0003-230 (DSF)!
.'^'. .
. ''. LICENSED CONTRACTOR DECLARATION
V| hereby affirm under penalty of perjury that | am licensed under provisions of
,Chaptaf 9 (commencing with Section 7000) of Division 3 of the Business and
�V,.�rofiB3sionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
IADate 2- Signature of Contrnrtnr_�,_V)�4_ ell b
|hereby affirm under penalty of perjury that |omexempt from the Contractor's
License Law ho,the following reason:
( ) |, aaowner cf the property, or my employees with wages as their sole
compensation, will do hpwmrk.andthostmmueimnmimendodp,u#omdfo,
sale (Geo.7o*4.business uProfessionals Cvuo).
. ( ) |, as owner of the property, am exclusively oumsoing with licensed
'contractors x,construct the project (Sec. 104*. Business m Professionals
Code). `
(),|ampxemlitunder Section �_.omPo.for this reason
_______
Date Signature of Owner
WORKER'S COMPENSATION DECLARATION
| hereby affirm g n of perjury one of the following declarations:
' (>| have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided..for by Section 3700 of the Labor Code, for the
perfo,frmance of the work for which this permit is issued.
(V) I have and will maintain workers' compensation insurance, 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 & policy no. are:
Carrier Policy No.
(This.'section need not be completed if the permit valuation is for $100.00 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
workers' compensation laws of California, and agree that if I should become
oubjectmma wmmam' compensation provisions of SonUnn 3700 of the Labor
Code, I shall forthwith comply with/l�qs
^ Applicant -
Warning: Foi|uoet000nvn,wm,mam a,uionoovonagn'l8 unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition mthe cost mcompensation, damages oaprovided for mSection o7o6
mthe Labor Code, interest and attorney's fees.
IMPORTANT Application iohereby made mthe Director o,Building and Safety
fn,'a permit subject to the condiUoho and mm,iouono set forth on his
application.
1.Each person upon whose behalf this application iumade meach person ax
whose request and for whose uvnont work iaperformed under o,pursuant to
any permit issued unaresult nvthis appnnumn agrees to, & oxan, indemnify
mhold harmless the City o/LoQuino^. its officers, agents and employees.
o.Any permit issued aaaresult v/this application becomes null and void if
wu,x is not commenced within 1e0 ueyu from date of iaouonoo of such
pennu, or cessation ofwork for 180 days will subject permit to cancellation.
| certify that | have read this application and state that the above information iu
correct. | agree mcomply with all Chu and State laws relating mthe building
oonstmuWon, and hereby authorize nop,00entaUvuu of this City to enter upon
the above-mentioned property for Inspection
Signature (Owner/Agent) (Date
BUILDING PERMIT
DATE VALUATION LO� TRACT
ADDRESS 71 , . . .. +
OWNER CONTRACTOR DESIGNER / ENGINEER
55-920 PGA. BLVD 55 -WO PGA BLVD
LA CAANUII, CA. 92253 LA QUINTit CA 9W3
USE OF PERMIT
... -
- .
PF.Rkfilf FEE SUMMARY
TOTAL PERNUT FC.RS 00 It, NOW. $45.00
RECEIPT DATE By% DATE FINALIED INSPECTOR
-- - INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K to Wrap
F.A.U.
Framing
Compressor
Vents
Insulation
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final - �-
POOLS -SPAS
BLOCKWALL APPROVALS
Steel
Set Backs
Electric Bond .
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
�g;RRF'T'1".�A"RORATORT�S'.II�L_
/NCIUS7RUL NYWENE /.EN..MONW-WAL SUENCE
ASBESTOS BUILDING:SURVEY REPORT
LA QUINTA HOTEL
49=499;_E8ENHOWER DRIVE`
LA QUINTA, CALIFORNIA;.
APRIL, 12, 1993
I. WTRODUCTION
On March -29 through Apnl 1," 1993, Garrett Laboratories Inc. '(GL) investigated tha;La Quinta
Hotel located at 49-499 Eisenhower.Dnve.`in.La _Quinta, Cal fotma. for asbestos ontaining
materials:(ACM). GL conducted this survey under.'an agreement with;the.Resolution Trust
Corporation (RTC), represented by,;Robert',Moore.,, EPA -accredited: and California licensed
Inspector Jeff .Hall of Asbestos AnalyticsyWe.st Coast and GL's Todd"Harris inspected the La
Quinta Hotel and collected samples .under;;the direction of Cert►fied Industrial Hygienist Gerald
Garrett.
The purpose of the -study was two. fold:
1) Determine location's, -conditions, and quantities of asbestos -containing products used in
the structure.
2) Assess the immediate health. hazards_ observed during the survey
:on GL's observations and sample results,`the attached lettertncludes recommended actions
Based
to reduce potential health. hazards As
with asbestos products' at the La Quinta Hotel
located at 49.499 Eisenhower,Dfive inL:a Quinta;California.
II. SUh11NIARY OF FINDINGS
GL found friable asbestos-containing-pipe:elbow.arid pipe.insulatron in the•crawlspace, of the La
Sala Building and the crawlspace and;storeroom:of.the EI Laibreri Building.' GL found friable
asbestos c'ontauting HVAC duct tape' material to the Mechanical Closet of Unit. 225 at the La
Quints Hotel ,These products were,in good to poor condition at the.tune o. the survey. The
majonty. t%f these 'products do. not..pose;an, immediate. asbestos health haiard oto building
occupants; However Inspector"Hartis observed pipe insulation, debris iiithe crag l spaces of the
La Sala arid EI,Larli�enBuild
eas i
rngs ,:IIeeause=access �to these`ars restncted,`tliis debris does
not pose an immediate asbestos health hazard `concern
GL found non friable.asbestos containutg roof tar patching material on the EI Mural Building.
8300 STEMMONS FREEWAY (111J 638 6809
• SUITE -2010 • DAEXA
'LLAS, TS 73217 • (111J 688.1137 • FAJt
2
.Ill. SCOPE OF WORK•..
The Scope, of. this contract included the following' tasks:
TASK 1: A thoroughv►suai'uupection of all'aecessible`spaces'in the UQ.uinta Hotel. GL
collected,'bulk samples of suspect'-materialsI and analyzed them'•using Polarized
Light. Mictoscopy (PLM).
TASK 2: GL-marked bulk sample locations atthe facility.• During-the, survey, GL. marked
.bulk. sample- location potirts;1on the. material sources .andtook photographs :of
represeniative,_sample locations.
TASK 3: :Report writing. This Survey Report: includes the following information:
a) Analyitcal,°results of::bulk samples: collected, to verify- asbestos content of
suspect material's (Appendu 1). `
b) . Descriptions•o[ sample locations condition Wand-:quantities of asbestos found
during ttie survey, immediate , tieaJth hazard consideraiions, and
recomnendanons.
C) Representative_. photogaphs;(Appendix II)::
d). Act red itation:lnformation (Appendix III).
e) .Asbestos location drawings (Apperid 'u IV).
IV. METHODSAND.: SAMPLING' STRATEGY; '
GL's inspector viewed •all accecstble spaces. in the La Quints Hotel, and touched suspect
materials to determine the location, condiuon,:arid friability of observed asbestos material.' The
investigation began in Unii 949 and p.r'ogressed from .there.
GL ha's had extensive expe fence with older, buildings that have been abated during demolition
or renovation projects -In -In almost ever} abatement=`project, demo luio,n%uncovered additional
asbestos behirid concealing pfaster and`cetltngs:: .GL is -not responsible, for omitting asbestos
materials concealed by:.VNKN0« T FALSE :brick, 'plaster, andlordrywali.tieilings and _walls.
V..FACII.ITY DESCRIPTION
At the 'time of'-.the �siirviy. the La -Quina; .Hotel::(49-499 Eisenhower. Drive, La Quinta,
California) consisted of one- and two-story caritas divided. to two (2) to eight (8),guestrooms,
approximately,seveq(�7) buildings-6sed-forrneeiings; twenty-five`(25) Owls,.thirty-five (35) hot
spas, a service area coptauurig the physical•pl.ant; mainte'nanc'e $hop and laundry area: and the
Plaza ,area 'containing various shops,,and restaurants. . According to . La' Quinta .Hotel Chief
Engineer, Arvte Mihs; the consLtuction dates of the Buildings on Oe Site are:
8500 STLWfONS FREEWAY'* surrE 2020'w DALLAS TEXAS 7S11T � 014) 688•+<t37 FAX (11I) 6386809
3
1.. Construction on the 1007series Casitas, Lobby Birilding, La Sala Building, EI Laibreri
Building` La.Casa Building;,the°CactusBuilding;'and Montana's' Restaurant*- began in
1926 and fuuslied'cii=ca 1936: " F
2. Ar7mr Vdla'Number 238 and EI presidente'Number 225,were constructed circa 1968.
3. Casitas 201-219:and tlie,La Cita Room were'comp leted,circa.IQIS.
4. Cashes 301-389 and the Frank Capra Room wcre-const Iructed circa• 198 1.
5.. Casitas 226-237, 239:276,:401455, Uno Dos Tres Building, and ibe'Bell Cottage were
completed in .1983.
6. The Santa Rosa Building and Casitas 501-536 were constructed between 1984 and,1985.
7. The last .phase of construction was, completed in 1989- and included 'the 600-, 700-,
800 -,'and 900 -series "Casitas; the Salon Dr Fiesta, -and alrthrishops in the Plaza area.
According to.,Chief Engineer Mills, 'many of the •.structures on the Site have undergone
renovation over theapproximatel'y 60 years` of,occupauon.
Originally adobe, brig inalbuilding exteriors'consisted of stud and plaster afar renovation. The
new buildings were also stud'and plaster,wiittsome troweled on stucco exteriors.
Ceilings in the Casitas consisted of plaster or troweled -on material. .Ceilings in the other
buildings consisted -of 2' x 4' and 2,' x V1lay tri ceiling tile,'plaster,:drywall'material, sprayed -on
acoustic material, or`wood. Interior walls consisted of•drywall maierial or plaster. Vinyl floor
tile, ceramic tile, linoleum, or carpet covered clic concrete floors.
Roofs for the Casitas, and. the other.buildings"consisted of ceramic mission tiles. The EI Mural
building contained a flat.ta-i_,and gravel, roof.'
u_
The EI Mural Building' contained the physical plant for part of -the La Quinta Hotel. Pipes in
the physical plant consisted of metal pipes,or'fiberglass ihsulation.witli plastic elbows. Each
individual guestroom,tn'the' Casia's contained apane ,access hatch pro'iding a view of the pipes
under the buildings.`
A Mechanical Closet outside. each 'Casita Building:.contained a heating,'ventilating,: and air
conditioning system with'a duct system providing .hear'and cooling' to -each,of the individual
guestrooms. Some o, the guestrooms:contained°fireplaces: Individual HVAC units along the
exterior walls of some: of the Buildings. provided cooling.
At the time of the survey; the La Quinta "Hotel,was,operating at 100% occupancy.' GL's
inspector could only gain access to the tndi3idual.' guestrooms� during 'morning check-out.
Therefore, GL could only inspect'a limited number'of. Casitas during=the on-site investigation.
La Quinta Hotel policy prohibited GL'from inspecting. occupied`'guestrooms.
8300 S7EAfMONS FREEWAY SURE 1010 DALLAS,.7EXA5 73117 f?!IJ 6884457 9 FAX (111) 6386809
4
According to Chief Engineer Mills, clic asbestos -containing pipe insulation may exist in the attics
of the 100=series Casitas
At, the time:oL the3urvey,'GL' :could not gatn:accesrto a room with
'an attic access - panel- In addition Chief -Engineer Mills indicated that a tunnel system formerly
existed on the'Stte z, T`he tunnel sy'stetn contatrted 'stekh hries running'fromahe old physical plant
to the individual 100=series'Casitas-ChieftEngineer. Mills tndicat6d that the old physical plant
had been'demolished and_ .the-runnel;'system.filled with'dtrt In pector'Hams accessed'ra tunnel
hatch. and observed. the dirt -filled tunnel Although Inspector'Harns�obseryed exposed pipes
devoid of insulation,: pipes within the tunnel system' may be iatililated with asbestos containing
pipe insulation.
VII. ASBESTOS.PRODUCTS IN THE FACILITY
Using Polarized Light Microscopy (PLM) GL analyzed all samples of suspect.matenal,collected
in the, Building asre 'uiied undet Task I above.' PLM�is-the Environmeri6l Pibtection'Agency
(EPA) recognized method for:d'eterminiiig fibrous bulk asbestos content. .Technicians in GL's
National Voluntary:Laboritory_Accreditation Program(NVLAP) accredited laboratory (x1348)
in Dallas, Texas „analyzed. all samples.
Bulk Sample •Table- I in Appendix I indieaiesl the results of PLM, analysis. for bulk samples
collected at 'the U Quinta Hotel,. The;.Table-shows `the-room.or area, in the jnspector
collected the `sample and provides a description' of the sampled material: " Iite inspectors also
marked the sample number. from the Tatile at the point of collec't�on where possible. `The'EPA
considers any'product containing more than I % fibioiis 4sbeitos. when analyzed by.PLM, to be
a potential.hazard,
Friable Asbestos -Goo alnine Materials:
GL's inspector discovered two,(2) friable materials contatriing°more than 1% fibrous asbestos
in the La Qiiinta Hotel:
I. Pini Elbow and Pitx-Line`Insulatfoa:
GL's inspector obseNed .approxunately'35 linear feet (If) of.pipe insulation and pipe elbows
in the La Sala Building Crawl spaci:and 4511. in the El' Laibreri Building Crawl'space and
Storeroom..
The pipe and elbow insulation in the La'Sala Crawl spacrcontatned25%.ch ysotile and less .
than 1•�%;amosite asbestos:. Pipe,insulation.m El'Laibren Build►ng Crawl'space contained
25 - chrysotile; asbestos, and;elbow insulation in the: Storeroom contained 20`9 amosite and
5 °%. chrysotile asbestos: `Tire, inspector. collected four (4)'bulk samples of pipe and elbow
insulation for PLM<analysis.
The inspector ,observed this material m 'poor to good condition at toe: time of the, survey.
GL's inspector: observed damaged.<ptpe; elbow insulation and debris in the. La Sala<Building
Crawl 'space and EI Laibreri Building Crawl space and Storeroom Approximately 20% of
the pipe and elbow insulation" was . damaged in the .La Sala "Building Crawl space, and
8300 STEMMONS FREEtGAY *`SUITE 2026 6'DAT tS; 7EXAS 73247'• (2f 4) 688-4437 FAX (214) 6386809
5
,approximately 10% iri'the.El La,ibren Building Crawl space. This 'damaged'insulation and
debris posEs:an'immediate health hazard concem'to`.anyone•woiking iii &secrawl'spaces.
Pipe and elbow'insttlauon to the Storeroom was in fair condition with localized damage at
the time of the survey:
2. ,ice MateiiWo4n Duct:
GL's,iaspectot observed approximately 3' square feet (st) of-tape.material on a duct in the
Mechanical Closet of Casita 225:: ,
The sample collected from the Mechantcil Closet contained,35 % chrysotile asbestos.. The
inspector -observed this material. in fair t&good' condttton at. the time of the survey.
GL's.inspector observed,thts matenal tnonly one (,1) of the ivtechanical Closets4inspected.
Should, similar. tnaterraW" be discovered)in% tbe
or•'Mechatiical Closets; .ahe. owner or its
represent• ative,,.should determine its asbestos cont nt This. tape materialdid not pose an
immediate health h:iin concern'as observed.
Non -Friable Asbestos=Cont iMi Materials
GL's inspector discovered :one, (1) non fnable inaterials'containing more than 1% fibrous
asbestos in .the La.'Quinta Hotel
1. Roof Tar Patcli lemiterial:
GL found •approximately' 75'sf of roof,.tar patching material containing 3-5%:chrysotile
asbestos on patched roof areas and penetr lions odthe EI'Mural Roof
This'rnaterial was in fair=to-good condition at the time of the survey and did -hot pose a
.health hazard as observed This-,,materia'f.may• exist`in other .areas where the roof has
undergor alrepairs.
The inspector ,collected two` (2j _bulk'samples of the 'roof tar Patching, material for PLM
analysis.
VIII. NON -ASBESTOS PRODUCTSAK THE FACILITY
The following,products in the La Quinta Hotel contained Wesszthan 1 % asbestos when analyzed
by PLM.
1. Drywall material (66 samples)
2. 12" x'12" floor tile:and�.mastic (7 samples)
3. 2' x 4' and 2' x-2';lay-in ceil►ng,tile.(13 samples)
4. Plaster (46samples)
5. Jointlfloating compound (82 samples)
8300 STEMMONS FREEWAY • SUM 260O.DALLIS, TEXAS 73247.i'(21.V 6884157. 0 fAX 011) 6386809
5
6
6. Wall texturing' (59 samples)
7., Troweled-bn walI texturing (14 samples)
8: Linoleum (3 samples)
9.'- Tar wrap material- on pipes (2 -samples).
10. Silver.patch roof tnaterial'(1 sample)
I i. Roof shingle type4naterial•.(l ,sample)'
12. Tar and'gcavel,roof (1 'sample)
13. Tar matenal:between`roof shingli 'vm s (I sample)
14. Mortar4pe roof-miterial, (I sample)
15. Sprayed.on fireprooftng,(2.satnpl.es)
16. Sprayed -on acoustteal ;ceiling (S samples) '
P. Buildingexterior maerial (24`samples}
18. Electric wire insulation (I. sample)
IX. UXAEDIATE HEALTH HAZARD 'CONSIDERATIONS.
Friabilityis -the' characteristic of a substance describttig: its ability to be crumbled, pulverized,
or reduced to _ powder' by.• hand -,pressure. When applied � to-I,asbestos�ontauting substances;
friability describes the substance's. fiber release potential. '§ince asbestos becomes a health
hazard when inhaled oriingested the more likely -an asbestos�ontaiutng substance is to 'crumble
when disturbed, the gieater its hazard _potential.. F -
The Owner should maintain any area open to air;movement free of friable.material. Broken, or
loose fibrous materials: should' -be clearied'up 'arid` tepaired� if doing so wilt not producemore of
-a fiber' release, hazard::than'alieady exists.'. ;Aceording to California,,law, repairs or other
"intentional disturbance of any amount o! asbestos, p atntng'material'. must.be performed by
an Abaterneht Contractor licensed by the Stat ,of California.
At the time,of GL s March 29 April 1, 1991,inspection, GL'S:, inspector observed an immediate
asbestos health hazard concein'to anyone worku�g.in the La'Sala'and EI .Laibren Building Crawl
spaces at the' La Quurta' Hotel (49.499Etsenhower Drive La; Quints California). Damaged
asbestos -containing pipe -and .e�tiow thsulatton in the tEL Latbreri :Bu►ldtng: Storeroom, posed a
potential asbestos health.haiarii to anyone entering this area
Garrett Laboratories,,lnc.
Gerald Garrett, CIH N ' , 2095 ;
bae.oi
8300 S7EMMONS FREE wAY SUITE 2020 DA' LIS, TEXAS 73247 Ov 14):68k.4457 a FAX (114) 638.6809