06-1266 (CP)r1 r
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application 'Number: 06-0000.1266
Property Address:57390 VIA VISTA
APN: 762 -240 -003 -72 =300962 -
Application description: POOL - COMMERCIAL
Property Zoning: MEDIUM DENSITY RES
Application valuation: 80000
I
e
ik
JT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
r:
TA AZUL PARTNERS
0 SW UPPER BOONES•FERRY RD
E 100
LAND, OR 97224
Date: 3/29/06
LQPE%NIIT '
Contractor:
Applicant: Architect or Engineer:
RIPARIAN ENVIRONMENTS ti
P.O. BOX 13990
-
PALM DESERT; CA 92255 '
(760)398-9997
Lic. No.: 839002
- LICENSED CONTRACTOR'S DECLARATION
----------------
_ WORKER'S COMPENSATION DECLARATION +
hereby affirm under penalty of perjury that I am licensedunder provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code; and my License is in full force and effect. -
' _ I.have and will maintain a certificate of consent to self -insure for workers' compensation, as provided -
License Class: C8 C27 C29- No.: 839002
for by Section 3700 of the Labor Code, for the performance of the, work for which this permit is
_License
..r
issued.
4Date Y-L�� Contractor. P
>d�—.I have and will maintain workers'. compensation insurance, as required by Section 3700 of the Labor ,_
_ .+
f
Code, for the performance of the work for which this permit is issued. My workers' compensation
OWNER -BUILDER DECLARATION -insurance
carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier STATE FUND' Policy Number .1769754-2005 .,
• following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
.J1,1 certify .that, in the performance of the work for which this permit is issued, I shall not employ any ,
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California, _
permit to file signed statement that he or sheis licensed pursuant to the provisions of the Contractor's State_
and agree that, if I should become subject to the workers' compensation provisions of Section r
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
_
3700_of the Labor Ccpe, I shall forthwith comply -with those provisions. - -
that he or she is exempt therefrom and the basis for the alleged exemption. 'Any violation of Section 7031.5 by
rl 6� !u4/lry .
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500).:
:7Daie:� =Applicant: ,
( ) 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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL _
Contractors' State License Law does not apply to an owner of property who builds or improves. thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the -
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
' 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.).
'APPLICANT ACKNOWLEDGEMENT
1 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT_ Application is hereby made to the Director of Building and Safety for a permit subject to the
_
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1 . Each person upon whose behalf this application is made, each person at whose request and for
' pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
• (• -) I am exempt under Sec. , B.&P.C. for this reason -
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.
Date: Owner:
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
- CONSTRUCTION LENDING AGENCY
permit to cancellation. ,
_
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the -
I certify that 1 have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.).
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
•
of this county to enter upon the above-mentioned prope rrfor inspection purposes.
Lender's Name:
((L _ hI�
_Da�� % V�a6�re (Applicant. or Agent):
Lender's Address:
- •
�
LQPE%NIIT '
!
1
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ti
Application Number
06-00001266
Permit• v. . .
BLDG POOL PERMIT
-. Additional desc .
Permit Fee
527.00 Plan Check Fee
342.55
Issue Date
Valuation
747,50
Expiration Date_'.
9/25/06
Qty Unit Charge
Per
Extension .
BASE FEE
414.50
25.0,0 4.5000
THOU BLDG 50,001-100,000
112.50 `
Permit
MECH POOL_
Additional desc .
' Permit Fee
37.00 Plan Check Fee
9.25
Issue Date
Valuation
0
Expiration Date
9/25/06
Qty Unit ,'Charge'>
Per
Extension
BASE FEE
15.00
2.00 11.0000
EA MECH FURNACE >100K _
22.;.00
Permit
ELEC-MISCELLANEOUS ......
Additional desc :
Permit. Fee'..
56.00 Plan Check Fee
14.00'..
Date
Valuation
0
•Issue
Expiration; Date
1'9/25/06
Qty., Unit., -Charge
Per: . " -
Extension
BASE FEE
500
3:00 :-' 7•:5000
EA ;:ELEC PWR'APP'>1 TO <=10-'
22'..50..-:
:. :5000
<•=600V/=2001.00
EA ELEC SVC
18.50`
Permit
PLUMBING
Additional desc
Permit Fee, .:
36.00 - Plan Check Fee
9.00
- Issue Date
Valuation
0
,. Expiration Date r
.9/25106
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
2.00 3.0000
----------------------------------------------------------------------------
EA PLB GAS PIPE 1-4 OUTLETS
6.00
Permit
WALL/FENCE PERMIT
LQPERMIT
Application Number 0.6-00001266_
' Permit . . . WALL/FENCE PERMIT
.
Additional desc..
,
Permit Fee . . . .. - 81.00 Plan Check, Fee
.00
Issue Date . . . . Valuation
5250
Expiration Date 9/25/06
i
Qty Unit 'Charge • Per
Extension
BASE-FEE
45.00-
`
4.00 9.0000 THOU BLDG 2,001=25,000
36.00
..
-
fi
' rn
Special Notes and Comments
COMMERICAL SPA/POOL WITH 320 LF.WROUGHT,."
IRON FENCE 5' HIGHS-,, 60' LF.5' HIGH
BLOCK WALL & 60 LF. .61'`HIGH BLOCK •'
COLUMS. (ORCO SYSTEM)
'
Fee.summar"y. Charged Paid Credited
Due_
--- ----- --- ------ ----------- --- -- ----------
.,,Permit Fee Total 737.W', .00 OCr 737 00
Plan Check Total .'374: 80' +�+ : 00 . - : 00
374". 80 - ,
'
Grand.Total 1111.80 00 .-00
1111.80
1.
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'.fir - , - -.
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,
LQPEBDIIT
-
-
Bin #
City ,of La Quinta ,
t
Building U Safety Division -
—P.O. Box 1.504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: rj �� `�O W,! . U (�'�C
Owner's Name:
A. P. Number: QvCs
ltk AZ ✓
Address: VC);S� tl N I`/Vl 4 400
Legal Description:
City, ST, Zip:. Ej
Contractor:
g nn
1 t .d/IMkA,^tj
Telephones
Address: Q , p l
Project Description: .
City, ST, Zip: 90 0,' rL.
Telephone: 2,,Z4(G�ZG( , b 5;0
`
.•. f�� (b 1 •e. -e
State Lie. # : 3115 `1.001-
City. Lic. #:
� 61 e. (..w• s '� . o �
Arch., Engr., Designer:
Address:
( 1
i e kr� C- 6c>1. J
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:f n'loVld,
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
-Estimated Value of Project: onO'
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING .
PERMIT FEES
Plan Sets _
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading.plan
2q' 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 HOUSE:-
"d Review, ready for corrections/issue
Developer Impact IF,
Planning Approval
Called Contact Person,A.U.P.
Pub. Wks. Appr
Date of permit issue
School Fees
D/L[O
Total Permit Fees
V/A,ll VA -L 5260 •
_i oot-. QAL 7'175.0
TOMO
0,1
(V �o ✓h �l �v�1 T P�l_ee
C)2o cvo," .
pod,
}-,POOL/SPA PLAN APPROVAL NOTICE'-
Plan Check # ' LaQ061`5 1 _ Date 03/22/06
PROJECT NAME Puerta Azul (Commercial Pool#2)
PROJECT LOCATION Via Vista, La Quetta
OWNER / CONTRACTOR Armando Ehrenzweig?PHONE: -`-760-578-7551
The plans are now approved subject to the conditions, listed below.''
1) Provide written approval from the Environmental Resources Division offices at 82675 Highway 111; Room 209
Indio, CA: telephone (760) 863-7000, for the sizing of the waste water discFiarge from the backwash.for the pool
and spa on these plans. This information must be provided prior to the final inspection.
2) If, pool's air gap is located at a remote location outside the equipment enclosure, install a sight glass in the back
Wash line.
3) There are to be no shrubs, trees, planters,.etc within -4' of any,pool or spa. `
4) Provide separate waste discharge lines for each recirculation system.., Do not join the spa and pool waste lines
together. They may discharge into the same'receptor:
5) Planters, trees, rocks, etc shall not be permitted.to encroach upon the clear span area as depicted in,Figure 3113-
7B (attached). Install fencing over, concrete or another approved, hard, -permanent material.
6) No openable windows, doors, etc at front or side of restroom /equipment room building as per plans.
7) Floors of restroom must be slip -resistant; nonabsorbent and easily cleanable: Floors`must also have a minimum
4" cove base at the floor/wall junction.'Walls Walls must be smooth,,moisture-resistant and easily cleanable (CMU walls ,
not approved). e ,
J.
8) Present lighting provides required, wattage, ensure lights are installed to,provide adequate lighting to all parts of
the pool. - -
•9) Ensure all plumbing is marked for inspection�at equipment -room stub out.-
10)
ut:10) Top step of spa must be at least 18" wide.+
Its Anh - 61n cowne 4 Spa (%iyWy-';5t", & Mtm' ,�►�o. 2." 91a.,,s.,ot Amt. mt
CONSTRUCTION INSPECTIONS: Contact the PIan,Checker for pre=gunite and pre -plaster inspections at least five
(5) working days in advance.
A FINAL INSPECTION MUST,be made upon.completion of ALL work including fencing, safety equipment, and
signs. 'APPROVAL to operate shall not be granted until the facility, has.passed the FINAL INSPECTIONS and
"APPLICATION TO OPERATE" has .been completed and PERMIT fees have been paid.
Request for inspection should.be made at least five (5) working days in'advance.
Plans Checked By N 4 JOki� 1 17- Phone (U) 32 -10 Qr
I -acknowledge the .corrections noted herein and. as indicated on the°plans and agree to incorporate them during
construction: '
Signature , Date
" Company Name
DEH -SAN -181 (REV 2/06)
Corona ; , Hemet Indio,'; Murrieta Palm Springs' Riverside
2275 S. Main St Suite 204 800 S. Sanderson 47-956Arabia St "A" '38740 Sky Canyon Dr 2500 N. Palm Canyon Dr 4065 County Cir
(951) 273-9140 (951) 766-2824 1 (760) 863-8287 '(951) 461-0284 (760) 320-1048 (951) 358-5172
Fax (951) 520-8319 • Fax (951).766-7874 Fax (760) 863-830.3 Fax (951) 461-0245 '' ' --Fax (760) 320-1470 Fax (951) 358-5017
Department Web Site,- www.rivcoeh.org
COUNTY OF RIVERSIDE COMMUNITY HEALTH AGENCY �f AssessoR's PARCEL NUMBER
DEPARTMENT OF ENVIRONMENTAL HEALTH
r
APPLICATION FOR WASTE WATER DISPOSAL APPROVAL
APPLICANT: Submit this form with four copies of a SCALED plot plan. (1 "=20', to V=40' SCALE) drawn to County specifications as indicated on the attached
check list. A non-refundable filing fee is required when the application is submitted. Check must be made payable to the County of Riverside. Approval of this
application shall remain valid for a period not to exceed one year from, date of payment..
LMS # l 4 Y el I -A 17-!• n /c'r+lil%ye �r
.
Contractor, Contact Person
Address. City State Zip
Telephone
jj��Agent,
f 1 t'�it jN I NUf126 Ul�fF'-, f
t 3 aY } s"tt.�if�. 4'''1 J h #;Jr t r j. h 'ries 7 7
.�t . G911 4
Owner
Address City State Zip
Telephone
Q
_
z
Job Property, Address
City ,,
Zip
13:
t..a7
U
U)
Lot Size
Water Agency/Well
Use of Permit, P/P, SUP, PUP, etc.
(� �y44 �
Legal Description
DBA
A Z V
Dwelling, MH Site Prep., etc.!
[jSighaure of Applicant
Date
,-44 / i x.Aj c I'
FOR OFFICE
USE ONLY
CHECK BOX IF REQUIRED
If any box is checked, this application shall be considered rejected until the
❑ Detailed Contour Plot Plans Required (1 to 5 foot interval)
information is provided and the fee paid. Resubmittals later than 90 days
after date noted below may require repayment of fees.
❑ Other
❑ Staff Specialist Lot Inspection Required
Z
❑ Holding Tank Agreements Completed
❑ Certification of Existing S.D. System Required
Thomas Bros. Page Grid
W❑
WQCB Clearance Required
C)Date Lot Inspection Completed: Initials
(Attach for DOH -SAN -007, Santa Ana Region Only)
Remarks:
❑ Soils Percolation Report Required
❑ Maintenance Booklet Provided
❑ Special Feasibility Boring Report Required
`
Cl Final Inspection by Department of, Environmental Health is required.
❑ Rereview Required Initials Date
Please call 24 hours PRIOR to inspection.
C/42 / Soils Percolation Boring Report By Lic/Project # Date• .
Soils Map Page Soil Type Approved By Date
No. of Systems
Type of System(s)
No. Dwelling Units
(1) Septic Tank
Soil Rate
Grease Sand
-
❑ Holding Tank ❑ Replacement
(j�New ❑-'Addition
Bedroort��' Fixtur Units
rOGj
ti
Grease`.In cp/Lint Trap
❑Existing ❑ Connect to Sewer
�l�A i �.OciO„eP
Gal.
r7SO ` Gal.
w
Sq. Ft.
Total Linear
Sidewall Allowance•'—V
Sift. 3
Leach Bed sq. ft.
Bottom Area
Ft.
ft. rock/ sq. ft. running ft.
Install Lines) long ft. wide
of Bottom Area
UProposed
Inlet Tested Depth } ❑ N/A
with min. inches rock below drain,lliin�es
Bottom Tested Depth
or
OLeach
lines/bed special design for slope:
(3) Pit Diameter
No. Pits
Pit Below Inlet (B1)
Seepage Pit
Maximum
Other:
Applicable
PP
Total Depth
Allowable
P:
W
N/A Overburden Factor
(15' ❑ 6'
TD
Depth
Well Review Approved: Date: Well Drilling Permit#
SIGNATURE
Grading Plan Approved: Date:
SIGNATURE
Date:
Plan Check Only Approved:
kvvy. //. -l�
REMARKS: -tz44eA- yYw GJJ,ef; %a/' Z/
Gt 424;4 11�
a ;..ca , ,u -v--. �z 12,J. L A D4 7,2
This application Iis is ENIED for the"category checked in
SECTION B above regarding t.e'design of a disposal system as indicated
on the accompanQe lot -plan, the forth in SECTIONI
using requirements set
(S C7b 14L�
C above. A building permit is necessary for the installation of the above-
Revenue Code T 0 Fee $
designed system. No construction is permitted in the required reserved
100% expansion area. -
-
Check # .>
(1) Septic Tank must be 100' minimum from any wells.
Z
'(2) Leach lines must be 100' minimum from any wells, including expansion
Date Initial
O
area. '
U
(3) Sewer lines must be 50' minimum from any wells.
(4) Seepage pits must be 150'm" ium from any wells, including expansion
RIVERSIDE: 951=955-8980
area.
`
INDIO` 760-863-7000
SOUTHWEST: ;' 951-600-6180
Signature ` '
1 l' //
Date'
' DEH -SAN -122 (Rev 8/04)
,y UIsinUution: vvr11I t—Vmce rile; TtLwvv—Applicant; PINK—mag. uept.; GOLUENHOD—Plans/Hecords
Y�r^t•*:�19n"�,,�jr'"-i•r`'j"yya!3"Y`'�r',`:'�"`y?K".*i%1.T,�h�yLi;�l�";,.:tt":�b'a"�'t+"i�1Y�ncry*,: '"'�`!t*ktr✓.t`iy/V#2":�..'* rry;i�Y,�iP�{�`i"'�'t'7�:1�'i'i"tb�.�•�'��+�S.iw"Rr'�P4�t'T`�+�f'T�'��K.. �_.
COUNTY OF, RIVERSIDE COMMUNITY HEALTH AGENCY
DEPARTM''ENT� OF ENVIRONMENTAL HEALTH
•SWIMMING POOL INSPECTION REPORT
�[a tiisra
SITE*
FACILITY #: • [ ] POOL:
DISTRICT #: •
TIME 1N:TIME
OUT:
DATE
SPA:'
WATER QUALITY ]+ ' a •
RECIRCULATION EQUIPMENT
SAFETY EQUIPMENT
FACILITY DBA:
DBA AD RES : ;,
REINSPECTION DATE
./ t.WW4.
15'. Provide the following safety signs:
'OWNER'S NAME: ,
PROPERTY MGM T..
PHONE NO.
[ ] No Lifeguard On Duty
Mailing Address:
City:
State:
[ ], a .
Maintain. cyanurates at 100 ppm or less
Service:..
Z.
PH:
Chlorine. Residual PPM:
Cyanurate PPM:.
Flowrate GPM:
Spa Temp �.
lvl� . - .
b - �✓
visible from pool deck
.51.E
o F
[ • ] a. . Maintain gates and doors'to be self-closing and [., ]..,.Tiles at.bdttom/ sides
sell -latching [ ] Pool shell ; . POOL/SPA CLOSED DUE TO THE FOLLOWING CONDITIONS:
[' ] 10. Pool/Spa to be enclosed with approved fencing [ ] ^Depth'markers [ ] 2 No free chlorine residual
(max, opening 4 in. wide) [ ] "Ladders, handrails, and steps [ ] 2 Excessive chlorine residual (over 10 ppm)
[ ] 11. Maintain fencing in good repair . 3,�` cwt [ ] 4. Heavy algae growth
RESTROOMS /SHOWERS / DRESSING ROOMS y r 4. Main drain cannot be'seen due to poor water
.t [ ]
14. 'Maihtain the following in good repair and clean , clarity
condition: [ ] 12 Main drain(s)..ccver(s) missing or loose
POOL/SPA STATUS:]` OPEN, [. ] .Showers and Dressing Areas . [ ]' 22 Loose or missing underwater light '
[ "] •Toilets and Sinks [ ] 31. Any existing condition' which could actually or
( ] CLOSED [ ] Soap and towel dispensers potentially threaten the public heaftti, welfare, or
safety
ADDITIONAL VIOLATIONS AND/DR REMARKS
At
I•.
RECEIVED 13Y: ( ,' ENVIRONMENTAL .HEALTH SPECIALIST:
REFER TO REVERSE SIDE -FOR CODE. SECTIONS ON A'BOVE'VIOLATIONS AS.WECLAS ADDITIONAL VIOLATIONS
BLYTHE INDIO PALM'SPRINGS : 1 -RIVERSIDE HEMET MURRIETA
(760) 921-7861 (760) 863-8287. (760) 320-1048 (951) 358-5172 (951) 766-2824 (951) 461-0284
DEH -SAN -1798 (Rev 4/04), Distribution: WHITE—Office; 1st COPY—Owner; 2nd COPY—File PAGE OF
T&WARKED•ITEMISS`REPRESENT— STATE AND CDUNTY•HEALTH & SAFETY* VIOLATIONS AND. MUST BE CORRECTED. AS FOLLOWS:
WATER QUALITY ]+ ' a •
RECIRCULATION EQUIPMENT
SAFETY EQUIPMENT
Maintain pH 7.2-8.0
12 Provide components of recirculation system in
15'. Provide the following safety signs:
Maintain Free Chlorine residual:at 1.5 ppm.good
working, order.
[ ] No Lifeguard On Duty
Not to exceed 10 ppm.
[ ] fitters
[ • ] No Diving
[ ], a .
Maintain. cyanurates at 100 ppm or less
[ J., Chlorinator
[ " ] Diagrammatic artificial respiration
[ J 4
Maintain water clarity; main drain to be clearly
[ • J
[ ] Pool capacity/Spa capacity,'
visible from pool deck
[ . ];; Pumps
[ ] Emergency. phone. number *(9.1
[ � ] • 5
Provide test kit an premises
,,'Gauges,
[ • J -Flowmeter •
,
[ , .] Spa caution rules `
( ] •• ti
Provide approved backwash'wi(h legal air gap ,
[ I Skimmers
(- I 16. ' Provide life ring with attached rope long enough
('' ] 7.
'a
$pa temperature not to exceed 104°F.
[ ,] . Main Drain'
to span max. width of pool
[ J
Discontinue• placing chlorine tablets in pool
[ ] 17.' Provide 12 ft.,rescue pate with securely attached -
skimmer(s)
POOL SHELL/RELATEDFACILITIES,.'.
body hook
•
13. Provide the following in clean condition/
[ ] 111 Provide clearly labeled emergency shut off
good repair:
switch at the spa
GATES AND FENCING
[ ] ,Decking and coping
[ • ] a. . Maintain gates and doors'to be self-closing and [., ]..,.Tiles at.bdttom/ sides
sell -latching [ ] Pool shell ; . POOL/SPA CLOSED DUE TO THE FOLLOWING CONDITIONS:
[' ] 10. Pool/Spa to be enclosed with approved fencing [ ] ^Depth'markers [ ] 2 No free chlorine residual
(max, opening 4 in. wide) [ ] "Ladders, handrails, and steps [ ] 2 Excessive chlorine residual (over 10 ppm)
[ ] 11. Maintain fencing in good repair . 3,�` cwt [ ] 4. Heavy algae growth
RESTROOMS /SHOWERS / DRESSING ROOMS y r 4. Main drain cannot be'seen due to poor water
.t [ ]
14. 'Maihtain the following in good repair and clean , clarity
condition: [ ] 12 Main drain(s)..ccver(s) missing or loose
POOL/SPA STATUS:]` OPEN, [. ] .Showers and Dressing Areas . [ ]' 22 Loose or missing underwater light '
[ "] •Toilets and Sinks [ ] 31. Any existing condition' which could actually or
( ] CLOSED [ ] Soap and towel dispensers potentially threaten the public heaftti, welfare, or
safety
ADDITIONAL VIOLATIONS AND/DR REMARKS
At
I•.
RECEIVED 13Y: ( ,' ENVIRONMENTAL .HEALTH SPECIALIST:
REFER TO REVERSE SIDE -FOR CODE. SECTIONS ON A'BOVE'VIOLATIONS AS.WECLAS ADDITIONAL VIOLATIONS
BLYTHE INDIO PALM'SPRINGS : 1 -RIVERSIDE HEMET MURRIETA
(760) 921-7861 (760) 863-8287. (760) 320-1048 (951) 358-5172 (951) 766-2824 (951) 461-0284
DEH -SAN -1798 (Rev 4/04), Distribution: WHITE—Office; 1st COPY—Owner; 2nd COPY—File PAGE OF
WATER QUALITY
1. Maintain the pH between 7.2 and 8.0 (65529)
2. (a) Maintain a free chlorine residual of at least 1.0 ppm at all times
(65529)
(b) Maintain a free chlorine residual of at least 1.5 ppm when cyanuric
acid is used (65529)
3. Maintain the level of cyanuric acid at or below 100 ppm (65529)
4. Eliminate cloudiness and maintain pool water in a clean and clear
condition (65527)
(a) Eliminate dirt/leaves/debris from the pool (65533)
(b) Eliminate algae growth from the pool (65533) _
5. Provide an approved pool water test kit which will measure free chlorine
residual (65529)
6. There shall be no direct connection of the pool or its recirculation system
with a sanitary sewer or drainage system (3137.132)
7. Limit spa pool temperature to a maximum of 1040F (3135B.2)
8. Discontinue placing chlorine tablets in the pool skimmer(s) (65531)
Discontinue use of the floating chlorinator (65531)
GATES AND FENCING
9. Provide/maintain a self-closing gate/door to pool area with self -
latching hardware at least 42" above finished grade. (3118B.2)
10. Pool/Spa to be enclosed with approved fencing. (3118B.1)
11. Repair the pool fence/enclosure. (3118B.1)
RECIRCULATION EQUIPMENT (65525/31236)
12. (a) Repair / replace / backwash / and / or clean the filter.
(b) Provide / repair or replace automatic chlorinator; maintain the
automatic chlorinator filled and operational.
(c) Provide / repair or replace the influent/effluent pressure gauge(s)
(d) Repair or replace the recirculation pump.
(e) Provide / repair or replace the flowmeter.
(f) Provide proper, adequate skimming action in the pool; Replace
broken or missing skimmer strainer basket; Replace broken or
missing skimmer weir assembly. Replace broken or missing
skimmer diverter valve assembly
(g) Secure or replace drain cover with approved type cover, which
can only be removed with tools. (31348.3)
POOL SHELL/RELATED FACILITIES
13. (a) Replace broken or missing coping and / or eliminate trip and fall
hazard of deteriorating or uplifting decking in pool area (65535)
(b) Replace broken or missing pool tiles (65535)
(c) Repair pool shell (65535); Clean pool shell and / or water line tiles
(65533)
(d) Replace broken / missing / unreadable depth marker tiles
(31098.4)
(e) Secure / repair / replace loose stair handrail(s), ladder / ladder
step tread(s), grab rails (3110B)
RESTROOMS/SHOWERS/DRESSING ROOMS
14. (a) Maintain restrooms, showers, and dressing rooms in a clean and
sanitary condition (65535); Showers and lavatories shall be
provided with hot and cold water. A means to limit the hot water
to a maximum of 110°F shall be provided (31158.4); Provide
soap in soap dispensers or containers in showers (65551)
(b) Maintain toilets, urinals, sinks, and showers in clean condition
and in good repair (65535)
(c) Provide soap in permanently installed soap dispensers, sanitary
towels, hot air blowers, and toilet tissue at toilet facilities
(65551 c)
SAFETY EQUIPMENT
15. (a) Post a legible sign stating "WARNING -NO LIFEGUARD ON DUTY"
in letters at least 4" high. In addition, the sign shall state
"CHILDREN UNDER THE AGE OF 14 SHOULD NOT USE POOL
WITHOUT AN ADULT IN ATTENDANCE". (65539 c)
(b) Post a legible "NO DIVING ALLOWED" sign in letters at least 4"
high. (311913.2)
(c) Post a legible sign with a diagrammatic illustration of artificial
respiration procedures. (65539 d)
(d) Post a legible sign stating the maximum occupant capacity in
letters at least 4" high. The maximum occupant capacity for a
swimming pool shall be one bather for every 20 sq. ft. of pool
surface area and for a spa' pool one bather for every 10 sq. ft. of
spa surface area. (3119B.1) '
(e) Post a legible emergency telephone number on a sign by the
pool. (9-1-1 is recommended).) (65539 d)
(f) Post a legible spa precaution sign stating the following language:
CAUTION
Elderly persons, pregnant women, infants and those with health
conditions requiring medical care should consult with a physician
before entering a spa.
Unsupervised use by children under the age of 14 is prohibited.
Hot water immersion while under the influence of alcohol,
narcotics, drugs or medicines may lead to serious consequences
and is not recommended.
Do not use alone.
Long exposure may resultyin nausea, dizziness or fainting.
(311913.5)
16. Provide a life ring with an attached length of rope of sufficient length to
span the maximum width of the pool. The life ring must be min. 17" in
diameter. (65539e)
17. Provide a body hook permanently attached to a pole at least 12 ft. in
length. The rescue pole must be readily accessible to pool users.
(65539e)
18. An emergency shut-off switch, the switch shall be labeled with a
legible sign stating "SPA EMERGENCY SHUT-OFF SWITCH". (680-13)
ADDITIONAL VIOLATIONS
19. Raise / lower wate_r,level to the mid -point of the skimmer opening
(65533)
20. Animals are prohibited in the pool and pool area (65533B)
21. Provide / repair or replace underwater lights (31148.2)
22. Maintain underwater pool light(s) "on" during all times the pool is open
for use after dark. If the pool is not separately enclosed, maintain pool
light(s) on during entire nighttime hours (3114B)
23. Provide a minimum turnover rate as follows: Swimming pools -.6
hours, (built before October 1982 - 8 hours), spa pools - 1/2 hour,
wading pools -1 hour. Required min. flowrate = # gal. in pool/req.
turnover x 60 (312413) - -
24. Clean the pool equipment room (65535)
25. Correct specified items reliting to the gas chlorination system (65547)
26. The pool(s) were not accessible or only partially accessible for
inspection. '
Please contact the inspector to make arrangements for a complete
inspection of the pool and pool area (116055)
27. Every pool shall be under the supervision of a person who shall
assume responsibility for compliance with all requirements relating to
pool operation, maintenance and safety of bathers (65521)
28. Maintain a log noting disinfection residual, pH and maintenance
procedures (65523)
29 Eliminate deck obstruction (3113B.1)
30. G.F.I.-shall be in operational condition (116049.1)
31. It, in the opinion of the enforcing agent, a pool is maintained or
operated in a manner which creates an unhealthful, unsafe, or
unsanitary condition the pool may be closed by the enforcing agent.
Such a pool shall not be reopened until correction is made, and
upon, specific written approval of the enforcing agent. (65545)
COUNTY. OF- RIVERSIDE COMMUNITY
HEALTH AGENCY
DEPARTMENT. ENVIRONMENTAL. HEALTH
ENVIRONMENTAL HEALTH, -SERVICES,
a N
SUPPLEMENTAL REPORT -TO SAN. FORM # 'DATE d O'/116
PERMIT NO.
SUBJECT
ADDRESS . ES Yie'k1
, i< 0 _1 li:
S
5 7
INSPECTOR
REMARKS:
14
........... .............
6Coo-
4e�e
4.5
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4)
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DEHSAN- Rev 8/02)
18 WHITE—Q%Mnqr; PINK—Office.
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Deck Equipment
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SPECIALS e ._: + ° �'~ • ki.
The'Gallatin is the most versatile ADA compliant Swim=Lift@ of the assisted 'access'
devices. This fully self=operati d:device is the first of its kind to accomodate'both 'in-.
• ground pools and spas without unnecessary customization. The Gallatin requires no .•� �'
more than 12 -inches of,total depth (deck to floor/bench) for proper installation and
nV r the standard unit will accommodate anchor locations of 20 1/2 to 30-in__ches from they ' ~�• t
`• ` i r pool wall thanks to its adjustable base stand.
- The Gallatin is not only the most versatile lift in the aquatic industry, it's also the
' most proven. Supported by certified load and seismic calculations, the Gallatin is
designed to lift af,400--pound load with only 55 psi of water pressure. That, combined. r
with the Gallatin's patented pressure foot support structure and dual deck
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