9905-353 (SFD)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapt�.,9 (commencing with Section 7000) of Division 3 of the Business and
Profe`siona'N, Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
1, � . 13 � c 0 812011
rl
Date5`l ` w/ , Signature of Contract j'iL'1' /
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.
J( I have and will maintain workers' compensation insurance, as required by
S ction 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` ne d not •tio'completed if the permit valuation Is 62PPI1 % 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 1/shorld become
subject to the workers' compensation p5ovissions ofy ection 3700 of the Labor
Code ,-Lsl all forthwith comply with•those.provsio �.
vD tem I� Applicant( ?zyf' r ;i
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at.
whose request and for whose benefit work is performed under or pursuant toy
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 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 State laws relating to the building
construction, and hereby authorize representatives,of this City to enter upon
the above-mentioned property for inspection purposes.'
�t Date
ignature (Owner/Agent)`! =l� // !
r
r
BUILDING PERMIT PERMIT#
DATE VALUATION LOT �� : { 9905-M" TRACT
051271199 $141.248.40 1? 28458-2
JOB SITE
ADDRESS - --'-1
APN
r 79=A 2 PtllilVCII - C 0 1 J RT
509-070-038
OWNER CONTRACTOR / DESIGNER / ENGINEER
ADVANCED DEVELOPMENT CORP. TRADITIONAL BUILDM CO INC
78-615 NAPLES 'DR 78-615 NAPLFS DR
LA QUCNTA CA 922533 LA QUINTA CA -92253
(760)772-17272 C.BL# 5750
USE OF PERMIT
•A)i.l V.M Tfi�Y.t. sr .. ivr st..t• ;.vim
SID - LOT 12. PLANT SA:- PEMff HOES NOT I1NC11ME 13 -LOCK iVALL
OR POOL. PLAN C`fi1'C1C PCIRTION OF HF:E RMUCED 7Y',A FOP, Nf1A.T1PL.E
T Q Q3 r 'V nr. Qa#L. 'r A hl r .';
'rpukcr =481°12iJC'1` aq 2,400,00 SF
PORACt- PATIO 160.00 Sl:
t` AR.AGE/Q,'LRPORT 4,19.00 SF
ESTIMATE D COST OF CC MS17RUC'410N
14:140-40
PERMIT FEE SIUMNIARY
CONSTRUCTIONFEE 101-000-418-000 $756.50
PLAN C CCK FEE 101-000.43.9-313 $161.98
MECHANICAL 11-31"13 101-000-421-000 560.00
&F IC I`RIC.4.I MM 1011-006420-000 $141.413
PLM,181740 FEE 101.-000-41 9-000 S140.75
STRONG MOTION FEE - ,RESI1D 101.000-241-000
GRrlDINO FFE 101-000-423-000 1�C.00
1NFRA.r1'1:ROCTURE FEF 2`25-000-443=342 $3,130121
AItT TN PUBLIC PLACES •- RASIC 70.1-000-25.5••000 i1i13.1?
SU.8-'MAL C-`OAtS UCTION AND PLA±4 CHECK
$4,558.16
LESS P12.3s'-PAID FL1,S
$0.,4'
TOTAL PE%i kirf FEESt DUE NOW
S4,558.16
\\\
RE4 I T,
i
D?�IE
BV fJ I
f
DATE FINALED
INSPECTOR
INSPECTION RECORD
e OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Se"'6acks
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
y
Exhaust Fans
O.K. to Wrap
Z d C
F.A.U.
Framing
_ 7 ®-o ;tom
Compressor
Insulation
_/Z ^Ga l�-
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:
'
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
MAR-02-2009 12:06 WESTER14 INSULATION 909 686 8766 P.13i18
-ESTERN INSULATION, INC. '
4211 Latham Street, Riverside, Califom a 92501
Tel. (909) 686-8760 Fax (9D9) 686-8786
iNSULATIQN CERTIFICATE
THIS IS TO CERTIFY THAT'INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
THE CURRENT ENERGY REGULATION, CALIFOR141A ADMINISTRATIVE CODE, TITLE 24,
STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
TRACT I PHASE: BELLA VISTA- TRACT #28468-2
BLDG # 12
SITE ADDRESS: 78542 POMPEII COURT.
-------------------------------------------------------------------
EXTERIOR WALLS
MANUFACTURER: Johns-Manville THICKNESS: 3 618 R-VALUE: R-13
CEILINGS: AT BLOW
MANUFACTURER: Johns-Manville THICKNESS: 13" R-VALUE: R-38
CEILINGS: t ' BATTS B OW
MANUFACTURER: GREENSTONE THICKNESS: '10.3" FI-VALUE: R-38
------------------------------------------------------------------
GENERAL QDNTRACTOR: TRADITIONAL BUILDING
LICENSE NUMBER:
BY:
TITLE:
DATE:
INSL LATION CONTRACTOR: WESTERN INSULATION, INC.
LICENSE, NUMBER: 481278 ,
�BY:t
TITLE: P�RODDUC: ION MANAdEA
DATE MARCFT 2, 2000 f
t
Affic /Oj
Ventilation
Power • b ' Fans Pull heat out of your attic with NuTone Gable Fans ;
1500 CFM fan with automatic louvers Choice of 1200 or 900 CFM. Install behind Use with GF900 or GF1200 where no
WF57NR Gable Fan with Louvers existing attic louvers. No need to cut attic louvers exist. Made of durable
2090 CFM fan with automatic louvers hole in roof. polymeric material.
_s_
N V,
GF9OON
8" GF120ON
213/4
TGGF90ON
5" DIA. 163/a"
19„t
ModelsWF57NR 1-20a10'/zWF37
"When used with GFL•900
D6 NuTone®
Dimensions
Model
Mounting
Motor
Amp
Blade
No. of
Materials
Roof
Cutout
Number '
Location
CFM
HP
RPM
Rating
Size
Pitch
Fins
Dome
Blades
Unit
16"
40"
4
Zinc -coated steel
Housing: 161/4" dia.
Wall
WF57NR
Gable
2090
1/5
1050
4.9
housing, aluminum
Aluminum
,
z tOh' long. Ext. mig.
cutout
4
louvers, galvanized
flange 20'k" x 21'h" x 2"
171/:' dia.
WF37
Gable
1500
1/7
1120
4.9
16"
27"
sleeve
_
Wall
40"
5
Galvanized sleeve
Galvanized
141/:' Dia. x 6" sleeve
cutout
GF900N
Gable
900
1/11
1050
3.1
14"
and brackets
Steel
151/4" dia.
Wall
—
Polymeric
181/:' x 20" sleeve
cutout
GFL900
Gable
(Louvers
only)
—
—
16" x 171/4"
Wall
40"
5
Galvanized sleeve
Galvanized
15" Dia. x 8" sleeve
cutout
GF1200N
Gable
1260"
1/9
1550
3.9
14"
and brackets
Steel
15'/4" dia.
"When used with GFL•900
D6 NuTone®
NuTone Quality :..
Guaranteed
When you build, buy or remodel your
home look to NuTone for quality
products ... guaranteed!
LOOK FOR THESE SYMBOLS:
MAXIMUM PERFORMANCE
PRODUCTS — GUARANTEED FOR
1 AS LONG AS
YOU OWN
YOUR HOME.
PLUS PERFORMANCE
P'
PRODUCTS—
GUARANTEED
FOR 5 YEARS*
NuTone products not identified with these symbols
are warranted to be free from defects in material
and workmanship for twelve months from date
of original installation.
*Please refer to complete warranty information
enclosed with every NuTone product.
Index
MODEL
PAGE MODEL
Wall Switches for WHV24DD, WHV30-02 WHV30BD, WHV36BD
CFS-2WH — Toggle Switch/Timer
• Toggle switch for high and low plus 12 -hour timer, 20 amps, 120V
CFS -2 — Rotary Dial
• High, low and off settings, 20 amps, 120V
CFT-12 —12 -Hour Timer Control
• Turns fan on for up to 12 hours before shutting off automatically, 20 amps, 120V
CFVS-1 N — Variable Speed Control (For use with WHV20 only)
• Operates. fan at infinity, of speeds from high to low. 10.0 amps
V;, NuTone Ventilation All NuTone Attic, Roof and
Products are tested Whole -House Ventilation
by an independent ®� Products are UL Listed.
test lab and certified by
the Home Ventilating
Institute (HVI).
ITNATIONAL NuTone is a member of the National Roofing Contractors Association
COlO�f RA
OCTORS — an active and progressive organization of roofing and industry -
ASSOCIATION related professionals.
MEMBER The NBCA focuses on the growth and development of the entire
roofing industry, through testing and research, technical support
and education, safety and training to roofing professionals in all
50 states and 40 foreign countries.
PAGE MODEL
CFVS-1 N .....................................................
D8
RF -49P .......................................................
D5 AHS -200..
CFS -2 .........................................................
DB
RFMTR-49 ..................................................
D5 GF -900N..
CFS-2WH....................................................
D8
WF-57NR ....................................................
D6 GF-120ON
CFT12.......................................:.................
D8
RF-59NRPSCBL..........................................
D4
WHV20........................................................
D7
RF-59NRPSCBR ..........................................
D4
WHV24DD...................................................
D7
RF-59RP .....................................................
D5
WHL-30......................................................
D7
RF-68HRPSC ..............................................
D4
WHV30-02..................................................
D7
RF-69NR .....................................................
D4
WHV30BD...................................................
D7
RF-79RP .....................................................
05
WHL-36......................................................
07
RF-85RBL ...................................................
04
WHV36BD...................................................
D7
RF-85RBR ...................................................
04
WF -37 ........................................................
D6
RFMTR-85 ..................................................
D5
RF-49NRBL.................................................
04
RFTH95 .......................................................
05
RF-49NRBR................................................
04
HU -100 .......................................................
D5
D8 NdbiI6
PAGE For the name of your NuTone Distributor
5 or nearest Service Center, visit our
D
D5 web site at www.nutone.com or call
06 1-800-543-8687 in the contiguous U.S.
Nuilbr*R
Madison and Red Bank Roads
Cincinnati, Ohio 45227-1599
Form V-300whv, printed in U.S.A.-12/97
Product specifications subject to change without notice.
20
Roof -Mounted
Models 350;.355, 356, 358
• Durable off-white, fade -resistant PVC
dome can be painted to match roof color
(Models 350, 355, 356).
• Heavy gauge aluminum dome
(Model 358).
• Mounts easily between rafters —
template included for cutting roof
boards and shingles.
• Mesh screen keeps out birds and insects.
• 3%" high splash guard helps keep
out rain.
Heavy' gauge metal flashing stands
up to nailing and tarring, regardless .
of climate.'
•.Thermostat and motor accessible from
outside for easy:servicing; if required.:
• HVI certified air delivery ® 0.03"
static pressure.
Model 350 _ 1050 CFM for attics .
up to' 1500 sq.,ft.
Model 355/358 —1200 CFM for attics
up to'17.15 sq..ft.
Mode1356 —.1600 CFM for attics up to
2285 sq. ft....
• :To determine correct model for your attic
size, see page.34.
Model 445
Models 446
447.
General Accessories
Utilize our -static intake and exhaust vents to
ensure the efficient operation of your Broan
Powered Attic Ventilator. To determine the
number required. for your specific
application, see page 34."
• Model 445 Aluminum Roof Vent;
15" x 16" base; 8" openin.g'33/a'1 high;
Free area: 45 square inches:(6 per.carton)..
• Model 446 Aluminum'Eave Vent;
4" x 16'; Free area: 22.7 square inches.
(24 per carton).`
• Model 447 Aluminum Eave Vent;
8" x,16'; Free area: 54.6 square inches
(12 per carton).
Gable -Mounted
Model 353
• Quiet, high performance operation for �f
inside -the -attic applications. ✓J
• Galvanized steel housing, ribbed for
added strength.
• Mounting brackets simplify installation.
• 1140 CFM for attics up to 1630 sq. ft.
/s8--1
Gable -Mounted Unit Accessory
Model 433 Automatic Shutter
• Allows more air movement than
conventional stationary attic louvers.
• Counter -balanced aluminum vanes open
automatically when ventilator is turned on,
close when fan stops.
• Flange fits flush against outside wall for
neat, smooth appearance.
• Reinforced for strength; provides
weathertight closure.
0..