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002883 (SFD)sm� no I P.O. BOX 1504 55_24f gqCel 78-105 LA QUINTAC Address CALIFORNIA 92253. Owner malting Address 7wals C&mmtx. T c1tobftivn City Zip [7e1'7 Contractor Address BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description Project Description PM TBAW $4A City _. Zip. Tel.. State Lic. City a 1330 & Classif.: 298130 Lic. # 328 Sq. Ft. 424 No. No. Dw. - Size Stories Unfits .Arch., Engr., _. Designer New a Add ❑ Alter ❑ Repair ❑ Demolition ❑ ' Address Tel. City Zip State . . .. I .. ... . .. Lic. # LICENSED CONTRACT.OR'S DECLARATION I hereby affirm that I am licensed under provisions of. Chapter 9 (commencing with Section 7000) of Division'3 of the Business and1P..rofessions Code, and my license is in full force and effect. f, �.� .'. g �,...� s a SIGNATURE DATE OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following Qf !Z 00 - reason: (Sec. 703.1.5, Business and Professions Code: Any city or county which requires' a, - t ' permit to construct, alter, improve, demolish, or repair any structure, prior to -its -issuance also t requires the applicant for -such permit to file a signed.,statemant that he'is•licensed pursuant to PERMIT AMOUNT 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 Any Section 7031.5 by 'any for Plan Chk. 'Dep. alleged exemption. violation of applicant a permit- - subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Plan Chk. Bal. 2. O 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 Const. • 0 Professions Code: The Contractor's License Law does not apply .to an owner' of property who builds or improves. thereon and who does such work himself or through his own employees, Mech.�Qf�,-= provided that such., improvements are not intended orofferedfor sale. If, however, the building' or improvement is sold within one year of completion, the owner -builder will have the burden Electrical, ' 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 $7.50 - struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law . '6.62 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.) - Grading O 1 am exempt under Sec. B. ti. P.C. for this reason Driveway Enc. Dale owner Infrastructure 1,413.66 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. 3870, Labor Code.) Policy No. ` Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL 2,362.26 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS'. COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred 'dollars ($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 Owrier NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become ZONE: BY: 'subject to 'the Workers' Compensation provisions of the Labor Code, 'you must forthwith comply with such provisions or this 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.) P 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." '' certify that I have read this application and state that the above information. is correct. Issued by: Date Permit agree to comply with all city and'county ordinances and state laws relating to building construction, and hereby authorize representatives, s01` this city to enter .the above. mentioned property fos petition purposes: � /:A Validated by: rT /{ Signature of applicant * ! - _ i Date, {-, f�'� Mailing Address ' ` Validation: City, State, Zip j. .1271 2 6 X56226 Ck HARD COPY CONSTRUCTION ESTIMATE ' t NO. ELECTRICAL F N0. PLUMBING FEES 1ST FL. SQ. FT. ® 2ND FL. SQ. FT. FOR. SO. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. WALL SQ. FT. SQ FT ® ESTIMATED CONSTRUCTION VALUATION $ 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 BONDING FLOOR DRAIN MECHANICAL FEES FORMS Gr —� WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER h AS (ROUGH) ( F GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP.IEQUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE 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 NAL INSP. 6 3��'� SQ. FT. ®c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL � � KGK _ SQ.FT.GAR ® 3/ac 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 e-4,dETBACK .-Cr-� 6OUND PLUMBINGa LID? UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE - 1 ,14ROUGH PLUMB. _�G� BONDING HEATING (ROUGH) STORAGE TANK FORMS Gr —� CtLSEWER OR SEPT /ROUGH WIRING(/�G -S� 1 DUCT WORK ROCK STORAGE )�y FOUND. REINF. -2�� vv h AS (ROUGH) ( F METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. REINF. STEEL If GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE ejNAL INSP. J BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. NAL INSP. 6 3��'� FRAMING G/l0 LFjNAL INSP. ��� ROOFING/?,,� r {� (�� / C � � KGK _ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING ?P&INAL INSPECTION J CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS. GARDEN WALL FINAL REOUESTFOR .PROPOSAL INSTALL POLYURETHANE FOAM ROOF SYSTEM 8 BUILDINGS (30 UNITS) LOCATIONS• .d In priori _M Numbers.. 55-485,467,.449,431 Phase 80-5,75, 587,599,611 Bldg Type 54-6.55,639,623,607 17B 55-682,670,.658,646 Cherry Hills 11B 55-270'25K146,234 54-732, 720,708,696 31B 54-516, 504, 492, 480 5M Riviera LOCATIONS• .d In priori _M SCOPE OF WORK Furnish all labor, materials, equipment and services n this document ecessar . y for completion of all roofing and related work as specified in POLYURETiLANF FOAM ROOFING WITH ACRYLIC AND GRANULES 1) All loose gravel, dust and residue shall be removedusing air blowing or other suitable means. iPOwervacuum equipment, .power sweeper, 2) foam Grinall d loose paint from Z ­bar metal, solvent wipe and prime with metal primer before application . of 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 tile and cut 3"wate r blocks where slope meets flat roof areas. 4) All surfaces shall be primed with n i e0prmie primer at the rate of not less than Y2 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 applied in ponding areas to help disperse the standing water. 6) be 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 2.6 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 Street Phase Units Bldg Type Southern Hills 17B 4 Cherry Hills 11B 4 Riviera 31B 4 5M Riviera 35A 4 9M Riviera 37A 2 27M Shoal Creek 14A 4. 9M Shoal Creek 18A 4 9M Shoal Creek 20A 4 10M. SCOPE OF WORK Furnish all labor, materials, equipment and services n this document ecessar . y for completion of all roofing and related work as specified in POLYURETiLANF FOAM ROOFING WITH ACRYLIC AND GRANULES 1) All loose gravel, dust and residue shall be removedusing air blowing or other suitable means. iPOwervacuum equipment, .power sweeper, 2) foam Grinall d loose paint from Z ­bar metal, solvent wipe and prime with metal primer before application . of 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 tile and cut 3"wate r blocks where slope meets flat roof areas. 4) All surfaces shall be primed with n i e0prmie primer at the rate of not less than Y2 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 applied in ponding areas to help disperse the standing water. 6) be 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 2.6 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