14832 (RR)-
i,,• _ 04
P.O. BOX 1504 N o . b.
Building �` 78-495 CALLE TAMPICO
Address 784154' San Timiteo.. LA QUINTA, CALIFORNIA 92253 -
Owner
t3are Nxcl.alseri
Mailing BUILDING: TYPE CONST.• : OCC: GRP.
Address same A.P. Number
City Zip Tel.
La...Quinta... A 92253 564-0893 _. Legal Description
Contractor Rer :moi
Brya nt orgc�23'it6tic Project Description
-.Ad s..
162, La Campa na
'A
Zip � :Tel
Falx Sp�'i-11_9s, Ct`� 9226; 3U--022
State Lic. City
& Classif.. ;C_'39.365357, Lic: #
Arch., Engr..-
Designer•
Address Tel.
City Zip State
Lic..#
LICENSED CONTRACTOR'S DECLARATION' • .
I 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. -
$1GNA7URE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that 1 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, after. Improve, demolish, or repair any structure, prior to its issuance also
'requires the applicant for such permit. to rile a signed. statement that. he. is - licensed pursuantto
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or
DMsionro3 of the Business and Professions Code, - or that. he is exempt therefrom, and the basis
for the alleged exemption.l Any violation of Section 7031.5 by .'any. applicant for a permit
subjects the applicant to a civil penalty of not more than Ilve'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
Sq. Ft_
Size -
New ❑
• •'NO�e�j'.
Stories
Add ❑ Alter ❑
:Stimated Valuation
PERMIT
Plan Chk.. Dep_ .
Plan,Chk. Bal.
Const.. '
$5,200.00'
No. Dw.
Units '
Repair ❑-
AMOUNT-',
30.00
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
Mech.
- - _
or improvement is sold within one year.of completion, the:owner-builder will have the burden
Electrical
- -
. of proving that he did not build or 6nprove for the purpose of sale.). - -
❑'I, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing .
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
. S.M.L :
- - . • •. .. -
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) •
...
Grading
❑ I am exempt under Sec B. 8 P.C. for this reason
Driveway Enc.
Date owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate -of
Worker's 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.
TOTAL
30.00
CERTIFICATE OF EXEMPTION FROM
REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need ,not be completed if the permit is for one - hundred dollars ($100) valuation
-
f
. ' 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: M, alter making this Certi. ate of Exemption you shouldbecome.+
'subject
ZONE:
BY: '
to the Workers' Compensation provisions of -the, Labor Code, you must forthwith
Setback
comply with such provisions or this permit shall be deemed revoked. ..
him
Distances:.
` -
Front Setback from Center Line
Rear Setback from Rear Prop. Line
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE.IS'UNLAWFUL, AND'
Side Street Setback from. Center Line
• SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES' AND CIVIL FINES UP TO. ONE >
-
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE -COST OF COMPENSATION,
' Side. Setback from Property Line -- -
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF,THE LABOR CODE, INTEREST, AND.
.
ATTORNEY'S FEES.
'
FINAL DATE
r
INSPECTOR
Tas Is a building permit when properly 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.
Issued by:
Date Permit
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. • '
Validated by:
1,
Signature of applicant Date
I _
Malling,Address
Validation:
City, State, Zip
`'"
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SO. FT. @ $
UNITS
SLAB GRADE
2ND FL. SO. FT. @
BONDING
YARD SPKLR SYSTEM
POR. SO. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
GAS (ROUGH)
DRAINAGE PIPING
WALL SD. FT. @
OTHER APP./EQUIP.
DRINKING FOUNTAIN
SO. FT. @
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
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.FT.GAR @ 3/ec
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 APP./EQUIP.
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
,yam
'
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
,.,.
' BRYANT
ORGANIZATION, INC.
STATE CONT. LIC. #365357
b
FOAM ROOFING
PROPOSAL AND AGREEMENT
Job d:
Sqs. ❑ Tear Off ❑ Overlay
Type Material:
Approx Start Date:
Date of Agreement: 1 1
Project Manager:
OFFICE USE ONLY
TEL: (619) 320-6022
3462 La Campana Way
Palm Springs, CA 92262
17,4 6'1 ����"-��� , California X619 9s-
BUYER:
9225_3
ZIP CODE
PHONE: Home
Bryant Organization, Inc. proposes to apply a Foam Roofing System 14'1 -Ad l'�1_ ��T�_ on
the ���i i�0�-S only at TNS= �6o099 *"
P/Z!�o ,e -r
Preparation I
1. Remove all non -embedded gravel or slag surfacing material by means of stiff brooms, spud bars or powered
mechanical sweepers. In certain cases roof will be power vacuumed. Exercise care in removing aggregate as to not
further damage roofing felts. All gravel will be hauled from site by Bryant Organization, Inc.
2. Remove excess amounts of cold application materials that may be present in puddles or mounds.
3. Examine existing roofing material to make sure residual moisture does not exist. This shall be accomplished by
using a moisture meter probe. Where unacceptable amounts exist, the roofing must be completely removed.
4. Blisters and excessively damaged felt shall be removed.
5. Fish mouths, buckles and wrinkles shall be cut flush with built-up roof membrane.
6. Loose sections of the roofing system that are to remain sli'all be mechanically fastened, using staples, screws, or
nails Of -'type and size capable Of securing existing membrane to the deck.
7. Some existing built up roofing systems will require the use of primer to achieve good adhesion. Contractor will
use primers at his discretion, and as recommended by the foam manufacturer.
F1 Preparation II
1. Tear off existing roofing materials down to deck, removing all trash and debris from premises. This tear -off
includes all flashing materials that are practical to be removed. Some T -tops, soil pipe flashing and vent pipe
flashings may be reused wherever possible.
Foam Application
Bryant Organization, Inc. Foam Specification # 0 fZ-r C —1 1 as follows:
1. The liquid components of the sprayed -on polyurethane foam shall be maintained and metered using proper
equipment designed for foam application.
2. Air temperatures and substrate temperatures shall be within the environmental limits specified by the manu-
facturers of the foam. Material temperatures shall be controlled throughout the system of the equipment and
shall operate within temperature parameters of the foam manufacturer.
3. Polyurethane foam shall be sprayed in a manner to achieve full and proper spray pattern.' -All foam shall be
sprayed in V/2" to 3/a" passes to achieve the specified thickness.
Foam Thickness:
g/
1. Overall thickness of the polyurethane foam shall be + 1/4" except where'variations are required for drainage
or to complete -a -f eahered-edge :Ref er to extra work. _ ^
In -Place Density:
1. The minimum in-place density shall be in the range of 2.5 to 3.2 lbs. per cubic foot.
Roof Units:
1. Re -roof under all roof units complete. O Apply foam and coatings to duct assembly
2. ❑ Coordinate with owners solar company for removal and reinstallaton of solar.
Surface
1. The surface texture of the cured foam -shall range from a smooth type orange peel finish to a
heavy orange peel finish.
FOAM PAGE I OF 3
Kr*
Customer Initials
Protective Coating
1. Protective coating shall be spray applied over the polyurethane foam surfaces in accordance with manufacturers
instructions. Some edge and detail work may be roller applied when necessary. Protective coating shall be spray
applied in two.or more separate coats to insure proper coverage and cure rate. The coating shall be pin hole
free and in continuous film. A criss-cross spray pattern will be used.
2. The first coat, whenever possible, will be applied on the same day that the foam is applied. Weather conditions,
curing times, etc., will be determining factor.
3. Coating will be applied to achieve an average dry mil thickness of ZO Mils ± 5% dry mil thickness.
4. Excess roofing materials, trash and debris shall be removed from the premises by the contractor.
5. Bryant Organization, Inc. will furnish it's guarantee on the specified installed systems for years from date
of completion.
Extra work included above
4,�(/.4-2-4, S u,4 44 � Tv
�o •-vs i' s
7—
Zoo
7
–z� hl t+.�� L� • cJoo r� �e5e.�'•%..e� • L S-0C)
Extra work not included'above
General Conditions
1. Roofing work performed by Bryant Organization, Inc. will be left in a waterproof condition at the end of each
day's work.
2. With the consent of the buyer, any rotten lumber of unsuitable substrate materials which are disclosed as the
work progresses and which are not specifically mentioned in this proposal and agreement will_ be replaced or
made suitable and the charge for the labor and materials will be additional. See paragraph #15.
3. Our scope of work will/may require the lifting and resetting of roof -mounted heating, ventilating and air-
conditioning equipment (H.V.A.C.) in the reroofing procedures. Due to the existing condition of some units, it
is possible that once the equipment is reset and reconnected, it may no longer operate properly. It is understood
that the maintenance and repair of the equipment is the sole responsibility of the owner. The undersigned does
hereby indemnify and hold harmless the Bryant Organization, Inc., against any and all damage to the H.V.A.C.
equipment.
4. Worker's compensation, general liability, builder's risk and such other insurance as is required by law will be
carried by Bryant Organization, Inc., from the beginning to the completion of above roofing work.
5. The new roof will be warrantied by Bryant Organization, Inc. in accordance with Bryant Organization, Inc.'s
standard warranty, which is made a part of this proposal and agreement and incorporated herein by reference.
6. Amounts, weights, thicknesses or other quantities quoted are approximate and shall be subject to normal
industry variations and to variation over the entire roof surface.
7. This proposal and agreement is subject to acceptance by the buyer within ten (10) days of the date stated
above. No Carpentry, painting, masonry, or any work other than that specified herein is contemplated in this
proposal. No oral commitments for additional work, material or other items have been made by representatives
of Bryant Organization, Inc.
8. This proposal and agreement which signed by the buyer and the authorized representative of Bryant Organiza-
tion, Inc. shall become a contract under the laws of the state where the work is to be done and will thereby be
a binding contract upon both Bryant Organization, Inc. and the buyer. This proposal and contract shall be the
entire agreement between the parties, notwithstanding any previous communications or negotiations, whether
oral or written, there being no covenants or agreements, inducements, guarantees, warranties or considera-
tions, other than as set out herein. It is agreed that any changes in this proposal and contract must be approved
in writing by Bryant Organization, Inc. at its office address shown in this document.
9. If buyer fails to pay timely any monies due hereunder, said buyer shall be liable to Bryant Organization, Inc.
for interest thereon at the rate of one and one-half percent (1V2%) per month from the date said monies
become due, until paid. In the event that any monies become due and _payable under this agreement and are
collected through probate, bankruptcy or other judicial proceedings by an attorney, or in the event it becomes
necessary to employ an attorney to aid in the collection of any monies due Bryant Organization, Inc., then the
buyer agrees and promises to pay to or on behalf of Bryant Organization, Inc. the attorney's fees and litigation
expenses incurred by Bryant Organization, Inc. in connection with the buyer's failure to make payment when
due.
10. All labor aterial, perrits, etc., necessary to perform the above work will be furnishe for the sum of
S- Z OC -)2-k.)
payable at its office address shown in this document, in full, upon completion of the Dwn Pay � heck —
11. The failure of the buyer to make any payment to Bryant Organization, Inc. when due shall, to
addition to all other rights, constitute a material breach of contract and shall entitle Bryant Organi-
zation, Inc. to suspend all work and shipments until payment is made. Credit cards will only be
accepted on amounts of up to five hundred dollars.
Customer Initials
FOAM PAGE 2 OF 3
I t
12. At the time Bryant Organization, Inc. completes its work the buyer shall have the opportunity to inspect such
` work. If the buyer believes such work is incomplete or unsatisfactory in some manner, the buyer shall inform
Bryant Organization, Inc. at that time. Otherwise, such work shall be deemed accepted. No formal written
acceptance need be issued by the buyer to inspect work within five (5) days of completion and shall auto=
matically constitute acceptance.
13. The buyer can cancel this contract within three (3) days of signature date without penalty. If buyer cancels
after the three (3) days period, a penalty of 20% of contract amount will be charged for such cancellations.
14. We are not responsible for cracks to driveways or sidewalks. due to access to house. Cracks or loose nails in
sheetrock ceilings caused by normal roofing operations are not the responsibility of Bryant Organization, Inc.
Care will be taken to minimize this potential problem.
15. Inspect for deteriorated plywood/wood decking and replace as stipulated in paragraph #2 of contract. Please
realize the following pricing to be in effect if wood replacement necessary.
'/z:' plywood $1.60 s.f. 1" x 2" .70 I.E.
�11A- '/z" f.o.s. $1.76 s.f. 1" x 4" 1.50 Lf.
3/4" plywood $1.85 s.f. 1" x 6" 1.70 Lf.
1" x 8" 1.90 I.f.
2" x 4" 2.50 Lf.
2" x 6" 3.00 Lf. 2" x 10" 3.75 L f.
2"x 8" 3.50 LE 2"x12" 4.00 Lf.
Add $1.00 per lineal foot for grooved board.
16. WARNING: Reroofing operations are at times noisy and may cause some unavoidable vibrations. You may
want to check around your home to make sure any of your valuables which may possibly be dislodged from
walls, shelves, or ceilings are removed during this roofing operation.
17. Because ponding and standing of water are caused by factors such as inadequate drainage, deflection and
insufficient slope which are beyond the control of the roofing contractor, Bryant Organization, Inc. shall not be
responsible for ponding or standing of water on the roof. If said owner of property listed above should require
an additional estimate to help the possible problem, Bryant Organization, Inc. will furnish the costs upon said
owners request.
18. Contractor's scope of work shall not include the identification, detection, abatement, encapsulation or removal
of asbestos or similar hazardous substances. If contractor encounters any such products or materials in the
course of performing its work, or if such hazardous materials are encountered by any other firm performing
work at the jobsite and contractor determines that such materials present a hazard to its employees, contractor
shall have the right to discontinue its work and remove its employees from the jobsite until such products or
materials, and any hazards connected therewith, are located and abated, encapsulated or removed, or it is
determined that no hazard exists '(as the case may require), and contractor shall receive an extension of time to
complete its work hereunder and compensation for delays encountered as a result of such situation and
correction. 55
19. Bryant Organization, Inc. may investigate your credit with T.R.W. A14
NOTICE TO OWNER
Contractors are required by law to be licensed and regulated by the Contractor's State License Board. Any
questions concerning a contract may be referred to the Registrar, Contractor's State License Board, P.O. Box 26000,
Sacramento, California 95826.
ACKNOWLEDGEMENT: Owner acknowledges that he has read and received a legible copy of this agreement
including all terms, standard provisions and notices to owner on the back hereof before any work is performed and
that he has read and received a legible copy of every other document that owner has signed during this negotiation.
Ilwe hereby acknowledge under the penalty'of perjury that Ilwe amlare the legal owners and amlare au rized to
sign this contract as an agent of the legal owner.
INITIAL
ACCEPTANCE: The above prices, specifications and conditions are satisfactory and are hereby accepted. You are
authorized to do the work as specified. Payment will be as outlined above. You, the buyer, may cancel this
transaction at any time prior to midnight of the third business day after the date of this transaction. See the
attached Notice of Cancellation form for an explanation of this right. Owner has the right to require contractor to
have a performance and payment bond. This agreement includes the terms and conditions on the reverse side,
which are incorporated herein and made a part hereof.
BRYANT ORGANI ATION, IN
By REPRESENTATIVE'S IGNATURE-- - -
DATE ��Z6 A9.5—_
BRYANT ORGANIZATION, INC. has the right to rescind
this contract within fifteen days of acceptance. This Agree-
ment is not binding until accepted by the office management
at 3462 La Campana Way, Palm Springs, CA 92262. No
changes or additions to this Agreement shall be effective
until approved by Bryant Management.
FOAM PAGE 3 OF 3
HOMEOWNER I BUYER
/telA S
..BUYER'S SIGNATURE . 4 ACCEPTANCE DATE
BUYER'S SIGNATURE ACCEPTANCE DATE
Project Manager Cannot Accept Cash.
MANAGER'S ACCEPTANCE