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9602-120 (SFD)LICENSED CONTRACTOR CIECLARATIO•N(�\R� I hereby affirm that I am licensed under provisions of Chapter g'(comrr Section 7000) of Division 3 of the Business and Professionals C I:icen a is,in full,fbrce. and effect. 397913 , �,a .1, / j f A :ing with and my Date 1�SignatureofConfractor iW EIPJI OWNER -BUILDER DECLARATION I hereby affirm that I am ,exempt from the Contractor's License Law for the following reason: () I, 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, Business & Professionals Code). () I, as owner of the'property, am exclusively contracting with licensed contractors to construct the, project (Sec. 7044 'Business &,Professionals'Code). O I aim xemp Vnder Section_, B&P. dfor th s reason/ Date=1 SigriatureofOwner �-a r�`/ WORKER'S COMPENSATION DECLARATION I. hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self -insure for workers' compensation, `as :provided for by Section 3700 , of the Labor Code, for the performance of the work for which this permit.is issued. ( ) . I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My. workers' compensation insurance carrier & policy no. are: Carrier Policy No. (This sect'i6K1 i'e &A6t+be completed if the permit valuatI6Ki94dF($1+OOT00 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, and agree thaVif I should become subject to 'e wo kers' compensation provisions of S ion 3700 of the' for Q;ode, I s II fo /with com • ith those�pvisions. 'Date: gn` ! .4 .Applicants !, Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is• hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a resin d th�s�ap�pI' n.agrees to, & shall, indemnity & hold harmless the City of Indian -Wells, kers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of permit, or cessation of work for •180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize`repre seritativi)sof this City to enter upon the ..< above-mentioned property for Inspection/purposes..- Signature (Owner/Agent)1f /, Date ya`c. .BUILDING PERMIT PERMIT;,,�_�� DATE Arr" . v VALUATION ~ e.p;.Pw.>.8•.J LOT "i±TRACT ti•.•r i� i•aart.r, r, JOB SITE ADDRESS ��� ����� s EAPN� �0,5 OWNER CONTRACTOR RANCHO C:APISM�I.V14 J DC1iQLQPME'+ JCi-I elf P­ iA B;. �,,D. LtiCwP1,N`rA CA .92:?,5� � �sr�i���-°»s� +;BII# 1969 DESIGNEWENGINEER 245, C(D t1?c3'RN17,,i? PARK. 'i..vi «:: rrrev"it,. iu•. 15 llltt4tYi USE OF PERMIT ' IRVLNi::.. CA 92714 'T{l�y74EA3wkiiir-.ttl.' AG6 L OIJ.,.M, (, )'l ON -POA. WEST - FEE DESCRIPTION FEES (. 1w1,0M C;ON81 RUG1'10N 2,-872.00 uP MRO-1-1/PATIO j 314.0 S.F i3ARAW: CARPORT } 677.00 8F ESTIMATED COST OF CC NSI'RUCTION PEMt1'1IT FEE SUMMARY , M_A_N C[tl33CK F 101 -WO -4.394t 8 $921..68 C0X9fRfJCa'10_NP B 101-000418-040 hC4CdTAN1'CAT. fi� i01-Ct�lln/� i-ftUO WSO ELF.S fRICAL FkM I01-000-420-000 $171,56 M:CWBING FRE 101 -W -419-W , - ' $.179.25 STOW MOTION KX - RRSID ` '101-006441-W0 GRAD] NO r l E 101-000-423'60`0 :1NFRA,S7'RUC1URE"6"EE 225-000-443='142 $5,332.46 , AR.T w Pumic PLACPS - luslb 7014100-75"(D©. t SUB -TOTAL C ONS'T'RUCi IDN AND P. 4N CN.ECK $8,22 S.73; i,E,S PRE -PAID :FEES 8 OrfAl, PERMJT VERS S ltd f lE 1 OVAr f I , RECEIPT DATE r r ,;r BY.` ; DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel V Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Dr/wall - Int. Lath Final Final BLOCKWALL APPROVAILS POOLS - SPAS steel Set'Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground. Electric Underground Plbg. Test Final Gas Piping PLUMBING AP RO LS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection I? Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final /p Utility Notice (Perm) IF F VV COMMENTS: J W,Certificate'of Occupancy - 'Clio y OfLaQuinta F Building and Sahety Department OF This Certificate issued pursuant to the requirements of Section 109 of the Uniform Bui/ding Code, certifying that, at. the time of issuance,' this structure, was in compliance with the various ordinances of the City regulating building construction or use. For the fol%wing: BUILOING ADDRESS: 55-442 SOUTHERN HILLS Use Classification: SINGLE FAMILY DWELLING'Bldg, Permit No.: 9602-120 Occupancy.Group:. R-3 Type of Construction: VN Land Use Zone: R-3 -Owner of Building:" KSL LAND II - Address: 56-140 PGA BLVD -Pity: LA QUINTA, CA., 92253 By: DANIEL P. CRAWFORD JR. Date: MARCH 17, 1997 Building Official POST IN A CONSPICUOUS PLACE A 'rA JON TANDY 37630 Medjool, Ave. : 6iUlL®/ Palm' Desert,' CA 92211 � f APj�� Office (760) 772-7192 • • .,.Fax (760) 772-7193 ager (760) 7.76-3338 x REGISTERED INSPECTOR'S WEEKLY REPORT. TYPE OF INSPECTION PERFORMED EI REINFORCED CONCRETE TRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER f REINFORCED MASONRY- ❑ FIRE PROOFING ' Eo i JOB LOCATI ! - .��, REPORT SEQUENCE NO. TVP\,Q� T/�1�C�TURE V"_" '_ + PERMIT NO. a D TE - DAV OF WEEK MATERIA DE IP IONARCHITECT fI'NSjC�TO�R/� HRS. CHARGED ENGINEE f [ ASSISTANTS I MRS. CHARGED I. INSPECTION DATE GENERAL CONTRACTOR • (^ f I, _ _ L�S ' • ` ) • ` CONTRACTOR N Loco •1 R 1. 4• HT Cie" io C- 6 • t . eCJ/J A OLr l .. . ,► •` COPY SENT TO CLIENT ❑ •s N NUED ON NEXT PAGE O PAGE OF 9 CERTIFICATION OF COMPLIANCE I •4 6 I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY SIGNA URE OF. REGI ERED"INSPECTOR KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED " !a� s � . PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE. GOVERNING BUILDING LAWS. t DATE OF REPORT REGISTER NUMBER I a REQUEST FOR PROPOSAL INSTALL POLYURETHANE FOAM ROOF .SYSTEM 8 BUILDINGS (30 UNITS) LOCATIONS Ldw Numbers'. Street Phase Units Bldg Type 55-485, 467,. 449, 431 Southern Hills 17B 4 5M .80-575,587,599,611 Cherry Hills 11B 4 17M 54-655,639,623,607 Riviera 31B 4 5M 55-682,670,658, 646 Riviera 35A 4 9M, -55-070,060 Riviera 37A: 2 27M 55-27.0, 25t,246,234 Shoal Creek 14A 4 9M, 54-732, 720,708,696 Shoal Creek 18A: 4 9M 54-516,504,492,480 Shoal Creek 20A 4 10M SCOPE OF WORK Furnish all labor, materials, equrpment and services neces for completion of all roofing and related work this document as specified in POLYURETHANE IROMING .CRYLIC AND GRANULES All 100st gravel, dust and residue shall 't 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 rOOfin& Install new Z -bar metal (will be identified at job ) n walk as needed and solvent wipe and prime with metal Primer before application of foam roofing. 3) 4) Remove two (2) courses of tile and cut 3" water blocks where slope meets flat roof areas. All surfaces shall be primed with neoprime Primer at the rate of not less than feet prior to foam application. V2 gallqp:per 100 square 5) Urethane loam 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) Ile, 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 combin . ed thickness of 32 total dry mils. Ceramic granules shall be embedded into coating is wet the final Coat while the