09-0057 (RC) Revision 1I
Bin #
City of La Quinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # IP{
V
-4�-7
Project Address: ��
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone:
s'':;:
>r«
Address:
Project Description:
City, ST, Zip:
/
Telephone:
...........
State Lic..# :
City Lic. #;
Arch., Engr., Designer:
Address: '
City, ST, Zip:
Telephone:
Construction
structi on Type: Occupancy:
ant Y:
State Lit. #:
Name of Contact Person: ,Q`/'
Project a circle one): J h'P � ) New
e . Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: , 0
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
y
Plan Check submitted
f !
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading -plan
2"" Review, ready for correctio /iss
Electrical
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 corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
p,I,p,p,
Pub. Wks. Appr
Date of permit issue
Jar x 9_10�
School Fees
0 1
7
��
Total Permit Fees '
• copu��trcv..
P.O. Box 1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLE TAMPICO (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
Finance Department, Please Collect The Following Fees For The Services Rendered'
HTE No. 09-057
PROJECT: AZUR RESTAURANT T.I.
ADDRESS: 49-499 EISENHOWER DRIVE
CUSTOMER: ANDREA PELLETIER
SERVICES RENDERED: REVISION TO DINING AREA SLIDING GLASS DOOR
FRAMES AND EXTERIOR PATIO SLAB. WHILE UNDER
CONSTRUCTION. 2007 CODES. SUPPLEMENT TO PERMIT
09-057..
I/
Fees•
Non -Structural ....................................................... .................. 35.00
(I X 3 5.00 per hour)
Structural -Review ............................................ .......................... 35.00
(.5 hrs @ $70 per hour)
.......TOTAL FEES NOW DUE: .................................. 70.00
Date: —August 3, 2009
Initials:.
I