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HomeMy WebLinkAbout3555 Lutheran Parkway (2014)Stipulations: Interior Tenant Finish - 6,435 sf. This certificate verifies that the building constructed and/or the use proposed of the building and/or premises, under the above permit number and on property described below, does comply with the Wheat Ridge Building Code and development standards of the zone district in which it is located and may be occupied. All other licensing requirements for the City must be met. 1111 i 0 1 "I'll iiiiiiiii so III&I Q1 of '.jSf W1 Mglf($Ifj ZFAII C ity oaf WhCatt?,,,d C" � j gC COMMUNnN DEVELOPMENT Buil ding & Inspectio 7500 W. 29 Ave,, Wheat Ridge, CO 80033 * ffice , 303-235-2855 * Fax: Ins i t °► • ! o ° r + s r rr- wra . Ad City, State, i L.w t X naineer- r Complete all information can BOTH sides of this forth LVSME��� i CYR (4 'Po I L(7p-. V Cb-i Qyt/ b ) 0-fi� t;UuMA ff Rt�k n, --r C%�-y Sq. Ft./LF Btu's Gallons Amps Squares Other CITY #? WHEAT RIDGE 0B a«* »Inspection Division t » ° :, < - :» In y> ©t wa «:. ( 303 ) 2 37 - 8 9 2+ Fa s » # one available for inspection: Time A2f« » <_ arw -.. a.=w= :__ re- Date: inspecto \ DO NOT REMOVE THIS ?O IC x x ! I° When coffacdons havo been mads, call for ra-inspeofiqp at 303-234-5,933 Date. •' ! r JOR OFFICE USE ONLY VIM 1` Building Division Valuation: � - N, , City of j9'rWh6atR e CITY OF WHEAT RIDGE BUILDING AND INSPECTION SERVICES DIVISION 7500 W 29th Ave Wheat Ridge, CO 80033-8001 p. 303.235.2855J 303,237,8929 Proof of Submission for Permitting/Plan Review Date: OL 22.rlk Name of Firm/In dividu4i submitting documents: Z-CCXA'C0 ;2�,L 0W/Z'V'C'-f Project Type/Description: - 72�.,- e z&2 7 MIMMMMMM . # a+w . #A- • Wheat Ridge Sanitation Distri 'ta istric • Clear Creek Sanitation Distric • Fruitdale Sanitation District • Westridge Sanitation District • Other Agency Notes: M= 912MM' am a duly authorized representative of the agency 11 1 ",- below, hereby acknowledge receipt of documents necessary indicated above. Date: /' �x REVIEW TYPE Lillibrid e Healthcare Services, Inc. 3555 Lutheran Parkway, Suite 170 Wheat Ridge, Colorado 80033 Attention: Mr. Rodger Sandoval Subject: Limited Asbestos Survey 3555 Lutheran Parkway -Third floor Wheat Ridge, Colorado Project Number E 14312.EAS Dear ]fir. Sandoval: Lillibrid e Healthcare Services, Inc. 3555 Lutheran Parkway Project Number E14312.EAS June 17, 2014 Page 2 !aunt iin :Prr&edur s All samples collected were placed in sealed bags for delivery to the laboratory, and samples were hand- delivered to the laboratory immediately following sample collection. Samples collected were given unique identification numbers in accordance with established AGW protocols for sample numbering. Analytical Te tinLy Methods SumLngry of urvee F ndin s The following building materials were identified as being suspect for asbestos within the scope of work for this project: L,illibrid e Healthcare Services, Inc. 3555 Lutheran Parkway Project Number E 14312.EAS June 17, 20114 Page 3 Survev Result Based on the survey and subsequent ;analytical testing, none of the building materials sampled on June 13, 2014 were found to contain asbestos. Thank you for the opportunity to assist you on this project. If you have any questions or require additional information, please do not hesitate to call. Sincerely. A. 0. WASSENAAR, INC, Jenini Azuo u- Lewis Industrial Hygienist Colorado Certified Asbestos Building Inspector #9236 Jt sep C7iffc rd, Principal Preject Manager JN:A /JDG /dd Attachment ,� ! �,, � M ,� Lillibridge Healthcare Services, Inc. 3555 Lutheran Parkway Protect Number E 14312.EAS June 13, 2014 Appendix - Sampling Results Summary Table I Bulk Asbestos Sampling Results 3555 Lutheran Parkway June 13, 201# Sample Material Description / Location Material Type Asbestos Detected Number 3555-01 White pebble pattern sheet vinyl White flooring with gray Fibrous flooring from Suite, 330, backing material and tan mastic ND laboratory, rear side. 3555-02 White pebble pattern sheet vinyl Off white flooring with gray fibrous flooring from Suite 330. backing material ND laboratory, front side. 3555-03 White pebble pattern sheet vinyl White flooring with gray fibrous flooring from Suite 330. backing material ND laboratory, , by closet door. 3555-04 2'x2' ceiling the from Suite 330. White/ gray ceiling tile ND laboratory, center side, 3555-05 TxT ceiling tile from Suite 330, White/ gray ceiling tile NO laboratory by closet door. 3555-06 TxTceifing tile from Suite 330, White/ gray ceiling tile ND laboratory, by front door. 3555-07 Drywall and joint compound core Light blue paint with white compound ND from Suite 330, laboratory, by the White drywall ND closet wall at back of room. 3555-08 Drywal I and joint compound core White compound with light blue paint ND from Suite 330, laboratory. under White drywall ND the upper sink cabinet. 3555-09 Drywall andjoint compound core White drywall with light blue paint ND from Suite, 330, closet in the laboratory, interior wall, 3555-10 Cove base and mastic from Suite, Light blue paint with white compound ND 330, closet in the laboratory. White mastic ND interior wrall. Cray cove base ND 3555-11 Cove base and mastic from Suite Light blue paint with white compound ND 330, closet in the laboratory, by White/ light tan mastic ND door. Gray cove base ND 3555-12 Cove base and mastic from Suite "ran mastic ND 330 in the laboratory, at base of Gray cove base ND sink cabinet. 3555-13 Drywall and joint compound core White drywall with gray/ multi-layered from Suite 340, center desk paint ND partition wall, behind picture. I Lillibridge Flealthcare Services, Inc. 3555 Lutheran Parkway Project Number E 14312.EAS June 13, 2014 Appendix - Sampling Results Summary Sample Material Description / Location 1 Material Type Asbestos Detected Number 3555-14 2 "x4' ceiling tile from Suite 340. White/ gray ceiling the ND I center desk partition wall area, 3555-15 x4' ceiling tile from Suite 340, White/ gray ceiling tile ND I center desk, partition wall area, 3555-16 2 °x4' ceiling tile from Suite 340, White/ gray ceiling the ND center desk partition wall area. 3555-17 Drywall and joint compound core White compound with light pink paint ND from Suite 340, laundry closet by White drywall NO door. 3555-18 Off -white marble pattern sheet Tan mastic ND vinyl flooring from Suite 340. White sheet vinyl with off white fibrous laundry closet, by the door. backing material ND 3555-19 Off-whits marble pattern sheet Light tan mastic ND vinyl flooring from Suite 340, White sheet vinyl with off white fibrous laundry closet, by the door. backing material ND 3555-20 Off-white marble pattern sheet Light tan mastic ND vinyl flooring from Suite 340, White sheet vinyl with ofi'vvhite fibrous laundry closet, center. backing material ND 3555-21 2'x2' ceiling tile from Suite 340, Whitc/ gray ceiling tile ND Office 7 at end of hall, by door. 3555 - 2 Drywall and joint compound core Light pink drywall with purple,/ ND from Suite 340, Office 7 at end of multilayered paint Lnend* ND = None Detected a Reservoirs EnWonmental, Inc. Effective January i. 2014 Reservoirs Environmental QA Manual T:IQA0CILa1AReservoirs Environmental QA Manual.cloc I LABR eger E "Wo"O"- VOWS virunmental, Inc. June 12„ 2014 Subcontract Number NA Laboratory Report: RES 292121 -1 Project # / P.O. # E14312.EAS Project Description: 3555 N. Lutheran PKWY Jenni Auogu -Lewis A. G. Wasenaar Inc. 2180 S. Ivanhoe Suite Denver CO 80222 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 101898+0 for Transmission Electron Microscopy (TENT) and Polarized Light Microscopy (PLM) analysis and the American Industrial Hygiene Association (AIHA), Lab ID 101833 - Accreditation Certificate #480 for Phase Contrast Microscopy (PCM) analysis. This laboratory is currently proficient in bath 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. R S 2921211 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 NVLP 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- 984 -1986. Sincerely; Jeanne Spencer President R:­: E­­W t­ Eff �t,e J­iary 1, M4 R ­­, OA M—.i RESERVOIRS ENVIRONMENTAL, INC. TiCiAQC1*biRe­­i, F—m—kis QA M—W dm NVLAP Lab Code 101896-0 TDH Licensed Laboratory Of 30-0136 TABLE PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: RES 292121-1 Client: A. G, Wassenaar Inc. Client Project Number / R 0, E1431ZEAS Client Project Description: 3555 N, Lutheran PKWY Date Samples Received: June 12, 2014 Method: EPA 600/R-931116 - Short, Bulk N0 Naga orasried Turnaround: 2 Hour TR-Trace, 11% Visual Esfirrilae Date Analyzed: June 12, 2014 C lient, Lab N on. sample 10 Number A Sub Asbestos Fibrous Number y Physical Part i Fibrous Components E Description Mineral visual Components (%) R jJL U&I 3556-01 EM 1196099 A White flooring w/ gray fibrous backing material & tan mastic 100 NO 15 85 3655.02 EM 1196100 A Off white flooring w/ gray fibrous backing material 100 NO 10 90 3655-03 EM 1196101 A White flooring w/ gray fibrous backing material 100 NO 12 88 3555-04 EM 1196102 A White/gray ceiling the 100 NO 55 45 3555-06 EM 1196103 A White/gray ceiling file 100 ND 55 45 3555-06 EM 1196104 A Whitelgray ceiling tile 100 ND 55 45 P 303 -964-1986 Sul L.", SV..r S.49 100 D_'. CO 80218 •RESI-ENV N9. 2 as R­,­ En-.—MX, � Mcthw•. ".­f t, 2014 R­­ E­­W QA M­V RESERVOIRS ENVIRONMENTAL, INC. T ,OAQUobtRe- Em­­W QA Map­0 K� NVLAP Lob Code 101896-0 TDH Licensed Laboratory # 30-0136 TABLE PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME R Job Number: RES 292121.1 Client: A. G, Wassenaar Inc, Client Project Number I P.0, E14312.EAS Client Project Description: 3555 N. Lutheran PKWY Date Samples Received: June 12, 2014 Method: EPA 600/R-931116 - Short, Bulk NO--None Detected Turnaround: 2 Hour T€-Trsce .1% Vnruai Esfirnate Date Analyzed: June 12, 2014 Client Lab Non Non- Sample ID Number A Sub Asbestos Fibrous Number y Physical Part Fibrous Components E Description Mineral visual Components R I Estimate % 0 9 3555.07 EM 1196105 A Light blue paint w/ white compound 2 NO 0 100 B Whited all 98 NO 10 90 3556-08 EM 1196106 A White compound w/ light blue paint 5 NO 0 100 B White drywall 95 NO 15 85 3555-09 EM 1196107 A White drywall w/ light blue paint 100 NO 12 88 3555.10 EM 1196108 A Light blue paint w/ white compound I NO 0 100 B White mastic 3 NO 2 98 C Gray cove base 96 NO 0 100 3555-11 EM 1196109 A Light blue paint w/ white compound I NO 0 100 B Whitertlight tan mastic 4 NO 2 98 C Gray cove base 95 NO 01 1001 P 30 '"rm 1940 5801 LoW,'Wott Wte 100 D.,­., CO 80216 I-W&REV-ENV F o)r-477A275 P.A. R.—v— E­--W i�, Eff­t ,, January I . 2014 W GA M—W RESERVOIRS ENVIRONMENTAL, INC. T ,QAOMLWARew—m En-m—W QA M*r W e� NVLAP Lab Code 101896-0 TDH Licensed Laboratory # 30-0136 TABLE PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number RS 292121.1 Client: A. G. Wassenaar Inc. Client Project Number I P. E14312.EAS Client Project Description 3555 N. Lutheran PKWY Date Samples Received: June 12, 2014 Method: EPA 60018-931116 - Short, Bulk ND-None Deteded Turnaround-, 2 Hour TR-Trans. <1% V*usl Eslenale Date Analyzed: June 12, 2014 Client Lab L Alliblestostierrfiettt Non Non. Sample ID Number A Sub Asbestos Fibrous Number Physicai Part I Fibrous Components E Description I (%) Mineral 1 visual Components (%) R I Estimate t%) Q1 3555-12 EM 1196110 A Tan mastic 3 ND 2 98 B Gray cove base 97 NO 0 100 3555-13 EM 1196111 A White drywall w/ gray/multi-layered paint 100 NO 10 90 3555-14 EM 1196112 A White/gray ceiling life 100 NO 50 50 3555-15 EM 1196113 A White/gray ceiling file 100 NO 50 50 P 303,M4,148Cr 5801 Ug-fteetS.0 100 N­,C080216 ' k-$+.e REWIVNV F O03 wvwv 1.4.b P.g. 4 c 6 R.— RE.ttwiearrnorent84, h- Eff-t- J.—ly 1, 2014 R­­. E—+a*Eme A CA Man W RESERVOIRS ENVIRONMENTAL, INC. T QAQCM.30,%Re— Ks Emg�—Aal QA M&wu�4 d� NVLAP Lab Code 1018%-0 TDH Licensed Laboratory # 30-0136 TABLE PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RE Job Number: RES 292121-1 Client A. G. Wassenaar Inc. Client Project Number / P.O. E14312.EAS Client Project Description: 3556 N. Lutheran PKWY Date Samples Received: June 12, 2014 Method: EPA 60018-93/116 - Short, Bulk Turnaround: 2 Hour TR-Trace, 0% VisuW Estimate Date Analyzed: June 12, 2014 Client Lab L Non Non- sample ID Number A Sub Asbestos Fibrous Number y Physical Part I Fibrous Components E Description Mineral = vi-al Components R I Estimate (%) ( 3555-16 EM 1196114 A White/gray ceiling the 100 NO 50 50 3555-17 EM 1196115 A White compound w/ light pink paint 5 NO 0 100 B White drywall 95 NO 10 90 3555-18 EM 1196116 A Tan mastic 3 NO TR 100 B White sheet vinyl w/ off white fibrous backing material 97 NO 15 85 3555-19 EM 1196117 A Light tan mastic 7 NO TR 100 B White sheet vinyl w/ off white fibrous backing material 93 NO 15 85 3556-20 EM 1196118 A Light tan mastic 7 NO TR 100 B Off white sheet vinyl w/ off white fibrous backing material 93 NO 15 85 P 1 011- 9641*86 58011 L.o.c St—k$uO 1000.1—0080216 466AEW-CNV F 303 P.O. 5 of 8 R+xaarvor¢F rri*dndHkmkl+t&t, Rnc. rffe4TZxe.lal -Y 9.2014 Rebavvs ,r--tw 0A Mae -i RESERVOIRS ENVIRONMENTAL, INC. 7k QAQM.,.Ve8kr.m rnwror.. rag QA 6§8nu8fti NVLAP Lab Code 101896-0 TDH Licensed Laboratory # 30.0936 TABLE PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: RES 292121 -1 Client: A. G. Wassenaar Inc. Client Project Number t P.U. E14312,EAS Client Project Description: 3555 N. Lutheran PKWY Date Samples Received: June 12, 2014 Method: EPA 600/R- 93/116 - Short, Bulk ribzNone Detected Turnaround: 2 Hour TR -Trace cI% Visual Estate Date Analyzed; June 12, 2014 Trem•ACtTrecflo [e.AC #nto to Ghent Lab t-'<' .A on Non - Sample ID Number A Sub Asbestos Fibrous Number Physical Part Fibrous Components E Description ( %) Mineral visual Components R I Estimate W o 3555 -21 EM 1196119 A White /gray ceiling ble 140 NO 60 40 3555 -22 EM 1196120 A Light pink drywall wt purpiedulti- layered paint 100 ND 20 80 TEM Analysis recommended for organically bound material (,e. floor the) if PLM results are <1%, Analyzed by: Michael states P 3tk' -%4. 4986 F': 303- 477 °5 Data QA: ,s "N. ;•.w a:. Iulia Jemkan 5801 toga», ql—t 8v0 100 E3erry , CO 80218 11&Pat3-4TrS EN. 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