BPOL2017-0040ti
78-495 CALLE TAMPICO D 'i �NMUCl/
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPOL2017-0040
Owner:
Property Address:
53713 ROSS AVE
EAST OF MADISON
APN:
767680042
P 0 BOX 1482
Application Description:
MCCLURE / POOL AND SPA AT REAR YARDA
QUINTA, CA 0
Property Zoning:
Application Valuation:
$86,000.00
Applicant:
SCOTT POOLS
74 532 GARY AVENUE
PALM DESERT, CA 92260
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 Classy: D35. C53 . License No.: 644723 {^� J
Date: / Conor / �p�s
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.).
(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.).
(_) 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
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
SCOTT POOLS
74 532 GARY AVENUE
PALM DESERT, CA 92260
(760)275-7626
Llc. No.: 644723
Date: 4/14/2017
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: _
007-4%_1 1 certify that in the performance of the work for which this permit is issued, I
shall not 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.
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.
Application Number:
BPOL2017-0040
Owner:
Property Address:
53713 ROSS AVE
EAST OF MADISON
APN:
767680042
P 0 BOX 1482
Application Description:
MCCLURE / POOL AND SPA AT REAR YARD
LA QUI INTA, CA 0
Property Zoning:
Application Valuation:
$86,000.00
Date: 4/14/2017
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 AT REAR YARD [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.
x
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $4.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $4.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
0
$190.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
0
$103.36
Total Paid for POOL / SPA: $293.36
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
r
Total Paid for TECHNOLOGY ENHANCEMENT FEE $5.00
Bin #
Fermi[ ;'
#JVtOlow"sUf
-Project Address: 7/0 gs
City of La Quinta'
Guifding &r Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701.2
Building Permit Application and Tracking Sheet
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
,Contractor: _o
st'
Telephone:
Address: 3�mm �'
y 6
Project Description: O
' ^1
City,'ST,`Zip: +✓ I'C/!A'
.:-- --
%LAB&
Tele hone:
P d
Sfa`tE Lic.4 :
City Lie. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
cY:
Occupancy:
n Type: an
Constructiontructi
e is #-
Repair (circle one): Add'n Alter
Demo
Name of Contact Person:
Sq. Ft-:
# Stories:
# Units:
Telephone # of Contact Person: �- s—
)stimated Value of Project as
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rcc'd TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°' Review, ready for corrections/issue
Electrical
-SubcontactorList
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'`' Reyiew, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
Scl ool Fees,
l
s
Total I'crmit Fccs
LOT-. 96A
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VACANT
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE Lq mi -&y
14. PA 94.6E
l J (7ELECf1M L 994.39 FS // /
1„.,..�� P I �/
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CONNECT TO EXISTING (984.401NV) j ,-I l A / ✓/ / „ i' �/
DRAIN PLANS SHEET 3 OF 20,
PER TRACT 33076-1 ON—SITE STORM I
EXISTING PRIVATE 10” PVC LATERAL
C44
\ 3-7Rd§S AUEIVUE 2/10//1'7
OFESS/ p
PR Nq
PREPARED UNDER THE SUPERVISION OF:
'-A— •i 2/10/17
CLEAN OUT TO SEWER LATERAL AND
NS TO BUILDING
4RDSCAPE
4RDSCAPE
ESFANDIAR SHAHANDEH DATE:
RCE NO. 47834
W �=
77-570 SPRINGFIELD UNE SUTE 'C'
APPROVED BY:
PRECISE GRADING PLAN
APPYD
DATE:
RCE NO.
REVISIONS
14. PA 94.6E
l J (7ELECf1M L 994.39 FS // /
1„.,..�� P I �/
Aj
A251� i P F 4 ..� 994.40 FS
r I
996..OFG 4 17I li i:i I D
ION995OOF
BE
IZ
FORCESpOWNRBSrEVERNON
XPESE II II
�
CONNECT TO EXISTING (984.401NV) j ,-I l A / ✓/ / „ i' �/
DRAIN PLANS SHEET 3 OF 20,
PER TRACT 33076-1 ON—SITE STORM I
EXISTING PRIVATE 10” PVC LATERAL
C44
\ 3-7Rd§S AUEIVUE 2/10//1'7
OFESS/ p
PR Nq
Mc URE RESIDENCE
DESIGN: DRAFT:
W �=
77-570 SPRINGFIELD UNE SUTE 'C'
PRECISE GRADING PLAN
ESS' ESS'
M'
No. 47834 m
w m
PALM DESERT, CA 92211
G 0)772-9400 OFFICE
(760) 772-8421 FAX
MADISON CLUB LOT 37A
CHECK: DATE:
AMG FEB.2ots
1.
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_�NGINEERIN
rd
dwand iW—c4apeoi•9 - Pl"i9 - ,••,N9
TRACT 33076-1, M.B. 388/57-79
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PORTION OF SECTION 10, T.SS., R.7E., SBB&M
DWG No. PG140002
CITY OF LA QUINTA
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GALLERY
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107
u CITY OF LAQUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE gII!l.7dl y:"
do
Applicant:
SCOTT POOLS
74 532 GARY AVENUE
PALM DESERT, CA 92260
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I ani 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 ani 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:
Contractor:
SCOTT POOLS
74 532 GARY AVENUE
PALM DESERT, CA 92260
(760)275-762 O U
LIC. 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:
1 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:
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 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 1 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):
QUM&
VOICE (760) 777-7125
78-495 CALLE TAMPICO
U
FAX (760).777-7011
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 3/12/2018
Permit Type/Subtype:
POOL/PRIVATE
Owner:
Application Number:
BPOL2017-0040
EAST OF MADISON
Property Address:
53713 ROSS AVE
P 0 BOX 1482
APN:
767680042
LA QUINTA, CA 0
Application Description:
MCCLURE / POOL AND
SPA AT REAR YARD
Property Zoning:
Application Valuation:
$86,000.00
Applicant:
SCOTT POOLS
74 532 GARY AVENUE
PALM DESERT, CA 92260
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I ani 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 ani 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:
Contractor:
SCOTT POOLS
74 532 GARY AVENUE
PALM DESERT, CA 92260
(760)275-762 O U
LIC. 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:
1 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:
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 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 1 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):
Date: 3/12/2018
J
,Application BPOL2017-0040
Owner:
Number: 53713 ROSS AVE
EAST OF
Property 767680042
MADISON
Address: MCCLURE / POOL
P 0 BOX 1482•
APN: AND SPA AT REAR
LA QUINTA, CA
Application YARD
0
Description:
Property $86,000.00
Zoning:
Application
Valuation:
Applicant:
Contractor:
SCOTT POOLS
SCOTT POOLS
74 532 GARY AVENUE
74 532 GARY
PALM DESERT, CA 92260
AVENUE
PALM DESERT,
CA 92260
(760)275-7626
------------------------------
LIC. No.: 644723.
Detail: POOL AND SPA AT REAR YARD [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.
I
DESCRIPTION
ACCOUNT QTY
AMOUNT
HOURLY CHARGE - CITY BUILDING STAFF
101-0000-42600 0.25
$38.00
Total Paid for BLDG CITY STAFF - PER HOUR: $38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$4.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $4.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$25.33
Total Paid for ELECTRICAL: $50.66
DESCRIPTION
ACCOUNT
QTY
AMOUNT
- GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$25.33
Total Paid for PLUMBING FEES: $38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DETACHED SPA/WATER FEATURE/OTHER
101-0000-42404
0
$190.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
- 0
$190.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
0
$103.36
Total Paid for POOL/ SPA: $483.36
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00
�(Olpv