04-5331 (AMUS) Revision 1Project Address:
A. P. Number:
City of La. Quin ta -Dow
Building 81• Safety Division d .533)
�{. P.O. Box 1504, 78-495 Calle Tampic
La Quinta, C4 92253 - (760) 777-7012
kkuilding Permit Application and Tracking ShPPr
APPLICANT: DO NO'
#
Submittal
Req'd
Rec'd
2 Ls.
Plan Sets
Plan Check submittc
Estimated Value of Project:
'WRITE BELOW THIS LINE p(�
'RACKING PERMIT FEES
Item Amount
Structural Calcs.
Plan Check Deposit
Reviewed, ready for
Plan Check Balance
TrussCalcs.
of
a
Called.ContactPers(
Title 24 Calcs.
Mechanical
Plans picked up
correction issue
Flood plain plan
Electrical
Plans resubmitted
Grading plan
2"d Review', ready for
S.)•1.I.
Subcontactor List
Called Contact Persc
—�
Grant Deed
Developer Impact Fee
A.LP.P.
Plans picked up
H.O.A. Approval
Plans resubmitted
IN ROUSE:-
''d II ready for
Planning Approval
Called Contact Perso
Pub. Wks. Appr
Date of pernritiw el
School Fees
Owner's Name: ,11
Address: g _ SS 6
City, ST, zip: �4 �� N•� 2 Z S. 3
Telephone: 5-...........
Project Description:
2 Ls.
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
:S:q:.:Ft.: # Stories: # Units:
Estimated Value of Project:
'WRITE BELOW THIS LINE p(�
'RACKING PERMIT FEES
Item Amount
:orrections
n
Plan Check Deposit
Plan Check Balance
Construction
Mechanical
correction issue
Electrical
n
Plumbing
S.)•1.I.
Grading
:orrections/issue
w
Developer Impact Fee
A.LP.P.
� f
Total Permit Fees