0207-159 (PAT)Bin City of La Quin W
l ,5� Bwlding 8i Safety Division
L P.O. Box 1504, 78-495 Calle Tampico
Permit # ' La Quints, CA 92253 - (760) 777-7012
D l/ Building Permit Application and Tracking Sheet
Project Address: �� �j�� � er's Name: ,7,ff,S61 mid l�%�i
A. P. Number: Address: -2
Legal Description: Cit<•. ST. Zip:
ontractor.� � �'�f�s�(�� Telephone:
ddress:,f;v7g54��/Zl�9A"61? �z//T� 20 1 Project Description:
ICit%. ST. Zip: z,4,L r 996ke-7
i
Telephone:�J�-
State Lic. aY : Ij City Lic. c:
Arch.. Engr.. Designer:
Address: J
City. ST. Zip:
Telephone: Construction Type: Occupancy:
State Lic. #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: ,� ��jb/1��' Sq. Stories: # Units:
Telephone q of Contact Person: Estimated Value of Proiect: &X7
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Rcq'd
Recd
TRACKING
PERMIT FEES
ZPlan
Sets
Plan Check submitted
Item
Amount
21
Structural Cales.
Reviewed. ready for corrections S7
7rections aT/
Plan Chrck Deposit
Truss Calcs.
Called. Contact PcrsozzP :5 5.f
2, 21
Pian Check Balance
Title 24 Calcs.
Plans picked up 11&71Z3
Construction
Flood plain plan
Plans resubmitted
11 t'8
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbieg
Grant Deed
Plans picked up
S.AI.1.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review. ready for correctio ue
(l
Developer Impact Fee
Planning Approval
Called Contact Person
p(�
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
"W/O
School Fees
Total Permit Fees
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