DRVA2020-0006ta Qab(ta
See below for Finance Revenue Codes
- GEM qfAr 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): 53900 AVENIDA MARTINEZ
PURPOSE OF CONSTRUCTION:
DESCRIPTION OF CONSTRUCTION: PEPE BUILDS /_DRIVEWAY APPROACH
DIMENSION OF INSTALLATION OR REMOVAL:
APPROXIMATE TIME WHEN WORK WILL BEGIN: TIME OF COMPLETION:
ESTIMATED CONSTRUCTION COST:S200.00 (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
JZCONCRETE 42760 MADIO STREET INDlO, CA 92201 (760)775-1234
Name of Applicant (please print) Business Address Telephone No.
CORONEL ENTERPRISES INC 42760 MADIO STREET INDlO, CA 92201 (760)775-1234
Name of Contractor and Job Foreman Business Address Telephone No.
727199
Contractor's License No. City Business License No.
ASSOCIATED INDUSTRIES AES-1022833
Applicant's Insurance Company Policy Number
Finance Revenue Code
PERMIT INSPECTION
DRIVEWAY RESIDENTIAL $175.00
TECHNOLOGY ENHANCEMENT FEE $5.00
TOTAL: $0.00
PERMIT NO: DRVA2020-0006
DATE ISSUED: 3/16/2020
EXPIRATION DATE:
BY:
WORK INSPECTED BY*:
PERMIT COMPLETION DATE*: S/19/2020
If the work is covered by a Subdivision Improvement Agreement,
Subdivider shall request final acceptance of improvements from the
City Council.