0402-133 (AR).. ey y
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City of La Quinta
Building at Safety Division .
Permit ##
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and, Tracking Sheet
Project Address: %9.1p S I' +
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er's Name: '
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A. P. Number:
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fAddress:
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Legal Description:
ST, Zip: ,
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Contractor. II
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Address: Z C r e
Projcct Description:
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City, ST, Zip: li
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Telephone:3-7 q
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State Lic. # :2:76
City Lic. #:
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Arch., Engr., Designer:
Address:
City, ST, Zip:'..
Telephone:''_`.
Construction T ype- Occupancy:
State Lic. #:
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Project type (circle one): New Add'n Alter Repair Demo .
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Name of Contact Person: !
Sq. Ft.: 2
#Stories:
# Units:
Telephone # of Contact Person: -72
stimatcd Value of Project:
APPLICANT:
DO NOT WRITE BELOW THIS LINE
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Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
y
Oh
Plan Check submitted 15
Item Amount
Structural Coles.
2•
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs
Called Contact Person
Plan Check Balance
Energy Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'• Review, readyr•correctio s<ssue� Z
Electrical
Subcontaetor List
Called Cont Person
Plumbing
Grant Deed
Plans ofied up —
SAI.I.
H.O.A. Approval
P ns resubmitted 3
Grading
rN HOUSE:-
' ' Review, readyr correcti nsra 3/
Developer Impact Fee
Planning Approval
Called Contact Person *0C
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
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