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Bin #
City of La Quinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
Permit #
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:
Owvner's Name: 4-PY 49)
A. P. Number:
Address:
Legal Description:
City, ST. Zip: —
4�3
Contractor:
fL .
Telephone:
Address: Jr C��
Project Description:
City. ST, Zip:
Telephone: f S _ J
d
■ ' f V EC-C
State Lic. # : -* SS 3
Citv Lic. #:
U
Arch., Engr., Designer:
D
Address:
City, ST, Zip:
Telephone:
i
Construction Type: Occupancy:
M
Project type (circle one) Ne%% Add'n ,Alter
Repair Demo
State Lic. #:
Name of Contact Person: ,�%U2
L
Sq. Ft :. #Stories: #Units:
Telephone # of Contact Person: -7t— /r// _/,1 / 7 r F-Estimate alue of Project: '
#
Submittal
Plan Sets New
Structural Calcs.
Truss Calcs.
Title 24 Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
APPLICANT: DO NOT WRITE BELOW THIS LINE
Req'd Rec'd TRACKING
PERMIT FEES
Plan Check submitted
-*/OZ
Item
Amount
Reviewed, ready for corrections
�
Ian Check Deposit
M r A ^Vo "AliY
Called Contact Person �.�
Plan Check Balance
Plans picked up
Construction •
rs l
Plans resubmitted
%
Mechanical
2n' Review, ready for correctio 11551te
a
Electrical
Called Contact Person
Plumbing
Plans picked up
S.M.I. OF
(pr@p
Plans resubmitted
Grading
3'd Review, ready for corrections/issue
Developer Impact Fee
Called Contact Person
A,I,P,P,
Date of permit issue
Total Permi Fees ��