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06-2617
Bin # Permit # Ck . Project Address:'o 1-1156, A. P. Number: Legal Description,. ' City ,of" La -Quinta Building 81: Safety. Division,' P.O. ;Box t5Q4 787495 CalleJampico La Quinta, C, k92253-.(760)577=7012 Building'.,Per'mlt'AppHcaton and'Tracking Sheet --�JAA,ddre wner's-Na V . G e4_\A_ss:]] `- - �-�(�jleplione: ' Address:�Po , s�_>tj2 (P Project Description: City, ST, Zipj: Telephone: 760 ST9 _Z 2_ State Lie. # : Z9 City Lic # , Arch., Engr., Designer: Address: City, ST, Zip: --- Telephone: Construction Type: Occupancy State.Lic, #:, Project type (ctrcle one).. Add'n Alter Repair VI 'Name of Contact Person: �� Sq,Ft #Stone`s: #.Units: Telephone #.of Contact Person:. a `j © �� C� ;; j Estunated:,Value of Project: Q d: APPLIUANT::DO:NOT;.WRITE;BELOW;,,THIS . LINE # ) Submittal ' Req'd Reed TRACIfl1VG PERMIT FEES Plan Sets Plan Check submitted 101 Item Amount Structural Calcs. ,Reviewed, readyjor corrections , r Plan Clieck Deposit Truss Cates. Called Contact Person __ _ . _. _ Plan -Check Balance - - - - - Energy Cates. Plans picked up, , Construction Flood plain plan Plans resubmitted :i Mechanical Grading. plan' 2" Review,'ready for correctionslissue I pectritft Subcontactor List Called• Contact Person Plumbing S Grant Deed "flans picked up S.M.L H.O.,A. Approval Plans resubmitted Grading IN HOUSE: '`' Review, ready for correctionslissue >Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date o ` esu al I NTA School Fees & SAFETY DEPT 2PROVED FOR CONSTRUCTI :,Total Permit Fees DAT d BY J'/ -00 410T /53uCr rG�ci..r