0205-149 (RC) Revision 4G•�R
Bin #
City of La Quinta
Building 81 Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:
O%%•ner's Name:
A. P. Number: Q j
Address:
Legal Description:
Contractor: %WkK
Cin•. ST. Zip:
F Telephone: .. _
Address:
r / �f ''
Proiect Description: `^PoA
City. ST. Zip:
Telephone:
State Lic. # :
Cin• Lic. #:
i�i4�
Arch.. Engr.. Designer: L 44' Sao I Yet
✓C4
Address: 102651,. J
Zoe,, W V/ L. 1
City. ST. zip: % A - FC -5r'0_%0(05 CA- a
/rev; sito 4 ,=Xe /At
Telephone: 15&2-�?J • Cq'
State Lic. #:
Name of Contact Person: dftJlt.,
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
# Units:'
q. Ft.: # Stories:=411
kstimate'd
Telephone # of Contact Person:2;' i s�
Value of Proiect: 'Pt �®
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
S�
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
Zed Review. ready for correction !issue
Electrical
Subcontactor List
Called Contact Person J
b
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
f/3„
School Fees
Total Permit Fees
5-Z. �1D