LAQ-15-RS-057 Signature Villas at PGA WestRiverside Office: �- Palm Desert Office:
2300 Market Street, Ste. 150 77-933 Las Montanas Rd., Ste 201
Riverside, CA 92501 Palm Desert CA 92211
Phone: (951) 955-4777 - Fax: (951) 955-4886 Phone: (760) 863-8886 - Fax: (760) 863-7072
N New ❑ Re -Submittal #
PLAN REVIEW FORM
❑ As-builts
Permit NO.,�
Prb ecU information Please Print
( ) _ `' s HI
Office Use Only
Riverside County Fire
Office of the Fire Marshal
Villas at PGA West (2-Plex Bids * 1`,4 4_0
Project Name: _ r I have read and understand that Fire Dept. tees are
56-140 PGA Boulevard Deposit Based Fees and there may be additional
Address: money due iar to or a#qr prg2 t ' al.
La Quinta CA Sign:
City & Zip: Print: /
Contact Information..-- Biilliirtig Information ! Some a5 Contc�ct,info
CONTACT PERSON:
Mailing Address:
City & Zip
Mary Nettles
5927 Priestly Drive, Suite 110
Carlsbad, CA 92008
Phone No.: 760-918-6768
BILL TO: California West Construction
Mailing Address: 5927 Priestly Drive, Suite 110
City & Zip Carlsbad, CA 92008
Fax: 760-918-6749 Phone No.:760-918-6768
Fax: 760-918-6749
Email: mnettles@californiawestcommunities.com Email: mnettles@californiawestcommunities.com
The person listed on "Billing Information" will receive ALL billing, correspondence and refunds for any work billed to
this pevmit. Any changes in bile r3C9 information must be made in w6 ing to our office.
Plan Reviiew. T _ e (Check appropriate items) --
❑ Commercial ❑ Industrial 0 Residential ❑ Special Event ❑ Other
0 Building ❑ Building Tenant Improvement ( New / Existing ) ❑ High Fire Area
❑ Sprinkler System ❑ TI Sprinkler System ❑ Sprinkler Monitoring ❑ Fire Alarm System
❑ Hood & Duct Suppression System ❑ Other Suppression System ❑ Spray Booth ❑ Cell Site
❑ High Pile/Racks ❑ Other: ❑ Underground Water
Storage Tank Submittals: ❑ Dispensers Only ❑ Above Ground ❑ Underground
Office Use•
Fee Paid: 's Joss
Called for Pick -Up
Reviewed by:
Date: By:
Date Paid: Y a/i s
-
PC Review Date:
Picked -Up
I
Check#: /p 75
PKApproved h D nied
Date:V43/L5By:
Received By: ,v
Plans Stamped: OYes ONO
Shipped By / Method
Letter Attached: ,ZYes ONO
Receipt#(OCR)
Job Card Included: ❑Yes JZNo
❑DBF
I]DBF
❑DBF
Fr n l -- Re,- i}�.0 5/20
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