MUP 2000-256 Guest HouseP.O. Box 1504
78-495 CnLLE TAMPICo (760) 777-7000
LA QUINTA, CALIFORNIA 92253. (TDD) (760) 777-1227
December 7, 2000
Mr. Brad Nussbaum
45-701* Monroe'W' t.
Indio,' California 92201 f
SUBJECT: MINOR, USE PERMITS 2000-256
Dear Mr., Nussbaum:
Enclosed is a Covenant restricting use of the proposed guest house for Lot 17 of Tract 14104 (80-940
Vista Galope). The paperwork must be signed and notarized prior to recordation with the County '
of Riverside. Please return a copy of the Covenant once it has been recorded.. When a copy is
received, a building- permit' can be issued for the new structure.
Should you have any questions, please contact me at (.760) 777-7067.
Sincerely;
-JERRY H
4Associpi
Y EVELOPMENT DIRECTOR
SDELLer
GT
Enclosure '
c:uilding and Safety Director.
Community Development Director
c
r . ,
MUP256 -46,�(�.
RECORDING REQUESTED BY:
City -of -La Quinta
Community Development Department
La.Quints,`CA 92253 .
WHEN RECORDED PLEASE MAIL TO:
'
City of La Quints
Community Development Department
c/oGreg Trousdell
P.O. Box 1504
La Quinta, CA 92253
COVENANT AND AGREEMENT RESTRICTING THE USE OF THE RESIDENCE AT'
80-940 VISTA-GALOPE, LA QUINTA,. CALIFORNIA
This Covenant and Agreement is made and "executed on "this the 7`h day of December, 2000,
by Vernon Bradley Nussbaum, for property described herein. The City of La Quinta, aMunicipal
Corporation, is hereby made a party to this Agreement for the purposes set forth below.
The undersigned hereby certifies that he is the property owner of the following described real
property in the City of La Quinta, County of Riverside, State of California:
Lot 17 of Tract No. 14104 in the City of La Quinta, County of Riverside
In consideration of the City, of La Quinta issuing a building permit for certain improvements
which will be constructed on said property, the undersigned does hereby covenant and agree to and
wiff said City to. restrict the use of said property as follows: '
L The guest house may not be rented not sold independent of the main single family
residence (Minor Use Permit No. 2000-256);
2.- No kitchen or cooking facilities shall be constructed in the guest house .per the
provisions of Chapters -9.30.020 (RVL Zone District) and 9.60.100 (Guest Houses)
of the La Quinta Municipal Code; and,
3- All on-site facilities are�intended for the sole occupancy of the property owner(s),
nonpaying guests, and domestic employees.
This Covenant and Agreement shall run with the land and shall be binding upoii.future
owners, their successors, heirs, or assigns, .and ourselves, and shall continue in effect while said .
accessory building' remains on the real property or unless otherwise released by the authority of the
City of La Quinta.- All leases of said dwelling and/or property shall be subject to this restriction.
Coven,Nussbaum -p
:. ti,
This Agreement shall be entitled to the remedy of injunctive relief in addition of any remedy in law
or equity.
_. This Covenant and Agreement and the provisions hereof are irrevocable and nonmodifiable
except by" the written consent of all parties to the agreement, including the City of La Quinta, a
•)municipal corporation. The City shall have the right to. enforce each and every provision hereof and
the parties agree that the agreement shall not be rescinded, revoked, modified, or otherwise amended
or changed, without the expressed written consent of the City first being obtained.
In the event that the. owners, their heirs, assigns or successors in interest, shall fail to perform
any obligation hereunder, they hereby agree to pay all costs and expenses incurred by the City of La •
Quinta in securing performance, of such obligation, including attorney's fees.
Dated:
By: '
Vernon Bradley Nussbaum, Trustee
Notary
Christine di Iorio,.PlanAing Mdnager
City of La Quinta
Coven Nussbaum -p
t
sti �cf /o�z
t .
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'r
1.2%
r
•
T. 3%1.8%
r
t
/d3 2
2,1%
2.8%
2.9 %
2 9.5
3.8%
1.2%
T. 3%1.8%
/d3 2
2,1%
2.8%
2.9 %
2 9.5
3.8%
6.3%
G y/. o "
8.2%
7.0 %
10.8%
11,4%
10,.4%
8.51
1.1%
i.0%.
0.9%
-' f I . �i/ -j l to �• • ; 4 i • ' t %a • 4•G -
k•..' . r .",j TITLE-24♦REPORT
•
Title 24JReport for .
_-„ 1
r J� •' NussbaumCGue H_o_yse
`Vista 'Galope ., a
La QUinta,-CA,.
.. - ♦ - a• -i �.� a + .r, it ;♦',:-: �? � r ; -.* ,w - .. .
. ��•• { , � t - :Project:Designer }. =r : °-,� ,
- H
-14
,w Report Prepared By. 1 .
.• Joan..D-Hacker, �.
•}.. ` �„ L y.' �•+'r ., ♦ "lam {f � 1-• _ ,
A,, G "Insu=form:lnc#.,
68255'C, brta,Road k
Cathedral City, CA 92
Fri ' , ' ` � � 760 e 324=021$
° T
r ,( ) Y CITY OF LA QUINjTAT,
BUILDING'&'SAFETY`DEP.
'F ^ � 4,J,.$,1 `f.., •r-* �• i _ _ ".. •_ 'may,
fi x APPROVED
FOR CONSTRUCTION
Al
a -Job Number... r D4 Ew I BY
1 a t
Date:' .,` -v
V.
.10/24/00~ x l F 'y ,. ,
8001 M
' y ♦ ` t h s.l. ,, - y Sao• � sw( H h' - �' t � t .
The EnergyPro computer program has been used to perform the calculations summarized in this compliance reportThis program has approval and is, -
authorized by the California Energy Commission for use with both the Residential and Non residential 1998 Building Energy Efficiency Standards.
This program developed by Gabel Dodd/EnergySoft;�LLC `(415)'883-5900.
EnergyPro 2.1 By EnergySofT Job Number: t �, ;y : `° ' User Number: 2655
3
EnergyPro 2.1,, By EnergySoft• Job Number: User Number: 2655
Certificate of Compliance: Residential "
(Part 1 of 2) CF -1 R
Labeled Fenestration
Const.
w
c. Nussbaum Guest House
Component
10/24/00 ,
} Project Title
Location/Comments
Date
Vista Galope La Quinta
Type
• ' ,
Project Address
(Southwest)
- 'Building Permit #-
Insu-form Inc.:
(760) 324-0216 Plan Check / Date
Documentation Author
Telephone
±
Computer Performance
- 15
Field Check /, ,
Compliance Method (Package or Computer)
Climate Zone Enforcement Agency Use Only
GENERAL INFORMATION -
- -0.066
':Exterior Wall '
+ Total Conditioned Floor Area:
812 ft2
None
Total Conditioned Slab Area:
812 ft2_
R-38 Roof (R.38.2x14.16) '
Building Type: ,
0.028
Exterior Roof
4 (check one or more) t r
❑ x❑
r
X❑ Single Family Detached (SFD)
4 ❑`Addition Alone
0.87 0.70
❑ Single Family Attached (SFA),
❑ Existing Building
,
❑ 'Multi -Family
❑ Existing Plus Addition
'
' Front Orientation: (SOUthWest) 225 deiFloor Construction Type:
Slab Floor
" Number of Dwelling Units:
1.00
'
Number of Stories:,
1
❑ Raised floor
{
BUILDING SHELL INSULATION
'
'
Orientation Area
Labeled Fenestration
Const.
w
Overhang Side Fins
Component
Frame
Assembly
Location/Comments
blind,
Type
Type
U -Value
(attic, -garage; typical, etc.) .
(Southwest)
Slab On Grade
n/a
0:756
Covered Slab w/R-0.0 Perimeter Insulation
•
Slab On Grade
n/a'.
0.756
Exposed Slab w/R-0.0 Perimeter Insulation
41.0
R-19 Wall (W.19.2x6.16)
Wood
- -0.066
':Exterior Wall '
❑
Solid Wood Door.
None
'0.387 ;.'Exterior Door
20.0
R-38 Roof (R.38.2x14.16) '
Wood
0.028
Exterior Roof
❑
❑ x❑
Rear
(Northeast)
41.0
0.87 0.70
Blind
Bug Screen
x❑
❑
1:1 0.
FENESTRATION
Sh;kdinn ha'vicas
Type
Orientation Area
Labeled Fenestration
Interior
Exterior
Overhang Side Fins
SF
U -Value SHGC ..,.(roller
blind,
etc. shadescreen, etc.
Yes / No
-Yes / No
Front
(Southwest)
'80.0
0.87. 0.70
Blind
Bug Screen
x❑
❑
❑ X❑
Front
(West)
41.0
0.87 0.70
Blind
7 Bug Screen j
]
❑
❑ x❑
Left
(North)
20.0
0.87 0.70
Blind
Bug Screen
x❑
❑
❑ x❑
Rear
(Northeast)
41.0
0.87 0.70
Blind
Bug Screen
x❑
❑
1:1 0.
❑❑❑❑
❑❑
❑❑
❑❑
0 E
El
El F-1
-
1:1
El
El El
1:1
1:1
❑❑
❑
❑
❑ ❑
Run Initiation Time: 10/24100 10:47:13
Run Code: 972380833
Ener
Pro 2.1 By Ener
Soft
User Number: 2655
Job Number:
Pa e:3 of 10
Certificate of Compliance: Residential (Part 2 of 2)" CF -1 R
Nussbaum Guest House 10/24/00
Project Title Date
HVAC SYSTEMS Note: Input Hydronic or Combined Hydronic data under Water Heating Systems, except Design Heating Load.
Distribution
Heating Equipment Minimum Type and Duct or
Type (furnace, heat Efficiency Location Piping Thermostat Location /
pump, etc.) (AFUE/HSPF)(ducts, attic, etc.) R -Value Type ' Comments
Central Furnace 80% AFUE Ducts in Attic 4-2 Setback Guest House
Cooling Equipment Minimum Duct j
Type (air conditioner, Efficiency Location Duct Thermostat Location /
heat pump, evap. cooling) (SEER), (attic, etc.) R -Value Type . Comments
Split Air Conditioner.
WATER HEATING SYSTEMS -
Rated
Tank'
Energy Fact, 1
External
Water Heater Water Heater Distribution
# in Input
Cap.
or Recovery Standby
Tank Insul.
System Name Type Type
Syst. Btu/hr
(gal)
Efficiency• Loss (%)
R -Value
A -O -SMITH FPS -40-224 Small Gas Standard
1 42,000
40
0.62 n/a
n/a
1 For small gas storage (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance and heat pump water heaters, list energy factor.
For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiencyand Standby Loss.
For instantaneous gas water heaters, list Rated Input and Recovery Efficiency.
REMARKS
LoUIVIF'LIANUt J I A I tlVltly
This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the
California Code of Regulations, and the administrative regulations to implement them. This'certificate has been signed by the individual with
overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any
shading feature that is varied is indicated in the Special Features/Remarks section.
Designer or Owner (per Business & Professions Code) Documentation Author
Name: !J Name: Joan D. Hacker
Title/Firm: Title/Firm: Insu-form Inc.
Address: — l ^ ci "Address: 68255 Corta Road
'Cop Cathedral City, CA 92234
Telephone: a Telephone: (760) 324-0216
Lic. #: ' %—\
(signature) (date)
Enforcement Agency
Name:
Title/Firm:
Address:
Telephone:
IZN
r<Q
(signs)tire ( ate)
1EnergyPro 2.1 By EnergySoft User Number: 2655 Job Number: PapeA of 10 1
Mandatory -Measures Checklist: Residential MF -1 R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used.
Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of
Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties .
as binding minimum component specifications.
DESCRIPTION Instructions: Check or initial applicable boxes or enter N/A if not applicable.
DESIGNER
ENFORCEMEN
Building Envelope Measures
❑ '§ 150(.): Minimum R-19 ceiling insulation in wood frame assembly, or equivalent U -value.
❑ § 150(b): Loose fill insulation manufacturer's labeled R -value.
❑ '§150(c): Minimum R-13 wall insulation in framed walls or equivalent U -value (does not apply to exterior mass walls).
❑ '§ 150(d): Minimum R-13 raised floor insulation in wood framed floors.
❑ § 150(1): Slab edge insulation - water absorption rate < 0.3%, water vapor transmission rate < 2.0 permAnch.
§118: Insulation specified or installed meets quality standards. Indicate type and form. '
❑ §116-17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls
1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
2. Manufactured fenestration products labeled with certified U -value, SHGC, and infiltration certification.
3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed.
❑ §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§150(f): Special infiltration barrier installed to comply with Section 151 meets Commission quality standards.
❑ §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs.
1. Masonry and factory -built fireplaces have closable doors, outside air intake with damper and control, and flue
damper and control;
2. No continuous burning gas pilots allowed.
Space Conditioning, Water Heating and Plumbing System Measures
❑ §110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission.
❑ §150(h): Heating and/or cooling loads calculated in accordance with ASH RAE, SMACNA or ACCA.
§150(i): Setback thermostat on all applicable heating and/or cooling systems.
❑ §1500): Pipe and Tank Insulation
1. Storage gas water heaters with less than 0.58 energy factor shall be externally wrapped with R-12.
2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16
combined internal/external insulation, piping between heat source and tank insulated.
3. Insulation on the first 5' of pipes closest to water heater tank, non -recirculating systems (R4 or greater),.buried or exposed
piping in recirculating sections of hot water systems, cooling system piping below 55 deg F.
❑ '§150(m): Ducts and Fans
1. All ducts and plenums constructed, installed, insulated, fastened, and sealed to comply with the ICBO 1997 UMC sections
601 603; ducts insulated to a minimum installed R-4.2 or ducts enclosed entirely within conditioned spacer Openings shall be
sealed with mastic, tape aerosol sealant or other duct closure system that meets the applicable requirements of•UL181,
UL181 S, or UL181 B and other applicable specified test for longevity given in 150(m). 3
2. Exhaust fans systems have back draft or automatic dampers. `
3. Gravity ventilating systems servng conditioned space have either automatic or readily accessible, manually operated
dampers.
❑ §114: Pool and Spa Heating Systems and Equipment
1. Certified with 78% thermal efficiency, on-off switch, weatherproof instructions, no pilot or electric resistance heating.
2. System is installed with at least 36" of pipe between filter and heater, cover for outdoor pools or spas.
3. Pool system has directional inlets and a circulation pump time switch.
❑ §115: Central Furnaces, pool heaters, spa heaters or household cooking appliances have no constant pilot light.
Lighting Measures
§150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy 40 lumens/watt or greater for general
lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an
entrance to the kitchen.
❑ 150(k)2: Rooms with a shower or bathtub must either have at least one luminaire with lamps with an efficacy of 40 lumens/watt
or greater switched at the entrance to the room or one of the alternative to this requirement allowed in 150(k)2.; and recessed
ceiling are IC (insulation cover) approved.
�EnergyPro 2.1 By EnergySoft User Number: 2655 Job Number: Page:5 of 10
l
Computer Method Summary
(Part 1 of 3) C -2R
Niissbal.trn Guest House
Project Title
10/24/00
Date
Vista CalonP La Quinta
Project Address
Building Permit #
Insu-form Inc_
(760) 324-0216
Documentation Author
Telephone
Plan Check/Date
Computer Performance
Compliance Method (Package or Computer)
15
Climate Zone
Field Check/Date
Source Energy Use Standard
Proposed
Compliance
(kBtu/sf-yr) Design
Design
Margin
Space Heating 4.27
6.99
-2.71
Space Cooling 51.42
52.57
-1.16
Domestic Hot Water 25.00
20.44
4.56
Totals . 80.69
80.00
0.69
GENERAL INFORMATION
Conditioned Floor Area: 812 Floor Construction Type: XD Slab Floor
Building Type: Single Fam Detached r-1 Raised Floor
Building Front Orientation: (Southwest) 225 deg
Number of Dwelling Units: 1.00 Total Conditioned Volume: 8,125
Number of Stories: 1 Slab Floor Area: 812
BUILDING ZONE INFORMATION # of • .
Zone Name Floor Area Volume Units
OPAQUE SURFACES Act.
Type Area U -Val. Azm. Tilt
Wall 170 0.065 225 90
Door 20 0.387 925 gn
Wall 220 0.065 270 90
Wall 250 0 -OR -9; _0 90
Wall 220 o -06s 45 90
Roof 812 0.028 _225 -11
Solar
Gains
Zone Type
CnnrtitinnPri
Thermostat Vent
Type Hgt. Area
Sethack -2 n/a
Location / Comments
Guest House
rifest Hniise
r,uP.St Hniise
Guest Hnuse
west House
guest Hnuse
EnergyPro 2.1 By EnergySoft User Number: 2655 Job Number: Page:6 of 10 1
Computer Method Summary (Part 2 of 3) C -2R
Nussbaum Guest House
10/24/00
Project Title
Date
FENESTRATION SURFACES
U -Value
Act.
Glazing Type
Location/
# Type
Area
SHGC
Azm.
Tilt
Comments
-1- Window Front
(Soutbwest)
_80 0
-0 A70_
0.70
925_
_g0. Dpuhle_MtWIlcnated-Gp„fauit
G est-HDuse
2 Window Front
(West)
16.0
0.870
0.70
270
90 Double Mtl Uncoated Default
Guest House
3 Window Front
(West)
25.0
0.870
0.70
270
90, Double Mtl Uncoated Default
Guest House
4 Window Left
(North)
14.0
0.870
0.70
0
90 Double Mtl Uncoated Default
Guest House
5 Window Left
(North)
6.0
0.870
0.70
0
90 Double Mtl Uncoated Default
Guest House
6 Window Rear
(Northeast)
25.0
0.870
0.70
45
90 Double Mtl Uncoated Default
Guest House
Z Whdow Rear
(tyortheast)
Q
0.870
0.70
45
90 Double MM Uncoated Default
Guest House '
INTERIOR AND EXTERIOR SHADING
#
Window
Overhang
Left Fin Right Fin
Interior Shade Type
SHGC Exterior Shade Type
SHGC Hgt. Wd.
Len.
Hgt.
LExt.
RExt. Dist. Len. Hgt Disc Len Hgt
1
Blind
0.47 Bug
Screen
0.76 5.0 8.0
8.0
. 0.1
8.0
8.0
2
Blind
0.47 Bug
Screen
0.76 4.0 4.0
2.0
0.1
2.0
_
2.0
3
Blind
0.47 Bug
Screen
0.76 5.0 5.0
2.0
0.1
2.0
_ _
2.0
4
Blind
0:47 Bug
Screen
0.76 40 2.5
2.0
0.1
2.0
2.0
5
-C
Blind
0.47 Bug
Screen
0.76 2.0 2.0
2.0
0.1
2.0
_
2.0
Blind
0.47 Bug
Screen
0.76 5.0 5.0
2.0 01
�0
_
2.0-
7
Blind
0.47 Bug
Screen
0.76 4.0 4.0
2.0
0.1
2.0
2.0
Ruldnitiabon Time: 10/24/00
10*47:13 Run Code;
972380833
EnergyPro 2.1 By EnergySoft
User Number: 2655
Job Number:
Page:7 of 10
tEMARKS
Run Initiation Time: 10/24/00 10:47:13 ' Run Code: 972380833
EnergyPro 2.1 By EnergySoft User Number: 2655 Job Number: Page:6 of 10
Computer,Method Summary ('P8rt,3 of l . _ C -2R ,'
Nussbaum'Guest House
10%24/00 '
Project Title -
Date
THERMAL MASS FOR HIGH MASS DESIGN -
t '<
Area Thick. Heat Inside'
.,
Location
Type (sf) ° (in.) Cap.. Cond. Form 3 Reference, R -Val
Comments
PERIMETER LOSSES
F2 Insulation
Type Length Factor R -Val. Depth Location / Comments
Slab Perimeter 90 0_76 0.0 0 Guest House
Slab Perimeter 32 ; 0.76 0.0 — 0 Guest House'
HVAC SYSTEMS.
Heating Equipment Minimum - Distribution Type
° Type (furnace, heat Efficiencyy' and Location Duct_ Thermostat
Location /
pump, etc.) (AF.UE/HSPF)(ducts/attic, etc.) R -Value Type
Comments
Central Furnace-80%AFUE Ducts in Attic '4.2 Setback
Guest House
•
Hydronic Piping Pipe 'Pipe Insula
1
System Name Length Diameter Thick.
Cooling Equipment Minimum Duct
Type (air conditioner, Efficiency ' Location Duct Thermostat
Location /
heatpump, evap. cooling)' `. (SEER) (attic, etc) R -Value Type
Comments
Split Or Conditioner 10.5 SEER; Ducts in Attic 4.2 Setback
Guest House
WATER HEATING SYSTEMS - - Rated/ Tank
Energy Facts 1 Tank Insul.
Water -Heater Water Heater Distribution # in Input Cap.
or Recovery ' Standby R -Value
System Name Type Type Syst. (Btu/hr) (gal)
Efficiency Loss (%) Ext.
A.O. SMITH FPS -40-224 Small Gas Standard 1 42000 .4 40
0.62 n/a n/a
1 For small gas storage (rated input <= 75000 Btu/hr), electric resistance and heat pump water heaters, list energy factor.
For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss.
- For instantaneous gas water heaters, list Rated Input; and Recovery Efficiency. ~
tEMARKS
Run Initiation Time: 10/24/00 10:47:13 ' Run Code: 972380833
EnergyPro 2.1 By EnergySoft User Number: 2655 Job Number: Page:6 of 10
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
PROJECT NAME DATE
Nussbaum Guest House 10/24/00
SYSTEM NAME FLOOR AREA
Guest House 812
SYSTEM LOAD
26.0 of
Outside Air
0 cfm
69.3 of
Total Room Loads
Return Vented Lighting
Return Air Ducts
Return Fan
Ventilation
Supply Fan
Supply Air Ducts
TOTAL SYSTEM LOAD
COIL COOLING PEAK
COIL HTG. PEAK
CFMISensiblel
Latent
JCFMI
Sensible
1,149
18,819
1,937
493
22,615
0
941
1,131
0
0
o.
0
0
0
0
0
0
941
1,131
20 70 1 937 24 876
TEMPSTAR CA5542*KD* 26,446 12,219 71,000
Total Adjusted System Output26,446 12,219 71,000
(Adjusted for Peak Design Conditions)
TIME OF SYSTEM PEAK Aug 2 pm Jan 12 am
,earn Temperatures at Time of Heatina Peak)
69.3 of 69.3 of 113.4 of
er= . N
Supply Fan Heating Coil
1500 cfm
�% Return Air Ducts 4
Supply Air Ducts
112.7 of
ROOMS
70.0 of
I.
DOLING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Cooling Peak
111.0 / 77.4 of 78.6 ! 66.9 of 78.6 / 66.9 of 62.1 / 61.1 of
O Supply Air Ducts
Outside Air
0 cfm Supply Fan Cooling Coil 62.7 / 61.3 of
1500 cfm 55.7% R.H. ROOMS
78.6/66.9 of 78.0 / 66.7 of
Return Air Ducts I
EnergyPro 2.1 By EnergySoft User Number: 2655 Job Number: Paoe:9 of 10 1
e
ROOM LOAD SUMMARY
PROJECT NAME
DATE
Nussbaum Guest House
10/24/00
SYSTEM NAME
FLOOR AREA
- Guest House
812
ROOM LOAD SUMMARY
r ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK
ZONE NAME ROOM NAME' Mult. CFM SENSIBLE LATENT', CFM SENSIBLE LATENT CFM SENSIBLE
Guest House
Guest House 1 1,149. 18,819 .1,937 1,149 18,819 1,937 493. 22,615
' l
PAGE TOTAL 1 1,149 18,819 1,937 49322,615
TOTAL 1 .1,149 18,819 1,93711 493 22,615
EriergyPro 2.1 _ By EnergySoft User Number: 2655 Job Number: Page 10 of 10
C:� ..-.•� . _ice �+y ar- '`r.,,,a �.+ 4'•r�, ,+ t• , .'F � ,�` ''T,.- 'i
,: Structural .Calculations' _ Date: ,2000
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SC_ OTT MORRISON &'ASSOCIATES
P.O. Box 55329 31855 Date Palm Drive, Ste. #3-507
Riverside, CA 92517 r - '. ` ' Cathedral City, CA 92234
(909)624-1665 (760)323-7743
ASBESTOS SURVEY REPORT (Addendum)
Completed On:
.
.,June 01, 2004
PLM0510#1631add
Client: Tom Hartung's Office
City of La Quinta Redevelopment
P.O. Box 1504:
La Quints, CA 92253
Project: 80-020 Vista Grande
La Quints CA
(exterior wall stucco only) ;':
On May 24, 2004 an asbestos reinspection and bulk sampling was conducted at the above project
address. Bulk samples were taken of the exterior wall stucco only at the request of the client named
above. A total of (03) 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 determine the
precise percentage of asbestos by using the EPA approved 1,000 total point count method
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) using EPA procedure 600/R-93/116.
• - rte
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: Scott Morrison, DOSH #92-0248
BULK SAMPLES ANALYZED BY: Carolina Environmental, Inc., NVLAP #101768-0
•
(��
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
PLM0510#1631 add'
Sample #QT -115a Type of material: exterior wall stucco/ yellow
Location: exterior N. wall
Area:throughout exterior walls
Friable:no - Results: 0.40% Chrysotile asbestos (4 pts./1000)
Sample #QT -115b. Type of material: exterior wall stucco/ yellow
Location: exterior W. wall
- Area:throughout exterior walls
Friable:no Results: 0.30% Chrysotile asbestos (3 pts./1000)
Sample #QT -115c Type of material: exterior wall stucco/ yellow
Location: exterior E. wall
Area:throughout exterior walls
Friablemo Results: 0.50"/o Chrysotile asbestos (5 pts./1000)
Inspector
Scott C. Morrison
' Certified Asbestos Consultant
DOSH#92-0248
r
a Jun-01-04 03:48pm From-CAROLINA ENVIRONMENTAL +4811442 T-763 P.02/04 F-326
CnRowEdik vtRonwlErvrN INC. -
LABORATORY REPORT
,c1413 �H9)4
Ph0m:#E
Plhaie: (918) 481-1413 Fax: (g19) 48?-1642:
F
ASBESTOS BULK ANALYSIS
Client: Scott Morrison &Associates -
31855 Date Palm Dr. Suite 3-507 " '
CE l Lab Code: A04-3906
Cathedral City, CA 92234
Receives: 05-27-04
`
Analyzed: 06-01-04
Reported: 06-01-04
Project: PLM0510##1631add -
�` Analyst: Gary A. Swanson
CLIENT ID CEI HOMOGENEITY DESCRIPTION
LAB Ip
ASBESTOS
QT-115A A266295• STUCCO (POINT COUNT)
`, , CHRY 0.40%
Homogeneous, Yellow, Fibrous, Bound
.' ...
CHRY. 0.40% BIND 99.60 %
0.40% CHRY = (4 CHRY points
1000 TOTAL points) x 100
QT-1158 A266296 STUCCO PO NT COUNT
- CHRY 0.30%
Homogeneous, Yellow, Fibrous, Bound
CHRY 0.309/o. . BIND 99.70%
0.30% CHRY = (3 CHRY points /
1000 TOTAL points) x 100
QT-1150 A266297 _ . STUCCO POINT COUNT
CHRY 0.50%
Homogeneous, Yvllow,° Fibrous, Bound
'
i -CHRY 0.50% BIND 99.50%
0.50% CHRY = (5 CHRY points
1000 TOTAL points) x 100 .
. -
Page 1
Jun -01-04 03:48pm From -CAROLINA ENVIRONMENTAL +4811442 7-763 P.03/04 F-326
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 4-ORGN Organics +. SILI = Silicates
TREM = Tremolite SYNT = Synthetics GRAV = Gravel
ANTH = Anthophyllite, - WOLL Wollastonite MAST = Mastic
ACTN = Actinolite CERWL = Ceramic Wool r s , : PLAS = Plaster
N D ' = None Detected NTREM = Non-Asbestiform PERL = Perlite
NANTH = Non-Asbestiform_ Tremolite
Anthophyllite R.UBR =Rubber
CLIENT: , Scott Morrison & Associates
PROJECT: PLM0510#1631 add
CEI LAB CODE: A04-3906
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 sampies
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 file
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 / 600 / M4-82 / 020 for,
the analysis of asbestos in building materials. Procedures described in EPA / 600 / R-93 / 116 have been incorporated
where applicable. The detection limit for the method is 0.1 % (trace amount). Carolina Environmental, Ine.'s NVLAP
accreditation number is #101768-0. This report is not to be used to claim product endorsement by NVLAP or any agency
of 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.
ANALYSTREVIEWED By
JbbN + x
Tianbao Bai, Ph -D,
Laboratory Director.
End of Report
CHAIN OF CUSTODY
Fmn: Scott Morrison & Associates
To: CaroGaa Environmental, Inc.
P.O. Box 55329 187 New Edition Court A
Riverside, CA 92517
(760) 323-7743 Cary, NC 27511
(919) 481-1413
NVLAP Cod{ee 10176" CA ELAP #2483. 3
Client_ y Of- GtA Our1 A Person Taking Samples:
T
JobNo. �C b��S jQ 131 a �� SkeAddress: �O 2d +'S thwe o
r
Z
5astple # Sample Date Material & Description PLM A
/ AA -Pb Other Iaforrnstion
fE
OTC -1(�3 QX�t r1 b/ Will s /0 f! t) ;
�7`t1�C 011rtvr wall Attu. fAd0)
m
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Fax in Results ? yNo
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Of
Iiclinquished By: - Date/Time: 4SjyS���' Received 13y: `t!u. P DateJTime:
Maffix To: Scott Morrison & Asociates, 31855 Date Palos Dr., Ste. #3.5079. Cathedral City, CA 922349 (760) 323.7743
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
Ij
+ ASBESTOS SURVEY REPORT
Completed On
May 17th, 2004
PLM0510#1631
Client: Tom Hartung'sOffice`
City of La Quinta Redevelopment
P.O. Box 1504
La Quinta, CA 92253 y
Project: 80020 Vista Grande t
La Quinta, CA t
(3 bedroom single family home with attached garage)
On May 10th, 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 (16) 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, Inca 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
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 (greater than 1 %) was detected in 08 of the 16
samples analyzed. -
a
PLM0510#1631
Sample #QT-106
Type of material: acoustical ceiling- white
Location: interior ceiling of north-central diningroom
a Area: approx. 2100 total sq. ft. '
Friable:yes
Results: 10% Chrysotile asbestos
Sample #QT-107 '
Type of material: acoustical ceiling- white
° Location: interior ceiling of south-central livingroom
Area: approx. 2100 total sq. ft. .
w
Friable:yes
Results: 10% Chrysotile asbestos
Sample #QT-108
Type of material: acoustical ceiling- white
y Location: interior.ceiling of northwest bedroom
Area: approx. 2100.total sq. ft.
Friable:yes ..-
y r " Results: 10% Chrysotile asbestos
Sample #QT-109
Type of material:rolled linoleum floor-tan/grey(1 rst layer)
L Location: floor of northwest bathroom '
r Area: approx. 120 sq. ft.
Friable:no
-e. rt Results: 25% Chrysotile asbestos
Sample #QT-110„
Type of material: floor mastic- yellow (2nd layer)
Location: under sample #QT-109
Area: approx. 120 sq. ft.
Friable:no
Results: 10% Chrysotile asbestos
Sample #QT-111
, } . ;� Type of material: texture coat- cream color(1 rst layer)
" F Location: interior west wall of northwest room
Area: throughout interior walls
Friable:no
Results: 5% Chrysotile asbestos
Sample #QT-112
Type of material: drywall- white (2nd layer)
Location: behind sample #QT7111
' µ Area: throughout interior walls
Friable:no
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
y (760)323-7743
PLM0510#1631
`
Sample #QT -113
Type of material: 9" floor tile- white (1 rst layer)
Location: floor of southeast pantry
Area: approx. 135 sq. ft.
Friable:no
Results: 5% Chrysotile asbestos
Sample #QT -114
Type of material: floor tile mastic- yellow (2nd layer)
- Location: under sample #QT -113
Area: approx. 135 sq. ft.
Friable:no
Results: none detected
Sample #QT -115
�b�U_r T�ls7 CaKe Type of material: stucco- yellow (1rst layer)
Location: exterior north wall
Pole, 0676 DK
Area: throughout exterior walls
Friable:no
Results: 2% Chrysotile asbestos
Sample #QT -116
- Type of material: plaster- grey (2nd layer)
Location: behind sample #QT -115
Area: throughout exterior walls
- Friable:no
Results: none detected
Sample #QT -117
Type of material: sprayed on fireproofing
Location: interior walls of north exterior water closet
Area: approx. 45 sq. ft.
Friable:yes
Results: less than 1% amosite asbestos
Sample #QT -118
Type of material:roof shingle- grey (1rst layer)
Location: exterior raised roof
•
Area: approx. 1600 sq. ft.
Friable:no
-Results: none detected
Sample #QT -119
Type of material: roof felt- black (2nd layer)
- _ Location: under sample #QT -118; exterior flat roof
" Area: approx. 2600 total sq. ft.
Friable:no _
.. Results: none detected
Sample #QT -120
Type of material: rolled roofing- grey
Location: exterior north flat roof
'
Area: approx. 1000 sq. ft.
Friable:no
Results: none detected
Sample #QT -121
Type of material: penetration mastic- grey
Location: exterior roof penetration
Area: 15+ roof penetrations
Friable:no
Results: none detected
(3)
May-ld-04 01:45pm - From -CAROLINA ENVIRONMENTAL .+4811442
7-371 P.02/07 F-868
LABORATORY REPORT
CARO1LR"ENWtONMEWAL,1NQ
:�o>•;N, ;,►ref c«�t,ca�ry,Nczrsll
ASBESTOS BULK ANALYSIS
Phdne, (918)„4814413 F=(919)4811"
'
Client: Scott Morrison Associates CEI Lab Code:
A04-3494
31855 Date Palm Dr. Suite
3-507. ; .. „ ' Received:
05-13-04'
Cathedral City, CA 92234 - Analyzed:
05-14-04 i
Reported:
05-14-04 •
Analyst:
Scott Minyard
Project: PLM0510t1631
„ k
CEI
' CLIENT ID LADID
HOMOGENEITY DESCRIPTION
ASBESTOS
QT -106 A261388
ACOUSTICAL CEILING
CHRY 10%
Heterogeneous, ^ Off-white, Fibrous, Loosely Bound
e
CHRY 10% 'BIND 40% CELL <1 %
'.. FOAM 35%
_. PAINT 151%
QT -107 A261389
ACOUSTICAL CEILING
CHRY 10%
Heterogeneous,
Off-white, Fibrous, Loosely Bound
CHRY • 10% BIND 40%_- CELL' <1 %
FOAM
PAINT 15°10
QT -108 A261390
ACOUSTICAL CEILING h
CHRY 10%
Heterogeneous,
Off-white, Fibrous, Loosely Bound
CHRY y 10°% BIND 40% ML <1 %
FOAM 35%
,. PAINT 16%
QT -109 A261391
LINOLEUM
CHRY 25%
Heterogeneous,
_ Tan, Grey, Fibrous, Bound
CHRY., •'25% . VINYL 50% .-,CELL 5%
BIND 20
QT -110 A261392
MASTIC
CHRY 10%
Heterogeneous;
Yellow, Clear, Fibrous, Bound
CHRY. 10%" MAST 65% . CELL 5%
Mastic contaminated from positive
_
fibrous backing layer of linoleum.
i
QT -1.11 A261393
TEXTURE COAT ' '
CHRY 5%
Heterogeneous,
Off-white, Fibrous, Bound L
C.HRV,. y5% BIND 75% .,CELL' <1%
-
�.. - PAINT 10%
MICA 10%','
* R
Page 1
Ivlay-14-04 01:45pm From -CAROLINA ENVIRONMENTAL +4611442
T-371
P.03/01
F-868
CAROLINAENVIRONMENTAL, INC
Project: PLM0510#1631
10T New Edon Coag Cary, NC 27511
phone: 919481.1413
Fac: 919AW-1442
Lab Code: A04�3494
CLIENT ID
CEI
LAB ID
HOMOGENEITY DESCRIPTION
% ESTOS
R
QT-112
A261394
DRYWALL
ND
„
Heterogeneous,
Off-white, Tan, Fibrous, Bound
GYPSUM 65% CELL
25%,
!
BIND.. 10%,
QT -1 13A261395
FLOOR TILE, -
CHRY
5%
Heterogeneous,
Beige, Grey„Fibrous, Tightly Bound
CHRY - 5% . VINYL 92% CELL
<1 %
-MICA' 3%
QT -114
A261396
MASTIC
WD
Heterogeneous,
Yellow, Clear, Fibrous, Bound
MAST 98% CELL'
QT -115
A261397
STUCCO ' ' i -� ..
CHRY
2%
Heterogeneous,
Yellow, Fibrous, Bound
'
CHRY' 2%o PLAS >, 85% CELL
<1 %
4 PAINT 13%
t
QT -116
A261398
FI-ASTEF�
ND
Heterogeneous,
-, Grey, Non-fibrous, Bound
- PLAS 100% CELL ,
<1 % '
_..
QT -117
CHRY
A261399
FIREPROOFING '(
Heterogeneous,”
Off-white, Fibrous, Loosely Bound
AMOS
<1 %
CHRY- 10%- BIND 85% CELL
<1 °/v
AMOSI 0% MICA 15%
QT -118
A261400'
'`ROOFIN4 SHINGLE
,ND
Heterogeneous,
- Black, Grey, Fibrous, Bound
TAk 45% FBGL -
15%
GRAV, 35
SILI 5%
_
Page 2
'-May-14-04 01:46pm From-CAROLINA ENVIRONMENTAL +4811442
T-371 P.04/07 F-868
CAROuNAEMARONMENTALINa
Projoct: PLM0510*1631
107 New Edltion CotA Cary, NC 27511
Ph": 913481-1413 Fac: 919481-1442
Lab Code: A04-3494
CLIENT-11)
HOMOGENEITY DESCRIPTION
ASBESTOS
LAB-ID
QT-119 A261401
ROOFING SHINGLE
NO
Heterogeneous,
Black, Brown, Fibrous, Bound
TAR 45% CELL
55%
QT-120 A261402
ROLLED ROOFING
NO
Heterogeneous,
Black, Grey, Fibrous, Bound
TAR 35% FBOL
25%
GRAY 35 °� _
r
SILT 5%
QT-121 A261403
PENETRATION MASTIC
NO
Heterogeneous,
Black, Grey, Fibrous, Bound
TAR 80% FBGI.
10%
BIND 10%
Page 3
May -14-04 01:46pm
From -CAROLINA ENVIRONMENTAL
+4611442
T-371 PAC/07 F-668
i
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
SILI = Silicates
TREM = Tremolite
SYNT = Synthetics
GRAV = Gravel
ANTH = Anthophyllite
WOLL = Wollastonde
MAST = Mastic ;
ACTN = Actinolite
CEdRWL = Ceramic Wool
PLAS = Plaster
N D = None Detected
NTREM = Non-Asbestiform
PERL = Perlite
NANTH = Non-Asbestiform
Tremolite
RUSR =Rubber
Anthophyllite
CLIENT: Scott Morrison &Associates
PROJECT: PLM0510#1631
CEI LAB com A04-3494-
Stereoscopic
04-3494Stereoscopic 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
Program (NVLAP) for .the analysis of asbestos in bulk materials. The accredited test method is EPA / 600 / M4.82 / 020 for
the analysis of asbestos in building materials. Procedures described in EPA 1600 / R-93 / 116 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
of 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
Tianbaio Rai, Ph.D.
Laboratory Director. End of Report
7Y L�
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Cary, NC 27511
(160) 323.7743 4919) 401-1413 iLCn
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MaWFac To: Scott Menieom & AsodMap 318SS Date POM Dr., Ste.1i3-507, Ca&O" Citgo, CA 922.34. (766) 323-7743
FROM %, RICKLEY ENVIRONMENTAL FAX NO. :909 381 3433 May. 25 2004.01:51PM P2
n EnvironmentalRemediation Contractor
O
h
PROPOSAL .& CONTRACT
May 25, 2004
CLIENT: CITY OF, LA QUINTA PROPOSAL NUMBER: 10937
ATTN: TOM HARTUNG JOB NAME:.' VACANT SFR
ADDRESS: P. 0. BOX 1504 SITE ADDRES:c; 800201/ISTA-GRANDE
CITY: LA QUINTA, CA ZIP: V253 . CITY: LA QUINTA, CA ZIP: 92253 .
PHONE: 760-777-7013. PROPERTY OWNER:
FAX: 760.777.7011 CONTRACTANIOUNT:$1.7,650.00
REMOVE AND DISPOSE OF ASBESTOS CONTAINI G MATERIALE (ACM) PER SITE INSPECTION ON
5/24/04 AND SCOTT MORRISON SURVEY /#1631, IN Q NTITIES AND LOCATIONS AS OUTLINED BELOW:
• APPROX. 2,100 SQ. FT. OF ACOUSTIC'CEILI G SPRAY = THROUGHOUT.
• APPROX. 120 SQ. FT. OF LINOLEUM AND MAS C — NORTHEAST BATHROOM.
• APPROX.'8,050 SQ. FT. OF DRYWALL — THROUG OUT WALLS AND CEILING.
• APPROX. 135 SQ. FT. OF 9"X,9" FLOOR TILE — SOUT EXIST PANTRY.
• APPROX. 2,000 SQ. FT. OF EXTERIOR STUCCO.
COST., $17;425.00
SOUTH COAST AQMD NOTIFICATION FEE FOR THIS PROJECT: COST-'. $225.00
CLIENT/OWNER TO PAY ALL RE -NOTIFICATION FEES
(MINIMUM $25.00 EACH) AND TO BE RESPONSIBLE FOR
ALL FEES IF THE, PROJECT IS CANCELLED
THIS PROPOSAL IS BASED ON PREVAILING WAGE DETERMINATICN SC -102_-882- 2003-1, :ISSUE' DATE
FEBRUARY 22, 2003 AT THE RATE OF 829,90 PER HOUR,
BRICKLEY ENVIRONMENTAL WILL PROVIDE ALL OSHA.REQUIRECI PERSONAL AIR ONITORING AND
HAVE SAMPLES ANALYZED BY AN _INDEPENDENT AND CERTIFIED L LABORATORY.
AT THE COMPLETION OF THIS PROJECT, OR AS REQUIRED,.BRICKLEY ENVIRON NTAL WILL.
PROVIDE, COMPLETE DOCUMENTATION i.e. :NOTIFICATION LETTERS, WASTE ANIFEST,
CERTIFICATE OF INSURANCE, SUPERVISORS DAILY LOGS, ETC.
ALL REGULATED WASTE GENERATED FROM. THIS PROJECT WILL 3E PROPERLY DISPOSED OF AN
EPA, STATE OR LOCAL REGULATORY AGENCY APPROVED DISPOSAL- FACILITY, UTILIZING E
,APPROPRIATE WASTE DISPOSAL.MANIFEST,
OWNER TO PROVIDE. WATER AND ELECTRIC AT JOB SITE, BRICKLEY ENVIRONMENTAL WILL PROVIDE
NF -NF.(' CONNECTIONS.
057 Reece Street, San Bemardino, CA 92411, Lic. No. 610414 CAL/OSHA No. 49 Page 1 of 2
909.888-2010 800-530-3366 FAX 909-381•.3433
:FROM aBRICKLEY ENVIRONMENTAL FAX NO. :909 381 3433 May. 25 2004 01:51PM P3
WORK SHALL BE PERFORMED IN ACCORDANCE WITHIN OSHA, EPA, AND STATE REGULATIONS.
THE ABOVE WORK TO BE COMPLETED IN A SUBSTANTIAL AND WO RKMANLIKE MANNER ACCORDING
TO STANDARD PRACTICES FOR THE SUM OF.
SEVENTEEN THOUSAND SIX HUNDRED FIFTY***tx**RRt1xRRRRxR"kk*#NNMP�WFR*DOLLARS ($17,650.00)
A. TERMS: DUE UPON RECEIPT UNLESS OTHERWISE ARRANGED
B. TIiIS PROPOSAL MAY BE WITHDRAWN BY BRICKLEY ENVIRONMENTAL IF NOT ACCEPTED WITHIN 30 DAYS.
C. CONTRACTOR WILL MAINTAIN INSURANCE IN THE AMOUNT OF $1,000,OCO.00 OR AS REQUIRED BY
SPECIFICATIONS,
0. CONDITIONS: THE TERMS AND CONDITIONS AS FOLLOV—ARE EXPRESSLY INCORPORATED INTO THIS
CONTRACT.
BY:
IAN 13006 OJECT MANAGER I ESTIMATOR KEH
ACCEPTANCE OF PROPOSAL
THE ABOVE PRICES, SPECIFICATIONS,, AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED. YOU
ARE AUTHORIZED TO DO THE WORK SPECIFIED. PAYMENT WILL BF MADE. AS OUTLINED ABOVE.
CLIENT
CITY OF LA O.UINTA #10937 AUTHORIZED SIGNJ�TURE
DATE l
TITLE
ADDITIONAL TERMS & CONDITIONS OF CONTRACT
TERMS: DUE UPON RECEIPT UNLESS OTHERWISE ARRANGED. INTEREST AT THE RATE OF 1/%PER MONTH WILL
BE CHARGED ON ALL PAST DUE ACCOUNTS. IN THE EVENT OF FAILURE TO PAY ANY OF THE AMOUNTS DUE ON
THIS INVOICE, ALL COLLECTION COSTS, AND/OR ATTORNEY'S FEES IN TILE COLLECTION OF ANY SUCH AMOUNT,
WILL BE PAID BY THE CLIENT,
UNLESS OTHERWISE STATED IN THIS PROPOSAL, BRICKLEY ENVIRONMENTAL WILL PROVIDE ONLY THE OSHA
REQUIRED PERSONAL AIR MONITORING, THE OWNER SHALL PROVIDE. AT THEIR. COST, ALL ADDITIONAL
TESTING AND ALL FINAL CLEARANCE TESTING OR RETESTING ON THIS PROJECT.
THIS BID OFFER .IS BASED ON REMOVAL OF CERTAIN TYPES AND ' C!UANTITIES OF HAZARDOUS AND NON-
HAZARDOUS MATERIALS AS LISTED IN THE PROPOSAL. IF ADDITIONAL OR CONCEALED HAZARDOUS MATERIALS
ARE FOUND AND THE OWNER CHOOSES ABATEMENT, A CHANGE ORDER WILL BE REQUIRED TO ALLOW THE
ADDITIONAL COSTS AND TIME TO COMPLETE THE ADDITIONAL WORK,
PLEASE BE ADVISED THAT THE OWNER OF THE, PROPERTY AND GENERATOR OF ANY ,HAZARDOUS MATERIALS
MAY BE SUBJECT TO MANIFEST/ EPA NUMBER FEES ISSUED BY THE DEPARTMENT OF TOXIC SUBSTANCES
CONTROL (DTSC). ALL FEES ISSUED BY DTSC ARE THE RESPONSIBILIT,( OF THE OWNER/ GENERATOR. FEES
ARE BILLED DIRECTLY FROM DTSC AND ARE NOT'INCLUDED IN THE CONTRACT AMOUNT,
ALTHOUGH. BRICKLEY ENVIRONMENTAL TAKES PRECAUTIONS TO AVOID )AMAGE TO FINISHED SURFACES, SOME
DAMAGE MAY OCCUR, BRICKLEY ENVIRONMENTAL SHALL NOT BE RESPONSIBLE FOR ANY SUCH REASONABLE
COSMETIC DAMAGES NOR SHALL PAYMENTS TO BRICKLEY ENVIRONMENTAL BE REDUCED OR WITHHELD AS A
RESULT THEREOF, i.e. DAMAGES STEMMING FROM PLACEMENT OR REMOVAL OF POLYETHYLENE AND
WOOD/DRYWALL BARRIERS AND FASTENING MATERIALS WHICH ARE RE,lUIRE:D" TO HOLD BARRICADES IN PLACE
DURING ABATEMENT. ALL REPAIRS OR REFINISHING WILL BE PERFORMED ONLY UNDER SEPARATE WRITTEN
AGREEMENT OR CHANGE ORDER BETWEEN BRICKLEY ENVIRONMENTAL 4ND OWNER. "
THE OWNER, BY ACCEPTANCE OF BRICKLEY ENVIRONMENTAL BID OFFER, HEREBY AGREES TO ABSOLVE
BRICKLEY ENVIRONMENTAL OF ANY AND ALL RESPONSIBILITY FOR ITEMS OR OBJECTS WHICH MAY BE
REPORTED DAMAGED, DESTROYED OR MISSING, UNLESS OWNER CAN DROVE BEYOND A REASONABLE DOUBT
THAT AN EMPLOYEE OR SUB CONTRACTOR OF BRICKLEY ENVIRONMENTAL IS THE RESPONSIBLE PARTY.
CONTRACTORS .ARE, REQUIRED BY LAW TO BE LICENSED AND REEL LATED BY THE CONTRACTORS' STATE
LICENSE BOARD. ANY QUESTIONS CONCERNING A CONTRACTOR Mi%Y-.BE REFERRED TO THE REGISTRAR,
CONTRACTORS' STATE LICENSE BOARD, P.O. BOX 26000, SACRAMENTO, 1.ALIFORNIA 95826.
Page 2 of 2
'.:40M: R I CKLEY ENVIRONMENTAL . ' FAX N0. :909 381 3433 Jun. 02 2004 02 : 55PM P4
ENVIRONMENTAL .
������0.C K L , - t•''�i
Environmental Remediation Co ntiactor
PROPOSAL & CONTRACT .
- ' June.2, •2004
CLIENT:: CITY OF LA QUINTA PROPOSAL NUMBER: 10937A
ATTN: TOM HARTUNG : JOB NAME: VACANT SFR
ADDRESS:, P. 0. BOX 1504 SITE ADDRE:iS: 80020 VISTA GRANDE
CITY:.. y LA QUINTA, CA` ZIP: 92253. ' ' " CITY; •_ LA QUINTA, CA ZIP; 92253
PHONE: 760-771-7013 _ PROPERTY OWNER:
FAX: ,760-7774011 - CONTRACTAMOUNT: '$4,885.00
REMOVE AND DISPOSE OF ASBESTOS CONTAINING MATERIALS '(ACM) PER SITE INSPECTION ON
p 5/24/04 AND SCOTT MORRISON"SURVEY #1631, IN QUANTITIES AN) LOCATIONS AS OUTLINED BELOW:
APPROX. 2,100,SQ. FT, OF ACOUSTIC CEILING SPRAY — THROUGHOU,T.
APPROX. 120 SQ. FT. OF LINOLEUM AND MASTIC —"NORTHEAST BATHROOM.
APPROX. 135 SQ. FT. OF 9" X 9"FLOOR TILE: - SOUTHEAST PANTRY:
'COST $4,785.00
SOUTH COAST AQMD NOTIFICATION FEE FOR THIS PROJECT: COST $100.00
CLIENT/OWNER TO PAY ALL RE -NOTIFICATION FEES
(MINIMUM $25.00 EACH) AND TO BE RESPONSIBLE FOR
t ALL FEES IF.THE PROJECT IS CANCELLED,,
THIS PROPOSAL IS BASED ON PREVAILING WAGE DETERMINATION SC -102-882-1-2003-1, ISSUE DATE..
FEBRUARY 22, 2003 AT THE RATE OF $29.90 PER HOUR,
BRICKLEY ENVIRONMENTAL'WILL PROVIDE ALL OSHA REQUIREI) PERSONAL AIR MONITORING AND.
HAVE SAMPLES ANALYZED 13Y AN INDEPENDENT AND CERTIFIED LABORATORY.
AT THE COMPLETION OF, THIS PROJECT, OR AS REQUIRED,. BRICKLEY ENVIRONMENTAL WILL
PROVIDE, COMPLETE DOCUMENTATION 'i.e. NOTIFICATION. LETTERS, WASTE MANIFEST,
CERTIFICATE'OF.INSURANCE, SUPERVISORS DAILY LOGS, ETC:
ALL REGULATED WASTE GENERATED FROM THIS PROJECT WILL BE PROPERLY: DISPOSED OF AT AN
EPA, STATE ,OR 'LOCAL REGULATORY AGENCY APPROVED DISPOSAL FACILITY, UTIL17ING THE
APPROPRIATE: WASTE DISPOSAL MANIFEST.
OWNER TO PROVIDE WATER AND ELECTRIC AT JOBSITE. BRICKLEY ENVIRONMENTAL WILL PROVIDE
NECESSARY CONNECTIONS.
957 Ree_ ce Street, San Bernardino, CA 92411, Lic. No: 8101.14 CAL/DSHA No. 49 'Page I of 1
909-888-2010.800-530-3366 FAX,969-381.3433.
FROr BRICKLEY ENVIRONMENTAL FAX N0: :909 381 3433 Jun. 02 2004 02:56PM P5
ti
WORK SHALL BE PERFORMED IN ACCORDANCE WITHIN OSHA, EPA, AND STATE REGULATIONS.
THE ABOVE WORK TO BE COMPLETED IN A SUBSTANTIAL AND WORKMANLIKE MANNER ACCORDING
TO STANDARD PRACTICES FOR THE SUM OF;
FOUR THOUSAND EIGHT HUNDRED EIGHTY FIVE "*"'**"*****'*" •""****** «* DOLLARS ($4,885.00)
A. TERMS: DUE UPON RECEIPT UNLESS OTHERWISE ARRANGED
B. THIS PROPOSAL MAY BE WITHDRAWN BY BRICKLEY ENVIRONMENTAL IF NOT ACCEPTED WITHIN 30 DAYS.
C. CONTRACTOR WILL MAINTAIN INSURANCE IN THE AMOUNT OF $1,000;100.00 OR AS REQUIRED BY
SPECIFICATIONS. -
0. CONDITIONS: THE TERMS AND CONDITIONS AS EOLLO](y,4RE E(PRES•�LY INCORPORATED INTO THIS
CONTRACT.�•�.. ,
BY: -
�` IAN GORDONROJECT MANAGER / ESTIIIIFATOR rust
ACCEPTANCE OF PROPOSAL
THE ABOVE PRICES, SPECIFICATIONS, AND CONDITIONS ARE SATISFAC'i ORY AND ARE HEREBY ACCEPTED, YOU
ARE AUTHORIZED TO DO THE WORK SPECIFIED,P WIL BE MAC E AS OUTLINED 8 E.
��
CLIENT 1 �� �'�'l �• C9 �� (j'
�o
CITY—OF—LA QUINTA #109378 AUTHORIZED SIGNATURE
DATE—.16 kfi>!c�—�/ 0-i.4'A A (•CIa
TITLE
ADDITIONAL TERMS 'S'CONDITIONS .OF CONTRACT
TERMS; DUE UPON RECEIPT UNLESS OTHERWISE ARRANGED. INTEERES•i AT THE RATE OF 1%% PER MONTH WILL
BE CHARGED ON ALL PAST DUE ACCOUNTS. IN'THE EVENT OF FAILURE: TO PAY ANY OF THE AMOUNTS DUE ON
THIS INVOICE, ALL COLLECTION COSTS, AND/OR ATTORNEY'S FEES IN THE COLLECTION OF ANY SUCH AMOUNT,
WILL BE PAID BY THE CLIENT. P
UNLESS OTHERWISE STATED IN THIS PROPOSAL, BRICKLEY ENVIRONMENTAL WILL PROVIDE ONLY THE OSHA
REQUIRED PERSONAL AIR MONITORING. THE OWNER SHALL PRO'/IDE,.AT THEIR COST, ALL ADDITIONAL
TESTING AND ALL FINAL CLEARANCE TESTING OR RETESTING ON THIS P.IROJECT:
THIS BID OFFER IS BASED ON REMOVAL OF CERTAIN TYPES AND CIUANTITIES OF HAZARDOUS AND NO
HAZARDOUS MATERIALS AS LISTED IN THE PROPOSAL. IF ADDITIONAL OR CONCEALED HAZARDOUS MATERIALS
ARE FOUND AND THE OWNER CHOOSES ABA'T'EMENT, A CHANGE ORC ER WILL BE REQUIRED TO ALLOW THE
ADDITIONAL COSTS AND TIME TO COMPLETE THE ADDITIONAL WORK,
PLEASE BE ADVISED THAT THE OWNER OF THE PROPERTY'AND GENERATOR OF ANY 'HAZARDOUS MATERIALS
MAY BE SUBJECT TO MANIFEST / EPA NUMBER FEES ISSUED BY THE DEPARTMENT OF TOXIC SUBSTANCES
CONTROL (DTSC). ALL FEES. ISSUED BY DISC ARE THE RESPONSIBILITY OF THE OWNER I GENERATOR. FEES
ARE BILLED DIRECTLY FROM DTSC AND ARE NOT INCLUDED IN THt CONI RACT AMOUNT.
ALTHOUGH BRICKLEY ENVIRONMENTAL. TAKES PRECAUTIONS TO AVOID 3AMAGE To FINISHED SURFACES, SOME
DAMAGE MAY OCCUR. BRICKLEY.ENVIRONMENTAL SHALL NOT BE RESINONSIBLE FOR ANY SUCH REASONABLE.
COSMETIC DAMAGES NOR SHALL PAYMENTS.TO BRICKLEY ENVIRONMENTAL BE REDUCED OR WITHHELD AS A
RESULT ,THEREOF. I.O. DAMAGES STEMMING FROM PLACEMENT 'OIZ REMOVAL OF POLYETHYLENE AND
WOOD/DRYWALL 13ARRIERS AND FASTENING MATERIALS WHICH ARE REQUIRED TO MOLD BARRICADES IN PLACE
DURING ABATEMENT. ALL REPAIRS OR REFINISHING WILL BE PERFORMED ONLY UNDER SEPARATE WRITTEN
AGREEMENT OR CHANGE ORDER BETWEEN BRICKLEY ENVIRONMENTAL AND OWNER.
I
THE OWNER, BY ACCEPTANCE OF BRICKLEY ENVIRONMENTAL BID OFFER, HEREBY AGREES TO ABSOLVE
BRICKLEY ENVIRONMENTAL OF ANY'AND ALL RESPONSIBILITY FOR ITEMS .OR OBJECTS WHICH MAY BE
REPORTED.DAMAGED, DESTROYED OR MISSING, UNLESS OWNER CAN PROVE BEYOND.A REASONABLE. DOUBT
THAT AN EMPLOYEE OR SUB CONTRACTOR OF BRICKLEY ENVIRONMENTAL IS THE RESPONSIBLE PARTY,
CONTRACTORS ARE REQUIRED BY. LAW TO BE LICENSED AND REGULATED BY THE CONTRACTORS'STATE
LICENSE. BOARD, ANY QUESTIONS CONCERNING A CONTRACTOR WY BE REFERRED TO THE REGISTRAR,
CONTRACTORS' STATES LICENSE BOARD, P.O. BOX 26000, SACRAMENTO, CALIFORNIA 95826.
Page 2 of 2
BRICKLEY ENVIRONMENTAL
Environmental Remediation Contractor -
INVOICIE
-
INVOICE DATE
611612004
BILL TO
JOB SITE
CITY OF LA QUINTA
SFR __VACAN.T
" P.O. BOX 1504
880020°VISTA GRANDE ..
LA QUINTA, CA 92253
SLA QUINTA; CA 253
ATTN: TOM HARTUNG
PO. NUMBER'
CONTRACT
INVOICE # BID # 'TERMS
DUE DATE CONTRACT AMT REP
6883AA ` 10937A DUE UPON RECEIPT
611612004 4,885.00 IFG
Interest at the rate of 1 Y:% per month will be charged on all past due accounts
Ind: a/s : BALANCE DUE,/
ElProposal/Contract/Workorder
'F�885.DU
❑ Purchase Order
❑ Certificate of Insurance
❑ Copies of Notification Letters
❑ Supervisor's Log
[:]Dump Manifest
❑ Progress Payment/Releases
957 West Reece Street, San Bernardino, CA 92411, Lic. No. 610414 CAUOSHA No. 49
909-888-2010 800-530-3366 FAX 909-381-3433" .
06/03/2004' 15:09 76077770'•. LA QUINTA PAGE 04
FROM 'RICKLEY ENVIRONMENTAL i_FAX NO, 909 381 3433 - .,un. 02 2004 02:55PM~ 134•
."BORIC 124 11-V It MENTAL'
` w
Environmental Remediation Ca ratraeter
PROPOSAL & CONTRACT.
Y . June 2. 2004,
CLIEPIT CITY OF' LA QUINTA PROPOSAL NUMBER: , 10937A
AM: • TOM HARTUNG JOB NAME, • VACANT SFR
ADDRESS: P. 0. BOX 1904
} ,SITE,4t)pRErS: ' 80020 VISTA GRANDE
CITY: LA QUI NTA, CA : ZIP: 92263 erry;
LA QUINTA. GA zIP; 92253
PHONE;. 760-777-7013
PROPERTY C►wlueR:
PAX: 780.777,7011
SONTRACTAMOU11T:
REMOVE AND 6SPOSE OF ASBESTOS CONTAINING MATERIAL'S. (AGM) PER SITE INSPECTION ON .
6124104 AND SCOTT MORRISON SURVEY 51631, tN„QUANTITIES AN7 LOCAVONS AS OUTLINED BELOW;
• APPROX. 2,100 SQ. FT, OF ACOUSTIC CEILING SPLAY - THROUGHOUT.
• ,' APPROX41204Sd.'FT. OF LINOLEUM AND MASTIC -• NORTHEAST BATHROOM.
APPROX.135 SQ. FT. OF 9” X 9° FLOOR TILE - SOUTHEAST PANTRY.
COST' $4„785.00
SOUTH COAST AQMD NOTIFICATION FEE FOR THIS PROJECT:COST $100.00
CLIENT/OWNER TO PAY ALL RE-NOTIFICATION FEES
(MINIMUM $25.00 EACH) AND TO 136. RESPONSIBLE FOR
ALL FEES IF THE PROJECT IS CANCELLED,
THIS PROPOSAL IS BASED ON PREVAILING WAGE DETERMINATI()N;Sd=102-8$21,2()0&1, ISSUE DATE
FEERUARY 22, 2003 AT THE RATE OF $29.90. PER HOUR,
BRICKLEY ENVIRONMENTAL WILL PROVIDE ALL OSHA RE4UIRED PERSONAL AIR MONITORING AND
- HAVE SAMPLES ANALYZED 13Y. AN INDEPENDENT AND CERTIFIED LABORATORY.
AT THE . COMPLETION OF THIS PROJECT, OR AS . REQUIRED, BR16KLEY ,ENVIRONMENTAL WILL ,
PROVIDE, COMPLETE DOCUMENTATION 'i.e: NOTIFICATION LETTERS, WASTE MANIFEST,
CERTIFICATE OF.-INSURANCE. SUPERVISORS DAILY LOOS, ETC.
ALL REGULATED WASTE GENE=RATED FROM THIS PROJECT WILL BE PROPERLY DISPOSED OF AT AN
EPA, STATE OR LOCAL REGULATORY AGENCY APPROVED DISPOSAL FACILITY, UTILIZING THE
APPROPRIATE WASTES DISPOSAL MANIFEST,
OWNER TO PROVIDE WATER AND ELECTRIC AT J013 SITE, BRICKLEY ENVIRONMENTAL WILL PROVIDE t
NECESSARY CONNECTIONS; . • -_ I,
957 Resoe Street, San sernapdino, CA 92411. Lic. No. $109.14 CAUOSHA No, 49 rage I ore
909.888 2010 am-gI04366 FAX 909-3813433
06/03/2094 15:139, 76077770" LA QUINTA PAGE 05
FROr BRICKLEY ENVIRONMENTAL FAX NO. :909 381 3433 .,un. 02 2004 02:SGPM P5
P
WORK SHALL BE PERFORMED IN ACCORDANCE WITHIN OSHA, EPA, AND STATE REGULATIONS.
THE ABOVE WORK TO BE COMPLETED IN A SUBSTANTIAL AND WORKMANLIKE MANNER ACCORDING
TO STANDARD PRACTICES FOR THE SUM OF: ,
FOUR THOUSAND EIGHT HUNDRED EIGHTY FIVE DOLLARS ($4,885.00)
A, TERMS' DUE UPON RECEIPT UREMS OTHERVMSE ARRANGED
B. THIS PROPOSAL MAY BE WITHDRAWN BY BRICKLEY ENVIRONMENTAL IF NOT ACCEPTED WITHIN 30 DAYS,
C. CONTRACTOR WILL MAINTAIN INSURANCE IN THE AMOUNT OF $1,0000DO.00 OR AS REQUIRED BY
SPECIFICATIONS,
D. CONDITIONS: THE TERMS AND CONDITIONS ASEOLLCW ARE EXPRESSLY INCORPORATED INTO THIS
CONTRACT, �^r "� �.
IAN GORDON -AROJECT MANAGER I ESTIMATOR Rim
ACCEPTANCE OF PROPOSAL.
THE ABOVE PRICES, SPECIFICATIONS, AND CONDITIONS ARE SATISFAC"ORY AND ARE HEREBY ACCEPTED, YOU
ARE AUTHORIZED TO DO THE/WORK SPECIFIED, P WI SE MACE AS OUTLINE B
P
CITY OF LA QUINTA 010931A AUTHORIZED SIGNATURE
DATE r�3�wJ,4A_lA6*_'*Z
TITLE
ADDITIONAL TERMS & CONDITIONS OF CONTRACT
TERMS: DUE UPON RECEIPT UNLESS OTHERWISE ARRANGED. INTERES"-AT THE RATE OF 1%1/o PER MONTH WILL
BE CHARGED ON ALL PAST DUE ACCOUNTS. IN THE EVENT OP FAILURE. TO PAY ANY OF THE AMOUNTS DUE ON
THIS INVOICE, ALL COLLECTION COSTS, AND/OR ATTORNEY'S FEES IN THE COLLECTION OF ANY SUCH AMOUNT,
WILL BE PAID BY THE CLIENT.
UNLESS OTHIwRWISE STATED IN THIS PROPOSAL, BRICKLEY ENVIRONMENTAL WILL PROVIDE ONLY THE OSHA`
REQUIRED PERSONAL AIR MONITORING. THE OWNER SHALL PROS/IDE, AT THEIR COST, ALL ADDITIONAL
A TESTING AND ALL FINAL =wARANCE TESTING OR RETESTING ON THIS PROJECT.'
THIS BID OFFER IS BASED ON REMOVAL. OF CERTAIN TYPES AND- QUANTITIES OF HAZARDOUS AND NON-
14A7AADOUS MATERIALS AS LISTED IN THE PROPOSAL. IF ADDITIONAL OR CONCEALED HAZARDOUS MATERIALS
ARE FOUND AND THE OWNER CHOOSES ABATEMENT, A CHANGE ORE ER WILL BE REQUIRED TO ALLOW THE
ADDITIONAL COSTS AND TIME TO COMPLETE THE ADDITIONAL WORK,
PLEASE BE ADVISED THAT THE OWNER OF THE PROPERTY AND GENERATOR OF ANY HAZARDOUS MATERIALS
MAY BE SUBJECT TO MANIFEST / EPA NUMBER FEES ISSUED BY THE DEPARTMENT OF TOXIC SUBSTANCES
CONTROL (DISC), ALL FEES ISSUED BY OTSC ARE THE RESPONSIBILITY OF THE OWNER /GENERATOR, FEES
ARE BILLED DIRECTLY FROM DISC AND ARE NOT INCLUDED IN THE CONTRACT AMOUNT.
ALTHOUGH BRICKLEY ENVIRONMENTAL TAKES PRECAUTIONS TO AVOID DAMAGE TO FINISHED SURFACES, SOME
DAMAGE MAY OCCUR. 9RICKLEcY ENVIRONMENTAL SHALL NOT BE RLrSI-ONSISLE FOR ANY SUCH REASONABLE.
COSMETIC DAMAGES NOR SHALL PAYMENTS TO BRICKLEY ENVIRONMENTAL BE REDUCED OR WITHHELD AS A
RESULT THEREOF. Le. DAMAGES STEMMING FROM PLACEMENT 013 REMOVAL OF POLYETHYLENE AND
WOODIDRYWALL BARRIERS AND FASTENING MATERIALS WHICH ARE REQUIRED TO HOLD BARRICADES IN PLACE
DURING ABATEMENT. ALL REPAIRS OR REFINISHING WILL BE PERFORMED ONLY UNDER SEPARATE WRITTEN
AGREEMENT OR CHANGE ORDER BETWEEN BRICKLEY ENVIRONMENTAL AND OWNER,
THE OWNER, BY ACCEPTANCE OF BRICKLEY ENVIRONMENTAL, DID OFFER, HEREBY AGREES TO ABSOLVE
BRICKLEY ENVIRONMENTAL OF ANY AND ALL RESPONSIBILITY FOR ITEMS. OR OBJECTS WHICH MAY BE
REPORTED DAMAGED, DESTROYED OR MISSING, UNLESS OWNER CAN PROVE BEYOND A REASONABLE DOUBT
THAT AN EMPLOYEE OR SUB CONTRACTOR OF BRICKLEY ENVIRONMENTAL 15 THE RESPONSIBLE PARTY,
CONTRACTORS ARE REQUIRED BY LAW TO BE LICENSED AND REGU_ATED BY THE CONTRACTORS' sTATC
LIOMNSE BOARD, ANY QUESTIONS CONCERNING A CONTRACTOR MAY 9E; REFERRED TO THE REGISTRAR,
CONTRACTORS' STATE LICENSE BOARD, P.O. BOX 28000, SACRAMF:NTO, CALIFORNIA 95826.
rwZoft
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
AQMD USE ONLY SCREEN BY RECEIVED POSTMARK ENTERED BY - NOTIFICATION #
COMPLETED BY r JASON COMPANY BRICKLEY CONST. CO., INC. dba. PHONE 909-888-2010
BRICKLEY ENVIRONMENTAL
DATE 6.4-04 CHECK # _ 2655 FEE $ 57.69 PROJECT #; 6883.
NOTIFICATION TYPE
ORIGINAL
PROJECT TYPE
EMERGENCY REMOVAL
SITE INFORMATION
SITE NAME SFR
SITE ADDRESS 80020 VISTA GRANDE CROSS STREET JEFFERSON
CITY LA QUINTA STATE CA ZIP 92253 COUNTY RIVERSIDE
DESCRIBE WORK AND LOCATION ASB REMOVAL THROUGHOUT -
BUILDING SIZE (SQ FT) 2,500 NUMBER OF FLOORS 1 BUILDING AGE (YEARS)'35 NUMBER OF DWELLING UNITS 1
BLDG PRIOR I PRESENT USE
HOUSE " a
SITE OWNER' CITY OF LA QUINTA ADDRESS P.O. BOX 1504
CITY LA QUINTA STATE CA ZIP, 92253 CONTACT TOM HARTUNG PHONE 760.777-7013
REQUIRED BUILDING
INFORMATION
ASBESTOS YES
PRESENT?
ASBESTOS YES
SURVEY? *
ASBESTOS - NO
REMOVED?
BUILDING TO BE NO
DEMOLISHED?
PROJECT DATES
START 6.10.04 END. 6=10.04 WORK SHIFT 0800-1630
ASBESTOS AMOUNT TO BE
REMOVED (in square feet)
FRIABLE
2220
CLASS I
255,
CLASS II
TOTAL AMOUNT (ADD ROW)
2475
ASBESTOS REMOVAL FROM
SURFACES
AMOUNT OF EACH TYPE OF
ASBESTOS (in square feet)
ACOUSTIC CEILING
2100
LINOLEUM
120
INSULATION
FIRE PROOFING
DUCTING
STUCCO
MASTIC
120 .
FLOOR TILES (VAT)
135
DRYWALL
11 PLASTER
TRANSITE
ROOFING
OTHER (DESCRIBE) -
CONTRACTOR INFORMATION
CSLB LICENSE# 610414. OSHA REG # 49 AQMD ID #'76397
NAME BRICKLEY CONST. CO., INC. dba BRICKLEY ENVIRONMENTAL ADDRESS 957 WEST REECE STREET
CITY SAN BERNARDINO STATE CA ZIP 92411 SITE SUPVR SNYDER 1 LIEDER I MOORE 1 GOMEZ PHONE 909.888-2010
LARGENTICRUZIGORDON IBOYTIWOOD ;
WASTE TRANSPORTER #1 BRICKLEY CONST. CO.., INC. dba BRICKLEY ENVIRONMENTAL
LANDFILL" AZUSA LAND RECLAMATION CO.
ADDRESS 957 WEST REECE STREET
ADDRESS 201 GLADSTONE AVENUE
CITY SAN BERNARDINO
STATE CA
ZIP 92411
CITY AZUSA
STATE CA
ZIP 91702
Asbestos Demolition [Renovation Notification Form 080403 Page 1 of 2
SCAQMD NOTIFICATION OF DEMOLITION OR ASBESTOS REMOVAL
MAIL ORIGINAL TO: SCAQMD, ASBESTOS NOTIFICATIONS, FILE # 55641, LOS ANGELES CA 90074.5641
WASTE TRANSPORTER #2 E. C. T. I.
WASTE STORAGE SITE BRICKLEY CONST. CO., INC. dba
BRICKLEY ENVIRONMENTAL
ADDRESS P. 0. BOX 7318
ADDRESS 957 WEST REECE STREET
CITY SAN BERNARDINO STATE CA ZIP 92411
CITY SAN BERNARDINO STATE CA ZIP 92411
CONTROLS: DESCRIBE WORK PRACTICES AND CONTROLS TO BE USED AT THE RENOVATION AND DEMOLITION SITE. Procedure y), 2,60,4, 5 or Other.
For asbestos removals circle the combination of Rule 1403 procedures used. Procedure 4 and 5 submit plans for AQMD prior approval. 1,3
ASBESTOS DETECTION PROCEDURE: CIRCLE THE PROCEDURES AND ANALYTICAL METHODS USED TO DETERMINE ASBESTOS IN THE BUILDING:
Inspection, PLM, Bulk Sampling, Survey, 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: TITLE
DATE OF ORDER: DATE ORDERED TO BEGIN:
FOR EMERGENCY ASBESTOS REMOVAL GIVE THE NAME AND PHONE NUMBER OF THE PERSON DECLARINGIAUTHORIZING 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:
PLEASE SEE EMERGENCY LETTER
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. REVISED NOTIFICATION LETTERS WILL BE SENT IF I WHEN APPROPRIATE. REMOVAL WILL BE DONE
WITHIN STATE, FEDERAL, CALIOSHA, and EPA RULES & REGULATIONS.
TRAINING CERTIFICATION: I certify that an individual trained in the provisions of regulation AQMD Rule 1403 and NESHAP will be on site during the removal and
evidence that the required training has been accomplished by this person will be available nspection during normal business hours.
BRICKLEY CONST. CO., INC.
dba BRICKLEY ENVIRONMENTAL JASON BERGERON PROJECT ADMINISTRATOR 6-10-04
Company Name Print name of owner/operator Sign re' f Operator Tittle of Operator Date
INFORMATION CERTIFICATION: I certify that the above information is correct and I h enclosed any required attachments.
BRICKLEY CONST. CO., INC.
dba BRICKLEY ENVIRONMENTAL JASON BERGERON PROJECT ADMINISTRATOR 6-10-04
Company Name Print name of owner/operator SiVatu erator Tittle of Operator Date
Notifications cannot be accepted without the required fee (AQMD Rule 301). Asbestos removals of less than 100 square feet are exempt from notification and fees.
Please make checks payable to "SCAQMD". Fees are per notification, not refundable, and vary according to the project size. Fees 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 $ 0.00
DEMOLITION OF LESS THAN 100 SQ FT $ 29.52 ASBESTOS REMOVAL AT owner- $ 29.52
occupied, single -unit dwelling
ATTENTION: Keep a copy of your notification. State law requires that you provide a copy of the demolition notification to Building and Safety before issuance of a
demolition permit. For questions call 909-396-2336. For your convenience please mail the form and fee and do not hand carry to AQMD.
MAIL FORM AND FEE TO: SCAQMD, ASBESTOS NOTIFICATIONS, FILE # 55641, LOS ANGELES CA 90074-5641
TELEPHONE: (909) 396.2336 FAX: (909) 396-3342 WEB SITE: HTTP:IIWWW.AQMD.GOV
Asbestos Demolition / Renovation Notification Form 080403 Page 2 of 2
F7�/ L1/ Lt7174 14: t74 f bU f f f f 0l l LA UUI N 114 rMUC , rJa+
r
P.O. -B 1504-
.78-495,
504 .78-495 CALLE TAupico
( 760) 777:7000
'SfOF LA QUINTA, CAL[FORNVrA 922.53 FAX .(760)" 77'7-7101
May 21, 2004 ,
SOUTH .COAST AIR QUALITY MANAGEMENTDIVISION
21865 East Copley Drive '
Diamond' Bar, "CA 91765-4.185 t
ATTN Mr. Mohan Nagavedu
BUILDING DEMOLITIONS ASBESTOS ABATEMENT
Project Address: 46-480, 46-055, 46-145; Jefferson-: and. F
80-020:Vista. Grande R_
` La. Quinta, CA
1 We are requesting that SCACMD` waive the. usual 1.4-day notification waiting." -
period for the -project listed above
The subject' buildingsmust be abated•to make room for a road expansion.
There is also. concern for: the unsafe condition` of these buildifigs, and the
potential for' unlawful trespassing, and illeg_ al activities on these sites. , k LL
Please feel free to contact me at (760j"777-7019, if you havQ" any questions
or concems.a ;.
Thank you for your attention to this matter, -
., Sincerely; .
Tom Hartung k
Building & Safety Director . .
' 'r KCAL/OSHA ASBESTOS. NOTIFICATION
BRICKLEY CONST. CO., INC,. dba
BRICKLEY ENVIRONMENTAL` `
957 WEST REECE. STREET
SAN BERNARDINO,. CA 92411
'TEL: (909),888-2010 FAX: (909) 381-3433
CAL/OSHA LICENSE NO. 610414
DEPT. OF INDUSTRIAL RELATIONS - ASBESTOS CERT. A-6005
ADDRESS:; SAN BERNARDINO DIST. OFFICE DOSH REGISTRATION #49
464 WEST 41H ST., #'332
SAN BERNARDINO, CA 92401
DATE: 6-4-04 _ . JOB # 6883
NAME / ADDRESS OF EMPLOYER: CITY OF LA. QUINTA
.,,P.O. BOX 1504 '
LA QUINTA, CA. 92253~
ADDRESS OF JOB SITE:,, . _ '' SFR JOB LOCATION: THROUGHOUT
" 80020 VISTA GRANDE
` LA QUINTA,`CA. 92253
NEAREST CROSS STREET: JEFFERSON.
NAME OF CERTIFIED SUPERVISOR: LEIDERol
.
NAME OF QUALIFIED PERSON IN CHARGE OF AIR MONITORING, LAB WORK AND
RESPIRATORS: AS ABOVE AND GEM SERVICES OR CONTRACTED C.A.C.'/ I.H.
JOB START DATE: 6-10-04 JOB COMPLETION DATE: 6-10-04
DESCRIBE SCOPE OF JOB AND WORK PRACTICES (Inc. sq. ft.)- SCRAPE AND REMOVE WET IN
SECTIONS AND DISPOSE OF 2100 SQ. FT. OF ACOUSTIC CEILING, 120 SQ. FT. OF LINOLEUM, 120 SQ.
FT. OF, MASTIC, 135 SQ. FT. OF FLOOR TILE
ESTIMATED NUMBER OF. EMPLOYEES ON JOB: S+5
EVALUATION OF POTENTIAL FOR EXPOSURE: MINIMAL EXPOSURE -RESPIRATORS AND
PROTECTIVE CLOTHING WORN THROUGHOUT PROJECT. `
TRANSPORTED BY: BRICKLEY CONST. .CO., .INC. dba .
BRICKLEY ENVIRONMENTAL
.. U. S. E. P. A. # CAR 0000531713
STATE HAULER #25.99.
AND/OR
ECTI '
P.O. BOX 7318
SAN BERNARDINO,`CA`92411
STATE HAULER # 3731
DUMP SITE: AZUSA LAND RECLAMATION CO.`
1201 W. GLADSTONE STREET
AZUSA, CA 91702
CAD009007626
CAL OSHA 042503
• x
BRI.CKLEY ENVIRONMENTAL
SUPERVISOR DAILY LOG SHEET
DAT21
( 2
SUPERVISOR 14AIWE:
TOB NUNIBER.--—JOB NAN[E
'RE JOB SAFETY 1\41--_'ETINIG NOTES & ATTENDANCE
See Entry i Exit Logfor Attendance
?RE ABATEMENTSTARTt`t, C
S. NO)'. ---N/A
I. E N TR . Y/EXIT LOGS, DECONTAMINATION PROCEEDU-Ri-
ES, EMERGENC Y PLAN. POSTED
JOB/ENIPLOY[E FILES._ENIERGENCY KIT, FIRE EXTINGU[S HER ON SITE
3- RESPIRAT01\1. BOARD -(JP; PROPER RESPIRATOR SELECTED/ USED
4. WARNIN&SIG-iNiSm! CRITICAL BARRIERS POSTED
5. AIR NIONITORON SITE&f-READY
6. WORK AREA PF, -F -CLEANED,.,
POLLY CONTAININIEENIF ENCLOSURE INSTILLED
S. DECONTAMINATION SYSTEM INSTALLED AND FUNCTIONING'
9. WATER FILTRATION SYSTEM INSTALLED
1,NEGATI'VE PRESSURE ESTABLISHED
►LTRING. ABATEME* N'T*'CH'-E*
NO.` N/A
I RE-SI11R.-,\TOI'\S L SUITS WORN 'BY ALL PERSONNEL IN CONTAINMENT
WET PROPERLY BAGGED ACM fvtCfvf
NO SMOKING. DRINKING IN CONTAINMENT.
1. HEP:: V,--\CUUNI-(J;S1D
CONTI,Nl\-- E'NTl,.':AI'I'IER WORKING PROPERLY
✓
NEGATIVE.AIR PRESSURE OPERATIONAL
p r-. R S N(AL UT I 1- 127 I NIG DECONTAMMATION SYSTEM PROPERLY
FORt\,I,S: SUPER\ IS(.)R DAILY LOG SHEET
POST ABATEMENT CHECK IrIST
=\CM ` N[C;\!L DEFINED IN SCOPE OF WORK REMOVED
1. ALL ACi\,1 " NlCbl. W.-kSTE PROPERLY PACKAGED, LABELED & MANIFESTED
". INSPECTED RESIDUAL DEBRIS
A. HOIUZONTAL SURFACES -.I.E. -'FLOORS, PIPES; HVAC DUCTING, ETC
B. VERTICAL SURFACES -I.E. -WALL REGISTERS, WINDOWS; LIGHTS, ETC
W01�1L AI ' A -kC1-tI.EVE-S VISUAL CLEARANCE
-l. ENCAPSULATION OF WORK AREA
CLEARANCE AM SAMPLES. COLLECTED
U%EUVAL TINtE : //3
;COPE OF WORK/FIELD NOTES:
Ll P
DEPARTURE TIME: 17 1:3
YES NO NrA
� �•i' r�Lf �,r„�r � s � l -(� � s . (/ 3 y S + 7, S � TyD Sial T r .t�5 Z nc t �r
t2- ffl�L
400 AGC_ axe GLvs L �v G�w�iGT.;r w�AGc,.STr L
/.. v�� til s z',�2 -� � c. * ., ��.�-,•� ;-��,
a�c T•},1 ,
�:lC'tiIATT;I��
S: SUPERVISOR DAILY LOG SHEET
-GENERATOR'S COPY • MEMILA,
-0 A'
o V-�f�,4 6 c
Manifest Doc. No.
J
WASTE MANIFEST
173.66
PO. Box 7318
of, li, C111 1-f
1!
San Bernardino, CA 92411
A,r
INt
CITY 6F` LTJI'NTA
P'. SOX I S 0 4
7797AI,
Phone (90 9) 884-7424
LA '12VINTA, CA 92253'
4. Generator's Phone.
, ( 760 ) 77777013,
Fax (909) 884-3744
-GENERATOR'S COPY • MEMILA,
NON -HAZARDOUS•
11. Generator's -US EPA ID No.
Manifest Doc. No.
2. Pagel
WASTE MANIFEST
173.66
NOV" R,E"t)-U TR'E 0
of, li, C111 1-f
1!
3. Generator's Name and Mailing Address ,
J,
A,r
INt
CITY 6F` LTJI'NTA
P'. SOX I S 0 4
.
A 0
REC
LA '12VINTA, CA 92253'
4. Generator's Phone.
, ( 760 ) 77777013,
I
Bull
5. Transporter I Company Name 6. US EPA ID Number
A.I Transporiers%biie,�,,,
BRICKLEY ENVIRO-t-IMENTAL C A R 0. 0 1) 04 5 3 1 7 3
(qoq)8qA-no
,-.,-
7.1. Transporter 2 Company Name8. US EPA ID Number
B. Transporter's Phone
-tE CT -
. I C A -R, 0, 1) 0 0, 4 1 9 '1) 6 4,
(909)884-74"4
J
g. -Designated Facility Name and Site Address 10. US EPA ID Number
C., Facillys Phone
'-AZUSA,`LAND RECLAMATION k,
`%21VW7'?-4LADST01JE
AZUSA, Clii7' 91,702 J A D2,'0. 0 9 0 0 7. 6 2 6
(6246) 334 �073 9
11. Waste Shipping Name and Description
12. Containers
No.
Type
13. Total
Quantity
14. Unit
WtIvol.
a. NON- F*P IjkB E 1 ASBESTOS. WASTE
�L
b.
C.
-v
D. Additloiial Description for Materials Listed Above
E. Handling Codes for Wastes Listed Above
15. Special Handling Instructions and Additional Information
N CY C011TACT PHONE # .(90) 535-5053!,
'r 'C'R'G'EN
EPA REGION IX (415) 744-1089.'75 HAWTHORVE -ST. SAX FRANCISCO, CA 94105
SCAQMD EI, '60hEY -D'Rt-, DIMIOND. BA&, Chi' 9065
r
16. GENERATOR'S CERTIFICATION: I certify the materials described above on this manifest are not subject to federal regulations for reporting proper disposal of Hazardous Waste.
Printedlfypad Name Month Day Year
17. Transporter I Acknowledgment
of Receipt of Materials
MonthDay rear
Printedrryped Name - Signature '
18. Transporter 2 Acknowledgment Receipt Materials
of of
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19. Discrepancy Indication Space
lity Owner or Operator: Certificationof receipt of waste materials covered by this manifest except as noted in item 19.
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-GENERATOR'S COPY • MEMILA,
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State of California—Environmental Protection Agency • "'
Form Approved OMB No. 205070039 (Expires 9-30-99) u See Insirue}lolls on back Of'Pa9e 6. p Department of Toxic Substances Control
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CITY OF LA QUINTA
FINANCE DEPT.
1Generator's US EPA ID No. Manifest Document No.
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Information in the shaded areas
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UNIFORM HAZARDOUS
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B. .State Generator's ID
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LA QUINTA, CA 92253
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4. Generator's Phone (760) 777-7013
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15.'S ecial Handling Instructions and Additional Information
535-5053
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5. Transporter 1 Company Name , 6. US EPA ID Number \
C. State Transporter's ID [Reserved.]
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EPA REGION 'IX (415) 744. 11M; 75 HAWTHORNE. ST. ,' SAN FRANCISCO, CA 941.05, ti
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marked, and labeled, and are in all respects in proper condition for transport by highway according to applicable international and national•government regulations..
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9. Designated Facility Name and Site Address 10. US EPA ID Number .
G.' State Facility's ID ,
If I am a large quantity generator, I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I'have determined to be economical)y
have treatment, disposal to minimizes the future threat to human health
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and environment; quantity y�e good generation
to me and that I can afford.
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AZUSA, CA 91702 CAD 0 0191010171-61216
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16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are Fully and accurately described above by. proper,shippmg name and are classified packed
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marked, and labeled, and are in all respects in proper condition for transport by highway according to applicable international and national•government regulations..
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If I am a large quantity generator, I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I'have determined to be economical)y
have treatment, disposal to minimizes the future threat to human health
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practicable and that I selected the practicable method of storage, or currently available me which present -and
the OR, if I am a small generator, 1 11 made a faith effort to minimize my waste and select the best waste management method that is
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and environment; quantity y�e good generation
to me and that I can afford.
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17. Transporter 1 Acknowledgement of Receipt of Materials
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20. Facility Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19.
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Printed/Typed Name
Signature
Month Day . ,Year
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DO NOT WRITE BELOW THIS LINE. `
. �. Yellow: TSDF SENDS THIS COPY TO GENERATOR WITHIN 30, DAYS.
(Generators who submit hazardous waste for transport out-of-state,
DTSC 8022A (1/99) produce completed copy of this copy and send to DTSC within 30 days.)
EPA 8700-22
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"PROPOSAL"
EMERY LANDCLEARING AND GRADING, INC.
P.O BOX 1009
THERMAL, CA - 92274-1009
.7601391-5840FAX. 760/391-5839
LIC. #600283
JUNE 11, 2004
CITY OF LA QUINTA
78495 CALLE TAMPICO.
LA QUINTA, CA 92253
ATTN: MR. TOM HARTUNG
r 760x/77-7013
FAX: 760n77-7011
SUBJ: DEMOLISH REMOVAL OF HOUSE
80-020 VISTA GRANDE
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/SPA IF APPLICABLE
° 6: SITE TO BE LEFT AT GRADE UPON COMPLETION.
7. FENCING ALONG GOLF COURSE TO BE LEFT INTACT.
NOTES: 1. OWNER TO SUPPLY WATER FORPM-10DUST 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-AN-Y--BASEMENTS OR-BURIED-DEBRIS-LOC-ATED, ADDT --TONAL-COSTS _ ...._ TO BE DETERMINED ON-SITE
TOTAL PROPOSAL: $15,000.00DOLLARS
PAYMENT TO BE MADE AS INVOICED:
ACCEPTED BY:
EMERY E G /G ING, INC. C L UINTA
BY: / BY: ,
RY
TITLE: LOVICE PRESIDENT TITLE:
DATED: JUNE 11, 2004 DATED:
BID GOOD FOR 30 DAYS.
Fil
Project/Case4�'o�2-��L�- o0
and VACANCY WALKTHROUGH
Any and all personal property left on the project premises located at gwL a
hG `''►'. y I �2J. is to be considered abandoned as of 2[� o
AS EVIDENCE BY SIGNATURE AND DELIVERY OF KEYS I HEREBY AGREE THAT OCCUPANCY OF THE LISTED
ADDRESS HAS BEENABANDONED AND THATNO FURTHER ENTRANCE TO THE ABOVE ADDRESS WILL BE MADE.
X Q,c�o o� X y�& o.
Claimant(s) Name Claimants) Signat e Date
REPLACEMENT ADDRESS: �Ff'��� fuc,cy•
cauda 2)44eh Cst
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,
HAD BEEN REMOVED FROM THE ACQUISITION AREA EXCEPT FOR THE FOLLOWING:
Relocation. Representative. Date
❑ There are tenants remaining on this property. ❑ This property is now vacant)(Abandoned property remains
on site
PROPERTY MANAGEMENT
Keysgiven to: notes: ' ^`
Date: 44e- U
Received by :X
Overland,Pacific & Cutler, Inc. 07/03