08098 (SFD)P.O. BOX 1504
Building 78-105 53 -MIS Rubio LA QUINTACCCALIFORNIAALLE
DO
Address 92253
'
Owner
John Nelsen
Mailing -
Address 32.520 J42 Wishing Well
City I Zip ITel.
tractor
City
Zip
Tela
State Lic.
& Classif.
City
Lic. #
Arch., Engr.,
Designer
Address`
Tel.
CityZip 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
1 hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rile a signed statement that he is licensed pursuant to
the provisions or 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 therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
O 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, 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 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 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 withe contractor(s) licensed pursuant to the Contractor's License Law.)
O 1 am exempt under Sec. ----B. P. P.C. fo this reason
Date/ . - Owner/ r -o
Y A tr
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
O Copy is filed with the city. O 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: If, 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 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
ivy
No. 08098
BUILDING: •TYPE CONST. OCC: GRP.
A.P.. Number 774-159-011;
Legal Description Lnt 4
Project Description Man -U fAMng
., ri-311i
7 v ��—
ZONE:
BY'
Minimum Setback Distances:
Front Setback from Center Line
Sq. Ft.
Size 1650
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
FINAL DATE
INSPECTOR
Issued by:
, Date 6/13/90 Permit
Validated by:
Validation:
'
Estimated Valuation
193.027_ .
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
' 09
0
Const.
612,50
Mech.
53.50
Electrical
Plumbing
157.50
S.M.I.
Ijj sa
Grading
2-0.00
Driveway Enc.
20.00
;
Infrastructure
2087.49 1
TOTAL
3,592.69
3.342..69
REMARKS
..
�?i n(.�n
Qr.t!''{>�t
J 1rhA .f
ridd'r.�A'��A �j,3M
1fU1 f «a1342'.,6
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 6/13/90 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
r„
1ST FL. SO. FT. ® $
2ND FL. ` SO. FT. ®
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SO. FT.
WALL SO. FT. ®
SO FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
ROUGH PLUMB.
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
DUCTWORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GAS (ROUGH)
LAUNDRY TRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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
BOND BEAM
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
LUMBER GR.
SO.FT.GAR ® Wac
HOUSE SEWER
FRAMING/� y /
FINAL INSP.
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 ofl.7 (% AW
GROUND POVIIWfe
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 6 fa Ito,
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER J.
ROUGH WIRING
DUCTWORK
ROCKSTORAGE
FOUND. REINF. 0.2 )
���`!!!!
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE 6 8 D
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP. /D
FRAMING/� y /
FINAL INSP.
ROOFING///4
,
REMARKS:
VENTILATION
FIRE ZONE ROOFING '
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
�
LATHING 0WAI
MESH
INSULATION/SOUND O 1 l*4
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
COACHELLA VALLEY WATER DISTRICT
CASH RECEIPT DETAIL
Received From: f V XA=" v —
Address: �5a_ Q0
Account No. �^'�1a3"3ga' ory }ot(s)
Service Address 3' 90 S La u
11/meter(s)
�
If
4'Service(s)
❑ Backflow(s)
❑ House Laterals)
❑ DetectorCheck(s)
❑ Meter Surcharge
VSSanitation Capacity Charge
❑ W.S.B.F.C.
❑ Temporary Construction Meter
❑ Turn on Charge
❑ Uncollected Account -Name
❑ Inspection Fee - Tract -
Fee -
❑ Plan Check Fees Water I Sewer -
Tract -
❑ Bond Payment - A.D. - Bond
Assmt.
❑ Customer Deposit
❑ Other
Remarks: Vl� x lL `0
❑Copy to:
Cash
Check
Money
Order
G.A. Code
a
Zoo
TOTAL $ V0 Q U U
r
Water Service
• Cashier }
CAD -43801189)
ROOF TRUSS COM•
*!W,v
831 W. CENTER ST.
RIVERSIDE, CA 92507
PA UL CA S FILL 0
SALES REP. STEVE R. REVISED 5-31-90
PITCH = 4/12
TRUSSES SPACED 24. 0.C.
GENERAL NOTES
CHECK ALL ENGINEERING FOR
LATERAL BRACING REQUIRMENTS.
DO NOT ALTER ANY TRUSSES
WITHOUT PRIOR APPROVAL.
CONVENTIONAL FRAMING DESIGNED
AND PROVIDED BY OTHERS.
LOADING
LL+DL ON TDP CHORD= 23 PSF
DL ON BOTTOM CHORD= 10 PSF +�
TOTAL LOAD= 33 PSF ■
i 5 PSF REDUCTION TAKEN ON
BOTTOM CHORD, AXIAL STRESS ONLY.
IMPORTANT I '
ALL DIMENTIONS & BEARING WALLS SHALL BE
FIELD VERIFIED BY CONTRACTOR BEFORE
FABRICATION OF TRUSSES.
TRUSS LOG
GE2-39'6' SCIS. GABLE TRUSS W/14' VENT
S2 —39'6' SCIS. TRUSS
T2B-39'6' COMMON W/BLOCKS
T1 —26'0' COMMON TRUSS W/5'0' INT.BRG.
T1B=26'0' COMMON TRUSS W/BLOCKS W/5'0' INT.BRG.
GE1-26'0' GABLE TRUSS
ROOF TRUSS
0c � Ic�m�m
1 SINSPECTION@ ICBO AA -513
WSTHICfACCORDANCE
WITH UBC 2547
PREFABRICATED
Verification of Roof Truss Design and location
for dimensions and loading shown. No
inspection implied.
3 ? Scott R. Carroll
R.C.E, #29017
I
�! �Y'� •ms`s. ` ��w �-
rI°•-.. f w;, �L7or v�G':,Y:': •. ?F�'•:riQ��IR:T�i.� d �i
f% ;s;a�•,w>;.'1_ "�• ,,•.i v�.r,�. .yy �,�..,ti ��� ..toiNl�"� _ '^�,'•�•'�'A••�_, OJ,�( _ 4�ao;""� -
.-wl��i:^ •'^. �•.:• i_.: z:C.1.rr'µti1:AV+!.>::�:. d�•' n.�i.'tih- .�.�� Ma_ �r. �� �'+�� 'O .. ."::SYM. - ��J . M " _ ^!
' irs :b -r- '.+�r �_ ,a:.,+' ...:;�;; ,es •..:'"'''`u).''',T: `:a'•• : ..y[,. 1� ,�.:.�„�,�,�: ;,..��-ar...r.•. • `�`� �'��i�,� 'm;
"I=.t_''' :i�;'ta; :z_ t.. . �.r i�•9� ������.eK�?�� :i't �: �"- .._: 1;7 x'
-a' �:: .. _ .� _.T�' � ...�—a� � '{':�tiSS' �i--: r!r'r-TjiZ�%� . � �jr��f�•��• ...�s`,pw •�.�
.•.� •fir_; __ .♦
.... :• is S;, • ;t:�:.
CALIFpRlV�A _
- SMB E.it fHSPECTION �E�t
1885 The Alameda P. O. Box i I �; E .a,^ `,
6989 San Jose. mla
95150 cw1fo
_
- .. (408) 241-2960
.. ;r.-• ,'-:may_.,:.;
- . A QUAUTY CONTROL AGENCY
Of approved by the International Conference
Building Officials - approval number AA-513. _
California Lumber Inspection Service verifies'that: -
Roof Truss
831 Center
Riverside, Ca. -.92502
is supervised under our Certified Quality Control: Pro ram _
evaluated and audited under the Uniform . Buildin Code . Production is - -
Inspections 3 Standard 25-17
by supervisors are performed on a regular 'basis i _
frequently at destinations. in-plant and -
Ar
CaliforniaMVLumber Ins action Service
;:_•
.?�{" �'�. �`• ��,- it •�
4.
' Dated March 8, 1990 • =h ::lf: =`
- ••�I� ai1<L••' '$•+i•i �,F:��-y.-q tie �„'�.J)•L.�-........•..... � ... _ _ �,��j��'s. ��
• •' - _ Aii:. �: :illw. M4iJ�• ••� �}a!► • ri• v�j•�':.� �_::. r� � ;r. .;,, 1✓•�V .�.
�� � .•� 1.;.._ �. .. �.�ry^��TL'I• Ste^ '.L.>.�: �:,,,'j:.',4 �� .�, � •
:.�.•..���:,� :5?g: r, .:�,c�ti,i�•J:jw'tv�. .! ;., �:r �- _� :ri. _
'.cC. ” �;+ Bei• ..;N'�,:• ,.. ;�jj: ,.••.>.••::::; ,.' .;:;i;,: rs• ' -
...� i CB
O. Evaluation Servi
Ace, of Ince Ce, Inc.
International Conference of Building Off lcrals
EVALUATION REPORT
. Repor
RungCategory: FASTEtyEAS—Steel Gusset Plates
COMPTMDIto •r........
COMPUTRUS, INC. ImajoJ rt,ATES
STS
, CA
CORONA, CAIXTII STR�.• SUITE 114
LIFORNIA 91720
L Subject: Colnputrus Muss Plates
il. Description: The Compute Truss PI
and 20 gauge gairattized sheet steel meeting are Punched from Nos. I S
established in U.B.C. S g mechanical requirements
The phues have 9.4 tandardNO. 27-1 forA
lath in length and tench pa ane inch of plate. � aPProximatd 'h
in pairs. with each palrspaced t 4 i 106 inch in width. The t� ate puudy
.8S itttA on och Don anter along the widthand of the plate.
cal tslao tehe -1 inch fmm adjacent rows. •CNthe length. S.. 'tB rows of tech we
are available in ssasa, accept every third row of � Plates the ide nd-
in length. as regi � of % inch in width. to to inches, Plates
by the design. up �. and .83 inch
c Pairs a each fame of Joult� as so COUStructed in
accordance with the utauuf
Idtstttficadon: sPaifcations.
"C" for the No. ZD gauge2s series Cplate is embossed with the letter
No. 20 gauge CN seri is identified C18 fat the No- 18 gauge plate. The
plate. and "CN 18' • for the No. 18 ug the tenets "CN embossed on the
DI. Evidence Submitted: gauge place.
and load tests ate submitt7.ed in
compliance wiurc• details. calculaticnts
with U B C S
• ranched No.
'V'Ftndtn Findings
gs. That the Computes 7Irnas Plates described in thla
report CMMJY with the 1985 Uniform Building foliowhM eanditlotts: g Code, sui
I. The connectors are iustalled as set forth . this
2. Allowable leads are as set iforth In 't>rble No. I, repor
3• The allowable loads MST be increased for
CenneStcorcanee with Section ZMM (c)4. duration
4'bers ors are Installed lu pairs on oppositefaces of
Oft and are not htstalled at locations wt
Apoleatim of in=
5' c��ng19ppler to wood members with a
heti raluea IN M&de No. I be tuped�as�wOniy 80 per,
!nB oAledd for app�v mmt Indicate a mwdn m
content for the wood at the time of plate I t+taxrmn.
6. Stresses at the net mon of steelrDtnot In. e
values
lord is d ad en �er 27 of the code- The t exec
a r�ned by multiplying the dltden maxims.
Bross area of the plate times the sled design std do t
7. Where or "Onr tire.
E�tlonReportsN LM cO and fiction is requir
8. The trussd allowable load alua � recommended only eche,
buildingaMeW. leoiatiousaresubmitted and accepte
lag Code and spedryl that fabpI� wth the Uniform
vided in accordance with Section 2510 (h) of ttinspection trill
:
9*
a Principles. designed in amrordauK with r ecc
a
This
rep= I Is subject to re'e=Wnation in one year.
TABLE NO.~ALLDW LE LOAD IN POUNps
PER SOIlA11E1NCH OF PLAN CONTACTAREA
I sernc.•� t�oe.....��
MIPERCEM
uEDF �oau:n"�rat'�"' toot nu.eaanato.r,ww DOuousst�►atat ant
TE o'toss• Wtoaa o•to4s• 01the s"aw mato t.o not n or•w°; t.aw-ft
CN plow R"Peato
163 146 lbs e'tety o•tetr Wtoo r o•tosr of � 4.�toao• tnov .t"",
� 110 146 I� Ibl 204 r m'
1 136 1m 7 42
42
f.'rotaotian reports of/CBU F, roirralion .Serrree INC-» hieh the report is holed F, ro/ ttttred toll! to an radon. err►en! or baliost rMomore trot io be eo y irm"de injortr>mron !o Closs
nconrnrewdolinn jor ate ojlhe terbf nttr�ned°rrrepretentrwR atttheeiesoro o!h t'f 2 of 1070 uti/irk rhe cods npnn
This reperr it basad neon ind 7alles mol s
rerierred Nit tet! r�SaUs and/.e�dtnlltSlsoro/h[►re�/iaieo/dato�„b,..;..�a--. - -- I'MfE I/ raddrtssednor ns