Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
PG2016-0004
4.4 Rhd See below for Finance Revenue Codes ENCROACHMENT PERMIT OPT'it 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: 3/15/2016 LOCATION OF CONSTRUCTION (Street address or Description): AVENIDA BERMUDAS PURPOSE OF CONSTRUCTION: CIP 2015-13 FOR TURF REMOVAL AND NEW LANDSCAPE INSTALLATION. DESCRIPTION OF CONSTRUCTION: CIP 2015-13: FRITZ BURNS PARKWAY/AVENIDA BERMUDAS MEDIAN DIMENSION OF INSTALLATION OR REMOVAL: N/A APPROXIMATE TIME WHEN WORK WILL BEGIN: 3/28/2016 TIME OF COMPLETION: 5/20/2016 ESTIMATED CONSTRUCTION COST: $163,180.00 (Including removal of all obstruction, materials, and debris, backfilling, compaction and placing permanent resurfacing and/or replacing improvements) COMMENTS: SEE PROJECT CONTRACT AND SPECIFICATIONS FOR CIP 2015-13 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 ( urs 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. -I, of Applicant or Agent KEVIN ROCKER - CONSERVE LANDCARE 72265 MANUFACTURING ROAD THOUSAND PALMS, CA 92276 Name of Applicant (please print) Business Address CONSERVE LANDCARE INC 72265 MANUFACTURING RD THOUSAND. PALMS, CA 92276 Name of Contractor and Job Foreman Business Address (760)250-7639 Telephone No. (760)343-1433 Telephone No. 958748 Contractor's License No. WESCO INSURANCE COMPANY Applicant's Insurance Company Finance Revenue Code TOTAL: $0.00 108534 City Business License No. WPP124299900 Policy Number PERMIT NO: PG2016-0004 DATE ISSUED: EXPIRAT)ON DATE: !LL (Ii 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. '&. 4 4 uhdi PUBLIC WORKS DEPARTMENT APPLICATION FOR PERMIT Date: [March 1Oth,2016 - I Description of Construction (i.e.: See Plan Set No. 01234)1 -. rurf removal and new landscape installation Dimension of Installation or Removal: IParkway_f±venida Bermudas and Avenue 52 at __j Fritz Burns Park. Approximate Construction Start Date: 13/28/2016 Approximate Construction Completion Date: r5/20/20i - . I Estimated Construction Cost: s1163,180.00 - Estimated Construction Cost shall include the removal of all obstructions, materials, and debris, back-filling, compaction and placing permanent resurfacing and or replacing improvements Contact Name: _JPhone Number:7602507639 I Name of Applicant/Owner: InserveLandCare - Applicant Address E225 Mauring Rd Thousand Palms CA 92276 Applicant Telephone Number: 1760-343-1433 I Applicant E-mail Address:Eiker@conservelandcare.com Name of Contractor: Econserve LandCare Contractor Address: 172265 Manufacturing Rd. Thousand Palms, CA 92276 - 1 Contractor Telephone Number: I0-343-1433 Contractor State License Number: [958748 Contractor City Business License Number: I Contractor E-mail Address:Ikrocker©conserveiandcare.com 1 'A COPY OF THE CURRENT INSURANCE CERTIFICATE MUST BE PROVIDED I rnlicant or Contractor General Liability Insurance Comnanv: Applicant or Contractor 4eneral Li4bility Insurance Policy Number: 1WPP124299900 1 :2 122-11-7 - , Office Use Only: Inspection Fee: Permit Fee: As-Built Deposit Dust Control Deposit: Credit Amount: TOTAL FEE DUE: Office Use Only: Assigned Permit Number: P(-, 2..t) I Approval Date: Expiration Date: Issue Date: Administrative Authority: 000LP