DRVA2020-0017ta Qu&&
See below for Finance Revenue Codes
-GEM oftheDESEr --
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): 77618 CALLE COLIMA
PURPOSE OF CONSTRUCTION:
DESCRIPTION OF CONSTRUCTION: YESCAS /_DRIVE APPROACH
DIMENSION OF INSTALLATION OR REMOVAL:
APPROXIMATE TIME WHEN WORK WILL BEGIN: TIME OF COMPLETION:
ESTIMATED CONSTRUCTION COST:$1,000.00 (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
CALl BUILT CONSTRUCTION 50855 WASHINGTON ST. STE.#C-114 LA QUINTA, CA 92253
Name of Applicant (please print) Business Address
CALl BUILT CONSTRUCTION 50855 WASHINGTON ST. STE.#C-114 LA QUINTA, CA 92253
Name of Contractor and Job Foreman Business Address
923574
(760)250-4994
Telephone No.
(760)902-4308
Telephone No.
Contractors License No.
UNITED SPECIALTY INSURANCE
Applicant's Insurance Company
Finance Revenue Code
PERMIT INSPECTION
DRIVEWAY RESIDENTIAL $175.00
TECHNOLOGY ENHANCEMENT FEE $5.00
TOTAL: $0.00
City Business License No.
DBRVUS00013900
Policy Number
PERMIT NO: DRVA2020-0017
DATE ISSUED: 8/10/2020
EXPIRATION DATE:2/8/2021
BY: EDWARD HERNANDEZ
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.