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09-1008 (SFD) RevisionsBin # City of La Quinta BMIdfng a Safety UvWw P.O. Box 1504, 78-495 Calle Tampko !a Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ' Oq O Project Address: Owner's Name: 12+o r—, A. P. Number: Address: 531D 20S S 7psvU Legal Description: city. ST, zip: qZ Contractor: Z Telephone: Address: 7� 2 �-� L Project Description: 1,j 6�vj 4j; p x t City. ST, Zip: T� , ft9- , OA _ 9 l SD s ---J C L V _ Telephone: aro ._$3 5 "T, N sto Y0 +T - State Lic. #: City Lic. C _ IV 0-r-1 � Arch., Engr.,DDesigner' �- VA 0- 1 tJ Address: 2d A-O'DT 1 -o-� To � TrT't- N- QG�l�-fL. O 40. City, ST, Zip: /� • &tom' 6lO0 12 � /k Telephone: 213 k,2 �- 7d02 State Lic. #: Name of Contact Person: A -,j e T- c t j Construction Type: 1.lN ST -9- Occupancy: Project type (circle one): New Add'n Alter Repair Sq. FL: . # Stories: j` # Units: Demo _r7930 Telephone # of Contact Person: 213 EsatValuof Project: APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check wboitted A Item Amount Structural Cafes Reviewed, ready for -ti -as / Plan Cheek Deposit Truss Cala. Called Contact Person �� Pian Check Balance. Title 24 Cales. p Pians picked ■p r Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'! Review, ready for correctionslissue Electrical Subeontactor LA at Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O-A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for correctionvissuc Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees 1� � COV AA LI y W I ! e w r F'!kocal Permit Fees - l% . d►p did it 6c - B6# City of La � Quinta Building 8z Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 2 Project -Address: S3o6 %Lo�S A -I/(= 'Owner's Name: e77C7-\4_17-1J (2—.& A. P. Number: 7— 6 — ,Vo _ c� rAddress �3(� �pS' Vass ocv e Legal Description: City, ST;,Zip: VA Contractor: �- Vv�zw.•� �--� /Telephone: ) Address: 114o kk kv.e -4k-'6V' Project Description: City, ST, Zip: Telephone(y6) SW 3 3 :.K .vf; ` Y' :...,:•, fV ..: x r City Lic. M. 0 O© g State Lic. # : �13 SD.% Arch., Engr., Designer. CPLw►`S Address: !N \ SO / DD/.� City., ST, Zip: 5 eA Telephone: State Lic. #: I. a. Vis• � . �; •' ;.a a .�,� ;f...;��;�z:: �k . M : s :::. ,w :•; . Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: 2v 7 Sq. FL: # Stories: # Units: Telephone # of Contact Person(213) Estimated Value of Project: P� �AP ICA : DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets Plan Check submitted I Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cities. 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 corrections/ ssue Electrical Subcontector List Called ContactPerson' 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 ES REPORT TM ICC Evaluation Service, Inc.I Busines Regiona wwwAcc-eS.orq Regiopd ESR -2401 Issued September 1, 2008 This report is subject to re-examination in one year. ■ 5360 Workman Mill Road, Whittier, California 90601 ■ (562) 699-0543 lontclair Road, Suite A, Birmingham, Alabama 35213 ■ (205) 599-9800 best Flossmoor Road, Country Club Hills, Illinois 60478 ■ (708) 799-2305 DIVISION: 10—SPECIAL TIES Section: 10305—Manufactured Fir I c ;�P�r��i \ REPORT HOLDER: MASONRY FIREPLACE TR) 315 WEST 3RD STRE SANTA ANA, CALIFO IA 1 Go O (800) 345-7078 www.mason-lite.com EVALUATION SUBJECT: k MASON -LITE MODULAR CONC 1.0 EVALUATION SCOPE Compliance with the following codes: " ■ 2006 International Building Code® (IBC) ■ 2006 International Residential Code® (IRC) Properties evaluated: ■ Fire resistance . • Seismic resistance 2.0 USES The Mason -Lite TM modular concrete fireplaces, Models MFP-39, MFP-44 and MFP-49, are fireplaces that are constructed in the field using prefabricated concrete firebox components with factory -built chimneys. The fireplaces are for use only with solid wood logs, LPG or natural gas log lighters, and decorative gas logs complying with ANSI Z 21.60. 3.0 DESCRIPTION 3.1 Fireplace Units: The Mason -Lite TPA Masonry Fireplace is a modular refractory masonry unit designed for field assembly. The firebox is constructed using precast, interlocking refractory blocks secured to each other using Mason -Lite mortar. The system is supplied with all parts necessary for the assembly of a complete masonry firebox unit. Refer to Figures 1 and 2 for illustrations of Mason -Lite system components. For combustible floor installations, the Mason -Lite system includes a noncombustible raised platform designed to be placed beneath the field - assembled firebox unit. High-temperature refractory brick, 11/8 inches (28.6 mm) thick, is required to line the interior of the firebox. 3.2 Chimneys: The firebox units may only be used in conjunction with specific chimney systems. The MFP-39 and MFP-44 fireplaces require the use of a Desa/FMI DM12 12 -inch chimney or 12- or 14 -inch flue system listed by an roved agency as complying with UL103. The MFP-49 p ce requires a 14 -inch flue system listed by an )ro d agency as complying with UL103. The eys are limited to a maximum height of 40 feet (12 _ mm) and a minimum height of 14 feet (4267 mm); ;ept that, where offsets are used, the minimum height 17 feet (5181 mm). A maximum of two offsets are 3.3 Grout and Mortar: The grout and mortar used to construct the fireplace is provided by Masonry Fireplace Industries, LLC. 4.0 DESIGN AND INSTALLATION 4.1 General: The fireplace units must be installed in accordance with this report, the manufacturer's instructions and the applicable code. A copy of the manufacturer's instructions must be available at the jobsite at all times during installation. 4.2 Design: When installed in accordance with Section 4.3 of this report and the manufacturer's instructions, the fireplace units may be installed in Seismic Design Categories A through F. In Seismic Design Categories D, E and F, the seismic design parameters are limited to the values noted in Table 2. The seismic design must be in accordance with Sections 13.3, 13.4, 13.5 and 13.6 of ASCE 7. Structural design calculations and construction plans prepared by a licensed design professional are required to determine the requirements for the fireplace foundation and anchorage of the fireplace to the foundation. When installation is on wood floor construction, the licensed design professional shall determine the requirements for support and anchorage for the combined gravity and seismic loading. The applicability of the seismic design parameters in Table 2 must be verified with due consideration of the flexibility of anchorage and supports. In addition, the calculated long- term deflection of the wood members supporting the fireplace shall not exceed the values shown in IBC Table 1604.3 for floor members. Under the IRC, an engineered design must be provided in accordance with IRC Section R301.1.3. 4.3 Installation: The Mason -Lite TM Masonry Fireplace system may be . installed directly on concrete slabs and footings or on combustible floors, subject to the structural design limitations contained within this report. For concrete foundations, the firebox base is installed directly to the foundation. For combustible supporting systems, ,4'`'S REPORTS"are not to he construed as representing aesthetics or any other attributes not specifically addressed, nor are they to be construed as an endorsement ojdte subject ojthe report or a recommendation for its use. There is no warranty by ICC Evaluation Service, Inc., express or implied, as to any finding or other matter in this report, or as to any product covered by the report. Copyright © 2008 M moact aeWWa Page 1 of 8 53 - as s "o�FiGa TM NMIASON ]LITE by MFI - Masonry Fireplace Industries, LLC Fireplace . Instructions CITY OF LA QUINTA BUILDING & SAFETY DEPT. .APPROVE®. FOR CONSTRUCTION GATE l ZZ ZOto BY "vke1UA:t 4v -16D44.) THIS WOOD -BURNING FIREPLACE COMPLIES WITH UL127 STANDARD ASA FACTORY - BUILT APPLIANCE. WARNING: THIS FIREPLACE IS APPROVED FOR USE AS A WOOD BURNING FIREPLACE. IT HAS NOT BEEN TESTED OR APPROVED FOR UNVENTED GAS LOGS. WARNING: IMPROPER INSTALLATION, ADJUSTMENT, ALTERATION, SERVICE OR MAINTENANCE CAN CAUSE INJURY, PROPERTY DAMAGE OR LOSS OF LIFE. REFER TO THIS MANUAL FOR ASSISTANCE OR ADDITIONAL INFORMATION. CONSULT A QUALIFIED INSTALLER OR LOCAL DISTRIBUTOR. SAVE THIS BOOK This book is,valuable. In addition to instructing you on how to install and maintain your appliance, it also contains information that will enable you to obtain replacement parts or accessory items when needed. Keep with your other important papers. �YGe We recommend that our gas INSTRUTE' hearth products be installed andserviced byprofessionals who are certified In the U.S. by die National Fireplace Institute(NFI) as NFI Gas C Specialists. RV021709 Do not store gasoline or other flammable vapors and liquids in the vicinity of this or any other appliance. . f;_.":3_ DESS 12oss vvuqls Report No. 08-154