06383 (SFD)Building
Arid- 54-441 Sinal Creek
Owner
Sunrise
0 4.4 0 1C&tyl Qt1 . X114 3 -�
P.O. BOX 1504 No. 06383
78-105 CALLE ESTADO
SLA QUINTA,.CALIFORNIA 92253
Address 75-00$ Cowlitry Cl-,xb
City Zip Tel.
Palm IIesert 92261D 568-2528
Contractor
Sam
Address
City IZip I Tela
State Lic. I City
& Classif. 288130 Lic. # 323
Arch., Engr.,
Designer
Address Tel.
City I
Zip I 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. t r
r ,t •� /� t� `cox
SIGNATURE .7 ,r'� / DATE
r r OWNER -BUILDER DECLARATION �
I' hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,Busiress and Professions Code: Any city or county which requires a
pemdt to construct, alter, 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 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 basis
for the alleged exemption. Any violation or Section 7031.5 by any applicant for a permit
subjects the applicant to a civilpenally of not more than Fire hundred dollars (5500).
❑ 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. 7G44, Buisness and
Professions Code: The Contractors License Law does not apply to an owner or 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 said within one year of completion, the owner -builder will have the burden
or proving that he did not build or improve for the purpose of sale.)
❑ 1, 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
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.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed N the permit is for one hundred dollars (S 100) 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: lt, 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
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lenders Name
Lenders Address
This is a building permit when propedy.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 compty 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 PGA Volt — Mane 21A
Legal Description
Project Description Traci 29717-3, Pian 4CR
REMARKSlilt+:l iT a t1 . S�i)E a1 . �,r1,.h5 -ti zh to
IV L*1411 I vi?Etit. x -IAQ.5
ZONE:
BY:
Minimum Setback
Distances:
Front Setback.from Center Line
Sq. Ft. ZgZ� .�
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition D
Side Setback from Property Line
FINAL DATE
INSPECTOR
V20/89
Issued by:
Date Permit
Validated by:
Validation:
Estimated Valuation
$132,816
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
S 554.,210
Const.
755.00
Mech.
31.01I
Electrical
112.04
Plumbing a,
131.00
S.M.I.
9.31
Grading
Driveway Enc.
Infrastructure
$2,983.36
1,494.18
Lean Credit
1.4494..18
TOTAL
$3.116.79
REMARKSlilt+:l iT a t1 . S�i)E a1 . �,r1,.h5 -ti zh to
IV L*1411 I vi?Etit. x -IAQ.5
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
V20/89
Issued by:
Date Permit
Validated by:
Validation:
MC�
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
A.C. UNIT
COLL. AREA
LABGRADE '1�k1l
YARD SPKLR SYSTEM
2ND FL. SO. FT.
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
ROUGH WIRING
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
GAS (ROUGH)
METER LOOP
DRAINAGE PIPING
CAR P. SO. FT. ®
rffl EINF. STEEL
GAS (FINAL)
TEMP. POLE
DRINKING FOUNTAIN
WALL SO. FT. ®
GROUT
WATER HEATER
SERVICE
URINAL
SO. FT. @
FINAL INSP.
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
$
FLOOR DRAIN
MECHANICAL FEES
LUMBER GR.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
REMARKS:
LAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SO. FT. ®c
I WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1V4 c
SEWAGE DISPOSAL
SO.FT.GAR ® VVic
HOUSE SEWER
MESH
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
SETBACKOUND
PLUMBING t
Al
UNDERGROUND
A.C. UNIT
COLL. AREA
LABGRADE '1�k1l
ROUGH PLUMB.
41
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
ER OR SEPTIYAOOIY
ROUGH WIRING
DUCT WORK
ROCK STORAGE
F N . REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
rffl EINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
plus x$
_$
LUMBER GR.
AL INSP.-r0
//)�
V�RAMING /
111
FINAL INSP.
OFING , �� ••�
w 'Oki
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
THING �
MESH
Z�JNSULATION/SOUND f ;1V11?6)
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
t
REQUEST FOR PROPOSAL
INSTALL POLYURETHANE FOAM ROOF SYSTEM
8 BUILDINGS (30 UNITS)
SCOPE OF WORK
Furnish all labor, materials, equipment and services necessary for completion of all roofing and related work as
this document. g specified in
POLYURETHANE FOAM ROOFING WM AcRYLIC AND GRANULES
1) All loose gravel, dust and residue shall be removed using power vacuum equipment, pow
air blowing or other suitable means. er sweeper,
2) Grind all loose paint from Z -bar metal, solvent wipe and prime with metal
foam roo Pyr More application of
fing. 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 Y. gallon.per.100 square
feet prior to foam application
5) Urethane foam shall be sprayed — applied to a minimum thickness of 1 S". 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 l .0 applied at the rate of 2gallons per 100 square feet, with a combined
thickness of 32 total dry mils. the
granules shall be embedded into the final coat while the
coating is wet
PGA WEST Residential Association, Inc.
2012 Foam RooSng RFp
LOCATIONS• ��isted in Priority
LIS —1
Numbers
55-485,467,,449,431
Street
Southern Hills
Phase
Units
Bldg Type
(D O " 26
80-575; 587, 599, 611
Cherry Hills
17B
4
SM
54-655,639,623,607
Riviera
11B
4
'
17M
55-682,670,.658,646
Riviera
31B
4
SM
—
55-070,0'60
Riviera
35A
4
9M
°7 ^
55-270, 258; 246, 234
Shoal Creek
37A
14A
2
27M
�-(
54-732, 720, 708, 696
Shoal Creek
q
9M
Z4
54-516,504'442,480
Shoal Creek
18A
4
9M
20A
q
10M
SCOPE OF WORK
Furnish all labor, materials, equipment and services necessary for completion of all roofing and related work as
this document. g specified in
POLYURETHANE FOAM ROOFING WM AcRYLIC AND GRANULES
1) All loose gravel, dust and residue shall be removed using power vacuum equipment, pow
air blowing or other suitable means. er sweeper,
2) Grind all loose paint from Z -bar metal, solvent wipe and prime with metal
foam roo Pyr More application of
fing. 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 Y. gallon.per.100 square
feet prior to foam application
5) Urethane foam shall be sprayed — applied to a minimum thickness of 1 S". 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 l .0 applied at the rate of 2gallons per 100 square feet, with a combined
thickness of 32 total dry mils. the
granules shall be embedded into the final coat while the
coating is wet
PGA WEST Residential Association, Inc.
2012 Foam RooSng RFp