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07-0301 (SFD) Revision 1
Bin # City of La .Qulnta Building U Safety Division . Permit # ��P.O: Box 150.4, 78-495-Calle Tampico 7/ La Quinta, CA 9225.3 - (760)' 777-7012 vCJ Building Permit Application and Tracking Sheet Project Address: , 1rOtei�% Owners Nein: ,Av A. P. Number: '�'� �.� ,�, Address: ' Legal Description: JJ '�y} %Jaq �, 2 City, ST; Zip: ' Contractor.. 1 D Telephone: Address;. . yy �.,� t► Project Desch - peon: - y City, ST, Zip:.. Telephone: 32� State Lie. #'v,0 LL*. Cty Lic: #Ali l�E �t� 1l �bz t✓ Arrh.;'Engr.,Designer..400W &4� ffLGsy ... . Aaaress: C.11M .. City, ST, zip: ,,,,rr�� Telephone: q . 720• �%vlt+ Ar State Lic. #: (� /-� M�W��!� COD' pIM�IISo►1i �'_�Q5 Name of Contact Person:. �y,� V-�Z ' - Telephone # of Contact Person: . 1�l�aU��. t� •`�t,lo�J . APPLICANT:. DO NOT WF>tTE BELOW THIS LINE !{ Sabtaittal Req'd Recd TRACIQNG PERMIT FEES 2 Plan Sets Piau Check submitted . ItemAmount 2 Structural Calcs. 'Reviewed, ready for corrections' Plan Check Ddposit Tress Calcs Cidled Coutaet Person : Plan Cheek Balance ' Energy Calcs. Plans picked up C61tstruction Flood plain -plan Plans resubmitted Mechanical Grading plan 2" Review, ready for eorrectionslissue Electrical Sabcontactor List Called Contact Person Plumbing.. ' R° Plans picked up' S.M.I. . A royal •Plans resubmitted . OUS� 1 Grading . �`� Review, ready for eorrectionstissue . Developer Impact Fee • P Hing Approval Called Contact Person P Date of permit issue School Fees Total Permit Fees