15647 (SFD)Please note 4c1: an
Contractor .in:ormation '
i, have been reversed.
J)O u E5Lr= E A6Ct~ LD1. P.O. BOX 1504
j Building ofr 79-935 **r 11 ta3.�.a 78-495 CALLE TAMPICO ,
Address LA QUINTA, CALIFORNIA 92253
Rancho Capistrano Dev. . Corp.
Mailin
Address 79-687 Country Club Dr. #201
City Zip Tel.
Bermuda Dunes,ICA 92211 (519) 345-7755
1 Contractor
—S&KSL%LAND 11
Address
�y
1 56-240 PGS, blvd.
City Zi Tela
La Quina, CA 2253
State Lic. City
& Classif. R 597975 Lic. # 1969
Arch., Engr.,
Designer B 8 G Architects, Inc.
Address I Tel.
26 Corporate Park 1714)261-1795
City Zip State
Irvine, CA 92714 Lic. # C 5885
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of D ision 3 of the Bus�iyness.and Professions Code, and my license is in fullforce and
effect. �..X"_..4-,u21 �� 91I.���S
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, atter, 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
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
subjectQthe applicant to a civil penalty of not more than rive 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 hnproves 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 knprove for the purpose of sale.)
❑ 1, 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
Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy N.9-/ 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 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. N, 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. ' '
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 ($1DD,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
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.
1 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 r Date
Mailing Address
City, State, Zip
No. 15647 -
BUILDING: TYPE CONST. VN OCC. GRP. R-3
A.P. Number 769-734-012
Legal Description Parcel. 2 Lot 7 Tract 28194
Project Description SPD Model 'Plan 3A
PCA West. R, der Collection
Sq. Ft. No. No. Dw.
Size 2403 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit noes not include block walls
or pool.
Estimated Valuation $201,136.00
1
PERMIT AMOUNT
Plan Chk. Dep. ' 1 250.00
Plan Chk. Bal. 564. y7
Const. i 996.50
Mech. 89.50
Electrical 1558.39
Plumbing 162.00.
S.M.I. 20.11
Grading 20.08
Driveway Enc. t30
Infrastructure 4,449.56
Arts in Public Places 252.84
l 6,713.87
TOTAL 6,963.87 —&74&a—.&7
REMARKS
1t Rote that street name will be chanaed
at a futillre date.
ZONE: ' BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rea p. Line
Side Street Set/fen Line
Side Setback fLi
FINAL DATE RIssued by: Dat pB�Oit
Validated by: Oft
Validation: f
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SO. FT. ® $
UNITS
BACK Zo - _ ./"
OUND PLUMBIN
UNDERGROUND
YARD SPKLR SYSTEM
2N0 FL. SO. FT. @
t)SLAB GRADE
ROUGH PLUMB.
BONDING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
E ER R SEPTIC
ROUGH WIRING
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
///���►►►
&AS (ROUGH) Pk
METER LOOP
DRAINAGE PIPING
CAR P. SO. FT. ®
REINF. STEEL
GAS (FINAL)
WALL SO. FT. ®
DRINKING FOUNTAIN
GROUT
WATER HEATER
URINAL
SO. FT. ®
BOND BEAM
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
LUMBER GR.NAL
FLOOR DRAIN
MECHANICAL FEES
LFRAMING /- X. I//�� l
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
I 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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11A c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
MSULATIONISOUND
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 j ELECTRICAL HEATING & AIR COND. SOLAR
BACK Zo - _ ./"
OUND PLUMBIN
UNDERGROUND
A.C. UNIT
COLL. AREA
t)SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
E ER R SEPTIC
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
///���►►►
&AS (ROUGH) Pk
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.NAL
INS��lS��
LFRAMING /- X. I//�� l
AL INSP , /`
OeROOFING J/_ /3—
� C� � J � �` �'
/
^ � S � �
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
/
THING 2' tl 47c,
MESH
MSULATIONISOUND
FINISH GRADING
IO
INAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
Certificate of Occupancy
City of La Quinta
Building and Safety Department
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 in compliance with the various ordinances
of the City regulating building construction or use. For the following:
BUILDING ADDRESS: 79-935 DOUBLE EAGLE WAY
Use Classification: SINGLE FAMILY DWELLING
Bldg. Permit No.: 15647
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL
Owner of Building: KSL/LAND II
Building Official
Address: 56-140 PGA BLVD
City: LA QUINTA, CA., 92253.
By: RICHARD KIRKLAND
Date': 2/28/96
POST IN A CONSPICUOUS PLACE
r
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:
(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#7757250-001-7), 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—,-7-.=9.3:5; 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
N89'59'49'E
3 ;t -G M E61S9'4Y E
w
►��• qa � /� -ti. \ 1 2 �9� 2 N 6759'1Y E
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'J.
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\ 1 4 sf r9i
6w
3
\ " 66.02'
\ N8T
0 30' 60 120 240
9•
PARCf 1 MAP 24005
PM8. 1651405
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sog LOT A fAG(U. ' LOT C
1.03 AC.'
QQ `\
8 7 \� \
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PARCLL MAP 24005 �'��'\ ��• 5� �� ► `C
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REMAINDE(RAD)
r9 S4 H 5TH PRC )
o�so 2 N 60'35'13_ E
o ® (RAD)
85- t
S/8 �
N 6000'40' _
PCc (AZj-
o = 00'58'58•
R 598.00'
T - 5.13'
L = 10.16'
CURVE TABLE
'
p
R
T
1
86'06'27'
25.00'
37.57'
23.36'
2
42.04.02'
166.50'
122.25'
64.03'
3
43'57'33•
150.00'
120.32'
63.61'
♦
96'52'53'
25.00'
42.27'
28.20'
S
39'04.02'
133.50'
91.03'
47.38'
6
64.57'28'
516.50°
584.97•
328.36'
71
64.53'28'
500.00'
566.28'
317.87'.
8
64'53'28'
483.50
547.59'
307.38'
9
7.16'25'
483.50'
61.38'
30.73'
10
12'00'48'
483.50'
101.38'
50.87'
Il
8.40'20•
483.50'
73.18'
36.66•
12
3.49'53'
483.50'
32.33•
16.17•
13
5'27.53•
300.00'
28.61'
14.32'
14
12.45'25'
300.00'
66.80'
33.54•
15
12'54.16'
300.00'
67.57•
33.93'
16
6.47.22'
500.00'
59.25'
29.66'
17
7.08'12'
500.00'
,62.28'
31.18'
18414'29'
500.00'
37. OI'
18.52'
19
8.2]'20'
415.00'
60.76•
30.43'
20
8'23'20'
431.50'
63.18'
31.64'
21
8.23'20'
448-.00 --F
65.59'
32.86'
22
4.18104'
448.00'
]3.63'
16.82'
23
4.05'16'
448.00'
31.96'
15.99'
24
55.55'40'
166.50' 1
162.52'
88.39'
25
55.55'40•
1 150.00'146.42•
79.64'
26
32'35'20'
133.50'
75.93'
39.02'
27
23'20'20
1 133.50•
54.38•
27.57•
28
55.55'40'
133.50'
170.71'
70.88-
29
73'28'20'
1 25.00'
32.06'
18..66'
30
1 74'10'16'
25.00' 1
32.36'
18.90'
31
T 20.55'20'
125.50'
46.19'
23.36'
32
8'22'12'
98.50'
14.39'
7.21'
]]
35'47'07•
98.50'
61.41'
31.74•
34 1
55'22052'
35.00'
33.83'
18.37'
35 1
31.24'05'
35.00•
19.18'
9.04-
36 1
19.13'50'
250.00'
83.91'
42.35'
37
77'06'06•
35.00'
47.10'
27.89'
38
45.43'30•
141.50'
112.92'
59.66:
39
11'02'01'
1 483.50'
93.11'
46.70'
40
06.52'32•
250.00'
30.00'
15.02•
41
44.29.15'
105.00'
81.53'
42.94'
42
12'18'39•
105.00'
22.56'
11.32-
43
72.10'36'
105.00'
58.97•
30.28'
44
20.75'19'
398.00'
143.02'
-72.29-
46
47.44'48'
120.00'
100.00'
53.11'
47
53'16'44'
105.00'
97.64'
52.67'
48
36.50.50' 1
105.00'
67.53'
34.98'
49
16'25'54'
105.00'
30.11'
15.16'
50
(20'52'15' 1
398.00'
144.98'
73.30')
51
33.07'23'
121.50'
70.24'
36.13•
52
86'46'57•
35.00'
53.01'
33.09'
33
07.54'16'
230.00'
34.49'
17.27-
-L4-
11'02'00' 1
483.50'
93.11'
46.70'
0 30' 60 120 240
9•
PARCf 1 MAP 24005
PM8. 1651405
�E `
sog LOT A fAG(U. ' LOT C
1.03 AC.'
QQ `\
8 7 \� \
Vo
0
5 0
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PARCLL MAP 24005 �'��'\ ��• 5� �� ► `C
PM>3 165/40-55 �es�,, yyS� �}•,g E N6,rs3.1_7' E�
REMAINDE(RAD)
r9 S4 H 5TH PRC )
o�so 2 N 60'35'13_ E
o ® (RAD)
85- t
S/8 �
N 6000'40' _
PCc (AZj-
o = 00'58'58•
R 598.00'
T - 5.13'
L = 10.16'
1
r
1 N 8705.17
60'
A.4,/
SHEET 3 OF 3 SHEETS
IN THE CITY OF LA OUINTA` COUNTY OF RIVERSIDE, STATE OF CALIFORNIA
W ; TRACT N0. 28259-1
BEING A SUBDIVISION OF A PORTION OF PARCEL 4 AND THE REMAINDER PARCEL
OF PARCEL MAP NO. 24995, AS FILL IN BOOK 165, PAGES 49 THROUGH 55,
I INCLUSIVEE, 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, CALIFORNIA.
MDS CONSULTING GROUP GARY W. DOKICH LS.4693
MAY, 1996
1` EASEMENTS
\ al - INDICATES A 10.00 FOOT WIDE EASEMENT FOR PUBLIC U11UN PURPOSES
\` DEDICATED TO THE IMPERIAL IRRIGATION DISTRICT.
❑2 - INDICATES A 10.00 FOOT WIDE EASEMENT FOR PUBLIC UTILRY PURPOSES
DEDICATED TO THE CITY OF LA OUINTA.
`0 Q3 - INDICATES A 12.00 FOOT WIDE CASEMENT FOR GOLF CART ACCESS PURPOSES,
9 \ RJ 2ESCL4ESD //E,P60N. .
\ SEE SHEET 2 FOR SURVEYOR'S NOTES.
0,� INDICATES ACCESS RIGHT$ RESTRICTED HEREON
a Ng�2o�E(Rt�`q�O
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® `' 07 LOT D o e.. _ TRACT NO. 25AW-4
r e 0.22 AC. , �•e
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R=2S¢�_ �/ I
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LOT 1
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ap
\
1
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1 N 8705.17
60'
A.4,/
SHEET 3 OF 3 SHEETS
IN THE CITY OF LA OUINTA` COUNTY OF RIVERSIDE, STATE OF CALIFORNIA
W ; TRACT N0. 28259-1
BEING A SUBDIVISION OF A PORTION OF PARCEL 4 AND THE REMAINDER PARCEL
OF PARCEL MAP NO. 24995, AS FILL IN BOOK 165, PAGES 49 THROUGH 55,
I INCLUSIVEE, 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, CALIFORNIA.
MDS CONSULTING GROUP GARY W. DOKICH LS.4693
MAY, 1996
1` EASEMENTS
\ al - INDICATES A 10.00 FOOT WIDE EASEMENT FOR PUBLIC U11UN PURPOSES
\` DEDICATED TO THE IMPERIAL IRRIGATION DISTRICT.
❑2 - INDICATES A 10.00 FOOT WIDE EASEMENT FOR PUBLIC UTILRY PURPOSES
DEDICATED TO THE CITY OF LA OUINTA.
`0 Q3 - INDICATES A 12.00 FOOT WIDE CASEMENT FOR GOLF CART ACCESS PURPOSES,
9 \ RJ 2ESCL4ESD //E,P60N. .
\ SEE SHEET 2 FOR SURVEYOR'S NOTES.
0,� INDICATES ACCESS RIGHT$ RESTRICTED HEREON
a Ng�2o�E(Rt�`q�O
4 \
0'1 �
1 SEARCHED _
1 2 �+/ FD. NOTHIFIG
1
LOT E h \
0.37 AC. / \
a
4s
N72'
X4.4 1-W>
N/T77•Ir9.�. � y �
1 2 LOT D
® `' 07 LOT D o e.. _ TRACT NO. 25AW-4
r e 0.22 AC. , �•e
M ti 3r h M 231/73-76
N3a15'21'E..
!n NSWITWE
JI DETAIL 'A SEE DETAIL 'A BYE '°',o5 �y
I SCALE 1'=40• 1 �gc -zi �Laual
Lo B
TRACT NU. 25400-4 �F `9831'Tw ca `'per
M M
23V7-3--16
TRACT ND. 21642 LID 3ON)
MM
MM 202/51-61
R=2S¢�_ �/ I
T1 4.75 0 I
• `I ���L 90.40•)
SCALE 1'=60' L 34 0
24c1 (TRACT NO. 254eo
1;70-4 `
I %
MM 231/73-76 o /
I /
LOT 1
4z