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4212 (MISC)Bi" # City of La Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Lq Z Project Address: tri 1'J g 77A-jJ61t6 Uj 0 © 0 Owner's Name: A. P. Number. Address: ,571 ) 600 Legal Descrip6 City, ST, Zip: 4_1¢-Q.�/(/�'/,�- . IF 2-253 Contractor: ,8;77 F_C®/Z,/.{- L4"- b Telephone: 7&O ' -717, — Address: 5J ��p � 7_ Project Description: City, ST, Zip: Cf TfL3 SY* IJ 6*5 L [ AIS Telephone: City Lic. #: State Lic. # Arch, Engr., Designer: Address: City., ST, Zip: Telephone: State Lic. #: Name of Contact Person: %� L ,47wo Construction Type: Occupancy: Project type (circle one): New Add' Alter Repair Demo Sq- Ft:. # es: # Units: Telephone # of Contact Person: Q —5779- 513 1 Estimated Value of APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural 'Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan. Check Balance Energy Cafes. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical.. Grading plan 2" Review, ready for correetionstissue Electrical Subcoi tactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. ILOA. Approval Plans resubmitted Grading IN HOUSE:- ''' Review, ready for correetionslissue Developer impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees