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HomeMy WebLinkAboutGRAND AVE 15712_03-00000906 Ci of Lake Elsinore 130 South Main Street PERMIT PERMIT NO: 03-00000906 DATE : 5/15/03 JOB ADDRESS . . . . . 15712 GRAND AVE TENANT NBR, NAME . . SHORE ACRES DESCRIPTION OF WORK DEMOLISH ALL OTHERS OWNER CONTRACTOR SHIBLEY, DAVID OWNER A. P. # . . . • • 381-030-005 2 SQUARE FOOTAGE 0 OCCUPANCY . . . GARAGE SQ FT 0 CONSTRUCTION . . FIRE SPRNKLR VALUATION . . . ZONE . . . . . . R-3 DEMOLITION PERMIT QTY UNIT CHG ITEM CHARGE 2 . 00 X 30 . 0000 DEMO PERMIT PER UNIT 60 . 00 1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 FEE SUMMARY CHARGES PAID DUE PERMIT FEES DEMOLITION PERMIT 65 . 00 . 00 65 . 00 TOTAL 65 . 00 . 00 65 . 00 SPECIAL NOTES & CONDITIONS remove unit 1, carport between units 2 and 3 , roof on rec bldg, misc, stucco, concrete, asphalt etc . Qper: CIIRRER Type: DF Draver: 1 Date: 5/19/83 19 Receipt no: 5245 2W 906 BP BUIIAIRG PERMIT 1 $65.00 Trans nuaber: 67791 CH CM 12238 $615.00 Trans date: 5/19/03 Time: 11:02:18 City Of Lake Elsinore Building Safety Division Please Read and initial: 1. [am Licensed under the provisions of Business and Professional Code Section 7000 et seq.and my license is in full force. Post in conspicuous place '2. 1.as owner 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 must 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 plans must be on job to Workers Coompensation Laws in the performance of the work for at all times: which this permit is Issued. Note: If you should become subject to Workers Compensation after making this certification.you must forthwith comply with such pro- visions or this permit shall be deemed revoked. Code Approvals Date Inspector EL01 Temp Elec Services PL01 Soil Pipe Underground EL02 Elec Conduit Underground BP01 Footings BP02 Steel Reinforcement BP03 Grout BP04 Slab Grade PL01 Underground Water Pipe SS01 Rough Septic System SW01 On Site Sewer RP05 Floor Joists BPOS Roof Sheath no RP09 Shear Wall&Pro-Lath _fj,Qa-- Rough Electric-Conduit EL04 Rough Electric-Wiri EL05 Rough Electric-T-Bar ME01 Rough Mechanical ME02 Ducts.Ventilating P1_04 Rough Gas R -Test PI 02 Roof Drains Framina&Flashinn BP12 Insulation BP13 Drywall Nailing BPll Lathing&Siding PL99 Final Plumbing EL99 Final Electrical ME99 Final Mechanical BP99 Final Building Code Pool&Spa Approvals Date Inspector OTHER DEPARTMENT RELEASES Dep.Inspector Department Approval required prior to the Pool Pool Steel Rein./Forms building being released by the City Po01 Pool Plumbing/Press.Test P003 Pre-Gunite Date Ins for EL06 Rough Pool Electric Planning Sub List Approval Landsca P004 Pool Fencing/Access Finance P005 Pre-Plaster En ineerin P009 Final Pool/Spa City of Lake Elsinore 130 South Main Street APPLICATION FOR APPLICA ON NO9&2 BUILDING PERMIT '3` APPLICATION RECEIV D DATE VALUATION CALCULATIONS AP11 -650- — - By 1st FLOOR SF BUADING ADDRESS 2nd FLOOR SF TRACT BLOCK/PAGE LOT/PARCEL 3rd FLOOR SF GARAGE SF NAB ,� at♦ N 7 r� f! STORAGE SF i DECK& BALCONIES SF o OTHER: SF I hereby affirm that I am licensed under prow-pions of Chapter 9(commencing with Section 7M)of Division J of the Business and Professions Code,and my license is in full force and effoci. or LICENSE• CITY BUSINESS Z AND CLASS TAX a VALUATION: $ NAALE FEES MAJUNG ADDRESS BUILDING PERMIT $ CITY STATE!ZIP PHONE CONTRACTOR'S SIGNATURE DATE PLAN CHECK ADDITIONAL PLAN CHECK NAME LICENSEa 0 Z AWIJNG i ADDRESS v a < CITY STATE/ZIP PHONE ONEW E)REPAIR OCC GRP./ CONST. DIVISION: TYPE: MICROFILM ❑ADDITION OMOVE NUMBER OF NUMBER OF ❑ALTERATION ODEMOLISH STORIES: BEDROOMS: COPIES OOTHER ZONE: OSINGLE FAMILY units HAZARD AREA? YES NO IMPRO FEES 0 SCHOOL FEES 0 DAPARTMENTS units O.CONDOMINIUMS units SPRINKLERS REQUIRED? YES NO OTOWNHOMES units PROPOSED USE OF BUILDING: O'CONVAERCIAL OINDUSTRIAL PAID PRESENT USE OF BUILDING: DATE Ulu Ir JOB DESCRIPTION U O 1 certify that I have read this application and state that the O/V above information is correct.I agree to comply with all city AID ADOFand county ordinances and state laws relating to building �� construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspec- t' n purposes. Si lure of Appli r Agent Date AGENT FOR ❑ CONTRACTOR '� WNER AGENT'S NAME AGENT'S ADDRESS 212 STREET �`, 1f�©�T©z0� IaEv_DATE u I so AM c t ion ENTERPRISES , I N C . Asbestos • Lead • Demolition N1ay 28, 2)001 Mr. Karl Gailey 605 E. Miss-Ion Rd. San Marcos, Ca. 92069 Phone: (760) 744- 9040 FAX: (760) ;Y:-9041 Re: Asbestos Remediation Actio=.job#: 22-143 Vacant !Motel 15712 Grand Ave. Lake Elsinor, CA Dear Mr. Gailey: Action Environmental Enterprises, Inc. (AEE) hereby certifies the asbestos removal and disposal at the above mentioned property has been completed according to all federal, State and local regulations. The areas of removal are Units 1 a and 16 flooring material and recreation building roofing tar. All ACM materials in these areas have been properly removed and disposed. If you have any questions please feel free to tali the at (909) 322-8551. Respcctful;y submitted, Action E-Dvironmental Enterprises, fnc. (License#721687) Alan L. Pulliam REA 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 frv2 `Ie,IAt= tN!0EIAWZ' j?ol,i0V o95fi8fLiiUti 8,=:IT 7t)o) .,yG'rjr1f' nay 1 u uL l u: aua i 1 m J r+ur-r-i burl - . I -- f UVJLV VJJ f (✓ � S.COTT MORRISON &--ASSOCIATES P.O. Box 55329 (909)624-1665 Riverside, California 92517 DOSH 92-0248 (800)824-3353 ASBESTOS SURVEY REPORT Completed On May 17, 2002 PLM0509#1701 / Client: Attu: Karl Gaile Y Hilltop Group, Inc. 605 East Mission Road I Z S �f rpo San Marcos, CA 92069 ��S y �`/' (�Y/! ►`rdC'f�f �� 'IMf-/'firA 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 600/M4-82-020: 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 dose 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) 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.RA 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 page(s) 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 MOMSON &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 file (sample#KG-04). (See diagram, p. 5) 2) Approximately 1125 sq. ft. of red/black tar roofing (sample#KG-11). 3) Approximately 65 sq. ft. of yellow/brown vinyl flooring (sample#KG-17). PLM0509#1701 Sample#KG-01 Type of material: acoustical ceiling spray Location: interior livingroom 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-whhe(1 rst layer) Location: interior northwest wail 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 WG-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. Friabie:no os, Sample#K"5 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 Friabie:no Results: none detected Sample#K"7 Type of material: roof shingle- red/grey/brown multi Location: exterior roof above unit#16 Area:throughout exterior roof above unit 016 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 19 02 10: 51a Tim S Morrison - -- '/bUU�UEfSy'/ p. SCOTT MORRISON & ASSOCIATES P.O. Box 35329 (909)624-1665 Riverside,California 92517 DOSH 92-0248 (800)824-3353 PLM050M 701 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#KG-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##CG-11 Type of material:tar roofing- red/black Location: exterior roof above recreation hall Area: approx. 1125 sq. ft. Friable:no —,Results:3%Cfirysotite asbestos Sample#KG-12 Type of material: exterior stucco- grey/white Location:exterior wall of unit#12 Area:throughout exterior walls of units#1 thru#12 Friable:no Results: none detected Sample#KG-13 Type of material: exterior stucco-grey/white 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 (1 rst 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#KG-14 on roof Area: throughout exterior roofs above units X thru#7 Friable:no Results: none detected Sample#KG-16 Type of material: exterior stucco- grey/white 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: Sla Tim S Morrison 7GO32OBS97 p. 4 SCOTT MOMSON &ASSOCLATES P.O. Box 55329 (909)624-1665 Riverside,California 92517 DOSH 92-0248 (800)824-3353 PUu10509#1701 Sample#KG-17 Type of material: vinyl flooring- yellow/brown Location:floor of unit#1b Area: approx. 65 sq. ft. Friable= Resutts: 35%Chrysotile 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 DOSt4#92-0248 (4) A c-tion -nme E N T E R P R I S E S , I N C . May 28, 2001 Asbestos Lead Demolition Mr. Karl Gailey 605 E. Mission Rd. San Marcos, Ca. 92069 Phone: (760) 744- 9040 FAX: (760) 744-9041 Re: Asbestos Remediation Action Proposal#:22138- Vacant Motel 15712 Grand Ave. Lake Elsinor, CA Dear Mr. Gailey. Action Environmental Enterprises, Inc. (AEL)is pleased to present the following proposal for asbestos remediation at the above referenced address based upon my site visit and analytical reports from Scott Morrison & Associates and others. Scone of Work The proposed Scope of Work is as follows: 1.0 Removal Requirements and Methods a. Removal of Asbestos Containing Materials (ACM), located in specific building components named in the analytical reports, including roofing Mastic, floor tiles & mastic . Areas of removal arc listed below and priced separately. All removal shall be done according to all Federal, State and Local regulations pertaining to this specific project regarding Asbestos Abatement Proceedures. b. Remove all roofing tar (approximately 1200 sq. ft.), from the Recreation roof. ACM shall be completely removed and disposed accordingly. c. Remove all asbestos containing floor tiles and mastic (approximately 120 sq.ft.) from Unit 1 a and Unit# 16. 2.0 Limitations on Responsibility AEE will not be responsible for the following: a. Removal or replacement of any contents in any of the areas mentioned above. CORONA • SAN DIEGO • STOCKTON 160 N.Joy Street•Coma, CA 92879• (909) 738-9795 •Fax:(909) 738-9W•aee@pacbeli.net• Lic. #721667•Cal-OSHA #642 boo/Zoo'd ME# ,LNS 'IVINS[KNOHANS NOI,LOK 69b68EL606 EO:GT ZOoZ,BZ'.Cvx b. Damage to the areas as a result of any pre-existing conditions. c. Any gas,electric or water failure. Technicians do not disconnect or reconnect appliances. d. Any deviations to this proposal or the agreed Scope of Work. 3.0 Clearance Monitoring a. Not Required. 4.0 Payment Tereus Lump Sum TOTAL Ut600.00 Payment will be due within 30 days upon completion of asbestos removal and invoicing. a. Any payment due and unpaid for more than 30 days,shall bear interest from the date payment was due at the lesser of eighteen percent(l 8%)per annum or the maximum rate permitted by law. The Client will be responsible for any attorneys' fees and collection costs AEE incurs in enforcing collection. b. The Client shall, upon AEE's written request provide AEE with any information that is necessary or relevant for AEE to evaluate, give notice of or enforce mechanics lien rights. Such information shall include a cormot statement of the record legal title to the property on which the Work is being performed, Client's interest in such property as of the date the, Agreement (described below) is signed and,within five(5)days after any change, information concerning such change. c. Please sign where indicated below if you desire to accept this proposal and authorize AEE to perform the Work. You should retain a copy for your records and return the executed original to AEE's office. AEE will then prepare a Property Damage Repair Agreement, which incorporates the terms of this proposal and other material terms and conditions applicable to the Work. The Agreement must be signo&by you and an authorized AEE representative before the Work can be scheduled. 2 too/coold Z£O£# ZUS `IVINSHNOUIM3 69D68CG606 WSW ZOOZ,Ge-,LvH Respectfully submitted, Action Environmental Enterprises, Inc. (License#721"7) Alan L. Pulliam Sales/E5timator Authorized and Accepted By. I Title: lei ,CC 14 ^^� eA OO-AAr Date: /i�o i 3 D00/D00'd Z£0£r IN3 Td,LN3HNOUTANS NOIZOK 69D68£L606 DO:9T ZOOZ,BZ'Avw May 18 UL IU: 51a tim :S norrison r� S-COTT MORRISON &.ASSOCIATES P.O.Box 55329 (909)624-1665 Riverside,California 92517 DOSH 92-0248 (800)824-3353_ LD DIAGRAM OF 15712 GRAND AVENUE rn LAKE ELSINORE, CA (26 UNIT MOTEL) , t Z ut tT 'tea b .t. UN i-r .N3 t ' � b vn, i-t �'k a UNIT �50. _ b UN tT .jl6 o, b VN 1 T Ica ti _ f UujT *t3 a UNIT �`4a UN a 11 b , UN ter' �'IZ UN IT to 4�LL wo�2K 5"Op F - R)6 ek JG?1-S- IT b