09-1002 (RER) Revision 1Bin #
City of La Quints
Bwlding & Safety Division
Permit #
P.O. Box 1504, 78-495 Cage Tampko
La Quanta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:
Owner's Name: O 4l'L
A. P. Number:
Address: S—<�:) �-
Legal Description:
City, ST, Zip:
Contractor:
o (! l ,cJ
Telephone:
Address: _
.
Project Description:
City, ST, Zip:
c UL
Telephone:
State Lia--
City
0012
Arch., &W.. Designer.
a I
Address:
City, ST, Zip:
/ ti
Telephone:
Construction Type: Occupancy:
0
Project type (citck one): New Add'n Alton Repair Demo
State Lic. #:
Name of Contact Person:
C, 91/5;:
A7
Sq. Ft_: #Stories: #Units:
Telephone # of Contact Person: Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
N
Submittal
Req'd
Reed
TRACMG I PERMrr FEES
Plan Sets
Plan Check submitted 3 Item Amount
Structural Cala
Reviewed, ready for corrections 1%0Plan Check Deposit
Truss Cales.
Called Contact Person Ilan Plan Creek Raba".
Tlde 24 Cala.
Plans picked ap Construction
Flood plain plan
Plana resubmitted '16 Mechanical
Grading plan
2`! Review, ready [or correct sue Electrical
Subeonaetor List
Called Contact Person Plumbing
Grant Decd
Plana picked oP S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
Review, ready for correctiourusae Developer Impact Fee
Planning Approval
Called Contact Person .LP.P,
Pub. Wks. Appr
Date of permit issue
School Fees
=F=
I I Total Permit Fees
AS�400 Art -M 4114
31212=0 - Ns 3j1`'1,� lgpo _ scNubct*�
3�'� 1Zolo ' �t�lart' Rfz96W do t%Le
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