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BRES2014-1139. D A� VOICE (760) 777-7125 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT FAX (760) 777-7153 BUILDING PERMIT Date: 10/28/2014 Application Number: BRES2014-1139 Property Address: 53355 AVENIDA JUAREZ APN: 774034026 Application Description: REMOVE DOOR WINDOW AND ADD FIREPLACE Property Zoning: 0 oUJ Application Valuation: $7,000.00 Applicant: DANIEL FRENCH 53355 AVENIDA JUAREZ LA QUINTA, CA 92253 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.: Dafte`.") 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 �('I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that rr she did not build or improve for the purpose of sale.). -I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to o tractors' State License Law.). I am exempt under Sec. B.&P.C. for this re on Date: - 0_X_ 1 C;-" 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 Owner: DANIEL FRENCH 53355 AVENIDA JUAREZ LA QUINTA, CA 92253 Contractor: OWNER Llc. No.: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy Number: E'I.certify that in the performance of the work for which this permit is issued, I shall'n t mploy any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I sh uld beco biect to the workers' compensation provisions of Section 3700 t Labor od I shall forthwith comply with those provisions. Da-tei l0 Zi5 t4 Applicant WARNING: FAILURE TO SECURE WORKERS' COMPENSA ION 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 t ilding construction, and hereby authorize representatives of this city to enter upo the bove• mentioned property for inspection purposes. Date,�._ Zo' �� Signature (Applicant or Agents Z ¢ cc a H w D © 0 z g0. � 0 oUJ 4 �Z CD U g o U 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: E'I.certify that in the performance of the work for which this permit is issued, I shall'n t mploy any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I sh uld beco biect to the workers' compensation provisions of Section 3700 t Labor od I shall forthwith comply with those provisions. Da-tei l0 Zi5 t4 Applicant WARNING: FAILURE TO SECURE WORKERS' COMPENSA ION 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 t ilding construction, and hereby authorize representatives of this city to enter upo the bove• mentioned property for inspection purposes. Date,�._ Zo' �� Signature (Applicant or Agents DESCRIPTION FINANCIAL •• {• ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 10/28/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY DANIEL FRENCH CHECK R2506 2882 SKH Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $48.34 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIREPLACE 101-0000-42400 0 $145.03 $145.03 10/28/14, PAID BY METHOD RECEIPT # CHECK # CLTD BY DANIEL FRENCH CHECK R2506 2882 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIREPLACE PC 101-0000-42600 0 $217.55 $217.55 10/28/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY DANIEL FRENCH CHECK R2506 2882 SKH Total Paid for FIREPLACE: $362.58 $362.58 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $0.91 $0.91 10/28/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY DANIEL FRENCH CHECK R2506 2882 SKH Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $0.91 $0.91 • $364.49 K. Permit Details PERMIT NUMBER r City of La Quinta BRES2014=11'39 Description: REMOVE DOOR WINDOW AND ADD FIREPLACE Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: ISSUED Applied: 10/20/2014 MFA Approved: 10/28/2014 SKH Parcel No: 774034026 Site Address: 53355 AVENIDA JUAREZ LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 182 Lot: 6 Issued: 10/28/2014 SKH UNIT 18 CHRONOLOGY Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $7,000.00 Occupancy Type: Construction Type: Expired: 5/23/2015 JFU No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: REMODEL -REMOVE 1 DOOR AND 1 WINDOW, ADD FIREPLACE. 2013 CALIFORNIA BUILDING CODES. ADDED LIGHT SWITCH POWER TO BE PROVIDED FROM EXISTING OUTLRT APPROVED PER AA 2013 CEC. 8 ____1; J Applied to Approved I P{ Approved to Issued Printed: Monday, December 01, 2014 11:25:25 AM 1 of 3 ���srsrEMs ADDITIONAL CHRONOLOGY CHRONOLOGY•TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES PLAN CHECK SUBMITTAL RECEIVED MARY FASANO 10/20/2014 10/20/2014 CONDITIONS CONTACTS "NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT DANIEL FRENCH 53355 AVENIDA JUAREZ LA QUINTA CA 92253 ( CONTRACTOR OWNER - ( OWNER DANIEL FRENCH 53355 AVENIDA JUAREZ LA QUINTA CA 92253 ( Printed: Monday, December 01, 2014 11:25:25 AM 1 of 3 ���srsrEMs DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 10/28/14 R2506 2882 CHECK DANIEL FRENCH SKH Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: DEVICES, FIRST 20 101-0000-42403 0 $24.17 $24.17 12/1/14 R3024 CASH DANIEL FRENCH PJU DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 12/1/14 R3024 JFU CASH DANIEL FRENCH PJU Total Paid for ELECTRICAL: $48.34 $48.34 FIREPLACE 101-0000-42400 0 $145.03 $145.03 10/28/14 R2506 2882 CHECK DANIEL FRENCH SKH FIREPLACE PC 101-0000-42600 0 $217.55 $217.55 10/28/14 R2506 2882 CHECK DANIEL FRENCH SKH Total Paid for FIREPLACE: $362.58 $362.58 SMI -RESIDENTIAL 101-0000-20308 0 $0.91 $0.91 10/28/14 R2506 2882 CHECK DANIEL FRENCH SKH Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $0.91 $0.91 TOTALS: PARENT PROJECTS BOND INFORMATION Printed: Monday, December 01, 2014 11:25:25 AM 2 of 3 CA?WsrsTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED DATE COMPLETED DATE RESULT REMARKS NOTES FINAL*" FRAMING JFU 11/24/2014 11/24/2014 APPROVED DOES NOT INCLUDE FIREPLACE FRAMING. ROUGH ELEC JFU 11/24/2014 11/24/2014 APPROVED PARENT PROJECTS BOND INFORMATION Printed: Monday, December 01, 2014 11:25:25 AM 2 of 3 CA?WsrsTEMS DESCRIPTION FINACIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING 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 DATE SMI - RESIDENTIAL 101-0000-20308 0 $0.91 $0.00 PAID BY, METHOD RECEIPT # CHECK # CLTD BY Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.91 $0.00 TOTALS:00 Description: REMOVE DOOR WINDOW AND ADD FIREPLACE CHRONOLOGY Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: APPROVED Applied: 10/20/2014 MFA Approved: 10/28/2014 SKH Parcel No: 774034026 Site Address: 53355 AVENIDA JUAREZ LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 182 Lot: 6 Issued: UNIT 18 MARY FASANO 10/20/2014 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $7,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: REMODEL- REMOVE 1 DOOR AND 1 WINDOW, ADD FIREPLACE. 2013 CALIFORNIA BUILDING CODES. Printed: Tuesday, October 28, 2014 2:47:32 PM 1 of 2 CR SYS iEMS CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES PLAN CHECK SUBMITTAL RECEIVED MARY FASANO 10/20/2014 10/20/2014 CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT DANIEL FRENCH 53355 AVENIDA JUAREZ LA QUINTA CA 92253 ( CONTRACTOR OWNER ( OWNER DANIEL FRENCH 53355 AVENIDA JUAREZ LA QUINTA I CA 92253 1 ( Printed: Tuesday, October 28, 2014 2:47:32 PM 1 of 2 CR SYS iEMS Printed: Tuesday, October 28, 2014 2:47:32 PM 2 of 2 N?WSYS 7EM5 BOND INFORMATION CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: FIREPLACE 101-0000-42400 0 $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 $0.91 $0.00 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.91 $0.00 TOTALS:•i INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE FINAL** PARENT REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED REVIEWS STATUS REMARKS NOTES DATE NON-STRUCTURAL TOM 10/20/2014 10/28/2014 10/28/2014 APPROVED Owner called. Ready to issue HARTUNG Printed: Tuesday, October 28, 2014 2:47:32 PM 2 of 2 N?WSYS 7EM5 BOND INFORMATION ATTACHMENTS Printed: Tuesday, October 28, 2014 2:47:32 PM 2 of 2 N?WSYS 7EM5 I W I �w . .0 s _ O *53355 Avenida '.e:a. 'CUinta, CA -9225+3, USA f f � �yr1 46 All - 10 *'0 � glee H�A's Monessen Hearth Systems Company Woodburning Fireplace Models: S1338, S13381-113, S13441 644H6 Installation, Operation and Maintenance Manual for Residential Installation SAFETY NOTICE: IF THIS APPLIANCE IS NOT PROPERLY INSTALLED, OPERATED AND MAIN- TAINED, A. HOUSE FIRE MAY RESULT. TO REDUCE THE RISK OF FIRE, FOLLOW THE INSTALLATION INSTRUCTIONS. FAILURE TO FOLLOW INSTRUCTIONS MAY RESULT IN PROPERTY DAMAGE, BODILY INJURY OR EVEN DEATH. CONTACT LOCAL BUILDING OFFICIALS ABOUT RESTRICTIONS AND INSTALLATION INSPECTION REQUIREMENTS IN YOUR AREA. Only unvented gas log sets which have been found to comply with the standard for unvented room heater, ANSI Z21.11.2, are to be installed in this fireplace. When an approved ANSI Z21.11.2 Unvented room heater is installed in this fireplace, an H2863 canopy must also be installed. WARNING: Do not operate an unvented gas log set in this fireplace with the chimney removed. NATIONAL We recommend that our woodburning FIREPLACE INSTITUTE' hearth products be installed and serviced by professionals who are certified in the U.S. by the National Fireplace Institute® (NFI) as .NFI Woodburning Specialists or who are certified in Canada by d CERTIFIED Wood Energy Technical W od En/Tr9alning www.nfloenlflea.org Training (WETT). .. -. This fireplace is UL listed for use with the 11CF S C(DusUOL LISTED co"(5r*tR ejgFgqe� BUILDING & SAFETY DEPT. APPROVED ► PPRO /E D0057 /10 Rev. 7 FOR CONSTRUCTION DATE Z� �'By *T' 13 318" 0. D. OUTER PIPE f 1' 1.D. FLUE 4-41�` AM $paigd —•— I r :. y 46Sa8 20 M' GIM N SION r II _ M-- ,*A — t : 6S t18'"--� FIREPLACE OPENING Front opening width: 44" Front opening height: 27" TECHNICAL INFORMATION Flue Series (Std.): 11 CF Double Wall Chimney Flue Size: 11" Inner; 13-3/8" Outer Clearance to Flue: 2" Firestop Framing: 17-1.12" x 17-1/2" Minimum Flue Height: 15' Maximum Flue Height: 86' Minimum Height with 2 Elbows: 15' Minimum Height with 4 Elbows: 21' Clearance to Fireplace: 1- 1/2" Minimum Hearth Size (D x L): 20" x 68" UL/ULC Design Certified FACTORY INSTALLED OPTIONS Refractory firebrick: SB44 Refractory Herringbone firebrick: SB44HB FIELD INSTALLED ACCESSORIES Glass Doors: GDB54 (Blac't), GDPB54 (Polished Brass), GD545S (Stainless) Outside Air Kit: AK4, FP4U, 403 Terminations(Std.): RLTCFI I, RLTCF11 L, SLTCF11 & Traditional Chase Shrouds MAnF IN II.0 A. CpP VIM 41 life' FRONT viEW r GAS LCN£ OPENING OLF '1 AIR 9PEA7N 1asn6° d7'r'�• - ' 113W 15 low,- ME VIEW_ Framing dimensions in illustrations accommodate 1/2" finishing material. . H7_APPRWO�" LA& SAFET, A Brand of Monessen Hearth Systems Co. 149 Cleveland Drive, Paris, Kentucky 40361 om � �/ ! _L n �[ , �7 www.monessenhearth.c FIREPLACE LOCATION. SB38 / SB44 Series WoodburningFireplace .CAUTION: Do not install fireplace over carpeting. This fireplace does not weigh more than large pieces of furniture and can normally be located near a load bearing wall without requiring additional foundations or supports. If however, the fireplace is to be trimmed with a heavy stone or brick facing and hearth extension, be sure the supporting structure is adequate. Figures 5, 6 and 7 provide dimensional details of the fireplace, required spacing to combustible walls, and some suggested fireplace locations. When selecting a location, choose one that is away from frequently opened doors, central heat outlets or returns, or other places where air movements may disturb the airflow around the fireplace. Air turbulence near the fireplace may cause smoke to spill out of the fireplace opening. ! 4 603/4" Minimum +, SB38 / SB38HB Figure 5 6415/16" Mi 1 X IV '4 01 �°�4b .�• Corner Installation' \CITY OF LA QUINTA <fBUILDING & SAWE rBWEr. Figure 6 APPROVED 87DO057 I DAT E/o / BY 7A 11/2" Minimum Air Space Clearance --- I 1'111; ;1-11��11l1'1 ►1 HU M. _. 11 17=74 ►. _. *Applies when Glass Doors are not installed **Applies when Glass Doors are installed Side Wall Installation 11/2" Air Space F Clearance *Applies when Glass Doors are not installed *"Applies when Glass Doors are installed Side Wall Installation a �C)0. ov 210 9 0.57�1 FP1879 FP2237 HU M. _. *Applies when Glass Doors are not installed *"Applies when Glass Doors are installed Side Wall Installation a �C)0. ov 210 9 0.57�1 FP1879 FP2237 SB38 / SB44 Series Woodburning Fireplace FIREPLACE DIMENSIONS 28" 11" ID Flue ___________________ 93/4 133/6" OD Outer Pipe 263/x" Required 1'/z"%/ X11, 165/x" Air Space ' 9/16" r 1/8 527/6" 49MG 38" Figure 1 �j'— 47,/6" SB381 SB38HB 11" ID Flue 34° - 133/6" OD Outer Pipe ' Required 1 119V 77 Air Space � 1 263/6" 49/1s"— Figure 2 SB44 / SB44HB 9/16" 11'he" 527/6" 27" 35'/,6" 81/16" 1 53/8" s" 537/x" Gas Line Opening Outside Air `Opening 103/,6" 113/6° 1578/3x" I Ci - e I OF LA�:C�.UINT'A ANG•& SAFETY DEPT. Fl.n PIPROVED OIC CONSTROCTION Df %A -T /p BY Gas Line Opening I- Outside Air Opening 103/16" 113/x" 1519/32" 6 87DO057 CHIMNEY INSTALLATION SB38 / SB44Series Woodburning Fireplace Figure 20 �Ivlm �Ai4#4e, 6 S-rcic� � �rlQs� MIDI/ NOTE: Flue outlet should be two feet above all portions of the building within ten feet as shown in Figure 20. The chimney must not extend more than 90 inches above the roof without additional support. 1. Lay out, cut and frame openings through all ceilings and the roof at the point where the chimney will pass through. Unless the chimney is to be offset, the pointwhere the center line of the chimney will pass through the ceiling and roof can be determined with a plumb line as shown by Figure 21. The fireplace should be located in the planned installation position. After the center line is established and a nail is driven to mark the point, the opening can be cut if you are satisfied with the chimney location relative to ceiling and roof joists and/or any other obstructions. The roof opening center line should be marked by driving a nail through the roof from underneath that will penetrate the roof and can be located from the rooftop. If the chimney is to penetrate a pitched roof, the hole in the roof must be rectangular instead of square and should be sized according to Tablet. 2. Install the firestop spacer as required from beneath the ceiling unless the space above is attic space. In an attic, 'the firestop spacer should be installed at the floor level of the attic. You must have joists or headers on all four sides of the spacer and use a minimum of four 8 -penny nails to secure the spacer. 3. To install the chimney sections, insert the male end of the flue, the smallest diameter pipe, into the flue outlet of the fireplace and press down until the snap locks engage. Continue the process, adding the chimney sections on top of each other until the chimney is at least six inches above the roof opening on all sided. As the chimney sections are installed, check each joint to make sure it is properly locked to the previous section. If additional strength of the outer pipe joints is desired, you may use two or three sheet metal screws placed through the area where the outer pipes overlap one another. To install these screws, drill a 1/8 -inch diameter hole through the chimney sections, taking care not to penetrate the inner flue pipe. WARNING: Be very careful when drilling the holes into the outer pipe. The drill must not penetrate the inner stainless steel pipe. NOTE: If you intend to have a total fireplace installation of more that 30 feet you must use chimney support model 11 CS at or below 30 feet to support the weight of additional chimney pipe. To install the chimney support, place the crimped end of the flue and outlet air duct portions into the last section of chimney pipe. Push down until the outside or inlet air duct of the chimney support overlaps and snap locks the chimney support into the chimney section. Nail the support straps tightly to a building frame member or ceiling j . You must use at least two 87 -penny nails per strap. CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED Kt 87D0057I DA 0 / B � I 19 r `05.r4a jp&*r--t- S'r&p C,3� C��4��� Pt's s Pees jw`'f- im / lwiA AK m Avu Fac ri4'2695 �t1N rj 12 e 4-6 1LV ,p1S71AAj jutsf-(�3 e,.c,?s fpe comft,-Q-A 'aAe �ov;l Ta Be I.,Zm w 1-14 sTacD -' oma./ �•� >1 ' R Qu k fb �12C7t� •moi$(-ltuC�.(7U-TZ.�i 0---; 7--2- � �a CITY OF LA QUINTA BUILDING & SAFETY DEFT. .APPROVE® FOR CONSTRUCTION DATE of F BY :EA n 4 iV5 Tip E vE� A��e '. To S jc�a A LAiEQ .Dar's /V1 �N IM� rt W ITt,C, 1. e4zTt4 P,6/� yH Av�f F,ac �?S I EiCr �O� S � ec s ,ge ""j- 410w04' �- R,F4u/&rb AAlb ke4olLl/,p67W6 041 m CITY OF LA Q1 INTA BUILDING & SAFETY DEPT. APPROVE® FOR CONSTRUCTION DATEJ BY :12� E Y, � STI NCS i 2 �q w ITH S-TuL ,.0 Eriei?,Ioz CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVE® FOR CONSTRUCTION DATE�� T'dY 4 ,(P'Quhta P.O. BOX 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT (760)777-7012 FAX (760) 777-7011 z PROPERTY OWNER'S PACKAGE 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 listing yourself as the builder of the property improvements specified at S33S� Act=J._,t&A JypL),�--2 4A ( �,�q CA Ci2�� 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. . 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously imphei 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. 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. 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 own. 4. I understand Contractor's are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. Ty 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" under state and federal law. f 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. 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. 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 owner(s) that result from any latent construction defects in the workmanship or materials. �(-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. I 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 proosed construction activity at_ the following address: LY -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. 12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have 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 perm' . ote: A copy of the property owner's driver's license, form notarization, or other verification acceptable to th genc is -T- s to be presented when the permit is issued to verify the property owner's signature. 'moi Signature of property owner Date: 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): ( E _ACJF— 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 information 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 owner's signature. Property Owner's Signature: Date: Bin # -. Qty of La Quanta -Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico. La Quints,CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # W ?A) V Project Address: Owner's Name: LAm F ENic—H A. P. Number: Address: 533 Sv Au I bA Q Legal Description: City, ST, Zip: (Ap V ( CA 22,'3 Contractor: Telephone: � Address: Project Description: City, ST, Zip: E*- t W i N C;Oc� Telephone: d vi c)C, ACJ Abb State Lie. # : City Lie. #; Arch., Engr., Designer: Address: City., ST, Zip: ' :i:�iv� . -F i,:::{:::}rjj:)';iYi:�;.; iiiy-i:. r i. .....: Telephone: ::..><>:?::.>.:;:><.< i><::<:::<->.: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Tel of Contact Pe ' - _ O Telephone #4r`f�'~. Estimated Value of Pro ect: - APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets PIan Check submitted Item Amount Structural CACS. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for correctionsfissue -Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for corrcctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees • 67 Total Permit Fees