BPOL2017-006278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
SCOTT POOLS
74 532 GARY AVENUE
PALM DESERT, CA 92260
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BPOL2017-0062
49360 MISSION DR WEST
602150004
TOPER RESIDENCE / POOL & SPA
$32,000.00
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 Professions Code, and
my License is in full force and effect.
License Class: D35, C53 License No.: 644723
Date % Contractor:
OWNER -BUILDER DECLARATION
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 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).:
() 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.).
(_) 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.).
(_) 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
BOBTOPOR
49360 MISSION DR WEST
LA QUINTA CA, CA 92253
Contractor:
SCOTT POOLS
74 532 GARY AVENUE
PALM DESERT, CA 92260
(760)275-7626
Llc. No.: 644723
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 issued.
_ I have 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: EXEMPT Policy Number:_
2f,/� 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.
, F 4x'77.1A_rl'lBAF 0U- 1
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 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-�Signature (Applicant or Agent): /S/p/ �2 (- ) aG��
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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 issued.
_ I have 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: EXEMPT Policy Number:_
2f,/� 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.
, F 4x'77.1A_rl'lBAF 0U- 1
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 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-�Signature (Applicant or Agent): /S/p/ �2 (- ) aG��
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Date: . 5/11/2017
Application Number:
BPOL2017-0062
Owner:
Property Address:
49360 MISSION DR WEST
BOB TOPOR
APN:
602150004
49360 MISSION DR WEST
Application Description:
TOPER RESIDENCE / POOL & SPA
LA QUINTA CA, CA 92253
Property Zoning:
Application Valuation:
$32,000.00
Applicant:
Contractor:
SCOTT POOLS
SCOTT POOLS
74 532 GARY AVENUE
74 532 GARY AVENUE
PALM DESERT, CA 92260
PALM DESERT, CA 92260
(760)275-7626
--------------------------------------------------------------------------------------------
Llc. No.: 644723
Detail: POOL AND SPA ONLY [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS
REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE.
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DESCRIPTION
FINANCIAL
ACCOUNT QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306 0
$2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
0
$190.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA PC
101-000042600
0
$103.36
Total Paid for POOL / SPA:
$293.36
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00
U I ALJ:
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Bin #
'Permit #; !� oo
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Project Address:LI/
C1 ty Ufa Puli't ta
Buifding & Safety Division
78-495 Calfe Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
ncT's 1�ame:
A. P. Number:
Address:'
Legal Description:,
City, ST, Zip: r A
Contractor:5z' 072-4 Pt7e7ic
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Telephone:
P one:
Address: r
Project Description: oG
City_ ST, Zip:
alla
Telephone:
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State Lic. # : 7o`L3
City Lie.
Arch., Engr., Designer:
Address:
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City, ST, Zip:
Telephone-
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Construction n TYPe: Occupancy:
aneY
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AV Add'n AlterProJect type (circle one • Ne Repaira'
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Name of Contact Person: MAW=Tye
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: m2
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
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Submittal
Rcq'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
�,
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted F
Mechanical
Grading plan
2"" Review, ready for corrections/issue
Electrical .
Subcontactor Lis(
Called Contact Person
Plumbing
Grant Decd
`
Plans picked up
S.M.I.
,
II.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.
Pub. Wks. A � r
[ P
�
Date of permit issue
School Fees,
L
'
Total Permit Fees
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GOLF
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SE,4T U,4LL +18"
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18" SET BACK
P.O.B. —�
COAT: r-lA T� SCOTT
SCOTT POOL S2 005 � 5N.CO
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– - � —--iRINT`iPICAL---� ---- —---------_-------- ---- — -- �k`.,`a.aaa.
r �ne
aYs: None
�xe�rtet er 300h
j, 1x 'rltailV:
18" SST BA4
CK '-O" X 4'-0" LAC-:
�'OUT RID 6:03 a.m. to %:0 p.n1. y. * , .. i `
' G i ver=.aalerit Code Holidays: Nine
t = Construction is POT PrR4�'ITTED
on the follovving Code Holidays:
rduw Yoar's Day
Dr. Pv1artin Luther Ming Jr, Day
Previliant's Day
mc-Pcriy
yrs ca
r t,Pend�,,xce Day
Labor DFy
f K;
Vetemni's Day s "'
Dam", ng ay
Christm, las Day ' 3
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'r_CPIS L �'TAiINER
C O"d THE,OB SITE DURING ALL
j r, COQ%STRUC�iO"I AND MUST BE
Lf? AS w'ECESSr�RY FAILURE TO DO SO
1 ''A)U'Sc THE CITY TO HAVE THE CONTA Ii'IER
.�t� 1iFFED AT THE EXPENSE OF THE OWNER/
C0'�TRACT0R."
A RE -INSPECTION FEE OF $
WILL BE CHARGED IF THE APPROVED
PLANS AND JOB CARD ARE NOT ON
CITY OF HE SITE FOR A SCHEDULED
BUILDING & SAFETY DEPT. `1SPECTI N .
APP,P®VEp Pr, a ExcEPTlolvs!
FOR C NSTRUCTION
DATE � 1c) �-EBWY
3�71F= [PLAN
SCALE: 1/811=11-011
DATE ISSUED
---- .-PLAN._.__.___._...____
DRAWN
CHECKED 5Y,"----- -
DATE 04-20-17
JOB1NO................................................................................
SHEET NUMBER
W