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DRVA2020-0018ta Qabtra See below for Finance Revenue Codes - GEM .fthe 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): 51830 AVENIDA VILLA PURPOSE OF CONSTRUCTION: DESCRIPTION OF CONSTRUCTION: ADAMS / DRIVEWAY APPROUCH DIMENSION OF INSTALLATION OR REMOVAL: MATE TIME WHEN WORK WILL BEGIN: TIME OF COMPLETION: ESTIMATED CONSTRUCTION COST:S1.500.00 (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 ADAMS DARREL THOMAS 51835 AVE NAVARTRO LA QUINTA, CA 92253 (714)322-2226 Name of Applicant (please print) Business Address Telephone No. ADAMS DARREL THOMAS 51835 AVE NAvarro LA QUINTA CA 92253 (714)322-2226 Name of Contractor and Job Foreman Business Address Telephone No. AEC969 Contractor's License No. City Business License No. 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: DRVA2020-0018 DATE ISSUED: 8/12/2020. EXPIRATION DATE:2/8/2021 BY: AARONHICKSON 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 CityCouncil.