002882 (SFD)P.O. BOX 1504 No. 002882
Building SrAddress
CALLE ESTADO
• Address LA QUINTA, CALIFORNIA 92253
Owner
Mailing
Address 75-005 Cbuntry ' .ib Drive
City ZipTel.
Pair i�srt 9a2Si? 568-2828
Contractor
National Mm-tA" and Umd
Address
Sam
City lZip, _ Tela
BUILDING: TYPE CONST. OCC: GRP:
A.P. Number
Legal Description
Project Description PM VWT tW= 14A
TIM IM
State Lic.
City
.1330
& Classif. 289MO
Lic. # 32$
Sq. F�W 424
Size
No. No. Dw.
Stories Units - -
-Arch., Engr.,
Designer
New tai: Add ❑
Alter ❑ 'Repair ❑ Demolition ❑
Address
Tel.
City
State
JZip
-Lic.- #
- LICENSED CONTRACTOR'S, DECLARATION
"
I hereby affir n'that I am licensed under provisions of Chapter (commencing with Section
7000) of Division of the Business and Professions Code, and my license'is in full force and/
effect.��
"
SIGNATURE DATE
' OWNER•BUILDERDECLARATION
g
1 hereby affirm that I am exempt from the Contractor's License Law for the following9;��.ii�
. reason: (Sec. 7031.5,Busines4 and Professions Coder Any city or county which requires a'
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 -
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or
Division 3- or 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
' subjects the applicant to a civil penalty 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
.Professions Code: The Contractor's License Law does not apply to an owner of property,who _
E"stimated'Valuation
PERMIT
-
AMOUNT'
.
Plan Chk. Dep.
"
Plan Chk. Bal.
342.49.
Const.
- . V
Mach.
_
34.11
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 sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.) , -
Electrical
���
Plumbing
87.50
• ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
Strutt the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner or property who builds .or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)'
. ❑ I am exempt under Sec. B. & P.C. for this reason
..
S.M.I. �
' � - 6.62
Grading
Driveway Enc.
Date Owner
Infrastructure
Is413,66
WORKERS' COMPENSATION DECLARATION
hereby 'affirm that I have a certificate of consent to self -insure, ora 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
2,362.26
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
(This section need not be completed if the permit is for one tundred 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 Owner
NOTICE TO APPLICANT: 1f, after making this Certificate or 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. -
ZONE:' BY:
"Minimum Setback Distances: -
Front Setback.from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line '
hereby affirm that'theie 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
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-/
mentioned property for inspection purposes. ♦ r
di
Signature of applicant Date
FINAL DATE
Issued by:
Validated by:
INSPECTOR
Date ,f, `®! permit
Mailing Address / f /
Validation:
A 7 2 7 2
2 6 256226 U
City, State, .Zip '
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL F
NO. PLUMBING FEES
1ST FL. SO. FT. ®
2ND FL. SO. FT.
POR. SO. FT. ®
GAR. SO, FT. ®
CAR P. SO. FT.
WALL SO. FT. ®
SO 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
l ROUGH PLUMB. �� /G_
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
AS (ROUGH)_!7
LAUNDRYTRAY
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.
SO. FT. p c
BATH TUB
BOND BEAM
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
LUMBER GR.
SO.FT.GAR ® 3/ac
HOUSE SEWER
/ {—FRAMING L(_ �Q �Q"
F NAL INSP. / _� —
vo�G
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
ETBACK�Ol— of
ROUND PLUMBIA_1/2•f'
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE r)u
l ROUGH PLUMB. �� /G_
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS !31 _ F
EWER OR 5���4�fgC
v
^
A( ROUGH WIRINGG �Cj-4 /
t r
DUCT WORK
ROCK STORAGE
�R FOUND. REINF.�_
AS (ROUGH)_!7
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. d y .
plus x$
_$
LUMBER GR.
FINAL INSP.-3—F�
/ {—FRAMING L(_ �Q �Q"
F NAL INSP. / _� —
vo�G
ROOFIN,�i__,/ %�fl
TV � L�`
10 Q (� y w y� (� N f/�. � Q `
�
REMARKS:
VENTILATION /
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
&<FINAL INSPECTION
CERT. OCC.
FENCE FINAL
'
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
SCOPE OF WORK.
Furnish all labor, materials, equipment and services necessary for completion of
this document all roofing and related work as specified in
POLYURE=THANE FOAM ROOFING WITH ACRYLIC AND GRAlvin FS
1) All loose gravel, dust and residue shall be .removed using power vacuum equipment, .power sweeper,
air blowing or other suitable means.
2) Grindr�lm a paint from Z -bar metal, solvent wipe and primefoam with metal primer before application of
g Install new Z -bar metal (will be identified at job walk) as deeded 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
feet prior to foam application rate of not less than %2 gallon.per 100 square
5) Urethane foam shall be sprayed — applied to a minimum thickness of I 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 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 beembedded into the final coat while the
coating is wet.
PGA WEST Residential Association, Inc.
2012 Foam Roofing RFp
_
r
_REQUEST FOR PROPOSAL -
INSTALL POLYURETHANE FOAM ROOF SYSTEM
'w
8 BUILDINGS (30 UMTS)
g5.4
r
LOCATIONS- ilt.isted in Prio ftd
Numbers..
1 55-485, 467,.449, 431
S55-485,467,.449,431
Street
Phase
Units
Bldg Type
(00--6 80'-5" *75,
Southern Hills
17B
4
SM
587, 599, 611
Cherry Hills
11B
4
54-6.55,639,623,607
Riviera
17M
55-682,670,658,646
Riviera
31B4
5M
55-070,.060.
Riviera
35A
4
9M
°7 55-270, 258;246, 234
Shoal Creek
37A
2
27M
y 54-732,720,708,696
Shoal Creek
14A
4
9M
2y =� 544516, 504, 492, 480
Shoal Creek
18A
4
9M
20A
4
1.0M.
}
SCOPE OF WORK.
Furnish all labor, materials, equipment and services necessary for completion of
this document all roofing and related work as specified in
POLYURE=THANE FOAM ROOFING WITH ACRYLIC AND GRAlvin FS
1) All loose gravel, dust and residue shall be .removed using power vacuum equipment, .power sweeper,
air blowing or other suitable means.
2) Grindr�lm a paint from Z -bar metal, solvent wipe and primefoam with metal primer before application of
g Install new Z -bar metal (will be identified at job walk) as deeded 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
feet prior to foam application rate of not less than %2 gallon.per 100 square
5) Urethane foam shall be sprayed — applied to a minimum thickness of I 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 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 beembedded into the final coat while the
coating is wet.
PGA WEST Residential Association, Inc.
2012 Foam Roofing RFp