15658 (SFD)Please note Owner and
Contractor information 44
have been r�}everoed.
BOX 1504
Building ` �sTOuB[E EA4LEU)J. 78-4 50CALLLETAMPICO
Address 79-065 '.t . LA QUINTA, CALIFORNIA 92253
vWl Rancho Capistrano 'Corp. I
Address 79-687 Country Club Or. #201 i
City Zip
Bermuda Dunes, Ch
Contractor
Seine KSLJLAND 11
Address
56'140 PSA. .Blvd.
No. 15658
BUILDING: TYPE CONST. Vw OCC. GRP
A.P. Number 769-730-012
P- 3
lel. Parcel 2 Lot 4 Tract 2.8394
92201 (619 34'5.7755 Legal Description
SPO Model Model Plan, 2A
Project Description
PGA Truest Heritage Collection
---La Quinta, C _.r 92253 -..
State Lic. City
& Classif. B 597975 Lic. # �,g69
Arch., Engr., 1p B G Architects iiia.
Designer 77 i
Alget4Orporate Park T1.110 261+-1795
City Zip State
Irvine, CA 92714 Lic. # C 6885
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 f the Business a d rofessions Code, and my license is 'n full for and,
effect.J,�'A� t 1��t;K
$iGNATURE '"�'� DATE
OWNER -BUILDER DECLARATION
I hereby affirin that I 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, 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) or
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 (5500).
O 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 knproves thereon and who does such work himself or through his own employees,
provided that such knprovements 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 bulld or,nprove 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 contiaclor(s) (rcensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I h reby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy o. Company
opy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it 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 PPerson 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 :he 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 ($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.
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
REMAHKS ,
V il.aT
at fat'—we datm.
J
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line_
Rear Setback from Rear/op.,,ii�i
Side Street Setback• .r�n5 Center
Side Setback fro 11PropArty Line
FINAL DA'
Issued by:
Validated
Validation
e
S
Sq. Ft.
Size 2892
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Fermat sloes
not include black
walls or pool.
Estimated Valuation
$243,358.00
PERMIT
AMOUNT
Plan Chk. Dep.
250.00.
Plan Chk. Bal.
680.17
Const.
1,143.50
Mech.
83,.00
Electrical
- 187.22
Plumbing
100.00
S.M.I.
24.314
Grading
20.00
Driveway Enc.
00
Infrastructure
5,366.63
Arts in Public Places 358.40
TOTAL
1 8.293.26 8,043.26
REMAHKS ,
V il.aT
at fat'—we datm.
J
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line_
Rear Setback from Rear/op.,,ii�i
Side Street Setback• .r�n5 Center
Side Setback fro 11PropArty Line
FINAL DA'
Issued by:
Validated
Validation
e
S
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
1ST FL. SO. FT. @ $
UNITS
COLL. AREA
LAB GRADE
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SO. FT. @
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. @
DUCT WORK
ROCK STORAGE
FOUND. REINF.AS
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. @
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
DRAINAGE PIPING
CAR P. SO. FT. @
WALL SO. FT. @
WATER HEATER
DRINKING FOUNTAIN
FINAL INSP.
URINAL
SO. FT. @
WATER SYSTEM
ESTIMATED CONSTRUCTION VALUATION $
GRADING
cu. yd.
plus x$
WATER PIPING
NOTE: Not to be used as property tax valuation
NAL INSP.-
,2/ .-
FLOOR DRAIN
MECHANICAL FEES
�ji00FING !�� C�-- /
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, TEM/PERM
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 @ 1'A c
SEWAGE DISPOSAL
SULATION/SOUND
N
SO.FT.GAR @ 3/ac
HOUSE SEWER
FINISH GRADING
GAS PIPING
PERMIT FEE
INAL INSPECTION
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 b -l3 "'
OUND PLUMBI
UNDERGROUND
A.C. UNIT
COLL. AREA
LAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.AS
(ROUGH) _ i [.�
�'jj
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
plus x$
=$
LUMBER GR.
NAL INSP.-
,2/ .-
FRAMING '^gl��
SYEINAL INSP. /
C 9
�ji00FING !�� C�-- /
te/��� 1 �• ��-�'5��4
(^/�f 102 - /3 `1C— AA—
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
SULATION/SOUND
N
FINISH GRADING
INAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
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:
Use Classification:
Occupancy Group:
SINGLE FAMILY DWELLING
R-3
Owner of Building: KSL/LAND II
79-965 DOUBLE EAGLE WAY
Type of Construction: VN
Building Official
Bldg. Permit No.: 15658
Land Use Zone: RL
Address: 56-140 PGA BLVD
City: LA QUINTA, CA., 92253
By: DANIEL P. CRAWFORD JR.
Date: 9/19/01
�V llt POST IN A CONSPICUOUS PLACE
`+ss
-
P.O. Box 1504
78-495 CALLS TAMPICO (760) 777-7000
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101
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:
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#775-2507003-9), 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
rgffisi
3
•qti �\s�6�/?JTo����
sem•.
� • tie•
PARML MAP 24005
Pj\AB.165/40 5
4n
0 30 60 120 240
DOUe
LOT Af r4 04 f
0.8
1.03T AC.
tib/ h z,1 7
o - 6 �..
< v
1 5
,�• `� �� n
4
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o N l
f •,SS; pO ®� / • /mss � \\\
PARCELI MAP 2-4005
P.M.& -165/40-55
REMAINDI1rl
mfr.
.h
N
i
SCALE 1'=60'
4 �• ® �� iii \
It
9
00'58151r_a:�
R = 598.00'
T 5.13'
L = 10.26'
�r1Y to
SHEET
SHEET 3 OF 3 SHEETS I
IN THE CITY OF LA OUINTA• COUNTY OF RIVERSIDE, STATE OF CALIFORNIA
6W 60• TRACT NO. 28259-1
ll�g E N 6----E
PRC (RAD)
2 N 60JS'IJ E
(MV)
195
� N 6`055 g6i9h'N-� o
Nil
i 1 2
N 8705'17'
_�t99s (R%
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,
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 RNERSIDE COUNTY, CALIFORNIA.
MDS CONSULTING GROUP GARY W. DOKICH LS.4693
MAY, 1996
1
1` EASEMENTS
1 QI - INDICATES A 10.00 FOOT WIDE EASEMENT FOR PUBLIC URLITY PURPOSES
DEDICATED TO THE IMPERIAL IRRIGATION DISTRICT.
D - INDICATES A 10.00 FOOT WIDE FASNENT FOR PU&IC UTILITY PURPOSES
DEDICATED TO THE CRY OF LA OUINTA
INDICATES A 12.00 FOOT WIDE EASEMENT FOR GOLF CART ACCESS PURPOSES,
lr
\ SEE SHEET 2 FOR SURVEYOR'S NOTES.
0G INDICATES ACCESS RIGHTS RESTRICTED HEREON
4 N 561 0 �. E (R L9n \
IrQ
0 �
al �
SEARCHED
® I 1 2 tFD. NOTHING
r N'LB�1'
I l
I /LOT E
0.37 AC.
a•\
N72' 2 a 1
3g•4Tw e �
NlTZ1,�9.�.
-�1 Jz 7
a4 E
2 LOT D A,
`' °)LOT D o,�J/ / z / TRACT NO. 25400-4
0.22 AC.• a, ^/ W
ii e �� �' $ti Y ti 231/73-76
3 h M1v1
YJ^rPRC TROI
4 1 .fit O�
DETAIL 'A SEE DETAIL 'A' j Bye,�,?� ; / m, ,,•ss_
SCALE 1' =a0'
TRACT NO. 25400-4
M M 231%73-76
TRACT NO. 21642 TAT 3 �q y M7�"ti®.r4i
MM 202154-61
TRACT NO. 25400-4 do
M -M 23-V73-76 I o
/
LOT 1
1
4851 w
f0•
w / j
(6121743'05-
R-2 / 1
i
T =� 4.70'
L 90.40') /
I
CURVE .TABLE
s
R
L
T
I
86'06'27'
25.00'
37.S7'
23.36'
2
42'04.02'
166.50'
122.25'
64.03'
3
43'57'33'
150.00'
120.32'
63.61"
496'52'53'
25.00'
42.27'
28.20'
3
39'04.42'
-33.50'
91.03'
47.38'
6
1 64'53'28'
516.50'
584.97'
328.36"
7
64.53"28'
500.00'
566.28'
317.87'
8
64'53029'
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'
11
8.40'20'
♦83.30'
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'
1 33.54'
15
12.54'16'
300.00'
67.57'
33.93'
6'47.22'
500.00'
59.25'
29.66'
MIS
7.0812'
500.00'
62.28'
31.10'
4.14'29'
500.00'
37.01'
18.52'
8'23'20'
415.00'
60.76'
30.43'
20
8.23"20'
431.50'
63.18'
31.64-
21
0'27'20'
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'
24
55'55'40'
166.50'
162.52'
88.39'
25
55*55,40
1 150.00'
146.42'
79.64'
26
32'35420'
1 133.50'
75.93"39.02'
27
23'20'20'
1 133.50'
54.38'
27.57'
28
55'55'40'133.50'
130.31'
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
1 20'55'20'
L_ -26--50--r-46,.19'
23.36'
32
8'22'12'
90.50'
14.79'
7.21'
33
35'43'07'
90.50'
61.41'
31.74'
34
1 55.22'52'
35.00'1
33.83'
18.37•
35
71'24.05'
75.00"
19.18'
9.84'
36
19'13'30'
?50.00'
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
463.50' 1
93.11'46.70'
40
06'52'32'
250.00'
30.00'
15.02'
41
44'29'15'
105.00'
81.43'
42.94"
42
12'18'39'
103.00'
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•
♦8
36'50'50'
105.00'
34.98'
49
16.25'54'
105.00'
30.11'
15.16'
50
(20'52'15'
398.00'
144.98'
73.30')
51
33'07'23' 1
121.50'
70.24'
36.13'
52
86'46'57•
35.00'
53.01'
33.09'
SJ
07'54.16'
250.00'
34.49'
17.27'-
[54 1
11'02'00'
483.50'
93.11'
46.70'
0 30 60 120 240
DOUe
LOT Af r4 04 f
0.8
1.03T AC.
tib/ h z,1 7
o - 6 �..
< v
1 5
,�• `� �� n
4
,9o>6� telco2YN
o N l
f •,SS; pO ®� / • /mss � \\\
PARCELI MAP 2-4005
P.M.& -165/40-55
REMAINDI1rl
mfr.
.h
N
i
SCALE 1'=60'
4 �• ® �� iii \
It
9
00'58151r_a:�
R = 598.00'
T 5.13'
L = 10.26'
�r1Y to
SHEET
SHEET 3 OF 3 SHEETS I
IN THE CITY OF LA OUINTA• COUNTY OF RIVERSIDE, STATE OF CALIFORNIA
6W 60• TRACT NO. 28259-1
ll�g E N 6----E
PRC (RAD)
2 N 60JS'IJ E
(MV)
195
� N 6`055 g6i9h'N-� o
Nil
i 1 2
N 8705'17'
_�t99s (R%
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,
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 RNERSIDE COUNTY, CALIFORNIA.
MDS CONSULTING GROUP GARY W. DOKICH LS.4693
MAY, 1996
1
1` EASEMENTS
1 QI - INDICATES A 10.00 FOOT WIDE EASEMENT FOR PUBLIC URLITY PURPOSES
DEDICATED TO THE IMPERIAL IRRIGATION DISTRICT.
D - INDICATES A 10.00 FOOT WIDE FASNENT FOR PU&IC UTILITY PURPOSES
DEDICATED TO THE CRY OF LA OUINTA
INDICATES A 12.00 FOOT WIDE EASEMENT FOR GOLF CART ACCESS PURPOSES,
lr
\ SEE SHEET 2 FOR SURVEYOR'S NOTES.
0G INDICATES ACCESS RIGHTS RESTRICTED HEREON
4 N 561 0 �. E (R L9n \
IrQ
0 �
al �
SEARCHED
® I 1 2 tFD. NOTHING
r N'LB�1'
I l
I /LOT E
0.37 AC.
a•\
N72' 2 a 1
3g•4Tw e �
NlTZ1,�9.�.
-�1 Jz 7
a4 E
2 LOT D A,
`' °)LOT D o,�J/ / z / TRACT NO. 25400-4
0.22 AC.• a, ^/ W
ii e �� �' $ti Y ti 231/73-76
3 h M1v1
YJ^rPRC TROI
4 1 .fit O�
DETAIL 'A SEE DETAIL 'A' j Bye,�,?� ; / m, ,,•ss_
SCALE 1' =a0'
TRACT NO. 25400-4
M M 231%73-76
TRACT NO. 21642 TAT 3 �q y M7�"ti®.r4i
MM 202154-61
TRACT NO. 25400-4 do
M -M 23-V73-76 I o
/
LOT 1
1
4851 w
f0•
w / j
(6121743'05-
R-2 / 1
i
T =� 4.70'
L 90.40') /
I