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06427 (SFD)4,v/ 4 4 a" P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 54-748 Shoal Creek LA QU,INTA, CALIFORNIA 92253 Owner mailing Address 42—ACook St. 0290 City Zip Tel. palm Desert 92261 1 568-2828 Contractor Tel.: State Lic. City & Classif. 288130 Lic. # .328 Arch., Engr., Designer Address Tel. City. Zip State Lic. # ,i 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_ }f" /' . - «a� r,a d.' J t 1'<r!/P11-?t SIGNATURE 'r W A DATE OWNEWBUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,8usrness and Professions Code: Any city or county which requires a permit to construct, after, krprove, demolish, or repa)i any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractors 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 of Section 7031.5 by 'any applicant for a permit sub)ects the applicant to a civilpenally of not more than five hundred dollars ($500). ❑ 1, 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 Prolessions Code: The Contractors License Law does not apply to an owner of property who builds or inproves thereon and who does such work himself or through his own employees, provided that` such inpmvements are not intended or offered for sale. If, however, the building or improvement is sold wfthh one year of completion, the owner -builder will have the burden of proving that he did not build orrnprove for the purpose of sale.) ❑ 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 appy to an owner of property who builds or improves thereon, and who contracts for such pro)ects 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 Workers 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'COMPENSATIONINSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) 1 certify that in the performance of thg work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: tl, after making this Certificate of Exemption you should become suttpect to the Workers' Compensation provisions of the labor Code, you must forthwith comply with such provsrons or Mk permit shall be deemed revoked - CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lenders Name Lenders Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certity that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above-. mentioned property for inspection purposes. Signature of applicant Date - Mailing Address City, State, Zip Z -3 No. 06427 LDING: TYPE CONST. OCC: GRP. Number PGs. West Mace 1$A Legal Description Project Description. 'Trace 20717--3, Plaim . I. REMARKS 1, � 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 Issued by: Date 9/28/89Permit Validated by: Validation: Sq. Ft. 1.330 Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $94.224 PERMIT AMOUNT Plan Chk: Dep. Plan Chk. Bal. .. S. 500.62 Const. 617.00 Mech. t 1.00 Electrical 99..99 Plumbing 96 .^A(). S. M.I. 6.65 Grading Driveway Enc. Infrastructure 82.320-.49 1,060..25 T a. Crindit 1. 6025 TOTAL $2.421.30 REMARKS 1, � 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 Issued by: Date 9/28/89Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA GRADE �— ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. SQ. FT. HEATING (ROUGH) STORAGE TANK FORMS / MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® ROCKSTORAGE ND. REINF. GAS (ROUGH I IPOWER OUTLET ROOF DRAINS GAR. SQ. FT. ® OTHER APPJEQUIP. INF. S T E E GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SQ. FT. ® GROUT WATER HEATER SERVICE DRINKING FOUNTAIN WALL SQ. FT. ® BOND BEAM WATER SYSTEM URINAL SQ FT ® =$ LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ FRAMING / _ �� WATER PIPING NOTE: Not to be used as property tax valuation �• FLOOR DRAIN MECHANICAL FEES REMARKS: 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, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB MESH SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/. c SEWAGE DISPOSAL FINISH GRADING SO.FT.GAR ® V4c 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 ROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA GRADE �— ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS / `` ER OR SE I fi / ROUGH WIRING DUCT WORK ROCKSTORAGE ND. REINF. GAS (ROUGH METER LOOP HEATING (FINAL) OTHER APPJEQUIP. INF. S T E E 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. OOFING ? �• �' — )OL" e REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL (LATHING MESH INSULATION/SOUNDlj ­J,(A FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS ' GARDEN WALL FINAL l REQUEST FOR PROPOSAL INSTALL POLYURETHANE FOAM ROOF SYSTEM 8 BUILDINGS (30 UMTS) SCOPE OF WORK Furnish all labor, materials, equipment and services ne this document cessary for completion of all roofing and related work as specified in POLYURETHANE M ROOFING WITH ACRYLIC AND GRANULES 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 of foam roofing. Install new Z -bar metal (willbe identified at job walk) as needed and solvent wipeoand Prime with metal primer before application of foam roofing. 3) Remove two (2) courses of file and cut 3" wafer blocks where slope meets flat roof areas. 4) All surfaces shall be primed with neoprene primer at the rate of not less than '/a gallon per feet prior to foam application. 100 square 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 tate 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 final coat while the coating is wet. PGA WEST Residential Association, Inc. 2012 Foam Roofing RFP A�TIO�NS- IListcd in Prioritvl LOC/,, ¢�Q 4 S 1 Numbers'' 55-485,467,449, 431 Street Southern Hills Phase Units Bldg Type ED O ` 2� 80-575; 587, 599, 611 Cherry Hills 17B .4 SM 54-6.55,630,623,607 Riviera IIB 4 17M 55-682, 670, 658, 646 _ Riviera 31B 35A 4 SM 551070, 060. Riviera 4 9M �® 55-270, 258',-246, 234Shoal Creek 37A 2 27M �9M• 1, ! 0 54-732,1720.,708,696 Shoal Creek 14A - 4 9 54-516, 504, 492, 480 . Shoal Creek 18A -4 20A 9M q 10M SCOPE OF WORK Furnish all labor, materials, equipment and services ne this document cessary for completion of all roofing and related work as specified in POLYURETHANE M ROOFING WITH ACRYLIC AND GRANULES 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 of foam roofing. Install new Z -bar metal (willbe identified at job walk) as needed and solvent wipeoand Prime with metal primer before application of foam roofing. 3) Remove two (2) courses of file and cut 3" wafer blocks where slope meets flat roof areas. 4) All surfaces shall be primed with neoprene primer at the rate of not less than '/a gallon per feet prior to foam application. 100 square 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 tate 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 final coat while the coating is wet. PGA WEST Residential Association, Inc. 2012 Foam Roofing RFP