04-5417 (RPL)Y' s
•
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i
BUILDING & SAFETY DEPARTMENT
.0. x 1504 (760).777-7012
4' ALLE TAMPICO FAX (760) 777-7011
A 1N A, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number . . .
Property Address
APN:
Application description
Property Zoning . . . . .
Application valuation . .
Owner
------------------------
DICK ASKIN
80901 BELLERIVE
LA QUINTA CA 92253
04-00005417 Date
80901 BELLERIVE
775-350-014- - -
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
27000
7/14/04
Contractor
------------------------
CANYON VIEW POOLS, INC.
2295 E. TAMARISK ROAD
PALM DESERT CA 92211
WCC: AU INS
WC: 000500017765
.01/01/05
CSLB: 779165
.05/31/06
CCC: A -B
-------------.---------------------------------------------------------------
Permit ' . . .
. . BLDG POOL PERMIT
Additional desc
Permit Fee
265.00
Plan Check Fee
172.25
Issue Date
Valuation . . . .
26776
Expiration Date
1/14/05
Qty Unit
Charge Per
Extension
BASE
FEE
252.00
2.00
--------
6.5000 THOU BLDG
25,001-50,000
13.00
------------
Permit . . . .
------------------
. . MECH POOL
------------'---------------
-----------
Additional desc
Permit Fee
24.00
Plan Check Fee
6.00
Issue Date
Valuation
0
Expiration Date
1/14/05
Qty Unit
Charge Per
Extension
BASE
FEE
15.00
1.00
9.0000 EA MECH
FURNACE <=100K
9.00
-------------------------------------------
Permit . . . .
--------------------------------
. . ELEC POOL PERMIT -RES
Additional desc
Permit Fee . .
. . 45.00
Plan Check Fee
11.25
Issue Date . .
. .
Valuation . . . .
0
Expiration Date
1/14/05
Qty Unit
Charge Per
Extension
P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-701 1
LA QUINTA, CALIFORNIA 92253 4 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: • ��/ 7 I Date: c% ' / D y
Applicant: Architect or Engineer:
Applicant's Mailing Address:
Architect or Engineer's Address:
A)r14
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Code; and my Lice 7 is i ull force and effect.
icense Class f< ,& cense No.
Date Ii140`factor ( tf" 1�tEm i ?6-nu3 ,,4C ,
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed
statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he or she 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 ($500).):
U 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,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work
himself or herself or through his or her own employees, provided that the 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 or she did not build or improve for the purpose of sale.).
U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. . BA P.C. for this reason
Date
Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' compe insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
ued. My rkers' compensation rance carrier and poli numberare'..
/
mer is w Q9d5 Policy Number In tom,
I certify that, in t e 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, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
p�plicant rot LOI:�( U(Ew f(i°i✓S .L.rC_
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.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name IC
Lender's Address
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnity and hold harmless the City of La Ouinta, its
officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit to cancellation.
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 relafing to building
construction, and hereby authorize re sentatives of this county to enter upon a above-mentioned property for inspection purposes.
Zlj
Date Signature/ (Applicant or Agent):
'/ : )
Page
2
Application Number . . . . . .04-00005417 Date
7/14/04
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL
30.00
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING
Additional desc . .
Permit Fee . . . . 33.00 Plan Check Fee
8.25
Issue Date . . . . Valuation
0
Expiration Date . . 1/14/05
Qty Unit Charge Per
Extension
BASE FEE
15.00
2.00 6.0000 EA PLB FIXTURE
12'.00
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
3.00
----------------------------------------------------------------------------
Permit . . . . . . WALL/FENCE PERMIT
Additional desc
Permit Fee . . . . 15.00 Plan Check Fee
.00
Issue Date Valuation . . . .
224
Expiration Date 1/14/05
Qty Unit Charge Per
Extension
BASE FEE
15.00
------------=---------------------------------------------------------------
Special Notes and Comments
POOL/SPA, BBQ(ANSI Z21 -58A), 14 L.F. 42"
EQUIPMENT WALL, 50 L.F. +27"
RETAINING WALL PLANTER, BOTH CITY
STANDARD. ALARMS/BARRIERS SHALL BE IN
PLACE AT PRE -PLASTER INSPECTION.
Fee summary
-----------------
Permit Fee Total
Plan Check Total
Grand Total
Charged Paid
---------- ----------
382.00 .00
197.75 .00
579.75 .00
Credited Due
---------- ----------
.00 382.00
.00 197.75
.00 579.75
Askin Residence — July 7, 2004
D80-901 Bellarive
-1 La Quinta CA 92253
DIMENSIONS:
POOL SPA
Length:
21'0" to 37'6" 7'0"
Width:
10'0" to 17'0" 7'0"
Surface Area (approx):
562 SQ. FT 49 SF
Perimeter (approx):
121 FT 28 FT
Depth-
3'6" to 6'0" 42" max.
SPA SPECIFICATION:
Yes
7' x 7', +181, Quartzite Stone Veneer Exterior and Dam Wall, 9' Quartzite Stack Stone
Spillway !0-Jets/2-Stations: King Station: 1 -upper back jet, 2 -lower back jets, 1 -calve jet,
1 -foot jet Queen Station: 1 -upper back jet, 1 -lower back jet, 1 -foot or calve jet Random
Jets:. 2 -lower back jets placed away from king and queen stations
MASONRY:
Raised Bond Beam:
21' a +24" w/ thick QZT Coping Stone Ca//
Pump:
QZT Veneer 26'@ planter +27" w/ QZT Vene
Booster Pump:
Exterior
Dam Wall:
9' Quartzite Stacked Stone Spit way w/1" min
Heater:
qzt. stone
Equipment Wall:'
Up to 14' masonry block wa I with stucco to
Controller:
match residence
BBQ:
38" Grand Turbo w/ Rotisserie Side Burner
Pool Lights:
17" x 24" Stainless Steel Stora /Clean -Out Door
Spa Light:
Quartzite Stone Countertop, lex Light, BBQ
Other Light(s):
Cover, 6" Cantilever @ Seat' g Area, Umbrella
Landscape:
Sleeve, +37" Finish Height tucco Exterior To
Patio Cover:
Match House: Compliance SIwax-3— ;2�� la 4
FINISHES:
N/A
Pool and Spa Finish:
Pebble Pool (Selection form oup 1 or 2)
Tile Waterline:
Installation by CVPJVe o ided by Owner
Raised Quartzite Areas:
135 SF @ +27" is4l to front, a +24" RBB
front & back
Paint/Stucco/Plaster:
200 SF allotted
Quartzite Veneer:
Face and Back of Raised B nd Beam, Exterior of
Raised Planter,
Exterior of Spa, Spa Dam all
Quartzite Stone Cap:
Raised Bond Beam wi 2" Coping Stone,
Cantilevered @ 2 ''/z"
DECKING:
Decking:
1,000 SF Colored Cc
Cantilever Edge:
140 LF
3" Deck Drains (per LF):
100 LF (280 LF sugl
Umbrella Sleeves:
N/A
PLUMBING:
JaleaH XONoI
Extra Spa to Equipment:
60 LF
Raised Spa Bypass w/ck valve:
Yes
Dedicated Vac Line:
Yes
Gas Line For All:
225 LF
EOUIPMENT:
Pump:
2.0 HP Hayward North
Booster Pump:
2.0 HP Hayward North
Filter:
450 SQ FT Hayward C
Heater:
400,000 BTU Hayward
Hayward Navigator:
Yes
Controller:
Hayward PSC 2106 (8 -
Purification System:
Pool Lights:
2 @ 400 WATT
Spa Light:
100 WATT
Other Light(s):
N/A
Landscape:
No Agreement as of J
Patio Cover:
N/A
Fencin •
N/A
MISC. SPECIFICATIONS:
Buyer is aware that oral representation or expression by eit
detailed and signed by buyer and seller.
w/ Salt Finish
to reach front)
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CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
r 911 0. 1 91z1 FOR CNSTRUCTIO
7, 2004 a1! qof le +
pa6ueiiaq of t I L
u!e� �loaa ■.- ---- -- - —_..._ %.__.._..._..., DATE — All
. By-
----------
party is not.binding unless= -- ------ --- --------- ---- -- —-------- -=- F
9,1Z
i
' 0,8
0.5
pq -___---_ - - - - - - -
-
7` � 0-7
aalloa}uo0
0Sd\
PJBMABH
ON FEE OF $3
WILL BE CHARGED IF THE APPROVED
PLANS AND JOB CARD ARE NOT ON
THE SITE" FOR A SCHEDULED
INSPECTION.
J9AO 600J 0 9U!-1■
7
1/d
Raised Bond Beam
21' long
+24" elev
thick QZT Coping Stone Cap
QZT VeneerP/L Spa
ALSOL
26' long planter Tx 7'
+27" elev _ +18' elevation
QZT Veneer Exterior Quartzite Stone Veneer Exterior
and Dam Wall
R 9' Quartzite Stack Stone Spillway
GOLF COUSE 1 P/� 10-Jets/2-Stations:
King Station:
1 -upper back jet
Maintain Minimum 2 -lower back jets
'I 7,`11 Swale .5% 1 -calve jet
1 -foot jet
+27 7'8 Queen Station:
Maintain Minimum 1 -upper back jet
0 1 -lower back jet
Swale .5% +24" RBB +24" 18' - ----- -- T0- - - 1 -foot or calve jet
Planting 2'0 - ------- � ------ 21'0 --------'----
18' 0" Random Jets:
27Spa 2 -lower back jets placed away
i Waterfeature Pool P/L king and queen stations
Area _ 562 SF: 121 LF i i 13" Elev. Sit and Spin
Pebble Pool
10'0
P/L — +27" i
-_ - J —_ — —_-- — , 17'0 9' Quartzite Stacked Stone Spillway w/1 minus qzt. s one
39'0--------- ------ 37 6— ----------
9' Quartzite Stacked Stone Spillway w/1 minus qzt. sto a i-86---- WATERLINE TILE
i PROVIDED BY OWNER
Deck: 5'0----- 21'0 15
— -- . '0 O
Entry Steps
1,000 SF COLORED CONCRETE W/ SALT FINISH
�i
----------- ---- -_-4'0------------
i I;
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--- ----------------- _—_� = ==---=----=-- =- ---------=------- =-- �