11-0830Bin #
Permit #
1f Project Address:
A. P. Number:
Legal Description:
f
X Contractor. ��R�roo>•/ S'. vs
Address: 77-4r,-0
X Cit)-, ST, Zip:
X Telephone.. T j y0
,X State Lic. a : ,3773
Arch.. Engr., Designer:
Address:
City. ST. Zip:
Telephone:
State Lic. #:
X Name of Contact Person:
X Telephone # of Contact Person:
City of La Quinta .
Building S Safety Division
P.O. Box 1 SO4, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777.7012
Building Permit Application and Tracking Sheet
IGQ /p Owner's Name: �'�
Address: I A2 V^ A I l\e
Cin. ST. Zip: 6 ��y-e�/r C-5
FTelcphonc: --1(-QQ
.l.J, Project Description:
f �iR.c cg
City Lic. #: 12 17s-el
i
t
Consructon
_ Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
wo,�✓ct- .�,-a �''
S'5,vJ 3YS—.3�3 D Units:F�rkslimatcd
Value of Proicct: 17j5-Qd
APPLICANT: DO NOT WRITE BELOW THIS LINE
trI
Submittal
Req'd
Recd
TRACKING
Plan Sets
Structural Cates.
Plan Check submitted
Reviewed, ready for corrections
Truss Cates.
Called Contact Person
Energy Cates.
Plans picked up
Flood plain plan
Plans resubmitted
Grading plan
2' Review, ready for correctionvissue
Subeontaetor List
Called Contact Person
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
IN HOUSE:.
Planning Approval
Pub. Wks. Appr
School Fees
'"i Review, ready for correctionslissue
Called Contact Person
Date of permit issue
PERMIT FEES
Item
Plan Check Deposit
Plan Check Balance
Construction
Mechanical
Electrical
Plumbing
S.M.1.
Grading
Developer Impact Fee
A. 1. P. P.
Total Permit Fees
Am3uni