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11-0526 (SFD) Revision 2Bin # City of La Q uin to 4— '7 Building &I SafetyDivision Permit # r P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 I I 5 2Cv Building Permit Application and Tracking Sheet Project Address: Ai c Owner's Name: A. P_ Number: Address: L f Ig 0 _�01�'10N1�,! 14'�J � Legal Description: City, ST, Zip: P,-? i'Y f" t � L `� I 1 S Cat q0 Z (D Contractor: —PlaC-A , I N C Telephone: x ;" Address: Project Description: City, ST, Zip: . t f.7� 1 c q as 5 3 Telephone: '7(_00 J S Z `� (vsn :fF State Lie. # : C 1' 7 —3 3l� City Lie. #:"I Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lie. #: - "��, <�`i---, _ ; Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: L t- Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: '?fit p - 000 X 710 Z Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted I tem Amount Structural Ca[cs. Reviewed, reedy fo orrcetians f Plan Check Deposit Truss Cities. Called Contact Person / Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for carrectian ue 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 A.I.P.P. Pub. Wks. Appr Date of permit issue ii Ar.- - /P — - 4 - _. School Fees C� •��7rO mac' 5��� Clw� Total Permit Fees . F,