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10-0887 (BLCK)
Bin # 1 e/ City of LQ Quinta Building Br Safety Dh*lon P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Pennit Application and Tracking Sheet Permit # Project Address: �y tj' .� Z Owner's Name: A. P. Number: �� " e3 r -00s— Address: Legal Description: City, ST, Zip: Contractor: �jf r /f �oN Telephone: Project Description/: Address: 9 y z �Ps%�,� �. City, ST, Zip:/)�rli e lc� 2 SQ 6 4 viii7 V4, - Telephone: fl'�/- i2 D 2 - 2- 3• £�.� :1• �. 2. State Lic. # : City Lie. q aG k�✓� �/ �o /� �(Q Arch., Engr., Designerf&/ Address: 2 % 9 44111e. L 7 V96W •O -9 gSt1g:M,10 City, ST, Zip: vf��e C� ) S_J 7 Telephone: �,S`� 7pp_ 9, U S --p Construction Type'. Occupancy:. State Lic. #: �' ? 7 Project type (circle one): Ntw Add'n ter Repair Demo Nm ae of Contact Person: �r Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: /- , — ,� Estimated Value of.Project: L © V 4, 49 v APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amo Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales. CaUed Contact Person g Plan Che ckBal Title 24 Calcs. Plans picked up Co on Flood plain plan Plans resubmitt Mechanical Grading plan 2'! Revid ectioas/issu Electrical Subcontactor List d act Person At1 Grant Deed picked u 1. H.O.A. A oval Plan mitted Grading IN HO Review, ready for re ti a Developer Impact Fee Planning r00""' alW Con!J Person A.LP.P. Pub. Wks. A m issue School F Total Permit Fees r /3o 5AO-- 12P- m