11-0895 (AR) Revision 1• - A --
Bin. #
City d La Quinta
Building 8r Safety Division
P.O. Box 1504,78-495 Caife Tampico
1.4.Quinta, CA 92253 - -(760) 777-7012
Building Permit Application and Tracking Sheet
Permit # �(,
Project Address: $ $�� �/f K e o1 f.
Owner's Name:. O6 PCl �.
A. P. Number.
Address:
Legal Description:
City, ST, Zip: Z. Q
Contractor. 9� D�e�
e
Telephone: • to • $ 7 0S
Address.
Project Description: IVIl / L -G Mi f `i O Mf e,
City, ST, Zip:
Telephone:?&0 —2 119 —SST -S
lit//-G,�S 6/H cCi►'fl' �✓!?O
fG/✓L�'.�► ��67r
State Lic. #: City Lie. #;
Arch.; Engr., Designer
Address: Ito —x`!77 w> 02,o O
.e.
City., ST, Zip: RM 227
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Telephone: 7 00 -3 40 -336 D
Construction Type: , pancy:
Project type (circle one): New Add'n Alter Repair Demo
r
State Lie. #: �p
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Name of CotttatxPerson: /GLfGJeL
Sq. Ft.:#Stories: T#
Units:
Telephone # of Contact Person: -7 O -,3 ,�Q —.3-1 Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
# Sobmlttal Req'd Rtc'd TRACKING PERb=FEFS
Plan SNs
Pian Check submittedd" ? Item Amount
Structural Coles.
Reviewed, ready for corrections 3 t Z Plan Chcck Deposit.
Truss �1�
Called Contact Person 3 t t Plan Check Balance
TiBe 24 Calci.
Plans picked up / Construction
Flood plain plan
Plans resubmitted �� Mechanical
Grading plea
2'4 Review, ready for correctio e Z lrical
Subeontactor List
Called Contact Person umbing
Grant Deed
Plans picked up S•M L
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:'
Revtew, ready for correcdo'nAssue Developer Impact Fee
Planning Approval
Called Contact Person A.LP-P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees ���•�71�