11-1042 (SFD) Revision 111 1
/ lip
J _�JL ill
#
City. of La QUinta
ButUng sz Safety Division
P.O. Box 1504,78-495 Calle Tampico
1a.Quinta, CA 92233 -:(760) 777-7012
Building Permit Application"and Tracking Sheet
Permit #
`oad'
Project Address:. �S`7 GfL
Owner's Name:.�!0�14/�
A. P. Number.
Address:
Legal Description:
City, ST, Zip:
Contractor: S , �lvJ/yG7 t /� Lljv
Telephone:`"
�•��., p:
Address: �,Z�l! F 4t/L`(,Luo D0 )
Pmje'ctDescription: �D be AJ (t c_
City, ST, Zip: 410a 1 64 9zo L
Telephone:7�i%
State Lie. # :�
City Lie'. #:
Arch., Engr., Designer
Address: l 7 B�
City, ST, Zip: Cid J C�
Telephone= — if 11
State Lic. #: ':
Name of Contact Person: ���
Construction Type: Occupancy:
Project type circle one New Add'n Alter Repair Demo
Sq. ft: #Stories: # UniW
Telephone # of Contact Person: o =.7Y 2 Z p�_
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Rcq'd
Recd
TRACKING PERMIT FEES -
Pian Sets
a
Plan Check submitted Item Amount
Structural Calces
Revtcwed, ready for corrections Plan Check Deposit. .
Truss Cates.
Called Contact Person Plan Check Balance
Tithe 24 Cales.
Pians picked up Construction
Flood plain plan
Plans resubmitted.' . 'Mechanical
Grading plan
V Review, ready for correctiouslissue Electrical
Subcoutactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up SALL
H.O.A. Approval
Plans resubmitted rading
IN ROUSE:-
Review; ready for correctionsrissuceveloper Impact Fee
*4A.LP.P.
Planning Approval _
Called Contact Person
Pub. Wks. Appr "
Date of permit issue
School Fees
Total Permit Fees