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DEMO (0104-282)LICENSED CONTRACTOR DECLARATION t hereby gffirm under penalty of perjury that I am licensed under provisions of ,`napter `s°(commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License # Lic. Class ,T Exp. Date t Da eP �r Signature of Contractor,,' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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 & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ) I am exempt under Section B&P.C. for this reason Date Signature of Owner WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one, of the following declarations: ( ) I have and will maintain a certificate of consent to self -insure.for workers' compensation, as provided for by Section 3700 of the LLaborr.Code, for the performance of the work for which this permit is issued. (, I have and will maintain workers' compensation insurance, as required by Seclon 3700 of the Labor Code, for the performance of the work for which this permit`is issued. My workers' compensation insurance carrier & policy no. are: Carrier Policy No. STATS3'i�1JLr 053401 -00 (This section need not be completed if the permit valuation is for $100.00 or less). ( ) 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 provisiogs. Date: .. ,.J 6� Applicant g VAI Itj y tBWarning: ~Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. ` IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his 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 applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 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 State laws relating to the building construction, and hereby authorize representatives of this City to enter upon' the above-mentioned property for inspection purposes. Signature (Owner/Agent):l- �' aP� Date f �' �� Qr-• ell 27 BUILDING PERMIT PERMITN DATE ' VALUATION LOT TRACT JOB SITE APN ADDRESS 51- MV -MVO * AYLiT104 MhytCZ •• OWNER CONTRACTOR/ DESIGNER/ EN (NEER T -A W.01.4— CRXkAVK1''4 &W LQ AVIS ALMS UNDERGROUND CO,MM $1 -0W) SMSINHOWBIR 3870.3 VMT&DRIVE f, 1A QU111T..C.A.. CA 92253 (XII-E.k1RAL. CITY CA, 92234 (760),3. 24v1911 awi wo USE OF PERMIT DRCOiIMON 00401,311014 010 PM; Z).1t,A!1.€ CIM) ULA; .03 i.GMPLXTi, TO 3ARF: 05ROLIM) , 8&K.,lA`➢"'1',f YCHFP,A:fi13T:FT03REPORT. VALUATION U4 2%.9W.00 101-000-423-000 $45,00 : Y ik-3"{'e7[ l f"(.`r}II"i ° tt f UON ANT) PLA9 CI• EC'Y. "1 1.00 MSS PRE -PATO RMW $0.00 APR 2 5 20:sfs CITY OF LA OUINTA FINANCE DEPT / RECEIPT DATEBY DATE FI LED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines - Party Wall Firewall Exterior Lath Drywall - Int. Lath i [ Final Final POOLS - SPAS BLOCKWALL APPROVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Pibg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final 'Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: - Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) 714 440 7700' • 71 476 821 1 FAX CRC ENVIRONMENTAL RISK MANAGEMENT, INC, Wr l q%'35 VON KARMAP SUI'T'E 200 iRVIN'S. CA41FODNIA PREPARED BY: REVIEWED BY APPROVED EY: PHASE I ENVIRONMENTAL ASSESSMENT 51025 &. 51085 AVENIDA N4ARTINEZ LA QUINTA, CALIFORNIA 92253 CRC PROJECT NUMBER: 2100-621-1 PREPARED FOP, AMERICAN SAVINGS BANK IRVINE, CALIFORNIA �y MAY Z0, 11.995 Monica M. Bober ProjPCs.lttager 14_./*irevor D. Santochi Director of Technical Services, CEG #1591 Brian D. Walker Vice President I. -d 6<f86VLV 6r6 dao: i1\1310-13!A3o -13hd [-1od�-j P. 01 SCOTT MORRI, 0, ON & ASSOCIATES tt.3�1 �. Fuerle'�:ircie Arh-vo. t -:-n AVO., Suite 06 , , iv,°rci�e; i niifetttia 925U�a 1111 Sp►ur�;5, LA 9,�.�; Z m 1 ROSH 92f0248 (80(1) f Z4 3 S.s a BULK SAMPLE ANALYSIS REPORT Com4leted On A01,23, 2001 PLM 0,418M301 C Wrrta LLC I Gt)o tr. a'ay Ave., Ste 117 ;lar etas Alia CA 92105 APR 2 5 RECD BUILr3INU c>Ac < z,Y I.a Casaa QLainta Apts, I 51085 Av�nidA Martin®z, units 022 - 29 { I ,.'I 0uuat�,,l CA ; bn April 18, 2001 an asbestos inspection and I bulk sampling was conducted at the above project Addr6as. Sample were taken of all suspoct asbestos containing buildinb rnt terials of the request'of the tlient named abo e. The removed samples were examined using a Nikarl Labophot,2 polanxed light nicrosrope and Swift stereo microscope to $stimate the percentage of asbestos by vola amb and cimat�irminfs tha tyi (s) present, j Scott m�oorn Aa&ociatd: determines percentages and type of asbestos by using EPA approved method 600/M4-8 -024, the princlples,of polarize light microscopy and d'aspersion staining. Asbestos is t2uaantified by usi g the visual arena estimation technique and can only :determine the approximate of PasL7esto9 present. � After a tll+arough :�ea�rch is conducted and no askestns is detected "none detected" will be ndted in the FOV rt, 'The eggerc® of po{emixed light microscopy is not to emphatica{ly da;termine that no asbestos is r>aYent, merely t at none was detected or, if it was, it was likely to be less thOn 1.0°% of the aarhple. When findings re cal less than 1.0% asbestosaired in a Sample, further analysis may ba called for on additionai $a piss to confirm or denounTtree he initial findings. The South Coast Air Quality Managemant Di riot (SCAOMD) rdcornrnends or more samples from a homogeneous area be .onalyzed before ny building material is determined to be nonhazardous. , 'ho s{smples list and described below were t I�ken from reasonably accessible arbas of th'e building. .Any materials to .ated in areas of the building that were inaccessible were not tested, such areas incik)de, but ere not limited to, narrow crawl spaces and unstable%dangemus roof or: floor areOS ASBESTOS INS ECTION 9Y: Scott Monson ' BULK SAMPLES ANALYZED BY: Soon Morrison,! DASH #92-0248 r. The results on a following 'page($) indicate that. asbestos was detected In 0 i I i of the 13 samples N - - -- 01 7603237Y4 3 --------------i - - - - - - - - - SCQl-T MORPISON &AqS ;�43 ArlIin.o�,tun AvP,Svitc . Cajifrnnia 9250 624-1665 10 P.02 P A Q'E 5 C() I I MUKKIZPuIN k3L1i3oFuE.Vte' C i rd e Palm 1,;p6n5A, CA 92262..1. (600) DOS 92,0248 13 era taken frOM the dabd NOW All aSb8st w6ght, must be r(-,ri6v..!.".U0n of th M of material., light pink lip0 IOU rcation: kitchen and bathrooms lesuits- none detected hype of moterial-drywall ocatjon: interior wells 6a.throughout ,"nits: none detected (Ype of material',white StUCPO tion:ext6f ior wall ea-ttirotighOLA kesuits: _aqns qetect iit;M23. ......... Type of matetial,groy-biack'rolled roofing �ocation:among debris 6red: throughout i;AAults- none detected ype of Material:(00fing fell ocation:arnong debris Arewthr(xjgho�it I Results. none detected containing greater than 1 �pCior ey )a containing k)Ljitding rnateriel(sremoved by a state Certified arb'e-Atos obaterentcontractoto any derri0litiOn Or propolly. Inspeciv,.— SO4 Certified Alsbostos Consultant DOISH#92-0248 4 -2001 1 01 Suite. cahfovjli� 9250 624-1665 U'Al 301 0 !s #i-4 we .Ssarnnim #t SQQTT MOPRIS01-4 & ASS 76032,37743 P. 03 PAG E SCOTT MORRIWN & ASSOCIATES 206 irlr gs, K:A 94:26' (8 00) 8"4-T, 33 D05H 97-02A8 from unat #24 ilypo of materiaixeifing acoustic spray [location: living MOM ceiling AreaAhroughout 1:riablamej. I Sample #A SP.mplas I.k57 wore taken from U!2it Sol opte #7 fjo,.rn unit #22 'rype of materlakdrywali mud Location: I-riterior walls Area: throughout Resuitt: Type of material:drywall insulation Locafion:2.nd floor haINYBY, A,rea:thr0UQh0Ut R ults- rjone detected Type of material: osoing acpustle LoMtion'Pnd floor hallWAY Area: throughout Results: n-orxi detected Type of MaterjgWwhite stucco I Location:Oxteftf Wall Area,thff)u9hout Type of nwterial:800USUC ceiling spray Location:dinino roorn kewthroughout 2 Type of materiewhite iinol4um $sr, -,P0 #2 1 ocatiowkitchOn and batheoOm ft. Results: none detected $FmApla 03 'hype of MaterlaWrywall tion Interlorwails Areas: throughout kesuits- none detected 1:riablamej. I Sample #A SP.mplas I.k57 wore taken from U!2it Sol opte #7 fjo,.rn unit #22 'rype of materlakdrywali mud Location: I-riterior walls Area: throughout Resuitt: Type of material:drywall insulation Locafion:2.nd floor haINYBY, A,rea:thr0UQh0Ut R ults- rjone detected Type of material: osoing acpustle LoMtion'Pnd floor hallWAY Area: throughout Results: n-orxi detected Type of MaterjgWwhite stucco I Location:Oxteftf Wall Area,thff)u9hout Type of nwterial:800USUC ceiling spray Location:dinino roorn kewthroughout 2 TABLE OF CONTENTS 1.0 EXECUTIVE SUMMARY ................................. ?-0 GENERAL SITE INFORMATION ......................... I 2-1 Physical Building/Real Properry Description ............... 2.2 Geology/Hydrology .................................... .2.3 Land Usage in the Property Vicinity .............. ........... 2 3.0 HISTORICAL SITE INFORMATION ............................ 2 3.1 Building Permits ................... 7 .............. 3,2 Sanborn Maps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . 3.3 City Directories ... . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . ? 3.4 Aerial Photographs . . . . . . . 3. 4.0 ENVIRONMENTAL RECORD RESEARCH ........................ 3 4,1 Information Sources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.2 Site Records . . . . . . . . . r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.3 Federal/State-Listed Properties . . . . . . . . . . . . . 7 . . . . . . . . . . . . . 3 4.3.1 NPL Sites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 4.3.2 CERCLIS Sites . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 4.3.3 Landfill Site (SWLF) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 43.4 LUST Sites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4 4.3.5 SPL Sites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 4.3.6 SCL Sites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 4.3,7 RCRA Sites . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 4.3.8 UST Sites . . . . . . . . . . . . . . . . . . . . . . . . 5 4.3.9 AST Sites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43, 10 ERNS Sites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 5.0 VISUAL SITE INSPECTION .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 5.1 Storage Tanks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ... . . . . ) 5,2 Polychlorinated Biphenyls (PCBs) .. . . . . . . . . . . . . . . . . . . ... . . .. . . . 5 5.3 Storage of Chemicals and Hazardous Materials .................... 5 5.4 F-vidence of Environmental Contamination .................. 5 5.5 Potentially Restrictive Property Features/Uses ............ 6 5.6 Visual Observations of Adjacent Properties . . . . . . . . . . . . . . . . . . . . . . 6 6.0 SAMPLE COLLECTION AND ANALYSIS . . . . . . . . . . . . . . . . . . . . . . .. . 6 6.1 Asbestos Sampling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 6.2 Asbestos Sampling Results . . . . . . . . . . . . . . . . . . . . ... .. . . . . . . . . . . 6 6.3 Lead in Drinking Water ................................... 7 6.4 Radon .................... .7 7.0 'FINDINGS, CONCLUSIONS AND RECOMMENDA'T'IONS .............. 8. 7.1 Findings ............. ......... 8 7.2 Conclusions ........................................... 8 7.3 Recommendations . . ..................................... 9 8.0 LMTATTONS TO TBE REPORT .............................. : 9 8.1 General Limitations to the Report ............................. 9 9.2 Limitations of Asbestos Survey ............................. 9 8.3 Conflict Certification....................... ............ 10 1:0 EXECVTrVE SUMMARY CRC Environmental Risk Management, Inc. (CRC) conducted a Phase .I Environmental Assessment at the request of American Savings Bank. The assessment was performed at 51025 & 51085 Avenida Martinez, CitY of La Quinta, County of Riverside, on May 8. 1995. No environmental concerns were found regarding current or historical uses of the. subject property. A limited sampling survey for asbestos -containing materials was performed and the octagonal design sheet flooring was found to contain asbestos. CRC recommends that prior to any renovation or demolition activities, asbestos abatement design services should be conducted to ensure proper removal and disposal of all asbestos -containing materials. In addition, it is further recommended that compliance with the asbestos notification requirements set forth in the. California Health and Safety Code, Chapter 10.4, Sections 25915, et seq. be addressed. (See Appendix V.) 2.0 GENERAL SITE INFORMATION 2.1 Phvsical Building/Meal Property Description 'The subject property is located at the southeast corner of' Eisenhower and Calle Tampico. The property is improved with a 34 -unit apartment complex, parking area and swimming pool. The complex was completed in 1979. 2.2 Geology/Hydrology Ge 1�gv_ -- The subject property lies within the Coachella Valley which is surrounded by the Little San Bernardino Mountains to the north and the San Jacinto Mountains to the east and south. The terrain of the subject property area is relatively flat with a gently sloping to the southeast, Soils -- The Coachella Valley floor is composed of sandy soils that have been deposited through both water and wind-borne erosion. The Quaternary dune sand is described as gray, poorly graded fine sands deposited by wind borne process and gray brown silts interbedded with fine to medium sands. H drol m -- The Coachella Valley is underlain, by granite, metamorphic rocks and sandy soils which are able to absorb water. Groundwater is extracted .by a system of active wells operated and maintained by the Coachella Valley Water District. Groundwater is encountered in the La Quinta area between 120-150 feet below ground surface. Groundwater flow direction is anticipated to flow southeast towards the Salton Sea. A topography and site location map is provided in Appendix 1. CRC Environmen[ai Risk Management, Inc. Project k 1100-621-i American Saving5 Hank 51025 & $1085 Avtnida.Martintz taay to, 1995 1 La Qvin a, California FVF ddOO 11\131013/\30 13)Vd VlOdA I.0- �E-F, 1-17 2.3 Land Usage in the Property Vicinity The subject property is located in a primarily residential area are as follows: North: Date Palm Orchard South: Restaurant and Undeveloped Land East: Dental Office. Duplex, and Undeveloped Land West: Single-family Development A site reap is provided in Appendix I. 3.0 HISTORICAL SrM INFORMATION The adjacent properties The site history of the subject property was reviewed through building permits, Sanborn Maps, city directories and aerial photographs. 3.1 Building Permits A • review of building permits at the La Quinta Department of Building and Safety revealed that the subject property improvements were originally permitted for development in May of 1978 and construction was finalized in November of 1979. No areas of environmental concern were ascertained from the review of building permits, 3.2 Sanborn Maps Sanborn Maps were not available for the subject property area. 3,3 City Directories A review of historical city directories revealed the following; 1991 Apartments 1988 Apartments 1972 No listing for the subject property address. The first listing is 51371 Avenida Martinez which is located approximately one-quarter of a mile south of the subject property - No areas of environmental concern were raised by the review of city directories. CRC Environmental Risk Management, Inc. American Savings Bank ;'Jay 10, 1401 • b r 'd 97-26VLr 6b6 da03 IN3NO-13A30 _13da HOaJ Project # 21C0 5i1-1 $1025 & 510$5 Avenida Mirtine2 !-I Qjinta. C.3.:ifornia VTVL5 -- l] I. 3.4 Aerial Photographs Historical aerial photographs were reviewed at Continental Aerial Photo in Los Alamitos, California and the following was observed: 1949 The subject property is a graded, undeveloped lot. Orchards are visible to the north. The areas to the south and east are undeveloped ,lots and to the west is primarily undeveloped with the exception of one house. 1977 The subject property remains undeveloped. No significant changes were observed on the adjacent properties from the 1949 photograph. 1989 and 1993 The subject property has been developed with the apartment complex which exists today. The restaurant to the south, the dental office and duplex to the east and single-family development to the west have all been developed. Orchards remain visible to the north. The review of aerial photographs did not reveal any areas of environmental. concern. 4.0 ENVIRONMENTAL, RECORD RESEARCH 4.1 Information Sources During the course of the environmental records research, CRC used Vista Environmental Information, Inc., Site Assessment Report to CRC No. 071018-001. The list of records reviewed included NPL, CERCLIS, SWLF, LUST, SPL, SCL; RCRA, UST, AST and ERNS. (See Appendix II, Vista Report for comprehensive descriptions of each list.) 4.2 Site Records During the course of the investigation for the subject property, CRC did not encounter any records on-site pertaining to potential contamination of the subject property caused . by on-site operation or activities. 4.3 Federal/State=Listed Properties 4.11.1 NPL Sites No sites are listed on the Environmental Protection Agency's (EPA) National Priority List (NPL) within a one mile radius of the subject property. CRC Environmental Risk Management, Inc. American Savings Bank May 10, 1995 3 S d 6c:86VLV 6V6 dd00 11\131013A30 13dd [10dA ------------------------------------------------------ Fro*t R' 21,00-621-1 51025 & S10ES Avenida I'Awtincz U, ouinta. Ui(ornis ' N)VL9 : 0 L I.OE-E I. -V 4.3.2 CERCLIS Sites No sites are listed on the EPA's Comprehensive Environmental Response, Compensation and Liability Act of 1980 (CERCLIS) List within a one-half mile radius of the subject property. 4.3.3 Landfill Sites (SWLF) No sites are listed on the California Solid Waste Information System Data List for active or inactive landfills (SWIS) within a one-half mile radius of the subject Property . 4.3.4 LUST Sites Three sites are listed on the California EPA's Leaking Underground Storage Tank (LUST) List within a one-half mile radius of the subject property. All three sites are located over one-eighth of mile from the 5Ubject property and all have a status of "Case Closed". Based on the status and distance of these sites from the subject property, it is unlikely they have had an impact on the subject property. 4.3.5 SPL Sites No sites are listed on the California's Department of Toxic Substances Control State Priority List (SPL) of Annual Work Plan (AWP) and High Priority Calsites within a one-half mile radius of the subject property. 4.3.6 SCL Sites No sites are listed on the California's Department of Toxic Substances Contro.i State Calsites List (SCL) of Medium/Low Priority and No Further Action status Calsites within a one-half mile radius of the subject property.. 4.3.7 RCRA Sites No sites are listed on the EPA's Resource Conservation and Recovery (RCRA) Program of Treatment Storage Disposal facilities within a one-half mile radius of the subject property. One site is listed on the EPA's RCRA Programs of Large Quantity Generators within a one-eighth mile radius of the subject property. This site does not have a record of violations or corrective actions per the Vista Report. No sites are listed on the EPA's RCRA Program of Small Quantity Generators within a one-eighth mile radius of the subject property. CRC Environmental Risk Management. Inc. Projccs # 2100-621-1t American Savings Bahr 51025 & 51095 Avcnida•Martinef May 10. 1995 4 C.1 Qtinu. California. 9 d Sc.86pLV 6b6 dd03 IN3NO-13A30 -13 Vd 640dA HVSS : 4.3.8 UST Sites Two sites are listed on the California State Water Resource Control Board's (CSWRCB) inventory of registered Underground Storage Tanks (USTs) located within a one-quarter mile radius of the subject property. None of these sites are located on or adjacent to the subject property. 4.3.9 AST Sites No sites are listed on the CSWRCB's inventory of registered Aboveground Storage Tanks (ASTs) located within a one-quarter mile radius of the subject property, 4.3.10 ERNS Sites No sites are listed on the Emergency Response Notification System (ERNS) list within one-eighth of a mile of the subject property. 5.0 VISUAL SITE INSPECTION CRC conducted a visual site inspection to identify recognizable areas of potential environmental contamination which could impact the air, soil, surface water or groundwater. "Mese areas include the presence of aboveground or underground storage tanks (ASTs or USTs), potential polychlorinated biphenyl (PCB) containing electrical equipment, improper storage and handling of hazardous materials and observations for offsite as well as on-site eontamination.sources. 5.1 Storage 'Tanks CRC did not observe any evidence of USTs or ASTs on the subject property. 5.2 Polychlorinated Biphenyls (PC13s) CRC observed pad -mounted transformers on the subject property which are owned by Southern California Edison. No signs of leaking or staining were observed.. 5.3 Storage of Chemicals and Hazardous Materials CRC observed domestic household cleaners and paints which were stored properly in areas accessible only by custodial/maintenance staff. Outside- contractors are employed for housekeeping, landscaping and swimming pool maintenance need.s. 5.4 Evidence of Environmental Contamination CRC did not observe any evidence of environmental contamination on the -subject . propem, such as stained surfaces or stressed vegetation. CRC Environmental Risk Management, 111c. Projctt x rt -W-62!4 American S2vings Bank SI025 & 5100 AveniL Martine: Ma;, 10, '1G95 I..: Ouintw.' 21if9r1%ia. 5 L d R -66VLV 6V6 63' 0:7 11V3W013A30 13Vd b 0d_J Vi v9s = o [ t eFL ,. - v 5.5 Potentially Restrictive Property Features/Uses CRC did not observe any areas of potentially restrictive property features., This observation was limited to those property features Causing a significant environmental effect that could be readily identified through a visual inspection. 5.6 Visual Observations of Adjacent Properties CRC did not observe any areas of environmental concern on the adjacent properties. 6.0 SAMPLE COLLECTION AND ANALYSIS In addition to the site inspection, CRC conducted a limited asbestos survey of building materials, sampled drinking water for lead content and reviewed radon testing data from the. California Department of Health Services. 6.1 asbestos Sampling CRC performed a visual inspection of the subject property and conducted bulk sampling. of observed suspect materials. The Asbestos Survey was characterized by close visual inspection of accessible interior and exterior areas. At the request of the client, no demolition was performed to evaluate inaccessible areas of the building structures or materials. Observations were made for such materials as asbestos -containing floor and ceiling tile, acoustical materials and thermal system insulation on mechanical surfaces. Guidelines used for the inspection were established by the United States Environmental Protection Agency (U.S. EPA) in the following publications: • GUIDANCE FOR CONTROLLING ACM IN ,BUILDINGS, Office of Pesticides Toxic Substances, DOC #560/5-85-024. • FRIABLE ACMINSCHOOLS IDENTIFIC.ATIONANDNOTIFICATION, Federal Register 40 CFR Part 763, May 27, 1982_ All samples were analyzed by Polarized Light Microscopy (PLM), with dispersion staining as described by 4.0 CFR Part 763, Appendix A Subpart. F (interim method for the determination of asbestos in bulk insulation.) This is a standard method of analysis in optical mineralogy and the currently accepted method for the determination of asbestos in friable bulk material samples. Analysis was performed by f=orensic Analytical in Hayward, California. 6,2 Asbestos Sampling Results CRC collected two bull: samples. Specific sample data is as follows: CRC £nvironthental Risk Management, Inc. Project Pr 2100-621.1 American Savings Hank $1025 & 51085 Avenida Marrtinbz May 70. 1995 La Quinu. California 6 8 d 8c,86VLV 6V6 drJOQ 1N3NO13AM 13Va "O� J3 VI'v6S = 0 I. I.Oi✓ L -tj FROM RAEL DEVELOMENT CORP 949'47d9822 SAMPLE # I MATERIAL DESCRIPTION CONDITION LOCATION RESULTS 621001 Ceiling Texture Good Unit 5 No asbestos Bedroom dctected 621002 Sheet Flooring - Octagonal Desier. Gene J is 2! ,6-3 Lead in Drinking Water P. 2 The EPA's established sampling procedure for use in lead investigations has been designed for schools and is referenced to as document No. 570-9-89-001. The procedure ,, aries according to the plumbing plan for each building but generally consisrs of sampling 40 to 50 percent of the water outlets. Two drinking water samples were collected to detect the possible presence of lead in the drinking water supplies at the subject property. The samples were collected after a "three-minute flush" and were preserved with nitric acid and analyzed in accordance with the EPA 600 Method 239.2 (Atomic Absorption with Graphite Furnace) at Micro Analytical Laboratories in Emeryville, California. Sample 621-Pb01 was taken from Unit 5 and Sample 621-Pb02 was taken from Unit 4. The analytical results were 1.3 micrograms per liter (µg/I) for 621-Pb01 and < 1.0 µg/l for 621-Pb02. The U.S EPA has set the limit for lead in drinking water at 15 Mcg/1. Micrograms per liter (14g/1) are equivalent to parts per billion (ppb). Y Radon CRC reviewed the California State Radon Survey which was conducted by the Department of Health Services (DHS) in conjunction with the United States Environmental Protection Agency (U.S. EPA). The California survey is a. part of an ongoing program by the U.S. EPA to measure levels of radonin all states in the country. In this report, California was organized into nine sampling regions using general geology, climate and existing radon distribution knowledge. The geographically distributed results were latex weighted for population distribution by the U.S. EPA. The subject property is located in Region 9 which includes Imperial, Los Angeles. Orange, Riverside, Sant Bernardino and San Diego Counties. The results of the survey indicate that 95 percent of all homes in this region have radon concentrations below 4.0 - iccCux ies per liter of air (pCi/1). The average radon concentration for Region 9 is 0.6 pCi/l, well below the U.S. EPA action limit of 4.0 pCi/1. Due to the reported low concentrations of radon in the subject property region, it is unlikely the subject property will be impacted by the presence of radon. '"^ lzisk :Management. Inc, Amcricaa Savings BAnk Y, -.v :0. 1945 7 Project X 2100.621.1 51025 & 51085 Avenida Martinez rB Quinta. Cifornia 2: d9AM FROM RAEL 'DEVELOMENT CORP 949 4749828 P_ 3 ;. Findings Based on information obtained during this assessment, CRC identified the following: General Site Information - The subject property is improved with a 34 -unit apartment complex, a swimming pool and parking lot. Historical Site Infortttation - The subject property was improved with the apartment complex in 1978•-79. Prior to that time, it was an undeveloped lot. Environmental Record Search - The environmental records search did not reveal any properties which could environmentally impact the subject property at this time. Sample Collection and Analysis - CRC performed a limited asbestos survey. Of the materials sampled, the octagonal designed sheet flooring was found to contain detectable levels of asbestos. CRC sampled the drinking water for lead content. The sal±;oles results were less than tht U.Sz _.._ .... ....... . -.- ........ .:...r r:- -- subject property area indicates' a low potential for concern. 7:2 Conclusions Based on the above findings, CRC concludes the following: Past and current uses of - the subject property do not appear to have environmentally impaired the subject property, In the event the asbestos -containing building materials are damaged, fiber releases would pose an environmental concern. Recommendations Based on the above conclusions, CRC recommends that prior to any renovation or demolition activities, asbestos abatement design services should be conducted to ensure proper removal and disposal of all asbestos -containing materials. In addition, it is ElrtheP 1'Cl:l1n1II1Ct1(iG'CI Llldt CC7It1p11anCe Wlil1 the asioCSiiiS i1oi,iT1C. %iCi71 -; �iiijrC.MULUS 4 In the California Health, and Saffe.ty Cndri addressed. (See Appendix V.) :virnm;enta1 Risk M2n2gemem. Inc. Arx7z xn Savings Sank ..y 19, ;595 R. Project X 2100621.1 51025 & 51085 Avenida Martinez La Quints. Calikmia A9AM FROM RAEL DEVELOMENT CORP 949 d7d9828 P.4. S- ys. LLiMITATIONS TO THE REPORT S•I General Limitations to the Report The findings, observations, conclusions and recommendations of this report are limited by the contract technical requirements and the methods used to perform these services. 1"hese services have been performed in accordance with American Savings Bank's standard Scope of Work for Phase I Environmental Site Assessments. In order to perform a comprehensive environmental evaluation, subsurface investigation and testing would be required to definitively determine if contamination has had an impact on the subject property. Therefore, the findings, conclusions and recommendations presented herein have been based solely on our visual observations, interview results and database reviews. In preparing this. report, CRC Environmental Risk Management, Inc. has relied on information dnr vt'd fr;,m ,Ji L.1 Iii !..... 3"7'VF°,, _.stigadon as to the accuracy and completeness of thet information derivedr froria secondary sources, computer databases or personal interviews and has assumed that such information is accurate and complete. All recommendations, findings and conclusions stated in this report are based upon facts, circumstances and industry accepted procedures for such services as they existed at the time that this report was prepared (e.g., federal, state and local laws, rules, regulations, market conditions, economic conditions; political climate and other applicable matters.) A change in any fact, circumstance or industry accepted procedure upon -which this report is based may adversely affect the recommendations, findings and conclusions expressed in this report. 7.1"S' report has been prepared for the benefit of American Savings Bank and may not be relied upon by any other person or entity without the written authorization of CRC Environmental Risk Management, Inc. 8.2 i mitati.ons. of Asbestos Survey ::;]-; : ibl iiC jJ Il2 Cii� i; v �JilUlii dilvii. l� v ►tJi�til.Jl:, Y Ulm L U1V i hUL1_1NU ALkvl N BUILDINGS, OFFICES OF PESTICIDES AND TOXIC SUBSTANCES, DOC .#560/5=85-024, and/or THE ASBESTOS SCHOOL OF HAZARD DETECTION AND CONTROL ACT OF 1980 (P.L. .96-270, EPA's 1982 publication: FRIABLE ACM IN PUBLIC SCHOOLS, IDENTIFICATION AND NOTIFICATION, published in FEDERAL REGISTER, 40 CFR PART 763, MAY 27, 1982, as weli as the ASBESTOS HAZARD EMERGENCY RESPONSE ACT (AHERA) OF 1987. However, for this project these reference documents were used as guidelines only and the asbestos survey was not designed to be comprehensive in nature. The intent of this tom: crr ^_n�,t Pi6k Martapament, Inc. 0 Project N 2100421-1 51025 & 51085 Avenida Martinez La Quina, California �:�®AM FROM RAEL DEVELOMENT CORP 949 4749828 P_5 survey was to identify the major sources of asbestos materials commonly encountered in commercial real estate. Therefore, the location and number of samples collected was czt to the judgmental discretion of the investigator. All bulk samples were analyzed by polarized Light Microscopy (PLM) with dispersion staining as described by the interim method for the determination of asbestos in bulk .:_sulation, Federal Register, Volume 47. No. 103, May 27, 1982. This is a standard method of analysis in optical mineralogy and the currently accepted method for the determination of asbestos in bulk .samples. It should be noted that some asbestos materials may not be accurately identified and/or quantified by PLM. As an example, the original fabrication of vinyl floor tiles routinely involved the milling of asbestos fibers to extremely small sizes. Due to their small size. these fibers may go undetected -: <`�3" tl�.e:1tG:SSSLCE•L FT .M 171Ct12�d. Qrrr.r ___-`'-='-=`�r=----...=tr_'-•-__ _.-----... _ ..__.._._ ....__._._ ..._..-- regulations define asbestos -containing materials as any material containing greater than one percent (1 %) of asbestos by weight. (The exception to this definition is the State of California which defines asbestos as materials with more than one-tenth of one percent of asbestos by weight.) In order to determine if these materials contain asbestos* it must be analyzed through Transmission Electron Microscopy (TEM) by a qualified laboratory. Conflict Certification CRC Environmental Risk Management. Inc. has no present or contemplated future ownership interest or financial interest in the real estate that is the subject of this Environmental Assessment Report; and CRC Environmental Risk Management, Inc. has no personal interest with respect to the subject matter of the Environmental Assessment Report or the parties involved and CRC Environmental Risk Management, Inc. has no relationship with the property or the owners thereof +v,hich would prevent an independent analysic c0f the o-ruirCtLm v_ntal nr nrher conditions of the property_ �^ r,'riconrbeGtSl Risk Managernent, Inc. aar .car Savinp Bank' 10 Projcct Y 2100-621-I 51025 & 51085 Avenida Martinez U Quints, c2iifornia 6) � m m .��---------- ---_-_ --- -_ i am 1 � PP �l' 3G`li .�0 • � •1 '�s I 10 � 71 z ---9------ I------------ U Lij U51_ -1-. I - co �_-�e 4OI 33 AC M/L ---- ---5 7 _Nm - 5 I I m I h' I - I !D 1 6Fe, I CB G \ E \ \ x 7 r 100 ,---- i�N — .................................................. — \ 7a.95 , 63.92 80.0 75. e6 ' � - a '�� 1 21 1 O I g 1 4 --- � m LCN 1 I m TRA 020-09, Ln 30 30 m O10 O 2 N 7 N 3 8 3 ¢ g v 3 11 1 O m 7 cu LU 3 o U m m 13 O —' O C ,_ J - -�- 4- m O m O N Ln _ O c m Q -1 (aloe m P 7 10 N 4040 ' O , 40 , 44. 44 I 5 12:11 jQ i 1 i 03 0: 9 Vol sl , 14 , 11 r om, tq P. ,OC ~,., AQ ', ^ o '� e, 9' ', 5 / n , \ - _\ 0'77,-"_a-°0 4 0 Q`' m m .m •Fj,�•9 Building Address 51 - Mailing Address City 4 P.O. BOX 1504 l 78-105 CALLE ESTADO 10 LA QUINTA, CALIFORNIA 92253 ander BUILDING: TYPE CONST. Zip IT Contractor Dateland Construction Co. Address N o . 09162 OCC: GRP. A.P. Number 7'13-091-017-5 Legal Description Lot 1 Hlock ) 26 Sant..,A (,--Irmnlia Project Description unl t 14 at Vale Inc. 5Q-.305 Hwy 111 City. Zip Tela Coachella 92236 398-5544 State Lic.City & Classif. C42 312854 K Lic. # 31 Sq. Ft. No. No. Dw. Size Stories Units Arch.; Engr., Design New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I here Fy ffir that 1 am licensed undepprovisions of Chapter 9 (commencing with Section 7000) �f Dlvisio�o the�mines sand Professi ns Code, and my license is in full force arld of a fJi A S04TUAEDATE OWNER -BUILDER DECLARATION I hereby^affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a ' permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's license Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he 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). 0 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who Estimated Valuation 25id! afi PERMIT AMOUNT ` - Plan Chk. Dep. Plan Chk. Bal. COf1St.� V Mech. builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building Electrical �+►` or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) Plumbing �7 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Cl I am exempt under Sec. B. 8 P.C. for this reason S.M.I. Grading Driveway Enc. Date -Owner . Infrastructure WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Po1ic No. Company s [Copy is.filed with the city. ❑ Certified copy is hereby furnished. ii'//f ` `3Q.. TOTAL 00 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) 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. ,04.-{"i4-191. -o Aja ,} O Date Owner NOTICE TO APPLICANT., If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued..(Sec. 3097, Civil Code.) Side Street Setback from Center Line Side Setback from Property Line Lender's Name FINAL DATE INSPECTOR Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 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 hereby authorize representatives -of this city to enter the above-. mentioned property for inspection purposes. Issued by: Validated by: Date Permit Signature of applicant Date Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING. FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR.' SQ. FT. ® GAR. SQ. FT. ® CAR P. SQ. FT. WALL SO. FT. ® SQ FT @ ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL �j r SQ.FT.GAR ® 3/ac HOUSE SEWER VENTILATION GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCKSTORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING �j r REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL -•-?10.Y+,- v^•+•cw,ar,AFF*;w^y,��•�Yg"�""A'ir�:�+:r�vwyu�pam,�.ti,'�itoy.:-�Ye�:�cJ'v�,rt' �..:ri%Y^r;�,�„ < _ F _ COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH AssrMrlM ftrW NM ENVIRONMENTAL SERVICES DIVISION PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM Applicant: Submit this form with four copies -of a scaled plot plan (1-20 scale) drawn to County speculations as indicated on the attached check Ilat & on -refundable filing fee (see below).is required when the application is submitted. Check must be made payable to the County of Riverside. ,Approval of this application shall remain valid for a period not to exceed one year from date of approval. VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG #`/T y OF ZA Qau, rl Agent, Contractor, Contact PersonPhone A?• LA COMsT2ucTlot4 A(C, 398 -SSS Address & Firm 0-305- h/i /cOwner. UQ f FREA AILEXANWA P ,�'6 -/sic �80o� /7.2 City State Zip ia��3 Job Property Address S'/0�-O F/sfvyc��- Legal Description Prop. (PM, Tract, Lot) ' Lor tlIVT t c Lot sue YbVeil t i3�cTy . Use of Permit P/P, CU, etc. A 00i JTA A DI) SErOMF 7l Ekfrl Other�1 .5,4,V— ('A' 41�Ls �J c i �A 47 ewelnng.faw'srtetPrep etc. sr . x,s l/ Ac E LA /�a�r/�j�• J �c ci�n/T Signature of Applicant Date CATEGORY: REV CODE FEE / O' SUBSURFACE DISPOSAL 1238 e "W-00,?l CATEGORY: REV CODE FEE ❑ SITE EVALUATION UPON REQUEST 7349 ❑ MULTIPLE PARCELS WITHIN SAME .-$=43*00 (NO PLOT PLAN)' LAND DIVISION ! sf ❑ SEWER/SEPTIC VERIFICATION 7348 $�7at)0 (Less than 1 a_/ a. 1 at 4 Parcels (Each) 1238 year) b. Each Parcel after7344 $-2440- ❑ PRELIMINARY ELECTIVE 7352 .4 O Rereview (2nd review same parcel) 7344 $-2.4r0037 /3*0 EVALUATION (Attach DOH SAN 53) ❑ Site Evaluation in Conjunction with ❑ HOLDING TANK 7351 4 -.*=0 Critical Area 7346zGDy7�'_ ❑ ALTERNATIVE/EXPERIMENTAL 7345 $22-80 ❑ Site Evaluation Lot Less than SYSTEM�� r 10,000 Sq. Ft 7347 $013 IT // ISN/DTE c� Holding Tank Agreements Completed ❑ Yes k"%/N�%` Certification of Existing S.D. System Required ❑ Yes WQCB Clearance required. (Attach Form ❑ Yes '+ Li No DOH SAN 007, Santa Ana Region Only) Solis Percolation Report Required.❑ Yes�/N/%p% Special Feasibility Boring Report Required. ❑ Yes L9 -No_" Detailed Contour Plot Plans Required (1 to 5 ft interval) ❑ Yes �o Otter ❑ Yes Staff Specialist Lot Inspection Required ❑ Yes C9'No - Lot I Date Y YF Soils boring report by Project i► Date Soils Map Page / 1 Sol Type -L i L7o2Approved IC�F'�� Data No. of Systeme E x) S j, Type of Syatem(a) ❑ Holding Tank ❑ Existing �+ No. Dwelling Unna{[)is(1) Bed •Fb&jreednft�P Septic Tank Soil Rate �G ❑ New ❑ Reple cenwnt j9 ^ BQ^+. F�4YGa EX/ST �r3o�� / / nresse/Sand r A01 rivN a s�� , �� JQNL N(4V'ho Leech Lire Sq. Ft Sidewall allowance iIEA4i;N V 1 - L k*s) ft.long it wide with '. .Leach Bed It. trench arae . fl running ft h rock ;-NA min. inct cLrelow dralnl'mes or asq. Ofper ADD Leachlines/bed special design for slope: Applicable � (3) Pit Diameter No. Pits /a Pit Below Inlet (&) Seepage Pit 1o9l Depth (TD) ^' li� Max. Alktwabie Depth N/A !/ Overburden facto �//r 'F1ia5 Ln 6 2N XIsT, / No. 2 System / `RE,MARKS:,LL%t2C.r>O r.. � 1 �-l' Qe,��N � Ncr.� �.� /J P.i. QiC/� !�!-QL�h /�,F�L-•J Y,C�.�.-./ -� .a(' .'sT •• 0 ae�r/�t�� 'A ' J l k-" k GV /-4- 7 / This application ' APPROVED;DENIED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompanio plot plan, using the requirements set forth in SECTION C above. A huildipg permit is necessary for the installation of the above -designed system. 'No -'construction is permitted in the required reserved ..10096 expansion area -7 (1) Septic tank and sewer lines must be 50' minimum from any wells ( Leachjlink—Trnust be 100' minimum from any wells, including expansion area (3) Seepage pits must be 150' minimum from any well, including expansion area "/Date Signature of Health Official i` t✓tl/tQ-?• ��. RECEIPT NO. l UOr / /� Issued By w Date DISTRICT: ❑ Riverside,/// .Ir��i�� ❑ Hemet O Perris ❑ Rancho Calif. ❑ Blythe J• • DOH -SAN -122 (Rei7. 3190) DISTRIBUTION: WHITE - Office file YELLOW -1 Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records r Ce /o?j \` 14 COUNTY OF RIVERSME DEPARWIM6 , HEALTH EMVIRRO DAMMTAL HEALTH BEFAIMCES X Sewage 0i3*81 Food Establishment Xifr• rp..l. Septic Ta.'t"2soo C'•4) �7a 2Eawi t/� TraiierYST ,aPT. BLDG �—y-yy�- c.q Ft.pf Leach Lind l ilpote �lpt. iiotal(o X D� /rb Fi4( �TlvLu.�X t-ae.rX. uN;rs) a r_ u7 Ea?crt�iu� M. -A oinS^ �i�lS%7N6 i(lIT. l/ ) y nl Mali • `. r...;�$ S 6 /C i r t�z 3 )Ctmy •.•r" t .Iv/ 1.tt i. F.' t f iV 3 r j /ftrr®vai BPJ b3sn rk.n.3 tdm e- . J,gm iisiieai t�:..-. ll�`�,.�` Fu 'Ar� PRWQ .Q ^t•� l� �.br�.:j� Va: 6 y�, 11his. that the I:x4;C ��4:.U''Lo':i9:5 �? � ...i .. dfSp4Si}l eirJt ;,72En ';o 4a:.....::ici3.aoE zn MI. w FWWWWWWWWaGn man VAX 'll�1T-�.�.-rze =Ls:it^•.MiT �5!iY':l'. •Y.l� .+s V � ..i�%�'�i� i%-LPlal of LSLemo pjajiF by SSE@ '+z...4F� 1 x k'�, �z S t.cJ ti+.. e •3>.•J - E"�... '.. 3 f3$ �' r '�•"c:rtL'30i4.t of euW� Fa �ne.,cide Coun y dor a ':cat relieve the Ea phi i giD! ' srrtkt G c 3 � u �a i ti�8ti6a 4M, . Asv^. �ac2 of tae e�L� �s9wiiiCy for the Eil�'inee,�: n �:r' `ID r ,,.E; -�ke+rte>rc1' ci�w �rT, a� a: ��g' [A I VN r ,j�l'IIII?III i I�11�(jli,;Tfliliil'"li'_i ri lmg-n Naz I ir,Il�1il f ll; i'f'I!i�It�lil�;1