HomeMy WebLinkAboutRIVERSIDE STREET 19955_07-00003033 s
City of Lake Elsinore
130 South Main Street
PERMIT
PERMIT NO : 07- 00003033 DATE : 10/29/07
JOB ADDRESS 19955 RIVERSIDE ST
DESCRIPTION OF WORK DEMOLISH ALL OTHERS
OWNER CONTRACTOR
ABUSAMRA ADEL OWNER
ABUSAMRA FOUZIEH
A . P . 4 . . . . . 347- 110- 016 9 SQUARE FOOTAGE 0
OCCUPANCY GARAGE SQ FT
CONSTRUCTION . FIRE SPRNKLR
VALUATION ZONE . . . NA
------------- _------------------------------ -------------------- --
_ DEMOLITION PERMIT
QTY UNIT CHG ITEM CHARGE
1 . 00 X 30 . 0000 DEMO PERMIT PER UNIT 30 . 00
1 . 00 X 5.. 0000 PROFESSIONAL DEV FEE 5 . 00
----------------------------------- ------------------------------ --
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
------------------------
DEMOLITION PERMIT 35 . 00 . 00 35 . 00
OTHER FEES
--------------------------
PLAN RETENTION FEE . 50 . 00 . 50
TOTAL 35 . 50 . 00 35 . 50
SPECIAL NOTES & CONDITIONS
-----------------------------
DEMO BARN
T..anc ri:s+n1 ' t ntmiM rl—t t a.Mt.t 0
City of Lake Elsinore Please read and initial
Building Safety Division 1.1 am Licensed under the provisions ofnusiness and professional Code Section 7000 et seq.and
my license is in full force.
Post in conspicuous place /'�a QI,as owner ofthe property,or my employees wtwages as their sole compensation will do the work
on the job / and the structure is not intended or offered for sale.
3.],as owner ofthe property,am exclusively contracting with licensed contractors to construct the
You must furnish PERMIT NUMBER and the project.
JOB ADDRESS for each respective inspection: 4.I have a certificate ofconsent to seifinsure or a certificate of Workers Compensation Insurance
Approved plans must be on job or a certified copy thereof
at all times: /5.1 shall not employ any person in any manner so as to become subject to Workers Compensation
R --�Laws in the performance ofthe work for which this permit is issue(L
Note:Ifyou should become subject to Workers Compensation after making this certification,
Code Approvals Date Inspector you must forthwith comply with such provisions or this permit shall be deemed revoked.
ELO I Temporary Ele'tric Service
PLO 1 Soil Pipe Underground
EL02 Electric Conduit Underground
BPO1 lFootings
BP02 ISteel Reinforcement
BP03 Grout
BP04 Slab Grade
PLO 1 Underground Water Pipe
SSO I Rough Septic System
SWO1 on Site Sewer
BPO$ I Floor Joists
BP06 Floor Sheathing
BP07 Roof Framing
BP08 Roof Sheathing
BP09 Shear Wall&Pre-Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
EL04 Rough Electric Wiring
EL05 Rough Electric/ T-Bar
MBO 1 Rough Mechanical
ME02 Ducts,Ventilating
PL04 Rough Gas Pipe/Test
PL02 Roof Drains
BP1O Framing&Flashing
BP 12 insulation
BP13 I Drywall Nailing
BPI l Lathing&Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 lFinal Building 1 t3 7
Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
P001 Pool Steel Rein./Forum buildin bein released by the City
Poo 1 Pool Plumbing/Pressure Test
P003 Pre-Gunite Approval Date Inspector
EL06 Rough Pool Electric . Planning
Sub list Approval Landscape
P004 Pool Fencing/Gates/Alarms Finance
P005 Pre-Plaster Approval Engineering
P009 Final Pool/Spa
-- C •
zt of Lake
Elsismre o
130 south MW st;i ftt
APPLICATION FOR APPLICATION o.
BUILDING PERMIT I . �3
AP CATION RRCSIyy�D
DATE Q ,4r 4�
VALUATION CALCULATIONS
1st FLOOR 13 IL RESS
_SF
2nd FLOOR
TR CTI
SF B OC p G 0 k
3rd FLOOR SF A
D
GARAGE
W
�SF N A
STORAGE gF R C
DECK E,BALCONIES I
_SF wl aectfan 7000)of dJsRafan 8 ofUte buafne and professions cade,and my
OTHER: C Ifaensa Is In ruff force and effect.
. -------- 0 LICENSE
N AND CLASS CITY BUSINESS
TAX#
VALUATION: T •
R
A AIL
FEES C ADDRESS
T C TY STATEIZIP
BUILDING PERMIT 0 P ONE
i R Co R CTO
RE DAT
PLAN CHECK
PLAN REVIEW A ICE SE
R MAL G
SEISMIC C ADDRESS
H iTY TATEIZ P E
PLAN RETENTION ff NEW
occ GRP•f cortst.
Q Af1DITION DlWsfoN:
U ALTERATION NUMBER OF TYPE:
MOTHER NUMBER of
STORIES: BEDROOMS;
M SINGt E FAMILY ZONE:
TS
D I certify that I have read this application and state that the ❑APARTMENIU
above Information is correct.I agree to comply with all city Q CaND014tfNIUfvIS HAZARD
❑TOWN HOMES .AREA 2 YES
and county ordlnarices and state laws relating io bultding NO
construction,and hereby authorize representatives of this COMIMERCIAL SPRINKLERS YES
city to enter upon the above-mentioned property for Insp- 0 INDUSTRIAL REQUIRED 2 NO
lion purposes. C]REPAIf2 PR�PO$ED USE 4F BLDG:
Q DEMOLfSFt PRESENT USE OF BLDG:
JOB DESCRIPTION
Signature of Appllaant or Agent Date
Agent for ❑ contractor ❑ owner
Agents Name
Agents Address
Street City. State Zip
10/22/2007 01:15 7603237743 PAGE 02
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
October 22, 2007
PLM.1016#1101
Client; Adel Abufsamra
32655 Rachel Circle
Dana Point, CA 92629
Project: 19955 Riverside Street
Lake Elsinore, CA
(barn only)
On October 19, 2007 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. Bulk samples were submitted to Carolina Environmental, Inc, located
at 107 New Edition Court in Cary, NC (NVLAP Code 10176t3-0 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 tight 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) rNuires bulk sampling be conducted according to the A.H.E.R.A, protocol
provisions of 40 CFR Part 763,56, 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 C. Morrison, DOSH#92-0248
BULK SAMPLES ANALYZED BY: Carolina Environmental, Inc., NVLAP#101768-0
The results on the following page(s) indicate that asbestos was detected in 00 of the 06 samples
analyzed,
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10/22/2007 01:15 7603237743 PAGE 03
SCOTT MORRISON & ASSOCIATES
P'0.BOX$5329 31855 pate Palm Drive, Ste, 3 4507
Riverside„ CA 92517 Cathedral City, CA 92234
(909)624-1665 (760)323-7743
PLM1019#0601
Sample#Abu-1 Type of material.roof shingle/brown
Location: roof above barn
Area:approx. 1,500 sq, ft.
Friable= Results' none detected
Sample#Abu-2 Type of materiaE textured drywall
Location:interior central wall
Area:interior central wall
Friable-.no Results: none detected
Sample#Abu-3 Type of material-ceifng stucco
Location-.interior Central ceiling
Area:interior central ceiling (over drywall)
Frlable:no Results: none detected
Sample#Abu4 Type of material:12"floor We/beige
Location:bathroom floor
Area: approx. 30 sq, ft.
Friable:no Results: none detected
Sample#Abu-5 Type of materialAile mastic/yellow-brown
Location:under sample#Abu-4
Area.approx. 30 sq. ft.
Friable-no Results.-none detected
Sample#Abu-6 Type of matedai:drywall/mud
Location:interior walls,2nd floor
Area:interior walls/Ceiling, 2nd floor
Friabiemo Results: none detected
Note: Ali asbestos containing building material(s)containing greater than 1.0% asbestos by volume or
weight, must be removed by a state certified asbestos abatement contractor prior to any demolition or
renovation of the property. �'
Inspector C`�GG
Scott C. Morrison
Certified Asbestos Consultant
DOSH#92-0248
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