HomeMy WebLinkAboutB15-0079 . . l� ��
08-14-2015 Inspection Request Re orting — Page 14
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Requested Inspect Date: Monday,August 17 2015
Site Address: 521 E LIONSHEAD�R VAIL
Vail 21 Unit 504
A/P/D Information
Activiry: B15-0079 Type: COMBO Sub Type: AMF Status: ISSUED
Const Type: Occupancy: Use: R-2 Insp Area:
Owner: BLOUNT, BEN B.,JR
Contractor: RUSTY SPIKE ENTERPRISES INC. Phone: 970-390-6155
Description: Change tub in.upstairs bath to shower. New tile surround and floor.New vanity and toilet. Remove old wood
flooring on main level and replace with new.Add ceiling fan in loft with switches.
Reauested Insoection(s) - L""�� !
T'G�"`�'' `�
Item: 120 ELEC;$es�gJ� Requested Time: 11:30 AM
Requestor: Phone:
Comments: 688-1053
Assigned To: SGRE` ,�J Entered By: MHAEBERLE K
Action: � Time Exp:
Comment:
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Insaection Historv
Item: 120 ELEC-Rough '*Approved"*
06/23/15 Inspector: CC Action: AP APPROVED
Comment:
Item: 210 PLMB-Underground
Item: 220 PLMB-Rough/D.W.V. **Approved*'
06/09/15 Inspector: sgremmer Action: AP APPROVED
Comment:
Item: 230 PLMB-Rough/Water *'Approved"
06/09/15 Inspector: sgremmer Action: AP APPROVED
Comment:
Item: 30 BLDG-Framing "Approved"
06/23/15 Inspector: CC Action: AP APPROVED
Comment:
Item: 50 BLDG-Insulation
Item: 60 BLDG-Sheetrock Nail
Item: 70 BLDG-Misc.
Item: 200 MECH-Rough
Item: 290 PLMB-Final
Item: 90 BLDG-Final
REPT131 Run Id: 14652
NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
:
�ow�r�v�, �
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 #: B15-0079
Project #: PRJ15-0116
Job Address: 521 E LIONSHEAD CR VAIL Applied.....: 04/01/2015
Location......: Vail 21 Unit 504 Issued. . . : 04/27/2015
Parcel No....: 210106403016
OWNER BLOUNT, BEN B., JR 04/01/2015
403 TOWNSEND PL
ATLANTA, GA
30327
CONTRACTOR RUSTY SPIKE ENTERPRISES INC. 04/01/2015 Phone: 970-390-6155
MICHAEL D KROHN
PO BOX 1517
VAI L
CO 81658
License: C000003070
Description:
Change tub in upstairs bath to shower. New tile surround
and floor. New vanity and toilet. Remove old wood flooring
on main level and replace with new.Add ceiling fan in loft
with switches.
Occupancy: R-2 Type Construction: Valuation: $4,050.00
•rtvrxttt�zrR:tiex�sxrww�w:i�:►�r►v���xwxxrxt»:,t►i��e►:wrrrxxtwt���:�t+Rirvxie: FEE SUMMARY ••••••••,•,•,•,••••••••••••••••••••••••••••••••••••••••••,•,•,•,•••••••••••••••
Building Permit-----> $111.25 Bldg Plan Check-------> $72.31 Use Tax Fee -- -> $0.00
Electrical Permit > $57.50 Elec Plan Check-- > $37.38 Restuarant Plan Review---> $0.00
Mechanical Permit—> $0.00 Mech Plan Check---------> $0.00 Additional Fees— -> $0.00
Plumbing Permit-----> $15.00 Plmb Plan Check--> $3.75 Recreation Fee------ -> $0.00
Investigation---------- -> $0.00
Will Call-- -> $15.00
TOTAL PERMIT FEES----> E312.19
Payments— -----> E312.19
BALANCE DUE------- ----a s0.00
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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
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CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF
Permit#: B15-0079 Address: 521 E LIONSHEAD CR VAIL
Owner: BLOUNT, BEN B., JR Location: Vail
21 Unit 504
rrree�eww�rt�►�N�:�s�+�s.+�::��ierr�ev.exr�w�hr��eu„r►ewww�t�xHe�ier�e��x�xwr��tsM�w��»eeeeewwrt�i��rru.r+:w��r�t���xe�ext:rix��:tirrthee�w,ti.ss.:t»►�x�wee:�e►���:is.►:rie�rr��w+-e��
combination permit 012811
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*.*#.*...........*�....*......******.**................*....,....�.**********......*.*,.........*�*,..***.*...�*��*******...*..*..****�....*.,.....**
REQUIRED INSPECTIONS AND STATUSES
Permit#: 615-0079 Address: 521 E LIONSHEAD CR VAIL
Owner: BLOUNT, BEN B., JR Location: Vail
21 Unit 504
....,.*.......««�...,,...,.....�«****......««�.*..*.*«**....�.,......*.**....,�....*,,.*.**.,*.......«**,.*..***....,�*�.....*.............*.....***.«.......,
Item: 00120 ELEC-Rough
Item: 00210 PLMB-Underground
Item: 00220 PLMB-Rough/D.W.V.
item: 00230 PLMB-Rough/Water
Item: 00030 BLDG-Framing
Item: 00050 BLDG-Insulation
Item: 00060 BLDG-Sheetrock Nail
Item: 00070 BLDG-Misc.
Item: 00200 MECH-Rough
Item: 00290 PLMB-Final
Item: 00090 BLDG-Final
combination permit_012811
;. Department of Community Development
75 South Frontage Road
TOWN OF VAtt � � va�i, CO 81657
Tel: 970-479-2139
www.vailgov.com
BUILDING PERMITAPPLICATION
(Separate applications are required for alarm &sprinkler)
_�__.,__._... _----__ _�__ _. _.___._ _.____ _�,_._._.. _._.._ ,.__.._.__
! Project Street Address: Project#: �j�0
sa� C- L�o�astl� ����� �`D
(Number) (Street) (Suite# DRB#:
i 1 � J r- / ' "�
Building/Complex Name: V���-�' � /� J��,1}�UJ'y�� Building Permit#: _� l J `-�v ! � ,
- i Contractor Information Lot#:� Block# � Subdivision: V L� ��--� �
�,--�° 1 C. � ��� (�
Business Name: �� �k� ���JC, --__..___ _.___ -_.-__ __._.___ _____._._.,�__..__�____._.__.._
(� ` Work Class: New( ) Addition( ) Alteration (�j
Business Address: U � �U � S 1 �
City ���� �.�.- State: W Zip: �g � TyPe of Building:
�`����-L^� ����� Single-Family( ) Duplex( ) Multi-Family(�)
Contact Name: ��
3������ Commercial ( ) Other( )
Contact Phone: �
Contact E-Mail:�U STIS�I KE III�l�A I Lt� �AG�T�'tL.,��'U��rWork Type: Interior� Exterior( ) Both ( )
Valuation of
I hereby acknowledge that I have read this application,filled out Work Included Plans Included Work
in full the information required,completed an accurate plot plan, '
and state that all the information as required is correct. I agree to 'Electrical (�p►)Yes ONo OYes ONo .J�
comply with the information and plot plan,to comply with all Town '
ordinances and state laws, and to build this structure according to Mechanical OYes ONo OYes ONo
the town's zoning and subdivision codes, design review ap-
proved, Intemational Building and Residential Codes and other Plumbing (�s)Yes ONo OYes ONo � �V�
ordinances of th .Town applicable thereto. � � � � �
Building (�►)Yes ( )No Yes No �
� ' _.
__ ___
X ��� r�Y�� Value of all work being performed.- $-- ���—
' (value based on IBC Section 109.3&IRC Section 108.3�
Owner/Owner's Representative Si nature(Required) d�
, Electrical Square Footage �
Applicant Information �
� Detailed Scope and Location of Work:L}�PSN��aC -TI� I 1� ''
ApplicantName: ,�� � �cC.�1E ��u� '� ��-� ��,I�m,t�op ' NE�--`'��5���
w rvc��
Applicant Phone �o�� a��3�`I�� �� �: �,,,vA�,��-,r �--ro��� ��1b1�E
Applicant E-Mail: ���.���G�- ����
�o� �u�xx� ���„i�� v r� m��� u�29�
Project Informatio ����1(� ��T}I n}� , �p� ('�.�1,�f�� .��
owner Name: =1� �.Ol�(�l� � M�
Parcel#: ��� -�lv�-V,��Q, �fJ �i � �� �l,l�l��'I�>
(For Parcel#,contact Eagle County Assessors Office at(970-328-8640 or visit
www.eag lecou nty.us/patie) /� q
__ _ _ _ L_ _ `.. use addif al sheet if necessary) L��'`� � w�
---------___.
For Office Use Only: g� i�' (� ' � ;����a� ������� ��
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Fee Paid: , �� ` _ _��„c�� _.. .s...._ ��� . _�.C1�.� `"�
_
Received From: �
�Date Re�ceived: '
�a�-,, � °;;'� � b ��!� s.�a���1. �
Cash Check# ` .�� � ��� � ���
CC: Visa/MC Last 4 CC# exp date: f ;
Auth # ����'�� ,, `�! ;�,��� _. �
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�'��NN OF �'A�L
VAYL 21 COND�MINIU'M ASS(�CIAT'ION INC.
APPLICATI4N FOR REMODELING
NiAIL OR FA7Z THIS APPLTCATION TO:
Gcoff Wright 610 W.Lionshead Circle Vail,CO 8I6S7
PHONE: (970)d76-1350 FAX: (970)476-1617
D�ATE SUBMITTED: �"�i�" �� L'rIT NUAKBER: ��_
NA�'IE OF APPLICANT: ��'d� Gi'✓1��. �✓� ��� P ��(.%<..:.� �
I�OVIE PHONE# `7 G� ��_3�" 7 yv� � ���
AvDxrSS• �U� I �u�� ��v�� ,�(�c�
CiTY&STA7'E: ��I�� .�� �G� ��
NATURE OFI�YIPROVEMENTS: �
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,� '��-��� '��T_�..t,.�'1f ' C'trfl/J�-;�c `l��C.,� "7U J r/�'r,�i=-�' , ,J'�GV T//,�
'�' ��.c�rl��,'!'��c2�C.i t�'t�N:�1Y �7�/,c.tT, ��'Z��� i�.�.c�. �7"r�`�
o�..r� l�uvr f�t,'i.u� .��%:� �-�'�:��,�c� l,v�r� i��a� :�/�
N�c�' C',�/.c�/i✓�" /'f1/�' i�V �'��
Antiapated dates o�Construction:
List any common elements that��1!! be effected (comrnon tivalls, electrical, ptumbing,hcativg
system, etc.}and ho�v they�vFll be impacted:
N .�
� , .
(ATTACH SECOND SHEET IF VECESSARX.) A sketch of all improvements must be
attached to the applfcation to shotiv iocatiaas and dimenstons.
� �
i�TAME OF CONT1tACTOR: l�.S/~Y, �j��F ������.5�} j�� •
ADDRESS: i'C� �.C5�7C l �I � �f?�C.._ GL� ���..��
PHONE NUtV1B�R5: �'�/G�-iril�
,
Qwner Respansibilities...
t understand that a!1 remqdeling pro,�ect�t6at wi3!require a cnntractor; effect�any of
tt�e common etements or [imited cominon elements of the building; that may disturb o�vncrs
or guesis in surrounding units; or Any project�vhich requires constructfon materials and/or
debris to be carted through common areas, ancUor is to involve Activities on t6e baiconv,
courtyard, or hatlway immedlately outside of the unit being recnodetecl must be approved by
t6e Board of Directors or the association manager. Repiacement af carpeting and interior
pain6ng does not require u reo4ode[ing application but needs ta be approved by the
association manager and to be done ut a timc when it witl not disturb ather building
occupants.
Work on my untt �rili not begin until 1 have received the apprpved application from
tl�e association manager �r the board of Directors. The association �vil[ respond to my
ApplicAtion �vithin 14 days of receipt of its submittal. Work ni�y only be pertbrmed during
the time limits set. Currentiy all projects must be completed between the close of ski scason
and seven days prior to Thanksgiving. Only light construction�vith rainimal disturbance�vill
be permitted during the summer seuson (June 15 thru Labor Day weekend). Any o�vner
authorizing work outside of this time frame, without prior Board approval, may be subjected
to a penalty�f at least�200.00 per dny,to be assessed by the Board.
I understand the orvnersl�ip has been made a�vare that there mny be asbestos
contafning materials in same of interiors of the anits. i agree that I am responsible for testing
of asUestos in niy unit. T agree the removal or disturbAnce of tliis materiAl wi11 complY ivith
all state and federal regulations.
if the work performed on my unit rias considerable trash or other dtscards T�vill bave
my contractor remove same and if we are allo�ved to use tlte buitding's trush dumpster I �vill
pay for the additfonal cost.
Al! pertinent building permits must be posted in the unit while the �vurk is being
preformed, and a copy on file in the buildfug manager's office. Any contractor �vorking in
the building must also provide a copy of their workers compensation insurance coverage &
liabiiiry & propert,y damage carrier's name, nnd policy # to the Uuild�ng mA�ager. After
starting tl�is project I will not add to the improvements without prior tivrittea approval.
I tiviit ase only licevsed,bonded contractors. A copy of the contractor's�vorkers comp
insurance will accompany this appiication. I will abtrtin any,uecessary building permits frotn
the tow�a of Vail and supply a capy of sueh to tlie property manager. I further agree that NO
COMMON ELEMENTS QF THE BtI�LDING WILL BF. F,FFECTED OTHER TH.AN
THOSE SPECIFIED A.BOVE.
1 f �Date:_ � / Z�� SIGNATURE: ' �
;
� Owner
_ -------------------------------
FOR ASSOCIATION USE:
RECEI'VED BY: --- _ DAte: �" ��'�.— ��
C_..------ ` �
A.PPROVED YES NO Date: � �;�,�{ � `�j
BY: ._.... .
._.
rec o y r Association Man�ger
REMARKS/
� �i �-- �- �
� �� C�rd'�►r.�► . � ] ��
A�'� `� ��J � �
Ss�aning i�e Futute
ANALYTICAL REPC�RT
Prepared for: '
KclV� illiest, inc.
2'!8fi South Hol ly Street #110
6enver, CCJ� 80222
Project: Vail21
Order No.: 0017774
Repor# Qate: 04/0312014
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TOWN OF VHIL -
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Cardno ATC 8985 E. Nichots Avenue,Suite 350, Centenniat, CO 80112 Ph:3Q3-799-6100
- . - � SATCH NO.
� �'����'� 0017774
ATC
. NVLAP Lab Code 1U203i
5����Sii'•�ittc ftst�t� AIHA Lab Gode 101536
James DeValois Customer Project No.: �14073
KEM West, inc. Description: Vaii 21
2186 South Holly Street #110 Date Received: 04/01/2014
denver CO 80222 Qafe Anaiyzed: O$103/2014
Coitected: 03/31/2094 Date Reported: 04/p3/2014
couected By: James DeValois Comments:
Collection Address:
Asbestos Non-Asbestos
Lab ID Sample Location i Constituents Consti#uents
Sample# Sample Description (°fo) {%�
___----- --.----
_ _ .-___ -_..___— _------
-- --- --�-_ ___--
___----- -- -------------------- -.
0017774004 Unit 504,Loft,S.Waii None Detected Celiulose Fiber{incom) 1096
33114-1-4 LAYER t Carbonates 25%
Texture,White, 23°C Pedite 25°�
SinderfFii:er 40°�
None Detected Geilufose Fiber(fncom) 30%
Fibrous Glass(ISO) 5%
LAYER 2 Gypsum 65%
Drywall,Off WhiteJ Srown
4017774-005 Unit 403,Hallway Chrysotile <'1°k CeButose Fiber(lncomj 5°,6
33114-2-1 Joint Compound,Off WFiiteJ White, 23°C OBSERVATION SET#1: Carbonates 25%
Wavy Fibers Sinder�Aer 6996
Sign of Elongation(+)
Parailei Extinction
Non-Pieochroic @ 40x
Birefringence(Lawy
Color.Ciear
Becke Line Used
lni6al Cfiaractetiza6an:
Chrysotile
OS#7:Para=1.554,Perp.=1.549
0017774006 Sample not listed on Chain of Custody Chrysotite <1°k Cellulose Fiber{incom) 5°�
33i 14-2-2 Joint Compound,Off Whfte/White, 23°C 08SERVATION SET#�: Carbanates 25°k
Wavy Fibers BinderlFiller 69%
Sign of Elonga6on(+)
Paraliei Extinction
Non-Pieochroic Ldi 40x
8irefri�gence(Low)
Cotor.Ciear
Becke Line Used
lnitial Characteriza6on:
Chrysotile
OS#t:Para.=1.554,Rerp.=1.549
�,
Analyzed by: Reviewed by: Page 2 of s
BATCH NO.
� ' �� �'����'� 0017774
AT�
� NVLAP Lab Code'(02031
�h:��iri�;itte��t�;re AIHA Lab Gode 101536
James DeValois Customer Project No.: 114073
KEM West, Inc. Description: Vaii 21
2186 South Hofly Street #19 0 Date Received: 04/01l2014
Denver CO 80222 aate�4r�a�yzed: Q4/p3/2014
Collected: 03/31/2Q14 Date Reported: 04/03/2014
cottected By: James DeVaias Comments:
Collection Address:
Asbestos Non-Asbestos
Lab ID Sample Lacation 1 Const'ttuents Constituents
Sample# Sample Description (o�,) (%)
__- --- -- ---__
_--____- _ -- __ --_
___ _-- _----- ---------- --------
------_ ----- ------- -. _ _ �
0017774001 Unit 504,Kitchen Ceiling None Detected Cellulose Fiber(incom) 10%
331'14-1-1 Ceiling Texture,Off UVhite, 23°C Carbonates 40%
SindedFitler 5U%
0017774002 Unit 504,Fmnt Haliway Nane Detected Cellutase Fiber(incom) 5%
33114-1-2 LAYER 7 Carbonates 35%
Ceiling Texture,Off Whitet White, 23°C Binder/Fiiler 60%
Nane Detected Cellulose Fiber(lncom) 34°k
Fibrous Glass(iS0) 5°�
LAYER 2 Gypsum 65%
Drywall,White/Brown
Chrysotile <1% Celiulose Fiber(incom) 5%
LAYER 3 OBSERVATION SET#1: Car6onates 60°/a
Joint Compound,White Wavy Fibers BinderlFfilar 34°�
Sign of Elongation(+)
Parailel Extinction
Non-Pleochroic @ 40x
Birefringence(Low}
Color.Ciear
Becke Line Used
initiai Characterfzation_
Chryso6le
OS#3:Para.=1.556,Perp.=1.550 •
Nene Detected Cellulose Fiber(Incam) 309'0
Fibrous Glass(ISO) 5�0
LAYEft 4 Gypsum 65%
Drywall,White!Brown
0017774-003 Unit 504,Living Room,Unc+er Light SMritch None Detected Ge!luiose Fiber{tn.,om) 10`�
331141-3 ��R 1 Carbonates 409'0
Ceiling Texture,Off White, 23°C Binder/Filler 50%
None Detected Ceilulase Fiber((ncom) 30%
Fibrous G(ass(ISO) 5°�
Wti'��2 Gypsum 65%
DrywaO,Ofi White!Brown
�,
Analyzed by: Revieweti by: Page � of 3
8985 E.Nichols Avenue,Suite 350
_ . �� �`'��r�'�,� Centenniel, CO 801i2
��.-� Phone +1 303 799 6100
� Fax +�303 799 3441
ShL=pi��llie Future � www.car�no.com
www.cardnoatc.com
PLM REPORT SUMtUlARY NVLAP Lab Code 102031
Customer: AIHA Lab Code t01536
James DeValois ATC Job No.: 035.37058.2014.0001
KEM West,lnc. . Batch Na.: 0017774
2186 South Holly Sfreet #110 Report Date: Q4/03l2014
Denver CO 80222 Sample Date: 03/31J2014
Project: Vail 21 pate Anatyzed: 04/03/2014
Customer Project No.: 114073
!d¢ntiflcation: NlA
Tesi MeQhod: EPA i�Aethod 600/M4-82-020;600fR-93/11 Page 2 of 2
�
Client No. Lab No. Sample Description/Loca#ion Asbestos Content
33114-1-4 0017774-004 LAYER 2 None Detected
Drywaii,Off Whife!Brown
Unit 504,Loft,S.Wall
33114-2-i 0017774-005 Joint Compound,Off White/White, 23°C Chryso6le <1%
Unit 403,Haliway
33114-2-2 0017774-006 Joint Compaund,Off White/White, 23°C Chrysotlle <1%
Sample not listed on Chain of Cusiody
331141-8 Od17774-007 LAYER 1 None Detected
Texture,White, 23'C
Unit 403,Entry Doorway
331141-6 0017774-007 LAYER 2 None Detected
Drywail,Off White/Brown
Unit 403,Entry•Docrvvay
33114-1-7 0017774-008 lAYER 1 None Detected
Texture,White, 23`C
Unit 403,Ceiling
33114-1-7 00177740b8 ��R 2 None Detected
Drywall,Off White/Brawn
Unit 403,Ceiling
---____. _--- ------__ -----__—_ __------- —.- -- - ___.__
. _ _ __------ - ___ _ .____._. _ __
These sampies were analyzed by layers.Speafic layer ar component asbestos coMe�t is indicated when relevant.The EPA co�siders a material to be asbestos
containing onty'rf it contains more than one percerrt asbestos by Csfibratad Vsuat Area Eslimation(CVAE).EPA regulations a)so indicate that Regulated
Asbestos Containing Materials(RACM)—materiais which are friabie or may become friabie—bs further analyzed by poiM courting when the results indipte
less than ten percent asbestos by CVAE.Our laboraiory ut�lizes CVAE on a rnuGne basis and dces no2 indude point cnunting uniess spedficaliy requested.
The resuits may not be reproduced except in tuii,and should not be�ed as a scope oF work for abatement without consuiting with Cardno ATC.
,�,�,
.. ,
��� ' 8985 East Nichofs�venuc,Suice 350 !
�a�'*��� Centcnniut,Colorftdo 84t t2 '
�7..� www.cardnoatc.com �
, TBL: 303.799.6100
Sha�ing the Euture J--�.�.--.�..�-.Y�FAX: 303.749.3441 ;
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PROJECT INFORMATION Ticrnaround: 2 houi' 24 hour J �3� i
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Com a�i /Castomer:KLMVJest,Inc. Pro'ect Name: L
Address:2I Sb S.Hal1y Street Coltection Date: '-- I�( �
Address:Suite I t 0 Customer Number/�'.0.: t;>7• {
Phone/Fax:720-339-1b34 Collectio�z Address: �
Customer Contact:James DeVatois ,
�
S�}BCFRI IflS�i�uctions: �
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BULK SAMPLE LdCATIUN � i
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Acc/ Sa��iple Number Sa�nple Material � Sampte Locatsan � �
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Sampte callector is rc:sponsible far ensuring that ati sam¢les lia��e 6eea presen�cd�t:d prepared to ttie�tppropriate and appEicable
methodnlogy.lf pACk�ge has sustained damage duri�ig lransit,notify collecior aud sbipper.Tumaround tirne begins upo�i receipt of
sampte{s}by latsoratory.Cardno ATC�viIl t�ot be respansible for eaors or amissions in ca[cul�+fions from inaccuracy of original
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CHAIN OF CUSTOBY ��
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• �� 8885 E.Nichois Avenue,Suite 350
���� Centennia(, CO 801t2
_ ��� Phone +1303 7S9 6100
Fax +1 303 799 3441
Sdra��inc�±he F��tuxc � www.Cardno.cam
wwar.cardnoatc.com
cus�om�r: PLM REPORT SUAI!!�lARY N��Lab Code 102031
�IiiA Lab Code i0i536
James DeValois ATC Job No.: 035.37058.2014.00Oi
KEM West, Inc. Batch No.: 0017774
2986 Sauth Holly Street #110 Report Date• 04/03/2014
Denver CO 80222 '
Sample Date: 0�13i!2014
Project: Vail 21 Date Analyzed: 04103l2014
Customer Project No.: 9 94073
fdentificatian: N1A
Test Method: EPA Method 6d0/M4-82-020;600/R-931i i
Page 1 of 1
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F'LM Anaivsis Methodotoav
PLM samples were analyzed utilizing the Environmental Protection Agencys Test Method:Method for the Determination
of Asbestos in Building Materiais{EPA 600JR-�3/i i 6.July, 1�93). Reporting Limit<i%Asbesto�. Additional treatmeni
and tests may be required to accurately define composition(i.e.ashing,extractions,acetone treatment,andTEM)_ Unused
portions of samples are archived for one year unless client requests special handling.
Asbestos content of masticladhesive is separated from tota!percent asbestos and other materials.
f..aboratorv Equiament
Laboratory analysis was acxomplished utilizing an Olympus BH-2 polarized light microscope.The microscope is
equipped with dispersion staining ienses.
Quatitv Control
Cardno ATC is accredited by NVLAP Bulk Asbestos 5ample Quality Assurance Program(Lab Code 102031).Cardno
ATC participates in the NVLAP Bulk Asbestos Sample Qua{ity Assurance Program and maintains an in-house QClQA
program for bulk samples whereby 10°�of all submitted samples are reanatyzed and documented in a Qual'rry Control
Manual. Cardno ATC aiso participates in a quarieriy round robin QCfQA program for buik sampfes with several accredited
laboratories throughout the United States. Current and past QC/QA program results are ava►7able in the laboratory
forinspection.
Labaratorv Perstsnne!
Samples were analyzed by Jeff Lomme, Laboratory Director. Mr. Lomme is a professional geologist who has
successfully completed the McCrone Institutes's"Advanced Asbestos ldentification"Course. '
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Approved Signatory: ,-- � � /� s
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Jeff Lomme NVLAP LAB CODE 102031-0
The non-detection of asbestos fibers in floor ti!e by PLM is of itself incondusive.Cor�firrnation by Transmission
Electron Microscope(TEM)is recommended for negative floor tile samplss.
This report must not be used by the client to ctaim product endorsements by iVVLAP or an agency of the U.S.government.
This test reports only to the items stated.
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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 required?
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.
Tests which identify POSITIVE results at more than 1% require abatement by a State-certified abatement contractor.
Project Checklist
My project falls into the category checked below:
� Will not disturb more than the threshold limits identified above.
Tested negative, or at 1% or below (1 copies of test results included)
� 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�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
State of Colorado Contact:
Colorado Department of Public Health and Environment
Asbestos Compliance Assistance Group
303-692-3158
asbestos@state.co.us
www.cd�he.state.co.us
2013-Feb O1