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Bin #
Permit # ' ^
Project Address:
A. P. Number:
Legal Description:
17- tZ3C
Address: �Po . i Z -2
City, ST, Zipr. ' CA,
Telephone:
State Lic.#C
Arch_, Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person: Nt
Telephone # of Contact Person:
# Submittal Req'd
Plan Sets
Structural Calcs.
t
ss Cales.
rgy Cales.
od plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fces
City of La Quinta
Building u Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
iSy��, Owner's Name: J ��
Address: 5 '� -3 I q-
5� P�•JO Q.Ew S �•• 1�c�
City, ST, Zip:
v Telephone:
Project Description:
q
12-Z'P:,ltt6O1'c- P,4-
Lic. #:
Construction Type:
Occupancy:
Project type (circle one): O� Add'n Alter Repair Demo
�(]
Sq. :FL;:
#Stories: #Units:
�- t] C' ,2 I
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
Req'd
TRACKING
PERMIT FEES
Plan Check submitted
Item
Amount
Reviewed, ready for corrections
Plan Check Deposit
Called Contact Person
Plan Check Balance
Plans picked up
Construction
Plans resubmitted
Mechanical
2"d Review, ready for correctionsrissue
Electrical Q
Called Contact Person
Plumbing
Plans picked up
S.M.I.
Plans resubmitted
Grading
3,d Review, ready for corrections/issue
Developer Impact Fee
Called Contact Person
A.I.P.P.
Date of permit issue
1
'1 ' L— tTgtal Permit Fees
Pir-
FOR CONSTRUCTION
DATE BY
GAS SHUTOFF GAS LINES. SHALL BE INSTALLED
VALVE GRAVEL PER CPC FOR DEPTH,
LOCATED COURSE COVERAGE, AND PLACEMENT.
WITHIN 36" GAS LOG SAND WATER PROOF
OF UNIT LIGHTER MEMBRANE
(TYP.) STONE CAP
3-112 #4 TIE STEEL
_ #4 BAR VERT. AT.32" O.C.
8x8x8 CMU; SOLID GROUT
F.S. `- _ F.S.
_
-��. _
l- 311 -
CLR
METAL GAS RISER GRAVEL SUMP
2" 0 DRAIN OR PROVIDE 12" DIAM. 3 ,CU. FT.
OPENING IN FOOTING CRUSHED ROCK
n OUTDOOR FIRE. RING -STONE CAP
11
#"4 TI F S"f�_--EL ,A`T
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