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10-0728 (SFD) RevisionBin # �i City of La Quinta - Building U Safety Division P.O. Box 1504, 78.495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # .� O ^ Project Address: f� 2 A. P. Number: Owner's Name: 7;7 ,- S� Address: Legal Description: City, ST, Zip: Contractor: / Telephone: >:;:;:•;:•:•:;:.,:.::.;.::>;�:::.::::.::.:::•>:•::.:.,::•; Address: City, ST, Zip: Project Description: Telephone: p >��:>::>�:`:{::::>?>>::;::»::>•'::>>:>�>':'r>:> State Lic. # : City Lic. Arch., Engr., Designer: Address: tp Std �G /fes U�l City, ST, Zip: Telephone: ,�%`°4••`:':>><`j�xj::>::>::>:::.,; d 7� S'.>:::tE<.:>>:>::>.:;:;>:::>::<::•;::::::::>.::; State Lic. #: ���€�>:?�:>;s:=?:�>::s:<:»:':•'f�<`�'>:r'�' Construction T e: yp Occupancy: Project type (circle on ew Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.:,/, �O fi # Stories: # Units: Telephone # of Contact Person: f Estimated Value of Project: APPLICANT: DO NOT TAI -IM # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted MAR 91.9 ?nil 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 I Mechanical Grading plan 2". Review, ready for correction issue s% Electrical Subcontactor List Called ContactTerson Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- . 3" 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 Tj • d�Q