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Home My WebLink About1300 W. FAIRMONT PKWY_12-1107___________9.1 F� 1300 W. FAIRIVIONT PKWY 3 �+1 � '� �'� 9E�y,,t< o,✓ : _ Ci.y� 1 `nt � .✓�,1, �^� G•s �',:� �) 3.j r � k3 — S t> s x� k dfyet 1 ✓ to `+ i.da r3'<, yc k y� �� e+` �d c' `� �dc� _ n , en 1 ' - !-$+lF�" ��a„`1. t�e`� n �F"{t.Y'��111 �✓tir c�',�4� ��,r. � � z. �� UCKS SK j✓r4� t�t' `� k A�YA`d'�rn fi ' t4�tli "9, '! ' .,.iti: % { Y y l y, � i ak f j��LI 9t�- j�. 2a i 'F$fit #tj� ,�'' •[y t 1 i# p r� t�,xti rsIM``p+."' ' " c ' iG t. t � +r fit' V�lF F ,,y�7'i� 7_�-�',�e'..ra„y'f,� }��>C ✓" of`E � a+�'^ _ p .�..�u ��_" � �T� ✓v ��,�; �4 � { 1 a .Fi�+� ��'Y"'.� k�}5�' aY'�"+`7�- �"• � ��'H�'1 � �;vyr .'i �' . '-'.' y y 5�.e.St,-•. - �k w• ii �gr w..1l,i .� 4 .: �a�i�a ., s _ k kM �4' R- { + vA V �}✓,"t kry,'tE o� `�r.76 7� {t� Yn � i x4Y. , tq LJ S+ 3 rr , � { "�'�gt�kS'�rererererere��'�D''L�y s(v 124'��'�'�t` tt"C` '1 •�'�- er.c" ffWa � ��Q'.K E Q +�', � t . � y �y q 'tyII'" 1'L�'Pt1 t�ih "" { �f� t o a�, +,�` ti �.��ir � l ,! ' n }a, i ..dlr aT^a ' � f; i a R' L�' 1sJ .L.� )y 3V± tiny ✓.v t# iw �:b' {nY ,,� ,{.zc �.1. - _ :1 a ra � kF s1r^ '1� fi 1. t✓ ra �+ V2 Y,�rf7�[ � .� ✓CS �� . q �c � tyi� Ya, r ,� �7a q+ :`'d5�r ° �'�� ,{,�t ✓ h +fib..1� i'FV3_' Y r t # H 8 � h st »•. 5,.=, - ry::. 1 � aY �i: .✓. °'k�ii��e�� r�P �^{�ro } n � 1�rt _ ' � 1 Final Inspection Check Sheet. Commercial Date: g' 2�/�/ I . Project Contractor Name: f Project Name: Ls�I %)-t- e s File Review Ws 1-9 tk% A 1. F' i icate (if ,appl-if;ab}ej-itr frle� /J � 2. F e �3. �f1iT]IIg- IIl 1 � �4. Customer Service Lnspe ionSertificate in file 5. Backllow-P= �-est Certificates (bldg & ilTiga�md /N /1 6. En erg os a-€mal ee —7. Fig ' ' eleasem`file Z-8. A4 required-pmnits-in-fire Z�-9. A414nspeegens-m4og-eemplete Field Review Ws 10-17 Iz 10. Address-#--v4sible-from7street 11. Siga per le=8-ins phance (if applicable) ,IU 4 12. Side nstrudion ( p cable) as per site -p,lan7— iJ A 13. ed-frre-separ-ation walls are in pl quire ra mg 14. Baifiagcm-per si e plan /U FA 15 `- -r- o e remove — /-; 14 16. force app ica loin compliance /UA 17 1 andseaping-as-per-site-g 18. Inspec ' o identify ij2fu�1�1� 30-day is authorize Inspector Signature Date SACPShmeVNSPECION DMSIONVnspeCdowTinal Inspection Check SheetComlDecoS.doc City of La Porte Established 1892 Name of PWS City of La Porte Customer Service Inspection Certificate PWS I.D. # 1010018 N Location of Service /-7eo �6"Me'D 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 pu Ilk 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 bacidiow 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 by a certified backfiow prevention assembly tester. (3.) No connection exists which would allow the return of water used for condensing, cooling 0� 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 0/ 0 distribution facilities Installed on or after July 1, 1988. (S.) No solder or flux which contains more than 0.2% lead exists In private wathr distribution facilities 0/ 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 L,I/ PVC 0 Other 0 Solder Lead 0 Lead Free LT Solvent Weld 0 other 0 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 0493 Date 99- t Y—h Type of Registration Plumbing Inspection License Ramos, Mario From: Wise, Sandra Sent: Thursday, August 23, 2012 3:46 PM To: Jennings, Sherry; Tschappatt, Vickie; Capstin, Krystle; Anderson, Machell; Fitch, Dennis; Ramos, Mario; Menager, Dwayne; Huber, Mark Subject: 1300 W. Fairmont FM Insp passed for Final Bldg on 8/23/12 1300 W. Fairmont Thank you, l�G 9iw 7X4z"'a ode" Jib S. P+d St .& Pet& ?X 77571 297-9'67-46(23 I= 291-867-WV PREPARED 8/24/1.2, 7:44:07 INSPECTION TICKET PAGE 1 CITY OF LA PORTE INSPECTOR: DWAYNE MENAGER DATE 8/24/12 ---------------------------------------------------------' - ADDRESS 1300 W FAIRMONT PKWY SUBDIV: KROGER-FAIRMONT PARKWAY CENTER CONTRACTOR MID -CON CONTRACTORS, INC. PHONE (936) 231-1300 OWNER KROG.ER CO PHONE PARCEL 118-986-000-0001 APPL NUMBER: 12-00001107 REMODEL, RETAIL STORE/CUSTOMER SERVICE --------------------------------------------------------------.-----.----------------------------_ PERMIT: OR 01 BLDG PERMIT -COMMERCIAL REMODEL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --_---_---------------------------------------------------------.___-__-___--_ GRPL 01 9/03/12 MR PLBG, PLUMBING, GROUND 8/03/12 AP KIOSEK--JOHN--713 943 1035 2PM PLEASE PLUMBING GROUND INSP PASSED PER I4ARIO RAMOS. SLUR O1 8/09/12 MR ELEC, ELECTRICAL UNDERGROUND TIME: 00:01 xxxxxxxxxx xxxxxxxx underground ELFI 01 8/23/12 MR FINAL, ELECTRICAL TIME: 08:00 xxxxxxxxxx xxxxxxxx ELEC FINAL 6 01 8/24/12 DM FINAL, BUILDING TIME: 08:OO FINAL BLDG ----------------------- COMMENTS AND NOTES -------------------------------------- TO: DEPARTMENT: FAX: FROM: DEPARTMENT: BUSINESS NAME: ADDRESS: CONTACT: PHONE NUMBER: CITY INSPECTION DATE: WHAT HIND OF INSP. SANDY WISE FIRE MARSHAL 281-867-4629 VICKIE TSCHAPPATT INSPECTIONS STARBUCKS KIOSK 1300 W. FAIRMONT PKWY CINDY 713-861-5762 AUGUST 23, 2012 (AM) Click here to enter text. FINAL START RECEIVER 10:05 AM 92818874629 UNI ENT, : i, u'MENT: Tld$`INFSS NAME: A�?buss; C�NTACT; PI qE NXJMBER; INSI!E(:I'ION DATE: T kIND OF INS Is, I I 1 4 I P. 01 TRANSACTION REPORT AUG-23-2012�THU 10:05 AM f � TX TIME(L)PAGES TYPE NOTE M# DP 33"(1) 1 SEND OK 724 w TOTAL 33S PAGES: 1 �X��1c1c1;x1;1c1cIc�1;1c1c��1cic�1c1c1cicx1c�X1c��K1c�1cxlcx�;I�1c�1cX< SANDY WISE II:1RF MARSHAL 281-867-4629 VICKIE TSCIIAPPATT INSPECTIONS STA10UCKS KIOSK 1300 W. FAIRMONT PKWY CINDY 713-861-5762 AUGUST 23, 2012 (AM) FINAI, PREPARED 8/23/12, 6:06:26 INSPECTION TICKET PAGE '3 CITY OF LA PORTE INSPECTOR: DWAYNE MENAGER _-_---_---------------_--------------------- DATE 8/23/12 ------------------------------------------- ADDRESS 1300 W FAIRMONT PKWY SUBDIV: KROGER-FAIRMONT PARKWAY CENTER CONTRACTOR MID -CON CONTRACTORS, INC. PHONE (936) 231-1300 OWNER KROGER CO PHONE . PARCEL 118-986-000-0001 APPL NUMBER: 12-00001107 REMODEL, RETAIL STORE/CUSTOMER SERVICE _-`______--_--.------------------------------------------------------------------.---------------- PERMIT: CR O1 BLDG PERMIT -COMMERCIAL REMODEL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -----------------------------------------------------------------------------.____---_-_-_------- GRPL O1 8/03/12 MR PLBG, PLUMBING, GROUND 8/03/12 AP KIOSEK--JOHN--�13 943 1035 2PM PLEASE PLUMBING GROUND INSP PASSED PER MARIO RAMOS. ELUN O1 8/09/12 MR ELEC, ELECTRICAL UNDERGROUND TIME: 00:01 %XXXXXXXX% XXXXX%XR underground BLFI 01 8/23/12 DM FINAL, BUILDING TIME: 08:00. FINAL _ CINDY 713-861-5762 ..---------------------------------- COMMENTS AND NOTES-------------------------------------- PREPARED 8/09/12, 13:02:49 INSPECTION TICKET PAGE 1 CITY OF LA PORTE INSPECTOR: DWAYNE MENAGER DATE 8/09/12 -------------------------------.--____-_----_---------__------------_----___--_---__-_-_-----__-- ADDRESS 1300 W FAIRMONT PKWY SUBDIV: KROGER-FAIRMONT PARKWAY CENTER CONTRACTOR MID -CON CONTRACTORS, INC. PHONE (936) 231-1300 OWNER KROGER CO PHONE . PARCEL 118-986-000-0001 APPL NUMBER: 12-00001107 REMODEL, RETAIL STORE/CUSTOMER SERVICE ------------------------------------------------------------------------------------------------ PERMIT: CR O1 BLDG PERMIT -COMMERCIAL REMODEL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS _-____ _______-_-_ ------------- GRPL O1 8/03/12 MR PLBG, PLUMBING, GROUND 8/03/12 AP KIOSEK--JOHN--713 943 1035 2PM PLEASE PLUMBING GROUND INSP PASSED PER MARIO RAMOS. ELUN 01 8/09/12 DM FLED, ELECTRICAL UNDERGROUND TIME: 00:01 underground ---------------------- COMMENTS AND NOTES ---------_____-_-___------------------ sw LA PORTE ' FIRE MARSHAL'S t.'l �..pOLICE l5t;i OFFICE "PLAN REVIEW" Date 07/24/2012 Business Name Kroger — Starbucks Kiosk Address 1300 Fairmont Type of Review Construction Contractor Mid -Con 936-449-1300 Reviewed by Clif Meekins Fire Marshal Approval YES The Applicant shell be responsible to oname the design specifications and plarm are complete PM In compilance with the requirements eat forth In the 2000 inlematiFtr onal e Code (IFC) and Local Amendments ee well as the applicable referenced Standards gated In Chapter 45 of the 2M IFC. This plan review Is not In=ded to be frilly htcl calve as other regWn nenls may be Imposed as vnmented by the Fire MarsM or as deemed necessary during onehe bupecdonu by the Fire EEmehal'a ogira 1) No Comments. 120 South 2ed Street, La Porte, TX 77571 Office:281-867-4603 Fax:281-867-4629 PREPARED 8 / 0 1 / 1 2 , 1 6 : 5 4 : 5 9 INSPECTION TICKET PAGE 1 CITY OF LA PORTE INSPECTOR: DWAYNE MENAGER DATE 8 / 0 8 / 1 2 ------------------------------------------------------------------------------------------------ ADDRESS 1300 W FAIRMONT PKWY SUBDIV: KROGER-FAIRMONT PARKWAY CENTER CONTRACTOR BARKER SIGN CO PHONE (281) 492-6581 OWNER KROGER CO PHONE . PARCEL 118-986-000-0001 APPL NUMBER: 12-00001180 MISCELLANEOUS ------------------------------------------------------------------------------------------------ PERMIT: SN 00 BLDG PERMIT -SIGNS REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ MISC O1 8/08/12 DM MISCELLANOUS INSPECTIONS TIME: 08:00 SIGN INSP KAREN 281-492-6581 -------------------------------------- COMMENTS AND NOTES-------------------------------------- PREPARED 8/07/12, 16:54:59 INSPECTION TICKET PAGE 2 CITY OF LA PORTE INSPECTOR: DWAYNE MENAGER DATE 8/08/12 ------_-__ ADDRESS . . 1300 W FAIRMONT ----------------- PKWY SUBDIV: KROGER-FAIRMONT __-----_--------- PARKWAY CENTER CONTRACTOR BARKER SIGN CO PHONE (2B1) 492-6581 OWNER KROGER CO PHONE . PARCEL 118-986-000-0001 APPL NUMBER: 12-00001198 ELECTRICAL ONLY ---___ PERMIT: EL 00 ELECTRICAL PERMIT ________________________ _----_---_--_--------------- REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------- ELIN O1 ------------ 8/08/12 DM `___------------ " ELEC, ELECTRICAL SERVICE ----------_------------------- TIME: 08:00 ELEC INSP -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 6/03/12, 12:38:29 INSPECTION TICKET PAGE 2 CITY OF LA PORTE INSPECTOR: _ ___-_______--___-_--__--__--_-___-_____-__-__-__- DWAYNE MENAGER DATE 8/03/32 ________________________ ADDRESS 1300 W FAIRMONT PKWY SUBDIV: KROGER-FAIRMONT PARKWAY CENTER CONTRACTOR MID -CON CONTRACTORS, INC. PHONE (936) 231-1300 OWNER KROGER CO PHONE . PARCEL 118-986-000-0001. APPL NUMBER: 12-00001107 REMODEL, RETAIL STORE/CUSTOMER SERVILE ____________________________________________________________ PERMIT: CR O1 BLDG PERMIT -COMMERCIAL REMODEL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ___-___----__ ___________________________________________________________________________ GRPL O1 8/03/12 DM PLBG, PLUMBING, GROUND KIOSEK--JOHN--713 943 1035 2PM PLEASE -------------------------------------- COMMENTS AND NOTES Received Log Over the counter P9• 19 Ce Dace / me eiv " < ortY! �'` �e ` P Initials P Tibet' ceived Disposition �4 .�, 2 4b2 S�. iy tit bM 1-1 CCl SJD,n.. 3 8. a j� -5$�� G`� Ss\mil J� Ye � 4 . �' �. 33rA 64w7 des v1�rii, V l �� l �/yl I J uA v,7 KCg 2y- IL bat wa-iW5 13 m Fa; rm� b _ LI b- "% aeld I nk Ctyk pM 10 11 12 13 14 Co :LgERCIAL PLAN REVIEW _,1TES 1. Minimum six-inch (6") stud walls shall be required where drain, waste, & vent (DWV- horizontal and/or vertical) plumbing is installed. The use of 2 x 6 studs (wood or metal) shall be required for new construction and additions (additions of square footage) 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-9:00pm 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 owner/developer/contractor to install the asphalt transition. S:\CPShm\INSPEC ONDIVLSIONWspectiom\COMI.IERCIAL PLAN REVIEWNOTES.doc 5a011 We APPLICABLE CODES Adopted October 25, 2010: Effective January 01, 2011: 2009 INTERNATIONAL BUILDING CODE (IBC) 2009 INTERNATIONAL RESIDENTIAL CODE (IRC) 2009 INTERNATIONAL ENERGY CONSERVATION CODE (IECC) 2009 UNIFORM MECHANICAL CODE (UMC) 2009 UNIFORM PLUMBING CODE (UPC)** **At the August 22, 2011 meeting, La Porte City Council approved Ordinance 93373. This ordinance amends the 2009 Uniform Plumbing Code by deleting Table 4-1 "Minimum Plumbing Facilities" in its entirety. The deleted table is being replaced with Chapter 29 of the International Building Code which is already a part of the City's adopted building code. No other changes were made. The implementation of Chapter 29 will be effective October 01, 2011. For your convenience, a copy of the adoption ordinance is located on the city's website at: www laportetx ¢ov/citvdepartments/planninW inspections divisions/forms/information forms/plumbing code amendment ord_.2009 Ed. Adopted October 24 2011• Effective December 1, 2011: 2011 NATIONAL ELECTRICAL CODE (NEC) WITH LOCAL AMENDMENTS (COMMERCIAL & RESIDENTIAL) 2003 INTERNATIONAL FIRE CODE (IFC) WITH ADOPTED AMENDMENTS TO FIRE CODE S:1CPshffiaW7SPECTI0N DPMIONUwpec om\PR ideuael Construction PackeftAPPLICABLE CODFUM Rev. 11.2011 Final Inspection Check SL__'e �" � Commercial Date: Project Address: / 3 O O w F N k (trvm ,-,N A i Pk ". y Contractor Narne• M IACo C S Project Name: S/ A r A 4 C -k- S ( 4 AW File Review Ws 1-9 rA lti 1. F-irtal--r400d %il�tien-CCrtificate- 4f applicable) -in- ile— /� � 2 �o�y-(i�applicahle.}in-frl� N N 3. Zoning Permit in file AI IN- t - s me�Serviee�nspeetien Eer-tifieate-4-€i1e 5. Back Flow Prevention Device Test Certificates (bldg & irrigation) in file 6 Energy Cede-Anal-eertifivatetrfiie- 7. Fire Marshal building release in file 8. All required permits in file 9. All inspections on log complete Field Review Ws 10-17 1. Sign Permit on. .napplicable) rx "• tw •1��e ., •" 1 44-.-PFa4iage-as-peP4te--plan- 18. Inspection ticket to identify if full or temp 30-day CO is authorized �[ � •lA;-City-E�g�ee�f'�a?�pnr�val o �AtC-li Inspector Signature Date SACPSbamUNSPECPION DIVISIONUnspectionslPinal Inspection Check SheetConffeb2012.doc INSPECTION DATE RESULT INSPECTOR ._,;MARKS FAXED: T POLE CONST ELEV CERT recv'd (if In AENE zone) FORM SURVEY (If applicable) GROUND PLUMBING PIERS SLAB/FOUNDATION WATER SERVICE LINE SEWER ELEC UNDERGROUND (if applicable) c> 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 �- 23-IZ IJ� no s "� 7�`U aA d p OTHER (pat o, lawn sprinklers, etc.) FINAL 9IZ��Z QK_ is-11 COMMERCIAL W &c S WORK ORILrxi# DATE NEW rr ADDITION C ADDRESS ' ht� LAD- � 0.� f .-o pt J-/n LEGAL DESCRIPTION �� C (ur- - r epje-v- OWNER�G(U '�� PH# CONTRACTOR W-)-� A - C-Q *l lV n"t'C4,CJV( PH# "I 3k a 3 L Ob1 ) DATE ADDRESS REQUEST (COPY REcm FROM ENGP-) / ZONING CLASSIFICATION FLOOD ZONE (PER ENGINEERING) BLDG. PLANS SUBMPITED // UTILITY EXT. AGRMT REC'D Y ORN a c ' !' a BLDG PLANS REVIEWED (o ' ( -,�, BLDG. PERMIT RELEASED FOR ISSUANCE PERMPI' # FEES PAID WATER FRONT FT. FEES SEWER FRONT FT FEES WATER TAP SEWER TAP BUILDINGPERMIT 2 -//a'7 ,�yVN ot'rn,k 1a-11liQ PLAjNhhREVIEW FEE ELE�CiRICpAL ERNM f 2 - 1 tD-( dEle Por Sc/ 1a - 1\qg TEMPORARYP POLE PLUMBINGPERMIT I L- 1 1 b' MECHANICAL PERMTT 5•e6 S:1CPS6arekapeetiow\MNUM RCIALINSP SE=.dm City of La Porte 604 W Fairmont Pkn La Porte, Tx 77571 (281)470-5073 INSPECTION LINE:(281) 470-5130 ****PLUMBING PERMIT**** ---------------------------------------------------------------------------- Application Number . . . . . 12-00001107 Date 8/03/12 Property Address . . . . . . 1300 W FAIRMONT PKWY HCAD Number: 118-986-000-0001 Alternate Search Method: Application type description REMODEL, RETAIL STORE/CUSTOMER SERVICE Subdivision Name . . . . . . KROGER-FAIRMONT PARKWAY CENTER Property Use . . . . . . . . Property Zoning . . . . . . . COMM - GENERAL ---------------------------------------------------------------------------- Type of Work addition of Starbucks inside Kroger ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KROGER CO MID -CON CONTRACTORS, INC. 19245 DAVID MEMORIAL DR STE A 11799 FM 1485 SHENANDOH TX 773858776 CONROE TX 77306 (936) 231-1300 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . PLBG FOR KIOSEK Permit pin number 415018 Sub Contractor GULF STATES PLBG & MECH Permit Fee . . . . 45.00 Issue Date . . . . 8/03/12 Valuation . . . . 0 Expiration Date . . 1/30/13 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 3.7500 EA PL - FIXTURES/DRAINS/TRAPS 11.25 1.00 3.7500 EA PL - WATER HEATER 3.75 1.00 7.5000 EA PL - WATER PIPE/TREATING EQUIP 7.50 1.00 7.5000 EA PL - REPAIR/ALT.-DRAIN OR VENT 7.50 ---------------------------------------------------------------------------- Special Notes and Comments July 25, 2012 4:00:00 PM LAPOVFL. 1. ALL WORK MUST COMPLY WITH THE APPROVED PLANS, INSPECTIONS. 2. OWNER/CONTRACTOR RESPONSIBLE TO COMPLY WITH TEXAS ACCESSIBILITY STANDARDS (TAS). 3. THIS PERMIT FOR THE ADDITION OF STAR BUCKS KIOSK. 4. SEE ATTACHED COMMERCIAL PLAN REVIEW NOTES FOR ADDITIONAL INFORMATION AND REQUIREMENTS. 5. SEPARATE ELECTRICAL, PLUMBING AND MECHANICAL PERMITS REQUIRED. 6. ANY NEW OR PROPOSED SIGNAGE REQUIRES A SEPARATE SIGN PERMIT BEFORE INSTALLING ANY SIGNAGE. 7. CALL FOR INSPECTIONS BEFORE ANY WORK IS COVERED. 8. ANY CHANGES TO THE APPROVED SET OF PLANS OR APPROVED SCOPE OF WORK MUST BE APPROVED BY THE INSPECTIONS DIVISION �\ PRIOR TO COMMENCING CHANGES IN THE City of La Porte 604 W Fairmont Pkw, La Porte, Tx 77571 (281)470-5073 INSPECTION LINE:(281) 470-5130 ****PLUMBING PERMIT**** ---------------------------------------------------------------------------- Page 2 Application Number . . . . . 12-00001107 ------- Date 8/03/12 Special Notes and Comments 9. ADDITIONAL REQUIREMENTS OF THE 2003 INTERNATIONAL FIRE CODE MAY APPLY PER TENANT OCCUPANCY AND USE. 10. ALL EXIT DOORS SHALL HAVE FIRE/PANIC HARDWARE INSTALLED PRIOR TO THE FINAL INSPECTION. 11. 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 FIRE MARSHALS FINAL INSPECTION. 12. BUILDING WILL REQUIRE A FINAL INSPECTION BY THE FIRE MARSHALS OFFICE. ---------------------------------------------------------------------------- Fee summary Charged Paid -------------------- Credited Due -------------------- ----------------- Permit Fee Total 45.00 45.00 .00 .00 Grand Total 45.00 45.00 .00 .00 Si4nature of contractor or ized accent Date Date M h 08/03/2012 09:43 71394 7 GULF STATES PL NG PAGE 01/02 PLRNUr APPLICATION City of La Porte Established 1892 281-470-5073 B>�lldlns / Mechanical "fillMUMBl •p�gy *(See back of TcM) Lddrtss: 13c+o _1^1 1'A11: o'�%ON r /� i�YLoa Block: O 'sName: K�20I A2 Phone: Address>9?_ 4 S Q/fyilJ MtMnE? �� _ Sy, Z: f fj 71 /Zs ?� Addmw 410 V- 70 rt 11 Sted city Zp Contractor Email address ', Gi*�6inG 80 ContactPcM OIv/j i i Bonding Sq. Footage: # vahmticn: Describe: wotic + OF AppgoM ALL AMWABLE Fg i CANTS SIGNATI 'tom"'— D Z. -1 -� Al CANTS PRll1rr'ED NA_MFy [,,Yf-" �J 6114N,SS -For CityUse Only OxupanryType-Flood Zanc Class work S9 Ft Construction Type Use Zane # Stories Parking Reg Lest use of Eluildm& Date use ceased: Commc=al Buildings Plans Qjy-Fire Marshal Approval Date Cbeoke&Approved for Issuance: BY• Date CE Special Canditions- Taxes Residential driveway tio-in fee: aQW. zone Fz ewRo# anCecFeeFoe: 09:43 71394"'0'7 GULF STATES PL-.--t4G PAGE 02/02 COMPI= THUS SECTIONFORELECIMCAL PERMM;: : MINIMUM CHARGE ON PERMITS) IS S2t1.00 Description �� Charws (unary Fees PERMTI' ISSUE FEE $7.50 Ouilett, Fixtures,1.4 t& & Switches (1° 5 - Flat fee) $ 3.00 Above Items (All Others) $ 0.60 each CIGUM Washer/ Dyer $ 2.00 each Range Receptacle S 3.00 each Cook Top or Oven S 1.50 each A/C, Window Uoit Receptacle S 3.00 each Water Heater $ 3.75 each I?lshwashcr/GarbapDispcsal $ 1.50C=b Meier Loop & Service i chdos Temporary cta-tn) $15.00 each Ionnecdoti Te Tmmy Ssw Pole (T pole) $15.00 each I of Service S 15.00 each R ' Ispectionee S35.00 each 1. ( MO' RS: 4 f Up xi but net 'incnng 1/ hP $ 1.50 each I �/� and Leas than 10 hp 10&upto50bp $ 2 50 each S3.50each 501i1p and up $ 4.50 each _L Total Fee COMPL= THLS SECTION FORPLUMBING PERMITS NOTE: 11IAVIIrIUM CHARGE ON PI RNffT(S) IS $20.00 Description Charges Quantity Fees PERMIT ISSUE FEE $15.00 $15.00 Fnctucv/Dreias raps S 3.75 each -� Sewer (New. Repmr, or Replacement) $ 7.50 each Seppc Tmk/Secpage Pit/Drain Fold $15.00 each Wa1<rHeater $ 3.75 each Gas Piping System (1-4 mulets, Jlatfee) $ 7.50 Gas�ii g System (over 4 malefs-each) $ 1.50 each Instollation, Alteration or Repair o water : g tmd'or Water $ 7.50 eaeb ' Alteration-LheiaorVent $ 7.S0each Ven,um Htealo=IBackflow Protection One (1-5) S 3.75 each 0� (over 5) S 2.25 each Rd on.Fer $35.00each Total VOW Phmft RwW4-1N5rrtIWN5 1)MS";&ZPWfi"TM9 Pvv AMIdm Jennings, Sherry From: Jennings, Sherry Sent: Friday, August 03, 2012 10:32 AM To:'john.bames@gulfstatesplumbing.com' Subject: permit Attachments: 20120803102741187. of Attached. Thank you for your business! l Sherry Jennings, Office Coordinator City of La Porte 281- 470- 5072 281-470- 5005 (fax) ]enningss@laoortetx.gov City of La Porte 604 W Fairmont Pkwy La Porte, Tx 77571 (281)470-5073 INSPECTION LINE:(281)470-5130 ****SIGN PERMIT**** ---- ----------------------------------------------------------- Application Number . . . . . 12-00001180 ----------- Date 8/02/12 Property Address . . . . . . 1300 W FAIRMONT PKWY HCAD Number: 118-986-000-0001 Application type description MISCELLANEOUS Subdivision Name . . . . . . KROGER-FAIRMONT PARKWAY CENTER Property Use . . . . . . . . Property Zoning . . . . . . . COMM - GENERAL Application valuation . . . . 1300 ---------------------------------------------------------------------------- Type of Work STARBUCKS SIGNS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KROGER CO BARKER SIGN CO 19245 DAVID MEMORIAL DR STE A 235 W TURBO DR. SHENANDOH TX 773858776 SAN ANTONIO TX 78216 (281) 492-6581 ---------------------------------------------------------------------------- Permit . . . . . . BLDG PERMIT -SIGNS Additional desc . . INSTALL TWO (2) SIGNS Permit pin number . 414664 Permit Fee . . . . 27.50 Plan Check Fee 13.75 Issue Date . . . . 8/02/12 Valuation . . . . 1300 Expiration Date . . 1/29/13 Qty Unit Charge Per Extension BASE FEE 20.00 1.00 7.5000 THOU BLDG - 1,001 - 50,000 7.50 ---------------------------------------------------------------------------- Special Notes and Comments July 30, 2012 4:30:24 PM lapovfl. 1. SIGN IN ACCORDANCE WITH ENGINEERED DESIGN. 2. NO PART OF SIGN IS ALLOWED IN UTILITY EASEMENT. 3. SEPARATE ELECTRICAL PERMIT REQUIRED. 4. CALL FOR CITY INSPECTIONS. 5. IN ACCORDANCE WITH S. 106-871, NO SIGN OR SIGN PART MAY HAVE LIGHTS WHICH FLASH, MOVE, OR ROTATE, ETC. NO BEACON LIGHT MAY BE PLACED ON OR MADE PART OF ANY SIGN. 6. CALL FOR UTILITY LOCATES @ 1-800-699-8344 FOR HL&P ENTEX S, AND CITY OF LA PORTE WATER AND SEWER LOCATES AT (281)471-9650. ---------------------------------------------------------------------------- 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 ****SIGN PERMIT**** ---------------------------------------------------------------------------- Page 2 Application Number ---------- . . . . . 12-00001180 -------------------- Date 8/02/12 ---------- ----------------- Permit Fee Total 27.50 27.50 .00 .00 Plan Check Total 13.75 13.75 .00 .00 Grand Total 41.25 41.25 .00 .00 ------------ ----- - -- - ------------- eit Signature of contractor or authorized ag ent Date Approved by Building Official or authorised agent zL2j IZ Date ✓r -'III 12 PERMTT APPLICATION .' City of La Portffl JUL �k?t hed 1892 281-470-5073 1 .v Buildin l Mechanical *Electrical *Plumbing *(See back of form) Street City Zip Contractor: )ca/ .5! 9 f] S Phone:,?Y/. •% S e I Address: "--)go( street City zip 1,,,, Contractor Email address: K � - n ow (i kV( ontact Person: L/OtV/� Soli TRCC registration # on all new Single Family Dwellings or remodels over $10,000-TRCC # Building Use: E►foce� -s�(-e- (Kroc�Sq. Footage: # Stories 2 OU ''WJ` Valuation: -5 I3,90 Describe Work: //)Sta�I T(L70 L) 9 AP-PLICArM PRINTED NAME zipilf a ?Q /1 FoyCity Use Only Occupancy Type �" � Flood Zone— Construction ++``r //_ _ Class Work S q h Sq. Ft /V Conswction Type � Use zoned # Stories-4ZA—Parking RN-4&ZI Last use of Building C O &" A,& IN f Date use ceased: Commercial Buildings Plans Only -Fire Marshal Approval Date �ZZA Checked/Approved for Issuance By: ..1 t&4,4d. ?—IL222- Date -7^ ' I CE:—n t/—Special Permit No. 1a 1 I $O Permit Sign Permit Notes 1. Sign in accordance with engineered design. 2. No part of sign is allowed in utility easement. 3. Separate Electrical permit required. 4. Call for city inspections. 5. In accordance with S. 106-871, no sign or sign part may have lights which flash move or rotate etc. No beacon light may be placed on or made part of any sign. 6. Call for utility line locates @ 1-800-699-8344 (Gas and Electric) and City of La Porte water and sewer locate at (281) 471-9650. /F TpMTT p0 Fqpp% VTOrea Fk Q p kFN/S�C RTpfi V��"q `c ORpi 48" WALL SIGN QTY-2 Front View sxc2Fsc.moxs: m r. r:,,. aq. yiaapa atu=.xr saemam ana wc� sav rn:c daa i�NA�[. faes m K 11C�..+ xkm xrvk. 1•.a+, dx. Tm[ap nl'sywrt MN scnxt'naT �q. p w Im m w 1v i 1. N earsA,mx Smm!cN wryl u .ov w&d Mk *a menlpaurn.LWoa SWwAv W WB 0P364YNrWm . e mbmq ivrtm90 firnMtdcbrt' �xkkIIDYFWIN m Wrx d Cak Nw uTr f 9mYN l�nJ W' Vo+r�iN meM n nNv Nq/ Om gtpn m p rM six! bsYivz wag oouffi EVOLVED ag•..re,,.„, 125 in THE INTENT OF THIS DRAWING IS TO SHOW A CONCEPTUAL REPRESENTATION OF THE PROPOSED SOVM- DIE TO VARIATIONS W PRINTING DEVICES AND SUBSTRATES, THE FINISHED PRODUCT MAY DIFFER "MY FROM DRAWING. a JOB NAME NAME: STARBUCKS�DATE: 7-1&127-1&12 LOCATION: KROGER 321MUHWM KROGERFACR.RY HOUSTOHTS REV. DATE - LED Detail C7 wwur,ne�,c f3yR 3 I/2'1asm.,r 3 3r4•tssmmt 0� O ASectio�— W� Maaaain rrnamwnmuwemvux�s�araowwa.xowroreEaormr�.mr®.cem�®eunwaaYonn�raca®rrwarwrrno®awraarrtmnwr. o�arwo�.asx+i Kroger SW-319 APPROVED By Kelly Gorman at 1:21 pm, May 29, 2012 EVOLVED logo approved as shown 00 0 0 0 0 0 0 0 00 0 KROGERIr -- _ --- -__ -- r —i 00 0 0 O 148" Starbucks • EVOLVED logo 0 —_— approved as shown 1 7- I� 01, A& M AL OW= " 1 7 I 1300 r I I 1450 aI so 4 Legend ParWs C4 L.mft R.ft.d VV FAIRM 61 " City of La Porte 1 100' 604 W Fairmont Parkway LaPorte TX 77571 4-a Porte G I S Map--'ng (281) 471-5020 www1aportetx.gov Capstin, Mystle From: Karen Patterson [klpatterson@barkersign.com] Sent: Friday, July 27, 2012 10:12 AM To: Capstin, Krystle Subject: RE: Please send your sign application and specs here Attachments: 20120727102037. pdf Hi, Krystle I think this is what you need! Thanks again and Happy Friday to you too! Karen Patterson Barker Signs 2906 Greenhouse Rd. Houston, Texas 77084 281-492-6581 281492-6597 (fax) klpatterson@barkersian.com r/' Ilark+er Sig>rts From: Capstin, Krystle jmailto:CapstinK(a�laportetx.govl Sent: Friday, July 27, 2012 8:50 AM To: Karen Patterson Subject: RE: Please send your sign application and specs here The building insurance is current through 12/12/12. J Having said that, in order for you to install the sign electrically and get your electrical permit, I will either need a copy of the master electrician's license who works for you or the subcontractor information you use to do the electrical install. Does that make sense? I am submitting your plans now for review, and we will let you know once the building permit is ready for issuance. If you have any questions please feel free to call me at 281-470-5078. Happy Friday! Respectfully, Krystle Capstin "It's better to light a candle than curse the darkness. "Eleanor Roosevelt From: Karen Patterson f mailto:klpatterson a barkersian.coml Sent: Friday, July 27, 2012 8:40 AM To: Capstin, Krystle Subject: RE: Please send your sign application and specs here Krystle, Thank you so much for all of your help. Attached are the permit applications and drawings. I'm not sure if are license is current or if we need to renew. Please just let me know if there is anything else you need from me. Thanks again, karen Karen Patterson Barker Signs 2906 Greenhouse Rd. Houston, Texas 77084 281-492-6581 281-492-6597 (fax) klpattersonno barkersing com From: Capstin, Krystle rmailto:CapstinKRlaportetx.govl Sent: Friday, July 27, 2012 8:28 AM To: Karen Patterson Subject: Please send your sign application and specs here 3 Respectfully, Krystle Capstin Customer Service Tech The City of La Porte P (281)470-5078 F (281)470-5005 "No one can make you feel inferior without your consent. "Eleanor Roosevelt m . �nL JUL 2 7 2012 ©Vraperty OescripNon Inquiry - City otiaporte .-.._--..-----.------_.-- -, FUe Edtl Commands Hvip {�} SUMOAND PUBLIC SECTOR Net9ice Y 2'' Y ✓ I VCR �W—AUNess a�me+tnam_ Property Description Inquiry Location ID: HCAD.Number: Alternate Search Method: Location address: Primary related party: 35448 110-986-000-0001 1300 WFAIRMONT PKWY KROGER CO MAN L City of La Porte 604 W Fairmont Pkwy La Porte, Tx 77571 (281)470-5073 INSPECTION LINE:(281) 470-5130 ****ELECTRICAL PERMIT**** ---------------------------------------------------------------------------- Application Number . . . . . 12-00001198 Date 8/02/12 Property Address . . . . . . 1300 W FAIRMONT PKWY HCAD Number: 118-986-000-0001 Alternate Search Method: Application type description ELECTRICAL ONLY Subdivision Name . . . . . . KROGER-FAIRMONT PARKWAY CENTER Property Use . . . . . . . . Property Zoning . . . ------------------------------------------- . . . . COMM - GENERAL -------------------------------- Type of Work e.1ec for sign ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KROGER CO BARKER SIGN CO 19245 DAVID MEMORIAL DR STE A 235 W TURBO DR. SHENANDOH TX 773858776 SAN ANTONIO TX 78216 (281) 492-6581 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . ELEC FOR SIGN Permit pin number . 414680 Permit Fee . . . . 37.50 Issue Date . . . . 8/02/12 Valuation . . . . 0 Expiration Date . . 1/29/13 Qty Unit Charge Per Extension BASE FEE 7.50 2.00 15.0000 EA EL - RE -CONNECTION FEE 30.00 ---------------------------------------------------------------------------- Special Notes and Comments July 30, 2012 4:34:45 PM lapovfl. ELEC FOR SIGN ---------------------------------------------------------------------------- Fee summary Charged ---------- Paid Credited -------------------- Due ---------- ----------------- Permit Fee Total 37.50 37.50 .00 .00 Grand Total 37.50 37.50 .00 .00 ------- — ----- ---- ----------------------------- —---------- -------------------------- gLv Signature of ontractor or orized Agent Date C ---------------------- - - Data 11 Approved by Building Official or uthorized Agent Date PERMTI' APPLICATION City of La Porte 281-470-5073 JI EOE�VE Established 1892 JUL 2 7 2012 BY.------ Building Mechanical *Electrical *Plumbing *(See back of form) Owner's Name: s-10/ bae, (S Phone: ! 13 ' -` r7-7' Address: 1300 1 / rylp� —261JLujp, -,' Street city Zip Contractor: �(Ii O/ S/ �/IJ` phone:28% Address: Z9n(o 1i-7`20YY Street City Zip Contractor Email address: �G�Cr>t�`/501I� (�%S�� ax Z Af• �%Qa •(o59'! Contact Person: (ALI On TRCC registration # on all new Single Family Dwellings or remodels over $10,000-TRCC # Valuation: Sq. Footage: # Stories to.__.. . /CO4r - For City Use I Occupancy Type Flood Zone Construction Type Use Zone Class work Sq. Ft- 4 Stories Parking Req Last use of Building Date use ceased: Commercial Buildings Plans On -Fire Marshal Approval Date Checked/Approved for Issuance CE Special Taxes HCAD Residential driveway tie-in fee: ,7 Park1 ew Res. : Zone # Fee:T PetmitNo.19-1 QO Permit Fee 5� Plan Check Fee: S-.CMmevacpeceomla]deMMkvy,QoO VM8.dDC JUL 17 20Q R( COWIME'IMSSEMONFORMCAL PEEK=:: � Off: CHARGE ON PS 'ipis $20AD Desc4tion fli 1� Qaaufty Fe:S PERMIr ISSUE FEE $7.50 Z S750 Oa6ctr, Fbdnrc.s. Ligbts & Switches (1� 5 — Fiat fie) $ 3.DD Abova Items (All Oth=) .60 each C flans Warped Dryrr $ 2.00 each Range RecTwk $ 3.00 each Cook Top or Oven $150 each A/C, Window Unit Recgta cle $ 3.DO each Water Heater $ 3.75 mffi Dislrwasb=dC%mbage Disposal $150 each Meter LooP & SM -Vi= (i =bulea Temporay cut-4 $15.00 cacti Temporary Saw Pole Cr Pole) $15.00 each " Reconnecdcm of Service $15.OD each RcbwDction Fee $35.DD each MOTORS: up tv bat net incln&n Yz by $15D each Y, by and less than 10 bp $ 250 each 10 by & rap to 50 by $ 3.50 each 50 by and lip $ 450-each oa Tofal F� •1 r al. 1 1• 1 .1: 1 r• a: ,1 1M: • rl' . A1. ,1 1. ':I poll PERMrr ISSUE FEE SL5.00 1 1 Smer (New, :.r.n r 1 c rl / r 'n. 11 caffi r• r ach r.. . rr •' an r . 1 .1_ .: I at m Aram - cm or Rep* ofWaler PTmg and/or Water Ticatiog Eqatmznt1 each — RcpHldAb=6rm 1 ran or an S 7.5D v Each Vaumm. BreakeDSackEbw PruWcdarL Eachli' rl 1u (Over City of La Porte 604 W Fairmont Pkwy La Porte, Tx 77571 (281)470-5073 INSPECTION LINE:(281) 470-5130 ****ELECTRICAL PERMIT**** ---------------------------------------------------------------------------- Application Number . . . . . 12-00001107 Date 7/31/12 Property Address . . . . . . 1300 W FAIRMONT PKWY HCAD Number: 118-986-000-0001 Alternate Search Method: Application type description REMODEL, RETAIL STORE/CUSTOMER SERVICE Subdivision Name . . . . . . KROGER-FAIRMONT PARKWAY CENTER Property Use . . . . . . . . Property Zoning . . . . . . . COMM - GENERAL ---------------------------------------------------------------------------- Type of Work addition of Starbucks inside Kroger ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KROGER CO MID -CON CONTRACTORS, INC. 19245 DAVID MEMORIAL DR STE A 11799 FM 1485 SHENANDOH TX 773858776 CONROE TX 77306 (936) 231-1300 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . ELEC FOR STAR BUCKS Permit pin number . 414763 Permit Fee . . . . 21.75 Issue Date . . . . 7/31/12 Valuation . . . . 0 Expiration Date . . 1/27/13 Qty Unit Charge Per Extension BASE FEE 7.50 1.00 3.0000 EA EL - OUTLETS,SWITCHES (1ST 5) 3.00 5.00 .6000 EA EL - OUTLETS, SWITCHES (OTHER) 3.00 1.00 3.7500 EA EL - WATER HEATER 3.75 3.00 1.5000 EA EL -MOTORS UP TO NOT INC. 1/2H 4.50 ---------------------------------------------------------------------------- Special Notes and Comments July 25, 2012 4:00:00 PM LAPOVFL. 1. ALL WORK MUST COMPLY WITH THE APPROVED PLANS, INSPECTIONS. 2. OWNER/CONTRACTOR RESPONSIBLE TO COMPLY WITH TEXAS ACCESSIBILITY STANDARDS (TAS). 3. THIS PERMIT FOR THE ADDITION OF STAR BUCKS KIOSK. 4. SEE ATTACHED COMMERCIAL PLAN REVIEW NOTES FOR ADDITIONAL INFORMATION AND REQUIREMENTS. 5. SEPARATE ELECTRICAL, PLUMBING AND MECHANICAL PERMITS REQUIRED. 6. ANY NEW OR PROPOSED SIGNAGE REQUIRES I1 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 . . . . . 12-00001107 Date 7/31/12 ---------------------------------------------------------------------------- Special Notes and Comments A SEPARATE SIGN PERMIT BEFORE INSTALLING ANY SIGNAGE. 7. CALL FOR INSPECTIONS BEFORE ANY WORK IS COVERED. 8. ANY CHANGES TO THE APPROVED SET OF PLANS OR APPROVED SCOPE OF WORK MUST BE APPROVED BY THE INSPECTIONS DIVISION PRIOR TO COMMENCING CHANGES IN THE FIELD. 9. ADDITIONAL REQUIREMENTS OF THE 2003 INTERNATIONAL FIRE CODE MAY APPLY PER TENANT OCCUPANCY AND USE. 10, ALL EXIT DOORS SHALL HAVE FIRE/PANIC HARDWARE INSTALLED PRIOR TO THE FINAL INSPECTION. 11. 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 FIRE MARSHALS FINAL INSPECTION. 12. BUILDING WILL REQUIRE A FINAL INSPECTION BY THE FIRE MARSHALS OFFICE. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ------------------------------ --------------------------- Permit Fee Total 21.75 21.75 .00 .00 Grand Total 21.75 21.75 .00 .00 -------- -- -- ----------------------------------------------------- A - ------------------------- -- Sig tur ntractor or Authorized Agent Date roved by Building Official or Authorised Agent Date PERNM APPLICATION City of La Porte Established 1892 281470-5073 Building Mechanical *Electrical *Plumbing *(See back of form) Project Address: ISoo V*--T:: AI9M[0r Opp-o&-e Lot. Owner's Name: rt2-0Q4-P— Phone: 7/5'5107 • Y'92.s Address: 19246 (')9yrD /11,nmoP1AL k S{{gNAD044 Tx 77 Zas Street City Zip Contractor._ Phone: 7/3 • 5o7• 'A$ 25 Address: f 1-1 44 E=/4 l'k j S —M 3 0 �g Street City Zip Building Use: Sq. Footage: # Stories Valuation: Describe Work::27apSucrs 1N-rMUA-rtoN For City Use Only Occupancy Type Flood Zone Class Work Sq. Ft Construction Type Use Zone # Stories Packing Reg Commercial Buildings Plans Q&-Fire Marshal Checked/Approved for Issuance By:. CE: Special Taxes Residential driveway tie-in fee: Perrmt No. I D.-1 [` 61 Permit Fee a i.? 5 Plan Check Fee:_ S:\CPSi;; V.p t.wa \BldgPamitAPp102505,ioc COMPLETE THIS SECTION FOR ELECTRICAL PERMITS:: NOTE:. MINIMUM CHARGE ON PERMIT(S) IS $20.00 Description Charges Quantity Fees PERMIT ISSUE FEE $7.50 ile $7.50 Outlets, Fixtures, Lights & Switches (1° 5 - Flat fee) $ 3.001 3 • ^' Above Items (All Others) .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 $ 1.50 each Meter Loop & Service (includes Temporary cut -in) $15.00 each Temporary Saw Pole (T Pole) $15.00 each Reconnection of Service $15.00 each Reinspection Fee $35.00 each MOTORS: Up to but not including %z hp $ 1.50 each 3 4 •�O %z hp and less than 10 hp $ 2.50 each 10 hp & up to 50 hp $ 3.50 each 50 hp and up $ 4.50 each Total Fee COMPLETE THIS SECTION FOR PLUMBING PERMITS NOTE: MINIMUM CHARGE ON PERMIT(S) IS $20.00 Description Charges Quantity Fees PERMIT ISSUE FEE $15.00 $15.00 Fixtures/Drains/Traps $ 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/Backtlow Protection Each One (1-5) $ 3.75 each Each One (Over 5) $ 2.25 each Reinspection Fee $35.00 each Total SACPSIaroUNSPEMON DIVISIONuaepectio \Bldg Permit Appl side2112805.doc 0 r x TEXAS DEPARTMENT OF LICENSING AND REGULATION P.O. Box 13489 Austin, TX 78711 / The Mission of Texas State Government Texas state government must be limited efficient, and completely accountable. It should foster opportunity and economic prosperity, focus on critical priorities, and support the creation of strong family environments for our children. The stewards of the public trust must be men and women who administer state government in a fair, just, and responsible manner. To honor the public trust, state officials must seek new and innovative ways to meet State Government priorities in a fiscally responsible manner. Visit us on the web at: http://www.license.state.tx.us For assistance contact Customer Service customer, service na license.state.tx.us (512)463-6599 (800) 803-9202 (statewide toll free) 90 JAMES M KUYKENDALL PO BOX 690547 HOUSTON, TX 77269-0547 The Texas Department of Licensing and Regulation's vision is to be the model state agency, setting the standard for customer service, cost effectiveness, staff efficiency and public trust. This new thermal card is an example of TDLR's commitment to provide you, our customers, with better service. The card's new look is in response to our licensees' feedback as well as a recent increase in postal rates. They requested a card that is easier to read. With approximately 150,000 license cards issued annually, we sought to offset the postage increase with a cost -wise card. This has provided a "win -win" answer, a more durable, easier to read license with lower production costs that allows the agency to stay within its budget. The thermal wallet card attached below is your license effective through the specified expiration date. We welcome your comments about the new card. Sincerely, William H. Kuntz, Jr. Executive Director STATE OF rFrA5 JAMES M KUYKBIDALL LICENSE NUMBER 11675 EXPIRES 04/13/2013 TEXAS DEPARTMENT OF LICO N6aND AND REGULATION City of La Porte 604 W Fairmont Pkwy La Porte, Tx 77571 (281)470-5073 INSPECTION LINE:(281) 470-5130 ****BUILDING PERMIT**** ---------------------------------------------------------------------------- Application Number . . . . . 12-00001107 Date 7/26/12 Property Address . . . . . . 1300 W FAIRMONT PKWY HCAD Number: 118-986-000-0001 Application type description REMODEL, RETAIL STORE/CUSTOMER SERVICE Subdivision Name . . . . . . KROGER-FAIRMONT PARKWAY CENTER Property Use . . . . . . . . Property Zoning . . . . . . . COMM - GENERAL Application valuation . . . . 150000 ---------------------------------------------------------------------------- Type of Work addition of Starbucks inside Kroger ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KROGER CO MID -CON CONTRACTORS, INC. 19245 DAVID MEMORIAL DR STE A 11799 FM 1485 SHENANDOH TX 773858776 CONROE TX 77306 (936) 231-1300 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . WOOD FRAME Occupancy Type . . . . . . BUSINESS Other struct info . . . . . FLOOD ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BLDG PERMIT -COMMERCIAL REMODEL Additional desc . . ADD STAR BUCKS INTO KROGER Permit pin number . 414227 Permit Fee . . . . 912.50 Plan Check Fee 456.25 Issue Date . . . . 7/26/12 Valuation . . . . 150000 Expiration Date . . 1/22/13 Qty Unit Charge Per Extension BASE FEE 687.50 50.00 4.5000 THOU BLDG - 100,001 - 500,000 225.00 ---------------------------------------------------------------------------- Special Notes and Comments July 25, 2012 4:00:00 PM LAPOVFL. 1. ALL WORK MUST COMPLY WITH THE APPROVED PLANS, INSPECTIONS. 2. OWNER/CONTRACTOR RESPONSIBLE TO COMPLY WITH TEXAS ACCESSIBILITY STANDARDS (TAS). 3. THIS PERMIT FOR THE ADDITION OF STAR BUCKS KIOSK. 4. SEE ATTACHED COMMERCIAL PLAN REVIEW NOTES FOR ADDITIONAL INFORMATION AND REQUIREMENTS. S. SEPARATE ELECTRICAL, PLUMBING AND MECHANICAL PERMITS REQUIRED. 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 . . . . . 12-00001107 ---------------------------------------------------------------------------- Date 7/26/12 Special Notes and Comments 6. ANY NEW OR PROPOSED SIGNAGE REQUIRES A SEPARATE SIGN PERMIT BEFORE INSTALLING ANY SIGNAGE. 7. CALL FOR INSPECTIONS BEFORE ANY WORK IS COVERED. 8. ANY CHANGES TO THE APPROVED SET OF PLANS OR APPROVED SCOPE OF WORK MUST BE APPROVED BY THE INSPECTIONS DIVISION PRIOR TO COMMENCING CHANGES IN THE FIELD. 9. ADDITIONAL REQUIREMENTS OF THE 2003 INTERNATIONAL FIRE CODE MAY APPLY PER TENANT OCCUPANCY AND USE. 10. ALL EXIT DOORS SHALL HAVE FIRE/PANIC HARDWARE INSTALLED PRIOR TO THE FINAL INSPECTION. 11. 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 FIRE MARSHALS FINAL INSPECTION. 12. BUILDING WILL REQUIRE A FINAL INSPECTION BY THE FIRE MARSHALS OFFICE. ---------------------------------------------------------------------------- Fee summary Charged Paid -------------------- Credited Due ---------- --------------------------- Permit Fee Total 912.50 912.50 .00 .00 Plan Check Total 456.25 456.25 .00 .00 Grand Total 1368.75 1368.75 .00 .00 ------------ ----- - -- ----------------------------------------------- -----------�-0�2 ------------------------ (SIGNAT E OF CONTRACTOR 0 A THORIZED AGENT) DATE (APPROVED BY BUILDIN F IAL R AUTHORIZED AGENT) DATE NPERMIT APPLICATIOlf r ' City of La Porte Established 1892 1 o�" 281-470-5073 ti Building_ Mechanical *Electrical 41urn *(See back of form) Project Address: /J 00 a /jl- •( Subdivision:� Owner's Name: Phone: Address: q L[ , u / d lyle.n � � iv l clr 5i9r� a rcc(o � Tx 77��s Street City Zi a"2 Contractor: ovL —Phone: Address: // 7 FM //Y 92C 7734`9G Street City Zip Contractor Email address: T ✓/J nl Zo ,Fax: Contact Person: Engineer. "149 i f 1 J Occupancy Type Construction Type__:V— Last use of Building �` R St n 7� - rn Commercial limldings Plans QWy- �Q VR:�►PC10.1 7 Flood Use Zone_�(2 C Sq. Footage: % ©, 24!� # Stories l Describe Class N_ Sq. FteJ iA # Stories Parking Req t ! Ji Marshal Approval -L' (. � C M use ceased: N A Checked/Approved for Issuance By: L /✓� Date��2 CE:T4 Special Conditions: A d J A r ra e e J r /a F` 3 /i " r `- Taxest* Permit No. IL - I 1 0 _+ Permit E Check COMPLFL� SECTION FOR ELECTRICAL NOTOMM M CHARGE ON PERMU(S) ] Description Charges Quantity Fees PERMIT ISSUE FEE $7.50 Outlets, Fixtures, Lights & Switches (1a 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 $ 1.50 each Meter Loop & Service (includes Temporary cut -in) $15.00 each Temporary Saw Pole (T Pole) $15.00 each Reconnection of Service $15.00 each Reinspection Fee $35.00 each MOTORS: Up to but not including % hp $ 1.50 each /2 hp and less than 10 hp $ 230 each 10hp&up to50hp $3.50each 50 hp and up $ 450 each Total Fee $7.50 iTS:: 0 COMPLETE THIS SECTION FOR PLUMBING PERMITS NOTE: bIINIMUM CHARGE ON PERMTT(S) IS $20.00 Description Charges Quantity Fees PERMIT ISSUE FEE $15.00 Fixhues/DraiustTraps $ 3.75 each Sewer (New, Repair, or Replacement) $ 7.50 each Septic Tank/Seepage Pit/DtainField $15.00 each Water Heater $ 3.75 each Gas Piping System (1-4 outlets, flatfee) $ 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 Fach One (Over 5) $ 2.25 each Reinspection Fee $35.00 each Total 15.00 SACK Pl�mg Shffid04-DISPECnONSDIVLSION17aspcc6=\BldgPamrt Appl.doc PERMIT -NOTES. 1300 W. FAIRMONT PKWY 1. ALL WORK MUST COMPLY WITH THE APPROVED PLANS, INSPECTIONS. 2. OWNER / CONTRACTOR RESPONSIBLE TO COMPLY WITH TEXAS ACCESSIBILTY STANDARDS (TAS). 3. THIS PERMIT FOR THE ADDITTION OF STARBUCKS KIOSK 4. SEE ATTACHED COMMERCIAL PLAN REVIEW NOTES FOR ADDITTIONAL INFORMATION & REQUIREMENTS. 5. SEPARATE ELECTRICAL, PLUMBING & MECHANICAL PERMITS REQUIRED. 6. ANY NEW OR PROPOSED SIGNAGE REQUIRES A SEPARATE SIGN PERMIT BEFORE INSTALLING ANY SIGNAGE. 7. CALL FOR INSPECTIONS BEFORE ANY WORK IS COVERED. 8. ANY CHANGES TO THE APPROVED SET OF PLANS OR APPROVED SCOPE OF WORK MUST BE APPROVED BY THE INSPECTIONS DIVISION PRIOR TO COMENCING CHANGES IN THE FIELD. 9. ADDITTIONAL REQUIREMENTS OF THE 2003 INTERNATIONAL FIRE CODE MAY APPLY PER TENANT OCCUPANCY AND USE. 10. ALL EXIT DOORS SHALL HAVE FIRE / PANIC HARDWARE INSTALLED PRIOR TO THE FINAL INSPECTION. 11. 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 FIRE MARSHALS FINAL INSPECTION. 12. BUILDING WILL REQUIRE A FINALINSPECTION BY THE FIRE MARSHALS OFFICE. © Property Description Inquiry - City of to Porte File Edd COMMC5 Help 'NRQWW'✓�+f K bFrTOR e-r• �u Property Description Inquiry Location ID: 35440 HCAD Number: 118-986-0013-0001 Alternate Search Method: i Location address: 1300 W FAIRMONT PKWY CLP 1 Primary related party: KROOER CO I I �/ ox YE { Cancel AQNess Relalell 11. ry- UCGER-FAIRM1U PA Y CHA ER r'w) TEXAS DEPARTMENT OF STATE HEALTH SERVICES Be it %fawn that R4TCRO ANALYTICAL SERVICES INC is certified w perfonn as a Asbestos Laboratory PLM, PCM in the State of Texas within the purview of Texas occupations Code, chapter 1954;' so long as this license is not suspended or revoked and is renewed according to the rules adopted by the Texas Board of Health. � 'Eduardo,?. Sand, �t D., 5V RM Conuni uioner afNeaah G icen.vc jNronber. 300341 Effective (Data 1426/2006 Vol[) IF ALTERED Control Number: 01210 Expiration tDate: 1/25 008 eVbidflfter Eq*d*n'Date) NON-TRANSFERA AB Project Reprint Conf ion Page Page I of I EABPRJB2816778 Texas Department of Licensing and Regulation Architectural Barriers Project Registration Confirmation Page Monday, July 23, 2012 EABPRJB2816778 PERSON FILING FORM Name: Dennis Wong Phone: 713-907-5701 Person Address: 19245 David Memorial Drive, Shenandoah, tx 77385 Ras Number. Project Name: Sw-319 Kroger/Starbucks Project Address: Kroger 1300 Fairmont parkway LaPorte, TX 77571 County: hams TENANT Contact Name: Phone: Contact Address: BUILDING/FACILITY Name: Kroger FACILITY Owner. kroger Company Phone: 713-507-4825 Owner Address: 19245 David Memorial Drive, Shenandoah, Tx 77385 Contact Name: Dennis Wong Phone: Contact Address: Contact Email: DESIGN FIRM Name: Starbucks Phone: 206-318-1575 Firm Address: 2401 Utah Avenue South, seattie, wa 98134 Designer Name: Emai: Type of License: Other License Number: PROJECT DESCRIPTION Start Date: 08/2012 Completion date: 08/2012 Estimated Cost: $150,000.00 Type of Work: Renovation/Alteration Type of Funds: This project Is privately funded, on private land for private use. Are the private funds provided by a tenant? No State Lease No. : Scope of Work: Add a Starbucks Coffee Kesk In the store Does this buildings) have more than one level? Yes Are there any elevators, escalators, or platform lifts In this building? Yes Are there any boiler in this building? No This AB Project registration Confirmation Page, construction documents, and applicable fees must be submitted In accordance with the Texas Administrative Code Chapter 68, Rule 68.51, If TOLR will be performing the review or inspection services, see Rule. 68.80. If a RAS will be performing the review or Inspection services, please contact the PAS as they set and collect their own fees, see Ru 68.75. In accordance with Rule 68.52, the owner of a building or facility must also obtain an Inspection from the department or a registered accessibility specialist not later than the first anniversary of the completion of construction. Request for Inspection shall be made by completing the Request for Inspection form and submitting it no later than 30 calendar days after the completion of construction. JUL z zotiz https:/hvww.license.state.t..uslABProjectRegistrationOnl inelABProjectPrintConfirmation.... 7/23/2012 Menager, Dwayne From: Manager, Dwayne Sent: Wednesday, July 18, 2012 10:54 AM To: 'texasmidcon@aol.com' Cc: Huber, Mark; Fitch, Dennis; Ramos, Mario Subject: 1300 W. Fairmont Starbucks Attachments: Asbestos Handout .pd; Insurance requirements pdf.pdf; City of La Porte Adopted Codes.pdf Mr. Walters, We have reviewed your construction drawings on the proposed Starbucks Kiosk for code compliance and the following items must be resolved or addressed before a building permit can be issued. Once you have revised your plans please submit as a complete package in duplicate and provide a written response to each plan review comment noted below. 1 -E=u!dnfiuU-&i�plaRs,(2-sets)-T•he-8ii*4flans-submitted#er-f iewareto-s thand legible' 2 cvey4scequiced4E)r-t ;�ip.wWsh-the soRstfusHoR-avil4ake-pIeee.-(5ee- .aLtacke+handont)- 3. P arr tc rearms a ��. :itka Y#� t of licensing end Registration (fiBti2rfdr kcal Rarriarc a�bifity-eomplianee-Pf"de-pFejeet-regiAFa,tiGn-eoarmatioR-page roje4G� s ee . . --ttst-tire-eiFy-e1:L•a-Pek-e-adGpted xnda__ _oa•.he-p!ans (Se ettashed))- 6. Provide a current insurance certificate listing the City of La Porte as a certificate holder. (See attached Insurance requirements handout) Please note these plan review comments are preliminary only pending the fire marshal's office plan review comments which I will forward to you as soon as I receive them. Respectfully, Dwayne Menager Chief Inspector City of La Porte Inspections Division 281-470-5070 Menager, Dwayne . From: Menager, Dwayne Sent: Wednesday, July 18, 2012 9:02 AM To: Meekins, Clif, Simmons, Steven Cc: Huber, Mark Subject: 1300 W. Fairmont Cliff, We have received a set of plans for a Starbucks Kiosk inside the Kroger store at 1300 W. Fairmont. Do you want to review these plans? It is within the existing building foot print. Respectfully, Dwayne Menager Chief Inspector City of La Porte Inspections Division 281-470-5070 Menager, Dwayne • -d' From: Manager, Dwayne Sent: Wednesday, July 18, 2012 10:09 AM To: Meekins, Clif; Simmons, Steven; Wise, Sandra Cc: Huber, Mark Subject: RE: 1300 W. Fairmont (Starbucks) Cliff, The plans are in the usual place should wish to review them. Respectfully, Dwayne Menager Chief Inspector City of La Porte Inspections Division 281-470-5070 From: Menager, Dwayne Sent: Wednesday, July 18, 2012 9:02 AM To: Meekins, Clif, Simmons, Steven Cc: Huber, Mark Subject: 1300 W. Fairmont Cliff, We have received a set of plans for a Starbucks Kiosk inside the Kroger store at 1300 W. Fairmont. Do you want to review these plans? It is within the existing building foot print. Respectfully, Dwayne Menager Chief Inspector City of La Porte Inspections Division 281-470-5070 COAUVIERCLAL PLAN REVIEW COVER SHEET ADDRESS: OWNER'S PROJECT TYPE. /tl e,aeat,- NEW :_ A VIKN : HCAD#: // Fr - 9 tr4 - o a o, m o a f HTE LOC#: FLOOD ZONE: X USE ZONE: & is Y/N SUB /DATE RETURNED ASBESTOS SURVEY RECEIVED — (Applicable on Demo, Addn, or Remodel) TAS 1 PROOF I OF SUBMITTAL(Applicable • Comm. Or .• POM44Y �•• min uti •\`` - •\i _ _ TAXES UP TO DATE?: DATE OF REVIEW: V / ITEMS NEEDED FOR ISSUANCE OF PERMIT: 1. CURRENT INSURANCE CERT. (if applicable)*' �• • PA -a v (off rh r d � nc�.i,n Nov .c�.•��F I-, (�� y. o (�.t Cr�V�.4.o PR•S 'aV4 e-' i Y OF #C/9r%j WICK+ / i.- i.J// ��i Ltafi' Sri q a� OWN DATE TIME if r �sr6LuP— 0 l `J w�s�. -�r%f- R�grrrn/andrl ca.+F/r�/r.Arlo'r� AL Moji rj . a CLe lAAorTt Co. NAME OF PERSON CONTACTED hfr rw,(,, 7//y//Z /�SyA/`t SfNt to P� [o..w.nfS %e c,ew•Mntir L. /+rrAce..J �w.l S:KTSh=T4SPECIION DIMIONUmpxS \COMI- PLAN REVIEW COVER SFiE6f.doc Rev. FEB2012 0 7he //L L.cFT ve-, fiat 'C./'•r - INSPECTION SERVICES BUILDING PERMIT CHECKLIST (COMN'lERCIAL) Job Address: Flood Zone: Owner Name: Type of Work: New Remodel-_—Addition� Date Received in Inspections: Legal Description: Allowable Use? Y OR N Zoning:_ A -+4 ,9 nrd #s: Complete and accurate construction drnwings (all Phases) are one of the most important steps in completing Your Project They will be used to cost out the job, get estimates from any subcontractors, show details in legal documents, and to obtain necessary Permits' Survey of Property Certified Site Plan to Scale indicating: (If required by Planning Department) North Arrow • All existing & proposed construction • All required building -setback lines (SBC 104.2.5) Yes or No (Dev Ordinance 1444)Yes or No (Appendix E) No (Dev Ordinance 1444)Yes or (Appendix E) No (Dev Ordinance 1444) Yes or (Appendix E) (Dev. Ordinance 1444) Yes or No (Appendix E) • Utility Easements/Alleys, Streets (Dev Ordinance 1444)) Yes or No (show if applicable) (Appendix E) Distance for proposed structure to property lines (Dev Ordinance 1444) Yes or No • (Appendix E) Inspections Division Building Permit Chccklist Page 2 T]RZ Zone? 100% Masonry/Glass Storm water Quality Permit Zoning Permit Asbestos Survey (if applicable) Energy Code Analysis (if applicable) TAS (ADA) Proof of Submittal F101 Resolution applicable F216-00-00 Resolution applicable Utility Verification Needed (CDR) Address Request Needed (CDR) Culvert Request Needed (CDR) Harris County Driveway/ Culvert permit received? Harris County Health Dept. (Restaurants) approved "Plans Review Information Report" received from Harris County? Fill Dirt Permit (if applicable) Clearing Permit (if applicable) Flood Plain Development Permit (if building is in "AE" or "VE" flood zone) water & Sewer Fees Applicable Completed Petition to Tie on to Existing water/Sewer Mains Sample well Proposed? [went Certificate of Insurance Construction Drawings with Engineer s Seal (if applicable) Foundation Plans Structural Framing Plan • Exterior Elevation Plan Electrical Drawings • Plumbing Drawings •'• Mechanical Drawings Drainage Plan Slab Elevation (if applicable) ki Yes or No Yes or No Yes or No (City Ord 106-142) Yes or No (State Law) Yes or No (State Law) Yes . or No (State Law) Yes or No (CLP Resolution) Yes or No (CLP Resolution) Yes or No (City Ord 106-141) Yes or No Ord 106-141) Yes or No (City (City Ord 106-141) Yes or No Yes or No Yes or No Ord 1444-A) Yes or No (City (City Ord 1501-R5) Yes or No Ord 194-63) Yes or No (City (Ord 759-F) Yes or No (Ord 759-9 Yes or No Ord 74-121(c) Yes or No (City (City Ord 82-35) Yes or No (State Lax,) Yes or No (State Law) Yes or No (State Law) Yes or No (State Law) Yes or No (State Law) Yes or No (State Law) Yes or No (State Law) Yes or No (State Law) Yes or No (State Law) Yes or No S:\CPSh=NINSPECTION DrM10NUaspcco= Bldg P Checklist ComLd°`J'd2011 I REPORT OF — ASBESTOS BUILDING INSPECTION KROGER STORE SW # 319 1300 FAIRMONT PKWY HOUSTON, TEXAS 77346 REPORT TO: The Kroger Company Facility Engineering Department 19245 David Memorial Drive Shenandoah, Texas 77385 PREPARED BY: Ground Technology, Inc. 14227 Fern Drive Houston, Texas 77079 GTI PROJECT NO. E06016 September 15, 2006 JUL 2 4 2012 GROUND TECHNOLOGY, INC. Grogechnieal . M Wick • 6No6vwwewfd September 15 2006 The Kroger Company Facility Engineering Department 19245 David Memorial Drive Shenandoah, Texas 77385 Attention: Mr. Les McGehee 'i Subject: Asbestos Building Inspection Kroger Store # 319 1300 Fairmont Parkway Houston, Texas 77571 GTI Project No. E06016 lDear Mr. McGehee: I" Ground Technology, Inc. (GTI) is pleased to submit the following report of Bulk Asbestos Sampling for the subject property. This work was authorized by Mr. Les ! McGehee of Kroger Facility Engineering. The asbestos building inspection was ! j conducted on September 9, 2006 by Humphreys Uba, a TDH Licensed Asbestos Consultant. We have enjoyed working with you on this project and look forward to a continuing business relationship. If you have any questions or comments concerning this report, please feel free to contact us. CHN Y, INC. t'7 Asbestos Consultant, #105584 a TDH Licensed Asbestos Consultant, # 105312 14227 Fem Haustm. Texas 77079 TeL•(281)597-U66 Fax:(281)597-8308 i�EVi ,,1lE�, JUL 2 4 2012 TABLE OF CONTENTS 1.0 EXECUTIVE SUMMARY 2.0 PURPOSE AND SCOPE OF WORK 3.0 SITE DESCRIPTION 4.0 ASBESTOS SURVEY 4.1) Homogeneous Sampling Areas 4.2) Sample Descriptions 4.3) .Inaccessible Areas 4.4) Areas of Presumed Asbestos Containing Materials 4.5) Laboratory Results 4.6) Physical Assessment and Potential for Damage 5.0 CONCLUSIONS 6.0 LIMITATIONS APPENDICES APPENDIX A -Homogeneous Sampling Areas APPENDIX C Assessment and Potential for Damage of Asbestos -Containing Materials (Omitted) APPENDIX D Laboratory Report from EMSL Analytical, Inc. with Chain of Custody APPENDIX E TDH Asbestos Consultant Agency License TDH Individual Asbestos Licenses TDH Asbestos Laboratory License U JUL 2 4 2012 1.0 EXECUTIVE SUMMARY Ground Technology, Inc. (GTI) was retained by The Kroger Company to conduct an Asbestos Building Inspection of Kroger Store SW 0 319 located at 1300 Fairmont Parkway, LaPorte, Texas 77571. The inspection was performed on September 9, 2006 by a Texas Department of Health (TDB) Licensed Asbestos Consultant. .i The subject property was occupied at the time of sampling and was being used as a grocery/general merchandise store. Interior furnishings and accessories such as display aisles, counters, and cashier's stands were present along with all sales items. The building interior consists of a large central display and sales area surrounded by small specialty areas such as a pharmacy, dairy, meat, seafood, produce, bakery, deli, bank, and customer service center. Rooms to the back of the store are used for loading/unloading, sorting, storage, refrigeration, freezers, food preparation and restrooms. The asbestos inspection was conducted by surveying the building interior for areas of homogenous materials, sampling those homogeneous areas that were suspected of containing asbestos, and Submitting the samples to a TDH Licensed Asbestos Laboratory for analysis using Polarized Light Microscopy (PLM). Thirty (30) bulk samples were collected from ten (10) different homogeneous areas that were identified. Laboratory results for the thirty samples collected on September 9, 2006 indicated that they are all negative. Based on the outcome of laboratory test results we conclude that there are no LI asbestos contain materials to be found in this Kroger SW#319 store. 2.0 PURPOSE AND SCOPE OF WORK The purpose of the Asbestos Building inspection was to determine the presence or absence of l i Asbestos Containing Materials (ACM) within the store interior and to specify the location, type, presumed ACM that might be encountered. The overall and condition of any confirmed or objectives were to identify actual and presumed ACM that might pose health or financial risks to tthe client. All work was performed in accordance with guidelines and regulations of the Occupational Safety and H&ilth Administration (OSHA), the Environmental Protection Agency (EPA), and the Texas Asbestos Health Protection Rules (TAHPR). The Asbestos Hazard Emergency Response Act (AHERA) for Public Schools was also used as guidance but with some modifications regarding the locations and numbers of samples taken to more effectively survey relevant areas of the subject Kroger store. I, The scope of work included: Visual inspection of the building interior to identify areas of suspected ACM. J �I11-tCE 9V EC�N.. • Documentation of the location of all suspected friable and nonfriable AT ''. JUL Z 4 2012 �-} -}ul I GTI Project No. B06016 Kroger Store SW #319 Asbestos Building Inspection Page 2 • Sampling accessible areas of suspected ACM using appropriate sampling protocols. • Documentation of any inaccessible areas of suspected ACM including an explanation of why they were inaccessible. • Documentation of any materials that were presumed to be ACM in the absence of sampling including an.explanation as to why they were not sampled. • Submitting samples to a TDH Licensed Asbestos Laboratory for analysis of asbestos content using PLM. • Assessment of the current condition and potential for damage of con5rmed or presumed friable and nonfriable ACM. • Preparation of a Building Inspection Report that includes results of the visual inspection, location of samples taken, laboratory test results, and locations of actual and presumed ACM, if any, along with an assessment of their damage and potential for damage. 3.0 SITE DESCRIPTION The subject site consists of Kroger Grocery Store SW # 319 located at 1300 Fairmont Parkway, LaPorte, Texas 77571. The building interior consists of a large central display and sales area surrounded by small specialty areas such as a pharmacy, dairy, meat, seafood, produce, bakery, deli, bank, and customer service center. Rooms to the back of the store are used for loadinghmloading, sorting, storage, refrigeration, freezers, food preparation, and restrooms. L_ 4.0 ASBESTOS SURVEY Humphreys Uba, a TDH Licensed Asbestos Consultant, conducted the building inspection on September 9, 2006. The inspection was restricted to the interior of the Kroger Store. (� 4.1 Homogeneous Sampling Areas l Ten (10) homogeueow areas (HA) of possible ACM were identified (Appendix A). These materials consisted of five (5) different types of floor coverings (with mastic) (FA); three (3) LI wall materials (WA); one (1) ceiling coverings (CA) and one (1) miscellaneous materials that included joint compounds and others. See photographs in AppendixA. L i Additional building materials observed were not recorded nor sampled (unless covered with mastic or other -suspect material) because they were unlikely to contain any asbestos. The building exterior was not included in the scope of work and therefore window caulking, IJ roofing materials, and other exterior features were not inspected nor sampled. - �• r. II 'l JUL 2 4 2012 GTI Project No. B06016 F 1 Kroger Store SW #319 Asbestos Building Inspection Page 3 4.2 Sample Descriptions A detailed sample log describing each of the thirty (30) samples taken is included in Appendix B. The samples were numbered consecutively in the order taken, and each sample was prefixed with the letters "K319" for Kroger SW # 319. 43 Inaccessible Areas l� There were no inaccessible areas. We were able to collect at least thirty (30) samples from each of the ten (10) homogeneous sampling areas identified. I 4.4 Areas of Presumed Asbestos Containing Materials There were no areas of Presumed Asbestos Containing Materials (PACNO. We were able to collect and analyze at least thirty (30) samples from each of the ten (10) homogeneous sampling areas identified. We therefore obtained direct confirmation of the presence or absence of ACM for those particular homogeneous areas. !. 4.5 Laboratory Results The collected bulk samples were delivered to Micro Analytical Services, Inc. in Houston, Texas, on September 9, 2006. The samples were first examined for homogeneity and preliminary fiber identification. They were then analyzed for ACM using PLM with dispersion staining at 100X magnification in accordance with BPA-600/R 93/116. The lower detection limit for this method is one percent (1%) by volume. Composite samples containing more than one material were analyzed separately, by layer, for each of their individual components. The laboratory report from Micro Analytical Services, Inc., including chain of custody, is included in Appendix D. Laboratory results for the samples collected on September, 2006 indicated that all samples appeared to be negative. Based on these test results we conclude that there are no asbestos contain materials to be found in this Kroger SW#319 store and all of the homogenous areas identified and sampled had no asbestos detected (NAD). LJ 4.6 Physical Assessment and Potential for Damage L..I Based on analytical results from the laboratory, no asbestos containing material was detected in any of the bulk samples collected from the suspect homogenous materials. A detailed physical assessment and damage potential is therefore not required. JUL 2 12012 ^` 0 � 1 GTI Project No. $06016 Kroger Store SW #319 Asbestos Building Inspection Page 4 5.0 CONCLUSIONS Laboratory results indicated that there were no asbestos containing materials (ACM) in any of the samples collected from the identified homogeneous areas. 6.0 LMTATIONS Asbestos building inspectors for Ground Technology, Inc. (GTI) ate licensed and accredited (Appendix E). They use accepted industry standards when attempting to locate, identify, and sample potential ACM. However, it is possible that there are materials containing asbestos that were not found because they were not visible to the inspector. Therefore, GTI does not warrant that all materials containing asbestos have been identified. In particular, this inspection was limited to the store interior. I I JUL 2 4 2012 1 g I APPENDIX A HOMOGENEOUS SAMPLING AREAS JUL 2 4 2012 DIIL� BULK SAMPLE LOG BUILDING: KROGER SW#319 INSPECTED BY: Humphreys Uba 1300 Fairmont Parkway, LaPorte, Texas 77571 t GTI PROJECT NO. E06018 DATE SAMPLED: September 9, 2006 Friable (F) or Asbestos Sample No. Area Number Material Description Sample Location No Friable (NF) Content & Comments K319-01 FA-01 White 12"X12" Floor Tile We 1 NF NAD K319-02 FA-02 White 12"X12" Floor Tile Isle 2 NF NAD K319-03 FA-03 White 12"X12" Floor Tile Bakary NF NAD K319-04 FA-04 Beige 12"X12" Floor Tile Lane 7 Check Out NF NAD K319-05 FA-05 Beige 12"X12" Floor Tile Lane 18 " " NF NAD K319-06 FA-06 Beige 12"X12" Floor Tile Lane 15 " NF NAD K319-07 FA-07 Black 12"X12" Floor Tile Bank Area NF NAD K319-08 FA-08 Black 12"X12" Floor Tile Bank Area NF NAD K319-09 FA-09 Black 12"X12" Floor Tile Bank Area NF NAD K319-10 FA-10 Off-white 12"X12" Floor Tile Pharmacy NF NAD K319-11 FA-11 Off-white 12"X12" Floor Tile Lane 12 NF NAD K319-12 FA-12 Off-white 12"X12" Floor Tile Dairy NF NAD K319-13 FA-13 Red 12"X12" Floor Tile U-Scan Express NF NAD WAQ K319-15 FA-15 Red 12"X12" Floor Tile U-Scan Express NF NAD K319-16 W. NF NAD K319-17 WA-02 Beige Fibrous Plaster Stock Room NF NAD K319-18 WA-03 Beige Fibrous Plaster Stock Room NF NAD K319-19 MA-01 Grey Fibrous Insulation Stock Room -Fire Proofing NF NAD N r-j K319-20 MA-02 Grey Fibrous Insulation Stock Room -Fire Proofing NF NAD -D K319-21 MA-03 Grey Fibrous Insulation Stock Room -Fire Proofing NF NAD o K319-22 WA-04 White Non -Fibrous Joint Compound Stock Room -Wall Board NF NAD N 7 Friable (F) or Asbestos Sample No. Area Number Material Description Sample Location No Friable QM Content and Comments K319-23 WA-05 White Non -Fibrous Joint Compound Stock Room -Wall Board NF NAD K319-24 WA-06 White Non -Fibrous Joint Compound Stock Room -Wall Board NF _ NAD K319-25 CA-01 2'X4'Beige Fibrous Ceiling Tile Meat Dept NF I NAD K319-27 CA-03 2'X4'Beige Fibrous Ceiling Tile Meat Dept NF NAD K319-28 WA-07 White Fibrous Gypsumw/Paper Men's Room NF NAD K319-29 WA-08 White Fibrous Gypsumw/Paper Men's Room NF NAD K319-30 WA-09 White Fibrous Gypsumw/Paper Women's Room NF NAD * NAD = No Asbestos Detected. i APPENDIX B _I SAMPLE DESCRIPTIONS _I i i . j; l i 1-ji C(DE��$, JUL 24 2012 =�s— -- — — — y 7) A GRAM "'EMERGENCv 7". EXIT In case of gdacy.ationA-- go to MEETING AREA 1 - f 46 1 momprereor ^ �° 0a v ng room ng at Prep cooler STORAGE Baakroom ��sCf`rl * coont, aaa MEAT FP.EEZER DAIRY Dalrl COOLER Se v VIDEO � WINE FLORAL BAKERY s• 0 —� CHECKSTA r— BASCARTS ENTRY lutEtING, AREA . Parking area . ENTRY X_ Team �. `PRODUCE. O PRODUCE PREP SALAD " BAR ® DEL! fa FOOD COURT MGR's BOOTH o///oe BASCARTS = FIRE EXTINGUISHER •� c upstairs extingufsher8:. X' = EMERGENCY EXIT PHOTOGRAPH # 1 - View of the floor tiles in the Isle 1 Area. PHOTOGRAPH # 2 - View of floor tiles on Lane 7 Check Out. JUL 2 4 2012 r 0 PHOTOGRAPH # 3 - View of the floor tiles in front of the Bank Area. PHOTOGRAPH # 4 - View of the floor tiles in the Pharmacy Area 110 ). 2012 • PHOTOGRAPH # 5 - View of the floor tiles in the U-Scan Epress Area. PHOTOGRAPH # 6 - View of the Plaster Column in the Stock Room Area. Y JUL 2 4 2012 i I PHOTOGRAPH # 7 - View of the Wall In the Stock Room Area. PHOTOGRAPH # 8 - View of the ceiling tile in the Meat Department. JUL 2 4 2012 r C� PHOTOGRAPH # 9 - View of the Men's Restroom Wall Area. - APPENDIX C ASSESSMENT AND POTENTIAL FOR DAMAGE OF ASBESTOS —CONTAINING MATERIALS - (Section Omitted, No Asbestos Detected) �.. 1 JUL 2 4 28V I' 9 v cts�— APPENDIX D LABORATORY REPORT FROM EMSL ANALYTICAL, INC. WITH CHAIN OF CUSTODY JUL 2 4 2012 11 II 1. lI II 11 I 2501 Cmtrad Pmkmy, %fto C-17, H—toz, TX 77092 Cn3) 69&3635 hupWw— a=Lr IFRj-D a"- Pr IE5, . 17 a. 31 D C�A r JF ilk 44 XY "Ll C Recetvcd; D2t= Tl= Tb— DOW TLM Ti. 0 �\W F JUL 2 4 2012 XROG Eft s dopes riot c,,tlpukwy.SuknC-17.HmmmaTX7= (713)696-3635 httptlAw.m L� noN if kp� fe -01 x Id L-O-vi tt. I !I- 31 cl - C) 6�t. jZxA "Y IA C4 6;, c i u Date Tiffm � Daft Time Dafe Ti. P�Za2 6 1 C- c f " JUL 2 4 2012 JUL 2 4 2012 "AS 9diCr0Ana6t7,['a(SQr vke$ Inc- 3ne(281) 49745MFE(Ml) 497-4517 r Polarized Light Microscopy Analysis I� Ground Technology, Inc. MAS Project #: 3385-00 I . 14227 Fern Dr. Date Received: 09/12/2006 i Houston, Texas 77079 Date Analyzed: 09/13/2006 Project Milne: Kroger 319 Field ID/ Layer #_ Sample Description Asbestos Asbestos Non -Asbestos Lab ID Detected? Constituents Constituents B-01 1 White non -fibrous floor file No 100% Other MAS73636 r I B-01 2 Yellow non -fibrous mastic No 100% Mastic MAS73636 B-02 1 � - White non -fibrous floor tile No 100% Other I MAS73637 B-02 2 Yellow non -fibrous mastic No 100a/o Mastic MAS73637 I B-03 1 White non -fibrous floor file No 100% Other MAS73638 B-03 2 Yellow non -fibrous mastic No 100% Mastic MAS73638 B-04 1 Beige non -fibrous floor tile No 100a/o Other MAS73639 13-04 2 Yellow non -fibrous mastic No 100% Mastic MAS73639 B-04 3 Grey non -fibrous floor No 80% Aggregate MAS73639 substrate 20% Other i 13-05 1 Beige non -fibrous floor tile No 100% Other MAS73640 B-05 2 Yellow non -fibrous mastic No 100% Mastic MAS73640 B-06 1 Beige non -fibrous floor the No 100% Other MAS73641 lB-06 2 Yellow non -fibrous mastic No 100% Mastic MAS73641 Samples have been aoalyad by the EPA hrivim Method 6001M442-020 and Method 6MR-93/116. The test results herein rehde only an the s»ple submitted and anab=& This report may only be reprodumd in M with the approval of the Bulk Asbestos Laboratory ofMraoA®lyuml seravrs(MASS Inc 71e above percIentages are visual estlmatn of mneapaccuL MAS is notrespondble for my errors resulting Sam ®proper or h=rrcct sampling or shipping procedures lbete samples will be retained fro apaiod of30 drys Acarditntimby NVLAP in on way amstitutas or implies produd eerti5®tioo, approval, or endorsemcdbyNIST. Some matnials, especially floor tiles, contain asbctos I fib= too thin to be de=nd by this method. NVLAP Isb Codx 2000618 IDH Licmm: 30-Ml _ Analyzed by: Tony Dang Approved NVLAP Stgnato7y. Tony�D� PageIof4 a r . l�r_ �,• ,_' �_ i JUL242012 , 1 r j. gdiM AttttcytiCa[SetVtCe,� Inc 11301 Richmond Avis sin Kl00B+Rcwston*Tcras77082*Plwne(281) 497A50MFax(781) 49744517 Polarized Light Microscopy Analysis Ground Technology, Inc. MAS Project #: 3395-00 f I 14227 Fern Dr. Date Received: 09/12/2006 I I Houston, Texas 77079 Date Analyzed: 09/13/2006 j - Project Name: Kroger 319 Field ID/ Layer # Sample Description Asbestos Asbestos Non -Asbestos Lab ID Detected? Constituents Constituents (Yes/No) (%) (a/0) B-06 3 Grey non -fibrous floor No 80% Aggregate MAS73641 substrate 20a/o Other B-07 1 Black non -fibrous floor file No 100n/o Other I I MAS73642 B-07 2 Yellow non -fibrous mastic No 100% Mastic MAS73642 B-08 1 Black non -fibrous floor file No 100% Other MAS73643 B-08 2 Yellow non -fibrous mastic No 100% Mastic MAS73643 I i B-09 1 Black non -fibrous floor tile No 100% Other I I MAS73644 B-09 2 Yellow non -fibrous mastic No 100% Mastic MAS73644 B-10 1 Off-white non -fibrous floor No 100% Other MAS73645 tile B-10 2 Yellow non -fibrous mastic No 100% Mastic J MAS73645 B-11 1 Off-white non -fibrous floor No 100% Other MAS73646 tile B-11 2 Yellow non -fibrous mastic No 100% Mastic MAS73646 B-12 I Off-white non -fibrous floor No 100% Other MAS73647 the (J B-12 2 Yellow non -fibrous mastic No 100% Mastic MAS73647 smuples have been a w lye by the EPA IdQim Methad 600/M4-82-020 and Method 60WR-93/116. The testnao11 hemin rdatn poly to the sample atbmiacd ®d ftj ana4ae& This report may only be reproduced in 801 with the approval of the Bulk Asbestos Iabotaim of b&m Analytical Services (MASI Inc. The abovepacaamges lace vauw estimates ofazea parent. MAS is not rmponsibk formw ettms mvltiog fmm®ytopw orinconai sampling �shiPPme procedurez. Tbese samples will be l.._ retained far a period of30 days. Aeaedltetlm byNVIAP in on way constitutes or Implies pradnet omfifiesilc%appwo 1, or endanciucutby NIIST. Sohn materials, eapeeially floor ales, contain asbestos fibers too thin to be detectW by this meto3 NVLAP Lab Cxdz 2000618 TDH Lkmsx 30-0341 Analyzed by. Tony Dang Approved AVL.4P Signatory: Tony Dang Page 2 of 4 _ I id JIL MiCt'0Ana)497AS17 Ground Technology, Inc. 14227 Fern Dr. Houston, Texas 77079 Polarized Light Microscopy Analysis Project Name: Kroger 319 MAS Project #: 3385-00 Date Received. 09/12/2006 Date Analyzed: 09/13/2006 Field ID/ Layer # Sample Description Asbestos Asbestos Non -Asbestos Lab ID Detected? Constituents Constituents (Yes/No) (a/a) (%) B-13 1 Red non -fibrous floor tile No 100% Other MAS73648 B-14 1 Red non -fibrous floor tile No 100% Other MAr ,fi r B-15 1 Red non -fibrous floor the No 100% Other MAS73650 B-16 1 Beige fibrous plaster No 5% Cellulose MAS73651 60% Mica 35% Other B-17 1 Beige fibrous plaster No 5% Cellulose MAS73652 60%Mica 35% Other B-18 1 Beige fibrous plaster No 5% Cellulose MAS73653 60% Mica 35% Other B-19 1 Grey fibrous insulation No 5% uenwose MAS73654 80% fibrous Glass 15% Other B-20 1 Grey fibrous insulation No 5% Cellulose MAS73655 80% fibrous Glass 15% Other B-21 1 Grey fibrous insulation No 5% Cellulose MAS73656 80% fibrous Glass 15% Other B-22 1 White non -fibrous joint No 70% Cellulose MAS73657 compound with beige paper 30% Other B-22 2 White fibrous gypsum with No 70% Cellulose MAS73657 — brown paper 30% Gypsum samples have been anatyadby the EPA Interim Mearod 600/M4-82-020 and Method 600lR-93/116. The tot results berem reline only to tha sample sobmidsd and analyzed. Tads report may only be reproduced in fh0 wbh the approval of the BA Asbesms Laboratory of Micro Analytical Services (Id 4 be. The above percentages are visual estimates of area percent. MAS is not rest o--ble for any errors r-Ong from improper or incorrect sam;,ling-&IM-9 Ldwccffi� These s®pla WM be retained far ap=W of 30 drys Aexredit Pion by NVLAP inset way consdmtes m hnplies product certlfirati®, approval, orendws®cmby NISI'. Some materiels, espedalty roar tiles, =twin asbestos fib= too thin to be deteled by this method NVLAP Lab Cods 2000618 TDA License: 304941 1 Analyzed by. Tony Dang Approved NMAP Sknalory: Tony Deng Page 3of4 I—Q �— ! JUL 2 4 2012 �S 9l km A=(yticdSetvices, Ina 1130111icbnmdAvc St- R100B+lives oa�Texas 770ffi�Pbooe(281)497450MFmQ281)497-0517 -I Polarized Light Microscopy Analysis I Ground Technology, Inc. MAS Project #: 3385-00 14227 Fern Dr. Date Received: 09/12/2006 Houston, Texas 77079 - Date Analyzed: 09/13/2006 Project Nwne: Kroger 319 Field ID/ Layer# Sample Description Asbestos Asbestos Non -Asbestos Lab ID Detected? Constituents Constituents (� (Yes/No) (0/) M, 1 White non -fibrous joint No 70% Cellulose r MAS73658 compound with beige paper 30% Other B-24 1 White non -fibrous joint No 70% Cellulose MAS73659 compound with beige paper 30% Other B-25 1 Beige fibrous ceiling tile No 20% fibrous Glass i I MAS73660 with white paint 30% Cellulose 30% Perlite i 20% Other B-26 1 Beige fibrous ceiling tile No 20% fibrous Glass MAS73661 with white paint 30% Cellulose 30%Pcrlite (I 20% Other B-27 1 Beige fibrous ceiling the No 20% fibrous Glass MAS73662 with white paint 30% Cellulose 30% Perlite 20% Other B-28 1 White fibrous gypsum No 5% fibrous Glass .'. MAS73663 95% Other B-29 1 White non -fibrous joint No 100% Other MAS73664 compound B-29 2 White fibrous gypsum with No 70% Cellulose MAS73664 brown paper 30% Gypsum Lj B-30 1 White non -fibrous joint No 100% Other MAS73665 compound B-30 2 White fibrous gypsum with No 70% Cellulose ' u MAS73665 brown paper 30% Gypsum Smoples Lave beyanalyzed by the EPA Interim Method 600/M4-82-M ndMeYhod 6001R-MI6.11he test ccwlu bemmale sonly to the sample submitted and Ina. Tie L analyzed. This report may only be reproduced in fall with the approve] of the 11A Aahesms Laboratory of Miao Analytical Serviocs iMAS), above percentages areviMWert®ates ofareapnaeot. MASiscatrespo-blefDraoyarmsreml6ngfromimproperorinm cctsamplingorship&gpra¢dw Tb=s pkswillbe retainedfor a petiod of30 days. Ac=ditation by NVLAP in on way e°nsti ams or implies product ratification, approval, or endorsement by NiSf. Some materials, especially floor tiles, contain asbeatns fibers too this to be detected by this method. NVLAP lab Code: 200061g TRH lirmse: X 0341 Analyzed by. Tony Dang Approved NVLAP Signatory: Tony Dang Page 4of4 JUL 2 4 2012 'V. APPENDIX E TDH ASBESTOS CONSULTANT AGENCY LICENSE TDH INDIVIDUAL ASBESTOS LICENSES TDH ASBESTOS LABORATORY LICENSE s r TEXAS DEPARTMENT OF STATE HEALTH SERVICES Be it baum that GROUND TECHNOLOGY, INC. is cetfed to perf as a Asbestos Consultant Agency in the State of Texas within the purview of Texas Occupations Code, chapter 1954, so long as this license is not suspended or revoked and is renewed. according to the rules adopted by the Texas Board of Health. Eduardo 11Tnthez, MD., 9! T-If Ed Commissioner of7feafth License Num6er.100274 Effective Date 8/8/2006 VOID IF ALTERED Control Number. 93906 Eq,iration Date: 8/7/2008 (ffW.9fTer EVimtion (Date) NON -TRANSFERABLE 0 0 1 T s *1 1 fXA --,Q- -.. I d , Service ,Pepmrjmcnt of state Rew".—Bg 'UlnmA,- -HARYA L ljfevse NUN ♦ colavol No: 93(,gt 1009, c.A �CEIVEq JUL 2 4 2012 Control No:' TE�.0 S Oepmmnn•. �0 Stale lieabl•j^..«�� 1860118 � . Department of Stan Htaltff services certlflti that: HG.MPkIBEYS D VBA 1e t} 4y ab AR 6 1 A VQ11 4uli�itlunl Arbesd;., < nt>.wdtant '��r�,i' Licettsc Number- 10531� From:. `Oa1fG 003 9 JUL 2 4 2012 United States Department of Commerce National Institute of Standards and Technology Certificate of Accreditation to ISOMEO 17025:1999 NI VLAP LAB CODE: 200618-0 Micro Analytical Services, Inc. Houston, TX is recognized by the National Voluntary Laboratory Accreditation Program for conformance with criteria set forth in NEST Handbook 150:2001 and alf requirements of ISD/IEC 17025:1999. Accreditation is granted forspecific services, listed on the Scope of Accreditation, for �— BULK ASBESTOS FIBER ANALYSIS aC— r 1 Fu 2006-01-01 through 2006.12-31 >~ -� • i ENecl7ve doles "%e �.N For the Nebo et fnstmute or stancfaras and Tecnnology 1V 4.M pq C -1 TEXAS DEPARTMENT OF STATE HEALTH SERVICES Bc it (1norun that 114ICRO ANALYTICAL SERVICES INC is ccrt#iicd to perform as a Asbestos Laboratory PLM, PCM in the State of Texas within the purview of Texas Occupations Code, chapter 1954. so long as this license is not suspended or revoked and is renewed according to the rules adopted by the Texas Board of Idealll:_ AiD Edvanlol- S 9Lm., 51.tP7f Commissioner iy 9Mealt6 License nrum6er. 300341 'E&�ctive (Date: 1126/2006 �n VOID IF ALTERED C �� N � Control Number: 91210 Expiration Oate: 112512028 (n,ondj'1jRer 2tipimtion 0ato) NON-TRANSFERA TEXAS DEPARTMENT OF STATE HEALTH SERVICES (Be it %{arvn that MICRO ANALYTICAL SERVICES INC is certi ted to perform as a Asbestos Laboratory PLM, PCM ill the State of Texas within the purview of Texas Occupations Code, chapter 1954; so long as this license is not suspended or revoked and is renewed according to the rules adopted by the Texas Board of Health. rEduardo9.Sar+ 'D.�l•�x Cormarssioner of9feafth Gicensc.5Yamben 300341 2fficteve Date 1/26/2006 L C f� � VOID IF ALTERED r Fri 0 c N �n Control Numbor: 91110 rE.tpiration Date 1/25/2003 ePWdllfetrECpiratlon spate) NON-TRANSFERA