11-0247 (AR) Revision 1Bin #,q
City of LA Quinta
Budding 8t' Safety Division
/` ' d P.O. Box 1504, 78-495.Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # ,\ _
N'
Project Address: �� 2
Owner's Name: W� llil�
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone: " rY s'•. n`.f::v:f' %'
Address:
Project Description:
City, ST, Zip:
/
h
Tele ne• o
State Lic. # : City Lic.
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
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><•r;;>:'"".' ::'"°:?<.n:.iis
Construction Type: Occupancy:
State Lic. #:`?«'s°:,
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: hZ-QST
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: p Z Z
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted r%
Item
Amount
Structural Calcs.
Reviewed, ready fo corrections
Plan Check Deposit
Truss Calcs.
Called Contact Per
Plan Check Balance
Tide 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for correction 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:-
'"' Review, ready for correctionsliissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue L LTJ
6d
School Fees
Total Permit Fees