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05-3222 (RPL)•� �'t P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00.0:032 2�r3t Property Address: 43682 PALERMO CT 'APN: 609-521-008-8 -28457 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 28000 Applicant: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: BISTIRLIC DAVID A 43-682 PALERMO COURT LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 n AN ! I Contractor: Architect or Engi @P U. JAZO ENT INC DBA AZUL POOLS WCC: EXEMPT AUG 0 1 2005 WC: EXEMPT 07/31/06 CSLB: 841585 06/30/07 LICENSED CONTRACTOR'S DECLARATION CITY OF LA 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 License is in full force and effect. License Class: License No.: ./,*D'.te: `��f7 J Contractor. / A?-�-L Pao J OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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).: (_ 1 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 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.). " (_ 1 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.). (_ 1 I am exempt under Sec. , B.&P.C. for this. reason Date: Owner: 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: ' Lender's Address: " LQPERMIT . Date: 7/26/05 WORKER'S 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 sued.. e and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are:- " Carrier C53 Policy Number - - - - - - - - - - - - - -- 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, and agree that, if I should become subject to the workers', compensation provisions of Section 3700 of the LaborCode, I shall forthwith comply with those provisions. J Applicant// 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. 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, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being , performed under or fallowing 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 relating to building construction, and hereby authorize representatives' of this c unty to enter upon the above-mentioned property for inspection purposes. //� Da 9 -I d � Signature (Applicant or AgBpt1/ Z,A /_ 12 0 0 L.S Application Number . . . . . 05-00003222 , Permit BLDG POOL PERMIT Additional desc . Permit Fee _ _ 271.50 Plan Check Fee .. 176.48 Issue Date . . . Valuation 28000 Expiration Date 1/22/06 Qty Unit Charge Per Extension BASE FEE, 252.00. 3.00 6.5000 THOU BLDG 25,001-50,000 19.50 Permit ... . MECH POOL Additional desc . Permit Fee 2(5.00 Plan Check Fee 6.50 Issue Date Valuation . . 0 Expiration Date 1/22/06 -Qty Unit Charge. Per Extension BASE FEE •15.00 1.00 11.0000 EA ' MECH FURNACE >100K 11.00 Permit* ELEC POOL PERMIT-RES Additional desc . Permit Fee 45-..00 Plan Check Fee.. 11.25 Issue Date Valuation 0 Expiration Date 1/22/06 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 1/22/06 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 Special Notes and Comments POOL & SPA ONLY. ALARMS/BARRIERS SHALL Application -Number . . •05-00003222 --------------------------- - ---- ----- - - -- Special Notes and Comments BE IN.PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due Permit Fee Total 375.50 .00 .00 375.50 Plan Check Total 202.48 .00 .00. 202.48 Grand Total, - 577 9R .00 :00 577.90 Pool. and Spa. Particulars- 00 • a 0 m iu . E DIMENSIONS: POOL SPA Length: 27"0" S eP �., Width: 1210" i - • 263 SF 38 SF P/L a rox : -P/L ' 5,0 5'7 y Perimeter 79 LF 5'0 a r x : - ME 1 G =--' u; N WX 18" Elev. Sit and Spin /� PA 7 ft "diameter spa, +18" elevation with . boulder waterfall adjacent and spilling into ev STUB FOR IRE PIT L _ 7ro ,5'z` r , (APPROX LOCATION) � +`e , ' - 1 2'0 27'0 -1 B° TANNING SHELF .Pool \\/ , y Spa, Q G.7 o ' Cuts to be made in existing driveway to DEMO,WORK: accommodate new gas pipes. Driveway to ca !_ be repaired to match with brick inlay. c G=7 —�� +� C -3 E m PA ntry Steps MASONR N/A / Dam Wall: Boulder Spillway S Boulders: None Fire pit /BBQ Stub only for each as indicated on lan` FINISHES _ Pool/Spa Finish: color 3M plaster aggregate, to be selected ro a OHO CO - - M v o e�Mo w M Q Waterline Tile: Quartzite veneer Raised Tile Dam: Boulder Spillway, quartzite veneer shell Step Trim:, N/A Paint/Stucco/Plaster:- N/A - 2 THICK 18" WIDE a .V BOBCAT ACCESS • - - QUARTIZITE COPING PL G• _ r Plumb Pump to Spa: 50 ft run pump to jets .F STUB FOR: B _ 6'7 v oa Raised Spa Bypass yes' w/ckvalve• n" Co o ca o a PA Gas fr Meter to Heater 90 ft "(APPROX LOCATION) O E uIPME Pump(s): Two - 2.0 HP Hayward Northstar Filter: 300 SF.Hayward Cartridge Scale in Feet ' '4 P/L Controller: Goldline w, controller RS -8 salts stem Legend: Spa Light: One —100 Watt SAL light 0 1 2: 5 6 BISTIRLIC ° N Volleyball Net Socket s. RESIDENCE.' ° U Umbrella Socket Skimmer JULY 26, 2OD5 �a Auto -fill ? Q v Vacuum Port Light P/L Property Line ...................... Proposed Pipe Run Pool. and Spa. Particulars- 00 . a 0 m iu . E DIMENSIONS: POOL SPA Length: 27"0" 7 ft diameter, Width: 1210" Surface Area 263 SF 38 SF �- a rox : t 3 CO3 Perimeter 79 LF 22 LF a r x : ME 1 G =--' u; N WX Depth: 3 ft 6 in — 6' 42". max. 7 ft "diameter spa, +18" elevation with . boulder waterfall adjacent and spilling into ev spa. Exterior finished with quartzite veneer SPA DETAILS: L d and quartzite stone cap, quartzite veneer CV waterline, 3M plaster aggregate interior, o color to be oolootcd. To be lifted With 6, __3Q' jets. Q G.7 o ' Cuts to be made in existing driveway to DEMO,WORK: accommodate new gas pipes. Driveway to ca !_ be repaired to match with brick inlay. c G=7 —�� +� C -3 E m e — m m m r MASONR N/A Raised Bond Beam: N/A Dam Wall: Boulder Spillway Equipment Wall' N/A Boulders: None Fire pit /BBQ Stub only for each as indicated on lan` FINISHES _ Pool/Spa Finish: color 3M plaster aggregate, to be selected ro a OHO CO - - M v o e�Mo w M Q Waterline Tile: Quartzite veneer Raised Tile Dam: Boulder Spillway, quartzite veneer shell Step Trim:, N/A Paint/Stucco/Plaster:- N/A - DECKING: DECKING: -2" thick, • 18" wide quartzite coping to surround pool basin (Z)a t��cc , Cant. Edge: N/A72 PL G• _ Plumb Pump to Spa: 50 ft run pump to jets a 60 ft run pump to waterfall v oa Raised Spa Bypass yes' w/ckvalve• n" Co o ca o a Vac. Line: Yes Gas fr Meter to Heater 90 ft Gas from T to BBQ 60 ft Gas from T to FP 35 It E uIPME Pump(s): Two - 2.0 HP Hayward Northstar Filter: 300 SF.Hayward Cartridge Heater: 400,000 BTU Hayward Lo-NOx Controller: Goldline w, controller RS -8 salts stem Pool Light: Two - 400 Watt SAM light Spa Light: One —100 Watt SAL light Bench Lights: N/A - i i.3 �� L7 CP 1 . - BUILUN & SAFE ��..q .­_--JR0V - FOR CONSTRUCTION , - + DATE -21;1 r J /�2� �n�7aRPre+strS, ; A)C' olSu CITY OF LA QUINTA SUB -CONTRACTOR LIST JOB ADDRESS t(3G P z %i(�C�+yLo Gi . L Q:• ✓1- PERMIT NUMBER a �- :32Z i_ OWNER L- )C• J" L5 -128 -LC- BUILDER t� Zcc %'SOLS' This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous -place. Only persons appearing on this list or their employees are authorized to work nn thiq inh- Anv chances to this list must.be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of'work and/or the voidance, of building ermit. For each applicable -trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. TrariP J Classification C orttract or .. . r or s f_�cense Sate Cont aCt t r 2rs Com ensatton Insuranc�':.::.....:..: Wb k P ..::.:::::::.::::.;.::;..:......:::::::..........:.:.......:...:................................ i. ;: . omPan Name Classification LicenseNumber Exp. Date Carrier Name uberC P oticY N Number Li en s eN Exp.. DateExPDate ' ' e•9.AB C-8) (xxxxxx1 lxx xx xx)(e.9. State Fund .CaIComP1� (Format Varies) ) x x x xxxx •1 xx xx x x )x �ARTM1NOji (G i - >— L i.(rr ��..� � .., 1.. :...._._. ,�C.fYt�..C....., 7 •�rJ cv w� G�x G8 * -a. c -5-q �( 7 y b 3 �SQi'©('� S C1v tiL n1S. �, o H oo i ! 3 3 " 0'1 _ U S� i V ©Ss - 3 I '0(, T it•zo E -.L N o C S , .�.;.. 1 �' ti ..�- .J =3 .- o k PLUMBING C- Zo EN fele Pto. s J L. yu- _ j 3 S. -'bs t'<1TH.�.P.LASTE(C �lG (�� S G �3 6 s 6 S S o � � S S. , 0 z a � -- o I _ -0 1 d� 0 � 6 r OAU 6 DRYIN;ALL::: t ;<......:.>'.;:.::: AC - RSCS ' , C. l a.. c I N S 2 0' n1 — G= C G 7 OF �. i W. 1.:;:.:........ :PRINKING ic;33) �• { qAF .O.L -..53)<" :`'>;> ;, r^=?' c-. o f �' .O , qtr.) _ C S3 t ? Y. 3.I —3/ o . 7 (, S' ,n rHrt✓ s, r-u,ti - / o