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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 # `6(J 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 • Contractor: or: Telephone: ele one: P Address: Project Description: City, ST, Zip: f p Telephone: e: 7 S g V State Lic. # : City Lic. #.: / 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 �_ 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