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-- GEM ofdn DESERT —
CIP
PUBLIC WORKS CONSTRUCTION
See below for Finance Revenue Codes
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: 12/30/2022
LOCATION OF CONSTRUCTION (Street address or Description): DUNE PALMS BRIDGE
PURPOSE OF CONSTRUCTION:
DESCRIPTION OF CONSTRUCTION: 2011-05 DUNE PALMS BRIDGE
DIMENSION OF INSTALLATION OR REMOVAL:
PROXIMATE TIME WHEN WORK WILL BEGIN: 1/3/2023 TIME OF COMPLETION: 12/31/2024
ESTIMATED CONSTRUCTION COST: __ (Including removal of all obstruction, materials, and debris, backfilling, compaction and placing
permanent resurfacing and/or replacing improvements)
ICOMMENTS
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 (24)
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.
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ORTIZ ENTERPRISES INCORPORATED 6 CUSHING STE 200 IRVINE, CA 92618
Name of Applicant (please print) Business Address
ORTIZ ENTERPRISES INCORPORATED 6 CUSHING STE 200 IRVINE, CA 92618
Name of Contractor and Job Foreman Business Address
467088 LIC-768285
Contractor's License No.
OLD REPUBLIC GENERAL INS CORP
Applicant's Insurance Company
Finance Revenue Code
TOTAL: $0.00
City Business License No.
AlCG04361801
Policy Number
PERMIT NO: CIP2022-0010
DATE ISSUED:12/30/2022
EXPIRATION DATE: 12/31/2-024
BY: CARLEY ESCARREGA
WORK INSPECTED BY*:
PERMIT COMPLETION DATE*:
,LUA.WSt or Agent
(949)753-1414
Telephone No.
(949)753-1414
Telephone No.
*If the work is covered by a Subdivision Improvement Agreement,
Subdivider shall request final acceptance of improvements from the
City Council.