BPOL2019-012378-495 CALLE TAMPICO T p D 4 Qu&&j
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: POOL/PRIVATE
Application Number: BPOL2019-0123
Property Address: 53205 HUMBOLDT BLVD
APN: 767700010
Application Description: MCCLURE / POOL, SPA, AND ENTRY WATER FEATURE
Property Zoning:
Application Valuation: $93,000.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
MCCLURE HOMES LLC
53205 HUMBOLDT BLVD.
LA QUINTA, CA 92253
Applicant: Contractor:
SCOTT POOLS D SCOTT POOLS
79-290 COOL REFLECTION 79-290 COOL REFLECTION
LA QUINTA, CA 92253 II II n 1 im ni I A nI IINTA rA
(760)275-7626
CITY OF LA QUINTA Llc. No.:644723
DESIGN & DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 fcommencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License {ass: 035. C53 License No.: 644723
Coed r
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
Lender's Address:
Date: 7/1/2019
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:
ertify that in the performance of the work for which this permit is issued, I
sha1MWRVnpIoy 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 Ith those provisions.
W RNING: 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
foillowing 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.
5IdhA (Applicant or Agent):
Dat— • . ,/2019
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
SCOTT POOLS
79-290 COOL REFLECTION
LA QUINTA, CA 92253
BPOL2019-0123
53205 HUMBOLDT BLVD
767700010
MCCLURE / POOL, SPA, AND ENTRY WATER FEATURE
$93,000.00
Owner:
MCCLURE HOMES LLC
53205 HUMBOLDT BLVD.
LA QUINTA, CA 92253
Contractor:
SCOTT POOLS
79-290 COOL REFLECTION
LA QUINTA, CA 92253
(760)275-7626
LIC. No.: 644723
Detail: MCCLURE / POOL,SPA, [1] GAS FIXTURE REAR YARD. POOL AND SPA ONLY NO WATER FEATURES APPROVED ON THISPERMIT. TWO DROWNING
SAFETY FEATURES AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. PLEASE PROVIDE WET STAMPED POOL ENGINEERING SHEET
ON SITE FOR INSPECTION. NEW EQUIPMENT MUST BE LOCATED IN AN APPROVED LOCATION EITHER WITHIN THE REAR YARD SETBACK OR 5' MINIMUM
FROM THE SIDE P/L FIELD VERIFY. 2016 CALIFORNIA BUILDING CODE. ,
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $4.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$13.34
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$26.68
i utai rain Tor rwiw011MU FttJ: "u.ut
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DETACHED SPA/WATER FEATURE/OTHER
101-0000-42404
0
$600.36
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
0
$200.12
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
0
$108.87
Total Paid for POOL / SPA: $909.35
DESCRIPTION I ACCOUNT I CITY I AMOUNT
RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611 0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
McClure Homes, LLC
Mark McClure
52-730 Del Gato Drive
La Quinta, CA 92253
858-775-1032
June 10, 2019
City Of La Quinta
Building and Planning Department
78495 Calle Tampico
La Quinta, CA 92253
To Whom It May Concern,
This letter is to give Marty Scott, Scott Pools, authority to pull Pool and Water Feature permits for lot
58B (53-205 Humboldt Blvd., La Quinta, CA 92253) on our behalf.
If there are any questions or concerns, please contact myself, Zachary Hanan 858-414-0492 (McClure
Homes — Project Manager), or owner Mark McClure 858-775-1032.
Thank you,
7
Za1aryHanan
Project Manager
McClure Homes, LLC
858-414-0492
M
RECEIVED
JUN 10 2019
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT
Contractor Name:
Address:
City, St, Zip
Telephone:
Email:
State Lic: (r IN
City Bus Lic:
Architect/Engineer Name:
Address:
City, St, Zip
Telephone:
Email:
State Lic
City Bus Lic:
Property Owner's Name:
Address:
City, ST, Zip
Telephone:
Email:
New SFD Construction:
Conditioned Space SF
Garage SF
Patio/Porch SF
Fire Sprinklers SF
Construction Occupancy:
Grading:
Bedrooms: � Stories: I. # Units:
f r� a
mercial / Tenant Improvements:
ilding SF
ction Type: Occupancy:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
# I Submittal I Required I Received
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
3-6°CMU SITE WALL
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T.O.W 966'-6-
1 BO`N 985'-0'
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TO.W 991'-0'
TO.W 990'-6'
T.OW 991'-0'
T.O.W. 991'-0'
NEW LOW
B.O.W. 985'-0'
B O- W 9B5'-P
B O. W 965'-0"
BOW 985'-('
PLANTER WALL
6' CMU SITE WALL
5'-6' CMU SITE WALL
6' CMU SITE WALL
6' CMU SITE WALL
EXISTING SITE
W/STONE CLADDING
W/STUCCO FINISH
W/STUCCO FINISH
W/STONE CLADDING
WALL TO REMAIN
TO W 9WIll
B O W. 989-0'
3-W CMU SITE WALL
W/ STONE CLADDING
CITY OF IA QUINTA
BUILDING & SAFETY DEPT. �
FOR CONSTRUCTION
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