0212-182 (CCOM)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that) 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. Date
e 1SKII B
3 1r 3
date r+ i=� a `' Signature of ContractorY,
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:
STAIR Tt�
,df' R FLMD Policy No. E ".* 2003 .
(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.1 should become
subject to the workers' compensation provisions of Section 3700 of the Labor
C lde, I shall forthwith comply with those, prov&s&,ons./
ate: ' '� -^ �4pplicant •�°" 71.
r' �•:; -•
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 to
any permit issued as a result of this applicaton agrees to, & shall, indemnify I
& hold harmless the City of La Ouinta, 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.
igS nature (Owner/Agent) Date &s` 2
-PERMIT# '
BUILDING PERMIT X.6124 -¢.
DATE -• VALUATION $1.10,'-M-1.60 - LOT', 'Ilk TRACT 29y894.2
.
JOB SITE
sx �,d 11 F7.i.uwa .!;-w 'Zr..Z r 1APIME
APN 3' • , ;t<a(j.{i'f t3
ADDRESS
OWNER
CONTRACTOR/DESIGNER/EN &NEER
I-1CJ0AV144,07:.53.
3�-fu��
7111-1 CRU 0 4218
USE OF PERMIT
_ -- - --_
:6itS —aoft co•„ !�.ew.. i r r r. + .ne,- �, vte :•� any .
MIN wi.E1, S.tV.300A ,
or <;`.rmT"uaS3f:,T:4'T4� .,
:t 10,844A)
CONV RUVI`i•16N Y , - 101-000-418-00P 8-00P . S07100
PLAN CNiL:t:K h1"ss� -318
MECH4 HICAL'ti'i:< 1(,9'lmr7CaU•'b i-fDC� 3 fk.,Mlt
2LUNCTRICAL kf` * t. I01.4;; 0-420-M-0
`K�t�aN€i $fiOTIco, '.al'•;z - Irom l.l (M-000-441.000
KfRALIlPaC>1FE 1't"1•000-423-00
RIVE9 1'L�:AT1,011?, 1-W
,�,•,�__._.�...:......_... •c �xV Xv n7:a.tL.t'.1C.1.7.i�.a�t 'l"aSVD Kt::V f4 z:.,r.Cv
1 .r ug.
+x.00
TOTAL FUMAI'MSTME1
riAY 21 2003
CITYOLb TA
FINANCE DEPT:
RECEIPT
DATE /Efe}�w
BY �- .�_
DA FINA ED
INSPECTOR
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.Q.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
POOLS - SPAS
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
OX for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
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)
COMMENTS:
.X
r.,
14
Bid #
� ]�City
of La Q uinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinca, CA 92253 - (760) 777-7012
Building Permit Application and Tracking, Sheet
Permit #
Project Address: S2, cki%vner*s
Name:
4)b A A Qo)�+A z4&gv—
A. P. Number:
Address:
Address: /00
Legal Description: M.4_D gq/,5q q
ST. Zip: Q(44 2Z53
Contractor: t�-b �,,A PAl4 NaL LC
�Krelcphone: paO
Address: 91- 10O
*Project Description:
City. ST. Zip: ),A0",C-"tA 22
(2, PA P;",Z,
Telephone: -)7- 71 -/op
State Lic. # Citv Lic. =-.
Arch.. Ener.. Designer:
Address: $*711
City. ST. Zip: fkm:
-419
Telephone:
. . .........
.. ....... ..... .
... ......... ..
Construction T%,pe--*' OccupaFncy:'� 7 Ozj
State Lic.
Project t\ pe trcle one): New Add'n Alter Repair Demo
V Name of Contact Person:
Sq. F.:Aq0n Jt!Stories:
T4
Units:
t Telephone # of Contact Person: -260 -,q 75. 77,12,1
[*Estim\'1�,e or Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TPUCKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural CaIcs.
Reviewed. read} for corrections
Plan Check Deposit
Truss CaIcs.
Called Contact Person
Plan Check Balance
Title 24 CaIcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd 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 corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Coachella Valley Unified School -District
83-733 Avenue 55, Thermal, CA 92274
(760) 398-5909 = Fax (760) 398-1224
I
This Box For District Use Only
DEVELOPER FFES PAID
AREA:
AMOUNT
LEVELONEAMOUNT:
LEVEL TWO AMOUNT:
MITIGATIONAMOUNT:
COMMAND. AMOUNT:
DATE:
RECEIPT:
CHECK N:
INITIALS:
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Name: Date: May 7, 2003
Owner's Name: NRI-LQLP, Golf PRP, LLC Phone No. 760 275-7721 "
Project Address:' 52-462 % Village Club Drive
Project Description: Installation of temporary Storage for Golf Carts
APN- 772 410 010 Tract #:
Type of Development: Residential
n
Commercial )
Total Square Feet of Building Area: 4993—
dustrial
Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under
penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer.
Dated:-_' ,ff, 6- O 3 Signature:
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE,TROJECT HAVE BEEN OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE)
Education Code Gov. Code Project Agreement Existing
'17620 65995 Approval Prior to 1/1/87
Note:
Number of Sq.Ft. 4993
Amount per Sq.Ft. $ 0:00
Amount Collected $ 0.0
Building Permit Application Completed: Yes/No
By: Carey M. Carlson, Asst. Supt., Business Services
Certificate issued by: Mareela Valdez, Facilities_ Clerk Signature:
Not Subject to Fee
Requirement
• r'
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a writte noti to the
project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the impose n of these
Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to
advise you that the 90 -day protest period in regard to -such Fees or the validity thereof, commences with the payment of the fees or performance of any other
requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this
time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of
Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up
to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project that is the subject
of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance.
�tV:cimydoes:`cleeleF i'certiiicxte o.f comphimce. iorni Uiblecl70 USE.dvc 1/16/03 T
r RECORDING REOUL•'d10 dY
C' tST AMERICAN TnLE`COMPANY ` / }
6USOW s ON OEPAKIyi 1
` RECORDING. REQUESTED BY AND j
WHEN RECORDED RETURN TO. r
Morgan; Lewis & Bockius
300*South Grand Avenue, Suite 2200 Doc ' a - 2002--S 11323
Los Angeles, California 90071 08/13/2092 08:000 Fai:38.00
Attention: Anthonyiasulli, Esq. Pae: 1 of. Doe T Tax Pard
y Q Rscoodsd in -official Rseords
County of Rrv,orsrds r
Gary L. Orso
Assessor, County C ark & Recoader
MAIL TAX STATEMENTS TO:
• ND La Quinta Partners, LLC,
11111111111111111111111 11111 11il 1111111111 Hill 11111111
375 North FrontStreet,,,Suite 200
Columbus; Ohio 43215
(Space Above this Line
' M S U
PAGE SIZE 'CA ! PC.0
NOCOR SMF -
MISC.
LA -I R
LONG
REFUND NCIiG
E%AM
GRANT DEED
E
FOR, A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, NRI-LQLP
GOLF PROPERTIES, LLC, a Delaware limited liability company ("Grantor") hereby grants to
ND LA QUINTA PARTNERS, LLC, a Delaware limited liability company, that certain real
property located Riverside County, State of California, which is more fully described in
Exhibit A attached hereto, and hereby made a part hereof,
SUBJECT TO all covenants, conditions, restri6tions,'rights, rights-of-way, easements,
encumbrances and other matters of record, or of which a survey or inspection of :such property `
would give notice, as of the date hereof.
t
Dated: September 2002 "NRI-LQLP GOLF PROPERTIES, LLC,
;a Delaware limited liability company
,By: Nationwid altyInvestors, Ltd.,
a an Ohio 1' ite liabilit ompan y,
its m ng ember
By:
Brian Ellis
President and Chief Operating Officer.
i
Y f
I•LAi630634.1
i
STATE OF OIQ )
COUNTY OF ) ss: °
On this day of02, before me personal y aPPeared-DQVL .� • E I t
personally, known to me (or proved to me on the basis of satisfactory evidence) to be the person
whose name is subscribed to the within instrument and acknowledged to me that he/she executed
the same in his authorized capacity, and that by his/her signature on the instrument the person, or
the entity upon behalf of which the person acted, executed the instrument.
TTNESS my hand and official al.
Notary blic
i AOC11wat� REGOdARHMORMOND
W"POKSWO10WO
My WIM
IHK ND
#
TF OF 0.
II ! f I i I . } +• 2882-511325
'llll IIIII� IIIII� ILII IIIII II1I �II�III SII ILII III+ III)
13/22982
4e 68R
1-LA/630634.1 2
Y/
OF T e
• iii ,
To Greg Butler, Building & Safety Manager
iP To CDD: 1•Z 0 3
F
t From: , Planning. Due date: 1-4. 03
a ,
{ StatuS: /� -vie4
Building Plans Approval
;y -
(this, is•an approval to issue a Building Permit)
The Community Development Department has reviewed the Building Plans for
the following project:
Description: TE,-t,ponAAY Ggry /3/gaN
Address or location. s 2 V� C . CCv/g ,v -
APN and/or legal description: %/y Z % 0,19 r
Th& Community Development Department finds that:
❑ �, ...these Building Plans do not require Community Development
De artment a
.r p pproval.
these Building Plans are approved by the Community Development
Department.
Planning Date
ii s ,
0
i
t
Z
OF MEM,O.RA._NDUM.
*0 t
To: Greg Butler, Building & Safety Manager.To .PWD: ,!Z • 03
�h
From: Steven D. Speer, Senior Engineer
Building Permit Release
(this is an approval to issue a Building Permit)
The Public Works Department has reviewed the following project:
G - 73�VZN
. Description: '
7G�-,���.o�n.,i ,
Address or general location: �� �f 6 2 �'' L�C;V'
�c
APN and/or legal description: % Z 9 5
The Public Works Department finds'that:
... issuance of this Building Permit does not require Public Works
Department .. 'E p approval.
® ... issuance*of this Building Permit is approved by the Public Works
M Department.
Steven D. Speer, Senior En gi Date
t
OF LA QUINTA
,SBUILDING &SAFETY DEPARTMENT:
777-7012
i� IN�SP CTION REQUEST LINE
•- :�:, ,r r:,
777-7153
. �
• Wner� ��-Nn-i nP T i ('
! Contractor . T 7 nu �t nn�mm�nrrwCivnz ice-
Permit Number 07117-187,;
'POST ON JOB IN COSPICUOUS•PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
" JOB ADDRESS 52-462 1/2 VILLAGE CLUB DRIVE
I 4,993 SQ.FT. TEMPORARY CART BARN, S-3 OCC. TYPE V -N
CONSTR, INVESTIGATIVE FEE ADMINISTERED PER 1997 U.A.C.
SECTION304.5. MINOR USE PERMIT EFFECTIVE TO 01/2004
t
TYPE OF INSPECTION DATE INSP-
" TEMPORARY POWER
• SETBACKS
U/G PLUMBING / WASTE
U/G ELECTRICAL / GROUNDING
FOOTINGS /STEEL
CONCRETE SLAB
J DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
t ROOF NAIL / PRE -ROOF
OKAY TO WRAP
' FRAMING COMBINATION
ROUGH ELECTRIC
ROUGH PLUMBING
' ROUGH MECHANICAL
INSULATION
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR.GYP• BD. DRYWALL
EXTERIOR LATH
GAS TEST
SEPTIC ABANDONMENT
• SEWER CONNECTION
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE /SETBACKS .
U/G PLUMBING
U/G U'AS
U/G ELECTRICAL
•PRE -PLASTER ALARMS /BARRIERS)
'
FINAL INSPECTION
TEMP. USE OF PERMANENT POWER
ELECTRICAL
x PLUMBING
' MECHANICAL
PUBLIC WORKS DEPARTMENT
COMMUNITY.DEVELOPMENT DEPT.
FINAL/ JOB COMPLETED .
ABOVE APPROVALS DO NOTANCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
Tom Tisdale
Fire Chief
Proudly serving the
Unincorporated
Areas of Riverside
County and the
Cities of:
Banning
.;.
Beaumont
.;.
Calimesa
Canyon Lake
40.
Coachella
Desert Hot Springs
Indian Wells
Indio
Lake Elsinore
La Quinta
Moreno Valley
.;
Palm Desert
.•.
Penis
Rancho Mirage
San Jacinto
.;.
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jim Venable,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
RIVERSIDE COUNTY FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
210 West San Jacinto Avenue • Perris, Calitornia 92570 e (909) 940-6900 . Fax (909) 940-6910
C of0 7LE7fflV0 T t /-00 • 03 -, -:�> �-tQ
June 17, 2003
City of La Quinta
Building Department
Re: Fire and Life Safety Clearance
LAQ-03-BP-005 / Hideaway Temp. Cart Bam
The Riverside County Fire Department is granting a fire and life safety clearance for the
Hideaway - Temporary Cart Barn located at 52-462% Village Club Dr., La Quinta.
FRANK KAWASAKI
Chief Fire Department Planner
By � A c�'
Walter Brandes
Fire Safety Specialist
loopc 60e4li"
bn1�3
EMERGENCY SERVICES DMSION • PLANNING SECTION • INDIO OFFICE
82-675 Highway 111, 2nd FI., Indio, CA 92201 . (760) 863-8886 . Fax (760) 863-7072
i EEB.12.2003 12:51PM
909 6BO 002B W. 603 P:2
PRONG INVANT MUCTURIS, INC.
Manufacturers of Engineered R®locatable- Structures'
z
www.sprutng,com
February 12, 2003
rel' ct Information
- ,
' Project:
The Hideaway -Temporary Can Baru
Area:
4,993 sq. ft.
Uses:
Cart Storage
. Occupancy:
S-3 ,
Occupant load:
4,993 sq. 1/200 =24.96=25
Exiting Requirements:
1 Bxit.(1 per side provided)
- Legal Description:
A portion of Lot W as shown amended tract 29894-2 as r6corded
December 12, 2002 Book 327 Pages 56-88 as recorded at the,County .
of Riverside
Assessor's Parcel Number:- 617-020-026, 617-020-028 and 617-020-029
1700 Iowa Avenue, Suite 290, Riverside, CA 92507
1.800.528.9899 o Office: (909)680.0024 a Fax: (902) 680.0028
® Allertlown, PA Atlartm.6A
°e Houston, TX • Indianapolis, IN *Los Anp les, CA 0 San Francisco, CA 0 Safi Lake CRR, UT,
FEB.11.2003 2:'03PM 909 680 0028 -,'NO. 567- P.1
SPIONG INSTANr STRUCTURr INC. n.
Manufacturers of Engineered Relocatable Structures
. www.sprung-com
10 February 2003
1VZr. Rubin Urrutia
The Hideaway
81-100 Avernue 53
La Quince CA 92253 "
Post -its Fax Note 7871
pia
/l A0 W0610 •r -
&en
From,
r%
ITbh
Co,/Dapt, • �GG /le
Co.
mam;�fr#
Rhona #
J�� �`�•cs ..
aw # r
Fax #
:•
s
Re; 2 30' x 90' Cart -Facility
Dear Mr. Urrutia;
• In regards to the actual square footage of the Sprung structure located at your site. I spoke to our,
engineering department and they calculated the two structures, including the connecting corridor, '
to be at 4,992.44square feet.' `
E pax mple: W
The rectangle area of each structure is: 1,816.17 square feet
Each triangle for the ends is 83.54 square feet by. 8 triangles is: 668 square feet
Total square footage per structure: 2,484.47 ,
Total square footage Second Structure:. 4.4
Total square,footage for both structures: 49968.94
Connecting Corridor 9'-5" wide by 2:5' long 23.5
Total square footage for the Cart Facflfty 4,992.44. r
I hope this will clarify the actual square footage of the Sprung structures located at your site in Iia '
Quinta, CA. If you have any questions, please do not hesitate to call us. '
Thank you,
SPR UNG INSTANT STR UCxURES, INC.
Terry Fortnentera '
Sales Nfanager
1700 Iowa Avenue, suite 290, Riverside, CA 92507
1-800-528-9899 •00ice: (909) 880-0024 • Fax: (909) 880-0028
a Allentown, PA • Atlanta, GA • Houston, 7X • Indianapolis, IN •Las Angeles, CA a San Francisco, CA 'a Galt Lake City, UT
Use :
AlrChan es
Banquet/Clubhouse
6
art Storage + -
6
ointeuncd*
3
Other
6
Proshop •�,
6
"' . Use"
AirChanges
Assembly
6
Office Space.
6
Other
3
Production
.6
Warehousing ` -
2
I a..
HEhL HEAD
(TYP.) 4 r (TYP.)
� I
1.= LISTED j_ LISTED
HEIGHT � HEIGHT
LISTED I 1 MINUS'. i ' MINUS';:"
T- LISTED 1-
HEIGHT T j HEIGHT I '.
PLUS 1?%" REMOVABLE I MINUS 1/4" i `REMOVABLE
ALUMINUM I j ALUMINUM
4- (TYP.) BIRD j OPENING I 4" (TYP.) BIRO OPENING
OR I EQUALS OR EQUALS
x LISTED LISTED
* INSECT I HEIGHT j =• INSECT HEIGHT
��-SCSCREEN !REEN
x (AS SPECIFIED)' I x (AS SPECIFIED)
x x
RAIN. x RAIN r
HOOK' ; REINFORCING HOOK = REINFORCING
BRACE BRACE
# (ASREO'D) x (ASREO'D)
x
''a" 45` x 45• z
FLANGE _ -
OVERLAP
s 5%'SILL
CAULK (BY OTHERS) (TYP.) \- CAULK (BY OTHERS) SILL
(TYP.) P.)
TABLE 1
3
FREE AREA IN SQUARE FEETT'
H
HEIGHT
IN
INCHES
12
16
20
2
0 28
32
36
40
W - WIDTH IN INCHES
-44 48 52 56 60 64 68 72 76 80- 84 88 92 96
12
.2
.3
.4
.4
.5
.6
.7
.8
.9 1.0 1.1 1.2 1.2 1.3 1.4 1.5 1.6 1.6 1.7 1.8 1.9 2.0
16
.3
.5
.6
.7
.9
1.0
1.2
1.3
1.4 1.6 1.7 1.8 2.0 2.1 2.2 2.4 2.5 2.7 2.8 2.9 3.1 3.2
20
.5
.6
.8
1.0
1.2
1.4
1.6
1.8
2.0 2.2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.2 4.4
24
.6
.8
1.1
1.3
1.5
1.8
2.0
2.3
2.5 2.8 3.0 3.2 3.5 3.7 3.91 4.2 4.4 4.7 1 4.9 5.2 5.4 5.6
28
.7
1.0
1.31
1.6
1.9
2.21
2.5
2.8
3.1 3.6 1 3.7 4.0 4.2 4.5 4.8 5.1 5.4 5.7 6.0 6.3 6.6 6.9
32
.8
1.2
1.5
1.9
2.2
2.61
2.9
3.3
3.6 3.91 4.3 4.6 5.0 5.3 5.7 6.0 6.4 6.7 7.0 7.4 7.71 8.9.
36
.9
1.4
1.8
2.2
2.6
2.9
3.3
3.7
4.1 4.5 5.0 5.3 5.7 6.1 6.5 6.9 7.3 7.7 8.1 18.5 8.9 9.3
40
1.1
1.5
1.9
2.4
2.9
3.3
3.8
4.2
4.7 5.1 5.6 6.1 6.5 6.9 7.4 7.8 8.3 8.7 9.2 9.6 10.1 10.5
44
1.2
1.6
2.2
2.7
3.2
3.7
4.2
4.8
5.6 5.7 6.2 6.9 7.2 7.7 8.2 8.7 9.3 9.7 10.2 10.7 11.2 11.7
48
1.3
1.9
2.5
3.0
3.6
4.1
4.7 . 5.6
5.8 6.3 6.9 7.5 8.0 8.5 9.11 9.6 10.2 10.8 11.3 11.8 12.4 12.9
2
1.5
2.1
2.7
.3
3.9
4.5
5.1
5.7
6.31 6.9 7.5 8.11 8.7 9.3 10.0 10.6 11.2 11.8 12.4 13.0 13.6 14.2
56
1.6
2.3
2.9
3.6
4.2
4.9
5.6-
6.2
6.91 7.5 8.2 8.8 9.5 10.2 10.8 11.5 12.1 12.8 13.4 14.1 14.8 15.4
60
1.7
2.4
3.2
3.9
4.6
5.3
6.0
6.7
7.41 8.1 ' 8.8 9.5 10.3 10.9 11:7 12.4 13.1 13.8 14.5 15.2 15.9 16.6
64
1.8
2.6
3.4
4.1
4.9
5.7
6.4
7.2
8.01 8.7 9.5 10.2 11.0 11.8 12.6 13.3 14.1 14.8 15.6 16.3 17.1 17.9
68
1.9
2.8
3.6
4.4
5.2
6.1
6.9
7.7
8.51 9.3 10.1 10.9 11.8 12.6 13.4 14.2 15.0 15.8 16.6 17.4 18.3 19.1
72
2.1
3.0
3.8
4.7
5.6
6.4
7.3
8.2
9.0 10.0 10.8 11.6 12.6 13.4 14.2 15.1 16.0 16.9 17.7 18.6 19.4 20.3
76
2.2
3.2
4.1
5.0
5.9
6.8
7.7
8.7
9.6 10.5 11.4 12.3 13.3 14.2 15.1 16.0 16.9 17.8 18.8 19.7 20.6 21.5
80
.2.4
3.3
4.3
5.3
6.2
7.2
8.2
9.2 10.1 11.1 12.1 13.0 14.0 15.0 16.0 16.9 17.8 18.9 19.9 20.8 21.8 22.7
84
2.5
3.5
4.5
5.5
6.6
7.6
8.6
9.6 10.7 11.7 12.7 13.7 14.8 15.8 16.8 17.8 18.9 19.9 20.9 21.9 22.9 24.0
88
2.6
.3.7
4.8
5.8
6.9
8.0
9.1
10.1 11.2 12.3 13.4 14.4 15.5 16.6 17.7118.7119 , 8 20.9 21.9 23.0 24.1 24.2
92
2.7
3.9
5.0
6.1
7.3
8.4
9.5 10.6 11.8 12.9 14.0 15.1 16.3 17.4 18.5 19.6 20.8 21.9 23.0 24.2 25.3 26.4
96
12.9
4.1
5.2
6.4 1
7.6
8.8
10.0 11.1
12.3 13.5,1 . 4.6 15.8 17.0 18.2 19.4 I 20.5 121.7 22.9 24.1 I 25.3 I 26.4 27.6
3
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westvent®
1 lLUyf u�sIEtSAneNs ,
CONST. 6063-TS.EXTRUDCD ALUMINUM, WELDED ASSENBLY
FRAME — 4" X 1" X •081". (101.6MM X 25.4MM X'2,1mW) EXTRUDED
ALUMINUM CHANNEL '
BLADES - 4" X .081•, ()0.6µM .Y 2.IMM) EXTRUDED] ALUMINUM' SET AT
SPECIAL • 45': 4.5'` (1i4.3MM) SPACING �' ••
COMBINATION s`R" - .s' x .s" (12.7MU X tz7MM) z tE CAUCE GALVANIZED,
SCREW FASTENED ON INSIDE BACK
ALUMINUM LOUVER • FINISH — MILL ALUMINUM 1 .
XC -445 I �.
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5M`COMMERCIAL ALUMINUM k)�MIANGLE?MIT[RE000RNFRS(NT SHOWN)
PARALLEL BLADE, DAMPER
PBX -4H6 8iI
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DAMPER SPECIFICATIONS
CONST__ — EXTRUDED ALUMINUM. WELDED FRAME. MITRED CORNERS.
INTAXE MODE GUSSETS. MULLION AND SPREADER BARS ON ALL SECTIONS
4 A8' (1219.2MM) AND LARGER
FRAME• — 4.S" X .75" X .125" (114.3WM X 19.1MMix 3,2MM) EXTA.
ALUMINUM
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Q EXTRUDED ALUMINUM. 5.8" (147.311M) BLADE SPACING
.yz. W&L,. SEALS - DUAL DUROMETER VIUIYL BLADE SEAL. -40': F. TO r2DO' F.•
o S.S. SIDE SEALS
SHAFTS .S" (12.7MM) DIA. C.R. PLATED STEEL
1 BEARINGS - '.S" (12.7MM) OIUTE BRONZE BUSHINGS
1 LINKAGE - INSIDE AIRSTREAM, ROD TRAVEL 5.25" 0 33.&MM)
1 DRIVE - _5" X 10" 017MM X 254MM) C.R. PLATED STEEL
1 1 SWAFTEXTENDING 6" (152.4MM) OUT OF FRAME
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I 1 FINISH- MILL ALUMINUM
CONTROL - NF120 MTD- BEUMO 120V, ON/OFF, APR. RET, 60" #
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1�
0 20 -GAUGE GALVANIZED STEEL
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c 1 a TECHNICAL NOTES '
'MAX. REWC. INTAKE VEL.— 500 FP.M THROUGH FREE AREA
MAXIMUM TEMPERATURE 200 DEC. FAHRENHEIT
1 LEAKAGE - LESS, THAN 5X. AT 4" W.G.1
SHIPPING WEIGHT - APPROX 10 LB/SOI FT.
®I 1 LARM SIZES MULTIPLE SECTIONS WILL BE PROVIDED FOR
U I REASSEMBLY BY OTHERS
j COMBINED UNIT SITE
45" k 20" (1219.2 MM X 5013mm)
• COMBINED UNIT 15 MANUFACTURED 5" (12.74y) SMAL"R THAN ORDERED=
SIZE UNLESS EXACT DIMENSION ARE STATED
DAMPER- LOUVER
J�lV1L'IJ H,rvftu
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DATE: JANUARY 4, 2003
PROJECT:
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CUSTOMER: SP.�„S Sf♦4GfurCt
DISTRIBUTOR: W�af�. A •Pi�owe.- o
+ "1►651'YLN'! RL'SLrRVES TXE RlCNT TO MAU CAfANCB9 TO fhfPROVB OUR PRODUCTS WlTXOUT N0T/CP. JAVtf,IRY 4, 200J
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THE FOLLOWING` DOORS. ARE AVAILABLE AT EXTRA• CHA E: .
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7671
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Past Rm Fax Mote
7671
Datej ZIL 14-90,13S�
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From
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Plonnei
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Fax#F �o S�
X98
.FEB.11.2003 3:10PM 909 680 0028
N0.571 P.1
BENERAL INFORMATION
Domex centrifugal fans are designed for roof -mounted
installations in low to medium pressure applications.
They are available in a range of capacities:
DIRECT DRIVE
Direct drive models with performance to above
3000 CFM
STANDARD DUTY BELT DRIVE
Belt drive models with performance to above
20,000 CFM
RIBR CAPAMY BUT DRIVE
Belt drive models with performance to above
46,000 CFM
Domex fans are ideal for general purpose exhaust
applications including: bathrooms, garages, general
kitchen areas, offices, churches, dormitories,
factories, large warehouses and other relatively
clean air applications.
They feature a weather -resistant seamless spun
aluminum housing which works in conjunction
with a patented wheel design and deeply spun
inlets to provide smooth quiet air flow through
the ventilator. The centrifugal wheels are
aluminum, non -overloading, backwardly Inclined,
robotically welded, and dynamically balanced.
Designed for easy maintenance accessibility,
Domex fans accommodate a wide variety of
motor types. All units are fully assembled and
test run prior to shipping. Belt drive models are
pre-set to the RPM specified.
All models have been rigorously tested in our state-of-
the-art R&D lab. Penn Ventilation is registered for
AMCA Air and Sound testing and qualified for the
Underwriters' Laboratory Client Test. Data Program.
Pain yeMllollon
Post -it'. Fax Note 7671
r�ree�e
Phones s
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late
pages
ram
hone #
FEB.11.2003 3:13PM 909 680 0028 N0.571 P.2
MOTOR 111ECTION
Both direct drive and belt drive models are available
with a wide range of voltages and enclosures,
(See Motor Selection section for a complete listing),
Standard belt drive Open Drip Proof (ODP) ball
bearing motors are selected using a conservative
portion of the NEMA service factor. Standard direct
drlve ODP motors have Class B insulation and internal
overload protection, Each size is carefully engineered
to match the motor to the wheel capacity.
INTERNI( WIRING
All direct drive models with ODP motors feature a
polarized disconnect plug between the motor and
junction box. This provides a positive method of
electric shut-off. Belt drive units with ODP motors are
factory -wired between the motor and junction box.
For either direct drive or belt drive models, an electric
disconnect is available.
SOUND PERFORMANCE
Lowest AMCA licensed sound performance in the
industry. Units deliver outstanding air performance
with minimal noise.
CURB CAPS (BASE)
Curb caps for direct drive and standard duty belt drive
models are available in galvanized steel (standard) or
aluminum (optional). Curb caps for high capacity belt
drive models are available only in aluminum. All curb
caps have fully welded comers and are pre -punched to
ensure both a leak -tight and easy installation.
FORCED MOTOR CHUNG
Breather slots between the motor dome and
discharge apron enable fresh air to be drawn into the
motor housing during fan operation. This positive
cooling promotes longer life for motor and drive
components.
STRUCTURAE INTEGRITY
Durable housings of spun aluminum have a high
strength -to -weight ratio and incorporate a rolled bead
for additional strength. There are' no welds to break or
seams to leak.'The heavy -gauge motor mounting
platform provides positive rigidity between all
components of the power train assembly.
INTERNU BRACING
Tri-StrutTM supports transfer the weight of the motor
mounting platform directly to the curb mounting
surface. The aluminum spun housing, therefore, is not
used to support any weight.
Penn 1lentilotlon
FEB.11.2003• 3:15PM 909 680 0028
N0.571P.3
UST NA M MIlI E UM
By removing the fasteners, the motor dome lifts off
for complete access to all the drive train components.
Surf fif�l S11fiiS
Sized so the first critical speed is a minimum of 130%
of maximum cataloged operating speed, shafts are
precision ground, polished and treated for rust
resistance.
SEII-ulsNlr6 rE1RIr6S
Heavy-duty bearings are sized.for a minimum L50 life
in excess of 200,000 hours of operation. 100% factory
tested, they are designed for air handling applications.
ifY1�S � IflR
Pulleys are pre-set to the specified RPM. Cast iron
variable pitch pulleys are adjustable, allowing for field
balancing based on actual field conditions. All pulleys
are sized for at least 150% of the driven horsepower.
Yr>ulllr ISII1TIIi -
Multidirectional, rubber -in -shear vibration isolators
mitigate residual vibration transmission from the unit
to the building,
OPEN ON SCREEN
Standard on all direct drive and belt drive models.
pNlf�I
Both direct and belt drive units include a large
1 " nominal conduit chase for easy installation of
wring from the motor dome to below the curb cap.
urfaNrN �fIEEIS
Domex'fans offer patented wheel designs. Carefully
matched highly -tooled venturis enhance the
performance of these backwardly inclined and
non -overloading centrifugal wheels. Made of
advanced alloys, the various wheel components
provide superior strength and durabitity
Sih mt Wheel (Direct Drive and DX060. 058:110)
■ Blades' highly curved leading edge provide
unsurpassed low sound numbers with excellent air
performance.
■ Backplate and inlet are stamped for consistency,
plus dynamic balancing assure smooth vibration -
free operation.
• Riveted or riveted and welded construction ensure
superior dependability over other wheel designs.
Pale @Nlllaihe
4rlrat � Ilelr Cee�iiieline
Standard Duty, Ab Welded Wheel '
(S1eridard Duty Belt give)
■ Blades are curved for improved air performance
while increasing their strength and rigidity.'
■ Backplate and inlet are stamped for'consistency
They indude a perimeter rim which enhances
strength and improves balancing.
■ Wheel assembly is robotically welded to provide
extremely durable and Consistent perWmarice.
■ Wheel is dynamically balanced. Balancing weights
are mechanically attached to the inside of, the rims
of both the backplate and wheel inlet. This allows a
precise placement of the weights anywhere within
a full 3600 range on two separate planes,
without the possibility of detachment. .
AEY�SE IEIEwI '
Reverse venturi reduces turbulence and improves..
distribution of the air as it enters the wheel inlet and
is "captured" by the blades.
1
F'EB.11.2003:_ 3:.18PM 909 680 0028 N0.571 P.4
SPHK RESISTANT CONSTRUCTION
AM CA "B" construction is available for belt drive,
(standard on direct drive models). Please refer to
detailed information regarding AMCA Standards in
the Engineering. Notes section of this catalog. Select
specific explosion proof motor as required for
application.
60Ai0S
Guards are highly recommended whenever a fan
is mounted within seven feet of occupied space
and/or otherwise unprotected with ductwork. Each
application must be reviewed for OSHA compliance.
Pam Ventllailon • 218.818.8800
Prefabricated Curbs®
E •
A variety of sizes of prefabricated roof curbs is
available. For a complete listing of all curb types
and sizes available, please consult the latest Penn
Ventilation Curb Brochure,`
DOMEX Ulnlhe m Carb
T (sq.) e1
I��y •- R.0. (4) m
�1 A (sq.) -
Sidewall mors are apftild
DOMEX Curb Dimensions
MODEL
EM
S
.
TM
A
so
RR P1
54
'oemper
size
Gels.
steel
Gnu
DXNR
18.5
17
25
9
8.75
18
DXOSSIR
18.5
17
25
9
8.75
18
DX1WA
18.5
17
25
11.5
11.25
18
DXI1V1S/
18.5
17
25
11.5
11.25
18
DXI3VPB/R/
18.5
17
25
11.5
11.25
18
DX16VIS/R! 1 2
20.5
19
27
1 16
15.75
18
DX06 MOBB
18.5
17
25
1 11.5'
11.25
18
DX11BA
20.5
19
27
1 16
15.75
18
DX1281DX14B
24.75
2325
3125
16
15.75
18
DX168JDX18B
28.5
27
35
2D
19.75
18
DX248
33.5 •
32
40
25
24.75
18
DX308
36.5
35
43
28
27.75
18
DX36D
443
43
51
36
35.5
18
KB420
52.5 1
51
59
44
43.5
18
1848
59 1
57.5
653 1
50
49.5
18
M0542
63.5 1
62
70 1
55
54.5
18
Notes
1. Standard heights M are 8',12', and 18' Winfimg woad nailer.
2. T dimension of aab a l if' less thou the dimension of the Inde bug of the fan ('E')
I RA refers to the Roos Opening. .
4. 'E' dimension a the imide base of fun,
7
FEB.11.2003 3:21PM 909 680 0028 N0: 57,1 P.5
.
BELT
DRIft ` DATA
I
KEY DIMENSIONS
.
Models Dxo6s a flxoee
The following table -provides dimensional information
l(Dia.l
for Domex belt drive fans."
Model No. _ `t (DMaj.,
;1`111
P
Roof Opening
DX06B 21 T',
18I!&I
18%x.1B%
119xl19
DXOBB -�21%
10%
18XxiB%
11lfxlll4
,.
DXIIB 28%
251&
20 Xx 20 X
16 x 16
DX12B ,. 33 X'
29
24 9 x 24 X
16 x 16
OX14B " 33 X
29
24 Xx 24 X
16 x 16
�»---
E (Sq, Inside base)
DX168 39
31
28 9 x 28 9
20 x 20
•o OXI BB 39
31
2814 z 2B %
20 x 20
DX248 46*
339
33 903%
25 x 25
Models DXI1B, DXI2B, DXI41B, DXt6B,
OX309 531E
3514
36 Dox 361E
28 x 28
DX18B, DX248, DX308, 3 DX36B
DX36B 66.'
411
4414 x 44 X
3606
36
L (DIa)
KB420 63
31--
'52 Xx 521E
44 x 44
... •-.•
JB48 73
ON -
59 x 59
i0 x 50
M8542 98
50
63 Xx 63 X
55 x 55
All dimenxons are in inches.
_
H
* Outride dimension of curb should be I r
less than T dimenson.
-
•
E (Sq., ride base)
,
Models KB420, JB48,?i MB5.42
L (Dia.)
H
E (Sq,, inside base) .
14
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•. FEB. 11': 2003
•3: 36PM ,
909 680 0028
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NOMINAI AMPERE RATINGS
I
HP
115V
208V
230V
1/6
4.4
2.4
2.2
1/4
5.8
3.2
2,9
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8
The above values of full -load currents are for motors
running at usual speeds and motors with normal
torque characteristics. Motors built for especially low
speeds or high torques may have higher full -load
currents, and multi -speed motors will have full -load
current varying with speed, in which case the name•
plate current ratings shall be used.
The voltages listed are rated motor voltages. The
currents listed shall be permitted for system voltage
ranges of 110 to 120 and 230 to 240 volts.
The table data shown above is from the NEC 1996
clition, table 430.148.
Nam
KIP
24811
230V
1/2
2.4
2.2
3/4
3.5
3.2
1.6
1
4.6
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2
3
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5
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15.2i
6
7-1/2
24.2
22
10
30.8
261S
46.2
4220
59.4
54
25
74.8
68
rhe above values of full -load currents are ty ial for
motors running at speeds usual for belted motors and
motors with normal torque characteristics. Motors built
for low speeds (1200 RPM or less) or high tort>m may
require more running current, and muftl-speetmotors
will have full -load current varying with speed, fhwhich
case the nameplate current ratings shall be
The voltages listed are rated motor voltages. TI
listed shall be permitted for system voltage ran
to 240 and 440 to 480 volts.
The table data shown above is from the NEC
tion, table 430-150.
The amperages given here are approximate values only and represent averages compiled from the tables of lea
manufacturers. Overload relay heaters should not be selected on the basis of these tables only. Heaters must. be
accordance with the actual motor current as shown on the nameplate. It is also important that ambient tempera)
area in which the motor control is located be taken into consideration when making heater selections. Ambient 1
ed overload relays are available for abnormal temperature conditions.
NOTE; On most 1/ belt Penn roof exhausters the motor synchronous speed is 1800 RPM.
230
J in
the
We have tried to make this catalog as factual and comprehensive as possible. Following publication of this catalo -main
changes may have been made in standard equipment, options, and the like that would not be included. We reserve � right
to make changes at any time, without notice to specifications, options, models, availability, etc. Some of this info I may
have been updated since the time of printing. Your local sales representative is the best source for current infororati
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INZOVORATM
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J_f Building & SafoyDe ` artMent 'y r
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This Certificate is4issued-pursuant to the regwrements'of•Section_ 109 of the California�Building'
Code, -'certifying :that, .at the time :of `issuance, ; this structure was 'in % compliance With .the
tr --,°provisions' of -the'-Building~,Code' and:. the, various ordinances � of :the. Cit re ulatiii buildirr
5 construction and/or use: r - r _ _ ,- y ; g g + g
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BUILDING ADDRESS:.62-462'/2 VILLAGE--CLUB.DRIVE
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`-' Use classificatlon:•COMMERCIAL TEMPORARY GOLF CART'BARN ,, Building Permit No`:: 0212-182
. Occupancy;Group: 3_3 , r +J^ _. :T ' e of,Co ' ` .,- � , f f - _ _ r`, �` t, `•�'� ` ,• ,
tr ,. s yp nst'ruction: VN. Land Use Zone: RL
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Owner of Building: ND-LQP L'L`C, S4 _ ti ,
_ = Address: ALL PHASE CONSTRUCTION RU _.
Cit , ST, ZIP:, r
Y 82-822 VIA PALERMO .}
By BILL,GORDON "a
- Date: 6/10%03' ;.
f Building -Official
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POST IN A CONSPICUOUS PLACE.-,"-, ,