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)