13-1390 (AR) Revision 2-2EO "&4 (�
Bin # :.
Submittal
Qty of LQ QUinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
13_ (3,1D
Project Address:---Tg
(v, Q--
�Ow7Fs)Name: j to `ajlU
A. P. Number:A�:
-1-9-560
Legal Description:
fcity 'FS ' Zip: � 0 ,t t d(k C4 �ZZ 3
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Contractor: J( 01jA6-
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Tele hone. % -
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Address: z (� �' .CKi�y G
7Project D n:
City, ST, Zip: c-tw 1-. xeA
i 6A- (Z260
fee (xGt to
Telephone: W- -
S. 2 3
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State Lic. # : ( C� 3
Plans picked up
City Lie. #.
i {
Arch., Engr., Designer:
Address:
Mechanical
City., ST, Zip:
Telephone:
Electrical
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Construction Type: Occupancy:
State Lie.
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Project type (circle one): New Add'n Alter Repair Demo
Name of p�j Contacterson:
S1 OLS C.
Sq. Ft.:
#Stories:
#Units:
'Telephone # ofContact Person: 76 U zsl-/,2
Estimated Value of Project: 5U
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACICING PERMIT FEES,
Plan Sets
Plan Check submitted
22
2/ Item Amount
Structural Cala.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance.
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrcctions/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
Ii.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'`d Review, ready for corrcctions(ssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
:�
V
School Fees
am. A
Total Permit Fees
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
is