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12-0676 (SFD) Revision 11 Bin # . ' r6i 1 C'ty of Quinta , y ` ... w , 4 Building 8z Safety Division - P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 • ' Building Permit Application and Tracking Sheet Permit # Q Project Address:�0140U� v .G.�y� Owner's Name:, ` A. P. Number: --1 - '" o -OG Address: . 11 -Ay -&4, 5W q OO Legal Description! City; ST, Zip: �z C&�I Contractor:«<<?` Telephoner Address: Project Description:.': City, ST, Zip: Li�/V �7/i 1(i h Telephone: one: State Lic. # City Lic. #•: �- U QAYWAAARr Arch., Engr., Designer: 1�V✓l 11VU Address:'?v�� City., ST, Zip: e. - CTelePho e: ' � onstrucfton TYP Occu ancY ProJecttYPe (circle one): New Add'n Alter Repair Demo State Lic. #• 7S Name of Contact Person: + els(_ ' Kczk l-- Sq. Ft.: Jj' # Stories: # Units: Telephone # of Contact Person: ,)N 8 ,. Estimated Value of Project: it 0, 7j , `%j APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd . TRACKING ' ' PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs.Reviewed, a ready for corrections ( ? Plan Check Deposit_ Truss Calcs. Called Contact Person / %fiS 2 Plan Check Balance • Title 24 Calcs. Plans picked up - ! a Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Sub contactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I., H.O.A. Approval Plans resubmitted Grading k IN HOUSE:- A' "d Review, ready for corrections/issue V 2 13 Developer Impact Fee Planning Approval Called Contact Person b A.I.P.P. ` Pub. Wks. Appr . Date of permit issue , School Fees s ' Y Total Permit Fees , �j)