06-0812 (AR) Revision 1A
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f��2� •City of La Quinta .
7/ Building U Safety Division
Permit At
P.O. Box 1504, 78-495 Calle Tampico
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La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:, 7 q ZS e4- -0 % Qkj,-L+k 17
Owner's Name: T,
A. P. Number. (o i 3 06 �- _ 2
Address: - 7qr Z Y-5 L,. /�
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Legal Description:
CiYST
, , Zip: e. QK,i �'�4 �'dl
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Contractor: 1 ii . �eS.c►-?� V.eI DO ft ev,�
Telephone:
Address: �% cj Z SS . Izwu �t e LcL au b f.
Project Description: ,jI
.City, ST, Zip: L Q1 Q t4 v�
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Telephone:
rcityLic.
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State Lic. # :.
#:
Arch, Engr., Designer:
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Address:
City,. ST, Zip:
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Telephone:
Construction ype: Ocru pan cy
State Lie. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of.Contact Person: ip v r
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9
#Stories:
#Units:
Telephone # of Contact Person:. -7696.
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Estimated Value of Project:-
roject:APPLICANT:
APPLICANT:
DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING . PERMIT FEES
.
Plan Sets
Plan Check submitted
till
l Item
• Amount
Structural Calcs.
Reviewed, ready for corrections.
Plan Check Deposit
Truss Cates.
Called Contact Person •
Pian Check Balance
Energy .Calcs.
Plans picked up
11'4l' Construction
Flood plain plan
Pians resubmitted
l�
lliechanical
Grading plan
2'' Review, ready �fq cc rreclioos/ ue
I .2 /0 Electrical
Subcontactor List
Called Contact Person
` Plumbing
Graat Deed
Plans picked up
FLO.A. Approval
Plans resubmitted.
J 0 Grading
IN ROUSE:-
.
''' Review, ready for correctio s ass
. .
Developer Impact Fee.. ;
Planning Approval
Called Contact Person
A P.
Pub. Wks. Appr
Date of permit issue
School Fees
:..
ermit' .
Total P _Fees
1128 V. 12 �5 ..0(� -� 5ROQ z, � LC -12
1 28 f o� �Fc
12 2 5�Z Rr-c: � ///8 07 02_RPPt
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