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HomeMy WebLinkAboutCOHM-R003285-022526 Letter to the Requestor (2026 February)From Ta: Cc: SubiecC Building M RECORDS REQUr -19424 Mdur Date: Wedresday, Febrvary 25, 20W 12:49:03 PM ♦pacinno pR: JE01-f 999-0IP 0onn Remrdz ReauestW attachedima-law Dear Building & Inspection Staff, I am preparing a due diligence and zoning compliance report for a real estate transaction at 19424 Mckay Dr Humble, TX 77338 Parcel I D: 1236880010001 Type of facility: Skilled Nursing Facility Acreage: 4.3 I respectfully request your assistance in providing the following information for this property: 1. Building Permits History - Copies or records of all permits issued, including construction, renovation, and additions. 2. Certificate of Occupancy (CO) - Current status, copies of any issued CO, and confirmation of compliance with building regulations. 3. Inspection Records - Any open or past inspections, including results and dates. 4. Site Plans / As -Built Plans - Copies of any approved site plans, building plans, or relevant drawings submitted to the department. 5. Open Violations - Any current or past open building code violations associated with the property. If there are any forms or fees required to process this request, please advise. Additionally, please provide an estimated timeline for receiving these records. Thank you for your assistance. I can be reached at [Your Phone Number] or [Your Email] for any additional clarification. February 25, 2024 Open Records Request for the following site Address: 19424 Mckay Or Humble, TX 77338 ParcellD: 1236880010001 Acreage: 4.3 Type of Business: Skilled Nursing Facility BUILDING DEPT. DOCUMENTS (if available or applicable): • Are there any records of any current open building code violations? (If no documents, please reply "no responsive documents") ❑ There are open building code violations (please explain below). ElThere are no open building code violations. Additional Comments: • Are there any records of any current open or expired building permits? (If no documents, please reply "no responsive documents") There are open or expired building permits (please explain below if they constitute a violation). ❑ There are no open or expired building permits. • Copies of any current Condemnation Plans or Road widening projects affecting the subject property: ❑ Documents are available and copies have been provided. ❑ There are no responsive documents to this request. • Copies of any Certificates of Occupancy Documents are available and copies have been provided. ❑ There are no responsive documents to this request • When is a new Certificate of Occupancy required? New construction or major building renovations/additions. Upon change of ownership or tenancy. Change in use of the principal building/structure. Completed by: Tide: ZONING/PLANNING DEPT. DOCUMENTS (if available or applicablel: Are there any records of any current open zoning code violations? There are open zoning code violations (please explain below). There are no open zoning code violations. Additional Comments: • Copies of any of the following documents (if applicable): Special use permits, conditional use permits, special exception approvals, variances, PUD approval or any zoning relief of any kind. 1-1 Documents are available and copies have been provided. There are no responsive documents to this request. • Copies of Approved Site Plans or Development Plans, specifically for PUD sites Documents are available and copies have been provided. There are no responsive documents to this request. Completed by: Title: February 25, 2026 Open Records Request for the following site: Address: 19424 Mckay Dr Humble, TX 77338 Parcel ID: 1236880010001 Acreage: 4.3 Type of Business: Skilled Nursing Facility FIRE DOCUMENTS (if available or applicable)• • Are there any records of any current open fire code violations? There are open fire code violations (please explain below). ❑ There are no open fire code violations. Additional Comments: • Copies of the most recent Fire Inspection Report. ❑l v Documents are aailable and copies have been provided I I There are no responsive documents to this request. • Are there any records of underground storage ranks currend)or formerly on the property? Documents are available and copies have been provided. There are no responsive documents to this request. • Are there any records of hazardous materials storage on the property? Documents are available and copies have been provided. ❑ There are no responsive documents to this request. • Are there any records of releases of any petroleum products or hazardous materials at the property? ❑ Documents are available and copies have been provided. There are no responsive documents to this request. Completed by: Title: C-1 00 Commercial Permit Application 1 Ill VJ. Hioolflitit H,11+11� Tv 7-1210 ­_ — Project Permit No. Address, I mN—Date: rl—Ao 3o: FeeDue: Estimated Cost of Construction CRF` S Due: Describe work to bdone: e Permit Cos;: ce V;F: Feas round up each frl"i'a" of $100ilrAdes Or 11,C001b,11(dIng Recording Instrument#: Final Amount FU`a___ Lot: Block: Subdivision: Section. of permit: BULDING 0 MECHANICAL F1 ELECTRICAL Cl APPlicat�ion per r7- E �(One PLUIABING il­-' SIGN E, OTHER 0 'Permit Type) in It Type) Owner: V17 101-11 A/ Trade Info (All others) �e-VC4( kA0, 11�q IA7 �rw V 61 /0 L City, State, Zip: Y,4 e 7?8 Ci ;.1 "" 775-a99--_ Phone : Arl — 2, — jl�(,y P h 0 in e; —_ SUB -CONTRACTORS: laste,s Name Lice s ElectricG : 'F1 _rnbi u n e Machanical: Buildlng!Sign information: To!aIAeaSF-.-! Flood Zone: I Base Flood -J-ava' tion Front Set -Back: t Finished Floor: Lowest Adjacent Grade: Roe, Sat-9zck: Left/Right, Sat -Back: Elevation Cart. (if In SFHA) 0 No RisS Cert. C] Provided Documents: Submit TNo Copies of Each ThaApply Engineering Plans [71 Survey 11 Plot Plan C1 Energy Cat CJ VAndst:mn, Framing, Fa.ndatjc,_ M3nual-JCaIcs, C Machanical Layout 0 Note: Struc�­Ires Over 2513ft- reqjlre a., E(ectric Load Anly. 0 Plumbing Riser El Gas Rise, C3 Architectural Plans 0 engineer-sea!ed windstorm design meeting u I current federal, state, and local codes and ordinance;. 7 ding orRornoda! > $50,000 requires reiiit ,'Bt On, veth TDLR & a hard copy submittal: TOLR Included TDLR 0: - CO/Flash Drive Structures in SFHA require Elevation Certificates ;t Asbes'LaiSur,,eyReaul,-ed.forRemodeV plan sularril"t,31, foundation Inspection, and final ReROV31ion of Pubilc Facilities Required If Property is being cleared inspection. Piers/Beams/Ho!es require engineer -seal. Asbestos Survey 0 for your address: SwPPP Plan: NOTICE: I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL FROIlsioi,1s �O-LAWs AND ORDINANCES GOVERNING THE TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPEOFIED OR NOT. THE GRANTING OF A PERMIT Doz-1 NOT PRE3U,%1E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAY1RECULATING CONSTRUCTION OR THE PERFORMANCE OF C0111STRUCTION. I HEREBY IRREVOCABLY AUTHORIZE THE CITY OF HUMBLE, ACTING THROUGH ITS EMPLOYEES, AGENTS, AND REPRESENTATIVES, TO ENTER UPON THE SU8J:CT PREMISES AND INTO ANY STRUCTURES THEREON, FOR THE PURPOSES OF INSPECTING AND EVALUATING, COMPLIANCE WITH ANY PERMIT ISSUED AS A RESULT 07 TH;S APPLICATION. Printed Narne: APPLICANT'S SIGNATURE Phone No E-Pilafl: 11-7 e- AdMonal Comments I n i t i a 1,Rsv i evi Ey__� �z )at Approved Date. BUILDING DEPARTMENT Revived: iMay/2020 rej 12120r21. 11: i % Ati1 https//www.iworq.net/ivvorq'O_Pages,popupEditLetierPrint.php?sid=SQNB�VNZJJYNWDWDDXGBFD25RC8600&id=16733610... - BUILDING DEPARTMENT _ 114''NEST HIG INS STREET • HUMBLE TE'�'AS • 77338 • 281 »a Plumbing Permit General/Location Permit No: 211878 Site Address: 19424 MCKAY BLVD Permit Date: 12/20/2021 City/State/Zip: HUMBLE, TX 77338 Expire Date: 6/20/2022 Parcel No: 1236880010001 Build Type: Commercial Lot: Project Cost: 600 Subdivision: Owner/Contractor Owner: SABRA TEXAS HOLDINGS LP Contractor: Genuine Plumbing LLC Address: 19424 MCKAY BLVD Address: 17990 Deer Way City/State/Zip: HOUSTON, 77338 City/State/Zip: Conroe, TX 77303 Phone: Phone: 936 445 2953 Email: Type: Plumbing Description of Project ANNUALGTO Fee Amount Payment Date Amount Plumbing Permit: (Includes 3+ unit Multi- $56.00 12/20/2021 $56.00 Family) Total Fee: $56.00 Total Paid: $56.00 This permit becomes null and void if work or construction authorized is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any tine after work is started. hereby certify that I have read and examined this document and know the same to be true and correct. All Provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. 12/20/2021 Permit Clerk Date https:/Y~JworgneUiworgiO_Pages/popupEditLetterPrint.php?sid=8QNBWNZJJYNWDWDDXGBFD25RC8600&d=16733610&k=7796&letterlinKid=1. - 111 OFMil,�6 G st City of Humble Commercial Permit Application 114 V'd- Higgins St Ffumble, TX 77338 Phone: 281-44C-6228 c-100 C Permit No. Project -_ic: ._. Date: p-- Address: ---- -- - — tvtaster Permit No: Fee Due: J$ r --- Estimated Cost of Construction : S i` &10 CRF's Due:l Describe work to be done:-- _._� <� Plan Rcvie­avflnv# Fees round up each rraction of $104ttrades or f1.000[building Recording Instrument-": � Fina! Amoun Due: Lot: Block: Subdivision: Section: Type of permit: BUILDING ❑ &ICEC� tANICAL ElELECTRICAL ❑ (Ogle Application per PLUMBING GJ/ SIGN ❑ OTHER ❑ Parmit Type) Owner: Lr 1 Required Contractor Info(Building) ` f�f xKnd�' 9t� �Tu b Trade Info (All others)-e l 4,y4eo Ar,V,��'r, Sheet: / f _ C 4 street ? 9 0? e t,, 4— f City, State, Zip: N L, ;r f 7k 77 City, State, Zip: ro v a.,9e / X Phone: ,' ' (— 3 / �! it o p Phone: ; E-klail: E-Mail: SUB -CONTRACTORS: Company Name Master's Name_ License # Electrical: 1. Piumbing: cf a �C cc a4 �'ry v f C_� 4,1Ac?f1-11r, — klechanical: Building)Sign Information: Total Area SF:j Flood Zone: Base Flood Elevation: FrontSet-Back:l Finished Floor: I Lowest Adjacent Grade: Rear Set -Back: Elevation Cert. (if in SFHA) ❑ No Rise Cart. ❑ Le JRinht Set -Sack:' Provided Documents: Submit Two Copies of Each That Apply Engineering Plans ❑ Survey ❑ Plot Plan ❑ Energy Cert. ❑ Windstorm, Ffaming, Foundation Manual-J Calcs. ❑ ylechanical Layout ❑ Electric Load Anly. ❑ Note: Structures over 250ft, require an engineer -sealed windstorm design meeting Plumbing Riser ❑ Gas Riser ❑ Architectural Plans ❑ current federal, state, and local codes and ordinances Building or Remodel a $50,0W requires registration with TDLR & a hard copy submittal: TOUR, included TDLR #: CD/Flash Drive Structures in SFHA require Elevation Certificates at Asbestos Surrey Required far Remodel/ plan submittal, foundation inspection, and final Renovation of Public Facilities Required if property is being cleared inspection. Pier/Beams/Holes require engineer -sea Asbestos Survey D for your address: SWPPP Plan: NOTICE: I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THE TYPE OF WORK WILL BE COMPLIED WITH, WHET HER SPECIFIED OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LA:"! REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. I HEREBY IRREVOCABLY AUTHORIZE THE CITY OF HUM31-E, ACTING THROUGH ITS EMPLOYEES, AGENTS, AND REPRESENTATIVES, TO ENTER UPON THE SUBJECT PREVISES AND INTO ANY STRUCTURES THEREON, FOR THE PURPOSES OF INSPECTING AND EVALUATING COMPLIANCE WITH ANY PERMIT ISSUED AS A RESULT OF THIS APPLICATION. Printed Name: APP CANT'S SIGNATURE. Phone No : E-Mail: `� &/hC�(C° ✓ �� rvI-�--���-Lr�9r_ Addinnal0cmments Initial Review B - Date: Approved li By: I Dahl BUILDING DEPARTMENT Revised: May/2020 n C C"p-t Building Permit PLUMBING PLUMBING PERMIT )1015 None 10/09/2020 1$ 58.00 LOCATION 19424 McKAY Blvd Humble, TX 77338 i (NI/N=R Park Manor Of Humble Nursing Home HUMBLE TX 77338 DESCRIPTION OFINORK GTO OCCUPANCYTYPE REEPC ! COD 437 * Non -Residential & Non -Housekeeping City of Humble 114 W Higgins Humble. Texas 77338 (281)446-6228 Phone (281)446-7902 Fax $ 800.00 1 Tim PIN SUBDIVISION LOTP PROPERTYSI=E Sq, Ft. CONTRACTOR Genuine Plumbing LLC 936 445 2953 17990 Deer Way Conroe TX 77303 LICENSE NO - NO.OF FLOORS TOTAL FLOOR AREA OFNEWCONST. Sq_Ft. ACCESSORYSTRUCTURES Sq.Ft. SINGLE FAMILY ONLY NO.OF BATHROOMS NO OFSEDROONIS TOTAL ROOMS This permit becomes null and void if work or construction authorized is not commenced within 6 months, or if construction or work is suspended or abandoned for a period of 6 months at any time after work is started. All work must comply with the locally adopted Plumbing Code in use. All provisions of and ordinances governing this type of work will be complied with whether specified herein or not. Issuing Offi i Clerk Signature of Applicant Date City of Humble C-1 00 ' Commercial Permit Application 114 bV Higgins St. I [Umble, TX 77338 Phone 281-446-6228 Project— { Permit No. ci ,yfc__ !7 Date: -- Address: Master Permit No: - ---___ . _______ __._®Fe Fee Due: J $ Estimated Cost of Construction CRF's Due:,$ Describe work to be done: L, vcd 4-( f`) -% f __ _-_ ____._� L ✓ --- — PI3n Revie':�?Ini# Recording Instrument#: Lot Block Subdivision Sec`Iun Type of permit: BUILDING L! MECHANICAL E7 ELECTRICAL ` � _A PLUMBING Ci� %_- SIGN ❑ OTHEP; Owner: GemeftFBontractor: Street: 17 p0 `JP e v kJ;t Street_ l _y %r 1 k4 s - City, State, Zip: City, State, Zip: " �`! 1A.��_��!__.—_ _ P°,one: , b'i-.1� � Phone: ri 1� ----- _._. _. E-Nlail:- SUB-CONTRACTORS: Company Name Master's Name License # - Electrical: PIumbin9: 1.aju� �, � b�j fC ✓ 14 r-e - � �< ct n '% C✓��� �%'E✓ Mechanical: Building/Sign Information: Total Area Sc Flood Flood Zone: ?sase Flood Elevation :'I Front Set-Back:i Finished Floor:I Rear Set -Back: Lowest Adjacent Grade: Left/Right Set -Back: Elevation Cert. (if in SFHA) ❑ No Rise Cert ._. Provided DOCUrnellt5: zi" ' a of E•sc.+' '~ Engineering Plans ❑ Survey L, Plot Plan ❑ Energy Cert ❑ Windstorm, Framing, Foundation Manual-J Calcs. Mechanical Layout ❑ Electric Load Anly. C_1 Plumbing Riser', Gas Riser ❑ Architectural Plans ❑ Note: Structures over 250ft2 require an engineer -sealed windstorm design meeting If not using city service, attach a copy of the approver; County Health District permit for this address: current federal, state. and local codes and ordinance;. Well Permit ❑ Private Se,. -,age Permit 01 Structures in SFHA require Elevation Certificates at Required if property is being cleared for your address: Dian submittal, foundation inspection, and final inspection SINPPP Plan ❑ NOTICE: I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLIICATICN AND KNOYJ THE SAsr _ TO 3E TRUE AiJC CORRECT. ALL PR0VIS 0%S OF l,i`A AND ORDINANCES GOVERNING THE TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION, I HEREBY IRREVOCABLY AUTHORIZE THE CITY OF HUMBLE, ACTING THROUGH ITS EMPLOYEES, AGENTS, AND REPRESENTATIVES, TO ENTER UPON THE SUBJECT PREMISES AND INTO ANY STRUCTURES THEREON, FOR THE PURPOSES OF INSPECTING AND EVALUATING COMPLIANCE WITH ANY PERMIT ISSUED AS A RESULT OF THIS APPLICATION. Printed Name: APPLICANT'S SIGNATURE Phone No ; E-Mail: Initial Review By: Ap l� Date By' ! 1 I BUILDING DEPARTMENT Created: June 6, 2019 City of Humble � n �t� Build in 'ermit 114WHiggins h ` ; Humble, Texas 77338 PLUMBING - PLUMBING PERMIT (281)446-3061 Phone (281) 446-7902 Fax 7. an, MERK 190886 07/26/2019 $ 800.00 $ 58.00 Sharon LOCATION 19424 McKAY Blvd Humble, TX 77338 TMS# USEZONE DEFAULT OWNER Park Manor Of Humble Nursing Home, HUMBLE TX 77338 APPLICANTGenuine Plumbing LLC, 936 445 2953 17990 Deer Way Conroe TX 77303 CRIPTIONOFWORK „ANUAL GAS TEST REPORTCODE NONE -NONE OCCUPANCYTYPE CONSTRUCTIONTYPE SUBDIVISION LOT BLOCK CONTRACTOR Genuine Plumbing LLC, 936 445 2953 17990 Deer Way Conroe TX 77303 LICENSENO DA ENS,ONS #STORIES SQUAREFOOTAGE #UNITS Sq Ft This permit becomes null and void if work or construction authorized is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is started. I hereby certify that 1 have read and examined this document and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. y -- Approved By Date BP1-20040705-s 0 PLUMBING PERMIT PPP-ACAFIO 1 City of Humble 7)> M 0 Applicant to complete numbered spaces only 0 JOB ADDRESS NA7 OF ESTABLISHMENT CZ z rn Cn LEGAL LOT NO I BLK TRACK 1 L-1 SEE ATTACHED SHEET) i DESCH. � BUILDING OWNER MAIL ACDRESS ZIP PHONE 2 CONTRACTOR MAIL ADDRESS J PHONE TEXAS MASTER LICENSE NO. 1/i'�~n�ir� BUILDING CONTRACTOR USE OF BUILDING J 6 Class of work: ❑ NEW ❑ ADDITION U ALTERATION p-;tEPAiR 7 Describe Work: NOTICE No. Type of Fixture or Item WATER CLOSET (TOILET) BATHTUB THIS PERMIT BECOMES NULL AND VOID AFTER 6 LAVATORY (WASH BASIN) MONTHS OF CONSTRUCTION INACTIVITY. SHOWER I HEREBY CERTIFY THAT I HAVE READ AND EXAM INEDTHIS AP- KITCHEN SINK & DISP. DISHWASHER PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. LAUNDRYTRAY ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNINGTHIS CLOTHES WASHER TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WATER HEATER HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRE- URINAL SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- I DRINKING FOUNTAIN VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING FLOOR -SINK OR DRAIN CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SLOP SINK IF APPLYING FOR HOMEOWNER PLUMBING PERMIT, STATE LAW GAS SYSTEMS: TEST ONLY WATER PIPING &TREATING EQUIP. REQUIRES PROOF OF HOMEOWNER EXEMPTION FROM THE WASTE INTERCEPTOR HARRIS COUNTY APPRAISAL DISTRICT. VACUUM BREAKERS LAWN SPRINKLER SYSTEM SEWER /�.��`�^ �! -✓-J�� I MOBILE HOME CONNECTION (WATER, SEWER, GAS) SIGNATURE OF STATE OF TEXAS MASTER PLUMBER (DATE) COST OF INSTALLATION ere. BUILDING CONSTRUCTION COST $ SIGNATURE OF OWNER (IF HOMEOWNER) (DATE) PERMIT FEE $ BLDG. PERMIT# PLMB PERMIT # I �[ 01 - n '01U 81062 Building Permit City of Humble 114 W Higgins Humble. Texas 77338 PLUMBING - PLUMBING PERMIT (281)446-3061 Phone (281)446-7902 Fax 07/23/2018 LOCAT!a 19424 McKAY Blvd Humble. TX 77338 TIVIS a USEZONE DEFAULT OA` ,ER Park Manor Of Humble Nursing Home, HUMBLE TX 77338 APPLICANTGenuine Plumbing LLC, 936 445 2953 17990 Deer Way Conroe TX 77303 DESCR1PT();G,F 4 OINK ANNUAL GAS TEST REPOP.TCOCE NONE -NONE OCCUPAA111:CYTY? 800.00 1$ 51.00 Sharon SUSDAASK)N LOT BLOCK CONTRACTOR Genuine Plumbing 17990 Deer Way Conroe TX 77303 LiCENSENO. DKIEI SIONS #STORIES SQUAREFOOTAGE #UNITS SG. Ft- This permit becomes null and void if work or construction authorized is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is started. I hereby certify that I have read and examined this document and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Approved By BP 1-20040705-st PLUMBING PERMIT APPLICATION City of Humble Applicant to complete numbered spaces only. JOBADDRESS NAME OF ESTABLISHMENT LEGAL j--- -- r 1 DESCR. - BULL NG OWNER 2 � k, t Y``lu h k e a` M.�AI/LADDRESS 'PP CONTRACTOR MAIL ADDRESS Ct k) u �'r�{ 1-7 3 r'l �� br I l%e t,✓ BUILDING CONTRACTOR USE OF BU[LDING y CJ 6 Class of work: p NEW 0 ADDITION 0 ALTER 7 Describe Work: / 1 ZIP -7733� PHONE g�t/--1-1Y� =� �4-3 3 PHONE TEXAS MASTER LICENSE NO- ATION ❑ REPAIR .ti/�dKk! (�rl�t ti' ^/u u / u t ) NOTICE THIS PERMIT BECOMES NULL AND VOID AFTER 6 MONTHS OF CONSTRUCTION INACTIVITY. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEDTHIS AP- PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNINGTHIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRE- SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. IF APPLYING FOR HOMEOWNER PLUMBING PERMIT, STATE LAW REQUIRES PROOF OF HOMEOWNER EXEMPTION FROM THE HARRIS COUNTY APPRAISAL DISTRICT. SIGNATURE OF STATE OF TEXAS MASTER PLUMBER (DATE) SIGNATURE OF OWNER (IF HOMEOWNER) (DATE) BLDG. PERMIT# DATE ISSUED No. i Type of Fixture or Item WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOINER KITCHEN SINK & DISR DISHWASHER LAUNDRYTRAY CL07HES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR -SINK OR DRAIN SLOP SINK GAS SYSTEMS: TEST ONLY WATER PIPING &TREATING EQUIP. WASTE INTERCEPTOR VACUUM BREAKERS LAW N SPRINKLER SYSTEM I SEWER MOBILE HOME CONNECTION (WATER, SEWER, GAS) R COST OF INSTALLATION I r'1 C CC / i BUILDING CONSTRUCTION COST $ PERMIT FEE $ . PLMB PERMIT 0 DATE ISSUED ICn Z, 09 5250-0: (001 � Building Permit PLUMBING - PLUMBING PERMIT City& Humble 114 W Higgins Humble, Texas 77338 (281)446-3061 Phone (281) 446-7902 Fax 1170978 S 800.00 07/2 017 $ 51.00 Sharon LOCA-TION 19424 McKAY Blvd Humble, TX 77338 TMS# USEZONE DEFAULT CAWER Park Manor Of Humble Nursing Home, HUMBLE TX 77338 APPLICANTGenuine Plumbing LLC, 936 445 2953 17990 Deer Way Conroe TX 77303 SUBDIVISION LOT BLOCK CONTRACTOR Genuine Plumbing LLC, 936 445 2953 LICENSENO 17990 Deer Way Conroe TX 77303 r _.i DESCRIPTIONOFWORK MVISIZIONS ANNUAL GAS TEST "MSTORIES REPORTCODE SQUAREFOOTAGE Sq Ft NONE -NONE #UNITS OCCUPANCYTYPE CONSTRUCTIONTYPE This permit becomes null and void if work or construction authorized is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is started I hereby certify that I have read and examined this document and know the same to be true and correct All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction Approved By Date BP1-20040705-s) 9 PLUMBING PERMIT APPLICATION City of Humble y` m Applicant to complete nombered spaces only. 7 " C H I JOB ADDRESS NAME OF EST BUSHMENTlykol /� f�% �; 41 Z y LOT NO. - ' BLK�T TRACK LEGAL DESCR. ; i,J SEE ATTACHED SHEET} BUILDING OWNER MAIL ACDRESS ZIP PHONE 2 CONTRACTOR MAIL ADDRESS PHONE TEXAS MASTER LICENSE NO. g � �lkvs/���.. BUILDING CON ACTOR 4 USE OF BUILDING 5 6 Class of work: U NEW p ADDITION U ALTERATION U REPAIRS, 7 Describe Work: `„ ^,/AIt f _' f lei J NOTICE No. Type of Fixture or Item WATER CLOSET (TOILET) BATHTUB THIS PERMIT BECOMES NULL AND VOID AFTER o MONTHS OF CONSTRUCTION INACTIVITY. LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- PLICAT10N AND KNOW THE SAME TO BE TRUE .AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS DISHWASHER LAUNDRYTRAY CLOTHES WASHER TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED I WATER HEATER HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRE- URINAL SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- DRINKING FOUNTAIN VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING FLOOR -SINK OR DRAIN CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SLOP SINK IF APPLYING FOR HOMEOWNER PLUMBING PERMIT, STATE LAW GAS SYSTEMS: TEST ONLY WATER PIPING &TREATING EQUIP. REQUIRES PROOF OF HOMEOWNER EXEMPTION FROM THE WASTE INTERCEPTOR HARRIS COUNTY APPRAISAL DISTRICT. VACUUM BREAKERS s LAWN SPRINKLER SYSTEM SEWER M0131LE HOME CONNECTION (WATER, SEWER, GAS) SIGNATURE OF STATE OF TEXAS MASTER PLUMBER (DATE) COST OF INSTALLATION $ ;0 BUILDING CONSTRUCTION COST $ 1 SIGNATURE OF OWNER (IF HOMEOWNER) (DATE) PERMIT FEE $ 3j & v BLDG PERMIT# PLMB PERMIT # ),� / IL7.9 DATE ISSUED DATE ISSUED �✓ ��� 09-5250-0, City of Humble Building Permit 114 W Higgins PLUMBING PLUMBING PERMIT Humble, Texas 77338(281)446-3061 Phone (281)446.7902 Fax r_ i 161279 None 07/19i2016 �$30.00 S 800.00 Mark mOCATION 19424 McKAY Blvd PIN I Humble, TX 77338 U',T'ER Park Manor Of Humble Nursing Hone HUMBLE TX 77338 DESCRIPTION OF'r "ORK ANNUAL GAS TEST OCCUPAVCYTY R=PORT(,-U-'E NONENONE SURD VISION LOT# PROPERTYS2E r? CONTRACTOR Genuine Plumbing LLC 936 445 2953 17990 Deer Way Conroe TX 77303 LICENSE NO 01IMENS10!*t5 NO.OFFLOORS TOTAL =LOOR AREA OF NEW CONST ACCESSORYSTRUCTURES SINGLE FAMILY ONLY NO. OF BATHROOMS NO.OFBEDROOMS TOTALROOMS Sq. Ft. Sq. Ft. This permit becomes null and void if work or construction authorized is not commenced within 6 months or if construction or work is suspended or abandoned for a period of 6 months at any time after work is started. All work must comply with the locally adopted Plumbing Code in use. All provisions of and ordinances governing this type of work will be complied with whether specified herein or not. Issuii, Y Officer / Permit Clerk Signature of Applicant BPO- PLUMBING PERMIT APPLICATION City of Mumble Applicant to complete numbered spaces only �- O e p 'OB ADDRESS NAME 07 E$/ABLISHMENT LEGAL I LOT NG. I BL- TRACK DESCR. i U SEE A ACHED SHEET) BUILDING OWNER MAIL ADDRESS 2 ZIP PHONE p CONTRACTOR MAIL ADDRESS PHONE TEXAS MASTER LICENSE NO BUILDING CONTRACTOR 4 _ r USE OF BUILDING 5 /t,"cu v� /'N' h G 6 Class of work: j NEW p ADDITION ❑ ALTERATION p REPAIR 7 Describe WorkhJ/1,'C(t�t 1 I NOTICE No. Type of Fixture or Item WATER CLOSET (TOILET) BATHTUB THIS PERMIT BECOMES NULL AND VOID AFTER 6 MONTHS OF CONSTRUCTION INACTIVITY. LAVATORY (WASH BAs1N) SHOWER KITCHEN SINK & DISP. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNINGTHIS DISHWASHER LAUNDRYTRAY CLOTHES WASHER TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WATER HEATER HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRE- URINAL SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- DRINKING FOUNTAIN VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING FLOOR -SINK OR DRAIN CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SLOP SINK IF APPLYING FOR HOMEOWNER PLUMBING PERMIT, STATE LAW GAS SYSTEMS: TEST ONLY WATER PIPING &TREATING EQUIP. REQUIRES PROOF OF HOMEOWNER EXEMPTION FROM THE WASTE INTERCEPTOR HARRIS COUNTY APPRAISAL DISTRICT. VACUUM BREAKERS LAWN SPRINKLER SYSTEM )r; (� y�__) ✓J (� % /) SEVER I MOBILE HOME CONNECTION (WATER, SEWER, GAS} SIGNATURE OF STATE OF TEXAS MASTER PLUMBER (DATE) COST OF INSTALLATION $ �yL BUILDING CONSTRUCTION COST $ _ SIGNATURE OF OWNER (IF HOM1EUWNER) D.ATGI PERMIT FEE v Il� PLMB PERMIT # DATE ISSUED BLDG, PERMIT# DATE ISSUED 09-5290 O� Building Permit PLUMBING PLUMBING PERMIT City of Humble 114 W Higgins Humble, Texas 77338 (281)446-3061 Phone (281) 446-7902 Fax -^� ��l�i�!`"�:ti'��.lirt.�. _ �rri5 (` 7) h - -�.r� r, ej n • _ t r. 150825 08/03/2015 $ 30 00 $ 500.00 Sharon LOCATION 19424 McKAY Blvd PN Humble, TX 77338 - St1BDIV1SlON LOT# PROPERTYSIZE Sq Ft OVMIER Park Manor Of Humble Nursing Home CONTRACTOR Genuine Plumbing LLC 936 445 2953 17990 Deer Way -"I� HUMBLE TX 77338 Conroe TX 77303 LICENSENO DESCRIPTIONOFWORK ANNUALGTO REPORTCODE NONENONE In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in public records of this county, and there may be additional permits required from other government entities such as water management districts, state agencies, or federal agencies. Additional restrictions, not of records, may also exist. Issuing Officer/Perm it Clerk Signature of Applicant Date INSPECTION TYPE: P-GAS - PLUMBING GAS TEST Scheduled Time: Aug 07 2014 - 10:30 AM Contractor Genuine Plumbing, 936 445 2953 Permit Number: 140808 Address 19424 McKAY Blvd Location: Proposed Use: BUSINESS Special Instructions: INSPECTION RESULT: Issued Date: Aug 05 2014 Zoning District: DEFAULT Result: *55 Relnspection Needed: ❑ Relnspection Fee: Notes: .- "7 ' 1' z 1// 4 41---­` /V I r) PLUMBING PERMIT APPLICATION } City of Humble Applicant to complete numbered spaces only0 �G o 0 m JOB ADDRESS NAME OF ESTABLISHMENT/1 LOT NO BLK TRACK LEGAL ( SEE ATTACHED SHEET) 1 DESCR to BUILDING OWNER MAILADDRESS 2 ZIP PHONE CONTRACTOR MAIL ADDRESS 3 i!� e�✓c�� �<ec�%-t�j►4✓ ✓ tr PHONE TEXAS MASTER LICENSE NO �1�f�l�%Sr BUILDING CONTRACTOR 4 USE OF BUILDING 5 6 Class of work ❑ NEW j ADDITION [I ALTERATION REPAIR r �— 7 Describe Work NOTICE ' THIS PERMIT BECOMES NULL AND VOID AFTER 6 MONTHS OF CONSTRUCTION INACTIVITY I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEDTHIS AP- PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNINGTHIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRE- SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION IF APPLYING FOR HOMEOWNER PLUMBING PERMIT, STATE LAW REQUIRES PROOF OF HOMEOWNER EXEMPTION FROM THE HARRIS COUNTY APPRAISAL DISTRICT if No Type of FIXture or item WATER CLOSET (TOILET) BATHTUB LAVATORY(WASHBASIN) SHOWER KITCHEN SINK & DISP DISHWASHER LAUNDRYTRAY CLOTHES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR -SINK OR DRAIN SLOP SINK GAS SYSTEMS TEST ONLY WATER PIPING &TREATING EQUIP WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM SEWER MOBILE HOME CONNECTION (WATER, SEWER, GAS) SIGNATURE OF STATE OF TEXAS MASTER PLUMBER (DATE) COST OF INSTALLATION BUILDING CONSTRUCTION COST SIGNATURE OF OWNER (IF HOMEOWNER) (DATE) PERMIT FEE $ BLDG PERMIT# DATE ISSUED PLMB PERMIT# l e DATE ISSUED —�T 09-5250-07 t City of Humble Building Permit 114W Higgins Humble, Texas 77338 PLUMBING PLUMBING PERMIT (281)446-3061 Phone (281) 446-7902 Fax e 08105/2014 $ 30.00 1 $ 500.00 Brandy LOCATION 19424 McKAY Blvd Humble, TX 77338 av`tT'+ER Park Manor Of Humble Nursing Home HUMBLE TX 77338 Pr! SUBDMSION LOT# PROPERTYSVP CONTRACTOR Genuine Plumbing 936 445 2953 17990 Deer Way Conroe TX 77303 UCEINSE P10 Sn. r,. DESCRIPTION OFWORK DIP.fEN�iO� S NO OF FLOORS ANNUAL GAS TEST TOTAL FLOOR AREA OFNE VCONST Sq, Ft. OCCUPANCYTYPE ACCESSORYSTRUCTURES Sq. Ft. REPOR?CODE NONE NONE SINGLE FAMILY ONLY NO.OF BATHROOMS NO.OFBEDROOMS TOTAL ROONIS This permit becomes null and void if work or construction authorized is not commenced within 6 months, or if construction or work is suspended or abandoned for a period of 6 months at any time after work is started.. All work must comply with the locally adopted Plumbing Code in use. All provisions of governing this type of work will be complied with whether specified herein or not. i Issuing Officer / Permit Clerk Signature of Applicant Da wwA Clinton Johnson CITE' OF HUMBLE Fire Marshal Rick Martinez 28I-446-4928 PERMANENT RECORD OF INSPECTION Building Official FAX 281-446-3960 281-446-6228 r_ ADDRESS DATE NAME OF BUSINESS TYPE OF OCCUPANCY TYPE OF INSPECTION INSPECTOR�� BUSINESS PHONE EMERGENCY PHONE FIRE PREVENTION INSPECTION ONLY THE HUMBLE FIRE PREVENTION BUREAU HAS CONDUCTED A FIREAND LIFE SAFETY INSPECTION OF YOUR PROPERTY THE CONDUCTION OF THIS INSPECTION AND CORRECTIONS OF ANY UNSAFE CONDITIONS WILL IMPROVE THE FIRE DEPARTMENTS ABILITY TO SAVE LIVES AND TO ATTACK AND EXTINGUISH ANY FIRE THAT MAY OCCUR IN THE BUILDING QUICKLY AND EFFICIENTLY DURING THIS INSPECTION, CONDITIONS AFFECTING BUILDING SAFETY ACCORDING TO CODES ADOPTED BY THE CITY OF HUMBLE WERE NOTED IT IS REQUIRED THATTHE ITEMS LISTED BELOW BE CORRECTED IN THE SPECIFIED TIME REFERRED TO IN THE NOTICE PORTION OF THIS DOCUMENT WETZ DRY FIRE PUMP fy, SPRINKLER TYPE Z ❑ ❑ DATE INSPECTED STANDPIPE TYPE ❑-- `—Q DATE INSPECTED ALARM DATE INSPECTED Z`-,s �1� VENT HOOD DATE INSPECTED FIRE EXTINGUISHER DATE INSPECTED 11 INSPECTION COMPANY t ��- EMERGENCY LIGHTING D?KK ❑ IF NOT EXPLAINED NOTICE FINAL NOTICE YOUR ATTENTION IS RESPECTFULLY CALLED TO THE VIOLATIONS ABOVE OF THE CODE OF ORDINANCES OF THE CITY OF HUMBLE, TEXAS, ON THE PREMISES LOCATED AT HUMBLE, TEXAS. AS INDICATED ABOVE FAILURE ON YOUR PART TO COMPLY WITH THIS NOTICE BEFORE THE DAY OF 20 , WILL SUBJECT YOU TO THE PENALTIES AS PRESCRIBED BY THE ABOVE SAID ORDINANCE OF LAW PERMITS ARE REQUIRED TO BEGIN MOST TYPES OF WORK, ON PREMISES, WHICH ALTER EXISTING CONDITIONS FOR INFORMATION REGARDING PERMITTING OR INSPECTIONS, PLEASE CONTACT THE CITY OF HUMBLE BUILDING DEPARTMENTAT 281446-3061 PRIOR TO COMMENCING WORK APPLICANT (MAY) (MAY NOT) OCCUPY THE BUILDING PRIOR TO COMPLETION OF CONDITIONS MENTIONED ABOVE, ITEMS NUMBER / NUMBERS WHICH MUST BE CORRECTED PRIOR TO OCCUPANCY FAILURE TO COMPLY WITH TH CITY OF HUMBLE CODE F ORDINANCE COULD RESULT IN FINES OF UPTO S220 00 PER VIOLATION RECEIVED BY�- DATE /� OFFICER DATE ! 2-4475.03 D109.5250--U1/lU;Ub To reorde+ please call Championship Pnnting 281-446 7380 City of yt mbl tG Building I Inspection Dept. 114 W. Higgins, Humble, Texas 77338 (281) 446-3061 (281) 446.6228 Rick Martinez, Fax (281) 446-7902 Chief Building official Backflow Prevention Device Vest & Maintenance Report Make of Product: ids Size. Model Number: Serial No.#: %!�� Business Name: .r, i.�ia�/ /r� Phone No.#: �'% %%�f r 14l Job Address:%�,' ��1,�. �''i.-�� ..�., �3-` Installed for.��L Reduced Pressure Assemblies Pressure Vacuum Breaker Double Check Assemblies Relief Valve Air inlet Check Valve 1st check 2nd check DC -Closed TighterAF Closed. Tight Opened at Opened at psid Test RP- psid psid psid Leaked ❑ Leaked ❑ Did not open ❑ Leaked ❑ Repairs and Material Used Test DC -Close Tight ;;Z ►" Closed Tight Opened at Opened at After Repair RP- psid psid psid psid The above is certified to be true. Firm Name:,�r�'i Certified Tester. 6 Address: ���iil�� Certified Tester No.: v - ty.^ Signature: ���� Date of Test: f The above signature indicates the backflow prevention test evaluation has been conducted as .required ui the water system survey reconfirming compliance with the Plumbing Code of the State of Texas, and other applicable Health and Safety Codes for the protection of the safe dunking water and its distribution system 09 5021-0718,ckllow Ta�tl,'2ir042303 City Of ALIT:' mNit'? Building / Inspection Dept. 114 W. Biggins, Humble, Texas 77338 (281) 446-3061 (281) 446-6228 Rick Martinez, Fax (281) 446.7902 Chief Building Official Backflow prevention Device 1 gt & Maintenance Report tilake of Product: n/72p: l 'f Size: Madel Number: d�a �� Serial No.#: Business Name Phone No.#: Job Address:%„� /%%i ev �i�✓Un� �j �� ~ Installed for:. Reduced Pressure Assemblies Pmsure Vacuum Breaker Double Check Assemblies Relief Valve Air Inlet Check Valve 1 st check 2nd check DC -Closed Tight' Closed Tight Opened at Opened at psid Test RP- psid psid psid Leaked �] Leaked ❑ Did notopen Leaked Repairs and Matenal Used Test DC -Close `fight Closed Tight Opened at Opened at After ✓© Repair RP- psid psid psid psid The above is certified to be true. Firm Name: Certified Tester: Tir��s���r� Address: '%/ Certified Tester No.: Signature: Date of Test: The above signature indicates the backtlow prevention test evaluation has been conducted as required to the water system survey reconfirming compliance with the Plumbing Code of the State of Texas, and other applicable Health and Safety Codes for the protect -ion of the safe drinking water and its distribution system. 09 5025T7/PacxrowTetitlRL'042303 A Y Of HUF11"-9Building/Inspection Dept. W. Biggins, IImlible, Texas 7133E (281) 446.6228 Tax (281) 446-19o2 Date of Request e 7 02o The Infozmatlon may or may not be available at the time requested o may not be available for public inspection. All request for records shall be in accordance with the T"Kas Open Records Act (TOE Person Requesting Firm or Company (if applicable): Address: l02 fib < r —S 5 7- `] 6 Description of Record(s) Being Requ Cost of Reproduction of Records: Wignof e ies4attire WN gPPr Val of AR—cec­ora—sM-a—mg—cr' , INSPECTION TYPE: P-GAS - PLUMBING GAS TEST Scheduled Time: Aug 08 2013 - 10:00 AM Contractor: Genuine Plumbing, 936 445 2953 Permit Number: 130767 Address: 19424 McKAY Blvd Location: Proposed Use: BUSINESS Special Instructions: 114Qr"C%-i I IVIN fCCJVL I . Issued Date: Aug 07 2013 Zoning District: DEFAULT Result:P)�-'55 �elnspection Needed: ❑ Relnspection Fee: --- Notes: 2 _ 1 — I '- ti PLUMBING PERMIT APPLICATION City of Humble Applicant to complete numbered spaces only /B� s LEGAL LOT NO BLK f DESCR BUILDING OWNER MAILADDRESS 2 NA E OF ESTABLISHMENT �9 �uv�I %/L(4f40r/ ZIP PHONE CONTRACTOR MAIL CDDRES, C�`\ u `� �� °vY"C �PHOt� TEXAS MASTER LICENSE NO l 7 9 ro ��� 3 Jur" r,,f,t e BUILDING CONTRACTOR 4 USE OF BUILDING 5 6 Class of work ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR 7 Describe Work -`' w' G NOTICE THIS PERMIT BECOMES NULL AND VOID AFTER 6 MONTHS OF CONSTRUCTION INACTIVITY I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNINGTHIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRE- SUMETO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO- VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION IF APPLYING FOR HOMEOWNER PLUMBING PERMIT, STATE LAW REQUIRES PROOF OF HOMEOWNER EXEMPTION FROM THE HARRIS COUNTY APPRAISAL DISTRICT j� % �� / �� No Type of Fixture or Item WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN} SHOWER KITCHEN SINK & DISP DISHWASHER LAUNDRYTRAY CLOTHES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR -SINK OR DRAIN SLOP SINK GAS SYSTEMS TEST ONLY WATER PIPING &TREATING EQUIP WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM SEWER MOBILE HOME CONNECTION (WATER, SEWER, GAS) SIGNATURE OF STATE OF TEXAS MASTER PLUMBER (DATE) COST OF INSTALLATION 50D . BUILDING CONSTRUCTION COST $ SIGNATURE OF OWNER (IF HOMEOWNER) (DATE) i. i PERMIT FEE $ ^ N �"Y ) BLDG PERMIT# DATE ISSUED PLMB PERMIT # DATE ISSUED 0 IN z 09-5250.07 City of Humble " Building Permit 114 W Higgins Humble. Texas 77338 PLUMBING PLUMBING PERMIT (281)446-3061 Phone 30767 None LOCATION 19424 McKAY Blvd Humble, TX 77338 (281)446-7902 Fax ---- 08/07/2013 S 30.00 $500.00 Brandy OVMER Park Manor Of Humble Nursing Home HUMBLE TX 77338 PN SUBDMSION' LOT# PROPERTYSIZE Sq. Ft. CONTRACTOR Genuine Plumbing 936 445 2953 17990 Deer Way Conroe TX 77303 LICENSENO. SELECTED .-. DESCRIPTIONCFI..IORK I DIMENSIONS GAS TEST ONLY NO.OFFLOORS TOTAL FLOOR AREA OFNEWCONST. Sq. Ft OCCUPANCYTYPF ACCESSORYSTRUCTURES Sq. Ft REFORTCCDE NONENONE SINGLE FAMILY ONLY NO.OFBATHROOMS NO.OFBEDROOMS I i TOTALROOMS This permit becomes null and void if work or construction authorized is not commenced within 6 months, or if construction or work is suspended or abandoned for a period of 6 months at any time after work is started. All work must comply with the locally adopted Plumbing Code in use. All provisions of and ordinances governing this type of work will be complied with whether specified herein or not. Issuing Officer / Permit Clerk Signature of Applicant :d- Clinton Johnson . CITY OF HUMBLE Fire Marshal Building Official, 281-446-4928 PERMANENT RECORD OF INSPECTION 2g1446-622& FAX 281-446-3960 ADDRESS k /LC'7 DATE NAME OF BUSINESS i0Ai fi--6 .,Z_ TYPE OF OCCUPANCY TYPE OF INSPECTION INSPECTOR /L_ 1-64 ,'�14 BUSINESS PHONE EMERGENCY PHONE FIRE PREVENTION INSPECTION ONLY THE HUMBLE FIRE PREVENTION BUREAU HAS CONDUCTED A FIREAND LIFE SAFETY INSPECTION OF YOUR PROPERTY THE CONDUCTION OFTHIS INSPECTION AND CORRECTIONS OF ANY UNSAFE CONDITIONS WILL IMPROVE THE FIRE DEPARTMENTS ABILITY TO SAVE LIVES AND TO ATTACK AND EXTINGUISH ANY FIRE THAT MAY OCCUR IN THE BUILDING QUICKLY AND EFFICIENTLY DURING THIS INSPECTION, CONDITIONS AFFECTING BUILDING SAFETY ACCORDING TO CODES ADOPTED BY THE CITY OF HUMBLE WERE NOTED IT IS REQUIRED THATTHE ITEMS LISTED BELOW BE CORRECTED IN THE SPECIFIED TIME REFERRED TO IN THE NOTICE PORTION OFTHIS DOCUMENT WET DRY FIRE PUMP SPRINKLER TYPE DATE INSPECTED I - SI DATE INSPECTED TANDPIPE TYPE ALARM DATE INSPECTED_TVENT HOOD DATE INSPECTED FIRE EXTINGUISHER DATE INSPECTED INSPECTION COMPANY�Li��1G EMERGENCY LIGHTING -6KK ❑ IF NOT EXPLAINED NOTICE FINAL NOTICE YOUR ATTENTION IS RESPECTFULLY CALLED TO THE VIOLATIONS ABOVE OF THE CODE OF ORDINANCES OF THE CITY OF HUMBLE, TEXAS, ON THE PREMISES LOCATED AT HUMBLE, TEXAS, AS INDICATED ABOVE FAILURE ON YOUR PART TO COMPLY WITH THIS NOTICE BEFORE THE DAY OF 20 , WILL SUBJECT YOU TO THE PENALTIES AS PRESCRIBED BY THE ABOVE SAID ORDINANCE OF LAW PERMITS ARE REQUIRED TO BEGIN MOST TYPES OF WORK, ON PREMISES, WHICH ALTER EXISTING CONDITIONS FOR INFORMATION REGARDING PERMITTING OR INSPECTIONS, PLEASE CONTACT THE CITY OF HUMBLE BUILDING DEPARTMENT AT 281-446-3061 PRIOR TO COMMENCING WORK APPLICANT (MAY) (MAY NOT) OCCUPY THE BUILDING PRIOR TO COMPLETION OF CONDITIONS MENTIONED ABOVE, ITEMS NUMBER / NUMBERS WHICH MUST BE CORRECTED PRIOR TO OCCUPANCY FAILURE TO COMPLY WITH T ITY OF HUMBLE CO OF ORDINANCE COULD RESULT IN FINES OF UP TO S220,00 PER VIOLATION RECEIVED B '� DATE OFFICER ,! / �^ DATE 2.4475.08 D/09.5250- /30/OG To reorder please call Championship Printing 281.446.7380 INSPECTION TYPE: P-GAS - PLUMBING GAS TEST Scheduled Time: Aug 29 2012 - 10:00 AM Contractor: Gen uinePlumbing, 9364452953 Permit Number. 120827 Address: 19424 Mc Kay Dr Location: Proposed Use: PARK MANOR Special Instructions: 832.731.0669 INSPECTION RESULT: Issued Date: Aug 272012 Zoning District: DEFAULT Result: "-�elnspection Needed: Re]nspection Fee: Notes: PLUMBING PERMIT APPLICATION "� City of Applicant to complete numbered spaces only Humble am m 0 a o < D O IN JOB ADDRESS NAME OF E 11LISHMENT 14 M LEGAL 1 DESCft T NO r BLK TRACK _m/ I Ll SEE ATTACHED SHEET) BUILDING OWNER MAIL ADDRESS ZIP PHONE 2 - CONTRACTOR MAIL ADDRESS % 3 J�"t PHONE TEXAS MASTER LICENSE NO BUILDING CONTRACTOR 4 ` USE OF BUILDING 5 6 Class of work Q NEW Q ADDITION ❑ ALTERATION O-REPAIR 7 Describe Work �AIM, It u 7 i NOTICE No Type of Fixture or Item WATER CLOSET (TOILET) BATHTUB THIS PERMIT BECOMES NULL AND VOID AFTER 6 MONTHS OF CONSTRUCTION INACTIVITY LAVATORY(WASHBASIN) SHOWER KITCHEN SINK & DISP I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- DISHWASHER PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT LAUNDRYTRAY ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS CLOTHES WASHER TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WATER HEATER HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRE- URINAL SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- DRINKING FOUNTAIN VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING FLOOR -SINK OR DRAIN CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION SLOP SINK IF APPLYING FOR HOMEOWNER PLUMBING PERMIT, STATE LAW GAS SYSTEMS TEST ONLY WATER PIPING &TREATING EQUIP REQUIRES PROOF OF HOMEOWNER EXEMPTION FROM THE WASTE INTERCEPTOR HARRIS COUNTY APPRAISAL DISTRICT VACUUM BREAKERS LAWN SPRINKLER SYSTEM J SEWER MOBILE HOME CONNECTION (WATER. SEWER. GAS) SIGNATURE OF STATE OF TEXAS MASTER PLUMBER (DATE) COST OF INSTALLATION $ BUILDING CONSTRUCTION COST $ SIGNATURE OF OWNER (IF HOMEOWNER) (DATE) PERMIT FEE BLDG PERMIT# DATE ISSUED PLMB PERMIT# 1�-- DATE ISSUED —1 t 09 5250 O: Building Permit PLUMBING PLUMBING PERMIT • r: - 20827 None 08/27/2012 S 30.00 rioN 19424 Mc Kay Dr Humble. TX 77338 R Park Manor Of Humble Nursing Home HUMBLE TX 77338 DESCRIPTION w1':O2K GAS TEST OCCUPANCYTYPE City of Humble 114 W Higgins Humble. Texas 77338 (281)446-3061 Phone (281) 446-7902 Fax $ 500.00 KRISTEN PIN SUBONISION LOT# PROPERTYSIZE CONTRACTOR Genuine Plumbing 936 445 2953 17990 Deer Way Conroe TX 77303 LICENSENO. I DT11EtiSi0NS Sq. Ft NO. OF FLOORS TOTAL FLOOR AREA OFNEWCONST. Sq. Ft. ACCESSORYSTRUCTURES Sq. Ft. REPORTCODE NONENONE SINGLE FAMILYONLY NO.OF BATHROON4S NO.OF BEDROOMS TOTALROOMS I This permit becomes null and void if work or construction authorized is not commenced within 6 months, or if construction or work is suspended or abandoned for a period of 6 months at anytime after work is started. All work must comply with the locally adopted Plumbing Code in use. All provisions of and ordinances governing this type of work will be complied with whether specified herein or not. Issuing Officer / Permit Clerk Signature of Applicant Date i BPO-2004036541 Clinton Johnson Fire Marshal 281.446-4928 FAX 281-446-3960 CITY OF HUMBLE Rick Martinez PERMANENT RECORD OF INSPECTION Building281-44 -622Offical 281-446-6228 ADDRESS 19 42-4 KI C� DATE ?/tZ— NAME OF BUSINESS A-vL ik�-a 42— -- TYPE OF OCCUPANCY (Z— TYPE OF INSPECTION INSPECTOR A-4k— BUSINESS PHONE EMERGENCY PHONE FIRE PREVENTION INSPECTION ONLY THE HUMBLE FIRE PREVENTION BUREAU HAS CONDUCTEDA FIRE AND LIFE SAFETY INSPECTION OF YOUR PROPERTY THE CONDUCTION OFTHIS INSPECTION AND CORRECTIONS OF ANY UNSAFE CONDITIONS WILL IMPROVE THE FIRE DEPARTMENTS ABILITY TO SAVE LIVES AND TO ATTACK AND EXTINGUISH ANY FIRE THAT MAY OCCUR IN THE BUILDING QUICKLY AND EFFICIENTLY DURING THIS INSPECTION, CONDITIONS AFFECTING BUILDING SAFETY ACCORDING TO CODES ADOPTED BY THE CITY OF HUMBLE WERE NOTED IT IS REQUIRED THAT THE ITEMS LISTED BELOW BE CORRECTED IN THE SPECIFIED TIME REFERRED TO IN THE NOTICE PORTION OF THIS DOCUMENT WET DRY FIRE PUMP SPRINKLER TYPE [ ❑ ❑ DATE INSPECTED I 2 STANDPIPE TYPE DATE INSPECTED ALARM DATE INSPECTED ��1�� C VENT HOOD DATE INSPECTED FIRE EXTINGUISHER DATE INSPECTED 0 V INSPECTION COMPANY D A ji EMERGENCY LIGHTING E O K ❑ IF NOT EXPLAINED 't NOTICE FINAL NOTICE YOUR ATTENTION IS RESPECTFULLY CALLED TO THE VIOLATIONS ABOVE OF THE CODE OF ORDINANCES OF THE CITY OF HUMBLE, TEXAS, ON THE PREMISES LOCATED AT HUMBLE, TEXAS, AS INDICATED ABOVE FAILURE ON YOUR PART TO COMPLY WITH THIS NOTICE BEFORE THE DAY OF 20 WILL SUBJECT YOU TO THE PENALTIES AS PRESCRIBED BY THE ABOVE SAID ORDINANCE OF LAW PERMITS ARE REQUIRED TO BEGIN MOST TYPES OF WORK, ON PREMISES, WHICH ALTER EXISTING CONDITIONS FOR INFORMATION REGARDING PERMITTING OR INSPECTIONS, PLEASE CONTACT THE CITY OF HUMBLE BUILDING DEPARTMENTAT 281-446-3061 PRIOR TO COMMENCING WORK APPLICANT (MAY) (MAY NOT) OCCUPY THE BUILDING PRIOR TO COMPLETION OF CONDITIONS MENTIONED ABOVE, ITEMS NUMBER I NUMBERS WHICH MUST BE CORRECTED PRIOR TO OCCUPANCY FAILURE TO COMPLY WITH THE CI Y OF HUMBLE CODE OF RDINANCE COULD RESULT IN FINES OF UP TO $220 00 PER VIOLATION /IO✓l � DATE 2 r'Z RECEIVED BY �-- f OFFICER i u DATE �'� Z-- 2-4475-09 D/09-5250 01/30/06 To reorder please call ChampmnshiD PrmUng 281 446 7380 _-=-05;12:5aP�4; ;28144e7902 # "/ Nl lake of Product. Model Number: City of Humble Building / Inspection Dept 114 W. Fliggins, Humble, Texas 77338 (281) 446-3061 (281) 446-6228 Rick Martinez, Fax (281) 346-7902 CbidBuilding pfieial Backflow Prevention Device Test & Maintenance Report �r ltii L _ Size: Serial No.4: Business Name: y < K t� �4 • Phone 6 G Job Address: 5 J.2 C kb'4 Installed for: Rednced Pressure Assemblies Pressure Vacuum Bremer Double CheckAssernblies Relief Valve Air Inlet , Check Valve l st check 2nd check I DC -Closed Tight Closed Tigi3t Opened at Opened at psid Test RP- psid C� psid psid le leased Leaked ❑ Did not open jam' beaked Repairs and Material Used Test DC -Close Tight Closed Tight Opened at Opened at 6 TPT Repaur R0- p53d I psld I psid The above is certified to be tr c. ALLIED FIRE PROTECTION, LP ; . Firm Name: _ P.Q. 9z2942 Certified Tester:1l, l t = Ye C' Pearland, TX 77588 Address: Certified Tester No.: REENE- Si-cmature: �,i �''= — _ --- Date of Test: The above signature indicates the back -low prevention test evaluation has been conducted as required in the water system survey reconfi>=g compliance with the Plumbing Code of the State of Texas, and other applicable Health and Safety Codes for the protection of the safe drinking water and its distribution system. 69_J'5-;)7�3ack5cw :'sVP.`.'3,^3D3 20 1 44e7902 s, 1 ! 11 CRY Of ,C.l umble Building / Inspection Dept. 114 W. Higgins, Humble, Texas 77338 (281) 446-3061 (281) 446-6228 Rick Martinez, Fax (281) 446-7902 chitrBuildiagofficial �e°�115- BackTest & Maintenance Report \Ialce of Product: _ _ Size: Model Number: � c,;c: �� �- Serial NoJ.: G i Business Name: Phone No. r: fCis C� 7ob Address: 1 `l UZ-( t�ic kc� Installed for: Reduced Pressure Assemblies Pressure Vacuum Breaker 1 Double Check Assemblies Relief Valve Air Inlet Check Valve I st check 2nd check DC -Closed Tight Closs qd TiU t Opened at Opened at psi "rest_ psid psid psid -� ❑ Leaked ❑ Did not open ❑ Leaked ❑ Leaked Re-pMrs and Material_ Used st Fr DC -Close Tight Closed Tight Opened at Opened at ,, Repair R.P- psid psid psid psid The above is cerafied to be trme. ALLIED FIRE PRO T EGTI N, LP j I Firm Name: Certified Tester: W' '11 1 U, Vr, I "' t" vie w Pearland, TX 77588 .� Address: Certified Tester No -7_�Signature: �,t�.-- �^, -% — Date of Test: � � - - --- The above signature indicates the backflow prevention test evaluation has been conducted as rewired in the water system. survey recoafuming compliance with the Plumbing Code of the State of Texas, and other applicable Health and Safety. Codes for the protection of the safe drinking water and its distribution system. o3.sins-ras craw TtsV?Z1W-303 Humble 108 W Main Humble, TX 77338 No Violation Notice Thursday December 15, 2011 PARK MANOR OF HUI-SLE 19424 MCKAY DR Humble, TX 77338 Fs_ inspection of your facility on Monday December 5, 2011 revealed no violations to the Fire Code of the City of Humble. Thank you for your cooperation. b(- - Nykaza, James Braan/Deputy Fire Marshal Inspector 12/15/2011 13:11 Page 1 INSPECTION TYPE: P-GAS - PLUMBING GAS TEST Scheduled Time: Aug 312011 -10:00 AM Contractor: Gen uinePlumbing, 9364452953 Permit Number:110998 Address: 19424 Mc Kay Dr Location: Issued Date: Aug 30 2011 Zoning District: DEFAULT Proposed Use: HOSPITAL � / eA, Special Instructions: /V Glenn 832.731.0669 INSPECTION _RESULT: FResult: S N otes: Relnspection Needed: ❑ Relnspection Fee: ---�/-/1 -11N .� PLUMBING PERMIT APPLICATION City of Humble Applicant to complete numbered spaces only JOB ADDRESS tj LEGAL jLOT NO BLK 1 DESCR BUILDING OWNER MAILADDRESS 2 CONTRACTOR MAIL ADDRESS BUILDING CONTRACTOR 4 NAME OF ESTABLISHMENT � 'r(V/1 111t'h4(dv /7Krh ZIP PHONE PHONE TE 7yr� 4- rx USE OF BUILDING 5 6 Class of work ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR 7 Describe Workvu4 Y j / NOTICE THIS PERMIT BECOMES NULL AND VOID AFTER 6 MONTHS OF CONSTRUCTION INACTIVITY I HEREBY CERTIFYTHAT I HAVE READ AND EXAMINEDTHIS AP- PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNINGTHIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRE- SUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO- VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION IF APPLYING FOR HOMEOWNER PLUMBING PERMIT, STATE LAW REQUIRES PROOF OF HOMEOWNER EXEMPTION FROM THE HARRIS COUNTY APPRAISAL DISTRICT r= L1,3 a // SIGNATURE OF STATE OF TEXAS MASTER PLUMBER (DATE) SIGNATURE OF OWNER (IF HOMEOWNER) (DATE) No Type of Fixture or Item WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP DISHWASHER LAUNDRYTRAY CLOTHES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR -SINK OR DRAIN SLOP SINK GAS SYSTEMS TEST ONLY WATER PIPING &TREATING EQUIP WASTEINTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM SEWER MOBILE HOME CONNECTION (WATER, SEWER, GAS) COST OF INSTALLATION $ D v BUILDING CONSTRUCTION COST PERMIT FEE I CYI-1 BLDG PERMIT# DATE ISSUED PLMB PERMIT # DATE ISSUED 09-5250-07 City of Humble •°` �•.` Building Permit 114 W Higgins }+ Humble, Texas 77338 PLUMBING PLUMBING PERMIT (281)446-3061 Phone (281) 446-7902 Fax �11-0-9 98 ;None 08/30/2011 $30.00 500.00 Counter LO^ATiON 19424 Mc Kay Dr PIN Humble, TX 77338 C rk Manor Of Humble Nursing Home iMBLE TX 77338 L_ -- - DESCRPTIONOFWCRK GAS TEST ONLY OCCUPANCYTYPE REPCRICODE NONENONE ..JBDIVISICN LOT# PROPERTYSIZ_E Sq. Ft. CONTRACTOR Genuine Plumbing 1 936 445 2953 17990 Deer Way Conroe TX 77303 LICENSENO. I NO. CF FLOORS TOTA.L.FI,OORAREACFNEWCONST- Sq, R. ACCESSORYSTRUCTURES Sq Ft SINGLE FAMILY ONLY I NO.OF BATHROOf0S I NO OF6EDROOf,AS TOTALROOMS This permit becomes null and void if work or construction authorized is not commenced within 6 months, or if construction or work is suspended or abandoned for a period of 6 months at any time after, work is started. All work must comply with the locally adopted Plumbing Code in use. All provisions of and ordinances governing this type of work will be complied with whether specified herein or not. Issuing Officer/ Permit Clerk Signature of Applicant Cute f? Clinton Johnson CITY OF HUMBLE Fire Marshal Rick Martinez 281-446-4928 PERMANENT RECORD OF INSPECTION Building Official FAX 281-446-3960 281-446-6228 ADDRESS 19q DATE 3' NAME OF BUSINESS Plr1z� TYPE OF OCCUPANCY S TYPE OF INSPECTION INSPECTOR BUSINESS PHONE EMERGENCY PHONE FIRE PREVENTION INSPECTION ONLY THE HUMBLE FIRE PREVENTION BUREAU HAS CONDUCTED A FIRE AND LIFE SAFETY INSPECTION OF YOUR PROPERTY THE CONDUCTION OFTHIS INSPECTION AND CORRECTIONS OF ANY UNSAFE CONDITIONS WILL IMPROVE THE FIRE DEPARTMENTS ABILITY TO SAVE LIVES AND TO ATTACK AND EXTINGUISH ANY FIRE THAT MAY OCCUR IN THE BUILDING QUICKLY AND EFFICIENTLY DURING THIS INSPECTION, CONDITIONS AFFECTING BUILDING SAFETY ACCORDING TO CODES ADOPTED BYTHE CITY OF HUMBLE WERE NOTED IT IS REQUIRED THATTHE ITEMS LISTED BELOW BE CORRECTED IN THE SPECIFIED TIME REFERRED TO IN THE NOTICE PORTION OF THIS DOCUMENT WE DRY FIRE PUMP ' SPRINKLER TYPE El El DATE INSPECTED 3 STANDPIPE TYPE n 1 n ❑ DATE INSPECTED ALARM DATE INSPECTED Z I VENT HOOD DATE INSPECTED 31 { `r FIRE EXTINGUISHER DATE INSPECTED INSPECTION COMPANY 19 I EMERGENCY LIGHTING Q O K ❑ IF NOT EXPLAINED NOTICE FINAL NOTICE YOUR ATTENTION IS RESPECTFULLY CALLED TO THE VIOLATIONS ABOVE OF THE CODE OF ORDINANCES OF THE CITY OF HUMBLE, TEXAS, ON THE_PREMISES LOCATED AT HUMBLE, TEXAS, AS INDICATED ABOVE FAILURE ON YOUR PART TO COMPLY WITH THIS NOTICE BEFORE THE DAY OF 20 , WILL SUBJECT ` YOU TO THE PENALTIES AS PRESCRIBED BY THE ABOVE SAID ORDINANCE OF LAW PERMITS ARE REQUIRED TO BEGIN MOST TYPES OF WORK, ON PREMISES, WHICH ALTER EXISTING CONDITIONS FOR INFORMATION REGARDING PERMITTING OR INSPECTIONS, PLEASE CONTACT THE CITY OF HUMBLE BUILDING DEPARTMENT AT 281-446-3061 PRIOR TO COMMENCING WORK APPLICANT (MAY) (MAY NOT) OCCUPY THE BUILDING PRIOR TO COMPLETION OF CONDITIONS MENTIONED ABOVE, ITEMS NUMBER / NUMBERS WHICH MUST BE CORRECTED PRIOR TO OCCUPANCY FAILURE TO COMPLY WI E CITY OF%H ' E CODE OF ORDINANCE COULD RESULT IN FINES OF UP TO $220 00 PER VIOLATION RECEIVED B ���1�4 '_ DATE OFFICER DATE 0 I 2.4475-08 D/09.5250-0113010E C 7o reorder please call championship Printing 281 446 7380 City of, Humble August 30, 2010 Building / Inspection Dept. 114 W. Higgins, Humble, Texas 77338 (281) 4I6-6228 Rick Martinez, Fax(281) 446-7902 Chief Buildinh Official To Whom It May Concern: Re: Zoning —19424 McKay Drive Humble, Texas 77338 As of April 10.. 2008, The City of Humble has adopted new rules for development in residential areas regarding new construction and conversion of use of residential structures to non- residential uses amending Chapter 12, Buildings and Building Regulations of its code of ordinances by adopting a new Article VIII, Neighborhood Development. Commercial businesses of the same occupancy classification type which meet code and ordinance, with the exception of Group H- Hazardous, can be placed within the exact area of the same occupancy classification with the property owners" permission. If you have any questions or comments concerning this, please telephone me at 281-446-6228. Respectfully, �! randy `WaC�� Permit /Inspection {Department Admirtistra tine Assistant City ofJTum6Ce 114 TV. griggins 7ium6fe, Texas 77338 281.446.6228 cc: File 09.5225.01/Zoning File/BW102272006 Clinton Johnson CITY OF HL'N'IBLE aw Fire Marshal Rick Martinez 281-446-4928 PERMANENT RECORD OF INSPECTION Building Official FAX 281-44c 3960 281-446-6228 ADDRESS CY 74"'Z `141�111 DATE NAME OF BUSINESS TYPE OF OCCUPANCY TYPE OF INSPECTION t-� INSPECTOR /�- BUSINESS PHONE EMERGENCY PHONE FIRE PREVENTION INSPECTION ONLY THE HUMBLE FIRE PREVENTION BUREAU HAS CONDUCTED FIRE AND LIFE SAFETY INSPECTION OF YOUR PROPERTY. THE CONDUCTION OFTHIS INSPECTION AND CORRECTIONS OFANY UNSAFE CONDITIONS WILL IMPROVE THE FIRE DEPARTMENTS ABILITY TO SAVE LIVES AND TO .ATTACK AND EXTINGUISH .ANY FIRE THAT MAY OCCUR IN THE SCALDING QUICKLY AND EFFICIENTLY. DURING THIS INSPECTION, CONDITIONS AFFECTING BUILDING SAFETY ACCORDING TO CODES ADOPTED BY THE CITY OF HUMBLE WERE NOTED. IT IS REQUIRED THATTHE ITEMS LISTED BELOW BE CORRECTED IN THE SPECIFIED TIME REFERRED TO IN THE NOTICE PORTION OF THIS DOCUMENT - WET DRY FIRE PUMP SPRINKLER TYPE DATE INSPECTED STANDPIPE TYPE ❑�-----j-- DATE INSPECTED ALARM DATE INSPECTED � $ 1� VENT HOOD DATE INSPECTED_ FIRE EXTINGUISHER DATE INSPECTED 0' INSPECTION COMPANY EMERGENCY LIGHTING K. ❑ IF NOT EXPLAINED: f f / NOTICE: FINAL NOTICE: YOUR ATTENTION IS RESPECTFULLY CALLED TO THE VIOLATIONS ABOVE OF THE CODE OF ORDINANCES OF THE CITY OF HUMBLE, TEXAS, ON THE PREMISES LOCATED AT HUMBLE, TEXAS, AS INDICATED ABOVE. FAILURE ON YOUR PART TO COMPLY WITH THIS NOTICE BEFORE THE DAY OF 20 , WILL SUBJECT YOU TO THE PENALTIES AS PRESCRIBED BY THE ABOVE SAID ORDINANCE OF LAW. PERMITS ARE REQUIRED TO BEGIN MOST TYPES OF WORK, ON PREMISES, WHICH ALTER EXISTING CONDITIONS. FOR INFORMATION REGARDING PERMITTING OR INSPECTIONS, PLEASE CONTACT THE CITY OF HUMBLE BUILDING DEPARTMENT AT 281-U6-3061 PRIOR TO COMMENCING WORK APPLICANT (MAY) (MAY NOT) OCCUPY THE BUILDING PRIOR TO COMPLETION OF CONDITIONS MENTIONED ABOVE, ITEMS NUMBER / NUMBERS WHICH MUST BE CORRECTED PRIOR TO OCCUPANCY: FAILURE TO COMPLY WIT THE CITY OF HU E CODE OF ORDINANCE COULD RESULT IN FINES OF UP TO SS2220.00 PER VIOLATION. RECEIL'ED BY DATE OFFICE // DATE f11?1 2-.4.175-08 To reorder please call Championship Printing 281-446-7380 ,....< �, � , ,. ,,. ,.y ­. , y CORPORATE r-rF_74_DQ 1A,RTERc 4120 Cox RoA!) GLEN ALLEN, VIRGINIA 23060 TEL: (804) 358-2020 FAx: (804) 35&3003 TO: Building Official Cow. wr. City of Humble FAX: 281-446-7043 PHONE: 281-446-6228 FROM: Lucy Scarberry CC: Cover -r PAGES: i DATE: August 17, 2009 RE: Please fill out following form to best of your ability and return. Please also fill out zoning letter if possible or advise on correct department. Thank you. 0 URGENT OFOR REVIEW ❑ PLEASE COMMENT 121 PLEASE REPLY ❑ PLEASE RECYCLE Dominion Due C`iligence Group respect`=_illy requests, on behalf of Love Funding Corporation _the following form filled out to the best of your ability. If the information is not applicable, please issue a letter stating the county's building inspection policy. this information is required for the HUD re -financing report for the toilowing properties Park Manor of Humble �, TX Please see following form for information needed. Please fill out or send 1. Any records of open building code violations 2. Most recent inspection report (if applicable), any open permits and a copy of the final Certificate of Occupancy (if available). Please fax to 757-257-0291 before mailing to our corporate headquarters. Please respond in a timely manner as we are on a strict deadline. Thank you for your help. If you have any questions or comments, please do not hesitate to contact me. Lucy Scarberry Research Assistant 804-358-2020 (p) 804-237-1899 (direct line;) Building, Code Coitnpiiap_ee Letter r . From Name, Title City Department: �( Re Projectllame Fall ManorofHumble Address 19424 McKay Drive City, State Humble, TX Attn Dominion Due Diligence Group, It is our understanding that the above -referenced applicant has applied for financing on this property To meet the financing requirements of the loan program, information is needed on any building inspections that may have been performed on the above property Please note the following information, as applicable (Choose what applies) .f V To the best of our hziowledee, the property is free of any applicable code violations The property was last inspected on (/ and a copy of the most recent building inspection report is attached Previous inspection(s) revealed code violations yet to be rectified (List attached) In accordance with this office's policy, no builduig inspections have been performed Our city's policy regarding inspections is as follows Local Building Code Enforced /+ Building Code Enforced attune of Construction.C. G� Are any permits available for former or current underground storage tanks9 Yes If -yes, please -attach a copy of the permit and any additional information that is available No Are any ertificates of Occupancy orl'inal Inspection Reports available or issued ", If so please include \o Reason - If yob hai�e any questions, please contact us /� Printed blame, Title, Date w ZONUTG CONIPLLANCE ILIETTER May 5, 2W-) From Name- Rick Martinez Title Chief Building Official City Department Building Department Re Property Address CitS,, State Parcel ID4 ?ark Manor of Humbia 19124 McKay Drwe Humble, 7X To Dominion Due Diligence Group- Itis our understanding tbatthe above -referenced applicant has applied for financing on this property To meet the financing requirements of the loan program, infortnation, regarding the property's compliance with local zoning ordinances is necessary. Please note the followimg (choose what applies) a hisproperty-iszonedas: The property meets all of the current zonmg requirements and is in compliance, and can be completely rebuilt as is if destroyed The property represents a legal non-confornung use under current zoning or us rcAsttrictions, and can be completely rebuilt as -is if destroyed. T i �V roperty does not comply xvith the currentzoning requirements or restrictions for the following reasons I Thi s property is pending a change of zoning :f so please elaborate ,r Printed e, tit , Date Enclosed, Zoning Map and Zontng Ordinance applicable to the site Transmission Report Date/Time 10-06-2009 03 03 23 p m Transmit Header Text Local ID 1 261 4467902 Local Name 1 CITY OF HUMBLE Local ID 2 Local Name 2 This document Confirmed (reduced sample and details below) Document size 8 5"x11 " 1 1 City of H.?Xblr 114 Wray Higgmr Hmabk, Tc=77338 r281) 446 -3061 Fax. (281) 446-7902 To Lucy Scarbery Fax N10 757-257-9291 Re Park Maw Humble Dam 10/6/09 Pages $. Including Tho Cora Sbcct Rm it ihe informagan flint m eqcd fnr P3rk h any of Humble.k f ym L+ecd addibonal Om"ion. Fnxn the tyck nr _ Cb,"l smub rncn i lftfam prat Coy of H.W-%k I I e wm tGfi k 110*T—ntj3 rap<+s6zzsxWlS Total Pages Scanned 5 Total Pages Confirmed 5 No I Job I Remote Station Start Time ; Duration Pages I Line IMode lJobType I Results 001 677 1-757-257-0291 03 00 56 p m 10-06-2009 100 01 56 515 1 EC HS N14400 Abbreviations HS Host send PL Polled local MP Mailbox print TU Terminated by user HR Host receive PR Polled remote CP Completed TS Terminated by system G3 Group 3 WS Waiting send MS Mailbox save FA Fail RP Report EC Error Correct City of Humble 114 West Higgins Humble, Te cas 77338 (281) 446 -3061 Fax: (281) 446-7902 To: Lucy Scarberry Fax No: 757-257-0291 Re Park Manor Humble Date- 10/6/09 Pages:5, Including This Cover Sheet Here is the information that you requested for Park Manor of Humble, please let me know if you need additional information. From the Desk of Cheryl Smith Permit / Inspection Dept City of Humble 114 Nest Higgins Humble, Texas 77338 (281) 446-6228 x3405 CORPORA TEE HE DQU.4RTEH_F -" 4120 Cox Ro.AD GLEN ALLEN. VIRGINIA 23060 ' DOMINION tir (GN fi TEL: (804) 35&2020 FAX (804) 35&3003 D: ,. FAX TO: Building Official FROM: Lucy Scarberry C *APAw- City of Humble CC: FAX: 281-446-7843 PAGES: Cover + 2 PHONE: 281-446-6228 DATE: August 17, 2009 RE: Please fill out following form to best of your ability and return_ Please also fill out zoning letter if possible or advise on correct department. Thank you ❑ URGENT 2FOR REVIEW ❑ PLEASE COMMENT I7 PLEASE REPLY 13 PLEASE RECYCLE Domir-Hon Due Diligence Group respectfully requests, on behalf of Love Funding Corporation the following form filled out to the best of your ability. If the information is not applicable, please issue a letter stating the county's building inspection policy. This information is required for the HUD re -financing report for the following properties Park Manor of Humble 19424 McKay Drive Humble TX Please see following form for information needed. Please fill out or send 1. Any records of open building code violations 2. Most recent inspection report (if applicable), any open permits and a copy of the final Certificate of Occupancy (if available Please fax to 757-257-0291 before mailing to our corporate headquarters Please respond in a timely manner as we are on a strict deadline Thank you for your help. If you have any questions or comments, please do not hesitate to contact me Lucy Scarberry Researci Assistant 804-358-2020 (p) 804-237-1899 (direct line) v�.a�uQliy Building Code Compliap_ee Letter From \ame. Title . City Department: I !j Re Project Fame I'ar�Mano' O' Hu[ U1e Address 19424 McKay Drive Cib", State Humble, TX _ Attu Dominion Due Diligence Group, It is our understanding that the above -referenced applicant has applied for financing on this property To meet the financing requirements of the loan program, information is needed on any building inspections that may have been performed on the above property Please note the following information, as applicable (Choose what applies) V To the best of our luiowledge, the property is free of any applicable code violations The property was last inspected on ['�_ and a copy of the most recent building inspection report is attached Previous inspections) revealed code violations yet to be rectified (List attached) In accordance with this office's policy, no building inspections have been performed vur city's policy regarding inspections is as follows Local Building Lude Enlorc,ed �� �( _�._ ---- 13uildmg Lode Enforced at time of Construction "L' V _ Are any permits available for former or current underground storage tanks" Yes if yes, please attach a copy of the permit and any additional information that is available T\ 0 Are any ertificates of occupancy or binal Inspection Reports available or issued Yes if so please include No Reason If you have any questions, please contact us r Sinc ereIV. /� Printed game, Title, Date / / ZO\ IN G CONIPLIA\ CE LETTER Nlay 5, 2W) From Name Rick Martinez Title Chief Building Official City Department Building Department Re Property Address City, State Parcel IDn Park klanor of Humb:e 19424 NcKay Dive Humble, TX To Dominion Due Diligence Group - It is our understanding that the above-referencedappheant has applied for -financing on this property To meet the financing requirements of the loan program, information regarding the property's compliance with local zolung ordinances is necessary Please note the following (choose what applteo �j Ihispropertyiszonedas: & Lwitic 1�� �"I/1/ hl// k. 7ej The property meets all of the current zoning requirements and is in compliance, and can be completely rebuilt as is if destroyed. The property represents a legal non -conforming use under current zoning or restrictions, and can be completely rebuilt as -is if destroyed �r GJ �T e p lroperty does not comply with the current zorung requirements or restrictions for the following reasons �nn j tl This property is pending a change of zoning If so please elaborate Enclosed Zoning Map and Zoning Ordinance applicable to die site C�txttft. 1-rate of Mrruyanrij C11it-'a of �iumhle epaxtmeut of Butlbiug Puspeetion This Certificate issued pursuant to the requirements of the Southern Standard Building Code certifying that at the time of issuance this structure was in. compliance with the various ordinances of the City of Humble regulating building construction or use. For the following: Use Classification kiURSING HOME Bldg. Permit No 0300097 Group I-1 Type Construction IV B UNP Fire Owner of Building PARK MMOR OF HUMBLE Address EMOME, TEXAS Builds Address 19424 MCM DRIVE Locality HUMBLE, TEXAS By -- Date. Bu�ldmg Offs is RICK AiAB P057 IN A CONSPICUOUS PLACE PARK R"OR OF HUMLE 09.5250.05 A CC1ert-1fT-ratr Ulf (Orruvan-ru itu of -humble Departnunt oft uilbing ^Jnspertion This Certificate issued pursuant to the requirements of the Southern Standard Building Code certifying that at the tnrze of issuance this structure -was in compliance with the various ordinances of the City of Humble regulating building construction or use. For the following: Use Classification hi?RSING ROME Bldg. Permit No._ 030009? Group I—Z Tvpe Construction IV 9 UNP Fire District L Owner of Building PARK M HOR OF HUMBLE Address H{RSHLE, T>c3(IIS Buildtn�Address 14424 MCKAT DRIVE Locality HIMLE, TEXAS /v i Dater Budding;ff(fii.�� �CK �is. /L V POST +*. A CONSPICUOUS PLACE PARK ."MANOR OF HUMBLE 09-5250.05 A INSPECTION TYPE: P-GAS - PLUMBING GAS TEST Scheduled Time' Sep 15 2009 - 09:30 AM Contractor: Genuine Plumbing, 936445 2953 Permit Number: 090977 Address: 19424 McKay Dr Location: Proposed Use: BUSINESS Special Instructions INSPECTION -RESULT: Issued Date: Sep 14 2009 Zoning District. DEFAULT Result: i Reinspection Needed: rl Re] nspection Fee: Notes' PLUMBING PERMIT APPLICATION 2 City of Humble ° ca T D r v Applicant to complete numbered spaces only y o a JOB ADDRESS NAME OF ESTABLISHMENT LEGAL LOT NO 1 BLK ,TRACK I. tJ SEE ATTACHED SHEET) DESCR f z v' ,ten �• r, BUILDING OWNER MAIL ADDRESS 2 ZIP PHONE CONTRACTOR MAIL ADDRESS 3 (�eK(r�.V(' BUILDING CONTRACTOR 4 PHONE TEXAS MASTER LICENSE NO USE OF BUILDING 5 6 Class of work ❑ NEW C) ADDITION ❑ ALTERATION a -REPAIR 7 Descrii Work NOTICE THIS PERMIT BECOMES NULL AND VOID AFTER 6 MONTHS OF CONSTRUCTION INACTIVITY I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNINGTHIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRE- SLIME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION IF APPLYING FOR HOMEOWNER PLUMBING PERMIT, STATE LAW REQUIRES PROOF OF HOMEOWNER EXEMPTION FROM THE HARRIS COUNTY APPRAISAL DISTRICT No Type of Fixture or hem WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK A DISP DISHWASHER LAUNDRYTRAY CLOTHES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR -SINK OR DRAIN SLOP SINK GAS SYSTEMS TEST ONLY WATER PIPING &TREATING EQUIP WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM SEWER MOBILE HOME CONNECTION (WATER, SEWER, GAS) SIGNATURE OF STATE OF TEXAS MASTER PLUMBER (DATE) COST OF INSTALLATION $ I �— BUILDING CONSTRUCTION COST $ SIGNATURE OF OWNER (IF HOMEOWNER) (DATE) PERMIT FEE $ p D �d BLDG PERMIT# DATE ISSUED PLMB PERMIT # C/ L ( - DATE ISSUED ( _ / 4 09 5250 0; Building Permit '7h ?1 �{r1 PLUMBING PLUMBING PERMIT scouriti City of Humble 114 W Higgins Humble, Texas 77338 (281)446-3061 Phone (281) 446-7902 Fax 90977 09/14/2009 $ 30.00 $ 400.00 l Counter a LOCATION 19424 Mc Kay Dr Humble, TX 77338 t� s y OWNER Park Manor Of Humble Nursing Home HUMBLE TX 77338 PN SIJBMASION LOT# PROPERTYSIZE CONTRACTOR Genuine Plumbing 936 445 2953 17990 Deer Way Conroe TX 77303 LICENSENO Sq Ft L_�"t��j�1 ISJ;<♦�'�n�..'^(lll_�Ai ���t�'L��::LA�7vl��� - DESCRIPTIONOFWORK ANNUAL GAS TEST REPORTCODE NONENONE In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in public records of this county, and there may be additional permits required from other government entities such as water management districts, state agencies, or federal agencies. I Additional restrictions, not of records, may also exist. Isswng Officer/ Permlt Clerk Signature of Applicant Date /y -,,-)9 CCf Clinton Johnson CITY OF HUMBLE f � Flrc Marshal Rick Martinez 281-446-4928 PERMANENT RECORD OF INSPECTION Building Official FAX 281-446-3960 281-446-6228 ADDRESS (':� q Z�D '�' '1 DATE 10 z1 /Ob NAME OF BUSINESS TYPE OF OCCUPANCY TYPE OF INSPECTION INSPECTOR "6j � BUSINESS PHONE EMERGENCY PHONE FIRE PREVENTION INSPECTION ONLY THE HUMBLE FIRE PREVENTION BUREAU HAS CONDUCTED A FIRE AND LIFE SAFETY INSPECTION OF YOUR PROPERTY THE CONDUCTION OF THIS INSPECTION AND CORRECTIONS OFANY UNSAFE CONDITIONS WILL IMPROVE THE FIRE DEPARTMENTS ABILITY TO SAVE LIVES AND TO ATTACK AND EXTINGUISH ANY FIRE THAT MAY OCCUR IN THE BUILDING QUICKLY AND EFFICIENTLY DURING THIS INSPECTION, CONDITIONS AFFECTING BUILDING SAFETY ACCORDING TO CODES ADOPTED BY THE CITY OF HUMBLE WERE NOTED IT 1S REQUIRED THATTHE ITEMS LISTED BELOW BE CORRECTED IN THE SPECIFIED TIME REFERRED TO IN THE NOTICE PORTION OFTHIS DOCUMENT WET DRY FIRE PUMP SPRINKLER TYPE ❑ ❑ DATE INSPECTED —�G�o 1 2 3 STANDPIPE TYPE g ❑r DATE INSPECTED ALARM DATE INSPECTED ��� I af ` i�o ( VENT HOOD DATE INSPECTED FIRE EXTINGUISHER DATE INSPECTED 171 INSPECTION COMPANY-T-4" EMERGENCY LIGHTING D.,O K ❑ IF NOT EXPLAINED NOTICE FINAL NOTICE YOUR ATTENTION IS RESPECTFULLY CALLED TO THE VIOLATIONS ABOVE OF THE CODE OF ORDINANCES OF THE CITY OF HUMBLE, TEXAS, ON THE PREMISES LOCATED AT HUMBLE, TEXAS, AS INDICATED ABOVE FAILURE ON YOUR PART TO COMPLY WITH THIS NOTICE BEFORE THE DAY OF , 20 , WILL SUBJECT YOU TO THE PENALTIES AS PRESCRIBED BY THE ABOVE SAID ORDINANCE OF LAW PERMITS ARE REQUIRED TO BEGIN MOST TYPES OF WORK, ON PREMISES, WHICH ALTER EXISTING CONDITIONS FOR INFORMATION REGARDING PERMITTING OR INSPECTIONS, PLEASE CONTACT THE CITY OF HUMBLE BUILDING DEPARTMENT AT 281-446-3061 PRIOR TO COMMENCING WORK APPLICANT (MAY) (MAY NOT) OCCUPY THE BUILDING PRIOR TO COMPLETION OF CONDITIONS MENTIONED ABOVE, ITEMS NUMBER / NUMBERS WHICH MUST BE CORRECTED PRIOR TO OCCUPANCY FAILURE TO COEITHTHECE-1OF UMBLE CODE OF ORDINANCE COULD RESULT IN FINES OF UPTO $220 00 PER VIOLATION RECEIVED BDATE OFFICER 1::2DATE % 0 a 2-4475-03 D/09.525➢=Bi/30/06 / To reorder please call Championship Printing 281 446 7380 INSPECTION TYPE: P-GAS - PLUMBING GAS TEST Scheduled Time: Sep 08 2008 - 09.00 AM Contractor Genuine Plumbing. 936 445 2953 Permit Number 080898 Address. 19424 Mc Kay Dr Location Proposed Use NURSING HOME Special Instructions: GLENN 832-731-0669 Issued Date Sep 03 2008 Zoning District: DEFAULT INSPECTI RESULT: Result: Relnspection Neede Relnspection Fee Notes: /`� 0 PLUMBING PERMIT APPLICATION City of Humble Applicant to complete numbered spaces only n JOB ADDRESS mj NAME OF EST LISItiMENT LEGAL LOT NO B TRACK (U SEE ATTACHED SHEET) DESCR Z vNi BUILDING OWNER MAILAODRESS ZIP PHONE CONTRACTOR MAIL ADDRESS PHONE TEXAS MASTER LICENSE NO 9U DING CONTRACTOR USE OF BUILDING y � (,- 6 Class of work ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR 7 Describe Work „�,vu�— % �u) r)l NOTICE THIS PERMIT BECOMES NULL AND VOID AFTER 6 MONTHS OF CONSTRUCTION INACTIVITY I HEREBY CERTIFY THAT I HAVE READ AND EXAM INEDTHIS AP- PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNINGTHIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRE- SLIME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION IF APPLYING FOR HOMEOWNER PLUMBING PERMIT, STATE LAW REQUIRES PROOF OF HOMEOWNER EXEMPTION FROM THE HARRIS COUNTY APPRAISAL DISTRICT too ryes} Of Fixtur9 or Rem WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP DISHWASHER LAUNDRYTRAY CLOTHES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR -SINK OR DRAIN SLOP SINK GAS SYSTEMS TEST ONLY WATER PIPING &TREATING EQUIP WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM SEWER MOBILE HOME CONNECTION (WATER, SEWER, GAS) SIGNATURE OF STATE OF TEXAS MASTER PLUMBER (DATE) COST 4F INSTALLATION $ 0O� 0 BUILDING CONSTRUCTION COST $ � SIGNATURE OF OWNER (IF HOMEOWNER) (DATE PERMIT FEE $ 6)1 3d. BLDG PERMIT# PLMB PERMIT N DATE ISSUED �✓ — D� DATE ISSUED 09 5250-Oi Building Permit PLUMBING Plumbing Permit City of Humble 114 W Higgins Humble, Texas 77338 (281)446-3061 Phone (281) 446.7902 Fax ": �lr..l J1 \L�!.�V��.Ld -_ .. �i l.�,.?�h5?.�....�1LLtf '3��,�1..': k:.:. i il�l`,✓�': � .. �' _ri -. .•o- -ii i� '��.:. � .-...a' - 080898 None ,0910312008 $ 30 00 $ 600 00 Counter LOCATION 19424 Mc Kay Dr Humble, TX 77338 -,t r a - PIN SUBDIVISION LOT# PROPERTYSIZE CONTRACTOR Glenn T Wooten 936 445 2953 17990 Deer Way Conroe TX 77303 LICENSENO Sq Ft •-, .. -^..l ,y{s b yy F)s (F f Hi ,- � � r "„ i th'�'^� awl ^.. e.b Y,sp 7..�i : ! .._�1."�eill�.../��i�; iljl•_L'�.�:4-i.-,S+�C,I3 4..�+�a. DESCRIPTIONOFWORK DIMENSIONS NO OFFLOORS ANNUAL GAS TEST TOTAL FLOORAREA OF NEWCONST Sq Ft OCCUPANCYTYPE ACCESSORYSTRUCTURES Sq Ft l REPORTCODE NONE NONE SINGLE FAMILY ONLY NO OFBATHROOMS NO OFBEDROOMS TOTALROOMS This permit becomes null and void if work or construction authorized is not commenced within 6 months, or if construction or work is suspended or abandoned for a period of 6 months at any time after work is started. All work must comply with the locally adopted Plumbing Code in use. All provisions of and ordinances governing this type of work will be complied with whether specified herein or not. Issuing Officer I Permit Clerk Signature of Applicant Date Clinton Johnson Fart Marshal CITY OF HUMBLE Rick Martinez 281-446-4928 FAX 281-44b--,96c PERMANENT RECORD OF INSPECTION Building Official 2$l-446-6228 ADDRESS _ _ DATE NAME OF BUSINESS TYPE OF OCCUPANCY TYPE OF INSPECTION INSPECTOR BUSINESS PHONE EMERGENCY PHONE FIRE PREVENTION INSPECTION ONLY THE HUMBLE FIRE PREVENTION BUREAU HAS CONDUCTED A FIREAND LIFE SAFETY INSPECTION OF YOUR PROPERTY" THE CONDUCT10s OF THIS INSPECTION AND C'ORREC IONS OF ANY UNSAFE CONDITIONS WILL IMPROVE THE FIRE DEPARTMENTS ABILITY TO SAVE LIVES .AND TO ATTACK AND EXTINGUISH ANY FIRE THAT MAY OCCUR IN THE BUILDING QUICKLY AND EFFICIENTLY DURING THIS INSPECTION. CONDITIONS AFFECTING BUILDING SAFETY ACCORDING TO CODES ADOPTED BY THE CITY OF HUMBLE WERE NOTED. IT IS REQUIRED THAT THE ITEMS LISTER BELOW BE CORRECTED IN THE SPECIFIED TIME REFERRED TO IN THE NOTICE PORTION OFTHIS DOCUMENT WET DRY FIRE PUMP SPRINKLER 'TYPE J `j DATE INSPECTED I 2 STANDPIPE TYPE I DATE INSPEC-TED ALARNI DATE INSPECTED VENT HOOD DATE INSPECTED FIRE EXTINGUISHER DATE INSPECTED INSPECTION COMPANY EMERGENCY LIGHTING ❑ O.K. ❑ IF NOT EXPLAINTED- NOTICE: FINAL NOTICE: YOUR ATTENTION IS RESPECTFULLY CALLED TO THE VIOLATIONS ABOVE OF THE CODE OF ORDINANCES OF THE CITY OF HUMBLE, TEXAS, ON THE PREMISES LOCATED AT HUMBLE, TEXAS. AS INDICATED ABOVE. FAILURE ON YOUR PART TO COMPLY SMITH THIS NOTICE BEFORE THE DAY OF 20 . WILL SUBJECT YOU TO THE PENALTIES AS PRESCRIBED BY THE ABOVE SAID ORDINANCE OF LAW PERMITS ARE REQUIRED TO BEGIN -.140ST TYPES OF WORK. ON PREMISES, WHICH ALTER EXISTING CONDITIONS_ FOR INFORMATION REGARDING PERNIITTING OR INSPECTIONS, PLEASE CONTACT THE CITY OF HUMBLE BUILDING DEPARTMENT.AT 281-446-3061 PRIOR TO COMMENCING WORK APPLICANT (MAY) (MAY NOT) OCCUPY THE BUILDING PRIOR TO COMPLETION OF CONDITIONS MENTIONED .ABOVE. ITEMS NUN11BER r NUMBERS WHICH MUST BE CORRECTED PRIOR TOOC CI IPANCY FAILURE TO COMPLY WITH THE CITY OF HUMBLE CODE OF ORDINANCE COULD RESULT !N FINES OF UP TO $22E-00 PER VIOLATION RECEIVED BY 'k>♦ •'"' ,.��--sR��T� DATE OFFICER DATE -4475-08 D09.52_50-01,130106 To remaer etease eai' CRamp:onShip Pnni,np 281-446-1380 INSPECTION TYPE. P-GAS - PLUMBING GAS TEST Scheduled Time- Sep 11 2007 - 00:00 AM Contractor: Genuine Plumbing. 936 445 2953 Permit Number: 071066 Address. 19424 Mc Kay Dr Location: Proposed Use: NURSING HOME Special Instructions: GLEN 832 7'31.0669 10 AM issued Date: Sep 05 2007 Zoning District: DEFAULT INSPECTION RESULT IResult: Relnspection Needed: ❑ Relnspection Fee: /) _n/;"�/ Notes, f PLUMBING PERMIT APPLICATION City of Humble Applicant to complete numbered spaces only JOB Ac DRESS � y'i;- y LEGAL LOT DESCR BUILDING OWNER 2 NAME OF E5TA ISHMEN7 c f? ( 7 V' '= - , `v-h j B K TRACK f '� (J SEE aiTAGMED SHEET) .-L nuuntaa CONTRACTOR MAIL ADDRESS 3 q,, ,, j /., 6, •, BUILDING CONTRACTOR 4 USE OF BUILDING 5 ZIP PHONE PHONE TEXAS MASTER LICENSE NO 6 Class of work: p NEW ❑ ADDITION U ALTERATION (p REPAIR 7 Describe Work: - ) 15/ / r I I 05Lv,,v, s NOTICE THIS PERMIT BECOMES NULL AND VOID AFTER 6 MONTHS OF CONSTRUCTION INACTIVITY. I HEREBY CERTIFYTHAT I HAVE READ AND EXAMINEDTHIS AP- PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRE- SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. IF APPLYING FOR HOMEOWNER PLUMBING PERMIT. STATE LAW REQUIRES PROOF OF HOMEOWNER EXEMPTION FROM THE HARRIS COUNTY APPRAISAL DISTRICT SIGNATURE OF STATE OF TEXAS MASTER PLUMBER (DATE) SIGNATURE OF OWNER (IF HOMEOWNER) (DATE) BLDG PERMIT# No. Type of Fixture or Item WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP DISHWASHER LAUNDRYTRAY CLOTHES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR -SINK OR DRAIN m� SLOP SINK GAS SYSTEMS: TEST ONLY WATER PIPING &TREATING EQUIP, WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM SEWER MOBILE HOME CONNECTION (WATER, SEWER. GAS) COST OF INSTALLATION $ }r j BUILDING CONSTRUCTION COST PERMIT FEE $ I 1 j {%cf PLMB PERMIT # �f ( DATE ISSUED DATE ISSUED ( 5 —V 49.5250-0 { 'L City of Humble ;'"r Building Permit 114 W Higgins Humble, Texas 77338 ;i';, y, PLUMBING Plumbing Permit (281)446-3061 Phone (281) 446-7902 Fax f�"�ii�;„rt:�,t r��'{f �� ^ "''117 a=.r--"e� r n;Y;� ' f ��r �t°:.: �t.T^ ' „5=�.�.�: ``liT.lo,-t",� v�•,e iti^�-'li 071066 None 09105/2007 _ S 30.00 _ _ S 500.00 Cheryl LOCATION 19424 Mc Kay Or Humble, TX 77338 !r, I3: 17 ;t I OWNER L HUMBLE TX 77338 PN SUBDIVISION LOT# PROPERTYSIZE CONTRACTOR Glenn T Wooten 936 445 2953 17990 Deer Way Conroe TX 77303 LICENSENO Sq Ft fa ,�,'^v(6tiL�.V.I_`�-i e DESCRIPTION OF WORK DIMENSIONS NO OF FLOORS ANNUAL GAS TEST TOTAL FLOORAREAOFNEWCONST Sq Ft i OCCUPANCYTYPE ACCESSORYSTRUCTURES Sq Ft REPORTCODE NONENONE SINGLE FAMILY ONLY NO OFSATHROOMS NO OF BEDROOMS TOTALROOMS This permit becomes null and void if work or construction authorized is not commenced within 6 months, or if construction or work is suspended or abandoned for a period of 6 months at any time after work is started. All work must comply with the locally adopted Plumbing Code in use. All provisions of and ordinances governing this type of work will be complied with whether specified herein or not. issuing Officer / Permit Clerk Signature of Applicant Date City of Humble ll u ble Building / Inspection Dept. 114 W. Higgins, Humble, Texas 77338 (281) 316-6228 Rick Martinez Fax (281) 416-7902 Chief Building Official Public Information Request Date of Request__ r The Information may or may not be available at the time requested or may not be available for public inspection. All request for records shall be in accordance with the Texas Open Records Act (TORA). Person Requesting Information: D 4-0 i 0 ` Firm or Company (if applicable):5 C� •�� �yf �e )a, /�i,s �o Address: -3c,+ E 11� 1. Phone:':6i7— 4 L 7 5 5-6 Description of Record(s) Being Requested: > L•u.A a rcy Cz +- den hcrcc,�t� 7A,i� To M Cost of Reproduction of Records: r Signature of questor i 1 Ap of Records i Manager DAV1D R- CALVERT, CFPS . FIELD REPRESENTATIVE 3oix SOUTH IH-35 TEL [640) 444-4554 SUITE 225 TEL. (91 7) 341-7956 AUSTIN, TX 787M-65.36 FAX: (s0) 777-3929 E-MAIL; dcalvertp,o.tcm INSPECTION TYPE: P-FINAL - PLUMBING FINAL Scheduled Time: Sep 13 2006 - 09,00 AM Contractor: Genuine Plumbing, 936 445 2953 Permit Number: 061 114 Address: i 9424 McKay Dr Location: Proposed Use: OFFICE Special Instructions: GAS TEST 0 A. h". INSPECTION RESUL issued Date: Sep 12 2006 Zoning District: DEFAULT Result: ✓� Relnspection Needed: Relnspection Fee: Notes:. /`� S/�ity✓•ice PLUMBING PERMIT APPLICATION City of Humble Applicant to complete numbered spaces only J ADDRESS NAME OF ESTABLISHMENT LOT NO BLK TRACK ( SEE ATTAGHED SHEET) LEGAL 1 DESGR i BFUIING OWNER /J /�/ MAIL ADDRESS ZIP PHONE 2 '� c / ( ,✓ vii ✓ V / ~ IO �Y� c 77 3 3j ONTRACTOR MAIL ADDRESS PHONE TEXAS MASTER LICENSE NO V_Dr14 "1"1303 � r { BUILDING CONTRACTOR 4 USE OF BUILDING 5 6 Class of work p NEW p ADDITION ❑ ALTERATION ❑ REPAIR 7 Describe Work / r) � — NOTICE THIS PERMIT BECOMES NULL AND VOID AFTER 6 MONTHS OF CONSTRUCTION INACTIVITY I HEREBY CERTIFYTHAT I HAVE READ AND EXAMINEDTHIS AP- PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNINGTHIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRE- SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION IF APPLYING FOR HOMEOWNER PLUMBING PERMIT, STATE LAW REQUIRES PROOF OF HOMEOWNER EXEMPTION FROM THE HARRIS COUNTY APPRAISAL DISTRICT SIGNATURE OF STATE OF TEXAS MASTER PLUMBER (DATE) SIGNATURE OF OWNER (IF HOMEOWNER) (DATE) No I Type of Fixture or Item WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP DISHWASHER LAUNDRYTRAY CLOTHES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR -SINK OR DRAIN SLOP SINK GAS SYSTEMS TEST ONLY WATER PIPING &TREATING EQUIP WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM SEWER MOBILE HOME CONNECTION (WATER, SEWER, GAS) COST OF INSTALLATION BUILDING CONSTRUCTION COST PERMIT FEE IMUM WN - I om BLDG PERMIT# DATE ISSUED PLMB PERMIT 0 DATE ISSUED 05-5250-0 :Y. Building Permit PLUMBING Plumbing Permit City of Humble 114 W Higgins Humble, Texas 77338 (281)446-3061 Phone (281) 446-7902 Fax f 4. fi1114 None 09/1212006 $30 00 $ 500.00 Brandy LOCATION 19424 Mc Kay Or Humble, TX 77338 OWNER HUMBLE TX 77338 PeN SUBDIVISION LOT# PROPERTYSIZE CONTRACTOR Genuine Plumbing 936 445 2953 179SO Deer Way Conroe TX 77303 LICENSENO Sq Ft DESCRIFT0NCFWORK + Dih-1ENS',ONS GAS TEST ONLY NO OFFLOORS TOTAL FLOOR AREAOFNEWCONST Sq Ft OCCUPANCYTYPE ACCESSORYSTRUCTURES Sq Ft REPORTCODE NONENONE SINGLE FAMILY ONLY NO OFBATHROOMS NO OFBEDROOMS TOTALROOMS This permit becomes null and void if work or construction authorized is not commenced within 6 months, or if construction or work is suspended or abandoned for a period of 6 months at any time after work is started. All work must comply with the locally adopted Plumbing Code in use. All provisions of and ordinances governing this type of work will be complied with whether specified herein or not. I � Issuing OHicerl Permit Clerk Signature of Applicant Date BPO-20040305-sl 'l exas (Conunission on Fire Protection P.O. Box 228h.Austin; `Fexas 78768-2286 4` (512) 918-7100 Contractor's Material and Test Certificate for Underground Piping PROPERTY NAME DATE Park Manor of Humble Aril 04, 2003 PROPERTY ADDRESS CITY STATE ZIP 19424 McKay Dr. Humble TX 77338 rC014TRACTOR NAME C of R NO STANDARD AUTOMATIC FIRE ENTERPRISES, INC, 0322 CONTRACTOR ADDRESS ( CITY STATE ZIP 11320 FM 529, Building G Houston TX 77o41 ACCEPTED BY APPROVING AUTHORITIES (NAMES' ! City of Humble 1 ADDRESS PLANS 114W.Higgins Humble, TX 77338 INSTALLATION CONFORMS TO ACCEPTED PLANS © YES ❑ NO EQUIPMENT USED IS APPROVED x❑ YES ❑ NO IF NO, STATE DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? YES U NO IF NO, EXPLAIN INSTRUCTIONS HAVE COPIES OF APPROPRIATE INSTRUCTIONS AND CARE AND MAINTENANCE CHARTS BEEN LEFT ON PREMISES? 0 YES ❑ NO IF NO, EXPLAIN LOCATION SUPPLIES BUILDINGS Single -Story Wooden Structure PIPE TYPES AND CLASS TYPE JOINT C-900 PVC and Class 350 Cement -Lined Ductile Iron Slip Joints, MJ Fittings PIPE CONFORMS TO NFPA STANDARD © YES ❑ NO UNDERGROUND FITTINGS CONFORM TO NFPA STANDARD © YES ❑ NO PIPES AND iF NO, EXPLAIN JOINTS JOINTS NEEDING ANCHORAGE CLAMPED. STRAPPED, OR BLOCKED IN ACCORDANCE WITH 5T.4flDARG YES ❑ NO IF NO, EXPLAIN FLUSHING: FLOW THE REQUIRED RATE UNTIL WATER IS CLEAR AS INDICATED BY NO COLLECTION OF FOREIGN MATERIAL IN BURLAP BAGS AT OUTLETS SUCH AS HYDRANTS AND BLOW -OFFS. FLUSH AT FLOWS NOT LESS THAN 390 GPM (1476 Umin) FOR 4-INCH PIPE, 880 GPM (3331 Umin) FOR 6-INCH PIPE, 1560 GPM (5905 Umin) FOR 8-INCH PIPE; 2440 GPM (9235 Umin) FOR 10•INCH PIPE, AND 3520 GPM (13323 Umin) FOR 12-INCH PIPE. WHEN SUPPLY CANNOT PRODUCE STIPULATED FLOW RATES, OBTAIN MAXIMUM AVAILABLE HYDROSTATIC. HYDROSTATIC TESTS SHALL BE MADE AT NO LESS THAN 200 PSI (13 8 BARS) FOR TWO HOURS OR 50 PSI (3.4 TEST BARS) ABOVE STATIC PRESSURE IN EXCESS OF 150 PSI (10.3 BARS) FOR TWO HOURS. DESCRIPTION LEAKAGE. NEW PIPE LAID WITH RUBBER GASKETED JOINTS SHALL, IF THE WORKMANSHIP IS SATISFACTORY, HAVE LITTLE OR NO LEAKAGE AT THE JOINTS. THE AMOUNT OF LEAKAGE AT THE JOINTS SHALL NOT EXCEED 2 OTS. PER HR (1.89 L!h) PER 100 JOINTS IRRESPECTIVE OF PIPE DIAMETER THE LEAKAGE SHALL BE DISTRIBUTED OVER ALL JOINTS IF SUCH LEAKAGE OCCURS AT A FEW JOINTS THE INSTALLATION SHALL BE CONSIDERED UNSATISFACTORY AND NECESSARY REPAIRS MADE. THE AMOUNT OF ALLOWABLE LEAKAGE SPECIFIED ABOVE MAY BE INCREASED BY 1 FL OZ PER IN VALVE DIAMETER PER HR. (30 mL/25 mm/h) FOR EACH METAL SEATED VALVE ISOLATING THE TEST SECTION. IF DRY BARREL HYDRANTS ARE TESTED WITH THE MAIN VALVE OPEN, SO THE HYDRANTS ARE UNDER PRESSURE, AN ADDITIONAL 5 OZ PER MINUTE (150 mUmin) LEAKAGE IS PERMITTED FOR EACH HYDRANT. NEW UNDERGROUND PIPING FLUSHED ACCORDING TO NFPA STANDARD BY (COMPANY) ® YES ❑ tJ0 IF NO, EXPLAIN HOW FLUSHING FLOW WAS OBTAINED THROUGH WHAT TYPE OPENING FLUSHING © PUBLIC WATER ❑ TANK OR RESERVOIR ❑ FIRE PUMP 3 HYDRANT BUTT. ® OPEN PIPE TESTS LEAD-INS FLUSHED ACCORDING TO NFPA STANDARD BY (COMPANY) ® YES ❑ NO IF NO, EXPLAIN HOW FLUSHING FLOW WAS OBTAINED THROUGH WHAT TYPE OPENING PUBLIC WATER ❑ TANK OR RESERVOIR ❑ FIRE PUMP ❑ Y CONN. TO FLANGE Q OPEN PIPE & SPIGOT HYDROSTATIC ALL NEW UNDERGROUND PIPING HYDROSTATICALLY TESTED AT JOINTS COVERED TEST 200 PSI FOR 2 HOURS ® YES ❑ NO TOTAL AMOUNT OF LEAKAGE MEASURED LEAKAGE 0 GALS. 2 HOURS TEST ALLOWABLE LEAKAGE 0 GALS. 2 HOURS HYDRANTS NUMBER INSTALLED TYPE AND MAKE ALL OPERATE SATISFACTORILY 2 �3-way 5'/." Clow ❑ YES [� NO I WATER CONTROL VALVES LEFT WIDE OPEN ® YES ❑ NO CONTROL IF NO, STATE REASON VALVES HOSE THREADS OF FIRE DEPARTMENT CONNECTIONS AND HYDRANTS INTERCHANGEABLE WITH THOSE OF FIRE DEPARTMENT ANSWERING ALARM ® YES ❑ NO DATE LEFT IN SERVICE REMARKS Wl 04, 2002 UPON COMPLETION OF WORK, NSPECTKNI AND TESTS SHALL BE MADE BY THE CONTRACTOR'S REPRESENTATWE AND WITNESSED BY AN OWNER'S REPRESENTATPVE. ALL DEFECTS SHALL BE CORRECTED AND SYSTEM LEFT {N SERVICE BEFORE CONTRACTOR'S. PERSONNEL FINALLY LEAVE THE JOB. PROCEDURE A CERTIFICATE SHALL BE FILLED OUT AND SIGNED BY BOTH REPRESENTATIVES. COPIES SHALL BE PREPARED FOR APPROVING AUTHORITIES, OWNERS, CONTRACTORS AND THE STATE FIRE MARSHAL. IT IS UNDERSTOOD THE OWNER'S REPRESENTATIVE'S SIGNATURE IN NO WAY PREJUDICES ANY CLAIM AGAINST CONTRACTOR FOR FAULTY MATERIAL, POOR WORKMANSHLP, OR FAILURE TO COMPLY WITH APPROVING AUTHORITY'S REQUIREMENTS OR LOCAL ORDINANCES. FOR PROPERTY OWNER (SIGNED) TITLE DATE TESTS WITNESSED CONTRACTOR'S REPR�SENTATI E (SIGNED) TITLE DATE BY LOCAL OAUTHOR"(SIGNED) (OPTIONAL) TITLE j DATE I CERTIFY THAT THE INFORMATLI6N HEREIN IS TRUE AND THAT THIS SPRINKLER SYSTEM WAS INSTALLED fNACCORDANCE WITH C ARTICLE 5.43-3, TEXAS INSURANCE CODE, AND THE RULES ADOPTED BY THE TEXAS COMMISSLdr1 ON FIRE PROTECTION .AS ADMINISTERED BY THE STATE FIRE MARSHAL. RIME RESPONSIBLE MANAGING EMPLOYEE (SIGNATURE) CERTF�CATION RESPONSIBLE MANAGING EMPLOYEE (NAME - PRINT OR TYPE) ! John Kauffman RME LICENSE NUMBER DATE 0305-Go REMARKS DISTRIBUTION; ORIGINAL COPY POSTED AT SITE COPY 2 FOR INSTALLING COMPANY. COPY 3 FOR APPROVING AUTHORITY, COPY 4 FOR THE STATE Humble Fire .Marshal's Office 110 W. Main Humble, TX 77338 Office (281) 446-4928 Fax (281) 446-3960 Clinton B. Johnson, Fire Marshal FIRE LANE DESIGNATION PLOT Business Name: J q i Address: % 1 ' c Date: ? ` u� D inspector: indicates FIRE LANE City of Humble Permit #: 9003352 Permit: FIRE SPRINKLER Inspector: GLINT JOHNSON District: Scheduled: 09/05/03 08-25:07 AM Priority? No Property Information: Address: Property Owner -MC KAY 19424 DR PARK MANOR OF Ell, LDG 2'3 HUMBLE NURSING HOME Structure: 19424 IVIC KAY DRIVE NURSING HOME HUMBLE. TXi %338 Permit Information. Work Description: UNDERGROUND & BLD-OUT Permit Notes: Inspection Information, Inspection Class: Name: ++s:u9 1 r Final Notes to DOAK Inspector. Directions to Site: Vehicle number , Notes Reinspect: , Charge Fee: License Holder JOE CLINE License Type: U ' ^^ License Number Final Inspection? Clockin: Fit Ciockout:alit 0PM CD Standard Soft (R) REC #: 50730 MEMORY: Permit #; 03-00696 Permit Type: FS FIRE SPRINKLER - Address: MC KAY DRIVE Contractor: SAMUEL T. KOETTER Inspect Type: FS Insp Desc: FINAL SPRINKLER INSPECTION REQUEST Inspector ID: 000/RT Insp. District: Hold (Y or N) : ----------------------- Date Desired; 06/27/03 Time Desired: ----------------------- Request Date: 06/27/03 Request Time: 09:59:20 ----------------------- SCREEN # 190 19424 INSPECTION RESULT JUNE 27, 2003 Vehicle ID or Nbr: Odometer on Site: Inspection Date: Beginning Insp Time: Ending Insp Time: (I)nspect/(R)e-Insp: I or R Only) Inspection Results: aor,�Only) Re -Inspection Requr: (Y ornly) Re -Inspect. Fee Rea: (Y or(Only) Correct Code/Commnt: DOAK / DINING R0 NOTES: V NOTES: Press F1 for All Inspections this Permit�/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit R-T- -- City of Humble Permit #: 2003696 Permit: FIRE SPRINKLER Inspector: REBECCA TAYLOR District: Scheduled: 06./27/03 10:03.12 AM Priority? No Property Information: Address: 19424 MCKAY DR Property Owner PARK MANOR OF HUMBLE NURSING HOME Structure: 19424 MC KAY DRIVE NURSING HOME HUMBLE. TX 77 338 Permit Information: Work Description: FIRE EXTINGUISHING SYSTEM Permit Notes: InSDection Information: Inspection Class: Name: F±re Sprinkler Sys'Lem Notes to DOAK / DINING ROOM Inspector: Directions to Site: Vehicle Number: Passe X,�' Notes : Reinspect: 0 Charge fee: CD License Holder SAMUEL T. KOETTER # ECR 1347 Expires: 04/30/04 929 FISHER STREET HOUSTON, TX 77018 Final Inspection? N Clockin: ■ ii� ANI 0 PSI 0 Clockout: AN C' PNI 0 Standard Soft (R) REC #: 50659 MEMORY: SCREEN # 190 Permit #: 03-00696 Permit Type: FS FIRE SPRINKLER - Address: ' Contractor: SAMUEL T. YnRTTPP Inspect Type: FO Insp Desc: INSPECTION REQUEST INSPECTION RESULT JUNE 18, 2003 Inspector !ID 000/RI Vehicle ID or Nbr: Insp. District: Odometer on Site: Hold (Y or N) . Inspection Date: ----------------------- Beginning Insp, Time: Date Desire ing Insp, Time: Time Desired: )nspect/(R)e-Insp: I C or R Only) ----------------------- Inspection Results: or C_Only) ��cVor Request Date: 06/18/03 Re -Inspection Requr: N'Only) Request Time: 14:50:20 Re -Inspect. Fee Re • Only) ----------------------- Correct Code/Co NOTES: NOTES: Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit City of Humble Humble Texas Permit #: 2003696 Permit: FIRE SPRINKLER Inspector: CLINT JOHNSON District: Scheduled: 06/18/03 03:06;54 Pill Priority? No Property Information: Owner License Molder Address PARK MANOR OF SAMUEL T KOETTER 19424 MCKAY DR # ECR 1347 Expires 04/30/04 Structure 929 FISHER STREET NURSING HOME HOUSTON, TX 77018 Inspection Information: Phone N/A Inspection Class Name Fire OVERHEAD/ROUG/COVER Final Inspection? N (dotes Given to Inspector CLINT / WING 400 Vehicle Number: Odometer; 0 Clockin: 06/18103 03.05:00 PM Pass: (:j) Reinspect: C] Clockout: 06118103 03:05:00 PM Charge Fee: O Elapsed Time(min.): Notes : WING 400 City of Humble �. Hum4lcTtFe& Permit #: 2003696 Permit: FIRE SPRINKLER Inspector: CLINT JOHNSON District: Scheduled: 06/18/03 03:05:54 PM Priority? No Property Information: Address: 19424 MCKAY DR Property Owner PARK MANOR OF HUMBLE NURSING HOME Structure: 19424 MC KAY DRIVE NURSING HOME HUMBLE, TX 77338 Permit Information: Work Description: FIRE EXTINGUISHING SYSTEM Permit Notes: Inspection Information: Inspection Glass: Name: Fire OVERHEAD/ROUG/COVER Notes to CLINT / WING 400 Inspector: Directions to Site: Vehicle Number: I Pass: O Notes : Reinspect: 0 Charge Fee: O License Holder SAMUEL T KOETTER # ECR 1347 Expires 04/30/04 929 FISHER STREET HOUSTON, TX 77018 Final inspection? N AM 0 CIOCiCIII: : PM O ClocKout:� ' � A--v1 Pi1i O Standard -Soft (R) REC +: 50711 MEMORY: .V. Permit #: 03-00352 Permit Type: FS FIRE SPRINKLER Address: MC FAY DRIVE Contractor: JOE CLINE Inspect Type: FS Insp Desc: FINAL SPRINKLER INSPECTION REQUEST Inspector ID: 000/RT Insp. District: Hold (Y or N) : ----------------------- Date Desired: 06/25/03 Time Desired: ----------------------- Request Date: 06/25/03 Request Time: 09:27:06 ----------------------- SCREEN # 190 19424 INSPECTION RESULT JUNE 25, 2003 Vehicle ID or Nbr: Odometer on Site: Inspection Date: Beginning Insp Time: Ending Insp Time: (I)nspect/(R)e-Insp: I or R Only) Inspection Results: or C Only) Re -Inspection Requr: o, Only) Re -Inspect. Fee Req: (Y or Only) Correct Code/Commnt: JOHN / 1:00 JM r/C ,f7 NOTES: IVA �.f�l��� NOTES: Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Kevs or Press <ESC> to Exit City of Humble Humble Texas Permit #: 9003352 Permit: FIRE SPRINKLER Inspector: CLINT JOHNSON District: Scheduled: 06/25/03 03:28:00 PM Property Information: Owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Fire Sprinkler System Notes Given to Inspector JOHN 11:00 PM Vehicle Number: 10 � Odometer. 10 Pass:IX Notes : Reinspect: Charge Fee: O Priority? No License Holder JOE CLINE License Type: Unknown License Number: SCR #0322 Final Inspection? N Clockin: 06/25/03 03:28:00 PM Clockout: 06125103 03:28:00 PM Elapsed Time(min.): Clinton Johnson Fire Marshal (281)446-4928 FAX (281) 446-3960 CITY OF HUMBLE PERMANENT RECORD OF INSPECTION Bob Boyles Buildine Official (281)446-3061 ext. 122 ADDRESS j� l�L/ J(! L/' DATI-��"o n NA,1IE0FBUSINESS kr 1lw r 4 %lp'*l7! TYPEOFOCCUPANCY TYPE OFINSPECTION INSPECTOR ��csf�rfy BUSINESS PHONE EMERGENCY PHONE FIRE PREVENTION INSPECTION ONLY THE HUMBLE FIRE PREVENTION BUREAU HAS CONDUCTED A FIREAND LIFE SAFETY INSPECTION OF YOUR PROPERTY. THE CONDUCTION OFTHIS INSPECTION AND CORRECTION OF ANY UNSAFE CONDITIONS W'II.L LNIPROVE T'IIE FIRE DEPART11Eti T S ABILITY TO SAVE LIVES AND TO ATTACK AND EXTINGUISH ANY FIRE THATSLAY OCCUR IN THE BUILDING QUICKLYAND EFFICIENTLY. DURING THIS INSPECTION, CONDITIONS AFFECTING BUILDING SAFETY ACCORDING TO CODES ADAPTED BY THE CITY OF HUMBLE WERE NOTED. IT IS RE- QUIRED'TIIATTHE ITEMS LISTED BELOW BE CORRECTED IN THE SPECIFIED TIME REFERRED TO IN THE NOTICE PORTION OFTHIS DOCUMENT. WE DRY FIRE PUMP /J SPRINKLER TYPE ❑ ❑ DATE INSPECTED i7uj 1 2 ; STANDPIPE TYPE ❑ ❑ ❑ DATE INSPECTED ALARM DATE INSPECTED u'6-03 VENT HOOD DATE INSPECTED )4ef —t _ FIRE EXTINGUISHER DATE INSPECTED -Wj INSPECTION COMPANY EMERG NCY LIGHTING (:AO.K. ❑ IF NOT EXPLAINED: fig 1�i - 64em -f ° + II S`` �'�w� i X�i • l�3/pit t :1s=�� I` t 4t Cc'L y- it'G/nntt s 1 i I 1 1 i NOTICE: FINAL NOTICE: YOUR ATTENTION IS RES LILLY CALLED TO THE VIOLATIONS ABOVE 1 OF THE CODE OF ORDINANCES OFT Y OF HUMBLE, TEXAS, ON THE PREMISES LOCATED AT HUMBLE. TEXA.. NDICATED ABOVE. FAILURE ON YOUR PARTTO COMPLY WITH THIS NOTICE BEFORE THE _ DAY OF 70 WILL SUBJECT YOU TO THE PENALTIES AS PRESCRIBED BY THE ABOVE SAID ANCE OF LAW. PERMITS ARE REQUIRED TO BEGIN MOSTTYPES OF WORK. ON PREMISES. WHICH ALTER EXISTING CONDITIONS. FOR I - MATION REGARDING PERMITTING OR INSPECTIONS. PLEASE CONTACTTHE CITY OF HUMBLE BUILDING DEPARTMENT AT (2SI) 146-3061 PRIOR TO COMMENCING K. APPLICANT (MAY) (MAYNOT) OCCUPY THE BUILDING PRIOR TO COMPLETION OF CONDITIONS MENTIONED ABOVE- ITESIS NUMBER, N ERS WHICH NIUST BE CORRECTED PRfO TO OC 'P . ` Y- FAILURE TO CONIP 'ITN E OFI­ ' L ODE OF ORDINANCE COULD RESULT IN FINES OF UPTO $220.I10 PER VIOLATION. Received B _ DATE G CJ OFFICER v DATE �� "� CTexas CommissiorL on Fire Protection P.O. Box 11286 Austin, Texts 79768-2236 (512) 918-7100 FIRE ALARM INST,,,LLATION' CERTIFICATF Froperty ilane"I . ... V Address Name of InsiallinE., Company ,!-itmllon Numb,�! coniract ioj* inspection alu' 1,ro1 I i force for :care;.:vith. (-cosfi,:d Alarm (-,,nTan) A R lot i,dictiun Addi.--ss l icily) (Stale.) tzipl i-- installed In with NIFTA Standards iList No. and t. -ditwn.sj - r !o;jailalLon includes ihu lfollowlli�.! JeVict S. —J�C h;ive been ill servicu slnc,-- (1)1e) .Tame.. Nuinhcr, ctc- Manual Fire Alarm Service: Coded Suillons imocr of combination manual lire alum, combination devices, and guard tour . oiled stations---- '­ —.— Local annunciator No Guard's Tour Supervisory Service: !4utnbcr of Coded Stations`- __Non -Coded Stalions--A— ,Ncfi,:a1ingTransmitters. Compulsory guard-iour system conitirsed of Transmitter SLIlions and --intermediate stations. Automatic Fire Detection and Alarm Service: Coverage: Complete v _r �> —Partial If Partial, indicate locations: ------------------ Types of detectors and number of each: iFur line, type. indicate number of circuits) 4 Li 1. Local Annunciator. Yes! V' I No--- — 2. Local Alarm: Yes i,/ No , ­­ — "r --a—, r— — ­­ A C-1-i i—,hip cionrik Sprinkler System Water Flow Alarm & Supervisory Scr-N icle: Numher of coded watertlow 5ign.,jling attachments — 1 Number of waterflow switches­j Activatilig —C- /—�' --trallsolit 2 NurnVer of �n&,J vak-e silpervisOrY 01111:111113' 311:10"llijits X e swachcs— r 3 service provided: ;, jmFL;r�,nlrc: Water pIcssurc: Water Air - WiitcrLcveI:_ Fire Pump: ,1. Other Fire scri"ice provided 'end iw�pections. if other Illan ill acl�ordajlc,' Willi the referencedNI-PA Standards: V, I hereby cerlify that this fire alarm syslli has hcen icsicd and compfics .,;ith requirements of Articic 5.43-2 of the Toxa, Insurance C*lc. as amended. and 11 Fire Alarm Rules and with adopted NFP.A Standards S"ninturt, State Lic,,nsc. Number 11 It%ciSigned Printed or Typed Name of Person Signing DISTRIMMON original- PosEcil at Control Panel on Site Copy 1: Installing Company Copy 2: Authority having jurisdiction Copy 3: State Fire Marshal ;Texas Commission \;on Fire Protection P.O. Box 2286 Austin, Te= 78768-2286 (512) 91S-7100 FIRE ALARM INSTALLATION CERTIFICATE PropertyName Address Name of Installing Company Certificate of Registration Number , A Service contract for inspection and testing of the Alarm System, dated and in force for years. with: Certified Alarm Company C of R No. Authority having jurisdiction Address .. r (street) (city) (state) (zip) Systems installed in accordance with NFPA Standards (List No. and editions) Installation includes the following devices: which have been in service since (date) LOCATION: Building(s) - Name, Number, etc. _ Manual Fire Alarm Service: Number of Coded Stations Non -Coded Stations Activating Number of combination manual fire alarm. combination devices, and guard tour coded stations Local annunciator Yes No Guard's Tour Supervisory Service: Number of Coded Stations Non -Coded Stations Activating Transmitters. Compulsory guard -tour system comprised of Transmitter stations and Intermediate stations. Automatic Fire Detection and Alarm Service: Coverage: Complete Partial If Partial, indicate locations: Types of detectors and number of each: (For line type, indicate number of circuits) 1. Local Annunciator. Yes No 2. Local Alarm: Yes-, No _ 3_ Number of coded fire signals . 4. Coded trouble signals Sprinkler System Water Flow Alarm & Supervisory Service: I. Number of coded waterflow signaling attachments Number of waterflow switches Activating - transmitters. 2. Number of coded valve supervisory signaling attachments _ Number of valve switches Activating transmitters. 3.Other supervisory service provided: Pressure: Water Air f Temperature: Water ___Room Waver Level: Fire Pump: Running _ Power 4.Other fire service provided Frequency of routine tests and inspections, if other than in ac_ordattce with the referenced NFPA Standards: _ I . i- - ; -. I hereby certify that this fire alarm system has been tested and complies with requirements of Article 5.43-2 of the Texas Insurance Code. as amended. and the Fire Alarm Rules and with adopted NFPA Standards. Signature F l^. i/ f r State License Number -Date Signed Printed or Typed Name of Person Signing DISTRIBUTION Original: Posted at Control Panel on Site Copy L Installing Company Copy 2: Authority having jurisdiction Copy 3: State Fire Marshal CLINT B..j�1i` cla t U•'a ) C "FPC = 'OF EMERGENCY': ANAGEMENT T ; _ 7 338 0;^F: (291) 44,-3-49 P, X 1281i 446 sI '6 October 9, 2003 Department of Human Services, Long Term Care Texas Department of Health Austin. Texas Dear Fire Code Compliance Officers; The City of Humble has completed a thorough inspection and approved the Fire Sprinkler and Fire Alarm system installed in the Park Manor Skilled Nursing and Rehabilitation facility at 19424 McKay Blvd. in Humble. Your notes concerning the monitoring of the 8" maintenance valve placed in the city's easement at the city main paralleling McKay have been reviewed by our office. Please be advised we could find no reference in any model code requiring monitoring of city valves. As such we do not require such monitoring and in fact would not allow this installation on a city valve. If you have any information that may lead us to vary on our stance regarding city valve monitoring, please provide this for our review. Until such time please be aware that we neither require nor allow monitoring devices at the underground city main. Yours in Fire Prevention, Clinton Johnson Fire Marshal, City of Humble, Tx_ 110 W. Main Humble, Tx. 77338 Cc: Smither Merchant Builders File 12 1000 26 rs- City of Humble Permit #: 900397 Permit: BUILDING Inspector: RICK MARTINEZ District: Scheduled: 09/05/03 08:22:05 AM Priority? No Property Information: Address: Property Owner -NV (GAY 19424 DR PARK MANOR OF BLDG 20 HUMBLE NURSING HOME Structure: 19424 MC KAY DRIVE NURSING HOME HUMBLE. TX77338 Permit Information: Work Description: NEW CONSTRUCTION SITE FOUNDATION & BLD-0UT Permit Notes: Inspection Information: Inspection Class: Name: 1 C� ,-t Final Notes to DOAK Inspector. Directions to Site: Vehicle Number: Pass: �, Reinspect: Charge Fee: Notes : q j5/03 License Holder Final Inspection? Y Clockin: AM O PM O Clockout:AM P'1i O Inspection Type: Plumbing Inspector: Rick MARTINEZ Strict Sequence? Y District: Final inspection? Y dotes to Inspector: DO.AK Inspection Detail Report Name: Final Scheduled Requested: 09/05/03 08:22:04 AM Required: 09/05103 08 22 05 AM Vehicle Number: 0 Odometer: 0 Clockin: 09/05/03 08 22.00 AM Clockout: 09105/03 08 22 00 AM Page 5 Inspection Detail Report Inspection Type: Budding Name: PAVING #4 Reinspection Required Inspector: Rick MARTINEZ Requested: 05/28/03 02 23 00 PM Required: 05/26/03 02 23 00 PM Strict Sequence? N District: Vehicle Number: 0 Odometer: 0 Final Inspection? N Clockin: 05/28/03 02 23 00 PM Clockout: 05/28/03 02 23 00 PM Notes to Inspector: DOAK / POUR CONCRETE TOMORROW @ 7 00 AM Notes from Inspection: REBAR NOT LIFTED, LARGE CHUNKS OF DIRT 1N POUR AREA Inspection Type: Building Name: PAVING #5 Inspection Passed Inspector: Rick MARTINEZ Requested: 05/22/03 02 25 00 PM Required: 05/22/03 02 25 00 PM Strict Sequence? N District: Vehicle Number: 0 Odometer: 0 Final Inspection? N Clockin: 05/22/03 02 25 00 PM Clockout: 05/22/03 02 25 00 PM Notes to inspector: DOAK / LATE PM Inspection Type: Building Name: PAVING #6 Inspection Passed Inspector: Rick MARTINEZ Requested: 05/20/03 02 26 00 PM Required: 05/20/03 02 26 00 PM Strict Sequence? N District: Vehicle Number: 0 Odometer: 0 Final Inspection? N Clockin: 05/20/03 02 26 00 PM Clockout: 05/20/03 02 26 00 PM Notes to Inspector: DOAK / READY 3PM TODAY Inspection Type: Building Name: FRAME Inspection Passed Inspector: Rick MARTINEZ Requested: 06/18/03 02 18 00 PM Required: 06118/03 02 18 00 PM Strict Sequence? N District: Vehicle Number: 0 Odometer: 0 Final Inspection? N Clockin: 06/18103 02 18 00 PM Clockout: 06/18/03 02 18 00 PM Notes to Inspector: DOAK / BALANCE OF WING 300 & ALL OF WING 400 / GET WITH 902 PENDING EW Inspection Type: Building Name: DRIVEWAY #1 Inspection Passed Inspector: Rick MARTINEZ Requested: 05/22/03 02 26 00 PM Required: 05/22/03 02 26 00 PM Strict Sequence? N District: Vehicle Number: 0 Odometer: 0 Final Inspection? N Clockin: 05/22/03 02 26 00 PM Clockout: 05/22/03 02 26 00 PM Notes to Inspector: DOAK / LATE PM I POUR CONCRETE FRIDAY AM Inspection Type: Building Name: DRIVEWAY #2 Inspection Passed Inspector: Rick MARTINEZ Requested: 05/21/03 02 27 00 PM Required: 05/21/03 02 27 00 PM Strict Sequence? N District: Vehicle Number: 0 Odometer: 0 Final Inspection? N Clockin: 05/21/03 02 27 00 PM Clockout: 05/21/03 02 27 00 PM Notes to Inspector: DOAK / LATE PM TODAY / POUR CONCRETE 7 AM THURSDAY Page 4 Inspection Detail Report Inspection Type: Building Name: PAVING #1 Inspection Passed Inspector: Robert PENNINGTON Requested: 06/20/03 03 30 00 PM Required: 06/20/03 03 30 00 PM Strict Sequence? N District: Vehicle Number: 0 Odometer: 0 Final Inspection? N Clockin: 06/20/03 03 30 00 PM Clockout: 06/20/03 03 30 00 PM Notes to Inspector: DOAKI PAVING Inspection Type: Building Name: PAVING #1 Inspection Passed Inspector: Rick MARTINEZ Requested: 06/05/03 02 21 00 PM Required: 06/05/03 02 21 00 PM Strict Sequence? N District: Vehicle Number: 0 Odometer: 0 Final Inspection? N Clockin: 06/05/03 02 21 00 PM Clockout: 06/05/03 02 21 00 PM Notes to Inspector: DOAK / PM TODAY Inspection Type: Building Name: PAVING #2 Inspection Passed Inspector: Rick MARTINEZ Requested: 06/02/03 02 22 00 PM Required: 06/02/03 02 22 00 PM Strict Sequence? N District: Vehicle Number: 0 Odometer: 0 Final inspection? N Clockin: 06/02/03 02 22 00 PM Clockout: 06/02/03 02 22 00 PM Notes to Inspector: DOAK / PM TODAY Inspection Type: Building Name: FRAME #1 Inspection Passed Inspector: Rick MARTINEZ Requested: 06/04/03 02 20 00 PM Required: 06/04/03 02 20 00 PM Strict Sequence? N District: Vehicle Number: 0 Odometer: 0 Final Inspection? N Clockin: 06/04/03 02 20 00 PM Clockout: 06/04/03 02 20 00 PM Notes to Inspector: WING #100 Inspection Type: Building Name: PAVING #3 Inspection Passed Inspector: Rick MARTINEZ Requested: 05/29/03 02 23 00 PM Required: 05/29/03 02 23 00 PM Strict Sequence? N District: Vehicle Number: 0 Odometer: 0 Final Inspection? N Clockin: 05/29/03 02 23 00 PM Clockout: 05/29/03 02 23 00 PM Notes to Inspector: DOAK] 512-971-0156 / LATE PM TODAY Notes from Inspection: ENTRY & IN FRONT OF WING #400 Inspection Type: Building Name: FRAME #2 Inspection Passed Inspector: Rick MARTINEZ Requested: 06/06/03 02 20 00 PM Required: 06/06/03 02 20 00 PM Strict Sequence? N District: Vehicle Number: 0 Odometer: 0 Final Inspection? N Clockin: 06106/03 02 20 00 PM Clockout: 06/06/03 02 20 00 PM Notes to Inspector: DOAK / WING #3001 READY AM TODAY / PENDING EW & PT GET W/902 & 903 Page 3 Inspection Detail Report Inspection Type: Name: Bu Reinspection Required Inspector: Requested: 03/31/03 03 46 09 PM Required: 04/01/03 12 00 00 AM Strict Sequence? N District: Vehicle Number: 901 Odometer: 0 Final Inspection? N Clockin: 04/01/03 12 00 00 AM Clockout: 04/01/03 12 00 00 AM Notes from Inspection: EARLY AM TUESDAY N E ELEVATION Inspection Type: Name: BS Reinspection Required Inspector: Requested: 04/10/03 08 42 00 AM Required: 04/10/03 02 00 00 AM Strict Sequence? N District: Vehicle Number: 901 Odometer: 0 Final Inspection? N Clockin: 04/10/03 12 00 00 AM Clockout: 04/10/03 12 00 00 AM Inspection Type: Name: BU Reinspection Required Inspector: Requested: 04/02/03 08 22 37 AM Required: 04/02/03 12 00 00 AM Strict Sequence? N District: Vehicle Number: 901 Odometer: 0 Final Inspection? N Clockin: 04/02/03 12 00 00 AM Clockout: 04/02/03 12 00 00 AM Notes from Inspection: STORM SEWER EAST ELEVATION Inspection Type: Name: BS Reinspection Required Inspector: Requested: 04/14/03 08 30 22 AM Required: 04/14/03 03 00 00 AM Strict Sequence? N District: Vehicle Number: 901 Odometer: 0 Final Inspection? N Clockin: 04/14/03 12 00 00 AM Clockout: 04/14/03 12 00 00 AM Inspection Type: Name: BU Reinspection Required Inspector: Requested: 04/07/03 01 09 12 PM Required: 04/07/03 12 00 00 AM Strict Sequence? N District: Vehicle Number: 901 Odometer: 0 Final Inspection? N Clockin: 04/07/03 12 00 00 AM Clockout: 04/07/03 12 00 00 AM Notes from Inspection: NORTH ELEVATION STORM SEWER Inspection Type: Name: BU Reinspection Required inspector: Requested: 04/08/03 11 16 52 AM Required: 04/08/03 12 00 00 AM Strict Sequence? N District: Vehicle Number: 901 Odometer: 0 Final Inspection? N Clockin: 04/08/03 12 00 00 AM Clockout: 04/08/03 12 00 00 AM Notes from Inspection: S W ELEVATION STORM SEWER Page 2 � ' City of Humble 09/05/03 Innovative Software Hummerma Inspection Detail Report Permit ID: 900397 Issue Date: O112703 Name BUILDING Inspection Type: Wame:BS Inspection Passed Inspector: Requested: 04/22030410:56PyW Required; 04123X0312:00:00AM Strict Sequence? N District: Vehicle Number: 901 Odometer: O Final |nappodun? N Cioohin: 04/2303 1200:00AM C|ockout: 04/23103 12:0&00AM Inspection Type: Name: BU Inspection Passed Inspector: Requested: 0409031&3016AM Required: 04K]9X}312D0 OOAM Strict Sequence? N [Uatdot: Vehicle Number: 901 Odometer: O Final|napoction? N C|ooNn:O4090312:OO:OOAM C|ookout:O4X}Q0312:U8OOAM Inspector: Requested. 04030308:43i33AM Required: 0403X0312:00:00AM Strict Sequence? W District: Vehicle Number: 901 Odometer: O inspection Type: Name: BU Reinspection Required Inspector: Requested: 03/2703041412PKA Required: 03/28X0312�00:00AM Strict Sequence? Ni District: Vehicle Number: 301 Odometer: O Final inspection? N C|ockin: 03/28X03 12.800OAK8 Clookout 03CI8/03 1200:00AM Notes from inspection: READY 1ST AM FRIDAY inspection Type: Name:�8 ��)���8�onF�8quired n� � inspector Requested: 04070301:09:53PM Required: 04X070312:00:00AM Strict Sequence? N District: Vehicle Number: 901 Odometer: D Notes fnornInspection: POUR CONCRETE TOMORROW AM City of Humble Innovative Government Software Humble Texas Inspection Detail Report Permit ID: 9003352 Issue Date: 03/26/03 Nam*. FIRE SRRWI(LER 09105103 Inspection Type: Fire Name: Underground Scheduled Inspector: Requested: 04/07/03 02:29:04 PM Required: 04/08103 12:00:00 AM Strict Sequence? N District: Vehicle Number: 0 Odometer: 0 Final Inspection? N Clockin: / / : : AM Clockout: / / AM Inspection Type: Fire Name: Sprinkler System Inspection Passed Inspector: CLINT JOHNSON Requested: 06/11/03 11:19:00 AM Required: 06/11/03 11:19:00 AM Strict Sequence? Y District: Vehicle Number: 0 Odometer: 0 Final Inspection? N Clockin: 06/11/03 11:19:00 AM Clockout: 06/11/03 11 19:00 AM Notes to Inspector: WING #200 / DOAK Inspection Type: Fire Name: Sprinkler Svstem Inspection Passed Inspector: CLINT JOHNSON Requested: 06/25/03 03:28:00 PM Required: 06/25/03 03:28:00 PM Strict Sequence? Y District: Vehicle Number: 0 Odometer: 0 Final Inspection? N Clockin: 06/25/03 03:28:00 PM Clockout: 06/25/03 03:28:00 PM Notes to Inspector: JOHN / 1:00 PM Inspection Type: Plumbing Nance: ScheduWd Inspector: CLINT JOHNSON Requested: 09/05/03 08:25-06 AM Required: 09/05/03 08:25:07 AM Strict Sequence? Y District: Vehicle Number: 0 Odometer: 0 Final Inspection? Y Clockin: 09/05/03 08:25:00 AM Clockout: 09/05/03 08:25:00 AM Notes to Inspector: DOAK Page 1 Qy- of Mumble Building 11h. pection Dept. _Rick 111artinez, H (d) Appendix D Sample Service Inspection Certification Texas Natural Resource Conservation Commission Chapter 290 Water hygiene w Service Inspection Certification COUx�`t Maine of PWS The City of Humble PWS I D # Locatioa,of Service .19424 MCKAY DRIVE HUMBLE, TEXAS 77338 T 16,6 //t/ , upon inspection of the private plumbing facilities connected to the afore ientioned public water supply do hereby certify that, to the best of my knowledge Compliance Non -Compliance (1) No direct connection between the public drinking water supply and a potential source of contamination exists Potential sources of contamination are isolated from the public water system by an air gap or an appropriate backflow prevention assembly in accordance with state plumbing regulations Additionally, / all pressure relief valves and thermal expansion devices are in compliance with state plumbing codes i/ (2) No cross -connection between the public drinking water supply and a private water system exists Where an actual air gap is not maintained between the public water supply and a private water supply, an approved reduced pressure-zotie backflow prevention assembly is properly installed and a service agreement exists for annual inspection and testing by a ccrtified backflow prevention device tester (3) No connection exists which would allow the return of water used for condensing, cooling or industrial processes back to the public water supply (4) No pipe or pipe fitting which contains more than 8 0% lead exists in private plumbing facilities installed on or after July 1, 1988 (5) No solder or flux which contains more than 0 2% lead exists in private plumbing facilities installed on or after July 1, 1988 (6) No plumbing fixture is mstalled which is not in compliance with a state approved plumbing code Water service shall not be provided or restored to the private plumbing facilities until the above conditions are determined to be in compliance I further certify that the following materials were used in the installation of the plumbing facilities Service Lines Lead Copper _` PVC Other Solder Lead �/ Lead Free d Solvent Weld � Other I reco �J'at this document shall become a permanent record of the aforementioned Public Water System and that I am legally respo ithe vli y of the urination I have provided St ture cf Inspect Regis ation N I� - a BUILDING OFF CIAL I pc of Registration SEPTEMBER 5, 2003 Date 09 5025-06 AT;IRCC Cert[fication/n 081997 File: . 1_9424 McKay Dr. Rachel Isaacks Cry of Humble 114 W Higgins Compla,int Humble. Texas 118 281-446-3061 Ext 118 ■ Fax 281 -446-7902 February 17, 2004 Attn: Ray Pearson, Plumbing Inspector Date of Complaint: February 16, 2004 Complainant Information: (do not give out Name: Dave Ward - Public Works Business Name: City of Humble Address: Telephone: 281446-2327 Complaint Information: Complaint: Grease trap overflow. Complaint Location: 19424 McKay Dr. Other Notes: Investigation Notes n BUILDING PERMIT APPLICATION City of Humble d nn lira t to rmmnlpto nuirh PrPd SnaceS onll! 1 JOB ADDRESS NAME OF ES-fABLISHMENT "'Nvok 2 LEGAL LOT O BLK. TRACT SUBDIVISION DESCR j. s +1 14 ' / K GENERAL CONTRACTO COMPA Y NAME,-,, CONTACT NAMEMAIL ADDRESS OFFICE PHONE CELL PHONE 3 e,,�;� r. /fit �?c>=- ,`�t4 s�d�irr s�ec�- ARCHITECT J DESIGNER ; ENGINEER AILADDRESS OFFICE PHONE 53 CLASS OF WORK - % NEW ❑ ADDITION JALTERATION ❑ REPAIR J MOVE Z) INTERIOR DEMO 6 DESCRIBE WORK. VALUATION OF WOR 7 Q TYPE OF CONSTRUCTION OCCUPANCY GROUP TOTAL SO, FT NO OF STORIES Separate permits are required for electrical, plumbing, heating, ventilating or air conditioning. This permit becomes null and void after 6 months of construction inactivity. Senate Bill 509. requires municipalities to verify that an asbestos survey has been conducted prior to issuing renovation or demolition permits for public or commercial buildings and affects renovation and demolition permits for public or com- mercial buildings issued by municipalities on or after January 1, 2002. If you have any questions contact Jennifer Delk, Asbestos Programs Branch, Outreachilnformation Section, at either 1-800-572-5548 or 512-834-6610 or the Asbestos Program at the nearest Texas Department of Health regional office. Please complete the following question: Was an asbestos survey performed in accordance with Texas Asbestos Health Protection Rules (TAHPR) and the National Emission Standards for Hazardous Air Pollutants (NESHAP)? 93 Yes No - Date of Survey____ _ _ TDH Inspector License No. Senate Bill 484, which went into effect on June 17th. 2001. requires building officials. prior to accepting an application for a construction permit for a non-residential project that Will cost in excess of S50,000. to verify that the building or facility has been registered with the Texas Department of Licensing and Regulation (TDLR) for compliance with Texas Accessi- bility Standards. Cities are not responsible under the bill for confirming that the building is in fact approved by TDLR. but simply must verify that the project has been initially registered with TDLR. Projects registered with TDLR will have a project number assigned by the department. Access the TDLR web site at www.license.state.tx.us. *click on "Licensing and Enforcement Databases." *Click on "Architectural Barriers Project Database" *Type in the project number in the appropriate field and press enter or click "search." *Review the results. Please complete the following question: Has this building or facility been registered with TDLR for compliance with Texas Accessibility Standards? Yes i' ^ No TDLR Proj ct Numbeln _ .S' c Sf130 �NA4UEZFC OOR AUTH RI D AGENT DATE SIGNAT RE 11 OF PROPERTY OWNER DATE BLDG. PERMIT 4��' DATE ISSUED I CITY OF HUMBLE ' » VV. HIGGINS • HUMBLE TEXAS 77338 Is 281-446-3061 DATE NUMBER I ki City of Humble Tax Pavment Verification V In an eyort to serve you more -Ifficienth and to avoid a possiole delay m ootainmg your permit. THIS FORM MUST BE FILLED OUT COMPLETELY. upon completion, the tax dep:trtmert wit corif= that A ;=sting Ciry of Humble property taxes have been paid. This `orm can then be returned to the buidinz%permit deaarunent to be artached to your building permit appiicatioe. CITY OF HUMBLE PROPERTY TAX ACCOUNT 4 EL4RRIS COUNTY APPRAISAL DISTRICT ACCT. CITY OF HQMBLE PERSONAL PROPERTY TAX ACCTn(S)_ Lots)/Tract(s): SurveyiS ubdiv'i: Property address: 1 , Name of ownertrustee as it appears on the City or Humble tax roil L 0 A Am- *_******************FOR TAX OFFICE USE ONLY******************** y Taxes Paid, Date of Approva APPROVED BY Date Pair City of Humble Permit #: 9003354 Permit: PLUMBING Inspector: RAY PEARSON Scheduled: 08/27103 05:03:19 PM Property Information: Address: 40C KAY 19424 DR BLDG 20 Structure: NURSING HOME Permit Information: Work Description: BLD-OUT Permit Notes: inspection Information: Inspection Class: Name: Plumbing Final Notes to DOAKS i AM THURSDAY Inspector. Directions to Site: Vehicle dumber: Pass: Reinspect: 0 Charge Fee: 0 Notes : Property Owner PARK MANOR OF HUMBLE NURSING HOME 19424 MC KAY DRIVE HUMBLE. TX77338 District: Priority? No License Holder HUDDLESTON Lkwse Type: JINIJW License Number: Final Inspection? Y ---� Clockin: • AM 0 PM O Clockout:� ' a AM Pnt C) Standard Soft (R) REC #: 50060 MEMORY: SCREEN # 190 Permit #: 03-00097 Permit rlype: BP BUILDING PERMIT Master #: 03-00097 Address: MC KAY DRIVE 19424 Contractor: DOAKS CHUELKE Inspect Type: BS Insp Desc: BUILDING SLAB INSPECTION REQUEST Inspector ID: 000/RI Insp. District: Hold (Y or N) : ------------------------ Date Desired: 04/10/03 Time Desired: 02:00:PM ----------------------- Request Date: 04/10/03 Request Time: 08:42:00 NOTES: NOTES: Press INSPECTION RESULT APRIL 10, 2003 Vehicle ID or Nbr: Odometer on Site: Inspection Date: Beginning Insp Time: Ending Insp Time: (I)nspect/(R)e-Insp: I r R Only) Inspection Results: i�orrOnly) Re -Inspection Requr: Onlv) konly) Re -Inspect. Fee Req: (Y or Correct Code/Commnt : DOKE / READY AT (4PM 1,101 F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press {ESC> to Exit Standard Soft (R) REC #: 50059 MEMORY: SCREEN # 190 Permit #: 03-00354 Permit Type: PP PLUMBING PERMIT Master #: 03-00097 Address: MC KAY DRIVE 19424 Contractor: HI3iiDLESTON, GARY R. Inspect Type: PR Insp Desc: PLUMB ROUGH IN INSPECTION REQUEST INSPECTION RESULT APRIL 10, 2003 Inspector ID: =--=-----_______ 000/RI Vehicle ID or Nbr: Insp. District: Odometer on Site: Hold (Y or N) . Inspection Date: / ----------------------- Beginning Insp Time: Date Desired: 04/10/03 Time Desired: : : Ending Insp Time: (I)sppect/(R)e-Insp: I or R Only) -- --- Inspection Results: _a?or Only) Request Date: 04/10/03 Re -Inspection Requr: (Y or Only) Request Time: 08:40:46 Re -Inspect. Fee Req: (Y or Only) ----------------------- Correct Code/Commnt: READY EARLY AM NOTES: WING 300 NOTES: Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit Standard Soft (R) REC #: 50018 MEMORY: SCREEN 4 190 Permit #: 03-00097 Permit Type: BP BUILDING PERMIT Master #: 03-00097 Address: MC KAY DRIVE 19424 Contractor: DOAKS CHUELKE Inspect Type: BU Insp Desc: STORM SEWER UNDERGROUND INSPECTION REQUEST INSPECTION RESULT APRIL 7, 2003 Inspector ID: 000/RT Vehicle ID or Nbr: Insp. District: Odometer on Site: Hold (Y or N) Inspection Date: ----------------------- Beginning Insp Time: Date Desired: 04/07/03 Ending Insp Time: Time Desired: : (I)nspect%(R)e-Insp: I _ or R Only) Inspection Results: or C Only) Request Date: 04/07/03 Re -Inspection Requr: (Y orOnly) Request Time: 13:09:12 Re -Inspect. Fee Req: (Y or NON Only) ----------------------- Correct Code/Commnt: DOAK ,/ 3:30 PM NOTES: NOTES: Press F1 for All Inspections this Use Standard Movement All-71tg/4///( Permit/F2 for All Inspections this Type Keys or Press <ESC> to Exit Standard Soft (R) REC #: 50019 MEMORY: Permit #: 03-00097 Permit Type: BP BUILDING PERMIT Master #: 03-00097 Address: MC KAY DRIVE Contractor: DOAKS CHUELKE Inspect Type: BS Insp Desc: BUILDING SLAB INSPECTION REQUEST Inspector ID: 000/RT Insp. District: Hold (Y or N) : ----------------------- Date Desired: 04/07/03 Time Desired: ----------------------- Request Date: 04/07/03 Request Time: 13:09:53 ----------------------- NOTES: NOTES: Press INSPECTION RESULT Vehicle ID or Nbr: Odometer on Site: Inspection Date: Beginning Insp Time: Ending Insp Time: (I)nspect/ (R)e-Insp: Inspection Results: Re -Inspection Requr: Re -Inspect. Fee Req: Correct Code/Commnt: POUR CONCRETE TOMORROW AM SCREEN ## 190 19424 APRIL 7, 2003 I er r R Only) C Only) (Y or Only) (Y or °Only) DOAK / 3:30 PM F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit Standard Soft (R) REC #: 49998 MEMORY: Permit #: 03-00354 Permit Type: PP PLUMBING PERMIT Master #: 03-00097 Address: MC KAY DRIVE Contractor: HUDDLESTON, GARY R. Inspect Type: PU Insp Desc: PLUMB UNDERGROUND INSPECTION REQUEST Inspector ID: 0001RI Insp. District: Hold (Y or N) : / SCREEN # 1,90 19424 INSPECTION RESULT APRIL 3, 2003 Vehicle ID or Nbr: Odometer on Site: Inspection Date: Beginning Insp Time: Date Desired: 04,1 03, 03 Ending Insp Time: Time Desired: (I)nspect/(R)e-Insp: I 2or R Only) ----------------------- Inspection Results: (�)or C Only) Request Date: 04/03/03 Re -Inspection Requr: (Y or I -only) Request Time: 09:28:05 Re -Inspect. Fee Req: (Y or Only) ----------------------- Correct Code/Commnt: RICK NOTES: NOTES: Press l � F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit Standard Soft (R) REC #: 50035 MEMORY: Permit #: 03-00097 Permit 'Type: BP BUILDING PERMIT Master #: 03-00097 Address: MC LAY DRIVE 19424 Contractor: DOAKS CH`UELKE Inspect Type: BU Insp Desc: STORM SEWER UNDERGROUND INSPECTION REQUEST Inspector ID: 000/RT Insp. District: Hold (Y or N) . ----------------------- Date Desired: 04/09/03 Time Desired: ----------------------- Request Date: 04/09/03 Request Time: 10_30:16 - NOTES: NOTES: Press SCREEN # 190 INSPECTION RESULT APRIL 9, 2003 -------------------------------------------------------- -------------------------------------------------------- Vehicle ID or Nbr: Odometer on Site. Inspection Date: Beginning Insp Time: Ending Insp Time: (I)nspect/ (R)e-Insp: I R Only) Inspection Results: � ,or (; or Only) Re -Inspection Requr: Re -Inspect. Fee Req: (Y or(N Only) (Y. orOWnly) m�rm Correct Code/Cont : DOAK ;' AFTEP. L F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit Nextetcom - Your Message Has Been Received Page I of'I k� Nextel Home I MyNextel I M_e_ssaging Overview Send a_Message Send a Group Message Message Inbox Sent Messages Saved__Messages My Phone Messages My_ Phone Replies Message Status FAQs Tutorial International Travel Your message has been received by the Nextel Messaging Center. Select Recipient F Claim Number From: Becca Subject: nsp Message: 234 Chases / ES for Kemp cut in for 11:00 am You may check the status of your message now by selecting the recipient(s) of interes clicking the button below. To check later, write down your claim number(s) and gi "Message Status" page when you return to the site. Standard Soft (R) REC #: 49997 MEMORY: Permit #: 03-00354 Permit Type: PP PLUMBING PERMIT Master #: 03-00097 Address: MC KAY DRIVE Contractor: HUDDLESTON, GARY R. Inspect Type: PU Insp Desc: PLUMB UNDERGROUND INSPECTION REQUEST Inspector ID: 000/RT Insp. District: Hold (Y or N) : ----------------------- Date Desired- 04/03/03 SCREEN ## 190 19424 INSPECTION RESULT APRIL 3, 2003 -------------------------------------------------------- -------------------------------------------------------- Vehicle ID or Nbr: Odometer on Site: Inspection Date: Beginning Insp Time: Ending Insp Time: Time Desired: (I)nspect/ (R)e-Insp: I (I or R Only) ----------------------- Inspection Results: or C Only) Request Date: 04/03/03 Re -Inspection Requr: o N nly) Request Time: 08:56:26 Re -Inspect. Fee Req: (Y ory, Only) ----------------------- Correct Code/Commnt: DOUG / AM NOTES: NOTES: Press F1 / -51 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit \i r Standard.Soft (R) REC #: 50024 MEMORY: SCREEN # 190 Permit #: 03-00097 Permit Type: BP BUI Master #: 03-00097 Addr Contrac ELKE Inspect Type: BU Insp Desc: S: SEjJF INSPECTION REQUEST INSPECTION RESULT APRIL 8, 2003 Inspector ID 000/RI -Vehicle ID or Nbr: - Insp. District: E Odometer on Site: Hold (Y or N) . ( Inspection Date: ----------------------- Beginning Insp Time: Date Desired: Insp Time: Time Desi� t/(R)e-Insp: I or R Only) -----------------------E Inspection Results: 16or C Only) Request Date: 04/08/03 Re -Inspection Requr: (Y or Only) Request Time: 11:16:52 Re -Inspect. Fee Re (Y or N,Only) -----------------------� Correct Cade/Commas READY AT IPJ TODAY NOTES: fA,, NOTES: Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit Standard Soft (R) REC #: 49996 MEMORY: Permit #: 03-00097 Permit Type: BP BUILDING PERMIT Master #: 03-00097 Address: MC KAY DRIVE 19424 Contractor: DOAKS CHUELKE Inspect Type: BS Insp Desc: BUILDING SLAB INSPECTION REQUEST Inspector ID: 000/RT Insp. District: Hold (Y or N) : ----------------------- Date Desired: 04/03/03 Time Desired: ----------------------- Request Date: 04/03/03 Request Time: 08:43:33 ----------------------- NOTES: NOTES: Press SCREEN # 190 INSPECTION RESULT APRIL 3, 2003 Vehicle ID or Nbr: Odometer on Site: Inspection Date: / J Beginning Insp Time: Ending Insp Time: (I)nppect/(R)e-Insp: I or R Only) Inspection Results: Oor Only) Re -Inspection Requr: (Y o Only) Re -Inspect. Fee Req: (Y o N nly) Correct Code/CotYnztnt : DOUG i AM 71316?A F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit Standard Soft (R) REC #: 50040 MEMORY: Permit #: 03-00353 Permit Type: EP ELECTRICAL Master #: 03-00097 Address: MC KAY DRIVE Contractor: ROBERT ABNEY Inspect Type: EU Insp Desc: ELEC UNDERGROUND INSPECTION REQUEST Inspector ID: 000/RI Insp. District: Hold (Y or N) . ------------------------ Date Desired: 04/09/03 Time Desired: Request Date: 04/09/03 Request Time: 13:16:01 ------------------------- NOTES: NOTES: Press F1 SCREEN # 190 19424 INSPECTION RESULT APRIL 9, 2003 Vehicle ID or Nbr: C`Z~ Odometer on Site: Inspection Date: J / Beginning Insp Time: 3 Ending Insp Time: (I)nspectj(R)e-Insp: I 00or R Only) Inspection Results: or Only) Re -Inspection Requr: (Y or(y-7nly) Re -Inspect. Fee Req : Y or (Only) Correct Code/Commnt: ROBERT ,' READY 2-30PM for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit i � 6MA City of Fumble Permit #: 9003578 Permit: MECH NEW Inspector: RICK MARTINEZ District: Scheduled: 09/02/03 08:52:07 AM Priority? No Property Information: Address: Property owner license Holder -MC KAY 19424 OR PARK MANOR OF MICHAEL WAYNE MIMS HUMBLE NURSING HOME License Type: Unknown Structure: 19424 MC KAY DRIVE License Number NURSING HOME HUMBLE, TX77338 Permit Information: Work Description: 7 FIVE TON AIR NEW: 1 3TON NEW Permit Notes: Inspection Information: Inspection Class: Name: -Ring-- Final _ Final Inspection? v Notes to DOAKE / 512-971-0156 Inspector: Directions to Site: Vehicle Number. ! � Clockin: PM O N O Pass: Reinspect: 0 !---� AM 0 Clockout Charge Fee: O PM 0 Notes : eT16z1rC'? City Of Hdlmbie Bmlding / Inspection Dept. 114 W. Higgins, Fumble, Texas 77338 August 14, 2003 Park Manor Nursing Home 19424 Mc Kay Drive Humble, Texas 77338 Re: Gas Test To whom it may concern: (281)446-6228 Fax (281) 446-7902 Rick Martinez, Ghref Bmlding Official Please note the following information regarding a gas test inspection that was approved for the following location: Name of Establishment: Address: Park Manor Nursing Home 19424 Me Kay Drive Humble, Texas 77338 Test made by: Western Plumbing & Heating Rt. 1 Box 87C Rochelle, TX. 76872 915-463-5506 Gary Huddleston #M-10483 Inspectors comments: Re ectfully, aRickart iiez, Chief Building Official City of Humble Plumbing Inspector I-1059 09 5250 08 10-9-02 Annua1GasTesVRJJ0S1403 Gas test top out at 76 lbs. for 15 minutes. Gas test final at 25 in. for 50 minutes. City Of Humble Building / Inspection Dept. 114 W. Biggins, Humble, Texas 77338 August 14, 2003 Park Manor Nursing Home 19424 Mc Kay Drive Humble, Texas 77338 Re: Gas Test To whom it may concern: (281) 446-6228 Fax (281) 446-7902 Rick Martinez, Chief Building Ofraal Please note the following information regarding a gas test inspection that was approved for the following location: Name of Establishment: Address: Park Manor Nursing Home 19424 Mc Kay Drive Humble, Texas 77338 Test made bv: Western Plumbing & Heating Rt. 1 Box 87C Rochelle, TX. 76872 915-463-5506 Gary Huddleston #M-10483 Inspectors comments. Respectfully,. Rick Mart ez, Chief Building Official City of Humble Plumbing Inspector I-1059 09 5250 08 10-9-02 AnnualGaffest/RU081403 Gas test top out at 76 lbs. for 15 minutes Gas test final at 25 in. for 50 minutes. City of Humble Permit #: 9003353 Permit: ELECTRICAL Inspector: ROBERT PENNINGTON District: Scheduled: 09/01/03 03.-37-.03 PM Priority? No Property Information- Address- -MC KAY 19424 DR BLDG 20 Structure: NURSING HOME Permit Information., Work Description: BLD-OUT Permit Notes- InSDeCtion Information: Property Owner PARK MANOR OF HUMBLE NURSING HOME 19424 MC KAY DRIVE HUMBLE TX77338 Inspection Class: Name: Plumbing Final Notes to DOAK 512-971-0156 1 AM THURSDAY Inspector: -21 Directions to Site: Vehicle Number: z-, Pass: Reinspect: Charge Fee: to Notes : License Holder POBERTABNEY License Type: ELEC License Number. DALLAS AWII111114" Final Inspection? Y Clockin: ANI (D P,%I 0 ANI 0 Clockout:i PM1I 0 City of Humble H—Ne dexac Permit #: OLRRIGATION Inspector: RAY PEARSON District: Scheduled: 08/08/03 04:09:40 PM Priority? No Property Information: Address, 19424 MCKAY DR Property owner PARK MANOR OF HUMBLE NURSING HOME Structures 19424 MC KAY DRIVE NURSING HOME HUMBLE. TX 77338 Permit Information: Work Description: INSTALL NEW LAWN SPRINKLER. Permit Notes; Inspection Information: Inspection Class: Hamm PWOWG Final '' ;aa.. ' Motes to Inspector: Directions to Sites Vehicle Number: Pass: Reinspect: Charge Fee: Li ense Holder LIXDSEY W. DIRDEN # LI-0007192 Expires: 08/31/04 5526 EDWARD DR. HOUSTON, TX 77032 Final Inspection? Y Clockin: AM OPM 0 Clockout:� � A!vt PM 0 Notes : r V L > j•� "—'�— ,4ake of Product Model Number i �• h�1IDept 2R obert 1- Boyles iz , fun le� TtiXnti %P2s)�-3061 Ck{ BuaingQ{oO. Box t02,f, F(i.-7902 B!ar-Ajlow Prevention Device Test ond;itenance Rep®rg - - �Ir Size Serial No # lusiness Name Ob ob Address �c nstalied for- Reduced Pressure Assemblies Pressure Vaeuuyn Breaker �%Clhe Relief Valve Air Inlet Check Valve Doubk Assemblies i s; _j" j_ L?ld check ------ ;TW o enea atpsid Closed Tight - Opened at PDC-Closed Tsid ��i� sid — P ` Test RP_ psid Leacea p � Did not open Leaked I Leaked � � Repairs j and Material Used,�.�� .s Test DC -Close Tight Llcsed i iglu RepaAfter ir RP- _ -- 1'=id_........_.:�..._..—_�_____.�._- The above is certified to he ti x ro (-Gi, SE:R\,4C;s Opened at Opened at psid _ psid psid yap Bog, Certified Tester Firm Name q ,n.�1y. f-`— `- 1\?;�z Certified Tester No Address --- �- - Date of Test Signature ---- -` The above signature indieat' tbacl�low preventer test evaluation has been conducted as required in the water sys, h o ,,�,menn rnmrS{ 1L� P .� 11 thr- plumbinsz Code 0f The citrate of Tex and other appfirable Health and Safety Co City of Humble Permit #: 9003353 Permit: ELECTRICAL Inspector: ROBERT PENNINGTON Scheduled: 08/04/03 08:41:07 AM Property Information: Address: -MC KAY ' 9424 DR BLDG 20 Structure: NURSING HOME Permit Information: Work Description: BLD-OUT Permit Notes: Inspection Information: Inspection Class: Name: Electrical Service Notes to BOB Inspector. Directions to Site: Vehicle Number: FG Zi Pass:.. Reinspect: Charge Fee: Notes : Property Owner PARK MANOR OF HUMBLE NURSING HOME 19424 MC KAY DRIVE HUMBLE. T X77338 District: Priority? No License Holder ROBERT ABNEY License Type: ELEC License Number: DALLAS Final inspection? N Clockin: � pt � a !��� • Psi J Clockout: �� AM 0• l! Phi Standard Soft (R) REC #: 50886 MEMORY: Permit #: 03-00353 Permit Type: EP ELECTRICAL Master #: 03-00097 Address: MC KAY DRIVE Contractor: ROBERT ABNEY Inspect Type: ES Insp Desc: ELEC SERVICE INSPECTION REQUEST Inspector ID: 000/RT Insp. District: Hold (Y or N) : ----------------------- Date Desired: 08/04/03 Time Desired: ----------------------- Request Date: 08/04/03 Request Time: 08:41:44 ----------------------- SCREEN # 190 19424 INSPECTION RESULT AUGUST 4, 2003 Vehicle ID or Nbr: Odometer on Site: Inspection Date: Beginning Insp Time: Ending Insp Time: (I)nspect/(R)e-Insp: I (I or R Only) Inspection Results: (P or C Only) Re -Inspection Requr: (Y or N Only) Re -Inspect. Fee Req: (Y or N Only) Correct Code/Commnt: BOB NOTES: NOTES: Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit city of Humble Building / Inspection Dept. P.O. Box 1627, 114 W". Higgins, Humble, Texas 77338 (281) -446-3061 Fax (281)446-7902 To: The Building Official, City of Humble Dear Sir: Robert L. Boyles 1, V 0,4-K 'L /11,11� e= of n,1,-�?) Fr 5 �i,�l c ; do hereby request (name) (company) that temporary electrical services are allowed at: (name of establishment) go of establishment) for construction purposes only. I understand and agree that there will be absolutely no stocldng of merchandise or business transactions taking place at this location until all final inspections are approved and a "Certificate of Occupancy" is obtained from the City of Humble. I also understand and agree that the City of Humble Building/Inspection Department, has all rights to have the temporary service disconnected immediately if I or any of my staff or the owners/staff of the incoming business fails to adhere to this agreement. 09.52 5a10 Misc-TO (sip) (Pdnt Name) (Bate) /� a 7 (Company Name) / (Company Address) 2/a �7 ? 2r� (Telephone) I also acknowledge that I have been given a copy of this letter. (Initiat) FINAL ELECTRICAL INSPECTION 7389 has passed a Final Electrical k ADDRESS Inspection. Electrical meter may be installed. t10 Date 4A CI ZSF HUMBLE ECTOR Transmission Report Date/Time Local ID Local Name Company Logo Tnis document was confirmed. (reduced sample and details below) DocUment Size S. 5xa. 5" �� FINAL ELE ICAL INSPECTION 7389 LI n has pa3scd s Find E4ac2Acal Aoc�1i5 Inapatlloa ElectEod mew rosy he inst lad. ♦♦ f��� Dsto w� MUM' ECTDa 11. Total Pages Scanned 1 Total Pages Confirmed 1 a— 4-03,10 27AM 2814467902 NO Doc Remote Station Time Duration Pages Mode Comments Results 1 654 hip (IStart I a- 4-03,10 27AM 27" 1/ 1 EC CP 14 4 Notes EC Error Correct RE Resend PD Polled by Remote ME Receive to Mailbox BC Broadcast Send MP Mu ItI - Poll PG POI!Ing a Remote PI Power Interruption CP Completed RM ReCelve to Memory OR Document Removed TM Terminated by user HS Host Scar HP Host Print FO Forced Output WT Walt:ng Transfer HF Host Fax HR Host Receive FM Forward Mailbox Doc WS Waiting Send *" 0-- City of Humble —W, Tr, - Permit ##: 9003354 Permit: PLUMBING Inspector: RAY PEARSON District: Scheduled: 08/08/03 03:32:53 PM Priority? No Property Information: Address. Property Owner License Holder -MC MY 19424 OR PARK MANOR O1= HUDDLESTON BLDG 20 HUMBLE NURSING HOME License Type. 0Mw Structure: 19424 SAC KAY DRIVE License Number NURSING HOME HUMBLE, TX77338 Permit Information: Work Description: BLD-OUT Permit Notes: Inspection Information: Inspection Class: Name: Plumbing gas test Notes to Inspector: Directions to Site: Vehicle Number: L-` Pass: Notes : Reinspect: C3 Charge Fee: O f j �-- /i/ -� e 1- �'�!f Final Inspection? N Ciockin: : aM OPM O Clockout:AM O� : 0 PM O ,25 r .. t-----=-a:�.� FINAL GAS INSPECTION ADDRESS Inspection. Gas meter may be installed. Date y ,P s 3081 has passed a Final Gas CITY OF HUMBLE INSPECTOR Transmission Repc) rt Tt-) i _y d o c u m e n t ',-va s con-F i rrried. (reduced 3amp I e and Beta i I s i-.�e I o*,,%,i Document S i %e S. 5x8. 5" I` w Sn�fJ j /11=1NAL GAS INSPECTION 3081 i�C�-u has O's*ud a F:ra: Gas tn,pMlion. Gas mole, nay he IneMed. --�>•�-�-•-- cm cF Nuur.E lhs.ecivt I •... "_ Pages Scanned t1 TOL � 1 Pages COr'.=' I vied t - .... DcCI"-'emC)Te Slat,on Start TIMe �Duration Pages Mode ICO'fln1OYlty Rt.SuI_> EC � CP 14. 4 .-. .-.. .. ,. . PE n:j PG' : PO I 1 ed Oy .m-.emO`e ".1E p e C e 1 `o r LO M-3 1 1 oO:.1 ._,._ -..� .. ... ... �:I >. �:11` 'tit_: ti Pal l -_ POI 111`.) a pe MI-)r$ r'1 POW@r 1fiTQf flJptlOr p I ...-. I.'-: "l-. _ DF;. Oc)cumer' a"em.oveo TM Terminated ry _.^Ef t-FS £,r. prim F'- FOrCed Cu'ptiL V:T: Ivalt-ng Transfer HF: F-os a F.a, FSR: H-,st Pece 1'.'s F%I: FCr'.v�,rd M31 I oot DOC. WS: `.931 t i ryg SenC; r City of Humble Permit #: 2003696 Permit: FIRE SPRINKLER Inspector: GLINT JOHNSON District: Scheduled: 06/25/03 02:51:40 PM Priority? No Property Information: Address: 19424 MCKAY DR Property owner PARK MANOR OF HUMBLE NURSING HOME Structure: 19424 MC KAY DRIVE NURSING HOME HUMBLE, TX 77338 Permit Information: Work Description: FIRE EXTINGUISHING SYSTEM Permit Notes; Inspection Information: Inspection Mass: Name: Fire OVERHEAD/ROUGH/COVER Notes to DOAKS / 512-971-0156 / READY AT 1.30PM TODAY Inspector: KITCHEN / LOBBY / NURSES STATION / LAUNDRY Directions to Site: Vehicle Number: Pass: �} Reinspect: 0 Charge Fee: O License Holder SAMUEL T, KOETTER. # ECR6W Expires: 04/30!04 929 FISHER STREET HOUSTON. TX 77018 Final Inspection? N 6flckin: AM 0 u IL-----�� Ptit clackQut:� ; � AMC P1I 0 Notes Standard Soft (R) REC #: 50719 MEMORY. SCREEN # 190 Permit ­00 Permit Type: FS FIB: SPRINKLF,R Addz ss: MC KAY DRTV9 19424 Contractor- SA14ULL T . KOETTER Inspect Type: FO Insp EWSC 7 FIR'E AHEAD/ROUGH/COVER INSPECTION REQUEST INSPECTION RESULT JUNE 25, 2003 Inspector ID 000/RI Vehicle ID or Nbr: Insp. District: Odometer on Site: Hold (Y or N) . Inspection Date: ----------------------- Beginning Insp Time: Date Desiredt. 06/25/03 Ending Insp Time: Time Desired: (I)nppect/(R)e-Insp: I (I or R Only) ----------------------- Inspection Results: (P or C Only) Request Date: 06/25/03 Re -Inspection Requr: (Y or N Only) Request Time: 14:48:54 Re -Inspect. Fee Reg: (Y or N Only) ---------------------- Correct Code/Co1:30PM TODAY NOTES: N / LOBBY / s% �` / 7 1 - 015 6 NOTES: W__ Press Fl for All Inspections this Permit%F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit Standard Soft (R) REC #: 50726 MEMORY: SCREEN 190 Permit Permit Type: EP ELECTRICAL Master *?-000097 Address: MC KArwW i Contractor: ROBERT ABNEY Inspect Type: EC Insp Desc: ELBC CBIL.COVBR 4 0 INSPECTION REQUEST INSPECTION RESULT 2003 Inspector ID 000/RI Vehicle ID or Nbr Insp. Districts Odometer on Site: Hold (Y or N) Inspection Date: BegA4.rx.,izg Insp Time: Date Desired: 0�6/27/03 Bndino Lisp Time: Time Desired: 0!9:00:AI4 -s_ )ngrpect- -Insp: I or R Only) ---------------------- Inspection Results: r C Only) Request Date: 06/26/03 Re -Inspection Requr: (Y or nly) Request Time: 14:40:30 Re -Inspect. Fee Req: (Y or nly) ----------------------- Correct Code/Comwnt: DOAKS i 9AM FRIIMY MINOW NOTES: LAUNDRY ARREA NOTES: Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Ex' i i r City of Humble Humble Texas Permit #: 9003353 Permit: ELECTRICAL Inspector: RICK MARTINEZ District: Scheduled: 06/27/03 09:52:00 AM Property Information: Owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Electrical CEILING COVER #1 Notes Given to Inspector DOAK / 9 AM FRIDAY / LAUNDRY AREA Vehicle Number: Odometer. 0 Priority? No License Holder ROBERT ABNEY License Type ELEC License Number DALLAS fikiiji" Pass: CK Reinspect: C:) Charge fee: Q Notes : KITCHEN & LAUNDRY AREA / WALL & CEILING COVER Final Inspection? N Clockin: 06/27/03 09:52:00 AM Clockout: 06/27103 09,52:00 AM Elapsed Time(min.): Standard Soft (R) REC #: 50725 MEMORY: SCREEN # 190 Permit 4"0 Type: EP ELECTRICAL 9�mi`t Master 7 Addre Contract Inspect Type: EW Insp De c:,- INSPECTION REQUEST INSPECTION RESULT JUNE 26, 2003 Inspector ID: OOO/RI Vehicle ID or Nbr: Insp. District: Odometer on Site: Hold (Y or N) Ins ection Date: -------------------- I n `Insp Time: Date Desired:Time: Time Desire I)nspect/(R)e-Insp: I r R Only) ----------------------- Inspection Results: P Or C Only) Request Date: 06/26/03 Re -Inspection Requr: Y orrIT-Only) Request Time: 14:39:34 Re -Inspect. FeeRe ----------------------- Correct Code/ Coqpj�- WWRT'T-9AM FRIMA ;;�� Tz� NOT— NOTES7' Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit »� City of Humble H�m6le,7exas Permit ##: 9003353 Permit: ELECTRICAL Inspector: RICK MARTINEZ District: Scheduled: 06/27/03 09:50:00 AM Property Information: Owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Electrical WALL COVER #1 Notes Given to inspector DOAK / 9AM FRIDAY Vehicle Number. C -� Odometer. 0 Pass: O Reinspect: a Charge Fee: O Notes ' KITCHEN & LAUNDRY AREA Priority? No License Holder ROBERT ABNEY License Type ELEC License Number DALLASjh&jjj" Final Inspection? N Clockin: 06/27/03 09:50:00 AM Clockout: 06127/03 09:60:00 AM Elapsed Time(min.): Clinton Johnson Fire Marshal (281)446-49'_4 FAX (281) 446-3960 CITY OF HUMBLE PERMANENT RECORD OF INSPECTION Bob Boyles Building Official (281)446-3061 ext. 122 j ADDRESS!t,/L DATE O j NAINIEOFBUSINESS ,�Ic �i{�Aof TYPE OFOCCUPANCY e)-KS-iructioel 5(+-,0_TYPE01 INSPECTION /av l�'S INSPECTOR BUSINESS PHONE EMERGENCY PHO\I' FIRE PREVENTION INSPECTION 0,\LI' THE HUMBLE FIRE PREVENTION BU , . 'NDUC7EDA FIR£AND LIFE SAFETY INSPECTION OF YOUR PROPERTY THE CONDUCTION OFTHIS INSPECTION AND CORRECTIONOFANY UNSAFE CONDITION'S \1'S: VETHEFIREDEPARTMENTSABILITYTOSAVELIVESANDTOATTACKANDEXTINGUISHANYFIRE THAT NLAY OCCUR IN THE BUILDING QUICKLY AND EFFICIENTL . DURING THIS INSPECTION, CONDITIONS AFFECTING BUILDING SAFETY ACCORDIN S ADAPTED BY THE CITY OF HUMBLE WERE NOTED. IT IS RE- QUIRM Ti:1TTHE ITENIS LISTED BELOW BE CORRECTED IN THE SPECIFIEDTME REFERRED TO 1, ICE PORTION OF THIS DOCUMENT. WET DRY FIRE P' %IP SPRINKLERT —_. Q� Q s ❑ DATE INSPECTED 1 STANDPIPE TYPE ❑ ❑ ❑ D. JED ALARM DATE INSPECTED VENT HOOD DATE ED FIRE EXTINGUISHER DATE INSPECTED IN CO�'iPANY EMERGENCY LIGHTING ❑ O.K. L) IF NOT EXPLAINED: sf r f, �-2 Sr 'OTICE: FINAL NOTICE: YOUR ATTEN N RESPECTFULLY CALLED TO THE VIOLATIONS ABOVE OF THE CODE OF ORDINAN HE CITY OF HUMBLE, TEXAS, ON THE PREMISES LOCATED AT HUMBLE, AS INDICATED ABOVE. FAILURE ON YOUR PARTTO COMPLY WITH THIS NOTICE BEFORE THE DAY OF WILL SUBJECT -YOU TO THE PENALTIES AS PRESCRIBED BY THE ABOVE SA DINANCE OF LAW. PERMITS ARE REQUIRED TO BEGIN,, iosTTYPES OF WORK. ON PREMISES. 'A'IIICH ALTER EXISTING CONDITIONS. NFORNI 1TION REGARDING PERMITTING OR INSPECTIONS. PLEASE CONTACT THE CITY OF HUMBLE BUILDING DEPARTMENTAT (281) 446-3UM1 PRIOR TO COMMEN WORK. APPLICANT (MAN) (MAY NOT) OCCUPY THE BUILDING PRIOR TO COMPLETION OF CONDITIONS NIENIIONED ABOVE. ITEMS�NUNIBER_BERS WHICH NIL'ST BE CORRECT ED PRIOR TO OCCUPANCY. FAILURE TO COMPLY%kITH THE CITY OF HUNIBLE CODE OF ORDINANCE COULD RESULT IN FINES OF UPTOS2_tl.0() PER VI. Received BY DATE OFFICER DATE Standard Soft (R) REC #: 50734 MEMORY: - . . V. Permit #: 03-00353 Permit Type: EP ELECTRICAL Master #: 03-00097 Address: MC KAY DRIVE Contractor: ROBERT ABNEY Inspect Type: EW Insp Desc: ELEC WALL COVER INSPECTION REQUEST Inspector ID: 000/RT Insp. District: Hold (Y or N) : ----------------------- SCREEN # 190 19424 INSPECTION RESULT DUNE 27, 2003 Vehicle ID or Nbr: Odometer on Site: Inspection Date: Beginning Insp Time: Date Desired: 06/27/03 Ending Insp Time: Time Desired: (I)nppect/(R)e-Insp: I or R Only) ----------------------- Inspection Results: &*Por,_C_,9nly) Request Date: 06/27/03 Re -Inspection Requr: (Y or nly) Request Time: 13:26:29 Re -Inspect. Fee Req: (Y o N manly) Correct Code/Commnt: DOAK / AFTER L /. KITCHEN NOTES: NOTES: Press F1 for All Inspections this Permit/F2 for All Inspe tions this Type Use Standard Movement Keys or Press <ESC> to Exit i1w City of Humble Humble Tem Permit #: 9003353 Permit: ELECTRICAL Inspector: RICK MARTINEZ District: Scheduled: 06/26/03 03,24.00 PM Property Information: owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Electrical WALL COVER #5 Notes Given to Inspector KITCHEN AREA Vehicle Number: 0 Odometer. p Pass: �0 Notes : Priority? No. License Holder ROBERT ABNEY License Type: ELEC License Number. DALLAS Final Inspection? n; Clockin: 06/26/03 03:24:00 PM Reinspect: J Clockout: 06/26/03 03:24:00 P!V1 Charge Fee: 0 Elapsed Time(min.): I 111 PLUMBING PERMIT APPLICATION 2 0 City of Humble x Applicant to complete numbered spaces only. { 0 /JOB ADDRESS OF ESTABLISHMENT - m LEGAL LOT NO BLK - TRACK J �cL .T Td_ htD �hIeE T, 1 DESCR. BUILDING OWNER MAIL ADDRESS ZIP PHONE CONTRACTOR . A)ADDRE'S PHONE, c-F V d�N ) SC - C> ' T �C 3 BUILDING CONTRACTOR 4 USE OF BUILDING 5 Xclass of work: U14EW J ADDITION U ALTERATION i] REPAIR Describe Work: NOTICE THIS PERMIT BECOMES NULL AND VOID AFTER 6 MONTHS OF CONSTRUCTION INACTIVITY. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEDTHIS AP- PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNINGTHIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRE- SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. IF APPLYING FOR HOMEOWNER PLUMBING PERMIT, STATE LAW REQUIRES PROOF OF HOMEOWNER EXEMPTION FROM THE HARRIS COUNTY APPRAISAL DISTRICT. kV A� RE OF STATE OF T XAS MASTER PLUMBER (DATE) SIGNATURE OF OWNER OF HOMEOWNER) lDArE No. Type of Fixture or Item WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISR DISHWASHER LAUNDRYTRAY CLOTHES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR -SINK OR DRAIN SLOP SINK I GAS SYSTEMS: TEST ONLY j WATER PIPING &TREATING EQUIP. F— WASTEINTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM SEWER MOBILE HOME CONNECTION (WATER. SEWER, GAS) COST OF INSTALLATION S j � y �j) + w BUILDING CONSTRUCTION COST $ i I PERMIT FEE PLMB PERMIT # DATE ISSUED } ' t e-% - D BLDG. PERMIT# DATE ISSUED 04-5250.07 :sk City of Humble 114 West Higgins Humble, TX 77338 .Humble Texas Phone; 281.446.3061 Fax; 281.446.7902 IRRIGATION PERMIT Applicant LINDSEY W. DIRDEN Permit 2003798 Applied 06126/2003Issued 06/26/2003 Code $8,500 Property 19424 MCKAY DR Total Fees $30.00 Paid $30.00 Address Humble, TX 77338 Structure Occupancy & Construction TVpe NURSING HOME Institutional - Hospital ( IV -UN ) Square Footage Zoning SetBacks Utilities Property Front Rear Water Sewer Heated 0 Fire 0.00 0.00 Electric Gas Unheated 0 Flood Special Leff Right Legal Total 0 School 0.00 0.00 Map Section Township Range Parcel # (Primary) Primary Height Stories Sprinklers Lot Block Structure IN Units Occ Load Fire Alarm 1 Owner PARK MANOR OF HUMBLE NURSING HOME 19424 MC KAY DRIVE HUMBLE, TX 77338 Design Professional Replace with Contractor Name Phone N/A Description of Work INSTALL NEW LAWN SPRINKLER Contractor CREATIVE LANDSCAPES OF TX 5526 EDWARD DR HOUSTON TX 77032 Phone (281)590 7300 License Holder LINDSEY W DIRDEN # LI-0007192 Expires 08/31/04 5526 EDWARD DR HOUSTON, TX 77032 Phone N/A Contractor or Agent Date Building Official or Designee uare Standard Soft (R) REC #: 50720 MEMORY: Permit # ,l, 03-00354 Permit Type: PP PLUMBING PERMIT ;taster #: 03-00097 Address: MC KAY DRIVE Contractor: HUDDLESTON, GARY R. Inspect Type: PT Insp Desc: PLUMB TOP OUT INSPECTION REQUEST Inspector ID: 000/RT Insp. District: Hold (Y or N) : ------------------------ Date Desired:, 06/26/03 Time Desired: ----------------------- Request Date: 06/26/03 Request Time:-08_23:26 SCREEN # 190 19424 INSPECTION RESULT JUNE 26, 2003 Vehicle ID or Nbr: Odometer on Site: Inspection Date: Beginning Insp Time: Ending Insp Time: (I)nspect/(R)e-Insp: I (I or R Only) Inspection Results: OP or C Only) Re -Inspection Requr: (Y or CI Only) Re -Inspect. Fee Req: (Y or Only) Correct Code/Commnt: KITCHEN & LAUNDR / AM % DOAK NOTES: NOTES: Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit City of Humble Humbre Texa's > Permit #: 9003354 Permit: PLUMBING Inspector: RAY PEARSON District: Scheduled: 06/26/03 03:22:00 PM Property Information: Owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 2D Structure NURSING HOME Inspection Information: Inspection Class Nance Plumbing top out Notes Given to Inspector KITCHEN & LAUNDRY / AM I DOAK Priority? No License Holder HUDDLESTON License Type License Number JjjjjjjW Final Inspection? aN Vehicle Number: 01 Odometer: �! Ciockin: 06126/03 03:22:00 PM Pass:CK Reinspect: O Clockout: 06126103 03:22:00 PM Charge Fee: Elapsed Time(min.): Notes : Standard Soft (R) REC #: 50721 MEMORY: SCREEN # 190 Pern'it #`: 03-00353 Permit Type: EP ELECTRICAL % Master #: 03-00097 Address: MC KAY DRIVE 19424 Contractor: ROBERT ABNEY Inspect Type: EC Insp Desc: ELEC CEIL COVER INSPECTION REQUEST Inspector ID: 000/RT Insp. District: Hold (Y or N) : ----------------------- Date Desired: 06/26/03 Time Desired: ----------------------- Request Date: 06/26/03 Request Time: 10:23:16 ----------------------- NOTES: AREA NOTES: INSPECTION RESULT JUNE 26, 2003 Vehicle ID or Nbr: Odometer on Site: Inspection Date: Beginning Insp Time: Ending Insp Time: (I) nspect/ (R) e-Insp: I or R Only) Inspection Results: ior C Only) Re -Inspection Requr: (Y or Q20nly) Re -Inspect. Fee Req: (Y or Only) Correct Code/Commnt: DOAK / AFTER L%UD H'H/ IXITCHEN / Press F1 for All Inspections this Permit/F2 fo All Inspections this Type Use Standard Movement Keys or P ss <ESC> to Exit City of Humble i1LNGat r{ua 1 Permit #: 9003353 Permit: ELECTRICAL Inspector: REBECCA TAYLOR District: Scheduled: 06/26/03 10:17-19 AM Priority? No - Property Information: Address: I KAY 19424 DR BLDG 20 Structure: NURSING HOME Permit Information: Work Description: BLD-OUT Permit Notes: Inspection information: Property Owner PARK MANOR OF HUMBLE NURSING HOME 10424 MC KAY DRIVE HUMBLE TX77338 Inspection Class: Name: i`l CEILING COVER Notes to DOAK i AFTER LUNCH / KITCHEN AREA Inspector. Directions to Site: Vehicle Number: Pass: Reinspect: Charge Fee: Notes : License Holder ROBERT ABNEY License Type. ELEC License Number: DALLAS Final Inspection? N C Clockin: I j Prl ClOpkout: ' i nM C1 i PM Standard Soft (R) REC ##: S0695 MEMORY: Permit #: 03-00353 Permit Type: EP ELECTRICAL Master #: 03-00097 Address: MC KAY DRIVE Contractor: ROBERT ABNEY Inspect Type: EC Insp Desc: ELEC CEIL COVER INSPECTION REQUEST Inspector ID: 000/RT Insp. District: Hold (Y or N) : ----------------------- Date Desired: 06/23/03 Time Desired: ----------------------- Request Date: 06/23/03 Request Time: 08:33:35 ----------------------- NOTES: NOTES: Press SCREEN ## 190 194'24 INSPECTION RESULT JUNE 23, 2003 ----- Vehicle -ID or Nbr Odometer on Site: _ 1 Inspection Date: Beginning Insp Time: Ending Insp Time: (I)nspect/(R)e-Insp: I r R Only) Inspection Results: P or, Only) Re -Inspection Requr: Y or Only) Re -Inspect. Fee Req: "T or Only) Correct Code/Commnt: DOAK j DRIVE TH7 F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit „��Humtr1�T xas Permit #: 9003353 City of Humble Permit: ELECTRICAL Inspector: RICK MARTINEZ Scheduled: 06/23/03 03:26:00 PM Property Information: Owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Electrical CEILING COVER #4 Notes Given to Inspector DOAK / DRIVE THRU DINNING / PM Vehicle Number: 0 Odometer. 1 0 Pass: CK Reinspect: C,,, Charge Fee: 0 Notes` FRONT CANOPY / NURSING STATION / LIVING AREA District: Priority? No License Holder ROBERT ABN EY License Type ELEC License Number DALLAS Final Inspection? N Clockin: 06/23/03 03:26:00 PM Clockout: 06/23/03 03.26:00 PM Elapsed Time(min,): Standard Soft (R) RRC #: 50706 MEMORY: SCREEN # 190 T1 _ Permit #: 03-00353 Permit Type: EP ELECTRICAL, Master #: 03-00097 Address: MC KA _.M 19424 Contractor: ROBERT ABNEY Inspect Type: EC Insp Desc: ELEC CEIL COVER INSPECTION REQUEST INSPECTION RESULT JUNE 24, 2003 Inspector ID:-000/RI Vehicle ID or Nbr: Insp. District: Odometer on Site: Hold (Y or N) . Inspection Date: ----------------------- Begipning Insp Time: Date Desired: 06/24./03 Ending Insp Time: Time Desired: (I)nspect/(R)e-Insp: I or R Only) ----------------------- Inspection Results: P- or C Only) Request Date: 06/24/03 Re -Inspection Requr: or nly) Request Time: 09:45:55 Re -Inspect. Fee Req: iY 0 a� ----------------------- Correct Code/Commnt � f PM T©DA NOTES: NOTES: Press Fl for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit Nextel com - YOUr Message Has Been Received Received Messaging Overview Send a Message Send a Group Message Message Inbox Sent Messages Saved Messages My Phone Messages My Phone Rephes Message Status FAOs Tutorial International Travel Page IofI Nextel Home I MyNextel I c Your message has been received by the Nextel Messaging Center. Select Reci ient Claim Number From: Rachel Subject., Inspection Message: Nursing Home/119424 McKay/elec ceiling & wall cover -dining area/READY PM TODAY You may check the status of your message now by selecting the recipient(s) of mteresi clicking the button below To check later, write down your claim number(s) and go "Message Status" page when you return to the site. City of Humble - 1 .. Permit #: 9003353 Permit: ELECTRICAL Inspector: RICK MARTINEZ District: Scheduled: 06/24/03 03:27:00 PM Propertj Information: Owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Electrical CEILING COVER #5 Notes Given to Inspector DOAK I PM TODAY / DINING AREA Priority? No License Holder ROBERT ABNEY License Type ELEC License Number DALLAS fiijig'Ji" Final Inspection? N Vehicle Number: 10 Odometer: 10 Clockin: 06/24/03 03:27:00 PM Pass: ox Reinspect: O Clockout: 06124103 03:27:00 PM Change Fee: O Elapsed Time(min.): Notes : Standard Soft (R) REC #: 50664 MEMORY: SCREEN # 190 Permit #� .03-00 %Type: BP BUILDING PERMIT Master Addres ' Contracto KS CHUELKE Inspect Type: BP Insp Desc: INSPECTION REQUEST INSPECTION RESULT JUNE 19, 2003 Inspector ID 000/RI Vehicle ID or Nbr: Insp. District: Odometer on Site: Hold (Y or N) . Inspection Date: ----------------------- Be innin Insp Time: Date Desired Insp Time: Time Desired. (I)nspect/(R)e-Insp: I or R Only) ----------------------- Inspection Results: or C Only) Request Date: 06/19/03 Re -Inspection Requr: Fy or�VOnly) Request Time: 09:32:19 Re -Inspect. Fee R ----------------------- Correct Code/. NOTES: NOTES: Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit Permit #: 900397 City of Humble Permit: BUILDING Inspector: ROBERT PENNINGTON District: Scheduled: 06/20/03 03:30:00 PM Priority? No Property Information: Owner License Holder Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Building PAVING #1 Final Inspection? N Notes Givers to Inspector DOAK / PAVING Vehicle Number: Odometer: 0 Clockin: 06/20/03 03:30:00 PM Pass: O Reinspect: O Clockout: 06120103 03:30.00 PM Charge Fee: O Elapsed Time(min.): Notes : Standard Soft (R) REC #: 50022 MEMORY: Permit #: 03-00352 Permit Type: FS FIRE SPRINKLER - Address: MC KAY DRIVE Contractor: JOE CLINE Inspect Type: FU Insp Desc: FIRE UNDERGROUND INSPECTION REQUEST Inspector ID: 000/RT Insp. District: Hold (Y or N) : ----------------------- Date Desired: 04/08/03 Time Desired: ----------------------- Request Date: 04/07/03 Request Time_-14:29:04 SCREEN ## 190 19424 INSPECTION RESULT APRIL 7, 2003 Vehicle ID or Nbr: Odometer on Site: Inspection Date: Beginning Insp Time: Ending Insp Time: (I)nspect/(R)e-Insp: I ( or R Only) Inspection Results: or C Only) N Only) Re -Inspection Requr: or Re -Inspect. Fee Req: (Y OrAl Only) Correct Code/Commnt: 1:00 PM NOTES: NOTES: Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit I ` I FROM CITY OF HUMBLE FIRE MARSHAL FAX NO. : 2814463960 , 4 .,ate •• �Lir-WSJ: C !Z�Y !RIVE� +7cH JZE nri' 7): =/Vi tNnicl-- on cr Lire Lisai.uh Wl ,AM 3-LbLr rip rat Tire. 08:5-3:00 'Re 7; : ?Y cxY, a-1),3 ----------------- _--- �_: = #2CLI r i�: anM r- ifX AU aipat1—= th.5 ALL ���' =a --Im-s T,' n uy� vrvanat ? tz Pf c= Main It Jun. 11 200- 02:52PM P1 0 Standard Soft (R) REC #: 50565 MEMORY: SCREEN # 190 Permit #:•03-00352 Permit Type: FS FIRE SPRINKLER ` Address: MC KAY DRIVE 19424 Contractor: JOE CLINE Inspect Type: FS Insp Desc: FINAL SPRINKLER INSPECTION REQUEST INSPECTION RESULT JUNE 11, 2003 Inspector ID: 000/RT Vehicle ID or Nbr: Insp. District: Odometer on Site: Hold (Y or N) Inspection Date: ----------------------- Beginning Insp Time: Date Desired: 06/11/03 Ending Insp Time: Time Desired: (I)nspect/(R)e-Insp: I (I or R Only) ----------------------- Inspection Results: (P or C Only) Request Date: 06/11/03 Re -Inspection Requr: (Y or N Only) Request Time: 08:53:00 Re -Inspect. Fee Req: (Y or N Only) ----------------------- Correct Code/Commnt: WING #200 / DOAK NOTES: NOTES: Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit City of Humble Permit #: 9003352 Permit: FIRE SPRINKLER Inspector: CLINT JOHNSON District: Scheduled: 06/11/03 11:19:00 AM Property Information: Owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Fire Sprinkler System Notes Given to Inspector WING #200 / DOAK Priority? No License Holder JOE CLINE License Type Unknown License Number Final Inspection? N Vehicle Number: 1 0 Odometer: 10 Clockin: 06/11/03 11.19:00 AM Pass: Reinspect: O Clockout: 06/11103 11:19:00 AM Charge Fee: O Elapsed Time(min.): Notes : Standard Soft (R) REC #: 50360 MEMORY: SCREEN ## 190 Permit Y: t3-00354 Permit T-r-ne: PP PLUMBING PERMIT Master #: 03-00097 Address: MC KAY DRIVE 19424 Contractor: HUDDLESTON, GApY R. Inspect Type: PR Insp Desc: PLUMB ROUGH IN INSPECTION REQUEST INSPECTION RESULT MAY 22, 2003 Inspector ID: 000/RT Vehicle ID or Nbr. Insp. District: Odometer on Site: Hold (Y or N) . Inspection Date: ----------------------- Beginning Insp Time: Date Desired: 05/22/03 Ending Insp Time: Time Desired: (I)nspect,/(R)e-Insp: I or R Only) ----------------------- Inspection Results: P or C Only) Request Date: 05/22/03 Re -Inspection Requr: or Only) Request Time: 10:49:50 Re -Inspect. Fee Req: (Y or Only) ----------------------- Correct CodeJCommnt: DOAK / WATER TEr__2 NOTES: � �`�?�� NOTES: Press F1 for All Inspections this Permit/F2 for All nspections this Type Use Standard Movement Keys or Press <ES to Exit cir 1 , City of Fumble Permit #: 9003354 Permit: PLUMBING Inspector: RICK MARTINEZ District: Scheduled: 05/22/03 11:21:00 AM Property information: owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Electrical Rough In Notes Given to Inspector DOAK / WATER TEST Vehicle Number. L"� Odometer. Q Pass: Reinspect:O Charge Fee: O Notes ' WITH WATER TEST Priority? No License Holder HUDDLESTON License Type License Numb ,Final Inspection? N Clockin: 05122/03 11:21:00 AM Clockout: 05/22/03 11:21:00 Al l Elapsed Time(min.): Standard Soft (R) REC #: 49978 MEMORY: SCREEN # 190 Permit #: 03-00354 Permit Type: PP PLUMBING PRyRMIT Master #: 03-00097 Address: MC KAY DRIVE 19424 Contractor: HUDDLESTON, GARY R. Inspect Type: PU Insp Desc: PLUMB UNDERGROUND INSPECTION REQUEST INSPECTION RESULT APRIL 2, 2003 ----------------------------------------- Inspector ID: 000/RT Vehicle ID or Nbr: Insp. District: Odometer on Site: Hold (Y or N) . Inspection Date: ----------------------- Beginning Insp Time: Date Desired: 04/02/03 Ending Insp Time: Time Desired: (I)nspect/(R)e-Insp: I or R Only) ----------------------- Inspection Results: or Only) Request Date: 04/02,03 Re -Inspection Requr: foPJCH, nly) Request Time: 08:19:46 Re -Inspect. Fee Req: (Y only) ----------------------- Correct Code/Commnt: DOUG / AFTER L NOTES: NOTES: Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit �ti City of Humble NumGleTezaq„rrxs Permit #: 9003354 Permit: PLUMBING Inspector: RICK MARTINEZ District: Scheduled: 04/02/03 11:22:00 AM Property Information: Owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Electrical Underground Notes Given to Inspector DOUG / AFTER LUNCH Priority? No License Holder HUDDLESTON License Type License Num Final Inspection? N Vehicle Number: Odometer: 0 Clockin; 04102/03 11:22:00 AM Pass: Reinspect: O Clockout: 04102103 11:22:00 Ai l Charge Fee: O Elapsed Time(min.): Notes : Standard Soft (R) REC #: 50537 MEMORY: SCREEN 4t lyU Permit �t Type: PP PLUMBING PERMIT Master jPFF­=-0VU�7 I Y DRIVE 19424 Contractor: DES—LON, ^ 7 R. Inspect Type: PT Insp Desc: Put3MB TOP OUT INSPECTION REQUEST INSPECTION RESULT JUNE 6, 2003 ----------------- Inspector ID: 000/RI Vehicle ID or Nbr:'-%` Insp. District: Odometer on Site: Hold (Y or N) . Inspection Date: ime: Date Desirlarillu e time: Time Desired: (I)nspect/(R)e-Insp: I (I or R Only) ----------------------- Inspection Results: CIV or Only) Request Date: 06/06/03 Re -Inspection Requr: (Y or N-)Only) Request Time: 08:35:20 Re -Inspect. Fee Rea: {Y or Only} ----------------------- Correct Code/Caont: DOAK i 30 OMAWM h n AM NOTES: NOTES: Press F1 for All Inspections this Permit/F2 for All Inspections this 'Type Use Standard Movement Keys or Press <ESC> to Exit -� I I R City of Humble Permit #: 9003354 Permit: PLUMBING Inspector: RICK MARTINEZ District: Scheduled: 06/O6/03 11:22:00 AM Priority? NO Property Information: Owner License Holder Address PARK MANOR OF HUDDLESTON -MC KAY 19424 DR BLDG 20 License Type Structure License Numb NURSING HOME Inspection Information: Inspection Class Name Plumbing top out Final Inspection? N Notes Givers to inspector DOAK / WING #300 1 READY AM GET W/901 Vehicle Number: Odometer: 10 Clockin: 06/06/03 11:22:00 AM Pass: O Reinspect: CD Clockeut. 06106103 11:22:00 AM Charge Fee: O Elapsed Time(min.): Notes : Standard Soft (R) REC #: 50583 MEMORY: SCREEN # 190 Permit # - 7U!F=1t Type: PP PLUMBING PERMIT Master 03--00097 Addrm Contractor_ "DLESTON,- GARY R. Inspect Type: PT Insp Desc: PLUMB TOP OUT INSPECTION REQUEST INSPECTION RESULT JUKE 12, 2003 Inspector ID: OOO/RI Vehicle ID or Nbr: Insp. District: Odometer on Site: Hold (Y or N) Inspection Date: ----------------------- Date Desired: 0 Insp 'Fifne Time Desired: (I)nspect/(R)e-Insp: I or R Only) ----------------------- Inspection Results: (,,P,or C Only) Request Date: 06/12/03 Re -Inspection Requr: (Y or',�J'Only) Request Time: 09:08:47 Re -Inspect. Fee Req: (Y or/LN-)Only) ----------------------- Correct Code/Co (C)VPPP INSPECTION NOTES- WTWr_ NOTE Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit City of Humble �~Humble Texas Permit #: 9003354 Permit: PLUMBING Inspector: RAY PEARSON District: Scheduled: 06/12/03 11:23:00 AM Priority? No ..0K R Property Information: Owner License Holder Address PARK MANOR OF HUDDLESTON -MC KAY 19424 DR BLDG 20 License Type Structure License Num NURSING HOME Inspection Information: Inspection Class Name Plumbing top out Final Inspection? N Notes Given to Inspector DOAK / WATER COPPER INSPECTION I WING #400 AND THRU CENTER CORRIDOR Vehicle Number. Odometer: 0 Clockin: 06/12/03 11:23:00 AM Pass: O Reinspect: O Clockout: 06/12/03 11:23:00 AM Charge Fee; 0 Elapsed Time(min.): Motes : Standard Soft (R) REC #: 50524 MEMORY: SCREEN # 190 Permit -u- 0;-00354 Permit Type: PP PLuPIBING PERMIT' Master #­ 02-00097 AddrealOWNC KAY DRIVE 19424 Contractor: h'UDDLESTON, GARY R, Inspect Type: PG Insp Desc: PLUMB GAS TEST r INSPECTION REQUEST INSPECTION RESULT JUKE 5, 2003 Inspector ID: 000/RI Vehicle ID or Nbr: r Insp. District: Odometer on Site: Date: �, f 5 / C 3 `74 lb 5, Hold (Y or N) . Inspection ----------------------- Beginning Insp Time: Date Desired AVONOW-03 ! Ending Insp Time: Time Desired: (I)nppect/(R)e-Insp: I (I or R Only) ----------------------- Inspection Results: for C Only) Request Date: 06/05/03 Re -Inspection Requr: (Y or N.%Only) tsOnly) Request Time: 10:08:40 Re -Inspect. Fee Req: Y or ----------------------- Correct Code/Co G NOTES: NOTES: Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit a City of Humble Humble Texas Permit #: 9003354 Permit: PLUMBING Inspector: RAY PEARSON District: Scheduled: 06/05/03 11:24:00 AM Property Information: Owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Plumbing gas test Notes Given to Inspector DOAK I GAS LINE INSIDE BUILDING Priority? No License Holder HUDDLESTON License Type License Num Vehicle Number. Odometer. 0 1 Final Inspection? N Clockin: 06/05/03 11:24:00 AM Pass: Reinspect: CD Clockout: 06/05/03 11:24:00 AM Charge Fee: 0 Elapsed 7ime(min.): Notes' GAS TEST HELD FOR 15MINUTES AT 76 LBS OF PRESSURE Standard Soft (R) REC #: 50536 MEMORY: SCREEN Permit # - y'# permit Type: EP ELECTRICAL MC KAY DRIVE 19424 Master #- -bd097 Address: Contractor: PCBERT ABNEY t Inspect Type: EW Insp Dese: ELBC WALL COVER INSPECTION REQUEST INSPECTION RESULT JUNE 6, 2003 Inspector ===ID: 000/RI---Vehicle ID or Nbr: !� Insp. District: Odometer on Site: / Hold (Y or N) : Inspection Date: ------------------------ Bginning Insp Time: Date Desired: Qrw$� Ending Insp Time: or R Only) Time Desired: : !I)ns ect/{R)e-Insp: P I qor C. Only) ----------------------- Inspection Results: iY or N nly) Request Date: 06/06/03 Re -Inspection Requr: G- r-ci Only) Request Time: 08:34:25 _ _ _ - Re -Inspect. Fee Req: Correct Code/Commnt: _, -' DO �l WING 3 0 0 EADY Ab1 _..--- ---------_-__ NOTES: vul NOTES: Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit City of Humble Hum6le�exas 1 Permit #: 9003353 Permit: ELECTRICAL Inspector: ROBERT PENNINGTON District: Scheduled: 06/06/03 11:28:00 AM Property Information: Owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Electrical WALL COVER #1 Notes Given to Inspector DOAK / WING #300 / READY AM I GET W/901 Priority? No License Holder ROBERT ABNEY License Type ELEC License Number DALLAS Final Inspection? N Vehicle Number. Odometer. 0 Clockin: 06/06/03 11:28:00 AIM Pass: Reinspect: O Clockout; 06106103 11.28:00 AM Charge Fee.- 0 Elapsed Time(min.): Notes : WING #300 Standard Soft (R) REC #: 50642 MEMORY: SCREEN # 100 Permit #: PPetmit Type: EP ELECTRICAL Master #: tf�� Addres ij DRIVz - iS E Contractor: ROBERT ABNEY Inspect Type: EW Insp Desc: ELEC WA" COVER INSPECTION REQUEST INSPECTION RESULT JUKE 17, 2003 Inspector ID: 000/RI Vehicle ID or Nbr: all, Insp. District: Odometer on Site: Hold (Y or N) . Inspection Date: ----------------------- Beginning Insp Time: / f� Date Desire -$riding* °-Insp Time: (for R Only) Time Desired (I)nspect/(R)e-Insp: I ---------------- Inspection Results: Ior C Only) Request Date: 06/17/03 Re -Inspection Requr: ZI or n 1 y ) Request Time: 16:35:43 Re -Inspect. Fee Re : (Y or nly) ----------------------- Correct Code/ Conmw V MMM-" NOTES. 3ALANC E OP 'R?NC .. 6 & A NO 400 NOTES: Press F=. for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement keys or Press <ESC> to Exit �A E•� d-=P�T� G �•, _ City of Bumble Humble Texas Permit #: 9003353 Permit: ELECTRICAL Inspector: RCBERT PENNINGTON District: Scheduled: 06/18/03 11:29:00 AM Property Information: owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Electrical WALL COVER #2 Notes Giver. to Inspector DOAK I BALANCE OF WING #300 & ALL OF WING #400 Vehicle Number: �I Odometer: 10 Pass: Reinspect: CD Charge Fee; O Notes : BALANCE OF WING#300 & ALL OF WING #400 Priority? No License Holder ROBERT ABNEY License Type ELEC License Number DALLAS jjjjjjjW Final Inspection? N Clockin: 06/18103 11:29:00 AM Clockout: 0611810311:29:00 AM Elapsed Time(min.): Standard Soft (R) REC #: 50439 MEMORY: SCREEN # 190 Permit ermit Type: EP ELECTRICAL �� Master 0097 Addres _Y L?RSVE 4 . Contracto ABNFV Inspect Type: EW Insp De L COVER INSPECTION REQUEST INSPECTION RESULT MAY 30, 2003 ------------------------------------------------------------------------------ ------------------------------------------------------------------------------- Inspector ID: 000/RT Vehicle ID or Nbr: InSn. District: Odometer on Site: I� Hold (Y or N) Inspection Date: -------------- eginning Insp Time: 5- *-3 Date Desi4j0NPRT3 Ending Insp Time: Time Desired: : (I)nspect/(R)e-Insp: I or R Only) ------ ------ Inspection Results: ( or C Only) Request Date: 05/30/03 Re -Inspection Requr: (Y or V Onl Request Time: 09:03:27 Re -Inspect. Fee Req: _ (Y or 6 Onl? -----------------------� Correct Code/Commnt: r�02200 NOTES: NOTES: Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit �-� City of Humble Hum6)e Texas ` Permit #: 9003353 Permit: ELECTRICAL Inspector: ROEERT PENNINGTON District: Scheduled: 05/30/03 11:30:00 AM Property Information: Omer Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Electrical WALL COVER #3 Notes Given to Inspector WING #200 Priority? No License Holder ROBERT ABNEY License Type ELEC License Number DALLAS Final Inspection? N Vehicle Number: Odometer. 0 Clockin: 05/30/03 11:30:00 AM Pass: Reinspect: a Clockout: 05/30/03 11:30.00 AM Charge Fee: 0 Elapsed Time(min.): Notes : WING #200 Standards Soft (R) REC #: 50385 MEMORY: Permit #: 03-00353 Permit Type: EP ELECTRICAL Master #: 03-00097 Address: MC KAY DRIVE Contractor: ROBERT FBNEY Inspect Type: EW Insp Desc: ELEC WALL COVER INSPECTION REQUEST Inspector ID: 000/-RT Insp. District: Hold (Y or N) : ----------------------- Date Desired: 05/27/03 Time Desired: ----------------------- Request Date: 05/27/03 Request Time: 08:56:45 ----------------------- -EET4- # 190 19424 INSPECTION RESULT MAY 27, 2003 -Vehicle ID or Nbr: Odometer on Site: z�l/ Inspection Date: Beginning Insp Time: �_ O Ending Insp Time: (I)nppect/(R)e-Insp: o-R I 9,51-ror Only) Inspection Results: Only) Re -Inspection Requr: 1q., (Y or Only) Re -Inspect. Fee Req: r_.__ Only) Correct Code/Commnt: DO / WING 100 NOTES: NOTES: Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit V City of Mumble Permit #: 9003353 Permit: ELECTRICAL Inspector: ROBERT PENNINGTON District: Scheduled: 05/27/03 11:41:00 AM Priority? NO Property Information: Owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Electrical WALL COVER #4 Notes Given to Inspector DOAK 1 WING #100 License Holder ROBERT ABNEY License Type ELEC License Number DALLAS Final Inspection? N Vehicle Number. odometer: 10 Clockin: 06/27/03 11:41:00 AM Pass: Reinspect: O Clockout: 05/27/03 11:41A0 AM Charge Fee; O Elapsed Time(min.): Notes : WING #100 Standard2 Soft (R) REC #: 50437 MEMORY: SCREEN # 190 Permit Masted Inspect Type: EC Contractor: ROBERT ABNEY Insp Desc: ELEC OW MPNFW- INSPECTION REQUEST INSPECTION RESULT MAY 30, 2003 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Inspector ID: 000/RT Vehicle ID or Nbr: �0 Insp. District: Odometer on Site: Hold (Y or N) . Inspection Date: ----------------------- p Time: : Date Desired -- Insp Time: Time Desired (I)nspect/(R)e-Insp: I �or R Only) ---------------------- Inspection Results: (19?or C Onlv) Request Date: 05/30/03 Re -Inspection Requr: (Y o Only) Request Time: 09:02:31 Re -Inspect. Fee (Y or (�R Only) ----------------------- Correct Code/Co . NOTES: NOTES: Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit 4 ._ City of Humble I -Humble Texas Permit #: 9003353 Permit: ELECTRICAL Inspector: ROBERT PENNINGTON District: Scheduled: 05/30/03 11:43:00 AM Property Information: Owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Electrical CEILING COVER #2 Notes Given to Inspector WING #100 Priority? No License Holder ROBERT ABNEY License Type ELEC License Number DALLAS jjjjjjjW Final Inspection? N Vehicle Number: L=_ _ Odometer; 10 Clockin: 05/30/03 11:43:00 AM Pass: C�) Reinspect: O Clockout: 05130/03 11:43:00 AM Charge Fee: 0 Elapsed Time(min.): Notes: WING #100 Standard Soft (R) REC #: 50438 MEMORY: SCREEN # 190 Permit - Permit Master7 Add Contra Inspect Type: EC Insp INSPECTION REQUEST INSPECTION RESULT MAY 30, 2003 Inspector ID: 000/RT Vehicle ID or Nbr:U Insp. District: Odometer on Site: Hold (Y or N) . Inspection Date: ----------------------- Beginning Insp Time: Date Desir Time Desired: I nspect/(R)e-Insp: I or R Only) ----------------------- Inspection Results: or C Only) Request Date: 05/30/03 Re -Inspection Requr: (Y or� Only) Request Time: 09:02:57 Re -Inspect. Fee Req: (Y or Only) ----------------------- Correct Code/Comm NOTES: NOTES: Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit 40=� City of Humble Huin6le Texas - _, Permit #: 9003353 Permit: ELECTRICAL inspector: ROEERT PENNINGTON District: Scheduled: 05/30/03 11:44:00 AM Property Information: Owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Electrical CEILING COVER #3 Notes Given to Inspector WING #200 Priority? No License Holder ROBERT ABNEY License Type ELEC License Number DALLAS Final Inspection:? N Vehicle Number. � Odometer: 0 Clockin: 05/30/03 11:44:00 Ail!] Pass: ox Reinspect: O Clockout: 05130103 11:44:00 AM. Charge Fee: O Elapsed Time(min.): Notes : WING #200 Standard Soft (R) REC #: 50322 MEMORY: SCREEN # 190 Permit '+: 03-00578 Permit Type: HV HEATING VNTG. & A/C - Address: MC KAY DRIVE 19424 Contractor: MICHAEL WAYNE MIMS Inspect Type: HC Insp Desc: HVAC CEIL COVER INSPECTION REQUEST Inspector ID: 000/RI Insp. District: Hold (Y or N) . ----------------------- Date Desired: 05/19/03 Time Desired: : ----------------------- Request Date: 05/19/03 Request Time: 10_23_54 NOTES: NOTES: Press INSPECTION RESULT MAY19, 2003 Vehicle ID or Nbr: Odometer on Site: Inspection Date: / Beginning Insp Time: Ending Insp Time: ( I) nspect1kfk) e- Insp : I or R Only) Inspection Results: &or Only) Re -Inspection R.equr: (Y or Only) Re -Inspect. Fee Req: (Y or Only) Correct Code/Commnt: READY 3PM / EXHAUST SYSTEM F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit 4Y} , City of Humble Hu'mbie Texas Permit #: 9003578 Permit: MECH NEW Inspector: RICK MARTINEZ District: Scheduled: 05/20/03 01.16.00 PM Propertw Information: owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Mechanical CEILING COVER Notes Given to Inspector READY 3 PM / EXHAUST SYSTEM Priority? No License Holder MICHAEL WAYNE MIMS License Type Unknown License Number ifili-" Final Inspection? N Vehicle Number: Odometer: 0 PASS: CKReinspect: C:D Clockin: 05120/03 01:16;00 PM Clockout: 05/20/03 01:16:00 PN1 Charge Fee: a Elapsed Time(min.): Notes : Standard Soft (R) REC #: 50361 MEMORY: Permit #: 03-00578 Permit Type: HV HEATING VNTG. & A/C - Address: MC KAY DRIVE 19424 Contractor: MICHAEL WAYNE MIMS Inspect Type: HC Insp Desc: HVAC CEIL COVER INSPECTION REQUEST Inspector ID: 000/RT Insp. District: Hold (Y or N) : ----------------------- Date Desired: 05/22/03 Time Desired: ----------------------- Request Date: 05/22/03 Request Time: 10:50:27 ----------------------- NOTES: NOTES: Press F1 SCREEN # 190 INSPECTION RESULT MAY 22, 2003 Vehicle ID or Nbr: Odometer on Site: Inspection Date: Beginning Insp Time: Ending Insp Time: (I)sppect/(R)e-Insp: I r R Only) eor Inspection Results: Only) Re -Inspection Requr: (Y or nly) Re -Inspect. Fee Req: (Y or Only) Correct Code/Commnt: DOAK for All Inspections this Perm it/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit �v City of Humble Hum61e Texas Permit #: 9003578 Permit: MECH NEW Inspector: RICK MARTINEZ District: Scheduled: 05/22/03 01:17:00 PM Protserty Information: Owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Mechanical CEILING COVER #1 Notes Given to Inspector DOAK Vehicle Number: I:= Odometer: 0 Pass: 0 Notes : Priority? No License Holder MICHAEL WAYNE MIMS License Type Unknown License Number ilifiiiiijWlij Final Inspection? N Clockin: 05122/03 01:17:00 PM Reinspect: 0 Clockout: 05/22103 01:17:00 PM Charge Fee: O Elapsed Time(min.): Standard Soft (R) REC #: 50425 MEMORY: SCREFN #.190 Permit #: 03-00578 Permit type. HV HEATING VNTG. & A/C - Address: KC -MAY DRIVE 1-9424 Contractor: MICHAEL WAYNE MIMS Inspect Type: HC Insp Desc: RPAC CELL COVER INSPECTION REQUEST INSPECTION RESULT MAY 29, 2003 ------------------------------------------------------------------------------- Inspector ID: 000/RI Vehicle ID or Nbr: Insp. District: Odometer on Site: l Fold (Y or N) . Inspection Date: / ----------------------- Beginning Insp Time: Date Desired: ,44W29/0-3 `L'+"i"l irg Insp Time: Time Desired: (I)nspect/(R)e-Insp: I I or R Only) ----------------------- Inspection Results: P or C Only) Request Date: 05/29/03 Re -Inspection Requr: (Y or(iI Only) Request Time: 10:27:12 Re -Inspect. Fee Req: (Y or Only) ----------------------- Correct Code/Co 971-0156 NOTE S - Al C. - - 3 -: / M TCI)AY� NOTES Press Fl for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit 77 City of Humble Permit #: 9003578 Permit: MECH NEW Inspector: RICK MARTINEZ District: Scheduled: 05/29/03 01:17:00 PM Property Information: Owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Mechanical CEILING COVER #2 Motes Given to Inspector DOAK / 512-971-0156 / A/C UNITS 1-2-3 / PM TODAY Priority? No License Holder MICHAEL WAYNE MIMS License Type Unknown License Number jifiiiiiiji" Final Inspection? N Vehicle Number: Odometer: 10 Clockin: 05/29/03 01:17:00 PM Pass: x Reinspect: O Clockout: 05/29/03 01:17:00 PM Charge Fee: o Elapsed Time(min.): Notes : Standard Soft (R) REC #: 50641 MEMORY: SCREEN # 190 Permit # 03- Type: HV HEATING VNTG. & ALL.__ ' �Address­uQ_ - - Contractor -NRTTCHAEL WAYNE MIMS Inspect Type: HC Insp D PRO - INSPECTION REQUEST INSPECTION RESULT JUNE 17, 2003 Inspector ID: 000/RI Vehicle ID or Nbr: Insp. District: Odometer on Site: Hold (Y or N) . Inspection Date: ----------------------- me. Date Desire g Insp Time: Time Desire (I)nspect/(R)e-Insp: I -or R Only) ----------------------- Inspection Results: P,or C„Only) Request Date: 06/17/03 Re -Inspection Requr:Only) Request Time: 16:34:25 Re -Inspect. Fee Req: (Y*.Only)N ----------------------- Correct Code/ 777� NOTES: t/ NOTES: Press F1 for All Inspections this Permit/F2 for All Ins ections this Type Use Standard Movement Keys or Press <ESC> to Exit c. I v liurnble're xas Permit #: 9003578 City of Humble Permit: MECH NEW Inspector: RICK MARTINEZ Scheduled: 06/18/03 01:19:00 PM Property Information: Owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Mechanical CEILING COVER #3 Notes Given to Inspector DOAK / KITCHEN & LAUNDRY District: Priority? No License Holder MICHAEL WAYNE MIMS License Type Unknown License Number Final Inspection? N Vehicle Number. 10 Odometer: 0 Clockin: 06118/03 01:19:00 PM Pass: O Reinspect: CD Clockout: 06/18/03 01:19:00 PM Charge Fee: 0 Elapsed Time(min.): N OteS : Standard Soft (R) REC #: 50643 MEMORY: SCREEN 190 Permit # : 03 - 0 097 `" PeY-Mt Type: BP BUILT--. RE -QUIT Master : 173-00^9'' Address►. KAY DRIVE 19' Contractor: DOAKS CHUELKE Inspect Type: BT Insp Desc: BLDG FRAME INSPECTION REQUEST INSPECTION RESULT jU-NE 17, 2003 ------------------------------------------------------------------------------- Inspector ID: 000/RI Vehicle ID or Nbr: Insp. District: Odometer on Site: Hold (Y or N) . Inspection Date: Beginning Insp Time: Date Desired: 06r18/63t fvtg Insp Time: Time Desired: (I)nspect/(R)e-Insp: I or R Only) ----------------------- Inspection Results: 9�_Ior C Only) Request Date: 06/17/03 Re -Inspection Requr: (Y or nly) Request Time: 16:36:27 Re -Inspect. Fee Re (Y or 1y) ----------------------- Correct Code/C g NOTES: BALANCE OF WINr-- 300 & AL_ 0- WI*G 400 / GPT W/902 PEL7D E (' NOT", Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Kevs or Press <ESC> to Exit Permit #: 900397 City of Humble Permit: BUILDING Inspector: RICK MARTINEZ Scheduled: 06/18/03 02:18:00 PM Property Information: Owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Building FRAME District: Priority? No License Holder Final Inspection? N Notes Given to Inspector DOAK I BALANCE OF WING 300 & ALL OF WING 400 I GET WITH 902 PENDING EW Vehicle Number: Odometer: 1 0 Clockin: 06/18/03 02:18:00 PM Pass: ox Reinspect: CD Clockout: 06/18/03 02:18:00 PM Charge Fee: U Elapsed Time(min,): Dotes : 4 Standard Sozz (R) REC #: 50494 MEMORY: SCREEN # 190 Permit#: 03-00097 Master #: 03-00097 Inspect Type: BT INSPECTION REQUEST Inspector ID: 000/RT Insp. District: Hold (Y or N) . ----------------------- Date Desired: 06/04/03 Time Desired: ----------------------- Request Date: 06/04/03 Request Time: 11:33:04 ----------------------- i Permit Type: BP BUILDING PERMIT Address: MC KAY DRIVE 19424 Contractor: DOAKS CHUELK_E Insp Desc: BLDG FRAME INSPECTION RESULT JUNE 4, 2003 Vehicle ID or Nbr - Odometer on Site: _ Inspection Date: / 1 Beginning Insp Time: Ending Insp Time: (I)nppect/(R)e-Insp: I I or R Only) Inspection Results: r C Only) Re -Inspection Requr: or Only) Re -Inspect. Fee Req: (Y or Only) Correct Code/Commnt: WING #100 NOTES: NOTES: Press F1 for All Inspections this Use Standard Movement r Permit/F2 for All Inspections this Type Keys or Press <ESC> to Exit STANDARD SOFT (R) Review Inspections _SCREEN # 76 Kf INSP PERM # TYPE TYPE ------- ---- ---- A 0300097 BP BU B 0300097 BP BU C 0300097 BP BU D 0300097 BP BU E 0300097 BP BU F 0300352 FS FU G 0300353 EP EC H 0300353 EP EC I 0300353 EP EU J 0300353 EP EU K 0300353 EP EU L 0300353 EP EW M 0300353 EP EW N 0300354 PP PR 0 0300354 PP PR PROD # PERMIT ADDRESS 03 M MC KAY DRIVE 03 M MC KAY DRIVE 03 M MC KAY DRIVE 03 M MC KAY DRIVE 03 M MC KAY DRIVE 03 M MC KAY DRIVE 03 M MC KAY DRIVE 03 M MC KAY DRIVE 03 M MC KAY DRIVE 03 M MC KAY DRIVE 03 M MC KAY DRIVE 03 M MC KAY DRIVE 03 M MC KAY DRIVE 03 M MC KAY DRIVE 03 M MC KAY DRIVE INSP INSPECT ID DATE RS CONTRACTOR ID 901/RI 040103 P DOAKS CHUELKE 901/RI 040803 P DOAKS CHUELKE 901/RT 040203 P DOAKS CHUELKE 901/RT 040703 P DOAKS CHUELKE 901/RT 040903 P DOAKS CHUELKE 000/RT JOE CLINE 902/RT 053003 P ROBERT ABNEY 902/RT 053003 P ROBERT ABNEY 902/RI 040403 P ROBERT ABNEY 902/RI 040903 P ROBERT ABNEY 902/RI 042203 P ROBERT ABNEY 902/RT 052703 P ROBERT ABNEY 902/RT 053003 P ROBERT ABNEY 901/RI 041003 P HUDDLESTON, G 901/RT 052203 P HUDDLESTON, G << Enter Letter to Select Record, <ESC> to Exit, or Enter to Continue >> STANDARD SOFT (R) Review Inspections -SCREEN # 76 INSP PERM TYPE TYPE ------- ---- ---- A 0300354 PP PS B G300354 PP PU C 0300354 PP PU D 0300354 PP PU E 0300354 PP PU F 0300354 PP PU G 0300354 PP PU H 0300354 PP PU 10300354 PP PU J 0300578 HV HC K 0300578 HV HC L 0300578 HV HC PROJ # PERMIT ADDRESS 03 M MC KAY DRIVE 03 M MC KAY DRIVE 03 M MC KAY DRIVE 03 M MC KAY DRIVE 03 M MC KAY DRIVE 03 M MC KAY DRIVE 03 M MC KAY DRIVE 03 M MC KAY DRIVE 03 M MC KAY DRIVE 03 M MC KAY DRIVE 03 M MC KAY DRIVE 03 M MC KAY DRIVE INSP INSPECT ID DATE RS CONTRACTOR ID ---- ---- --------------- 901/RI 042903 P HUDDLESTON, G 901/RI 032803 P HUDDLESTON, G 901/RI 040103 P HUDDLESTON, G 901/RI 040303 P HUDDLESTON, G 901/RI 040403 P HUDDLESTON, G 901/RI 041603 P HUDDLESTON, G 901/RT 040203 P HUDDLESTON, G 901/RT 040303 P HUDDLESTON, G 901/RT 042203 lP HUDDLESTON, G 901/RI 052003 P MICHAEL WAYNE 901/RT 052203 P MICHAEL WAYNE 902/RI 052903 P MICHAEL WAYNE << Enter Letter to Select Record or Enter to Exit >> City of Humble ,: HumbleTexa� Permit #: 900397 Permit: BUILDING Inspector: RICK MARTINEZ District: Scheduled: 06/04/03 02:20:00 PM Property Information: Owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Building FRAME #1 Notes Given to Inspector WING #100 Priority? No License Holder Final Inspection? N Vehicle Number: 1 Odometer: 0 Clockin: 06/04/03 02:20:00 PM Pass: 0 Reinspect: E) Clockout: 06/04/03 02.20.00 PM Charge Fee: O Elapsed Time(min.): Notes : Standard Soft (R) REC #: 50538 MEMORY: SCREEN ?# 190 D Permit Type: BP Permit # :'ON19.,E?4 Master #: 76 097 Addr_e' Contractc9j- KS CHUELKE_ T Ins DesC•:- 44M Inspect Type: B_ p INSPECTION REQUEST INSPECTION RESULT JUNE 6, 2003 Inspector ===ID: --000/RI---Vehicle ID or Nbr: Insp. District: Odometer on Site: Hold (Y or N) Inspection Date: / 1 _ Beginning Insp T- me : Date Desir i6/06/03 gr4 ng Insp Time: Time Desir (I)nspect/(R)e-Insp: I or R Only) ----------------------- inspection Results: 4or C Only) Request Date: 06/06/03 Re -Inspection Requr: (Y or N niy) R...que st Time: 08:35:56 Re -Inspect. Fee Req: T (Y orOrlly} _______________________ Correct Code/Commnt: DOAK J W.�t 3_4Q` ., jj BENDING EW & PT GET W/902 903 NOTES: RZAD� NOTES: - Press F1 for All Inspections this Perrmit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit stir City of Humble Permit #: 900397 Permit: BUILDING Inspector: RICK MARTINEZ District: Scheduled: 06/06/03 02:20:00 PM Priority? No Property Information: Owner License Holder Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Building FRAME #2 Final Inspection? N Notes Given to Inspector DOAK 1 WING #3001 READY AM TODAY 1 PENDING EW & PT GET W/902 & 903 Vehicle Number. 1 Odometer. 0 Clockin: 06/06/03 02:20:00 PM Pass: Reinspect: C] Clockout: 06/06103 02:20:00 PM Charge Fee: O Elapsed Time(min.): N Otes : Standard Soft (R) REC #: 50523 MEMORY: Permit # NerTtlit Type: BP BUILDING PERMIT Master #:. Addr_ Contrac Inspect Type: BP Insp Desc: BUILDING/PAVING SCREEN # 190 INSPECTION REQUEST INSPECTION RESULT DUNE 5, 2003 Inspector ID 000/RI Vehicle ID or Nbr: Insp. District: Odometer on Site: Hold (Y or N) Inspection Date: ------------- ing Insp Time: Date DesireEnding Insp Time: Time Desired: (I)nspect/(R)e-Insp: I r R Only) ----------------------- Inspection Results: r Only) Request Date: 06/05/03 Re -Inspection Requr: or nly) Request Time: 10:07:57 Re -Inspect. Fee (Y or Only) ----------------------- NOTES: Correct Code/Co 67777/k✓' NOTES: Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement keys or Press <ESC> to Exit City of Humble Permit #: 900397 Permit: BUILDING Inspector: RICK MARTINEZ District: Scheduled: 06/05/03 02:21:00 PM Property Information: Owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Building PAVING #1 Notes Given to Inspector DOAK / PM TODAY Priority? No License Bolder Final Inspection? N Vehicle Number. 0� Odometer. 1 0 Clcckin: 06/05/03 02:21:00 PM Pass: Reinspect: CD Clockout: 06/05/03 02:21M PM Charge Fee: O Elapsed Time(min.): Notes : Standard Soft (R) REC #: 50466 MEMORY: SCREEN # 190 Perrilit "', 0' - rmrt Type : BP BUILDING PERM Master Addr dl— Contracti". Inspect Type: BP Insp DesILLI�� INSPECTION REQUEST INSPECTION RESULT JUKE 2, 2003 Inspector ID: 000/RI Vehicle ID or Nbr: Insp. District: Odometer on Site: Hold (Y or N) Inspection Date: ----------------------- A9&ij@&NPNNwp Time. Date Desired,Cling Insp Time: Time Desire (I)nspect/(R)e-Insp: I r R Only) ----------------------- Inspection Results: Wr C Only) Request Date: 06/02/03 Re -Inspection Requr: (Y o nly) Request Time: 11:30:10 Re -Inspect. Fee Re nl ) ----------------------- Correct C NOTES:�- NOTES: Press Fl for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit Nextel cam - Your Message Has Been Received Page 1 of 1 Nextel Horne I MyNextel j Received Messaging Overview Send a Message Your message has been received by the Nextel Messaging Center. Send a Group Message Message Inbox; Sent Messages Select Reci lent Claim Number Saved Messages My Phone Messages My Phone Replies Message Status From: Rachel FAOs Subject: Inspection Tutonal Message: Paving ready pm today 19424 McKay International Travel You may check the status of your message now by selecting the recipient(s) of interest clicking the button below. To check later, write down your claim number(s) and go "Message Status" page when you return to the site Phones & Rate Plans I Services I Customer Support ......__a_, I I s.___ /5-" .Z City/ of Humble -Humb Texas Permit #: 900397 Permit: BUILDING Inspector: RICK MARTINEZ District: Scheduled: 06/02/03 02:22:00 PM Property Information: owner Address PARK MANOR OF -MG KAY 19424 DR BLDG 20 Structure NURSING HOME inspection Information: Inspection Class Name Building PAVING #2 Notes Given to Inspector DOAK I PM TODAY Priority? No License Holder Final Inspection? N Vehicle Number: J Odometer. 0 Clockin: 06/02/03 02:22:00 PM Pass: O Reinspect: 0 Ciockout: 06/02/03 02:22:00 PM Charge Fee: 0 Elapsed Time(min,): Notes : Standard Soft (R) REC #: 50424 MEMORY: SCREEN # 190 Pezn:itA#: 03-00097 Permit Type: BP BUILDING PEP..MIT Master #: 03-00097 Address: -MC KAY DRIVE 19424 Contractor: DOAKS CH'UEELKE Inspect Type: BP Insp Desc: BUILDING/PAVING INSPECTION REQUEST INSPECTION RESULT MAY 29, 2003 Inspector ID: 000/RI ' Vehicle ID or Nbr� Insp. District: Odometer on Site: Hold (Y or N) . Inspection Date: J / ----------------------- Beginning Insp Time: Date Desired: 0.5/29/03 Lncting Insp Time: Time Desired: (I)nspect/(R)e-Insp: I �or R Only) -- --- Inspection Results: or C Only) Request Date: 05/29/03 Re -Inspection Requr: (Y or(g Only) Request Time: 10:26:32 Re -Inspect. Fee Req: (Y or 6)Only) ----------------------- Correct Code/Corn : DOAK / 512-11-1-0156 NOTE,:- ; LATE PM TODAY NOTES: Press F1 for Al / 1 Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit ?Nextel com - Your Message Has Been Received Page 1 of 1 r�. '°f 714k}lr$ ,s.,. i;,"s ."'• a `i "'^` MH i' Nextel Home I MyNextel •# ,,,,3J,: =�;: ;s"s: xr;� ,s.<� ��• s iK Received messaging Overview Send a Message Send a Group Message Message Inbox Sent Messages Saved Messages My Phone Messages My Phone Replies Message Status_ FAQs Tutorial International Travel Your message has been received by the Nextel Messaging Center. Select Recipient Claim Number a From; Rachel Subject; Inspection Message: 19424 McKay -pm today -A/C units #1,2,3 and paving ready pm today You may check the status of your message now by selecting the recipient(s) of interest clicking the button below To check later, write down your claim number(s) and go "Message Status" page when you return to the site City of Humble Permit #: 900397 Permit: BUILDING Inspector: RICK MAR i INEZ District: Scheduled: 05/29/03 02:23:00 PM Property Information: Owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Building PAVING #3 Notes Given to Inspector DOAK / 512-971-0156 / LATE PM TODAY Vehicle Number: Odometer: 0 Pass: Reinspect: 0 Charge Fee: 0 Notes : ENTRY & IN FRONT OF WING #400 Priority? No License Holder Final Inspection? N Ciockin: 05/29/03 02:23:00 PM Clockout: 06/29103 02:23:00 Pill Elapsed Time(min.): Standard Soft (R) REC #: 50395 MEMORY: SCREEN # 190 Permit _#: 03-00097 Permit Type: BP BUILDING PERMIT Master #: 03-00097 Address: MC KAY DRIVE L9424 Contractor: DOAKS CHUELKE Inspect Type: BP Insp Desc: BUILDING/PAVING INSPECTION REQUEST INSPECTION RESULT MAY 28,*20 Inspector ID: 000/RT Vehicle ID or �Nbr Insp. District: Odometer on Site: P Hold (Y or N) : Inspection Date: &,r7 �itJ ----------------------- Beginning Insp Time: Date Desired: 05/28/03 Ending Insp Time: Time Desired: (I)nspect/(R)e-Insp: I� or Only) ------------------------ Request Date: 05/28/03 Request Time: 09:02:44 ----------------------- Inspection Results: Re -Inspection Requr: Re -Inspect. Fee Req: Correct Code/Commnt: NOTES: POUR CONCRETE TOMORROW @ 7:00 AM NOTES: orCc,)Only) or N Only) or N Only) DOAK Press F1 for All Inspections this Permit/F2 for All Inspections this Type Movement or Press <ESC> Exit --�-�- City of Humble HumGle Texas .� I Permit ##: 900397 Permit: BUILDING Inspector: RICK MARTINEZ District: Scheduled: / / : : AM Priority? No • 4 Property Information: Owner License Holder Address PARK MANOR OF -MC KAY 15424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Building PAVING #4 Final Inspection? N Notes Given to Inspector DOAK I POUR CONCRETE TOMORROW @ 7 00 AMIJ »>A remspectson was required on 05128103<<< Vehicle Number: Odometer. 1 p Clockin: / / AM Pass: O Reinspect: 0 Clockout: 1 I AM Charge Fee: 0 Elapsed Time(min.): Notes : Standard Soft (R) REC #: 50359 MEMORY: Permit #: 03-00097 Permit Type: BP BUILDING PERMIT Master #: 03-00097 Address: MC KAY DRIVE Contractor: DOAKS CHUELKE Inspect Type: BP Insp Desc: BUILDING/PAVING INSPECTION REQUEST Inspector ID: 000/RT Insp. District: Hold (Y or N) : ----------------------- Date Desired: 05/22/03 Time Desired: ----------------------- Request Date: 05/22/03 Request Time: 10:41:52 ----------------------- NOTES: NOTES: Press F1 SCREEN # 190 1942-± INSPECTION RESULT MAY 22, 2003 -------------------------------------------------------- Vehicle ID or Nbr: Odometer on Site: Inspection Date: Beginning Insp Time: Ending Insp Time: (I)nspect/(R)e-Insp: I r R Only) Inspection Results: P or Only) Re -Inspection Requr: Y or N nly) Re -Inspect. Fee Req: (Y or nly) Correct Code/Commnt: DOAK / LATE PM for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit �F�� 1 City of Humble Humble7exas ` Permit #: 900397 Permit: BUILDING Inspector: RICK MARTINEZ District: Scheduled: 05/22/03 02:25:00 PM Property Information= Owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Building PAVING #5 Motes Given to Inspector DOAK / LATE PM Priority? No License Holder Final Inspection? N Vehicle Number. Odometer. 0 I Clockin: 05/22/03 02:25:00 PM Pass: O Reinspect: CD Clockout 05122103 02.25:00 PM Charge Fee: a Elapsed Time(min.): Motes Standard Soft (R) REC #: 50323 MEMORY: Permit #: s3-00097 Permit Type: BP BUILDING PERMIT Master #: 03-00097 Address: MC KAY DRIVE Contractor: DOAKS CHUELKE Inspect Type: BP Insp Desc: BUILDING/PAVING INSPECTION REQUEST Inspector ID: 000/RI Insp. District: Hold (Y or N) : ------------------------ Date Desired: 05/19/03 Time Desired: : ----------------------- Request Date: 05/19/03 Request Time: 10:29:35 SCREEN # 190 19424 - INSPECTION RESULT MAY 19, 2003 Vehicle ID or Nbr: Odometer on Site: Inspection Date: Beginning Insp Time: Ending Insp Time: (I) nspect/ (R) e- Insp: I or R Only) 8-or Inspection , Results : Only) Re-Inspettion Requr: (Y or Only) Re -Inspect. Fee Rea: (Y or Only) Correct Code/Commnt: DOAKS j READY" 3 M TODAY NOTES: NOTES: Press F1 for All Inspections this Permit/F2 for Al? Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit Y- City of Humble Permit #: 900397 Permit: BUILDING Inspector: RICK MAR T INEZ District: Scheduled: 05/20/03 02:26:00 PM Property Information: Owner Address PARK MANOR OF -MG KAY 19424 DR BLDG 20 Structure NURSING }SOME Inspection Information: Inspection Class Name Building PAVING #6 Notes Given to Inspector DOAK / READY 3PM TODAY Priority? No License Holder Final Inspection? N Vehicle Number: 1 odometer; 0 Clockin: 05120/03 02:26:00 PM Pass: Reinspect: Clockout: 05/20/03 02:26:00 PM Charge Fee: O Elapsed Time(min,): Notes : Standard Soft (R) REC #: 50358 MEMORY: Permit #: 03-00097 Permit Type: BP BUILDING PERMIT Master #: 03-00097 Address: MC KAY DRIVE Contractor: DOAKS CHUELKE Inspect Type: BD Insp Desc: BUILDING/DRIVEWAY INSPECTION REQUEST Inspector ID: 000/RT Insp. District: Hold (Y or N) : ----------------------- Date Desired: 05/22/03 Time Desired: ----------------------- Request Date: 05/22/03 Request -Time: 10:41:16 SCREEN # 190 19424 INSPECTION RESULT MAY 22, 2003 Vehicle ID or Nbr: Odometer on Site: Inspection Date: { / Beginning Insp Time: Ending Insp Time: (I)sspect/(R)e-Insp: I r R Only) Inspection Results: r C Only) Re -Inspection Requr: (Y o Only) Re -Inspect. Fee Req: (Y or 1d Only) Correct Code/Commnt: DOAK / LATE PM NOTES : • POUR CONCRETE FRIDAY AM NOTES: Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit City of Humble I Humble Texas' I } Permit #: 900397 Permit: BUILDING Inspector: RICK MARTINEZ District: Scheduled: 05/22/03 02:26:00 PM Property Information: Owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection information: Inspection Glass Heine Building DRIVEWAY #1 Notes Given to Inspector DOAK / LATE PM / POUR CONCRETE FRIDAY AM Priority? No License Holder Final Inspection? N Vehicle Number. Odometer. 0 Clockin: 05122/03 02:26:00 131111i Pass: O Reinspect: O Clockout: 05122/03 02:26:00 PM Charge Fee: 0 (Elapsed Time(min.): Notes : Standard Soft. (R) REC #: 50347 MEMORY: SCREEN # 190 Pc�ri'L'`#: 03-00097 Permit. 'Type: BP BUILDING PERMIT Master #: 03-00097 Address: MC KAY DRIVE 19424 Contractor: DOAKS CHUELKE Inspect Type: BD Insp DeSC: BUILDING/DRIVEWAY INSPECTION REQUEST INSPECTION RESULT MAY 21, 2003 Inspector. ID: 000/RI Vehicle ID car Nbr: Insp. District: Odometer on,/ Site: Hold (Y or N) . Inspection / Date: ----------------------- Beginning Insp Time: Date Desired: 05/21/03 Ending Insp Time: Time Desired: (I)nspect//(R)e-Insp: I ,or R Only) ----------------------- In8pectio' Results: P,or Request Date: 05/21/03 Re -Inspection Requr: ,_C.Only) (Y or` nly) Request Time: 10:36:16 Re -Inspect. Fee Req: (Y oWnly) ---------------------- - -I Correct Code/Commnt: DOAKS / LATE PN1"TODAY NOTES: CONCRETE SET FOR 7AM THURSDAY NOTES: Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit Nextel.eom - Your Message Has Been Received Page l of'] i EXITIm * Messaging 3 Received Messaging Overview Send a Message Your message has been received by the Nextel Messaging Center. Send a Croup Message Message In,box Sent Messages Saved Messages My Phone Messages i My Phone Replies Message Status From: Rachel FAQs Subject. Tutorial Message: 19424 McKay/Driveway/ready late pm today International Travel You may check the status of yclun mess,;.•._ _:ecting the reopient,_ 1 of irate, c,,' i=king the button below. To check later. write down your claim number(s) and go Message Status- page when you return to the site. ebeck Status :;sFnV City of Humble ` Hum4leTexas Permit #: 900397 Permit: BUILDING Inspector: RICK MARTINEZ District: Scheduled: 05/21/03 02:27:00 PM Property Information: Owner Address PARK MANOR OF -MC KAY 19424 DR BLDG 20 Structure NURSING HOME Inspection Information: Inspection Class Name Building DRIVEWAY #2 Notes Given to Inspector DOAK / LATE PM TODAY / POUR CONCRETE 7 AM THURSDAY Priority? No License Holder Final Inspection? N Vehicle Number. Odometer: 10 Ciockin: 05121103 02:27:00 PM Pass: [j) Reinspect: 0 Clockout; 05/21/03 02:27:00 PM Charge Fee: O Elapsed Time(min.): Notes r MECHANICAL PERMIT APPLICATION City of Humble Applicant to complete numbered spaces only. JOB ADDRESS LEGAL LOT NO. 1 DESCR AM'e Or E' =:. �rr jj fi�K /�hrbtc o f t-�8 tc TRnCK _. -J SEE ATTACHED SHEET] - BUILDING OWNER 21 MAIL ADDRESS Y�S1Wh-,_ _-- ZIP PHONE MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO tAi>/) 17.�Yi 1)44� 36o8fx+Fs �a� kb ?2.'YcD3'j" oA` S ONNWAZZ TX %SiSL �`� 212`IStS cccc 3 BUILDING CONTRACTOR MAIL ADDRESS PHONE_!CENSE NO 4--5V�� roc Sf1�r�� USE OF BUILDINi;..--------._-.__. _.. 5 AlUR51NG+kc' 6`Class of work: ANEW _] ADDITION _J ALTERATION J REPAIR J REPLACE LIKE FOR LIKE 7 Describe Work: �- S`� Sf►ur SfSJ�ts J - 3� �SP,c,�- srs��M NOTICE THIS PERMIT BECOMES NULL AND VOID AFTER 6 MONTHS OF CONSTRUCTION INACTIVITY I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLI- CATION AND KNOW THE SAMETO BETRUE AND CORRECT. ALL PRO- VISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION ORTHE PERFORMANCE OF CONSTRUCTION. _j U_1_4�_ 56-o3 SIGNATURE OF STATE OF TEXAS LICENSE HOLDER (DATE) Type of Fuel: Nat. Gas j' LPG J No Type of Equipment Air Co id. Units - Tonnage Refrigeration Units Forced Air Systems - 8 T. U 17-1 00d �- Gravn^q Systems - B T U. Wall Heaters - E TU Unit Heaters - 9 T U- Special Fue: Buming Equipment Ventilation Fan Range Hood Air Handling Una - C. F M Restauran, vent food M4c TOTAL NEW TONNAGE $ COST OF INSTALLATION $ / q .. SIGNATURE OF OVVNER (IF HOMEOWNER) (DATE) / �ar PERMIT FEE $ 21stv HVAC PERMIT!+ tt � GATE ISSUED L 09-a2b0 07 CITY OF HUMBLE 14 HIGGINS • HUMBLE TEXAS 77338 28, -1-4 6.306 i tJuAci f�'� i APPLICATION FOR FIRE SPRINKLER PERMIT TO THE CITY OF HUMBLE BUILDING OFFICIAL: The undersigned hereby applies for a permit for the installaiton of the following fire spr4kle system in the City of Mumble: Type Residential Commercial ✓� Industrial` Owner c P 4-(-P 7S Le Address � �1 `�� `� (� L- f Ater' Lot No Block No. Addt. Contractor Address ! Z ,i y7e.� %'! �'L State License Phone "J/ jC= i r� � ' �!S N 2 �%C i JOB DESCRIPTION v# Total Number Of Sprinkler- Heads Sprinkler System Type WA f Stand Pipe - - Yes %� No Number Of Outlets Other j wC Fire Srmclr System Construction Cost OkT7 tiC t) t s1A t N' C-- !.L< C c c TOTAL CHARGES This application shall be accompanied with a set of plans covering the work to be performed. All materials used shall be "Approved" type and shall be installed in accordance with the requirements of the City of Humble Code. The undersigned agrees and obligates himself to fully indemnify and holdharmless the City of Humble for all claims for damages occasioned in any matter in connection with the work performed ender- a permit iss IIIerefor. Signed Fire / Contractor Permit cost: S30.00 Bldg. Permit -` Date Issued Permi t = Ci�CCKL9 �t Date Issued: �'j-�� -C CITY OF HUMBLE r--�- -- --- �- � FIRE SPRINKLER PERMIT Permit 2003696 $1,000 Total Fees $30.00 Paid Structure NURSING HOME City/ of Humble 114 West Higgins Humble, TX 77338 Phone; 281.446.3061 Fax: 281.446.7902 Applicant SAMUEL T. KOETTER Applied 05/29/2003 Issued 05/29/2003 Code Property 19424 MCKAY DR $30.00 Address Humble, TX 77338 Occupancy & Construction Type Institutional - Hospital IV -UN Square Footage Zoning SetBacks Heated 0 Property Front Rear Fire 0.00 0.00 Unheated 0 Flood Special Left Right Total 0 School 0.00 0.00 Parcel # (Primary) Primary Height Stories Sprinklers Structure 11 Owner PARK MANOR OF HUMBLE NURSING HOME 19424 MC KAY DRIVE HUMBLE, TX 77338 Description of Work FIRE EXTINGUISHING SYSTEM Units Occ Load Fire Alarm 1 ❑ Design Professional Utilities Water Sewer Electric Gas Legai Map Section Township Range Lot Block Contractor PHOENIZ FIRE PROTECTION SERVICE 929 FISHER STREET HOUSTON TX 77018 Phone (713)681 2690 License Holder SAMUEL T KOETTER # ECR 1347 Expires 04/30/04 929 FISHER STREET 3 HOUSTON, TX 77018 Phone N/A In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in public records of of this county, and there may be additional permits required from other government entities such as water management districts, state agencies, or federal agenecies. Additional restrictions, not of records, may also exist. Contractor or Aaent Date Buildina Official or Designee Date City of Humble 9,14 West Higgins Humble, TX 77338 Phone:281.446.3051 Fax.281.446.7902 Permit 2003696 FIRE SPRINKLER Permit Detail Applied 05/29/2003 Issued 05/29/2003 Property Address 99424 MCKAY DR Humble, TX 77338 Permit Notes Fee Detail Description Account Charge Sprinkler Permits 14-2 3000 Fee Total: $30.00 Amount Paid: $30.00 Standard Soft (R) REC #: 50142 MEMORY: Permit #: 03-00354 Permit Type: PP PLUMBING PERMIT Master #: 03-00097 Address: MC KAY DRIVE 19424 Contractor: HUDDLESTON, G_ARY R. Inspect Type: PU Insp Desc: PLUMB UNDERGROUND INSPECTION REQUEST Inspector ID: 000/RT Insp. District: Hold (Y or N) : ----------------------- Date Desired: 04/22/03 Time Desired: ----------------------- Request Date: 04/22/03 Request Time: 08:36:15 ----------------------- NOTES: NOTES: Press SCREEN # 190 INSPECTION RESULT APRIL 22, 2003 -- ---------- Vehicle ID or Nbr: Odometer on Site: Inspection Date: Beginning Insp Time: Ending Insp Time: (I)nspect/(R)e-Insp: I or R Only) Inspection Results: oreOnly) Re -Inspection Requr: 00rOnly) Re -Inspect. Fee Req: (Y orOnly) Correct Code/Commnt: DOAK WATER LI Imo" F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit Nextel.com - Your Message Has Been Received .:-a ' N Ma Messaging Received Messaging Overview Send a Message Send a Group Message Message Inbox Sent Messages Saved Messages My Phone Messages My Phone Replies Message Status FAQs Tutorial International Travel Page I of 1 iol Nome I MyNextel ; 1 Your message has been received by the Nextel Messaging Center. Claim Number From: Rachel Subject: ,ispecrion Message: Nursing home - kitchen area - plmb undgrd 19424 McKay _ ready mid afternoon today ou may check the status of your message nova by selecting the recipient(s) of interest clicking the button below. To chuck later, write down your claim number(s) and go "Message Status" page when you return to the _, l Chedt Status Standard Soft (R) REC #: 50112 MEMORY: Permit #: 03-00354 Permit Type: PP PLUMBING PERMIT Master #: 03-00097 Address: MC KAY DRIVE Contractor: HUDDLESTON, GARY R. Inspect Type: PU Insp Desc: PLUMB UNDERGROUND INSPECTION REQUEST Inspector ID: 000/RI Insp. District: Hold (Y or N) : ----------------------- Date Desired: 04/16/03 Time Desired: ----------------------- Request Date: 04/16/03 Request Time: 10:11:13 ----------------------- SCREEN # 190 19424 INSPECTION RESULT APRIL 16, 2003 Vehicle ID or Nbr: Odometer on Site: Inspection Date: Beginning Insp Time: Ending Insp Time: , (I)nspect/(R)e-Insp: I ` or R Only) Inspection Results: or Only) Re -Inspection Requr: (Y o nly) Re -Inspect. Fee Req: (Y or nly) Correct Code/Commnt: DOAK % KITCHEN NOTES: READY MID AFTERNOON TODAY NOTES: Press F1 C ps for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit CV Nextel.com - Your Message Has Been Received Received Page 1 of 1 Nextel Home MyNex`el Messaging Overview Send a Message Your message has been received by the Nextel Messaging Center. Send a Group Message Message Inbox Sent Messages Select "-:Pient Claim Number Saved Messages I — My Phone Messages My Phone Replies Message Status From: Rac,ef FAQs Subject: Tutorial Message: 19424 McKay/Elec Undgrd/ready at 1pm International Travel ou may check the StatUS Of YOUfi rnessage now by selecting the recipient(s) of inter es: (_licking the button below. To check later, write down your claim number(s) and go "MC�ssage States" page r:hen you return to the site. Standard Soft (R) REC #: 50145 MEMORY: Permit #: 03-00353 Permit Type: EP ELECTRICAL !'hest=r 4: 03-00097 Address: MC KAY DRIVE Contractor: ROBERT ABNEY Inspect Type: EU Insp Desc: ELEC UNDERGROUND INSPECTION REQUEST Inspector ID: 000/RI Insp. District: Hold (Y or N) ----------------------- Date Desired: 04/22/03 Time Desired: _-01_0O_PM Request Date: 04/22/03 Request Time: 10_36_30 SCREEN ## IyW 19424 INSPECTION RESULT APRIL 22, 2003 Vehicle ID or Nbr: Odometer on Site: l/ Inspection Date: / 1 Beginning Insp Time: U Ending Insp Time: (I)nspect/(R)e-Insp: I r R Only) Inspection Results: ( or C Only) Re -Inspection Requr: (Y or nly) Re -Inspect. Fee Req: (Y OrTp Only) Correct Code/Commnt: DOALK f 281-446-0661 NOTES: READY AT 1PM NOTES: Press F1 for All Inspections this Permit/F2 for All inspections this Type Use Standard Movement Keys or Press <ESC> to Exit r � Standard Soft (R) REC #: 50174 MEMORY: SCREEN # 190 Permit #: 03-00354 Permit Type: PP PLUMBING PERMIT Master #: 03-00097 Address: MC KAY DRIVE 19424 Contractor: HUDDLESTON, GARY R. Inspect Type: PS Insp Desc: PLUMB SEWER INSPECTION REQUEST INSPECTION RESULT APRIL 29, 2003 Inspector ID: 000/RI Vehicle ID or Nbr: Insp. District: Odometer on Site: - Hold (Y or N) Inspection Date: ----------------------- Beginning Insp Time: Date Desired: 04/30/03 ( Ending Insp Time: Time Desired: (I)nspect/(R)e-Insp: I or R Only) ----------------------- Inspection Results: or C Only) Request Date: 04/29/03 Re -Inspection Requr: (Y or Only) Request Time: 14:33:05 Re -Inspect_ Fee Req: (Y or Only) ----------------------- Correct Code/Commnt: DOAK/ AM WED S NOTES: fY NOTES: l �` Press FI for All Inspections this Permit/F2 for All Inspections 06is Type Use Standard Movement Keys or Press <ESC> to Exit Standard Soft (R) REC #: 50149 MEMORY: SCREEN # 190 Permit #: 03-00097 Permit Type: BP BUILDING PERMIT Master #: 03-00097 Address: MC KAY DRIVE 19424 Contractor: DOAKS CHUELKE Inspect Type: BS Insp Desc: BUILDING SLAB INSPECTION REQUEST Inspector ID: 000/RI Insp. District: Hold (Y or N) : ----------------------- Date Desired: 04/23/03 Time Desired: ----------------------- Request Date: 04/22/03 Request Time: 16:10:56 ----------------------- NOTES: NOTES: Press INSPECTION RESULT$ APRIL 22% 2003 =Vehicle ID or==Nbr==== r Odometer on Site: I1 Inspection Date: / j' �� ✓ 1� Beginning Insp Time: Ending Insp Time: (I)nspect/(R)e-Insp: I or R Only) Inspection Results: eor,,C Only) Re -Inspection Requr: (Y orOnly) Re -Inspect. Fee Req: (Y org. On Correct Code/Commnt: DOAKS F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit SL�fELrr: Si O� PEL, 4: 50565 TMT-17 ix . 0---s a -fir; :JCE "- .' "C', r D--) new::�L S;R=r. is iEfF.--RllT 7�I1`%-M=zl - T dz U . :dam: iar.. aL�-.Ct:: Odom." Cn ait,_-: ----------------------- BFCJiMZ:q:3 M-lyp: 1k,Le t.I!Ei-zal C l:/ 03 r , fire: `rim,. Lk�ze: c:: g " �� e gram: 01? Lobe; 45j L;`i�? Fh rs (Y qr N �1y RSaA� Tlrre: CB: 5:X, it-- iz'neo. R-- 'eq: (y dr N Q`1y) -------------------- lm� ",kr at 'fir= gaL / MFK ICM.: NMS: Zige amn ta. ,itka?st "ttJb tom' AR% <Hsnh to R:L 0 Clinton Johnson Fire Marshal (281)446-4928 FAX (281) 446-3960 CITY OF HUMBLE PERIL=ANENT RECORD OF INSPECTION Bob Boyles Building Official (281) 446-3061 ext. 122 ADDRESS DATE_� NAME OF BUSINESS TYPE OF OCCUPANCY TYPE OF 1NSPECTION__j/7Z� INSPECTOR 2 BUSINESS PHONE EMERGENCY PHONE FIRE PREVENTION INSPECTION ONLY THE HUMBLE FIRE PREVENTION BUREAU HAS CONDUCTED A FIRE- AND LIFE SAFE'F'r' INSPECTION OF YOUR PROPERTY. THE CONDUCTION OF THIS INSPECTION AND CORRECTION OF ANY U\SAFE CONDITIONS \t'ILL IMPROVE THE FIRE DEPARTMENTS ABILITYTO SAVE LIVES AND TO ATTACK AND EXTINGUISH ANY FIRE THAT NL4Y OCCUR IN THE BUILDING QUICKLY AND EFFICIENTLY DURING THIS INSPECTION. CONDITIONS AFFECTING BUILDING SAFETY ACCORDING TO CODES ADAPTED BY THE CITY OF HUMBLE WERE NOTED. IT IS RE- QUIRED THATTHE ITEMS LISTED BELOW BE CORRECTED IN THE SPECIFIEDTIME REFERRED TO IN THE NOTICE PORTION OFTHIS DOCUMENT. WET FIRE PUMP / SPRIN KLER TYPE ❑ ❑ DATEINSPECTED / 1 2 3 STANDPIPE TYPE ❑ ❑ ❑ DATE INSPECTED ALARM DATE INSPECTED VENT HCAM DATE INSPECTED FIRE EXTINGUISHER DATE INSPECTED I P CTION COMPANY EMERGENCY LIGHTING ❑ O.K. ❑ IF NOT EXPL INED: z C i ` - Lv l ,� 0rJ S NOTICE: FINAL NOTICE: YOUR ATTENTION IS RESPECTFULLY CALLED TO THE VIOLATIONS ABOVE OF THE CODE OF ORDINANCES OF THE CITY OF HUMBLE. TEXAS, ON THE PREMISES LOCATED AT HUMBLE, TEXAS. AS INDICATED ABOVE. FAILURE ON YOUR PART TO COMPLY WITH THIS NOTICE BEFORE THE _ DAY OF 20 WILL SUBJECT YOU TO THE PENALTIES AS PRESCRIBED BY THE ABOVE SAID ORDINANCE OF LAW. PERMITS ARE REQUIREDTO BEGIN NIOSTTYPES OF WORK. ON PREMISES. WHICH ALTER EXISTING CONDITIONS- FOR INFORMATION REGARDING PERMITTING OR INSPECTIONS, PLEASE CONTACT THE CITY OF HUMBLE BUILDING DEPARTNIENTAT (lSh 4 6-3061 PRIOR TO COMMENCING WORK. APPLICANT (MAY)(MAY" NOT) OCCUPY THE BUILDING PRIOR TO COMPLETION OF CONDITIONS MENTIONED ABOVE. ITEMS NUMBER i NUMBERS WHICH MUST BE CORRECTED PRIOR TO OCCUPANCY. FAILURE TO COMPLY WITH THE CITY OF HUMBLE CODE OF ORDINANCE COULD RESULT IN FINES OF UPTO S"_ILIXI PER VIOLATION. �-7--� Received BY DAT E 1 �'�. � J ^�. OFFICER DATE] (,3 — 63 2-4475-08.D•09-525V-OS 0111o9b Clinton Johnson Fire Marshal (281)446-4928 FAX (281) 446-3900 CITY OF HUMBLE PERMANENT RECORD OF INSPECTION Bob Boyles Building Official (281)446-3061 exI. 1'_2 ADDRESS +4q 7,4,1 (l0u, DATE NA4fEOFBUSINESS 0� 1'Il)lq I I TYPE OF OCCUPANCY t TYPE OF INSPECTION (if; y ' i G"ei INSPECTOR hl� j_ _ir1y BUSINESS PHONE EMERGENCY PHONE FIRE PREVENTION INSPECTION ONLY THE HUMBLE FIRE PREVENTION BUREAU HAS CONDUCTEDA FIRE AND LIFE SAFETY INSPECTION OF YOUR PROPERTY. THE CONDUCTION OF THIS INSPECTION AND CORRECTION OF AN Y UNSAFE CONDITIONS W ILL IMPROVE THE FI RE DEPARTMENTS ABILITY TO SAVE LI VES AND TO ATTACK AND EXTINGUISH AN Y FIRE THAT MAY OCCUR IN THE BUILDING QUICKLY AND EFFICIENTLY. DURING THIS INSPECTION, CONDITIONS AFFECTING BUILDING SAFETY ACCORDING TO CODES ADAPTED BY THE CITY OF HUMBLE WERE NOTED. IT IS RE- QUIRED TIGNTTHE ITEMS LISTED BELOW BE CORRECTED IN THE SPECIFIED TIME REFERRED TO IN THE NOTICE PORTION OFTHIS DOCUMENT. WET DR FIRE PUMP SPRINKLER TYPE ❑ ' ❑ DATE INSPECTED 1 2 3 STANDPIPE TYPE ❑ ❑ ❑ DATE INSPECTED ALARM DATE INSPECTED VENT HOOD DATE INSPECTED FIRE EXTINGUISHER DATE INSPECTED INSPECTION COMPANY EMERGENCY LIGHTING ❑ O.K. ❑ IF NOT EXPLAINED: >3��1 �l ooCf) ;T r►o OTICE: FINAL NOTICE: YOUR ATTE N IS RESPECTFULLY CALLED TO THE VIOLATIONS ABOVE OF THE CODE OF ORDI: OF THE CITY OF HUMBLE, T , N THE PREMISES LOCATED NF HUM AS, AS INDICATED ABOVE. FAILURE ON YOUR PART TO COMPLY WITH THIS NOTICE BEFORE T _ DAY OF 7 WILL SUBJECT O THE PENAI_T1ES AS PRESCRIBED BY THE ABO ID ORDINANCE OF LAW. PERMIT . REQUIRED TO BEGIN MOSTTYPES OF NVORK, ON PREMISES, WHICH ALTER EXISTING COND 'S. FOR INFORMATION REGARDING PERMITTING OR INSPECTIONS. PLEASE CONTACT THE CIT ' OF HUMBLE BUILDING DEPARTMENT AT ('_xi) 446-3U61 PRIOR TO . tENCING WORK. APPLICANT (,IAY)(MAY N OCCUP HE U _DING P )R TO COMPLETION OF CONDITIONS MENTIONED ABOVE. ITEM :' V1BER i NUMBERS WHICH MUST BE CORRECTED PRIOR T UPAN FA]LURETO COMPLY W' 11 li, E CI ' F 1_E U R NANCE COULD U T IN FINES OF UPTO S220 A) PER VIOLATION. Received BY DATE JJ OFFICER fi DATE(;;���l�f`' n no.114Un nu.nInaoa // Standard Soft (R) REC #: 50007 MEMORY: SCREEN # 190 Permit #: 03-00354 Permit Type: PP PLUMBING PERMIT Master #: 03-00097 Address: MC KAY DRIVE 19424 Contractor: HMDLESTON, GARY R. Inspect Type: PU Insp Desc: PLUMB UNDERGROUND INSPECTION REQUEST INSPECTION RESULT AP IL 20 Inspector ID: 000/RI Vehicle ID or Nbr: Insp. District: Odometer on Site: t� Hold (Y or N) . Inspection Date: ----------------------- Beginning Insp Time: Date Desired: 04/04/03 Ending Insp Time: Time Desired: (I)nspect/(R)e-Insp: I ( r R Only) ----------------------- Inspection Results: r nly) Request Date: 04/04/03 Re -Inspection Requr: o nly) Request Time: 08:31:16 Re -Inspect. Fee Req: (Y or N nly) ----------------------- Correct Code/Cotmmnt: DOUG / EARLY AM INSPEC NOTES: NOTES: 6 i Press FI for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Kevs or Press <ESC> to Exit Standard Soft (R) REC #: 49952 MEMORY: SCREEN # 19(1 Permit #: 03-00354 Permit Type: PP PLUMBING PERMIT Master #: 03-00097 Address: MC KAY DRIVE 19424 Contractor: HUDDLESTON, GARY R. Inspect Type: PU Insp Desc: PLUMB UNDERGROUND INSPECTION REQUEST Inspector ID: 000/RI Insp. District: Hold (Y or N) . ----------------------- Date Desired: 03/28/03 Time Desired: ------------------------ Request Date: 03/27/03 Request Time: 16_15:01 INSPECTION RESULT MARCH 27, 2003 Vehicle ID or Nbr: Odometer on Site: Inspection Date: J / Beginning Insp Time: Ending Insp Time: ti ( I) nspect/ (R) e- Insp : I ( 10or R Only) Inspection Results: ({P, or C Only) Re -Inspection Requr:y orN)Only) Re Inspect. Fee Req: (Y or,./ only) Correct Code/Commnt: DOUG 512-971-015fr' 1 NOTES: FOR WING 100 / EARLY AM FRIDAY NOTES: Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement. Keys or Press <ESC> to Exit Standard Soft (R) REC #: 50092 MEMORY: SCREEN # 190 Permit #: 03-00097 Permit Type: BP BUILDING PERMIT Master #: 03-00097 Address: MU RAY DRIVE 19424 Contractor: DOAKS CHUELKE Inspect Type: ES Insp Desc: BUILDING SLAB INSPECTION REQUEST INSPECTION RESULT APRIL 14, 2003 Inspector ID 000/RI Vehicle ID or Nbr: ---------- Insp. District: Odometer on Site: Hold (Y or N) . Inspection Date: ----------------------- Beginning Insp Time: Date Desired: 04/14/03 Ending Insp Time: Time Desired: 03:00:PM (I)nspect/(R)e-Insp: I �r*PM R Only) ----------------------- Inspection Results: P nly) Request Date: 04/14/03 Re -Inspection Requr: (Y only) Request Time: 08:30:22 Re -Inspect. Fee Req: (Y only) ----------------------- Correct Code/Commnt: DOAK / READY ATODAY NOTES: , q1y1gJ ..�' NOTES: Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit Standard Soft (R) REC #: 49951 MEMORY: SCREEN 4 190 Permit #: 03-00097 Permit Type: BP BUILDING PERMIT Master #: 03-00097 Address: MC KAY DRIVE 19424 Contractor: DOAKS CHUEL•KE Inspect Type: BU Insp Desc: STORM SEWER UNDERGROUND INSPECTION REQUEST Inspector ID: 000/RI Insp. District: Hold (Y or N) . ----------------------- Date Desired: 03/28/03 Time Desired: : ----------------------- Request Date: 03/27/03 Request Time: 16:14:12 ----------------------- INSPECTION RESULT MARCH 27, 2003 Vehicle ID or Nbr: Odometer on Site: Inspection Date: Beginning Insp Time: Ending Insp Time: (I)nspect/(R)e-Insp: I r R Only) Only) Inspectior_ Results: �or- Re -Inspection Requr: (Y o Only) Re -Inspect. Fee Req: (Y oN Only) Correct Code/Commnt: DOUG 512-971-0 1 11 NOTES: READY IST AM FR.IDAY Standard Soft (R) REC #: 49969 MEMORY: Permit #: 03-00097 Permit Type: BP BUILDING PERMIT Master #: 03-00097 Address: MC KAY DRIVE 19424 Contractor: DOAKS CHUELKE Inspect Type: BU Insp Desc: STORM SEWER UNDERGROUND INSPECTION REQUEST Inspector ID: 000/RI Insp. District: Hold (Y or N) : ----------------------- Date Desired: 04/01/03 Time Desired: ----------------------- Request Date: 03/31/03 Request Time: 15:46:09 ----------------------- SCREEN # 190 INSPECTION RESULT MARCH 31, 2003 - Vehicle ID or Nbr: ) Odometer on Site: L� Inspection Date: Beginning Insp Time: Ending Insp Time: (I)nspect/(R)e-Insp: I or R Only) Inspection Results: Re -Inspection Requr: or Only) 4orOnly) Re -Inspect. Fee Req: (Y or Only) Correct Code/Commnt: DOUG / 281-446-9661 NOTES: EARLY AM TUESDAY NOTES: r Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit Standard Soft (R) REC #: 49970 MEMORY Permit #: 03-00354 Permit Type: PP PLUMBING PERMIT Master #: 03-00097 Address: MC KAY DRIVE Contractor: HUDDLESTON, GARY R. Inspect Type: PU Insp Desc: PLUMES UNDERGROUND INSPECTION REQUEST Inspector ID 000/RI Insp. District: Hold (Y or N) : ------------------------- INSPECTION RESULT Vehicle ID or Nbr: Odometer on Site: Inspection Date: Beginning Insp Time: : SCREEN # 190 19424 MARCH 31, 2003 Date Desired: 04/01/03 Ending Insp Time: Time Desired: (I)nspect/(R)e-Insp: = or R Only) -------------------.---- Inspection Results: or Only) Request Date; 03/31/03 Re -Inspection Requr: Y o N Only) Request Time: 15:46:52 Re -Inspect. Fee Req: iY o Only) ----------------------- Correct Code/Commnt: DOUG 281-446-0 NOTES: EARLY AM TUESDAY� : 'J' NOTES: Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement. Keys or Press <ESC> to Exit Standard Soft (R) REC #: 49979 MEMORY: Permit #: 03-00097 Permit Type: BP BUILDING PERMIT Master #: 03-00097 Address: MC KAY DRIVE 19424 Contractor: DOAKS CHUELKE Inspect Type: BU Insp Desc: STORM SEWER UNDERGROUND INSPECTION REQUEST Inspector ID: 000/RT Insp. District: Hold (Y or N) : ----------------------- Date Desired: 04/02/03 Time Desired: ----------------------- Request Date: 04/02/03 Request Time: 08:22:37 ----------------------- NOTES: NOTES: Press SCREEN ## 190 INSPECTION RESULT APRIL 2, 2003 Vehicle ID or Nbr: Odometer on Site:� Inspection Date: Beginning Insp Time: Ending Insp Time: (I)nspect/(R)e-Insp: I or R Only) Inspection Results: lieor C Only) Re -Inspection Requr: (Y or Only) Re -Inspect. Fee Req: (Y or Only) Correct Code/Commnt: DOUG / AFTER /L, F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit Standard Soft (R) REC #: 50008 MEMORY: SCREEN ## 190 Permit #: 03-00353 Permit Type: EP ELECTRICAL Master #: 03-00097 Address: MC KAY DRIVE 19424 Contractor: ROBERT ABNEY Inspect Type: EU Insp Desc: ELEC UNDERGROUND INSPECTION REQUEST INSPECTION RESULT APRIL 4, 2003 Inspector ID: OOOjRI Vehicle ID or Nbr: Insp. District: Odometer on Site: Hold (Y or N) . Inspection Date: ----------------------- Beginning Insp Time: — Date Desired: 04/04/03 Time Desired: Ending Insp Time: (I)nppect/(R)e-Insp: I i` or R Only) ----------------------- Inspection Results: or C Only) Request Date: 04/04/03 Re -Inspection Requr: (Y or (only) Request Time: 08:32:01 Re -Inspect. Fee Req: nlv) (Y or,PODAY ------------------------- Correct DOUG % EARLY AM NOTES: NOTES: lode/Commnt: Press F1 for All Inspections this Permit/F2 for All Inspections this Type Use Standard Movement Keys or Press <ESC> to Exit or xvly j Uin�Qe APPLICATION FOR FIRE SPRINKLER PERMIT TO THE CITY OF HUMBLE BUILDING OFFICIAL: The undersigned hereby applies for a permit for the ins•tallaiton of the following fire sprinkler system in the City of Humble: Type Residential V Commercial Industrial Owner C:, Address Lot No Block No. Addt. Contractor ff4j.U�c.,V rI1 -l;c-� 3 �� �,*�� ��pr;sPState License No. Address I � ;,A�, 6- JOB DESCRIPTION Total Number Of Sprinkler Headsf Sprinkler System Type a,, j-ar�u Stand Pipe - _ Yes No -'Number Other 1, Fire Sprinkler System Construction Cost: Phone,2 $ I - � S ,; 357�/ utl ets" --�3 - TAL CHARGES This application shall be accompanied with a set of plans covering the work to be performed. All materials used shall be "Approved" type and shall be installed in accordance with the requirements of the City of Humble Code. The undersigned agrees and obligates himself to fully indemnify and hold harmless the City of Humble for all claims for damages occasioned in any matter in connection with the work performed under a permit issued therefor. 'e Z Signed 7,,-- Fix -Sprinkler Contractor Permit cost: $30.00 Bldg. Permit # () 0071 Date Issued Permit # 03-3-,?—' Date Issued: CITY OF HUMBLE ' 14 Vi -, G G INS HiMBLE, TEXAS 77338 DATE NU EQ n J�J ELECTRICAL PERMIT APPLICATION 0 City of Humble Applicant to complete numbered spaces only. JOB AOODRESS NAME OF ESTABLISHMENT -- -- "' 00 f LEGAL LOT NO. DESCR. BL I TRACK (U SEE ATTACHED SHEET) BUILDING OWNER MAIL ADDRESS V ZIP PHONE 2 ELECTRICAL CONTRACTOR MAIL ADORE SS jj P//HONEE LICENSE NO T t, P -1 _ (j') I 3 x ! BUILDING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO 4 USE OF BUILDING 5 lass of work: Lp NEW ❑ ADDITION ❑ ALTERATION ijREPAIR p SIGN ❑ NEON Describe Work: �,- } ., I NOTICE Total NO. RECEPTACLE Outlets THIS PERMIT BECOMES NULL AND VOID AFTER 6 LIGHT MONTHS OF CONSTRUCTION INACTIVITY. SWITCH Total I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPL!- CATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL LIGHTING Fixtures PROVISIONS OF LAWS AND ORDINANCES GOVERNINGTHIS TYPE FIXTURES OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN RANGES CLO. DRYER STR. HTR. OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GARBAGE DISP. STA. COOK TOP GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF DISH. WASH. CLOTHES WASH. ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION SPACE HTR. STA. APPL. 112 H.P. MAX. OR THE PERFORMANCE OF CONSTRUCTION. / i Ie � K NO. TRANS. NO. LAMPS SIGNATURE OF STATE OF TEXAS M ER ELECTRICIAN (DATE') TEMP. POWER J POLE C] UNDGD. SERVICE 0-200 A f 201-400A ANEW 401-600A IC) CHANGE !OVER 600A SIGNATURE OF OWNER (IF HOMEOWNER) (DATE) COST OF INSTALLATION $ BUILDING CONSTRUCTION COST�4N / . SIGNATURE OF STATE OF TEXAS SIGN ELECTRICAL MASTER (DATE) PERMIT FEE ---- $ 0 ,rV 2"7,Q • c.At,, BLDG. PERMIT # J ELEC. PERMIT # DATE ISSUED_ DATE ISSUED 09-5250-07 CITY OF HUMBLE 4 YJ HIGGAS - HUMBLE -'S 338 'm NjuhleEp 9 Ik PLUMBING PERMIT APPLIATIC�N i- City of HUmble Applicant to cornpiete numbered spaces only. JOB ADDRES r NAME STA I5Nt.9ENT T ..��. j LCT NOTRACK -. „.J - ATTACHF1 SttEETi .. LEGAL 1 DESCR I I BUILDING OWNER MAIL ADDRESS !II' PHONE 2 CONTRACTOR MAIL ADDRESS -� BUILDING CONTRACTOR 4 USE OF BUILDING 5 PHONETEXAS M Class of work: NEW j ADDITION ❑ ALTERATION ij REPAIR Describe Work: Dula THIS PERMIT BECOMES NULL AND VOID AFTER 6 MONTHS OF CONSTRUCTION INACTIVITY. I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNINGTHIS TYPE OF WORKWILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRE- SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. IF APPLYING FOR HOMEOWNER PLUMBING PERMIT, STATE LAW REQUIRES PROOF OF HOMEOWNER EXEMPTION FROM THE HARRIS COUNTY APPRAISr k DISTRICT. OF TEXAS MASTER SIGNATURE OF OWNER (IF HOMEOWNER) (DATE) No. I Type of Fixture or Item ! WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK $ DISP. DISHWASHER LAUNDRYTRAY CLOTHES WASHER WATER HEATER URINAL 4 DRINKING FOUNTAIN FLOOR -SINK OR DRAIN SLOP SINK GAS SYSTEMS: TEST ONLY WATER PIPING $TREATING EQUIP. WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM i SEWER MOBILE HOME CONNECTION (WATER, SEWER, GAS) COST OF INSTALLATION $ BUILDING CONSTRUCTION COST $ PERMIT FEE $ BLDG PERMIT# DATE ISSUED ►.-,���`r' PLMB PERMIT It DATE ISSUED -0_3 09 5250-0 CITY OF HUMBLE "IGGINS, 28 -16 �06' DATE NU S4BER 2/25/26, 2:48 PM iworq.netiiwarq/O_Pages/popupEditLetlerPrint.php?sid=PLY4NFT88CJZPIKR5DLJGBGMGF600&id=16733610&Iettertinkid=11078 . BUILuItI!= DEP"R.TME!)T — 1 1a';':E__ �I._ J= _T,_ET . Ht P:18_E TE _ . _ . _ I; 44F_F._—F Plumbing Permit General/Location Permit No: 211878 Site Address: 19424 MCKAY BLVD Permit Date: 12/20/2021 City/State/Zip: HUMBLE, TX 77338 Expire Date: 6/20/2022 Parcel No: 1236880010001 Build Type: Commercial Lot: Project Cost: 600 Subdivision: Owner/Contractor Owner: SABRATEXAS HOLDINGS LP Contractor: Genuine Plumbing LLC Address: 19424 MCKAY BLVD Address: 17990 Deer Way City/State/Zip: HOUSTON, 77338 City/State/Zip: Conroe, TX 77303 Phone: Phone: 936 445 2953 Email: Type: Plumbing Description of Project ANNUAL GTO Fee Amount Payment Date Amount Plumbing Permit: (Includes 3+ unit Multi- $56.00 12/20/2021 $56.00 Family) Total Fee: $56.00 Total Paid: $56.00 This permit becomes null and void if work or construction authorized is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any tine after work is started. I hereby certify that I have read and examined this document and know the same to be true and correct. All Provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. 12/20/2021 Permit Clerk Date https://www.iworq.net/iworglO_PageslpopupEditLetterPrint.php?sid=PLY4NFT88CJZPlKR5DLJGBGMGF600&id=16733610&Ietterlinkid=11078087&pr... i/1 2125/26. 2:48 PM iworq.neUiworq/0_Pages/popupEditPrint.php?sid=PLY4NFT88CJZP1KR5DLJGBGMGF600&k=7349&id=23809715&detailid=4&pri. . Ili L Li �� Cl BUILDING C=P�aPT`.dEt17 lv _' _�—•H! MBLE Inspection Information Permit #: 211878 Permit Date: 12120/2021 Inspection Date: 01/20/2022 Permit Type: Plumbing Inspection Type: Plumbing Requested By: Glenn Wooten Contact Info: 832 731 0669 Scheduled Date: 01/21/2022 Scheduled Time: 09:00 Completed Date: 01/21/2022 Description: Annual GTO Inspection Status: Pass Assigned To: Ray Pearson Inspector Title: Building Official Time In: 00:00 Time Out: 00:00 Hours: 0.0 Inspection Items Advisory Backflow Device Final Grease Trap Partial Final Rough -in Sanitary Sewer Showerpan Storm Sewer Underground Underslab Vacuum Breaker Property Information Parccl r: 1236880010001 SABRA TEXAS HOLDINGS LP https:/iwww.iworq.netliworq/0_PageslpopupEditPdnt.php?sid=PLY4NFT88CJZPl KR5DLJGBGMGF600&k=7349&id=23809715&detailid=4&print=y&it... 112 2/25/26, 2:48 PM iworq.neUiworq/0_Pages/popupEditPrint.php?sid=PLY4NFT88CJZP1KR5DLJGBGMGF600&k=7349&id=23809715&detailid=4&pri. . SABRA TEXAS HOLDINGS LP 19424 MCKAY BLVD 19414 MCKAY BLVD HUMBLE Zoning: Lot: Block: HOUSTON, 77338 hops llwnvw.iworq.netliworq/0_Pages/popupEditPrint.php?sid=PLY4NFT88CJZP1 KR5DLJGBGMGF600&k=7349&id=23809715&detailid=4&print=y&it... 2/2 2i25/26, 2:48 PM iworq neUiworq/0_Pages/popupEditLetterPrinl php?sid=PLY4NFT88CJZPIKR51DLJGBGMGF600&id=19083844&letterGnkid=15832 Lt(, __E_ . H ,':16_E T_, 7 d _ Plumbing Permit General/Location Permit No: 230150 Site Address: 19424 MCKAY BLVD Permit Date: 01/26/2023 City/State/Zip: HUMBLE TX, 77338 Expire Date: 07/25/2023 Parcel No: 1236880010001 Build Type: Commercial Project Cost: 800 Owner/Contractor Owner: SABRA TEXAS HOLDINGS LP Contractor: Genuine Plumbing LLC Address: 19424 MCKAY BLVD Address: 17990 Deer Way City/State/Zip: HOUSTON, 77338 City/State/Zip: Conroe, TX 77303 Phone: Phone: 936 445 2953 Email: Type: Plumbing Description of Project Annual Gas Test Fee Account # Amount Plumbing Permit: (Includes 3+ unit Multi -Family) 5230 S58.00 Total Fee: $58.00 Payment Date Description Payment Type Amount 01/26/2023 Annual Gas Test Permit at 19424 McKay Check $58.00 Total Paid: $58.00 This permit becomes null and void if work or construction authorized is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is started. I hereby certify that I have read and examined this document and know the same to be true and correct. All Provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. cow',�• 01/26/2023 Permit Clerk Date https:ilwvrro.iworq.neUiworo10_Pages/popupEditLetterPrint.php?sid=PLY4NFT88CJZP1 KRSDLJGBGMGF600&id=19083844&letterlinkid=15832876&p_. 3/3 2/25126, 2:49 PM iworq.netliworq/0_PageslpopupEditPrint.php?sid=PLY4NFT88CJZP1KR5DLJGBGMGF600&k=435&id=48587593&detailid=4&print. SUILL`IF•1G DEF'R —, MEhdT 1 14 E IS T H NS _ BEET • Ht,MBLE TE ., _ 74 a C _ Inspection Information Permit #: 2301 50 Permit Date: 01/26/2023 Inspection Date: 02/02/2023 Permit Type: Plumbing Inspection Type: Plumbing Requested By: GLENN WOOTEN Contact Info: 832.731.0669 Scheduled Date: 02/03/2023 Scheduled Time: 09:00 Completed Date: 02/03/2023 Description: annual gas test Inspection Status: Pass Assigned To: Ray Pearson Inspector Title: Building Official Time In: 00:00 Time Out: 00:00 Hours: 0.0 Inspection Items Advisory Backflow Device Final Grease Trap Partial Final Rough -in Sanitary Sewer Showerpan Storm Sewer Underground. Underslab Vacuum Breaker Property Information Parcel#: 1236880010001 SABRA TEXAS HOLDINGS LP https:itw Av.lworq.neUiworq/0_PageslpopupEditPrint.php?sid=PLY4NFT88CJZPlKR5DLJGBGMGF600&k=435&id=48587593&detailid=4&print=y&ite.. 1/2 2/25/26, 2:49 PM iworq.net/iworq/0_Pages/pooupEditPrint.php?sid=PLY4NFT88CJZP1KR5DLJGBGMGF600&k=435&ic=48587593&detailid=4&print... SABRA TEXAS HOLDINGS LP 19424 MCKAY BLVD 19424 MCKAY BLVD HUMBLE Zoning: Lot: Biock: HOUSTON, 77338 https://ww,t.iworq.net/iworq/0_Pages/popupEditPrint.php?sid=PLY4NFT88CJZP1 KR5DLJGBGMGF600&k=435&id=4B587593&detailid=4&print=y&ite... 2/2 2/25/26. 2:49 PM iworq.neUiworq/0_Pages/popupEditLetterPrint.php?sid=PLY4NFT88CJZP1KR5DLJGBGMGF600&id=21509437&letterlinkid=21325... EUILr;RdtC EF..R T ME; JT -7 -- 114 V,'E==T NI;, = tJ'= =TE.=E • H,PaELE. T=. ::_ . 7,_=:. i;_` t,d#F_t._2o Plumbing Permit General/Location Permit No: 240234 Site Address: 19424 MCKAY BLVD Permit Date: 02/20/2024 City/State/Zip: HOUSTON TX, 77338 Expire Date: 08/18/2024 Parcel No: 1236880010001 Build Type: Commercial Project Cost: 1000 Owner/Contractor Owner: SABRA TEXAS HOLDINGS LP Contractor: Genuine Plumbing LLC Address: 18500 VON KARMAN AVE STE Address: 17990 Deer Way 550 City/State/Zip: [license.Business C,S,Z] City/State/Zip: IRVINE, CA 92612-0539 Phone: 936 445 2953 Phone: Type: Email: Description of Project annual gas test Fee Account # Amount Plumbing Permit: (Includes 3+ unit Multi -Family) 5230 $60.00 Total Fee: $60.00 Payment Date Description Payment Type Amount 02/20/2024 Check $60.00 Total Paid: $60.00 This permit becomes null and void if work or construction authorized is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is started. I hereby certify that I have read and examined this document and know the same to be true and correct. All Provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. 02/20/2024 Permit Clerk Date https://wrww.iworq.neUiworq/0_PageslpopupEditLetterPrint.php?sid=PLY4NFT88CJZP1KR5DLJGBGMGF600&id=21509437&letterlinkid=21325002&p--- 3/3 2/25/26, 2:49 PM iworq.net/iworq/0_Pages/popupEditPrint.php?sid=PLY4NFT88CJZP1KR5DLJGBGMGF600&k=2280&id=54111747&detailid=4&pdn. . �i L BUfL_,It1G CEF'sFTtlEti T is 'f: E_T t-1:=T--ET 77. .-.!, _�f i 4-i6-622F. Inspection Information Permit #: 240234 Permit Date: 02/20/2024 Inspection Date: 02/21/2024 Permit Type: Plumbing Inspection Type: Building Requested By: GLENN WOOTEN Contact Info: 8327310669 Scheduled Date: 02/21/2024 Scheduled Time: 13:30 Completed Date: 02/21/2024 Description: ANNUAL GAS TEST Inspection Status: Pass Assigned To: Ray Pearson Inspector Title: Building Official Time In: 00:00 Time Out: 00:00 Hours: 0.0 Inspection Items Advisory Beams Brick Wall Ties Ceiling Cover Demolition Final Demolition Partial Final Driveway Fire Final Fire Wall Footer Foundation Framing Partial Final Paving Piers Rebar Rough -in https://www.iworq.neUiworqlO_PageslpopupEditPrint.php?sid=PLY4NFT88CJZPlKR5DLJGBGMGF600&k=2280&id=54111747&detaitid=4&print=y&ite . 1/2 2125126. 2:49 PM iworq.net/iworq/0_Pages/popupEditPrint.php?sid=PLY4NFT88CJZP1KR5DLJGBGMGF600&k=2280&id=54111747&detailid=4&prin... Site Work S lab Slab on Gradc Storm Sewer Tilt Wall Slab Rebar U nder-Tound Underslab Wall Cover Property Information Parcel#: 1236880010001 SABRA TEXAS HOLDINGS LP 19424 MCKAY BLVD HOUSTON Zoning: Lot: Block: SABRA TEXAS HOLDINGS LP 14i00 VON KARMAN AVE STE 550 IRVINE, CA 92612-0139 httpsJ/www.iworq.neUiworq/0_Pages/popupEditPrint.php?sid=PLY4NFT88CJZPl KR5DLJGBGMGF600&k=2280&id=54111747&detailid=4&print=y&ite... 212 2/25/26. 2:49 PM iworq.neUiwcrq/0_Pages/popupEditLetlerPrint.php?sid=PLY-NFT88CJZPIKR5DLJGBGMGF600&id=24782784&letterlinkid=27436... E_11L+C>IF1 CEF�TP;IEFJ— ts=._E— • H .F:1ELE T■ r i 11- __-- Plumbing Permit General/Location Permit No: 250237 Site Address: 19424 MCKAY BLVD Permit Date: 02/24/2025 City/State/Zip: HOUSTON TX, 77338 Expire Date: 08/23/2025 Parcel No: 1236880010001 Build Type: Commercial Project Cost: 600 Owner/Contractor Owner: SABRATEXAS HOLDINGS LP Contractor: Genuine Plumbing LLC Address: 18500 VON KARMAN AVE STE Address: 17990 Deer Way 550 City/State/Zip: Conroe TX 77303 City/State/Zip: IRVINE, CA 92612-0539 Phone: 936 445 2953 Phone: Type: Email: Description of Project annual gas test Fee Account # Amount Plumbing Permit: (Includes 3+ unit Multi -Family) 5230 $56.00 Total Fee: $56.00 Payment Date Description Payment Type Amount 02/24/2025 Check S56.00 Total Paid: $56.00 This permit becomes null and void if work or construction authorized is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is started. hereby certify that I have read and examined this document and know the same to be true and correct. All Provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. 02/24/2025 Permit Clerk Date https:i/www.iworq.nediworgl0_PageslpopupEditLetterPrint.php?sid=PLY4NFT88CJZP1KR5DLJGBGMGF600&id=24782784&letterlinkid=27436465&p..- 3l3 2/25/26, 2:50 PM iworq.neUiworq/0_Pages/popupEditPrint.php7sid=PLY4NFT88CJZP1KR5DLJGBGMGF600&k=1573&id=73803608&detailid=4&pri. . Inspection Information Permit #: 250237 Permit Date: 02/24/2025 Inspection Date: 02/27/2025 Permit Type: Plumbing Inspection Type: Plumbing Requested By: GLENN WOOTEN Contact Info: 832-731-0669 Scheduled Date: 02/27/2025 Scheduled Time: 13:00 Completed Date: 02/27/2025 Description: ANNUAL GAS TEST Inspection Status: Pass Assigned To: Ray Pearson Inspector Title: Building Official Time In: 00:00 Time Out: 00:00 Hours: 0.0 Inspection Items Advisory Backflow Device Final Grease Trap Partial Final Rough -in Sanitary Sewer Showerl)an Storm Sewer Underground Underslab Vacuum Breaker Property Information Parcel#: 1236880010001 1 . H -JJELE, TE''-- SABRA TEXAS FIOLDINGS LP https:llwww.iworq.neUiworglO_PageslpopupEditPrint.php?sid=PLY4NFT88CJZPl KR5DLJGBGMGF600&k=157 3&id=73803608&detailid=4&print=y&it.. 112 2/25/26. 2:50 PM iworq.net/iworq/O_PaaeslpopupEditPrint.php?sid=PLY4NFT88CJZPIKR5DLJGBGMGF600&k=1573&id=73803608&detailid=4&pri. SABRA TEXAS HOLDINGS LP 18500 VON KARMAN AVE STE 5-50 19424 MCKAY BLVD HOUSTON Zoning: Lot. Block: IRVINE, CA 92612-0539 https://www.iworq.neUiworq/0_PagesipopupEditPdnt.php?sid=PLY4NFT88CJZP1 KR5DLJGBGMGF600&k=1573&id=73803608&detailid=4&print=y&it... 2/2 I N C File Copy ................. �S' COUIq't`' 1 9 3 3 City of Humble Sewage Treatment Plant Capacity Form for Park Manor Nursing .Home 19424 Mcl(ay Drive Humble, Texas 77338 (cviy attached) from:CITY OF HUMBLE PUBLIC 'CORKS 281 446 5;:Il - . _ I - '? ; 01,1117i'0,003 10:14 #400 P .001 P'01 is w City of Humble BuildinT / Inspection Dept_ 114 W. MEOW. Humble, Texas 77338 281-4463061 & 281-446-6228 Rick Martinez, FOX 281-446-7902 QWBullding O(scial ,S'ewuge Treatment Plant CCanaci& Form bate: Contact Name: Business lame: Address; City, State, Zip: Telephone No.; Format: Total Amount Due: Plant Location: Line Capacity: Remarks; January 16, 2003 Bhupen Patel Park Manor Nursing Home 19424 McKay Drive Humble, Texas 77333 713-271-1941 126 beds x 125 gallons per bed per day 15,750. gallons total usage per day x S1-80 per gallon S28,350.00 Southwest Sewage Treatment Plant N/A Figures bayed on nursing hone occupancy Public NVflrks Sew2r Capacity AvailApproval Requirement Yes No ate $ store rifApprnvai cc: James Baker, City Manager Barry Brock, Director of Public ;Narks Mark Amoid, Asst. Director of Public W Pile (� V 49 5025.10/sew Vkray B9124/k/9; i603 t ��gFg`NG 1C- - y_ ty Paid -?-5tx i®61 �'fr(5, -c— rm 0 , r-. % s IZ C: C S 10 k Leo Y-',) r�gcIv i ti g V .,� 411 4-PR RAAc.+ Qc> a zZ 's o, c - To "P-?C,H©:ox QF'kL( VP4 5Sc—'—, �a t a� �tA F u)s; 78284 e ROOF FIELD FRAMING DETAILS PARK MANOR OF HUMBLE Mc Kay Drive Mumble T ettas Z William T. Reynolds, P.E. — Structural. EngineW — P. o. Draw s, cater,. AR 71711 (070) e305746 r4 ROOF FIELD FRAMING DETAILS 01 PARK MANOR OF HUMBLE IWWAM T. REY14OLDS I Mc Kay Drive Humble Texas 782 tQ G ov- �jvjjliam T. Reynolds, P. E. Structural Engineer — P. o Dra.Aer J: A?, 7,17 1' (870) &36-574-A f s' t REPORT OF GEOTECHNICAL LNVESTIGATION FOR THE PROPOSED COMN ERCIAL BUILDING ON McKAY DRIVE NEAR J.M. RESTER ROAD HUMBLE, TEXAS FOR. SNHTHERS MERCHANT BUILDERS, LP 4706 SHAVANO OAK SUITE 103 SAN An`rOnTIO, i1pas i PREPARED BY ASSOCIATED TESTING LABORATORIES, INC. HOUSTON, TEXAS F� ASSOCIATED TESTING LABORATORIES, INC. 3143 YELLOWSTONE BLVD. - HOUSTON, TEXAS 7-7054 TEL: (713) 748-3717 - FAX (713) 748-3748 ESTALUSH1:D 1959 .DATE. August 26, 2002 REPORT NO 002-428 Si driers Merchant Builders; LP 4706 Sliavano Oak, Suite 103 San Antonio; Texas 78249 AtLention Mr David Allen Reference: Proposed Commercial Building On McKay Dnve near J.M. Hester Road Humble, Texas Dear IV11 Allen_ We have completed the above referenced geoteehnical Investigation report Our findings; analyses and recommendations are submitted herein If you have any questions please call at your convenience. Once you are ready for construction, we will be. pleased to assist you in field/laboratory iestmg of materials and construction inspection It has been a pleasure working with you on this project and we loop forward to serving you in flie future. Respectfally submitted, ASSOCIATED TESTING LABORATORIES, INC. 6, W\- '� Sam Moharnniad Graduate Engineer &JaiVaghela, P E Project Manager I • ; 7l ..... dkY11'R1�T51WH C VAGHELA 87J25 4z- 44 r ate• tjr �C�1^•a`� ON A a iFl zo TABLE OF CONTENTS DESCRIPTION AREA GEOLOGY SURFACE AND SHALLOW FORMATIONS DESIGN CRITERIA VARIATIONS GENERAL SITE CONDITION SITE PREPARATION FOUNDATION CONSIDERATIONS SHALLOW FOUNDATIONS DRILLED FOOTINGS BELL BOTTONMI) FOOTLNGS DESIGN REVIEW FOUNTATION CONSTRUCTION CONCRETE PAVING ASPHALT PAVING APPENDIX A FIELD & LABORATORY PROCEDURES LOCATIONS OF TEST BORINGS LOGS OF BORINGS KEY TO SOIL CLASSIFICATIONS AND SYMBOLS REPORT NO G02-428 PAGE NO. I 2 3 4 4 5 7 7 9 10 11 11 12 13 I Page I AREA GEOLOGY The site is underlain by the Beaumont liorination of Pleistocene age This formation consists of overconsolidated clays, silts and sands with some shefl calcium carbonate and iron oxides These formations are quite strong and extend to an approximate depth of+/-100 feet The surface materials are often weakened by the weathering process There are nunierous faults and fault systems ir. the greater Houston area The movement of many of these faults has been affected in recent history by area subsidence The subsidence is caused by removal of oil arid, ground water_ As much as nine feet of subsidence has taken place in the area east of Houston in the last severity years, and more than five feet of that has taken place un the last decade as demand for oil and water has increased Conversion to surface water usage and the lumiting of oil production has greatly reduced the subsidence rate in the area east of Houston However, continued ground watei withdrawal in the southwest Houston area makes subsidence and associated faulting a continuing problem in that area. REPORT NO G02-428 Page 2 AREA GEOLOGY (Cont'd) A complete investigative fault study is beyond the scope of this report However, a study of the i Houston geological atlas and i eiated fault maps does not indicate any known fault present in the area of the proposed construction For additional iMorniaton on area faulting; we reconrrnend you contact a professional geologist SURFACE ANT SHALLOW FORMATIONS The surface and shallow formations consist of medium. dense Silty fine Sand (SM) to a depth of about six -feet These soils are underlained by soft to stiff Sandy Clay (CL) soils to a depth of eight feet. These soils are underlained by loose to medium dense Silty Sand (SM) to the depth ranging from twelve to fourteen feet These soils are underlamed by firm to hard Clay (CH) soils and extending to the maximum. depth of the borings at 20-feet The letters in parenthesis indicate soil classification ui accordance with Unified Soil Classification System A more detailed stratigraphy maybe found on the boring logs m Appendix A Ground water was encountered du_-ing the drilling operations as shown on the logs of test borings It should be noted that ground water levels are subject to seasonal variations as well as other factors 1 and should be checked prior to witiating any construction which could be affected. IREPORT NO G02-428 Page 3 DESIGN CRITERIA. Information on this project was supplied by Mr David Allen of Smithers Merchant Builders, LP. The project consists of a one story commercial building as shown on the project layout Structural details such as column and wall loads are not known at taus time but are not expected to exceed 50 kips and 2.0 lips per foot The first floor elevation will be slightly above the existing grade Concrete or asphalt paving may be used for paring areas Anticipated traffic loads will be hgbt to medium, REPORT NO G02-428 i page 4 VARIATIONS The recommendations contained to this report are based on data gained 5om test borings at the locations shown on Figure 1, a reasonable volume of laboratory tests, �P andprofessional interpretation F and evaluation of such data in view of the project information furnished Should it become apparent during construction that soil conditions differing significantly from those discussed in this report are being encountered, this office should be notified immediately di rely so that an evaluation, and any necessary adjustments can be made Also, should the nature of the project change significantly, this office should be notified. Analyses of slope stability, bulkhead or any other features at the site is not within the scope of this investigation and, therefore, ATL is not responsible for any problems caused by these features. IGENERAL SITE CONDITION The project site is relatively flat The project site is currently vacant Brushes, light trees and pots are located at the site No heavy woods were located at the project site. REPORT NO G02-428 I Page 5 ISITE PREPARATION The upper stratum of soil at this site consists geneially of a silty fine sand of fine sandy silt with very little clay binder Durung periods of dry weather the soil is high in sheaf- strength and presents few problems to construction However, duruig penods of wet weather, the soil loses strength rapidly � P with relatively small increases in moisture content, especially where it is underlain by relatively less permeable clays and sandy clays and water becomes trapped in the soil Construction can be very difficult under these conditions unless the soil moisture content can be reduced. Flue dist or fly ash is often used as a "blotter" to hygroscopically absorb excess water Adequate surface drainage is imperative and should be provided and maintained both during aad after construction, if these soils are to be compacted to the required density If moisture cannot be adequately controlled, it may become necessary to remove all or pai'L of this material acid replace it with select fill The following system of construction procedures is reccrtini.ended 1 Strip and remove all surface organics; topsoil and unsuitable materials from all building and paving areas 2 Establish positive site drainage Install stoimri drainage structures if required 3 Proof ioll the sub grade to detect any wet, sort, or pumping areas Treat these areas with drying or stabilizing agents as necessary or remove and replace therm with a suitable fill material REPORT NO G02-428 I Page 6 SITE PREPARATION Cont'd 4 Compact the subgrade to a min nlum of ninety-five (95) percent of its maximum dry density as determined by the Standard Proctor compaction Test (ASTM D 698) 5 Additional fill material within the building area should be a silty or sandy clay having a plasticity index (P.I ) of ten (10) to twenty (20) and a liquid limit of 28 or more Fill materials should be placed in six (6) to eight (9) inch loose lifts and compacted at optimum moisture content to ninety-five (95) percent of their maximum dry density as determned by the Standard Proctor Compaction Test 1 i 1 I i REPORT NO G02-428 r P Page 7 M FOUNDATION CONSMERATIONS i The suiface and shallow formations, consisting of silty sand soil have little or no shrinldswell potential due to the seasonal varaiions The soils can be worked easily and compacted with little effort under suitable conditions of incisture Slab -on -grade with grade beams maybe constructed directly on this type of soil No special treatmcilt or stabilization is necessary for the building aiaes However, subgrade soil should be compacted as recommended in the report SHALLOW FOUNDATIONS Shallow foundations should bear in the material identified as medium silty sand (Sl) at about the three-foot depth and not in any fill or silts found in the upper few feet This depth is presented only as abide, the depth should be increased or decreased if necessary to insure bearung in the propel material The net allowable bearriig capacity for foundations so placed at a depth of four -feet is 1500 ' PSF for isolated square footings and 1000 PSF for wall or ccnt?nuous footings t��ith safety factor of 20 Minimum widths of 24 inches for square footings and 12. inches for wall or continuous footings are recommended However, if grade beams are also supported on bell bottom footings, munimum width of such footings may be reduced to 12 inclies REPORT NO G02-428 ri Page 8 SHALLOW FOUNDATIONS cont'd) As an alternative to the above a shallow foundation n lion system at this site maybe an engineered post - tensioned foundation or ribbed & remforced slab with a penmeter footing and mterior thickened sections (designed according to P.T I criteria) founded on the proper bearing strata and designed for an allowable soi l bearing capacity, of 1000 PSF and a weighted average plasticity index (P I) of 17 The criteria foi the slab -on -grade, m accordance with Post Tensioning Institute (P.T I) is given Atterberg Limits LL=33, PL=16, PI=17 Percent Clay. 30% (assumed)' Deptli to Constant Suction 7 ft Thornwaite Moisture Index Izn = 20 Cation Exchange Activity CEAc = 0 85 Clay Activity Ratio- Ac = 057 Principal Clay Mineral Mnpfmorillonite Constant Suction Value- PF = 33 a" Estimated Velocity of Moisture Flow c = 07 inch/month Edge Moisture Variation em = 38 ft (Center lift) em = 50 ft (Edge lift) Estimated Differential Swell Yin = 0.26 mch (Center lift) s Ym = 023 inch (Edge lift) The percent clay is approximate based on past experience For a exact value a particle size analysis test is regwred REPORT NO G02-428 Page 9 DRILLED FQQTiNGS Structural colur_ -n loads should be supported on straigL?t-sided drilled shafts without bell-bottoms which should be founded at a depth of ten (10) feet below the existing grade Drilled footings should be designed for an allowable bearing capacity of 3000 PSF total load This bearing capacity is based on a nunimurn safety factor of 2 0 Using a safety factor of 3 0, the allowable bearing capacity foi- dead load plus sustained live load is 2000 PSF Casing wdl be necessary for installation of footings at this site Excavations for footings may encounter groundwater Foi best results, any standing water should be, pumped out and footings poured unmediately after the excavation has been made For best results, any standing water should be pumped out and footings poured immediately eately after the excavaiioii has been made REPORT NO G02-428 Page 10 I BELL BOTTOMED FOOTINGS In the event that higher capacity is required then structural column loads can be supported on dnlled shafts with bell-bottoms which should be founded at a depth of eighteen (18) feet below the existing grade Bell-bottom footings should be designed for an allowable beanngcapacity of 4500 PSF total � load This bearing capacity is based on a rnuiimum safety factor of 2 0 Using a safety factor of 3 0, the allowable bearing capacity for dead load plus sustained live load is 3000 PSF A shaft to bell ratio of 3 0 is recommended Casin will be necessary for installation of footings at tlis site g �3' g Excavations for footings may encounter groundwater For best results, any standing water should be Iptu aped out and footings poured immediately after the excavation has been made. f For best results, any standing water should be pumped out and footings poured immediately after the fexcavations has been made 1 REPORT NO G02-428 Page 11 DESIGN RI EVE It is reconunended that Associated Testing Laboratories be allowed to review the design and construction plans and specifications prior to release to make certain that the geotechnical recommendations and piesented heienl have been properly IPY ro erl rote feted FOUNDATION CONSTRUCTION Placement of concrete should be accomplished as soon as possible to prevent changes in state of stress and caving of the foundation soils Excavation/drilling of foundations should be inspected by an Associated Testuxg Laboratories representative to help assure the integrity of foundations REPORT NO G02-428 Page 12 CONCRETE PAVING I As mentioned, the subgrade soils at thus site are very silty and tend to "pump" when wet Concrete pavement should not be allowed to bear on this silt, but should beau on 6 to 8 inches of select fill or stabilized natural materials If stabilization of the natural subgrdae is chosen, cement should be used as the stabilization agent. Typical cement content is about 10 percent of the dry weight of the soil ( 60 to 65Poand per square yard for an eight inch depth) Amore accurate cement percentage may be ' deterinlned through a laboratory series tests, if desired The pavement designs presented below aie based on the use of a compacted subgrade_ (See the - paragraph entitled "Site Preparation" for sub, ade compaction recia_Temeats) The designs are also based on the use of 3000 PSI concrete with a Modulus of Rupture of about 525 PSI Close field supervision is recommended during subgrade preparation LIGHT VEHICLES NMDfU--M VEHICLES HEAVY VEHICLE 5" High traffic volume 6" High traffic volume 8" I ig h traffic Volume 4" Low traffic volume 5" Low traffic volume 6" Low traffic Volume 1 1 REPORT NO G02- i28 Page 13 ASPHALT PAVING Pavement designs presented below are for asphalt pavement it is recor-aended that the top 6 to 8 inches of natural subgrade be compacted to 95% of its maxununi dry density as determined by Standard Proctor Compaction tcst (ASTM D-699) The optimum percentage of cement may be determined by series test at the time of construction Stabilization with 10 percent cement by dry weight may be used as a default Close field supervision is recommended during subgrade preparation LIGHT VEHICLES 1-1/2" Asphalt concrete 6" Compacted base Compacted subgrade MEDIUM VEHICLES 2" Asphalt concrete 7" Compacted base Compacted subgrade HEAVY VEHICLE 3"Asphaltic concrete 8"Compacted base Compacted subgrade Base materials options include sand -smell, hrnestone or recycled concrete The required base thickness can be reduced by about 30% for black base Asphalt concrete should be a hot mixed asphaltic concrete conforming to appropriate Texas Highway Department specifications. REPORT NO G02-128 Page 14 ASPHALT PAVLG (Cont'd) In the areas subjected to excessive loading from refuse trucks impact loads, trash receptacles, and other unusual conditions, a reinforced concrete slab is suggested to prevent excessive pavement deflections Such concrete apron would be approximately six (6) inches thick with reiriforcing of 4 x 4 - 4/4 w w in or equal The pavement designs presented in this report are based on the following load classifications LIGHT MEDIUM HEAVY REPORT NO G02-428 GROSS VEHICLE WE' IGHT 6,000 pounds 20,000 pounds Page 15 APPENDIX A FIELD AN-D LABORATORY PROCEDURES FIELD PROCEDURES All boniigs were drilled with rotary type drilling rigs on the dates and to the depths shown on the boring logs- The boring locations are shown on the Plan o#'Borings, Figure I Samples were taken continuously for the first ten (10) feet of depth and at five (5) feet i itervals thereafter to the bottom of the bor ings Where possible, the boi-mgs were dry augured until water was encountered in each boring in order to secure reliable data on ground eater levels Cohesive soils were sampled by pushing 3 inch dianietei thin -wall steel core barrels (shelby tubes) into the undisturbed soil at the bottom of each boring as the drillung progressed The penetration resistance of each undisturbed core sample was detenrnmed m. the field using a pocket penetrometer The samples were then extruded, visually classified, marked and prepared for transport to the laboratory REPORT NO G02-428 Page 16 I FIELD PROCEDURES (Cont'd) I Cohesionless soils were sampled by a 2 mch OD, 1 375 such ID Split Spoon Sampler The sampler is driven into the soil by a 140 pound haminer dropped 30 inches in free fall The blows are recorded _ m three 6 inch increments, the first 6 inches is driven to seat the sampler, the last 12 inches is driven and the number of blows required is recorded The sample is then prepared for transport to the laboratory LABORATORY PROCEDURES Laboratory testing consists primarily of Moistuie Contents, Atterberg Limits and Unconfined Compression Tests All tests are assigned by a soils engineer to provide a testing program consistent with the project requirements and soil conditions The test results are presented in the appropriate colunns of the boring logs REPORT NO G02428 I f ' �•— 15C �� oA�KIN Y 10 B-B 60' B-B P B-3 60, pRO POSED K E ' " �NDR51N0 µa6 B-2 B,4 B_9 'I 100' 4 f W1 KAY DRIVE I Associated Testing Laboratories, Inc SITE PLAN 3143 Yellowstone Blvd Houston, Texas Tel (713) 748-3717 Fax (713) 748-374B PROPOSED COMMERCIAL BUILDING SCALE N T S DRAWN BY Pi ON McKAY DRIVE NEAR J M RESTER ROAD I PROJECT G02-426 1 FIC--URE 1 HUMBLE, TEXAS B-1 PROJECT NO.G02-428 PROJECT NAME- ON MCKAY DRIVE NEAR J.M. HESTER ROAD,HUMBLE,TX DATE 08/22/2002 CLIENT NAME SMITHERS MERCHANT BUILDERS, LP Shelby Type Baring Method: {{ Rvgar Cn:t�ng Auger: X [�j1 Standard Penetration Test Wash jf No Aec—ry Ground Elev. Existing MATERIAL DESCRIPTION tu � Y 2 m w a d m c N iu W y o a 4 O O lu zD Z F z O O a > z Y a y ti f o 2 U e >ll> N 12 17 10 11 12 17 3 Medium dense gray & tan Silty Sand (SM) light gray & tan below 2' z.o 4.0 6.fl 8A 9 125 080 IS 21 112 24 24 9 9 Firm light gray & tan Sandy Clay (CL) medium dense wlsand layers from 8' to 10' '10.0 15.0 150 4 5+ 080 440 27 16 95 131 57 43 37 25 Firm light gray & tan Clay (CH) hard wisdandy clay layers & calcareous nodules below 18' -0.0 Boring Terminated at 20 feet ndiai Water Reading 10 5' oral Water Reading U' Hole Caved at NO Drilled by BAE DRILLING jPrepared by Jitu ASSOCIATED TESTING LABORATORIES, INC s a B-2 PROJECT NO G02-428 PROJECT NAME: ON MCKAY DRIVE NEAR J M HESTER ROAD,HUMBLE,TX DATE^ 08/22/2002 CLIENT NAME SMITHERS MERCHANT BUILDERS, LP_ F- [L W W W 1J1. a N W z W o a a D LU z z U W c a y z W n C1 U Q'�! o Shelby Type Auyxr Cuiticg U Standard Ponetrxiian Test Lj No Aeeovo r}' Boring Method Auger. X Wash: evg Ground El• Existing MATERIAL DESCRIPTION 16 14 15 11 14 9 39 Medium dense gray & tan Silty Sand (SM) light gray & tan below 2' 2.0 4.0 6.0 80 10 1 50 080 17 18 107 27 22 12 8 Firm light gray & tar, Sandy Clay (CL) medium dense w1sand layers from 8' to 10' 9fl.0 15.fl 450 460 350 380 15 25 124 115 49 65 30 24 Very stiff tar, & light gray &tan Clay (CH) reddish brown below 18' (slickensided) 2D o Boring Terminated at 20 feet i Initial Water Reading. 11' Final Water Reading: 10' Hole Caved at. NO Drilled by. BAE DRILLING jPrepared by Jitu I ASSOCIATED TESTING LABORATORIES, INC. B-3 PROJECT NO G02-428 PROJECT NAME: ON MCKAY DRIVE NEAR J.M. HESTER ROAD,HUMBLE,TX DATE. 08/22/2002 CLIENT NAME SMITHERS MERCHANT BUILDERS, LP = W a W CL 0. of w u C t- 2 Y o 0 c o pLIJ Z o? U z 0 [J W NO z lsneibY I W p c a U � a W , �. TYPE rrr� Augr cutting �I Standard P,n¢trataen Test NU P.ecuvtry Boring Method: Auger- X Wash' Ground Elev: Existing t0iATERIAL DESCRIPTION i3 17 13 10 11 12 39 Medium dense gray & tan Silty Sand (SM) light gray & tan below 2' za 4.0 613 8.0 9 1 00 050 0 40 18 21 112 22 8 Soft to Firm light gray & tan Sandy Clay (CL) vr!ferrous nodules loose vi/sand layers from 8' to 10' Jul) 150 450 4 5+ 390 450 18 23 141 117 49 74 30 51 Very stiff tan & light gray & tan Clay (CH) w!ferrous nodules hard reddish brown below 18' (slickensided) 20.0 Boring Terminated at 20 feet Initial Water Reading: 10 5' Drilled by. SAE DRJLIJNG Final Water Reading• 9' Hole Caved at: No Prepared by: Jitu ASSOCIATED TESTING LABORATORIES, INC, B-4 PROJECT NO G02-428 PROJECT NAME ON McKAY DRIVE NEAR J M NESTER, HUMBLE, TEXAS DATE 08122J2002 CLIENT NAME SMITHERS MERCHANT BUILDERS, LP v I Shelby Typt Boring Method c W ram- W a z a I+ -- = z O Auger Cutting Auger. X LL F a 0 a p n Z o } s- Z F a Standard Panatratian Tart Wash: a b o w w z w z z z w ° o o a ° U rya ;..=very Ground Elev. Existing N W Y 0 z y O K a °o a MATERIAL DESCRIPTION 13 16 Medium dense gray Silty Sand (SM) 2.0 16 17 light gray below 2 feet 4.0 18 14 26 11 with very sandy clay layer below 4 feet s_0 1 50 0.50 16 115 Firm light gray and tan Sandy Clay (CL) 8.0 9 21 41 Loose gray Silty Sand (SM) (saturated) 100 - Very stiff reddish brown and light gray Clay (CH) 400 320 20 128 44 26 150 i i 450 340 22 116 74 51 slicken-sided below 18 feet 20.0 BORING TERMINATED AT 15' Initial Water Reading: 10.5' Drilled by. R.H Final Water Reading. 8.5' Hole Caved at No Prepared by- Sam ASSOCIATED I E51 INS LABUNA I UNitS, INl I I Ll 4 B-5 PROJECT NO.G02-428 PROJECT NAME ON MCKAY DRIVE NEAR J.M. HESTER ROAD,HUMBLE,TX DiATE, 08/22/2002 CLIENT NAME' SMITHERS MERCHANT BUILDERS, LP i r a F- Wto Ci a cc L p FFes- W D- °o a O U W LL z w Z O U ? > — Z n > * � � O o o1 Z > ~ c N a > N cc V she_Sy T1pr Ai3xr G�tt~ng I(� Standard Penatrztaor. T-* Ll No Rccom- ` y Baring Method Auger' X Wash Ground Elev: Existing 9 MATERIAL DESCRIPTION 16 17 19 12 11 12 39 Medium dense gray & tan Silty Sand (SM) light gray & tan below 2' 20 4.0 6,4 SO 8 225 1 20 i 17 24 118 27 12 Stiff light gray & tan Sandy Clay (CL) Wferrous nodules loose w/sand layers from 8' to 10' 100 450 320 16 137 43 25 Very stiff tan & light gray & tan Sandy Clay (CL) w/ferrous nodules 150 20.0 4 5= 4 10 22 111 69 47 Hard reddish brown Clay (CH) Boring Terminated at 20 feet Initial Water Reading. 11' Final Water Reading- 10' Hole Caved at- NO Drilled by: SAE DRILLING (Prepared by- Jitu I ASSOCIATED TESTING LABORATORIES, INC. I O 1 1 I B-6 PROJECT NO G02-428 PROJECT NAME ON Mc.KAY DRIVE NEAR J M NESTER, HUMBLE, TEXAS DATE 08f22J2002 CLIENT NAME SMITHERS MERCHANT BUILDERS, LP ti a l:! ILI F a J y W a lu o a L 0 Z O U -Y z z W F N 0 0. NQ w y a F Q d O ? U e a Q U aYd U Shelhy Typo Augxr autr_ng Sandxrd Pntrataon Te--t No Axcovery Boring Method' Auger: X Wash:O Ground Elev. Existing MATERIAL DESCRIPTION 15 16 17 10 12 10 fvledium dense gray Silty Sand (SM) light gray below 4 feet 2,0 40 s.� 8.0 200 1.30 15 118 32 16 Stiff light gray and reddish brown Sandy Clay (CL) with sand seams 7 19 Loose gray Silty Sand (SM) (saturated) {1.0 400 400 310 310 30 2B 96 100 86 BE 62 63 Very stiff reddish brown and light gray Clay (CH) sllcken-sided below 18 feet 15.0 20.0 BORING TERMINATED AT 15' Initial Water Reading. 10.3' Final Water Reading: 10' Hole Caved at No Drilled by. R H jPrepared by. Sam ASSUUA 1 tU 1 t� I IFVU LAtSUKH t Ut[ItJ, ifVL. B-7 PROJECT NO.G02-428 PROJECT NAME- ON McKAY DRIVE NEAR J.M HESTER DRIVE., HUMBLE, TX DATE 08/22/2002 CLIENT NAME SMITHERS MERCHANT BUILDERS, LP ti W a } R to `a a Z a Y °o a p Z U Z r O W a O } N W } C t j p a Z H U C W op Shelby Typa Aker Cvttloa C! Stuidard Pvnatrzt on Tort tl y, Ra_overy Boring Method: Auger: X Wash. Ground E1ev: Existing MATERIAL DESCRIPTION 15 E 17 I i8 11 12 9 33 hfiedium dense gray & tan Silty Sand {SM} light gray & 'tan below 2' 20 4.0 a 1 Boring Terminated at 5' s.fl s.o � 15.0 2fl.0 Initial Water Reading: No Final Water Reading: No Hole Caved at NO Drilled by: SAE DRILLING prepared by; Jitu ASSOCIATED TESTING LABORATORIES, INC. I B-8 PROJECT NO G02428 1PROJECT NAME, ON McKAY DRIVE NEAR J.M.HESTER DRIVE, HUMBLE, TX ' L DATE. 08/22/2002 ICLIENT NAME SMITHERS MERCHANT BUILDERS, LP L' !L LLI ❑ r < u N C L" 0 w a W 0 a v G w w p V D F D U 70 w C N O � ❑ _ q J '+< 'U U a a >> N o ] Shelby Typo RV of CvtYino j SUn&H P"ietraticr Test 11 No gesovory Boring Method. Auger- X Wash. Ground Efev' Existing TOATERIAL DESCRIPTION 15 16 17 14 12 12 Medium 39 dense gray & tar Silty Sand (SM) light gray & tan below 2' za 4.0 Boring Terminated at S' 6.0 8.0 10.0 15.0 200 initial Final Water Hole Caved Water Reading: No Reading: No at' NO Drilled by BAE DRILLING Prepared by, ,situ ASSOCIATED TESTING LABORATORIES, INC. { I B-9 CT NO.G02-428 PROJECT NAME. ON MCKAY DRIVE NEAR J M HESTER DRIVE, HUMBLE, TX CLIENT NAME SMITHERS MERCHANT BUILDERS, LP hDATE.08/22/2002 LJ IL d a LOILI I WIL Y O iL U = L U h p n tr,t: ❑ n ❑ a z F},. j a ,,W N N a 56e16y 7ypaBoring 1�ugar LettingAu (�� GS Standard Penetration Teat 4 qo fieoovery Method• g er X Wash. Ground Elev: Existing MATERIAL DESCRIPTION 16 17 20 12 12 11 36 Medium dense gray &tan SiJfy Sand (Shi) light gray & tan below 2' 20 40 Boring Terminated at 5' 6.0 80 90.0 150 20.0 Initial Water Reading. No Final Water Reading. No Hole Caved at- NO DnIled by: BAE DRILLING Prepared by Jitu ASSOCIATED TESTING LABORATORIES, INC B-10 PROJECT NO G02428 PROJECTNAME ON McKAY DRIVE NEAR J M HESTER DRIVE., HUMBLE, TX DATE. 08/22/2002 CLIENT NAME. SMITHERS MERCHANT BUILDERS, LP c ~ r- a a y W K r Z a Y 6 a a [) 0 Z a Z Z O ry 7 a C }— ul u 0 cr n rs z :i O p ? Y t U a a W NLU snolby Type rr77 1j Airpr tutt.ng ((]� $tandard Fenetratien Te_t LAY Nc Recovery J1 Boring Method Auger- X Wash Ground Elev. Existing MATERIAL DESCRIPTION 1 16 15 15 20 12 13 11 33 Medium dense gray & tan Silty Sand (SM} ligni gray & tan below 2' 20 4.0 1 Bonno Terminated at 5' s.o 80 90.0 15.0 20.0 Initial Water Reading: No tDrilled by' SAE DRILLING Final Water Reading- No Hole Caved at- NO repared by' Jitu ASSOCIATED TESTING LABORATORIES, INC. I71 I L ASSOCIAzJ ► ES j INC LA.BGi -•A i ORIES, INC. UNIFIED SOIL CLI,SSIFICAION SYSTEA - ASTid D 2-&7 MAJOR TYPICAL DIVISIONS susoL I DESCRIPTIONS j i".iL1�xCfC L.l.tV(t,LyµYF:nLSYca nxc� clu�e:Y aLLYCi CVJ �+% ,�, � as rccrt�,w.x.�wre :auxssxn -`" I «••TNAM Ya ii`FLS G S+aa;t.lvnl L•rzicf NOlW6 �"" >^>L•'os: :wn,/Ifrciy±[ SW. �Y GYV�WKL:dAD 2: u,ctJc: 6C GwiOC4.lVCLyUYtx.:xlpt,•xYl�il�i' TY.w YO :.•IF:E ll.YRetV ^- quo-: cuas+sxras sw wcLucxam caw�w:�+w µ:-•'nsw� rJ_3 wrx :,w' L•racraF: � ta:nY LIMfD iL+aS GW TJsiW ♦r..IWs7 SiA •' I >i rxs.: 1 _u.T..x:nrrt aFs aaruA,ur= SC Y�'sua:ruacuY:am:.0 clYaxm.YaYG�Wnuwr Y cF,."-" .�s;+.V= f 1 I ' OL T ZAH ca¢car_sxwl u. mY iij —'" u-.o,sr. 1 re �, I r �s�Yn.xas CH AxYnus I,ruua i Ir;,;.slwYu I- u SOIL i YPE ROCK GRAVEL SAND SILT CLAY PE .T MODIFIERS / 7f;E C:cAVE• Y SANDY SIL7 ; CLAYEY FILL CL'SSIFCA—RDN OF GFLANLILAF. SOILS CARO GLlSvc I a`fE E W.ifi.c ! 9�`RJN I 1-174 C-aluJ Sly �N'.1L' SAMPLER TYPE E r NO AUCr"R SHEsY SFL)i WAR E SAMPLE TUEE SPOON it I NO ROCK 2' SHE5Y TXDOT RECOVERY CORE TUBE CONE CONSIS i ICY OF COHESIVE SOILS C N+15T-sNCT` liNCDSti :Nc7 OAY? S1TUN GTH NTSF vl:,R;'SO� 1LT3 than oas sop-, ' diSTDOS flab ! LSMSD STIF, 1-1 TO 2C vucY SM H-JM g2st rO:zr 411Q ltELF,T'E a StIY • t.RFNO'.zR 9:V CJ:t51S9:C". 111 N=:FLUE IBLCWS PER Fij VSif LAOSF ' K i LO.15E Sla N%c='A 9E]t$E ) 7 11.E iiii vl%iTg 31 VEFY O67g l >-.10fi E` I C--Y C.-ta