BPOL2016-011278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:.
Application Description
Property Zoning:
Application Valuation:
Applicant:
BRILLIANT POOLS
OUTSIDE CITY LIMITS
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BPOL2016-0112
80135 VIA VALEROSA
777230018
MOUNTAIN VIEW/ KARLOVSKY / POOL SPA FIFE PIT
$30,000.00
AUG 03 2016
CITY OF LA OUINTA
COb1MIJArly DtJELOPMENT DE,PAjIMENI,
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Clapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C53 Licenns�seeN�No��: 878257
Loate: o�C'ntractor:
OWNER -BUILDER DE RATION
I 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 Sle 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 D -vision
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 dcllars
($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, Business and Professions Code: The Contractors' State License Law noes not
c
apply to an owner of property who builds or improves thereon, and who does tie 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 :s 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 purposeof sale.). .
( ) I, as owner of the property, am exclusively contracting with licensed contactors
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 impro^es
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
(� 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 Na
Lende'r's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/3/2016
Owner:
JAMES KARLOVSKY
1609 STARLING CT
CARLSBAD, CA 92253
Contractor:
BRILLIANT POOLS DBA PREMIER POOLS & SPAS
P 0 BOX 429
YUCCA VALLEY, CA 92286
(760)333-0187
Uc. No.: 878257
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 th r for which this permit is issued.
1 have and will maintain workers' compensation insurance, as required by
Sectio' 3700 of the Labor Code, fo`r the performance of the work for which this permit
is issued. Ivry workers' compensation insurance carrier and policy number are:
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9099738
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, 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.
Date?i-0 A c
WARNING: FAIL RE TO SECURE WORKERS' COMP SATION 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 Building Official 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
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 relating to building
construction; and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes. ,
Date:-�- 9 S'gnature_(Applicant or Agent):
C
Date: 8/3/2016 .
Application Number:
BPOL2016-0112
Owner:
Property Address:
80135 VIA VALEROSA
JAMES KARLOVSKY
APN:
777230018
1609 STARLING CT
Application Description:
MOUNTAIN VIEW / KARLOVSKY / POOL SPA FIRE PIT
CARLSBAD, CA 92253
Property Zoning:
Application Valuation:
$30,000.00 .
Applicant:
Contractor.
BRILLIANT POOLS
BRILLIANT POOLS DBA PREMIER POOLS & SPAS
OUTSIDE CITY LIMITS
P 0 BOX 429
YUCCA VALLEY, CA 92286
(760)333-0187
Lla No.: 878257
Denik. RAISED BOND BEAM/WATERFALL ADDITION TO EXISTING POOL AND" FIRE PIT"AT REAR YARD [TODD L LACHER ENGINEERING] THIS PERMIT DOES NOT
INCLUDE EQUIPMENT ENCLOSURE.
ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE.
' l
z
'
FINANCIAL: •• •
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $2.00
a Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.09
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$24.17
Total Paid for PLUMBING FEES: • $36.26
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
DESCRIPTION
ACCOUNT`
QTY'
AMOUNT--:-''
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
Description: MOUNTAIN VIEW / KARLOVSKY / POOL SPA FIRE PIT
Type: POOL Subtype: Status: APPROVED
Applied: 8/2/2016 SKii
Approved: 8/2/2016 UCL
Parcel No: 777230018 Site Address: 80135 VIA VALEROSA LA QUINTA,CA 92253
Subdivision: TR 30357 Block: Lot: 18
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $30,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
ACTION DATE
Details: RAISED BOND BEAM/WATER FALL ADDITION TO EXISTING POOL AND FIRE PIT AT REAR YARD [TODD L LACHER ENGINEERING] THIS
PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER
INSPECTION. 2013 CALIFORNIA BUILDING CODE.
FINANCIAL INFORMATION
Printed: Wednesday, August 03, 2016 8:33:03 AM 1 of 2
sysrrnns
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION,DATE NOTES
TELEPHONE CALL
DUANE CLAYTON
8/2/2016
8/2/2016
PHONED JASON LEWIS (760-333-0187). LET HIM KNOW
PLAN ,-ARE APPROVED AND READY FOR PICK UP.
CONDITIONS
CONTACTS
`NAMETYPENAME
ADDRES51
CITY'°' STATE
ZIP " PHONEFAX EMAIL "
APPLICANT
BRILLIANT POOLS
OUTSIDE CITY LIMITS
CONTRACTOR BRILLIANT
POOLS DBA PREMIER
P O BOX 429
YUCCA VALLEY
CA
92286
POOLS & SPAS
OWNER
JAMES KARLOVSKY
1609 STARLING CT
I CARLSBAD
CA
92253
FINANCIAL INFORMATION
Printed: Wednesday, August 03, 2016 8:33:03 AM 1 of 2
sysrrnns
I
i, D.ESCRIPTIOfV
:A000UNT�� ��
c��Q t
;-,'AMOUNT
PAID T°
hPAID:,DATE;;
RECEI?T:#
'CHECK #.'4+'.METHOD_
:PAID BY
'p. ,,,..I tt.: -k 'S ..,- t�.x
_.... 'ir i X• �. e'k » '
♦ • 1
"3
IV;
. ,,
BSAS SB1473 FEE
101-0000-20306
0
$2.00
$0.00
Total Paid for -BUILDING STANDARDS ADMINISTRATION -
$2.00 $0.00
BSA:
GAS SYSTEM, 1-4
101-0000-42401.
0
$12.09
$0.00
OUTLETS
GAS SYSTEM, 1-4
101-0000-42600
0 .
$24.17.
$0.00
OUTLETS PC
Total Paid for PLUMBING FEES: $36.26 $0.00
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
SWIMMING POOL/SPA
101-0000-42600
0
$98.62
$0.00
PC
Total Paid for POOL/ SPA: .$279.91 $0.00
TOTALS*••
INSPECTIONS
-:. ATTACHMENTS
Printed: Wednesday, August 03, 2016 8:33:03 AM 2 of 2
CRW.IYSTEMS
Btn #
City of La Quinta , _
Building &r Safety Division
78-495 Calle Tampico
Li Quinta, CA 92253 - (760) 777-7012
Building ?ermit Application and Tracking Sheet
Permit �V
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Project Address:8 (� l UQ _
�vner's Name: ) M /�e•' C /OlJ f,�. '
A. P. Number:
Address p /3S wcf10-0—sq-
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Legal
Legal Description:
City, ST, Zip:
Gontraetor:�
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Address: .�� ��
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Arch., Engr., Designer:
Address:
7L / q
City., ST, Zip:
Telephone:
-
Con tructi Type: Occupancy:
cY•
Project type (circle rcle one • New Add'n Alter r Re air Demo
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State Lie. #
-_
-
Name of Contact Person: , J4 �G W 1
Sq. Ft.:
#Stories:
#Units:
xelephone # of Contact Person: 74o- —O/
rrs�mated Value of Project: 0 00 0
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss C21eS.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked uf:
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for-corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up-
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'"! Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact person
A.I.P.P.
P.ub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
oF.Lp►ouiNTA _ Jim Karlovsky-
CIVPremier Pools &Spas + : -
LIC. #C53-878257 BUILDING & SAFETY DEPT.
APPROVED_80,135..Via Valerosa.j
760-333-0187 •Jason Lewis FOR CONSTRUCTION1.
LaQuinta' CA 92253
Property Line Mountain VM.
71,
Existing Pool and Spa
Scope of work:'
1) Remove existing concrete . �.
2) Replace with Sand Blend Color
pavers as pictured.
3) Ra'[serear of pool 1-8 f (!same hightzas .�
exi ting-spa),andadd 3 sheerdescent-
ti wa-C&Ia l lsf
4) Stucco rear of raised pool to match
-,-=- Tsps and house:------- ; --
5y-Buirdf(t pits- 1. high
- - a
-- `�
-6) Add travertine coping to pool and spa
. as:pictured. (Ivory'Color)
� 7) Re tile pool and spa waterline using
KMR-Sand 6x6 tile as pictured. ®
8) Apply stacked stone to raised area of,
pool and spa facing the house as
pictured. (Rust Ledger Stone)
0 D42
EO%EIVB=r
A;UG 'a 2 2016
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
N
REMODEL NOTES:
1. EPDXY TO BE SIMPSON STRONGTIE
SET -XP EPDXY ADHESIVE OR EQUAL.
INSTALL PER MANUFACTURERS
SPECIFICATIONS (ICC REPORT ESR -2508,
a,
L.A. RR# 25744).
2. BONDING TO EXISTING SURFACE:
A. EXISTING SURFACES MUST BE
SOUND, FREE OF DEFECTS, CLEAN,
AND FREE OF BOND INHIBITING,
MATERIALS.
T
B. EXISTING SURFACES SHALL BE
ROUGHENED BY CHIPPING OR
0 ESS/
OTHER SUITABLE MEANS TO PROVIDE
OQO
� .LAC
„ OPEN PORE STRUCTURE. ALL
NEW RAISED GUNITE
LOOSE, CRACKED, OR DETERIORATED
MATERIALS SHALL BE REMOVED.
BOND BEAM.
C. CLEAN EXISTING SURFACES BY '
6130120117
WATER BLASTING. -
.D. SATURATED SURFACE DRY CONDITION
l� CIV 1\-
OF THE SUBSTRATE SHALL BE
MAINTAINED PRIOR TO APPLYING
EXISTING GRADE.
MATERIALS.
-
E. WHEN APPLYING MATERIALS OTHER
THAN WET -MIX SHOTCRETE OR
REMOVE EXISTING PLASTER
DRY -MIX SHOTCRETE (GUNITE),
TO ORIGINAL GUNITE WALL.
CEMENT PASTE OR OTHER BONDING
SURFACE ROUGHEN PER
AGENTS SHALL BE BRUSHED ONTO
GENERAL NOTES y3. "
THE SUBSTRATE FOR ABSORPTION
CONJUNCTION WITH STANDARD
INTO PORE STRUCTURE.
POOL STRUCTURAL PLAN.
F. BONDING MATERIALS ARE NOT
DATE: 05/03/11
RECOMMENDED FOR WET, OR DRY
DRAWN BY: T.L.L.
MIX SHOTCRETE.
3.,.USE GRADE 40 REINFORCING STEEL.
EXISTING BOND BEAM.
4: IF REINFORCING SHOWS SIGNS OF
SPECIAL DETAIL 'A'
,EXCESSIVE DETERIORATION (RUST), CUT
EXISTING REINFORCING 6" PAST
DETERIORATION SECTION & LAP WITH NEW
STEEL 24" MIN.
pool Ron Lacher, R.C.E.
1201 N. Tustin Ave.
t• engineeringAnaheim, California 92807
InC. Fax: (714) 630-6114
. Phone: (714) 630-6100
TOP OF NEW
RAISED BOND BEAM.
(ol 1
J ` NEW WATER LINE.
(OPTIONAL) o
a,
X N W ZO
(2) y3 HORIZONTAL BARS. < m
4
a y3 ® 12" O.C. BARS, EA. WAY Z m c
'I I II I II 11: 4 \ WATER LINE:
T
=III= EPDXY DOWEL W/
-III=III=1 MIN. 5" EMBEDMENT
0 ESS/
DOWELING PER
OQO
� .LAC
GENERAL NOTES #I.
p
EXISTING POOL WALL.
w C 6 rn
6130120117
l� CIV 1\-
OF CA\ -\F
EPDXY DOWEL MUST BE EMBEDDED
INTO STRUCTURALLY SOUND -
PLAN VALID ONLY WITH:
SHOTCRETE OR GUNITE BOND BEAM.
ENGINEER'S SIGNATURE .IN
RED INK ON PLAN.
THIS DETAIL TO BE USED IN
CONJUNCTION WITH STANDARD
POOL STRUCTURAL PLAN.
DATE: 05/03/11
DRAWN BY: T.L.L.
ADD 18" GUNITE BOND BEAM
ABOVE GRADE TO EXISTING POOL/SPA
CHECKED BY: R.L.L.
SPECIAL DETAIL 'A'