11-1335 (RER) Revision 1t
RuifOg g SafetyDivision
Perin,t # P.O. BOX. 1504,"78-495 Calle Tampico .
6...Quinta, CA 92253 - (760) 777-7012
Building Permit Application' and Tracking Sheet
Project Address:1 0 3 5 C C, Owner's Name:.
tL,Lt(�.
A. P. Number. y (0 —. Z \ O — O O Address: L` 1 O 35 E-040 -5
legal Description: City, ST, Zip: Ll} QU t ,>TA CA
Contractor. C
Flan sets
Telephone:
Address:
Plan Check subm1w. ( 3
Project Description:
City, ST, Zip:
19 d
5 �Z y
A . T1 L iL OU�1Z,
Telephone: 'I . u\ So 00 1
,41a�.. 518
Truss Calcs.
Z AT4 0Lk-or.5 -r-o A P* t� O r
State Lia # : .l Z 31v 1
Arch•,13ngr., Designer .�)e S
City Lir #;
t
Iq 'TE�nn Eli L/�t c Ewe E
_ J'EE. t' t -A w> A t"T A, t L Fo ti JEiJ
Address: 5- Z
IAL-C"
N JZACA o • E X IJTI rr
City., ST, Zip: Y v" r, CA
2 Zia q
Flood plain plan
Telephone: -I `p _ 3toS - $14 L
Std f.ic. #:
Plans resubrnitw .- .
Construction Type:. Occupancy: e
Project type (circle one): New Add'n Alter Demo
Name of Contact Person: t A
,,
bo LT
Sq. Ft.: t 3ac� �F
# Stories: ,
"nits. `
Telephone # of Contact Person: -1 leo - �65 -8 j q Z Estimated Value of Project 5000.06
APPLICANT: DO NOT WRITE BELOW THIS UNE
!E
Submittal
Req'd
Reed
Called Contact Person s
TRACKMG . PEI WY FEES
,I l L3
Flan sets
Plan Check subm1w. ( 3
Structural Cales.
19 d
5 �Z y
Reviewed; ready forrrecttons Z+
5/9
,41a�.. 518
Truss Calcs.
Called Contact Person
Tide 24 Calcs.
Plans picked up 0 7
Flood plain plan
Plans resubrnitw .- .
Grading plan
2" Review, ready for correctio e
Subeontactor List
Called Contact Person s
Grant Deed
Plans picked up
H.O-A. Approval
Plans resubmitted
IN HOUSE:-
7i° Review; ready for correetionsiissue
Planning Approval.
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees • '
,I l L3
aG z .
19 d
5 �Z y
45;c3 d-44-�
5/9
,41a�.. 518
Plan Check Deposit. .
Plan Check Balance.
Construction
Mechatikal
Electrical
Plumbing
.S.1 U
Grading
Developer Impact Fee
A.I.P.P. _ /1
Total Permit Fees
Amount . i