06-0180 (CONR) Revision 2City of La Quinta
Building U Safety Division
Permit #
P.O. Box 15041 78-495 Calle Tampico
6,1La
Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: S2 d
9T
46
Owner's Name:
A. P. Number: �Om
.
Address:
Legal Description:
City, ST, Zip: �Z
Contractor:
Telephone:
-
Address:
'
Project Description: Z
City, ST, Zip:
Telephone:
State Lie. # :
City Lie. #:
Arch., Emir., Designer:
.
Address:
City,:ST,Zip:
<
Telephone: /tZ
—
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Construction Type: Occupancy*"
State Lic. #:
Project'type (circle one): New " Add'n Alt 'Repair Demo
Name of Contact Person: ell) Q,_gz
Sq: Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
3 %
Estiin ak.ed V '
Value of Project: 1 Qdl�
APPLICANT:
DO NOT WRITE BELOW THIS UNE
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Submittal
Req'd _
Reed
TRACKING ."
PERMIT FEES
" ..
Plaa Sets
Plan Check submitted
f 1
Item
Amount '
Structural Cities.
Reviewed, ready for corrections
I
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Coastraction
Flood plain plea
Pians resubmitted
Mechaalcal
Grading,plan
21 Review, ready for eorrectionsrassue
Electrical
Sabcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
$.M.I.
:.
H.O.A. Approval
Plans resubmitted .
Grading
IN HOUSE:-
$`Review, ready for corre issue
eveloper Int b, ;
"
Planning Approval
Called Contact Perso
A.I.P.P.
Pub. Wks. Appr
Date of Perm! issue.
`\
School Fees
G
... ".: .... Total.Permit Fees
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