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0311NOTE: " With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT,. PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) 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 Subdivision Improvement Permit - Class I I I DATE: May 24, 1988 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION — Bermudas W, S between Temecula & Chillon Bermudas F/S from 25' S/0 Iia Fonda to f60' S/0 La Fonda and a'd' X 4' pit on Montezuma TT/5 (Street address or Description of Location) W/0 Bermudas . For additional information call John Davis at,342-0535 and refer to W.O..#543-7131.3-I. PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) Telephone service to south end of Cove _ DESCRIPTION OF CONSTRUCTION Direct buried telephone cable and two telephone boxes SEE ATTACHED DRAWINGS DIMENSION OF INSTALLATION OR REMOVAL Cable approximately 2" diameter and @ concrete pads 82" X 60" X 4" for telephone USA NUMBER SIZE OF EXCAVATION, IF NEEDED 36" deep trench DATE ISSUED APPROXIMATE TIME WHEN WORK WILL BEGIN 2-1-88 APPROXIMATE TIME OF COMPLETION .4-1-88 ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, corn- s paction and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of this permit, the applicant hereby agrees to - Indemnify, -defend o: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. 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 GEN13RAL TELEPHONE COMPANY, 83-793 Dr. Carreon Blvd,, Indio, CA 92201. 342-0535 Name of Applicant (please print) Business Address Telephone No. HOOD COMMUNICATIONS, INC., 494 South Fourth Street, Banning, CA 92200 Name of Contractor and Job Foreman Business Address Telephone No. 378587 Contractor's License No. City Business License No. Alex,nder & Alexander of California Inco/Insurance Co of North American Applicants Insurance Company Policy Number SCG G0004498-2 c+l.Tnil�-/n'i FEES: 'Subdivision Improvement Permit — Class III 72HUSG6583 Public iRSC C2856161-1 mprovements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule . Inspection Fee $ 230.00 Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: $ 230.00 Receipt No. Received by Date Recorded by N� 31.1 �. PERMIT VALIDATION PERMIT NO. -j:;t 2 09 DATE APPROVED EXPIRATION DATE 7/ '� v DATE ISSUED _ / i19 By — dministrative Authority TELEPHONE: (619) 564-2246 i ,t ♦f ' is � 5 � ` . z •r. ' f. aft .. • : t, i � . i . o - , '. 4 F .. 31-1. e 3n l: J V±N3S3`Jd3-*lJ _ _ • ' .. 4. , i v. F a - it w `IO t t in ' iA3SM ?e' t (JNO-i � 503?JQCIJ 1d it - ., ' .. ,n?• .. , ., ° a31371JWOO 'Nj3g SVFi I T'21 'OM 1 I kl,"J3^Ja NO A�Jom - F. � a t• - .�;•it - ., 3 , � .. 4 .. r . y 33 I J_Othl 1\101137dW07 7a T 6/8TY. T y4 . fit _ _ _ .f. .. .' • - ,.�. y .. _ s . !'7 �, •�< � _ri'_.t..� y.� u t?:.�.LJ'1:1'lQ L"'-1,:,. T t z e �• ! 1.1.1 1? -j (:�Y A 4 T 3 ` - � •" to •; • • t Y Y T T 01\I 1 I W`J3.J` 666. 9 7 330 T TA. 78-105 CAL'LE ESTADO LA' QUINTA, :CALIFORNIA 92253 (619) 564-2246.- OF 64-2246 OF • -_ - Q' ADDITIONAL - CONDITIONS _ ~ ENCROACHMENT PERMIT NO.,311� r R33 .Survey-.monuments shall be-protected,in'place -or- "re-established--- _ pursuant to City -standards and the-State'of',California Lands; !Surveyor' s Actn. R34 Contractor shall comply «with the -.local, noise ordinance" `and - - construction' operations and maintenance of equipment -within one.. . ! half-•mile of human-occupancy-shall be -perfo_ rmed � only during,-_ -the time periods as follows May - lst.,to .September -,30: Monday,-Friday 6:00. a.m. 7- .7:00 'p.m. Saturday, 8:00 a.m. :5.00 p.m. `Work:shall•be prohibited_.'anytime­on-Sunday or Federal-holidays.. R35 Traffic, con troh shall-.- be'as per Cal - Trans Traffic Manual:- -- Field adjustments iri, detouring shall rbe accomplished as direct- -ed in-- order ,to adjust to 'actual fidld`,conditi6ns. •It shall' be -the,contractor's responsibility -to-'adequately.-barricade and -- detour this site. _ __R36 All excavation at or near the travel way shall, be backfilled at- the end of .\the .work-day, 'for- the- protection of . ,the• _traveling,---. Public.- R37 This permit ,is `only .for• work within public street right-of-way.' R38 _ Ingress and'-`egreee for local properties shall'be_maintained at all times., - R39 This permit is-not valid unless /the :USA Inquiry Number.., is noted- on oted-on the City copy,of this permit. - r r. R40 Replacement pavement..shall-rbe existing asphalt thickness plus one inch, but.. not_.less than 3-inches-of AC `pavement shall be placed. - Class` 2' aggregate. base shall . be . as per,-existing-or 411 _ minimum (whichever is:greater). BJ/FORM.1� AD_ _ ~ (LING DRESS. P.O.--BOX 1504 LA'QUINTA, .CALIFORNIA 92253+ • - - . - _ ,. - -