04-5458 (DSF)u�cv
3 �
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
C��lpF9 78-495 CALLE TAMPICO FAX (760) 777-7011
D ° �L A A, CALIFORNIA 92253 INSPECTION REQUESTS (760)-777-7153
JUL.'l 6 2604 BUILDING PERMIT
Applli�'c�at�on�'N:umber . . . . . 04-00005458 Date 7/13/04
PropFe�'rt�'yMd'dre-s•s 46200 JEFFERSON ST
APN: 649-090-002-38 -2190 -
Application description . . . DEMO - SINGLE FAMILY
Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
CITY OF LA QUINTA TRESIERRAS CONSTRUCTION, INC.
78495 CALLE TAMPICO 2235 N. LAKE AVENUE, ##107
LA QUINTA CA 92253 ALTADENA CA 91001
(62 6) 794-3333
WCC: STATE FUND
WC: 1454302 07/01/05
CSLB: 725996 02/28/05
CCC: 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
------------------------------ ti -
---------------'-------------------------------
Special Notes and Comments
DEMOLITION OF EXISTING HOUSE AND ALL
IMPROVEMENTS
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. BOX 1504• �/i
w VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011'�
LA QUINTA, CALIFORNIA 92253 4 4 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant:
Applicant's Mailing Address:
Date:
Architect or Engineer:
Architect or Engineer's Address:
W /A
Lic. No.:
13UILDING 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 in full force and effect.
License Class 9 — C -Z ( �ense No.
/Date CD V %—� (o —� tractor �L (__� � L=t2(� f/Je$ GJ S S VUI I C r1 UvJ S 4V L
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the 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 I, 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.).
U I am exempt under Sec. , BA P.C. for this reason
Date Owner.
WORKERS' 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 Labor Code, for the performance
ie of the work for which this permit is issued.
/-1I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy umber are'
Carrier 5,T7�'Cc Gow-�� oblicy Number _ /L,L BSc �i U l — U 44
_ 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 thc3e-previsions.
WARNING: FAILURE TO SECURE WORNfERS' COMPENSATION ERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1W000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'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 P A
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 Quinta, its
officers, agents and employees for any act or omission related to the work being performed under 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 hereby authorize representatives of this co r upon the above-Tmqntioed property for inspection purposes.
,,-'Datan Signature (Applicant or Agent):
Co~�s�a14 �z G
a
Project/Case 4 6�Z y62oo
and VACANCY WALKTHROUGH
Any and all personal property left on the project premises located at T6'26d �+il.✓
hF y(� L , X13 , is to be considered abandoned as of
AS EVIDENCE BY SIGNATURE AND DELIVERY OF KEYS I HEREBY AGREE THAT OCCUPANCY OF THE LISTED
ADDRESS HAS BEEN ABANDONED AND THAT NO FURTHER ENTRANCE TO THE ABOVE ADDRESS WILL BE MADE.
x,/ -y x, x
Clai a t s) arae Claimant(s) Signature baW
�(t, a� lP
REPLACEMENT AD,RESS:
NEW PHONE
ON THIS DATE I PERSONALLY INSPECTED THE DISPLACEMENT AT THE ABOVE ADDRESS AFTER
THE OCCUPANT HAD MOVED AND FOUND THE PREMISES TO BE IN SATISFACTORY CONDITION
,AND THAT ALL PERSONAL PROPERTY, EXCEPT FOR TRASH OR DEBRIS PLACED FOR REMOVAL,
s HAD BEEN REMOVED FROM THE ACQUISITION AREA EXCEPT FOR THE FOLLOWING:
x
elocation Representative to
❑ There are tenants remaining on this property. This property is now vacant ❑Abandoned property remains
on site
PROPERTY MANAGEMENT
Keys given to:
Date:
Received by :X
Overland,l'acific & Cutler, Inc. 07/07
notes: &Jel ?forktY
6(u �y rG34-1 Lil gC re -5-
0rPALO (
�06 o P e�'e
N.07/06/2004 22:28 7603237743 r PAGE 02
P.O. Box 55329
Riverside, CA 92517
(909)624-1665
SCOTT MORRI.SON & ASSOCIATES
ASBESTOS SURVEY REPORT
Completed On
July 07th, 2004
PLM0623##0835
Client: Tom Hartung's Office
City of La Quinta Redevelopment
P.O. Box 1504
La Quinta, CA 92253
Project: 46-200 Jefferson Avenue
La Quinta, CA
(single family home with attached garage)
141
31855 Date Palm Drive, Ste. ##3-507
Cathedral City, CA 92234
(760)323-7743
;41
On June 23rd, 2004 an asbestos inspection and bulk sampling was conducted at the above project
address. Bulk samples were taken of all suspect asbestos containing building materials (ACBM) at the
request of the client named above. A total of (8) bulk samples were submitted to Carolina
Environmental, Inc. located at: 107 New Edition Court in Cary, NC (NVLAP Code 101768=0 and Cal.
Environ. Lab. Cert. #2483) to estimate the percentage of asbesto:; by volume and determine the type(s)
present,
Carolina Environmental, Inc. determines percentages and type of asbestos by using EPA approved
method 600/M4-82-020: Interim Method for the Determination of Asbestos in Bulk Samples. Bulk
samples are analyzed by PLM (Polarized Light Microscopy). Asb 3stos is quantified by using the visual
arena estimation technique and can only determine the approxima•:e percentage of asbestos present.
After 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 likely to be less than 1.0t of the sample.
When findings reveal less than or close to 1.0% asbestos contained in a sample, further analysis may be
called for on additional samples -to confirm or denounce the iniJal findings, The California Code of
Regulations (CCR 1529) requires bulk sampling be conducted according to the A.H.E.R.A' . protocol
provisions of 40 CFR Part 763.86. The A.H.E.R.A, protocol recommends three (3) or more friable
surfacing samples from a homogeneous area be collected and ar;alyzed before any building material is
determined to be non -asbestos containing. Scott Morrison & Associates conducts asbestos inspection
surveys following the A.H.E,R.A, inspection protocol.
ASBESTOS INSPECTION BY: Timothy Morrison, DOSH #02-3142
BULK SAMPLES ANALYZED.BY: Carolina Environmental, Inc., NVLAP #101768-0
(1)
07/06/2004 22:28 7603237743 PAGE 03
SCOTT MORRISON & ASSOCIATES
P.O. Box 55329 31855 Date Palm Drive, Ste. #3-507
Riverside, CA 92517 Cathedral City, CA 92234
(909) 624-1665 (760)323-7743
The results on the following page(s) indicate that asbestos Vras detected in 00 of the 08 samples
analyzed.
PLM0623#0835
Sample #CQ -01 Type of material :.imooth coat- whitVl rst layer)
Location: interior forth wall of northwest bedroom
Area: throughout interior walls
Frable:no Results: none detected
Sample #CQ -02 Type of material: drywall- white (2nd layer)
Location: behind :;ample #CQ -01
Area: throughout nterior walls
Friable: no Results: none detected
Sample #CQ -03 Type of material: 1;eiling drywall
Location: interior ;ailing of north -central bathroom
Area: throughout nterior ceilings
Friable:no Results: none detected
Sample #CQ -04 Type of material::iprayed on fireproofing- white
Location: exterior north and south water heater closets
Area: approx. 12C total sq. ft.
Friable:yes Results: none detacted
Sample #CQ -05 Type of material: !Aucco- beige (1 rst layer)
Location: exterior east wall of home
Area: throughout exterior walls of home
Friable -.no Results: none detscted `
^ Sample #CQ -06
Type of material: Master- gray (2nd layer)
Location: behind sample #CQ -05
Area: throughout exterior walls of home
Friable:no
Results: none detected
Sample #CQ -07
Type of material::aucco- beige
Location: exterior west wall of home
Area: throughout .:xterior walls of home
Priable:no
Results: none dejected
Sample #CQ -08 Type of material: roof felt
Location: exterior roof under wood shingles
Area: approx. 1400 sq. ft. throughout exterior roof
Friable. -no Results: none de -:ectad
(2)
ZI
a
07/06/2004 22:28 7603237743 PAGE 04
SCOTT MORRISON & ASSOCIATES
P.O. Box 55329 31855 Date Palm Drive, Ste. #3-507
Riverside, CA 92517 Cathedral City, CA 92234
(909)624-1665 (760)323-7743
PLM0623#0835
Note: All asbestos containing building material(s) containing greater than 1.0% asbestos by volume or
weight, must be removed by a state certified asbestos abatement i:ontractor prior to any demolition or
renovation of the property.
Inspector
Scott C. Morris6n
Certified Asbestos Consultant
DOSH#92-0248
(3)
07/06/2004 22:28 7603237743 PAGE 05
Jul -02-04 11:27am From -CAROLINA ENVIRONMENTAL +49114,2 T-452 P.02/05 F-161
CAROUNASNVIRONIMEAL,11INC UkBORATORY REPORT
107101w MienONAIDWNC37911 ASBESTOS BULK ANALYSIS
Rvm aie) 01-449 Fac419)481-14+12
Client: Scott Morrison & Associates CEI Lab Code: A04-4827
31855 Date Palm or, Suite 3-507 Received: &t-01-04
Cathedral City, CA 92234 Anoly:ed: 07-02-04
Reported: 07-02-04
Project: PLM082M836 Analy9t: Gary A. Swanson
CLIENT ID L 1D HOMOGENEITY DESCRIPTION ASBESTOS
CQ -01 A275984 SMOOTH COAT NO.
Homogeneous, White, Non-fibrous, Bound
61ND 1009E
CQ -•02 A27598.5 ' DRYWALL
Homogeneous, White, Brawn, Fibrous, Bound!
BIND 80% :ELL 20%
ND
CQ -03 A275986 C II_INQDRYWALL ND
Heterogeneous. Brown, White, Fibrous. Bound
BIND 85% GELL 15
CQ -04 A275987 F_IBEPROOFING NO
Homogeneous, White, Fibrous, Bound
BIND 98% CELL 2%
CQ -05 A275988T� u 0g ND
Hornageneous, Beige, Non-fibrous, Bound
BIND 100%
CQ -06 A275989 PLASTER
Homogeneous, Grey, Non-fibrous, Bound
BIND 100%
NO
Page 1
I
u
07/06/2004 22:28 7603237743 PAGE 06
Jul -02.04 i1:27im From -CAROLINA ENVIRQNWNTAL +49114-12 7-452 P. 03/05 F-16'
4�.
CAROUNAENMN IMEWAII,INC. Project: PLM062c#0835
107 Nwv Cert carv� NC 27511
Ph7y; X19.481-1413 NK; 91941-1442
Leib Code: A044821'
CLIENT ID LAS ID HOMMENEITY DESCRIPTION. ASBESTOS
CQ -07 A275990 UU010 NO
Homogeneous. Beige, Non-fibrous, Bound
BIND 100%
CQ•08 A275991 ROOFING FELT ND
Hornageneous, Black, Fibrous, Bound
TAR 20% CELL 80
. 4
0
`".
Page 2
r
1
07/06/2004 22:28 7603237743 PAGE 07
Jul -02-04 11:27am From -CAROLINA ENVIRONMENTAL +4811442 T-452 P.04/05 F-161
The following definitions apply to the abbreviations used in the ASBESTOS BUNK
ANALY$19 AEPORT:
CHRY
= Chrysotile
AMOS
= Arnosite
CROC
= Crocidolite
TREM
= Tremollte
ANTH
a Anthophyllite
ACTN
= Actinolite
CELL = Cellulose
DEBR = Debris
FBGL
m Fibrous Glass
BIND = Binder
ORGIN
a Organics
SILI = Silicate &
SYNT
= Synthetics
GRAV =Gravel
WDLL
= Wollastonite
MAST = Mastic
C5RWL = Ceramic Wool
PLAS = P(aster
N D '= None Detected NTREM = Non-Asbestiform PERL a Perlite
NANTH = Non-A.-Zestiform Tremolite
RUBR =Rubber
Anthophylllte
CLIENT: Scott Morrison & Associates
PROJECT: PLM0623#0835
CEI LAS CODE.*, A04-4827
Stereoscopic microscopy anq polarized light microscopy coupled wi*,h cispersion staining is the analytical technique used
for sample identification. The percentage of each component is visually estimated by volume. These results pertain orly
to the samples analyzed. The samples were analyzed as submitted by the client and may not be representativa of the.larger
,naterial in question. Unless notified in writing to return samples, Carolina Environmental, Inc, will discard all bulK samples
after 30 days.
Many vinyl floor tiles have been manufactured using greater than 1 % asbestos. Often the asbestos was milled to a fiber
aixe below the detection limit of polarised light microscopy. Therefore, a "Non 9 Detected" (ND) reading on vinyl floor the
goes not necessarily exclude the presence of asbestos. Transmission electron microscopy provides a more conclusive
'arm of analysis for vinyl floor tiles.
it is certified by the signature below that Carolina Environmental, Inc. Is accrooited by the Natlona; Voluntary Accreditation
Program (NVLAP) for the analysts of asbestos In buiR materials. The accredited test method is EPA 1600 / M4-82 / 020 for
the analysis of asbestos in bullding materials. Procedures described in EPA / 600 / R-93 / 1; 6 ,'have been Incorporated
Nhere applicable. The detection limit for the method is 0.1 % (trace amount). C arolina Environmental, Inc.'s NVLAP
accreditation number is #101768.0. This report is not to be wiad to claim product endorsement by NVLAP or any agency
:)f the U. S. Government, This report and Its contents are only valid when reproduced in full. Dust and soil analyses for
asbestos using PLM tare not covered urider NVLAP accreditation.
ANALYST
REVIEWED BY
Tlan4ao Sias, Ph.D.
Laboratory Director
r
a
End of Report
0
07/06/2004 22:28 7603237743
Jul -02-04 11:27em From -CAROLINA ENVIRONMENTAL +4611442
C
0
PAGE 08
T-452 P.05/05' F-161
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T-452 P.05/05' F-161
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P.O. Box 1504
78-495 CALLS TAMPICO (7 60) 777-7000
LA QUINTA,, CALIFORNIA 92253 FAX (760) 777-7101
July 19, 2004
Via Facsimile
626-794-3339
Attention: Adrienne
NOTICE TO PROCEED
Tresierras Construction
2235 N. Lake Ave., Suite 211
-Altadena, CA 91001
Project Name: Demolition of Two Existing Homes
46-200 and 46-250 Jefferson Street
Amount of Contract: $14,750.00 each/Total: $29,500.00
You are hereby notified to commence work on the above -referenced project
on or before July 19, 2004, work is to be completed within 21 consecutive
days thereafter.. Your completion date is therefore August 9, 2004.
Dated this 19'h day of July, 2004.
By: —7--&1s-'X
Tom Hartung,Building �fetyy tor
ACCEPTANCE OF NOTICE
Receipt of the foregoing Notice to Proceed is hereby acknowledged and
returned to the City of La Quinta by the undersigned.
This day of July, 2004
By:
Title:
07/09/2004 15:13 5267943339 TRESIERRAS INC PAGE 02
Tirdsierras Construction, Inc.
General Contractors
2235 North Lake Avenue, Suite 107 Altadena, CA 91001
Tel: (626) 7943333 - Nx: (626) 7943339 - Stzite t.icense 725996
July 9, 2004
Tom H�tung
City Of La Quints Redevelopment
P.O. Box 1504
La QuiMd, Calif. 92253.
Proposal
Project Name:
C 46-200 Jefferson Blvd
La Quints, Calif.
Demolition & Disposal
Dear Mr. Hatung.
Per your rawest, Tresierras Construction is pleased to submit for your review
A lump sum bid price for the following scope of work:
SCOPE OF WORK:
I. Demolition and Disposal of listed unit residences # 46.200 Jefferson Blvd.
2. Demolition and Disposal of Swimming pool # 46-':00 Jefferson Blvd. .
3. Removal of footings and slabs Back fence line to Remain.
4. Sewer Line cap off, Trees and Palms to remain, Bi.ta Fill of Pool area, Permits
and fees included, Rough grade finish of lot.
PRICE SCHEDULE: .................................................
. $ 14,750.00
Fourteen - Thousand„ Seven - Hundred, Fifty ------ --- -----..--_.-__________------ Dollars
Should you have any Question regarding this proposal please do not hesitate t to call me
at Cell # 626.625-3044, Office # 626-794-3333.
Respec"y Submitted,
sierras on
c Trod Accept d:.�
;President Thomas P. Genovese
City Manager
-7- /.2-oy
I
i
.P.O.-Box 1504
78-495 CALLE TAMPICO (760) 777-7000
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101
July 9, 2004
SOUTH COAST AIR QUALITY MANAGEMENT DIVISION
21865 East Copley Drive
Diamond Bar, CA 91765-4185
ATTN: Mr. Mohan Nagavedu
BUILDING DEMOLITIONS —` ASBESTOS ABATEMENT
Project Address: -46-200 & 46-250 Jefferson Street, La Quinta, CA
We. are requesting that SCAQMD waive the usual 14 -day notification waiting
period for the project listed above.
The subject building must be abated to make room for a road expansion.
There is also concern for the unsafe condition of this building and the
potential for unlawful trespassing and illegal activities on these sites.
Please feel free to contact me at (760.) 777-7019, if you have any questions '
or concerns.
Thank you for your attention to this matter.
r
Sincerely,
TOM HARTUNG
BUILDING & SAFETY DIRECTOR
}
GREG BUTLER
Building & Safety Manager
_ .CE.
SCOTT MORRISON & ASSOCIATES
P.O. Box 55329 31855 Date Palm Drive, Ste. #3-507
Riverside, CA 92517 Cathedral City, CA 92234
(909)624-1665 (760)323-7743
ASBESTOS SURVEY REPORT
Completed On
July 07th, 2004
PLM0623#0835
Client: Tom Hartung's Office
City of La Quinta Redevelopment
P.O. Box 1504
La Quinta, CA 92253 .
Project: 46-200 Jefferson Avenue .
La Quinta, CA
(single family home with attached garage)
On June 23rd, 2004 an asbestos inspection and bulk sampling was conducted at the above project
address. Bulk samples were taken of all suspect asbestos containing building materials (ACBM) at the
request of the client named above. A total of (8) bulk samples were submitted to Carolina
Environmental, Inc. located at: 107 New Edition Court in Cary, NC (NVLAP Code 101768-0'and Cal.
Environ. Lab. Cert. #2483) to estimate the percentage of asbestos by volume and determine the type(s)
present .
Carolina Environmental, Inc. determines percentages and type of asbestos by using EPA approved
method 600/M4-82-020: Interim Method for the Determination of Asbestos in Bulk Samples. Bulk
samples are analyzed by PLM (Polarized Light Microscopy). Asbestos is quantified by using the' -visual
arena estimation technique and can only determine the approximate percentage of asbestos present.
After 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 likely to be less than 1.0% of the sample.
When findings reveal less than or close to 1.0% asbestos contained in a sample, further analysis may be
called for on additional samples to confirm or denounce the initial findings. The California Code of
Regulations (CCR 1529) requires bulk sampling be conducted according to the A.H.E.R.A. protocol
provisions of 40 CFR Part 763.86. The A.H.E.R.A. protocol recommends three (3) or more friable
surfacing samples from a homogeneous area be collected and analyzed before any building material is
determined Jo .be non -asbestos containing. Scott Morrison & Associates conducts asbestos inspection
surveys following the A.H.E.R.A. inspection protocol.
ASBESTOS INSPECTION BY: Timothy Morrison, DOSH #02-3142
BULK SAMPLES ANALYZED BY: Carolina Environmental, Inc., NVLAP #101768-0
(1)
C
SCOTT MORMON & ASSOCIATES
P.O. Box 55329 31855 Date Palm Drive, Ste. #3-507
Riverside, CA 92517 Cathedral City, CA 92234
(909)624-1665 (760)323-7743
The results on the `following page(s) indicate that, asbestos was detected in 00 of the 08 samples
analyzed.
PLM0623#0835
Sample #CQ -01 Type of material: smooth coat- white (1 rst layer)
Location: interior north wall of northwest bedroom
Area: throughout interior walls
Friable:no Results: none detected
Sample #CQ -02 Type of material: drywall- white (2nd layer)
Location: behind sample #CQ -01
Area: throughout interior walls
Friable:no Results: none detected
Sample #CQ -03 Type of material: ceiling drywall
Location: interior ceiling of north -central bathroom
Area: throughout interior ceilings
Friable:no Results: none detected
Sample #CQ -04
Type of material: sprayed on fireproofing- white
Location: exterior north and south water heater closets
Area: approx. 120 total sq. ft.
-Friable:yes
Results: none detected
Sample #CQ -05 _
Type of material: stucco- beige (1 rst layer)
Location: exterior east wall of home
Area: throughout exterior walls of home
Friable:no
Results: none detected
Sample #CQ -06
Type of material: plaster- gray (2nd layer)
Location: behind sample #CQ -05
Area: throughout exterior walls of home
Friable:no
11
Results: none detected
Sample #CQ -07
Type of material: stucco- beige
Location: exterior west wall of home
Area: throughout exterior walls of home
Friable:no
Results: none detected
Sample #CQ -08
Type of material: roof felt
Location: exterior roof under wood shingles
Area: approx. 1400 sq. ft. throughout exterior roof
Friable:no
Results: none detected
(2)
J
r ,
SCOTT MORRISON & ASSOCIATES
P.O. Box 55329 31855 Date Palm Drive, Ste. #3-507
Riverside, CA 92517 Cathedral City, CA 92234
(909)624-1665 (760)323-7743
PLM0623#0835
Note: All asbestos containing building material(s)`containing greater than 1.0% asbestos by volume or
weight, must be removed by a state certified asbestos abatement contractor prior to any demolition or
renovation of the property.
Inspector
Scott C. Morris6n
Certified Asbestos Consultant
DOSH#92-0248 •
}
l
l
�3)
jul-02-04 11:2Tam From -CAROLINA ENVIRONMENTAL
CAROLINA Ewilzowr_Nrx, INC.
107 NeWEMw Court, Cary, NC 27511
(8't9) 481.1413 Fare (819) 481-1442
Client: Scott Morrison & Associates
31855 Date Palm Dr. Suite 3-507
Cathedral City, CA 92234
Project: PLM0623#083:')
+4811442 7-452 P.02/05 F-161
LABORATORY REPORT.
ASBESTOS BULK ANALYSIS
CEI Lab Code:
A04-4827
Received:
07-01-04
Analyzed:
07-02-04
Reported:
07-02-04
Analyst,
Gary A. Swanson
CLIENT ID LAI; ID HOMOGENEITY DESCRIPTION ASBESTOS
CQ -01 A275984 SivtOOTH COAT ND
Homogeneous, White, Non-fibrous; Bound
BIND 100%
CQ -02 A275985 DRYWALL
Homogeneous, White, Brown, Fibrous, Bound
BIND 80% CELL 20%
CQ -03 A275986 CEILING DRYWALL
Heterogeneous, Brown, White, Fibrous, Bound .
BIND 85% CELL 15
CQ -04 A275987 FIREPROOFING
Homogeneous, White, Fibrous, Bound
BIND 98% CELL 20/6
CQ -05 A275988 STUCCO
Homogeneous, Beige, Non-fibrous, Bound
BIND ? 100% `
CQ -06 -A275989 PLASTER
Homogeneous, Grey, Non-fibrous, Bound
BIND 100%
ND
ND
ND
ND
ND
Page 1
..Jul -02-04 : 27am From -CAROLINA ENVIRONMENTAL +4811442
1-452 P.03/05 F-161
CAROUNAENVIRONMENTAL, INC.
Project: PLM0623#0835
147 New Edition Court Cary, NC 27511
Phone: 919.481-1413 Fax: 910.481-1442
Lab Code: A04-4827
CLIENT ID
�p
HOMOGENEITY DESCRIPTION.
LACE
ASBESTOS
CQ -07 A275990
STUCCO
ND
Homogeneous,
Beige; Non-fibrous, Bound
BIND 104
ROOFING FELT
CQ -08 A275991
ND
Homogeneous,
Black, Fibrous, Bound
TAR 20% CELL
80%
Page 2
Jul -02-04 11:27am From -CAROLINA ENVIRONMENTAL +4811442 . 7-452 P.04/05 F-161
The following definitions apply to the abbreviations used in the ASBESTOS BULK
ANALYSIS
REPORT:
CHRY
= Chrysotile
CELL = Cellulose
DEBR = Debris
AMOS
= Amosite
FBGL = Fibrous Glass
BIND = Binder
CROC
= Crocidolite
ORGN = Organics
S1LI = Silicates .
TREM
= Tremolite
SYNT = Synthetics
GRAY = Gravel
ANTH
= Anthophyllite
WOLL = Wollastonite
MAST = Mastic
ACTIN
= Actinolite
CERWL = Ceramic Wool "
PLAS = Plaster
N D
= None Detected
NTREM = Nan-Asbestiform
PERL = Perlite
NANTH
= Non-A:>bestiform
Tremolite
RUBR =Rubber
Anthophyllite
CLIENT:
Scott Morrison & Associates
PROJECT: PLM0623#0835
CEI LAB CODE: A04-4827
Stereoscopic microscopy and polarized light microscopy coupled with dispersion staining is the analytical technique used
For sample identification. The percentage of each component is visually estimated by volume. These results pertain only
to,the samples analyzed. The samples were analyzed as submitted by the client and may not be representative of the larger
material in question. Unless notified in writing to return samples, Carolina Environmental; Inc. will discard all bulk samples
after 30 days.
Many vinyl floor tiles have been manufactured using greater than 1 % asbestos. Often the asbestos was milled to a fiber
Size below the detection limit of polarized light microscopy. The•efore, a "None Detected" (ND) reading on vinyl floor tile
does not necessarily exclude the presence of asbestos. Transmission electron microscopy provides a more conclusive
Form of analysis for vinyl floor tiles.
It is certified by the signature below that Carolina Environmental, Inc. is accredited by the National Voluntary Accreditation
Program (NVLAP) for the analysis of asbestos in bulk materials. The accredited test method is EPA 1600 / M4-82 / 020 for
the analysis of asbestos in building materials. Procedures described in EPA / 600 / R-93 1116 have been incorporated
where applicable. The detection limit for the method is 0.1% (trace amount). Carolina Environmental, Inc.'s NVLAP
accreditation number is #101768-0. This report is not to be used to claim product endorsement by NVLAP or any agency
)f the U. S. Government. This report and its contents are only valid when reproduced in full. Dust and soil analyses for
asbestos using PLM are not covered under NVLAP accreditation.
ANALYST
REVIEWED BY aaa/6
Tionboo Bat, Ph.D.
Laboratory Director End of Report
CHAIN OF CUSTODY6l
From: Scott Morrison & Associates To: Carolina Environmental, Inc.
_ . P.O. Boat 55329 107 New Edition Court
7 Riverside, CA 92517 Cary, NC 27511
(760)323-7743 (919)481-1413
NVLAP Code 10176" CA FLAP #02483
CL_ t7ient:� o^' v,s, �� v�lta �-y T Person Taking Sampler1Vt-- 714
�- Job No. PLiM.063 035 Site Address: 0-2po
Sample #
Sample Date
Material & Description
PLM -Pb
Other Information
- 0
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03
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Fax in Results ? es No
Relinquished By: DatwTimae: N 26- 6,'oa Received By: V6ILj4
Mail/Fax To: Scott Morrison & Asociates, 31855 Bate Palma Dr., Ste. #3-507, Cathedral City, CA 92234, (760) 323-7743
"PROPOSAL"
EMERYLANDCLEARINGAND GRADING, INC.
P.O. BOX 1009
THERMAL, CA 92274-1009
760/391-5840 FAX: 760/391-5839
LIC. #600283
JUNE 24, 2004
CITY OF LA QUINTA
78495 CALLE TAMPICO
LA QUINTA, CA 92253
ATTN: MR. TOM HARTUNG
760!777-7013
'`FAX:.. - 760!777-701.1
SUBJ: DEMOLISH REMOVAL OF HOUSE
46-200 JEFFERSON STREET
LA QUINTA, CA
EMERY LANDCLEARING AND GRADING, INC., PROPOSES TO DEMOLISH REMOVE AND DISPOSE OF
ONE HOUSE AND DEBRIS, WORK TO BE PROVIDED AS SPECIFIED BELOW:
UPON ASBESTOS REMOVAL (BY OTHERS)
1. TO DEMOLISH REMOVE AND DISPOSE OF ONE HOUSE STRUCTURE.
2. TO REMOVE AND DISPOSE OF MISC. TRASH AND DEBRIS LEFT FROM PREVIOUS OWNER.
3. TO REMOVE AND DISPOSE OF CONCRETE FOUNDATION.
4. TO PUMP AND REMOVE SEPTIC SYSTEM IF APPLICABLE TO CAP OFF SEWER
5. TO PUMP REMOVE AND DISPOSE OF POOL.
6. TREES TO BE LEFT INTACT.
7. SITE TO BE LEFT AT GRADE UPON COMPLETION.
8. FENCING ALONG GOLF COURSE TO BE LEFT INTACT.
NOTES: 1. OWNER TO SUPPLY WATER FOR PM -10 DUST CONTROL (EMERY TO
SUPPLY HOSE).
2. OWNER TO SUPPLY ANY ADDITIONAL REQUIREMENTS FROM CITY,
STATE OR COUNTY.
3. THIS IS A PREVAILING WAGE JOB.
4. IF ANY BEES, WASPS OR RODENTS LOCATED, OWNER TO HAVE
'PROFESSIONALLY REMOVED.- - -' _
5. IF ANY BASEMENTS OR BURIED DEBRIS LOCATED, ADDITIONAL COSTS
TO BE DETERMINED ON-SITE.
TOTAL PROPOSAL: $15,000.00 DOLLARS
A PAYMENT TO BE MADE AS INVOICED.
ACCEPTED BY:
, INC. CITY OF LA QUINTA
TITLE: VICE PRESIDENT TITLE:
DATED: JUNE 24, 2004 DATED:
BID GOOD FOR 30 DAYS.
SCOTT MORRISON & ASSOCIATES
P.O. Box 55329 31855 Date Palm Drive, Ste. #3-507
Riverside, CA 92517 Cathedral City, CA 92234
(909).624-1665 (760)323-7743
INVOICE
Client: Tom Hartung's Office
City of La Quinta Redevelopment
P.O. Box 1504
La Quinta, CA 92253
�i Project: 46-250. Jefferson Ave.
46-200 Jefferson Ave._
Inspection date: June 23, 2004
Date: July 08, 2004
Project/ P.O#
File name: PLM0623#1036
PLM0623#0835
asbestos inspection/ bulk sampling: 2 single-family homes @ $125.00 ea. = $250.00
18 total bulk samples for analysis (PLM) @ $20.00 each = $360.00
# hours of travel time @ $ each = included
Total amount due = $610.00
Please send payment to: 31855 Date Palm Drive, Ste. #3-507
Cathedral City, CA 92234
Terms: due upon receipt. APPROVED FOR PAYMENT
BY
BY
Thank you. . ACCOUNT NO.
DESCRIPT*N3�:I��.: �� f 1 a ca_ 6
AMT. TO PAY 4 `Z