BPOL2017-0040 Revision 29.0oI9OAI 2wo
Bin#
City of La Quinta
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit#
Project Address:
Owner's Name,: e
A.P. Number
Address:
Legal Description:
City, ST, Zip:
Contractor: C S
Telephone:
Address: 7 7
Project Description'
City, ST, Zip: t, ^
/Y
Telephone:
0
State Lic. #:/j 3.
7
City Lic #:
/ Of.
i
Arch, Engr., Designer:
sig
„g tea/
CA
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Construction Type:
Proj. Type New Add'n
Occupancy:
Alter Repair Demo
Name of Contact:?
SgFt:
#Stories
# Units:
Telephone of Contact:
Estimated &� �0�ct:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# '
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check Submitted
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
2nd Rev, Ready for corrections V
Electrical:
Subcontractor List
Called Contact Person
Plumbing:
Grant Deed
Plans Picked Up
S.M.I.
HOA Approval
Plans Resubmitted
Grading
IN-HOUSE
3rd Rev, Ready for corrections /
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Apps
Date of permit issue
School Fees
Total Permit Fees