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2531 STATE ST; ; PC140056; Permit
City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-10-2015 Plan Check Permit No: PC140056 Building Inspection Request Line (760) 602-2725 Job Address: 2531 STATE ST CBAD Permit Type: PLANCK Parcel No: 1552000700 Lot #: 0 Valuation: Construction Type: Reference #: CT1 30005--- - Project Title: STATE STREET CONDOS-DEMOLISH 7 COMMERCIAL BUILDINGS (2531 - 2599 STATE Si) IN Status: FINAL Applied: 10/08/2014 Entered By: RMA Plan Approved: 10/16/2014 Issued: 10/16/2014 Inspect Area: Applicant: TAYLOR MORRISON OF CALIFORNIA STE 1450 8105 IRVINE CENTER DR IRVINE CA 92618 949 341-1289 Owner: TAYLOR MORRISON OF CALIFORNIA STE 1450 8105 IRVINE CENTER DR IRVINE CA 92618 949 341-1289 Plan Check Fee $0.00 Additional Fees $0.00 Total Fees: $0.00 Total Payments To Date: $0.00 Balance Due: $0.00 FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE 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 this 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 Carlsbad 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 ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: DPLANNING. EJENGINEERING DBUILDING EIFIRE HEALTH EJHAZMAT!APCD I Building Permit Application (r Plan Check No. / City f 1635 Faraday Ave., Carlsbad, CA 92008 `K— Est. Value Ph: 760-602-2719 Fax: 760-602-8558 Cdisba,ci eposit Plan Ck. D email: building@carlsbadca.gov %9 Ipiici Iswppp I www.carlsbadca.gov a/tfiiite JOB ADDRESS25IC ,2q' 2-551 2iI I '251 1 SUITE#/SPACE#/UNIT# tNT APN - ILOT# I IPIEF MS BUSINESS NAME CONSTR. TYPE 0CC. GROUP CT/PROJECT # 0L'r I J#IDFUNITS J#BEDROOMS. IT J r-i- fTM.xr :X001 IM OF WORK: Include Square Feet of Affected Area(s) fl&cUfl&VV rnvv . ort&M, w øsOIflf 7lT4L) / 4 /uttlM, al /J4t4g / EXISTING USE I PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING • I. 96& ID NO YES[:]NO IFIRESPRINKLERS YESDNOE APPLICANT NAME IA(W 2 fl 4ç/ PROPERIYOWNE R cFc ti Primary Contact ADDRESS vLW crZ 19. r6L15t) ADDRESS 1 ovwi r- CIT STATE ZIP CITY - STATE 001V 40y PHON PHONE L FAX EMAIL 4l(4i I, r-rnrA EMAIL DESIGN PROFESSIONAL PROFESSIONAL A jqy' . CONTRACTOR BUS. NAME 6 ADDRESS .. ADDRESS Cfl'( STATE ZlPcT, 1017Y 5TAIL ZIP qqq '-'41 -o FAX Mg 4i —60-51 PHONE - EMAIL vc(2kdi, AL yt&4jyIthir ________________ EMAIL TA:TEII It STATE LIC.# fro '-E Cliv BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County which r(uires a permitto construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file of: signed statement that he is licensed pursuant to the 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 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)). !1®tBc&an3- 31?O®Ci) , Workers' Compensation Declaration: I hereby affirm under penally of perjury one of the following declarations: 4 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. 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 Co........ '/ I Policy No. Expiration Dale This section need not be completed If the permit is for one hundred dollars ($100) or less. (J 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 (11,100,000), in addition to the cost of compensation, da ges as provided for in Section 3706 of the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE (4..Q.,..f DAGENT DATE ,.q 'ILl ®, D®O)1Th WA I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: [] 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 properly 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). 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 I-sw does not apply to an owner of property who builds or improves thereon, nd contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). [] 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. [:]Yes [:]No 2.1 (have! have not) signed an application for a building permit for the proposed work. . I have contracted with the following person (firm) to provide the proposed construction (include name address! phone! contractors' license number): 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 /contractors' license number): I will provide some of the work, bull have contracted (hired) the following persons to provide the work indicated (include name! address! phone type of work): 1PR0PERTY OWNER SIGNATURE f,e)- • • DAGENT DATE -C V0000 6&?0®() (P()(? ooaa 0()0()@ LowD0095 ®()(Y 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? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No Is the facility lobe constructed within 1,000 feet of the outer boundary of a school site? Yes 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. €0 17000 (001590 1 I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address 0( IceflifythatI have read the application and state thatthe above information is conectand thatthe information on the plans Is accurate. lagree to comptywith all Cillyrordiriances and State laws relating to building construction. I hereby authorize representative 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 SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by Imitation and become nut 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 suspended or abandoned at any time after the work is commenced for aperiod of 180 days (Section 106A.4 Uniform Building Code). 'APPLICANT'S SIGNATURE /i_fj)l/t't1 DATE 10(L( W, — STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. I1t CERTIFICATE OF OCCUPANCY fCommercial Pr o ject s O nly) Fax (760) 602-8560, Email buildina(a!Carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANTS BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On P. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On P. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL! FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION .APPLICANT'S SIGNATURE DATE PLANNING DIVISION Development Services leowlhhl> BUILDING PLAN CHECK Planning Division 1635 CITY OF APPROVAL Faraday Avenue (760) 602-4610 CARLSBAD P-29 DATE: 10/16/14 PROJECT NAME: State Street Townhomes PROJECT ID: CT 13-05/RP 13-15 PLAN CHECK NO: PC 14-056 SET#: I ADDRESS: 2599, 2579, 2551, 2541, 2531 State Street APN: Z This plan check review is complete and has been APPROVED by the Division. By: Shannon Werneke A Final Inspection by the Planning Division is required Yes Z No You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should include corrections from all divisions. This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Plan Check APPROVAL has been sent to: For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING ENGINEERING.- FIRE PREVENTION 760-602-4610 760-602-2750 760-602-4665 Chris Sexton Kathleen Lawrence Greg Ryan 760-602-4624 760-602-2741 760-602-4663 Chris.Sexton@carIsbadca.gov KathIeen.Lawrence@carIsbadca.gov Gregory.Ryan©carIsbadca.ov Gina Ruiz Linda Ontiveros Cindy Wong 760-6024675 760-602-2773 760-602-4662 Gina.Ruiz@carlsbadca.gov Linda.Ontiveros@carlsbadca.gov Cvnthia.Wong©carIsbadca.ov Shannon Werneke Dominic Fieri 760-602-4621 760-602-4664 Shannon.Werneke@carlsbadca.gov Dominic.Fieri@carIsbadca.gov Remarks: N/A STORM WATER POLLUTION PREVENTION NOTES ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION OF EROSION AND SEDIMENT CONTROL BMPS WHEN RAIN IS EMINENT. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION OF THE CITY ENGINEER AFTER EACH RUN-OFF PRODUCING RAINFALL. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY ENGINEERING OR BUILDING INSPECTOR DUE TO UNCOMPLETED GRADING OPERATIONS OR UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE AT THE END OF EACH WORKING DAY WHEN THE FIVE (5) DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PERCENT (40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL. ALL GRAVEL BAGS SHALL BE BURLAP TYPE WITH 3/4 INCH MINIMUM AGGREGATE. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. SPECIAL NOTES PROJECT INFORMATION Site Address: 2c2 i. j52)c), Z.cjjl pci-f4;2 ' ssessoSs Parcel NumDer: "ct A ID: 9.035 RT -09 r1ZI, 2' rwiv I5—Z)-51 b Construction Permit No.: I O Estimated Construction Start Date Project Duration Months Emergency Contact: Name: 3A 24 hour Phone: Perceived Threat to Storm Water Quality Medium 0 Low If medium box is checked, must attach a site plan sheet showing proposed work area and location of proposed structural BMPs For City Use Only CITY OF CARLSBAD STANDARD TIER 1 SWPPP Approved By: Date: CITY OF CARLSBAD STORM WATER COMPLIANCE FORM TIER I CONSTRUCTION SWPPP E-29 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov STORM WATER COMPLIANCE CERTIFICATE I My project is not in a category of permit types exempt from the Construction SWPPP requirements / My project is not located inside or within 200 feet of an environmentally sensitive area with a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). / My project does not require a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code) / My project will not result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas that meets one or more of the additional following criteria: located within 200 feet of an environmentally sensitive area or the Pacific Ocean; and/or, disturbed area is located on a slope with a grade at or exceeding 5 horizontal to .1 vertical; and/or disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse; and/or construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). I CERTIFY TO THE BEST OF MY KNOWLEDGE THAT ALL OF THE ABOVE CHECKED STATEMENTS ARE TRUE AND CORRECT. I AM SUBMITTING FOR CITY APPROVAL A TIER I CONSTRUCTION SWPPP PREPARED IN ACCORDANCE WITH THE REQUIREMENTS OF CITY STANDARDS. I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO MINIMIZE THE MOBILIZATION 'OF POLLUTANTS SUCH AS SEDIMENT AND TO MINIMIZE THE EXPOSURE OF STORM WATER TO CONSTRUCTION RELATED POLLUTANTS; AND, (2) ADHERE TO, AND AT ALL TIMES, COMPLY WITH THIS CITY APPROVED TIER I CONSTRUCTION SWPPP THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY OF CARLSBAD. /WiL 7v1kL0 OWNER(S)/OWNER'S AGENT NAME (PRINT) NAME (SIGNATURE) toq It. DATE E-29 Page 1 of 3 REV 4/30/10 Erosion Control Sediment Control BMP S Tracking Non-Storm Water Waste Management and Materials BMPs BMPs Management BMPs Pollution Control BMPs .2.2 V E 1 .0 ca CD — D g CL E cc CD 2 Best Management Practice . 00 CL Cc 0 41 -E .E Cr 5 (BMP)Description-) I— °I . a, oE2 a, = _ Co CL CL a' 0 c .2 .c 9 .ce m 22 i E o.2 a' a' .5 a.c 51 01 o U) U) U) C.) u. C) U)> (I) coo. CO. cO cl Ci..( o. >C ( U) coc co: x: 0 CASQAoesignation -* ' 9' ' ? IT '9 If) r. C? . CI . ? r'r 9' 1 '9 (9 If) C.) W () Ui C) Ui • 0 W U) W U) W U) W Cl) W Cl) W U) W U) • LLI - I— U) z (I) z (n z U) z Construction Activity Ui U) GradingISoilDisturbance Trenching/Excavation Stockpiling Drilling/Boring Concrete/Asphalt Saw 1. cutting Concrete flatwork Paving Conduit/Pipe Installation StuccoIMortarWork Waste Disposal Staging/Lay Down Area Equipment Maintenance and Fueling Hazardous Substance -- Use/Storage Dewatering Site Access Across Dirt Other (list): -- Instructions: Begin by reviewing the list of construction activities and checking the box to the left of any activity that will occur during the proposed construction. Add any other activity descriptions in the blank activity description boxes provided for that purpose and place a check in the box immediately to the left of the added activity description. For each activity descrribed, pick one or more best management practices (BMPs) from the list located along the top of the form. Then place an X in the box at the place where the activity row intersects with the BMP column. Do this for each activity that was checked off and for each of the selected BMPs selected from the list. For Example - If the project includes site access across dirt, then check the box to the left of "Site Access Across Dirt". Then review the list for something that applies such as "Stabilized Construction Ingress/Egress" under Tracking Control. Follow along the "Site Access Across Dirt" row until you get to the "Stabilized Construction Ingress/Egress" column and place an X in the box where the two meet. As another example say the project included a stockpile that you intend to cover with a plastic sheet. Since plastic sheeting is not on the list of BMPs, then write in "Cover with Plastic" in the blank column under the heading Erosion Control BMPs. Then place an X in the box where the "Stockpiling" row intersects the new "Cover with Plastic" column. To learn more about what each BMP description means, you may wish to review the BMP Reference Handout prepared to assist applicants in the selection of appropriate Best Management Practice measures. The reference also explains the California Stormwater Quality Association (CASQA) designation and how to apply the various selected BMPs to a project. E-29 Page 2 of 3 REV 4/30/10 1' STATE STREET TOWNHOMES CITY OF CARLSBAD, STATE OF CALIFORNIA VICINITY MAP 1 1 - - ---W- - --- -- ---- -- --- -.- --'- - -W- --s- - --- -'---h+ - - - --_--- : , 1 / ------- 1 _'' tvt(;i' /141/ti' Please orint or free. (Forin designed for use on elite (12-pitch) typewriter.) -rytd~~~G~ Form Approved. 0AB No. 2050-0039 UNIFORM HAZARDOUS Gene tor ID Number ss J2.P Page 1 of 1 3. Emergency Response Phone 14. Manifest Tracking Number I 01311321-5 JJK WASTE MANIFEST (800) 451-8346 5. Generator's Name and Mailing Address Generator's Site Address (if different than mailingaddress) Taylor Morrison of California LLC Taylor Morrison of California LLC 8105 Irvine Center Dr #1450, Irvine, CA 92618 2531-2601 State St, Carlsbad, CA 92008 - Generator's Phone: 12flfl. F O&Q..'A.11flfit_uøIin_Millmr _____ ________________________________________ S. Transporter 1 Company Name 'i::') :11J U.S. EPA ID Number ECTI I CAR000049064 Transporter 2 Company Name EGTI liFt SEP23 2014 lllJl U.S. EPA ID Number I Designated Facility Name and Site Address U.S. EPA ID Number La Paz Reclamation Site, 26I ghw CUR r5Mite-PeJ28, Parker, AZ 85344 AZC9508231 11 Facility's Phone: (928) 669-2559 9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, 10. Containers ii. Total 12. Unit 13. Waste Codes No. Type HM and Packing Group (if any)) Quantity Wt.NoI. e i. 151 g RQ NA2212, ASBESTOS, 9, PGIII / -BA' V — 2. w 0 - 3. 4. Special Handling Instructions and Additional Information San Diego APCD, 10124 Old Gmve Rd., San Diego CA 92131 (858) 586-2600 0-14-102090 Ti: 990W 10th Street, Azusa CA 91702- (626) 633-3500 c . T2: 953 W. Reece St., San Bemadino, CA 92411 - (800) 664-7773 Friable asbestos containino waste. Asbestos removal Reo.4OCFR6I (baooed. sealed and labeled). ERG #171 A I1N Sb GENERATOR'SIOFFEROR'S CERTIFICATION: thereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, and are classified, packaged, marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable international and national governmental regulations. If export shipment and lam the Primary Exporter, I certify that the contents of this consignment conform to the terms of the attached EPAAcknowtedgment of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if lam a large quantity generator) or (b) (if I am a small quantity generator) is true. entor'%1Off i's PdntedlTy d Name Sjsfibt re )_iwm. 7YQT A(c7-cO( Month Day Year e1J() i ,i bncj nat Shipments Import to U.S. E Export from U.S. Port of entry/exit: Transporter signature (for exports only): Date leaving U.S.: Transporter Acknowledgment of Receipt of Materials Transporter 1 PrintedlTvpod.Name Signature Month Day Year CA çi9 ----Mr Month Day Yer Transpo Printedtryped Name signature I- I I I I Discrepancy 18a. Discrepancy Indication Space [J Quantity hype E Residue [I] Partial Rejection U Full Rejection Manifest Reference Number: 118b. Alternate Facility (or Generator) U.S. EPA ID Number Facilit's Phone: ff 18c. Signature of Alternate Facility (or Generator) Month Day Year -II Hazc4s Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems) LU 12, . Designated Facility Owner or Operator: Certification of receipt of hazardous materials coveredby the manifest except as noted in Item 18a Printedif yped Name Signature 6~1 1121 I L—b — A0 EPA Form 8700-22 (Rev. 3-05) PfiV1us editions are obsolete. DESIGNATED FACILITY TOSTINATION STATE (P AEUIRE) TY6 / i"~ e"' t11; Ife'r NON-HAZARDOUS 1. Generator ID Number ( L ency Response Phone 4. Waste Tracking Number WASTE MANIFEST W I UI 0)451-8346 D-14-o44t/O2.OqQ does not apply I 5. Generator's Name and Mailing Address r G4iIi r's Site Address (if different than mailing address) SEP 2 5 2u14 Taylor Morrison of Californ [! aylor Morrison of California LLC' • 8105 IrvineCenter Dr #14 ne, CA 92618 531-2601 State St, Carlsbad, CA 92008 Generator's Phone: 949-341-1200 Evelin ill 49-341-1200 Eveline Miller 6 Transporter 1 Company Name 4c..L44v U.S.EPA ID Number ECX6_953-Resee 61- e, 1"U11 , Transporter 2 Company Name U.S. EPA ID Number ECTI - 953 Reece Street, San Bemadino, CA 92411 . CAR000049064 Designated Facility Name and Site Address U.S. EPA ID Number La Paz County, Landfill, 26999 HWY 95 Mile Post 128, Parker AZ 85344 AZC950823111 (928) 669-2559 Facility's Phone: Waste Shipping Name and Description Containers 11 Total 12 Unit No. Type Quantity Wt.Nol. - NON FRIABLE ASBESTOS 2 9 . .2.. 2. I 3. Special Handling Instructions and Additional Information Ti: 990W 10th Street, Azusa CA 91702 - (626) 633-3500 T2: 953 W. Reece St., San Bérnadino, CA 92411 - (800) 664-7773 S I i l' )/ '/6 2 If" NON'HAZARDOUS WASTE - AVOID BREATHING DUST GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, and artclasallied, packaged, marked and labeled/placarded, and are in all respe sin proper condition for trans it Occordin to appli le international and national governmental re atlons. Day Year tPr frJ&'5 JJf W",Aonth - -' 15 International Shipments Import to U.S. Export from U.S. Port of entry/exd. - -Transporter Signature (for exports àn?y): Date leaving U.S.: Transporter Acknowledgment of Receipt of Materials IL T porter 1 Pdntedfltied Name Signature Month Day Year - , ,4, fL/$c,-L i Cai-z - 4 I Is Transporter 2 Printed/Typed Name , Signature - Month Day Year )4_),I?I/I/4' Discrepancy - - lie. Discrepancy Indication Space . Quantity Type Residue El Partial Rejection 0 Full Rejection - Manifest Reference Numbec Alternate Facility (or Generator) U.S. EPA ID Number cd Facility's Phone: Lu Signature of Alternate Facility (or Generator) - Month Day Year I I I I ar .;.. ilk ' Fa Owner ci Operator: ntticki of receipt of materials by the manifest except as noted In Item ha 44 Pdnte~rypadNi Signature J" - M,ft 1P I i 16CO) 498 (Rev. 9/09) - DESIGNATED FACILITY TO GENERATOR Please nrint or tvn (Form desioned for use on elite (12-oitch) tvoewriter.) Form Approved. OMB No. 2050-0039 UNIFORM HAZARDOUS Ii. WASTE MANIFEST Generator ID Number j-S~ 2. Page 1 of 1 I 3. Emergency Response Phone (800) 451-8346 Manifest Tracking Number 013113176 JJK P(f579J-/ Generator's Name and Mailing Address Generator's Site Address (if different than mailing address) Taylor Morrison of California LLC Taylor Morrison of California LLC 8105 Irvine Center Dr #1450, Irvine, CA 92618 2531 - 2601 State St, Carlsbad, CA 92008 Generator's Phone: 949-341-1200 Eveline Miller I 949-341-1200 Eveline Miller Transporter 1 Company Name U.S. EPA ID Numbs V( '"' I Transporter 2 Company Name U.S. EPA ID Number ECTI I CAR000049064 Designated Facility Name and Site Address U.S. EPA ID Number La Paz Reclamation Site, 26999 Highway 95, Mile Post 128, Parker, AZ 85344 AZC95082311 I Facility's Phone: (928) 669-2559 9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, 10. Containers ii. Total 12. Unit 13. Waste Codes No. Type HM and Packing Group (if any)) Wt./Vol. 1. Quantity 151 RC NA2212, ASBESTOS, 9, PGIII BA V Z 'U - Z. -- - 3. 4. 14. Special Handling Instructions and Additional Information San Diego APCD, 10124 Old Grove Rd., San Diego CA 92131 (858) 586-2600 0-14-102090 Ti: 990W 10th Street, Azusa CA 91702- (626) 633-3500 T2: 953 W. Reece St., San Bernadino, CA 92411 - (800) 664-7773 Friable asbestos containing waste. Asbestos removal Req.4OCFR61 (bagged, sealed and labeled). ERG #171 , ) 2 .'( ,Y ' 6 2) of 15. GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, and are classi f i e d , p a c k a g e d , marked and labeledlplacarded, and are in all respects in proper condition for transport according to applicable international and national governmental regulations. If export shipment and I a m t h e P r i m a r y Exporter, I certify that the contents of this consignment conform to the terms of the attached EPAAcknowtedgment of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if lam a large quantity generator) or (b) (if I am a small quantity generator) is true. era r'sIO SID ype ame Month . Day Year R—* 16. International Shipments [II] U Imp Export from U.S. Port of entry!exit: ort to U.S. Z Transporter signature (for exports only): Date leaving U.S.: 17. Transporter Acknowledgment of Receipt of Materials ° orter I Piinted(Typed Name . Month Day Year Signature Tpsf AAftc/teL9r •l ei I?,IIL Z Transporter 2 PrintedlTyped Name Signature Month Day Year )i I I I/oIl <- 18. Discrepancy Discrepancy Indication Space LII Quantity [III Type [I] Residue LI Partial Rejection III Full Rejection Manifest Reference Number. Alternate Facility (or Generator) U.S. EPA ID Number Z5 Facility's Phone: uj Signature of Alternate Facility (or Generator) . I Month Day Year I:i I 19. Hazar o Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems) ibkEc I 2 20 Desig er or Operator: Certification of receip covered by the manifest except as ncted in Item 18a rdaes ated acility Own A. Signature T-A M5ntA PrintedIT EPA Fo ,8ZQQ2.RSv. 3-05) PrevioUieditiöns are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIREb) Please print or type. rorm aesignea Tar use on eiiie (ii-pitcn; typewriter.) ruin, IIIIJiVVU. VIVID 11V. LUi1VJV -. UNIORF.HAZAR M ous MANIFEST D 1. Generato ID Number r ICPij -c.I 2. Page 1 of Number WASTE JJK .3. Emergency Response Phone I 4. Manifest Tracking I 013113176 i (800)451-8348 5. Generator's Name and Mailing Address Generator'é Site Address (if different than mailing address) Taylor Morrison of California (IC - -. - Taylor Morrison of California LLC 8105 Irvine Center Dr #1450, Irvine, CA 92618 2534 2801 State St, Carlsbad., CA 92008 Generators Phone: ik4Q-.41..1 11fl Fv.IIrip MdIr OAQ..A.1..1 flfl FiIIr Utttr 6 Transporter I Company Name /(jt4#tI(3_. U.S.EPA Numbeca4.c)ql(/ 1. Transporter 2 Company Name : U.S. EPA ID Number ECTI CAR000049064 8. Designated Facility Name and Site Address . . U.S. EPA ID Number La Paz Reclamation Site, 26999 Highway 95, Mile Post 128. Parker, AZ 85344 AZC9508231 11 FacilitVs Phone: (928) 669.2559 9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, 10. Containers ii. Total 12. Unit 13 Waste Codes No. Type HM and Packing Group (if any)) - Puantity, Wt.Nol. g RO 1. .. NA2212, ASBESTOS, 9, PGIII BA V 151 . - _______ .:--•____ ____ ____ LU 1 • • ;. '- -.-.., 3. 4. 14 Special Handling lnst,uctionsandAdditional Information San Diego APCD. 10124 OIdtroveRd., San Diego CA 92131 (856)588-2600 0-14.102090 TI: 990W 10th Street, Azusa CA91702 -(628)633-3500. T2: 953W. Reece St., SanBemadino, CA 92411 -(800)664-7773 . Friable asbestos containing waste. Asbestos removal Req.40CFR6I (bagged, sealed and labeled), ERG #171 1 ' 15. GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, and are classified, packaged, marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable international and national governmental regulations. If export shipment and lam the Primary Exporter, Icertify that the contents of this cnsignment conform to the terms of the attached EPAAcknowtedgment of Consent I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if lam a large quantity generator) or (b) (if I am a small quantity generator) is true. r'sioffe s Prin dfrypadame Signature Fr ' Month Day Year Ia (AC f r, çr Thre1 kki(qcyc4) I I? •II 7 ntemalional Shipments 11- El Import to U.S. ...) Ii El Export from U.S. Port of entlylexit: J Transporter signature(for exports only): Date leaving U.S.: 19 Transporier Acknowledgment of Receipt of Materials . . 2 Transporter I Printed/Typed Najne .'. t ' -: - . ' . Signature . - i . Month Day Year 1J A i,'J ,f L I i i i 119 Z Transporter 2 Pnntedhlyped Name .. Signature . Month Day Year lo /01 w* Discrepancy Discrepancy Indication Space - El Quantity El Type Residue III Partial Rejection []Full Rejection Manifest Reference Number: Alternate Facility (or Generator) . U.S. EPA ID Number 'F U FaciIit's Phone: Uj . .. .. . Signature of Alternate Facility (or Generator) . -• . Month Day . Yiar II 19Hazardou Waste Report Management Method Codes (i.e,, codes for hazardous waste treatment, disposal and recycling systems) : t4 4. . .. - iE52 - 20. Desig ate&aaIOwner or Operator. Certification of receipt of hazardous maleIlas covered by the manifest except as noted in Item 118a nature 1q '1 itf'767- EPA Form870O-22iRv. 3-05) PreviouS edltIns are obsolete. " . •5 A(II ITVTflrMFPAT(%R \ Hji1th ience ;ts sociateTEcHNIcA. AND ADVISORY SERVICES . ENVIRONMENTAL HEALTH AND SAFETY October 6, 2014 PROJECT REPORT Client: Leighton and Associates, Inc. 17781 Cowan, Suite 200 Irvine, CA 92614-6000 Submitted to: Ms. Brynn McCulloch Description: industrial Hygiene asbestos PCM air monitoring related to various buildings located at 2531 - 2601 State Street, Carlsbad, CA; performed September 22, 23 and 26; HSA Project Number 140689LA. Abatement Contractor Scope of Work: Alliance 'Environmental's Scope of Work was defined by others. HSA's Scope of Work: Conduct visual inspection of work areas and perform asbestos clearance level air monitoring. HSA's Project Monitors: Kirk A. Cavalier, Sr., California Certified Site Surveillance Technician (CSST) Methods: Asbestos air sampling and analysis - NIOSH 7400 Laboratory (LA Testing) accreditations: California ELAP No.: 1406 AIHA Accreditation No.: 101650 NVLAP Accreditation No.: 101384 AiH'A 'ELLAP Accreditation No.: 101650 LAUSD Lab No.:. 10125 SUMMARY The majority of this report is composed of the attached Summary of Daily Activity sheets, Air Sampling Results tables, and Laboratory Reports with Chain of Custody, etc. A total of twenty-five (25) PCM air samples were collected in the various asbestos abatement containment areas for buildings 2531, 2541, 2551, 2579 and Annex of the State Street, Carlsbad, CA project. The results were compared to the EPA PCM Clearance criterion of 0.01 fibers per cubic centimeter (f/cc). All of the samples were determined to be below this criterion, as well as, the lower limit of detection for the analytical method. Three different site visit dates were necessary for performance of the air clearance evaluations. During the first site assessment date, no power was available for the sampling equipment necessary for the clearance air monitoring. During the second site visit, one area (Building 2579) did not have access to the interior locations for air monitoring. Therefore, a third site visit was scheduled in order to obtain access for clearance air monitoring at the 2579 location. A Veteran Owned Certified Small Business Enterprise 10771 Noel Street, Los Alamitos, CA 90720 71.4/220-3922 FAX 714/220-2081 www.heaIthscience.com Hi1th eience J\sociateTEcHNIcAL AND ADVISORY SERVICES • ENVIRONMENTAL HEALTH AND SAFETY Ms. Brynn McCulloch HSA Project No.: 140689LA October 6, 2014 Page 2 Most areas monitored were noted to have either most interior structural materials removed except for wood studs, concrete / wood base flooring structure, wiring, some metal components and some ventilation components. Some areas had white plastic containment with no observable building materials within the contained work area(s). This report was prepared for use by Leighton and Associates, Inc in evaluating the subject location. The information contained within this report is as factual as possible and the opinions related herein are based on HSA's experience in similar investigations. No warranty, therefore, is made to any persons other than Leighton and Associates, Inc regarding the conclusions or recommendations included within this report. HSA will not release copies to a third party without prior written consent of Leighton and Associates, Inc. For any questions or clarifications please call us at 714 220 3922. Prepared By JieBaile5 'Lea and Asbestos Services Reviewed By *S-4 &CAC, Kathy S. nes, C,CIAQM, Lead Project Designer Vice President scoI0R4.ç. CERTIFICATION . NUMBER •.CI 2653C EXPIRES : * 6-1-2017 : : .. .•8p). I, .94........\V S .'Ys. JOH. A Veteran Owned Certified Small Business Enterprise 10771 Noel Street, Los Alamitos, CA 90720 714/220-3922 FAX 714/220-2081 www.hea1thscience.com I i1th cience sociateWEcHNIcAL AND ADVISORY SERVICES • ENVIRONMENTAL HEALTH AND SAFETY SUMMARY OF DAILY ACTIVITY ISA Project Number: 140689LA Project: Various Buildings 2531 - 2601 State Street Carlsbad, CA Date: September 22, 2014 Ind. Hyg.: K. A. Cavalier, Sr. Abatement Contractor: Alliance Environmental Abatement Contr. Jobsite Superv.:N/A No. of emp(s) of Abatement Contr. including superv.: N/A Name of other contractor(s) & no. emp.(s) from each contr.: N/A Summary of ACM/Lead-related work performed today: Arrived on site to collect PCM air samples. No electricity available to power high flow air pumps. Rescheduled air sampling for September 23, 2014 using battery operated low volume air pumps Significant problems & actions: None. A Veteran Owned Certified Small Business Enterprise 10771 Noel Street, Los Alamitos, CA 90720 714/220-3922 FAX 714/220-2081 www.healthscience.com HiIth cience I\sociatewEcHNcAL AND ADVISORY SERVICES • ENVIRONMENTAL HEALTH AND SAFETY SUMMARY OF DAILY ACTIVITY HSA Project Number: 140689LA Project: Various Buildings 2531 - 2601 State Street Carlsbad, CA Date: September 23, 2014 Ind. Hyg.: K. A. Cavalier, Sr. Abatement Contractor: Alliance Environmental Abatement Contr. Jobsite Superv.:N/A No. of emp(s) of Abatement Contr. including superv.: N/A Name of other contractor(s) & no. emp.(s) from each contr.: N/A Summary of ACM/Lead-related work performed today: HSA performed visual inspection and collected PCM air samples in the containments located in Buildings 2531, 2541, 2551, Annex and Building 2579. Significant problems & actions: None. A Veteran Owned Certified Small Business Enterprise 10771 Noel Street, Los Alamitos, CA 90720 71.4/220-3922 FAX 714/220-2081 www.hcaIthscicnce.com IIi1th cience J\SO(!IatCWECHNICAL AND ADVISORY SERVICES . ENVIRONMENTAL HEALTH AND SAFETY ASBESTOS AIR SAMPLING RESULTS HSA Project Number: 140689LA Project: Various Buildings 2531 -2601 State Street Carlsbad, CA Date: September 23, 2014 Ind. Hyg.: K. A. Cavalier, Sr. Sample No Location/Description Time Air : Results (mm) Volume f/cc (liters) 140923-CL1 Building 2551, 2" Floor at south 0655-1455 1200 <0.002 end, end of hallway on support (480) beam 140923-CL2 Building 2551, 2 nd Floor, 3" 0655-1455 1200 <0.002 Office at east side on support (480) beam 140923-CL3 Building 2551, 2" Floor, west 0656-1456 1200 <0.002 side, Restroom on support beam 140923-CL4 Building 2541, 2"" Floor, south 0657-1448 1202.5 <0.002 end at hallway to2551on support beam 140923-CL5 Building 2541, 2" Floor, west 0657-1458 1202.5 <0.002 side, center office on support (481) beam 140923-CL6 Building 2541,2n' Floor, north 0658-1500 1205 <0.002 end, east wall of northeast office (482) on support beam 140923-CL7 Building 2541, 1' Floor, north 0700-1500 1200 0.002 end, south wall of northwest office on support beam 140923-CL8 Building 2541, 1' Floor, east 0700-1501 1202.5 <0.002 side of center office on support beam 140923-CL9 Building 2541, south end of 0701-1501 1200 <0.002 southwest office at west wall on (480) support beam I A Veteran Owned Certified Small Business Enterprise 10771 Noel Street, Los Alamitos, CA 90720 71.4/220-3922 FAX 714/220-2081 www.healthscience.com ealth cience sso(!iateTEcHNIcAL AND ADVISORY SERVICES . ENVIRONMENTAL HEALTH AND SAFETY ASBESTOS AIR SAMPLING RESULTS, cont'd HSA Project Number: 140689LA Project: Various Buildings 2531 - 2601 State Street Carlsbad, CA Date: September 23, 2014 Ind. Hyg.: K. A. Cavalier, Sr. Sample No. Location/Description Time Air Results (mm) Volume f/cc* (liters) 140923-CL10 Building 2551, 1" Floor, north 0701-1503 1205 <0.002 end at east wall of restroom on support beam 140923-CL11 Building 2551, Pt Floor, east 0702-1503 1205 <0.002 side at office #2 at south wall on (482) support beam 140923-CL 12 Building 2551, 1' Floor, south 0702-1503 1205 <0.002 end at north wall of hallway on (482) support beam 140923-CL 13 Annex at west end, south office 0704-1505 1202.5 <0.002 on support beam (481) 140923-CL14 Annex at east end, at south wall 0704-1505 1202.5 <0.002 Break Room on support beam (481) 140923-CL15 Building 2531, Suite B, west 0715-1515 1200 <0.002 wall in bathroom (480) 140923-CL16 Building 2531, Suite C, north 0716-1516 1200 <0.002 wall of bathroom 140923-CL17 Building 2531, Suite D, south 0718-1519 1202.5 <0.002 wall of bathroom 140923-CL18 Building 2531, Suite A, south 0720-1520 1200 <0.002 wall of bathroom (480) A Veteran Owned Certified Small Business Enterprise 10771 Noel Street, Los Alamitos, CA 90720 714/220-3922 FAX 714/220-2081 www.healthscience.com Il ience sockIteTEcHNIcAL AND ADVISORY SERVICES • ENVIRONMENTAL HEALTH AND SAFETY ASBESTOS AIR SAMPLING RESULTS, cont'd lISA Project Number: 140689LA Project: Various Buildings 2531 -2601 State Street Carlsbad, CA. Date: September 23,_2014 Ind. Hyg.: K. A. Cavalier, Sr Sample No. Location/Description Time S Air Results (mm) Volume f/cc* (liters) 140923-CL19 Blank --- --- <5.5 fibers per 100 fields 140923-CL20 Blank --- --- <5.5 fibers per 100 fields Standards Cal and Fed/OSHA Permissible Exposure Limit . • 0.1 Cal and Fed/OSHA Excursion Level . . 1.0 EPA PCM Clearance Level . . 0.01 Abbreviations: fycc* = fibers longer than 5 micrometers per cubic centimeter of air; < less than; <5.5 fibers per 100 fields = lower limit of analytical sensitivity A Veteran Owned Certified Small Business Enterprise 10771 Noel Street, Los Alamitos, CA 90720 71.4/220-3922 FAX 714/220-2081 www.healthscience.com Hi1th ience ;tsl sociateTEcHNIcAL AND ADVISORY SERVICES . ENVIRONMENTAL HEALTH AND SAFETY SUMMARY OF DAILY ACTIVITY HSA Project Number: 140689LA Project: Various Buildings 2531 - 2601 State Street Carlsbad, .CA Date: September 26, 2014 Ind. Hyg.: K. A. Cavalier, Sr. Abatement Contractor: Alliance Environmental Abatement Contr. Jobsite Superv.:N/A No. of emp(s) of Abatement Contr. including superv.: N/A Name of other contractor(s) & no. emp.(s) from each contr.: N/A Summary of ACM/Lead-related work performed today: HSA performed visual inspection and collected 3 PCM air samples in the 2579 containment areas, the lobby/reception, workshop #1 and workshop #3. Significant problems & actions: None. A Veteran Owned Certified Small Business Enterprise 10771 Noel Street, Los Alamitos, CA 90720 714/220-3922 FAX. 714/220 2081 www.healthscience.com I-Ji1th cience I\soch,tcTECHNICAL AND ADVISORY SERVICES • ENVIRONMENTAL HEALTH AND SAFETY ASBESTOS. AIR SAMPLING RESULTS HSA Project Number: 140689LA Project: Various Buildings 2531 -2601 State Street Carlsbad, CA Date: September 26, 2014 Ind. Hyg.: K A. Cavalier, Sr. Sample No. Location/Description Time Air Results (mm) Volume f/cc* (liters) 140926-CL1 Building 2579, on counter of lobby 0715-1515 1200 <0.002 (480) 140926-CL2 Building 2579, on counter in 0715-1515 1200 <0.002 workshop #1 (480) 140926-CL3 Building 2579, on table in middle 0715-1515 1200 <0.002 of workshop #3 (480) I40926-CL4 Blank --- --- <5.5 fibers per 100 fields 140926-CL5 Blank --- --- <5.5 fibers per 100 fields Standards Cal and Fed/OSHA Permissible Exposure Limit 0.1 Cal and Fed/OSHA Excursion Level 1.0 EJA PCM Clearance Level 0.01 Abbreviations: f/cc* = fibers longer than 5 micrometers per cubic centimeter of air; < less than; <5.5 fibers per 100 fields = lower limit of analytical sensitivity A Veteran Owned Certified Small Business Enterprise 10771 Noel Street, Los Alamitos, CA 90720 714/220-3922 FAX 714/220-208.1 www.healthscicncc.com Laboratory Repots with Chain of Custody 11652 Knott Street Unit F5, Garden Grove, CA 92841 CustomerlD: 321-IEAL56 LA Testing LA Testing Order: 331417393 Phone/Fax: (714)8284999/(714)8284944 CustomerPO: 140689LA TESTING http://www.LATesiing.com pardenoroveiabtiatestinp.cc L_ProjectiD: Attn: Kathy Jones Phone: (714)220-3922 Health Science Associates Fax: 10771 Noel Street Received: 09123/14 5:00 PM Los Alamitos, CA 90720 Analysis Date: 9/24/2014 Collected: 9/23/2014 State St Abatement Test Report: Fiber Count by Phase Contrast Microscopy (PCM), NIOSH 7400 Method, Revision 3, Issue 2, 8115/94* Volume LOB Fiber&f Fibers./ sample Location Sa,nple Data (liters) Fibers Fields (fib/cc) nun2 cc Notes 140923-CL1 Bldg 2551 2nd fl Send 9/23/2014 1200.00 <5.5 100 0.002 <7.01 <0.002 end of hall support beam 331417393-0001 140923-CU Bldg 2551 2nd fl 3rd office 9/23/2014 1200.00 <5.5 100 0.002 <7.01 <0.002 E side support beam 3314 173930002 140923-CL3 Bldg 2551 2nd fl W side 9/23/2014 1200.00 <5.5 100 0.002 <7.01 <0.002 restroom S support beam 331417393-0003 140923-CL4 Bldg 2541 2nd fl S end 9/23/2014 1202.50 <5.5 100 0.002 <7.01 <0.002 hail to 2551 support beam 331417393-0004 140923-CL5 Bldg 2541 2nd fl W side 9/23/2014 1202.50 <5.5 100 0.002 <7.01 <0.002 center office support beam 331417393-0005 140923-CL6 Bldg 2541 2nd fl N end 9/23/2014 1205.00 <5.5 100 0.002 <7.01 <0.002 NE off E wall support 331417393-0006 beam 140923-CL7 Bldg 2541 N end lstfl 9/23/2014 1200.00 6 100 0.002 7.64 0.002 NW office S wail 331417393-0007 140923-CL8 Bldg 25411 s fl E side 9/23/2014 1202.50 <5.5 100 0.002 <7.01 <0.002 center office support beam 331417393-0008 140923-CL9 Bldg 2541 S end SW 9/23/2014 1200.00 <5.5 100 0.002 <7.01 <0.002 office W wail support 331417393-0009 beam 140923-CL10 Bldg 2551 N end restroom 9/23/2014 1205.00 <5.5 100 0.002 <7.01 <0.002 E wall support beam 331417393-0010 Analyst(s) Christopher Miranda (20) Michael DeCavaiias, Laboratory Manager or other approved signatory Unit of detection Is 7 fibers/mm?. Intra-laboratory Sr values: 5-20 fibers= 0.52, 21-50 fibers= 0.31,51-100 fibers= 0.22. Inter-laboratory Sr values (Average of EMSL round robin data) = 0.29. The laboratory Is not responsible for data reported In fiberslcc, which Is dependent on volume collected by non-laboratory personnel. Results have been blank corrected as applicable. LA Testing maintains liability limted to coat of analysis. This report relates only to the samples reported above and may not be reproduced, except in full, without written approval by LA Testing. LA Testing bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of lest results are the responsibility of the client. Samples received in acceptable condition unless otherwise noted. Samples analyzed by LA Testing Garden Grove, CA AIHA-LAP, LLC—iiILAP Accredited #101650 (Initial report from 09/24/2014 12:18:54 Test Report PCM-7.22.0 Printed: 9/24/2014 12:19:27 PM Attn: Kathy Jones Health Science Associates 10771 Noel Street Los Alamitos, CA 90720 Phone: (714) 220-3922 Fax: Received: 09/23/14 5:00 PM Analysis Date: 9/24/2014 Collected: 9/23/2014 State St Abatement ALA Testing 11652 Knott Street Unit F5, Garden Grove, CA 92841 Phone/Fax: (714) 828-4999 /(714) 828-4944 1ESTIAG htto:/Mw.LATestinp.com pardenoroveiabiatestiria.cc LA Testing Order: 331417393 CustomeriD: 32HEAL56 CustomerPO: 140689LA ProjectiD: Test Report: Fiber Count by Phase Contrast Microscopy (PCM), NIOSH 7400 Method, Revision 3, Issue 2, 8/15194* Volsn,,e LOB Fibers! Fibers! Sample Location Sample Dale (liters) Fibers Fields (fib/cc) mm' cc Notes 140923-CL11 Bldg 2551 1st tl E side 9/23/2014 1205.00 <5.5 100 0.002 <7.01 <0.002 office 2 S wall support 331417393-0011 140923-CL12 Bldg 2551 1st fl Send hall 9/23/2014 1205.00 <5.5 100 0.002 <7.01 <0.002 N wall support beam 3314173930012 140923-CL13 Annex W end S office on 9/23/2014 1202.50 <5.5 100 0.002 <7.01 <0.002 support beam 331417393-0013 140923-CL14 Annex E end break room 9/23/2014 1205.50 <5.5 100 0.002 <7.01 <0.002 S wall on support beam 331417393-0014 140923-CL15 Bldg 2531 STE B 9/23/2014 1200.00 <5.5 100 0.002 <7.01 <0.002 bathroom W wall 331417393-0015 140923-CL16 Bldg 2531 STE C 9/23/2014 1200.00 <5.5 100 0.002 <7.01 <0.002 bathroom N wall 331417393-0016 140923-CL17 Bldg 2531 STE D 9/23/2014 1202.50 <5.5 100 0.002 <7.01 <0.002 bathroom S wall 331417393-0017 140923-CL18 Bldg 2531 STE A 9/23/2014 1200.00 <5.5 100 0.002 <7.01 <0.002 bathroom S wall 331417393-0018 140923-CL19 Blank 9/23/2014 <5.5 100 <7.01 Field Blank 331417393-0019 140923-CL20 Blank 9/23/2014 <5.5 100 <7.01 Field Blank 331417393-0020 Analyst(s) Christopher Miranda (20) Michael DeCavallas, Laboratory Manager or other approved signatory Umit of detection Is? flberslmin'. lntra4aboratory Sr values: 5-20 fibers= 0.52,21-50 fibers= 0.31, 81-100 fibers = 0.22. Inter-laboratory Sr values (Average of EMSL round robin data) = 0.29. The laboratory is not responsible for data reported in tiberslcc, which is dependent on volume collected by non-laboratory personnel. Results have been blank corrected as applicable. LA Testing maintains liability limited to cost of analysts. This report relates only to the samples reported above and may not be reproduced, except in frill, without written approval by LA Testing. LA Testing bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. Samples received in acceptable condition unless otherwise noted. Samples analyzed by LA Testing Garden Grove, CA AIHA-LAP, LLC—IHLAP Accredited 9101650 Initial report from 09/24/2014 12:18:54 Test Report PCM-722.0 Printed: 9/24/2014 12:19:27 PM 2 Attn: Kathy Jones Health Science Associates 10771 Noel Street Los Alamitos, CA 90720 Phone: (714) 220-3922 Fax: Received: 09/23/14 5:00 PM Analysis Date: 9/24/2014 Collected: 9/23/2014 Project: State St Abatement ALA Testing 11652 Knott Street Unit F5, Garden Grove, CA 92841 Phone/Fax: (714) 8284999 / (714) 8284944 TESTING httq;//v.LATestinp.com nardenaroveIablatestinp.cc LA Testing Order: 331417393 CustomeriD: 32HEAL56 CustomerPO: 140689LA ProjectlD: Test Report: Fiber Count by Phase Contrast Microscopy (PCM), NIOSH 7400 Method, Revision 3, Issue 2, 8115/94* Voh,,,,e LOD Fibers." Fibers/ Sample Lace/in,, Sample Dale (liters) Fibers Fields (fib/cc. in,,,' cc Notes The results reported have been blank corrected as applicable. Analyst(s) Christopher Miranda (20) Michael DeCavallas, Laboratory Manager or other approved signatory Uiwit of detection is 7 flberslmm'. Intra.Iaboratory Sr values: 5-20 fibers= 0.52.21-50 fibers = 0.31, 51-100 fibers= 0.22. Inter-laboratory Sr values (Average of EMSL round robin data) = 0.29. The laboratory Is not responsible for data reported in fibers/cc, which Is dependent on volume collected by non-laboratory personnel. Results have been blank corrected as applicable. LA Testing maintains liability limited to cost of analysis. This report relates only to the samples reported above and may not be reproduced, except in full, without whiten approval by LA Testing. LA Testing bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. Samples received in acceptable condition unless otherwise noted. Samples analyzed by LA Testing Garden Grove, CA AlHA-LAP, LLc—IHLAP Accredited 0101650 [Initial report from 09/24/2014 12:18:54 Test Report PCM-722.0 Printed: 9/24/2014 12:19:28 PM THIS IS THE LAST PAGE OF THE REPORT. Id th ence sociate 10771 Noel Street . Los Alamitos, CA 90720 0(11cc: (714) 2203922 Fax: (714) 220-2081 E-mail, results to: labresultshea1thscience.corn and: 03341739Page I of___ 1 — - AIR SAMPLING DATA SHEET TAT Project Manager: K4rd7' öQJ I USA .Projeet.#: 190469qkA Date:ay 3e Project Location:7 Client Reference: Industrial Hygienist: f<_Z. _4 ge 0 IAQ0OSFIA Compliance Ahaternen _rai0Routine_Inspection Rotameter:R/5 Serial#:/3g Expiration_Date: 9/1 Sample # Sample Type. (filter, tube, badge) Analysis Method Requested. Flow Rate (1pm) Start Time Stop Time Total Time (mm) Total Volume (1) Location/Description/Remarks _______________ Pre Post /__-, (q 7 LSK— Avg: c1 ,2g_I Cfj) jlo zOE., _ Avg: Avg: , I z,- s Avg: - - - - - f$'( Itoz.j-' O-icJ Avg: Avg: Snecial_ Instructions to_ Lab: Relinquished Date-. Time: _Time: Received by: __Date: Relinquished by. _____Date: Relinnuished by: ____Time: Dates Time: Received by: _____Date:_ Received by: ____Time: Date: Time: Q:\FORMS - FicldAir Sampling Data Sheet 07-0I-2014.wpd ealth 10771 Noel Street • Los Alamitos, CA 90720 Page 2.- of V cience Office: (714) 220-3922 (714) 220-2081 033 14 1 7 3 g sociate E-mail results to: labresultshea1thscience.com and: AIR SAMPLING DATA SKEET TAT Project Manager:K&MEd IT61th I USA Project #: NO , Z'4 Date: Project Location: Client References L_..) U.- ro?j Industrial Hygienist: _.Ar Ctiii4u EzL/a_ 0 IAQ 0 OSHA Compliance Abatemenet 0 Routine Inspection Rotameter: , /ó 5 Serial # :/ Expiration Date: /i f Sample # Sample Type (filter, tube, badge) Analysis Method Requested Flow Rate (Lprn) Start Time Stop Tame. Total Tame (man) Total Volume (I.) Location/Description/Remarks : Pre ,. Post f10 7dZ) ,0 /2.ØV 746 Avg: 4 I 'j Jz_oz Avg: I / 2 I 07/ /p)I ç) & 'i 8''! Avg: I / 2 I 2.I! 23 /Z' iv, &A/ lzr k. Avg: - Cf#/c,r 4 2.., . 4M 5 Avg: V 4LZ 'l' 24I Avg: SI, ,Z-:)s — /4i4:c.. $ SDecaal instrucitons to Lab Relinquished by Tin iC.: . Received by: - De Tinie Relinquished by Date Time Received by Date Time Relinunashed by Date Time Received by: Date."rime Q:WQKMS .- FieIdAir Sampling Llala anm IU fill -Z014 .X5 I I1th cience T'sociate* 10771, Noel Street Los Alamitos, CA 90720 Office. (714) 220.3421 - Fax- (7I4)220-20ti E-mail results to: labre.suItsQhealthscience.cotn and: Page 3 of_____ 033 1 41730 %) AIR SAMPLING DATA SHEET TAT - Project Manager: I LISA Project #: Date: Project Location: 3.. zT'S17 Client Reference: Industrial Hygienist: 0 IAQ 0 OSHA Compliance 0 Abatement/Clearance 0 Routine Inspection Rotarneter: .,'o$ Serial # :f3 Expiration Date: Sample # Sample Type (filter, tube, badge) Analysis Method Requested Flow Rate (Lpm) Start Time Stop Time rots[ Time (vain) Total 'volume (I.e) Location/Description/Remarks Pre ______________ Post P e....rr( /305 4A(dV, fAl S 1C&, o^) Avg: _ CLL~ (,Ig/ ,o -.s' ' Avg: - 'Zj I Q2L5 JI . 'I Avg: I 076 4?S/j rç Avg: 07 Avg: awr I 4M Avg: Sneciat Lnstructions to Lab: .' •. ' , •• ' '- . '.. •. Relinquished by: . Date: Time. Time: ' ' . '. Received by: Date: . Time: Relinquished by Date Time , , Received b Date Time Relinouished by: ' Date: Time;: . , Received by: •, ' . . . 'Date:' ••••• jj Q:WOLtMS- FioldAir Sampling Data SfltU7-UI.20I4.wpd I Ie1th cience [sociate 0 10771 Noel Street . Los Alamitos, CA 90720 0 3 31417397. Page _1L of_____ CD '•l Oflicc (714) 220.3922 • Fax (714) 220.2081 E-mail results to: labresults(Thhcalthscience.com and: AIR SAMPLING DATA SHEET TAT Project Manager: Kky I USA Project #: 14141gego Date: Project Location: STPfTt ST. Client Reference: Industrial Hygienist: .4 0 IAQ 0 OSHA Compliance 0 Abatement/Clearance 0 Routine Inspection Rota meter: Serial # :1 33' Expiration Date: Oe Sample # Sample e p (filter, tube, badge) Analysis Method Requested Flow Rate (Lpm Start, - Time - St Time Tot Time (mm) Total Volume (L) LdcatloWDésciiptionlRemarks Pre Post tJi j Avg: - Avg: Avg: Avg: Avg: Avg: Special Instructions to Lab: IJe1inqulshed by: (,4 ,i4 j Date:f//jc,i Time: Received by: Date: Time: I Relinquished by: Date: Time: Received by: Date: Time: I Relinquished by: Date: Time: Received by: Date: Time: QWOKMS - Fie1dAir Sampling Data 5flCC1 wl-41.2014.wprj Attn: Health Science Associates 10771 Noel Street Los Alamitos, CA 90720 Phone: (714) 220-3922 Fax: Received: 09/26/14 4:30 PM Analysis Date: 9/29/2014 Collected: 9/26/2014 11652 Knott Street Unit F5, Garden Grove, CA 92841 I CustomeriD: 32HEAL56 LA Testing I LA Testing Order: 331417600 Phone/Fax: (714) 8284999 / (714) 828-4944 I CustomerPO: 140689LA TESTING http:llwww.LATestinp.com aardenaroveIabiatestinpcc [ProjectlD: 140689LA I State Street, Carlsbad, CA Test Report: Fiber Count by Phase Contrast Microscopy (PCM), NIOSH 7400 Method, Revision 3, Issue 2, 8115/94* Volume LOD FTher&I Fibersi Sample Localion Sample Dale (liters) Fibers Fields (fib/cc) mlii' cc Notes 140926-CL1 2579, lobby, on counter 9/26/2014 1200.00 <5.5 100 0.002 <7.01 <0.002 331417600-0001 140926-CL2 2579, workshop 1, 9/26/2014 1200.00 <5.5 100 0.002 <7.01 <0.002 331417600-0002 counter to kitchen 140926-CL3 2579, workshop 3 on table 9/26/2014 1200.00 <5.5 100 0.002 <7.01 <0.002 331417600-0003 in middle of floor 140926-CL4 Blank 9/26/2014 <5.5 100 <7.01 Field Blank 331417600-0004 140926-CL5 Blank 9/26/2014 <5.5 100 <7.01 Field Blank 331417600-0005 The results reported have been blank corrected as applicable. Analyst(s) Christopher Miranda (5) Michael DeCavallas, Laboratory Manager or other approved signatory Umil of detection is 7 flberslmm'. lntra.laboratoiy Sr values: 5-20 fibers= 0.52. 21-50 fibers= 0.31. 51-100 fibers= 0.22. inter-laboratory Sr values (Average of EMSL round robin data) = 0.29. The laboratory is not responsible for data reported in fiberslcc, which Is dependent on volume collected by non-laboratory personnel. Results have been blank corrected as applicable. LA Testing maintains liability limited to cost of analysis. This report relates only to the samples reported above and may not be reproduced, except in full. without written approval by LA Testing. LA Testing bears no responsibility for sample collection activities or analytical method limitations. interpretation and use of test results are the responsibility of the client. Samples received in acceptable condition unless otherwise noted. Samples analyzed by LA Testing Garden Grove, CA AIHA-LAP, LLC—iHLAP Accredited 9101650 rInitial report from 09/29/2014 15:04:11 Test Report PCM-7.22.0 Printed: 9/29/2014 3:04:44 PM THIS IS THE LAST PAGE OF THE REPORT. I h c 1 E t ience sociate 10771 Noel Street - Los Alamitos, CA 90720 Office: (714) 220-3922 Fax: (714)220-2081 E-mail results to: iabresu1ts(healthscience.com and: Page ( of AIR SAMPLING DATA SHEET I.- TAT Project Manager: 4f I SA Project #: / Date: Project Location: 5Th-7e.. TLT5 c4h4 A- C L Client Reference: 0 LAQ 0 OSHA Compliance 0 Abatement/Clearance 0 Routine Inspection J Industrial Hygienist: Rotanieter: Serial Expiration Date: Sample it Sample Type (filter, tube, badge) Analysis Method Requested Flow Rate "m) Start Start Time Stop Time Time (min) Total Vàlume (L) itocationhLescriptioufRemarks Pre I Post I,7-*- 4J4 i 7c ~ I c2 7C / s- Avg: Avg: c'4o ç7e, k 4P19 e7-d4.fü Avg: Avg- - — Avg: Avg: Special Instructions to Lab: Relinquished by -Date: Date: 7,64/ 'V I Time: Received by: <'-E' Date: 9f2(4IJl Time: (3O Relinquished by: I Date: Time: Received by: I Date: 1 I Time: Rellnriuisbed by: I Date: I Time: Received by: I Date: I Time: Q:\FORMS - ld¼Air Sampling Data Sheet 07-01-20 14.wpd Photo Exhibit Building 2551 2nd Floor Building 2551 - 1st Floor i M1, J ii j I ;-•• LJ - -U----- Building 2541 - 2nd Floor Building 2541 - 111 Floor Bathroom Bldg 2531 \ •: (y •:• Breakroom - no loose & flaky LBP LBP - Plaster not stabilized DSCN3361 Workshop #3 - Misc. Materials I, j4 CITY OF SAN MARCOS LANDSCAPE PLAN CHECK APPLICATION APPLICANT'S NAME:___________________________________________ PHONE# PROJECTNAME:_____________________________________________ PROJECT CASE NUMBER(S):_______________________________________ LANDSCAPE ARCHITECT NAME AND PHONE:________________________ Estimate cost of installing landscaping on site:* (Include type, quantity and cost of plants and materials) (Signature of Landscape Architect) (Date) Seal of Landscape Architect cost estimate by quantity and type of plant material. (There will also be a 2.5% permit and inspection fee.) -------------------------------------------- City Use Only Landscape Plan # Costs X2% Receipt#: Date Submitted: - Received by: 5193 hizo%JendpIan.for SWO A .Serrn,ra Energy utlhty PERMIT DEPARTMENT, CITY OR COUNTY OF: CARLSBAD CA SERVICE WILL BE DISCONTINUED TO: ADDRESS: 2531 State St., A,B,C,D, HM - 2541 & 2551 State St. BY: (Date) September 8, 2014 6514506, 6514504, 6514505, ELECTRIC METER NO. 6514503, 6514448 & 6572266 GAS METER NO. 00484650. & 01227817 ALL SERVICE LINES WILL BE REMOVED. THIS BUILDING CAN BE MOVED OR RAZED AFTER THE ABOVE DATE. SAN DIEGO GAS & ELECTRIC BY: Vw WiwuA DEBI WILHELM PHONE: 760-480-7753 DATE: September 8, 2014 PM Forms: 2531 A B C P HM-STATE ST CB-NoticeofServiceDiscontinuance (1) Revised: Final Inspection required by: (3 Plan DCM&I E) Fire U SW (I(t' 35? UISSUED I Approved Date By BUILDING PLANNING ENGINEERING FIRE Expedite? Y N, DIGITAL FILES Required? V N HazMat APCD Health Forms/Fees Sent Recd Due? By Encina V N Fire V N HazHealthAPCD V N PE&M V N School V N Sewer V N Stormwater V N Special Inspection V N CFD: V N LandUse: Density: ImpArea: FY: Annex: Factor PFF: V N Comments Date Date Date Date Building - Planning Engineering Fire Need? f I 4c/ Done jf7 (f 4 Done - 000ne - ODone PC140056 2531 STATEST STATE STREET CONDOS-DEMOLISH 4 7COMMERCIAL BUILDINGS (2531-2599STATET) IN L ('O/1/ 6 ISJ &%/jiflht4a - /á9 - t44 rhy a,vt11 AL C ri