11-0936 (RER) Revision 1�1
Bin .#
Qty ofla Qut*n: to
8u11d0g 8L Safety Division
P.O. Box 1504,78-495 Caffe Tampico
14.Quinta, CA 92253 - (760) 777-7012
��✓ Building Permit'Application* and Tracking Sheet
Permit #
� Og 3
Project Address: O
Owner's Name:.
A. P.. Number.
Address: e D IVO G f4e-r-y
Legal Description:City,
Contactor.�j
V ti A t Lll /1/� G S
ST, Zip: `O�n-f
Telephone:% (; l D ZZ f' . ,• :� a w
Address: 4 r'f 51-a (W S -
+,�,;
Project Description: %
City, ST, Zip: fi'�l jl b 2-7-01
Telephone:
.
r
City Lie. #;QC)
Ste_/ ac rn/.c L .
State Lic. # :
ELec - ' Cz G� C
Arch., Engr., Designer:
d I G/ 0 I 67(� r
Address:
City., ST, Zip:
Telephone: ' �
State Lic. #:w�%» r
Construction Type: Occupancy:
Project type (circle one): New Add'a Alter Repair Demo
Name of Contact Person: t) v S % d
Sq. Ft.:
# Stories:
# Units.
Telephone # of Contact Person: .SI 3 ? S
Estimated Value of Project: 0o0 r—
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACENG
PERMIT FEES -
Plan Sets
Plan Check submitted
ay/
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit.
Truss C21cs.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Grading plan
2'a Review, ready for correction 4ue
�Z ?j
Electrical
Subcoutactor List
Called Contact Person
b
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'i° Review; ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
AXP.P.
Pub. Wks. Appr '
Date of permit issue
School Fees
Total Permit Fees • Q�