1294 (BLCK)Bin #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #A
`10 0, A
Project Address: &19-30 7
Owner's Name:
A. P. Number:
Address: (� /U ? Q IM54
Legal Description:
O's
City, ST, Zip: v.,454 -! 2 25-3
Telephone: /- 7. o- G 99 - 3 -74-
¢AddrContractor:
Address:
ess: a
Project Description. Ppp6
City, ST, Zip:
Telephone: i
n
State Lic. # : „City
Lic.
Arch., Engr., De r.
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Construction Type: ccupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: l�K L a6s/
Sq. Ft.: ries:
Units:
Telephone # of Contact Person: 7q q —7
Estimated Value of Pr 'ect: Jj,�p p aZq
APPLICANT: DO NOT WRITE BELOW THIS LINE V T
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A,I,P_P,
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
7-
X.
00"
Q)
CK
1, 6
<
JE'
PIT
.;E
'' I
LOI--tk: W A(A
2'- C
-I
,C I<
JE
,E
PIT
rye � �' 3 �
41,
1 112'-6"
CK
dE
rrt