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Mirage (Plans 1-3) Revision 17 — 1 At, Bin !f C�"t 2� CitY of La Q� uinta e. Building u Safety Division J P.O.. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Per it it Project Address: Owner's Name: A. P. Number: Address: " Legal Description: City, ST, Zip: Contractor: Telephone: q� -/ q - b0b Project Description: i , "✓' " - Address: City, ST, Zip:" Telephone:��M M City Lie. #: State Lie. # : Arch., Engr, Designer: Address: City, ST, Zip: , r Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New " Add'n Alter 'Repair Demo Name of Contact Person: L Sq. FL: # Stories: # Units: Telephone # of Contact Person: — ZZ Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE " # Submittal Req'd" Recd TRACKING. PERMIT FEES Plan Sets Plan Check submitted l� Item" Amount Structural Cal". Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person f Plan Check Balance" Energy .Gaits. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading, plan" 2T' Review, ready for correctionsrissue i p I Electrical Subcontactor List Called Contact Person Ar 141-1 Plumbing Grant Deed Plans picked up H.O.A. Approval Plans resubmitted. Grading IN HOUSE: - "'Review, ready for corrections/issue Developer Impact Fee.. Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date oC permit issue" ' School Fees } . Total Permit Fees