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HomeMy WebLinkAbout2405 LA COSTA AVE; ; CB062027; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-17-2006 Demolition Permit Permit No: CB062027 Job Address: Permit Type: Parcel No: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2405 LA COSTA AV CBAD DEMO Full Demo: Y 2162405548 Lot#: 0 Reference #: 4 Structure Type: MF2-4 8 Bathrooms: 8 MARBELLA CONDOS-DEMO 4 UNITS & GARAGES-UNITS A,B,C & D Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: AMG DEMOLITION & ENVIRONMENTAL SEVERIN C SHERMAN STE 523 1220 ROSECRANS ST 92106 619 501-7427 Building Permit Plumbing Fee Other Fee Additional Fees TOTAL PERMIT FEES $0.00 $0.00 $240.00 $0.00 $240.00 321 HIGH SCHOOL RD NE PMB 571 BAINBRIDGE ISLAND, WA 98110 ISSUED 07/17/2006 RMA 07/17/2006 07/17/2006 Total Fees: $240.00 Total Payments To Date: $240.00 Balance Due: Inspector: FINAL APPRC}VAL Date: q/,; •L-Clearance: $0.00 NOTICE: Please take NO ICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date thls permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Car1sbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/ x cti n fwhi h N Tl E imil r hi r whi hth tu flimi i nsh PERMIT APPLICATION FOR OFFICE USE O~L Y PLAN CHECK NO. (]a~ ~ oi 7 CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. __________ _ 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit ------.------ Validated By / , £,4:: Date J (l-z {0' 1 Address !include Bl g/Suite #} I dQ . · , Re:, 1 ~:b· g__l C.On b'.\, n, "rn~ Legal Description Lot No. Subdivision Name/Number Ro,·del{)t:f 4 \ Total # of units Assessor's Parcel # Dema li°tiPVl Description of Work Existing Use 35rnEJ.uOO Unit Nod Phase No. 1<c-.s,· et'\+.,·a. I SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (if different from applicant} Name Address City State/Zip Telephone # Fax # 3. APPLICANT )& C~mtractor O Agent for Contractor O Owner O Agent for Owner Af!'C-, D-xro I di oo f'Envi roO'llnft\ :b \ f,;Q?Roc,...cro n~ .$::. 9f SA S:inI>ie;o Name 5-et"v,,i::,.:rnc.... Address City c..A State/Zip (ol'I-SDJ-74;).7 Telephone# 4. PROPERTY OWNER Ho4 La east....,o M,rhe, llo. Name City 5. CONTRACTOR -COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to t he provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation qt Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). AMbDeroali-han ,££oujce,.~\ IQ;loRn:,,,;;tYQns.9:. ~.:'R3 5o.,JJ·50 cA qlto ~ (,,19-so, 74g.7 Name !::.'1.'t'"VI~ ::r~. Address City State/Zip Telephone# State License# -cgj ~~ \ 3, License Class A I B I C ::2 \ City Business License# lo219riS8' Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ I have and w ill maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit~is issued. My worker's compensation insurance carrier and policy number are: / ~ I I { Insurance Company5b+e~p~\iot,~,ah,CC fv..-d Policy No. f ftt84S 77 Expiration Date ::5t/ ~ 4 {Y (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS} 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100, 00} In a to the cost of compensation, damages as provided for in Section 3706 of the L'b~!?'nterest and attorney's fees. ~'.GNATURE---,G,..4'-fi-:.L/-/-:~~;,..t'.-&~~:t...-<~:::::{,=------------DATE _74 p'--'/'--J_.+f.'~~..._---:==-- I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale}. 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law}. 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have not} signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm} to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number}: ______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired} the following persons to provide the work indicated (include name / address / phone number / type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE -----------COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i} Civil Code}. LENDER'S NAME ______________ _ LENDER'S ADDRESS __________________________ _ 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is uspended or abandoned at any time after the work is commen ed for ape · d 180 days Section 106.4.4 Uniform Building Code). V APPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/06/2006 Permit# CB062027 Tille: MARBELLA CONDOS-DEMO 4 UNITS & Description: GARAGES-UNITS A,B,C & D Type: DEMO Sub Type: Job Address: 2405 LA COSTA AV Suite: Lot 0 Location: OWNER SEVERIN C SHERMAN Owner: Remarks: SEWER CAP INSPECTION Total Time: Inspector Assignment: Phone: 619519 <150 Inspector: ---- Requested By: SHANNON Entered By: CHRISTINE CD 22 29 Description Sewer/Water Service Final Plumbing Act Comment ~ ~-►-JC -¾+----11--d---------------) r_ Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments DEMOLITION ASBESTOS CERTIFICATION ADDRESS: dl/05 J'.l,B,G, D €.;)'[07 8,R,C.,..D LaCn-,h, Ave; La&~cAC,;x:o'=, usE OF BUILDING TO BE DEMOLISHED: ___,_B-"es ........ ,....,·J..,e ... o,J..lj..;J,C..,·4.......,1 ______ _ SQUARE FEET '"J.., noo X NUMBER OF STORIES __..,?:,"->1.---1 PROPERTY OWNER:rrkl~~L~a.~~~,.lt;..,I.J,.lili-1:~_tg_ _____ _ C./0 ~~r om,nu.,, ADDRESS: ii PHONE ](Q()-943-q53~ APPLICANT: A:[Y} '2Dmol, ·t; "'4 ~ fn vi Con men¼ I Secvi'c::.c .Tne . ADDRESS: k¥,3o Rc:E;,tC@nsst.,St-c ,St-:, S:inDtpCA PHONE (p19-so/-7'·/';J,7 ____________________________________________________ ':fmd.,o.. ______________________ , Section 19827.5 of California Health and Safety Code states in part: "A demolition permit shall not be issued by any city ... as to any building or other structure except upon receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project." As applicant for a demolition permit in the City of Carlsbad, I certify that; I have read the excerpt from Section 19827.5 of the Health and Safety Code provided above; the information I have provided on this form is true and correct; and I further certify the following: ( ) On the attached __ pages are copies of all written asbestos notifications regarding the above referenced building that are required to be submitted to the United States Environmental Protection Agency or to Part 61 of Title 40 of the Code of Federal Regulations, or successor to that part. I declare that the written asbestos notification is not applicable to the scheduled demolition project. Date h:\word\front counter handouts\demolition permit requirements.doc REV April 19, 2004 June 12, 2006 Sheri Behar 2415 La Costa Ave. #B Carlsbad, CA 92009 e-mail: infog<alliance-enviro.com • web address: www.alhance-enviro.com Lie. #716538 • 0.O.S.H -#630 Re: Asbestos Remediation: 2407 La Costa Ave., Carlsbad, CA 92008 Dear Mrs. Behar: We appreciate the opportunity to service your asbestos abatement needs. The enclosed package provides documentation for the removal and disposal of the hazardous waste that was taken out of the above stated property. Please keep these papers along with other pertinent papers regarding this property. You will be receiving the following items: Certificate of Completion stating that your job has been completed in accordance with Federal, State and local regulations. Area After Reports as analyzed by an independent laboratory confirming that ambient air sample was at an acceptable limit. EPA dictates this level as less than or equal to 0.01 fibers per cubic centimeter. (When available) Uniform Hazardous or Non-Hazardous Waste Manifest showing that the hazardous waste was transported from the job site to an EPA approved landfill. (When required) We appreciate the opinions and ideas of our customers and we would like to hear from you if you have any questions or comments regarding our work. If we can be of service to you in the future please give us a call at (619) 229-6135. Sincerely Cameron Kincade, Alliance Environmental Corporate Office· S1111i Valley Office San Diego Office: 990 W. Tenth Street, Azusa, CA 91702 • ph 626.633.3500 • fax 626.633.3599 680 Flinn Avenue, Unit 32, Moorpark, CA 93021 • ph. 805,378.6590 • fax 805.378 6594 4667 Mission Gorge Pl., Suite 8, San Diego, CA 92120 • pl1. 619.229 6135 • fax 619.229.6143 "', ,,. .. : . This is to certify that an asbestos abatement project_.:~--,:.· Scope of Work: Abatement of asbestos acoustic and flooring in . . :units 2405-A, 2405-C,2405-D,2407-B,2407-C,2407- D has been completed at: 2407 La Costa Ave., Carlsbad, CA 92008 La Costa De Marbella Job Name 6-12-2006 ·Date D-05-005254 -~~~~-~ r ~!. . State of COOfornia-Environmentol Protection Agency •"i · • Form Approved ()MB No. 2050-0039 (Expire, 9-30-991 •ewr,·t• _ !_.>_I,'-~· Jr ~.e {.nstructions on bl•\· ,age 6. Department of Toxic Substances C, Ple_a_,e_p~ri_nt_o_r_t_.'P_"e_._·Fo_r_m_d_e_.,_"rJ_ne_d_Fo_r_u,_•_o_n_e_li_t•_l_12_·_p_i ~-------4-'&----~---:!l.,_. ________ , ·---:--:----.--::--::---:--r--:----S-a_cr_a_m_•..,n_to.:., _:C..:a..:lif..:o.:.:rn.:..i,:o_ 1. Gene ·~r's US liPA-IC½~o . .;_; . ·,,~,-Manifest. un,ent No. 2. Poge l Information in tho shaded areas · UNIFORM HAiA~DOUS WASTE MANIFEST 0 I(') I(') " N .,.., ':) 0 0 r, ':) .o= \J4: r,u :n~ 1')~ .::t2 :'1~ u z j: I-~ G N . E 0 N CX) E CX) ~ R N A "<I' 6 T 0 0 C A C 0 0 -95826 S 3 2 3, Generator', Nome ond Mailing Addreu 9ADe,ignoted Focili~ ~ffie a,ul Site A~d~eu zusa Lan ec,amatori 1201 w. G a·stQne a·vd. Azusa, CA 91702 c. __ CARO O O O 1. 7 6 5 7 10. US EPA ID Number C A D 0 0 9 0 0 7 6 2 6 11. US DOT Demiption (induding p;oper Shipping Name, Hozord Clou, and ID Numbe;) R:Q. Asbestos,19, HA 2212, PGIII . I b. c_. ,- ' / . l od i, not required by Federal law. ! rL .. "' w I-~ u w ~ 0 0.. V) w "' ..., < z 0 ~ < z w 0: I-..., ..., < u ...,-..., ;;: V) "' 0 >-u z w r 0 R "" A w ~ N s w P. u.. 0 0 R· T w E V) R ~ u ~ F A C I l I T y d. 16. GENERATOR'S CERTIFICATION: I hereby declare that the contenh of thi, con,ignment ore fully and occurot,ly d .. cribed above by proper ,hipping name and ore classified, packed, marked, and labeled, 01'<1 are ·In all respect, in _proper con~ition for transport by highway according to applicable international and nalionol government regulation,. . If I om a large quantity gen~rator, 1· cortily that I hci•e a program in place to reduce the volume and toxicity of woste generated to the degree I hove determined to be economically procti.coble ~Jnd that I ho11~. selected the proctic0;ble method of treatment, storage, or ~is~sol c~rre~t!y ~voiloble to me whic~ minimizas the present and Future threat to human health and the env1ronmef}f; OR;' 1f I am a small quantity generator, I hove made o good faith effort to minrm1ze my waste generation and salact the best waste mon9gement method that is available to me and thqt I can afford. · __ .,..... ., · Pr_i~~•-1/Typ.~d Na~~ 6 ;r~,·, ~ 1,. ~~..,. i -~ i __ _, ,., •n (..•. · t .. l f.~.--._ I' .,,,_~,J ·? J_.,,...., (. • .;l •.. .:···~ (-·,·•·; ,. (;t-.• Signature ....... .. / ,,t::> . :-r .·• ,. ~---,· Month Day Year I 0 "J: -;z -0 17. Trans crier 1 Acknawled ement of Recai t of Moteri s Printeq/Typed Name / . •• •~?' · ~·/;"/'' / J:: r •·~:~.-~,J ~-"-· I > [-1' • • ,(~ Signature _ .. , _ .. 18. Tron, orter 2 Ackno,.;led ement of Recei t of Material, ··,_ .. ,/ •.,,, .. .~--· Month Day Yea, I I,) ('. "7 1·.:., r Printed/Typed Nome ./~.G--;;. /,+--.-..,.· 19. Di,crepancy Indication Space Month Doy Year 0 , () r -9 2 3 0 4 20. Facili Owner or O erotor Certification of recei t of hazardous materials covered b this manifest exce t as noted io Item 19. Printed/Typed Name . ·._. '1 I ! '. \ ' ·-\ ( ' t'i, ... l., .r Signature Month I. Day ~: .' Year r ... , DO NOT WRITE BELOW THIS LINE. DTSC 8022A (1 /991 EPA 8700-22 Green: TRANSPORTER RETAINS /~tr· 101005 ,A ( /o8Sr) F;.,, , .• ,::~ i:R '· 'L.i6RF TIC,f·, ~-. . -;,--; :" / • -:;, .. p; Str--.(: . .::..,.7, ..... , .-,~ ,-._:: '-" ._;2: _.,-;:: < '7 c ,· . ,;~--J '-_.. _) -( ~ , ··es k: .lb! , . ·1 -;-/ ----=~-, - ,::.,~r· -.1ET -o;.1: .~Hiance -~---·/ .-.. -~.--;.•,=r·-,~-""-~-1Pi ::; . .-~..:• -: ::.-1 f"IG,~ (.1,-, :::.·{1 ~i..:'~ • : • .-:.-.1...,l!. ::'°.;. 61 .021 .. ,·, .~,, .-aµp.:J /--, ,l I//). + s:.-,0 ,., •i ~ r (l C S k ._ <-1 c c!:: ' . -\ .• 1/ ~--·/ C-'" ·.; _·,q,;.t>iii...1t.'.l!11t:3~ ~-._\. ;_:~~,.~ C.,..., -. -,21 ~. ci1,J~~ ~ ( A c?-, . -✓ lA~ rqy J:!-c ,.... ~\~,!~ c..!£.,_ . , /' , C' 0 =' r,.• • ,j:.-n = ' . -. ' --~r: ; . b(;"'3:-au-:-I . !a.. ~-:>.0:-..:.1 1 t°-i~ l•1 . .,,. ~ ,----, ii,' r-v . ct: ,;.·-: Tim: /<----y -> -_). G /~-.iL l ~--~--=-sr-AIR SAMPLE DATA SHEET Rt=i", c ·.,,, ____________ , .... 11'.·•l:n"r• ___________ _ S • -Lt_ i .,,.. ; .,t- '2 ,_ '1 ,:;: __ ;_ - _f.:,;_. _:_ CLJMP I I.., I C ; (. ( (, .c t-(_ r •. ... :--~siFL[ 5.::.·cLt ~v;·,.::lit: aGd · ~A~IPLE ,,'.,TE ·=tc ~,'; • .$., ... ,. 4i=_1; TYPE TYPE f c J0-b5-;;24' (,; 1 ~rec iV\ . o/-A-4- t -o i c.J;;;:5 ,;Z t--t 0 c... &J ~-CL\ ·o ".S(!..J. ~ A A. ! D 10-:f.-')"?,. ~ 0. ·7_4♦,.7'.·, u: ·1. qA,_;J-1~¥ 4~ l C i'..6 -7-9, <-/0..:fJ) . ..Ll,v', ~,-c;o~q✓: M _ l Q / o -~-JplJ.{c.5di:J,rc.Ji~v1 _ ;~ . .4/4f-_ C ro~-5~Jq 054-~ ,-c.\o~ ._ .~v . ~4-~ cW:.Lv, E!: ~;,.,M[ ,Pf:'v"'' s."1,:·-, o:1L \'.• _. \~ (d ; .. ) . ·, \'(}' ;-0 -t ,·-~() . -l T TAL t,FO.;L : 'Mi: ''\ -• .r -._c, c: .... ,.L · •.. _. c:::;;;o:011-c-:-I r·•i:.i / / ;r:-:; , ~ >rK 1\-llNUTtS _:,q ':'.; •• '\ ~~:~;(::,·-J STARi flME E\O '-'·'E TC,;AL :!Mt ST~R-, FLO\·. E'lD F,OW l ;.,, • . --=v r q:0 2 iu:C<J le ~; ;_~-Cl _ t ic, c,,//oO-'\_e· ~ I/) ·i: ot: ? ·cc · bt ,-l b -cl/~. c, f6o ~ I,,."' o~- ,.., . , /. 3/.o . 'f ~6 :Jt: ·Q::i fc,C . /_c.,i)_ 16:._ q (i oO ... "fJ ~JJ~-- fJ..:~ 1 .-~c/ L:-c , \~.a,\~. cfo0 .,o·; J • 'i/ . 0 I,,, f~:_"cx.,_ ;;c:C ~o '. f'Ji-~ !~O(lro\_o·_j " . . . Z-/ . c2_;_o c ·:2~:c~ le O , i /;rO , If>: C t (OO -:.i.f) _ I ~-l.'-\J = 'j~.Q Lab. ______________ _ --:o:. i1• ... h [.,,,on·.,.< 1·•re-.::· ... (: ________ _ :..c-·.v F:·f"'1 ,~,L ·· ~;:· h .·1 lt. , ,pl _-;/. [ I "',A I I 1.·~:H'"' :;;:· p cu / r-·,cf• ·. :r::., .,,:;, f,,:,:-' l i ·~-~;·:··~t~c~,,~;:i~,~,,~-'~'-..... _____________________ _ .,\,;::> ·•/al D~ d r .t'r ,:, ,:-!.-___________________ _ • D ! ·~·;,e :.. .;je~ t I . . I I . "' .-~c~ ... D -Qemc1111c,., C;{ -~'OS~ hf·71011c: ·, -.C .. a-•c1;,rn ~•t CO: E -Enc□su,,,.~ ,,B · Glo,e 82. Sa,.-,:;::; T y;;e Codes "':"Ui.:a .. _1 • )1~-' P • Pei30r.a, .A.o -J..:-a Bth:ire AO. rile, [J,.;r,;g /J.A -Ar0a Ah?' i:y . !=.,•11rc-: .. -. c~ .. er -~ -~,\ -:-, .. I.:. r-.· - i:" J$ Lea,1 C,. ,; -------------------- Resp I a[c~ ~C'1::S . ..,p -Air Puriiy:nq ·-,._ ~~ P · PAPI=, ". 10•10 -~~]~:~y; G · Type C r J. Grat.i: I) r.cr t.;,, ;I ,: .. -2 C,ly Alliance Environmental Group, Inc. Tim Tilley 4667 Mission Gorge Pl., Suite B San Diego, CA 92120 Project Location: Mirabella 2407 Costa Avenue Carlsbad, CA 92008 Report of Test JobNo: 1-17 Date: 10/10/05 Client Job No: 5254 Client PO No: Report No: 1-17-101005-A PHASE CONTRAST MICROSCOPY -ANALYSIS Procedures: Air (cassette) samples submitted by Alliance Environmental Group, Inc. were analyzed in accordance with NIOSH (National Institute for Occupational Safety and Health) #7400 Method requirements. After the samples were delivered to the laboratory at JMR Environmental Services, Inc., the tilters were rendered transparent and fibers were counted using a Phase Contrast Microscope. Results are calculated to determine the fiber concentration per cubic centimeter of air (flee). Sample ID Sample Date Location/Sample TyPe Volume (Liters) Results (flee) 10857-l 10/06/05 2407 Bedroom/ Area After 960 10857-2 10/06/05 240C Bdr Closet/ Area After 960 10857-3 10/07/05 2407 A Living Room/ Area After 960 10857-4 10/07/05 2405D Living Room/ Area After 960 10857-5 10/08/05 2405A Kitchen/ Area After 960 10857-6 10/08/05 2405A Bdr Closet/ Area After 960 • Fibers / Fields = Blank Check JMR Environmental Services, Inc., appreciates the opportunity to be of service. Analyzed By:_.J_ ___ _.cc=--:c,,_ ill Brodwolf · Laboratory Anal st Rick De Nisco Laboratory Manager ' <0.005 <0.005 <0.005 <0.005 <0.005 <0.005 Pag-.' : of I 4560 Alvarado Canyon Rd., Suite 20, San Diego, CA 92120 Tel: (619] 858-7260 Fax: (619] 858-7264 r _f State of California-Environmental Protection Agency Fo,m Apr,1ov•d 0MB No. 2050-0039 (Expire, 9·30·99) PJeose p}int or type. Form de,igned for u,e on elite /12-pitch j~e nstruchons on back ol '-" ge 6 0 ~ ~ " N ~ (X) 0 0 O"? o: \J<i: t')u -n ~ t')~ :t2 "~ u z :i: I-~ G cs, E 0 N (X) E (X) ~ R N A 'st 6 T 0 0 "? R ~ w I-z w u w 1/) z 0 a.. 1/) w ~ .... <( z 0 i= ,<( z w :x: I-.... .... ,<( u -.... .... a:: 1/) ~ 0 >-1, u z w T (.'.) R ~ A w ~ N s w p u. 0 0 R T w E 1/) R ,<( u ~ F A C I L I T y )rite,. Deportment of Toxic Substances Control Sacramento, California . UNIFORM HAZARDOUS WASTE MANIFEST 1. Generator', US EPA ID No . Manifest Document Nv. CIAICJ OJO l2 1519 15 1812 i 6I 9J 3 1 2 6 1,5 2. Page 1 l of 1 Information in the shaded areas is not required by Federal low. • 3. Generotor', Nome and Moiling Addreu A. State Manifest Document Number La Costa d~ Marbel13 HOA Site:La Costa de Marbella 2407 La Cojta Aye. 2407 La Costa Aye 243 93265 4C8f.:el!E•~~"ne 'r~ii~o2g8_8248 Carlsbad, CA 92008 8. Stale Generator's ID 6. US EPA ID Number I I I I I I I I I I I I I C. State Transporter's ID [Re,erved.J 3472 le IA 11 10 10 10 11 16 10 11 11 11 D. Transporter's Pho 1 ne ( 626) 633_3500 8. US EPA ID Number E. State Transporter's ID [Reserved.) 12. Containers 13. Total 14. Unit 11. US DOT Description (including Proper Shipping Nome, Hazard Clou, and ID Number) No. Type Quantity Wt/Vol I. Waste Number o. R.Q. Asbestos, 9, NA 2212 , PG III State 151 y d~lf A I P, ::>1o n 1. I 1 EPA/Other b. State I I I I I I I EPA/Other c. State d. I I I I I I I EPA/Other State I I I I I I I EPA/Other K. Handling Codes for Wastes listed Above a. 03 b. c . d. 15. Special Handling Instruction, and Additional Information 24 Hour Emergency ( 800) 451-8346 When handeljng ~aste us e proper safety/personal prote~tjve ~lathing & equipment. EPA Region IX 75 Hawthorne St. San Francisco, CA 94015 l415J 744-1 305 San DieQo Air Pol lution Control District 9150 Chesapeake Dr, San Diego, CA 92123 (858) 650-4659 16. GENERATOR'S CERTIFICATION: I hereby declare that the content, of this consignment ore fully and accurately described above by proper ,hipring name and ore classified, pocked, marked, and labeled, and ore in all respects in proper condition for transport by highway according to applicable international and nationo government regulations. If I am o large quantity generator, I certify that I have o program in place to reduce the volume and toxicity of waste generated to the degree I hove determined to be economically practicable and that I hove selected the practicable method of treatment, storage, or disposal currently ovoiloble to me which minimize, the present and future threat to human health and the environment; OR, if I am a small quantity generator, I hove mode a good faith effort to minimize my waste generation;.:-ond select the best waste management method that is available to me and that I con afford. Printed/Typed Nome ( f'-. 1, I\ •,,. I.) R ~ ' ·' \ • \ ),~ I"',(.; ·? f _.--A/ C..1 ~-:-.-, r , .. 'I I "• ( ~ 17. Tronsporter 1 AcknawledQement of Receipt of MoteriQ/s Printed/Typed Nom1e( --· / ·1, .,, 1,.,,. /~, --' .,..,,_ ,, ("",.,,. . ·., . ' ........ 18. Transporter 2 Acknowledoement of Receiol of Materials Printed/Typed Nome 19. Oiscreponcy Indication Space I Signature./ "' . I Signature ·1.F ·t , r '·-· .• ,, 20. Facility Owner or Ooerator Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19. Printed/Typed Nome I Signature DO NOT WRITE BELOW THIS LINE. l I I J Month Doy Year tlol 7 17 lols- Month Doy Year t lo I ,. I 7 I o I r Month Doy Year I I I I I ' Month Doy Year I I I I I DTSC 8022A (1 /99) EPA 8700-22 Yellow: GENERATOR RETAINS \ ,.-, C/0 Premier Community Services. LL( 325 Carlsbad Village Drive Suite D-1 Carlsbad, CA 92008 June 12, 2006 To Whom It May Concern: 7 60-730-7888 760-730-7883 Fax La Costa de Marbella Homeowners Association is the entity statutorily charged with and created for the purpose of managing the condominium project commonly referred to as "La Costa de Marbella." The undersigned, pursuant to the direction of the Association's Board of Directors, hereby authorizes AMG Demolition and Environmental Service, a licensed building, demolition and engineering contractor (hereinafter "AMG"), Cal. License No. 813313, to proceed with demolition of the buildings comprising the 8 units 2405 #A, #B, #C & #D & 2407 #A, #B, #C & #0 which were damaged in 2005. AMG is also authorized to apply for all permits necessary to effectuate such demolition. Dated: La Costa de Marbella Homeowners Ass'n. A California nonprofit corporation By:~ -== Jeff Fo,.,,,, P,eo~~ I I. ,,.., On pers a IQ OFFICIAL SEAL I : . VICKI COL~£,.,...;ii <!! NOTARY PUBLIC-CA::::;:;-.:"""'ql I! COMM. NO. 1598688 -SAN DIEGO COUN1Y I . MYCOMM.EXP.JULY31,:ill09 I a cc a Cd C □ personally known to me y proved to me on the basis of satisfactory evidence to be the perso?{§Y whose name~ is(© subscribed to the within inst!}!Jll._ent and acknowledged to me that he/she~xecuted the s~m in his/her/@ author~ capacit ,e , and that by his/her41:!fill) signature n the instrument the person(Q, or the entity upon behalf of which the person@ acted, executed the instrument. WITNESS my hand and official seal. ~1L.-~ Signature ot Notary Public -----------OPTIONAL----------- Though the fnformatfon below is not required by law. it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document TIiie or Type of Document: rft114~,6~/4 Document Date: ~ 1/;}. -(7 b Number of Pages: _/ ___ _ Signer(s) Other Than Named Above: _____________________ _ Capacity(ies) Claimed by Signer Signer's Name: _______________________ _ □ Individual □ Corporate Officer -Title(s): _________________ _ □ Partner -□ L1m1ted □ General □ Attorney-in-Fact □ Trustee □ Guardian or Conservator □ Other: ________________________ _ •I ' ·I ~~~~"'il<'i~<i~,=~='l'X,'C<;'O;.'!X,'Cl;"'<X,'¢1;=~«=~','X,'C<;.~'<¼'G<,'?\i..~'03-«~'<¾«'«.-C.-$ C 1999 National Notary Association• 9350 De Soto Ave., P.O. Box 2402 • Chatsworth, CA 91313-2402 • www.Jlalionalnotary.org Prod. No. 5907 Reorder: Call Toil-Free 1-800-876-6827 Sherri Behar ftom: Sent: To: subject: snerri, All meters nave Mario Remiiiard Mano Remlllan:t (MRemlfZ!ltl.car1sllad.ca.usJ Tuesday, March 07, 2006 11 :30 AM Shen1 Behar RE: Water Meters @ Marbella oeen removed. If you nave anymore questions please give me a ca11. 1 Stieifi Bellar From: Sent: To: Subject: Greg Fisher (Gflsh@cl.carlsbad.ca.usJ Thursday, March 02, 20061:18 PM Sherri 8ehar Re: 2405 & 2407 La Costa Ave -La Costa de Marl:Jella demolltlon The aoove mentioned project is not located within the City's coastal zone nor is it located within a Redevelopment zone. Please call me if you need further information. Greg Fisher Assistant Planner City of Carlsbad (760) 602-4629 phone (760) 602-1052 fax gfish@ci.catlsoad.ca.us >>> "Sherri Behar" <:sherri.l5ehar@fedex.com> Mr. G. Fish Planning Department Git;y ef Gadsiiad Mr Fish, Thanks for speaking with me today regarding the planned demolition of the 8 units in La Costa de Marbella, As pe£ eH£ eenve£sat;ien, these bHildings (2 bHildings with 4 Hnits in eaeh iiHilding and eight garages) are scheduled to be demolished some time in late March, April or May of 2006, As part of the requirements to ootain the Demolition Permits from the city of carlsoaa, we ate required to confirm witn your department that the said property is NOT in the Redevelopment area or in the Coastal Zone. The addresses are: 2405 # A, 2405 # B, 2405 #C, & 2405 #D and 2407# A, 2407 # B, 2407# C & 2407 #0 La Costa Ave. Carlsbad, CA 92009. Please confirm oacR to me via email tnat the aoove is true. ThanR you for your support on tnis request. Rega£ds, sherr.:i.. Behar HGA Bea£d Memiie£ La Costa de Marbella 760-943-9533 2415 #B La Costa Ave. Carlsbad, Ca 92009 N ' • 0 • N • • ~ns•· .. ~u_.'!f A a-SempraEne!iY"u1111y NOTICE OF SERVICE DISCONTINUANCE ~ PERMIT DEPARTMENT CITY OR COUNTY OF: CARLSBAD 0 • ' ' 0 " GAS □ ELECTRIC □ TO: 2405 LA COSTA A VE (ADDRESS) GAS AND ELECTRIC ~ SERVICE WILL BE DISCONTINUED BY: 09/02/05 ALL SERVICE LINES WILL BE REMOVED (DATE) THIS BUILDING CAN BE MOVED OR RAZED AFfER THE ABOVE DATE ~ SAN DIEGO GAS & ELECTRIC < " Q ~ w w ~ < • N ' "' 0 ' N ' m BY: TERRYL.ZEPEDA (EMPLOYEE NAME) TODAY'S DATE: 09/02/2005 ( PHONE 7609317309 • •~I• ·;.;·,