CIP2019-0010-
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PUBLIC WORKS CONSTRUCTION CITY OF LAQtjjNTA
DESIGN & DEVELOPMENT DEPARTMENT
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: 7/24/2019
LOCATION OF CONSTRUCTION(Street address or Description): 5 VARIOUS LOCATIONS OF ROUNDABOUTS
PURPOSE OF CONSTRUCTION: INSTALLS ROUNDABOUTS IN THE LA QUINTA VILLAGE
DESCRIPTION OF CONSTRUCTION: C1P2015-03 LA QUINTA VILLAGE COMPLETE STREETS
DIMENSION OF INSTALLATION OR REMOVAL: SEE APPROVED PLANS
APPROXIMATE TIME WHEN WORK WILL BEGIN: 8/5/2019 TIME OF COMPLETION: 12/30/2020
ESTIMATED CONSTRUCTION COST: $8,115,118.00 (Including removal of all obstruction, materials, and debris, backfilling, compaction and
placing permanent resurfacing and/or replacing improvements)
COMMENTS: 1 SEE PROJECT CONTRACT AND SPECIFICATIONS FOR CI 2015-03 FOR PERMIT CONDITIONS
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 (24)
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 and to
pay for any additional replacement necessary as the result of this work.
of or Agent
GRANITE CONSTRUCTION COMPANY -
JAMES CUMMINGS 38000 MONROE ST INDlO, CA 92203 (442)400-9395
Name of Applicant (please print) Business Address Telephone No.
GRANITE CONSTRUCTION COMPANY 38000 MONROE ST INDlO, CA 92203 (442)400-9395
Name of Contractor and Job Foreman Business Address Telephone No.
089 LIC-0002501
Contractor's License No. City Business License No.
VALLEY FORGE INS CO GL 2074978689
Applicant's Insurance Company Policy Number
Finance Revenue Code
TOTAL: $0.00
PERMIT NO: C1P2019-0010
DATE ISSUED:??/7 j
EXPIRI DATE:iLq/Q
BY:.
JVIPECTED
j
WOR 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.
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PUBLIC WORKS PERMIT APPLICATION
Date: 7/I,/!7.
P4røm4p Tract No: 77pl,1p/Q Project Name: L4 LA-b, t4JLcJCe9ri4r
Vicinity:_ C411e, A miala L ,4vg.,;,L
Purpose of Construction (i.e.: Rough Grading, Ofisite Street. etc.)_________________
1r2 .L4# /i L. Qt I/I1I4fP
Description of Construction (i.e.: See Plan Set No: 01234) Sob JJø. ,0I.c-03
Dimension of Installation or Removal: C*(1. T'ipico, is'.4w91uski71.siJ
Approximate Construction Start Date: Aug. 51 6 1
Approximate Construction Completion Date: V .:3i::,
Estimated Construction Cost: $ / is:,iis
Estimated Construction Cost shall include the removal o(allobstruct,ons. materials, and debris. back-filling. compaction and
placing permanent resurfacing and or replacing improvements
Contact Name: Phone Number: t2
Name of Applicant/Owner:
Applicant Address:
Applicant Telephone Number:
Applicant E-mail Address: eo
I Name of Contractor: OM t&re L1 -Yl4çø -) I Contractor Address: 3ôoo 'rpe, :2+
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I Contractor Telephone Number: 941'2 —
I Contractor State License Number:
I Contractor City Business License Number:
Contractor E-mail Address:
t COPY OFT!IE CURRENT INSURANCE CERTIFICATE MUST BE PROVIDED
Applicant or Contractor General Liability Insurance Company: ' #_.. - - - - — -
Applicant or Contractor GenerauLiabilitr Insurance Policy Number:
re L2oiq
ornce Use Only:
Inspection Fee
Permit Fee
As-Built
Deposit —.--
Dust Control
Deposit:
Credit
Amount
I 'TOTAL' FEE I)t'E
I.
Office Use Only:
Assigned Permit Number
i P - Vol
Approval Date,
F.pirdtion
Date
Issue
Date
Admunuiruti%e Authont
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