10-0326 (RER)Bin #
Permit # r' ] _�
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Project Address:
A. P. Number:
Legal Description.:
Contractor:
Address:
City, ST, Zip:
Telephone:
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State Lic. # : C� Z a 5 i -+
Arch., Engr. Designer caw,IU'
Address: l�a�
City., ST, Zip: L R�l
Telephone:'hO�d C
State Lie. #: "bje— R_ SF-Zll
Name of Contact Person: 1-"
Telephone # of Contact Person: —1
# Submittal
Plan Sets
Structural Calcs.
Truss Calcs.
Tide 24 Cales.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
City of La Quinta
Building 8T Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
WC Owner's Name: ti9C
Address:
City, ST, Zip: Ley
Tel
epiione:
PAZ Project Description: LX15T1 � Sya W 11Jwke') -Co
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Lie. #: l Q
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Occupancy: C(-SLT-AConstructionType:L
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Project type (circle one): New Add'n Alter Repair Demo
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Sq. Ft:
# Stories: # Units:
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Estimated Value of Project:
5 QQ
APPLICANT:
DO NOT WRITE BELOW THIS LINE
Rec'd
TRACKING
PERMIT FEES
3
Plan Checksubmittel
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Item
Amount
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Reviewed, ready for eorreetions ,
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Plan Check Deposit
Called Contact Person----�'
Plan Check Balance
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Plans picked up
Construction
Plans resubmitted
C1
Mechanical
2" Review, ready f correcti tssue
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Electrical
Called Contact Pe rson /
Plumbing
Plans picked up6ftAac.�cS.M.I.
Plans resubmitted
Grading
''d Review, ready for correcdo ue
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Developer Impact Fee
Called Contact Person
A.LP.P.
Date of permit issue
T ta1 ermit Fees
5j3