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13917 (PLBG)4 P.O. BOX 1504 Building '54-545 Ave. Ca;~ranza 78-105 CALLE ESTADO Address i LA QUINTA, CALIFORNIA 92253 ww"c'-C64chella Valley grand address 781.50 Calle Tampico #230 City Zip Tel. Lai Quintal, "� 92253 564�-3.155 Contractor OnWer % Bni ..der ity jZip j Tel. State Lic. I City & Classif. Lic. # Arch:, Engr., Designer Address Tel. City Zip State Lic. # LICENSED CONTRACTQRJS'DECLARATION I hereby affirm that I am licensed under prowsions of Chapter 9 (commc g with Section 7000) of Division 3 of the Business an Professions C6d : and my lice a is in full force and effect., OWNER -BUILDER UEL�A,ARFON I 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 10,construc1, alter, improve, demolish, or repair any structure, prior to its issuance also • requires tfie 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 I Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the' ^alleged exemption. Any violation o/ 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 i 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 i 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 i or improvement is sold within one year of completion, the cwner-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 with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 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 No. Company ❑ 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 i/ the permit is for one hundred dollars ($100) valuation or less.) 0, I certify that in the performance of thg work for wh cT`h thin ermit is ' sued, 1 shall not employ any person in any manner so as to become subject to' a Worke s' Compensation Laws of California. Date Owner / NOTICE TO APPLICANT: If, after making`his` Cervf cat o Exe_�JJ Lion you should become subject to the Workers' Compensation ­ provisions of the gpr,�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 BUILDING: TYPE CONST A.P. Number al Description Project Description No. 13917 OCC: GRP. Sewer Connect Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ _ Demolition ❑ Estimated Valuation $1,500.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing 30.00 S.M.I. Grading Driveway Enc. Infrastructure TOTAL =� REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line 1; 4f ='a l fr Side Street Setback from Center Line Side Setback from'P_-roperty Line+ j FINAL DATE A INSPEC76OR Issued by: De-- Perm ; ��� Validated by: Validation: \ Ur CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® 2ND FL. SQ. FT. ® POR. SO. FT. ® GAR. SQ. FT. ® CAR P. I SO. FT. ® WALL SQ. FT. SQ FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK _ POWER OUTLET ROOF DRAINS DRAINAGE PIPING ` DRINKING FOUNTAIN. URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER 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, TEMIPERM 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. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/4c 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 SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER y ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. 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 /-7 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL COACHELLA VALLEY WATER DISTRICT CASH RECEIPpOETAIL lie Ate?a Received F m Address, Account No. jot(s) Service Address — , r -7�P r . ❑ Meter(s) ❑ Servlcels) ❑ Backilow(s) ❑ House Lateral(s) ❑ Detector Check ❑ Meter Surcharge L� Sanitation Capacity Charge 10 a ❑ WS.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. --Bone ❑ Customer Deposit ❑ Other Remarks: G.A. Code TOTAL S ❑Copy to: ash Water Service =� Check rJ Q J Money _y- ' Cashier 1, 4 a0Q"44, /I P.O. BOX 1504 APPLICATION ONLY Building Address ,� LA QUINTA, CALIFORNIA 92253 /"� Owner/ COi9G�/EGC. (/i4LLE� C�Nb Cb. �� BUILDING: TYPE CONST. OCC. GRP. Mailing /' ' Address %j Z W��i�� 5 �p A.P. Number P.4"aFe_ 774- Z74 - 4W 3 - Z Ci Zip Tel. 9Z71, Z 3Z-Z-l0 Zb Legal Description �-b7' # �=a�� nf>8) 641Vs7-- z� Contractor �L..4�/ 11 ^ .10, ST/��.2 Cv" 5'7-- f Project Description f Aaaress '73Z Ci Zip Tel.. n ,ge.,v.5�2itGs �ZZbZ 3ZZ-edz� State Lic. City & Classif. - 3 S 77 3 4 Lic. # jl Arch., Engr., I Designer 7-A2Aq-G7'_o,2J Address I Tel. v I V City ✓ IZip V IState I Lic. # ✓ LICENSED CONTRACTOR'S DECLARATION I hereby of that I am licensed u er pr 'ions ofeChN (commencing with Section 7e D sl 3 al the Bu en Pr io s Co license is n full force and effect. S GNATU DATE OWNER -BUILDER DEC RATION I ereby 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 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 rive hundred dollars (E500). ❑ 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.) ❑ 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 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 parson 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 S Ft. No. Lit/ No. q. C2 No. Dw. % Size ¢Z Stories Units Newt( Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation o PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. o Electrical Plumbing Ob S.M.I. . a ZZ Grading Driveway Enc. 02o - ®p Infrastructure b TOTAL o2OD , 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 Permit Validated by: Validation: FINANCE r1 M Z O H O LL) U) m Z O H U Lu C0 CO V cr Q W X Z O F— U W CO COUNTY OF RIVERSIDE, ENVIRONMENTAL HEALTH SERVICES DIVISION 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 specifications required on the attached check list. A non-refundable filing fee of $37 is required when the application is submitted. Check must be made payable to the County of Riverside. Building Department Application Log # Name (Owner, Agent, Contractor, Etc.) 5-77In— 2,�" LNST I�c Mailing Address 777— 1UrL4—.1 S �VA0 City 5�A?I^/ C7s State �,q Zip Code 92Z GZ Telephone 322- /CZ o ,,.ACi•'• Job Property Address City.or community Legal Description of Property. (Lot, PM, TR) /tz^fa-, � Ct uiA/TA LOT-`Z BcfiC_z_ ;01e,, L(Nrr ZZ: j,4:%L 'Assessor's Parcel No. oogk"EG Water Agency orVell S�. � Lot Size G"C AC ,4 EC L Use of Permit Planning Case H SV �,I Z/G4 �� — Z�4_ �� ujQ L�[ � SFD, MH Site Preparation Etc. /C d 87 Signature of A scant Date The above information must be verified from Building Application STAFF USE — DO NOT WRITE BELOW THIS LINE Initial Date Certification of Existing S.D. System required. ❑ Yes ❑ No. WQCB Clearance required. ❑ Yes O'No Soils feasibility report required. ❑ Yes 0-No.- Detailed boring report required. ❑ Yes ❑'No- >r Detailed contour plot plans required. ❑ Yes ❑ N ► i Staff Specialist approval required. ❑ Yes ❑'No Lot Inspection Date Soils/boring report by Project # Date Soils Map Page Soil Type( I.-JrC Approved by Date 1 r Type of System: No. of Bedrooms (1) Septic Tank Soil Rate Required ❑ Existing ❑ N we ❑Additional ❑Replacement J Y►-a�.. � � Gals. u ` ��.�/��`J (2)'L�each line sq. ft. tto trerx� Sidewall allowance ft. Sq. Ft. Install Lines) Ft. Long, inches LeachbedSq. Ft. bdtto (Bo nch area) `�� rock/ ft. Ca'N/A ----Ft wide with min. below drain`tnes of �- per running rock area Leach lines/bed-special design for slope: (3) Pit Diameter No. Piss Pit BI Seepage Pit total depth ~/ Applicable d /!�L Max. allowable depth N/A Overburden factor /0z!' This application is approved enied4or the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements set forth in Section B a ove. A building permit is necessary for the installation of the above -designed system. (1) Septic tank and sewer lines must be 50' from any wells / iv �}�4 -I,- �Cflc . ✓��;� F*'hzs�r..� (2 Leach lines must be 100' min. from any wells including expansion area L (3) Seepage pits must be 150' min. from any wells including expansion area r Signature of Health Official n g �(�, ..r -s , �. Date! 0 . RECEIPT Issued by 5't Date District: ❑ Riverside 0 Indio ❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe Distribution: WHITE —Office file YELLOW —Applicant PINK —Bldg. Dept. GOLDENROD —Pending File DOH-SAN-122 (Rev. 6/86) MADLIN'S ENTERPRISES ENERGY BUDGET & MANAGEMENT CONSULTANTS P. 0. BOX 1443 - PALM SPRINGS. CA 92263 (619) 324-1731 PROJECT: SINGLE FAMILY RES. PLAN A PREPARED -FOR: BAY SANDS CONSTRUCTION CO. JOB NUMBER: 10685 DATE : 06/30/86 ------------------------------------------------------------ THE FOLLOWING INSULATIONS, FEATURES AND DEVICES WERE INCLUDED IN THE ATTACHED TITLE 24 COMPLIANCE ANALYSIS TO DEMONSTRATE COMPLIANCE WITH THE STANDARDS. WALL INSULATION - FRAME R=11 BATTS WITH 1'' POWERWALL BOARD ROOF / CEILING INSULATION ............... 13=38 RAISED FLOOR OVER UNCOND. SPACE ......... NA SLAB INSULATION ......................... N?NE'REQ. GLAZINGU VALUE ......................... .65 DUAL PANE GLAZING SHADE COEFFICIENT ............... 1.0 CLEAR* GLAZING TREATMENT - SUNSCREENS NOT REQUIRED GLAZING TREATMENT - OVERHANGS ........... AS SHOWN ON PLAN SKYLIGHTS ............................... NONE VENTED ATTIC (100% OF AREA) ............. REQUIRED CONTINUOUS INFILTRATION BARRIER ......... NOT REQUIRED VAPOR BARRIER NOT REQUIRED ELECTRICAL PLATE GASKETS REQUIRED HVAC EQUIPMENT EFFICIENCY .............:. 8.7 seer COOLING (HEAT PUMP) AIR TO AIR HEAT EXCHANGER ............... NOT REQUIRED THERMOSTAT ....................... .... SETBACK REQUIRED S THERMAL MAS............................ REQUIRED - SEE SCHEDULE DOMESTIC HOT WATER ...................... HEAT PUMP ADDITIONAL NOTES * CREDIT TAKEN FOR INTERIOR DRAPES - NOT REQUIRED TO BE INSTALLED PRIOR TO FINAL INSPECTION. * GLAZING CONSIDERED TO BE CLEAR IN CALCULATIONS. OWNER MAY INSTALL. AT HIS OPTION. BRONZE OR GREY TINTED GLAZING WITHOUT ADDITIONAL CALCULATIONS. BUILDING DESIGN AND EQUIPMENT SUMMARY Page 1 of 3. FORM '. BAY SANDS CONSTRUCTION - JOB NO. 10685 ------------------------ PLAN A - ENTRY To EAST - LA QU I NTA SINGLE FAMILY RESIDENCE - SINGLE STORY -----------------------� HEAT PUMP WATER HEATER - REVISED CALCS (Plan check/permit #) CLIMATE ZONE 15 ---------------------- (checked by) Building Type: Single Family Documentation Author (Serial # DEMO): '----------------------' f (date) MADL'IN'S ENTERPRISES P.O. BOX 1443 --PALM SPRINGS, CA 92263 ----------------------� 619-324-1731 Enforcement Agency Use Compliance Method: -------------------------------- POINT SYSTEM Date:.JUNE 30 1986 BUILDING ENVELOPE DESIGN ---------------------------------=--------- Total Conditioned Floor Area: 1397 sqft Insulation R-Value Area POINTS SLAB PERIMETER, Type 1: R- 0.01 16", 22*1 ft " 1397.0 sqft Type 2 ' -4 RAISED FLOOR Type 1: Type 2: Over Open: -CEILING Type 1: R- 38.0 1397.0 sqft i Type i +4 Attic: 100 • WALL Type 1: R- 16.5 (assembly) 1591.0 sqft Type 2 i +0 Glazing U-Value ------- % ----- Area ----- ------- WEST Type 1: 0.65 4.2 58.0 sqft -2 Type '2 NORTH Type 1: 0.65 7.3 102.0 sqft -6 Type '2: EAST Type ' 1 : 0. 65 2.3 32.0 sqft +2 Type '2: Y. SOUTH Type 1:. 0.65 1.3 18.0 sqft +2 Type 2 ' SKYLIGHT Type 1: +0 Type 2 BUILDING DESIGN AND *EQUIPMENT SUMMARY Page 2 of 3 FORM 2 BAY SANDS CONSTRUCTION - JOB NO. 10685 PLAN A - ENTRY TO EAST - LA oUINTA Climate Zone 15 --------------------------------------------------------------------------- Shading S.C., - % POINTS WEST Type 1: 0.66 4.2 -8 Type 2 NORTH Type. 1: 0.66 7.3 +0 Type 2 ' EAST Type 1: 0.66 2.3 -3 Type SOUTH Type 1: 0.71 1 . 3 ' +0 Type 2 SKYLIGHT Type 1: +0 Type . SOUTH OVERHANG: 2.00 ft South Glazing = 1.3 % +0 MOVABLE INSULATION: None INFIL. CONTROL: MEDIUM: Standard Infiltration Control Features -1 with Outlet Plate Gaskets THERMAL MASS:. -See Thermal Mass Calculation Worksheet- .Type Material Area -------- -----=---- ---------- Interior Conc 140 164 sgft +6 BUILDING DESIGN AND EQUIPMENT SUMMARY Page 3 of 3 FORM 2 BAY SANDS CONSTRUCTION - JOB NCB— 1®685 PLAN A - ENTRY TO EAST - LA QUINTA Climate [one 15 -=------------------------------------------------------------------------- HEATING, VENTILATING & AIR CONDITIONING SYSTEM POINTS Space Heating and Cooling HEAT PUMP Floor Area= 1397 sqf! Brand & Model No: ---------------------- ------------------------ Heating Output (Ptu/hr)e _________________________ EER = 9.7 ' Cooling Output (Btu/hr): ------------------------- +7 Domestic Hot Water System: HEAT PUMP Brand & Model Np:--------------------------------- -------- ----- ' Tank Size (gallons): ------------------------------------------- ' TOTAL POINT SCORE POINT COMPLIANCE GOAL (see calculation work:sheet) +0 .-3 -4 JEG� M- :Z:�m STEWART TITLE COMPANY OF RIVERSIDE COUNTY 700 E. TAHQUITZ-McCALLUM, SUITE H • PALM SPRINGS, CALIFORNIA 92262 (619)320-1101 City of La Quinta P.O. Box 1504 La Quinta, California 92253 ATTENTION: Dear Jerry, Jerry Herman April 21, 1987 As per our conversation this date, please be advised that a search of the records reveals that none of the adjoining lots included on the attached Exhibit "A" have ever been merged and there should be no problem issuing building permits on each lot. Very, Tru Yours, .R. "Sy" DANIELS President - Desert Division EXHIiIT "A" PARCEL A: Lots 11 and 12, Block 207 of SANTA CARMELITA AT VALE LA QUINTA UNIT NO. 20, as shown by Map on file in Book 19 page 38, of Maps, Records of Riverside County, California. PARCEL B: Lots 1 and 2, Block 223 of SANTA CARMELITA AT VALE LA QUINTA UNIT NO. 21, as shown by Map on file in Book 20 page 22, of Maps, Records of Riverside County, California. PARCEL C: Lots 1 and 2, Block 254 of SANTA CARMELITA AT VALE LA QUINTA UNIT NO. 24, as„shown by Map on file ':.n Book 19 page 44 and 45'; of Maps, Records of Riverside County,' California. PARCEL D: Lots 1 and 2, Block 308 of SANTA CARMELITA AT VALE LA QUINTA UNIT NO. 28, as shown by Map on file in Book 19 page 59 and 60, of Maps, Records of Riverside County, California. PARCEL E: Lots 23 and 24, Block 261 of SANT:'. CARMELITA AT VALE LA QUINTA UNIT NO. 24, as shown by Map on file in Book 19 page 44 and 45, of Maps, Records of Riverside County, Cal-�'::ornia. PARCEL F: Lots 17 and 18, Block 312 of SANTA CARMELITA AT VALE LA QUINTA UNIT NO. 28, as shown by Map on file in Book 19 page 59 and 60, of Maps, Records of Riverside County, California. PARCEL G: Lots 4 and 5, Block 190 of SANTA CARMELITA AT VALE LA QUINTA UNIT NO. 19, as shown by Map on file in. Book 19 page 33 and 34, of Maps, Records of Riverside County, California. PARCEL H: Lots 5 and 6, Block 157 of SANTA CARMELITA AT VALE LA QUINTA UNIT NO. 16, as shown by Map on file ir. Book 18 page 99, of Maps, Records of Riverside County, California.