12-1191 (RER) Revision1Bin. #
City Of La QCiif I td
Building 8t Safety Division
P.O. Box 1504,18-495 Calle Tampico
Ca.Quinta, CA 92253 -:(760) 777-7012
Building Permit'A00ication and Tracking Sheet
Permit #
Project Address:
Owner's Name:.
A. P. Number.
Address:
Legal Description:
City, ST, Zip: L{da d� a %My
Contractor JVE�
Telephone: >.,, r-•�:e�..�..''°�:,s�;
Address: 44`43cl � f 1
Project Description:
City, ST, Zip:
Telephone:
City Lic.
State Lie. #: qxl;5 ri
Arch., Engr., Designer
Address:
City, ST, Zip:
Telephone:
w
• ;w�� »;
Construction Type: _ Occupancy:
State Lie. #:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Name of Contact Person:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
' Rec'd
TRACKING PERMIT FEES
Pian Sets
a
Pian Check submitted 8 Item Amount
Structural Cales.
a
Reviewed, ready for corrections Plan Check Deposit _
Truss C21cs.
Called Contact Person Pian Check Balance
Title 24 Cabs.
Pians picked up Construction
Flood plain plan
Plans resubmitted Mechaelcal
Grading plan
2" Review, ready for correctio isstt Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN ROUSE:-
'^' Review; ready for eorreetionsrssue Developer Impact Fee
Planning Approval
Called Contact Person A.I P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
MNA
Total Permit Fees