06968 (SATT)T4'y,, 4
P.O. BOX 1504 N o . 069-68--
Building
6 68J -Building 78-105 CALLE ESTADO
Address 55-655 Riviera LA QUJNTA, CALIFORNIA 92253
Owner
Address 42-600 Cook St., Suite 200
City Zip Tel.
. PalmDftaert 92260 5 472AZIS
Contractor
National Hortaaae
ress
ity IZip I Tel.'
State Lic. I City
2$Arc& Classif. 288130 Lic. # 324-
Arch.,
h., Engr.,
Designer
Address Tel.
CityI Zip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATllRE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Bustness 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 ftp a signed statement that he is licensed pursuant to
the provisions of the 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 basts
for the alleged exemption. Any violation or Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty or not more than five hundred dollars ($500).
❑ 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, 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 safe.)
❑ 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.)
O 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
Worker's Compensation Insurance, ora 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 ff the penmil-is for one hundred dollars (8100) valuation
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.
Date " Owner
NOTICE TO APPLICANT. ff, after making Otis Certificate of Exemption you should become
subject to the Workers' Compensation provisons of the Labor Code, you must - forthwith
Comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civr7Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, sighed 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.
1 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
BUILDING: TYPE CONST. OCC: GRP.:
A.P. Number- •1!eGt -.Tract 21846-4
Legal Description
Project Description 1hum 35A '" 1'lxm IM&
TOTAL $2,421.30 T
REMARKS ,.>).tkti4 14-,;,
i ,:r€k .4 !`'--!i7-i4}
Ail {+Yirs.lY .K K.YF t4s. 1 n:.".Y -3 aU
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
2/1/90
Issued by: Date Permit
Validated by:
Validation:
Sq. Ft. 1330
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑
Repair ❑ Demolition.❑
Estimated Valuation
S94.224
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
$ 800.41
Const.
617.00
Mech.
5 1. 013
Electrical
89.99
Plumbing
96.00
S.M.I.
6.65
Grading
Driveway Enc.
Infrastructure
$2.,120.49
1,060.25
Leas Cmdit
1,060.25
TOTAL $2,421.30 T
REMARKS ,.>).tkti4 14-,;,
i ,:r€k .4 !`'--!i7-i4}
Ail {+Yirs.lY .K K.YF t4s. 1 n:.".Y -3 aU
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
2/1/90
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
2ND FL SQ. FT.
POR. SQ. FT. ®
GAR. SO. FT. ®
CAR P. SQ. FT.
WALL SQ. FT.
SO FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
/
SQ.FT.GAR ® 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS.(FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
/
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION•
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
.
GARDEN WALL FINAL
1
y CITY OF LA OUINTA
• a w `y DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246
24-HOUR NOTICE FOR INSPECTIONS
.=
Contractor National Mortgage
Permit Number 6968
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 55-658 Riviera
SFD - Plan 1MR
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
DO NOT POUR CONCRETE UNTIL ALL -ABOVE HAS BEEN SIGNED_
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT- A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION •�
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH y
POOL PRE PLASTER
POOL FENCE &GATE
SEWER SEPTIC TANK _ C
FI
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
65- 10 50
REQUEST FOR PROPOSAL
INSTALL POLYURETRANE FOAM ROOF SYSTEM .
8 BUILDINGS (30 UNITS)
LOCATIONS: IListedin.. o
Ll Numbers,. Street Phase Units Bldg Type
55-485, ' 467,449,431 S . outhem Hills 17B 4 5M
fo 07(D .80'-�'7'5,587,599,611 Cherry Hills IIB 4 17M
54-655,639,623,607 Riviera
31B 4' 5M
55-682*, 670, 658, 646 Riviera 35A 4 9M
551070, 060 Riviera
37A 2 27M
55-270 258;246, 234 Shoal Creek 14A 4 9M
54 -*732, 720, 708, 696 Shoal Creek 18A 4
9M
Z-4 54-516,504,492,480 Shoal Creek 20A 4
10M
SCOPE OF WORK
Furnish all labor, materials, equipment and services necessary for completion of all roofing and related work as specified in
this document
LQ�LYURETIiA1yF .FOAM ROOFING WITH ACRYLIC AND r"M
ANULES
1) All loose gravel, dust and residue shall be removed using power
air blowing or other suitable means. vacuum equipment, power sweeper,
2) Grind all loose paint from z43ar metal, solvent wipe and prime with metal Priinw-before a
. pplication 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 roo.-
4) All surfaces shall be primed with neoprime primer at of not less Y2 Y areas.
foam application. than Eallon Per 100 square
feet prior to f . the raft
.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
b) The topcoat shall be
e applied at the
gallons per 100 square feet
e 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 fin *
coating is wet
al coat while the
PGA WEST Residential Association, Inc.
2012 Foam Roofing RFP