10-737 (PAT)Bin #
City of La Quinta
Building 8r Safety Division
LaP.O. Box 1504, 78-495 Calle Tampico
,Quinta, CA 92253 - (760) 777-7012
Buiiding Permit Application and Tracking Sheet
Permit # ��
Project Address:.
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip-zt
Contractor:
Telephone: w?� '
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Address:
Project Description:
City, ST, Zip:
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Telephone:
State Lie. # : City Lie. #:
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Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
wv. v
Construction Type: Occupancy:
State Lie. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.: ZQ�, #Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
PERMIT FEES
Plan Sets
Plan Check su milted
Item Amount
Structural Wes.
Calcs.
Reviewed, ready for correcti
I. rTruss
Called Contact Person
hA
Plan Check Deposit
Plan Check Balance •
Title 24 Coles.
Plans picked up
8'3
Construction
Flood plain plan
Plans resubm
Mechanical
Grading plan
2'' Review, ready for correctionsAssue
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.LP.P.
Pub. Wks. Appr
Date of permit issue
'
School Fees
Total Permit Fees
8/41 /0 —:9 3 "�
8AR-90o k """L �