05-3982 (SFD) Revision 1Bin #
City of La Quinta
Building a SafetyDivision
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
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Project Address: _
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Owner's Name: LL a V_ ( W
A. P. Number:
Address: -7 �W
Legal Description:
City, ST, Zip: W QU t
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Contractor:
Telephone:&q-?_-G14q-74qXZ
Address:
Project Description:
City, ST,.Zip:
Telephone:
State Lie. # :
Arch., Engr., Designer:
City Lie. #:
Address:
City; ST, Zip:
Telephone:
State Lic: #:
Construction Type: Occupancy:
Project type•(circle one): New Add'n Alter Repair Demo
Name of Contact Person;
�jp �j
Sq. Rt.:
# Stories:
#Units:
Telephone.# of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rm d
TRACKING .
PERMIT FEES
Plan Sets
Plan Check submitted'
Item
Amount
Structural Coles.
Reviewed, ready for corrections
Plan Check Deposit
Truss Coles.
Called Contact Person
Plan Check Balance
Energy Coles.
Plans Picked up
Construction
Floodplain plan
Plans resubmitted
Mechanical
Grading pian
2" Review, read yfor correctio issue
Electrical
Subcontactor List-
Called Contact Person
Z
Plumbing
Grant'D"eed
Plans picked up
S.M.L
MOA. Approval
Plani resubmitted
Grading
IN HOUSE:-
"Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called:ContactPerson
A.U.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees