BPAT2014-1038Applicant:
D W JOHNSTON CONSTRUCTION INC
1445 N SUNRISE WAY
SUITE 203
PALM SPRINGS, CA 92262
r;0 ,J d ti 2014
L C=ITY OF LA iJLINTA
CCPA'�AUNITYDEHEhi DcPFaTMENT
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: B License No.: 699640
Date: Contractor: ✓ �Ti�/`J A
OWNER -BUILDER DECRA
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).:
(1 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 ) 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.).
(_J 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:
Contractor:
D W JOHNSTON CONSTRUCTION INC
1445 N SUNRISE WAY
SUITE 2Q3
PALM SPRINGS, CA 92262
(760)416-1144
Llc. No.: 699640
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
SlfiUen 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:_ Policy Number:
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 he Labor de, 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 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 t ter upon the above•
mentioned property for inspection purposes.
Date: -di / 75ignature (Applicant or Agen
VOICE (760) 777-7125
78-495 CALLE TAMPICO
D 1
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 11/24/2014
Application Number:
BPAT2014-1038
Owner:
Property Address:
78120 CALEO BAY
LLQ PARTNERS
APN:
643200008
801 S RAMPART BLV, #200
Application Description:
600 SF DECK
LAS VEGAS, NV 92253
Property Zoning:
Application Valuation:
$20,000.00
Applicant:
D W JOHNSTON CONSTRUCTION INC
1445 N SUNRISE WAY
SUITE 203
PALM SPRINGS, CA 92262
r;0 ,J d ti 2014
L C=ITY OF LA iJLINTA
CCPA'�AUNITYDEHEhi DcPFaTMENT
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: B License No.: 699640
Date: Contractor: ✓ �Ti�/`J A
OWNER -BUILDER DECRA
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).:
(1 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 ) 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.).
(_J 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:
Contractor:
D W JOHNSTON CONSTRUCTION INC
1445 N SUNRISE WAY
SUITE 2Q3
PALM SPRINGS, CA 92262
(760)416-1144
Llc. No.: 699640
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
SlfiUen 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:_ Policy Number:
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 he Labor de, 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 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 t ter upon the above•
mentioned property for inspection purposes.
Date: -di / 75ignature (Applicant or Agen
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY
AMOUNT
PAID PAID DATE
HOURLY PLAN CHECK - ESG 101-0000-42600 2
$196.00
$0.00
PAID BY METHOD RECEIPT #
CHECK # CLTD BY
Total Paid for BLDG CITY STAFF - PER HOUR: $196.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PATIO COVER, DESIGNED
101-0000-42404
0
$133.43
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PATIO COVER, DESIGNED PC
101-0000-42600
0
$168.24
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PATIO COVER / COVERED PORCH / LATTICE $301.67 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$2.60
$0.00
PAID BY
METHOD
RECEIPT #
CHECK If
CLTD BY
Total Paid forSTRONG MOTION INSTRUMENTATION SMt $2.60 $0.00
TOTALS:• t 00
Description: 600 SF DECK
ADDITIONAL
Type: PATIO COVER
Subtype: Status: APPROVED
Applied: 10/29/2014 KHE
Approved: 11/20/2014 WNE
Parcel No: 643200008 Site Address: 78120 CALEO BAY LA QUINTA,CA 92253
Subdivision: PM 27892
Block: Lot: 8
Issued:
Lot Scl Ft: 0
Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $20,000.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: 600 SQUARE FOOT DECK PER APPROVED PLANS & 2013 CALIFORNIA BUILDING CODES. APPPROVED BY BH.
Printed: Monday, November 24, 2014 8:30:13 AM 1 of 3 0?Wsrs TEMS
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
PLAN CHECK COMMENTS
FROM CONSULTANT
KAY HENSEL
11/13/2014
11/14/2014
PLANS RCVD @ BLDG. COUNTER. STRUC APP. W. COND.
RECEIVED
PLAN CHECK SUBMITTAL
KAY HENSEL
10/29/2014
RECEIVED
SENT TO PLAN CHECK
KAY HENSEL
10/29/2014
10/29/2014
DUE BACK 11/12
CONSULTANT
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY STATE
ZIP PHONE FAX EMAIL
APPLICANT D W JOHNSTON CONSTRUCTION INC
1445 N SUNRISE WAY
PALM SPRINGS CA
92262 (760)416-1144
CONTRACTOR D W JOHNSTON CONSTRUCTION INC
1445 N SUNRISE WAY
PALM SPRINGS CA
92262 (760)416-1144
Printed: Monday, November 24, 2014 8:30:13 AM 1 of 3 0?Wsrs TEMS
FINANCIAL
INFORMATION
DESCRIPTION . ACCOUNT QTY AMOUNT
PAID
PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD
BY
HOURLY PLAN CHECK - 101-0000-42600 2 $196.00
$0.00
ESG
Total Paid forBLDG CITY STAFF - PER HOUR: $196.00 $0.00
BSAS SB1473 FEE
7 101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
PATIO COVER,
101-0000-42404
0
$133.43
$0.00
DESIGNED
PATIO COVER,
101-0000-42600
0
$168.24
$0.00
DESIGNED PC
Total Paid forPATIO COVER / COVERED PORCH / LATTICE $301.67 $0.00
SMI - RESIDENTIAL
1 101-0000-20308
1 0
$2.60
$0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $2.60 $0.00
TOTALS:00
PARENT PROJECTS
��_.nc•.nG•u_rvnr I�nr\/IG\wlGn.�.l...l CwIT M1w_T.GIi.1�•.ILI�.w Tc.�l-'-� � �� I fTw TLtf L��ncww.w.nvc 1 u�scc --I
Printed: Monday, November 24, 2014 8:30:13 AM \2 of 3 C8?"r1rsrEMS
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
DATE
STATUS:
REMARKS
NOTES ;
NON-STRUCTURAL
BURT
10/29/2014
11/12/2014
11/13/2014
APPROVED
HANADA
ASSIGNED JW 10.31
INCORRECTLY ASSIGNED TO 1W; PROJECT
PLANNING
WALLY NESBIT
10/29/2014
11/12/2014
11/20/2014
APPROVED
MBA, FLP IN REVIEW
BELONGS TO WN (CHATEAU)
MATCHES REVISED MBA AND FLP EXHIBITS AND
CURRENT PG
STRUCTURAL
BURT
10/29/2014
11/12/2014
11/12/2014
APPROVED
ESGIL APPROVED
SENT TO ESGIL - YOUNG DID CALCS
HANADA
Printed: Monday, November 24, 2014'8:30:13 AM 3 of 3 CRWYSTEMS
Bin.#
D
oQuifhta
Building 8L Safety Division
P.O. Box 1504,•78-495 Calle Tampico
Ia.Qulnta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #�
P-`
ProjectAddtrss: �1 :2v etJ66.4,YOwner's
Name:. Z—
A. P. Number.,Z c a ' �d
Address: . C
Legal Description:
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Telephone: �! JZ _. � � � M.
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Telephone:7W ,7 7,&Z0 ,
State Lia # " ;~
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Name of Contact Person: /�
Construction Type: G Occupan .
Project type (circle one): New Add'n Alter Repair I?emo
Sq. Ft : #-Stories:-#Units:
Telephone # of Contact Person: Z is 0 C
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Reed
TRACIMG
PERMITFEES-
P tah hSets
Pian Check submitted
J
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cafes.
Called Contact Person
Plan Check Balance
Title 24 Cafes.
Pians picked up
Construction
Flood plain plan
Plans resubmitted -
Mechanical
Grading plan
2`j Review, ready for correctio issue
Electrical
SnbcontactorI.ist
Called Contact Person C
i. C
Plumbing
Grant Deed
Plans picked up
SALL
T;.O A Approval
Plans resubmitted
Grading'
VHOUSE:-
'^`Review; 6ssa
ready for correeti e
Developer Impact Fee
Planning Approval
Catied Contact Person
AXP.P.
Pub. Wks. Appr, ,
Date of permit issue
School Fees
Total Permit Fees