06-4019 (AR)4 P.O. BOX 1504 ^' VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 12/12/06
Application Number: 06-00004019 Owner:
Property Address: 78640 CARNES CIR SCHOPPE KURT E
APN: 604-223-015-58 -23268 - 78640 CARNES CIRCLE
Application description: ADDITION - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 3032 O
Contractor:
Applicant: Architect or Engineer: NORLIN
T1010 YUCCA C 1
4 41006
INDIO, CA 92201
(760)360-7307 o QV1N�P
Lic. No.: 537935
-----------------
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licens d oder provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Pr fe i aIs Code, and my License is in full force and effect.
License Class: B LicenseNo.: 537935
Date: �ZLA V 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).:
(_ 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.).
(_ 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. , BAP.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:
LQPERMIT
-——————————————————————————————————————————————
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 STATE FUND Policy Number 2290022206
I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any
person in any manner so as to b me subject to the workers' compensation laws of California,
and agree that, if I should b subject to the workers' compensation provisions of Section
X67,000 of the Labor Code I h , forthwith comply with those provisions.
11
Date: I Z f 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 Director of Building and Safety 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 ssation of work for 180 days will subject
permit to cancellation.
certify that I have read this application and state that the above' or ation is correct. I agree to comply with all
city and county ordinances and state laws relating to buildin str tion, and hereby authorize representatives
of this %cooufty t enter upon the above-mentioned prope i s ction urposes.
1 Date: ' —1 �� w Signature (Applicant or Agent):
Application Number . . . . . 06-00004019
Permit . . .
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
63.00 Plan Check Fee
40.95
Issue Date . . . .
Valuation . . .
. 3032
- - - Expiration Date -.
6/10/0-7
Qty Unit Charge
Per
Extension
BASE FEE
45.00
2.00 9.0000
--------------------------------------------------------------------=-------
THOU BLDG 2,001-25,000
18.00
Permit . . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee
19.86 Plan Check Fee
4.97
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
6/10/07
- Qty Unit Charge
Per
Extension
BASE FEE
15.00
53.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
1.86
4.00 .7500
PER ELEC DEVICE/FIXTURE 1ST 20
3.00.
----------------------------------------------------------------------------
Special Notes -and -Comments
53 SF DINING ROOM ADDITION/V-NR/RES-3
[STRUCTURAL] December
7, 2006 4:49:17
PM AORTEGA
----------------------------------------------------------------------------
Other Fees . . ... .
. . . . ENERGY REVIEW FEE
4.10
STRONG MOTION (SMI) - RES
.50
Fee summary Charged
Paid Credited
Due
Permit Fee Total
82.86 .00 .00
82.86
Plan Check Total
45.92 .00 .00
45.92
Other Fee Total
4.60 .00 .00
4.60
Grand Total
133.38 .00 .00
133.38
LQPERMIT
!Bin -City Of La QUinta .
Z Building U Safe Division
Safety
Permit ft P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
�6' Building Permit Application and Tracking Sheet
Project Address: CJ CA Owner's Name: C.
A.P. Number. "' ' �� tii Address: � co'40
Legal Description: City, ST, Zip: (�
Contractor:� . Telephone:
Address: Project Description:
sk
.City, ST, Zip: "�7 ����
E
ne: ovj
e. # : City Lic.ngr., Designer:
Address: l -' •
City,: ST, Zip= . l� t� L� �1� •
Telephone: `� Construction Type: Occupancy:
State Lic. #: Project type (circle one): New Ad Alter Repair Demo
Name of Contact Person: p C� Sq: Ft: rt # Sto 'es: #Units:
Telephone # of Contact Person: `7(p0 D E.sdittated Value of Proj :
APPLICANT, DO NOT WRITE BELOW THIS UNE
1t Submittal Req'd . Ree'd TRACMG . PERMfr FEES
Plan Sets Plan Check submitted t � 71A Item Amount
Structural Cates. Reviewed, ready for corrections Mn Check Deposit
Truss Calcs. Called Contact Person' Plan Check Balance
Energy .Cales. Plans picked up Constractioa
Flood plain plan Plans resubmitted Mechanical
Grading.plan' 2`' Review, ready for correctio sne Electrical
Sabcontactor Ust Called Contact Person Plumbing
Grant Deed Plans picked up $.I LL
H. OA. Approval Plans risubmitled . Grading
IN HOUSE:- 3'' Review, ready for torrectionslissue Developer Impact Fee..
Planning Approval Called Contact Person A.U.P.
.Pub. Wks. Appr Date of permit issue,
School Fees
Total.Permit Fees
�.. .
�. � (7. Q(o --� i;3R0►.1Z OuE � I 1 2,9 1
I 1 28 JG(o.6MAFFFQVEP
Date
12/8/06
No.
29084
Owner
Kurt Schoppe
Address
78640 Carnes Circle
City
La Quinta Zip 92253
Tract #
Type
Residential Addition
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
La Quinta, CA 92253
(760) 771-8515
APN #
Jurisdiction
Permit #
Study Area
No. of Units
1�FIEDS
Q BERMUDA DUNES r
En RANCHO MIRAGE t7
INDIAN WELLS
PALM DESERT ,y
LA QUINTA
VQ INDIO Y�
O .v
604-223-015
La Quinta
1
Lot # No. Street S.F. Lot # No. Street S.F.
Unit 1 78640 Carnes Circle 53 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
Residential Addition 500 Sq Feet or Less
EXEMPT
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.00 X 53 S.F. or $0.00 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By Exempt - Kurt Schoppe Check No.
Name on the check Telephone
Funding Exempt
By Dr. Doris Wilson
Superintendent `
Fee collected /exempt by haro i r Payment Recd 30.00 �;
.9ver/Urder,_ s T
Signature C
NOTICE: Pursuant to Government Code Section 66020(d)(1p, this Will 56rve to notify you that the 90 -day approval period in which you may protest the fees o
r other payment identified above will begin to run from the daV on wh
,A the building or installation permit for this project is issued, or from the date on which
those amounts are paid to the District(s) or to another public en-btyfuthorized to collect them on the District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting