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07-2643 (BLCK)Bin # 1 City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # �y -Project Adress: –1 Aye -,-'4c,_ CJV b JA di 'Owner's Name: Q {` C S O LJ A. P. Number: Address:'L(gLf? • Jaa C(,?b TLegaf6escnp iot n: _City, ST; Zip: -Lo, v t ✓L ,Contractor: - Sq- ? Pr,ectDecriptioAddres ir_)e V t wGLl 1 K #City; ST; Zip: Lp_v o K CA- 9;)P OQd1� (o t ' �'I' i o']' T p e Lt d b r_OMM,Ll d t State L-0 : L{ 7 (o 12? {City Lic. #: J S t S e eC r'00 Arch., Engr., Designer: Address: C%S City, ST, Zip: Telephone: Construction Type: Occupancy: pIt State Lic. #:Project type (circle one): New Add'n Alter,•:Repair Demo -Name-of Contact Person: Sq. Ft.: # Stories: y .'� 4 Units: i -Telephone # of Contact Pers; �Estimate�d Value of-IG-JR—t: " APPLICANT: DO NOT WRITE BELOW THIS LINE !` # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted _ Item Amount Structural Calcs. Reviewed, ready f corrections Plan Check Deposit Truss Calcs. Called Conta Person l' (o 3' Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 27' Review, ready for corrections/issue Electrical Subcontactdr 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 ' 60 7 11W AcIvew bc, 5q I wq,,4 Jp