13010 (2)LaWSee below for Finance Revenue Codes
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... JENCROACHMENT PERMIT
OFT° PUBLIC WORKS CONSTRUCTION
For the construction of public or private curbs', driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public
works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS.
Subdivision Improvement Permit - Class III
Minor Improvement Permit - Class IV
DATE: 1/28/2013
LOCATION OF CONSTRUCTION: TM 31202; Rancho Santana; Monroe Street South of Avenue 52
PURPOSE OF CONSTRUCTION: Median Landscape Improvements on Monroe Street
DESCRIPTION OF CONSTRUCTION: See Plan Set #08126
DIMENSION OF INSTALLATION OR REMOVAL: N/A
APPROXIMATE TIME WHEN WORK WILL BEGIN: 2/4/2013
ESTIMATED CONSTRUCTION COST: $30,000
permanent resurfacing and/or replacing improvements)
COMMENTS
TIME OF COMPLETION: 3/5/2013 FINANCE
(Including removal of all obstruction, materials, and debris, backfilling, compaction and placing
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any
and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or
property happening or occuring as a proximate result of any work undertaken. under the permit granted pursuant to this application.
Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started at (760) 777-
7097. To submit an inspection request, leave a message on the Inspection Request Hotline at (760) 777-7097 prior to 1:30 P.M. at
least twenty-four (24) hours prior to the anticipated inspection.
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicabl I and regulations of the City
of La Quinta and to pay for any additional replacement necessary as the result of this work.
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Signature of A p licant or Agent
Desert Cheyenne, Inc. - John R. Pedalino 78401 HWY 111 Suite X, La Quinta, CA 92253 760-777-9920
Name of Applicant Business Address Telephone No '
Conserve LandCare, Inc.
Name of Contractor and Job Foreman
958748
Contractor's License Number
Hartford Casualty Company
Applicant's Insurance Company
FEES Subdivision Improvement Permit - Class 1
Minor Improvement Permit - Class
74-040 Hwy 111 Ste. L-200, Palm Desert, CA 92260 760-343-1433
Business Address Telephone No.
Finance Revenue Code
Inspection Fee EE'
900.00
Permit Fee E_1
$100.00
As -Built Deposit E-A
$0.00
Cash Deposit -Surety Bond,E_13
0.00
if required
TOTAL
$1,000.00
108534 .
City Business License No
72UENQY8539
Policy. Number.
Public Improvements: 3% of estimated construction costs
Private Improvements: 3% of estimated construction costs
PERMIT NUMBER: 13010
DATE ISSUED:
EXPIRATION DATE: ;_P b ZI
BY: At l _. r
WORK INSPECTEDBY :
PERMIT COMPLETION DATE'':'/
If the work is covered by a Subdivision Improvement Agreement, Subdivider
shall request final acceptance of improvements from the City Council.
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