06506 (SATT)4 Gu
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 54-623 Riviera _ LA QUINTA, CALIFORNIA 92253
Owner
Mailing
Address 42-600 Cook St., #200
City Zip Tel.
Palm Desert 92250 548-2825
vatiol
City
Tel:
State Lic. I City
& Classif. 288130 Lic. # 328
Arch., Engr.,
Designer
Address Tel.
CityI Zip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
70(10) of Division 3 of the Business and Professions Code, and my license is in full force and
effect. r .
SIGNATURE , DATE
OWNER -BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to constnrct, after, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to We a signed statement that he is licensed pursuant to
the provisions of the Contractor's License law, Chapter 9 (commencing with Section 7000) of
)kvis)on 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 Trve hundred dollars ($500).
❑ 1, 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, Buisness 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.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct 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 who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of thg 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.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
Ihereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when property filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days. '
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
—3
No. 05506,
BUILDING: TYPE CONST. - OCC: GRP.
A.P. Number PGA West Tract 241.17-1
Legal Description
Project Description Phase 31B. Plan 1021
IS
q -Ft. 2272 - No.
ize Stories
No. Dw.
Units
New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
$ 704,27
Const.
846.00
Mech.
92.50
Electrical
123.02
Plumbing
192.001
S.M.I.
11.13
Grading
Driveway Enc.
Infrastructure
$3,559.53
1,734.77
Less Credit
1.734.77
TOTAL
$36743.69
' '5' f , G
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback. from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
10/13/89
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEE§.
IST FL. SO. FT. ® $
UNITS
B GRADE 414AO 1�ROUGH
2ND FL. SO. FT. @
BONDING
YARD SPKLR SYSTEM
POR. SO. Ff.
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SO. Fr. ®
I
DRAINAGE PIPING
WALL SO. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN.
SQFTa
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used a:, property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
//
l/—FRAMING /, 11 -?,'d
/
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
^
t/+/
LAUNDRY TRAY
AIR HANDLING UNIT CFM
REMARKS:
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE,TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.Fr.GAR ® 3/,c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TO -AL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
,01 It
SETBACK
ND PLUMBING
NDERGROUND
A.C. UNIT
COLL. AREA
B GRADE 414AO 1�ROUGH
PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
tSEWER OR�f
ROUGH WIRING.
DUCT WORK
ROCK STORAGE.
D. REINF.
1117
AS (ROUGH// {
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
EINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ —Plus—X$—=$
LUMBER GR.
INAL INSP.
//
l/—FRAMING /, 11 -?,'d
/
FINAL INSP.
/qr//_ OOFING / / /y _ l
�[ vU(�
^
t/+/
REMARKS:
VENTILATION
FIRE ZONE ROOFING -
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
//
f-L-ATHING CQ —xV
MESH
/
&ISULATIONISOUND,j�^,?!�/
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
'
GARDEN WALL FINAL
REQUEST FOR PROPOCAL
INSTALL POLYURETHANE FOAM ROOF SYSTEM
8 BUILDINGS (30 UNITS)
(4 S –1
Numbers..
55-485,467,.449,431
(00-0
80-575, 587, 599, 611
Street Phase
54-655, 639,'6-23, 607
Bldg Type
55-682,670, 658,646
4
55-070, 060 .
07
j�
55-270, 258;246, 234
14
54-732, 720, 708, 696
�.4 —�
54'7516,504,492,480
Riviera . 35A
4
LOC ATIONS•�k.istied in Pr➢orit�vl
5A -k-- is - g,s ) t4,
Street Phase
Units
Bldg Type
Southern Hills 17B
4
SM
Cherry Hills IIB
4
17M
Riviera 31B
4
5M
Riviera . 35A
4
9M
37A
2
27M
Shoal Creek 14A
4
9M
Shoal Creek 18A
4
9M
Shoal Creek 20A
4
10M
OPE OF WORK
Furthis docu labor, materials, equipment and services necessary for completion of allroofing and related work as specified in
this document. .
POLYURETgAW. FOAM IDno,%rnmaGwTnACRYLIC AND GRANULES
1) All loose gravel, dust and residue shall be removed using power vacuum equipment, power sweeper,
air blowing or other suitable means.
2) Grind all loose paint from Z -bar metal, solvent wipe and prime with metal primer before application of
foam roofing. Install new Z -bar metal (will be identified at job walk) as needed and solvent wipe and
Prime with metal primer before application of foam roofing.
3) Remove two (2) courses of tile and cut 3" water blocks where slope meets flat roof areas.
4) All surfaces shall be primed with neoprime primer at the rate of not less than %: gallon.per 100 square
feet prior to foam application.
5) Urethane foam shall be sprayed – applied to a minimum thickness of 1.5". Additional foam shall be
applied in ponding areas to help disperse the standing water.
6) Coating shall be applied in a minimum of two (2) separate coats. Acrylic coating to be 55% solids.
a) The base coat shall be applied at a rate of 2.0 gallons per 100 square feet.
b) The topcoat shall be applied at the rate of 2.0 gallons per 100 square feet, with a combined
thickness of 32 total dry mils. Ceramic granules shall be embedded into the final coat while the
coating is wet.
PGA WEST Residential Association, Inc.
2012 Foam Roofing RFp