HomeMy WebLinkAboutB11-0071 ' � ��./ , l/
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11-06-2012 Inspection Request Re orting Page 1
4 03�m Va�l,_S' Citv
Requested Inspect Date: Wednesday, November 07, 2012
Site Address: UNIT 301SON RANCH RD VAIL
A/P/D Information
Activit : 611-0071 Type: COMBO Sub Type: AMF Status: ISSUED
Const Type: Occupancy: Use: Insp Area:
Owner: ELLIS, GAIL GALVIN Phone: 626-795-1185
Contractor: BECK BUILDING COMPANY Phone: 970-949-1800
Description: BAY WINDOWS DEL OF KITCHEN, EXPANSION OF LIVING/DINING SPACE ONTO DECK WITHIN NEW
Requested Inspection(s)
Item: 90 BLDG-Final Requested Time: 08:00 AM
Requestor: BECK BUILDING COMPANY Phone: 573-864-6628
Comments: PHONE#IS FOR DOUG Entered By: DRHOADES K
Assigned To: JMONDRAGON
Action: Time Exp:
Inspection HistoN
Item: 10 BLDG-FOOTING
Item: 20 BLDG-Foundation/Steel
Item: 120 ELEC-Rough "Approved"
08/08/12 Inspector: sgremmer Action: AP APPROVED
Comment: �• roved"`
Item: 200 MECH-Rough ApP
07/02/12- Inspector: . sgremmer Action: PI PARTIAL INSPECTION
Comment: re-connection of heat loops where old base board was located going with infloor heat system
08/08/12 Inspector: sgremmer Action: AP APPROVED
Comment: Action: AP APPROVED
08/31/12 Inspector: nsc
Comment: fire place
Item: 220 PLMB-Rough/D.W.V. *''Approved"*
06/05/12 Inspector: sgremmer Action: AP APPROVED
Comment:
07/06/12 Inspector: sgremmer Action: AP APPROVED
Comment: •� roved"`
Item: 230 PLMB-Rough/Water App
06/05/1Z Inspector: sgremmer Action: AP APPROVED
Comment:
07/06/12 Inspector: sgremmer Action: AP APPROVED
Comment:
Item: 410 Sp 08%03%12 eln pe9tor s r J p��"Approved"" Action: AP APPROVED
R
Comment: �• roved""
Item: 30 BLDG-Framing APP
08/08/12 Inspector: sgremmer Action: AP APPROVED
Comment:
Item: 50 BLDG-Insulation *'A� pproved'" Action: AP APPROVED
08/17/12 Inspector: JRM
Comment: Action: AP APPROVED
08/31/12 Inspector: nsc
Comment: lath
Item: 60 BLDG-Sheetrock Nail ""Approved""
08/23/12 Inspector: sgremmer Action: AP APPROVED
Comment:
Item: 190 ELEC-Final ""Approved`"
REPT131 Run Id: 14617
Y
1VOTE: THlS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
..
�owrro�v� �
Town of Vail, Community Development, 75 South Frontage Road,Vail, Colorado 81657
p.970.4792139, f.970.479.2452, inpsections 970.479.2149
COMBINATION BLDG PERMIT Permit #: B11-0071
Project #: PRJ11-0022
Job Address: 302 HANSON RANCH RD VAIL Applied.....: 04/18/2011
Location......: UNIT 301 Issued...: 06/20I2011
Parcel No....: 210108240020
WNER ELLIS,GAIL GALVIN 04/18/2011 Phone:626-795-1185
C/O WEST COAST PARTNERS
1435 CIRCLE DRIVE
SAN MARINO
CA 91108
ONTRACTOR BECK BUILDING COMPANY 03/28/2012 Phone: 970-949-1800
780 NOTTINGHAM ROAD,AVON
PO BOX 4030
VAIL
CO 81658
License:C000003131
PPLICANT ELLIS,GAIL GALVIN 04/18/2011 Phone:626-795-1185
C/0 WEST COAST PARTNERS
1435 CIRCLE DRIVE
SAN MARINO
CA 91108
escription:
�TERtOR REMODEL OF KITCHEN,EXPANSION OF LIVING/DINING
PACE ONTO DECK WITHIN NEW BAY WINDOWS
Occupancy: Type Construction: Valuation: $117,050.00
......»,.,.,.....�...............,,......,........,.x«.....,......,..�......�..... FEE SUMMARY .........�.,....x��....�....,.....,.....,,x......�.......,....;................a.,..
uilding Permit-------> $1,094.55 Bldg Plan Check-----> $711.46 Use Tax Fee------- > $2,141.00
lectrical Permit-------> $230.00 Elec Plan Check-----> $149.50 Restuarant Plan Review-------> $0.00
lechanical Permit—> $540.00 Mech Plan Check----> $135.00 Additional Fees------------> $1,710.79
lumbing Permit--------> $120.00 Plmb Plan Check----> $30.00 Recreation Fee---------> $0.00
Investigation---------> $0.00
Will Call--- --> $20.00
TOTAL PERMIT FEES— -> $7,212.30
Payments----__ __�> $7,212.30
BALANCE DUE --> $0.00
f(i(M1rlxtk444RRf!*!MelkYrf'klrtRRdl�ir4dRtRi4RlritRlf4RYrYtR*1MR*#'f�f�lrRlrlr#+�##R'k#*1r4#1�'kkRR<*RYt#'fRRlrftlr*+ef4Yf*Y*R#d#f(fR*YnF*kt1M*4l+t*YrtflrHr*frRf�4R4**4k1�****Yr*�rt1rf'**1r**f4RkRfrRt+Y4f fFR41r!*Yr1r1rMl��titR4*lfkfi*t
DECLARATIONS
�ereby 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
� required is correct. I agree to comply with the information and plot plan,to comply with a�l Town ordinances and state laws,and to build this structure
:cording to the town's zoning and subdivision codes,design review approved, International Building and Residential Codes and other ordinances of the Town
�plicable thereto.
EQUESTS FOR INSPECTION SHALL BE MADE TWENTY-FOUR HOURS IN ADVANCE BY TELEPHONE AT 970.479.2149 OR AT OUR OFFICE FROM
;00 AM-4:00 PM.
Signature of Owner or Contractor Date
Print Name
�mbination permit_012811
..��«tWt�ta�*xMt�wf��f�RfMf#��wMw�MwMRR�H��t��x�#<Miftf��+#tkwt�xttwf�N+/ktfit�t�##ff+�#Mkwww��4tw�li�rt#�#kXkk�kfiwf#�fkt4�R4flwt�xXklttftfi+Yw��ft}ta«�M�f�txRw+afiiik��f�r�*tfY'
CONDITIONS OF APPROVAL TO BE MET PRtOR TO FINAL SIGN OFF
Permit#:� B11-0071 Address: 302 HANSON RANCH RD VAIL
Owner: ELLIS, GAIL GALVIN Location: UNIT 301
....s..�,r,rv.+i.+r.:ra�xxx��xxe..,rrrex,r.+��x�t.x«:�+.�xxw�.+�.f����rww.+r.r•++xw+�...,r�:r�+.�v.xv.wwewx:rx«��rwt+.+x�,rx+w+.xr,r�rtx��wwxx+x++i�rr�e,r.x+�x+,rt�w+�.r.x.r:��:x+rrx���w�•+.rx�r�x�.
:ond: CON0011887
'rior to the issuance of a building permit, the applicant
hall mitigate the impacts on employee housing resulting
�om the construction of 49 square feet of new gross
�sidential floor area in accordance with the provisions of
:hapter 12-24, Inclusionary Zoning.
:ond: CON0011897
�pecial Inspection required for structural steel (welding),
iasonry, and epoxy boits
:ond: CON0011898
;prinkler upgrade required
>mbination permit_012811
�
�
,V!'�!Y Vj I�11tL ,
k*4f1Y•Mr*****Yr**#*rt****'k�1'*****'k*******1(***#**#**4*1'****'k*Yt**f************1[*#******#'k**tk*�k1*itYr**#****Yt*tk******�k****************M**1['k*****4aF*'k'k********
REQUIRED INSPECTIONS AND STATUSES
Permit#: B11-0071 Address: 302 HANSON RANCH RD VAIL
Owner: ELLIS, GAIL GALVIN Location: UNIT 301
,**.*.***�..****,.�**,*«.,««***«*«**..***�«�********.,****«*********,.*�******��*«****..******„***�****,.********.***************.***�«*,,.�*�***«**..�*****.
em: 00010 BLDG-FOOTING
em: 00020 BLDG-Foundation/Steel
em: 00021 PLAN-ILC Foundation Plan
em: 00022 PLAN-ILC FRAMING
em: 00120 ELEC-Rough
08/08/2012 By: sgremmer Action: AP
em: 00200 MECH-Rough
07/02/2012 By: sgremmer Action: PI Comments:
re-connection of heat loops where old base board was
located going with infloor heat system
08/08/2012 By: sgremmer Action: AP
08/31/2012 By: nsc Action: AP Comments: fire
place
em: 00220 PLMB-Rough/D.W.V.
06/05/2012 By: sgremmer Action: AP
07/06/2012 By: sgremmer Action: AP
em: 00230 PLMB-Rough/Water
06/05/2012 By: sgremmer Action: AP
07/06/2012 By: sgremmer Action: AP
em: 00410 Special Inspect-progress rept
08/03/2012 By: JRM Action: AP
em: 00030 BLDG-Framing
08/08/2012 By: sgremmer Action: AP
em: 00050 BLDG-Insulation
08/17/2012 By: JRM Action: AP
08/31/2012 By: nsc Action: AP Comments: lath
em: 00060 BLDG-Sheetrock Nail
08/23/2012 By: sgremmer Action: AP
em: 00190 ELEC-Final
em: 00290 PLMB-Final
em: 00390 MECH-Final
em: 00420 Special Inspect-final rept
08/03/2012 By: JRM Action: AP Comments:
APPROVED AND SCANNED
em: 00090 BLDG-Final
,mbination permit_012811
� Qepartmen't of Community Development
75 Souih Frontage Road
TO�ii1N 0� VAIL `., � va�i, co a�s�-r
Tei: 970-479-2128
-- _ ' -- wrww.vailgov_com
.`�-�''`~Ybevefopment Review Coordinator
TR�NSMITT�L F�R�/l
Revision Submittais:
1. "Field Set"of approved plans MUST accompany revisions.
2: No further inspections will be performed until the revisions are approved&the permit is re-issued.
3. Fees for reviewing revisions are$55.00 per hour(2 hour minimum), and are due upon issuance.
� I
;Permit#(s)information applies to: Attention• ( Revisions
� ��_Q��/ O Response to Correction Letter �
attached copy of correction letter ;
( )Deferred Submittal
I —�----- ( )Other L
�_ —_—`_._—
i
�Project Street Address:
i(Number) (Street) (Suite#) �__._ — _�
( i
I Building/Complex Name: a Description/List of Changes: I
I, ` ��,�'!�� /� D��v�
'Contractor Information � ,, � � c I
/ I /�uc�'`�(/
Business Name: �L��� �
Business Address: i , �� �. ,li., j I
�
City State: Zip: �
Contact Name: E
l
Contact Phone: (use additional sheet if necessary)
Contact E-Mail: Revised ADDITIONAL Valuations(Labor&Materials) I
I(DO NOT include original valuation) �
I hereby acknowledge that I have read this application,filled out ;
I in full the information required,completed an accurate plot plan, �Building: $
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 Plumbing: $
ordinances and state laws, and to build this structure according
to the town's zoning and subdivision codes, design review ap- Electrical: $
I proved,Intemational Building and Residential Codes and other r
� ordinances of the Town applicable thereto. �Mechanical: $�� j� -
� �
�Owner/Owner's Representative Signature(Required) i Total: $
!
jAPplicant Information ' ------------------- ---�
!Applicant Name:
�Date Received:
; . - , ,;,; �
;Applicant Phone: ;
�Applicant E-MaiL- �+1� i
�
_ _ _ _ . .
For Office Use On3y:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Auth #
'�� ' � Department of Community Development
` � 75 South Frontage Road
TOWN OF VAIL � �` va�i, co s�ss7
Tei: 970-479-2128
www.vailgov.com
Development Review Coordinator
TRANSMITTAL FORM
Revision Submittals:
1. "Field SeY' of approved plans MUST accompany revisions.
2. No further inspections will be performed until the revisions are approved&the permit is re-issued.
3. Fees for reviewing revisions are$55.00 per hour(2 hour minimum), and are due upon issuance.
Permit#(s)information applies to: Attention: ( ) Revisions
{�� � — OD'� l ( ) Response to Correction Letter
attached copy of correction letter
{�,� ( ) Deferred Submittal
l�v0d�%'� � P��,�I � —Ob 2� ( ) Other
�
Project Street Address: ����5 rn���Gf+�,a�—
v Z �-�Li��l �AI�L�/1 ��. l��tE�- �jO l
(Number) (Street) (Suite#)
���`C�,Q�� ' Description/List of Changes:
Building/Complex Name- (�, �\ �
/�.�� W AYLW� �1�V2-D �t�cn�t�`�'�l
Contractor Information _ �'�r►��1��V�q��e,� JQ�p 'p V�,,.�t�c, 5 ��SV 5�1-�e�v1
Business Name: �-1� C�v��O��-q CC� .
BusinessAddress: Z� ►�Cr���c-.i�nl.�vV� �(� � ��bp(�fl tj� �wC-�-vv'�x` S-{-Qe�
City �V61� State: � � Zip: �t l0 22� ��5�—�«1� �S-�v.�t`�Q-��
Contact Name: �G���i�rvV��'V1�2�/�2 �
� (use additional sheet if necessary)
Contact Phone: �3 '—��o �— �o(o2¢j - -----. . ...�.... _..,- .. . ... .. ...... ...
Revised ADDITIONAL Valuations (Labor& Materials)
C�ntact E-Mail: �a��1�C�j �j'�krbc��,�c�s ,GG �'✓l (DO NOT include original valuation)
X Building: $
Owner/Owner's Representativ Sign ture(Required) Plumbing: $
Applicant Information
� ' Electrical: $
ApplicantName: C�A\l.. �(�t5
Mechanical: $
Applicant Phone:
Tota I: $
Applicant E-MaiL
For Office Use Only�
Date Received:
Fee Paid: _
Received From: � � � � �� I�
Cash Check # D
CC: Visa / MC Last 4 CC # exp. date: � AUG 0 2 2012
Auth # �
�Z.�c"�
TOWN OF VAIL
o�-o�c-i i
. ,
— _ _ ` 1
CC� I� � M � �
�
- D
-� AUG 0 2 2012
THUNDER MOUNTAIN TESTING �.��� �� V���
♦ ♦ ♦ � -- ._�.�.
2970 N. Ronlin Avcnue ♦ Grand Junction,CO SISO4
(970)256-9965/Ce{I(970)210-7008/FAX(97Q)314-7067 .
Beck Building Company July 5,2012
P.O.Box�030 �
Vaii,CO 81658
ATfN: Mr. Frank Payne
RE: Ellis Mill Creek#301 Permit i�6I 1-0071
303 Hanson Ranch Roaci Project tJPRJ i 1-Q022
Vaii,Colorado
*Field[nspection
Dear Mr.Payne,
As requested,structural stecl special inspection was co�ducted on site per the IBC 2009 Edition-
Chapter 17:Structural Tests and Special Inspection and The Town 4f Vail requirements.1 arrived on site at
I:3U PM.I met with Mr. Doug Kammeyer with Beck Building Co.to review areas ready for inspection.
V isual welding re-inspection was conducted at the Roof�'raming Plan level on the repairs to the
horizontal tube to vertical tube column,tube column to plate,existing pipe column to angle,and beam
� stiffener plate fillet welded connections as documented in my 6-24-13 repurt. Inspections conducted at the
West Balcony area revealed welded connections in compliance with project spec;ifications.
Visual welding re-inspection was conducted at the Roof framing Pl�n level on the repain to the
followin�listed items in my 6-29-12 report: 1}Eas1 Balcony Tube Steet Connection(Detaill on Sht.S 1 of
1): Inside vertical leg was not welded to the embed plate.?)East Balcony-Center Column Cap: Welding
ws►s incomp{ete,3)East Balcony Tube Fillet welds: 3 areas of excessive porosity were marked tor repair,�1)
East Balcony Tlw-8olt connecuons(Detail Fl on ShL 1 of 1):A total of 9 each Grade 3 nuts wem observed
to have as few as 2 threads engaged onto the bolt(�Bolts were not long enough for further tightening)and
?bolu were observed to be uninstalled,and 5)West[3alcony-West Column(Detail L on Sht. 1 of I):�ne
anchor bnit was in the 2 bolt hole connection. All areas were re-inspected and observed to be as detailed
and in compliance with project specifications and approved engineering revisions.
This concludes all required strucmral steel special inspection per Chapter 17 and project
specitications for the Gllis Mill Creek f�301 in Vail,Colorado by Thunder Mountain Testing.All
documented areas of inspection are in compliance with project specifications.
4E
s tfully ubmi te Reviewed by: ti • �o �
, ,
.
c n . axwell � Michael Allan e '$.E� � Q .��
AWS CWl:�91040201 SCO1t L Msxwwp State ofColor �3�OlU �
[CC Certified#O8b3569-SI &S2 � Q�� a�a��1 ��;��/(��"�..�
7�hunder Mountain Testin� EXP.411l2p�3 ,e+� .���N���.6.r
`�S�aNw1.E�►
� � � 0 � �
_ D
au� 0 2 Zo�2
TOWN OF VAIL
a,�- o�, �
,-____,,�
-*�\. � '
�
�����N���J�1,1 SRECfAL INSf'EC�'i0N AND TESTING SCHEDULE
(IBC '(704)
Project Nar��e: � � ' ��+��i�a-� � '' 3C7� �'ermi # � t4 _ r. .,- I
.,� Otih�ner`s Nam�, C�a:� CQ 15 ��c _,�,,�p ` 3 Z
� T@St111� �CIS�FC��!>C'!�� rr, r Rrint;Jame Da!e
7 Agency: __;_� � �'� �--� 't�',���', �/��'�'rl�`t-!.'�-'�� -� f�'.`1r ! '`!'
� Tes�t11�-�FTSp C O 1 ' Sig"nature Print N�me rate
�;,
Hereby certifies fhat the Testing/lnspection Agency named above has been engaged to per`orm struc:ural Y�sts ard ;
inspecticns d�rrirg construciion as checked below, to satis'ry alI applicaE�le portions af the Building Code. !.
Prior to fir.al ir;spection, #ha Ir�spec"tian Agency sha?I submit a statement tk�at ali items of �lesignated vrork pe.rforrrted
were re�c�rted. �,m�items checked buf not tesEed or insPecfecf�vill be noted and explained. Wt�enever ar�y designated
items ar, t{te list are ready for sarnpling, tesfirg, ar inspection, ii sha11 be the resporsibilify ot the cantractor t� give
!imely notice to�he Inspection agency so that the �equired services may be performed.
REIt�FORC9NG STEEL: iJNDERPtt�fN{NG:
Tensila&8enti,or.e set per heat per tor�s �emporary/Perman�r�t
TA l^sp2c�+on ut Piacement ___ [nsoection of Steel F�br'rcatiort ,
lrspect;on of Wefding (nspection o(Reinfarcing&Forms
`� ��oXS, lnspecfian oi Cor;creEe P�acement
Inspection of T'rebacks
FhASC7NRY:
Prelim.Ac^ept�r.ce Tesis{'vtasonry IJnits,tiVaEl Pnsms? S£71L{3ARLS:
Subsee�.ert Tests(Ma�tar, Grout, F�eld 4'Val1 Prisms) Tem�orary Shoring
_� Inspecticn a[Placement and Grouting Permanent Walf
GONCRETE, SHOTCRETE,GRQUT AND MORTAR: STRUCTURAi..ST�EL;
Conr,re�� Sho; Grout Mortar , SampFe S�Test(List specifsc mecnbers be'ov�}
.'._—�� ; Agg�egate tests for des;gn � Sho{� Iden#ification&Weid;ng Insp�:cti�n
�i�._'�— Suilabiliry of aggrega!es Shoa U[trasonic 1ns�asctian
----- —t-- • � Sho Radio ra h
� Mix Desigrs P 9 P }
____ . � _� _ __ ---- Fieid Weldir InspecEion
Tc-st Panel --.�- g
_._.._.__ . � ._.___..___ -- -- --- -- �_ FieEd E3cltic:c� Inspec#ron ����Yc yC�,v�,�L�'S} '
Batr,h Plani Ens Pciian
-� +�i i——! Centent Grab Sample Fiefcf llltrasonic Inspec"ion `
__.f_._ _ �_. --�.____ _--- f=iefd E2adiograpny
Inspect Plaany
� M,�tal Qeck We�dinc� fins�ction
_._._ __ ._ . __ _----
r ��I� Cr�mpression Tests
, ii-�� Ca�t S�ec+m�_ns
� — FIREPROOFING:
���__. __._____. �.,tcR_up S�niales Ins�ection& P!acernenf
_.. _ -
; � Shnnk2ge�-�r� _. ._
�_....___ -_ __.. ___ __ __ _--- ___.
� _; Y�e�d Check _ SOILS:
Air Check AccE�atance Tests
�– � �^t �--Dry Ur:it N1ei�ht----—
_ __________ Moisture-Density Datetmination
FRECAST CONCRETE: r=ie�d Uensity
�� Reintcsrcir,�Tests Dri?3ed Piers
Ins.ection of Reinforcing Placement [�er�p Four?datioi;
Terdor:T es?s
__ �_ Inspection of Tendon Placem�rt STRUCTURAL WOoD:
�_ I�;spectinn of Concrete Flacernerit ______ Inspection of Fabricaiior�
^_ Ir,spection nf Concrete Bafching inspection of Truss Jcint t=abrica!;on
i�spectior�of Fanel F�lfachmert&1��erts ___ Sampie& Tes! Ccm�aon�nts
______. Com�ression Tesis inspecEien of G�u Le3m Fal7ric�ticr:
_� Inspe;,;i�r�c�f SiressinglTr�nsfe;
SMtJiSE CONTRQL:
P�LWG,CAISSQNS, CAPS,TIES:
���soecf��n o:`Reinforcing Placement SPECIAL CASES:
-------.. I�fspect;c�iz r�f Cancrete Placernent �
Inspect�on af C�ncrete�iatch;rg SPECIA�IiUS�'ECT}OU;
Se'ssmic Resistan;;e
S�;eci'yc!h.er!ost;, irispectiansorspeeiali��slru!:ffonsrequr"red. Win� Requircmenls
����i j Job Narne: ���►� ��,{1����� �c%l
���Q��f�� �L Job A��r�ss: 3���r���i..
P�rmit Na: � t f �C�a`��
SPECtAL fNSPECTftJf� ANd TESTl1�G �tG}��lUt�P�T
{70 �ppiicanfs of�rojecfs rec�uirin� Specia) Ins�eetior�Qr i'esting �Ser Secfiot� 9'7�1 oF fhe 1BC)
The owner or f�is/her represet�t�tive, on the arivice of th� desigtt professianaf in respo��sibie charge, shall
complete, seai, skgn and submit a copy a� #hs Specia! inspection Agreement aE�d Structural �'ests
Scheduled to fhe Town of VaPf for rovisw a�d appraval. Signatur�s are required or� both pages;
photocopied or raxed signatures are acceptabie.
The owner and his/her general cor�tra.ctor, wi�ere ap�iicabl�, sha!( a[so acEcnc�wledge the fallowing
candifions appiicable to S�eciaf Is�spec#ion�'esting:
1. Contractar is responsibie far pro��r no��ication to the f nspection or Testiny agency �or items
fisEed.(Page 1} {!8C 1744)
2. Qnly fhe testing faborato�y shauid take samples and transpar�therrr to their'laboratary.
3. Gopies of al! labacatory reports and inspections are fa be sent directly Yo the Towrt of Vail by the Testing
agency an a we�kly basis.
4. lnspection agenc�r fo submit riames and qualific�fions of on-sit� special in�pectars to the 7owrt af Vai�.
for review and apprava).(P�ge 2}
�. 'fhe speciaf inspector Ps responsi�le to irrimedlat�fy nofify tt�e Town of Vail Bu�iding OffJcial ir��vrifin� of
any concerns ancf/ar probl�ms encountered.
S. li is the responsibNity of fhe contractor fo review the Town of lfaif ap�rot�ed �ians for addition�I
inspectiori or testing requiremants fhat may be ttotad. A �re-consfructlon confierence at #he job sitn is
recon�mended to review s�aecial inspection procedures.
7, Tne speciaf inspector sha[i use anfy the Town of Vait approved drawings.
8. A(! speci�l ir�spec#ion fleld reparts mus# be left on site for reviev✓ by fhe l'ow� of Vai1 st��f prior ta
r���ired inspections a�'re-inspec#ions.
E3�FURE UCCUPAt�CY WiL�. BC GRA�lTEb: T�� special inspection agency shafl subrnit a signed a►�d
se�led stateme�t fhat aIl items r�quiring �esting ana inspection were fulfifled aild repar�ed. 7"hose items nv�.
tested �nd/or inspected shall be noted irt fhis statement. A copy of fl��:sfatement shat! be rnai��tained a.t the
job site for fhe Building Inspecto►'s review prior to fina!inspec�ioh.
Acknowledg
Ov�rner: ......� `�� q�/ ;�.�L l.�S � � �
igna#ure !'rint N ��'— �� ��
ame Uate
,� Special 4ns��C3t;. � .._- � �����` ! `�,�"i;r� '
Agency: "�-- � r.�—' �� .�ti'"� � . /.� '7 /,/ ��
/ ignaturo f�rint Name
� Projec � oate
Rrch/�ng: ���V« � � ��Q
� afute ' ' �� !'�"d_•�
Pr f��me �'� � Uafe
ContracEcr:
-a- �r�,....k A_
Signalure Ptinf Na e �—'
aate
David Rhoades
From: Sarah Wyscarver <sarah@srebuilds.com>
Sent: Wednesday, March 28, 2012 9:37 AM
To: David Rhoades
Cc: JR Mondragon; steve@srebuilds.com
Subject: B11-0071
Attachments: Mill Creek Permit.pdf
David,
As discussed,we authorize the transfer of the attached permit to Beck Builders. Please let me know if you need any
additional information.
Thanks,
Sarah
Sarah Wyscarver
970-390-5776 cell
970-845-6359 office
/ �
SRE BU��D�r��
�
NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
,.
��oe��� �
Town of Vail, Community Development, 75 South Frontage Road, Vail, Colorado 81657
p. 970.479.2139, f. 970.479.2452, inpsections 970.479.2149
COMBINATION BLDG PERMIT Permit #: B11-0071
Project #: PRJ11-0022
Job Address: 302 HANSON RANCH RD VAIL Applied.....: 04/18/2011
Location......: UNIT 301 Issued... : 06/20/2011
Parcel No....: 210108240020
OWNER ELLIS,GAIL GALVIN 04/18/2011 Phone:626-795-1185
C/O WEST COAST PARTNERS
1435 CIRCLE DRIVE
SAN MARINO
CA 91108
APPLICANT ELLIS,GAIL GALVIN 04/18/2011 Phone:626-795-1185
C/O WEST COAST PARTNERS
1435 CIRCLE DRIVE
SAN MARINO
CA 91108
CONTRACTOR SRE BUILDERS, INC. 04/18/2011 Phone: (970)845-6359
PO BOX 6376
VAIL
COLORADO 81658
License:360-A
Description:
INTERIOR REMODEL OF KITCHEN, EXPANSION OF LIVING/DINING
SPACE ONTO DECK WITHIN NEW BAY WINDOWS
Occupancy: Type Construction: Valuation: $117,050.00
..............,�x.,...,.,�,,....,.,>..,..,,..,,,...................,,,,.,,,.....,.... FEE SUMMARY ...........,.....,......,...................,.....................>...,,.,.,,.,
Building Permit-----------> $1,094.55 Bldg Plan Check----------> $711.46 Use Tax Fee-----------------------> $2,141.00
: Electrical Permit---------> $230.00 Elec Plan Check-----------> $149.50 Restuarant Plan Review--------> $0.00
Mechanical Permit------> $20.00 Mech Plan Check---------> $5.00 Additional Fees--------------------> $1,179.19
Plumbing Permit--------> $120.00 Plmb Plan Check---------> $30.00 Recreation Fee--------------------> $0.00
Investigation-----------------------> $0.00
Will Call------------------------------> $20.00
TOTAL PERMIT FEES-------------> $5,700.70
Payments------------------------------> $5,700.70
BALANCE DUE-----------------------> $0.00
..,,.,.....,..,,,,.......,,,,«.......,,........................�x..,.............,...,.........,..x..,,,..,...,...,...,...........».......,.,,..,,...,.....,,,..,,....,..........,...,,...,
DECLARATIONS
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 approved, International Building and Residential Codes and other ordinances of the Town
applicable thereto.
REQUEST,S;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
� _ . � � � � �
�
, ,.
ignature o ner or Contractor Date
�' `� `�C�- �'_ii-
Pri t Name —'
combination permit_012811
..............................�.,,,.,......»........,........,........,...,.......,,.,...,,,...,..,..<...........,,x.x.,.,..�...,........,.........,,.....,,,....,.,,,,,.,......,......,
CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF
Permit#: B11-0071 Address: 302 HANSON RANCH RD VAIL
Owner: ELLIS, GAIL GALVIN Location: UNIT 301
Rte'kxtrRfRYef%'��krtirfx�kwP'#i�k%rt#f#ffi.trtr#YrYeff�kfi�#1`/RRweffff#'#�ilx##A*trtrtrYefYefl`f***fe'k4*rt#fRYrtf4ffixt�M+Y(N#ff�k�kfA#**tlfrwfr#:F�,1'�krtrt�k#��I1(A�k�kbftrhtrrtil'Ye�k�A'f!4##ilxf*#wwwf�Yefrt�A'��#�.lfiffff�filxw*a�etr+F+Fw#9'N�w�.F�rtf
Cond: CON0011887
Prior to the issuance of a building permit, the applicant
shall mitigate the impacts on employee housing resulting
from the construction of 49 square feet of new gross
residential floor area in accordance with the provisions of
Chapter 12-24, Inclusionary Zoning.
Cond: CON0011897
Special Inspection required for structural steel (welding),
masonry, and epoxy bolts
Cond: CON0011898
Sprinkler upgrade required
I
I
combination permit_012811
�
l
��I�i V�'�A� .
****************************,.***************.****************************************,.********�*************.******.,,,***�****.,***..******.********.,**
REQUIRED INSPECTIONS AND STATUSES
Permit#: 611-0071 Address: 302 HANSON RANCH RD VAIL
Owner: ELLIS, GAIL GALVIN Location: UNIT 301
******.,***«**««*******.,**.,«***«.,*************«*«*.*,.*.***�****.«.,**.,************z**********************«.,*„**.�***********.,*********�****«*„***.****.,
Item: 00010 BLDG-FOOTING
Item: 00020 BLDG-Foundation/Steel
Item: 00021 PLAN-ILC Foundation Plan
Item: 00022 PLAN-ILC FRAMING
Item: 00120 ELEC-Rough
Item: 00200 MECH-Rough
Item: 00220 PLMB-Rough/D.W.V.
Item: 00230 PLMB-Rough/Water
Item: 00410 Special Inspect-progress rept
Item: 00030 BLDG-Framing
Item: 00050 BLDG-Insulation
Item: 00060 BLDG-Sheetrock Nail
Item: 00190 ELEC-Final
Item: 00290 PLMB-Final
Item: 00390 MECH-Final
Item: 00420 Special Inspect-final rept
Item: 00090 BLDG-Final
combination permit_012811
_ _ _
*******************************�**************************************************�*********
TOWN OF VAIL, COLORADO Statement
********************************************************************************************
Statement Number: R110000679 Amount: $4, 852.06 06/20/201104 :38 PM
Payment Method: Check Init: SAB
Notation: 5167 SRE
BUILDERS
-----------------------------------------------------------------------------
Permit No: B11-0071 Type: COMBINATION BLDG PERMIT
Parcel No: 2101-082-4002-0
Site Address: 302 HANSON RANCH RD VAIL
Location: UNIT 301
Total Fees: $5, 700.70
This Payment: $4,852.06 Total ALL Pmts: $5, 700.70
Balance: $0.00
*********************************************************************�**********************
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
00100003111100, GFPO ELEC PERMIT FEES-GFP012 170.00
11000003113300, CHPO HOUSING FEE IN LIEU 1, 179. 19
BP 00100003111100 BUILDING PERMIT FEES 1, 094 .55
EP 00100003111100 ELECTRICAL PERMIT FEES 60.00
MP 00100003111100 MECHANICAL PERMIT FEES 20.00
PF 00100003112300 PLAN CHECK FEES 47.32
PP 00100003111100 PLUMBING PERMIT FEES 120.00
UT 11000003106000 USE TAX 4% 2, 141.00
WC 00100003112800 WILL CALL INSPECTION FEE 20.00
-----------------------------------------------------------------------------
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. ` �,, � �
��� , ��- F�.:, �� ���� Department of Community Developmen�
�' _ � � 75 South Frontage Road
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, .
_._,,� � � � , ;•-;� .�. a .,� ,� 9 V :CS�orado 81657
ail,
$�` ' � ' ;;�;�t'ef': 970-479-2128
�; � ;�� +���l� , ��� � �
, .. � Web:` www.vaiigov.com
� ��:�t'� :�_ Develonment Review Coordinator
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BUILDING PERMIT APPLICATION
(Separate applications are required for alarm &sprinkler)
Project Street Address: 1 n n J /1— OO��
302 Gore Creek Drive 301 Pro ect#: t'K
.
(Number) (Street) (Suite#) DRB#: **�R�� � �� �
Building/Complex Name: Mill Creek Court Condos Building Permit#:�� � —(�1���
Lot#: Block# Subdivision:
Contractor Information
Business Name: SRE Builders, Inc Work Class: New( ) Addition( ) Alteration ( �/)
Business Address: PO Box 6376
Type of Building:
City Vail State: CO Zip: 81658 Single-Family( ) Duplex( ) Multi-Family(✓)
Contact Name: Steve Commercial ( ) Other( )
Contact Phone: 9�0-845-6359 Work T e: Interior ( ) Both (✓)
YP ( ) Exterior
Contact E-Mail: steve@srebuilders.com
Valuation of
Contractor ' tration Number: 360A Work Included Plans Included Work
Electrical (�/)Yes ( )No ( )Yes ( )No 3800
X Mechanical (�/)Yes ( )No ( )Yes ( )No 250
Owner/Owner's Represent i e ignature(Required) Plumbing (�/)Yes ( )No 8000
( )Yes ( )No
Project Information Building (�)Yes ( )No (�/)Yes ( )No 105000
Owner Name: Vail tllis(�alvin
Parcel#: 2101-082-40-023 Value of all work being performed: $117,500
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit �value based on IBC Section 109.3&IRC Section 108.3)
www.eaglecounty.us/patie) Electrical Square Footage 1751
Detailed Scope and Location of Work: Interior remodel of kitchen, expansion of living/dining space onto deck
within new bay windows.
�:
�
(USe additional sheet if necessary)
For Office Use Only: Date Received: � � � � �
Fee Paid: $ ,(o D
Received From: SRE, �PL?�l � APR 15
Cash Check # i011
CC: isa MC Last 4 CC # �SaJ exp date: /1
A�tn #���.$!y S��.a WYScar�✓EQ TOWN OF VAIL '
�.;F
�:
Ol-Jan-I]
Account Page 1 of 1
Account: R039794
Location Owner Information Assessment Historv
Parcel Number 2101-082-40-023 Owner Name ELLIS,GAIL Actual(2010) $2,282,080
Tax Area SC103-VAIL(TOWN)- GALVIN Primary Taxable $181,660
SC103 In Care Of Name WEST COAST Tax Area: SC103 Mill Levy:44.3310
Situs Address 000302 GORE PARTNERS Type Actual Assessed Acres SQFT
CREEK DR#301 Owner Address 1435 CIRCLE DR Improvements $2,008,230 $159,860
Legal Summary DESC:&302 SAN MAR[NO,CA 91108
Subdivision:MILL CREEK COURT Land $273,850 $21,800 OA22 1751.000
CONDO Unit:301 R860892 DEC 12-
OS-03
R200618024 EAS 07-06-06
Transfers
Sale Price Sale Date Reception Number Book Page
1 900 000 11/14/2003 858609
850000 07/15/1992 B:0584 P:0872
Images
• Photo
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http://property.eaglecounty.us/assessor/taxweb/account.jsp?accountNum=R039794 4/15/2011
Account Page 1 of 1
Account: R039794 Condo
• Attributes
• Areas
• Remarks
Building Type Arch Style Actual Year Built
CONDOMINIUM CONDO 1965
Effective Year Built Construction Quality Bedrooms
1969 GOOD 4
Depreciation 02 Bathrooms Garage
YEAR- 1969 3
Super Neighborhood Neighborhood Rooms
VAIL CORE CONDO MILL CREEK COURT 8
Air Conditioning Exterior Wall Percentage
� NONE
CB STUCCO 100.0
Interior Wall Percentage
DRYWALL 100.0
Floor Percentage
CARPET INV 100.0
Optional
Use Code
RESIDENTIAL
Units
1
Stories
STORIES 1
Roof Structure
GABLE/HIP
Roof Cover
BUILT-UP
Heating Type
BASEBOARD
Heating Fuel
GAS
Frame
MASONRY
Fixtures
10
Attached Garage
0
Carport Garage
0
Detached Garage
0
Floor%
Size Adjustment
http://property.eaglecounty.us/assessor/taxweb/account.j sp?accountNum=R03 9794&doc=... 4/15/2011
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 testina reauired?
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
clearance letter 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.
I� Tested negative, or at 1% or below (1 copies of test results includ
T� ed)
� Tested positive at more than 1%, requires abatement (1 copies of test results included)
Tips&Facts:
• Even recent construction projects may include asbestos-containing materials, so buildings of any 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 and abatement permit applications should be submitted to: Town of Vail, Community Development,
75 S Frontage Rd, Vail, CO, 81657.
Town of Vail Contact: State of Colorado Contact:
Fire Prevention Bureau Colorado Department of Public Health
Vail Fire Department
75 S Frontage Rd and Environment
Fire_inspectors@vailgov.com Asbestos Compliance Assistance Group
970-479-2252 303-692-3158
www.vailpov com asbestos@state.co.us
www.cd hestate.co.us �;
O1-Jan-11
� ,;
����'�
Q� Phone(303)763 9639
E�°"O � H E RRO NO Enterprises USA,Inc. Fax(303)763 9686
�1� E-Mail Lennie.Herrona�comcast.net
Hazardous Materials'Mold*Asbestos*Lead Paint Website www.HERRON-Enterprises.com
Environmental Services*Industrial Hygienists 7261 W.Hampden Ave.,Lakewood,Colorado 80227-5305
April ll,2011
SRE Builders/Ms. Sarah Wyscarver
HERRON�Project No.: 0324113
Job No.: Verbal
Location: Unit 301,Mill Creek Condo Building,Vail,CO 81657
Date(s)of Service: Apri104-10,2011
Services Requested: Environmental Consultation/Limited Asbestos Building Inspection
Scope of Work
Per your request, and under the guidelines defined, HERRON� Enterprises USA, Inc. (HERRON�) has concluded the
Environmental Consultation/Limited Asbestos Building Inspection at the aforementioned property.
Local, state and/or federal regulations, including but not limited to the Air Quality Control Division (AQCC) Regulation 8,
OSHA 1926.1101, and EPA (NESHAP) 40 CFR Part 61 may require a comprehensive asbestos inspection prior to a
renovation or demolition. This inspection requires an AHERA and State certified asbestos building inspector identifying and
sampling any friabie and non-friable asbestos containing materials which could be affected by the activity.
HERRON�was contracted by the Client,to perform:
a Environmental Consultation/Limited Asbestos Building Inspection, specifically tailored to Friable and Non-Friable
Suspect Asbestos Containing Materials(ACM),associated with the aforementioned property, specifically;
Client directed Limited Asbestos Building Inspection due to a renovation of Unit 301, Mill Creek Condo Building,Vail,
CO 81657
Tan Drywall/Joint Compound,throughout Living Room
Non-destructive bulk sampling;
5 Day Turnaround PLM Analyses;
HERRON�was subsequently contracted by the Client,to perform:
Not applicable.
HERRON�Project No.0324113,Limited Asbestos Page No.-1 April 1 l,2011
Building Inspection
I
, �,�c�ws�s
� E�0 � 1..1 C O Phone(303)763 9639
n�R RO N Enterprises USA,Inc. Fax 303 7
( ) 63 9686
��c�' E-Mail Lennie.Herron@comcast.net
Hazardous Materials*Mold'Asbestos"Lead Paint Website www.HERRON-Enterprises.com
Environmental Services*Industrial Hy ienists 7267 W Hampden Ave Lakewood Colorado 80227 5305
Conclusion
Based on the information generated by this report, HERRON�' concludes that the aforementioned property does not have
Regulated Asbestos Containing Material(s) (RAC1Vn, for purposes of a renovation or demolition (when conducted in
accordance with local,state and/or federal regulations),per the following:
In order to comply with local, state, and/or federal regulations, the following Asbestos Containing Materials, or assumed
Asbestos Containing Materials will have to be removed if they will be made friable during a renovation or demolition
(typically floor tile/mastic, roofing materials, window putty (dependent on pliability), etc., are normally demolished with the
structure, if conducted in accordance with local, state and/or federal regulations, however, require removal during a
renovation):
Materials that contain<=1.0%Asbestos are not considered Asbestos Containing Materials by NESHAPS or EPA but may
still be covered by OSHA. OSHA regulations may apply during potential disturbance activities.
Although a material may have been determined to contain r-1.0% Asbestos, or during a demolition, if the composition of
drywall/joint compound(when the joint compound does not cover the entire surface)has been determined to contain<=1.0%
Asbestos,this document serves as a Hazard Communication and should be followed during an activity such as a renovation
or demolition, to ensure that an exposure does not occur. The MaYimum Allowable Asbestos Level (MAAL) may not be
exceeded at `any' time in accordance with local, state, and/or federal regulations, including but not limited to AQCC
Regulation 8(State),29 CFR 1926.1101 (OSHA),40 CFR Part 61 EPA(NESHAP),and 40 CFR 763 EPA(AHERA).
Suspect materials which were sampled and determined to contain r-1.0% Asbestos (refer to Attachments), by PLM and/or
PLM Point Count analysis are:
Tan Drywall/Joint Compound, Surfacing Material (S), <1,000 SF, Good Condition (Current Condition), Non-Friable,
throughout Living Room, 3 Sample(s),
040411-1A,N Wall,6' from ground,3' from W Wall
040411-1B,at SW Corner,2' from ground
040411-1C,at Southwest Corner, 1' from ground, 8' from E Wall
Suspect materials which were not visible/accessible at the time of the inspection were:
1. `All' EPA suspect Materials not requested.
2. `Any' confirmed or suspect ACM which may have been concealed at the time of the inspection.
3. During a normal inspection, and more specifically when non-destructive sampling techniques are employed, it is not
within the scope of the inspection to remove surface materials to inspect the structures and/or materials which may be
under the surface, i.e., within or under concealed areas such as under carpet, under sub-floors, within chases, walls,
crawlspaces, tunnels, etc., to remove suspect Asbestos Containing Material(s), to move and/or sample electrical wiring
which has not been 'locked out', etc. All said areas are to be assumed as containing>1.0% Asbestos, until such a time
that these areas are made accessible,and/or rendered safe so that sampling can be performed.
4. HERRON� recommends extreme caution during a renovation or demolition of these areas in the event that an area
which was not suspect, visible, accessible and/or specified during the inspection, is discovered to contain or is suspected
of containing an Asbestos Containing Material (ACM). Under local, state and/or federal regulations, should such an
event occur,the Client and or Contractor is required to cease operations which may effect this(these)material(s)until an
inspection is concluded and a determination is made by an AHERA and State Certified Asbestos Building Inspector.
5. It is expressly advised that although this is a Limited Asbestos Building Inspection, it is a limited inspection which is
designed to indicate the presence of Asbestos Containing Materials in the Building(s), and under normal the guidelines
HERRON�Project No.0324113,Limited Asbestos Page No.-2 April 1 l,20l 1
Building Inspection
� ��C��
� `'` O � H E RRO N� Enterprises USA,Inc. Phone(303)763 9639
Fax(303)763 9686
�,�� E-Mail Lennie.Herron�comcast.net
Hazardous Materials*Mold'Asbestos*Lead Paint Website www.HERRON-Enterprises.com
Environmental Services*Industrial Hy ienists 7261 W Hampden Ave Lakewood Colorado 80227 5305
defined, specific samples and locations have been instructed and authorized by the Client. Although some materials may
indicate that Asbestos is not present in this report, and under the protocol of limited sampling whereas not `all' suspect
materials were sampled, under local, state and/or federal regulations, including but not limited to AQCC Regulation 8
and OSHA 29 CFR 1926.1101,a certain protocol for sampling,number of samples obtained,and assessment is required.
6. Disturbance of these areas could create a potential health hazard.
Suspect materials which were visually inspected and determined to be Non-ACM materials at the time of the inspection were:
Not applicable.
Inspection Methodology:
HERRON�selected sample locations and frequency of sampling based on observations, Client requirements and/or the
assumption that like materials in the same area are homogeneous in accordance with EPA Publication EPA 560/5-85 -
030a`Asbestos in Buildings: Simplified Sampling Scheme'.
Recommendations
As Regulated Asbestos Containing Materials were not discovered during this inspection, further action is not required.
Should a renovation or demolition occur which would affect materials that were not homogeneous to the materials which
were inspected and determined negative for Asbestos, HERRON�would recommend as a minimum Plan of Action:
1. Comprehensive Asbestos Building Inspection: a continuous process in areas which may not have been accessible, or
for materials which may have been concealed in previous inspections,may be required, i.e., review and usage of previous
Asbestos Inspection(s), identification of suspect materials, friable and non-friable, approximate quantities (ACM),
discovery sampling in areas which will be affected by the renovation/demolition in order to determine the presence of
Asbestos Containing Materials(ACM),etc.
Assumptions,and Limitations
This Environmental Consultation is applicable in whole, not in part, to the entire contents of the document, and the
assumptions,and limitations of current published Terms of Services.
HERRONm Project No.0324113,Limited Asbestos Page No.-3 April 11,20l 1
Building Inspection
, �t��
" G'° O � H E RRO NO Enterprises USA,Inc. PhFax(303)763 9686
c�_ 1� E-Mail Lennie.Herron@comcast.net
'��18h6d Hazardous Materials*Mold'Asbestos*Lead Paint Website www.HERRON-Enterprises.com
Environmental Services*Industrial Hygienists 7261 W.Hampden Ave.,Lakewood,Colorado 80227-5305
Closure
Information and data which has been generated as a results of this Environmental Consultation will remain confidential and
will not be released to any party without authorization from Client(s).
HERRON�Enterprises USA, Inc.appreciates the confidence which has been demonstrated by your continued patronage,and
look forward to assisting you and your group should you have future needs of Environmental Consultation.
Sincerely,
_ , .
�
�
Sincerely,
Jamie L.Herron-Carson
Project Manager
HERRON�Enterprises USA, Inc.
Certified Asbestos Building Inspectors(s): Jamie L. Herron-Carson(Project Manager), and Dillon Carson
HERRON�Project No.0324113,Limited Asbestos Page No.-4 April 1 l,2011
Building Inspection
� ���QR �
`� E�°"O s� H E RRO N� Enterprises USA,Inc. PhFax(303)763 9686
�1� E-Mail Lennie.Herron�comcast.net
Hazardous Materials'Mold*Asbestos"Lead Paint Website www.HERRON-Enterprises.com
Environmental Services*Industrial Hygienists 7261 W.Hampden Ave.,Lakewood,Colorado 80227-5305
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Limited Asbestos Buiiding Inspection,Attachments
R E 1 LAB Reservvirs En vironmen ta/, Inc.
April 10, 2011 Laboratory Code: RES
Subcontract Number: NA
Laboratory Report: RES 210674-1
Project#/P.O.# 0324113
Project Description: None Given
Lennie Herron
Herron Enterprises, USA, Inc.
7261 W. Hampden Ave.
Lakewood CO 80227
Dear Customer,
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 210674-1 is the job number assigned to this study. This report is considered highly confidential
and the sole properry 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,
� �
. w- - -
_�- .� ���
�—___-_.�-r�r—'�—�x--
i-.-
Jeanne Spencer Orr
President
�
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�=�
Analyst(s):
Paul D. LoScalzo Wenlong Liu
Michael Scales Adam Humphreys
Anita Grigg Robert R. Workman Jr.
Bethany Nichols
P:303-964-1986 5801 Logan Street, Suite 100 Denver, CO 80216 1-866-RESI-ENV
F: 303-477-4275 www.rei lab.com
Page 1 of 2
RESERVOIRS ENVIRONMENTAL, INC.
NVLAP Lab Code 101896-0
TDH Licensed Laboratory#30-0136
TABLE PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
RES Job Number:
Client:
Client Project Number/P.O.
Client Project Description:
Date Samples Received:
Analysis Type:
Turnaround:
Date Analyzed:
RES 210674-1
Herron Enterprises, USA, Inc.
0324113
None Given
April 4, 2011
PLM, Short Report
5 Day
April 6, 2011
Page 2 of 2
ient a L Asbestos Content on on-
Sample ID Number q Sub Asbestos Fibrous
Number Y Physical Part � Fibrous Components
E Description (%� Mineral � visuai omponents (%)
R ; Estimate(% (%)
040411-1A EM 720634 A White compound w/cream paint 3 ND 0 100
B Gray/brown drywall 97 ND 15 85
040411-1B EM 720635 A Brown/gray drywall 5 ND 15 85
B White tape 15 ND 90 10
C White compound 40 ND 0 100
D White compound w/cream paint 40 ND 0 100
040411-1C EM 720636 A White compound w/cream paint 15 ND 0 100
B Gray/brown drywall 85 ND 15 85
ND=None Detected
TR=Trace,<I%Vis�al Estimate
Trem-Act=Tremol ite-Acti nol i te
No[e:Further analysis by TEM is recommended for organically bound material(i e.Floor tile)
ifPLM resul[s are<I%.
Data QA
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(303)781-0422
CERTIFIES THAT
This caurse meets the
requirements of
AQCC Reg.#S
�'�� JAMIE CARS4N
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�� -`! EPA-AP�ROVED AH�R.A ANNVAL R��RESHER CouRSE for INSPECTOR/MANAGEMENT PLANNER
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Course Date 07/08/10
No. of hours 8
Certificate No. DR070810 - OSAM
Expires 07/08/11
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GOBBELL HAYS PARTNERS, INC.
I0500 East 54th Avenue, Suite J � Denver, CO 80239
Ph. (303) 574-0082 `• Fax (303) 574-Q061
CERTIFIE5 THAT
DILLON CARSON
Has successfully completed
The 4-Hour EPA-APPROVED AHERA ASBESTOS COURSE for Building Inspector Refresher.
This course is EPA-approved under Section 206 of the Toxic Substances Control Act (TSCA)
and meets the requirements of Colorado Regulation No. 8.
Gobbell Hays Partners, Inc. purchased MCA Environmental, Inc. and course approval can
be found in the EPA directory under MCA Environmental, Inc. listed as training provider#931.
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Course Date: 1 ]/1/10
Exam Date: N/A
Certificate No.: 11/IOBIRGHP3
Expiration Date: 11/1/11
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***********+**********+*****+*************************+****************************+*+******
TOWN OF VAIL, COLORADO Statement
********************************************************************************************
Statement Number: R110000315 Amount: $848 .64 04/18/201103 : 12 PM
Payment Method:Credit Crd Init: SAB
Notation: VISA-SAR.AH
WYSCARVER (SRE)
-----------------------------------------------------------------------------
Permit No: B11-0071 Type: COMBINATION BLDG PERMIT
Parcel No: 2101-082-4002-0
Site Address: 302 HANSON RANCH RD VAIL
Location: UNIT 301
Total Fees: $4, 521.51
This Payment: $848.64 Total ALL Pmts: $848.64
Balance: $3, 672 .87
***************************************�****************************************************
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
PF 00100003112300 PLAN CHECK FEES 848 .64
-----------------------------------------------------------------------------
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Job Name: Mill Crk Ct Condo #301
i� JobAddress: 302 Core Crk Dr #301
���F y� , Permit No.: ',
I
SPECIAL INSPECTION AND TESTING AGREEMENT
(To applicants of projects requiring Special Inspection or Testing per Section 1701 of the IBC) '
The owner or his/her representative, on the advice of the design professional in responsible charge, shall i
complete, seal, sign and submit a copy of the Special Inspection Agreement and Structural Tests I
Scheduled to the Town of Vail for review and approval. Signatures are required on both pages; I
photocopied or faxed signatures are acceptable.
The owner and his/her general contractor, where applicable, shall also acknowledge the following I
conditions applicable to Special Inspection Testing:
1. Contractor is responsible for proper notification to the Inspection or Testing agency for items I
listed.(Page 1) (IBC 1704)
2. Only the testing laboratory should take samples and transport them to their laboratory. '
3. Copies of all laboratory reports and inspections are to be sent directly to the Town of Vail by the Testing
agency on a weekly basis. ',
4. Inspection agency to submit names and qualifications of on-site special inspectors to the Town of Vail
for review and approval.( Page 2)
5. The special inspector is responsible to immediately notify the Town of Vail Building Official in writing of �
any concerns and/or problems encountered. '
6. It is the responsibility of the contractor to review the Town of Vail approved pians for additional '
. inspection or testing requirements that may be noted. A pre-construction conference at the job site is
recommended to review special inspection procedures.
7. The special inspector shall use only the Town of Vail approved drawings.
8. Ali special inspection field reports must be left on site for review by the Town of Vail staff prior to �
required inspections or re-inspections.
BEFORE OCCUPANCY WILL BE GRANTED: The special inspection agency shall submit a signed and i
sealed statement that all items requiring testing and inspection were fulfilled and reported. Those items not I,
tested and/or inspected shall be noted in this statement. A copy of the statement shall be maintained at the I
job site for the Building Inspector's review prior to final inspection.
Acknowledgement:
Owner:
Signature Print Name Date
Special Inspe ' n GROUND Engineering Consultants, Inc
Agency: Evan Kuhn 6/16/2 O l 1
Signat re Print Name Date
Project
Arch/Eng:
Signature Print Name Date
Contractor:
Signature Print Name Date
-3-
,
1
TOWNOFVAI� ' SPECIAL INSPECTION AND TESTING SCHEDULE
(IBC 1704)
Project Name: Mill Crk Ct Condo #301 Permit#
Owner's Name:
Testing InspP,�f�l Sig ature PrintName Date
� GROUND Engineering Consultants, Inc
Agency: Evan Kuhn 6/15/2 O 11
Testing Inspection Signature Print Name Date
Hereby certifies that the Testing/Inspection Agency named above has been engaged to perform structural tests and
inspections during construction as checked below,to satisfy all applicable portions of the Building Code. ,
Prior to final inspection, the Inspection Agency shall submit a statement that all items of designated work performed ,
were reported. Any items checked but not tested or inspected wiil be noted and explained. Whenever any designated �
items on the list are ready for sampling, testing, or inspection, it shall be the responsibility of the contractor to give
timely notice to the Inspection agency so that the required services may be performed.
REINFORCING STEEL: UNDERPINNING: I
Tensile&Bend,one set per heat per tons Temporary/Permanent
Inspection of Placement Inspection of Steel Fabrication I
Inspection of Weiding Inspection of Reinforcing&Forms
GROUND Epoxy Inspection of Concrete Placement
Inspection of Tiebacks
MASONRY:
Prelim.Acceptance Tests(Masonry Units,Wall Prisms) SOIL NAILS:
� Subsequent Tests(Mortar,Grout,Field Wall Prisms) Temporary Shoring
GROUND Inspection of Placement and Grouting Permanent Wall i
CONCRETE SHOTCRETE,GROUT AND MORTAR: STRUCTURAL STEEL:
Concrete Shot Grout Mortar Sample&Test(List specific members below)
Aggregate tests for design Shop Identification&Welding Inspection
Suitabiiity of aggregates Shop Ultrasonic Inspection
Mix Designs Shop Radiography
Test Panel cROUrrD Field Welding Inspection I
Batch Plant Inspection GROUND Field Bolting Inspection
Cement Grab Sample Field Ultrasonic Inspection
Field Radiography
Inspect Placing I
Compression Tests Metal Deck Welding Inspection i
Cast Specimens FIREPROOFING: �
Pick-up samples Inspection 8 Placement
Shrinkage Bars
Yield Check SOILS:
Air Check Acceptance Tests
Dry Unit weight Moisture-Density Determination
PRECAST CONCRETE: Field Density �
Reinforcing Tests Drilled Piers
Inspection of Reinforcing Placement Deep Foundation
Tendon Tests
Inspection of Tendon Placement STRUCTURAL WOOD:
Inspection of Concrete Placement Inspection of Fabrication
Inspection of Concrete Batching Inspection of Truss Joint Fabrication
Inspection of Panel Attachment&Inserts Sample&Test Components
Compression Tests Inspection of Glu Lam Fabrication
Inspection of Stressing/Transfer
SMOKE CONTROL:
PILING,CAISSONS,CAPS,TIES:
Inspection of Reinforcing Placement SPECIAL CASES:
Inspection of Concrete Placement
Inspection of Concrete Batching SPECIAL INSPECTION:
Seismic Resistance
Speci(y other fests,inspections or specia!instructions required. Wind Requirements
-4-
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11-01-2012 Inspection Request Reporting Page 1
4�03 �m Va�l, CO - Citv Of
Requested Inspect Date: Friday, November 02,2012
Site Address: 302 HANSON RANCH RD VAIL
UNIT 301
A/P1D Information
Activity: 611-0071 Type: COMBO Sub Type: AMF Status: ISSUED
Const Type: Occupancy: Use: Insp Area:
Owner: ELLIS, GAIL GALVIN Phone: 626-795-1185
Contractor: BECK BUILDING COMPANY Phone: 970-949-1800
Description: INTERIOR REMODEL OF KITCHEN, EXPANSION OF LIVING/DINING SPACE ONTO DECK WITHIN NEW
BAY WINDOWS
Requested Inspection(s) ��� �j�
Item: 90 BLDG-Final (� '� Requested Time: 08:00 AM
Requestor: BECK BUILDING COMPANY ` (� � Phone: 970-949-1800
Comments: DRB FINAL 573-864-6628 �
Assigned To: *""""""`� Entered By: JMONDRAGON K
Action: Time Exp:
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Inspection Historv
Item: 10 BLDG-FOOTING
Item: 20 BLDG-Foundation/Steel � ,Q l�r'
Item: 21 PLAN-ILC Foundation Plan �
Item: 22 PLAN-ILC FRAMING
Item: 120 ELEC-Rough "Approved�`
08/08/12 Inspector: sgremmer Action: AP APPROVED
Comment:
Item: 200 MECH-Rough "'Approved"
07/02/12- Inspector: , sgremmer Action: PI PARTIAL INSPECTION
Comment: re-connection of heat loops where old base board was located going with infloor heat system
08/08/12 Inspector: sgremmer Action: AP APPROVED
Comment:
08/31/12 Inspector: nsc Action: AP APPROVED
Comment: fire place
Item: 220 PLMB-Rough/D.W.V. "Approved*`
06/05/1Z Inspector: sgremmer Action: AP APPROVED
Comment:
07/06/12 Inspector: sgremmer Action: AP APPROVED
Comment:
Item: 230 PLMB-Rough/Water "Approved"*
06/05/1Z Inspector: sgremmer Action: AP APPROVED
Comment:
07/06/12 Inspector: sgremmer Action: AP APPROVED
Comment:
Item: 410 Special Inspect-progress rept **Approved"*
08/03/12 Inspector: JRM Action: AP APPROVED
Comment:
Item: 30 BLDG-Framing ""Approved"*
08/08/12 Inspector: sgremmer Action: AP APPROVED
Comment:
Item: 50 BLDG-Insulation "Approved*"
08/17/12 Inspector: JRM Action: AP APPROVED
Comment:
08/31/12 Inspector: nsc Action: AP APPROVED
Comment: lath
Item: 60 BLDG-Sheetrock Nail *'Approved"
08/23/12 Inspector: sgremmer Action: AP APPROVED
REPT131 Run Id: 14986
Department of Community Development
75 South Frontage Road
T01��1 OF VAlL� vai�,co$�ss�
Tel: 970.479.2128
www.vailgov.com
Development Review Coordinator
TRANSMITTAL FORM
Use this form when submitting additional information for planning applications or building permits.
This form is also used for requesting a revision to building permits. A two hour minimum building review
fee of$110 will be charged upon reissuance of the permit.
Application/Permit#(s)information applies
to: Attention: Q Revisions
(� �1 �O�1 �� 0 Response to Correction Letter
1� l � �attached copy of correction letter
�Deferred Submittai
�Other
Project Street Address:
3 0 2 i�K tia� I?,o.v�r.l� �1� ��y vrt i�(ar��e� �i6 �
(Number) (Street) (Suite#)
Building/Complex Name: ���5 ���� GY?�'�L �d� Description of Transmittal/List of Changes, Items Attached:
Applicant Information
(architect,contractor,owner/owner's rep) �� �1� L
Contact Name:
Address:�
City �q�� V M L State:�b � Zip: ((p 2�
Contact Name: ���Qw�1M��JI`Q� (use additional sheet if necessary)
Contact Phone: ��3'— ��� -- �vl���i� Building Permits:
Revised ADDITIONAL Valuations(Labor 8�Materials)
Contact E-Mail: d o�G i��b Qc.kbv��c��, ,COIN� (DO NOT include original valuation)
I hereby acknowledge that I have read this application,filled out Building: $
in full the information required,completed an accurate plot plan,
and state that all the information as required is correct. I agree to Plumbing: $
comply with the information and plot plan,to comply with all Town
ordinances and state laws, and to build this structure according Electrical: $
to the town's zoning and subdivision codes, design review ap-
proved,Intemational Building and Residential Codes and other Mechanical: $
X� f the Town applicable thereto.
Total: $�
OwneNOwner's Representative Si na re(Required)
Date Received:
� � � � V LS
For Office Use Only: +
Pee Paid: � � .�r�j �'v�'✓y �
Received From: �
��, �h�k# AUG 3 � 2012
CC: Vsa/MC Last 4 CC# exp.date:
Authorization# TOW N O F VAI L
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Post Office E�ox 2888
Vail, Calorado 816�8
970-�24-3000
Fax 970-52�-3001
Mr. Doug Kammeyer
Bec;k Building Co.
PO Box 4030
Vail, Co. 81657
ItEVISED
VIA Email douglc(a�beckbuilds.com August 1,2012
TERMS: Net 30
PROJECT: 30l Millcreek Ct
SPECIFICATIONS: Bay Window
R-49 Blow-In-Blanket System Fiberglass Insulation (BIBS)to the Bay window exteri�r ceilings
R-23 BIBS fiberglass insulation to the 2x6 exterior walls
R-15 BIBS fiberglass insularion to the steel eolumns
R-13.6 2"polyurethane spray foam to the steel columns and beams flush to wall
R-13.G 2"polyurethane spray foam to furred concrete exterior walls
� 6 mil poly air/vapor barricr to exterior walls
MemBrain Smart Vapor Barrier to the exterior ceilings and furred concrete exterior walls
Foam all windows, doors and penetration
SPECIFACATION: Kitchen
R-13.6 2"polyurethane spray foam to the furred concrete exterior walls
MemBrain Smart Vapor Barrier to the furred concrete exterior wall
SPEFICATIONS: Laundry
R-13.6 2"polyurethane spray foarn to the furred concrete exterior walls
MemBrain Smart Vapor Barricr to the furred concrete exterior walls
R-58 Bl�w-In-Blanket System Fiberglass Insulation (B1BS j to the mid floor
R-1 1 saund batts to 2x4 interior walls
R-1 9 sound batts to 2x6 interior walls
SPEC[FACTIONS: Master Soffit and mid floor
R-49 Blow-In-Blanket System Fiberglass Insulation(BIBS)to the soffit area
R-49 BIBS fibergIass insulation to the mid floor
SPECIFACTIONS: Mid Floor Living Area
R-58 Blow-In-Blanket System Fiber,�lass Insulation(BIBS)to the mid floor(Opened up area only)
SPEC[FACTIONS: Mechanical room
R-I 1 sound batts to 2x4 interior walis
R-49 Blow-In-Blanket System Fiberglass Insulation {BIBS)to the underside of stairs
SPECIFACTtONS: Middle Bedroom
R-3U BIBS fibergla.ss insulation to the mid floor
SPECIFACTIONS: Miscellaneous Sound Walls
R-11 sound batts to 2x4 interior walls
Paee 1 of 1
i
. �
��r�a�nTe�d '�""� OPTIMA° Fiber Glass
Blowing Insulation
Bui Iders Statement for use in Blow-in-BlankeC�System
Homeowner Mame/Jobsite Name
�3��� ��u«u���, � .
Homa AdOress
ao� n�t�uc, �2c:c:K vl"
Instatler/Contracto�(sign� / Company Nam)e Date (
D. "�_ G-L�IzO l�t/D V L.-�l I��l. G L G V �f J� �L
Bmider(s�gn) � Company Name Oate
Inspected By(sign it reqwred) Date
SIDEWALLS,CATNEDRAI CEILINGS AND OTNER CLOSED CAVITIESTHAT ApE COMPRESSION FlILED.
N0.OF BAGS PER MAXIMUN hNNM1UN WEIC�fF I�AMUM
R-VALUE 1,000 S�.FL S0.Fl;PER BAG P�UNOS PER S�.FT. TktCKNESS
To obtam a Bags Per Contmts oi bag weighl per sq.n.ot snould rwt be
Thermal Resistance 1.000 sq.ft sFroukl nW cwer instaBed insulaUon should t�s than
IR)ot ol net area: more than.(sq.fL) rrot be less tlian:(bs.) (in.)
15 18.8 53 0.525 3S�
23 29.4 34 0.825 5'ii
30 38.5 26 1.088 74i
39 50.0 20 1.388 9'4
47 58.0 17 1.688 11 t6 ---
56 71.4 14 1.988 1354
FLOORED ATTICS-CLOSED CAVITIESTHAT ARE NOT COMPRESSION FlLLE0.
NQ OF BAt3S PER MAXIMUM MMNYUIiA WEIGHT- MINIIAUM
R-VALUE 1,000 30.FT. SO.FT.PER BAG POUNDS PER SO.FT. T}fICKNESS
To obtain a Bags per Co�lnnts of bag VYeghl pei sq.fl.ol Shou{0 not be
Thermal Reswstance 1,000 sq.tt. ShouW�ot Cover ir�staled insuld�ion shoukJ less than:
(F)of: d net area: mae than:(sq.It) rat be less than:(bs.1 (in.)
12 10.4 0292 96 34�
13 7 2.5 D.350 BO 3'0
14 74.5 0.408 69 39z
-- 14 15.7 0.a67 60 3!�
19 16.4 D.458 61 5'.h
21 19.6 0.550 � 51 5!z
22 22.7 0.542 44 5'4
2? 26.3 0.733 38 S�i
26 21.7 � 0.604 46 7'�:
27 25J 0.725 � 39 7!�
29 30.3 -. 0.846 33 _. 7Y
30 34.5 0.967 29 7'b
33 27.8 0.771 36 9Yi
35 33.3 0.925 30 9'�
36 38.5 1.079 26 9'b
38 �3.5 1.233 23 9'/.
!i-YALUE THICKNESS AREA(S0.FT:) OPTIMA(✓) BAGS USE� BAT1'SJROt.LS(✓)
CEILINGS / -� � f _.
w�us � Z� � _._ � ✓
FlOORS
THER#�IAL PERFORMANCE
R-Values are tletermined in accordance with ASTM C 687.Complies with ASTM C 764 as Type 1 insulation."R"means resistance to heat flow.The higher the R-Value.the greater
Cie insuieting power.To get the marked R-Value,i/i6 eseeMfal thet the irtsula6on is installed propeAy folbwing the recommendations ot CortainTeed Corporation.OPTIMATM Loose
FII�nsulation is manufactured!or dosed caviry applicaGon installed behirni OPTIMA Fabric a epuivalant.tl should not be use�f tor open blow applications.Covera9e is based on
a nominal 28 Ib.bag.tn accordar�with the chari abwe,you must inatall qie minimum number ol bags per 1,000 sq.R.ot net area lor each R-Vaiue listed.The mazimum net
coverage must not exceed that specified tor each R-Vaiue.The insiaNed insulation must be at or above the apecified minimum thickness br each R•Value.Failure to mstaN the
required miramum weighl per sq.ft.W msulation at a above the minimum thickness wiB reauft in reduced R-Value.This produd shouid not be mixed with Wher Woxrn insufations
pr the tt�ermal daims wNl became irnalid.
DANCiER:RECESSED LFGHT FI%TURES-TO PREVENT OVERHEATiN6,DO NOT INSULATE ON TOP Ofi WITHIN 3"OF SUCH OEYICES_OOES NOT APPLY TD TYPE
IC LKiMT FlXTURES OR TO FLUORESCENT qXTURES WPTH TNERAIALLY PROTECTED BALLASTS.
Bbw•in-Blanket'System is a registered hademark ot Ark-Seal inc.lnternational,Dernre�CO 80223•OPTIMA°is a hademark of CertainTeed Corporation.
30-24-218 Builders Statement. A Saint-Gobain Company. �Y2006 CertainTeed Corporetion 9l06
�
.
INSULATION CARD - D� NOT REMOVE
� � �; �F
The Chemical Company �CC-E$R-2�2
This form must be filled out and posted to comply with building code and FTC requirements. Meets IRC Section N1101.4
requirements. Please post near electrical panei.
PLEASE ATTACH PRODUCT TECHNICAL DATA SHEET BEFORE POSTING
The foliowing spray polyurethane foam insulation system(s)has been installed. Consult Intemat+onal Building Code, Section 2603 Foam
Plastic insulation,Intemational Residential Code(IRC}R314 Foam Plastics,or international Energy Conservation Code(IECC}Sectfon 102
for specific requirements.
This spray poly�rethane foam insulation system has been instailed fn accordance with manufacturer's processing
guidelines to provide a thermal resistance of...
Area Insulated R-Value Thidcness'
Attic Area R- @ inches
Sioped Ceilings R- @ inches
Walis(Where: �%J I�,�j,�,•y Lpr+lVa„d i ) R- �3�(,fj aQ 2, `� inches
Walls(Where: ) R- @ inches
Floors(over an unheated crawl space} R- @ inches
Crawl Space Perimeter R- @ inches
Basement E�erior Walis R- @ inches
Other(Where: S'�G-Z t�W G�.� R- � 3 , (m @ �, N inches
'NOminal thlcknesses are representatFve of a fleld,sproy-applled foam materlal.
BASF Polyurethane Foam EMerprlses Product(s)Installed:
�Please Print CleaAy)
� COMFORT FOAM�
Wails: Permeance: perms at "thickness Density: Nominal Z#
�SPRAYTITE�
Flame Spread Rating(ASTM E-84): � Class 1 (25 or less} ❑ Class 2(75 or less) tested at 4 "thickness'"
❑ C�MFORT FOAM�
Other: Permeanoe: oerms at "thidcness Density: Nominal 2#
�SPRAYTITEm
Flame Spread Rating(ASTM E-84): X❑ Class 1 (25 or less) ❑ Class 2(75 or less} tested at 4 "thidcness"
0 COMFORT FOAM�
Basement Exterior: Permeance: perms at "thickness Caensity: Nominal 2#
❑ SPRAYTITE�
Flame Spread Rating(ASTM E-84j: Not Applicable
-------------------------------------------------------------------------
(Please Print Clearly)
Jobsite Location: �� [ ►`� L L C.�.G.Q.C3�3� C� Date Installed: g ` �� �� � Z-
Building Contractar: l,�L� ��l� L l�9`N((� C.� •
Insutation Contractor. l� )��--��l/(� �- L �. Phone: -t �� �Z � �27D0
Installed By: ���J��`'� �'G �"'
� GauHon—No Hot Work-Potyurethane foam is ea»busHble and should be treated as such. No we/ding
vr cutting un/ess foam has been piotected/rom acciderrtat ignidon by open flame.
INSULATION CARD - DO NQT REMOVE