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HomeMy WebLinkAboutGRAND AVE 15712_02-00001358 i 0 City of Lake Elsinore v/"`± PEST 130 South Main Street PERMIT NO: 02-00001358 DATE : 7/02/02 JOB ADDRESS . . . . . 15712 GRAND AVE TENANT NBR, NAME . . SHORE ACRES MOTEL/PARK DESCRIPTION OF WORK DEMOLISH ALL OTHERS OWNER CONTRACTOR SHIBLEY, DAVID R OWNER A. P. # . . . . . 381-030-005 2 SQUARE FOOTAGE 0 OCCUPANCY . . . GARAGE SQ FT 0 CONSTRUCTION . . FIRE SPRNKLR VALUATION . . . 500 ZONE . . . . . . NA DEMOLITION PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 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 TOTAL 35 . 00 . 00 35 . 00 SPECIAL NOTES & CONDITIONS DEMOLITION PERMIT TO REMOVE DRYWALL AND ALL ROUGH TRADES, (PLUMBING, ELECTRICAL, MECHANICAL FROM ALL UNITS EXCEPT REC. HALL, POOL AND WORKSHOP. NO WORK TO BE DONE ON THESE BUILDINGS UNTIL• PLANS HAVE BEEN SUBMITTED AND APPROVED. Qper: COU-A'ER Date: 7/02/02 02 3eceipt no: 70 Total tendered $50.00 Total payment s35.00 Change $15.00 City Of Lake Elsinore iiuilding Safety Division Please Read and Initial: 1. 1 am Licensed under the provisions of Business and Professional Code Section?000 et seq.and my license is in full force. Post In conspicuous place 2. 1,asowner of the property,or my employees w/wages as their sole compensation will do the work and the structure is not intended or on the job offered for sale. 3. 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project. YOU 111USt furnish PERMIT NUMBER and the _ 4. 1 have a certificate ofconsenttoselfinsureora certificate ofWorkers JOB ADDRESS for each respective inspection: Compensation insurance or a certified copy thereof. 5. 1 shall not employ any person in any manner so as to become subject Approved tans must he on tih ---- PI P J � to Workers Coompensa[ion Laws in the performance of the work for at all Humes: which this permit is issued. Note: Ifyou should become subject to Workers Compensation after making this certification.you must forthwith comply with such pro- visions or this permit shall he deemed revoked. Code Approvals Date Inspector ELOt Temp Elec Services PLO Soil Pipe Underground EL02 Elec Conourt Underground BPOt Footings BP02 Steel Reinforcement BPO3 Grout BPO4 Slab Grade PLO1 Underground Water Pipe SS01 Rough Septic System SWOt On Site Sewer c h Electric-Condui EL04 Rcu h Electric-Win EL05 Rough Electric-T-Bar ME01 Rough Mechanical ME02 Ducts.Ventilating PLO4 Rou h Gas Roe-Test PL02 Roof Drains BP10 FraminQ&Flashingt BP12 Insulation BP13 Dry-wall Naihn BP11 Lathing&Siding PL99 Final Plumbing EL99 Final Electrical ME99 Final Mechanical BP99 Final Buildin Code Pool&Spa Approvals Date Inspector OTHER DEPARTMENT RELEASES Dep.Inspector Departrnent Approval required prior to the Po01 Pool Steel Rein./Forms building being released by the City P001 Pool Plumbing/Press.Test P003 Pre-Gunite Date Inspector EL06 Rough Pool Electric Planning Sub List Approval Landscape P004 Pool Fenci /Access Finance P005 Pre-Plaster Engineering P009 1 Final Pool/Spa City of Lake Elsinore 130 South Main Street APPLICATION FOR APPLICATION NO. BUILDING PERMIT 02 -1358- APPLICATION RECEIVED DATE 2 -2--02 VALUATION CALCULATIONS AP § LIP O �� By `Q < C_ 1 st FLOOR SF BLIILUING ADDRESS !` J` .� �2 ranGl 2nd FLOOR SF TRACT BLOCK/PAGE LOT/PARCEL 3rd FLOOR SF GARAGE SF NAME A fr e STORAGE SF i DECK&BALCONIES SF o OTHER: SF 1 hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 70.03)of Division 3 of the Business and Professions Code,and my license is in lull force oad effect a, tfCENSE a CITY BUSINESS V�{r' Z ANDCLASS TAKr VALUATION: d o NAME FEES MAKING ADDRESS BUILDING PERMIT S c1TY STATE ZIP PHONE CONTRACTOR'S SIGNATURE DATE PLAN CHECK ADDITIONAL PLAN CHECK NAME LICENSED u Z MAILING ADDRESS v a < CITY SLATE/ZIP PHONE �NERV REPAIR OCC GRP./ CONST. DIVISION: TYPE: MICROFILM ADDITION :MOVE NUMBER OF NUMBER OF :ALTERATION ^DEMOLISH STORIES: BEDROOMS: COPIES :OTHER ZONE: ::SINGLE FAMILY units HAZARD AREA? YES NO IMPRO FEES SCHOOL FEES Q APARTMENTS units :CONDOMINIUMS units SPRINKLERS REQUIRED? YES NO TOWNHOMES units PROPOSED USE OF BUILDING: CQ%v.%ERC1AL INDUSTRIAL PRESENT PAID USE OF BUILDING: DATE JOB DESCRIPTION r^ / o 9✓ 1 certify that I hove read this application and state that the ^ lJ I above information is correct. I agree to comply with oil cityr / L� and county ordinances and state lows retaking to building � construction, and hereby authorize representatives of this iC �^Cy �j city to enter upon the above-mentioned property for inspec- KL1D�' UAMJ6 ) t Lion purposes. D V w ` A,-L� (! ,' ITS l 2 ZaD z f G p�L W o�1 �BO P C_ Sionoture of pli nt or A t Dole AGENT FOR ` CONTRACTOR XNOWNER AGENT'S NAME �e-#T Ccu.ley 24S' Sly,,y 'W 4lo" Rd, AGENT'S ADDRESS. orAll.vo c� 9La Z 6 STPFFT CI Y STATE ZIP n: ar JMay 18 02 1 0_5 1 a Tim S Morrison 7603208597 p_ 5 1 SCOTT MOMSON &.ASSOCIATES P.O.Box 55329 (909)624-1665 Riverside,California 92517 DOSH 92-0248 (800)824-3333 DIAGRAM OF 15712 GRAND AVENUE rn LAKE ELSINORE,CA (26 UNIT MOTEL) U nl►T '4 I uN rt:_4*1-2za uNiT J17J4 b uN rt '�`ta r � b UNIT * S a5 b UNIT�4 oq b UP 1T *� b u N%'T 0 N. tqu►-T Aq U — — j u�T s!►3 a UNIT 4-14a uH VT 11 b 'UN IT $157 q b � wow S tko? 4A;LL a b (5) b UNIT via La ENTERPRISES , INC Asbestos Lead Demolition May 2S. 2 001 Mr. Kari Gailey 6105 E. Viission Rd. ' w-, a_rcos, Ca. 92069 Phor�: (760) 7-4 - 9040 Re: Asbes*os Fcemediation N'acaut Motel _iM Grand Ave. L a1:. Elsii:or, C.A. �ctiGn Lc r oaaientai Enterprises, Inc. (.AEE) hereby certifies the asbestos removal and disposal at the LDC'Ve n-ienticined prop.rty has been completed according to all federal, State and local regulations. n. r'-asz of removal are units 1 a and 16 flooring material and rcxreation building roofing tar. Al l ACM ma:.:ria s :hzcse areas have been properly removed and disposed. If you have any questions please feel fr--e to cal' ,r::, at (909) )22-8551. i?�_r�Ct u: !"�t:i?ili.tted, ctica t nvironmeaiai Enterprises, Inc. (Licease #721687) V � Alan L. Pulliam RE A I CORONA • SAN DIEGO • STOCKTON 160 N.joy Street • Corona, CA 92879• (909) 738-9795 • Fax: (909) 738-9469•aee®pacbell.net •Lic. #721687'• Cal-OSHA #642 !N3. N0113V' M680£L606 6S:01T Z00Z.9Z'Nnr nay 18 02 1 0: 50a Tim _S Morrison 7603208597--- P. 1 i . S.COTT MORRISON &ASSOCIATES P.O. Box 53329 (909)624-1665 Riverside, California 92517 DOS1492-0248 (800)824-3353 ASBESTOS SURVEY REPORT Completed On May 17, 2002 PLM0509#1701 Client: Attn: Kart Galley S� f ;tVtQr r�,l4 aWA�;Xe Hilltop Group, Inc. 605 East Mission Road San Marcos, CA 92069 Project: 15712 Grand Avenue Lake Elsinore, CA (26 unit motel) On May 9, 2002 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. 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 60OR04-82-020: Interim Method for the Determination of Asbestos in Bulk Samples. 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 Califomia 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. ASBESTOS INSPECTION BY: Scott Morison, DOSH#92-0248 BULK SAMPLES ANALYZED BY: Carolina Environmental, Inc., NVLAP#101768-0 The results on the following pages) indicate that asbestos was detected in 03 of the 17 samples analyzed. (1) May 18 02 10: 50a Tim S Morrison 7603208597 p. 2 SCOTT MORRISON ASSOCIATES P.O. Box 55329 (909)624-1665 Riverside, California 92517 DOSH 92-0248 (800)824-3353 Summary of ACBM: 1) Approximately 70 sq. ft. of brown/white 12'floor the (sample#KG-04). (See diagram, p. 5) 2)Approximately 1125 sq.ft. of redlbladc tar roofing (sample#KG-11). 3) Approximately 65 sq.ft. of yellow/brown vinyl flooring (sample#KG-17). PLMOSOM 701 Sample#KG-01 Type of material: acoustical ceiling spray Location: interior livingmom ceiling unit 16a,b Area: throughout interior ceilings of unit 16 Friable:yes Results: none detected Sample##KG-02 Type of material:textured final coat-white(1 rst layer) Location: interior northwest wall of unit 16 Area: throughout interior walls of all units Friable:no Results: none detected Sample#KG-03 Type of material:drywall- light orange(2nd layer) Location: behind sample#CG-02 Area: throughout interior walls of all units Friable:no Results: none detected Sample#KG-04 Type of material: 12'floor tile-brown/white Location: bathroom floors(2) of unit#16 Area: approx. 70 sq. ft. Friablemo os Sample#KG-05 Type of material: acoustical ceiling spray Location: interior ceiling of NW room unit#16 Area:throughout interior ceilings of unit#16 Friable:yes Results: none detected Sample#KG-06 Type of material: exterior stucco-white/grey granular Location: exterior southwest wall of unit#16 Area:throughout exterior walls of unit#16 Friablemo Results: none detected Sample#KG-07 Type of material: roof shingle-red/grey/brown multi Location: exterior roof above unit#16 Area:throughout e)dertor roof above unit#16 Friable:no Results: none detected Sample#KG-08 Type of material: roof shingle grey Location: exterior roof above unit#15 Area:throughout exterior roof above unit#15 -Friable:no Results: none detected (2) Mai 18 02 10: 51a Tim S Morrison - 7603208597 P. 3 1 SCOTT-MOMSON &ASSOCIATES P.O.Box 55329 (909)624-1665 Riverside, California 92517 DOSH 92-0248 (800)824-3353 PLM0509#1701 Sample#KG-09 Type of material: 9'vinyl flooring-tan/grey Location: floor of unit#14b,14a,13b,13a Area: approx.700 total sq. ft. Friable:no Results: none detected Sample#CG-10 Type of material: exterior stucco-tan Location: exterior east wall of recreation hall Area:throughout exterior walls of recration hall Friable:no Results: none detected Sample#KG-11 Type of material:tar roofing- rediblack Location: exterior roof above recreation hall Area: approx. 1125 sq. ft- Friable:no Results: 3%Chrysolite asbestos Sample#KG-12 Type of material: exterior stucco- greytwhite Location: exterior wall of unit#12 Area:throughout exterior watts of units#1 thru*12 Friable:no Results: none detected Sample#KG-13 Type of material: exterior stucco-greytwhite Location:exterior wall of unit#7 Area:throughout exterior walls of units#1 thru#12 Friable:no Results: none detected ti Sample#KG-14 Type of material: roof shingle-red (1rst layer) Location: exterior roof above unit#1 Area: throughout exterior roofs above units#1 thru#7 Friable:no Results: none detected Sample#KG-15 Type of material: roof felt- black(2nd layer) Location: under sample#KG14 on roof Area: throughout exterior roofs above units V thru#7 Friablemo Results: none detected Sample#KG-16 Type of material: exterior stucco-greytwhite Location: exterior wall of unit#3 Area:throughout exterior walls of units#1 thru#12 Friable:no Results: none detected (3) May 18 02 10: 51a Tim S Morrison +- 7603208597 p. 4 SCOTT MORRISON &.ASSOCIA.TES P.O.Box 55329 (909)624-1665 Riverside,Califomia 92517 DOSH 92-0248 (800)824-3353 PLM0508#1701 Sample#KG17 Type of material: vinyl flooring-yellow/brown Location: floor of unit#1 b Area: approx- 65 sq. ft. Friable= Results: 36%Chrysolite asbestos Note: All asbestos containing building material(s) containing greater than 1.0% asbestos by volume or weight, must be removed by a state certified asbestos abatement contractor prior to any demolition or renovation of the property. Inspector ` / ----- Scott C. Morrison Certified Asbestos Consultant DOSHN2-0248 (4)