BPLB2015-0053Bln.#
QtY of La QUlnttd
Building 8L Safety Division
P.O. Box 1504,78-495 Calle Tampico
ta.Quinta, CA 92253 -4760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: S2 LIDO A✓9*t4#0 } ✓�4Ll.ES0
Owner's Name:. L00E7YE Q%t-Ey '
A. P. Number. ! %3 Zf%0 3 ��a
Address: S/DO /9✓6N i3OA ✓AL t -c "O
Legal Description:
Contractor: l —4-,wc PZ0�1t iLs
City, ST, Zip: (Pot Am* GA 9l2 S -5
Telephone: 760 08
Address: 0 �. 14,44r* 1 Ss
Project Description: W4'IrC A- £14TEie—
City, ST, Zip: k/. ViE�9614& =�� %
R E pC�}GEl6l 1=N i— . 6Z
Telephone:r/ 3y
State Lic. #
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lic. #: ..<.: _#;�
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: #Stories: #Unit$:
Name of Contact Person:
Telephone # of Contact Person:
Estimated Value of Project 75-0
APPLICANT: DO NOT WRITE BELOW THIS LINE
P
Submittal
Req'd
Recd
TRACKNG
PERMIT FEES
Plan Sets
Plan Check submitted'
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
'Fuss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Pians resubmitted..
Mechanical
Grading plan
2°! Review, ready for corrections/issue
Electrical
Subcontactor List
Caned Contact Person
Plumbing
Grant Deed
.Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'^' Review; ready for corrections/issue
Developer Impact Fee
Planning Approval'
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees