15659 (SFD)Please note Owner and
Contractor information
Twit QUM&
Nave been reversed.
P.O. BOX 1504 44 N o . 15 '�
Building Tou8�� �t 78-495 CALLE TAMPICO
59
g w,r.� p1a..a
Address 79-98.5 < ---- �—�• LA QUINTA, CALIFORNIA 92253
Owner Rancho Capistrano Corp.
BUILDING: TYPE CONST. VN OCC. GRP. R-3Mailing
Address 79--687 Country Club Ar. #201 7'69-x730 -012
A.P. Number
Cityermt�da �tne:g zt CA 92201 T {619} 345-7755 Legal Description Paxcel 2 Lot 2 Tract 2$I94
Contractor Project Description S?D Model Plan 1B
-Ga-Me f LA�f 11 FCA Wast Masters Collection
Address
56-140. PCA Blvd.
City,ip „ Tel.:
La Quinta, Cir 92253
State Lic. City
& Classif.. -B 597975 Lic. # 1969
Arch., Engr.,^
Designer B B G Archil acts, Inc.
AdJ sL,Q rp.orat+ mark TJ J 143 261-1795
"yrvine, CA
Zip 92734 uta C 6885
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7,000) of Div�' ion 3 of the B loess -and Professions Code, and my licensexis in full orce and
ffect. Dive
` farlT++�
GNATU ! DATE
OWNER -BUILDER DECLARATION
I hereby affirm that 1 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
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 thathe 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 penafty 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 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 -builder will have the burden
of proving that he did not build or knprove for the purpose of 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) (Icensed pursuant to the Contractor's License Law.)
O 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;lo`� Company -
V&py is filed with the city. ❑ Certified copy is hereby furnished.
' z
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 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. ff, after making this Certificate or 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. _.
i
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
Sq. Ft.
Size 4411
No. No. Dw.
Stories Units
New ❑ Add-❑ Alter ❑ Repair ❑
Demolition ❑
Permit does not include black
galls or
pool.
Estimated Valuation . 9368 , 940 . 00
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
4,035.00
Plan Chk. Bal
j *'}"e$5 . 6i0
Const.
1,581.00
Mech.
117.00
Electrical
262.23'
Plumbing
241.50
S.M.I.
36.89
Grading
20.00
Driveway Enc.
.00
Infrastructure
6#000-00
Arts in
Publ is Places
672.35
TOTAL
10,215.57
9,965-97
R�L4kKS ..,
- - -
' -
i "le 91.Y.bw c. p .6 kfv
ivr::
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center-
enter L'1
Rear Setback from Real r� .Line
Rear
Side Street Setback Om Center
Side Setback from Opi,ne
7 4 \'
FINAL DATE ANSCTORIssued by: DatePerm'
Validated by: is
f
Validation: {
^ c
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
IST FL. SO. FT. ® $
UNITS
B GRADE 0 G a
off
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2N0 FL. SQ. FT. p
FORMS
R R SEPTI f -+Aj
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
S (ROUGH, 2„y �'['
�v
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. I SQ. FT.
GROUT
WATER HEATER
WALL SQ. FT.
FINAL INSP.
DRINKING FOUNTAIN
SO. FT. ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
-$
WATER PIPING
NOTE: Not to be used as property tax valuation
AMING 1 . /INAL
v`
FLOOR DRAIN
MECHANICAL FEES
�� �• �',^ ��� �'� `' �" 10.02
(^/ ! •p` �" 5 �!
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, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1Ya c
SEWAGE DISPOSAL
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 COND. SOLAR
SETBACK
do
ND PLUMBIN o�P5
UNDERGROUND
A.C. UNIT
COLL, AREA
B GRADE 0 G a
off
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
R R SEPTI f -+Aj
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. Ll . /O ,
!
S (ROUGH, 2„y �'['
�v
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.
ALIN �4
AMING 1 . /INAL
v`
^
INSP. / .
O/�
ROOFING
�� �• �',^ ��� �'� `' �" 10.02
(^/ ! •p` �" 5 �!
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE •' O,
SPARK ARRESTOR
GAR. FIREWALL
THING
MESH
�y
INSULATION/SOUND
FINISH GRADING
AL INSPECTION,.
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
1
Certificate of Occupancy
City of La Quintal
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:
79-985 DOUBLE EAGLE WAY
Use Classification: SINGLE FAMILY DWELLING
Occupancy Group: R-3 Type of Construction
Owner of Building: KSL/LAND II
Building Official
VN
Bldg. Permit No.: 15659
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
P.O. Box 1504
78-495 CALLE 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#775-250-003-9), 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,
`7§---9-85,-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,
a�
Diane Aaker
Building & Safety Department
Fffi141,16,
PARCEL MAP 24005
P.MB. 165/40-65
DOUBLE
fq c
---fiJ� T A 0,8 j K'q y LOT C
qC
1.03 AC. 3
�� --
i�In � In 5��t-- 7`\ o I`
0 30 60 120 240
CURVE TABLE
7
6
OJ.J
d
I R I
L
I
T
I
96.06'27'
25.00'
r36'
37.57'
1 23.36'
.2
+2'0+'02'
166.501
122.25
6x.03'
3
+5'57'75'
150.00'
120.32''
63.61'
4
96'52'53'
25.00'
+2.27'
1 29.20-
5
39.04'42•
133.50'
91.05'
47.38'
6
64'53'28'
516.50'
584.97'
328.36'
7
'6+'57'29'
500.00'
566.28'
317.87'
8
64.57'29'
483.50'
1
547.59'
307.39'
9
7'16'25'
483.50•
61.38'
30.73•
10
12'00.49•
483.50'
101.38•
50.97'
It
8.40'20'
483.50'
77.18'
36.66'
12
3'+9'53'
483.50'
32.73'
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'
1 300.00'
67.57'
33.93'
16
1 6'+7.22'
1 500.00'
1
59.25'
29.66'
17
7'08'12'
500.00'
62.28'
31.18'
t84'!4'29'
500.00'
37.01'
08.52'
19
8'23'20'
415.00'
1
60.76'
30.43'
20
8'23'20'
431.50'
1
63.
t8'
31.64'
21
8'23'20'
449.00'
1
65.59'
32.86-
22
4'18'04'
448.000
1
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
55055'40'
150.00•
146.42'
79.64•
26
72'35'20'
1 133.50'
75.97'
39.02'
27
23.20'20'133.50'
54.78'
27.57'
28
55'55'40'
133.50'
130.31'
70.88-
29
73.28'20'
1 25.00'
32.06'
18.66'
3074'10'16'
25.00'
32.36'
18.90'
31
20.55'20'
125.50'
46.19'
23.36-
3
8'22'12'
98.50'
14.39'
7.21'
73
35'+7'07'
98.50'
61.41'
31.74'
34
55'22'52'
35.00'
37.93'
19.37'
35
31'24'05'
35.00'
19.18'
9.84'
36
19'13'50'
-50.00'
83.91'
42.75'
37
77'06'06'
35.00'
47.10'
27.89'
38
45447'30'
141.50'
112.92'
59.66;
39
11'02101'
487.50'
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
12'10'39'
105.00' 1
22.56'
11.32•
43
32'10'36'
105.00'
1
58.97'
30.29-
44
20.35'19'
398.00'
1
143.02'
72,29-
46
41.44'49'
120.00'
100.00•
53.11'
47
53't6'44'
t05.00'
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')
.51
33'07'23'1
121.50'
1
70.24'
76.13'
52
86'46'57•
35.00'
53.01'
33.09'
33
07',4'16'
250.00'
74.49'
17.27•
54
1 11'02'00
483.50'
1
93.11'
46.70'
0 30 60 120 240
PARCEI MAP 24005
PJAa -165/40-55
REMAINDER
y
i
SCALE 1'-60'
N 6l'00'4(r Ei _
PCC �RIDr
G = 00 58'Sg
R 598.00'
T = 5.13'
L 10.26'
l
.4 iA
7
6
OJ.J
l� t4 l 6 \\ \ 4
poi?
loaf NZ1� �►' \`�
PARCEI MAP 24005
PJAa -165/40-55
REMAINDER
y
i
SCALE 1'-60'
N 6l'00'4(r Ei _
PCC �RIDr
G = 00 58'Sg
R 598.00'
T = 5.13'
L 10.26'
DETAIL 'A
SCALE 1'=40'
pSTS $ E N_KgI7 E\\
� 2 N 6UJ5'13_ E
(�
X99&5
� 6�pS,S 9619y�A
12
1 N 89'O5'ir EI_
ow
SHEET 3 OF 3 SHEETS
IN THE CITY OF LA OUINTk 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,
INCLUSIVE. OF PARCEL MAPS: AND A PORTION OF LOTS 1 AND 3, AND LETTERED
I LOT D OF TRACT NO. 25499-4 AS FILED IN 1300K 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
1 EASEMENTS
1
INDICATES A 10.00 FOOT WIDE EASEMENT FOR PUBLIC UnUTY PURPOSES
\ DEDICATED TO THE IMPERIAL IRRIGATION DISTRICT.
INDICATES A 10.00 FOOT WIDE EASEMENT FOR PUBLIC UITUTY PURPOSES
DEDICATED TO THE Cm OF LA OUINTA
INDICATES A 12.00 FOOT WIDE EASEMENT FOR GOLF CART ACCESS PURPOSES,
9 \ , AS 2ESf1LfSD HE.�O�/
SEE SHEET 2 FOR SURVEYOR'S NOTES.
O
�\ 7 T- INDICATES ACCESS RIGHTS RESTRICTED HEREON
M N 56.t�
o 2'• E
OJ \
al SEARCHED
FD. NOTHING
t •g d f..
OT E
0.37 Al
a ^ �
NJZ�•tTw ? . _ _
N1117,��g.�.
10.94•
i�yy , 2 LAT D 85
® ® a ! LOT D TRACT NO 25xZO-4
ti
TRACT NO. 21642
MM 202/51-61
u 22 AC ✓ f. s � Y ry / NLM 231/73-76
N K78tS 2i'E ! o
\ PaC
h $ n / V 41
1 n
� NWITWE -w
i 4 � � 7�1 ,,LQf O 1 2 'n /
SEE DETAIL 'A eY u'-".\.,SM51
/
TRACT NO. 25400-4
MM 231173-76 ®' h,
LAT 3 4
(R 720.43'05
' I
%I
L T =I4 .10' /
L 90.40')
tp►9
IE\ TRACT NO. 25400-4 �Z
% M -M 231%7'3-761
o /
/ LAT 1
Az
l
.4 iA
�y
451f
r36'
DETAIL 'A
SCALE 1'=40'
pSTS $ E N_KgI7 E\\
� 2 N 6UJ5'13_ E
(�
X99&5
� 6�pS,S 9619y�A
12
1 N 89'O5'ir EI_
ow
SHEET 3 OF 3 SHEETS
IN THE CITY OF LA OUINTk 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,
INCLUSIVE. OF PARCEL MAPS: AND A PORTION OF LOTS 1 AND 3, AND LETTERED
I LOT D OF TRACT NO. 25499-4 AS FILED IN 1300K 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
1 EASEMENTS
1
INDICATES A 10.00 FOOT WIDE EASEMENT FOR PUBLIC UnUTY PURPOSES
\ DEDICATED TO THE IMPERIAL IRRIGATION DISTRICT.
INDICATES A 10.00 FOOT WIDE EASEMENT FOR PUBLIC UITUTY PURPOSES
DEDICATED TO THE Cm OF LA OUINTA
INDICATES A 12.00 FOOT WIDE EASEMENT FOR GOLF CART ACCESS PURPOSES,
9 \ , AS 2ESf1LfSD HE.�O�/
SEE SHEET 2 FOR SURVEYOR'S NOTES.
O
�\ 7 T- INDICATES ACCESS RIGHTS RESTRICTED HEREON
M N 56.t�
o 2'• E
OJ \
al SEARCHED
FD. NOTHING
t •g d f..
OT E
0.37 Al
a ^ �
NJZ�•tTw ? . _ _
N1117,��g.�.
10.94•
i�yy , 2 LAT D 85
® ® a ! LOT D TRACT NO 25xZO-4
ti
TRACT NO. 21642
MM 202/51-61
u 22 AC ✓ f. s � Y ry / NLM 231/73-76
N K78tS 2i'E ! o
\ PaC
h $ n / V 41
1 n
� NWITWE -w
i 4 � � 7�1 ,,LQf O 1 2 'n /
SEE DETAIL 'A eY u'-".\.,SM51
/
TRACT NO. 25400-4
MM 231173-76 ®' h,
LAT 3 4
(R 720.43'05
' I
%I
L T =I4 .10' /
L 90.40')
tp►9
IE\ TRACT NO. 25400-4 �Z
% M -M 231%7'3-761
o /
/ LAT 1
Az