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9708-013 (AR)U) F– (V to W O=) c+) I,— d U.) ' W C:) Z O� —o _JU� WW H d U) Z M LO N ON U_ °' Z ix `rH0 LL X W — mUU O d U-) H It Z_ co 5 r-- d Q J LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date Date Signature of Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License 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 & Professionals Code). (,,�) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). (,)' I am exempt under Section , B&P.C. for this reason Date Signature of Owner +, ''A I //j .r, a.f WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ( ) I 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 performance of the work for which this permit is issued. ( ) 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). O 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 subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant i -, %+ , : a . � 0 Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a resdlt of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the,above-mentioned property for inspection purposes. . Signature (Owner/Agent) / �/� ' r +'� + „ Date BUILDING PERMIT PERMIT CONTROL# M01.s 5674 DATE S�)� VALUATION S 1 fy.6.1,4 RACT 4 LOT T ADDRESS I7-53 t C.tii�.i•I, �-'fIMHiJ�l�MA JOB APN 774-051-093 OWNER CONTRACTOR / DESIGNER / ENGINEER MAN Al?akNA UWNEf; l BUILDER USE OF PERMIT 13t!iLDJN%.f ►:t. WIIA; I i PAKAI't;s t. ri11V 0AfW,,01 j&h„ 4_1A_,ht: f & i 18i'.1 Ln) ,ii:ii3t rii}Td ::SF CA t SF IK.+K<A111'A I R -s 2+ti€.rrt; SP' P, k ti NIATED �1. t. 1i 1 �.ilkt �-E.)NK.i~RUCi ION1 f'ialKt�i1 f i� f�.[�. �it1A"ist►t�5#di f'f.AN +'ifIi- X I•Fii 14)1 -000-4 0- 41x S i I" wo +'411N4tt'd?t+'+'i•10NtR:N fill•((())(//MX�)-41X4W s1r1,K+rt�t► �4ila •t���ia(�.�f�l. I�I:ts 101,_000-12! (T(1(1 fJ.I:t."1'lilt A1. ! I:Is 101-UUt►•_I.'►1. mom �..t+►�� +N.11fV1+tftic.� f ii(! to1-()f) )_410 (0) w f"Upt)WIN11e'1)fJI'VU-RPS11) 101.00)•'=11 (Mtir,j tilt�if)fP'lt.; i f1i .UI 10) 123 (M) tio9t(ifI R( 11140'Af, 00INCI10 1(710N ANT II 11f.AN VIIVC K $vg) `n If )VAI, drlfi'htll01' Fir.FS MIl+.INf W 5,3*)f1.1f1 RECEIPT DATE.BY/ DATE'FINALED INSPECTOR INSPECTION RECOR OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K to Wrap L F.A.U. Framing yjij Compressor Insulationq Vents Fireplace P.L. ( Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final BLOCKWALL APPROVALS POOLS -SPAS steer, Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover - Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final ' Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K for Finish Plaster Sewer Lateral Pool Cover i Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICA #—A Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power r Final Utility Notice (Perm) COMMENTS: ~° Contractor: 0%,�N -9— it– Telephone: Address: Project Descripfion: Telephone: struction Type: Con Occupancy: State Lic. Prdiect type (circle one): New Add'n Alter Name of Contact Person: Sq. Ft. # Stories: # Units: Televhone # of Contact Person: -- Esti=ed Value of Project:'- CONSTRUCTION ESTIMATE N0. ELECTRICAL FEES NO. OLU48ING FEE•$ !ST Fl_, iJ FT ,t = UNITS - URDERGROUND A.C. WMT COIL, AREA YARD SPKLR SYSTEM 1n0 Fl. SO. Fr. .� BONDING HEATING (ROUGft STORAGE TANK MOBILEHOME SVC. BAR SINK POR. SO. FT •i< DUCT WORK, ROCK STORAGE GAR. SO. FT. •d POWER OUTLET ROOF DRAINS BAR P sO. FT .4 OTHER APPJEOW. DRAINAGE PIPING WALL SO FT 'R TEMP. POLE DRINKING FOUNTAIN SO cT. a, GROUT URINAL ESTIMATED CONSTRUCTION VALUATION S FINAL INS/ WATER Pt PING NOTE: Not to :e :sec at; lroceny :ax .aluat on WATER SYSTEM FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM PAN EVAP.COOL ,000 SIGN WASHER(AUTOXOISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT MALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B•T U TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE. TEWPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. 4ip c BATH TUB SPARK ARRESTOR SO. FT. a c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SU. FT. RESIO q 1% a SEWAGE DISPOSAL LATHING SO.FT.GAR a isc HOUSE SEWER GAS PIPING. PERMIT FEE PERMIT FEE PERMIT FEE OBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMO FEE STRUCTURE PLUMBING ELECTRICAL HEATmGAAIR COMM SOLAR SETBACK I GROUND PLUMBING URDERGROUND A.C. WMT COIL, AREA SLAB GRADE ROUGH PLUMES BONDING HEATING (ROUGft STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRNq DUCT WORK, ROCK STORAGE FOUND. REINF. GAS (ROUGH METER LOOP HFATWO(FINAU OTHER APPJEOW. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INS/ BOND SEAM WATER SYSTEM GRAOIIM �p4 LUMBER GR. FINAL INSIP. FRAMING FINAL INW. ROOFING Rim VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIOWBOUNO FINISH GRAOING r FINK INSPECTION cm. OCC. _ c@tJCE RIMAI INVECTOIri iIOtMTY11RI1N1TIALi . GARDEN WALL FINAL JUL-31-97 12:58 PM SMOKETREE->SECRETARIAL 760 325 3264 P.01 ARCHITECTURE • INTERIOR DESIGN JAMES A. MCBRIDE II July 31, 1997 City of U Quinta . Building Department Plan Check Division Attn: Mark Dear Mark: Dave Grimmett is authorized to locate sheer panels as required by UBC Engineering Standards fur the existing dwelling on 77-535 Chihuahua St- in accordance with nailing requirements as shown on drawings and as approved by the City of i yd Quinta and any other minor adjustment required by the City of La Quinta for this specific project. Thank you. Sin crely, James McBride. II Architect 619-323-3314 • FAX 619-323-35 t 5 P.O. BOX 5078 • PALM SPRINGS, CALIFORNIA 9.2263 mr�� ICBG Evaluation Service, Inc. cow n 5360 WORKMAN MILL ROAD + WI.111TIER, CALIFORNIA 90601-2299 '"'I' A subsidiarycorporatioli of the International Conference of Building Officials EVALUATION REPORT ER -4630 Copyright 01996 ICDO Evaluation Service, Inc. Reissued August 1, 1996 Filing Category: HOOF COVERING AND ROOF BECK CONSTRUCTION—Roof Covering (202) PERMAX 108 ROOFING SYSTEMS RESIN TECHNOLOGY COMPANY 2270 CASTLE HARBOR PLACE ONTARIO, CALIFORNIA 81761 I. Subject- Permax 108 Rooting Systems. II. Description: A. General: The Resin Technology Corporation's Per- max 108 Roofing Systems consist of spray -applied foam plastic and elas- torneft coating. The foams are classified as RT -2030 and RT -2031 poly- urethane foams. The coating systems are labeled as Permax 108 grey base coat and Permax 108 white top coat. Foam thickness, density, coat- ing information and roof -covering classification for the various systems are in Tables 1 and 2. Typical roof penetration and flashing details are in Figure 1. 8, Deck Preparation: Root surfaces must be free of grease, oil, dirt, sediment and moisture. All surfaces, not covered with foam, must be masked oft or otherwise protected from overspray. All parapets, cilckets and valleys must be flashed In accordance with the code. Where precast concrete planks aro encountered, all joints must be taped with minimum 2 -Inca -wide roofing tape identified as DT -100. New plywood decks must be primed with a neoprene primer. New con- crete decks must be allowed to cure at least 21 days prior to application of foam. The surface Is then primed with a catalyzed urethane primer. New metal decks are primed with a two -component wash primer. Gaps In end or sidetaps must be sealed with an approved sealant. Where wood decks aro permitted, the deck may be covered with a vapor barrier in accordance with manufacturer's specifications and with the ap- proval of the building official. C. Foam Plastic Application: The foam is spray applied to the prepared substrate in minimum 1/2 -inch -thick passes to thicknesses noted in Table 1. Wind velocity cannot exceed 12 miles per hour during application, Application shall not proceed if the ambient temperature is less tharr 40°F. or if the substrate temperature is leso. than 50°F. The foam ciinnot be applied over wet substrates or If rain or inclement weather is imminent. 'fire foam is applied in a one-to-one ratio with equipment capable of me- tering each component within plus or minus 2 percent of the design ratio. If the foam application is terminated before the final thickness Is attained, additional foam may be applied within 24 hours, provided the existing foam is prinied with a catalyzed urethane primer and a minimum of 112 -inch foam is applied in a single pass. The foam must be free of bumps, pin holes and ridges, Any of these irregularities must be eliminated, D. Coating Application: The coating is applied in two coats of contrast- ing color at a rate specified in Table 1. The coating cannot be applied if rain, tog or inclement weather is Imminent or if temperatures below freezing are anticipated within 24 hours of coating application. E. Existing Roofs: The roofing system may be installed over existing roofs, provided the substrate Is as required for the system. The existing roof covering may remain In place if permitted by the building official In accordance with provisions set forth In Appendix Chapter 15 of the Uniform Building Code,The roofing systems described In this report may be installed over built-up, composition, or asphalt -single roof cover - Ings recognized by the code and the roof classification will be as noted In Table 1. Prior to foaming, the surface must be prepared as noted below to as- sure adequate adhesion. All loose rock, cementitlous coatings, peeling paint, dirt and debris must be removed by brooming, power vacuuming or wire brushing. Blisters in the existing roofing larger than 6 inches In diameter must be removed from the roof. Blisters In the existing roofing less than 6 inches In diameter are to be slit and nailed with 1 -inch roofing nails. Curled asphalt shingles must be either removed or nailed to the deck- All eckAll projections through the roof deck must be sealed with roof mastic. Par- ticular care is to be exercised to seal under all roof -mounted equipment with cold -process asphaltic products and to prevent roof depressions when it is not feasible to spray foam, The surface Is then primed with a chlorinated rubber primer at a rate of 200 square feet per gallon and al- loyed to cure a minimum of one hour prior to foam application. Spray applications are subject to the same conditions as listed In paragraph II -C. On flat surfaces, the foam may be built up to provide a slope to assure ade- quate drainage provided the maximum thicknesses noted In Table 1 are not exceeded. Where the existing roof covering is removed to the,sub- strate, the deck Is prepared and the foam plastic is appliecl as set forth In paragraphs (l B and II C, respectively. F. Identification: All material drums and containers are Identified by the manufacturer's name and address, product designation, the evaluation report number (ICBG ES ER -4630), shelf life, and an Underwriters Labora- tories inc, label noted as (R-10185, BW -345), Ill. Evidence Submitted: Reports of tests In accordance with U.B.C. Standards 8.1 and 15-2, Are Test Standard for insulated Roof Deck Construction (UL 1256) and Acceptance Criteria for Membrane Root'-cov- cring Systems dated July, 1992 (corrected April, 1994). Findings IV, Findings: That the Resin Technology Company Permax 100 Roof - trip Systems described In this report comply with 1994 Uniform Build - Ing Code"", subject to the following conditions: 1. All system components are prepared and applied by qualified personnel approved by Resin Technology Company. 2. The roof -covering system Is applied In accordance with this re- port and manufacturer's Instructions. 3. Where moderate or heavy toot tralfic occurs such as for malote- fiance of equipment, the roof system must be adequately pro- tected to prevent rupture or wearing of surface. 4. Where plywood sheathing, Installed In accordance with Section 2602.5.3 o1 the code, or noncombustible cementitlous sub- strates ate provided, a thermal barrier is not required. )valuation reports Of ICDO Evaluation Service, Inc., are issued solely to provide tnfonnation to Class A n,ewbers of ICRO, urilizing the code upon which the report is bated, Evaluation reports are not to be construed as representing ucsthetiis or a{v other attributes not spetU11colly addressed no., as an endorsement or reeommon- datian fur use of the subject report. This report is based upon independent testa or other technical data submitted by the applicant. 7'he ICDO Evaluation Service, [tic., technical staff has reviewed the fest results and/or other data, but dues not possess test facilities to make an independent vocation. There is no warranty by ICDO 6valuofiurt Service, Inc., express or lrnplicd, as to any "Finding" or other matter in the report or as to any product covered by the report. This disclaimer includes, bill is not lirnued to, merchantability. Page t of 3 ��"Iff-W�Ustemum Z11111111 Pad 2 Of 3 ER -4630 5. Installations addressed In this report are limited to areas with 7. All system components are produced a1 the Resin Technology a maximum basic wind speed of 80 mph, !exposure B, on roots Company facility, 2270 Castle Harbor Place, Ontario, California not exceeding 40 lest above grade. 91761, with quality control Inspections by Underwriters 6. products are manufactured at Ontario,. California, with fol- Laboratories inc. (NER-QA403). low-upInspections by Underwriters Laboratories Inc. (NER- This report Is subject to re-examination in one year. QA40)- GVSTEM NO, G41./40 1 3 2 3 _ .--. 3 3 5 TABLE 1—PERMAX-108 HOOF COVERING SYSTEMSI MINIMUM FOAM rr Film FOAM THICKNESS *n0s0 THICKNESS MAXIMUM FOAM PLASTIC TYFF NIIe$ TOP SURFACING Inch6s Inchq9L AND DENSITY JR411 24 Not Required 2 111' 030 2.5.3.0 See Footnote 3 NIA 2 RT -203( 2.5.3.0 Set footnote 3 4 4 RT -201( . 3.0 See Footnote 3 2 2 RT -201i 24 1 See Footnote 3 1 1 2.5.3.0 4 RT -2030 3.0 1h RT -2011 2.5 4 RT -2031 2.5-3.0 IM ROOF fix.FL) O CLASSF . 1 A 1 — A 5 B 17 A 5 A 5 A 3 A g Z 24 SeeFootnote 3 It/z 4 RT -2031 I B 2.5-3.0 ye l 24 9ee17ootnote3 1- 4 RT -2031 4 A 2-5-3.0 J_ tLxcept where noted, substrate must be of noncombustible cementctitious materials, 1Substmto may be minimum 112-inch-tltlek plywood bonded with extcriur glue, with all board edges supported by blocking, tongue-and-grouve. joints or other approved type of edge support. 1'Mr.. coating is surfaced with No. 11 roofing granules applied at a rate of 50 pounds per I(X) Square feet to yield a minimum 100 mils dii0ness. IlSubstrute may he existing Class A or Class H gravel surfaced or smuodl surface BUR over comhustible or noncombustible substrates. SScnms in plywtKxl deck must lie covered with minimum 12 -inch -wide 90 -pound mineral CapshCcL RNIA Not Applicable. Ttligher stupes may be used subject to kesin Technology Cautpany's written concurrence. aSUbSlntle may be 4 -ply BUR assembly surfaced with a flood coat of ion ting asphalt and 4(X1 IbsJsquare of roofing gravel embedded in the asphalt. with all tone gravel removal. TABLE 2—FOAM SPECIFICATIONS FOR STEEL DECK ROOFIN13 SYSTEMS PRODUF,Y MAXIMUM FOAM MINERAL FOAM DESiGNATION AND THICKNESS GRANULES PERMAX-100 COATING ITEM NO, MANUFACTURER DENSITY Ipel) pnehael HEOUIRED QUANTITY I Resin T chnntogy RT -2030 and 2 Optional 3 Gel./100 FLS Conipaay RT 2131 (2.5,3.u)