0340REFERENCE: W.O. #F 543-•7126e -I
It W,oper validation
this form constitutes an
encroachment permit CITY OF LA QUINTA
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 II I
.DATE: September 30, 1988 Minor Improvement Permit Class IV x
LOCATION OF CONSTRUCTION Ave 52 SIS W/O Jefferson
(Street address or Description of Location) ..
PURPOSE OF CONSTRUCTION future growthSketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION n1a�P r-onciti i t nntA
x—connect pad and buried cable SEE ATTACHED DRAWING
DIMENSION OFINSTALLATION OR REMOVAL 4-4" PVC and REFERENCE: W.O. 0543-71266-I
82" x 60 concrete toad
SIZE OF EXCAVATION, IF NEEDED 24" x 36" ,.
APPROXIMATE TIME WHEN WORK WILL BEGIN 11-1-88
APPROXIMATE TIME OF COMPLETION 1-30-89
ESTIMATED CONSTRUCTION COST $ S 2 J 000 L 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
GTE California 83-793 DR Carreon Blvd., Indio, CA 92201
Name of Applicant (please print) Business Address Telephone No.•
Name'of Contractor and Job Foreman
Contractor's License No.
Business Address
Wr
Telephone No.
City Business License No..
Applicant's Insurance Company, Policy Number
FEES: Subdivision Improvement Permit — Class I I I
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs k '
aOMinor Improvement Permit — Class IV: See attached schedule °"
Inspection Fee'
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
$ NA
NA
$ 0
Date
PERMIT VALIDATION
PERMIT NO. 349
DATE APPROVED 9131) /RR
EXPIRATION DATE 2/28/89
DATE ISSUED 9/�31Q/88
By c_ /�`� s��t ,
Administrative Authority
TELEPHONE: (619) 564-2246
' REFERENCE: W.0.# 543-71266—I
CEIVE®
NOTE:
With proper validation Q 198
this form constitutes an CITY OF LA QUINTA
encroachment permit CITY OF APPLICATION FOR PERMIT QUIN
1 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 II I
DATE: September 23, 1988 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Ave 52 S/S W/O Jefferson
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION - future, growth
DESCRIPTION OF CONSTRUCTION place conduit and x -connect
pad and buried cable
DIMENSION OF INSTALLATION OR REMOVAL 4-4" PVC and
82"x60 concrete pad
SIZE OF EXCAVATION, IF NEEDED 24"x36"
APPROXIMATE TIME WHEN WORK WILL BEGIN 11-1-88
Sketch (attach construction plans if appropriate)
SEE ATTACHED DRAWING
REFERENCE: W.0.#543 -71266—I
APPROXIMATE TIME OF COMPLETION 1-30-89
ESTIMATED CONSTRUCTION COSTS $2.000.00
(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 fiom claims or court action and arising out of any accident, loss or damage to persons or property .
happening or occurring as a proximsti result of any work undertaken under the permit granted. pursuant to this application.
Notify the Administrative Authority at least twenty-four 124) 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 Quints and to pay for any additional replacement necessary, as the result of this work.
Signavie of i'canieor.Apent
GTE CALIFORNIA, 83-793 DR Carreon Blvd., Indio, CAJ 92201
Name of Applicant (please print) Business Addresss. Telephone No.
Name of Contractor and Job Foremen Business.Address Telephone No.
Contractor's License No.
City Businea License No. .
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III — --- j
S
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction cost
a
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED v ��
By
Administrative Authority
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ n1.
Permit Fee 041-4
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
$ _e,*)— -
Date
Recorded by 11 TELEPHONE: (619) 564.2246
ADDITIONAL.CONDITIONS
ENCROACHMENT PERMIT NO. 340
R33 'Survey.monuments,shall-be protected in place or.
re-established pursuant to City standards 'and the State .of
California Land Surveyor.'s Act.
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 performed only
during the time. periods as.' -follows:
October 1st to ;April 30 Monday -Friday 7:00a.m.-5:3Op. m.
'Saturday 8:008a.m.-5:00p:m.
Work shall be prohibited anytime on Sunday and Federal
'holiday.
R35 Traffic control shall be' as per Cal Trans. Traffic Manual-.
Field adjustments in detouring shall be accomplished.as ,
directed .in order -to adjust, to ,actual field conditions. 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 egress for•local properties.shall be.maintained
at all times
R39 This permit,is not valid unless the USA Inquiry Number is
noted on.the City.copy'of this permit.
R4.0 Replacement pavement. shall be -existing asphalt thickness
plus one inch, but not less than3 inches of AC pavement
shall be placed: Class 2:aggregate base.shall be as per.
existing or 4" minimum (whichever is greater).
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