13-1266 (RC) Revision 1Bin # Qty Of La Quinta
Building 8T Safety Division
Permit.# P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: 3 O u er's Name. '— 7
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A. P. Number: d ress: s j S l i1 U ^v
Legal Descript rr N GONi04�R , ST, Zip:
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Contractor: elephone:
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Address: �5 oject Description: _8e -AL G l0 V,
City, ST, Zip:
Telephone.
State Lie. # :
Arch., Engr., Designer:
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Address:
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City., ST, Zip:
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Telephone: Construction Type: Occupancy: cY.
State Lie. #: I , ::;:::;;>..; Project type (circle one): New Add'n Alter Repair Demo
��-Name of Contact Person: V �, Sq . Ft.: #Stories: #Units:
-Telephone # of Contact Person: -7 &6
timated Value of Project:
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APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
(
Plan Check submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections
b
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Cales.
Plans picked up/0
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for correction issue
JIDC
E trical
Subcontactor List
Called Contact Personmbin
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for correctionst sue
Developer Impact Fee
Planning —App royal
Called ContactJ'erson
_AJ.P.P.
Pub. Wks. Appr
Date of permit issue
N V
School Fees 8
rg
PIAWt7o d
Total Permit Fees gAD