15661 (SFD)Please note towner and • //;;�
Contractor information 44
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have been reveraed.
�
otA BLE ��� P.O. BOX 1504
s•
Building 1!! `79rJ �=��•� y 78-495 CALLE TAMAMPICO
Address LA QUINTA, CALIFORNIA 92253
Owner Rancho Capistrano Corp.
Mailin
Address 79-687 Country Club Dr. #201
City Zip Tel.
Bermuda Dunea, CA 92201 (619)345-775
Contractor KSL/LAND 11
Address
56--160 .PCA, Blvd.
'CI%a Quinta, Zip 92253 Tel.:
State Lic. City
„& Classif. B-59,7975 Lic. # 1969
Arch., Engr., 5 .8 G Architects .Inc.
Designer �
AdddrCsscorporate Park TeJ7'.6)2G1--179
Cit Zip State
rvine / Ci 92714 Lic. # C 5885
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under,provisions of Chapter 9 (commencing with Section
7l)00) of Division 3`jof the t3usinea ISroff�essions Code, and my license's i full fdree and
efffect. t4. � � all, S
,SIGNATURE `t DATE
OWNER -BUILDER DECLARATION
I hereby affirm 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) 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 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 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
orimprovement 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 contractor(s) Ocensed 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,,a tf trm 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.)
PalicY�o Company
or opy 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: IF, alter 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.
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 property filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 1130 days.
I certify that I have read this application and state that the above information -is correct.
1 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
No. 15661
BUILDING: TYPECONST.* VN OCC. GRP. R-3
A.P. Number 769-730- 012
Legal Description Parcel •2 Lot i Tract 28194
Project Description ° FD Model Plan 3A
PCA.Wes.t waters Collection
Sq. Ft- 4715 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit does hot .include block
wal s or pool.
Estimated Valuation $393,036.00 i
PERMIT
AMOUNT
Plan Chk. Dep., • ' 250.00
'
Plan Chk. Bal.
1,113.04
Const.
11668.50
Mech. -
1.30.00
Electrical
2 P2. 75
Plumbing
277.50
S.M.I.
39.30
Grading
20.00
Driveway Enc.
00
Infrastructure
6,000.00
Arta in Public Places
732.59
f
a r+ n
TOTAL
n
RFMAFKS
Oil!:
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Lir
Rear Setback from Rear Prop.
Side Street Setback from Cen
Side Setback from Property
FINAL DATE INSPECTQRL
Issued by: • IDate
Validated
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FnEES
i
IST FL. SQ. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT. p
FORMS
SEW OR SE I TA
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
(ROUGH) i%� /A
l
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. 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
FRAMING 1,2 /
FLOOR DRAIN
MECHANICAL FEES
�
bra c.�
/ ��✓ ]v-
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
1BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 1'A c
SEWAGE DISPOSAL
k INSULATION/SOUND
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FINISH GRADING
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 /9 -/ r /
vv [
6ROUND kmlw
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEW OR SE I TA
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FUND. REINF.AS
(ROUGH) i%� /A
l
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
JROEINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
9164NAL INSP. !
FRAMING 1,2 /
1WNAL INSP. -
�CCROOFING �. C �/ S
�
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V•,Z
PG°a I LI vri'•
�S�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
el/FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
THING — 3—
MESH
k INSULATION/SOUND
FINISH GRADING
&FINAL INSPECTION ,V Gk
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
T
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,
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,
o�
Diane Aaker
Building & Safety Department
r,rjeas'
•q/\ ! \ f s5
' A•
9 8
" 66
\ H8i
0 30 60 120 240
PARCE! MAP 24005
CURVE
TABLE
25400-4
231/73-76
733.26'
, �ZRADf\ �
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I D
R I
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168 � �`'WT C
1.03 AC.
n
l3
T
l
86'06'27'
25.00'
1
37.57'
23.36'
2
42.04.02'
166.50'
122.25'
O! ®
64.03'
3
1 43.37'33•
150.00•
120.32'
63.61'
4
1 %'52'53'
25.00•
42.27'
28.20'
3
39'04•'2•
133.30'
91.03•
47.38•
6
1 64'53'28'
316.30'
584.97•
328.36'
7
1 64'53'29'
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'
fa
12.00.48•
483.50•
101.38•
50.87•
11
8'40'20.
483.30•
73.18
36.66'
12
3.49'53'
483.50'
32.33'
16.17'
13
5'27'53'
300.00•
28.61'
1.14.32'
14
12'43'25•
300.00'
66.80'
1 33.54•
IS
12'54'16'
300.00'
67.57'
33.93'
16
1 6.47.22' 1
500.00'
59.25'
29.66'
17
1 7'08'12' 1
500.00'
62.28'
31.18'
18
4'14'29'
500.00'
37.01'
18.52'
19
8'23'20'
415.00'
60.76'
30.43'
20
8'23'20' 1
431.50'
63.18'
31.64'
21
9'23'20'
448.00'
65.59'
32.86'
22
4'18'04'
448.00'
33.63'
16.82'
23
4'05'16'
449.00'
31.96'
15.99'
24
55'35'40'
166.50'
162.52'
88.39'
25
55'55'-0'
150.00'
146.42'
79.64'
26
32'35'20•
133.30'
75.93'
39.02'
27
23'20.20'
133.50'
54.38'
27.57'
28
55055'40'
133.50'
130.31•
70.88'
29
1 73'28'20•
25.00'
32.06'
18.66'
30
74'10'16'
25.00'
32.36'
18.90'
31
2055'20'
126.50'
46.19'
23.76'
32
8'22'12•
98.50'
1
14.39'
7.21'
33
35'43'07'
98.50'
1
61.41'
31.74'
34
55.22'52'
35.00'
1
33.83'
18.37'
35
31'24'05'
35.00'
1
19.18'
9.84'
36
19'13'30•
250.00'
1
83.91'
42.35'
37
77.06'06'
35.00'
1
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•
1
30.00•
15.02-
41
44'29'15'
105.00'
81.53'
-2.94'
42
12.18.39'
103.00'
22.56'
11.72'
43
32'10'36•
105.00'
1
58.97•
30.28'
44
20'35'19' 1
398.00'
143.02'
72.29'
•100.00'
46
47.44'49'
120.00'
53.11'
♦7
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')
51
33'07'23•
121.50'
70.24•
36.13'
52
86'46'57•
35.00'
57.01'
33.09'
33
07.54.16• 1
230.00'
34.49'
17.27-
_14
11'02'00'
483.50'
93.11'
46.70'
0 30 60 120 240
PARCE! MAP 24005
022 A, 0s: ;
PMS, 165/40-55
25400-4
231/73-76
733.26'
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RZEMAINDFR
o�so -
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SCALE 1'-60'
N C�jL_�
= 00'58'55--4
R = 598.00'
T - 5.13'
L - 10.26'
DETAIL 'l1
SCALE 1'=40'
617
1g EPRC (RAD)
N 6453'1? Ej1
1
N 60'35'1? E
85
� 6\O��S 56195\
a � l
1 _N_89'05' 17'
►o
SHEET 3 OF 3 SHEETS
IN THE CITY OF LA OUINTA. COUNTY OF RIVERSIDE. STATE OF CALIFORNIA
TRACT NO. 28259-1
BEING A SUBOMSION 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.
I. MDS CONSULTING GROUP GARY W. DOKICH LS.4693
MAY, 1996
1 EASEMENTS
INDICATES A 10.00 FOOT WIDE EASEMENT FOR PUBLIC UTUTY PURPOSES
\I DEDICATED TO THE IMPERIAL IRRIGATION 01,1 CT.
\ 02 -INDICATES A 10.00 FOOT WADE EASEMENT FOR PUBLIC MM PURPOSES
DEDICATED TO THE CITY OF LA DUINTA.
'40 03 -INDICATES A 12.00 FOOT WADE EASEMENT FOR GOLF CART ACCESS PURPOSES,
9 a_f e4sF<c-o V6.6So v
SEE SHEET 2 FOR SURVEYOR'S NOTES.
OG INDICATES ACCESS RIGHTS RESTRICTED HEREON
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1 ■
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
79-995 DOUBLE EAGLE WAY
R-3 Type of Construction: VN
Owner of Building: KSL/LAND II
Building Official
Bldg. Permit No.: 15661
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