0269 (2)' � !•,: .. .. � bC" .."3t:.`:lCMi.;a�» ..,�.'.. t'— -9 ..,a � 7r .a•wn :mvw .,•w-- i_ .. +.s3...._��y... ..
s, NOTE: n r, •
' With proper valldatlori
this:tformconstltutesan� ,res;`
encroachment ermit�� �.., ; �.. *- CI'1'IY Ary C�UINTAr,s a
Af
ApPL)CA'ImIT'
`PM,JBLIC''INrORKS° CONSTRUCTION '`(ENCR ACHMENT)
j'. For the construction of public or private curbs, driveways,. pavements, sidewalks, parking lots, sewers; water mains
and other like,_ public works improvements inconnectionwith fViylNtO^R'1MPR1OV�EMEN�TsyS and APPROVED SUBDIVISIONS
� _ :'• - .. .y 1 Mh'�..+ S�.I�ti^,; 17x�'h}i�:;-1 � M i��•�t T34F r. �i:Y7 ..
xx
j Subdivision Improvement Permit — Class III'.
DATE-' July .9 1987 ,
..,;� ��� �,�s� {a �` ; f ,. 1.`+ Minor Improvement Permit Class IV,,
LOGATIOR OF -COIJSTRUC ION " Madi�n Street- — PGA West '� �; � ' � � fit!" 4=(tet•` `�
tId' 1
Apyroximatalv'' 1140' south'oi Airport Boul•Arvard
(Street address or Descript�iyon of Locat on) , r
.L,LFL, 1. f.. r t ry.r
PURPOSE OF CONSTRUCETION, Construct° sewer bgpass and", ,,$ketch;(attah constructlgn plans if appropriate)
detour road for of Z; �'>. �:, ,..., �:•y.: i�
T g 1` caxt 'uaderpa�ais." r ,. w t {raY;c;
Ti� "•wF Y IA=i
DESCRIPTION OF CONSTRUCTION }L.1�� O' Reu fig , pv�Bee &ti&Ched`'planslor�detour
I wemar nrr...a spal�i.��t.clad- tniderpass and sewer relocation pines. ._.{
DIMENSION OF INSTALLATIONOR REMOV9L BBeYplane" ; ,The, attoched special and generalQ t
provisions are lucluded and made
a'�} :a► pain o! this
SIZE OF EXCAVATIQN,:IF NEEDLED See plane *, j
i`. r:a F:i ia+.i:v1 N+•3. zy -.. t4_4 {" s, 7M3,M .+�f \ 'w'M 4 ?ki^" �.d .�. c)r (•'y` e, '
""1.APPROXc: #tit" s. Jaly. 245. r1987DSi r Iaq�, . Rt33SM:TRl op
xC
r
APPROXIMATE TIME OF+.COMPLETIONA. L pNowember 1 " '1987''' "Date xai>luedt' 1�i d,c. M•''' 1
.1; 4 1 226`282 00'4
�' r:,. a.: ii: ♦_ :e �ta ��1.�.�..�f't. �. ."�T 1,1•S.n 1r ;.Ria .1 :i. 15 \,it
ESTIMATED CONSTfjUCT10NsC�ST $ _t,.
I� ?.. , +� Y s% yam? } r : �-e ., - r' X r...x Rti -.+ i. �+V - • - 4 r,f,>`+i�.l:�.: i3.�.,�. ;(. �..:�' F z J.
(Including removal of.,all gbstruction ,mater also and debris, beck IIIIng, m.
` paetion and 'placing permanent resurfacing and7or re lacm9'Im.provements)"
corislderation of ,;hettirentjrl9;ft.t pe[mlt the,pp,icant;hereb a rasa t A '
.. .,«t • - Xe� w9'� ,1.3't 29tU ixc'i.k I . X !? .Itiict xi
Indemnify, defendtend save the'CILy"*,its authorfied agents, officers 4a resentatwes' in employeeii; harmless:from end'against any, and all
penalties, liabilities or loss resulting from claims or court, action' and .arising oat of any accident, loss or. damage to persons or. property y .
happening; or oic%�(1ng as a ro(yimita^result of ray work undertaken.ul�dQr,the p rmit.gryprated Pursue t o,t Is a pli/rydo•/�} jy
Y 'T J.4 - Y+.14ti.L• t,
"f i. ++rl. 'Y 1.. .1 • Fa Y �. +F M • 1,.T, pursuant
4 q. ai i�Yai. f..
Notify the Admioist►ative �4uEltgrity at'_IBasta,tWenty fp4r. (24) hours In advance .ot ;the;tinme ,#hei? wprk willsbg started
Comply with all applicabletClty> 0rdininces,-the-terms• and conditions of the permit and all applicable rules'and regulations of,'the
La Quinta and tq,pay';for any; #0jitiohalrreplectsnt ngces ary;ss,th s f this work.
Slgnature'of Applicant or Agent
r ,. • a t
Landmark�'Laad Company tCalifornia,'Ica.� ,P.• 0.'4,ia ci 1000, Lail iinta-'`CA'.'92289 S6l x1105 1
Name of Applicant (please print);n�'t �----' Business Address : wE **• Telephone No.
S2r�r. Coastruetlon,: P. -0. Box ¢85, Upland,. CA. 981-87 7
Nte'of Contractor and
Jo ,Foreman ,; �,i : f; r�i'>x :Business Address Telephone. No.
Contractor s-Li ns o ,, w ' ,.«r Via'. Cit ' "_ s N ;r
�� a (�NN{}j {y ♦9 �r#�*y j' �!� ,. �1 ..� �(/ Buslriess Ljli anese r y� aux
}r y n •°F �+•r a"Y �e - i i ":M 4a. 7 '`r+,? z4 �. l�' +w 1�.".. ;.a E„ ii h .► �1. i7`i: w.
TDSJUB-197T110=487 j
Applicant's Insurance Companyi :'Ix:#� Xit ;'f ., ' ',-'� i f•F�#. tPQlioy '19Nm"tt�?•i''tt.:��..FY ,
• � n1�• } ;� .y t' •�' !.. -. ✓ ... "f �'� ',�:• i`�. Mr+Y4, !K•�' .. - �Wa.ti n
PEES Subdivision ImprovementPeimlt''Class•III Yrt: �h.1 4 `Zj
`0. y 1'} l.`� ,. 4 •+ i 'i - ry''}r ,;; h .a o ..., .. lx a„c'r +.• C,4 rM �+47x
a
' Public improvements 396 of estimated'constructlon costs ""
r 1 P
F Private improvgment 396 f ma co�structi n Goats
fit s, x �< �=Z.�I: A z,'�Avf of 0� iia.? T
r
Minor Improvement Permit Class,IV,: See attached schedule a.
•Inspection Fed" $ PERMIT VALIDATION'�i,
Permit Fee: Y _ ,:rw �� 024:fie • ` s i :t , ¢- _
J. n,�r.:w1
' ('f +Cii�, ,t'1 it c,�.y' 'iit ,•b y'3',:.•-� 3i< ,:.CU; ` 7 YER IT :;`
Penalty.:
Cash DepTit-Surety8�nd DATE APPROVED '7/io If 7 _+
T' 'l.• V t. t C9� :a • A--
if
A- —i=`� 1,•�, #lt�"i S ,�+,,fl ,rift f f 7+li3K •. {.ril F t 5r •. rs,�...' r ¢
if required txt�froa►t: } k , ,ri e .{EXPIRATIQW AT 1-S ! 1P7�
r , OTA
c' DATE ISSIJq
Receip; NO ' 1;Z< 41, .�7c: I y,� .' «• I �` ,; ;' t fll".+, � t _ ala r t rev#'I
IF
By.
Received by Date ' _ .. ,,PYA
,. <r t .. ; , , r;4t#i...G .,' t dministr Ive Authority
'' Recorded by t t+b -5t t `c; t r`* v=hi1w9 ON *1956a • 24 �yRal 7 •'i r
. ' TELEPH F E 6 2 �j
777-"Te; tw i , t �+ �, .:,,Y� .i:.t# t •c:-:� v:u•k-�i.z {, l to isS .
F'1i.s•.. tfL"I'M!':.Sl:%�'^;'l1 �rtk.:. T'� 'ai i. ,i''Itll�i",}�j Qy 4tl,i �'4ilQfi',� (a`i�6.�•V .�Q'fltfltYt•f�.iY.' Le'!:. :.i ,..r. _
•� t «..�..•' � ,r .a�it1 ' -�? r (e ttt`' Y � f=. � a!�,. '^}I F'((f it tt7i4 a�,'FE x31ti ;`�::- ,tr t."i� 1��.}'�i'1�L r"' . 4+ '� .. ... .
�. •. t~ � �.r t! r`w'' � a�el►fii.. 2 �r,s�^ ito < < ,.
be replaced by a licensed"civil engineer or surveyor at'the expense of tfie permittee:`A complete set ornotes snowi ng the " ""
ties, to these monuments Shall be furnished to the City Engineer prior to"the removal of any monuments. This office shall
be notified upon completion of'replacem'
ent of'oll survey monuments for prope`r'project clearance."'K'V"'