12-0603 (RER) Revision 1bin f
3�`.._.. City Of La Quinta
Building 81' Safety Division
APPLICANT: DO NOT WRITE BELOW THIS LINE
Permit tt
P.O. Box 1504, 78-49S Calle Tampico
Req'd
°ct ��
La Quints,
CA 92253 - (760) 777-7012
Building Permit APPlication and Trackng Sheer
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JC
Project Address:
wner's
Na?m7e
A. P. Number:
Legal Description:
ddress:W
—j
ity, ST,Zip:
Check submitted
Contractor:.��,J5>
1c
elephone:
40
Address:
Reviewed, ready for corrections
Ciq•, ST, Zip:
ProjectDescription:
fc
Telephone:
State Lic. #
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«.ifaU
Truss Calcs.
City Lic. #:
Arch., Engr., Designer:
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Called Contact Person
Address:%%—kjZ;Z C,7�'��
A
TO -'-P To
City. ST, Zip:T?I-LK
Telephone:%// ^^ o
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CR>
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State Lic. #•
Construction s[
fU C II on Type: O cc u P an c - :,
Plans resubmitted
Name of Contact Person: �� � (� �
Project J h (circle
Pe one): New Add'n Alter Repair Demo
# of Contact Person: ed
LSq.ft:
#Stories:
#Units:Telephone
�d
Value of Project.
APPLICANT: DO NOT WRITE BELOW THIS LINE
PERMIT FEES
Item
Plan Check Deposit
Plan Check Balance
Construction
Mechanical
Electrical
Plumbing
S.M.I.
Grading
Developer Impact Fee
A. 1. P. P. .
Total Permit Fees
711 io
y �� 1'q /ods 1 Afp
Amount
#
Submittal
Req'd
Rec'd
TRACKING
Plan Sets
Plan
Check submitted
141
l
Structural Calcs.
Reviewed, ready for corrections
Truss Calcs.
Called Contact Person
Title 24 Calcs.
Plans picked up
Flood plain plan
Plans resubmitted
Grading plan
2" Review, ready for correction issue
�d
Subcontactor List
Called Contact Person
�d e
Grant Deed
Plans picked up
11.0.A. Approval
' Plans resubmitted
IN HOUSE:-
,' Review, ready for corrections/issue
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
PERMIT FEES
Item
Plan Check Deposit
Plan Check Balance
Construction
Mechanical
Electrical
Plumbing
S.M.I.
Grading
Developer Impact Fee
A. 1. P. P. .
Total Permit Fees
711 io
y �� 1'q /ods 1 Afp
Amount