BPAT2014-1038 Revision 1Applicant:
D W JOHNSTON CONSTRUCTION INC
1445 N SUNRISE WAY
SUITE 203
PALM SPRINGS, CA 92262
FEB 0 2 2015
CITY OF LA QUI-- NT— A
COMMUNITY DEVELOPMENT DEPARTMENT
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.
cense Class: 8 License No.: 699640
Date: Z 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 Divisi 3
of the Business and Professions Code) or that he or she is exempt therefrom and th
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant r a
permit subjects the applicant to a civil penalty of not more than five hundred doll rs
($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 I 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
Contractor:
D W JOHNSTON CONSTRUCTION INC
1445 N SUNRISE WAY
SUITE 203
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
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: 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 the Labor Code, I shall forthwith
comply with th se provisions.
Da e: 2 2 / 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 to enter upon,o above•
mentioned pr pe y for inspection purposes.
Date:VIM—Signature (Applicant or Agent).
T4tit 4 Qumro
VOICE (760) 777-7125
78-495 CALLE TAMPICO
V
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/2/2015
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
FEB 0 2 2015
CITY OF LA QUI-- NT— A
COMMUNITY DEVELOPMENT DEPARTMENT
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.
cense Class: 8 License No.: 699640
Date: Z 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 Divisi 3
of the Business and Professions Code) or that he or she is exempt therefrom and th
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant r a
permit subjects the applicant to a civil penalty of not more than five hundred doll rs
($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 I 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
Contractor:
D W JOHNSTON CONSTRUCTION INC
1445 N SUNRISE WAY
SUITE 203
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
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: 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 the Labor Code, I shall forthwith
comply with th se provisions.
Da e: 2 2 / 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 to enter upon,o above•
mentioned pr pe y for inspection purposes.
Date:VIM—Signature (Applicant or Agent).
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HOURLY CHARGE - BLDG CITY STAFF
101-0000-42600
1.75
$253.75
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HOURLY PLAN CHECK - ESG
101-0000-42600
2
$196.00
$196.00
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
D W JOHNSTON CONSTRUCTION INC
CHECK
R2978
7913
PJU
Total Paid for BLDG CITY STAFF - PER HOUR: $449.75 $196.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
D W JOHNSTON CONSTRUCTION INC
CHECK
R2978
7913
PJU
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00
DESCRIPTION "
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PATIO COVER, DESIGNED
101-0000-42404
0
$133.43
$133.43
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
D W JOHNSTON CONSTRUCTION INC
CHECK
R2978
7913
PJU
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PATIO COVER, DESIGNED PC
101-0000-42600
0
$168.24
$168.24
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
D W JOHNSTON CONSTRUCTION INC
CHECK
R2978
7913
PJU
Total Paid forPATIO COVER / COVERED PORCH / LATTICE $301.67 $301.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$2.60
$2.60
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
D W JOHNSTON CONSTRUCTION INC
CHECK
R2978
7913
PJU
Total Paid forSTRONG MOTION INSTRUMENTATION SMI $2.60 $2.60
Description: 600 SF DECK
ACTION DATE
CHRONOLOGY
COMPLETION DATE
Type: PATIO COVER
Subtype: Status: ISSUED
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: 11/23/2014 PJU
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $20,000.00
Occupancy Type: Construction Type:
Expired: 5/22/2015 PJU
No. Buildings: 0
No. Stories: 0 No. Unites: 0
SENT TO PLAN CHECK KAY HENSEL
CONSULTANT
Details: 600 SQUARE FOOT DECK PER APPROVED PLANS & 2013 CALIFORNIA BUILDING CODES. APPPROVED BY BH.
22 ' 3
El Applied to Approved
C3 Approved to Issued
CHRONOLOGY TYPE STAFF NAME
ACTION DATE
CHRONOLOGY
COMPLETION DATE
NOTES
PLAN CHECK COMMENTS
FROM CONSULTANT KAY HENSEL
RECEIVED
11/13/2014
11/14/2014
PLANS RCVD @ BLDG. COUNTER. STRUC APP. W. COND.
PLAN CHECK SUBMITTAL KAY HENSEL
RECEIVED
10/29/2014
10/29/2014
SENT TO PLAN CHECK KAY HENSEL
CONSULTANT
10/29/2014
10/29/2014
DUE BACK 11/12
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, February 02, 2015 9:39:48 AM
1of3
CB? -SYSTEMS
;r
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
FI NAL*
FINANCIAL
INFORMATION
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
HOURLY CHARGE -
101-0000-42600
1.75
$253.75
$0.00
BLDG CITY STAFF
HOURLY PLAN CHECK -
101-0000-42600
2
$196.00
$196.00
11/24/14
R2978
7913
CHECK
D W JOHNSTON
PJU
ESG
CONSTRUCTION INC
Total Paid for BLDG CITY STAFF - PER HOUR: $449.75 $196.00
BSAS SB1473 FEE
101-0000-203060
$1.00
$1.00
11/24/14
R2978
7913
CHECK
D W JOHNSTON
PJU
CONSTRUCTION INC
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
PATIO COVER,
101-0000-42404
0
$133.43
$133.43
11/24/14
R2978
7913
CHECK
D W JOHNSTON
PJU
DESIGNED
CONSTRUCTION INC
PATIO COVER,
101-0000-42600
0
$168.24
$168.24
11/24/14
R2978
7913
CHECK
D W JOHNSTON
PJU
DESIGNED PC
CONSTRUCTION INC
Total Paid forPATIO COVER / COVERED PORCH / LATTICE $301.67 $301.67
SMI - RESIDENTIAL
101-0000-20308
0
$2.60
$2.60
11/24/14
R2978
7913
CHECK
D W JOHNSTON
PJU
CONSTRUCTION INC
Total Paid for STRONG MOTION INSTRUMENTATION SMI $2.60 $2.60
TOTALS:
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
FI NAL*
Printed: Monday, February 02, 2015 9:39:48 AM
2of3
(C§?�Sy57EMS
I FOOTINGS I JFU 111/24/2014 111/24/2014 I APPROVED I I CNOT TO INCLUDE PATIO MU WALL (RETAINING WATTACHMENT
L) AT EAST IDE
OF PATIO.
Printed: Monday, February 02, 2015 9:39:48 AM 3 of 3
§?wSY57EM5
PARENT PROJECTS
REVIEWS
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
RETURNED
DATE
STATUS
REMARKS
NOTES
NON-STRUCTURAL
BURT
HANADA
10/29/2014
11/12/2014
11/13/2014
APPROVED
PLANNING
WALLY NESBIT
10/29/2014
11/12/2014
11/20/2014
APPROVED
MBA, FLP IN REVIEW
ASSIGNED JW 10.31
INCORRECTLY ASSIGNED TO JW; PROJECT
BELONGS TO WN (CHATEAU)
MATCHES REVISED MBA AND FLP EXHIBITS AND
CURRENT PG
STRUCTURAL
BURT
HANADA
10/29/2014
11/12/2014
11/12/2014
APPROVED
ESGIL APPROVED
SENT TO ESGIL - YOUNG DID CALCS
NON-STRUCTURAL
BURT
HANADA
1/22/2015
2/5/2015
1/29/2015
APPROVED
COMPLETE REVIEW
Printed: Monday, February 02, 2015 9:39:48 AM 3 of 3
§?wSY57EM5
ain/#' -
`'
Permit #
ptv
13P/JT 2014 - 103$
Project Address: -12-0
Oty.of La Quina.
Buifding U Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
C.� 1 t�0 g,4 ]r Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: CO fj S I
Telephone:
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Address:
Project Description:
City, ST, Zip:. s
tnrC-S
Telephone: y l (a - It4i
aim:,. n. :;.::;
2 ' O' 8 Nt-wt 1T
State Lie-. #:
City Lie. #;
(LE,�, s� n,v vJ I tr v D t-6- Cc)N S
Arch., Engr., Dcsigncr:
Address: -] _ (P $ ZCZv
l SJ 1�e
City., ST, Zip: n ES C -A -T Z 2 I I
Telephone: b 10-_2 .1 2Construction
a='•; z<:<>< :>:^<
TYPe: D t C t:onis cupancy:
State Lie. #:
Re aiDemo type (circle one): New. Add'n Alter r
Name of Contact Person:�Ej
L� r
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person: -7 6 0 - Z7 S _ -72 9
Estimated Valuc of Projcct: '
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Rcq'd
Rcc'd
TRACKING '
PERMIT FEES
Plan Sets
Plan Checksubmittcd
Item
Amount
Structural Cates.
Revie�Yed, ready for eorrce ions
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance.
Titic'24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"' Review, ready for corrcctio /issue
IAMElectrical
Subcon factor List
Called ContactPcrson
Plumbing
Grant Deed
Plans picked up
S.M.I.
II'.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'r° Rcview, ready for eorrcctionstiissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Tonal Permit Fees
ZS3