0402-188 (RC).'01/19/2004 MON 21:24 FAX 760 777 7112 Bldg & Saftey
Q001/001
Post -it® Fax Note 7671
Bin #
c�C
City of La Quinta
T%kx4u�,
From
Building ar Safety Division
Co.
Permit#
P.O. Box 1504, 78-495 Calle Tampico
Fax #. ga,3 _ Mb
I Fax #
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
.9
Project Address: -7,Kr7 Ay 11144 Owner's Name:
A. P.
Address: ?J)-el4
.1
ENZumber
Legal Description:
City. ST. Zip -
ConMor.
turaclor-Z
4b- A?JQ4a0d&-
FTelephonC74-0) !-r
Address.-
A!!�"
O'Pro)cct Description:
City, ST, Zip:
/O/MJC I
Tel
Telephone:
-7-.3
OeO'le 4k
State Lic. # City Lic.
Arch., Engr, Desj /L.VX: 6OW
7- R- AP�
Address:
City. ST, Zip:
4-36 a/
Telephone;
iV1
e -V! .7
Con stfuction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
X
Name of Contact Person:
X Sq. FL:
I # Stories. Units:
X
Telephone # of Contact Personr N00) 5&V-SqC5 _rEstimmed
Value of Project:
5/10 APPLICANT: DO NOT WRITE BELOW THIS LINE
Submittal
Reqld
I Rec'd
TRACKING
PERINIff FEES
Plan Sets
, 10JI1,40
Ana/
Plan Cbeck submitted
Item
Amount
Structural Calm
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance
Energy CA IcL
Plans picked up
Construction
.
Flood plain plan
Plans resubmitted
V/.O?(
Mechanical
Grading plan
2" Review, ready for correc
t� �Ue
Electrical
Subcontactor List
-
Called Contact Person
Plumbing
Grant Deed
Plans picked up -0,
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE;-
Review, ready for correctionvissue
Developer Impact Fee
Planning Approval
Called Contact Person
P.P.
Pub. Wks. Appr
Date of permit issue
School
t
I
Post -it® Fax Note 7671
Dalel__T'
2 0- a4
p -o'
pages
T%kx4u�,
From
Co./Dept.
Co.
Phone #
I Phone # 772-7010? V
Fax #. ga,3 _ Mb
I Fax #
I Total Permit Fees I I