06419 (SFD)4
P.O. BOX 1504 N o . 06419
Buildin78-105Addrress 54-696 Shoal Creek LA QUINTACCALIFORNIA 92253
Owner
Sunrise Cozpany BUILDING: TYPE CONST. -0CC::GRP.
Mailing
Address 42—,.fhl. Can'I A A.P. Number PQA Rest. Phase 18A
City Zip Tel.
calm.Desert .92260 568-2828 Legal Description
Contractor Tract 20717-3. Plan. 3M
Land & Mortgage Project Description
Address
City Zip Tela
State Lic. City
& Classif. 2N130 Lic. # 328 Sq. Ft. 1627 No. No. Dw.
Arch-, Engr., ' -
Size —Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolitioi ❑
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 .0f -Division 3 of the Business'and Professions Code, and my license is in full force and
effect }y
'SIGNATURE .i [ f V' f DATE
' OWNER -BUILDER DECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following tt �a
reason: (Sec. 7031.5,8usiness and Professions Code: 'Any city or county which requires a
permit to concoct, after, improve, demolish, or repair any structure, prior to its issuance also AMOUNT
requires the applicant for such permit to Me a signed statement that he is licensed pursuant to PERMIT
the provisions o/ the Contractor's License Law, Chapter 9 (commencing with Section 7000) o/
Division 3 o/'the Business and Professions Code, or that. he is exempt therefrom, and the basis
/or the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep.
subjects the applicant to a civ8 penatty o/ not more than rove hundred dollars ($500).
.❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk.. Bal. $ , 563.06
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and i+vn r^
Professions Code: The Contractor's License Law does not apply to an owner of property who Const. - t '000..jv
builds or improves thereon and who does such work himself or through his own employees, -! /.dry0
provided that such improvements are not intended or offered /or sale. d, however, the building Mech. t 1.0
or improvement is sold within one year of completion, the owner -budder will have the burden Electrical 141. I2
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 Plumbing 131.00
struct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner o/ property who builds or improves thereon, and who contracts for S.M.I. 7.88
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 $2,3158.86 1,279.43
Le" emdit 2.,279.43
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 $s8$Z.Q9 �. ' ..�,%-.>; �..� •
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the permit is /or one hundred dollars (E t 00) valuation
rS/ k (1wTr 1V1Cit- k s'+ss•:x,.rrf
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: If, after making this Certificate of Exemption you should become ZONE: BY:
subject to the Workers' Compensation provisions o/ the Labor Code, you must forthwith
comply with such provisions or M permit shall be deemed revoked. Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
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.) Side Setback from Property Line
Lender's Name
Lender's Address FINAL DATE INSPECTOR
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days. 9/28189
1 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:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEE$,,.
1ST FL. SO. FT. ® $
UNITS
A.C. UNIT
COLL. AREA
RADE �/ Z
YARD SPKLR SYSTEM
2ND FL. SO. FT.
HEATING (ROUGH)
STORAGE TANK
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCK STORAGE
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
DRAINAGE PIPING
CAR P. SO. FT. ®
GAS (FINAL)
TEMP. POLE
DRINKING FOUNTAIN
WALL SO. FT. ®
WATER HEATER
SERVICE
URINAL
SQ. FT. @
BOND BEAM
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
=$
FLOOR DRAIN
MECHANICAL FEES
I
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
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
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR @ V4c
HOUSE SEWER
INSULATION/SOUND ' �}
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
SET CK
ROUND PLUMBING,
UNDERGROUND
A.C. UNIT
COLL. AREA
RADE �/ Z
ROUGPLUMB.
A BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
R OR SEI it ROUGH WIRING
DUCT WORK
ROCK STORAGE
REINF. (
GAS (ROUGH) �.
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
EINF. STE -
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
plus x$
=$
LUMBER GR.
��
INAL INSP./,2r-4pr
FRAMING _��jJ
FINAL INSP.
OFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
GVLATHING
MESH
INSULATION/SOUND ' �}
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
'
GARDEN WALL FINAL
t
f -
k�y'rjtzj
s`
Nuo
REOUES EOR PROPOSAL
INSTALL POLYURETHANE FOAM ROOF SYSTEM
8 BUILDINGS (30 UNITS)
LOCATIONS_1Listed in Prao ft a
45-1
Numb.
55-485,467,449,431
Street
Phase
Units
Bldg Type
ED O `0
80-575,
Southern Hills
17B
4
SM
587, 599, 611 _
Cherry Hills
11B
4
pis- .�
54-6.55,639,623,607
Riviera31B
17M
55-682, 670,-658,646
Riviera
4
SM
551070, 660
Riviera
35B .
4
9M
55-270, 258, 246, 234
Shoal Creek
37A
2
27M
54-732,.720,708,,'69-6.
Shoal Creek
14A
4 -
9M
may. —�
54516, 504, 492, 480
Shoal Creek
18A
q
9M
•
20A
q
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.
POLYURETHANE FOAM ROOFING WITH ACRYLIC AND GRANULEg
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 the and cut 3" water blocks where slope meets gat roof areas.
4) All surfaces shall be primed with neopri me primer at the rate of not less than ya 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 an 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
coating is wet final coat while the
PGA WEST Residential Association, Inc.
2012 Foam Roofing RFp