0108-238 (RC)' yLICENSED CONTRACTOR 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
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. D�carte!
bate Signature Signature of Contractor
.. ..._.w.; .
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury 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).
( ) I am exempt under Section B&P.C. for this reason
Date Signature of Owner
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 & policy no. are:
Carrier Policy No.
(This section need not be completed if the permit valuation is for $100.00 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 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: `• 1 7 - psl-Applicant
Warning: Failure to secure.,Woirkers' Cgmpensatio'n"coverage is unlawful and
shall subject an employ'er-to•crirffiroar 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 result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of,La Quinta, its officers, 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 cf 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 State laws relating to the building.
construction, and hereby authorize representatives of this City to enter upon.
the above-mentioned property for inspection purposes. f
Si nature •(Owner/A ent)-" '"""""""`°"""�
Date'.;,�
BUILDING PERMIT PERMIT"
DATE •. VALUATION LOT �: TRACT L
ypI �,ry. f ' t ♦
`cb1+aY.R���9pI.s.Q.'R., +R JaY.'sEP.�eAt� .A
JOB SITE =
APN
ADDRESS ft -7 / MW p i g
t
OWNER
CONTRACTOR/DESIGNER/ENGINEER
TOT.� golim
OAANCO D1R✓"VELOV:t~&M dba (.'1RANCO CO
r4kLM MUNIGS CA 92262
T?.WWF1 CA 92614
(949)660.1199 C)MR,
USE OF PERMIT
p q
h.���.104 L`.:'�..ofA.1.fFXWl!2..x'.1: L.
V.A.1A3.f! d'10N is
1
•'.�'911MATE :9 i;OU OF 0.%%MMLTM"�10N
PLOIN CHYX31h. FEE, 10 1 _1000-4.1.1 10-3 18
�ia1�"ik2d3'C;�,iC.1�€r'• 101-000.418-000
>J�tdTu'F&d1Cc+1a.� FRii�'j "3iCbl2 "D#5.®0
t,1: XC"0`,WC',AI. FI'.Ii
3441 (?'O4 2.1 -(!OG $414.50:
ry �i /�.,I �yy �+yt�pp .1 AIIr 2. 7p y2 gn��,Jp'/c�(�,•;.•;
i7G• 1-1,1011f J, 1..ID 3;ik ry NI"'�tNT)PYL 1[.V 6.wA.l
CITY O1: L6f'
$04100
FINANCIE i)Er;,
AyfAl,119, iiHE r.1 T',S DUE
RECEIPT
DATE
BY
DATE FIN ALED
INSPECTOR
EM.
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
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
Drywall'- Int. Lath
Final ( _
Final
POOLS -SPAS
BLOCKWALL APPROVALS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
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
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
~ MOUC VA
CSG
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Lary Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
f7
Final
Utility Notice (Perm) ,
4W T4ht 4 4 "
P.O. BOX 1504 APPLICATION ONLY
Building
Address ! k7o 2 � 1 LA QUINTA CALIFORNIA 92253
Owner
BUILDING: TYPE CONST.27 N OCC. GRP. B ' 2
Mailin
Address
A.P. Number
Legal Description ;?pQ-cF_ti— 15 ?QQ_C EA_ MkT-1 S7704 -
Project Description nOWt I IVOI12(, Z ZA
2 AU2�a►� 1EIJ M PCL �/1
City
Zip
Tel.
Contractor
Address
9-33* ro rP 1' Av s
City Jpp
eo ao tit o.,Qa -- 47Ar,
qZ6 7 -
Tel..
State
State Lic.
City
& Classif.
Lic. #
Sq. Ft. No. No. Dw.
Size 2r10o Stories / Units
Arch., Engr.,
Designer AKVI V JprlNlSC ►Aj hs sa c L—T- O
New ( Add ❑ Alter ❑ Repair ❑ Demolition ❑
AddressTel.
S?v 24. N, -24-rk- AVS u ;04
60Z 9175' 6199Z
CityZip
ta��xw k2
g�o2I
State
Luc.# Cy/oSl�
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm 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.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: 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) of
Division 3 of 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). -
I-: 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, Buisness and
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,
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.)
Estimated Valuation
Irmo
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal. a E�Q
Const. 3
Mech. 3/D�
Electrical OQ
Plumbing r
I 1 1, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
1-1 1 am exempt under Sec. B. & P.C. for this reason
S.M.I. ..
Grading
,
Driveway Enc.
Date Owner
Infrastructure
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. 3800, Labor Code.)
Policy No. Company
F3 Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
(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 thg work for which this permit is issued, 1 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: If, after making this Certificate of 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
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.)
Side Setback from Property Line
Lender's Name
FINAL DATE INSPECTOR
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.
Issued by: Date Permit
Validated by:
Signature of applicant -Date-
ateMailing Address
Mailing
Validation:
City, State, Zip
FINANCE
A
Aug 03 01 01:29p insul light
+^ a�6/21/2001 10:39 7149399456
•
Fire Protection Products
KIRWAN
909789847E
PAGE .02
i
IgEMASTER ('TOTALLY ENCApSULATt IDL;CT
3M F INsATA.LLER PER
WRAP
TO BE INSTALLED BY QUALIFIED p1YS.. i- TARS
MANUFACTURERS INSTALLATION fER DUCT WRAP iQ'j E
OF I-t!Z" THICK, 3M DIRE711
INSTALLED DIRECTLY TO THE DU Y�E � OUR
CLEARANCE TO COMBUSTIBLESASE, AIR AND CHFMjC r I.
Fm PROTECTION FOR BE!USED
EXHAUST DUCTS. 3M FIRENiASTE ENCLOSUREAS DUCT WRAP E
IN LIEU OF DRYWALL SHAFT REASE DUCTS!
UL.yyE'T COMMERCIAL GREASE
UL -W" AIR., CHEMICAL EXHAUST DUCTt
I
NOTE. REFS
RTO UNDERWRITERS FIRE "S'S ANE
DIRECTORY CURRENT EDIT
CT
FOR GREASE AND
DU
LISMGS•
$M Sp®citled Construction Products 9eParttnsnt
3M Center, Building 207.1 S-02
St. Paul, MN 55144.1000
F
p.1
ea -0400,411 a:
Pµc 2Z:
Rug 03 01 01:29p insul light
?
06/21/2001 10: 39 7149390455 KI94AN
Section 1
SYSTEM INFORMATION
Test Program
FireMaster Duct System
OREASEDUDI-Vil," . ROM. ULC- RDd s:!; .:�s+�.:::, ::.•
,::`'•;'• ;,::; :
Teat MOW
Perlormoeleuatuated 3111FIrdilm Ila Flteteastar
Dud Wee; Fn fntp
UL 1978
Undenwoun; teboseiories Duct wrap Film"
1/2 bow zero cies=00 (:layers) (1 lent)
to combustibles
R155W
ULC Protocol
Underwrttera tdboratones ar DW WW
C -AJ• p?, c-�-7D1s, ars-7atD,
C•AJ-70 3'3', C44-7050, C-Ab7053,
CV= 2 hour ft resistance (2 layers)
Al-L.t, V•7, d V-9, V-10, V•17
SBCCI
Ind; IQ hour aro dteararua
BOCA
Repo# 70
ICBG
to combustibles
NEPA
Compl* kvhh t P t 98, IM Edition
Calittunla Sale Fns M IMI
Oulde No. 440-F9
♦Ven+ Toe♦, City
fAEA #417.02-f�
ASTM E 119
OmeOa Point Labors I'M
Dart Wrap FWWrap
seceeaO08moidal KBchen
Duw III Exhaust Ewpment
2 how EnAullment To
(2 layers) P 1WO)
ASTM E 119
oruQe Polat LUorato0es
Duet Wrap FastWIP
2 hour Wall Panel Test
(2 Irlyerc)
111410
2 hour Floor Test
ASTM Ell
2 hour Flreatop Teat
Duct Wrap.
FasNft
UL 1479
LIndenertleratabor T1411,
F82000+
FE 2000+
CAI 7015, 7050, W0041
Silicone
Silicone
ASTM E84
OnderwFitars teboratodea
5 Flame
b name
Sudan Bum
5 smoke
9 Smoke
AIR DUCT -UL WA RWOk ULC -FM -3
ISO 6904.1985 LPC Laborato IN. l hoeI
Duct Wrap
FaaWrap
:layers)
11 layer)
iso 8944-1985 LPC utroratann. l hour
Deaf Wrap
FaslArrap
(1 tared
(t layerl
ASTM E814
Unsawriten laboralodes
odd Wrap,
Fasruarap,
UL 1479
1 boar CAi 7019, 7020. 7050,
F8 2000`
F8 20001,
7053, V7, V9, V17
Siteone
Silicone
ASTM E514
Underwriters Laborncrin
Duct Wrap.
Faltftmp,
UL 1479
2 hour CAI 7015, 7022 70
FB TODD♦
F820+
7053. V8, V10. V17
Sliloone
Isilicofte
ASPM E84
Undemftrs tabora0aass
6 Rams
6 Ras
I
L
sartaw Bum
6 Smoke
S &maw
Fir®Mester Duct System
3M"FireMaster® Duct wrap is a foil -encapsulated,
non-combustibla, Inorganic, flexible fireprooting wrap•
It is used In combination with 3M Fire Saner 2000+
Silicone Sealant to fire mite duct assemblies such as:
commercial kitchen exhaust grease ducts, air ventila-
tion duds, chemical exhaust ducis, stair pressurization
ducts, and trash and linen chutes. 3M FireMaster Duct
Wrap Is of uniform thickness and denslty, thus provid-
ing speditd fire ratings based on the number of
wraps applied. 3M FireMaster Duct Wrap is a proven
performance alternative to 2 -hour tire -resistance rated
9097898476 p.2
PAGE 03
I
r
i
�I
shaft enclosures. With its excelle6i ins sating capa�,ili-
ty, it protects combustible con5ttdcti on B at zero clear-
ance for commercial kitchen axha$ust grease ducts in
tight congested areas. 3M Fire Bhrrier.2000+ SWCOnO
Sealant is used In combination With 3M FireMaster
Duct Wrap to fitestop the duct when Itlperietrates fire
walls and C0IIIng3. ,
FireMaster Comm r'0141 I4ttenen
Grease and Air VentilitioO Duct
Fire Protections Systeths
• shaft alternative
• zero clearance to combustibloi pr*ction
• Lightweight. compact design saves pace
• Flexible system requires minllAum 1bor
• problem solver for tight, cc' 9A, -led I real
• Totally foil encapsulated system for Protectten
against material degradation
Listings i
�Y : �...::;•� :.; :.:r.• i:;i: �:
taleree e 61a tblmDer
Underwriters tabw tone3 Inc.
Grease 0M Ene Our% (n`ET)
86700
so Restates ve lsallon Duct Assemblies
(i1Nul
89700
Barts anb Glen (MV)
R155W
IhrouQM,- Pon n R-Iop Systems
{t6V
C -AJ• p?, c-�-7D1s, ars-7atD,
C•AJ-70 3'3', C44-7050, C-Ab7053,
Al-L.t, V•7, d V-9, V-10, V•17
SBCCI
Comp1l oRe A N0, 9424¢•
BOCA
Repo# 70
ICBG
Report 11.4975
NEPA
Compl* kvhh t P t 98, IM Edition
Calittunla Sale Fns M IMI
U5t-9 o. 2 1381:500
♦Ven+ Toe♦, City
fAEA #417.02-f�
North Caroline Mechantcd Code
Ss 308.4., 306.4.10, Volume III
h Irdonst 8lethaaical Cone
seceeaO08moidal KBchen
Duw III Exhaust Ewpment
Grew
$gcdani507 CO ererel Klttrton HoadB
Pulte 3 i August 1869
c
Aug 03 01 01:32p insul light
06/21/2001 10:39 7149390456
0
9097898476 p.7
KIRWAN PAGE 08
FIGURE 1
EIREMASTER® GREASE. DUCT SYSTEMj
1 OR 2 HOUR SHAFT ALTERNATIVE AND 30 MINUTE,
ZERO CLEARMCE TO COMBUSTIBLE CONSTRUCTION
Note:
5 30 to dlnaf ov
See Section 6.1 through 6.10 of installation 6 Min.'s" diameter h r rod
oulde for complete details.
!!I
I
Oonmuae ® aAMK
H�� MBAi117�&N i e
November 1998 Page 7
LEGEND
t Two Pimm stef MCI wrao
z Filamenttys
3 Bandtn
4 3° OVW
7 1%0
xt °x+�° @
Note:
5 30 to dlnaf ov
See Section 6.1 through 6.10 of installation 6 Min.'s" diameter h r rod
oulde for complete details.
!!I
I
Oonmuae ® aAMK
H�� MBAi117�&N i e
November 1998 Page 7
LEGEND
t Two Pimm stef MCI wrao
z Filamenttys
3 Bandtn
4 3° OVW
7 1%0
13
Rug 03 01 01:33P insul light
06/21/2001 10:39 7149390456
UL SYStOm NO'
Butt Joint Option
8L 228 d 10 Os.
9097898476 P.9
KIRWAN PAGE 10
Figure 3 I
FifsMastW Air Ventilation Duct System!
wrap Technique) I
(Overlap aP
1 Hour Fire Resistive Enclosure
3M FimMaster Duct Wrap
Note
So• Goths dt th wo 4.6 t t•t�oUaeect 00pme ter can+pW
2 Hour Fire Resistive Enclosure
3M FireMaster Duct Wrap I
i
i • r
Butt Joint optic+
Not=
Ike Inteor Dr MOMWOT Duct
Aq L:""Mee To 1A• Oudity Or to
R98BtitlOS
I
i August 1999
Di
Aug 03 01 01:32p insul light
06/21/2001 10:39 7149390456
Installs
® FIGURE 5
SUGGESTED INSTALLATION FOR
PREFA13RICATi1ED ACCESS DOOR
KIRWAN
9097898476
c
u
P.
PAGE 0?
I/formatll10
Di
'November 1998
Pace „
i
Rug
03 01 01:30p insul light 9097890476
p.3
•
0612lJ2001 10:39 7149399456 KIRWAN'
PAGE 04
I
System Comparison Chart
Commercial Kitchen Grease Darts :'
en9latbn Dtltb ::
*�-
3M Rrimaster Duct Wrap
3M FreMaster Duct Wrap
i..
Iur
2 Layers.................................................................1 or 2 Hours
t Layer ............... _...............................
2 Layers................._....................
..
.. Hours
...........2
3M FlreMaster FastWrap
3M Flremaster FaMrap
j
or 2 Hours
1 Layer ............................................. ...................1 or 2 Hours
1 Layer .._._....,....................
............. ......
_...1
I
Performance Comparison Chart
FireMaster vs Other Fire-Resistive Duct Materials
�qwW>.,�...,..:ri
;,31AF1nMute
''r
C,. �1 T:a.
: ;: �,.;:,.;. •,.;..�
I
_ J �
.:; Mineral
Own
Design use limit 2000°F (1093°C)
2000-F (1093°0)
212°F (100°0)
1800°F (962°C)
1200'F (649°C)
Melling point 2400°F+ (1318°C+)
24007+ (1316°C.)
NA
2700°F (1482°C) i
200fft (1093°C)
Flame spread 5
5
15
0
15
DR
Simko developed 5
5
0
0
0
3.67 (93,2 mrn)
I
value/brch 4.15 (105,4 mm)
4.15 (105.4 mm)
.90 (22,8 mm)
2.60 (71,1! mm)
Density (0) 6
9
48
14.5 i
B
Form supplied roN
roll
board
board
eati
Page 4
August 1999 i
Aug 03 01 01:30p insul light
05/21/2001 10:39 7149390456
Installation Instructions
3M FireMaster@ Duct Wrap for
(Commercial Kitchen Grease
and Air Ventilation Duct Systems
1.0 General
This application guide and specification data are
provided for the convenience of the specifier,
inspector and Installing contractor.
2.0 scope
This specificatlon guide oovers the appllcatlon of
3M FlreMaster Dud Wrap and Pre Barrier 2000+.
3.0 Materials and Equipment
3.1 The insulation material shag to manu=-
tuned by Thermal Ceramics and supplied by
3M. The materials shall include the following;
3.1.1 3M FireMaster Duct Wrap, 116'
(38,1 mm) thW 24" (80.9 cm) or
48" 021,9 cm) wide, 300' (762 cm)
atandard length (two layers).
48' (121,9 cm) wide blanket helps
to mtntmias waste.
Air Ducts Ory: For optional tum
joint/oollar wrap method, 3M
ReMaster Dud Wrap Collars,
1'A" (38,1 mm) thick, 8" 2003 cm)
wide x 300° (762 cm) to cover
external seams.
3.1.2 High performance fila rant tape,
minimum 3/4" (10,0 nun) wide, manu-
9097898476
kIRWA,4 PAGE 05
• i
p.4
factured by 3M Company, St. Paul,
Minnesota, tape nudnber 888 or Its
equivalent. AlWmin (oil tape is used
to seal cut tides a the blanket.
3.1.3 banding matlrial, °(12,7 mm) to
%- (19,0 mm) widi, minimten 0.015'
061 mm) thick, rbon steal and
banding ctip5i.
3.1.4 Hand banded tsnstiortinp and
crimping tool!!;.
3.1.5 10 Gauge, 4; (10 ' txn) to 5" (12,7
cm) long, Co I ted erect pins.
minimum 1?A (38, mrrt) x 1!4"
(38,1 mm) st$uare or TV (36,1 mm)
diameter muhd g nw9d steel
speed clips ¢r cu head pins;
capacitor d&harOe stud gun
(110/116) su> h a -A that manufac-
tured by AGM.
3.1.6 Grease duct acceis door hardware,
414"(11,4 cm) to (12.7 cm) long, A"
(6,35 mm) dibm® r galvanized steel
threaded rnd� wit 'A4 (8,35 rnm)
VwjN tuts an A" 35 mm) meta(
washers, 4" 10,2 ) long $4eel hr
tubing ro fit threaded rods,
3.1.7 3M FireMasSOr Dt�ct Wrap scrap
pieces, paclwd firmly around annular
space at floor and wall penetrations.
I
3.1.8 3M Fre Bar)ler 2 004. Caulk, 'A"
(6,35 mm)1. akithin annulus,
hush at top gurtaoes of floor and
surface of all. ( as CAJ7013.
CAJ7015, AJ7 0, CAJ7022,
W -L-7041, V7, V , V9 and V10).
I
4.0 Delivery and Storage
4.1 Materials should b6 del red in the origi-
nal, tightly Seated tontalners or unopened
packages and clearly !*sled with the
manufadureryne((rrttee, oduct ideMitica-
tion, and lot numt>!'rsWpare appropriate,
4.2 3M RreMaster pro#iucts shall be
stored within shett#r to grsvent damage
from weather.
4.3 Access doorbg*d andF.A
(N.Y. City) acceptshco IaMbbels are
available upon rooest.
I
I
August 1993
F
`
aDA11r�1iara
RadsfMe' `ioCb7YW t�tom
tin
"!;
Retina`.
tt7a+ee1
Groat Dints
1 of 2 haws 2 *are Std Fhmaaler
CAI 7015,
Duct MO. Yrs
W-1.•7041,
s" (7,6 tilt) Dwimetar and
ULC-FRD 4
1engitu0ml 6910
Air Ventllagon
1 hour 1 rays► 9M FimM to
CAJ 7011 or 7020
Duct Systmlts
oust wrap, VY, VB,
ULC -FRIM
31 (7,5 cm) pedmew and
b naftdbrol mwap
or'optmnel bvu (aim pl a
CM Wrap mtrm
Alr Vmlilabon2
bows 2 Wn 3M FireMaeer
CAJ 7015 or 707
4ua Systartte
Dun wrap, V8, V10.
ULC.FRD-3
3' (7,8 an) p9rtmebr and
1011pdediral *VS* or
D oral batt lam plus
alar a�rap metAod
3.0 Materials and Equipment
3.1 The insulation material shag to manu=-
tuned by Thermal Ceramics and supplied by
3M. The materials shall include the following;
3.1.1 3M FireMaster Duct Wrap, 116'
(38,1 mm) thW 24" (80.9 cm) or
48" 021,9 cm) wide, 300' (762 cm)
atandard length (two layers).
48' (121,9 cm) wide blanket helps
to mtntmias waste.
Air Ducts Ory: For optional tum
joint/oollar wrap method, 3M
ReMaster Dud Wrap Collars,
1'A" (38,1 mm) thick, 8" 2003 cm)
wide x 300° (762 cm) to cover
external seams.
3.1.2 High performance fila rant tape,
minimum 3/4" (10,0 nun) wide, manu-
9097898476
kIRWA,4 PAGE 05
• i
p.4
factured by 3M Company, St. Paul,
Minnesota, tape nudnber 888 or Its
equivalent. AlWmin (oil tape is used
to seal cut tides a the blanket.
3.1.3 banding matlrial, °(12,7 mm) to
%- (19,0 mm) widi, minimten 0.015'
061 mm) thick, rbon steal and
banding ctip5i.
3.1.4 Hand banded tsnstiortinp and
crimping tool!!;.
3.1.5 10 Gauge, 4; (10 ' txn) to 5" (12,7
cm) long, Co I ted erect pins.
minimum 1?A (38, mrrt) x 1!4"
(38,1 mm) st$uare or TV (36,1 mm)
diameter muhd g nw9d steel
speed clips ¢r cu head pins;
capacitor d&harOe stud gun
(110/116) su> h a -A that manufac-
tured by AGM.
3.1.6 Grease duct acceis door hardware,
414"(11,4 cm) to (12.7 cm) long, A"
(6,35 mm) dibm® r galvanized steel
threaded rnd� wit 'A4 (8,35 rnm)
VwjN tuts an A" 35 mm) meta(
washers, 4" 10,2 ) long $4eel hr
tubing ro fit threaded rods,
3.1.7 3M FireMasSOr Dt�ct Wrap scrap
pieces, paclwd firmly around annular
space at floor and wall penetrations.
I
3.1.8 3M Fre Bar)ler 2 004. Caulk, 'A"
(6,35 mm)1. akithin annulus,
hush at top gurtaoes of floor and
surface of all. ( as CAJ7013.
CAJ7015, AJ7 0, CAJ7022,
W -L-7041, V7, V , V9 and V10).
I
4.0 Delivery and Storage
4.1 Materials should b6 del red in the origi-
nal, tightly Seated tontalners or unopened
packages and clearly !*sled with the
manufadureryne((rrttee, oduct ideMitica-
tion, and lot numt>!'rsWpare appropriate,
4.2 3M RreMaster pro#iucts shall be
stored within shett#r to grsvent damage
from weather.
4.3 Access doorbg*d andF.A
(N.Y. City) acceptshco IaMbbels are
available upon rooest.
I
I
August 1993
F
Aug 03 01 01:30p
06/21/2001 10:39
S0 Contractor
�J
r1
I
insul light
7149390456
5.1 3M FireMaster Duct Wrap shall be applied
by a qualified Installer.
5.2 Installer shall be rosponsible for furnishing
3M materials required to complete the job in
accordance with the written SPeciflcrttiorle.
6.0 3M FireMaater
Duct Wrap Fin Protection inatallation
e.1
6.2
For duct spans greater than or equal to
24' (60,9 cm) wide, 10 gauge. 4' (10,2 cm)
to b" (12,7 em) long, copper -coated steel
insulation pine shag be welded in columns
spaced 12' (30,5 cm) apart, 6-112' (15,2 cm
- 30.5 cm) from each edge and 10 -fa"
(28.7 cm) an centers along the bottom
horizontal and outside vertical duct runs to
prevent blanket sag. Piin5 are required 1'
(2,54 em) from the end of a dud and 1'
(2,54 cm) from any edge near a 90' Mend•
These pins should be spaced on 6' (15,2
cm) centers. The blanket is locked into
place over the pM with mintmum VAO
(38,1 mm) x tr4' (38,1 mm) square or
I k' (38,1 mm) diameter round galvanized
steel speed clips or cup head pins.
Insulation pins that extend beyond the
outer blanket wrap layer shall be turned
down to eliminate sharp edges (See
Section 4, Figure 5).
The first layer or Interior wrap (only one layer
required for 1 hour rated air duds) of
3M FireMaeter Dial Wrap shell be cut to a
length suffrdent to, wrap compietely around
the parimeter of the duct, plus provide an
overlap of not less than 3' (7,6 cm) (See
Section 4, Figure 1). Aluminum foil tape is
used to seat cut edges of tie blanket. To
minimize, waste, the Duct Wrap material
should be rolled out tautly before measuring.
6.3 The first layer or interior wrap of 3M
F1reMaster Duct Wrap shall be hold in
place using minirmurn 3/4' (1®,o mm) wide
filament tape. The tape 6h&H be Spaced
11W (38.1 mm) from the edges of each
blanket and midway between (10-/r' (26,7
cm) on center) (See Section 4. Figure 1).
9.4 The next adjacent interior wrap of
3M FireMaliter Duct Wrap shall be cut to
completely wrap around the perimeter of
the duct with enough excess to provide an
overlap of not less than 3' (7,6 cm). A 3'
(7.6 cm) longitudinal overlap onto the pre-
vious adjacent wrap is required on both
layers (See Section 4, Figures i and 3).
August 1999
KIRWAN
9097898476
,
i
I
6.5 The second layer pr
(required for 1 or hou
kitchen grease anti 2 h
ducts) of 3M FireMaste
be cut to sufficient leng
plot" around the! pert
wrap with gufficiso ex
overlap of not lest) the
3M FireMader 0u ct W
as the exterior layer sti
ed, and Properly Ipcst
longitudinal overl/W Joe
layer of blanket a(e sta
cm) from those of the i
Aluminum foii t ppb is u
edges of the bl
layer shall be p000tlon
perimeter oveN join
least 12' (30.5 criti) fr
or layer (See Sedtion
Note: Support ha?rger
need to be wraptifed
rods are at least $t min,
mm) diameter acct they,
mum of IV (363 mm
W (3,18 mrn).
5.6 f=ilament tape is rinsed �
hold prior to ben�g U
(See Section 4, figure
rior 3M FireMa6r Dui
in piece using bsplding
in 313. The banns sh
(38,1 mm) from 4ach I
way between (I Ch" (2
The tension of the bar
sufficient to hold !the 3
Wrap anugly in place.
cutting or damage to 1
6.7 Grease duct access i
Include 4 each -X.' (6,
4-h" (11,4 cm) td 5' ('
ed rats welded to IN
perimeter reinloircem+
opening. Steel. 4' (1t
tubing to fit the ihrea
placed over the'rods
'sleeves° for the, 3M I
when fastening 4he d
4'(10 , 2 cm) to b" (11
coateSteel inoulalk
ed to the door Panel
tion.Two layers?ot 31
Wrap shag be dut as
jolnt' construction (6
2) and impaled+over
the door panel Jo all,
through openings. A
p.5
ppr� 06
error wrap
commercial
ur air ventilation
Duct Wrap should
h to wrap com-
ister of the interior
las to provide an
3' (7,6 cm). The
iip to be installed
ill be cut. if need -
Il to ensure that the
is of the exterl0r
Igered 10114" (26,7
iterior layer.
led to seaf any cut
so, the exterior
I such that the
are spaced at
n those of the intern-
, Figures 1 and 3),
lysterns do not
ovided the hanger
MUM of %' (9,52
angio iron Is a mint-
s x Ile (38,1 mm) x
S a temporary
ease Installation
1 and 3).4 7tne exte-
I Wrap shall be held
material as specified
III be placed 1'h'
lanket edge and mid-
i,? cm) on centers).
Wing material shall be
A i=ireMasler Duct
3ut not cause any
ie blanket.
oor installation shalt
15 mm) diameter.
2,7 cm) long thread-
cornm of the
nt frame of the door
2 cm) long hnflow
led rods is then
o act its protection
IreMaster Duct Wrap
icr. Four, 10 gauge.
.7 cm) long, copper -
,i pins shell be weld-
or blanket Installs-
FireMaster Duct
1' (2,64 cm) "step
ie Section 4, Figure
he insulation pins on
w for a tight lit and no
third layer of 3M
Page 8
Plug 03 01 01:31p insul light
06/21/2001 10:39 7149390456
6.8
6.9
FireMaster Dud Wrap shall be cut in a Ilke
manner, Impaled on top o1 the two previ-
ous door panel layers and shalt have an
overlap of not less than 1' (2,54 cm)
around the perimeter of one door opening.
The blanket layers aro then looked In place
with rnnintmum t Ya' (38,1 mm) x t �A'
(38,1, mm) square or 1'h' (38,1 mm) diam-
eter round speed cAps. Insulation pine that
extend beyond the outer 3M FireMaster
Dud Wrap "I be turned down to avoid
sharp edges on the door (See Section 4,
Figure 2). Access door labels must be
appMd to all access dean out doors.
For 1 and 2 hour requirements, where
floor or was periotraWns are present, a
3M FinsMaster Dud Firestop System (See
Section 4, Flgures 10, 11. and 12) must be
Installed. These systems allow the duct
wrap to be Installed through the penetra-
tions or.terminate at the wall or floor. The
firestop consists of 3M Fire Barrier 2000+
Silicone Sealant Installed over the annular
space of firmly packed 41/4' (10,8 cm) of
scrap pieces of 3M FireMaeter Dud Wrap.
3M FireMaster Duct Wrap System Repair
Procedure
Should any seciton of the 3M FireMaster
Duct Wrap be damaged, the followk+g pro-
cedure will apply:
The damaged section should be removed by
wftg the steel bonding holding It In place.
A new sectlon of the same dimension
should be Cut from a rod of 3M FireMaster
Duct Wrap either 24, (80,9 cm) or 48'
(121,9 cm) wide.
The new section should be placed and
ft*d ensuring fhe same overlap that
wdstud previously (See e.0 through 6.9).
The steel banding should be placed
around the material and tensioned so as
to sufllolently hold the 3M FlreMaster Duct
Wrap in plao6 (See 6.8).
If the damage has penetrated to the sec-
ond layer, the affected section of duct
KIMAN
9097898476
should he stripped
described in the 30
Installation Inatrucl
Only 3M FlreMe0a
matE' fie and equil
3M FireMaster Duc
Instructions 3.0 sht
7.0 LlmHatfons and
7.1 umwIons: 3M FIPeMi
should be installed lin ai
distributor's pubikhed G
liom. Multiple suo d c
FireMaster Ouot
are not permitted 1)
ducts should be w IP
Flromecter Duct _rap.
Important Notloe it0 F
menta, technical 1 forn
mondatlona Coma
tests believed to bb nal
racy of completerpss i
ante -ed. The following I
warranties, exped
ER'S AND MANUFAC
OBLIGATION SHHAALL
SUCH QUANTt'ibi OF
PROVED TO BE 0EFI
SELLER NOR MANUI
BE LIABLE FOR MY
TAL OR CONS EN
OUT OF THE US OF
TY TO USE THE ROI
user shall determine 0
product lor their intend
assumes oil risk end III
connection therwhith.
Statements or
U
talnad herein stns,
unless in an ag*
car of seller and e
The integrity of Ft
Is lintited to the
i
P.
PAGE 07
;wrapped as
Master Duct Wrap
.0 through 6.8.
Wrap and the
specI&W in the
> Installation
i used.
ar Duct Wrap
Mance with the
allation instruo-
In a single 3M
.Ensure system
divkfual steel
with 3M
rchaser: All state -
Mon, and recom-
ereln are based on
able, but Me accu-
ereof is not guar -
made In lieu of all
r impited: SELL-
JRER'S ONLY
ETO REPLACE
NE PRODUCT
I-TIVE. NEITHER
1CTURER SHALL
NJURY, LOSS OR
)IRECT, INCIDEW
rIAL, ARISING
OR THE INABILl-
IUCT. Before using,
D suitability at the
id use, and user
bUhv whatsoever In
rdatiarns not can -
no frame or effect
signed by an offi-
r Duct Systems
the installation.
Dona 0 , August 1999 .
Tom Tisdale
Fire Chief
Proudly serving the
unincorporated.
areas of Riverside
County and the
Cities of.
Banning
Beaumont
Cahmesa
Canyon Lake
Coachella
Desert Hot--Springs-
Indian-Wells
oY.Springs-
IndianWells
Indio
Lake Elsinore.
La.Quinta
Moreno Valley
Palm Desert
Penis
Rancho Mirage-
4. -
San -Jacinto.
..
Jemecula.
Board.of Supervisors
Bob -'Buster,
District 3
John- Tavaglione;
District 2
Jim Venable,
Distrid:3
Roy Wilson,
District -4
Tom Mullen,
District 5
RIVERSIDE COUNTY FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
2 0. est San Jacinto Avenue • Perris, California 92570 • Fax 940-6910
August 10, 2001
To: Oranco Development, Inc.
1370 Reynolds Avenue, Suite 107
Irvine, CA 92617-5545
Re: Non -Structural Building T/I Plan Review
LAO -01 -BLDG -036 / Domino's Pizza
Fire Department personnel have completed a review of the plans you submitted for the above
referenced project. Please be advised the following conditions apply as a part of the conditions for
the issuance of a building permit.
1) Fire sprinkler system plans for the tenant improvement area must be submitted to the Fire
Department for review, along with a plan/inspection fee. The approved plans, with Fire
Department Job card must be at the job site for all inspections.
2) Install portable fire extinguisher's per NFPA, Pamphlet #10, but not less than 2A1 OBC in rating.
Contact certified extinguisher company for proper placement of equipment.
3) Install a Hood/Duct automatic fire extinguishing system. System plans must be submitted, along
with a plan check/inspection fee, to the Fire Department for review.
4) Approved building address or suite/unit number shall be placed in such a position as to be plainly
visible. Said numbers shall contrast with their background.
Please contact the Fire Department Planning & Engineering staff for final inspection prior to
occupancy.
Requests for inspections are to be made at least 24 hours in advance and may be arranged by calling
(760) 863-8886.
All questions regarding the meaning of these conditions should be referred to the Fire Department
Planning & Engineering staff at (760) 863-8886.
Sincerely,
FRANK KAWASAKI
Chief Fire Department Planner
By �0_ Jf
Walter Brandess
Fire Safety Specialist
H:IPEZWPOATAtIAQUPfrA%PROJECMTN IMPRVIIAQ-0I-6LOG-016.doc
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2^d FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
DOMINO'S
TM PMzA Dp
.78702 HWY LrMRY EXPE
LA QUINTA, CA 92253
N
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OF E;„ t ... ACaLA C"(
�e - r
..._...,.........__.:.._.,_.................... _ .........._ ... . .
Bkpt., HotelLit-
-.._.._.. .:'b
1 - Comrnercial i?ui,,i ng -
-- - 8!
ing Pool - _ ' t''.: it — D Seepage Pit
No n -site -r t. a:var TD
a A ogsnora Irtg _ ._ .•.., ::,}�.�t ttl cxlssii'!.- S.S.D.S.
syste .1 herewith a^ a'' ' c``"` °; `'.` . ... .
hop rprov,,c+:vl hou cls - = ""'''jry3d into ihnl sr2wage disposal
supply sarving this inaai,a;; i,'i:J •"f•• �'uaI Control All s ware dls osal irs' _ `'' r�rrvE�d source of Board.
-� P :llat►cn niL:� c.::. ;:� ;'s
CIL grading or filiin in cxca^r �' `'`'' ;,roRMots of current Uniform Plumbing as C 1'7:L•!:?) i(:iit well null' g Code.
�Sot'Fl.r Approval has been olaained from the F'e x�;�yi Vtia[crr Cunu �' seWage do-
6EYb1JO disposal system. �•posal approval.
Quality Control Board for installation of the sewage
This is to certify that the Riverside Cct;rty I:nvin�nmar+,ta! Hoap!h Services _
disposal Plot plan to oWain buiiding I�armit r r iilsta!l;,�r,, ccr
I _ roves the ice sewagq
r)ATE O I Is�ruction.
B
{ p 34„ A
propeFiv Ioc�allou grease interceptor s
ted outside with a P heli be installed. 1%tust be
receiving fixtures (only) approved manholes and samplln an approved type
Ilk PovPrep/3-corn Y% must flow through grease inter,.��,rr,r i hLx to grade. All
_ grinders. Partment%mop sinks, floor drains in food pre grease
<lil� ! dishn•asher,
P area; but not any garbage,
I t;a
—tel ;j"i=t;
)4JEw isle` �,,,;.
tgeWk BPAIX64 )
i.:
stun u
NoN N�.
COUNi's Oi RIVERSIDE
HEALTH SERVICES AGENCY
DEPARTMENT OF ENVIRONMENTAL HEAITH
`
The proposed construction/equipment
Installation is approved:
See attached r tion shed . f l I
L v
Approved _ By ,,
This approval does not a ithorize the
violation of ai.y, cirdirunce, or
Curer r�;.,,.ilat;cn .
NOTIFY THE PLAN CHECKER IN IVRITINU
OF ANY CHANGES OR ALTERATIONS TO
PLANS AS ORIGINALLY APPROVED.
(ie: flooring, walls, ceilings or equipment)
1 FIS APPROVAL GRANTED BY THE
COUNTY OF RIVERSIDE
DEPARTMENT OF ENVIRONMENTAL 'HEALTH
--�I
IS VALID FOR ONE (1) YEAR FROM DATE OF APPR&O
Y
THIS APPROVAL DOES NOT INCLUDE THE
SUBSURFACE SEPTIC SYSTEM, GREASE I PTOR,
OR OTHER WASTE DISPOSAL SYSTEM
CLEARANCE FROM APPROPRIATE,IQENCY
FOR YOUR WASTE DISPOSAL 3"M_
CONTACT THE PLAN CHECKER FOR A PRELIMINARY s
INSPECTION WHEN CONSTRUCTION IS APPROXIMAMY'
80% COMPLETE. (BEFORE EQUIPMENT IS INSTALLED'.)
"Approval of theme pIprt.:. F::.,ount! of Riverside
Department of Environr(i..;.: kith does not relieve the
Engineer or Architect of Ile r;= ,ponsibility for the ftinAerirt
or Arch itectural'design. 9 `4
ALL ELECTRICAL. Pl..tliv-RING, MEC'iANICAL, AND STRUCTURAL
REPAIRS ANG IN3TX,LLiJ1'I0N0' S11ALL SE DONE UNDER PERMIT
FROM
nFPT r)P QI ni r%iks,— , • ;