0111-100 (MISC)i
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City of La Quin ta
Building 8T Safety Division
P.O. Box 1504, 78.495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701.2
'Building Permit Application and Tracking Sheet
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Perm Al a0
Project Address: 5 Z Q 'q .5
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Owner's Name:
A. P. Number: 3
Address: 7 Z C� 5 �-
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Telephone:
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Project Description: 0tz-&P E7
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State Lic. # : Q
Arch., Engr., Designer:
City Lic. #: '
Address:
City, ST, Zip:
Telephone:
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Construction on T.P e:
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Lic. #:
Repair DemoState
Project ct �Pe (circle one): New � dd' n Alter
Name of Contact Person:
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Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:(�
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Estimated Value of Project: ' y oo
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
2"
Plan Check submitted
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Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Cneck Deposit
Truss Calcs.
Called Contact Person
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Ian C.oeck Balance •
Title 24 Calcs.
Plans picked up
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Construction
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Flood plain plan
Plans resubmitted --La
Mecha9ical
Grading plan
2nd Review, ready for correction /'ssue
Electrical
Subcontactor List
Called Contact Person
�� ��
Plumbing
Grant Deed
Plans picked up
S.N1.1.-
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A•I,P,P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
I I ,
Notice:
Document Cannot Be Duplicated
Date 11/13/01
No. 22676
Desert Sands Unified School District
47-950 Dune Palms Road
La Quinta, CA 92253
760-771-8515
CERTIFICATE OF COMPLIANCE
Jurisdiction
owner NameFelipe & Luz M. Fregoso
No. 52-095' Street Avenida Villa
City La Quinta zip 92253
Tract # BLK 94
Type of Development
Comments
APN# 773-233-026 `
La Quinta
Permit #0111-100
Log #
Study Area
Lot # 4&5 Square Footage 212
Residential Addition No. of Units 1
ion is a porch enclosure of 212 sq. ft.
At the present time, the Desert- Sands Unified School District does not collect fees on garages/carports, covered
patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It
has been determined the above-named owner is exempt from paying school fees at this time due to the .'_ollowing reason:
Residential Addition 500 Sq' Feet or Less
EXEMPT
This certifies that school facility fees imposed pursuant to Government Code 53080 , in tree amount of
0.00' X 212 or $ 0.00 the property listed above and that building
permits and/or Certificates of Occupancy for this square footage in this proposed project may,pow be issued
Fees Paid By .EXEMPT - Luz Fregoso Telephone 760-564-5227
Name on the check ..
By Dr. Doris Wilson F ,
Superintendent
Fee collected /exe pted by Annette Barlow Exempt $0.00
t Check No.
Signature
4"�t
IOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified
bove will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to
ollect them on the District('s)(s') behalf, whichever is earlier.
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
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