10-0919 (RC) Revision 1FA
Bin #
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City of La Quinta
V Building 8z Safety Division
P.O. Box 1504, 78-495 Calle Tampico
Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # al
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Project Address: gcT-35- . W \! ► l
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
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Contractor: VlJ W XN�fvti�1'
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Telephone:
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Address: 25Z G,.A t.,es',:5_e --s-t2- sb
Project Description: b,A&' o-� p+
City, ST, Zip: �rJ \ne-t GOR- 'clZ(pO2
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State Lic. # :
City Lic.
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Arch., Engr., Designer: M 5J ,dL�
GM 0 M.
Address:
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City, ST, Zip:6natG CJ (l
Telephone: �- j,S-17Z
Construction T e:
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State Lic. #
Project type (circle i rcle one • New Add n (Ater) P D Repair Demo
Name of Contact Person: (,,A l✓ V tq
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: -
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Estimated Value of Project: tD
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
J
Plan Check submitted
5r'
Item
Amount
Structural Calcs.
Reviewed, ready for orrectio
SZ
Plan Check Deposit
Truss Calcs.
Called Contact Person
S L 7
Plan Check Balance.
Title 24 Coles.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
'ji
Mechanical
Grading plan
2°" Review, ready for correction issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
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 of permit issue
School Fees
Total Permit Fees
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