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05-2831 (SOTB)Bin # t k City of La Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # (� Jlr✓ 3 Project Address: eAl W OAJ Owner's Name: i A. P. Number: Address: S77— _Legal Legal Description: City, ST, Zip: Contractor: Telephone:? 71 Z/3 Address: Project Description: City, ST, Zip: Telephone �£? '> 3 State Lic. # :3 A/3 City Lic. #: ANO 9- Arch., Engr., Designer: SAYti Address: E�//71730-ES o N 1vmEO R&Q 0a, City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # S ries: # Units: Telephone # of Contact Person: a Estimated Value of Projec : %2 0�8� 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 607,16 Flood plain plan Plans resubmitted Mechanical Grading.plan 2°" Review, ready for corrections/issue I Electrical ,Z Fi7�t<ytis Subcontactor List Called Contact Person Plumbin g� X45 2 PaM� 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