09-0641 (RC)Rin #�
�G
Qty of La Qui to
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: -79-le
Owner's Name:
A. P. Number: r7i �
Address:
Legal Description:
City, ST, Zip:
Contractor. �
Telephone:
Address:1
Project Description:
City, ST, Zip:
Telephone:
;>.w:•. n -t
State Lic. # :
City Lic. #..
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone: :;'r..`>?::f> :::r%: :::<::::; r::
p :::,,:.;i;;:.>�s::•is:-:::•i:;;::::.:;:>:<::;r;;:<:
State Lic. #:>::>::•;;:;;::;:::;.;::::;::::«,.,...i;:.r;•:i:.;?'<
Name of Contact Person: ,
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: 00 # Stories: TO Units:
Telephone # of Contact P rson:'7/o O- �� Estimated Value of Project: bw
APPLICANT: DO NOT WRITE. BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG PERMIT FEES
Plan Sets
2
Plan Check submitted Item Amount
Structural Calcs.
Reviewed, ready for corrections Plan Check Deposit
Truss Cates.
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 correction issue
p Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up. S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
''" Reyiew,.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
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