04-6144 (SFD) Revision 1Project Address:
A. P. Number:
Contractor: 5" C l
Address:
City, ST, Zip;
Telephone:
State Lie. #
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone:
State•Lic. #:
Name of Contact Person -
Tel evhone
erson:Televhone # of Contact F
# I Submittal
Plan Sets
Structural Calcs.
Truss Cates.
Energy Cales.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.o.A. Approval
IN,HOUSE:-
Planning-Approval
Pub.,Wks. Appr
School Fees
City of La Quinta
Building U Safety.Division .
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7.012
Building Permit Application and Tracking Sheet
l y SA I)p / Owner's.Name:
Address:
City, 5T; Zip: 60
Telephone;
Project Description:
U CS I h,-FAcs V
City Lie. #:
n _C_/
L ju'Yv`-4; 71-:zi
Construction Type: Occupancy:
Prcjecttype (circle one): New Add'n . Alter Repair Demo
Sq. FL
# Stories:
# Units:
Q r.
Estimated Valwof Project:
APPLICANT: DO NOT WRITE. BELOW THIS LINE
Reed
TRACIQNG
PERMIT FEES
44
Plan Checksubmitted
Item Amount
e -
Reviewed, ready. o
Plan Check Deposit .
Called Costa ersoa
Plan Check Balance
Plans ticked up:
Construction
Plans resubmitted
Mechanical
V Review, ready for corrtedo issue
Electrical
Called Contact Person
Plumbing
Plans picked up
S.M.I.
Plans resubmitted
Grading
3a Review, ready -for corrections/issue
Developer Impact Fee
Called Contact Person
A.I.P.P.
Date of permit issue
S 1 QC=
Total I ermit'Fees
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