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CSCS-14-99 (Revision)
Bin# City, ram` of La Quint Building &r Safety Division P.O. Box 1504, 78 495 Calle Tampico . Permit # La Quinta,CA 92253 - (760) 777-7012 4 A Building Permit Application and Tracking Sheet .Project?.ddress: er's Name: �'(�/O _O :A:P.`Number 7. G °f3 - (o c: _Address:--%—%07 f•✓`, ey 4%,�,,/ Legal. Description:.- t -City; ST; Zip: D/<e_, -/Ot%4 G) j , tr 62 ; %,� % 7� . Contractor. . .� ,L. 1 O iF:::`::'ii:jinT.iitiii::: Lv`-:v�:�•iiiJ.... Telephone: •- S 7 Address: •/ C� L d rJ / S j _30 Project Description: �O//� j?v�f ©✓ ©�� :city, sr; zip: i11. ( ;,G p'l A nl .�' )j /V% �✓ /� a r��3 f� ' f.� < r�i� �� = . V-0 NIC 1/ %Z t .State Lic: # City'Lie..�{,::: Arch., Engr., Designer City, ST:ZiP:' �vLs� • .0,�;, �� � `-' ( 9 �•� L��L i�rJ Telephoneis9/ o , v>7.`w•:. ;<....;:.: ,...:-; .;:.;;,:..:.;::.. :< Construction Type: Occupancy: State Tic. ;.:.•'•.v , .,.............,... _,..................., ..., ,..:. ................................... Project type (circle one): New Add'n ,Alter Repair. Demo; �T1ame o �;onta�t P,eA p&IlE�• t< - F� Stoes: " aTcleplio' tie #;of Conta� ct P'erson:r Sl,3c (� S Estimated Value of Project: ' r -APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES, ., Plan Sets,," —:� Plan Check submitted ft7�� Item �. Amount Struetunl Calcs. Reviewed, ready for corrections Plan Check Deposit 1 Truss Calcs. j Called Contact Person Plan Check Balance.' Title 24 Calesr• . Plans picked up Construction Flood plain plan Plans. resubmitted Mechanical Grading`plan " Review, ready for correction issue ? Electrical Subcontactor List Called Contact Person 1 Plumbing -- ; i .'Grant Deed Plans picked up S.M.I. 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 t School Fees r f Total Permit Fees t