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Bin #
City Of La Quinta
Building &r Safety Division
Permit # P.O. Box 1504, 78-495 Calle, Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit APPlication and Tracking Sheet
Project Address: •1� Gee y dt ` ]:Own,r's Name: 9
�O"7.4 1G.T__Z2( S
A. P. Number: 4.Z 3 t �, o
Legal Description:
Contractor.
Address:
City, ST, Zip:
Telephone:
State Lic. #
Arch., Engr.. Designer;
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Telephone # of Contact Person:
# Submittal Req'd
Plan Sets
Structural Cates.
Truss'Calcs.
Title 24 Calcs:
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
II.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
Address:
t= 7 1P—'=�7 z
Cit), ST, Zip:
Telephone:
Project Description:
- 7777777
SD ®r' J 1 f
City Lic. #: 1 9 (:9;D
'23�Q -4 ' t-�ttG t4
_3
"I c
,:- Construction Type: Occupancy:
Pr
oject type (circle one) New dd'n A�tcrRcpair Demo
Sq. Ft.: # Stories: nits:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
Ree'd TRACKING
Plan Check submitted
Reviewed, ready for corrections
_Called Contact Person
Plans picked up
Plans resubmitted
2" Review, ready for correctionstissue
Called Contact Person
Plans picked up
Plans resubmitted
' Review, ready for correctionstissue
Called Contact Person
Date of permit issue
PERMIT FEES
Item
Plan Check Deposit
Plan Check Balance
Construction
h echaoical
Electrical
Plumbing
S.M.I.
Grading
Developer Impact Fee
A.I.P.P.
Total Permit Fees
Amount