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15646 (SFD)Please. nate Owner and�W Contractor information C&tyl 4 hale been reversed. P.O. BOX 1504 Building TOIADi� Et�Ci(.E �' 78-495CALLETAMPICO No. 15646 Address 79-9.25 V e «.1- 5l • LA QUINTA, CALIFORNIA 92253 Owner Rancho Capistrano Dev.. Corp. VN OCC. BUILDING: TYPE CONST. OCC. GRP. Mailin Address 79--687 Country Club Dr. #20 769-730--012 A.P. Number Her ds Dunes, zips 9220 769-730-012 ,619) Legal Description Farce? 2 Lot 8 'bract 28194 Contractor Project DescriptionS.FD Plan 2C Model --S&aeKSL/LAND 1.1 PGA West Ryder -Collection AddrPss 56-:40 PGS, Blvd. Lay Quinta E CA "ItI2253 Tel.: State Lic. City & Classif. B 597975 Lic. # 15-69 Arch., Engr., Designer 13 B G Architects, Inc Address Tel. 26 Corporate -Paxk (714) 261.--179! G1rvina, CA zip 92714 Lic.t# C6885 j LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of ision of the sine_ss nd Professions Code, and my license is in,ful forcle and effect.i Ai �.OeC A Qut ski✓ ! a 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,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 x requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisionsof the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 oh 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, I , 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 or 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%v Company ❑ Copy is filed with the city, O Certified copy is hereby furnished. V CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE (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., N, after making this Certificate of Exemption you should become I subject to the Workers' Compensation provisions of the Labor Code; you must forthwith i comply with such provisions or this permit shall be deemed revoked. - WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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: Thii 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 ZONE: BY: Minimum Setback Distances: Front Setback from Rear Setback from Side Street Setbb Side Setba\c, fir m I FINAL DATE \�y INS Issued by: Validated by: Validation: Top- ne Cent&kLine EM Sq. Ft. Size 2324 No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does not include block. walls or pool. Estimated Valuation �196 333.00 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 552.38 Const. 979.00 Mech. — 96.00- 6„0,.0-Electrical Electrical 157.54. Plumbing 156.00 S.M.I. 19.63 Grading 20.00 Driveway Enc. .00 Infrastructure 4,353.43 Arts in Pub) c Places 240.83 1 TOTAL 6,824.81 1 6,574.81. REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Rear Setback from Side Street Setbb Side Setba\c, fir m I FINAL DATE \�y INS Issued by: Validated by: Validation: Top- ne Cent&kLine EM CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. S0. FT. FORMS < EWER OR SE IC AN ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® AS (ROUGH) - METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SO. FT. GROUT WATER HEATER WALL S0. FT. FINAL INSP. DRINKING FOUNTAIN SO. FT. ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ _$ WATER PIPING NOTE: Not to be used as property tax valuation IN L INSP. = FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED VENTILATION LAWNDRY TRAY AIR HANDLING UNIT CFM FIRE ZOIC-. ROOFING 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 THING .. / SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 V. c SEWAGE DISPOSAL SO.FT.GAR ® 34c HOUSE SEWER FINISH GRADING 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 GOND. SOLAR SETBACK - C . ROUND PLUMBIN/4 - UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS < EWER OR SE IC AN ROUGH WIRING DUCT WORK ROCK STORAGE REINF. AS (ROUGH) - METER LOOP HEATING (FINAL) OTHER APPJEOUIP. LFOUND. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ Plus x$ _$ LUMBER GR. IN L INSP. = AMINGCq� O �ALINSP . �� v/( fes-' OFING --9c) vv 1G �REMARKS: 1 / ace, VENTILATION FIRE ZOIC-. ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THING .. / MESH INS LATIONISOUNOYS FINISH GRADING //-FJ-NAL INSPECTION c CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 August 24, 2001 RIVERSIDE COUNTY ASSESSOR'S OFFICE 3255 East Tahquitz Canyon Way, Suite 114 Palm Springs, CA 92262-6962 To Whom It May Concern: "IOU .O �a (760) 777-7000 FAX (760) 777-7101 Please be advised of a street name change only for the following nine structures. The structures formerly addressed as 79-995 (Lot 1, APN#775-250-001-7), 79-985 (Lot 2, APN#775-250-002-8), 79-975 (Lot 3, APN#775-250-003-9), 79-965 (Lot 4, APN#775- 250-004-0), 79-955 (Lot 5, APN#775-250-005-1), 79-945 (Lot 6, APN#775-250-006-2), 79-935 (Lot 7, APN#775-250-007-3), 79-925 (Lot 8, APN#775-250-008-4) and 79-915 (Lot 9, APN#775-250-018=3) PGA Boulevard, will now be addressed as 79-995, 79-985, 79-975, 79-965, 79-955, 79-945, 79-935;,79-925 and 79-915 Double Eagle Way. Please note this change and contact me directly at (760) 777-7019 if I may be of further assistance. Thank you. Sincerely, Diane Aaker Building & Safety Department w, Certificate of Occupancy ,— 0 City of La Quintaowl - Building and Safety Department OFnt°`s This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying that, at the time of issuance, this structure was incompliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS: Use Classification: Occupancy Group: SINGLE FAMILY DWELLING 79-925 DOUBLE EAGLE WAY R-3 Type of Construction: VN Owner of Building: KSL/LAND II Building Official Bldg. Permit No.: 15646 Land Use Zone: RL Address: 56-140 PGA BLVD City: LA QUINTA, CA., 92253 By: RICHARD KIRKLAND Date: 2/28/96 POST IN A CONSPICUOUS PLACE Ic y' qQ+` O• a - 0 30 60 120 240 PARCEL MAP 24005 P.RB. 185140-55 713.26' T CURVE TABLE ♦\ 4 ra'sr. a L ? •Ltr b 'Jg 1B� ` 1 2 86.06'27' = \ \ ♦♦ 66.02' 37.57' N89'59'4 E 79.25'4• 2 42'04'02' 166.50' 122.25' 0 30 60 120 240 PARCEL MAP 24005 P.RB. 185140-55 713.26' T CURVE TABLE sel Doug e a L r I 86.06'27' 25.00' 37.57' 23.36' 2 42'04'02' 166.50' 122.25' 64.030 3 1 45.57.35• 150.00' 120.32' 63.61' � ♦0' •v l'P. X621/' ♦� 96'52'53' 42.27' 29.20' S 39'04.42• �25.00' .50' 91.05' 47.38• 6 64'53'28' .so• 584.97' 328.36' 7 64.53'29' 500.00' 566.28' 317.87' 8 64.57'28• 483.50' 547.59' 307.38' 9 7.16'25' 1 483.50' 61.38' 30.73' 10 12.00.48• 483.50' 101.38• 50.87- 11 8.40'20' 483.50' 73.18' 36.66' 12 3'49'53• 483.50' 32.33' 16.17' 17 5.27.53' 300.00' . 28.61' 14.32• 14 12.45'25• 300.00' 66.80' 33.54' l5 12.54'16• 300.00' 67.57' 33.93' t6 6'47'22' 500.00' 59.25' 29.66' 17 7'08'12' 500.00' 62.28' 31.18' 18 4'14'29 500.00' 37.01' 18.52' 19 8'23'20• 415.00' 60.76' 30.43'- 20 8.23'20' 431.50' 63.18' 31.64' 21 8'23'20• 1 448.00' 65.59' 32.86' 22 4.19'04• 1 49.00' 33.63' 1 16.82' 23 4'05'16' 448.00' 31.96' 1 15.99' 24 55'55'40166.50'162.52' 88.39' 25 55.55.40• 1 150.00' 146.42' 1 79.64' 26 32'35'20• 173:50' 75.93 39.02' 27 23.20'20' 133.50' 54.38' 27.57' 29 55'5540• 133.50' 170.31' 70.88' 29 73'29'20' 25.00' 32.06 18.66' 30 1 74'10'16' 25.00' 32.36' IB.90' 31 20.55'20' 126.50' 46.19' 1 23.36' 32 8'22'12' 98.50' 14.39' 7.21' 33 35.43'07• 98.50' 61.41' 31.74' 34 55.22'52' 35.00' 33.83' 19.37' 75 31.24'05• 35.00' 19.18' 9.84' 36 19.13'50' 1 250.00' 83.91' 42.35' 37 1 77.06'06• 35.00' 47.10' 27.89- 38 1 45'43'30' 141.50' 112.92' 59.66: 39 11'02'01' 483.50' 93.11' 46.70' 40 06'52'32' 1 250.00' 30.00' 1 15.02' 41 44'29'15' 1 105.00' 81.53' 42.94• 42 12'18.39• 105.00' 22.56' 11.32' 43 32.10'76' 105.00' 58.97' 30.29' 44 20.35'19' 398.00' 143.02' 72.29' 46 47.44.48 120.00' 100.00 53.11' 47 53'16'44' 1 105.00' 97.64' 52.67' 48 36'50'50' T 105.00' 67.53' 34.99' 49 16'25'54' 105.00' 30.11' 15.16' 50 (20.52'15' 398.00' 144.98' 73.30') 51 37'07423' 1 121.50' 70-.24• 36.13' 52 86'46'57• 35.00' 53.01' 33.09' S7 07.54'16'1 250.00• 34.49' 17.27' 54 11.02'00' 483.50' 1 93.11' 46.70' 0 30 60 120 240 PARCEL MAP 24005 P.RB. 185140-55 713.26' T sel Doug 768 LOT 4' f40t `\\ LOT C �.� n 8 �• \ \ 4C \\ 1.03 AC. 3 Soh T/O/y 7 �\ \ b C7 19 8 7 0- 6 a/ ti ♦\ . tai �� ti (' `� ' �' ♦ \ U ' �� I \\ ♦� l� Ste' x360! • /�LY 1 �• ( 1 1 6 • ? A4i ° \ `' $. ' \ � ♦0' •v l'P. X621/' ♦� \ PARCEL MAP 24005 P.M.B. '165/40-55 REMAINDER nal c_ s 3 `➢d$• ! ted. 54 µST r9 V aw \ J ` f DETAIL 'A I SCALE 1'=40' T'2ACT NO. 21642 M.M 20 2/51-61 SCALE 1'=60' N 64'00'40- _ FCC CRFDF A = 01758151f__11�1' R = 598.00' T 5.13' L 10.26' 04Y SHEET 3 OF 3 SHEETS IN THE CITY OF LA OUINTA. COUNTY OF RIVERSIDE, STATE OF CALIFORNIA 6 6a TRACT N0. 28259-1 BEING A SUBDIVISION OF A PORTION OF PARCEL 4 AND THE REMAINDER PARCEL OF PARCEL MAP NO. 24995. AS FILED IN BOOK 165. PAGES 49 THROUGH 55. I INCLUSIVE. OF PARCEL MAPS: AND A PORTION OF LOTS 1 AND 3. AND LETTERED LOT D OF TRACT NO. 25499-4 AS FILED IN BOOK 231. PAGES 73 THROUGH 76, INCLUSIVE OF MAPS, OFFICIAL RECORDS OF RIVERSIDE COUNTY. CALIFORNLk MDS CONSULTING GROUP GARY W. DOKICH LS.4693 MAY, 1996 1 Ag f N 64.53'iT E sDl PRc (RAD) \ 285 (RAD} N 6��� S619h�1 _N_89'05.17' 'mills(�'% EASEMENTS. INDICATES A 10.00 FOOT WIDE EASEMENT FOR PUBLIC UTILITY PURPOSES DEDICATED TO THE IMPERIAL IRRIGATION DISTRICT. Q -INDICATES A 10.00 FOOT MADE EASEMENT FOR PUBUC UTILITY PURPOSES DEDICATED TO THE CITY OF LA OUINTA '� 30 -.INDICATES A 12.00 FOOT VIDE EASEMENT FOR GOLF CART ACCESS PURPOSES, 9 \ as PEuib� rrE�onr \ SEE SHEET 2 FOR SURVEYOR'S NOTES. 0,�/ INDICATES ACCESS RIGHTS RESTRICTED HEREON a N5�2o�£(R�`q�O IN, \ 11 �'9 + \ 1 SEARCHED FD. NOTHING I II H1gW�/ l LOT E 0.37 A. q \ �47'w _ N7T27.1r9.S - -84, £ J 1 z LOT D \ ® '`3 0; LOT D TRACT NO. 251'A0-4 W o 22 AC. ,: ; 3 h / M M 231/73-76 4i / n IZR�DT\ ? � . / V 0 / g rpff-C TwIDI 4 1 ,.1qE SEE DETAIL 'A eye j�lFuoS vy I 0� •sS! / / I \ 1 1- LO 8 41.,64✓ TRACT N3. • 2x400-4 o I F k h 1e.77 ?l f/lR`NE�. f ntiM 231n3-76 LOT 3®grip) / I (G d 20'43.05' I R - 2 1 1 L T=1,.0. l L 90.40•) TYI t TR40 ACT NO. 250-4 =o % M M 2311=3-76 I o / / LOT .1 ^