002889 (SFD)Building
Address 55-'234 SbW1 Cktwk
Owner
Mailing
Address 75-005
City Zip
#
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
. Pa3z Dwieft 922 5%-2M8
Contractor
. 111tiaerel ftrbmM and Lumd
Address
City` Zip Tela
S
State Lic. City
& Classif. 288330 Lic. # '32
Arch., Engr.; "
Designer
Address Tel.
City Zip State
Lic..#
LICENSED. CONTRACTOR'S DECLARATION
I hereby affirm ice
thal,Pam•lnsed under provisions of Chapter 9 (commencing with -
7000) of Division 3,6fthe. Business.and Professions Code; and my license is in full'fc
effect: %.
ecl
,e;
BUILDING: TYPE CONST: OCC: GRP.
A.P. Number
Legal Description
Project Description PM ' ` PMM 14 A
3 I
1XV3 1621
Sq. Ft. CIM 42,E No. No. Dw.
Size Stories Units "
New ER Add ❑ Alter ❑ Repair ❑ Demolition ❑
.. I. - As .. 1`'' a ? ! if '3 , ;
•..
.. -
_ _ +.� �'.. .. -- / / DATE
_SIGNATURE
OWNER -BUILDER DECLARATION.'
I hereby affirm that I am exempt from the,Contractor's License Law for the following
Estimated Valuation ���g M ry
LJ,r'!!'�.►8i3
reason: (Sec. 7031.5,Business and, Professions Code: Any city or- county which requires .a
di
permit. -to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant 'for such permit to file. a signed statement that he is licensed pursuant to
- PERMIT -
' the provisions of the Contractor's License. Law, Chapter 9. (commencing with' Section 7000) of
Side Setback from Property Line
- Division 3 o 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
.plan ChkDr? '
. p
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will _
_ plan Chk. Bal.
COr1St . '
- do the work, aril 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
Mech.
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. 11, however, the building
-Electrical
or improvement is sold within one year or completion, the owner -builder will have the burden
of proving that he did not.build or improve for the purpose of sale.) -
Plumbing
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
slruct 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.-I. -
• such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ I. am exempt under Sec. B. 8 P.C. for this reason
Grading
Driveway Enc.
Date owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
I'hereby affirm that I'have a'oertificate 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 i1 the permit is for ore hundred dollars ($100) valuation
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: If, 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.)
Lender's Name
Lender's 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 certify 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-. f
mentioned property for inspection purposes. f f/`
Signature of applicant / i < �..�`> !` � Date'+
Mailing Address
City, State, Zip i
r
HARD COPY
TOTAL
REMARKS
AMOUNT
380.44
468.00
34.00
67.41
4 / a iii
/e95
1,705.91
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 Z"^*S% Permit
Validated by:
Validation:
A7210
2 6 _ 275:L21 CK
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FES
NO. I PLUMBING FEES
1ST FL. SQ. FT. p $
2ND FL. SQ. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SQ. FT.
WALL SQ. FT. ®
SQ FT ®
ESTIMATED CONSTRUCTION VALUATION is
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
ROUGH PLUMBG
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
qq?AS (ROUGH)/
LAUNDRY TRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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.
SQ. FT. ® c
BATH TUB
BOND BEAM
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
AL INSP. /_ 3
vi
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE MECH.FEE
PL.CK.FEE
ELECT. FEE
=
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
BACK Gf _
OUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
)a SLAB GRADE _� `� —
ROUGH PLUMBG
BONDING
HEATING (ROUGH)
STORAGE TANK
NeFORMS ';2 —ol — ��
WER OR SE I N�E,
/#OUGH WIRING 7
DUCT WORK
ROCK STORAGE
% FOUND. REINF. +D /�
D
qq?AS (ROUGH)/
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
NAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
plus x$ _$
LUMBER GR.
INAL INSP.
14FRAMING L/, �Q G
! U
AL INSP. /_ 3
vi
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R00W� fle t;� Y /
r t!T
�/G I Zi W ILIFI lire �� '� /G/G
`/ `� �� l �' �' •-� 7/2L�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
p/
�GtCLATHING
MESH
INSULATIONISOUND
FINISH GRADING
e�eNAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
M E'
REQUEST FOR PROPOSAL
INSTALL POLYURETHANE ik
• �- "� ` y ,5� . `' YURETHANE FOAM ROOF SYSTEM l'
` 8 BUILDINGS (3b UNITS)
e
t LOCATIONS- �"
.. LJstted in•Prioritvt - .
Street Phase
Ica
Numbers.. _ - �y
4 S Uni Bldg Type
- —1 55-485,467,449,431 Southern Hills 1'7B .
4 5M
(00-0 80-575; 587, 599, 611 Cherry Hills 11B , A. 17M
pis 3 54-655 639 623, 607 Riviera 31 B q'
<1: 5M
55-682.670,658,646- ` Riviera 35A' 4
,... 55-070, 060. 91V1
- Riviera 37A
• 2 27M
55-270, 258; 246,234 - ' Shoal Creek
14A 4 9M
y ' 54-732, 720, 708, Shoal Creek 696 : 18A-'' q
,. .
h j 9Mt
54-516,564,492,480 r Shoal Creek 20A
q IOM.. .
COPE OF WORK _
Furnish all labor, materials, equipment and services neces for co
this document.)' mpletion of all roofing and related work as specified in
POLYURETHANE FOAM ROOFING ARTA ACRYLIC AND GRANin ES .
s ;r
loose gravel, . dust and residue shall be removed using Power vacuum equip
air blowing or other suitable means. ment, .power sweeper,
- ' 2) Grind all loose paint from Z -bar m 3 ,
foam roofing_ solvent wipe and prime with* primer, before application of
y+ + prime with h new Z -bar metal (will be' identified at job walk) as needed and solvent wipe and
primer before application of foam roofing.
r. R 3) Remove two (2) courses of tile and cut 3" water blocks where slope meets flat roof areas. ,. ;
'4) All sm&wxs shall be primed with neoprime primer at the rate of not less than %gallon
t feet prior to foam application. per 100 square
*, 5) Urethane foam shall be app
sPmYed — hod to a minimum thickness of 1.5". -'Additional foam.shall be
applied in on Ip disperse the standing water.
ponding areas to he
6) Coating shall be applied in a minimum of two (2) separate coats. Acrylic coating to be 55% solids. t
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 final coat while the
coating is wet.
2PGA WEST
kidenoclaUon, Inc. '
Roofing RFP r "