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• � �� BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
OF ��S 78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . . . . 05-00000986 Date 3/18/05
Property Address . . . . . 81950 AVENUE 53
APN: 767-200-011- -000000-
Application description DEMO - SINGLE FAMILY
Property Zoning . . . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 0
Owner Contractor
TAYLOR WOODROW HOMES AAA DEMOLITION
15 CUSHING 780 N. EUCLID STREET, #211
IRVINE CA 92618 ANAHEIM CA 92801
(714) 817-0011
WCC: STATE FUND
WC: 1557373 05/01/05
CSLB: 763614 05/31/05
CCC: A-B-C21
Other struct info . . . NUMBER OF UNITS 1 . 00
=-
--------------------------------------------------------------------------
Permit . . . . . . DEMO PERMIT
Additional desc
Permit Fee . . . . 45 . 00 Plan Check Fee . 00
Issue Date Valuation 0
Qty Unit Charge Per Extension
BASE FEE 45 . 00
---------------------------------------------- -------------------------
Special Notes and Comments
DEMO TO BARE GROUND OF A) SFD & SIX CAR
GARAGE,NO WORK UNTIL WATER AVAILABLE . ON
SITE. NO CLEARING OR GRUBBING UNTIL
PERMITS ARE OBTAINED FROM PUBLIC WORKS
DEPT
Fee summary Charged Paid Credited Due
- ---------------- ---------- ---------- ---------- ----=-----
Permit Fee Total 45 . 00 . 00 . 00 45 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 45 . 00 . 00 . 00 45 . 00
P.O. Boa 1504 1��l� W
Y VOICE (760) 777-7012
78-495 CALLE O FAX (760) 777-7011•
LA QUINTA, CALIFORNIAFOR 9225344 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 0�' ftz lo Date: 3- A?- c-s
Applicant: /� Architect or Engineer:
Applicant's Mailing Address: Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professionals
Code,and my License is' full force and effect.
License Class /�} f� License No.
Date ��/ 10-c"Contractor
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors'State License Law forthe following reason(Sec.7031.5,Business and Professions Code: Any
city or county that requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for the permit to file a signed
statement that he or she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars($500).):
U I,as owner of the property,or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for sale(Sec.7044.
Business and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon,and who does the work
himself or herself or through his or her own employees,provided that the improvements are not intended or offered for sale. If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for the purpose of sale.).
U 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves thereon,and who contracts for the projects with a contractor(s)licensed pursuant to
the Contractors'State License Law.).
(_) I am exempt under Sec. ,B.&P.C.for this reason
Date Owner
WORKERS'COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declaratio-is:
_I have and will maintain a certificate of consent to self-insure for workers'compensation,as provided for by Section 3700 of the Labor Code,for the performance
of the work for which this permit is issued.
_I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the perfornance of the work for which this permit is
jasued. My workers'com nsation insurance carrier and,Po�Gy ber ar
Carrier_/4 ��� Policy Number / S 2 ? � 7
I certify that,in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and agree that,if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall
forthwith comply with those provisions.
Date O F aplicant_ {��^�
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNE'Y'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued(Sec.3097,Civ.C.).
Lender's Name
Lender's Address
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made,each person at whose request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application,the owner,and the applicant,each agrees to,and shall,defend,indemnify and hold harmless the City of La Ouinta,its
officers,agents and employees for any act or omission related to the work being performed urder or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit,or
cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building
construction,and ghereby authorize representatives of this county to enter pon the above-mentioned property for inspection purposes.
Date Signature(Applicant or Agent): /�
Taylor
Woo
Taylor Woodrow Homes,Inc.nc. w
Home
15 Cushing
rnnne.Ca 926184220
Tel 949 341 1200
Fax 949 341 1400
tsylorwoodrow.com
March 7,2005
Mr.Ed Randell
City of La Quinta
Building&Safety Department
P.O.Box 1504
La Quints,CAS 92259-1504
Dear Eck
Please accept this letter along with the contract documents as confirmation that we have
contracted with AAA Demolition,Inc.to perform and complete the demolition and
grubbing operation at our Carmela project located at Avenue 53&Monroe Street in La
Quwta,Califo ia.
S ,
dm J
V.P. Planning
cc- contract file
d
ngrader
-GARY L.ORSO r.o.nox'rs,
COUNTY OF RIVERSIDE n►�,«:dr,CA 973M751
lyoyjaeusoa�
ASSESSOR-COUNTY CLURK-RECORDER IHtpJhi+aaWe-a�16Me.com
NOTARY CLARITY
Under the provisions of Oovemment Code 2!361.7, 1 certify under the penalty of perjury
Mat the notary seal on the document to which thiq�statement is attached reads as
follows:
Name of Notary:
Commission
Place of Execution:
0(`'..t1'"�
Date Commission Expires:
' 1
JAN 19 2005
Date:
Signature:
LIr
ACK 186.P_A84M t osnoc )
f
STATE OF CALIFORNIA )
)SS
COUNTY OF Q )
On Win, i x. 35 before mei am f.15 L (�}`'f 1'I�115Gn ,a Notary
Public in and for said County and State,personally appeared IRQU rt' C
personally known to the
to be the person(f whose n=wA is/aA subscribed to the within
instrument and acknowledged to me that hets)kWy executed the sante in hi&Uf/theft
authorized capacity iO,and that by his/lydrhlydu signaugeo on the instrument the
personls j,or the entity upon behalf of which the personVact4 executed this instrument.
WITNESS my hand and official seal.
M
+t�so►
Signature �taiy tie.t
FOR NOTARY SEAL OR STAMP
12778G�2 02
Ll
CO MUM
uoRPDOU Fly!
61Y,..Y.ISIHX3
Me Order Number:
Fite Number: NHOL-1681719
Exhibit eAn
Real property in the Cly of La Quints,County of Riverside,State of California,desoibed as follows:
LOTS 1 THROUGH 50,INCLUSIVE OF TRACT NO.31874-1,AS SHOWN SY MAP ON FILE IN BOOK 372
PAGES 34 THROUGH 37 INCLUSIVE OF MAPS,RECORDS OF RIVERSIDE COUNTY, CALIFORNIA
APN: 767-200-011-2
Zo 919OLM
swoulogra P5U6§&U-)rq p2ppuag AIJ200MJO no, pasa(I
uflo 1[SIHXZ
Eac6'bit KB"
THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 10,
TOWNSHIP 6 SOUTH,RANGE 7 EAST,SAN BERNARDINO BASE AND
MERIDIAN,AS SHOWN BY UNTIED STATES GOVERNMENT SURVEY;
EXCEPTING THEREFROM THE EAST 30 FEET FOR THE ROAD PURPOSES;
ALSO EXCEPTING THEREFROM THE SOUTH 30 FEET FOR ROAD PURPOSES .
CONVEYED TO THE COUNTY OF RIVERSIDE,BY DEED RECORDED
OCTOBER 19, 1959 INSTRUMENT NO.89350 OF OFFICIAL RECORDS OF
RNERSIDE COUNTY,CALIFORNIA.
ALSO EXCEPTING THEREFROM ALL OF TRACT 31874-1 AS SHOWN ON MAP
ON FU E IN BOOK 372,PAGES 34 THROUGH 37 OF MAPS,IN THE OFFICE OF
THE COUNTY RECORDER OF RIVERSIDE COUNTY.
First AIT erican title NHS y9
DOG
91/19t2M 008 na Fe*5 X219
RECORDING REQUESTED BY: Page t of a cot T Tax paid
Retarded it official Records
County of Rivera9do
Irell&Mamclla LLP Assessor. County Clerk a Retarder
840 Newport Center Drive#400 �'fl�noI l
Newport Beach,CA 92660 �1
Attention: Anthony W.Pierotti
M a uwm8 on 0A PM 3W waa
WHEN RECORDED MAIL TO AND
MAIL TAX STATEMENTS TO:
Taylor Woodrow Homes,Inc. A R ewe „", . W.
15 Cushing
Irvine, CA 92618
Attention: Mr.Gil Miltenberger
N 14+: OV-po y (Space Above for Recorder's Use) G
1
GRANT DEED
The undersigned Grantor declares that Documentary Transfer Tax is not shown
pursuant to Section 11932 of the California Revenue and Taxation Code,as amended.
FOR GOOD AND VALUABLE CONSIDERATION,the receipt and sufficiency of
which is hereby acknowledged,STONEFIELD LA QUINTA I,LLC,a California limited
liability company("Grantor"),hereby grams to TAYLOR WOODROW HOMES,INC.,a
Califonva corporation('Grantee"),that certain real property(ttte"Property")in the County
Of Riverside.Stade of California,more particularly damribed in Exhibit"A'attached hereto
and incorporated herein by this reference.
GRANTOR hereby reserving unto itself and its successors and assigns perpctual
nonexclusive easements appurtenant to the real property described on Exhibit"B"hereto: (i)
an easement over all streets,open space and other non-building lots on the property for the
construction,installation,repair.removal and replacement from time to time of roadway
improvements and utilities,including without limitation gas,electrical,cable television;
telephone,water,sanitary sewer and storm drain installation,together with necessary rights
Of ingress,egress,passage,access and circulation related thereto;and(ri)an casement for
vehicular and pedestrian ingress,egress,passage,access and circulation over all streets,
sidewalks and parks and open spaces on the property.
THIS GRANT AND CONVEYANCE IS MADE AND ACCEPTED SUBJECT TO:
I. All non-delinquent gencral,special and supplemental real property taxes and
assessments.
12378692 02
i
2. All other covenants,conditions,restrictions,reservations,rights,rights-of-
way,dedications,offers of dedication,liens,encumbrances,equitable servitudes,easements
and other matters of record or otherwise known to Grantee as of the date hereof.
IN WITNESS WHEREOF,the Grantor has executed this deed as of the date written.
below.
Dated:January 11,2005 GRANTOR:
STONEI+IELD LA QUINTA I,LLC,
a California limited liability company
BY. ttLD_ DE_VEL a
rporation,its a
Robert C. Pack
Its: president
1237U).2 01 -2-
07 & N 0 W N
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
NOTIFICATION OF DEMOLITION OR ASBESTOS REMOVAL L1W -4-
WIR
MAIL FORM AND FEE TO SCA MD ASBESTOS NOTIFICATIONS,FILE#55641,LOS ANGE1 ES C 00,1 T nv i p Q
A,
POSTMARK
REEN.SY,r,
COMPLETED BY /40/-%7JOMPANY
,�p/,f-
PHONE2 Y/
--'DATE 05—CHECK#
FEE I _,71 PROJECT#� .2
",q aAdxS
NOTIFICATION TYPE :ORIG I�NAL REVISION DATES REVISION OTHER(highlight) CANCELLATION
PROJECT TYPE < EMOLITION ORDERED DEMOLITION RENOVATION(removal) EMERGENCY REMOVAL PLANNED RENO(annual)
SITE INFORMATION SITE NAME
5
SITE ADDRESS ?j CROSS STREET
-
CITY TATE --ZIP COUNTY
DE CRIBE WORK AND LOCATION
BUILDING SIZE(SO FT) l0 NUMBER OF FLOORS r BUILDING AGE(YEARS) NUMBER OF DWELLING UNITS
BLDG PRIOR I PRESENT COMMERCIAL HOSPITAL INDUSTRIAL &
T USE Der OFFICE PUBLIC BLDG. SCHOOL SHIP UNIV/COLLEGE
. T
SITE OWNER ADDRESS
CI )" 7V11V4TA KONTACI
ZIP PHONE
TY" TE
XI ::�
REQUIRED BUILDING ASBESTOS YE( NO )1ASBESTOS PS YES NO ASBESTOS YES' NO BUILDING TO BE NO
INFORMATION PRESENT? SURVEY? ( REMOVED? DEMOLISHED?
PROJECT.DATES START 'END 4 WORK SHIFT(day,swing,night)
*ASBESTOS AMOUNT TO BE FRIABLE CLASS I CLASS II TOTAL AMOUNT(add row)
REMOVED(in square feet) :T— --- - 7
*ASBESTOS REMOVAL FROM SURFACES PIPES COMPONENTS
*AMOUNT OF EACH TYPE OF ACOUSTIC CEILING LINOLEUM INSULATION FIRE PROOFING DUCTING STUCCO MASTIC
ASBESTOS (in square feet)
--FF51NG OTHER FLOOR TILES(VAT) I DRY WALL PLASTER I TRANSITE ROO HER(describe)
CONTRACTOR INFORMATION J�SLB LICENSE# OSHA REG# AQMD ID#
NAME ADDRESS
-S
ITY
IE ITE.SUPVR PHONE2_
WASTE TRANSPORTER#1 &NDFILL
ADDRESS ADDRESS
I CITY STATE ZIP CITY -- STATE -ZIP
Not required for demolition notifications asbestos surveys are required prior to Demolition and Renovation.
Forms,instructions,and the Rule 1403 can be obtaineq from AQMD web site http://www.aqmd.'gov Page 1 of 2 Form REV 20040623
SCAQMD NOTIFICATION OF DEMOLITION OR ASBESTOS REMOVAL
MAIL FORM AND FEE TO SCAQMD,ASBESTOS NOTIFICATIONS,FILE#55641,LOS ANGELES CA 90074-5641
WASTE TRANSPORTER#2 'WASTE STORAGE SITE
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
*CONTROLS: DESCRIBE WORK PRACTICES AND CONTROLS TO BE USED AT THE RENOVATION AND DEMOLITION SITE. Procedure#1,2,3,4,5 or Other
For asbestos removals circle the combination of Rule 1403 procedures used. Procedure 4 and 5 submit plans for AQMD prior approval(See procedure 4/5 guidelines)
*ASBESTOS DETECTION PROCEDURE: CIRCLE THE PROCEDURES AND ANALYTICAL METHODS USED TO DETERMINE ASBESTOS IN THE BUILDING:
Survey,Bulk Sampling,Inspection,PLM,PCM,TEM,Assumed as Asbestos-PACM,Describe Other(See survey guidelines checklist):
FOR DEMOLITIONS GIVE THE COMPANY NAME AND DATES OF THE ASBESTOS REMOVAL:
FOR ORDERED DEMOLITION SEND A COPY OF THE ORDER AND GIVE THE AGENCY NAME&PHONE#
AUTHORIZING PERSON: TITLE
DATE OF ORDER: DATE ORDERED TO BEGIN:
FOR EMERGENCY ASBESTOS REMOVAL GIVE THE NAME AND PHONE NUMBER OF THE PERSON DECLARING/AUTHORIZING THE EMERGENCY,DATE AND HOUR OF
EMERGENCY AND DESCRIBE THE SUDDEN,UNEXPECTED EVENT: .
EXPLAIN HOW THE EVENT WOULD CAUSE UNSAFE CONDITIONS,EQUIPMENT DAMAGE OR UNREASONABLE FINANCIAL BURDEN:
CONTINGENCY PLAN:DESCRIBE ACTIONS TO BE FOLLOWED IF UNEXPECTED ASBESTOS IS FOUND DURING DEMOLITION OR ASBESTOS MATERIAL BECOME
DISTURBED,CRUMBLED,PULVERIZED,OR REDUCED TO POWDER.
*TRAINING CERTIFICATION:I certify that an individual trained in the provisions of regulation AQMD Rule 1403 and NESHAP will be on site during the removal and
evidence that the required training has been accomplished by this person will be available for inspection during normal business hours.
Company Name Print name of owner/operator Signature of owner/operator Tittle of owner/operator Date
INFORMATION CERTIFICATION:I certify that the above information is correct and I have nclosed any required attachments.
Company Name Print name of owner/operator Signature of AdoLpejrator Tittle of ownedoperator Date
3 y�
Notifications cannot be accepted without the required fee Rule 301 . Asbestos removals of less than 100 square feet are exempt from notification and fees.
Please make checks payable to°SCAQMD'. Fees are per notification,not refundable,and vary according to the project size. Fees areas follows:
PROJECT SIZE in ftz DEMOLITION OR REMOVAL PROCEDURE 4 or 5 PLAN SERVICE CHARGE
1,000 or less $36.90 -- $450.91 Special Handling Fee—$36.90
1,001 to 5,000 $112.80— — $526.81 Revision to Notification–$36.90
5001 to 10,000 $264.03 $678.04 Returned Check Fee—$29.28
10,001 to 50,000— $414.01 $828.02 Planned Renovation—$408.38
50,001 to 100,000— $600.00 -- $1,014.01
100,001 or more— $1,000 $1,414.01
ATTENTION: Keep a copy of your notification. State law requires that you provide a copy of the demolition notification to Building and Safety before,issuance of a
demolition permit. For questions call 909-396-2336. Please mail the form and fee to AQMD. Mailing saves time,money and reduces traffic and air pollution
MAIL FORM AND FEE TO: SCAQMD,ASBESTOS NOTIFICATIONS,FILE#55641,LOS ANGELES CA 90074-5641 Page 2 of 2
TELEPHONE: (909)396.2336 FAX: (909)396-3342 Form REV 20040623
FORMS,INSTRUCTIONS,AND THE RULE 1403 CAN BE OBTAINED FROM AQMD WEB SITE AT HTTP://WWW.AOMD.GOV
SCAQMD is located at 21.865 E.Copley Drive,Diamond Bar,CA 91765-4182 (909)396-2000
a n
SCOTT MOMSON& ASSOCUTES
P.O.Box 55329 3235533aft'Fatm t love, Ste.03407
Riveraidc,CA 92517 Cates$City,CA 92234
(909)624-1665 (760)323-7743
ASS OS SURVEY REPORT
Completed On
January 17, 22005
rLM0111102801
Client: Taylor,Woodrow Homes
1515 Cushing
Irvine, CA 92618
Pnsject:Ave.531 Monroe('Tract#31874)
La Ouinta,CA
(4 total bldg.tltructures)
On January 11, 2DG5 are asbeslos irrspez don and bulk sampling was conducted at #w eve project
address. Bulk samples were taken of all suspect asbestos containing building materials(ACOM) at the
request of the.client named above_ Bulk sernples.were subrnitfsd to Cardin®Environmental, inc. kzatad
at: 107 Now Edtion Court in Cary, IAC(NVLAP Code 1017604 and Cal. Environ. Lab. Cert. 02483) to
estimate the percentage of asbestos by volume and determine the type(s) present: Carolina
Environmental's telephone number is(916)481-1413.
Carolina Environmental, hw. detemrines per+centeqies and type of asbestos by using EPA approved
method 6001M4-62-820: irderim Method for the (Determination of Asbestos in Bulk Samples. Bulk
samples are analysed by PLM(Potariod Light Lftm W).Astros is quantified by taft the veokal
arena estimation hx tnique and can only determine the approximate percentage of asbestos present.
Atter a thorough search is conducted and no asbestos is detected "none detected"will be noted in the
report. The essence of polarized light microscopy is not to emphatically determine that no asbestos Is
present,merely that none was detected or, If It was, it was I9cely to be less than 1.0%of the sample.
When findings reveal low titan or clm to 1.0%asbestos contained in a sample,furter analysis may be
called four an aditoral sarnples to confirm or denounce fllue Initial fgndings, The California Code of
Regulations (CCR 1528) requires bulk sampling be conducted according to the A.H.E R.A. protocol
provisions of 40 CFR Part 763.86. The AXE.R.A. protocol recommnds throe (3) or move moble
surfacing samples fr m a homogeneous area be colkx9ed and armlyzed tore any building materlal is
determined to be non-esftsios containing. Scott.Morrisoru .&Associates conducts asbastos inspection
surveys following the A H.E.R.A. inspection protocol.
ASBESTOS INSPECTiON BY: Sc t*Morrison,ROSH#92.0246
BULK SAMPLES ANALYZED BY: Carolina Environmental,inc,, NVLAP#101768-0
The results on the follovAng psge(s) indicate that asbestos was detected in 00 of the 28 samples
analyzed.
�7�
SCOTT MORRISON& ASSOCIATES
P.O.Dox 55329 31033 Dft Pdm Drive. SM 03-507
Riverside;CA,92517 Crathe&al City,CA 92234
(909)624-1665 (70323-7143
PLIWA11102801
Note Sft page 6 fair diagram of buNding stem locations.
Nage:Swnple fPs JW-01 thru TW-07 were all tame from woe"A"(GIngie4anly Novae).
Sample STNV-01 Type of material:linoleuml white-pink
Location:throughout interior
Area:approx,960 sq.ti:.
Friab sma Results: none detected
Sample#TW-02 Type of material:linoleum mastic)off-white _
Location:urder sample#TW-01
Areampprox.=sq.fL
Friablemo Resutts: none detected
Sample#TW-03 Type of materialArywall
Loaatiomkitchen coiling
Anewthroughout interior ceilings
Friable-no Results: none detected
Sample#TW-04 Type of materiat:extertor=11 stucco/white
Locatiomexterior SW wall, house
Area:exterior wali-1st layer
Friable-no, Results:none detected
sample 0TW-05 Type of meteriatextedor wall plaster)grey
Loratigrrmdertor SW.w all,house
Area:wcterior wall and layer
Friablemo Pjmftn detected
Sample#TW-06 Type of materialArywrall
LocationAnterior W. wall, living room
Area:throughout interior walls
Friable:no Results. none detected
Sample#TW-07 Type of material:exterior stucco piaster
Location:exbricr NE wall, garage
Area1hroughout exterior wails
Friablemo Results: none.detected
r .
SCOTF MORRISON& ASSOCIATES
P.O.Box SS329 MS Ddeftm Ih ue, Ste.#3-507
RWaside,CA M17 C City,CA,92234
(909)634-IGW (760)373-7743
Pt.PWJ I1#28D1
88MPl®ft TW-ft Ileo TW-18 were A Won ftm aftclurs"B"(9Irgle-faWly hoe).
Semple#TW-08 Type of materi0exterior watt stucco!white
Locatlowexterior N.wall,,enclosed patio
Brea exterior saran-7 at layer
Friablemo Results: none detected
Sample#TW-09 Type of matte exterior wall plaided gray
Wdow N.Wall,enclosedpatio
Ar ea.exterlar wall-2nd layer
Friablemo Results: none detected
Sample 07WN-10 Type of matertalArywall mud
Location:lntedor oiling. patlo
Areathroughout interior
Frlable:no Results:-none detected
Semple#fdlf-11 Type of;ii iail:dtywall only
Locatiominterior ceiling,patio
Areathrt g!tout interior
Friable:no Results: none detected
Sample#M-12 Type of materWArywall mud
Location:interior S.wall,living room
Area:throughout interior walls
Friable:no Results:none detected
Sample#W--13 Type of nvftwW:dfywa1l only
Locatiort:itr Aor S.well,lking room
Araa:thnxgMout interior waits
Friable:no Results: nave detected
Sample#TW 14 Type of material:rollad roo€ngi red
LocatimSE roof area
Arewroof ist layer
Friible:no Results: none detected
Sample 07W-15 Type of materiatrolied roofingf.grey
Location:SW roof area
Area:rod-tst layer
Friablemo Results: none detected
(3)
P.O.Box 55329 31055 Dete Palmi Drive. Ste.#3-507
Riva*fe,CA 92517 CatUBW Q1%CA 92234
(909)X1"5 (760)=-7743
PLIVI01114=1
Sample#TW-16 Type of materiall:roofing felt/bran
Location:SW roof area
Area:rte 2nd toyer
Friablemo Results: none detected
fes:Sample 9'9'FW-17 than TRS-19 were-alb taken from atrutury"C".(horsestable).
Sample OM-17 Type of materieWrywall
Location:interior NE wall
Area:Interior walls,W.roam
Friablemo Results: nor*detected
Sample#TW-1 S Type of matedetroofing felt
Location* roof area
Ama:INW roof area
Friable:no Results: none detected
Sample#TW 1g Type of maderiai:rolled roofing/black
Locatlon:SW rW area
-
Area-.SW roof area
Friable—no, results: none detected
Nom;Sample#`s 7SV-20 thru TW-28 were all taken ftm steu ctuire"1131"(6,000 sat.ft.bfdg.�
Sample STW 2d Type of material: exterior wall stuccol white
Locatiorrexterlor W.-centrad wall
Area:throughout anterior-1st layer
Friablemo Results:none detected
Sample#'TW 21 Type of mat®riste odor wall plaster/grey
Locatiomexterior W-central wall
Arewthroughout extedar-2nd layer
Friablemo Results: none detected
Sample*TW-22 Type of material:drywall
I.ocation:interior S.wall, NW room
Arr alittroughout irtt dw watts
Friable:no Results: now deter .
(4)