06-1290 (BLCK)�CA514 r-,� e
Bin #�,
0
City of La Quinta
Building 8I Safety Division \
P.O. Box 1504, 78-495 Calle Tampico V�
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
06�
Project Address:' "7 S,,:5 6 0 f -h6 dwA y l (1
Owner's Name: 1>�. EL.64,-J (,,A U- OrA
A. P. Number:
Address: ?4 TAyvlAV-i SI,- (,AiJE
Legal Description:
City, ST, Zip: Z4 OJ640 jM I IZA alt T 1_v7 0
Contractor:l...lJ�UPATE (9JMA:7IA8, -.r C ,
Telephone -.776o--771 -334s
Address: U _W 3 A -DA 94c, S- a-6oT
Project Description:
City, ST, Zip: LA QUIk)TA (!�A•''ZZS
V_zz . &JAIi ?ECZ ,IT-,, S`1 -D
Telephone:��
State Lic. # :
City Lic. #:
TLAnls • -j�p l C."PyC
Arch., Engr., Designer:
n
F I AR_-De�J W A 9z -1D,
Address:
City, ST, Zip:
Telephone:
rf
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:'frl ice.-
Sq. Ft.: .
# Stories:
# Units: ,
Tele hone # of Contact Person:
p �ob l 334 �3
Estimated Value of Project:( (j1JD
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
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading,plan
2na 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
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