15664 (SFD)Please .rote Owner and
Contractor information4
have been reve'reed.
i
t P.O. BOX 1504
BuildingIbU� Eric,-- U4Bc78-495 CALLE TAMPICO
Address 79-975 a 6km 0 LA QUINTA, CALIFORNIA 92253
vvr„c, Rancho Capistrano Corp.
Mailing 79--687 Countru Club, Dr. #201
Address
City Zip Tel.
Bermuda mune,, CA 92201 (619)345-7755
Contractor
rS3Me KSS.; AND lI
Address
56-140 PCS`. Blvd.
"'I:a gui.nta, CA1`F 92253
State Lic.P�?�� City i9�
& Classif. Lic. #
Designergr B $ G .Architects, Inc.
r
Address
a corporate Park 11-14) 261-'1795
Cit Zip State
rvine, 'Ca 92714 1Lic.# C 6885
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Businessl1and`�}Propf�e�ssions Code, and my license is in full forcetann�d
effect. ff k. ICA d �/S.J6hK A 'i i .�Q1%,4
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,Busfness 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) 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 penally of not more than five hundred dollars ($500)..
[1
$500).-
❑ 1, 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•bullder 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 contractors) (rcensed pursuant to the Contractor's License Law.)
O 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION OECLARAT(ON
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's"pensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy 1 2.Company
y is filed with the city. O Certified copy is hereby furnished:
V
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ff 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
Daie Owner
NOTICE TO APPLICANT., g, after making this Certificate of Exemption - you should become
subject to the Workers' Compensatfon 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 ($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 sof this city • to enter the above-.
mentioned property for inspection purposes:
Signature of applicant Date'
Mailing Address
City, State, Zip "
No. 1.5664
1M R
BUILDING: TYPE CONST. OCC: GRP. -3
A.P. Number 769-730--012
Legal Description Parcel 2 Lot 3 Tract 28194'
Project Description SFiD Model Plan 3B
PCA Welst Heritago Collection
Sq. Ft. No. No. Dw.
Size - 3441 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑
Demolition 0,
Permit does not include block walls
or pooh.. -
.r
Estimated Valuation $286,383.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
1,294.00
Mech.
130.00
Electrical
223.60
Plumbing
211.50
S.M.I.
2$.6.'4
Grading
20.00
Driveway Enc.
,!30
Infrastructure
6,000.00
its in Put liz Places
465.96
-----------------
TOTAL %,440.19
5747
REMARKS
ZONE: BY: -
Minimum Setback Distances:
Front Setback from Ce ter Line
Rear Setback forum Rear Prop.�ine
Side Street Setbacktwm Ceey Line
Side Setback from Pro�,{�'¢rty Lime
FINAL DATE INSPEC��t
Issued by:
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIN33 FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
S B GRADE
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SO. FT. @
HEATING (ROUGH)
STORAGE TANK
ORMS
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCKSTORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
METER LOOP
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SO. FT.
GAS (FINAL)
WALL SO. FT. ®
DRINKING FOUNTAIN
SO. FT. ®
WATER HEATER
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
GRADING
cu. yd.
$ plus x$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
INSP. �%�� ►
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
-
p w "� /0 -A I --q
LAUNDRY TRAY
AIR HANDLING UNIT CFM
I
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
SPARK ARRESTOR
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
64 LATHING U • 2
SO.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 GOND. SOLAR
A&WBACK �- 1'�_ �-
OUND PLUMB .
UNDERGROUND
A.C. UNIT
COLL. AREA
S B GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
ORMS
-W OR SEPTI r_`
PCE -w>
ROUGH WIRING
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
�AS (ROUGH) _q/
G
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.
AL INSP./.2 s
FRAMING
INSP. �%�� ►
n /�cLNAL
MOOFING 1 LI. G�
-
p w "� /0 -A I --q
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
64 LATHING U • 2
MESH
INSULATION/SOUND
VV
FINISH GRADING
FINAL INSPECTIOIZJ,� ^^F
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:
79-975 DOUBLE EAGLE WAY
Use Classification: SINGLE FAMILY DWELLING
Occupancy Group: R-3 Type of Construction:
Owner of Building: KSL/LAND II
-7-,-Z, /4 -
Building
,-
Building Official
VN
Bldg. Permit No.: 15664
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
Q
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#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,
79-985,7_9_--97$'179-965, 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
J'19
f\�
1
3
.�..
9 9
1 2
E
66.02'
\
N8759'
79.2
L
I
T
i
0 30 60 120 240
PARCLI MAP 24005
PJVL8. 1g5/40�5
733.26'
s.e,' DO
UgL f
75 LOT .4 f4G(f LOT C
-- 08�
- C y 1.03 AC. �3
q y\ _
moo+/ n •Ol j, ``��� �\ -
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e a 7
o - 6 �-
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PARC%l MAP 24005 N.
P.M.B. '165/40-55 �J�J •5` `E N 6453'1_T E,
RcMAWDFF? r P 5g�• N ST�pppg PRC (RAD) �\
°>so 2 N 60.35.1T E
8 ,"u
N�
= a-
CURVE TABLE
/4 _
WI
E
®
R
S i ®
L
I
T
i
8606'27•
25.00•
37.57'
23.36'
2
42'04 p2•
166.50'
122.25'
1 64.03'
3
1 43'57'33'
150.00'
120.3
3.2601''%'5
'25.00'
42.2
7'
28
S
39.04'2'
133.50'
91.03'
47.38'
6
1 64.53'28'
316.50'
584.97'
328.36'
7
64'53'28'
1 500.00'
1
566.28'
317.87'
8
64'53'28'
483.50'
1
547.59'
307.38'
9
7'16'25'
483.50'
61.38'
30.73'
10
12'00'48'
483.50'
101.38'
50.87'"
I!
9.40'20'
483.50'
73.18'
1 36.66'
12
3.49'53'
483.50'
32.33'
1 16.17-
13
5'27.53'
300.00'
28.61'
1 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'
1. 500.00'
59.25'
29.66'
17
7'08'12'
500.00'
62.28'
31.18'
9
10.
.
37.01'
'18.52
'
l9
.23'20
8 '
415.00'
60.76'
30.43'
20
823'20'
431.50'
63.18'
31.64'
21
8.23'20'
448.00'
65.39'
32.86'
22
4.19'04'
448.00•
1
33.63'
16.82'
23
4'03'16'
448.00•
1
31.96'
15.99'
24
5555'40'
'66.50'
162.52'
88.39'
25
55'55'40'
130.00'
146.42'
79.64•
26
32'35'20'
1 133.50'
75.93'
39.02'
27
23'20'20'
133.50'
54.38'
27.57'
28
55'55'40'
133.50'
130.31'
70.88'
29
73.28'20'
25.00'
32.06'
1.8.66'
30
1 74.10'16'
25.00'
1
32.36'
18.90'
31
1 20'55'20'
125.50'
1
46.19'
23.36'
2'12'
98.50'
ia.]9'
7.21'
3'07'
98.50'
61.x1'
31.74•
03455*Z2'52'
35.00•
33.83'
18.37•
4'05'
35.00'
19.18'
9.94'
3'50'
250.00'
83.91'
42.35'
37
77.06'06'
]5.00'
♦7.10'
27.89'
38
45'43'30•
141.50'
1
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'
67.53'
34.98'
49
16'25'54'
105.00'
30.11'
15.16'
50
'20'52'15'
398.00'
144.98'
73.30.7
51
33'07'23'
121.50'
70.24'
36.13'
52 1
86'46'57'
35.00'
1
53.01'
73.09'
33
07'54'16'
250.00'
34.49•
17.27'
54 1
11.02.00'
1 483.50'
93.11'
46.70'
0 30 60 120 240
PARCLI MAP 24005
PJVL8. 1g5/40�5
733.26'
s.e,' DO
UgL f
75 LOT .4 f4G(f LOT C
-- 08�
- C y 1.03 AC. �3
q y\ _
moo+/ n •Ol j, ``��� �\ -
?�Q
e a 7
o - 6 �-
+l. ® 2 S)7 i ♦ N
E4 l b ♦ �\
j 00
a® M os i 3 1L �\
PARC%l MAP 24005 N.
P.M.B. '165/40-55 �J�J •5` `E N 6453'1_T E,
RcMAWDFF? r P 5g�• N ST�pppg PRC (RAD) �\
°>so 2 N 60.35.1T E
8 ,"u
N�
= a-
h v
A/8
SCALE 1'=60'
N 64.00'!(; F- -
PCc CpoFDF J i
A - 0058'58'
R = 598.00'
T - 5.13'
L - 10.26'
a 56195\
T N eros l r
?',INs
SHEET 3 OF 3 SHEETS
IN THE CITY OF LA OUINTA, COUNTY OF RIVERSIDE. STATE OF CALIFORNIA
TRACT NO. 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, CAUFORNIA .
MDS CONSULTING GROUP GARY W. DOKICH LS.4693
MAY, 1996
1
1 EASEMENTS
INDICATES A 10.00 FOOT WIDE EASEMENT FOR PUBLIC UnM PURPOSES
DEDICATED TO THE NfPERIAL IRRIGAT10N DISTRICT.
02 - INDICATES A 10.00 FOOT WIDE ElSMENT FOR PUBLIC UTILITY PURPOSES
DEDICATED M THE CITY OF LA OUINTA
'o 03 - INDICATES A 12.00 FOOT WIDE EASEMENT FOR GOLF CART ACCESS PURPOSES,
9 \ !1J ,eESfl'.QSD NEPEOn/.
SEE SHEET 2 FOR SURVEYOR'S NOTES.
0,� TTT- INDICATES ACCESS RIGHTS RESTRICTED HEREON
N 5629,57- �. E tR
Q
o �
1 �
SEARCHED
FD. NOTHING '
LOT E h
0.37 AC.
N7 2 /a
1 �.T9.4py,
H1T17 / f9.sJ. / y Sj /
�!/.. 1 2 LOT D / Y
1 ' \ 62. 0, Z•tj¢ 3 / G3 /
a 7 QD o�oJ �/� / 2 /TRACT NO. 25400-4
C.
M M 231/73-76
'1r Vf
r�1P71
QE
F
A 4
SEE DETAIL ' j B 1 n ♦ /
DETAIL 'A I -rte szo-- � 1 / �0, MTil S-
SCALE 1'=40'
LO B
TRACT . N0. 28400-4 lie.
MM 231/73-76 ie.77
TRACT NO. 21642 LOT 3
MM 202/51-'61 _L
cs� Z
�L�cl TRACT NO: 25400-4 X
% MM 231/73-76 o
LOT 1
051. W
Ep.
(A J2043.05- i
R=2 1
T =j 4.7$ 0'
L 90.,0•)
/4 _
_/
ON/
®
S i ®
k
h v
A/8
SCALE 1'=60'
N 64.00'!(; F- -
PCc CpoFDF J i
A - 0058'58'
R = 598.00'
T - 5.13'
L - 10.26'
a 56195\
T N eros l r
?',INs
SHEET 3 OF 3 SHEETS
IN THE CITY OF LA OUINTA, COUNTY OF RIVERSIDE. STATE OF CALIFORNIA
TRACT NO. 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, CAUFORNIA .
MDS CONSULTING GROUP GARY W. DOKICH LS.4693
MAY, 1996
1
1 EASEMENTS
INDICATES A 10.00 FOOT WIDE EASEMENT FOR PUBLIC UnM PURPOSES
DEDICATED TO THE NfPERIAL IRRIGAT10N DISTRICT.
02 - INDICATES A 10.00 FOOT WIDE ElSMENT FOR PUBLIC UTILITY PURPOSES
DEDICATED M THE CITY OF LA OUINTA
'o 03 - INDICATES A 12.00 FOOT WIDE EASEMENT FOR GOLF CART ACCESS PURPOSES,
9 \ !1J ,eESfl'.QSD NEPEOn/.
SEE SHEET 2 FOR SURVEYOR'S NOTES.
0,� TTT- INDICATES ACCESS RIGHTS RESTRICTED HEREON
N 5629,57- �. E tR
Q
o �
1 �
SEARCHED
FD. NOTHING '
LOT E h
0.37 AC.
N7 2 /a
1 �.T9.4py,
H1T17 / f9.sJ. / y Sj /
�!/.. 1 2 LOT D / Y
1 ' \ 62. 0, Z•tj¢ 3 / G3 /
a 7 QD o�oJ �/� / 2 /TRACT NO. 25400-4
C.
M M 231/73-76
'1r Vf
r�1P71
QE
F
A 4
SEE DETAIL ' j B 1 n ♦ /
DETAIL 'A I -rte szo-- � 1 / �0, MTil S-
SCALE 1'=40'
LO B
TRACT . N0. 28400-4 lie.
MM 231/73-76 ie.77
TRACT NO. 21642 LOT 3
MM 202/51-'61 _L
cs� Z
�L�cl TRACT NO: 25400-4 X
% MM 231/73-76 o
LOT 1
051. W
Ep.
(A J2043.05- i
R=2 1
T =j 4.7$ 0'
L 90.,0•)