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Home My WebLink About2855 CARLSBAD BLVD; ; CB961523; Permit* BUILDING FERMI 08/21/96 10;18 Page 1 of 1 Job Address: 2855 CARLSBAD BL Suite Permit Type: DEMOLITION PERMIT Parcel No: 203-231-01-00 Lot#: Valuation: 0 Occupancy Group: Referenced: Description: DEMOLISH ALL BLDGS-CARLSBAD BY : THE SEA-LUTHERAN HOME Appl/Ownr : DPR CONSTRUCTION 6333 GREENWICH DR STE 170 SAN DIEGO CA 92122 *** Fees Required * ** 619 T Permit No: CB961523 Project. No: A9602201 Development No: 9217 08/21/96 0001 01 02 C-PRMT 30-00 Construction Type: VW Status: ISSUED Applied: 08/21/96 Apr/Issue: 08/21/96 Entered By: RMA 597-7070 Fees : Adjustments: Total Fees: Fee description Other Total 1leeted & Credits * A , 00 . 00 30.00 Ext fee Data 30.00 30.0 0 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las PaLaas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT ITFE From List 1 (see back) give code of Permit-Type: For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units PLAN CHECK NO. EST.VAL PLAN CX DEPOSIT VALID. BY _J DATE t h}\y\j i »~Ji_ i_ i/ 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address Nearest Cross Street 3, 8 £ £ Building or Suite No. LEGAL DESCRIPTION Lot No.Subdivision Name/Number Unit No.Phase No. LHECK BELOW IF SUBMITTED: Q 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D1 Addressed Envelope ASSESSOR'S PARCFL FJQSTING USE PROPOSED USE -DESCRIPTION OF WORK SQ.FT.OFSTO # OF BEDROOMS # OF BATHROOMS 3. UUNI AJL~I FEKSUN ill different irom applicant^ NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 4. APPLICANT Q CONTRACTOR NAME (last name first) CITY LJ AGENT FOR CONTRACTOR ADDRESS STATE ZIP CODE TJOWNER LTAGEN1 frOR UWNLH DAY TELEPHONE '5. PROPERTY OWNER NAMEflast(name first) CITY STATE ADDRESS % 3 I 3- S . ?/3 03 DAY TELEPHONE A O. CONTRACTOR u-v -^ /5NAME (last name first) O V \C CITY STATE STATE LIC. # ADDRESS ZIP CODE ^ SI / ^3L DAY TELEPHONE LICENSE CLASS CITY BUSINESS LIC. # DESIGNER NAME [last name nrstj CITY STATE ADDRESS ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORKERS COMPENSATION Workers Compensation Declaration: I hereby alarm that I nave a certificate oiconsem to sell-insure issued by the Director ot Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified b the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO.EXPIRATION DATE Certificate of Exemption: I certify that in the performance of the work tor which this permit is issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner-builder Declaration: I hereby aliirm mat 1 am exempt from the (Contractors License Law lor the lollowmg reason: D 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.). D 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). n I am exempt under Section _ Business and Professions Code for this reason: (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 the provisions of die Contractor's License Law (Chapter 9, commencing 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 of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATC "1H1S sl 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 2SS34 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? D YES D NO _ IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AITERJIJLY 1, 1989 imESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AUEHCY _________________ ~ ________ I hereby altirm that mere is a construction lending agency tor the performance OF the work lor which this permit is issued (Sec 3097(iJ Civil Codej. LENDER'S NAME LENDER'S ADDRESS 1O. AFFLK-Affl I certify that I have reatl the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City 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 SATO OTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSI1A: An OSHA permit is required for excavations over 5'0n deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official undgrthe provisions of this Code shall expire by \imitation and become null and void if the building or work authorized by suchppfrmTjs-not comme^c^dvl/iihifrSoTdays from the date of such permit or if the building or work authorized by such permit is suspended or abandoned afanytime^fter the work is, commenced for a period of 180 days (Section 303(d) Uniform Building Code) APPLICANTS SIGNATURE /_ / { -' DATE: ft--7| WHITE: File YELLOW: Applicant PINK: Finance COV 3« CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB961141 FOR 05/06/97 DESCRIPTION: 278,710 SF BUILDING, 177,666 CARE FACILITY, 82,576 GARAGE,18,468 OSHP TYPE: COM JOB ADDRESS: 2855 CARLSBAD BL STE: SOFER, JACOB PHONE: 408 295-5446 PHONE: PHONE: INSPECTOR AREA BK PLANCK* CB961141 OCC GRP CONSTR. TYPE NEW LOT: APPLICANT: CONTRACTOR: OWNER: REMARKS: BJN/KEVIN/520-6067 SPECIAL INSTRUCT: INSPECTOR TOTAL TIME: —RELATED PERMITS—PERMITS RW960212 RW960225 RW970032 RW950010 SE960148 FS970004 A 'CB961523 TYPE ROW ROW ROW ROW SWHM FIXSYS STATUS ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ISSU1 G \ £•/) (>< /vJ^- CD 11 12 LVL DESCRIPTION ST Ftg/Foundation/Piers ST Steel/Bond Beam ACT COMMENTS p>—"4 ***** INSPECTION HISTORY ***** DATE DESCRIPTION 043097 Underground/Conduit-Wiring 042997 Ftg/Foundation/Piers 042897 Underground/Under Floor 042897 Underground/Conduit-Wiring 042897 Ftg/Foundation/Piers 042297 Underground/Conduit-Wiring 041797 Underground/Under Floor 041697 Ftg/Foundation/Piers 041697 Underground/Conduit-Wiring 041697 Underground/Under Floor 041097 Ftg/Foundation/Piers 041097 Underground/Conduit-Wiring 040997 Ftg/Foundation/Piers 040897 Walls 040497 Ftg/Foundation/Piers 040497 Rough Electric 040497 Steel/Bond Beam 040497 Ftg/Foundation/Piers 032897 Ftg/Foundation/Piers 032897 Steel/Bond Beam 032797 Frame/Steel/Bolting/Welding ACT AP AP AP AP AP AP AP AP AP AP AP AP AP AP AP AP AP AP AP AP AP INSP PY PY PY PY PY BK PY BK BK BK BK BK PY BK BK BK BK BK PY PY BK COMMENTS BLDG B SLAB UPPER SLAB BLDG B UFR BLDG A SEE INSP NOTES 6 BLD STUB OUTS SEE INSP NOTES SEE INSP NOTES SJ2E INSP NOTES SEE INSP NOTES SEE INSP NOTES BLDG "B" COL LINE #9 PRE GROU SEE NOTES BLDG C BLDG C - SEE NOTES COL LINE 1-9 BLDG "C" SOUTH WALL @ 10-12 LINE SOUTH WALL @ 10-12 LINE SEE INSP NOTES City of Carlsbad Building Department WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for A. 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 will 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 workers' compensation insurance carrier and policy number are: INSURANCE COMPANY POLICY NO.EXPIRATION DATE: (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 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 ™ C. workers compensation laws of California. Signature Date 9 4Q-->CfcT o< Warning: Failure to secure workers' compensation coverage is unlawful, and shall be subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, Interest and attorney's fees. March 3, 1995 2O75 Las Palmas Dr. - Carlsbad, CA 92OO9-1 576 - (619) 438-1161 • FAX (619) 438-O894 08/21/96 10:05 ®6195977001 DPR CONSTRUCTION J«L.-iof9fi(*ED) 08 = 43 ABD: CONSTRUCT I ON DIV TEL = 4155084293 0002 P. 002 Albnrger Basso de Grosz 301 bland Parkway P.O. Box 2017 Bdmont, CA 94002-1169 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDED THIS CERTIFICATE DOES NOT AMEND. EXTEND OR AUTO THE COVEflAOE AFFORDED BY THE POUClBS BELOW- COMPANIES AFFORDING COVEHAOl eowwfA SLPaul Fire & Mario* hBUMED DPR Construction Inc. 6333 Greenwich Dr., #170 San Diego, C A. 92123 COMPANY _ ,. _• Royal Indemnity Company _ „Reliance ,WWiBm^™_-i™ - - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY HEOUIREMB^T. TERM OR CONDITION OF ANY CONTRACT Oft OTHEfl DOCUMENT WITH HgSPECT TO WHICH THIS CgflTIRCATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED 6Y THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO All THE TERMS, EXCLUSIONS AND CONPTTIONS OF SUCH POLICIES. UMFTS SHOWN MAY HAVE BEEN RE&UCEP BY PAID CLAIMS. *_^ POUCTGFFECVM LJWTS caiERAt. LIABILITY COMMERCIAL OgHEflAL JJABIUtY CLAIMSM»OC ( XJ OCCUR KK08300237 11X11/95 PRODUCT* PER9ONM.A VTV NJURT FIRE ouuee bwv CM tn) • 2,000,000 2,000 JKW_ IjQOOjOML 100.000 SjMM AITTDMOM-CLUBIUrr KK08300237 11AIL/9S 1,000,000 BOOiLTIHIUflY SCHEDULED AUTOS HIRED AUTOS HOMOHWEO »VTOS WOLr INJURY GIIUGR LUVRJTY M^O ONLY- EA ACOOB4T GTHEA TH*N AlfTO ONLY: EACHACODENT B X UMMWLUFOftM RHN201472 11/01/95 EACHOCCURRBCe 10,000,000 QN114Z36101 EL EACH ACCIDENT INCL 153, EL OK6ASR • POUCr UMfT UOQjDM ELDISEASE - CA EHfLOYR OTHCB Primary Limit UJteD UJ OJ1»UJ < DUJ N Eo Q UJI UJ o Oz 3 Dca CO C/)^ ^—r TOT3L P.01 8-07-1996 2:10PM FROM CARLSBAD BY THE SEA 6197290938 P. 1 Carlsbad BY • THE • SEA A California Lutheran Home August 7, 1996 Mike Peterson City of Carlsbad 2075 Las Palmas Drive Carlsbad, CA 92008 Dear Mr. Peterson: This letter is to advise you that as of midnight August 5, 1996 there are no residents living in the main building or in the cottages bounded by Carlsbad Blvd., Grand Avenue, Ocean Avenue and Christianson Way. Salvage efforts will continue through Saturday, August 10, 1996. All utilities will be turned off on August 12, 1996. Asbestos abatement (hazardous waste removal) will commence on August 14, 1996, Demolition will follow in about fifteen days. ext 100. Sincerely, Should you need any further information please contact me at (619) 729-2377, Lloyd L. Rochambeau Administrator LLR/cw 2855 Carlsbad Boulevard • Carlsbad, CA 92008 * (619) 729-2377 • FAX (619} 729-9045 CT&E Environmental Services Inc. ASBESTOS SURVEY CONDUCTED AT CARLSBAD BY THE SEA CARLSBAD, CALIFORNIA Issued to: Ms. Cari Williams DPR CONSTRUCTION 6333 Greenwich Drive, Suite 170 San Diego, California 92122 August 1996 CT&E Environmental Services Inc. Environmental Sciences Division cffSffasKgstfSffSssssKffaziKt^^ 402 S. Marengo Pasadena, CA 91101-3113 A +-7 mo/: Tel; (818) 577-5786August 7,1996 Fax. (81B) 577.4920 Ms. Cari Williams DPR Constriction CTE Job #42459 6333 Greenwich Drive Suite 170 San Diego, CA 92122 Subject: An asbestos assessment was performed by CT&E Environmental Services Inc. at Carlsbad by the Sea, Carlsbad, CA between August 1 and August 6,1996. The purpose of this hazard assessment was to determine the presence of asbestos-containing materials within the building described above and will include, but may not be limited to, the following types of building materials. Acoustic Ceiling Material Sheet Vinyl Flooring Wallboard Composite Interior Wall Plaster Floor Tile Floor Tile Mastic Duct Insulation Pipe Caulking Ceiling Tiles Exterior Stucco Roofing Material Roofing Mastic In addition, this survey will provide estimates on square and linear footage of the asbestos- containing materials and describe the general condition of the material. This survey was limited to those areas to which the building could provide access. Materials concealed behind walls and permanent ceilings (plaster) were included to the extent that access allows. Member of the SGS Group (Societe Generate de Surveillance) PI ORina || | IN01S, MARYLAND, MICHIGAN, MISSOURI, NEW JERSEY, OHIO, WEST VIRGINIA CT&E Environmental Services Inc. CLIENT: DPR CONSTRUCTION INC/CARLSBAD BY THE SEA Procedure: All accessible' areas of each building were inspected for the presence of asbestos-containing materials. Care is taken during sample collection to avoid fiber release and sample cross- contamination. Sample analysis of bulk materials was performed in accordance with procedures described in Appendix A, "Method for the Determination of Asbestiform Minerals in Bulk Insulation Samples", published in 40 CFR Ch. I (1-1-87 Edition), Pt. 763, Subpart F, Ap. A, pages 293-299. This procedure involves examination of the samples with a petrographic microscope utilizing polarized light, a procedure commonly known as polarized light microscopy (PLM). Dispersion staining is a technique that is used in conjunction with PLM. This technique allows the analyst to measure the refractive index of the fiber by producing colors through the dispersion of refractive index of the fiber as it relates to the dispersion index of the mounting liquid. A more positive identification of asbestos can be made when both PLM and dispersion staining are used. All results generated via bulk asbestos analysis are reported in terms of approximate percent by volume. The results are presented on the following pages. CT&E Environmental Services Inc. ASBESTOS LABORATORY RESULTS l&tt. CT&E Environmental Services Inc. CLIENT: DPR CONSTRUCTION INC/CARLSBAD BY THE SEA Inventory: The following condition types were used to assess the asbestos-containing materials. Good - No damage or deterioration, material is intact and shows no signs of damage or deterioration. No debris was present. Fair - Moderate damage or deterioration, material is breaking up into layers or beginning to come loose from the substrate. There are small areas where the material is deteriorating. Minor debris may be present. Poor - Severe damage or deterioration. The material is non-cohesive. Pieces are dislodged and debris is evident. Non-friable material has become friable. Unknown - Materials located but impossible to assess, i.e., underneath new finishings. CT&E Environmental Services Inc. CLIENT: DPR CONSTRUCTION INC/CARLSBAD BY THE SEA Inventory of identified asbestos-containing materials for this project. MATERIAL/LOCATION TYPE TOTAL % BY VOLUME APPROX. QUANTITY CONDITION Black-Tan 9x9 Floor Tile/Maintenance Closet, East Corridor, Near Rm. 236 Floor Tile Mastic for Above Green 9x9 Floor Tile/Maintenance Closet Across Rm. 200 Floor Tile Mastic for Above Beige 9x9 Floor Tile/Storage Closet by Rm. 151 Floor Tile Mastic for Above Green 9x9 Floor Tile/Administration Office Area Floor Tile Mastic for Above Green 9x9 Floor Tile/Kitchen Office Area Floor Tile Mastic for Above Green 9x9 Floor Tile/West 1/3 of Dining Area Chrysotile 15%30 SF Good Chrysotile Chrysotile Chrysotile Chrysotile Chrysotile Chrysotile Chrysotile Chrysotile Chrysotile Chrysotile 20% 10% 10% 20% 5% 15% 5% 20% 10% 15% 30 SF 30 SF 30 SF 30 SF 30 SF 1200 SF 1200 SF 500 SF 500 SF 450 SF Good Good Good Good Good Good Good Good Good Good Floor Tile Mastic for Above Chrysotile 10%450 SF Good CT&E Environmental Services Inc. CLIENT: DPR CONSTRUCTION INC/CARLSBAD BY THE SEA Inventory of identified asbestos-containing materials for this project. MATERIAL/LOCATION 9x9 Floor Tile/Storage Area By Rm. 203 Floor Tile Mastic/SE Corner of Kitchen, Under White 9x9 Floor Tile Green-Gray Sheet Vinyl Flooring/Rm. 146 Bathroom Orange-Brown Sheet Vinyl Flooring/Rm. 142 Bathroom Multi-Colored Sheet Vinyl Flooring/Rm. 354 Kitchen Area, Rm. 352 Kitchen Area, Rm. 351 Kitchen Area Blue Sheet Vinyl Flooring/Rm. 354 Bathroom White Sheet Vinyl Flooring/Rm. 353 Bathroom, Rm. 351 Bathroom White Sheet Vinyl Flooring/Rm. 302 Bathroom Yellow Sheet Vinyl Flooring/Rm. 301 Bathroom Tan Sheet Vinyl Flooring/Rm. 304 Bathroom, Rm. 305 Bathroom Acoustic Ceiling Material/Rm. 302 Living Rm. Acoustic Ceiling Material/Rm. 305 Hall TYPE Chrysotile Chrysotile Chrysotile Chrysotile Chrysotile Chrysotile Chrysotile Chrysotile Chrysotile Chrysotile Chrysotile Chrysotile TOTAL % BY VOLUME 15% 5% 12% 20% 25% 24% 3% 33% 21% 45% 20% 40% APPROX. QUANTITY 30 SF 100 SF 25 SF 25 SF 36 SF 25 SF 50 SF 25 SF 25 SF 50 SF 110SF 30 SF CONDITION Good Good Good Good Good Good Good Good Good Good Good Good CT&E Environmental Services Inc. CLIENT: DPR CONSTRUCTION INC/CARLSBAD BY THE SEA Inventory of identified asbestos-containing materials for this project. TOTA1 MATERIAL/LOCATION TYPE BY VOLU1 ^ % APPROX. QUANTITY CONDITION VIE Roof Mastic/Bungalow 31 Chrysotile 20% 5 SF Good Roof Mastic/Bungalow 32 Chrysotile 15% 5 SF Good Roof Mastic/Bungalow 33 Chrysotile 30 % 5 SF Good Roof Mastic/Bungalow 35 Chrysotile 10% 5 SF Good Roof Mastic/Main Bldg., N. Roof Chrysotile 1 5% 20 SF Good Roof Mastic/Main Bldg., S. Roof Chrysotile 19% 20 SF Good Roof Mastic/Main Bldg., Central Roof Chrysotile 5% 20 SF Good Air Cell Duct Insulation/N. and S. Attic Chrysotile 20-75% 350 LF Poor TSI Debris /N. and S. Attic, under Chrysotile 25-60% 50 SF Poor pipes Pipe Insulation/S. Basement Chrysotile 35-40% Unknown Poor Pipe Fitting Insulation/S. Basement Chrysotile 40% 20 elbows Poor TSI Debris/S. Basement in Dirt Chrysotile 40-60% Throughout Poor TSI Debris/N. Basement Center Chrysotile 35% Throughout Poor Crawl Space in Dirt Amosite Boiler Insulation/Boiler Rm.Chrysotile 40%200SF Poor CT&E Environmental Services Inc. CLIENT: DPR CONSTRUCTION INC/CARLSBAD BY THE SEA Inventory of identified asbestos-containing materials for this project. TOTAJ MATERIAL/LOCATION TYPE BY VOLU1 . % APPROX. QUANTITY CONDITION ME Pipe Fitting Insulation/Boiler Rm. Chrysotile 34% 8 elbows Poor Amosite Air Cell Pipe Insulation/Pipe Chase Behind Chrysotile 60% 20 LF Poor Boiler #1 Pipe Fitting Insulation/Storage Room by Chrysotile 30% 8 elbows Fair Room 352 Remnant Duct Insulation/Storage Room Chrysotile 60% 1 SF Poor by Room 331 Air Cell Duct Insulation/Under Bungalows Chrysotile 40% 200 LF Poor 3 1,32, 33, and 34 Transite Pipes/Storage Areas of Chrysotile 45% 1 6 LF Good Bungalows 31, 32, 33, and 34 Crocidolite Interior Plaster/N. Dining Area Chrysotile 2% Unknown Good Interior Plaster/Rm. 266 Chrysotile <1° Interior Plaster/ Rm. 354 Chrysotile <lfl Drywall Mud/Elevator Rm. Chrysotile <1° /o Unknown Good ^ Unknown Good /o 10 SF Fair llsk- CT&E Environmental Services Inc. EtsKBh lawaiirwMMawwwMvsrar^ffsr^MSKWaM CLIENT: DPR CONSTRUCTION INC/CARLSBAD BY THE SEA * Sheet vinyl flooring in rooms 205, 209, 108, 150, 145B, 145A, 144, 143, and bathroom across from 146 are assumed to be asbestos containing. This amounts to approximately 200 SF. The fire door leading to boiler room is assumed to have an asbestos core. The 4 boilers in the boiler room should be assumed to have asbestos containing boiler pads beneath them. There was no access to rooms 303, 306, 312, 332, 333, 217, 233, 238, 244, 272, and 273. These were all residential areas. Discussion/Recommendations: All accessible areas were inspected for possible asbestos-containing materials. Inaccessible areas (such as inside walls, locked rooms without keys available) were not sampled. If during renovation suspect materials are observed in these areas, bulk sampling and analysis is recommended prior to resuming the renovation activities. If normal demolition is planned, all identified asbestos-containing materials must be removed with the exception of floor tile mastic. If structures are to be intentionally burned, the asbestos- containing floor tile mastic must be removed as well (if present). If friable or potentially friable materials are to be removed or disturbed for demolition or renovation, a licensed, Cal-OSHA registered asbestos abatement contractor must be used. All work must conform to EPA regulations Title 40 CFR 61, Final Rule, and OSHA regulations Title 29 CFR 1926.1101 and 1910.1001. CT&E Environmental Services Inc. CT&E Environmental Services Inc. appreciates the opportunity to provide these services. Sincerely, * CT&E ENVIRONMENTAL SERVICES INC. Jeff Jones Project Manager Asbestos Certification #95-1696 REVIEWED BY: Craig Sobotka, Operations Manager Asbestos Certification #92-0682 ASB REPORT FORMAT City of Carlsbad Building Department DEMOLITION ASBESTOS CERTIFICATION ADDRESS: £ &SS CL<-U \OojL ^>^ USE OF BUILDING TO BE DEMOLISHED: C * V t *•< w\« ~A Fkt V 1 1 W SQUARE FEET 5V 7 So PROPERTY OWNER: £* 1 V? . ADDRESS: 23 U SoJ\WFr«^< X NUMBER OF STORIES ^ / 1 /.viUtWAA V\«»WVt 5v.4.Al^^br^ PHONE 8l&-5>O.JScco APPLICANT: ADDRESS: 63.^3 3.O.PHONE "7O 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 sceduled demUion^ject. si i~« ' "" Applicant's Signature "Oo6 "V Ocx*/io^Lf t)~x Date 2O75 Las Palmas Drive • Carlsbad, California 92OO9-1S76 • (619) 438-1161