12-0123 (DEMO)4 4v
P.O. BOX 1504 ^�
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: C 2-000.00123- __ _ Owner:
Property'Address: 79125 HIGHWAY 111 LATORRE ROBERT N
APN: 649-030-078-2 -28525 - C/O TOM KELLY
Application description: DEMO - COMML/OTHER 83368- HIGHWAY 111
Property Zoning: REGIONAL COMMERCIAL INDIO, CA 92201
Application valuation: 20000
Contractor:
Applicant: Architect or Engineer: MONARCH CONSTRUCTION
10.01 DOVE STREET, SUI
NEWPORT BEACH, CA 926
(949)477-6150
�Cr Lic. No.: 777725
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
Lice a CI ss: Ci No.: 777725
.Date:
OWNER -BUILDER DECLARATION
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 requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the 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).:
(_ 1 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.).
(_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code:_ The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
' pursuant to the Contractors' State License Law.)
1 1 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 Address:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2 / 15/ 12
tT
6 CITY OF LA QUINTA
FINANCE OEPT.
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is-
f��L issued.
■'I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for, the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND IPolicy Number 7190000283
_ 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 11 Code, I shall ����Iy ththose provisions.
te• cantJ Jvt'�
WARNING: FAIL�ETOPSECURE 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 Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City.
of La Quinta, its officers, agents and employees for any act or omission'related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this co ty t enter upon t e above -mentioned '' y for inspection purpo s
Esate:!2�^��i ture (Applicant or Agent): �C �/✓�- I /
r7
LQPERA11T
N
Application Number
. . . . . 12-00000123
Structure Information
Construction.Type
. . . . . TYPE V, UNPROTECTED
Occupancy Type .
------------------------------------------------------------------------
. . . . . BUSINESS <50
Permit
DEMO PERMIT
Additional desc .
Permit Fee . . .
. 45,.00 Plan Check
Fee
.00
Issue Date
Valuation
. .
20000
Expiration Date
8/13/12.
Qty Unit Charge
Per
Extension
BASE FEE
45.00
-----------------------------------------------------------------------------
Special Notes and
Comments
INTERIOR WALLS DEMOLITION ONLY. 2010
CODES. ARCHITECT:
ROBERT RICCIARDI,C3808
Fee summary
Charged Paid Credited
Due
Permit Fee Total
45.00 .00
.00
45.00
Plan Check Total
.00 .00
.00
.00
Grand Total
45.00 .00
..00
45.00
LQPERMIT
jaJ"&M Envir..onmentaLCbntrol Group
ASSESWENT'I AIR MONITORING I PROJECT MANAGEMENT [REGULATORY COMPLIANCE-
14 monarch bay plaza, #470 monarch beach, ca 926291'phone: goo- 214.9959I f= 800-895-6522,1 email: jm@jmecg.com
February 6, 2012
Mr: Mike, Reinhardf
Torre Nissan
79125 California 111.
La Quinta,, California 92253
RE: Asbestos Sampling and Hazard Assessment.
Torre.Nissan
79125 California 11,1
La Quinta, California
To Whom. It May° Concern::
J&M Environmental. Control. Group performe& a asbestos "survey and, asses�sment'At the.
above referenced-property*on January 28, 2012. This report demonstrates the complete results of
our limited aurvey and assessment. WV.appreciate the opportunity to provide -you-with -our
services. Please feel free to contact us to discuss any portion -of this report. We.look forward to
providing you with environmental services.in the future.
Sincerely.,
Josko Agnie -
State of California
Certified Asbestos Consultant
Certificate No. 93-0908
A. Introduction
J&M Environmental Control Group (J&M) collected bulk samples from suspect, asbestos
containing materials in order to determine the presence (if any) of asbestos fibers prior to
scheduled remodeling project. The survey was conducted by Jo§ko Agni6, an (Environmental
Protection Agency) accredited building inspector and State of California, DOSH (Division of
Occupational Safety and Health) Certified Asbestos Consultant (93-0908) employed by J&M
Environmental Control Group (800-214-9959):
The result of the sampling and subsequent analysis determines that suspect asbestos containing
materials collected. and analyzed do not contain asbestos fibers. (See Appendix)
Occupational Safety and Health Administration (OSHA) Federal, State (CALDOSH) and local
regulatory agencies mandated that ACM regardless of quantity shall be handled (e.g. removal,
repair, etc.)- by Asbestos trained and qualified individual or Contractors. These identified ACMs
should be removed by State licensed Asbestos Abatement Contractors prior to any demolition or
construction activities, if these ACMs would be.disturbed or impacted.
F
B. Field Survey and Analytical Method
J&M's 'CAL DOSH Certified Asbestos. Consultant performed the sampling activity 'in
compliance with existing regulations. The survey included a visual inspection of all accessible
areas of the property. Adequate quantities of material to be sampled, about 1/2 square inch, were
obtained from suspect asbestos containing materials and placed inside a sterile airtight bag and
sealed.. All and each sample was then labeled with a J&M unique .identification number for
proper identification of each and every collected sample. Each sample was then logged on the
J&M chain of .custody sheet. Each sample container was then placed inside a larger sterile
airtight bag.
(It is possible at times that the laboratory had their owned chain of custody, and the receipt.of the
samples submitted would be indicated on their owned (other laboratory) forms).
The following briefly describes the standard laboratoryprocedures utilized. in the identification
of the mineral asbestos in a bulk sample, which is, done by microscopic analysis. Each and all
laboratory testing was conducted in compliance with the EPA Interim Method for Determination
of Asbestos in Bulk Samples (EPA-600/M4-20-020) per CFR 40 763. The samples were
visually examined for homogeneity,. and non -homogeneous samples were ground to ensure
homogeneity. The microscopic slides were prepared from each sample using a refractive index
liquid such as . triacetin and ethyl cinnamate having a refractive index of 1.550; 1-
bromonaphthalene and 1-Iodonaphthalene having a refractive index of 1.680; or, hydrogenated
terthenyl and 1-bromonaphthalene having a refractive index of 1.605. Each slide was then
examined for the presence of .asbestos utilizing Polarized Light Microscopy (PLM) and
Dispersion Staining techniques.
The.percentage of asbestos on each sample was estimated microscopically by visual examination
of fibers greater than 5 microns in length and with an:aspect ratio of 3:1 or greater. The identity .
,.
N
of asbestos fibers'was confirmed with appropriate refractive index liquids, and the application of
dispersion staining and *other techniques. The results are then tabulated and submitted as attached
(See Appendix). f
All samples collected were submitted to AmeriSci Los Angeles, 24416 S. Main Street Ste; 308,. ,
Carson, California 90745. AmeriSci is a NVLAP approved laboratory (NVLAP lab # 200346-0;
Cal,ELAP lab #2322) for asbestos analysis in accordance with existing applicable Federal, State
and local regulations.
C. ` Survey Results (Asbestos survey results are shown in Appendix)
No asbestos fibers'(bulk) were detected in the following sampled materials:'
• Floor Tiles and Mastic
• Base Cove and Mastic
• Drywall. and Joint Compound
• Ceiling Tiles
_ • Carpet Mastic
• Stucco Material
• Roofing Material
• Gray Roofing Mastic
• HVAC Sealant
D. • Regulatory Requirements ;
Current applicable Federal, State and Local statutes specifies work practice requirements for' .
demolition and/or renovation activities, and the associated disturbance of asbestos -containing
material, as well as the storage and disposal of asbestos -containing waste material. Proper
notification, removal techniques for asbestos -containing material, clean-up procedure's and waste
storage.. and disposal' requirements -are mandated in connection with renovation or demolition
activities. This survey was performed in' compliance with requirements of the Asbestos Hazard
Emergency Response Act (AHERA) 40 CFR 763, Cal/OSHA Asbestos Construction Standard
Title 8 CCR 1529, The South Coast Air Quality Management District (SCAQMD) Rule 1403, as
well as the National Emissions Standards for Hazardous Air Pollutants (NESHAP) 40 CFR 61.
Subpart M.
It is Federal, State and Local agency, requirements to maintain proof of compliance (asbestos
handling records) and disposal of. asbestos (waste chain of custody) by owner. Asbestos .
responsibility and ownership are forever. An EPA/State of California certified and approved
Asbestos Abatement Contractor and. Hazardous Waste. Hauler must perform " the asbestos
+ abatement and decontamination, and transport (haulers) to a State approved landfill
h
E. Recommendations
Based on the survey results, it- is the professional opinion of J&M that areas as surveyed and
sampled do not contain asbestos containing materials (ACM).
F. Inspection Limitation
This survey was conducted in conformance with EPA Guidelines. J&M utilizes established
practices and techniques in accordance with regulatory standards while performing this survey.
J&M cannot be responsible for changing conditions that may alter relative exposure risk or for
future changes in accepted methodology. J&M does not guarantee either expressed or implied
that all asbestos materials were sampled during this survey. J&M' was retained only to perform
the asbestos survey on accessible materials and the findings shall only be applicable to the
sample taken, the sample locations and the time that the sample(s) was/were collected. Finally,,
J&M shall not be held responsiblefor deficiencies; commissions, omissions and all other
particulars related to the services contracted herein..
If you.have any questions, please feel free. -to contact me at (800) 214-9959.
Sincerely,
JOSK0 AaNIC
ra STATE OF CAUFORNIA
.�m �ta WOWACanAW W
�..e..� Certlft etion No. 43 o9o8D
Josko Agnic
State of California
Certified Asbestos Consultant
Cert: 0-0908
Enclosed: PLM Bulk Asbestos Report with COC's
Drawing and Photographs
Consultant Certificate
AmedSci Los Angeles
' AAERI
24416 S. Main Street, Ste 308
Carson, California 90745
IVI_SCI
TEL: (310) 834-4868 - FAX: (310) 834-4772
PLM Bulk Asbestos,. Report
J & M Environmental Control Group Date Received
01/30/12 AmeriSci Job # 912011986
Attri: Jay Agnic Date Examined
01/31/12 P.O. #
14 Monarch Bay Plaza
Page 1 of 9 .
4470 RE: Torre Nissan;
79125 Califomia, LA Quinta, CA
Monarch Beach, CA • 92629
•Client No. / HGA Lab No.
Asbestos Present Total % Asbestos
012812-01 912011986-01 L1
No - NAD
Location:' Lunch Room / 12" Green F.T. w/Astic
(by CVES)
by Miguel Orozco
on 01/31/12*
Analyst Description:. Green, Homogeneous, Non -Fibrous, F1oor,Tile
'Asbestos Types:
Other Material: Non -fibrous 100
612812-01 , 912011986-01 L2
, No NAD
Location: Lunch Room / 12" Green F.T. w/Astic
(by CVES)
by Miguel Orozco
on 01/31/12.
Analyst Description: Yellow, Homogeneous, Non -Fibrous, Mastic
Asbestos Types:
Other Material: Non -fibrous 100
012812-02 912011986-02L1
No NAD
Location: File Storage Room / 12" Green F.T. w/Astic . ' (by CVES)
by Miguel Orozco
on 01/31/12
Analyst Description: Green, Homogeneous, Non -Fibrous, Floor Tile
Asbestos Types:
Other Material: Non -fibrous 100 % '
r
012812702 912011986-02L2
No NAD
Location: File Storage Room / 12" Green F.T. w/Astic (by CVES)
by Miguel Orozco
on 01/31/12
Analyst Description: Yellow, Homogeneous, Non -Fibrous, Mastic
Asbestos Types:
Other Material: Non -fibrous 100
012812-03 912011986-03
No NAD
Location: Advisers Office / 12° Green F.T. w/Astic'
(by CVES)
by Miguel Orozco
on 01/31/12
Analyst Description: Green, Homogeneous, Non -Fibrous, Floor Tile
Asbestos Types:
Other Material: Non -fibrous 100
Comment: Mastic Not Present
See Reporting notes on last page
AmeriSci Job #: 912011986 i
Page 2 of 9
'Client Name: J & M 'Environmental Control Group
° PLM Bulk Asbestos
Report
Torre Nissan; 79125 California, LA Quinta, CA
Client No. / HGA Lab No. Asbestos Present
Total % Asbestos
012812-04 912011986-04L1 •
No
NAD
Location: Lunch Room / 12" White F.T. w/Mastic
(by CVES)
by Miguel Orozco
on 01/31/12
Analyst Description: White; Homogeneous, Non -Fibrous, Floor Tile
'
Asbestos Types:
Other Material: Non -fibrous 100
012812-04 912011986-041-2
No
NAD
. Location: Lunch Room / 12" White F.T. w/Mastic
(by CVES)
by Miguel Orozco
on 01/31/12
Analyst Description: Yellow, Homogeneous, Non -Fibrous, Mastic
Asbestos Types:
Other Material: Non -fibrous 100
012812-05 912011986-051-1
No
NAD
Location: File Storage Room / 12" White F.T. w/Mastic
(by CVES)
by Miguel Orozco
on 01/31/12
Analyst Description: White, Homogeneous, Non -Fibrous, Floor Tile
Asbestos Types:
Other Material: Non-fibrous•100%
012812-05 912011986-051-2
No
NAD
Location: File Storage Room / 12" White F.T. wlMastic
(by CVES)'
by Miguel Orozco
on 01/31/12
Analyst Description: -Yellow, Homogeneous, Non -Fibrous, Mastic
Asbestos Types: .
Other Material: Non -fibrous 100 %
012812-06 912011986-06L1
No
NAD:
Location: Advisers Office / 12" White F.T. wlMastic
(by CVES)
by Miguel Orozco
on 01/31/12 .
Analyst Description: White, Homogeneous, Non -Fibrous, Floor Tile
y
Asbestos Types: ;
Other Material: Non -fibrous 100 %
012812-06 912011986-061_2
No
NAD
Location; Advisers Office / 12" White F.T. w/Mastic
(by CVES)
by Miguel Orozco
on 01/31/1.2
Analyst Description: Yellow; Homogeneous, Non -Fibrous, Mastic
Asbestos Types:
Other Material: Non-fibrous.100
See Reporting notes on last page
AmeriSci Job #: 912011988
Page 3 of 9
' Client Name: J & M Environmental Control Group
PLM Bulk Asbestos
Report
^ - . Torre'N'issan; 79125 Califomia, LA Quinta, CA
°
' -Client No. / HGA Lab. No. ' Asbestos Present
Total % Asbestos, .
012812-07 912011986-07
No
NAD
Location: Lunch Room / Base Cove & Mastic.
(by CVES)
by Miguel Orozco
on 01/31/12_
Analyst Description: Green, Homogeneous, Non -Fibrous, Bulk Material
Asbestos Types: f
,
Other,Material: Non -fibrous 100 % '
012812-08 912011986-08
No
NAD
Location: File Storage Room l Base Cove & Mastic
(by CVES) r
by Miguel Orozco
on 01/31/12 i
Analyst Description: Green, Homogeneous, Non -Fibrous, Bulk Material
Asbestos Types:
Other Material: Non-fibrous;100
012812-09 912011986-09
No
NAD '
Location: Advisers Office / Base Cove & Mastic
(by.CVES):
s
by Miguel Orozoo
on 01/31/12
Analyst Description: Green, Homogeneous, Non -Fibrous, Bulk Material
'Asbestos Types:
Other Material: Non -fibrous 100%
012812-10 912011986-10.1
No
NAD
Location: File Storage Room / Drywall & Joint Comp.
(by CVES)
by Miguel Orozco
on 01/31/12
Analyst Description: Brown/White. Heterogeneous, Fibrous, Drywall
Asbestos Types:
_
,Other, Material: Cellulose 15 %; Non -fibrous 85 %
012812-10 912011986-10.2 '
No
NAD
Location: File Storage Room / Drywall & Joint Comp.
(by CVES)
by Miguel Orozco,.
on 01/31/12
.Analyst Description: White, Homogeneous, Non -Fibrous, Joint Compound
Asbestos Types:
Other Material: Non -fibrous 100
012812-11 912011986=1.1.1
No
NAD
Location: Lunch"Room /Drywall & Joint Comp.
(by CVES)
by Miguel Orozco
on 01/31/12
Analyst Description: Brown/White,.Heterogeneous, Fibrous, Drywall
Asbestos Types:
' Other Material: Cellulose 15 %, Non -fibrous 85
See Reporting notes on last page
AmeriSci Job #: 912011986 -
Client Name: J & M Environmental Control Group
PLM Bulk Asbestos Report.
'Torre Nissan; 79125 California, LA Quinta, CA
Client No. / HGA Lab No. Asbestos Present
Total %Asbestos
012812-11 912011986-11.2 .
No
NAD
Location: Lunch Room / Drywall & Joint Comp.
(by CVES)
by Miguel Orozco
on 01/31/12
Analyst Description: White, Homogeneous, Non-Fibrous,.Joint Compound
'•
Asbestos Types:
Other Material: Non -fibrous 100
012812-12 912011986-12.1
No
NAD
Location: Finance Mng. Office / Drywall & Joint Comp.
(by CVES)
by Miguel Orozco
'on 01/31/12
Analyst Description: Brown/White, Heterogeneous, Fibrous, Drywall
Asbestos. Types:
Other. Material: Cellulose 15 %, Non -fibrous 85 %
012812-12 912011986-12.2
No
NAD
Location: Finance Mng: Office /.Drywall & Joint Comp.
(by CVES)
by Miguel Orozco
on 01/31/12
Analyst Description: White, Homogeneous, Non -Fibrous, Joint Compound
Asbestos Types: ,
Other Material: Non -fibrous 100 %
012812-13 912011986-13.1
No .
NAD
Location: Janitors Closet ! Drywall & Joint Comp.
(by CVES)
by Miguel Orozco
on 01/31/12
Analyst Description: Brown/White, Heterogeneous, Fibrous, Drywall
Asbestos Types:
Other Material: Cellulose 15 %, Non -fibrous 85
012812-13 912011986-13.2
No
NAD
Location: Janitors Closet / Drywall & Joint Comp.
(by CVES)
by Miguel Orozco
on 01/31/12
Analyst Description: White, Homogeneous, Non -Fibrous, Joint Compound
Asbestos Types:
Other Material: Non -fibrous 100
012812-14 912011986-14.1
No
NAD
Location: Advisors Office / Drywall & Joint Comp:
(by CVES) -
'
by Miguel Orozco
on 01/31/12
Analyst Description: Brown/White, Heterogeneous, Fibrous, Drywall
Asbestos Types:
Other Material:. Cellulose 15 %, Non -fibrous 85 %
,
See Reporting notes on last page
AmeriSci Job #: 912011986 .
Page,S of.9
Client Name., J & M Environmental Control Group
PLM Bulk Asbestos
Report'
,
Torre Nissan; 79125 California, LA Quinta, CA
Client No. / HGA Lab No. Asbestos Present
Total % Asbestos
012812-14 912011986-14.2
No
NAD
' Location: Advisors Office / Drywall & Joint Comp.
(by. CVES)
�.:
by Miguel Orozco
on 01/31/12„ '
Analyst Description: White, Homogeneous, Non -Fibrous; Joint Compound
` Asbestos Types:
,
Other Material: Non -fibrous 100
0.12812-15 912011986-15
No
NAD
Location: Lunch Room / Ceiling Tile (2x2)
(by CVES)
-
by Miguel Orozco
on 01/31/12
Analyst Description: Grey/White. Heterogeneous, Fibrous, Bulk Material
;
• Asbestos Types:
Other Material: Cellulose 60 %, Fibrous glass 10 %,, Non -fibrous 30 %
012812-16 912011986-16
No
NAD
Location: Finance Mng. Office / Ceiling Tile (2x2)
(by CVES)
by Miguel Orozco.
on 01/31/12
Analyst Description: Grey/White, Heterogeneous, Fibrous, Bulk Material
Asbestos Types:
Other Material: Cellulose 60 %, Fibrous glass 10 %, .Non -fibrous 30 %
.
012812-17 M 912011986-17
No
NAD
Location: Vending Area /. Ceiling Tile (2x2) ,
(by CVES)
by Miguel Orozco
on 01/31/12
Analyst Description: Grey/White, Heterogeneous, Fibrous, Bulk Material
Asbestos Types:
' Other Material: Cellulose 60 %, Fibrous glass 10 %, Non -fibrous 30 %
012812-18 912011986-18
No
NAD '
Location: Advisers Office'/ Ceiling Tile (2x2)
(by CVES)
-
by Miguel Orozco
on 01/31/12
Analyst Description: Grey/White, Heterogeneous, Fibrous, Bulk Material .
Asbestos Types: t .
Other Material: Cellulose 60 %, Fibrous glass 10 %, Non -fibrous 30 %
012812-19 912011986-19
No
NAD' /
Location: Parts Room Area /Ceiling Tile (2x2)'
(by CVES)
by Miguel Orozco .
on 01/31/12
Analyst Description: Grey/White, Heterogeneous„ Fibrous, Bulk Material
Asbestos Types:
Other Material: Cellulose 60 %, Fibrous glass 10°, Non -fibrous 30
See Reporting notes on last page
AmeriSci Job #: 912011986 -. ' Page 6 of 9 "
Client Name: J & M Environmental Control Group
PLM Bulk Asbestos Report
Torre Nissan; 79125 California, LA Quinta, CA
Client No. / HGA Lab No. Asbestos Present Total % Asbestos
012812-20 912011986-20 No NAD
Location:. Finance Mng - Office / Carpet Mastic (by CVES).
by Miguel Orozco
on 01/31/12
Analyst Description: Yellow, Homogeneous, Non -Fibrous, Bulk Material
Asbestos Types:
Other Material: Non -fibrous 100 % .
012812-21- 912011986-21
No
NAD
Location: Bussines Office / Carpet Mastic
(by CVES)
by Miguel Orozco
on 01/31/12
Analyst Description: Yellow, Homogeneous, Non -Fibrous, Bulk Material
Asbestos Types:
Other Materlal• Non -fibrous 100
012812-22 9,12011986-22
No
NAD
Location: Finance Office / Carpet Mastic
(by CVES)
by Miguel Orozco
on 01/31/12
Analyst Description: Yellow, Homogeneous, Non -Fibrous, Bulk Material
Asbestos Types:
Other Material: Non -fibrous 100 %
012812-23 . 912011986-23.1 _
No
NAD
Location: Outside Wails / Stucco Material
(by CVES)
by Miguel Orozco ..
on 01/31/12
Analyst Description: Light Blue/White, Heterogeneous, Non -Fibrous, Cementitious,
Skim Coat
Asbestos Types:
- Other Material: Non -fibrous 100 %
012812-23 912011986-23.2
No
NAD
Location: Outside Walls / Stucco Material
(by CVES)
by Miguel Orozco .
on 01/31/12
Analyst Description: Grey, Heterogeneous, Non -Fibrous, Cementitious, Stucco
Asbestos Types:
Other Material Non -fibrous 100 %
012812-24 .912011986-24.1
No
NAD
- Location: Outside Walls / Stucco Material
(by CVES) .
.
by Miguel Orozco
on 01/31/12
Analyst Description: Light Blue/White, Heterogeneous, Non -Fibrous, Cementitious, Skim Coat
'
Asbestos Types:
Other Material: Non -fibrous 100
See Reporting notes on last`page
3
AmeriSci Job #: 912011986 Page 7 of 9
Client Name: J & M Environmental Control'Group
PLM Bulk Asbestos Report
Torre Nissan; 79125 California, LA Quinta, CA
Client No. / HGA Lab No. Asbestos Present
Total % Asbestos
012812-24 912011986-24.2,
No
NAD
Location: Outside Walls_ / Stucco Material
(by CVES) +
by Miguel Orozco
`
on 01/31/12
Analyst. Description: Grey, Heterogeneous, Non -Fibrous, Cementitious, Stucco
Asbestos Types:
Other Material: Non -fibrous 100
012812-25 912011986-25.1
No
NAD
Location: Outside Walls / Stucco Material
(by CVES)
by Miguel Orozco .
on 01/31/12
Analyst Description: Light glue/White, Heterogeneous, Non -Fibrous, Cementitious, Skim Coat
Asbestos Types:
Other Material: Non -fibrous 100
012812-25 912011986-25.2
No
NAD
Locatiow. . Outside Walls / Stucco Material
(by CVES)
by Miguel Orozco
on 01/31/12
Analyst Description: White, Heterogeneous, Non -Fibrous, Cementitious, Stucco
Asbestos Types:
Other Material: Non -fibrous 100
012812-26 912011986-26
No
NAD
Location: Roof / Roofing Material
(by CVES)
by Miguel Orozco
on 01/31/12
Analyst Description: Grey/Black, Heterogeneous, Fibrous, Bulk Material, `
Asbestos Types:
Other Material: Cellulose 15 %, Fibrous glass 5 %, Non -fibrous 80
012812-27 912011986-27
No
NAD
Location: Roof / Roofing Material
(by CVES),
., .
by Miguel Orozco
on 01/31/12 . •
Analyst Description: Grey/Black, Heterogeneous, Fibrous, Bulk Material
Asbestos Types:
Other Material: Cellulose 15 %, Fibrous glass 5 %, Non -fibrous 80
012812-28 912011986-28
No
NAD
Location: Roof / Roofing Material `
(by CVES
by Miguel Orozco
on 01/31/12
Analyst Description: Grey/Black, Heterogeneous, Fibrous, Bulk Material
Asbestos Types:
;
Other.Material: Cellulose 15 %, Fibrous glass 5 %; .Non -fibrous 80
See Reporting notes on last page
AmeriSci Job #: 912011986
Page 8 of 9
Client Name: J & M Environmental Control Group
PLM Bulk Asbestos Report.
;
Torre Nissan; 79125 California, LA Quinta, CA
Client No. / HGA- Lab. No. Asbestos Present
Total % Asbestos
012812-29 912011986-29. No
NAD
Location: Roof (Penetrations) (Fleshings) /Gray Roofing Mastic _
(by CVES)
by Miguel Orozco
on 01/31/12
Analyst Description: Grey/Black-, Homogeneous, Non -Fibrous, Bulk Material
Asbestos Types:
Other Material: Cellulose 5 %, Non -fibrous 95
012812-30 912011986-30 No
NAD
Location: Roof (Penetrations) (Flashings) / Gray Roofing Mastic.
(by CVES)
by Miguel Orozco
on 01/31/12
Analyst Description: Grey/Black, Homogeneous, Non -Fibrous, Bulk Material
Asbestos Types:
Other Material: Cellulose 5 %, Non -fibrous 95 %_
012812-31 91201,1986-31 No.
NAD
Location:' Roof (Penetrations) (Flashings) / Gray Roofing Mastic
(by CVES)
by Miguel_Orozco
on 01/31/12
Analyst Description: Grey/Black, Homogeneous, Non -Fibrous, Bulk Material
Asbestos Types:
Other Material: Cellulose 5 %, Non -fibrous 95 %
012812-32 91201198.6-32 No
NAD `
Location: Roof HVAC Ducts / HVAC Sealant
(by CVES)
by Miguel Orozco
on 01/91/12
Analyst Descriptlon: Tan/White, Homogeneous, Non -Fibrous, Bulk Material '
Asbestos Types:
Other Material: Non -fibrous 100 %°
012812-33 912011986-33 No
NAD
Location: Roof HVAC Ducts / HVAC Sealant
(by CVES)
by Miguel Orozco
on 01/31/12
Analyst Description: Tan/White, Homogeneous, Non -Fibrous, Bulk Material
Asbestos Types: ,
Other Material: Non -fibrous 100
012812-34 912011986-34 No
NAD
^ Location: Roof HVAC Ducts / HVAC Sealant
(by CVES)
by Miguel Orozco
on 01/31/12
Analyst Description: Tan/White, Homogeneous, Non -Fibrous, Bulk Material
Asbestos Types:
Other Material: Non -fibrous 100 0/6
See Reporting notes on last page
AmeriSci Job #: 912011986" Paige'9 of 9
Client,Name:'J & M Environmental Control Group .
PLM Bulk Asbestos Report
Torre Nissan; 79125 California, LA Quinta, CA
g
Reporting Notes:
Analyzed By: Miguel Orozco ate Analyzed: 1/31/2012 !+ 1 Z
•NAD = no asbestos detected; Detection Li <1%; Reporting Limits: CVES =1 %, 400 Pt Ct = 0.25%, 1000 Pt Ct = 0.1%; NA = not analyzed; :NA/PS
= not analyzed! positive stop; NVA = No Visible Asbestos; PLM (polarized light microscopy) Bulk Asbestos Analysis:by EPA 600/M4-82-020 per 40
' CFR 763 (NVLAP Lab #200346-0, CA ELAP lab #2322); Note: PLM is not consistently reliable in detecting asbestos in floor coverings and similar NOB.
• materials. TEM is currently the only method that can be used to determine if thls.materlal can be considered or treated as non•asliestos-containing In
New York State (also ee EPA Advisory for floor tile; FR 59; 146, 38970, 811194). NIST Accreditation requirements mandate that this report must not be
reproduced except in u11 with the appro*161 the laboratory. This PLM report relates ONLY to the Items tested.
Reviewed By._
odo�
x Asbestos, Lead Analysis Chain of Custody AMERISCI Los ANGELES
A MERI S CI MEwSct JOB A' 24416 S Main St. Suite 308
Carson, CA 9074$
�www.amerisci.com q I� Phone (310) 8344868
Fax (310) 83"772
COMPANY:
ADDRESS:
PROJECT INFORMATION
_
ANALYSIS
TYPE
TURNAROUND TIME
AIR FILTER
Ruses
-24 HR
48 HR
72 HR
5 DAY.
. _INFORMATION:
JOB N ,y /)
. i , !`�
AsBESTOS TEM AHERA
MCE
AseESTOS PLM BULK`
.0
JOB NUMBER:
ASBESTOS PCM AIR
25 mm .
ASBESTOS PLM 1000 P.C.
37 mm
JOB MANAGER:
LEAD AIR
10.45 um _
LEAD WIPE
0.80 um
JOB DESCRIPTION:
LEAD PAINT SOLID
TEMP:
OTHER:
OTHER:
INITIAL RESULTS DELIVERY:. &FiAIL O VERBAL ❑ MAIL ONLY
RETURN SAMPLES YES
REPORTS TO: _
PHONE:
INVOICE Ta:'
FAX
COMMENTS:�� ,
(/
PAGER/CELL:
SAMPLE ID
SAMPLE LOCATION
START
TIME
STOP
TIME
TOTAL LITERS _ TOTAL
TIME /MIN. — VOLUME
AREA
SQUARE FT
771
SAMPLE /. DATE/TI :
. RE WED BY: DATE/TIME:
RELINQUISHE DAT
PtEIVED Y� .� DATE/TIME:
RELINQUISHED BY: 1TEITIM
IREIYED IN LAB BY: J�DA E/TIME,
Asbestos, Environmental Chemistry and Microbiology Analysis
I , Boston Los Angeles New York Richmond Page - If
&M EnJironmental Control Group
ARM,
ASSESSMENT I AIR,IMONITORINC I PROJECT MANAGEMENT 1 RECULATORY COMPLIANCE
14 monarch bay plaza;:A70 monarch beach, ca 926291 phone~ 900-214.99591 fax- 80"9545221 e-mail. jmpjmecg oom
'SAMPLE CHAIN OF CUSTODY FORM
Client Name
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111, Job#:
Project Name
SAMPLE# N
SAMPLE LOCATION
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Total Number of Samples:
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BU -OLD AIR -:. TA "` AIR PAINT WIPE SOIL
RELINQUISHD
BY
RECEIVED BY:
DATE/TIME:
RELINQUISHED BY:
DAT&TIME: -
RECEIVED BY:
1 l AM ) LP/) DATEMMB:
)&M Environmental Control Group
ASSESSMENT I AIR NIGN(TOR ING I PROJECT MANAGEMENT I;REGUTATORY.COMPLIANCE .
14 monarch bay p1aza,#470 monarch beach, ca 926291 phone- 800-2149959I fax 8"5 65221 waif jm®jmecgcom
SAMPLE CHAIN OF CUSTODY FORM
Client Name:, 67 Date:-
Project:Name,
ASBESTO Al +BULK lr OLD AIR TAPE. LEAD' •AIR PAINT WIPE SOIL'
Total Numbe of Salnples: ltelinquished`vla: ' - Page: _ of 2
RELINQUISHED BY' •' _ TEMME: ,
RECEIVED BY: itnvl: TEMME:
1
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N,urrs
FIN INCH fp-.Z(�'� F
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12 - ..
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PHOTO NO. 1: Front of the Dealership
PHOTO NO.2: Back of the Dealership
PHOTO NO.3: Back of the Dealership
Bin/#•��
v
City of L Quinl.Q
Building & Safety Division
P.O. Box 1504, '78-495 Calle Tampico •
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
d�
Project Address:
A. P. Number:
F�ddress
Legal Description:
Contractor: C '
rf
s;City, ST, Zip: ZZ-
min.
:.::° >"
Telephone:,, a< f tcr.' '.� +xi
Address:
Project Description: e 0
City, ST, Zip:
L I !
Telephone: �;F�e,�;.;;• •;�;;>'::<.::�'.:�� ...i�;�,Y.::.
State Lic. # : City Lic. #:
Arch., dd fZ1p (
Address:
op b ei ' (*
*?
j
City, ST, Zip,l L( 1N1
Telephone:
601 -111, (
State Lic. #: G"
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Jy` a 4hf'~ •,;
ter:.,>J.:i:>y ;�:,<Jvf:>
',' M?�!
COnStrUchOR Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Fy(bl WVJ
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Perso : ® Mae
lEstimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACIONG
PERMIT FEES
4)
Plan Sets
Plan Check submitted
Item Amount
Structural Cults.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
200 Review, ready for correction ue
Electrical
Subcontactor List
Called Contact PersonJPja
mbiag
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review, ready for correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
• �e7