09-0424 (SFD) Revision12-r—V. t!)g..am-Aio
Bin #
4PD
- - _
40 ".OKIS City of La Quinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking aheet
Permit #
Project Address: ` '
Owner's Name:S
A. P. Number:
Address:
Legal Description:
Contractor:CC ,, LLM Cp .:<
L�
City, ST, Zip:
>r>'..>::.,.r :.:..::.:::.::•;>:•:;;s}}:•
Telephone:•}:.,;::.:}:;;;ri;::;.:;:.:;•in.;::;::.::'<::V;.:><:>
Address:p f0.1
c;VJe
Project Description:
*
City, ST, Zip: „,f NO ter 7270
..
3
Telephone: 0-770— SSQ `
..>:w,l}.;.t::»�;<:Y�� ';<>:z.s:»
....:}.,.: ;:}::.:....:....
<:;:
_
Zell stein w 1,., le w\C� tUA-11,
State Lic. #: (o-7 3 8
City Lic #:
Arch., Engr., Designer: 4e-cku, ti
Address:
City., ST, Zip: e C 527- i0O
F Occupancy:
Telephone:
::•:�v:ltiy:i
<::>;::>:<r::>f��>•;.:}}•.}'.::dOC� `€><': .:z::::>r:< , t:#:::;<r:;:>,,:<;;s
/ :.:::..:}::, •• ..Type:
t:t;:;:4}'+'i+.;State
<:<:>:<>Nor,�>r>�;<:>#:,!<:,f,�:.�y.;:;,,.w' `<`<
Lic. #:
ircle one): New Add'n Alter Repair Demo
ffF
Name of Contact Person:
t ' ✓Ux.,rn
#Stories:
#Units:
Telephone # of Contact Person: O ' 6 — 3—] i'p
ue of Project. i 7y
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections0
Plan Check Deposit
Truss Cates.
Called Contact Person M
10
Plan Check Balance •
Title 24 Cates.
Plans picked up
Construction,
Flood plain plan
Plans resubmitted '
Mechanical
Grading plan
2°" Review, ready for correctio ssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person (p
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permk Fees
49 A079;� 61
5 _ST C /��0MAY 112010.
lq190to
�Z Y'� low -ro wSoE .
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
(760)777-7012
FAX (760) 777-7011
Finance Department, Please Collect The Following Fees For The Services Rendered
HTE APPLICATION No. 09-0424
PROJECT: LARSON RESIDENCE
ADDRESS: 81-411 PEARY PLACE
CUSTOMER: STROTHER CONSTRUCTION (PHILLIP BROWN)
SERVICES RENDERED: REVISION 3 - CHANGE TO THE DESIGN AND MATERIAL
AT (3) FIRE PLACE MANTLES. SOLID STONE PROPOSED
(ENGINEERING PROVIDED) - HOURLY PLAN REVIEW.
Fees
STRUCTURAL PLAN REVIEW @ $70.00 PER HOUR
PR (1.75 -HR) — 6/1/2010 . ..................................................$ 122.50
NON-STRUCTURAL PLAN REVIEW @ $35.00 PER HOUR
PR (1 -HR) — 6/7/2010: .......................................................$ 35.00
TOTAL FEES NOW DUE: ............................. $ 157.50
CITY OF LA QUINTA
Date: 6/7/2010 BUILDING & SAFETY DEPT.
APPROVED
Initials: AJ FOR CONSTRUCTION
DATE 6b 120LZ BY
u W 1
I
CUSTOMER: STROTHER CONSTRUCTION (PHILLIP BROWN)
SERVICES RENDERED: REVISION 3 - CHANGE TO THE DESIGN AND MATERIAL
AT (3) FIRE PLACE MANTLES. SOLID STONE PROPOSED
(ENGINEERING PROVIDED) - HOURLY PLAN REVIEW.
Fees
STRUCTURAL PLAN REVIEW @ $70.00 PER HOUR
PR (1.75 -HR) — 6/1/2010 . ..................................................$ 122.50
NON-STRUCTURAL PLAN REVIEW @ $35.00 PER HOUR
PR (1 -HR) — 6/7/2010: .......................................................$ 35.00
TOTAL FEES NOW DUE: ............................. $ 157.50
CITY OF LA QUINTA
Date: 6/7/2010 BUILDING & SAFETY DEPT.
APPROVED
Initials: AJ FOR CONSTRUCTION
DATE 6b 120LZ BY