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)
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'UN IT $157
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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)