11735 (SFD)TAh
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 54-900 Rubio LA QUINTA, CALIFORNIA 92253
Owner
Roger L. Kringen
Mailing
Address 75-x541 Camino De Paco
City Zip Tel
Indian Weil.s, CA 92230
T&a.,. Builders
.Address -
79-600 Corte"- Lane
City Zip Tel:
La Quanta, CA 92253 347-3781
&tciasslf. 580219 Licy# 2859
Arch.; Engr.,
Designer
Address Tel.
City ( Zip( 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 othe Business and Professions"Code, and my license is in full force and
effect. /' r e rr^ I t"
SIGNATURE— r DATE
'OWNER -BUILDER DECLARATION
I hereby affirm that 1 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, 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 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).
❑ 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.)
❑ 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.)
0 1 am exempt under Sec. B. & 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' Company
: rC61 v 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: If, alter 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
r
No. 11735
BUILDING: TYPE CONST. - OCC: GRP.
A.P. Number 774-292-008
Legal Description Lot? Block 278
Project DescriptionaFD
Sq. Ft. 384 No. No. Dw.
Size Stories Units
New Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit includes stucco wall.. fool permit
to be obtained
separately.
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
Estimated Valuation
$109,562.00
- INSPECTOR
PERMIT
Date Permit
AMOUNT
Plan CW. Dep.
258.00
Validation:
Plan Chk. Bal.
31 -/Pug
Const.
674.5)0
Mech.
62. UO
Electrical
336.46
Plumbing
144.00
S.M.I.
21,00
Grading
20.00
Driveway Enc.
Infrastructure
2,346-12
Acts in Public
TOTAL
3, 98b.91
J, 1:3b.9-1
REMARKS
1`t�S .:a. I.::' 1a S•v'-: -�. i�ri�r'oG_��, n -s t
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 Permit
Validated by:
Validation:
STRUCTURE PLUMBING ELECTRICAL HEATING R AIR COND. SOLAR
SETBACK
GROUND PLUMBINGS�� 3
UNDERGROUND
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
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
STORAGE TANK
FLOOR DRAIN
MECHANICAL FEES
SEWER OR SEPTIC TANK
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
METER LOOP
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
REINF. STEEL
LAUNDRYTRAY
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
FRAMING �� oldf �p
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/. c
SEWAGE DISPOSAL
REMARKS:
SO.FT.GAR ® 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
OBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE JELECT.FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING R AIR COND. SOLAR
SETBACK
GROUND PLUMBINGS�� 3
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMSAV Ity
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE 6171,7
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP. O Z 3
FRAMING �� oldf �p
FINAL INSP.
ROOFINGG _3 e— 73 ('(/)
-3 0-9 3
n
Wj Fag f ass
�clr�ly3 �n
��
r�o� l~ Of �-•
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL ?-23_-a
LATHING Z3 �-vCJ
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631 '
Daae 2/5/93 1 Type of Permit I La Quinta
No. 112001 Permit #
Log
Owner Name Roger L. Kringen
No. 54900 Street Avenida Rubio
city La Quinta Zlp 92253 Study Arra 110
APN # 774-292-008 1 Tract #I J Lot # 17 Square Footage 11844
Type "of Development Single Family Residence No. of units 0
Comments
At the present time, the Desert Sands Unified School District does not collect fees on
garages [carports, covered patios/ walkways, residential additions under 500 square feet,
detached accessory structures or replacement mobilehomes. It has been. determined
the above-named owner is exempt from paying school fees at this time due to the
following reason:
EXEMPTION NOT APPLICABLE.
This certifies that school facility fees imposed pursuant to Governmezat Code 53080
in the amount of 1.58 X 1844 or $ 2,913.52 have been pa -."d to D.S.U.S.D. for
the property listed above and that building permits and/or Certificates of Occupancy for
this square footage in this proposed project may now be issued.
Fees Paid By Roger L. Kringen Telephone
Name on the check
By Tames F.. Lively ` 1 14. -
Assistant Superintendent, Business Services al
Fee collected /exempted by Vickie J. Durrett
,�- rte'
Paymen ReceFved�'
Signature 116
x Check N�;
Collector: Attach a copy of county or city plan check application form to district copy b all waivers.
Embossed Original- Building Dept./Applicant � Copy - Applicant/Receipt Copy- Accounting
i
/ RECORDING REQUESTED BY
AND WHEN RECORDED MAIL THIS DEED AND; UNLESS OTH
WISE SHOWN BELOW. MAIL TAX STATEMENTS TO:
F 11
NA"` Roger L. Kringen
p�wooaEao Earlene M. Kringen
Ja CITY °/5-641 Camino 'de Paco
STATE
7 ZIP Indian Wells, Ca. 922107:
Title Order No. Escrow No. 12802
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SPACE ABOVE THIS
LINE FOR RECORDER'S USE
GRANT DEED
The undersigned declares that the documentary transfer tax is$6':�.......................................................---........... and is
computed on the full value of the interest or property conveyed, or is
computed on the full value less the value of liens or encumbrances remaining thereon at the: time of sale. The land,
tenements or realty is located in
unincorporated area La Quints ......-- and
❑ P city of •--- -- .... ......................................... _.
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
William R. Riley, an unmarried man
hereby GRANT(S) to Roger L. Kringen, and Earlene M.' Kringen,
husband and wife, as community_.property
r 1 the following described real property in the City of La Quinta
lb county of Riverside ,state of California:
1
Lots 17 and 18 in Block 278 of Santa Carmelita at Vale La Quinta, Unit No. 25, as
'1� per map recorded in Book 19 Pages 50 and 51 of Maps, in the.office of the County
Recorder of said County.
Dated November 21, 1991 `
William R. Riley
STATE OF CALIFORNIA
COUNTY OF
Riverside } SS.
On this the 22nd day of November19--L, before me the undersigned, a
Notary Public in and for said County and State, personally appeared William R. Riley
FOR NOTARY SEAL OR STAMP
personally known
to me or proved to me on the basis of satisfactory evidence to be the
person whose name is subscribed to the within instrument
and adtnapG�edA�d mat he executed the same.
igneh MbMotary
MAIL TAX STATEMENTS :TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SO SHOWN, MAIL AS DIRECTED ABOVE
Name Street Address City 8 State
CAL-1/CT (Rev 2-88)
COACHELLA VALLEY WATER DISTRICT
CASH RECEIPT DETAIL
Received From: .1 - i A / `f I I r.' "1 1.
Address:
36at8
Account No. t 136. v Lot(s) 7
L'M
Tract
Service Address Lr -f / 7
G.A. Code
r.
&;- Teter(s) -
$ o 5'C) u•J
&--<rvice(s)
Check
C�qU J
❑ Backflow(s)
Cashi er
❑ House Lateral(s)
❑ DetectorCheck(s)
❑ Meter Surcharge
,,�yc^ '"'a�- �' �:j�y.
Q_Santtation Capacity Charge
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w. _ ��L Y.eregr iR�X.re,�X7E TR.'�,�!• t _
❑ W.S.B.F.C.
❑ Temporary Construction Meter
❑ Turn on Charge
❑ Uncollected Account - Name
❑ Inspection Fee - Tract -
Fee -
❑ Plan Check Fees Water / Sewer -
Tract -
❑ Bond Payment - A.D. - Bond
Assort.
❑ Customer Deposit
❑ Other
TOTAL $ 0 = S L J
/
Remarks: Lf_i I
Y
❑Copy to:
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Water Service U
Check
C�qU J
Cashi er
Money
Order
CVWD-438 (11189)
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(t of .a (Qu*nta
ut�tn fP 4tttin
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building!
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the, City regulating, building construction or use. For the .following:
BUILDING
ADDRESS' 54-900
Avenida
Rubio ,
U se classification -Single
Family Dwelling-
Bldg. Permit No. 11735
Group R3 Type
Construction VN
Fre Zone
Use Zone SR
Owner of Building Roger L.
Kringen
,address 75-641 Camino De Paco
City Indian Wells,
CA 92210
Lonnie Day
-7;�,
By;
7
Dote':
November 4, 1993
Building Official
POST IN A CONBPICUOUs PLACE
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PLATE OFFSETS (X=LEFT,Y=TOP):Cj2=3,23,"
NOTE: PROVIDE ADEQUATE DRAINAGE TO PREVENT PONDING
4-1�-11 9-7-1O 13-4
4-10-11'' 4-8-15 3-8-6
z
� 3 v
5x4
1
3x4 8 7 6
. .
3x4 3x4 3x4
4-10711 9-7-18 23-4
4-10-11 4-8-15 2-8-6
L. HL TO FM:13-4-1
LEFT HEIGHT:2-0-1 SPAM :13-4 EISE:3-6 EIGHT HEIGHT:2-3-5
LOADING (PSF) MAX STRESSES MINIMUM GRADE OF LUMBER
1, DD - TOP 2-3=0.280 TOP CHORD:2*4 No.1&Btr GR DF -L
TOP 20 '10 BOTT 7-8=0.163 'BOT CHORD:2*4 No.l&Btr GR DF -L
BOTT 0 5 DEFL.@8=0.02 <:L/240 WEBS :2*4 STUD GR DF -L '
---------------=--------------------------------------- ------------------------
STR.INC.: LUMB =.1.15 PLATE = 1.15 SPACING 24.0 -in. o. c:
REPETITIVE STRESSES USED NO. OF MEMBERS = 1
PLATES ARE MITEK M20-186,147 MANUFACTURED FROM ASTM A 446 GRD A GALVANIZED STEEL(EXCEPT AS SHOWN)
PLATE MUST BE INSTALLED ON EACH FACE OF JOINT, SYMMETRICALLY (EXCEPT AS SHOWN)DESIGN CONFORMS WITH NDS DEIGN SPECS, UBC-ICBO,TPI-91 '
THIS DESIGN IS FOR TRUSS FABRICATION ONLY.FOR PERMANENT AND TEMPORARY BRACING(WHICH IS ALWAYS REQD)CONSULT BLDG ARCHITECT OR ENGINEER.
===««A:C.E.S
Version
5.7»»======[
000922 ]=======««A.C.HOUSTON-INDI»»===
Customer
: BID
Mon Dec 21
18:46:20 1992,
Project
#: VIGIL
Truss ID : A
Family #
317
Span ; -
: 13-4
Quantity : 17
Top Pitch
0.25/12
TOP CHORD
BOTTOM CHORD
WEBS
REACTIONS - SIZE
>
1-2=-433
6-7= 618
2-8= 809
1=-456 . 3.50
2-3=461
7-8= 761
3-8=-227
&--456 3.50
3-4=-618
8-1= 0
3-7=-153
4-5= 0
4-7= 96
5-6=-107
4-6=-702
PLATE OFFSETS (X=LEFT,Y=TOP):Cj2=3,23,"
NOTE: PROVIDE ADEQUATE DRAINAGE TO PREVENT PONDING
4-1�-11 9-7-1O 13-4
4-10-11'' 4-8-15 3-8-6
z
� 3 v
5x4
1
3x4 8 7 6
. .
3x4 3x4 3x4
4-10711 9-7-18 23-4
4-10-11 4-8-15 2-8-6
L. HL TO FM:13-4-1
LEFT HEIGHT:2-0-1 SPAM :13-4 EISE:3-6 EIGHT HEIGHT:2-3-5
LOADING (PSF) MAX STRESSES MINIMUM GRADE OF LUMBER
1, DD - TOP 2-3=0.280 TOP CHORD:2*4 No.1&Btr GR DF -L
TOP 20 '10 BOTT 7-8=0.163 'BOT CHORD:2*4 No.l&Btr GR DF -L
BOTT 0 5 DEFL.@8=0.02 <:L/240 WEBS :2*4 STUD GR DF -L '
---------------=--------------------------------------- ------------------------
STR.INC.: LUMB =.1.15 PLATE = 1.15 SPACING 24.0 -in. o. c:
REPETITIVE STRESSES USED NO. OF MEMBERS = 1
PLATES ARE MITEK M20-186,147 MANUFACTURED FROM ASTM A 446 GRD A GALVANIZED STEEL(EXCEPT AS SHOWN)
PLATE MUST BE INSTALLED ON EACH FACE OF JOINT, SYMMETRICALLY (EXCEPT AS SHOWN)DESIGN CONFORMS WITH NDS DEIGN SPECS, UBC-ICBO,TPI-91 '
THIS DESIGN IS FOR TRUSS FABRICATION ONLY.FOR PERMANENT AND TEMPORARY BRACING(WHICH IS ALWAYS REQD)CONSULT BLDG ARCHITECT OR ENGINEER.