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BRES2017-0019 Revision 1
AVISISIDAI I - Bin# —Q() Jq 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# NESUO Project Address: _ ©O.S Owner's Name: A.P. Number7 &Z — Off' .... O �Z� Address: 2- `5 Legal Descriptio �' o77 uT, it l City, Zip: Ci ST ,1 '. q�"� ASI. {� Contractor: 1 Telephone:+ Address: .� Project Description: City, ST, Zip: r 3 ROMP Telephone: State Lic. #: City Lic #: Arch, Engr., Designer - Address : ` O City, ST, Zip:r l.� Telephone: �'� flf7- State Lic. #: Construction Type: Occupancy: PType New Add'n Alter Repair Demo Name of ContacQz:i ` SgFt: #Stories # Units: Telephone of Contact: /D Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd 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 / 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