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13-1390 (AR) Revision 1Bin # - Permit # Project Address: City of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet wncr's Name: A. P. Number: Address: S&-4ff7 Legal Description: City, ST, Zip: Contractor: We S' Telephone: Address: C-z Project Description: City, ST, Zip: Telephone: N State Lic. # : . y City Lie. #; '� Arch., Engr., Designer: Address: City., ST, Zip: Telephone: _ . � Construction Type: Occupancy: State Lic_ #: Project type circle one New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone #,of Contact Person: % Esfimated Value of Praj ec Q [J APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Rcq'd Rec'd TRACKI1IG PERMIT FEES Plan Sets PIan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance Title 24 Cal cs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'J Review, ready for corrccti slissue � Electrical SubcontactorList Called Contact Person 2122, -Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN IiOUSE:- Review, ready for eorrectionslissue Developer Impact Fee Planri g Approval Called Contact Person A.I.P.P. Pub. Wks. Appi- Date of permit issue School Fees Total Permit Fees veer- �� �o�� • " -