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04-4536 (DSF)Tihf 44Q9hrw BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777=7153 BUILDING PERMIT Application Number 04--00604 36..Date 5/24/04 Property Address . . . . . . 46395 JEFFERSON ST APN: 1 649-071-018-27 -2190 - Application description . . . DEMO - COMML/OTHER Property Zoning . . . . . LOW DENSITY RESIDENTIAL Application valuation 0 Owner Contractor ------------------------ ------------------------ CITY OF. LA QUINTA EMERY LAND CLEARING & GRAD INC 78495 CALLE TAMPICO P.O. BOX 1009 LA QUINTA CA 92253 THERMAL CA 92274 (760) 391-5840 WCC: STATE FUND WC: 116532004 04/12/05 CSLB: 600283 11/30/05 CCC: C21 -- - - - - - - - - - - - - - - - - - - - - - - -- Structure Information -7----------------------- Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood Zone . . . . . . . .. NON -AO FLOOD ZONE ----------------------------------------------------------------------------- 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 COMPLETE DEMOLITION OF.EXISTING HOME AND 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 .. r D 5 2004. A QUINTA P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: - a`r- o 4i Architect or Engineer: Arcrlltect 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 rovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License i lin full r e and effect. �— License Class Lice se No. (�� L—Ci i Date Z � 1 or OWNER -BUILDER DE TION 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 Aprovements 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.). U I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION thereby 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 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 performance of the work for which this permit is igd• Ac compeation insura ce carrier ando iil�i p C,y/�umberare: finer - cy Number / b �j (X1,4 / _ I certify that, in the performance of the work for which this pe it is issued, I shall no employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I shoujd,Y become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. // i 2 - WARNING: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AD 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 ATTORNEY'S FEES. I herebyaffirm under CONSTRUCTION LENDING AGENCY 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 IMPORTANT APPLICANT ACKNOWLEDGEMENT 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, indemnity and hold harmless the City of La Qui officers, agents and employees for any act or omission related to the work being performed under or following issuance of this nts, its permitssuance of such permit or 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 dayt from date of i cessation of work for 180 days will subject permit to cancellation. i I certify that I have read this application and state that the above information is I agree to comply with all city and county ordinances and state laws relating to building construcltion, ind�h�ereby authorize representatives of this county to enter upon 'above -me tibned property for inspection purposes. /Date 7 41--`S`ignatue(Applicant or Agent): �a P.O.-Box 55329,.' Riverside, CA 92517 (909)624-1665 SCOTT,MORRISON & ASSOCIATES DOSH 92-0248 ASBESTOS SURVEY REPORT Completed On March 8th, 2004 PLM0226#4025c Client: c/o Tom Hartung's Office City of La Quinta Redevelopment P.O. Box 1504 La Quinta, CA 92253 Project: 46395 Jefferson Street La Quinta, CA (single family home) 31855 Date Palm Drive, Ste. #3-507 Cathedral City, CA 92234 (760)323-7743 On February 26th, 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 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) SCOTT MORRISON & ASSOCIATES P.O. Box 55329 31855 Date Palm Drive, Ste. #3-507 Riverside, CA 92517 Cathedral City, CA 92234 (909) 624-1665 DOSH 92-0248 (760) 323-7743 r The results on the following page(s) indicate that asbestos was detected in 00 of the 08 samples analyzed. PLM0226#4025c Sample #QN-19 Type of material: acoustic ceiling- white Location: interior ceiling of east entrance area Area: approx. 1300 total sq. ft. Friable:yes Results: none detected Sample #QN-20 Type of material: drywall only Location: interior west wall of livingroom Area: throughout interior walls of room Friable:no Results: none detected Sample #QN-21 Type of material: acoustic ceiling- white Location: interior ceiling of northwest master bedroom Area: approx. 1300 total sq. ft. Friable:yes Results: none detected Sample #QN-22 Type of material: stucco -tan (1rst layer) Location: exterior west wall Area: throughout exterior walls Friable:no Results: none detected Sample #QN-23 Type of material: plaster- grey (2nd layer) Location: behind sample #QN-22 Area: throughout exterior walls Friable:no Results:none detected Sample #QN-24 Type of material: penetration mastic- tan Location: exterior north wall around AC box Area: approx. 7 linear ft. Friable:no Results: none detected Sample #QN-25 Type of material: roof felt- black Location: exterior roof under wood shingles Area: approx. 1500 sq. ft. Friable:no Results: none detected Sample #QN-26 Type of material: acoustic ceiling- white Location: interior ceiling of central hallway Area: approx. 1300 total sq. ft. Friable:yes Results: none detected (2) SCOTT MORRISON & ASSOCIATES P.O. Box 55329 31855 Date Palm Drive, Ste. #3-507 Riverside, CA 92517 Cathedral City, CA 92234 (909) 624-1665 DOSH.92-0248 (760) 323-7743 n 0 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. klll#ffl� Inspector Scott C. Morrison Certified Asbestos Consultant DOSH#92-0248 r Mar -04-04 i0:31am From -CAROLINA ENVIRONMENTAL CAROUNA ENVIRONMENTA4 INC 107 NvwEfton Court, Cary, NC 27511 Phono: (919) 481-1413 Fax, (919)481-1442 Client: Scott MorHson & Associates 31855 Date Palm Dr. Suite 3-507 Cathedral City, CA 92234. Project: PLM0226#4025C +4811442 7-411 P. 02/05 F-538 LABORATORY REPORT ASBESTOS BULK ANALYSIS CEI Lab Code: A04.1471 Received: 03.03-04 Analyzed: 03-04-04 Reported: 03-04-04 Analyst: Gary A. Swanson CLIENT IG CEI HOMOGENEITY DESCRIPTION % LABID ASBESTOS QN-19 A234290, ACOUSTIC CEILING Homogeneous, White, Non-fibrous, Bound BIND 100% ND QN-20 A234291 DRYWALL ND Heterogeneous, White, Brown, Fibrous, Bound BIND, 90% CELL 10% QN-21 A234292 ACOUSTIC CEILING ND Homogeneous, White, Non-fibrous, Bound BIND 100% QN-22 A234293 STUCCO ND Homogeneous, Tan, Non-fibrous, Bound BIND 100% QN-23 A234294 PLASTER Homogeneous, 'Grey, Non-fibrous, Bound BIND 100% QN-24 A234295 PENETRATION MASTIC Homogeneous, Tan, Fibrous, Bound MICA 20% CELL 2% BIND 78% ND ND Page 1 Mar -04-04 10:31am From -CAROLINA ENVIRONMENTAL +4811442 T-411 'P.03/05 F-536 CAROUNAENVIRONMENTAL, INC Project: PLM0226#4025C 107 Now Edison Court; Cary, NC Z7511 R", 919481.1413 Fac:919-481.1442 Lab Code: A04.1471 CLIENT - 10 CEI LAB ID HOMOGENEITY DESCRIPTION % ASBESTOS ON -25 A234296 ROOF FELT ND Homogeneous, Black, Fibrous, Bound. TAR, 25% CELL. 75% QN-26 A234297 ACOUSTIC CEILING ND Homogeneous, White, Non-fibrous, Bound BIND" 100% t t Page 2 Mar -04-04 10:32am From -CAROLINA ENVIRONMENTAL +4811442 T-411 P.04/05 F-536 The following definitions apply to the abbreviations used in the ASBESTOS BULK ANALYSIS REPORT: CHRY = Chrysotile CELL = Cellulose DEER = Debris AMO, = Amosite FBGL = Fibrous Glass BIND = Binder CROC = Crocidolite ORGN = Organics SILI = Silicates TREM = Tremolite SYNT = Synthetics GRAV = Gravel ANTH = Anthophyllite WOLL = Wollastonite MAST = Mastic ACTN = Actinolite CERWL = Ceramic Wool PLAS = Plaster N D = None Detected NTREM = Non-Asbestiform PERIL = Perlite NANTH = Non-Asbestiform Tremolite Anthophyllite RUBR =Rubber CLIENT: Scott Morrison & Associates PROJECT: PLM0226#4025C CEI LAB CODE: A04-1471 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. Therefore, a "None Detected" (ND) reading on vinyl floor the 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 3rogram (NVLAP) for the analysis of asbestos in bulk materials. The accredited test method is EPA / 600 / M4-821020 for ;he analysis of asbestos in building materials. Procedures described in EPA / 600 / R-93 / 116 have been incorporated ,vhere 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 if 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. i ANALYST w REVIEWED BY Tianhn- PkRi, Ph.D. Laboratory Director' End of Report 0 LL From: Scott Morrison & Associates P.O. Box 55329 Riverside, CA 92517 (760) 323-7743 cxaEN o cus�o�y A-0 V - / Y7/d) A,,9- 3 �,? 9U -4?) K-2 9 7 To: Carolina Environmental, [ne 107 New Edition Court Cary, NC 27511 (919) 481-1413 N VLAP Code 101768-0AID CA ELAP �12Q83 Client: tT q<} �}�i►,a`Tfl Person Talking Samples_��ST}L!o2t2t5�/U #�2 y.Z Job Nv.CJ22G0�-s( Site Address= — q t i 7q, Sample # Sample Date Material & Description PL_g/ AA -Ph I Other Information Ct� LL 'Z� �� AC ►�--1I � t ten: t1 N &Cptxsr 1(I cE1 I . E R CJ C� I-- -I Z-- I - -7 Fax in Results ? V, es No Relinquished 8y: Date/Time: D' z o . -tet 3 Us 01.7-3�/�y R D. 5a Received By: per_ Date/TimeQ ` Mail/Fax 'fo: Scott Morrison & Asociates, 31855 Date Palm Dr., Ste. #3=507, Cathedral City, CA 92234, (760) 323-7743 SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT . NOTIFICATION OF DEMOLITION OR ASBESTOS REMOVAL ' MAIL FORM AND FEE TO SCAQMD, ASBESTOS NOTIFICATIONS FILE # 55641 LOS ANGELES CA 90074-5641 g�T j. f''-'�•.;ix'.'°'4. i's..: .•'��+. r.v�t .r i..., 4....a`F v- - r . s to �:AQMD USE ONLY , SCREEN BY< + , RECENED�rfi �- : : POSTMARK £ r ' h�ENTERED BY' o NOTIFICATION # >.•,r.. %'a3a:x... ."3.n .i'�1.4. COMPLETED BY COMPANY EMERY•LAND_CLEARING PHONE 760/391840 ADGRADING,INC--- EMERY V.P. ----.. -- LOW N DATE 5/26/04 .. CHECK # FEE $118.41 PROJECT #' NOTIFICATION TYPE ORIGINAL REVISION DATES REVISION OTHER (highlight) CANCELLATION PROJECT TYPE DEMOLITION , ORDERED DEMOLITION RENOVATION (removalI EMERGENCY REMOVAL PLANNED RENO (annual) SITE INFORMATION SITE NAME CITY OF LA QUINTA ROAD EXPANSION PROJECT SITE ADDRESS 46-395 JEFFERSON STREET CROSS STREET WESTWARD HO CITY LA QUINTA STATE CA. ZIP 92253 COUNTY RIVERSIDE DESCRIBE WORK AND LOCATION DEMOLISH AND REMOVE AND DISPOSE OF HOUSE FOR PROPOSED ROAD EXPANSION BUILDING SIZE (SQ Fr)1,973 NUMBER OF FLOORS 1 BUILDING AGE'(YEARS) 23 ' NUMBER OF DWELLING UNITS 1 COMMERCIAL HOSPITAL INDUSTRIAL Other OFFICE PUBLIC BLDG. -HOUSE SCHOOL SHIP UNIV/COLLEGE SITE OWNER CITY OF LA QUINTA ADDRESS 78-495 CALLE TAMPICO CITY LA QUINTA - STATE CA ZIP 92253 CONTACT MR TOM HARTUNG PHONE 760!177-7019 REQUIRED BUILDING INFORMATION ASBESTOS YES NO PRESENT? ASBESTOS YES NO SURVEY?*REMOVED? ASBESTOS YES NO REMOVED? BUILDING TO BE YES NO DEMOLISHED? PROJECT DATES START 6/1/04 END 6/22/04 WORK SHIFT (day. swing, night) ASBESTOS AMOUNT TO BE REMOVED (in square feet) FRIABLE CLASS I CLASS II TOTAL AMOUNT (add row) ASBESTOS REMOVAL FROM SURFACES 5 PIPES COMPONENTS AMOUNT OF EACH TYPE OF ASBESTOS (n square feet) ACOUSTIC CEILING I LINOLEUM INSULATION FIRE PROOFING DUCTING STUCCO MASTIC FLOOR TILES (VAT) DRYWALL -PLASTER' TRANSITE ROOFING OTHER () CONTRACTOR INFORMATION I CSLB LICENSE# 600283 _ OSHA REG# AQMD ID#,.100435 NAME EMERY LANDCLEARING AND GRADING, INC. ADDRESS P.O. BOX 1009 CITY THERMAL STATE CA ZIP 92274 SITE SUPVR JAMES C. EMERY PHONE 7601774 -9493 - WASTE TRANSPORTER #1 LANDFILL ADDRESS : ____jCIN ADDRESS. STATE ZIP CITY STATE �zl * Asbestos surveys are required prior to Demolition and Renovation 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. 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: 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: MR. TOM HARTUNG TITLE BUILDING AND SAFETY DIRECTOR DATE OF ORDER: 5/17/04 DATE ORDERED TO BEGIN: 6/1/04 FOR EMERGENCY ASBESTOS REMOVAL GIVE THE NAME AND PHONE NUMBER OF THE PERSON DECLARING/ALITHORIZING 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. STOP PROJECT HAVE CERTIFIED ASBESTOS REMOVAL CONTRACTOR REMOVE AND DISPOSE OF. TRAINING CERTIFICATION: I certify that an individual trained in the provisions oftegulation 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 waiiable for inspection during normal business hours. Company Name EMERY Print name of owner%operat ignature o In Tittle of owner/operator Date 5126/04 LANDCLEARING AND LORI EMERY GRADING, INC. VICE PRESIDENT rR I,- /' d I have a attachments. INFORMATION CERTIFICATION: I certify that the above informationJignatu Company Name EMERY Print name of owner/operator for Tittle of ownerloperator Date 5/26104 LANDCLEARING AND LORI EMERY VICE PRESIDENT GRADING, INC. Notifications can not be accepted without the required fee (AQMD Rule 301T Asbestos removals of a 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 are as follows: DEMOLITION OR ASBESTOS REMOVAL PROCEDURE 4 OR 5 PLAN $ 331.21 FROM 100 TO 1,000 SQUARE FEET $ 29.52 SPECIAL HANDLING FEE $ 28.17 FROM 1,001 TO 5,000 SQUARE FEET $ 90.24 REVISION OF NOTIFICATION $11.94 FROM 5,001 TO 10,000 SQUARE FEET $211.22 RETURNED CHECK CHARGE $ 29.28 MORE THAN 10,000 SQUARE FEET $331.21 CANCELLATION OF NOTIFICATION $ 0.0 DEMOLITION OF LESS THAN 100 SQ FT $ 29.52 ASBESTOS REMOVAL AT owner- $ 29.52 occupied, single -unit dwelling 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 Foran REV 20030627 FORMS, INSTRUCTIONS, AND THE RULE 1403 CAN BE OBTAINED FROM AQMD WEB SITE AT HTTP://WWW. AQMD. GOV C/`AAUR;� @—#-A .4 71Q= G fl^r4 , n hm rl;*—n A Q., !`A 047Rr A4Q7 ionoi ioQ )nnn 0 Any and all personal property left on the project premises located at 46-395 Jefferson Street, La Quinta, Ca 92263 (Project/Case: BCN Project), is to be considered abandoned as of 99-06-03. x,4A� / IaJ4�9� an ) Na Claimant(s) Signat Date x cat o epresentative Date Parc Relocation Consultants • Nov 98 �4. r• i r F 3 41-555 Cook Street, Suite 250 Palm Desert, California 92260 Tel: (760) 776-1238 Fax: (760) 776-1636 LETTER OF TRANSMITTAL TO: Tim Jonasson SUBJECT: Abandonment's — Waldo & Vasquez (Reynolds' Tenant) DATE: December 4, 2003 SENT VIA: [ ] MESSENGER [ ] MAIL [ ] FedEx [ x ] Hand Delivered [ ]Fax: Comments: SCOTT M[ORRISON & ASSOCIATES P.O. Box 55329 31855 Date Palm Drive, Ste. #3-507 Riverside, CA 92517 Cathedral City, CA 92234 (909)624-T665 (760)323-7743 INVOICE Client: Tom Hartung's Office City of La Quinta Redevelopmemt P.O. Box 1504 La Quinta, CA 92253 Project: 46115, 462-80, 46.305; 46395; and 4.6450 Jefferson St. La Quinta, CA (5: single-family homes) Inspection date: February 26, 200 Date: March 16, 2004 Project/ P.O# File name: PLM0226#4025a-e asbestos inspection/ bulk sampling: 5 single-family homes @ $125.00 ea. _ $625.00 40 total bulk samples for analysis (PLM) @ $20.00 each _ $800.00 ours of travel time @ $ each - included Total amount due =.$1,425.00 Please send payment to: 31855 Date Palm .Drive, Ste. #3-507 Cathedral City, CA.92234 - Terms: Net 15 days APP R VE -FOR PAYMENT Thank you. BY _ . gY O � w �• `q -�J ACCOUNT N DESCRIPTION S reloG AMT. TO PAY V#