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Home My WebLink AboutB12-0473NOTE: TH/S PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES . . �n�x�v� � Town of Vail, Community Development, 75 South Frontage Road, Vail, Colorado 81657 p. 970.479.2139, f. 970.4792452, inpsections 970.479.2149 COMBINATION BLDG PERMIT Permit #: B12-0473 Job Address: 4253 SPRUCE WAY VAIL Location......: UNIT B Parcel No....: 210112207018 OWNER STEVINSON, BRYAN GREGORY 09/20/2012 4253 SPRUCE WAY UNIT B VAIL, CO 816575805 Project #: PRJ12-0580 Applied.....: 09/20/2012 Issued. . . : 11/21 /2012 APPLICANT RWW INC (DBA MESA PROPERTIES 09/20/2012 Phone: 303-694-4080 RICK WATKINS 7325 E PEAKVIEW AVENUE CENTENNIAL CO 80111 License: C000003618 CONTRACTOR RVWV INC (DBA MESA PROPERTIES 09/20/2012 RICK WATKINS 7325 E PEAKVIEW AVENUE CENTENNIAL CO 80111 License: C000003618 Description: INTERIOR REMODEL Occupancy: R-3 Type Construction: VB ', �' T•7 'i L� i� k�:%L II� i:I � 7 Valuation: $348,000.00 x:wwex�re+:vwv�+,e+wwwwv»vw�vrxwwwwexsnrr.rwww�ww�rt�+rirwwrr��wwwRx�rrk�►:�rxm FEE SUMMARY •••••••,•,••••••••,•••,.••,•••••••,••••••••••••••••»••,••••••••»••••••••••••••••• Building Permit --> $2,382.55 Bldg Plan Check --> $1,548.66 Use Tax Fee ----- > $6,760.00 Electrical Permit --------> $230.00 Elec Plan Check -- > $149.50 Restuarant Ptan Review > $0.00 Mechanical Permit —> $40.00 Mech Plan Check - > $10.00 Additional Fees--- -> $0.00 Plumbing Permit ----> $150.00 Plmb Plan Check ---> $37.50 Recreation Fee----------> $0.00 Investigation-----------------> $0.00 Will Call--- > $20.00 TOTAL PERMIT FEES— –> s11,328.21 Payments-- -- -----> 511,328.21 BALANCE DUE -> 50.00 t�:�.w�R�tw,��w:wxxxw::w�►�:et:xxrwrzir�rriiix+r�.,e�Rx,eoi,e+►wwxwwxwwwwwkw�wwkww�,w.x+xrx�rxw�ww�ww„�x�wws.�xwi.::ww�s.��►�iti►Hkrr��xheresr:�,ex+asnr+vRwwwxk,rr+�+,Kwwww,�>r�xwy�xv.,r+v+ws.s.w DECLARATIONS I agree to comply with the information and plot plan, to comply with all Town ordinances and state laws, and to build this structure according to the town's zoning and subdivision codes, design review approved, International Building and Residential Codes and other ordinances of the Town applicable thereto. REQUESTS FOR INSPECTION SHALL BE MADE TWENTY-FOUR HOURS IN ADVANCE BY TELEPHONE AT 970.479.2149 OR AT OUR OFFICE FROM 8:00 AM - 4:00 PM. combination permit_012811 �lriltil f4tff fr4Yf►f►i��HftRRlMilf'f f ff'fxlNttfltYnt*#fil#f�NHrAR4rAfAIf�tH��frffRfNf1}fRU1n4*Rffl4fffrft�MA4i/tMO�R#}fRRlt!lNYt4RAH'RARfMRlftMfROA'4A�RZRRff�t4f}RARRVIWYtf4frfrf'frf�tftf�f R}r►tt*1444*/Rkf'fHH CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF Permit #: B12-0473 Owner: STEVINSON, BRYAN GREGORY UNIT B Address: 4253 SPRUCE WAY VAIL Location: �ix:rwx»trxtrw„x�sn.::wim:x�,wr.+�wx��:�::ztxr�w.rrxxws.wxtzri�rrRrwrarwxs.�txriwwr,e,ex�:www��x►xww►�:xxezwwwwwrwwxwrNtie+x�exwwxr�ww��tttze»e,ex�►wr.+xs.wrttriirrrr��x�xw,rrett�mt�tmi combination permit_012811 �fll� � �luL V ...............*««*...****....*..*.«***..*.**....,.*..«.**„****.**..........*«****.**...,.*,..««*.«***««*.*,......**,.******..,.*.......«....«****.**.....,�. REQUIRED INSPECTIONS AND STATUSES Permit #: 612-0473 Owner: STEVINSON, BRYAN GREGORY UNIT B Address: 4253 SPRUCE WAY VAIL Location: *��*.**«,,,.x....*.*...*.,*,,**..,..*„*�**««*...,.,......��......**.**.«,,.,,,..«...«.««***.*.........*„��«,..,.*«*....*.,..�**.�..�*****......*...,,«...,,�,,.*... Item: 00010 BLDG-FOOTING Item: 00020 BLDG-Foundation/Steel Item: 00120 ELEC-Rough Item: 00230 PLMB-Rough/Water Item: 00240 PLMB-Gas Piping Item: 00220 PLMB-Rough/D.W.V. Item: 00310 MECH-Heating Item: 00030 BLDG-Framing Item: 00050 BLDG-Insulation Item: 00060 BLDG-Sheetrock Nail Item: 00070 BLDG-Misc. Item: 00190 ELEC-Final Item: 00290 PLMB-Final Item: 00390 MECH-Final Item: 00090 BLDG-Final combination permit_012811 ***�*��*****�*�*�***********�**rt****��********************�**��*�****r��**s**�****s******** TOWN OF VAIL, COLORADO Statement ********�s*s*************ss*s***:*************�********s**********�*�****r********��*r***r�� Statement Number: R120001909 Amount: $9,852.35 11/21/201212:99 PM Payment Method: Check Init: LC Notation: #1123/RWW INC DBA MESA PROPERTIES ----------------------------------------------------------------------------- Permit No: B12-0473 Type: COMBINATION BLDG PERMIT Parcel No: 2101-122-0701-8 Site Address: 4253 SPRUCE WAY VAIL Location: UNIT B Total Fees: $11,328.21 This Payment: $9,852.35 Total ALL Pmts: $11,328.21 Balance: $0.00 �***��*********�*********�***s****�*****��***�**s*****«******************�************ ACCOUNT ITEM LIST: Account Code -------------------- BP 00100003111100 EP 00100003111100 MP 00100003111100 PF 00100003112300 PP 00100003111100 'UT 11000003106000 WC 00100003112800 Description ------------------------------ BUILDING PERMIT FEES ELECTRICAL PERMIT FEES MECHANICAL PERMIT FEES PLAN CHECK FEES PLUMBING PERMIT FEES USE TAX 4$ WILL CALL INSPECTION FEE Current Pmts 2,382.55 230.00 40.00 269.80 150.00 6,760.00 20.00 ----------------------------------------------------------- Department of Community Development 0 75 South Frontage Road TOWN OF VAIL Vail, CO 81657 Tel: 970 -479 -2128 www.vailgov.com Development Review Coordinator BUILDING PERMIT APPLICATION (Separate applications are required for alarm & sprinkler) Project Street Address: 4253 Spruce Way Unit B (Number) (Street) (Suite #) g�'►p t Building /Complex Name: �nBll't�l$�INf1Y� p Contractor Information Business Name: RWW, Inc. dba Mesa Properties Business Address: 7325 E Peakview Ave. City Englewood Contact Name: Kelly Seitz Contact Phone: 303 - 694 -4080 State: CO Zip: 80111 Contact E -Mail: kseitz @mesaproperties.o I hereby acknowledge that I have read this application, filled out in full the information required, completed an accurate plot plan, and state that all the information as required is correct. I agree to comply with the information and plot plan, to comply with all Town ordinances and state laws, and to build this structure according to the town's zoning and subdivision codes, design review ap- proved, International Building and Residential Codes and other ordinances of the Town appliiblb tf>�reto. / _, X `' Owner /Owner's Rep entative I¢nature (Required) Applicant Information Applicant Name: Kelly Applicant Phone: 303 - 694 -4080 Applicant E -Mail: kseitz@mesaproperties.org Project Information Owner Name: Bryan Stevinson Parcel #: 210112207018 (For Parcel #, contact Eagle County Assessors Office at (970328 -8840 or visit www.eaglecounty.us/patie) For Office Use Only: Fee Paid: Received From: Cash Check # CC: Visa / MC Last 4 CC # Auth # exp date: Project #: n S 8 DRB #: ' )&- Building Permit #:-6) Dg 73 Lot #: /5 Block #1 pp Subdivision:CT�� Work Class: New 0 Addition 0 Alteration () Type of BuiWn: Single F amiluplex i!� Multi - Family (�) Commercial Other Work Type: Interior Q Exterior O Both O Detailed Scope and Location of Work Interior remodel (use additional sheet if necessary) Date Received: D [EC IF, 0W SEP 18 2012 M r < c, 11$0 12 -h TO N OF VAIL 2 Valuation of Work Included Plans Included Work Electrical Oi Yes ONo ()Yes ONO 8,000 Mechanical QYes ONO OYes ONO 2,000 Plumbing QYes ONO OYes (ONO 10,000 Building QYes ONO OYes O No 328000 Value of all work being performed: $3Y8K- 526G22G- (value based on IBC Section 109.3 & IRC Section 108.3) Electrical Square Footage 2,000 Detailed Scope and Location of Work Interior remodel (use additional sheet if necessary) Date Received: D [EC IF, 0W SEP 18 2012 M r < c, 11$0 12 -h TO N OF VAIL 2 State of Colorado Asbestos Testing & Abatement Requirements Asbestos testing and abatement protects workers, homeowners, neighbors and emergency services responders from ex- posure to harmful asbestos. It is your responsibility to be in compliance with the State. Please contact the State directly for their requirements at the contact info listed below. When is asbestos testing reauired7 ANY building projects disturbing more than these threshold levels of building materials require asbestos testing: One- and Two - Family Dwellings: 32 square feet All Others (commercial spaces, hotel rooms, etc): 160 square feet Definition of a single- family dwelling: any dwelling unit that is used primarily for a single family, including multi - family /condominium units, and fractional fee units. Asbestos testing results must be provided with your application for a building permit. Tests which identify POSITIVE results at more than 1% require abatement by a State - certified abatement contractor. The air clearance letter or form must be submitted to the Town of Vail before the building permit will be issued. Project Checklist My project falls into the category checked below: Will not disturb more than the threshold limits identified above. 0 Tested negative, or at 1% or below (1 copies of test results included) F1Tested positive at more than 1 %, requires abatement (i copies of test results included) Tips & Facts: • Even recent construction projects may include asbestos- containing materials, so buildings of gny age require testing. • The "1989 Ban" on asbestos - containing materials is commonly misunderstood. "In fact, in 1991 the U.S. Fifth Circuit Court of Appeals vacated much of the so- called "Asbestos Ban and Phaseout" rule and remanded it to the EPA. Thus, much of the original 1989 EPA ban on the U.S. manufacturing, importation, processing, or distribution in commerce of many asbestos - containing product categories was set aside and did not take effect." - CDPHE Asbestos test results should be submitted to: Town of Vail, Community Development, 75 S Frontage Rd, Vail, CO, 81657. Town of Vail Contact: Fire Prevention Bureau Vail Fire Department 75 S Frontage Rd Fire—inspectors@vailgov.com 970 - 479 -2252 www.vailoov.com State of Colorado Contact: Colorado Department of Public Health and Environment Asbestos Compliance Assistance Group 303 - 692 -3158 asbestos@state.co.us www, cdphe. state. co. us 01- Jan -11 1 FA Job No. ZSD l -L — O 19 Z Date Page ASCENT Project 1 By Ch'k _ __- CIVIL i STRUCTURAL ENSIN9921MG WWWnRSCINTCRP.COM Subject rRUCTURF �NLY ; h= _4xAx 146,- " 3/a X 12nsa t,.z� BOULDER DENVER SAN 0 1E60 WINTER PARK Ek MR'N k ) IF t � 1 f !J OR STR C,w Ups 4 ON 1Y fit ! r Ir .a cr I%, i r r � �. y J' � n.,,,� niEb-a,� G tai e . TAaI.e. 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't # r r{.. a >�rw+, `,� ",n R., r ii+! � L .,#+.- 1_ r. �►e �\ ' L �J I' i+. • M. �,t. -.;� /!� � � t� ,� aear :,,c, 6 K � ii lr'. f V E LJ 'I t �W - --- �--- __-_._ ---•.. ail- _. .• t �, Jm 5e; 13. 2012 - 9.41,: ;Wxes,, 4DmA000U ME,gi,,,,,gProlechNx,,t leEe12012 -0:M&gQ012 -0:92201209:L dT EXISTING FLOOR DECK IFEXI5TIN& CONCRETE FOUNDATION 2x4 SHOT -IN TREATED NAILER H554x4x3 /B 0 0 t�3 /e Xl2 "xl2" W� M (4)- % "4)xb" EPDXIED ANCHORS Li 0 0 0 ® 0 0 0 CANTILEVER BRACE DETAIL 5/4" = I' -O ® COPYRIGHT 2009 BY ASCENT GROUP, INC. ,R STRUCT(I- ONL V PROJECT: STEVINSON REMODEL A CIVIL 6 STRUCTURAL ENGINEERING 4909 Pearl East Circle, Suite 201130ulder, CO 80301 303.499.3022 fax 499 .3032 S3 LOCATION: 4255 5PRUGE WAY, UNIT 5 VAIL, GOLORADO DATE: q/5�202 PROJECT NO: I 2012 -OIq2 JaW bp13. 2012 -%e0wm .rSYWADKwmrtAErvi. mJobO2Ol24l92U%=l24192201209ir. N i I 4 `" 111 « aa� / F+M , .� LVL @ 16" ox,. SISTE JOISTS e JIT DOUBLE L4 4xy4 "x0' -6" f 'w/ (2) -5 /e "(P THROUGH 5OLT5 THROUGH EA LAG TO 1NE, 4 LyJ6$. 1.A L_ ; it f *s- 91, - 0111 PROVIDE GU5TOM L&x&x3 /e "xO' -a*% /� (2)-3/4 "0 THROUGH BOLTS EACH LEG < - A5x24 — �H554x4)eY4" PIPE COLUMN w GAP 4 �� BASE xb "x8" two � + REMOVE � (V2E)RIFY OR PROVIDE �! j-15iRNE' �0 LVL I a • 4 KALL . - e oQ RE 6 iA 27 S''A..... C' 1R STRUCT(.1- U PER LEVEL F 111 1/4' = 1' -0" 0 COPYRIGHT 2009 BY ASCENTGROUR, INC. J - PROVIDE BEAM POCKET IN EXISTING CORNER 5TUD BUNDLE N1 FULL WIDTH 4 _J DEPTH 5HIM5,70P ,i BOTTOM , 0 Abe-, Irm "BENT" Gax13.4 RIM w/ FULL PENETRATION YNELD5 @ ANGLES. PROVIDE (3) RON5 OF ,,�6EDGERLOK �I" AL. 1 TO EXISTING RIM. REMOVE EXISTING DROPPED LVL BEAM PROVIDE JC15T /LVL HANGERS @ EXI5TING 4 NEW PROVIDE L6x6x5/(b "xO' -8" I (2) -5/8 "'P LAG BOLTS INTO LVL 4 (2) —%, "0 THROUGH BOLT5 TO 5TEEL RIM RAMING PLAN PROJECT: ST EV I N S O N REMODEL A CIVIL ti STRUCTURAL ENGINEERING 4909 Pearl East Circle, Suite 20113oulder, CO 80301 303.499.3022 fax 499 .3032 SHEET S2 LOCATION: 4255 5PRUCE WAY, UNIT B VAIL, COLORADO DATE' q/15/2012 PROJECT NO: 2012 -OILI2 LAO in V Ir -,*A-qo 6"Al t - P w VERIFY CANTILEVERED FLOOR JOISTS 4 SUPPORTING SEAM PROVIDE W5xl5 FLUSH ,SEAM @ P05T ABOVE# 1R STRUCTI lk IV - 1 I li o VERIFY OR PROVIDE I r BEAM 4 PIPE COLUMN H554x4x3/ BEAM s, w/ (2)- H554x4xBe KNEE BRACKETS INSET 30" FROM ENDS. 5EE DETAIL e ' I /53 l I Ir ��• 4IPL'ACE DECK LEDGER 4 HANGERS.I�rl.rw VERIFY SQUARE 4D � TE.P `�` •� CONCRCR ETE PAD it REMOVE EXISTING POST 0� v Y a MAcI' 1.6A RAMING PLA Q COPYRIGHT 2009 BY ASCENT GROUP, INC. l PROJECT: ST EV I N S O N REMODEL CIVIL 6 STRUCTURAL ENGINEERING 4909 Pearl East Circle, Suite 201Boulder, CO 80301 303.499.3022 fax 499 .3032 SHEET S1 LOCATION: 4255 SPRUCE WAY, UNIT 5 VAIL, COLORADO DATE: Q/15/2O12 PROJECT NO: 2012 —OIQ2 A�A Boulder Environmental Management, Inc. 2400 Broadway St., Unit B, Boulder, CO 80304 Phone: (303) 382 -1175 Fax: 1 (866) 644 -4121 August 23, 2012 Mesa Properties Mr. Don Noschese 7325 Peakview Ave. Englewood, CO 80111 Don(&Mesapropertie s. org RE: Bulk sampling of suspected asbestos - containing materials 4253 Spruce Way, Unit B, Vail, Colorado Dear Mr. Noschese: Attached is the report for the asbestos survey and bulk sampling of suspected asbestos - containing building materials at 4253 Spruce Way, Unit B, Vail, Colorado. This investigation was conducted on behalf of and for the exclusive use of Mesa Properties (client), solely for use in a limited asbestos survey of the property. This report and the fmdings herein shall not in whole or in part, be disseminated or conveyed to any other party, nor used by any other party, in whole or in part, without prior written consent of Boulder Environmental Management. The results of this survey are limited to materials that were assessable and foreseeable. Additional materials may exist behind hard surfaces. Personnel knowledgeable of asbestos containing materials should always oversee demolition activities. Demolition work should be halted and sampling performed by a state of Colorado licensed building inspector if additional materials, which are suspected of containing asbestos, are encountered. If you have any questions regarding the contents of this report, please do not hesitate to contact us. Sincerely, Chris Maras 23(0811211:06 -06:00 I appro,e the doamert Chris Maron Project Manager *Asbestos *Lead *Industrial Hygiene *Safety *Final Air Testing* *Health and Safety Training* Boulder Environmental Management, Inc. 2400 Broadway St., Unit B, Boulder, CO 80304 Phone: (303) 382 -1175 Fax: 1 (866) 69911121 BULK SAMPLING REPORT 4253 Spruce Way, Unit B, Vail, Colorado Introduction: On August 17, 2012, Boulder Environmental Management, Inc.'s building inspector, Chris Maron, conducted bulk of suspected asbestos - containing materials under the direction of our client. Sampling: During the sampling process, suspect ACM was separated into three EPA categories. These categories are thermal system insulation (TSI), surfacing ACM, and miscellaneous ACM. TSI includes all materials used to prevent heat loss or gain or water condensation on mechanical systems. Examples of TSI are pipe coverings, boiler insulation, duct wrap, and mud packed fitting cement. Surfacing ACM includes all ACM that is sprayed, trowelled, or otherwise applied to a surface. These applications are most commonly used in fireproofing, decorative and acoustical applications. Miscellaneous materials include all ACM not listed in the thermal system insulation or surfacing categories, such as linoleum, vinyl asbestos flooring, and ceiling tile. Boulder Environmental Management, Inc. followed EPA recommended sampling guidelines for identification of asbestos in bulk matrices. A set of three (3), five (5), or seven (7) samples were collected for each material type and analyzed by Polarized Light Microscopy (PLM). Each sample set was systematically analyzed. Upon determination that a sample in a set contained asbestos, analysis of the remaining samples in the set was discontinued. If no asbestos was detected during the analyses, the suspect material was determined to be negative for asbestos content. *Asbestos *Lead *Industrial Hygiene *Safety *Final Air Testing* *Health and Safety Training* Boulder Environmental Management, Inc. 2400 Broadway St., Unit B, Boulder, CO 80304 Phone: (303) 382 -1175 Fax: 11 (866) 6994121 Results: The following materials are presumed to be asbestos containing: PRESUMED ASBESTOS CONTAINING MATERIALS MATERIAL I LOCATION Tar impregnated roofing materials* I Roof * The Colorado Department of Public Health and Environment, Au Pollution Control Division, does not require a notification to be submitted for a project involving the removal of non - friable tar- impregnated asbestos roofing felts. However, if the roofing felt is friable or will become friable during its removal, all of the permitting, notification, certification and waste handling sections of Regulation No. 8 would apply. The following materials were analyzed and determined to be non asbestos - containing utilizing polarized light microscopy (PLM). NON ASBESTOS - CONTAINING MATERIALS MATERIAL LOCATION SAMPLE ID Drywall and joint Mechanical room 8- 17 -CM -01 compound Orange peel texture Main level entry closet 8- 17- CM -02A Mud room closet 8- 17- CM -03A Main level bedrooms northwest 8- 17- CM -04A bedroom closet Trowel texture Main level dining room north wall 8- 17- CM -05B Master bathroom west wall 8- 17- CM -06B Main bathroom #2 under east window 8- 17- CM -07B Loft north wall 8- 17- CM -08B Master bedroom south wall 8- 17- CM -09B Sheet flooring Laundry room 8- 17 -CM -10 Trowel texture drywall and Main level at entry door 8- 17 -CM -11 joint compound Orange peel texture Entry closet 8- 17 -CM -12 drywall and joint compound Discussion: Sample analyses results are reported in percentages of asbestos and non - asbestos components. The EPA defines any material that contains greater than one percent (1 %) asbestos, utilizing PLM, as being an asbestos containing material. Materials that are identified as "none detected" are specified as not containing asbestos. *Asbestos *Lead *Industrial Hygiene *Safety *Final Air Testing* *Health and Safety Training* Boulder Environmental Management, Inc. 4 2400 Broadway St., Unit B, Boulder, CO 80304 Phone: (303) 382 -1175 Fax: 1 (866) 6994121 Conclusion: The materials sampled in this study do not contain asbestos. Workers disturbing materials that contain 1% asbestos or less must be OSHA trained and follow OSHA handling guidelines while handling and disposing such materials. The results of this survey pertain only to materials tested. The laboratory reports supporting these fmdings above are attached. Please contact Boulder Environmental Management, Inc. if you have any questions or concerns regarding this report. Sincerely, Cris m3m 23(081211:07 -06:00 C-- )51P,17 I ap me the doarnent Chris Maron Project Manager *Asbestos *Lead *Industrial Hygiene *Safety *Final Air Testing* *Health and Safety Training* Reservoirs Environmental, Inc. Effective January 1, 2012 Reservoirs Environmental QA Manual T: \QAQC\Lab \Reservoirs Environmental QA Manual.doc A E T Reservoirs En virnnm ental, Inc. August 21, 2012 Chris Maron Boulder Environmental Management 5 Deer Trail Road Boulder CO 80302 Dear Customer, Laboratory Code: Subcontract Number: Laboratory Report: Project # I P.O. # Project Description: RES NA RES 242604 -1 None Given 4253 Spruce Way, Unit B Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code 101896 -0 for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the American Industrial Hygiene Association (AIHA), Lab ID 101533 - Accreditation Certificate #480 for Phase Contrast Microscopy (PCM) analysis. This laboratory is currently proficient in both Proficiency Testing and PAT programs respectively. Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request. The analysis has been completed in general accordance with the appropriate methodology as stated in the attached analysis table. The results have been submitted to your office. RES 242604 -1 is the job number assigned to this study. This report is considered highly confidential and the sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with personnel other than those of the client. The results described in this report only apply to the samples analyzed. This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the U.S. Government. This report shall not be reproduced except in full, without written approval from Reservoirs Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested. If you have any questions about this report, please feel free to call 303 -964 -1986. Sincerely, Jeanne Spencer President Analyst(s): Paul D. LoScalzo Wenlong Liu Michael Scales Adam Humphreys Anita Grigg Robert R. Workman Jr. Melissa Hylton Jillian A. Doherty P: 303 - 9641986 F: 303 - 477 -4275 5801 Logan Street, Suite 100 Denver, CO 80216 Page 1 of 3 1- 866 -RESI -ENV www.reilab.com Reservoirs Environmental, Inc. Reservoirs Environmental QA Manual RESERVOIRS ENVIRONMENTAL, INC. NVLAP Lab Code 101896-0 TDH Licensed Laboratory # 30 -0136 TABLE PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: RES 242604 -1 Client: Boulder Environmental Management Client Project Number / P.O.: None Given Client Project Description: 4253 Spruce Way, Unit B Date Samples Received: August 20, 2012 Effective January 1, 2012 T: \QAQC \Lab \Reservoirs Environmental QA Manual.doc Analysis Type: PLM, Short Report Turnaround: 24 Hour Date Analyzed: August 20, 2012 ND =None Detected TR =Trace, <1% Visual Estimate Trem- Act = Tremolite- Actinolite lent Lab L Asbestos ontent Non on- Sample ID Number A Sub Asbestos Fibrous Number Y Physical Part i Fibrous Components E Description ( %) Mineral ; Visual Components M) R I Estimate (% 8- 17- CM -01A EM 160918 A White compound 10 ND 0 100 B White joint compound 10 ND 0 100 C White tape 20 ND 90 10 D Pink/brown drywall 60 ND 20 80 8- 17- CM -02A EM 160919 A White texture w/ white paint 20 ND 0 100 B Pink/brown drywall 80 ND 40 60 8- 17- CM -03A EM 160920 A White texture w/ white paint 15 ND 0 100 B Pink/brown drywall 85 ND 40 60 8- 17- CM -04A EM 160921 A White texture w/ white paint 10 ND 0 100 B Pink/brown drywall 90 ND 40 60 8- 17- CM -05B EM 160922 A Pink/brown drywall 15 ND 50 50 B White compound will tan paint 85 ND 0 100 8- 17- CM -06B EM 160923 A White compound w/ tan paint 15 ND 0 100 B Brown drywall 85 ND 20 80 TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1 %. P: 303- 964 -1986 F 303- 477 -4275 5801 Logan Street, Suite 100 Denver, CO 80216 Page 2 of 3 Data QA 1- 866 -RESI -ENV www.reileb.com Reservoirs Environmental, Inc. Reservoirs Environmental OA Manual RESERVOIRS ENVIRONMENTAL, INC. NVLAP Lab Code 101896 -0 TDH Licensed Laboratory # 30 -0136 TABLE PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: RES 242604 -1 Client: Boulder Environmental Management Client Project Number / P.O.: None Given Client Project Description: 4253 Spruce Way, Unit B Date Samples Received: August 20, 2012 Effective January 1, 2012 T: \OAOC \Lab \Reservoirs Environmental OA Manual.doc Analysis Type: PLM, Short Report ND =None Detected Turnaround: 24 Hour TR= Trace, <1% Visual Estimate Date Analyzed: August 20, 2012 Trem- Act= Tremolite- Actinolite Client Lab L As estos Content Non on- Sample ID Number A Sub Asbestos Fibrous Number Y Physical Part Fibrous Component E Description ( °10) Mineral visual Components ( %) R Estimate (% 8- 17- CM -07B EM 160924 A White compound w/ tan paint 15 ND 0 100 B Brown drywall 85 ND 20 80 8- 17- CM -08B EM 160925 A White compound w/ tan paint 15 ND 0 100 B Pink/brown drywall 85 ND 20 80 8- 17- CM -09B EM 160926 A White compound w/ tan paint 30 ND 0 100 B Pink/brown drywall 70 ND 20 80 8- 17 -CM -10 EM 160927 A Tan adhesive 10 ND 0 100 B White sheet vinyl w/ white fibrous backing 90 ND 30 70 8- 17 -CM -11 EM 160928 A White tape 10 ND 90 10 B White joint compound 15 ND 0 100 C Pink/brown drywall 30 ND 50 50 D White compound w/ tan paint 45 ND 0 100 8- 17 -CM -12 EM 160929 A White tape 10 ND 90 10 B White joint compound 15 ND 0 100 C White compound w/ white paint 35 ND 0 100 D Pink/brown drywall 40 ND 40 60 TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1 %. P. 303 -964 -1986 F 303- 477 -1275 5801 Logan Street, Suite 100 Denver, CO 80216 Page 3 of 3 Data QA 1- 866 -RESI -ENV www.reilab.com Due Date Due Time:Z—'. 2400 Broadway Street, Unit B Boulder, CO 803134 RES 242604 -1986 • Fax 303-477-4275 • Toll Free :866 REST -ENV 5801 Logan 81, Denver, CO 30216 • Ph 303 964 Pager: 303-509-2098 PILM ,PCM I TEm RUSH (Sam Day) IORrrY (Next Day) _STANDARD — (Rush = 2hr, TIEM = 611 CHEMISTRY LABORATORY HOURS: Weekd 8: 8am-spm —t-, Metal(s) I Dust _— RUSH. 24 hr. J-b Day --:303382-1175 Phone; lfl F- '-Wbage` 303-917-8243 mi Data D.Wer-1310 Emil Address: ti i5 Swab- SW Cmaron3000 @aol.com, Rmaron3000@aol.com, BoulderEnviron@aolzom TED ANALYSIS 1 0 �,,, :- . r--'VA—L1DMATR1XqCO01ES LAS NOTES: as J 1`91 Mold 35 Day 7 Day A Bulk - B must be unique) Organics 24 hr- turnarounds.- _ 3 day Day CROBIOI �Air- Dust Paint paint - P IsAbor4lavy4dilirl i 7 Me.,401004ft itioubito to laboratory wival0�4w4=1i 10 " w I _5 -11-muDIVII.-IIJUT LABORATORY HOURS: Weekd I . , . . I ys: 'It , Soil S W RCRA 8 1111 & Welding ••Prior notification is lfl x mir ti i5 Swab- SW F ■ Food Fume Scan If TCLP RUSH. 5 day 10 day required for RUSH 5 0 > ;ir n I It iii --7 Me ID's as J 1`91 Mold 35 Day 7 Day DrIn Water a DIN Waste Water - WW must be unique) Organics 24 hr- turnarounds.- _ 3 day Day CROBIOI Collected Collected IsAbor4lavy4dilirl i 7 Me.,401004ft itioubito to laboratory wival0�4w4=1i 10 " w I _5 -11-muDIVII.-IIJUT LABORATORY HOURS: Weekd I . , . . I ys: 'It , I 8 . — . "%&WAdd1I i . I E1792 approved ed�--,� WOO M E,coliOl67:H7,Coiiforms,S.aureus _2411r, _2 pay _3 . 5 Dell, 3almonelia, lfl mir ti i5 8 Listeria, E.00111, APC 48 hr. _3-5 Day 5 > ;ir n I It iii --7 Me ID's as J 1`91 Mold 35 Day 7 Day Dale Time must be unique) CROBIOI Collected Collected IsAbor4lavy4dilirl i 7 Me.,401004ft itioubito to laboratory wival0�4w4=1i 10 " w I OGY ;ft mddd4v JiWeae . — . "%&WAdd1I i . vm* ndG and holiday{ lfl mir 5 > ;ir n I It iii --7 Me ID's as J gig 1� Dale Time must be unique) CROBIOI Collected Collected OGY ;ft mddd4v JiWeae Z -77 7— r7 5 7 Z r7 ............... 9 7'• 7- Number of samples received: (Additional samples shall be listed on attached long form.) NOTE: REf WIJI analyze incomng maros based upo,, uforlation mWv&d and wj 11 not De RrI as ifIdictued an (his Chain of Custody shay cbnstaute an III— womasto" in catwwo,s reswtmg from Na "I Oforgiraldsta. By analytical servkm ag, signing cranbcornpaffy ement will P:Y")OrA terms Of NET 30 days, takm 10 con" with PaYnwnt tI Insy result In a 15% rountIVY IFI mpreshiatva agrees N 1 of bn"s the folowing samples for requested Relin uished surcharge. Laboratory Use Onl Received B Results: Contact Datefrime: Pa a Date Time Sample Condition: On lee Temp. (FI) Yes / No Sealed Yes / NO Intact Contact InItials, Page Phone Email Fax Date contact Page Phon Email ax Date Time Initials Page Phone Fax Date Time initials i - ® ■ ■ ■ ■■ ■■per ■rr� ■■ m ■ ■ ■ ■®®N��9� ■�■■�■■■■■■■r■.■■r■■■■■� m ■ ■ ■ ■r ■r ■ ■ ■ ■r■■r■ ■■ ■■■■■■■rrr■ ■■■■m■■ ■■■■� ® i■iii■■ ■iiiiiiommi ■■ ■ Imm onaffismommu MGM ■�r� oil ® ■ ■ ■ ■■■ ■ ■■r ■rson ■ ■ ■ ■■■■� ■ ■■■■■� ■■ WINE i■ii�■i■iiiiiiii ■'■■ ■■■=■■■■■■■■ m ■ ■■� ■ ■r ■molls ■r ■■ m iii ii■iiiiiiiiii■i■i '� ii■■� Boulder Environmental Management, Inc., 2400 Broadway, Unit B, Boulder, CO 80304, Phone: (303) 382 -1175, Fax: 1 (866) 699 -4121, Email: Chris@BoulderEnvironmental co BULK SAMPLE LOG corn LOCA'T'ION: lj-��j r e W , COMPANY BILLING INFO: DATE: 1 1 Address NAME: o��cr� Nos chase , c' z Phone 3 h ^ o-z DDn ►'heSR Pf-A C4, - a� Mobile P ❑SCOPE: Q Complete building demolitions En C1 Renovation/restoration El Sample per client's direction AHERA Protocol followed - Minimum 3 samples, 5 samples for surfacing materials 1,000s.f.- 5,000s.f., 7 samples if >S,000s.f CONSTRUCTION ERA: _ SAMPLES COLLECTED BY: SAMPLES RECEIVED BY: - DATE: TIIVIE: GPs . Z-4 Boulder Environmental Management, Inc., 2400 Broadway, Unit B, Boulder, CO 80304, Phone: (303) 382 -1175, Fax: 1 (866) 699 -4121, Email: Chris@BoulderEnvironmental.com BULK SAMPLE LOG LOCATION: 4ZS3 Spr uc p- Lj47 , u^' 4 T� , v cz :) DATE ?J /f 7 /1-Z,, aa.�rrf-a�p }r y -:r Ufa "r1lt �r r'..r •r'a'm ♦ ir♦ ♦,� iL �a #':• - h "!F #i` #aia �545i!`iyai'y+ i +liR6i ±a /..R! t'wri /ia \S`r ar !'ig 4'I /�r�r,y i� # \ \` #iia «jf jt +`�. ni \,`i4�i414i /ii /!•" .p4se?41iCiti� 1p +fr`. „i�ik4iibtcF.p`s /"fi *+5 ;4l,� #1011 /i4 din., rtl�tj, tE•t A4f♦i!,!�}i. Rtl. # +ii��i�r,ae, iil a ��f+,ss/Iylr� �•- e;\�\`llyllkis��fatr� • � \it heal ;gt syr,tr ,� .�,j\ifyltfftk�s +ir�rr, � y!f ll�dfs +¢x +rR�ii :, \\`4�i654� s/' s Ftr "!4#kk`f i4M fi i Fl 0 ��11t il/ t+ � ! 0 #i1► f; r s; rt♦- � \r \! l rrlr \ \�\ f !e�y \ \ \ \, i"s, y \ <', r t \yy r ♦ \'y ,,s r \ • s\� y ,f. rd tef. ff h� �S E •aa ?�.au• i . �, -+r.^ .+^�'"".,t ", Ca9"r*L'rr. 7S'"° �lli7erl' "iPiL7.!RtAC"U1'F�'��' • r , r a «4 '� STATE OF COLORADO �s ASBESTOS :. *.s CERTIFICATION* K Colorado Department of Public Health and Environment _.. Air Pollution Control Division This certifies th t Chris Maron Certification No: 615 !'f K has met the requirements of 25 -7 -507, C. .S. and Air Quality Control ` Commission Regulation No. 8, Part B, and is hereby certified by the state of Colorado in the following discipline: Building Inspector* Issued: 9/25/2011 A;. Expires on: 9/25/2012] f , Authorized APCD Representative This certificate is valid onit• with the possession of a current Divi.sion-rcpp/oved training course eerdJkadon in the discipline specified above. ,AiL 4V a i i . � • y�,iamj' i �l�� 1��) s � i/,/� � issr r/jr��I'1 � �l �s fij�;_s 1c"i ��F'ft\C4sr', -�� tr,i' � ♦� /` ft.. �� t � r, , 4 ` \Y . %�,,� ff �,. d�� ''\ �, ,r±s •� s s 13t �"(`��1 �s+;P,.\ � rs •t �s+� i • � "t +. •. _� �iti t A ,• t fi!, y� . f F +• 41 �3 rs - a r ... _ - .. dl.IL,e f 1 IM ENVIRONMENTAL ACCLAIM , S E R V I C E S I N C 14367 Lakeview Lane Broomfield Cclo(ado 80023 ` Tel 303 424 4647 - Fax 303 432 8669 CERTIFIES THAT CHRIS MARON Has successfully completed The EPA - Approved AHERA Annual Refresher Course for INSPECTOR This course is EPA - approved under Section 206 of the Toxic Substances Control Act (TSCA) and meets the requirements of Coloradc Regulation No 8 Course Date 06106/12 Exam Xo► Date Certificate No 1 Expiration Date ______06/06/13 �� , -a'1!! '4e -s -� �k[ jai, • ems ►- �,',t"•rY" '�� t , K. Jay GTae, :. 1 13 :1