited by the National Voluntary Laboratory Accreditation Program (NVLAP), participates in the NVLAP and AIHA Bulk Asbestos Sample Quality Assurance Programs, and is licensed to analyze bulk asbestos samples collected in the State of Texas (TDSHS #30-0373). Analytical results: Of the materials collected and analyzed from JIB #3693 located at 1018 Highway 146 South in La Porte, Texas, none were found to contain asbestos (greater than 1%). The following table describes materials sampled, location(s), analytical results, friability, condition and quantity estimates of materials sampled. Sample Friability I Estimated Number Sample Description I Location Laboratory Results Condition Quantity 01, 02, 2'x2' Ceiling tile, white with bumpy Friable/ 924 03 surface and pin holes None Detected Good sq. ft. Dining and restroom foyer 04, 05, Sheetrock, joint compound and wall Non -Friable/ 790 O6 texture None Detected Good sq. ft. Dining and restroom areas 2'x4' Ceiling tile, sheetrock with a 07, 08, white vinyl face None Detected Non -Friable/ 900 09 Dining at soda fountain and throughout Good sq. ft. 10 11 Brown paneling adhesive Non -Friable/ 1,500 12 Dining at soda fountain and throughout None Detected Good sq. ft. kitchen 13, 14, Sheetrock wallboard None Detected Non -Friable/ 1,500 15 Kitchen areas Good sq. ft. Roof shingle Non -Friable/ 2,500 16 Overhang None Detected Good-, _ sq. ft. JUL 2 0 2010 eject No. JIB10.33 Environmental • Solutions, • ' Inc. Mr. Gene Lacouture, Jack In The Box Inc. JIB #3693, 1018 Highway 146 South, La Porte, Texas Page 3 of 4 Sample Friability I Estimated Number Sample Description / Location Laboratory Results Condition Quantity 17 Rubber membrane roofing Non -Friable/ None Detected 3,100 Roof Good sq. ft. 18 White caulk None Detected Non -Friable/ 250 Wall cap and penetrations Good lin. ft. 19 White exterior plaster None Detected Non -Friable/ 2,900 Exterior Good sq. ft. Conclusion Of the materials sampled and analyzed from JIB #3693 located at 1018 Highway 146 South in La Porte, Texas, none were determined to contain asbestos by laboratory analysis. Due to the sometimes -difficult analysis of non -friable or resinously bound materials, most laboratories recommend that these types of materials, which were not found to contain asbestos, be analyzed using alternative methods of identification, such as Transmission Electron Microscopy. Please note that asbestos is regulated under Occupational Safety and Health Administration (OSHA); Environmental Protection Agency (EPA), National Emission Standards for Hazardous Air Pollutants (NESHAP); and Texas Department of State Health Services (TDSHS), Asbestos Health Protection Rules (TAHPR). You should also be aware that the EPA has not prohibited the manufacture of non -friable asbestos - containing materials, such as vinyl floorings, mastics, and roofing materials, joint compound as well as materials arriving from other countries. In addition, House Bill 1927 and the TDSHS TAHPR, prohibits the installation of asbestos -containing materials in public and commercial building, unless there is not an alternative material or part. Material Safety Data Sheets (MSDS) must be obtained for building materials or replacement parts. As a result, any future replacement materials should be checked for the presence of asbestos, or a certification from a licensed engineer or architect stating that the MSDS have been reviewed and in their professional opinion all parts of the building affected by the planned renovation or demolition do not contain asbe stos Limitations — 1 This report has been prepared to assist Jack In The Box Inc. in evaluating suspect ACMs at JIB #3693 located at 1018 Highway 146 South in La Porte, Texas. Our objective was to perform our work with care, exercising the customary skill and competence of consulting professionals in the relevant disciplines in this region. The conclusions presented in this report are professional opinions based solely upon visual observations of the site, at the time of our investigation, and the results of laboratory analysis. The opinions presented herein apply to site conditions existing at the time of our investigation and those reasonably foreseeable. Quantities are preliminary quantities based on observations made during our survey. ESI cannot act as insurers, and no expressed or implied representation or warrant is included or intended in our report except that our work was performed, within the limits prescribed by our client, with the customary ESI Project No. JIB10.33 Environmental • • Solutions, Inc. Mr. Gene Lacouture, Jack In The Box Inc. JIB #3693, 1018 Highway 146 South, La Porte, Texas thoroughness and competence of our profession. Un-sampled asbestos -containing construction materials may be located within walls, ceiling cavities, below flooring or grade, and other non -accessible areas. Precaution should be used in relation to these un-sampled materials until proper sampling and analysis have .determined their asbestos content. We appreciate the opportunity to provide environmental consulting services to Jack In The Box Inc. and look forward to assisting you with future projects. If you have any questions or need additional assistance, please call 713-934-9944. Sincerely, Environmental Solutions, Inc. I64� ? Christopher M. Cox Project Manager CMC (JIa10.33 svy) Enclosure: Laboratory Analysis Report Jerry P. Heard Manager of Environmental Services L_ JUL 2 0 2010 ESI Project No. J1131 Environtnental Analytical Services, LLG s.1 Environmental Solutions Inc, .13261 Northwest Freeway St.503 Houston, Texas 77040 Phone: 713-934-9944 Fax: 713-934-9942 • 13201 Northwest Freewa uite 503 Houston, Texas 7 Phone: 713-343-4017 / Fax: 713-934-9942 E-Mail:easiabs@aol.com Polarized Light Microscopy Analysis (EPA-600/M4-82-020; 600/R-93/116) Project: JIB # 3693 ESI Project # JIB10.33 Job: 703.1445 Attn: Jerry Heard Date Analyzed: July 7, 2010 Date Received: June 29, 2010 Microscope: Olym pus-CH-40 Analysis Time Requested: 3-Days Sam le# Layer Sample Description Homo- Geneous Y/N Asbestos Detected? Yumo Asbestos Mineral Percent Nan -Asbestos Fibers Non -Fibrous Material 01 A Whiterran Ceiling Tile YES NO None Detected 40% Cellulose 40% Fiberglass 20%Other 02 A White/Tan Ceiling Tile YES NO None Detected 40% Cellulose 40% Fiberglass 20%Other 03 A WhitetTan Ceiling Tile YES NO None Detected 40% Cellulose 40% Fiberglass 20% Other 04 A White Texture YES NO None Detected 2%Cellulose 98%Other B Tan Tape YES NO None Detected 100% Cellulose C White Joint Compound YES NO None Detected 2% Cellulose 98% Other D WhiteBrownSheetrock YES NO None Detected 30%Cellulose 70%Other 05 A While Texture YES NO None Detected 2%Cellulose 98%Other B Tan Tape YES NO None Detected 100% Cellulose =_ C NVLAP # 200784-0 DSHS # 300373 Control # 95392 ) Page 1 of 4 �( 202013 Nora S. swtile pla (floor , wrfadng, era ) msy contain a n fibers too all too be daeesable by PLM. TEM OAtfleld tlysis of bulk nataial is raad omwed in tM ame 't All Asbmos Peruaage ue'bud on calibnowl visual mimates astable lu NISf standards fa raryW d Asbestos types. Anslyw' pereesnages fall wishn s range of a c pable pe .Call,es. depending on the Bawl weenas'on of uMnoi. This tea reports n lees Daly to Ne it. toted. Nehher N VLAP nor EPA amdimion implies eworaco sM by any US G nn,. agency. This report aay ml be r,,vd.,d aayt in Ibll withaa w`aleopumiubn aom Emiraunalsl Analytical Swices. Thee results are submistd pursuant to EAS flares terms and ooa lition of salt including the mra wy's standard wamnly and limitation of liability Wonisione W no respaaibility, or liability is ammd for the manor M which the rmla P. Ass usW a imapctd. Unku notiad in wrbing m rwm the sampb tawd by Nis report, PAS will core the ample /fir •period o! niMy (90) days before discading range repond are mina and Ma abnMe pvcros rage nhw. Analyzed by: Arthur Hernandez Approved Signatory: 1 ?i Lisa Crain `j Environmtmntal t Analytical mrvice*, LI C Environmental Solutions Inc, 13281 Northwest Freeway St.503 Houston, Texas 77040 Phone: 713-934-9944 Fax: 713-934-9942 • 13201 Northwest Freeway Suite 503 Houston, Texas 7 Phone: 713-343-4017 / Fax: 3-934-9942 E-Mail: easlabs@aol.coro Polarized Light Microscopy Analysis (EPA-600/M4-82-020; 600/R-93/116) Project: JIB # 3693 ESI Project # JIB10.33 Job: 703.1445 Attn: Jerry Heard Dale Analyzed: July 7, 2010 Date Received: June 29, 2010 Microscope: Olympus-CH-40 Analysis Time Requested: 3-Days Sam ley Layer Sample Description Homo- Ceneous YIN Asbestos Detected? Yes/No Asbestos Mineral Percent Non -Asbestos Fibers Non -Fibrous Material 05 C While Joint Compound YES NO None Detected 2%Cellulose 98% Other D WhiteMrownSheetrock YES NO None Detected 30%Cellulose 70%Other 06 A White Texture YES NO None Detected 2% Cellulose 98% Other B Tan Tape YES NO None Detected 100% Cellulose C White Joint Compound YES NO None Detected 2% Cellulose 98% Other D White/BrownSheetrock YES NO None Detected 30%Cellulose 70%Other 07 A White Vinyl YES NO None Detected 100%Other B White/Brown Ceiling Tile YES NO None Detected 30%Cellulose 70%Other 08 A White Vinyl YES NO None Detected 100%Other NVLAP # 200784-0 ^L DSHS # 300373 Control # 95392 JUL 2 Q 2010 Page 2 of 4 Naa. I : ' {r Some amPla (tuns tiles, surfacing, ato) nay tonal. fiber, Im small too be dneaaN, by PL . TEM Chatfield ualy,is of bulk material if «ranmodd in thii era-All.ybeuoi pnunagesire Wfed on alibnad visual utin tm otmable to NISI a Wd uwaga ard, for regulatbo, "a. Analysts' percmtfall within a norc ise or sepuble Motom a, depending on that, amntim sual conceofubata This tat report, relsta only m the it. tomed. Neither NVLAP n EPA accrediwion implia W oraantnt by any US Gov nasm agency. This repot may ma h «produced afspi in WII without wnnm panmivion from Eavironmeml Aalytical Servim Thee awhs ve submined Pursuare to EAS ranmt tam W comlitun of ale, imsW ing the mmpays award ^rramy W limitation of liability arovision, ad an rapmsibility or liability is aammd loathe mmer in which the results at usd or imerprnd. Unitas notified in writing to rmtm the ample coved by this repel, EAS will area list ample for • Poid of ninny (W) day, before diranuthng Peru. raga repond art minim ad nit ,holm. Panora rage mlw. 07' Analyzed by: — _�00_ Approved Signatory: Arthur Hernandez Lisa Crain 1 environmental 1 Analytical Services, LLL I �w Environmental Solutions Inc, 13201 Northwest Freeway St.503 Houston, Texas 77040 Phone: 713-934-9944 Fax: 713-934-9942 • 13201 Northwest Freewa Suite 503 Houston, Texas 0 Phone: 713-343-4017 / Fax: 13-934-9942 E-Mail: easlabs@aol.com Polarized Light Microscopy Analysis (EPA-600/M4-82-020; 600/R-93/116) Project: JIB # 3693 ESI Project # JIB10.33 Job: 703.1445 Attn: Jerry Heard Date Analyzed: July 7, 2010 Date Received: June 29, 2010 Microscope: Oly m pus-CH-40 Analysis Time Requested: 3-Days Sam le# Layer Sample Description Homo- Geneous Y/N Asbestos Detected? Y"INa Asbestos Mineral Percent Non -Asbestos Fibers Non -Fibrous Material 08 B White/Brown Ceiling Tile YES NO None Detected 30% Cellulose 70% Other 09 A White Vinyl YES NO None Detected 100%Other B White✓Brown Ceiling Tile YES NO None Detected 30% Cellulose 70%Other 10 A Brown Mastic YES NO None Detected 5%Cellulose 95%Other I A Brown Mastic YES NO None Detected 5%Cellulose 95%Other 12 A Brown Mastic YES NO None Detected 5%Cellulose 95%Other 13 A White/Brown Sheetrock YES NO None Detected 30% Cellulose 70% Other 14 A White/Brown Sheetrock YES NO None Detected 30% Cellulose 70%Other 15 A White/Brown Sheetrock YES NO None Detected 30% Cellulose 70%Other NVLAP # 200784-0 JUL 1 O DSHS # 300373 Control # 95392 2OIO Page 3 of 4 l Notes.. Some ss.n. (floor tile, wri ring, etc.) may cmvsin fibers too smul too be deteeuble by PLM. TEM Chatfield imlysit of bulk matd.l is rsoo.meded in this me. All a.V-corpeaeaeage ve Wad on calibrated d.wl cal inac ol. to NIS'r psnduds for regulnd .,coo. type. Awy. p h,,nn g. fall within a .case of.coeps.bk pecemagm, dcpcoding on the acwd coneennli. of ssloesu s. This ter repons rtlmes only ro the hems tmd. Neither ri LAP nor EPA scudiutlon implies.denims. by.., US Govenmem ae.xY. This aspen may nos be «prduud eecryt in full wilhoul wdmen enrimasn from Environmental Analytical Services These rewlu are wbmiud Wrwsnt to EAS ruses term still condition of ale. including the company. standard we,wy and limitation of liability provisions and rn mponsibility or liability is aswmd Por the manner in which the results are usd or intepred. Unless notifid in writing to serum the sanples coved by this repm. GS will area. ,c ..pl. for . paid of ninny (W) d.ys before disc ding. Pecans tinges rest arc wimmes ad rot absolule pear tinge vsluea. Analyzed by: Arthur Hernandez Approved Signatory: Lisa Crain Erlvironmental ' 1 Analytical S1rVices, LLC Environmental Solutions Inc, 13201 Northwest Freeway St.503 Houston, Texas 77040 Phone: 713-934-9944 Fax: 713-934-9942 • 13201 Northwest Freeway Suite 503 Houston, Texas 710 Phone: 713-3434017 / Fax: 3-934-9942 E-Mail: easla bs@aol.com Polarized Light Microscopy Analysis (EPA-600/M4-82-020; 600/R-93/116) Project: JIB # 3693 ESI Project # JIB10.33 Job: 703.1445 Attn: Jerry Heard Date Analyzed: July 7, 2010 Date Received: June 29, 2010 Microscope: Olympus-CH-40 Analysis Time Requested: 3-Days Homo- Asbestos Geneous Detected? Asbestos Mineral Non -Asbestos Non -Fibrous Sam lest Layer Sample Description Y/N Yes/No Percent Fibers Material 16 A Gray/Black YES NO None Detected 10%Cellulose 70%Other Roofing Shingle 20% Fiberglass 17 A White RoofingMaterial YES NO None Detected 10%Cellulose 60%Other 30% Fiberglass 18 A White Caulking YES NO None Detected 2%Cellulose 98%Other 19 A White/Brown Plaster YES NO None Detected 20%Quartz 80% Other JUL 2 0 2010 NVLAP # 200784-0 DSHS # 300373 Control # 95392 Page 4 of 4 Naar: Sane umples (loor tiles, sudacing, etc.) may canon fibers too shall no be ddtnable by PLM. TEM Chafield analysis of bulk malarial is rewmmeMrA in this au. All asbestos pereenages are boned w alibntd viwal nlimatu trouble to NIST awards far mp[U d asbestos types. Analysts' acmnt'. fall within a tensile of awoptable paraaagers. depeMing on the scroll concentration of asbecos. This last rapoa relate only to the :lems tented. Neither N VLAP wr EPA awWitoticn implieserdorsemereby .,US Governmea agency. Thies recreant may non be reprodwd urep in full withow Witten permission from Environmental Analytical Sevias. Theo r.lu are submitted pursues to SAS arml term and waa ilwn of sale, incAbing the eornputrs stabled warranty and limitation or liability provisions and w responsibility or IisbilitY is asatmed for the mamar in which the results are used car imerteded. Unless wtiftM in writing to rdur the samples wverM by this repon• SAS will pore the samples for s Wiod of nindy (na) days before discarding Percent reran reposed are cstiawes saw not abohne parent rattgc vahw. Analyzed by: Arthur Hernandez Approved Signatory: Lisa Crain E I Eiivironmentat Solutions, Inc. Bulk Sample Chain -Of -Custody 13201 Northwest Freeway, -Suite 503 Houston, Texas 77040 Phone: 713-934-9944 Fax: 713-934-9942 ESI Project No. Project I.D. VC5 Date CollectedT-%�3AX3'S O(W291 t d�uested Page Lof Z Friable (F)/ Non -Friable (NF) Estimated Sample No. Material Sampled Sample Location Materialt7Loocatioon(s) and any Damage Condition Quantity O(� 0Z 4 OS L ' Z�Z(t1 .}P- W16-Wn �l v.okeS f� ll LlZ- `Lu s; �i�f za, �v�tnq� ►•-IL- C��eC- JJ �i / NF Poor Sig. Damaged Sig. 9eel OC`L )0\r� C'ON1r Ah8' l l <-tAk f-t2 �R(_ -�a�N y� 17 7 aVXI✓�5 K+� 6�eC�S F / tqD c( oo / Fair/ Poor i . Damaged 2K4 C...f tT- cA e_kT vA_ Svc,cvr, Q�tr`� Soap r F / ck00 Fair / Poor . Damaged 1� 1l' 1 Z• �tt�u9Y1� �mnA1Lr� l V L Se�tt�r�C� t LYl Q«C'L � i F /Q o / Fair /Poor Si. Damaged ``--251 uoC7a\ C \ F / -2�) / Fair / Poor Sig. Damaged C �0 0 C/ �c.. F / P�j tSCJC"� / Fair / Poor ICT-6amaged SAMPLES 7LLJE Name: RELINQUISHED TO: Date: =47—el lip Date: NOTES: LAB — Analyze to FIRST POSITIVE Email results to JHeard@esi-texas.com EEnvironmental 13201 Northwest Freeway, sulte.43 , Solutions, ' Houston, Texas 77040 Inc. Phone: 713-934-$944 Fax: 713-934-9942 Bulk Sample Chain -Of -Custody ESI Project No. Project I.D. Date Collected Oc Z rO Date Requested Page Z of Z _ Friable (F)/ Estimated —Non-Friable(NF) Sample No. Material Sampled Sample Location Location(s) and any Damage Condition Quantity i1 �ubhc�l N�P.wtbrcln� '7 (� E�o�Ti ✓� caKlers.�t (Material F "zjlbb. air / Poor Damaged ////��l•� A p t' v. c - 11-Sib. 11 \\ cLCLtP e �o pa �e y�5 F ! Z �Z1F o Fair/Poor Sig. Damaged (q F / NF q ZI [ Co Good /Fair /Poor Sig. Damaged F / NF Good / Fair / Poor Sig. Damaged F / NF t Good /Fair /Poor !! t Sig. Damaged I--- t F / NF ro I i o _ Good / Fair / Poor CD' Sig. Damaged 0 SAMPLES COLLE E Y: Name: RELINQUISHED TO: Date: Date: a NOTES: LAB — Analyze to FIRST POSITIVE Email results to JHeard@esi-texas.com COMcheck Software Version 3.5.2 Interior Lighting Compliance Certificate 2006 1ECC Report Date: 07/15/10 Data filename: I:\projects5Uack_in_the_Box\C3X44203JIB_Reimages\700CADD\701arch\3693\Electdcal\La Porte.cck Section 1: Project Information Project Type: Addition Project Title : Jack in the Box Construction Site: Owner/Agent: Designer/Contractor: 1018 Highway 146 S. La Porte, TX 77571 Section 2: General Information Building Use Description by: Activity Type Activity, Tvoe(el Floor Area Dining: Cafeteria/Fast Food 1138 Section 3: Requirements Checklist Interior Lighting: 1. Total proposed watts must be less than or equal to total allowed watts. Allowed Watts Proposed Watts Complies 1593 952 YES Controls, Switching, and Wiring: 2. Independent controls for each space (switch/oocupancy 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. 3. Master switch at entry to holellmotel guest room. Cl 4. Individual dwelling units separately metered. 5. Each space provided with a manual control to provide uniform light reduction by at least 50%. 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.tt. 0 6. Automatic lighting shutoff control in buildings larger than 5,000 sq.tt. Exceptions: Sleeping units, patient care areas; and spaces where automatic shutoff would endanger safety or security. 7. Photocell/astronomical time switch on exterior lights. Exceptions: Lighting intended for 24 hour use. 8. Tandem wired one -lamp and three -lamp ballasted luminaires (No single -lamp ballasts). Exceptions: Electronic high -frequency ballasts; Luminaires on emergency circuits or with no available pair. JUL 2 0 20,0 Project Title: Jack in the Box Report date: 07/15/10 Data filename: I:\projects5Uack_in_the—Box\C3X44203JIB—Reimages\700CADD\701 arch\3693\Electrical\La Pode.cck Page 1 of 3 Section 4: Compliance Slament • Compliance Statement: The proposed lighting design represented in this document is consistent with the building plans, specifications and other calculations submitted with this permit application. The proposed lighting system has been designed to meet the 20061ECC requirements in COMcheck Version 3.5.2 and to comply with the mandatory requirements in the Requirements Checklist. CARY,f3El?6ER AENMOR ;v a1 Name - Title Signature Date JUL 2 0 2013 u t� Project Title: Jack in the Box Report date: 07/15/10 Data filename: I:\projectsSUack_in_the_Box\C3X44203-JIB_Reimages\700CADD\701arch\3693\Electrical\La POAe.cck Page 2 of 3 COMcheck Software Version 3.5.2 Interior Lighting Application Worksheet ' 20061ECC Report Date: Data filename: I:\projects5Vack_in_the_Box\C3X44203-JIB_Reimages\700CADD\701arch\3693\ElectdcaKLa Porte.cck Section 1: Allowed Lighting Power Calculation A B C D Area Category Floor Area Allowed Allowed Watts (tt2) Waite / f12 (B x C) Dining: Cafeteria/Fast Food 1138 1.4 1593 Total Allowed Watts = 1593 Section 2: Proposed Lighting Power Calculation A B C D E Fixture ID: Description / Lamp / Wattage Per Lamp / Ballast Lamps/ s of Fixture (C X D) Fixture Fixtures Watt. Dining: Cafetetla/Fast Food (1138 sq.fl.)_ ' u Compact Fluorescent 1: A:'Omega'-NS61H26QPLU-T61HCS/Quad 2-pin 1 16 28 448 26W / Electronic Compact Fluorescent 6: Al:'Omega'-MS61 H260PLU EM-T61 HCS/Quad 2-pin 1 5 28 Exempt 26W / Electronic Exemption:Emergency Lighting (Automatic Control) Compact Fluorescent 2: A2:'Omega'-RS61 H260PLU-T61 HCSSH / Quad 2-pin 1 3 28 84 26W / Electronic Linear Fluorescent 1: B:'DAYBRITE'-s2LP3GS232 / 48' T8 32W / Electronic 2 3 62 186 Linear Fluorescent 2: BI:'DAYBRITE'-W2LP3GS232-E1 /48' T832W / 2 4 62 Exempt Electronic Exemption:Emergency Lighting (Automatic Control) Compact Fluorescent 3: D: 'TECH'-s700-TDMISC-1282A / Quad 2-pin 26W I 1 6 28 168 Electronic Linear Fluorescent 4: H:'TROY'-BKDF-5055-SN-T8E2 / 24' T8 17W / 2 2 33 66 Electronic Halogen l: 1:'RUUD'-sEXPB1 RBKBZ/Other 1 4 5 Exempt Exemption:Emergency Lighting (Automatic Control) Total Proposed Watts = 952 Section 3: Compliance Calculation If the Total Allowed Watts minus the Total Proposed Watts is greater than or equal to zero, the building complies. Total Allowed Watts = 1593 Total Proposed Watts = 952 Project Compliance = 641 Interior Lighting PASSES: s-40% better than code. JUL 2 0 2013 Project Title: Jack in the Box Report date: 07/15/10 Data filename: I:\projects5Uack_in_the Box\C3X44203JIB_Reimages\700CADD\701arch\3693\Electdcal\La Porte.ock Page 3 of 3 Construction Manager's Develociment Cost Estimate B C D E F H I J H L N N O ': o S 2 JIB 3693 BldgT Type $ 1.00 Date Completed ' M e6/14/201 3 Address 1018 Highway 146 South lick Here to Print th Cis Estimate ►.' L 1 � 4 City La Porte, TX 5 State Texas Southern 7 Linea BranctV Top Task SUDTesk1 Sub Sub-Task3 Quantity Units CostnJl Line Cost TB Prov'd Cost $ 1,266.53 $ 243.56 $ 990.49 $ 4,746.76 TS Provided 7,247 7,247 Total w/Infl Lim 6 CO $ - $ - $ 4,766-53 $ - S 1,443.56 $ - $ - $ 11,01)0.00 $ 2,500.00 $ 2,500.00 $ 3,000.00 $ 990.49 $ 4,000.00 $ 1,500.00 $ - $ $ 7,246.76 Line Total w/Intl 6 CO 38,947 38,947 Totals $ 38,947 9 TOTAL DICE INVESTMENT 2 13 1 CONSTRUCTION 2 IBUILDING 3 BLDG-DEMO 1 LS $ - $ - 4 BLDG-CONCRETE/MASONRY 1 LS $ - $ - 5 BLDG-WOODS/PLASTICS 1 LS $ 3,500.00 $ 3,500.00 6 BLDG-THRML/M PROTECT 1 LS $ - $ - 7 BLDG-DOORS/WINDOWS 1 LS $ 1,200.00 $ 1,200.00 8 BLDG-CARPENTRY 1 LS $ - $ - 9 BLDG-FINISHES 10 BLDG-WALLS 1 LS $ - $ - 11 BLDG-FLOORS 1 LS $ 11,000.00 $ 11,000.00 12 BLDG-CEILINGS 1 LS $ 2,500.00 $ 2,500.00 13 BLDG-FRP & TRIM 1 LS $ 2,500.00 $ 2,500.00 14 BLDG-INT 6 EXT PAINT 1 LS $ 3,000.00 $ 3,000.00 15 BLDG-VWC 1 LS $ - $ - 16 BLDG-DECOR INSTALLATION/SPECIALTIES 1 LS $ 4,000.00 $ 4,000.00 17 BLDG-PLUMBING 1 LS $ 1,500.00 $ 1,500.00 18 BLDG-FIRE SYSTEMS 1 LS $ $ 19 BLDG-HVAC 1 LS $ $ 20 BLDG-ELECTRICAL 1 LS $ 2,500.00 $ 2,500.00 Input a's for TB Dev Cost Estimate GC Budget Data: (Not Including Building is 38,947.34 Budgetary Change Order % from Project Info) Subtotal Building31,700 Total Budget GC Contract Amount 31,700 $ 38,947 $ 14 $ 15 $ 4,767 16 $ 17 $ 1,444 18 $ 19 $ 19,990 20 21 22 23 24 25 26 $ 4,000 27 $ 1,500 28 $ 29 $ $ 7,247 33 34 Total 35 38,947 36 37 38 39 38,947 40 Page a1 Re -Image Wookbook a3693.xis CM DCE 7/16/2010 10:14 AM