09-0804 (AR) Revision 1Bin #t5 -
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
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Project Address: 2 3 Q vi0V
Owner's Name: T-,(,,. K. �`(rm
A. P. Number:
Address: et -?j3OC�G� V *-W
Legal Description:
City, ST, Zip: 4s)f&0 ZIA
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Contractor: or:
Telephone: ele one:
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Address:
Project Description:
City, ST, Zip:
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Telephone:
e: 7
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State Lic. # :
City Lic. #.:
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Address: r-7 Z? �ci�
.�C'C!"( �L9 � 9)R
City, ST, Zip.
2.� �2 '•
7
State Lic. #•
%Name
ancYTelePhone:
Construction Occupancy:
n TYPe:
Project type one):: New Add'n Alter Repairair Demo
of Contact Person: .C7
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Z
Plan Check submitted
Item
Amount
Structural Calcs.
L
Reviewed, ready for corrections
Plan Check Deposit
owe
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
��
Construction
Flood plain plan
Plans resubmitted
��
Mechanical
Grading plan
2". Review, ready for corrections/issue
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Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
^
IN HOUSE:-
7nd Review, ready for corrections/issue
^
Developer Impact Fee
Planning Approval
Called Contact Person fewTQ %W&
S
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
to
'
School Fees
Total Permit Fees
I its
If 0
ps r4*0t 'W "Lo