13-754 (SFD) Revision 1L�7
Aj
Bin #
City Of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
I
roject Address: 7831 0 B a -'-Owner's Name:
A. P. Number:—Address:3
Legal Description:—City, ST, Zip:
ontractor:4_5ePle hone:
Address: ect Description:
SSS C60ru
City, ST, Zip
Telephone:::<z.>:.;�:;•;:;;:;s;.>,;.::;::.;>::.. �
State Lie. # :
City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
t ? ......:>: ;A,>::: >>:»:::>::>< s:>:>: <: A:z:: Construction Type: Occupancy:
.'iiYyi}i.'.:i:�:•i:'i;;
;:fi;:;i:v f
:.:.;:.>•:;.:<;.;::s:::;;:>,;;;;;;;;;;;;;;,>.:s>s Project type (circle one): New Add n Alter Repair Demo
...yy..,�:....,�.....:.............................
State Lic. #:
e of Contact Person: , !a �L Y�. S . Ft.:
9
#Stories:
#Units:
elephone #,of Contact Person: -7 (o o Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING'
PERMIT FEES
Plan Sets
Plan Check submitted —�
, h
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
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for correctio /issue
T
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
J
School Fees
00
tT�
Total Permit Fees
1 10
ti/q.