04-4259 (RER)x
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City of La Quinta
Building IA Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking P clung Sheet
Permit #
Project Address: 9•— 750- Vzq L1,t/
Owner's Name: �` S (%l7 rI h I
A. P. Number
Address: +osp
Leeal Description:
Contractor. S 6!3&J -15V - &D C,
If City. ST, Zip: L�//k�)0A- VA Z Z 30 li
FTelephone: 70 3 .+
Address: c7 �j7jDS
Project Description:U�+0144
City, ST, Zip:�S Z�D
M q Z
fv% Sl6i�G lCt► l Ci
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Telephone: 7 . _ % 3 I
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State Lic. # : 31?& 5j ', City Lic. #:
Arch., Frtgr., Designer
Address:
City, ST, Zip:
Telephone:
t_ =�•:.
State Lic. #: `
Construction T 3
YPc= Occupancy:
Project type (circle one): New Add'n Alter Repair Detno
Name of Contact Person: ��� . OGQ
Sq. Ft.:
# Stories:
I# Units:
Telephone # of Contact Person: 7 -M _"'Estimated
Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# '
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Cbeck submitted
Item Amount
Structural Calta.
Truss Calcs.
Reviewed, ready for corrections
Called Contact Person
Plan Cktck Deposit 10
Plan Cbeck Balance
3
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
I►techa'sical
Grading plan
2-' Review, ready for correc 'nsfusu
0
Electrital
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'" Review, ready for correctioaslissue
Develoxr Impact Fee
A.I.P.P.
Planning Approval
Called Contact Person
Pub. Wks. APpr
Date of permit issue
School Fees
ot db
L% 5.00
Total !hermit Fces