13019 (2)''`` See below for Finance Revenue Codes
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Wmr�
ENCROACHMENT PERMIT
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: 2/11/2013
LOCATION OF CONSTRUCTION: Coachella Valley Storm Drain Channel on Jefferson St; Northeast Corner of Jefferson Street and Vista Grande
PURPOSE OF CONSTRUCTION: To Store a Container with Parts on City Lot for CVWD Project. No Earth Moving Equipment or Trucks
DESCRIPTION OF CONSTRUCTION:
DIMENSION OF INSTALLATION OR REMOVAL:
APPROXIMATE TIME WHEN WORK WILL BEGIN: 2/5/2013 TIME OF COMPLETION: 7/31/2013
ESTIMATED CONSTRUCTION COST: N/A
permanent resurfacing and/or replacing improvements)
COMMENTS
(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 arted a 0) 777
7097. To submit an inspection request, leave a message on the Inspection Request Hotline at (760) 7 - 7 pnor
least twenty-four (24) hours prior to the anticipated inspection.
FEB 11 t�
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable r les nd regulations of ty
of La Quinta and to pay for any additional replacement necessary as the result of this work. CITY OF
LA
CIAu w. — QUINTA
11' ] m • I ��`r` Signature of Applicant or Agent
Pyramid Building and Engineering - John Garrison 10975 G Avenue,, Hesperia, CA 92345 (760) 403-5454/ 949-9005
Name of Applicant Business Address Telephone No
Pyramid Building and Engineering
Name of Contractor and Job Foreman
782024
Contractor's License Number
Westchester Fire Insurance Co
Applicant's-tnsuran ce-Company-- - - — -
FEES Subdivision Improvement Permit - Class I
Minor Improvement Permit - Class I
1.0975 G Avenue, Hesperia, CA 92345
Business Address
Finance.Revenue Code
Inspection Fee EE=1
0.00
Permit Fee EE=1
$100.00
As -Built Deposit E-A,
$0.00
Cash Deposit -Surety Bond, E_13
$0.00
f required
TOTAL
$100.00
(760)949-9005
Telephone No.
110280
City Business License No
G24204443002
Policy Number
Public Improvements: 3% of estimated construction costs
Private Improvements: 3% of estimated construction costs
PERMIT. NUMBER: 13019
DATE ISSUED: Filo
EXPIRATION DATE: b ,A l� --41X Zo i 3
BY:
WORK INSP TED BY*:�
PERMIT COMPLETION DATE*: q-10-15
• 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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