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RC-16-1729 (2) Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone:(305)795-2204 Fax:(305)756-8972 Inspection Number: INSP-264.626 Permit Number: RC-6-16-1729 iw Scheduled Inspection Date:August 02,2016 Permit Type: Residential Construction Inspector: Mesa,Michel Inspection Type: Final Owner: MORENO,MARCELO Work Classification: Alteration Job Address:1700 NE 105 Street 504 Miami shores,FL Phone Number (305527-2580 Project~ <NONE> Parcel Number 1122300500800 Contractor: MIAMI FLOOR AND DECOR INC Phone:(305)921-0944 Building Departetent Comments INSTALL LAMINATE WOOD OVER SOUND PROOF InftWo ROOM Comments INSPECTOR COMMENTS False Inspector Comments Passed M Failed El Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-Inspectlon The Is pall August 01,2016 For Inspections please call:(305)762-4949 Page 24 of 25 T j Miami Shores Village 10050 N.E.2nd Avenue NE ;,s' Miami Shores,FL 33138-0000 " at - Phone: (305)795-2204 Expiration: 01/07/2017 Project Address Parcel Number Applicant 1700 NE 105 Street Number: 504 1122300500800 Miami Shores, FL Block: Lot: MARCELO MORENO Owner Information Address Phone Cell MARCELO MORENO 1700 NE 105 Street (305)527-2580 MIAMI SHORES FL 33138-2145 1700 NE 105 Street MIAMI SHORES FL 33138-2145 Contractor(s) Phone Cell Phone Valuation: $ 2,200.00 MIAMI FLOOR AND DECOR INC (305)921-0944 Total Sq Feet: 700 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final PE Certification Date Denied: Window Door Attachment Type of Construction:INSTALL LAMINATE WOOD OVER Occupancy:Single Family Framing Stories: Exterior Insulation Front Setback: Rear Setback: Drywall Screw Left Setback: Right Setback: Window and Door Buck Bedrooms: Bathrooms: Fill Cells Columns Plans Submitted:Yes Certificate Status: Review Planning Certificate Date: Additional Info: Review Plumbing Bond Retum: Classification:Residential Review Structural Review Mechanical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Electrical Review Building CCF $1.60 Invoice# RC-6-16.60286 Review Building DBPR Fee $2'00 07/11/2016 Check#:338 $67.80 $50.00 DCA Fee $2.00 Education Surcharge $0.60 06/21/2016 Check*337 $50.00 $0.00 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $117.80 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-named contractor to do the work stated. July 11,2016 Authorized Signa :Owner X Applicant / Contractor / Agent Date Building Department Copy July 11,2016 1 Miami Shores Village L � C: . > Building- DepartmentLBY: 10050 N.E.2nd Avenue,Miami Shores N 21 2016 Florida 33138 � Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 S7t� `- FBc zoic BUILDING Master Permit NO. PERMIT APPLICATION Sub Permit No. BUILDING (] ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION [] SHOP CONTRACTOR DRAWINGS JOB ADDRESS: MCC 0E WS rA-W- 15o4 Gty Miami Shores County Miami IN. Zlo' 3'3138 Folio/Parcel* It•-22-30 --0 SD -O 8 00 Is the Building Historically Designated:Yes NO Occupancy pancy Type: jkUDeNlLoad: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): OWN M "OLY �ref:�Q Phone#: Address: t']MtAc %aS Sl' -* 5 OA City: M 11:4M t Sttos, State: Zip: 3 1't)8 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: MIA,"I '34cna lae.» Phone#: W5-aZ1- 0®I 4L{ Address: ®I1 City: NoQ:T'ri Slmkgai State: O t ao Zip: 153E(00L) Qualifier Name: HAqA 24nbA .c Phone#: -'SOS -0121-®moi State Certifica' in or Registration#: Certificate of Competency#: 13 62) M 4M 91 DESIGNER:Architect/Engineer: Phone#: Address: City: State:�7 Zip: Value of Work for this Permit:$ 2?.�10 Square/Linear Footage of Work:)<, '/Q0 Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: --W,%-cjtaL 1,06 W AMIE U=CN o M2 )NAW o Specify color of color thru tile: Submittal Fee$ Permit Fee$ l M' <�.J CCF$ I • � CO/CC$ Scanning Fee$ C? ` Radon Fee$ a ` 03 DBPR$ a 0�) Notary$ Technology Fee$ cl• �Q Training/Education Fee 60 Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ 1 ®! (Revised02/24/2014) r t Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lend is Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in goo d faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection ch occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be ved and a reinspection fee will be charged Signature Signature �� ��G4&X 6d��Zt�17_ NER or AGENT CONTRACTOR The fore g ' in t ment was acknowledged before me this The foregoing instrument was acknowledged before me this day Vit 20 1( .by l{ day of 20 d(o ,by Ell ir Q who is personally known to 2.r►c a, 'fM who is personally know= m`or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: ign. Print: Print:_ c1tK1c�l1t 4 S�DoN Seal: Yp•. Seal: SANDRA SADON [(40)'7)398 com .0 SANDRA R. S/+')ON MY COMMISSION#FF104116 � My COMMISSION#FFI '1116EXPIRES ril4 2018 �53 Plorid�fVr••ry39rvI©e.,-,,m APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) j Vis- 'A-_t's ,j•."tL?�t1fflii/Pz! ARAR'CMENTS WORK REQUEST APPLICATION ll� Owner's NameoR�`Q0 Unit 'T I hereby request approval from the Board of Directors for the following modification or alteration to my unit that will be performed by a licensed contractor. Electrical work Plumbing work A60�e�t e n(a,m iiv4v **Windows boon,�Proo "5 Tile installation Other work i Description of the work ?5e-0J1Q { Before you decide to upgrade your apartment(other than paint or carpet)you must obtain permission from the Board of Directors and/or Miami Shores Village. A copy\of the plans, specifications and permits, and a description of the licensed work to be performed must be submitted for consideration and approval by the Miami Shores Village Building Department(305-795-2204). It is the owner's responsibility to ensure that the contractor removes all excess construction material or building debris. It cannot be placed in the dumpsters. "Window frames must be gray in color to look like aluminum. Windows must be Two (2)panels over Two(2)panels. Glass must be clear color. 1, as the unit owner acknowledge responsibility for any damage to the building or personal injuries that may occur during the project. The Shores Condominium Inc. its officers and employees are in no way responsible for damage or theft to my apartment or my belongings. (A $200.00 deposit is required and will be refunded if no damag the property is reported.) I fully and and and agree to the statements made above. Uni ovn gnature Date Approved by: Date: /� .... ®... Miami Shores Village Building Department R 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CON CTOR HAS A MIAMI DADCOUN CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES,FL 33138 Certificate must specify the descriptio operations or contractor license number. BUSINESS NAME: Irl j M i tl A-.mr I COR ttic BUSINESS ADDRESS: 15q 15 -,1SCk4 t ALV b CITY± oMi�AMI NATE F zIP ;S3166 BUSINESS PHONE: ( 9057 t C121-OCI LA A FAX NUMBER(W5 Ot Li LA-- CELL PHONE 005 )�58r3-CI8 38 QUALIFIER'S NAME: Mk" 2AAbA QUALIFIER'S LIC NUMBER: 1`� bl� 00 'A`r15 Cawucdonlragdespuwvwv swo BUSINSSS CERTIFICATE OF COMPETENCY 416 13 00479 t MIAMI FLOOR AND DECOR INC GUTIERREZ MARY 2AIDA :s certsfw unser ttre womiom of Ower 10 of mmu-D Cow* QUALIFYING TRADE(S) � �u =-30RING :063 FUSH CARPENTRY V09 WATERPROOFING ism aa67N#y afvm kao+a �e+ID� ee�wrnmao0�da� a9aR+.�m Cnacept tOhcq ait� • e M uni ci pal Contractor's Tax %cei pt M iam i-Dade County, State of Florida -THIS IS NOTA BILL-DO NOT PAY CC NO: 13BSDO479 BUSINESS NAM E/LOCATION RECEIPT NO. EX PIRES MIAMI FLOOR&DECOR INC SEPTEMBER 30, 2016 15915 BISCAYNE800 ,7486052 N MWMI BEPCH,R 33160 Pursuant to County Code See 10-24 OWNER TYPE OF BUSINESS PAYM ENT RECEIVED MIAMI FLOOR&DECOR INC SPECIALTY BIJUDING CONTRACTOR BY TAX COLLECTOR CIO MARYZGLITIEWU 43.75 06/16/2016 0224-16.004775 kesblcted to City of Miami Shores MWOForm�einfonr�ato�visit oo1M Local Business Tax Receipt - Miami-Dade County, State of FloridaLBT THIS IS NOT A BILL — DO NOT PAY 7162364 BUSINEW N"W")CATION - Recawr NO. EXPIRES MIAMI FLOOR&DECOR INC REMAL SEPTEMBER 30, 2016 15915 BISCAYNE BLVD 7440367 Must be displayed at Place of business N Pursuant to County Code MIAMI BEACH FL 33160 Chapter 8A—Art 9&10 OWNER SEC.Type OF BUSINESS PAYMENT RECEIVED MIAMI BOOR&DECOR INC 196 SPECIALTY BUILDING CONTRACTOR By TAX COLLECTOR Workers) 2 13BS00479 $45.00 09/04/2015 CREDITCARD-15-044247 This Lwai Business Tax Receipt 0*wnsugam =�da11 pymem of*o Local BasiaessTax.The Receipt Ie sot a license, paredt.oracerdficatloaeryiawsamTre Ific"0ots=ch pphto aY90 1 The RECEIPT NO.above mast be disidaged as all me cc nial vehideB-Niem"We Code Sec 8a-276 r�awra hdoraNtioa.vitt • AE D® CERTIFICATE OF LIABILITY INSURANCE DA'6/162016 ' 06/16/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER CONTACT: Arlene Valenti NAME aCONNo Ezt: (305)826-0224 C No): (305)819-0062 INSURANCE TO GO,INC E-MAILariene Instous.com ADDRESS: arione@instogous.com W 84TH ST UNIT 7 INSURER(S)AFFORDING COVERAGE NAIC A HIALEAH FL 33018-4922 INSURERA: UNITED STATES LIBERTY INSURANCE CO. 002541 INSURED INSURER B: ASSOCIATED INDUSTRIES INSURANCE 23140 INSURER C: MIAMI FLOOR AND DECOR,INC INSURER D: 15915 BISCAYNE BLVD INSURER E: AVENTURA FL 33160-4611 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE ONgp POLICY NUMBER MMIDD F POLICY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ®OCCUR PREMISES Me occurrence $ 100,000 MED EXP(Any one person) $ 5,000 A N N CL 1747447 04/14/2016 04/14/2017 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY F JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIASILRY CO NED S NGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS UMBRELLA LIAS OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION STATUTE ER PER OTHI- AND EMPLOYERS'LIABILITY 1,000,000 B �CRERIME BER EXACWDED ECUTIVE Y� NIA N AWC1055667 12/09/2015 12/09/2016 E.L EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POUCY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) CODE:94569=Floor Covering Installation-not ceramic file or stone /99746-Tile,Stone,Marble,Mosaic or Terrazzo Work-Interior Construction/ 14279-Home Improvement Stores. CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE BLDG DEPT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2ND AVE ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI SHORES FL 33138 AUTHORIZED REPRESENTATIVE 0010 Q� ©1988-2014 ACORD C RPORA& ights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD T t � � 1 ANGEVINE ACOUSTICAL CONSULTANTS, Inc. l j Marg: P.O. Box 725 w East Aurora,New York 14052-0725 Shipping: 1021 Maple Street w Elm a,New York 14059-9530 Member National Cound TEL: (716)652-0282 • FAX: (716)652-3442 of Acoustical Consultants email: AnaevineAc(Mverizon.net April 11,2013 13F1 19 Foam Products Corp. 350 Beamer Road SW Calhoun,GA 30701 Attention: Jim Wink Subject: 6"and 8"concrete floor assemblies with laminated flooring on underlayment without ceiling Sound Transmission Class estimates Dew Mr.Wink: As requested, assessments were performed of the sound transmission loss of laminate flooring on underlayment on an eight-mch concrete floor slab compared to a six inch floor slab,without a suspended ceiling. The detailed floor system consists of one layer of laminate flooring(10 mm thick,9.7 kghif)on ECO Ultra sQuiet Silencer underlayment(2.0 mm thick,0.78 kgt&),on 6-inch thick reinforced concrete(366.1 kgt&). The base assembly is described in NGC Test Report NGC5010064 and is rated at STC-51. "The modeled base floor system consists of a six-inch thick concrete floor assembly with 10 mm thick oak flooring. The modeled system is predicted to achieve a Sound Transmission Class STC-55. Increasing the thickness of the floor slab to 8-inches in the modeled system is predicted to achieve a Sound Transmission Class STC-59,which is a delta of 4 points STC. Applying the delta factor to the actual test report for the six-inch deck,the estimated sound isolation rating with the floated laminate flooring on eight-inch concrete is STC-55. ANGEVINE ACOUSTICAL CONSULTANTS,Inc. Daniel P.Prusinowski Senior Consultant CITY . . .... ...... Vopy ...... .. . ..... . . • •so 0 • • •••••• 0 • ANGEVINE ACOUSTICAL CONSULTANTS, Inc. Foam Products Corp. Page 2 April 11,2013 Floor system Sound Transmission Class estimates Modeled concrete floor slabs with floated laminate floor finishes:6°STC-55,8°STC-59 �5 ' 0.393 In Oak(R or White)+ 6.0 in Concrete+No Ceiling TL 60 2 41 63 42.0 80 42.7 100 41.3 8o rt ;. a tx 125 42.8 160 41.0 200 40.6 250 43.1 say ° 4 315 45.8 a ? W 400 48.3 $k f 500 50.8 fi 630 53.4 800 66.1 1 58.6 p:. slfx + ys 1250 61.2 1600 84.0 2000 65.6 2500 67.2 - 3150 68.8 E-.- 4000 70.6 5000 72.2 ® rran t oas(�lCSTC 55 = . .. r OITC 48 Y' iYY'}J�,`kru'.R` 0.393 In Oak(Red or White)+ 6.0 in Concrete+No Ceiling TL T req 50 43.2 a 63 43.7 80 41.7 r t , 100 43.7 0000•• 125 422 • • 0000 0000•• 160 42.9 •• • 0000 • 200 45.4 0000•• •a•• i ••••i• r , 250 47.9 • s .w 315 50.4 0000•• • • • 0000•• s " k h x ° 0000 •• • • • 400 53.1 • • • • • 500 55.6 0000 • •• 0000• 3 630 58.1 000000 •• • ••••• ss Y 3 c 800 60.8 • • • • • •• •• •• • 0000•• 1000 64.1 • r z * w 1250 65.6 0000•• • • 1600 67.3 i i • • ••••i• s ; g` 2000 68.9 s••••• 25W 70A s • • 0000•• &3 6Ft t j 3150 72.1 •• • ••• •• • • F 4000 73.8 •• • ® Tcan•t�eiOnLowKw)..- STC 5000 75A STC 59 OITC 51 NGC�0000 Acoustical Testing a7��Y�V Cc Ubordtted by the National Voluntary TESTINGthe sp uory Accreditationpocs Program for ,.,; .„. a,-,., .mss� the specific scab of accreditation under ACUU$TICAt - F1RE - STRUCTURAL •ANALYTICAr Lab Code 200291 Pale I of 5--_-- TEST REPORT JUN 21 2016 L11 I= BY: y o for �d Porcemall USA 3101 SUV 13th Drive • G z Deerfield Beach, FL 33442 o oa U W Jon Ander De Iribar 1954-278-8022 z impact Sound Transmission TestZE ; •.• •.... •;• o z ASTM E 4.92-09 t ASTM E 999-06 •• 09••• • i I a U ::*:0* • 000 i ••••i• l'J � ❑ • • • •••••• Z' c z On 0.00 •• • < • • • • • C_” w L 0000 • •• 0000• G < • • 0000•• • • 0000• 8 Inch Concrete Slab Floor-Ceiling Assembly••••.• ;••••• •••••• With a Suspended Wallboard Ceiling overlaid wiiiv•;•; •; Kronenhahn Laminated Flooring and Moonwalk Plus Undbdaynent�•••:• ••••" . . •••••• 00 • 0000 . . • Report Number: NGC 70151055 Assignment Number: G-1193 Test Date: 071071?01 S Report Approval Date: 07130/2015 Submitted by: C Andrew E.Heuer Senior Test Engineer Reviewed by: Z�Z/ Robert J.Menc t Director • 11w results reported atmos apply to specific samples submitted for measurement. No responsibility is assumed for performance of any other specimen. The laboratory's accreditation or any of its test reports in no way constitute or imply product certification, approval•or endorsement by NVLAP or any agent of the U.S.Government. 'Phis report tray not be reproduced except in full. without written approval of the laboratory. 1650 Military Road • Buffalo, NY 14217-1198 (716) 873-9760 * Fax(716)873-9753 • www.ngctesdngservices.com ®ng NGC� 00@Acoustilcal Test 4i b^S:: Accredited by the National Voluntary TESTING SERVICES Laboratory Laboratory Accreditation Prop=for wthe specific scope of accreditation under ACOUSi1CAl -fiAf •STRUCTURAI -ARAIYTICAC Lab Code 200291 NGC 7015105 Porcemaii USA 07/3012015 Page 2 of 5 Revision Summary: Date SUMMARY I Approval Date: 07130/2015 Original issue date: 07130/2015 d Original NGCTS re ort#: NGC 7015105 0000 . . 0000 0000.. .. 0000 000000 0 0000.. 0000 60 . 0 0 0000 0 00 00006 00.60. . 6 0000. 0000.. 00 00 0 0000.. 0 666666 0 . . 0 • 600000 0 0 0 .. 6666 The results reported atmve apply to specific samples submitted for measuremenL No responsibility is assumed for performance of any other specimen. The laboratory's accreditation or any of its test reports in no way constitute or imply product certification. approval,or endorsement by NVLAP or any agent of the L'.$.Government. This report may not be reproduced except in full, without%Titten approval of the laboratory. 1850 Military Road * Buffalo, NY 14217-1198 (71 B) 873-9750 * Fax(716)873-9753 * www.ngctestingservices-com P4 w00 Acoustical Testing TESTING � �� Accredited A the Nations}Voluntary fo Laboratory Accreditation Program for w. _<.. ��� .d.,� ...,� the spec-ifrc scope of accreditation under AGUUSTiGAt •-FIRE *STRUCTUl1AL •A ALYTICAr Lab Code 200291 Page 3 of 5 Repent Number: NGC 7015105 Test Method: This test method is in accordance with American Society for Testing and Materials Standard Test Method for Laboratory Measurement of Sound Transmission Through Floor-Ceiling Assemblies Using the Tapping Machine-Designation:E 492-091 E 989-06. The uncertainty limits of each tapping machine location met the precision requirements of miction A1.4 of ASTM E 492-09. Specimen Description: 8 inch concrete:slab floor-ceiling assembly,with a suspended wallboard ceiling overlaid with according to client. Krona:nhahn Laminated flooring and Moonwalk Plus underlayment. The test specimen was a floor-suspended ceiling assembly and was observed to consist of the following: All weights and dimension are averaged: 1 layer of.according,to client.Kronenhahn Laminated flooring.The flouring was:floatt''ftg on the&f& walk 6660:9 Plus underlayment. Dimensions of laminate flooring was 1219.2 mm length x 196.Cf&m width .*6;6. •0 (48 in.x 7-314 in.)Measured thickness: 12.22 mm (0.481 in.). Measured weight'r(?Wf#/m'(2.1?PM *6.0*0 •0006• • • • 6666•• - 1 layer of.according to client.Moonwalk Plus underlayment.The undedayment seri T&ting 01CO�Awrete 9 9 slab. Measured thickness:2.99 men (0.118 in.). Measured weight:0.390 kg/m'(exPSF) • '6 **:6 6. 90.60• • • 9•099 • • 0000•• 00 203.2 mm(8 in.)thick reinforced concrete slab,weighing. 488.2 kglm'(1(30.0�)*' ' "600 999.99 9 The overall weight of the test assembly is: 499.18 kg/m`(f 02.25 PSF) :...:• 0060:9 9 • • •9.999 The perimeter of the test frame was sealed with a rubber gasket and a sand filled trough. 0 0 0 6 •• • The test frame:was structurally isolated from the receiving room. Specimen size: 3657.6 mm x 4876.8 mm(12 ft.x 10 ft.) Conditioning: Concrete slab cured for a minimum of 28 days Test Results: The results of the:tests are given on pages 4 and S of the report. The results reported above apply to specific samples submitted for measurement. No responsibility is assumed for performance of any other specimen. The laboratory's accreditation or any of its test reports in no way constitute or imply product certificafon, apprnval,or endorsement by NVLAP or any agent of the U.S.Government. This report may not be reproduced except in full, without written approval of the laboratory. 1650 Military Road • Butialo, NY 14217-1198 (716)873.9750 • Fax(716)03-9753 0 www.ngctestingservices.com '- A" i f TESTING SERVICES Laboratory Accmditation Pre ram kv * ttk-specific sc-opeof accriAtation under ACOUSTIM FIRE s STR'IJCTliRA1"-*AMAIYT'IC*A1 lash Ckxk-2W2(JI Normalized impact sound pressure level Test:ASTM E 492-09/ASTM E 989-06 T Page 4 Of 5 Test Report: NGC7015105 Date: 7/7/2015 aMimen Size LTx: 17.8 Source room Receiving room Volume[mal: 60.6 Rm Temp,rC]: 22.5 Rm Temp[00]: 22.5 Humidity 10/4 .53 Humidity[%1: 53 impact insulation Class 11C [dB]: 72 Sum of Unfavorable Deviations JdEij: 17 Max.Unfavorable t7eviaiion tdBj; 8 at 125 Hz W, F . ..... tow • so 46 50.0 22.67 -4.0 So 0 0 0 100 43 48.0 18.97 -5.0 3 66606 125 48 54.5 2.75 -6.5 8 1 :Goes: 160 44 50,0 1 3.50 -6.0 4 1.38 0 0 200 42 47.8 3.70 -5.8 2 .06 00*00 250 36 40,9 3.21 -4.9 9, :•oop.93 eo:*o 315 40 45.0 3.25 -5.0 • Go 1.08 0 *see:* 400 36 42.8 3.10 -6.8 0:0:.07 *0 p 500 36 42.0 2.92 -6.0 t.96 o*e 630 36 41.3 2.64 -5.3 --N).77 :0000: 800 29 33.8 2.65 -4.8 5.61 • 1000 28 32.3 2.42 -4.3 0.52 • 1260 25 28.9 2.25 -3.9 0.52 1600 15 19.5 2.19 -4.5 0.34 2000 18 21.9 1.94 -3.9 0.35 2500 15 18.9 1.77 -3.9 0.16 3150 14 17.4 1.63 -3.4 0.22 4000 11 14.5 1.43 -3.5 0.25 5000 8 11.2 1.26 -3.2 0.26 L, = Normalized Sound Pressure Level,dB L2 =Receiving Room Level.dB d =Decay Time,dB/second AL, =Uncertainty for 95%Confidence Level foi-irwawieniou. Nit rcsitonsibility is as.nunwd lot Imlittawnce of %Jlwr.kjw'-ittw11 'tilt:l"N tvdiLdi4 qor xv"it(it.ke"t rL pi Ill',in not ww£ C onSlitutc or imply product Certification. or by NVLAP of an}agewol'the V.S GaNernment "flits report ma}not be reproduced ewepi in full ,ktthoui %,,wten app-- ai i)t the laKiratoly. 1650 Milftery Road 0 Buffalo, NY 14217-1198 (716) 873-9750 0 Fax(716)873-9753 * www.ngctestingservices.com NGU\j TESTING SERVICES Accredited by the Nati(inal Voluntary LabmaLmy Acivrediuim Prognim fix the spLvific w4lpc of accreditation u",s ACOUSTICAI • FIRE - STRUCTURAt. •ANAUTICA1 Lah Code 2W291 .I Normalized Impact sound pressure level Test:ASTM E 492-09/ASTM E 989.06 page 5 Of 5 Test Report.NGC7015105 Test Date: 717/2015 Specimen Size(nfl: 17.8 limpact Insulation Class 11C M: 72 .......... ................ 100 80 46 90 100 43 80 125 48 160 44 70 • 0 200 42 60 250 36 315 40 so ........ 400 36 c 40 500 36 630 36 30 800 29 20 ........... • 100t• 28 1260 25 10 1600 0 2000 18 2500 1 16 3160 14 Frequency(Hz) 4000 11 5000 8 Ln —IC Contour Due to high Insulating value of specimen, background levels limit results at these L, =Normalized Sound Pressure Level,dB hequencies. 1;, tijio iippl% to%FUN11-ta,.itillil,:�:ut.littilt,dikirnh'zi-AiretiwiiI No wNIU)".Nihility il aswwd for llelforilutwi:Ill ill) ,owl hj.-."inien *Iits lit�rt;llllry',aiCli:dllu(iilnt)ian;"Il,it,l.�-.tfepkni�inaliway ct"i-,titut,:i-)rimply prtMucictnificatittn approal.or endorsenwrli by NVIAP 44 anvaixill of 111C 1,S Givernment This mpt"I wy not IV reprixfoced eitcefg in ftill. uttlnxtt�Xfitt'n appnl .11 41ht.jahofatofy ' - 1650 Military Road e Buffalo, NY 14217-1198 (716)873-9750 0 Fax (716) 873-9753 0 www.ngctestingservices.com NGCCh00@ f ary TESTING SERVICES Labor Accreditedbythe National ProgVolram i,abaratary Accreditation Program for , ,• the specific scope of accreditation under ACOUSTICAL •FIRE•STAUCTUBA! •ANALYTICAL- Lab Code 2002gi Page i of 5 TEST REPORT for Porcemall USA 3101 SW 13th Drive Deerfield Beach, FL 33442 Jon Ander De Iribar/984-278-8022 Sound Transmission Loss Test ' . . .... ...... A5TME90-04/E413-10 •• •••�•• •� ...... .. . ...... . ...... . . . On .. .... . .. ..... ...... . . ..... 8 Inch Concrete Slab Floor-Ceiling Assembly•• •• •••••• With a Suspended Wallboard Ceiling Overlaid with'• • • Kronenhahn Laminated Flooring and Moonwalk Plus Undttgfinent;•••%• "" Report Number: NGC 5015071 Assignment Number: G-1193 Test Date: 07/07/2015 Report Apprtwal Date: 07/30/2015 • Submitted by: Andrew E.Heuer Senior Test Engintxr Reviewed by: Robert J.Menchetti Director The r:sults reported above apply to specific samples submitted for measurement. No responsibility is assumed for performance of any other specimen. The laboratory's accreditation or any of its test reports in no way constitute or imply product certification. approval,or endorsement by NVLAP or any agent of the U.S.Government. Ibis report may not be reproduced except in full. without written approval of the laboratory. 1650 Military Road + Buffalo, NY 14217.1198 (718) 873-9758 • Fax(718)873-9753 • www.ngetestingservices.com N G— Co" OGGAcoustilcal Testing Accredited by the National Wuntary TESTING SERVICES Laboratory Lkoratory Accreditation Program for the specific scope of accreditation ureter kCOUSTICkI •FIRE•STRUCTURAL •ANALYTICAL- Lab Code 2W291 NCC 5O15071 Porcemall USA 07/30P20 15 Page 2 of 5 Revision Summary: rr i+�rrrr�i��rrr��� Date SUMMARY Approval Date: 07/30/2015 Original issue date: 07/30/2015 Original NGCTS report#: NGC 5015071 6666 . . 6666 6666.. .. 6666 6 . 6666.. .. 600.0. 6666 .00006 .. 6666 . 00 0606. 6666.. 66606 %so% 6666 6 060..0 60006. • 000600 . . 6666.. .. 0006 OGG* Tho .esults reported above apply to spccitic samples submitted for measurement, No responsibility is assumed for performance of any other specimen. The laboratory's accreditation or any of its test reports in no way constitute or imply product certification, approval.or endorsement by NVLAP or any agent of the U.S.Government. This report may not be reproduced except in full. without written approval of the lahtwatory. 1650 Military Road • Buffalo, NY 14217-1198 (716)873-9750 0 Fax(716) 873-9753 # www.ngetestingservices.com NGCW1911- 040 Acoustical Testing TESTING SERVICES Laboratory by the national Voluntary Laboratory Accreditation Program for ACfIUSTICAi•FIRE STAUCTUBAi •llgAirTlCAI- the'specific scope of accreditation under Lab Code X*291 Page 3 of 5 Report Nutr !r: NGC 5015071 Test Method: This test method conforms explicitly with the American Society for Testing and Materials Standard Test Method for Laboratory Measurement of Airborne Sound Transmission Loss of Building Partitions and Elements- Dcsignadon:E 90-04/E 413- 10. Specimen Description: 8 inch concrete slab floor-ceiling assembly,with a suspended wallboard ceiling overlaid with according to client,Kronenhaltn Laminated flooring add Moonwalk Plus underlayment. The test specimen was a floor-suspended ceiling assembly and was observed to consist of the following: All weights and dimension are averaged: - I layer of,according to client.Kronenhahn Laminated flooring.The flooring was floating on the Mtx►nwaik Plus underlayment. Dimensions of laminate flooring was 1219.2 mm length x 196.9 mm width . (48 in.x 7-314 in. )Measured thickness: 12.22 mm (0.481 in.). Measured weight:.i0.60.1tgtm3(711g§F) .....• . . . - I layer of.according to client,Moonwalk Plus underlayment.The underlayment r4,&%QQ4jing on'tbg to*tete slab. Measured thickness:2.99 mm (0.118 in.). Measured weight:0.390 kg/m`(QAOAn • • • 203.2 mm(8 in.)thick reinforced concrete slab,weighing: 488.2 kg/m''(100.0 PS.-... ; •00• :*S o 0 The overall weight of the test assembly is: 499.18 kg/m2(102.25 PSF) ••'..: �••••• .•.•.• • The perimeter of the test frame was sealed with a rubber gasket and a sand filled trough.' ...•:. The test frame was structurally isolated from the receiving room. �.. i •••• i i Specimen sire: 3657.6 mm x 4876.8 mm(12 ft.x 16 ft..) Conditioning: Concrete slab cured for a minimum of 28 days. Test Results: The results of the tests are given on pages 4 and 5 of the report. The +ults reported above apply tospecific samples submitted for measurement. No responsibility is assumed for performance of an} c .ser specimen. The laboratory's accreditation or any of its test reports in no way constitute or imply product certification. approval.or endorsement by NVLAP or any agent of the U.S.Gov+rnatenL This report may not be reproduced except in full, without written approval of the laboratory. 1850 Military Road • Buffalo, NY 14217-1198 (716)873-9750 • Fax(716)873-9753 • www.ngctestingservicaes.com NGC*,*. OOOAcoustical Accredited by the National voluntary TESTING SERV/CES Laboratory Accreditation Program far ACOUSTICAL • FIRE•STRUCTURAL •ANALYTICAL" the specific scope of accreditation under Lab Cade 2W241 Sdund Transmission Loss Test Data Test:M 'M E 90-041 ASTM E 413-10 Page 4 of 5 Test Report: NGC 5015071 Date: 7/712015 Soacimen Size ma: 17.8 Source room Receiving room Volume[m3]: 53.2 Volume[mg: 60.5 Rm Temp["Cl- 22.5 Rm Temp[°C): 22.5 Humidity[%]: 53 Humid' 1%1: 53 Sound Transmission Close STC[dB]: 67 Sum of Unfavorable Deviations IdSj: 30 Mix:Unfavorable Deviation(d8: 6 at 315 Hz 777577 Masi 80 44 102.7 66.0 21.0 7.3 • 4 9 ...... 100 47 105.4 65.7 20.7 7.3 ••e• .0%41 •' 125 49 105.1 # 63.6 21.2 7.5 •••A• 0••r81 ••••i• 160 53 106.7 62.6 15.5 9.0 2.33 . 200 52 107.0 63.3 16.4 8.3 004 .. 1.93 :•0 0 0 250 55 106.6 59.1 18.7 7.4 •••S• 01.36 00000 315 57 103.8 54.4 18.2 7.6 000$0 0 1.13 00000' 400 60 102.6 50.5 18.8 7.9 •• 6 1. ....0 0 500 63 101.1 45.2 20.5 7.1 ••o4 0.87 • 630 67 100.3 40.2 22.5 6.9 1 • • 00000• • 8C 71 100.9 36.4 22.5 6.5 •• • 0.70 .....i 1000 73 97.7 31.7 24.3 6.9 •• 0•"C�4 • 1250 76 97.2 27.7 26.9 6.5 0901.89 1600 76 96.8 26.9 27.8 6.1 0.98 2000 76 99.1 28.5 30.7 5.4 1.25 2500 77 100.2 28.7 34.1 1 5.6 1 0.94 3150 77 99.6 27.7 37.1 5.1 1.15 4000 74 96.8 27.3 42.7 4.5 1.41 5000 66 89.6 26.7 47.8 3.1 1.50 STL =Sound Transmission loss,dB L1 =Source Room Level.dB • L2 =Receiving Room Level,dB d =decay Time,dB/second A STL =Uncertainty for 95%Confidence Level The result.reported alx.we apply to specific samples submitted for measurement. No responsibility is assumed for performance of any(-aer specimen. The irdwratory's accreditation or any of its test reports in no way constitute or imply product certification, appmNal,or endorsement by NVLAP or any agent of the U.S.Gcwernment. This report may not be reproduced excel in full. without written approval of the laboratory. 1650 Military Road * Buffalo, NY 14217-1198 (716)873-9750 0 Fax (716)873-9753 0 www.ngctestingservices.com Acoustical Testing w m �a Nutpia TESTING SERVICES Accredited by the ationai Voluntary Latxualory Accreditation Program for ACOUSTICAL •FIRE SiRiICTURAI •ARAtYTf CA#" the specific scope of accreditation under Lab Code 2W-91 Sound Transmission Loss Test Data Page 5 Of Per:j* ,TM E 90.04/ASTM E 413-10 Test Report:NGC 6015071 Test Date: 7/712415 Specimen Size[mg: 17.8 Sound Transmission Class BTC- 67 dB STL vs.Frequency .... Fr STL ASTLi .'. . .... ....�. 90 .� 80 44 4.75 l . ... . ... ..�._._ ... , ........ l ..... _«.... oe.* _ .. . • • • 100 47 3.31 ( • •• • • �••••� 125 49 1.89 M 70 _....... ......_ i_,..._..._;.___...._ k._._... I _• • 160 53 2.33 k ...d... _ ....' _._ •. ....•.f•••• 200 52 1.03 0 60 �. _ ._ �....._ ..._'.__ t' •r: � •••••• 250 55 1.10 i : ••' ••• • •• 315 57 1.33 50 i t 1 : • • • •••••• 4W 60 1.17 40 i •••••• 5C 63 0.87 _._.. t_....... __,._.. .•.� �, .. ... ...i0•• i••••� 630 67 0.71 �= i • 800 71 0.70 30 1000 73 0.49 20 1250 76 0.89 1600 76 0.98 10 a �.. ..._ , _.._.... „...._.._.,_. 2000 76 1.25 2500 1 77 0.94 1 0 3150 77 1.15 9 � u W 0 R 8 cn 8 $ 4000 74 1.41 Frequency{Hz} :'5000 66 1.50 --•--&POO Transm,, Dp Loss PC 87 Aww wwo Car:?aur Due to high insulating value of specimen.background levels limit results at these STL =Sound Transmission Loss,dB frequencies. S STL =Uncertainty for 95%Confidence Level The results reportcd above apply to specific samples submitted for measurement. No responsibility is assumed for perfornunce of any t ;;r specimen. Thr laluiratory's accreditation or any of its test reports in no way constitute or imply product cenification. appreval.or endomentcnt by NVLAP or any agent of the U.S.Governmm. 'This report may not be reproduced except in full. without arittcn approval of the laWratory. 1680 Military Road • Buffalo, NY 14217-1198 (716) 873-9750 0 Fax (716)873-9753 0 www.ngctestingservices.com 2° ;t �} ' •SFR �.k¢ 3 d m P� w�* a §t LL 4V Ft Mav ' UNIT 4 y a r s EL: 27 z %+ :� �« PSE '� r�.• •• •• • 1 '1 ;N.`d ev s �£ : F X 5 r'•!• • t•• • ••.:. r � • 0 k A �.> ' • - • • • 44 x � � ,� � iii•. • ••••00 • • � ar '�� � ��"fir '��•� � Wu { i� e F � F Y I K G wl4 h _ �• ° 9 3* VP a h' u w w ^ m4 p.., ,, `, Fr,+_.` r �#' P%n Jy:, f' +•ir,{y� ^.Y 3 p. R `. d 'i ��' ....': ?• 'L: f '..`S Jam.. : 21LD.