15656 (SFD)Please note Ener and 4
�W
Contractor information4
have been reversed. i� 0 . 15656
'.1.. P.O. BOX 1504
Building 4 �� �� "`J • 78-495 CALLE TAMPICO
Address 79--945 LA QUINTA, CALIFORNIA 92253
Owner Rancho Capistrano Corp.
BUILDING: TYPE CONST. VN OCC. GRP. R-3address 79-687 CountryClub Dr. #201
A.P. Number 769-736"012
City Zip Tel. Parcel -2 Lot 6 Tract 28.1941
Bermuda Dunes, CA 92201 (619)345-7755 Legal Description
Contractor Project Description SFD Model Plan 1A
S KSL/LAND II PGA West Her stage 'Collection
Address
56-140 PGA Blvd.
Cit ip Tel.:
Qi int a � . Cir `92253
State Lic.. , City
& Classif. R 597975 Lic. # 1969 Sq. Ft. No. No. Dw.
Arch., Engr., H
Size 2655 Stories Units
C ,A�cchitects Inc.
Designer � New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
A, tgfeL,j,P,,,t, Park 1114) 26,-A179S Permit does not include block
City Zip, State walls or pool.
Irvine,' CA 927.4 Lic.# C 6885
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Df ision 3 of the BudinesYsra�nc{ tprofessions Code, and my license is ign�fIll force`. and
effect. tJ� X 1h t a� 1 gs
SIGNATURE DATE
OWNER -BUILDER DECLARATION •
Estimated Valuation X224 816 i10
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,8usiness 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 PERMIT AMOUNT
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Q'subDivision 3 of the Business and Professions Code, or that. he Is exempt therefrom, and the basis plan Chk. D, `; �RS�s.yte
for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit p `7 {3 . 00 -
subjects
jects the applicant to a civil penalty of not more than rive hundred dollars ($500). 6 -
❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal.
23
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 1,077.00
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, Mech. $ Qg
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 Electrical �7'9 ��
of proving that he did not Wild or improve for the purpose of sale.)
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 186.00
struct the project. (Sec. 7044, Business and .Professions Code: The Contractor's License Law
does not apply to an. owner of property who Wilds or improves thereon, and who contracts for S.M.I. 22.48
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ I am exempt under Sec. B. & P.C. for this reason Grading 20.00
Driveway Enc. .00
Date Owner Infrastructure 4,967.9$
Arts in Public Places 312.04
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
WorkePs Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No! Company
NO," is filed with the city. O Certified copy is hereby furnished.
TOTAL 7,730.42 7,480.42
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE �V 3:. .`s Y b0, G. [
(This section need not be completed N the permit Is for one hundred dollars ($100) valuation
MVUd
or le 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 or Exemption you should become ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVE RAGE IS UNLAWFUL, AND Side Street Setback fro enter Line
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, Side Setback from .P rty Me
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 FINAL DATE PAECT
-expiration if work thereunder is suspended for 180 days. V
I certify that I have read this application and state that the above information is correct. Issued by:—.Date Pe mit
I agree to comply with all city and county ordinances and state laws relating to building fLi
construction, and hereby authorize representatives -of this city to enter the above-.
mentioned property for inspection purposes. Validated by: �V
Signature of applicant Date 9!f
Mailing Address Validation: V
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW\; FEES
IST FL. SO. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT. @
FORMS
EW OR SEPT WNX
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
S (ROUGHS �/
v
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. I SQ. FT. ®
I
WALL SQ. FT. ®
WATER SYSTEM
DRINKING FOUNTAIN
GRADING
cu. yd.
$plusx$=$
URINAL
SO. FT. ®
ANAL INSP !
OR
ESTIMATED CONSTRUCTION VALUATION $
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
LAUNDRYTRAY
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID a 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® V4c
HOUSE SEWER
INAL INSPECTION ,,)-,�-
na-
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 2.
OUND PLUMBI 5
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
EW OR SEPT WNX
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
S (ROUGHS �/
v
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.
$plusx$=$
LUMBER GR.
ANAL INSP !
OR
FINAL INSP.
�AMING
ING /
I
0
cc��+
�//�J
v (.,v f� • ( �—• �• ` /
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
THING ' m - S
MESH
I -�
0 1NSULATION/SOUND
FINISH GRADING
INAL INSPECTION ,,)-,�-
na-
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
P.O. Box 1504
78-495 CALLS 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:
r
(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;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
Ef
0 30 60 120 240
PARCEL MAP 24005
PM3. 165/405
733.26'
N89'S9'4Y
3
4n �b N @y59'4C
v 7
►.L I�"' /�'~. � 1 2
N ags9'1�
age
Q
l � �? S J)•.N 8759'4ff
�� =
'i Bi j /'� 'e7 1
e• 0- _ 45_14'
I
i
p Jg 1 2 E
25.00'
oll
23.36'
2
02'04'02'
3 e
122.25'
64.03'
3
1 2
\ ` Z
150.00'
126.32
63.61'
a
%'52'53'
78.25' +!
42.27-d28.20'
0 30 60 120 240
PARCEL MAP 24005
PM3. 165/405
733.26'
I
CURVE TABLE
\
set DOUBLf
75.8 ' LOr fgGL
a
R
L
I T
I
86'06'27•
25.00'
37.57'
23.36'
2
02'04'02'
166.50'
122.25'
64.03'
3
45'57.35•
150.00'
126.32
63.61'
a
%'52'53'
25.00'
42.27-d28.20'
5.
]9'04•.2'
133.50'
91.03'
07.78'
6
1 64'57'28'
516.50'
584.97'
328.36'
7
64.5328•
500.00'
566.28'
317.87'
8
6.'57'28'
483.50'
547.59'
307.38'
9
7'16'25'
483.50'
61.38'
30.73'
10
12'00'48'
.93.50'
101.38•
50.87'
11
8.40'20'
1 483.50'
73.18'
1 36.66'
12
3'49'53'
483.50'
32.33'
16.17•
13
5'27.57'
300.00'
29.61'
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'
t8
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'
67.18'
31.64'
21
8'23'20'
448.00'
65.59'
32.86'
22
4.18'04'
448.00'
33.63'
16.82'
23
4'05'16'
448.00'
31.96'
15.99'
2•
53'55'40'
166.50'
162.52'
88.39'
' 25
55'55'40•
150.00'
146.42'
79.64•
26
32'35'20'
1 133.50'
75.93'
39.02'
27
23'20120'
1 133.50'
34.38'
27.57'
2855'55'40'
13
130.31'
70.88'
293.50'
7]•28'20•
25.00'
32.06'
18.66'
30.
74'10'16'
25.00'
32.36'
18.90'
31
20.55'20•
126.50'
46.19'
23.36'
32
8'22'12•
98.50'
14.39'
7.21'
]]
35'43'07•
98.50'
61.4i'
31.74•
34
55'22'52'
35.00•
33.83•
18.37•
33
31'24'05'
35.00'
19.18'
9.84'
36
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'
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
32'10'36'
105.00'
58.97'
30.28'
44
20'35'19•
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'
105.00'1
67.53'
34.98'
49
16'25'54'
105.00'
30.11'
15.16'
50
(20'52'15'
398.00'
144.98'
73.70')
5l 1
33'07'23'
121.50'
70.24'
36.13-
52 1
86.46'57•
35.00'
57.01'
33.09'
57
07.54'16'
250.00'
74.49•
17.27'
S4
11.02'00'
483.50'
93.11'
46.70'
0 30 60 120 240
PARCEL MAP 24005
PM3. 165/405
733.26'
I
EASEMENTS
\
set DOUBLf
75.8 ' LOr fgGL
a1 -INDICATES A 10.00 FOOT WIDE CASEMENT FOR PUBLIC UTILITY PURPOSES
0•g) wq r LOT C
�3
.r 4L, �� 1.03 AC.
$
DEDICATED TO THE CRY OF LA OUINTA
'0
03 -INDICATES A 12.00 FOOT WIDE EASEMENT FOR GOLF CART ACCESS PURPOSES,
N� iP►Dl �., ,5
V
• °j �' C
\
�
SEE SHEET 2 FOR SURVEYOR'S NOTES.
'q tbbl R� J X62? `► '
� O?t,
�l - INDICATES ACCESS RIGHTS RESTRICTED HEREON
a NS6-ZO�E(R�Lq�O
\\
PARCELI I MAP 21005
P.M,B. 165/40-55
REMAINDER
i
SCALE 1'=60'
\
�• ® �� �T343t � �
3
�,� ,J _N�sooro� t 1155
J>�D�
.O
s �
N 64'00'40' E_ _
PCC CRADr
A 00'58.58' 1
R = 598.00'
T 5.13'
L 10.26'
5 s ( E N 6C53'1_7'_E�
PRC (RAD) �®
2 N 6Q35'13_ E
N85 (R
)
N8c IL
_N_8TO5' 1 Y
6O
A.,..r
SHEET 3 OF 3 SHEETS
IN THE CITY OF LA OUINTA, COUNTY OF RNERSIDE, STATE OF CALIFORNIA
TRACT NO. 28259-1
BEING A SUBDMSION 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 INCLUSNE. 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 RNERSIDE COUNTY, CALIFORNIA.
MDS CONSULTING GROUP GARY W. DOKICH LS.4693
MAY, 1996
1
1
7 �'�. J �"g ti \ / ® /`s °i LOT D �,�� ^3�/ / 2 % TRACT NO. 25400-4
It W .0.22 AC., /� W
M K3915'z;•E lv1 231/73-76
g in N571741 -E
rvrat 7iuo► 1 ^/ / ' .7-. �
SEE DETAIL 4 x h
I DETAIL .A 'A erte- k14`e'vo5:, i I 0-
SCALE 1'=40'
LO B
TRACT NO., 25400-4 ! co'
MM 231173-78
TRACT NO. 21642 LOT
! \
M.M 202/51-61 ` / '� (o Jzlr4sos / (
R2
T -I,.0. l
L 90.,0•)
�L�el TRACT NO. 25400-4 =o
MiM 231/73-76
EASEMENTS
\
a1 -INDICATES A 10.00 FOOT WIDE CASEMENT FOR PUBLIC UTILITY PURPOSES
`�
DEDICATED TO THE IMPERIAL IRRIGATION DISTRICT.
02 - INDICATES A 10.00 FOOT WIDE EASEMENT FOR PUBLIC unLTIY PURPOSES
DEDICATED TO THE CRY OF LA OUINTA
'0
03 -INDICATES A 12.00 FOOT WIDE EASEMENT FOR GOLF CART ACCESS PURPOSES,
9 \
RJ A64%-etlW Y61elWA/.
\
SEE SHEET 2 FOR SURVEYOR'S NOTES.
0G
�l - INDICATES ACCESS RIGHTS RESTRICTED HEREON
a NS6-ZO�E(R�Lq�O
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FD. NOTHING
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�
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LOT I y
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1 2 LOT D %
J
YS
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7 �'�. J �"g ti \ / ® /`s °i LOT D �,�� ^3�/ / 2 % TRACT NO. 25400-4
It W .0.22 AC., /� W
M K3915'z;•E lv1 231/73-76
g in N571741 -E
rvrat 7iuo► 1 ^/ / ' .7-. �
SEE DETAIL 4 x h
I DETAIL .A 'A erte- k14`e'vo5:, i I 0-
SCALE 1'=40'
LO B
TRACT NO., 25400-4 ! co'
MM 231173-78
TRACT NO. 21642 LOT
! \
M.M 202/51-61 ` / '� (o Jzlr4sos / (
R2
T -I,.0. l
L 90.,0•)
�L�el TRACT NO. 25400-4 =o
MiM 231/73-76
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:
Use Classification: SINGLE FAMILY DWELLING
Occupancy Group: R-3
Owner of Building: KSL/LAND II
79-945 DOUBLE EAGLE WAY
Type of Construction: VN
Building Official
Bldg. Permit No.: 15656
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