DRVA2017-0034tev Qabtr
See below for Finance Revenue Codes
- GEM f the DESERT --
DRIVEWAY APPROACH
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): 53680 AVENIDA MENDOZA
PURPOSE OF CONSTRUCTION: DRIVEWAY APPROACH
DESCRIPTION OF CONSTRUCTION: CALl BUILT CONSTRUCTION DRIVEWAY APPROACH
DIMENSION OF INSTALLATION OR REMOVAL:N/A
APPROXIMATE TIME WHEN WORK WILL BEGIN: 12/28/2017 TIME OF COMPLETION: 1/8/2018
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 (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
CALl BUILT CONSTRUCTION 52945 AVENIDA VELASCO LA QUINTA CA 92253
Name of Applicant (please print) Business Address
CALl BUILT CONSTRUCTION 52945 AVENIDA VELASCO LA QUINTA, CA 92253
Name of Contractor and Job Foreman Business Address
923574
(760)902-4308
Telephone No.
(760)250-8474
Telephone No.
Contractor's License No.
UNITED SPECIALTY INSURANCE
Applicant's Insurance Company
Finance Revenue Code
PERMIT INSPECTION
DRIVEWAY RESIDENTIAL
.
$156.00
TECHNOLOGY ENHANCEMENT FEE $5.00
- TOTAL: $0.00
City Business License No.
DBRVUS00013900
Policy Number
PERMIT NO: DRVA2017-0034
DATE ISSUED: 12/27/2017
EXPIRATION DATE: 12/27/2018
BY: UBALDO AVON
WORK INSPECTED BY*:
PERMIT COMPLETION DATE*:
1f the work is covered by a Subdivision Improvement Agreement,
Subdivider shall request final acceptance of improvements from the
City Council.