04-6304 (SFD) Revision 1City of La QumtaFINANCE
Building 8r Safety Division Revenue Code__,_;__,,,,_
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # (�
Project Address:g S (p Sr C�-i O�•J�
Owner's Name. D 5,S�R�tlP'u-�7
A. P. Number: 20 0 0 o CP
'Address:' ¢Q 1,:
.Legal Description: 77,A4'enT. 316 `g
City, ST, Zip: (14,
Contractor: (a C�
Telephone: ne �%vo ' 7
Address:
Project Description:
City, ST, Zip: (A,_ (% ✓ t) T 4
0
T I e: •— 4%
e e hon 7 � i / 4�
P
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o � � cel
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State Lic.#:.lp 7 V 7
City Lic.
Arch., Engr., Designer:
44
Address:
15c/O'�i
Cite, ST, Zip:
Telephone: ne:
...
Construction Type: Occu ancV :
State L tc.
Project type (circle one . New Add'n Rc ai r Demo
Name of Contact Person: W006 -(.J —594 (Lr—S
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 7 &,0 '7 7/ / Oi C(/
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Rcq'd
Rec'd
TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
(O D Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss"Cates.
Called Contact Person
Plan Check Balance
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correction issue
y 7j Electrical
Subcontactor List
Called Contact Person
2?) Plumbing
Grant Deed
Plans picked up
S.M.I.
ILO.A. Approval
Plans resubmitted
Grading
IN IIOUSE:-
'`' Review,'ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
'
7,Z
No,
c, U .
/
1otal Permit Fees.