BRES2016-011978_495 CALLE TAMPICO Qaw
C` D VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
� INSPECTIONS (760) 777-7153
BUILDING PERMIT
Application Number:
BRES2016-0119
Owner:
(�l
Property Address:
51845 EISENHOWER DR
ROBERT LINCOLN
u
APN:
773174017
53405 AVE MADERO
Application Description:
LINCOLN RESIDENCE / WINDOW CHANGE OUT
LA QUINTA, CA 92253
[�
Property Zoning:
c
Application Valuation:
$6,000.00
Applicant:
Contractor:
d
ROBERT LINCOLN
ROBERT LINCOLN
53405 AVE MADERO
53405 AVE MADERO
LA QUINTA, CA 92253
LA QUINTA, CA 92253
(760)564-2801
Llc. No.::CONV:140528101254134568
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.::CONV:140528101254134568
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).:
r as owner of the property, or my employees with wages as their sole
compensation, will do fhe 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
h or_she did not build or improve for the purpose of sale.).
N%(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.).
f&.�%iam exempt under Sec. . B.&P.C. for this reason
1�
D( ate:/ 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
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:. - Policy Number:
ertify 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: %Old —Applicant:
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 ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to .
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant, each agrees.to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes. -
Date: 131k Signature (Applicant or Agen
0'' rv't'?:P"Y ...
DESCRIPTION ACCOUNT ;'A 'QTY, ��x AMOUNT PAID PAID>DATE
rA..t �.k x6,YfiM1 I w'k' 3.e"43C_.a .54'$x. .-�:• a2S`.. xn :., %.Y:F.y,4.,..Y,%,fY'vi t.rc .Y,fi-.
BSAS 581473 FEE = 101=0000:2030.6
0 $1.00 $0.00
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'$ 3� ib'^x '� ' 8f .E'i.:< 'l
rPAID BY METHODS
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..RECEIPET s CHECK 4 ..CsLTD�BY,
Total'Pa d fogy BUILDING STANDARDS ADMINISTRATION, BSA: $1.00 $0.00
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a
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PAID
x rc:.p W
PAID DATE
.DESCRIPTION
•fir rt , :<'.�..',T..w_v_.,e '"{ P. :.s:tia a. 4' .3x,.
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D
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' Total Paid for STRONG
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0
$60.91
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PAID;DATE><:'.
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0
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DOOR/WINDOW, REPLACE, EA ADDITION,5'
101-0000-42600
0
$11.60
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Permit Details PERMIT NUMBER
City of La Quinta BRE520160119
Description: LINCOLN RESIDENCE / WINDOW CHANGE OUT
ADDITIONAL
Type: BUILDING, RESIDENTIAL Subtype: REMODEL
Status: APPROVED
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:
NO 12
Lot Sq Ft: 0 Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $6,000.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: (7) SEVEN WINDOW CHANGE OUT AND (1) ONE SLIDING GLASS DOOR CHANGE OUT LIKE FOR LIKE PER 2013 CALIFORNIA BUILDING
CODE.
CONTACTS
Printed: Tuesday, May 03, 2016 2:19:52 PM 1 of 2 ;I
SYS7Eti1S
ADDITIONAL
CHRONOLOGY
CONDITIONS
CONTACTS
"NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE FAX EMAIL
APPLICANT
ROBERT LINCOLN
53405 AVE MADERO
LA QUINTA
CA
92253
(760)564-2801
CONTRACTOR
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
Printed: Tuesday, May 03, 2016 2:19:52 PM 1 of 2 ;I
SYS7Eti1S
INSPECTIONS
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE .
Printed: Tuesday, May 03, 2016 2:19:52 PM 2 of 2 c
sysrrnas
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
.
BY
SMI - RESIDENTIAL
101-0000-20308
0
$0.78
$0.00
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.78 $0.00
DOOR/WINDOW,
101-0000-42400
0
$60.91
$0.00
REPLACE FIRST 7.
DOOR/WINDOW,
REPLACE, EA ADDITION
101-0000-42400
0
$10.15
$0.00
5
DOOR/WINDOW,
REPLACE, EA ADDITION
101-0000-42600
0•
$11.60
$0.00
5 PC
DOOR/WINDOW,
101-0000-42600
0
$110.22
$0.00
REPLACE, FIRST 7 PC
Total Paid for WINDOW/SLIDING GLASS
$192.88 $0.00
DOOR/FENESTRATION:
TOTALS:00
INSPECTIONS
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE .
Printed: Tuesday, May 03, 2016 2:19:52 PM 2 of 2 c
sysrrnas
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CF1 R -ALT -01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 4)
Project Name: Z-0 �0 Date Prepared:
A. GENERAL INFORMATION
01
,
01
Project Name:.GQ 1-5
02
Date Prepared:
03
Project Location: <9 91
04
Building Front,d�ientation (deg or cardinal):
05
CA City:
06
Number of Altere&'D elling Units: r 1\
07
Zip Code: 508
�
s
Cno
Cavity Insulation
R -value, R -value
Fuel Type:
09
Climate Zone:
10
T,otal,Conditioned Floor i7r0a (OZ):)
11
Building Type b �y2
12
SIabArea'
,(ft2) r&
13
Project Scope:
i ('�� �,1t
It a` \`l NA
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)/ (C -A
01
02
03
04
05
06 1 08;�[09
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
�? Aroposed t10
Required
Comments
�
s
Cno
Cavity Insulation
R -value, R -value
;; Appendix.IA4
Reference
U -Factor
Table 7Cell
NOTES`
• Roof area covered bey building i�muntegrated photoll.taWpanels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied,coatingsst comply witfi� nstallation criteria from section 110.8(i)4.
C. ROOF REPLACEMENT (Prescriptive Alteration, Se i:on*,,' S0.2(b)1H)
14-
01
02
03
04 ,
05\
06
tor `67 08 09 10 11 12 13
Method of
Compliance
Roof
Pitch
Exception
N
CRRC Product ID
� I(k Number�.);`foduct
0
Type ,
R -value V—"�+
Deck-,
<f 'ns_Jatlgn
Proposed Minimum Required
�nitial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
NOTES`
• Roof area covered bey building i�muntegrated photoll.taWpanels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied,coatingsst comply witfi� nstallation criteria from section 110.8(i)4.
E,
DO \
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
STATE OF CALIFORNIA'
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E .
Prescriptive Residential Alterations (Page 2 of 4)
Project Name: iji Date Prepared:
D. FENESTRATION/G.LAZING AREAS ALLOWED.(Section 150.2(b)1)
01 02
04
03
Alteration Type Orientation
'44
Maximum Allowed ftCoAmments
05
06
07
,,
a �
. ;
E. FENESTRATION/GLAZING PROPOSED AREAS AND EFFICIENCIES (Section 1SO.2(b)l AAA
Ol
02
03
04
05
06
07
08^V: VV:
2.09
1d' ..,
11
12
13
14
15
d
Combined
Orientation
Area
Area `
N'd
Maximum
"
Exterior
SHGC
Tag/
Fenestration
Frame
Dynamic
N, S, W, E, or
Removed
Added
Added
Allowe
Shading
from
ID
Type
Type
Glazing
Roof
ft2
ft2
Area ft2
�`fa for
U -factor
Source
SHGC
Source
Device
CFIR-ENV-03
WU
a
Net Added Wes f ,I nestration�Ar a
b
qtr-� �,• 4� *�
Existing +Added West facing Fenes4tratio'o Q,rea
c
Maximum Allowed Nest facingwFene *P tion ation Area`
u 9'
d
Is West -facing Fenestration Area .< Maximum Allowed West-faclrtig Fenestrations
�r C A �
e
Net Added Fenestr`at'ion A ea (all orientations•)
aI �_.
f
''Existing + AddedaF,e�estration Area (all orientations)
g
Maximum<Allo" 81Fenestration Area (all o�lentations)
��a�
h
Is Existing +Added=Fenestration Area <Maximum Allowed Fenestration Area (all
orientations)
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CF1 R -ALT -01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 2 of 4)
Project Name: ,LSA,., 4 741 Date Prepared:
D. FENESTRATION/GLAZING AREAS ALLOWED .(Section 150.2(b)1) ;
04 AftLA,V
01 02 03 'k
Alteration Type Orientation Maximum Allowed ft2 Co me ts4�
0,a
''►
E. FENESTRATION/GLAZING PROPOSED AREAS AND EFFICIENCIES (Section 150.2(b)1)
AV.
01
02
03
04
05
06
07
08
a 09
10" V10
11
12
13
14
15
Combined
Orientation
Area
Area
Net,
Maxiimufn
Exterior
SHGC
Tag/
.Fenestration
Frame
Dynamic
N, S, W, E, or
Removed
AddedAdded
Allowed
Shading
from
ID
Type
Type
Glazing
Roof
ft2
ft2
Area ft2
U factor
LI -factor
Source
SHGC
Source
Device
CF1R-ENV-03
'�'
CAl
*y+�
W N dwj
Vi
a
iNl ° Net Added West frac '9 nestration Arse
i°'
,
b
Existing + Add acing f c ng Fenestration'kr ea
c
Maximum SII end West-facinng Feen st agy ion Area..
d
Is West -facing Fenestration Area < Maximum Allowed West -fang Fenestration,
F
Area,.
e
Net Added Feneestratio'n Area (all oche Lati s•)
f
ting+Addded-Cr e'stration Area (all ou''entations)
�EwzisF
g
' MaximumsAIllow�ea+Aestration Area (all orientations)
x
.
h
`xy `R..'s`.
Is Existing+Ad1`ded4-Fenestration Area <�'Maximum Allowed Fenestration Area (all
orientations)
Registration Number:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time:
HERS Provider:
June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CF1R-AL.T-01-E (Revised 06/14)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E'
Prescriptive Residential Alterations
(Page 2 of 4)
Project Name: t Date Prepared:
D. FENESTRATION/GLAZING AREAS ALLOWED 150.2(b)1)
.(Section
01 02
03
04 V
Alteration Type Orientation
Maximum Allowed ft2
06
07
08
'69
16,
-ffl 11
12
13
14
15
Vk*W.1.
E. FENESTRATION/GLAZING PROPOSED AREAS AND EFFICIENCIES (Section 150.2(b)1) -V
v1.
.01
02
03
04
05
06
07
08
'69
16,
-ffl 11
12
13
14
15
ut
Combined
•
Orientation
Area
Area
maximuThN,
Exterior
SHGC
Tag/
Fenestration
Frame
Dynamic
N, S, W, E, or
Reffioved
Added
?Added
Added
A�J!oM
Shading
from
ID
Type
Type
Glazing
Roof
ft2
ftJ
ft2
t� S, r
LI -factor
source
SHGC
Source
Device
CF1R -ENV-03
t7l
V,
14
a
"Fle'
Net Added West�fa'Uhzg nestration Ar$
4
b
Existipg� + Adde ng Fen ea
Utratsi
c
Maximum AIl 'icl%est-facing.l`!n#j1lon Area
g
V W
.d
Is West-fa.cing Fenestration Area < Maxi' urrr`Allowecl WestlIJKgTenestratiqrk
�4v,%
e
Aet Added F%qstAtlSh'rrea (all o a i
%,
f
't.EZCfting + Ad &F e Vqration Area (�il�OKta ions)
4;
9
Maximum Allo 1-F26estration Area (all 6lienfations)
h
Is Existing +1'd&T-I`-enestration Area ?maximum Allowed' Fenestration Area (all
orientations)
"; f4
Registration Number: Registration Date/Tlm6: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF19ALT-01-E
Prescriptive Residential Alterations (Paee 4 of 4)
Project Name: I Date Prepared:
EW
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT '—V 4
1. 1 certify that this Certificate of Compliance documentation is accurate and complete. 0. (t '%) "`
Documentation A Name:
Documentation Author Signature:
/pj'w
Company: �
Signature Date: ��5..:�'• ��
x
Address: P /1 -
CEA/ HERS Certification Idetijkation {if applicablel:
City/State/Zip:
Phone: -
'1
RESPONSIBLE PERSON'S DECLARATION STATEMENT
1 certify the following under penalty of perjury, under the laws of the State of California:
1. The information this Certificate Compliance is true
provided on of and correct.
ty.for
2. 1 am eligible under Division 3 of the Business and Professions Code to accept respons'b(,il the building&�e�lii mor system design identified on this Certificate of Compliance (responsible
designer).
3. That the energy features and performance specifications, materials, components, a°Ad manufacture device for the building design or system design identified on this Certificate of
Fi r•O' t? i4 -
Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of'Regulations.
are wittie
4. The building design features or system design features identified on this Certificate of Compliance consistent information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to tk eenoicement agerjcy,forn pproval with thiis�building permit application.
-1-101
5. 1 will ensure that a registered copy of this Certificate of Compli nce;shall be made av�llable with the building pgrmlt(s) issued for the building, and made available to the enforcement agency
for all applicable inspections. I understand that a registered; cop :of this Certificateof Compliance is,requlred'to be included with the documentation the builder provides to the building
owner at occupancy. v.,
Responsible D 'gner Name:
Re'spoisible DesignerSi ur
% /� �V - �1 i1C
24
Company:,
Date Signed:
�y
epw"
.31"-z'Address:
License:
City/State/Zip: �C
Phone: -
'V
xx
For assistance or -questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
m
4
N
3
� 3
z`
h
u
Bin #
City of La. Quinta
Building a Safety Division
Calle Tampico
I� • La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #78-495
nn -� ,� �� ,
I� 01./"
Project Address:
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone: one:
Address:
............
Project Description:
City, ST, Zip:
f� � e �Y�o�u li✓I
Telephone:
P o e.
til
� A �s
State Lie. # :
City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
Construction Occupancy:
Type: u anc Y:
P
State to Lic. #
Project tYPa (circle one): New
Add'n Alter Repair Demo
Name of Contact Person:Sq.
Ft.:
#Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: o 00
APPLICANT: DO NOT WRITE BELOW THIS LINE.
#
Submittal
Req'd
Recd
T TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item .
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance,
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant I)eed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
Jrd Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
04/29/2016 11:10
3
DECOR KITCHEN
OME DEPOT FAX CO
The Home Dpot -
79-900 Hwy 1.11
La Quinta5 Ca. 92253
Starel 760-347-8722
Fax # 760-775-2693
PAGE 01/07
T
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9
STORE # 6630 CITYOFLAQUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
.. FAX tw.'-,Co,.Na--)qie:Yrom::
Attention:
Date:
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04/29/2016 11:10 3 DECOR KITCHEN PAGE 02/07
APR -29-2016 10:23 From:5037694071
JELD-WEN WINDOWS & DOORS
2760 PROGRESS STREET
VISTA, CA 920Bl-6.449
PHONE: 75o-507-42011
FAX: 760-598-2510
SOLO TO 039337
THE HOME DEPOT (CORPORATE USE ON
PO BOX 105.524
ATLANTA, GA 30348-5524
Page: l-7
INVOICE INS'# 7040879391
ORDER SW 889854
INV DATE 12/23/201,5
PAGE 1
TERRITORY NA
SOURCE EDI
SHIP TO: 038604
THE HOME DEPOT #6630
79900 HIGHWAY Ill
LA QUINTA , CA 92253
Lot No: LINCOLN
SHTF DATE V YOUR PO 7 SHIP Vz� P/C TERMS
12/23/2015 30540799 ' Company Trk
LINE ITEM DESCRIPTION SHIP QTY LSTPRICE % DIS NET PRICE EX'T'END NET
1 FB8754 1.00
SKU:407644
Builders Vinyl Sliding Window , US National -HAMA PG20,
DP+20/-20, Nail. Fin (1 1/41• setbacart) , White Ext/White Int
XO (LH) Fits Rough Opening 54 114 X 35 1/4 , Matual Frame
Size 33 3/4 -in X 34 3/4 -in ) Vent Width 17 1/8 , EStar
South -Central , Low -E 366 Clear , Argon 0 - 3500 feet ,
Standard Screen with Fiberglass Mesh, Wen-Lock(s), 1 Lack,.
White Int Kardwara, *Doe® Not Moot Egress*, Groove Filler
Ext, GNFRC - U-fact:0.29 SHGC:.23 VT:.54 CR:55 ER:16 CPD
#:JEL-A-176-02502-000011
NOTE: TAG/LOC:K...
PCs 1.00
***** ******************* ,ADDITION,AX, COKdRNTS
Customer PO date: 12/16/2015
Customer Ship Date: 12/30/2015; SPECIAL ORDER; PROD# 421238
Total Volume: 2 Total Weight: 29 OPENINGS': 1
i
04/29/2016 11:10 , 3 DECOR KITCHEN
APR -29-2016 10:23 From:5037694071
PAGE 03/07
Pase:2/7
JELD-WEN WINDOWS & DOORS INVOICE INV# 7040879392
2760 PROGRESS STREET ORDER SW 889854
VISTA, CA 92081-8449 ` INV DATE 12%23/2015
PHONE: 760-597-4201 PAGE 2
FAX: 760-598.2540 TERRITORY NA
SOURCE EDI
SOLO TO 039337 SHIP TO: 038604
THE HOME DEPOT (CORPORATE USE ON THE HOME DEPOT #6630
PU BOX 105524 .79900 HIGHWAY 111
ATLANTA, GA 30348-5524 LA QUINTA, , CA 92253
Lot No: LINCOLN
SHIP DATE V YOUR PO 7 SMP VIA P/C TERMS
12/23/2015 30540799 Company Trk ppd 2% 10, Net 11
LINE ITEM DESCRIPTION SHIP QTY LSTPRICE t DSS NET PRICE EXTEND NES'
7700: 1
04/29/2016 11:10 3 DECOR KITCHEN PAGE 04/07
AFP. -29-2016 10:23 From:5037694071
mLD-WEN WINDOWS & DOORS
2760 PROGRESS STREET
VISTA, CA 92081-8449
PHONE: ' 760-597-4201
FAX: 760-596-2540
SOLD TO 039337
THE HCS DEPOT (CORPORATE USE ON
PO BOX 105524
ATLANTA, GA 30340--5524
Pase; 3,7
INVOICE INV# 7040671978
ORDER SW 861164
INV BATE 11/19/2015
PAGE I
TERRITORY NA
SOURCE EDI
SHIP TO: 038604
THE HOME DEPOT #6630
79900 HIGHWAY 111
LA QUINTA , CA 92253
Lot No: LINCOLN
SKIP DATE V YOUR PO 7 SHIP VIA P/C _ .TERMS
11/19/2015 30539265 Company Trk
LINE ITEM DESCRIPX'ION SHIP (QTY LSTPRTCE % DIS NET YRXCE EXTEND NET
------------------------ ---- ---------- ----•-- --------- M --,--------
I 9X05751.00
SKU:407644
Build®x's Vinyl Sliding Window ,'US National-AAMA PG20,
DP+20/-20, Nail Fin (1 1/4" setback), White Ext/White lat ,
XO (LH) Fits Rough Opening 46 3/4 X 47 1/4 (Actual Frame
Size 46 1/4 -in X 46 3/4 -in ) Vent Width = 23 3/8 , EStar
South -Central , Low -E 366 Clear', Argon 0 - 3500 feet ,
standard Screen with Fiberglass Mesh, Wen-Lock(s), I Look,
White Int Hardware, *Does Not Meet Egress*, (NFRC
U-£act:0.29 SHGC:.23 VT:.54 CR:55 ER:16,CPD
#:JEL-A-176-02502-00001)
NOTE: TAG/LOC:KITCHEN
3 EX0576 1.00
SKU:407644
Builders Vinyl Sliding Window , 3 Parcel, US National-AAMA
PG20, DP+20/-20, Nail Fin (1-1/411 setback), White Ext/White
Int , XOX Fits Rough Opening 71 X 47 1/4 , (Actual Frames
S5.zg 70 1/2 -in X 46 3/4 -in ) (1/4 Vent) Vett Width = 17
3/4 , EStar South -Central , Low -E 366 Clear , Argon 0 - 3500
feet , Standard Screen with Fiberglass Mesh, Wen -Loch (4%) , 2
Locks, White Int Hardware, *Dopa Not Meet Egress*, [NFRC -
U-fact:0.29 SHGC:.23 VT:.54 CR:55 ER:16 CPD
#:JEL-A-176-02502-000011
NOTE: TAO/LOC :MASTE'RSEDP=M
Continued On Naxt 'Page
04/29/2016 11:10 3 DECOR KITCHEN PAGE 05107
APR -29-8016 10:23 From:5037694071
irLD-WEN WINDOWS 6 DOORS
2760 PROGRESS S'TRE'ET
VIsTPA, CA 92081-8449
PH6NE:•-760-597-4201
FAX: 760-598-2540
Pa9e:417
INMICE INV# 7040671978
ORDER SW 881164
INV DATE 11/19/2015
PAGE 2
TEftRI TORY NA
SOURCE EAI
SOLD TO 039337 SHIP TO: 038604 .
THE HOME DEPOT (CORPORATE USE ON T E HOME DEPOTHWAY1#6630
PO BOX 105524
ATLANTA, GA 30348-5524 LA OUIFT'N , CA 92253
Lot No: LINCOLN
SHIP DATE V YOUR PO 7 SHIP VIA P/C TERMS
11/19/2015 30539265 ~-------- -Company Trk ppd
LINE ITEM DESCRIPTION OTY-LSTFRICE$DIS NET PRICE_ EXTEND NET
- --_ -- - __-
5 EX0578 1.00
SKU:407644
Huildexs vinyl -Sliding 'Window', 3 Panel, Us National-AAMA
PG20, DP+20/=20, Nail Firs (1 1/4" setback), White Ext/White
Int , XOX Fits Rough Opening 71 X 47 , (Actual Frame Size 70
1/2 -9.n'X 46 1/2 -in ) (1/4 Vent) Vent Width = 27 3/4 ,
EStar South -Central , Low -E S66 Clear , Argon 0 - 3500 feet
Standard Screen with Fiberglass Mesh, Wen-Lack(s), 2
Locks, White Int Hardware, *Does Not Meet Egresa*, [NFRC -
U-fact:0.29.SACC:_23 VT:.54 CR:55 ER:16 CPD
#;LTEL-A-176-02502-000011
NOTE: TAC/LOC:2NOSEDROM
7 zXO580 1.00
SKU:407644
Builders Vinyl Sliding Window US National -AAM& PG20,
DP+20/-20, Nail Fin (1 1/411 setback), White Ext/White Int ,
VA (RH) Fits Rough Opening 46 1/2 X 47 1/2 , (Actual Frame
Size 46 -in X 47 -in ) VQnt Width = 23 1/4 , EStar
South -Central ; Low -E 366 Clear , Argon 0 - 3500 feet ,
Standard Screen with Fi.berglaL Mesh, Wen-Lock(s), 1 Lock,,
White,int Hardware, *Does Not Meet Egress*,-
U-fact:0.29.SHGC..23 VV -54. CR:55 ER:16 CPD
#:JEL-A-176-02502-000011
NOTE: T'AC/LOC:ISTBEDROOM
PCs 4.00
ADD.L"fTONAL COMt�IENTS ****�*************s►****t*
Custom®r PO date: 11/06/2015
Customer Snip Date: 17./20/207.5: SPECIAL ORDER; PROD# 416853
04/29/2016 11:10. 3, DECOR KITCHEN PAGE 06/07
AFF -29-8016i0:24 From:5037694071 Pa9e:5'7
JELD-WEN WINDOWS & DOORS' INVOICE INV# 7040871978
2760 PROGRESS STREET ORDER Sw 881164
VISTA, CA 92081-8449 INV DATE 11/19/2015
PAGE 3
PHONE: 760597-4201
]FAX: 760-598-2540 TERRITORY NA
SOURCE EDT
SOLD TO 039337 t SHIP TO: 038604
THE 140ME DEPOT '(COPXORATE USE ON THE HOME DEPOT #6630
PO BOX 105524 79900 HIGHWAY 111
ATLANTA, GA 30348-5524 LSA. QUINTA , C.A. 92253
Lot No: LINCOLN
S14IP DATE V YOUR PO 7 SHIP VIA P/C TERMS
^
11/19/2015 30539265Company Trk -
LINE ITEM DESCRIPTION SHIP QTY LSTPRICE DIS NET PRICE EXTEND NET
Total Volume: 20 Total Weight: 2.37 OPENINGS: 4
7700: 4
04/29/2016 11:10
APR -29-9016 10:241.
3
From:5037694071
JELD-WEN WINDOWS & DOORS
2760 PROGRESS STREET
VISTA, CA 92081-•8449
]?down: 760-597-4201
FAX; 760-595-2540
SOLD TO 039937
THE HOME DEPOT (CORPORATE USE ON
PO BOX 105521
ATLANTA, GA 30349-5524
DECOR KITCHEN
PAGE 07/07
Paee:6�?
INVOICE INV# 7040884461
ORDER SW 895068
INV DATE 01/21/2016
P,A.CE 1
TERRITORY NA
SOURCE EDI
SHIP TO: 038604
TH& HOME DEPOT #5630
79900 HIGHWAY 1I1
LA QUINTA , CA 92253
Lot No! LINCOLN
SlixP DATE v YOUR PO 7 SHIP VIA P/C TERMS
---------- ----,----------------
01/21/2016 305d1441 Company Trk
LINE ITEM DESCRIPTION . SHIP QTY LSTPRICE $ DIS NET PRICE EXTEND NET
1 FE4440 1.00
SKU;407644
Builders Vinyl Sliding Window , US National^AAMA PG20,
DP+20/-20, Nail Fin (1 1/4" setback), White Ext/WhiteInt ,
XO (LFI) Fits Rough Opening 47 X 13 (Actual Frame Size 46
1/2 -in X 12 1/2 -in ) vent Width = 23 1/2 , EStaar 0 - 3500
South^Central , Law -E 366 obscure Tempered , Arg
on Feet 1/8 in - 1/8 out , Standard Scr*en with Fiberglass
Mesh, Cam xoek(s), I Lock, White Int Hardware, *Daos Not
Meet Egress*, Groove Filler Ext, [NFRC - U-fact:0.29
SHGC:.23 VT:.54 C1?:55 ER:16 CFU #:JEL-A-176-•02502-000031
NOTE: TAG/ t,OC : BATH
3 FE4441 1.00 - -- --
SFU:407644
Builders Vinyl Sliding Window , US National-AAMA PG20,
DP+20/-20, Nail Fin (1 1/4" setback,) , White Ext/Wblte Int ,
XO (Iji) Fits Pough Opening 47 3/8 X 13 1/4 , (Actual. Frame
Size 46 7/8 -in X 12 3/4 -1n ) Vent- Width = 23 11/16 EStar
South-Cantral , Low—E 366 Obscure Tempered Argon 0 3500
foot 1/8 in - 1./8 out , Standard Screen with Fiberglass
Mesh, Cam Lock(s), 1. Lock, White Irit Hardware, *Does Not
Meet Egress*, Groove Fi.I1Qr Ext, [NFRC - U-fact:0,29
SHCC:.23 VT:.54 CR:55 ER:16 CPA #:.7EL-A-176-02502-000031
NOTE: TAG/LOC:BATH
QCs 2.00
ADDITIONAL CO "NTS
Customer PO date: 01/13/2016
Customer Ship Datta: 01/27/2016; SPECIAL ORDER; PROJ# 423744
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4 h
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
Considering Becoming an Owner -Builder?
Important information you need to know BEFORE pulling your permit!
The term "Owner -Builder" can mean three different things:
"Owner as Worker", "Owner as Contractor" or "Owner as Employer"
Understand each has. Benefits or Risk, and it is possible to combine them!
Hiring a California Licensed Contractor' means you do not personally perform any of the constructionwork, the permit is not taken
out in your name, you are not personally responsible for the construction and you are not an Owner -Builder. Instead, you become a
"Customer" and California law provides you the benefit of protection from poor workmanship, failure to finish the job and financial
risk due to worker injury.
Benefit/Risk: Highest Benefits and the Least amount of Risk
Owner -as -Worker is a type of Owner -Builder where you personally perform the construction, work, the permit is taken out in your
name and you are personally responsible for the construction management, knowledge, workmanship, and completion of the job. You
benefit by not paying others to perform this work for you and your risk depends on your own ability to complete the job successfully.
Benefit/Risk: Possible Benefit with Low Financial Risk
Owner=as-Contractor is a type of Owner -Builder where you personally act as your own General Contractor, the permit is taken out in
your name and you hire California licensed sub -contractors to perform portions of the construction work. WARNING: The benefit of
protection provided by law when you hire only California licensed sub -contractors can turn to serious financial risk if you hire
unlicensed contractors'to perform any of the work.
Benefit/Risk: Possible Benefit and Significant Financial Risk
Owner -as -Employer is a type of.Owner-'Builder where you pay any unlicensed individual to perform any construction work valued at
more than $500.00, the permit is taken .out in your name and you are. personally responsible for their employment requirements,
supervision, performance, safety and welfare while on your property. WARNING: Cost savings benefit can turn'to.serious financial
risk if you fail to deduct payroll taxes or provide workers compensation insurance for -'each worker.
Beriefrt/Risk: Possible Benefit. with Significant Financial Risk
(Health and Safety Code Section 19827) The California Legislature declares an "urgent and statewide
public interest in assuring" that contractors comply. with Contractors' License Law, Business and
Professions Code and Workers' Compensation Insurance requirements to ensure property owners are
informed about, and protected from the following when improving their property as Owner -Builders:
Fraudulent representations - Liability for worker's injuries - Liability for material and labor costs unpaid by
contractors • Licensing requirements - Employers tax liabilities
Over 20,000 consumer complaints are filed each year. Many complaints relate to owner/builder projects
and include workmanship and workers' compensation issues Homeowners suffer financial harm due to
defective workmanship and injured employees.
Following are alarming examples of what has occurred with Owner -Builder permits:
Example 1: Homeowner received insurance money to rebuild burned -down home.
• Owner/Builder permit pulled to rebuild structure.
• Unlicensed contractor built substandard structure — must be torn down and replaced.
• Estimated financial injury is $225,000.
■ Additional financial injury - IRS threatened to tax insurance payout if house not completed by the end of
the year.
Example 2: Brother-in-law had active license but fled an exemption from Workers Comp.
■ Owner -Builder hires brother-in-law to install a new roof.
■
.Employee falls and sustains multiple spinal and extremity fractures as well as a head injury and
remains in a coma to this day.
■ The Owner -Builder, who has sold the home, is now a defendant in a lawsuit for reimbursement for
benefits paid to the injured worker.
Example 3: Employee of contractor without Workers Comp is hired by Owner -Builder to install septic
system and suffers injury that results in permanent disability.
■ The Owner -Builder did not have a homeowner's insurance policy on the house against which to submit
a claim.
• The Owner -Builder is now a defendant in a lawsuit for reimbursement for benefits paid to the injured
worker.
Did you know — unlicensed persons frequently have the property owner obtain an—Owner-Builder" building
permit which erroneously implies that the property owner is providing his or her own labor and material
personally?
Did you know — your homeowner's insurance may not provide coverage for injuries sustained on your
property by an unlicensed contractor and his/her employees?
Did you know — if you are considered an "employer" under state and federal law, you must register with
the state and federal government, withhold payroll taxes, provide workers compensation and disability
insurance and contribute to unemployment compensation for each "employee"?
Did you know — that if you fail to abide by these laws you may be subjected to serious financial risk?
OWNERS BEWARE AND CONSIDER THE RISK BEFORE ACCEPTING FULL RESPONSIBILITY FOR
YOUR CONSTRUCTION PERMIT
P.O. BOX 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
PROPERTY OWNER'S PACKAGE
(760)777-7012
FAX (760) 777-7011
Disclosures & Forms for Owner -Builders Applying for Construction Permits
IMPORTANT! NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a building permit has been submitted in your name lis ' g yourself as the builder of the.property
improvements specified at 5;: % n - �, �, �-� p, y S � �_
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your
responsibilities.and possible risk you may incur by having this permit issued in your name as the
Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision,
signed, and returned this form to us at our official address indicated. An. agent of the owner cannot_ execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder"
building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as
an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those
injuries.,I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on my property.
/i–` 2. I understand building permits are not required to be signed by property owners unless they are responsible for the
construction and.are not hiring a licensed Contractor to assume this responsibility.
4-3. I understand as an `;Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
o�wn�
U " 4. I understand Contractors are regtiired by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
/ '�5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer"
Junde�r state and federal law.
}
r 6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal
government, withhold payroll taxes, provide workers'- compensation disability insurance, and contribute to unemployment
compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial
risk/ .
f 7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
fi
&-8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any
financial or personal injuries sustained by any subsequent owners) that result from any latent construction defects in the
workmanship or materials.
XI -9. I understand I may obtain more information regarding my, obligations as an "employer" from the Internal Revenue
Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-
800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
�10. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
party, legally: and financially responsible for proposed construction activity at the following address:
11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will' abide by all
applicable laws and requirements that govern Owner -Builders as.well as employers.
Pave
12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also
important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working
on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and. wish to hire Contractors,
you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or
other verification acceptable to the agency is required to be presented when the permit is issued to verify the property
owner's signature.
Signature of property owner %%-- Date: S4764 Air,-)
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the following person(s) to act as my agent(s) to apply for, sign, and file. the documents necessary to obtain an Owner -Builder'
Permit for my project.
Scope of Construction Project (or. Description of Work):
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
in and certify its accuracy. Note: A copy of the. owner's driver's license, form notarization, or other verification
acceptable to the agency is required to be presented when the permit is issued to verify the property owners signature.
Property Owner's Signature: Date: