CIP2019-0005ta Qa iA ra
See below for Finance Revenue Codes
- GEM ofth,DESERT -
CIP
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): AVE 52 CETRINO TO JEFFERSON
PURPOSE OF CONSTRUCTION: AVENUE 52 PAVEMENT REHAB FROM CETRINO TO JEFFERSON AND MISC STRIPING THROUGHOUT THE CITY
DESCRIPTION OF CONSTRUCTION: 2018-07 PMP AVE 52 PAVEMENT REHAB AND MISC STRIPING FY 18/19
DIMENSION OF INSTALLATION OR REMOVAL:
APPROXIMATE TIME WHEN WORK WILL BEGIN:5/28/2019 TIME OF COMPLETION: 7/29/2019
ESTIMATED CONSTRUCTION COST: (Including removal of all obstruction, materials, and debris, backfilling, compaction and placing
permanent resurfacing and/or replacing improvements)
COMMENTS:
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 4) 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
SUPERIOR PAVING CO INC./UNITED
PAVING 1880 N. DELILAH ST. CORONA, CA 92879
Name of Applicant (please print) Business Address
UNITED PAVING COMPANY 1880 N. DELILAH ST. CORONA, CA 92879
Name of Contractor and Job Foreman Business Address
(714)949-3960
Telephone No.
(714)949-3960
Telephone No.
Contractors License No. City Business License No.
Applicant's Insurance Company
Finance Revenue Code •
TOTAL: $0.00
Policy Number
PERMIT NO: C1P2019-0005
DATE ISSUED: 5/21/2019
EXPIRATION DATE: 11/17/2019
BY: CARLEY ESCARREGA
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.