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Home My WebLink AboutGRAND AVE 15712_04-00002893 -- 3SQ City of Lake Elsinore] PERMIT 130 South Main Street JOB ADDRESS . . . . . : 15712 GRAND AVE DESCRIPTION OF WORK . : DEMOLISH ALL OTHERS OWNER CONTRACTOR JIRON RON OWNER A.P.# . . . . . . 381-030-005 2 SQUARE FOOTAGE 0 OCCUPANCY . . . . GARAGE SQ FT 0 CONSTRUCTION . . . FIRE SPRNKLR VALUATION . . . . 6, 000 ZONE . . . . . . R-3 BUILDING PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 30 . 00 6 . 00 X 30 . 0000 VALUATION 180 . 00 1 .00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 FEE SUMMARY CHARGES PAID DUE PERMIT FEES BUILDING PERMIT 215 . 00 . 00 215 . 00 OTHER FEES PLAN RETENTION FEE 5 . 78 . 00 5 . 78 TOTAL 220 . 78 . 00 220 . 78 SPECIAL NOTES & CONDITIONS DEMOLITION OF EXISTING HOTEL (6 BLDG) . Eate: 11/CQ/04 C¢ Famipt m: 2340 Total te7[i-ed $220.78 Total Pit $220.7B City of Lake Elsinore Please read and4nhial Building Safety Division 1.1 am Lioeased under the provisions of Business and professional Code Section 7000 et soq.and My Ike=is in fill face. Post in conspicuous place 2.I,as owner of the property or my employees wMages as their sole compensation wdl do the wort: on the job and the structure is not intended or oflacd for sale. 3.1,as owner ofthe property am crdushdy contracting with liocroad contractors to coastrrad the You must furnish PERMIT NUMBER and"the project JOB ADDRESS for each respective inspection: 4.1 have a catiscate of consent to scifinow or a certificate of workers Compensation Inammot Approved plans must be on job or a certified copy thereof at all times: 5.1 shad not employ any person in any manner so as to become subject to workers Compensation Laws in the paionmance of the work for which this permit is issued. Note:if you should become subject to Workers Compeasatloa after making tbia certification, Code Approvals Date Inspector you most forthwith eom with such provisions or this permit sball be deemed revoked. ELO1 Temporary Electric Service PL01 sod Pipe undergmad EL02 Electric Conduit Underground BPO1 Footings BP02 Stoll ReinforcarKat BP03 Grout BP04 Slab Grade PLO 1 Underground Water Pipe SS01 Rough System SWO1 On site sewer BPO5 Floor Joists BP06 Floor sheathing BP07 RoofFraming BP08 Roof Sheathing BP09 shear Wau&Pro-Lath PL03 lRough EL03 Rough Electric Conduit EL04 Rough Ekctrio wiring EL05 Rough Electric/T-Bar ME01 Mechanical ME02 Duds,ventilating PL04 Rough Gas Pipe/Test PL02 Roof Drams BP 10 Framing&Flash' BP12 Insulation BP13 prywan Naning BPI I Lathing&siding ` PL99 FnW PI EL99 Heal Electrical 1 a }a ME99 Final Mechanical Gz f L-J .e,\t .1-•V. —$= BP" Final Building 6EW Code Pool&Spa Approvals Date Impeetor OTHER DIVISION RELEASES De Ins for Department Approval required prior to the P001 Pool Steel Rem./Farm building ing released by the City P001 Pool Plumbing/Pressure Test P003 Pre-Guam Approvai Date Inspector EL06 Rough Pool Electric Plarmin Sub Ud A al Landscape P004 Pod F /Gates/Alarms Finance P005 Pre PlasterEngineering P009 JFinA Pool/Spa City of Lake Elsinore, 130 South Main Street APPLICATION FOR AP C/r7jON BUILDING PERMIT APPLICATION RECEIVED DATE AP BY VALUATION CALCULATI(DIS - -OC S--OD 1-st FLOOR SF �jl t Ag b-i.ie, Els i►1c.>re- BLOrAG LOT/PARCEL 2nd FLOOR SF NAlkon 3rd FLOOR SF O Wamm 1 w GARAGE SF N E STORAGE _ SF *amrm that R Own canmencu�DECK 3 BALCONIES SF with section 7900)of division 3 of the business and professions cdde,and my C boense is in full force and effecL OTHER SF O LICENSE/ CITY BUSINESS N AND CLASS TAX# T NAME VALUATION- R A MAILING C ADDRESS FEES T CITY STATEIZIP • PHONE O BUILDING PERMIT i R 1 .. PLAN CHECK NAME LICENSE A t PLAN REVIEW R MAILING C ADDRESS SEISMIC H CITY STATE/ZIP PHONE PLAN RETENTION O NEW OCC GRP•I CONST. O ADDITION DIVISION: TYPE: ❑ALTERATION ' NUMBER OF / NUMBER OF ❑OTHER STORIES: BEDROOMS: O SINGLE FAMILY ZONE: N ❑APARTMENTS /C O 1 certify thad 1 have read this aid state OW the O CONDOMINIUMS HAZARD YES above information is correct 1 agree to comply with a9 city ❑TOWN HOMES AREA? NO- and county ordirmances and state taws mating to building ❑COMMERCIAL SPRINKLERS YES construclb%and hereby autlnoize mires of this O INDUSTRIAL - REQUIRED? NO _ -city to enter upon the above- nod property for Insp- O EPAIR PROPOSED USE OF BLDG: A tan DEMOLISH PRESENT USE OF BIDG- Lio JOB DESCRIPTION Signature of Applicant ent- Date G111 Ojt.,t. Agent for Q contractor p owner Agents Name 'Agents Address Street city state zip City of Lake Elsinore 130 South Main Street APPLICATION FOR APPLICATION NO. BUILDING PERMIT APPLICATION RECEIVED DATE VALUATION CALCULATIONS — -OOS-OD list FLOOR SF t IN A Cl Ave- y l(5„.�C� 1 UR r"fLAGE7 LOT/PARCEL �2nd FLOOR SF T!_1 Z 3rd FLOOR SF O f W GARAGE SF - N E STORAGE ,_ SF R Ilierebyliffill-1ensed under provisions of apt er commenting DECK 3 BALCOMES SF with section 7000)of division 3 of the business and professions code,and my -C boense ism full force and effect. OTHER: SF O LICENSE! CITY BUSINESS N AND CLASS TAX# T NAME VALUATION- R A MAILING C ADDRESS FEES T CITY STATEIZIP PHONE O BUIL.DIHG PERMIT i R PLAN CHECK NAME LICENSE# A PLAN REVIEW R MAILING C ADDRESS SEtSMIC H CITY STATEIZIP PHONE PLAN RETENTION ❑NEW OCC GRP./ CONST. ❑ADDITION DIVISION: TYPE: ❑ALTERATION NUMBER OF / NUMBER OF ❑OTHER STORIES: BEDROOMS: ❑SINGLE FAMILY ZONE- 0 APARTMENTS O 1 ON*that I have read this Wil atior and gate that the ❑CONDOMINIUMS HAZARD. YES Above Information is caned 1 agree to comply with a0 aty ❑TOWN HOME$ AREA? NO- and county w0tances and state laws refetlrrg to building ❑COMMERCIAL SPRINKLERS YES constru Wam and hereby authaae r fives of this ❑INDUSTRIAL - REQUIRED? NO aty to the above- property for insp- ❑ EPAIR PROPOSED USE OF BLDG: /� lion urpases. DEMOLISH PRESENT USE OF BLDG: / v /� J DESCRIPTION D ul Signature of Applicant orA ent Date Agent for' ❑ contractor owner Agents-Name .:Agents Address -.hied city state Zip City of Lake Elsinore 130 South Main Street APPLICATION FOR APPLICATION NO. BUILDING PERMIT APPLICATION RECEIVED DATE AP VALUATION CALCULATIONS I —CZ0BVILDI N 1st FLOOR SF �j ! iqV BLO AGE- LOTIPARCEL 2nd FLOOR SF 3rd FLOOR SF O r W GARAGE SF N E STORAGE TSF R at am s urn er ap cwnmencrng DECK a BALCONIES SF with section 7000)of division 3 of the business and professions cdde,and my -C Wensels ar urn farce and effect. OTHER: SF O LICENSE t CITY BUSINESS N AND CLASS TAX P T NAME VALUATION. R A MAILING C ADDRESS FEES T CITY STATEIZIP • PHONE _ O BUILDING PERMIT $ R 'U6WTMMR*S-SIG;NATURE -DAME PLAN CHECK NAME LICENSE# A PLAN REVIEW R MAJUNG C IADDRESS SEISMIC H PLAN RETENTION ❑NEW OCC GAP.I CONST. ❑ADDITION DIVISION: TYPE: ❑ALTERATION ' NUMBER OF / NUMBER OF ❑OTHER STORIES: BEDROOMS: ❑SINGLE FAMILY ZONE: ❑APARTMENTS ❑1 oefify tlraQ 1 have read Rds motion aW state drat the ❑CONDGWNIUPAS HAZARD YES above fidoenation is car.ecL I agree to comply With so i*y ❑TOWN HOMES AREA T NO- and county ordinances and state laws retathg to btaldug ❑COMMERCIAL SPRWKLERS YES corrstructia►,and hereby autfwke roresentalfwes of das INDUSTRIAL - REQUIRED? NO _ "i*y to ardor upon the above- Property for hup- ll,[3,WAIR PROPOSED USE OF BLDG: Cron DEMOLISH 1PRESENT USE OP BLDG: JOB DESCRIPTION Signature of Applicant Agent- Date 1 Agent for p contractor O owner Agents Name ,-Agents Address �stred Cfty state ZIP jk City. of Lake Elsinore 130 South Main Street APPLICATION FOR APPLICATION NO. BUILDING PERMIT DATE TION RECEIVED AP 9 BY DATE VALUATION CALCULATIONS 391 - -oas-BVILOING Q� c lid FLOOR SF :j2- BLO AGE- LOT/PARCEL Ind FLOOR SF Ird FLOOR SF O Mon .r W GARAGE -SF - N E TTORAGE SF R r ACK 3 BALCONIES SF with section 7000)of division 3 of the business and professions code,and my C license is in fug force and effect 7)THER: SF O LICENSE f CITY BUSINESS N AND CLASS TAX tt T NAME !ALUATION• R A MAILING C ADDRESS FEES T CITY STATEMP • PHONE O WILDING PERMIT $ R 1 iLAN CHECK NAME LICENSE 9 A 'LAN REVIEW R MAILING C ADDRESS 4EISMIC H CITY STATE/ZIP PHONE 'LAN RETENTION ❑NEW OCC GAP.I CONST. ❑ADDITION DIVISION: TYPE: ❑ALTERATION NUMBER OF / NUMBER OF ❑OTHER STORIES: 'BEDROOMS: ❑SINGLE FAMILY ZONE: N ❑APARTMENTS 1 cer"that I have read this appOcation and State that the ❑CONDOMINIUM HAZARD- YES above irdormation is carrec!1 agree to�with a9 city ❑TOWN HOMES AREA? NO. and county ordmanoes and state bWS M130ng to bud M ❑COMMERCIAL SPRINKLERS YES constnrctiom and hereby arrthar¢e tepreserUUves of this ❑INDUSTRIAL • REQUIRED? NO city to eider upon the above property for cusp- ❑ EPAIR PROPOSED USE OF BtDG: licit DEMOLISH PRESENT USE OP BLDG: N JOB DESCRIPTION Signature of Applicant W Agent Date Agent for p contractor p owner Agents Name .-Agents Address 'Street city State ZIP I v jk City of Lake Elsinore 130 South Main Street APPLICATION FOR APPLICATION NO. BUILDING PERMIT APPLICATION RECEIVED DATE VALUATION CALCULATIONS . 3 — —OOrJ"CD w " WFLOOR SF �j l TRACT PA Znd FLOOR SF ird FLOOR SF O �t' >1 W GARAGE SF N E STORAGE SF R am er pr s commenang DECK 3 BALCONIES SF PsectionW)of division 3 of the business and professions cdde,and my ..0 tioensels'in full force and effect. OTHER: SF O LICENSE i CITY BUSINESS IN AND CLASS TAX# T NAME VALUATION: R A MAILING C ADDRESS FEES T CITY STATEIZIP PHONE _ _ O BUILDING PERMIT t R N " •A -- - PLAN CHECK RME LICENSE A PLAN REVIEW R MAILING C ADDRESS SEISMIC H CITY STATEMP PLAN RETENTION p NEW OCC GAP./ CONST. O ADDITION DIVISION: TYPE: 13 ALTERATION NUMBER OF / NUMBER OF p OTHER STORIES: BEDROOMS: p SINGLE FAMILY ' ONE- O APARTMENTS ❑1 oetdy that I have read IJ* and state that the ❑CONDOMINIUMS HAZARD. YES above information is correct 1 agree to cornpty with all city O TOWN HOMES AREA? NO- -and cmUy ordi oum and state laws relating to bonding ❑COMMERCIAL SPRINKLERS YES conslruc(i^and hereby autlmrae rePreserdaliues of fhis D INDUSTRIAL • REQUIRED? NO '&y.to enter upon the above- properly for imp- 0 EPAIR PROPOSED USE OF BLDG: NIX lion DEMOLISH JPRESENT USE OF BLDG: / �/ 'n JOB DESCRIPTION Signature of Applicant kr-_Agent- Date Agent for ❑ contractor p owner Agents Name =Agents Address Street city state ZIP jk City. of Lake Elsinore . 130 South Main Street APPLICATION FOR APPLICATION NO. BUILDING PERMIT APPLICATION RECEIVED DATE AP if BY VALUATION CALCULATIONS • JpI - --DOS"CD ".'' 11-- 1'stFLOOR SF �j r /-ty L4L .e Sil1ar� ffT TRACT ALOTIPARCEL Ind FLOOR SF 3rdFLOOR SF O Mcn T,t— n W GARAGE SF N E STORAGE rSF R DECK 3 BALCONIES SF wtih section 7g00)of division 3 of the bus'u�ess and protessioms code,and my C Eaensels in full force and effect- OTHER. SF O LICENSE i CITY BUSINESS N AND CLASS TAX# T NAME VALUATION: R A MAILING C ADDRESS FEES T CtTY STATEIZIP - PHONE _ O BUILDING PERMIT i R 10ONfTRACTOR.1 ONT-E-. PLAN CHECK A PLAN REVIEW R MAILING C ADDRESS SEISMIC H Cl" STATEIZIF PHONE PLAN RETENTION ❑NEW OCC GAP.I CONST. O ADDITION DIVISION: TYPE: O ALTERATION NUMBER OF / NUMBER OF ❑OTHER STORIES: 'BEDROOMS: p SINGLE FAMILY ZONE: 11 APARTMENTS ❑1 certify that 1 have read this q pBcati n and state that the O CONDOMINIUMS HAZARD- YES .above 1donnalion is correct 1 agree to camplT vrifh all city ❑TOWN HOMES AREA? NO- and county ordinances and state laws r taWg to building O COMMERCIAL SPRINKLERS YES consftacft%and hereby autharae representatives of this D INDUSTRIAL - REQUIRED? NO .city to enter upon the above- property for insp- O E.PAIR PROPOSED USE OF BLDG: lion DEA40USH PRESENT USE OPBLDG: N ` JOB DESCRIPTION c Signature of Applicant r Agent- Date Agent for' Q contractor p owner Agents Name :Agents Address _-i6el city state zip —r PAGE OV03 18/13/2004 14:14 S396741626: P. 1jl;? UUI• -(4 t!�IUM 09:4i rlK:r MOWN TITLE 1tiLa�Q9 G84 �84a — MORDAG RQQUtSMD BY Ly 0� :DOcutoent Rllo�xq ed Alit)YI'HM P RCORDED. UL TOz OIt� ;as NO-AWWWW RON)IRON has not been compared wM 14519 AMROSE STREE? afIQInB�.. QQ LAKE ELSINORE. CR 92530 PARY 11 R8 arder�S 0 Rg&n%1 � TY CA0170FI K s-;--Above'Mli Line for Recorder's U,e Only A.P.N•:381-030.05.3 TRA4:00s-010 Ord.-r)Yo.: IS13315 EsuOw Ito.: [645947 GRANT DEED i MDM-01O iEb R;�•DECLARE(ei THAT DOCUM,°.M'MttY TVAMFSR TAJC:S:COUNTY W75.0Q X) w an t 11 vales of jimpcM eowayed, or co=ot►full value Leta yalve of lieu or encumbruuaa remaining at thaw of sale, unturorporated area; Wj City of JWM gIM01trA, Lrld FOR A VALUABL9 CONSIDERATION.ATION. Rexlpt of which is bereby ucicaowiedEed, ADd HOLDINGS LIX A CAL17ORMA LGVQ M LIABILITY COWANY ber4ty GRANT(S) RON 4110V and Dtna S. Jitr h, husband and wife as joint t&ldnts dr` follewicg dascri property In ths-City of LAXE IMJNORE. County bf TUTerside Save of California; TDI SOL'1 M ASTM- LY 168 FM OF LCT 3 1N BLOCIC FC"OF SLMMISIONS IN ELSINORU, AS 44HO'Wt t BY MAP ON>tR.R JN BOOK 8 PAGE 3V OF MAPS, RECORDS OF SA14 DTSQ0 COUN!Y, CALIFOSMA. I?XCEPMG THER TROM THAT P'OWPION TRZIMOF COMYED TO RMRSWR COUNTY FLOOD CONTROL.APM WATU COr4SIwRVATIa4 DIS7'KfL'r BY DMD RECORDED JMY S, 19n AS MZ N0. 87867; OF OFFJCIAL RSCORIIS OF MVEA=r COUNTY. CALIFORMA. ADJ HOLDfM S LLC.A LIMITED LlAB1LI:'Y COMPANY.EY THE ARIE AB JONG JR. FAMILY TRUST.DA 1,13 OCI'OBER . 1997. MA.MMMG KOMBER wee By: 'ce... - 4 Docu,nem Date: -My 23,2004 STATE OF CA 7A AS ,.OUNti'Y OF ��,+ as O� b.ore ra•, "1"1 Y�A L-- C� t i'n"rant 42 Pt r) , ee& - Ir IfetiWua iT kiD-n to 4te feu _wtd So ate an the basis of fat 1 ry eeklWd W be d1i p MOW Want lame(! /Ybledtud to the wl Imuur.sr.: ,raj tslterawW=ed were ttu�w"y excused on MW 1.�lu prbmd e404eal n b r Ra lure(r) al thr hutru,auni ae persaaw or dto entity open bsluut of vbkb U%d pestut(a-0W.aeseltt>:0 40 itatrwneat. 11ly� LG VAiO WtTi+fFSS !alto see tuHeiil i_ Cy+xtl(si�t d !ib961! titmuY Put —CG titn;o 91p!atwr ;,tr;1:;3g0 r-xxt ttyCalr� Thu Neu for oMdal nOraHai kni. 10/I.3/04• WEI) 09:04 [TX/RX NO 5357J DEMOLITION INSPECTION REPORT NO.S-5384A ASBESTOS DETECTION, INC. 15712 Grand Ave.,Lake Elsinore,CA 12862 Garden Grove Blvd.,Suite 290 Single-family house&storage shed Garden Grove,CA 92843 (714)530-1922 L Client Ron loon 601-C Crane SL Lake Elsinore,CA 92530 IL Project address. 15712 Grand Ave. Lake Elsinore,CA Single-family house&storage shed III. Date of survey. October 19,2004 IV. Inspector. Charles Ay,Certified Asbestos Consultant No.93-1030 V. Structure/service requested. The project involves multiple structures at an abandoned motel site.. The client reportf that all structures at the site will be demolished For survey and reporting purposes, the sstruucum are grouped as follows: Report S-5384A. Single-family house and storage shed. A one-story single-family house is located in the northern end of the lot Most interior and exterior walls have been previously removed A five- standing,wooden storage is located to the east of the house. Report S-5384B. Units 1-& Six small, fie&-standing cottages were located at the southwestern portion of the property. 'These units are substantially demolished 'The interior and exterior walls and the roofing materials were previously removed. Only wood fiaming remains intact, with some building material debris noted at the base of the foundations. Report S-5384C. Units 8-12. Five small, free-standing cottages are located on the west side of the property,north of units 1-6 and south of the single-f n*house. These five cottages are essentially intad. Report S-5384D. Duplex units 13-15. Tbree buildings on the east side of the lot each contain two motel units. The units are numbered 13A-13B, 14A-14B, and 15A-15B. Most interior walls and roofing materials have bow previously removed The exterior walls of the buildings are essentially intact. This report pertains only to the single-family house and the storage shed. Please refer to reports S-5384B,S-5384Cy and S-5394D for results of the surveys of the other structures at the site. The demolition contractor should be aware of the possibility that presently inaccessible suspect materials may be uncovered as renovation proceeds. If such suspect materials are discovered, the suspect material should be sampled and analyzed prior to its disturbance. Similarly, where carpeting was noted, ADI lifted a smaH comer of the carpet in representative areas to determine if suspect materials are under the carpet. However, the contractor should carefully remove carpeting to determine if suspect material is present under the carpet that was not readily aeoessible at the time of the survey. VL Site survey/bulk sampling. This report pertains only to the sing*f rdly house and the storage shed. The term "none observed" refers jointly to the single-family house and the storage shed. The following observations were made during the survey of these buildings. The storage shed has wood adenorshamors and a non-suspect, concrete floor. The only suspect material noted at the storage shed is the roofing material. Bulk sampling of the roof of the shed is included in section K below. All other comments in this section refer to the single-family house. A. Acoustical cefling material. The majority of the interior ceilings have been taken down. The living room ceiling is intact and is covered with acoustical wfiming. Acoustical debris is noted on the collapsed ceilings in the other rooms. Samples were obtained as follows: Report No.S-5384A Page 2 of narrative Single-family house&storage shed sample# Location Asbestos present 1 Living room None 2 Hall None 3 Bedroom None B. Textured wall surfacing. None observed C. Pipe/boiler insulation. None observed D. Attic insulation. None obsexved. No residual attic insulation is noted above the living room or in the debris. It appears that the attic was not insulated. E. EIVAC duct system insulation. The house has a floor furnace with no suspect, accessible products observed F. Ceiling tiles. None observed- G. Sprayed structural fireproofing. None observed EF. Flooring. Flooring has been removed Srom the majority of the living areas. Approximately 20 square feet of linoleum backing residue is noted on the floors scattered throughout the house. The remainder of the floors is uncovered wood sub-flooring. Sample# Location Asbestos present 4 Linoleum backing residue in living room None L Exterior stucco. The exterior walls have been removed in most areas. A band of stucco surfacing remains around the foundation/footings of the building. Sample# Location Asbestos present 6 N side at base of foundation None J. Exterior siding. None observed K. Interior wall materials. The majority of the interior walls have been moved The intact walls in the residence appear to be unfinished wallboard construction. The results reported below reflect the altos content of the composite core sample(s)as a whole. Sample# Location Asbestos present 5 Living room ceiling None IL Exterior roofing materials. The roof is intact only on the north side of the building. The remaining roof has suspect, composition shingle roofing material No suspect mastic was noted on the remaining roof surfaces. Sample# Location Asbestos present 7 N side roofing None IVL Exhausdflue piping. No su.pect materials observed. VIL Laboratory analysis: Laboratory results are summarized in section VI. above. Refer to the attached laboratory report sheets for specifics. Analysis was performed by polarized microscopy (PL.NI) utilizing the method described in 40 C.F.R.Chapter I(1-8-87 edition)Part 763,Subpart F,Appendix A pages 293-299. Report No.S-5384A Page 3 of narrative Single-family house&storage shed The Environmental Hazard Services, Inc. laboratory is accredited in this method under the National Voluntary Laboratory Accreditation Program administered by the National Institute of Standards and Technology, United States Department of Commerce (#101882-01 and by the Department of Health Services of the State of California(#2319). VHL Condusions. The limited building survey protocol, and subsequent bulk sample laboratory analysis as reported herein,lead to the following conclusions: 1. Friable material. (E.P.A. definition of friable is that"the material, when dry, may be crumbled, pulverized, or reduced to powder by hand pressum" AHERA section 763.83. The term "friable" does not necessarily indicate that any preset damages deterioration or health hazard adsts.) Friable asbestos was identified in these construction materials: NO FRIABLE ACM WAS IDENTIFIED. 2. Non-friable material. Non-friable asbestos was identified in these construction materials: NO NON-FRIABLE ACM WAS IDENTIFIED. If applicable, the client may incorpo= this report or its conclusions into a notice pursuant to the State of California Health and Safety Code Section 25915 et seq. or into notification pursuant to SCAQMD Rule 1403. SCAQMD Rule 1403 mandates that, where a renovation will involve 100 square feet or more of asbesbosrcontanning materials, or in any demolition activity, the property owner or renovation/demolition contractor shall provide written notice of said activity to SCAQMD ten days prior to the commencement of the renovation/demolition. Date: October 25,2004 ASBESTOS DETECTION CO.,INC. - Charles W.Ay Certified Asbestos Consultant#93-10 DEMOLITION INSPECTION REPORT NO.S-53846 ASBESTOS DETECTION, INC. 15712 Grand Ave.,Lake Elsinore,CA 12862 Garden Grove Blvd., Suite 290 Units 1-6 Garden Grove,CA 92843 (714)530-1922 L Client: Ron rnron 601-C Crane St Lake Elsinore,CA 92530 IL Project address. 15712 Grand Ave.,Units 1-6 Lake Elsinore,CA HL Date of survey. October 19,2004 IV. Inspector. Charles Ay,Certified Asbestos Consultant No.93-1030 V. Strudure/service requested. The project involves multiple struchres at an abandoned motel site. The client reports that all structures at the site will be demolished. For survey and reporting purposes, the strums are grouped as follows: Report S•5384A. Single-family house and storage shed. A one-story single-family house is located in the northern end of the lot A fim-standing wooden storage is looted to the east of the house. Report S-5384& Units 1-6. Six small, fiveita<rdmg cottages were located at the southwestern portion of the property. 'These units are substantially demolished 'The interior and exterior walls and the roofing materials were previously removed Only wood framing remains in1ac� with some building material debris noted at the base of the foundations. Report S-53MC. Units 9-12. Five small, free-standing cottages are looted on the west side of the property,north of units 1-6 and south of the single-family house. 'These five cottages are essentially intact. Report S-Si84D. Duplex units 13-15. Tbree buildings on the east side of the lot each contain two motel units. The units are numbered 13A-13B, 14A-14B, and 15A-15B. Most interior walls and roofing materials have been previously removed The exterior walls of the buildings are essentially intact This report pertains only to units 1-6. Please refer to reports S-5384A, S-5384C, and S-5384D for results of the surveys of the other structtzres at the site. The demolition contnactor should be aware of the possibility that presently inaccessible suspect materials may be uncovered as renovation proceeds. If such suspect materials are discovered, the suspect material should be sampled and analyzed prior to its disturbance. Similarly, where carpeting was noted, ADI lifted a small coma of the carpet in representative areas to determine if suspect materials are under the carpet. However, the cow should carefully remove carpeting to determine if suspect material is present under the carpet that was not readily acoessnble at the time of the survey. VL Site survey/bulk sampling. This report pertains only to Units 1-6. The term "none observed" refits jointly to the all six buildings. The following observations were made during the survey of these buildings. These units are mAntandally demolished The interior and aderior walls, all interior flooring, and the roofing materials were previously removed. Only wood framing remains intact, with some building material debris noted at the base of the foundations. No mechanical systems are present The only suspect materials noted in units 1-6 were small fragments/debris of exterior stucco and roofing materials that were noted around the base of some buildings. Samples of tine debris were taken as follows. Sample N Material/location Asbestos present 33 Stucco/base of unit 6 None 37 Roofing/base of unit 6 None Report No.S-5384B Page 2 of narrative Units 1-6 Sample# Material/location Asbestos present 38 Stucoo/base of unit 2 None 39 Roofing/base of unit 3 None VII. Laboratory analysis: Laboratory results are summarized in section VI. above. Refer to the attached laboratory report sheets for specifics. Analysis was performed by polarized microscopy (PLM) uhhzmg the method described in 40 C.F.R. Chapter I (14"7 edition) Part 763, Subpart F, Appendix A pages 293-299. The Environmental Hazard Services, Inc. laboratory is accredited in this method under the National Voluntary Laboratory Accreditation Program administered by the National Institute of Standards and Technology, United States Department of Commerce (#101882-0), and by the Department of Health Services of the State of California(#2319). VUL Conclusions. The limited building survey protocol, and subsequent bulk sample laboratory analysis as reported herein,lead to the following conclusions: 1. Friable materials. (E.P.A. definition of friable is that "the material, when dry, may be crumbled, pulverized, or reduced to powder by hand pressrme." AHERA section 763.83. The term "friable" does not necessarily indicate that any present damage,deterioration or health hazard exists.) Friable asbestos was identified in these construction materials: NO FRIABLE ACM WAS IDENTIFIED. 2. Non-friable materials. Non-friable asbestos was identified in these construction materials: NO NON-FRIABLE ACM WAS IDENTIFIED. If applicable, the client may incorporate this report or its conclusions into a notice pursuant to the State of California Health and Safety Code Section 25915 et seq. or into notification pursuant to SCAQMD Rule 1403. SCAQMD Rule 1403 mandates that, where a renovation will involve 100 square feet or more of os-containing materials, or in any demolition activity, the property owner or renovation/demolition contractor shall provide written notice of said activity to SCAQMD ten days prior to the commencement of the renovation/demolition. Date,: October 25,2004 ASBESTOS DETECTION CO.,INC. ( Charles W.Ay Certified Asbestos Consultant#9 - 0 Al2 - DEMOLITION WSPECTION REPORT NO.S-5384C ASBESTOS DETECTION, INC. 15712 Grand Ave.,Lake Ebinore,CA 12862 Garden Grove Blvd., Suite 290 Units 8-12 Garden Grove,CA 92843 (714)530-1922 L Client Ron Jiron 601-C Crane St Lake Elsinonw CA 92530 II. Project address. 15712 Grand Ave.,Units 8-12 Lake Elsinom CA III. Date of survey. October 19,2004 IV. Inspector. Charles Ay,Certified Asbestos Consultant No.93-1030 V. Strueturelservice requested. The project involves multiple structures at an abandoned motel site. The client reports that all structures at the site will be demolished For survey and reporting purposes, the struck=are grouped as follows: Report S-5384A. Single-family house and storage shed. A one-story single-family house is located in the northern end of the lot. A five-standing,wooden storage is located to the east of the house. Report S-Si84B. Units I-& Six small, free-standing cottages were located at the southwestern portion of the property. 'These units are substantially demolished The interior and exterior walls and the roofing materials were previously removed Only wood framing remains intact; with some building material debris noted at the base of the foundations. Report S-5384C. Units 9-12. Five small, fim-standing cottages are located on the west side of the property,north of units 1-6 and south of the single-family house. 'These five cottages are essentially intact. Report S-5384D. Duples units 13-15. Three buildings on the east side of the lot each contain two motel units. "The units are numbered 13A-13B, 14A-14B, and 15A-15B. Most interior walls and roofing materials have been previously removed The exterior walls of the buildings are essentially intact. This report pertains only to the five units identified as units 9-12. Please refer to reports S-5384A, S-5384B,and S-5384D for results of the surveys of the other structures at the site. The demolition contractor should be aware of the possibility that presently inaccessible suspect materials may be uncovered as renovation proceeds. If such suspect materials are discovered, the suspect material should be sampled and analyzed prior to its disturbance. Similarly, where carpeting was noted, ADI IiM a small comer of the carpet in representative areas to determine if suspect materials are under the carpet. However, the contractor should carefully remove carpeting to determine if suspect material is present under the carpet that was not readily accessible at the time of the survey. VL Site survey / bulk sampling. This report pertains only to the five buildings identified as units 8-12. The tam "none observed" refers jointly to each of the buildings. The following observations were made during the survey of these buildings. These five buildings are essentially int acL Each unit has one main room including a kitchenette and a bathroom. A. Acoustical ceiling materiaL None observed B. Textured wall surfacing. None observed. C. P4wftiler insulation. None observed Report No.5-5384C Page 2 of narrative Units 8-12 D. Attic insulation. None observed. The attic spaces are not insulated E. HVAC duct system insulation. The strums have no visible HVAC system. F. Ceifing tiles. None observed- G. Sprayed structural fireproofing. None observed H. Flooring,. Units 8 and 9 have intact vinyl floor tiles on portions of the floors. Other portions of the units are carpeted over the wood sub-floor. Sections of the floor in units 10 and 11 have the residue of previously-removed linoleum. Sample# Location Asbestos Present 23 Unit I I —linoleum residue None 25 Unit 10—1moleum residue None 28 Unit 9—tile in bathlentry/Idtchenete None 30 Unit 8—tile in bath&at entry None 32 Unit 8—file on west side of main room None L Exterior stucco. Each of the units has a stucco exterior. Sample# Location Asbestos Present 18 Unit 12 None 21 Unit 11 None 26 Unit 10 None 34 Unit 8 None 35 Unit 9 None J. Exterior siding. None observed K. Interior wa11 material. 'Me interior walls in units 8 and 9 are intact. The interiors of unit 10, 11 and 12 are substantially gone with some residual material noted The interiors in each of the units are wallboard oonstrudion. The results reported below reflect the asbestos content of the composite core sample(s)as a whole, Sample# Location Asbestos Present 20 Unit 12 None 24 Unit 10 None 27 Unit 9 None 31 Unit 8 None 4 Exterior roofing materials. Each unit has suspect, composition shingle roofing material. No suspect mastic was noted on roof surfaces. Sample# Location Asbestos present 22 Unit 12 None 29 Unit 9 None 36 Unit 8 None 1VL Exbaus tfte piping. No suspect materials observed_ VIL Laboratory analysis: Laboratory results are summarized in section Vl. above. Refer to the attached laboratory report sheets for specifics. Analysis was performed by polarized microscopy (PL.M) utilizing the method desmbed in 40 C.F.R. Chapter 1 (14"7 edition) Part 763, Subpart F, Appendix A pages 293-299. The EnviTommental Hazard Services,Inc.laboratory is accredited in this method under the National Voluntary Report No.S-5384C Page 3 of narrative Units 8-12 Laboratory Accreditation Program administered by the National Institute of Standards and Technology, United States Department of Commerce(#101882-01 and by the Department of Health Services of the State of California(#2319). VIA. Condasions. The limited building survey protocol, and subsequent bulk sample laboratory analysis as reported herein,lead to the following conclusions: 1. Friable materials. (E P.A. definition of friable is that "the material, when dry, may be crumbled, pulverized, or reduced to powder by hand pressure." AHERA section 763.83. The team "fiable" does not necessarily indicate that any present damage,deterioration or health hazard exists.) Friable asbestos was identified in these construction materials: NO FRIABLE ACM WAS IIDFMrWMD. 2. Non-friable materials. Non-friable asbestos was identified in these construction dials: NO NON-FRIABLE ACM WAS IDENTIFIED. If applicable, the client may incorporate this report or its conclusions into a notice pursuant to the State of Califomia Health and Safety Code Section 25915 et seq. or into notification pursuant to SCAQMD Rule 1403. SCAQMD Rule 1403 mandates that, where a renovation will involve 100 square feet or more of asbestos-containing materials, or in any demolition activity, the property owner or renovation/demolition contractor shall provide written notice of said activity to SCAQMD ten days prior to the commencement of the renovation/demolition. Date: October 25,2004 ASBESTOS DETECTION CO.,INC. Charles W.Ay Catified Asbestos Consultant#93-1 V AID- DEMOLURON INSPECTION REPORT NO.S-5384D ASBESTOS DETECTION, INC. 15712 Grand Ave.,Lake Elsinore,CA 12862 Garden Grove Blvd_.Suite 290 Units 13-15 Garden Grove,CA 92843 (714)530-1922 L Client Ron Jiron 601-C Crane St. Cake Ebdnorr,CA 92530 U. Project address. 15712 Grand Ave.,Units 13-15 Lake Elsinore,CA lIL Date of survey. October 19,2004 IV. Inspector. Charles Ay,Certified Asbestos Consultant No.93-1030 V. Structure/mMee requested. The project involves multiple structures at an abandoned motel site. The client reports that all structures at the site will be demolished. For survey and reporting purposes, the structures are grouped as follows: Report S-5384A. Single-faauly house and storage shed. A one-story single-family house is located in the northern and of the lot A f w-sfanding,wooden storage is located to the east of the house. Report S-5384[L Units I-& Six small, fiuo-standing cottages were located at the southwestern portion of the property. These units are substantially demolished The interior and exterior walls and the roofing materials were previously removed Only wood firming remains intact, with some building material debris noted at the base of the foundations. Report S-5384C. Units 8-12. Five small, free-standing cottages are located on the west side of the property,north of units 1-6 and south of the single-family house. These five cottages are essentially intact. Report S-5384D. Duple: units 13-15. Three buildings on the east side of the lot each contain two motel units. The units are numbered 13A-13B, 14A-14B, and 15A-15B. Most interior walls and roofing materials have been previously removed The exterior walls of the buildings are essentially intact. This report pertains only to the duplex units 13-15. Please refer to reports S-5384A, S-538413, and S-5394C for results of the surveys of the other structures at the site. The demolition for should be aware of the possibit that presently inaccessible suspe d materials may be uncovered as renovation proceeds. If such suspect materials are discovered, the suspect material should be sampled and analyzed prior to its disturbance. Similarly, where carpeting was noted, ADI lifted a small corner of the carpet in representative areas to determine if suspect materials are under the carpet. However, the contractor should carefully remove carpeting to dine if suspect material is present under the carpet that was not readily accessible at the time of the survey. VL Site survey/ bulk sampling. This report pertains only to the duplex units 13-15. The term "none observed" refers jointly to each of the buildings. The following observations were made during the survey of these buildings. Each building has two units labeled A&B (13A, 13B, 14A, etc.). The three buildings are connected by carports that are built between the buildings. Each unit has one main room, the divider walls to a small bathroom have been removed. Most of the interior walls, flooring materials, and roofing materials have been previously removed The exteriors of the buildings are substantially intact A. Acoustical oerTing material None observed IL Textured wag surfacing. None observed Report No.S-5384D Page 2 of narrative Units 13-15 C. Pipe/boiler insulation. None observed D. Attic insulation. None observed No attic spaces remain. E. HVAC dud system insulation. The structures have no visible HVAC system. F. CerTmg tiles. None observed Q Sprayed structural fireproofing. None observed EL Flooring. Each unit has localized areas where the residue of previously-removed linoleum is visible. Sample# Location Asbestos present l 1 Unit 15A—linoleum residue None 14 Unit 14A—linoleum residue None 16 Unit 13B— linoleum residue None L Exterior stucco. None observed J. Exterior siding. Each of the buildings has non-suspect wood siding, with no suspect sheeting noted under the siding. K. Interior wall materials. The majority of the interior walls have been removed from the buildings. Some fragments of wallboard are noted in corners or on the floors. Sample# Location Asbestos present 9 Unit 15A None 13 Unit 14A None 15 Unit 13A None L. Exterior roofing materiak. Roofing shingles have been removed from each building. Some roof sheeting and composition shingle debris is present on the wood slats and/or on the ground around the buildings. No suspect mastic was noted on roof su f tees. Sample# Location Asbestos present 10 Unit 15B None 12 Unit 14A None 17 Unit 13A None hL Fxhausdt3ue piping. No suspect materials observed VIOL Laboratory analysis: Laboratory results are summarized in section V1. above. Refer to the attached laboratory report sheets for specifies. Analysis was performed by polarized microscopy (PLM) utilizing the method described in 40 C.F.R. Chapter I (148-87 edition) Part 763, Subpart F, Appendix A pages 293-299. The Emironmental Hazard Services,Inc.laboratory is accredited in this method under the National Voluntary Laboratory Accreditation Program administered by the National Institute of Standards and Technology, United States Department of Commerce(#10I 882-0), and by the Department of Health Services of the State of California(#2319). Report No.S-S384D Page 3 of narrative Units 13-1S VID. Condusions. The limited building survey protocol, and subsequent bulk sample laboratory analysis as reported herein,lead to the following conclusions: 1. Friable materials. (E.P.A. definition of friable is that "the material, when dry, may be crumbled, pulverized, or reduced to powder by hand pressure." AHERA section 763.83. The term "friable" does not necessarily indicate that any present damage,deterioration or health hazard exists.) Friable asbestos was identified in these construction materials: NO FRIABLE ACM WAS IDENTIFIED. 2. Non-friable materials. Non-friable asbestos was identified in these construction materials: NO NON-FRIABLE ACM WAS 11DENTIFIED. If applicable, the client may incorporate this report or its conclusions into a notice pursuant to the State of California Health and Safety Code Section 25915 et seq. or into notification pursuant to SCAQMD Rule 1403. SCAQMD Rule 1403 mandates that, where a renovation will involve 100 square feet or more of asbestos'contauung materials, or in any demolition activity, the property owner or renovation/demolition connector shall provide written notice of said activity to SCAQMD ten days prior to the commanceme nt of the renovation/demolition. Date. October 25,2004 ASBESTOS DETECTION CO., INC. Charles W.Ay Certified Asbestos Consultant AV030 ASBESTOS DETECTION, INC. TABLE OF IDENTIFIED ACM 12862 Garden Grove Blvd., Suite 290 ADI PROJECT NO.S-5384 Garden Grove,CA 92843 (714)530.1922 client Ron Aron Project address: 15712 Grand Ave.,Lake Ehinore,CA Date of survey: October 19,2004 AM astmlfts of the aufaoe areas of idenfifiad ACM are mady viaml spprmoimatiaos that are imb,ded for the oonveoiarm of the client. These visual motes are cot to be tmY=d far bidding cr mffwsdm purposes. The abstemmt contractor must iadepeodently verify the aa£ace area of identified ACM prior to bidding or mffmmtim TYPE OF EDEN 7FIED ACM LOCATION OF EST EWATED SURFACE ACM AREA NO ACM WAS IDEN IFM IN ANY STRUCTURE AT N/A N/A THE SrM This Table is to be uff and only in oonjunatiaa with the mmtive report pertaining to the strucnne(s)at the project site. The narrative report contains essential, damIM mf nnation for the client and the abatement contractor. All contracuoas should review the full narrative report prior to oomnmcement of work at the sits - AID- TERMS AND CONDITIONS OF BUILDING SURVEY ASBESTOS DETECTION, INC. 12862 Garden Grove Blvd., Suite 290 STRUCTURAL DEMOLITION PROTOCOL Garden Grove,CA 92843 (714)530-1922 PLEASE READ THIS FORM CAREFULLY! The building survey performed upon the structure(s) referenced in this report has been completed utilizing the procedures and protocol described ham. The procedures have been specifically approved and ordered by "CLIEi1T" for their sole use and purposes The Survey may not include a determination of all possible sources of asboontaining materials STANDARD BUILDING SURVEY CLUWr has ordered a standard building survey to be conducted in representative accessible areas of the structure. The standard survey is intended to identify reasonably accessible asbestos products in the following areas,or of the following types,and does not include any other products,systerns or areas: 1.Sprayed acoustical ceiling 2.TcMued wall surfacing 3.Pipe/boiler insul on 4.Attic insulation 5.HVAC dud maberialfuuulation 6.Ceiling tiles 7.Sprayed structural fireproofing 8.Vmyl floor tiles and linoleum 9.Exterior stucco 10.Exterior siding 11. interior plaster 12. Exterior roofing shingles/materials 13.Exhaust/flue piping Inaccessible areas of the shuctute, or any items requiring dismantling or destructive measures, are beyond the scope of this inspection. Samples of suspect products involved in the standard survey were obtained as follows: A minimum of three(3) bulk samples of each apparently homogeneous suspect: friable material shall be obtained from the structure. Suspect non-fiable materials shall be sampled in quantities deemed sidMent by the inspector based upon the type and surface area of the material- The demolition survey sampling protocol is designed to meet the requiremems of South Coast Air Quality Management District Rule 1403. ASBESTOS DETECTION CO., INC. makes no express or implies warranties concerning the physical composition of any material other than the specific sample(s) which is the subject of microscopic analysis and ASBESTOS DETECTION CO., INC. makes no express or implied warranties concerning the health effects,or potential health effects,resulting from exposure to any material surveyed or analyzed. Laboratory testing cannot; and does not; warrant that similar appearing products in adjacent areas of the structure are of identical, or similar composition and asbestos contxrnt. Assumptions based upon sample analysis are made solely at the risk of the CL1ENr and ASBESTOS DETECTION CO., INC. is not liable in any manner for opinions based upon said options. • - ENVIROHNENTAL HAZARD Fax:8042754907 Oct 25 2004 8:07 p, 01 ENVIRt NNIMTAL HAZARDS SERVICES L.L.C. 9MTfi-47U FAX 884,>tTl M*f ad l� sros saMPK- & 861 SYMM RY CUM: Asbestos Detection,Inc. DATE OF RECEIPT: 20 OCT 2004 12862 Garden Grove Blvd.,Scuts 290 DATE OF ANALYSIS: 22 O¢T 2004. Garden Grove,CA 82848 DATE OF REPORT: 28 OCT 2004 CLIENT-NUMBER: '8-1059 'A E98 PROJECT 0: 1044-2068 PROJECT: 8-5884;StevfizW.15712 Grand Ave.;Lake Elsinore EH8 CLfENT•SAMPLE#1 %ASBESTOS OTHER MATERIALS SAMPLE# '* L.ABQRAiORY OEM DES PTf N 01 1/ -NAD ' 100%Non-Fibrous White Powder 02 2/ NAD 100%Non-Fibrous White Powder 09 8l NAD 100%Non-Fibrous White Powder 04 4/ NAD 85%Cellulose Tan Pmier;Hlsak M. 15%Non-Fibrous 05 W. NAD 90%Cellulose 8rowa Fib. 10%Non-Fibrous 06 6l . _ NAD 100%Non-Fibrous Brown Cementithm 07 7/ NAD SO%Cellulose Black Tar-uie- 70%Non-Fibrous ! 08 2%Cellulose 81 MAD . Browr}/Black Ta�I be 18%Fibrous Glass 80%Non-Fibrous 09 9/ NAD 35%Cellulose White Poviden Brown 1%. 65%Non-Fibrous 10 10% NAD 35%Cellulose ' Gray/B1ackTar-Like . 65%Non-Fibrous NAD 9096 Cellulose HrOwh/Bla&Fib. 10%Non-Fibrous 17 i?J NAD 25%Cellulose Esok Tar-Like 75%Non-Fibrous —PAGE 01 of 04— • ENVIRONMENTAL HAZARD Fax:8042754907 Oct 25 2004 8:07 P, 02 ENVtRQNMENTAL HAZARDS SERVICES, L.L.C. CLIENT NUMBF.IL- •5.1089 A'. EMS-PROJECT di 10-04.2968 PROJECT. - : S-5884;SWvezW 15712(land Ave4 lake Eleinore EMS CLMNT'SAMPLE 91. %ASBESTOS OTHER MATERIALS $AMPLE S LAB!?RATORY GROSS DE�CRarrnw - 18 18/- -NAD 30%Cellulose White Poio'der,Brown Fib. 70%Noa•PYbrous 14 14/ - NAD W%Cellulose Black Fib. 10%Non-Fibrous 15 15/ NAD 5%Cellulose . White Powder 95%Nob-Fibrous 18 18/ NAD 90%Cellulose Black Fib. 10%Non•Fibtous 17 •17/ NAD 30%Cellulose Qreeri/BLick 11ar-Ia ce 70%Non-Fibrous 18 18l NAD 10096 Non-Fibrous Brown Cementitious Mack M. 19•'• . 18/. NAD 92%Cellulose 8%Non-Fibrous 20 20/ ' NAD W%.Cellulose Tan Powder,Brown Fib.' 70%Non•FibroUS 21 211 NAD 100%Non-mbrous Brown Cenientitious 22 221.. WAD 1%Cellulose Brown/Black TarLIAke 19%Fibrous Qlesa 90%Non-Fibrous 23 28/ NAD 90%Cellulose Black Fib. 10%N641brous 24. 24/ MAD 7%Cellulose Tas Powder 98%Noa-Fibrous 25 25/ NAD 87%Cellulose 18%Non-Fibrous 26 id/ NAD 100%Non-Fibrous Brown•Qementloous 27 27/ NAD 8096'Cellulose White Powder,Brown 15. 409.E Non-Fibrous 28A .28(a)-Tile/ NAD 100%Non-Fibrous TaaVigyl ' - -PAGE 02 d 04 ENYIRONPENTAL HAZARD Fax:8042754907 Oct 25 2004 8:08 P. 03 ENVIRONMENTAL-HAZARDS SERVICESt L.L.C. CLENrNUMBER:• 5-1039• A .EHS PROJECT!:. 10.04-2963 PROJECT:. &58KSteveas; 15.712 Grand Ave.;Lake Elelnore ENS CLIENT SAMPLE 01. %A9898TOB OTHER MATERIALS SAMM9 4 LABORATORY GBOSS 096CMU10H 28B 28(6)-Masten' NAD 4%Cellulose Ta Adhes. 96%Non-Fibrous 29 29/• NAD 2%Cellulose Brown/Black Tar-Like 18%PYbrous Glass = 80%Non-Fibrous 30A 30(s}' Ile/ MAD 100%Non-Fibrous Gray VmYl BOB 30(b3-Mastic! MAD 6%Cellulose Tan Adhes. 95%Non-Pibroue 31 33! NAD 40%Cellulose White Powder,'Brown Fib. W%Non-Fibrous 82 al! NAD 40%Cellulose Brown VW4 Black M. 6OW Non-Fibrous 88 38! -NAD. 100%Non-Fibrous • Browa Cemebtitions 84 84/ NAD 100%.Non-01brous Brown Ceinentiumm 88 88/ - NAD 100%Non-1;Ybrous Broft Cemendtioue" 36 86/ - NAD 85%Cellulose Bedfflk&Tar-Like 65%Non-Mbrous 87 . • 87/ NAD- 5%Cellhlose Black Tar-Like -' 95%Non-Tibrous 88 881 NAD 100%Noa•Fmrous Bra "Cemeatitioas 89 not NAD 35%Cenuloee Brown/Black Tai•Like 65%-An•Fibrous PAGE Old 04— ' ENVIRONMENTAL HAZARD Fax:8042754907 Oct 25 2004 8:08 P. 04 ENVIRONMENTAL.HAZARDS SERVICES, L.L.C. CLIENT NUMBER: 3-1039 A EHS PROJECT E: 10-0,2963 _ PROJECT:. S-8384;Stevens;16712 Grand Ave.;Ike Eleinore QC SAMPLES "' M2-1999.1 OC BLANK am lase Fyberglase REPORTING;OMIT: •1%Asbestos METHOD: Polarised Light Microscopy,EPA Method 8OOfX98/118• . ANALYST: Christian Schaible Ravi"by Auth arized Signato. Rawwd Vwmr,'laborwory Me mr Zrma Phowseld,QwUty Amrurarwr dwwdinamr Dvui x1h MA'8ador Chemiet Few Jiang,M$&trier Gwlogw MAW A.Mueller,Qualify Aesurar w Manager Results represent the analysis of samples submitted by the d'ient sample loca8on,d=Aption,area,volume, etc.,was provided by the dent Tho epott cannot be used by the dlent to dab product endoraentent nviroNVLAP or arty%W y of the U.S.Govemment liftreport dW not be mprotiuoed exoept in W,wittrout the.viften C=Ww[rt of nmerdal Hazards eervtoes, LL.C. CaAlbmle CeNfleetion tgfO' NY E1AP OW14. AD trdormatlon•oorroemin8 ampi ft location, dabs. and time can be found on Chain-ot Cudody.ErtvtronmenW Hazards$ Mew LLC.does not perform any sample collection. Envtrwmwtal Hazards Services, LL.C. moommerrds resnabrsls by poW count (for more aoounde quart n) or Transmission Election MWM=py (MM, for enttanoed detection capabifities)for materials regulated by the EPA NE8HAP (National Emleslon Standards for HazeMM Ak PduW%r and-bund to contain less anal ten peroant(CIO%) asbestos by polarized light microscopy (PLR. Both"services are wail"for amaddltiorW fee. 'AD Cafdomis sarnptes anayned by Potarteed LqM M lcrosoopy,EPA Me9rod 600IM t-82-020,Deo.1982. LEGEND Nita=no sgbestos-dstedted- pJntt.dotli07 : PAOE 04•ot 04—END OF REPORT— . REVISIONS BY OFOON.LL OR i 381-030-032-00 1 �C 0 Io , �• �,,�" �r�" J81-030-063-00 0 1451.0r — O N36'J100'E 17.00 724r K .f.7ir 6;�-,1�76- lY 9.67 15-26'i 7AW 41 O v / h° ~'� - gel-oso-oos-cc A. - - - I I100'� N77p6'' 4IIY �` b izeal n Ji S-3w 6.15 211 N29-5110 10012, ' 'W KSt1003 &144r � 4J 6a 1 -- - - AOW)63'sr 260.-I �. .. Crum L~nWCC I - J N36'3I'05T 41' 9.6 Q54 9.3{ 9. IS - _- _. NJ6-��S C159is_.__N36�J,•OS G,. ' 381-040-013-00 381-040-015-00 SP1[LWAr HORTHN£STERLY UN£OF LOT S, BLOC R.r-F.C. I• \n ,moo. SO 0 SO 100 150 CITY 0 F LAKE E . o BUILDING LEGEND (rZ PROPERTY LW J CHAIN LMK FENCE �J .� � � EX15T7NG BCn1.D/NCi PERMIT #//�� l/JI 11 S NVEX CONT� M/T£RM£GNTf CONTOUR If(C`/ SIR££T CENTERLOVE �VJ OWNERSHIP INFORUA710N: SITE ADDRESS., ZONINC. SITE DESIGNATION: - POWER POLE DANO R. SHC9LEY 15712 GRAND AVEN•f Cl FAR 210'FROM CPAPJO AVENUE R£FNBIWATION C' SHORE ACRES MOTEL K U ma TOP CROW UoZ.E15INORE. CA 92.530 RJ FROM 210'LINE TO ELEVATION 1265 26 OCCUPYABLE UNITS FOR HOTEL OR TENANT LIVI:A : VED 605 E MISSION ROAD AOK 3S!-030-005-00 SAN MARCOS, C4 92069 . AGENT FOR OWNER: KARL W. CAR-Y 760.715.2703 J UTILITIES: � WATER AND S£ri'ER F� E15ff4v r£ VALLEY lIJNICtFAL WATER DISTRICT 31315 CHANEY STREET LAKE ELSINO?•4 CA 92530 DA 7E 7-15-02 ELECTRIC: 1-50' t SOUTHERN CALIFORNIA EDISON DRA_ -i. WN P.O. 9Ox 500 SOR 1 ROSAI£AD. CA 91771 q, THE CAS CO. OA- 262W P.O. BOX C tIONItKEY PARK CA 91756 tepp lt ///T-��C_-7 .v.e+..nae saT;w 381-OY.3-005-00 ` 7-15-02 - 1 £nynCLYlnq S 1p"a J ��4°_ I PRFPARATION ANT) RFVICIFIN In(-