09-0783 (SOTB) Revision 1Bin #
City of La Quints
Building 8t SafetyDivision . 00APermit
P.O. Box 1504, 78 495 Calle Tampico ��`O
La Quinta, CA .92253 - (760), 777-7012.
Building Permit Application and Tracking Sheet
#
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Project Address: 15-6 G, rT'B Ik) .o
Owner's Name: JpS• r-� PS
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone:
e.
Address:
Project Description: S' a l` Cl
City, ST, Zip:
►U o a° J`S�
Telephone:
State Lic. # : City Lic. #;:
Arch., Engr., Designer:
Cil -C r
Address:
City., ST, Zip:
1ePhone:
StateLic.#.
Name of Contact Person: ;� AA JJr,-
Construction Type: Occupancy:
.oJ'
Pre ct type (car cle one): N w Add' n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person:' 6Q2
Estimated Value of Project:
APPLICANT: DO NOT•WRITEBELOW THIS LINE
# Submittal Req'd Redd - 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 Review, ready for corrections/ sue
Z
Electrical
Subcontactor List
Called Contact Person J
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
School Fees
Total Permit Fees
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