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BRES2016-007678-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: JERRY FLYNT 80365 VIA VALEROSA LA QUINTA, CA 92253 c&t!t 4 4 Q91K& COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BRES2016-0076 80365 VIA VALEROSA 777250008 FLINT / CHANGE OUT FIRE PLACE $4,500.00 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:140528101254134641 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 bas' for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pe i jects the applicant to a civil penalty of not more than five hundred dollars owner of the property, or my employees with wages as their sole pensation, will do the work, and the structure is not intended or offered for sale. ec. 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 n t intended or offered for sale. If, however, the building or improvement is sold �ry ear of completion,the owner -builder willhave the burden of proving that id not build orimprove for the purpose ofsale.)owner ofthe property,amexclusively contracting with licensed contractors nstruct 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 therghn, and who contracts for the projects with a contractor(-) licensed pursuant to e ractors' State License Law.). ( 1 am exempt undertSec. B.&P.C. for thisAas Date: Owner: I I 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 Name: - Lender's Address: 11111111111111111111 33 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: JERRY FLYNT 80365 VIA VALEROSA LA QUINTA, CA 92253 Contractor: JERRY FLYNT 80365 VIA VALEROSA LA QUINTA, CA 92253 Date: 3/18/2016 (208)720-1265 Llc. No.::CONV:140528101254134641 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 issuep. ,My workers' compensation insurance carrier and policy number are: Carrier Polity Number: _ I certify that in the performance of the work for which this permit is issued, I ll of e shamploy 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' c pen tion provisions of Section 3700 of the Labor Code, I shall forthwith comply w' h(tyho provisions. 1�1y Date w Applicants WARNING: AILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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 inforprtion is correct. I agree to comply with all city and county ordinances and state ws ting to building construction, nd h reby authorize representatives of this cit o e t r upo the above-men>�ned roperty for inspection purposed �j Date: 41 a/ / 1,i, Signature (Applicant or DESCRIPTION . FINANCIAL .• ACCOUNT L. QTY AMOUNT ; PAIDPAID'DATE. BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # -CHECK # : CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1,00 $0.00 DESCRIPTION ACCOUNT ::: ;: QTY " - AMOUNT -PAID PAID DATE FIREPLACE 101-0000-42400 0 $145.03 $0.00 PAID BY METHOD , `. RECEIPT # :... CHECK # CLTD BY DESCRIPTION. "ACCOUNT; ::: QTY. AMOUNT:'. PAID 'PAID -DATE. FIREPLACE PC 101-0000-42600 0 $217.55 $0.00 PAID BY -. 'METHOD RECEIPT # ", . CHECK # CLTD BY . Total Paid for FIREPLACE: $362.58 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID GATE SMI - RESIDENTIAL 101-0000-20308 0 $0.59 $0.00 PAID -BY METHOD RECEIPT.V,::: . CHECK # CLTD BY Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.59 $0.00 TOTALS:00 Description: FLINT / CHANGE OUT FIRE PLACE Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: APPROVED Applied: 3/18/2016 SKH Approved: 3/18/2016 SKH Parcel No: 777250008 Site Address: 80365 VIA.VALEROSA LA QUINTA,CA 92253 Subdivision: TR 30357 Block: Lot: 41 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $4,500.00 Occupancy Type: Construction.Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: CHANGE OUT GAS FIREPLACE BOX. 2013 CALIFORNIA BUILDING CODES. ADDITIONAL SITES Printed: Friday, March 18, 2016 1:58:31 PM 1 of 2 SYSTEMS DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY FIREPLACE 101-0000-42400$145.03 $0.00 FIREPLACE PC 101-0000-42600 0 $217.55 $0.00 Total Paid for FIREPLACE: $362.58 $0.00 SMI - RESIDENTIAL 101-0000-20308 0 $0.59 $0.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.59 $0.00 TOTALS:.4 00 IINSPECTIONS Printed: Friday, March 18, 2016 1:58:31 PM 2 of 2 r SYS TEti1S STI..1" � PLN►-> 1 40 W2TA%i Nr eatY&Z 'O � �► �w� �arrt ?IAS 9A Firn", I ow- a- 4p-mm..w soft i4 -e..... r» .year amraft 4mwA M04% a-- A moi, .ON% 4mm" 1 a .as . weal d ..��m..w owr 4-r �►s Q 04% .1� 1 40 W2TA%i Nr eatY&Z 'O � �► �w� �arrt ?IAS 9A Firn", I ow- a- 4p-mm..w soft i4 -e..... r» .year amraft 4mwA M04% a-- A moi, .ON% 4mm" 1 3/10/2016 Napoleon LHD62 Vector 62 Linear Direct Vent Gas Fireplace I Wood]andDirect.com: 1 -.door Fireplaces: Ga,- Napoleon a, Napoleon LHD62 Vector 62 Linear Direct Vent Gas Fireplace Item#:35501540 'i a <t. _W v ,', Overview Specs Warranty QUA , r � a 1'7_% asVEN�TIfiNaGa " v+iih':purchasp 3if " FlreplticeS,:Surves tni4 lnsptts,;; � � � � 6 � The Napoleon LHD62 Vector 62 Linear Direct Vent Gas Fireplace reveals a modern display •lie of of decor that can illuminate any room in just FACTORY , . minutes. This linear direct vent fireplace is AV.W. ORd72D'• DF.A it R available in several colors, leaving the option to . match existing decorations very possible: Mixing traditional functions with modern style, this linear fireplace is the perfect addition to your mobile home, bedroom, living room, or even bathroom! Features: • Linear direct_ vent fireplace • Provides up to 50,000 BTUs • Available in natural gas or propane • Choose your preferred surround color • Topaz crystaline ember bed included Ready to impress your guests for the next dinner, party? This warm, yet stylish fireplace unit will illuminate any event that you are hosting in your home. It's sleek appearance promotes Ounrs's tdanal :SHIPPING INFORMATION Build Your Napoleon LHD62 Vector 62 Linear Direct Vent Gas Fireplace .hStock I Ships Within_3 to 5 Business Days FF�EE Shipping - Freight Base Price: $7,999.00 ,� -- "¢ M STEP 1: Required Select Your. Fuel Type Item #:355FuelType Nfp RFLGAS r Y ............... .... k Select Your ViFu3I T ype: - Seled__ Fuel type options to best fit your home p pp Both propane and natural gas available Select your preferred fuel type asrra,ep.r STEP 2: Required . Item #: 35501543 Select Your LHD62 Surround ColorPrice: $82:.00 - $1,137.00 *Select Y.,wr Surround Style • Seted - ;� ..." Match this surround to your existing decor LK,�; Several colors to choose from • Surround needed to meet safety barrier requirements STEP 3: Option Item #: 35501546 kr Select Your Burning Display Upgrade Price: $247.00 _ -$51 .6:00 Select Your Burning Display I - Select -- • Alternate burning display options Add Item �J • Easily replace embers for variety • Give your fireplace a whole_ new look t STEP 4: Option Item #: 3551175 1st Select Your Glass Ember Bed Replacement Color Price: $99.00 Select ass Color Gass Seled - • � - — " Replace your included ember bed with anew color Choose between 5 Add Itemj unique.colors • Comes in 5 lb increments t http://www.woodlanddirect.com/Fireplace-Accessories/Direct-Vent-Fireplaces/Napoleon LHD62-Vector-62-Linear- Direct-Vent-Gas-Firep.ae 1/2 1/8/2016 Napoleon LHD62 Vector 62 Linear Direct Vent Gas Fireplace 1 Wooclartc�Direct.com: Indoor. Fireplaces: Gas Napoleon LHD62 Vector 62 Linear Direct Vent. Gas Fireplace' Item#:35501540 -{ � Overview Specs Warranty Q&A 4 • Type: Direct Vent • Style: Linear • Fuel Type: Natural Gas ( Propane • Overall Width: 73.9" • Overall Depth: 26.75" • Overall Height: 76.5" • Viewing Width: 61.625" ; • Viewing Height: 18.5" • Heat Output: 50,000 BTUs • Efficiency: 62% • Venting Type: Direct Vent • Venting Diameter: 8" inner 110" outer • Certification: Mobile Home Approved • Item Weight: 575 lbs. • Color Family: Black l Stainless Steel • Safety Barrier Approved: No i • Unique Feature: Fuel saving electronic ignition with battery back-up • 'Items Included: Topaz Crystaline, ember bed It EN 3 0- 's ...............�.._......._.....-......� __._..... _........_..........._.... MamA -- — ^ In Stock I Ships Wihin: 3 to 5 Business Days FREE Shipping - Freight DIF • • • j r Sia • • • Base Piria=: $7,999.00 Build Your Napoleon LHD62 Vector 62 Linear Direct Vent Gas Fireplace STEP 1: Required item #: 35sFuelrype MAMT 1-7V b I�,£efyL Select Your Fuel Type ��u Select Your Foal Type:- 3eled _ Fuel type options to best fit your home x ; Both propane and natural gas available rrA3 v Select your preferred fuel type STEP 2: Required . , nem #: 35501543 Select Your LHD62 Surround Color Price: $827.00 – $1,137.00 *select Your Surround Style (- Seed - :. • Match this surround to your existing decor • Several colors to choose from • Surround needed to meet safety barrier requirements STEP 3: Option Item #: 35501546 Select Your Burning Display Upgrade Price:$247.00 - $516.00 Select Yo6r Burning Oisplay -Select- •„�' Alternate burning display options •. Easily replace embers for variety Add Item I'>1 • Give your fireplace a'whole new look MD'di4 ., STEP 4: Option ` . Item #: 355,1175 ®tX Select Your Glass Ember Bed Replacement Color - Price: $99.00 *Select Glass Color - Seied� . Replace your. included ember bed with anew color W • Choose between 5 unique colors Add Item . Comes in 5 lb increments• F ,.; http://www.woodlanddirect.com/Fireplace-Accessories/Direct-Vent-Fireplaces/Napoleon-LHD6rVect -r-62-Linear-Direct-Vent-Gas-Fi�ephace A 1/2 3/10/2016 Napoleon LHD62 Vector 62 Linear Direct Vent Gas Fireplace I WoodlandDirect.com: Indoor Fireplaces: Gas r ' Napoleon LHD62 Vector 62 Linear. Direct Vent Gas Fireplace Item#:35501540 = -t .? Overview Specs Warranty Q&A 0-41 EN purchase of ' ' . Fireplaces; Stoves, ondansens;' ' • • • • • Linear direct vent fireplace • Provides up to 50,000 BTUs • Available in natural gas or propane • Choose your preferred surround color • Topaz crystaline ember bed included Ready to impress your guests for the next dinneriparty? This warm, yet stylish fireplace unit will illuminate any event that you are hosting in your home. It's sleek appearance promotes modern style, while the functionality of the unit provides up to 50,000 BTUs during any use. The unit's electronic ignition features a battery back-up, making your job easier than ever! Built for years of enjoyment, this fireplace has a stainless steel flex connector with shut off that assists in the durability. The black porcelain reflective panels work wonders and give the. area a warm reflective glow. Featuring the included topaz crystaline ember bed, this unit shines with warm beauty. i O ws ' IAanat 7 Build Your (Napoleon LHD62 Vector 62 Linear Direct Vent Gas FirepEice STEP 2: Required + Select Your LHD62 Surround Color • Match this surround to your existing decor • Several colors to choose from • Surround needed to meet safety barrier requirements •I t P RMI31 z`l R In Stock I Ships Within 3 to 5 Business Days FF:EE Shipping - Freight Base Price: $7,999.00 Item #: 355FuelType ............. _... --....- .............. Select Your Fuel? - Select - • Item #: 35501543 Price: $82:.00 — $1,_137.00 x Select four Surround Style STEP 1: Required - Y ti"`�=', Select Your Fuel Type Nh2l3Rti�Cp�~3�y- 4 • Fuel type options to best fit your home Price: $2+47.00 —_ $5,16.00 ......._....� Select Your Burning Display T • Both propane and natural gas available {Y: / f�'f'�',Y'�Pp-t1p:•-��> Select your preferred fuel type • STEP 2: Required + Select Your LHD62 Surround Color • Match this surround to your existing decor • Several colors to choose from • Surround needed to meet safety barrier requirements •I t P RMI31 z`l R In Stock I Ships Within 3 to 5 Business Days FF:EE Shipping - Freight Base Price: $7,999.00 Item #: 355FuelType ............. _... --....- .............. Select Your Fuel? - Select - • Item #: 35501543 Price: $82:.00 — $1,_137.00 x Select four Surround Style r Choose between 5 unique co ors r Comes in 5 lb increments , t '' • http://www.woodlanddirect.com/Fireplace-Accessori es/Direct-Vent-Fi replaces/N apol eorrLH D62 -Vector -62 -Li near-Direct-Vent-Gas-Fi replace 1/2 STEP 3: Option - & - Item #: 35501540 N, Select Your Burning Display Upgrade Price: $2+47.00 —_ $5,16.00 ......._....� Select Your Burning Display T Y _- Seled Alternate burningdisplayoptions p ii Add Item • Easily replace embers for variety • Give your fireplace a whole new look STEP 4: Option Item M 3551175 , �..® Select Your Glass Ember Bed Replacement Color Price: $99.00 __._............._.. Select Glass Color - Selea - • mss: Replace your included ember bed with anew color l Add Item C� r Choose between 5 unique co ors r Comes in 5 lb increments , t '' • http://www.woodlanddirect.com/Fireplace-Accessori es/Direct-Vent-Fi replaces/N apol eorrLH D62 -Vector -62 -Li near-Direct-Vent-Gas-Fi replace 1/2 i i 2.1 DIMENSIONS i 66 v: 0 64 f ,' 66'/z S r y .z 20 3/4 27'/8 4 -23 GAS ELECTRICAL -26'h INLET INLET -263/4- 64 63/4 5 W415-1068 / A / 10.17.12 24 5.0 FRAMING f �1E x RISK OF FIRE! IN ORDER TO AVOID THE POSSIBILITY OF EXPOSED INSULATION OR VAPOUR BARRIER COMING IN CONTACT WITH THE APPLIANCE BODY, IT IS RECOMMENDED THAT THE WALLS OF THE APPLIANCE ENCLOSURE BE "FINISHED" (IE: DRYWALL / SHEETROCK), AS YOU WOULD FINISH ANY OTHER OUTSIDE WALL OF A HOME. THIS WILL ENSURE THAT CLEARANCE TO COMBUSTIBLES IS MAINTAINED WITHIN THE CAVITY. DO NOT NOTCH THE FRAMING AROUND THE APPLIANCE STAND-OFFS. FAILURE TO MAINTAIN AIR SPACE CLEARANCE. MAY CAUSE OVER HEATING AND FIRE. PREVENT CONTACT WITH SAGGING OR LOOSE INSULATION OR FRAMING AND OTHER COMBUSTIBLE MATERIALS. BLOCK OPENING INTO THE CHASE TO PREVENT ENTRY OF BLOWN -IN INSULATION. MAKE SURE INSULATION AND OTHER MATERIALS ARE SECURED. WHEN CONSTRUCTING THE ENCLOSURE ALLOW FOR FINISHING MATERIAL THICKNESS TO MAINTAIN CLEARANCES. FRAMING OR FINISHING MATERIAL CLOSER THAN THE MINIMUMS LISTED MUST BE CONSTRUCTED ENTIRELY OF NON-COMBUSTIBLE MATERIALS. MATERIALS CONSISTING ENTIRELY OF STEEL, IRON, BRICK, TILE, CONCRETE, SLATE, GLASS OR PLASTERS, OR ANY COMBINATION THEREOF ARE SUITABLE.'MATERIALS THAT ARE REPORTED AS PASSING ASTM E 136, STANDARD TEST METHOD. FOR BEHAVIOUR OF MATERIALS IN A VERTICAL TUBE FURNACE AT 750°C AND UL763 SHALL BE CONSIDERED NON-COMBUSTIBLE MATERIALS. MINIMUM CLEARANCE TO COMBUSTIBLES MUST BE MAINTAINED OR A SERIOUS FIRE HAZARD COULD RESULT. THE APPLIANCE REQUIRES A MINIMUM ENCLOSURE HEIGHT. MEASURE FROM THE APPLIANCE BASE. IF STEEL STUD FRAMING KITS WITH CEMENT BOARD ARE PROVIDED, THEY MUST BE INSTALLED. FINISHING MUST BE DONE USING A NON-COMBUSTIBLE MATERIAL PLACED FLUSH WITH THE FRONT FACE OF THE UNIT AND EXTENDING FROM THE TOP OF THE UNIT SUCH AS CEMENT BOARD, CERAMIC TILE, MARBLE, ETC. DO NOT USE WOOD OR DRYWALL. ANY FIRE RATED DRYWALL IS NOT ACCEPTABLE. 71.1A The LHD62 is installed into a rectangular opening. It is best to frame your appliance after it is positioned and the vent system is installed. Use the steel stud frame provided. Maintain these minimum clearances to combustibles from appliance and vent surfaces: Appliance framing: Use steel stud framing provided. Non- Combustible Appliance finishing: Front - 9" to sides of appliance opening 48" above appliance opening Combustible Appliance finishing: - .76" from bottom of appliance to enclosure top - 3" to top of vent pipe* - 2" to sides and bottom of vent pipe* Non-combustible finishing material (ie. cement board, brick, stone, tile) must be used to finish around the front door of the appliance. *HORIZONTAL VENT SECTIONS: A minimum clearance of 3" to the top and 2" to the sides and bottom of the vent pipe on all horizontal runs to combustibles is required. Horizontal vent sections within enclosures require a minimum clearance of T' at the top of the vent pipe, see "MINIMUM CLEARANCE TO COMBUSTIBLE ENCLOSURES" section. Use firestop assembly W010-2883 (supplied). *VERTICAL VENT SECTIONS, A minimum of 1" all around the vent pipe on all vertical runs to combustibles is required except for clearances in appliance enclosures. Vertical vent sections within enclosures require a minimum clearance of 2" around the vent pipe. Use firestop spacer W500-0681 (not supplied). ik W415 -1068/A/10.17.12 . 25 A. Erect the steel frame supplied as illustrated. B. Attach the metal studs (5) to the appliance as illustrated and secure with 2 screws each. C. Set the header onto the studs as illustrated and secure with 2 screws each. NOTE: For heavier finishing materials such as marble, we recommend adding extra support to the frame. Ensure there is adequate floor support for the appliance and finishing material. T W415-1068 I A / 10.17.12 � � �`?., _ �? vi <� Aw {. •'� :! 7� :�y"I�rr�: Av'4 �� 5a't`cLcir�'#`�;, EDGES ARE SHARP, ALWAYS WEAR GLOVES WHEN WORKING WITH SHEET METAL. A. Erect the steel frame supplied as illustrated. B. Attach the metal studs (5) to the appliance as illustrated and secure with 2 screws each. C. Set the header onto the studs as illustrated and secure with 2 screws each. NOTE: For heavier finishing materials such as marble, we recommend adding extra support to the frame. Ensure there is adequate floor support for the appliance and finishing material. T W415-1068 I A / 10.17.12 r pz� " When constructing the enclosure allow for finishing material thickness to maintain clearances. IMPORTANT: Before finishing in the appliance test the operation using the remote control, cycling it through all of its different modes, see "OPERATION" section. Should trouble shooting be required, access to the controls can be made through the pre -finishing access panel. 96" MINIMUM This appliance is supplied with two For convenience have been shippe on the back of the ensure the stand - place ensuring a neignt of s". STAND-OFFS Bend and secure the stand-offs as O illustrated: t W415.1068 / A / 10. 17.12 27 5.1 MINIMUM CLEARANCE TO COMBUSTIBLE ENCLOSURES 11 ter THE FRONT OF THE APPLIANCE MUST BE FINISHED WITH ANY NON-COMBUSTIBLE MATERIALS SUCH AS BRICK, MARBLE, GRANITE, ETC., AS LONG AS THESE MATERIALS NEVER OVERHANG INTO THE APPLIANCE OPENING. IMPORTANT: The LHD62 requires a minimum inside enclosure height of 96", measured from the bottom of the appliance. For temperature requirements, this area must be left unobstructed. It is recommended that the enclosure be ventilated at the top and bottom to circulate the hot air. Before finishing in the appliance test the operation using the remote control, cycling it through all of its different modes, see "OPERATION" section. Check pressure readings, see "PILOT BURNER ADJUSTMENT' section. Once finished in, access to the control components can only be done through the inside of the appliance. NOTE: JOINT COMPOUNDS AND TAPES THAT ARE RESILIENT TO HEAT AND CRACKING SHOULD BE USED WHEN .TAPING ANn winnING SFAMS NON -CON N EN I TOP OF APPLIANCI OPENING TOP OF ENCLOSURE MBUSTIBLE STEEL STUD FRAME * Within the appliance enclosure a minimum T' clearance between the top of the vent pipe and combustible materials is required. All other clearances. within the enclosure, including where the vent pipe exits the enclosure are subject to 2" to the sides and bottom and 3" to the top for horizontal and 1" for vertical. '" See venting section. W415-1068 / A / 10. 17.12 NON-COMBUSTIBLE TOP OF ENCLOSURE (COMBUSTIBLE) COMBUSTIBLE STEEL STUD FRAME NON-COMBUSTIBLE 68" MINIMUM 96" MINIMUM ENCLOSURE HEIGHT TOP OF / APPLIANCE OPENING 28" MINIMUM 11 MINIMUM 7" 1 0" IF NON- COMBUSTIBLE FINISHING IS _3° USED SUCH AS BRICK AND XI No STONE. —2„ FIRESTOP ASSEMBLY 84" MINIMUM PLUS RISE ** * Within the appliance enclosure a 7" clearance between the top of the vent pipe and combustible materials is required. All other clearances within the enclosure, including where the vent pipe exits the enclosure are subject to 2" to the sides and bottom and 3" to the top for horizontal and 1" for vertical. *" See venting section. IMPORTANT, THE FIRESTOP ASSEMBLY PROVIDED MUST BE USED WHEN THE VENT PIPES PASS THROUGH ANY WALL OR ARE TERMINATED HORIZONTALLY. Mi 5-1068 / A / 10.17.12 5.2 29 It is not required to cover the .entire surface with a non-combustible decorative finishing material if using a full single sheet of cement board where required. However, a minimum of one course of tile is required to border the sides and top around the door opening. The larger the tile size, .the.better. If only a painted surface is desired, a full single sheet of Wonder Board cement board must be used above the door opening,1Q ,we recommend the remaining cement board to be cut and seamed as per illustrated below for 2Q and3Q . CEMENT BOARD 'n 82.500" 27.750" ?� .�: �, ,,9.2 01' '�, '' x•. �32 64.000" �. 48" 7.000" COMBUSTIBLE FINISH MATERIAL r. NOTE: Keep the securing screws for the cement board a minimum of 6" from the side and top of the door opening. This will allow for any slight movement in the normal operation of the appliance. Joint Compound where required Joint compounds such'as Durabond 90 and tapes that are resilient to heat and cracking should be used when. taping and mudding seams. Setting tiles and grouting We recommend you use tiles with a dry butt joint to be installed using a two-part mortar with an acrylic latex additive, such'as Mapei Kerabond/Kerlastic, to allow for slight movement in the normal operation of the appli- ance. If grout is used between the tiles, a polymer -based grout,, such as Mapei Ultracolour plus, is recommended. Primer/Paint For a painted surface, use a 100% acrylic latex primer and finish coat. Light coloured paints may discolour. W415.1068 / A / 10. 17.12 30 5.3 NON-COMBUSTIBLE FINISH MATERIAL WARNING: Non-combustible finishing material tight to the frame around the operating door must not project more than 1" from the face of the door (all four sides). If greater projections are needed, increase the clearance to the sides and top by 2" for every 1" projection. If using LPS62 surround , then 2" clearance above the frame is required before projecting out a maximum 2". If greater projections are needed, increase the clearance to the top by 2" for every 1" of additional projection. W415-1066 / A / 10. 17.12 31 5.4 MINIMUM COMBUSTIBLE MANTEL CLEARANCES RISK OF FIRE, MAINTAIN ALL SPECIFIED AIR SPACE CLEARANCES TO COMBUSTIBLES. FAILURE TO COMPLY WITH THESE INSTRUCTIONS MAY CAUSE A FIRE OR CAUSE THE APPLIANCE TO OVERHEAT. ENSURE ALL CLEARANCES (I.E. BACK, SIDE, TOP, VENT, MANTEL, FRONT, ETC.) ARE CLEARLY MAINTAINED. WHEN USING PAINT OR LACQUER TO FINISH THE MANTEL, THE PAINT OR LACQUER MUST BE HEAT RESISTANT TO PREVENT DISCOLOURATION. 73.1 Combustible mantel clearance can vary according to the mantel depth. Use the graph to help evaluate the clearance needed. 22 2C 18 AE 16 N 1 14 TG 12 EH 10 LT 8 6 4 0 1 2 3 4.5 6 7 8 9 MANTEL DEPTH d W415-1068 / A / 10. 17.12 MANTEL DIMENSIONS I� li d W415-1068 / A / 10. 17.12 Dias ff Orly of La Quinta Building Fit' S.dfery Dit.Wan 78-495 Calle Tarrpko U Quinta, CA 92253 - {760) 777-7012 Building Permit Application and Tracking Sheet Permit •", C��'S2ct Projc: t r1E�Cir� f V 1.1A V' 1 L' � LJ� J O Ameer's Name: �.�. t Ade x -z Lcgul Description: City, ST, 75, A, n �t Cantrclor: Telephone: 2iDj7z d- t 2. e 5'— Address: Project i:�cscripticn: City, ST, Zip: Tctcp'hme: "M , State, Lic. y : City Lit. z; Arch., r;, --Sr, D. -s -signer: Address: City, ST,.Zip: Telephone: MI � � - ^F ; Comtructioa Type: Ocrtr: nt;°: State Lic. {i: Project f}'pc (circle o: e): Nr%w Add'n Aller Repair Der o ANanic of Con(= Pcason- Sq. Fl.: Stories: v 1 AI:S: Telephone N of Contact Persop.: Esrrn steel Va[ se, o` Projc t D APPLICANT: DO NOT WRITE BELOW THi5 UNE N $�bntiftal lteg'd. Reed 'fRACIaNG [ EFAfiT EEES Plan Sets Plan Chceksubmitted Item Amount Stracteral Calcs_ Reviaved, rtady for corrections Ptan Cfrc[knc}tosit Tress Cala. Called Contat:t Penin Plan Chgk Balance, Mitc:24 C71cs. 11"tanspieh[d:pp Consfrnetian }load plain plan Plans resubmitted -Mechanical CmdiaZ pian " 21,Rtvirtw, resde•io. earrectio reissue ' } lectrieal Subconiaetar List Called Contact Person Plumbing Cr2:3t Decd flans picked tip 5.111.1. 111.0 1. Approval Ptans resubmitted Grading 'rivHOUSE., s"iReviesv,ready for corr"tionc(issue Developer lntpaetFec Planning App: oval Called t ontset "Person A•t.i`.Y. Pub, Wks, Appr � date or permit issue S<F.00i'Fecs, Total Permit kecs CIT 1 01= Y._A QUI1 V 7 it BUILDING & SAFETY DEPT. PPR VE® FOR CONST , UCTION DATe 5 BY P.O. BOX 1504 LA QUfNTA, CALtrorNIA 92247-1504 75-4.95 CAL.LE TAMPICO LA Qt3ltviA, CALIFORNIA 92253 BUILDNG & SAFETY DEPARTMENT - PROPERTY C)WNEWS PACKAGE (760)777 -7012 FAX (760) 777-7011 Disclosures & Forms for Owner-13uilders Applying for Construction Permits IMPORT'A,VT., lyomm TO PROPERTY OWNER Dear Property (N4mer: An application for a: building perinit has been sub nai� cd in yon name Iist ng ,ourself as builder of.the roperty improvements specified at X !� S V t d, Ea. We arc providing you with an•Owner:Builder,Acknowledgmen€ and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by haviag.this permit issued in your na.ne as the Owner -Builder. We Rill not issue a building permit until you have read, initialed your understanding of each provision, signed., and returned this form to as 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 ACKINOW1,1EDGMENT AND VERIFICATION OF 3NFORMATION DIRECTIONS, Read and initial each statement below to signffy you understand or verify this information. ✓1, i understand a frequent practice of unlir�rised persons is to have the property owner obtain an "Owner -Builder" C buildurg pcttnit that erroneously ineplics that the property owned is providing his or her owe:n labor and material personally. 1, 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 hoinco%m. er's insurance may not provide coverage for those injuries. I am witifutly acting as an Owner -Builder and am aware of the Units of my insurance coverage for injuries to workers on my property. �j 2. I undersand building''is are not required to be signed by property owners stilets they are responsible for flee - constructiort and are not luring a licensed Contractor to assume this responsibility. 3. I understand as an "Owner -Builder" I am tate responsible party of record on ftpermit. I understand that I mayprotaet myself fromm potential furancial risk by rising a licensed Contractor and having the permit filed in his or her nine instead of my own.. V a. l understand Contractors are required by law to be licensed and bonded in California and to list their Iicense numbers on permits and contracts. ✓5. i understand if I employ or otherwiseengage any persons, other than,Caiiforttia Iicensed Contractors, and the total value of my construction is at least .five hundred dollars ($500), including labor and materials, Imay be considered an 'Icrnployer' under state and federal law. 6. I understand if i am considered an "employce' under state and federal Jaw, I must register with the state and federal 4government, withhold payroll taxes, provide workers' cornpen ation disability insurance, and comribute, to tutctrployrnent compensation for each "cnnploycc." I also understand my failure to abide by these laws may subject me to serious .financial 7. I understand under California Contractors' State License Taw; an Owner -Builder wito builds single-familY residential sir ctures cannot legally build theirs -xith the intent. to offer theta for sale, useless all work is perforiiied by ticerzed subcontractors and lite number of structures does not exceed four within any calcrpdar year, or all of .he work is perfomied under contract with a licensed general building Contractor. S, I understand as an Owner -Builder if I sell the property for which this pernwit is issued, I may be held liable for any -CY financial or personal injuries sustained by any sttbscgaent ownu(s) that result from any latent construction defects in tbx unship or materials_ I. understand I tray obtain more 'information regarding my obligations as an "employer" frons the Internal Revenue Clacrvice, the United States Sewall Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents, l.aiso understand I may contact the California Contractors' State License Board (CSLB) at .1- SO -321-CSLB (2752)orwww.cslb.ca.gov for more infotmation:about licensed :contractors - 10. 1 ontractors- 10.1 am aware of and consent to wrier-Buildcr, building permit applied for in my metre, and understand that I am, the parry legally, and financiallyr nsibk .for pro s cot ion activity a folio g ad ss: 11. I agree that, as the party, legsand financially responsible for this proposed constn*ctiou activity, I will abide by z1I hpDlicablc lays and requirernents that govern. owncr-Builders 2s.a*ell as employers, 12.1 agree to notify the issuer of this foram immf a ediately of additions, deletions, or changes to any of the infortrtation I have provided on this form Licensed contractors are regulated by laws designed to ptotect 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 Contractois tray be in civil court. It is also important for you to understand that if an unlicensed Contractor, or ernpioyae of that individual or fum is injured while working on your property, you.ntny 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 .4 copy of the property owner's driver's license, form notaritatian, or Other verificalioh acceptable to the agexcy is required to be presented when the perruit is issued to verify the property owner -'s signature. 1- ` Signature of property owner Date: Note: Tire folloudngAuthorization I--orm is required to be completed by the property owner only u4ten designating an agent of the property owner to apply for a consiruefion permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACI' ON PROPERTY OWNER'S BEAALF Excluding the: Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following persons) to act as my aggnt(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 Authorizcd Agent: Td,N.o Address of Authorized Agent: I declare under penalty ofperjury that I am the proporry owner for the address listed -above and I personally filled out. the above information and certify its accuracy. Note: /Ipy of the owner's driver's license, forst notrrixatfon, or other werff:cai * acceptable to the. agency is required to be fr ted when the p .0s i ' u'ed to verify the pro eery ox rWi.signanrre. Property Owner's Signature: A Date: t t The Gem State - __ - - USA ID VRIM-CENSE