0312NOTE:,
With prc.,er validation
t". form constitutes an
encroachment permit
n
•
CITY OF LA QUINTA
APPLICATION FOR PERMIT
O�
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 III
DATE: May .1 �, 1988 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Fred Waring Drive and Washington Street
(Street address or Description of Location) ,
PURPOSE OF CONSTRUCTION Reconstruct intersection Sketch (attach construction plans if appropriate)
as per attached Plans and Specificiations
DESCRIPTION OF CONSTRUCTION r)f
i n+nrc=o+-inn ae nar Afharhiza Plana Ana 9
qnr r -i fir -a
DIMENSION OF INSTALLATION OR REMOVAL As per attached
road _ impr,6v,m entsplans .
SIZE OF EXCAVATION, IF NEEDED As per attached plans.
APPROXIMATE TIME WHEN WORK WILL BEGIN June 1, 1988
APPROXIMATE TIME OF COMPLETION June 30, 1988
ESTIMATED CONSTRUCTION COST $- 48.000.00
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
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.
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 714-787-6549
_Riverside County Raad Department, P. O. Box 1090, Riverside, CA 92502
Name of Applicant (please print) Business Address Telephone No.
Vance Corporation 3940 Pyrite Street, Riverside, CA 92509 714-685-0845
Name of Contractor and Job Foreman
r.
Business Address
Telephone No.
414567A
Contractor's License No. City Business License No.
Aetna Casualty and Surety 86CO064692CCA
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I I I
Public improvements: 3°/a of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL
Receipt No.
$ -.0*—
Received by Date
Recorded by
O 312
PERMIT VALIDATION
PERMIT NO. `5� / -Z, nn
DATE APPROVED :2�Z Z
EXPIRATION DATE Alo/�r1
DATE ISSUED ' '�A_31Ae
By
V Administrative Authority
TELEPHONE: (619) 564-2246
N614:
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, pevemenu, sidewalks, parking lots, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit - Clan 111
DATE: May 11, 1988 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Fred Waring Drive and Washington Street
l8traet addraa or Description of Location)
PURPOSE OF CONSTRUCTION Reconstruct intersection as Sketch (attach construction plans if appropriate)
per attached Plans and Specifications.
DESCRIPTION OF CONSTRUCTION Reconstruction of inter-
section as per attached Plans and Specifications.
DIMENSION OF INSTALLATION OR REMOVAL As per attached
road improvement plans. -
SIZE OF EXCAVATION, IF NEEDED - As per attached plans.
APPROXIMATE TIME WHEN WORK WILL BEGIN June 1, 1988
APPROXIMATE TIME OF COMPLETION June 30, 1988
ESTIMATED CONSTRUCTION COST $ 48, 000.00
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, defend and save the City, its authorized agents, officers, rapresentatines 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 lout twenty-four (24) hours in advance of the time when work will be started.
Comply with all applicable City Ordinances, the tans and.conditions of the permit and all appUcable rules and regulations of the City of
Le Quints and to pay for any additional replacement necewry as the reuulf this wo
Signature of Applicant or Agent Ivan F. Tennant,
. Deputy Road Commissioner
Riverside County Road Department P.O. Box 1090, Riverside, CA 92502 (714)787-6549
Name of Applicant (please print) Busirwss Address Telephone No.
Vance Corporation 3940--Pyri:te:::Street.;-_Riverside.;_.CA.., 92509 (714)685-0845
Nanta of Contractor and Job Foreman Business Address Telephone No.
414567A
Contractor's Liana No. --
City Busineu Liana No.
Aetna Casualty and Surety 86C0064692CCA
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit -Class III T
Public improvements: 3% of estimated construction costs
Private improvements: 3% of allntated construction costs
Minor Improvement Permit - Class IV: See attached schedule
Inspection Fee ' $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by Dau
PERMIT VALIDATION
PERMIT NO. S Z'
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Recorded by I TELEPHONE: (619) UK -2246
Administrative Authority
♦ WORD OF TElfPHOJW COPlYERSATION
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Organization J -a• h ex 23ry S.
Phone No. '(0p l 9 - Z Z 1/
Items Discussed
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0002 " ST 4" oSNrdaeQ C'��
Comments or Action Required
AGREEMENT
'
11
�
2 ; ;
FOR
1
3;
THE DESIGN AND CONSTRUCTION OF A TRAFFIC SIGNAL AT
'
41,
FRED WARING, DRIVE AND WASHINGTON.STREET-
;
5;-;
THIS AGREEMENT is between the -County of Riverside.(000NTY). and
;
6;;
the City of La Quinta (CITY)- to'provide for the Project (PROJECT)
;
7;;
to design and construct a traffic signal and highway lighting
(1
8;;
system at the intersection of.Fred Waring Drive and Washington
91 1
Street.
1
'
10;;
WHEREAS, a portion of this "intersection lies within the
;
11;;
incorporated,. limits of the CITY and .the remaining portion lies
1211
within the COUNTY, and
'
13;;
WHEREAS, the COUNTY and.the CITY desire to, -complete the PROJECT
;..
14; ;
t'o design and construct a traffic signal and highway lighting
'
1
15;;
system at the intersection of Fred Waring and Washington Street.
16;;'
IT IS AGREED:
'
1711
1. COUNTY, through its Road and Survey.,Department, will 'provide
;
18;;
design and construction engineering for the PROJECT. Design..
;.
19;;
engine.ering consists of preparation of plans, specifications,
;
20;;
and documents. Construction engineering consists of
;
21;;
construction survey, inspection, and administrative effort to
'
2.21,
maintain PROJECT accounting records..
'
23;
2. In determining construction engineering costs, COUNTY shall
24;;
keep accurate records regarding hours• worked, -equipment -used,
;
25;;
vehicle unit mileage. recorded and administrative charges
26;;
incurred, said PROJECT records shall be available for review
;
27,'
by CITY..
28;;
3. The total cost of the PROJECT which is to include design
151
1
1
161
1
.171
1
18
1
191
1
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20�
21'
I
221
I
1
231
I
1
241
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251
I
261
1
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4.
5.
o.
7
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engineering, construction engineering, traffic signal equip-
ment and .the cost .'off the construction ,of the. traffic signal
and highway lighting system, shall be allocated to the .CITY
and COUNTY on the :bas,is of the portion of the pro jest in
1
each jurisdiction. It is determined for this PROJECT, 'that-
,
the CITY portion is 25'percent and the COUNTY portion is 75' ;.
percent of the total cost.
I
1
For the basis *of .this agreement, the total cost of the ;
PROJECT is. estimated to be ninety thousand dollars ($90,000). 1
1
COUNTY upon final acceptance of the "constructed PROJECT '
' 1
improvements, will prepare a statement of costs and.will '
1
submit to. CITY for payment within 30 days' thereafter.' '
1
Upon completion
*of all work under construction contract and
I
final acceptance ofcompleted signal installation by the
,
COUNTY, maintenance of..the signal., will be performed by COUNTY
in accordance with the signal maintenance agreement now in ,
effect between 'CITY and COUNTY. Costs of ma intenance'shall
I
be apportioned between and paid by the: parties of the" same
percentages as determined in Section number 3 of this ;
Agreement.
I
Any notice required to be'sent:pursuant to this Agreement 1
i
shall be sent by regular mail, addressed as follows:
I
CITY OF LA QUINTA COUNTY OF RIVERSIDE' ,
RONALD K I EDROki SK I, .1EROY D. SMOOT
CITY MANAGER. ROAD COMMISSIONER
°.0. SOX 1304 P.C. EOX 1G9C
LA QUINTA,-CA 92234 RIVERSIDE, CA '92502
8. Each party, as to any claim or liability out of any act or
11t omission by s3:party, with. reA'erence to any worK to bP ;.
211 performed b or 3uthorit 'dele ated to such
� Y Y 8 party hereunder,
3shall defend, -nJemnifY, and hold harmless the other party,
4ii its officers an_ employees.
5i i Dated:
611, By:
i ayor .
7i
811
ii Attest:
9111,
.101;
B
City Clerk
1211
13.1 1 Approved as, to Form:
14i
15i
16;;'.By;
ii City -Attorney
1711
ii
18,i
1911
2011 RB: jag
ii Rev: 7/7/87
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