CIP2018-0001ta Qa ig ra
See below for Finance Revenue Codes
- GEM ofhDESERT - -
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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.
DATE: 9/10/2020
LOCATION OF CONSTRUCTION (Street address or Description): 78495 Calle Tampico
PURPOSE OF CONSTRUCTION: CITY HALL INTERIOR RESTROOM REMODEL
DESCRIPTION OF CONSTRUCTION: C1P2017-03 CITY HALL MISC. INTERIOR ADA IMPR.
DIMENSION OF INSTALLATION OR REMOVAL:
APPROXIMATE TIME WHEN WORK WILL BEGIN:2/22/2018 TIME OF COMPLETION: 4/4/2018
ESTIMATED CONSTRUCTION COST: $177,760.00 (Including removal of all obstruction, materials, and debris, backfilling, compaction and
placing permanent resurfacing and/or replacing improvements)
NTS: CIP PROJECT NO. 2017-03
CITY HALL MISCELLANEOUS INTERIOR ADA IMPROVEMENT PROJECT
CDBG PROJECT NO. 4.LQ.29-17
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 occurring 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 4)
hours prior to the anticipated inspection.
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of La
Quinta and to pay for any additional replacement necessary as the result of this work.
Signature of Applicant or Agent
Name of Applicant (please print) Business Address
NEW CONSTRUCTION SOLUTIONS INC P 0 BOX 1436 LA QUINTA, CA 92247
Name of Contractor and Job Foreman Business Address
813954
Contractor's License No. City Business License No.
Telephone No.
(760)861-1725
Telephone No.
Applicant's, Insurance Company Policy Number
Finance Revenue Code
TOTAL: $0.00
PERMIT NO: C1P2018-0001
DATE ISSUED: 2/21/2018
EXPIRATION DATE:8/20/2018
BY:
WORK INSPECTED BY*:
PERMIT COMPLETION DATE*:
If the work is covered by a Subdivision Improvement Agreement,
Subdivider shall request final acceptance of improvements from the
City Council.