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BDEM2016-000278-495'CALLE TAMP ICO D LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUIL D1 , D o Application Number: BDEM2016-0002 i C0 Property Address: 51081 AVENIDA RAMIREZ FEB U 1 20169 APN: 773061015 76 Application Description: GARCIA / EXISTING DWELLING COMPLETE DEMOL ION CITYOFLAQUINTA�p Property Zoning: COMM INTYDEVELOPMEMDEPARTM Application Valuation: $20,000.00 11111111111111111111 56 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 ARMANDO & STELLA ARTMOUTH _AVE :A 92201 Applicant: Contractor: MICAH COMBS MICAH COMBS 75-145 ST. CHARLES PLACE #4 75-145 ST. CHARLES PLACE #4 PALM DESERT, CA 92211 PALM DESERT, CA 92211 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: B License No.: 989014 Date: Z-^ �— Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that require's 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 Contractor's 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).: (_) 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 through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. B.&P.C. for this reason . Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's (760)574-9267 Llc. No.: 989014 Date: . 2/1/2016 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: tj k• 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.Xt! 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 issued. My workers' compensation insurance carrier and policy number are: UI,q Carrier: Policy Number: _ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 2 O Applicant:�( G'A.t,�Cn� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN'SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state I ws relating to uilding construction, and hereby authorize representatives.of this city t In upon t above-mentioned property for inspection purposes. Date: Z `�(� Signature(App licantorAgent) Description: GARCIA / EXISTING DWELLING COMPLETE DEMOLITION Type: DEMOLITION Subtype: SINGLE FAMILY Status: APPROVED -CONDITIONS Applied: 1/21/2016 MFA Approved: 2/1/2016 AOR Parcel No: 773061015 Site Address: 51081 AVENIDA RAMIREZ LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 73 Lot: 4 Issued: UNIT 9 Lot Sq Ft:.0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $20,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: COMPLETE DEMOLITION OF 1,205SF DWELLING INCLUDING ABANDONMENT AND REMOVAL OF PRIVATE SEWAGE SYSTEM IF NECESSARY. ASBESTOS ABATEMENT COMPLETE AND RECEIVED. 2013 CALIFORNIA BUILDING CODES. Printed: Monday, February 01, 2016 3:59:12 PM 1 of 2 • � 9?1YSTFiMS INSPECTIONS CONTACTS CITY STATE. ZIP PHONE FAX EMAIL NAME TYPE NAME ADDRESS1 APPLICANT MICAH COMBS 75-14S ST. CHARLES PLACE #4 PALM DESERT CA 92211 DUE DATE CONTRACTOR MICAH COMBS 75-14S ST. CHARLES PLACE #4 . PALM DESERT CA 92211 DATE OWNER GARCIA ARMANDO & STELLA 80876 DARTMOUTH AVE INDIO CA 92201 UNABLE TO ISSUE DEMOLITION PERMIT FOR INSPECTIONS BOND INFORMATION Printed: Monday, February 01, 2016 3:59:12 PM 2 of 2 c#?SYSTEtiiS REVIEWS RETURNED STATUS REMARKS REVIEW TYPE REVIEWER SENT DATE DUE DATE NOTES DATE 1ST BLDG NS (2 WK) AJ ORTEGA 1/21/2016 2/4/2016 1/21/2016 UNABLE TO ISSUE DEMOLITION PERMIT FOR ONLY PART OF THE DWELLING ENVIRONMENTAL REPORT (ABATEMENT HAS 2ND BLDG NS (1 AJ ORTEGA 1/28/2016 2/4/2016 2/1/2016 APPROVED - BEEN RECEIVED) AND CITY BUSINESS LICENSE FOR WK) CONDITIONS CONTRACTOR REQUIRED. BOND INFORMATION Printed: Monday, February 01, 2016 3:59:12 PM 2 of 2 c#?SYSTEtiiS MM 12 �1 Bin # Permit # BDZo�b.00e Project Address: S 16 61 Av Qty of La Q uin to Buildin. 8 -Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012-' Building Permit Application and Tracking Sheet �.� �Z wner's Name: P�At-,,) pc> (ZAA A. P. Number: �'13� Q. –O S Address: F_� �41 lnL'K Legal Description: City, ST, Zip: Contractor: ct r• A C Telephone: `l� OG �1 3M Address: "jry �1�5 Cl r S I–. Project Descriptio • t✓t �,v Q City, ST, Zip:yt� t�Fs-2 Com, I277-1 Telephone: c7 T o . cl _I�P P "314 9zcri State Lie. # : U �p 4 City Lie. Arch., Engr., Designer: Address: City, ST, Zip: Telephone: ' aneY n TY e• Occupancy: Construction P ie. # S t a Lie. Project type (circle one): New Add'n Alter Repair Demo Name 6f Contact Person: 1k . V-6, k�- c Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: timated Value of Project: 4"� K APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction ' Flood plain plan Plans resubmitted Mcchanieal Grading plan 2nd Review, ready for corrections/issue Electrical Subconlactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. 11.O.A. Approval Plans resubmitted Grading IN I10USE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Dale of permit issue School Pecs, Total Permit Fees 78-495 CALLE TAMPICO COMMUNITY DEVELOPMENT DEPARTMENT LA QUINTA, CALIFORNIA 92253 (760) 77.7-7125 FAX (760) 777-7011 DEMOLITION PERMIT REQUIREMENTS The following items are required prior to the issuance of a Demolition permit ./• Two sets of plans showing the complete scope of work. Proof of property ownership (e.g., Grant Deed). • Letter from property owner authoring demolition with scope of work. • Asbestos Report for all pre- 1979 Properties. If asbestos is present, proof of.removal by a licensed Asbestos Abatement Contractor. HOA Approval, if applicable. V • Public Works PM -10 Approval. • Building- Department Management Approval. • A construction waste management plan. per Section 4.408.1 of the California Green Building Standards Code.. . January 8, 2016 To Whom It May Concern: ADVANCED MAINTENANCE SERVICES RESIDENTIAL & COMMERCIAL JANITORIAL SERVICES. P.O. BOX 14171 PALM DESERT, CA 92255-4171 PHONE (760) 60.1-7939 Please consider this as a letter of authorization for the demolition of buildings on our property located at 51081 Avenida Ramirez as well as our adjacent .06 acre property, both in La. Quinta, CA 92253. Thank You, Armando & Stella Garcia 1 �i�j I' 45-90,74 �� �r ti ' q ',> la E q {� ' I � � • � ~ w � y� _ ' r w- '1.,.,./ �� � 1.....� �p'*.i irstAineflcan;-, my FirstAm° Property Profile , , CA Property Information --� Owner(s): ` –Garcia Armando & Stella Mailing Address: 80876 Dartmouth Ave, Indio, CA 92201 Owner Phone: Unknown Property Address: ; , CA Vesting Type: .Bedrooms: Alt. APN: 773061024 County: Riverside APN: 773-061-024 Map Coord: Pool: Census Tract: Lot#: 3 Block: Subdivision: Santa Carmelita Vale La Quinta Tract: Legal: .06 Acres M/L In Por Lot 3 Mb 018/069 Santa Carmelita Vale La Quinta Unit 9 Property Characteristics --� Imp Value: Use: Residential Lot Year Built / Eff.: f Sq. Ft. Zoning: Lot Size Ac / Sq Ft: 0.06/2614 # of Units: .Bedrooms: Bathrooms: Fireplace: # Rooms: Quality:. Heating: Pool: Air: Style: Stories: Improvements: Parking / #: / Gross Area: Garage Area: Basement Area: Sale and Loan Information Imp Value: Sale / Rec Date: *$/Sq. Ft.: 2nd Mtg.: Sale Price: T --1st Loan: Prior Sale Amt: Doc No.: Loan Type: Prior Sale Date: Doc Type: Transfer Date: Prior Doc No.: Seller: Lender: _-�---�—_-- . Prior Doc Type: *$/Sq. Ft. is a calculation of Sale Price divided by Sq. Feet. Tax Information . Imp Value: Exemption Type: Land Value: Tax Year / Area: 2014 / 020016 Total Value: $1,804 Total Tax Amt: $44.30 Tax Value: $1,804 Improved: Property Profile , , CA 2/1/2016 This report is only for the myFirstAm user who applied for it. No one else can rely on it. As a myFirstAm.user, you already agreed to our. disclaimer regarding third party property information accuracy. You can view it here: www.mvfirstam.com/Security/ShowEULA. ©2005-2016 First American Financial• Corporation and/or its affiliates. All rights reserved. RECORDING REQUESTED BY 11 AND WHEN RECORDED MAJL DOCUMENT AND TAX STATE-MENTTO: �{ NAME Arm" a a STREET F04740 b04MA A," ADDRESS CrTY, STATE & LACi i v 9 ZIA ' ?not ZIP CODE TFTLF ORDER NO. ESCROW NO. QUITCLAIM DEED TRA: / ///� APN: `7, 3 0((11©2_# - (7 2015-0369565 0a/19/2015 12:24 PR Fee: $ 23.00 Paye i of 1 Recorded in Official Records County of Riverside Peter Aldena Assessor -County Clerk -Recorder 111{t''�?iv. 11 ll!_. I"R R A Exam: Page DA PCOR Misc Long RFD 15t Pg Adtl Pg Cert CC SIZE `NCOR 'IMF, NCHG T: The undandWod !Zanto(s) dsdw*s) DOCUMENTARY TRANSFER TAX $ ❑ ootvpAad on fua value of propeAy , or oanvuted on f A value lass Betts and em unbrattces renwh kV at *ne of sale. Ur*worporvtodAm Cayo FAWWWON AWA;, (Insert Legal Dom) )/j 'pup, )__043 Val& k qu/�A Uri 9 DATED: �; / � bl0 (JU t'ezz A notary public or other after cwoe* g Otis certittc�a verifies ordy the dentfty of the indilridtW who signed the document to which this certificate is athiched, and not the trutttf less, mci racy, or vaf by of that document. Nam dm tom. Nalm STATE OF CAUFO)#41A COUNTY OF K i*[P C's\ On before me. t c (gess kom roma bite or the omm A 1 _ t _ in �1 . 10 n .� who proved to me on the basis of satisfactory evidence W be the persm(s) whose rrUT*s) jd1M subscribed to the within instrument WW ackrmkKlgW W me VW h&§Whey el6emded the same in b tr aMormd raelpacfity(res), and that by 016*Nmr signaaae(s) on Ute instrument the person(s), or the entity upon behalf of wldch the person(s) acted. w eaded the instnan mt I cw* ruder PENALTY OF PERJURY rurder the laws of the State of CMkn is that the foregoing paragraph is two and correct. V+ATNESS my hand and of8ta l seal. r. QAULHA SIMM Cottimisrtioa I 2107011 SignatureIS Nowt' pubk - Gelllw" (SEAL) AhW" CM* r MNL TAX STA AS DIRECTED ABOVE Cann. 20 ZOt9 v i?ECORPINIG REQUESTED BY AND WHEN RECORDED MAIL DOC) MEWrAND TAX STATEMENT TO' NAME Ar171,MV,0 t1*14 bZl/'GJIf ADDRESSSTREET CITY, STATE & i'l dl o I O f 2Zo / ZIP CODE QUITCLAIM DEED TRA: 2015-0252090 06/15/2015 02:02 PM Fee: $ 25.00 Paye 1 of 1 Recorded in Official Records County of Riverside Peter Aldana Assessor -County Clerk -Recorder 1111 M K M��0ki hi MR Ull 111 R A Exam: 0$ Page DA PCO Misc Long RFD 1st Pg Adtl Pg CertCC SIZE NCOR SMF NCHG T: The t o) des) DOCUMENTARY TRANSFER TAX $ ❑ computed on Poll value of property conveyed, or oo TIRO—W: on full value llew and enaimbrenpes r�naining at time of sale. Unincorporated Area CRY of FOR VALUABLE CONSIDERATION, receipt of which is hereby admowledged. I (We) Pablo Ganga & Antonia Garcia e«WCF, hereby miserelease and *Acbirn to Affnando Gama & Stella Gama ewEaF the folow ft described real property in the City of La Quinta Cou* of Riverside State of Califomia (51011 ven Ramirez, La Quinta,CA 92253 Dl� ob9 Vale LA Quin-�-a U �q DATED: ��_` /1' r Nanw r GI V { 19a ra 0 A notmy public or oiler offroer completing this whfcale verifies only the ider W of the individual who signed fherr�On i rCl doalment W which this =WicWe is althadted, and not mune the trtWuhress, acalracy, or rdft of that docummt STATE OF CALIFORNIA COUNTY OF R �\k(r'S t ck2_ On 0 C9 - t S - 2-0 r before me. LA r �r nen Rio) ;'C fly appy (new rrts�t mrne ano twe or etc V'1_61 d bl Fll.1 C G ,'l oft I o%. CA2ct who paved W me on the basis of satisfactory evidence to be the persons whose rmrne(s) ' subscribed to the within msstrument and acknowledged to me that 1)(a/sW" eocemded the same In fliauthorized capacity(ies), and that by h#*Aheir signaturo(s) on the erstrurnent the person(s), or the entity upon behalf of which the pen mt(s) acted. executed the irtst urnent. I certify under PENALTY OF PERJURY under the laws of the State of Cafrfomia that the foregoing paragraph is true and oomect. WITNESS my hand and official seal. 0. LAITINEN Commission # 1981510 -o Notary Public - Calilornla v S (SEAL) Riverside County My Comm. Expires Jul 8, 2016 MAL TAX STATBAENT AS DIRECTED ABOVE Q PaIrcuADIIVO taiLOuBBrr:O By rQd i 0 1 31 .ra r+.r wear no r.a ,0 7G � � + • r... Mr. S IIPF Pablo Gir'-fa Na :unirex Avunor. - � r Of 1♦ �•��. ( Lit tluintn, Calil'nrnla t BMC[ A60V9 THIS, LINB FOR IIBCOR0t1a•1111 USS �'- MAIL TAX STATEMENTS Til: 11,00 Hr. :nuf Mrs. Pablo Garcia 51 081 Hnmirea Avenue I:1 twiau, California, 923:,=1 p scaling air /A ' 1 Arra LH.S.1.13.2U rh'fnuSDarl.': l ,:lf , I i I r tl Grant Deed . , r in Ml C rola •oar VUSNIaKBD ar TIT1.9 IKauraflCa AND Tou4r COY/Allr 1 1111t A VALUABLE t'tINS{UI:ItAI'Irlti, rerript of rhirh is berabr acknorledBrd, IA)UIS E. TWMAS' +nul LONA L. TH(MA5. husband and wife, I 1 l i' I1 lu•rrhr CIIANT151 to i 'It t 1 PARA) CARCIA .rlt•I AvrONIA f•ANCIA, hus6nut: said wife, , of, JOINT TENANTS I , 1 16r foll—sup dracrtrd rral proprrtt act she IF i J C,,unr)••1 Niv,•rnitte Stas of California: .e Lot 4 In Hluek t'' tit' Unit No. 9 of Sarna Carmelita st Vele to " + 111in1u, as p,•r nc:p recorded in finok lit. page 1)9 of Mdps, records �' ��' it .,i said River.id•• County, Callf'nrnin, SUBJECT TO: ' a) N-ine general •rod spec-fal Canes for the fieval year 1967.196$}• It) Conditions. ruvenante, restrictions. reservations, rtghto of, way and euxtinvul s of reenrd.QJ j I I vbruary 19, )Ilya. Op. Itau I – 1 us E. Thtmte I i C) z z T, w}- ruL. Iry t �1,nYalN1� �� 1.dna Thomas. i aLA�Z rlrt-vv l II Orange } �Iw Ila FehrUaryD/J, 01.9 lrtmr m•, Its, ain't,.- o (, U r,an.d ., Nnu,v 1'uhlu• In ud Inc •tui Nus y,.r,ndlt rDw+n•I WO W W Loule .E. rhomab arld mAE.G bdtte E. Thtamas. OFw ►n.,rn d, mr ov"n•Ni. 'K�A.a.,f� W Q a 1. rhr prw+B •hn nmw.8 r/rL' .W1WdrJ w IM rI h HAYCIN C. SAWA �i+ d� unn umrnl mA rslm,rkdar,l, M i11i'1' rrn-urrd rhr unm, Nur+ur aJaIIC •C44/OA-A ' '+ (L, f+)UNCI�AL Oeel�a IM e•+ A'll YN+ m, ham) and .,.I oAawOR 00{iMTY` I i • � I LaVVV� MY i;o.�tYtM. LMYo M► 97. It+/4 I . I ' N.a. ITr{w1 a, 11,n1r 11 ,nr ,rr rr +•1J wsbl rW t ! •I 1 U Tide Order N•r. _ _FArrow or Loan Na.,–.. I t f .l v�il:A•y�' 1 - STEWART TITLE OF CA, S06,4022 1111712014 11:58AM IAXF RIVERSIDE 201415 TAX ROLL ENTERED APN: 773-061-015-2 INVESTIGATIVE SEARCH RESULTS CUSTOMER SERVICE REQUEST ONLY PAYMENTS AS OF 11/07/2014 SEARCH PARAMETERS Page 1 of 1 RIVERSIDE, PAGE 1 OF 1I 1V APN: 773-061-015-2 BILL: 000484376 MISC ASMN 1 151.20 020-021 - CITY OF LA QUINTA ACQ DATE: 10/1977 LNDSCP/LTG DOC#: 204613 LEG * LOT 4 BLK 73 MB 018/069 SANTA CARMELITA VALE LA QUINTA.UNIT 9 68-5859 MISC ASMNT SITUS: 51081 AVENIDA" RAMIREZ LA QUINTA CVWD AVLBLTY CNG IMP 55 68-1859 MISC ASMNT MAIL: P O BOX 373 LA QUINTA CA 92253 CSA 152 LA QUINTA 68-4612 MISC ASMNT .9.90 ASSESSED OWNER(S) 68-4556 2014-15 ASSESSED VALUES GARCIA ANTONIA LAND 3,670 GARCIA PABLO IMPROVEMENTS ADDITIONAL PROPERTY INFORMATION 26.835 TAX CODE: EXEMPTIONS(HO) USE CODE: [7,0001 PUI CODE: TAXABLE ACREAGE: 23,505 2014-15 TAXES 1ST INST 2ND INST TOTAL TAX STATUS OPEN OPEN DELINQUENT DATE 12/10%2014 64/10/2015 INSTALLMENT 266.28 266:28 532.56 PENALTY 26.63 64.13 90.76 BALANCE DUE 266.28 266.28 532.56 ASSESSMENT DETAIL FUND TYPE AMOUNT DESCRIPTION OF ASSESSMENT(S) 68-2375 MISC ASMN 1 151.20 LA QUINTA WASTE DISPOS 68-2373 LNDSCP/LTG 35.60 LA QUINTA LDSCP & LTG 68-5859 MISC ASMNT 30.00 CVWD AVLBLTY CNG IMP 55 68-1859 MISC ASMNT 9:98 CSA 152 LA QUINTA 68-4612 MISC ASMNT .9.90 REC AND PARK AD 93-1 68-4556 MISC ASMNT 6.06 COACHELLA VALLEY MOSQUITO & RIFA 242.74 TOTAL OF SPECIAL ASSESSMENTS ' ADDITIONAL PROPERTY INFORMATION TAX CODE: 0 USE CODE: R1 VESTING: NO PUI CODE: ACREAGE: STAMP AMOUNT: TAX RATE: 1.23309% END OF SEARCH 'ile://C:\Users\mmonroe\AppDatakRoaming\DTS21DTS2 4100\Content\06-066-ST-RV\r... 11/17/2014 ' Janua 21 2016 - CERTIFICATE OF .PROJECT COMPLETION PROJECT # 1605A 51-081 Avenida Ramirez, La Quinta, CA 92253 Project Name: Single Family Dwelling Date of Inspection: 01/21/2016 Project Address: 51-081 Avenida Ramirez Project Number. 1605A La uinta, CA 92253 q/ Owner/Client: Armando Garcia / Rue Construction . CAC/CSST: Scott C. MOrrison CAC# 92-0248 Final Inspection Area: Exterior Roof & Windows, Laboratory: Carolina Environmental, Inc. Interior Flooring throughout & from Bathroom and 3. Kitchen ✓ Materials Inspected: Transite Pipes, Window Putty PatINVLAP #: 101768-0 and Floor Tiles ✓ A. Please check surfaces conWlete'for visible ACM dust, debris or fiber residue: moor dventilation equipment o ductwork wdecon unit "orizontal surfaces Ights & fixtures "alls & ceilings Q4Qs/drums o remaining barriers :�auipment & flex ducts e/ipes o other.o registers gative air machines gAegative air filters o other: B. Work area clean-up observations: Yes No Comments: I . Wet cleaning completed q/ o 2. Abated surfaces encapsulated q/ o 3. Poly encapsulated & bagged ✓ o 4. Wet cleaning after poly removal ✓ o S. Inspection for visible dust & debris o/ o 6. Critical barriers intact o, a off- ct'v.'r-Gd fvr cx {Lrt'or w�-� 7. Work area ready for air testso %CACI w- o Qtoctd.#� -ornt 8. Negative pressure maintained during o ` ` ` ` , • v final inspectionfair clearances `' `` J t C. Waste disposal. Ye,� No Comments: 1. Asbestos double bagged/drummed o with amended water 2. Removed from site, containerized & a�, o labeled 3. Waste manifest used & NESHAP V/ o compliance 4. Transport by BDC Saecial Waste Services Explain all no responses. If applicable, explain why: 11117 '400-1 C hia Barron I.H. Monitor, CAC,r Contractor/Supervisor Name & Signature 0112112016_ Date .• Plan Submittal Job Site Owner's N Number, Street, or PO City, State, Postal C Owners Phone Nur Owners E -Mali Add Project Managers Project Manager's Phone N Project Managers E-mail A Builder / ContrE Number, Sheet or PO City, State, Postal C Project Square Building Permit Number. Project Description: SFR Exempt: 0 (Materials may contain hazardous wastes and are not subject to recycling provisions) Construction Debris Management Plan 1/2712016 51-081 Avenida Ramirez Armando Garcia P.O. Box 14171 Palm Desert, CA 92255 760.601-7939 advarwedilli ft nanoesendom rnsn.com Micah Combs 760-574-9267 mcombs®mmarc.com Micah Combs 75-145 St. Charles Place, Suite 4 Palm Desert, CA 92211 1152 sq ft City Approval ftJn Ube9�LA&16— -kk Date of City Approval Product Trash Asphalt Brick/Block Cardboard ConcreteRecyclable Commingled40.00 DrywallRecyclable Donated / Reuse'Recyclable Tons Not recyclable Product Recyclable Masonry (broken) Recyclable Plaster Recyclable Scrap Metal Recyclable Tile (floor) Tile (roof) Wood Landscape Debris 4.50 0.00 0.00 0.00 'Describe Items n Recycle Trash 6.511 4.5 Tons Projected Diversion: 59.09°ib 1 understand it Is the property owners responslbgity to submit copies of weight tickets or receipts to the District Environmental Coordinator as these hauls occur. l hereby certify that completion, Implementation and adherence of the Debris Management Plan (DMP) for the above named project shall guarantee that at least 50% of the jobsfte waste is diverted from landfilling. The remaining material will be recycled or reused. I will divert, for recycling or re -use, remaining materials generated from the first day of the project through the completion of the project In accordance with this plan. This DMP Is Issued In the name of the property owners) and shall remain their property throughout the construction and/or demolition project. A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMP is still Issued in the name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the DMP are adhered to. The property owner(s) and general contractor shall be kept informed of the diversion progress through bi-monthly reports. If self -hauling, all refuse material from this project site must be taken to an approved recycler or transfer Owner / Developer / Project Manager / Superintendent Date Construction Debris Management Plan Summary of Requirements As of January 1, 2011, The Green Building Standards Code (CALGreen) requires that the construction of most now structures in the State of California comply with sections 4.408 and 5.408 of the code in accordance with Assembly Bill 939 requiring that no more than 50% of jobsite waste be disposed of as trash at local land fill sites and transfer stations. Exceptions may be made for certain projects under certain conditions. The City of La Quints is committed to the highest level of environmental respect, to conserving our precious natural resources and setting an example to provide for a better world for generations to come. Recycling helps keep reusable resources out of landfills and will also reduce disposal costs. IMPORTANT: Burrtec Waste & Recycling Services is the City's franchise hauler. If you choose to self -haul any recyclables or trash, you must provide copies of all weight tickets and/or receipts from the transfer station, landfill, or recycler as the job progresses. Clean-up companies and other haulers are not permitted to haul waste or recyclables from the City of La Quinta. Self -haul weight tickets should be submitted to: Renado Gouldlock, District Environmental Coordinator - rgouldlock@burrtecdesert.com, or faxed to (760) 340-0417, or mailed to: 41575 Eclectic Street, Palm Desert, CA. 92260. SCOTT MORRISON & ASSOCIATES P.O. Box 55329 31855 Date Palm Drive, Ste. 3#507 Riverside, CA 92517 Cathedral City, CA 92234 (909)624-1665 (760)323-7743 ASBESTOS SURVEY REPORT Completed On December 19, 2015 PLM1217#0901 Client: Rue Construction P.O. Box 13810 Palm Desert, CA 92255 Attn: Noble Mandeville Project: 51-081 Avenida Ramirez La Quinta, CA (single-family home to be demolished) On December 17, 2015 an asbestos inspection and bulk sampling was conducted at the above project address. Bulk samples were taken of all suspect asbestos -containing materials at the request of the client named above. Bulk samples were taken/ analyzed by Scott Morrison & Associates (DOSH #92-0248) and submitted to Carolina Environmental, Inc. (upon request) 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 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 bF called for on additional samples to confirm or denounce the initial findings. The California Code of Regulations (CCR 1529) requires bulk sampling to 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 homogenous 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 C. Morrison, DOSH # 92-0248 The results on the following page(s) indicate that asbestos (greater than 1.0%) was detected in (03) of the (09) samples analyzed. (1) C: T 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 PLM1217#0901 Sample #AR -1 Type of material: ext. wall stucco/ tan -grey Location: ext. N. -central wall of house Area: throughout exterior walls 'Condition: good/ Friable: no Results: none detected Sample #AR -2 Type of material: ext. window caulking/ It. grey Location: ext. windows Area: approx. 5+ total windows Condition: damaged/ Friable: no Results: 2% Chrysotile asbestos Sample #AR -3 Type of material: rolled roofing & felt/ brown Location: roof above house Area: throughout roof (2 layers) Condition: good/ Friable: no Results: none detected Sample #AR -4 Type of material: 9" floor tile/ tan Location: hallway/ bedrooms -1s layer; J living room/ kitchen -bottom layer Area: approx. 700+ total sq. ft. Condition: good/ Friable: no Results: 5% Chrysotile asbestos Sample #AR -5 Type of material: tile mastic/ black Location: under sample #AR -4 Area: approx. 700+ total sq. ft. Condition: good/ Friable: no Results: none'detected Sample #AR -6 Type of material: 12" floor tile/ white -brown Location: bathroom (15laye) , kitchen (2nd layer) Area: approx. 150 total sq. ft. Condition: good/ Friable: no Results: 2% Chrysotile asbestos Sample #AR -7 Type of material: final wall coat/ It. orange Location: int. E. wall, living room Area: interiorwall-1" layer Condition: good/ Friable: no Results: <1.0% Chrysotile asbestos Sample #AR -8 Type of material: base coat plaster/ grey Location: int. E. wall, living room , Area: interior wall -2nd layer Condition: good/ 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 (760)323-7743 PLM 1217#0901 Sample #AR -9 Type of material: drywall only Location: int. walls & ceiling, NW add-on room Area: int. walls & ceiling, NW add-on room Condition: damaged/ Friable: no Results: none detected Note: There are two (2) transite pipes visible on the S. side of the roof that are presumed to be asbestos - containing. A � Inspector V Scott C. Morrison Certified Asbestos Consultant DOSH#92-0248 (3) * c a� * E Q) C L O U 7 L c C +, O U � L a_+ O 3 � N O U U c O Q) L- .0 o O C +, O U F— o.c Z o cn .c •- o E w O w� w v J O Q. L- 0 O U C C N O N j a> � a O U O C 7 O m rn -° Y c U ° v N L m v o E o °, U C C � O "= c c a w .� Z U U J Q m a� v r Tw O C ++ N c E �C U O O U N C - N U 3 N C N ar N a� O L -N 0 a L O ID O L 3 c -v W U O L d N L -V O C v E C 3 v L D L Z Q iL LUF- Fn Z 0 0 W 0 REVISIONS %'/ C .. o; OU - COP T' 2016 iF iF iF iF * it it iF � .� N N Z 0) c w rn d p 00 W p I +% Q L N U- O p �U �v +3 w c �- oo ti =UU E C d of o0o v ( d d U Q `t aNi � v toU U N +O+ EU 2 N to ~ U L a Ell CHECKED DATE 01-21-2016 SCALE 1/811= it- 0" JOB NO. 1521.00 SHEET NO. Dlol M t4 1 g z w 00 a