BRER2016-0029=
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BRER2016-0029
`&t 4 ,aw
COMM Ulri,4J LOGIr PBi T 11113n
Property Address:
51845 EISENHOWER DR
APN:
773174017
Application Description:
LINCOLN RESIDENCE/ REROOF
Property Zoning:
Application Valuation:
$10,500.00
Applicant:
ROBERT LINCOLN
53405 AVE MADERO
LA QUINTA, CA 92253
APR 2'g 2016
CTTYOFLA QUINTA
COMMUNpYOftOpME ORARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury 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.
License Class: License No.:
Date:
Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter; improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
3 of the Business and Professions Code) or that he or she 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).:
C74 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 and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the 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 or she did not build or improve for the purpose of sale.).
( ) I; as owner of the property, am exclusively contracting with licensed contractors
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
6 ) I am exempt under Sec. B.&P.C. for this reason
Date: �L'� A?— %O/ Owner:—
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's
Lender's Address:
C
VOICE (760) 777-7125
FAX (760) 777-7011
ENT INSPECTIONS (760) 777-7153
Date: 4/28/2016
Owner:
ROBERT LINCOLN
Contractor:
Llc. No.:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 and policy number are:
Carrier: PolicyNumber:
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 that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: 26 JqV_ Je t—/- Applicant: T �`
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($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.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this 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 result of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
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 such 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 county ordinances and state laws relating to building'
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
Date: � .7.0fG Signature (Applicant or Agent)
1- — -
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT QTY AMOUNT
PAID
PAID DATE'.
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
4/28/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY -
ROBERT LINCOLN
CHECK
R15144
6751
MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
$1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$49.31
$49.31
4/28/16
PAID BY
'METHOD
RECEIPT #
CHECK #
CLTD BY
ROBERT LINCOLN
CHECK
R15144
6751
MFA
DESCRIPTION
`ACCOUNT
QTY
AMOUNT
PAID
PAID DATE`
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600
0
$98.62
$98.62
4/28/16
PAID BY
METHOD
RECEIPT #
CHECK #"
CLTD BY
ROBERT LINCOLN
CHECK
R15144
6751
MFA
Total Paid for RE -ROOF:
TOTALS:
$147.93
$148.93
$147.93
$148.93
Description: LINCOLN RESIDENCE / REROOF
r�
CONDITIONS
Type: RE -ROOF Subtype:
Status: ISSUED
Applied: 4/28/2016 MFA
Approved: 4/28/2016 MFA
Parcel No: 773174017 Site Address: 51845 EISENHOWER DR LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 116
Lot: 5
Issued: 4/28/2016 MFA
NO 12
53405 AVE MADERO LA QUINTA
CA 92253 (760)564-2801
Lot Sq Ft: 0 Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $10,500.00 Occupancy Type:
Construction Type:
Expired: 10/25/2016 MFA
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: REROOF WITH LIKE FOR LIKE OWEN CORNING 31) ASPHALT COOL ROOF SHINGLES. RADIANT BARRIER #0890-0009 PER 2013
CALIFORNIA ENERGY CODE.
BSAS SB1473 FEE 101-0000-20306
0
CHRONOLOGY
CONDITIONS
INFORMATION
CONTACTS
NAME TYPE NAME ADDRESSI CITY
STATE ZIP PHONE FAX EMAIL
APPLICANT ROBERT LINCOLN 53405 AVE MADERO LA QUINTA
CA 92253 (760)564-2801
OWNER ROBERT.LINCOLN
53405 AVE MADERO LA QUINTA
CA 92253 (760)564-2801
FINANCIAL
INFORMATION
CLTD
DESCRIPTION ACCOUNT
QTY
AMOUNT
PAID
PAID DATE RECEIPT # CHECK # METHOD
PAID BY
BY
BSAS SB1473 FEE 101-0000-20306
0
$1.00
$1.00
4/28/16 R15144 6751 CHECK
ROBERT LINCOLN MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00
$1.00
BSA:
RE -ROOF - FIRST 2,000
101-0000-424040
$49.31
$49.31
4/28/16
R15144
6751
CHECK
ROBERT LINCOLN
MFA
SF
Printed: Thursday, April 28, 2016 3:23:32 PM
1 of 2
`! R sysrc;ois
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
RE-ROOF -FIRST 2,000
101-0000-42600
0
$98.62
$98.62
4/28/16
R15144
6751
CHECK
ROBERT LINCOLN
MFA"
SF PC
Total Paid for RE -ROOF: $147.93 $147.93
TOTALS:4.$148.93
BOND INFORMATION
Printed: Thursday,.April 28, 2016 3:23:32 PM 2 of 2
' L U SYSTEtitS
Lain #
City. of La Quinta
Building 81; Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
v Building Permit Application and Tracking Sheet
Permit #
VI
Project Address: S _ S
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone: o e.
P _
Address:
Project Description:
r
City, ST, Zip:
k e Q
Telephone:
{ ,
F
State Lie. # :.
City Lie.
Arch., Engr., Designer:
Address:
City., ST, Zip:
O b
Telephone:
Construction
s on Type: cc
YP O u ane
S % P Y:
Project tYPa circle oe New
Add'n Alter Demo
tate #
S Lic.
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Val of Project: Cpl
APPLICANT: DO NOT WRITE BELOW THIS LINE
tl
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance.
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
.2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'"! Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01'-E Revised 06/14
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations.
Proiect Name: _-ate i, i )
Date.Prepared:
CF113-ALT-01-E
(Page 1 of 4)
A. GENERAL INFORMATION
01
02
01
Project Name: t-,,,.'
02
Date Prepared: „
03
Project Location: a
04
Building Front_O6ertati`on'(deg or cardinal):
_•
05
CA Cit
City:. G�
06
- r `"
Number of AI,tered+:Dwelling Units: •
07
Zip Code:
08
Fuel Type: C.N.
09
Climate Zone:'10
Total,Copd tinned FloorxAr�ea "(ft2)4
11
Building Type
12
1 Sia4,'Anea"00)
13
Project Scope:
.oduct Type _
$'�
P! •'1J *j
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)
01
02
03
04
05
06g,,- 07 I 08 09
10
11
Tag/ID,
Assembly Type
Frame
Type
Frame
Depth
(Inches)
FrameContinuous
Spacing .
(Inches)
k,
Proposed
Required
Comments
m
Cavity Insulation Of
R-valueR-value ,t ,actor
AppendixJA4
Reference
U -Factor
Table. Cell
C,RR+CrP.'roduct ID
Deck
on
Compliance
Pitch
Exception
Number
.oduct Type _
'Insulat
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
& A-" ,'4 WW !W '•e1 %,.. JFK+
C. ROOF REPLACEMENT (Prescriptive Alteration, Sectt6n1S0.2(b)1H)�
.
01
02
03
04 ,�
0%,,
06
4 Y07 08 09 10 11 12 13
%
R -value
Propos d Minimum Re uired
nitial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI'
Method of
Roof
C,RR+CrP.'roduct ID
Deck
on
Compliance
Pitch
Exception
Number
.oduct Type _
'Insulat
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
NOTES
• Roof area covered byTbuilding'integrated panels and thermal from the Cool.Roof
photovoltaic solar panels are exempt above requirements.
• Liquid field from 110:8(i)4.
applied,coati _gs-must comply with,. -.installation criteria section
IL
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014