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PLBG (0311-009) + PAT (06244) + SFD (05787) + BLCK (06207)52701 Avenida Martinez 0311-009 06244 05787 06207 LICENSED CONTRACTOR DECLARATION I hep.by affinfi tTder penalty of perjury that I am licensed under provisions of Chapter ^-(-corI`ft1_ ncing 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 Date Signature of Contractor 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 ( ) 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: Carrier Policy No. (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 I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with, those.provisions_ Date: j f f ' /" Applicant-- Warning: pplicant 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 & 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 forispection purposes. Signature (Owner/Agent)I f `__ f s 't- Date BUILDING PERMIT PERMIT# C%'11 DATE VALUATION LOT TRACT JOB SITE APN ADDRESS «52_701AVFIV pA % ?. OWNER CONTRACTOR / DESIGNER / EN (NEER 14. Tuc*.irt C7WNERIi3U rZYK 52701 AW .MART U. LA QIM7rA CA: 92233 USE OF PERMIT 1='LUM;I t3 SI PTIC ABANVONIAMT SMSR HOOK-UP VALUATION 1,400,0015 t .'salMATED COST OF OOWMUCr" Toff 1,400DO Fr,RMn'FEE 9111T.l1 AP'`.tY PLUMBING ME SP-WER 101.000.419 -Ml $30,00F " p GQ D NOV 0 4 2003 c -" CITY OF LA QUINTA FINANCE DEPT. SUB-I'C3_ ]"AL 1 UMMU'C3"13C99AND PLAN CBE t`jfc $30.00 LES9 PRE -PAM FE,I S $0.00 `.I'O'I:tiL P 44 M1.':@T.P: DW.'NOW MOO RECEIPT DATy► r J i% BY c D T FINIE INSP TOR . UL INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts firms & Footings Ducts 31ab 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.O. 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 O.K'for Finish Plaster Sewer Lateral Pool Cover Sewer Connection 4 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: / ✓ COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL 98455 Received From: ` — • , ¢, 1 - y tDate• . { Address: 4 1-1ci l Y111, A"q PEAU 4iJ 9 ,t'Z1Ai .1aA Nc..n C:l , Account No. i`,' 0 Lot(s) j f moi_- % /Ul Tract Service Address - ( % e% : "Z,T A)E :c G.A. Code , .❑ Meter(s) $ 1 ❑ Service(s) , ❑ Backflow(s) O House Lateral(s) { ❑ Detector Check(s) ❑ Meter Surcharge i Sanitation Capacity Charge ❑` W.S.B.F.C. ❑ Temporary Construction Meter ❑ Turn on Charge •❑ Uncollected Account - Name J 'i ❑ Inspection Fee - Tract - f Fee - ❑ Plan Check Fees Water / Sewer - .j Tract - ❑ Bond Payment - A.D. - Bond ' Assmt. ❑ Customer Deposit ❑ Other TOTAL $ r / I • `./l f /"'Remarks: l' / % ya Acopy to: Cash Water Service Check / ,,>I%`/ /. % . • .. ;-t)' 2 7 j Money Cashier / ,%• s a .. Order,,.:, iei>s CVWll,438(11189). OWNER/BUILDER INFORMATION 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. For your protection you should be aware that as "Owner/ Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed .as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations including State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Adminstration). For more specific information about your obligations under Stare Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing 'their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760)777-7012 FAX:(760) 77-7011 OWNER'S SIGNATURE/ DATE Sa %D t!F Azznus -.- PROPERTY ADDRESS PERMIT NUM ER(s) BUDDY'S SEPTIC SERVICE 946185 67405 PEINETA RD 'CATHEDRAL CITY CA 92234 ffftAl 97a,,7r%A CUSTOMER'S ORDER NO. 7PARTMENT DATE NAMFI ` P ZU11/C_A l) utiS7-/Lv cT% vim/ ADDRESS 4 CITY, STATE, ZIP SOLD BY CASH I C.O.D. CHARGE ON ACCT. I MDSE RETD PAID OUT QUANTITY DESCRIPTION PRICE AMOUNT 1 2 3 5-2-70/ 4 5 6 U of (P 7 S f'T c- 7 7 /civic 8 Cs o 13 c, 10 11 12 13 14 15 16 17 18 19 20 RECEIVED BY KEEP THIS SLIP FOR REFERENCE 5805 0 P.O. BOX 1504 Building 522-701 Martlues 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner I3 4 B DeVal"era Address 54-255 Herrera City Zip Tel. LA Qainta 1 92253 564-6704 City State Lic.I City & Classif. =`42842 Lic. # 1399 Designer Address Tel. CityI Zip I State I Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7(100) of Division 3 of the Business and Professions Code, and my license is in full force and effect. f SIGNATURE a - - - - •*.. DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Bustness and Professions Code: Any city, or county which requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he is exempt therebom, and the basis for the affeged 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 ($500). ❑ 1, 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who bufkls or Improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. ff. however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) O 1, as owner of the property, am exclusively contracting with licensed contractors to corF struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec B. 8 P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation 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. Date Owner NOTICE TO APPLICANT: ff, after making this Cer6Trcate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 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 to building construction, and hereby authorize representatives -of this city to enter the above-- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip No. 06244 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 773-301.022 Legal Description Project Description Patio Cover Sq. Ft. Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $$500 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. . 9.75 Const. 15,00 Mech. Electrical Plumbing S. M.I. .07 Grading Driveway Enc. Infrastructure TOTAL REMARKS t.r.^+rf _ ,- .e• zx. rS_t.Sy,. 4tl air. -' -' % u rr i -.' t.rr..•', . - - .. ..,_... ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR 911!89 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL SQ. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING. MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SQ. FT. ® TEMP. POLE GROUT DRAINAGE PIPING CAR P. SQ. FT. ® FINAL INSP. BOND BEAM WATER SYSTEM DRINKING FOUNTAIN. WALL SQ. FT. _$ LUMBER GR. FINAL INSP. URINAL SQ. FT. ROOFING ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES VENTILATION WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FIREPLACE GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/. c SEWAGE DISPOSAL SO.FT.GAR ® V4c HOUSE SEWER CERT. OCC. GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS . GARDEN WALL FINAL 4 P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 52-701 XARTIRM LA QUINTA, CALIFORNIA 92253 Owner Mailing Address 54-255 ASE HERRM City Zip Tel. LA Qi1MA 92253 564-6704 Contractor BRUCE PBLt IUMER Address City lZip State Lic. I City & Classif. 542842 Lic. # 1349 Arch., Engr., Designer Address Tel. CityI Zip I State I Lic. # LICENSED CONTRACTOWS DECLARATION I hereby affirm 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. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Business and Pvofessmm Lode: Any city or cowry which requires a Permit to construct, after, improve, dertafish, or repair any shcrcture, prior to its issuance also requires the applicant for such permit to tie a signed statement that he is licensed pursuant to the provisions of the Contractors License Law, fuer 9 (cormnenci ng with Section 7000) of Division 3 of the Business and Professims Code, or that. he 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 penally of not more than five hunched dollars ($500) ❑ 1, 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, Buisness and Professions Code: The Contractors License Law does not apply to an owner of property who builds or knproves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -budder will have the burden of proving that he did not buil or krprove lar the purpose of safe.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who bulls or improves thereon, and who contracts for such projects with a contractor(s) licensed puraiant to the Contractors License Law.) ❑ 1 am exempt under Sec. R- & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: 8, after making this Certifrate of Exemption you should become subject to the Workers' compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shag be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued- (Sec. 3097, Civil Code.) Lenders Name Lenders Address This is a building permit when property filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days - I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above- mentioned property for inspection purposes Signature of applicant Date Mailing Address City, State, Zip BUILDING: TYPE CONST. A.P. Number 773-301-422 Legal Description LOT 9 Description SeTeD No. OCC: GRP. 05787 ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date 5/18/89 Permit Validated Validati Sq. Ft. 134$ Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $83,174.00 PERMIT AMOUNT Plan Chk. Dep. .0 Plan Chk. Bal. 236.38 Const. 567.50 Mech. 53.50 Electrical 111.4a Plumbing 157.50 S.M.I. S.R.19 Grading 20.00 Driveway Enc. 20.00 Infrastructure 1,8.33.17 PRECISE PIAN 25.00 TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date 5/18/89 Permit Validated Validati CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES` IST FL. SO. FT. ® $ UNITS COLL AREA SLAB GRADE 6 ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL SO. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SO. FT. ® DUCT WORK ROCK STORAGE FOUND. REINF. POWER OUTLET ROOF DRAINS GAR. SQ. FT. ® HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) ry y® Q o DRAINAGE PIPING CAR P. SO. FT. ® WALL SQ. FT. WATER HEATER DRINKING FOUNTAIN. FINAL INSP. URINAL SQ. FT. WATER SYSTEM ESTIMATED CONSTRUCTION VALUATION $ GRADING cu. yd. $,/ —Plus—X$— WATER PIPING NOTE: Not to be used as property tax valuation { FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTOXDISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED VENTILATION LAUNDRY TRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING ' KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE,TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB 9 LATHING 7 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1% c SEWAGE DISPOSAL SO.FT.GAR ® 31'ic HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR ' ETBACK — GROUND PLUMBING UNDERGROUND A.C. UNIT COLL AREA SLAB GRADE 6 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SE 1 c ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) ry y® Q o TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $,/ —Plus—X$— _$ LUMBER GR. { FINAL INSP. j91 FRAMING FINAL INSP. ROOFING�C r6 w x { 1 -A — 3 �� I /�� REMARKS: VENTILATION FIRE ZONE ROOFING ' FIREPLACE SPARK ARRESTOR GAR. FIREWALL 9 LATHING 7 MESH SULATIONISOUNDJY FINISH GRADING Y FINAL INSPECTION 3 --ERT. C OCC. FENCE FINAL INSPECTOR'S SIGNATURES,'INITIALS � GARDEN WALL FINAL 1 Desert Sands Unified School District CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEES THIS o0cui'mEgNT CA01lN®T _y 0 LyeWCATEls/y, DATE: 22. floc )artment of Community Development -105 Calle Estado Quinta, CA 92253 his is to certify ha ¢ ,O der of Q9-!'1 / h-ich is! -- — - - - -- -- ---. _—. --- -- — — — — — — I at _ - — within istrict,.has paid school facility f es imposed pursuant o the" ity generat d by Gov nment Cod i tt S30 i t e amount o ,.) - ( tg a total o square feet of ( ) esidential or tdustrial/commercial der ent and that-buil ing permits for ,otage in this development may now be issued by your jurisdiction. l0'7 for DESERT SA6bS UNI ED SCHOOL DISTRICT Building Department • Yellow - Facilities Planning • Pink Accounting • Gold - Developer (10)-37 RECEIPT NO. 1 7o Issued By Date 7 ' a Ol '-?Y Y 'I DISTRICT: ❑ Riverside, O; Indio ❑ Hemet q Perris ❑ Rancho Calif. ❑ Blythe DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records Ltd COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel No. 'ENVIRONMENTAL HEALTH SERVICES PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM Applicant: Submit this form with four copies of a scaled plot plan (1-20 scale) drawn to County speculations as indicated on the attached check IisL A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of approval. Q VERIFY ITEMS IN SECTION A FROM BUILDING 8 SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG'* Z r, tact F% n S ' ne Address 8 P 1,er(evrc,— . vR-I - co Owner ll tP Phone k` Mailing Address &6 c ur SA- City State ip J Property Address Legal Description Prop. (PM, Tract, Lot) !ti r? r e Lot Size So ej ,, deter Agenc,r 1-- Use of Permit P/P, CU, etc. Othdr (1/46 .4 dcl-44 etc 1f ' Wei Signa re 61 Applicant Date CATEGORY: REV CODE CATEGORY: REV CODE FEE Oeett.) URFACE DISPOSAL 1238 < $45.00 ❑ SITE EVALUATION UPON REQUEST 7349 $42.00 ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) m Z LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $11.00 O a. 1 at 4 Parcels (Each) 1238 $45.00 (Less than 1 year) U b. Each Parcel after 4 7344 $16.00 ❑ PRELIMINARY ELECTIVE 7352 $45.00 W ❑ Rereview (2nd review same parcel) 7344 $16.00 EVALUATION (Attach DOH SAN 53) U) ❑ Site Evaluation in Conjunction with ❑ HOLDING TANK 7351, $45.00 Critical Area 7346 $86.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $13200 ❑ Site Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $86.00 IrgTIAL DATE Holding Tank Agreements Completed ❑ Yes NNo ❑`' Certification of Existing S.D. System Required ❑ Yes N0 f WQCB Clearance required. (Attach Form ❑ Yes f _ DOH SAN 007, Santa Ana Region Only) 40 Soils Percolation Report Required. ❑ Yes Special Feasibility Boring Report Required. ❑ Yes/ Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑ Yes t5 t Outer ❑Yes /yp Staff Specialist Lot Inspection Required ❑ Yes 0 No Lot Inspection Date Soils boring report by ` /Project # Date ! Soils Map Page r Soil Type Approved by --- Dame ( No. of Syslams TypJ of Systems) No. Dwelling Unita (1) Septic Tank Soil Rate Grease/Sand O 11 Holding Tank ❑ Existing ❑rN1ew ❑Replacement Bedrooms, Elydure••tinfts /1 ,It. lease Intap GN u U IJU N N@ Leach Line Sq. FL Sidewall allowance Ir>s Lines) it brg ft wide with Leach Bed sq. ft Bottom bench R rook/ sq. R min. Inches ro bat d nlhres or f bottom area per running fL Leachiines/bed special design for slope: (3=DiWarneter No. Pits Pit Below. - . Seepage Pit otal Depth Applicable Inlet (BI) / r Max. Allowable Depth N/A 'Overburdenfactor /! T No. 2 System /A- RppEMARKS:l®r 4 This application i(APPROVED# , IED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated on the accompanied p o n, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the 0 above -designed system. No construction is permitted in the required reserved 100% expansion area. F. Septic tank and sewer lines must be 50' minimum from any wells /0 OA M U Leach lines must be 100' minimum from any wells, including expansio res = lL Y panswn a ea (3 Seepage pits must be 50' minimum from an wells, including ex gllp ,9 nature i YJ Si of .Health Official CN pate's RECEIPT NO. 1 7o Issued By Date 7 ' a Ol '-?Y Y 'I DISTRICT: ❑ Riverside, O; Indio ❑ Hemet q Perris ❑ Rancho Calif. ❑ Blythe DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records Ltd aaY]]n 8pTsxaAT11 p1m oTpllj laa as ] ln_s Ilo ss ula Taxp na xGv auaulaxTAua aaa] -Tsa.i s,xaTT A OTTa113e0.1 ally Fi11Tnalasa l i p 1a fi1 ]aa]oalci aol Holt vols, • (TaleTpalnit ' a. sTT T Y n 3alr11 111014 111-1:11 xaimp Awn pilo anaao op paTTTToII l lsnul aaT77o s1'll p 1 suoT nT ls ns 7Y • aTlQA ,aTTa'laeo u111 fillrlliannli sNItT allj]ul:31~nh .30uoTat3ToTt. Il.f X011 sT palsTi Tc: aalc+Il i►1eYc1 ( (It 'ullaYci lit Iplonsplie-T anod tilljMaTAax aaliv IaacioTanan .a> at1 ro - ss lnnv 7 + 'OM1 s,ll arn n n unr'li 3151N3n•.'iA 11;31.11'1 L'NIUSi4•.1•a: N ISISIV i:1VllvcA 0 SINVI 4i'au::u P.0) Aa;WdS Will'1 1b7Q-ZhC-619 9CZZ6 V1 'uYla l u 1. ZI-11 a3T (1 '911 nll C19-bh S 11f1S lll^J S 111 1'1n1 0 K n1,10ISSINN(y) jVjl(j I j(j,)nir.)V in I'll 1Ill TRUSS DIVISION THE A*C Si WMBER.Co. Indio cab -dal =1(619) 347-6754 HOUSTON TRUSS IND1O, CA GTV U.B.C. STANDARD 25-17 Q SECT, 25.1738&39 NER-275 DUALITY -AUDITED BY TIMBER PRODUCTS tNSPECTIONY INC. 1nt.•: Veil 1.1••eket may hr omittrd R -2.4x4.5 where nn vont is r•rynat-a•d u I Y u 1 "• g - 4 L � O t, • c !– _ x x N lc- R-2.4 4.5 Y:arla9 cutout r•ir 2%4 lari flat ,,,'(sj)Hcing por Imil •IinR } an+) "! tff Ktnrl'• t Mon•.. Y-- C c•I add -nn. tcuh HOUSTON TRUSS E7/� INDIO, QA T Z U.B.C. STANDARD 25-17 Q SECT. 25.1738839 NER-275 QUALITY AUDITED BY TIMBER PRODUCTS INSPECTION, INC• \ R-. 8x3 or equal Cutout for 1x4 laid flat ` It,•In•I• Vm- 1%4 flutlawtkerc On Stu -l" C'utatuts 2 :0 2-16d nu 111•:SIt:\ I'"If TYPIt'11. (:A111.1{ END'1'IlliSS 12 -1 Varies `/M tty R -2.4x4.5 Ken L .w dual aIa a .'� r.a� GABLE VNl)'1'I41•tiS f::�hlo F:nd Ilraa u�� • nails Plate Line ALL LUMBER TO BE: STANDARD CRADE ITEM -FIR OR BETTER File No. CE - I twn.t CGWKCtw' w••'oaon•orAra VU Or KA"I 01"O Ka. �p:ewerUI..•Rw. 40.00M." TRU, Date: 12/1/74 5jaoo 1.ea.aw•, r,...•Itl. 90 w.w PW 14 w..W. 3r' twr r•.w r• P.Ched No P. W. 1. tt WeIS'-•r sifts WO be&AMA.w ..,r."—F.eW alw1 �vQVQ Re[:R-S-25-1 Dee.By:M Ck.By:l tae•.Fav-W11.e,.r•orWNW va.ucw..,...�w.a.o.aw.w..ew«ewe.e nGas-wvour.up.wawwawsWeso rp31t80nW4:nr..tN•e.•ro a.e•..P•A.L w I C a O Ra. 1007. a THE AC:N:UIMBER Co. .:: ••.:,.:L�bael9lt•. _ 1884" ` Itl<sO.Cdkud4 0=1(619) 347-9754 Ica 1 .R-I.6x3 'MNDARp FZrt INQ D rq` 1' rp any web configuration t 12" Max. (off panel point) 1Rrt"rt for arry 24"o. c. Truss with 10p -1f bottom chord loading Max. r t. 10'-31' 1: Doug. Fir 9'-11"-#2 Doug. Fir 8'-S" Const. Doug.I'Ir 9'-8" Scl. Str. T•icm-Fir D'-8" Al HM -Fir 8'-10" #2 Hem -Fir ?'-6" Const. TTcrn-I'ir THE AC.HOUS10ti WAW 1884" 83-MW613oulevard ..:. P V(610) 347-97R rR.E 11p, RR:NG DF.TAII. ` DATE: 4/11/A34 wry.. to -, a I TC4J Tll T 00 GIRDER LUMBER REQUIREMENTS •• MAXIMUM TIE-IN SPAN TABLES SLnPF, GIPDEP T°USS DESIn NED ACCnRDI?16 Tn Tri -74 AND 1073 11D! RUSS TTP; P(111, 5.01/12 n,0 PSf TOTAL UNIrOR! LOAD TCLL - 2n.r TCOL • 11.0 1.75 RCLL - ;.0 9COL - 10.^. PUTT CUT • %25 TN. 2-7G 7E SPICING 2i1N, n,C. ALLnw4Pl[ rGFLY STRESS INCFfASE 2 t 6 TOP CPORD, 2 x 6 OnT19" CHORD 2 XNO n01 TOR CHORD NO 1 KD SCUTHERN PIUE 11 KO SOUTHERN PINE 2 2•SCAB T -PLY !•SCAR 4 -PLT GIRDER SPAN 1 -PLT 1•SCAB 2-Plt 2•SCAR 3 -PLY '_•SCAB 4 -PLT I•SCAb -PLY -115 36-01 SO -on 5U -on 50-011 5n-00 5U -on 12 34-10 43-02 SD -9r, 5r-cn 50-L•n 5n-1;0 SO -30 9n -us 29-U2 44-0118 5u-00 so-lin 5n-00 50 -Du 14 _.F -On 3S-04 ;n -co 5!t -nn -no 5o-nr s:-03 17.01, 24 -LU 36-n0 44-00 51 -or. so -nn O_cn 16 23-01 21-07 47-07 5C-00 SL -C-0 SC -60 ?_Ln 16 1P 14-03 2U-1)1 29 -UF 36-0• 45-11 50 -nn Sp -no 19 19 -CS 25--.3• 410E 70SO -T33 6 SC 11-10 17-00 z4 -Ir 31-111 37-09 44-05 SC -00 20 16-07 21-11 - 4 - SO-r0 - S -3303 20 i2 IU -J3 14-!•D21-01 26-08 32-02 to -01 .43-03 22 14-02 10-01 29-09 !S -no 45-03 :0-00 53-33 74 d-06 12-09 1R-ni 23-01 27-06 33-00 37-n3 24 12-03 16-09 25-10 31-L4 39-n4 45-" 5U-00 26 7-ut 11-02 15-09 20-•13 24-011 7•-11 32-05 26 10-04 14-10 22-0!• 27-09 34-07. 4(•-01 46-66 35-:P 41-33 7P o -UA 9-10 13-1!9 17-1D 21-31 25-06 2P-116 28 9 -OS 13-03 Zi -On 24-C9 3U -G• 17-10 2i-02 21-n4 32-(10 36-13 30Y -U9 12-01 15-10 18-0M iz-OP 25-03 70-03 27-06 311 0-04 11-11 32 7-05 10-09 10-00 2U -n0 24-U6 28-10 33-01 32 7-tn to -09 14-02 1'1-C,7 147-(1) 9-r;I 12-n? 14 -in 1R-113 20-02 34 6-07 0-00 14-05 10-1)2 22-02 26-02 29-11 •6 6-n4F-07 11-J6 13-05 16-r6 1P -n2 36 11-10 13 -CO 111-'d 20-01 23-10 27-U2 Sr 7-09 10 -US 12-01 14-11 10-05 .•.8 5-01 11-10 1:-C1 1!-r.3 21-1: 24-09 7 -no 9-06 11-10 13-n7 14-11 AO 7-05 10-09 13-10 15-08 2U -U. e2 -c8 411 4: 6-04 P -OP to -OG 12-06 13 -CP 42 6-10 0-10 12 -c91 5 -r4 18-01, 20-09 411 F-00 9-02 11-n5 17-06 44 6-03 9-01 11-r9 1145 -rt 117_111 19-02 46 7-04 N-05 10-06 11-06 46 A-04 1U-11 13 -CO 15-10 17-ne 4) 6-09 7-09 9-09 IU -O7 48 7-06 10-02 12-(,1 14 -CA 16-05 5t. h-()3 7-01 9 -fin o -n9 5n 7-01 9 -CS 11-02 11-10 15-03 2 t 6 TOP CHORD, 2X10 bCTTO" CNORD,SnUTHIkN CHORD .&X. T:: -IN SPAN FZ0 1 -FLY CUE TC EEARINC -N0. 1 KC S• GIRDER (4 .0 PSI TL AT 1.25) NO 1 KO PINE SPAN 21 4 PLT 21 ! PLT 2X ! PLY 2T10 PLT 2712 °LT GIFPER SPAN 1 -PLY 14SCAe 2 -PLT 2•SCAB T -PLY !•SCAB 4 -PLY ---------------------------------------------------«-- 12 39-03 45-1U SL -0D 511-00 5n-1Jf! 50-09 SO -no 114 IE -11 27-10 !7- t 4!• 2 2e- 7 37- 0 45- e 14 31-:1V Si-Uw 5U-uU ':-u0 SO -4C' 50-00 50-00 it :4- 3 22 111- ! 21- 2 '6-12 23- c 20-111 3d-10 116 en -us 51-111 50 -fin 5n -:K 5n -OC sn-nc 50 -On 20 9- 3 114- t to- 2 2S- 0 30-1 t• 17-u 1 27-u5 44-G7 Su -on 5n -o1 S'1 -n0 Sn_n0 30 7- 9 6 '1-111 16- t 211- S 211- e i0 19-u5 23-11 40 -US 411-L1 50-rn 5n -On 50-n0 , e- 7 to- 3 1.- 2 IF- 8 23- 2 22 17-i•U 21-L'1 S: -OS 4u -OP Sn-rC 5D-01 5(1 -nn 34 3! 5- ! P-12 '2- 6 116- S 2C- ! e4 1.-11 It -10 at -04 3•,-03 117-bc 50-00 5u-^.0 42 4-12 7-11 1!- 1 '14- 9 ti- L. 26 1}-p3 to -11 ,•-on 32-06 42-nP 47-01 s0 -nn a- t 7- 1 0-12 1!- 3 11_ 7 i! 11-1J 1;-U3 i5 -U2 i9 -u5 '•-JS 43-C1 Sn-n0 4c 3-11 6- 4 ;- 0 12-' S'1 10-'17 13-1:9 22-117 to -v7 24-17 3010(: 445-•17 SC 3? .-u5 12-u1 20 -CS L4_ s 31-34 15 -GS 42-17 !4 y -n7 11-u5 I -:)i 22-U2 2P-31. 32-05 3r-0 NOTES. !b 1-11 1('-Ue 16 :1 2.j -u4 2h-nU To-F.•o 35-i.2 7-•j1 o_('e 15-!--+, 1c_n9 25-11 27-05 37-('3 1. FIND MAX. TIE-IN SPAN FOR I PLY FROM TABLE BY ENTERING 411 6-06 t-11 14 -OA 1? -',A 22-^.O 25-04 24-119 GIRDER SPAN AND BEARING PLATE SIZE. 42 t -U3 13-0 1c -O(+ in -14 2'-04 77_r• 44 /-OF 12-32 14-11 1-110 21-tr 25-L6 2. TAKE THE NUMBER OF BOTTOM CHORD PLIES PLUS BOTTOM CHORD At I -%;I 11_13 13-11 17 -JA 20-G4 23-L'• SCAB, IF ANY, TIMES THE I -PLY MAX. TIE-IN SPAN TO FIND 4r o -0 1J -U5 I3-91. to -n• to-rn 7'-'•1 ALLOWABLE TIE-IN SPAN DUE TO BEARING. SU ,-L2 o -G9 12-U2 15-"7 17-/0 2r-•' 3. IF ABOVE TIE-IN WIDTH. " SPAN 15 DEFICIENT, INCREASE THE BEARING WEBS ARE TO BE 2X 4 NO 3 KO SOUTHERN PINE •r3 IS 2X 4 NO 2 KD SOUTHERN PINE 4. CHART SHOWS ONLY TME TIE-IN SPAN PERMITTED, WITH 74E LATERAL BRACING REQUIRED AT MIDPOINT OF WEBS ROOF LOAD ON THE BACKSIDE OF THE GIkDER, ASSUMING Z'-011 W2, w4 FOR I -PLY AND I+SCAB CONDITION ONLY SPACING, ALREADY DEDUCTED. JIl3 GENERAL NOTES ! I. BOTTOM CHORD SCABS MUST BE EQUAL TO f LL ' BOTTOM CHORD LUMBER GRADE AND SIZE. Gy THESE SCABS ShCULD BE APPLIED TO THE BACK SIDE OF THE GIRDER, PICT ON THE J1 3 JS TIE-IN SPAN S:CE. 2. BOTTCM CHORD SCABS MUST BE SPLICED AT A TRUSS JOINT LOCATION, USING:'41 3 ory . • rr.y y _ C7 CB LS THE OPTIONAL TRUSS CHORD SPLICE C8 r GS ". tr,)_Tt T ly es39 s CONNECTOR PLATE SCHEDULE SH.OwnON THE % . ` •. , y -6.eC + APPROPRIATE GIRDER SERIES PLATING REAM is J7 JB REAMl l ` Or DRAWING. 1 'hµ `" H 3. REFER TO AP°ROPRIATE GIRDER SERIES PLATING DRAWING FOR NAILING SCHEDULE ` !••.-.. ..Ly Ar / OF MULTI -PLY GIRDER TRUSSES. BOTTOM •EO PRgr •' ` yMi1.Q :'%S Er,,,;,,, „tiE,;., r! Y'01i :r.GRD SCAB: Sh01JL^ BE CONSIDERED' L ja;:'=n1 =4 Pic( (Im EQUAL TO AN ADDITIONAL PLY FOR NAIL- ING PURPOSES ONLY. 5112 SLOPE TYPE ROD CNOAD IORCES 40 PSI TL w(3 lORC ES /' J, `4d tt Il 3; i j^ Oj I 7Q lit, ! 4; S,N '` 4, ALL MEMBERS MUST 9E :UT TO BEAR, C 1•-1e.1•TS•6S C i -le.t•GS wl• -13.0 -Ts -GS -25.--GS w2- S.. .6S• 2.S•c! -5.6-TS-GS-12.4•KS ? o, •' •• -• t.n•1,'' °iT+t, ..1 `-'r? -•• t I thNK .11,gILSilp11 WITH PLATES CENTERED ON JOINTS UN- C 7- 16.? -TS -GS- `5.3.45 w3• 10.0 -TS -65• 12,1.45 _ •' LESS OTHERWISE SHOWN. S. TRUSS CHORD SPLICES SMALL 9E LOCATED 1/4 OF THE PANEL LENGTH (r 611), C A• TP 16.7 -TS -GS- 35.3.63 ■EACTIORS• 1n.O•TS•GS• JOINT LOARS 3.0•Tf •57• 5.3.63 J 2'J.0.GS T. 3.9-TS•63- 2.3.65 to /ACtt i ryE ! L`M 1'Tj i .p,:+E: +• ,t 4 1 " ` ' 4 TSa MEASURED FROM A JOINT. J J 2• J 3. 0.0•TS.65• 7.5.62 J 3:0.13.93• 11. 4.9.13.63• 2.5.6.3 IIr t rhgL TSE -TN SPAN -IT.) ti(•A (TS- (63. 612614 SPAN -FT.) 14t; 1'f nt41Ap 4',11 Tom F. , `4L*I A- O Hydro-ntr EngineeruAw, lac., 1978 NraO Ar EApinell"n. W. Is re3oDDSIEIe for UMC1ur31 desgn ICCDr36y ". Eked m me desir aft" shown on 800 11111111111-w . Cmnel:lor Plate C3KDWIMS are T3110 only for MyEroAr Cmae= plites. tyerD•AI/ Assumes no radon• -681'6 to" for /10msmal iCC17I3Cy. IathelIc 3CONrifIC8, labs ftm QWIDy or undorm3r. mmilatim of tmM. nor HYj%AO 1R• 5 : c T I 1. ^ ^ E DTIgr coal structure oesgn. or imorm3t10R re93reinq htmptron, amlay eal0ot storlpa os Every, erealm and tnraq d MUM. Cm3u3 1110 0mtay CmMMI Manual fpr bot Menl Plate iJYBrNiiRfN4/NQ. 4 r P S F A T 1 .2 5 GmnaW 8111 It WDOO TIOues'"MAIAWT-76. Tr14t3 PILI/ In3tMe. IPC, 7411 Raps KWd Tmuw-OCWT7. Ino NE R" Nyam Ile. MD 207111 P O BOX 7359 V. , i K ^ S 3 U T 4 Y 7 1 11 E SAINT LOUIS. MISSOURI 63177 TYPE 800 GIRDER CONNECTOR PLATE REQUIREMENTS • 21 6 TOP CHORD, 21 6 POTION CHORD • ( 1/5/40/0355). 4USI-TOOTH •• PLATE LOCATION •• JOINT JOINT PLATE SIZE •• 1 •• •• T •• iTPF I J 1 PEEL CANNOT BE PLATED, NOT ENOUGH SCARF J to 1/2 A 14 PI END HEIGHT - 4.04 IN. 14 I,ITM 2 1/2 1 3 PT SECONDARY PLATING J 2 2 112 1 6 PT 41N 2 1/2I1ko S _ J 3• S 1/2 1 S PT S 112IN 2 1/41N 6 J 7• S 1/7 A 6 PT 7 J B 2 1/2 A 4 PT 4 •• OPfIONAI SPLICES •• C 2 IS 4 1/I s 4 Pt C 7 1S a 112 A 4 PT • 21 6 TOP CHORD, 2A H POTION CHORD • ( A/5/40/A355) POS I -TOOT" •• PLATE LOCATION •• JOINT JOINT PLATE SIZE •• 1 •• !• It •• TYPE J 1 5 112 1 14 PT I J 1A • 112 v is PT END NE14HT • 4.04 IN. 14 rtfP 3 112 x 7 PT SECONDARY PLATING J 2 ! 112 A 5 PT S?/FIN 2 1/2IN 5 J 3• • 112 1 5 PT 4 1121" 2 3/PIN 6 J 7• a 112 r 6 PT 7 J P 2 112 1 3 PT 4 •• UFT10NAL SPLICES •• C 2 IS 3 1 4 PT C 7 1'• S 112 A S PT • 2A 6 TDP CHORD• 2110 ROf:ON CHORD • l BIS/40/1 355I POST-f00TN •• PLATE LOCATION •• JOINT JUINT PLATE $IZE • A •• •• Y •• TYPE J 1 S 112 1 14 PT 1 J to 5 112 1 I2 PT END HEIR"T 4.04 IN. 14 x1114 • 112 1 10 PI SECONDARY PLATING J i 2 112 1 5 PT 3 VEIN 2 112114 5 J 3• 4 112 A S PT 4 1/2IN 2 3/!IN 6 J 7• 4 112 x 6 PT 7 J B i 112 1 3 PT 4 •• OPTIONAL SPLICES •• C 2 IS 3 A 4 Pi C / IS 1 R F PT 20 GA. PT PLT c 222 PSI (USING GROSS PLATE AREA) PLATING CONFCRMS TO TPI -74, MUD 117,03• GIRDER NAILING NOTES - 1. 1/2" DIAMETER MACHINE BOLTS MUST BE USED AT 4'-O" SPACING JAL ADDITION la -THE QUANTITY OF IOD NAILS SHOWN FOR ALL -PtX BOTTOM CHORDS. 2. IDD NAILS USED IN TIE-IN TRUSS MANGERS MAY BE INCLUDED IN TOTAL NEEDED FOR 2ND TO IST PLY CONNECTION. 3. EACH PLY OF UPPER CHORDS AND WEBS MUST BE CONNECTED WITH 10D NAILS ON 12" CENTERS. 4. NAIL QUANTITY 15 BASED ON 2'-0" TIE-IN TRUSS SPACING. NAIL QUANTITY MAY BE REDUCED PROPORTIONATELY'FOR LESSER TIE-IN TRUSS SPACINGS. S. NAIL QUANTITY BASED ON DOUGLAS FIR AND SOUTHERN PINE; FOR MEM -FIR, ADD 40% MORE NAILS NO. OF 100 NAILS PER TIE-IN TRUSS FOR MULTI -PLY GIRDER BOTTGM CHORDS 2-fLX•RTM 3 -PLT BOTTOM CIIORO I 4 -PLY BOTTOM CHORD (SEE NOTE 1) IST 2ND ILI ILI A /2"DIA". BOLTS 8 4'-0" SPACING TOTAL 2140 TO IST 2ND TO IST 3RD TO 2140 2ND TO ISI 3RD TO 2ND 4TIi TO 3RD LOAD TIE -•IN -SPAT TIE -IN -SPA TIE •IN -SP TIE -IH -SPA IE -IN -SPAN TIE -IN -SPAN (PSF) 20-130-1 40-20- 130-114-0- 20'30' 40' 20' 30-1140420' 30' 40'W24 25-35 4 6 7 S 1 10 3 4 S 6 8 11 5 1 10 - (L-2S)+S P2_(L-2S) I2 - SLOPE Ce C7 M Iwd J1 J1A J2 7 GENERAL NOTES 1. BOTTOM CHCRO SCABS MUST BE EQUAL TO BOTTOM CHORD LUMBER GRADE AND SIZE. THESE SCABS SHOULD BE APPLIED TO THE BACK SIDE OF THE GIRDER, NOT ON THE TIE-IN SPAN SIDE. 2. BOTTOM CHORD SCABS MUST BE SPLICED AT A TRU:S JOINT LOCATION, USING THE OPTIONAL TRUSS CHORD SPLICE CONNECTOR PLATE SCHED- ULE SHOWN ON THE APPROPRIATE GIRDER SERIES PLATING DRAWING. 3. REFER TO APPROPRIATE GIRDER SERIES PLATING DRAWING FOR NAIL- ING SCHEDULE OF MULTI -PLY GIRDER TRUSSES. BOTTOM CHORD SCABS SHOULD BE CONSIDERED EQUAL TO AN ADDITIONAL PLY FOR NAILING PURPOSES ONLY. 4. ALL MEMBERS MUST BE CUT TO BEAR, WITH PLATES CENTERED ON JOINTS UNLESS OTHERWISE SHOWN. S. TRUSS CHORD SPLICES SMALL BE LOCATED 1/4 OF THE PANEL LENGTH ( 611), MEASURED FROM A JOINT: Ail is m , J 7 '46 La E7 - . wm- f 71 -I'• O Hydro Air Engineering, Inc., 1978 800 My&*.Alr Engineer", Inc. is responsible for structural design 3=raty Only, based an the design criteria strown an 5/12 SL0PE T P 1 CODE this drawing. Cormector plate calculations are valid only for HydmA'tr Connecta plates. Nyd*Atr aUOM n0 r&MM), NYDRO AIR" sibilRY for dimensional accurely, aesthetic appearance. Ubncmfrt Quality a undermlly, installalim of trusses. nor 2 U / 1 / G / 1 J = 4,, 0 P S F h T 1 .2 5 JiiR/JYarJYQ overall root Sfractwe design. For informatm regarding fabrtallon, duality control. storage. flowery. section and No. 1 KD S O U T H N PINE P T P L T bracing of trusses. consu0 the Ouamy Camra/ Manual for Light Merst Plate Canneded Wood 7n=ss-0CM-77, and the P. O. BOX 7759 draurg d Woad Truizas MaeuaPSIYT-76, Truss Piste Wstifut0. nae. 7411 Riggs Ralik HyattsviW. MO 20783. SAINT LOUIS. MISSOURI 63177 MIT L01V PSF TOT East 14. PSF 0. PSF BOT OL- 10. PSF • e'er a x cTldi TA1 ]1 AIAL s1AEs! ONLY SPAC I t ',24. // LO10 IN 1 O5C WWILIA APSF NOW NONE N i c 43 NI9: !g 5 843 3.50" REC 06- 0. 30" AT 8 . 1 b MIR 2- 2 5.84 F11 50 3- 4 5.84 -1085 4- 5 5.88 -1551 8 i2. b4 Fi3 29 F -41 3- 3 8 F04R CE F04E' l.111ER SOLUTION 8- 1 12.04 1357 TROT 2X4 OF L 12 WEB 2X4 DF -L 013. o ,csional f n IS VATE ROY G. PALMER CIV1 L 04 axe 0 0/A SPAN 24- 8- 0 (FT, INCIES, 18THS) SCALE- 0.250/1.0 Narder y and Ere06on are two sit remw*W112 of I4 dasognner Tr t en b a ti rnd4A WO oofOcO r a" dwlnl bendhq endTabund" dNleeryerdhMlartellonMe•o10tAamage. Temper eryana ernen•nlbrsclnOforholdingtrussesin• maa'aml erwyddp pUettbn, and for resMNq leftist brcos short be do•Careful end'" Is -Iftony . e brKIng M seaspo moubed. Nlsrwnel 'preMycaWlale V e0MOr1 Rat Irtsaeer rectubes aSuchvoid Oor,YnOMe~O IMlenalbll beMwrrn iruaaog t0 a' eupervle aereCllorl0 I,I...e wllbe lale.rl4 earrlyd of Carr60 eesfbneed In the installation of mats". Prolog. signal adores, e4e be *ought II needed. •%Orterrtrallon of construction ooeda gwsler owl lane diploid, beds ohea not be soc" d b truce" at env time. •NO feel]♦ Otirer Ilne!r I,ne aMIpM or tine eNebrs ~I be *Wled b 1nMaee volt s,Mr N leatanbrg end b-*CbV Is te,ndall d DESION INFORMATION Deslpn rrgs,ft with the lateral fedslonNational DMlpn Sped. IkelrO, For Shed Glade Lumber endOl: IIS Feetenlnpe. 01 Ther National Forest Product$ Association, and Design , CI fu• bon$ lot lynl Metal Plater Connected Wood Trusses. of the Trues pool mtltulelTPll. 1CTCO-OC or PkW 001 be located on -both laeee of Prof tithe with aIle property Imbedded and shall be symmetrical about 111,11, 101,11 unless Whatnot" shown. 2.Au bating and erection recommendellom erre b be lolbwed M accor0enee wilh breeing of woad truseaa BW T T6 0l T PI. 3.11 an Individual pleased wil reoubea more than one truss, bu B aha$ be fabricated as a asparats unit. then nailed or beftedClear de ign Oftiou nes eornprseelon chords (bo or bolleml are COnflnuirweM braced by sheathing. Where bottom chords In bhelOn ore not fully braced M a property applied rigid coiling. they should be braced of a ma■Imum shoeing or 10' 0" o. e. MATERIALS AND FABRICATION •Plelog (hall not be Insleltad over knots, knolholes or dlslorted Pl grain. MPmbere shall be cut 101 lighl Riling wood to wood -Plate and pint centannes shell coincide e■Cept se otherwise shown. 00ouble cuts on web mambers shelf meat at the cenielllnse of the webs unless otherwise shown. *All materials ere In accordance with the apps cebie Section on M1114•r111111 Of Designhe TPI Specifications. ft"%shown are actual files and may need to be Increased In site for cerleln handling and/or arae. tion procadu,es. •Combef es shown an this drawing N 141 recornmendad for normal Conditions of loading and labricalbn. Combat may be revised of IhP Option Of the fabricator or archtfecl •LaCLE tiEIAL PRODUCTS 70 a ger 1ruga conhectar plata• have a basic lateral resistance rat las of 166 PSI. using net ares sethod (or calculations. Icso $4410. 9 SHEET 412458 0 pf ESS/O\ No. 13143 U. 3-31.89 9rFOF CAt E Q CN wweT PSF TT .. 80? DLA 10. • . • enGcrlaM rI N .PAC 4. b +' Iii %F NONE RS Mil REC 018- (1.99" AT 7 is 1 b 2- 37 .51 b7 Tiff4- 5 7.67 -2118 e N F1 9- 7 7.04 1879 7- 8 7.64 1878 8- 1 8.00 1879 1 3 5 NBR F(i M M FO tCE M FO CE Li IBER 94 pp. U--T{{IQfI 2- 8 8 2- 7 -948 4- 7 8 8 T80OT 2X4 DF -L NZ 3- 7 913 4- 8 78 YES 2X4 DF -L 036 /Q`otiession_al £ i `` qJD 1,r,ATE 00 ' ROY GEORGE . I PALMER OFc 31, 9 / f IUNA U SQ 40% 2X4 5 X8 2X4 8 7 d ROY G. PALMER CIVIL :5 990 4 1B. • CONT IX 4 LAT BRCO NAIL V/2—'8d CON 0/A SPAN 91-10— 8 (FT. INCHES. 18THS) SCALEss 0.187/1.0 HANDLING AND ERECTION HandNn f.Nd f nenon.n not fes rOSM" fltf of fes dNtphor Or the date marmAaeturar. tryaa.a are N by hehel.d whet 08 tower can " beedlhe endlot bindgrfe detMry and Installation Nesolddamage. Tahloorery sa eymenehl braclno lot holding trusses One ehaleMMnd posl110n• end for tooletihe Istefel forces shelf be duel nad std Mt.wO by Others. •Gee headline M e s enM.l and ereello" brsolne N ohm" required. NOrrirtl preaeutlensry OCliah Dor ImaDea requires such terfe/orery brach" dwelt Installation between trusses to starprtag erred dorn{r pYi . -the heaupeMe Wereetleno 1nMeaMrgbeuncle►lheeprttrW M persons eprto ad in the Installation of Images. Protea• SbnN tlda.e Shea be SS'urgrff M needed. •Censewtr.ibn W Co'srruetien b.a ereeNr that este design bila Nat opt a eoorred b Itlaaas st any time. •No need. tither Ihrr ere wegrtt of the Sraebre.nee b. epOflgd to In .see unit suet as 1Sshin" and tfHclrg Is Car M.led DESIGN INFORMATION Design meets with the lateN revision Nation' Deayn Soocl- fkeron For Stese Grade Lumber end IIS F.euntrq.. of the National Forest Products Association: and Design Specific.- tone for Lyh1 Metal Plate Connected Wood Tiustes. of Iha Truas Platelnslitute ITPII. NOTE I.Connoctor sbNe shall be beefed on both faces of the IoM with nail. proparb Imbedded and shelf be symmetrical .bout the Ioku unless otherwise shown- !. An bracing and erection recommendations are to IN followed ti accordance with bracing of wood busses 17 W T 7e of t PI. , .It on krdlvldueI trussed unit toculrM more then ort buss. bureeas slag be labricaled as a "petals unit. then nailed or bottled "flat as noted. A.The nasion saeurhee compeylon chords (too or bottom) are Cornlnrdrsry braced by Sheathing. Where bottom chords In tenslortere"tufty braced by a properly applied riga celiirp. May ahnuld be braced at. maximum slacing eta t 0"' o. c. MATERIALS AND FABRICATION • Wates &hall not be 11181611011 over knots. knotholes or distorted . p0 eal . Members shall be cut lot light filling wood to wood *Plate enterline and pint centarllnes (hell coincide except as otherwise shown. 60ouble cull on web matnborl shallmea) at the centerlines of hole weber unless olhorwlse shown. .All m6lerlalS at* in accordance with the 11OD"Cable section on materials of the TW Design Specifications. •Faslener s17as shown ere actual manufactured sltes and may need to be Increased M sit. lot c►rtam handling and/or exec. tion procedures. •Camber as shown on this drawing Is Mat recommended for normal Conditions of loading and Nbricallon. Camber maybe caviled N Iha notion of the lebrlcatnr of architect "Elicit MCTAL PRODUCTS 70 A fa surae Connector pistes have a basic lateral resiat•nce watt na of Iha PSI. using fist eyes sethod for calculations. Wo I4420. ?,rjf ESgI CN9 1314 3 ] EaP.3.31-89 > 91F OF CAUE Q MBR LEN FORCE 1- 2 5.05 -3826 2- 3 4.!8 -3397 3- 4 4.18 -2358 4- 5 4.18 -2358 5- 5 4.38 -3397 6- 7 5.05 -3826 Ji ECT SIS JBR6 7 907 5.50• DESIGN LOAD TOP LL- 16. PSF TOP DL- 14. PSF BOT LL- 0. PSF BOT DL- 10. PSF ASF P DUCTION TAYXH IN AXIAL STPJM OILY OUR OF LOAD INC 1.25 SPACING 24.0 IN 0/C ADDITIONAL LOAD JT LBS MBR PLF NONE NONE PEC CM9- 0.53' AT 9 MBR LEN FORCE MBR FORCE MBR FORCE JT PLATE JT PLATE JT PLATE 7- 8 7.14 3607 2-10 -407 4- 9 1563 1 4.OX 9.0 4 6.OX 6.0 7 4.OX 9.0 8- 9 6.27 2916 3-10 414 5- 9 -696 2 1.5X 3.0 5 3.OX 4.0 8 3.OX 4.0 9-10 6.27 2916 3- 9 -696 5- 8 414 3 3.OX 4.0 6 1.5X 3.0 9 7.OX 8.0 10- 1 7.14 3607 6- 8 -407 10 3.OX 4.0 1 4 7 9 PROVIDE HORIZONTAL MOVEMENT AT SUPPORT J LUMBER SOLUTION TOP 2X4 OF -L 01. BOT 2X4 DF -L 61. WEB 2X4 DF -L E3. DATE 2/27/87 JOB ID rFRE 6SC. SHEET OF v O 0/A SPAN 26-10- 0 (FT. INCHES. 16THS) SCALE- 0.250/1.0 . ?RlJSS 01V:Si0Nlow (^Q V. Info Cdb tit 82 MI N9) 347-8754 07 . 6 ;e" :e: r, •off: " ; e vs tcea ra :y e .-- _A•.e Q' :z° :'fie"c.=` S;e N cSe_6a:-fi sQ_l rt y :•ice•-S .Se:. • i;s;l =`e:;<i': _••ice • i i_i!L o •iL r'sfiey=a „ ea[tifS . r r82::s•'P •1:2 rt C[ •Sep ey e5 a°s[ Ee 2 .«eL Cf ri ee -•' =tab rt Z Ii'ILL.".E3 c• '' [[•: 3: N irc'.zwifa LL40100 :[ .i Plates shall be Tech -I Metal Truss Connector Plates ICBO Report No 4420 W0000 ovoiv 2 w�sfq O 0000 � lLlL� vm hen COC '�Sxx �hmrn� F- FW,.000 �tototpi CL xxx 999 tom.: '7vmm WO 99 ;mm OXX In 9 v.+10 LU T TmNmm Emm v v ITDImm Qt IIID &.mN Ejcvm doom �Nmm Wdtnh.d VNQ 4 N gvmmv IL hOOh �t�.•t Nv v N •ymhhm m DI O.d hm�0 L. mgr. MW �O IL A o-) T.`_. W V' � w Y O m 1a .rl DI V uimNED * f- [VvQhhNm w i nfm+Om1V winttnin Y~x O 4 plu.Qi; NNti'P ZII�tl07 oaaaa�zl-t mmmmmm /Ftritri Jmvoob �� N §l]vvv<tn. }V��igqmlmO ��tJJ,J,fJ t f Jm mm) f� �Nmvi!'7mh tL.01...0 � i ~JD�G@9OV OJ V °�C�tvmvtitto �•dh 00'mm ODS �0 Q in m t -►;_0 ID 7 rl T -V -0 0 0 1 V DESICN INFORMATION .rl. loo d ud ., wbolted..hwSore r. •e I pOpMT of 10'O" bolted IOrrIM1 Y w«.1. C.wo►M NY M r► Th. gup«rlW.w 1 ...I$- of. Irur• fAeO ►1 Thu u.0 M. ew w.0 Sete«. ►.r0 w UIeI-•• b \r.I.d .1 • en-inion,101•.1 �1. FABRICATION NOTES - mM 6 holt meet Y the .w t. old 11M .Ib Yw1f1 In/ .MINI d/ N M ..NMw/Id Y 1\. Iry N4rr. rr n•o. T1it Lr Y wo1 to b 1 TINIIew •1 Wr•. Iut.r-.J edww J..T i.w Seo. O.mlere ►1 1M e4rwl. Tl�r ooh«. ►Aer 1. 6eTnllew. IM IJAot•1 M.11 w.r. 1:enova .w wdMl u..ue NwM1 ►: Mw'\1 it -..it •nrY e1Mr.W rb.w�Lr.Mu uwl mwNl/on due 4l -I .n. ep....tilb, IeI d•mgY • • o.0 of fee 11. or ....e .r1 Inlor-•Ilon IN rlh• /nit Ole.lw. t0 .Al. IMI W. Ir...n Nle In ...Y be Seed 11 Arr rr.ulewl N.•►.r N rH (111/1. C w1.•UM of rowel.«IM Settle {wort tbw N4. do....nN1...h.d 1e IM 1.y e.I IM r.... ... .. p.• • 1..►onll. IS., O loan ylo . In Int 1ibelie r'. pl.M d to III •e.Unum. n.p.w.1►11111 lo. ..n /o •dd.o;,l In lorm•uew uJYe Tel 1►1 d.W.n ""I 'W' w.l N Yr►rd Y wr. e1 e0 Inr Tp/ O.e411 COw1/ol Mew•J • Tel .w1 U- M• MHI .Iww 1nM .\e .Ir n1 I In• Rrr•wwrwe.l Cee. .1 •dlewdrd pweY1. • 014!. oI eo.f ee n Mlro/ ..Ih ,eIud Ie LeS.rn!ew. Clw..em`Owr.N a Im 1. Seem. .enhwll� Awl OWw.ener• u. 10 N M 1n . .n. er1�r1 r.lTh• o. Lbu N1O"' Ion M.Se b Ypbd I. ter• ueW •rub ►R F,CAt1T10 NARY NOTES .0 U.rwtn{ -4 Sit-in. Y.. -..led. _ 01 a ...... Th. u... w e... 4.dlw.e . In dl. iOuJ euiY lnl wr nl N If. Io•n/r ••T II•T." "N DS•11 ^,to ►•Inr*11y I'd Connote ,Sr. IS •neU ►•-.wYNr....IS Iww TO .e New..d .1..1 w«l.nl AST\I A.•I.1 T, ,E. All be... d ...IS.. eft• .w1eUM1 Y BRACING WARMtNG ►• I.W..it wun 'Rohn. Ino n 01.1 el I 1 Cudd.M Or uf. et • Ru�le.n A n.1 IS P. Jowu.e w N.. s1ne..Y. � o.w. OSNII• en.T of M She .11.d orrt \dol• Io 1. dMY OI •'•ed T.0 we;' 1S. -T."1 TII. T1ur• u to lietm. J.•.w Inl. do.►.. r wN rINY•w Dr1..... err ......4 Y/NII/1 or pror.uoN� M'V/n It, et Inr holo \. -I r dl.l.nld .r•In. MlmOrn .h•0 e. Idr ►. w d W .It► vuUn1... e. eluent \•wdln eolln...ind b.Jn., ppul \n/M. p .-Ser E.no se 1. rrlr..0 pOfe1J .Wd.•r el u.nre, In. d.Y1n lo.d.nP tooth mu.1 1 Sethi n111n it to .00d e.e not, on Cen Mel el DYIn tM�l Er to oleo eoln hot end ►..04AI, d14wt1 .w0 .YIe4.Uow 10 r 1� 0onw..Neh le • pYl •f It. ►.W.y r..11w 1111 4wVe. T-ppue end y •. n1 Mules Ip .Nen - T b wwbwd ►t 't ►.w uy b eM1b0 to nr wo IMI Ihr dNe .\o.n Y l0l•1 Ipa 01 1M Lu teen nelb IuYe Im e.e end .n.0 Mr. hole-. wr. 1. -01, Ai Md p1Y we yo �tmn d.ulwn. i..elw• No.w 1. 1« wwl wIN- 01 I In •Pre In .nn oI eudem eoan. ref ordl for .He e. .no. �0.0.. pe1.rl e. w-mnAe eeW 1M bine unNu o1 u. IhO. w. A D.d yY II 11 0".b• •" 10n A {e1 ..it Im routln bNrr . IMU e. toed Inr rmern OnII. Aea11MJ ►woes •1 uI end n Nllld �) of nen. Cu. NI oboe 4n. U I e"N •1 be •.NM. file. B.T.lt .l 0.d •d.sTh. 4 i .pr..h/.Iw MO o.. . peter n {" .IOI • d" ion.. Sldu (n 1r / rwWl Me .re oleo beeln. l..I..e• w•o Wit of TII) To NJOt Wr ►n. •. •m..y, e ;ow d o . ►orle e. �l'Mw Boll... p.nlNl le 1% pY1I length r 11frd. II Will .JY I then Irv., She .nJl M W pTe..1.o.YI ere, •for hurt / .uY.• un Build... d1JSn ITnr Y1r IY Y. Y.. r-p«See to ewY no er.l. tno1�N1 o od Yy 9111 U Ye bitted 1►pd .n OI felt 1.1...11 Ir Y« mor. M. eI I.en111.duY «pu•Y uwll Ihlw •.IW o .► b•eu ltw. euW Yew INwn1. Ywou1, {0010{• VI pees. Aw•«. Dee ►.I. e.w wr1 to •retl top 1U. ..it10-.rW1Y. Plates shall be Tech -I Metal Truss Connector Plates ICBO Report No 4420 W0000 ovoiv 2 w�sfq O 0000 � lLlL� vm hen COC '�Sxx �hmrn� F- FW,.000 �tototpi CL xxx 999 tom.: '7vmm WO 99 ;mm OXX In 9 v.+10 LU T TmNmm Emm v v ITDImm Qt IIID &.mN Ejcvm doom �Nmm Wdtnh.d VNQ 4 N gvmmv IL hOOh �t�.•t Nv v N •ymhhm m DI O.d hm�0 L. mgr. MW �O IL A o-) T.`_. W V' � w Y O m 1a .rl DI V uimNED * f- [VvQhhNm w i nfm+Om1V winttnin Y~x O 4 plu.Qi; NNti'P ZII�tl07 oaaaa�zl-t mmmmmm /Ftritri Jmvoob �� N §l]vvv<tn. }V��igqmlmO ��tJJ,J,fJ t f Jm mm) f� �Nmvi!'7mh tL.01...0 � i ~JD�G@9OV OJ V °�C�tvmvtitto �•dh 00'mm ODS �0 Q in m t -►;_0 ID 7 rl T -V -0 0 0 1 V TITLE 24 REPORT FOR: B&B DEVELOPERS PROJECT DESIGNER: OWNER: REPORT PREPARED BY: SUECO ENTERPRISES' 58-256 LISBON DR YUCCA VALLEY CA 92284 619 365-6923 CA LICENSE # 471337 Job Number: B&B DEVELOPERS 1548 SQ.FT. Date: 4/29/1989 The COMPLY 24 computer program has been used to perform the calculations summarized in this compliance report. This program has interim approval and is authorized by the California Energy Commission for use with the Second Generation Nonresidential Building Energy Efficiency Standards for Nonresidential Occupancies. Second Generation Residential Occupancies shown to comply with this program conform to the results produced by the Public Domain Point System, developed by the California Energy Commission. This program developed by Michael Gabel Associates (415) 428-0803. Table Of Contents for Title 24 Report ------------------------------------- Cover Page.......................................................... 1 Table of Contents .................................................. Form CF -1R Certificate of Compliance: Residential 3 Form MF -1R Mandatory Measures Checklist: Residential ................ b Form P -2R Points System Summary ..................................... 8 HVAC Zone & Space Loads Summary ..................................... 9 Domestic Hot Water Worksheet ........................................ 11 Form WS -1R Points Thermal Mass Worksheet ............................ 12 Form S Shading Coefficient (SC) Worksheet ........................... 1z Form WS -2R Interpolation Worksheet .................................. 14 CERTIFICATE OF COMPLIANCE: Residential (part 1 of 3) CF -1R page 3 of 14 ---------------------------------------------------------------------------- Project: B&B DEVELOPERS ; COMPLY 24 v 2.20 Designer: Location: Palm Desert Date: 4/29/1989 Building Permit No Checked By Documentation: SUECO ENTERPRISES ; Date (User # 1625) --------------------------------------------------------------------------- PROJECT ADDRESS GENERAL INFORMATION Compliance Method: Point System Climate Zone: 15 Total Conditioned Floor Area: 1548 sqft Building Occupancy: Single Fam Det Front Entry Orientation: North/East/South/West (circle one) Floor Construction Type: Slab Infiltration Control: Standard BUILDING SHELL INSULATION Component Area --------- U -Value Location/Comments ---- R-11 Wall w/1" Thermax 1164 ------- ------------------------------------ 0.0554 WHOLE HOUSE R-38 Roof/Gyp Ceiling 1548 0.0290 WHOLE HOUSE Exposed Slab 261 0.9000 WHOLE HOUSE /Slab F2 Val Carpeted Slab 1287 0.7200 WHOLE HOUSE /Slab F2 Val THERMAL MASS Thick Mass Material Area --------------------- ---- (in) Type Location/Description ------------ Concrete, Heavyweight 261 ------------------------------ 4.000 Exposed WHOLE HOUSE /Int Mass Concrete, Heavyweight 1287 4.000. Covered WHOLE HOUSE /Int Mass ' CERTIFICATE OF COMPLIANCE: Residential (part 2 of 3) CF -1R page 4 of 14 --------------------------------------------------------------------------- Project: B&B DEVELOPERS ; COMPLY 24 v 2.20 Designer: Location: Palm Desert Date: 4/29/1989 Building Permit No Checked By Documentation: SUECO ENTERPRISES ; Date (User # 1625) --------------------------------------------------------------------------- SHADING COEFF GLAZING Glass Glass Glass w/Int Orientation ----------- Area ------ Type ------ U -Val ----- Only ----- Shade ----- Description ----------------------- West 4.0 Double 0.65 0.88 0.88 Double/No Int Shades West 53.3 Double. 0:65 0.88 0.88 Double/No Int Shades East 60.0 Double 0.65 0.88 0.88 Double/No Int Shades North 40.0 Double 0.65 0.88 0.88 Double/No Int Shades South 42.0 Double 0.65 0.88 0.88 Double/No Int Shades South. 53.3 Double 0.65 0.88 0.88 Double/No Int Shades SHADING (for Glazing above) Over Orientation ----------- Exterior ------------------------ Device Sc ---- hang -- -- Framing Type ----------------------- West 50 % Bug Screen 0.84 2.0 Metal w/o Mullions West 50 % Bug Screen 0.84 2.0 Metal w/o Mullions East 50 % Bug Screen 0.84 2.0 Metal w/o Mullions North 50 %°Bug Screen 0.84 0.0 Metal w/o Mullions South 50 % Bug Screen 0.84 2.0 Metal w/o Mullions South 50 % Bug Screen 0.84 2.0 Metal w/o Mullions CERTIFICATE OF COMPLIANCE: Residential (part 3 of 3) CF -1R page 5 of 14 --------------------------------------------------------------------------- Project: B&B DEVELOPERS ; COMPLY 24 v 2.20 Designer: Location: Palm Desert Date: 4/29/1989 Building Permit No Checked By Documentation: SUECO ENTERPRISES ; Date (User # 1625) --------------------------------------------------------------------------- HVAC SYSTEMS Min Output Duct Duct Manufacturer/Model No. System.Type Eff (Btuh).Location RVal (or approved equal) --------------- ----- ----------------------- ---- ----------------------- Heat Pump 7.000 0 Vent. Attic Space 5.1 10 SEER HEAT PUMP Heat Pump 10.000 0 Max. Furnace Output: 45000 Btuh + [(76% •- 71%) x 70001 = 32351 Btuh Cooling Exception: CFM Cooling (see Load Calcs) requires Btuh HOT WATER SYSTEMS Tank Manufacturer/Model No. # of Energy # of System Type Volume. (or approved equal) Units Credits Pumps ------------------- ----------------------------- ------------ ----- Gas Fired 50.0 Std Gas 50 gal or less 1 0 0 SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article 1 of the California Administrative Code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this Certificate of Compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in the Special Features/Remarks section. DESIGNER License No: 8 5-L12-FV 9k,Signed: L DOCUMENTATION AUTHOR SUECO ENTERPRISES 58-256 LISBON DR YUCCA VALLEY CA 92284 619 365-6923 CA LICENSE # 471337 Signed: BUILDING OWNER Signed: ENFORCEMENT AGENCY Name: Agency: Telephone: Signed: MANDATORY MEASURES CHECKLIST (part 1 of 2)' MF -1R page 6 of 14 -------------------------------- ------------------------------------------- Project: B&B DEVELOPERS ; COMPLY 24 v 2.20 Designer: Location: Palm Desert Date: 4/29/1989 Building Permit No Checked By Documentation: SUECO ENTERPRISES ; Date (User # 1625) --------------------------------------------------------------------------- NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of -the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in'the documents or on this checklist only. BUILDING ENVELOPE MEASURES o Sec. 2-5352(a): Minimum ceiling insulation R-19 weighted average. * o Sec. 2-5352(b): Loose fill insulation manufacturers labeled R -Value. o Sec. 2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). * o Sec. 2-5352(k): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. o Sec. 2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. o Sec. 2--5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. o Sec. 2-5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed. o Sec. 2-5352(e): Special infiltration barrier installed to comply with Sec. 2-5351 meets CEC quality standards. o Sec. 2-5352(d): Installation of Fireplaces 1. Masonry.and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. Enforcement MANDATORY MEASURES CHECKLIST (part 2 of 2) MF -1R page 7 of 14 --------------------------------------------------------------------------- Project: B&B DEVELOPERS ; COMPLY 24 v 2.20 Designer: Location: Palm Desert Date•: 4/29/1989 Building Permit No Checked By Documentation: SUECO ENTERPRISES ' Date (User # 165) ----------------------------------------------------------------------------- HVAC AND PLUMBING SYSTEM MEASURES Enforcement o Sec. 2-5352(g) and 2-5303: Space conditioning equipment sizing: attach calculations. o Sec. 2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. o Sec. 2-5316(a): Ducts constructed, installed and insulated per -Chapter 10, 1976 UMC. * o Sec. 2-5316(b): Exhaust systems have damper controls. o Sec. 2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. o Sec. 2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. o Sec. 2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); first 5 feet of pipes closest to tank. insulated (R-3 or greater). o Sec. 2-5312(Exception I): Pipe insulation on steam and steam condensate return & recirculating piping. o Sec. 2-5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. LIGHTING AND APPLIANCE MEASURES o Sec. 2-5352(j): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. o Sec. 2-5314(c): Gas fired appliances equipped with intermittent ignition devices. o Sec. 2-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. POINTS SYSTEM SUMMARY:.CLIMATE ZONE 15 P -2R page 8 of 14 --------------------------------------------------------------------------- Project: B&B DEVELOPERS ; COMPLY 24 v 2.20 Designer: ; Building Permit No i Location: Palm Desert Date: 4/29/1989 ; Checked By Documentation: SUECO ENTERPRISES ; Date (User # 1625) --------------------------------------------------------------------------- BUILDING DATA Conditioned Floor Area 1548 sgft Number of Stories - 1 Occupancy Type Single Fam Det SCORE CARD Measure Points ------------------------- 1. Roof Insulation ------- 0.0290 (U -Value) ------ 0 2. Wall Insulation 0.0554 (U -Value) 2 3. Raised Floor Insulation 0.0000 (U -Value) 3a. Controlled Vent Crawlspace 0.0 (R -Value) ; 0 4. Slab Edge Insulation 0.7650 (f2 factor) S. Inf-i 1 tration Standard 0 6. Glass Heat Loss 0.65 16.3% 0 Sum 1-6 2 7. Shade Open Area % ------------ Glass SC OH Eff a. North 40.0 2.6 x -------- 0.74 ----- = 1.9 0 b. East. 60.0 3.9 x 0.74 x 0.88 = 2.5 -1 c. South 95.3 6.2 x 0.74 x 0.87 = 4.0 O d. West 57.3 3.7 x 0.74 x 0.91 = 2.5 0 e. Skylight 0.0 0.0 x 0.00 = 0.0 0 S. Shade Closed Area % Glass SC OH Eff % a. ------------ North 40.0 2.6 x ---- 0.74 ---- ----- = 1.9 0 b. East 60.0 3.9 x 0.74 x 0.78 = 2.3 -3 c. South 95.3 6.2 x 0.74 x 0.69 = 3.1 -8 d. West 57.3 3.7 x 0.74 x 0.86 = 2.4 -4 e. Skylight 0.0 0.0 x 0.00 = 0.0 0 9. Interior Thermal Mass 2.31 0 10. Exterior Wall Mass 0.00 0 Sum 7-10 -16 11. Heating System 7.000 HSPF x 0.83 Duct Eff = 5.80 Eff HSPF 1 Zonal Control: No 12. Cooling System 10.000 SEER x 0.82 Duct Eff = 8.19 Eff SEER 16 13. Water Heating (see DHW Worksheet) = 0 Point Total: 3 HVAC ZONE HEATING & COOLING LOAD SUMMARY page 9 of 14 Project: B&B DEVELOPERS ; COMPLY 24 v 2.20 Designer: ; Building Permit No Location: Palm Desert Date: 4/29/1989 ; Checked By Documentation: SUECO ENTERPRISES ; Date (:User # 1625) --------------------------------------------------------------------------- HVAC ZONE DESCRIPTION HVAC Zone Name: HVAC System Name: System.Multiplier: Heating Schedule: Cooling Schedule: Fan Schedule: Sizing Method: Relative Humidity: WHOLE HOUSE 10 SEER HEAT PUMP 1 Residential Heating Residential Cooling Residential Occupancy COINCIDENT 50 % 0 COOLING SPACES ----------------------- IN THIS ZONE PEAK ---- HEATING PEAK SENSIBLE LATENT WHOLE HOUSE (Jan 12am) ------- 26171 ------- ---- (Aug 2pm) -------- - 30911 ------ 1161 TOTAL SPACE LOAD 26171 -------- 30911 ------ 1161 Bypass Ventilation Air ( 0 cfm) 0 ( 0 cfm) 0 -0 Supply Duct Conduction 1309 1546 Supply Duct Leakage 523 618 23 Supply Fan Heat Gain -0 ------- 0 EFFECTIVE SPACE LOAD 28003 -------- 33075 ------ 1184 Ventilation ( 0 cfm) 0 ( 0 cfm) 0 -0 Return Air Lighting Gain 0 Return Duct Conduction 280 331 Return Duct Leakage 560 661 24 Return Fan Heat Gain -1819 1819 TOTAL SYSTEM LOAD 27024 35886 1208 3.0 tons 0.1 tons SYSTEM PERFORMANCE 0 0 0 AT DESIGN CONDITIONS 0.0 tons 0.0 tons SPACE HEATING --------------------------------------------------------------------------- & COOLING LOAD SUMMARY page 10 of 14 Project: B&B DEVELOPERS ; COMPLY 24 v 2.20 Designer: Location: Palm Desert Date: 4/29/1989 Building Permit No Checked By Documentation: SUECO ENTERPRISES ; Date (User # 1625) --------------------------------------------------------------------------- SUMMARY OF PEAK HOUR LOADS FOR SPACE Space Name: DESIGN CONDITIONS --------------------- Peak Hour: Indoor Conditions: Outdoor Conditions: LOAD COMPONENT Wall Conduction Window Conduction Door Conduction Roof Conduction Skylight Conduction Floor Conduction Slab Conduction Interior Conduction Infiltration Solar Gain Lighting Equipment Occupants SPACE LOADS WHOLE HOUSE HEATING Jan 12am 70 F DB 32 F DB Btu/hr 2450 6238 0 1708 0 0 7304 0 8471 26171 Btu/hr COOLING SENSIBLE LATENT Aug 2pm 78 F DB 50 % RH 112 F DB 73 F WB Btu/hr 1771 5306 0 2114 0 O 0 7579 9018 2642 1321 1161 30911 Btu/hr 2.6 tons Btu/hr 0 1161 1161 Btu/hr 0.1 tons SUPPLY AIR QUANTITIES ---------------- Heating: 26171 Btu/hr / [1.10 * (105 F Supply - 65 F TStat)] = 595 cfm Cooling: 30911 Btu/hr / [1.08 * ( 78 F TStat - 55 F Supply)] = 1244 cfm DHW WORKSHEET ONE: STORAGE TYPE GAS OR ELECTRIC page 11 of 14 --------------------------------------------------------------------------- Project: B&B DEVELOPERS ; COMPLY 24 v 2.20. Designer: Location: Palm Desert Date: 4/29/1989 Building Permit No Checked By Documentation: SUECO ENTERPRISES ; Date (User # 1625) --------------------------------------------------------------------------- A EQUIPMENT DATA 1 Water heater type SG Enter SG or SE 2 Manufacturer & 2 Water heating -budget 3 Model number KBtu/yr/unit, see Table 1 Std Gas 50 gal or less 4 Ignition device GP GP, gas pilot or IID, int. ignition device 5 Tank volume 50.0 Total gallons, from CEC Appliance Directory 6 Recovery efficiency 76.0 Percent from CEC Appliance Directory 7 Standby loss 3.1 Percent/hour, from CEC Appliance Directory 8 Rated input 55000 Btu/hr, from CEC Appliance Directory 7 Adj Standby Losses (1 kWh = 3413 Btu) 9 Number of Heaters 1 From building plans (total) B OPERATING DATA 1 Climate Zone 15 See Appendix D 2 Water heating -budget 18700 KBtu/yr/unit, see Table 1 3 Tank set temp. 140 F, fixed input 4 Water main temp. 70.0 F, see Table 1 5 Daily hot water load 50 50 or 35 gallons/unit, see Table 1 6 Ambient air temp. 72.6 F, see Table 1 7 Adj Standby Losses 0.0205 See Table 2 or Appendix B 8 No. dwelling units 1 From building plans (total) 9 Number of pumps 0 From building plans 10 Pumping energy 0.0 Watt-hr/yr per Pump, see Table 3 C WATER HEATING ENERGY CREDITS ------------------------------------------7-------------------------------- 1 Credit name See Table 5 2 Annual savings 0.0 KBtu/yr/dwelling unit, see Table 5 D CALCULATE ANNUAL WATER HEATING ENERGY (KBtu/yr) 1 Recovery load 10539.4 {[B5 x 8.25 x(140-B4)x 365 x 0.001]-C2)x B8 2 Recovery energy 13867.6 D1 / A6 3 Standby loss energy 4839.6 {24 - [(D2 x 1000)/(A8 x A9 x 365)]) x 8.25 x A5 x 67 x 365 x (140-B6) x 0.001 x A9 4 Pumping energy 0.0 69 x 810 x 3..413 x'3 x 0.001 5 Total energy 18707.2 GAS SYSTEMS: (D2 + D3 + D4) / 68 ELECTRIC: {[(D2 + D3) x 3] + D4) / B8 6 Water heating budget comparison -7.2 KBtu/yr/unit B2 - D5 7 Water heating budget -0.0 Points (D6 / Floor Area) x 2 x 88 THERMAL MASS WORKSHEET --------------------------------------------------------------------------- WS -1R page 12 of 14 Project: B&B DEVELOPERS ; COMPLY 24 v 2.20 Designer: ; Building Permit No Location: Palm Desert Date: 4/29/1989 ; Checked By Documentation: SUECO ENTERPRISES --------------------------------------------------------------------------- Date (User # 1625) INTERIOR THERMAL MASS Interior Interior Sides Wall Mass Mass Mass Mass Material Thick Exposed ---------------------- ------------ U -Value Area ------- ------ Factor -------- Capacity Concrete, Heavyweight 4.00 1 261.3 x 4.7 = -------- 1227.9 Concrete, Heavyweight 4.00 0 1286.8 x 1.8 = 2341.9 TOTAL 3569.8 INTERIOR MASS FACTOR 3569.8 TMC / 1548 sgft = 2.31 * Mass listed above with a Wall U -Value denotes the Interior Mass credit for Exterior Mass Walls, and are repeated below for Exterior Mass credit. O Sides Exposed indicates mass covered with surface material >= R-2. EXTERIOR MASS WALLS Exterior Exterior Sides Wall Mass Mass Mass Mass Material Thick Exposed U -Value Area Factor Capacity ---------------------- ------------------- ------ -------- -------- NONE SHADING --------------------------------------------------------------------------- COEFFICIENT (SC) WORKSHEET FORM S page 13 of 14 Project: B&B DEVELOPERS ; COMPLY 24 v 2.20 Designer: Location: Palm Desert Date: 4/29/1989 Building Permit No Checked By Documentation: S.UECO ENTERPRISES ; Date (User # 1625) --------------------------------------------------------------------------- GENERAL INFORMATION 1. Glazing Type: Double Orientation 3. Framing Type: Metal w/o Mullions S. Framing/Mullion Factor: 0.88 (from Table G-10) 6. Interior Shade Type: Double/No Int Shades 7. SC Shade Open: 0.88 (from Table G-9 or show calculation) 8. SC Shade Closed: 0.88 (from Table G-9 or show calculation) GLAZING, INTERIOR SHADE & FRAMING 9a. 0.88 (SC #7) x 0.88 (FMF #5) = 0.77 SC Shade Open 10a.0.88 (SC #8) x 0.88 (FMF #5) = 0.77 SC Shade Closed EXTERIOR SHADE Exterior Shade Type: 50 % Bug Screen 11. SC Exterior Shade: 0.84 (from Table G-11 or manufacturer's data) 12. E(0.84 (SC #11) x 0.25) + 0.75] x 0.77 (SC #9a) = 0.74 SC Shade Open 13. E(0.84 (SC #11) x 0.25) + 0.75,] x 0.77 (SC #10a) = 0.74 SC Shade Open OVERHANG FACTOR Glass Orientation Area West 4.0 West 53.3 East 60.0 South 42.0 South 53.3 Ovrhng Dist Glass Proj Depth Above Height Ratio ----- 2.0-/ ( 0.1 + 4.0) = 0.49 2.0 / ( 0.1 + 6.7) = 0.30 2.0 / ( 0.1 + 4.0) = 0.49 2.0 / ( 0.1 + 4.0) = 0.49 2.0 / ( 0.1 + 6.7) = 0.30 OH Factor Shade Open 0.85 0.91 0.88 0.83 0.90 OH Factor Shade Clsd 0.78 0.86 0.78 0.63 0.73 ` 'INTERPOLATION, WEIGHTED AVERAGE & ADDITION WORKSHEET WS -2R page 14 of 14 --------------------------------------------------------------------------- Projeot: B&B DEVELOPERS | COMPLY 24 v 2'20 Designer: Location: Palm Desert Date: 4/29/1989 Building Permit No Checked By Documentation: 8UECO ENTERPRISES | Date (User # 1625) ___________________________________________________________________________ INTERPOLATION Point Point Point Score Actual Value Score Score Value Value Point Item _______ 1 _____ Value ______ 11 _____ _____ 2 1 2 1 Soore Roof 4 +( 0'0290 - 0'02) x ( -4 - _____ 4) // _____ 0'04 _____ - 0'02\ _____ = O Wall 8 +( O'O654 - 0'04) x ( l - 6) // 0'06 - 0'04) = 2 Slab Edge -2 +( 0'7650 - 0'70) x ( -1 - 2) /( 0'80 - 0'70) = O Glass Type 2 O +(16'31S2 -16'00) x ( -1 - O) /(17'00 -16'00) = -O N Shade Open O +( 1'9210 - 1'00) x ( O - O) /( 2'00 - 1'00) = O E Shade Open O +( 2'5427 - 2'00) x ( -1 - O) /( 3'00 - 2'00-) = -1 5 Shade Open O +( 3'9904 - 3'00) x ( O - O) /( 4'00 - 3'00) = D, W Shade Open 0 +( 2'4956 2'00) x ( l - O) /( 3'00 - 2'00) = O N Shade Clsd O +( 1'9210 - l'OO) x ( O - O) /( 2'00 - l'DQ) = O E Shade Clsd -2 +( 2'2616 - 2'00) x ( -5 - -2) // 3'00 - 2'00) = -3 S Shade Clsd -7 +( 3.1410 - 3'00) x ( -12 - -7) /( 4'00 - 3'00) = -8 W Shade Clsd -3 +( 2'3587 - 2'00) n ( -7 - -3) /( 3.00-- 2'00) c -4 Int Mass -1 +( 2'3060 - 3'00) x ( 0 - -1) /[ 2'50 - 2'00) = -O Heating 1 +( 5'8000 - 5'5O) x ( 2 - l) /( 6'42 - 5'50\ = l Cooling 14 +( 8'1857 - 8'00) x ( 24 - 14) /( 9'00 - 8'00\ = 16 WEIGHTED AVERAGE POINTS Type 1 Type 2 Type 3 Total Average Item --------- Points Area Points ------ ---- ------ Area ---- Points ------ Area ---- Area ----- Points ------- Building Address 51-701 Martinet Mailing Address 72-830 Sesta P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 City Zip Tel. Palm Descrt 1 52260 1 346.2882 Contractor Owr,,er /Bu il.det .Address Tela State Lic.I City & Classif. Lic. # Arch., Engr., Designer Address Tel. CityI Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm 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. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,8us-cress and Professions Code: Any city or county which requires a Permit to construct, after, kWrove, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractors License Law, Chapter 9 (commencing with Section 7000) o1 Division 3 of the Busmess and Professions Code, or that. he 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 civilpenalty of not more than five hundred dollars ($500). O 1, 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within are year of completion, the owner-buyder will have the burden of proving that he did not build or improve for the purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec B. & P.C. for this reason rte. _ Date K 1f Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg 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 Date Owner NOTICE TO APPLICANT: M, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this pentut shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lenders Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 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 to building construction, and hereby authorize representatives -of this city to enter the above- mentioned property for inspection purposes. Signature of appl Mailing Address - City, State, Zip_ No. 062€I7 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 773--141-010 Legal Description Project Description 301 X 41 ittarden txttu Sq. Ft. Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ i Estimated Valuation $2,000 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. T5. o Mech. Electrical Plumbing S.M.I. .t? Grading Driveway Enc. Infrastructure TOTAL REMARKS r r.n ;.. . • .at nr,. ^ +at ti1" ilt.ift 1`-IUf{1L, t , -) tTr ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATEINSPECTOR Issued by: Date 8/ 23/89 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES PLUMBING FEES' 1ST FL SQ. FT. ® $ UNITS r ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL SQ. FT. ® FORMS SEWER OR SEPTIC TANK ROUGH WIRING. MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SQ. FT. ® TEMP. POLE GROUT DRAINAGE PIPING CAR P. SQ. FT. ® FINAL INSP. BOND BEAM WATER SYSTEM DRINKING FOUNTAIN. WALL SQ. FT. _$ LUMBER GR. FINAL INSP. URINAL SQ. FT. @ ROOFING ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES VENTILATION WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FIREPLACE GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1V4 c SEWAGE DISPOSAL SO.FT.GAR ® 3Vic HOUSE SEWER CERT. OCC. GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. O i ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING ' FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL