BLCK (6106-187)Bin #
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City -of La QyInta'..r
Building 8i Safety Division
P.O. Box 1504, 78-495 Calle Tampico
r"". La Quinta, CA 92253 - (619) 777-7012
Building Permit Application and Tracking Sheet
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Permii #I
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Project Address:��j� 93 � lj �j t/��
Owner's Name: `D H ✓ (2-o m.
Address: _1
A. P: Number: ` i ---
Legal Description: J p7- G y, t' j
Contractor.
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Address:Project
City, ST, Zip:
Telephone:
Description:
City, ST, Zip: v a20
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Telephone:
State Lic. # kD _ Ap,
City Lic. #:
-2
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Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
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Cs traction Type: e• Occupancy:
ancY•
State Lic. #:
Project type (circle one): New Add' n Alter Repair Demo
Name of Contact Person' ,t ��klfo -/1 ed
Sq. Ft.:
#Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
.Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Grant Deed
Plans resubmitted
. Mechanical
School Fees
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Planning Approval
Plans picked up
S.M.I.
Pub. Wks. Appr
Plans resubmitted
Grading
H.O.A. Approval
'" Review, ready for correctionsitssue
Developer Impact Fee
Called Contact Person
A.I.P.P.
Date of permit issue
Total Permit Fees
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