10-799 (BLCK)Bin #
Oty of La Quinta
Building 8z Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
u
Project Address: 4 � � � f r
Owner's Name: �i � r
Gct7.#-2 1(o4-ham. 7G cr4 o
A. P. Number:
Address: (ye—r-00
Legal Description:
City, ST, Zip:
Contractor: V-,p� .� �_ kkc—
Address: 'j q a �QS Co �i Qg
telephone: o ay �,, �•,:' ' f .
P • `tom _ � 14 • 8 z ;� .� y�:�v ; ,�
Project Description:
City, ST, Zip: �� �. tti3� CA-
Telephone: �
ac(..1.�-a� `t 3� to a
State Lie. # : +f4 80L( City Lie. #:
g
Arch., Engr., Designer.
Address:
7 5�
City., ST, Zip:
Telephone:
State Lie. #: ''
fi ;
Name of Contact Person: ��1
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft :
#Stories:
# Units:
Telephone # of Contact Person: 6zz', G `7 Z�
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
H
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Set
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Tide 24 Coles.
Plans picked up
Construction ;
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2.1 Review, ready for correction0ssue
Electrical ir,
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans.picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3 d Review, ready for correctiousAssue
Developer Impaet Fee
Planning Approval
Called Contact Person
A,LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
4.P . ..