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Bin #
Permit #
Project Address:!
A. P. Number:
Legal Description:
Contractor: C
City of La Quinta
Building a Safety Division
P.O. Box 1504, 7.8-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
'-Building Permit Application and Tracking Sheet
Owner's Name: ' L e J ► h\ Sfi 11
y _ Address:-'
City, ST, Zip:
CD A S� f Telephone:
Address: 9p
��o � � � 15 � �(L C� i �, .� -� � Project Description: �{� UZ� A � �CJ�O(n,�{
��,� 2 �
City, ST, Zip: �' C C
�-�3
Telephone: 76 o -3-Z `� 7q Z' (
State Lic. # . l [ O H
i City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone;
e�►, r�} Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New d' Alter Repair Demo
Name of Contact Person: ; �G�
{ c) S wL o ✓L Sq. Ft.:` # Stories: ' #Units: l
Telephone # of Contact Person: Estimated Value of Project: O O ®P7
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd
Req'd TRACKING PERMIT FEES
Plan Sets
Plan Check submitted Item Amount
Structural Calcs.
Reviewed, ready for corrections ? _ Plan Check Deposit
Truss Cales.
Called Contact Person Z Plan Check Balance
Energy Calcs.
Plans picked up N- r Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2" Review, ready Or correctionsliss � Z + { Electrical
Subcontactor List
Called Contact Permit-- Plumbing
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
" Review, ready for correctifl slissue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue 1
School Fees
Total Permit Fees