09-1171 (RC) Revision 1V240
City of La Quinta
Bultding 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Qiiinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # \/`
OR,
iProject-Address:��
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0-1 er=s-Name: C i� V
A. P. Number:
A( d dress:
Legal Description:
Cfi ST, Zip:
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-Contractor
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Telephone:
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Address:
Project -Description: �' 09 + (
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City, ST, Zip:
Telephone:
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State Lie. #
Arch., Engr., Designer.
Address:
City, ST. Zip:
Telephone: S� _ S —
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Construction Type: Occupancy:
State Lie. #:
Project type (circle one): New Add'n Alter Repair
Sq. FL: # Stories: # Units:
Demo
Name of Contact Person:
Telephone # of Contact Person:
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Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACING PERMIT FEES
Plan Sets
Plan Cheek submitted
110 p Item Amount
Structural Calcs
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
d
Called Contact Person
Plan Check Balance.
Tldc 24 Cities.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correction ue
-1 Z Electrical
Subeontactor List
Called Contact Person
lumbing
Grant Deed
Plans picked up
S.M.I.
KOA. Approval
Plans resubmitted
Grading
IN HOUSE:-
'" Review, ready for correct ns(tssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks, Appr
Date of permit Issue
School Fees
Total Permit Fees
2.
ivs ,4Pp.