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11-0474 (DEMO).1 c 414- 4,Ww6i PO.'BOX 1504 VOICE (760) 777-7012 787495 CALLE TAMPICO FAX (760) 777-7011 L-AQUINTA; CALIFORNIA 92253 BUILDING &,SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING, PERMIT Date: 5/09/11 Application Number:11-,00000474 Owner: Property Address: 52975 AVEC NIDA OBREGON WIDMER STEFAN G APN: 773-314-027 - - 52975AVENIDA ',:OBREGON Application description: DEMO' -. SINGLE: FAMILY LA QUINTA, CA 92253 Property Zoning:. COVE. RESIDENTIAL, AppllCation valuation: 0 Contractor:— ►11►-nh1) � ` Applicant:. Architect or Engineer: EMERY;LANDCLEARING/GRA*>n+� a n P O. BOX 1009 ��. r h 1 © 7 p THERMAL, 'CA. -92274 9'ZU.�� ^ (760)..391 5840' , U `.No 600283• ',. CRY OF'LA QUINTA ` FIM1IA?�GE`QEPT .r -- —. --------------------- - — - — — — — — — — — —.----------------—-- 7---_— — — —77 -- 'UC --'UC ED CON CTOR?S_DECLARATION. WORKER'S COMPENSATION DECLARATION t Ihereby affirm underpenalty of perjury that I e icen§e under provisions of Chapter 9 (commencing with__ 1 hereby; affirm under. penalty of perjury`one'of the followmg�dedara[ions: -;. . - , 't Section0000) of Division3 of,the Business an ofes Code; and myLice"i is in full force and effect: - I have.and will maintain: acertificate.of,consent'to self- insure,for•workers"compensation, asprovided: ,-License ass C21 - "�- _ - - - icense No : 6 - 283' ;;for by. Section 3700 of the.Labor,Code; for the.perfoimance`of the work�toi�' hich.this�perm_ it is • "'� i r t } - issued :. _ •. _ . .. ate tractor: _ �t`haTt will maintain workers' compensation insurance,.as required by Section 3700 of theLabor Code, for the performance. of the workfor which this. permit is issued 'My -workers' compensation '• WNER=BUILDER-DE TION insurance carrier and policy num_ tier a4':- 1'6ere6y.affirm;under penalty of perjury thatl:'am'exempt from,the Contractor's State License'Law for the Carrier GRANITE STATE Policy Number WC3528515 '• following•reason (Sec. 7031.5, 86tine55'andP[Ofesslons Code: Any -city or county that requires a permit to 1 certifythat, inithe performance of the work for which this permit is:issued, ,I shall not employ'any . <: construct, alter, improve,•demolish, or repair any -structure, prior to its issuance, also requires. the applicant for the - person in any.mannet so- ao become subject to.the workers"compensation laws of California, permit to file a signed statement that he 0i is is'licensetl pursuant to the provisions`of the Contractor's State 'and agree that, if I should come ject to the workers' compensation provisions of Section License: Law (Chapier,.9 (commencing. with Section 7000) of Division 3'of the Business and.Professiods Code) or 3700 of the Labor Code; I all w'th comply -with those.provisions. - _ - that he 6i -she is exempt therefrom and the basis for'the alleged, exemption. Any violation of Section -7031.5 by - - any applicant fora permit subjects the applican[ to a civil penalty of'not more than five hundred dollars.IS 5001: " t licant: I, as,owner, of -the property, or, my, employees with wages as their sole compensation, will clothe work, and - the structure is not intended or offered -for sale•(S,ec. 7044,Business.and Professions Code:.The WARNING:. FAILURE TO SECURE WORKERS' COMPENSATION' VERAGE IS. UNLAWFUL, -AND -SHALL _ Contractors' State License Law -does not apply to an owner of. property who builds or improves: thereon, SUBJECT AN EMPLOYERTO CRIMINAL PENALTIES AND CIVIL NES UP TO ONE HUNDRED THOUSAND. .. and'who,does the work himself or herself. through his prhet•own'employees,,provided that: the DOLLARS ($100,000):- IN ADDITION.TO.THE COST OF -COMPENSATION, DAMAGES AS PROVIDED FOR IN - improvements are not intended or'offe,baJocsale. If;'however,:,the building or'improvement is sold•within SECTION,3706 OF T_HE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - :'one year of completion,;the owner -builder will have the burden of pro'vind. that he or she did not build'or G improve for. the purpose of sale.). APPLICANT ACKNOWLEDGFJNENT , - 1 _ 1 I, a§ owner of the property, am.exclusively contracting with licensed contractors to construct the project (Sec. "IMPORTANT. Application is hereby made to the Director of Building and Safety. for a.permit subject to the . 7044, BusinessaniJ'Professions , Code.: The Contractors' State License Law�does not applytb.an owner of contli[ions and'iestrictions set forthon this application:. - property, who builds or improves thereon, and'who contracts for the projects with a contractor(sl licensed - 1 . Each person upon whose behalf-this�a�pplication is made, each person at',whose request and for ' pursuant to the Contractors' State License Law.). - whose benefit work is perforriikundec.orpursuantto any per issued:as a result of this application, I—) I am exempt under Sec. ' BAP.C. for this reason ` the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta,'its officers,- agents and employees for any act or omission, related to the work being' performed under or. following issuance of this permit. - Date: Owner: 2. Any. permit issued as a result of, this application becomes null and void if work is not commenced - _ within 180 days. from I date of.issuance of such permit, or cessation of work for 180 days will subject CONSTRUCTION LENDING AGENCY permit to cancellation. _ I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the - I certify that I have read this application and state that the above ormation i rr . t. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.1. _ city and county ordinances and state laws relating t0 buildi co uction, an y authorize representatives of this co ty enter upon the above-mentioned property in tion rpos Lender's Name: - Dr D _ �I Si,�D�u/re (Applicant or Agentl: Lender's Address: r` / LQPERMIT _ .. Application. Number . . . . . 11-00000474 Permit DEMO•PERMIT Additional desc . Permit Fee 45.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 11/05/11 Qty Unit:' Charge Per Extension BASE FEE 45.00 -----=-------------------------------------------------- Special°Notes. and Comments . ------- ------------- DEMO TO BARE GROUND SINGLE FAMILY _; .:•- .. ..DWELLING,.. INCLUDING SEPTIC ,SYSTEM.. 2.010 CODES _._ - Fee. summary Charged Paid_ Credited Due { --- Permit Fee Total, 45.00 - --- 00. ---- - --45: -00 Plan;` 'heck° Total. 0.0 •00 . .0'0: .00 r,.. 00 'Grand;.Total :' 45:00" • ..00 .00 45 '.00 t; LQPERMIT May 5, 2011 City of La Quinta Building Department P.O. Box 1504 La Quinta, CA 92253 To Whom It May Concern: I have authorized Bob Edwards and his company Bob Edwards Construction, Inc. to demise the abandoned home on my property at 52975 Obregon. I,have enclosed my grand deed and the receipt of the proper abandonment of my septic tank by Hammer Plumbing. We have started the process of designing a new home that will include hook up to the city sewer. Stefan G. Widmer Bin # C►ty ofLa Quinta Building 8T Safety' Division. P.O. Boz-1504, 78495 Ca11e-TampI6 La Quinta,'CA 92253-117-60 77.7-70.12 Building Permit Applicatlonsand Tracking Sheet Permit # LX Project Address:'orj 2.$ O 6 KOwners Name / �p A. P. Number: Address: a—q l.._ egal Descripti n: ontractor: City, ST, Zip:. �U 'Tele honer 7' 0 p to �S 3 5: .-LIWA L Address: Project De cription: &(, AO (.� City, ST, Zip: �L. h Telephone:>::;t $ii'i��:C$:�:<;jt'�:::jiti:i�F r. 9 r; State Lic. # : ��� City Lic.-#.- ica#;Arch., Arch.,Engr., Designer: Address: City; ST, Zip: Telephone:.:;.`•':::sfi N; t;t>, F �,r. , •,•,::;r•$ Construction Type: Occupancy: Project type (circle one): New Addn Alter Repair Demo State Lic. #: Name of Contact Person: Sq. Ft.; #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE, BELOW.,,THI,S'LINE • # Submittal. Req'd_ Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item. Amount Structural Calcs. Reviewed,ready for corrections'Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Tide 24 Calcs.. Plans, picked up Construction Flood plain plan Plans resubmitted 1VIec9anical Grading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted' Grading IN HOUSE:- '"' Review, ready, for correctlonsrssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit-issue School Fees Total Permit Fees RECORDING REQUESTED BY: p Advantage Tilte, Inc. AND WHEN RECORDED MAIL TO: Mr. Stefan Widmer �& QLL.fn-, 6b, - TIUe Order No.: 610.110164740. GRANT DOC # 2011-0101952 03/07/2011 08.:471il"Fee:18.00. Page 1 of 2'Doe T Tex Paid Recorded.in.Offici'al Records County of Riverside Larry Y.' ,Yard Assessor; County Clerk & Raeorder 111111111111111111111111111111111111111 !II IIIII IIII lIII S R U PAGE I SIZE I DA I MISC LONG RFD COPY DEBRAA SNIDER Instrument and aden edged to me that elf�helktey �' M A. L 465 1 426 CO NCOR SMF NCHG UNI �OT:CTY Escrow No.: 004062 -Ko uirv�suueuc•_s THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX Is $75.90 (X) computed on full value of property conveyed, or ( ) computed on full valueless value of liens or encumbrances remaining at time of sale. INLWmiaeftafteftlet 1X) City of La Quints AND FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Mark Miller, a Married Man, as his sole and separate property hereby GRANT(s) to: 6toif'fr i toQ StefatWldmerr, Awl 1A^rharrla ehaL — the real property in the City of La Quints, County of Riverside, State of,California, described as: LEGAL DESCRIPTION ATTACHED HERETO AS EXHIBIT "A" AND MADE APART HEREOF. Also Known as: 52975 Avenida Obregon, La Quints, CA 92253 APM 773-314-027 IVA 020.01 -1 DATED Febrygry 1$, 2011 STATE OF 4 COUNTY O On v h C before me, A Notary Pu ilc In an or said State,personally a06ared Mark Nbr who proved o me on the basis of satisfactory evi ed nce to be the person) whose nameQwg! a subscribed to the within DEBRAA SNIDER Instrument and aden edged to me that elf�helktey �' 0— Mor executed the� a,�m-e_,,iLn_ authorized capacity(14, VRM- and that by Ike If. signature(p) on the Instrument the the behalf the person* or entity upon of which person( acted, executed the Instrument. 1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph li' a and coned. WITNESS my hand and official seal. • Signature (Seal) MAIL T STA E TS TO PAR S BELOW; IF NO PARTY SHOWN, MAIL AS DIRECTED ABOVE: RIVERSIDE,CA DOCUMENT: DD 2011.101952 Page 1 of 2 Printed on 5/6/2011 10:07:32 AM Provided by DataTrace System EXHIBIT "A" The land referred to in this Report is situated in the County of Riverside, State of California, and is described as follows: Lot(s) 11 and 12 of Block 172, Santa Carmelita at Vale La Quinta, Unit # 17 in the.City of La Quinta, County of Riverside, State of California, as per map recorded in Book 19 Page(s) 19 and 20, of Maps, in the office of the County Recorder of said County. APN: 773-314-027 RIVERSIDE,CA DOCUMENT: DD 2011,101952 Page 2 of 2 Printed on 5/6/2011 10:07:32 AM. Provided by DataTrace System `CITY OF [;A QUINTA - PUBLLC :VIIORFCS DizPARTM 'NT GREEN Sf II+ T PUBLIC WORKS CL9ARANCE FOR RELEASE:OF B.UILDIiVG P1iRIGfIT y <: Form updated A effective 9/25/2009 Groen;.Sheef approvals are forwarded to the Building .& Safety Department directly. ny, PUblic .Works. Please.. D.O .NOT submit the Green Sheet (Public Works Clearance) Packet to `the Public Works Department. until ALL: requiehients listed: bo. ow ar complete. Incomplete applications or applications which cannot be' processed willbe returned to applicant. Date: / ;V1 I Developer. BOB EDWARDS CONSTRUCTION, -INC. Tract-No.: Tract Name: 1 Lot No. s : SCJ D • 2 Address(s): 52975.OBREGON Phone Number: 76( 0 ) .7TL-8202. The following arethe' requirements 'for Public Works Clearance to authorize issuance of a .building .permit from the Building &'Safety Department: CUSTOM'HOMES: PROVIDE ITEMS #2 .#3 #4 .#5.1� #7 BELOW `• TRACT HOMES: PROVIDE 1TE S:#1 #2� #3`_$i:ft6'BELOW ❖ COMMERCIAL .BUILDIN:GS/OTH R:. PR ° VIbE:fTEMS#1 42 #3 #5 &.47 BELOW. ❖ WALLS. Sl.. S; .0 rHER:. PROMDE 1.TEM #6"BELO.W 1. Attach Pad Elevation Certificates in compliance with the approved design elevation. for builiing pad (maximum allowable deviation of. +/- 0.1 foot). Pad Elevation Certificates must be current (within 6 months of current date)::. `. .:. If a preclse.grading plan.creates the pad for approval, please withhold green sheet sqbMittal'Uritil:,a% Pad; Elevation . .... Certificate can be provided. 2. Attach geotechnicalcertification of,grading. plan. compliance including compaction reports from a: Ilcensed Soils:: Engineer. Recently rough graded • residential `developrtietits which have a. previously :opprov.ett .geotechtiical: certification are exempt from this :requirement.. 3. Attach recorded final: map or title.information/grant deed showing.. proposed building locations.are Ie9aHots. :.. 4. . Complete the attached <1 acre per lot or infill. project°Fugitive Dust Control project infomtgtl6h fgmi;.:PNI D plan a reemenf or . rovide. alternative & valid City a roved- PNI10 Ian set reference. number .oi herd : co 9 P PP, P PY. P PM10 plans.for commercial &residential develo merits: be ,ond Tlot are submitted se irate with radin plan :.. p ( Y'. ) P IY 9 9 �... &:are subject to add'itional.requirements. Acurrent PM1'0 certification. number is required:. ,• ' 5: Attach a copy of the,rough or precise grading: plan to the.Public Works Departmentatjowlti . tiuild'ing;loation,(s)`.. -- for pad elevation.verfi.Cation ..*AO flood zone developments will require an approved tlotld plan development plan.. ` 6. Attach supporting documentation) dor wail plan, monument sign, grease trap :or speFial finality irlstallatiQns . 7. Cort)plete and sign .the attache ; vaier quality management .plan. (WOMP) exemption fofrri, if appl'idable.. PW. approved building construction oje is require either a WQMP or a completed WQ{<AP exemption form. Approved maps/plans may be viewed at the following. link: http://wwwi.la-quinta.brq/PlanCheck1rh search.asgx G:kiave:;reviewed and confirmed.the requirements listed-obovo a. presented: and find the improverrier tsao;be suffciently.:... . complete for construction of the, proposed.buildings/strvctureslwalls/signs on the subject li q(s) Pyrsuant.to rriy:findings,.: the:above. project may be. released forbuilding permit issjance. se ion com Iefea ti _CI $tall. p. y:l:Y�.. .. . . fiteoornmendeo by Y' pate: /. i! :I./:.. —+- — Pu.blfaVl/odcs Distribution: ( .re. ) : S.heet`.to Buildltlg:&Safety ( :.) Green. Sheetto;F?ianriing Department Deeliraed for approval for reasons) as.follow(.$),.please coned and.resubmit: ;:!Y1CKeddsls;•.'Form a&Ayplleatlan87dr!nS8Appt tionetGREEN.$FiEEfcavar8.PM101esaU�ari1'Aae'ReNsed92549.doe' City of. La: Quirata - Const "odt lnfomtation . Project Phase (check one) Construction ✓ Demolition T&MAcros in Active ..66h truetion (<1 dere per Lotj: 1;200 SQ. FT. PNI1 O: Contact IiiforrnWon Pro ect Contractor.: BOB EbWARDS CONSTRUCTION; Wb. Project Name: STEFAN VWI=DR ER-:ReSIDENCE Project Tract(Lot Numbers: Project Street Address' 52975 OSREGON - Anticipated Start Date: Anticipated Completion Date: Please note: Dust control is,, required' 24' hours a day, 7 ;days:: a,. week; :regardless : of construction status.. , erso'n"lif6d below is responsible for dust carol dunng:. bine55 and ASBESTOS SURVEY DATE OF SURVEY: April IS, 201.1 LOCATION: 52975 Avenida Obregoh La Qu'inta, CA. BY: Gregory Masters. California Certifiadl Asbestos Masters Environmental 4471.9 Alexandria Vale Indio, CA 92201 760-200-2900 Consultant; '#,03.'.63365 Survey authorized by: Mark Zimmer Methods: All materials in the structure that,W6resuspebted of containing: asbestos, were sampled according to.s pecified protocols. Samples Were -sent to a NAVLAP accredited laboratory, Patriot Envir6nm6ntal,Labordt'or,,y.-.Services,, Garden Grove, CA —Lab code.20,0358'0. They �wpre�ahalyze - d�*by Polarized Light Microscopy according to Bulk Analysis Protocol E0A'*60`01R'-'9'3/116. The laboratory report is attached to this message— follt'your -1his'piection.- Collection of suspect ACM's followed the National Emissions -'Standards 1 - of Hazardous Air, Pollutants (NESHAPS). protocol for . sarrip! .e' . c6l.1 .ec ,ti I 6n._ -for. a 'demolition/renovation survey. Bulk Sampling of Asbestos Bulk samples of all ho'm* og'ene'ou's material*'s fro'rn, identified: areas containing suspect ACM were collected., A'hcm QdPripous',,-< ' material' is'.' defined as a surfacing material, . thermal system.. irsuildtio'n '(TSI);"' asbestos -containing construction material or mikellane , ous material rial" that. ;is unifo - rm .in 'use, color, texture and age, of construction. Potenti.a"IN "A,was:61s�o physically assessed for friability', condition and disturb , ance facto , . Inaccessiblesuspect materials could be locAted.'beiW66n'walls,*'i"n':.'V,.'Oids, or-in.other inaccessible areas: p. 2 As materials were identified, bulk samples were placed into individual sampling bags. Each sample was given a discreet identification. number and recorded on chain -of -custody forms. Sampling Table: Sample Location Description 001 Living Rm. Drywall & T.0 002 Kitchen 003 Bedroom. 004 Roof BL -rolled rfg SAMPLING DIAGRAM Friable Quantity Condition Asbestos F 476 sq.ft Good <1% Chrys. F Good <1% Chrys F V Good ND. NF 1300 sq.ft Good ND RESULTS Drywall and taping compound tested positive for Chrysotile asbestos at < 1%. For purposes of demolition, no additional procedures need to be followed, as j it falls off the AQMD radar at 1 % or less. p. 3 No guarantees are offered or implied. We appreciate the opportunity to serve your asbestos needs, and look forward to working with you again. d Masters Environmental 760-200-2900 44719 Alexandria Vale 760-200-2901 FAX Indio, CA 92201 gmasters@sonic.net Certificate. of Analysis ._=£ PLM Asbestos Identification r _ frcC:<seE174.tT99e Ey 7271 Garen drove �IvctMite A Garden Grove CA 9 f ,I' trot EnvIPOtlt7Teratory Services, Inc. ALP- Masters Environmental y Report Number413124 _. - 44719 Alexandria Vale T= - _ Protect Number 1737" Indio, CA 92201 Y — • Prole�Na a id A _ 29.. ProleetL�ocahon 5 venida sregon O' < - La Qumta, CA' Date Collected: 4/19/2011= ti3T-v B - EColleted MY n Date Received: 4/20/2011 ClaimNumbe — Date Analyzed 4/20/2011 �� FO Number - -- 3 r Date Reported: 4/20/2011- 4 G Number of Samples 4 � Lab/Client ID/Layer Loca_'tion lh,,escrJpt�on°'�' Color `� _Composition (%) 413124-001 Living Room Wallboard'and . BrownWhite� 10%Sulfate 001 Taping`Comp and 80% Carbonate 7% Cellulose 3% Paint Chrysotile <1 % Total Asbestos <1% 413124-002 Kitchen Wallboar&and . Brown White ;.. 10% Sulfate 002 Taping:Compound ' . .80% Carbonate 7% Cellulose - 3% Paint Chrysotile <1 Total Asbestos <1% 413124-003 Bedroom Wallboard and.' White. 92% Carbonate 003 Taping .Compound 5% Cellulose 3% Paint Total Asbestos None Detected 413124-004 Roof BL Roiled R6 Black. 60%. Tar 004 15%`.Glass Fibers 10% Minerals 15% Cellulose Total Asbestos None Detected Page 1 of 2 V, Certificate of Analysis,.* PLM AsbestosIdentific2i tion WX4,8991890C RTC 898.7499a 10 A W i:'7'1 8995098 4 I M _-MAfflaVi4dtTnvircinrYientaI La Services, Inc. 51 -72 Greve, CAV2841 Masters aviMmentai__71, .... ...... Rep un 24 - Aff 44719 Alex9&ia Vale Pro3ect-INNNOF.1.7-3. Indio, CA 92201 P B;in Widmer gg- " Location X"773" veni-daVoIsregon 5 AN IN-1gQ Collected t'' Date CdW 449/2011 Collected Bye Mkl.� INd Date Recev. d' 4/20/2011 . . . . . . . . .... Number um Ym 4: Date Analyzed_4/20/2011 �1_ TQurn er.W, NO R, 'r%%Nuffiber of Samples Date Reported: 4/26/NH - "'JEF! TIN17 - _* 1, -v . . . . . . . . . . . . . . . . . . •ion Lab/Client ID/Layer Location ;�ARR;Ymflpuk :Nilw M) -ffff OR TIP - _`�40 CIF alyzed -in, accordance withiffie'proce procedure 439'F6deiiiliRegister R 763, Subpart Bulk sample(s) submitted was (were), an. the MTV NU 0 Asbestos in":Buildr NWH`aifis)--,� (USE A F, Appendix A; EPA -600/R-93/116 (Method for Determination 6f ping, an P Interim Method for the D&ermin'atiom.of Asbestos in bulk InsulationSartj'ple4).gan� Visual Estimations (CVES); therefore, results may ay riot •be reliable 'ibii samples of low, 'a"sgdst'-o:st",ro'nc'entf"dti okiilevels ,." §airno,16',bf Wall . systei I systems containing d . iscrete* y unless �Feq'uesi�e'd','ii'y'Alie 11 customer . .,. analytical and separable layers are analynd-sepiaratel* an&repo�te:d'as compi�Ait6 imj�s to report results for individual layers. This reportappli&'s'only to the items tested: Resultsr' arierepi6entativebf the samples submitted and may not represent the entire material from which,the samples were .collec.t.ed; 'WDetected s, a-,t,no.a­s. 6ew st6s, as ob served in the sample. "<10/6" (less than one percent) means that asbestos was observed in the sample liut the concentration is below the quantifiable level of 1%. Lyn T6rry - knaly'st jam'Approved pproved By This report was issued by a NIST/NVLAP (Lab Code 2063'5'g-0)'ah&C . AD.OHS- ELAP (Cert. No. 2540)* accredited laboratory and may not be reproduced without the expressed written consent of'Pafriotlnviromnentil Laboratory Services, Inc. I is report may not be used to claim product certification, approval or endorsement by T4IST,NVLXi,,ELXP orany�goyeirrunefit age cy. lY; 7 Page 2 of 2 . � PATRIQT ENVIRONMEN TAI LABORATORY SVCS, INC. Page of �,,,Ft��► CHAIN. OF CUSTODY ieb`Use.Oni319 y ^ www.patriotiab.com ' Client: �'� A S T�'R t Report:Number: 1 t•'t �- . [Address: nt �f t t'7�q Ica k -a: nd r�'� r . -� Pro'7. ect Name: ' d'" -e � izi �3 Location:nt Contact: �Sam Ie.Collection DaEi:: tact Phone: 7i p- � p'o-2 C Preservative:. �ortiact.Ceti: Authorized o Contact Fax: O _2� D _ �cf PO Special Instructions: #: Claim #: Ana*sis Requested PCM (ribercount) NIOSH 7400A PLM (bulk asbastos) EPA 600/R-931116 CARB 435 Point Count 400 Point Count 1000 Gravimetric Reduct Turnaround Me RtAh:(Sarne Da) Other 24HIR W (specify): ® 48HR 72HR El Note: STLGCAL WETrequtres a. minimum or 52 hrs turnaround ® -TC LP requires a minimum 012 hrs tumaround Cuttuies.require 5-7 days turnaiourd f lt,l K •••••ywvllgY-L t ���� {Si n) date) tceived.By: (print) (sign) (date) n - POST OFFICE BOX 2448 "fl �GGG,ZGZC�%lG�. %sG; CATHEDRAL CITY, CA 92235 hCOpOScZI €. , s, PLUMBING • PUMPING 760-321-7448 • 760-360-7448 � DATE: 4f�` )Z•5 � % � ' THIS AGREEMENT ISBETWEEN`1%L.r.i+,ar`�. (E:� hereinafter called "Owner" whose address is and HAMMER PUMPING, INC., hereinafter called "Contractor" whose address is P.O. Box 2448, Cathedral City, Califomia 92235 1. DESCRIPTION OF THE WORK: Contractor will furnish all labor and materials to perform in a workmanlike and substantial manner, the following: {{ �r'11tir�Pi Oro[t£CTtr .4� >e�nrper t�T'9c•,n 'lr�-a-rt�n�- ni- Sa C ZM . it �ti�! �--, l.s�• -�,, t tcs'�;,, . A�.ci:,,,, •'yrlc� t�.•F�- line_ -h_ tt . This proposal may be withdrawnbyus if not accepted withiny days. (hereinafter called 'The Project'), upon the followingdescribed real property: � j Pn rf � r"G'utln HAMMER PUMPING INC. is not responsible for damage to landscape or damage to foundations, structures; concrete driveways,,pabos or sidewalks. HAMkR PUMPINC INC. cannot and will not take responsibility for underground utilities or improvements such as pipe, gas lines.electricaj lines; water lines, sprinkler tines, telephone lines or cable lines, or any slmllarunderground utilities that have not been located and clearly marked by''Underground Service Alert; but will take all precautlons with same. Itis the property owners responsibility to notify contractor of all property lines, setbacks, easements and foundations prior to commencement of work. 2. PAYMENT: Owner will pay contractor the sum`of Dollars (S i'�00 ) payable es follows, car ... r r v 6,4 ,:. �r /� �G The entire amount of the contract is to be paid within days after completion. Contractor shall completethe project within /.y working days after commencement, subject to permissible days as described in paragraph 3. IF ANY INSTALLMENT IS NOT PAID WHEN DUE THERE.SHALL BE CHARGED AND OWNER SHALL PAY, IN ADDITION TO THE AMOUNT DUE ON SAID INSTALLMENT, A FINANCE CHARGE EOUALTO°ONE AND ONE—HALF PERCENTIt 1/2%) PER MONTH OF SAID INSTALLMENT UNTIL IT IS PAID. 3. DELAY. The contractor shall be excused for any delay in completion of the contract caused by acts of God, acts of the owner or the owner's agents, employees, or independent contractors, stormy weather, inspectors, extra work, failure of the owner to make progress payments promptly, or- other contingencies unforeseeable by or beyond the reasonable control of the contractor. 4. LABOR AND MATERIAL. Theconiractor shall pay all varied charges for labor and material incurred by contractor and used in the completion of the project, but may delay this obligation for bills received in any period during which the owner is in arrears in making progress payments to the contractor. 5. EXTRA WORK. Should the owner direct any modification or addition to the work covered by this contract, or should it become necessary during the completion of this project for contractor to add to, alter, or deviate from the above specifications; such modification or additon to the work covered by this contract directed by the owner, or any necessary additon, alteration, or deviation from the above specifications will become an extra charge over the sum mentioned in this contract and owner shall pay for same weekly as such additional work, alteration or deviation progresses. 6. ACCIDENT OR CALAMITY: If the project is damaged by an accident, disaster or.calamity; such as fire, flood, landslide, subsidence, orearth- quake, or by theft or vandalism, any work done'by contractor in restoring project`shall be paid for by owner weekly as stated in paragraph 5 hereof. 7. INSURANCE: Contractor shall carry Workers' Compensation Insurance for the protection of contractor's employees during progress ofthe work. Owner shall obtain and pay for insurance against injury to his own employees, if any; and persons under owner"s direction, and persons on the work site at owner's invitation. Said policies shall name the contractor as insured. 8. RIGHT TO. STOP. WORK: ContractoCsha11 have the right to stop work•if any payment.sha11 not by. made timely to contractor under this agree- ment: contractor may keep the job idle until all payments are received. Furthermore, the contractor may, at his option, terminate the contract and the owner shall be liable to the contractor for breach of contract. 9. LIMITATIONS: No action of any character arising•from or related to this contract, or the performance thereof, shall be commenced by either party against the other more than one year after completion or cessation of work under this contract. 10. ASSIGNMENT: Neither party may assign this contract without written consent of the other party 11. ATTORNEY FEES' In the event the parties hereto become involved in litigation arising out of the contract, or performance or breach thereof, the court in such litigation, or in a separate sun: shall award reasonable costs, expenses and attorney's fees to the prevailing party. The court shall not be bound by any court fee schedule, and may in the interest of justice, award the full amount of costs, expenses and attorney's fees incurred in good faith. 12. Contractors are requ.red by law to he Incensed and regulated by the Contractor's State License Board and questio s concerning a con- tractor maybe referred to the registrar of the hoard, whose address is: Contractor's State License Board, 1020 N t Se fornia 95814 13. NOTICE TO OWNER: In accordance. with Caldorn+a Business and Professions Code..Se s7018.5 9-fin. once to er" is attached hereto as Exhibit "A" and expressly marle: a pari hereof 14. BIDS ARE SUBJECT TO APPROVED PLANS AND PERMITS, WATER, ENGINE &C. A P.FCTION FEES A INED BY OTHERS. OWNER CONTRALTO DATE CONTRACTOR'S LICENSE NUMBER C-321C-42 661018