09-0628 (RER) Revision 1Bin #
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
e.
Permit #
Project Address: �O I
Owner's Name:
A. P. Number:
Address: O
(06
Legal Description:
City, ST, Zip: .��
Contractor: r
S l
Telephone:
hone: P
Address: I 6 . —
Project Description:
City; ST, Zip: C'
lake-
Telephone: 2f
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V e
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State Lie. # : XI&900
City Lie. #:
/J
Arch., Engr., Designer:
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Address:
City, ST, Zip:
ele one:
Telephone:
P
State #•
Name of Contact Person: c
Construction on TY e: Occupancy:
P O�cu Y:
Project type (circle one):: New Add' n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project:
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
r-
Title 24 Calcs.
Plans picked up
Construction
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Flood plain plan
Plans resubmitted
Mechanical
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Grading plan
2Review, ready for corrections/issue
Electrical
.►
Subcontactor List
Called Contact Person
Plumbing
�–
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person q�qJW4
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
5 '
School Fees
Total Permit Fees
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